Patient   O
Name   O
:   O
Buckley   B-NAME
Age   O
:   O
42   O
ID   O
:   O
BO:93159:758895   B-ID
Medical   O
Record   O
:   O
098   B-ID
-   I-ID
36   I-ID
-   I-ID
90   I-ID
-   I-ID
0   I-ID
On   O
39/01   B-DATE
,   O
Phung   B-NAME
Kamaka   I-NAME
was   O
admitted   O
to   O
Jersey   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Cortez   B-NAME
.   O

The   O
patient   O
is   O
a   O
Software   O
Developers   O
,   O
Applications   O
residing   O
in   O
San   B-LOCATION
Diego   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
92154   I-LOCATION
,   O
with   O
ZIP   O
code   O
of   O
84631   B-LOCATION
.   O

The   O
patient   O
can   O
be   O
reached   O
on   O
phone   O
number   O
71611   B-CONTACT
.   O

Further   O
evaluations   O
were   O
requested   O
by   O
Yates   B-NAME
to   O
better   O
comprehend   O
the   O
severity   O
and   O
the   O
necessary   O
treatment   O
plan   O
.   O

A   O
comprehensive   O
abdominal   O
ultrasound   O
was   O
performed   O
at   O
Meade   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Meade   I-LOCATION
.   O

The   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Nigeria   I-LOCATION
(   I-LOCATION
CSN   I-LOCATION
)   I-LOCATION
insurance   O
company   O
was   O
contacted   O
to   O
discuss   O
the   O
treatment   O
plan   O
,   O
and   O
they   O
have   O
agreed   O
to   O
cover   O
the   O
patient   O
's   O
medications   O
.   O

Consequently   O
,   O
a   O
clinical   O
decision   O
was   O
made   O
by   O
Hensley   B-NAME
to   O
start   O
the   O
patient   O
on   O
a   O
course   O
of   O
proton   O
-   O
pump   O
inhibitors   O
and   O
suggest   O
dietary   O
modifications   O
to   O
alleviate   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
11/02/22   B-DATE
to   O
monitor   O
the   O
patient   O
's   O
progress   O
.   O

Signed   O
,   O
dik901   B-NAME

Patient   O
Name   O
:   O
Archer   B-NAME
Date   O
of   O
Visit   O
:   O
2256   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
Medical   O
Record   O
Number   O
:   O
496   B-ID
-   I-ID
71   I-ID
-   I-ID
81   I-ID
-   I-ID
3   I-ID
Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
F.   I-NAME
observed   O
this   O
23   O
year   O
old   O
patient   O
on   O
21/15   B-DATE
at   O
Fort   B-LOCATION
Belvoir   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Lavada   B-NAME
resides   O
in   O
Stapleton   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
22783   B-LOCATION
.   O

A   O
call   O
back   O
number   O
for   O
Johan   B-NAME
Mclean   I-NAME
is   O
listed   O
as   O
742   B-CONTACT
8090   I-CONTACT
.   O

Loss   O
of   O
appetite   O
was   O
also   O
a   O
significant   O
observation   O
,   O
with   O
Kobe   B-NAME
Nixon   I-NAME
mentioning   O
a   O
distinct   O
reduction   O
in   O
food   O
intake   O
over   O
the   O
past   O
two   O
days   O
.   O

A   O
brief   O
physical   O
examination   O
performed   O
by   O
myself   O
,   O
Quinn   B-NAME
Roberts   I-NAME
,   O
showed   O
that   O
the   O
patient   O
had   O
an   O
abnormally   O
high   O
heart   O
rate   O
of   O
about   O
110   O
beats   O
per   O
minute   O
.   O

Gibson   B-NAME
,   I-NAME
William   I-NAME
Ford   I-NAME
works   O
as   O
a   O
Roofers   O
for   O
Construction   B-LOCATION
,   I-LOCATION
Forestry   I-LOCATION
,   I-LOCATION
Maritime   I-LOCATION
,   I-LOCATION
Mining   I-LOCATION
and   I-LOCATION
Energy   I-LOCATION
Union   I-LOCATION
.   O

bv517   B-NAME
has   O
reached   O
out   O
to   O
the   O
employer   O
to   O
obtain   O
necessary   O
additional   O
details   O
.   O

The   O
State   O
ID   O
used   O
for   O
the   O
registration   O
of   O
the   O
patient   O
in   O
the   O
system   O
is   O
BJ   B-ID
:   I-ID
RX:7141   I-ID
.   O

In   O
such   O
cases   O
,   O
the   O
patient   O
's   O
code   O
of   O
337   B-ID
-   I-ID
29   I-ID
-   I-ID
52   I-ID
-   I-ID
7   I-ID
should   O
be   O
confirmed   O
for   O
identity   O
verification   O
.   O

Duarte   B-NAME
at   O
HealthSouth   B-LOCATION
Nittany   I-LOCATION
Valley   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
will   O
be   O
deciding   O
the   O
further   O
course   O
of   O
action   O
based   O
on   O
the   O
results   O
of   O
the   O
tests   O
.   O

Patient   O
Report   O
Patient   O
's   O
name   O
:   O
Laplace   B-NAME
,   I-NAME
Pierre   I-NAME
-   I-NAME
Simon   I-NAME
Medical   O
Record   O
No   O
:   O
4940034   B-ID
Date   O
:   O
01/12   B-DATE
Mr.   O
Laitman   B-NAME
,   I-NAME
Michael   I-NAME
visited   O
Forbes   B-NAME
at   O
our   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/29   B-DATE
.   O

Olszewski   B-NAME
indicated   O
that   O
the   O
pain   O
feels   O
exceptionally   O
sharp   O
and   O
piercing   O
,   O
particularly   O
after   O
meals   O
.   O

On   O
physical   O
examination   O
,   O
Stevens   B-NAME
noted   O
tenderness   O
in   O
the   O
upper   O
abdomen   O
,   O
nausea   O
,   O
vomiting   O
,   O
and   O
rapid   O
weight   O
loss   O
over   O
the   O
past   O
month   O
.   O

To   O
further   O
evaluate   O
the   O
symptoms   O
,   O
Pollard   B-NAME
ordered   O
a   O
comprehensive   O
metabolic   O
panel   O
,   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
and   O
abdominal   O
ultrasound   O
for   O
Dayami   B-NAME
Nielsen   I-NAME
.   O

Responses   O
on   O
the   O
patient   O
's   O
medical   O
history   O
questionnaire   O
disclosed   O
that   O
the   O
patient   O
is   O
a   O
Real   O
Estate   O
Brokers   O
residing   O
in   O
Leesburg   B-LOCATION
,   O
with   O
92314   B-LOCATION
.   O

Mr.   O
Roy   B-NAME
Clyburn   I-NAME
is   O
41   O
years   O
old   O
and   O
has   O
no   O
history   O
of   O
alcohol   O
misuse   O
,   O
which   O
is   O
a   O
significant   O
risk   O
factor   O
for   O
gallstones   O
.   O

McGuire   B-NAME
,   I-NAME
Al   I-NAME
recommended   O
laparoscopic   O
cholecystectomy   O
,   O
a   O
minimally   O
invasive   O
surgery   O
to   O
remove   O
the   O
gallbladder   O
.   O

Mr.   O
Gustavo   B-NAME
Tyler   I-NAME
's   O
health   O
plan   O
identification   O
number   O
is   O
745205737   B-ID
and   O
the   O
best   O
contact   O
number   O
is   O
64650   B-CONTACT
.   O

Diego   B-NAME
Colon   I-NAME
provided   O
consent   O
to   O
communicate   O
all   O
health   O
information   O
and   O
future   O
appointments   O
via   O
Danish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
's   O
secure   O
portal   O
using   O
the   O
ad64   B-NAME
.   O

Given   O
that   O
Mr.   O
Khalil   B-NAME
Rodriguez   I-NAME
’s   O
employment   O
would   O
not   O
affect   O
his   O
ability   O
to   O
have   O
the   O
procedure   O
done   O
,   O
Mariah   B-NAME
Vazquez   I-NAME
has   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
7/31/11   B-DATE
to   O
discuss   O
the   O
results   O
and   O
plan   O
for   O
potential   O
surgery   O
at   O
the   O
Novato   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
Patient   O
Abraham   B-NAME
Harrell   I-NAME
was   O
brought   O
to   O
Anchor   B-LOCATION
Hospital   I-LOCATION
on   O
22/00   B-DATE
.   O

They   O
live   O
in   O
Weekapaug   B-LOCATION
and   O
their   O
primary   O
care   O
physician   O
is   O
Payne   B-NAME
.   O

Redemptor   B-NAME
’s   O
past   O
medical   O
history   O
,   O
according   O
to   O
our   O
records   O
(   O
161   B-ID
-   I-ID
95   I-ID
-   I-ID
71   I-ID
-   I-ID
0   I-ID
)   O
,   O
includes   O
an   O
appendectomy   O
done   O
at   O
the   O
age   O
of   O
13   O
and   O
a   O
cesarean   O
section   O
in   O
her   O
late   O
20s   O
.   O

Their   O
phone   O
number   O
is   O
(   B-CONTACT
816   I-CONTACT
)   I-CONTACT
756   I-CONTACT
-   I-CONTACT
3640   I-CONTACT
.   O

According   O
to   O
Marks   B-NAME
,   O
the   O
patient   O
is   O
showing   O
symptoms   O
consistent   O
with   O
acute   O
gastroenteritis   O
,   O
possibly   O
caused   O
by   O
bacterial   O
infection   O
.   O

Lydia   B-NAME
Daniels   I-NAME
has   O
been   O
advised   O
to   O
rest   O
and   O
increase   O
fluid   O
intake   O
.   O

The   O
patient   O
is   O
currently   O
employed   O
at   O
Boylston   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Barrett   B-NAME
Moore   I-NAME
’s   O
employer   O
has   O
been   O
supportive   O
and   O
cooperative   O
,   O
providing   O
all   O
necessary   O
identification   O
documents   O
(   O
JM339/8895   B-ID
)   O
quickly   O
.   O

Home   O
address   O
provided   O
is   O
Pulaski   B-LOCATION
,   O
and   O
the   O
zip   O
code   O
is   O
43410   B-LOCATION
.   O

The   O
contacting   O
nurse   O
is   O
AC421   B-NAME
.   O

XL5810   B-NAME
has   O
been   O
in   O
touch   O
with   O
Aragon   B-NAME
’s   O
close   O
contacts   O
,   O
to   O
figure   O
out   O
if   O
anybody   O
else   O
is   O
also   O
showing   O
similar   O
symptoms   O
,   O
as   O
a   O
part   O
of   O
our   O
disease   O
control   O
procedure   O
.   O

Medina   B-NAME
is   O
planning   O
to   O
keep   O
Zaiden   B-NAME
Clayton   I-NAME
under   O
observation   O
for   O
the   O
next   O
48   O
hours   O
before   O
deciding   O
on   O
further   O
course   O
of   O
action   O
.   O

Patient   O
Report   O
:   O
Devan   B-NAME
Chandler   I-NAME
arrived   O
at   O
the   O
Trinitas   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/11   B-DATE
.   O

He   O
appeared   O
to   O
be   O
approximately   O
69   O
years   O
old   O
,   O
and   O
was   O
admitted   O
by   O
Dr.   O
Jaylynn   B-NAME
Mullins   I-NAME
.   O

The   O
patient   O
's   O
emergency   O
contact   O
was   O
listed   O
as   O
a   O
Earth   O
Drillers   O
,   O
Except   O
Oil   O
and   O
Gas   O
,   O
with   O
a   O
contact   O
number   O
76182   B-CONTACT
.   O

The   O
patient   O
’s   O
medical   O
history   O
was   O
requested   O
from   O
Authority   B-LOCATION
of   I-LOCATION
Planets   I-LOCATION
with   O
the   O
help   O
of   O
medical   O
record   O
number   O
8211934   B-ID
.   O

An   O
ID   O
NP   B-ID
:   I-ID
NC:3639   I-ID
was   O
used   O
to   O
verify   O
his   O
identity   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
chest   O
x   O
-   O
ray   O
tomorrow   O
,   O
6/33/22   B-DATE
,   O
for   O
further   O
investigation   O
.   O

Meanwhile   O
,   O
the   O
patient   O
was   O
provided   O
symptomatic   O
treatment   O
and   O
was   O
advised   O
to   O
stay   O
at   O
Sedona   B-LOCATION
,   I-LOCATION
Sedona   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
(   I-LOCATION
D   I-LOCATION
)   I-LOCATION
for   O
better   O
monitoring   O
.   O

For   O
further   O
communication   O
regarding   O
the   O
patient   O
's   O
ongoing   O
therapy   O
,   O
a   O
staff   O
flf92   B-NAME
was   O
allocated   O
.   O

Further   O
notes   O
on   O
prognosis   O
will   O
be   O
sent   O
to   O
the   O
patient   O
's   O
address   O
(   O
93362   B-LOCATION
)   O
once   O
the   O
results   O
from   O
more   O
investigations   O
come   O
in   O
.   O

Summary   O
by   O
:   O
Singh   B-NAME
Contact   O
Informations   O
:   O
653   B-CONTACT
1210   I-CONTACT
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Memorial   I-LOCATION
Livingston   I-LOCATION
Mississippi   B-LOCATION
State   I-LOCATION
21587   B-LOCATION

Patient   O
's   O
Name   O
:   O
Arjun   B-NAME
Nunez   I-NAME
Age   O
:   O
99   O
Location   O
:   O
Colorado   B-LOCATION
ID   O
:   O
3533301   B-ID
Medical   O
Record   O
Number   O
:   O
23912325   B-ID
Phone   O
:   O
(   B-CONTACT
969   I-CONTACT
)   I-CONTACT
930   I-CONTACT
-   I-CONTACT
3035   I-CONTACT
Organization   O
:   O

Food   B-LOCATION
Addicts   I-LOCATION
in   I-LOCATION
Recovery   I-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
FA   I-LOCATION
)   I-LOCATION
Profession   O
:   O
Meat   O
,   O
Poultry   O
,   O
and   O
Fish   O
Cutters   O
and   O
Trimmers   O
Username   O
:   O
nub1002   B-NAME
Zip   O
:   O
60199   B-LOCATION
Date   O
:   O
12/42   B-DATE
Evaluation   O
executed   O
by   O
Dr.   O
Avery   B-NAME
at   O
the   O
Northeast   B-LOCATION
Alabama   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Thursday   B-DATE
.   O

Atwood   B-NAME
of   O
42   O
presented   O
with   O
symptoms   O
including   O
a   O
persistent   O
cough   O
and   O
dyspnea   O
,   O
particularly   O
during   O
physical   O
exertion   O
.   O

Gratian   B-NAME
has   O
a   O
history   O
of   O
smoking   O
,   O
but   O
he   O
quit   O
about   O
two   O
years   O
ago   O
.   O

The   O
imaging   O
studies   O
have   O
been   O
slated   O
for   O
9/20/2382   B-DATE
at   O
Des   B-LOCATION
Peres   I-LOCATION
Hospital   I-LOCATION
.   O

Results   O
will   O
be   O
sent   O
to   O
Latoria   B-NAME
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
William   B-NAME
I   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
.   O

However   O
,   O
Kelvin   B-NAME
Graham   I-NAME
has   O
been   O
advised   O
to   O
seek   O
immediate   O
medical   O
evaluation   O
if   O
symptoms   O
worsen   O
or   O
if   O
new   O
symptoms   O
like   O
hemoptysis   O
appear   O
.   O

TS60   B-NAME
and   O
the   O
EMR   O
ID   O
:   O
179   B-ID
42   I-ID
61   I-ID
.   O

You   O
can   O
reach   O
out   O
to   O
Dr.   O
Sutton   B-NAME
through   O
the   O
Oglethorpe   B-LOCATION
Power   I-LOCATION
's   O
contact   O
number   O
52815   B-CONTACT
or   O
office   O
located   O
at   O
Pittsfield   B-LOCATION
,   I-LOCATION
Pittsfield   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
18939   B-LOCATION
for   O
any   O
queries   O
.   O

Patient   O
Information   O
:   O
Mr.   O
Afton   B-NAME
Laford   I-NAME
,   O
a   O
Screen   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
residing   O
in   O
Blue   B-LOCATION
Island   I-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Blue   I-LOCATION
Island   I-LOCATION
with   O
ZIP   O
code   O
85510   B-LOCATION
,   O
was   O
admitted   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
on   O
16/37   B-DATE
.   O

Medical   O
Record   O
:   O
2695880   B-ID
Physician   O
:   O
Dr.   O
Teagan   B-NAME
Frye   I-NAME
History   O
:   O
Mr.   O
Trinity   B-NAME
Watson   I-NAME
has   O
been   O
experiencing   O
bouts   O
of   O
chest   O
pain   O
,   O
exertional   O
dyspnea   O
,   O
and   O
fatigue   O
over   O
the   O
course   O
of   O
the   O
recent   O
weeks   O
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
Grant   B-NAME
Linowitz   I-NAME
,   O
the   O
patient   O
manifested   O
pale   O
skin   O
,   O
rapid   O
heart   O
rate   O
(   O
tachycardia   O
)   O
,   O
and   O
abnormal   O
EKG   O
readings   O
.   O

Treatment   O
plan   O
:   O
Cardiologist   O
Dr.   O
Jabari   B-NAME
Mills   I-NAME
from   O
Syosset   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Northwell   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
prescribed   O
a   O
combination   O
of   O
low   O
-   O
dose   O
aspirin   O
,   O
statins   O
,   O
nitroglycerin   O
for   O
immediate   O
relief   O
of   O
angina   O
,   O
and   O
beta   O
-   O
adrenergic   O
blocking   O
agents   O
.   O

Referral   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
at   O
City   B-LOCATION
of   I-LOCATION
Seaford   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
was   O
also   O
recommended   O
.   O

Additional   O
Information   O
:   O
Dr.   O
Javier   B-NAME
Huerta   I-NAME
also   O
suggested   O
lifestyle   O
modifications   O
such   O
as   O
engaging   O
in   O
moderate   O
physical   O
activities   O
,   O
dietary   O
changes   O
,   O
and   O
efforts   O
to   O
relieve   O
stress   O
.   O

Follow   O
-   O
up   O
:   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Gibson   B-NAME
,   I-NAME
William   I-NAME
Ford   I-NAME
for   O
09/32   B-DATE
.   O

The   O
office   O
phone   O
number   O
is   O
626   B-CONTACT
4527   I-CONTACT
.   O

We   O
have   O
reached   O
out   O
to   O
Mr.   O
Aedan   B-NAME
Tran   I-NAME
's   O
health   O
plan   O
ID   O
XB:52324:757146   B-ID
for   O
insurance   O
verification   O
and   O
authorization   O
for   O
prescribed   O
medications   O
.   O

Further   O
recommendations   O
for   O
Mr.   O
Bird   B-NAME
's   O
care   O
have   O
been   O
digitally   O
shared   O
with   O
the   O
user   O
account   O
QZ903   B-NAME
.   O

Emergency   O
Contact   O
:   O
414   B-CONTACT
753   I-CONTACT
8374   I-CONTACT
Please   O
note   O
that   O
patient   O
confidentiality   O
is   O
of   O
utmost   O
importance   O
.   O

All   O
information   O
provided   O
above   O
is   O
intended   O
for   O
the   O
professional   O
assessment   O
and   O
treatment   O
of   O
Mr.   O
Merri   B-NAME
Bilchak   I-NAME
only   O
.   O

Patient   O
Adams   B-NAME
presented   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Nashua   I-LOCATION
on   O
1/22   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Janessa   B-NAME
Hatfield   I-NAME
,   O
aged   O
34s   O
,   O
is   O
a   O
Library   O
Science   O
Teachers   O
,   O
Postsecondary   O
from   O
Pittsburgh   B-LOCATION
with   O
a   O
medical   O
history   O
significant   O
for   O
gastritis   O
and   O
hypertension   O
.   O

Upon   O
initial   O
examination   O
by   O
Dr.   O
Shepherd   B-NAME
,   O
the   O
patient   O
exhibited   O
symptoms   O
of   O
dehydration   O
,   O
pallor   O
,   O
and   O
significant   O
epigastric   O
tenderness   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
51210425   B-ID
.   O

The   O
patient   O
's   O
ID   O
as   O
per   O
Civil   B-LOCATION
and   I-LOCATION
Public   I-LOCATION
Services   I-LOCATION
Union   I-LOCATION
health   O
database   O
is   O
DM262/2239   B-ID
.   O

Treatment   O
options   O
were   O
discussed   O
with   O
Peter   B-NAME
Drury   I-NAME
,   O
and   O
a   O
plan   O
for   O
laparoscopic   O
cholecystectomy   O
was   O
proposed   O
due   O
to   O
gallbladder   O
inflammation   O
.   O

The   O
patient   O
was   O
informed   O
that   O
their   O
contact   O
number   O
,   O
468   B-CONTACT
4324   I-CONTACT
,   O
would   O
be   O
used   O
for   O
follow   O
-   O
ups   O
and   O
further   O
information   O
regarding   O
the   O
procedure   O
.   O

Dr.   O
Rangel   B-NAME
has   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
the   O
patient   O
via   O
the   O
Florida   B-LOCATION
Power   I-LOCATION
&   I-LOCATION
Light   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
NextEra   I-LOCATION
Energy   I-LOCATION
's   O
portal   O
using   O
the   O
patient   O
's   O
username   O
,   O
CR770   B-NAME
.   O

The   O
patient   O
was   O
advised   O
to   O
return   O
to   O
Samaritan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
/   I-LOCATION
Samaritan   I-LOCATION
Med   I-LOCATION
Ctr   I-LOCATION
,   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

A   O
return   O
visit   O
was   O
scheduled   O
for   O
13/33   B-DATE
for   O
a   O
pre   O
-   O
operative   O
evaluation   O
.   O

The   O
patient   O
's   O
residential   O
address   O
is   O
withheld   O
due   O
to   O
privacy   O
reasons   O
,   O
but   O
the   O
postal   O
code   O
is   O
10544   B-LOCATION
.   O

A   O
copy   O
of   O
the   O
medical   O
report   O
will   O
be   O
sent   O
to   O
this   O
address   O
by   O
the   O
South   B-LOCATION
Florida   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Steven   B-NAME
Hull   I-NAME
Age   O
:   O
77   O
ID   O
:   O
XM   B-ID
:   I-ID
ZA:7317   I-ID
Phone   O
:   O
13616   B-CONTACT
Address   O
:   O
Rose   B-LOCATION
Hill   I-LOCATION
Acres   I-LOCATION
Zip   O
:   O
53348   B-LOCATION
Job   O
:   O
Special   O
Forces   O
Username   O
:   O
AI519   B-NAME
Doctor   O
's   O
Name   O
:   O
Casey   B-NAME
Howell   I-NAME
Hospital   O
:   O

Milford   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
73225018   B-ID
On   O
Saturday   B-DATE
,   O
Eveline   B-NAME
Bookamer   I-NAME
of   O
Mildred   B-LOCATION
came   O
to   O
John   B-LOCATION
Randolph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
severe   O
stomach   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
along   O
with   O
nausea   O
,   O
and   O
vomiting   O
.   O

A   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
was   O
ordered   O
by   O
Savanah   B-NAME
Hughes   I-NAME
and   O
showed   O
a   O
high   O
white   O
blood   O
cell   O
(   O
WBC   O
)   O
count   O
.   O

The   O
National   B-LOCATION
Grid   I-LOCATION
(   I-LOCATION
Massachusetts   I-LOCATION
Electric   I-LOCATION
,   I-LOCATION
Nantucket   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
health   O
insurance   O
of   O
the   O
patient   O
under   O
account   O
282397314   B-ID
is   O
notified   O
about   O
the   O
possible   O
admission   O
and   O
surgery   O
.   O

I   O
,   O
Mcbride   B-NAME
,   O
arranged   O
for   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
for   O
the   O
patient   O
on   O
1/92   B-DATE
.   O

Clinical   O
staff   O
contacted   O
Jonathon   B-NAME
Marquez   I-NAME
at   O
tel   O
.   O

963   B-CONTACT
-   I-CONTACT
1338   I-CONTACT
to   O
schedule   O
an   O
emergency   O
appendectomy   O
.   O

As   O
of   O
20/20   B-DATE
,   O
the   O
patient   O
is   O
recovering   O
post   O
-   O
surgery   O
in   O
Gordon   B-LOCATION
Hospital   I-LOCATION
,   O
Room   O
503   O
,   O
building   O
2   O
.   O

Regular   O
follow   O
-   O
ups   O
are   O
scheduled   O
with   O
Adrien   B-NAME
Shea   I-NAME
for   O
further   O
evaluation   O
and   O
monitoring   O
of   O
her   O
recovery   O
.   O

Pearson   B-NAME
ngl7610   B-NAME
May   B-DATE
21   I-DATE

Patient   O
Information   O
:   O
Name   O
:   O
Jazlynn   B-NAME
Age   O
:   O
9   O
Occupation   O
:   O

Psychiatrists   O
Medical   O
Record   O
Number   O
:   O
335   B-ID
-   I-ID
25   I-ID
-   I-ID
15   I-ID
Initial   O
visit   O
to   O
the   O
hospital   O
was   O
on   O
December   B-DATE
01   I-DATE
,   I-DATE
2287   I-DATE
.   O

Grace   B-NAME
C.   I-NAME
Valerie   I-NAME
-   I-NAME
Yun   I-NAME
presented   O
at   O
Greenwich   B-LOCATION
Hospital   I-LOCATION
emergency   O
room   O
with   O
symptoms   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
unexplained   O
weight   O
loss   O
over   O
the   O
course   O
of   O
a   O
month   O
.   O

Monique   B-NAME
Benson   I-NAME
's   O
past   O
medical   O
history   O
documented   O
by   O
Kale   B-NAME
Mcfarland   I-NAME
indicated   O
a   O
history   O
of   O
diabetes   O
and   O
hypertension   O
.   O

A   O
preliminary   O
physical   O
exam   O
by   O
Mariela   B-NAME
Graves   I-NAME
revealed   O
wheezing   O
upon   O
auscultation   O
,   O
localized   O
in   O
the   O
lower   O
lobes   O
of   O
the   O
lungs   O
,   O
and   O
mild   O
tachycardia   O
.   O

Hematological   O
studies   O
conducted   O
on   O
December   B-DATE
,   I-DATE
2061   I-DATE
displayed   O
elevated   O
levels   O
of   O
white   O
blood   O
cells   O
,   O
suggestive   O
of   O
an   O
ongoing   O
infection   O
.   O

Moving   O
onto   O
the   O
radiology   O
department   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
,   O
a   O
chest   O
X   O
-   O
ray   O
was   O
ordered   O
on   O
April   B-DATE
,   O
which   O
showed   O
a   O
dense   O
,   O
nodular   O
opacity   O
in   O
the   O
right   O
lower   O
lobe   O
,   O
raising   O
concern   O
for   O
possible   O
pathological   O
neoplasm   O
.   O

Kaleb   B-NAME
Petersen   I-NAME
was   O
given   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Donna   B-NAME
Mahoney   I-NAME
,   O
a   O
pulmonologist   O
specializing   O
in   O
lung   O
diseases   O
at   O
Sentara   B-LOCATION
Norfolk   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

His   O
office   O
is   O
located   O
at   O
Chesapeake   B-LOCATION
room   O
number   O
303   O
.   O

Tam   B-NAME
was   O
instructed   O
to   O
bring   O
along   O
the   O
unique   O
ID   O
medical   O
card   O
(   O
MN   B-ID
:   I-ID
HG:5615   I-ID
)   O
for   O
all   O
the   O
subsequent   O
hospital   O
visits   O
.   O

The   O
doctor   O
’s   O
office   O
at   O
Choptank   B-LOCATION
can   O
be   O
contacted   O
at   O
566   B-CONTACT
-   I-CONTACT
762   I-CONTACT
3610   I-CONTACT
for   O
appointment   O
and   O
consultation   O
purposes   O
.   O

All   O
the   O
necessary   O
medical   O
reports   O
and   O
updates   O
have   O
been   O
and   O
will   O
be   O
sent   O
over   O
to   O
the   O
doctor   O
’s   O
office   O
as   O
and   O
when   O
generated   O
under   O
the   O
supervision   O
of   O
dlr870   B-NAME
.   O

Previous   O
medical   O
records   O
have   O
been   O
requested   O
from   O
Copper   B-LOCATION
Star   I-LOCATION
Bank   I-LOCATION
for   O
reference   O
purpose   O
.   O

Also   O
,   O
the   O
patient   O
's   O
account   O
is   O
being   O
managed   O
by   O
medical   O
billing   O
system   O
with   O
account   O
number   O
-   O
45685191   B-ID
and   O
corresponding   O
zip   O
code   O
-   O
42231   B-LOCATION
.   O

Quentin   B-NAME
Lacey   I-NAME
has   O
given   O
due   O
consent   O
to   O
this   O
treatment   O
plan   O
after   O
thorough   O
discussion   O
of   O
various   O
components   O
and   O
potential   O
risks   O
involved   O
.   O

Patient   O
Report   O
:   O
Patient   O
URIEL   B-NAME
XING   I-NAME
,   O
41   O
years   O
old   O
,   O
presented   O
at   O
UHS   B-LOCATION
Delaware   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
25/27   B-DATE
,   O
with   O
complaints   O
of   O
incessant   O
,   O
sharp   O
chest   O
pain   O
for   O
the   O
past   O
three   O
days   O
.   O

He   O
made   O
the   O
complaint   O
known   O
to   O
Dr.   O
Yahir   B-NAME
Stuart   I-NAME
who   O
immediately   O
initiated   O
necessary   O
medical   O
investigations   O
.   O

Living   O
in   O
Lake   B-LOCATION
Lillian   I-LOCATION
,   O
he   O
works   O
as   O
a   O
Sales   O
Representatives   O
,   O
Mechanical   O
Equipment   O
and   O
Supplies   O
in   O
an   O
Sun   B-LOCATION
American   I-LOCATION
Bank   I-LOCATION
.   O

However   O
,   O
according   O
to   O
the   O
information   O
from   O
his   O
577   B-ID
-   I-ID
00   I-ID
-   I-ID
38   I-ID
,   O
patient   O
has   O
a   O
history   O
of   O
sporadic   O
tobacco   O
use   O
and   O
a   O
familial   O
predisposition   O
to   O
coronary   O
disorders   O
.   O

Telephone   O
number   O
for   O
future   O
appointments   O
or   O
references   O
has   O
been   O
recorded   O
as   O
(   B-CONTACT
346   I-CONTACT
)   I-CONTACT
367   I-CONTACT
9934   I-CONTACT
.   O

EKG   O
performed   O
by   O
Dr.   O
Amari   B-NAME
Ford   I-NAME
suggested   O
the   O
possibility   O
of   O
Acute   O
Myocardial   O
Infarction   O
.   O

Cardiologist   O
Dr.   O
Isaac   B-NAME
Blake   I-NAME
recommended   O
a   O
detailed   O
angiography   O
at   O
Garfield   B-LOCATION
County   I-LOCATION
Public   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
Kyle   B-NAME
Eads   I-NAME
was   O
found   O
to   O
have   O
a   O
block   O
in   O
his   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
on   O
the   O
2117   B-DATE
.   O

His   O
next   O
of   O
kin   O
,   O
provided   O
during   O
registration   O
at   O
1   B-ID
-   I-ID
9744970   I-ID
,   O
was   O
informed   O
and   O
consent   O
for   O
the   O
procedure   O
was   O
obtained   O
.   O

The   O
patient   O
's   O
health   O
plan   O
number   O
and   O
his   O
socioeconomic   O
status   O
were   O
noted   O
to   O
be   O
under   O
FL:7833:524495   B-ID
.   O

Dr.   O
Doyle   B-NAME
suggested   O
a   O
continuation   O
of   O
medication   O
along   O
with   O
a   O
major   O
lifestyle   O
modification   O
including   O
cessation   O
of   O
tobacco   O
use   O
.   O

Regarding   O
his   O
ride   O
back   O
home   O
post   O
-   O
discharge   O
,   O
assistance   O
from   O
Ahmeek   B-LOCATION
,   O
55551   B-LOCATION
transport   O
system   O
has   O
been   O
sought   O
.   O

For   O
further   O
information   O
and   O
updates   O
on   O
health   O
management   O
,   O
patient   O
Charley   B-NAME
Michaels   I-NAME
can   O
also   O
make   O
use   O
of   O
inb955   B-NAME
on   O
the   O
Chandler   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
portal   O
.   O

Report   O
prepared   O
by   O
:   O
Bradyn   B-NAME
Mcconnell   I-NAME
13/02/2033   B-DATE

Patient   O
Name   O
:   O
Yuri   B-NAME
Zhivago   I-NAME
ID   O
:   O
7   B-ID
-   I-ID
3010355   I-ID
Age   O
:   O
32   O
Profession   O
:   O
Microbiologists   O
Address   O
:   O
Ridgewood   B-LOCATION
,   O
41747   B-LOCATION
Report   O
Date   O
:   O
2006   B-DATE
Doctor   O
Name   O
:   O
Perla   B-NAME
Cantrell   I-NAME
Hospital   O
Name   O
:   O
Mid   B-LOCATION
-   I-LOCATION
Columbia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
:   O
06018332   B-ID
Observations   O
:   O
Patient   O
Blair   B-NAME
,   O
a   O
5   O
week   O
male   O
,   O
presented   O
at   O
our   O
hospital   O
,   O
North   B-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
9/5   B-DATE
.   O

Blood   O
cultures   O
have   O
been   O
drawn   O
and   O
sent   O
to   O
DTE   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
DTE   I-LOCATION
Energy   I-LOCATION
Electric   I-LOCATION
Company   I-LOCATION
)   I-LOCATION
for   O
microbiological   O
isolation   O
and   O
identification   O
.   O

The   O
nursing   O
staff   O
will   O
monitor   O
Kruk   B-NAME
,   I-NAME
John   I-NAME
's   O
vital   O
signs   O
every   O
4   O
hours   O
and   O
report   O
any   O
signs   O
of   O
respiratory   O
distress   O
immediately   O
.   O

Communication   O
:   O
For   O
further   O
consultation   O
or   O
changes   O
in   O
the   O
medical   O
condition   O
,   O
I   O
can   O
be   O
contacted   O
at   O
657   B-CONTACT
911   I-CONTACT
-   I-CONTACT
6492   I-CONTACT
.   O

Otherwise   O
,   O
I   O
will   O
be   O
following   O
up   O
with   O
Jacinto   B-NAME
Found   I-NAME
on   O
08/18/1916   B-DATE
.   O

Electronic   O
Authentication   O
:   O
mkr382   B-NAME
Patient   O
Identifying   O
Information   O
:   O
Alivia   B-NAME
Blevins   I-NAME
,   O
Fort   B-LOCATION
Belvoir   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
25265360   B-ID

Patient   O
Name   O
:   O
Adams   B-NAME
,   I-NAME
Samuel   I-NAME
Residing   O
at   O
861   B-LOCATION
School   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
16238   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
305   I-CONTACT
)   I-CONTACT
746   I-CONTACT
-   I-CONTACT
3481   I-CONTACT
Medical   O
Record   O
Number   O
:   O
CK191336   B-ID
Date   O
:   O
December   B-DATE
I   O
,   O
Dr.   O
Hughes   B-NAME
,   O
am   O
treating   O
patient   O
Roman   B-NAME
Beasley   I-NAME
at   O
Lower   B-LOCATION
Bucks   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
The   I-LOCATION
who   O
presented   O
with   O
severe   O
abdominal   O
pain   O
and   O
episodes   O
of   O
nausea   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Augustus   B-NAME
Tran   I-NAME
is   O
a   O
Gaming   O
Cage   O
Workers   O
with   O
IBM   O
ID   O
HQ   B-ID
:   I-ID
WB:5367   I-ID
and   O
has   O
no   O
prior   O
history   O
of   O
gastric   O
ailments   O
.   O

A   O
follow   O
-   O
up   O
with   O
GI   O
specialist   O
Dr.   O
Mooney   B-NAME
at   O
Methodist   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
arranged   O
after   O
one   O
month   O
of   O
treatment   O
.   O

The   O
patient   O
's   O
spouse   O
,   O
who   O
also   O
happens   O
to   O
be   O
a   O
dedicated   O
care   O
provider   O
at   O
Nationwide   B-LOCATION
Mutual   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
,   O
located   O
at   O
Butte   B-LOCATION
,   I-LOCATION
Mainstreet   I-LOCATION
Uptown   I-LOCATION
Butte   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
and   O
has   O
been   O
informed   O
of   O
the   O
patient   O
's   O
condition   O
.   O

A   O
same   O
-   O
day   O
prescription   O
was   O
coordinated   O
with   O
Mainstreet   B-LOCATION
Bank   I-LOCATION
using   O
the   O
reference   O
16598618   B-ID
.   O

Signed   O
cdr368   B-NAME
Holt   B-NAME
,   I-NAME
Anatol   I-NAME
,   O
Florida   B-LOCATION
Hospital   I-LOCATION
East   I-LOCATION
Orlando   I-LOCATION

Patient   O
Name   O
:   O
Richards   B-NAME
,   I-NAME
Keith   I-NAME
Age   O
:   O
22   O
Medical   O
Record   O
Number   O
:   O
4447   B-ID
:   I-ID
N02382   I-ID

On   O
2   B-DATE
-   I-DATE
00   I-DATE
,   O
patient   O
Dougherty   B-NAME
reported   O
to   O
the   O
emergency   O
department   O
of   O
Campbell   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
.   O

Tomika   B-NAME
Corter   I-NAME
expressed   O
significant   O
discomfort   O
and   O
disclosed   O
a   O
persistent   O
cough   O
,   O
fevers   O
,   O
dyspnea   O
,   O
and   O
chest   O
tightness   O
,   O
consistent   O
with   O
symptoms   O
of   O
a   O
primary   O
respiratory   O
infection   O
.   O

An   O
immediate   O
chest   O
X   O
-   O
ray   O
was   O
performed   O
,   O
followed   O
by   O
a   O
CT   O
scan   O
of   O
the   O
chest   O
as   O
per   O
the   O
recommendation   O
of   O
Hays   B-NAME
.   O

Upon   O
the   O
presence   O
of   O
relevant   O
symptoms   O
and   O
after   O
assessment   O
of   O
the   O
laboratory   O
and   O
imaging   O
studies   O
results   O
,   O
Christian   B-NAME
diagnosed   O
Clementina   B-NAME
Catillo   I-NAME
with   O
COVID-19   O
pneumonia   O
.   O

Subsequent   O
quarantine   O
recommendations   O
were   O
prescribed   O
and   O
adhered   O
by   O
both   O
Cameron   B-NAME
Lawson   I-NAME
and   O
spouse   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
and   O
the   O
contact   O
number   O
84695   B-CONTACT
was   O
provided   O
for   O
immediate   O
assistance   O
.   O

Healthcare   O
support   O
was   O
solicited   O
for   O
monitoring   O
of   O
Kason   B-NAME
Prince   I-NAME
's   O
vitals   O
and   O
overall   O
condition   O
.   O

Discharge   O
papers   O
were   O
supplemented   O
with   O
an   O
explanatory   O
leaflet   O
provided   O
by   O
the   O
Marijuana   B-LOCATION
Anonymous   I-LOCATION
.   O

The   O
patient   O
was   O
advised   O
to   O
consult   O
the   O
physician   O
via   O
the   O
telemedicine   O
portal   O
(   O
QR824   B-NAME
)   O
and   O
maintain   O
isolation   O
until   O
further   O
improvement   O
in   O
symptoms   O
and   O
test   O
reports   O
.   O

Patient   O
's   O
home   O
address   O
(   O
53356   B-LOCATION
,   O
Anaheim   B-LOCATION
)   O
and   O
employer   O
information   O
(   O
Operating   O
Engineers   O
and   O
Other   O
Construction   O
Equipment   O
Operators   O
,   O
National   B-LOCATION
Labor   I-LOCATION
Committee   I-LOCATION
in   I-LOCATION
Support   I-LOCATION
of   I-LOCATION
Human   I-LOCATION
and   I-LOCATION
Worker   I-LOCATION
Rights   I-LOCATION
)   O
,   O
were   O
recorded   O
as   O
part   O
of   O
contact   O
tracing   O
measures   O
.   O

Moreover   O
,   O
data   O
for   O
insurance   O
processing   O
(   O
XY452/2261   B-ID
)   O
was   O
also   O
collected   O
and   O
documented   O
.   O

The   O
team   O
at   O
Morton   B-LOCATION
Plant   I-LOCATION
Hospital   I-LOCATION
is   O
committed   O
to   O
further   O
assistance   O
and   O
management   O
of   O
Hank   B-NAME
Hastings   I-NAME
's   O
health   O
condition   O
,   O
in   O
close   O
consultation   O
with   O
Declan   B-NAME
Murray   I-NAME
.   O

The   O
patient   O
,   O
Vincent   B-NAME
,   O
a   O
100   O
-   O
year   O
-   O
old   O
individual   O
,   O
visited   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
39/22/19   B-DATE
.   O

A   O
consultation   O
with   O
Krause   B-NAME
revealed   O
symptoms   O
of   O
persistent   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
cold   O
sweats   O
.   O

History   O
:   O
Following   O
a   O
thorough   O
intake   O
analysis   O
,   O
it   O
was   O
uncovered   O
that   O
Clyde   B-NAME
Roe   I-NAME
had   O
earlier   O
encountered   O
similar   O
symptoms   O
around   O
9/30   B-DATE
at   O
Marblehead   B-LOCATION
.   O

The   O
patient   O
took   O
some   O
over   O
-   O
the   O
-   O
counter   O
medications   O
advised   O
by   O
Power   O
Plant   O
Operators   O
working   O
in   O
the   O
Federation   B-LOCATION
of   I-LOCATION
Territories   I-LOCATION
.   O

However   O
,   O
the   O
symptoms   O
remained   O
unvarying   O
,   O
thus   O
leading   O
Singleton   B-NAME
to   O
seek   O
medical   O
assistance   O
at   O
Golden   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
.   O

Investigation   O
:   O
Emilee   B-NAME
Bauer   I-NAME
's   O
medical   O
record   O
3231682   B-ID
at   O
Louis   B-LOCATION
Smith   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
indicated   O
no   O
history   O
of   O
cardiovascular   O
diseases   O
.   O

Tests   O
including   O
ECG   O
,   O
blood   O
tests   O
,   O
and   O
stress   O
tests   O
were   O
suggested   O
by   O
Todd   B-NAME
.   O

In   O
case   O
of   O
any   O
query   O
,   O
the   O
patient   O
was   O
given   O
the   O
(   B-CONTACT
458   I-CONTACT
)   I-CONTACT
706   I-CONTACT
-   I-CONTACT
9405   I-CONTACT
number   O
of   O
CarePoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Bayonne   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
connect   O
directly   O
to   O
Gisselle   B-NAME
Rice   I-NAME
's   O
office   O
.   O

Information   O
like   O
AF253/5961   B-ID
was   O
taken   O
down   O
for   O
safety   O
reasons   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
further   O
consultation   O
with   O
the   O
India   B-NAME
Valenzuela   I-NAME
on   O
11/33   B-DATE
at   O
the   O
same   O
location   O
.   O

The   O
hospital   O
is   O
located   O
at   O
Palo   B-LOCATION
Verde   I-LOCATION
and   O
the   O
patient   O
can   O
park   O
their   O
vehicle   O
at   O
the   O
facility   O
's   O
parking   O
area   O
,   O
conveniently   O
located   O
near   O
the   O
main   O
building   O
.   O

Kade   B-NAME
Blair   I-NAME
works   O
as   O
a   O
Education   O
Teachers   O
,   O
Postsecondary   O
at   O
Mercury   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
,   O
hence   O
,   O
it   O
was   O
advised   O
for   O
them   O
to   O
take   O
certain   O
precautions   O
concerning   O
their   O
job   O
role   O
while   O
the   O
diagnosis   O
is   O
being   O
confirmed   O
.   O

The   O
test   O
results   O
will   O
be   O
sent   O
to   O
the   O
patient   O
's   O
house   O
at   O
82672   B-LOCATION
.   O

Username   O
ifa498   B-NAME
was   O
created   O
for   O
the   O
patient   O
to   O
access   O
medical   O
records   O
online   O
.   O

This   O
entire   O
information   O
was   O
documented   O
and   O
stored   O
against   O
the   O
patient   O
's   O
unique   O
ID   O
9   B-ID
-   I-ID
1388837   I-ID
and   O
saved   O
in   O
the   O
hospital   O
's   O
secure   O
data   O
repository   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Singer   B-NAME
,   I-NAME
Isaac   I-NAME
Bashevis   I-NAME
Age   O
:   O
85   O
Profession   O
:   O
Pharmacovigilance   O
officer   O
ID   O
:   O
43226   B-ID
Medical   O
Record   O
:   O
465   B-ID
-   I-ID
86   I-ID
-   I-ID
59   I-ID
-   I-ID
6   I-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Romero   B-NAME
,   O
reported   O
to   O
the   O
hospital   O
,   O
Gerald   B-LOCATION
Champion   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
with   O
a   O
severe   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

He   O
also   O
complained   O
of   O
persistent   O
fatigue   O
and   O
an   O
unexplained   O
weight   O
-   O
loss   O
over   O
the   O
past   O
02/39   B-DATE
.   O

Investigations   O
:   O
On   O
receiving   O
the   O
patient   O
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Heart   I-LOCATION
and   I-LOCATION
Vascular   I-LOCATION
Hospital   I-LOCATION
Dallas   I-LOCATION
,   O
Shyanne   B-NAME
Mercer   I-NAME
ordered   O
a   O
physical   O
examination   O
,   O
complete   O
blood   O
count   O
,   O
chest   O
X   O
-   O
ray   O
and   O
pulmonary   O
function   O
tests   O
.   O

Frankie   B-NAME
Farmer   I-NAME
was   O
also   O
advised   O
to   O
participate   O
in   O
pulmonary   O
rehabilitation   O
and   O
quit   O
smoking   O
immediately   O
.   O

Welch   B-NAME
advised   O
the   O
patient   O
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
after   O
two   O
weeks   O
on   O
34/72   B-DATE
,   O
and   O
to   O
contact   O
the   O
hospital   O
at   O
96208   B-CONTACT
if   O
the   O
symptoms   O
worsened   O
.   O

The   O
patient   O
resides   O
at   O
South   B-LOCATION
Park   I-LOCATION
Township   I-LOCATION
,   O
22020   B-LOCATION
and   O
works   O
as   O
a   O
Welders   O
and   O
Cutters   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
on   O
1667   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
19   I-DATE
with   O
Case   B-NAME
at   O
Delaware   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

A   O
detailed   O
report   O
has   O
been   O
sent   O
to   O
the   O
patient   O
's   O
account   O
(   O
uj13   B-NAME
)   O
on   O
the   O
hospital   O
's   O
online   O
portal   O
,   O
managed   O
by   O
Marietta   B-LOCATION
Power   I-LOCATION
.   O

Patient   O
Name   O
:   O
Dennis   B-NAME
Cannon   I-NAME
Age   O
:   O
3   O
Gender   O
:   O
Male   O
Presented   O
Symptoms   O
:   O
Mr.   O
Mays   B-NAME
presented   O
on   O
02/41   B-DATE
complaining   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
difficulty   O
breathing   O
.   O

Investigations   O
:   O
A   O
complete   O
blood   O
count   O
was   O
ordered   O
by   O
Dr.   O
Valenzuela   B-NAME
which   O
revealed   O
leukocytosis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Providence   B-LOCATION
Centralia   I-LOCATION
Hospital   I-LOCATION
and   O
was   O
started   O
on   O
intravenous   O
Ceftriaxone   O
and   O
Azithromycin   O
,   O
covering   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Follow   O
-   O
ups   O
:   O
Weekly   O
follow   O
-   O
ups   O
were   O
scheduled   O
with   O
Dr.   O
Friedman   B-NAME
,   O
and   O
the   O
patient   O
's   O
family   O
was   O
given   O
the   O
95520   B-CONTACT
number   O
for   O
any   O
queries   O
or   O
emergencies   O
.   O

The   O
patient   O
has   O
medical   O
insurance   O
from   O
International   B-LOCATION
Tibet   I-LOCATION
Support   I-LOCATION
Network   I-LOCATION
with   O
ID   O
number   O
JM:94632:115679   B-ID
.   O

The   O
medical   O
record   O
number   O
for   O
this   O
visit   O
was   O
29707093   B-ID
.   O

The   O
patient   O
's   O
occupation   O
is   O
noted   O
as   O
Press   O
photographer   O
and   O
he   O
resides   O
at   O
Barnes   B-LOCATION
City   I-LOCATION
with   O
a   O
postal   O
code   O
of   O
72610   B-LOCATION
.   O

The   O
attending   O
doctor   O
for   O
the   O
follow   O
-   O
up   O
appointment   O
can   O
connect   O
with   O
the   O
patient   O
using   O
his   O
username   O
oy838   B-NAME
through   O
the   O
hospital   O
's   O
patient   O
portal   O
.   O

Patient   O
:   O
Cholena   B-NAME
Age   O
:   O
5   O
week   O
ID   O
:   O
BV:8106:848907   B-ID
Medical   O
Record   O
Number   O
:   O
03855498   B-ID
Location   O
:   O
West   B-LOCATION
Bishop   I-LOCATION
,   O
22020   B-LOCATION
Phone   O
:   O
979   B-CONTACT
8491   I-CONTACT
Appointment   O
Date   O
:   O
2/10/37   B-DATE
The   O
patient   O
,   O
Regan   B-NAME
,   O
came   O
into   O
North   B-LOCATION
Fulton   I-LOCATION
Hospital   I-LOCATION
on   O
12/00/03   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Bush   B-NAME
,   I-NAME
George   I-NAME
H.   I-NAME
W.   I-NAME
owing   O
to   O
persistent   O
severe   O
headaches   O
accompanied   O
by   O
frequent   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
.   O

Porter   B-NAME
Frost   I-NAME
also   O
reported   O
experiencing   O
intermittent   O
blurred   O
vision   O
.   O

Raymond   B-NAME
Swain   I-NAME
resides   O
in   O
Palestine   B-LOCATION
State   I-LOCATION
,   O
25474   B-LOCATION
.   O

A   O
neurology   O
referral   O
was   O
suggested   O
,   O
and   O
Booth   B-NAME
was   O
scheduled   O
to   O
consult   O
with   O
our   O
specialist   O
,   O
Navakasuasua   B-NAME
,   I-NAME
Maciu   I-NAME
,   O
next   O
week   O
.   O

Meanwhile   O
,   O
Hebert   B-NAME
was   O
advised   O
to   O
relax   O
and   O
reduce   O
screen   O
time   O
,   O
use   O
over   O
-   O
the   O
-   O
counter   O
painkillers   O
for   O
headaches   O
,   O
and   O
contact   O
us   O
at   O
(   B-CONTACT
578   I-CONTACT
)   I-CONTACT
611   I-CONTACT
5774   I-CONTACT
for   O
any   O
escalating   O
symptoms   O
.   O

Consent   O
for   O
the   O
release   O
of   O
medical   O
information   O
,   O
via   O
British   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
portal   O
(   O
username   O
:   O
FF343   B-NAME
and   O
password   O
provided   O
separately   O
)   O
,   O
was   O
signed   O
electronically   O
by   O
Jaeden   B-NAME
Olson   I-NAME
at   O
the   O
end   O
of   O
the   O
visit   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Stark   B-NAME
Age   O
:   O
19   O
Gender   O
:   O
Male   O
Profession   O
:   O

Sawing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
Location   O
:   O
62   B-LOCATION
Berkshire   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

Zip   O
:   O
84771   B-LOCATION

Doctor   O
:   O
Patience   B-NAME
Woodward   I-NAME
Hospital   O
:   O
Florala   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Presented   O
Symptoms   O
:   O
Mr.   O
Seymour   B-NAME
Beardfacé   I-NAME
presented   O
at   O
the   O
clinic   O
of   O
ProHealth   B-LOCATION
Waukesha   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
11/21/94   B-DATE
,   O
reporting   O
persistent   O
symptoms   O
of   O
dizziness   O
,   O
occasional   O
bouts   O
of   O
lightheadedness   O
,   O
and   O
instances   O
of   O
unsteady   O
balance   O
.   O

Mr.   O
Jimena   B-NAME
Donaldson   I-NAME
professed   O
that   O
he   O
's   O
a   O
non   O
-   O
smoker   O
and   O
moderately   O
consumes   O
alcohol   O
.   O

Plan   O
:   O
Doctor   O
Proctor   B-NAME
has   O
ordered   O
a   O
complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
lipid   O
profiles   O
,   O
thyroid   O
and   O
liver   O
functions   O
tests   O
along   O
with   O
a   O
head   O
CT   O
scan   O
to   O
ascertain   O
the   O
potential   O
illness   O
.   O

His   O
next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
1614   B-DATE
and   O
the   O
previous   O
medical   O
records   O
can   O
be   O
found   O
under   O
the   O
record   O
number   O
6708091   B-ID
.   O

Other   O
Information   O
:   O
For   O
further   O
information   O
,   O
you   O
can   O
contact   O
him   O
at   O
78184   B-CONTACT
or   O
email   O
at   O
ygc316   B-NAME
@   O
Community   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.com   O
.   O

His   O
national   O
ID   O
is   O
3   B-ID
-   I-ID
9591375   I-ID
.   O

Patient   O
Name   O
:   O
Edwards   B-NAME
Date   O
of   O
Birth   O
:   O
03/22/2212   B-DATE
Age   O
:   O
2   O
month   O
Address   O
:   O
Greensburg   B-LOCATION
,   I-LOCATION
Greensburg   I-LOCATION
Community   I-LOCATION
Development   I-LOCATION
Corp   I-LOCATION
Phone   O
number   O
:   O
532   B-CONTACT
3062   I-CONTACT
SSN   O
:   O
44347   B-ID
Medical   O
record   O
number   O
:   O
915   B-ID
-   I-ID
80   I-ID
-   I-ID
24   I-ID
-   I-ID
4   I-ID
Job   O
:   O
Data   O
Entry   O
Keyers   O
Mr.   O
Stewart   B-NAME
,   I-NAME
Jon   I-NAME
,   O
a   O
10s   O
year   O
old   O
male   O
working   O
as   O
a   O
Aromatherapist   O
,   O
presented   O
to   O
Mercy   B-LOCATION
Fitzgerald   I-LOCATION
Hospital   I-LOCATION
on   O
4/30   B-DATE
with   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Mr.   O
Braun   B-NAME
has   O
a   O
medical   O
history   O
of   O
type   O
II   O
diabetes   O
and   O
hypertension   O
.   O

He   O
resides   O
at   O
Shrub   B-LOCATION
Oak   I-LOCATION
,   O
with   O
his   O
wife   O
and   O
two   O
children   O
.   O

His   O
office   O
located   O
at   O
an   O
HURIDOCS   B-LOCATION
in   O
the   O
downtown   O
.   O

He   O
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
and   O
was   O
referred   O
to   O
Fétis   B-NAME
,   I-NAME
Joseph   I-NAME
for   O
further   O
management   O
.   O

At   O
the   O
time   O
of   O
this   O
report   O
,   O
Mr.   O
Lamb   B-NAME
,   I-NAME
Charles   I-NAME
is   O
awaiting   O
further   O
evaluation   O
and   O
management   O
at   O
Milford   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

His   O
family   O
members   O
were   O
informed   O
about   O
his   O
condition   O
and   O
they   O
are   O
reachable   O
at   O
(   B-CONTACT
878   I-CONTACT
)   I-CONTACT
815   I-CONTACT
-   I-CONTACT
8064   I-CONTACT
.   O

This   O
report   O
is   O
a   O
summary   O
of   O
Mr.   O
Meredith   B-NAME
Church   I-NAME
's   O
visit   O
to   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
Lawrence   I-LOCATION
Hospital   I-LOCATION
on   O
22/23/11   B-DATE
and   O
will   O
be   O
updated   O
as   O
more   O
information   O
becomes   O
available   O
.   O

The   O
contact   O
number   O
for   O
the   O
hospital   O
is   O
(   B-CONTACT
435   I-CONTACT
)   I-CONTACT
833   I-CONTACT
2538   I-CONTACT
.   O

Please   O
quote   O
the   O
Medical   O
record   O
number   O
1159073   B-ID
and   O
Patient   O
ID   O
MH   B-ID
:   I-ID
VK:4934   I-ID
when   O
inquiring   O
about   O
Mr.   O
Brycen   B-NAME
Rivas   I-NAME
.   O

Report   O
Prepared   O
by   O
:   O
Dr.   O
Mooney   B-NAME
Login   O
ID   O
:   O
HE651   B-NAME
Medical   O
Provider   O
at   O
Dell   B-LOCATION
Seton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
the   I-LOCATION
University   I-LOCATION
of   I-LOCATION
Texas   I-LOCATION
08/06/1899   B-DATE

The   O
patient   O
's   O
zip   O
code   O
is   O
71551   B-LOCATION
and   O
the   O
hospital   O
's   O
location   O
is   O
Wiscon   B-LOCATION
.   O

Any   O
further   O
information   O
or   O
appointments   O
related   O
to   O
Mr.   O
Sophie   B-NAME
Huff   I-NAME
can   O
be   O
acquired   O
through   O
the   O
hospital   O
's   O
phone   O
number   O
(   B-CONTACT
875   I-CONTACT
)   I-CONTACT
459   I-CONTACT
-   I-CONTACT
5294   I-CONTACT
.   O

Patient   O
's   O
Name   O
:   O
Chalsie   B-NAME
Age   O
:   O
11   O
Date   O
of   O
Admission   O
:   O
32/12   B-DATE
8252111   B-ID
status   O
update   O
made   O
by   O
io780   B-NAME
Patient   O
Contact   O
:   O
619   B-CONTACT
-   I-CONTACT
6793   I-CONTACT
Residential   O
Address   O
:   O
Royal   B-LOCATION
Oak   I-LOCATION
,   O
96538   B-LOCATION

On   O
the   O
date   O
of   O
presentation   O
(   O
4   B-DATE
-   I-DATE
2   I-DATE
)   O
,   O
Jamal   B-NAME
Parker   I-NAME
,   O
a   O
economist   O
of   O
100   O
years   O
reported   O
to   O
the   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Panorama   I-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
persistent   O
abdominal   O
pain   O
,   O
along   O
with   O
loss   O
of   O
appetite   O
and   O
weight   O
.   O

Leonidas   B-NAME
Galvan   I-NAME
's   O
weight   O
loss   O
amounts   O
to   O
approximately   O
10   O
%   O
of   O
their   O
original   O
body   O
weight   O
over   O
the   O
last   O
six   O
weeks   O
.   O

Griffin   B-NAME
Macias   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
which   O
has   O
been   O
controlled   O
on   O
multiple   O
medications   O
since   O
02/30   B-DATE
.   O

Admitting   O
physician   O
,   O
Dr.   O
Marissa   B-NAME
Miles   I-NAME
suspected   O
gallstones   O
or   O
cholecystitis   O
.   O

The   O
ultrasound   O
scan   O
performed   O
on   O
13/21   B-DATE
in   O
the   O
department   O
of   O
radiology   O
at   O
Henry   B-LOCATION
Ford   I-LOCATION
West   I-LOCATION
Bloomfield   I-LOCATION
Hospital   I-LOCATION
supported   O
the   O
initial   O
diagnosis   O
,   O
revealing   O
multiple   O
stones   O
in   O
the   O
gallbladder   O
with   O
a   O
thickened   O
wall   O
.   O

Following   O
discussion   O
with   O
CONNER   B-NAME
,   I-NAME
VICKIE   I-NAME
about   O
the   O
nature   O
of   O
the   O
pathology   O
and   O
possible   O
future   O
complications   O
,   O
Dr.   O
Moses   B-NAME
Mccoy   I-NAME
recommended   O
a   O
laparoscopic   O
cholecystectomy   O
.   O

Consent   O
was   O
given   O
on   O
00/26/1975   B-DATE
and   O
surgery   O
was   O
scheduled   O
.   O

During   O
the   O
patient   O
's   O
stay   O
,   O
the   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Kenmore   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
staff   O
has   O
been   O
directed   O
by   O
Dr.   O
Gibbs   B-NAME
to   O
monitor   O
their   O
diet   O
and   O
blood   O
pressure   O
.   O

Patient   O
's   O
VZ637/6966   B-ID
was   O
tagged   O
for   O
priority   O
care   O
under   O
Dr.   O
Brackish   B-NAME
Okun   I-NAME
.   O

Next   O
appointment   O
is   O
scheduled   O
on   O
May   B-DATE
.   O

For   O
any   O
emergency   O
,   O
contact   O
488   B-CONTACT
-   I-CONTACT
5822   I-CONTACT
or   O
Georgia   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Southern   I-LOCATION
Company   I-LOCATION
immediately   O
.   O
Prepared   O
by   O
,   O
rvh601   B-NAME
Kara   B-NAME
Tran   I-NAME

Patient   O
Information   O
:   O
4117772   B-ID
:   O
Patient   O
medical   O
record   O
number   O
is   O
UE818/9844   B-ID
Julie   B-NAME
Fraser   I-NAME
:   O

Patient   O
name   O
is   O
Cash   B-NAME
Rush   I-NAME
10   O
month   O
:   O
Patient   O
's   O
age   O
is   O
63   O
Court   O
,   O
Municipal   O
,   O
and   O
License   O
Clerks   O
:   O
Patient   O
works   O
as   O
a   O
Psychologist   O
(   O
clinical   O
)   O
66276   B-CONTACT
:   O

Patient   O
's   O
contact   O
number   O
is   O
(   B-CONTACT
512   I-CONTACT
)   I-CONTACT
501   I-CONTACT
7394   I-CONTACT
Stephenson   B-LOCATION
:   O
The   O
patient   O
lives   O
in   O
Oshkosh   B-LOCATION
91361   B-LOCATION
:   O

ZIP   O
code   O
:   O
79876   B-LOCATION
In   O
this   O
report   O
,   O
the   O
presenting   O
symptoms   O
and   O
medical   O
history   O
of   O
patient   O
Rylie   B-NAME
Daniel   I-NAME
will   O
be   O
detailed   O
.   O

Presenting   O
symptom   O
:   O
Our   O
patient   O
,   O
Kuro   B-NAME
Hazama   I-NAME
presented   O
to   O
San   B-LOCATION
Gabriel   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/02   B-DATE
with   O
complaints   O
of   O
continuous   O
,   O
severe   O
abdominal   O
pain   O
,   O
vomiting   O
and   O
indigestion   O
.   O

Medical   O
History   O
:   O
Theodore   B-NAME
Rodriguez   I-NAME
is   O
a   O
chronic   O
hypertensive   O
and   O
has   O
been   O
on   O
medication   O
for   O
the   O
last   O
6   O
years   O
.   O

Emma   B-NAME
Boyle   I-NAME
shared   O
that   O
he   O
is   O
–   O
or   O
was   O
,   O
as   O
mentioned   O
in   O
a   O
conversation   O
with   O
Dr.   O
Rasmussen   B-NAME
,   O
a   O
moderate   O
smoker   O
,   O
and   O
had   O
quit   O
only   O
recently   O
.   O

He   O
has   O
also   O
been   O
diagnosed   O
with   O
repetitive   O
episodes   O
of   O
hyperacidity   O
and   O
indigestion   O
in   O
the   O
past   O
at   O
the   O
CHI   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Council   I-LOCATION
Bluffs   I-LOCATION
located   O
at   O
Copper   B-LOCATION
Harbor   I-LOCATION
.   O

Madalyn   B-NAME
Wall   I-NAME
's   O
age   O
5   O
week   O
is   O
also   O
a   O
considerable   O
factor   O
for   O
such   O
ailments   O
,   O
since   O
these   O
conditions   O
are   O
often   O
encountered   O
in   O
adults   O
over   O
40   O
.   O

As   O
per   O
Dr.   O
Lloyd   B-NAME
's   O
advice   O
and   O
considering   O
Diana   B-NAME
Walton   I-NAME
's   O
condition   O
,   O
we   O
have   O
planned   O
for   O
an   O
upper   O
GI   O
endoscopy   O
at   O
the   O
earliest   O
possibly   O
on   O
the   O
03/21/82   B-DATE
.   O

The   O
procedure   O
will   O
be   O
conducted   O
at   O
our   O
affiliated   O
medical   O
establishment   O
UPMC   B-LOCATION
Horizon   I-LOCATION
-   I-LOCATION
Greenville   I-LOCATION
Campus   I-LOCATION
.   O

Also   O
,   O
considering   O
Gates   B-NAME
has   O
been   O
suffering   O
from   O
hypertension   O
,   O
a   O
complete   O
cardiovascular   O
evaluation   O
will   O
be   O
scheduled   O
as   O
well   O
.   O

Following   O
HIPAA   O
guidelines   O
,   O
we   O
have   O
contacted   O
Duffy   B-NAME
at   O
his   O
phone   O
number   O
713   B-CONTACT
-   I-CONTACT
1337   I-CONTACT
and   O
obtained   O
consent   O
for   O
the   O
aforesaid   O
procedures   O
.   O

Input   O
and   O
updates   O
about   O
Elianna   B-NAME
Harper   I-NAME
's   O
condition   O
and   O
prognosis   O
will   O
be   O
regularly   O
updated   O
to   O
the   O
International   B-LOCATION
Primate   I-LOCATION
Protection   I-LOCATION
League   I-LOCATION
(   I-LOCATION
IPPL   I-LOCATION
)   I-LOCATION
under   O
0029960   B-ID
using   O
the   O
user   O
ID   O
:   O
sru441   B-NAME
.   O

For   O
any   O
further   O
questions   O
or   O
concerns   O
,   O
Dr.   O
Hess   B-NAME
can   O
be   O
contacted   O
for   O
follow   O
-   O
up   O
at   O
the   O
office   O
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
DuBois   B-LOCATION
.   O

Report   O
Prepared   O
By   O
:   O
Dixon   B-NAME

Patient   O
's   O
Report   O
:   O
Banks   B-NAME
,   O
a   O
53   O
year   O
old   O
male   O
presented   O
with   O
significant   O
symptoms   O
on   O
the   O
morning   O
of   O
12/25/1626   B-DATE
.   O

Upon   O
examination   O
by   O
our   O
assigned   O
Wanda   B-NAME
Citizen   I-NAME
in   O
the   O
Durham   B-LOCATION
clinic   O
,   O
his   O
vitals   O
were   O
recorded   O
as   O
;   O
temperature   O
:   O
38.7   O
°   O
C   O
/101.6   O
°   O
F   O
,   O
heart   O
rate   O
:   O
100   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
:   O
25   O
breaths   O
per   O
minute   O
and   O
blood   O
pressure   O
:   O
120/80   O
mmHg   O
.   O

The   O
Sweeney   B-NAME
ordered   O
a   O
full   O
set   O
of   O
laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
,   O
and   O
serum   O
lactic   O
acid   O
assays   O
.   O

The   O
laboratory   O
belongs   O
to   O
the   O
Imperium   B-LOCATION
of   I-LOCATION
Galaxies   I-LOCATION
and   O
is   O
located   O
at   O
East   B-LOCATION
Cape   I-LOCATION
Girardeau   I-LOCATION
.   O

The   O
Valentino   B-NAME
Cain   I-NAME
recommended   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
was   O
performed   O
by   O
Dr.   O
Skylar   B-NAME
Valencia   I-NAME
in   O
Saint   B-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
located   O
at   O
Corpus   B-LOCATION
Christi   I-LOCATION
.   O

After   O
a   O
detailed   O
investigation   O
,   O
the   O
Benitez   B-NAME
diagnosed   O
Morgan   B-NAME
Wright   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
date   O
is   O
set   O
for   O
32/66   B-DATE
at   O
the   O
Doctors   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Renaissance   I-LOCATION
in   O
Nigeria   B-LOCATION
.   O

For   O
emergencies   O
,   O
please   O
feel   O
free   O
to   O
contact   O
us   O
at   O
(   B-CONTACT
706   I-CONTACT
)   I-CONTACT
420   I-CONTACT
9774   I-CONTACT
.   O

In   O
case   O
of   O
changes   O
in   O
the   O
health   O
status   O
before   O
surgery   O
,   O
Adams   B-NAME
has   O
been   O
advised   O
to   O
contact   O
our   O
health   O
center   O
imminently   O
,   O
referencing   O
his   O
patient   O
ID   O
838   B-ID
-   I-ID
21   I-ID
-   I-ID
26   I-ID
-   I-ID
5   I-ID
.   O
Jax   B-NAME
Moore   I-NAME
is   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Air   O
Crew   O
Members   O
at   O
UPC   B-LOCATION
Insurance   I-LOCATION
and   O
lives   O
in   O
Coopers   B-LOCATION
Plains   I-LOCATION
with   O
zip   O
code   O
56435   B-LOCATION
.   O

Please   O
note   O
,   O
all   O
personal   O
and   O
professional   O
inquiries   O
should   O
be   O
directed   O
to   O
ob778   B-NAME
.   O

This   O
report   O
was   O
compiled   O
and   O
reviewed   O
by   O
Peter   B-NAME
Tucker   I-NAME
.   O

Patient   O
Name   O
:   O
Ashlyn   B-NAME
Perry   I-NAME
Mr.   O
Kacy   B-NAME
was   O
seen   O
at   O
the   O
South   B-LOCATION
Fulton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/37   B-DATE
.   O

Mr.   O
ostrowski   B-NAME
is   O
a   O
87   O
year   O
old   O
gentleman   O
hailing   O
from   O
El   B-LOCATION
Monte   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
91732   I-LOCATION
.   O

He   O
works   O
as   O
a   O
Statisticians   O
for   O
a   O
reputed   O
North   B-LOCATION
Attleboro   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

His   O
primary   O
care   O
provider   O
,   O
Seamus   B-NAME
Chandler   I-NAME
,   O
referred   O
him   O
to   O
us   O
due   O
to   O
ongoing   O
symptoms   O
of   O
nausea   O
and   O
severe   O
abdominal   O
pain   O
.   O

Mr.   O
Lorelai   B-NAME
Whitaker   I-NAME
initially   O
noticed   O
his   O
symptoms   O
a   O
few   O
weeks   O
ago   O
.   O

Medical   O
record   O
number   O
:   O
35697354   B-ID
Upon   O
thorough   O
examination   O
of   O
02756793   B-ID
,   O
we   O
found   O
past   O
episodes   O
of   O
gallstones   O
and   O
gastritis   O
in   O
Mr.   O
YVONNE   B-NAME
WELCH   I-NAME
,   O
but   O
he   O
was   O
adamant   O
that   O
this   O
abdominal   O
pain   O
feels   O
distinctively   O
different   O
.   O

Additional   O
Synopsis   O
by   O
Mcfarland   B-NAME
:   O
Mr.   O
Lloyd   B-NAME
carries   O
an   O
ID   O
of   O
KR:72613:368505   B-ID
.   O

I   O
instructed   O
Mr.   O
J.S.   B-NAME
Hirsch   I-NAME
to   O
stay   O
hospitalized   O
for   O
further   O
diagnostic   O
tests   O
and   O
initiated   O
appropriate   O
therapies   O
.   O

At   O
the   O
time   O
of   O
discharge   O
,   O
I   O
provided   O
Mr.   O
Casares   B-NAME
with   O
my   O
572   B-CONTACT
-   I-CONTACT
7626   I-CONTACT
number   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
the   O
next   O
week   O
.   O

I   O
also   O
seized   O
his   O
vehicle   O
ID   O
0   B-ID
-   I-ID
8642706   I-ID
for   O
our   O
records   O
in   O
case   O
we   O
need   O
to   O
contact   O
him   O
urgently   O
.   O

Transcript   O
prepared   O
by   O
:   O
YD283   B-NAME
Queries   O
regarding   O
his   O
medical   O
records   O
can   O
be   O
addressed   O
to   O
Mid   B-LOCATION
-   I-LOCATION
Columbia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
administration   O
,   O
using   O
the   O
patient   O
Zip   O
code   O
69263   B-LOCATION
for   O
reference   O
.   O

Patient   O
Info   O
:   O
Nga   B-NAME
is   O
a   O
66s   O
year   O
old   O
female   O
presented   O
to   O
Harmony   B-NAME
Madden   I-NAME
in   O
the   O
Emergency   O
Department   O
of   O
York   B-LOCATION
Hospital   I-LOCATION
on   O
2272   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
20   I-DATE
with   O
complaints   O
of   O
persisting   O
,   O
high   O
-   O
intensity   O
throbbing   O
headache   O
.   O

The   O
patient   O
's   O
medical   O
Record   O
Number   O
is   O
161   B-ID
-   I-ID
95   I-ID
-   I-ID
71   I-ID
-   I-ID
0   I-ID
.   O

The   O
patient   O
works   O
as   O
a   O
Timing   O
Device   O
Assemblers   O
,   O
Adjusters   O
,   O
and   O
Calibrators   O
at   O
Coastal   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
and   O
resides   O
at   O
Beach   B-LOCATION
Haven   I-LOCATION
West   I-LOCATION
.   O

The   O
contact   O
number   O
provided   O
is   O
(   B-CONTACT
717   I-CONTACT
)   I-CONTACT
761   I-CONTACT
8577   I-CONTACT
.   O

Medical   O
History   O
:   O
Dexter   B-NAME
Navarro   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Her   O
last   O
recorded   O
blood   O
pressure   O
during   O
a   O
visit   O
at   O
the   O
outpatient   O
department   O
on   O
02/25/2082   B-DATE
was   O
140/90   O
mm   O

Present   O
Illness   O
:   O
Lina   B-NAME
Parks   I-NAME
reported   O
the   O
headache   O
being   O
unilateral   O
,   O
located   O
on   O
the   O
left   O
side   O
frontal   O
region   O
,   O
and   O
having   O
a   O
pulsating   O
quality   O
.   O

Over   O
the   O
period   O
of   O
March   B-DATE
to   O
2295   B-DATE
,   O
she   O
mentioned   O
the   O
headaches   O
growing   O
progressively   O
worse   O
,   O
with   O
episodes   O
lasting   O
approximately   O
2   O
-   O
3   O
hours   O
,   O
forcing   O
her   O
to   O
seek   O
medical   O
care   O
.   O

Additional   O
Info   O
:   O
Upon   O
review   O
,   O
the   O
Gogh   B-NAME
,   I-NAME
Vincent   I-NAME
Willem   I-NAME
Van   I-NAME
's   O
healthcare   O
plan   O
number   O
was   O
verified   O
as   O
XA:81514:407833   B-ID
.   O

Any   O
further   O
communication   O
regarding   O
diagnostic   O
procedures   O
and   O
treatment   O
plan   O
would   O
be   O
sent   O
out   O
to   O
her   O
registered   O
username   O
ubp807   B-NAME
@   O
Divine   B-LOCATION
Confederacy   I-LOCATION
.   O

The   O
patient   O
's   O
mailing   O
address   O
is   O
P.O.   O
Box   O
12973   B-LOCATION
.   O

Patient   O
tests   O
are   O
scheduled   O
to   O
be   O
carried   O
out   O
at   O
Penn   B-LOCATION
Highlands   I-LOCATION
Clearfield   I-LOCATION
,   O
Building   O
Mercedes   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78570   I-LOCATION
.   O

It   O
would   O
be   O
prudent   O
to   O
involve   O
a   O
neurologist   O
from   O
the   O
headache   O
clinic   O
at   O
Cape   B-LOCATION
Canaveral   I-LOCATION
Hospital   I-LOCATION
to   O
confirm   O
this   O
diagnosis   O
and   O
begin   O
an   O
appropriate   O
treatment   O
plan   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Hale   B-NAME
Age   O
:   O
11   O
month   O
ID   O
:   O
YV   B-ID
:   I-ID
TW:4595   I-ID
Lowery   B-NAME
,   O
aged   O
35   O
,   O
presented   O
to   O
UT   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
Tyler   I-LOCATION
on   O
29/19   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
fever   O
.   O

He   O
is   O
a   O
Program   O
Directors   O
located   O
in   O
Hillsboro   B-LOCATION
Beach   I-LOCATION
and   O
his   O
symptoms   O
began   O
approximately   O
48   O
hours   O
ago   O
.   O

He   O
was   O
accompanied   O
by   O
his   O
primary   O
care   O
physician   O
,   O
Jackson   B-NAME
Hinton   I-NAME
,   O
who   O
provided   O
his   O
medical   O
history   O
and   O
initial   O
diagnosis   O
.   O

He   O
identified   O
that   O
Abernathy   B-NAME
's   O
most   O
distressing   O
symptom   O
was   O
his   O
constant   O
,   O
severe   O
right   O
upper   O
quadrant   O
pain   O
.   O

No   O
significant   O
findings   O
were   O
mentioned   O
in   O
the   O
medical   O
record   O
number   O
34316289   B-ID
,   O
apart   O
from   O
Ximenez   B-NAME
experiencing   O
intermittent   O
episodes   O
of   O
acute   O
gastritis   O
over   O
the   O
past   O
year   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
Gastroenterology   O
ward   O
of   O
the   O
Sutter   B-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
.   O

Goldsmith   B-NAME
,   I-NAME
Oliver   I-NAME
's   O
emergency   O
contact   O
number   O
is   O
307   B-CONTACT
-   I-CONTACT
5384   I-CONTACT
and   O
his   O
resident   O
is   O
in   O
the   O
area   O
code   O
74572   B-LOCATION
.   O

On   O
08/10   B-DATE
,   O
a   O
follow   O
-   O
up   O
call   O
was   O
made   O
from   O
the   O
HSHS   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Green   I-LOCATION
Bay   I-LOCATION
to   O
Dominguez   B-NAME
's   O
number   O
35173   B-CONTACT
.   O

The   O
call   O
was   O
answered   O
by   O
fg8110   B-NAME
,   O
his   O
caregiver   O
,   O
to   O
ensure   O
that   O
Kaylynn   B-NAME
Brewer   I-NAME
is   O
recuperating   O
well   O
post   O
-   O
discharge   O
.   O

In   O
addition   O
to   O
Hillsdale   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
,   O
HOFFMAN   B-NAME
,   I-NAME
VICTOR   I-NAME
has   O
also   O
visited   O
the   O
American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
the   I-LOCATION
Prevention   I-LOCATION
of   I-LOCATION
Cruelty   I-LOCATION
to   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
ASPCA   I-LOCATION
)   I-LOCATION
for   O
medical   O
consultations   O
in   O
the   O
past   O
without   O
significant   O
recorded   O
ailments   O
.   O

Signed   O
off   O
by   O
,   O
Sloane   B-NAME
Patterson   I-NAME

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Kendra   B-NAME
Proctor   I-NAME
,   O
arrived   O
at   O
Middlesboro   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
on   O
2021   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
22   I-DATE
.   O

During   O
the   O
initial   O
consultation   O
,   O
the   O
physician   O
,   O
Dr.   O
Dumas   B-NAME
,   I-NAME
Alexandre   I-NAME
,   O
noted   O
symptoms   O
consistent   O
with   O
severe   O
atopic   O
dermatitis   O
.   O

Mr.   O
Kasen   B-NAME
George   I-NAME
is   O
a   O
88   O
years   O
old   O
male   O
who   O
works   O
as   O
a   O
Tapers   O
in   O
Narciso   B-LOCATION
Pena   I-LOCATION
.   O

A   O
detailed   O
medical   O
history   O
was   O
taken   O
referencing   O
574   B-ID
-   I-ID
39   I-ID
-   I-ID
51   I-ID
-   I-ID
3   I-ID
and   O
it   O
was   O
found   O
that   O
he   O
has   O
a   O
history   O
of   O
similar   O
occurrences   O
since   O
his   O
early   O
20s   O
.   O

Mr.   O
Henry   B-NAME
Norris   I-NAME
can   O
be   O
contacted   O
via   O
40246   B-CONTACT
.   O

He   O
resides   O
in   O
the   O
Grandview   B-LOCATION
Plaza   I-LOCATION
-   O
zip   O
code   O
-   O
31924   B-LOCATION
.   O

It   O
was   O
recommended   O
Mr.   O
Dakota   B-NAME
see   O
the   O
specialty   O
dermatologist   O
,   O
Dr.   O
Jenkins   B-NAME
,   O
on   O
5/13   B-DATE
.   O

Mr.   O
Patient   O
's   O
health   O
can   O
be   O
monitored   O
and   O
his   O
medical   O
records   O
can   O
be   O
accessed   O
using   O
the   O
following   O
aeq123   B-NAME
on   O
Dark   B-LOCATION
Principality   I-LOCATION
medical   O
portal   O
.   O

The   O
consultation   O
concluded   O
at   O
Memorial   B-DATE
Day   I-DATE
and   O
the   O
patient   O
was   O
discharged   O
from   O
Tulip   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

His   O
National   O
Health   O
ID   O
number   O
,   O
7   B-ID
-   I-ID
5946651   I-ID
,   O
will   O
be   O
used   O
for   O
all   O
future   O
health   O
correspondences   O
and   O
visits   O
.   O

Dr.   O
Lewis   B-NAME
Consulting   O
Physician   O
RB965   B-NAME
5/27   B-DATE

Patient   O
Report   O
:   O
Following   O
the   O
visit   O
on   O
8/10   B-DATE
,   O
Ezequiel   B-NAME
presented   O
to   O
our   O
clinic   O
in   O
Pittsburgh   B-LOCATION
persisting   O
with   O
symptoms   O
of   O
chronic   O
asthmatic   O
bronchitis   O
.   O

A   O
routine   O
chest   O
X   O
-   O
ray   O
was   O
ordered   O
at   O
East   B-LOCATION
Jefferson   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
by   O
Drew   B-NAME
Ellison   I-NAME
revealing   O
hyperinflated   O
lung   O
fields   O
suggestive   O
of   O
underlying   O
obstructive   O
airway   O
disease   O
.   O

Following   O
the   O
test   O
results   O
,   O
a   O
CO   O
-   O
testing   O
device   O
with   O
LH:1021:102750   B-ID
was   O
given   O
to   O
assess   O
patient   O
's   O
smoking   O
exposure   O
.   O

They   O
were   O
booked   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
4/35/78   B-DATE
to   O
evaluate   O
the   O
improvement   O
and   O
further   O
manage   O
the   O
condition   O
.   O

For   O
any   O
discomfort   O
or   O
deterioration   O
in   O
the   O
condition   O
,   O
Mamie   B-NAME
Rikard   I-NAME
was   O
advised   O
to   O
visit   O
the   O
emergency   O
department   O
at   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Angels   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
the   O
office   O
at   O
302   B-CONTACT
5380   I-CONTACT
.   O

Note   O
that   O
this   O
report   O
will   O
be   O
sent   O
to   O
the   O
GP   O
at   O
Shelter   B-LOCATION
Insurance   I-LOCATION
.   O

The   O
individual   O
is   O
currently   O
working   O
as   O
a   O
veterinarian   O
and   O
lives   O
at   O
an   O
address   O
with   O
95344   B-LOCATION
.   O

To   O
access   O
the   O
patient   O
's   O
updated   O
records   O
online   O
,   O
our   O
trusted   O
health   O
assistant   O
,   O
GZ834   B-NAME
should   O
guide   O
you   O
through   O
the   O
process   O
using   O
494   B-ID
-   I-ID
90   I-ID
-   I-ID
48   I-ID
-   I-ID
2   I-ID
.   O

Patient   O
Information   O
:   O
Patient   O
name   O
:   O
Mutius   B-NAME
Doepner   I-NAME
Age   O
:   O
11   O
ID   O
:   O
PF:88327:233618   B-ID
Phone   O
:   O
137   B-CONTACT
107   I-CONTACT
-   I-CONTACT
2592   I-CONTACT
Medical   O
Record   O
:   O
2829606   B-ID
Location   O
:   O
Maple   B-LOCATION
Plain   I-LOCATION
Profession   O
:   O

Insurance   O
claims   O
inspector   O
Physician   O
:   O
Dr.   O
Merritt   B-NAME
Date   O
of   O
visit   O
:   O
2254   B-DATE
Hospital   O
:   O
Columbia   B-LOCATION
Basin   I-LOCATION
Hospital   I-LOCATION
Physician   O
's   O
Notes   O
:   O
Visited   O
Madisyn   B-NAME
Nelson   I-NAME
at   O
Community   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
on   O
2072   B-DATE
.   O

Mathews   B-NAME
presented   O
with   O
symptoms   O
indicative   O
of   O
possible   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
.   O

Marvel   B-NAME
has   O
been   O
smoking   O
for   O
an   O
unspecified   O
number   O
of   O
years   O
,   O
intensifying   O
the   O
risk   O
factor   O
for   O
developing   O
COPD   O
.   O

The   O
patient   O
's   O
medical   O
record   O
7714608   B-ID
has   O
indicated   O
no   O
prior   O
history   O
of   O
lung   O
disease   O
or   O
allergies   O
but   O
a   O
family   O
history   O
of   O
lung   O
cancer   O
on   O
her   O
father   O
's   O
side   O
.   O

Follow   O
up   O
appointment   O
is   O
scheduled   O
for   O
two   O
weeks   O
from   O
03/25   B-DATE
.   O

Adam   B-NAME
Wu   I-NAME
was   O
informed   O
to   O
immediately   O
contact   O
us   O
at   O
611   B-CONTACT
2751   I-CONTACT
from   O
Broadstairs   B-LOCATION
if   O
symptoms   O
worsen   O
.   O

Administrative   O
Notes   O
:   O
Send   O
the   O
invoice   O
for   O
today   O
's   O
visit   O
to   O
Huslu   B-NAME
through   O
the   O
Hudson   B-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
's   O
online   O
portal   O
,   O
username   O
:   O
UJ399   B-NAME
.   O

The   O
physical   O
copy   O
can   O
be   O
mailed   O
to   O
Los   B-LOCATION
Alvarez   I-LOCATION
,   O
90759   B-LOCATION
.   O

If   O
any   O
problems   O
arise   O
regarding   O
payment   O
,   O
reach   O
out   O
to   O
the   O
patient   O
directly   O
at   O
310   B-CONTACT
4758   I-CONTACT
or   O
leave   O
a   O
message   O
for   O
return   O
.   O

Referrals   O
to   O
a   O
pulmonologist   O
,   O
particularly   O
Dr.   O
Gemma   B-NAME
Buck   I-NAME
at   O
the   O
Centinela   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
are   O
advised   O
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Velez   B-NAME
Age   O
:   O
37   O
Medical   O
Record   O
Number   O
:   O
37768025   B-ID
Phone   O
:   O
280   B-CONTACT
-   I-CONTACT
475   I-CONTACT
3362   I-CONTACT
Residence   O
:   O
Gould   B-LOCATION
,   O
99519   B-LOCATION
Report   O
:   O

On   O
39/20   B-DATE
,   O
I   O
met   O
with   O
Juanita   B-NAME
Lewandowski   I-NAME
for   O
a   O
regular   O
check   O
-   O
up   O
.   O

Mabel   B-NAME
Duvall   I-NAME
had   O
been   O
complaining   O
of   O
a   O
persistent   O
,   O
dull   O
pain   O
in   O
the   O
abdominal   O
region   O
for   O
approximately   O
two   O
weeks   O
.   O

Identities   O
:   O
Associated   O
ID   O
's   O
:   O
-   O
Social   O
Security   O
:   O
DG   B-ID
:   I-ID
UX:2587   I-ID
-   O
Health   O
insurance   O
number   O
:   O
JV807/9527   B-ID
-   O
License   O
number   O
:   O
4743238   B-ID
Medical   O
History   O
:   O
With   O
consent   O
,   O
I   O
had   O
a   O
comprehensive   O
review   O
over   O
Mary   B-NAME
Saunders   I-NAME
's   O
medical   O
history   O
.   O

No   O
allergies   O
to   O
medication   O
or   O
history   O
of   O
any   O
particular   O
disease   O
was   O
discovered   O
in   O
the   O
patient   O
's   O
past   O
medical   O
record   O
,   O
478   B-ID
-   I-ID
16   I-ID
-   I-ID
65   I-ID
-   I-ID
1   I-ID
.   O
Symptoms   O
&   O
Observations   O
:   O

Nye   B-NAME
reported   O
that   O
the   O
pain   O
was   O
typically   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
and   O
had   O
not   O
radiated   O
elsewhere   O
.   O

Diagnosis   O
:   O
A   O
physical   O
examination   O
conducted   O
by   O
Dr.   O
Albert   B-NAME
Rowland   I-NAME
at   O
Logansport   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
showed   O
signs   O
of   O
rebound   O
tenderness   O
,   O
indicating   O
a   O
possibility   O
of   O
appendicitis   O
.   O

Kayden   B-NAME
Chandler   I-NAME
was   O
then   O
sent   O
for   O
a   O
CT   O
scan   O
which   O
confirmed   O
the   O
initial   O
diagnosis   O
.   O

Treatment   O
:   O
Post   O
-   O
confirmation   O
,   O
an   O
immediate   O
appendectomy   O
was   O
recommended   O
by   O
Dr.   O
Ryan   B-NAME
.   O

The   O
surgical   O
procedure   O
was   O
successfully   O
done   O
at   O
Upstate   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Community   I-LOCATION
Campus   I-LOCATION
on   O
2382   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
27   I-DATE
.   O

Currently   O
,   O
I   O
have   O
suggested   O
bed   O
rest   O
and   O
a   O
balanced   O
diet   O
to   O
Tatum   B-NAME
Cortez   I-NAME
for   O
a   O
speedy   O
recovery   O
.   O

Referrals   O
:   O
Having   O
considered   O
the   O
nature   O
of   O
Garnett   B-NAME
's   O
profession   O
,   O
Nanoscientist   O
,   O
I   O
have   O
recommended   O
further   O
follow   O
-   O
up   O
appointments   O
with   O
a   O
physiotherapist   O
at   O
City   B-LOCATION
of   I-LOCATION
Moore   I-LOCATION
Haven   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
.   O

Please   O
find   O
the   O
attached   O
report   O
from   O
xtx438   B-NAME
for   O
your   O
perusal   O
.   O

Note   O
:   O
Patient   O
or   O
their   O
family   O
can   O
contact   O
Kierra   B-NAME
Haley   I-NAME
at   O
61897   B-CONTACT
or   O
email   O
at   O
KL66   B-NAME
@   O
Hillcrest   B-LOCATION
Bank   I-LOCATION
Florida   I-LOCATION
.com   O
in   O
case   O
of   O
any   O
queries   O
regarding   O
the   O
treatment   O
plan   O
or   O
to   O
discuss   O
the   O
health   O
status   O
further   O
.   O

Denisse   B-NAME
Griffith   I-NAME
11/27/1978   B-DATE
Lawrence   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lawrence   I-LOCATION

Patient   O
Report   O
:   O
Jolie   B-NAME
Butler   I-NAME
is   O
a   O
1s   O
male   O
,   O
and   O
his   O
primary   O
care   O
provider   O
is   O
Dr.   O
Parker   B-NAME
.   O

He   O
came   O
into   O
Carteret   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
on   O
5/22   B-DATE
,   O
and   O
his   O
medical   O
record   O
number   O
is   O
763   B-ID
-   I-ID
22   I-ID
-   I-ID
48   I-ID
-   I-ID
8   I-ID
.   O

He   O
resides   O
at   O
North   B-LOCATION
Alamo   I-LOCATION
,   O
with   O
a   O
zip   O
code   O
of   O
98931   B-LOCATION
.   O

His   O
health   O
plan   O
number   O
is   O
4   B-ID
-   I-ID
8769384   I-ID
.   O

The   O
contact   O
phone   O
number   O
we   O
have   O
for   O
him   O
is   O
304   B-CONTACT
262   I-CONTACT
7821   I-CONTACT
.   O

Rene   B-NAME
Madden   I-NAME
works   O
as   O
a   O
Municipal   O
Clerks   O
with   O
the   O
McIntosh   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
.   O

He   O
uses   O
the   O
username   O
,   O
eug777   B-NAME
,   O
for   O
logging   O
into   O
the   O
hospital   O
's   O
portal   O
system   O
.   O

Maximus   B-NAME
reports   O
experiencing   O
ongoing   O
symptoms   O
,   O
including   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
moderate   O
fever   O
,   O
and   O
occasional   O
chest   O
pains   O
.   O

The   O
multi   O
-   O
disciplinary   O
team   O
,   O
including   O
Infectious   O
disease   O
specialists   O
Dr.   O
Jaydan   B-NAME
Durham   I-NAME
and   O
pulmonologist   O
Dr.   O
Ayla   B-NAME
Hebert   I-NAME
,   O
held   O
a   O
consultation   O
regarding   O
Carolee   B-NAME
Graff   I-NAME
's   O
case   O
.   O

The   O
Northwest   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
staff   O
will   O
be   O
updating   O
Deegan   B-NAME
Keller   I-NAME
's   O
family   O
using   O
phone   O
number   O
261   B-CONTACT
9851   I-CONTACT
while   O
respecting   O
patient   O
's   O
privacy   O
.   O

Recommendations   O
made   O
by   O
Vaughan   B-NAME
have   O
been   O
noted   O
and   O
the   O
treatment   O
will   O
be   O
reassessed   O
in   O
the   O
coming   O
days   O
.   O

Patient   O
:   O
Lopez   B-NAME
Reeve   B-NAME
,   I-NAME
Christopher   I-NAME
referred   O
the   O
patient   O
,   O
a   O
Database   O
Administrators   O
from   O
Neston   B-LOCATION
,   O
concerning   O
sudden   O
onset   O
of   O
chest   O
pains   O
experienced   O
on   O
12/22/2180   B-DATE
.   O

The   O
patient   O
,   O
24   O
years   O
old   O
,   O
was   O
immediately   O
admitted   O
in   O
State   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
for   O
further   O
examination   O
.   O

Considering   O
the   O
patient   O
's   O
symptomology   O
and   O
initial   O
ECG   O
results   O
,   O
the   O
Savage   B-NAME
started   O
the   O
patient   O
on   O
antiplatelet   O
,   O
anticoagulant   O
and   O
statin   O
therapy   O
pending   O
further   O
investigation   O
.   O

The   O
Jaydon   B-NAME
Evans   I-NAME
contacted   O
the   O
patient   O
's   O
primary   O
doctor   O
at   O
Golf   B-LOCATION
Manor   I-LOCATION
for   O
comprehensive   O
medical   O
history   O
.   O

Previous   O
medical   O
records   O
were   O
transferred   O
to   O
the   O
hospital   O
with   O
88465126   B-ID
number   O
for   O
review   O
.   O

Scheduled   O
for   O
cardiac   O
catheterization   O
on   O
Jun   B-DATE
26   I-DATE
,   O
we   O
seek   O
to   O
further   O
diagnose   O
the   O
potential   O
cause   O
of   O
chest   O
pain   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
was   O
contacted   O
at   O
70244   B-CONTACT
and   O
informed   O
about   O
the   O
ongoing   O
situation   O
.   O

The   O
patient   O
gave   O
consent   O
for   O
automatic   O
refills   O
of   O
their   O
medications   O
from   O
Merchants   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
pharmacy   O
at   O
Gillham   B-LOCATION
with   O
ZIP   O
code   O
25666   B-LOCATION
,   O
till   O
their   O
follow   O
-   O
up   O
appointment   O
after   O
catheterization   O
.   O

For   O
any   O
urgent   O
queries   O
,   O
the   O
patient   O
's   O
emergency   O
contact   O
can   O
reach   O
out   O
on   O
the   O
shared   O
46330   B-CONTACT
number   O
.   O

The   O
hospital   O
administrator   O
updated   O
all   O
details   O
in   O
the   O
patient   O
portal   O
with   O
username   O
cud503   B-NAME
,   O
password   O
reset   O
instructions   O
were   O
sent   O
to   O
their   O
registered   O
email   O
ID   O
LH:16039:124894   B-ID
.   O

Patient   O
:   O
Mcdaniel   B-NAME
Age   O
:   O
10   O
Gender   O
:   O
Male   O
The   O
patient   O
reported   O
to   O
the   O
medical   O
suite   O
of   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Laredo   I-LOCATION
for   O
his   O
appointment   O
on   O
13/00   B-DATE
.   O

Hailing   O
from   O
Bell   B-LOCATION
Gardens   I-LOCATION
,   O
he   O
was   O
referred   O
by   O
his   O
primary   O
care   O
physician   O
,   O
Moreno   B-NAME
.   O

The   O
patient   O
mentions   O
consuming   O
a   O
meal   O
from   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
North   I-LOCATION
Metro   I-LOCATION
two   O
days   O
back   O
post   O
which   O
he   O
developed   O
diarrhea   O
with   O
intermittent   O
fever   O
.   O

The   O
patient   O
himself   O
was   O
a   O
Trade   O
union   O
research   O
officer   O
who   O
retired   O
17/22/2118   B-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
807   B-ID
-   I-ID
22   I-ID
-   I-ID
11   I-ID
-   I-ID
4   I-ID
and   O
his   O
ID   O
for   O
insurance   O
purposes   O
with   O
his   O
company   O
is   O
47784   B-ID
.   O

He   O
can   O
be   O
contacted   O
via   O
the   O
phone   O
number   O
893   B-CONTACT
-   I-CONTACT
6038   I-CONTACT
and   O
his   O
username   O
on   O
the   O
hospital   O
's   O
patient   O
portal   O
is   O
px801   B-NAME
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
has   O
been   O
scheduled   O
at   O
the   O
CentraState   B-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
.   O

Lab   O
results   O
and   O
appendectomy   O
considerations   O
for   O
the   O
patient   O
will   O
be   O
reviewed   O
with   O
the   O
surgical   O
team   O
of   O
Florala   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
has   O
been   O
advised   O
rest   O
and   O
is   O
currently   O
stable   O
for   O
discharge   O
to   O
his   O
home   O
at   O
17582   B-LOCATION
with   O
prescriptions   O
of   O
analgesics   O
and   O
antipyretics   O
.   O

Patient   O
:   O
Celeste   B-NAME
Macias   I-NAME
Age   O
:   O
6   O
month   O
Gender   O
:   O

Male   O
Occupation   O
:   O
Forensic   O
scientist   O
Residential   O
Address   O
:   O
Dothan   B-LOCATION
,   O
70162   B-LOCATION

On   O
the   O
date   O
of   O
31/10   B-DATE
,   O
the   O
patient   O
was   O
admitted   O
in   O
the   O
ER   O
ward   O
of   O
University   B-LOCATION
Hospitals   I-LOCATION
St.   I-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
attending   O
doctor   O
,   O
Dr.   O
Chaim   B-NAME
Lutz   I-NAME
,   O
suspected   O
acute   O
appendicitis   O
and   O
advised   O
for   O
an   O
immediate   O
CT   O
scan   O
to   O
confirm   O
diagnosis   O
.   O

The   O
ID   O
of   O
the   O
scan   O
reports   O
is   O
RN285/9171   B-ID
.   O

Post   O
surgery   O
,   O
the   O
patient   O
was   O
transferred   O
to   O
room   O
number   O
'   O
345   O
'   O
on   O
the   O
5th   O
floor   O
of   O
the   O
McLaren   B-LOCATION
Lapeer   I-LOCATION
Regional   I-LOCATION
.   O

His   O
recovery   O
was   O
monitored   O
under   O
the   O
care   O
of   O
Dr.   O
Jovany   B-NAME
Mathews   I-NAME
,   O
assisted   O
by   O
vxk322   B-NAME
,   O
a   O
registered   O
nurse   O
.   O

The   O
patient   O
's   O
progress   O
notes   O
can   O
be   O
found   O
under   O
the   O
medical   O
record   O
number   O
:   O
05518314   B-ID
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
on   O
October   B-DATE
35   I-DATE
.   O

For   O
further   O
information   O
or   O
changes   O
in   O
schedule   O
,   O
The   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
can   O
be   O
reached   O
at   O
421   B-CONTACT
2115   I-CONTACT
.   O

The   O
account   O
has   O
been   O
billed   O
under   O
his   O
health   O
plan   O
number   O
-   O
CF   B-ID
:   I-ID
UN:3910   I-ID
.   O

West   B-LOCATION
Boylston   I-LOCATION
Municipal   I-LOCATION
Lighting   I-LOCATION
received   O
his   O
medical   O
report   O
on   O
4/20   B-DATE
and   O
was   O
informed   O
about   O
his   O
line   O
of   O
treatment   O
and   O
recovery   O
.   O

Patient   O
name   O
:   O
Ricky   B-NAME
Pineda   I-NAME
Age   O
:   O
72   O
Name   O
of   O
doctor   O
:   O
Azaria   B-NAME
Nielsen   I-NAME
Hospital   O
Admitted   O
to   O
:   O
Howard   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
admission   O
:   O
04/45   B-DATE
Medical   O
record   O
number   O
:   O
87999906   B-ID
Location   O
:   O
Keansburg   B-LOCATION
Presenting   O
symptoms   O
:   O
On   O
4/12/19   B-DATE
,   O
Patient   O
Abraham   B-NAME
Harrell   I-NAME
,   O
93   O
years   O
old   O
,   O
presented   O
with   O
symptoms   O
of   O
extreme   O
lethargy   O
,   O
intermittent   O
fevers   O
,   O
persistent   O
headaches   O
,   O
photophobia   O
,   O
stiff   O
neck   O
,   O
and   O
vague   O
abdominal   O
discomfort   O
.   O

Patient   O
Beatus   B-NAME
Ostasiewicz   I-NAME
,   O
with   O
Social   O
Security   O
Number   O
XC636/7189   B-ID
,   O
carries   O
history   O
of   O
type   O
II   O
diabetes   O
mellitus   O
,   O
hypertension   O
and   O
is   O
a   O
smoke   O
quitter   O
.   O

A   O
lumbar   O
puncture   O
and   O
analysis   O
of   O
cerebrospinal   O
fluid   O
(   O
CSF   O
)   O
was   O
recommended   O
by   O
Mercer   B-NAME
.   O

Next   O
Steps   O
:   O
All   O
the   O
findings   O
were   O
documented   O
in   O
the   O
electronic   O
health   O
record   O
system   O
with   O
the   O
username   O
eiv37   B-NAME
.   O

Also   O
,   O
given   O
the   O
clinical   O
presentation   O
,   O
Patient   O
Nick   B-NAME
Chavez   I-NAME
will   O
be   O
transferred   O
to   O
our   O
University   B-LOCATION
of   I-LOCATION
Rochester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
facility   O
at   O
Roy   B-LOCATION
Lake   I-LOCATION
63550   B-LOCATION
for   O
a   O
more   O
thorough   O
evaluation   O
.   O

Patient   O
's   O
caregiver   O
's   O
name   O
:   O
Jasmin   B-NAME
Malone   I-NAME
's   O
spouse-   O
Tortus   B-NAME
Crissinger   I-NAME
.   O

Contact   O
information   O
:   O
602   B-CONTACT
1376   I-CONTACT
Caregiver   O
's   O
Job   O
:   O
Custom   O
Tailors   O
.   O

Insurer   O
:   O
The   O
patient   O
has   O
been   O
insured   O
by   O
Friends   B-LOCATION
of   I-LOCATION
Peoples   I-LOCATION
Close   I-LOCATION
to   I-LOCATION
Nature   I-LOCATION
.   O

The   O
insurance   O
policy   O
ID   O
is   O
GM:0064:197825   B-ID
.   O

Signature   O
:   O
Wolf   B-NAME
Date   O
:   O
30/26   B-DATE

Patient   O
Name   O
:   O
Bianca   B-NAME
Lowe   I-NAME
Age   O
:   O
20   O
DOB   O
:   O
12/06/28   B-DATE
Doctor   O
's   O
Name   O
:   O
Dr.   O
Selah   B-NAME
Lam   I-NAME
Hospital   O
:   O
Vidant   B-LOCATION
Bertie   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
07604043   B-ID
ID   O
:   O
43984594   B-ID
City   O
:   O
Washtenaw   B-LOCATION
Phone   O
Number   O
:   O
512   B-CONTACT
1238   I-CONTACT
Zip   O
:   O
64064   B-LOCATION
Mr.   O
Null   B-NAME
,   I-NAME
Gary   I-NAME
,   O
9   O
,   O
was   O
admitted   O
to   O
Community   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Branch   I-LOCATION
County   I-LOCATION
dba   I-LOCATION
ProMedica   I-LOCATION
Coldwater   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
21/31   B-DATE
.   O

He   O
is   O
a   O
Market   O
Research   O
Analysts   O
on   O
a   O
project   O
with   O
New   B-LOCATION
Hampshire   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
.   O

His   O
primary   O
care   O
physician   O
Dr.   O
Alyson   B-NAME
Brown   I-NAME
referred   O
him   O
to   O
the   O
hospital   O
after   O
he   O
complained   O
of   O
persistent   O
chest   O
pain   O
and   O
breathlessness   O
.   O

Dr.   O
Bass   B-NAME
suggested   O
that   O
Mr.   O
Rosalia   B-NAME
Korth   I-NAME
undergoes   O
an   O
immediate   O
coronary   O
angiography   O
to   O
assess   O
the   O
patency   O
of   O
his   O
coronary   O
vessels   O
.   O

The   O
patient   O
's   O
family   O
has   O
been   O
informed   O
of   O
the   O
situation   O
and   O
they   O
are   O
expected   O
to   O
arrive   O
from   O
179   B-LOCATION
Rosewood   I-LOCATION
Dr.   I-LOCATION
by   O
tomorrow   O
.   O

The   O
healthcare   O
staff   O
at   O
Canonsburg   B-LOCATION
Hospital   I-LOCATION
is   O
making   O
all   O
efforts   O
to   O
make   O
Mr.   O
Michale   B-NAME
Calamare   I-NAME
comfortable   O
,   O
providing   O
supplemental   O
oxygen   O
,   O
nitroglycerin   O
for   O
pain   O
,   O
along   O
with   O
Aspirin   O
and   O
statin   O
.   O

For   O
further   O
information   O
on   O
Mr.   O
Jaslene   B-NAME
Bernard   I-NAME
's   O
health   O
status   O
,   O
please   O
contact   O
me   O
at   O
31479   B-CONTACT
.   O

If   O
you   O
have   O
any   O
questions   O
,   O
feel   O
free   O
to   O
contact   O
via   O
my   O
Florida   B-LOCATION
Hospital   I-LOCATION
Altamonte   I-LOCATION
email   O
:   O
XL5810   B-NAME
@hospital.com   O
.   O
Dr.   O
River   B-NAME
Cruz   I-NAME
.   O

Patient   O
Name   O
:   O
Chris   B-NAME
Randall   I-NAME
In   O
the   O
early   O
morning   O
hours   O
of   O
0/13   B-DATE
,   O
Zaiden   B-NAME
Clayton   I-NAME
,   O
a   O
Municipal   O
Firefighters   O
by   O
profession   O
,   O
checked   O
into   O
Guthrie   B-LOCATION
Corning   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
in   O
Levant   B-LOCATION
presenting   O
with   O
symptoms   O
of   O
discomfort   O
in   O
the   O
chest   O
area   O
.   O

This   O
symptom   O
onset   O
occurred   O
earlier   O
on   O
2010   B-DATE
.   O

The   O
referred   O
physician   O
was   O
Dr.   O
Danvers   B-NAME
.   O

Patient   O
's   O
age   O
is   O
64s   O
years   O
and   O
holds   O
ID   O
number   O
IZ:13460:296361   B-ID
.   O

Upon   O
examination   O
,   O
Spring   B-NAME
Landrith   I-NAME
demonstrated   O
mild   O
tachycardia   O
along   O
with   O
a   O
sharp   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
towards   O
the   O
left   O
arm   O
,   O
a   O
classic   O
symptom   O
of   O
myocardial   O
ischemia   O
.   O

The   O
EKG   O
report   O
dated   O
0/04/31   B-DATE
documented   O
inverted   O
T   O
-   O
waves   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
indicative   O
of   O
myocardial   O
ischemia   O
.   O

A   O
troponin   O
test   O
was   O
also   O
carried   O
out   O
,   O
the   O
details   O
of   O
which   O
can   O
be   O
referred   O
to   O
in   O
8904043   B-ID
.   O

The   O
patient   O
was   O
called   O
on   O
978   B-CONTACT
-   I-CONTACT
7177   I-CONTACT
to   O
confirm   O
the   O
next   O
follow   O
-   O
up   O
date   O
that   O
was   O
scheduled   O
for   O
2227   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
17   I-DATE
.   O

The   O
discharge   O
summary   O
was   O
mailed   O
to   O
her   O
residential   O
address   O
at   O
Olmos   B-LOCATION
Park   I-LOCATION
,   O
18393   B-LOCATION
.   O

Meanwhile   O
,   O
the   O
patient   O
’s   O
medical   O
record   O
number   O
356   B-ID
-   I-ID
05   I-ID
-   I-ID
12   I-ID
and   O
username   O
VH791   B-NAME
were   O
updated   O
for   O
further   O
assessment   O
and   O
treatment   O
management   O
.   O

Patient   O
Name   O
:   O
Confucius   B-NAME
Patient   O
Age   O
:   O
32   O
Patient   O
's   O
ID   O
:   O
JW140/2380   B-ID
Date   O
:   O
1/11   B-DATE
Doctor   O
:   O
Tianna   B-NAME
Bonilla   I-NAME
Medical   O
Record   O
:   O
75574734   B-ID
Hospital   O
:   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
The   I-LOCATION
King   I-LOCATION
's   I-LOCATION
Daughters   I-LOCATION
Location   O
of   O
the   O
hospital   O
:   O
Badger   B-LOCATION
Patient   O
's   O
Zip   O
:   O
71544   B-LOCATION
Hospital   O
phone   O
number   O
:   O
(   B-CONTACT
641   I-CONTACT
)   I-CONTACT
481   I-CONTACT
-   I-CONTACT
4562   I-CONTACT
Attending   O
Organization   O
:   O
Founders   B-LOCATION
Bank   I-LOCATION
Upon   O
arrival   O
,   O
the   O
patient   O
complained   O
of   O
an   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
that   O
was   O
centralized   O
in   O
the   O
lower   O
-   O
right   O
quadrant   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
performed   O
under   O
the   O
instruction   O
of   O
Dr.   O
Isis   B-NAME
Snow   I-NAME
,   O
who   O
suspected   O
acute   O
appendicitis   O
according   O
to   O
the   O
clinical   O
presentation   O
.   O

The   O
diagnostic   O
examination   O
confirmed   O
his   O
suspicion   O
,   O
revealing   O
a   O
distended   O
and   O
inflamed   O
appendix   O
.   O
Klopstock   B-NAME
,   I-NAME
Friedrich   I-NAME
Gottlieb   I-NAME
was   O
immediately   O
scheduled   O
for   O
an   O
appendectomy   O
.   O

Consuela   B-NAME
Kyrinov   I-NAME
was   O
discharged   O
on   O
6/22   B-DATE
with   O
the   O
advice   O
of   O
regular   O
follow   O
-   O
ups   O
at   O
the   O
outpatient   O
clinic   O
of   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Baldwin   I-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
Caln   B-LOCATION
.   O

Please   O
contact   O
us   O
from   O
85028   B-CONTACT
for   O
further   O
appointments   O
or   O
inquiries   O
.   O

Username   O
for   O
Electronic   O
Health   O
Records   O
:   O
nw270   B-NAME
Prepared   O
by   O
:   O
Dr.   O
Claudia   B-NAME
Schultz   I-NAME
,   O
MercyOne   B-LOCATION
West   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Elmont   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11003   I-LOCATION
,   O
15839   B-LOCATION
,   O
(   B-CONTACT
561   I-CONTACT
)   I-CONTACT
913   I-CONTACT
9317   I-CONTACT
,   O
Oligarcy   B-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
.   O

Patient   O
Name   O
:   O
Woodward   B-NAME
,   I-NAME
Bob   I-NAME
Age   O
:   O
8   O
week   O
Symptoms   O
onset   O
:   O
Approximately   O
2033   B-DATE
ago   O
.   O

Report   O
:   O
Patient   O
Flynn   B-NAME
Saunders   I-NAME
was   O
referred   O
to   O
me   O
,   O
Dr.   O
Adams   B-NAME
,   O
by   O
Sheet   B-LOCATION
Metal   I-LOCATION
Workers   I-LOCATION
International   I-LOCATION
Association   I-LOCATION
.   O

The   O
patient   O
is   O
a   O
Education   O
Administrators   O
,   O
Elementary   O
and   O
Secondary   O
School   O
and   O
resides   O
in   O
Lexington   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Lexington   I-LOCATION
Association   I-LOCATION
.   O

According   O
to   O
the   O
8819440   B-ID
,   O
these   O
symptoms   O
have   O
increased   O
in   O
intensity   O
over   O
the   O
past   O
few   O
days   O
.   O

He   O
was   O
immediately   O
transferred   O
to   O
Edgewood   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
.   O

As   O
per   O
his   O
latest   O
medical   O
records   O
number   O
60946861   B-ID
dated   O
2211   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
00   I-DATE
,   O
the   O
patient   O
underwent   O
a   O
coronary   O
angiogram   O
which   O
showed   O
a   O
70   O
%   O
blockage   O
in   O
his   O
left   O
anterior   O
descending   O
artery   O
.   O

He   O
was   O
advised   O
to   O
consider   O
angioplasty   O
and   O
was   O
referred   O
to   O
a   O
cardiologist   O
,   O
Dr.   O
Franz   B-NAME
Edlemann   I-NAME
at   O
CHI   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Health   I-LOCATION
Regional   I-LOCATION
.   O

The   O
patient   O
has   O
been   O
given   O
an   O
appointment   O
for   O
follow   O
-   O
up   O
care   O
on   O
22/21   B-DATE
.   O

Please   O
reach   O
me   O
at   O
527   B-CONTACT
6361   I-CONTACT
for   O
further   O
queries   O
or   O
information   O
.   O

His   O
health   O
identification   O
number   O
is   O
ZP:22959:641499   B-ID
and   O
resides   O
at   O
the   O
zip   O
code   O
91460   B-LOCATION
.   O

Report   O
recorded   O
by   O
WI191   B-NAME
.   O

Patient   O
Report   O
:   O
Medical   O
Record   O
No   O
:   O
09220942   B-ID
Personal   O
Data   O
:   O
Mr.   O
Vincent   B-NAME
Avila   I-NAME
,   O
a   O
81   O
year   O
old   O
male   O
,   O
who   O
works   O
as   O
a   O
Meeting   O
and   O
Convention   O
Planners   O
in   O
Kirkham   B-LOCATION
,   O
was   O
brought   O
to   O
White   B-LOCATION
Wing   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
on   O
1692   B-DATE
.   O

He   O
resides   O
at   O
an   O
address   O
with   O
a   O
Zipcode   O
:   O
97369   B-LOCATION
.   O

However   O
,   O
the   O
current   O
episode   O
started   O
on   O
30/30   B-DATE
and   O
has   O
progressively   O
worsened   O
,   O
impacting   O
his   O
ability   O
to   O
function   O
effectively   O
at   O
his   O
job   O
.   O

The   O
patient   O
’s   O
medical   O
record   O
8433755   B-ID
shows   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
.   O

Patient   O
is   O
on   O
medication   O
for   O
both   O
,   O
prescribed   O
by   O
Dr.   O
Osborne   B-NAME
at   O
FirstHealth   B-LOCATION
Montgomery   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Diagnostic   O
Assessment   O
:   O
Radiographic   O
imaging   O
was   O
ordered   O
and   O
evaluated   O
by   O
Dr.   O
Benson   B-NAME
.   O

A   O
neurology   O
consult   O
has   O
been   O
advised   O
with   O
Dr.   O
Ross   B-NAME
at   O
Morton   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Elkhart   I-LOCATION
for   O
further   O
management   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
to   O
return   O
to   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Episcopal   I-LOCATION
Hospital   I-LOCATION
/   I-LOCATION
South   I-LOCATION
Shore   I-LOCATION
on   O
2/00   B-DATE
for   O
a   O
follow   O
-   O
up   O
visit   O
.   O

For   O
any   O
immediate   O
issues   O
or   O
concerns   O
,   O
patient   O
or   O
the   O
designated   O
contact   O
person   O
can   O
reach   O
the   O
hospital   O
staff   O
at   O
31479   B-CONTACT
.   O

The   O
patient   O
was   O
discharged   O
under   O
the   O
care   O
of   O
his   O
spouse   O
and   O
an   O
Bi   B-LOCATION
-   I-LOCATION
Mart   I-LOCATION
provided   O
home   O
health   O
care   O
aide   O
after   O
being   O
given   O
an   O
ID   O
number   O
0   B-ID
-   I-ID
8526738   I-ID
for   O
future   O
references   O
.   O

The   O
patient   O
was   O
advised   O
to   O
strictly   O
adhere   O
to   O
the   O
prescribed   O
medication   O
and   O
lifestyle   O
modifications   O
by   O
Dr.   O
Confucius   B-NAME
.   O

This   O
report   O
was   O
last   O
updated   O
by   O
user   O
ghe756   B-NAME
on   O
32/12/17   B-DATE
.   O

Samantha   B-NAME
Michael   I-NAME
Age   O
:   O
12   O
month   O
ID   O
:   O
6163252   B-ID
Medical   O
Record   O
Number   O
:   O
2639Y52573   B-ID
Phone   O
:   O
623   B-CONTACT
4104   I-CONTACT
Address   O
:   O
Old   B-LOCATION
Ripley   I-LOCATION
Zip   O
Code   O
:   O
37892   B-LOCATION
Provider   O
Information   O
:   O
Health   O
Organization   O
:   O
LibertyBank   B-LOCATION
Doctor   O
's   O
Name   O
:   O
Kennedy   B-NAME
Hospital   O
Affiliation   O
:   O
Uniontown   B-LOCATION
Hospital   I-LOCATION
Provider   O
Contact   O
:   O
PL845   B-NAME
Presenting   O
Complaint   O
:   O
On   O
26   B-DATE
,   O
Lyla   B-NAME
Coburn   I-NAME
presented   O
with   O
a   O
three   O
-   O
week   O
history   O
of   O
intermittent   O
right   O
upper   O
quadrant   O
abdominal   O
pain   O
,   O
accompanied   O
by   O
bloating   O
and   O
indigestion   O
.   O

Home   O
and   O
Social   O
Environment   O
:   O
Maci   B-NAME
Short   I-NAME
is   O
a   O
Doctor   O
(   O
hospital   O
)   O
who   O
resides   O
in   O
Kensington   B-LOCATION
Park   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Physical   O
examination   O
on   O
32/27   B-DATE
revealed   O
tenderness   O
in   O
the   O
right   O
upper   O
quadrant   O
with   O
Murphy   O
's   O
sign   O
being   O
positive   O
.   O

Next   O
appointment   O
was   O
scheduled   O
on   O
May   B-DATE
at   O
Lancaster   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Esteban   B-NAME
Kidd   I-NAME
was   O
advised   O
to   O
contact   O
Mauricio   B-NAME
Oneill   I-NAME
at   O
ol487   B-NAME
for   O
any   O
urgent   O
concerns   O
.   O

In   O
the   O
meantime   O
,   O
Varl   B-NAME
Blonigan   I-NAME
was   O
advised   O
to   O
avoid   O
eating   O
fatty   O
foods   O
and   O
to   O
commence   O
a   O
regular   O
exercise   O
regimen   O
.   O

Patient   O
Details   O
:   O
Name   O
:   O
Roderick   B-NAME
Galloway   I-NAME
Age   O
:   O
4   O
week   O
Location   O
:   O
Poulsbo   B-LOCATION
Phone   O
number   O
:   O
(   B-CONTACT
156   I-CONTACT
)   I-CONTACT
571   I-CONTACT
9575   I-CONTACT
ID   O
:   O
JE368/9716   B-ID
Medical   O
Record   O
Number   O
:   O
8935202   B-ID
Patient   O
Kian   B-NAME
Jarvis   I-NAME
checked   O
in   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Jerome   I-LOCATION
on   O
10/15   B-DATE
.   O

A   O
32   O
year   O
old   O
female   O
resident   O
of   O
Bettsville   B-LOCATION
,   O
working   O
as   O
a   O
Police   O
Identification   O
and   O
Records   O
Officers   O
,   O
she   O
complained   O
about   O
experiencing   O
severe   O
migraines   O
that   O
started   O
about   O
a   O
week   O
ago   O
.   O

The   O
patient   O
was   O
seen   O
by   O
Tyler   B-NAME
,   O
a   O
neurologist   O
at   O
Hedrick   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Kameron   B-NAME
Brewer   I-NAME
found   O
that   O
TRAN   B-NAME
,   I-NAME
FREDDY   I-NAME
's   O
symptoms   O
were   O
consistent   O
with   O
migraines   O
and   O
decided   O
to   O
run   O
some   O
additional   O
tests   O
to   O
rule   O
out   O
any   O
other   O
complications   O
.   O

She   O
ordered   O
an   O
MRI   O
scan   O
that   O
was   O
scheduled   O
for   O
38/33/74   B-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
25925305   B-ID
revealed   O
no   O
history   O
of   O
migraines   O
or   O
neurological   O
disorders   O
.   O

Thomas   B-NAME
Cotton   I-NAME
states   O
that   O
she   O
does   O
not   O
smoke   O
and   O
occasionally   O
consumes   O
alcohol   O
.   O

Further   O
evaluation   O
and   O
management   O
were   O
coordinated   O
with   O
Hazel   B-NAME
Webster   I-NAME
in   O
the   O
Department   O
of   O
Neurology   O
at   O
UCHealth   B-LOCATION
University   I-LOCATION
of   I-LOCATION
Colorado   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
was   O
asked   O
to   O
stay   O
for   O
observation   O
and   O
was   O
assigned   O
to   O
Room   O
403   O
in   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
Doctors   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
report   O
from   O
Massey   B-NAME
and   O
further   O
updates   O
regarding   O
Teresa   B-NAME
of   I-NAME
Avila   I-NAME
(   I-NAME
Teresa   I-NAME
de   I-NAME
Jesús   I-NAME
)   I-NAME
's   O
status   O
can   O
be   O
accessed   O
on   O
the   O
hospital   O
server   O
with   O
username   O
cud503   B-NAME
.   O

The   O
contact   O
is   O
her   O
brother   O
who   O
resides   O
at   O
SE58   B-LOCATION
0FR   I-LOCATION
and   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
742   I-CONTACT
)   I-CONTACT
153   I-CONTACT
1213   I-CONTACT
.   O

Following   O
the   O
discussion   O
with   O
Emerson   B-NAME
,   I-NAME
Ralph   I-NAME
Waldo   I-NAME
,   O
Shah   B-NAME
was   O
feeling   O
anxious   O
.   O

Mental   O
health   O
services   O
were   O
offered   O
through   O
our   O
partnership   O
with   O
Omaha   B-LOCATION
Public   I-LOCATION
Power   I-LOCATION
District   I-LOCATION
.   O

The   O
patient   O
is   O
due   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
September   B-DATE
.   I-DATE
2242   I-DATE
.   O

The   O
billing   O
details   O
and   O
insurance   O
details   O
with   O
policy   O
ID   O
93569242   B-ID
can   O
be   O
adjusted   O
prior   O
to   O
the   O
next   O
appointment   O
.   O

For   O
any   O
further   O
clarification   O
or   O
information   O
,   O
patient   O
or   O
her   O
close   O
contacts   O
can   O
reach   O
out   O
to   O
us   O
at   O
CenterPointe   B-LOCATION
Hospital   I-LOCATION
by   O
calling   O
our   O
service   O
number   O
774   B-CONTACT
-   I-CONTACT
5181   I-CONTACT
.   O

Please   O
send   O
all   O
correspondence   O
referring   O
to   O
this   O
case   O
to   O
the   O
following   O
address   O
:   O
Seattle   B-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Petersburg   B-LOCATION
,   O
97720   B-LOCATION
.   O

Patient   O
Report   O
:   O
dalton   B-NAME
,   O
a   O
11   O
years   O
old   O
individual   O
,   O
was   O
admitted   O
to   O
the   O
Emanate   B-LOCATION
Health   I-LOCATION
Queen   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
2031   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
20   I-DATE
.   O

A   O
detailed   O
conversation   O
with   O
the   O
patient   O
revealed   O
that   O
he   O
is   O
a   O
Roofers   O
and   O
travels   O
frequently   O
to   O
Detmold   B-LOCATION
.   O

Upon   O
physical   O
examination   O
,   O
Carroll   B-NAME
noticed   O
a   O
prominent   O
erythematous   O
rash   O
on   O
his   O
lower   O
limbs   O
,   O
indicative   O
of   O
potential   O
cellulitis   O
.   O

His   O
routine   O
consultation   O
with   O
Hubbard   B-NAME
on   O
30/01/82   B-DATE
raised   O
concerns   O
of   O
possible   O
Lyme   O
Disease   O
.   O

For   O
confirmation   O
,   O
a   O
Lyme   O
disease   O
serology   O
was   O
sent   O
to   O
the   O
CCJO   B-LOCATION
René   I-LOCATION
Cassin   I-LOCATION
laboratory   O
.   O

His   O
travel   O
records   O
,   O
particularly   O
frequent   O
visits   O
to   O
Pine   B-LOCATION
Flat   I-LOCATION
,   O
also   O
support   O
this   O
suspicion   O
.   O

The   O
medical   O
team   O
at   O
Ocean   B-LOCATION
Beach   I-LOCATION
Hospital   I-LOCATION
is   O
managing   O
the   O
symptoms   O
currently   O
with   O
antibiotic   O
therapy   O
.   O

The   O
120   B-ID
-   I-ID
09   I-ID
-   I-ID
98   I-ID
with   O
the   O
therapy   O
details   O
can   O
be   O
shared   O
with   O
the   O
assigned   O
Armored   O
Assault   O
Vehicle   O
Officers   O
via   O
the   O
medical   O
team   O
portal   O
with   O
the   O
username   O
PJ414   B-NAME
.   O

Immediate   O
family   O
,   O
currently   O
residing   O
at   O
McKinleyville   B-LOCATION
,   O
has   O
been   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
via   O
call   O
on   O
34079   B-CONTACT
.   O

As   O
the   O
patient   O
's   O
employer   O
requires   O
regular   O
updates   O
,   O
they   O
will   O
be   O
kept   O
informed   O
of   O
the   O
patient   O
's   O
health   O
under   O
privacy   O
agreement   O
AU   B-ID
:   I-ID
KI:4831   I-ID
.   O

Attached   O
is   O
the   O
medical   O
prescription   O
and   O
a   O
note   O
for   O
the   O
scheduled   O
follow   O
-   O
up   O
visit   O
on   O
16/01   B-DATE
.   O

We   O
recommend   O
following   O
the   O
guidelines   O
provided   O
by   O
the   O
Suburban   B-LOCATION
FSB   I-LOCATION
for   O
Lyme   O
Disease   O
prevention   O
considering   O
his   O
frequent   O
travel   O
to   O
Stone   B-LOCATION
Harbor   I-LOCATION
.   O

Please   O
contact   O
the   O
hospital   O
administration   O
at   O
211   B-CONTACT
-   I-CONTACT
412   I-CONTACT
-   I-CONTACT
3370   I-CONTACT
for   O
any   O
further   O
queries   O
.   O

Physical   O
Home   O
Address   O
:   O
98794   B-LOCATION
Contact   O
Email   O
:   O
stj714   B-NAME
@   O
Paramount   B-LOCATION
Bank   I-LOCATION

Patient   O
Name   O
:   O
Singleton   B-NAME
Age   O
:   O
0   O
ID   O
:   O
QP394/6021   B-ID
Medical   O
Record   O
:   O
18260324   B-ID
Phone   O
:   O
667   B-CONTACT
7635   I-CONTACT
Location   O
:   O
Pollard   B-LOCATION
Organization   O
:   O

Butler   B-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
Doctor   O
:   O
Asa   B-NAME
Gillespie   I-NAME
Hospital   O
:   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
:   O
RY326   B-NAME
Profession   O
:   O

Clinical   O
Psychologists   O
Zip   O
:   O
74978   B-LOCATION
Admission   O
Date   O
:   O
13/22   B-DATE
The   O
abovementioned   O
patient   O
,   O
Zachery   B-NAME
Wagner   I-NAME
,   O
came   O
to   O
Crittenden   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
02/0/63   B-DATE
with   O
complaints   O
of   O
intense   O
abdominal   O
pain   O
,   O
low   O
-   O
grade   O
fever   O
,   O
and   O
infrequent   O
bowel   O
movements   O
.   O

Initial   O
examination   O
by   O
Dr.   O
Solomon   B-NAME
suggested   O
signs   O
of   O
possible   O
appendicitis   O
,   O
including   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
patient   O
,   O
a   O
Helpers   O
--   O
Pipelayers   O
,   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
residing   O
at   O
Belle   B-LOCATION
Prairie   I-LOCATION
City   I-LOCATION
and   O
working   O
at   O
Northeast   B-LOCATION
Utilities   I-LOCATION
,   O
was   O
admitted   O
and   O
an   O
appendectomy   O
was   O
performed   O
on   O
30/29   B-DATE
.   O

Before   O
discharging   O
,   O
Dr.   O
Cervantes   B-NAME
delivered   O
a   O
lecture   O
on   O
the   O
importance   O
of   O
balanced   O
diet   O
,   O
appropriate   O
water   O
intake   O
and   O
regular   O
exercises   O
to   O
avoid   O
such   O
gastrointestinal   O
issues   O
in   O
future   O
.   O

The   O
patient   O
's   O
ID   O
BV:93185:357839   B-ID
was   O
checked   O
again   O
to   O
confirm   O
his   O
insurance   O
coverage   O
.   O

Discharge   O
summary   O
and   O
prescription   O
were   O
sent   O
to   O
Landon   B-NAME
Hays   I-NAME
via   O
his   O
registered   O
username   O
czn634   B-NAME
.   O

Patient   O
was   O
instructed   O
to   O
contact   O
Dr.   O
Neal   B-NAME
or   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Macomb   I-LOCATION
County   I-LOCATION
directly   O
at   O
767   B-CONTACT
296   I-CONTACT
-   I-CONTACT
7491   I-CONTACT
for   O
any   O
issues   O
or   O
queries   O
.   O

Postal   O
communication   O
could   O
be   O
done   O
to   O
Ed   B-LOCATION
Fraser   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
the   O
following   O
Zip   O
code   O
:   O
91999   B-LOCATION
.   O

These   O
case   O
diagnostics   O
will   O
be   O
saved   O
under   O
patient   O
's   O
name   O
Quiana   B-NAME
with   O
the   O
Medical   O
Record   O
number   O
3496380   B-ID
for   O
further   O
references   O
.   O

The   O
insurance   O
claim   O
was   O
processed   O
through   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Jacksonville   I-LOCATION
.   O

Robt   B-NAME
Glassman   I-NAME
Medical   O
Record   O
Number   O
:   O
08655299   B-ID
Date   O
:   O
32/13/32   B-DATE
Doctor   O
's   O
Name   O
:   O
Avery   B-NAME
Physician   O
:   O

Diana   B-NAME
Reddin   I-NAME
The   O
Simeon   B-NAME
Riley   I-NAME
is   O
a   O
61   O
year   O
-   O
old   O
individual   O
,   O
working   O
as   O
a   O
Actors   O
.   O

Josh   B-NAME
Dalton   I-NAME
was   O
admitted   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Camp   I-LOCATION
Hill   I-LOCATION
on   O
27/22   B-DATE
.   O

History   O
of   O
the   O
Present   O
Illness   O
:   O
Destiny   B-NAME
Tran   I-NAME
is   O
complaining   O
of   O
consistent   O
lower   O
abdominal   O
pain   O
,   O
diarrhoea   O
,   O
and   O
blood   O
in   O
the   O
stools   O
.   O

Physical   O
Exam   O
:   O
Examination   O
of   O
Ashtyn   B-NAME
Khan   I-NAME
's   O
abdomen   O
revealed   O
tenderness   O
in   O
the   O
left   O
lower   O
quadrant   O
with   O
pain   O
on   O
palpation   O
but   O
no   O
distention   O
or   O
masses   O
were   O
noted   O
.   O

This   O
procedure   O
will   O
be   O
performed   O
by   O
Faith   B-NAME
Burke   I-NAME
at   O
Tampa   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
and   O
is   O
scheduled   O
for   O
2/22   B-DATE
.   O

Contact   O
Information   O
:   O
Phone   O
:   O
700   B-CONTACT
2035   I-CONTACT
San   B-LOCATION
Acacio   I-LOCATION
83253   B-LOCATION
Responsible   O
Organization   O
:   O

Amalgamated   B-LOCATION
Transit   I-LOCATION
Union   I-LOCATION
Patient   O
ID   O
:   O
XT:71628:570870   B-ID
Reporting   O
Physician   O
's   O
signature   O
:   O
Dr.   O
kr234   B-NAME

Patient   O
Name   O
:   O
Jennifer   B-NAME
Long   I-NAME
Patient   O
ID   O
:   O
OV:1153:818915   B-ID
Age   O
:   O
41   O
Address   O
:   O
Falkland   B-LOCATION
Phone   O
:   O
317   B-CONTACT
-   I-CONTACT
3356   I-CONTACT
Username   O
:   O
vkd660   B-NAME
Date   O
of   O
visit   O
:   O
07/22/16   B-DATE
Report   O
:   O
Lawrence   B-NAME
Holland   I-NAME
came   O
to   O
the   O
emergency   O
ward   O
of   O
Gerber   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
on   O
0/07/05   B-DATE
with   O
complaints   O
of   O
sudden   O
chest   O
pain   O
on   O
the   O
left   O
side   O
,   O
mild   O
to   O
moderate   O
in   O
intensity   O
,   O
non   O
-   O
radiating   O
,   O
associated   O
with   O
shortness   O
of   O
breath   O
,   O
and   O
sweating   O
.   O

While   O
working   O
as   O
a   O
Religious   O
Workers   O
,   O
All   O
Other   O
,   O
Heidy   B-NAME
Wong   I-NAME
collapsed   O
and   O
was   O
immediately   O
rushed   O
by   O
his   O
colleagues   O
to   O
Candler   B-LOCATION
Hospital   I-LOCATION
,   O
796   B-LOCATION
Devonshire   I-LOCATION
Dr   I-LOCATION
.   I-LOCATION
.   O

He   O
was   O
able   O
to   O
provide   O
his   O
medical   O
record   O
number   O
5223368   B-ID
upon   O
arrival   O
to   O
the   O
hospital   O
,   O
and   O
the   O
attending   O
physician   O
Cole   B-NAME
was   O
informed   O
promptly   O
.   O

According   O
to   O
his   O
records   O
,   O
his   O
last   O
known   O
EKG   O
was   O
on   O
0/41   B-DATE
,   O
under   O
the   O
care   O
of   O
Laura   B-NAME
Buckley   I-NAME
and   O
was   O
normal   O
at   O
the   O
time   O
.   O

Chest   O
pain   O
is   O
a   O
new   O
symptom   O
for   O
Karik   B-NAME
.   O

The   O
Summerville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
team   O
,   O
under   O
the   O
leadership   O
of   O
Dr.   O
Griffin   B-NAME
Lynn   I-NAME
,   O
has   O
initiated   O
the   O
management   O
for   O
suspected   O
Acute   O
Coronary   O
Syndrome   O
(   O
ACS   O
)   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
,   O
his   O
sister   O
,   O
was   O
informed   O
on   O
198   B-CONTACT
-   I-CONTACT
4499   I-CONTACT
about   O
the   O
situation   O
and   O
she   O
acknowledged   O
consent   O
for   O
necessary   O
investigations   O
and   O
procedures   O
for   O
Celia   B-NAME
Proctor   I-NAME
.   O

After   O
the   O
initial   O
assessment   O
and   O
tests   O
,   O
the   O
patient   O
was   O
scheduled   O
for   O
an   O
explorative   O
procedure   O
on   O
2035   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
24   I-DATE
.   O

This   O
information   O
is   O
subject   O
to   O
the   O
healthcare   O
policies   O
of   O
the   O
Sam   B-LOCATION
's   I-LOCATION
Club   I-LOCATION
and   O
data   O
privacy   O
laws   O
of   O
Belle   B-LOCATION
Glade   I-LOCATION
.   O

For   O
any   O
further   O
information   O
or   O
queries   O
,   O
please   O
contact   O
us   O
through   O
our   O
registered   O
phone   O
number   O
113   B-CONTACT
-   I-CONTACT
3318   I-CONTACT
.   O

Patient   O
Name   O
:   O
Valorus   B-NAME
Age   O
:   O
17   O
ID   O
:   O
HN   B-ID
:   I-ID
BC:9447   I-ID
Address   O
:   O
Charles   B-LOCATION
City   I-LOCATION
,   I-LOCATION
Charles   I-LOCATION
City   I-LOCATION
Community   I-LOCATION
Revitalization   I-LOCATION
ZIP   O
:   O
98276   B-LOCATION
Phone   O
:   O
916   B-CONTACT
538   I-CONTACT
8180   I-CONTACT
Medical   O
Record   O
:   O
0137602   B-ID
Profession   O
:   O
Counter   O
Attendants   O
,   O
Cafeteria   O
,   O
Food   O
Concession   O
,   O
and   O
Coffee   O
Shop   O
Doctor   O
's   O
name   O
:   O
Adams   B-NAME
,   I-NAME
John   I-NAME
Hospital   O
:   O
Chris   B-LOCATION
Evert   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
22/18   B-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
presented   O
with   O
a   O
continuous   O
high   O
fever   O
for   O
three   O
days   O
,   O
which   O
has   O
not   O
subsided   O
despite   O
regular   O
use   O
of   O
antipyretic   O
drugs   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Carrie   B-NAME
states   O
symptoms   O
that   O
began   O
suddenly   O
on   O
9/9   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Diana   B-NAME
Van   I-NAME
Dine   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
managed   O
with   O
regular   O
medication   O
.   O

On   O
examination   O
by   O
Shannon   B-NAME
at   O
Banner   B-LOCATION
Casa   I-LOCATION
Grande   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
the   O
patient   O
had   O
a   O
temperature   O
of   O
101   O
Fahrenheit   O
and   O
a   O
slightly   O
elevated   O
heart   O
rate   O
.   O

Investigations   O
:   O
Henry   B-NAME
Higgins   I-NAME
was   O
tested   O
for   O
COVID-19   O
,   O
flu   O
,   O
and   O
other   O
standard   O
infectious   O
diseases   O
.   O

Ascham   B-NAME
,   I-NAME
Roger   I-NAME
was   O
requested   O
to   O
provide   O
sputum   O
samples   O
for   O
bacterial   O
cultures   O
.   O

Prescribed   O
Treatment   O
:   O
Until   O
reports   O
are   O
received   O
,   O
Laface   B-NAME
Kobold   I-NAME
has   O
been   O
advised   O
to   O
continue   O
antipyretic   O
medication   O
for   O
the   O
fever   O
,   O
ensure   O
plenty   O
of   O
fluid   O
intake   O
,   O
and   O
rest   O
.   O

Any   O
increase   O
in   O
symptoms   O
or   O
onset   O
of   O
new   O
symptoms   O
,   O
patient   O
is   O
asked   O
to   O
return   O
to   O
Anderson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
North   I-LOCATION
immediately   O
.   O

The   O
patient   O
is   O
scheduled   O
to   O
follow   O
up   O
with   O
Alejandra   B-NAME
Fitzgerald   I-NAME
next   O
week   O
on   O
July   B-DATE
after   O
all   O
test   O
results   O
are   O
received   O
.   O

In   O
the   O
meantime   O
,   O
Schwartz   B-NAME
has   O
been   O
requested   O
to   O
strictly   O
isolate   O
at   O
home   O
and   O
monitor   O
symptoms   O
,   O
considering   O
the   O
ongoing   O
communicable   O
diseases   O
in   O
Juniata   B-LOCATION
Terrace   I-LOCATION
.   O

I   O
,   O
br128   B-NAME
,   O
have   O
reviewed   O
the   O
patient   O
's   O
case   O
and   O
confirm   O
that   O
the   O
above   O
notes   O
by   O
Lainey   B-NAME
Paul   I-NAME
accurately   O
represent   O
the   O
patient   O
's   O
health   O
condition   O
as   O
of   O
15/12/39   B-DATE
.   O

Patient   O
Report   O
:   O
Jaiden   B-NAME
Castaneda   I-NAME
was   O
referred   O
to   O
us   O
by   O
Herb   B-NAME
Melnick   I-NAME
on   O
04/07   B-DATE
.   O

The   O
patient   O
is   O
a   O
0   O
month   O
years   O
old   O
resident   O
of   O
Scraper   B-LOCATION
who   O
works   O
as   O
a   O
Financial   O
Managers   O
,   O
Branch   O
or   O
Department   O
.   O

From   O
her   O
medical   O
history   O
,   O
it   O
was   O
noted   O
that   O
the   O
patient   O
has   O
been   O
suffering   O
from   O
hyperlipidemia   O
and   O
hypertension   O
for   O
several   O
years   O
and   O
has   O
been   O
undergoing   O
treatment   O
in   O
Northstar   B-LOCATION
Hospital   I-LOCATION
.   O

Hospital   O
records   O
048   B-ID
-   I-ID
44   I-ID
-   I-ID
64   I-ID
indicated   O
that   O
the   O
patient   O
was   O
previously   O
admitted   O
on   O
0.22.54   B-DATE
for   O
a   O
similar   O
episode   O
but   O
was   O
not   O
as   O
severe   O
as   O
the   O
current   O
one   O
.   O

Plan   O
for   O
urgent   O
coronary   O
angiography   O
was   O
discussed   O
with   O
the   O
patient   O
and   O
her   O
emergency   O
contact   O
Kash   B-NAME
Stone   I-NAME
's   O
sister   O
.   O

Their   O
contact   O
number   O
is   O
527   B-CONTACT
2804   I-CONTACT
and   O
they   O
reside   O
at   O
Madrone   B-LOCATION
,   O
with   O
a   O
postal   O
code   O
of   O
81036   B-LOCATION
.   O

The   O
patient   O
's   O
insurance   O
ID   O
number   O
is   O
9   B-ID
-   I-ID
8517678   I-ID
,   O
which   O
is   O
registered   O
with   O
the   O
United   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
.   O

She   O
will   O
be   O
transported   O
to   O
Ascension   B-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
for   O
the   O
procedure   O
under   O
the   O
care   O
of   O
Phelps   B-NAME
who   O
is   O
a   O
renowned   O
cardiologist   O
in   O
Summerside   B-LOCATION
,   I-LOCATION
PE   I-LOCATION
C1N   I-LOCATION
7C2   I-LOCATION
.   O

The   O
username   O
for   O
her   O
online   O
hospital   O
account   O
is   O
fjq740   B-NAME
where   O
she   O
checks   O
for   O
her   O
appointments   O
and   O
medical   O
results   O
.   O

Reporting   O
Physician   O
,   O
Gael   B-NAME
Nolan   I-NAME

Patient   O
Name   O
:   O
Karter   B-NAME
Duran   I-NAME
Age   O
:   O
17   O
Date   O
of   O
visit   O
:   O
Tuesday   B-DATE
Doctor   O
’s   O
Name   O
:   O
Jasmin   B-NAME
Baldwin   I-NAME
Patient   O
Tecumseh   B-NAME
presented   O
to   O
our   O
facility   O
,   O
UPMC   B-LOCATION
Presbyterian   I-LOCATION
,   O
complaining   O
of   O
intermittent   O
severe   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
upper   O
right   O
quadrant   O
.   O

Over   O
the   O
past   O
two   O
months   O
,   O
Eggman   B-NAME
has   O
also   O
experienced   O
episodic   O
bloating   O
,   O
belching   O
,   O
and   O
flatulence   O
.   O

Retta   B-NAME
Hurd   I-NAME
has   O
a   O
medical   O
history   O
of   O
acid   O
reflux   O
and   O
was   O
treated   O
by   O
Dr.   O
Jasiah   B-NAME
Chandler   I-NAME
at   O
Via   B-LOCATION
Christi   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
.   O

PHILLIPS   B-NAME
,   I-NAME
URHO   I-NAME
was   O
advised   O
to   O
undergo   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
abdomen   O
ultrasound   O
,   O
and   O
a   O
HIDA   O
scan   O
.   O

Contact   O
information   O
:   O
Address   O
:   O
Gibbs   B-LOCATION
Phone   O
:   O
210   B-CONTACT
513   I-CONTACT
1780   I-CONTACT
Email   O
:   O
fpx270   B-NAME
@   O
Konkan   B-LOCATION
Railway   I-LOCATION
Corporation   I-LOCATION
Employees   I-LOCATION
Union   I-LOCATION
.com   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
arranged   O
for   O
22/02   B-DATE
to   O
discuss   O
the   O
results   O
of   O
the   O
tests   O
and   O
decide   O
on   O
the   O
course   O
of   O
treatment   O
.   O

In   O
the   O
meanwhile   O
,   O
Vasquez   B-NAME
was   O
advised   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
and   O
was   O
provided   O
a   O
list   O
of   O
foods   O
to   O
avoid   O
.   O

Employment   O
Status   O
:   O
Job   O
Position   O
:   O
Electro   O
-   O
Mechanical   O
Technicians   O
Working   O
at   O
:   O
Paralyzed   B-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
Working   O
Location   O
:   O

Edge   B-LOCATION
Hill   I-LOCATION
Work   O
phone   O
:   O
89770   B-CONTACT
Please   O
let   O
us   O
know   O
for   O
any   O
medical   O
record   O
related   O
queries   O
at   O
98472380   B-ID
on   O
our   O
hospital   O
website   O
.   O

Insurance   O
ID   O
:   O
FM   B-ID
:   I-ID
KU:1865   I-ID
Driver   O
’s   O
License   O
:   O
RS268/5285   B-ID
Zip   O
code   O
:   O
23428   B-LOCATION
Note   O
:   O
Please   O
make   O
sure   O
to   O
bring   O
your   O
insurance   O
card   O
and   O
a   O
picture   O
ID   O
(   O
Driver   O
's   O
license   O
/   O
state   O
ID   O
)   O
on   O
your   O
follow   O
-   O
up   O
visit   O
.   O

This   O
report   O
has   O
been   O
compiled   O
and   O
reviewed   O
by   O
Chaucer   B-NAME
,   I-NAME
Geoffrey   I-NAME
at   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
on   O
00/20   B-DATE
.   O

Patient   O
's   O
Name   O
:   O
Powers   B-NAME
Age   O
:   O
97s   O
Patient   O
's   O
ID   O
:   O
VH:90892:989277   B-ID
Medical   O
Record   O
#   O
:   O
3868648   B-ID
Description   O
:   O
On   O
July   B-DATE
,   O
Andrew   B-NAME
Newhouse   I-NAME
presented   O
at   O
our   O
medical   O
organization   O
,   O
Atrium   B-LOCATION
Health   I-LOCATION
Huntersville   I-LOCATION
,   O
located   O
in   O
Ellwood   B-LOCATION
City   I-LOCATION
,   O
59275   B-LOCATION
.   O

Charles   B-NAME
,   I-NAME
Ray   I-NAME
reported   O
acute   O
fatigue   O
,   O
severe   O
nausea   O
,   O
and   O
intermittent   O
palpitations   O
.   O

Physical   O
Examination   O
and   O
Symptoms   O
:   O
Dr.   O
Kelsey   B-NAME
Arias   I-NAME
found   O
Makenna   B-NAME
Davies   I-NAME
to   O
be   O
experiencing   O
dyspnea   O
on   O
exertion   O
during   O
the   O
physical   O
assessment   O
.   O

Auscultation   O
unveiled   O
a   O
possible   O
systolic   O
murmur   O
.   O
Plan   O
and   O
Progress   O
:   O
Andersen   B-NAME
,   O
in   O
consultation   O
with   O
Dr.   O
Ludwig   B-NAME
,   I-NAME
Arnold   I-NAME
M.   I-NAME
,   O
agreed   O
to   O
go   O
forward   O
with   O
a   O
complete   O
blood   O
count   O
,   O
EKG   O
,   O
chest   O
X   O
-   O
ray   O
,   O
and   O
echocardiogram   O
.   O

We   O
were   O
able   O
to   O
schedule   O
these   O
diagnostics   O
for   O
2121   B-DATE
.   O

The   O
patient   O
was   O
registered   O
under   O
medical   O
card   O
number   O
YS403/4781   B-ID
with   O
healthcare   O
provider   O
,   O
1st   B-LOCATION
Pacific   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
California   I-LOCATION
,   O
situated   O
in   O
Fort   B-LOCATION
Polk   I-LOCATION
North   I-LOCATION
.   O

For   O
queries   O
or   O
emergencies   O
,   O
they   O
can   O
be   O
reached   O
at   O
337   B-CONTACT
5519   I-CONTACT
.   O

Based   O
on   O
Winfrey   B-NAME
,   I-NAME
Oprah   I-NAME
's   O
symptoms   O
,   O
a   O
preliminary   O
assessment   O
of   O
heart   O
failure   O
has   O
been   O
considered   O
.   O

All   O
consultation   O
records   O
were   O
uploaded   O
and   O
can   O
be   O
accessed   O
using   O
sn23   B-NAME
.   O

Follow   O
-   O
up   O
visit   O
is   O
scheduled   O
on   O
4/43   B-DATE
.   O

Additional   O
Notes   O
:   O
Dr.   O
Fletcher   B-NAME
Clarke   I-NAME
expressed   O
concern   O
about   O
the   O
patient   O
's   O
persistent   O
high   O
blood   O
pressure   O
and   O
its   O
potential   O
complication   O
of   O
this   O
case   O
.   O

Consequently   O
,   O
a   O
consultation   O
with   O
a   O
cardiologist   O
from   O
Fairfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
was   O
also   O
suggested   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Keynes   B-NAME
,   I-NAME
John   I-NAME
Maynard   I-NAME
Date   O
of   O
Admission   O
:   O
2372   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
22   I-DATE
Attending   O
Physician   O
:   O

Collier   B-NAME
Record   O
Number   O
:   O
7048   B-ID
:   I-ID
F55498   I-ID
The   O
patient   O
,   O
Duke   B-NAME
,   O
a   O
Precision   O
Devices   O
Inspectors   O
and   O
Testers   O
hailing   O
from   O
7230   B-LOCATION
Ocean   I-LOCATION
Lane   I-LOCATION
,   O
was   O
admitted   O
to   O
Community   B-LOCATION
Hospital   I-LOCATION
on   O
22/25/81   B-DATE
.   O

The   O
medical   O
history   O
of   O
Chavez   B-NAME
,   I-NAME
Cesar   I-NAME
reveals   O
a   O
past   O
incidence   O
of   O
pneumonia   O
,   O
approximately   O
three   O
years   O
ago   O
.   O

The   O
patient   O
was   O
referred   O
by   O
Dr.   O
Ramos   B-NAME
for   O
some   O
diagnostic   O
tests   O
to   O
further   O
confirm   O
the   O
condition   O
,   O
including   O
complete   O
blood   O
counts   O
,   O
chest   O
X   O
-   O
rays   O
,   O
and   O
a   O
pulmonary   O
function   O
test   O
.   O

The   O
patient   O
’s   O
identity   O
was   O
confirmed   O
via   O
their   O
OQ   B-ID
:   I-ID
TF:8567   I-ID
and   O
all   O
health   O
records   O
were   O
transferred   O
to   O
their   O
account   O
at   O
Consumers   B-LOCATION
Energy   I-LOCATION
.   O

The   O
house   O
address   O
is   O
verified   O
as   O
New   B-LOCATION
Minden   I-LOCATION
,   O
88919   B-LOCATION
.   O

The   O
emergency   O
contact   O
is   O
a   O
relative   O
,   O
with   O
a   O
phone   O
number   O
of   O
44417   B-CONTACT
.   O

The   O
preliminary   O
analysis   O
was   O
carried   O
out   O
by   O
Dr.   O
Krista   B-NAME
Bridges   I-NAME
and   O
registered   O
under   O
the   O
username   O
da124   B-NAME
.   O

A   O
PDF   O
of   O
the   O
health   O
record   O
has   O
been   O
sent   O
for   O
review   O
to   O
Dr.   O
Weldon   B-NAME
Poon   I-NAME
.   O

The   O
patient   O
is   O
scheduled   O
for   O
another   O
assessment   O
on   O
05/05   B-DATE
.   O

Considering   O
the   O
severity   O
of   O
the   O
symptoms   O
and   O
medical   O
history   O
,   O
smoking   O
cessation   O
and   O
revaluation   O
of   O
the   O
work   O
environment   O
(   O
as   O
she   O
is   O
a   O
Mathematicians   O
)   O
were   O
recommended   O
to   O
Dee   B-NAME
.   O

Further   O
tests   O
are   O
scheduled   O
for   O
03/06/93   B-DATE
.   O

Patient   O
's   O
family   O
members   O
were   O
advised   O
to   O
monitor   O
Azia   B-NAME
's   O
condition   O
closely   O
and   O
maintain   O
regular   O
contact   O
with   O
the   O
attending   O
physician   O
,   O
Ryker   B-NAME
Medina   I-NAME
.   O

Patient   O
Nelson   B-NAME
with   O
ID   O
3794025   B-ID
presented   O
at   O
Goshen   B-LOCATION
Hospital   I-LOCATION
on   O
2351   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
31   I-DATE
.   O

The   O
patient   O
is   O
a   O
Biological   O
Scientists   O
,   O
All   O
Other   O
by   O
profession   O
,   O
aged   O
63s   O
years   O
,   O
who   O
lives   O
in   O
Weissport   B-LOCATION
East   I-LOCATION
with   O
a   O
postal   O
code   O
of   O
89097   B-LOCATION
and   O
can   O
be   O
contacted   O
via   O
(   B-CONTACT
356   I-CONTACT
)   I-CONTACT
374   I-CONTACT
-   I-CONTACT
5289   I-CONTACT
.   O

Their   O
primary   O
care   O
provider   O
is   O
Dr.   O
Chung   B-NAME
.   O

The   O
patient   O
's   O
electronic   O
medical   O
record   O
number   O
is   O
8845561   B-ID
.   O

Yale   B-NAME
Dickerson   I-NAME
arrived   O
complaining   O
of   O
acute   O
,   O
recurrent   O
episodes   O
of   O
chest   O
pain   O
,   O
consistent   O
with   O
angina   O
pectoris   O
.   O

Cardiology   O
consultant   O
Dr.   O
Marisa   B-NAME
Barber   I-NAME
advised   O
immediate   O
pharmacological   O
intervention   O
and   O
further   O
diagnostic   O
evaluation   O
,   O
including   O
a   O
coronary   O
angiogram   O
,   O
to   O
ascertain   O
the   O
extent   O
of   O
potential   O
coronary   O
artery   O
disease   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
of   O
the   O
Perry   B-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
investigations   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
,   O
an   O
Pacific   B-LOCATION
Coast   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
employee   O
living   O
at   O
Steinauer   B-LOCATION
with   O
postal   O
code   O
69316   B-LOCATION
,   O
was   O
contacted   O
via   O
(   B-CONTACT
462   I-CONTACT
)   I-CONTACT
288   I-CONTACT
-   I-CONTACT
1155   I-CONTACT
and   O
informed   O
of   O
the   O
patient   O
's   O
condition   O
.   O

The   O
patient   O
's   O
online   O
patient   O
portal   O
username   O
is   O
TI888   B-NAME
.   O

Patient   O
Tommy   B-NAME
Patterson   I-NAME
's   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Curtis   B-NAME
Stone   I-NAME
is   O
scheduled   O
for   O
2002   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
32   I-DATE
.   O

Patient   O
Name   O
:   O
Katie   B-NAME
W   I-NAME
Fitzgerald   I-NAME
Doctor   O
's   O
Name   O
:   O
Dominique   B-NAME
Norman   I-NAME
Age   O
:   O
66   O
Date   O
:   O
33/21   B-DATE
Medical   O
Report   O
:   O
I   O
,   O
Catullus   B-NAME
,   I-NAME
Gaius   I-NAME
Valerius   I-NAME
,   O
conducted   O
an   O
examination   O
of   O
patient   O
Kenyon   B-NAME
on   O
F   B-DATE
at   O
our   O
Coney   B-LOCATION
Island   I-LOCATION
Hospital   I-LOCATION
facility   O
in   O
Ireton   B-LOCATION
.   O

Rene   B-NAME
Vasquez   I-NAME
complained   O
of   O
continuous   O
ringing   O
sensation   O
in   O
his   O
ears   O
,   O
medically   O
termed   O
as   O
Tinnitus   O
,   O
for   O
the   O
past   O
three   O
weeks   O
.   O

E.   B-NAME
Bird   I-NAME
also   O
reported   O
that   O
the   O
condition   O
worsens   O
during   O
the   O
night   O
,   O
making   O
it   O
hard   O
for   O
him   O
to   O
sleep   O
.   O

However   O
,   O
Tristin   B-NAME
Greene   I-NAME
's   O
description   O
of   O
the   O
symptoms   O
could   O
further   O
indicate   O
toward   O
a   O
condition   O
related   O
to   O
Vestibular   O
Schwannoma   O
or   O
Acoustic   O
Neuroma   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
970   B-ID
-   I-ID
67   I-ID
-   I-ID
47   I-ID
-   I-ID
8   I-ID
would   O
be   O
needed   O
to   O
schedule   O
these   O
tests   O
.   O

Kindly   O
contact   O
our   O
patient   O
coordination   O
department   O
at   O
381   B-CONTACT
859   I-CONTACT
-   I-CONTACT
3317   I-CONTACT
for   O
scheduling   O
the   O
tests   O
and   O
use   O
the   O
unique   O
patient   O
's   O
identification   O
number   O
SD   B-ID
:   I-ID
SX:7999   I-ID
for   O
reference   O
.   O

Alternatively   O
,   O
online   O
scheduling   O
through   O
our   O
portal   O
(   O
username   O
:   O
gdo400   B-NAME
)   O
is   O
also   O
possible   O
.   O

As   O
per   O
my   O
understanding   O
,   O
Huerta   B-NAME
works   O
as   O
a   O
Recreational   O
Therapists   O
at   O
City   B-LOCATION
of   I-LOCATION
Blountstown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
in   O
Gambell   B-LOCATION
and   O
the   O
health   O
insurance   O
provider   O
is   O
affiliated   O
with   O
his   O
work   O
.   O

I   O
am   O
also   O
suggesting   O
a   O
referral   O
to   O
an   O
Ear   O
Nose   O
Throat   O
(   O
ENT   O
)   O
specialist   O
at   O
Abrazo   B-LOCATION
Central   I-LOCATION
for   O
further   O
diagnosis   O
and   O
treatment   O
planning   O
.   O

Gwendolyn   B-NAME
Irvine   I-NAME
's   O
residential   O
zip   O
-   O
code   O
61676   B-LOCATION
would   O
help   O
us   O
in   O
coordinating   O
for   O
home   O
nursing   O
facilities   O
if   O
required   O
.   O

Best   O
,   O
Ward   B-NAME
Gabrielson   I-NAME

The   O
patient   O
,   O
referred   O
to   O
as   O
Nicholas   B-NAME
Knight   I-NAME
,   O
is   O
a   O
Packers   O
and   O
Packagers   O
,   O
Hand   O
working   O
at   O
Asian   B-LOCATION
Academy   I-LOCATION
of   I-LOCATION
Film   I-LOCATION
&   I-LOCATION
Television   I-LOCATION
in   O
Mineral   B-LOCATION
Bluff   I-LOCATION
.   O

He   O
arrived   O
in   O
the   O
emergency   O
room   O
(   O
ER   O
)   O
of   O
Thomas   B-LOCATION
Hospital   I-LOCATION
on   O
2198   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
30   I-DATE
.   O

The   O
patient   O
is   O
a   O
male   O
of   O
55   O
years   O
,   O
residing   O
at   O
The   B-LOCATION
Hills   I-LOCATION
with   O
a   O
postal   O
code   O
of   O
80622   B-LOCATION
.   O

He   O
can   O
be   O
contacted   O
on   O
(   B-CONTACT
257   I-CONTACT
)   I-CONTACT
766   I-CONTACT
6811   I-CONTACT
.   O

Hull   B-NAME
assessed   O
the   O
patient   O
's   O
condition   O
.   O

Further   O
,   O
he   O
mentioned   O
that   O
the   O
symptoms   O
started   O
while   O
at   O
his   O
workplace   O
,   O
American   B-LOCATION
Legion   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Medical   O
records   O
,   O
6861005   B-ID
,   O
show   O
that   O
Nachman   B-NAME
,   I-NAME
Rabbi   I-NAME
,   I-NAME
of   I-NAME
Bratzlav   I-NAME
had   O
a   O
history   O
of   O
hypertension   O
and   O
Type   O
II   O
diabetes   O
.   O

Damon   B-NAME
,   I-NAME
Johnny   I-NAME
recommended   O
an   O
immediate   O
coronary   O
angioplasty   O
.   O

Postoperative   O
Progress   O
:   O
Post   O
-   O
angioplasty   O
,   O
Sloan   B-NAME
was   O
transferred   O
to   O
the   O
Coronary   O
Care   O
Unit   O
(   O
CCU   O
)   O
of   O
Geisinger   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

By   O
November   B-DATE
,   O
there   O
was   O
a   O
notable   O
improvement   O
in   O
his   O
condition   O
,   O
and   O
he   O
was   O
discharged   O
with   O
medication   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

The   O
patient   O
's   O
insurance   O
details   O
,   O
WW299/4452   B-ID
,   O
were   O
collected   O
for   O
further   O
billing   O
procedures   O
.   O

Online   O
Assistance   O
:   O
To   O
access   O
his   O
medical   O
reports   O
and   O
book   O
future   O
appointments   O
,   O
the   O
patient   O
can   O
log   O
in   O
with   O
his   O
unique   O
username   O
-   O
vz974   B-NAME
.   O

In   O
conclusion   O
,   O
this   O
document   O
has   O
been   O
anonymized   O
in   O
accordance   O
with   O
the   O
HIPAA   O
rules   O
,   O
ensuring   O
the   O
right   O
to   O
privacy   O
for   O
the   O
patient   O
,   O
Raiden   B-NAME
Huerta   I-NAME
.   O

Patient   O
Identification   O
:   O
Browning   B-NAME
,   I-NAME
Elizabeth   I-NAME
Barrett   I-NAME
Age   O
:   O
6   O
Date   O
:   O
05/20/2118   B-DATE
Physician   O
:   O

Massey   B-NAME
Complaint   O
:   O
Patient   O
was   O
presented   O
at   O
the   O
hospital   O
complaining   O
of   O
severe   O
chest   O
pain   O
that   O
radiates   O
to   O
the   O
left   O
arm   O
.   O

HISTORY   O
OF   O
PRESENT   O
ILLNESS   O
:   O
Claudio   B-NAME
Macaulay   I-NAME
reports   O
that   O
pain   O
began   O
early   O
in   O
the   O
morning   O
on   O
22/05/2377   B-DATE
.   O

Prior   O
to   O
this   O
,   O
Erlene   B-NAME
Frohwein   I-NAME
had   O
not   O
experienced   O
such   O
symptoms   O
.   O

Xiomar   B-NAME
Ortega   I-NAME
was   O
previously   O
diagnosed   O
with   O
hypertension   O
at   O
Chula   B-LOCATION
and   O
had   O
been   O
on   O
treatment   O
for   O
about   O
5   O
years   O
.   O

Last   O
follow   O
-   O
up   O
was   O
on   O
Saturday   B-DATE
,   I-DATE
July   I-DATE
with   O
Green   B-NAME
,   I-NAME
Matthew   I-NAME
at   O
Novant   B-LOCATION
Health   I-LOCATION
Matthews   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Upon   O
arrival   O
,   O
Cringely   B-NAME
,   I-NAME
Robert   I-NAME
X.   I-NAME
was   O
immediately   O
assessed   O
.   O

Lainey   B-NAME
Winters   I-NAME
's   O
ID   O
number   O
and   O
medical   O
records   O
PX224/2752   B-ID
from   O
33797005   B-ID
confirmed   O
no   O
history   O
of   O
prior   O
cardiac   O
problems   O
.   O

MANAGEMENT   O
:   O
On   O
7/36   B-DATE
,   O
Lloyd   B-NAME
Axton   I-NAME
was   O
taken   O
for   O
urgent   O
cardiac   O
catheterization   O
by   O
Castaneda   B-NAME
at   O
Menorah   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
.   O

Post   O
-   O
procedure   O
Consuela   B-NAME
Kyrinov   I-NAME
was   O
shifted   O
to   O
ICU   O
for   O
further   O
management   O
.   O

Case   O
discussed   O
with   O
Kent   B-NAME
and   O
the   O
family   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
the   O
05/03/2195   B-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
.   O

Follow   O
-   O
up   O
appointment   O
with   O
Larson   B-NAME
scheduled   O
for   O
34/31   B-DATE
.   O
CONTACT   O
INFORMATION   O
:   O

For   O
any   O
queries   O
or   O
questions   O
,   O
please   O
contact   O
Mount   B-LOCATION
Carmel   I-LOCATION
St.   I-LOCATION
Ann   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
666   I-CONTACT
)   I-CONTACT
538   I-CONTACT
-   I-CONTACT
9416   I-CONTACT
.   O

Any   O
mails   O
can   O
be   O
directed   O
to   O
the   O
address   O
at   O
Falcon   B-LOCATION
Heights   I-LOCATION
,   O
27155   B-LOCATION
.   O

To   O
reach   O
out   O
to   O
Krueger   B-NAME
,   O
a   O
message   O
can   O
be   O
sent   O
at   O
mfs617   B-NAME
on   O
the   O
International   B-LOCATION
Red   I-LOCATION
Cross   I-LOCATION
and   I-LOCATION
Red   I-LOCATION
Crescent   I-LOCATION
Movement   I-LOCATION
portal   O
.   O

Patient   O
Name   O
:   O
Hoover   B-NAME
Patient   O
ID   O
:   O
UD:831073:880411   B-ID
Medical   O
Record   O
No   O
.   O
:   O
7107241   B-ID
13/32   B-DATE
,   O
Mara   B-NAME
Barajas   I-NAME
saw   O
the   O
patient   O
today   O
at   O
the   O
St.   B-LOCATION
Anthony   I-LOCATION
Summit   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Lutz   B-NAME
,   I-NAME
John   I-NAME
Gregory   I-NAME
,   O
a   O
Customer   O
Service   O
Representatives   O
,   O
Utilities   O
living   O
in   O
Fresno   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
93727   I-LOCATION
,   O
reported   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
ongoing   O
for   O
5   O
days   O
.   O

An   O
ultrasound   O
has   O
been   O
ordered   O
and   O
directed   O
to   O
Dr.   O
Patti   B-NAME
Henery   I-NAME
for   O
further   O
evaluation   O
.   O

For   O
queries   O
related   O
to   O
appointments   O
and   O
rescheduling   O
,   O
patient   O
can   O
reach   O
out   O
to   O
our   O
administrative   O
staff   O
at   O
49100   B-CONTACT
during   O
office   O
hours   O
.   O

Address   O
:   O
Independence   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
,   O
Plantation   B-LOCATION
,   O
10122   B-LOCATION
.   O

This   O
encounter   O
has   O
been   O
logged   O
by   O
CP6710   B-NAME
under   O
the   O
patient   O
's   O
medical   O
record   O
25768846   B-ID
,   O
confidential   O
and   O
meant   O
for   O
CWA   B-LOCATION
-   I-LOCATION
Canadian   I-LOCATION
Media   I-LOCATION
Guild   I-LOCATION
's   O
use   O
only   O
.   O

Prepared   O
by   O
,   O
Reese   B-NAME
Webb   I-NAME

Patient   O
's   O
Name   O
:   O
Blanchard   B-NAME
Age   O
:   O
40   O
Address   O
:   O
Lockbourne   B-LOCATION
Zip   O
code   O
:   O
63958   B-LOCATION
Phone   O
number   O
:   O
47646   B-CONTACT
Social   O
security   O
number   O
:   O
3   B-ID
-   I-ID
6282935   I-ID
Medical   O
record   O
number   O
:   O
421   B-ID
-   I-ID
03   I-ID
-   I-ID
29   I-ID
-   I-ID
6   I-ID
Initial   O
Evaluation   O
22/13   B-DATE
Physician   O
's   O
Name   O
:   O
Colby   B-NAME
Escobar   I-NAME
Hospital   O
Name   O
:   O
Geisinger   B-LOCATION
Wyoming   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
of   O
hospital   O
:   O
Delta   B-LOCATION
Physician   O
's   O
username   O
:   O
uf6810   B-NAME

This   O
patient   O
,   O
Robert   B-NAME
Caldwell   I-NAME
,   O
was   O
admitted   O
to   O
the   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Campus   I-LOCATION
,   O
reporting   O
symptoms   O
of   O
high   O
fever   O
,   O
chills   O
,   O
fatigue   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
occasional   O
chest   O
pain   O
.   O

Giovanna   B-NAME
Curtis   I-NAME
has   O
been   O
enduring   O
these   O
symptoms   O
for   O
the   O
past   O
two   O
days   O
before   O
admission   O
.   O

As   O
per   O
Romero   B-NAME
's   O
description   O
,   O
the   O
first   O
symptoms   O
,   O
which   O
were   O
fever   O
and   O
chills   O
,   O
started   O
around   O
2114   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
26   I-DATE
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
Horacio   B-NAME
Hill   I-NAME
,   O
Fisher   B-NAME
was   O
diagnosed   O
with   O
symptoms   O
indicative   O
of   O
acute   O
pneumonia   O
.   O

Imaging   O
studies   O
were   O
conducted   O
at   O
the   O
radiology   O
department   O
of   O
Greenwich   B-LOCATION
Hospital   I-LOCATION
on   O
20/21   B-DATE
.   O

A   O
follow   O
-   O
up   O
visit   O
has   O
been   O
scheduled   O
for   O
Vaughan   B-NAME
,   I-NAME
Norman   I-NAME
D.   I-NAME
on   O
3/9   B-DATE
with   O
Dr.   O
Levertov   B-NAME
,   I-NAME
Denise   I-NAME
.   O

Keon   B-NAME
Preston   I-NAME
and   O
his   O
family   O
have   O
been   O
informed   O
and   O
educated   O
about   O
the   O
condition   O
,   O
its   O
causes   O
,   O
complications   O
,   O
treatment   O
options   O
,   O
and   O
preventive   O
methods   O
.   O

For   O
any   O
queries   O
or   O
help   O
,   O
ring   O
us   O
at   O
(   B-CONTACT
780   I-CONTACT
)   I-CONTACT
212   I-CONTACT
-   I-CONTACT
8350   I-CONTACT
.   O

Dr.   O
Johnston   B-NAME
ib89   B-NAME
Approval   O
from   O
ISN   B-LOCATION
Bank   I-LOCATION

Patient   O
Name   O
:   O
Ganesh   B-NAME
Himmelsbach   I-NAME
Age   O
:   O
56   O
ID   O
:   O
AX   B-ID
:   I-ID
IF:7317   I-ID
Medical   O
Record   O
Number   O
:   O
5524405   B-ID
Address   O
:   O
Marble   B-LOCATION
Rock   I-LOCATION
ZIP   O
:   O
86430   B-LOCATION
Phone   O
:   O
(   B-CONTACT
734   I-CONTACT
)   I-CONTACT
340   I-CONTACT
1544   I-CONTACT
Username   O
:   O
YX279   B-NAME
3/04   B-DATE
-   O
Report   O
by   O
Karson   B-NAME
Browning   I-NAME
Bena   B-NAME
,   O
an   O
26   O
-   O
year   O
-   O
old   O
Telecommunications   O
Facility   O
Examiners   O
presented   O
to   O
our   O
unit   O
at   O
Kossuth   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
severe   O
and   O
progressively   O
worsening   O
headache   O
for   O
the   O
past   O
week   O
.   O

Remezov   B-NAME
also   O
mentioned   O
the   O
occurrence   O
of   O
visual   O
auras   O
including   O
flashing   O
lights   O
and   O
blind   O
spots   O
that   O
typically   O
precede   O
the   O
onset   O
of   O
headaches   O
.   O

Past   O
medical   O
history   O
of   O
the   O
patient   O
records   O
two   O
episodes   O
of   O
similar   O
symptoms   O
last   O
year   O
as   O
documented   O
in   O
medical   O
record   O
594   B-ID
-   I-ID
05   I-ID
-   I-ID
47   I-ID
-   I-ID
0   I-ID
.   O

Bowers   B-NAME
has   O
no   O
known   O
drug   O
allergies   O
and   O
follows   O
a   O
regular   O
medication   O
regimen   O
involving   O
the   O
use   O
of   O
oral   O
antihypertensive   O
drugs   O
,   O
as   O
per   O
prescription   O
by   O
a   O
healthcare   O
provider   O
from   O
Sun   B-LOCATION
Life   I-LOCATION
Financial   I-LOCATION
.   O

Residing   O
in   O
West   B-LOCATION
Concord   I-LOCATION
and   O
working   O
as   O
a   O
Nursing   O
Aides   O
,   O
Orderlies   O
,   O
and   O
Attendants   O
,   O
the   O
patient   O
,   O
indicated   O
exposure   O
to   O
stressful   O
conditions   O
at   O
work   O
,   O
which   O
could   O
potentially   O
act   O
as   O
migraine   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
,   O
and   O
Dale   B-NAME
Mcclure   I-NAME
was   O
instructed   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
track   O
the   O
frequency   O
and   O
severity   O
of   O
headache   O
episodes   O
.   O

Patient   O
can   O
contact   O
Roach   B-NAME
on   O
(   B-CONTACT
164   I-CONTACT
)   I-CONTACT
157   I-CONTACT
6192   I-CONTACT
for   O
any   O
health   O
-   O
related   O
queries   O
.   O

The   O
patient   O
was   O
released   O
from   O
the   O
Bronson   B-LOCATION
Battle   I-LOCATION
Creek   I-LOCATION
with   O
sufficient   O
guidance   O
.   O

Signature   O
,   O
Carolyn   B-NAME
Odom   I-NAME
summer   B-DATE
2164   I-DATE

Patient   O
:   O
Makayla   B-NAME
Monroe   I-NAME
Age   O
:   O
11s   O
ID   O
:   O
300058058   B-ID
Medical   O
Record   O
:   O
788   B-ID
-   I-ID
57   I-ID
-   I-ID
30   I-ID
-   I-ID
6   I-ID
Location   O
:   O
Jennings   B-LOCATION
Lodge   I-LOCATION
Doctor   O
:   O
Lacey   B-NAME
Booker   I-NAME
Bluefield   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
delayed   O
admission   O
note   O
for   O
the   O
patient   O
,   O
Gabriella   B-NAME
Gonzalez   I-NAME
who   O
is   O
a   O
Management   O
Analysts   O
in   O
a   O
local   O
American   B-LOCATION
Veterans   I-LOCATION
for   I-LOCATION
Equal   I-LOCATION
Rights   I-LOCATION
.   O

Started   O
showing   O
symptoms   O
on   O
Wednesday   B-DATE
which   O
includes   O
high   O
-   O
grade   O
fever   O
,   O
malaise   O
,   O
dry   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

Shayla   B-NAME
Shaffer   I-NAME
also   O
complained   O
of   O
sudden   O
loss   O
of   O
taste   O
and   O
smell   O
.   O

Forbes   B-NAME
,   I-NAME
Malcolm   I-NAME
advised   O
chest   O
X   O
-   O
Ray   O
and   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
test   O
on   O
11/68   B-DATE
at   O
Wyoming   B-LOCATION
County   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
tested   O
positive   O
for   O
SARS   O
-   O
CoV-2   O
RNA   O
after   O
a   O
nasal   O
swab   O
sample   O
sent   O
to   O
Los   B-LOCATION
Angeles   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
90026   I-LOCATION
lab   O
.   O

On   O
21/22   B-DATE
,   O
Nico   B-NAME
Hoffman   I-NAME
's   O
condition   O
deteriorated   O
,   O
and   O
there   O
was   O
a   O
decline   O
in   O
oxygen   O
saturation   O
levels   O
with   O
increased   O
work   O
of   O
breathing   O
.   O

Eric   B-NAME
Potter   I-NAME
decided   O
to   O
transfer   O
the   O
patient   O
to   O
the   O
Intensive   O
Care   O
Unit   O
(   O
ICU   O
)   O
of   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
in   I-LOCATION
Waycross   I-LOCATION
for   O
better   O
care   O
.   O

Huang   B-NAME
’s   O
evaluation   O
on   O
January   B-DATE
0   I-DATE
revealed   O
a   O
severity   O
score   O
of   O
7   O
out   O
of   O
8   O
for   O
Acute   O
Respiratory   O
Distress   O
Syndrome   O
.   O

Oldham   B-NAME
's   O
family   O
from   O
Boys   B-LOCATION
Town   I-LOCATION
could   O
be   O
reached   O
through   O
770   B-CONTACT
-   I-CONTACT
208   I-CONTACT
-   I-CONTACT
9862   I-CONTACT
for   O
further   O
discussion   O
and   O
updates   O
.   O

Middleton   B-NAME
stays   O
on   O
Capulin   B-LOCATION
street   O
,   O
with   O
a   O
postal   O
code   O
of   O
11491   B-LOCATION
.   O

Follow   O
-   O
up   O
scheduled   O
on   O
34/02   B-DATE
with   O
Selah   B-NAME
Garrett   I-NAME
through   O
their   O
contact   O
,   O
63226   B-CONTACT
.   O

The   O
username   O
for   O
accessing   O
electronic   O
patient   O
records   O
is   O
bd359   B-NAME
.   O

Statement   O
prepared   O
by   O
Bradbury   B-NAME
,   I-NAME
Ray   I-NAME
on   O
32   B-DATE
-   I-DATE
28   I-DATE
.   O

Patient   O
Name   O
:   O
Selena   B-NAME
Lopez   I-NAME
Age   O
:   O
71   O
Medical   O
Record   O
Number   O
:   O
6430605   B-ID
Date   O
:   O
15/26   B-DATE
Dear   O
Ashley   B-NAME
Hudson   I-NAME
,   O
I   O
am   O
writing   O
to   O
bring   O
your   O
attention   O
to   O
a   O
recent   O
case   O
that   O
has   O
been   O
reported   O
at   O
Flushing   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
involving   O
patient   O
Aditya   B-NAME
Shepherd   I-NAME
.   O

The   O
patient   O
was   O
admitted   O
on   O
08/11   B-DATE
and   O
has   O
been   O
residing   O
in   O
building   O
The   B-LOCATION
Meadows   I-LOCATION
.   O

Further   O
diagnosis   O
will   O
be   O
conducted   O
on   O
19/32   B-DATE
by   O
our   O
Cardio   O
Department   O
Chief   O
Ben   B-NAME
Price   I-NAME
.   O

You   O
may   O
contact   O
me   O
at   O
this   O
number   O
821   B-CONTACT
451   I-CONTACT
-   I-CONTACT
2643   I-CONTACT
for   O
further   O
updates   O
.   O

Also   O
,   O
for   O
your   O
reference   O
,   O
patient   O
's   O
ID   O
code   O
is   O
276650   B-ID
and   O
the   O
record   O
number   O
is   O
2589916   B-ID
.   O

The   O
patient   O
informed   O
us   O
that   O
they   O
can   O
be   O
contacted   O
at   O
19044   B-CONTACT
.   O

Their   O
primary   O
address   O
is   O
Cascadia   B-LOCATION
,   O
and   O
it   O
's   O
under   O
the   O
postal   O
code   O
19777   B-LOCATION
.   O

The   O
patient   O
is   O
currently   O
insured   O
under   O
National   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Seadogs   I-LOCATION
.   O

To   O
reach   O
the   O
patient   O
's   O
primary   O
care   O
doctor   O
,   O
Graham   B-NAME
Nielsen   I-NAME
,   O
please   O
use   O
their   O
contact   O
information   O
in   O
our   O
system   O
by   O
logging   O
in   O
with   O
your   O
username   O
,   O
LT233   B-NAME
.   O

Regards   O
,   O
Edison   B-NAME
,   I-NAME
Thomas   I-NAME
Alva   I-NAME
Gladeview   B-LOCATION
82672   B-LOCATION

Patient   O
Information   O
:   O
Wainwright   B-NAME
,   I-NAME
Rufus   I-NAME
Occupation   O
:   O

Gaming   O
Dealers   O
Birthdate   O
:   O
03/12/2251   B-DATE
Address   O
:   O
Ensley   B-LOCATION
Phone   O
:   O
69446   B-CONTACT
Doctor   O
's   O
name   O
:   O
Gonzales   B-NAME
Hospital   O
:   O
Greenbrier   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
2477550   B-ID
Family   O
Physician   O
:   O
Industrial   B-LOCATION
Workers   I-LOCATION
of   I-LOCATION
the   I-LOCATION
World   I-LOCATION
The   O
Social   O
Security   O
number   O
:   O
ZS   B-ID
:   I-ID
NI:3298   I-ID
Username   O
:   O
kr234   B-NAME
Zip   O
Code   O
:   O
35177   B-LOCATION
Age   O
:   O
72   O
Patient   O
Anthony   B-NAME
Odonnell   I-NAME
,   O
a   O
Skin   O
Care   O
Specialists   O
of   O
62   O
years   O
,   O
presented   O
to   O
Duke   B-LOCATION
Raleigh   I-LOCATION
Hospital   I-LOCATION
on   O
30/23/2120   B-DATE
with   O
complaints   O
of   O
intermittent   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fatigue   O
.   O

Eggers   B-NAME
,   I-NAME
Dave   I-NAME
also   O
reported   O
episodes   O
of   O
dizziness   O
,   O
particularly   O
upon   O
standing   O
up   O
from   O
a   O
sitting   O
position   O
,   O
suggesting   O
possible   O
orthostatic   O
hypotension   O
.   O

Based   O
on   O
his   O
symptoms   O
,   O
Ford   B-NAME
,   I-NAME
Gerald   I-NAME
suspected   O
Coronary   O
Artery   O
Disease   O
(   O
CAD   O
)   O
and   O
possibly   O
congestive   O
heart   O
failure   O
and   O
therefore   O
requested   O
a   O
cardiac   O
evaluation   O
.   O

The   O
patient   O
's   O
previous   O
medical   O
records   O
(   O
MRN   O
:   O
1847827   B-ID
)   O
indicated   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

In   O
Daly   B-LOCATION
City   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
94015   I-LOCATION
,   O
where   O
the   O
patient   O
previously   O
resided   O
,   O
Cedrick   B-NAME
Kasky   I-NAME
was   O
under   O
the   O
care   O
of   O
a   O
team   O
at   O
Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
,   O
who   O
had   O
managed   O
their   O
lipid   O
profile   O
effectively   O
with   O
statin   O
therapy   O
.   O

The   O
patient   O
should   O
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
'   O
time   O
on   O
17/25/2301   B-DATE
.   O

In   O
case   O
of   O
any   O
emergent   O
issues   O
before   O
then   O
,   O
they   O
are   O
advised   O
to   O
contact   O
our   O
office   O
at   O
88364   B-CONTACT
or   O
utilize   O
the   O
patient   O
portal   O
via   O
the   O
given   O
username   O
yt54   B-NAME
to   O
message   O
us   O
directly   O
.   O

We   O
will   O
be   O
liaising   O
closely   O
with   O
the   O
family   O
practice   O
clinic   O
at   O
Freedom   B-LOCATION
House   I-LOCATION
to   O
ensure   O
the   O
patient   O
's   O
future   O
healthcare   O
needs   O
are   O
planned   O
and   O
delivered   O
efficiently   O
.   O

For   O
increased   O
security   O
and   O
smooth   O
flow   O
of   O
communication   O
,   O
they   O
only   O
use   O
this   O
402218776   B-ID
from   O
the   O
federal   O
ID   O
card   O
during   O
appointments   O
review   O
and   O
treatment   O
planning   O
.   O

It   O
is   O
crucial   O
and   O
advisable   O
for   O
Ayesha   B-NAME
Darcangelo   I-NAME
to   O
continue   O
taking   O
prescribed   O
medications   O
,   O
follow   O
a   O
healthy   O
diet   O
,   O
and   O
establish   O
regular   O
exercise   O
habit   O
to   O
manage   O
their   O
hypertension   O
and   O
hyperlipidemia   O
and   O
to   O
prevent   O
further   O
cardiovascular   O
complications   O
.   O

In   O
the   O
meantime   O
,   O
we   O
will   O
continue   O
monitoring   O
Jovanny   B-NAME
Wagner   I-NAME
's   O
progress   O
and   O
adjust   O
treatment   O
as   O
necessary   O
to   O
improve   O
their   O
overall   O
health   O
condition   O
.   O

Next   O
of   O
kin   O
and   O
emergency   O
contact   O
:   O
data   O
is   O
safely   O
stored   O
under   O
the   O
patient   O
's   O
unique   O
health   O
ID   O
-   O
9   B-ID
-   I-ID
8273753   I-ID
.   O

They   O
reside   O
in   O
18127   B-LOCATION
,   O
a   O
town   O
near   O
Sarepta   B-LOCATION
.   O

They   O
are   O
readily   O
accessible   O
and   O
are   O
involved   O
in   O
ULICES   B-NAME
ELLIOT   I-NAME
’s   O
care   O
path   O
.   O

Patient   O
Hardin   B-NAME
visited   O
CHI   B-LOCATION
Health   I-LOCATION
Immanuel   I-LOCATION
on   O
1954   B-DATE
.   O

He   O
is   O
a   O
81s   O
years   O
old   O
male   O
,   O
from   O
Constantine   B-LOCATION
who   O
works   O
as   O
a   O
Counseling   O
Psychologists   O
.   O

Neurological   O
assessment   O
by   O
Haley   B-NAME
revealed   O
no   O
focal   O
neurological   O
deficits   O
.   O

The   O
patient   O
's   O
psychiatric   O
evaluation   O
also   O
ensued   O
,   O
the   O
report   O
of   O
which   O
will   O
be   O
forwarded   O
to   O
his   O
contact   O
86672   B-CONTACT
.   O

The   O
patient   O
’s   O
unique   O
SX541/5822   B-ID
registered   O
with   O
the   O
Omaha   B-LOCATION
Public   I-LOCATION
Power   I-LOCATION
District   I-LOCATION
will   O
be   O
used   O
for   O
future   O
references   O
.   O

In   O
addition   O
,   O
a   O
neurologist   O
referral   O
was   O
given   O
to   O
Natalya   B-NAME
Orozco   I-NAME
.   O

Patient   O
's   O
future   O
appointments   O
will   O
be   O
communicated   O
to   O
him   O
via   O
his   O
personal   O
ix945   B-NAME
on   O
our   O
online   O
portal   O
.   O

32674   B-ID
will   O
be   O
used   O
to   O
track   O
his   O
future   O
medical   O
records   O
.   O

The   O
Terrell   B-NAME
Blake   I-NAME
’s   O
medications   O
were   O
reviewed   O
and   O
he   O
was   O
prescribed   O
a   O
course   O
of   O
preventive   O
medication   O
,   O
which   O
needs   O
to   O
be   O
picked   O
up   O
from   O
Twain   B-LOCATION
,   O
near   O
his   O
workplace   O
.   O

In   O
case   O
of   O
any   O
emergency   O
,   O
the   O
patient   O
is   O
advised   O
to   O
visit   O
our   O
Spectrum   B-LOCATION
Health   I-LOCATION
Ludington   I-LOCATION
Hospital   I-LOCATION
branch   O
at   O
30866   B-LOCATION
.   O

Patient   O
Name   O
:   O
Anabella   B-NAME
Villegas   I-NAME
Date   O
of   O
Birth   O
:   O
9/40   B-DATE
Age   O
:   O
8   O
week   O
SSN   O
:   O
OP646/5566   B-ID
Medical   O
Record   O
#   O
:   O
305   B-ID
-   I-ID
03   I-ID
-   I-ID
74   I-ID
-   I-ID
6   I-ID
Address   O
:   O
Radcliff   B-LOCATION
Zip   O
code   O
:   O
26928   B-LOCATION
Employer   O
:   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Journalists   I-LOCATION
Occupation   O
:   O
Herbalist   O
Phone   O
:   O
15396   B-CONTACT
Username   O
for   O
patient   O
portal   O
:   O
hvt48   B-NAME
Patient   O
presented   O
to   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Concord   I-LOCATION
on   O
2/19   B-DATE
reporting   O
severe   O
fatigue   O
,   O
generalized   O
weakness   O
,   O
and   O
unintentional   O
weight   O
loss   O
of   O
approximately   O
15   O
lbs   O
over   O
the   O
past   O
three   O
months   O
.   O

Gross   B-NAME
complained   O
of   O
recurrent   O
symptoms   O
of   O
epigastric   O
pain   O
,   O
anorexia   O
,   O
accompanying   O
nausea   O
,   O
and   O
occasional   O
episodes   O
of   O
melena   O
.   O

Upon   O
examination   O
by   O
Dr.   O
Stuart   B-NAME
,   O
the   O
patient   O
appeared   O
visibly   O
pale   O
and   O
cachectic   O
.   O

Dr.   O
Mara   B-NAME
,   I-NAME
Ratu   I-NAME
Sir   I-NAME
Kamisese   I-NAME
recommended   O
an   O
abdominal   O
ultrasound   O
and   O
a   O
complete   O
gastrointestinal   O
(   O
GI   O
)   O
workup   O
.   O

GI   O
series   O
was   O
scheduled   O
at   O
Crisp   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
01/38   B-DATE
.   O

The   O
physician   O
attempts   O
to   O
contact   O
the   O
Azia   B-NAME
via   O
962   B-CONTACT
6621   I-CONTACT
on   O
2118   B-DATE
to   O
discuss   O
the   O
results   O
and   O
next   O
steps   O
for   O
a   O
possible   O
endoscopic   O
evaluation   O
and   O
ensure   O
the   O
patient   O
is   O
aware   O
of   O
the   O
follow   O
-   O
up   O
appointment   O
with   O
their   O
gastroenterologist   O
at   O
Northside   B-LOCATION
Hospital   I-LOCATION
Atlanta   I-LOCATION
.   O

The   O
patient   O
was   O
also   O
given   O
instructions   O
to   O
monitor   O
any   O
worsening   O
symptoms   O
,   O
specifically   O
noting   O
any   O
sharp   O
ongoing   O
stomach   O
pain   O
or   O
the   O
presence   O
of   O
blood   O
in   O
stool   O
or   O
vomit   O
,   O
and   O
contact   O
the   O
care   O
team   O
immediately   O
at   O
(   B-CONTACT
158   I-CONTACT
)   I-CONTACT
211   I-CONTACT
-   I-CONTACT
9184   I-CONTACT
.   O

Paula   B-NAME
Tanner   I-NAME
works   O
as   O
a   O
Typesetting   O
and   O
Composing   O
Machine   O
Operators   O
and   O
Tenders   O
at   O
Trupanion   B-LOCATION
and   O
is   O
insured   O
by   O
their   O
employer   O
.   O

The   O
patient   O
was   O
reminded   O
to   O
update   O
and   O
review   O
the   O
medical   O
record   O
using   O
the   O
username   O
ZB191   B-NAME
on   O
the   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Greater   I-LOCATION
Heights   I-LOCATION
Hospital   I-LOCATION
web   O
-   O
portal   O
.   O

The   O
site   O
allows   O
the   O
patient   O
to   O
access   O
lab   O
results   O
,   O
medical   O
history   O
and   O
the   O
necessary   O
health   O
plan   O
10   B-ID
-   I-ID
6959517   I-ID
information   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
with   O
a   O
specialized   O
gastroenterologist   O
will   O
be   O
scheduled   O
based   O
on   O
the   O
patient   O
's   O
availability   O
,   O
which   O
is   O
primarily   O
influenced   O
by   O
his   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
All   O
Other   O
Tactical   O
Operations   O
Specialists   O
role   O
in   O
Health   B-LOCATION
Services   I-LOCATION
Union   I-LOCATION
at   O
Silver   B-LOCATION
Bay   I-LOCATION
.   O

Patient   O
Information   O
:   O
Ms.   O
Tora   B-NAME
,   I-NAME
Apisai   I-NAME
is   O
a   O
female   O
patient   O
of   O
22   O
years   O
old   O
who   O
resides   O
in   O
Rockland   B-LOCATION
,   I-LOCATION
Rockland   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
.   O

She   O
has   O
been   O
a   O
patient   O
of   O
Dr.   O
Madilynn   B-NAME
Allison   I-NAME
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Paducah   I-LOCATION
for   O
about   O
five   O
years   O
.   O

Our   O
records   O
,   O
under   O
the   O
medical   O
record   O
number   O
:   O
799   B-ID
-   I-ID
31   I-ID
-   I-ID
03   I-ID
-   I-ID
0   I-ID
,   O
indicate   O
that   O
she   O
is   O
a   O
retired   O
Telemarketers   O
,   O
is   O
divorced   O
,   O
and   O
currently   O
lives   O
alone   O
.   O

Initial   O
Consultation   O
:   O
Ms.   O
Kenneth   B-NAME
X.   I-NAME
Sylvester   I-NAME
came   O
in   O
on   O
02/02   B-DATE
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
.   O

Physical   O
Examination   O
:   O
Upon   O
her   O
physical   O
examination   O
on   O
1757   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
01   I-DATE
,   O
her   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
160/110   O
mmHg   O
.   O

Follow   O
-   O
Up   O
:   O
Dr.   O
Costa   B-NAME
has   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Ms.   O
Jorge   B-NAME
Villanueva   I-NAME
in   O
two   O
weeks   O
,   O
on   O
4   B-DATE
-   I-DATE
24   I-DATE
,   O
and   O
instructed   O
her   O
to   O
call   O
the   O
office   O
at   O
218   B-CONTACT
933   I-CONTACT
-   I-CONTACT
4062   I-CONTACT
with   O
any   O
concerns   O
or   O
changes   O
in   O
her   O
condition   O
.   O

Ms.   O
Earnest   B-NAME
Vanwinkle   I-NAME
,   O
with   O
her   O
identification   O
number   O
:   O

WD:731069:321850   B-ID
is   O
also   O
registered   O
with   O
our   O
online   O
patient   O
portal   O
with   O
the   O
username   O
DK5910   B-NAME
where   O
her   O
medical   O
progress   O
and   O
appointments   O
can   O
be   O
tracked   O
by   O
her   O
designated   O
caregivers   O
.   O

Concerns   O
:   O
Ms.   O
Herodotus   B-NAME
has   O
expressed   O
concerns   O
about   O
her   O
ability   O
to   O
manage   O
her   O
condition   O
given   O
her   O
age   O
and   O
living   O
situation   O
.   O

She   O
was   O
referred   O
to   O
Dwelling   B-LOCATION
House   I-LOCATION
Savings   I-LOCATION
and   I-LOCATION
Loan   I-LOCATION
Association   I-LOCATION
,   O
a   O
local   O
support   O
group   O
in   O
Rail   B-LOCATION
Road   I-LOCATION
Flat   I-LOCATION
that   O
assists   O
with   O
health   O
management   O
for   O
elderly   O
members   O
of   O
the   O
community   O
.   O

Her   O
mailing   O
address   O
is   O
18841   B-LOCATION
where   O
she   O
prefers   O
to   O
receive   O
her   O
medical   O
reports   O
.   O

Progress   O
:   O
As   O
of   O
27/34   B-DATE
,   O
Ms.   O
Rodney   B-NAME
Palmer   I-NAME
is   O
showing   O
stable   O
signs   O
of   O
recovery   O
and   O
responding   O
well   O
to   O
treatments   O
.   O

However   O
,   O
her   O
condition   O
will   O
continue   O
to   O
be   O
closely   O
monitored   O
by   O
her   O
primary   O
care   O
physician   O
,   O
Dr.   O
Sam   B-NAME
Metcalf   I-NAME
at   O
Sentara   B-LOCATION
Virginia   I-LOCATION
Beach   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
:   O
Cortez   B-NAME
Patel   I-NAME
Date   O
of   O
admission   O
:   O
Saturday   B-DATE
Attending   O
Physician   O
:   O

Arely   B-NAME
Riggs   I-NAME
On   O
admission   O
,   O
Xavier   B-NAME
Embry   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Grinnell   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
severe   O
chest   O
pain   O
that   O
he   O
described   O
as   O
"   O
a   O
crushing   O
sensation   O
.   O
"   O

Ulysses   B-NAME
B.   I-NAME
Gilbert   I-NAME
,   O
a   O
Music   O
Directors   O
and   O
Composers   O
with   O
no   O
history   O
of   O
any   O
chronic   O
diseases   O
,   O
reported   O
no   O
episodes   O
of   O
similar   O
pain   O
in   O
the   O
past   O
.   O

The   O
previous   O
medical   O
records   O
number   O
6875276   B-ID
were   O
referred   O
which   O
suggested   O
that   O
patient   O
had   O
a   O
familial   O
history   O
of   O
coronary   O
artery   O
disease   O
with   O
his   O
father   O
experiencing   O
a   O
myocardial   O
infarction   O
at   O
10   O
.   O

The   O
patient   O
lives   O
in   O
Harlem   B-LOCATION
with   O
his   O
wife   O
and   O
works   O
as   O
a   O
New   O
Accounts   O
Clerks   O
at   O
Butler   B-LOCATION
Bank   I-LOCATION
.   O

The   O
emergency   O
contact   O
person   O
for   O
Olds   B-NAME
is   O
his   O
wife   O
,   O
whose   O
phone   O
number   O
is   O
898   B-CONTACT
-   I-CONTACT
698   I-CONTACT
-   I-CONTACT
1657   I-CONTACT
.   O

Further   O
tests   O
and   O
management   O
plans   O
will   O
be   O
decided   O
by   O
Tzu   B-NAME
Hsi   I-NAME
after   O
discussing   O
the   O
risks   O
and   O
benefits   O
with   O
Kazuko   B-NAME
Foreman   I-NAME
.   O

The   O
healthcare   O
team   O
at   O
Cooper   B-LOCATION
Green   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
is   O
focused   O
on   O
ensuring   O
the   O
patient   O
's   O
condition   O
is   O
thoroughly   O
monitored   O
and   O
controlled   O
.   O

He   O
remains   O
under   O
care   O
at   O
Christiana   B-LOCATION
Care   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Wilmington   I-LOCATION
Hospital   I-LOCATION
as   O
of   O
32   B-DATE
-   I-DATE
2   I-DATE
.   O
Social   O
Security   O
Number   O
:   O
QO389/2634   B-ID
Residential   O
Address   O
:   O

Glens   B-LOCATION
Falls   I-LOCATION
,   O
92724   B-LOCATION
Username   O
for   O
Health   O
Information   O
System   O
:   O
eqa469   B-NAME
Signature   O
,   O
Spears   B-NAME
,   I-NAME
Britney   I-NAME
.   O

Patient   O
Name   O
:   O
Geovanni   B-NAME
Castillo   I-NAME
Age   O
:   O
6   O
ID   O
:   O
3   B-ID
-   I-ID
7174596   I-ID
Medical   O
Record   O
Number   O
:   O
26529238   B-ID
Location   O
:   O
West   B-LOCATION
Palm   I-LOCATION
Beach   I-LOCATION
Zip   O
code   O
:   O
82978   B-LOCATION
Phone   O
number   O
:   O
200   B-CONTACT
7023   I-CONTACT
Organization   O
:   O

Safe   B-LOCATION
Auto   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Username   O
:   O
zzq903   B-NAME
Profession   O
:   O

Financial   O
Managers   O
Doctor   O
:   O
Aleida   B-NAME
Clevenger   I-NAME
Hospital   O
:   O
Weeks   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
On   O
5/20/02   B-DATE
,   O
I   O
attended   O
an   O
appointment   O
with   O
my   O
patient   O
,   O
Mathew   B-NAME
Thronson   I-NAME
.   O

Chasity   B-NAME
Tate   I-NAME
is   O
a   O
IT   O
support   O
analyst   O
who   O
has   O
been   O
complaining   O
of   O
consistent   O
headaches   O
of   O
increasing   O
severity   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Xan   B-NAME
Dillon   I-NAME
also   O
reported   O
experiencing   O
vomiting   O
and   O
blurred   O
vision   O
.   O

I   O
recommended   O
Ferreira   B-NAME
to   O
undergo   O
a   O
CT   O
scan   O
at   O
Brookdale   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
St.   B-LOCATION
Maries   I-LOCATION
to   O
rule   O
out   O
the   O
possibility   O
of   O
a   O
brain   O
tumor   O
.   O

The   O
scan   O
was   O
scheduled   O
for   O
Friday   B-DATE
.   O

Tonya   B-NAME
Adamson   I-NAME
was   O
advised   O
to   O
desist   O
from   O
work   O
activities   O
at   O
Delmarva   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
until   O
the   O
results   O
from   O
the   O
scan   O
were   O
confirmed   O
.   O

The   O
scan   O
results   O
,   O
which   O
were   O
stored   O
under   O
the   O
35233616   B-ID
number   O
,   O
were   O
communicated   O
to   O
me   O
by   O
Singh   B-NAME
on   O
Aug   B-DATE
20   I-DATE
.   O

I   O
have   O
communicated   O
these   O
results   O
through   O
the   O
portal   O
with   O
the   O
username   O
KH193   B-NAME
,   O
and   O
further   O
advised   O
Aiken   B-NAME
,   I-NAME
Conrad   I-NAME
to   O
book   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
discussion   O
and   O
subsequent   O
actions   O
.   O

I   O
advised   O
Howard   B-NAME
Sheinfeld   I-NAME
to   O
reach   O
out   O
to   O
me   O
at   O
580   B-CONTACT
-   I-CONTACT
1119   I-CONTACT
for   O
any   O
emergencies   O
or   O
drastic   O
changes   O
in   O
symptoms   O
.   O

I   O
will   O
also   O
follow   O
up   O
with   O
Emerson   B-NAME
Robertson   I-NAME
after   O
a   O
fortnight   O
from   O
21/29   B-DATE
to   O
assess   O
improvement   O
and   O
to   O
discuss   O
the   O
CT   O
scan   O
results   O
in   O
detail   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Bangs   B-NAME
,   I-NAME
Lester   I-NAME
Currently   O
residing   O
in   O
Callaway   B-LOCATION
and   O
working   O
as   O
a   O
Industrial   O
Ecologists   O
.   O

The   O
patient   O
Halona   B-NAME
was   O
admitted   O
to   O
Newberry   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
April   B-DATE
presenting   O
with   O
severe   O
,   O
frequent   O
headaches   O
.   O

William   B-NAME
Howe   I-NAME
has   O
been   O
experiencing   O
these   O
persistent   O
headaches   O
for   O
approximately   O
two   O
weeks   O
prior   O
to   O
their   O
presentation   O
to   O
the   O
hospital   O
.   O

Clyde   B-NAME
Roe   I-NAME
disclosed   O
that   O
the   O
headaches   O
have   O
become   O
increasingly   O
debilitating   O
,   O
often   O
making   O
them   O
bed   O
-   O
bound   O
for   O
the   O
day   O
.   O

Chelsey   B-NAME
Montilla   I-NAME
has   O
a   O
history   O
of   O
migraines   O
in   O
the   O
family   O
but   O
has   O
never   O
personally   O
experienced   O
them   O
before   O
.   O

Wade   B-NAME
Wise   I-NAME
is   O
41   O
years   O
old   O
with   O
no   O
significant   O
past   O
medical   O
history   O
other   O
than   O
hypertension   O
.   O

An   O
initial   O
neurologic   O
exam   O
performed   O
by   O
Osborne   B-NAME
had   O
normal   O
results   O
,   O
with   O
no   O
motor   O
or   O
sensory   O
deficits   O
.   O

Results   O
from   O
various   O
blood   O
tests   O
performed   O
on   O
30/26   B-DATE
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
and   O
a   O
comprehensive   O
metabolic   O
panel   O
,   O
have   O
been   O
within   O
range   O
.   O

Medical   O
Record   O
Number   O
:   O
399   B-ID
-   I-ID
15   I-ID
-   I-ID
83   I-ID
A   O
registered   O
letter   O
from   O
the   O
South   B-LOCATION
Jersey   I-LOCATION
Industries   I-LOCATION
has   O
been   O
sent   O
to   O
the   O
patient   O
at   O
his   O
address   O
,   O
"   O
Address   O
REDACTED   O
"   O
,   O
74193   B-LOCATION
.   O

They   O
can   O
contact   O
the   O
hospital   O
if   O
any   O
questions   O
arise   O
on   O
phone   O
number   O
,   O
469   B-CONTACT
799   I-CONTACT
3384   I-CONTACT
.   O

Date   O
of   O
Report   O
:   O
2184   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
29   I-DATE
Physician   O
:   O
Ewing   B-NAME
Assisted   O
by   O
:   O
vc783   B-NAME
Insurance   O
:   O
insured   O
through   O
Erie   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
,   O
with   O
the   O
policy   O
number   O
being   O
RJ357/7560   B-ID
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Kimball   B-NAME
Lukas   I-NAME
Abraham   I-NAME
Age   O
:   O
84s   O
Date   O
of   O
examination   O
:   O
13/21   B-DATE
Location   O
:   O
Locustdale   B-LOCATION
Examining   O
Doctor   O
:   O
Dr.   O
Pablo   B-NAME
Werner   I-NAME
Hospital   O
:   O

St.   B-LOCATION
Dominic   I-LOCATION
-   I-LOCATION
Jackson   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Room   O
Number   O
:   O
73074   B-ID
Medical   O
ID   O
:   O
32916920   B-ID
Profession   O
:   O
Switchboard   O
Operators   O
,   O
Including   O
Answering   O
Service   O
Contact   O
Number   O
:   O
906   B-CONTACT
-   I-CONTACT
5195   I-CONTACT
Address   O
:   O
88596   B-LOCATION
Presented   O
Symptoms   O
:   O
Chase   B-NAME
has   O
come   O
in   O
complaining   O
of   O
persistent   O
headache   O
,   O
lethargy   O
,   O
and   O
muscle   O
weakness   O
for   O
about   O
three   O
weeks   O
now   O
.   O

The   O
patient   O
noted   O
the   O
onset   O
of   O
symptoms   O
on   O
17/12   B-DATE
.   O

They   O
find   O
it   O
difficult   O
to   O
rise   O
from   O
a   O
squatting   O
position   O
and   O
also   O
had   O
trouble   O
lifting   O
objects   O
at   O
their   O
work   O
(   O
workplace   O
:   O
International   B-LOCATION
Red   I-LOCATION
Cross   I-LOCATION
and   I-LOCATION
Red   I-LOCATION
Crescent   I-LOCATION
Movement   I-LOCATION
)   O
,   O
where   O
they   O
hold   O
the   O
position   O
of   O
Sales   O
Managers   O
.   O

In   O
addition   O
to   O
the   O
above   O
,   O
Eunice   B-NAME
Kuzma   I-NAME
has   O
also   O
been   O
experiencing   O
abnormal   O
weight   O
loss   O
and   O
a   O
decrease   O
in   O
appetite   O
.   O

The   O
patient   O
's   O
medical   O
records   O
(   O
2182697   B-ID
)   O
shows   O
they   O
are   O
up   O
-   O
to   O
-   O
date   O
with   O
their   O
vaccinations   O
,   O
maintain   O
a   O
balanced   O
diet   O
and   O
active   O
lifestyle   O
,   O
do   O
not   O
smoke   O
or   O
drink   O
,   O
and   O
have   O
no   O
significant   O
family   O
history   O
of   O
chronic   O
illnesses   O
.   O

In   O
order   O
to   O
track   O
the   O
progress   O
of   O
Ryan   B-NAME
's   O
health   O
and   O
the   O
effectiveness   O
of   O
treatments   O
,   O
follow   O
-   O
up   O
appointments   O
were   O
booked   O
through   O
the   O
Medical   B-LOCATION
West   I-LOCATION
online   O
portal   O
(   O
vq137   B-NAME
)   O
on   O
32/29/2333   B-DATE
.   O

For   O
emergencies   O
,   O
please   O
contact   O
(   B-CONTACT
688   I-CONTACT
)   I-CONTACT
406   I-CONTACT
7543   I-CONTACT
.   O

All   O
medical   O
records   O
can   O
be   O
accessed   O
with   O
the   O
tracking   O
ID   O
HO:92035:514609   B-ID
from   O
the   O
Healthpark   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
database   O
.   O

Byrd   B-NAME
met   O
with   O
Cowley   B-NAME
,   I-NAME
Abraham   I-NAME
at   O
University   B-LOCATION
Neuropsychiatric   I-LOCATION
Institute   I-LOCATION
(   I-LOCATION
UNI   I-LOCATION
)   I-LOCATION
on   O
2   B-DATE
-   I-DATE
20   I-DATE
.   O

Edward   B-NAME
Morbius   I-NAME
,   O
a   O
Probation   O
Officers   O
and   O
Correctional   O
Treatment   O
Specialists   O
of   O
86   O
,   O
reported   O
subjective   O
feelings   O
of   O
fatigue   O
over   O
the   O
past   O
few   O
weeks   O
despite   O
regular   O
sleep   O
and   O
meals   O
.   O

On   O
examination   O
,   O
Clara   B-NAME
Schneider   I-NAME
's   O
pallor   O
was   O
notably   O
pale   O
,   O
and   O
a   O
superficial   O
exam   O
noted   O
tachycardia   O
.   O

Given   O
Ralph   B-NAME
Delgado   I-NAME
's   O
professional   O
background   O
,   O
this   O
diagnosis   O
was   O
surprising   O
,   O
and   O
further   O
investigations   O
were   O
carried   O
out   O
.   O

A   O
chest   O
X   O
-   O
ray   O
conducted   O
at   O
Red   B-LOCATION
Bud   I-LOCATION
on   O
13/35   B-DATE
showed   O
no   O
apparent   O
issues   O
,   O
ruling   O
out   O
potential   O
lung   O
-   O
related   O
diseases   O
.   O

Anemia   O
being   O
the   O
working   O
diagnosis   O
,   O
Jaliyah   B-NAME
Lucas   I-NAME
suggested   O
an   O
endoscopy   O
to   O
check   O
for   O
internal   O
bleeding   O
.   O

It   O
was   O
scheduled   O
at   O
Kiowa   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Greensburg   I-LOCATION
on   O
2385   B-DATE
.   O

A   O
patient   O
consent   O
form   O
was   O
signed   O
,   O
and   O
Adele   B-NAME
Nuckols   I-NAME
’s   O
98206   B-ID
was   O
provided   O
for   O
verification   O
.   O

The   O
samples   O
were   O
sent   O
to   O
Hirschfeld   B-LOCATION
Eddy   I-LOCATION
Foundation   I-LOCATION
for   O
pathological   O
analysis   O
with   O
reference   O
number   O
74901670   B-ID
.   O

The   O
results   O
,   O
delivered   O
over   O
657   B-CONTACT
-   I-CONTACT
3126   I-CONTACT
,   O
confirmed   O
the   O
presence   O
of   O
peptic   O
ulcer   O
disease   O
likely   O
caused   O
by   O
Helicobacter   O
pylori   O
infection   O
.   O

Next   O
steps   O
were   O
discussed   O
over   O
a   O
secure   O
portal   O
with   O
username   O
gb164   B-NAME
.   O

Chang   B-NAME
recommended   O
starting   O
Sampson   B-NAME
on   O
a   O
course   O
of   O
antibiotics   O
,   O
combined   O
with   O
proton   O
pump   O
inhibitors   O
,   O
to   O
manage   O
the   O
condition   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
7/49   B-DATE
at   O
The   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Living   I-LOCATION
(   I-LOCATION
psychiatric   I-LOCATION
,   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Hartford   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
.   O

The   O
entire   O
care   O
pathway   O
was   O
facilitated   O
and   O
recorded   O
through   O
Nelson   B-NAME
Odom   I-NAME
's   O
health   O
care   O
account   O
associated   O
with   O
the   O
postal   O
code   O
46372   B-LOCATION
.   O

The   O
plan   O
,   O
going   O
forward   O
,   O
includes   O
monitoring   O
Stafford   B-NAME
's   O
symptoms   O
closely   O
for   O
any   O
potential   O
side   O
effects   O
.   O

We   O
remain   O
hopeful   O
that   O
this   O
course   O
of   O
treatment   O
will   O
lead   O
to   O
a   O
significant   O
improvement   O
in   O
Collier   B-NAME
's   O
health   O
and   O
alleviate   O
the   O
anemic   O
condition   O
.   O

Patient   O
Report   O
:   O
Patient   O
Drake   B-NAME
Chavez   I-NAME
presented   O
to   O
Teaching   B-LOCATION
on   O
37/25   B-DATE
with   O
complaints   O
of   O
severe   O
headache   O
,   O
visual   O
disturbances   O
,   O
and   O
nausea   O
.   O

The   O
patient   O
,   O
a   O
40   O
-   O
26s   O
old   O
male   O
,   O
has   O
no   O
known   O
prior   O
medical   O
history   O
and   O
lives   O
in   O
Truckee   B-LOCATION
.   O

The   O
patient   O
was   O
examined   O
by   O
Lopez   B-NAME
who   O
ordered   O
a   O
CT   O
scan   O
,   O
the   O
results   O
of   O
which   O
revealed   O
the   O
presence   O
of   O
a   O
frontal   O
lobe   O
brain   O
tumor   O
causing   O
an   O
increase   O
in   O
intracranial   O
pressure   O
,   O
which   O
aligns   O
with   O
the   O
presenting   O
symptoms   O
.   O

Blood   O
tests   O
were   O
also   O
conducted   O
,   O
with   O
results   O
available   O
in   O
the   O
patient   O
's   O
file   O
(   O
2183924   B-ID
)   O
.   O

The   O
patient   O
's   O
work   O
history   O
showed   O
he   O
is   O
employed   O
with   O
United   B-LOCATION
Spanish   I-LOCATION
War   I-LOCATION
Veterans   I-LOCATION
as   O
a   O
Office   O
and   O
Administrative   O
Support   O
Workers   O
,   O
All   O
Other   O
.   O

His   O
ID   O
at   O
work   O
is   O
883971   B-ID
.   O

His   O
work   O
colleague   O
,   O
whose   O
contact   O
number   O
is   O
66748   B-CONTACT
,   O
mentioned   O
recent   O
fatigue   O
and   O
mood   O
changes   O
in   O
Merrick   B-NAME
,   I-NAME
Joseph   I-NAME
.   O

Upon   O
diagnosis   O
,   O
the   O
managing   O
physician   O
,   O
Barry   B-NAME
,   I-NAME
Marion   I-NAME
,   O
started   O
the   O
patient   O
on   O
corticosteroid   O
therapy   O
to   O
reduce   O
swelling   O
and   O
discussed   O
the   O
need   O
for   O
surgical   O
intervention   O
.   O

His   O
surgery   O
is   O
scheduled   O
for   O
10/30   B-DATE
at   O
UNM   B-LOCATION
Sandoval   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Galvan   B-NAME
was   O
informed   O
about   O
the   O
possible   O
risks   O
,   O
complications   O
,   O
and   O
benefits   O
associated   O
with   O
surgery   O
.   O

Detailed   O
notes   O
from   O
Rubio   B-NAME
can   O
be   O
seen   O
in   O
the   O
record   O
number   O
340   B-ID
-   I-ID
68   I-ID
-   I-ID
67   I-ID
-   I-ID
5   I-ID
regarding   O
discussions   O
with   O
the   O
patient   O
about   O
his   O
condition   O
and   O
about   O
the   O
upcoming   O
procedure   O
.   O

The   O
patient   O
lives   O
in   O
the   O
67475   B-LOCATION
postal   O
area   O
.   O

He   O
can   O
be   O
contacted   O
via   O
his   O
home   O
999   B-CONTACT
-   I-CONTACT
742   I-CONTACT
6535   I-CONTACT
.   O

He   O
has   O
consented   O
to   O
receive   O
information   O
about   O
his   O
medical   O
treatment   O
via   O
his   O
work   O
email   O
yr878   B-NAME
@   O
Botswana   B-LOCATION
Vaccine   I-LOCATION
Institute   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
.   O

Subject   O
:   O
Patient   O
Visit   O
Report   O
for   O
Triplett   B-NAME
,   I-NAME
Jackson   I-NAME
Patient   O
Maren   B-NAME
Osborne   I-NAME
visited   O
Unity   B-LOCATION
Hospital   I-LOCATION
on   O
7/5   B-DATE
.   O

She   O
is   O
a   O
Personal   O
Care   O
and   O
Service   O
Workers   O
,   O
All   O
Other   O
who   O
works   O
at   O
Three   B-LOCATION
Notch   I-LOCATION
EMC   I-LOCATION
in   O
Maloy   B-LOCATION
.   O

As   O
per   O
the   O
patient   O
's   O
medical   O
record   O
22187972   B-ID
,   O
there   O
is   O
no   O
immediate   O
family   O
history   O
of   O
a   O
similar   O
condition   O
but   O
her   O
mother   O
suffers   O
from   O
diabetes   O
.   O

I   O
have   O
suggested   O
a   O
referral   O
to   O
Dr.   O
Jefferson   B-NAME
,   O
a   O
well   O
-   O
known   O
sleep   O
disorder   O
specialist   O
,   O
to   O
rule   O
out   O
any   O
possible   O
sleep   O
disorders   O
.   O

The   O
patient   O
acknowledged   O
her   O
appointment   O
with   O
Dr.   O
Coffey   B-NAME
tentatively   O
scheduled   O
for   O
08/31   B-DATE
.   O

For   O
further   O
appointments   O
or   O
any   O
health   O
-   O
related   O
queries   O
,   O
she   O
was   O
informed   O
to   O
call   O
Kansas   B-LOCATION
Neurological   I-LOCATION
Institute   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
at   O
695   B-CONTACT
-   I-CONTACT
217   I-CONTACT
-   I-CONTACT
9154   I-CONTACT
.   O

Her   O
National   O
ID   O
number   O
OS:98514:597964   B-ID
and   O
residence   O
at   O
18883   B-LOCATION
were   O
recorded   O
for   O
future   O
references   O
.   O

To   O
access   O
all   O
the   O
conversations   O
and   O
downloadable   O
resources   O
,   O
she   O
was   O
given   O
the   O
credential   O
details   O
with   O
the   O
username   O
as   O
ie357   B-NAME
.   O

Previous   O
reports   O
,   O
prescriptions   O
,   O
and   O
further   O
investigations   O
will   O
be   O
managed   O
and   O
can   O
be   O
accessed   O
with   O
his   O
health   O
ID   O
06238309   B-ID
.   O

Report   O
prepared   O
by   O
:   O
Bryant   B-NAME
,   I-NAME
William   I-NAME
Cullen   I-NAME
at   O
Kaiser   B-LOCATION
Sunnyside   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
report   O
for   O
Zaria   B-NAME
Dorsey   I-NAME
:   O
Mr.   O
Hannah   B-NAME
Miranda   I-NAME
is   O
a   O
63   O
year   O
old   O
male   O
patient   O
who   O
reported   O
to   O
St   B-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/21   B-DATE
.   O

Dr.   O
Wilkinson   B-NAME
carried   O
out   O
the   O
initial   O
assessment   O
and   O
evaluation   O
.   O

He   O
stays   O
at   O
7   B-LOCATION
Vine   I-LOCATION
Street   I-LOCATION
and   O
his   O
contact   O
number   O
is   O
(   B-CONTACT
274   I-CONTACT
)   I-CONTACT
649   I-CONTACT
2528   I-CONTACT
.   O

He   O
works   O
as   O
a   O
Structural   O
Iron   O
and   O
Steel   O
Workers   O
at   O
Animals   B-LOCATION
.   O

His   O
medical   O
records   O
2568926   B-ID
contain   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
type   O
II   O
for   O
the   O
past   O
5   O
years   O
.   O

Mr.   O
Lera   B-NAME
's   O
next   O
of   O
kin   O
is   O
available   O
on   O
331   B-CONTACT
5278   I-CONTACT
.   O

His   O
identification   O
number   O
is   O
SZ:35036:332794   B-ID
and   O
the   O
patient   O
's   O
zip   O
code   O
is   O
51045   B-LOCATION
.   O

His   O
health   O
insurance   O
is   O
through   O
Industrial   B-LOCATION
Dynasty   I-LOCATION
.   O

For   O
further   O
assistance   O
please   O
refer   O
to   O
the   O
username   O
MS509   B-NAME
and   O
password   O
provided   O
.   O

The   O
document   O
is   O
signed   O
by   O
Dr.   O
Cummings   B-NAME
,   I-NAME
E.   I-NAME
E.   I-NAME
and   O
is   O
dated   O
March   B-DATE
.   O

Patient   O
:   O
Ursula   B-NAME
Marshall   I-NAME
Age   O
:   O
6   O
Date   O
:   O
23/13   B-DATE
Doctor   O
:   O
Cassius   B-NAME
May   I-NAME
Hospital   O
:   O
Lake   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Location   O
:   O
Omaha   B-LOCATION
Identity   O
:   O
PA   B-ID
:   I-ID
AS:3716   I-ID
Organization   O
:   O

American   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Chemists(AIC   I-LOCATION
)   I-LOCATION
Medical   O
Record   O
No   O
.   O
:   O
3756887   B-ID
Phone   O
:   O
53245   B-CONTACT
Profession   O
:   O
Hospitalists   O
Patient   O
Berne   B-NAME
,   I-NAME
Eric   I-NAME
of   O
66   O
years   O
,   O
presented   O
at   O
St.   B-LOCATION
Catherine   I-LOCATION
of   I-LOCATION
Siena   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/7   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Tessa   B-NAME
Shaffer   I-NAME
,   O
from   O
Jackson   B-LOCATION
National   I-LOCATION
Life   I-LOCATION
.   O

The   O
appointment   O
took   O
place   O
at   O
our   O
office   O
located   O
in   O
Hanska   B-LOCATION
.   O

The   O
relative   O
medical   O
records   O
and   O
reports   O
can   O
be   O
found   O
under   O
the   O
medical   O
record   O
number   O
44282974   B-ID
.   O

For   O
further   O
inquiries   O
or   O
emergencies   O
,   O
the   O
patient   O
should   O
contact   O
us   O
at   O
(   B-CONTACT
356   I-CONTACT
)   I-CONTACT
994   I-CONTACT
-   I-CONTACT
6877   I-CONTACT
.   O

Please   O
note   O
that   O
,   O
due   O
to   O
privacy   O
reasons   O
,   O
we   O
require   O
the   O
verification   O
of   O
patient   O
's   O
identity   O
WH:23925:617274   B-ID
for   O
any   O
telephonic   O
conversation   O
.   O

The   O
patient   O
resides   O
in   O
the   O
39618   B-LOCATION
zip   O
code   O
area   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
in   O
the   O
coming   O
weeks   O
with   O
Bobby   B-NAME
Bell   I-NAME
.   O

fbd597   B-NAME
.   O

Patient   O
Sara   B-NAME
Eland   I-NAME
of   O
age   O
91   O
years   O
had   O
an   O
appointment   O
with   O
Dr.   O
Kerr   B-NAME
at   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Hamilton   I-LOCATION
located   O
in   O
Osage   B-LOCATION
on   O
December   B-DATE
.   O

A   O
medical   O
history   O
was   O
obtained   O
from   O
medical   O
record   O
number   O
13689223   B-ID
.   O

Dr.   O
Martinez   B-NAME
advised   O
immediate   O
admission   O
to   O
University   B-LOCATION
of   I-LOCATION
Virginia   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
and   O
recommended   O
a   O
series   O
of   O
tests   O
to   O
be   O
conducted   O
including   O
an   O
Electrocardiogram   O
(   O
ECG   O
)   O
,   O
Echocardiogram   O
,   O
stress   O
test   O
,   O
and   O
cardiac   O
catheterization   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
Cardiology   O
Department   O
of   O
Southwest   B-LOCATION
General   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
located   O
at   O
Occoquan   B-LOCATION
for   O
comprehensive   O
medical   O
attention   O
.   O

Later   O
,   O
the   O
healthcare   O
professionals   O
were   O
informed   O
about   O
the   O
health   O
insurance   O
cover   O
with   O
United   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
,   O
under   O
policy   O
number   O
4   B-ID
-   I-ID
2888427   I-ID
.   O

The   O
patient   O
's   O
spouse   O
contacted   O
the   O
organization   O
at   O
613   B-CONTACT
6658   I-CONTACT
for   O
further   O
proceedings   O
.   O

The   O
patient   O
's   O
immediate   O
family   O
living   O
in   O
Tampa   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33615   I-LOCATION
was   O
notified   O
about   O
the   O
situation   O
.   O

The   O
patient   O
's   O
identification   O
at   O
hospital   O
includes   O
username   O
tfv3610   B-NAME
and   O
is   O
recommended   O
to   O
be   O
used   O
efficiently   O
for   O
the   O
communication   O
process   O
.   O

Patient   O
's   O
address   O
to   O
be   O
used   O
for   O
correspondence   O
has   O
been   O
recorded   O
as   O
Barrera   B-LOCATION
,   O
76646   B-LOCATION
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Maxwell   B-NAME
at   O
Perry   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
scheduled   O
for   O
11/12/1629   B-DATE
.   O

Patient   O
Report   O
-   O
Olds   B-NAME
I   O
had   O
the   O
opportunity   O
to   O
interview   O
India   B-NAME
Villanueva   I-NAME
.   O

Ryker   B-NAME
Reese   I-NAME
reported   O
feeling   O
extremely   O
fatigued   O
for   O
the   O
past   O
few   O
weeks   O
.   O

Carlson   B-NAME
,   I-NAME
Tucker   I-NAME
is   O
99   O
old   O
.   O

Generally   O
healthy   O
prior   O
to   O
this   O
,   O
Sherrill   B-NAME
Noland   I-NAME
was   O
a   O
bookkeeper   O
who   O
was   O
often   O
exposed   O
to   O
stressful   O
situations   O
.   O

Stevenson   B-NAME
lives   O
in   O
Somerton   B-LOCATION
and   O
used   O
to   O
commute   O
daily   O
for   O
work   O
.   O

Tito   B-NAME
,   I-NAME
Josip   I-NAME
Broz   I-NAME
mentioned   O
that   O
Logan   B-NAME
Villanueva   I-NAME
has   O
a   O
family   O
history   O
of   O
heart   O
disease   O
.   O

It   O
should   O
be   O
noted   O
that   O
Itzel   B-NAME
Bruce   I-NAME
has   O
been   O
a   O
smoker   O
for   O
the   O
past   O
20   O
years   O
.   O

Beatus   B-NAME
Digrazia   I-NAME
was   O
assessed   O
by   O
Ibrahim   B-NAME
Garcia   I-NAME
at   O
Kootenai   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/03   B-DATE
.   O

Under   O
the   O
care   O
of   O
Tolian   B-NAME
Soran   I-NAME
,   O
a   O
angiogram   O
was   O
performed   O
.   O

Hospital   O
1228907   B-ID
number   O
for   O
this   O
visit   O
is   O
PR:59238:648213   B-ID
.   O

For   O
more   O
information   O
about   O
this   O
case   O
,   O
the   O
best   O
way   O
to   O
reach   O
me   O
would   O
be   O
via   O
152   B-CONTACT
-   I-CONTACT
773   I-CONTACT
3760   I-CONTACT
or   O
erm210   B-NAME
.   O

Dani   B-NAME
Mcneil   I-NAME
was   O
required   O
to   O
undergo   O
multiple   O
diagnostic   O
tests   O
and   O
was   O
monitored   O
closely   O
.   O

Dye   B-NAME
's   O
blood   O
pressure   O
and   O
heart   O
rate   O
records   O
from   O
the   O
MagnetBank   B-LOCATION
have   O
been   O
integrated   O
into   O
the   O
database   O
.   O

Virginia   B-NAME
Roman   I-NAME
's   O
insurance   O
,   O
whose   O
policy   O
number   O
is   O
8   B-ID
-   I-ID
2139369   I-ID
,   O
will   O
cover   O
the   O
medical   O
expenses   O
under   O
the   O
provided   O
68596   B-LOCATION
Primary   O
Care   O
Trust   O
.   O

Valentino   B-NAME
Mcintosh   I-NAME
was   O
discharged   O
on   O
2152   B-DATE
.   O

Detailed   O
medical   O
records   O
from   O
Medical   B-LOCATION
City   I-LOCATION
Denton   I-LOCATION
will   O
be   O
sent   O
via   O
mail   O
to   O
the   O
given   O
address   O
in   O
St.   B-LOCATION
Croix   I-LOCATION
Falls   I-LOCATION
.   O

If   O
there   O
's   O
any   O
assistance   O
needed   O
,   O
please   O
feel   O
free   O
to   O
reach   O
at   O
513   B-CONTACT
-   I-CONTACT
825   I-CONTACT
2901   I-CONTACT
.   O

Signed   O
Isabelle   B-NAME
Rojas   I-NAME

Patient   O
:   O
Eddie   B-NAME
Age   O
:   O
52   O
ID   O
:   O
ML:53071:839828   B-ID
Contact   O
:   O
(   B-CONTACT
321   I-CONTACT
)   I-CONTACT
749   I-CONTACT
1720   I-CONTACT
Address   O
:   O
McArthur   B-LOCATION
,   O
14579   B-LOCATION
Profession   O
:   O

Graphic   O
Designers   O
Doctor   O
:   O
Jennings   B-NAME
Date   O
of   O
Consultation   O
:   O
16/32/72   B-DATE
Hospital   O
:   O
Harris   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
:   O
5210795   B-ID
Username   O
for   O
online   O
records   O
:   O
kq515   B-NAME
History   O
:   O

Detailed   O
discussion   O
about   O
condition   O
and   O
treatment   O
procedures   O
held   O
with   O
Ferreira   B-NAME
.   O

Permission   O
for   O
possibly   O
proceeding   O
with   O
surgery   O
after   O
diagnostic   O
confirmation   O
gained   O
from   O
Burnett   B-NAME
.   O

The   O
information   O
found   O
in   O
this   O
report   O
from   O
Hartselle   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
created   O
by   O
Morris   B-NAME
,   I-NAME
Errol   I-NAME
on   O
November   B-DATE
is   O
strictly   O
confidential   O
.   O

It   O
is   O
expected   O
to   O
be   O
viewed   O
only   O
by   O
so475   B-NAME
.   O

The   O
use   O
of   O
this   O
info   O
by   O
others   O
is   O
prohibited   O
by   O
the   O
policy   O
of   O
the   O
Enough   B-LOCATION
Project   I-LOCATION
.   O

Patient   O
Name   O
:   O
Ethan   B-NAME
Perry   I-NAME
Age   O
:   O
4   O
Doctor   O
:   O
Phillips   B-NAME
Hospital   O
:   O
Bluefield   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
03/10   B-DATE
Today   O
,   O
Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
was   O
seen   O
in   O
the   O
office   O
of   O
Ivy   B-NAME
Nguyen   I-NAME
at   O
OhioHealth   B-LOCATION
-   I-LOCATION
O'Bleness   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
follow   O
-   O
up   O
examination   O
regarding   O
her   O
persistent   O
migraines   O
.   O

She   O
first   O
started   O
experiencing   O
these   O
symptoms   O
around   O
12/22   B-DATE
.   O

The   O
patient   O
is   O
a   O
Screen   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
living   O
in   O
Richgrove   B-LOCATION
.   O

The   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Friday   B-DATE
,   I-DATE
June   I-DATE
at   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Hurst   I-LOCATION
-   I-LOCATION
Euless   I-LOCATION
-   I-LOCATION
Bedford   I-LOCATION
.   O

Kathryn   O
from   O
my   O
team   O
at   O
Holyoke   B-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Electric   I-LOCATION
will   O
be   O
in   O
touch   O
with   O
the   O
patient   O
for   O
any   O
additional   O
support   O
and   O
to   O
remind   O
her   O
of   O
the   O
follow   O
up   O
appointment   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
61225413   B-ID
.   O

Her   O
contact   O
number   O
is   O
459   B-CONTACT
7512   I-CONTACT
.   O

Any   O
sensitivities   O
or   O
other   O
pertinent   O
information   O
related   O
to   O
the   O
patient   O
can   O
be   O
noted   O
on   O
her   O
medical   O
file   O
using   O
her   O
unique   O
ID   O
FY:17361:675882   B-ID
.   O

Patient   O
's   O
residential   O
zip   O
code   O
is   O
57555   B-LOCATION
.   O

In   O
case   O
of   O
urgent   O
medical   O
assistance   O
,   O
she   O
should   O
contact   O
the   O
hospital   O
via   O
our   O
hotline   O
number   O
631   B-CONTACT
-   I-CONTACT
2521   I-CONTACT
I   O
have   O
made   O
a   O
note   O
in   O
patient   O
's   O
record   O
,   O
accessible   O
with   O
my   O
username   O
jw124   B-NAME
,   O
about   O
the   O
changes   O
in   O
medication   O
and   O
the   O
follow   O
-   O
up   O
plan   O
so   O
that   O
all   O
caregivers   O
have   O
access   O
to   O
that   O
information   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
,   O
Delacruz   B-NAME
,   O
Pullman   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
31/12   B-DATE

Patient   O
Info   O
:   O
Baltus   B-NAME
Biever   I-NAME
Age   O
:   O
93   O
Location   O
:   O

Terra   B-LOCATION
Alta   I-LOCATION
Date   O
of   O
Visit   O
:   O
23/39   B-DATE
Consulted   O
Doctor   O
:   O
Rodriguez   B-NAME
at   O
University   B-LOCATION
of   I-LOCATION
South   I-LOCATION
Alabama   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
and   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
:   O
240   B-ID
-   I-ID
64   I-ID
-   I-ID
33   I-ID
-   I-ID
0   I-ID
Symptoms   O
and   O
Observations   O
:   O
Athena   B-NAME
Keith   I-NAME
reported   O
experiencing   O
dyspnea   O
-   O
on   O
-   O
exertion   O
,   O
which   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
few   O
months   O
.   O

Harper   B-NAME
is   O
recommended   O
to   O
undergo   O
a   O
complete   O
blood   O
test   O
,   O
sputum   O
culture   O
,   O
and   O
pulmonary   O
function   O
test   O
for   O
further   O
evaluation   O
.   O

[   O
HE   O
/   O
SHE   O
]   O
consented   O
for   O
the   O
tests   O
and   O
samples   O
will   O
be   O
collected   O
and   O
sent   O
to   O
Professional   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
for   O
analysis   O
.   O

Lenna   B-NAME
also   O
expressed   O
concerns   O
about   O
[   O
HIS   O
/   O
HER   O
]   O
medical   O
insurance   O
coverage   O
(   O
PM   B-ID
:   I-ID
HQ:9767   I-ID
)   O
and   O
was   O
advised   O
to   O
contact   O
their   O
provider   O
directly   O
at   O
325   B-CONTACT
-   I-CONTACT
981   I-CONTACT
-   I-CONTACT
2364   I-CONTACT
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2/31   B-DATE
to   O
discuss   O
the   O
results   O
of   O
the   O
tests   O
and   O
potential   O
treatment   O
options   O
.   O

Laboratory   O
report   O
will   O
be   O
sent   O
to   O
the   O
doctor   O
at   O
AH718   B-NAME
.   O

Post   O
that   O
,   O
the   O
report   O
will   O
be   O
mailed   O
to   O
Pedro   B-NAME
Powers   I-NAME
's   O
address   O
at   O
54869   B-LOCATION
.   O

Report   O
prepared   O
by   O
-   O
Ean   B-NAME
Kaufman   I-NAME
.   O

Freddy   B-NAME
Cuevas   I-NAME
Age   O
:   O
45s   O
years   O
old   O
Medical   O
Record   O
#   O
:   O
0588949   B-ID
Mr.   O
Aaron   B-NAME
Boies   I-NAME
presented   O
to   O
Southampton   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
17/28/50   B-DATE
with   O
chief   O
complain   O
of   O
increasingly   O
severe   O
headaches   O
for   O
the   O
past   O
two   O
weeks   O
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
and   O
he   O
's   O
been   O
under   O
the   O
care   O
of   O
Dr.   O
Celia   B-NAME
Esparza   I-NAME
.   O

Mr.   O
Natalie   B-NAME
Durant   I-NAME
also   O
reported   O
experiencing   O
blurred   O
vision   O
intermittently   O
over   O
the   O
same   O
period   O
.   O

He   O
works   O
as   O
a   O
Education   O
administrator   O
for   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Rail   I-LOCATION
,   I-LOCATION
Maritime   I-LOCATION
and   I-LOCATION
Transport   I-LOCATION
Workers   I-LOCATION
and   O
this   O
condition   O
has   O
affected   O
his   O
ability   O
to   O
perform   O
his   O
work   O
duties   O
effectively   O
.   O

When   O
contacted   O
at   O
697   B-CONTACT
2003   I-CONTACT
,   O
his   O
wife   O
reported   O
that   O
he   O
has   O
been   O
increasingly   O
irritable   O
and   O
has   O
had   O
trouble   O
sleeping   O
at   O
their   O
home   O
in   O
Cruger   B-LOCATION
.   O

A   O
neurological   O
examination   O
was   O
performed   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
.   O

Mr.   O
al   B-NAME
-   I-NAME
Sadr   I-NAME
,   I-NAME
Muqtada   I-NAME
has   O
been   O
referred   O
to   O
a   O
neurosurgeon   O
,   O
Dr.   O
Stephenson   B-NAME
and   O
will   O
be   O
scheduled   O
for   O
a   O
biopsy   O
to   O
confirm   O
the   O
diagnosis   O
and   O
to   O
determine   O
the   O
next   O
steps   O
for   O
management   O
.   O

Will   O
follow   O
up   O
in   O
clinic   O
on   O
December   B-DATE
2166   I-DATE
.   O

Nurse   O
mzm799   B-NAME
Signed   O
off   O
by   O
Dr.   O
Malone   B-NAME
on   O
09/27   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
us   O
at   O
(   B-CONTACT
689   I-CONTACT
)   I-CONTACT
679   I-CONTACT
-   I-CONTACT
4570   I-CONTACT
.   O

Address   O
:   O
Atrium   B-LOCATION
Health   I-LOCATION
Cleveland   I-LOCATION
,   O
Searles   B-LOCATION
Valley   I-LOCATION
,   O
36727   B-LOCATION
.   O

Patient   O
's   O
ID   O
:   O
PU:251066:907800   B-ID
.   O

Patient   O
Name   O
:   O
Crane   B-NAME
Date   O
:   O
1/22   B-DATE
ID   O
:   O
31717   B-ID
Medical   O
Record   O
:   O
832   B-ID
99   I-ID
09   I-ID
Patient   O
's   O
Address   O
:   O
Homa   B-LOCATION
Hills   I-LOCATION
Patient   O
's   O
Phone   O
Number   O
:   O
35674   B-CONTACT
Attending   O
Physician   O
:   O
Lizbeth   B-NAME
Nielsen   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
's   O
Job   O
Title   O
:   O
Amusement   O
and   O
Recreation   O
Attendants   O
Username   O
:   O
XS168   B-NAME
Zip   O
Code   O
:   O
45318   B-LOCATION
Organization   O
:   O

First   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Hawaii   I-LOCATION
Age   O
:   O
31   O
Patient   O
History   O
:   O
The   O
patient   O
,   O
Drake   B-NAME
,   O
aged   O
47   O
,   O
reported   O
to   O
the   O
emergency   O
room   O
at   O
RiverWoods   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
01/28/22   B-DATE
.   O

Symptom   O
Analysis   O
:   O
Apart   O
from   O
headaches   O
,   O
Frazier   B-NAME
has   O
reported   O
experiencing   O
nausea   O
,   O
extreme   O
sensitivity   O
to   O
light   O
and   O
sound   O
,   O
and   O
blurred   O
vision   O
.   O

Laboratory   O
Tests   O
:   O
Blood   O
samples   O
were   O
sent   O
to   O
SouthwestUSA   B-LOCATION
Bank   I-LOCATION
lab   O
located   O
at   O
Helper   B-LOCATION
for   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
and   O
results   O
do   O
not   O
indicate   O
any   O
concern   O
.   O

Atticus   B-NAME
Jarvis   I-NAME
's   O
test   O
details   O
have   O
been   O
documented   O
under   O
the   O
medical   O
record   O
number   O
8144756   B-ID
and   O
ID   O
7   B-ID
-   I-ID
4979640   I-ID
.   O

Treatment   O
Plan   O
:   O
Based   O
upon   O
the   O
symptoms   O
and   O
initial   O
examination   O
,   O
Landen   B-NAME
Kidd   I-NAME
recommends   O
starting   O
Avonaco   B-NAME
on   O
a   O
course   O
of   O
triptans   O
for   O
managing   O
the   O
acute   O
migraines   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Fletcher   B-NAME
Sandoval   I-NAME
at   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Royal   I-LOCATION
Oak   I-LOCATION
has   O
been   O
scheduled   O
for   O
2/21   B-DATE
.   O

For   O
any   O
other   O
symptoms   O
,   O
the   O
patient   O
has   O
been   O
instructed   O
to   O
immediately   O
call   O
the   O
medical   O
team   O
at   O
971   B-CONTACT
-   I-CONTACT
532   I-CONTACT
5359   I-CONTACT
.   O

This   O
plan   O
will   O
help   O
us   O
to   O
monitor   O
the   O
progression   O
of   O
Laertes   B-NAME
's   O
symptoms   O
and   O
to   O
ensure   O
that   O
the   O
treatment   O
plan   O
is   O
effective   O
.   O

In   O
addition   O
to   O
the   O
medical   O
intervention   O
,   O
lifestyle   O
modifications   O
and   O
regular   O
exercise   O
have   O
been   O
recommended   O
to   O
Sidney   B-NAME
Stephenson   I-NAME
.   O

The   O
contact   O
details   O
of   O
a   O
local   O
nutritionist   O
based   O
at   O
13086   B-LOCATION
and   O
therapist   O
have   O
been   O
provided   O
for   O
further   O
assistance   O
.   O

Signed   O
:   O
Username   O
:   O
xl115   B-NAME
Job   O
Title   O
:   O
Composers   O

Patient   O
:   O
Jaidyn   B-NAME
Kent   I-NAME
Age   O
:   O
96   O
Medical   O
ID   O
:   O
00282612   B-ID
Location   O
:   O
Laurys   B-LOCATION
Station   I-LOCATION
,   O
31353   B-LOCATION
Report   O
Location   O
:   O
Mobile   B-LOCATION
Infirmary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Attended   O
by   O
Dr.   O
Blair   B-NAME
on   O
32/01   B-DATE
Contact   O
:   O
39509   B-CONTACT
Diagnosis   O
:   O
The   O
patient   O
,   O
Abraham   B-NAME
Butterfield   I-NAME
,   O
visited   O
our   O
healthcare   O
facility   O
on   O
30/11/81   B-DATE
with   O
complaints   O
of   O
chronic   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

Based   O
on   O
the   O
patient   O
's   O
symptoms   O
,   O
a   O
physical   O
examination   O
was   O
done   O
by   O
Dr.   O
Mira   B-NAME
Massey   I-NAME
.   O

Scott   B-NAME
Phipps   I-NAME
's   O
endoscopy   O
confirmed   O
our   O
initial   O
diagnosis   O
of   O
Peptic   O
Ulcer   O
Disease   O
.   O

The   O
patient   O
's   O
ID   O
10   B-ID
-   I-ID
9897822   I-ID
is   O
registered   O
under   O
the   O
healthcare   O
system   O
of   O
Pierce   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
for   O
insurance   O
purposes   O
.   O

The   O
patient   O
record   O
was   O
last   O
updated   O
by   O
ZE740   B-NAME
on   O
9/2375   B-DATE
.   O

Dr.   O
Alyssa   B-NAME
Mora   I-NAME
will   O
be   O
liaising   O
with   O
the   O
patient   O
’s   O
GP   O
for   O
further   O
healthcare   O
monitoring   O
.   O

For   O
any   O
further   O
queries   O
,   O
please   O
reach   O
out   O
at   O
899   B-CONTACT
365   I-CONTACT
-   I-CONTACT
4732   I-CONTACT
.   O

Patient   O
's   O
Name   O
:   O
Irvin   B-NAME
Mcilvaine   I-NAME
Age   O
:   O
68   O
Medical   O
Record   O
:   O
7399B17260   B-ID
Presenting   O
Complaint   O
:   O

The   O
patient   O
came   O
to   O
the   O
emergency   O
department   O
of   O
Intermountain   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/12   B-DATE
.   O

Jacqueline   B-NAME
Yoder   I-NAME
complained   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Background   O
:   O
Benjamin   B-NAME
Taylor   I-NAME
,   O
a   O
Pile   O
-   O
Driver   O
Operators   O
from   O
Neosho   B-LOCATION
with   O
CG   B-ID
:   I-ID
EP:3810   I-ID
,   O
reported   O
no   O
significant   O
medical   O
history   O
aside   O
from   O
obesity   O
and   O
a   O
case   O
of   O
gastritis   O
two   O
years   O
ago   O
.   O

On   O
abdominal   O
examination   O
by   O
Jaiden   B-NAME
Branch   I-NAME
,   O
there   O
was   O
notable   O
tenderness   O
in   O
the   O
rectosigmoid   O
area   O
.   O

Investigations   O
:   O
Blood   O
samples   O
sent   O
to   O
our   O
partner   O
Fire   B-LOCATION
Brigades   I-LOCATION
Union   I-LOCATION
for   O
analysis   O
revealed   O
elevated   O
white   O
cell   O
count   O
and   O
C   O
-   O
reactive   O
protein   O
,   O
indicating   O
an   O
inflammatory   O
response   O
.   O

The   O
surgical   O
procedure   O
was   O
successful   O
,   O
and   O
the   O
patient   O
is   O
currently   O
under   O
observation   O
in   O
room   O
304   O
in   O
Mineral   B-LOCATION
Area   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Post   O
procedure   O
,   O
Howe   B-NAME
,   I-NAME
Julia   I-NAME
Ward   I-NAME
is   O
advised   O
to   O
contact   O
538   B-CONTACT
-   I-CONTACT
537   I-CONTACT
-   I-CONTACT
7214   I-CONTACT
for   O
any   O
discomfort   O
or   O
complications   O
.   O

Discharge   O
Summary   O
:   O
Odin   B-NAME
Dorsey   I-NAME
was   O
discharged   O
on   O
01/09/2217   B-DATE
,   O
providing   O
a   O
medical   O
history   O
document   O
with   O
Medical   O
Record   O
2540545   B-ID
.   O

The   O
patient   O
is   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
Bartlett   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
within   O
two   O
weeks   O
.   O

Mailing   O
Information   O
:   O
Post   O
-   O
treatment   O
medications   O
and   O
instructions   O
have   O
been   O
sent   O
out   O
to   O
Phoenix   B-NAME
Valdez   I-NAME
's   O
address   O
in   O
Belle   B-LOCATION
Center   I-LOCATION
,   O
89926   B-LOCATION
via   O
our   O
patient   O
portal   O
with   O
username   O
QY804   B-NAME
Note   O
:   O
This   O
report   O
is   O
confidential   O
and   O
intended   O
to   O
provide   O
a   O
summary   O
of   O
the   O
patient   O
's   O
condition   O
and   O
treatment   O
.   O

Patient   O
Report   O
:   O
Mr.   O
Gillian   B-NAME
Foster   I-NAME
is   O
a   O
0   O
week   O
year   O
old   O
male   O
who   O
presented   O
to   O
the   O
clinic   O
with   O
symptoms   O
of   O
moderate   O
to   O
severe   O
abdominal   O
pain   O
that   O
he   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

He   O
noted   O
that   O
the   O
pain   O
seemed   O
to   O
start   O
suddenly   O
on   O
16/08   B-DATE
and   O
rated   O
it   O
a   O
7   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Mr.   O
Richards   B-NAME
was   O
able   O
to   O
confirm   O
that   O
the   O
pain   O
rose   O
in   O
severity   O
over   O
several   O
hours   O
and   O
was   O
accompanied   O
by   O
nausea   O
and   O
episodes   O
of   O
vomiting   O
twice   O
.   O

Mr.   O
Roach   B-NAME
works   O
as   O
a   O
Archaeologist   O
in   O
a   O
local   O
firm   O
and   O
the   O
only   O
travel   O
he   O
recalls   O
in   O
the   O
last   O
months   O
was   O
a   O
business   O
trip   O
to   O
Loyalton   B-LOCATION
.   O

He   O
is   O
primarily   O
taken   O
care   O
here   O
by   O
Edward   B-NAME
George   I-NAME
Armstrong   I-NAME
at   O
Ashtabula   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

He   O
has   O
a   O
medical   O
history   O
,   O
noted   O
in   O
his   O
file   O
with   O
2998291   B-ID
,   O
of   O
hypertension   O
for   O
which   O
he   O
is   O
on   O
medication   O
.   O

His   O
blood   O
tests   O
and   O
urinalysis   O
conducted   O
in   O
Florida   B-LOCATION
Hospital   I-LOCATION
Celebration   I-LOCATION
Health   I-LOCATION
are   O
pending   O
.   O

His   O
insurance   O
details   O
,   O
insurance   O
4739019   B-ID
,   O
were   O
confirmed   O
by   O
phone   O
965   B-CONTACT
531   I-CONTACT
-   I-CONTACT
9452   I-CONTACT
,   O
and   O
his   O
address   O
was   O
confirmed   O
at   O
Bowdoinham   B-LOCATION
22671   B-LOCATION
.   O

A   O
note   O
of   O
this   O
has   O
been   O
sent   O
by   O
fyj416   B-NAME
to   O
his   O
office   O
.   O

To   O
discuss   O
his   O
case   O
further   O
and   O
for   O
any   O
queries   O
,   O
kindly   O
contact   O
Tianna   B-NAME
Carey   I-NAME
at   O
Roosevelt   B-LOCATION
Warm   I-LOCATION
Springs   I-LOCATION
Institute   I-LOCATION
for   I-LOCATION
Rehabilitation   I-LOCATION
.   O

For   O
sharing   O
patient   O
information   O
securely   O
,   O
always   O
ensure   O
documents   O
are   O
sent   O
to   O
HX682   B-NAME
@   O
Union   B-LOCATION
of   I-LOCATION
Shop   I-LOCATION
,   I-LOCATION
Distributive   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Workers   I-LOCATION
.   O

Patient   O
Name   O
:   O
Harrison   B-NAME
Austin   I-NAME
Age   O
:   O
89   O
Doctor   O
:   O
Boone   B-NAME
Mr.   O
Claire   B-NAME
reported   O
to   O
MercyOne   B-LOCATION
Cedar   I-LOCATION
Falls   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/28   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
vomiting   O
,   O
fever   O
,   O
and   O
signs   O
of   O
jaundice   O
.   O

As   O
per   O
the   O
medical   O
history   O
taken   O
by   O
Dr.   O
Crick   B-NAME
,   I-NAME
Francis   I-NAME
,   O
the   O
patient   O
had   O
a   O
history   O
of   O
gallstones   O
and   O
has   O
been   O
diagnosed   O
with   O
cholelithiasis   O
around   O
two   O
years   O
back   O
.   O

Location   O
of   O
residence   O
:   O
De   B-LOCATION
Land   I-LOCATION
Zip   O
code   O
:   O
60042   B-LOCATION

They   O
live   O
in   O
Allensville   B-LOCATION
with   O
their   O
family   O
who   O
all   O
are   O
mentally   O
and   O
physically   O
fit   O
according   O
to   O
their   O
statement   O
.   O

Contact   O
:   O
780   B-CONTACT
8646   I-CONTACT

The   O
patient   O
was   O
admitted   O
and   O
underwent   O
a   O
cholecystectomy   O
by   O
Dr.   O
Kemp   B-NAME
in   O
Spring   B-LOCATION
Harbor   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Identification   O
Number   O
WA402/1669   B-ID
.   O

An   O
ultrasound   O
done   O
on   O
02/30/04   B-DATE
showed   O
multiple   O
gallstones   O
with   O
inflamed   O
gall   O
bladder   O
walls   O
.   O

Physicians   B-LOCATION
Mutual   I-LOCATION
This   O
was   O
confirmed   O
via   O
MRCP   O
on   O
14/02   B-DATE
and   O
the   O
patient   O
was   O
referred   O
to   O
department   O
Jarvis   B-NAME
for   O
urgent   O
surgical   O
consultation   O
.   O

Surgery   O
was   O
performed   O
under   O
the   O
charge   O
of   O
mkr382   B-NAME
team   O
from   O
Witness   B-LOCATION
(   I-LOCATION
human   I-LOCATION
rights   I-LOCATION
group   I-LOCATION
)   I-LOCATION
without   O
any   O
unexpected   O
events   O
,   O
and   O
gall   O
bladder   O
packed   O
with   O
stones   O
was   O
successfully   O
removed   O
.   O

A   O
hotline   O
616   B-CONTACT
-   I-CONTACT
847   I-CONTACT
2273   I-CONTACT
is   O
open   O
for   O
further   O
contact   O
and   O
consultations   O
regarding   O
the   O
procedure   O
.   O

Detailed   O
medical   O
data   O
is   O
stored   O
under   O
reference   O
776   B-ID
-   I-ID
43   I-ID
-   I-ID
32   I-ID
.   O

Regular   O
follow   O
-   O
ups   O
have   O
been   O
scheduled   O
for   O
continued   O
monitoring   O
and   O
further   O
management   O
of   O
Mr.   O
Makenna   B-NAME
Davila   I-NAME
.   O

A   O
complete   O
discharge   O
summary   O
will   O
be   O
sent   O
to   O
the   O
concerned   O
GP   O
in   O
CB53   B-LOCATION
6LE   I-LOCATION
on   O
33/32   B-DATE
via   O
postal   O
mail   O
.   O

The   O
liaison   O
team   O
from   O
University   B-LOCATION
Hospitals   I-LOCATION
Geauga   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
be   O
coordinating   O
with   O
the   O
patient   O
's   O
physician   O
for   O
further   O
care   O
.   O

Patient   O
Report   O
Patient   O
,   O
Jesus   B-NAME
Christ   I-NAME
,   O
age   O
24   O
,   O
arrived   O
at   O
the   O
Phelps   B-LOCATION
Health   I-LOCATION
emergency   O
department   O
on   O
2/37   B-DATE
.   O

Samara   B-NAME
Jome   I-NAME
presented   O
with   O
acute   O
onset   O
of   O
severe   O
upper   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
consistent   O
with   O
acute   O
pancreatitis   O
.   O

Frankie   B-NAME
Carlson   I-NAME
's   O
medical   O
history   O
reveals   O
a   O
previous   O
episode   O
of   O
pancreatitis   O
two   O
years   O
ago   O
.   O

Fleming   B-NAME
works   O
as   O
a   O
Furnace   O
,   O
Kiln   O
,   O
Oven   O
,   O
Drier   O
,   O
and   O
Kettle   O
Operators   O
and   O
Tenders   O
at   O
Operative   B-LOCATION
Plasterers   I-LOCATION
'   I-LOCATION
and   I-LOCATION
Cement   I-LOCATION
Masons   I-LOCATION
'   I-LOCATION
International   I-LOCATION
Association   I-LOCATION
.   O

Upon   O
examination   O
,   O
Jasmin   B-NAME
Conrad   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
but   O
the   O
patient   O
exhibited   O
abdominal   O
tenderness   O
upon   O
palpation   O
.   O

A   O
complete   O
blood   O
count   O
was   O
requested   O
by   O
Valencia   B-NAME
and   O
notable   O
elevations   O
in   O
levels   O
of   O
serum   O
amylase   O
and   O
lipase   O
were   O
observed   O
.   O

Luther   B-NAME
,   I-NAME
Martin   I-NAME
was   O
admitted   O
for   O
management   O
and   O
further   O
investigation   O
.   O

Wade   B-NAME
Craig   I-NAME
will   O
commence   O
intravenous   O
hydration   O
and   O
pain   O
control   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
for   O
cholecystectomy   O
was   O
scheduled   O
for   O
2242   B-DATE
.   O

Dania   B-NAME
Acorda   I-NAME
consented   O
for   O
their   O
insurance   O
,   O
51007716   B-ID
,   O
to   O
billed   O
for   O
the   O
services   O
provided   O
.   O

Kash   B-NAME
Perkins   I-NAME
also   O
provided   O
an   O
emergency   O
contact   O
number   O
369   B-CONTACT
-   I-CONTACT
1644   I-CONTACT
.   O

The   O
patient   O
report   O
summary   O
was   O
entered   O
into   O
the   O
system   O
under   O
3698401   B-ID
and   O
the   O
data   O
was   O
stored   O
securely   O
at   O
our   O
data   O
center   O
in   O
Jamaica   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11432   I-LOCATION
.   O

Jeffrey   B-NAME
Mccall   I-NAME
's   O
home   O
address   O
was   O
updated   O
in   O
the   O
system   O
to   O
64   B-LOCATION
Victoria   I-LOCATION
Road   I-LOCATION
,   O
64064   B-LOCATION
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Aliyah   B-NAME
Flynn   I-NAME
,   O
from   O
MemorialCare   B-LOCATION
Saddleback   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
was   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
and   O
the   O
treatment   O
plan   O
.   O

Rory   B-NAME
Stanley   I-NAME
's   O
employer   O
,   O
Iraq   B-LOCATION
War   I-LOCATION
Veterans   I-LOCATION
Organization   I-LOCATION
,   O
was   O
contacted   O
,   O
as   O
per   O
protocol   O
,   O
especially   O
given   O
the   O
nature   O
of   O
the   O
Hundertwasser   B-NAME
,   I-NAME
Friedensreich   I-NAME
's   O
Poets   O
,   O
Lyricists   O
and   O
Creative   O
Writers   O
.   O

All   O
electronic   O
communication   O
will   O
be   O
directed   O
to   O
njo618   B-NAME
from   O
the   O
billing   O
department   O
,   O
to   O
ensure   O
that   O
all   O
costs   O
associated   O
with   O
the   O
patient   O
's   O
care   O
are   O
accurately   O
accounted   O
for   O
.   O

A   O
discharge   O
summary   O
will   O
be   O
generated   O
upon   O
the   O
patient   O
's   O
release   O
and   O
a   O
copy   O
will   O
be   O
sent   O
to   O
Brodie   B-NAME
Pratt   I-NAME
's   O
office   O
at   O
New   B-LOCATION
Pine   I-LOCATION
Creek   I-LOCATION
,   O
18736   B-LOCATION
.   O

Patient   O
Name   O
:   O
Ulysses   B-NAME
B.   I-NAME
Gilbert   I-NAME
Age   O
:   O
20   O
Medical   O
Record   O
Number   O
:   O
41383820   B-ID
Date   O
:   O
2132   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
21   I-DATE
Location   O
:   O
Bay   B-LOCATION
Shore   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
11706   I-LOCATION
ZIP   O
Code   O
:   O
39980   B-LOCATION
Phone   O
:   O
58053   B-CONTACT
Organization   O
:   O

New   B-LOCATION
York   I-LOCATION
Life   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Dear   O
Hurst   B-NAME
,   O
The   O
patient   O
,   O
powell   B-NAME
,   O
came   O
into   O
our   O
Davis   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
for   O
the   O
first   O
time   O
on   O
03/22   B-DATE
.   O

Nigel   B-NAME
Townsend   I-NAME
presented   O
with   O
acute   O
abdominal   O
pain   O
that   O
has   O
been   O
persisting   O
for   O
the   O
past   O
few   O
days   O
.   O

Izabella   B-NAME
Bradley   I-NAME
also   O
reported   O
mild   O
nausea   O
,   O
intermittent   O
vomiting   O
,   O
anorexia   O
,   O
fever   O
(   O
37.8   O
°   O
C   O
)   O
without   O
chills   O
,   O
and   O
an   O
unintentional   O
weight   O
loss   O
of   O
about   O
7   O
kg   O
over   O
the   O
last   O
month   O
.   O

Shavonne   B-NAME
Worthington   I-NAME
is   O
a   O
Teacher   O
(   O
primary   O
)   O
by   O
trade   O
,   O
non   O
-   O
retired   O
,   O
and   O
works   O
in   O
an   O
Non   B-LOCATION
Commissioned   I-LOCATION
Officers   I-LOCATION
Association   I-LOCATION
based   O
in   O
Greenfield   B-LOCATION
.   O

I   O
have   O
scheduled   O
Lurline   B-NAME
van   I-NAME
Heppel   I-NAME
for   O
a   O
follow   O
-   O
up   O
visit   O
next   O
2362/00/20   B-DATE
.   O

Meanwhile   O
,   O
I   O
have   O
recommended   O
a   O
pain   O
management   O
regime   O
and   O
advised   O
Alexandria   B-NAME
Johnston   I-NAME
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
.   O

Please   O
feel   O
free   O
to   O
refer   O
back   O
to   O
the   O
medical   O
records   O
number   O
307   B-ID
-   I-ID
16   I-ID
-   I-ID
42   I-ID
and   O
contact   O
me   O
via   O
my   O
work   O
phone   O
52098   B-CONTACT
for   O
any   O
further   O
queries   O
or   O
updates   O
regarding   O
the   O
diagnostic   O
process   O
.   O

Kind   O
Regards   O
,   O
AI373   B-NAME
10   B-ID
-   I-ID
5166123   I-ID

Patient   O
Nero   B-NAME
Blessett   I-NAME
is   O
a   O
10   O
years   O
old   O
individual   O
who   O
presented   O
to   O
the   O
Genesis   B-LOCATION
Hospital   I-LOCATION
on   O
35/24   B-DATE
accompanied   O
by   O
Dr.   O
Kidd   B-NAME
.   O

According   O
to   O
Dr.   O
Mila   B-NAME
Fukuroku   I-NAME
,   O
the   O
patient   O
's   O
COPD   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
years   O
,   O
which   O
aligns   O
with   O
the   O
result   O
stated   O
in   O
medical   O
record   O
number   O
080   B-ID
-   I-ID
82   I-ID
-   I-ID
36   I-ID
-   I-ID
5   I-ID
.   O

His   O
address   O
is   O
listed   O
as   O
South   B-LOCATION
Richmond   I-LOCATION
Hill   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
11419   I-LOCATION
with   O
a   O
zip   O
code   O
being   O
85211   B-LOCATION
.   O

The   O
Mercy   B-LOCATION
Fitzgerald   I-LOCATION
Hospital   I-LOCATION
has   O
suggested   O
a   O
detailed   O
diagnostic   O
workup   O
,   O
including   O
a   O
chest   O
X   O
-   O
ray   O
and   O
blood   O
tests   O
to   O
investigate   O
the   O
source   O
of   O
the   O
patient   O
's   O
symptoms   O
.   O

Following   O
the   O
initial   O
consultation   O
,   O
two   O
emergency   O
contact   O
numbers   O
were   O
noted   O
down   O
,   O
the   O
first   O
being   O
871   B-CONTACT
2497   I-CONTACT
and   O
the   O
second   O
358   B-CONTACT
-   I-CONTACT
9215   I-CONTACT
,   O
with   O
the   O
consent   O
of   O
the   O
patient   O
.   O

In   O
addition   O
,   O
the   O
attending   O
physician   O
also   O
noted   O
his   O
ID   O
number   O
CH:55874:719878   B-ID
and   O
clarified   O
his   O
user   O
ID   O
in   O
the   O
system   O
(   O
ujp952   B-NAME
)   O
for   O
further   O
correspondence   O
.   O

Referral   O
contacts   O
have   O
been   O
established   O
to   O
facilitate   O
future   O
care   O
pathways   O
and   O
treatment   O
for   O
Mr.   O
Amiya   B-NAME
Rocha   I-NAME
with   O
an   O
affiliated   O
Humanitarian   B-LOCATION
League   I-LOCATION
.   O

Patient   O
:   O
Lacey   B-NAME
Age   O
:   O
66   O
Date   O
of   O
Report   O
:   O
06/87   B-DATE
Clare   B-NAME
Avila   I-NAME
of   O
AdventHealth   B-LOCATION
Lake   I-LOCATION
Placid   I-LOCATION
examined   O
the   O
patient   O
.   O

The   O
patient   O
's   O
past   O
medical   O
record   O
09220942   B-ID
indicates   O
a   O
history   O
of   O
gastroenteritis   O
.   O

Address   O
:   O
Free   B-LOCATION
Union   I-LOCATION
Phone   O
:   O
89192   B-CONTACT
ZIP   O
:   O

78577   B-LOCATION

The   O
patient   O
's   O
vitals   O
were   O
taken   O
and   O
recorded   O
by   O
Nurse   O
cc448   B-NAME
.   O

Further   O
diagnostic   O
tests   O
were   O
ordered   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
test   O
,   O
Liver   O
Function   O
Test   O
(   O
LFT   O
)   O
,   O
and   O
Renal   O
Function   O
Test   O
(   O
RFT   O
)   O
by   O
Dr.   O
Brynn   B-NAME
Vincent   I-NAME
.   O

The   O
next   O
of   O
kin   O
was   O
contacted   O
on   O
28752   B-CONTACT
to   O
notify   O
them   O
of   O
the   O
patient   O
's   O
condition   O
.   O

They   O
confirmed   O
the   O
patient   O
's   O
medical   O
insurance   O
ID   O
-   O
9   B-ID
-   I-ID
9757170   I-ID
and   O
provided   O
consent   O
for   O
all   O
necessary   O
medical   O
procedures   O
.   O

The   O
patient   O
is   O
currently   O
employed   O
as   O
a   O
Higher   O
education   O
advice   O
worker   O
at   O
United   B-LOCATION
Spanish   I-LOCATION
War   I-LOCATION
Veterans   I-LOCATION
but   O
has   O
been   O
on   O
sick   O
leave   O
since   O
2030   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
23   I-DATE
.   O

The   O
patient   O
's   O
case   O
has   O
been   O
escalated   O
to   O
Dr.   O
Payton   B-NAME
Duffy   I-NAME
in   O
Northern   B-LOCATION
Nevada   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
as   O
our   O
gastrointestinal   O
specialist   O
,   O
keeping   O
in   O
mind   O
the   O
patient   O
's   O
history   O
of   O
digestive   O
issues   O
.   O

Treatment   O
has   O
been   O
initiated   O
as   O
per   O
protocol   O
,   O
and   O
a   O
follow   O
-   O
up   O
visit   O
has   O
been   O
scheduled   O
for   O
two   O
weeks   O
hence   O
,   O
on   O
00/30   B-DATE
.   O

Patient   O
Name   O
:   O
Morrison   B-NAME
Age   O
:   O
81   O
Gender   O
:   O
Male   O
Medical   O
Record   O
Number   O
:   O
0595858   B-ID
Date   O
of   O
examination   O
:   O
01/39   B-DATE
Mr.   O
Ballard   B-NAME
presented   O
to   O
the   O
Ann   B-LOCATION
Klein   I-LOCATION
Forensic   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

He   O
is   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Agricultural   O
Crop   O
Workers   O
and   O
resides   O
in   O
Piney   B-LOCATION
Green   I-LOCATION
.   O

An   O
ECG   O
taken   O
by   O
Dr.   O
Vang   B-NAME
from   O
cardiology   O
department   O
of   O
Lakeland   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
showed   O
evidence   O
of   O
an   O
acute   O
ST   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
.   O

Contact   O
number   O
for   O
immediate   O
family   O
or   O
spouse   O
is   O
950   B-CONTACT
8248   I-CONTACT
.   O

Patient   O
works   O
as   O
a   O
Clinical   O
research   O
associate   O
in   O
Littleton   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
and   O
his   O
ID   O
is   O
JY   B-ID
:   I-ID
KP:6739   I-ID
.   O

Admission   O
address   O
is   O
East   B-LOCATION
Cathlamet   I-LOCATION
,   O
postal   O
code   O
95651   B-LOCATION
.   O

For   O
further   O
inquiries   O
regarding   O
patient   O
health   O
status   O
,   O
hospital   O
staff   O
can   O
be   O
reached   O
at   O
505   B-CONTACT
-   I-CONTACT
688   I-CONTACT
1131   I-CONTACT
.   O

Please   O
note   O
,   O
this   O
electronic   O
document   O
is   O
prepared   O
by   O
yoe373   B-NAME
,   O
all   O
the   O
Personal   O
Health   O
Information   O
mentioned   O
here   O
is   O
synthetic   O
and   O
resembles   O
no   O
actual   O
patient   O
details   O
.   O

The   O
patient   O
,   O
Bennett   B-NAME
,   O
is   O
a   O
Geological   O
and   O
Petroleum   O
Technicians   O
residing   O
in   O
Whiskey   B-LOCATION
Creek   I-LOCATION
,   O
bearing   O
the   O
FH:91670:521632   B-ID
,   O
is   O
currently   O
admitted   O
to   O
Twin   B-LOCATION
Cities   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
's   O
contact   O
information   O
includes   O
51310   B-CONTACT
and   O
email   O
ID   O
BG336   B-NAME
.   O

His   O
family   O
consented   O
and   O
provided   O
the   O
medical   O
record   O
number   O
574   B-ID
-   I-ID
56   I-ID
-   I-ID
49   I-ID
-   I-ID
0   I-ID
for   O
additional   O
reference   O
.   O

The   O
patient   O
,   O
22   O
years   O
old   O
,   O
was   O
initially   O
seen   O
by   O
Dixon   B-NAME
on   O
2128   B-DATE
.   O

He   O
was   O
referred   O
by   O
his   O
workplace   O
Refuge   B-LOCATION
Recovery   I-LOCATION
after   O
experiencing   O
symptoms   O
suggestive   O
of   O
angina   O
.   O

Investigations   O
:   O
12   O
-   O
lead   O
ECG   O
done   O
on   O
3   B-DATE
-   I-DATE
5   I-DATE
-   I-DATE
43   I-DATE
at   O
St.   B-LOCATION
Thomas   I-LOCATION
More   I-LOCATION
Hospital   I-LOCATION
showed   O
ST   O
segment   O
depression   O
in   O
the   O
inferior   O
leads   O
.   O

Blood   O
investigations   O
inclusive   O
of   O
lipid   O
profile   O
were   O
sent   O
to   O
NorthWest   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
and   O
are   O
awaited   O
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Edward   B-NAME
Morbius   I-NAME
in   O
Village   B-LOCATION
of   I-LOCATION
Clarkston   I-LOCATION
office   O
on   O
30/22   B-DATE
.   O

Address   O
:   O
Belle   B-LOCATION
Prairie   I-LOCATION
City   I-LOCATION
,   O
13927   B-LOCATION
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
2032   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
11   I-DATE
at   O
Irwin   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
can   O
be   O
reached   O
through   O
274   B-CONTACT
-   I-CONTACT
2696   I-CONTACT
for   O
confirmation   O
.   O

Emergency   O
contact   O
is   O
his   O
spouse   O
who   O
works   O
as   O
a   O
Command   O
and   O
Control   O
Center   O
Officers   O
at   O
NorthWest   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
and   O
can   O
be   O
reached   O
at   O
22076   B-CONTACT
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Madilynn   B-NAME
Shelton   I-NAME
Age   O
:   O
89   O
Medical   O
Record   O
Number   O
:   O
69514898   B-ID

On   O
March   B-DATE
12th   I-DATE
,   O
Lacey   B-NAME
Odonnell   I-NAME
was   O
admitted   O
to   O
the   O
ER   O
at   O
Madison   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   O
consulted   O
by   O
Dr.   O
Leonard   B-NAME
.   O

Additionally   O
,   O
Floyd   B-NAME
J.   I-NAME
Floyd   I-NAME
Jr.   I-NAME
reported   O
experiencing   O
slight   O
dizziness   O
when   O
standing   O
for   O
prolonged   O
periods   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
performed   O
later   O
that   O
day   O
at   O
our   O
facility   O
in   O
Prairie   B-LOCATION
Village   I-LOCATION
which   O
confirmed   O
the   O
presence   O
of   O
multiple   O
gallstones   O
obstructing   O
the   O
bile   O
duct   O
.   O

The   O
patient   O
's   O
medical   O
history   O
shows   O
a   O
past   O
cholecystectomy   O
conducted   O
two   O
years   O
ago   O
at   O
Beaufort   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

However   O
,   O
the   O
patient   O
still   O
suffers   O
from   O
sugar   O
diabetes   O
and   O
is   O
undergoing   O
treatment   O
under   O
Dr.   O
Macey   B-NAME
Patton   I-NAME
at   O
the   O
office   O
phone   O
number   O
218   B-CONTACT
-   I-CONTACT
1359   I-CONTACT
.   O

The   O
patient   O
resides   O
at   O
Altamonte   B-LOCATION
Springs   I-LOCATION
and   O
their   O
contact   O
number   O
is   O
823   B-CONTACT
-   I-CONTACT
3071   I-CONTACT
.   O

The   O
emergency   O
contact   O
for   O
the   O
patient   O
is   O
provided   O
as   O
their   O
spouse   O
,   O
a   O
Diagnostic   O
Medical   O
Sonographers   O
at   O
The   B-LOCATION
Regence   I-LOCATION
Group   I-LOCATION
,   O
who   O
can   O
be   O
contacted   O
at   O
53088   B-CONTACT
.   O

To   O
proceed   O
with   O
the   O
course   O
of   O
action   O
to   O
treat   O
the   O
patient   O
's   O
Choledocholithiasis   O
,   O
an   O
Endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
is   O
being   O
suggested   O
by   O
the   O
consultation   O
team   O
led   O
by   O
Dr.   O
Winner   B-NAME
,   I-NAME
Michael   I-NAME
.   O

Zain   B-NAME
Edwards   I-NAME
's   O
insurance   O
details   O
have   O
been   O
recorded   O
,   O
ID   O
:   O
UQ719/7787   B-ID
,   O
and   O
the   O
coverage   O
limits   O
and   O
policies   O
are   O
under   O
review   O
.   O

A   O
follow   O
up   O
has   O
been   O
scheduled   O
for   O
June   B-DATE
.   O

For   O
any   O
queries   O
regarding   O
the   O
scheduled   O
medical   O
procedures   O
,   O
the   O
hospital   O
authority   O
can   O
be   O
contacted   O
at   O
634   B-CONTACT
3486   I-CONTACT
.   O

The   O
complete   O
treatment   O
plan   O
and   O
their   O
respective   O
billing   O
quotes   O
will   O
be   O
sent   O
to   O
Branden   B-NAME
Randall   I-NAME
's   O
email   O
,   O
zxx221   B-NAME
promptly   O
.   O

Residing   O
at   O
91946   B-LOCATION
,   O
Edwards   B-NAME
has   O
given   O
consent   O
for   O
receiving   O
E   O
-   O
notifications   O
.   O

Dr.   O
Douglass   B-NAME
,   I-NAME
David   I-NAME
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Wood   I-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Aquilla   B-LOCATION

Patient   O
Report   O
Nathan   B-NAME
Maldonado   I-NAME
came   O
to   O
Unity   B-LOCATION
Hospital   I-LOCATION
on   O
3/01/2022   B-DATE
.   O

The   O
attending   O
Weeks   B-NAME
conducted   O
a   O
complete   O
evaluation   O
of   O
the   O
patient   O
's   O
physical   O
health   O
.   O

Upon   O
evaluation   O
,   O
it   O
was   O
found   O
that   O
Y.   B-NAME
Quinton   I-NAME
Xanders   I-NAME
had   O
been   O
complaining   O
of   O
episodes   O
of   O
syncope   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Essence   B-NAME
Gregory   I-NAME
also   O
reported   O
experiencing   O
bouts   O
of   O
dizziness   O
,   O
along   O
with   O
a   O
general   O
sense   O
of   O
discomfort   O
.   O

Further   O
inquiry   O
revealed   O
that   O
Jack   B-NAME
Stewart   I-NAME
had   O
also   O
observed   O
palpitations   O
,   O
which   O
seemed   O
to   O
be   O
occurring   O
with   O
increasing   O
frequency   O
over   O
the   O
last   O
couple   O
of   O
days   O
.   O

The   O
Petty   B-NAME
took   O
note   O
of   O
Mykelti   B-NAME
's   O
medical   O
history   O
which   O
indicated   O
a   O
diagnosis   O
of   O
hypertension   O
around   O
three   O
years   O
back   O
at   O
Mound   B-LOCATION
City   I-LOCATION
.   O

782   B-ID
-   I-ID
85   I-ID
-   I-ID
00   I-ID
-   I-ID
8   I-ID
were   O
also   O
consulted   O
via   O
the   O
People   B-LOCATION
's   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Tri   I-LOCATION
-   I-LOCATION
County   I-LOCATION
Electric   I-LOCATION
system   O
.   O

Floyd   B-NAME
R   I-NAME
Shaw   I-NAME
had   O
been   O
prescribed   O
antihypertensive   O
medication   O
,   O
which   O
had   O
been   O
adjusted   O
a   O
few   O
times   O
in   O
the   O
past   O
year   O
.   O

On   O
the   O
physical   O
exam   O
,   O
Shavon   B-NAME
Enote   I-NAME
was   O
hypertensive   O
with   O
a   O
blood   O
pressure   O
reading   O
of   O
160/94   O
mmHg   O
.   O

The   O
Batung   B-NAME
has   O
advised   O
Nancy   B-NAME
Gipson   I-NAME
to   O
undergo   O
an   O
echocardiogram   O
and   O
Holter   O
monitoring   O
for   O
further   O
assessment   O
of   O
the   O
symptoms   O
.   O

The   O
Sampson   B-NAME
's   O
office   O
will   O
reach   O
out   O
to   O
Ronni   B-NAME
Digrazia   I-NAME
at   O
28078   B-CONTACT
to   O
schedule   O
the   O
necessary   O
tests   O
.   O

Lab   O
results   O
will   O
be   O
shared   O
with   O
the   O
patient   O
via   O
the   O
secure   O
patient   O
portal   O
with   O
the   O
username   O
:   O
fd6210   B-NAME
.   O

After   O
the   O
results   O
are   O
in   O
,   O
Delta   B-NAME
will   O
need   O
to   O
return   O
to   O
Stanford   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
to   O
discuss   O
the   O
diagnosis   O
and   O
possible   O
treatment   O
options   O
.   O

For   O
further   O
communication   O
,   O
Allen   B-NAME
,   I-NAME
James   I-NAME
has   O
provided   O
his   O
mailing   O
address   O
at   O
Key   B-LOCATION
Colony   I-LOCATION
Beach   I-LOCATION
,   O
92078   B-LOCATION
.   O

The   O
patient   O
's   O
insurance   O
details   O
have   O
been   O
documented   O
under   O
policy   O
number   O
97441   B-ID
.   O

Note   O
:   O
This   O
report   O
has   O
been   O
compiled   O
by   O
Omari   B-NAME
Morse   I-NAME
and   O
all   O
relevant   O
PHI   O
has   O
been   O
preserved   O
by   O
redacting   O
sensitive   O
information   O
.   O

Patient   O
's   O
Name   O
:   O
Landor   B-NAME
,   I-NAME
Walter   I-NAME
Savage   I-NAME
Age   O
:   O
77   O
Profession   O
:   O
Veterinarians   O
Location   O
:   O
Dix   B-LOCATION
Hills   I-LOCATION
Dr.   O
Henson   B-NAME
's   O
clinic   O
received   O
a   O
new   O
patient   O
,   O
Nga   B-NAME
Olney   I-NAME
,   O
of   O
65   O
who   O
works   O
as   O
a   O
Legal   O
executive   O
in   O
Wayne   B-LOCATION
.   O

On   O
2303   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
00   I-DATE
,   O
the   O
patient   O
complained   O
of   O
intermittent   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
jaw   O
.   O

Past   O
medical   O
history   O
with   O
2394786   B-ID
revealed   O
no   O
known   O
drug   O
allergies   O
.   O

The   O
initial   O
contact   O
with   O
Kennedi   B-NAME
Castaneda   I-NAME
was   O
by   O
phone   O
at   O
73457   B-CONTACT
.   O

Prior   O
to   O
the   O
first   O
visit   O
to   O
OSS   B-LOCATION
Health   I-LOCATION
,   O
the   O
patient   O
reported   O
his   O
symptoms   O
started   O
a   O
week   O
ago   O
and   O
have   O
progressively   O
worsened   O
despite   O
rest   O
and   O
over   O
-   O
the   O
-   O
counter   O
medication   O
.   O

Travel   O
history   O
within   O
Grundy   B-LOCATION
was   O
unremarkable   O
,   O
while   O
a   O
recent   O
trip   O
to   O
Broadway   B-LOCATION
Bank   I-LOCATION
threw   O
light   O
on   O
possible   O
stress   O
-   O
related   O
factors   O
.   O

The   O
patient   O
's   O
identification   O
details   O
,   O
i.e.   O
,   O
9   B-ID
-   I-ID
8820137   I-ID
and   O
mh00   B-NAME
have   O
been   O
duly   O
recorded   O
in   O
the   O
hospital   O
's   O
database   O
.   O

The   O
patient   O
was   O
advised   O
to   O
get   O
admitted   O
to   O
Medicine   B-LOCATION
Lodge   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Medicine   I-LOCATION
Lodge   I-LOCATION
for   O
further   O
investigation   O
and   O
management   O
.   O

The   O
patient   O
resides   O
in   O
85124   B-LOCATION
and   O
has   O
been   O
advised   O
to   O
follow   O
-   O
up   O
promptly   O
after   O
discharge   O
.   O

An   O
appointment   O
with   O
Dr.   O
Rees   B-NAME
,   I-NAME
Nigel   I-NAME
has   O
been   O
scheduled   O
for   O
the   O
next   O
2/23   B-DATE
.   O

Patient   O
:   O
Dewitt   B-NAME
Age   O
:   O
24   O
Date   O
:   O
February   B-DATE
2092   I-DATE
Physician   O
:   O

Glenn   B-NAME
Report   O
:   O
Upon   O
physical   O
examination   O
,   O
decreased   O
breath   O
sounds   O
were   O
noted   O
along   O
with   O
an   O
elevated   O
pulse   O
rate   O
of   O
102   O
bpm   O
.   O

The   O
physician   O
,   O
Moran   B-NAME
,   O
ordered   O
for   O
a   O
spirometry   O
which   O
showed   O
airway   O
obstruction   O
,   O
that   O
partially   O
reverses   O
with   O
bronchodilator   O
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
asthma   O
associated   O
with   O
environmental   O
allergens   O
,   O
as   O
documented   O
in   O
medical   O
record   O
number   O
:   O
609   B-ID
-   I-ID
64   I-ID
-   I-ID
63   I-ID
-   I-ID
9   I-ID
.   O

Given   O
the   O
patient   O
’s   O
history   O
and   O
current   O
symptoms   O
,   O
the   O
physician   O
made   O
a   O
presumptive   O
diagnosis   O
of   O
an   O
asthmatic   O
exacerbation   O
triggered   O
by   O
possible   O
allergens   O
at   O
his   O
workplace   O
,   O
Key   B-LOCATION
West   I-LOCATION
Bank   I-LOCATION
.   O

Friend   O
/   O
Family   O
Contact   O
:   O
Address   O
:   O
Plattsburgh   B-LOCATION
,   O
19777   B-LOCATION

For   O
the   O
convenience   O
of   O
the   O
patient   O
to   O
get   O
necessary   O
supplies   O
and   O
further   O
treatment   O
,   O
he   O
is   O
advised   O
to   O
visit   O
the   O
nearest   O
medical   O
supply   O
store   O
located   O
at   O
Bountiful   B-LOCATION
and   O
to   O
continue   O
consultation   O
through   O
a   O
telehealth   O
service   O
provider   O
with   O
ID   O
:   O
JZ:42820:433224   B-ID
.   O

The   O
patient   O
will   O
follow   O
up   O
with   O
Thaddeus   B-NAME
Bodog   I-NAME
Sivana   I-NAME
at   O
Ocean   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/03/1989   B-DATE
for   O
reevaluation   O
and   O
progress   O
monitoring   O
.   O

Personal   O
belongings   O
stored   O
in   O
locker   O
:   O
9355416   B-ID
Signed   O
by   O
Theresa   B-NAME
Cannon   I-NAME
23/18/88   B-DATE

Patient   O
Information   O
:   O
Name   O
:   O
Steinmuller   B-NAME
Lipira   I-NAME
DOB   O
:   O

02/13/77   B-DATE
ID   O
:   O
1   B-ID
-   I-ID
5778530   I-ID
Phone   O
:   O
727   B-CONTACT
-   I-CONTACT
8615   I-CONTACT
Medical   O
Record   O
:   O
255   B-ID
-   I-ID
29   I-ID
-   I-ID
73   I-ID
Address   O
:   O
Horseshoe   B-LOCATION
Bay   I-LOCATION
,   O
76162   B-LOCATION
Patient   O
presented   O
to   O
Twin   B-LOCATION
Cities   I-LOCATION
Hospital   I-LOCATION
as   O
directed   O
by   O
their   O
primary   O
care   O
physician   O
Parks   B-NAME
.   O

The   O
patient   O
works   O
as   O
a   O
Social   O
Sciences   O
Teachers   O
,   O
Postsecondary   O
,   O
All   O
Other   O
at   O
The   B-LOCATION
Advocacy   I-LOCATION
Project   I-LOCATION
and   O
mentioned   O
that   O
their   O
symptoms   O
have   O
been   O
impacting   O
their   O
ability   O
to   O
perform   O
at   O
work   O
.   O

Symptoms   O
started   O
on   O
2076   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
01   I-DATE
with   O
the   O
patient   O
experiencing   O
fatigue   O
,   O
headache   O
,   O
and   O
a   O
subtle   O
consistent   O
pain   O
in   O
the   O
abdominal   O
area   O
.   O

Scott   B-NAME
Fink   I-NAME
,   O
aged   O
68   O
,   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
is   O
a   O
known   O
asthmatic   O
.   O

The   O
patient   O
’s   O
past   O
medical   O
record   O
2528974   B-ID
showed   O
that   O
they   O
were   O
treated   O
for   O
similar   O
complaints   O
approximately   O
2   O
years   O
ago   O
in   O
AdventHealth   B-LOCATION
Celebration   I-LOCATION
.   O

Signed   O
off   O
by   O
Dr.   O
Yahir   B-NAME
Thornton   I-NAME
on   O
11   B-DATE
for   O
follow   O
-   O
up   O
appointment   O
on   O
9/93   B-DATE
.   O

If   O
you   O
need   O
further   O
consultation   O
or   O
help   O
,   O
please   O
contact   O
me   O
at   O
225   B-CONTACT
-   I-CONTACT
2731   I-CONTACT
.   O

fyj416   B-NAME

Patient   O
Name   O
:   O
Stanley   B-NAME
Age   O
:   O
14   O
ID   O
:   O
SY:18772:367951   B-ID
Date   O
:   O
00/02   B-DATE
Primary   O
Care   O
Doctor   O
:   O
Jane   B-NAME
Zavala   I-NAME
Hospital   O
:   O
Fillmore   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
574   B-ID
-   I-ID
56   I-ID
-   I-ID
49   I-ID
-   I-ID
0   I-ID
Residential   O
Address   O
:   O
Odin   B-LOCATION
Phone   O
Number   O
:   O
73879   B-CONTACT
Profession   O
:   O
Hunters   O
and   O
Trappers   O
Username   O
:   O
RU481   B-NAME
Zip   O
code   O
:   O
90919   B-LOCATION
Organization   O
:   O
Prison   B-LOCATION
Officers   I-LOCATION
Association   I-LOCATION
Patient   O
Orion   B-NAME
Tapia   I-NAME
presented   O
with   O
persistent   O
headaches   O
that   O
have   O
lasted   O
more   O
than   O
two   O
weeks   O
.   O

Cricket   B-NAME
also   O
reported   O
frequent   O
episodes   O
of   O
dizziness   O
and   O
unsteady   O
gait   O
.   O

Upon   O
neurological   O
examination   O
,   O
Le   B-NAME
exhibited   O
nystagmus   O
on   O
lateral   O
gaze   O
and   O
slight   O
tremor   O
in   O
the   O
right   O
hand   O
.   O

Izayah   B-NAME
Castillo   I-NAME
was   O
referred   O
to   O
Excela   B-LOCATION
Westmoreland   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
diagnostic   O
evaluations   O
under   O
referral   O
of   O
Roberson   B-NAME
.   O

In   O
-   O
depth   O
diagnostic   O
measures   O
including   O
a   O
comprehensive   O
metabolic   O
panel   O
,   O
complete   O
blood   O
count   O
,   O
and   O
magnetic   O
resonance   O
imaging   O
of   O
the   O
brain   O
were   O
ordered   O
,   O
with   O
results   O
expected   O
by   O
22/27/24   B-DATE
.   O

For   O
pain   O
management   O
,   O
Trenton   B-NAME
Payne   I-NAME
was   O
prescribed   O
Triptans   O
.   O

The   O
plan   O
is   O
to   O
reassess   O
the   O
medication   O
effectiveness   O
and   O
potential   O
side   O
effects   O
during   O
the   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
09/22   B-DATE
.   O

Previous   O
medical   O
records   O
number   O
571   B-ID
-   I-ID
80   I-ID
-   I-ID
62   I-ID
-   I-ID
7   I-ID
show   O
no   O
prior   O
history   O
of   O
such   O
symptoms   O
.   O

Zaltys   B-NAME
Pliny   I-NAME
is   O
advised   O
to   O
avoid   O
any   O
trigger   O
factors   O
such   O
as   O
excessive   O
light   O
exposure   O
and   O
stress   O
and   O
report   O
any   O
changes   O
in   O
symptoms   O
over   O
the   O
788   B-CONTACT
9768   I-CONTACT
.   O

Ryan   B-NAME
Patel   I-NAME
's   O
profession   O
,   O
Dietitian   O
,   O
was   O
taken   O
into   O
consideration   O
when   O
discussing   O
lifestyle   O
adjustments   O
to   O
help   O
alleviate   O
symptoms   O
.   O

At   O
the   O
moment   O
,   O
all   O
scheduled   O
appointments   O
and   O
related   O
information   O
will   O
be   O
communicated   O
through   O
tl1010   B-NAME
in   O
the   O
Altamaha   B-LOCATION
EMC   I-LOCATION
's   O
online   O
portal   O
.   O

Ryder   B-NAME
Chang   I-NAME
can   O
pick   O
up   O
prescribed   O
medication   O
at   O
the   O
designated   O
pharmacy   O
in   O
36290   B-LOCATION
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Simon   B-NAME
Ecks   I-NAME
Patient   O
Age   O
:   O
100   O
Medical   O
Record   O
Number   O
:   O
42827128   B-ID
ID   O
:   O
QL   B-ID
:   I-ID
VA:2559   I-ID
Admission   O
Date   O
:   O
2272   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
05   I-DATE
Admitting   O
Doctor   O
:   O
Charolette   B-NAME
Carlson   I-NAME
Hospital   O
:   O

Lubbock   B-LOCATION
Heritage   I-LOCATION
Hospital   I-LOCATION
LLC   I-LOCATION
dba   I-LOCATION
Grace   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Winkelman   B-LOCATION
Contact   O
Information   O
:   O
Phone   O
Number   O
:   O
93114   B-CONTACT
Address   O
:   O
Berkeley   B-LOCATION
,   O
92042   B-LOCATION
Employer   O
:   O
Tricare   B-LOCATION
Profession   O
:   O

Medical   O
and   O
Clinical   O
Laboratory   O
Technologists   O
Insurance   O
:   O
People   B-LOCATION
&   I-LOCATION
Planet   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Name   O
:   O
Kemp   B-NAME
Phone   O
:   O
23023   B-CONTACT
Clinical   O
Information   O
:   O
Landers   B-NAME
,   I-NAME
Ann   I-NAME
was   O
admitted   O
on   O
32/32   B-DATE
with   O
primary   O
complaints   O
of   O
moderate   O
to   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

Plan   O
:   O
Immediate   O
admission   O
in   O
Sky   B-LOCATION
Ridge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
further   O
evaluation   O
through   O
laboratory   O
tests   O
and   O
angiogram   O
as   O
required   O
.   O

Username   O
:   O
fdc588   B-NAME
Date   O
:   O
19/21/89   B-DATE
Please   O
note   O
all   O
the   O
personal   O
information   O
is   O
removed   O
and   O
replaced   O
with   O
placeholders   O
as   O
per   O
PHI   O
rules   O
and   O
regulations   O
.   O

Patient   O
Name   O
:   O
Janice   B-NAME
Salmeron   I-NAME
DOB   O
:   O
09/03   B-DATE
Age   O
:   O
9   O
ID   O
:   O
TC   B-ID
:   I-ID
ZT:6345   I-ID
Physician   O
:   O

Dr.   O
Kylee   B-NAME
Vang   I-NAME
Medical   O
Record   O
:   O
106   B-ID
-   I-ID
56   I-ID
-   I-ID
00   I-ID
The   O
patient   O
was   O
brought   O
into   O
the   O
Hamilton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Syracuse   I-LOCATION
emergency   O
department   O
on   O
2122   B-DATE
.   O

The   O
paramedics   O
from   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Machinists   I-LOCATION
and   I-LOCATION
Aerospace   I-LOCATION
Workers   I-LOCATION
found   O
him   O
unconscious   O
at   O
his   O
place   O
of   O
employment   O
,   O
a   O
warehouse   O
in   O
Noblesville   B-LOCATION
,   I-LOCATION
Noblesville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
.   I-LOCATION
.   O
A   O
coworker   O
,   O
a   O
Social   O
Science   O
Research   O
Assistants   O
noticed   O
him   O
appearing   O
unsteady   O
on   O
his   O
feet   O
,   O
followed   O
by   O
an   O
inability   O
to   O
respond   O
appropriately   O
.   O

A   O
CT   O
was   O
immediately   O
ordered   O
and   O
interpreted   O
by   O
radiologist   O
Dr.   O
Sara   B-NAME
Gates   I-NAME
.   O

Given   O
the   O
seriousness   O
of   O
the   O
condition   O
,   O
he   O
was   O
admitted   O
to   O
the   O
St.   B-LOCATION
James   I-LOCATION
Healthcare   I-LOCATION
ICU   O
.   O

Neurosurgeon   O
Dr.   O
Ellis   B-NAME
was   O
consulted   O
,   O
and   O
the   O
plan   O
for   O
the   O
patient   O
included   O
continuous   O
monitoring   O
,   O
regular   O
CT   O
scans   O
,   O
blood   O
pressure   O
control   O
,   O
and   O
treatment   O
for   O
hyperglycemia   O
.   O

His   O
estimated   O
stay   O
is   O
for   O
1   O
week   O
,   O
upon   O
which   O
arrangements   O
have   O
been   O
made   O
for   O
a   O
bed   O
to   O
open   O
up   O
in   O
a   O
rehabilitation   O
facility   O
at   O
Iraan   B-LOCATION
.   O

Contact   O
has   O
been   O
established   O
with   O
the   O
patient   O
's   O
family   O
living   O
in   O
Cudahy   B-LOCATION
and   O
their   O
number   O
is   O
77681   B-CONTACT
.   O

Dr.   O
Xiomara   B-NAME
Lee   I-NAME
will   O
be   O
updating   O
them   O
daily   O
on   O
the   O
patient   O
's   O
condition   O
.   O

The   O
case   O
worker   O
in   O
charge   O
is   O
cj416   B-NAME
.   O

The   O
patient   O
's   O
home   O
address   O
is   O
in   O
4   B-LOCATION
Glen   I-LOCATION
Ridge   I-LOCATION
Street   I-LOCATION
,   O
the   O
postal   O
code   O
is   O
53959   B-LOCATION
.   O

Followup   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Chavez   B-NAME
in   O
the   O
neurosurgery   O
clinic   O
on   O
2193   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
08   I-DATE
.   O

He   O
is   O
insured   O
by   O
Bank   B-LOCATION
of   I-LOCATION
Leeton   I-LOCATION
and   O
his   O
policy   O
number   O
is   O
YQ254/7327   B-ID
.   O

If   O
you   O
have   O
any   O
billing   O
-   O
related   O
questions   O
,   O
you   O
can   O
call   O
(   B-CONTACT
565   I-CONTACT
)   I-CONTACT
218   I-CONTACT
-   I-CONTACT
8287   I-CONTACT
.   O

Patient   O
Name   O
:   O
Rylee   B-NAME
Rodriguez   I-NAME
Sex   O
:   O
Male   O
Age   O
:   O
95   O
Presenting   O
Complaint   O
:   O
Mahoney   B-NAME
arrived   O
at   O
Caro   B-LOCATION
Center   I-LOCATION
on   O
13/36/18   B-DATE
.   O

Medical   O
History   O
:   O
Monroe   B-NAME
Sellman   I-NAME
,   O
meeting   O
with   O
Dr.   O
Evelyn   B-NAME
Richards   I-NAME
regularly   O
for   O
the   O
past   O
3   O
years   O
,   O
for   O
hypertension   O
management   O
.   O

The   O
patient   O
has   O
been   O
taking   O
Amlodipine   O
5   O
mg   O
daily   O
,   O
prescribed   O
by   O
Dr.   O
Dijkstra   B-NAME
,   I-NAME
Edsger   I-NAME
and   O
has   O
not   O
mentioned   O
any   O
side   O
effects   O
.   O

Other   O
Complaints   O
:   O
Hunter   B-NAME
Lawson   I-NAME
reports   O
occasional   O
nosebleeds   O
occurring   O
once   O
every   O
two   O
weeks   O
for   O
the   O
past   O
two   O
months   O
.   O

Professional   O
Details   O
:   O
Myrtie   B-NAME
Apker   I-NAME
is   O
involved   O
in   O
a   O
Plasterers   O
and   O
Stucco   O
Masons   O
which   O
involves   O
prolonged   O
hours   O
at   O
the   O
computer   O
.   O

He   O
resides   O
in   O
Everest   B-LOCATION
with   O
a   O
work   O
commute   O
time   O
of   O
over   O
two   O
hours   O
.   O

Recommendations   O
:   O
Dr.   O
Ramos   B-NAME
has   O
suggested   O
a   O
comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
and   O
an   O
MRI   O
Scan   O
.   O

The   O
RN   O
at   O
Highland   B-LOCATION
Ridge   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
instructed   O
to   O
schedule   O
the   O
said   O
tests   O
as   O
soon   O
as   O
possible   O
.   O

Follow   O
Up   O
:   O
Next   O
appointment   O
is   O
scheduled   O
with   O
Bryanna   B-NAME
Kane   I-NAME
on   O
01/05   B-DATE
at   O
Atmore   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Additional   O
Notes   O
:   O
Emergency   O
contact   O
is   O
the   O
patient   O
's   O
brother   O
with   O
400   B-CONTACT
-   I-CONTACT
721   I-CONTACT
-   I-CONTACT
4667   I-CONTACT
as   O
the   O
contact   O
number   O
.   O

The   O
address   O
provided   O
for   O
correspondence   O
is   O
Zwingle   B-LOCATION
,   O
28954   B-LOCATION
.   O

The   O
patient   O
's   O
ID   O
is   O
60535   B-ID
and   O
his   O
medical   O
record   O
can   O
be   O
pulled   O
up   O
using   O
45385376   B-ID
.   O

The   O
health   O
insurance   O
provider   O
is   O
Navy   B-LOCATION
Musicians   I-LOCATION
Association   I-LOCATION
with   O
the   O
policy   O
number   O
KA174/6978   B-ID
.   O

Signed   O
,   O
TJ152   B-NAME

Patient   O
Steinem   B-NAME
,   I-NAME
Gloria   I-NAME
presented   O
at   O
Nazareth   B-LOCATION
Hospital   I-LOCATION
on   O
0   B-DATE
-   I-DATE
27   I-DATE
complaining   O
of   O
a   O
severe   O
,   O
persistent   O
headache   O
.   O

The   O
patient   O
is   O
described   O
as   O
a   O
Management   O
Analysts   O
coming   O
from   O
Los   B-LOCATION
Centenarios   I-LOCATION
,   O
ZIP   O
code   O
59639   B-LOCATION
.   O

Upon   O
further   O
examination   O
by   O
Dr.   O
Bernardo   B-NAME
,   O
the   O
patient   O
reported   O
associated   O
symptoms   O
such   O
as   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
a   O
significant   O
level   O
of   O
nausea   O
.   O

More   O
detailed   O
testing   O
,   O
including   O
but   O
not   O
limited   O
to   O
a   O
neurological   O
examination   O
,   O
was   O
suggested   O
by   O
Dr.   O
James   B-NAME
Kildare   I-NAME
.   O

Quinlan   B-LOCATION
Eye   I-LOCATION
Surgery   I-LOCATION
&   I-LOCATION
Laser   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Pittsburg   I-LOCATION
for   O
observation   O
and   O
additional   O
testing   O
.   O

Their   O
medical   O
record   O
number   O
was   O
noted   O
as   O
188   B-ID
-   I-ID
32   I-ID
-   I-ID
88   I-ID
-   I-ID
4   I-ID
.   O

The   O
contact   O
number   O
listed   O
in   O
their   O
files   O
was   O
807   B-CONTACT
719   I-CONTACT
1385   I-CONTACT
,   O
and   O
the   O
individual   O
also   O
had   O
an   O
identification   O
number   O
9   B-ID
-   I-ID
9037189   I-ID
.   O

The   O
insurance   O
was   O
confirmed   O
to   O
be   O
from   O
Lincoln   B-LOCATION
National   I-LOCATION
Corporation   I-LOCATION
.   O

The   O
next   O
of   O
kin   O
listed   O
in   O
the   O
medical   O
record   O
was   O
a   O
Media   O
buyer   O
living   O
in   O
Tadcaster   B-LOCATION
.   O

They   O
are   O
66   O
years   O
old   O
and   O
were   O
notified   O
about   O
Kamari   B-NAME
Scott   I-NAME
's   O
admission   O
to   O
the   O
hospital   O
.   O

The   O
patient   O
was   O
released   O
later   O
on   O
the   O
same   O
day   O
and   O
advised   O
to   O
follow   O
-   O
up   O
with   O
Dr.   O
Sappho   B-NAME
on   O
13/26   B-DATE
.   O

The   O
patient   O
's   O
UserName   O
for   O
online   O
access   O
to   O
medical   O
test   O
reports   O
is   O
jz545   B-NAME
.   O

Bradshaw   B-NAME
advised   O
Jefferey   B-NAME
to   O
look   O
out   O
for   O
any   O
worsening   O
symptoms   O
and   O
to   O
contact   O
Genesis   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
De   I-LOCATION
Witt   I-LOCATION
immediately   O
in   O
that   O
case   O
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Galvan   B-NAME
Age   O
:   O
10   O
Occupation   O
:   O
photographer   O
Last   O
visit   O
:   O
12/24   B-DATE
Dr.   O
Paula   B-NAME
Boyle   I-NAME
was   O
consulted   O
for   O
the   O
complaints   O
.   O

Patient   O
Gratian   B-NAME
came   O
for   O
a   O
routine   O
checkup   O
at   O
Loyola   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/23   B-DATE
.   O

He   O
/   O
She   O
lives   O
in   O
Otsego   B-LOCATION
and   O
works   O
for   O
City   B-LOCATION
of   I-LOCATION
Blountstown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

He   O
/   O
She   O
was   O
admitted   O
under   O
Dr.   O
Mathews   B-NAME
.   O

Prior   O
medical   O
records   O
(   O
7825314   B-ID
)   O
showed   O
that   O
the   O
patient   O
has   O
been   O
dealing   O
with   O
anemia   O
and   O
vitamin   O
B12   O
deficiency   O
.   O

Dr.   O
Larson   B-NAME
advised   O
a   O
Schilling   O
test   O
or   O
intrinsic   O
factor   O
antibody   O
test   O
for   O
a   O
definitive   O
diagnosis   O
.   O

Dr.   O
Sexton   B-NAME
's   O
contact   O
details   O
are   O
saved   O
under   O
the   O
ID   O
808162   B-ID
.   O

He   O
can   O
be   O
reached   O
at   O
40324   B-CONTACT
.   O

Lastly   O
,   O
the   O
patient   O
's   O
insurance   O
details   O
should   O
be   O
managed   O
through   O
his   O
business   O
employer   O
,   O
Irish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
.   O

This   O
information   O
was   O
given   O
by   O
YW277   B-NAME
who   O
resides   O
in   O
30275   B-LOCATION
zip   O
area   O
.   O

Scheduled   O
follow   O
-   O
up   O
on   O
0/22   B-DATE
at   O
HealthSouth   B-LOCATION
Northern   I-LOCATION
Kentucky   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Las   B-LOCATION
Palmas   I-LOCATION
,   O
is   O
highly   O
recommended   O
for   O
Lauren   B-NAME
French   I-NAME
.   O

Thank   O
you   O
,   O
Dr.   O
Copernicus   B-NAME
,   I-NAME
Nicolaus   I-NAME

Patient   O
Name   O
:   O
Floyd   B-NAME
Medical   O
Record   O
Number   O
:   O
3845729   B-ID
Date   O
of   O
Visit   O
:   O
37/22/2252   B-DATE
Chief   O
Complaint   O
:   O
Eric   B-NAME
Proctor   I-NAME
presented   O
to   O
Upson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
severe   O
headache   O
consistent   O
with   O
migraines   O
.   O

His   O
last   O
physical   O
examination   O
by   O
Dr.   O
Simpson   B-NAME
,   I-NAME
Jack   I-NAME
last   O
year   O
at   O
Heyworth   B-LOCATION
showed   O
no   O
neurological   O
deficits   O
.   O

Social   O
History   O
:   O
Tripp   B-NAME
Carpenter   I-NAME
works   O
as   O
a   O
Power   O
Generating   O
Plant   O
Operators   O
,   O
Except   O
Auxiliary   O
Equipment   O
Operators   O
at   O
BankFirst   B-LOCATION
.   O

Cohen   B-NAME
,   I-NAME
Nick   I-NAME
resides   O
at   O
10188   B-LOCATION
.   O

Allergies   O
:   O
Middleton   B-NAME
reports   O
an   O
allergy   O
to   O
amoxicillin   O
causing   O
a   O
rash   O
.   O

Medications   O
:   O
Prophylactic   O
treatment   O
with   O
Topiramate   O
50   O
mg   O
prescribed   O
by   O
Dr.   O
Stratford   B-NAME
,   I-NAME
Lord   I-NAME
(   I-NAME
Tony   I-NAME
Banks   I-NAME
)   I-NAME
with   O
refill   O
due   O
19/26   B-DATE
.   O

Today   O
,   O
Porchenko   B-NAME
describes   O
the   O
pain   O
as   O
"   O
the   O
worst   O
ever   O
.   O
"   O

Plan   O
:   O
Admitted   O
to   O
Magnolia   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
for   O
pain   O
management   O
and   O
observation   O
under   O
the   O
care   O
of   O
Dr.   O
Watson   B-NAME
.   O

For   O
any   O
questions   O
or   O
concerns   O
regarding   O
the   O
treatment   O
plan   O
,   O
reach   O
out   O
to   O
Dr.   O
Acosta   B-NAME
at   O
706   B-CONTACT
-   I-CONTACT
653   I-CONTACT
-   I-CONTACT
1170   I-CONTACT
during   O
regular   O
office   O
hours   O
.   O

Emergency   O
Contact   O
:   O
0   B-ID
-   I-ID
6662232   I-ID
at   O
358   B-CONTACT
722   I-CONTACT
1008   I-CONTACT
Authorized   O
Person   O
:   O
cnb806   B-NAME
Signature   O
:   O
Good   B-NAME

Patient   O
Name   O
:   O
Lillie   B-NAME
Stewart   I-NAME
Date   O
of   O
Birth   O
:   O
February   B-DATE
2   I-DATE
Age   O
:   O
4   O
month   O
Patient   O
ID   O
:   O
PT809/1963   B-ID
Medical   O
Record   O
Number   O
:   O
65454062   B-ID
Address   O
:   O
Fort   B-LOCATION
Lauderdale   I-LOCATION
,   O
78383   B-LOCATION
Phone   O
:   O
19455   B-CONTACT
Occupation   O
:   O
Environmental   O
Scientists   O
and   O
Specialists   O
,   O
Including   O
Health   O
Healthcare   O
Provider   O
:   O
Dr.   O
Allen   B-NAME
Hospital   O
Name   O
:   O

MedStar   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
On   O
0/29   B-DATE
,   O
Mr./Ms   O
.   O

Flaubert   B-NAME
,   I-NAME
Gustave   I-NAME
presented   O
at   O
the   O
outpatient   O
department   O
of   O
Beverly   B-LOCATION
Hospital   I-LOCATION
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
Rufus   B-NAME
Telesco   I-NAME
,   O
the   O
patient   O
appeared   O
diaphoretic   O
and   O
in   O
distress   O
.   O

Laboratory   O
tests   O
,   O
ordered   O
by   O
Dr.   O
Holmes   B-NAME
,   I-NAME
Oliver   I-NAME
Wendell   I-NAME
,   I-NAME
Sr   I-NAME
.   I-NAME
,   O
showed   O
elevated   O
cardiac   O
troponin   O
levels   O
.   O

The   O
patient   O
received   O
immediate   O
medical   O
management   O
according   O
to   O
the   O
guidelines   O
of   O
American   O
Heart   O
Association   O
(   O
Collective   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
)   O
.   O

Post   O
procedure   O
,   O
the   O
patient   O
was   O
admitted   O
to   O
the   O
coronary   O
care   O
unit   O
of   O
McLaren   B-LOCATION
Flint   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
.   O

The   O
need   O
for   O
alterations   O
in   O
lifestyle   O
,   O
including   O
a   O
healthier   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
cessation   O
of   O
smoking   O
,   O
was   O
discussed   O
with   O
Mr./Ms'   O
Hughes   B-NAME
during   O
the   O
hospital   O
stay   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
November   B-DATE
2009   I-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Waltham   B-NAME
in   O
two   O
weeks   O
at   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11220   I-LOCATION
.   O

Instructions   O
for   O
medications   O
,   O
symptoms   O
to   O
be   O
aware   O
of   O
,   O
and   O
when   O
to   O
seek   O
immediate   O
clinical   O
attention   O
were   O
discussed   O
and   O
provided   O
to   O
Mr./Ms'   O
Caroline   B-NAME
Moore   I-NAME
.   O

A   O
nurse   O
was   O
also   O
arranged   O
for   O
home   O
visits   O
to   O
Mr./Ms'   O
Nehemiah   B-NAME
Pope   I-NAME
residence   O
in   O
9128   B-LOCATION
E.   I-LOCATION
Shub   I-LOCATION
Farm   I-LOCATION
Street   I-LOCATION
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

The   O
medical   O
team   O
at   O
Bay   B-LOCATION
Area   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
committed   O
to   O
providing   O
the   O
best   O
care   O
to   O
every   O
patient   O
.   O

Signed   O
off   O
by   O
:   O
Roy   B-NAME
Clyburn   I-NAME
November   B-DATE
22   I-DATE
,   I-DATE
2211   I-DATE

Patient   O
Name   O
:   O
Mason   B-NAME
Leanos   I-NAME
DOB   O
:   O
4/02/51   B-DATE
SSN   O
:   O
NA:79744:815958   B-ID
Medical   O
Record   O
:   O
491   B-ID
-   I-ID
89   I-ID
-   I-ID
82   I-ID
-   I-ID
4   I-ID
Address   O
:   O
Green   B-LOCATION
Valley   I-LOCATION
Farms   I-LOCATION
,   O
22783   B-LOCATION
Phone   O
Number   O
:   O
62885   B-CONTACT
25/25   B-DATE
,   O
Peck   B-NAME
a   O
Radiologists   O
from   O
Fort   B-LOCATION
Ann   I-LOCATION
was   O
presented   O
to   O
the   O
ER   O
McLaren   B-LOCATION
Central   I-LOCATION
Michigan   I-LOCATION
.   O

Upon   O
physical   O
evaluation   O
by   O
Luna   B-NAME
,   O
the   O
patient   O
revealed   O
epigastric   O
tenderness   O
,   O
and   O
adventitious   O
sounds   O
were   O
noted   O
during   O
auscultation   O
.   O

Being   O
a   O
Real   O
Estate   O
Sales   O
Agents   O
,   O
Callum   B-NAME
Clayton   I-NAME
had   O
a   O
history   O
of   O
asbestos   O
exposure   O
which   O
could   O
be   O
leading   O
to   O
an   O
atypical   O
presentation   O
of   O
Pneumonia   O
.   O

The   O
patient   O
has   O
been   O
admitted   O
to   O
Conejos   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
as   O
per   O
protocol   O
for   O
further   O
investigation   O
and   O
management   O
.   O

He   O
was   O
also   O
advised   O
to   O
inform   O
his   O
employer   O
Film   B-LOCATION
and   I-LOCATION
Television   I-LOCATION
Institute   I-LOCATION
of   I-LOCATION
India   I-LOCATION
about   O
the   O
situation   O
and   O
take   O
necessary   O
absence   O
till   O
further   O
notice   O
.   O

The   O
relative   O
of   O
the   O
patient   O
was   O
contacted   O
at   O
403   B-CONTACT
-   I-CONTACT
7802   I-CONTACT
and   O
was   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
by   O
nurse   O
mkh894   B-NAME
.   O

His   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
primary   O
care   O
physician   O
Zoey   B-NAME
Hicks   I-NAME
at   O
Borough   B-LOCATION
of   I-LOCATION
Madison   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
on   O
2234   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
18   I-DATE
.   O

Patient   O
:   O
Miya   B-NAME
Harvey   I-NAME
Age   O
:   O
43   O
Description   O
:   O
I   O
,   O
Giselle   B-NAME
Mcguire   I-NAME
,   O
saw   O
Albert   B-NAME
Frock   I-NAME
at   O
Riverside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
4/5/2222   B-DATE
.   O

Jadon   B-NAME
Frank   I-NAME
,   O
aged   O
41   O
,   O
had   O
initially   O
come   O
to   O
see   O
me   O
regarding   O
persistent   O
coughing   O
and   O
shortness   O
of   O
breath   O
.   O

To   O
confirm   O
,   O
a   O
series   O
of   O
tests   O
were   O
conducted   O
involving   O
spirometry   O
and   O
chest   O
X   O
-   O
ray   O
in   O
room   O
number   O
Gerber   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
.   O

The   O
consent   O
for   O
these   O
tests   O
was   O
provided   O
by   O
Claire   B-NAME
's   O
daughter   O
,   O
a   O
Solicitor   O
who   O
reached   O
us   O
at   O
323   B-CONTACT
511   I-CONTACT
-   I-CONTACT
3739   I-CONTACT
.   O

The   O
health   O
report   O
,   O
file   O
number   O
4831043   B-ID
,   O
is   O
saved   O
in   O
our   O
UNITE   B-LOCATION
HERE   I-LOCATION
database   O
and   O
we   O
've   O
preserved   O
the   O
hard   O
copy   O
in   O
our   O
records   O
for   O
future   O
reference   O
.   O

Patient   O
's   O
address   O
in   O
West   B-LOCATION
Baden   I-LOCATION
Springs   I-LOCATION
was   O
updated   O
in   O
our   O
system   O
,   O
the   O
details   O
were   O
confirmed   O
over   O
a   O
call   O
at   O
150   B-CONTACT
-   I-CONTACT
411   I-CONTACT
-   I-CONTACT
8905   I-CONTACT
.   O

While   O
Postumus   B-NAME
Kyner   I-NAME
has   O
health   O
insurance   O
(   O
ID   O
number   O
:   O
10   B-ID
-   I-ID
6763204   I-ID
)   O
,   O
they   O
also   O
carry   O
a   O
veteran   O
's   O
card   O
for   O
potential   O
medical   O
benefits   O
.   O

I   O
have   O
scheduled   O
the   O
next   O
appointment   O
for   O
Monday   B-DATE
.   O

Meanwhile   O
,   O
Kristopher   B-NAME
Mercer   I-NAME
has   O
been   O
advised   O
to   O
continue   O
medication   O
and   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
.   O

For   O
queries   O
,   O
you   O
can   O
reach   O
out   O
to   O
me   O
via   O
my   O
assistant   O
mqn875   B-NAME
,   O
or   O
have   O
a   O
direct   O
conversation   O
using   O
my   O
extension   O
:   O
(   B-CONTACT
370   I-CONTACT
)   I-CONTACT
526   I-CONTACT
4083   I-CONTACT
.   O

Address   O
:   O
Wanakah   B-LOCATION
,   O
22151   B-LOCATION
.   O

Report   O
prepared   O
by   O
:   O
Rivera   B-NAME
,   O
Riverside   B-LOCATION
Walter   I-LOCATION
Reed   I-LOCATION
Hospital   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
Bowers   B-NAME
presented   O
to   O
Stormont   B-LOCATION
Vail   I-LOCATION
Health   I-LOCATION
emergency   O
department   O
on   O
the   O
evening   O
of   O
20/27/2350   B-DATE
.   O

The   O
patient   O
,   O
who   O
is   O
a   O
Patternmakers   O
,   O
Wood   O
by   O
profession   O
,   O
holds   O
a   O
medical   O
history   O
remarkable   O
for   O
hypertension   O
and   O
hyperlipidemia   O
,   O
which   O
has   O
been   O
managed   O
under   O
Bridges   B-NAME
at   O
Laurel   B-LOCATION
Hollow   I-LOCATION
.   O

The   O
patient   O
’s   O
past   O
medical   O
records   O
,   O
7107241   B-ID
,   O
provided   O
evidence   O
of   O
a   O
previous   O
incident   O
of   O
myocardial   O
infarction   O
about   O
a   O
year   O
ago   O
,   O
which   O
was   O
successfully   O
treated   O
at   O
Hollywood   B-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

No   O
information   O
of   O
smoking   O
or   O
illicit   O
drug   O
use   O
was   O
found   O
in   O
the   O
records   O
from   O
IU   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
ID   O
,   O
KT   B-ID
:   I-ID
RW:5278   I-ID
,   O
was   O
verified   O
and   O
his   O
insurance   O
company   O
,   O
International   B-LOCATION
Federation   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
,   O
was   O
contacted   O
through   O
12953   B-CONTACT
for   O
the   O
immediate   O
arrangement   O
of   O
comprehensive   O
cardiac   O
care   O
.   O

With   O
the   O
patient   O
's   O
consent   O
for   O
an   O
emergency   O
angioplasty   O
,   O
the   O
patient   O
was   O
transferred   O
to   O
the   O
coronary   O
care   O
unit   O
of   O
CAMC   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
swiftly   O
for   O
immediate   O
intervention   O
.   O

Contact   O
was   O
made   O
with   O
next   O
of   O
kin   O
who   O
resides   O
in   O
Biron   B-LOCATION
,   O
and   O
informed   O
of   O
the   O
situation   O
.   O

Immediate   O
follow   O
-   O
ups   O
were   O
scheduled   O
with   O
Wilson   B-NAME
,   I-NAME
Ron   I-NAME
in   O
consultation   O
with   O
the   O
cardiology   O
department   O
.   O

Corresponding   O
notes   O
on   O
mqm649   B-NAME
's   O
workstation   O
were   O
left   O
for   O
further   O
reference   O
to   O
monitor   O
the   O
patient   O
.   O

Postal   O
communication   O
would   O
be   O
sent   O
to   O
79784   B-LOCATION
.   O

Patient   O
Name   O
:   O
Marcos   B-NAME
Harding   I-NAME
Age   O
:   O
38   O
ID   O
:   O
PP:1425:586954   B-ID
Admitted   O
to   O
:   O
Western   B-LOCATION
Missouri   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
date   O
:   O
8/7   B-DATE
Doctor   O
's   O
name   O
:   O
Sidney   B-NAME
Smith   I-NAME
Medical   O
record   O
number   O
:   O
978   B-ID
-   I-ID
17   I-ID
-   I-ID
94   I-ID
Organization   O
name   O
:   O
Waterfield   B-LOCATION
Bank   I-LOCATION
Address   O
:   O
Ulen   B-LOCATION
,   O
Zip   O
:   O
39246   B-LOCATION
Contact   O
:   O
500   B-CONTACT
-   I-CONTACT
751   I-CONTACT
-   I-CONTACT
6995   I-CONTACT
Employment   O
/   O
Profession   O
:   O
Secondary   O
School   O
Teachers   O
,   O
Except   O
Special   O
and   O
Vocational   O
Education   O
Summary   O
written   O
by   O
:   O
nms153   B-NAME
Report   O
:   O
Upon   O
consultation   O
,   O
Ken   B-NAME
Martin   I-NAME
showed   O
acute   O
respiratory   O
symptoms   O
,   O
which   O
included   O
severe   O
cough   O
,   O
dyspnea   O
,   O
and   O
persistent   O
wheezing   O
.   O

Jimenez   B-NAME
's   O
medical   O
history   O
suggests   O
a   O
high   O
possibility   O
of   O
COPD   O
(   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
)   O
,   O
but   O
further   O
tests   O
and   O
examinations   O
were   O
recommended   O
by   O
Dr.   O
Griffith   B-NAME
for   O
an   O
accurate   O
diagnosis   O
.   O

Given   O
the   O
severity   O
of   O
the   O
symptoms   O
,   O
the   O
patient   O
was   O
admitted   O
to   O
the   O
respiratory   O
ward   O
at   O
McLaren   B-LOCATION
Oakland   I-LOCATION
for   O
further   O
observation   O
and   O
treatment   O
.   O

Prior   O
to   O
the   O
hospital   O
stay   O
,   O
in   O
the   O
Bainbridge   B-LOCATION
area   O
,   O
Makenna   B-NAME
Prince   I-NAME
worked   O
as   O
a   O
Medical   O
Assistants   O
.   O

Darian   B-NAME
King   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
and   O
has   O
not   O
been   O
under   O
regular   O
medication   O
.   O

As   O
an   O
extra   O
precautionary   O
measure   O
,   O
the   O
entire   O
medical   O
team   O
at   O
Capital   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
informed   O
of   O
the   O
possible   O
communicability   O
of   O
Brian   B-NAME
Garner   I-NAME
's   O
condition   O
.   O

These   O
tests   O
will   O
be   O
administered   O
under   O
the   O
supervision   O
of   O
Dr.   O
Tavola   B-NAME
,   I-NAME
Kaliopate   I-NAME
over   O
the   O
duration   O
of   O
Alaqua   B-NAME
's   O
hospital   O
stay   O
.   O

For   O
further   O
information   O
,   O
please   O
reach   O
out   O
to   O
620   B-CONTACT
-   I-CONTACT
6136   I-CONTACT
between   O
work   O
hours   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Charles   B-NAME
Skinner   I-NAME
Age   O
:   O
87   O
Medical   O
Record   O
Number   O
:   O
1288513   B-ID
Address   O
:   O
9150   B-LOCATION
Canal   I-LOCATION
Road   I-LOCATION
,   O
Coppell   B-LOCATION
54056   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
891   I-CONTACT
)   I-CONTACT
213   I-CONTACT
6327   I-CONTACT
ID   O
Number   O
:   O
804384   B-ID
Occupation   O
:   O
Teaching   O
/   O
classroom   O
assistant   O
Clinical   O
Report   O
:   O
Dr.   O
Havel   B-NAME
,   I-NAME
Václav   I-NAME
met   O
with   O
Joseph   B-NAME
regarding   O
his   O
recurring   O
headaches   O
.   O

The   O
headaches   O
started   O
to   O
occur   O
about   O
25/12/2229   B-DATE
ago   O
and   O
they   O
have   O
grown   O
in   O
intensity   O
since   O
.   O

On   O
a   O
scale   O
of   O
1   O
to   O
10   O
,   O
Ali   B-NAME
Norman   I-NAME
rates   O
his   O
average   O
pain   O
at   O
a   O
7   O
.   O

Whitney   B-NAME
Short   I-NAME
described   O
the   O
headaches   O
as   O
a   O
consistent   O
throbbing   O
in   O
the   O
temples   O
and   O
often   O
radiating   O
towards   O
the   O
back   O
of   O
his   O
head   O
.   O

Additionally   O
,   O
Alexis   B-NAME
Warner   I-NAME
mentioned   O
experiencing   O
associated   O
symptoms   O
such   O
as   O
nausea   O
,   O
dizziness   O
,   O
and   O
sensitivity   O
to   O
light   O
and   O
sound   O
.   O

Avery   B-NAME
Grant   I-NAME
advised   O
a   O
neurological   O
examination   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Evansville   I-LOCATION
for   O
further   O
evaluation   O
.   O

The   O
doctor   O
's   O
concerns   O
were   O
also   O
raised   O
due   O
to   O
Quadri   B-NAME
's   O
family   O
history   O
as   O
his   O
father   O
,   O
who   O
passed   O
away   O
at   O
the   O
age   O
of   O
3   O
,   O
suffered   O
from   O
recurrent   O
migraines   O
and   O
his   O
mother   O
,   O
who   O
is   O
currently   O
20   O
years   O
old   O
,   O
has   O
a   O
medical   O
history   O
of   O
intracranial   O
aneurysms   O
.   O

John   B-NAME
Sutton   I-NAME
was   O
given   O
a   O
referral   O
to   O
Dr.   O
Adrien   B-NAME
Shea   I-NAME
,   O
a   O
renowned   O
neurologist   O
in   O
Thailand   B-LOCATION
,   O
and   O
an   O
MRI   O
scan   O
has   O
been   O
scheduled   O
for   O
32/21   B-DATE
at   O
Sentara   B-LOCATION
CarePlex   I-LOCATION
Hospital   I-LOCATION
.   O

Meanwhile   O
,   O
Gaiman   B-NAME
,   I-NAME
Neil   I-NAME
was   O
recommended   O
to   O
keep   O
a   O
record   O
of   O
his   O
migraine   O
attacks   O
,   O
including   O
duration   O
,   O
intensity   O
and   O
any   O
potential   O
triggers   O
,   O
on   O
an   O
app   O
provided   O
by   O
Valley   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
N.A   I-LOCATION
.   I-LOCATION
.   O

Riggs   B-NAME
provided   O
Thomas   B-NAME
Woods   I-NAME
with   O
his   O
direct   O
323   B-CONTACT
5465   I-CONTACT
number   O
and   O
email   O
(   O
sdu617   B-NAME
@mail.com   O
)   O
should   O
he   O
have   O
any   O
immediate   O
concerns   O
following   O
the   O
appointment   O
or   O
if   O
his   O
condition   O
worsens   O
significantly   O
prior   O
to   O
the   O
MRI   O
scan   O
.   O

Mabuse   B-NAME
,   I-NAME
der   I-NAME
Spieler   I-NAME
,   O
who   O
works   O
as   O
a   O
Precision   O
Pattern   O
and   O
Die   O
Casters   O
,   O
Nonferrous   O
Metals   O
,   O
expressed   O
concern   O
over   O
his   O
job   O
being   O
a   O
possible   O
trigger   O
.   O

Barclay   B-NAME
,   I-NAME
William   I-NAME
advised   O
Jayden   B-NAME
Malone   I-NAME
to   O
discuss   O
with   O
his   O
employer   O
about   O
possible   O
adjustments   O
to   O
his   O
work   O
schedule   O
or   O
environment   O
to   O
help   O
manage   O
his   O
symptoms   O
.   O

His   O
medical   O
report   O
will   O
be   O
sent   O
to   O
his   O
workplace   O
under   O
the   O
privacy   O
standards   O
of   O
our   O
Solidarity   B-LOCATION
of   I-LOCATION
Territories   I-LOCATION
policy   O
.   O

Signed   O
:   O
Prince   B-NAME
32   B-DATE
-   I-DATE
23   I-DATE

Bo   B-NAME
Robles   I-NAME
Age   O
:   O
23   O
Medical   O
Record   O
Number   O
:   O
21714567   B-ID
Location   O
:   O
Buchanan   B-LOCATION
Zip   O
Code   O
:   O
64760   B-LOCATION
Phone   O
:   O
(   B-CONTACT
914   I-CONTACT
)   I-CONTACT
956   I-CONTACT
-   I-CONTACT
8379   I-CONTACT
On   O
3   B-DATE
-   I-DATE
22   I-DATE
,   O
during   O
a   O
routine   O
consultation   O
,   O
RONNIE   B-NAME
PALMER   I-NAME
presented   O
herself   O
to   O
the   O
office   O
of   O
Warner   B-NAME
,   O
a   O
senior   O
cardiologist   O
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Orange   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Irvine   I-LOCATION
.   O

Kidd   B-NAME
,   I-NAME
Yechiel   I-NAME
reported   O
suffering   O
from   O
shortness   O
of   O
breath   O
and   O
intermittent   O
episodes   O
of   O
lightheadedness   O
for   O
the   O
past   O
week   O
.   O

She   O
spends   O
most   O
of   O
her   O
time   O
in   O
her   O
apartment   O
in   O
Colmar   B-LOCATION
Manor   I-LOCATION
,   O
and   O
works   O
as   O
a   O
Medical   O
and   O
Clinical   O
Laboratory   O
Technicians   O
.   O

Aubree   B-NAME
Benitez   I-NAME
,   O
who   O
is   O
86   O
years   O
old   O
,   O
had   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
provided   O
medication   O
for   O
the   O
same   O
by   O
Caroline   B-NAME
Berg   I-NAME
previously   O
.   O

The   O
medication   O
details   O
and   O
treatment   O
plan   O
can   O
be   O
found   O
under   O
the   O
account   O
number   O
:   O
AG:25661:438102   B-ID
.   O

She   O
contacted   O
the   O
office   O
via   O
phone   O
(   O
912   B-CONTACT
2532   I-CONTACT
)   O
making   O
an   O
appointment   O
regarding   O
her   O
symptoms   O
which   O
intensified   O
over   O
time   O
.   O

Bowen   B-NAME
suggested   O
for   O
the   O
patient   O
to   O
undergo   O
a   O
2D   O
echocardiogram   O
and   O
an   O
EKG   O
for   O
final   O
diagnosis   O
at   O
Fairfield   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
the   O
organization   O
,   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Fire   I-LOCATION
Fighters   I-LOCATION
.   O

The   O
patient   O
was   O
logged   O
into   O
our   O
system   O
with   O
the   O
username   O
"   O
hrq462   B-NAME
"   O
and   O
her   O
future   O
appointment   O
and   O
further   O
treatment   O
planning   O
were   O
discussed   O
by   O
Dr.   O
Cline   B-NAME
,   O
which   O
will   O
be   O
held   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
Newburgh   I-LOCATION
Campus   I-LOCATION
.   O

Signed   O
,   O
Mcknight   B-NAME
5   B-ID
-   I-ID
6769748   I-ID
10/36/2139   B-DATE

Patient   O
Report   O
:   O
Patient   O
Tony   B-NAME
Wilkinson   I-NAME
was   O
admitted   O
to   O
Scripps   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
La   I-LOCATION
Jolla   I-LOCATION
on   O
1896   B-DATE
.   O

On   O
admission   O
,   O
Angelo   B-NAME
Fleming   I-NAME
reported   O
sharp   O
,   O
intermittent   O
pain   O
for   O
the   O
last   O
couple   O
of   O
days   O
.   O

A   O
physical   O
examination   O
performed   O
by   O
Mathis   B-NAME
revealed   O
epigastric   O
tenderness   O
upon   O
palpation   O
,   O
consistent   O
with   O
Acute   O
Pancreatitis   O
.   O

Based   O
on   O
the   O
comprehensive   O
assessment   O
and   O
initial   O
laboratory   O
tests   O
,   O
Whitaker   B-NAME
suggested   O
the   O
need   O
for   O
an   O
MRI   O
scan   O
for   O
further   O
evaluation   O
.   O

MRI   O
was   O
performed   O
on   O
4/29   B-DATE
,   O
confirming   O
Moderate   O
Acute   O
Pancreatitis   O
.   O

The   O
patient   O
was   O
managed   O
with   O
gut   O
rest   O
,   O
IV   O
fluids   O
,   O
and   O
pain   O
management   O
,   O
as   O
per   O
guidelines   O
of   O
Canadian   B-LOCATION
Postmasters   I-LOCATION
and   I-LOCATION
Assistants   I-LOCATION
Association   I-LOCATION
.   O

Contact   O
information   O
in   O
our   O
records   O
for   O
Bernard   B-NAME
Feld   I-NAME
is   O
445   B-CONTACT
4615   I-CONTACT
and   O
residing   O
at   O
Mer   B-LOCATION
Rouge   I-LOCATION
,   O
29863   B-LOCATION
.   O

Peterson   B-NAME
’s   O
medical   O
record   O
number   O
is   O
094   B-ID
-   I-ID
25   I-ID
-   I-ID
39   I-ID
-   I-ID
7   I-ID
.   O

For   O
all   O
future   O
references   O
,   O
the   O
patient   O
can   O
also   O
be   O
reached   O
through   O
his   O
/   O
her   O
username   O
:   O
mpi647   B-NAME
.   O

Due   O
to   O
the   O
severity   O
of   O
his   O
/   O
her   O
condition   O
,   O
family   O
members   O
of   O
Travers   B-NAME
,   I-NAME
P.   I-NAME
L.   I-NAME
were   O
informed   O
on   O
12/08   B-DATE
.   O

With   O
the   O
current   O
situation   O
,   O
Chasity   B-NAME
Mathews   I-NAME
suggested   O
that   O
the   O
patient   O
should   O
stay   O
abstinent   O
from   O
alcohol   O
and   O
smoking   O
,   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
,   O
and   O
monitor   O
symptoms   O
closely   O
.   O
Scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
02/56   B-DATE
,   O
Venedict   B-NAME
will   O
continue   O
his   O
/   O
her   O
treatment   O
under   O
Savitri   B-NAME
Devi   I-NAME
's   O
supervision   O
at   O
the   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
East   I-LOCATION
-   I-LOCATION
Lee   I-LOCATION
's   I-LOCATION
Summit   I-LOCATION
.   O

For   O
any   O
further   O
information   O
or   O
adjustments   O
regarding   O
the   O
appointment   O
,   O
please   O
contact   O
the   O
front   O
office   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
data   O
privacy   O
is   O
a   O
priority   O
at   O
McLaren   B-LOCATION
Bay   I-LOCATION
Special   I-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
and   O
is   O
protected   O
by   O
BP575/6348   B-ID
.   O

Report   O
prepared   O
by   O
:   O
Mcpherson   B-NAME
20   B-DATE
-   I-DATE
17   I-DATE

Patient   O
Report   O
Sun   B-NAME
,   O
an   O
89   O
-   O
year   O
-   O
old   O
individual   O
,   O
presented   O
to   O
the   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Avon   I-LOCATION
Hospital   I-LOCATION
on   O
13/29/48   B-DATE
.   O

The   O
attending   O
neurologist   O
,   O
Dr.   O
Deleon   B-NAME
,   O
ran   O
several   O
diagnostic   O
tests   O
and   O
noted   O
a   O
significant   O
papilledema   O
during   O
the   O
fundus   O
examination   O
.   O

In   O
addition   O
,   O
an   O
MRI   O
scan   O
was   O
also   O
ordered   O
which   O
depicted   O
an   O
inflated   O
optic   O
nerve   O
with   O
tortuous   O
pattern   O
thereby   O
confirming   O
Dr.   O
Maria   B-NAME
Santos   I-NAME
’s   O
suspicion   O
of   O
Idiopathic   O
Intracranial   O
Hypertension   O
(   O
IIH   O
)   O
.   O

Since   O
Sade   B-NAME
,   I-NAME
Donatien   I-NAME
de   I-NAME
was   O
working   O
as   O
a   O
Police   O
Patrol   O
Officers   O
,   O
much   O
of   O
his   O
/   O
her   O
work   O
demanded   O
extensive   O
computer   O
screen   O
time   O
.   O

As   O
part   O
of   O
preventive   O
treatment   O
,   O
Joyce   B-NAME
suggested   O
integrating   O
regular   O
visual   O
breaks   O
and   O
avoiding   O
long   O
periods   O
of   O
screen   O
exposure   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
731   B-ID
-   I-ID
76   I-ID
-   I-ID
07   I-ID
-   I-ID
4   I-ID
and   O
the   O
patient   O
identification   O
number   O
is   O
7   B-ID
-   I-ID
8022165   I-ID
.   O

Detailed   O
medical   O
records   O
have   O
been   O
uploaded   O
to   O
the   O
hospital   O
’s   O
data   O
system   O
with   O
username   O
pyk222   B-NAME
.   O

All   O
additional   O
information   O
relating   O
to   O
the   O
patient   O
's   O
case   O
,   O
including   O
prescriptions   O
and   O
follow   O
-   O
up   O
schedules   O
,   O
has   O
been   O
dispatched   O
to   O
Huachuca   B-LOCATION
City   I-LOCATION
by   O
Elementary   B-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Ontario   I-LOCATION
.   O

Specifically   O
,   O
they   O
were   O
sent   O
to   O
the   O
patient   O
's   O
registered   O
phone   O
number   O
20665   B-CONTACT
and   O
the   O
address   O
associated   O
with   O
ZIP   O
code   O
96570   B-LOCATION
.   O

Towards   O
the   O
end   O
of   O
the   O
visit   O
,   O
the   O
patient   O
consented   O
to   O
the   O
designed   O
treatment   O
plan   O
and   O
confirmed   O
their   O
next   O
follow   O
-   O
up   O
on   O
03/37   B-DATE
.   O

The   O
patient   O
was   O
advised   O
to   O
call   O
Dr.   O
Gordon   B-NAME
at   O
273   B-CONTACT
-   I-CONTACT
949   I-CONTACT
5929   I-CONTACT
if   O
any   O
concerns   O
or   O
complications   O
arose   O
.   O

Patient   O
Summary   O
:   O
Sahale   B-NAME
Diagnosed   O
:   O
Idiopathic   O
Intracranial   O
Hypertension   O
(   O
IIH   O
)   O
Physician   O
:   O

Dr.   O
Sanders   B-NAME
Next   O
Appointment   O
:   O
1   B-DATE
-   I-DATE
0   I-DATE
Patient   O
Report   O
filed   O
and   O
updated   O
by   O
Waller   B-NAME
at   O
Sentara   B-LOCATION
RMH   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
sharpe   B-NAME
The   O
patient   O
,   O
a   O
Ship   O
and   O
Boat   O
Captains   O
in   O
his   O
88   O
,   O
was   O
admitted   O
to   O
Morris   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Council   I-LOCATION
Grove   I-LOCATION
on   O
2/3   B-DATE
.   O

He   O
lives   O
in   O
Swayzee   B-LOCATION
and   O
works   O
for   O
Atlantic   B-LOCATION
City   I-LOCATION
Electric   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
.   O

He   O
was   O
referred   O
by   O
Stephen   B-NAME
Kildare   I-NAME
for   O
the   O
management   O
of   O
a   O
cluster   O
of   O
symptoms   O
consistent   O
with   O
pneumonia   O
.   O

His   O
826   B-ID
30   I-ID
88   I-ID
reveals   O
that   O
he   O
had   O
a   O
similar   O
milder   O
episode   O
two   O
years   O
back   O
.   O

Patient   O
’s   O
8240341   B-ID
and   O
(   B-CONTACT
571   I-CONTACT
)   I-CONTACT
456   I-CONTACT
-   I-CONTACT
4434   I-CONTACT
were   O
recorded   O
for   O
future   O
correspondence   O
.   O

He   O
was   O
started   O
on   O
empirical   O
antibiotics   O
considering   O
the   O
clinical   O
scenario   O
and   O
was   O
advised   O
to   O
isolate   O
himself   O
as   O
per   O
the   O
protocol   O
provided   O
by   O
the   O
BankUnited   B-LOCATION
FSB   I-LOCATION
.   O

Hobbs   B-NAME
from   O
pulmonology   O
will   O
be   O
following   O
his   O
case   O
further   O
.   O

An   O
appointment   O
for   O
a   O
follow   O
-   O
up   O
visit   O
was   O
arranged   O
for   O
1/92   B-DATE
.   O

He   O
was   O
encouraged   O
to   O
strictly   O
adhere   O
to   O
the   O
treatment   O
and   O
to   O
contact   O
Houston   B-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
worsening   O
symptoms   O
or   O
concerns   O
.   O

ql821   B-NAME
at   O
the   O
front   O
desk   O
helped   O
him   O
schedule   O
his   O
next   O
appointment   O
and   O
reminded   O
him   O
of   O
the   O
location   O
82593   B-LOCATION
of   O
the   O
Columbus   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
's   O
Name   O
:   O
Bette   B-NAME
Age   O
:   O
84   O
Address   O
:   O
Republican   B-LOCATION
City   I-LOCATION
Contact   O
:   O
272   B-CONTACT
-   I-CONTACT
4138   I-CONTACT
MRN   O
:   O
7044680   B-ID
DOB   O
:   O
00/06   B-DATE
Social   O
Security   O
:   O
4673463   B-ID
Zip   O
code   O
:   O
37020   B-LOCATION
Report   O
Date   O
:   O
8/31   B-DATE
Dear   O
Tim   B-NAME
Sibley   I-NAME
,   O
This   O
is   O
a   O
referral   O
letter   O
for   O
patient   O
Glendora   B-NAME
Bolfa   I-NAME
whom   O
I   O
believe   O
requires   O
your   O
attention   O
and   O
further   O
evaluation   O
.   O

Mendez   B-NAME
is   O
of   O
56   O
years   O
old   O
and   O
is   O
recently   O
experiencing   O
symptoms   O
that   O
seem   O
to   O
point   O
towards   O
Parkinson   O
's   O
disease   O
.   O

Over   O
the   O
last   O
few   O
months   O
,   O
Kellee   B-NAME
Gaunt   I-NAME
has   O
reported   O
tremors   O
in   O
his   O
right   O
hand   O
,   O
bradykinesia   O
,   O
limb   O
rigidity   O
,   O
and   O
postural   O
instability   O
.   O

Grayson   B-NAME
Bradley   I-NAME
is   O
working   O
as   O
a   O
Vocational   O
Education   O
Teachers   O
Postsecondary   O
in   O
a   O
well   O
-   O
renowned   O
GreyStone   B-LOCATION
Power   I-LOCATION
Corp.   I-LOCATION
in   O
California   B-LOCATION
.   O

We   O
performed   O
multiple   O
tests   O
including   O
an   O
MRI   O
,   O
All   O
results   O
are   O
saved   O
under   O
his   O
medical   O
record   O
number   O
5419992   B-ID
.   O

Based   O
on   O
the   O
observed   O
symptoms   O
and   O
tests   O
,   O
I   O
find   O
it   O
crucial   O
for   O
Allan   B-NAME
Chase   I-NAME
to   O
see   O
a   O
neurologist   O
like   O
you   O
at   O
the   O
earliest   O
.   O

The   O
patient   O
lives   O
in   O
52356   B-LOCATION
and   O
Progress   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
is   O
the   O
closest   O
facility   O
for   O
him   O
.   O

Contact   O
Roux   B-NAME
,   I-NAME
Joseph   I-NAME
on   O
his   O
phone   O
number   O
(   B-CONTACT
657   I-CONTACT
)   I-CONTACT
568   I-CONTACT
1739   I-CONTACT
to   O
confirm   O
the   O
scheduled   O
appointment   O
.   O

Please   O
feel   O
free   O
to   O
reach   O
me   O
via   O
my   O
email   O
i   O
d   O
gpc993   B-NAME
or   O
on   O
my   O
phone   O
number   O
39393   B-CONTACT
for   O
any   O
further   O
clarification   O
or   O
information   O
about   O
Odakota   B-NAME
’s   O
medical   O
history   O
.   O

Yours   O
Sincerely   O
,   O
Johnny   B-NAME
Maynard   I-NAME
Cc   O
:   O
Botswana   B-LOCATION
Postal   I-LOCATION
Services   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
,   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Princess   B-LOCATION
Anne   I-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Princess   I-LOCATION
Anne   I-LOCATION
Partnership   I-LOCATION

Patient   O
Information   O
:   O
Name   O
:   O
Archer   B-NAME
Age   O
:   O
3   O
month   O
Contact   O
Number   O
:   O
(   B-CONTACT
192   I-CONTACT
)   I-CONTACT
795   I-CONTACT
-   I-CONTACT
5444   I-CONTACT
Residential   O
Address   O
:   O
Travis   B-LOCATION
Ranch   I-LOCATION
Occupation   O
:   O

On   O
03/06   B-DATE
,   O
Mr.   O
Lowe   B-NAME
reported   O
experiencing   O
acute   O
myocardial   O
infarction   O
symptoms   O
including   O
severe   O
and   O
sudden   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
nausea   O
.   O

He   O
was   O
in   O
his   O
Storage   O
and   O
Distribution   O
Managers   O
office   O
at   O
the   O
address   O
871   B-LOCATION
Bayberry   I-LOCATION
St.   I-LOCATION
when   O
the   O
symptoms   O
started   O
.   O

Hospital   O
and   O
Medical   O
Information   O
:   O
Mr.   O
Richelieu   B-NAME
,   I-NAME
Cardinal   I-NAME
arrived   O
at   O
NYC   B-LOCATION
Health   I-LOCATION
&   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Harlem   I-LOCATION
where   O
he   O
was   O
attended   O
by   O
the   O
cardiologist   O
Dr.   O
Jessica   B-NAME
Juarez   I-NAME
.   O

His   O
medical   O
record   O
number   O
is   O
641   B-ID
-   I-ID
27   I-ID
-   I-ID
92   I-ID
-   I-ID
6   I-ID
.   O

He   O
was   O
sent   O
for   O
an   O
emergency   O
manual   O
coronary   O
angiogram   O
by   O
Dr.   O
Bush   B-NAME
.   O

Post   O
Procedure   O
Care   O
:   O
Post   O
procedure   O
,   O
the   O
patient   O
was   O
assigned   O
to   O
the   O
specialist   O
cardiac   O
nurse   O
CE422   B-NAME
for   O
monitoring   O
and   O
rehabilitation   O
.   O

Mr.   O
Gracie   B-NAME
Hines   I-NAME
was   O
discharged   O
with   O
medications   O
and   O
prescribed   O
to   O
continue   O
beta   O
blockers   O
,   O
statins   O
,   O
and   O
low   O
-   O
dose   O
aspirin   O
.   O

He   O
will   O
have   O
follow   O
-   O
ups   O
scheduled   O
with   O
Dr.   O
Wolfe   B-NAME
MacFarlane   I-NAME
for   O
further   O
consultation   O
over   O
the   O
phone   O
on   O
162   B-CONTACT
-   I-CONTACT
902   I-CONTACT
1128   I-CONTACT
.   O

He   O
has   O
a   O
healthcare   O
insurance   O
policy   O
with   O
Physicians   B-LOCATION
Committee   I-LOCATION
for   I-LOCATION
Responsible   I-LOCATION
Medicine   I-LOCATION
(   I-LOCATION
PCRM   I-LOCATION
)   I-LOCATION
.   O

His   O
policy   O
ID   O
is   O
QJ   B-ID
:   I-ID
XL:8883   I-ID
.   O

The   O
hospital   O
coordinators   O
have   O
been   O
informed   O
to   O
reach   O
him   O
at   O
his   O
residential   O
address   O
McSwain   B-LOCATION
in   O
the   O
zip   O
code   O
28544   B-LOCATION
.   O

Please   O
refer   O
to   O
the   O
comprehensive   O
medical   O
report   O
for   O
a   O
detailed   O
analysis   O
and   O
forward   O
inquiries   O
to   O
the   O
assigned   O
medical   O
officer   O
NG925   B-NAME
for   O
any   O
questions   O
or   O
clarifications   O
.   O

Patient   O
Report   O
Subject   O
:   O
CONNER   B-NAME
,   I-NAME
VICKIE   I-NAME
02   B-DATE
/77   I-DATE
Mr.   O
Dutton   B-NAME
,   I-NAME
Denis   I-NAME
,   O
a   O
Command   O
and   O
Control   O
Center   O
Officers   O
by   O
profession   O
,   O
was   O
presented   O
to   O
the   O
Tyrone   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Network   I-LOCATION
's   O
emergency   O
department   O
.   O

He   O
was   O
transferred   O
from   O
the   O
Pure   B-LOCATION
Insurance   I-LOCATION
office   O
,   O
located   O
in   O
Elkins   B-LOCATION
Park   I-LOCATION
-   I-LOCATION
Cheltenham   I-LOCATION
,   I-LOCATION
Cheltenham   I-LOCATION
Township   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
where   O
he   O
had   O
been   O
attended   O
by   O
Mathews   B-NAME
.   O

Brief   O
History   O
:   O
Mr.   O
Quentin   B-NAME
Shaw   I-NAME
is   O
a   O
20   O
male   O
with   O
no   O
prior   O
history   O
of   O
lung   O
ailments   O
.   O

A   O
chest   O
radiograph   O
ordered   O
by   O
Armani   B-NAME
Cook   I-NAME
displayed   O
signs   O
of   O
pneumonia   O
.   O

The   O
Johns   B-LOCATION
Hopkins   I-LOCATION
Bayview   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
in   O
-   O
house   O
pharmacy   O
was   O
contacted   O
to   O
provide   O
the   O
prescribed   O
medications   O
.   O

Mr.   O
Sparber   B-NAME
,   I-NAME
Max   I-NAME
's   O
identification   O
number   O
ZI   B-ID
:   I-ID
OZ:1957   I-ID
and   O
the   O
contact   O
number   O
608   B-CONTACT
400   I-CONTACT
5476   I-CONTACT
of   O
his   O
next   O
-   O
of   O
-   O
kin   O
were   O
provided   O
to   O
ensure   O
the   O
information   O
is   O
updated   O
in   O
our   O
system   O
.   O

The   O
medical   O
record   O
number   O
used   O
for   O
this   O
case   O
is   O
83879448   B-ID
.   O

For   O
any   O
further   O
information   O
regarding   O
the   O
patient   O
's   O
medical   O
records   O
,   O
please   O
contact   O
the   O
medical   O
records   O
department   O
at   O
62210   B-CONTACT
or   O
via   O
user   O
login   O
rho468   B-NAME
.   O

The   O
hospital   O
is   O
located   O
in   O
the   O
55165   B-LOCATION
postal   O
area   O
of   O
Augusta   B-LOCATION
.   O

-   O
Martinez   B-NAME

Patient   O
:   O
Lucia   B-NAME
Sharp   I-NAME
Age   O
:   O
47   O
DOB   O
:   O
06/75   B-DATE
Medical   O
Record   O
Number   O
:   O
67418430   B-ID
Residence   O
:   O
Clearfield   B-LOCATION
Hospital   O
Name   O
:   O
Ridgeview   B-LOCATION
Institute   I-LOCATION
Doctor   O
’s   O
Name   O
:   O
Lynch   B-NAME
Organization   O
:   O
United   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
Symptoms   O
:   O
On   O
11/14/1693   B-DATE
,   O
Jackson   B-NAME
,   I-NAME
Robert   I-NAME
H.   I-NAME
presented   O
with   O
an   O
acute   O
onset   O
of   O
upper   O
abdominal   O
pain   O
that   O
gradually   O
travelled   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Upon   O
further   O
diagnostic   O
evaluation   O
conducted   O
by   O
Winters   B-NAME
at   O
Sheridan   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Complex   I-LOCATION
–   I-LOCATION
Hoxie   I-LOCATION
,   O
an   O
Ultrasonography   O
of   O
the   O
abdomen   O
revealed   O
an   O
inflamed   O
gallbladder   O
with   O
multiple   O
stones   O
,   O
with   O
no   O
dilatation   O
of   O
the   O
common   O
bile   O
duct   O
,   O
confirming   O
a   O
diagnosis   O
of   O
acute   O
cholecystitis   O
.   O

Past   O
Medical   O
History   O
:   O
Brady   B-NAME
suffers   O
from   O
type   O
2   O
diabetes   O
,   O
currently   O
under   O
drug   O
control   O
.   O

Next   O
visit   O
scheduled   O
on   O
6/2342   B-DATE
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Jerome   I-LOCATION
.   O

Awentia   B-NAME
to   O
bring   O
ZM   B-ID
:   I-ID
AZ:6665   I-ID
for   O
verification   O
.   O

Emergency   O
Contact   O
:   O
Name-   O
wlq337   B-NAME
,   O
Phone-   O
87916   B-CONTACT
,   O
Profession-   O
Roof   O
Bolters   O
,   O
Mining   O
,   O
Location-   O
Lookingglass   B-LOCATION
,   O
ZIP-   O
13317   B-LOCATION
Medical   O
staff   O
has   O
been   O
advised   O
to   O
contact   O
the   O
emergency   O
contact   O
in   O
case   O
of   O
any   O
worsening   O
condition   O
and   O
require   O
immediate   O
attention   O
.   O

Patient   O
Name   O
:   O
ostrowski   B-NAME
Age   O
:   O
29   O
Address   O
:   O
Orem   B-LOCATION
Phone   O
:   O
868   B-CONTACT
176   I-CONTACT
9280   I-CONTACT
ID   O
:   O
3   B-ID
-   I-ID
1521824   I-ID
Occupation   O
:   O

Dot   O
Etchers   O
Medical   O
Record   O
:   O
472   B-ID
-   I-ID
27   I-ID
-   I-ID
81   I-ID
-   I-ID
6   I-ID
Primary   O
Care   O
Physician   O
:   O

Maverick   B-NAME
Anderson   I-NAME
Hospital   O
of   O
Recent   O
Visit   O
:   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Southeast   I-LOCATION
Texas   I-LOCATION
Beaumont   I-LOCATION
Campus   I-LOCATION
Username   O
:   O
XE808   B-NAME
Zip   O
:   O
82927   B-LOCATION
Date   O
:   O
6/22   B-DATE
Organizations   O
:   O
Southern   B-LOCATION
Minnesota   I-LOCATION
Municipal   I-LOCATION
Power   I-LOCATION
Agency   I-LOCATION
Patient   O
Peter   B-NAME
Starr   I-NAME
visited   O
Perger   B-NAME
,   I-NAME
Andreas   I-NAME
Paolo   I-NAME
on   O
08/35   B-DATE
at   O
Medical   B-LOCATION
Center   I-LOCATION
Enterprise   I-LOCATION
complaining   O
of   O
persistent   O
migraines   O
.   O

A   O
full   O
neurological   O
examination   O
was   O
conducted   O
and   O
the   O
patient   O
's   O
medical   O
record   O
834   B-ID
-   I-ID
65   I-ID
-   I-ID
55   I-ID
was   O
updated   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
12/28/50   B-DATE
at   O
St.   B-LOCATION
Claire   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

We   O
request   O
that   O
Hildred   B-NAME
Aguas   I-NAME
return   O
for   O
further   O
evaluation   O
.   O

The   O
Illinois   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
contact   O
number   O
401   B-CONTACT
1622   I-CONTACT
was   O
given   O
to   O
the   O
patient   O
for   O
any   O
immediate   O
assistance   O
.   O

A   O
copy   O
of   O
this   O
report   O
is   O
sent   O
to   O
the   O
CWA   B-LOCATION
-   I-LOCATION
Canadian   I-LOCATION
Media   I-LOCATION
Guild   I-LOCATION
.   O

Patient   O
's   O
profile   O
was   O
updated   O
under   O
the   O
username   O
HE651   B-NAME
in   O
our   O
digital   O
database   O
.   O

Patient   O
's   O
Zip   O
code   O
is   O
67924   B-LOCATION
.   O

In   O
summary   O
,   O
Clara   B-NAME
D   I-NAME
Quilici   I-NAME
's   O
condition   O
requires   O
definitive   O
therapy   O
and   O
lifestyle   O
modifications   O
to   O
manage   O
stress   O
levels   O
.   O

Patient   O
Report   O
Benedict   B-NAME
XVI   I-NAME
(   I-NAME
Pope   I-NAME
)   I-NAME
is   O
a   O
95   O
years   O
old   O
individual   O
who   O
first   O
started   O
experiencing   O
symptoms   O
around   O
2381   B-DATE
.   O

They   O
reside   O
in   O
Sidman   B-LOCATION
.   O

Originally   O
seen   O
by   O
Edgar   B-NAME
Cole   I-NAME
at   O
Pioneers   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
a   O
series   O
of   O
tests   O
were   O
recommended   O
to   O
further   O
understand   O
the   O
patient   O
's   O
complaints   O
.   O

The   O
medical   O
record   O
number   O
for   O
these   O
procedures   O
is   O
22598884   B-ID
.   O

Smollett   B-NAME
,   I-NAME
Tobias   I-NAME
has   O
been   O
referred   O
to   O
Dr.   O
Petty   B-NAME
at   O
White   B-LOCATION
Plains   I-LOCATION
Hospital   I-LOCATION
,   O
a   O
specialist   O
in   O
the   O
field   O
for   O
further   O
management   O
.   O

The   O
appointment   O
is   O
fixed   O
for   O
27/21   B-DATE
at   O
Hewlett   B-LOCATION
Neck   I-LOCATION
.   O

For   O
appointment   O
related   O
queries   O
,   O
Cooper   B-NAME
,   I-NAME
Alice   I-NAME
was   O
advised   O
to   O
contact   O
the   O
hospital   O
's   O
appointment   O
desk   O
at   O
(   B-CONTACT
499   I-CONTACT
)   I-CONTACT
174   I-CONTACT
-   I-CONTACT
3494   I-CONTACT
.   O

Floyd   B-NAME
R   I-NAME
Shaw   I-NAME
shared   O
that   O
he   O
was   O
part   O
of   O
American   B-LOCATION
Veterans   I-LOCATION
Committee   I-LOCATION
which   O
might   O
provide   O
some   O
financial   O
support   O
during   O
his   O
treatment   O
.   O

Braylen   B-NAME
Dougherty   I-NAME
's   O
health   O
insurance   O
is   O
PD   B-ID
:   I-ID
MU:2439   I-ID
.   O

The   O
patient   O
portal   O
username   O
for   O
accessing   O
medical   O
reports   O
online   O
is   O
fs509   B-NAME
.   O

Their   O
postal   O
code   O
is   O
51235   B-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
the   O
same   O
Ellie   B-NAME
Payne   I-NAME
at   O
Cascade   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
two   O
weeks   O
(   O
1/32/03   B-DATE
)   O
to   O
evaluate   O
the   O
response   O
to   O
the   O
treatment   O
and   O
any   O
possible   O
complications   O
.   O

Note   O
:   O
Patient   O
report   O
is   O
only   O
accessible   O
to   O
authorized   O
personnel   O
to   O
ensure   O
privacy   O
of   O
Judalon   B-NAME
's   O
medical   O
information   O
.   O

Patient   O
Name   O
:   O
Hamilton   B-NAME
,   I-NAME
Gail   I-NAME
Date   O
of   O
Visit   O
:   O
1673   B-DATE
Hospital   O
Name   O
:   O

Phelps   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Assigned   O
Doctor   O
:   O
Gentry   B-NAME
Medical   O
Record   O
Number   O
:   O
11569088   B-ID
Mr.   O
Palin   B-NAME
,   I-NAME
Michael   I-NAME
first   O
reported   O
symptoms   O
on   O
02/02/08   B-DATE
.   O

His   O
medical   O
history   O
revealed   O
that   O
he   O
resides   O
in   O
the   O
Clarks   B-LOCATION
Summit   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
67991   B-LOCATION
.   O

Mr.   O
Neal   B-NAME
is   O
presenting   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
high   O
-   O
grade   O
,   O
continuous   O
fever   O
,   O
abrupt   O
in   O
onset   O
,   O
accompanied   O
by   O
chills   O
and   O
night   O
sweats   O
.   O

In   O
the   O
past   O
couple   O
of   O
days   O
,   O
Mr.   O
Denzel   B-NAME
has   O
also   O
reported   O
having   O
bouts   O
of   O
diarrhea   O
.   O

His   O
contact   O
number   O
is   O
28451   B-CONTACT
and   O
can   O
be   O
reached   O
most   O
of   O
the   O
time   O
.   O

He   O
gave   O
his   O
consent   O
to   O
disclose   O
his   O
medical   O
identity   O
,   O
56436371   B-ID
,   O
for   O
necessary   O
medical   O
interventions   O
.   O

His   O
electronic   O
medical   O
records   O
can   O
be   O
accessed   O
using   O
his   O
patient   O
username   O
,   O
mpx463   B-NAME
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Desmond   B-NAME
Petersen   I-NAME
from   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Riverside   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
ParkCare   I-LOCATION
Pavilion   I-LOCATION
,   O
ordered   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
Liver   O
Function   O
Test   O
(   O
LFT   O
)   O
,   O
and   O
Chest   O
X   O
-   O
Ray   O
.   O

Dr.   O
Rivers   B-NAME
from   O
Clarke   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
has   O
sent   O
his   O
medical   O
samples   O
to   O
the   O
Construction   B-LOCATION
,   I-LOCATION
Forestry   I-LOCATION
,   I-LOCATION
Maritime   I-LOCATION
,   I-LOCATION
Mining   I-LOCATION
and   I-LOCATION
Energy   I-LOCATION
Union   I-LOCATION
for   O
further   O
pathology   O
tests   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
is   O
on   O
25/23/2000   B-DATE
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Fe   B-NAME
Ell   I-NAME
Age   O
:   O
36   O
Residential   O
Address   O
:   O
Gray   B-LOCATION
Summit   I-LOCATION
Patient   O
ID   O
:   O
47058787   B-ID
Medical   O
Record   O
Number   O
:   O
723   B-ID
-   I-ID
24   I-ID
-   I-ID
73   I-ID
-   I-ID
3   I-ID
03/21   B-DATE
Respected   O
Liana   B-NAME
Fletcher   I-NAME
,   O
I   O
am   O
writing   O
to   O
update   O
you   O
on   O
Justis   B-NAME
's   O
present   O
condition   O
.   O

There   O
might   O
also   O
be   O
signs   O
of   O
hemiparesis   O
,   O
as   O
Olszewski   B-NAME
complained   O
about   O
weakness   O
and   O
difficulty   O
moving   O
his   O
left   O
arm   O
and   O
leg   O
yesterday   O
.   O

vj150   B-NAME
is   O
contacting   O
the   O
Lincoln   B-LOCATION
Electric   I-LOCATION
System   I-LOCATION
for   O
approval   O
of   O
the   O
MRI   O
scan   O
.   O

Also   O
,   O
Chad   B-NAME
Crawford   I-NAME
's   O
scheduled   O
for   O
an   O
appointment   O
with   O
you   O
on   O
9/30   B-DATE
at   O
the   O
Wiregrass   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

I   O
have   O
suggested   O
Hannah   B-NAME
Copeland   I-NAME
to   O
maintain   O
a   O
quiet   O
and   O
dark   O
environment   O
at   O
home   O
and   O
limit   O
exposure   O
to   O
screens   O
,   O
avoiding   O
unnecessary   O
straining   O
of   O
the   O
eyes   O
.   O

Please   O
reach   O
out   O
to   O
Villasenor   B-NAME
or   O
me   O
personally   O
on   O
90014   B-CONTACT
,   O
if   O
you   O
need   O
any   O
further   O
information   O
or   O
if   O
you   O
want   O
to   O
discuss   O
Malcolm   B-NAME
Patton   I-NAME
's   O
treatment   O
plan   O
anytime   O
sooner   O
.   O

The   O
patient   O
resides   O
in   O
East   B-LOCATION
Fairview   I-LOCATION
,   O
zip   O
code   O
being   O
45475   B-LOCATION
.   O

In   O
case   O
you   O
need   O
it   O
,   O
the   O
patient   O
’s   O
social   O
security   O
information   O
is   O
9629800   B-ID
.   O

Thank   O
you   O
,   O
as   O
always   O
,   O
for   O
your   O
excellent   O
attention   O
and   O
care   O
towards   O
Ryan   B-NAME
Leach   I-NAME
.   O

Patient   O
Information   O
Patient   O
Name   O
:   O
Leland   B-NAME
Washington   I-NAME
ID   O
Number   O
:   O
1077481   B-ID
Age   O
:   O
59   O
Location   O
:   O
Statesboro   B-LOCATION
Patient   O
's   O
Primary   O
Care   O
Provider   O
Doctor   O
Name   O
:   O

Terrence   B-NAME
Doyle   I-NAME
Medical   O
History   O
:   O

On   O
28   B-DATE
,   O
the   O
patient   O
Linette   B-NAME
was   O
advised   O
to   O
admit   O
in   O
ward   O
4A   O
of   O
the   O
medical   O
facility   O
,   O
Ascension   B-LOCATION
NE   I-LOCATION
Wisconsin   I-LOCATION
-   I-LOCATION
Mercy   I-LOCATION
Campus   I-LOCATION
,   O
following   O
a   O
primary   O
diagnosis   O
of   O
persistent   O
abdominal   O
discomfort   O
,   O
consistent   O
with   O
gastritis   O
.   O

Diagnostic   O
Findings   O
:   O
After   O
the   O
initial   O
assessment   O
,   O
an   O
endoscopic   O
examination   O
was   O
arranged   O
for   O
North   B-NAME
on   O
1638   B-DATE
which   O
indicated   O
mucosal   O
inflammation   O
and   O
multiple   O
superficial   O
gastric   O
erosions   O
,   O
suggestive   O
of   O
acute   O
gastritis   O
.   O

The   O
patient   O
's   O
record   O
,   O
58212729   B-ID
,   O
hallmarked   O
by   O
the   O
documented   O
H.   O
pylori   O
infection   O
last   O
year   O
was   O
revisited   O
during   O
the   O
discussion   O
.   O

Treatment   O
Progress   O
and   O
Recommendations   O
:   O
The   O
primary   O
care   O
doctor   O
,   O
Belloc   B-NAME
,   I-NAME
Hilaire   I-NAME
,   O
along   O
with   O
the   O
team   O
at   O
Southern   B-LOCATION
Virginia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
suggested   O
a   O
two   O
-   O
week   O
triple   O
therapy   O
anti   O
-   O
inflammatory   O
protocol   O
along   O
with   O
an   O
emphasis   O
on   O
lifestyle   O
changes   O
,   O
particularly   O
in   O
diet   O
and   O
stress   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
set   O
for   O
30/25   B-DATE
with   O
Andre   B-NAME
Ritter   I-NAME
at   O
his   O
clinic   O
located   O
in   O
Castlewood   B-LOCATION
.   O

The   O
patient   O
Arushi   B-NAME
Emerson   I-NAME
,   O
works   O
as   O
a   O
accountant   O
in   O
a   O
high   O
stress   O
Chartered   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Physiotherapy   I-LOCATION
,   O
hence   O
it   O
is   O
advised   O
for   O
him   O
to   O
engage   O
in   O
stress   O
management   O
techniques   O
as   O
an   O
adjunct   O
to   O
his   O
treatment   O
protocol   O
.   O

For   O
further   O
information   O
or   O
emergency   O
assistance   O
,   O
Merrick   B-NAME
,   I-NAME
Joseph   I-NAME
or   O
his   O
family   O
can   O
reach   O
us   O
at   O
61805   B-CONTACT
.   O

Login   O
with   O
gv497   B-NAME
to   O
access   O
the   O
patient   O
portal   O
.   O

Postal   O
communications   O
can   O
be   O
addressed   O
to   O
35929   B-LOCATION
.   O

We   O
aim   O
to   O
ensure   O
dedicated   O
service   O
for   O
our   O
patient   O
Barajas   B-NAME
,   O
to   O
achieve   O
the   O
best   O
possible   O
health   O
outcome   O
.   O

Patient   O
's   O
Name   O
:   O
Glas   B-NAME
Age   O
:   O
5   O
week   O
Medical   O
Record   O
Number   O
:   O
6075567   B-ID

The   O
patient   O
came   O
into   O
the   O
St.   B-LOCATION
Louis   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
ER   O
on   O
August   B-DATE
with   O
complaints   O
of   O
persistent   O
pain   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Through   O
ultrasound   O
examinations   O
conducted   O
by   O
Dr.   O
Carrillo   B-NAME
,   O
the   O
presence   O
of   O
gallstones   O
was   O
confirmed   O
,   O
however   O
,   O
they   O
were   O
non   O
-   O
obstructing   O
.   O

Beherns   B-NAME
has   O
a   O
family   O
history   O
of   O
gallbladder   O
disease   O
as   O
their   O
mother   O
had   O
undergone   O
gallstones   O
surgeries   O
.   O

Haley   B-NAME
lives   O
in   O
Willow   B-LOCATION
and   O
was   O
earlier   O
treated   O
for   O
similar   O
symptoms   O
by   O
a   O
physician   O
in   O
their   O
locality   O
.   O

When   O
questioned   O
about   O
their   O
job   O
,   O
Holden   B-NAME
Willis   I-NAME
shared   O
they   O
are   O
employed   O
as   O
a   O
Compliance   O
Managers   O
.   O

The   O
patient   O
's   O
health   O
plan   O
account   O
number   O
is   O
RD497/4931   B-ID
.   O

Please   O
reach   O
the   O
patient   O
at   O
(   B-CONTACT
502   I-CONTACT
)   I-CONTACT
208   I-CONTACT
4326   I-CONTACT
.   O

However   O
,   O
their   O
username   O
for   O
the   O
patient   O
portal   O
is   O
VC359   B-NAME
.   O

Also   O
,   O
keep   O
in   O
mind   O
,   O
their   O
mailing   O
address   O
zip   O
code   O
is   O
50676   B-LOCATION
.   O

In   O
light   O
of   O
the   O
concerns   O
surrounding   O
the   O
possible   O
escalation   O
of   O
pain   O
,   O
Arty   B-NAME
has   O
been   O
kept   O
under   O
observation   O
at   O
Lakeview   B-LOCATION
Hospital   I-LOCATION
.   O

Jakob   B-NAME
Delacruz   I-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Sidney   B-NAME
Boyle   I-NAME
in   O
the   O
Claxton   B-LOCATION
-   I-LOCATION
Hepburn   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
Grantville   B-LOCATION
on   O
11/28   B-DATE
.   O

The   O
Butler   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
Sun   B-LOCATION
Prairie   I-LOCATION
is   O
under   O
the   O
administration   O
of   O
the   O
Delmarva   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
.   O

Dr.   O
Jayvon   B-NAME
Hopkins   I-NAME
Physician   O
's   O
Signature   O

Patient   O
Name   O
:   O
Amani   B-NAME
Ryan   I-NAME

The   O
first   O
consultation   O
with   O
Allan   B-NAME
Dominguez   I-NAME
took   O
place   O
on   O
00/25/36   B-DATE
at   O
South   B-LOCATION
Miami   I-LOCATION
Hospital   I-LOCATION
.   O

Camila   B-NAME
Carney   I-NAME
is   O
a   O
Maintenance   O
engineer   O
who   O
lives   O
in   O
Kingstree   B-LOCATION
,   O
with   O
a   O
zip   O
code   O
of   O
69435   B-LOCATION
.   O

Jaramillo   B-NAME
presented   O
with   O
a   O
chief   O
complaint   O
of   O
recurring   O
chest   O
pain   O
for   O
the   O
past   O
few   O
weeks   O
.   O

Cardiology   O
consultation   O
by   O
Gundmundsdottir   B-NAME
,   I-NAME
Bjork   I-NAME
recommended   O
an   O
urgent   O
coronary   O
angiography   O
.   O

The   O
coronary   O
angiogram   O
,   O
carried   O
out   O
on   O
March   B-DATE
25   I-DATE
,   O
showed   O
significant   O
stenosis   O
in   O
the   O
mid   O
-   O
left   O
anterior   O
descending   O
artery   O
,   O
consistent   O
with   O
patient   O
symptoms   O
.   O

A   O
decision   O
was   O
made   O
for   O
the   O
patient   O
to   O
undergo   O
a   O
coronary   O
artery   O
bypass   O
graft   O
surgery   O
at   O
North   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Surgeon   O
Isaac   B-NAME
Reid   I-NAME
performed   O
the   O
procedure   O
successfully   O
on   O
4/22   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Lainey   B-NAME
Winters   I-NAME
was   O
discharged   O
home   O
on   O
37/23   B-DATE
.   O

The   O
discharge   O
summary   O
and   O
medical   O
records   O
,   O
number   O
596   B-ID
-   I-ID
41   I-ID
-   I-ID
83   I-ID
-   I-ID
7   I-ID
,   O
were   O
sent   O
to   O
the   O
local   O
Gordmans   B-LOCATION
for   O
further   O
monitoring   O
and   O
support   O
for   O
Morgan   B-NAME
F   I-NAME
Thayer   I-NAME
.   O

Communication   O
with   O
Chicago   B-NAME
,   I-NAME
Judy   I-NAME
should   O
happen   O
through   O
the   O
telephone   O
number   O
(   B-CONTACT
986   I-CONTACT
)   I-CONTACT
395   I-CONTACT
-   I-CONTACT
6621   I-CONTACT
and   O
,   O
if   O
required   O
,   O
contact   O
can   O
also   O
be   O
made   O
with   O
Ortega   B-NAME
's   O
primary   O
care   O
provider   O
via   O
username   O
sb918   B-NAME
on   O
the   O
hospital   O
's   O
secured   O
network   O
system   O
.   O

If   O
issues   O
persist   O
upon   O
discharge   O
,   O
Youngman   B-NAME
is   O
advised   O
to   O
contact   O
Donald   B-NAME
Westphall   I-NAME
immediately   O
for   O
evaluation   O
.   O

HIPPA   O
regulation   O
compliance   O
is   O
essential   O
and   O
requires   O
de   O
-   O
identifying   O
the   O
Personal   O
Health   O
Information   O
concerning   O
Werner   B-NAME
.   O

Therefore   O
,   O
in   O
all   O
communications   O
,   O
use   O
the   O
assigned   O
ZF:86827:842611   B-ID
number   O
assigned   O
.   O

Patient   O
Name   O
:   O
Sterling   B-NAME
Ewing   I-NAME
Date   O
:   O
20/11/2093   B-DATE
Age   O
:   O
56   O
Patient   O
Soren   B-NAME
Nichols   I-NAME
presented   O
to   O
Doctors   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
emesis   O
.   O

The   O
pain   O
was   O
described   O
as   O
crampy   O
,   O
located   O
in   O
the   O
lower   O
abdominal   O
region   O
,   O
and   O
had   O
been   O
progressively   O
worsening   O
over   O
a   O
07/32   B-DATE
period   O
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
diagnosed   O
in   O
22/81   B-DATE
by   O
Laila   B-NAME
Shannon   I-NAME
at   O
South   B-LOCATION
Hadley   I-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Review   O
of   O
Systems   O
:   O
Determined   O
by   O
Martina   B-NAME
Durgin   I-NAME
,   O
the   O
patient   O
was   O
suffering   O
from   O
Gastroenteritis   O
at   O
the   O
time   O
of   O
admission   O
.   O

Upon   O
physical   O
examination   O
by   O
Immanuel   B-NAME
Zimmerman   I-NAME
,   O
the   O
patient   O
appeared   O
to   O
be   O
in   O
acute   O
distress   O
,   O
with   O
signs   O
of   O
dehydration   O
.   O

An   O
MRI   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
also   O
prescribed   O
by   O
Kaelyn   B-NAME
Kidd   I-NAME
.   O

The   O
patient   O
was   O
advised   O
intravenous   O
rehydration   O
and   O
rest   O
by   O
Olive   B-NAME
Davis   I-NAME
.   O

The   O
patient   O
was   O
also   O
put   O
under   O
observation   O
for   O
24   O
hours   O
under   O
the   O
care   O
of   O
Conrad   B-NAME
in   O
Animas   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
resides   O
at   O
Radar   B-LOCATION
Base   I-LOCATION
and   O
contactable   O
at   O
555   B-CONTACT
-   I-CONTACT
3767   I-CONTACT
Medical   O
record   O
number   O
is   O
97119368   B-ID
Next   O
of   O
Kin   O
:   O

The   O
patient   O
's   O
next   O
of   O
kin   O
,   O
a   O
Mining   O
and   O
Geological   O
Engineers   O
,   O
Including   O
Mining   O
Safety   O
Engineers   O
,   O
can   O
be   O
contacted   O
on   O
the   O
given   O
number   O
:   O
(   B-CONTACT
174   I-CONTACT
)   I-CONTACT
718   I-CONTACT
-   I-CONTACT
9744   I-CONTACT
.   O

The   O
patient   O
's   O
social   O
security   O
number   O
is   O
CY:26464:292696   B-ID
Further   O
details   O
and   O
medical   O
records   O
can   O
be   O
accessed   O
via   O
username   O
gu695   B-NAME
at   O
Public   B-LOCATION
and   I-LOCATION
Commercial   I-LOCATION
Services   I-LOCATION
Union   I-LOCATION
portal   O
.   O

Follow   O
-   O
Up   O
:   O
To   O
review   O
the   O
progression   O
of   O
the   O
treatment   O
,   O
an   O
appointment   O
with   O
Bune   B-NAME
,   I-NAME
Poseci   I-NAME
should   O
be   O
booked   O
for   O
15/17/2112   B-DATE
at   O
Torrance   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
.   O

Postcode   O
:   O
77675   B-LOCATION

Patient   O
Information   O
:   O
The   O
patient   O
,   O
Khan   B-NAME
,   O
is   O
a   O
Nuclear   O
Monitoring   O
Technicians   O
based   O
out   O
of   O
East   B-LOCATION
Amana   I-LOCATION
.   O

He   O
reported   O
his   O
symptoms   O
to   O
Dr.   O
Farring   B-NAME
on   O
a   O
telephonic   O
consultation   O
booked   O
through   O
Star   B-LOCATION
's   I-LOCATION
Collective   I-LOCATION
on   O
1945   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
08   I-DATE
.   O

He   O
can   O
be   O
contacted   O
on   O
495   B-CONTACT
-   I-CONTACT
277   I-CONTACT
8641   I-CONTACT
.   O

Medical   O
History   O
:   O
Samantha   B-NAME
Kerr   I-NAME
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
two   O
weeks   O
prior   O
.   O

Rivas   B-NAME
also   O
exhibits   O
muscle   O
weakness   O
and   O
has   O
found   O
it   O
increasingly   O
difficult   O
to   O
perform   O
his   O
daily   O
duties   O
as   O
a   O
Directors-   O
Stage   O
,   O
Motion   O
Pictures   O
,   O
Television   O
,   O
and   O
Radio   O
.   O

Diagnostic   O
Investigations   O
:   O
Following   O
his   O
appointment   O
on   O
02/29/41   B-DATE
,   O
Nibaw   B-NAME
was   O
asked   O
to   O
visit   O
Heritage   B-LOCATION
Valley   I-LOCATION
Beaver   I-LOCATION
for   O
further   O
investigations   O
.   O

His   O
initial   O
report   O
was   O
submitted   O
and   O
tagged   O
with   O
75113470   B-ID
.   O

A   O
high   O
complete   O
blood   O
count   O
followed   O
by   O
mild   O
leukocytosis   O
was   O
also   O
administered   O
on   O
22   B-DATE
.   O

Identification   O
Information   O
:   O
Kolby   B-NAME
Duran   I-NAME
resides   O
in   O
the   O
area   O
covered   O
by   O
the   O
62863   B-LOCATION
postal   O
code   O
and   O
possesses   O
an   O
identification   O
proof   O
bearing   O
NU   B-ID
:   I-ID
UV:3370   I-ID
as   O
his   O
unique   O
identity   O
.   O

His   O
profile   O
on   O
the   O
medical   O
portal   O
of   O
Hancock   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
is   O
registered   O
with   O
the   O
epq587   B-NAME
.   O

The   O
complete   O
reports   O
have   O
been   O
evaluated   O
by   O
Dr.   O
Ellie   B-NAME
Cavanaugh   I-NAME
.   O

Julius   B-NAME
Garza   I-NAME
has   O
been   O
advised   O
to   O
be   O
admitted   O
to   O
Colmery   B-LOCATION
-   I-LOCATION
O'Neil   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
immediately   O
for   O
intensive   O
treatment   O
and   O
monitoring   O
.   O

His   O
emergency   O
contact   O
number   O
,   O
(   B-CONTACT
216   I-CONTACT
)   I-CONTACT
336   I-CONTACT
-   I-CONTACT
9411   I-CONTACT
,   O
has   O
been   O
saved   O
in   O
his   O
medical   O
records   O
.   O

His   O
records   O
can   O
be   O
accessed   O
in   O
the   O
future   O
using   O
the   O
237   B-ID
-   I-ID
29   I-ID
-   I-ID
04   I-ID
-   I-ID
8   I-ID
or   O
scanning   O
the   O
2   B-ID
-   I-ID
5751744   I-ID
on   O
his   O
identification   O
proof   O
.   O

The   O
ongoing   O
treatment   O
plan   O
will   O
be   O
shared   O
on   O
the   O
patient   O
's   O
registered   O
mail   O
attached   O
to   O
YU821   B-NAME
on   O
the   O
hospital   O
portal   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
0   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
26   I-DATE
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
under   O
Dr.   O
Hayden   B-NAME
.   O

The   O
updates   O
about   O
his   O
health   O
will   O
be   O
provided   O
at   O
the   O
Trade   B-LOCATION
Union   I-LOCATION
Coordination   I-LOCATION
Committee   I-LOCATION
where   O
he   O
was   O
initially   O
consulted   O
for   O
the   O
telephonic   O
appointment   O
.   O

Patient   O
Name   O
:   O
Maverick   B-NAME
Hanson   I-NAME
Age   O
:   O
45   O
Address   O
:   O
Bel   B-LOCATION
Air   I-LOCATION
,   I-LOCATION
Bel   I-LOCATION
Air   I-LOCATION
Downtown   I-LOCATION
Alliance   I-LOCATION
Phone   O
Number   O
:   O
80413   B-CONTACT
ID   O
:   O
AQ:1537:498956   B-ID
Medical   O
Record   O
:   O
03400475   B-ID
Organization   O
:   O
Nation   B-LOCATION
of   I-LOCATION
Suns   I-LOCATION
Occupation   O
:   O

Audio   O
and   O
Video   O
Equipment   O
Technicians   O
Date   O
:   O
11/12   B-DATE
Dear   O
Donaldson   B-NAME
,   O
Regarding   O
the   O
patient   O
Damian   B-NAME
Hamilton   I-NAME
,   O
he   O
started   O
reporting   O
persistent   O
abdominal   O
pain   O
around   O
two   O
weeks   O
ago   O
.   O

On   O
July   B-DATE
6   I-DATE
,   O
Vance   B-NAME
Vance   I-NAME
also   O
mentioned   O
experiencing   O
episodes   O
of   O
nausea   O
,   O
followed   O
by   O
bouts   O
of   O
vomiting   O
.   O

Being   O
a   O
Prosthodontists   O
,   O
Solon   B-NAME
Maxim   I-NAME
has   O
a   O
fairly   O
active   O
lifestyle   O
,   O
and   O
his   O
recent   O
fatigue   O
and   O
weakness   O
have   O
affected   O
his   O
work   O
as   O
well   O
.   O

Initial   O
tests   O
conducted   O
at   O
our   O
Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
suggest   O
he   O
may   O
be   O
suffering   O
from   O
malabsorption   O
or   O
perhaps   O
a   O
bile   O
duct   O
obstruction   O
.   O

These   O
tests   O
can   O
be   O
done   O
at   O
our   O
facility   O
located   O
at   O
Zaleski   B-LOCATION
.   O

Please   O
contact   O
us   O
at   O
(   B-CONTACT
576   I-CONTACT
)   I-CONTACT
835   I-CONTACT
-   I-CONTACT
3465   I-CONTACT
or   O
reach   O
out   O
to   O
our   O
admin   O
,   O
stn618   B-NAME
,   O
for   O
scheduling   O
the   O
required   O
consultations   O
and   O
tests   O
.   O

Yours   O
sincerely   O
,   O
Dexter   B-NAME
Huber   I-NAME
Department   O
of   O
Gastroenterology   O
Baptist   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Conway   I-LOCATION
10053   B-LOCATION

Patient   O
Name   O
:   O
Becker   B-NAME
,   I-NAME
Carl   I-NAME
Date   O
:   O
36/29/2112   B-DATE
Medical   O
Record   O
Number   O
:   O
0849C90887   B-ID
Doctor   O
's   O
Name   O
:   O
Ben   B-NAME
-   I-NAME
Gurion   I-NAME
,   I-NAME
David   I-NAME
Hospital   O
:   O
LDS   B-LOCATION
Hospital   I-LOCATION
Patient   O
Nehemiah   B-NAME
Pope   I-NAME
,   O
of   O
37   O
years   O
,   O
presented   O
to   O
HealthSouth   B-LOCATION
Treasure   I-LOCATION
Coast   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
on   O
feb   B-DATE
.   O

On   O
further   O
questioning   O
,   O
Saunders   B-NAME
also   O
reported   O
intermittent   O
episodes   O
of   O
vertigo   O
and   O
occasional   O
syncope   O
.   O

Impressions   O
from   O
MRI   O
taken   O
on   O
28/09   B-DATE
at   O
Northeast   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
suggested   O
evidence   O
of   O
an   O
intracranial   O
mass   O
.   O

Referrals   O
were   O
made   O
by   O
Randolph   B-NAME
to   O
neurology   O
and   O
oncology   O
departments   O
within   O
Twilight   B-LOCATION
.   O

The   O
patient   O
was   O
scheduled   O
to   O
have   O
a   O
brain   O
biopsy   O
in   O
the   O
operating   O
room   O
on   O
33/20   B-DATE
.   O

Emiliano   B-NAME
Houston   I-NAME
owns   O
a   O
bakery   O
in   O
Chester   B-LOCATION
where   O
they   O
work   O
as   O
a   O
Orthotists   O
and   O
Prosthetists   O
.   O

Strangelove   B-NAME
resides   O
in   O
33669   B-LOCATION
.   O

Their   O
contact   O
number   O
was   O
recorded   O
as   O
679   B-CONTACT
5466   I-CONTACT
and   O
ID   O
number   O
is   O
UD959/1551   B-ID
.   O

The   O
plan   O
is   O
to   O
follow   O
up   O
with   O
Roy   B-NAME
Rivas   I-NAME
after   O
the   O
biopsy   O
using   O
the   O
phone   O
number   O
provided   O
.   O

The   O
neuro   O
-   O
oncological   O
team   O
met   O
on   O
2181   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
07   I-DATE
with   O
the   O
radiology   O
department   O
at   O
City   B-LOCATION
of   I-LOCATION
Tallahassee   I-LOCATION
Utilities   I-LOCATION
to   O
discuss   O
the   O
imaging   O
findings   O
and   O
tentative   O
plan   O
for   O
Margaret   B-NAME
Alvarez   I-NAME
.   O

A   O
note   O
was   O
additionally   O
made   O
in   O
Nunally   B-NAME
.   I-NAME
Patrick   B-NAME
's   O
medical   O
record   O
(   O
7681563   B-ID
)   O
to   O
provide   O
further   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

An   O
email   O
with   O
all   O
the   O
relevant   O
details   O
was   O
sent   O
on   O
5/25/52   B-DATE
to   O
rh204   B-NAME
(   O
nursing   O
team   O
lead   O
)   O
at   O
Coliseum   B-LOCATION
Center   I-LOCATION
for   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
to   O
coordinate   O
the   O
preoperative   O
and   O
postoperative   O
care   O
.   O

On   O
a   O
final   O
note   O
,   O
Hanna   B-NAME
also   O
recommended   O
a   O
dietitian   O
for   O
Arkeville   B-NAME
considering   O
their   O
active   O
lifestyle   O
and   O
to   O
ensure   O
their   O
energy   O
and   O
nutritional   O
needs   O
are   O
met   O
during   O
the   O
course   O
of   O
the   O
treatment   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
delarosa   B-NAME
Age   O
:   O
68   O
ID   O
:   O
3   B-ID
-   I-ID
7174596   I-ID
Address   O
:   O
Freelandville   B-LOCATION
Phone   O
:   O
541   B-CONTACT
677   I-CONTACT
-   I-CONTACT
7406   I-CONTACT
Zip   O
:   O
53756   B-LOCATION
Medical   O
record   O
number   O
:   O
102   B-ID
-   I-ID
78   I-ID
-   I-ID
21   I-ID
Chief   O
Complaint   O
:   O

On   O
1   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
12   I-DATE
,   O
Elmer   B-NAME
Knott   I-NAME
visited   O
Ascension   B-LOCATION
SE   I-LOCATION
Wisconsin   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Elmbrook   I-LOCATION
Campus   I-LOCATION
after   O
experiencing   O
an   O
abrupt   O
onset   O
of   O
chest   O
discomfort   O
extending   O
to   O
the   O
left   O
arm   O
.   O

On   O
examination   O
by   O
Dr.   O
Vang   B-NAME
,   O
the   O
patient   O
had   O
a   O
heart   O
rate   O
of   O
98   O
bpm   O
and   O
blood   O
pressure   O
of   O
150/90   O
mmHg   O
.   O

Past   O
Medical   O
History   O
:   O
Cynthia   B-NAME
Reid   I-NAME
has   O
a   O
medical   O
history   O
which   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
previously   O
managed   O
under   O
the   O
guidance   O
of   O
Dr.   O
Deandre   B-NAME
Galloway   I-NAME
at   O
St.   B-LOCATION
Margaret   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Discussion   O
:   O
Given   O
the   O
patient   O
's   O
symptoms   O
,   O
her   O
vital   O
signs   O
,   O
ECG   O
findings   O
,   O
and   O
her   O
past   O
medical   O
history   O
,   O
she   O
has   O
been   O
admitted   O
to   O
the   O
cardiology   O
department   O
at   O
AdventHealth   B-LOCATION
New   I-LOCATION
Smyrna   I-LOCATION
Beach   I-LOCATION
for   O
further   O
observation   O
and   O
treatment   O
.   O

Grayson   B-NAME
Bradley   I-NAME
needs   O
to   O
stay   O
admitted   O
for   O
monitoring   O
of   O
her   O
chest   O
pain   O
.   O

The   O
emergency   O
contact   O
for   O
the   O
patient   O
,   O
a   O
Funeral   O
Service   O
Managers   O
,   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
275   I-CONTACT
)   I-CONTACT
358   I-CONTACT
-   I-CONTACT
2812   I-CONTACT
.   O

They   O
live   O
in   O
Texas   B-LOCATION
alongside   O
the   O
patient   O
.   O

The   O
patient   O
record   O
has   O
been   O
updated   O
as   O
of   O
32/20   B-DATE
by   O
aux240   B-NAME
from   O
Linux   B-LOCATION
Australia   I-LOCATION
.   O

Patient   O
Name   O
:   O
Jaiden   B-NAME
Castaneda   I-NAME
DOB   O
:   O
October   B-DATE
27   I-DATE
Age   O
:   O
10   O
month   O
ID   O
:   O
4   B-ID
-   I-ID
7357264   I-ID
Contact   O
:   O
100   B-CONTACT
-   I-CONTACT
6410   I-CONTACT
Address   O
:   O
95   B-LOCATION
East   I-LOCATION
Dr.   I-LOCATION
Zip   O
Code   O
:   O
73868   B-LOCATION
Organization   O
:   O

Littleton   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
Profession   O
:   O

Athletic   O
Trainers   O
Username   O
:   O
ZC454   B-NAME
Physician   O
Name   O
:   O
Aubrie   B-NAME
Wallace   I-NAME
Hospital   O
Name   O
:   O

Hardin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
:   O
596   B-ID
-   I-ID
30   I-ID
-   I-ID
83   I-ID
Report   O
:   O
Gwen   B-NAME
K.   I-NAME
Xique   I-NAME
was   O
presented   O
to   O
Palm   B-LOCATION
Springs   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
on   O
2014   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
24   I-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
migraines   O
concentrated   O
primarily   O
on   O
the   O
left   O
side   O
of   O
the   O
forehead   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
Georgetta   B-NAME
Crisman   I-NAME
,   O
Paris   B-NAME
Roman   I-NAME
presented   O
a   O
normal   O
neurological   O
evaluation   O
,   O
with   O
no   O
abnormalities   O
found   O
in   O
eye   O
movement   O
,   O
facial   O
strength   O
,   O
coordination   O
,   O
or   O
sensation   O
.   O

Bat   B-NAME
has   O
a   O
family   O
history   O
of   O
migraines   O
.   O

Nielsen   B-NAME
’s   O
profession   O
as   O
a   O
Fire   O
-   O
Prevention   O
and   O
Protection   O
Engineers   O
might   O
be   O
contributing   O
to   O
their   O
condition   O
by   O
causing   O
stress   O
and   O
long   O
working   O
hours   O
.   O

I   O
reviewed   O
the   O
records   O
from   O
220   B-ID
-   I-ID
38   I-ID
-   I-ID
93   I-ID
-   I-ID
1   I-ID
,   O
Glover   B-NAME
was   O
previously   O
treated   O
by   O
Arias   B-NAME
at   O
University   B-LOCATION
Hospitals   I-LOCATION
Portage   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Weiser   B-LOCATION
and   O
has   O
been   O
prescribed   O
various   O
medication   O
regimens   O
with   O
limited   O
success   O
.   O

Considering   O
the   O
intensity   O
and   O
frequency   O
of   O
the   O
migraine   O
attacks   O
,   O
and   O
the   O
limited   O
success   O
of   O
prior   O
treatment   O
strategies   O
,   O
I   O
propose   O
to   O
start   O
Keely   B-NAME
Williams   I-NAME
on   O
a   O
trial   O
of   O
anti   O
-   O
CGRP   O
(   O
calcitonin   O
gene   O
-   O
related   O
peptide   O
)   O
medication   O
along   O
with   O
cognitive   O
behavioral   O
therapy   O
,   O
also   O
I   O
advised   O
them   O
to   O
avoid   O
triggers   O
such   O
as   O
stress   O
and   O
lack   O
of   O
sleep   O
.   O

I   O
will   O
follow   O
-   O
up   O
with   O
Norton   B-NAME
via   O
phone   O
call   O
on   O
(   B-CONTACT
833   I-CONTACT
)   I-CONTACT
571   I-CONTACT
5687   I-CONTACT
after   O
two   O
weeks   O
to   O
assess   O
the   O
effectiveness   O
and   O
tolerability   O
of   O
the   O
new   O
medication   O
.   O

Meanwhile   O
,   O
Carroll   B-NAME
has   O
consented   O
to   O
share   O
these   O
medical   O
updates   O
to   O
the   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
in   O
Medley   B-LOCATION
.   O

These   O
updates   O
will   O
be   O
further   O
maintained   O
under   O
username   O
go749   B-NAME
,   O
keeping   O
privacy   O
and   O
confidentiality   O
as   O
our   O
predominant   O
concern   O
.   O

Patient   O
IKI   B-NAME
was   O
admitted   O
at   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Southern   I-LOCATION
Nevada   I-LOCATION
on   O
the   O
evening   O
of   O
10/11   B-DATE
.   O

Initial   O
examination   O
by   O
Dr.   O
Muhammad   B-NAME
Bolton   I-NAME
unveiled   O
symptoms   O
of   O
incessant   O
coughing   O
,   O
high   O
fever   O
,   O
and   O
persistent   O
shortness   O
of   O
breath   O
.   O

Medical   O
history   O
shows   O
that   O
the   O
patient   O
has   O
been   O
previously   O
diagnosed   O
with   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
at   O
Driftwood   B-LOCATION
.   O

Upon   O
further   O
examination   O
conducted   O
by   O
our   O
Pulmonology   O
Team   O
,   O
led   O
by   O
Kierkegaard   B-NAME
,   I-NAME
Søren   I-NAME
Aabye   I-NAME
,   O
the   O
patient   O
presented   O
with   O
tachypnea   O
,   O
an   O
increased   O
respiratory   O
rate   O
,   O
along   O
with   O
rales   O
or   O
crackles   O
found   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
.   O

According   O
to   O
the   O
recent   O
lab   O
results   O
(   O
32/01/2350   B-DATE
)   O
,   O
results   O
for   O
a   O
nasopharyngeal   O
swab   O
for   O
COVID-19   O
came   O
out   O
positive   O
.   O

His   O
roommates   O
at   O
Renick   B-LOCATION
were   O
also   O
informed   O
to   O
get   O
tested   O
.   O

The   O
FM   B-LOCATION
Global   I-LOCATION
where   O
he   O
works   O
has   O
been   O
notified   O
about   O
his   O
medical   O
condition   O
.   O

His   O
landline   O
977   B-CONTACT
2923   I-CONTACT
and   O
mobile   O
numbers   O
were   O
recorded   O
.   O

As   O
per   O
VW6310   B-NAME
's   O
observation   O
notes   O
in   O
the   O
medical   O
record   O
472   B-ID
-   I-ID
27   I-ID
-   I-ID
81   I-ID
-   I-ID
6   I-ID
,   O
patient   O
symptoms   O
are   O
consistent   O
with   O
an   O
exacerbation   O
of   O
his   O
COPD   O
,   O
likely   O
triggered   O
by   O
a   O
recent   O
COVID-19   O
infection   O
.   O

The   O
assigned   O
case   O
-   O
management   O
team   O
at   O
Flint   B-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
has   O
begun   O
the   O
process   O
of   O
reaching   O
out   O
to   O
his   O
health   O
insurance   O
provider   O
(   O
Policy   O
0   B-ID
-   I-ID
9059667   I-ID
)   O
to   O
discuss   O
coverage   O
and   O
care   O
plans   O
moving   O
forward   O
.   O

He   O
resides   O
at   O
Traverse   B-LOCATION
City   I-LOCATION
with   O
a   O
25886   B-LOCATION
postal   O
code   O
,   O
and   O
an   O
ambulance   O
has   O
been   O
arranged   O
in   O
case   O
of   O
emergency   O
home   O
visits   O
.   O

The   O
compiled   O
report   O
has   O
been   O
delivered   O
to   O
Dr.   O
Butler   B-NAME
for   O
further   O
perusal   O
and   O
action   O
on   O
2037   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
25   I-DATE
.   O

Patient   O
Mitchell   B-NAME
arrived   O
at   O
Fleming   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
22/25   B-DATE
.   O

Roth   B-NAME
,   I-NAME
Philip   I-NAME
is   O
76   O
years   O
old   O
and   O
resides   O
at   O
Lake   B-LOCATION
Helen   I-LOCATION
.   O

Given   O
the   O
continuous   O
discomfort   O
faced   O
by   O
Daniel   B-NAME
E.   I-NAME
Guzman   I-NAME
,   O
the   O
team   O
led   O
by   O
John   B-NAME
Liberman   I-NAME
decided   O
to   O
perform   O
a   O
coronary   O
angiography   O
procedure   O
.   O

On   O
22/12/2052   B-DATE
,   O
a   O
meeting   O
was   O
arranged   O
between   O
Feelgood   B-NAME
and   O
Marc   B-NAME
Black   I-NAME
to   O
explain   O
the   O
procedure   O
and   O
to   O
take   O
complete   O
medical   O
history   O
.   O

Aubrey   B-NAME
Beaudreau   I-NAME
was   O
informed   O
of   O
the   O
possible   O
risks   O
and   O
challenges   O
,   O
and   O
his   O
consent   O
was   O
obtained   O
.   O

The   O
procedure   O
was   O
performed   O
on   O
April   B-DATE
under   O
sterile   O
conditions   O
in   O
the   O
Angiography   O
Suite   O
of   O
Lakewood   B-LOCATION
Ranch   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Currently   O
,   O
Federer   B-NAME
,   I-NAME
Roger   I-NAME
is   O
being   O
monitored   O
for   O
cardiac   O
pulse   O
and   O
blood   O
pressure   O
levels   O
.   O

Maurice   B-NAME
Diaz   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
's   O
completion   O
via   O
a   O
phone   O
call   O
at   O
(   B-CONTACT
812   I-CONTACT
)   I-CONTACT
211   I-CONTACT
5587   I-CONTACT
.   O

LOGAN   B-NAME
COLEMAN   I-NAME
's   O
identification   O
number   O
throughout   O
the   O
procedure   O
remained   O
IV:64834:984650   B-ID

and   O
his   O
medical   O
record   O
number   O
stands   O
as   O
2436G61330   B-ID
.   O

Gregory   B-NAME
Sosa   I-NAME
's   O
getting   O
discharged   O
on   O
1702   B-DATE
after   O
which   O
he   O
is   O
advised   O
to   O
take   O
robust   O
coronary   O
care   O
at   O
home   O
.   O

In   O
addition   O
to   O
this   O
,   O
Usha   B-NAME
has   O
been   O
referred   O
to   O
the   O
Cardiac   O
Rehabilitation   O
department   O
.   O

All   O
his   O
reports   O
are   O
to   O
be   O
sent   O
to   O
Imperial   B-LOCATION
Spheres   I-LOCATION
.   O

An   O
online   O
portal   O
username   O
HH853   B-NAME
has   O
been   O
created   O
to   O
allow   O
Dixie   B-NAME
Salazar   I-NAME
to   O
access   O
his   O
medical   O
records   O
remotely   O
.   O

The   O
post   O
-   O
discharge   O
medications   O
have   O
been   O
clearly   O
explained   O
to   O
Jermaine   B-NAME
Hazelton   I-NAME
and   O
he   O
has   O
been   O
provided   O
with   O
an   O
immediate   O
helpline   O
number   O
32299   B-CONTACT
,   O
should   O
there   O
be   O
an   O
emergency   O
.   O

He   O
will   O
be   O
followed   O
-   O
up   O
on   O
32/06/2280   B-DATE
.   O

The   O
next   O
appointment   O
has   O
been   O
scheduled   O
at   O
Pontotoc   B-LOCATION
48940   B-LOCATION
.   O

Patient   O
Report   O
for   O
Benjamin   B-NAME
Stone   I-NAME
Tamara   B-NAME
Mccarty   I-NAME
saw   O
the   O
patient   O
at   O
Mitchell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
17/22/2118   B-DATE
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
under   O
record   O
number   O
8   B-ID
-   I-ID
004927   I-ID
,   O
includes   O
hypertension   O
,   O
type   O
II   O
diabetes   O
and   O
a   O
prior   O
appendectomy   O
.   O

He   O
lives   O
in   O
Hunters   B-LOCATION
Creek   I-LOCATION
Village   I-LOCATION
and   O
works   O
in   O
finance   O
as   O
a   O
Painting   O
,   O
Coating   O
,   O
and   O
Decorating   O
Workers   O
.   O

The   O
patient   O
's   O
employer   O
,   O
Borough   B-LOCATION
of   I-LOCATION
Seaside   I-LOCATION
Heights   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
,   O
has   O
confirmed   O
the   O
provision   O
of   O
health   O
insurance   O
under   O
ID   O
number   O
24181881   B-ID
.   O

An   O
abdominal   O
CT   O
scan   O
was   O
recommended   O
and   O
was   O
scheduled   O
for   O
24/23/2220   B-DATE
at   O
Trinity   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

After   O
the   O
scan   O
,   O
we   O
contacted   O
the   O
patient   O
on   O
696   B-CONTACT
471   I-CONTACT
2879   I-CONTACT
to   O
ask   O
him   O
to   O
return   O
to   O
the   O
hospital   O
for   O
further   O
discussion   O
of   O
the   O
findings   O
.   O

The   O
patient   O
acknowledged   O
and   O
agreed   O
to   O
come   O
on   O
02/35   B-DATE
.   O

Directions   O
to   O
Methodist   B-LOCATION
Hospital   I-LOCATION
are   O
as   O
follows   O
:   O
Take   O
I-90   O
W   O
from   O
Fort   B-LOCATION
Washington   I-LOCATION
,   O
continue   O
on   O
I-90   O
W.   O
Take   O
exit   O
39655   B-LOCATION
for   O
IL-53   O
N   O
toward   O
8219   B-LOCATION
Hawthorne   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION
.   O
Continue   O
on   O
IL-53   O
N.   O
Take   O
exit   O
35475   B-LOCATION
for   O
Kirchoff   O
Rd   O
.   O

He   O
will   O
be   O
further   O
evaluated   O
by   O
a   O
gastroenterologist   O
,   O
Dr.   O
Aubrie   B-NAME
Case   I-NAME
,   O
from   O
the   O
Bank   B-LOCATION
of   I-LOCATION
Illinois   I-LOCATION
on   O
January   B-DATE
2234   I-DATE
.   O

The   O
patient   O
’s   O
report   O
was   O
created   O
on   O
November   B-DATE
12   I-DATE
by   O
the   O
user   O
QC981   B-NAME
.   O

Patient   O
Description   O
:   O
Bucky   B-NAME
DeVol   I-NAME
is   O
a   O
45   O
year   O
old   O
gentleman   O
who   O
has   O
been   O
under   O
the   O
medical   O
care   O
of   O
Myrl   B-NAME
Dan   I-NAME
.   O

He   O
hailed   O
from   O
9   B-LOCATION
Lower   I-LOCATION
River   I-LOCATION
Street   I-LOCATION
and   O
came   O
in   O
to   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
East   I-LOCATION
on   O
2/22   B-DATE
.   O

His   O
health   O
history   O
was   O
perused   O
,   O
which   O
has   O
reference   O
756   B-ID
92   I-ID
84   I-ID
and   O
a   O
main   O
ID   O
of   O
4   B-ID
-   I-ID
2193312   I-ID
for   O
verification   O
.   O

Brown   B-NAME
claims   O
it   O
appears   O
similar   O
to   O
previous   O
episodes   O
for   O
which   O
he   O
was   O
treated   O
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
,   I-LOCATION
formerly   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
same   O
Brady   B-NAME
.   O

Family   O
History   O
:   O
Evan   B-NAME
Robinson   I-NAME
's   O
family   O
history   O
from   O
the   O
Animal   B-LOCATION
Liberation   I-LOCATION
Brigade   I-LOCATION
(   I-LOCATION
ALB   I-LOCATION
)   I-LOCATION
records   O
reflect   O
a   O
prevalence   O
of   O
coronary   O
artery   O
disease   O
.   O

Next   O
steps   O
:   O
Mariah   B-NAME
Giles   I-NAME
was   O
contacted   O
through   O
469   B-CONTACT
8595   I-CONTACT
and   O
has   O
recommended   O
immediate   O
stabilization   O
and   O
an   O
electrocardiogram   O
.   O

Lydia   B-NAME
Barnes   I-NAME
is   O
currently   O
put   O
on   O
an   O
oxygen   O
mask   O
and   O
given   O
sublingual   O
nitroglycerin   O
.   O

He   O
is   O
scheduled   O
to   O
undergo   O
a   O
coronary   O
angiography   O
on   O
2280   B-DATE
.   O

Kindly   O
refer   O
to   O
the   O
attached   O
instruction   O
manual   O
from   O
Lansing   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Water   I-LOCATION
&   I-LOCATION
Light   I-LOCATION
for   O
further   O
actions   O
.   O

Their   O
Financial   O
Managers   O
son   O
who   O
is   O
currently   O
based   O
in   O
New   B-LOCATION
Carrollton   I-LOCATION
will   O
be   O
visiting   O
by   O
32/36   B-DATE
and   O
will   O
be   O
joining   O
in   O
the   O
discussions   O
.   O

Please   O
send   O
the   O
necessities   O
to   O
his   O
home   O
address   O
mentioned   O
herein   O
(   O
38061   B-LOCATION
)   O
.   O

Thank   O
you   O
,   O
ln773   B-NAME

Patient   O
Kiana   B-NAME
Chan   I-NAME
of   O
96   O
years   O
old   O
,   O
presented   O
to   O
the   O
ER   O
of   O
Advocate   B-LOCATION
Condell   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/20/78   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

He   O
is   O
a   O
well   O
-   O
known   O
cashier   O
from   O
Illinois   B-LOCATION
.   O

He   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Stroustrup   B-NAME
,   I-NAME
Bjarne   I-NAME
,   O
and   O
his   O
medical   O
record   O
number   O
is   O
5033878   B-ID
.   O

Cardiologist   O
Rosales   B-NAME
was   O
consulted   O
and   O
a   O
coronary   O
angiography   O
was   O
recommended   O
.   O

The   O
patient   O
was   O
later   O
discharged   O
on   O
9th   B-DATE
of   I-DATE
December   I-DATE
with   O
a   O
prescription   O
for   O
antiplatelets   O
and   O
statins   O
.   O

His   O
follow   O
-   O
up   O
appointment   O
with   O
Micah   B-NAME
Booker   I-NAME
is   O
on   O
05/18   B-DATE
at   O
Barton   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
documentation   O
is   O
prepared   O
by   O
the   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Jacksonville   I-LOCATION
for   O
the   O
patient   O
whose   O
ID   O
number   O
is   O
CR:8914:711506   B-ID
.   O

Additional   O
queries   O
can   O
be   O
forwarded   O
to   O
the   O
contact   O
number   O
961   B-CONTACT
-   I-CONTACT
6746   I-CONTACT
of   O
an   O
office   O
located   O
in   O
31217   B-LOCATION
of   O
Tamaroa   B-LOCATION
.   O

The   O
official   O
documents   O
are   O
managed   O
by   O
the   O
in   O
-   O
house   O
staff   O
FC191   B-NAME
.   O

Zachery   B-NAME
Wagner   I-NAME
Age   O
:   O
6   O
month   O
Location   O
:   O
Dimock   B-LOCATION
Date   O
:   O
spring   B-DATE
Medical   O
Record   O
Number   O
:   O
9851909   B-ID
Patient   O
Rogar   B-NAME
Hannegan   I-NAME
,   O
aged   O
6   O
,   O
came   O
in   O
complaining   O
of   O
shortness   O
of   O
breath   O
and   O
chest   O
discomfort   O
that   O
is   O
alleviated   O
to   O
a   O
slight   O
extent   O
upon   O
rest   O
.   O

The   O
onset   O
of   O
symptoms   O
occurred   O
approximately   O
16/28   B-DATE
and   O
has   O
aggravated   O
over   O
time   O
.   O

On   O
physical   O
examination   O
,   O
patient   O
Craik   B-NAME
,   I-NAME
Dinah   I-NAME
revealed   O
palpable   O
peripheral   O
edema   O
in   O
the   O
lower   O
extremities   O
,   O
cold   O
extremities   O
,   O
and   O
an   O
elevated   O
jugular   O
venous   O
pressure   O
upon   O
45   O
-   O
degree   O
semi   O
sitting   O
position   O
.   O

The   O
primary   O
care   O
physician   O
,   O
Dr.   O
Pratt   B-NAME
,   O
immediately   O
requested   O
an   O
electrocardiogram   O
,   O
and   O
echocardiography   O
,   O
which   O
showed   O
ST   O
-   O
segment   O
elevation   O
indicative   O
of   O
myocardial   O
infarction   O
.   O

Subsequent   O
coronary   O
angiography   O
performed   O
at   O
the   O
University   B-LOCATION
of   I-LOCATION
Louisville   I-LOCATION
Hospital   I-LOCATION
revealed   O
a   O
90   O
%   O
stenosis   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Given   O
the   O
medical   O
condition   O
,   O
Dr.   O
Jarvis   B-NAME
recommended   O
an   O
urgent   O
coronary   O
artery   O
bypass   O
graft   O
(   O
CABG   O
)   O
to   O
be   O
performed   O
at   O
the   O
Scheurer   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
was   O
explained   O
and   O
counseled   O
regarding   O
the   O
risks   O
associated   O
with   O
the   O
procedure   O
and   O
was   O
successfully   O
scheduled   O
for   O
a   O
surgery   O
on   O
1614   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
by   O
a   O
specialized   O
cardiac   O
surgery   O
team   O
led   O
by   O
Dr.   O
Jairo   B-NAME
Bond   I-NAME
at   O
the   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Foundation   I-LOCATION
.   O

The   O
patient   O
was   O
discharged   O
on   O
3/2   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
and   O
a   O
referral   O
to   O
a   O
local   O
Lanka   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
for   O
cardiac   O
rehabilitation   O
.   O

For   O
further   O
information   O
,   O
please   O
contact   O
the   O
Coronary   O
Care   O
Unit   O
at   O
(   B-CONTACT
224   I-CONTACT
)   I-CONTACT
317   I-CONTACT
3513   I-CONTACT
or   O
by   O
mail   O
at   O
Halstead   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Halstead   I-LOCATION
,   O
Sigourney   B-LOCATION
,   O
19483   B-LOCATION
.   O

Please   O
use   O
patient   O
's   O
i   O
d   O
152495   B-ID
for   O
all   O
communication   O
.   O

The   O
case   O
was   O
documented   O
by   O
nurse   O
SQ572   B-NAME
.   O

Record   O
:   O
#   O
9012988   B-ID
33/18/61   B-DATE
Sena   B-NAME
Cagle   I-NAME
,   O
a   O
Recruitment   O
consultant   O
at   O
HURIDOCS   B-LOCATION
in   O
Lake   B-LOCATION
Norden   I-LOCATION
,   O
reported   O
to   O
Dr.   O
Boone   B-NAME
at   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
Homestead   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
persistent   O
dry   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

During   O
the   O
initial   O
consultation   O
,   O
Cristian   B-NAME
Trevino   I-NAME
's   O
oxygen   O
saturation   O
was   O
tested   O
and   O
found   O
to   O
be   O
slightly   O
lower   O
than   O
the   O
typical   O
range   O
.   O

Chicora   B-LOCATION
has   O
been   O
experiencing   O
a   O
surge   O
of   O
similar   O
cases   O
,   O
suggesting   O
a   O
potential   O
respiratory   O
illness   O
outbreak   O
.   O

The   O
patient   O
’s   O
health   O
insurance   O
(   O
2   B-ID
-   I-ID
3981385   I-ID
)   O
was   O
verified   O
over   O
the   O
97706   B-CONTACT
before   O
proceeding   O
with   O
further   O
tests   O
.   O

On   O
June   B-DATE
2121   I-DATE
,   O
a   O
detailed   O
examination   O
was   O
carried   O
out   O
by   O
Dr.   O
Edgar   B-NAME
Colon   I-NAME
.   O

Post   O
diagnosis   O
,   O
Coby   B-NAME
Walker   I-NAME
was   O
admitted   O
to   O
a   O
specialized   O
respiratory   O
health   O
ward   O
in   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
South   I-LOCATION
Sacramento   I-LOCATION
.   O

As   O
recommended   O
,   O
Harrison   B-NAME
is   O
on   O
a   O
7   O
-   O
day   O
course   O
of   O
antibiotics   O
,   O
along   O
with   O
an   O
inhaler   O
to   O
assist   O
with   O
breathing   O
.   O

A   O
follow   O
-   O
up   O
visit   O
has   O
been   O
scheduled   O
for   O
1/33/2064   B-DATE
,   O
for   O
assessment   O
of   O
response   O
to   O
treatment   O
.   O

For   O
further   O
assistance   O
,   O
the   O
patient   O
can   O
reach   O
out   O
to   O
the   O
hospital   O
's   O
medical   O
helpdesk   O
via   O
their   O
HB166   B-NAME
on   O
the   O
hospital   O
portal   O
.   O

The   O
clinic   O
is   O
located   O
at   O
37354   B-LOCATION
.   O

Patient   O
Name   O
:   O
Irish   B-NAME
Patient   O
Age   O
:   O
72   O
Report   O
Date   O
:   O
08/23/22   B-DATE
Physician   O
in   O
Charge   O
:   O
Dr.   O
Olson   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Anderson   I-LOCATION
Campus   I-LOCATION
Case   O
ID   O
:   O
BW   B-ID
:   I-ID
YE:6291   I-ID
Patient   O
Location   O
:   O
Jackson   B-LOCATION
Heights   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
11372   I-LOCATION
Medical   O
Record   O
Number   O
:   O
3466S99932   B-ID
Relevant   O
Organization   O
:   O

Compassion   B-LOCATION
Over   I-LOCATION
Killing   I-LOCATION
(   I-LOCATION
COK   I-LOCATION
)   I-LOCATION

Patient   O
Phone   O
Number   O
:   O
221   B-CONTACT
983   I-CONTACT
4586   I-CONTACT
Profession   O
:   O

Park   O
Naturalists   O
Username   O
:   O
kkb779   B-NAME
Zip   O
code   O
:   O
89271   B-LOCATION
Patient   O
Moses   B-NAME
Zavala   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
Atlantic   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
on   O
2/0/00   B-DATE
with   O
a   O
complaint   O
of   O
sudden   O
onset   O
shortness   O
of   O
breath   O
.   O

Auscultation   O
of   O
the   O
lungs   O
by   O
Dr.   O
Mariela   B-NAME
Schaefer   I-NAME
revealed   O
bilateral   O
crackles   O
.   O

Brenna   B-NAME
Acosta   I-NAME
also   O
mentioned   O
a   O
dry   O
cough   O
and   O
fatigue   O
for   O
last   O
five   O
-   O
days   O
.   O

No   O
allergy   O
history   O
was   O
found   O
as   O
per   O
medical   O
record   O
number   O
544   B-ID
-   I-ID
45   I-ID
-   I-ID
36   I-ID
-   I-ID
4   I-ID
.   O

Vannessa   B-NAME
Frohock   I-NAME
is   O
a   O
Psychology   O
Teachers   O
,   O
Postsecondary   O
,   O
residing   O
at   O
Maricao   B-LOCATION
,   O
having   O
zip   O
code   O
57598   B-LOCATION
.   O

The   O
patient   O
can   O
be   O
further   O
contacted   O
at   O
phone   O
number   O
65123   B-CONTACT
.   O

The   O
case   O
ID   O
for   O
this   O
patient   O
is   O
FC:53861:860976   B-ID
.   O

Communication   O
was   O
made   O
to   O
Animal   B-LOCATION
Equality   I-LOCATION
regarding   O
the   O
status   O
.   O

The   O
patient   O
's   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Tocqueville   B-NAME
,   I-NAME
Alexis   I-NAME
de   I-NAME
after   O
threeweeks   O
.   O

nv5710   B-NAME
was   O
used   O
to   O
log   O
into   O
system   O
and   O
retrieve   O
patient   O
's   O
medical   O
history   O
.   O

Patient   O
Name   O
:   O
Belen   B-NAME
Mcneil   I-NAME
Patient   O
Gender   O
:   O
Male   O
Age   O
:   O
6   O
Medical   O
Record   O

No   O
:   O
964   B-ID
-   I-ID
90   I-ID
-   I-ID
43   I-ID
Date   O
of   O
exam   O
:   O
01/2323   B-DATE
Doctor   O
:   O
Patrick   B-NAME
Hospital   O
:   O

Northwest   B-LOCATION
Kansas   I-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Hays   I-LOCATION
Presenting   O
symptoms   O
:   O
The   O
patient   O
reports   O
persistent   O
throbbing   O
headache   O
for   O
the   O
past   O
week   O
,   O
accompanied   O
by   O
fleeting   O
episodes   O
of   O
visual   O
disturbance   O
including   O
blurring   O
and   O
double   O
vision   O
.   O

Considering   O
his   O
53   O
,   O
exhausting   O
Eligibility   O
Interviewers   O
,   O
Government   O
Programs   O
and   O
location   O
of   O
living   O
(   O
Daniels   B-LOCATION
)   O
,   O
we   O
suspect   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

His   O
previous   O
medical   O
history   O
included   O
diabetes   O
and   O
hypertension   O
,   O
for   O
which   O
he   O
has   O
been   O
taking   O
medications   O
prescribed   O
by   O
Dr.   O
Cabrera   B-NAME
at   O
Huntsville   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Given   O
his   O
LF408/6643   B-ID
,   O
we   O
need   O
to   O
monitor   O
his   O
condition   O
more   O
closely   O
.   O

The   O
patient   O
is   O
a   O
retired   O
Counseling   O
Psychologists   O
who   O
resides   O
at   O
Aguanga   B-LOCATION
and   O
is   O
currently   O
on   O
Medicare   O
.   O

The   O
patient   O
is   O
available   O
at   O
this   O
96733   B-CONTACT
.   O

His   O
next   O
appointment   O
is   O
scheduled   O
for   O
22/11/55   B-DATE
at   O
Menifee   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Dr.   O
Cowan   B-NAME
.   O

For   O
any   O
urgent   O
communication   O
,   O
the   O
hospital   O
has   O
provided   O
MG5210   B-NAME
for   O
contacting   O
the   O
emergency   O
department   O
.   O

Billing   O
:   O
Insurance   O
details   O
were   O
forwarded   O
to   O
the   O
concerned   O
Center   B-LOCATION
for   I-LOCATION
Alternatives   I-LOCATION
to   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
CAAT   I-LOCATION
)   I-LOCATION
.   O

The   O
plan   O
of   O
care   O
will   O
be   O
sent   O
to   O
his   O
home   O
address   O
(   O
24171   B-LOCATION
)   O
.   O

The   O
report   O
is   O
compiled   O
by   O
Carlee   B-NAME
Mathews   I-NAME
based   O
on   O
the   O
physical   O
examination   O
and   O
discussions   O
with   O
Cameron   B-NAME
Vincent   I-NAME
on   O
9/29   B-DATE
.   O

Patient   O
Name   O
:   O
McAndrews   B-NAME
Age   O
:   O
99   O
Phone   O
:   O
35740   B-CONTACT
Address   O
:   O
Chaseburg   B-LOCATION
,   O
60757   B-LOCATION
Employment   O
:   O
Ushers   O
,   O
Lobby   O
Attendants   O
,   O
and   O
Ticket   O
Takers   O
Patient   O
Isla   B-NAME
Jacobs   I-NAME
presented   O
on   O
06/20   B-DATE
to   O
Orlando   B-LOCATION
Health   I-LOCATION
Health   I-LOCATION
Central   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

Dr.   O
Rex   B-NAME
Martin   I-NAME
provided   O
an   O
initial   O
evaluation   O
and   O
noticed   O
reduced   O
air   O
entry   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
and   O
bilateral   O
wheezing   O
was   O
noted   O
on   O
auscultation   O
.   O

Upon   O
further   O
investigation   O
,   O
it   O
was   O
noted   O
that   O
patient   O
Johnathon   B-NAME
Mayo   I-NAME
has   O
a   O
history   O
of   O
smoking   O
,   O
20   O
cigarettes   O
a   O
day   O
for   O
the   O
past   O
30   O
years   O
and   O
works   O
as   O
a   O
translator   O
.   O

Dr.   O
Sexy   B-NAME
recommended   O
a   O
chest   O
X   O
-   O
ray   O
and   O
pulmonary   O
function   O
test   O
(   O
PFT   O
)   O
.   O

Chest   O
X   O
-   O
ray   O
was   O
processed   O
using   O
imaging   O
equipment   O
device   O
XP:5776:806171   B-ID
and   O
revealed   O
hyperinflation   O
and   O
bronchial   O
wall   O
thickening   O
,   O
indicative   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

The   O
healthcare   O
team   O
at   O
Flushing   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
have   O
planned   O
to   O
involve   O
the   O
patient   O
in   O
a   O
smoking   O
cessation   O
program   O
run   O
by   O
Captive   B-LOCATION
Animals   I-LOCATION
Protection   I-LOCATION
Society   I-LOCATION
.   O

A   O
referral   O
has   O
been   O
made   O
to   O
the   O
respiratory   O
therapy   O
department   O
,   O
and   O
the   O
patient   O
is   O
scheduled   O
to   O
have   O
a   O
regular   O
follow   O
-   O
up   O
with   O
Dr.   O
Pacheco   B-NAME
.   O

The   O
medical   O
record   O
number   O
for   O
patient   O
Molyneaux   B-NAME
is   O
3920866   B-ID
.   O

For   O
further   O
queries   O
or   O
access   O
to   O
the   O
patient   O
's   O
health   O
records   O
,   O
please   O
contact   O
the   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
Hospital   I-LOCATION
healthcare   O
team   O
on   O
511   B-CONTACT
-   I-CONTACT
5996   I-CONTACT
.   O

Thank   O
you   O
,   O
ulw322   B-NAME

Patient   O
Report   O
:   O
YERGER   B-NAME
,   I-NAME
DESEAN   I-NAME
is   O
a   O
26   O
year   O
old   O
individual   O
,   O
who   O
was   O
presented   O
to   O
the   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
on   O
02/04   B-DATE
.   O

Gogol   B-NAME
,   I-NAME
Nikolai   I-NAME
Vasilievich   I-NAME
,   O
the   O
attending   O
physician   O
,   O
reported   O
that   O
the   O
patient   O
had   O
predominantly   O
nocturnal   O
symptoms   O
indicating   O
a   O
possible   O
case   O
of   O
paroxysmal   O
nocturnal   O
dyspnea   O
.   O

According   O
to   O
the   O
record   O
,   O
patient   O
9749281   B-ID
,   O
Buck   B-NAME
had   O
an   O
episode   O
of   O
waking   O
up   O
in   O
the   O
night   O
with   O
severe   O
shortness   O
of   O
breath   O
,   O
accompanied   O
by   O
a   O
cough   O
and   O
chest   O
tightness   O
but   O
no   O
chest   O
pain   O
.   O

crane   B-NAME
reported   O
a   O
history   O
of   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
,   O
and   O
was   O
earlier   O
treated   O
by   O
another   O
physician   O
in   O
McFall   B-LOCATION
.   O

The   O
health   O
plan   O
4092268   B-ID
for   O
Gunner   B-NAME
Allen   I-NAME
was   O
confirmed   O
before   O
the   O
start   O
of   O
the   O
treatment   O
.   O

The   O
patient   O
worked   O
as   O
a   O
Model   O
Makers   O
,   O
Metal   O
and   O
Plastic   O
at   O
an   O
Millennium   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Texas   I-LOCATION
based   O
in   O
Hidalgo   B-LOCATION
prior   O
to   O
retirement   O
.   O

Guadalupe   B-NAME
Landry   I-NAME
recommends   O
a   O
further   O
round   O
of   O
medical   O
examinations   O
and   O
has   O
scheduled   O
an   O
appointment   O
for   O
2063   B-DATE
.   O

Emergency   O
contact   O
information   O
for   O
Roger   B-NAME
York   I-NAME
was   O
logged   O
in   O
with   O
the   O
Estes   B-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Here   O
is   O
the   O
number   O
for   O
record   O
:   O
96892   B-CONTACT
.   O

According   O
to   O
the   O
record   O
from   O
username   O
lx752   B-NAME
,   O
Trahan   B-NAME
lives   O
at   O
this   O
address   O
:   O
Martinsdale   B-LOCATION
,   O
85354   B-LOCATION
.   O

It   O
would   O
be   O
useful   O
for   O
the   O
Johnston   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
to   O
have   O
this   O
on   O
file   O
for   O
home   O
-   O
care   O
services   O
and   O
follow   O
-   O
ups   O
.   O

Patient   O
Luke   B-NAME
Obrien   I-NAME
of   O
14   O
presented   O
to   O
Oakland   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
38/12   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
intermittent   O
fever   O
.   O

The   O
patient   O
works   O
as   O
a   O
Multi   O
-   O
Media   O
Artists   O
and   O
Animators   O
at   O
Diverse   B-LOCATION
Power   I-LOCATION
Inc.   I-LOCATION
-   I-LOCATION
Pataula   I-LOCATION
District   I-LOCATION
.   O

Upon   O
physical   O
examination   O
by   O
Craig   B-NAME
,   O
there   O
was   O
significant   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
with   O
voluntary   O
guarding   O
noted   O
during   O
palpation   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
for   O
these   O
tests   O
is   O
233   B-ID
-   I-ID
64   I-ID
-   I-ID
34   I-ID
-   I-ID
7   I-ID
.   O

The   O
lab   O
results   O
,   O
available   O
in   O
the   O
system   O
under   O
QA697   B-NAME
,   O
showed   O
a   O
moderately   O
elevated   O
white   O
blood   O
cell   O
(   O
WBC   O
)   O
count   O
of   O
13,000   O
cells   O
/   O
uL   O
and   O
elevated   O
creatinine   O
levels   O
of   O
1.9   O
mg   O
/   O
d   O
/   O
L.   O
Liver   O
function   O
tests   O
were   O
within   O
normal   O
ranges   O
.   O

The   O
abdominal   O
ultrasound   O
,   O
requested   O
on   O
20/20   B-DATE
,   O
indicated   O
mild   O
inflammation   O
of   O
the   O
appendix   O
,   O
suggestive   O
of   O
early   O
appendicitis   O
.   O

The   O
patient   O
was   O
advised   O
to   O
stay   O
at   O
Greenwood   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Eureka   I-LOCATION
for   O
further   O
monitoring   O
and   O
management   O
.   O

We   O
kindly   O
request   O
the   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Fire   I-LOCATION
Fighters   I-LOCATION
benefits   O
department   O
to   O
reach   O
out   O
to   O
us   O
at   O
13948   B-CONTACT
at   O
the   O
earliest   O
to   O
discuss   O
patient   O
Joaquin   B-NAME
Terry   I-NAME
's   O
insurance   O
coverage   O
bearing   O
3   B-ID
-   I-ID
1597394   I-ID
.   O

The   O
patient   O
resides   O
at   O
10   B-LOCATION
Broadway   I-LOCATION
,   O
12793   B-LOCATION
and   O
requests   O
that   O
we   O
send   O
all   O
correspondence   O
to   O
this   O
address   O
.   O

Further   O
follow   O
-   O
ups   O
will   O
be   O
required   O
to   O
monitor   O
Lesly   B-NAME
Grant   I-NAME
's   O
condition   O
.   O

Medical   O
Report   O
Patient   O
Name   O
:   O
Stokowski   B-NAME
,   I-NAME
Leopold   I-NAME
Date   O
:   O
00   B-DATE
-   I-DATE
Dec-2339   I-DATE
Age   O
:   O
34   O
Case   O
ID   O
:   O
539970662   B-ID
Medical   O
Record   O
:   O
01057096   B-ID
Attending   O
Physician   O
:   O

Gennie   B-NAME
Halper   I-NAME
The   O
patient   O
is   O
a   O
Press   O
and   O
Press   O
Brake   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
residing   O
in   O
Kittrell   B-LOCATION
with   O
a   O
home   O
phone   O
number   O
of   O
490   B-CONTACT
2894   I-CONTACT
.   O

Jami   B-NAME
Dedrick   I-NAME
visited   O
our   O
Presbyterian   B-LOCATION
Rust   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/37   B-DATE
presenting   O
with   O
a   O
set   O
of   O
symptoms   O
indicative   O
of   O
a   O
potential   O
respiratory   O
disorder   O
.   O

A   O
comprehensive   O
physical   O
examination   O
was   O
conducted   O
by   O
Warren   B-NAME
on   O
23/12/2040   B-DATE
.   O

The   O
tests   O
were   O
carried   O
out   O
at   O
our   O
Military   B-LOCATION
Protectorate   I-LOCATION
of   I-LOCATION
Territories   I-LOCATION
's   O
laboratory   O
in   O
Johnson   B-LOCATION
Village   I-LOCATION
with   O
results   O
sent   O
back   O
via   O
secured   O
email   O
to   O
odf389   B-NAME
.   O

Kazuko   B-NAME
Foreman   I-NAME
was   O
considered   O
for   O
a   O
chest   O
radiograph   O
at   O
our   O
diagnostic   O
block   O
in   O
University   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Currently   O
,   O
Glenn   B-NAME
Mullins   I-NAME
has   O
been   O
started   O
on   O
an   O
inhaler   O
containing   O
fluticasone   O
and   O
salmeterol   O
,   O
specific   O
medications   O
for   O
managing   O
symptoms   O
of   O
COPD   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
20/32   B-DATE
to   O
Ingram   B-NAME
for   O
further   O
evaluation   O
.   O

We   O
have   O
also   O
discussed   O
directing   O
Garner   B-NAME
,   I-NAME
Helen   I-NAME
to   O
support   O
resources   O
such   O
as   O
pulmonary   O
rehabilitation   O
programs   O
conducted   O
by   O
All   B-LOCATION
India   I-LOCATION
Defence   I-LOCATION
Employees   I-LOCATION
Federation   I-LOCATION
in   O
23428   B-LOCATION
area   O
.   O

If   O
Fosdick   B-NAME
,   I-NAME
Harry   I-NAME
Emerson   I-NAME
has   O
any   O
concerns   O
or   O
worsening   O
symptoms   O
before   O
the   O
follow   O
-   O
up   O
visit   O
,   O
he   O
is   O
advised   O
to   O
contact   O
us   O
via   O
644   B-CONTACT
8894   I-CONTACT
.   O

Patient   O
Name   O
:   O
Blake   B-NAME
,   I-NAME
William   I-NAME
Date   O
of   O
Birth   O
:   O
29/00   B-DATE
Age   O
:   O
6   O
Doctor   O
:   O
Osborn   B-NAME
Hospital   O
:   O
Formerly   B-LOCATION
Oakwood   I-LOCATION
Annapolis   I-LOCATION
Hospital   I-LOCATION
Patient   O
ID   O
:   O
83093   B-ID
Location   O
:   O
Mansura   B-LOCATION
Medical   O
Record   O
Number   O
:   O
48913834   B-ID
Organization   O
:   O

First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
Phone   O
:   O
71400   B-CONTACT
Profession   O
:   O

Insurance   O
claims   O
inspector   O
Username   O
:   O
JF899   B-NAME
Zip   O
:   O
74193   B-LOCATION
The   O
patient   O
,   O
December   B-NAME
,   O
came   O
into   O
the   O
Matheny   B-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Educational   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
on   O
13/01/2253   B-DATE
complaining   O
of   O
severe   O
headaches   O
that   O
had   O
been   O
ongoing   O
for   O
a   O
period   O
of   O
about   O
2   O
weeks   O
.   O

Prior   O
to   O
the   O
onset   O
of   O
these   O
headaches   O
,   O
Šustauskas   B-NAME
,   I-NAME
Vytautas   I-NAME
was   O
in   O
his   O
usual   O
state   O
of   O
health   O
.   O

He   O
works   O
as   O
a   O
Duplicating   O
Machine   O
Operators   O
and   O
lives   O
in   O
Eagle   B-LOCATION
Rock   I-LOCATION
,   O
81215   B-LOCATION
.   O

During   O
the   O
physical   O
examination   O
conducted   O
by   O
Dr.   O
Potts   B-NAME
,   O
Kruger   B-NAME
Cusatis   I-NAME
appeared   O
anxious   O
.   O

Diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
and   O
a   O
CT   O
scan   O
of   O
the   O
head   O
,   O
have   O
been   O
recommended   O
and   O
are   O
scheduled   O
to   O
be   O
performed   O
on   O
09/48   B-DATE
.   O

The   O
entire   O
consultation   O
-   O
including   O
the   O
doctor   O
's   O
notes   O
,   O
patient   O
's   O
symptoms   O
and   O
prescribed   O
treatment   O
plan   O
-   O
has   O
been   O
meticulously   O
recorded   O
in   O
the   O
Southern   B-LOCATION
Minnesota   I-LOCATION
Municipal   I-LOCATION
Power   I-LOCATION
Agency   I-LOCATION
's   O
patient   O
database   O
under   O
his   O
unique   O
username   O
,   O
lp128   B-NAME
,   O
and   O
medical   O
record   O
number   O
,   O
905   B-ID
-   I-ID
79   I-ID
-   I-ID
59   I-ID
.   O

The   O
patient   O
was   O
also   O
advised   O
to   O
maintain   O
regular   O
communication   O
with   O
Dr.   O
Catalina   B-NAME
Price   I-NAME
and   O
update   O
him   O
on   O
his   O
condition   O
.   O

Dr.   O
Carroll   B-NAME
's   O
assistance   O
can   O
be   O
reached   O
via   O
71804   B-CONTACT
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Josh   B-NAME
Roy   I-NAME
Age   O
:   O
32   O
Medical   O
Record   O
:   O
48458584   B-ID
ID   O
:   O
FI   B-ID
:   I-ID
MA:2171   I-ID
History   O
of   O
Present   O
Illness   O
:   O
Nikia   B-NAME
,   O
a   O
Surveyors   O
from   O
New   B-LOCATION
Straitsville   I-LOCATION
,   O
presented   O
with   O
a   O
history   O
of   O
rashes   O
,   O
itching   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

He   O
noticed   O
the   O
rashes   O
initially   O
on   O
1769   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
20   I-DATE
and   O
it   O
has   O
been   O
progressive   O
since   O
.   O

Follow   O
-   O
up   O
:   O
Contact   O
Abbey   B-NAME
James   I-NAME
at   O
VA   B-LOCATION
New   I-LOCATION
Jersey   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
.   O

If   O
symptoms   O
persist   O
,   O
immediately   O
go   O
to   O
the   O
emergency   O
department   O
of   O
St   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Further   O
Information   O
:   O
An   O
occupational   O
health   O
officer   O
from   O
the   O
North   B-LOCATION
County   I-LOCATION
Bank   I-LOCATION
will   O
be   O
visiting   O
his   O
workplace   O
to   O
identify   O
potential   O
allergens   O
and   O
advise   O
on   O
ways   O
to   O
mitigate   O
the   O
exposure   O
.   O

Contact   O
:   O
For   O
any   O
emergencies   O
,   O
contact   O
Centra   B-LOCATION
Lynchburg   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
660   B-CONTACT
6299   I-CONTACT
.   O

Please   O
provide   O
the   O
patient   O
's   O
ID   O
,   O
YM312/9268   B-ID
,   O
and   O
Medical   O
Record   O
,   O
7784100   B-ID
,   O
for   O
smoother   O
communication   O
.   O

The   O
patient   O
lives   O
in   O
the   O
area   O
with   O
the   O
ZIP   O
code   O
16668   B-LOCATION
.   O

His   O
username   O
for   O
the   O
hospital   O
portal   O
is   O
jpg70   B-NAME
.   O

This   O
medical   O
report   O
was   O
written   O
by   O
Wang   B-NAME
on   O
6/06   B-DATE
at   O
San   B-LOCATION
Juan   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Tobaccoville   B-LOCATION
.   O

The   O
patient   O
,   O
Charlie   B-NAME
Welch   I-NAME
,   O
is   O
a   O
Nonfarm   O
Animal   O
Caretakers   O
residing   O
in   O
De   B-LOCATION
Lamere   I-LOCATION
.   O

Spring   B-NAME
Geneseo   I-NAME
has   O
been   O
experiencing   O
persistent   O
migraines   O
,   O
lower   O
back   O
pain   O
,   O
and   O
sporadic   O
bouts   O
of   O
dizziness   O
since   O
04/24/2052   B-DATE
.   O

The   O
patient   O
initially   O
presented   O
these   O
symptoms   O
to   O
Dr.   O
Shyla   B-NAME
Long   I-NAME
during   O
a   O
regular   O
health   O
check   O
-   O
up   O
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Proctor   I-LOCATION
.   O

Based   O
on   O
the   O
initial   O
assessment   O
,   O
Dr.   O
Steven   B-NAME
Meadows   I-NAME
referred   O
Colten   B-NAME
Potter   I-NAME
to   O
a   O
secondary   O
care   O
service   O
.   O

This   O
referral   O
notice   O
,   O
attached   O
to   O
medical   O
record   O
number   O
5056526   B-ID
,   O
also   O
mentioned   O
possible   O
differential   O
diagnoses   O
,   O
likely   O
to   O
be   O
either   O
neuralgia   O
or   O
degenerative   O
disc   O
disease   O
.   O

At   O
44   O
,   O
Frank   B-NAME
Oconnell   I-NAME
's   O
occupational   O
history   O
as   O
a   O
Amusement   O
and   O
Recreation   O
Attendants   O
was   O
considered   O
in   O
diagnosing   O
the   O
possible   O
cause   O
of   O
the   O
symptoms   O
.   O

Further   O
,   O
the   O
patient   O
has   O
been   O
scheduled   O
for   O
an   O
appointment   O
on   O
2326   B-DATE
for   O
advanced   O
diagnostic   O
tests   O
at   O
Summit   B-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
appointment   O
confirmation   O
along   O
with   O
the   O
scheduled   O
time   O
was   O
sent   O
to   O
June   B-NAME
Nixon   I-NAME
on   O
his   O
contact   O
number   O
(   B-CONTACT
317   I-CONTACT
)   I-CONTACT
314   I-CONTACT
3976   I-CONTACT
.   O

Any   O
updates   O
and   O
future   O
reports   O
relating   O
to   O
this   O
case   O
will   O
be   O
entered   O
under   O
the   O
same   O
medical   O
record   O
number   O
0010122   B-ID
on   O
our   O
hospital   O
's   O
database   O
,   O
authenticated   O
by   O
ID362   B-NAME
.   O

For   O
continual   O
treatment   O
,   O
Xi   B-NAME
is   O
advised   O
to   O
join   O
the   O
patient   O
support   O
program   O
conducted   O
by   O
an   O
National   B-LOCATION
Flood   I-LOCATION
Insurance   I-LOCATION
Program   I-LOCATION
.   O

The   O
introductory   O
meeting   O
will   O
be   O
held   O
at   O
their   O
local   O
branch   O
in   O
Fort   B-LOCATION
Thomas   I-LOCATION
with   O
the   O
zipcode   O
of   O
48375   B-LOCATION
.   O

Billing   O
and   O
other   O
treatment   O
-   O
related   O
paperwork   O
will   O
be   O
managed   O
by   O
Lutz   B-NAME
,   I-NAME
John   I-NAME
Gregory   I-NAME
's   O
health   O
insurance   O
provider   O
,   O
with   O
the   O
policy   O
number   O
being   O
WO:1734:765156   B-ID
.   O

For   O
future   O
consultations   O
,   O
kindly   O
communicate   O
through   O
the   O
official   O
channels   O
provided   O
using   O
the   O
reference   O
of   O
this   O
medical   O
record   O
number   O
426   B-ID
-   I-ID
42   I-ID
-   I-ID
18   I-ID
-   I-ID
9   I-ID
.   O

Patient   O
Name   O
:   O
Yadiel   B-NAME
Matthews   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
10097439   I-ID
Age   O
:   O
16   O
Location   O
:   O
342   B-LOCATION
Squaw   I-LOCATION
Creek   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

20/24/2367   B-DATE
Dear   O
Church   B-NAME
,   O
I   O
am   O
writing   O
to   O
report   O
on   O
Sidney   B-NAME
Barrett   I-NAME
's   O
condition   O
.   O

He   O
was   O
admitted   O
to   O
the   O
Kiowa   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Manor   I-LOCATION
–   I-LOCATION
Kiowa   I-LOCATION
two   O
weeks   O
ago   O
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
bloating   O
,   O
and   O
intermittent   O
fevers   O
.   O

After   O
a   O
series   O
of   O
diagnostics   O
,   O
including   O
a   O
CT   O
scan   O
and   O
blood   O
tests   O
,   O
Throttle   B-NAME
,   I-NAME
Ben   I-NAME
was   O
diagnosed   O
with   O
acute   O
pancreatitis   O
.   O

Maribel   B-NAME
Mccarthy   I-NAME
's   O
medical   O
history   O
includes   O
Hypertension   O
and   O
Type   O
2   O
Diabetes   O
,   O
and   O
he   O
is   O
on   O
medication   O
for   O
both   O
ailments   O
.   O

Glover   B-NAME
was   O
referred   O
through   O
his   O
primary   O
healthcare   O
provider   O
,   O
Farley   B-NAME
of   O
Provincial   B-LOCATION
Worlds   I-LOCATION
.   O

The   O
medical   O
record   O
number   O
assigned   O
for   O
reference   O
is   O
03694868   B-ID
.   O

I   O
will   O
be   O
following   O
up   O
regularly   O
on   O
Jaiden   B-NAME
Stafford   I-NAME
's   O
progress   O
and   O
will   O
arrange   O
for   O
endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
to   O
deal   O
with   O
the   O
gallstone   O
blocking   O
the   O
bile   O
duct   O
.   O

The   O
patient   O
's   O
home   O
address   O
is   O
Elkport   B-LOCATION
,   O
and   O
his   O
contact   O
number   O
is   O
608   B-CONTACT
400   I-CONTACT
5476   I-CONTACT
.   O

Please   O
send   O
reminders   O
for   O
future   O
appointments   O
to   O
his   O
primary   O
email   O
XP437   B-NAME
@mail.com   O
.   O

I   O
will   O
update   O
you   O
further   O
after   O
the   O
next   O
cycle   O
of   O
treatment   O
,   O
which   O
is   O
scheduled   O
on   O
01   B-DATE
-   I-DATE
05   I-DATE
.   O

In   O
case   O
of   O
any   O
inquiries   O
about   O
the   O
progress   O
,   O
please   O
reach   O
my   O
office   O
at   O
Putnam   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
or   O
reach   O
out   O
to   O
me   O
directly   O
through   O
my   O
office   O
phone   O
number   O
10587   B-CONTACT
.   O

Thank   O
you   O
,   O
Costa   B-NAME
28235   B-LOCATION

Patient   O
Name   O
:   O
Sharon   B-NAME
Wilkinson   I-NAME
Age   O
:   O
37   O
Date   O
of   O
Examination   O
:   O
20/29   B-DATE
Doctor   O
:   O
Danielle   B-NAME
Fitzpatrick   I-NAME
48666175   B-ID
Patient   O
Clyde   B-NAME
Roe   I-NAME
,   O
of   O
7   O
week   O
years   O
,   O
presented   O
to   O
Long   B-LOCATION
Beach   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
4   B-DATE
-   I-DATE
21   I-DATE
.   O

According   O
to   O
the   O
information   O
provided   O
,   O
the   O
patient   O
,   O
a   O
Lecturer   O
(   O
adult   O
education   O
)   O
by   O
trade   O
,   O
is   O
a   O
resident   O
of   O
Blytheville   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Blytheville   I-LOCATION
with   O
ZIP   O
code   O
31358   B-LOCATION
.   O

An   O
immediate   O
cardiac   O
enzyme   O
test   O
was   O
ordered   O
by   O
Dr.   O
Peter   B-NAME
Tucker   I-NAME
to   O
check   O
for   O
signs   O
of   O
heart   O
damage   O
.   O

For   O
further   O
evaluation   O
,   O
an   O
appointment   O
is   O
scheduled   O
for   O
2049   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
25   I-DATE
with   O
Dr.   O
Melendez   B-NAME
at   O
University   B-LOCATION
of   I-LOCATION
Virginia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Alternatively   O
,   O
Dr.   O
Camille   B-NAME
Sanchez   I-NAME
can   O
also   O
be   O
reached   O
at   O
his   O
office   O
phone   O
number   O
13007   B-CONTACT
.   O

For   O
any   O
urgent   O
concerns   O
,   O
please   O
connect   O
with   O
him   O
at   O
KW   B-ID
:   I-ID
IK:5164   I-ID
,   O
our   O
24/7   O
service   O
number   O
for   O
Gulf   B-LOCATION
Power   I-LOCATION
Company   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
NextEra   I-LOCATION
Energy   I-LOCATION
.   O

This   O
report   O
was   O
transcribed   O
by   O
syk800   B-NAME
at   O
Bastrop   B-LOCATION
,   I-LOCATION
Bastrop   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
for   O
Ingalls   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
Hicks   B-NAME
Age   O
:   O
63   O
Medical   O
Record   O
Number   O
:   O
717   B-ID
28   I-ID
94   I-ID
Date   O
of   O
Exam   O
:   O
10/28   B-DATE
Chief   O
Complaint   O
:   O
Patient   O
Stanton   B-NAME
came   O
in   O
complaining   O
of   O
severe   O
chest   O
discomfort   O
,   O
profuse   O
sweating   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
patient   O
reported   O
that   O
the   O
symptoms   O
started   O
acutely   O
two   O
hours   O
prior   O
to   O
presenting   O
at   O
Madigan   B-LOCATION
Army   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Medical   O
History   O
:   O
Grady   B-NAME
Brandt   I-NAME
has   O
a   O
prior   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

He   O
was   O
treated   O
by   O
Dr.   O
Leonel   B-NAME
Stephens   I-NAME
at   O
Bullitt   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
and   O
his   O
last   O
physician   O
's   O
appointment   O
was   O
on   O
26/01/85   B-DATE
.   O

Occupation   O
:   O
Medical   O
and   O
Clinical   O
Laboratory   O
Technicians   O
Social   O
History   O
:   O
Patient   O
Malory   B-NAME
,   I-NAME
Thomas   I-NAME
reports   O
being   O
a   O
former   O
smoker   O
,   O
having   O
quit   O
approximately   O
15   O
years   O
ago   O
.   O

He   O
resides   O
at   O
Austin   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78753   I-LOCATION
,   O
87418   B-LOCATION
and   O
works   O
at   O
NLC   B-LOCATION
Workers   I-LOCATION
Progressive   I-LOCATION
Union   I-LOCATION
.   O

On   O
examination   O
,   O
Mia   B-NAME
Rivers   I-NAME
appeared   O
pale   O
and   O
anxious   O
.   O

Treatment   O
Given   O
:   O
Christina   B-NAME
Murillo   I-NAME
was   O
immediately   O
placed   O
on   O
oxygen   O
.   O

Follow   O
up   O
:   O
Rae   B-NAME
Crane   I-NAME
is   O
to   O
be   O
admitted   O
to   O
the   O
cardiology   O
department   O
at   O
Healthstone   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
and   O
further   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
arranged   O
with   O
cardiologist   O
Dr.   O
Warner   B-NAME
on   O
03/36   B-DATE
.   O

Contact   O
Information   O
:   O
Address   O
:   O
Schneider   B-LOCATION
,   O
93722   B-LOCATION
Phone   O
:   O
19092   B-CONTACT
Emergency   O
contact   O
:   O
Name   O
:   O
Not   O
Available   O
Relationship   O
to   O
patient   O
:   O
Not   O
Available   O
Contact   O
Information   O
:   O
Not   O
Available   O
Remarks   O
:   O

The   O
patient   O
's   O
data   O
was   O
documented   O
electronically   O
by   O
BH241   B-NAME
and   O
saved   O
under   O
the   O
ID   O
IC524/1140   B-ID
in   O
the   O
secure   O
GANDU   B-LOCATION
Electric   I-LOCATION
,   I-LOCATION
heavy   I-LOCATION
electric   I-LOCATION
system   O
.   O

Patient   O
Report   O
5490166   B-ID
:   O
XXXX   O
7/29   B-DATE
:   O
XXXX   O
I   O
,   O
Draven   B-NAME
Haley   I-NAME
,   O
have   O
observed   O
Gonzalez   B-NAME
's   O
condition   O
for   O
the   O
past   O
few   O
weeks   O
.   O

Nobles   B-NAME
is   O
a   O
Funeral   O
Directors   O
of   O
68   O
years   O
and   O
is   O
located   O
in   O
Firebaugh   B-LOCATION
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Anderson   I-LOCATION
Campus   I-LOCATION
after   O
reporting   O
persistent   O
headaches   O
and   O
bouts   O
of   O
dizziness   O
lasting   O
for   O
the   O
past   O
three   O
months   O
.   O

02/20   B-DATE
:   O
Disney   B-NAME
,   I-NAME
Roy   I-NAME
O.   I-NAME
visited   O
our   O
medical   O
facility   O
reporting   O
a   O
severe   O
headache   O
predominantly   O
in   O
the   O
temporal   O
region   O
.   O

Liam   B-NAME
K.   I-NAME
Mcmahon   I-NAME
mentioned   O
the   O
bouts   O
of   O
dizziness   O
usually   O
occur   O
throughout   O
the   O
day   O
,   O
regardless   O
of   O
the   O
patient   O
’s   O
position   O
or   O
activity   O
.   O

Lottie   B-NAME
Deschenes   I-NAME
denied   O
any   O
nausea   O
,   O
vomiting   O
,   O
or   O
visual   O
disturbances   O
during   O
the   O
attacks   O
.   O

Upon   O
physical   O
examination   O
,   O
Kimball   B-NAME
Lukas   I-NAME
Abraham   I-NAME
was   O
found   O
to   O
be   O
conscious   O
and   O
alert   O
.   O

22/2090   B-DATE
:   O

2/03/2122   B-DATE
:   O
An   O
MRI   O
was   O
performed   O
and   O
showed   O
no   O
signs   O
of   O
any   O
tumorous   O
growth   O
or   O
abnormality   O
.   O

Christene   B-NAME
Langevin   I-NAME
was   O
prescribed   O
a   O
combination   O
of   O
preventative   O
medications   O
for   O
migraines   O
and   O
given   O
instructions   O
for   O
lifestyle   O
modifications   O
to   O
manage   O
both   O
the   O
migraine   O
and   O
hypertension   O
.   O

9   B-DATE
:   O
On   O
the   O
follow   O
-   O
up   O
visit   O
,   O
Patrick   B-NAME
Fuentes   I-NAME
reported   O
a   O
significant   O
decrease   O
in   O
the   O
intensity   O
and   O
frequency   O
of   O
the   O
headaches   O
.   O

In   O
case   O
of   O
any   O
complications   O
or   O
earlier   O
return   O
of   O
symptoms   O
,   O
Floyd   B-NAME
Fong   I-NAME
can   O
reach   O
out   O
to   O
our   O
healthcare   O
team   O
at   O
88645   B-CONTACT
.   O

This   O
5   B-ID
-   I-ID
5877471   I-ID
can   O
be   O
used   O
to   O
access   O
medical   O
reports   O
from   O
Reporters   B-LOCATION
Without   I-LOCATION
Borders   I-LOCATION
medical   O
portal   O
.   O

McNair   B-NAME
,   I-NAME
Steve   I-NAME
resides   O
at   O
77586   B-LOCATION
.   O

hnv706   B-NAME
:   O
XXXX   O

Patient   O
Name   O
:   O
Antony   B-NAME
Macias   I-NAME
Date   O
:   O
March   B-DATE
Medical   O
Record   O
Number   O
:   O
29888295   B-ID
Physician   O
Name   O
:   O
Dr.   O
Celia   B-NAME
Beard   I-NAME
Hospital   O
:   O
Medical   B-LOCATION
City   I-LOCATION
Alliance   I-LOCATION
The   O
patient   O
,   O
Grayson   B-NAME
Bradley   I-NAME
,   O
presented   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
La   I-LOCATION
Grange   I-LOCATION
on   O
3/79   B-DATE
with   O
complaints   O
of   O
sudden   O
weight   O
loss   O
,   O
consistent   O
fatigue   O
,   O
and   O
persistent   O
dry   O
cough   O
.   O

The   O
patient   O
is   O
a   O
Janitorial   O
Supervisors   O
residing   O
at   O
Farson   B-LOCATION
and   O
holds   O
an   O
identification   O
number   O
3   B-ID
-   I-ID
5034246   I-ID
.   O

However   O
,   O
there   O
were   O
no   O
insurance   O
records   O
for   O
the   O
patient   O
at   O
Silverton   B-LOCATION
Bank   I-LOCATION
,   I-LOCATION
NA   I-LOCATION
with   O
the   O
contact   O
number   O
134   B-CONTACT
-   I-CONTACT
5092   I-CONTACT
.   O

Family   O
history   O
,   O
as   O
described   O
by   O
the   O
family   O
member   O
with   O
username   O
fro184   B-NAME
,   O
revealed   O
a   O
hereditary   O
predisposition   O
to   O
autoimmune   O
diseases   O
,   O
but   O
no   O
signs   O
of   O
chronic   O
blood   O
disorders   O
.   O

The   O
patient   O
has   O
been   O
referred   O
to   O
Dr.   O
Aliza   B-NAME
Stanton   I-NAME
at   O
Sutter   B-LOCATION
Solano   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
consultation   O
.   O

For   O
further   O
appointments   O
or   O
concerns   O
,   O
the   O
patient   O
can   O
reach   O
us   O
on   O
213   B-CONTACT
9366   I-CONTACT
or   O
write   O
to   O
us   O
at   O
Monroe   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Monroe   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
65869   B-LOCATION
.   O

Physician   O
's   O
Signature   O
:   O
Dr.   O
Mercedes   B-NAME
Hawkins   I-NAME

Patient   O
Report   O
:   O
6094391   B-ID
-   O
0039   O
Nelia   B-NAME
Klabunde   I-NAME
is   O
a   O
55   O
year   O
-   O
old   O
individual   O
who   O
wished   O
for   O
a   O
medical   O
evaluation   O
due   O
to   O
persistent   O
bouts   O
of   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
symptoms   O
were   O
first   O
noticed   O
around   O
early   O
7/13/2022   B-DATE
and   O
have   O
persisted   O
sporadically   O
.   O

Day   B-NAME
has   O
been   O
experiencing   O
intermittent   O
fevers   O
with   O
high   O
peaks   O
at   O
night   O
-   O
time   O
.   O

Dylan   B-NAME
Hawkins   I-NAME
resides   O
in   O
Magas   B-LOCATION
Arriba   I-LOCATION
and   O
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Police   O
and   O
Detectives   O
at   O
United   B-LOCATION
Confederate   I-LOCATION
Veterans   I-LOCATION
.   O

Preliminary   O
inspection   O
done   O
by   O
Dr.   O
Noelle   B-NAME
Rollins   I-NAME
at   O
Children   B-LOCATION
's   I-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Pittsburgh   I-LOCATION
,   I-LOCATION
The   I-LOCATION
suggested   O
bronchitis   O
.   O

To   O
confirm   O
the   O
diagnosis   O
,   O
Ed   B-NAME
Helms   I-NAME
was   O
subjected   O
to   O
a   O
complete   O
blood   O
count   O
,   O
chest   O
X   O
-   O
ray   O
,   O
and   O
sputum   O
test   O
on   O
June   B-DATE
28   I-DATE
.   O

The   O
last   O
contact   O
with   O
Wilberforce   B-NAME
,   I-NAME
William   I-NAME
was   O
on   O
0/59   B-DATE
via   O
(   B-CONTACT
537   I-CONTACT
)   I-CONTACT
743   I-CONTACT
6255   I-CONTACT
.   O

Fielding   B-NAME
,   I-NAME
Henry   I-NAME
was   O
advised   O
to   O
stay   O
hydrated   O
,   O
rest   O
adequately   O
and   O
continue   O
the   O
prescribed   O
medication   O
.   O

Next   O
follow   O
-   O
up   O
is   O
set   O
for   O
32/00   B-DATE
with   O
Dr.   O
Todd   B-NAME
at   O
Central   B-LOCATION
Peninsula   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
case   O
ID   O
for   O
this   O
appointment   O
is   O
NV874/9929   B-ID
.   O

Driving   O
directions   O
to   O
the   O
Rothman   B-LOCATION
Orthopaedic   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
were   O
sent   O
to   O
Arthur   B-NAME
Moyer   I-NAME
's   O
residence   O
at   O
Freeland   B-LOCATION
with   O
the   O
postal   O
code   O
51468   B-LOCATION
.   O

Additional   O
information   O
and   O
updates   O
will   O
be   O
sent   O
via   O
the   O
username   O
YT4610   B-NAME
.   O

This   O
report   O
was   O
written   O
by   O
Carr   B-NAME
on   O
2072   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
24   I-DATE
,   O
and   O
it   O
will   O
be   O
reviewed   O
and   O
finalized   O
by   O
the   O
medical   O
team   O
of   O
Decatur   B-LOCATION
General   I-LOCATION
West   I-LOCATION
Behavioral   I-LOCATION
Medicine   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
Jason   B-NAME
Mantzoukas   I-NAME
DOB   O
:   O
30/10/66   B-DATE
,   O
Age   O
:   O
8   O
ID   O
:   O
QG:54130:924447   B-ID
11/35/72   B-DATE
Dear   O
James   B-NAME
Fraser   I-NAME
,   O
I   O
am   O
writing   O
to   O
provide   O
an   O
update   O
on   O
the   O
above   O
-   O
named   O
patient   O
who   O
visited   O
Nash   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
from   O
Brighton   B-LOCATION
,   O
46064   B-LOCATION
,   O
this   O
past   O
week   O
.   O

On   O
admission   O
,   O
Xaiden   B-NAME
Roberson   I-NAME
reported   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
associated   O
with   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
for   O
over   O
a   O
week   O
which   O
increased   O
in   O
severity   O
in   O
the   O
past   O
three   O
days   O
.   O

Medical   O
Record   O
:   O
755   B-ID
-   I-ID
55   I-ID
-   I-ID
34   I-ID
-   I-ID
2   I-ID
A   O
CT   O
scan   O
showed   O
inflammation   O
of   O
the   O
diverticulum   O
,   O
suggestive   O
of   O
acute   O
diverticulitis   O
.   O

The   O
patient   O
was   O
started   O
on   O
antibiotic   O
therapy   O
with   O
IV   O
ciprofloxacin   O
and   O
metronidazole   O
as   O
per   O
the   O
gastroenterology   O
service   O
's   O
recommendation   O
at   O
Lenox   B-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Karsyn   B-NAME
Horne   I-NAME
.   O

PA500   B-NAME
,   O
her   O
caretaker   O
,   O
contacted   O
us   O
at   O
354   B-CONTACT
8255   I-CONTACT
indicating   O
she   O
has   O
a   O
history   O
of   O
non   O
-   O
compliance   O
to   O
her   O
medication   O
schedule   O
.   O

She   O
is   O
a   O
retired   O
Physical   O
Therapist   O
Aides   O
and   O
currently   O
resides   O
with   O
her   O
son   O
in   O
Garden   B-LOCATION
Farms   I-LOCATION
.   O

She   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
07/06/2012   B-DATE
.   O

Best   O
Regards   O
,   O
Alaina   B-NAME
Sexton   I-NAME
,   O
United   B-LOCATION
Food   I-LOCATION
and   I-LOCATION
Commercial   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION

Patient   O
Report   O
:   O
Tristian   B-NAME
Gill   I-NAME
is   O
a   O
male   O
patient   O
of   O
34s   O
years   O
old   O
presented   O
with   O
a   O
chief   O
complaint   O
of   O
severe   O
chest   O
pain   O
that   O
started   O
around   O
Sunday   B-DATE
,   I-DATE
February   I-DATE
.   O

He   O
mentioned   O
that   O
the   O
symptoms   O
started   O
while   O
he   O
was   O
at   O
his   O
Singers   O
job   O
in   O
Elkin   B-LOCATION
.   O

Prior   O
to   O
the   O
arrival   O
at   O
CalvertHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
his   O
initial   O
vital   O
signs   O
were   O
stable   O
but   O
slightly   O
elevated   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
was   O
observed   O
.   O

On   O
physical   O
examination   O
by   O
Dr.   O
Zander   B-NAME
Woodward   I-NAME
,   O
Daphne   B-NAME
Phelps   I-NAME
was   O
sweaty   O
and   O
looked   O
uncomfortable   O
.   O

Muhammad   B-NAME
Pollard   I-NAME
was   O
admitted   O
for   O
further   O
management   O
under   O
the   O
care   O
of   O
Dr.   O
Houston   B-NAME
at   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Ontario   I-LOCATION
.   O

Yahya   B-NAME
Yoo   I-NAME
's   O
unique   O
760   B-ID
-   I-ID
81   I-ID
-   I-ID
78   I-ID
and   O
73435184   B-ID
were   O
recorded   O
by   O
the   O
hospital   O
staff   O
for   O
official   O
purposes   O
.   O

The   O
patient   O
's   O
emergency   O
contact   O
was   O
noted   O
by   O
the   O
hospital   O
with   O
a   O
729   B-CONTACT
214   I-CONTACT
5816   I-CONTACT
.   O

The   O
hospital   O
informed   O
the   O
People   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Ethical   I-LOCATION
Treatment   I-LOCATION
of   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
PETA   I-LOCATION
)   I-LOCATION
associated   O
with   O
the   O
patient   O
regarding   O
the   O
details   O
of   O
his   O
condition   O
.   O

The   O
patient   O
's   O
residential   O
address   O
mentioned   O
was   O
Gainesville   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Gainesville   I-LOCATION
,   O
17993   B-LOCATION
.   O

The   O
patient   O
is   O
scheduled   O
to   O
have   O
follow   O
-   O
up   O
appointments   O
for   O
continuous   O
monitoring   O
of   O
his   O
condition   O
with   O
Dr.   O
Erickson   B-NAME
using   O
the   O
assigned   O
username   O
sz664   B-NAME
.   O

All   O
the   O
updates   O
will   O
be   O
shared   O
from   O
the   O
medial   O
record   O
number   O
838   B-ID
-   I-ID
08   I-ID
-   I-ID
14   I-ID
-   I-ID
6   I-ID
on   O
the   O
stubs   O
planned   O
to   O
be   O
dispatched   O
on   O
December   B-DATE
.   O

This   O
comprehensive   O
report   O
has   O
been   O
compiled   O
and   O
validated   O
by   O
Dr.   O
Ariana   B-NAME
Kirby   I-NAME
,   O
Windham   B-LOCATION
Hospital   I-LOCATION
,   O
2/2082   B-DATE
.   O

Patient   O
Report   O
Patient   O
:   O
Holden   B-NAME
Hayden   I-NAME
Age   O
:   O
37   O
Address   O
:   O
Byrnes   B-LOCATION
Mill   I-LOCATION
Contact   O
no   O
.   O
:   O
170   B-CONTACT
8963   I-CONTACT
Profession   O
:   O
Medical   O
Records   O
and   O
Health   O
Information   O
Technicians   O
Medical   O
Record   O
no   O
.   O
:   O

3447H34023   B-ID
SSN   O
:   O
676524217   B-ID
Doctor   O
:   O
Kristen   B-NAME
Ochoa   I-NAME
,   O
MD   O
Visit   O
date   O
:   O
July   B-DATE
1   I-DATE
Hospital   O
:   O
PeaceHealth   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
RiverBend   I-LOCATION
Diagnosis   O
:   O
The   O
patient   O
,   O
Rogelio   B-NAME
Mcintyre   I-NAME
,   O
was   O
admitted   O
to   O
the   O
Mahaska   B-LOCATION
Health   I-LOCATION
on   O
12/94   B-DATE
.   O

The   O
patient   O
disclosed   O
a   O
recent   O
trip   O
to   O
Stella   B-LOCATION
and   O
consumption   O
of   O
questionable   O
seafood   O
,   O
suggestive   O
of   O
possible   O
foodborne   O
illness   O
.   O

The   O
patient   O
was   O
given   O
a   O
prescription   O
for   O
antibiotics   O
by   O
Walters   B-NAME
,   O
asked   O
to   O
increase   O
fluid   O
intake   O
,   O
and   O
administer   O
inhaled   O
medications   O
to   O
help   O
with   O
the   O
cough   O
.   O

He   O
was   O
advised   O
to   O
return   O
to   O
the   O
hospital   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O
Will   O
be   O
scheduling   O
a   O
follow   O
up   O
appointment   O
with   O
Decker   B-NAME
on   O
Saturday   B-DATE
,   I-DATE
November   I-DATE
.   O
Follow   O
up   O
notes   O
to   O
-   O
do   O
:   O

1   O
.   O
Refer   O
Walton   B-NAME
Calgar   I-NAME
for   O
a   O
CT   O
chest   O
scan   O
.   O

2   O
.   O
Contact   O
the   O
patient   O
through   O
(   B-CONTACT
919   I-CONTACT
)   I-CONTACT
179   I-CONTACT
-   I-CONTACT
7319   I-CONTACT
number   O
to   O
see   O
if   O
symptoms   O
have   O
improved   O
.   O

Please   O
email   O
reminders   O
of   O
appointments   O
to   O
rb537   B-NAME
@   O
Amalgamated   B-LOCATION
Transit   I-LOCATION
Union   I-LOCATION
.com   O
,   O
or   O
mail   O
them   O
to   O
the   O
Mechanic   B-LOCATION
Falls   I-LOCATION
address   O
,   O
11317   B-LOCATION
.   O

Patient   O
record   O
for   O
Peyton   B-NAME
Winters   I-NAME
At   O
around   O
5   O
PM   O
on   O
21/05   B-DATE
,   O
the   O
Xzavior   B-NAME
Casey   I-NAME
was   O
admitted   O
to   O
Herrin   B-LOCATION
Hospital   I-LOCATION
against   O
a   O
medical   O
record   O
number   O
80989598   B-ID
.   O

They   O
were   O
referred   O
to   O
us   O
by   O
Faith   B-NAME
Ballard   I-NAME
at   O
Florida   B-LOCATION
Public   I-LOCATION
Utilities   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Chesapeake   I-LOCATION
Utilities   I-LOCATION
.   O

The   O
Josh   B-NAME
Romero   I-NAME
might   O
have   O
inherited   O
these   O
genetic   O
factors   O
,   O
alongside   O
lifestyle   O
aspects   O
contributing   O
to   O
the   O
development   O
of   O
the   O
condition   O
.   O

The   O
patient   O
resides   O
in   O
Santa   B-LOCATION
Clara   I-LOCATION
Pueblo   I-LOCATION
,   O
50225   B-LOCATION
,   O
and   O
is   O
insured   O
under   O
the   O
employee   O
medical   O
coverage   O
,   O
ID   O
number   O
KI:86064:814853   B-ID
.   O

The   O
insured   O
has   O
requested   O
all   O
further   O
communication   O
to   O
be   O
done   O
via   O
their   O
contact   O
number   O
626   B-CONTACT
-   I-CONTACT
117   I-CONTACT
8585   I-CONTACT
.   O

For   O
the   O
online   O
portal   O
,   O
patient   O
's   O
YF8510   B-NAME
can   O
be   O
used   O
for   O
communications   O
as   O
well   O
.   O

Following   O
the   O
initial   O
diagnosis   O
,   O
the   O
patient   O
was   O
transferred   O
to   O
the   O
Acute   O
Care   O
Unit   O
under   O
the   O
supervision   O
of   O
Jacobson   B-NAME
where   O
the   O
patient   O
is   O
currently   O
being   O
closely   O
monitored   O
.   O

Should   O
you   O
have   O
any   O
query   O
or   O
require   O
any   O
additional   O
information   O
,   O
please   O
get   O
in   O
touch   O
at   O
26709   B-CONTACT
.   O

This   O
comprehensive   O
record   O
has   O
been   O
compiled   O
as   O
a   O
step   O
towards   O
ensuring   O
patient   O
-   O
centric   O
and   O
personalized   O
care   O
for   O
Cash   B-NAME
,   I-NAME
Johnny   I-NAME
.   O

Patient   O
:   O
kenny   B-NAME
Age   O
:   O
31   O
Date   O
:   O
06/12   B-DATE
The   O
patient   O
,   O
presented   O
to   O
Dr.   O
Wilkins   B-NAME
at   O
St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
excessive   O
sweating   O
.   O

His   O
medical   O
records   O
653   B-ID
-   I-ID
53   I-ID
-   I-ID
46   I-ID
-   I-ID
7   I-ID
stated   O
that   O
he   O
was   O
a   O
lifelong   O
smoker   O
with   O
a   O
history   O
of   O
hypertension   O
and   O
high   O
cholesterol   O
,   O
which   O
are   O
major   O
risk   O
factors   O
for   O
heart   O
disease   O
.   O

Patient   O
lives   O
in   O
Knightdale   B-LOCATION
.   O

An   O
EKG   O
ordered   O
by   O
Dr.   O
Oneill   B-NAME
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
,   O
signaling   O
a   O
possible   O
anterior   O
wall   O
myocardial   O
infarction   O
.   O

The   O
Cardiology   O
team   O
was   O
spoken   O
with   O
over   O
the   O
(   B-CONTACT
948   I-CONTACT
)   I-CONTACT
422   I-CONTACT
1500   I-CONTACT
.   O

The   O
patient   O
is   O
currently   O
admitted   O
in   O
the   O
Cardiac   O
Care   O
Unit   O
of   O
Advanced   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
health   O
insurance   O
coverage   O
,   O
the   O
patient   O
's   O
ID   O
-   O
6   B-ID
-   I-ID
3888741   I-ID
and   O
insurance   O
details   O
from   O
Appalachian   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
were   O
taken   O
.   O

Any   O
further   O
developments   O
will   O
be   O
updated   O
on   O
his   O
account   O
pcn505   B-NAME
.   O

The   O
next   O
scheduled   O
follow   O
-   O
up   O
for   O
the   O
patient   O
has   O
been   O
fixed   O
on   O
34/03/97   B-DATE
.   O

Relatives   O
are   O
advised   O
to   O
address   O
any   O
further   O
queries   O
they   O
have   O
at   O
our   O
helpdesk   O
at   O
(   B-CONTACT
865   I-CONTACT
)   I-CONTACT
321   I-CONTACT
3788   I-CONTACT
or   O
visit   O
our   O
institution   O
located   O
at   O
Hummelstown   B-LOCATION
,   O
95420   B-LOCATION
.   O

Patient   O
Name   O
:   O
Knight   B-NAME
Age   O
:   O
70   O
Medical   O
Record   O
Number   O
:   O
065   B-ID
-   I-ID
29   I-ID
-   I-ID
40   I-ID
-   I-ID
4   I-ID
Address   O
:   O
Thatcham   B-LOCATION
ZIP   O
:   O
68258   B-LOCATION
Presented   O
with   O
severe   O
chest   O
pain   O
and   O
observed   O
shortness   O
of   O
breath   O
.   O

Got   O
reports   O
from   O
National   B-LOCATION
Flood   I-LOCATION
Insurance   I-LOCATION
Program   I-LOCATION
on   O
02/22   B-DATE
.   O

Cholesterol   O
levels   O
were   O
also   O
significantly   O
high   O
,   O
240   O
mg   O
/   O
dL.   O
Scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
cardiologist   O
Whitney   B-NAME
at   O
Weiss   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
3/3/2341   B-DATE
.   O

Next   O
checkup   O
is   O
scheduled   O
on   O
02/10   B-DATE
.   O

For   O
any   O
emergency   O
,   O
contact   O
the   O
healthcare   O
service   O
at   O
999   B-CONTACT
7574   I-CONTACT
Patient   O
’s   O
ID   O
:   O
1   B-ID
-   I-ID
8023795   I-ID
Doctor   O
's   O
Name   O
:   O
John   B-NAME
H.   I-NAME
Watson   I-NAME
Username   O
for   O
online   O
access   O
:   O
dz244   B-NAME
For   O
further   O
detailed   O
review   O
and   O
health   O
history   O
,   O
I   O
have   O
transferred   O
the   O
patient   O
's   O
reports   O
to   O
the   O
hospital   O
and   O
the   O
doctor   O
.   O

Patient   O
Name   O
:   O
Laurence   B-NAME
Shoup   I-NAME
Age   O
:   O
65   O
Gender   O
:   O
Female   O
PHI   O
-   O
Removed   O
Patient   O
Report   O
:   O

Meza   B-NAME
visited   O
Shenandoah   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2376   B-DATE
,   O
reporting   O
a   O
persistently   O
high   O
fever   O
for   O
approximately   O
one   O
week   O
.   O

During   O
the   O
examination   O
by   O
Woodard   B-NAME
,   O
Kaleb   B-NAME
Oconnell   I-NAME
showed   O
signs   O
of   O
a   O
stiff   O
neck   O
.   O

Ransome   B-NAME
,   I-NAME
Arthur   I-NAME
was   O
admitted   O
to   O
Christian   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
investigation   O
and   O
immediate   O
treatment   O
.   O

A   O
lumbar   O
puncture   O
(   O
LP   O
)   O
was   O
performed   O
on   O
29/23/02   B-DATE
to   O
gather   O
cerebrospinal   O
fluid   O
(   O
CSF   O
)   O
for   O
analysis   O
.   O

However   O
,   O
pending   O
precise   O
identification   O
of   O
pathogenic   O
bacteria   O
,   O
Alvarez   B-NAME
was   O
started   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
as   O
a   O
precautionary   O
measure   O
.   O

The   O
medical   O
record   O
number   O
of   O
Diane   B-NAME
Grad   I-NAME
at   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Bartlett   I-LOCATION
is   O
4697280   B-ID
.   O

Blood   O
samples   O
were   O
also   O
sent   O
to   O
Wheatland   B-LOCATION
Bank   I-LOCATION
located   O
at   O
Slovan   B-LOCATION
with   O
ID   O
GY:93910:210376   B-ID
for   O
further   O
processing   O
,   O
and   O
results   O
are   O
expected   O
by   O
April   B-DATE
.   O

German   B-NAME
Jarvis   I-NAME
lives   O
in   O
Orlando   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
32811   I-LOCATION
with   O
a   O
76332   B-LOCATION
and   O
is   O
a   O
Teaching   O
/   O
classroom   O
assistant   O
by   O
occupation   O
.   O

Her   O
emergency   O
contact   O
is   O
on   O
673   B-CONTACT
5120   I-CONTACT
.   O

The   O
nursing   O
team   O
under   O
Weiss   B-NAME
are   O
monitoring   O
her   O
vitals   O
and   O
symptoms   O
closely   O
,   O
with   O
a   O
particular   O
focus   O
on   O
any   O
signs   O
of   O
cognitive   O
changes   O
indicative   O
of   O
neurological   O
complications   O
.   O

If   O
needed   O
,   O
further   O
consultations   O
may   O
be   O
required   O
with   O
the   O
infectious   O
disease   O
team   O
and   O
her   O
primary   O
care   O
provider   O
,   O
Dr.   O
Ibarra   B-NAME
.   O

Her   O
consultation   O
appointment   O
at   O
NYU   B-LOCATION
Winthrop   I-LOCATION
Hospital   I-LOCATION
is   O
currently   O
booked   O
for   O
05/70   B-DATE
.   O

Case   O
managed   O
by   O
jya30   B-NAME
.   O

Patient   O
Log   O
:   O
Gavin   B-NAME
Esparza   I-NAME
visited   O
Opelousas   B-LOCATION
General   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
0/22/56   B-DATE
.   O

During   O
the   O
initial   O
consultation   O
,   O
Card   B-NAME
,   I-NAME
Orson   I-NAME
Scott   I-NAME
observed   O
the   O
patient   O
's   O
acute   O
bronchial   O
symptoms   O
.   O

In   O
addition   O
to   O
that   O
,   O
Ally   B-NAME
reported   O
that   O
respiration   O
is   O
particularly   O
problematic   O
in   O
the   O
evening   O
hours   O
.   O

Other   O
relevant   O
medical   O
history   O
includes   O
a   O
successful   O
surgical   O
treatment   O
for   O
colon   O
cancer   O
five   O
years   O
ago   O
at   O
South   B-LOCATION
Sioux   I-LOCATION
City   I-LOCATION
.   O

After   O
the   O
consultation   O
,   O
Escobar   B-NAME
asked   O
Flores   B-NAME
to   O
provide   O
any   O
previous   O
medical   O
records   O
.   O

The   O
patient   O
provided   O
their   O
10038623   B-ID
from   O
Federated   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
.   O

Further   O
analysis   O
showed   O
that   O
Valerius   B-NAME
Valance   I-NAME
has   O
been   O
taking   O
salbutamol   O
,   O
ipratropium   O
bromide   O
,   O
and   O
sputum   O
thinning   O
agents   O
for   O
COPD   O
.   O

Reagan   B-NAME
Ware   I-NAME
sent   O
a   O
follow   O
-   O
up   O
appointment   O
request   O
via   O
45856   B-CONTACT
with   O
the   O
patient   O
for   O
two   O
weeks   O
later   O
.   O

On   O
the   O
aforementioned   O
date   O
,   O
Angie   B-NAME
Hall   I-NAME
will   O
see   O
the   O
medical   O
team   O
led   O
by   O
Brennan   B-NAME
Gentry   I-NAME
and   O
located   O
in   O
Building   O
52434   B-LOCATION
,   O
on   O
the   O
third   O
floor   O
room   O
301   O
in   O
Osceola   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

ULICES   B-NAME
ZAMUDIO   I-NAME
used   O
677214293   B-ID
for   O
all   O
their   O
payment   O
processes   O
.   O

For   O
all   O
future   O
medical   O
documentation   O
and   O
login   O
purposes   O
upon   O
accessing   O
online   O
services   O
in   O
Tuba   B-LOCATION
City   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Corporation   I-LOCATION
,   O
Terrel   B-NAME
has   O
been   O
provided   O
with   O
the   O
lqr226   B-NAME
.   O

Patient   O
Name   O
:   O
John   B-NAME
H.   I-NAME
Watson   I-NAME
Age   O
:   O
27   O
ID   O
:   O
WW   B-ID
:   I-ID
BT:9554   I-ID
Medical   O
Record   O
Number   O
:   O
8505E57280   B-ID
Date   O
:   O
1660   B-DATE
Dear   O
Dr.   O
Dean   B-NAME
,   O
I   O
am   O
writing   O
this   O
letter   O
to   O
provide   O
a   O
detailed   O
report   O
of   O
the   O
patient   O
,   O
Caleb   B-NAME
Walls   I-NAME
's   O
,   O
condition   O
in   O
Twin   B-LOCATION
Cities   I-LOCATION
Hospital   I-LOCATION
.   O

Tosha   B-NAME
Phu   I-NAME
was   O
admitted   O
to   O
State   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
located   O
at   O
Ellensburg   B-LOCATION
on   O
October   B-DATE
.   O

Hendrickson   B-NAME
,   I-NAME
D.   I-NAME
then   O
underwent   O
a   O
thorough   O
gastrointestinal   O
evaluation   O
.   O

The   O
results   O
are   O
yet   O
to   O
return   O
,   O
however   O
,   O
we   O
assure   O
you   O
that   O
we   O
will   O
keep   O
you   O
updated   O
as   O
more   O
becomes   O
known   O
about   O
Clare   B-NAME
Everett   I-NAME
's   O
situation   O
.   O

Kaila   B-NAME
Fisher   I-NAME
revealed   O
their   O
job   O
as   O
a   O
Software   O
Developers   O
,   O
Applications   O
.   O

Further   O
,   O
it   O
was   O
noted   O
that   O
Jovany   B-NAME
Anthony   I-NAME
lacked   O
a   O
consistent   O
exercise   O
routine   O
and   O
consumed   O
a   O
high   O
-   O
fat   O
,   O
low   O
-   O
fiber   O
diet   O
.   O

Please   O
contact   O
William   B-LOCATION
Newton   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Winfield   I-LOCATION
at   O
70003   B-CONTACT
or   O
visit   O
us   O
at   O
the   O
address   O
Melbeta   B-LOCATION
if   O
you   O
require   O
additional   O
information   O
about   O
Jack   B-NAME
Morrison   I-NAME
case   O
.   O

Mansfield   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.com   O
using   O
the   O
patient   O
's   O
username   O
IM295   B-NAME
and   O
Zip   O
code   O
97511   B-LOCATION
for   O
access   O
.   O

Regards   O
,   O
Hess   B-NAME
Lakeview   B-LOCATION
Hospital   I-LOCATION

Patient   O
Name   O
:   O
Woodard   B-NAME
Age   O
:   O
26   O
Medical   O
Record   O
Number   O
:   O
69254181   B-ID
Admitting   O
Physician   O
:   O

Hahn   B-NAME
The   O
patient   O
was   O
seen   O
on   O
2385   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
32   I-DATE
at   O
John   B-LOCATION
Peter   I-LOCATION
Smith   I-LOCATION
Hospital   I-LOCATION
in   O
Salmon   B-LOCATION
.   O

The   O
patient   O
had   O
come   O
from   O
Jackson   B-LOCATION
National   I-LOCATION
Life   I-LOCATION
where   O
he   O
works   O
as   O
a   O
Police   O
Patrol   O
Officers   O
.   O

His   O
last   O
known   O
HbA1c   O
was   O
at   O
7.2   O
%   O
dated   O
11/22/00   B-DATE
.   O

Immediately   O
,   O
Samuel   B-NAME
Harrison   I-NAME
from   O
cardiology   O
was   O
consulted   O
and   O
patient   O
underwent   O
an   O
urgent   O
coronary   O
angiography   O
which   O
showed   O
significant   O
disease   O
in   O
right   O
coronary   O
artery   O
.   O

The   O
procedure   O
was   O
done   O
in   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
cardiac   O
cath   O
lab   O
by   O
Woodward   B-NAME
,   I-NAME
Bob   I-NAME
on   O
0/38   B-DATE
.   O

Patient   O
was   O
discharged   O
on   O
2202   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
12   I-DATE
with   O
advice   O
on   O
post   O
-   O
procedure   O
care   O
and   O
follow   O
up   O
in   O
Sentara   B-LOCATION
RMH   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
outpatient   O
department   O
.   O

For   O
further   O
queries   O
or   O
complications   O
,   O
please   O
contact   O
on   O
:   O
(   B-CONTACT
656   I-CONTACT
)   I-CONTACT
535   I-CONTACT
-   I-CONTACT
4831   I-CONTACT
Patient   O
's   O
ID   O
for   O
reference   O
:   O
SM768/8916   B-ID
Emergency   O
Contact   O
:   O
46912   B-CONTACT
Patient   O
's   O
home   O
address   O
:   O
Upper   B-LOCATION
Lake   I-LOCATION
,   O
96361   B-LOCATION
Username   O
to   O
access   O
online   O
portal   O
:   O
VR826   B-NAME
Sincerely   O
,   O
Peterson   B-NAME
5/01   B-DATE

Patient   O
Name   O
:   O
Rylie   B-NAME
Spence   I-NAME
Age   O
:   O
1   O
week   O
Medical   O
Record   O
:   O
91009626   B-ID
License   O
ID   O
:   O
SB894/2181   B-ID
Residence   O
:   O
Jacksonville   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
32225   I-LOCATION
Contact   O
:   O
(   B-CONTACT
904   I-CONTACT
)   I-CONTACT
885   I-CONTACT
-   I-CONTACT
6812   I-CONTACT
Following   O
up   O
after   O
your   O
visit   O
with   O
Frederick   B-NAME
on   O
2353   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
21   I-DATE
,   O
I   O
am   O
documenting   O
your   O
medical   O
report   O
.   O

You   O
visited   O
Avera   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
moderate   O
to   O
severe   O
headaches   O
,   O
dominated   O
by   O
a   O
throbbing   O
sensation   O
.   O

Following   O
a   O
comprehensive   O
neurological   O
examination   O
,   O
Gauge   B-NAME
Brown   I-NAME
requested   O
an   O
MRI   O
,   O
results   O
of   O
which   O
rule   O
out   O
major   O
neurological   O
disorders   O
.   O

However   O
,   O
it   O
was   O
noted   O
that   O
you   O
have   O
not   O
received   O
your   O
vaccination   O
from   O
the   O
RLI   B-LOCATION
Corp.   I-LOCATION
against   O
flu   O
.   O

Moreover   O
,   O
Gerardo   B-NAME
Valdez   I-NAME
recommended   O
you   O
to   O
an   O
ophthalmologist   O
,   O
considering   O
your   O
complaints   O
related   O
to   O
vision   O
.   O

Your   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
at   O
Penn   B-LOCATION
Highlands   I-LOCATION
Clearfield   I-LOCATION
on   O
25/00   B-DATE
.   O

Should   O
you   O
have   O
any   O
doubts   O
or   O
concerns   O
,   O
feel   O
free   O
to   O
contact   O
Mary   B-LOCATION
Breckinridge   I-LOCATION
Hospital   I-LOCATION
at   O
528   B-CONTACT
-   I-CONTACT
1822   I-CONTACT
.   O

Signed   O
,   O
xc612   B-NAME
7/21/58   B-DATE
P.S.   O
:   O

It   O
is   O
advised   O
that   O
you   O
keep   O
all   O
your   O
personal   O
information   O
,   O
including   O
your   O
zip   O
code   O
42189   B-LOCATION
,   O
updated   O
in   O
our   O
records   O
at   O
Ascension   B-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Jonnie   B-NAME
Vue   I-NAME
The   O
patient   O
,   O
Evan   B-NAME
Rendell   I-NAME
,   O
is   O
a   O
2   O
week   O
year   O
old   O
female   O
.   O

She   O
was   O
admitted   O
to   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1783   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
13   I-DATE
.   O

Throughout   O
her   O
stay   O
at   O
hospital   O
unit   O
BU459/6215   B-ID
,   O
she   O
was   O
under   O
the   O
care   O
of   O
Mccann   B-NAME
.   O

Mccullough   B-NAME
came   O
in   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Residents   O
of   O
Wauchula   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Wauchula   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
where   O
she   O
lives   O
were   O
reported   O
to   O
have   O
similar   O
symptoms   O
.   O

83384781   B-ID
revealed   O
that   O
Peterson   B-NAME
has   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

She   O
works   O
as   O
a   O
Clinical   O
research   O
associate   O
in   O
an   O
Delaware   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
.   O

The   O
operation   O
took   O
place   O
on   O
1885   B-DATE
where   O
Kaufman   B-NAME
performed   O
the   O
surgery   O
.   O

Post   O
operation   O
,   O
she   O
responded   O
well   O
to   O
the   O
treatment   O
and   O
was   O
discharged   O
on   O
Friday   B-DATE
,   I-DATE
February   I-DATE
.   O

Her   O
home   O
address   O
is   O
Long   B-LOCATION
Grove   I-LOCATION
with   O
a   O
postal   O
code   O
of   O
89797   B-LOCATION
.   O

For   O
any   O
further   O
correspondence   O
,   O
her   O
contact   O
number   O
has   O
been   O
listed   O
as   O
738   B-CONTACT
4800   I-CONTACT
.   O

She   O
was   O
advised   O
to   O
continue   O
taking   O
her   O
prescribed   O
medications   O
and   O
was   O
booked   O
for   O
a   O
follow   O
up   O
visit   O
on   O
22/03/2255   B-DATE
with   O
Dr.   O
Samantha   B-NAME
Meadows   I-NAME
.   O

Patient   O
's   O
username   O
on   O
our   O
online   O
patient   O
portal   O
is   O
awp635   B-NAME
where   O
she   O
can   O
check   O
her   O
health   O
progress   O
anytime   O
.   O

Patient   O
Name   O
:   O
Dotson   B-NAME
Age   O
:   O
71   O
Address   O
:   O
Lawrenceburg   B-LOCATION
Phone   O
number   O
:   O
413   B-CONTACT
546   I-CONTACT
-   I-CONTACT
1725   I-CONTACT
Medical   O
Record   O
No   O
:   O
38342047   B-ID
SSN   O
:   O
6305872   B-ID
Occupation   O
:   O
Atmospheric   O
and   O
Space   O
Scientists   O
Referred   O
by   O
:   O
Aydan   B-NAME
Hurley   I-NAME
The   O
patient   O
,   O
Konner   B-NAME
Butler   I-NAME
,   O
was   O
presented   O
to   O
the   O
Crisp   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
30/22   B-DATE
.   O

Blood   O
samples   O
were   O
sent   O
to   O
the   O
Coimbatore   B-LOCATION
District   I-LOCATION
Textile   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
lab   O
for   O
cardiac   O
enzyme   O
analysis   O
.   O

The   O
patient   O
was   O
admitted   O
on   O
24   B-DATE
-   I-DATE
Jan-2261   I-DATE
and   O
under   O
my   O
care   O
now   O
.   O

The   O
patient   O
's   O
son   O
,   O
who   O
is   O
a   O
Choreographers   O
in   O
the   O
Crescent   B-LOCATION
Springs   I-LOCATION
,   O
was   O
informed   O
about   O
the   O
health   O
status   O
of   O
his   O
father   O
through   O
68083   B-CONTACT
number   O
.   O

[   O
CITY   O
,   O
95672   B-LOCATION
]   O
is   O
the   O
location   O
of   O
the   O
hospital   O
where   O
the   O
patient   O
is   O
currently   O
admitted   O
.   O

The   O
hospital   O
username   O
is   O
ff699   B-NAME
.   O
Follow   O
-   O
ups   O
are   O
scheduled   O
with   O
Fletcher   B-NAME
after   O
cath   O
lab   O
transfer   O
.   O

To   O
ensure   O
privacy   O
and   O
security   O
,   O
the   O
patient   O
's   O
personal   O
identifier   O
,   O
social   O
security   O
number   O
ZT:68843:254940   B-ID
and   O
patient   O
's   O
medical   O
record   O
number   O
126   B-ID
-   I-ID
27   I-ID
-   I-ID
14   I-ID
-   I-ID
3   I-ID
,   O
are   O
documented   O
only   O
in   O
our   O
encrypted   O
and   O
HIPAA   O
-   O
compliant   O
server   O
to   O
ensure   O
maximum   O
patient   O
confidentiality   O
and   O
minimum   O
risk   O
of   O
PHI   O
(   O
Personal   O
Healthcare   O
Information   O
)   O
breach   O
.   O

Patient   O
Name   O
:   O
Marshall   B-NAME
,   I-NAME
George   I-NAME
Date   O
of   O
Birth   O
:   O
31/21   B-DATE
Age   O
:   O
21   O
ID   O
:   O
DY778/7010   B-ID
Phone   O
Number   O
:   O
58621   B-CONTACT
Medical   O
Record   O
Number   O
:   O
8041035   B-ID
Address   O
:   O
Tappan   B-LOCATION
,   O
31947   B-LOCATION
Dear   O
Keira   B-NAME
Powell   I-NAME
,   O
I   O
have   O
been   O
treating   O
Mr.   O
Epicurus   B-NAME
at   O
Hancock   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

When   O
I   O
first   O
met   O
him   O
on   O
32/27   B-DATE
,   O
he   O
presented   O
some   O
concerning   O
symptoms   O
.   O

Furthermore   O
,   O
Mr.   O
Aguilar   B-NAME
reported   O
experiencing   O
episodes   O
of   O
blurred   O
vision   O
,   O
particularly   O
in   O
the   O
right   O
eye   O
.   O

Reviewing   O
the   O
patient   O
’s   O
history   O
,   O
I   O
learned   O
that   O
Mr.   O
Milton   B-NAME
Mead   I-NAME
's   O
father   O
,   O
at   O
the   O
age   O
of   O
20   O
,   O
was   O
diagnosed   O
with   O
brain   O
tumors   O
.   O

Given   O
the   O
family   O
history   O
,   O
and   O
the   O
severity   O
and   O
frequency   O
of   O
the   O
symptoms   O
,   O
I   O
recommended   O
a   O
MRI   O
scan   O
which   O
was   O
performed   O
on   O
August   B-DATE
21th   I-DATE
at   O
The   B-LOCATION
Brooklyn   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

The   O
radiologist   O
,   O
Dr.   O
Dennis   B-NAME
,   O
has   O
sent   O
the   O
reports   O
to   O
my   O
username   O
uxe335   B-NAME
and   O
I   O
will   O
provide   O
an   O
update   O
on   O
the   O
findings   O
as   O
they   O
come   O
in   O
.   O

I   O
advised   O
Mr.   O
Octavio   B-NAME
Caldwell   I-NAME
to   O
continue   O
with   O
his   O
current   O
medication   O
and   O
I   O
scheduled   O
a   O
follow   O
-   O
up   O
visit   O
on   O
13/11   B-DATE
.   O

In   O
between   O
the   O
visits   O
,   O
Mr.   O
Bertram   B-NAME
Pincus   I-NAME
who   O
is   O
a   O
Shuttle   O
Car   O
Operators   O
by   O
trade   O
,   O
has   O
my   O
385   B-CONTACT
7444   I-CONTACT
number   O
for   O
emergency   O
communication   O
.   O

I   O
have   O
contacted   O
his   O
health   O
insurance   O
company   O
,   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Heat   I-LOCATION
and   I-LOCATION
Frost   I-LOCATION
Insulators   I-LOCATION
and   I-LOCATION
Asbestos   I-LOCATION
Workers   I-LOCATION
,   O
about   O
the   O
tests   O
ordered   O
and   O
they   O
confirmed   O
coverage   O
under   O
health   O
plan   O
291553879   B-ID
.   O

Thank   O
you   O
for   O
your   O
continued   O
support   O
in   O
providing   O
care   O
for   O
Mr.   O
Omar   B-NAME
Moody   I-NAME
.   O

Sincerely   O
,   O
Ranke   B-NAME
,   I-NAME
Leopold   I-NAME
von   I-NAME

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Cochran   B-NAME
Patient   O
ID   O
:   O
UJ597/9968   B-ID
Age   O
:   O
95   O
Phone   O
:   O
67297   B-CONTACT
Address   O
:   O
Indiana   B-LOCATION
Medical   O
Record   O
Number   O
:   O
6874210   B-ID
Zip   O
Code   O
:   O
24566   B-LOCATION
Case   O
History   O
:   O

On   O
10/61   B-DATE
,   O
the   O
patient   O
,   O
Mr.   O
Angel   B-NAME
Petersen   I-NAME
visited   O
St.   B-LOCATION
Peter   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
with   O
Chief   O
Physician   O
Dr.   O
Kirk   B-NAME
for   O
a   O
routine   O
check   O
-   O
up   O
.   O

During   O
periods   O
of   O
rest   O
,   O
Mr.   O
Rolf   B-NAME
Caughran   I-NAME
's   O
discomfort   O
seems   O
to   O
slightly   O
alleviate   O
but   O
resumes   O
upon   O
physical   O
exertion   O
.   O

Investigations   O
:   O
Dr.   O
Fox   B-NAME
conducted   O
a   O
comprehensive   O
physical   O
examination   O
followed   O
by   O
diagnostic   O
tests   O
on   O
Sunday   B-DATE
.   O

Consultation   O
:   O
Based   O
on   O
the   O
results   O
,   O
Dr.   O
Benton   B-NAME
referred   O
Mr.   O
Nixon   B-NAME
to   O
a   O
renowned   O
cardiologist   O
at   O
Human   B-LOCATION
Rights   I-LOCATION
First   I-LOCATION
.   O

Treatment   O
:   O
Mr.   O
Karlee   B-NAME
Lindsey   I-NAME
was   O
prescribed   O
Beta   O
-   O
blockers   O
and   O
Statins   O

An   O
angioplasty   O
is   O
scheduled   O
at   O
the   O
LDS   B-LOCATION
Hospital   I-LOCATION
for   O
January   B-DATE
29   I-DATE
,   I-DATE
2330   I-DATE
if   O
medications   O
do   O
not   O
show   O
desired   O
outcomes   O
.   O

A   O
review   O
appointment   O
has   O
been   O
scheduled   O
for   O
Mr.   O
Del   B-NAME
on   O
Sunday   B-DATE
,   I-DATE
July   I-DATE
,   O
with   O
Dr.   O
Summers   B-NAME
at   O
Willernie   B-LOCATION
.   O

He   O
was   O
instructed   O
to   O
contact   O
the   O
hospital   O
via   O
the   O
number   O
934   B-CONTACT
7185   I-CONTACT
in   O
case   O
of   O
emergency   O
.   O

Note   O
:   O
Mr.   O
Imala   B-NAME
is   O
a   O
retired   O
Design   O
engineer   O
.   O

We   O
've   O
noted   O
the   O
date   O
and   O
time   O
of   O
the   O
appointment   O
on   O
username   O
tc8810   B-NAME
's   O
portal   O
for   O
their   O
aiding   O
in   O
travel   O
arrangements   O
.   O

Patient   O
Name   O
:   O
Coretta   B-NAME
Party   I-NAME
Age   O
:   O
70   O
Record   O
ID   O
:   O
90694566   B-ID
Thursday   B-DATE
,   I-DATE
July   I-DATE
Dear   O
Dr.   O
Philip   B-NAME
Velez   I-NAME
,   O
Patient   O
Kenneth   B-NAME
X.   I-NAME
Sylvester   I-NAME
came   O
to   O
our   O
clinic   O
,   O
Guthrie   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
,   O
today   O
,   O
presenting   O
with   O
symptoms   O
suggestive   O
of   O
acute   O
bronchitis   O
.   O

His   O
personal   O
ID   O
VG   B-ID
:   I-ID
XV:2747   I-ID
confirms   O
that   O
,   O
in   O
the   O
past   O
,   O
he   O
had   O
an   O
episode   O
of   O
similar   O
symptoms   O
that   O
resolved   O
without   O
intervention   O
.   O

While   O
residing   O
in   O
Luthersville   B-LOCATION
,   O
the   O
patient   O
did   O
not   O
report   O
any   O
exposure   O
to   O
individuals   O
with   O
similar   O
symptoms   O
at   O
his   O
workplace   O
.   O

Based   O
on   O
these   O
findings   O
,   O
a   O
course   O
of   O
antibiotics   O
along   O
with   O
a   O
bronchodilator   O
was   O
prescribed   O
,   O
and   O
the   O
patient   O
was   O
advised   O
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Buffalo   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
after   O
a   O
week   O
.   O

A   O
follow   O
-   O
up   O
phone   O
call   O
at   O
291   B-CONTACT
6947   I-CONTACT
within   O
three   O
days   O
is   O
scheduled   O
to   O
ensure   O
the   O
efficacy   O
of   O
the   O
treatment   O
and   O
to   O
monitor   O
symptoms   O
.   O

The   O
form   O
can   O
be   O
accessed   O
using   O
his   O
username   O
xoo817   B-NAME
provided   O
.   O

The   O
best   O
regards   O
,   O
Marco   B-NAME
Tanner   I-NAME
Kelley   B-NAME
's   O
Clinic   O
City   B-LOCATION
of   I-LOCATION
Chattahoochee   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Mims   B-LOCATION
,   O
83883   B-LOCATION

Patient   O
Information   O
:   O
32/10   B-DATE
,   O
Braine   B-NAME
,   I-NAME
John   I-NAME
(   O
referred   O
to   O
from   O
here   O
on   O
as   O
Patient   O
X   O
to   O
ensure   O
privacy   O
)   O
was   O
admitted   O
to   O
Homestead   B-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Prior   O
to   O
admission   O
,   O
they   O
sought   O
consultation   O
from   O
Crick   B-NAME
,   I-NAME
Francis   I-NAME
at   O
Cyprus   B-LOCATION
.   O

No   O
previous   O
medical   O
history   O
related   O
to   O
these   O
symptoms   O
was   O
found   O
in   O
366   B-ID
-   I-ID
13   I-ID
-   I-ID
95   I-ID
-   I-ID
1   I-ID
.   O
Further   O
inspection   O
and   O
diagnostic   O
tests   O
are   O
set   O
to   O
be   O
conducted   O
on   O
1/05/91   B-DATE
.   O

Adrienne   B-NAME
Sexton   I-NAME
suggested   O
that   O
Patient   O
X   O
has   O
an   O
upper   O
endoscopy   O
,   O
colonoscopy   O
,   O
and   O
CT   O
scan   O
which   O
will   O
be   O
done   O
at   O
Buffalo   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
respective   O
lab   O
and   O
technician   O
's   O
contact   O
details   O
are   O
:   O
(   B-CONTACT
371   I-CONTACT
)   I-CONTACT
701   I-CONTACT
-   I-CONTACT
3696   I-CONTACT
.   O

Patient   O
X   O
resides   O
at   O
Evendale   B-LOCATION
,   O
with   O
a   O
zip   O
code   O
of   O
28726   B-LOCATION
.   O

They   O
are   O
employed   O
by   O
Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
in   O
the   O
capacity   O
of   O
a(n   O
)   O
Education   O
Administrators   O
,   O
Preschool   O
and   O
Childcare   O
Center   O
/   O
Program   O
.   O

For   O
further   O
comments   O
or   O
questions   O
about   O
the   O
patient   O
's   O
history   O
or   O
treatment   O
plan   O
,   O
you   O
can   O
connect   O
with   O
the   O
patient   O
’s   O
primary   O
care   O
physician   O
,   O
Irwin   B-NAME
,   O
through   O
the   O
hospital   O
’s   O
secure   O
messaging   O
service   O
at   O
hfy101   B-NAME
.   O

Emergency   O
contact   O
details   O
for   O
Patient   O
X   O
are   O
on   O
file   O
under   O
reference   O
BM956/7652   B-ID
.   O

If   O
necessary   O
,   O
the   O
patient   O
's   O
condition   O
will   O
be   O
updated   O
on   O
1/23   B-DATE
after   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
.   O

Submitted   O
by   O
Frankie   B-NAME
Ho   I-NAME
July   B-DATE
23   I-DATE
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION

Patient   O
Information   O
:   O
Name   O
:   O
Malaki   B-NAME
Moses   I-NAME
Age   O
:   O
48   O
Medical   O
Record   O
Number   O
:   O
866   B-ID
-   I-ID
63   I-ID
-   I-ID
68   I-ID
-   I-ID
8   I-ID
Location   O
:   O
Washington   B-LOCATION
Grove   I-LOCATION
Profession   O
:   O

Shuttle   O
Car   O
Operators   O
Phone   O
:   O
99889   B-CONTACT
Review   O
of   O
Systems   O
:   O

On   O
11/12   B-DATE
,   O
Marshall   B-NAME
was   O
examined   O
by   O
attending   O
physician   O
Orozco   B-NAME
at   O
Cedar   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Brenden   B-NAME
Jacobson   I-NAME
also   O
reported   O
experiencing   O
frequent   O
infections   O
and   O
enlarged   O
lymph   O
nodes   O
.   O

The   O
patient   O
has   O
been   O
referred   O
to   O
an   O
oncologist   O
at   O
UPMC   B-LOCATION
Jameson   I-LOCATION
for   O
further   O
examination   O
and   O
treatment   O
program   O
.   O

His   O
next   O
appointment   O
is   O
scheduled   O
for   O
11/11   B-DATE
.   O

We   O
reminded   O
Kenya   B-NAME
Dudley   I-NAME
that   O
there   O
will   O
be   O
a   O
follow   O
-   O
up   O
phone   O
call   O
from   O
International   B-LOCATION
Red   I-LOCATION
Cross   I-LOCATION
and   I-LOCATION
Red   I-LOCATION
Crescent   I-LOCATION
Movement   I-LOCATION
to   O
confirm   O
his   O
appointment   O
,   O
and   O
the   O
contact   O
number   O
is   O
201   B-CONTACT
-   I-CONTACT
520   I-CONTACT
-   I-CONTACT
4983   I-CONTACT
.   O

His   O
hospital   O
account   O
4982962   B-ID
has   O
been   O
registered   O
under   O
his   O
post   O
address   O
Lynnview   B-LOCATION
and   O
the   O
zip   O
code   O
98534   B-LOCATION
.   O

This   O
report   O
was   O
generated   O
under   O
the   O
account   O
IV420   B-NAME
on   O
the   O
2/22/59   B-DATE
.   O
Plan   O
:   O
Continue   O
to   O
monitor   O
Carter   B-NAME
Benitez   I-NAME
's   O
status   O
,   O
await   O
results   O
of   O
advanced   O
blood   O
test   O
,   O
and   O
keep   O
regular   O
appointments   O
with   O
the   O
oncologist   O
.   O

Patient   O
Details   O
:   O
Patient   O
Name   O
:   O
Jolie   B-NAME
,   I-NAME
Angelina   I-NAME
Age   O
:   O
37   O
Date   O
:   O
32/32   B-DATE
Doctor   O
:   O
Singh   B-NAME
Hospital   O
:   O
Carolinas   B-LOCATION
HealthCare   I-LOCATION
System   I-LOCATION
Blue   I-LOCATION
Ridge   I-LOCATION
Morganton   I-LOCATION
ID   O
:   O
LH767/9468   B-ID
Location   O
:   O
New   B-LOCATION
York   I-LOCATION
Medical   O
Record   O
:   O
92924192   B-ID
Organization   O
:   O

Broadway   B-LOCATION
Bank   I-LOCATION
Phone   O
:   O
65162   B-CONTACT
Profession   O
:   O
Shampooers   O
Username   O
:   O
wl651   B-NAME
ZIP   O
:   O
24164   B-LOCATION
Symptoms   O
and   O
Medical   O
Observations   O
:   O
Alaqua   B-NAME
presented   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

Derick   B-NAME
Moss   I-NAME
also   O
reported   O
having   O
a   O
mild   O
fever   O
18/08   B-DATE
.   O

Further   O
investigations   O
were   O
carried   O
out   O
in   O
Naval   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Portsmouth   I-LOCATION
to   O
confirm   O
the   O
diagnosis   O
.   O

Daisy   B-NAME
Melton   I-NAME
was   O
adviced   O
by   O
Kaylen   B-NAME
Winters   I-NAME
to   O
continue   O
the   O
medication   O
for   O
two   O
weeks   O
and   O
conduct   O
a   O
check   O
-   O
up   O
for   O
reassessment   O
.   O

The   O
Jennings   B-NAME
,   I-NAME
Peter   I-NAME
was   O
instructed   O
to   O
take   O
rest   O
and   O
increase   O
fluid   O
intake   O
.   O

Based   O
on   O
current   O
symptoms   O
and   O
medical   O
tests   O
,   O
Violette   B-NAME
Neth   I-NAME
was   O
diagnosed   O
with   O
bronchitis   O
.   O

The   O
ongoing   O
treatment   O
and   O
further   O
advice   O
on   O
02/21   B-DATE
pointed   O
to   O
positive   O
outcomes   O
in   O
the   O
patient   O
’s   O
health   O
status   O
.   O

If   O
symptoms   O
persist   O
,   O
Arthur   B-NAME
Oconnor   I-NAME
is   O
instructed   O
to   O
contact   O
Goldfoot   B-NAME
immediately   O
on   O
the   O
provided   O
46596   B-CONTACT
number   O
.   O

Patient   O
Name   O
:   O
Clare   B-NAME
Garner   I-NAME
Age   O
:   O
63s   O
Username   O
:   O
WU494   B-NAME
Phone   O
:   O
20569   B-CONTACT
03/29   B-DATE
Report   O
:   O
The   O
patient   O
Sidney   B-NAME
Whitehead   I-NAME
,   O
a   O
Sales   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
based   O
in   O
Houserville   B-LOCATION
,   O
reported   O
experiencing   O
sudden   O
onset   O
of   O
severe   O
abdominal   O
discomfort   O
.   O

On   O
clinical   O
evaluation   O
by   O
Dr.   O
Atticus   B-NAME
Suarez   I-NAME
,   O
he   O
described   O
the   O
pain   O
as   O
shooting   O
and   O
persistent   O
,   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

His   O
ID   O
number   O
is   O
OH391/1697   B-ID
.   O

Upon   O
admission   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Charles   I-LOCATION
Hospital   I-LOCATION
,   O
a   O
complete   O
blood   O
count   O
highlighted   O
neutrophilia   O
suggestive   O
of   O
inflammation   O
or   O
infection   O
found   O
typically   O
in   O
cases   O
of   O
appendicitis   O
.   O

His   O
medical   O
record   O
9283659   B-ID
showed   O
his   O
last   O
visit   O
was   O
six   O
months   O
ago   O
for   O
his   O
regular   O
check   O
-   O
up   O
.   O

For   O
further   O
examination   O
and   O
to   O
go   O
over   O
surgery   O
risks   O
and   O
benefits   O
,   O
his   O
next   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Kelly   B-NAME
Brackett   I-NAME
on   O
February   B-DATE
02   I-DATE
,   I-DATE
2078   I-DATE
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Quakertown   I-LOCATION
Hospital   I-LOCATION
,   O
address   O
Everetts   B-LOCATION
,   O
68214   B-LOCATION
.   O

If   O
there   O
are   O
any   O
urgent   O
inquiries   O
,   O
you   O
can   O
reach   O
us   O
at   O
530   B-CONTACT
1508   I-CONTACT
or   O
email   O
at   O
jpg70   B-NAME
@   O
LibertyPointe   B-LOCATION
Bank   I-LOCATION
.com   O
.   O

His   O
case   O
is   O
being   O
managed   O
by   O
the   O
gastrointestinal   O
surgical   O
team   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
understanding   O
and   O
consent   O
for   O
the   O
proposed   O
plan   O
have   O
been   O
documented   O
in   O
his   O
medical   O
record   O
50993427   B-ID
.   O

Patient   O
Report   O
:   O
10/32   B-DATE
Mays   B-NAME
performed   O
a   O
thorough   O
medical   O
examination   O
of   O
Browning   B-NAME
at   O
Brandon   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Gender   O
:   O
Male   O
Age   O
:   O
26   O
Taking   O
into   O
consideration   O
that   O
the   O
patient   O
's   O
35   O
is   O
within   O
the   O
typical   O
age   O
bracket   O
for   O
peptic   O
ulcers   O
,   O
Jaiden   B-NAME
Daniels   I-NAME
conducted   O
an   O
upper   O
gastrointestinal   O
(   O
GI   O
)   O
endoscopy   O
and   O
also   O
ran   O
a   O
Helicobacter   O
pylori   O
antigen   O
test   O
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
referenced   O
,   O
with   O
particular   O
attention   O
paid   O
to   O
951   B-ID
-   I-ID
84   I-ID
-   I-ID
30   I-ID
-   I-ID
5   I-ID
.   O

The   O
patient   O
resides   O
in   O
Moon   B-LOCATION
Lake   I-LOCATION
and   O
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Food   O
Preparation   O
and   O
Serving   O
Workers   O
.   O

Mays   B-NAME
was   O
asked   O
about   O
smoking   O
,   O
diet   O
,   O
and   O
alcohol   O
habits   O
.   O

An   O
ID   O
check   O
was   O
performed   O
and   O
CV   B-ID
:   I-ID
UV:1592   I-ID
was   O
verified   O
for   O
potential   O
insurance   O
purposes   O
.   O

Contact   O
details   O
,   O
including   O
(   B-CONTACT
656   I-CONTACT
)   I-CONTACT
693   I-CONTACT
-   I-CONTACT
5254   I-CONTACT
,   O
were   O
also   O
updated   O
in   O
the   O
patient   O
's   O
file   O
for   O
future   O
correspondence   O
.   O

The   O
lab   O
tests   O
,   O
supervised   O
by   O
Jimenez   B-NAME
,   O
showed   O
the   O
presence   O
of   O
H.   O
pylori   O
antigens   O
,   O
indicating   O
an   O
infection   O
that   O
could   O
be   O
causing   O
the   O
peptic   O
ulcer   O
symptoms   O
.   O

The   O
test   O
results   O
,   O
denoted   O
as   O
upn889   B-NAME
,   O
will   O
be   O
added   O
to   O
the   O
medical   O
record   O
for   O
further   O
reference   O
.   O

The   O
patient   O
consented   O
to   O
consider   O
an   O
eradication   O
therapy   O
if   O
necessary   O
,   O
and   O
Bill   B-NAME
Baxter   I-NAME
suggested   O
a   O
follow   O
-   O
up   O
appointment   O
to   O
be   O
scheduled   O
at   O
EvergreenHealth   B-LOCATION
Monroe   I-LOCATION
.   O

For   O
administrative   O
purposes   O
,   O
the   O
patient   O
's   O
89610   B-LOCATION
code   O
was   O
updated   O
in   O
the   O
database   O
.   O

Prior   O
to   O
leaving   O
the   O
hospital   O
,   O
Jordan   B-NAME
Imam   I-NAME
confirmed   O
he   O
would   O
reach   O
out   O
to   O
his   O
employer   O
Bradford   B-LOCATION
Bank   I-LOCATION
to   O
assess   O
options   O
for   O
temporary   O
duty   O
adjustments   O
during   O
his   O
possible   O
treatment   O
term   O
.   O

Next   O
appointment   O
:   O
20/04   B-DATE

Patient   O
Heather   B-NAME
Sanzone   I-NAME
of   O
19   O
was   O
admitted   O
to   O
the   O
Maria   B-LOCATION
Parham   I-LOCATION
Health   I-LOCATION
on   O
22/20   B-DATE
.   O

Hailing   O
from   O
the   O
city   O
of   O
Waverly   B-LOCATION
with   O
the   O
zip   O
code   O
97861   B-LOCATION
,   O
the   O
patient   O
was   O
referred   O
by   O
Hunter   B-NAME
Cross   I-NAME
who   O
is   O
a   O
renowned   O
professional   O
in   O
the   O
field   O
.   O

The   O
patient   O
was   O
provided   O
with   O
an   O
SN:81661:797213   B-ID
upon   O
admission   O
and   O
was   O
allotted   O
medical   O
record   O
number   O
973   B-ID
-   I-ID
64   I-ID
-   I-ID
60   I-ID
-   I-ID
3   I-ID
for   O
future   O
reference   O
.   O

Prior   O
to   O
admission   O
,   O
Ezekiel   B-NAME
Molina   I-NAME
had   O
complained   O
of   O
severe   O
migraines   O
,   O
dizziness   O
and   O
intermittent   O
syncope   O
over   O
a   O
span   O
of   O
2   O
weeks   O
.   O

Upon   O
receipt   O
of   O
the   O
patient   O
's   O
records   O
,   O
it   O
was   O
noticed   O
that   O
Zachary   B-NAME
Smith   I-NAME
worked   O
as   O
a   O
Insurance   O
Claims   O
and   O
Policy   O
Processing   O
Clerks   O
.   O

The   O
hospital   O
communicated   O
this   O
information   O
via   O
261   B-CONTACT
-   I-CONTACT
895   I-CONTACT
7709   I-CONTACT
to   O
the   O
Ocala   B-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
where   O
he   O
was   O
employed   O
.   O

Our   O
neurology   O
specialist   O
,   O
Norton   B-NAME
,   O
conducted   O
a   O
comprehensive   O
neurological   O
examination   O
which   O
revealed   O
nystagmus   O
on   O
lateral   O
gaze   O
,   O
mild   O
dysarthria   O
,   O
and   O
a   O
positive   O
Romberg   O
's   O
test   O
suggestive   O
of   O
central   O
vestibular   O
dysfunction   O
,   O
possibly   O
cerebellar   O
ataxia   O
.   O

A   O
CT   O
Scan   O
was   O
recommended   O
,   O
and   O
was   O
performed   O
on   O
8/09   B-DATE
in   O
Weeks   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
building   O
,   O
floor   O
3   O
.   O

The   O
feedback   O
from   O
Curtis   B-NAME
Wu   I-NAME
at   O
radiology   O
confirmed   O
the   O
findings   O
and   O
recommended   O
the   O
same   O
treatment   O
plan   O
.   O

For   O
complete   O
follow   O
-   O
up   O
and   O
treatment   O
details   O
of   O
Saunders   B-NAME
,   O
please   O
refer   O
to   O
account   O
KM62   B-NAME
online   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Jaimes   B-NAME
Age   O
:   O
6   O
Medical   O
Record   O
Number   O
:   O
4753L8308   B-ID
Date   O
of   O
Last   O
Visit   O
:   O
2367   B-DATE
Report   O
:   O
Dr.   O
Mann   B-NAME
,   O
during   O
the   O
patient   O
's   O
last   O
visit   O
to   O
our   O
The   B-LOCATION
Bellevue   I-LOCATION
Hospital   I-LOCATION
on   O
12/13   B-DATE
,   O
Joanna   B-NAME
Bauer   I-NAME
presented   O
with   O
symptoms   O
of   O
an   O
elevated   O
body   O
temperature   O
of   O
39.2   O
℃   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
fatigue   O
.   O

A   O
Treatment   O
plan   O
was   O
proposed   O
by   O
the   O
team   O
of   O
doctors   O
at   O
Carlsbad   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
which   O
included   O
hydration   O
therapy   O
using   O
IV   O
fluids   O
and   O
possible   O
dialysis   O
if   O
renal   O
failure   O
ensues   O
.   O

Due   O
to   O
Brady   B-NAME
's   O
high   O
risk   O
of   O
renal   O
failure   O
with   O
the   O
patient   O
's   O
hypertension   O
,   O
the   O
treatment   O
plan   O
will   O
also   O
include   O
medications   O
to   O
control   O
blood   O
pressure   O
and   O
a   O
reevaluation   O
of   O
the   O
physical   O
demands   O
of   O
the   O
patient   O
's   O
Multimedia   O
specialists   O
.   O

We   O
will   O
be   O
scheduling   O
a   O
follow   O
-   O
up   O
with   O
Carissa   B-NAME
Wolf   I-NAME
via   O
telephone   O
at   O
contact   O
number   O
(   B-CONTACT
511   I-CONTACT
)   I-CONTACT
752   I-CONTACT
-   I-CONTACT
7633   I-CONTACT
in   O
two   O
weeks   O
,   O
and   O
further   O
planning   O
will   O
be   O
made   O
based   O
on   O
the   O
patient   O
's   O
progress   O
.   O

Future   O
appointments   O
should   O
be   O
directed   O
towards   O
the   O
renal   O
care   O
wing   O
of   O
Monroe   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
,   O
located   O
at   O
Starr   B-LOCATION
School   I-LOCATION
,   O
35233   B-LOCATION
.   O

Kindly   O
refer   O
to   O
Medical   O
ID   O
OM647/3554   B-ID
for   O
further   O
information   O
.   O

Reported   O
by   O
:   O
rz401   B-NAME
,   O
New   B-LOCATION
South   I-LOCATION
Federal   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Turner   B-NAME
,   I-NAME
Ted   I-NAME
Age   O
:   O
30   O
Patient   O
ID   O
:   O
UE904/6525   B-ID
Patient   O
's   O
Phone   O
:   O
19443   B-CONTACT
Medical   O
Record   O
Number   O
:   O
NXO   B-ID
4   I-ID
-   I-ID
829   I-ID
Address   O
:   O
Santee   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
92071   I-LOCATION
Date   O
of   O
Report   O
:   O

32/01/2350   B-DATE
Referring   O
Physician   O
:   O
Dr.   O
Fuentes   B-NAME
Hospital   O
:   O
Healtheast   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Destiny   B-NAME
,   O
an   O
58   O
years   O
old   O
Pressing   O
Machine   O
Operators   O
and   O
Tenders-   O
Textile   O
,   O
Garment   O
,   O
and   O
Related   O
Materials   O
,   O
presented   O
to   O
our   O
Wilkes   B-LOCATION
-   I-LOCATION
Barre   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
03/28/2062   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
,   O
and   O
constant   O
pain   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
for   O
the   O
past   O
24   O
hours   O
.   O

Additional   O
diagnostic   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Hammond   B-NAME
.   O

Dr.   O
Munoz   B-NAME
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
urinalysis   O
,   O
and   O
an   O
abdominopelvic   O
CT   O
scan   O
,   O
all   O
of   O
which   O
took   O
place   O
at   O
Steward   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
.   I-LOCATION
.   O
The   O
CBC   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
further   O
indicating   O
a   O
possible   O
infection   O
.   O

As   O
a   O
result   O
,   O
the   O
patient   O
was   O
admitted   O
to   O
Binghamton   B-LOCATION
Psychiatric   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Gates   B-NAME
for   O
probable   O
appendicitis   O
and   O
commenced   O
on   O
intravenous   O
hydration   O
and   O
antibiotics   O
.   O

The   O
patient   O
will   O
be   O
scheduled   O
for   O
laparoscopic   O
appendectomy   O
on   O
2312   B-DATE
as   O
per   O
Dr.   O
Sherlyn   B-NAME
Murillo   I-NAME
's   O
recommendation   O
.   O

Further   O
updates   O
on   O
Moises   B-NAME
Brooks   I-NAME
's   O
progress   O
will   O
be   O
provided   O
as   O
necessary   O
.   O

Dr.   O
Julio   B-NAME
Oneal   I-NAME
's   O
office   O
phone   O
:   O
138   B-CONTACT
-   I-CONTACT
2494   I-CONTACT
Patient   O
representative   O
:   O
nsv129   B-NAME
Insurance   O
Provider   O
:   O
Military   B-LOCATION
Officers   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
America   I-LOCATION
Zip   O
Code   O
:   O
96361   B-LOCATION

This   O
concludes   O
the   O
initial   O
report   O
for   O
Luca   B-NAME
Bentley   I-NAME
prepared   O
on   O
21/16   B-DATE
.   O

Patient   O
Report   O
:   O
Ellen   B-NAME
Burgess   I-NAME
presented   O
to   O
Englewood   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Oct   B-DATE
2139   I-DATE
with   O
complaints   O
of   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
and   O
vomiting   O
,   O
and   O
an   O
unexplained   O
weight   O
loss   O
.   O

According   O
to   O
the   O
attending   O
physician   O
,   O
Dr.   O
Mike   B-NAME
Gill   I-NAME
,   O
the   O
symptoms   O
are   O
consistent   O
with   O
pancreatitis   O
.   O

Dexter   B-NAME
Navarro   I-NAME
is   O
a   O
Special   O
Education   O
Teachers   O
,   O
Middle   O
School   O
by   O
trade   O
and   O
has   O
no   O
history   O
of   O
any   O
serious   O
medical   O
conditions   O
.   O

The   O
patient   O
was   O
observed   O
for   O
0   O
month   O
years   O
with   O
a   O
record   O
number   O
03767096   B-ID
.   O

Pruitt   B-NAME
's   O
body   O
temperature   O
was   O
above   O
normal   O
at   O
the   O
time   O
of   O
the   O
hospital   O
admission   O
.   O

An   O
ultrasonography   O
was   O
recommended   O
by   O
Dr.   O
Bishop   B-NAME
to   O
assess   O
the   O
size   O
and   O
condition   O
of   O
the   O
pancreas   O
and   O
the   O
patient   O
is   O
scheduled   O
for   O
the   O
procedure   O
at   O
the   O
UF   B-LOCATION
Health   I-LOCATION
Jacksonville   I-LOCATION
on   O
31/20   B-DATE
.   O

The   O
patient   O
's   O
billing   O
information   O
was   O
obtained   O
using   O
the   O
health   O
plan   O
number   O
0   B-ID
-   I-ID
1931338   I-ID
for   O
payment   O
issues   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
next   O
week   O
and   O
the   O
patient   O
or   O
the   O
patient   O
's   O
representative   O
can   O
call   O
the   O
medical   O
department   O
at   O
69446   B-CONTACT
for   O
any   O
queries   O
regarding   O
the   O
appointment   O
details   O
or   O
billing   O
issues   O
.   O

The   O
patient   O
resides   O
in   O
California   B-LOCATION
,   O
which   O
is   O
a   O
moderately   O
populated   O
city   O
.   O

The   O
location   O
of   O
the   O
hospital   O
,   O
UPMC   B-LOCATION
McKeesport   I-LOCATION
is   O
22132   B-LOCATION
.   O

The   O
patient   O
's   O
son   O
who   O
works   O
at   O
PowerSouth   B-LOCATION
Energy   I-LOCATION
Cooperative   I-LOCATION
is   O
named   O
as   O
the   O
emergency   O
contact   O
.   O

His   O
phone   O
number   O
is   O
28362   B-CONTACT
.   O

The   O
medical   O
report   O
was   O
compiled   O
by   O
BB320   B-NAME
and   O
will   O
be   O
shared   O
with   O
the   O
patient   O
's   O
primary   O
care   O
provider   O
.   O

A   O
review   O
meeting   O
has   O
been   O
set   O
up   O
in   O
Mon   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
discuss   O
the   O
patient   O
's   O
condition   O
and   O
future   O
treatment   O
plan   O
.   O

All   O
medical   O
records   O
are   O
confidential   O
and   O
safeguarded   O
under   O
Federal   O
Information   O
Security   O
Act   O
,   O
the   O
health   O
ID   O
6   B-ID
-   I-ID
8718561   I-ID
remains   O
secure   O
and   O
non   O
-   O
traceable   O
.   O

Patient   O
Profile   O
:   O
Patient   O
Name   O
:   O
Nigel   B-NAME
Perry   I-NAME
Age   O
:   O
53   O
Patient   O
ID   O
:   O
TU:54081:762829   B-ID
Medical   O
Record   O
:   O
9388B09325   B-ID
Our   O
patient   O
,   O
Ana   B-NAME
Harrell   I-NAME
,   O
of   O
age   O
3   O
visited   O
our   O
institute   O
,   O
Caribou   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
Martin   B-DATE
Luther   I-DATE
King   I-DATE
Day   I-DATE
.   O

Esther   B-NAME
Holland   I-NAME
was   O
referred   O
by   O
Lexie   B-NAME
Ortiz   I-NAME
from   O
LinuxChix   B-LOCATION
based   O
in   O
Denver   B-LOCATION
.   O

Contact   O
details   O
:   O
Phone   O
-   O
(   B-CONTACT
747   I-CONTACT
)   I-CONTACT
993   I-CONTACT
7319   I-CONTACT
,   O
Patient   O
ID   O
-   O
UH222/4799   B-ID
,   O
Medical   O
Record   O
-   O
84200857   B-ID
.   O

Upon   O
assessment   O
,   O
Parker   B-NAME
Griffith   I-NAME
presented   O
with   O
complaints   O
of   O
persistent   O
nausea   O
,   O
epigastric   O
pain   O
,   O
and   O
irregular   O
bowel   O
movements   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Patient   O
works   O
as   O
a   O
Sales   O
Agents   O
,   O
Financial   O
Services   O
and   O
is   O
currently   O
residing   O
at   O
Cedar   B-LOCATION
Crest   I-LOCATION
.   O

Jada   B-NAME
Stevens   I-NAME
's   O
overall   O
health   O
seemed   O
stable   O
but   O
considerable   O
weight   O
loss   O
was   O
noted   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
an   O
elective   O
cholecystectomy   O
on   O
02/24   B-DATE
by   O
Gracie   B-NAME
Glenn   I-NAME
at   O
Randolph   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
care   O
coordinator   O
HE842   B-NAME
will   O
be   O
following   O
up   O
with   O
Omar   B-NAME
Moody   I-NAME
for   O
post   O
-   O
op   O
care   O
plans   O
.   O

The   O
confidentiality   O
of   O
the   O
Yoel   B-NAME
Newcomb   I-NAME
's   O
health   O
records   O
is   O
maintained   O
as   O
per   O
HIPAA   O
regulations   O
.   O

The   O
patient   O
has   O
been   O
informed   O
to   O
report   O
to   O
Kentucky   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   O
Phone   O
:   O
172   B-CONTACT
-   I-CONTACT
461   I-CONTACT
8702   I-CONTACT
,   O
Zip   O
:   O
56879   B-LOCATION
)   O
immediately   O
in   O
case   O
of   O
severe   O
abdominal   O
pain   O
,   O
fever   O
,   O
jaundice   O
or   O
any   O
other   O
alarming   O
symptoms   O
before   O
the   O
scheduled   O
surgery   O
.   O

On   O
the   O
day   O
of   O
surgery   O
,   O
Gray   B-NAME
,   I-NAME
Thomas   I-NAME
is   O
expected   O
at   O
the   O
Providence   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
by   O
8:00   O
am   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
Apr   B-DATE
3   I-DATE
,   I-DATE
2351   I-DATE
.   O

Annotated   O
By   O
:   O
grf611   B-NAME

Patient   O
Everson   B-NAME
presented   O
at   O
our   O
ProMedica   B-LOCATION
Monroe   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
00/33/32   B-DATE
.   O

Hathaway   B-NAME
,   I-NAME
Sybil   I-NAME
is   O
a   O
Amusement   O
and   O
Recreation   O
Attendants   O
of   O
86s   O
years   O
residing   O
at   O
Jaffrey   B-LOCATION
,   I-LOCATION
T.E.A.M.   I-LOCATION
Jaffrey   I-LOCATION
.   O

The   O
medical   O
encounters   O
are   O
cataloged   O
under   O
56584513   B-ID
.   O

Abigayle   B-NAME
Johnson   I-NAME
was   O
referred   O
by   O
Dr.   O
Hoyle   B-NAME
,   I-NAME
Fred   I-NAME
from   O
San   B-LOCATION
Joaquin   I-LOCATION
Bank   I-LOCATION
.   O

His   O
medical   O
record   O
number   O
with   O
them   O
is   O
SM   B-ID
:   I-ID
SP:8286   I-ID
.   O

Chief   O
Complaints   O
:   O
Mila   B-NAME
Fukuroku   I-NAME
came   O
reporting   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
for   O
the   O
past   O
one   O
week   O
.   O

Orion   B-NAME
Tapia   I-NAME
's   O
body   O
temperature   O
recorded   O
was   O
101.4   O
°   O
F   O
and   O
Pulse   O
oximeter   O
registered   O
an   O
oxygen   O
saturation   O
level   O
of   O
92   O
%   O
.   O

The   O
patient   O
's   O
cell   O
phone   O
number   O
(   B-CONTACT
866   I-CONTACT
)   I-CONTACT
461   I-CONTACT
5745   I-CONTACT
was   O
noted   O
for   O
reporting   O
the   O
results   O
when   O
available   O
.   O

A   O
teleconsultation   O
has   O
been   O
scheduled   O
with   O
our   O
Pulmonologist   O
,   O
Dr.   O
Janiah   B-NAME
Howe   I-NAME
,   O
for   O
further   O
assessment   O
on   O
1/90   B-DATE
.   O

The   O
patient   O
was   O
advised   O
to   O
quarantine   O
at   O
136   B-LOCATION
SW   I-LOCATION
.   I-LOCATION
York   B-LOCATION
Street   I-LOCATION
till   O
further   O
notice   O
.   O

Note   O
:   O
Ramsey   B-NAME
's   O
employer   O
at   O
Gordon   B-LOCATION
Bank   I-LOCATION
and   O
the   O
local   O
health   O
department   O
will   O
be   O
notified   O
of   O
the   O
potential   O
pneumonia   O
case   O
for   O
necessary   O
precautions   O
.   O

A   O
report   O
will   O
be   O
sent   O
over   O
to   O
Dr.   O
Aryan   B-NAME
Strickland   I-NAME
as   O
well   O
to   O
maintain   O
continuity   O
of   O
care   O
.   O

Follow   O
Up   O
:   O
A   O
teleconsultation   O
has   O
been   O
booked   O
for   O
2/10/63   B-DATE
.   O

If   O
the   O
symptoms   O
persist   O
or   O
worsen   O
,   O
Pope   B-NAME
,   I-NAME
Alexander   I-NAME
was   O
advised   O
to   O
visit   O
the   O
nearest   O
Southside   B-LOCATION
Hospital   I-LOCATION
or   O
call   O
911   O
.   O

Signed   O
off   O
by   O
:   O
Dr.   O
Osvaldo   B-NAME
Carrillo   I-NAME
,   O
bzz369   B-NAME
,   O
Bayley   B-LOCATION
Seton   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
report   O
:   O
Feb   B-DATE
09   I-DATE
,   I-DATE
2162   I-DATE

The   O
patient   O
or   O
the   O
patient   O
's   O
representative   O
may   O
contact   O
the   O
physician   O
at   O
786   B-CONTACT
-   I-CONTACT
1574   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
.   O

Hospital   O
address   O
:   O
8338   B-LOCATION
Brown   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
78094   B-LOCATION
.   O

Patient   O
Information   O
:   O
<   O
PATIENT   O
>   O
's   O
patient   O
history   O
was   O
examined   O
on   O
March   B-DATE
00   I-DATE
.   O

Yan   B-NAME
is   O
a   O
Acupuncturists   O
of   O
20   O
years   O
.   O

The   O
patient   O
has   O
been   O
given   O
the   O
ID   O
number   O
ZH   B-ID
:   I-ID
WQ:1767   I-ID
.   O

Sparber   B-NAME
,   I-NAME
Max   I-NAME
lives   O
in   O
Corvallis   B-LOCATION
,   O
zip   O
code   O
:   O
51169   B-LOCATION
.   O

The   O
patient   O
's   O
contact   O
number   O
is   O
(   B-CONTACT
682   I-CONTACT
)   I-CONTACT
786   I-CONTACT
1857   I-CONTACT
and   O
the   O
username   O
for   O
the   O
hospital   O
's   O
online   O
portal   O
is   O
dbx6810   B-NAME
.   O

Medical   O
History   O
&   O
Symptoms   O
:   O
Noel   B-NAME
Proctor   I-NAME
has   O
been   O
experiencing   O
severe   O
pain   O
localized   O
at   O
the   O
left   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
for   O
the   O
past   O
two   O
weeks   O
.   O

John   B-NAME
Dolittle   I-NAME
also   O
reports   O
intermittent   O
nausea   O
and   O
occasional   O
vomiting   O
.   O

Hospital   O
&   O
Doctor   O
Information   O
:   O
Nolan   B-NAME
Hutchinson   I-NAME
had   O
an   O
appointment   O
with   O
Vaughan   B-NAME
at   O
Ancora   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
on   O
the   O
19/28/10   B-DATE
.   O

Douglas   B-NAME
,   I-NAME
Kirk   I-NAME
has   O
been   O
overseeing   O
the   O
patient   O
's   O
condition   O
and   O
is   O
based   O
on   O
the   O
second   O
floor   O
of   O
the   O
Wolverton   B-LOCATION
building   O
.   O

Investigations   O
&   O
Results   O
:   O
Medical   O
record   O
number   O
330   B-ID
-   I-ID
96   I-ID
-   I-ID
47   I-ID
indicates   O
that   O
a   O
complete   O
blood   O
count   O
was   O
done   O
which   O
showed   O
increased   O
white   O
blood   O
cells   O
count   O
and   O
a   O
decreased   O
hematocrit   O
level   O
.   O

Proposed   O
Treatment   O
:   O
Fallon   B-NAME
Mcdavid   I-NAME
has   O
recommended   O
an   O
immediate   O
surgery   O
for   O
the   O
removal   O
of   O
the   O
appendix   O
.   O

Zain   B-NAME
Edwards   I-NAME
will   O
be   O
hospitalized   O
to   O
St.   B-LOCATION
Peter   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
the   O
procedure   O
.   O

Follow   O
Up   O
:   O
Following   O
surgery   O
,   O
Kayden   B-NAME
Melendez   I-NAME
will   O
need   O
to   O
revisit   O
Sharon   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
post   O
-   O
operation   O
checkup   O
within   O
two   O
weeks   O
.   O

The   O
appointment   O
will   O
be   O
scheduled   O
based   O
on   O
the   O
availability   O
of   O
Mcclain   B-NAME
.   O

Rhett   B-NAME
Owens   I-NAME
can   O
check   O
the   O
schedule   O
for   O
Zuniga   B-NAME
by   O
logging   O
in   O
with   O
fxo55   B-NAME
on   O
the   O
website   O
of   O
International   B-LOCATION
Center   I-LOCATION
for   I-LOCATION
Transitional   I-LOCATION
Justice   I-LOCATION
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Brooke   B-NAME
Huber   I-NAME
Age   O
:   O
23   O
Medical   O
Record   O
Number   O
:   O
213   B-ID
-   I-ID
54   I-ID
-   I-ID
86   I-ID
-   I-ID
9   I-ID
Address   O
:   O
Fruitdale   B-LOCATION
,   O
77047   B-LOCATION
Phone   O
:   O
(   B-CONTACT
795   I-CONTACT
)   I-CONTACT
552   I-CONTACT
3273   I-CONTACT
Health   O
plan   O
number   O
:   O
BZ:41675:182776   B-ID
Report   O
:   O
On   O
the   O
morning   O
of   O
14/26/33   B-DATE
,   O
Hodge   B-NAME
presented   O
to   O
Parkland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
complaining   O
of   O
a   O
persistent   O
,   O
dry   O
cough   O
and   O
trouble   O
breathing   O
.   O

Becker   B-NAME
was   O
the   O
attending   O
physician   O
.   O

Upon   O
examination   O
,   O
Luella   B-NAME
appeared   O
genuinely   O
distressed   O
and   O
had   O
an   O
elevated   O
heart   O
rate   O
.   O

Frank   B-NAME
suggested   O
a   O
chest   O
X   O
-   O
ray   O
and   O
routine   O
blood   O
tests   O
.   O

The   O
X   O
-   O
ray   O
conducted   O
on   O
32/25   B-DATE
revealed   O
a   O
consolidation   O
in   O
the   O
lower   O
left   O
lobe   O
of   O
the   O
patient   O
’s   O
lung   O
.   O

camp   B-NAME
’s   O
occupational   O
history   O
was   O
taken   O
into   O
consideration   O
for   O
the   O
treatment   O
plan   O
.   O

They   O
are   O
a   O
Biomedical   O
scientist   O
at   O
an   O
organization   O
named   O
Minnesota   B-LOCATION
,   O
which   O
involves   O
exposure   O
to   O
various   O
industrial   O
pollutants   O
.   O

Given   O
the   O
patient   O
’s   O
presentation   O
,   O
medical   O
history   O
,   O
examination   O
findings   O
,   O
and   O
X   O
-   O
ray   O
results   O
,   O
Hendricks   B-NAME
provisionally   O
diagnosed   O
the   O
patient   O
with   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Hayes   B-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
adhering   O
to   O
their   O
prescribed   O
medications   O
and   O
to   O
contact   O
Dr.   O
Ecclestone   B-NAME
,   I-NAME
Bernie   I-NAME
immediately   O
if   O
the   O
symptoms   O
worsened   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
over   O
the   O
phone   O
using   O
rve405   B-NAME
's   O
account   O
for   O
01/22/2028   B-DATE
.   O

This   O
report   O
has   O
been   O
carbon   O
copied   O
to   O
the   O
primary   O
care   O
physician   O
of   O
Jaydin   B-NAME
Bass   I-NAME
at   O
178   B-LOCATION
Crescent   I-LOCATION
Street   I-LOCATION
.   O

Please   O
reach   O
out   O
for   O
any   O
further   O
details   O
via   O
the   O
administrative   O
contact   O
24688   B-CONTACT
or   O
medical   O
record   O
number   O
60446245   B-ID
.   O

The   O
patient   O
,   O
Groban   B-NAME
,   I-NAME
Josh   I-NAME
,   O
presented   O
to   O
Morris   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Council   I-LOCATION
Grove   I-LOCATION
on   O
2730   B-DATE
.   O

He   O
is   O
a   O
Electrical   O
Parts   O
Reconditioners   O
living   O
in   O
Richlands   B-LOCATION
.   O

He   O
is   O
69   O
years   O
old   O
with   O
a   O
medical   O
record   O
number   O
of   O
3013619   B-ID
.   O

The   O
Patient   O
's   O
personal   O
contact   O
number   O
is   O
254   B-CONTACT
-   I-CONTACT
8863   I-CONTACT
.   O

Medical   O
History   O
:   O
Deja   B-NAME
Bernard   I-NAME
had   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

He   O
disclosed   O
that   O
he   O
is   O
a   O
former   O
smoker   O
and   O
his   O
father   O
had   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
94   O
.   O
Examination   O
and   O
Tests   O
:   O
Upon   O
physical   O
examination   O
by   O
Elaina   B-NAME
Mcclain   I-NAME
,   O
the   O
patient   O
's   O
vital   O
signs   O
were   O
generally   O
stable   O
.   O

Stanley   B-NAME
suggested   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
and   O
a   O
series   O
of   O
blood   O
tests   O
.   O

His   O
initial   O
blood   O
investigations   O
also   O
indicated   O
an   O
elevation   O
in   O
troponin   O
I   O
levels   O
RQ   B-ID
:   I-ID
PS:2216   I-ID
.   O

Elliot   B-NAME
,   I-NAME
Cass   I-NAME
was   O
commenced   O
on   O
pharmacotherapy   O
including   O
Aspirin   O
and   O
Nitroglycerin   O
.   O

He   O
underwent   O
coronary   O
angiography   O
02/32/40   B-DATE
in   O
Haywood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
which   O
revealed   O
a   O
significant   O
stenosis   O
in   O
his   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

This   O
resulted   O
in   O
his   O
referral   O
to   O
the   O
cardiology   O
service   O
for   O
possible   O
percutaneous   O
coronary   O
intervention   O
under   O
Cruz   B-NAME
Mora   I-NAME
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Avery   B-NAME
Zimmerman   I-NAME
at   O
the   O
cardiac   O
clinic   O
of   O
Henry   B-LOCATION
Ford   I-LOCATION
West   I-LOCATION
Bloomfield   I-LOCATION
Hospital   I-LOCATION
on   O
21   B-DATE
.   O

The   O
patient   O
's   O
insurance   O
is   O
through   O
Carson   B-LOCATION
River   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

The   O
authorization   O
number   O
for   O
his   O
cardiac   O
procedure   O
is   O
3   B-ID
-   I-ID
2634693   I-ID
.   O

For   O
additional   O
information   O
or   O
concerns   O
,   O
contact   O
the   O
secretary   O
of   O
Omari   B-NAME
Golden   I-NAME
at   O
58650   B-CONTACT
or   O
via   O
email   O
at   O
er1910   B-NAME
@   O
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.com   O
.   O

Please   O
mail   O
any   O
medical   O
records   O
,   O
correspondence   O
,   O
or   O
payments   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
New   I-LOCATION
Smyrna   I-LOCATION
at   O
P.O.   O
Box   O
34446   B-LOCATION
,   O
Ouzinkie   B-LOCATION
.   O

Patient   O
Quinn   B-NAME
,   I-NAME
Medicine   I-NAME
Woman   I-NAME
presented   O
to   O
the   O
ER   O
of   O
Orlando   B-LOCATION
Health   I-LOCATION
Dr.   I-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
on   O
12/22   B-DATE
.   O

The   O
patient   O
,   O
a   O
Methane   O
/   O
Landfill   O
Gas   O
Collection   O
System   O
Operators   O
from   O
Iberia   B-LOCATION
,   O
reported   O
experiencing   O
extreme   O
discomfort   O
in   O
the   O
lower   O
abdomen   O
.   O

Upon   O
examination   O
,   O
Ellison   B-NAME
noted   O
that   O
the   O
patient   O
had   O
a   O
fever   O
of   O
101   O
°   O
F   O
and   O
looked   O
pale   O
and   O
tired   O
.   O

The   O
patient   O
’s   O
medical   O
record   O
number   O
:   O
934   B-ID
-   I-ID
28   I-ID
-   I-ID
74   I-ID
-   I-ID
1   I-ID
showed   O
history   O
of   O
diverticular   O
disease   O
,   O
with   O
an   O
incident   O
of   O
diverticulitis   O
recorded   O
two   O
years   O
prior   O
.   O

She   O
was   O
scheduled   O
to   O
undergo   O
a   O
CT   O
scan   O
on   O
02/23/33   B-DATE
,   O
the   O
results   O
of   O
which   O
confirmed   O
our   O
suspicion   O
of   O
diverticular   O
disease   O
flare   O
-   O
up   O
with   O
possibility   O
of   O
formation   O
of   O
an   O
abscess   O
.   O

Her   O
ID   O
DY:28472:853582   B-ID
was   O
assigned   O
and   O
documented   O
for   O
the   O
purpose   O
of   O
the   O
tests   O
she   O
will   O
be   O
subjected   O
to   O
.   O

Following   O
the   O
consultation   O
with   O
Conner   B-NAME
Suarez   I-NAME
,   O
patient   O
Christine   B-NAME
Valenzuela   I-NAME
was   O
scheduled   O
for   O
a   O
surgery   O
on   O
7   B-DATE
-   I-DATE
2   I-DATE
.   O

She   O
was   O
instructed   O
to   O
reach   O
out   O
to   O
our   O
representatives   O
on   O
(   B-CONTACT
947   I-CONTACT
)   I-CONTACT
422   I-CONTACT
-   I-CONTACT
9151   I-CONTACT
,   O
if   O
she   O
experienced   O
any   O
worsening   O
of   O
symptoms   O
.   O

Upon   O
inspection   O
of   O
the   O
reports   O
submitted   O
to   O
Choctawhatchee   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
,   O
the   O
patient   O
was   O
recommended   O
a   O
complete   O
lifestyle   O
overhaul   O
-   O
including   O
a   O
daily   O
regimen   O
of   O
exercise   O
and   O
a   O
high   O
-   O
fibre   O
diet   O
.   O

Post   O
-   O
operatively   O
,   O
patient   O
Tom   B-NAME
Baldwin   I-NAME
,   I-NAME
Jr.   I-NAME
was   O
shifted   O
to   O
the   O
recovery   O
room   O
Prairie   B-LOCATION
Lakes   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
in   O
726   B-LOCATION
Tailwater   I-LOCATION
St   I-LOCATION
.   I-LOCATION
.   O

Her   O
discharge   O
papers   O
were   O
sent   O
to   O
her   O
home   O
address   O
in   O
92042   B-LOCATION
via   O
certified   O
mail   O
.   O

For   O
any   O
further   O
follow   O
up   O
,   O
she   O
should   O
contact   O
our   O
office   O
directly   O
at   O
50001   B-CONTACT
.   O

Any   O
future   O
appointments   O
can   O
also   O
be   O
scheduled   O
by   O
tzu226   B-NAME
via   O
our   O
patient   O
portal   O
.   O

Patient   O
Jocelyn   B-NAME
Frye   I-NAME
continues   O
to   O
recover   O
satisfactorily   O
and   O
shows   O
positive   O
response   O
to   O
the   O
prescribed   O
changes   O
in   O
her   O
lifestyle   O
.   O

The   O
medical   O
team   O
at   O
Highline   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
would   O
like   O
to   O
thank   O
her   O
for   O
her   O
cooperation   O
in   O
this   O
matter   O
.   O

Patient   O
Information   O
:   O
ID   O
:   O
2117172   B-ID
Name   O
:   O
Harper   B-NAME
Age   O
:   O
96   O
Phone   O
:   O
(   B-CONTACT
854   I-CONTACT
)   I-CONTACT
502   I-CONTACT
6461   I-CONTACT
Address   O
:   O
Horton   B-LOCATION
Bay   I-LOCATION
,   O
75510   B-LOCATION
Profession   O
:   O

Informatics   O
Nurse   O
Specialists   O
Medical   O
Record   O
Number   O
:   O
14008922   B-ID
Primary   O
Care   O
Physician   O
:   O

Grace   B-NAME
Kaufman   I-NAME
Referring   O
Hospital   O
:   O
Lakewood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Report   O
:   O

On   O
2238   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
24   I-DATE
,   O
Lang   B-NAME
,   O
a   O
82   O
year   O
old   O
Clergy   O
,   O
was   O
admitted   O
into   O
Clarke   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
respiratory   O
distress   O
.   O

Patient   O
lives   O
in   O
Poplar   B-LOCATION
-   I-LOCATION
Cotton   I-LOCATION
Center   I-LOCATION
Zip   O
code   O
:   O
12212   B-LOCATION
and   O
has   O
no   O
known   O
significant   O
prior   O
medical   O
history   O
.   O

Upon   O
examination   O
,   O
Paityn   B-NAME
Knight   I-NAME
reported   O
that   O
the   O
patient   O
appeared   O
jaundiced   O
,   O
with   O
yellowing   O
of   O
the   O
skin   O
and   O
eyes   O
.   O

The   O
patient   O
's   O
phone   O
:   O
199   B-CONTACT
448   I-CONTACT
4928   I-CONTACT
,   O
ID   O
:   O
666763926   B-ID
,   O
and   O
Medical   O
Record   O
Number   O
:   O
245   B-ID
-   I-ID
42   I-ID
-   I-ID
57   I-ID
-   I-ID
6   I-ID
are   O
recorded   O
for   O
reference   O
.   O

An   O
appointment   O
for   O
a   O
follow   O
-   O
up   O
visit   O
has   O
been   O
scheduled   O
for   O
8   B-DATE
-   I-DATE
2   I-DATE
.   O
Username   O
of   O
doctor   O
accessing   O
the   O
patient   O
file   O
:   O
xv853   B-NAME
.   O

The   O
aforementioned   O
details   O
are   O
shared   O
as   O
per   O
the   O
protocol   O
prescribed   O
by   O
our   O
insuring   O
organization   O
,   O
Chartered   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Physiotherapy   I-LOCATION
.   O

Please   O
note   O
that   O
privacy   O
and   O
protection   O
of   O
Sofia   B-NAME
Christensen   I-NAME
's   O
health   O
information   O
is   O
our   O
primary   O
concern   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

The   O
primary   O
healthcare   O
professional   O
associated   O
with   O
the   O
patient   O
is   O
Espinoza   B-NAME
.   O

The   O
patient   O
was   O
referred   O
from   O
Longs   B-LOCATION
Peak   I-LOCATION
Hospital   I-LOCATION
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
please   O
contact   O
us   O
immediately   O
at   O
89641   B-CONTACT
.   O

Patient   O
Clarence   B-NAME
Roach   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Chester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/25   B-DATE
.   O

Tabitha   B-NAME
Tate   I-NAME
is   O
a   O
Police   O
,   O
Fire   O
,   O
and   O
Ambulance   O
Dispatchers   O
of   O
43   O
years   O
from   O
Cut   B-LOCATION
and   I-LOCATION
Shoot   I-LOCATION
.   O

Murphy   B-NAME
presented   O
with   O
a   O
complaint   O
of   O
sudden   O
onset   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
that   O
started   O
about   O
2   O
-   O
3   O
hours   O
prior   O
to   O
the   O
arrival   O
.   O

Camren   B-NAME
Baxter   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
.   O

EKG   O
performed   O
by   O
Eleanor   B-NAME
Bramwell   I-NAME
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
suggestive   O
of   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

Bernard   B-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
oxygen   O
,   O
and   O
nitroglycerin   O
.   O

For   O
further   O
management   O
,   O
he   O
was   O
transferred   O
to   O
the   O
cardiology   O
unit   O
of   O
Virginia   B-LOCATION
Mason   I-LOCATION
Hospital   I-LOCATION
.   O

Contacting   O
Quentin   B-NAME
Shaw   I-NAME
's   O
next   O
of   O
kin   O
was   O
difficult   O
due   O
to   O
the   O
lack   O
of   O
current   O
phone   O
numbers   O
on   O
his   O
medical   O
record   O
.   O

The   O
contact   O
information   O
provided   O
was   O
57665   B-CONTACT
and   O
had   O
not   O
been   O
updated   O
for   O
some   O
time   O
.   O

The   O
medical   O
record   O
number   O
for   O
this   O
patient   O
is   O
782   B-ID
-   I-ID
08   I-ID
-   I-ID
20   I-ID
-   I-ID
4   I-ID
.   O

Once   O
he   O
was   O
stable   O
,   O
he   O
was   O
discharged   O
and   O
advised   O
to   O
follow   O
up   O
with   O
Blackburn   B-NAME
at   O
the   O
outpatient   O
clinic   O
located   O
at   O
Tyler   B-LOCATION
,   O
54258   B-LOCATION
.   O

The   O
Elective   B-LOCATION
Confederacy   I-LOCATION
has   O
also   O
provided   O
him   O
a   O
temporary   O
ID   O
,   O
OW603/3397   B-ID
,   O
for   O
his   O
follow   O
-   O
up   O
visits   O
.   O

This   O
information   O
has   O
been   O
documented   O
in   O
the   O
electronic   O
health   O
record   O
system   O
under   O
the   O
username   O
TC578   B-NAME
.   O

Patient   O
Report   O
:   O
Brycen   B-NAME
Rivas   I-NAME
,   O
82   O
37   O
,   O
female   O
,   O
presented   O
to   O
Maury   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
2119   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
25   I-DATE
with   O
a   O
history   O
of   O
persistent   O
abdominal   O
pain   O
and   O
nausea   O
.   O

During   O
the   O
physical   O
exam   O
conducted   O
by   O
Nicholson   B-NAME
,   O
localized   O
tenderness   O
was   O
found   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
,   O
along   O
with   O
a   O
palpable   O
mass   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
on   O
Martin   B-DATE
Luther   I-DATE
King   I-DATE
Day   I-DATE
which   O
showed   O
a   O
distended   O
gallbladder   O
with   O
multiple   O
gallstones   O
.   O

The   O
surgery   O
has   O
been   O
scheduled   O
for   O
the   O
2034   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
24   I-DATE
.   O

Given   O
the   O
patient   O
's   O
current   O
location   O
,   O
Chireno   B-LOCATION
,   O
she   O
was   O
suggested   O
to   O
follow   O
the   O
treatment   O
plan   O
at   O
Special   B-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
contact   O
number   O
of   O
the   O
hospital   O
is   O
307   B-CONTACT
-   I-CONTACT
785   I-CONTACT
2181   I-CONTACT
.   O

The   O
patient   O
's   O
ID   O
is   O
SL   B-ID
:   I-ID
HH:3710   I-ID
and   O
the   O
medical   O
record   O
number   O
is   O
4429237   B-ID
.   O

With   O
the   O
patient   O
's   O
agreement   O
,   O
a   O
sample   O
size   O
of   O
the   O
gallstones   O
will   O
be   O
sent   O
to   O
Selective   B-LOCATION
Insurance   I-LOCATION
for   O
further   O
analyses   O
.   O

Follow   O
up   O
appointment   O
with   O
Abby   B-NAME
Callahan   I-NAME
after   O
two   O
weeks   O
has   O
been   O
scheduled   O
.   O

The   O
patient   O
was   O
given   O
the   O
direct   O
line   O
to   O
Bailey   B-NAME
's   O
office   O
,   O
654   B-CONTACT
3502   I-CONTACT
,   O
and   O
was   O
advised   O
to   O
contact   O
if   O
symptoms   O
worsen   O
.   O

For   O
any   O
further   O
information   O
,   O
patient   O
can   O
contact   O
her   O
assigned   O
nurse   O
via   O
the   O
hospital   O
portal   O
,   O
NY602   B-NAME
.   O

The   O
patient   O
was   O
also   O
reminded   O
to   O
update   O
her   O
residential   O
address   O
as   O
it   O
was   O
currently   O
listed   O
as   O
45634   B-LOCATION
which   O
was   O
her   O
previous   O
residence   O
.   O

This   O
report   O
was   O
compiled   O
by   O
Gilbert   B-NAME
and   O
reviewed   O
by   O
the   O
patient   O
.   O

Petty   B-NAME
Patient   O
ID   O
:   O
WX   B-ID
:   I-ID
AH:9447   I-ID
Age   O
:   O
42   O
Patient   O
's   O
Occupation   O
:   O
Insurance   O
Policy   O
Processing   O
Clerks   O
Physician   O
's   O
Name   O
:   O
Braun   B-NAME
Date   O
of   O
Report   O
:   O

April   B-DATE
Patient   O
Daphne   B-NAME
Joseph   I-NAME
scheduled   O
a   O
visit   O
to   O
Cape   B-LOCATION
Coral   I-LOCATION
Hospital   I-LOCATION
on   O
9/15   B-DATE
complaining   O
of   O
persistent   O
headaches   O
with   O
increased   O
intensity   O
over   O
the   O
past   O
week   O
.   O

According   O
to   O
patient   O
Lance   B-NAME
Michael   I-NAME
,   O
the   O
headaches   O
are   O
throbbing   O
and   O
usually   O
concentrated   O
on   O
one   O
side   O
of   O
the   O
head   O
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
Ah   B-NAME
Koy   I-NAME
,   I-NAME
James   I-NAME
,   O
no   O
signs   O
of   O
fever   O
or   O
other   O
systemic   O
symptoms   O
were   O
noted   O
.   O

Patient   O
Daniel   B-NAME
E.   I-NAME
Guzman   I-NAME
denies   O
history   O
of   O
trauma   O
or   O
head   O
injury   O
.   O

Lab   O
results   O
from   O
11/21/64   B-DATE
did   O
not   O
reveal   O
any   O
abnormal   O
results   O
.   O

Dr.   O
Maverick   B-NAME
Wheeler   I-NAME
advised   O
an   O
MRI   O
,   O
which   O
was   O
conducted   O
at   O
Northwest   B-LOCATION
Texas   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
on   O
2059   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
32   I-DATE
.   O

Dr.   O
Nicholson   B-NAME
requested   O
patient   O
Quan   B-NAME
to   O
maintain   O
a   O
headache   O
diary   O
to   O
monitor   O
symptom   O
patterns   O
and   O
potential   O
triggers   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
at   O
Gaylord   B-LOCATION
Hospital   I-LOCATION
on   O
January   B-DATE
5   I-DATE
,   I-DATE
2328   I-DATE
.   O

Terry   B-NAME
W.   I-NAME
Neel   I-NAME
will   O
bring   O
the   O
headache   O
diary   O
for   O
review   O
during   O
this   O
appointment   O
.   O

Patient   O
Jaeden   B-NAME
Nelson   I-NAME
is   O
a   O
resident   O
of   O
Espy   B-LOCATION
and   O
his   O
phone   O
number   O
is   O
832   B-CONTACT
149   I-CONTACT
2768   I-CONTACT
.   O

Should   O
you   O
have   O
any   O
queries   O
or   O
require   O
further   O
clarification   O
,   O
feel   O
free   O
to   O
contact   O
me   O
at   O
nb402   B-NAME
@   O
Toronto   B-LOCATION
PET   I-LOCATION
Users   I-LOCATION
Group   I-LOCATION
(   I-LOCATION
TPUG)   I-LOCATION
.com   O
.   O
Regards   O
,   O
Gill   B-NAME
Biggs   B-LOCATION
,   O
51253   B-LOCATION

Patient   O
Name   O
:   O
NAPOLITANO   B-NAME
,   I-NAME
URSULA   I-NAME
Patient   O
ZA:761080:258989   B-ID
:   O
0055   B-ID
:   I-ID
Q83225   I-ID
DOB   O
:   O
03/13   B-DATE
Address   O
:   O
Akins   B-LOCATION
Phone   O
number   O
:   O
95492   B-CONTACT
Emergency   O
contact   O
/   O
relationship   O
:   O
fms144   B-NAME
/   O
Mother   O
Health   O
Provider   O
:   O
Waller   B-NAME
Healthcare   O
Facility   O
:   O
Stafford   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Stafford   I-LOCATION
Chief   O
Complaint   O
:   O
Hodges   B-NAME
,   O
a   O
Travel   O
Guides   O
in   O
Military   B-LOCATION
Protectorate   I-LOCATION
of   I-LOCATION
Territories   I-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
with   O
a   O
4   O
-   O
week   O
history   O
of   O
intermittent   O
,   O
non   O
-   O
radiating   O
lower   O
abdominal   O
pain   O
that   O
exacerbated   O
following   O
meals   O
.   O

Dr.   O
Lakiesha   B-NAME
Nethery   I-NAME
also   O
referred   O
Riley   B-NAME
Bender   I-NAME
to   O
a   O
therapist   O
in   O
our   O
healthcare   O
organization   O
,   O
Northern   B-LOCATION
Colorado   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
,   O
for   O
management   O
of   O
potential   O
stressors   O
which   O
may   O
be   O
contributing   O
to   O
her   O
symptoms   O
due   O
to   O
her   O
demanding   O
Purchasing   O
Managers   O
at   O
Carter   B-LOCATION
Center   I-LOCATION
.   O

Please   O
contact   O
the   O
clinic   O
for   O
any   O
clarification   O
or   O
query   O
at   O
964   B-CONTACT
-   I-CONTACT
4573   I-CONTACT
or   O
email   O
us   O
at   O
bh277   B-NAME
@   O
Titan   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
.com   O
Clinic   O
Address   O
:   O

Augusta   B-LOCATION
,   O
91467   B-LOCATION
Date   O
:   O
19/28   B-DATE
Physician   O
Name   O
:   O
Jada   B-NAME
Gregory   I-NAME
Physician   O
Signature   O
:   O
niz13   B-NAME

Patient   O
Name   O
:   O
Ellie   B-NAME
Oconnell   I-NAME
Age   O
:   O
3   O
Doctor   O
:   O
Costa   B-NAME
Medical   O
Record   O
Number   O
:   O
80675141   B-ID
Report   O
:   O
The   O
patient   O
,   O
Kramer   B-NAME
,   O
presented   O
to   O
the   O
Carondelet   B-LOCATION
Health   I-LOCATION
Emergency   O
Department   O
on   O
22/23   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
which   O
was   O
described   O
as   O
sharp   O
and   O
constant   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Reynolds   B-NAME
confirmed   O
compliance   O
with   O
medication   O
for   O
the   O
chronic   O
conditions   O
.   O

His   O
identification   O
was   O
confirmed   O
via   O
the   O
ID   O
:   O
CP:291099:260871   B-ID
.   O

Aidan   B-NAME
Blevins   I-NAME
mentioned   O
that   O
the   O
pain   O
started   O
after   O
eating   O
a   O
large   O
,   O
fatty   O
meal   O
which   O
he   O
had   O
consumed   O
at   O
a   O
local   O
restaurant   O
in   O
Canon   B-LOCATION
,   O
and   O
progressively   O
worsened   O
over   O
a   O
duration   O
of   O
several   O
hours   O
.   O

On   O
physical   O
examination   O
,   O
Douglas   B-NAME
Ortiz   I-NAME
appeared   O
acutely   O
distressed   O
with   O
vital   O
signs   O
as   O
follows   O
:   O
blood   O
pressure   O
of   O
160/110   O
mmHg   O
,   O
heart   O
rate   O
of   O
105   O
bpm   O
,   O
respiratory   O
rate   O
of   O
18   O
bpm   O
,   O
and   O
body   O
temperature   O
of   O
98.6   O
F.   O
Abdominal   O
examination   O
revealed   O
upper   O
quadrant   O
tenderness   O
,   O
specifically   O
in   O
the   O
epigastric   O
region   O
.   O

The   O
attending   O
physician   O
,   O
Marisa   B-NAME
Garza   I-NAME
,   O
recommended   O
an   O
immediate   O
abdominal   O
ultrasound   O
in   O
order   O
to   O
confirm   O
the   O
diagnosis   O
and   O
rule   O
out   O
gallstones   O
or   O
other   O
complications   O
.   O

The   O
contact   O
of   O
Nasir   B-NAME
Chavez   I-NAME
is   O
(   B-CONTACT
446   I-CONTACT
)   I-CONTACT
267   I-CONTACT
2129   I-CONTACT
.   O

The   O
patient   O
was   O
informed   O
that   O
they   O
might   O
need   O
to   O
stay   O
overnight   O
at   O
the   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Flint   I-LOCATION
for   O
observation   O
and   O
further   O
tests   O
.   O

The   O
billing   O
information   O
was   O
sent   O
to   O
the   O
Zurich   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
under   O
the   O
account   O
number   O
:   O
0   B-ID
-   I-ID
1085360   I-ID
.   O

The   O
patient   O
has   O
listed   O
his   O
place   O
of   O
living   O
as   O
Cross   B-LOCATION
Anchor   I-LOCATION
with   O
the   O
zip   O
code   O
of   O
80016   B-LOCATION
and   O
can   O
be   O
contacted   O
at   O
62781   B-CONTACT
.   O

His   O
profession   O
is   O
Cooks   O
,   O
Short   O
Order   O
and   O
he   O
can   O
be   O
reached   O
out   O
via   O
his   O
username   O
WY308   B-NAME
during   O
weekdays   O
.   O

Further   O
information   O
regarding   O
the   O
patient   O
's   O
condition   O
will   O
be   O
updated   O
in   O
the   O
medical   O
record   O
number   O
29998752   B-ID
.   O

This   O
report   O
was   O
compiled   O
by   O
Sutton   B-NAME
,   O
Rockefeller   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
February   B-DATE
26   I-DATE
.   O

Patient   O
Name   O
:   O
Bailey   B-NAME
Bray   I-NAME
DOB   O
:   O

December   B-DATE
Age   O
:   O
70   O
Presenting   O
to   O
:   O
Care   B-LOCATION
One   I-LOCATION
at   I-LOCATION
Raritan   I-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
June   B-DATE
Doctor   O
:   O
Seth   B-NAME
Bird   I-NAME
Location   O
:   O
Hornbrook   B-LOCATION
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
6199297   I-ID
Medical   O
Record   O
Number   O
:   O
28128   B-ID
Employment   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Production   O
and   O
Operating   O
Workers   O
Report   O
:   O
The   O
patient   O
,   O
Frost   B-NAME
,   O
aged   O
40   O
years   O
works   O
as   O
a   O
Insurance   O
Claims   O
and   O
Policy   O
Processing   O
Clerks   O
and   O
resides   O
in   O
Kootenai   B-LOCATION
.   O

They   O
seeks   O
medical   O
attention   O
on   O
00/12   B-DATE
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
.   O

Enoch   B-NAME
Shorty   I-NAME
was   O
referred   O
to   O
Braun   B-NAME
,   I-NAME
Wernher   I-NAME
von   I-NAME
regarding   O
severe   O
chest   O
pain   O
persisting   O
for   O
the   O
past   O
several   O
days   O
.   O

A   O
careful   O
examination   O
by   O
Berry   B-NAME
revealed   O
mild   O
tachycardia   O
and   O
raised   O
blood   O
pressure   O
,   O
further   O
noting   O
slight   O
diaphoresis   O
and   O
pallor   O
.   O

Discussion   O
about   O
further   O
diagnostic   O
procedures   O
and   O
treatment   O
options   O
is   O
set   O
for   O
1905   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
02   I-DATE
.   O

Emergent   O
contact   O
number   O
is   O
883   B-CONTACT
353   I-CONTACT
-   I-CONTACT
8301   I-CONTACT
and   O
the   O
patient   O
's   O
medical   O
records   O
can   O
be   O
accessed   O
via   O
86853414   B-ID
in   O
the   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Lexington   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
database   O
.   O

For   O
delivering   O
any   O
emergency   O
messages   O
to   O
F.   B-NAME
JORDAN   I-NAME
FUCHS   I-NAME
,   O
please   O
get   O
in   O
touch   O
with   O
VK883   B-NAME
on   O
Erie   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
platform   O
,   O
facilitated   O
through   O
the   O
messaging   O
service   O
.   O

Postal   O
communication   O
can   O
be   O
sent   O
to   O
85366   B-LOCATION
.   O

Summary   O
:   O
Ellena   B-NAME
Ressler   I-NAME
works   O
as   O
a   O
Reinforcing   O
Iron   O
and   O
Rebar   O
Workers   O
and   O
is   O
currently   O
being   O
treated   O
by   O
Hubbard   B-NAME
for   O
acute   O
coronary   O
syndrome   O
symptoms   O
at   O
Bassett   B-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Schoharie   I-LOCATION
County   I-LOCATION
located   O
in   O
Région   B-LOCATION
de   I-LOCATION
Beauce   I-LOCATION
,   I-LOCATION
QC   I-LOCATION
G0   I-LOCATION
M   I-LOCATION
5R9   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Harrell   B-NAME
Age   O
:   O
32   O
ID   O
:   O
FO394/4099   B-ID
Address   O
:   O
Trenton   B-LOCATION
,   I-LOCATION
ON   I-LOCATION
K8V   I-LOCATION
8K8   I-LOCATION
Phone   O
:   O
30102   B-CONTACT
Medical   O
Record   O
:   O
51829670   B-ID
Zip   O
:   O
10715   B-LOCATION
Physician   O
:   O

Lutz   B-NAME
Hospital   O
:   O
Allen   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Iola   I-LOCATION
Date   O
of   O
Assessment   O
:   O
03/2   B-DATE
Clinical   O
Overview   O
:   O
Hood   B-NAME
was   O
admitted   O
to   O
Medical   B-LOCATION
Center   I-LOCATION
at   I-LOCATION
Bowling   I-LOCATION
Green   I-LOCATION
on   O
April   B-DATE
2nd   I-DATE
after   O
complaining   O
about   O
consistent   O
shortness   O
of   O
breath   O
and   O
high   O
fever   O
.   O

Upon   O
admission   O
,   O
Beliasus   B-NAME
Allanson   I-NAME
was   O
febrile   O
with   O
a   O
temperature   O
of   O
38.6   O
°   O
C   O
,   O
had   O
a   O
heart   O
rate   O
of   O
108   O
/   O
min   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
22   O
/   O
min   O
.   O
Oxygen   O
saturation   O
was   O
91   O
%   O
on   O
room   O
air   O
,   O
which   O
is   O
lower   O
than   O
the   O
expected   O
95   O
%   O
-   O
100   O
%   O
.   O

Background   O
Medical   O
History   O
:   O
Kaiden   B-NAME
Stephenson   I-NAME
has   O
a   O
history   O
of   O
type   O
-   O
II   O
diabetes   O
diagnosed   O
at   O
84   O
years   O
.   O

They   O
previously   O
resided   O
in   O
Wallkill   B-LOCATION
.   O
Management   O
and   O
Progress   O
:   O
Graves   B-NAME
's   O
Chest   O
X   O
-   O
ray   O
reported   O
bilateral   O
,   O
predominantly   O
peripheral   O
,   O
subpleural   O
airspace   O
opacities   O
,   O
which   O
may   O
suggest   O
COVID-19   O
infection   O
.   O

Harper   B-NAME
,   I-NAME
Stephen   I-NAME
was   O
referred   O
to   O
Perry   B-NAME
for   O
further   O
monitoring   O
.   O

Instructions   O
were   O
also   O
given   O
to   O
Jayvon   B-NAME
Jacobson   I-NAME
to   O
self   O
-   O
isolate   O
,   O
monitor   O
their   O
temperature   O
,   O
and   O
report   O
any   O
further   O
symptoms   O
.   O

Follow   O
-   O
up   O
:   O
turpin   B-NAME
is   O
advised   O
to   O
attend   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Simon   B-NAME
at   O
Shasta   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
30/21/85   B-DATE
.   O

The   O
appointment   O
has   O
been   O
scheduled   O
and   O
a   O
reminder   O
will   O
be   O
sent   O
to   O
this   O
number   O
60828   B-CONTACT
.   O

Medical   O
staff   O
's   O
username   O
:   O
ii372   B-NAME
Organization   O
Name   O
:   O
Toronto   B-LOCATION
PET   I-LOCATION
Users   I-LOCATION
Group   I-LOCATION
(   I-LOCATION
TPUG   I-LOCATION
)   I-LOCATION
.   O

Patient   O
Name   O
:   O
Lacey   B-NAME
Age   O
:   O
99   O
DOB   O
:   O
02/26   B-DATE
MRN   O
:   O
CK890849   B-ID
Primary   O
Physician   O
:   O

Colt   B-NAME
Hawkins   I-NAME
Phone   O
:   O
22816   B-CONTACT
Patient   O
Sandra   B-NAME
Woody   I-NAME
came   O
to   O
Venice   B-LOCATION
Regional   I-LOCATION
Bayfront   I-LOCATION
Health   I-LOCATION
on   O
10/75   B-DATE
from   O
7877   B-LOCATION
Lakeshore   I-LOCATION
St.   I-LOCATION
exhibiting   O
symptoms   O
of   O
sudden   O
and   O
severe   O
pain   O
in   O
the   O
lower   O
belly   O
with   O
nausea   O
,   O
vomiting   O
,   O
and   O
diaphoresis   O
.   O

Radiological   O
examination   O
conducted   O
by   O
Mcclain   B-NAME
on   O
15/08   B-DATE
displayed   O
inflammation   O
of   O
the   O
ileum   O
and   O
possible   O
anal   O
fissures   O
,   O
reinforcing   O
the   O
initial   O
diagnosis   O
.   O

His   O
current   O
medications   O
include   O
aminosalicylates   O
and   O
corticosteroids   O
,   O
which   O
he   O
has   O
been   O
prescribed   O
by   O
his   O
previous   O
physician   O
,   O
Dr.   O
Jaylen   B-NAME
Flowers   I-NAME
.   O

He   O
was   O
also   O
under   O
a   O
course   O
of   O
immunosuppressant   O
drug   O
Prograf   O
(   O
FK506   O
)   O
,   O
prescribed   O
by   O
the   O
medical   O
team   O
at   O
Appalachian   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

The   O
patient   O
is   O
a   O
Plasterers   O
and   O
Stucco   O
Masons   O
by   O
profession   O
and   O
shared   O
his   O
work   O
5   B-ID
-   I-ID
7221707   I-ID
during   O
the   O
registration   O
process   O
.   O

Additionally   O
,   O
we   O
have   O
confirmed   O
the   O
patient   O
's   O
home   O
address   O
to   O
be   O
Beasley   B-LOCATION
with   O
postal   O
code   O
63761   B-LOCATION
.   O

Considering   O
the   O
severity   O
of   O
the   O
symptoms   O
and   O
the   O
patient   O
's   O
overall   O
health   O
,   O
admission   O
was   O
recommended   O
by   O
Lennon   B-NAME
Dalton   I-NAME
to   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
the   O
treatment   O
plan   O
was   O
outlined   O
.   O

The   O
plan   O
was   O
discussed   O
with   O
Dolan   B-NAME
and   O
his   O
family   O
and   O
they   O
agreed   O
to   O
proceed   O
.   O

The   O
patient   O
will   O
be   O
scheduled   O
for   O
another   O
follow   O
-   O
up   O
consultation   O
on   O
9   B-DATE
-   I-DATE
17   I-DATE
.   O

In   O
the   O
meantime   O
,   O
please   O
contact   O
the   O
patient   O
care   O
service   O
hotline   O
at   O
699   B-CONTACT
284   I-CONTACT
-   I-CONTACT
2926   I-CONTACT
or   O
use   O
the   O
patient   O
portal   O
with   O
username   O
NT230   B-NAME
for   O
any   O
medical   O
concerns   O
or   O
questions   O
.   O

Full   O
medical   O
history   O
and   O
treatment   O
plans   O
will   O
be   O
detailed   O
and   O
updated   O
in   O
the   O
patient   O
's   O
hospital   O
medical   O
record   O
10102899   B-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Sterling   B-NAME
,   I-NAME
Bruce   I-NAME
Age   O
:   O
91   O
Gender   O
:   O
Male   O
Date   O
of   O
Admission   O
:   O
9/30   B-DATE
Hospital   O
:   O
Adventist   B-LOCATION
Health   I-LOCATION
White   I-LOCATION
Memorial   I-LOCATION
Medical   O
Record   O
:   O
3489739   B-ID
Consulting   O
Doctor   O
:   O
Thomas   B-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
was   O
brought   O
in   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
that   O
started   O
a   O
couple   O
of   O
hours   O
ago   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
Mr.   O
Hanna   B-NAME
Oconnell   I-NAME
,   O
a   O
Court   O
,   O
Municipal   O
,   O
and   O
License   O
Clerks   O
from   O
Cleveland   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77327   I-LOCATION
,   O
reported   O
that   O
he   O
started   O
experiencing   O
acute   O
abdominal   O
pain   O
from   O
earlier   O
in   O
the   O
afternoon   O
of   O
July   B-DATE
2270   I-DATE
.   O

Diagnostic   O
Evaluation   O
:   O
Urgent   O
ultra   O
-   O
sonogram   O
of   O
the   O
abdomen   O
was   O
recommended   O
and   O
arranged   O
by   O
Dr.   O
Warner   B-NAME
.   O

The   O
case   O
was   O
discussed   O
with   O
Dr.   O
Wilson   B-NAME
,   I-NAME
Eugene   I-NAME
S.   I-NAME
at   O
Geneva   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Home   O
Address   O
:   O
Tullahassee   B-LOCATION
Phone   O
:   O
772   B-CONTACT
7842   I-CONTACT
Patient   O
ID   O
:   O
GG621/3745   B-ID
Emergency   O
Contact   O
:   O
ov650   B-NAME
Occupation   O
:   O
Helpers   O
--   O
Carpenters   O
Doctor   O
's   O
Office   O
Location   O
:   O
68549   B-LOCATION
Overall   O
Assessment   O
:   O
Mr.   O
Christopher   B-NAME
Lewis   I-NAME
appears   O
to   O
be   O
suffering   O
from   O
acute   O
appendicitis   O
.   O

The   O
case   O
will   O
be   O
followed   O
up   O
by   O
Dr.   O
Eduardo   B-NAME
Klein   I-NAME
at   O
The   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
.   O

Updated   O
and   O
detailed   O
reports   O
will   O
be   O
prepared   O
as   O
and   O
when   O
the   O
test   O
results   O
are   O
available   O
and   O
the   O
treatment   O
proceeds   O
under   O
the   O
care   O
of   O
Dr.   O
Simon   B-NAME
and   O
team   O
at   O
University   B-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Rumbold   B-NAME
,   I-NAME
Richard   I-NAME
Age   O
:   O
9   O
Medical   O
Record   O
Number   O
:   O
9864324   B-ID
Location   O
:   O
Viroqua   B-LOCATION
Date   O
of   O
Record   O
:   O

Saturday   B-DATE
,   I-DATE
November   I-DATE

The   O
patient   O
D   B-NAME
was   O
referred   O
to   O
us   O
by   O
Le   B-NAME
.   O

Anton   B-NAME
Flynn   I-NAME
is   O
currently   O
working   O
as   O
a   O
Health   O
and   O
safety   O
adviser   O
based   O
in   O
Rabbit   B-LOCATION
Hash   I-LOCATION
.   O

He   O
resides   O
at   O
28871   B-LOCATION
and   O
his   O
contact   O
number   O
is   O
listed   O
as   O
604   B-CONTACT
9521   I-CONTACT
.   O

Echocardiogram   O
obtained   O
on   O
20/20   B-DATE
at   O
Shands   B-LOCATION
Lake   I-LOCATION
Shore   I-LOCATION
showed   O
a   O
severe   O
reduction   O
in   O
left   O
ventricular   O
ejection   O
fraction   O
with   O
mild   O
mitral   O
regurgitation   O
,   O
signifying   O
congestive   O
heart   O
failure   O
.   O

For   O
further   O
management   O
,   O
patient   O
is   O
referred   O
to   O
Dr.   O
Combs   B-NAME
at   O
Mirae   B-LOCATION
Bank   I-LOCATION
.   O

Scheduled   O
appointment   O
for   O
the   O
patient   O
is   O
on   O
2030   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
23   I-DATE
.   O

Patient   O
's   O
medical   O
reports   O
can   O
be   O
accessed   O
with   O
the   O
ID   O
:   O
10   B-ID
-   I-ID
4527419   I-ID
,   O
using   O
the   O
admin   O
username   O
ow561   B-NAME
.   O

Should   O
there   O
be   O
any   O
queries   O
,   O
please   O
feel   O
free   O
to   O
contact   O
me   O
at   O
554   B-CONTACT
5801   I-CONTACT
.   O

Sincerely   O
,   O
Ashlee   B-NAME
Hughes   I-NAME
Physician   O
,   O
New   B-LOCATION
Milford   I-LOCATION
Hospital   I-LOCATION

Patient   O
's   O
name   O
:   O
Y.   B-NAME
Quinton   I-NAME
Xanders   I-NAME
Medical   O
Record   O
Number   O
:   O
9305565   B-ID
On   O
2052   B-DATE
-   I-DATE
26   I-DATE
-   I-DATE
10   I-DATE
,   O
a   O
28   O
years   O
old   O
female   O
patient   O
named   O
Jayvion   B-NAME
Mason   I-NAME
came   O
to   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
chronic   O
fatigue   O
,   O
severe   O
joint   O
pain   O
,   O
skin   O
rash   O
,   O
and   O
recurrent   O
fevers   O
.   O

Annie   B-NAME
Ballard   I-NAME
works   O
as   O
a   O
Medical   O
physicist   O
and   O
resides   O
at   O
Barahona   B-LOCATION
,   O
60315   B-LOCATION
.   O

Dr.   O
Jonson   B-NAME
,   I-NAME
Ben   I-NAME
noted   O
significant   O
stiffness   O
in   O
her   O
joints   O
,   O
notably   O
reported   O
in   O
the   O
mornings   O
or   O
after   O
periods   O
of   O
inactivity   O
.   O

Fatima   B-NAME
Hammond   I-NAME
’s   O
personal   O
ID   O
:   O
7   B-ID
-   I-ID
5833948   I-ID
was   O
noted   O
,   O
and   O
her   O
primary   O
care   O
provider   O
at   O
Botswana   B-LOCATION
Beverages   I-LOCATION
&   I-LOCATION
Allied   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
was   O
contacted   O
for   O
detailed   O
medical   O
records   O
.   O

Telephone   O
contact   O
with   O
the   O
patient   O
is   O
established   O
at   O
770   B-CONTACT
2211   I-CONTACT
.   O

The   O
patient   O
is   O
scheduled   O
to   O
revisit   O
the   O
hospital   O
on   O
1806   B-DATE
for   O
a   O
follow   O
-   O
up   O
session   O
with   O
the   O
rheumatologist   O
,   O
Dr.   O
Kaufman   B-NAME
,   O
associated   O
with   O
department   O
of   O
Rheumatology   O
and   O
Clinical   O
Immunology   O
in   O
VA   B-LOCATION
Hospital   I-LOCATION
,   O
building   O
Bootjack   B-LOCATION
.   O

During   O
her   O
prior   O
interactions   O
with   O
tnj10010   B-NAME
,   O
the   O
hospital   O
's   O
patient   O
relations   O
executive   O
,   O
Cunningham   B-NAME
,   I-NAME
Allan   I-NAME
expressed   O
her   O
anxiety   O
about   O
her   O
possible   O
diagnosis   O
and   O
the   O
potential   O
changes   O
it   O
could   O
bring   O
to   O
her   O
life   O
.   O

Please   O
send   O
all   O
further   O
correspondence   O
concerning   O
Batu   B-NAME
Casuat   I-NAME
‘s   O
treatment   O
plan   O
to   O
the   O
above   O
mentioned   O
Great   B-LOCATION
Lakes   I-LOCATION
Energy   I-LOCATION
(   I-LOCATION
Great   I-LOCATION
Lakes   I-LOCATION
Energy   I-LOCATION
Cooperative   I-LOCATION
)   I-LOCATION
and   O
attention   O
to   O
Dr.   O
Krystal   B-NAME
Mccormick   I-NAME
.   O

Her   O
medical   O
records   O
are   O
securely   O
stored   O
with   O
the   O
unique   O
identification   O
number   O
13689223   B-ID
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Lona   B-NAME
Hendrix   I-NAME
Age   O
:   O
85   O
Job   O
:   O
Counselors   O
,   O
All   O
Other   O
Patient   O
Dijkstra   B-NAME
,   I-NAME
Edsger   I-NAME
,   O
a   O
5s   O
-   O
year   O
-   O
old   O
Soil   O
Scientists   O
,   O
visited   O
Kansas   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
on   O
01/18/32   B-DATE
.   O

Cedrick   B-NAME
Kasky   I-NAME
's   O
vomit   O
has   O
been   O
clear   O
to   O
yellowish   O
with   O
undigested   O
food   O
particles   O
.   O

The   O
detailed   O
examination   O
was   O
conducted   O
by   O
Dr.   O
Fisher   B-NAME
Mckee   I-NAME
.   O

The   O
medical   O
record   O
number   O
is   O
74006790   B-ID
.   O

The   O
patient   O
is   O
to   O
maintain   O
a   O
regular   O
follow   O
-   O
up   O
at   O
AdventHealth   B-LOCATION
Carrollwood   I-LOCATION
and   O
to   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
immediately   O
.   O

The   O
hospital   O
's   O
contact   O
number   O
is   O
749   B-CONTACT
-   I-CONTACT
3068   I-CONTACT
.   O

The   O
patient   O
resides   O
at   O
North   B-LOCATION
Bethesda   I-LOCATION
,   O
and   O
the   O
zip   O
code   O
for   O
the   O
area   O
is   O
63141   B-LOCATION
.   O

The   O
patient   O
's   O
health   O
insurance   O
provider   O
is   O
Rock   B-LOCATION
River   I-LOCATION
Bank   I-LOCATION
with   O
the   O
policy   O
number   O
MS191/7831   B-ID
.   O

This   O
entire   O
consultation   O
was   O
documented   O
by   O
dw937   B-NAME
and   O
is   O
subject   O
to   O
privacy   O
laws   O
and   O
HIPAA   O
regulations   O
.   O

The   O
patient   O
is   O
advised   O
to   O
adhere   O
strictly   O
to   O
the   O
treatment   O
plan   O
and   O
monitoring   O
as   O
suggested   O
by   O
Dr.   O
Shah   B-NAME
.   O

Patient   O
Hector   B-NAME
Brooks   I-NAME
was   O
admitted   O
to   O
Woodland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/1   B-DATE
with   O
complaints   O
of   O
intense   O
abdominal   O
pain   O
.   O

The   O
medical   O
record   O
7213806   B-ID
noted   O
that   O
the   O
pain   O
had   O
been   O
occurring   O
intermittently   O
for   O
approximately   O
3   O
months   O
but   O
had   O
recently   O
become   O
severe   O
.   O

Review   O
of   O
patient   O
's   O
history   O
revealed   O
that   O
the   O
patient   O
is   O
31   O
years   O
old   O
,   O
living   O
in   O
Hassell   B-LOCATION
,   O
and   O
is   O
working   O
as   O
a   O
Psychiatrists   O
.   O

During   O
the   O
examination   O
,   O
Dr.   O
Dodson   B-NAME
noted   O
tenderness   O
in   O
the   O
right   O
upper   O
quadrant   O
.   O

Dr.   O
Roselyn   B-NAME
Moran   I-NAME
suggested   O
a   O
gallbladder   O
removal   O
surgery   O
.   O

The   O
patient   O
underwent   O
successful   O
laparoscopic   O
cholecystectomy   O
on   O
July   B-DATE
31th   I-DATE
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Conway   I-LOCATION
.   O

The   O
specimen   O
was   O
sent   O
to   O
Unrepresented   B-LOCATION
Nations   I-LOCATION
and   I-LOCATION
Peoples   I-LOCATION
Organization   I-LOCATION
for   O
pathological   O
analysis   O
.   O

Post   O
-   O
operation   O
follow   O
up   O
is   O
scheduled   O
for   O
00/12/2241   B-DATE
.   O

Patient   O
Amanda   B-NAME
Hancock   I-NAME
is   O
now   O
in   O
stable   O
condition   O
.   O

For   O
changes   O
in   O
condition   O
or   O
any   O
medical   O
queries   O
,   O
Dr.   O
Higgins   B-NAME
can   O
be   O
reached   O
at   O
885   B-CONTACT
4413   I-CONTACT
.   O

An   O
additional   O
copy   O
has   O
been   O
mailed   O
to   O
their   O
home   O
address   O
in   O
Englewood   B-LOCATION
,   O
88140   B-LOCATION
.   O

Patient   O
’s   O
family   O
contact   O
number   O
is   O
17992   B-CONTACT
.   O

The   O
patient   O
's   O
ID   O
number   O
457243   B-ID
has   O
been   O
noted   O
for   O
all   O
future   O
correspondence   O
and   O
reference   O
.   O

The   O
discharge   O
summary   O
and   O
other   O
documents   O
have   O
been   O
updated   O
in   O
the   O
patient   O
's   O
medical   O
record   O
02980628   B-ID
by   O
DV676   B-NAME
and   O
any   O
further   O
updates   O
will   O
be   O
made   O
accordingly   O
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
continue   O
follow   O
-   O
ups   O
at   O
Northridge   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Roscoe   I-LOCATION
Boulevard   I-LOCATION
Campus   I-LOCATION
until   O
full   O
recovery   O
.   O

The   O
information   O
has   O
been   O
shared   O
with   O
the   O
patient   O
's   O
health   O
insurance   O
organization   O
Best   B-LOCATION
Friends   I-LOCATION
Animal   I-LOCATION
Society   I-LOCATION
to   O
ensure   O
smooth   O
process   O
of   O
medical   O
claim   O
and   O
they   O
should   O
be   O
contacted   O
for   O
any   O
related   O
inquiries   O
at   O
(   B-CONTACT
224   I-CONTACT
)   I-CONTACT
317   I-CONTACT
3513   I-CONTACT
.   O

Patient   O
's   O
Name   O
:   O
Geraldo   B-NAME
Betterton   I-NAME
Age   O
:   O
50   O
years   O
Date   O
:   O
33/22   B-DATE
Contact   O
:   O
297   B-CONTACT
-   I-CONTACT
3097   I-CONTACT
Doctor   O
's   O
Name   O
:   O
Catherine   B-NAME
Gibson   I-NAME
Location   O
:   O
Fort   B-LOCATION
Loudon   I-LOCATION
Hospital   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
5106E80953   B-ID
ID   O
:   O
HF:53115:467668   B-ID
Employment   O
:   O
Mail   O
Clerks   O
and   O
Mail   O
Machine   O
Operators   O
,   O
Except   O
Postal   O
Service   O
at   O
Eversource   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
New   I-LOCATION
Hampshire   I-LOCATION
)   I-LOCATION

Username   O
(   O
if   O
applicable   O
):   O
IM27   B-NAME
Presenting   O
Complaint   O
:   O
Seymour   B-NAME
Katz   I-NAME
reported   O
to   O
the   O
Emergency   O
Department   O
of   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
College   I-LOCATION
Station   I-LOCATION
on   O
33/20   B-DATE
,   O
complaining   O
of   O
persistent   O
and   O
sudden   O
onset   O
of   O
severe   O
pain   O
localized   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
.   O

On   O
examination   O
,   O
the   O
skin   O
and   O
sclera   O
of   O
Josef   B-NAME
were   O
noticeably   O
icteric   O
.   O

Diagnostic   O
Summary   O
:   O
Following   O
the   O
clinical   O
symptoms   O
presented   O
,   O
Sawyer   B-NAME
Lowery   I-NAME
elected   O
to   O
conduct   O
some   O
laboratory   O
and   O
imaging   O
tests   O
.   O

Management   O
and   O
Recommendations   O
:   O
Cecilia   B-NAME
Brandt   I-NAME
was   O
admitted   O
for   O
further   O
observation   O
to   O
the   O
AdventHealth   B-LOCATION
Tampa   I-LOCATION
in   O
Church   B-LOCATION
Rock   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Virginia   B-NAME
Dixon   I-NAME
.   O

Gray   B-NAME
,   I-NAME
Thomas   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2149   B-DATE
.   O

Note   O
:   O
Please   O
make   O
sure   O
to   O
bring   O
along   O
your   O
ID   O
:   O
HO:39470:828531   B-ID

and   O
Medical   O
Record   O
Number   O
:   O
30314533   B-ID
during   O
the   O
next   O
visit   O
.   O

Should   O
there   O
be   O
any   O
other   O
concerns   O
or   O
new   O
symptoms   O
develop   O
,   O
reach   O
us   O
directly   O
via   O
(   B-CONTACT
590   I-CONTACT
)   I-CONTACT
757   I-CONTACT
6933   I-CONTACT
.   O

Patient   O
Name   O
:   O
Larson   B-NAME
Age   O
:   O
12   O
Phone   O
Number   O
:   O
610   B-CONTACT
7303   I-CONTACT
Address   O
:   O
Crookston   B-LOCATION
Zip   O
Code   O
:   O
38939   B-LOCATION
Identity   O
Number   O
:   O
XX:74160:122896   B-ID
On   O
the   O
16/02   B-DATE
,   O
Reich   B-NAME
,   I-NAME
Wilhelm   I-NAME
presented   O
to   O
the   O
ER   O
of   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Healthcare   I-LOCATION
-   I-LOCATION
Ft   I-LOCATION
.   I-LOCATION
Thomas   I-LOCATION
with   O
severe   O
chest   O
pain   O
.   O

The   O
patient   O
's   O
vitals   O
were   O
taken   O
immediately   O
,   O
a   O
history   O
was   O
obtained   O
,   O
and   O
a   O
physical   O
examination   O
was   O
performed   O
by   O
Cory   B-NAME
Morris   I-NAME
.   O

During   O
the   O
medical   O
history   O
interview   O
,   O
Elsie   B-NAME
George   I-NAME
mentioned   O
working   O
as   O
a   O
Training   O
and   O
Development   O
Managers   O
for   O
over   O
15   O
years   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
coronary   O
angiogram   O
by   O
Bates   B-NAME
for   O
the   O
following   O
Monday   B-DATE
,   I-DATE
January   I-DATE
.   O

Until   O
then   O
,   O
Eldridge   B-NAME
was   O
admitted   O
directly   O
to   O
the   O
Coronary   O
Intensive   O
Care   O
Unit   O
of   O
Huron   B-LOCATION
Valley   I-LOCATION
-   I-LOCATION
Sinai   I-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
and   O
received   O
medication   O
for   O
the   O
management   O
of   O
chest   O
pain   O
.   O

The   O
above   O
information   O
is   O
derived   O
from   O
patient   O
's   O
medical   O
record   O
number   O
201   B-ID
-   I-ID
25   I-ID
-   I-ID
19   I-ID
-   I-ID
0   I-ID
.   O

There   O
has   O
been   O
constant   O
communication   O
between   O
Rollins   B-NAME
and   O
Gibbs   B-NAME
through   O
the   O
Citizens   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Chicago   I-LOCATION
secure   O
communication   O
system   O
which   O
is   O
monitored   O
by   O
BS410   B-NAME
.   O

For   O
further   O
communication   O
or   O
query   O
,   O
the   O
on   O
-   O
call   O
doctor   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Spring   I-LOCATION
Hill   I-LOCATION
can   O
be   O
reached   O
at   O
116   B-CONTACT
744   I-CONTACT
6078   I-CONTACT
.   O

Please   O
quote   O
the   O
patient   O
's   O
identification   O
number   O
(   O
YV   B-ID
:   I-ID
CP:2227   I-ID
)   O
in   O
all   O
communications   O
.   O

The   O
next   O
review   O
is   O
scheduled   O
for   O
2172   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
22   I-DATE
.   O

Doctor   O
's   O
Name   O
:   O
Zander   B-NAME
Mack   I-NAME

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Haley   B-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
8914449   I-ID
Age   O
:   O
71s   O
Phone   O
Number   O
:   O
417   B-CONTACT
5099   I-CONTACT
Address   O
:   O
Cherokee   B-LOCATION
,   O
38886   B-LOCATION
Clinical   O
Narrative   O
:   O

Doctor   O
seen   O
:   O
Nunez   B-NAME
Date   O
of   O
report   O
:   O
04/21   B-DATE
Janetta   B-NAME
Nagelhout   I-NAME
came   O
in   O
on   O
08/71   B-DATE
complaining   O
of   O
a   O
progressively   O
worsening   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
week   O
.   O

Based   O
on   O
the   O
symptoms   O
disclosed   O
,   O
a   O
physical   O
examination   O
was   O
performed   O
by   O
Sosa   B-NAME
.   O

Hollie   B-NAME
's   O
medical   O
history   O
was   O
significant   O
.   O

His   O
record   O
number   O
127   B-ID
-   I-ID
80   I-ID
-   I-ID
96   I-ID
mentioned   O
that   O
Dedra   B-NAME
Erikson   I-NAME
was   O
a   O
past   O
smoker   O
,   O
and   O
was   O
diagnosed   O
with   O
COPD   O
(   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
)   O
with   O
Atrium   B-LOCATION
Health   I-LOCATION
Stanly   I-LOCATION
about   O
five   O
years   O
ago   O
.   O

An   O
immediate   O
reference   O
to   O
a   O
pulmonologist   O
at   O
Nemaha   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Seneca   I-LOCATION
was   O
made   O
.   O

Radiology   O
report   O
from   O
19/10   B-DATE
showed   O
increased   O
opacity   O
in   O
the   O
left   O
lung   O
's   O
infiltrates   O
indicative   O
of   O
an   O
infectious   O
process   O
.   O

Blood   O
samples   O
were   O
taken   O
and   O
sent   O
to   O
Professional   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
lab   O
for   O
complete   O
blood   O
count   O
and   O
inflammatory   O
markers   O
.   O

It   O
is   O
impertinent   O
to   O
note   O
that   O
the   O
Caldwell   B-NAME
's   O
profession   O
,   O
Acupuncturists   O
,   O
might   O
have   O
contributed   O
to   O
the   O
early   O
onset   O
of   O
symptoms   O
.   O

Rocco   B-NAME
Berry   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
3/32/81   B-DATE
.   O

The   O
patient   O
care   O
coordinator   O
kq515   B-NAME
was   O
notified   O
to   O
get   O
in   O
touch   O
with   O
Cory   B-NAME
Kerr   I-NAME
for   O
discussing   O
the   O
medical   O
plan   O
.   O

Emergency   O
contact   O
information   O
:   O
31614   B-CONTACT
Note   O
:   O
Livingston   B-NAME
's   O
medical   O
record   O
indicates   O
the   O
next   O
of   O
kin   O
living   O
outside   O
of   O
South   B-LOCATION
Hooksett   I-LOCATION
.   O

Eileen   B-NAME
Huffman   I-NAME
's   O
consent   O
for   O
telephonic   O
disclosure   O
of   O
information   O
to   O
the   O
next   O
of   O
kin   O
is   O
documented   O
under   O
the   O
ID   O
JO   B-ID
:   I-ID
ZR:6823   I-ID
.   O

For   O
any   O
further   O
queries   O
or   O
updates   O
on   O
Simon   B-NAME
Griffith   I-NAME
's   O
condition   O
,   O
please   O
reach   O
out   O
to   O
Ziglar   B-NAME
,   I-NAME
Zig   I-NAME
at   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

To   O
receive   O
detailed   O
medical   O
reports   O
,   O
sign   O
in   O
with   O
txs650   B-NAME
and   O
follow   O
the   O
instructions   O
sent   O
to   O
the   O
registered   O
phone   O
number   O
,   O
(   B-CONTACT
769   I-CONTACT
)   I-CONTACT
110   I-CONTACT
-   I-CONTACT
9672   I-CONTACT
.   O

If   O
you   O
need   O
help   O
,   O
call   O
Orange   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
the   O
following   O
number   O
:   O
342   B-CONTACT
6084   I-CONTACT
.   O

Patient   O
Name   O
:   O
Clapton   B-NAME
,   I-NAME
Eric   I-NAME
Date   O
of   O
Birth   O
/   O
Age   O
:   O
59   O
Address   O
:   O
MILTON   B-LOCATION
KEYNES   I-LOCATION
Phone   O
:   O
275   B-CONTACT
-   I-CONTACT
3420   I-CONTACT
Email   O
:   O
ujg273   B-NAME
Occupation   O
:   O
Recreation   O
Workers   O
Medical   O
Record   O
Number   O
:   O
03678336   B-ID
Social   O
Security   O
Number   O
:   O
KP978/4765   B-ID
Dr.   O
Lane   B-NAME
,   I-NAME
Nathan   I-NAME
of   O
Salt   B-LOCATION
Lake   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
examined   O
the   O
patient   O
.   O

The   O
consultation   O
took   O
place   O
on   O
13/32   B-DATE
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
obtained   O
from   O
Boylston   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
which   O
showed   O
no   O
presence   O
of   O
any   O
chronic   O
medical   O
conditions   O
.   O

The   O
patient   O
's   O
identity   O
was   O
verified   O
using   O
the   O
MW   B-ID
:   I-ID
RE:7732   I-ID
.   O

The   O
patient   O
works   O
as   O
a   O
Housekeeping   O
Supervisors   O
in   O
Tennessee   B-LOCATION
.   O

In   O
case   O
of   O
any   O
queries   O
,   O
Dalton   B-NAME
Tate   I-NAME
or   O
his   O
assistant   O
can   O
be   O
reached   O
at   O
the   O
Conway   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
office   O
.   O

For   O
more   O
updates   O
,   O
please   O
visit   O
the   O
Garfield   B-LOCATION
County   I-LOCATION
Public   I-LOCATION
Hospital   I-LOCATION
's   O
website   O
or   O
call   O
at   O
(   B-CONTACT
838   I-CONTACT
)   I-CONTACT
462   I-CONTACT
4686   I-CONTACT
.   O

The   O
hospital   O
is   O
located   O
at   O
Carlin   B-LOCATION
.   O

Patient   O
Information   O
:   O
Shiela   B-NAME
Flomm   I-NAME
ID   O
:   O
PF679/2073   B-ID
Date   O
:   O
8/09   B-DATE
Age   O
:   O
0   O
week   O
Location   O
:   O
Escondida   B-LOCATION
Phone   O
:   O
84919   B-CONTACT
Henry   B-NAME
referred   O
Marvin   B-NAME
Monroe   I-NAME
to   O
Redmond   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/22/2265   B-DATE
due   O
to   O
a   O
severe   O
case   O
of   O
pneumonia   O
.   O

Wales   B-NAME
,   I-NAME
Jimbo   I-NAME
reported   O
experiencing   O
high   O
fever   O
,   O
persistent   O
cough   O
,   O
and   O
shortness   O
of   O
breath   O
for   O
the   O
last   O
few   O
weeks   O
.   O

A   O
chest   O
X   O
-   O
Ray   O
conducted   O
at   O
Hillsdale   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
revealed   O
signs   O
of   O
pneumonia   O
with   O
diffuse   O
infiltrates   O
in   O
both   O
lungs   O
.   O

The   O
patient   O
's   O
lab   O
results   O
and   O
medical   O
history   O
were   O
documented   O
under   O
the   O
record   O
number   O
601   B-ID
-   I-ID
17   I-ID
-   I-ID
15   I-ID
.   O

The   O
patient   O
lives   O
in   O
the   O
Stanleytown   B-LOCATION
and   O
is   O
employed   O
as   O
a   O
Aromatherapist   O
.   O

The   O
patient   O
's   O
family   O
members   O
,   O
including   O
an   O
99   O
old   O
sibling   O
,   O
were   O
contacted   O
through   O
838   B-CONTACT
-   I-CONTACT
4384   I-CONTACT
and   O
were   O
informed   O
of   O
the   O
situation   O
.   O

Interactions   O
were   O
documented   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
outlined   O
by   O
the   O
Military   B-LOCATION
Officers   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
America   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
consultation   O
was   O
scheduled   O
for   O
23/12/2210   B-DATE
.   O

The   O
primary   O
healthcare   O
professional   O
for   O
this   O
case   O
is   O
Watts   B-NAME
,   O
who   O
can   O
be   O
contacted   O
for   O
further   O
details   O
through   O
the   O
North   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
main   O
line   O
at   O
606   B-CONTACT
9002   I-CONTACT
.   O

Further   O
correspondence   O
relating   O
to   O
this   O
patient   O
's   O
medical   O
status   O
can   O
be   O
sent   O
to   O
the   O
Ascension   B-LOCATION
St   I-LOCATION
Michael   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
's   O
main   O
office   O
located   O
in   O
43116   B-LOCATION
.   O

Kindly   O
refer   O
to   O
the   O
username   O
uo441   B-NAME
for   O
any   O
communication   O
.   O

We   O
are   O
taking   O
all   O
necessary   O
steps   O
to   O
ensure   O
Zander   B-NAME
Gardner   I-NAME
's   O
health   O
and   O
wellbeing   O
in   O
line   O
with   O
the   O
patient   O
care   O
guidelines   O
set   O
by   O
General   B-LOCATION
Re   I-LOCATION
.   O

Patient   O
ID   O
:   O
5   B-ID
-   I-ID
206577   I-ID
[   O
0/90   B-DATE
]   O
Dear   O
Mcintosh   B-NAME
,   O
I   O
am   O
writing   O
to   O
inform   O
you   O
about   O
the   O
status   O
of   O
our   O
patient   O
,   O
Oswaldo   B-NAME
Hayden   I-NAME
.   O

The   O
patient   O
,   O
a   O
Materials   O
engineer   O
by   O
occupation   O
,   O
was   O
brought   O
to   O
Franklin   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Northwell   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
on   O
11/10   B-DATE
.   O

The   O
patient   O
resides   O
in   O
Levasy   B-LOCATION
,   O
77986   B-LOCATION
.   O

Paulson   B-NAME
had   O
no   O
known   O
history   O
of   O
these   O
symptoms   O
.   O

We   O
have   O
called   O
back   O
Ulysses   B-NAME
Jurado   I-NAME
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
2101   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
12   I-DATE
at   O
Yuma   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

In   O
case   O
of   O
any   O
further   O
queries   O
or   O
any   O
updates   O
that   O
you   O
may   O
have   O
regarding   O
Ninke   B-NAME
Maxim   I-NAME
’s   O
treatment   O
from   O
Animal   B-LOCATION
Liberation   I-LOCATION
Brigade   I-LOCATION
(   I-LOCATION
ALB   I-LOCATION
)   I-LOCATION
,   O
please   O
feel   O
free   O
to   O
contact   O
us   O
at   O
our   O
office   O
number   O
65229   B-CONTACT
or   O
by   O
email   O
at   O
dkz422   B-NAME
@   O
Highland   B-LOCATION
Holiday   I-LOCATION
.com   O
.   O

For   O
any   O
assistance   O
in   O
understanding   O
the   O
medical   O
terminologies   O
or   O
abbreviations   O
used   O
in   O
the   O
reports   O
,   O
please   O
refer   O
to   O
reference   O
number   O
JR   B-ID
:   I-ID
JE:7486   I-ID
.   O

Thank   O
you   O
for   O
your   O
kind   O
attention   O
and   O
support   O
in   O
providing   O
the   O
best   O
possible   O
care   O
for   O
Kale   B-NAME
Hunter   I-NAME
.   O

Yours   O
sincerely   O
,   O
Johnson   B-NAME
8072   B-LOCATION
Creekside   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

Hospital   O
,   O
86658   B-LOCATION
.   O

Ilse   B-NAME
Stoffel   I-NAME
Patient   O
ID   O
:   O
XB344/7558   B-ID
Age   O
:   O
42   O
Location   O
:   O
Arroyo   B-LOCATION
Gardens   I-LOCATION
Date   O
of   O
Visit   O
:   O
2157   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
08   I-DATE
Doctor   O
:   O
Barrett   B-NAME
Medical   O
Record   O
:   O
292   B-ID
-   I-ID
30   I-ID
-   I-ID
39   I-ID
Phone   O
:   O
942   B-CONTACT
-   I-CONTACT
532   I-CONTACT
6397   I-CONTACT
Hospital   O
:   O

Saint   B-LOCATION
Johns   I-LOCATION
Maude   I-LOCATION
Norton   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Columbus   I-LOCATION
Organization   O
:   O

Darjeeling   B-LOCATION
Jela   I-LOCATION
Dokan   I-LOCATION
Sramik   I-LOCATION
Union   I-LOCATION
Profession   O
:   O
Insurance   O
claims   O
inspector   O
Username   O
:   O
voi848   B-NAME
Zip   O
Code   O
:   O
83491   B-LOCATION
Patient   O
Kilian   B-NAME
Middleton   I-NAME
of   O
age   O
11   O
,   O
a   O
Directors   O
,   O
Religious   O
Activities   O
and   O
Education   O
from   O
Tarnov   B-LOCATION
presented   O
to   O
our   O
New   B-LOCATION
Milford   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
9   I-DATE
.   O

The   O
chest   O
X   O
-   O
ray   O
ordered   O
by   O
Dr.   O
Perry   B-NAME
,   I-NAME
Oliver   I-NAME
Hazard   I-NAME
showed   O
patchy   O
infiltrates   O
in   O
both   O
lower   O
lung   O
fields   O
suggestive   O
of   O
an   O
infection   O
.   O

In   O
view   O
of   O
his   O
presentations   O
,   O
he   O
has   O
been   O
admitted   O
to   O
our   O
Easton   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluations   O
and   O
management   O
.   O

Dr.   O
Javier   B-NAME
Ewing   I-NAME
will   O
be   O
closely   O
monitoring   O
his   O
case   O
.   O

You   O
can   O
contact   O
the   O
North   B-LOCATION
Houston   I-LOCATION
Bank   I-LOCATION
at   O
61428   B-CONTACT
in   O
case   O
you   O
have   O
questions   O
or   O
concerns   O
.   O

His   O
case   O
can   O
be   O
followed   O
using   O
his   O
ID   O
:   O
UA995/9148   B-ID
and   O
zip   O
:   O
38212   B-LOCATION
on   O
our   O
portal   O
.   O

ozt683   B-NAME
and   O
password   O
(   O
that   O
has   O
been   O
sent   O
to   O
him   O
via   O
email   O
)   O
.   O

The   O
report   O
was   O
last   O
updated   O
on   O
20/25   B-DATE
.   O

Patient   O
Report   O
Patient   O
's   O
Name   O
:   O
Yael   B-NAME
Booker   I-NAME
Age   O
:   O
72   O
Gender   O
:   O

Male   O
The   O
patient   O
named   O
Jerry   B-NAME
Prince   I-NAME
of   O
23   O
years   O
was   O
admitted   O
to   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Memorial   I-LOCATION
on   O
2310   B-DATE
.   O

He   O
is   O
a   O
Parking   O
Lot   O
Attendants   O
from   O
Balmville   B-LOCATION
.   O

He   O
was   O
referred   O
by   O
his   O
primary   O
care   O
doctor   O
,   O
Kandi   B-NAME
Schluter   I-NAME
.   O

Upon   O
admission   O
,   O
Alia   B-NAME
Brachle   I-NAME
presented   O
with   O
acute   O
onset   O
of   O
dyspnea   O
,   O
palpitations   O
,   O
and   O
bilateral   O
lower   O
extremity   O
swelling   O
,   O
indicative   O
of   O
potential   O
congestive   O
heart   O
failure   O
.   O

Through   O
the   O
clinical   O
assessment   O
conducted   O
by   O
Jacobs   B-NAME
,   O
it   O
was   O
desired   O
to   O
carry   O
out   O
a   O
Chest   O
X   O
-   O
Ray   O
,   O
EKG   O
,   O
and   O
blood   O
tests   O
.   O

In   O
the   O
medical   O
history   O
records   O
obtained   O
from   O
Rashtriya   B-LOCATION
Mill   I-LOCATION
Mazdoor   I-LOCATION
Sangh   I-LOCATION
with   O
7937430   B-ID
number   O
,   O
no   O
significant   O
history   O
of   O
similar   O
symptoms   O
were   O
found   O
.   O

Pertinent   O
Labs   O
:   O
Making   O
reference   O
to   O
the   O
labs   O
carried   O
out   O
on   O
22/28/22   B-DATE
,   O
Troponin   O
levels   O
were   O
elevated   O
,   O
BNP   O
was   O
recorded   O
to   O
be   O
761   O
pg   O
/   O
mL   O
,   O
and   O
the   O
Chest   O
X   O
-   O
ray   O
showed   O
cardiomegaly   O
and   O
bilateral   O
pleural   O
effusions   O
.   O

Planned   O
Course   O
&   O
Treatment   O
:   O
The   O
noted   O
findings   O
led   O
Dr.   O
Cortez   B-NAME
to   O
start   O
Whitney   B-NAME
Randall   I-NAME
on   O
intravenous   O
furosemide   O
,   O
to   O
consult   O
cardiology   O
for   O
potential   O
heart   O
failure   O
,   O
and   O
to   O
administer   O
antibiotics   O
pending   O
culture   O
reports   O
.   O

Wu   B-NAME
and   O
the   O
medical   O
team   O
at   O
UC   B-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Health   I-LOCATION
Hillcrest   I-LOCATION
-   I-LOCATION
Hillcrest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
are   O
working   O
in   O
collaboration   O
with   O
other   O
healthcare   O
providers   O
in   O
Douglas   B-LOCATION
,   I-LOCATION
Douglas   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
to   O
cater   O
to   O
Hadley   B-NAME
Luna   I-NAME
’s   O
healthcare   O
needs   O
.   O

His   O
WQ   B-ID
:   I-ID
RJ:8119   I-ID
and   O
877   B-CONTACT
-   I-CONTACT
9092   I-CONTACT
number   O
were   O
recorded   O
for   O
timely   O
communication   O
and   O
future   O
reference   O
.   O

His   O
follow   O
-   O
up   O
appointment   O
is   O
booked   O
under   O
the   O
sgi743   B-NAME
at   O
the   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Lancaster   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
further   O
communication   O
,   O
kindly   O
refer   O
to   O
the   O
patient   O
's   O
case   O
with   O
his   O
medical   O
record   O
number   O
40502311   B-ID
or   O
contact   O
Ibarra   B-NAME
at   O
79838   B-CONTACT
.   O

Note   O
:   O
We   O
are   O
constantly   O
partnering   O
with   O
other   O
healthcare   O
systems   O
and   O
organizations   O
like   O
XL   B-LOCATION
Catlin   I-LOCATION
in   O
our   O
quest   O
to   O
provide   O
quality   O
healthcare   O
to   O
all   O
our   O
patients   O
in   O
various   O
57732   B-LOCATION
codes   O
.   O

Patient   O
Information   O
:   O
Patient   O
Addison   B-NAME
Frost   I-NAME
of   O
87   O
was   O
admitted   O
to   O
the   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
on   O
22/12/22   B-DATE
.   O

Patient   O
’s   O
medical   O
record   O
number   O
is   O
761   B-ID
-   I-ID
42   I-ID
-   I-ID
73   I-ID
-   I-ID
5   I-ID
.   O

The   O
patient   O
lives   O
in   O
Metropolis   B-LOCATION
and   O
their   O
contact   O
details   O
are   O
803   B-CONTACT
-   I-CONTACT
8602   I-CONTACT
.   O

Diagnostic   O
Assessment   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
Halloween   B-DATE
suggested   O
possible   O
pneumonia   O
.   O

A   O
high   O
-   O
resolution   O
CT   O
scan   O
was   O
recommended   O
by   O
Dr.   O
Miracle   B-NAME
Blanchard   I-NAME
which   O
showed   O
extensive   O
bilateral   O
,   O
lower   O
lobe   O
predominance   O
,   O
mixed   O
ground   O
-   O
glass   O
opacities   O
,   O
and   O
consolidation   O
suggestive   O
of   O
possible   O
infectious   O
etiology   O
.   O

The   O
patient   O
was   O
started   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
as   O
per   O
Dr.   O
Eleanor   B-NAME
Bramwell   I-NAME
instructions   O
.   O

The   O
patient   O
’s   O
insurance   O
ID   O
is   O
XT   B-ID
:   I-ID
ZY:7926   I-ID
and   O
the   O
company   O
they   O
are   O
registered   O
with   O
is   O
Town   B-LOCATION
of   I-LOCATION
Havana   I-LOCATION
Utilities   I-LOCATION
.   O

The   O
patient   O
also   O
provided   O
the   O
zip   O
code   O
54325   B-LOCATION
for   O
further   O
correspondence   O
.   O

Follow   O
-   O
Up   O
:   O
The   O
next   O
appointment   O
with   O
Atkinson   B-NAME
is   O
scheduled   O
for   O
0/11   B-DATE
.   O

The   O
patient   O
's   O
health   O
status   O
will   O
be   O
updated   O
via   O
the   O
username   O
eo687   B-NAME
on   O
their   O
online   O
healthcare   O
portal   O
provided   O
by   O
Columbus   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
:   O
Paulson   B-NAME
Age   O
:   O
93   O
Doctor   O
:   O
Andre   B-NAME
Ballard   I-NAME
Hospital   O
:   O
Blue   B-LOCATION
Ridge   I-LOCATION
HealthCare   I-LOCATION
Hospitals   I-LOCATION
Medical   O
Record   O
#   O
:   O
77565928   B-ID
The   O
patient   O
,   O
Sosa   B-NAME
,   O
came   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Santa   I-LOCATION
Clara   I-LOCATION
on   O
2072   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
24   I-DATE
.   O

Upon   O
examination   O
,   O
Edwards   B-NAME
reported   O
acute   O
and   O
constant   O
lower   O
abdominal   O
pain   O
with   O
severity   O
scaling   O
to   O
8   O
on   O
a   O
scale   O
of   O
10   O
.   O

Winters   B-NAME
noted   O
that   O
the   O
patient   O
has   O
a   O
history   O
of   O
sporadic   O
smoking   O
and   O
unrecognized   O
diet   O
patterns   O
.   O

The   O
initial   O
diagnosis   O
is   O
suggested   O
as   O
Acute   O
Diverticulitis   O
,   O
however   O
,   O
colonoscopy   O
was   O
advised   O
on   O
03   B-DATE
at   O
the   O
Lower   B-LOCATION
Bucks   I-LOCATION
Hospital   I-LOCATION
to   O
rule   O
out   O
the   O
possibility   O
of   O
colorectal   O
cancer   O
.   O

Emilia   B-NAME
Zuniga   I-NAME
advised   O
that   O
the   O
patient   O
remain   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
for   O
the   O
evening   O
before   O
the   O
procedure   O
.   O

The   O
patient   O
's   O
primary   O
contact   O
is   O
recorded   O
as   O
651   B-CONTACT
3146   I-CONTACT
.   O

He   O
is   O
a   O
Foreign   O
Language   O
and   O
Literature   O
Teachers   O
,   O
Postsecondary   O
and   O
resides   O
at   O
Hickory   B-LOCATION
Valley   I-LOCATION
,   O
68166   B-LOCATION
.   O

His   O
ID   O
is   O
XJ:621096:583945   B-ID
and   O
his   O
email   O
address   O
is   O
recorded   O
as   O
HD766   B-NAME
@   O
Oligarcy   B-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
.com   O
.   O

For   O
any   O
additional   O
information   O
or   O
queries   O
,   O
you   O
may   O
reach   O
out   O
to   O
Amirah   B-NAME
Swanson   I-NAME
at   O
Helen   B-LOCATION
DeVos   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
or   O
drop   O
an   O
email   O
at   O
djc4410   B-NAME
@   O
Sentara   B-LOCATION
CarePlex   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
name   O
:   O
Hanna   B-NAME
Davies   I-NAME
Age   O
:   O
79   O
ID   O
:   O
DD121/6783   B-ID
Medical   O
record   O
:   O
98779397   B-ID
Location   O
:   O
Sims   B-LOCATION
Chapel   I-LOCATION
Contact   O
Number   O
:   O
24992   B-CONTACT
Zip   O
:   O
39060   B-LOCATION
On   O
the   O
morning   O
of   O
1/11   B-DATE
,   O
Jason   B-NAME
Mantzoukas   I-NAME
reported   O
to   O
the   O
emergency   O
department   O
of   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
South   I-LOCATION
Pointe   I-LOCATION
Hospital   I-LOCATION
.   O

Barton   B-NAME
was   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
especially   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Leung   B-NAME
,   I-NAME
Graeme   I-NAME
,   O
who   O
works   O
as   O
a   O
Exhibit   O
Designers   O
,   O
reported   O
poor   O
appetite   O
,   O
mild   O
nausea   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
as   O
well   O
.   O

Boyce   B-NAME
Marotti   I-NAME
's   O
past   O
medical   O
history   O
revealed   O
no   O
significant   O
surgeries   O
or   O
chronic   O
illnesses   O
,   O
suggesting   O
that   O
this   O
is   O
an   O
acute   O
condition   O
.   O

By   O
considering   O
the   O
symptoms   O
,   O
the   O
on   O
-   O
call   O
doctor   O
Copeland   B-NAME
suspected   O
acute   O
appendicitis   O
.   O

Karla   B-NAME
Dillon   I-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
,   O
CBC   O
,   O
and   O
urinalysis   O
.   O

Meanwhile   O
,   O
the   O
Giancarlo   B-NAME
Moran   I-NAME
was   O
admitted   O
to   O
the   O
University   B-LOCATION
of   I-LOCATION
California   I-LOCATION
Irvine   I-LOCATION
Health   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

Based   O
on   O
the   O
results   O
expected   O
by   O
2/13   B-DATE
,   O
a   O
surgical   O
consultation   O
will   O
be   O
initiated   O
.   O

Kaylie   B-NAME
Parrish   I-NAME
wanted   O
to   O
notify   O
Bullock   B-NAME
,   I-NAME
Sandra   I-NAME
's   O
primary   O
healthcare   O
provider   O
who   O
works   O
in   O
Ocala   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
about   O
the   O
current   O
medical   O
situation   O
.   O

Kristian   B-NAME
Berger   I-NAME
sent   O
an   O
email   O
to   O
ux316   B-NAME
about   O
the   O
aforementioned   O
patient   O
's   O
acute   O
symptoms   O
along   O
with   O
the   O
performed   O
investigations   O
.   O

Cuevas   B-NAME
has   O
asked   O
for   O
Rema   B-NAME
Cook   I-NAME
's   O
contact   O
126   B-CONTACT
8287   I-CONTACT
to   O
be   O
updated   O
in   O
the   O
medical   O
record   O
56120670   B-ID
to   O
facilitate   O
good   O
communication   O
.   O

Cullen   B-NAME
Booth   I-NAME
will   O
possibly   O
need   O
to   O
undergo   O
an   O
appendectomy   O
as   O
per   O
the   O
results   O
of   O
the   O
investigations   O
.   O

Paulson   B-NAME
,   O
who   O
resides   O
in   O
Fruitport   B-LOCATION
,   O
48954   B-LOCATION
,   O
will   O
be   O
informed   O
about   O
the   O
procedure   O
and   O
the   O
hospital   O
staff   O
will   O
be   O
assisting   O
in   O
relaying   O
the   O
information   O
and   O
necessary   O
arrangements   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Watson   B-NAME
,   I-NAME
Thomas   I-NAME
J.   I-NAME
Age   O
:   O
90   O
Medical   O
record   O
:   O
14199542   B-ID
Speaking   O
with   O
the   O
patient   O
Jaiden   B-NAME
Tate   I-NAME
today   O
on   O
34/17/22   B-DATE
at   O
our   O
Adirondack   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
facility   O
revealed   O
several   O
symptoms   O
that   O
persisted   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Izayah   B-NAME
Castillo   I-NAME
described   O
experiencing   O
intermittent   O
bouts   O
of   O
fever   O
along   O
with   O
myalgia   O
.   O

Also   O
,   O
Clark   B-NAME
,   I-NAME
Ramsey   I-NAME
complained   O
of   O
body   O
aches   O
,   O
analysed   O
as   O
myalgia   O
.   O

Prior   O
to   O
the   O
onset   O
of   O
symptoms   O
,   O
Casals   B-NAME
,   I-NAME
Pablo   I-NAME
had   O
reported   O
a   O
history   O
of   O
travelling   O
to   O
Metz   B-LOCATION
,   O
which   O
is   O
a   O
known   O
hotspot   O
for   O
endemic   O
diseases   O
.   O

The   O
Operating   O
Engineers   O
and   O
Other   O
Construction   O
Equipment   O
Operators   O
working   O
for   O
Ontario   B-LOCATION
English   I-LOCATION
Catholic   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
disclosed   O
this   O
information   O
gathered   O
during   O
the   O
initial   O
interview   O
by   O
Tyler   B-NAME
.   O

Rachel   B-NAME
Vincent   I-NAME
is   O
now   O
recommending   O
a   O
series   O
of   O
more   O
specific   O
diagnostic   O
tests   O
,   O
envisaging   O
a   O
consultation   O
with   O
a   O
specialist   O
in   O
infectious   O
diseases   O
.   O

The   O
detailed   O
report   O
of   O
his   O
condition   O
has   O
been   O
encrypted   O
under   O
ID   O
LR506/4976   B-ID
and   O
sent   O
to   O
state   O
health   O
authorities   O
based   O
in   O
Laurel   B-LOCATION
Mountain   I-LOCATION
.   O

My   O
notes   O
can   O
also   O
be   O
accessed   O
through   O
ZG639   B-NAME
on   O
our   O
secure   O
portal   O
.   O

This   O
information   O
on   O
35/32   B-DATE
has   O
been   O
recorded   O
&   O
communicated   O
to   O
Patterson   B-NAME
over   O
a   O
secure   O
line   O
at   O
324   B-CONTACT
-   I-CONTACT
6004   I-CONTACT
.   O

His   O
primary   O
residence   O
at   O
12125   B-LOCATION
is   O
a   O
concern   O
due   O
to   O
its   O
relative   O
isolation   O
.   O

We   O
are   O
arranging   O
transport   O
for   O
Carter   B-NAME
Whitaker   I-NAME
to   O
return   O
to   O
Park   B-LOCATION
Nicollet   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
if   O
required   O
.   O

Patient   O
Name   O
:   O
Emilia   B-NAME
Harvey   I-NAME
ID   O
:   O
JE:71062:773240   B-ID
Date   O
of   O
birth   O
:   O
2053   B-DATE
Min   B-NAME
Ferracioli   I-NAME
presented   O
to   O
Northport   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/16   B-DATE
.   O

Hughes   B-NAME
consulted   O
the   O
patient   O
.   O

Melanie   B-NAME
Crawford   I-NAME
complained   O
of   O
chronic   O
heartburn   O
,   O
acid   O
regurgitation   O
,   O
and   O
trouble   O
swallowing   O
.   O

Valentino   B-NAME
Baker   I-NAME
also   O
described   O
a   O
sensation   O
of   O
"   O
food   O
getting   O
stuck   O
"   O
,   O
mainly   O
when   O
eating   O
more   O
extensive   O
meals   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
includes   O
occasional   O
asymptomatic   O
gastritis   O
,   O
managed   O
with   O
proton   O
pump   O
inhibitors   O
for   O
which   O
Cecila   B-NAME
Dorvillier   I-NAME
took   O
an   O
GQ:1940:199232   B-ID
,   O
and   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
to   O
eradicate   O
assumed   O
Helicobacter   O
pylori   O
infection   O
.   O

It   O
was   O
worth   O
noting   O
that   O
AALIYAH   B-NAME
IRAHETA   I-NAME
's   O
parents   O
had   O
a   O
history   O
of   O
similar   O
GI   O
issues   O
in   O
their   O
later   O
99   O
after   O
which   O
dietary   O
changes   O
and   O
medications   O
were   O
required   O
.   O

Wilkins   B-NAME
works   O
as   O
a   O
pilot   O
which   O
makes   O
dietary   O
management   O
somewhat   O
challenging   O
given   O
the   O
late   O
-   O
night   O
shifts   O
and   O
irregular   O
eating   O
patterns   O
.   O

Susan   B-NAME
Wheeler   I-NAME
showed   O
understanding   O
and   O
willingness   O
to   O
adhere   O
to   O
a   O
modified   O
dietary   O
plan   O
.   O

Investigations   O
:   O
An   O
endoscopy   O
performed   O
in   O
Piedmont   B-LOCATION
Mountainside   I-LOCATION
Hospital   I-LOCATION
displayed   O
evidence   O
of   O
chronic   O
inflammation   O
with   O
biopsy   O
confirming   O
reflux   O
esophagitis   O
.   O

Given   O
the   O
detailed   O
medical   O
history   O
,   O
symptoms   O
and   O
results   O
of   O
the   O
investigations   O
,   O
Bonilla   B-NAME
suggested   O
a   O
course   O
of   O
treatment   O
involving   O
a   O
long   O
-   O
term   O
proton   O
pump   O
inhibitor   O
(   O
lansoprazole   O
)   O
and   O
lifestyle   O
modifications   O
including   O
dietary   O
changes   O
.   O

Prescription   O
:   O
Lansoprazole   O
,   O
take   O
one   O
capsule   O
daily   O
for   O
00/22   B-DATE
.   O

This   O
individual   O
's   O
prescription   O
can   O
be   O
found   O
under   O
4621273   B-ID
in   O
the   O
hospital   O
's   O
records   O
.   O

Colby   B-NAME
Mccormick   I-NAME
will   O
have   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
next   O
9/01   B-DATE
with   O
Wilkerson   B-NAME
to   O
access   O
Ingrid   B-NAME
Phillips   I-NAME
's   O
progress   O
.   O

Currently   O
living   O
in   O
Chicora   B-LOCATION
,   O
Roy   B-NAME
Stuart   I-NAME
can   O
be   O
contacted   O
through   O
531   B-CONTACT
-   I-CONTACT
891   I-CONTACT
8268   I-CONTACT
for   O
any   O
medical   O
follow   O
-   O
up   O
.   O

Billing   O
and   O
insurance   O
matters   O
will   O
be   O
handled   O
by   O
United   B-LOCATION
Food   I-LOCATION
and   I-LOCATION
Commercial   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
.   O

Barker   B-NAME
FJ268   B-NAME
99563   B-LOCATION

Patient   O
Name   O
:   O
Schroeder   B-NAME
Age   O
:   O
97   O
Admit   O
Date   O
:   O
Thursday   B-DATE
Location   O
:   O
Jacksonville   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
32209   I-LOCATION
General   O
Practitioner   O
:   O
Walters   B-NAME
Hospital   O
:   O

Long   B-LOCATION
Island   I-LOCATION
Jewish   I-LOCATION
Valley   I-LOCATION
Stream   I-LOCATION
5222027   B-ID

The   O
patient   O
,   O
aged   O
12s   O
,   O
was   O
admitted   O
to   O
Halifax   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Port   I-LOCATION
Orange   I-LOCATION
on   O
January   B-DATE
2392   I-DATE
.   O

He   O
was   O
brought   O
in   O
by   O
a   O
colleague   O
from   O
their   O
workplace   O
,   O
Youth   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
International   I-LOCATION
.   O

An   O
Ultra   O
Sound   O
Sonography   O
recommended   O
by   O
Walsh   B-NAME
revealed   O
the   O
presence   O
of   O
gallstones   O
and   O
the   O
patient   O
was   O
diagnosed   O
with   O
acute   O
pancreatitis   O
precipitated   O
by   O
gallstones   O
.   O

His   O
professional   O
details   O
documented   O
as   O
Radiation   O
Therapists   O
at   O
Society   B-LOCATION
of   I-LOCATION
American   I-LOCATION
Military   I-LOCATION
Engineers   I-LOCATION
were   O
recorded   O
.   O

For   O
further   O
follow   O
-   O
ups   O
,   O
the   O
patient   O
was   O
directed   O
to   O
contact   O
Zaiden   B-NAME
Walter   I-NAME
over   O
the   O
contact   O
number   O
-   O
643   B-CONTACT
957   I-CONTACT
5900   I-CONTACT
.   O

Surgical   O
intervention   O
,   O
specifically   O
a   O
Cholecystectomy   O
has   O
been   O
recommended   O
and   O
scheduled   O
for   O
2023   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
37   I-DATE
.   O

His   O
home   O
address   O
is   O
Sleepy   B-LOCATION
Hollow   I-LOCATION
,   O
86790   B-LOCATION
.   O

Contact   O
89906   B-CONTACT
if   O
required   O
.   O

He   O
has   O
been   O
registered   O
under   O
the   O
unique   O
i   O
d   O
-   O
DO985/6917   B-ID
for   O
future   O
references   O
and   O
payments   O
.   O

All   O
the   O
digital   O
health   O
records   O
will   O
be   O
maintained   O
with   O
the   O
username   O
jx681   B-NAME
.   O

Prepared   O
By   O
:   O
India   B-NAME
Nunez   I-NAME

Patient   O
Name   O
:   O
Herrera   B-NAME
Age   O
:   O
68   O
DOB   O
:   O
4/20/02   B-DATE
Medical   O
Record   O
Number   O
:   O
8603794   B-ID
SSN   O
:   O
BJ:85105:551942   B-ID
Residing   O
at   O
:   O
Mole   B-LOCATION
Lake   I-LOCATION
Zip   O
code   O
:   O
94041   B-LOCATION
Phone   O
number   O
:   O
575   B-CONTACT
-   I-CONTACT
793   I-CONTACT
-   I-CONTACT
7113   I-CONTACT
Referring   O
Physician   O
:   O
Quinn   B-NAME
Employment   O
:   O
Paperhangers   O
History   O
:   O

Patient   O
Haas   B-NAME
was   O
admitted   O
to   O
Meade   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Meade   I-LOCATION
on   O
2/31   B-DATE
.   O

Previously   O
treated   O
by   O
Bradley   B-NAME
at   O
Atlantic   B-LOCATION
Highlands   I-LOCATION
,   O
the   O
patient   O
now   O
complains   O
of   O
persistent   O
lower   O
abdominal   O
discomfort   O
,   O
severe   O
enough   O
to   O
interfere   O
with   O
his   O
occupation   O
as   O
a   O
Receptionists   O
and   O
Information   O
Clerks   O
.   O

This   O
patient   O
was   O
referred   O
by   O
Sasha   B-NAME
Keil   I-NAME
from   O
the   O
Refuge   B-LOCATION
Recovery   I-LOCATION
.   O

Jamie   B-NAME
Tucker   I-NAME
initially   O
reported   O
these   O
symptoms   O
starting   O
around   O
June   B-DATE
8   I-DATE
.   O

His   O
past   O
medical   O
records   O
16733039   B-ID
indicate   O
a   O
history   O
of   O
nephrolithiasis   O
and   O
a   O
medical   O
procedure   O
at   O
Essex   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
during   O
12/22   B-DATE
.   O

Quinten   B-NAME
B.   I-NAME
Prado   I-NAME
's   O
family   O
history   O
,   O
specifically   O
his   O
father   O
's   O
premature   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
1   O
week   O
,   O
raises   O
concern   O
for   O
a   O
potential   O
genetic   O
predisposition   O
toward   O
abdominal   O
aortic   O
aneurysmal   O
disease   O
.   O

Clinical   O
Observations   O
:   O
During   O
the   O
physical   O
examination   O
held   O
on   O
2/27   B-DATE
,   O
Tova   B-NAME
presented   O
signs   O
consistent   O
with   O
periumbilical   O
,   O
non   O
-   O
radiating   O
discomfort   O
,   O
exacerbated   O
by   O
movement   O
,   O
touch   O
sensitivity   O
,   O
and   O
no   O
accompanying   O
nausea   O
or   O
vomiting   O
.   O

Advise   O
immediate   O
ultrasound   O
to   O
rule   O
out   O
abdominal   O
aortic   O
aneurysm   O
,   O
based   O
on   O
Gabrielle   B-NAME
Huang   I-NAME
's   O
description   O
of   O
symptoms   O
and   O
family   O
history   O
.   O

I   O
plan   O
to   O
discuss   O
this   O
case   O
further   O
with   O
Garrett   B-NAME
Wall   I-NAME
.   O

In   O
the   O
meantime   O
,   O
Savanah   B-NAME
Mckenzie   I-NAME
has   O
been   O
asked   O
to   O
follow   O
up   O
with   O
a   O
Computer   O
Support   O
Specialists   O
specialist   O
for   O
preventative   O
cardiovascular   O
evaluation   O
,   O
and   O
to   O
remain   O
contactable   O
via   O
235   B-CONTACT
-   I-CONTACT
3610   I-CONTACT
for   O
further   O
enquiries   O
.   O

Report   O
Prepared   O
by   O
:   O
ij1018   B-NAME

Ashly   B-NAME
Hodges   I-NAME
Medical   O
Record   O
N   O
°   O
:   O
1631380   B-ID
Address   O
:   O
Opelousas   B-LOCATION
,   O
82341   B-LOCATION

The   O
patient   O
,   O
Mr.   O
Howard   B-NAME
Rosser   I-NAME
,   O
a   O
Molders   O
,   O
Shapers   O
,   O
and   O
Casters   O
,   O
Except   O
Metal   O
and   O
Plastic   O
of   O
47   O
years   O
old   O
,   O
presented   O
at   O
the   O
Cass   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Sunday   B-DATE
.   O

Mr.   O
Brandi   B-NAME
Xayasane   I-NAME
denied   O
having   O
any   O
fever   O
,   O
weight   O
loss   O
,   O
jaw   O
claudication   O
,   O
or   O
polymyalgia   O
rheumatica   O
symptoms   O
.   O

Dr.   O
Kasandra   B-NAME
Gordon   I-NAME
examined   O
him   O
and   O
ordered   O
a   O
complete   O
blood   O
count   O
,   O
ESR   O
,   O
CRP   O
,   O
and   O
MRI   O
of   O
the   O
brain   O
without   O
contrast   O
.   O

The   O
patient   O
's   O
ID   O
at   O
the   O
lab   O
is   O
KE:8100:945549   B-ID

and   O
the   O
reports   O
will   O
be   O
available   O
online   O
with   O
the   O
username   O
cjv536   B-NAME
for   O
him   O
to   O
view   O
.   O

Mr.   O
Bray   B-NAME
lives   O
in   O
Unionville   B-LOCATION
and   O
drives   O
a   O
professional   O
transportation   O
vehicle   O
with   O
a   O
license   O
plate   O
number   O
of   O
AU   B-ID
:   I-ID
TC:4475   I-ID
.   O

His   O
mobile   O
phone   O
number   O
is   O
84042   B-CONTACT
,   O
and   O
he   O
shared   O
he   O
can   O
be   O
contacted   O
between   O
9:00   O
am   O
and   O
5:00   O
pm   O
for   O
follow   O
-   O
up   O
on   O
his   O
case   O
or   O
any   O
further   O
information   O
.   O

His   O
symptoms   O
seem   O
to   O
match   O
chronic   O
migraine   O
,   O
but   O
the   O
final   O
diagnosis   O
is   O
pending   O
till   O
the   O
lab   O
results   O
from   O
Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
are   O
received   O
.   O

He   O
is   O
advised   O
to   O
check   O
his   O
online   O
reports   O
by   O
logging   O
in   O
with   O
gn324   B-NAME
.   O

The   O
patient   O
was   O
satisfied   O
with   O
the   O
consultation   O
provided   O
at   O
the   O
NEK   B-LOCATION
Center   I-LOCATION
for   I-LOCATION
Health   I-LOCATION
and   I-LOCATION
Wellness   I-LOCATION
–   I-LOCATION
Horton   I-LOCATION
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
22/08/02   B-DATE
with   O
Dr.   O
Erica   B-NAME
Bradford   I-NAME
.   O

Dr.   O
Archer   B-NAME
3/02/71   B-DATE

Patient   O
Report   O
:   O
Marlene   B-NAME
Whitehead   I-NAME
is   O
a   O
52s   O
years   O
old   O
male   O
patient   O
who   O
reported   O
to   O
the   O
emergency   O
department   O
of   O
Barnwell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
02/20/67   B-DATE
.   O

His   O
primary   O
care   O
physician   O
is   O
Gerald   B-NAME
Hubbard   I-NAME
.   O

Vannessa   B-NAME
Frohock   I-NAME
presents   O
with   O
acute   O
chest   O
pain   O
mid   O
-   O
sternal   O
region   O
radiating   O
to   O
his   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
Acute   O
onset   O
sweating   O
.   O

His   O
medical   O
record   O
,   O
3463678   B-ID
,   O
was   O
obtained   O
to   O
source   O
his   O
medical   O
history   O
.   O

Bennett   B-NAME
,   I-NAME
William   I-NAME
Andrew   I-NAME
Cicil   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
was   O
a   O
regular   O
cigarette   O
smoker   O
until   O
he   O
quit   O
smoking   O
5   O
years   O
ago   O
.   O

Ava   B-NAME
Tawney   I-NAME
works   O
as   O
a   O
Motorboat   O
Mechanics   O
,   O
residing   O
at   O
Lexington   B-LOCATION
,   O
and   O
is   O
covered   O
by   O
health   O
plan   O
number   O
QN   B-ID
:   I-ID
AB:6788   B-ID
with   O
Security   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
.   O

I   O
have   O
consulted   O
with   O
Myers   B-NAME
,   O
the   O
on   O
-   O
call   O
cardiologist   O
from   O
Metro   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
.   O

Eldridge   B-NAME
has   O
been   O
recommended   O
urgent   O
catheterization   O
.   O

Family   O
was   O
contacted   O
by   O
the   O
hospital   O
staff   O
at   O
(   B-CONTACT
166   I-CONTACT
)   I-CONTACT
747   I-CONTACT
-   I-CONTACT
8002   I-CONTACT
.   O

Pre   O
-   O
procedure   O
vitals   O
:   O
BP   O
160/90   O
mmHg   O
,   O
pulse   O
110   O
/   O
min   O
,   O
respiratory   O
rate   O
24   O
/   O
min   O
,   O
temperature   O
98.6   O
F.   O
Emergency   O
contact   O
:   O
Name   O
:   O
Withheld   O
as   O
per   O
HIPAA   O
guidelines   O
Contact   O
:   O
692   B-CONTACT
-   I-CONTACT
169   I-CONTACT
4640   I-CONTACT
jqk692   B-NAME
logged   O
in   O
to   O
the   O
system   O
to   O
make   O
necessary   O
entries   O
and   O
schedule   O
the   O
operation   O
.   O

Patience   B-NAME
Keller   I-NAME
's   O
mailing   O
address   O
is   O
being   O
withheld   O
for   O
privacy   O
reasons   O
but   O
it   O
has   O
been   O
verified   O
to   O
be   O
within   O
66514   B-LOCATION
.   O

The   O
patient   O
's   O
family   O
has   O
been   O
informed   O
and   O
is   O
on   O
their   O
way   O
to   O
Danville   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
from   O
New   B-LOCATION
York   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10033   I-LOCATION
.   O

Giovani   B-NAME
Tanner   I-NAME
's   O
health   O
condition   O
is   O
being   O
closely   O
monitored   O
and   O
will   O
be   O
updated   O
after   O
the   O
procedure   O
.   O

The   O
timestamp   O
of   O
this   O
report   O
:   O
39/37   B-DATE
.   O
Signed   O
,   O
Saunders   B-NAME

Patient   O
Name   O
:   O
Frances   B-NAME
York   I-NAME
Age   O
:   O
66   O
Date   O
of   O
Birth   O
:   O
December   B-DATE
34   I-DATE
,   I-DATE
2060   I-DATE
Medical   O
Record   O
No   O
:   O
694   B-ID
-   I-ID
00   I-ID
-   I-ID
73   I-ID
-   I-ID
6   I-ID
Patient   O
Leticia   B-NAME
Nolan   I-NAME
,   O
male   O
of   O
age   O
46   O
years   O
,   O
residing   O
at   O
Richburg   B-LOCATION
was   O
examined   O
on   O
2287   B-DATE
.   O

He   O
was   O
referred   O
by   O
Dr.   O
Eric   B-NAME
Mcguire   I-NAME
from   O
Sierra   B-LOCATION
Nevada   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   O
presented   O
with   O
a   O
persistent   O
,   O
productive   O
cough   O
,   O
fatigue   O
and   O
unexplained   O
weight   O
loss   O
over   O
the   O
past   O
month   O
.   O

At   O
his   O
place   O
of   O
work   O
,   O
GANDU   B-LOCATION
Electric   I-LOCATION
,   I-LOCATION
heavy   I-LOCATION
electric   I-LOCATION
,   O
where   O
he   O
is   O
a   O
Ship   O
Carpenters   O
and   O
Joiners   O
,   O
he   O
had   O
noticed   O
difficulty   O
in   O
breathing   O
,   O
especially   O
while   O
ascending   O
stairs   O
.   O

During   O
medical   O
interview   O
,   O
the   O
patient   O
provided   O
an   O
ID   O
10   B-ID
-   I-ID
8226140   I-ID
and   O
mentioned   O
that   O
he   O
has   O
no   O
known   O
allergies   O
but   O
has   O
a   O
family   O
history   O
of   O
Tuberculosis   O
.   O

He   O
lives   O
with   O
his   O
wife   O
,   O
who   O
is   O
90   O
years   O
of   O
age   O
,   O
and   O
their   O
children   O
in   O
the   O
8802   B-LOCATION
Shadow   I-LOCATION
Brook   I-LOCATION
St   I-LOCATION
.   I-LOCATION
.   O

Our   O
next   O
teleconsultation   O
was   O
scheduled   O
for   O
02/10/04   B-DATE
and   O
the   O
patient   O
was   O
asked   O
to   O
contact   O
us   O
via   O
our   O
helpline   O
at   O
22655   B-CONTACT
for   O
any   O
emergency   O
situation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Craig   B-NAME
at   O
the   O
Bryce   B-LOCATION
Hospital   I-LOCATION
's   O
pulmonary   O
division   O
will   O
be   O
made   O
following   O
the   O
lab   O
results   O
to   O
discuss   O
treatment   O
options   O
.   O

Patient   O
Nicholas   B-NAME
Lange   I-NAME
's   O
postal   O
communication   O
will   O
be   O
made   O
to   O
the   O
address   O
at   O
Yabucoa   B-LOCATION
,   O
37717   B-LOCATION
.   O

A   O
digital   O
copy   O
will   O
be   O
sent   O
to   O
his   O
username   O
dgn542   B-NAME
on   O
our   O
hospital   O
portal   O
.   O

His   O
details   O
will   O
be   O
recorded   O
under   O
the   O
84869837   B-ID
number   O
for   O
any   O
future   O
correspondence   O
.   O

Patient   O
Name   O
:   O
Ernesto   B-NAME
Harding   I-NAME
Mr.   O
Mays   B-NAME
is   O
a   O
1   O
week   O
years   O
old   O
male   O
who   O
was   O
transported   O
by   O
ambulance   O
to   O
McLeod   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ER   O
on   O
11/21   B-DATE
following   O
a   O
significant   O
episode   O
of   O
chest   O
pain   O
while   O
he   O
was   O
at   O
his   O
work   O
in   O
the   O
ProSight   B-LOCATION
Specialty   I-LOCATION
Insurance   I-LOCATION
.   O

The   O
ECG   O
done   O
by   O
Hope   B-NAME
Parsons   I-NAME
in   O
ER   O
revealed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
suggestive   O
of   O
myocardial   O
infarction   O
.   O

The   O
patient   O
lives   O
in   O
Gladbrook   B-LOCATION
,   O
60746   B-LOCATION
with   O
his   O
wife   O
and   O
two   O
kids   O
.   O

His   O
emergency   O
contact   O
is   O
his   O
wife   O
’s   O
phone   O
number   O
:   O
78365   B-CONTACT
.   O

His   O
medical   O
ID   O
is   O
21135   B-ID
,   O
and   O
his   O
medical   O
record   O
number   O
is   O
58475894   B-ID
.   O

Given   O
the   O
clinical   O
scenario   O
,   O
klx463   B-NAME
contacted   O
Dr.   O
Vincent   B-NAME
Brill   I-NAME
from   O
the   O
cardiology   O
department   O
,   O
who   O
reviewed   O
the   O
ECG   O
and   O
recommended   O
immediate   O
catheterization   O
.   O

In   O
conclusion   O
,   O
Mr.   O
Dunn   B-NAME
will   O
probably   O
be   O
diagnosed   O
with   O
Acute   O
Myocardial   O
Infarction   O
and   O
requires   O
urgent   O
intervention   O
.   O

Patient   O
Information   O
:   O
Mr.   O
Sagan   B-NAME
,   I-NAME
Carl   I-NAME
is   O
a   O
38   O
year   O
old   O
male   O
who   O
presented   O
to   O
Highlands   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
May   B-DATE
12   I-DATE
,   I-DATE
2119   I-DATE
with   O
extreme   O
fatigue   O
and   O
shortness   O
of   O
breath   O
.   O

Mr.   O
Leann   B-NAME
Kieser   I-NAME
was   O
referred   O
to   O
our   O
department   O
by   O
Dr.   O
Freeman   B-NAME
after   O
consistently   O
low   O
Sp02   O
levels   O
were   O
noted   O
on   O
a   O
routine   O
check   O
-   O
up   O
.   O

Based   O
on   O
his   O
symptoms   O
,   O
medical   O
history   O
with   O
patient   O
ID   O
NJ954/3452   B-ID
and   O
our   O
clinical   O
findings   O
,   O
it   O
seems   O
that   O
he   O
might   O
be   O
suffering   O
from   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
.   O

The   O
patient   O
lives   O
and   O
works   O
in   O
Mission   B-LOCATION
Hills   I-LOCATION
,   O
which   O
has   O
had   O
a   O
significant   O
impact   O
on   O
his   O
health   O
,   O
potentially   O
due   O
to   O
prolonged   O
exposure   O
to   O
industrial   O
pollutants   O
.   O

Mr.   O
Waltham   B-NAME
had   O
recently   O
visited   O
an   O
Imperial   B-LOCATION
Spheres   I-LOCATION
for   O
a   O
health   O
screening   O
event   O
,   O
where   O
they   O
flagged   O
his   O
reduced   O
oxygen   O
levels   O
.   O

Their   O
advice   O
was   O
for   O
him   O
to   O
seek   O
medical   O
help   O
immediately   O
,   O
following   O
which   O
he   O
was   O
directed   O
to   O
Baptist   B-LOCATION
Health   I-LOCATION
Richmond   I-LOCATION
.   O

To   O
keep   O
medical   O
records   O
streamlined   O
,   O
we   O
have   O
documented   O
his   O
medical   O
history   O
under   O
record   O
number   O
01154865   B-ID
.   O

As   O
his   O
treating   O
physician   O
,   O
Dr.   O
Litzy   B-NAME
Bryan   I-NAME
has   O
been   O
informed   O
about   O
his   O
condition   O
and   O
the   O
medical   O
investigations   O
that   O
were   O
carried   O
out   O
.   O

Mr.   O
Hardin   B-NAME
can   O
be   O
reached   O
at   O
(   B-CONTACT
866   I-CONTACT
)   I-CONTACT
166   I-CONTACT
2779   I-CONTACT
and   O
resides   O
at   O
an   O
address   O
with   O
the   O
zip   O
code   O
32157   B-LOCATION
.   O

We   O
also   O
created   O
a   O
patient   O
portal   O
account   O
for   O
him   O
with   O
the   O
username   O
zvv762   B-NAME

A   O
review   O
appointment   O
has   O
been   O
set   O
for   O
the   O
patient   O
at   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
Saint   I-LOCATION
Peters   I-LOCATION
Hospital   I-LOCATION
on   O
21/27/11   B-DATE
.   O

Patient   O
Name   O
:   O
Eddie   B-NAME
Zajac   I-NAME
Age   O
:   O
70   O
Doctor   O
's   O
Name   O
:   O
Summers   B-NAME
IDER   O
:   O
4   B-ID
-   I-ID
3633214   I-ID
Medical   O
Record   O
:   O
9028470   B-ID
Phone   O
:   O
124   B-CONTACT
-   I-CONTACT
8947   I-CONTACT
Date   O
:   O
February   B-DATE
1   I-DATE
Hospital   O
:   O
Community   B-LOCATION
Hospital   I-LOCATION
East   I-LOCATION
Location   O
:   O
Houston   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77057   I-LOCATION
Organization   O
:   O
Society   B-LOCATION
for   I-LOCATION
Threatened   I-LOCATION
Peoples   I-LOCATION
Profession   O
:   O
Retail   O
manager   O
Username   O
:   O
HL482   B-NAME
Zip   O
:   O
89149   B-LOCATION
Medical   O
Report   O
:   O

Shaman   B-NAME
visited   O
our   O
hospital   O
,   O
Bailey   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
LLC   I-LOCATION
,   O
on   O
01/39/87   B-DATE
.   O

Moore   B-NAME
,   I-NAME
Dudley   I-NAME
's   O
medical   O
history   O
revealed   O
no   O
recorded   O
instances   O
of   O
migraines   O
or   O
persistent   O
headaches   O
.   O

Karoline   B-NAME
Fesler   I-NAME
is   O
a   O
Exhibition   O
display   O
designer   O
by   O
trade   O
and   O
works   O
at   O
Burlington   B-LOCATION
located   O
in   O
Emmet   B-LOCATION
.   O

The   O
physical   O
neurological   O
examination   O
conducted   O
by   O
Wade   B-NAME
could   O
not   O
confirm   O
a   O
specific   O
diagnosis   O
.   O

The   O
patient   O
is   O
advised   O
for   O
further   O
testing   O
including   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
scheduled   O
for   O
next   O
2205   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
24   I-DATE
,   O
for   O
a   O
possible   O
diagnosis   O
of   O
chronic   O
paroxysmal   O
hemicrania   O
(   O
CPH   O
)   O
.   O

Prescription   O
and   O
additional   O
advice   O
have   O
been   O
provided   O
over   O
the   O
phone   O
,   O
612   B-CONTACT
-   I-CONTACT
2148   I-CONTACT
.   O

The   O
medical   O
expenses   O
can   O
be   O
settled   O
using   O
patient   O
's   O
ID   O
number   O
4   B-ID
-   I-ID
6886543   I-ID
.   O

All   O
reports   O
can   O
be   O
accessed   O
online   O
using   O
the   O
provided   O
username   O
:   O
CC783   B-NAME
and   O
zip   O
code   O
:   O
79959   B-LOCATION
.   O

This   O
finished   O
report   O
is   O
documented   O
under   O
medical   O
record   O
number   O
4326681   B-ID
.   O

Patient   O
Report   O
Patient   O
name   O
:   O
Davidson   B-NAME
DOB   O
:   O
M   B-DATE
Medical   O
Record   O
Number   O
:   O
0270047   B-ID
Address   O
:   O
Harmon   B-LOCATION
,   O
40863   B-LOCATION
Phone   O
number   O
:   O
91706   B-CONTACT
Social   O
Security   O
Number   O
:   O
88735   B-ID

The   O
patient   O
is   O
a   O
Billing   O
and   O
Posting   O
Clerks   O
and   O
lives   O
in   O
Ingham   B-LOCATION
.   O

The   O
Quiana   B-NAME
is   O
a   O
53   O
year   O
-   O
old   O
individual   O
who   O
presented   O
to   O
Samaritan   B-LOCATION
Hospital   I-LOCATION
,   O
complaining   O
of   O
severe   O
,   O
persistent   O
headaches   O
at   O
the   O
back   O
of   O
the   O
head   O
.   O

The   O
Jordan   B-NAME
Imam   I-NAME
also   O
reported   O
experiencing   O
blurring   O
of   O
vision   O
and   O
frequent   O
bouts   O
of   O
nausea   O
.   O

On   O
21/02/31   B-DATE
,   O
the   O
Jax   B-NAME
Mcintyre   I-NAME
was   O
examined   O
by   O
Stone   B-NAME
who   O
ordered   O
a   O
full   O
panel   O
of   O
tests   O
in   O
order   O
to   O
determine   O
the   O
underlying   O
cause   O
of   O
these   O
symptoms   O
.   O

The   O
Franklyn   B-NAME
's   O
medical   O
history   O
revealed   O
that   O
they   O
had   O
fallen   O
unconscious   O
during   O
a   O
gathering   O
at   O
Lecompton   B-LOCATION
and   O
was   O
treated   O
at   O
Southern   B-LOCATION
New   I-LOCATION
Hampshire   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
similar   O
condition   O
about   O
23   O
years   O
ago   O
.   O

Though   O
the   O
patient   O
's   O
MRI   O
report   O
from   O
the   O
Harper   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
did   O
not   O
show   O
any   O
significant   O
anatomical   O
changes   O
,   O
a   O
closer   O
examination   O
by   O
Howard   B-NAME
indicated   O
subtle   O
indications   O
of   O
a   O
potential   O
Arteriovenous   O
Malformation   O
(   O
AVM   O
)   O
.   O

Wright   B-NAME
,   I-NAME
Steven   I-NAME
was   O
subsequently   O
referred   O
to   O
the   O
Northside   B-LOCATION
Hospital   I-LOCATION
for   O
a   O
cerebral   O
angiogram   O
to   O
confirm   O
the   O
diagnosis   O
.   O

Appointments   O
and   O
further   O
investigations   O
are   O
scheduled   O
,   O
and   O
these   O
findings   O
,   O
as   O
well   O
as   O
the   O
management   O
plan   O
will   O
be   O
discussed   O
at   O
the   O
follow   O
-   O
up   O
visit   O
to   O
take   O
place   O
on   O
10/21   B-DATE
.   O

The   O
medical   O
prescriptions   O
issued   O
by   O
Natalie   B-NAME
Durant   I-NAME
have   O
been   O
sent   O
to   O
Bank   B-LOCATION
of   I-LOCATION
Elmwood   I-LOCATION
,   O
a   O
renowned   O
pharmacy   O
in   O
Prairie   B-LOCATION
Heights   I-LOCATION
that   O
delivers   O
at   O
home   O
.   O

The   O
patient   O
is   O
requested   O
to   O
follow   O
up   O
over   O
the   O
35656   B-CONTACT
after   O
receiving   O
the   O
medications   O
and   O
report   O
any   O
adverse   O
reactions   O
immediately   O
.   O

Report   O
prepared   O
by   O
:   O
rg865   B-NAME
on   O
6/10   B-DATE

Patient   O
Information   O
:   O
Patient   O
name   O
:   O
Jones   B-NAME
Date   O
of   O
Birth   O
:   O
7/21/72   B-DATE
Gender   O
:   O
Male   O
Occupation   O
:   O

Mental   O
Health   O
Counselors   O
Home   O
Address   O
:   O
Paramount   B-LOCATION
Long   I-LOCATION
Meadow   I-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
583   I-CONTACT
)   I-CONTACT
147   I-CONTACT
4519   I-CONTACT
Medical   O
Record   O
Number   O
:   O
2751397   B-ID
Consulting   O
Physician   O
:   O

Shepard   B-NAME
Hospital   O
Name   O
:   O
Northwest   B-LOCATION
Florida   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
00/32   B-DATE
ID   O
number   O
:   O
OU:15040:827101   B-ID
Age   O
:   O
42   O
Presenting   O
Complaints   O
:   O
Mr.   O
Giancarlo   B-NAME
Wheeler   I-NAME
presents   O
to   O
the   O
emergency   O
department   O
at   O
South   B-LOCATION
Seminole   I-LOCATION
Hospital   I-LOCATION
on   O
11/29/2124   B-DATE
complaining   O
of   O
constant   O
,   O
severe   O
pain   O
in   O
his   O
abdominal   O
region   O
that   O
he   O
rated   O
at   O
7   O
on   O
a   O
scale   O
of   O
10   O
.   O

Clinical   O
Examination   O
:   O
Physical   O
examination   O
by   O
Dr.   O
Aurelius   B-NAME
Hogue   I-NAME
revealed   O
tenderness   O
in   O
the   O
epigastric   O
region   O
with   O
positive   O
Murphy   O
's   O
sign   O
,   O
indicative   O
of   O
gallbladder   O
disease   O
.   O

Investigations   O
&   O
Impression   O
:   O
Dr.   O
Love   B-NAME
ordered   O
an   O
ultrasound   O
of   O
the   O
abdomen   O
which   O
revealed   O
multiple   O
gallstones   O
with   O
swollen   O
gallbladder   O
walls   O
,   O
confirming   O
the   O
suspicion   O
of   O
acute   O
cholecystitis   O
.   O

Several   O
blood   O
tests   O
including   O
liver   O
function   O
were   O
also   O
conducted   O
at   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Clare   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Baraboo   I-LOCATION
laboratory   O
(   O
Lab   O
ID   O
:   O
DN305/8978   B-ID
)   O
.   O

Plan   O
:   O
Dr.   O
Darian   B-NAME
Logan   I-NAME
discussed   O
the   O
condition   O
,   O
its   O
implications   O
,   O
and   O
treatment   O
options   O
with   O
Mr.   O
Kyla   B-NAME
Miles   I-NAME
and   O
his   O
family   O
.   O

The   O
procedure   O
was   O
scheduled   O
at   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Portage   I-LOCATION
for   O
22/30/67   B-DATE
.   O

Given   O
Mr.   O
Sincere   B-NAME
Finley   I-NAME
's   O
occupation   O
as   O
a   O
Mathematical   O
Science   O
Occupations   O
,   O
All   O
Other   O
,   O
it   O
was   O
advised   O
that   O
he   O
abstain   O
from   O
work   O
until   O
clearance   O
is   O
given   O
post   O
-   O
surgery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Katherine   B-NAME
Farrell   I-NAME
for   O
post   O
-   O
surgery   O
evaluation   O
on   O
28/28/31   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
with   O
prescriptions   O
and   O
was   O
given   O
the   O
Trinity   B-LOCATION
Moline   I-LOCATION
's   O
contact   O
number   O
(   O
63684   B-CONTACT
)   O
for   O
any   O
emergencies   O
.   O

Further   O
consultations   O
with   O
a   O
dietitian   O
from   O
the   O
Helsinki   B-LOCATION
Watch   I-LOCATION
were   O
also   O
advised   O
to   O
help   O
the   O
patient   O
manage   O
his   O
diet   O
post   O
-   O
surgery   O
.   O

The   O
patient   O
's   O
referring   O
physician   O
Dr.   O
Webb   B-NAME
was   O
updated   O
about   O
his   O
condition   O
and   O
the   O
treatment   O
strategy   O
via   O
email   O
(   O
yuv590   B-NAME
)   O
.   O

Home   O
care   O
instructions   O
and   O
diet   O
guidelines   O
were   O
provided   O
based   O
on   O
Mr.   O
Markus   B-NAME
Tapia   I-NAME
's   O
age   O
(   O
78   O
)   O
and   O
the   O
nature   O
of   O
his   O
disease   O
.   O

They   O
live   O
in   O
the   O
92660   B-LOCATION
area   O
and   O
may   O
contact   O
the   O
hospital   O
via   O
the   O
(   B-CONTACT
219   I-CONTACT
)   I-CONTACT
528   I-CONTACT
4797   I-CONTACT
provided   O
for   O
any   O
queries   O
or   O
emergencies   O
.   O

Patient   O
Name   O
:   O
Dalton   B-NAME
Roberts   I-NAME
Patient   O
Mortem   B-NAME
Newbell   I-NAME
,   O
a   O
Baristas   O
by   O
profession   O
,   O
was   O
examined   O
on   O
00/08/69   B-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
,   O
954   B-ID
-   I-ID
79   I-ID
-   I-ID
43   I-ID
,   O
shows   O
that   O
she   O
had   O
had   O
similar   O
health   O
issues   O
around   O
the   O
same   O
time   O
last   O
year   O
.   O

She   O
underwent   O
a   O
series   O
of   O
tests   O
at   O
Dale   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
where   O
she   O
was   O
being   O
treated   O
by   O
Dr.   O
Perger   B-NAME
,   I-NAME
Andreas   I-NAME
Paolo   I-NAME
.   O

Her   O
previous   O
medical   O
records   O
from   O
Burlingame   B-LOCATION
also   O
indicate   O
a   O
history   O
of   O
migraines   O
and   O
a   O
recent   O
episode   O
of   O
dengue   O
fever   O
.   O

Based   O
on   O
the   O
symptoms   O
she   O
presented   O
with   O
,   O
and   O
her   O
medical   O
history   O
,   O
Dr.   O
Morton   B-NAME
Chegley   I-NAME
has   O
advised   O
her   O
for   O
a   O
complete   O
blood   O
count   O
,   O
a   O
brain   O
MRI   O
,   O
and   O
a   O
few   O
other   O
tests   O
.   O

She   O
has   O
also   O
been   O
referred   O
to   O
a   O
neurologist   O
at   O
the   O
same   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
examination   O
.   O

On   O
her   O
follow   O
-   O
up   O
visit   O
scheduled   O
on   O
2083   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
06   I-DATE
,   O
Dr.   O
Jennings   B-NAME
is   O
planning   O
to   O
reassess   O
her   O
general   O
health   O
and   O
to   O
evaluate   O
the   O
results   O
of   O
the   O
prescribed   O
tests   O
.   O

Her   O
contact   O
number   O
,   O
(   B-CONTACT
548   I-CONTACT
)   I-CONTACT
537   I-CONTACT
-   I-CONTACT
2683   I-CONTACT
,   O
has   O
been   O
recorded   O
for   O
any   O
necessary   O
communication   O
.   O

The   O
patient   O
's   O
other   O
demographic   O
details   O
such   O
as   O
her   O
address   O
in   O
Mukilteo   B-LOCATION
and   O
the   O
associated   O
ZIP   O
code   O
40928   B-LOCATION
have   O
been   O
updated   O
in   O
her   O
record   O
.   O

Her   O
professional   O
ID   O
20529736   B-ID
provided   O
by   O
her   O
employer   O
,   O
Australian   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
,   O
has   O
also   O
been   O
documented   O
in   O
the   O
system   O
.   O

Please   O
contact   O
patient   O
Zinck   B-NAME
,   I-NAME
Kenneth   I-NAME
through   O
the   O
given   O
25025   B-CONTACT
number   O
or   O
via   O
her   O
official   O
username   O
ig577   B-NAME
to   O
schedule   O
the   O
next   O
appointment   O
and   O
discuss   O
the   O
future   O
course   O
of   O
action   O
based   O
on   O
the   O
diagnosis   O
.   O

Patient   O
Profile   O
:   O
Esteban   B-NAME
is   O
a   O
20   O
years   O
old   O
individual   O
,   O
born   O
on   O
the   O
25/20   B-DATE
.   O

He   O
was   O
brought   O
into   O
the   O
EvergreenHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
06/21   B-DATE
.   O

He   O
was   O
diagnosed   O
by   O
Ponce   B-NAME
.   O

His   O
medical   O
record   O
number   O
is   O
49949333   B-ID
.   O

Symptoms   O
&   O
Diagnosis   O
:   O
Samantha   B-NAME
Oneal   I-NAME
was   O
initially   O
brought   O
in   O
after   O
exhibiting   O
symptoms   O
such   O
as   O
persistent   O
headaches   O
,   O
bouts   O
of   O
dizziness   O
,   O
unexplained   O
weight   O
loss   O
,   O
and   O
a   O
lack   O
of   O
appetite   O
.   O

Our   O
examination   O
of   O
Alani   B-NAME
Whitney   I-NAME
on   O
May   B-DATE
confirmed   O
the   O
initial   O
diagnosis   O
made   O
by   O
Ryan   B-NAME
Wheeler   I-NAME
of   O
a   O
gastrointestinal   O
disorder   O
,   O
specifically   O
peptic   O
ulcer   O
disease   O
.   O

Lisa   B-NAME
Catera   I-NAME
resides   O
at   O
Sparkill   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
25355   B-CONTACT
.   O

His   O
identification   O
details   O
,   O
including   O
his   O
SSN   O
ZQ:32013:163453   B-ID
,   O
and   O
other   O
relevant   O
information   O
can   O
be   O
accounted   O
for   O
in   O
our   O
hospital   O
database   O
.   O

His   O
emergency   O
contact   O
is   O
a   O
Cost   O
Estimators   O
employed   O
with   O
the   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Carabao   I-LOCATION
,   O
who   O
can   O
also   O
be   O
contacted   O
in   O
case   O
of   O
any   O
emergencies   O
or   O
for   O
retrieving   O
further   O
patient   O
details   O
.   O

On   O
admission   O
,   O
Bryce   B-NAME
Cherry   I-NAME
was   O
placed   O
under   O
the   O
supervision   O
of   O
Villa   B-NAME
for   O
continuous   O
observation   O
.   O

With   O
a   O
comprehensive   O
treatment   O
plan   O
that   O
included   O
Proton   O
-   O
pump   O
inhibitors   O
and   O
dietary   O
changes   O
,   O
there   O
was   O
a   O
noticeable   O
improvement   O
in   O
his   O
health   O
by   O
Saturday   B-DATE
.   O

Follow   O
-   O
up   O
Details   O
:   O
Jermaine   B-NAME
Paul   I-NAME
was   O
recommended   O
to   O
continue   O
his   O
medications   O
and   O
to   O
come   O
for   O
regular   O
check   O
-   O
ups   O
at   O
UCHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Rockies   I-LOCATION
scheduled   O
for   O
every   O
alternate   O
month   O
starting   O
from   O
20/26/23   B-DATE
.   O

He   O
was   O
assigned   O
to   O
IW137   B-NAME
for   O
further   O
follow   O
-   O
ups   O
via   O
phone   O
921   B-CONTACT
-   I-CONTACT
273   I-CONTACT
4665   I-CONTACT
,   O
email   O
,   O
and   O
third   O
-   O
party   O
health   O
monitoring   O
applications   O
.   O

Conclusion   O
:   O
As   O
per   O
the   O
last   O
check   O
-   O
up   O
on   O
January   B-DATE
,   O
the   O
prognosis   O
of   O
Nicholas   B-NAME
Lange   I-NAME
is   O
deemed   O
to   O
be   O
good   O
and   O
he   O
is   O
reportedly   O
managing   O
his   O
symptoms   O
well   O
in   O
Sunland   B-LOCATION
Park   I-LOCATION
,   O
90667   B-LOCATION
.   O

The   O
East   B-LOCATION
Georgia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
appreciates   O
the   O
cooperation   O
of   O
Dean   B-NAME
Arnold   I-NAME
in   O
being   O
regular   O
with   O
his   O
follow   O
ups   O
with   O
Briggs   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Stephane   B-NAME
Bringas   I-NAME
Age   O
:   O
5   O
Mr.   O
Yasmin   B-NAME
Kim   I-NAME
was   O
admitted   O
to   O
Piedmont   B-LOCATION
Newnan   I-LOCATION
Hospital   I-LOCATION
on   O
5/10   B-DATE
following   O
a   O
complaint   O
of   O
consistent   O
,   O
high   O
-   O
grade   O
fever   O
and   O
fatigue   O
for   O
the   O
past   O
two   O
weeks   O
.   O

He   O
had   O
a   O
medical   O
record   O
number   O
29072563   B-ID
indicating   O
past   O
treatments   O
for   O
similar   O
symptoms   O
.   O

His   O
family   O
doctor   O
,   O
Dr.   O
Lang   B-NAME
,   O
had   O
previously   O
treated   O
him   O
at   O
his   O
clinic   O
in   O
Plano   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
75075   I-LOCATION
.   O

Upon   O
examination   O
,   O
Patient   O
Jazlene   B-NAME
Davila   I-NAME
appeared   O
pale   O
and   O
fatigued   O
.   O

Mr.   O
Campbell   B-NAME
Brooks   I-NAME
is   O
a   O
Retail   O
manager   O
,   O
works   O
for   O
Safeway   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
,   O
and   O
lives   O
in   O
South   B-LOCATION
Mills   I-LOCATION
.   O

He   O
had   O
traveled   O
to   O
Ponte   B-LOCATION
Vedra   I-LOCATION
Beach   I-LOCATION
last   O
month   O
during   O
which   O
he   O
believes   O
he   O
may   O
have   O
contracted   O
some   O
infection   O
.   O

His   O
medical   O
history   O
also   O
includes   O
a   O
car   O
accident   O
about   O
a   O
year   O
ago   O
,   O
witnessed   O
by   O
his   O
co   O
-   O
worker   O
icp162   B-NAME
.   O

The   O
patient   O
was   O
taken   O
to   O
Mercy   B-LOCATION
McCune   I-LOCATION
-   I-LOCATION
Brooks   I-LOCATION
Hospital   I-LOCATION
then   O
.   O

The   O
ID   O
number   O
of   O
the   O
car   O
JD   B-ID
:   I-ID
FK:5167   I-ID
.   O

His   O
mother   O
died   O
of   O
old   O
age   O
at   O
75   O
and   O
father   O
died   O
in   O
a   O
road   O
accident   O
in   O
Hoopeston   B-LOCATION
,   I-LOCATION
Visioning   I-LOCATION
for   I-LOCATION
the   I-LOCATION
Future   I-LOCATION
at   O
57   O
.   O

His   O
home   O
phone   O
number   O
is   O
34794   B-CONTACT
and   O
the   O
zip   O
code   O
of   O
his   O
residence   O
is   O
28620   B-LOCATION
.   O

Further   O
tests   O
and   O
evaluations   O
are   O
being   O
conducted   O
under   O
the   O
supervision   O
of   O
Dr.   O
Henson   B-NAME
.   O

He   O
's   O
kept   O
in   O
observation   O
in   O
room   O
number   O
CI456/5637   B-ID
on   O
the   O
4th   O
floor   O
of   O
Forrest   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
report   O
has   O
been   O
prepared   O
by   O
Gay   B-NAME
on   O
2/73   B-DATE
.   O

The   O
report   O
can   O
be   O
authenticated   O
by   O
username   O
stj714   B-NAME
of   O
Willmar   B-LOCATION
Municipal   I-LOCATION
Utilities   I-LOCATION
.   O

Patient   O
Name   O
:   O
Jayvion   B-NAME
Mcmillan   I-NAME
Medical   O
Record   O
Number   O
:   O
69827979   B-ID
Date   O
of   O
Admission   O
:   O
35   B-DATE
Consulting   O
Physician   O
:   O

Faustus   B-NAME
The   O
patient   O
,   O
Wainwright   B-NAME
,   I-NAME
Rufus   I-NAME
,   O
of   O
39   O
,   O
was   O
admitted   O
to   O
ONSLOW   B-LOCATION
MEMORIAL   I-LOCATION
HOSPITAL   I-LOCATION
on   O
39/12   B-DATE
.   O

The   O
review   O
of   O
their   O
previous   O
medical   O
history   O
records   O
,   O
provided   O
by   O
FDA   B-LOCATION
,   O
suggested   O
a   O
clear   O
history   O
of   O
chronic   O
bronchitis   O
and   O
seasonal   O
influenza   O
.   O

Patient   O
resides   O
in   O
Shaw   B-LOCATION
and   O
works   O
as   O
a   O
Police   O
and   O
Sheriffs   O
Patrol   O
Officers   O
which   O
could   O
expose   O
them   O
to   O
a   O
variety   O
of   O
allergens   O
causing   O
their   O
symptoms   O
.   O

The   O
initial   O
tests   O
requested   O
by   O
Landen   B-NAME
Vaughan   I-NAME
on   O
25/25   B-DATE
were   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
throat   O
swab   O
culture   O
,   O
and   O
Chest   O
X   O
-   O
ray   O
.   O

The   O
results   O
will   O
be   O
linked   O
to   O
the   O
patient   O
's   O
DY563/7930   B-ID
,   O
once   O
they   O
are   O
ready   O
.   O

The   O
patient   O
,   O
Doug   B-NAME
was   O
given   O
symptomatic   O
treatment   O
and   O
advised   O
bed   O
rest   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
32/7   B-DATE
.   O

The   O
medical   O
team   O
of   O
Santa   B-LOCATION
Rosa   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
will   O
continue   O
to   O
monitor   O
the   O
patient   O
's   O
condition   O
.   O

The   O
patient   O
's   O
family   O
practitioner   O
in   O
Berrien   B-LOCATION
Springs   I-LOCATION
was   O
notified   O
of   O
the   O
situation   O
and   O
current   O
treatment   O
plan   O
.   O

Contact   O
can   O
be   O
made   O
to   O
the   O
hospital   O
on   O
67657   B-CONTACT
or   O
XI425   B-NAME
@hospital.com   O
for   O
further   O
updates   O
.   O

All   O
records   O
are   O
stored   O
with   O
the   O
hospital   O
's   O
secure   O
database   O
under   O
the   O
patient   O
's   O
ID   B-ID
:   I-ID
ZC:6046   I-ID
and   O
zip   O
code   O
11187   B-LOCATION
.   O

Signed   O
,   O
Buchanan   B-NAME
2/02/00   B-DATE

Patient   O
Name   O
:   O
Allayna   B-NAME
Age   O
:   O
95   O
Medical   O
Record   O
Number   O
:   O
35360780   B-ID
Date   O
:   O
3725   B-DATE
Dr.   O
Gregory   B-NAME
,   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Miami   I-LOCATION
,   O
evaluated   O
the   O
patient   O
.   O

The   O
patient   O
lives   O
in   O
Dillon   B-LOCATION
and   O
works   O
as   O
a   O
Fishers   O
and   O
Related   O
Fishing   O
Workers   O
.   O

The   O
patient   O
has   O
a   O
medical   O
ID   O
of   O
SB:16898:525297   B-ID
.   O

Their   O
contact   O
number   O
is   O
(   B-CONTACT
964   I-CONTACT
)   I-CONTACT
379   I-CONTACT
8888   I-CONTACT
.   O

As   O
directed   O
by   O
the   O
Target   B-LOCATION
,   O
the   O
patient   O
should   O
have   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Bathgate   B-NAME
,   I-NAME
Andy   I-NAME
at   O
Hayes   B-LOCATION
Green   I-LOCATION
Beach   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Pleasure   B-LOCATION
Point   I-LOCATION
,   O
within   O
two   O
weeks   O
of   O
discharge   O
.   O

The   O
patient   O
's   O
current   O
zip   O
code   O
is   O
71018   B-LOCATION
and   O
they   O
can   O
be   O
reached   O
at   O
196   B-CONTACT
275   I-CONTACT
-   I-CONTACT
3029   I-CONTACT
.   O

For   O
further   O
queries   O
or   O
communication   O
,   O
their   O
username   O
is   O
li271   B-NAME
.   O

Report   O
filed   O
by   O
:   O
Andrea   B-NAME
Wu   I-NAME
20/2012   B-DATE

Patient   O
Siu   B-NAME
Recore   I-NAME
arrived   O
at   O
Logansport   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
1/27/2336   B-DATE
complaining   O
of   O
severe   O
chest   O
pain   O
localized   O
in   O
the   O
left   O
side   O
of   O
the   O
chest   O
.   O

Further   O
examination   O
by   O
Dr.   O
Rodgers   B-NAME
revealed   O
that   O
the   O
patient   O
had   O
muffled   O
heart   O
sounds   O
,   O
distended   O
neck   O
veins   O
and   O
a   O
rapid   O
heart   O
rate   O
.   O

For   O
any   O
further   O
queries   O
,   O
please   O
reach   O
the   O
cardiology   O
department   O
at   O
402   B-CONTACT
-   I-CONTACT
3226   I-CONTACT
.   O

Patient   O
Sage   B-NAME
Rubio   I-NAME
resides   O
at   O
Manchester   B-LOCATION
,   O
which   O
is   O
not   O
very   O
accessible   O
in   O
case   O
of   O
any   O
emergencies   O
,   O
hence   O
it   O
is   O
recommended   O
that   O
the   O
patient   O
stays   O
at   O
hospital   O
till   O
recovery   O
for   O
immediate   O
medical   O
assistance   O
.   O

Case   O
reported   O
on   O
:   O
Mar   B-DATE
34   I-DATE
,   I-DATE
2045   I-DATE
Medication   O
and   O
treatment   O
details   O
will   O
be   O
sent   O
to   O
Unifor   B-LOCATION
(   I-LOCATION
formerly   I-LOCATION
CAW   I-LOCATION
and   I-LOCATION
CEP   I-LOCATION
)   I-LOCATION
.   O

Please   O
keep   O
medical   O
record   O
number   O
5359E52503   B-ID
for   O
your   O
reference   O
.   O

Review   O
appointment   O
scheduled   O
for   O
8/32   B-DATE
,   O
please   O
bring   O
the   O
identification   O
number   O
DM:904:487107   B-ID
for   O
verification   O
purpose   O
.   O

SX991   B-NAME
is   O
the   O
assigned   O
nurse   O
for   O
the   O
patient   O
until   O
the   O
end   O
of   O
the   O
month   O
.   O

For   O
any   O
grievances   O
regarding   O
medical   O
care   O
,   O
please   O
contact   O
Patient   O
Relations   O
at   O
438   B-CONTACT
-   I-CONTACT
281   I-CONTACT
-   I-CONTACT
5963   I-CONTACT
.   O

Approval   O
received   O
from   O
the   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
ethical   O
committee   O
and   O
the   O
report   O
has   O
been   O
assigned   O
the   O
following   O
code   O
for   O
future   O
reference   O
:   O
3   B-ID
-   I-ID
3123696   I-ID
.   O

The   O
postal   O
code   O
of   O
the   O
hospital   O
is   O
48447   B-LOCATION
.   O

Patient   O
Report   O
for   O
Billings   B-NAME
,   I-NAME
Josh   I-NAME
Date   O
:   O
Friday   B-DATE
Medical   O
Record   O
No   O
:   O
430   B-ID
-   I-ID
82   I-ID
-   I-ID
50   I-ID
-   I-ID
7   I-ID
Clinical   O
Details   O
:   O
McCartney   B-NAME
,   I-NAME
Paul   I-NAME
is   O
a   O
18   O
years   O
old   O
male   O
/   O
female   O
,   O
who   O
was   O
brought   O
to   O
North   B-LOCATION
Oakland   I-LOCATION
Medical   I-LOCATION
Centers   I-LOCATION
Emergency   O
department   O
on   O
2042   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
22   I-DATE
.   O

The   O
patient   O
's   O
emergency   O
contact   O
is   O
412   B-CONTACT
4591   I-CONTACT
.   O

Ebony   B-NAME
is   O
originally   O
from   O
Point   B-LOCATION
and   O
works   O
as   O
a   O
Mobile   O
Heavy   O
Equipment   O
Mechanics   O
,   O
Except   O
Engines   O
.   O

Gary   B-NAME
Aragon   I-NAME
presented   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
mainly   O
in   O
the   O
right   O
upper   O
quadrant   O
.   O

On   O
further   O
inquiry   O
,   O
Zayden   B-NAME
Hampton   I-NAME
reported   O
new   O
onset   O
of   O
anorexia   O
,   O
weight   O
loss   O
and   O
occasional   O
vomiting   O
over   O
the   O
last   O
2   O
weeks   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kasparov   B-NAME
,   I-NAME
Garry   I-NAME
appeared   O
distressed   O
and   O
was   O
icteric   O
.   O

Investigations   O
:   O
Lab   O
investigations   O
were   O
ordered   O
by   O
Dr.   O
Zhang   B-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
liver   O
function   O
test   O
and   O
abdominal   O
ultrasound   O
.   O

The   O
patient   O
was   O
admitted   O
on   O
3/022375   B-DATE
under   O
Yadira   B-NAME
Harding   I-NAME
in   O
AnMed   B-LOCATION
Health   I-LOCATION
Cannon   I-LOCATION
with   O
a   O
possible   O
diagnosis   O
of   O
cholangitis   O
secondary   O
to   O
common   O
bile   O
duct   O
stone   O
.   O

Gross   B-NAME
has   O
been   O
scheduled   O
for   O
an   O
ERCP   O
on   O
32/20/2220   B-DATE
at   O
Los   B-LOCATION
Alamitos   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Breanna   B-NAME
Waller   I-NAME
in   O
his   O
office   O
at   O
Swink   B-LOCATION
has   O
been   O
made   O
for   O
01/69   B-DATE
.   O
Medical   O
Clearance   O
Identification   O
:   O
FC:63587:598233   B-ID
Insurance   O
Provider   O
:   O
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Insurance   O
Details   O
:   O
Plan   O
ED:6899:600363   B-ID

Nearest   O
Kin   O
:   O
Contact   O
details   O
are   O
retained   O
in   O
the   O
Jefferson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
database   O
under   O
the   O
identification   O
pk65   B-NAME
.   O

Dr.   O
Marquis   B-NAME
Barrett   I-NAME
Approval   O
:   O

This   O
report   O
is   O
approved   O
by   O
the   O
Hospital   O
Board   O
at   O
Alhambra   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
has   O
been   O
delivered   O
in   O
32719   B-LOCATION
code   O
for   O
record   O
keeping   O
.   O

2364   B-DATE
-   I-DATE
16   I-DATE
-   I-DATE
11   I-DATE
Dr.   O
Faulkner   B-NAME
[   O
Doctor   O
's   O
PHONE   O
]   O
Signed   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
NOTE   O
:   O

This   O
is   O
a   O
confidential   O
medical   O
report   O
for   O
Nicholas   B-NAME
M   I-NAME
Osuna   I-NAME
.   O

If   O
found   O
,   O
please   O
return   O
to   O
New   B-LOCATION
Bridge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Brandon   B-NAME
Ho   I-NAME
ID   O
:   O
GC   B-ID
:   I-ID
YK:4778   I-ID
Age   O
:   O
80   O
Address   O
:   O
Roff   B-LOCATION
,   O
96881   B-LOCATION
Phone   O
:   O

47210   B-CONTACT
The   O
patient   O
was   O
admitted   O
to   O
Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Camden   I-LOCATION
Campus   I-LOCATION
on   O
2360   B-DATE
.   O

The   O
attending   O
physician   O
Baird   B-NAME
initially   O
evaluated   O
the   O
patient   O
.   O

According   O
to   O
their   O
medical   O
record   O
number   O
865   B-ID
-   I-ID
02   I-ID
-   I-ID
38   I-ID
-   I-ID
7   I-ID
,   O
patient   O
's   O
chief   O
complaint   O
was   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
,   O
who   O
works   O
as   O
a   O
Screen   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
at   O
Australian   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Marine   I-LOCATION
and   I-LOCATION
Power   I-LOCATION
Engineers   I-LOCATION
,   O
was   O
contacted   O
regarding   O
the   O
patient   O
's   O
condition   O
through   O
the   O
provided   O
phone   O
number   O
749   B-CONTACT
-   I-CONTACT
530   I-CONTACT
-   I-CONTACT
8673   I-CONTACT
.   O

The   O
discussion   O
was   O
logged   O
under   O
the   O
user   O
name   O
so787   B-NAME
.   O
Relative   O
was   O
informed   O
about   O
the   O
provisional   O
diagnosis   O
and   O
the   O
need   O
for   O
additional   O
diagnostic   O
evaluations   O
.   O

Appointment   O
for   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
on   O
2/37   B-DATE
.   O

The   O
details   O
have   O
been   O
sent   O
to   O
the   O
patient   O
and   O
relative   O
's   O
Watergate   B-LOCATION
address   O
.   O

Report   O
dictated   O
by   O
:   O
Aguirre   B-NAME
Dictation   O
ID   O
:   O
XT:48189:121435   B-ID
Date   O
:   O
May   B-DATE
30   I-DATE
,   I-DATE
2335   I-DATE

Patient   O
Name   O
:   O
Quinten   B-NAME
Prado   I-NAME
Medic   O
:   O
Ismael   B-NAME
Ayers   I-NAME
Location   O
of   O
Hospital   O
:   O

Coastal   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
in   O
Gunnison   B-LOCATION
Medical   O
Record   O
:   O
320   B-ID
-   I-ID
29   I-ID
-   I-ID
33   I-ID
-   I-ID
7   I-ID
Patient   O
ID   O
:   O
4858727   B-ID
Date   O
of   O
Examination   O
:   O

2131   B-DATE
The   O
patient   O
reported   O
recurring   O
abdominal   O
pain   O
.   O

As   O
per   O
Keenan   B-NAME
Adkins   I-NAME
's   O
complaint   O
,   O
the   O
pain   O
is   O
sharp   O
,   O
intermittent   O
,   O
and   O
becomes   O
more   O
excruciating   O
post   O
-   O
mealtime   O
.   O

The   O
examination   O
on   O
30/12   B-DATE
revealed   O
tenderness   O
in   O
the   O
patient   O
's   O
right   O
iliac   O
fossa   O
.   O

The   O
Ken   B-NAME
Sylvester   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
and   O
experienced   O
weight   O
loss   O
over   O
the   O
past   O
two   O
months   O
.   O

He   O
is   O
a   O
architect   O
by   O
profession   O
,   O
currently   O
working   O
in   O
Disabled   B-LOCATION
Peoples   I-LOCATION
'   I-LOCATION
International   I-LOCATION
.   O

Anderson   B-NAME
Abbott   I-NAME
's   O
surgical   O
history   O
is   O
noted   O
to   O
be   O
significant   O
for   O
an   O
appendectomy   O
conducted   O
about   O
ten   O
years   O
ago   O
at   O
a   O
local   O
hospital   O
in   O
Shoal   B-LOCATION
Creek   I-LOCATION
Drive   I-LOCATION
.   O

Lab   O
results   O
received   O
on   O
2/33/82   B-DATE
showed   O
decreased   O
hematocrit   O
and   O
slight   O
leukocytosis   O
,   O
suggesting   O
a   O
probable   O
case   O
of   O
anemia   O
and   O
infection   O
respectively   O
.   O

Calistarius   B-NAME
was   O
advised   O
to   O
see   O
a   O
gastroenterologist   O
and   O
his   O
appointment   O
was   O
scheduled   O
for   O
the   O
following   O
2323   B-DATE
.   O

The   O
contact   O
details   O
we   O
have   O
on   O
record   O
for   O
this   O
patient   O
—   O
phone   O
:   O
188   B-CONTACT
9469   I-CONTACT
and   O
address   O
:   O
Woodside   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11377   I-LOCATION
,   O
69911   B-LOCATION
—   O
are   O
the   O
most   O
current   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2/32   B-DATE
.   O

Cross   B-NAME
stated   O
that   O
his   O
mother   O
,   O
of   O
19   O
years   O
,   O
will   O
be   O
accompanying   O
him   O
to   O
his   O
next   O
visit   O
.   O

You   O
can   O
connect   O
with   O
me   O
,   O
Ibrahim   B-NAME
Garcia   I-NAME
at   O
St.   B-LOCATION
Vincent   I-LOCATION
Evansville   I-LOCATION
using   O
my   O
contact   O
666   B-CONTACT
-   I-CONTACT
626   I-CONTACT
2128   I-CONTACT
or   O
email   O
i   O
d   O
os656   B-NAME
.   O

Patient   O
Robin   B-NAME
U.   I-NAME
Tejeda   I-NAME
arrived   O
at   O
Eastern   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
on   O
04/19/1849   B-DATE
.   O

The   O
reputed   O
cardiologist   O
Bird   B-NAME
attended   O
the   O
patient   O
promptly   O
.   O

Chest   O
X   O
-   O
Ray   O
was   O
also   O
performed   O
,   O
results   O
to   O
be   O
expected   O
by   O
21/37/2291   B-DATE
.   O

The   O
patient   O
,   O
who   O
had   O
just   O
turned   O
6   O
month   O
this   O
2254   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
25   I-DATE
had   O
recently   O
moved   O
to   O
East   B-LOCATION
Haven   I-LOCATION
since   O
retiring   O
from   O
Transport   B-LOCATION
Salaried   I-LOCATION
Staffs   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
.   O

The   O
patient   O
lives   O
alone   O
and   O
had   O
not   O
previously   O
been   O
admitted   O
to   O
any   O
Bell   B-LOCATION
Hospital   I-LOCATION
.   O

All   O
incoming   O
patient   O
information   O
was   O
documented   O
under   O
the   O
660   B-ID
-   I-ID
72   I-ID
-   I-ID
71   I-ID
.   O

For   O
further   O
procedure   O
and   O
tests   O
,   O
the   O
patient   O
needs   O
to   O
bring   O
their   O
AN:901010:357386   B-ID
for   O
identification   O
during   O
the   O
next   O
visits   O
.   O

For   O
further   O
communication   O
,   O
the   O
hospital   O
has   O
noted   O
down   O
the   O
740   B-CONTACT
-   I-CONTACT
796   I-CONTACT
2683   I-CONTACT
.   O

The   O
patient   O
's   O
residence   O
at   O
Everson   B-LOCATION
with   O
63950   B-LOCATION
will   O
be   O
convenient   O
for   O
his   O
scheduled   O
follow   O
-   O
ups   O
and   O
the   O
administration   O
department   O
has   O
noted   O
it   O
down   O
for   O
future   O
reference   O
.   O

The   O
hospital   O
has   O
created   O
fro184   B-NAME
for   O
the   O
patient   O
to   O
access   O
the   O
health   O
record   O
online   O
.   O

Its   O
necessary   O
that   O
jackman   B-NAME
returns   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
August   B-DATE
for   O
further   O
evaluation   O
based   O
on   O
the   O
test   O
results   O
.   O

Report   O
prepared   O
by   O
Butler   B-NAME

Patient   O
Jaramillo   B-NAME
,   O
a   O
Paving   O
,   O
Surfacing   O
,   O
and   O
Tamping   O
Equipment   O
Operators   O
from   O
Toccoa   B-LOCATION
,   O
was   O
admitted   O
to   O
UPMC   B-LOCATION
Carlisle   I-LOCATION
on   O
13/11   B-DATE
.   O

His   O
physician   O
,   O
Romeo   B-NAME
Acosta   I-NAME
,   O
ordered   O
a   O
series   O
of   O
tests   O
including   O
a   O
CT   O
scan   O
,   O
ultrasound   O
,   O
and   O
blood   O
tests   O
.   O

According   O
to   O
medical   O
record   O
number   O
123   B-ID
-   I-ID
23   I-ID
-   I-ID
87   I-ID
-   I-ID
2   I-ID
,   O
his   O
CT   O
scan   O
showed   O
a   O
thickening   O
and   O
inflammation   O
of   O
the   O
ileocecal   O
valve   O
.   O

Philip   B-NAME
,   I-NAME
Duke   I-NAME
of   I-NAME
Edinburgh   I-NAME
has   O
been   O
suffering   O
symptoms   O
for   O
nearly   O
a   O
month   O
before   O
admission   O
.   O

His   O
ID   O
no   O
SB   B-ID
:   I-ID
ZQ:3072   I-ID
indicates   O
that   O
he   O
does   O
n't   O
have   O
any   O
known   O
allergies   O
.   O

A   O
detailed   O
medical   O
report   O
will   O
be   O
sent   O
to   O
his   O
Primary   O
Care   O
Physician   O
at   O
Horace   B-LOCATION
Mann   I-LOCATION
Educators   I-LOCATION
Corporation   I-LOCATION
through   O
the   O
xvg666   B-NAME
system   O
.   O

Patient   O
Ventura   B-NAME
exhibited   O
moderate   O
to   O
severe   O
tenderness   O
on   O
palpation   O
during   O
the   O
physical   O
examination   O
.   O

For   O
follow   O
-   O
up   O
appointments   O
,   O
Tobias   B-NAME
Rangel   I-NAME
will   O
be   O
contacted   O
on   O
his   O
home   O
(   B-CONTACT
955   I-CONTACT
)   I-CONTACT
996   I-CONTACT
6466   I-CONTACT
.   O

Further   O
observations   O
and   O
analyses   O
are   O
to   O
be   O
carried   O
on   O
03/62   B-DATE
and   O
a   O
close   O
watch   O
should   O
be   O
kept   O
on   O
the   O
symptoms   O
.   O

He   O
resides   O
in   O
the   O
53921   B-LOCATION
area   O
so   O
his   O
follow   O
up   O
appointments   O
are   O
scheduled   O
considering   O
his   O
travel   O
time   O
and   O
convenience   O
.   O

Patient   O
released   O
from   O
the   O
Texas   B-LOCATION
Health   I-LOCATION
Huguley   I-LOCATION
Hospital   I-LOCATION
and   O
checked   O
out   O
with   O
his   O
caretaker   O
with   O
all   O
required   O
future   O
appointment   O
details   O
and   O
prescription   O
.   O

Patient   O
Information   O
:   O
Gay   B-NAME
,   I-NAME
John   I-NAME
Age   O
:   O
69   O
ID   O
:   O
GD   B-ID
:   I-ID
RY:8686   I-ID
Medical   O
Record   O
Number   O
:   O
7254454   B-ID
Address   O
:   O
Fort   B-LOCATION
Fairfield   I-LOCATION
Phone   O
Number   O
:   O
310   B-CONTACT
4758   I-CONTACT
Date   O
:   O
2   B-DATE
-   I-DATE
3   I-DATE
Doctor   O
:   O
Grimes   B-NAME
Hospital   O
:   O
Retreat   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
Zip   O
Code   O
:   O
24413   B-LOCATION
The   O
Arielle   B-NAME
Moore   I-NAME
,   O
a   O
Financial   O
Specialists   O
,   O
All   O
Other   O
at   O
HAYTAP   B-LOCATION
,   O
aged   O
80   O
years   O
,   O
arrived   O
at   O
our   O
Sierra   B-LOCATION
Nevada   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
the   O
36/21/42   B-DATE
.   O

He   O
was   O
referred   O
to   O
me   O
,   O
Howard   B-NAME
Kennedy   I-NAME
,   O
by   O
his   O
primary   O
care   O
physician   O
due   O
to   O
persistent   O
and   O
severe   O
headaches   O
which   O
were   O
increasing   O
in   O
intensity   O
over   O
the   O
last   O
month   O
.   O

The   O
headache   O
diary   O
maintained   O
by   O
the   O
Crisp   B-NAME
,   I-NAME
Quentin   I-NAME
will   O
be   O
reviewed   O
when   O
he   O
comes   O
in   O
for   O
his   O
next   O
appointment   O
,   O
scheduled   O
on   O
3/03   B-DATE
.   O

We   O
have   O
also   O
suggested   O
lifestyle   O
modifications   O
as   O
an   O
integral   O
part   O
of   O
migraine   O
management   O
which   O
includes   O
regular   O
sleep   O
patterns   O
,   O
balanced   O
diet   O
and   O
physical   O
activity   O
to   O
the   O
Cringely   B-NAME
,   I-NAME
Robert   I-NAME
X   I-NAME
.   I-NAME
.   O
For   O
further   O
assistance   O
or   O
urgent   O
inquiry   O
,   O
PAUL   B-NAME
VALENTINE   I-NAME
or   O
his   O
caregiver   O
can   O
reach   O
me   O
,   O
Yadiel   B-NAME
Gaines   I-NAME
,   O
at   O
81100   B-CONTACT
or   O
the   O
nursing   O
station   O
at   O
our   O
Starr   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

VR826   B-NAME
(   O
Created   O
by   O
System   O
User   O
)   O

Patient   O
details   O
:   O
Name   O
:   O
Roman   B-NAME
Church   I-NAME
Age   O
:   O
42   O
Date   O
of   O
Visit   O
:   O
16/25/72   B-DATE
Symptoms   O
:   O
Dyspnea   O
,   O
persistent   O
cough   O
,   O
fever   O
,   O
chills   O
.   O

Medical   O
Record   O
Number   O
:   O
750   B-ID
-   I-ID
16   I-ID
-   I-ID
76   I-ID
-   I-ID
9   I-ID
Jessie   B-NAME
Mcguire   I-NAME
was   O
evaluated   O
by   O
his   O
primary   O
care   O
physician   O
,   O
Dr.   O
Buchanan   B-NAME
at   O
the   O
healthcare   O
facility   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Lawrenceville   I-LOCATION
.   O

He   O
is   O
a   O
Investment   O
analyst   O
by   O
trade   O
and   O
was   O
admitted   O
to   O
the   O
aforementioned   O
medical   O
institute   O
where   O
he   O
resides   O
in   O
Clevedon   B-LOCATION
.   O

Ainsley   B-NAME
Simon   I-NAME
presented   O
with   O
severe   O
symptoms   O
consistent   O
with   O
community   O
-   O
acquired   O
pneumonia   O
.   O

His   O
symptoms   O
began   O
about   O
a   O
week   O
ago   O
(   O
on   O
12/24   B-DATE
)   O
and   O
included   O
sudden   O
onset   O
of   O
dyspnea   O
accompanied   O
by   O
high   O
fever   O
and   O
chills   O
.   O

Ellie   B-NAME
Pruitt   I-NAME
’s   O
social   O
security   O
number   O
2   B-ID
-   I-ID
5580535   I-ID
was   O
used   O
for   O
all   O
official   O
paperwork   O
and   O
his   O
test   O
results   O
can   O
be   O
found   O
under   O
the   O
same   O
.   O

Post   O
overseen   O
by   O
Dr.   O
Orozco   B-NAME
from   O
Sedro   B-LOCATION
-   I-LOCATION
Woolley   I-LOCATION
who   O
indicated   O
that   O
Kristofer   B-NAME
required   O
hospitalization   O
for   O
treatment   O
,   O
the   O
patient   O
was   O
transferred   O
to   O
INTEGRIS   B-LOCATION
Health   I-LOCATION
Edmond   I-LOCATION
,   O
specifically   O
to   O
ward   O
XYZ   O
.   O

His   O
username   O
for   O
the   O
online   O
portal   O
for   O
patients   O
to   O
access   O
their   O
health   O
information   O
remotely   O
is   O
ew154   B-NAME
.   O

His   O
family   O
was   O
informed   O
about   O
his   O
condition   O
and   O
the   O
required   O
medical   O
intervention   O
over   O
(   B-CONTACT
398   I-CONTACT
)   I-CONTACT
383   I-CONTACT
-   I-CONTACT
8822   I-CONTACT
.   O

Further   O
evaluation   O
and   O
management   O
is   O
planned   O
with   O
a   O
follow   O
-   O
up   O
scheduled   O
for   O
the   O
next   O
month   O
at   O
02   B-DATE
-   I-DATE
22   I-DATE
at   O
the   O
same   O
healthcare   O
facility   O
.   O

The   O
bill   O
was   O
sent   O
to   O
The   B-LOCATION
Travelers   I-LOCATION
Companies   I-LOCATION
which   O
covers   O
Princess   B-NAME
Lawson   I-NAME
’s   O
health   O
insurance   O
.   O

Follow   O
up   O
appointments   O
can   O
be   O
scheduled   O
over   O
the   O
phone   O
913   B-CONTACT
-   I-CONTACT
6008   I-CONTACT
.   O

For   O
any   O
further   O
enquiries   O
or   O
possible   O
issues   O
they   O
can   O
reach   O
out   O
to   O
Jane   B-NAME
Huber   I-NAME
’s   O
office   O
at   O
Evans   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
Linndale   B-LOCATION
.   O

The   O
patient   O
submission   O
and   O
treatment   O
details   O
can   O
be   O
tracked   O
with   O
the   O
unique   O
tracking   O
code   O
9952151   B-ID
.   O

Following   O
his   O
residency   O
,   O
our   O
medical   O
facility   O
in   O
Penns   B-LOCATION
Grove   I-LOCATION
32814   B-LOCATION
is   O
readily   O
accessible   O
for   O
Lopez   B-NAME
and   O
his   O
family   O
for   O
any   O
further   O
assistance   O
required   O
.   O

Patient   O
Report   O
for   O
William   B-NAME
K.   I-NAME
Joslin   I-NAME
1319926   B-ID
:   O
987654   O
13/11   B-DATE
:   O
The   O
patient   O
was   O
admitted   O
to   O
our   O
BRANDON   B-LOCATION
REGIONAL   I-LOCATION
HOSPITAL   I-LOCATION
.   O

Faith   B-NAME
Gallegos   I-NAME
came   O
in   O
complaining   O
of   O
sharp   O
,   O
severe   O
epigastric   O
pain   O
which   O
radiates   O
to   O
the   O
back   O
.   O

Lila   B-NAME
Stark   I-NAME
has   O
a   O
history   O
of   O
type   O
II   O
diabetes   O
,   O
which   O
is   O
being   O
managed   O
with   O
metformin   O
and   O
a   O
regular   O
exercise   O
regimen   O
.   O

On   O
physical   O
examination   O
,   O
Katelyn   B-NAME
Harding   I-NAME
had   O
a   O
fever   O
of   O
38.3   O
degrees   O
Celsius   O
and   O
a   O
increased   O
heart   O
rate   O
(   O
tachycardia   O
)   O
.   O

Jeril   B-NAME
's   O
abdomen   O
was   O
tender   O
,   O
suggesting   O
local   O
peritonitis   O
.   O

Treatment   O
:   O
The   O
Hayden   B-NAME
Rubio   I-NAME
recommended   O
an   O
immediate   O
Cholecystectomy   O
to   O
remove   O
the   O
gallbladder   O
and   O
alleviate   O
the   O
symptoms   O
.   O

Hayek   B-NAME
,   I-NAME
Friedrich   I-NAME
is   O
currently   O
recovering   O
in   O
Ward   O
W18   O
of   O
Shriners   B-LOCATION
Hospitals   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
.   O

Further   O
,   O
prior   O
to   O
surgery   O
,   O
English   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
manage   O
the   O
infection   O
and   O
control   O
the   O
fever   O
along   O
with   O
analgesics   O
for   O
pain   O
relief   O
.   O

Follow   O
-   O
ups   O
:   O
Dax   B-NAME
Herman   I-NAME
's   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
02/12/1785   B-DATE
with   O
Soto   B-NAME
at   O
the   O
Alta   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
.   O

Any   O
changes   O
in   O
the   O
condition   O
or   O
adverse   O
reactions   O
to   O
the   O
treatment   O
should   O
be   O
immediately   O
reported   O
to   O
West   B-LOCATION
Side   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
46372   B-CONTACT
or   O
sko794   B-NAME
on   O
our   O
online   O
portal   O
.   O

Informed   O
consent   O
:   O
STEPHEN   B-NAME
HENDERSON   I-NAME
has   O
given   O
his   O
consent   O
to   O
the   O
proposed   O
treatment   O
after   O
risks   O
were   O
explained   O
by   O
Lavigne   B-NAME
,   I-NAME
Avril   I-NAME
.   O

Emergency   O
contact   O
:   O
Xaiden   B-NAME
Roberson   I-NAME
's   O
spouse   O
(   O
File   O
Clerks   O
)   O
,   O
can   O
be   O
reached   O
at   O
854   B-CONTACT
3849   I-CONTACT
.   O

They   O
live   O
in   O
Edenborn   B-LOCATION
,   O
25381   B-LOCATION
.   O

Insurance   O
details   O
:   O
Brittany   B-NAME
Leach   I-NAME
is   O
covered   O
by   O
Government   B-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
health   O
insurance   O
and   O
his   O
policy   O
number   O
is   O
LO   B-ID
:   I-ID
OM:1548   I-ID
.   O

The   O
information   O
provided   O
by   O
Lenora   B-NAME
Pleasant   I-NAME
has   O
been   O
verified   O
and   O
stored   O
securely   O
.   O

No   O
information   O
will   O
be   O
disclosed   O
without   O
explicit   O
consent   O
from   O
Rihanna   B-NAME
Ingram   I-NAME
.   O

Patient   O
Name   O
:   O
Frank   B-NAME
Oden   I-NAME
Date   O
of   O
Visit   O
:   O
18/21/2317   B-DATE
Age   O
:   O
89   O
Seen   O
by   O
:   O
Matthew   B-NAME
Robles   I-NAME
The   O
patient   O
,   O
Smith   B-NAME
,   O
presented   O
at   O
Sparrow   B-LOCATION
Clinton   I-LOCATION
Hospital   I-LOCATION
on   O
10/30   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
towards   O
the   O
left   O
arm   O
.   O

Len   B-NAME
is   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Personal   O
Service   O
Workers   O
and   O
resides   O
at   O
Augusta   B-LOCATION
,   O
with   O
the   O
zip   O
code   O
41041   B-LOCATION
.   O

On   O
examination   O
,   O
Cristian   B-NAME
Fletcher   I-NAME
presented   O
diaphoresis   O
and   O
pallor   O
,   O
suggestive   O
of   O
cardiac   O
distress   O
.   O

Further   O
diagnostic   O
tests   O
were   O
arranged   O
by   O
Dr.   O
Trevon   B-NAME
Lutz   I-NAME
to   O
confirm   O
the   O
diagnosis   O
.   O

Medical   O
record   O
number   O
:   O
7280179   B-ID
.   O

The   O
patient   O
was   O
admitted   O
to   O
Broadlawns   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
.   O

Consultation   O
with   O
the   O
cardiology   O
department   O
was   O
arranged   O
by   O
Dr.   O
Ibarra   B-NAME
for   O
12/13/82   B-DATE
.   O

Follow   O
ups   O
have   O
been   O
scheduled   O
every   O
two   O
weeks   O
through   O
phone   O
at   O
(   B-CONTACT
327   I-CONTACT
)   I-CONTACT
715   I-CONTACT
-   I-CONTACT
7048   I-CONTACT
starting   O
05/33/64   B-DATE
.   O

The   O
patient   O
health   O
ID   O
number   O
is   O
GH   B-ID
:   I-ID
TK:3553   I-ID
documented   O
,   O
for   O
future   O
references   O
during   O
telemedicine   O
appointments   O
.   O

Information   O
will   O
be   O
documented   O
under   O
the   O
username   O
ucd234   B-NAME
for   O
staff   O
reference   O
.   O

Emergency   O
contact   O
is   O
available   O
with   O
the   O
Desert   B-LOCATION
Hills   I-LOCATION
Bank   I-LOCATION
ambulance   O
service   O
,   O
located   O
in   O
the   O
same   O
Harbor   B-LOCATION
Bluffs   I-LOCATION
,   O
ready   O
on   O
call   O
.   O

Patient   O
Name   O
:   O
Anthony   B-NAME
Everett   I-NAME
Age   O
:   O
4   O
Patient   O
Mitchell   B-NAME
presented   O
to   O
Bryn   B-LOCATION
Mawr   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
ER   O
on   O
11/22   B-DATE
complaining   O
of   O
severe   O
,   O
localized   O
lower   O
right   O
abdominal   O
pain   O
.   O

Leslie   B-NAME
Abbott   I-NAME
rated   O
his   O
pain   O
a   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

Shiloh   B-NAME
Mullen   I-NAME
also   O
reported   O
mild   O
nausea   O
and   O
fever   O
.   O

Apart   O
from   O
these   O
symptoms   O
,   O
Baxter   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
being   O
managed   O
by   O
Wu   B-NAME
.   O

His   O
last   O
recorded   O
blood   O
pressure   O
reading   O
,   O
dated   O
21/3   B-DATE
,   O
was   O
130/85   O
mmHg   O
.   O

Based   O
on   O
the   O
initial   O
physical   O
assessment   O
,   O
Pratt   B-NAME
ordered   O
a   O
complete   O
blood   O
count   O
and   O
abdominal   O
ultrasound   O
to   O
confirm   O
the   O
diagnosis   O
of   O
suspected   O
appendicitis   O
.   O

The   O
primary   O
contact   O
listed   O
for   O
Pinker   B-NAME
,   I-NAME
Steven   I-NAME
is   O
their   O
brother   O
,   O
who   O
works   O
as   O
a   O
Orthotists   O
and   O
Prosthetists   O
in   O
Roxbury   B-LOCATION
-   I-LOCATION
Dudley   I-LOCATION
Square   I-LOCATION
,   I-LOCATION
Dudley   I-LOCATION
Square   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
.   O

Their   O
brother   O
's   O
contact   O
number   O
is   O
628   B-CONTACT
833   I-CONTACT
-   I-CONTACT
4657   I-CONTACT
.   O

Florence   B-NAME
Mildred   I-NAME
Yuan   I-NAME
's   O
insurance   O
provider   O
is   O
NYLUG   B-LOCATION
and   O
his   O
insurance   O
ID   O
is   O
8   B-ID
-   I-ID
6639464   I-ID
.   O

I   O
have   O
updated   O
his   O
medical   O
records   O
,   O
with   O
file   O
number   O
97074819   B-ID
in   O
our   O
system   O
.   O

Physician   O
's   O
name   O
:   O
Lee   B-NAME
Physician   O
's   O
signature   O
:   O
LO644   B-NAME
Now   O
,   O
we   O
plan   O
to   O
admit   O
SP   B-NAME
for   O
an   O
anticipated   O
appendectomy   O
.   O

The   O
procedure   O
will   O
be   O
scheduled   O
as   O
per   O
the   O
availability   O
of   O
the   O
operating   O
rooms   O
in   O
Walker   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
.   O

Carissa   B-NAME
Wolf   I-NAME
will   O
be   O
informed   O
of   O
the   O
precise   O
surgery   O
date   O
and   O
time   O
once   O
scheduled   O
.   O

Address   O
:   O
Mercy   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Miami   I-LOCATION
)   I-LOCATION
,   O
La   B-LOCATION
Presa   I-LOCATION
,   O
89280   B-LOCATION
Contact   O
:   O
(   B-CONTACT
741   I-CONTACT
)   I-CONTACT
551   I-CONTACT
2149   I-CONTACT

Patient   O
Name   O
:   O
Earl   B-NAME
N.   I-NAME
Morrow   I-NAME
Date   O
of   O
Admission   O
:   O
32/83   B-DATE
DOB   O
:   O
32   B-DATE
Age   O
:   O
73   O
Primary   O
Doctor   O
's   O
Name   O
:   O
Dr.   O
Anabelle   B-NAME
Fletcher   I-NAME
Hospital   O
:   O
Mercy   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
385   B-ID
-   I-ID
05   I-ID
-   I-ID
49   I-ID
-   I-ID
1   I-ID
Patient   O
's   O
Address   O
:   O
Florida   B-LOCATION
,   O
95936   B-LOCATION
Phone   O
:   O
58496   B-CONTACT
Employer   O
:   O
ProSight   B-LOCATION
Specialty   I-LOCATION
Insurance   I-LOCATION
Occupation   O
:   O
Police   O
Identification   O
and   O
Records   O
Officers   O
SSN   O
:   O
PZ218/3630   B-ID
Presenting   O
Symptoms   O
:   O

Waller   B-NAME
described   O
an   O
associated   O
intermittent   O
,   O
crampy   O
pain   O
that   O
was   O
exacerbated   O
by   O
meal   O
intakes   O
.   O

Ferreira   B-NAME
reported   O
recent   O
weight   O
loss   O
and   O
reduction   O
in   O
appetite   O
.   O

Plan   O
:   O
Doctor   O
Peters   B-NAME
advised   O
to   O
admit   O
Kason   B-NAME
Prince   I-NAME
to   O
Liberty   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
under   O
care   O
services   O
.   O

Myrtie   B-NAME
Lyme   I-NAME
's   O
case   O
being   O
forwarded   O
to   O
Gastroenterology   O
department   O
for   O
an   O
urgent   O
colonoscopy   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Dawson   B-NAME
Goodwin   I-NAME
's   O
spouse   O
Phone   O
:   O
47647   B-CONTACT
Insurance   O
Provider   O
:   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Elevator   I-LOCATION
Constructors   I-LOCATION
Policy   O
Number   O
:   O
47994323   B-ID
User   O
recording   O
this   O
information   O
:   O

VW3210   B-NAME

Patient   O
Name   O
:   O
Conley   B-NAME
Medical   O
Record   O
No   O
:   O
7692526   B-ID
Date   O
of   O
Birth   O
:   O
2136   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
37   I-DATE
Address   O
:   O
Encinitas   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Encinitas   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Association   I-LOCATION
,   O
97813   B-LOCATION
Phone   O
:   O
490   B-CONTACT
1100   I-CONTACT
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
of   O
Air   O
Crew   O
Members   O
Emergency   O
Contact   O
:   O
DE152   B-NAME
ID   O
:   O
5   B-ID
-   I-ID
9527912   I-ID
Presented   O
by   O
Dr.   O
Jina   B-NAME
Boutchyard   I-NAME
at   O
OhioHealth   B-LOCATION
Mansfield   I-LOCATION
Hospital   I-LOCATION
on   O
10/10/1945   B-DATE
.   O

The   O
patient   O
,   O
Arnie   B-NAME
,   O
of   O
42   O
years   O
old   O
was   O
brought   O
in   O
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
along   O
with   O
nausea   O
,   O
sweating   O
and   O
shortness   O
of   O
breath   O
.   O

His   O
medical   O
history   O
,   O
as   O
provided   O
by   O
Penn   B-LOCATION
Mutual   I-LOCATION
,   O
revealed   O
a   O
prior   O
cardiac   O
event   O
about   O
five   O
years   O
ago   O
.   O

Cardiac   O
enzymes   O
like   O
Troponin   O
T   O
and   O
I   O
were   O
substantially   O
elevated   O
based   O
on   O
the   O
initial   O
laboratory   O
results   O
shared   O
by   O
qo649   B-NAME
from   O
the   O
hospital   O
laboratory   O
.   O

The   O
family   O
was   O
conducted   O
through   O
phone   O
number   O
682   B-CONTACT
9533   I-CONTACT
for   O
consent   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Dr.   O
Kai   B-NAME
Odom   I-NAME
and   O
the   O
enrolling   O
Tucson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
cardiac   O
rehabilitation   O
program   O
were   O
scheduled   O
at   O
the   O
discharge   O
planning   O
meeting   O
.   O

Report   O
compiled   O
by   O
:   O
Trace   B-NAME
Joseph   I-NAME

Patient   O
Juliet   B-NAME
Roberts   I-NAME
of   O
56   O
years   O
presented   O
to   O
Eden   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
26/23   B-DATE
.   O

Brief   O
neurological   O
examination   O
conducted   O
by   O
Curtis   B-NAME
Connors   I-NAME
was   O
essentially   O
normal   O
.   O

She   O
neglected   O
the   O
event   O
assuming   O
it   O
was   O
due   O
to   O
anxiety   O
as   O
she   O
is   O
a   O
software   O
engineer   O
by   O
Orthotists   O
and   O
Prosthetists   O
and   O
was   O
undergoing   O
a   O
significantly   O
stressful   O
period   O
at   O
her   O
work   O
in   O
QBE   B-LOCATION
.   O

Patient   O
’s   O
health   O
insurance   O
plan   O
number   O
is   O
8   B-ID
-   I-ID
2433878   I-ID
and   O
the   O
current   O
address   O
is   O
Chilo   B-LOCATION
,   O
31365   B-LOCATION
.   O

Patient   O
's   O
immediate   O
contact   O
number   O
is   O
73155   B-CONTACT
and   O
the   O
emergency   O
contact   O
is   O
listed   O
as   O
her   O
sibling   O
with   O
the   O
same   O
last   O
name   O
.   O

Lab   O
results   O
returned   O
normal   O
from   O
the   O
tests   O
conducted   O
on   O
01/3   B-DATE
.   O

However   O
,   O
considering   O
the   O
symptoms   O
and   O
the   O
patient   O
's   O
medical   O
history   O
,   O
Dorsey   B-NAME
advised   O
an   O
EKG   O
and   O
a   O
brain   O
MRI   O
to   O
rule   O
out   O
any   O
cardiovascular   O
or   O
neurological   O
anomalies   O
.   O

The   O
patient   O
's   O
appointment   O
details   O
for   O
the   O
follow   O
-   O
up   O
were   O
forwarded   O
to   O
hof1017   B-NAME
for   O
documentation   O
in   O
the   O
electronic   O
medical   O
record   O
system   O
with   O
1104090   B-ID
number   O
.   O

Further   O
interventions   O
will   O
be   O
determined   O
based   O
on   O
the   O
results   O
of   O
the   O
advance   O
assessments   O
and   O
the   O
patient   O
's   O
symptomatic   O
progress   O
by   O
22/20   B-DATE
.   O

Patient   O
Name   O
:   O
Skyler   B-NAME
Lynn   I-NAME
Age   O
:   O
34   O
Medical   O
Record   O
Number   O
:   O
907   B-ID
-   I-ID
62   I-ID
-   I-ID
36   I-ID
-   I-ID
6   I-ID
Address   O
:   O
North   B-LOCATION
Richland   I-LOCATION
Hills   I-LOCATION
,   O
79584   B-LOCATION
Phone   O
:   O
61346   B-CONTACT
Date   O
:   O
37/20   B-DATE
Dear   O
Dr.   O
Carsen   B-NAME
Decker   I-NAME
,   O
This   O
is   O
in   O
regard   O
to   O
my   O
patient   O
,   O
Newby   B-NAME
,   O
who   O
has   O
been   O
undergoing   O
treatment   O
at   O
Ascension   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Tyler   B-NAME
Wilson   I-NAME
started   O
presenting   O
symptoms   O
around   O
00/20/2367   B-DATE
,   O
that   O
extensively   O
involved   O
a   O
severe   O
and   O
persistent   O
cough   O
,   O
accompanied   O
by   O
a   O
high   O
fever   O
.   O

Alina   B-NAME
Mccoy   I-NAME
had   O
his   O
chest   O
X   O
-   O
ray   O
performed   O
,   O
which   O
indicated   O
possible   O
pneumonia   O
with   O
an   O
infiltrate   O
seen   O
in   O
the   O
lower   O
left   O
lobe   O
.   O

At   O
the   O
last   O
visit   O
on   O
1828   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
13   I-DATE
,   O
Brontë   B-NAME
,   I-NAME
Emily   I-NAME
was   O
exhibiting   O
signs   O
of   O
acute   O
respiratory   O
distress   O
.   O

His   O
current   O
ID   O
number   O
is   O
HJ   B-ID
:   I-ID
BX:3415   I-ID
in   O
our   O
organization   O
database   O
Irish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
.   O

I   O
have   O
recommended   O
hospitalization   O
for   O
Mcpherson   B-NAME
at   O
Highlands   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
for   O
further   O
care   O
.   O

You   O
can   O
reach   O
out   O
to   O
me   O
at   O
200   B-CONTACT
204   I-CONTACT
8568   I-CONTACT
or   O
my   O
username   O
TA518   B-NAME
.   O

Best   O
,   O
Kelly   B-NAME
,   I-NAME
Walt   I-NAME

Patient   O
's   O
Name   O
:   O
DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
Age   O
:   O
99   O
DOB   O
:   O

March   B-DATE
06   I-DATE
,   I-DATE
2204   I-DATE
SSN   O
:   O
3   B-ID
-   I-ID
8283205   I-ID
Address   O
:   O
Glendale   B-LOCATION
Phone   O
number   O
:   O
981   B-CONTACT
-   I-CONTACT
2991   I-CONTACT
Medical   O
Record   O
Number   O
:   O
584   B-ID
-   I-ID
85   I-ID
-   I-ID
30   I-ID
-   I-ID
8   I-ID
Employment   O
:   O
Graders   O
and   O
Sorters   O
,   O
Agricultural   O
Products   O
Zip   O
Code   O
:   O
75878   B-LOCATION
Referring   O
Physician   O
:   O

Dr.   O
Humphrey   B-NAME
Place   O
of   O
treatment   O
:   O
Presbyterian   B-LOCATION
Espanola   I-LOCATION
Hospital   I-LOCATION
The   O
patient   O
,   O
Sanchez   B-NAME
,   O
who   O
is   O
71   O
years   O
old   O
,   O
presented   O
with   O
pyrexia   O
of   O
unknown   O
origin   O
(   O
PUO   O
)   O
.   O

Detailed   O
assessment   O
revealed   O
that   O
the   O
patient   O
has   O
been   O
suffering   O
from   O
intermittent   O
chest   O
pain   O
for   O
approximately   O
three   O
weeks   O
,   O
since   O
1/1/2120   B-DATE
.   O

Other   O
tests   O
,   O
including   O
a   O
chest   O
x   O
-   O
ray   O
and   O
ECG   O
,   O
have   O
been   O
recommended   O
by   O
Dr.   O
Keshawn   B-NAME
Decker   I-NAME
and   O
the   O
radiology   O
department   O
in   O
Middle   B-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
to   O
conduct   O
these   O
procedures   O
on   O
01/13/2092   B-DATE
.   O

The   O
family   O
of   O
Brenden   B-NAME
Hanna   I-NAME
in   O
East   B-LOCATION
Dundee   I-LOCATION
has   O
been   O
informed   O
about   O
the   O
condition   O
and   O
the   O
ongoing   O
treatment   O
in   O
Lindsborg   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lindsborg   I-LOCATION
.   O

The   O
patient   O
is   O
unemployed   O
(   O
previous   O
Wellhead   O
Pumpers   O
)   O
and   O
has   O
a   O
medical   O
insurance   O
under   O
the   O
Fire   B-LOCATION
Brigades   I-LOCATION
Union   I-LOCATION
.   O

For   O
any   O
medical   O
/   O
health   O
related   O
queries   O
,   O
you   O
can   O
reach   O
the   O
treating   O
physician   O
,   O
Dr.   O
Emelia   B-NAME
Daniels   I-NAME
,   O
via   O
713   B-CONTACT
6056   I-CONTACT
.   O

This   O
report   O
is   O
generated   O
by   O
VS104   B-NAME
on   O
1/22   B-DATE
in   O
relation   O
with   O
the   O
patient   O
number   O
085   B-ID
-   I-ID
18   I-ID
-   I-ID
31   I-ID
.   O

Patient   O
File   O
:   O
45656660   B-ID
Guillermo   B-NAME
Cline   I-NAME
is   O
a   O
96   O
white   O
male   O
who   O
works   O
as   O
a   O
physician   O
's   O
assistant   O
.   O

He   O
lives   O
in   O
Aylsham   B-LOCATION
,   O
zip   O
code   O
19724   B-LOCATION
.   O

He   O
was   O
referred   O
to   O
Dr.   O
Sophie   B-NAME
Spoto   I-NAME
by   O
his   O
primary   O
care   O
physician   O
at   O
Rainier   B-LOCATION
Pacific   I-LOCATION
Bank   I-LOCATION
.   O

He   O
came   O
to   O
the   O
emergency   O
department   O
of   O
HealthSouth   B-LOCATION
Sea   I-LOCATION
Pines   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
on   O
2032   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
arm   O
,   O
along   O
with   O
episodes   O
of   O
sweating   O
and   O
shortness   O
of   O
breath   O
.   O

Dr.   O
Logan   B-NAME
Copeland   I-NAME
immediately   O
initiated   O
thrombolytic   O
therapy   O
.   O

Godfrey   B-NAME
's   O
record   O
number   O
GT   B-ID
:   I-ID
BZ:1910   I-ID
has   O
been   O
updated   O
accordingly   O
.   O

His   O
care   O
team   O
can   O
be   O
contacted   O
at   O
373   B-CONTACT
-   I-CONTACT
417   I-CONTACT
-   I-CONTACT
8658   I-CONTACT
for   O
further   O
discussions   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
2195   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
17   I-DATE
with   O
instructions   O
for   O
regular   O
follow   O
-   O
ups   O
.   O

A   O
medical   O
device   O
UP   B-ID
:   I-ID
ZG:2585   I-ID
was   O
given   O
to   O
monitor   O
his   O
blood   O
pressure   O
and   O
glucose   O
levels   O
at   O
home   O
.   O

For   O
confidentiality   O
,   O
this   O
information   O
should   O
be   O
accessed   O
using   O
username   O
:   O
EY939   B-NAME
.   O

This   O
information   O
is   O
also   O
sent   O
via   O
mail   O
by   O
the   O
Eastern   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
's   O
administration   O
to   O
Paonia   B-LOCATION
address   O
for   O
patient   O
's   O
reference   O
.   O

Patient   O
Information   O
:   O
Tommie   B-NAME
came   O
into   O
Methodist   B-LOCATION
Jennie   I-LOCATION
Edmundson   I-LOCATION
on   O
30/22/00   B-DATE
.   O

Roy   B-NAME
lives   O
in   O
De   B-LOCATION
Witt   I-LOCATION
,   O
11849   B-LOCATION
.   O

He   O
was   O
referred   O
to   O
me   O
,   O
Ball   B-NAME
by   O
another   O
doctor   O
from   O
Cape   B-LOCATION
Fear   I-LOCATION
Bank   I-LOCATION
in   O
Myerstown   B-LOCATION
.   O

His   O
contact   O
number   O
is   O
32022   B-CONTACT
.   O

Symptoms   O
:   O
YERGER   B-NAME
,   I-NAME
DESEAN   I-NAME
has   O
been   O
presenting   O
severe   O
signs   O
of   O
fatigue   O
and   O
shortness   O
of   O
breath   O
for   O
a   O
period   O
dating   O
back   O
to   O
approximately   O
1635   B-DATE
.   O

Medical   O
History   O
:   O
Leann   B-NAME
Kieser   I-NAME
has   O
a   O
medical   O
record   O
number   O
4536   B-ID
:   I-ID
Q33431   I-ID
.   O

Pending   O
diagnostic   O
results   O
,   O
we   O
plan   O
to   O
initiate   O
chemotherapy   O
for   O
Landis   B-NAME
.   O

As   O
his   O
treatment   O
will   O
involve   O
frequent   O
visits   O
,   O
he   O
has   O
been   O
suggested   O
to   O
relocate   O
closer   O
to   O
Sheridan   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Complex   I-LOCATION
–   I-LOCATION
Hoxie   I-LOCATION
in   O
Bonham   B-LOCATION
,   O
until   O
the   O
end   O
of   O
his   O
treatment   O
.   O

The   O
report   O
from   O
Seattle   B-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
be   O
sent   O
back   O
to   O
the   O
referring   O
doctor   O
at   O
Three   B-LOCATION
Notch   I-LOCATION
EMC   I-LOCATION
using   O
the   O
secure   O
username   O
qbt403   B-NAME
and   O
password   O
.   O

His   O
family   O
,   O
living   O
at   O
Oval   B-LOCATION
,   O
has   O
been   O
informed   O
about   O
his   O
condition   O
and   O
treatment   O
plans   O
.   O

Signed   O
,   O
Avery   B-NAME
381221   B-ID
10/12   B-DATE

Patient   O
's   O
name   O
:   O
Montesquieu   B-NAME
,   I-NAME
Charles   I-NAME
de   I-NAME
Patient   O
's   O
Medical   O
Record#   O
81718930   B-ID
DOB   O
:   O
00/28   B-DATE
Age   O
:   O
1   O
week   O
Address   O
:   O
Coal   B-LOCATION
Center   I-LOCATION
,   O
23244   B-LOCATION
Primary   O
Care   O
Provider   O
:   O
Garrison   B-NAME
Phone   O
:   O
890   B-CONTACT
-   I-CONTACT
630   I-CONTACT
-   I-CONTACT
1279   I-CONTACT
Patient   O
's   O
Occupation   O
:   O
Veterinary   O
Assistants   O
and   O
Laboratory   O
Animal   O
Caretakers   O
Report   O
:   O
Conner   B-NAME
Cline   I-NAME
was   O
presented   O
to   O
the   O
UPMC   B-LOCATION
Passavant   I-LOCATION
on   O
21/23   B-DATE
.   O

Upon   O
detailed   O
enquiring   O
,   O
Maren   B-NAME
Leomiti   I-NAME
stated   O
symptoms   O
such   O
as   O
loss   O
of   O
appetite   O
and   O
occasionally   O
experiencing   O
night   O
sweats   O
.   O

The   O
patient   O
also   O
gave   O
consent   O
for   O
a   O
chest   O
X   O
-   O
ray   O
ordered   O
by   O
Ulises   B-NAME
Burch   I-NAME
which   O
showed   O
upper   O
zone   O
consolidation   O
suggestive   O
of   O
TB   O
associated   O
pneumonia   O
.   O

Sputum   O
samples   O
were   O
sent   O
to   O
Freedom   B-LOCATION
from   I-LOCATION
Torture   I-LOCATION
for   O
mycobacterium   O
tuberculosis   O
culture   O
on   O
Sunday   B-DATE
and   O
reports   O
are   O
awaited   O
.   O

Porter   B-NAME
's   O
condition   O
will   O
be   O
monitored   O
closely   O
by   O
a   O
team   O
of   O
experts   O
at   O
Atrium   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
City   I-LOCATION
.   O

The   O
patient   O
was   O
referred   O
by   O
Katherine   B-NAME
Griffith   I-NAME
to   O
a   O
pulmonologist   O
after   O
noting   O
abnormal   O
lung   O
auscultation   O
findings   O
.   O

Virgie   B-NAME
Giuliana   I-NAME
Quintanar   I-NAME
was   O
also   O
advised   O
to   O
self   O
-   O
isolate   O
at   O
home   O
,   O
avoiding   O
going   O
to   O
their   O
workplace   O
as   O
a   O
precautionary   O
measure   O
due   O
to   O
their   O
Shampooers   O
.   O

Emergency   O
contact   O
registered   O
under   O
the   O
YE574/7088   B-ID
is   O
the   O
patient   O
's   O
sibling   O
who   O
resides   O
at   O
the   O
same   O
Virginia   B-LOCATION
as   O
the   O
patient   O
.   O

This   O
report   O
was   O
prepared   O
by   O
pf951   B-NAME
on   O
06/29/12   B-DATE
.   O

For   O
any   O
further   O
communication   O
concerning   O
the   O
patient   O
's   O
health   O
,   O
please   O
contact   O
us   O
at   O
(   B-CONTACT
803   I-CONTACT
)   I-CONTACT
917   I-CONTACT
2960   I-CONTACT
.   O

Patient   O
Report   O
Patient   O
's   O
Name   O
:   O
Dustin   B-NAME
Duran   I-NAME
Presenting   O
to   O
the   O
Citrus   B-LOCATION
Clinic   I-LOCATION
on   O
13/20/2244   B-DATE
,   O
with   O
chief   O
complaints   O
of   O
intermittent   O
chest   O
pain   O
for   O
the   O
past   O
three   O
days   O
.   O

The   O
previous   O
medical   O
ID   O
is   O
172   B-ID
-   I-ID
75   I-ID
-   I-ID
16   I-ID
.   O

The   O
patient   O
lives   O
in   O
Blairsville   B-LOCATION
,   I-LOCATION
Blairsville   I-LOCATION
Downtown   I-LOCATION
with   O
his   O
spouse   O
and   O
works   O
as   O
a   O
Occupational   O
Therapists   O
.   O

Contact   O
number   O
is   O
48287   B-CONTACT
and   O
email   O
is   O
uow796   B-NAME
.   O

Patient   O
mentioned   O
his   O
postcode   O
as   O
35826   B-LOCATION
.   O

On   O
32/31/:2   B-DATE
,   O
the   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Gill   B-NAME
.   O

Hematology   O
report   O
(   O
by   O
Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION
)   O
confirms   O
elevated   O
levels   O
of   O
troponin   O
T   O
and   O
creatine   O
kinase   O
-   O
MB   O
fraction   O
.   O

A   O
copy   O
of   O
the   O
original   O
medical   O
report   O
can   O
be   O
requested   O
from   O
the   O
health   O
record   O
department   O
with   O
proper   O
ID   O
proof   O
ED806/2985   B-ID
.   O
End   O
of   O
report   O
.   O

Patient   O
Name   O
:   O
HR   B-NAME
Age   O
:   O
52   O
Gender   O
:   O
Female   O
Address   O
:   O
Wotton   B-LOCATION
-   I-LOCATION
under   I-LOCATION
-   I-LOCATION
Edge   I-LOCATION
Phone   O
number   O
:   O
29696   B-CONTACT
Occupational   O
details   O
:   O
Currently   O
working   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Aquacultural   O
Workers   O
Admission   O
Date   O
:   O
11.29.56   B-DATE
Admitting   O
Physician   O
:   O

Tony   B-NAME
Harrison   I-NAME
Medical   O
Record   O
Number   O
:   O
372   B-ID
-   I-ID
93   I-ID
-   I-ID
15   I-ID
-   I-ID
2   I-ID
ID   O
:   O
JH:22775:260385   B-ID
1   B-DATE
-   I-DATE
9   I-DATE
,   O
the   O
patient   O
presented   O
to   O
the   O
emergency   O
room   O
of   O
Nicklaus   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
severe   O
abdominal   O
pain   O
.   O

Upon   O
consulting   O
with   O
Velazquez   B-NAME
,   O
the   O
patient   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Refer   O
ID   O
8   B-ID
-   I-ID
350147   I-ID
.   O

The   O
patient   O
elected   O
to   O
undergo   O
a   O
laparoscopic   O
appendectomy   O
,   O
performed   O
by   O
Joselyn   B-NAME
Moran   I-NAME
on   O
22/13/2310   B-DATE
at   O
St.   B-LOCATION
Charles   I-LOCATION
Hospital   I-LOCATION
.   O

She   O
was   O
moved   O
to   O
Room   O
Hattiesburg   B-LOCATION
,   I-LOCATION
Hattiesburg   I-LOCATION
Downtown   I-LOCATION
Association   I-LOCATION
after   O
surgery   O
.   O

The   O
surgical   O
pathology   O
report   O
from   O
Sexaholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
SA   I-LOCATION
)   I-LOCATION
confirmed   O
acute   O
appendicitis   O
.   O

Full   O
recovery   O
from   O
the   O
surgery   O
is   O
expected   O
in   O
02/39   B-DATE
.   O

The   O
patient   O
was   O
given   O
discharge   O
instructions   O
and   O
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Montgomery   B-NAME
Montgomery   I-NAME
for   O
post   O
-   O
operative   O
care   O
.   O

Her   O
username   O
for   O
the   O
hospital   O
's   O
online   O
health   O
portal   O
will   O
be   O
mk942   B-NAME
and   O
instructions   O
were   O
sent   O
to   O
her   O
residence   O
at   O
59089   B-LOCATION
for   O
the   O
setup   O
.   O

No   O
complications   O
were   O
encountered   O
during   O
her   O
stay   O
at   O
HCA   B-LOCATION
Midwest   I-LOCATION
Division   I-LOCATION
.   O

The   O
total   O
discharge   O
medication   O
list   O
,   O
including   O
antibiotics   O
for   O
infection   O
control   O
,   O
will   O
be   O
made   O
available   O
for   O
her   O
pharmacist   O
via   O
username   O
zkq295   B-NAME
.   O

Throughout   O
her   O
hospitalisation   O
,   O
she   O
was   O
provided   O
with   O
support   O
from   O
Nursing   O
Staff   O
,   O
Nutrition   O
,   O
and   O
Social   O
Work   O
at   O
Carroll   B-LOCATION
EMC   I-LOCATION
.   O

Patient   O
Information   O
:   O
The   O
patient   O
,   O
Kaczynski   B-NAME
,   I-NAME
Lech   I-NAME
,   O
is   O
a   O
42   O
years   O
old   O
man   O
presented   O
to   O
the   O
University   B-LOCATION
Hospital   I-LOCATION
on   O
2270   B-DATE
-   I-DATE
14   I-DATE
-   I-DATE
32   I-DATE
.   O

He   O
was   O
brought   O
to   O
the   O
attention   O
of   O
Dr.   O
Santos   B-NAME
by   O
his   O
brother   O
,   O
who   O
mentioned   O
that   O
the   O
patient   O
was   O
becoming   O
increasingly   O
forgetful   O
and   O
had   O
difficulty   O
remembering   O
recently   O
learned   O
information   O
.   O

The   O
patient   O
's   O
ID   O
is   O
BV   B-ID
:   I-ID
ZI:8991   I-ID
and   O
Medical   O
Record   O
Number   O
is   O
CK262228   B-ID
.   O

He   O
lived   O
in   O
Marks   B-LOCATION
with   O
his   O
wife   O
until   O
she   O
passed   O
away   O
a   O
year   O
ago   O
.   O

After   O
her   O
death   O
,   O
he   O
moved   O
to   O
an   O
senior   O
living   O
Northeast   B-LOCATION
Utilities   I-LOCATION
located   O
at   O
Greer   B-LOCATION
.   O
Symptoms   O
:   O

Laboratory   O
screening   O
tests   O
performed   O
at   O
NYC   B-LOCATION
Health   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Metropolitan   I-LOCATION
did   O
n't   O
indicate   O
any   O
abnormalities   O
.   O

Follow   O
-   O
up   O
:   O
Patient   O
should   O
have   O
regular   O
follow   O
-   O
ups   O
with   O
Dr.   O
Mccall   B-NAME
at   O
UM   B-LOCATION
Harford   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Please   O
contact   O
the   O
hospital   O
at   O
(   B-CONTACT
919   I-CONTACT
)   I-CONTACT
793   I-CONTACT
1619   I-CONTACT
to   O
book   O
an   O
appointment   O
.   O

Doctor   O
's   O
Notes   O
:   O
In   O
discussion   O
with   O
hvj404   B-NAME
,   O
the   O
possibility   O
of   O
referral   O
to   O
a   O
neurologist   O
for   O
further   O
evaluation   O
was   O
discussed   O
.   O

Address   O
:   O
The   O
patient   O
's   O
address   O
is   O
Tiptonville   B-LOCATION
,   I-LOCATION
Tiptonville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
45318   B-LOCATION
.   O

Patient   O
Name   O
:   O
Angel   B-NAME
Kane   I-NAME
Age   O
:   O
64   O
The   O
patient   O
presented   O
to   O
Gabriel   B-NAME
Wells   I-NAME
on   O
30/23/2093   B-DATE
with   O
the   O
chief   O
complaint   O
of   O
chest   O
pain   O
for   O
the   O
last   O
24   O
hours   O
.   O

Patient   O
was   O
admitted   O
to   O
the   O
Cardiology   O
Ward   O
at   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
.   O

Per   O
the   O
patient   O
's   O
identification   O
,   O
phone   O
number   O
is   O
19145   B-CONTACT
,   O
and   O
address   O
:   O
Potomac   B-LOCATION
,   O
Zip   O
Code   O
:   O
24336   B-LOCATION
.   O

Further   O
follow   O
-   O
up   O
has   O
been   O
planned   O
for   O
the   O
2020   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
13   I-DATE
.   O

The   O
patient   O
's   O
profession   O
is   O
Desktop   O
Publishers   O
at   O
Release   B-LOCATION
International   I-LOCATION
.   O

The   O
medical   O
record   O
number   O
is   O
2185026   B-ID
.   O

The   O
patient   O
also   O
provided   O
his   O
social   O
security   O
information   O
for   O
the   O
records   O
which   O
is   O
33264   B-ID
and   O
authorized   O
the   O
medical   O
staff   O
to   O
use   O
this   O
information   O
for   O
his   O
treatment   O
and   O
healthcare   O
management   O
purpose   O
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Douglass   B-NAME
,   I-NAME
David   I-NAME
,   O
located   O
at   O
Graball   B-LOCATION
was   O
notified   O
about   O
the   O
patient   O
's   O
condition   O
and   O
proposed   O
treatment   O
plan   O
.   O

The   O
details   O
of   O
the   O
conversation   O
were   O
documented   O
under   O
the   O
patient   O
's   O
username   O
(   O
zl9110   B-NAME
)   O
.   O

Emergency   O
contact   O
information   O
provided   O
is   O
(   B-CONTACT
546   I-CONTACT
)   I-CONTACT
421   I-CONTACT
-   I-CONTACT
7831   I-CONTACT
.   O

Patient   O
Information   O
:   O
Octavion   B-NAME
Beatson   I-NAME
,   O
a   O
Pile   O
-   O
Driver   O
Operators   O
by   O
profession   O
,   O
aged   O
15   O
years   O
,   O
first   O
presented   O
at   O
our   O
facility   O
,   O
Butler   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
2278   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
20   I-DATE
.   O

Residential   O
address   O
is   O
Huntertown   B-LOCATION
,   O
76884   B-LOCATION
.   O

Medical   O
Report   O
:   O
Upon   O
initial   O
consultation   O
,   O
Dr.   O
Javon   B-NAME
Cabrera   I-NAME
noted   O
symptoms   O
commensurate   O
with   O
a   O
classic   O
migraine   O
headache   O
.   O

The   O
patient   O
was   O
admitted   O
for   O
further   O
evaluation   O
and   O
tests   O
under   O
medical   O
record   O
number   O
5647865   B-ID
.   O

Following   O
evaluation   O
,   O
Dr.   O
Wong   B-NAME
made   O
a   O
differential   O
diagnosis   O
.   O

For   O
follow   O
-   O
up   O
,   O
regular   O
appointments   O
are   O
to   O
be   O
scheduled   O
with   O
Dr.   O
Buchanan   B-NAME
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Sacramento   I-LOCATION
every   O
8   O
weeks   O
.   O

The   O
patient   O
's   O
mobile   O
phone   O
number   O
is   O
documented   O
as   O
462   B-CONTACT
684   I-CONTACT
3074   I-CONTACT
.   O

Patient   O
holds   O
a   O
policy   O
with   O
Citizens   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Insurance   O
,   O
policy   O
number   O
RD   B-ID
:   I-ID
QK:3470   I-ID
.   O

For   O
further   O
reference   O
,   O
the   O
patient   O
's   O
case   O
has   O
been   O
documented   O
under   O
kt604   B-NAME
in   O
our   O
patient   O
database   O
system   O
.   O

The   O
patient   O
is   O
expected   O
to   O
visit   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
09/28/2208   B-DATE
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
s   O
/   O
he   O
is   O
recommended   O
to   O
get   O
directly   O
admitted   O
to   O
the   O
Emergency   O
Room   O
at   O
Ottawa   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Minneapolis   I-LOCATION
for   O
immediate   O
care   O
.   O

Prepared   O
by   O
:   O
Campos   B-NAME
Date   O
:   O
Thursday   B-DATE

Patient   O
Report   O
for   O
Newton   B-NAME
:   O
I   O
am   O
Gregory   B-NAME
reporting   O
on   O
the   O
symptoms   O
of   O
LATRISHA   B-NAME
ERVIN   I-NAME
.   O

VELASQUEZ   B-NAME
,   I-NAME
WALTER   I-NAME
presented   O
to   O
my   O
clinic   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
Mercy   I-LOCATION
Livonia   I-LOCATION
on   O
F   B-DATE
complaining   O
of   O
symptoms   O
that   O
have   O
progressed   O
over   O
a   O
period   O
of   O
two   O
weeks   O
.   O

John   B-NAME
Prentice   I-NAME
,   O
a   O
Petroleum   O
Pump   O
System   O
Operators   O
at   O
Lemonade   B-LOCATION
(   I-LOCATION
insurance   I-LOCATION
)   I-LOCATION
,   O
first   O
noticed   O
generalized   O
weakness   O
and   O
fatigue   O
two   O
weeks   O
ago   O
.   O

erwin   B-NAME
reported   O
intermittent   O
episodes   O
of   O
palpitations   O
and   O
dizziness   O
over   O
the   O
last   O
week   O
.   O

Multiple   O
small   O
,   O
round   O
,   O
painless   O
lesions   O
with   O
central   O
indentations   O
were   O
found   O
on   O
the   O
skin   O
of   O
Stacy   B-NAME
Sanchez   I-NAME
upon   O
a   O
physical   O
check   O
.   O

He   O
is   O
aged   O
7   O
,   O
lives   O
in   O
Harrison   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Harrison   I-LOCATION
55048   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
345   B-CONTACT
435   I-CONTACT
-   I-CONTACT
7870   I-CONTACT
for   O
any   O
further   O
inquiries   O
.   O

The   O
patient   O
’s   O
medical   O
history   O
was   O
noted   O
from   O
his   O
previous   O
medical   O
records   O
and   O
presented   O
to   O
me   O
during   O
a   O
consultation   O
on   O
3/22/56   B-DATE
.   O

Newton   B-NAME
does   O
not   O
have   O
any   O
history   O
of   O
allergies   O
,   O
but   O
there   O
is   O
a   O
family   O
history   O
of   O
diabetes   O
.   O

Any   O
future   O
updates   O
will   O
be   O
added   O
to   O
Rock   B-NAME
's   O
medical   O
record   O
number   O
076   B-ID
-   I-ID
50   I-ID
-   I-ID
32   I-ID
-   I-ID
3   I-ID
in   O
our   O
database   O
under   O
okx683   B-NAME
as   O
per   O
the   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Miami   I-LOCATION
's   O
privacy   O
policy   O
.   O

Please   O
note   O
that   O
the   O
patient   O
's   O
health   O
plan   O
6   B-ID
-   I-ID
2784708   I-ID
has   O
been   O
updated   O
.   O

Let   O
's   O
stand   O
by   O
for   O
the   O
upcoming   O
results   O
next   O
to   O
be   O
updated   O
on   O
09/23   B-DATE
.   O

Patient   O
Details   O
:   O
Name   O
:   O
Kinsley   B-NAME
Morse   I-NAME
Age   O
:   O
8   O
month   O
Medical   O
record   O
:   O
78710437   B-ID
ID   O
:   O
KT:45324:509850   B-ID
Location   O
:   O
Tavares   B-LOCATION
Phone   O
:   O
43292   B-CONTACT
Physician   O
:   O
Dr.   O
Yon   B-NAME
Sandt   I-NAME
Today   O
's   O
Date   O
:   O
1639   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
25   I-DATE
Hospital   O
name   O
:   O
Stafford   B-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O
Video   O
game   O
designer   O
Username   O
:   O
ft820   B-NAME
Zip   O
Code   O
:   O
99711   B-LOCATION
Clinical   O
History   O
:   O
I   O
met   O
the   O
patient   O
,   O
Wiley   B-NAME
,   O
during   O
rounds   O
at   O
Garrett   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
April   B-DATE
.   O

Josh   B-NAME
,   O
a   O
New   O
Accounts   O
Clerks   O
,   O
presented   O
with   O
complaints   O
of   O
sudden   O
and   O
severe   O
headache   O
,   O
vomiting   O
,   O
and   O
double   O
vision   O
which   O
started   O
on   O
the   O
afternoon   O
of   O
8/21/72   B-DATE
.   O

During   O
our   O
physical   O
examination   O
,   O
Calistarius   B-NAME
appeared   O
acutely   O
ill   O
and   O
distressful   O
because   O
of   O
pain   O
.   O

Peyton   B-NAME
Schneider   I-NAME
's   O
current   O
situation   O
necessitates   O
an   O
urgent   O
consultation   O
from   O
neurosurgery   O
for   O
endovascular   O
coiling   O
or   O
clipping   O
surgery   O
.   O

This   O
report   O
will   O
be   O
faxed   O
to   O
Walters   B-NAME
at   O
the   O
main   O
Littleton   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
office   O
,   O
located   O
at   O
Pikesville   B-LOCATION
with   O
the   O
zip   O
code   O
of   O
71123   B-LOCATION
.   O

Follow   O
up   O
communication   O
will   O
be   O
established   O
via   O
821   B-CONTACT
373   I-CONTACT
-   I-CONTACT
5532   I-CONTACT
.   O

The   O
reference   O
for   O
this   O
case   O
is   O
550   B-ID
-   I-ID
55   I-ID
-   I-ID
74   I-ID
-   I-ID
3   I-ID
associated   O
with   O
WH474   B-NAME
and   O
QQ773/1296   B-ID
.   O

The   O
records   O
of   O
Harland   B-NAME
,   O
will   O
be   O
digitally   O
secured   O
by   O
Bank   B-LOCATION
of   I-LOCATION
Leeton   I-LOCATION
to   O
maintain   O
and   O
preserve   O
privacy   O
.   O

Report   O
Prepared   O
by   O
:   O
Tianna   B-NAME
Bonilla   I-NAME

The   O
patient   O
,   O
Elaine   B-NAME
Barber   I-NAME
,   O
was   O
admitted   O
to   O
Sebastian   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/27   B-DATE
.   O

This   O
patient   O
,   O
who   O
provides   O
their   O
services   O
as   O
Historians   O
at   O
a   O
local   O
Telecommunications   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
in   O
McCaysville   B-LOCATION
,   O
reported   O
excessive   O
fatigue   O
and   O
frequent   O
episodes   O
of   O
unexplained   O
sweating   O
.   O

Medical   O
History   O
:   O
Huerta   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
diabetes   O
,   O
but   O
has   O
been   O
compliant   O
with   O
his   O
medications   O
.   O

Symptoms   O
:   O
Alex   B-NAME
Sartorius   I-NAME
reported   O
experiencing   O
excessive   O
fatigue   O
accompanied   O
by   O
unexplained   O
sweating   O
throughout   O
the   O
day   O
and   O
night   O
.   O

She   O
had   O
also   O
noticed   O
a   O
decreased   O
appetite   O
over   O
the   O
past   O
2292   B-DATE
.   O

Progress   O
Since   O
Last   O
Visit   O
:   O
From   O
the   O
medical   O
record   O
8104010   B-ID
,   O
Matkowsky   B-NAME
’s   O
conditions   O
have   O
progressively   O
worsened   O
since   O
her   O
last   O
visit   O
on   O
12/08   B-DATE
.   O

She   O
was   O
earlier   O
seen   O
by   O
Rubi   B-NAME
Holmes   I-NAME
,   O
who   O
suggested   O
medication   O
adjustments   O
and   O
scheduled   O
follow   O
-   O
ups   O
.   O

The   O
contact   O
number   O
for   O
Kimberly   B-NAME
Noonkester   I-NAME
is   O
829   B-CONTACT
2928   I-CONTACT
.   O

Her   O
address   O
is   O
mentioned   O
as   O
Bingham   B-LOCATION
Lake   I-LOCATION
,   O
33690   B-LOCATION
.   O

Care   O
Plan   O
Overview   O
:   O
Paxton   B-NAME
Gomez   I-NAME
has   O
been   O
scheduled   O
for   O
a   O
consultation   O
with   O
Terry   B-NAME
and   O
Prisma   B-LOCATION
Health   I-LOCATION
Hillcrest   I-LOCATION
Hospital   I-LOCATION
’s   O
endocrinology   O
team   O
for   O
further   O
tests   O
.   O

The   O
patient   O
's   O
next   O
appointment   O
is   O
on   O
8/24   B-DATE
.   O

The   O
patient   O
’s   O
7   B-ID
-   I-ID
6394399   I-ID
and   O
the   O
payer   O
’s   O
information   O
are   O
included   O
in   O
a   O
separate   O
secure   O
form   O
for   O
privacy   O
concerns   O
.   O

FZ984   B-NAME
should   O
pull   O
up   O
this   O
information   O
for   O
processing   O
purposes   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Kareem   B-NAME
Phillips   I-NAME
Age   O
:   O
84   O
Profession   O
:   O
Medical   O
Equipment   O
Repairers   O
Home   O
Address   O
:   O
San   B-LOCATION
Andreas   I-LOCATION
Phone   O
:   O
922   B-CONTACT
4895   I-CONTACT
Date   O
:   O
22   B-DATE
May   I-DATE
2252   I-DATE

Doctor   O
's   O
name   O
:   O
Marina   B-NAME
Huber   I-NAME
Medical   O
Report   O
:   O

On   O
26/12   B-DATE
,   O
Emmly   B-NAME
presented   O
to   O
Located   B-LOCATION
within   I-LOCATION
Saint   I-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
headache   O
,   O
weakness   O
,   O
and   O
lack   O
of   O
feeling   O
on   O
the   O
right   O
side   O
of   O
their   O
body   O
.   O

Chapa   B-NAME
,   O
who   O
is   O
a   O
Materials   O
Inspectors   O
,   O
reported   O
feeling   O
unwell   O
since   O
the   O
morning   O
.   O

The   O
attending   O
physician   O
,   O
Dr.   O
Amos   B-NAME
Weatherby   I-NAME
,   O
suspected   O
these   O
symptoms   O
could   O
be   O
indicative   O
of   O
a   O
Transient   O
Ischemic   O
Attack   O
(   O
TIA   O
)   O
,   O
commonly   O
referred   O
to   O
as   O
a   O
"   O
mini   O
-   O
stroke   O
"   O
.   O

The   O
CT   O
images   O
showed   O
a   O
possible   O
clot   O
formation   O
in   O
the   O
left   O
hemisphere   O
of   O
Sloan   B-NAME
’s   O
brain   O
,   O
supporting   O
the   O
preliminary   O
diagnosis   O
of   O
a   O
mini   O
-   O
stroke   O
.   O

The   O
medical   O
team   O
at   O
Beth   B-LOCATION
Israel   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
initiated   O
a   O
course   O
of   O
treatment   O
with   O
antiplatelet   O
drugs   O
.   O

They   O
noted   O
a   O
marked   O
improvement   O
in   O
Yuna   B-NAME
K.   I-NAME
Tripp   I-NAME
's   O
symptoms   O
within   O
a   O
few   O
hours   O
.   O

An   O
appointment   O
has   O
been   O
scheduled   O
for   O
Faith   B-NAME
Ice   I-NAME
to   O
see   O
a   O
stroke   O
specialist   O
,   O
Dr.   O
Campbell   B-NAME
,   O
for   O
further   O
evaluation   O
.   O

The   O
individual   O
's   O
medical   O
record   O
number   O
is   O
:   O
4525815   B-ID
.   O

Non   O
-   O
medical   O
Recommendations   O
:   O
Kellner   B-NAME
,   I-NAME
Friedrich   I-NAME
has   O
been   O
advised   O
to   O
avoid   O
high   O
stress   O
jobs   O
considering   O
his   O
current   O
Transportation   O
Managers   O
,   O
and   O
requested   O
to   O
inform   O
the   O
same   O
to   O
his   O
employer   O
at   O
Satilla   B-LOCATION
REMC   I-LOCATION
.   O

All   O
the   O
relevant   O
documents   O
have   O
been   O
sent   O
to   O
FF901   B-NAME
@gmail.com   O
.   O

Shay   B-NAME
Calvin   I-NAME
's   O
family   O
has   O
a   O
history   O
of   O
high   O
blood   O
pressure   O
and   O
heart   O
diseases   O
.   O

If   O
there   O
are   O
any   O
queries   O
or   O
need   O
for   O
information   O
,   O
please   O
reach   O
the   O
hospital   O
on   O
15032   B-CONTACT
.   O

Patient   O
Name   O
:   O
QUAGLIA   B-NAME
,   I-NAME
BRONSON   I-NAME
Age   O
:   O
99   O
ID   O
:   O
TX986/8856   B-ID
Profession   O
:   O

Eligibility   O
Interviewers   O
,   O
Government   O
Programs   O
Location   O
:   O
Rancho   B-LOCATION
Cucamonga   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
91730   I-LOCATION
Zip   O
:   O
56991   B-LOCATION
Contact   O
number   O
:   O
81523   B-CONTACT
Medical   O
record   O
number   O
:   O
129   B-ID
-   I-ID
12   I-ID
-   I-ID
04   I-ID
-   I-ID
9   I-ID
Username   O
:   O
ltu571   B-NAME
Hospital   O
:   O
Olean   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
/   I-LOCATION
Main   I-LOCATION
Doctor   O
:   O
Eugene   B-NAME
Buchanan   I-NAME
Organization   O
:   O

Pure   B-LOCATION
Insurance   I-LOCATION
The   O
patient   O
,   O
Arjun   B-NAME
Moss   I-NAME
,   O
of   O
7   O
week   O
years   O
presented   O
on   O
8/2   B-DATE
with   O
a   O
prominent   O
cough   O
and   O
reported   O
fatigue   O
.   O

The   O
patient   O
is   O
a   O
Mail   O
Clerks   O
and   O
Mail   O
Machine   O
Operators   O
,   O
Except   O
Postal   O
Service   O
at   O
Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION
living   O
in   O
Macon   B-LOCATION
,   O
zip   O
code   O
56757   B-LOCATION
.   O

Further   O
medical   O
examination   O
by   O
Dr.   O
Donte   B-NAME
Golden   I-NAME
at   O
Mat   B-LOCATION
-   I-LOCATION
Su   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
revealed   O
slightly   O
reduced   O
breath   O
sounds   O
at   O
the   O
bases   O
,   O
but   O
no   O
crackles   O
or   O
wheezes   O
were   O
heard   O
.   O

Dr.   O
Preston   B-NAME
has   O
prescribed   O
a   O
regimen   O
of   O
antibiotics   O
,   O
recommending   O
bed   O
rest   O
and   O
lots   O
of   O
fluids   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
two   O
weeks   O
from   O
0/03   B-DATE
to   O
review   O
the   O
patient   O
's   O
progress   O
and   O
adjust   O
treatment   O
if   O
needed   O
.   O

For   O
further   O
information   O
,   O
reach   O
out   O
to   O
the   O
patient   O
using   O
the   O
52785   B-CONTACT
number   O
or   O
email   O
bxy572   B-NAME
@mail.com   O
.   O

Please   O
make   O
sure   O
to   O
maintain   O
the   O
confidentiality   O
of   O
medical   O
records   O
numbered   O
601   B-ID
-   I-ID
17   I-ID
-   I-ID
15   I-ID
and   O
to   O
follow   O
all   O
ethical   O
guidelines   O
and   O
procedures   O
established   O
by   O
the   O
McLeod   B-LOCATION
Seacoast   I-LOCATION
located   O
at   O
Gainesville   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Delgado   B-NAME
Age   O
:   O
11   O
month   O
Date   O
of   O
Examination   O
:   O
1848   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
04   I-DATE
Medical   O
Record   O
Number   O
:   O
5771969   B-ID
Presenting   O
to   O
East   B-LOCATION
Morgan   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
,   O
Yeomans   B-NAME
,   I-NAME
Vertis   I-NAME
K.   I-NAME
complained   O
of   O
experiencing   O
persistent   O
dry   O
cough   O
and   O
intermittent   O
chest   O
pain   O
for   O
approximately   O
one   O
week   O
.   O

Along   O
with   O
these   O
primary   O
symptoms   O
,   O
Belia   B-NAME
Salvus   I-NAME
has   O
reported   O
occasional   O
bouts   O
of   O
fatigue   O
and   O
loss   O
of   O
appetite   O
.   O

Brittany   B-NAME
Daniel   I-NAME
's   O
past   O
medical   O
history   O
includes   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
Hypercholesterolemia   O
.   O

Physical   O
examination   O
conducted   O
by   O
Newton   B-NAME
revealed   O
decreased   O
breath   O
sounds   O
over   O
both   O
lung   O
bases   O
.   O

On   O
8/2   B-DATE
,   O
Bobby   B-NAME
S.   I-NAME
Galvan   I-NAME
was   O
also   O
referred   O
to   O
a   O
radiology   O
department   O
for   O
a   O
chest   O
x   O
-   O
ray   O
.   O

He   O
lives   O
in   O
Cadott   B-LOCATION
and   O
works   O
as   O
a   O
Prosthodontists   O
.   O

He   O
has   O
not   O
travelled   O
outside   O
of   O
Balta   B-LOCATION
in   O
the   O
past   O
3   O
months   O
and   O
reports   O
no   O
contact   O
with   O
anyone   O
who   O
has   O
been   O
ill   O
.   O

His   O
family   O
,   O
including   O
two   O
siblings   O
and   O
parents   O
,   O
resides   O
at   O
Decaturville   B-LOCATION
.   O

For   O
future   O
communication   O
,   O
Bridges   B-NAME
has   O
provided   O
his   O
personal   O
phone   O
number   O
90948   B-CONTACT
and   O
verified   O
his   O
identification   O
using   O
24411   B-ID
.   O

Any   O
updates   O
regarding   O
further   O
treatment   O
plans   O
or   O
test   O
results   O
can   O
be   O
sent   O
to   O
their   O
residential   O
address   O
,   O
located   O
in   O
28018   B-LOCATION
,   O
or   O
directly   O
called   O
on   O
the   O
aforementioned   O
phone   O
number   O
.   O

On   O
inspection   O
of   O
his   O
medical   O
record   O
,   O
Kari   B-NAME
Marlene   I-NAME
Pryor   I-NAME
has   O
visited   O
Twin   B-LOCATION
Lakes   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
previously   O
but   O
has   O
never   O
been   O
hospitalized   O
.   O

His   O
primary   O
care   O
physician   O
is   O
Dr.   O
Miranda   B-NAME
.   O

T.J.   B-NAME
Eckleburg   I-NAME
's   O
insurance   O
is   O
provided   O
by   O
Community   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Sarasota   I-LOCATION
County   I-LOCATION
,   O
account   O
number   O
GW:39198:608879   B-ID
.   O

Please   O
use   O
ad815   B-NAME
for   O
all   O
future   O
registrations   O
and   O
access   O
to   O
digital   O
healthcare   O
information   O
.   O

Patient   O
Name   O
:   O
Mauricio   B-NAME
Whitaker   I-NAME
Age   O
:   O
23s   O
ID   O
:   O
7602499   B-ID
Medical   O
Record   O
:   O
29433821   B-ID
Phone   O
:   O
160   B-CONTACT
9753   I-CONTACT
Doctor   O
:   O
Sellers   B-NAME
The   O
patient   O
,   O
Jakobe   B-NAME
Rodriguez   I-NAME
,   O
presented   O
to   O
the   O
Arnot   B-LOCATION
Ogden   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ER   O
on   O
1869   B-DATE
,   O
complaining   O
of   O
severe   O
shortness   O
of   O
breath   O
,   O
which   O
was   O
identified   O
medically   O
as   O
Dyspnea   O
,   O
with   O
an   O
accompanying   O
chest   O
pain   O
known   O
as   O
Angina   O
Pectoris   O
.   O

Following   O
a   O
detailed   O
examination   O
carried   O
out   O
by   O
Dr.   O
Webb   B-NAME
,   O
the   O
patient   O
was   O
also   O
reportedly   O
suffering   O
from   O
a   O
high   O
fever   O
and   O
endorsed   O
a   O
productive   O
cough   O
,   O
indicating   O
potential   O
bronchitis   O
.   O

The   O
current   O
residential   O
address   O
of   O
the   O
patient   O
is   O
Chelsea   B-LOCATION
and   O
their   O
postal   O
code   O
is   O
74253   B-LOCATION
.   O

The   O
medical   O
record   O
number   O
for   O
the   O
patient   O
is   O
4576446   B-ID
.   O

The   O
American   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Musicians   I-LOCATION
insurance   O
held   O
by   O
the   O
patient   O
bears   O
the   O
ID   O
NV768/7227   B-ID
.   O

A   O
degree   O
of   O
confidentiality   O
was   O
sought   O
while   O
handling   O
the   O
patient   O
's   O
data   O
,   O
with   O
only   O
the   O
assigned   O
doctor   O
,   O
Jaylynn   B-NAME
Mullen   I-NAME
,   O
having   O
access   O
to   O
these   O
credentials   O
.   O

Radiographic   O
studies   O
,   O
including   O
a   O
chest   O
radiograph   O
and   O
computed   O
tomography   O
scan   O
,   O
were   O
ordered   O
by   O
Dr.   O
Lindsey   B-NAME
to   O
further   O
investigate   O
the   O
underlying   O
cause   O
of   O
the   O
presented   O
symptoms   O
.   O

Lab   O
results   O
,   O
evaluated   O
by   O
xv72   B-NAME
,   O
were   O
indicative   O
of   O
a   O
probable   O
pulmonary   O
infection   O
,   O
necessitating   O
a   O
course   O
of   O
empiric   O
antibiotic   O
treatment   O
.   O

The   O
next   O
appointment   O
for   O
the   O
patient   O
was   O
scheduled   O
for   O
30   B-DATE
-   I-DATE
23   I-DATE
and   O
the   O
contact   O
number   O
given   O
was   O
62520   B-CONTACT
.   O

All   O
the   O
treatments   O
will   O
be   O
performed   O
in   O
Fisher   B-LOCATION
-   I-LOCATION
Titus   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
at   O
Chelyan   B-LOCATION
.   O

Patient   O
Name   O
:   O
Lutz   B-NAME
DOB   O
:   O
04/18   B-DATE
Age   O
:   O
6s   O
Gender   O
:   O
Male   O
Address   O
:   O
Pettibone   B-LOCATION
,   O
37991   B-LOCATION
Phone   O
Number   O
:   O
229   B-CONTACT
1405   I-CONTACT
Health   O
Insurance   O
:   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Peru   I-LOCATION
,   O
Policy   O
No   O
:   O
7   B-ID
-   I-ID
52100144   I-ID
Primary   O
Care   O
Physician   O
:   O

Camila   B-NAME
Reid   I-NAME
,   O
Food   O
Servers   O
,   O
Nonrestaurant   O
at   O
McLeod   B-LOCATION
Loris   I-LOCATION
Referring   O
Physician   O
:   O

Karen   B-NAME
Bader   I-NAME
Medical   O
Record   O
Number   O
:   O
51210425   B-ID
Appointment   O
Date   O
&   O
Time   O
:   O
02/02   B-DATE
Patient   O
Jackson   B-NAME
,   I-NAME
Lucille   I-NAME
presented   O
with   O
a   O
3   O
-   O
week   O
history   O
of   O
persistent   O
cough   O
,   O
myalgia   O
,   O
and   O
fatigue   O
.   O

In   O
light   O
of   O
the   O
recent   O
COVID-19   O
pandemic   O
,   O
a   O
nasopharyngeal   O
swab   O
was   O
taken   O
and   O
sent   O
for   O
SARS   O
-   O
CoV-2   O
RT   O
-   O
PCR   O
testing   O
,   O
which   O
returned   O
positive   O
on   O
the   O
mentioned   O
2/08/28   B-DATE
.   O

He   O
has   O
been   O
admitted   O
to   O
the   O
Dominican   B-LOCATION
Hospital   I-LOCATION
at   O
Cherokee   B-LOCATION
and   O
is   O
currently   O
quarantined   O
,   O
receiving   O
supportive   O
treatment   O
aimed   O
at   O
relieving   O
symptoms   O
,   O
and   O
the   O
prescribed   O
antiviral   O
therapy   O
as   O
per   O
recent   O
COVID-19   O
management   O
guidelines   O
.   O

Next   O
of   O
kin   O
:   O
Daughter   O
,   O
Animal   O
Control   O
Workers   O
,   O
Contact   O
:   O
963   B-CONTACT
-   I-CONTACT
3896   I-CONTACT
Doctor   O
's   O
Username   O
:   O
AO5410   B-NAME

Patient   O
Name   O
:   O
Adelyn   B-NAME
Salinas   I-NAME
Age   O
:   O
43s   O
Consulting   O
Physician   O
:   O
Kiana   B-NAME
Sutherland   I-NAME
I   O
met   O
the   O
patient   O
,   O
Branden   B-NAME
,   I-NAME
Nathaniel   I-NAME
,   O
in   O
my   O
office   O
at   O
Rush   B-LOCATION
Oak   I-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
on   O
February   B-DATE
2022   I-DATE
.   O

He   O
is   O
a   O
history   O
teacher   O
,   O
occupation   O
judge   O
,   O
living   O
in   O
Sutherland   B-LOCATION
with   O
zip   O
code   O
-   O
34794   B-LOCATION
.   O

His   O
phone   O
contact   O
is   O
713   B-CONTACT
6876   I-CONTACT
.   O

Sputum   O
cultures   O
will   O
be   O
sent   O
to   O
the   O
Syndicate   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
for   O
further   O
analysis   O
.   O

His   O
medical   O
history   O
,   O
record   O
number   O
144   B-ID
-   I-ID
37   I-ID
-   I-ID
48   I-ID
,   O
shows   O
a   O
positive   O
smoking   O
habit   O
for   O
over   O
20   O
years   O
but   O
no   O
history   O
of   O
lung   O
pathology   O
.   O

He   O
was   O
identified   O
as   O
a   O
potential   O
patient   O
from   O
the   O
database   O
under   O
the   O
username   O
,   O
EY77   B-NAME
.   O
Pulmonary   O
function   O
tests   O
and   O
chest   O
X   O
-   O
Ray   O
have   O
been   O
advised   O
to   O
rule   O
out   O
any   O
possibility   O
of   O
COPD   O
.   O

Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
has   O
been   O
given   O
an   O
inhaler   O
for   O
immediate   O
relief   O
and   O
prescribed   O
antibiotics   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
after   O
10   O
days   O
.   O

In   O
case   O
the   O
condition   O
does   O
n't   O
improve   O
,   O
Gina   B-NAME
Kevin   I-NAME
Irons   I-NAME
has   O
been   O
suggested   O
to   O
reach   O
out   O
to   O
our   O
hospital   O
,   O
Ellenville   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
or   O
to   O
another   O
professional   O
in   O
our   O
group   O
of   O
healthcare   O
providers   O
with   O
ID   O
WI599/4573   B-ID
.   O

Report   O
Prepared   O
by   O
:   O
Kolten   B-NAME
Erickson   I-NAME
on   O
02/24/28   B-DATE

Patient   O
Presentation   O
:   O
Terrance   B-NAME
Braun   I-NAME
presented   O
to   O
Baptist   B-LOCATION
Health   I-LOCATION
Madisonville   I-LOCATION
on   O
2366   B-DATE
.   O

The   O
patient   O
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
which   O
he   O
has   O
been   O
managing   O
with   O
medication   O
prescribed   O
by   O
Jayvon   B-NAME
Lawrence   I-NAME
.   O
Evaluation   O
:   O

Personal   O
Information   O
:   O
He   O
is   O
a   O
resident   O
of   O
Newbury   B-LOCATION
and   O
his   O
zip   O
code   O
is   O
27059   B-LOCATION
.   O

Akinola   B-NAME
,   I-NAME
Peter   I-NAME
Jasper   I-NAME
is   O
retired   O
but   O
spent   O
his   O
career   O
working   O
as   O
a   O
Logistics   O
Analysts   O
.   O

Next   O
Steps   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
the   O
MRI   O
scan   O
,   O
the   O
patient   O
was   O
admitted   O
under   O
Carlyle   B-NAME
,   I-NAME
Thomas   I-NAME
's   O
care   O
for   O
further   O
management   O
and   O
treatment   O
.   O

Patient   O
's   O
ID   O
in   O
our   O
database   O
is   O
NJ646/2741   B-ID
and   O
the   O
hospital   O
provided   O
965   B-CONTACT
-   I-CONTACT
5243   I-CONTACT
as   O
a   O
contact   O
number   O
for   O
any   O
further   O
requirements   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
69844099   B-ID
.   O

Consulting   O
with   O
a   O
dietitian   O
from   O
Lincoln   B-LOCATION
Park   I-LOCATION
Saving   I-LOCATION
Bank   I-LOCATION
can   O
be   O
beneficial   O
in   O
this   O
regard   O
.   O

The   O
patient   O
's   O
case   O
was   O
recorded   O
and   O
will   O
be   O
updated   O
by   O
ytb616   B-NAME
,   O
ensuring   O
all   O
relevant   O
changes   O
are   O
documented   O
.   O

Patient   O
Name   O
:   O
Snyder   B-NAME
Age   O
:   O
71   O
Address   O
:   O
Haw   B-LOCATION
River   I-LOCATION
Phone   O
Number   O
:   O
97857   B-CONTACT
ID   O
:   O
3   B-ID
-   I-ID
2920194   I-ID
Zip   O
Code   O
:   O
77731   B-LOCATION
Job   O
:   O
Job   O
Printers   O
Medical   O
Record   O
:   O
49026570   B-ID
Username   O
:   O
dl1510   B-NAME
Doctor   O
's   O
Name   O
:   O
Hays   B-NAME
Hospital   O
:   O
Spencer   B-LOCATION
Hospital   I-LOCATION
Date   O
:   O
07/26   B-DATE
Organization   O
:   O

International   B-LOCATION
Humanist   I-LOCATION
and   I-LOCATION
Ethical   I-LOCATION
Union   I-LOCATION
Mr.   O
Arielle   B-NAME
English   I-NAME
of   O
20   O
years   O
,   O
living   O
in   O
California   B-LOCATION
contacted   O
us   O
via   O
(   B-CONTACT
585   I-CONTACT
)   I-CONTACT
596   I-CONTACT
-   I-CONTACT
7856   I-CONTACT
on   O
12/33/84   B-DATE
.   O

He   O
is   O
an   O
employee   O
at   O
International   B-LOCATION
League   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   O
works   O
as   O
a   O
Landscape   O
architect   O
.   O

His   O
ID   O
code   O
in   O
our   O
database   O
is   O
SX   B-ID
:   I-ID
NI:6260   I-ID
and   O
our   O
medical   O
records   O
under   O
4312669   B-ID
suggest   O
that   O
Mr.   O
Esmeralda   B-NAME
Pham   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
Type   O
2   O
Diabetes   O
.   O

On   O
March   B-DATE
0   I-DATE
,   O
he   O
complained   O
of   O
an   O
intense   O
,   O
throbbing   O
headache   O
mainly   O
in   O
the   O
frontal   O
region   O
of   O
the   O
skull   O
.   O

The   O
patient   O
's   O
ms840   B-NAME
was   O
able   O
to   O
confirm   O
no   O
recent   O
head   O
trauma   O
or   O
injury   O
,   O
negating   O
the   O
possibility   O
of   O
a   O
post   O
-   O
traumatic   O
headache   O
.   O

Given   O
his   O
medical   O
history   O
and   O
current   O
symptoms   O
,   O
a   O
differential   O
diagnosis   O
of   O
migrane   O
or   O
possible   O
meningitis   O
was   O
considered   O
by   O
Dr.   O
Philip   B-NAME
Velez   I-NAME
.   O

Dr.   O
Alexia   B-NAME
Middleton   I-NAME
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Nassau   I-LOCATION
recommended   O
a   O
full   O
neurological   O
examination   O
and   O
a   O
lumbar   O
puncture   O
to   O
rule   O
out   O
any   O
infections   O
in   O
the   O
lining   O
of   O
the   O
brain   O
.   O

Results   O
are   O
expected   O
by   O
0/03/27   B-DATE
and   O
will   O
be   O
analyzed   O
by   O
the   O
medical   O
team   O
at   O
UAMS   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
South   B-LOCATION
Pottstown   I-LOCATION
,   O
74978   B-LOCATION
.   O

For   O
further   O
communication   O
,   O
the   O
patient   O
has   O
given   O
his   O
contact   O
number   O
as   O
42537   B-CONTACT
.   O

Patient   O
name   O
:   O
Kaycee   B-NAME
Patient   O
age   O
:   O
7   O
Medical   O
Record   O
Number   O
:   O
2312876   B-ID
Synthetic   O
report   O
:   O

The   O
report   O
concerns   O
the   O
patient   O
,   O
Jakobe   B-NAME
Sexton   I-NAME
,   O
a   O
Obstetricians   O
and   O
Gynecologists   O
who   O
presented   O
at   O
the   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Orange   I-LOCATION
with   O
primary   O
complaints   O
of   O
repetitive   O
cough   O
,   O
high   O
fever   O
,   O
and   O
dyspnea   O
persisting   O
for   O
the   O
past   O
05/07   B-DATE
.   O

Influenza   O
-   O
like   O
symptoms   O
were   O
first   O
noticed   O
by   O
Amy   B-NAME
Jenkins   I-NAME
approximately   O
2   O
weeks   O
back   O
.   O

The   O
Chastity   B-NAME
Petrus   I-NAME
has   O
spent   O
0   O
month   O
years   O
working   O
as   O
a   O
Advice   O
worker   O
in   O
Durham   B-LOCATION
,   O
and   O
is   O
not   O
known   O
to   O
have   O
any   O
previous   O
significant   O
health   O
issues   O
.   O

Physical   O
examination   O
done   O
by   O
Crowfoot   B-NAME
reveals   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
heart   O
rate   O
96   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
128/82   O
mmHg   O
,   O
temperature   O
38.4   O
degree   O
Celsius   O
,   O
oxygen   O
saturation   O
96   O
%   O
on   O
room   O
air   O
.   O

The   O
patient   O
's   O
4   B-ID
-   I-ID
3695125   I-ID
was   O
checked   O
and   O
verified   O
for   O
any   O
previous   O
medical   O
history   O
.   O

The   O
Chest   O
X   O
-   O
ray   O
ordered   O
by   O
Brisa   B-NAME
Price   I-NAME
indicated   O
signs   O
of   O
atypical   O
pneumonia   O
.   O

The   O
patient   O
has   O
been   O
admitted   O
to   O
Montclair   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
diagnosis   O
.   O

This   O
information   O
has   O
been   O
communicated   O
to   O
Conner   B-NAME
Serrano   I-NAME
over   O
37352   B-CONTACT
.   O

SI410   B-NAME
has   O
recorded   O
all   O
the   O
necessary   O
patient   O
's   O
data   O
,   O
which   O
has   O
been   O
saved   O
under   O
medical   O
record   O
number   O
7197520   B-ID
.   O

For   O
further   O
queries   O
regarding   O
the   O
patient   O
,   O
one   O
can   O
reach   O
Tennova   B-LOCATION
Healthcare   I-LOCATION
-   I-LOCATION
Shelbyville   I-LOCATION
at   O
44796   B-CONTACT
.   O

The   O
patient   O
’s   O
residential   O
address   O
is   O
Council   B-LOCATION
Bluffs   I-LOCATION
,   O
11283   B-LOCATION
.   O

A   O
follow   O
-   O
up   O
has   O
been   O
scheduled   O
for   O
03/18   B-DATE
.   O

Synthetic   O
review   O
summary   O
by   O
Gardner   B-NAME
from   O
Ashburnham   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION

Patient   O
Name   O
:   O
Duncan   B-NAME
Kane   I-NAME
The   O
patient   O
,   O
a   O
Producers   O
by   O
trade   O
,   O
reported   O
to   O
Aurora   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
South   I-LOCATION
Shore   I-LOCATION
emergency   O
care   O
on   O
03/20/00   B-DATE
.   O

The   O
initial   O
examination   O
was   O
conducted   O
by   O
Huxley   B-NAME
,   I-NAME
Thomas   I-NAME
Henry   I-NAME
,   O
who   O
noted   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Additional   O
tests   O
were   O
ordered   O
by   O
Lacey   B-NAME
Booker   I-NAME
after   O
viewing   O
the   O
initial   O
test   O
results   O
.   O

Her   O
CT   O
scans   O
conducted   O
at   O
the   O
Palm   B-LOCATION
Bay   I-LOCATION
Hospital   I-LOCATION
Radiology   O
department   O
were   O
sent   O
to   O
American   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Musicians   I-LOCATION
for   O
expert   O
interpretation   O
.   O

hj513   B-NAME
,   O
a   O
specialist   O
at   O
Hirschfeld   B-LOCATION
Eddy   I-LOCATION
Foundation   I-LOCATION
,   O
confirmed   O
the   O
initial   O
diagnosis   O
of   O
acute   O
appendicitis   O
and   O
recommended   O
immediate   O
surgical   O
intervention   O
.   O

Surgery   O
was   O
conducted   O
successfully   O
on   O
March   B-DATE
at   O
Caldwell   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
.   O

She   O
was   O
discharged   O
on   O
00/07   B-DATE
with   O
advice   O
to   O
follow   O
up   O
after   O
one   O
week   O
for   O
a   O
post   O
-   O
surgery   O
check   O
-   O
up   O
and   O
to   O
contact   O
on   O
17012   B-CONTACT
in   O
case   O
of   O
any   O
concerns   O
or   O
complications   O
.   O

Patient   O
's   O
contact   O
information   O
was   O
updated   O
in   O
the   O
following   O
360   B-LOCATION
Cross   I-LOCATION
Drive   I-LOCATION
,   O
with   O
a   O
zip   O
of   O
81177   B-LOCATION
and   O
patient   O
's   O
unique   O
GI211/2741   B-ID
and   O
51465027   B-ID
were   O
filed   O
for   O
future   O
references   O
.   O

Note   O
:   O
Any   O
further   O
communication   O
should   O
be   O
made   O
on   O
this   O
registered   O
(   B-CONTACT
549   I-CONTACT
)   I-CONTACT
493   I-CONTACT
-   I-CONTACT
1289   I-CONTACT
number   O
.   O

Patient   O
Name   O
:   O
Jazlynn   B-NAME
Age   O
:   O
92   O
Date   O
:   O
Nov/07   B-DATE
Location   O
:   O
Martin   B-LOCATION
City   I-LOCATION
Zip   O
Code   O
:   O
40126   B-LOCATION
Phone   O
:   O
75255   B-CONTACT
Doctor   O
's   O
Name   O
:   O
Allen   B-NAME
Hospital   O
:   O
Broward   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
ID   O
:   O
960522   B-ID
Profession   O
:   O
Solderers   O
Username   O
:   O
PL845   B-NAME
Medical   O
Record   O
:   O
61862107   B-ID
Organization   O
:   O

Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
Detailed   O
Report   O
:   O

Woods   B-NAME
presented   O
to   O
the   O
Crotched   B-LOCATION
Mountain   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
on   O
December   B-DATE
.   O

Carma   B-NAME
Masek   I-NAME
is   O
a   O
29   O
years   O
old   O
Helpers   O
--   O
Pipelayers   O
,   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
living   O
in   O
Greenville   B-LOCATION
,   O
zip   O
code   O
44152   B-LOCATION
.   O

Linda   B-NAME
Urbanek   I-NAME
's   O
symptoms   O
first   O
started   O
appearing   O
approximately   O
two   O
weeks   O
prior   O
to   O
the   O
visit   O
,   O
but   O
have   O
progressively   O
worsened   O
.   O

Angel   B-NAME
Gibbs   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
previously   O
treated   O
by   O
Roman   B-NAME
Acosta   I-NAME
from   O
Mississippi   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Southern   I-LOCATION
Company   I-LOCATION
,   O
and   O
was   O
primarily   O
complaining   O
of   O
unrelenting   O
,   O
throbbing   O
headaches   O
that   O
intensified   O
during   O
morning   O
hours   O
,   O
dizziness   O
,   O
and   O
occasional   O
episodes   O
of   O
blurred   O
vision   O
.   O

Upon   O
further   O
investigation   O
,   O
Frank   B-NAME
also   O
reported   O
a   O
lack   O
of   O
appetite   O
and   O
feelings   O
of   O
general   O
malaise   O
.   O

Luz   B-NAME
Cordova   I-NAME
denied   O
any   O
recent   O
travel   O
activity   O
or   O
contact   O
with   O
anyone   O
ill   O
.   O

Ella   B-NAME
Nolan   I-NAME
reported   O
no   O
known   O
drug   O
allergies   O
,   O
occasional   O
alcohol   O
consumption   O
,   O
and   O
no   O
history   O
of   O
smoking   O
or   O
recreational   O
drug   O
use   O
.   O

Jeffrey   B-NAME
Burns   I-NAME
is   O
currently   O
on   O
a   O
regimen   O
of   O
Lisinopril   O
10   O
mg   O
daily   O
for   O
hypertension   O
.   O

During   O
the   O
examination   O
,   O
Terrance   B-NAME
Braun   I-NAME
exhibited   O
an   O
elevated   O
blood   O
pressure   O
range   O
of   O
160/95   O
mmHg   O
.   O

bishop   B-NAME
’s   O
Body   O
Mass   O
Index   O
(   O
BMI   O
)   O
also   O
classifies   O
Ritter   B-NAME
as   O
"   O
overweight   O
.   O
"   O

A   O
CT   O
scan   O
is   O
scheduled   O
for   O
2230   B-DATE
to   O
rule   O
out   O
any   O
intracranial   O
complications   O
.   O

Following   O
the   O
results   O
of   O
the   O
examination   O
and   O
diagnostic   O
tests   O
,   O
a   O
comprehensive   O
treatment   O
plan   O
will   O
be   O
developed   O
with   O
the   O
goal   O
of   O
effectively   O
managing   O
Joey   B-NAME
Reilly   I-NAME
’s   O
symptoms   O
and   O
improving   O
the   O
overall   O
quality   O
of   O
life   O
.   O

Emory   B-NAME
Coleman   I-NAME
will   O
be   O
overseeing   O
R.   B-NAME
Joe   I-NAME
,   I-NAME
M.   I-NAME
’s   O
case   O
and   O
coordinating   O
follow   O
-   O
up   O
visits   O
.   O

Fuentes   B-NAME
’s   O
next   O
appointment   O
is   O
scheduled   O
for   O
7/21   B-DATE
.   O

Lang   B-NAME
's   O
medical   O
record   O
number   O
is   O
207   B-ID
-   I-ID
85   I-ID
-   I-ID
28   I-ID
-   I-ID
7   I-ID
and   O
any   O
further   O
information   O
can   O
be   O
viewed   O
using   O
ZG637   B-NAME
.   O

If   O
you   O
need   O
to   O
contact   O
Sanders   B-NAME
,   O
the   O
best   O
phone   O
number   O
to   O
use   O
is   O
919   B-CONTACT
-   I-CONTACT
3061   I-CONTACT
.   O

Signed   O
,   O
King   B-NAME
Weber   I-NAME
Mitchell   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION

Patient   O
Name   O
:   O
Leroy   B-NAME
Kelly   I-NAME
DOB   O
:   O
28/08/2123   B-DATE
MRN   O
:   O
21700722   B-ID
This   O
report   O
provides   O
a   O
summary   O
of   O
Devin   B-NAME
May   I-NAME
’s   O
symptoms   O
,   O
which   O
the   O
patient   O
has   O
been   O
experiencing   O
for   O
the   O
past   O
5   O
days   O
.   O

The   O
patient   O
,   O
a   O
Waiters   O
and   O
Waitresses   O
who   O
is   O
81   O
years   O
old   O
,   O
came   O
into   O
the   O
Saint   B-LOCATION
Louis   I-LOCATION
University   I-LOCATION
Health   I-LOCATION
Science   I-LOCATION
Center   I-LOCATION
located   O
at   O
La   B-LOCATION
Grange   I-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
LaGrange   I-LOCATION
on   O
2111   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
00   I-DATE
.   O

The   O
patient   O
was   O
attended   O
to   O
by   O
Dr.   O
Yazmin   B-NAME
Rowland   I-NAME
.   O

Williamson   B-NAME
,   I-NAME
Henry   I-NAME
complained   O
of   O
experiencing   O
persistent   O
fatigue   O
,   O
difficulty   O
concentrating   O
,   O
and   O
unexplained   O
weight   O
gain   O
.   O

Laboratory   O
tests   O
were   O
conducted   O
under   O
the   O
supervision   O
of   O
Dr.   O
Faulkner   B-NAME
.   O

Thyroid   O
profile   O
results   O
are   O
currently   O
pending   O
and   O
will   O
be   O
accessible   O
via   O
their   O
secure   O
patient   O
portal   O
,   O
username   O
:   O
wkw538   B-NAME
and   O
the   O
result   O
will   O
be   O
communicated   O
via   O
919   B-CONTACT
-   I-CONTACT
9816   I-CONTACT
.   O

Past   O
medical   O
history   O
of   O
the   O
patient   O
includes   O
a   O
similar   O
,   O
but   O
comparatively   O
less   O
severe   O
episodes   O
of   O
observed   O
symptoms   O
,   O
dating   O
approximately   O
two   O
years   O
back   O
according   O
to   O
Direct   B-LOCATION
Action   I-LOCATION
Everywhere   I-LOCATION
(   I-LOCATION
DxE   I-LOCATION
)   I-LOCATION
's   O
records   O
with   O
the   O
patient   O
's   O
HQ   B-ID
:   I-ID
AK:4565   I-ID
.   O

Contact   O
:   O
(   B-CONTACT
804   I-CONTACT
)   I-CONTACT
657   I-CONTACT
-   I-CONTACT
1733   I-CONTACT
Account   O
number   O
:   O
PT   B-ID
:   I-ID
AB:7639   I-ID
Address   O
:   O
Hounslow   B-LOCATION
,   O
55017   B-LOCATION
Licensed   O
Hospital   O
:   O
McLaren   B-LOCATION
Flint   I-LOCATION
NOTE   O
:   O

This   O
report   O
will   O
also   O
be   O
sent   O
to   O
the   O
patient   O
and   O
their   O
primary   O
care   O
physician   O
via   O
PHI   O
secure   O
transmission   O
,   O
ensuring   O
their   O
HIPAA   O
rights   O
are   O
maintained   O
and   O
all   O
precautions   O
are   O
taken   O
as   O
per   O
the   O
protocols   O
followed   O
at   O
Equanimal   B-LOCATION
.   O

Prepared   O
by   O
Sierra   B-NAME
Mcconnell   I-NAME
00/46   B-DATE

Patient   O
Name   O
:   O
Gayle   B-NAME
Arrant   I-NAME
DOB   O
:   O
32/39   B-DATE
Age   O
:   O
3   O
Sex   O
:   O
Male   O
ID   O
:   O
SL   B-ID
:   I-ID
UQ:2773   I-ID
Address   O
:   O
Kinsman   B-LOCATION
10/28   B-DATE
,   O
Dear   O
Cain   B-NAME
,   O
The   O
patient   O
,   O
Jacoby   B-NAME
Cuevas   I-NAME
,   O
visited   O
Kansas   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
reporting   O
symptoms   O
of   O
acute   O
appendicitis   O
.   O

For   O
any   O
queries   O
,   O
you   O
can   O
reach   O
me   O
at   O
the   O
number   O
(   B-CONTACT
497   I-CONTACT
)   I-CONTACT
104   I-CONTACT
-   I-CONTACT
5456   I-CONTACT
.   O

The   O
requisition   O
number   O
of   O
this   O
report   O
is   O
23498427   B-ID
.   O

Thank   O
you   O
,   O
Cameron   B-NAME
,   I-NAME
Julia   I-NAME
International   B-LOCATION
Coalition   I-LOCATION
against   I-LOCATION
Enforced   I-LOCATION
Disappearances   I-LOCATION
Clearfield   B-LOCATION
,   O
49180   B-LOCATION
nc19   B-NAME

Patient   O
Report   O
-------------------   O
Patient   O
Name   O
:   O
Navarro   B-NAME
Date   O
of   O
Visit   O
:   O
Monday   B-DATE
,   I-DATE
June   I-DATE
Doctor   O
attending   O
:   O
Benitez   B-NAME
Location   O
of   O
Consultation   O
:   O
Baptist   B-LOCATION
Saint   I-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
The   O
patient   O
,   O
Nehemiah   B-NAME
Lamb   I-NAME
,   O
presented   O
with   O
a   O
chief   O
complaint   O
of   O
dyspnea   O
and   O
chest   O
discomfort   O
,   O
along   O
with   O
an   O
intermittent   O
dry   O
cough   O
.   O

The   O
patient   O
also   O
noted   O
an   O
increased   O
heart   O
rate   O
,   O
or   O
tachycardia   O
,   O
especially   O
notable   O
upon   O
exertion   O
which   O
has   O
been   O
limiting   O
Sherrill   B-NAME
Noland   I-NAME
's   O
daily   O
activities   O
.   O

Diagnostic   O
tests   O
including   O
chest   O
X   O
-   O
ray   O
and   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
were   O
ordered   O
and   O
the   O
patient   O
was   O
referred   O
to   O
the   O
lab   O
at   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
Kings   I-LOCATION
County   I-LOCATION
.   O

The   O
results   O
from   O
the   O
lab   O
,   O
saved   O
under   O
the   O
medical   O
record   O
number   O
0880   B-ID
:   I-ID
S64592   I-ID
,   O
indicated   O
higher   O
than   O
normal   O
levels   O
of   O
white   O
blood   O
cells   O
,   O
suggesting   O
a   O
possible   O
infection   O
.   O

The   O
chest   O
X   O
-   O
ray   O
,   O
interpreted   O
by   O
radiologist   O
Sellers   B-NAME
,   O
showed   O
bilateral   O
infiltrates   O
that   O
raised   O
concerns   O
about   O
developing   O
pneumonia   O
.   O

A   O
consultation   O
with   O
a   O
pulmonologist   O
at   O
Holy   B-LOCATION
Name   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
also   O
arranged   O
for   O
00/31/2032   B-DATE
.   O

Alana   B-NAME
Curington   I-NAME
was   O
advised   O
to   O
call   O
91946   B-CONTACT
for   O
any   O
worsening   O
symptoms   O
.   O

Follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
2362   B-DATE
at   O
our   O
Duck   B-LOCATION
Key   I-LOCATION
clinic   O
.   O

Diana   B-NAME
Walton   I-NAME
's   O
insurance   O
details   O
were   O
confirmed   O
(   O
insurance   O
ID   O
:   O
SJ:41019:596444   B-ID
)   O
and   O
the   O
copay   O
was   O
processed   O
.   O

Address   O
on   O
file   O
is   O
71   B-LOCATION
West   I-LOCATION
Valley   I-LOCATION
View   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
15194   B-LOCATION
.   O

FRANK   B-NAME
EMMONS   I-NAME
's   O
employment   O
with   O
City   B-LOCATION
of   I-LOCATION
Chattahoochee   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
as   O
a   O
Offset   O
Lithographic   O
Press   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
was   O
also   O
verified   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
feel   O
free   O
to   O
contact   O
my   O
office   O
at   O
94261   B-CONTACT
.   O

(   O
Document   O
notes   O
recorded   O
using   O
ZV140   B-NAME
)   O
Report   O
prepared   O
by   O
Saniyah   B-NAME
Schroeder   I-NAME

Patient   O
Report   O
:   O
Daniel   B-NAME
was   O
admitted   O
to   O
Essentia   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Fargo   I-LOCATION
on   O
33/21/2103   B-DATE
.   O

Kayleen   B-NAME
Steinbeck   I-NAME
's   O
medical   O
records   O
,   O
number   O
62958877   B-ID
,   O
also   O
indicated   O
a   O
history   O
of   O
ischemic   O
heart   O
disease   O
and   O
hypertension   O
.   O

The   O
patient   O
was   O
under   O
the   O
care   O
of   O
Benjamin   B-NAME
,   I-NAME
Walter   I-NAME
,   O
a   O
renowned   O
cardiologist   O
affiliated   O
with   O
Lake   B-LOCATION
City   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Emergency   O
contact   O
for   O
Oppenheimer   B-NAME
,   I-NAME
J.   I-NAME
Robert   I-NAME
is   O
a   O
Pipelayers   O
and   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
388   I-CONTACT
)   I-CONTACT
232   I-CONTACT
-   I-CONTACT
4829   I-CONTACT
.   O

Gilberto   B-NAME
Torres   I-NAME
's   O
address   O
is   O
LL77   B-LOCATION
2GQ   I-LOCATION
,   O
93466   B-LOCATION
.   O

During   O
the   O
admission   O
,   O
Uselton   B-NAME
was   O
started   O
on   O
intravenous   O
diuretics   O
and   O
vasodilators   O
.   O

The   O
hospital   O
's   O
affiliated   O
Oligarcy   B-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
was   O
contacted   O
for   O
further   O
investigation   O
.   O

Susan   B-NAME
Noyes   I-NAME
has   O
an   O
appointment   O
scheduled   O
on   O
2/26   B-DATE
for   O
a   O
further   O
evaluation   O
by   O
a   O
cardiac   O
surgeon   O
.   O

The   O
patient   O
consent   O
forms   O
for   O
the   O
procedure   O
have   O
been   O
prepared   O
and   O
identification   O
confirmed   O
with   O
his   O
National   O
ID   O
number   O
4   B-ID
-   I-ID
7587388   I-ID
.   O

After   O
reviewing   O
all   O
the   O
patient   O
's   O
reports   O
,   O
Martinez   B-NAME
has   O
put   O
together   O
a   O
comprehensive   O
management   O
plan   O
including   O
medication   O
adjustments   O
and   O
lifestyle   O
modifications   O
.   O

Signed   O
,   O
fg23   B-NAME
Medical   O
Associate   O
,   O
Cardiology   O
Department   O
,   O
Jersey   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Name   O
:   O
Kyron   B-NAME
M.   I-NAME
Castaneda   I-NAME
Age   O
:   O
43   O
Address   O
:   O
Staten   B-LOCATION
Island   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10306   I-LOCATION
Phone   O
number   O
:   O
126   B-CONTACT
-   I-CONTACT
2840   I-CONTACT
Medical   O
Record   O
Number   O
:   O
285   B-ID
-   I-ID
56   I-ID
-   I-ID
10   I-ID
-   I-ID
1   I-ID
ID   O
:   O
MZ:923100:789724   B-ID
Saturday   B-DATE
,   I-DATE
November   I-DATE
To   O
Dr.   O
Escher   B-NAME
,   I-NAME
M.   I-NAME
C.   I-NAME
,   O
I   O
am   O
writing   O
to   O
inform   O
you   O
that   O
Howe   B-NAME
presented   O
with   O
persistent   O
symptoms   O
of   O
abdominal   O
discomfort   O
and   O
nausea   O
over   O
the   O
past   O
two   O
weeks   O
.   O

An   O
endoscopy   O
was   O
performed   O
at   O
our   O
St.   B-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Tacoma   I-LOCATION
on   O
2/22   B-DATE
to   O
further   O
investigate   O
the   O
gastric   O
issues   O
.   O

The   O
patient   O
works   O
as   O
a   O
Transportation   O
,   O
Storage   O
,   O
and   O
Distribution   O
Managers   O
,   O
and   O
during   O
our   O
interaction   O
,   O
he   O
expressed   O
experiencing   O
significant   O
stress   O
at   O
his   O
workplace   O
in   O
Bank   B-LOCATION
USA   I-LOCATION
,   I-LOCATION
N.A   I-LOCATION
.   I-LOCATION
.   O

For   O
further   O
information   O
about   O
the   O
patient   O
's   O
medical   O
records   O
,   O
please   O
log   O
in   O
with   O
your   O
provided   O
wuz431   B-NAME
.   O

I   O
have   O
sent   O
the   O
patient   O
's   O
complete   O
medical   O
history   O
,   O
along   O
with   O
his   O
examination   O
and   O
test   O
results   O
to   O
your   O
MercyOne   B-LOCATION
West   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
email   O
.   O

Please   O
contact   O
me   O
at   O
560   B-CONTACT
-   I-CONTACT
1014   I-CONTACT
so   O
we   O
can   O
discuss   O
the   O
best   O
possible   O
treatment   O
modalities   O
for   O
Brayan   B-NAME
Martinez   I-NAME
based   O
on   O
his   O
current   O
health   O
status   O
.   O

Regards   O
,   O
Robbins   B-NAME
38894   B-LOCATION

Patient   O
:   O
Bolano   B-NAME
,   I-NAME
Roberto   I-NAME
Age   O
:   O
24   O
Date   O
of   O
Assessment   O
:   O
1/03/88   B-DATE
Referring   O
Doctor   O
:   O
Mcneil   B-NAME
ID   O
:   O
FM   B-ID
:   I-ID
JA:2311   I-ID
Phone   O
:   O
234   B-CONTACT
7855   I-CONTACT
Record   O
Number   O
:   O
51874685   B-ID
Patient   O
Johnson   B-NAME
Neja   I-NAME
,   O
who   O
works   O
as   O
a   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
mentioned   O
ongoing   O
symptoms   O
of   O
severe   O
,   O
recurrent   O
chest   O
pain   O
,   O
predominantly   O
occurring   O
during   O
physical   O
exertion   O
and   O
easing   O
with   O
rest   O
.   O

On   O
physical   O
examination   O
,   O
patient   O
Jack   B-NAME
McGuire   I-NAME
appeared   O
pale   O
with   O
an   O
elevated   O
heart   O
rate   O
.   O

Liana   B-NAME
Fletcher   I-NAME
recommended   O
immediate   O
coronary   O
angiography   O
.   O

The   O
patient   O
was   O
immediately   O
transferred   O
to   O
NorthShore   B-LOCATION
University   I-LOCATION
HealthSystem   I-LOCATION
-Evanston   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Riley   B-LOCATION
for   O
further   O
investigations   O
.   O

You   O
can   O
contact   O
the   O
cardiologist   O
's   O
office   O
using   O
the   O
following   O
phone   O
number   O
:   O
79175   B-CONTACT
.   O

Patient   O
Oliver   B-NAME
Ludwig   I-NAME
is   O
advised   O
not   O
to   O
engage   O
in   O
strenuous   O
physical   O
activity   O
until   O
further   O
assessment   O
.   O

Medication   O
details   O
will   O
be   O
sent   O
to   O
the   O
pharmacy   O
designated   O
by   O
City   B-LOCATION
of   I-LOCATION
Bushnell   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
in   O
the   O
13073   B-LOCATION
area   O
.   O

This   O
report   O
was   O
created   O
by   O
tj445   B-NAME
on   O
10/22   B-DATE
.   O
Please   O
note   O
that   O
all   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
in   O
this   O
report   O
is   O
confidential   O
and   O
should   O
be   O
treated   O
as   O
such   O
.   O

Unauthorized   O
disclosure   O
can   O
be   O
reported   O
through   O
our   O
helpline   O
:   O
86169   B-CONTACT
.   O

The   O
patient   O
's   O
authorization   O
(   O
ID   O
:   O
9   B-ID
-   I-ID
1195274   I-ID
)   O
is   O
needed   O
for   O
sharing   O
or   O
discussing   O
these   O
details   O
outside   O
of   O
authorized   O
hospital   O
staff   O
.   O

Patient   O
Peyton   B-NAME
Ochoa   I-NAME
presented   O
to   O
AdventHealth   B-LOCATION
Daytona   I-LOCATION
Beach   I-LOCATION
ER   O
on   O
2/3   B-DATE
with   O
complaints   O
of   O
intense   O
abdominal   O
pain   O
and   O
vomiting   O
.   O

This   O
case   O
is   O
being   O
managed   O
by   O
Kade   B-NAME
Dillon   I-NAME
.   O

His   O
emergency   O
contact   O
is   O
704   B-CONTACT
9176   I-CONTACT
.   O

The   O
surgical   O
team   O
led   O
by   O
Wang   B-NAME
performed   O
laparoscopic   O
appendectomy   O
.   O

The   O
specimen   O
was   O
sent   O
to   O
the   O
pathology   O
lab   O
at   O
Tennessee   B-LOCATION
Valley   I-LOCATION
Authority   I-LOCATION
for   O
histological   O
examination   O
.   O

The   O
operation   O
notes   O
and   O
entire   O
patient   O
data   O
were   O
updated   O
in   O
6164666   B-ID
.   O

The   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
9/43   B-DATE
at   O
Northwestern   B-LOCATION
Medicine   I-LOCATION
Kishwaukee   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
directions   O
to   O
the   O
hospital   O
located   O
at   O
Waynesburg   B-LOCATION
,   I-LOCATION
Waynesburg   I-LOCATION
Prosperous   I-LOCATION
&   I-LOCATION
Beautiful   I-LOCATION
with   O
zip   O
code   O
98453   B-LOCATION
was   O
sent   O
to   O
the   O
patient   O
via   O
email   O
.   O

Patient   O
was   O
discharged   O
on   O
August   B-DATE
22   I-DATE
,   I-DATE
2106   I-DATE
in   O
stable   O
condition   O
with   O
prescriptions   O
for   O
pain   O
medication   O
and   O
antibiotics   O
.   O

He   O
was   O
encouraged   O
to   O
contact   O
us   O
via   O
(   B-CONTACT
661   I-CONTACT
)   I-CONTACT
996   I-CONTACT
4148   I-CONTACT
or   O
via   O
our   O
online   O
patient   O
portal   O
(   O
username   O
:   O
jcb35   B-NAME
)   O
if   O
any   O
concerns   O
or   O
post   O
-   O
surgical   O
complications   O
arose   O
.   O

Note   O
:   O
Patient   O
's   O
primary   O
care   O
doctor   O
works   O
in   O
Silver   B-LOCATION
Lake   I-LOCATION
.   O

His   O
National   O
ID   O
is   O
2096536   B-ID
for   O
future   O
references   O
.   O

Patient   O
Name   O
:   O
Destiny   B-NAME
Tran   I-NAME
Age   O
:   O
62   O
Clinical   O
Presentation   O
:   O
Jaslene   B-NAME
Rice   I-NAME
visited   O
the   O
Emergency   O
Department   O
on   O
12/32   B-DATE
with   O
the   O
chief   O
complaint   O
of   O
continuous   O
,   O
high   O
grade   O
fever   O
for   O
3   O
days   O
,   O
unresponsive   O
to   O
common   O
fever   O
reducing   O
medicines   O
.   O

On   O
checking   O
the   O
previous   O
medical   O
records   O
with   O
MEDICALRECORD   O
37485074   B-ID
,   O
it   O
was   O
found   O
that   O
Morton   B-NAME
is   O
a   O
type   O
2   O
diabetic   O
and   O
hypertensive   O
patient   O
.   O

Upon   O
examination   O
by   O
Ean   B-NAME
Kline   I-NAME
,   O
Genesis   B-NAME
Frederick   I-NAME
's   O
temperature   O
was   O
noted   O
to   O
be   O
100.7   O
°   O
F   O
.   O

Diagnostic   O
Evaluation   O
:   O
All   O
necessary   O
investigations   O
and   O
imaging   O
were   O
ordered   O
right   O
away   O
in   O
Inspira   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Elmer   I-LOCATION
.   O

Treatment   O
:   O
He   O
was   O
admitted   O
to   O
Mission   B-LOCATION
Hospital   I-LOCATION
where   O
he   O
was   O
administered   O
his   O
first   O
dose   O
of   O
intravenous   O
antibiotics   O
by   O
Ford   B-NAME
.   O

His   O
diabetic   O
and   O
hypertensive   O
status   O
is   O
been   O
managed   O
by   O
Freeman   B-NAME
in   O
close   O
monitoring   O
.   O

Follow   O
Up   O
:   O
Magnentius   B-NAME
Haakinson   I-NAME
has   O
been   O
advised   O
to   O
remain   O
under   O
observation   O
for   O
the   O
next   O
48   O
hours   O
.   O

Liddy   B-NAME
,   I-NAME
G.   I-NAME
Gordon   I-NAME
’s   O
office   O
has   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Aidan   B-NAME
Blevins   I-NAME
on   O
9   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
47   I-DATE
.   O

Contact   O
information   O
for   O
Greene   B-NAME
’s   O
office   O
is   O
(   B-CONTACT
145   I-CONTACT
)   I-CONTACT
309   I-CONTACT
-   I-CONTACT
9690   I-CONTACT
.   O

Location   O
:   O
8219   B-LOCATION
Hawthorne   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION

Zip   O
:   O
47454   B-LOCATION
ID   O
:   O
QI   B-ID
:   I-ID
WU:1997   I-ID
Organization   O
:   O

List   B-LOCATION
of   I-LOCATION
left   I-LOCATION
-   I-LOCATION
wing   I-LOCATION
internationals   I-LOCATION
Profession   O
:   O
Fire   O
-   O
Prevention   O
and   O
Protection   O
Engineers   O
Username   O
:   O
ty238   B-NAME
This   O
report   O
has   O
been   O
compiled   O
and   O
approved   O
by   O
Marks   B-NAME
.   O

Patient   O
Name   O
:   O
Isaac   B-NAME
Ferraro   I-NAME
Date   O
of   O
Birth   O
:   O
00/23   B-DATE
Address   O
:   O
Shueyville   B-LOCATION
,   O
44410   B-LOCATION
Occupation   O
:   O
Food   O
Service   O
Managers   O
Doctor   O
's   O
Name   O
:   O
Einstein   B-NAME
,   I-NAME
Albert   I-NAME
Hospital   O
Name   O
:   O

MedStar   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
2347382   B-ID
Phone   O
Number   O
:   O
59374   B-CONTACT
Social   O
Security   O
Number   O
:   O
UR495/2788   B-ID
Patient   O
Abdiel   B-NAME
Reeves   I-NAME
presented   O
to   O
Team   B-LOCATION
Vision   I-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
West   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
on   O
21/23/79   B-DATE
with   O
complaints   O
of   O
chronic   O
abdominal   O
discomfort   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Kamren   B-NAME
Holder   I-NAME
also   O
reported   O
a   O
decreased   O
appetite   O
and   O
unintentional   O
weight   O
loss   O
in   O
the   O
last   O
month   O
.   O

On   O
physical   O
examination   O
by   O
Dr.   O
Owens   B-NAME
,   O
the   O
patient   O
’s   O
abdomen   O
appeared   O
distended   O
with   O
hypoactive   O
bowel   O
sounds   O
.   O

Review   O
of   O
medical   O
record   O
533   B-ID
-   I-ID
46   I-ID
-   I-ID
79   I-ID
-   I-ID
0   I-ID
showed   O
no   O
previous   O
history   O
of   O
similar   O
symptoms   O
.   O

Dr.   O
Zara   B-NAME
Schneider   I-NAME
referred   O
Josephine   B-NAME
Booth   I-NAME
to   O
a   O
gastroenterologist   O
in   O
Orange   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
.   O

The   O
patient   O
’s   O
healthcare   O
provider   O
,   O
Amicalola   B-LOCATION
EMC   I-LOCATION
,   O
was   O
notified   O
about   O
the   O
ongoing   O
situation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
12/08/2011   B-DATE
.   O

Before   O
patient   O
Tomas   B-NAME
Odonnell   I-NAME
left   O
,   O
all   O
the   O
consultation   O
details   O
were   O
emailed   O
to   O
patient   O
’s   O
username   O

tw415   B-NAME
.   O

Detailed   O
instructions   O
were   O
given   O
to   O
call   O
us   O
back   O
at   O
294   B-CONTACT
4704   I-CONTACT
in   O
case   O
of   O
any   O
health   O
deterioration   O
or   O
if   O
symptoms   O
persist   O
or   O
worsens   O
.   O

The   O
follow   O
-   O
up   O
plan   O
and   O
continual   O
surveillance   O
will   O
hopefully   O
provide   O
a   O
clear   O
path   O
for   O
Bridger   B-NAME
Houston   I-NAME
's   O
diagnosis   O
and   O
treatment   O
plan   O
.   O

Onward   O
,   O
the   O
efforts   O
will   O
be   O
directed   O
to   O
manage   O
the   O
patient   O
’s   O
condition   O
and   O
maintain   O
a   O
good   O
quality   O
of   O
life   O
,   O
while   O
living   O
in   O
Waianae   B-LOCATION
.   O

Also   O
,   O
Kennedy   B-NAME
Morse   I-NAME
's   O
Biologists   O
may   O
have   O
specific   O
occupational   O
hazards   O
that   O
need   O
to   O
be   O
addressed   O
.   O

Further   O
assessments   O
and   O
interventions   O
will   O
be   O
based   O
on   O
the   O
findings   O
of   O
the   O
specialists   O
at   O
East   B-LOCATION
Morgan   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
edge   B-NAME
Date   O
of   O
Birth   O
:   O
Sunday   B-DATE
,   I-DATE
June   I-DATE
Age   O
:   O
51   O
Family   O
Physician   O
:   O

Jaycee   B-NAME
Marsh   I-NAME
Referring   O
Physician   O
:   O
Berger   B-NAME
Medical   O
Record   O
Number   O
:   O
27150126   B-ID
Date   O
of   O
Consultation   O
:   O
2090   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
03   I-DATE
Rojas   B-NAME
,   O
I   O
had   O
the   O
opportunity   O
to   O
evaluate   O
Bunny   B-NAME
Willis   I-NAME
at   O
Eskenazi   B-LOCATION
Health   I-LOCATION
on   O
13/03/93   B-DATE
.   O

Chief   O
Complaint   O
:   O
Koleyna   B-NAME
is   O
a   O
13   O
-   O
year   O
-   O
old   O
individual   O
who   O
presents   O
with   O
progressive   O
,   O
chronic   O
shortness   O
of   O
breath   O
for   O
approximately   O
6   O
weeks   O
duration   O
.   O

Givens   B-NAME
also   O
mentioned   O
experiencing   O
nocturnal   O
dyspnea   O
and   O
erased   O
feet   O
swelling   O
.   O

Physical   O
Examination   O
:   O
On   O
examination   O
,   O
Adison   B-NAME
Best   I-NAME
was   O
found   O
to   O
be   O
mildly   O
tachypneic   O
with   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
a   O
BMI   O
of   O
32   O
,   O
suggesting   O
obesity   O
.   O

Investigations   O
:   O
-   O
CBC   O
reported   O
on   O
7/1   B-DATE
showed   O
Hemoglobin   O
11   O
g   O
/   O
dL   O
and   O
WBC   O
count   O
of   O
8000   O
cells   O
/   O
mcL.   O
-   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
03/'21   B-DATE
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
McCall   I-LOCATION
showed   O
features   O
suggestive   O
of   O
congestive   O
heart   O
failure   O
with   O
bilateral   O
lower   O
lobe   O
opacities   O
.   O

Kindly   O
have   O
Owen   B-NAME
Harper   I-NAME
back   O
in   O
the   O
clinic   O
for   O
follow   O
up   O
in   O
4   O
weeks   O
(   O
tentative   O
date   O
:   O
01/00/04   B-DATE
)   O
.   O

Glas   B-NAME
may   O
contact   O
me   O
at   O
my   O
office   O
20349   B-CONTACT
for   O
any   O
immediate   O
health   O
concerns   O
.   O

Thank   O
you   O
for   O
referring   O
Salma   B-NAME
Dalton   I-NAME
to   O
our   O
Operative   B-LOCATION
Plasterers   I-LOCATION
'   I-LOCATION
and   I-LOCATION
Cement   I-LOCATION
Masons   I-LOCATION
'   I-LOCATION
International   I-LOCATION
Association   I-LOCATION
.   O

Yours   O
Sincerely   O
,   O
Maynard   B-NAME
Department   O
of   O
Cardiology   O
,   O
Mary   B-LOCATION
Washington   I-LOCATION
Hospital   I-LOCATION
.   O

Address   O
:   O
Randallstown   B-LOCATION
,   O
17241   B-LOCATION
Phone   O
:   O
996   B-CONTACT
-   I-CONTACT
912   I-CONTACT
1996   I-CONTACT
Email   O
:   O
du404   B-NAME
@hospitalmail.com   O
ID   O
:   O
539374022   B-ID

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Camille   B-NAME
Mckeen   I-NAME
Age   O
:   O
8   O
Location   O
:   O

Aiea   B-LOCATION
Phone   O
number   O
:   O
17561   B-CONTACT
Medical   O
History   O
:   O
Mr.   O
Henson   B-NAME
presented   O
to   O
the   O
Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
symptoms   O
suggestive   O
of   O
angina   O
pectoris   O
on   O
17/26   B-DATE
.   O

During   O
the   O
initial   O
assessment   O
,   O
Dr.   O
Gordon   B-NAME
gathered   O
the   O
patient   O
's   O
past   O
medical   O
records   O
which   O
featured   O
a   O
history   O
of   O
hypertension   O
,   O
hyperlipidemia   O
,   O
and   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O

The   O
patient   O
's   O
Medical   O
Record   O
Number   O
is   O
06005771   B-ID
and   O
his   O
ID   O
number   O
is   O
75509548   B-ID
.   O

In   O
his   O
professional   O
life   O
,   O
Mr.   O
Carmen   B-NAME
Knight   I-NAME
reported   O
being   O
a   O
Data   O
analyst   O
.   O

Medical   O
Report   O
:   O
All   O
observations   O
were   O
recorded   O
in   O
the   O
medical   O
system   O
via   O
username   O
dc1017   B-NAME
.   O

Dr.   O
Cordova   B-NAME
in   O
the   O
cardiology   O
department   O
of   O
the   O
Exeter   B-LOCATION
Hospital   I-LOCATION
carried   O
out   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
test   O
which   O
showed   O
signs   O
of   O
ischemic   O
changes   O
.   O

For   O
a   O
more   O
definitive   O
diagnosis   O
,   O
a   O
coronary   O
angiography   O
was   O
suggested   O
by   O
Dr.   O
Finn   B-NAME
Green   I-NAME
.   O

The   O
patient   O
will   O
also   O
be   O
taking   O
platelet   O
aggregation   O
inhibitors   O
that   O
come   O
from   O
Homestead   B-LOCATION
Public   I-LOCATION
Services   I-LOCATION
.   O

Feel   O
free   O
to   O
reach   O
us   O
at   O
(   B-CONTACT
622   I-CONTACT
)   I-CONTACT
876   I-CONTACT
2855   I-CONTACT
if   O
there   O
's   O
any   O
update   O
.   O

The   O
hospital   O
is   O
located   O
at   O
Roxboro   B-LOCATION
,   I-LOCATION
Roxboro   I-LOCATION
Uptown   I-LOCATION
Development   I-LOCATION
Corporation   I-LOCATION
,   O
78744   B-LOCATION
and   O
the   O
next   O
appointment   O
is   O
on   O
2/32   B-DATE
.   O

Patient   O
Name   O
:   O
Ada   B-NAME
Davies   I-NAME
Age   O
:   O
20   O
Medical   O
Record   O
Number   O
:   O
6095U12918   B-ID
Physician   O
's   O
Name   O
:   O
Dr.   O
Easton   B-NAME
Green   I-NAME
placed   O
at   O
the   O
Emanate   B-LOCATION
Health   I-LOCATION
Queen   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Consultation   O
:   O
January   B-DATE
2097   I-DATE
Presenting   O
Complaints   O
:   O
Paul   B-NAME
T.   I-NAME
Quinby   I-NAME
presented   O
at   O
our   O
Knife   B-LOCATION
River   I-LOCATION
clinic   O
complaining   O
of   O
intermittent   O
chest   O
pains   O
radiating   O
to   O
his   O
left   O
shoulder   O
for   O
the   O
last   O
two   O
weeks   O
.   O

The   O
pain   O
,   O
according   O
to   O
Kason   B-NAME
Prince   I-NAME
,   O
is   O
squeezing   O
in   O
nature   O
,   O
exacerbated   O
by   O
physical   O
exertion   O
,   O
and   O
relieved   O
by   O
rest   O
.   O

However   O
,   O
his   O
family   O
history   O
revealed   O
that   O
his   O
father   O
had   O
a   O
myocardial   O
infarction   O
at   O
97   O
.   O
Investigations   O
and   O
Findings   O
:   O
Electrocardiogram   O
conducted   O
on   O
11/20   B-DATE
showed   O
deviations   O
suggestive   O
of   O
myocardial   O
ischemia   O
.   O

Cardiac   O
biomarkers   O
were   O
collected   O
and   O
sent   O
to   O
our   O
partner   O
labs   O
,   O
Evergreen   B-LOCATION
USA   I-LOCATION
RRG   I-LOCATION
for   O
analysis   O
.   O

The   O
patient   O
was   O
referred   O
to   O
Cardiology   O
Department   O
at   O
Mercy   B-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
,   O
including   O
possible   O
angiography   O
.   O

Patient   O
's   O
appointment   O
is   O
scheduled   O
on   O
02/20   B-DATE
.   O

For   O
any   O
emergency   O
,   O
the   O
patient   O
can   O
reach   O
our   O
hotline   O
at   O
(   B-CONTACT
482   I-CONTACT
)   I-CONTACT
741   I-CONTACT
9848   I-CONTACT
.   O

Follow   O
-   O
up   O
Instructions   O
:   O
ostrowski   B-NAME
is   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
maintain   O
a   O
healthy   O
diet   O
.   O

Further   O
Information   O
:   O
For   O
any   O
questions   O
or   O
issues   O
regarding   O
the   O
patient   O
's   O
health   O
,   O
please   O
contact   O
the   O
primary   O
physician   O
,   O
Dr.   O
Larson   B-NAME
via   O
our   O
portal   O
AQ939   B-NAME
.   O

You   O
can   O
also   O
check   O
for   O
updates   O
on   O
Unum   B-LOCATION
online   O
medical   O
record   O
system   O
using   O
QX:681089:782431   B-ID
.   O

Any   O
other   O
correspondence   O
should   O
be   O
directed   O
to   O
our   O
clinic   O
located   O
in   O
99   B-LOCATION
Highfield   I-LOCATION
Road   I-LOCATION
,   O
with   O
postal   O
code   O
47792   B-LOCATION
.   O

The   O
above   O
information   O
is   O
a   O
comprehensive   O
representation   O
of   O
the   O
patient   O
's   O
current   O
medical   O
state   O
as   O
at   O
Thursday   B-DATE
.   O

Patient   O
Cullen   B-NAME
Jenkins   I-NAME
aged   O
51   O
years   O
,   O
visited   O
our   O
Taylor   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
1/5   B-DATE
.   O

Dr.   O
English   B-NAME
was   O
the   O
presiding   O
physician   O
during   O
the   O
consultation   O
.   O

The   O
patient   O
is   O
a   O
resident   O
of   O
Priest   B-LOCATION
River   I-LOCATION
and   O
works   O
as   O
a   O
Materials   O
Scientists   O
.   O

Contact   O
details   O
are   O
withheld   O
due   O
to   O
privacy   O
but   O
can   O
be   O
reached   O
at   O
498   B-CONTACT
-   I-CONTACT
7524   I-CONTACT
in   O
case   O
of   O
emergencies   O
.   O

Diagnostic   O
report   O
for   O
53087512   B-ID
,   O
reveals   O
the   O
symptoms   O
of   O
extreme   O
stomach   O
pain   O
with   O
frequent   O
vomiting   O
episodes   O
,   O
bouts   O
of   O
vertigo   O
,   O
and   O
palpitations   O
.   O

The   O
last   O
recorded   O
Blood   O
Pressure   O
was   O
high   O
,   O
reading   O
160/100   O
mmHg   O
,   O
coupled   O
with   O
an   O
increased   O
heart   O
rate   O
of   O
about   O
120   O
beats   O
per   O
minute   O
on   O
2/0/42   B-DATE
.   O

Relevant   O
findings   O
have   O
been   O
saved   O
under   O
MRN   O
63576808   B-ID
.   O

It   O
's   O
advised   O
to   O
update   O
VI812   B-NAME
with   O
daily   O
health   O
updates   O
via   O
our   O
Interamerican   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Environmental   I-LOCATION
Defense   I-LOCATION
app   O
.   O

For   O
further   O
medication   O
and   O
treatment   O
procedure   O
,   O
we   O
have   O
scheduled   O
an   O
appointment   O
with   O
Dr.   O
Andrews   B-NAME
at   O
building   O
Seattle   B-LOCATION
on   O
02/30   B-DATE
.   O

Patient   O
's   O
healthcare   O
plan   O
1   B-ID
-   I-ID
3026839   I-ID
with   O
Georgian   B-LOCATION
Bank   I-LOCATION
insurance   O
covers   O
most   O
of   O
the   O
medicinal   O
expenses   O
during   O
this   O
period   O
.   O

Generally   O
,   O
medicines   O
can   O
be   O
ordered   O
from   O
the   O
preferred   O
pharmacy   O
at   O
94272   B-LOCATION
.   O

For   O
further   O
inquiries   O
or   O
emergencies   O
,   O
contact   O
the   O
Baptist   B-LOCATION
Health   I-LOCATION
Floyd   I-LOCATION
on   O
21063   B-CONTACT
.   O

Patient   O
Name   O
:   O
Elena   B-NAME
Vong   I-NAME
Date   O
of   O
Birth   O
:   O
02/57   B-DATE
Address   O
:   O
Houston   B-LOCATION
,   I-LOCATION
Houston   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Phone   O
Number   O
:   O
50725   B-CONTACT
Social   O
Security   O
Number   O
:   O
PA   B-ID
:   I-ID
XM:1919   I-ID
Occupation   O
:   O
Religious   O
Workers   O
,   O
All   O
Other   O
Doctor   O
's   O
Name   O
:   O
Yosef   B-NAME
Hatfield   I-NAME
Medical   O
Record   O
Number   O
:   O
55194067   B-ID
Hospital   O
Name   O
:   O
Crozer   B-LOCATION
-   I-LOCATION
Chester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Insurance   O
Provider   O
:   O
Fort   B-LOCATION
Pierce   I-LOCATION
Utilities   I-LOCATION
Authority   I-LOCATION
Username   O
for   O
Online   O
Portal   O
:   O

ly86   B-NAME
Zip   O
Code   O
:   O
82518   B-LOCATION
Clinical   O
Summary   O
:   O
Frankie   B-NAME
Frey   I-NAME
,   O
aged   O
7   O
,   O
was   O
brought   O
to   O
Osceola   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
11/26/1645   B-DATE
.   O

The   O
patient   O
works   O
as   O
a   O
Custom   O
Tailors   O
in   O
Woodside   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11377   I-LOCATION
.   O

Dr.   O
May   B-NAME
,   O
responsible   O
for   O
treating   O
Rabuka   B-NAME
,   I-NAME
Sitiveni   I-NAME
,   O
stated   O
that   O
the   O
test   O
results   O
indicated   O
presence   O
of   O
high   O
levels   O
of   O
pathogenic   O
bacteria   O
consistent   O
with   O
Streptococcus   O
pneumoniae   O
infection   O
.   O

The   O
patient   O
's   O
condition   O
has   O
progressively   O
improved   O
and   O
they   O
're   O
being   O
considered   O
for   O
discharge   O
on   O
the   O
forthcoming   O
00/10/02   B-DATE
.   O

Further   O
follow   O
-   O
up   O
appointments   O
are   O
endorsed   O
under   O
Dr.   O
Gentry   B-NAME
at   O
Sky   B-LOCATION
Ridge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
and   O
all   O
the   O
health   O
records   O
and   O
prescriptions   O
may   O
be   O
accessed   O
through   O
our   O
online   O
portal   O
using   O
the   O
username   O
BC456   B-NAME
.   O

For   O
further   O
queries   O
,   O
the   O
healthcare   O
team   O
at   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
/   I-LOCATION
Weill   I-LOCATION
Cornell   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
can   O
be   O
contacted   O
at   O
979   B-CONTACT
5920   I-CONTACT
.   O

The   O
patient   O
's   O
health   O
insurance   O
provider   O
,   O
International   B-LOCATION
Crisis   I-LOCATION
Group   I-LOCATION
,   O
has   O
been   O
engaged   O
for   O
covering   O
the   O
medical   O
expenses   O
.   O

Patient   O
's   O
residency   O
at   O
Wyandanch   B-LOCATION
,   O
with   O
ZIP   O
code   O
53629   B-LOCATION
has   O
been   O
updated   O
in   O
the   O
records   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Cobb   B-NAME
Age   O
:   O
84   O
On   O
6/23   B-DATE
,   O
Jodee   B-NAME
Grossklaus   I-NAME
reported   O
to   O
Metro   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
with   O
symptoms   O
of   O
unexplained   O
persistent   O
headaches   O
,   O
accompanied   O
by   O
blurry   O
vision   O
and   O
dizziness   O
.   O

The   O
patient   O
's   O
vitals   O
were   O
recorded   O
(   O
BP   O
was   O
consistently   O
high   O
over   O
multiple   O
readings   O
)   O
and   O
a   O
CT   O
scan   O
was   O
recommended   O
by   O
Cline   B-NAME
.   O

The   O
CT   O
scan   O
took   O
place   O
on   O
the   O
23/14   B-DATE
and   O
revealed   O
a   O
small   O
suspected   O
tumor   O
in   O
the   O
sellar   O
region   O
.   O

The   O
image   O
reading   O
was   O
undertaken   O
by   O
Lovelace   B-NAME
,   I-NAME
Richard   I-NAME
.   O

A   O
biopsy   O
has   O
been   O
scheduled   O
for   O
the   O
upcoming   O
26/35   B-DATE
for   O
confirmation   O
.   O

Medical   O
Group   O
ID   O
:   O
LG792/2112   B-ID
Medical   O
Records   O
No   O
.   O
:   O
40876339   B-ID
Recalling   O
the   O
patient   O
's   O
medical   O
history   O
,   O
she   O
has   O
no   O
notable   O
prior   O
hospital   O
admission   O
and   O
has   O
been   O
in   O
relatively   O
good   O
health   O
.   O

She   O
worked   O
as   O
a   O
Archeologists   O
at   O
Oxford   B-LOCATION
Health   I-LOCATION
Plans   I-LOCATION
in   O
Irvine   B-LOCATION
.   O

The   O
patient   O
was   O
asked   O
to   O
return   O
on   O
32/33   B-DATE
for   O
further   O
tests   O
and   O
treatment   O
planning   O
.   O

The   O
results   O
will   O
be   O
communicated   O
on   O
her   O
registered   O
contact   O
number   O
(   B-CONTACT
111   I-CONTACT
)   I-CONTACT
324   I-CONTACT
4104   I-CONTACT
.   O

She   O
resides   O
at   O
the   O
following   O
address   O
:   O
Alianza   B-LOCATION
,   O
27624   B-LOCATION
.   O

She   O
has   O
authorized   O
that   O
we   O
share   O
her   O
medical   O
records   O
with   O
her   O
family   O
doctor   O
,   O
Dr.   O
Page   B-NAME
located   O
at   O
Newark   B-LOCATION
-   I-LOCATION
Wayne   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
in   O
Shenandoah   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Shenandoah   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
.   I-LOCATION
.   O

The   O
online   O
patient   O
portal   O
username   O
for   O
Miller   B-NAME
,   I-NAME
Arthur   I-NAME
is   O
EN520   B-NAME
.   O

Patient   O
Name   O
:   O
Chesterton   B-NAME
,   I-NAME
Gilbert   I-NAME
Keith   I-NAME
Age   O
:   O
23   O
Doctor   O
's   O
Name   O
:   O
Sexton   B-NAME
Medical   O
Organization   O
Name   O
:   O

Prisma   B-LOCATION
Health   I-LOCATION
Greer   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
21/28   B-DATE
Location   O
:   O
San   B-LOCATION
Antonio   I-LOCATION
Patient   O
's   O
Vlad   B-NAME
Mostoller   I-NAME
medical   O
record   O
number   O
109   B-ID
-   I-ID
97   I-ID
-   I-ID
90   I-ID
-   I-ID
7   I-ID
was   O
accessed   O
on   O
09/18   B-DATE
by   O
the   O
healthcare   O
provider   O
Hopkins   B-NAME
.   O

Austin   B-NAME
Riggs   I-NAME
complained   O
of   O
persistent   O
abdominal   O
pain   O
for   O
the   O
last   O
week   O
.   O

Jonnie   B-NAME
Luczynski   I-NAME
had   O
been   O
previously   O
admitted   O
to   O
Huntington   B-LOCATION
Hospital   I-LOCATION
,   O
located   O
in   O
Hernando   B-LOCATION
,   O
for   O
a   O
similar   O
complaint   O
two   O
months   O
ago   O
.   O

The   O
records   O
from   O
Grundy   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
reveal   O
that   O
he   O
underwent   O
various   O
medical   O
tests   O
including   O
a   O
CT   O
scan   O
and   O
blood   O
work   O
.   O

He   O
works   O
as   O
a   O
Mixing   O
and   O
Blending   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
and   O
has   O
been   O
facing   O
a   O
lot   O
of   O
stressful   O
situations   O
at   O
the   O
National   B-LOCATION
Guard   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
where   O
he   O
is   O
employed   O
,   O
which   O
might   O
have   O
potentially   O
escalated   O
his   O
symptoms   O
.   O

Currently   O
,   O
Jim   B-NAME
Parsons   I-NAME
has   O
been   O
advised   O
to   O
undergo   O
a   O
comprehensive   O
panel   O
of   O
diagnostics   O
to   O
ascertain   O
the   O
underlying   O
cause   O
of   O
his   O
abdominal   O
pain   O
.   O

Our   O
doctor   O
Lam   B-NAME
will   O
be   O
following   O
up   O
with   O
the   O
patient   O
on   O
his   O
next   O
appointment   O
scheduled   O
for   O
0/26/00   B-DATE
.   O

Jenibelle   B-NAME
can   O
be   O
contacted   O
at   O
581   B-CONTACT
8321   I-CONTACT
for   O
further   O
assistance   O
.   O

The   O
report   O
was   O
compiled   O
by   O
yvo1014   B-NAME
and   O
contains   O
the   O
identity   O
number   O
WY:27321:371170   B-ID
for   O
future   O
reference   O
.   O

The   O
report   O
must   O
be   O
sent   O
to   O
the   O
zip   O
code   O
82716   B-LOCATION
.   O

Patient   O
Name   O
:   O
York   B-NAME
DOB   O
:   O
12/10   B-DATE
Identification   O
(   O
ID   O
):   O
7   B-ID
-   I-ID
4525341   I-ID
Medical   O
Record   O
:   O
75936911   B-ID
Address   O
:   O
West   B-LOCATION
Springfield   I-LOCATION
,   O
24596   B-LOCATION
Phone   O
:   O
773   B-CONTACT
1451   I-CONTACT
On   O
01/20/80   B-DATE
,   O
Cory   B-NAME
Atkins   I-NAME
visited   O
Jovanni   B-NAME
Sampson   I-NAME
at   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Trenton   I-LOCATION
,   O
complaining   O
of   O
consistent   O
cough   O
and   O
potential   O
influenza   O
.   O

Tuibua   B-NAME
,   I-NAME
Esala   I-NAME
resides   O
in   O
California   B-LOCATION
,   O
works   O
as   O
a   O
Parts   O
Salespersons   O
,   O
and   O
has   O
a   O
medical   O
identification   O
number   O
of   O
ED   B-ID
:   I-ID
HZ:7990   I-ID
.   O

Nietzsche   B-NAME
,   I-NAME
Friedrich   I-NAME
is   O
a   O
68   O
year   O
-   O
old   O
,   O
who   O
has   O
been   O
experiencing   O
symptoms   O
including   O
high   O
fever   O
,   O
chills   O
,   O
body   O
aches   O
,   O
cough   O
,   O
sore   O
throat   O
,   O
runny   O
nose   O
and   O
fatigue   O
for   O
the   O
past   O
week   O
.   O

The   O
laboratory   O
analysis   O
confirmed   O
that   O
the   O
Kellen   B-NAME
Long   I-NAME
was   O
positive   O
for   O
influenza   O
.   O

Emanuel   B-NAME
Russell   I-NAME
,   O
the   O
managing   O
physician   O
,   O
prescribed   O
antiviral   O
medication   O
Tamiflu   O
(   O
Oseltamivir   O
)   O
for   O
a   O
duration   O
of   O
5   O
days   O
.   O

Additionally   O
,   O
William   B-NAME
Chumley   I-NAME
was   O
advised   O
to   O
take   O
ample   O
rest   O
,   O
stay   O
hydrated   O
and   O
consume   O
a   O
healthy   O
balanced   O
diet   O
.   O

The   O
patient   O
was   O
recommended   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
within   O
a   O
week   O
,   O
the   O
scheduling   O
details   O
were   O
shared   O
with   O
the   O
patient   O
over   O
the   O
phone   O
at   O
70694   B-CONTACT
.   O

The   O
patient   O
consented   O
to   O
share   O
his   O
medical   O
reports   O
with   O
his   O
internal   O
medicine   O
specialist   O
from   O
American   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Chemical   I-LOCATION
Engineers   I-LOCATION
(   I-LOCATION
AIChE   I-LOCATION
)   I-LOCATION
.   O

Walter   B-NAME
Newell   I-NAME
recorded   O
the   O
case   O
in   O
a   O
detailed   O
manner   O
in   O
the   O
medical   O
record   O
number   O
8477811   B-ID
.   O

The   O
detailed   O
data   O
was   O
encrypted   O
and   O
stored   O
securely   O
under   O
the   O
compliance   O
rules   O
of   O
Tristar   B-LOCATION
Hendersonville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
IT   O
department   O
.   O

The   O
above   O
is   O
a   O
summarized   O
version   O
of   O
the   O
full   O
chart   O
,   O
which   O
can   O
be   O
accessed   O
by   O
entering   O
the   O
username   O
uod657   B-NAME
in   O
the   O
respective   O
system   O
.   O

Patient   O
Veronica   B-NAME
Olenski   I-NAME
visited   O
Dr.   O
Banks   B-NAME
,   I-NAME
Tony   I-NAME
(   I-NAME
Lord   I-NAME
Stratford   I-NAME
)   I-NAME
at   O
Clay   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Clay   I-LOCATION
Center   I-LOCATION
on   O
30/23/83   B-DATE
.   O

He   O
is   O
a   O
100   O
year   O
old   O
male   O
,   O
currently   O
residing   O
in   O
Waxhaw   B-LOCATION
.   O

The   O
patient   O
works   O
as   O
a   O
Cleaners   O
of   O
Vehicles   O
and   O
Equipment   O
at   O
Australian   B-LOCATION
Council   I-LOCATION
of   I-LOCATION
Trade   I-LOCATION
Unions   I-LOCATION
.   O

Patient   O
Cruz   B-NAME
Lamb   I-NAME
's   O
symptoms   O
started   O
approximately   O
two   O
weeks   O
prior   O
to   O
the   O
consultation   O
.   O

Due   O
to   O
the   O
epidemic   O
situation   O
in   O
Carl   B-LOCATION
,   O
an   O
RT   O
-   O
PCR   O
test   O
for   O
SARS   O
-   O
CoV-2   O
was   O
advised   O
.   O

His   O
medical   O
record   O
number   O
CK878094   B-ID
was   O
made   O
note   O
of   O
for   O
future   O
purposes   O
.   O

The   O
patient   O
revealed   O
his   O
contact   O
number   O
as   O
317   B-CONTACT
7022   I-CONTACT
and   O
indicated   O
that   O
he   O
can   O
be   O
reached   O
during   O
the   O
day   O
.   O

He   O
also   O
shared   O
his   O
license   O
1960239   B-ID
for   O
reference   O
.   O

The   O
address   O
provided   O
indicated   O
that   O
he   O
lives   O
in   O
the   O
57713   B-LOCATION
region   O
.   O

He   O
made   O
an   O
appointment   O
for   O
a   O
follow   O
-   O
up   O
visit   O
and   O
to   O
discuss   O
the   O
results   O
with   O
Dr.   O
Thomas   B-NAME
.   O

The   O
report   O
of   O
the   O
present   O
consultation   O
was   O
shared   O
digitally   O
via   O
dx861   B-NAME
online   O
platform   O
to   O
maintain   O
the   O
integrity   O
and   O
security   O
of   O
the   O
patient   O
's   O
information   O
.   O

In   O
conclusion   O
,   O
patient   O
Ashly   B-NAME
Palmer   I-NAME
is   O
advised   O
to   O
maintain   O
proper   O
hydration   O
,   O
consume   O
a   O
healthy   O
diet   O
,   O
and   O
focus   O
on   O
rest   O
.   O

Dr.   O
Byron   B-NAME
Murray   I-NAME
is   O
looking   O
forward   O
to   O
seeing   O
Cade   B-NAME
Reed   I-NAME
on   O
3/07   B-DATE
to   O
discuss   O
further   O
treatment   O
measures   O
based   O
on   O
the   O
test   O
results   O
.   O

Patient   O
Report   O
:   O
Patient   O
Day   B-NAME
was   O
admitted   O
to   O
our   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Plano   I-LOCATION
on   O
Memorial   B-DATE
Day   I-DATE
under   O
the   O
care   O
of   O
Scott   B-NAME
,   O
ID   O
643155710   B-ID
.   O

Detailed   O
examination   O
of   O
Porchenko   B-NAME
by   O
Berry   B-NAME
revealed   O
an   O
elevated   O
heart   O
rate   O
of   O
93   O
beats   O
per   O
minute   O
,   O
and   O
the   O
blood   O
pressure   O
was   O
recorded   O
at   O
155/90   O
mmHg   O
.   O

The   O
patient   O
shared   O
his   O
residential   O
address   O
as   O
Taconite   B-LOCATION
and   O
the   O
48140   B-LOCATION
code   O
.   O

His   O
phone   O
number   O
recorded   O
in   O
the   O
hospital   O
database   O
is   O
429   B-CONTACT
2290   I-CONTACT
and   O
his   O
health   O
insurance   O
coverage   O
is   O
taken   O
care   O
by   O
Hull   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

According   O
to   O
our   O
medical   O
records   O
ID   O
413085CA   B-ID
,   O
this   O
is   O
O'Rourke   B-NAME
,   I-NAME
P.   I-NAME
J.   I-NAME
's   O
first   O
episode   O
of   O
such   O
severe   O
chest   O
pain   O
.   O

Patient   O
Mikel   B-NAME
has   O
been   O
recommended   O
for   O
immediate   O
medical   O
intervention   O
,   O
considering   O
his   O
accelerating   O
symptoms   O
.   O

His   O
treatment   O
plan   O
includes   O
the   O
administration   O
of   O
nitroglycerin   O
,   O
oxygen   O
,   O
aspirin   O
,   O
and   O
beta   O
-   O
blockers   O
prescribed   O
by   O
Hadassah   B-NAME
Huang   I-NAME
,   O
given   O
his   O
profession   O
as   O
a   O
Engineering   O
geologist   O
which   O
might   O
induce   O
stress   O
and   O
workload   O
.   O

In   O
case   O
of   O
further   O
information   O
or   O
queries   O
,   O
our   O
team   O
can   O
be   O
reached   O
at   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Easton   I-LOCATION
or   O
on   O
our   O
contact   O
number   O
(   B-CONTACT
633   I-CONTACT
)   I-CONTACT
708   I-CONTACT
-   I-CONTACT
2246   I-CONTACT
.   O

Additional   O
patient   O
progress   O
will   O
be   O
updated   O
to   O
the   O
username   O
an62   B-NAME
in   O
our   O
online   O
portal   O
.   O

For   O
any   O
financial   O
related   O
queries   O
,   O
the   O
Bengal   B-LOCATION
Chatkal   I-LOCATION
Mazdoor   I-LOCATION
Union   I-LOCATION
insurance   O
services   O
can   O
be   O
reached   O
through   O
their   O
official   O
contact   O
point   O
.   O

This   O
report   O
is   O
confidential   O
and   O
only   O
meant   O
for   O
the   O
medical   O
practitioners   O
involved   O
in   O
Sitwell   B-NAME
,   I-NAME
Edith   I-NAME
's   O
care   O
.   O

Signed   O
off   O
by   O
:   O
Long   B-NAME
,   I-NAME
Huey   I-NAME
P.   I-NAME
,   O
2152   B-DATE

Patient   O
Information   O
:   O
Schneider   B-NAME
,   O
male   O
,   O
76   O
presented   O
to   O
the   O
emergency   O
room   O
at   O
Arnold   B-LOCATION
Palmer   I-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
,   O
Somerville   B-LOCATION
,   I-LOCATION
Union   I-LOCATION
Square   I-LOCATION
Main   I-LOCATION
Streets   I-LOCATION
on   O
12/34/2270   B-DATE
.   O

The   O
attending   O
physician   O
,   O
Kelsey   B-NAME
Contreras   I-NAME
,   O
noted   O
the   O
patient   O
's   O
chief   O
complaints   O
were   O
persistent   O
high   O
-   O
grade   O
fever   O
and   O
shortness   O
of   O
breath   O
.   O

By   O
the   O
fifth   O
day   O
,   O
FARLEY   B-NAME
,   I-NAME
ERIC   I-NAME
developed   O
shortness   O
of   O
breath   O
,   O
which   O
exacerbated   O
upon   O
minor   O
exertion   O
.   O

The   O
patient   O
associate   O
’s   O
chart   O
,   O
under   O
003   B-ID
-   I-ID
33   I-ID
-   I-ID
08   I-ID
-   I-ID
2   I-ID
,   O
documents   O
a   O
medical   O
history   O
of   O
Hypertension   O
which   O
is   O
managed   O
through   O
medication   O
.   O

Laboratory   O
work   O
-   O
up   O
was   O
ordered   O
by   O
Ashlynn   B-NAME
Hess   I-NAME
.   O

Diagnosis   O
:   O
Given   O
the   O
symptom   O
profile   O
and   O
preliminary   O
lab   O
findings   O
suggesting   O
systemic   O
inflammation   O
,   O
Mercer   B-NAME
suspected   O
a   O
respiratory   O
viral   O
infection   O
,   O
possibly   O
COVID-19   O
.   O

The   O
patient   O
's   O
emergency   O
contact   O
number   O
was   O
recorded   O
as   O
67717   B-CONTACT
.   O

His   O
residential   O
address   O
,   O
as   O
per   O
the   O
ID   O
card   O
bearing   O
the   O
5   B-ID
-   I-ID
6214837   I-ID
number   O
,   O
is   O
Purdin   B-LOCATION
,   O
with   O
the   O
23654   B-LOCATION
code   O
.   O

The   O
informed   O
consent   O
for   O
diagnostic   O
SARS   O
-   O
CoV-2   O
RT   O
-   O
PCR   O
was   O
obtained   O
from   O
Marley   B-NAME
Shaw   I-NAME
.   O

The   O
sample   O
was   O
collected   O
and   O
sent   O
to   O
Mainstreet   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
for   O
further   O
examination   O
.   O

Follow   O
up   O
:   O
Mark   B-NAME
Diamond   I-NAME
has   O
been   O
moved   O
to   O
our   O
isolated   O
wing   O
per   O
the   O
guidelines   O
because   O
of   O
his   O
potential   O
contagion   O
status   O
.   O

Synthesis   O
:   O
Card   O
has   O
been   O
issued   O
to   O
the   O
patient   O
under   O
DT133   B-NAME
for   O
accessing   O
online   O
health   O
records   O
and   O
for   O
future   O
appointments   O
.   O

As   O
per   O
the   O
discussion   O
with   O
Luka   B-NAME
Logan   I-NAME
,   O
the   O
patient   O
will   O
likely   O
need   O
further   O
workup   O
and   O
differential   O
diagnosis   O
to   O
rule   O
out   O
other   O
causes   O
of   O
respiratory   O
distress   O
.   O

Patient   O
Name   O
:   O
HEATHER   B-NAME
HERNANDEZ   I-NAME
Gender   O
:   O
Male   O
Age   O
:   O
30   O
Location   O
:   O
Lake   B-LOCATION
Geneva   I-LOCATION
ID   O
:   O
44347924   B-ID
Contact   O
number   O
:   O
54591   B-CONTACT
Medical   O
Record   O
Number   O
:   O
232   B-ID
-   I-ID
03   I-ID
-   I-ID
76   I-ID
-   I-ID
7   I-ID
Username   O
:   O
mbd855   B-NAME
Zip   O
Code   O
:   O
24164   B-LOCATION
Patient   O
Diana   B-NAME
Elliott   I-NAME
presented   O
at   O
State   B-LOCATION
University   I-LOCATION
of   I-LOCATION
New   I-LOCATION
York   I-LOCATION
Downstate   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/30   B-DATE
.   O

He   O
was   O
seen   O
by   O
the   O
attending   O
physician   O
Dr.   O
Mahoney   B-NAME
.   O

Miley   B-NAME
Friedman   I-NAME
is   O
a   O
Business   O
Operations   O
Specialists   O
,   O
All   O
Other   O
living   O
in   O
646   B-LOCATION
Devon   I-LOCATION
Street   I-LOCATION
with   O
a   O
contact   O
number   O
469   B-CONTACT
252   I-CONTACT
1647   I-CONTACT
.   O

In   O
addition   O
to   O
these   O
symptoms   O
,   O
Janos   B-NAME
Hohlstein   I-NAME
reported   O
intermittent   O
chest   O
pain   O
that   O
was   O
centralized   O
and   O
of   O
moderate   O
intensity   O
.   O

Wilson   B-NAME
,   I-NAME
Robert   I-NAME
Anton   I-NAME
's   O
medical   O
history   O
reveals   O
a   O
long   O
history   O
of   O
smoking   O
and   O
sedentary   O
lifestyle   O
.   O

It   O
was   O
added   O
to   O
his   O
medical   O
record   O
626   B-ID
-   I-ID
94   I-ID
-   I-ID
12   I-ID
-   I-ID
5   I-ID
on   O
April   B-DATE
2100   I-DATE
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Dr.   O
Carroll   B-NAME
at   O
84216   B-CONTACT
for   O
a   O
follow   O
-   O
up   O
appointment   O
or   O
in   O
case   O
of   O
emergency   O
.   O

It   O
was   O
suggested   O
that   O
the   O
patient   O
Mario   B-NAME
be   O
referred   O
to   O
a   O
comprehensive   O
cardiopulmonary   O
rehabilitation   O
program   O
by   O
the   O
Republic   B-LOCATION
of   I-LOCATION
Constellations   I-LOCATION
.   O

Dr.   O
Marquez   B-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
the   O
patient   O
on   O
10/02   B-DATE
at   O
Yale   B-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
a   I-LOCATION
division   I-LOCATION
of   I-LOCATION
Yale   I-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
,   O
located   O
in   O
Minford   B-LOCATION
with   O
ZIP   O
code   O
42590   B-LOCATION
.   O

Necessary   O
laboratory   O
and   O
radiology   O
tests   O
were   O
planned   O
,   O
results   O
of   O
which   O
will   O
be   O
communicated   O
to   O
the   O
patient   O
via   O
the   O
username   O
ov279   B-NAME
on   O
the   O
hospital   O
portal   O
.   O

This   O
plan   O
was   O
explained   O
to   O
Mr.   O
Lore   B-NAME
who   O
expressed   O
understanding   O
and   O
agreement   O
.   O

He   O
was   O
given   O
instructions   O
for   O
cough   O
hygiene   O
and   O
encouraged   O
to   O
call   O
the   O
clinic   O
at   O
77932   B-CONTACT
if   O
the   O
symptoms   O
worsen   O
.   O

Patient   O
Name   O
:   O
Esta   B-NAME
Date   O
of   O
Report   O
:   O
September   B-DATE
22   I-DATE
Gwen   B-NAME
K.   I-NAME
Xique   I-NAME
was   O
admitted   O
to   O
Northern   B-LOCATION
Dutchess   I-LOCATION
Hospital   I-LOCATION
on   O
December   B-DATE
21   I-DATE
.   O

He   O
is   O
a   O
26   O
year   O
old   O
male   O
who   O
works   O
as   O
a   O
Law   O
Clerks   O
in   O
Green   B-LOCATION
Mountain   I-LOCATION
Falls   I-LOCATION
.   O

The   O
patient   O
has   O
a   O
medical   O
record   O
number   O
of   O
2141278   B-ID
.   O

Based   O
on   O
examination   O
by   O
Dr.   O
Ritter   B-NAME
,   O
the   O
possibility   O
of   O
Acute   O
Myocardial   O
Infarction   O
(   O
AMI   O
)   O
was   O
considered   O
.   O

His   O
diabetes   O
is   O
under   O
control   O
and   O
Eden   B-NAME
Bryant   I-NAME
uses   O
Metformin   O
with   O
a   O
prescribed   O
dose   O
of   O
500   O
mg   O
twice   O
daily   O
.   O

The   O
patient   O
was   O
provided   O
with   O
a   O
loading   O
dose   O
of   O
aspirin   O
(   O
300   O
mg   O
chewed   O
immediately   O
)   O
and   O
nitroglycerin   O
under   O
the   O
guidance   O
of   O
Dr.   O
Layton   B-NAME
Norris   I-NAME
.   O

Following   O
administration   O
of   O
these   O
medications   O
,   O
Curtis   B-NAME
Connors   I-NAME
reported   O
decreased   O
pain   O
.   O

He   O
is   O
currently   O
under   O
Monitored   O
Bed   O
Care   O
in   O
the   O
Intensive   O
Care   O
Unit   O
(   O
ICU   O
)   O
at   O
UPMC   B-LOCATION
St.   I-LOCATION
Margaret   I-LOCATION
.   O

Further   O
contact   O
information   O
includes   O
968   B-CONTACT
-   I-CONTACT
9829   I-CONTACT
and   O
his   O
residential   O
address   O
is   O
Northview   B-LOCATION
,   O
95491   B-LOCATION
.   O

The   O
patient   O
has   O
also   O
provided   O
his   O
SSN   O
7   B-ID
-   I-ID
6687230   I-ID
and   O
uses   O
the   O
username   O
mww710   B-NAME
for   O
his   O
online   O
health   O
records   O
.   O

His   O
primary   O
insurance   O
provider   O
is   O
Northeast   B-LOCATION
Utilities   I-LOCATION
.   O

Patient   O
Name   O
:   O
Quentin   B-NAME
Fitzpatrick   I-NAME
Medical   O
Record   O
Number   O
:   O
44282974   B-ID
Date   O
of   O
Birth   O
:   O
30/02   B-DATE
Age   O
:   O
1   O
month   O
Name   O
of   O
Primary   O
Physician   O
:   O

Hazel   B-NAME
Primus   I-NAME
Hospital   O
:   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
Report   O
:   O
Natalya   B-NAME
Ritter   I-NAME
presented   O
on   O
2352   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
32   I-DATE
with   O
persistent   O
dry   O
cough   O
and   O
labored   O
breathing   O
.   O

BEVERLY   B-NAME
B.   I-NAME
MARTINEZ   I-NAME
reported   O
experiencing   O
these   O
symptoms   O
for   O
approximately   O
two   O
weeks   O
.   O

Along   O
with   O
these   O
symptoms   O
,   O
Menelauis   B-NAME
Konma   I-NAME
also   O
revealed   O
experiencing   O
sporadic   O
episodes   O
of   O
vertiginous   O
sensation   O
,   O
largely   O
when   O
changing   O
from   O
a   O
sitting   O
to   O
a   O
standing   O
position   O
.   O

Allston   B-NAME
,   I-NAME
Aaron   I-NAME
’s   O
occupation   O
is   O
Fire   O
Inspectors   O
and   O
Investigators   O
.   O

Landin   B-NAME
Fry   I-NAME
's   O
medical   O
history   O
reveals   O
a   O
previous   O
diagnosis   O
of   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
.   O

Daisy   B-NAME
Melton   I-NAME
has   O
been   O
a   O
tobacco   O
smoker   O
for   O
nearly   O
two   O
decades   O
but   O
quit   O
smoking   O
approx   O
three   O
years   O
ago   O
.   O

Comprehensive   O
blood   O
tests   O
were   O
recommended   O
and   O
were   O
performed   O
on   O
Sunday   B-DATE
at   O
Western   B-LOCATION
Missouri   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Following   O
a   O
Clinical   O
Pulmonary   O
Infection   O
Score   O
(   O
CPIS   O
)   O
,   O
Abel   B-NAME
Beard   I-NAME
was   O
diagnosed   O
with   O
a   O
probable   O
case   O
of   O
pneumonia   O
and   O
has   O
been   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
for   O
a   O
duration   O
of   O
two   O
weeks   O
.   O

Colby   B-NAME
Gill   I-NAME
's   O
relative   O
can   O
be   O
contacted   O
at   O
(   B-CONTACT
342   I-CONTACT
)   I-CONTACT
907   I-CONTACT
9914   I-CONTACT
.   O

The   O
relative   O
,   O
as   O
listed   O
in   O
Daniel   B-NAME
St.   I-NAME
John   I-NAME
's   O
records   O
,   O
lives   O
in   O
Beason   B-LOCATION
,   O
52038   B-LOCATION
.   O

Further   O
communication   O
will   O
be   O
carried   O
out   O
with   O
Comunidad   B-LOCATION
Inti   I-LOCATION
Wara   I-LOCATION
Yassi   I-LOCATION
.   O

Patient   O
Mcfarland   B-NAME
's   O
insurance   O
is   O
RU   B-ID
:   I-ID
YB:3454   I-ID
.   O

The   O
follow   O
-   O
up   O
appointment   O
with   O
James   B-NAME
at   O
AdventHealth   B-LOCATION
Gordon   I-LOCATION
is   O
set   O
for   O
04/13/60   B-DATE
.   O

Any   O
change   O
in   O
the   O
patient   O
's   O
condition   O
should   O
be   O
promptly   O
reported   O
either   O
in   O
person   O
or   O
via   O
the   O
electronic   O
health   O
record   O
system   O
with   O
the   O
username   O
rq779   B-NAME
.   O

This   O
report   O
was   O
generated   O
with   O
information   O
as   O
of   O
August   B-DATE
,   O
and   O
any   O
change   O
in   O
the   O
patient   O
's   O
condition   O
after   O
this   O
date   O
is   O
not   O
included   O
in   O
this   O
report   O
.   O

[   O
Any   O
further   O
requests   O
for   O
information   O
should   O
be   O
directed   O
at   O
976   B-CONTACT
753   I-CONTACT
7707   I-CONTACT
.   O
]   O

Patient   O
Report   O
:   O
Patient   O
Leo   B-NAME
Pierce   I-NAME
with   O
ID   O
KH:681016:526522   B-ID
and   O
medical   O
record   O
number   O
CK593800   B-ID
arrived   O
at   O
Scotland   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
April   B-DATE
.   O

The   O
patient   O
Hein   B-NAME
,   I-NAME
Piet   I-NAME
complaint   O
of   O
severe   O
shortness   O
of   O
breath   O
,   O
a   O
worsening   O
cough   O
,   O
fever   O
,   O
and   O
unsteadiness   O
.   O

Attending   O
physician   O
Escobar   B-NAME
advised   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
a   O
sputum   O
culture   O
to   O
identify   O
the   O
causative   O
organism   O
.   O

Confirmed   O
patient   O
's   O
personal   O
info   O
with   O
phone   O
number   O
788   B-CONTACT
9768   I-CONTACT
,   O
residing   O
at   O
Rosendale   B-LOCATION
,   O
and   O
connected   O
with   O
their   O
employer   O
at   O
Centre   B-LOCATION
on   I-LOCATION
Housing   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Evictions   I-LOCATION
(   I-LOCATION
COHRE   I-LOCATION
)   I-LOCATION
to   O
validate   O
their   O
work   O
health   O
benefit   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Warren   B-NAME
at   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
San   I-LOCATION
Jose   I-LOCATION
for   O
the   O
following   O
March   B-DATE
23   I-DATE
to   O
assess   O
the   O
patient   O
's   O
response   O
to   O
the   O
treatment   O
.   O

The   O
current   O
report   O
was   O
documented   O
by   O
kjk597   B-NAME
and   O
the   O
notes   O
were   O
made   O
on   O
00/27   B-DATE
whilst   O
at   O
Guadalupe   B-LOCATION
of   O
BANNER   B-LOCATION
-   I-LOCATION
UNIVERSITY   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
PHOENIX   I-LOCATION
.   O

The   O
results   O
of   O
the   O
lab   O
work   O
will   O
be   O
directed   O
to   O
patient   O
's   O
residential   O
91247   B-LOCATION
once   O
processed   O
.   O

In   O
case   O
of   O
further   O
inquiries   O
,   O
one   O
can   O
call   O
429   B-CONTACT
-   I-CONTACT
7941   I-CONTACT
or   O
send   O
a   O
mail   O
to   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
Foreign   I-LOCATION
Wars   I-LOCATION
.   O

The   O
patient   O
Remezov   B-NAME
was   O
advised   O
to   O
restrict   O
outdoor   O
activities   O
and   O
to   O
self   O
-   O
isolate   O
due   O
to   O
the   O
contagious   O
nature   O
of   O
the   O
condition   O
.   O

Signed   O
,   O
Trevon   B-NAME
Lutz   I-NAME

Patient   O
Ito   B-NAME
is   O
a   O
27   O
year   O
-   O
old   O
,   O
currently   O
residing   O
in   O
Creve   B-LOCATION
Coeur   I-LOCATION
.   O

This   O
report   O
is   O
to   O
render   O
an   O
account   O
of   O
the   O
symptoms   O
that   O
surfaced   O
on   O
12/29/2090   B-DATE
.   O

Patient   O
's   O
medical   O
record   O
number   O
is   O
937   B-ID
-   I-ID
69   I-ID
-   I-ID
04   I-ID
-   I-ID
9   I-ID
and   O
she   O
is   O
currently   O
being   O
treated   O
by   O
Andreas   B-NAME
Haas   I-NAME
at   O
James   B-LOCATION
E.   I-LOCATION
Van   I-LOCATION
Zandt   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Contact   O
details   O
provided   O
by   O
patient   O
is   O
375   B-CONTACT
5565   I-CONTACT
and   O
her   O
social   O
security   O
number   O
is   O
mentioned   O
as   O
9   B-ID
-   I-ID
1543608   I-ID
.   O

She   O
has   O
shown   O
no   O
improvement   O
in   O
health   O
conditions   O
despite   O
seeking   O
medical   O
assistance   O
at   O
other   O
medical   O
organizations   O
before   O
opting   O
for   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Laredo   I-LOCATION
.   O

A   O
detailed   O
assessment   O
has   O
been   O
scheduled   O
for   O
coming   O
3   B-DATE
-   I-DATE
2   I-DATE
as   O
per   O
patient   O
's   O
convenience   O
.   O

It   O
is   O
crucial   O
to   O
note   O
that   O
patient   O
Mcfarland   B-NAME
has   O
given   O
her   O
consent   O
for   O
the   O
treatment   O
under   O
Jazmine   B-NAME
Ramos   I-NAME
.   O

All   O
her   O
medical   O
documents   O
have   O
been   O
saved   O
under   O
the   O
username   O
hon475   B-NAME
.   O

Patient   O
's   O
postal   O
address   O
includes   O
69623   B-LOCATION
.   O

The   O
current   O
report   O
will   O
be   O
shared   O
with   O
her   O
insurer   O
American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
the   I-LOCATION
Prevention   I-LOCATION
of   I-LOCATION
Cruelty   I-LOCATION
to   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
ASPCA   I-LOCATION
)   I-LOCATION
.   O

Patient   O
Name   O
:   O
Abram   B-NAME
Blevins   I-NAME
ID   O
No   O
:   O
8   B-ID
-   I-ID
6234293   I-ID
Medical   O
Record   O
No   O
:   O
21714567   B-ID
Date   O
of   O
admission   O
:   O
24/29   B-DATE
Thompson   B-NAME
of   O
Smith   B-LOCATION
Northview   I-LOCATION
Hospital   I-LOCATION
in   O
Bewdley   B-LOCATION
reported   O
that   O
Gary   B-NAME
Aragon   I-NAME
presented   O
with   O
a   O
deteriorating   O
condition   O
.   O

The   O
Leroy   B-NAME
Kelly   I-NAME
's   O
blood   O
pressure   O
reading   O
upon   O
admission   O
was   O
showing   O
a   O
high   O
reading   O
,   O
whereas   O
glucose   O
levels   O
were   O
uncontrolled   O
.   O

Etta   B-NAME
Cohen   I-NAME
of   O
Radiology   O
Department   O
at   O
Ascension   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Hospital   I-LOCATION
conducted   O
an   O
echocardiogram   O
on   O
2   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
32   I-DATE
which   O
revealed   O
a   O
decreased   O
ejection   O
fraction   O
,   O
indicating   O
possible   O
congestive   O
heart   O
failure   O
(   O
CHF   O
)   O
.   O

Subsequent   O
testing   O
was   O
conducted   O
by   O
Estes   B-NAME
from   O
the   O
Cardiology   O
Department   O
at   O
Ascension   B-LOCATION
SE   I-LOCATION
Wisconsin   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Franklin   I-LOCATION
Campus   I-LOCATION
,   O
whose   O
consultation   O
notes   O
hinted   O
at   O
a   O
possible   O
correlation   O
between   O
unmanaged   O
diabetes   O
and   O
the   O
patient   O
's   O
current   O
state   O
.   O

Information   O
gathered   O
from   O
Jamie   B-NAME
Tucker   I-NAME
's   O
previous   O
visits   O
to   O
Duke   B-LOCATION
Energy   I-LOCATION
Florida   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Duke   I-LOCATION
Energy   I-LOCATION
located   O
in   O
Madison   B-LOCATION
Park   I-LOCATION
was   O
accessed   O
using   O
their   O
sma295   B-NAME
,   O
with   O
due   O
permission   O
.   O

The   O
patient   O
's   O
employer   O
's   O
details   O
(   O
a   O
firm   O
in   O
Southern   B-LOCATION
Gateway   I-LOCATION
)   O
have   O
been   O
noted   O
down   O
with   O
their   O
permission   O
.   O

Alden   B-NAME
Patterson   I-NAME
works   O
as   O
a   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
and   O
this   O
information   O
could   O
contribute   O
significantly   O
in   O
future   O
care   O
planning   O
.   O

A   O
detailed   O
report   O
and   O
prescriptions   O
have   O
been   O
sent   O
to   O
the   O
patient   O
's   O
primary   O
healthcare   O
provider   O
on   O
2322   B-DATE
.   O

Any   O
further   O
queries   O
should   O
be   O
directed   O
to   O
31532   B-CONTACT
at   O
hours   O
between   O
9   O
A.M.   O
to   O
5   O
P.M.   O
It   O
has   O
been   O
advised   O
that   O
family   O
members   O
residing   O
with   O
the   O
patient   O
in   O
99477   B-LOCATION
area   O
could   O
potentially   O
benefit   O
from   O
an   O
educational   O
session   O
on   O
managing   O
diabetes   O
and   O
hypertension   O
at   O
home   O
.   O

The   O
team   O
at   O
Harlan   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
will   O
continue   O
to   O
monitor   O
Khloe   B-NAME
Woodard   I-NAME
's   O
condition   O
and   O
adjust   O
treatment   O
plans   O
accordingly   O
in   O
the   O
coming   O
weeks   O
.   O

Patient   O
Report   O
:   O
Kaur   B-NAME
,   I-NAME
Xan   I-NAME
G   I-NAME
is   O
a   O
9   O
month   O
-   O
year   O
-   O
old   O
individual   O
who   O
was   O
admitted   O
to   O
Mizell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
and   O
sporadic   O
episodes   O
of   O
vomiting   O
for   O
the   O
last   O
5/25   B-DATE
.   O

The   O
patient   O
was   O
referred   O
to   O
us   O
by   O
Dr.   O
Mckenzie   B-NAME
from   O
Maharashtra   B-LOCATION
General   I-LOCATION
Kamgar   I-LOCATION
Union   I-LOCATION
and   O
was   O
immediately   O
admitted   O
for   O
diagnostic   O
tests   O
and   O
further   O
observation   O
.   O

Their   O
medical   O
history   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
diagnosed   O
January   B-DATE
07   I-DATE
,   I-DATE
2302   I-DATE
ago   O
and   O
hypertension   O
diagnosed   O
around   O
12/22   B-DATE
ago   O
.   O

The   O
patient   O
,   O
who   O
is   O
an   O
inherent   O
resident   O
of   O
Ferryhill   B-LOCATION
and   O
works   O
as   O
a   O
Recreation   O
Workers   O
,   O
was   O
brought   O
in   O
by   O
the   O
paramedics   O
to   O
our   O
emergency   O
unit   O
.   O

We   O
used   O
the   O
electronic   O
health   O
record   O
(   O
EHR   O
)   O
40502311   B-ID
to   O
dig   O
deeper   O
into   O
the   O
patient   O
's   O
past   O
medical   O
episodes   O
.   O

The   O
patient   O
's   O
lab   O
results   O
(   O
ID   O
374338   B-ID
)   O
showed   O
elevated   O
levels   O
of   O
amylase   O
and   O
lipase   O
indicating   O
possible   O
pancreatitis   O
.   O

We   O
have   O
scheduled   O
an   O
abdominal   O
CT   O
scan   O
for   O
further   O
assessment   O
and   O
have   O
sought   O
consultation   O
from   O
Dr.   O
Saint   B-NAME
-   I-NAME
Just   I-NAME
,   I-NAME
Louis   I-NAME
de   I-NAME
for   O
further   O
management   O
.   O

The   O
patient   O
's   O
next   O
appointment   O
is   O
scheduled   O
for   O
32/22   B-DATE
.   O

We   O
also   O
requested   O
the   O
patient   O
's   O
caregivers   O
to   O
keep   O
us   O
informed   O
of   O
any   O
changes   O
in   O
their   O
condition   O
and   O
to   O
call   O
our   O
emergency   O
department   O
at   O
464   B-CONTACT
-   I-CONTACT
446   I-CONTACT
5374   I-CONTACT
in   O
case   O
of   O
immediate   O
concerns   O
or   O
issues   O
.   O

The   O
discharge   O
instructions   O
have   O
been   O
sent   O
to   O
the   O
patient   O
’s   O
registered   O
address   O
in   O
STOCKPORT   B-LOCATION
,   O
11755   B-LOCATION
.   O

The   O
data   O
entered   O
by   O
jnc616   B-NAME
for   O
patient   O
ID   O
CX:91857:979185   B-ID
will   O
be   O
validated   O
and   O
updated   O
in   O
accordance   O
to   O
their   O
medical   O
status   O
and   O
response   O
to   O
the   O
treatment   O
plan   O
.   O

Signed   O
,   O
Montes   B-NAME

Patient   O
:   O
Lakota   B-NAME
Age   O
:   O
61   O
Gender   O
:   O
Male   O
Physician   O
:   O

Dr.   O
Destiny   B-NAME
Thomas   I-NAME
Summary   O
:   O
The   O
patient   O
was   O
admitted   O
to   O
Edward   B-LOCATION
John   I-LOCATION
Noble   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Gouverneur   I-LOCATION
on   O
February   B-DATE
39   I-DATE
complaining   O
of   O
persistent   O
chest   O
pain   O
.   O

OBJECTIVE   O
:   O
Upon   O
physical   O
examination   O
,   O
Chase   B-NAME
Macdonald   I-NAME
's   O
blood   O
pressure   O
was   O
noted   O
to   O
be   O
150/95   O
mmHg   O
and   O
heart   O
rate   O
was   O
98   O
beats   O
per   O
minute   O
.   O

The   O
lab   O
test   O
done   O
on   O
1/22   B-DATE
showed   O
his   O
troponin   O
I   O
levels   O
were   O
elevated   O
at   O
1.50   O
ng   O
/   O
ml   O
,   O
and   O
cholesterol   O
levels   O
were   O
at   O
245   O
mg   O
/   O
dl   O
.   O

A   O
stress   O
test   O
,   O
scheduled   O
for   O
3/3   B-DATE
in   O
A.O.   B-LOCATION
Fox   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
revealed   O
marked   O
ST   O
depressions   O
.   O

His   O
Patient   O
's   O
ID   O
for   O
the   O
lab   O
tests   O
is   O
4   B-ID
-   I-ID
9655934   I-ID
.   O

The   O
treating   O
physician   O
Dr.   O
Charles   B-NAME
V   I-NAME
,   I-NAME
Holy   I-NAME
Roman   I-NAME
Emperor   I-NAME
shared   O
the   O
diagnosis   O
with   O
the   O
patient   O
and   O
his   O
Marking   O
Clerks   O
wife   O
.   O

The   O
patient   O
will   O
be   O
scheduled   O
for   O
a   O
coronary   O
angiogram   O
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Hospital   I-LOCATION
on   O
2228   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
27   I-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
66277179   B-ID
.   O

The   O
contact   O
number   O
of   O
the   O
cardiology   O
department   O
at   O
PeaceHealth   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
210   B-CONTACT
4847   I-CONTACT
.   O

The   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Turner   B-NAME
is   O
scheduled   O
for   O
2289   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
12   I-DATE
.   O

The   O
patient   O
resides   O
at   O
Vinita   B-LOCATION
and   O
his   O
contact   O
number   O
for   O
emergencies   O
is   O
891   B-CONTACT
303   I-CONTACT
-   I-CONTACT
7140   I-CONTACT
.   O

His   O
zip   O
code   O
is   O
69312   B-LOCATION
.   O

In   O
case   O
of   O
any   O
changes   O
or   O
further   O
queries   O
,   O
the   O
patient   O
may   O
contact   O
the   O
healthcare   O
team   O
of   O
Beaufort   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
Farmers   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
.   O

The   O
username   O
for   O
accessing   O
the   O
patient   O
's   O
digital   O
health   O
records   O
is   O
OE599   B-NAME
.   O

Patient   O
:   O
Ruben   B-NAME
Wiggins   I-NAME
Age   O
:   O
32   O
Location   O
:   O
North   B-LOCATION
Logan   I-LOCATION
Physician   O
:   O
Houston   B-NAME
Medical   O
Record   O
:   O
75482516   B-ID
Hospital   O
:   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
report   O
:   O
2/20   B-DATE
Mr.   O
Herschel   B-NAME
,   I-NAME
John   I-NAME
presented   O
to   O
the   O
Novant   B-LOCATION
Health   I-LOCATION
UVA   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Culpeper   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
complaining   O
of   O
severe   O
chest   O
pain   O
that   O
commenced   O
earlier   O
that   O
morning   O
.   O

During   O
triage   O
,   O
Mr.   O
Gideon   B-NAME
Rogers   I-NAME
rated   O
the   O
pain   O
as   O
an   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
,   O
accompanied   O
by   O
diaphoresis   O
,   O
nausea   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

Mr.   O
Christine   B-NAME
Newberry   I-NAME
has   O
a   O
history   O
of   O
smoking   O
and   O
hypertension   O
,   O
both   O
being   O
risk   O
factors   O
for   O
ischemic   O
heart   O
disease   O
.   O

Additionally   O
,   O
Mr.   O
Chad   B-NAME
Ashley   I-NAME
mentioned   O
he   O
works   O
as   O
a   O
Aquacultural   O
Managers   O
which   O
involves   O
a   O
high   O
stress   O
level   O
.   O

His   O
past   O
medical   O
history   O
revealed   O
he   O
had   O
a   O
myocardial   O
infarction   O
at   O
the   O
14   O
and   O
he   O
lives   O
in   O
Miami   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33161   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
85229   B-LOCATION
.   O

On   O
examination   O
by   O
Dr.   O
Morse   B-NAME
,   O
vital   O
signs   O
were   O
notable   O
for   O
a   O
heart   O
rate   O
of   O
120   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
and   O
oxygen   O
saturation   O
of   O
90   O
%   O
on   O
room   O
air   O
.   O

The   O
on   O
-   O
call   O
cardiologist   O
Dr.   O
Arroyo   B-NAME
was   O
immediately   O
informed   O
and   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
has   O
been   O
planned   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
was   O
informed   O
on   O
750   B-CONTACT
-   I-CONTACT
974   I-CONTACT
-   I-CONTACT
4942   I-CONTACT
.   O

Mr.   O
Leroy   B-NAME
Kelly   I-NAME
is   O
insured   O
by   O
Hillcrest   B-LOCATION
Bank   I-LOCATION
Florida   I-LOCATION
,   O
his   O
policy   O
ID   O
is   O
GB:9584:250315   B-ID
and   O
his   O
employer   O
is   O
fp636   B-NAME
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
,   O
medical   O
history   O
,   O
and   O
ECG   O
findings   O
,   O
the   O
patient   O
was   O
diagnosed   O
with   O
an   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
and   O
is   O
scheduled   O
for   O
urgent   O
coronary   O
angiography   O
on   O
12/26/2363   B-DATE
.   O

Patient   O
Name   O
:   O
Bridger   B-NAME
Johns   I-NAME
Age   O
:   O
68   O
ID   O
:   O
38668447   B-ID
Doctor   O
:   O
Gregory   B-NAME
Hospital   O
:   O
Conway   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
:   O
7819372   B-ID
Location   O
:   O
Chippenham   B-LOCATION
Organization   O
:   O

Human   B-LOCATION
Rights   I-LOCATION
Watch   I-LOCATION
Phone   O
:   O
253   B-CONTACT
-   I-CONTACT
567   I-CONTACT
-   I-CONTACT
9406   I-CONTACT
Profession   O
:   O

Police   O
Detectives   O
Username   O
:   O
uzo262   B-NAME
Zip   O
Code   O
:   O
49799   B-LOCATION
Patient   O
Jayvon   B-NAME
Jacobson   I-NAME
visited   O
our   O
hospital   O
,   O
Bayfront   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Petersburg   I-LOCATION
,   O
on   O
22/28   B-DATE
.   O

The   O
patient   O
is   O
a   O
Retail   O
buyer   O
residing   O
in   O
Marklesburg   B-LOCATION
,   O
83083   B-LOCATION
.   O

Physical   O
examination   O
done   O
by   O
Essence   B-NAME
Cole   I-NAME
indicated   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Laboratory   O
test   O
results   O
,   O
documented   O
under   O
medical   O
record   O
50726752   B-ID
,   O
returned   O
with   O
elevated   O
levels   O
of   O
leukocytes   O
,   O
particularly   O
neutrophils   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
was   O
recommended   O
by   O
Coupland   B-NAME
,   I-NAME
Douglas   I-NAME
to   O
confirm   O
the   O
diagnosis   O
.   O

Immediate   O
surgical   O
intervention   O
was   O
recommended   O
to   O
Jina   B-NAME
Peterson   I-NAME
to   O
prevent   O
any   O
further   O
complications   O
,   O
which   O
was   O
agreed   O
upon   O
by   O
the   O
patient   O
and   O
the   O
patient   O
's   O
family   O
after   O
giving   O
informed   O
consent   O
.   O

The   O
patient   O
was   O
referred   O
to   O
the   O
surgical   O
department   O
of   O
the   O
hospital   O
,   O
Bear   B-LOCATION
River   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
the   O
surgery   O
was   O
scheduled   O
for   O
32/22/2373   B-DATE
.   O

For   O
further   O
inquiries   O
by   O
the   O
patient   O
or   O
the   O
patient   O
's   O
family   O
,   O
they   O
were   O
given   O
the   O
contact   O
phone   O
number   O
,   O
972   B-CONTACT
461   I-CONTACT
-   I-CONTACT
1970   I-CONTACT
,   O
of   O
the   O
McDuffie   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
where   O
the   O
procedure   O
will   O
be   O
performed   O
.   O

The   O
patient   O
's   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Danville   I-LOCATION
was   O
billed   O
for   O
the   O
services   O
and   O
relevant   O
information   O
was   O
updated   O
in   O
the   O
hospital   O
system   O
with   O
the   O
help   O
of   O
zy175   B-NAME
.   O

There   O
's   O
a   O
plan   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
,   O
and   O
all   O
the   O
details   O
will   O
be   O
available   O
on   O
the   O
patient   O
's   O
medical   O
record   O
,   O
6164666   B-ID
.   O

This   O
initial   O
report   O
was   O
prepared   O
by   O
me   O
,   O
Beasley   B-NAME
,   O
and   O
will   O
be   O
discussed   O
in   O
more   O
detail   O
during   O
the   O
patient   O
's   O
subsequent   O
visit   O
.   O

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
Sabrina   B-NAME
Kelly   I-NAME
,   O
an   O
individual   O
of   O
74   O
years   O
presents   O
today   O
with   O
a   O
few   O
symptoms   O
.   O

The   O
patient   O
started   O
feeling   O
certain   O
symptoms   O
on   O
20/19   B-DATE
,   O
which   O
have   O
progressively   O
worsened   O
since   O
then   O
.   O

Symptoms   O
:   O
The   O
main   O
complaints   O
of   O
French   B-NAME
are   O
severe   O
shortness   O
of   O
breath   O
,   O
persistent   O
coughing   O
,   O
and   O
chest   O
discomfort   O
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
and   O
has   O
been   O
treated   O
by   O
Dr.   O
Stafford   B-NAME
from   O
the   O
Bellevue   B-LOCATION
Clinic   I-LOCATION
located   O
at   O
Keene   B-LOCATION
.   O

Job   O
:   O
The   O
patient   O
has   O
been   O
working   O
at   O
the   O
Collective   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
as   O
Soil   O
scientist   O
for   O
many   O
years   O
which   O
brings   O
them   O
in   O
regular   O
contact   O
with   O
potentially   O
harmful   O
substances   O
.   O

Previous   O
reports   O
and   O
patient   O
's   O
medical   O
record   O
number   O
1798379   B-ID
indicate   O
prolonged   O
exposure   O
to   O
smoke   O
and   O
harmful   O
chemicals   O
due   O
to   O
their   O
profession   O
.   O

Current   O
Examination   O
:   O
An   O
x   O
-   O
ray   O
examination   O
performed   O
today   O
by   O
Dr.   O
Davion   B-NAME
Donovan   I-NAME
shows   O
signs   O
of   O
possible   O
pneumonia   O
or   O
a   O
worsening   O
of   O
the   O
COPD   O
.   O

The   O
reports   O
have   O
been   O
processed   O
under   O
the   O
patient   O
's   O
ID   O
number   O
WF309/2585   B-ID
.   O

Follow   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Spence   B-NAME
on   O
02/75   B-DATE
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Cottage   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
can   O
dial   O
this   O
69424   B-CONTACT
number   O
for   O
any   O
emergency   O
or   O
immediate   O
concerns   O
before   O
the   O
appointment   O
.   O

For   O
sending   O
any   O
previous   O
medical   O
records   O
,   O
please   O
use   O
this   O
address   O
:   O
Daniel   B-LOCATION
,   O
36965   B-LOCATION
.   O

Signed   O
:   O
NZ818   B-NAME

Patient   O
Name   O
:   O
Ali   B-NAME
Cannon   I-NAME
Age   O
:   O
45   O
Medical   O
Record   O
Number   O
:   O
09301983   B-ID
Date   O
of   O
Consultation   O
:   O
21/21   B-DATE
Consulting   O
Physician   O
:   O
Dr.   O
Padilla   B-NAME
Clinical   O
Presentation   O
:   O
Mark   B-NAME
Diamond   I-NAME
presented   O
at   O
our   O
hospital   O
,   O
Central   B-LOCATION
Suffolk   I-LOCATION
Hospital   I-LOCATION
,   O
complaining   O
of   O
persistent   O
nausea   O
,   O
anorexia   O
,   O
progressive   O
jaundice   O
,   O
and   O
epigastric   O
discomfort   O
for   O
the   O
past   O
three   O
weeks   O
.   O

A   O
CT   O
scan   O
at   O
our   O
center   O
,   O
Powdersville   B-LOCATION
,   O
established   O
the   O
diagnosis   O
of   O
gallbladder   O
cancer   O
with   O
liver   O
metastasis   O
.   O

The   O
case   O
was   O
discussed   O
with   O
our   O
experienced   O
oncology   O
team   O
,   O
comprising   O
of   O
Dr.   O
Lamb   B-NAME
and   O
Dr.   O
Dunst   B-NAME
,   I-NAME
Kirsten   I-NAME
.   O

She   O
was   O
started   O
on   O
systemic   O
chemotherapy   O
with   O
Gemcitabine   O
and   O
Cisplatin   O
at   O
the   O
cancer   O
center   O
of   O
Gerald   B-LOCATION
Champion   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
after   O
obtaining   O
her   O
informed   O
consent   O
.   O

Her   O
contact   O
number   O
is   O
200   B-CONTACT
5162   I-CONTACT
.   O

Follow   O
-   O
up   O
and   O
Support   O
:   O
Regular   O
follow   O
-   O
ups   O
have   O
been   O
scheduled   O
every   O
2241   B-DATE
at   O
our   O
Kieler   B-LOCATION
center   O
.   O

The   O
Hagerstown   B-LOCATION
Light   I-LOCATION
Department   I-LOCATION
has   O
agreed   O
to   O
support   O
the   O
patient   O
with   O
psychosocial   O
counseling   O
.   O

We   O
have   O
also   O
requested   O
the   O
help   O
of   O
social   O
services   O
and   O
her   O
medical   O
license   O
number   O
is   O
MV:2661:816870   B-ID
.   O

Her   O
case   O
records   O
are   O
digitally   O
accessible   O
with   O
her   O
username   O
XD623   B-NAME
and   O
all   O
correspondence   O
may   O
be   O
sent   O
to   O
her   O
residence   O
at   O
Pickstown   B-LOCATION
,   O
zip   O
code   O
25244   B-LOCATION
.   O

In   O
conclusion   O
,   O
Betty   B-NAME
G.   I-NAME
Pierce   I-NAME
is   O
undergoing   O
monitored   O
palliative   O
care   O
for   O
gallbladder   O
cancer   O
.   O

Patient   O
:   O
Vaughn   B-NAME
Perkins   I-NAME
Date   O
of   O
Visit   O
:   O
14/02/42   B-DATE
Doctor   O
:   O
Momoedonu   B-NAME
,   I-NAME
Tevita   I-NAME
Hospital   O
:   O
Merit   B-LOCATION
Health   I-LOCATION
River   I-LOCATION
Oaks   I-LOCATION
Medical   O
Record   O
:   O
6246E44599   B-ID
The   O
patient   O
,   O
Harper   B-NAME
,   O
presented   O
to   O
Labette   B-LOCATION
Health   I-LOCATION
–   I-LOCATION
Parsons   I-LOCATION
on   O
2/5   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
discomfort   O
and   O
shortness   O
of   O
breath   O
.   O

These   O
symptoms   O
started   O
abruptly   O
while   O
Seymour   B-NAME
Beardfacé   I-NAME
was   O
at   O
their   O
place   O
of   O
work   O
(   O
Transportation   O
Workers   O
,   O
All   O
Other   O
)   O
and   O
proceeded   O
to   O
worsen   O
over   O
a   O
span   O
of   O
2   O
hours   O
.   O

On   O
physical   O
examination   O
,   O
Richard   B-NAME
Hester   I-NAME
appeared   O
distressed   O
,   O
slightly   O
diaphoretic   O
with   O
noticeable   O
pallor   O
.   O

Blood   O
test   O
reports   O
received   O
by   O
30/17   B-DATE
showed   O
elevated   O
levels   O
of   O
cardiac   O
enzymes   O
.   O

They   O
were   O
prepared   O
and   O
taken   O
for   O
an   O
emergency   O
angioplasty   O
at   O
Monroe   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
in   O
St.   B-LOCATION
Albert   I-LOCATION
,   I-LOCATION
AB   I-LOCATION
T8N   I-LOCATION
6S0   I-LOCATION
.   O

The   O
procedure   O
was   O
successfully   O
performed   O
by   O
Nikia   B-NAME
Dardashti   I-NAME
.   O

Following   O
the   O
procedure   O
,   O
Neil   B-NAME
Nguyen   I-NAME
was   O
moved   O
to   O
the   O
ICU   O
for   O
monitoring   O
where   O
their   O
condition   O
stabilized   O
over   O
the   O
next   O
31/32/2191   B-DATE
.   O

The   O
discharge   O
was   O
planned   O
on   O
February   B-DATE
21   I-DATE
with   O
an   O
arrangement   O
for   O
cardiac   O
rehabilitation   O
in   O
Fredericksburg   B-LOCATION
.   O

Emergency   O
contact   O
was   O
listed   O
as   O
a   O
Offset   O
Lithographic   O
Press   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
living   O
in   O
31664   B-LOCATION
.   O

The   O
contact   O
number   O
given   O
was   O
236   B-CONTACT
9848   I-CONTACT
.   O

For   O
further   O
follow   O
-   O
ups   O
,   O
patient   O
is   O
recommended   O
to   O
continue   O
seeing   O
Bishop   B-NAME
from   O
cardiology   O
department   O
at   O
INTEGRIS   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
unique   O
patient   O
ID   O
for   O
Teagan   B-NAME
Lang   I-NAME
is   O
HD329/1321   B-ID
and   O
their   O
medical   O
records   O
can   O
be   O
accessed   O
with   O
the   O
username   O
kv1910   B-NAME
from   O
the   O
City   B-LOCATION
of   I-LOCATION
Starke   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
database   O
.   O

In   O
conclusion   O
,   O
Orth   B-NAME
’s   O
acute   O
symptoms   O
and   O
relevant   O
medical   O
history   O
suggested   O
a   O
case   O
of   O
acute   O
myocardial   O
infarction   O
.   O

Patient   O
Name   O
:   O
Kristian   B-NAME
Moss   I-NAME
Age   O
:   O
74   O
Occupation   O
:   O

Packaging   O
and   O
Filling   O
Machine   O
Operators   O
and   O
Tenders   O
Address   O
:   O
Gadsden   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
398   I-CONTACT
)   I-CONTACT
268   I-CONTACT
-   I-CONTACT
4018   I-CONTACT
ID   O
:   O
8   B-ID
-   I-ID
4840115   I-ID
Medical   O
Record   O
:   O
86636154   B-ID
Parent   O
Organization   O
:   O

Canadian   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Chemical   I-LOCATION
Technology   I-LOCATION
(   I-LOCATION
CSCT   I-LOCATION
)   I-LOCATION
Dr.   O
Sanchez   B-NAME
of   O
Providence   B-LOCATION
Willamette   I-LOCATION
Falls   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Carterville   B-LOCATION
On   O
Aug   B-DATE
22   I-DATE
,   I-DATE
2065   I-DATE
,   O
Navarro   B-NAME
was   O
brought   O
in   O
for   O
assessment   O
primarily   O
due   O
to   O
symptoms   O
of   O
persistent   O
cough   O
and   O
high   O
fever   O
that   O
has   O
been   O
on   O
for   O
the   O
last   O
few   O
days   O
.   O

Dexter   B-NAME
Foley   I-NAME
stated   O
that   O
the   O
fever   O
tends   O
to   O
peak   O
in   O
the   O
evening   O
,   O
with   O
a   O
recorded   O
temperature   O
of   O
101F   O
using   O
an   O
at   O
-   O
home   O
thermometer   O
.   O

Furthermore   O
,   O
crane   B-NAME
mentioned   O
an   O
ongoing   O
post   O
-   O
nasal   O
drip   O
that   O
has   O
been   O
consistent   O
for   O
the   O
past   O
month   O
.   O

Alethea   B-NAME
Blazek   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
exposure   O
to   O
sick   O
contacts   O
.   O

On   O
physical   O
examination   O
,   O
Shelby   B-NAME
Ocallaghan   I-NAME
was   O
febrile   O
with   O
an   O
oral   O
temperature   O
of   O
100.7F   O
and   O
appeared   O
systemically   O
unwell   O
.   O

Jarrett   B-NAME
,   I-NAME
Jeff   I-NAME
's   O
case   O
was   O
discussed   O
with   O
Dr.   O
Larissa   B-NAME
Short   I-NAME
on   O
32/8   B-DATE
via   O
a   O
phone   O
call   O
on   O
70982   B-CONTACT
.   O

Given   O
the   O
severity   O
of   O
the   O
condition   O
and   O
the   O
presence   O
of   O
risk   O
factors   O
for   O
severe   O
infections   O
,   O
I   O
recommended   O
admitting   O
Victor   B-NAME
Ehrlich   I-NAME
to   O
William   B-LOCATION
Newton   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Winfield   I-LOCATION
in   O
South   B-LOCATION
Ashburnham   I-LOCATION
for   O
further   O
investigations   O
and   O
management   O
.   O

I   O
advised   O
Trahan   B-NAME
to   O
have   O
someone   O
from   O
his   O
work   O
at   O
Groveland   B-LOCATION
Light   I-LOCATION
Department   I-LOCATION
arrange   O
the   O
necessary   O
paperwork   O
for   O
a   O
possible   O
extended   O
absence   O
.   O

We   O
will   O
be   O
following   O
up   O
with   O
Ramiro   B-NAME
Hatfield   I-NAME
over   O
the   O
next   O
few   O
days   O
and   O
a   O
detailed   O
check   O
-   O
up   O
has   O
been   O
scheduled   O
on   O
Feb   B-DATE
2113   I-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
arranged   O
and   O
Dickson   B-NAME
's   O
brother   O
agreed   O
to   O
bring   O
him   O
to   O
Saint   B-LOCATION
Elizabeth   I-LOCATION
Covington   I-LOCATION
on   O
that   O
date   O
,   O
to   O
review   O
results   O
of   O
investigations   O
done   O
and   O
plan   O
further   O
management   O
.   O

User   O
Login   O
le550   B-NAME
Hospital   O
Zip   O
Code   O
:   O
82438   B-LOCATION

Patient   O
Craft   B-NAME
presented   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
,   O
on   O
02/25   B-DATE
,   O
with   O
a   O
set   O
of   O
symptoms   O
consistent   O
with   O
an   O
upper   O
respiratory   O
tract   O
infection   O
.   O

According   O
to   O
records   O
0490518   B-ID
,   O
the   O
patient   O
revealed   O
a   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

His   O
primary   O
care   O
provider   O
,   O
Choi   B-NAME
,   O
had   O
noted   O
a   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
during   O
several   O
instances   O
.   O

The   O
patient   O
,   O
a   O
Continuous   O
Mining   O
Machine   O
Operators   O
,   O
lives   O
in   O
Woburn   B-LOCATION
,   O
ZIP   O
code   O
97222   B-LOCATION
.   O

Dr.   O
Fuentes   B-NAME
ordered   O
chest   O
radiography   O
along   O
with   O
blood   O
tests   O
including   O
complete   O
blood   O
count   O
and   O
CRP   O
.   O

The   O
tests   O
were   O
processed   O
at   O
Federation   B-LOCATION
of   I-LOCATION
Territories   I-LOCATION
.   O

To   O
follow   O
up   O
,   O
Dr.   O
Keely   B-NAME
Huber   I-NAME
scheduled   O
a   O
telemedicine   O
appointment   O
on   O
15/35/2013   B-DATE
using   O
RW123   B-NAME
and   O
notified   O
him   O
through   O
512   B-CONTACT
8749   I-CONTACT
.   O

The   O
patient   O
's   O
ID   O
for   O
billing   O
purposes   O
was   O
IU291/6335   B-ID
.   O

Following   O
his   O
telemedicine   O
appointment   O
,   O
he   O
was   O
advised   O
to   O
isolate   O
until   O
he   O
was   O
symptom   O
-   O
free   O
for   O
at   O
least   O
24   O
hours   O
,   O
per   O
the   O
guidelines   O
set   O
forth   O
by   O
health   O
authorities   O
in   O
his   O
residence   O
area   O
,   O
South   B-LOCATION
Lancaster   I-LOCATION
.   O

As   O
of   O
now   O
,   O
patient   O
Hoover   B-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
.   O

The   O
security   O
of   O
PHI   O
is   O
always   O
paramount   O
at   O
Virtua   B-LOCATION
Berlin   I-LOCATION
.   O

The   O
patient   O
,   O
Uphoff   B-NAME
,   O
who   O
is   O
an   O
48   O
year   O
old   O
male   O
,   O
a   O
Order   O
Clerks   O
by   O
profession   O
,   O
resides   O
in   O
Ealing   B-LOCATION
.   O

He   O
was   O
seen   O
by   O
Ruiz   B-NAME
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Allegiance   I-LOCATION
Health   I-LOCATION
on   O
5/00   B-DATE
as   O
he   O
was   O
complaining   O
of   O
recurrent   O
bouts   O
of   O
abdominal   O
pain   O
for   O
the   O
last   O
two   O
weeks   O
.   O

His   O
personal   O
ID   O
number   O
is   O
RR681/5157   B-ID
and   O
his   O
medical   O
record   O
number   O
is   O
18445824   B-ID
.   O

Examination   O
:   O
On   O
physical   O
examination   O
,   O
Kak   B-NAME
,   I-NAME
Subhash   I-NAME
's   O
vitals   O
were   O
stable   O
.   O

His   O
lab   O
results   O
can   O
be   O
accessed   O
with   O
the   O
username   O
imx653   B-NAME
.   O

Management   O
:   O
Jamari   B-NAME
Li   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
,   O
increase   O
fiber   O
intake   O
and   O
to   O
monitor   O
his   O
blood   O
glucose   O
levels   O
regularly   O
.   O

The   O
prescription   O
can   O
be   O
collected   O
from   O
Irish   B-LOCATION
Bank   I-LOCATION
Officials   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
.   O

Further   O
instructions   O
and   O
appointment   O
details   O
were   O
sent   O
to   O
Oakley   B-NAME
on   O
his   O
contact   O
number   O
172   B-CONTACT
-   I-CONTACT
819   I-CONTACT
5728   I-CONTACT
and   O
his   O
home   O
address   O
at   O
Diehlstadt   B-LOCATION
,   O
45577   B-LOCATION
.   O

In   O
case   O
of   O
further   O
assistance   O
,   O
he   O
can   O
contact   O
the   O
hospital   O
helpline   O
number   O
,   O
692   B-CONTACT
290   I-CONTACT
-   I-CONTACT
3189   I-CONTACT
.   O

Patient   O
Information   O
:   O
The   O
patient   O
,   O
Chavez   B-NAME
,   O
is   O
a   O
60   O
year   O
old   O
individual   O
living   O
in   O
Sherwood   B-LOCATION
Manor   I-LOCATION
.   O

The   O
patient   O
has   O
a   O
unique   O
identification   O
number   O
,   O
ZT:93394:769490   B-ID
,   O
which   O
is   O
used   O
for   O
referencing   O
purposes   O
.   O

Patient   O
visited   O
University   B-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Campus   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Topeka   B-LOCATION
on   O
0   B-DATE
-   I-DATE
12   I-DATE
.   O

Dr.   O
Stevenson   B-NAME
,   I-NAME
Adlai   I-NAME
,   O
the   O
attending   O
physician   O
,   O
made   O
detailed   O
notes   O
regarding   O
the   O
patient   O
's   O
condition   O
in   O
medical   O
record   O
number   O
56916326   B-ID
.   O

The   O
patient   O
is   O
employed   O
as   O
a   O
Information   O
systems   O
manager   O
with   O
Gordon   B-LOCATION
Bank   I-LOCATION
.   O

Contact   O
Information   O
:   O
For   O
any   O
further   O
inquiries   O
or   O
updates   O
,   O
the   O
patient   O
can   O
be   O
reached   O
at   O
938   B-CONTACT
-   I-CONTACT
725   I-CONTACT
-   I-CONTACT
1019   I-CONTACT
.   O

Home   O
Address   O
:   O
The   O
patient   O
's   O
mailing   O
address   O
is   O
in   O
Naranjito   B-LOCATION
,   O
84876   B-LOCATION
.   O

Any   O
changes   O
in   O
the   O
patient   O
's   O
condition   O
will   O
be   O
reported   O
to   O
the   O
assigned   O
healthcare   O
practitioner   O
,   O
Dr.   O
Jax   B-NAME
Acevedo   I-NAME
,   O
through   O
the   O
secure   O
platform   O
LH946   B-NAME
in   O
accordance   O
with   O
our   O
privacy   O
policies   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
at   O
Glens   B-LOCATION
Falls   I-LOCATION
Hospital   I-LOCATION
on   O
02/22   B-DATE
.   O

Patient   O
Name   O
:   O
Konnor   B-NAME
Hodge   I-NAME
Age   O
:   O
34   O
Doctor   O
:   O
Spencer   B-NAME
Presenting   O
Issue   O
:   O
The   O
patient   O
reported   O
experiencing   O
unsteady   O
gait   O
and   O
assessed   O
motor   O
coordination   O
issues   O
for   O
the   O
past   O
three   O
weeks   O
.   O

Symptoms   O
Details   O
:   O
Dana   B-NAME
Romero   I-NAME
visited   O
the   O
Neurology   O
department   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
Partners   I-LOCATION
,   I-LOCATION
Lakeshore   I-LOCATION
Campus   I-LOCATION
on   O
11   B-DATE
-   I-DATE
Dec-2098   I-DATE
.   O

PHI   O
DATA   O
:   O
Social   O
Security   O
Number   O
:   O
GI:37680:475633   B-ID
Medical   O
Record   O
Number   O
:   O
705   B-ID
-   I-ID
40   I-ID
-   I-ID
32   I-ID
-   I-ID
9   I-ID
Address   O
:   O
Cool   B-LOCATION
,   O
95385   B-LOCATION
Phone   O
Number   O
:   O
39316   B-CONTACT
Treatment   O
History   O
:   O

The   O
patient   O
's   O
neurologist   O
,   O
Guillermo   B-NAME
Gillespie   I-NAME
,   O
began   O
a   O
treatment   O
regimen   O
featuring   O
medication   O
(   O
Levodopa   O
and   O
Carbidopa   O
)   O
after   O
the   O
initial   O
diagnosis   O
to   O
manage   O
early   O
-   O
stage   O
symptoms   O
.   O

Salinas   B-NAME
will   O
discuss   O
the   O
potential   O
benefits   O
and   O
risks   O
associated   O
with   O
the   O
procedure   O
with   O
patient   O
during   O
next   O
appointment   O
.   O

Employment   O
:   O
Food   O
Science   O
Technicians   O
at   O
Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
.   O

Computer   O
Username   O
:   O
py769   B-NAME
Given   O
his   O
profession   O
as   O
a   O
Plant   O
and   O
System   O
Operators   O
,   O
All   O
Other   O
,   O
the   O
patient   O
has   O
expressed   O
concerns   O
about   O
his   O
ability   O
to   O
continue   O
to   O
function   O
effectively   O
in   O
his   O
role   O
due   O
to   O
the   O
increase   O
in   O
his   O
symptoms   O
.   O

Overall   O
,   O
Sydney   B-NAME
Napur   I-NAME
is   O
a   O
good   O
candidate   O
for   O
the   O
DBS   O
procedure   O
given   O
his   O
age   O
and   O
health   O
status   O
.   O

The   O
procedure   O
scheduled   O
for   O
0/13   B-DATE
at   O
Lake   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

Signed   O
,   O
Carrillo   B-NAME
Neurology   O
Department   O
Rancho   B-LOCATION
Springs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Name   O
:   O
Tellez   B-NAME
Date   O
of   O
Birth   O
:   O
22/21/52   B-DATE
Address   O
:   O
Sophia   B-LOCATION
Phone   O
:   O
994   B-CONTACT
5014   I-CONTACT
SSN   O
:   O
9   B-ID
-   I-ID
1093105   I-ID
Age   O
:   O
22s   O
MRN   O
:   O
1337964   B-ID
Occupation   O
:   O
Licensed   O
conveyancer   O
Zip   O
code   O
:   O
94926   B-LOCATION
Insured   O
by   O
Commonwealth   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
Patient   O
Shoemaker   B-NAME
was   O
admitted   O
to   O
Slidell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
4/20/2040   B-DATE
.   O

Dr.   O
Benson   B-NAME
noted   O
that   O
upon   O
admission   O
,   O
Taylor   B-NAME
exhibited   O
symptoms   O
of   O
acute   O
shortness   O
of   O
breath   O
,   O
chest   O
discomfort   O
,   O
and   O
cyanosis   O
.   O

During   O
her   O
stay   O
at   O
Overlake   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Sage   B-NAME
Abbott   I-NAME
underwent   O
several   O
tests   O
including   O
an   O
echocardiogram   O
,   O
a   O
chest   O
X   O
-   O
ray   O
,   O
and   O
a   O
complete   O
blood   O
count   O
.   O

On   O
January   B-DATE
07   I-DATE
,   I-DATE
2302   I-DATE
,   O
Morales   B-NAME
decided   O
to   O
proceed   O
with   O
coronary   O
angiography   O
which   O
revealed   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

Following   O
a   O
discussion   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
angioplasty   O
with   O
Allayna   B-NAME
,   O
the   O
Brock   B-NAME
Sterling   I-NAME
agreed   O
to   O
the   O
procedure   O
.   O

Dr.   O
Oliver   B-NAME
will   O
perform   O
this   O
procedure   O
on   O
2363   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
31   I-DATE
.   O

The   O
nurse   O
contact   O
info   O
:   O
tvv879   B-NAME
194   B-CONTACT
889   I-CONTACT
-   I-CONTACT
1105   I-CONTACT
Note   O
:   O
Please   O
contact   O
Riverside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
336   I-CONTACT
)   I-CONTACT
408   I-CONTACT
-   I-CONTACT
6409   I-CONTACT
for   O
any   O
changes   O
in   O
the   O
patient   O
's   O
condition   O
,   O
or   O
discuss   O
treatment   O
plans   O
with   O
Dr.   O
Paul   B-NAME
Blankenship   I-NAME
during   O
the   O
normal   O
visiting   O
hours   O
9   O
am   O
to   O
5   O
pm   O
.   O

For   O
emergencies   O
,   O
please   O
contact   O
the   O
Baker   B-LOCATION
emergency   O
department   O
at   O
744   B-CONTACT
338   I-CONTACT
-   I-CONTACT
7454   I-CONTACT
.   O

We   O
would   O
also   O
like   O
to   O
remind   O
Joslyn   B-NAME
Forbes   I-NAME
to   O
complete   O
and   O
return   O
her   O
patient   O
questionnaires   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
Waterman   I-LOCATION
via   O
postal   O
service   O
at   O
Kenney   B-LOCATION
,   O
11349   B-LOCATION
as   O
soon   O
as   O
possible   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Jayden   B-NAME
Monroe   I-NAME
Age   O
:   O
87   O
Occupation   O
:   O
Veterinarians   O
Address   O
:   O
Somerset   B-LOCATION
,   I-LOCATION
Somerset   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION

Doctor   O
's   O
Name   O
:   O
Sinclair   B-NAME
,   I-NAME
Upton   I-NAME
Medical   O
Record   O
number   O
:   O
9967825   B-ID
Case   O
Report   O
:   O
Pleione   B-NAME
Meley   I-NAME
presented   O
to   O
Lakeland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Room   O
on   O
30/32   B-DATE
with   O
the   O
chief   O
complaint   O
of   O
a   O
sudden   O
,   O
severe   O
headache   O
.   O

Julian   B-NAME
Quintela   I-NAME
also   O
reported   O
neck   O
stiffness   O
,   O
photophobia   O
,   O
and   O
non   O
-   O
projectile   O
vomiting   O
suggestive   O
of   O
a   O
possible   O
subarachnoid   O
hemorrhage   O
.   O

History   O
and   O
Physical   O
Examination   O
:   O
Kiana   B-NAME
Fletcher   I-NAME
reported   O
a   O
headache   O
onset   O
while   O
at   O
work   O
as   O
a   O
Precision   O
Dyers   O
at   O
Linux   B-LOCATION
Australia   I-LOCATION
.   O

Mario   B-NAME
's   O
vitals   O
were   O
stable   O
on   O
arrival   O
;   O
however   O
,   O
heart   O
rate   O
was   O
slightly   O
tachycardic   O
at   O
a   O
rate   O
of   O
101   O
bpm   O
,   O
well   O
above   O
their   O
baseline   O
of   O
75   O
bpm   O
.   O

Castillo   B-NAME
ordered   O
a   O
CT   O
without   O
contrast   O
for   O
further   O
examination   O
.   O

Contact   O
Information   O
:   O
Phone   O
:   O
91875   B-CONTACT
E   O
-   O
mail   O
:   O
wcx180   B-NAME
@   O
Safe   B-LOCATION
Auto   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
.com   O
Insurance   O
Details   O
:   O

Provider   O
:   O
Provincial   B-LOCATION
Collective   I-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
Insurance   O
ID   O
:   O
89690   B-ID
Patient   O
70520   B-LOCATION
must   O
refer   O
to   O
insurance   O
policy   O
for   O
coverage   O
and   O
copayment   O
details   O
.   O

Conclusion   O
:   O
Soto   B-NAME
,   O
after   O
discussing   O
with   O
the   O
neurologist   O
,   O
decided   O
to   O
admit   O
Lucia   B-NAME
Sharp   I-NAME
to   O
the   O
Spectrum   B-LOCATION
Health   I-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
monitoring   O
.   O

Borlaug   B-NAME
,   I-NAME
Norman   I-NAME
needs   O
to   O
be   O
under   O
observation   O
,   O
given   O
the   O
severity   O
and   O
abrupt   O
presentation   O
of   O
their   O
symptoms   O
.   O

Lumbar   O
puncture   O
is   O
scheduled   O
for   O
0/20/35   B-DATE
for   O
a   O
diagnostic   O
evaluation   O
.   O

(   O
Report   O
compiled   O
by   O
Keating   B-NAME
,   I-NAME
Paul   I-NAME
on   O
Friday   B-DATE
)   O

Patient   O
Report   O
:   O
Amanda   B-NAME
Bentley   I-NAME
,   O
a   O
Hearing   O
Aid   O
Specialists   O
at   O
Every   B-LOCATION
Human   I-LOCATION
Has   I-LOCATION
Rights   I-LOCATION
,   O
presented   O
to   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
Emergency   O
Department   O
on   O
19   B-DATE
-   I-DATE
Dec-18   I-DATE
.   O

Despite   O
this   O
,   O
Chapa   B-NAME
maintains   O
a   O
conscience   O
clear   O
,   O
and   O
denies   O
experiencing   O
any   O
vision   O
changes   O
or   O
buzzing   O
noises   O
in   O
the   O
ear   O
.   O

Dr.   O
Winters   B-NAME
performed   O
the   O
initial   O
assessment   O
and   O
found   O
Ellis   B-NAME
Craig   I-NAME
to   O
be   O
conscious   O
and   O
alert   O
.   O

On   O
examination   O
,   O
Madden   B-NAME
Perez   I-NAME
has   O
a   O
blood   O
pressure   O
within   O
normal   O
range   O
and   O
an   O
unremarkable   O
heart   O
rate   O
.   O

The   O
patient   O
's   O
original   O
medical   O
history   O
,   O
saved   O
under   O
77425574   B-ID
,   O
was   O
forwarded   O
to   O
the   O
lab   O
.   O

The   O
patient   O
,   O
aged   O
19   O
,   O
resident   O
of   O
Sudden   B-LOCATION
Valley   I-LOCATION
,   O
66973   B-LOCATION
,   O
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
after   O
one   O
week   O
on   O
the   O
dedicated   O
(   B-CONTACT
875   I-CONTACT
)   I-CONTACT
847   I-CONTACT
-   I-CONTACT
1686   I-CONTACT
line   O
.   O

Galan   B-NAME
Matsoukas   I-NAME
's   O
employer   O
,   O
Galaxies   B-LOCATION
'   I-LOCATION
State   I-LOCATION
was   O
informed   O
about   O
the   O
condition   O
,   O
as   O
requested   O
by   O
the   O
patient   O
.   O

Also   O
,   O
the   O
ID   O
681779   B-ID
,   O
mentioned   O
in   O
the   O
medical   O
history   O
,   O
was   O
used   O
for   O
insurance   O
clearance   O
.   O

Dyer   B-NAME
was   O
suggested   O
rest   O
at   O
the   O
hospital   O
for   O
observation   O
.   O

Contact   O
was   O
made   O
with   O
the   O
patient   O
's   O
designated   O
emergency   O
contact   O
in   O
the   O
system   O
,   O
user   O
zd602   B-NAME
.   O

In   O
conclusion   O
,   O
Choi   B-NAME
Oh   I-NAME
-   I-NAME
sung   I-NAME
recommended   O
a   O
thorough   O
assessment   O
of   O
the   O
patient   O
's   O
condition   O
.   O

Patient   O
accommodation   O
was   O
arranged   O
for   O
on   O
the   O
third   O
floor   O
of   O
the   O
North   B-LOCATION
Mississippi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Hamilton   I-LOCATION
Campus   I-LOCATION
building   O
.   O

Victor   B-NAME
Webb   I-NAME
was   O
appreciative   O
of   O
the   O
care   O
received   O
under   O
Dr.   O
Bo   B-NAME
Page   I-NAME
.   O

The   O
report   O
is   O
signed   O
off   O
by   O
Dr.   O
Conley   B-NAME
on   O
2/74   B-DATE
.   O

Subject   O
:   O
Medical   O
Report   O
for   O
GUEVARA   B-NAME
,   I-NAME
ELIZABETH   I-NAME
Personal   O
Information   O
:   O
Patient   O
ID   O
:   O
21970381   B-ID
Date   O
Of   O
Birth   O
:   O
38/22   B-DATE
Address   O
:   O
Earlington   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
830   I-CONTACT
)   I-CONTACT
823   I-CONTACT
4946   I-CONTACT
Employment   O
:   O
Social   O
Workers   O
,   O
All   O
Other   O
Medicare   O
Number   O
:   O
3390818   B-ID
Encounter   O
Details   O
:   O
Consultation   O
with   O
Shaw   B-NAME
was   O
done   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Warren   I-LOCATION
Campus   I-LOCATION
on   O
2047   B-DATE
.   O

Presenting   O
Complaints   O
:   O
Grass   B-NAME
,   I-NAME
Günter   I-NAME
came   O
in   O
reporting   O
persistent   O
headaches   O
along   O
with   O
dizziness   O
and   O
fatigue   O
for   O
the   O
past   O
few   O
days   O
.   O

Preliminary   O
Examination   O
:   O
Mcgee   B-NAME
appeared   O
well   O
-   O
kempt   O
but   O
seemed   O
to   O
be   O
uncomfortable   O
,   O
frequently   O
rubbing   O
the   O
right   O
temple   O
.   O

Preston   B-NAME
Haas   I-NAME
mentioned   O
a   O
history   O
of   O
similar   O
episodes   O
in   O
the   O
past   O
,   O
once   O
at   O
the   O
60s   O
of   O
23   O
and   O
then   O
about   O
5   O
years   O
ago   O
.   O

On   O
review   O
of   O
the   O
medical   O
reports   O
provided   O
,   O
Dru   B-NAME
has   O
a   O
medical   O
history   O
of   O
classic   O
migraines   O
dating   O
back   O
to   O
adolescent   O
years   O
.   O

Garnett   B-NAME
Pliny   I-NAME
has   O
no   O
known   O
allergies   O
.   O

Investigations   O
:   O
I   O
have   O
ordered   O
a   O
complete   O
blood   O
count   O
test   O
,   O
MRI   O
of   O
the   O
brain   O
,   O
and   O
a   O
referral   O
to   O
an   O
ophthalmologist   O
at   O
University   B-LOCATION
Hospital   I-LOCATION
.   O

Test   O
results   O
will   O
be   O
available   O
through   O
K   B-LOCATION
Bank   I-LOCATION
portal   O
by   O
logging   O
in   O
with   O
the   O
username   O
qhv91   B-NAME
.   O

Rowan   B-NAME
Dunlop   I-NAME
will   O
need   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
on   O
31/13/72   B-DATE
for   O
reevaluation   O
.   O

This   O
information   O
will   O
be   O
mailed   O
to   O
the   O
patient   O
's   O
residence   O
at   O
33741   B-LOCATION
.   O

Signed   O
,   O
Rory   B-NAME
Fernandez   I-NAME
Good   B-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Information   O
:   O
Name   O
:   O
Margaret   B-NAME
Alvarez   I-NAME
Age   O
:   O
65s   O
Occupation   O
:   O
Marriage   O
and   O
Family   O
Therapists   O
Location   O
:   O
Massachusetts   B-LOCATION
Hospital   O
:   O

Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Augusta   I-LOCATION
Doctor   O
:   O
Ashton   B-NAME
Johnson   I-NAME
The   O
patient   O
came   O
into   O
the   O
hospital   O
on   O
November   B-DATE
26th   I-DATE
,   O
complaining   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
central   O
and   O
upper   O
abdominal   O
region   O
.   O

Laboratory   O
analysis   O
data   O
from   O
22/29   B-DATE
showed   O
raised   O
liver   O
enzymes   O
and   O
white   O
blood   O
cell   O
count   O
,   O
suggesting   O
possible   O
inflammation   O
or   O
infection   O
.   O

An   O
abdominal   O
ultrasonography   O
performed   O
by   O
Maldonado   B-NAME
on   O
00/09   B-DATE
revealed   O
the   O
presence   O
of   O
gallstones   O
and   O
signs   O
of   O
cholecystitis   O
.   O

An   O
endoscopy   O
was   O
recommended   O
by   O
the   O
gastroenterology   O
department   O
at   O
the   O
Garfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
details   O
of   O
the   O
diagnosis   O
were   O
recorded   O
in   O
his   O
medical   O
file   O
(   O
Unique   O
ID   O
:   O
6892533   B-ID
)   O
stored   O
in   O
our   O
hospital   O
database   O
(   O
Columbia   B-LOCATION
River   I-LOCATION
Bank   I-LOCATION
)   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
admission   O
on   O
3/23   B-DATE
.   O

He   O
was   O
given   O
a   O
contact   O
number   O
(   O
(   B-CONTACT
296   I-CONTACT
)   I-CONTACT
670   I-CONTACT
3229   I-CONTACT
)   O
to   O
report   O
any   O
changes   O
in   O
symptoms   O
.   O

The   O
patient   O
was   O
also   O
requested   O
to   O
bring   O
his   O
identification   O
proof   O
(   O
5   B-ID
-   I-ID
1539877   I-ID
)   O
during   O
the   O
admission   O
process   O
.   O

For   O
continued   O
communication   O
,   O
the   O
patient   O
provided   O
his   O
email   O
address   O
(   O
wak627   B-NAME
)   O
and   O
his   O
residence   O
zip   O
code   O
(   O
30959   B-LOCATION
)   O
.   O

This   O
case   O
report   O
was   O
prepared   O
by   O
Miller   B-NAME
,   O
Department   O
of   O
Gastroenterology   O
,   O
University   B-LOCATION
of   I-LOCATION
Wisconsin   I-LOCATION
Hospitals   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
.   O

The   O
case   O
will   O
be   O
reviewed   O
again   O
on   O
24/23   B-DATE
for   O
further   O
plan   O
of   O
action   O
.   O

Patient   O
Report   O
:   O
Emory   B-NAME
Coleman   I-NAME
is   O
a   O
89   O
years   O
old   O
male   O
who   O
was   O
admitted   O
to   O
Monongahela   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
25/32   B-DATE
.   O

Detailed   O
examination   O
by   O
April   B-NAME
Gallegos   I-NAME
revealed   O
bilateral   O
crepitus   O
,   O
suggestive   O
of   O
respiratory   O
issues   O
,   O
possibly   O
pneumonia   O
.   O

Glover   B-NAME
's   O
professional   O
history   O
includes   O
working   O
as   O
a   O
Police   O
Detectives   O
in   O
UNITE   B-LOCATION
HERE   I-LOCATION
.   O

He   O
holds   O
a   O
social   O
security   O
10   B-ID
-   I-ID
5516873   I-ID
and   O
resides   O
in   O
50896   B-LOCATION
,   O
a   O
location   O
in   O
Old   B-LOCATION
Brownsboro   I-LOCATION
Place   I-LOCATION
.   O

According   O
to   O
the   O
medical   O
information   O
provided   O
,   O
Mcfarland   B-NAME
's   O
symptoms   O
first   O
began   O
manifesting   O
on   O
around   O
the   O
Sat   B-DATE
.   O

His   O
preliminary   O
test   O
results   O
and   O
medical   O
reports   O
(   O
with   O
56991674   B-ID
number   O
)   O
were   O
reviewed   O
by   O
Mcmillan   B-NAME
.   O

His   O
contact   O
number   O
is   O
(   B-CONTACT
913   I-CONTACT
)   I-CONTACT
661   I-CONTACT
1934   I-CONTACT
for   O
any   O
further   O
communication   O
and   O
follow   O
-   O
ups   O
.   O

To   O
ensure   O
the   O
protection   O
of   O
his   O
personal   O
health   O
information   O
,   O
the   O
hospital   O
has   O
assigned   O
him   O
the   O
username   O
jj536   B-NAME
for   O
all   O
digital   O
communication   O
and   O
access   O
to   O
his   O
e   O
-   O
health   O
records   O
.   O

The   O
team   O
at   O
Overland   B-LOCATION
Park   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
focused   O
on   O
treating   O
his   O
symptoms   O
through   O
a   O
course   O
of   O
antibiotics   O
while   O
also   O
maintaining   O
a   O
close   O
surveillance   O
on   O
his   O
health   O
condition   O
.   O

His   O
next   O
review   O
is   O
scheduled   O
for   O
Monday   B-DATE
.   O

As   O
part   O
of   O
Medical   B-LOCATION
City   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
's   O
commitement   O
to   O
quality   O
patient   O
care   O
,   O
we   O
reassure   O
to   O
maintain   O
utmost   O
privacy   O
and   O
confidentiality   O
of   O
Jimmy   B-NAME
Flynn   I-NAME
's   O
personal   O
health   O
information   O
.   O

Patient   O
Name   O
:   O
Taran   B-NAME
Sex   O
:   O
Male   O
Age   O
:   O
10   O
ID   O
:   O
6   B-ID
-   I-ID
4854975   I-ID
Medical   O
Record   O
:   O
6838183   B-ID
Address   O
:   O
Carter   B-LOCATION
Lake   I-LOCATION
Zip   O
:   O
76627   B-LOCATION
Phone   O
:   O
684   B-CONTACT
6882   I-CONTACT
The   O
patient   O
,   O
WALLACE   B-NAME
,   I-NAME
VELMA   I-NAME
,   O
presented   O
to   O
North   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
05/32/2048   B-DATE
complaining   O
of   O
severe   O
shortness   O
of   O
breath   O
,   O
cyanosis   O
,   O
and   O
excessive   O
sweating   O
.   O

Upon   O
further   O
examination   O
by   O
Dr.   O
Aurora   B-NAME
Taylor   I-NAME
,   O
the   O
patient   O
was   O
also   O
found   O
to   O
exhibit   O
signs   O
of   O
pallor   O
and   O
rapid   O
heart   O
rate   O
.   O

A   O
treatment   O
plan   O
was   O
promptly   O
established   O
by   O
Dr.   O
Moon   B-NAME
,   O
which   O
included   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
bronchodilators   O
,   O
and   O
corticosteroids   O
,   O
as   O
well   O
as   O
regular   O
monitoring   O
of   O
vital   O
signs   O
.   O

The   O
patient   O
’s   O
condition   O
will   O
be   O
continually   O
monitored   O
by   O
the   O
medical   O
staff   O
from   O
Botswana   B-LOCATION
Hotel   I-LOCATION
Travel   I-LOCATION
&   I-LOCATION
Tourism   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

Any   O
changes   O
in   O
the   O
patient   O
's   O
current   O
state   O
will   O
be   O
promptly   O
reported   O
to   O
Dr.   O
Killian   B-NAME
Cobb   I-NAME
and   O
the   O
healthcare   O
team   O
via   O
FB460   B-NAME
.   O

For   O
further   O
details   O
or   O
discussion   O
,   O
kindly   O
get   O
in   O
touch   O
at   O
820   B-CONTACT
7008   I-CONTACT
.   O

Aedan   B-NAME
Bowman   I-NAME
Date   O
of   O
Birth   O
:   O
20/23   B-DATE
Patient   O
ID   O
:   O
FA   B-ID
:   I-ID
PJ:4480   I-ID
Patient   O
History   O
and   O
Complaints   O
Mr.   O
Willoughby   B-NAME
has   O
approached   O
the   O
hospital   O
on   O
38/20   B-DATE
.   O

He   O
is   O
a   O
64   O
year   O
old   O
male   O
residing   O
in   O
Pocomoke   B-LOCATION
City   I-LOCATION
.   O

He   O
works   O
as   O
a   O
Interior   O
Designers   O
for   O
the   O
International   B-LOCATION
Alliance   I-LOCATION
of   I-LOCATION
Women   I-LOCATION
.   O

Past   O
Medical   O
History   O
His   O
past   O
medical   O
history   O
indicates   O
that   O
he   O
has   O
been   O
hypertensive   O
for   O
the   O
past   O
10   O
years   O
and   O
received   O
treatment   O
from   O
Dr.   O
Sosa   B-NAME
at   O
Grady   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
medical   O
record   O
for   O
the   O
same   O
will   O
be   O
updated   O
under   O
328   B-ID
-   I-ID
71   I-ID
-   I-ID
03   I-ID
-   I-ID
7   I-ID
in   O
our   O
system   O
.   O

Follow   O
Up   O
The   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Allison   B-NAME
has   O
been   O
scheduled   O
at   O
Valley   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/31   B-DATE
.   O

For   O
any   O
assistance   O
,   O
he   O
may   O
be   O
reached   O
through   O
the   O
phone   O
294   B-CONTACT
4704   I-CONTACT
during   O
work   O
hours   O
.   O

This   O
report   O
was   O
compiled   O
by   O
Andrians   B-NAME
,   I-NAME
Aiven   I-NAME
and   O
her   O
team   O
on   O
10/22/2320   B-DATE
.   O

Her   O
contact   O
at   O
Jersey   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
can   O
be   O
reached   O
at   O
37881   B-CONTACT
.   O

She   O
is   O
located   O
in   O
the   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Gratiot   I-LOCATION
at   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11207   I-LOCATION
,   O
ZIP   O
:   O
61853   B-LOCATION
.   O

Patient   O
's   O
electronic   O
sign   O
off   O
:   O
GY6410   B-NAME
on   O
3627   B-DATE
.   O

Patient   O
Name   O
:   O
Chelsia   B-NAME
Age   O
:   O
98s   O
Medical   O
Record   O
:   O
12799506   B-ID
Date   O
:   O
22/23/2040   B-DATE
We   O
began   O
monitoring   O
the   O
case   O
of   O
Uecker   B-NAME
at   O
Allen   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Iola   I-LOCATION
who   O
reported   O
worsening   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
symptoms   O
.   O

The   O
patient   O
first   O
began   O
experiencing   O
symptoms   O
such   O
as   O
a   O
productive   O
cough   O
,   O
shortness   O
of   O
breath   O
and   O
fatigue   O
in   O
Northlake   B-LOCATION
on   O
Monday   B-DATE
.   O

These   O
symptoms   O
prompted   O
him   O
to   O
visit   O
his   O
physician   O
,   O
Dr.   O
Thompson   B-NAME
,   O
on   O
Wednesday   B-DATE
,   I-DATE
March   I-DATE
.   O

He   O
is   O
retired   O
from   O
his   O
job   O
as   O
a   O
Production   O
Helpers   O
with   O
the   O
Unum   B-LOCATION
.   O

A   O
referral   O
has   O
been   O
made   O
to   O
a   O
pulmonology   O
specialist   O
,   O
Dr.   O
Dougherty   B-NAME
,   O
for   O
further   O
management   O
of   O
the   O
patient   O
's   O
condition   O
.   O

The   O
appointment   O
is   O
scheduled   O
on   O
12/28/2260   B-DATE
,   O
in   O
University   B-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
.   O

His   O
phone   O
number   O
is   O
(   B-CONTACT
405   I-CONTACT
)   I-CONTACT
657   I-CONTACT
-   I-CONTACT
8807   I-CONTACT
and   O
his   O
address   O
is   O
Fritch   B-LOCATION
,   O
87890   B-LOCATION
.   O

Public   O
health   O
nurse   O
,   O
od55   B-NAME
,   O
has   O
been   O
assigned   O
to   O
assist   O
Richard   B-NAME
for   O
home   O
-   O
based   O
care   O
.   O

Please   O
ensure   O
an   O
ambulance   O
with   O
an   O
ID   O
IM:48684:603330   B-ID
is   O
available   O
if   O
required   O
for   O
emergency   O
transportation   O
to   O
the   O
hospital   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Elina   B-NAME
Date   O
of   O
Birth   O
:   O
October   B-DATE
2027   I-DATE
Patient   O
ID   O
:   O
836755   B-ID
Medical   O
Record   O
:   O
4448773   B-ID
Address   O
:   O
Ocala   B-LOCATION
,   O
22353   B-LOCATION
Phone   O
number   O
:   O
33575   B-CONTACT
Preferred   O
Pharmacy   O
:   O
Network   B-LOCATION
for   I-LOCATION
Education   I-LOCATION
and   I-LOCATION
Academic   I-LOCATION
Rights   I-LOCATION
,   O
McKee   B-LOCATION
,   O
21242   B-LOCATION
Doctor   O
's   O
Name   O
:   O
Peter   B-NAME
Janssen   I-NAME
Admission   O
Date   O
:   O
30/05   B-DATE
Hospital   O
:   O
Aspirus   B-LOCATION
Ironwood   I-LOCATION
Hospital   I-LOCATION
Patient   O
Complaint   O
:   O
Conley   B-NAME
presented   O
with   O
a   O
severe   O
,   O
squeezing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

The   O
onset   O
was   O
sudden   O
,   O
approximately   O
11/12   B-DATE
ago   O
.   O

Medical   O
History   O
:   O
Jasmine   B-NAME
Morse   I-NAME
is   O
a   O
Human   O
Resources   O
Assistants   O
,   O
Except   O
Payroll   O
and   O
Timekeeping   O
with   O
a   O
history   O
of   O
hypertension   O
and   O
dyslipidemia   O
.   O

The   O
patient   O
quit   O
smoking   O
around   O
01/01   B-DATE
but   O
reveals   O
to   O
have   O
had   O
high   O
levels   O
of   O
work   O
-   O
related   O
stress   O
.   O

Furthermore   O
,   O
cardiac   O
enzyme   O
tests   O
were   O
requested   O
and   O
the   O
patient   O
was   O
immediately   O
initiated   O
on   O
aspirin   O
and   O
nitroglycerin   O
under   O
the   O
supervision   O
of   O
Dr.   O
Merrick   B-NAME
.   O

All   O
reports   O
were   O
recorded   O
under   O
medical   O
record   O
number   O
:   O
942   B-ID
-   I-ID
92   I-ID
-   I-ID
55   I-ID
by   O
the   O
nurse   O
with   O
the   O
username   O
:   O
ii380   B-NAME
.   O

Patient   O
's   O
family   O
was   O
contacted   O
via   O
their   O
contact   O
number   O
:   O
238   B-CONTACT
5746   I-CONTACT
.   O

They   O
were   O
explained   O
the   O
situation   O
and   O
assured   O
that   O
everything   O
possible   O
is   O
being   O
done   O
for   O
the   O
patient   O
's   O
health   O
in   O
Cumberland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Discharge   O
Plan   O
:   O
Following   O
medical   O
procedures   O
,   O
the   O
patient   O
will   O
be   O
referred   O
to   O
a   O
cardiac   O
rehab   O
program   O
for   O
further   O
guidance   O
on   O
diet   O
,   O
exercise   O
,   O
stress   O
management   O
,   O
and   O
medication   O
use   O
.   O

All   O
follow   O
-   O
ups   O
to   O
be   O
done   O
with   O
hospital   O
Hot   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
and   O
Dr   O
Ayala   B-NAME
.   O

Colon   B-NAME
,   O
10/11   B-DATE

Patient   O
Name   O
:   O
WG   B-NAME
Age   O
:   O
57   O
Date   O
:   O
0/21   B-DATE
Caldwell   B-NAME
observed   O
Eden   B-NAME
Hansen   I-NAME
in   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
South   I-LOCATION
San   I-LOCATION
Francisco   I-LOCATION
.   O

Cade   B-NAME
Ewing   I-NAME
is   O
a   O
Artists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
living   O
in   O
Marysville   B-LOCATION
,   I-LOCATION
Marysville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
.   O

During   O
the   O
initial   O
examination   O
,   O
Mitchell   B-NAME
complained   O
about   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
shoulder   O
.   O

Kindly   O
note   O
,   O
Thomas   B-NAME
Aquinas   I-NAME
has   O
health   O
insurance   O
ID   O
:   O
49042   B-ID
that   O
comes   O
under   O
the   O
High   B-LOCATION
Desert   I-LOCATION
State   I-LOCATION
Bank   I-LOCATION
.   O

Arbuthnot   B-NAME
,   I-NAME
John   I-NAME
's   O
medical   O
record   O
number   O
is   O
3352054   B-ID
and   O
we   O
have   O
made   O
special   O
arrangements   O
for   O
his   O
treatment   O
.   O

Jeffrey   B-NAME
Mccall   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
morphine   O
for   O
pain   O
,   O
and   O
clopidogrel   O
.   O

Please   O
contact   O
us   O
at   O
964   B-CONTACT
-   I-CONTACT
883   I-CONTACT
-   I-CONTACT
6708   I-CONTACT
if   O
you   O
have   O
any   O
questions   O
regarding   O
Halle   B-NAME
Guzman   I-NAME
's   O
treatment   O
.   O

You   O
can   O
also   O
reach   O
us   O
through   O
our   O
official   O
patient   O
portal   O
using   O
ua770   B-NAME
.   O
Addresses   O
and   O
ZIP   O
codes   O
:   O
Emergency   O
Room   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Harrisburg   I-LOCATION
Rutherford   B-LOCATION
94956   B-LOCATION
Billing   O
Department   O
Avera   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
30   B-LOCATION
Wagon   I-LOCATION
St.   I-LOCATION
73184   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Gillis   B-NAME
The   O
patient   O
,   O
a   O
2   O
-   O
year   O
-   O
old   O
individual   O
,   O
was   O
admitted   O
to   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Dover   I-LOCATION
on   O
0/20   B-DATE
with   O
severe   O
abdominal   O
pain   O
.   O

Dr.   O
Conrad   B-NAME
was   O
the   O
attending   O
physician   O
on   O
the   O
case   O
.   O

The   O
patient   O
had   O
recently   O
moved   O
from   O
73   B-LOCATION
Penn   I-LOCATION
Lane   I-LOCATION
and   O
had   O
no   O
previous   O
records   O
at   O
this   O
hospital   O
.   O

The   O
patient   O
mentioned   O
they   O
had   O
been   O
feeling   O
general   O
malaise   O
and   O
discomfort   O
for   O
the   O
past   O
few   O
days   O
which   O
had   O
severely   O
increased   O
in   O
the   O
morning   O
of   O
the   O
00/14/1956   B-DATE
.   O

Blood   O
tests   O
,   O
along   O
with   O
an   O
ultrasound   O
and   O
x   O
-   O
ray   O
were   O
suggested   O
by   O
Dr.   O
Cali   B-NAME
Pineda   I-NAME
.   O

The   O
patient   O
's   O
lab   O
samples   O
were   O
sent   O
to   O
the   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Knitwear   I-LOCATION
,   I-LOCATION
Footwear   I-LOCATION
and   I-LOCATION
Apparel   I-LOCATION
Trades   I-LOCATION
on   O
the   O
hospital   O
campus   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
34605   B-ID
.   O

The   O
record   O
showed   O
that   O
the   O
patient   O
had   O
been   O
treated   O
for   O
gastritis   O
back   O
in   O
02/13/68   B-DATE
in   O
Muncie   B-LOCATION
.   O

The   O
patient   O
had   O
recently   O
joined   O
an   O
American   B-LOCATION
Crystallographic   I-LOCATION
Association   I-LOCATION
and   O
was   O
going   O
through   O
a   O
stressful   O
transition   O
period   O
.   O

The   O
patient   O
can   O
be   O
contacted   O
at   O
158   B-CONTACT
-   I-CONTACT
5317   I-CONTACT
.   O

Their   O
identification   O
number   O
is   O
997978   B-ID
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Lane   B-NAME
Shea   I-NAME
was   O
scheduled   O
for   O
16/21   B-DATE
.   O

They   O
live   O
at   O
Sunbury   B-LOCATION
,   O
ZIP   O
code   O
:   O
71247   B-LOCATION
.   O

Dr.   O
Faulkner   B-NAME
is   O
now   O
closely   O
monitoring   O
the   O
patient   O
's   O
condition   O
.   O

te892   B-NAME
,   O
the   O
assigned   O
nurse   O
,   O
has   O
been   O
tasked   O
with   O
providing   O
daily   O
updates   O
.   O

All   O
future   O
updates   O
will   O
be   O
documented   O
in   O
the   O
patient   O
file   O
under   O
record   O
number   O
7565013   B-ID
.   O

Patient   O
Name   O
:   O
Magnus   B-NAME
Maximus   I-NAME
Age   O
:   O
29   O
Doctor   O
:   O
Hicks   B-NAME
Date   O
:   O
2000   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
21   I-DATE
Medical   O
Record   O
Number   O
:   O
4525815   B-ID
Hospital   O
:   O
Southwest   B-LOCATION
Regional   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Lindon   B-LOCATION
Zip   O
Code   O
:   O
71639   B-LOCATION
Patient   O
Beckham   B-NAME
Brock   I-NAME
,   O
a   O
Communications   O
Equipment   O
Operators   O
,   O
All   O
Other   O
of   O
10   O
week   O
years   O
underwent   O
a   O
comprehensive   O
examination   O
under   O
Mackenzie   B-NAME
Hamilton   I-NAME
at   O
Banner   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Tucson   I-LOCATION
on   O
12/22   B-DATE
.   O

Zamora   B-NAME
presented   O
with   O
a   O
primary   O
complaint   O
of   O
intense   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
and   O
occasional   O
bouts   O
of   O
nausea   O
and   O
vomiting   O
over   O
the   O
last   O
two   O
days   O
.   O

Upon   O
examination   O
,   O
Devin   B-NAME
demonstrated   O
signs   O
of   O
tenderness   O
in   O
the   O
right   O
iliac   O
region   O
alongside   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Saunders   B-NAME
's   O
blood   O
sample   O
showcased   O
an   O
increased   O
white   O
blood   O
cell   O
count   O
,   O
indicative   O
of   O
an   O
ongoing   O
infection   O
.   O

An   O
urgent   O
contrast   O
-   O
enhanced   O
CT   O
scan   O
was   O
suggested   O
by   O
Flynt   B-NAME
,   I-NAME
Larry   I-NAME
and   O
performed   O
at   O
Beebe   B-LOCATION
Healthcare   I-LOCATION
medical   O
imaging   O
center   O
using   O
the   O
machine   O
WW:86627:293136   B-ID
.   O

Dewitt   B-NAME
's   O
consent   O
was   O
obtained   O
post   O
a   O
detailed   O
discussion   O
and   O
understanding   O
of   O
the   O
procedure   O
and   O
the   O
risks   O
involved   O
.   O

The   O
procedure   O
was   O
successfully   O
carried   O
out   O
on   O
19/32   B-DATE
.   O

The   O
specimen   O
was   O
sent   O
to   O
the   O
Animal   B-LOCATION
Defense   I-LOCATION
League   I-LOCATION
for   O
further   O
pathological   O
evaluation   O
.   O

The   O
surgery   O
report   O
and   O
all   O
medical   O
records   O
were   O
filed   O
under   O
34316289   B-ID
and   O
a   O
copy   O
was   O
given   O
to   O
the   O
patient   O
.   O

Patient   O
contact   O
information   O
-   O
Phone   O
:   O
666   B-CONTACT
830   I-CONTACT
7129   I-CONTACT
Address   O
:   O
Lennox   B-LOCATION
,   O
90193   B-LOCATION
Follow   O
-   O
up   O
appointment   O
-   O
2300   B-DATE

Patient   O
Name   O
:   O
Seagal   B-NAME
,   I-NAME
Steven   I-NAME
Age   O
:   O
62   O
Medical   O
Record   O
Number   O
:   O
802   B-ID
-   I-ID
03   I-ID
-   I-ID
52   I-ID
-   I-ID
1   I-ID
ID   O
:   O
MO:791089:862923   B-ID
Location   O
:   O
Cold   B-LOCATION
Springs   I-LOCATION
Zip   O
code   O
:   O
67475   B-LOCATION
Phone   O
:   O
(   B-CONTACT
691   I-CONTACT
)   I-CONTACT
263   I-CONTACT
-   I-CONTACT
4693   I-CONTACT

Braylon   B-NAME
Mcdonald   I-NAME
Hospital   O
of   O
Admission   O
:   O
Goldriver   B-LOCATION
Clinic   I-LOCATION
Organization   O
:   O

Chicopee   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O
European   O
Commission   O
administrators   O
Username   O
:   O

clv195   B-NAME
Chief   O
complaint   O
:   O
The   O
patient   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
September   B-DATE
,   I-DATE
2344   I-DATE
with   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
neck   O
.   O

Physical   O
Examination   O
:   O
On   O
examination   O
,   O
Aesop   B-NAME
was   O
diaphoretic   O
and   O
appeared   O
visibly   O
distressed   O
.   O

Management   O
:   O
Derrick   B-NAME
Wheeler   I-NAME
was   O
started   O
on   O
appropriate   O
medical   O
therapy   O
,   O
including   O
dual   O
antiplatelet   O
therapy   O
,   O
statins   O
,   O
and   O
opioids   O
for   O
pain   O
relief   O
.   O

Plan   O
:   O
Cannicus   B-NAME
Maskaly   I-NAME
to   O
be   O
admitted   O
under   O
the   O
cardiology   O
team   O
at   O
Lawrence   B-LOCATION
&   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
care   O
and   O
monitoring   O
.   O

Follow   O
up   O
with   O
Amara   B-NAME
Madden   I-NAME
in   O
two   O
weeks   O
.   O

JI384   B-NAME
20/29/42   B-DATE

Patient   O
Information   O
:   O
Name   O
:   O
Ferreira   B-NAME
Age   O
:   O
6   O
week   O
Medical   O
Record   O
Number   O
:   O
85072488   B-ID
Location   O
Info   O
:   O
Lives   O
in   O
Howey   B-LOCATION
-   I-LOCATION
in   I-LOCATION
-   I-LOCATION
the   I-LOCATION
-   I-LOCATION
Hills   I-LOCATION
,   O
works   O
as   O
a   O
Title   O
Examiners   O
and   O
Abstractors   O
in   O
United   B-LOCATION
Firefighters   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
,   O
16190   B-LOCATION
.   O

Personal   O
Contact   O
:   O
Phone   O
:   O
576   B-CONTACT
1258   I-CONTACT
Emergency   O
Contact   O
:   O
mt4210   B-NAME
SSN   O
:   O
CM   B-ID
:   I-ID
TA:9062   B-ID
Physician   O
Info   O
:   O
Name   O
of   O
Physician   O
:   O
Crosby   B-NAME
Hospital   O
:   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Ontario   I-LOCATION
Date   O
of   O
Visit   O
:   O
November   B-DATE
Presenting   O
Symptoms   O
:   O
Stephens   B-NAME
presents   O
with   O
consistent   O
,   O
sharp   O
,   O
and   O
gnawing   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
ranking   O
approximately   O
7   O
on   O
a   O
pain   O
scale   O
of   O
0   O
-   O
10   O
,   O
where   O
0   O
signifies   O
no   O
pain   O
and   O
10   O
,   O
the   O
worst   O
pain   O
.   O

Additionally   O
,   O
Suzanne   B-NAME
McCullough   I-NAME
is   O
experiencing   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Next   O
steps   O
:   O
The   O
symptoms   O
indicate   O
that   O
Ryan   B-NAME
Chamberlain   I-NAME
might   O
be   O
suffering   O
from   O
acute   O
appendicitis   O
.   O

A   O
confirmatory   O
CT   O
scan   O
is   O
scheduled   O
for   O
10/20/71   B-DATE
at   O
Jennersville   B-LOCATION
Hospital   I-LOCATION
.   O

Upon   O
confirmation   O
,   O
it   O
is   O
likely   O
that   O
Vernetta   B-NAME
Florestal   I-NAME
will   O
be   O
recommended   O
an   O
immediate   O
surgery   O
-   O
appendectomy   O
.   O

An   O
appointment   O
with   O
the   O
surgical   O
team   O
led   O
by   O
Dr.   O
Aiyana   B-NAME
Coffey   I-NAME
has   O
been   O
organized   O
for   O
01/19/1700   B-DATE
.   O

Follow   O
-   O
up   O
information   O
will   O
be   O
delivered   O
via   O
telephone   O
at   O
991   B-CONTACT
-   I-CONTACT
1435   I-CONTACT
.   O

If   O
necessary   O
,   O
home   O
visits   O
by   O
nurses   O
from   O
Chartered   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Physiotherapy   I-LOCATION
may   O
be   O
arranged   O
.   O

A   O
copy   O
of   O
the   O
correct   O
medical   O
records   O
will   O
be   O
kept   O
under   O
4117772   B-ID
for   O
future   O
reference   O
.   O

This   O
report   O
was   O
prepared   O
by   O
jd720   B-NAME
.   O

Marques   B-NAME
Drake   I-NAME
Age   O
:   O
31   O
Address   O
:   O
Prophetstown   B-LOCATION
Phone   O
:   O
25710   B-CONTACT
Email   O
:   O
NG925   B-NAME
Zip   O
code   O
:   O
25739   B-LOCATION
Profession   O
:   O
Credit   O
Authorizers   O
Identification   O
Number   O
:   O
RO:21242:599371   B-ID
Medical   O
Record   O
:   O
375   B-ID
-   I-ID
58   I-ID
-   I-ID
21   I-ID
-   I-ID
4   I-ID
Dr.   O
Eaton   B-NAME
conducted   O
a   O
clinical   O
assessment   O
on   O
September   B-DATE
at   O
Guthrie   B-LOCATION
Cortland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
,   O
Lilly   B-NAME
Hendrix   I-NAME
,   O
is   O
78   O
years   O
old   O
working   O
as   O
a   O
Government   O
research   O
officer   O
.   O

He   O
resides   O
in   O
Readstown   B-LOCATION
and   O
can   O
be   O
contacted   O
via   O
phone   O
at   O
(   B-CONTACT
922   I-CONTACT
)   I-CONTACT
462   I-CONTACT
1457   I-CONTACT
.   O

Jayla   B-NAME
Friedman   I-NAME
presented   O
complaints   O
of   O
persistent   O
cough   O
,   O
intermittent   O
fever   O
,   O
and   O
difficulty   O
breathing   O
.   O

On   O
examination   O
,   O
Lyle   B-NAME
Omalley   I-NAME
exhibited   O
shallow   O
,   O
rapid   O
respiration   O
and   O
reduced   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
.   O

Additionally   O
,   O
David   B-NAME
Thornton   I-NAME
's   O
medical   O
history   O
has   O
been   O
updated   O
under   O
the   O
record   O
number   O
7220694   B-ID
and   O
securely   O
stored   O
in   O
the   O
Sexaholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
SA   I-LOCATION
)   I-LOCATION
database   O
.   O

A   O
follow   O
up   O
check   O
with   O
Dr.   O
Layne   B-NAME
Hancock   I-NAME
at   O
Sequoia   B-LOCATION
Hospital   I-LOCATION
is   O
scheduled   O
for   O
03/72   B-DATE
.   O

In   O
the   O
meantime   O
,   O
the   O
patient   O
or   O
guardian   O
can   O
reach   O
the   O
doctor   O
via   O
phone   O
at   O
509   B-CONTACT
-   I-CONTACT
2846   I-CONTACT
.   O

Patient   O
:   O
Karina   B-NAME
Brewer   I-NAME
Age   O
:   O
83s   O
I   O
saw   O
Hope   B-NAME
Robbins   I-NAME
in   O
consultation   O
as   O
requested   O
by   O
Suzann   B-NAME
Sison   I-NAME
.   O

The   O
consultation   O
took   O
place   O
on   O
2018   B-DATE
at   O
the   O
University   B-LOCATION
of   I-LOCATION
New   I-LOCATION
Mexico   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Lacey   B-LOCATION
.   O

Easter   B-NAME
is   O
an   O
accountant   O
by   O
profession   O
(   O
Agricultural   O
Technicians   O
)   O
and   O
has   O
been   O
experiencing   O
periodic   O
episodes   O
of   O
severe   O
headache   O
accompanied   O
by   O
nausea   O
and   O
photosensitivity   O
over   O
the   O
past   O
six   O
months   O
.   O

He   O
mentioned   O
that   O
his   O
general   O
medical   O
health   O
was   O
excellent   O
until   O
5   O
months   O
ago   O
when   O
he   O
first   O
noticed   O
sudden   O
sharp   O
headaches   O
during   O
an   O
People   B-LOCATION
's   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Tri   I-LOCATION
-   I-LOCATION
County   I-LOCATION
Electric   I-LOCATION
annual   O
meeting   O
.   O

Patient   O
's   O
RL:65879:319847   B-ID
maleness   O
,   O
19   O
and   O
lack   O
of   O
prior   O
history   O
with   O
such   O
symptoms   O
make   O
him   O
an   O
atypical   O
case   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
an   O
MRI   O
(   O
medical   O
record   O
number   O
:   O
4716364   B-ID
)   O
next   O
week   O
.   O

This   O
letter   O
was   O
prepared   O
at   O
my   O
office   O
located   O
in   O
Dillonvale   B-LOCATION
,   O
contactable   O
at   O
365   B-CONTACT
5962   I-CONTACT
and   O
pk65   B-NAME
.   O

To   O
facilitate   O
communication   O
,   O
I   O
sent   O
a   O
copy   O
of   O
this   O
letter   O
to   O
Lutz   B-NAME
,   I-NAME
John   I-NAME
Gregory   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Moses   B-NAME
Mcintosh   I-NAME
,   O
at   O
his   O
office   O
in   O
Liberty   B-LOCATION
Hill   I-LOCATION
,   O
64545   B-LOCATION
.   O

Our   O
plan   O
is   O
to   O
monitor   O
camp   B-NAME
's   O
symptoms   O
closely   O
and   O
begin   O
preventative   O
therapy   O
pending   O
MRI   O
results   O
.   O

Frazier   B-NAME
was   O
educated   O
about   O
lifestyle   O
modifications   O
that   O
can   O
help   O
manage   O
migraines   O
,   O
including   O
adequate   O
sleep   O
,   O
regular   O
meals   O
,   O
and   O
stress   O
management   O
techniques   O
.   O

Looking   O
forward   O
to   O
collaborating   O
on   O
future   O
patient   O
care   O
initiatives   O
with   O
UPMC   B-LOCATION
Northwest   I-LOCATION
.   O

Ayala   B-NAME
Age   O
:   O
96   O
ID   O
:   O
BI   B-ID
:   I-ID
XI:7495   I-ID
Address   O
:   O
Lincroft   B-LOCATION
,   O
88631   B-LOCATION
Phone   O
:   O
919   B-CONTACT
-   I-CONTACT
9633   I-CONTACT
MRN   O
:   O
89170589   B-ID
Profession   O
:   O
Video   O
Game   O
Designers   O
Referred   O
by   O
:   O
Dr   O
Carlee   B-NAME
Taylor   I-NAME
Clinical   O
record   O
summary   O
for   O
Heidy   B-NAME
Wade   I-NAME
based   O
on   O
visit   O
on   O
14/37   B-DATE
.   O

Background   O
:   O
Donaldson   B-NAME
,   O
a   O
57   O
years   O
old   O
Business   O
Intelligence   O
Analysts   O
,   O
has   O
been   O
experiencing   O
intense   O
vertigo   O
episodes   O
followed   O
by   O
nausea   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Initial   O
Examination   O
:   O
Upon   O
initial   O
examination   O
performed   O
by   O
Dr.   O
Velasquez   B-NAME
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Fish   I-LOCATION
Memorial   I-LOCATION
,   O
Ritter   B-NAME
exhibited   O
nystagmus   O
during   O
the   O
peripheral   O
vertigo   O
test   O
.   O

All   O
lab   O
tests   O
were   O
conducted   O
at   O
Dairyland   B-LOCATION
Power   I-LOCATION
Coop   I-LOCATION
laboratories   O
and   O
the   O
results   O
were   O
within   O
normal   O
ranges   O
.   O

Referrals   O
:   O
Due   O
to   O
the   O
severity   O
and   O
persistence   O
of   O
the   O
symptoms   O
,   O
based   O
on   O
the   O
opinion   O
of   O
the   O
consulting   O
neurologist   O
Dr.   O
Irwin   B-NAME
,   O
Perry   B-NAME
has   O
been   O
referred   O
to   O
a   O
specialist   O
Otologist   O
at   O
Creedmoor   B-LOCATION
Psychiatric   I-LOCATION
Center   I-LOCATION
.   O

An   O
MRI   O
of   O
the   O
brain   O
has   O
been   O
scheduled   O
for   O
06/20   B-DATE
at   O
the   O
radiology   O
department   O
of   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Keokuk   I-LOCATION
.   O

Communication   O
:   O
The   O
patient   O
has   O
been   O
informed   O
about   O
the   O
referral   O
to   O
the   O
Otologist   O
and   O
MRI   O
schedule   O
over   O
(   B-CONTACT
717   I-CONTACT
)   I-CONTACT
374   I-CONTACT
2809   I-CONTACT
.   O

Further   O
,   O
an   O
email   O
from   O
snr759   B-NAME
has   O
been   O
sent   O
to   O
Whitman   B-NAME
with   O
all   O
the   O
details   O
.   O

Closing   O
Summary   O
:   O
While   O
waiting   O
for   O
the   O
upcoming   O
MRI   O
,   O
Goodman   B-NAME
,   I-NAME
Ellen   I-NAME
has   O
been   O
advised   O
to   O
manage   O
the   O
symptoms   O
with   O
prescribed   O
medications   O
by   O
Dr.   O
Adyson   B-NAME
Stuart   I-NAME
and   O
limiting   O
rapid   O
changes   O
in   O
head   O
movements   O
.   O

A   O
follow   O
-   O
up   O
visit   O
has   O
been   O
scheduled   O
for   O
2011   B-DATE
.   O

These   O
include   O
but   O
are   O
not   O
limited   O
to   O
2   B-ID
-   I-ID
2352992   I-ID
,   O
395   B-ID
-   I-ID
50   I-ID
-   I-ID
29   I-ID
-   I-ID
9   I-ID
,   O
and   O
Virginia   B-LOCATION
.   O

This   O
summarizes   O
the   O
update   O
for   O
Beherns   B-NAME
as   O
of   O
13/12   B-DATE
.   O

Patient   O
name   O
:   O
Jadiel   B-NAME
Jennings   I-NAME
Age   O
:   O
95   O
On   O
the   O
morning   O
of   O
10/03   B-DATE
,   O
Patient   O
Cassidy   B-NAME
Sherman   I-NAME
was   O
brought   O
into   O
INTEGRIS   B-LOCATION
Canadian   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
for   O
severe   O
chest   O
pains   O
accompanied   O
by   O
excessive   O
perspiration   O
.   O

Physician   O
Ibarra   B-NAME
was   O
in   O
charge   O
of   O
the   O
case   O
.   O

Patient   O
Xavier   B-NAME
Otero   I-NAME
complained   O
of   O
a   O
throbbing   O
,   O
squeezing   O
pain   O
in   O
the   O
middle   O
of   O
his   O
chest   O
,   O
radiating   O
towards   O
his   O
neck   O
and   O
left   O
arm   O
.   O

His   O
medical   O
history   O
,   O
as   O
referenced   O
through   O
medical   O
record   O
number   O
915   B-ID
-   I-ID
03   I-ID
-   I-ID
70   I-ID
-   I-ID
5   I-ID
,   O
includes   O
hypertension   O
for   O
which   O
he   O
takes   O
medication   O
,   O
as   O
well   O
as   O
high   O
cholesterol   O
.   O

He   O
works   O
as   O
a   O
Designers   O
,   O
All   O
Other   O
at   O
Willmar   B-LOCATION
Municipal   I-LOCATION
Utilities   I-LOCATION
located   O
in   O
Elida   B-LOCATION
.   O

The   O
insurance   O
provider   O
Missouri   B-LOCATION
was   O
contacted   O
through   O
their   O
hotline   O
(   O
(   B-CONTACT
623   I-CONTACT
)   I-CONTACT
402   I-CONTACT
-   I-CONTACT
6373   I-CONTACT
)   O
for   O
verification   O
of   O
the   O
patient   O
's   O
health   O
insurance   O
plan   O
(   O
referenced   O
by   O
plan   O
ID   O
4   B-ID
-   I-ID
1932909   I-ID
)   O
.   O

The   O
patient   O
resides   O
at   O
San   B-LOCATION
Francisco   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
94110   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
42383   B-LOCATION
.   O

Further   O
correspondence   O
can   O
be   O
carried   O
out   O
through   O
the   O
patient   O
's   O
personal   O
email   O
(   O
qup799   B-NAME
)   O
.   O

Signed   O
,   O
Massey   B-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Hopper   B-NAME
,   I-NAME
Grace   I-NAME
Age   O
:   O
59   O
ID   O
:   O
KR:10641:709441   B-ID
Medical   O
record   O
number   O
:   O
250   B-ID
-   I-ID
12   I-ID
-   I-ID
76   I-ID
Address   O
:   O
8822   B-LOCATION
Garden   B-LOCATION
Dr.   I-LOCATION
,   O
36083   B-LOCATION
Patient   O
Vincent   B-NAME
Ventura   I-NAME
,   O
a   O
Probation   O
Officers   O
and   O
Correctional   O
Treatment   O
Specialists   O
by   O
trade   O
,   O
was   O
admitted   O
to   O
Guthrie   B-LOCATION
Troy   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
19/30/32   B-DATE
.   O

The   O
patient   O
was   O
referred   O
to   O
us   O
by   O
Dr.   O
Lucille   B-NAME
Burch   I-NAME
because   O
of   O
recurrent   O
headaches   O
and   O
lethargy   O
over   O
the   O
past   O
month   O
.   O

A   O
neurological   O
examination   O
was   O
conducted   O
by   O
Dr.   O
Lamb   B-NAME
,   I-NAME
Charles   I-NAME
,   O
who   O
noted   O
that   O
there   O
was   O
no   O
significant   O
impairment   O
in   O
coordination   O
or   O
sensation   O
.   O

We   O
have   O
scheduled   O
further   O
investigations   O
for   O
2171   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
27   I-DATE
to   O
identify   O
the   O
underlying   O
issue   O
.   O

The   O
contact   O
number   O
provided   O
by   O
the   O
patient   O
is   O
234   B-CONTACT
7221   I-CONTACT
.   O

For   O
any   O
further   O
queries   O
,   O
please   O
contact   O
me   O
at   O
sut554   B-NAME
at   O
Global   B-LOCATION
Rights   I-LOCATION
.   O

We   O
will   O
continue   O
monitoring   O
patient   O
Villarreal   B-NAME
's   O
health   O
condition   O
and   O
progress   O
.   O

Dr.   O
Mathews   B-NAME
07/25/02   B-DATE

Patient   O
Details   O
:   O
Patient   O
name   O
:   O
Russell   B-NAME
Dixon   I-NAME
Age   O
:   O
34   O
Location   O
:   O
Kooskia   B-LOCATION
Phone   O
:   O
113   B-CONTACT
249   I-CONTACT
-   I-CONTACT
5328   I-CONTACT
Mr.   O
Mariel   B-NAME
visited   O
our   O
facility   O
on   O
31/12   B-DATE
.   O

He   O
works   O
as   O
a   O
Graders   O
and   O
Sorters   O
,   O
Agricultural   O
Products   O
in   O
a   O
nearby   O
Physicians   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
.   O

He   O
was   O
referred   O
by   O
Dr.   O
Kaylin   B-NAME
Guerra   I-NAME
from   O
Shoshone   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Laboratory   O
tests   O
conducted   O
on   O
32/22   B-DATE
revealed   O
a   O
slightly   O
increased   O
white   O
blood   O
cell   O
count   O
.   O

Chest   O
X   O
-   O
ray   O
reports   O
taken   O
at   O
Aleda   B-LOCATION
E.   I-LOCATION
Lutz   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
highlighted   O
some   O
possible   O
congestion   O
in   O
the   O
lower   O
part   O
of   O
the   O
lungs   O
.   O

Mr.   O
Flynt   B-NAME
,   I-NAME
Larry   I-NAME
was   O
also   O
informed   O
about   O
possible   O
therapeutic   O
interventions   O
including   O
antibiotics   O
,   O
steroids   O
,   O
and   O
pulmonary   O
rehabilitation   O
depending   O
on   O
the   O
test   O
results   O
.   O

In   O
view   O
of   O
his   O
professional   O
responsibilities   O
at   O
Slash   B-LOCATION
Pine   I-LOCATION
EMC   I-LOCATION
,   O
we   O
suggested   O
modifying   O
his   O
work   O
practices   O
to   O
reduce   O
the   O
risk   O
of   O
respiratory   O
infections   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
01   B-DATE
-   I-DATE
Oct-2392   I-DATE
to   O
review   O
the   O
test   O
results   O
and   O
formulate   O
a   O
treatment   O
plan   O
.   O

For   O
reference   O
,   O
his   O
medical   O
record   O
number   O
is   O
8840257   B-ID
and   O
his   O
health   O
insurance   O
ID   O
is   O
5   B-ID
-   I-ID
5559930   I-ID
.   O

This   O
report   O
was   O
prepared   O
by   O
XT885   B-NAME
and   O
reviewed   O
by   O
our   O
chief   O
medical   O
officer   O
,   O
Dr.   O
Little   B-NAME
.   O

For   O
any   O
further   O
information   O
,   O
please   O
contact   O
us   O
at   O
91441   B-CONTACT
.   O

Patient   O
address   O
:   O
Street   O
:   O
Norwich   B-LOCATION
,   I-LOCATION
Rose   I-LOCATION
City   I-LOCATION
Renaissance   I-LOCATION
City   O
:   O
Fruitland   B-LOCATION
Park   I-LOCATION
State   O
:   O
Clinton   B-LOCATION
Zip   O
code   O
:   O
65658   B-LOCATION
Note   O
that   O
this   O
medical   O
report   O
contains   O
confidential   O
health   O
information   O
and   O
sharing   O
it   O
without   O
the   O
patient   O
's   O
consent   O
may   O
violate   O
privacy   O
laws   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Edgar   B-NAME
Trujillo   I-NAME
Age   O
:   O
86s   O
Date   O
of   O
admission   O
:   O
32/33   B-DATE
SSN   O
:   O
SM   B-ID
:   I-ID
JG:5116   I-ID
Address   O
:   O
Tampa   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33604   I-LOCATION
Contact   O
number   O
:   O
77177   B-CONTACT
Zip   O
code   O
:   O
38189   B-LOCATION
Employment   O
:   O
Surveyors   O
Consulting   O
Doctor   O
:   O
Conner   B-NAME
Marshall   I-NAME
Medical   O
Record   O
Number   O
:   O
55195691   B-ID
Hospital   O
:   O
Champlain   B-LOCATION
Valley   I-LOCATION
Physicians   I-LOCATION
Hospital   I-LOCATION
Username   O
for   O
patient   O
portal   O
:   O
JD745   B-NAME
Patient   O
Bailey   B-NAME
,   I-NAME
Philip   I-NAME
James   I-NAME
presented   O
with   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

He   O
reports   O
a   O
sudden   O
onset   O
of   O
severe   O
pain   O
,   O
stating   O
the   O
discomfort   O
started   O
two   O
days   O
ago   O
on   O
4/21   B-DATE
.   O

The   O
patient   O
has   O
been   O
referred   O
to   O
Maximilian   B-NAME
Santiago   I-NAME
,   O
a   O
general   O
surgeon   O
at   O
Overlook   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
an   O
urgent   O
consult   O
to   O
evaluate   O
the   O
necessity   O
for   O
an   O
appendectomy   O
.   O

The   O
patient   O
and   O
his   O
wife   O
(   O
contact   O
number   O
:   O
615   B-CONTACT
4970   I-CONTACT
)   O
were   O
made   O
aware   O
of   O
the   O
situation   O
and   O
potential   O
surgical   O
approach   O
.   O

Isaac   B-NAME
Reid   I-NAME
recommends   O
an   O
abdominal   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
,   O
and   O
the   O
patient   O
's   O
blood   O
samples   O
have   O
been   O
sent   O
to   O
the   O
Riverview   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
lab   O
at   O
Sturgis   B-LOCATION
for   O
further   O
testing   O
.   O

The   O
patient   O
can   O
sign   O
in   O
with   O
the   O
username   O
:   O
vw957   B-NAME
.   O

The   O
patient   O
's   O
employer   O
,   O
American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
the   I-LOCATION
Prevention   I-LOCATION
of   I-LOCATION
Cruelty   I-LOCATION
to   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
ASPCA   I-LOCATION
)   I-LOCATION
,   O
at   O
the   O
Aquacultural   O
Managers   O
department   O
,   O
has   O
been   O
informed   O
of   O
the   O
medical   O
situation   O
to   O
arrange   O
for   O
medical   O
leave   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
00   B-DATE
.   O

Patient   O
Name   O
:   O
Kailey   B-NAME
Sellers   I-NAME
Age   O
:   O
23   O
Location   O
:   O
Wellsboro   B-LOCATION
ID   O
:   O
QJ   B-ID
:   I-ID
SU:5562   I-ID
Medical   O
Record   O
Number   O
:   O
48426481   B-ID
Doctor   O
's   O
Name   O
:   O
Norton   B-NAME
Organization   O
:   O

Unrepresented   B-LOCATION
Nations   I-LOCATION
and   I-LOCATION
Peoples   I-LOCATION
Organization   I-LOCATION
Hospital   O
:   O
Montgomery   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Phone   O
Number   O
:   O
986   B-CONTACT
-   I-CONTACT
2841   I-CONTACT
Profession   O
:   O
Tax   O
inspector   O
Username   O
:   O
tzu226   B-NAME
Zip   O
:   O
45475   B-LOCATION
Symptoms   O
'   O
onset   O
date   O
:   O
25/22/10   B-DATE
Narrative   O
:   O

The   O
patient   O
,   O
Albert   B-NAME
W.   I-NAME
Wily   I-NAME
,   O
a   O
Excavating   O
and   O
Loading   O
Machine   O
Operators   O
who   O
resides   O
in   O
the   O
area   O
of   O
79650   B-LOCATION
visited   O
my   O
clinic   O
on   O
June   B-DATE
.   O

At   O
44   O
,   O
Ben   B-NAME
Casey   I-NAME
presents   O
with   O
symptoms   O
highly   O
suggestive   O
of   O
hyperthyroidism   O
.   O

Diamond   B-NAME
's   O
symptoms   O
include   O
but   O
are   O
not   O
limited   O
to   O
rapid   O
heart   O
rate   O
,   O
unexplained   O
weight   O
loss   O
despite   O
increased   O
appetite   O
,   O
excessive   O
sweating   O
,   O
tremors   O
in   O
the   O
hands   O
and   O
fingers   O
,   O
and   O
anxiety   O
.   O

Further   O
inspection   O
shows   O
that   O
Adrianna   B-NAME
Love   I-NAME
also   O
appears   O
to   O
suffer   O
from   O
frequent   O
bowel   O
movements   O
,   O
fatigue   O
,   O
and   O
heat   O
intolerance   O
.   O

Confirming   O
these   O
visual   O
and   O
physical   O
observations   O
,   O
laboratory   O
test   O
results   O
from   O
McLaren   B-LOCATION
-   I-LOCATION
Bay   I-LOCATION
Region   I-LOCATION
yielded   O
higher   O
than   O
normal   O
levels   O
of   O
thyroid   O
hormones   O
(   O
T3   O
and   O
T4   O
)   O
,   O
while   O
the   O
TSH   O
level   O
fell   O
below   O
the   O
reference   O
range   O
.   O

I   O
,   O
Davies   B-NAME
,   O
recommended   O
further   O
tests   O
,   O
including   O
thyroid   O
scan   O
and   O
radioactive   O
iodine   O
uptake   O
test   O
,   O
to   O
ascertain   O
the   O
underlying   O
cause   O
of   O
the   O
condition   O
.   O

A   O
treatment   O
plan   O
will   O
be   O
formulated   O
depending   O
on   O
these   O
results   O
,   O
taking   O
into   O
consideration   O
the   O
patient   O
's   O
overall   O
health   O
status   O
,   O
as   O
assessed   O
by   O
their   O
past   O
medical   O
records   O
,   O
75896682   B-ID
.   O

I   O
am   O
scheduling   O
Yonathan   B-NAME
Orth   I-NAME
for   O
a   O
follow   O
-   O
up   O
appointment   O
and   O
they   O
may   O
reach   O
me   O
through   O
the   O
clinic   O
's   O
phone   O
number   O
,   O
373   B-CONTACT
4306   I-CONTACT
,   O
for   O
any   O
urgent   O
concerns   O
.   O

Lastly   O
,   O
for   O
ease   O
of   O
communication   O
and   O
updates   O
regarding   O
their   O
treatment   O
plan   O
,   O
I   O
have   O
requested   O
Yan   B-NAME
to   O
create   O
an   O
online   O
profile   O
with   O
our   O
affiliated   O
First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Winchester   I-LOCATION
using   O
the   O
username   O
ypo634   B-NAME
.   O

Report   O
submitted   O
from   O
Auburn   B-LOCATION
on   O
03/06/1984   B-DATE
.   O

Patient   O
Report   O
0037156   B-ID
:   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
00   B-DATE
-   I-DATE
Dec-2339   I-DATE
:   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
Atrium   B-LOCATION
Health   I-LOCATION
SouthPark   I-LOCATION
:   O
Titusville   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
Patient   O
Information   O
:   O
Name   O
:   O
Greta   B-NAME
Haynes   I-NAME
DOB   O
:   O

July   B-DATE
Address   O
:   O
Battle   B-LOCATION
Creek   I-LOCATION
Phone   O
:   O
203   B-CONTACT
-   I-CONTACT
656   I-CONTACT
-   I-CONTACT
5725   I-CONTACT
ID   O
:   O
7   B-ID
-   I-ID
3871912   I-ID
Presentation   O
Benson   B-NAME
is   O
presented   O
with   O
signs   O
of   O
acute   O
bronchitis   O
.   O

Deshawn   B-NAME
Bonilla   I-NAME
has   O
been   O
coughing   O
up   O
yellowish   O
-   O
grey   O
mucus   O
and   O
reports   O
having   O
persistent   O
chest   O
tightness   O
and   O
fatigue   O
over   O
the   O
last   O
two   O
weeks   O
.   O

Hubbard   B-NAME
,   I-NAME
Elbert   I-NAME
also   O
has   O
mild   O
fever   O
and   O
shortness   O
of   O
breath   O
.   O

Medical   O
History   O
Shepard   B-NAME
's   O
medical   O
history   O
reveals   O
that   O
[   O
he   O
/   O
she   O
]   O
was   O
diagnosed   O
with   O
asthma   O
at   O
the   O
age   O
of   O
54   O
.   O

Willis   B-NAME
is   O
currently   O
working   O
as   O
a   O
Middle   O
School   O
Teachers   O
,   O
Except   O
Special   O
and   O
Vocational   O
Education   O
at   O
Orion   B-LOCATION
Bank   I-LOCATION
in   O
Uehling   B-LOCATION
.   O

Diagnosis   O
Considering   O
Miranda   B-NAME
,   I-NAME
James   I-NAME
R   I-NAME
's   O
symptoms   O
and   O
the   O
disclosed   O
family   O
history   O
of   O
COPD   O
,   O
Stevenson   B-NAME
suspects   O
[   O
he   O
/   O
she   O
]   O
is   O
currently   O
dealing   O
with   O
acute   O
bronchitis   O
exacerbated   O
by   O
[   O
his   O
/   O
her   O
]   O
pre   O
-   O
existing   O
asthma   O
.   O

Plan   O
Pending   O
lab   O
results   O
,   O
a   O
plan   O
of   O
action   O
will   O
be   O
formulated   O
and   O
discussed   O
with   O
Crosby   B-NAME
.   O

Tony   B-NAME
Wilkinson   I-NAME
has   O
been   O
advised   O
to   O
rest   O
and   O
stay   O
hydrated   O
.   O

Koen   B-NAME
Lin   I-NAME
's   O
Comments   O
Amaris   B-NAME
Benjamin   I-NAME
has   O
been   O
highly   O
cooperative   O
and   O
open   O
in   O
discussing   O
symptoms   O
and   O
medical   O
history   O
.   O

It   O
is   O
recommended   O
that   O
Jamarion   B-NAME
Oneill   I-NAME
follows   O
up   O
one   O
week   O
after   O
receiving   O
lab   O
results   O
.   O

If   O
Quinn   B-NAME
,   I-NAME
Medicine   I-NAME
Woman   I-NAME
’s   O
condition   O
worsens   O
,   O
or   O
signs   O
of   O
acute   O
bronchitis   O
do   O
not   O
dissipate   O
,   O
further   O
investigation   O
will   O
be   O
required   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
30/38/2008   B-DATE
at   O
Iredell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
Henlawson   B-LOCATION
.   O

In   O
case   O
of   O
any   O
changes   O
,   O
Leroy   B-NAME
Kelly   I-NAME
can   O
directly   O
contact   O
Turner   B-NAME
at   O
689   B-CONTACT
-   I-CONTACT
1340   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
UX293   B-NAME
Signed   O
Off   O
By   O
:   O
May   B-NAME
Report   O
shared   O
with   O
:   O
American   B-LOCATION
United   I-LOCATION
Bank   I-LOCATION
38826   B-LOCATION
:   O
15613   B-LOCATION

Patient   O
Name   O
:   O
Williamson   B-NAME
,   I-NAME
Henry   I-NAME
Age   O
:   O
7   O
week   O
ID   O
:   O
92704786   B-ID
Phone   O
:   O
80413   B-CONTACT
Occupation   O
:   O

Order   O
Clerks   O
City   O
of   O
Residence   O
:   O
Brussels   B-LOCATION
Zip   O
code   O
:   O
89019   B-LOCATION
Doctor   O
's   O
Name   O
:   O
Nielsen   B-NAME
Hospital   O
:   O
Southwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Liberal   I-LOCATION
Medical   O
Record   O
Number   O
:   O
36455830   B-ID
Report   O
:   O

The   O
patient   O
Hughes   B-NAME
,   O
of   O
age   O
37   O
,   O
residing   O
in   O
the   O
city   O
of   O
Stafford   B-LOCATION
Courthouse   I-LOCATION
and   O
zip   O
code   O
47253   B-LOCATION
,   O
attended   O
a   O
consultation   O
with   O
Dr.   O
Tyesha   B-NAME
Mikulec   I-NAME
at   O
the   O
Mackinac   B-LOCATION
Straits   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
01/07/08   B-DATE
.   O

Dr.   O
Blanchard   B-NAME
has   O
advised   O
for   O
stress   O
test   O
and   O
2D   O
echo   O
to   O
further   O
evaluate   O
the   O
patient   O
's   O
condition   O
.   O

I   O
also   O
request   O
the   O
patient   O
's   O
previous   O
medical   O
records   O
418   B-ID
-   I-ID
70   I-ID
-   I-ID
96   I-ID
-   I-ID
9   I-ID
,   O
and   O
ID   O
8   B-ID
-   I-ID
3136607   I-ID
without   O
which   O
the   O
treatment   O
planning   O
would   O
be   O
incomplete   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
30   B-DATE
-   I-DATE
22   I-DATE
.   O

The   O
patient   O
Lauri   B-NAME
Durkin   I-NAME
can   O
contact   O
the   O
hospital   O
East   B-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lanier   I-LOCATION
at   O
54800   B-CONTACT
for   O
any   O
further   O
queries   O
or   O
to   O
reschedule   O
the   O
appointment   O
.   O

The   O
correspondence   O
related   O
to   O
the   O
patient   O
's   O
condition   O
and   O
treatment   O
plan   O
will   O
be   O
sent   O
to   O
Bargain   B-LOCATION
Hunt   I-LOCATION
.   O

The   O
username   O
to   O
access   O
the   O
the   O
online   O
patient   O
portal   O
is   O
crt6710   B-NAME
.   O

Dr.   O
Mohammad   B-NAME
Hopkins   I-NAME
and   O
the   O
Washington   B-LOCATION
Hospital   I-LOCATION
team   O
appreciates   O
the   O
cooperation   O
of   O
the   O
patient   O
Parker   B-NAME
Quinby   I-NAME
in   O
this   O
regard   O
.   O

Patient   O
:   O
Marcos   B-NAME
Davila   I-NAME
ID   O
:   O
YT989/1573   B-ID
Age   O
:   O
42   O
Location   O
:   O
Stoddard   B-LOCATION
Phone   O
:   O
(   B-CONTACT
175   I-CONTACT
)   I-CONTACT
981   I-CONTACT
-   I-CONTACT
4931   I-CONTACT
Doctor   O
:   O
Espinoza   B-NAME
Hospital   O
:   O

Manchester   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
:   O
50764021   B-ID
Username   O
:   O
WY308   B-NAME
Zip   O
:   O
94513   B-LOCATION
Date   O
:   O
Feb   B-DATE
2236   I-DATE
Profession   O
:   O

Hudson   B-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
Quinton   B-NAME
Fletcher   I-NAME
presented   O
on   O
2076   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
01   I-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
correlating   O
with   O
angina   O
pectoris   O
.   O

Additionally   O
,   O
Randy   B-NAME
Miles   I-NAME
has   O
reported   O
episodes   O
of   O
shortness   O
of   O
breath   O
and   O
profuse   O
sweating   O
.   O

Arabella   B-NAME
Stokes   I-NAME
has   O
a   O
family   O
history   O
of   O
ischemic   O
heart   O
diseases   O
;   O
her   O
father   O
suffered   O
from   O
a   O
myocardial   O
infarction   O
at   O
the   O
30   O
.   O

Physical   O
examination   O
by   O
Cowper   B-NAME
,   I-NAME
William   I-NAME
and   O
subsequent   O
diagnostic   O
measures   O
were   O
performed   O
at   O
North   B-LOCATION
Colorado   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
based   O
in   O
Nekoosa   B-LOCATION
.   O

According   O
to   O
Quentin   B-NAME
Lacey   I-NAME
's   O
treatment   O
plan   O
as   O
created   O
on   O
14/13   B-DATE
using   O
jw214   B-NAME
at   O
Northwestern   B-LOCATION
Mutual   I-LOCATION
,   O
the   O
patent   O
has   O
been   O
prescribed   O
sublingual   O
nitroglycerin   O
for   O
immediate   O
relief   O
from   O
angina   O
.   O

Raquel   B-NAME
Browning   I-NAME
is   O
advised   O
to   O
limit   O
strenuous   O
physical   O
activity   O
.   O

Please   O
reach   O
the   O
Red   B-LOCATION
Bay   I-LOCATION
Hospital   I-LOCATION
at   O
249   B-CONTACT
4222   I-CONTACT
for   O
any   O
urgent   O
matters   O
.   O

All   O
these   O
details   O
are   O
properly   O
documented   O
and   O
classified   O
in   O
the   O
medical   O
record   O
number   O
:   O
255   B-ID
-   I-ID
72   I-ID
-   I-ID
17   I-ID
for   O
future   O
reference   O
.   O

The   O
patient   O
resident   O
44239   B-LOCATION
code   O
will   O
be   O
helpful   O
for   O
the   O
Haven   B-LOCATION
Trust   I-LOCATION
Bank   I-LOCATION
Florida   I-LOCATION
to   O
organize   O
home   O
visits   O
if   O
required   O
.   O

Patient   O
Name   O
:   O
Eddie   B-NAME
Sauer   I-NAME
Gender   O
:   O

Female   O
Age   O
:   O
11   O
Admitted   O
on   O
20/20   B-DATE
under   O
the   O
care   O
of   O
Marcus   B-NAME
.   O

Patient   O
resides   O
at   O
Ardmore   B-LOCATION
,   I-LOCATION
Ardmore   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Authority   I-LOCATION
and   O
works   O
as   O
a   O
Medical   O
and   O
Clinical   O
Laboratory   O
Technicians   O
.   O

She   O
was   O
referred   O
to   O
KershawHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

She   O
had   O
a   O
health   O
plan   O
number   O
,   O
SR   B-ID
:   I-ID
BG:5761   I-ID
,   O
and   O
her   O
medical   O
record   O
number   O
is   O
785   B-ID
-   I-ID
97   I-ID
-   I-ID
90   I-ID
-   I-ID
6   I-ID
.   O

During   O
her   O
stay   O
at   O
our   O
Research   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
the   O
patient   O
reported   O
a   O
considerable   O
decrease   O
in   O
the   O
frequency   O
and   O
severity   O
of   O
her   O
migraines   O
.   O

Patient   O
was   O
discharged   O
on   O
02/01/76   B-DATE
.   O

For   O
communication   O
and   O
follow   O
-   O
ups   O
,   O
her   O
contact   O
number   O
is   O
:   O
94634   B-CONTACT
.   O

A   O
follow   O
-   O
up   O
with   O
Cantona   B-NAME
,   I-NAME
Eric   I-NAME
in   O
a   O
week   O
was   O
scheduled   O
for   O
monitoring   O
her   O
health   O
condition   O
.   O

She   O
was   O
advised   O
to   O
contact   O
Sioux   B-LOCATION
Center   I-LOCATION
Health   I-LOCATION
if   O
her   O
condition   O
worsens   O
.   O

Signature   O
:   O
Belia   B-NAME
Mattioli   I-NAME
Date   O
:   O

23/01/58   B-DATE
Dep   O
:   O
ev492   B-NAME
Note   O
:   O
This   O
document   O
contains   O
personal   O
health   O
information   O
and   O
is   O
meant   O
for   O
the   O
listed   O
United   B-LOCATION
Steelworkers   I-LOCATION
only   O
.   O

If   O
you   O
received   O
this   O
document   O
by   O
mistake   O
,   O
please   O
contact   O
us   O
at   O
477   B-CONTACT
7476   I-CONTACT
and   O
then   O
delete   O
this   O
document   O
immediately   O
.   O

Our   O
postal   O
code   O
is   O
95239   B-LOCATION
.   O

Patient   O
Name   O
:   O
Brasen   B-NAME
Date   O
of   O
Birth   O
:   O
2250   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
32   I-DATE
Age   O
:   O
96s   O
Address   O
:   O
Burundi   B-LOCATION
Phone   O
:   O
925   B-CONTACT
-   I-CONTACT
6811   I-CONTACT
Medical   O
Record   O
Number   O
:   O
9393668   B-ID
Healthcare   O
Provider   O
:   O
Gilmore   B-NAME
,   I-NAME
John   I-NAME
Hospital   O
Name   O
:   O
New   B-LOCATION
Horizons   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
Number   O
:   O
CR895/5179   B-ID
Organization   O
:   O

Grady   B-LOCATION
EMC   I-LOCATION
Profession   O
:   O
Public   O
Relations   O
Specialists   O
Username   O
(   O
if   O
applicable   O
):   O
ltg362   B-NAME
Zip   O
Code   O
:   O
89041   B-LOCATION
Clinical   O
Presentation   O
:   O
Bokini   B-NAME
,   I-NAME
Ratu   I-NAME
Ovini   I-NAME
was   O
brought   O
to   O
the   O
ER   O
at   O
Sentara   B-LOCATION
RMH   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2   B-DATE
-   I-DATE
7   I-DATE
.   O

Physical   O
Examination   O
:   O
During   O
the   O
physical   O
examination   O
conducted   O
by   O
Ramsey   B-NAME
on   O
February   B-DATE
03   I-DATE
,   O
Ryker   B-NAME
Reese   I-NAME
had   O
mild   O
tachycardia   O
,   O
blood   O
pressure   O
measured   O
was   O
135/90   O
mmHg   O
and   O
temperature   O
of   O
99.9   O
°   O
F   O
.   O

Diagnostic   O
Approach   O
:   O
Upon   O
detailed   O
investigation   O
of   O
the   O
symptoms   O
at   O
our   O
facility   O
Community   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Dobbs   I-LOCATION
Ferry   I-LOCATION
,   O
an   O
ultrasound   O
was   O
advised   O
by   O
the   O
primary   O
healthcare   O
provider   O
Kramer   B-NAME
on   O
39/22   B-DATE
which   O
suggested   O
Cholelithiasis   O
(   O
Gallstones   O
)   O
.   O

The   O
patient   O
and   O
his   O
family   O
have   O
agreed   O
to   O
the   O
procedure   O
,   O
telephonic   O
consent   O
was   O
taken   O
on   O
975   B-CONTACT
-   I-CONTACT
502   I-CONTACT
7227   I-CONTACT
followed   O
by   O
written   O
consent   O
.   O

Follow   O
-   O
ups   O
will   O
be   O
scheduled   O
at   O
NYU   B-LOCATION
Langone   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Brooklyn   I-LOCATION
which   O
will   O
be   O
further   O
discussed   O
after   O
the   O
surgery   O
.   O

Notice   O
:   O
Please   O
note   O
that   O
all   O
health   O
records   O
including   O
the   O
discussed   O
investigations   O
are   O
confidential   O
and   O
only   O
accessible   O
through   O
the   O
username   O
mol554   B-NAME
provided   O
.   O

The   O
ID   O
to   O
access   O
this   O
medical   O
record   O
is   O
OQ:57988:531535   B-ID
.   O

Any   O
suspected   O
misuse   O
should   O
be   O
reported   O
immediately   O
to   O
Provincial   B-LOCATION
Worlds   I-LOCATION
.   O

Patient   O
Information   O
:   O
Patient   O
name   O
:   O
Risa   B-NAME
Fleak   I-NAME
Age   O
:   O
72   O
ID   O
:   O
PF:2168:789295   B-ID
Phone   O
:   O
661   B-CONTACT
8566   I-CONTACT
Primary   O
Care   O
Doctor   O
:   O
Jadyn   B-NAME
Good   I-NAME
Medical   O
Record   O
:   O
EO38177137   B-ID
Location   O
:   O
Cass   B-LOCATION
Presented   O
Symptoms   O
:   O

Patient   O
Rudy   B-NAME
Mcguire   I-NAME
came   O
into   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Carrollton   I-LOCATION
on   O
23   B-DATE
's   I-DATE
.   O

In   O
the   O
Personal   O
assistant   O
industry   O
for   O
International   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Electrical   I-LOCATION
Workers   I-LOCATION
that   O
has   O
locations   O
in   O
Jones   B-LOCATION
,   I-LOCATION
OK   I-LOCATION
73049   I-LOCATION
and   O
Provincetown   B-LOCATION
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Horton   B-NAME
,   O
recommended   O
further   O
diagnostic   O
tests   O
,   O
including   O
CT   O
scans   O
and   O
a   O
lung   O
biopsy   O
,   O
to   O
identify   O
the   O
nature   O
and   O
stage   O
of   O
the   O
neoplasm   O
.   O

Meanwhile   O
,   O
patient   O
Jaqueline   B-NAME
Bailey   I-NAME
was   O
recommended   O
to   O
cease   O
any   O
tobacco   O
use   O
and   O
prescribed   O
bronchodilators   O
to   O
alleviate   O
respiratory   O
symptoms   O
.   O

Additional   O
Notes   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
for   O
08/14/73   B-DATE
was   O
scheduled   O
.   O

Patient   O
was   O
reminded   O
to   O
call   O
941   B-CONTACT
7350   I-CONTACT
if   O
there   O
are   O
any   O
changes   O
or   O
sudden   O
worsening   O
of   O
symptoms   O
.   O

The   O
doctor   O
’s   O
notes   O
were   O
updated   O
by   O
py769   B-NAME
and   O
saved   O
securely   O
in   O
our   O
records   O
under   O
the   O
patient   O
's   O
ID   O
:   O
2595716   B-ID
and   O
ZIP   O
code   O
30089   B-LOCATION
.   O

Patient   O
Name   O
:   O
yen   B-NAME
Age   O
:   O
33s   O
Location   O
:   O
Walhalla   B-LOCATION
ZIP   O
Code   O
:   O
14851   B-LOCATION
Date   O
:   O
15/22   B-DATE
12/23   B-DATE
Record   O
#   O
4209600   B-ID
Following   O
a   O
thorough   O
physical   O
examination   O
performed   O
by   O
Hugo   B-NAME
,   I-NAME
Victor   I-NAME
in   O
Beverly   B-LOCATION
Hospital   I-LOCATION
,   O
it   O
is   O
reported   O
that   O
this   O
93   O
-   O
year   O
old   O
patient   O
,   O
known   O
as   O
Wood   B-NAME
is   O
showing   O
significant   O
signs   O
of   O
dyspnea   O
,   O
accompanied   O
with   O
palpitations   O
and   O
tachycardia   O
.   O

Past   O
medical   O
records   O
indicate   O
that   O
the   O
patient   O
has   O
a   O
history   O
of   O
hypertension   O
,   O
diagnosed   O
about   O
two   O
years   O
ago   O
at   O
a   O
clinic   O
in   O
Penrose   B-LOCATION
,   O
and   O
has   O
failed   O
to   O
maintain   O
a   O
regular   O
follow   O
-   O
up   O
due   O
to   O
their   O
profession   O
as   O
a   O
Insurance   O
broker   O
.   O

Detailed   O
coordination   O
of   O
patient   O
's   O
medical   O
history   O
,   O
clinical   O
findings   O
,   O
and   O
future   O
appointments   O
should   O
be   O
carried   O
out   O
with   O
Plutocratic   B-LOCATION
Systems   I-LOCATION
.   O

Patient   O
Anthony   B-NAME
,   I-NAME
Piers   I-NAME
was   O
advised   O
to   O
immediately   O
contact   O
the   O
hospital   O
at   O
268   B-CONTACT
-   I-CONTACT
9196   I-CONTACT
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
appear   O
.   O

Patient   O
's   O
ID   O
:   O
VG411/8996   B-ID
Username   O
for   O
digital   O
records   O
:   O
xe509   B-NAME
This   O
report   O
has   O
been   O
prepared   O
by   O
Reeves   B-NAME
.   O

7/11   B-DATE

255   B-ID
-   I-ID
72   I-ID
-   I-ID
17   I-ID
:   O
2093293   O
02/11/02   B-DATE
:   O
March   O
29   O
Patient   O
Banks   B-NAME
,   I-NAME
Robert   I-NAME
presented   O
to   O
Kuakini   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
cough   O
that   O
has   O
persisted   O
for   O
a   O
week   O
.   O

His   O
health   O
insurance   O
ID   O
is   O
8699679   B-ID
.   O

The   O
patient   O
lives   O
in   O
Forest   B-LOCATION
Park   I-LOCATION
and   O
can   O
be   O
contacted   O
at   O
535   B-CONTACT
1337   I-CONTACT
.   O

In   O
Dr.   O
Evie   B-NAME
Fleming   I-NAME
's   O
assessment   O
,   O
the   O
patient   O
's   O
symptoms   O
,   O
alongside   O
the   O
results   O
of   O
the   O
chest   O
x   O
-   O
ray   O
ordered   O
,   O
indicate   O
a   O
possibility   O
of   O
pneumonia   O
,   O
ruling   O
out   O
coronary   O
artery   O
disease   O
given   O
the   O
patient   O
's   O
consistent   O
chest   O
pain   O
symptoms   O
.   O

The   O
patient   O
has   O
been   O
referred   O
to   O
a   O
cardiologist   O
associated   O
with   O
the   O
Holland   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
Works   I-LOCATION
The   O
plan   O
is   O
to   O
start   O
the   O
patient   O
on   O
a   O
course   O
of   O
antibiotics   O
immediately   O
and   O
to   O
conduct   O
a   O
further   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
sputum   O
culture   O
and   O
sensitivity   O
.   O

Follow   O
up   O
appointment   O
is   O
scheduled   O
in   O
10   O
days   O
by   O
the   O
nurse   O
whose   O
username   O
is   O
qoi374   B-NAME
.   O

The   O
patient   O
was   O
discharged   O
from   O
Community   B-LOCATION
Hospital   I-LOCATION
Anderson   I-LOCATION
and   O
was   O
instructed   O
to   O
return   O
immediately   O
if   O
symptoms   O
worsen   O
.   O

The   O
discharge   O
papers   O
were   O
sent   O
to   O
his   O
address   O
in   O
24164   B-LOCATION
.   O

Note   O
:   O
The   O
family   O
,   O
living   O
in   O
Ann   B-LOCATION
Arbor   I-LOCATION
,   O
has   O
been   O
briefed   O
about   O
the   O
patient   O
's   O
condition   O
and   O
the   O
importance   O
of   O
medication   O
compliance   O
and   O
lifestyle   O
changes   O
.   O

Patient   O
portal   O
has   O
been   O
set   O
up   O
and   O
he   O
can   O
access   O
using   O
username   O
mh00   B-NAME
and   O
a   O
temporary   O
password   O
that   O
has   O
been   O
sent   O
to   O
his   O
email   O
.   O

Contact   O
Coleman   B-NAME
for   O
any   O
concerns   O
.   O

Patient   O
Bush   B-NAME
,   I-NAME
Kate   I-NAME
of   O
46   O
years   O
old   O
,   O
visited   O
our   O
clinic   O
on   O
2/07   B-DATE
presenting   O
with   O
symptoms   O
suggestive   O
of   O
chronic   O
bronchitis   O
.   O

The   O
patient   O
was   O
referred   O
to   O
Pulmonologist   O
-   O
Dr.   O
Hatfield   B-NAME
at   O
Kuakini   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
workup   O
.   O

His   O
H&P   O
was   O
documented   O
in   O
his   O
EMR   O
under   O
5056526   B-ID
.   O

The   O
hospital   O
can   O
be   O
reached   O
at   O
a   O
new   O
phone   O
number   O
,   O
521   B-CONTACT
-   I-CONTACT
729   I-CONTACT
-   I-CONTACT
6507   I-CONTACT
.   O

Dr.   O
Geraldo   B-NAME
Ashe   I-NAME
will   O
follow   O
up   O
on   O
the   O
case   O
within   O
two   O
weeks   O
.   O

The   O
patient   O
lives   O
in   O
the   O
Nile   B-LOCATION
area   O
,   O
and   O
his   O
zip   O
code   O
is   O
34815   B-LOCATION
.   O

The   O
only   O
known   O
identity   O
is   O
with   O
reference   O
to   O
his   O
RY472/2824   B-ID
.   O

The   O
medical   O
history   O
of   O
this   O
patient   O
is   O
held   O
at   O
the   O
medical   O
archives   O
section   O
of   O
the   O
Peoples   B-LOCATION
First   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

The   O
user   O
responsible   O
for   O
collating   O
and   O
maintaining   O
the   O
reports   O
of   O
this   O
case   O
goes   O
by   O
the   O
username   O
ff699   B-NAME
.   O

Patient   O
Barbara   B-NAME
Chavez   I-NAME
is   O
a   O
12   O
-   O
year   O
-   O
old   O
individual   O
who   O
presented   O
to   O
The   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
12/03/2041   B-DATE
reporting   O
severe   O
abdominal   O
pain   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

His   O
past   O
medical   O
history   O
,   O
according   O
to   O
his   O
51332298   B-ID
,   O
revealed   O
a   O
previous   O
diagnosis   O
of   O
peptic   O
ulcer   O
disease   O
.   O

In   O
coordinating   O
with   O
his   O
primary   O
care   O
physician   O
,   O
Paine   B-NAME
,   I-NAME
Thomas   I-NAME
,   O
it   O
was   O
also   O
noted   O
that   O
MOL   B-NAME
had   O
been   O
somewhat   O
inconsistent   O
in   O
taking   O
his   O
prescribed   O
proton   O
pump   O
inhibitors   O
based   O
on   O
the   O
prescription   O
record   O
from   O
their   O
local   O
pharmacy   O
,   O
Innovative   B-LOCATION
Bank   I-LOCATION
.   O

On   O
examination   O
,   O
Myah   B-NAME
Schneider   I-NAME
's   O
vitals   O
were   O
mostly   O
stable   O
,   O
although   O
his   O
heart   O
rate   O
was   O
slightly   O
elevated   O
.   O

During   O
the   O
course   O
of   O
his   O
care   O
,   O
his   O
UC:28890:415399   B-ID
and   O
(   B-CONTACT
149   I-CONTACT
)   I-CONTACT
960   I-CONTACT
5389   I-CONTACT
were   O
used   O
to   O
contact   O
his   O
family   O
residing   O
in   O
Eden   B-LOCATION
Isle   I-LOCATION
and   O
informed   O
them   O
about   O
his   O
condition   O
.   O

The   O
hospital   O
staff   O
utilized   O
mx102   B-NAME
’s   O
account   O
to   O
access   O
and   O
update   O
Alfred   B-NAME
Friedman   I-NAME
's   O
medical   O
information   O
.   O

As   O
per   O
the   O
protocol   O
,   O
the   O
patient   O
was   O
scheduled   O
for   O
a   O
laparoscopic   O
cholecystectomy   O
on   O
Wednesday   B-DATE
.   O

The   O
procedure   O
was   O
successfully   O
completed   O
at   O
Madison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Wilson   B-NAME
,   I-NAME
Eugene   I-NAME
S.   I-NAME
is   O
expected   O
to   O
return   O
for   O
a   O
review   O
after   O
two   O
weeks   O
,   O
and   O
prior   O
to   O
his   O
visit   O
,   O
a   O
phone   O
call   O
reminder   O
using   O
his   O
469   B-CONTACT
671   I-CONTACT
7443   I-CONTACT
would   O
be   O
sent   O
.   O

His   O
post   O
-   O
surgery   O
care   O
instructions   O
and   O
prescription   O
were   O
sent   O
to   O
his   O
home   O
address   O
in   O
Weeki   B-LOCATION
Wachee   I-LOCATION
Gardens   I-LOCATION
with   O
the   O
96417   B-LOCATION
.   O

Patient   O
Name   O
:   O
Colleen   B-NAME
Flaherty   I-NAME
Richards   I-NAME
Patient   O
ID   O
:   O
CN   B-ID
:   I-ID
VD:4845   I-ID
Date   O
of   O
Birth   O
:   O
2220   B-DATE
-   I-DATE
36   I-DATE
-   I-DATE
27   I-DATE
Age   O
:   O
43   O
Phone   O
:   O
(   B-CONTACT
771   I-CONTACT
)   I-CONTACT
743   I-CONTACT
-   I-CONTACT
8330   I-CONTACT
Address   O
:   O
San   B-LOCATION
Perlita   I-LOCATION
Doctor   O
:   O
Zavala   B-NAME
Organization   O
:   O
Air   B-LOCATION
Force   I-LOCATION
Association   I-LOCATION
Profession   O
:   O
Dentists   O
,   O
All   O
Other   O
Specialists   O
Medical   O
Record   O
Number   O
:   O
145   B-ID
-   I-ID
78   I-ID
-   I-ID
75   I-ID
Username   O
:   O
ppv29   B-NAME
Zip   O
:   O
56176   B-LOCATION

The   O
patient   O
,   O
Gaines   B-NAME
,   O
consulted   O
Dr.   O
Deven   B-NAME
Goodwin   I-NAME
at   O
Jackson   B-LOCATION
-   I-LOCATION
Madison   I-LOCATION
County   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
7/36   B-DATE
.   O

Dr.   O
Jonathan   B-NAME
Allen   I-NAME
has   O
recommended   O
the   O
patient   O
to   O
undergo   O
coronary   O
angiography   O
to   O
establish   O
the   O
diagnosis   O
and   O
assess   O
the   O
extent   O
of   O
the   O
disease   O
.   O

The   O
procedure   O
is   O
scheduled   O
to   O
take   O
place   O
at   O
Fitzgibbon   B-LOCATION
Hospital   I-LOCATION
on   O
32   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
62   I-DATE
.   O

Telephonic   O
reminders   O
will   O
be   O
sent   O
to   O
the   O
patient   O
’s   O
registered   O
mobile   O
number   O
(   B-CONTACT
699   I-CONTACT
)   I-CONTACT
593   I-CONTACT
4112   I-CONTACT
.   O

The   O
detailed   O
report   O
of   O
Brady   B-NAME
Renard   I-NAME
about   O
the   O
progress   O
of   O
treatment   O
will   O
be   O
updated   O
on   O
the   O
hospital   O
's   O
online   O
portal   O
.   O

The   O
patient   O
can   O
access   O
the   O
portal   O
using   O
the   O
username   O
tp4710   B-NAME
.   O

All   O
the   O
findings   O
and   O
plans   O
are   O
documented   O
in   O
the   O
patient   O
's   O
electronic   O
medical   O
record   O
number   O
50545147   B-ID
.   O

The   O
patient   O
currently   O
resides   O
in   O
Mabank   B-LOCATION
,   O
and   O
the   O
zip   O
code   O
is   O
50031   B-LOCATION
.   O

The   O
patient   O
is   O
being   O
managed   O
under   O
the   O
healthcare   O
network   O
of   O
Hull   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

For   O
any   O
further   O
queries   O
or   O
detailed   O
information   O
,   O
the   O
patient   O
can   O
contact   O
the   O
helpline   O
of   O
Satilla   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
directly   O
.   O

Patient   O
Name   O
:   O
Lilia   B-NAME
Nichols   I-NAME
Date   O
of   O
Birth   O
:   O
13/28/22   B-DATE
Patient   O
's   O
Age   O
:   O
57   O
Address   O
:   O
Kechi   B-LOCATION
,   O
11662   B-LOCATION
Phone   O
Number   O
:   O
283   B-CONTACT
519   I-CONTACT
1761   I-CONTACT
ID   O
:   O
MC:8411:572645   B-ID

Medical   O
Record   O
Number   O
:   O
22736784   B-ID
Dr.   O
Marlene   B-NAME
Vargas   I-NAME
from   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Arapahoe   B-LOCATION
reports   O
that   O
Bush   B-NAME
complains   O
of   O
persistent   O
cough   O
and   O
fatigue   O
,   O
which   O
started   O
roughly   O
two   O
weeks   O
prior   O
to   O
the   O
visit   O
on   O
16/21   B-DATE
.   O

On   O
examination   O
,   O
Quentin   B-NAME
Lacey   I-NAME
was   O
found   O
to   O
be   O
pale   O
and   O
feeble   O
,   O
with   O
a   O
low   O
-   O
grade   O
fever   O
of   O
38.5   O
C.   O
Auscultation   O
revealed   O
crackles   O
in   O
the   O
right   O
lower   O
lung   O
field   O
.   O

The   O
patient   O
's   O
radiological   O
findings   O
from   O
the   O
chest   O
X   O
-   O
ray   O
,   O
conducted   O
at   O
Brattleboro   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
showed   O
a   O
consolidation   O
in   O
the   O
same   O
region   O
.   O

Western   O
Blot   O
study   O
was   O
conducted   O
at   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Carabao   I-LOCATION
on   O
31/20/2237   B-DATE
,   O
and   O
results   O
indicated   O
an   O
immunoreactive   O
band   O
for   O
the   O
Human   O
Immunodeficiency   O
Virus   O
(   O
HIV   O
)   O
antibody   O
.   O

Patrick   B-NAME
Townsend   I-NAME
's   O
CD4   O
count   O
was   O
detected   O
to   O
be   O
less   O
than   O
200   O
microlitres   O
,   O
which   O
typically   O
indicates   O
a   O
compromised   O
immune   O
system   O
.   O

The   O
exact   O
CD4   O
count   O
was   O
provided   O
in   O
the   O
report   O
with   O
the   O
reference   O
number   O
97594039   B-ID
accessible   O
by   O
GU324   B-NAME
on   O
the   O
Independent   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Ireland   I-LOCATION
's   O
portal   O
.   O

Kellsie   B-NAME
,   O
who   O
works   O
as   O
a   O
Cooks   O
,   O
All   O
Other   O
,   O
has   O
potential   O
occupational   O
exposure   O
to   O
Tuberculosis   O
(   O
TB   O
)   O
.   O

Considering   O
the   O
clinical   O
and   O
radiological   O
findings   O
,   O
a   O
provisional   O
diagnosis   O
of   O
HIV   O
with   O
possible   O
Pulmonary   O
TB   O
co   O
-   O
infection   O
was   O
made   O
by   O
Dr.   O
Maren   B-NAME
Patel   I-NAME
.   O

The   O
patient   O
is   O
scheduled   O
for   O
further   O
diagnostic   O
tests   O
on   O
14/10   B-DATE
to   O
confirm   O
this   O
diagnosis   O
.   O

For   O
any   O
immediate   O
queries   O
,   O
Dr.   O
Claudia   B-NAME
Frost   I-NAME
can   O
be   O
reached   O
at   O
his   O
office   O
in   O
Hamilton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
located   O
at   O
Endicott   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
13760   I-LOCATION
.   O

For   O
general   O
assistance   O
,   O
medical   O
staff   O
can   O
be   O
contacted   O
at   O
(   B-CONTACT
771   I-CONTACT
)   I-CONTACT
843   I-CONTACT
7029   I-CONTACT
or   O
by   O
email   O
at   O
UG835   B-NAME
@   O
Evergreen   B-LOCATION
Bank   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Nida   B-NAME
Zartman   I-NAME
Age   O
:   O
7   O
ID   O
:   O
5   B-ID
-   I-ID
4481773   I-ID
Phone   O
:   O
607   B-CONTACT
-   I-CONTACT
725   I-CONTACT
-   I-CONTACT
6591   I-CONTACT
Address   O
:   O
Las   B-LOCATION
Palmas   I-LOCATION
,   O
11724   B-LOCATION
Organization   O
:   O
HomeGoods   B-LOCATION
Profession   O
:   O

Housing   O
adviser   O
10/33   B-DATE
,   O
The   O
patient   O
,   O
Huang   B-NAME
previously   O
seen   O
by   O
Richard   B-NAME
Vallon   I-NAME
at   O
FirstHealth   B-LOCATION
Moore   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
experiencing   O
symptoms   O
consistent   O
with   O
gastroenteritis   O
.   O

Prior   O
medical   O
history   O
retrieved   O
from   O
medical   O
record   O
58212930   B-ID
shows   O
that   O
the   O
patient   O
has   O
had   O
issues   O
with   O
gastritis   O
in   O
the   O
past   O
.   O

The   O
patient   O
has   O
been   O
living   O
in   O
Mineola   B-LOCATION
and   O
has   O
an   O
occupation   O
as   O
a   O
Petroleum   O
Engineers   O
.   O

During   O
the   O
initial   O
consultation   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Apopka   I-LOCATION
,   O
he   O
admitted   O
to   O
severe   O
dehydration   O
,   O
which   O
might   O
be   O
due   O
to   O
excessive   O
fluid   O
loss   O
.   O

Test   O
reports   O
signed   O
off   O
by   O
Sutton   B-NAME
and   O
dated   O
on   O
39/33   B-DATE
confirm   O
the   O
diagnosis   O
.   O

The   O
medical   O
updates   O
will   O
be   O
sent   O
to   O
the   O
patient   O
Garnett   B-NAME
through   O
the   O
username   O
:   O
bsc740   B-NAME
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
3/35/12   B-DATE
.   O

If   O
the   O
condition   O
worsens   O
or   O
does   O
not   O
improve   O
,   O
the   O
patient   O
is   O
advised   O
to   O
contact   O
Cohen   B-NAME
Hodge   I-NAME
via   O
contact   O
number   O
736   B-CONTACT
4805   I-CONTACT
.   O

Best   O
Regards   O
,   O
Raymond   B-NAME
Solar   I-NAME
Healtheast   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
,   O
Fox   B-LOCATION
Chapel   I-LOCATION

The   O
patient   O
,   O
Shenna   B-NAME
Travis   I-NAME
,   O
is   O
a   O
male   O
of   O
approximately   O
53   O
years   O
,   O
who   O
was   O
admitted   O
to   O
HSHS   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
on   O
13/20/2141   B-DATE
.   O

The   O
admission   O
was   O
facilitated   O
by   O
Dr.   O
Zavala   B-NAME
.   O

His   O
SSN   O
is   O
XS   B-ID
:   I-ID
MM:6121   I-ID
and   O
his   O
medical   O
record   O
number   O
is   O
4931A56143   B-ID
.   O

Prior   O
to   O
admission   O
,   O
he   O
resided   O
in   O
Channel   B-LOCATION
Lake   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
93986   B-LOCATION
.   O

Follow   O
-   O
up   O
Information   O
:   O
He   O
has   O
been   O
asked   O
to   O
follow   O
-   O
up   O
after   O
two   O
weeks   O
with   O
a   O
healthcare   O
provider   O
at   O
Holyoke   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
supervision   O
of   O
Dominick   B-NAME
Calderon   I-NAME
.   O

He   O
can   O
schedule   O
an   O
appointment   O
by   O
contacting   O
the   O
hospital   O
at   O
821   B-CONTACT
-   I-CONTACT
843   I-CONTACT
1321   I-CONTACT
or   O
can   O
also   O
mail   O
his   O
medical   O
queries   O
to   O
the   O
hospital   O
's   O
official   O
mailing   O
address   O
at   O
California   B-LOCATION
.   O

Additionally   O
,   O
he   O
can   O
contact   O
the   O
hospital   O
's   O
health   O
assistance   O
team   O
via   O
their   O
official   O
username   O
,   O
wbf425   B-NAME
on   O
their   O
online   O
platform   O
.   O

Insurance   O
Details   O
:   O
Patient   O
is   O
insured   O
by   O
Marshall   B-LOCATION
Bank   I-LOCATION
,   I-LOCATION
N.A.   I-LOCATION
and   O
his   O
policy   O
number   O
is   O
2976318   B-ID
.   O

Personal   O
Background   O
:   O
Iris   B-NAME
Allison   I-NAME
has   O
a   O
two   O
decades   O
long   O
history   O
of   O
well   O
-   O
controlled   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Patient   O
Information   O
:   O
Wise   B-NAME
was   O
brought   O
into   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/01/27   B-DATE
.   O

He   O
is   O
a   O
65   O
-   O
year   O
-   O
old   O
male   O
,   O
residing   O
at   O
Union   B-LOCATION
Springs   I-LOCATION
.   O

His   O
emergency   O
contact   O
number   O
was   O
entered   O
into   O
our   O
system   O
as   O
37095   B-CONTACT
.   O

Symptoms   O
and   O
History   O
:   O
John   B-NAME
Hudson   I-NAME
presented   O
with   O
symptoms   O
of   O
severe   O
persistent   O
asthma   O
.   O

Doctor   O
Consultation   O
:   O
Norris   B-NAME
evaluated   O
Chapman   B-NAME
,   I-NAME
Colin   I-NAME
extensively   O
.   O

Chest   O
X   O
-   O
rays   O
were   O
recommended   O
by   O
Adkins   B-NAME
,   O
and   O
the   O
findings   O
were   O
consistent   O
with   O
the   O
clinical   O
diagnosis   O
.   O

Treatment   O
and   O
Follow   O
-   O
up   O
:   O
Based   O
on   O
the   O
examination   O
and   O
test   O
results   O
,   O
Norah   B-NAME
Soto   I-NAME
advised   O
immediate   O
hospitalization   O
.   O

Conrad   B-NAME
Bevans   I-NAME
was   O
administered   O
bronchodilators   O
,   O
corticosteroids   O
,   O
and   O
oxygen   O
therapy   O
in   O
the   O
ICU   O
at   O
Marietta   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Zoey   B-NAME
Blankenship   I-NAME
's   O
progress   O
will   O
be   O
followed   O
up   O
by   O
Collins   B-NAME
during   O
the   O
hospital   O
stay   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
37/22   B-DATE
.   O
Insurance   O
and   O
ID   O
Details   O
:   O
Adelaide   B-NAME
Carpenter   I-NAME
is   O
insured   O
by   O
Reedy   B-LOCATION
Creek   I-LOCATION
Energy   I-LOCATION
Services   I-LOCATION
and   O
his   O
policy   O
ID   O
is   O
5744180   B-ID
.   O

His   O
medical   O
record   O
number   O
in   O
our   O
hospital   O
is   O
8649698   B-ID
.   O

Transport   O
to   O
and   O
from   O
the   O
hospital   O
for   O
the   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
arranged   O
by   O
a   O
medical   O
transportation   O
company   O
,   O
based   O
on   O
Ogema   B-LOCATION
.   O

Anyone   O
willing   O
to   O
contact   O
the   O
hospital   O
on   O
Morgan   B-NAME
's   O
behalf   O
can   O
directly   O
reach   O
us   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
East   I-LOCATION
Orlando   I-LOCATION
's   O
designated   O
number   O
,   O
which   O
is   O
38573   B-CONTACT
.   O

We   O
have   O
registered   O
the   O
username   O
xn750   B-NAME
for   O
Kory   B-NAME
Irby   I-NAME
on   O
our   O
online   O
hospital   O
portal   O
for   O
easy   O
access   O
to   O
his   O
medical   O
files   O
.   O

Please   O
note   O
that   O
this   O
address   O
is   O
registered   O
in   O
the   O
ZIP   O
code   O
13953   B-LOCATION
.   O

Patient   O
Name   O
:   O
Kesia   B-NAME
Date   O
of   O
Report   O
:   O
14/35   B-DATE
Treating   O
Physician   O
:   O

Rikki   B-NAME
Jarman   I-NAME
Medical   O
Record   O
Number   O
:   O
02756793   B-ID
Hospital   O
:   O
Hahnemann   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Patient   O
Information   O
:   O
Cael   B-NAME
Ruiz   I-NAME
,   O
a   O
84   O
-   O
year   O
-   O
old   O
individual   O
,   O
who   O
works   O
as   O
a   O
Bioinformatics   O
Technicians   O
living   O
in   O
Bonadelle   B-LOCATION
Ranchos   I-LOCATION
,   O
was   O
brought   O
to   O
urgent   O
care   O
on   O
3/2   B-DATE
.   O

Cody   B-NAME
Austin   I-NAME
also   O
complained   O
of   O
a   O
dry   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
dyspnea   O
on   O
exertion   O
.   O

Investigations   O
:   O
Gaige   B-NAME
Bryan   I-NAME
was   O
immediately   O
isolated   O
and   O
was   O
tested   O
for   O
COVID-19   O
in   O
Bellevue   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
RT   O
-   O
PCR   O
test   O
result   O
came   O
out   O
to   O
be   O
positive   O
for   O
COVID-19   O
on   O
2/7   B-DATE
.   O

Management   O
Plan   O
:   O
Ickes   B-NAME
was   O
admitted   O
to   O
Lanier   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
on   O
July   B-DATE
06   I-DATE
,   I-DATE
2300   I-DATE
and   O
was   O
initiated   O
on   O
supportive   O
treatment   O
including   O
supplemental   O
oxygen   O
,   O
fluids   O
,   O
and   O
antipyretics   O
to   O
manage   O
the   O
fever   O
.   O

Follow   O
-   O
up   O
:   O
Guerra   B-NAME
has   O
been   O
scheduled   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Kendall   B-NAME
Curry   I-NAME
on   O
January   B-DATE
at   O
Fawcett   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Emergency   O
Contact   O
:   O
Marshall   B-NAME
,   I-NAME
Thomas   I-NAME
R.   I-NAME
's   O
emergency   O
contact   O
can   O
be   O
reached   O
at   O
977   B-CONTACT
6673   I-CONTACT
.   O

The   O
secondary   O
contact   O
is   O
their   O
mother   O
,   O
a   O
woman   O
of   O
95   O
years   O
,   O
residing   O
in   O
Kingsport   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Kingsport   I-LOCATION
Assoc   I-LOCATION
.   I-LOCATION
.   O
Insurance   O
Information   O
:   O
Patient   O
's   O
health   O
insurance   O
is   O
covered   O
through   O
Military   B-LOCATION
Protectorate   I-LOCATION
of   I-LOCATION
Territories   I-LOCATION
with   O
an   O
account   O
ID   O
of   O
PR   B-ID
:   I-ID
MJ:7456   I-ID
.   O

For   O
any   O
additional   O
information   O
regarding   O
the   O
case   O
,   O
please   O
use   O
the   O
following   O
credentials   O
for   O
the   O
hospital   O
database   O
:   O
Username   O
:   O
bp437   B-NAME
and   O
associated   O
password   O
.   O

Report   O
Compiled   O
by   O
:   O
Mccann   B-NAME
Date   O
:   O
Wednesday   B-DATE
Hospital   O
Address   O
:   O
Logan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
94481   B-LOCATION
,   O
Pierce   B-LOCATION
.   O

Keep   O
this   O
data   O
secure   O
,   O
as   O
they   O
constitute   O
sensitive   O
health   O
information   O
for   O
Franti   B-NAME
,   I-NAME
Michael   I-NAME
.   O

For   O
further   O
information   O
,   O
please   O
contact   O
the   O
hospital   O
at   O
147   B-CONTACT
5234   I-CONTACT
.   O

Patient   O
's   O
Name   O
:   O
Odessa   B-NAME
Kang   I-NAME
DOB   O
:   O
35/22   B-DATE
Medical   O
Record   O
No   O
:   O
43855529   B-ID
Hospital   O
:   O
Norman   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Healthplex   I-LOCATION
Doctor   O
:   O
Dr.   O
Navakasuasua   B-NAME
,   I-NAME
Maciu   I-NAME
2240   B-DATE

Wendy   B-NAME
Armstrong   I-NAME
a   O
Motor   O
Vehicle   O
Operators   O
,   O
All   O
Other   O
from   O
Linn   B-LOCATION
Grove   I-LOCATION
,   O
99180   B-LOCATION
called   O
in   O
to   O
discuss   O
new   O
onset   O
of   O
symptoms   O
.   O

Physical   O
examination   O
at   O
our   O
office   O
in   O
Colmery   B-LOCATION
-   I-LOCATION
O'Neil   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
highlighted   O
right   O
upper   O
quadrant   O
tenderness   O
on   O
palpation   O
.   O

A   O
subsequent   O
abdominal   O
ultrasound   O
performed   O
on   O
1796   B-DATE
showed   O
the   O
presence   O
of   O
gallstones   O
with   O
no   O
common   O
bile   O
duct   O
dilation   O
or   O
ascites   O
.   O

I   O
have   O
counseled   O
ostrowski   B-NAME
regarding   O
the   O
options   O
of   O
conservative   O
management   O
vs   O
laparoscopic   O
cholecystectomy   O
,   O
and   O
we   O
have   O
set   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
next   O
Dec   B-DATE
0   I-DATE
,   I-DATE
2204   I-DATE
.   O

Dr.   O
Aldo   B-NAME
Bautista   I-NAME
suggests   O
that   O
the   O
patient   O
follows   O
a   O
low   O
-   O
fat   O
diet   O
and   O
observe   O
changes   O
in   O
their   O
condition   O
for   O
the   O
time   O
being   O
.   O

Also   O
,   O
to   O
seek   O
immediate   O
medical   O
attention   O
at   O
any   O
St.   B-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
near   O
Rocky   B-LOCATION
Mount   I-LOCATION
,   I-LOCATION
City   I-LOCATION
of   I-LOCATION
Rocky   I-LOCATION
Mount   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
should   O
they   O
experience   O
worsening   O
symptoms   O
.   O

Kind   O
regards   O
,   O
Eleanor   B-NAME
Schroeder   I-NAME
Phone   O
Number   O
:   O
17898   B-CONTACT
ID   O
:   O
WH:57894:107122   B-ID
Username   O
:   O
oor176   B-NAME
Affiliations   O
:   O

Premier   B-LOCATION
Bank   I-LOCATION

Patient   O
Report   O
for   O
Ulises   B-NAME
Y.   I-NAME
Hobbs   I-NAME
10/3   B-DATE
:   O

The   O
patient   O
is   O
a   O
35   O
year   O
old   O
,   O
who   O
came   O
to   O
the   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Sycamore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
yesterday   O
with   O
symptoms   O
indicating   O
a   O
possible   O
case   O
of   O
acute   O
pancreatitis   O
.   O

Patient   O
contact   O
information   O
:   O
Phone   O
:   O
320   B-CONTACT
-   I-CONTACT
634   I-CONTACT
8918   I-CONTACT
Address   O
:   O
Yankeetown   B-LOCATION
,   O
37758   B-LOCATION
Upon   O
physical   O
examination   O
,   O
the   O
patient   O
demonstrated   O
tenderness   O
in   O
the   O
abdomen   O
along   O
with   O
signs   O
of   O
dehydration   O
.   O

Due   O
to   O
the   O
severity   O
of   O
the   O
symptoms   O
,   O
Rovabokola   B-NAME
,   I-NAME
Ratu   I-NAME
Viliame   I-NAME
ordered   O
several   O
diagnostic   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
,   O
pancreatic   O
enzyme   O
test   O
,   O
abdominal   O
ultrasound   O
,   O
and   O
CT   O
scan   O
.   O

York   B-NAME
observed   O
the   O
patient   O
's   O
history   O
from   O
017   B-ID
-   I-ID
12   I-ID
-   I-ID
24   I-ID
-   I-ID
6   I-ID
and   O
noted   O
a   O
high   O
alcohol   O
intake   O
habit   O
.   O

Currently   O
,   O
the   O
patient   O
is   O
admitted   O
to   O
Primary   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
and   O
getting   O
treated   O
by   O
Joslyn   B-NAME
Everett   I-NAME
.   O

We   O
tried   O
to   O
reach   O
his   O
employer   O
named   O
,   O
Canadian   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Postal   I-LOCATION
Workers   I-LOCATION
to   O
inform   O
them   O
of   O
his   O
condition   O
,   O
as   O
the   O
patient   O
works   O
as   O
a   O
Self   O
-   O
Enrichment   O
Education   O
Teachers   O
.   O

However   O
,   O
the   O
details   O
were   O
available   O
only   O
with   O
the   O
patient   O
's   O
ID   O
-   O
CA   B-ID
:   I-ID
YS:2299   I-ID
.   O

Healthcare   O
provider   O
for   O
this   O
patient   O
case   O
is   O
Deleon   B-NAME
(   O
OP518   B-NAME
)   O
from   O
Community   B-LOCATION
Hospital   I-LOCATION
East   I-LOCATION
,   O
located   O
in   O
Port   B-LOCATION
Royal   I-LOCATION
.   O

As   O
per   O
the   O
report   O
given   O
to   O
us   O
today   O
(   O
i.e   O
,   O
1616   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
15   I-DATE
)   O
,   O
the   O
patient   O
is   O
responding   O
to   O
the   O
treatment   O
gradually   O
.   O

Patient   O
Name   O
:   O
Edward   B-NAME
VII   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
Age   O
:   O
13s   O
ID   O
:   O
HF178/4148   B-ID
Doctor   O
:   O
Harmon   B-NAME
Hospital   O
:   O
Sharp   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Grand   B-LOCATION
Cane   I-LOCATION
Medical   O
record   O
:   O
23215926   B-ID
Organization   O
:   O

Community   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Phone   O
number   O
:   O
(   B-CONTACT
254   I-CONTACT
)   I-CONTACT
508   I-CONTACT
-   I-CONTACT
5817   I-CONTACT
Profession   O
:   O
Geography   O
Teachers   O
,   O
Postsecondary   O
Username   O
:   O
GB09   B-NAME
ZIP   O
Code   O
:   O
94829   B-LOCATION
Record   O
Date   O
:   O
March   B-DATE
02   I-DATE
,   I-DATE
2399   I-DATE
Oneida   B-NAME
Norwood   I-NAME
presented   O
to   O
the   O
ER   O
at   O
Long   B-LOCATION
Term   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tuscaloosa   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
on   O
02/04/2229   B-DATE
.   O

Ferred   B-NAME
Orlosky   I-NAME
is   O
a   O
54   O
year   O
old   O
Roofers   O
,   O
residing   O
at   O
Mandaree   B-LOCATION
,   O
52735   B-LOCATION
.   O

This   O
individual   O
's   O
contact   O
number   O
is   O
973   B-CONTACT
9644   I-CONTACT
.   O

Hugo   B-NAME
Villegas   I-NAME
has   O
admitted   O
to   O
experiencing   O
severe   O
abdominal   O
pain   O
accompanied   O
by   O
nausea   O
,   O
vomiting   O
,   O
and   O
fever   O
for   O
the   O
past   O
few   O
days   O
.   O

Upon   O
physical   O
examination   O
,   O
Sandra   B-NAME
Dennis   I-NAME
found   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Cross   B-NAME
was   O
suggested   O
to   O
undergo   O
laboratory   O
tests   O
and   O
an   O
abdominal   O
CT   O
scan   O
.   O

The   O
radiographic   O
findings   O
at   O
Cumberland   B-LOCATION
Hall   I-LOCATION
Hospital   I-LOCATION
,   O
were   O
compared   O
with   O
previous   O
records   O
(   O
3973441   B-ID
)   O
depicting   O
acute   O
appendicitis   O
.   O

Lee   B-NAME
,   I-NAME
Bruce   I-NAME
suggested   O
an   O
immediate   O
surgical   O
consultation   O
given   O
the   O
severity   O
of   O
Lynch   B-NAME
,   I-NAME
Peter   I-NAME
's   O
condition   O
.   O

After   O
reviewing   O
the   O
test   O
results   O
,   O
the   O
surgical   O
team   O
approached   O
Wilber   B-NAME
,   I-NAME
Ken   I-NAME
and   O
explained   O
the   O
criticality   O
of   O
appendectomy   O
.   O

Post   O
the   O
surgery   O
,   O
Renee   B-NAME
Miranda   I-NAME
was   O
suggested   O
a   O
follow   O
-   O
up   O
after   O
2   O
weeks   O
.   O

All   O
the   O
surgical   O
and   O
clinical   O
details   O
have   O
been   O
recorded   O
for   O
future   O
reference   O
under   O
the   O
username   O
az640   B-NAME
,   O
ID   O
10   B-ID
-   I-ID
4311838   I-ID
,   O
associated   O
with   O
the   O
Earthstar   B-LOCATION
Bank   I-LOCATION
.   O

This   O
detailed   O
report   O
has   O
been   O
prepared   O
for   O
Lilah   B-NAME
Mccarthy   I-NAME
on   O
2/22/2122   B-DATE
by   O
the   O
medical   O
staff   O
of   O
McLaren   B-LOCATION
Central   I-LOCATION
Michigan   I-LOCATION
at   O
Lubec   B-LOCATION
under   O
the   O
supervision   O
of   O
Montgomery   B-NAME
.   O

Patient   O
Name   O
:   O
Maren   B-NAME
Vaughan   I-NAME
Mr.   O
Castro   B-NAME
is   O
a   O
59s   O
year   O
old   O
man   O
with   O
a   O
history   O
of   O
hypertension   O
,   O
who   O
presented   O
to   O
the   O
Warren   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
ER   O
on   O
21/24   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pains   O
radiating   O
to   O
his   O
left   O
arm   O
.   O

Mr.   O
Uriel   B-NAME
Gambell   I-NAME
's   O
symptoms   O
began   O
in   O
the   O
afternoon   O
while   O
he   O
was   O
at   O
his   O
home   O
in   O
Terra   B-LOCATION
Alta   I-LOCATION
.   O

He   O
was   O
immediately   O
rushed   O
to   O
the   O
Kent   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
by   O
his   O
son   O
,   O
who   O
is   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
.   O

Upon   O
consultation   O
,   O
Dr.   O
Salazar   B-NAME
noted   O
that   O
Mr.   O
carrie   B-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
to   O
160/100   O
and   O
his   O
heart   O
rate   O
was   O
110   O
beats   O
per   O
minute   O
.   O

While   O
discussing   O
the   O
patient   O
's   O
medical   O
history   O
,   O
Jaleesa   B-NAME
Melton   I-NAME
mentioned   O
his   O
father   O
had   O
a   O
heart   O
attack   O
at   O
the   O
age   O
of   O
16s   O
.   O

Moreover   O
,   O
the   O
patient   O
's   O
i   O
d   O
number   O
UF342/3083   B-ID
also   O
showed   O
a   O
history   O
of   O
diabetes   O
in   O
his   O
medical   O
record   O
430   B-ID
-   I-ID
89   I-ID
-   I-ID
20   I-ID
-   I-ID
5   I-ID
.   O

Mr.   O
Frederick   B-NAME
Robinson   I-NAME
was   O
immediately   O
admitted   O
to   O
the   O
Coronary   O
Care   O
Unit   O
in   O
building   O
Flight   B-LOCATION
Attendants   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
for   O
further   O
management   O
.   O

Dr.   O
Lydia   B-NAME
Roberts   I-NAME
informed   O
Men   B-NAME
,   I-NAME
Alexander   I-NAME
's   O
family   O
about   O
the   O
situation   O
and   O
explained   O
the   O
need   O
for   O
immediate   O
intervention   O
for   O
possible   O
myocardial   O
infarction   O
.   O

The   O
family   O
was   O
given   O
a   O
direct   O
line   O
347   B-CONTACT
4002   I-CONTACT
in   O
case   O
they   O
needed   O
to   O
reach   O
out   O
to   O
Dr.   O
Ryan   B-NAME
.   O

The   O
patient   O
was   O
informed   O
by   O
Dr.   O
Johnathan   B-NAME
Braun   I-NAME
about   O
the   O
potential   O
risks   O
and   O
benefits   O
,   O
who   O
then   O
decided   O
to   O
proceed   O
with   O
the   O
angioplasty   O
.   O

Systematic   O
approach   O
to   O
angioplasty   O
was   O
carried   O
out   O
on   O
2   B-DATE
-   I-DATE
22   I-DATE
.   O

By   O
07/02/11   B-DATE
,   O
Bruno   B-NAME
's   O
condition   O
significantly   O
improved   O
.   O

He   O
was   O
discharged   O
on   O
31/28   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
the   O
Newberry   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
cardiology   O
clinic   O
.   O

Dr.   O
Aiden   B-NAME
Dickson   I-NAME
emailed   O
the   O
appointment   O
details   O
to   O
the   O
patient   O
's   O
provided   O
username   O
:   O
fz495   B-NAME
.   O

He   O
was   O
also   O
instructed   O
to   O
call   O
on   O
865   B-CONTACT
9777   I-CONTACT
in   O
case   O
of   O
any   O
emergency   O
.   O

He   O
was   O
advised   O
lifestyle   O
modifications   O
including   O
dietary   O
changes   O
,   O
physical   O
activity   O
,   O
and   O
was   O
encouraged   O
to   O
join   O
a   O
cardiac   O
rehabilitation   O
program   O
at   O
Unadilla   B-LOCATION
.   O

His   O
prescription   O
was   O
sent   O
to   O
his   O
pharmacy   O
at   O
86559   B-LOCATION
.   O

His   O
bill   O
will   O
be   O
forwarded   O
to   O
his   O
HR   O
department   O
at   O
Australian   B-LOCATION
and   I-LOCATION
International   I-LOCATION
Pilots   I-LOCATION
Association   I-LOCATION
for   O
payment   O
by   O
his   O
insurance   O
and   O
a   O
copy   O
would   O
be   O
mailed   O
to   O
his   O
residence   O
at   O
532   B-LOCATION
Jackson   I-LOCATION
Dr   I-LOCATION
.   I-LOCATION
.   O

Dr.   O
The   B-NAME
Rock   I-NAME
requested   O
the   O
staff   O
to   O
update   O
Mr.   O
Jamie   B-NAME
Gonzales   I-NAME
's   O
44220764   B-ID
to   O
track   O
his   O
progress   O
in   O
future   O
visits   O
.   O

Patient   O
Report   O
:   O
--   O
46748887   B-ID
-   O
-   O
Patient   O
Name   O
:   O
Pamelia   B-NAME
Marchizano   I-NAME
Address   O
:   O
Rossie   B-LOCATION
,   O
11367   B-LOCATION
Phone   O
number   O
:   O
865   B-CONTACT
800   I-CONTACT
6592   I-CONTACT
Patient   O
's   O
employer   O
:   O
Civil   B-LOCATION
and   I-LOCATION
Public   I-LOCATION
Services   I-LOCATION
Union   I-LOCATION
Patient   O
's   O
occupation   O
:   O
Human   O
Resources   O
,   O
Training   O
,   O
and   O
Labor   O
Relations   O
Specialists   O
,   O
All   O
Other   O
Date   O
of   O
Birth   O
:   O
08/03/2205   B-DATE
Age   O
:   O
23s   O
Previous   O
practitioner   O
:   O
Annabella   B-NAME
Frank   I-NAME
Referring   O
Hospital   O
:   O
Saint   B-LOCATION
Peter   I-LOCATION
's   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Social   O
Security   O
/   O
ID   O
:   O
BP   B-ID
:   I-ID
SC:9587   I-ID
Username   O
:   O
ng491   B-NAME
Summary   O
:   O
Roy   B-NAME
Swanson   I-NAME
presented   O
to   O
the   O
Urgent   O
Care   O
with   O
symptoms   O
of   O
extreme   O
fatigue   O
and   O
dyspnea   O
.   O

A   O
detailed   O
physical   O
examination   O
was   O
carried   O
out   O
by   O
Williamson   B-NAME
,   I-NAME
Henry   I-NAME
and   O
no   O
remarkable   O
or   O
unusual   O
findings   O
were   O
detected   O
.   O

However   O
,   O
due   O
to   O
the   O
ongoing   O
symptoms   O
,   O
Maleah   B-NAME
Haas   I-NAME
advised   O
an   O
echocardiogram   O
to   O
rule   O
out   O
structural   O
heart   O
abnormalities   O
and   O
initiated   O
the   O
patient   O
on   O
antihypertensive   O
medication   O
while   O
monitoring   O
the   O
patient   O
's   O
blood   O
pressure   O
over   O
the   O
next   O
few   O
days   O
.   O

I   O
have   O
written   O
a   O
note   O
to   O
Romelia   B-NAME
Brensel   I-NAME
's   O
primary   O
physician   O
about   O
the   O
visit   O
and   O
the   O
medication   O
changes   O
.   O

This   O
case   O
has   O
been   O
scheduled   O
for   O
a   O
review   O
check   O
-   O
up   O
11/03   B-DATE
.   O

Prior   O
to   O
the   O
upcoming   O
appointment   O
,   O
qwq412   B-NAME
will   O
ensure   O
that   O
the   O
patient   O
's   O
complete   O
clinical   O
record   O
,   O
including   O
previous   O
lab   O
reports   O
from   O
Health   B-LOCATION
Central   I-LOCATION
,   O
is   O
archived   O
and   O
ready   O
for   O
examination   O
.   O

This   O
completed   O
report   O
,   O
as   O
recorded   O
today   O
on   O
02/03/32   B-DATE
,   O
will   O
be   O
sent   O
to   O
the   O
FirstEnergy   B-LOCATION
(   I-LOCATION
Potomac   I-LOCATION
Edison   I-LOCATION
)   I-LOCATION
for   O
filing   O
.   O

For   O
any   O
questions   O
or   O
emergencies   O
,   O
H.   B-NAME
U.   I-NAME
HEBERT   I-NAME
has   O
been   O
given   O
my   O
direct   O
office   O
79935   B-CONTACT
.   O

Patient   O
Name   O
:   O
Howe   B-NAME
Medical   O
Record   O
Number   O
:   O
0534015   B-ID
DOB   O
:   O
11/01   B-DATE
Age   O
:   O
11   O
Gender   O
:   O
Male   O
Referring   O
Physician   O
:   O
Li   B-NAME
Imaging   O
Facility   O
:   O
Garfield   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
City   O
:   O
Towner   B-LOCATION
Zip   O
Code   O
:   O
13849   B-LOCATION
Phone   O
Number   O
:   O
13691   B-CONTACT
Date   O
of   O
Exam   O
:   O
22   B-DATE
-   I-DATE
27   I-DATE
Social   O
Security   O
Number   O
:   O
FL   B-ID
:   I-ID
UE:2676   I-ID
Employment   O
:   O
Historians   O
Username   O
:   O
tjw626   B-NAME
The   O
patient   O
is   O
a   O
73s   O
year   O
old   O
man   O
referred   O
by   O
Ashleigh   B-NAME
Knight   I-NAME
from   O
Carson   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Evart   B-LOCATION
.   O

This   O
report   O
is   O
a   O
summary   O
of   O
the   O
MRI   O
scan   O
of   O
Bruce   B-NAME
Brian   I-NAME
.   O

There   O
are   O
no   O
known   O
allergies   O
noted   O
in   O
patient   O
's   O
medical   O
record   O
96908300   B-ID
.   O

Recommendation   O
is   O
to   O
follow   O
-   O
up   O
with   O
the   O
referring   O
physician   O
,   O
Richard   B-NAME
Hardin   I-NAME
,   O
for   O
a   O
complete   O
evaluation   O
,   O
workup   O
,   O
and   O
treatment   O
plan   O
including   O
antibiotic   O
therapy   O
for   O
sinusitis   O
.   O

Patient   O
can   O
be   O
reached   O
at   O
phone   O
number   O
,   O
61083   B-CONTACT
,   O
or   O
through   O
email   O
using   O
his   O
username   O
,   O
sko794   B-NAME
.   O

Please   O
note   O
that   O
all   O
pieces   O
of   O
information   O
shared   O
are   O
based   O
on   O
the   O
patient   O
's   O
health   O
record   O
with   O
ID   O
NJ:5957:788945   B-ID
and   O
the   O
medical   O
examination   O
conducted   O
on   O
2631   B-DATE
.   O

The   O
health   O
information   O
provided   O
can   O
be   O
reached   O
by   O
postcode   O
,   O
60422   B-LOCATION
,   O
at   O
the   O
imaging   O
facility   O
Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Brunswick   I-LOCATION
Campus   I-LOCATION
.   O

No   O
unauthorised   O
access   O
to   O
the   O
personal   O
data   O
is   O
tolerated   O
by   O
RLUG   B-LOCATION
.   O

Patient   O
Information   O
:   O
Quinn   B-NAME
Rutledge   I-NAME
is   O
a   O
24   O
year   O
old   O
professional   O
Site   O
manager   O
,   O
hailing   O
from   O
Brierley   B-LOCATION
Hill   I-LOCATION
with   O
medical   O
record   O
number   O
45370400   B-ID
.   O

ostrowski   B-NAME
complained   O
of   O
an   O
acute   O
,   O
persistent   O
headache   O
localized   O
to   O
the   O
right   O
side   O
of   O
her   O
temple   O
.   O

It   O
has   O
been   O
experienced   O
for   O
five   O
days   O
continuous   O
as   O
of   O
13/10/43   B-DATE
and   O
has   O
not   O
responded   O
to   O
typical   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medication   O
.   O

In   O
addition   O
,   O
Jamal   B-NAME
Adkins   I-NAME
mentioned   O
experiencing   O
photophobia   O
,   O
blurry   O
vision   O
,   O
and   O
occasional   O
dizziness   O
.   O

Ali   B-NAME
Norman   I-NAME
’s   O
primary   O
care   O
provider   O
,   O
Bentley   B-NAME
,   O
advised   O
for   O
immediate   O
hospitalization   O
at   O
Eastern   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
,   O
Citrus   B-LOCATION
City   I-LOCATION
due   O
to   O
the   O
intensity   O
and   O
persistence   O
of   O
her   O
symptoms   O
and   O
suspected   O
Temporal   O
Arteritis   O
.   O

The   O
patient   O
can   O
be   O
contacted   O
at   O
45221   B-CONTACT
to   O
follow   O
up   O
.   O

The   O
hospital   O
staff   O
commenced   O
immediate   O
investigation   O
with   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
ESR   O
,   O
and   O
imaging   O
studies   O
,   O
after   O
the   O
consultation   O
on   O
32/30   B-DATE
.   O

All   O
the   O
medical   O
reports   O
and   O
tests   O
have   O
been   O
secured   O
under   O
VN   B-ID
:   I-ID
NV:2485   I-ID
.   O

Admission   O
Details   O
:   O
Following   O
the   O
advice   O
of   O
Ian   B-NAME
Heinemann   I-NAME
,   O
the   O
Marc   B-NAME
Shulman   I-NAME
was   O
admitted   O
directly   O
to   O
the   O
neurology   O
department   O
in   O
Marlette   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
11/6   B-DATE
.   O

The   O
patient   O
’s   O
caregiver   O
was   O
given   O
the   O
necessary   O
instructions   O
via   O
their   O
contact   O
17017   B-CONTACT
regarding   O
their   O
scheduled   O
consultations   O
post   O
admission   O
.   O

Tillman   B-NAME
's   O
critical   O
examination   O
and   O
medical   O
therapy   O
were   O
administered   O
by   O
the   O
hospital   O
's   O
chief   O
neurologist   O
Chung   B-NAME
residing   O
in   O
the   O
Bratenahl   B-LOCATION
wing   O
of   O
the   O
Hospital   O
,   O
room   O
number   O
SSM   B-LOCATION
Health   I-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Mount   I-LOCATION
Vernon   I-LOCATION
.   O

Insurance   O
details   O
have   O
been   O
registered   O
under   O
the   O
plan   O
ID   O
BJ   B-ID
:   I-ID
YT:1841   I-ID
with   O
Westfield   B-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

For   O
the   O
continuation   O
of   O
her   O
treatment   O
and   O
tracking   O
of   O
her   O
medical   O
records   O
,   O
BRODY   B-NAME
OHARA   I-NAME
is   O
advised   O
to   O
use   O
the   O
online   O
hospital   O
portal   O
.   O

Her   O
username   O
is   O
mh724   B-NAME
and   O
she   O
is   O
currently   O
living   O
in   O
61881   B-LOCATION
.   O

Inference   O
:   O
With   O
the   O
prevailing   O
symptoms   O
and   O
the   O
medical   O
history   O
of   O
Orlando   B-NAME
Bashore   I-NAME
,   O
it   O
is   O
essential   O
to   O
recommend   O
further   O
diagnostic   O
tests   O
and   O
potential   O
referral   O
to   O
a   O
neurology   O
specialist   O
familiar   O
with   O
such   O
cases   O
.   O

For   O
further   O
reference   O
,   O
refer   O
to   O
465   B-ID
-   I-ID
86   I-ID
-   I-ID
59   I-ID
-   I-ID
6   I-ID
from   O
Layton   B-LOCATION
Hospital   I-LOCATION
on   O
12/04   B-DATE
.   O

Patient   O
Luke   B-NAME
Montes   I-NAME
reported   O
to   O
the   O
D.W.   B-LOCATION
McMillan   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2187   B-DATE
.   O

The   O
patient   O
who   O
is   O
a   O
Herbalist   O
by   O
profession   O
,   O
is   O
52   O
years   O
old   O
and   O
lives   O
in   O
Danube   B-LOCATION
with   O
a   O
zipcode   O
of   O
79542   B-LOCATION
.   O

The   O
attending   O
Stanley   B-NAME
,   I-NAME
Henry   I-NAME
Morton   I-NAME
ordered   O
an   O
ECG   O
,   O
which   O
showed   O
signs   O
suggestive   O
of   O
an   O
acute   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
.   O

The   O
patient   O
's   O
medical   O
record   O
239   B-ID
-   I-ID
48   I-ID
-   I-ID
91   I-ID
was   O
updated   O
with   O
these   O
findings   O
and   O
the   O
contact   O
670   B-CONTACT
-   I-CONTACT
700   I-CONTACT
8161   I-CONTACT
for   O
the   O
next   O
of   O
kin   O
was   O
taken   O
.   O

The   O
patient   O
's   O
insurance   O
MB   B-ID
:   I-ID
QH:2543   I-ID
was   O
verified   O
with   O
Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
.   O

The   O
medical   O
team   O
at   O
Olathe   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Olathe   I-LOCATION
was   O
able   O
to   O
promptly   O
initiate   O
the   O
reperfusion   O
therapy   O
.   O

Further   O
updates   O
about   O
the   O
patient   O
's   O
health   O
status   O
will   O
be   O
forwarded   O
to   O
Dr.   O
Tony   B-NAME
Newman   I-NAME
's   O
team   O
via   O
secure   O
email   O
ID   O
GS76   B-NAME
.   O

The   O
patient   O
is   O
currently   O
under   O
the   O
care   O
of   O
cardiologists   O
in   O
Wayne   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
next   O
evaluation   O
is   O
scheduled   O
for   O
11/29/2124   B-DATE
.   O

We   O
hope   O
for   O
a   O
fast   O
recovery   O
for   O
Phoenix   B-NAME
Fields   I-NAME
.   O

Patient   O
name   O
:   O
Levi   B-NAME
Atmore   I-NAME
Date   O
of   O
Birth   O
:   O
23/23/33   B-DATE
Medical   O
Record   O
No   O
:   O
81907454   B-ID
ID   O
:   O
2   B-ID
-   I-ID
4014548   I-ID
Doctor   O
's   O
name   O
:   O
Rocco   B-NAME
Petty   I-NAME
The   O
patient   O
-   O
Teneil   B-NAME
-   O
presented   O
to   O
our   O
clinic   O
,   O
Maria   B-LOCATION
Parham   I-LOCATION
Health   I-LOCATION
,   O
in   O
Lordstown   B-LOCATION
,   O
with   O
severe   O
shortness   O
of   O
breath   O
and   O
persistent   O
non   O
-   O
productive   O
cough   O
of   O
approximately   O
four   O
weeks   O
duration   O
.   O

Harran   B-NAME
is   O
a   O
Construction   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
by   O
trade   O
and   O
resides   O
in   O
-   O
State   B-LOCATION
Center   I-LOCATION
,   I-LOCATION
State   I-LOCATION
Center   I-LOCATION
Development   I-LOCATION
Association   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
35076   B-LOCATION
.   O

On   O
physical   O
examination   O
,   O
Chase   B-NAME
Macdonald   I-NAME
's   O
oxygen   O
saturation   O
was   O
found   O
to   O
be   O
low   O
.   O

The   O
chest   O
X   O
-   O
ray   O
performed   O
on   O
03/36   B-DATE
,   O
revealed   O
bilateral   O
reticular   O
appearance   O
suggestive   O
of   O
interstitial   O
thickening   O
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Madyson   B-NAME
Crawford   I-NAME
,   O
was   O
notified   O
of   O
the   O
symptoms   O
,   O
and   O
hospital   O
admission   O
was   O
initiated   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

The   O
patient   O
's   O
emergency   O
contact   O
information   O
includes   O
a   O
phone   O
number   O
-   O
(   B-CONTACT
969   I-CONTACT
)   I-CONTACT
930   I-CONTACT
-   I-CONTACT
3035   I-CONTACT
and   O
email   O
address   O
-   O
mh00   B-NAME
@   O
Trade   B-LOCATION
Justice   I-LOCATION
Movement   I-LOCATION
(   I-LOCATION
TJM)   I-LOCATION
.com   O
Given   O
the   O
patient   O
's   O
73   O
and   O
occupation   O
as   O
a   O
Lecturer   O
(   O
higher   O
education   O
)   O
,   O
there   O
is   O
considerable   O
concern   O
for   O
an   O
occupational   O
lung   O
disease   O
,   O
specifically   O
Hypersensitivity   O
Pneumonitis   O
or   O
Occupational   O
ILD   O
.   O

The   O
patient   O
has   O
been   O
advised   O
for   O
HRCT   O
chest   O
and   O
Pulmonary   O
Function   O
Test   O
(   O
PFT   O
)   O
to   O
be   O
performed   O
at   O
Harrison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Regular   O
follow   O
-   O
ups   O
with   O
Dr.   O
Lhari   B-NAME
will   O
be   O
essential   O
to   O
monitor   O
his   O
lung   O
condition   O
as   O
well   O
as   O
overall   O
health   O
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Hackenstein   B-NAME
Age   O
:   O
42   O
Location   O
:   O
Wisconsin   B-LOCATION
Contact   O
:   O
(   B-CONTACT
538   I-CONTACT
)   I-CONTACT
606   I-CONTACT
6734   I-CONTACT
Occupation   O
:   O
Lawyers   O
Report   O
:   O

On   O
8/19   B-DATE
,   O
Gonzales   B-NAME
visited   O
Stevenson   B-NAME
at   O
WellStar   B-LOCATION
Douglas   I-LOCATION
Hospital   I-LOCATION
,   O
presenting   O
with   O
severe   O
abdominal   O
pain   O
that   O
had   O
started   O
the   O
previous   O
day   O
.   O

The   O
patient   O
was   O
immediately   O
admitted   O
to   O
a   O
Lexington   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Under   O
the   O
care   O
of   O
Rivers   B-NAME
,   O
a   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
36/29/2182   B-DATE
at   O
Morristown   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
was   O
released   O
on   O
20/13   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
two   O
weeks   O
post   O
-   O
discharge   O
.   O

For   O
easy   O
access   O
and   O
identification   O
,   O
the   O
patient   O
's   O
Medical   O
Record   O
Number   O
is   O
061   B-ID
-   I-ID
02   I-ID
-   I-ID
97   I-ID
-   I-ID
7   I-ID
and   O
his   O
Social   O
security   O
number   O
is   O
VG   B-ID
:   I-ID
GA:1328   I-ID
.   O

This   O
report   O
was   O
documented   O
by   O
medical   O
professional   O
fc662   B-NAME
and   O
the   O
details   O
are   O
stored   O
in   O
the   O
Mississippi   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Southern   I-LOCATION
Company   I-LOCATION
database   O
.   O

The   O
patient   O
currently   O
resides   O
in   O
71858   B-LOCATION
.   O

Jaydan   B-NAME
Rush   I-NAME
has   O
assured   O
that   O
complete   O
confidentiality   O
has   O
been   O
maintained   O
as   O
per   O
HIPAA   O
rules   O
and   O
guidelines   O
.   O

For   O
further   O
inquiries   O
or   O
details   O
about   O
the   O
case   O
,   O
you   O
can   O
reach   O
Ingram   B-NAME
at   O
393   B-CONTACT
4686   I-CONTACT
.   O

Patient   O
:   O
Wall   B-NAME
Date   O
:   O
03/96   B-DATE
Age   O
:   O
78s   O
Place   O
of   O
Consultation   O
:   O
UHS   B-LOCATION
Binghamton   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Doctor   O
consulted   O
:   O
June   B-NAME
Collins   I-NAME
Case   O
Summary   O
:   O
Rico   B-NAME
presented   O
with   O
a   O
persistent   O
dry   O
cough   O
with   O
associated   O
dyspnea   O
and   O
fatigue   O
,   O
which   O
he   O
first   O
noticed   O
approximately   O
two   O
weeks   O
ago   O
,   O
around   O
3/28   B-DATE
.   O

Lexine   B-NAME
stated   O
that   O
he   O
does   O
not   O
have   O
a   O
history   O
of   O
similar   O
symptoms   O
.   O

PHI   O
Details   O
:   O
Patient   O
's   O
Address   O
:   O
Livermore   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
94550   I-LOCATION
Social   O
Security   O
Number   O
:   O
WX852/5413   B-ID
Contact   O
Number   O
:   O
98045   B-CONTACT
Patient   O
's   O
Profession   O
:   O

Laundry   O
and   O
Dry   O
-   O
Cleaning   O
Workers   O
Zip   O
Code   O
:   O
11080   B-LOCATION
Documentation   O
Process   O
:   O
The   O
initial   O
chest   O
x   O
-   O
ray   O
was   O
performed   O
by   O
tech   O
rw713   B-NAME
,   O
and   O
the   O
image   O
was   O
later   O
reviewed   O
by   O
Marquis   B-NAME
Porter   I-NAME
.   O

Eugene   B-NAME
Sutphin   I-NAME
's   O
medical   O
record   O
number   O
732   B-ID
-   I-ID
63   I-ID
-   I-ID
93   I-ID
-   I-ID
8   I-ID
was   O
tagged   O
for   O
tracking   O
the   O
case   O
.   O

Upon   O
consultation   O
,   O
Mitchell   B-NAME
Watkins   I-NAME
and   O
the   O
care   O
team   O
decided   O
to   O
further   O
investigate   O
the   O
causes   O
of   O
Sterling   B-NAME
,   I-NAME
Bruce   I-NAME
's   O
symptoms   O
.   O

Given   O
the   O
x   O
-   O
ray   O
findings   O
,   O
Jadon   B-NAME
Blanchard   I-NAME
has   O
been   O
scheduled   O
for   O
a   O
CT   O
scan   O
on   O
22/22   B-DATE
.   O
Note   O
:   O

A   O
reminder   O
to   O
follow   O
up   O
with   O
the   O
patient   O
was   O
issued   O
to   O
the   O
Regional   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Scranton   I-LOCATION
's   O
nursing   O
team   O
and   O
Political   O
researcher   O
on   O
duty   O
.   O

The   O
next   O
appointment   O
is   O
set   O
two   O
weeks   O
from   O
April   B-DATE
26   I-DATE
for   O
reviewing   O
CT   O
scan   O
results   O
.   O

In   O
order   O
to   O
gain   O
further   O
insight   O
,   O
Kim   B-NAME
Mays   I-NAME
's   O
blood   O
samples   O
are   O
sent   O
to   O
the   O
New   B-LOCATION
York   I-LOCATION
Life   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
's   O
lab   O
for   O
comprehensive   O
blood   O
counts   O
and   O
cultures   O
.   O

To   O
ensure   O
the   O
patient   O
's   O
well   O
-   O
being   O
and   O
efficient   O
progression   O
of   O
treatment   O
,   O
all   O
the   O
reports   O
are   O
securely   O
stored   O
under   O
his   O
medical   O
record   O
number   O
73821135   B-ID
.   O

Given   O
Townsend   B-NAME
,   I-NAME
Lawrence   I-NAME
's   O
symptoms   O
,   O
it   O
is   O
crucial   O
to   O
carry   O
out   O
further   O
investigations   O
to   O
confirm   O
the   O
diagnosis   O
and   O
initiate   O
appropriate   O
treatment   O
.   O

Patient   O
Info   O
:   O
Eminem   B-NAME
is   O
a   O
53   O
year   O
old   O
mechanic   O
(   O
Merchandise   O
Displayers   O
and   O
Window   O
Trimmers   O
)   O
from   O
17   B-LOCATION
Beechwood   I-LOCATION
Road   I-LOCATION
.   O

His   O
medical   O
record   O
number   O
with   O
our   O
care   O
facility   O
is   O
5977439   B-ID
.   O

Description   O
of   O
Symptoms   O
:   O
Destinee   B-NAME
Stanley   I-NAME
presented   O
in   O
our   O
clinic   O
,   O
Heritage   B-LOCATION
Valley   I-LOCATION
Beaver   I-LOCATION
,   O
on   O
22/00/10   B-DATE
with   O
a   O
complaint   O
of   O
recurrent   O
,   O
nagging   O
lower   O
abdominal   O
pain   O
for   O
the   O
past   O
week   O
.   O

Blood   O
samples   O
were   O
obtained   O
and   O
sent   O
to   O
the   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
laboratory   O
.   O

Further   O
,   O
an   O
abdominal   O
ultrasound   O
was   O
done   O
,   O
led   O
by   O
Roy   B-NAME
,   O
that   O
led   O
to   O
identification   O
of   O
gallstones   O
.   O

Plan   O
of   O
action   O
:   O
Morgan   B-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
2/35   B-DATE
at   O
Annie   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
.   O

We   O
have   O
provided   O
him   O
a   O
contact   O
number   O
,   O
952   B-CONTACT
-   I-CONTACT
1584   I-CONTACT
,   O
and   O
the   O
reference   O
ID   O
:   O
HZ:1559:259137   B-ID
,   O
which   O
he   O
can   O
quote   O
for   O
any   O
queries   O
related   O
to   O
his   O
reports   O
or   O
appointment   O
schedules   O
.   O

He   O
can   O
reach   O
out   O
to   O
the   O
appointment   O
desk   O
at   O
Tennessee   B-LOCATION
Valley   I-LOCATION
Authority   I-LOCATION
.   O

A   O
healthcare   O
support   O
team   O
from   O
City   B-LOCATION
of   I-LOCATION
Vero   I-LOCATION
Beach   I-LOCATION
Electric   I-LOCATION
Utilities   I-LOCATION
will   O
also   O
contact   O
him   O
via   O
his   O
LH1410   B-NAME
username   O
on   O
our   O
patient   O
portal   O
.   O

Physician   O
:   O
Fry   B-NAME
Dept   O
.   O
of   O
General   O
Medicine   O
,   O
Ness   B-LOCATION
County   I-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
No.2   I-LOCATION
–   I-LOCATION
Ness   B-LOCATION
City   I-LOCATION
Groesbeck   B-LOCATION
,   O
89079   B-LOCATION

Azaria   B-NAME
Madden   I-NAME
Age   O
:   O
82   O
ID   O
:   O
0   B-ID
-   I-ID
2788540   I-ID
Location   O
:   O
Port   B-LOCATION
Charlotte   I-LOCATION
,   I-LOCATION
FL   I-LOCATION
33952   I-LOCATION
Phone   O
:   O
(   B-CONTACT
467   I-CONTACT
)   I-CONTACT
296   I-CONTACT
4173   I-CONTACT
Profession   O
:   O

Sales   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
Username   O
:   O
XD623   B-NAME
Zip   O
:   O
97767   B-LOCATION
Medical   O
Record   O
:   O
3353B15433   B-ID
Doctor   O
:   O
Sandra   B-NAME
Waters   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
January   B-DATE
Report   O
:   O
Patient   O
Martin   B-NAME
,   I-NAME
John   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Perry   B-LOCATION
Hospital   I-LOCATION
on   O
13/21/37   B-DATE
.   O

Previous   O
medical   O
charts   O
from   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Danville   I-LOCATION
reveal   O
no   O
history   O
of   O
cardiac   O
disease   O
.   O

ECG   O
performed   O
by   O
Dr.   O
Kale   B-NAME
Greer   I-NAME
suggested   O
possible   O
Myocardial   O
Ischemia   O
.   O

A   O
follow   O
-   O
up   O
call   O
to   O
patient   O
's   O
(   B-CONTACT
769   I-CONTACT
)   I-CONTACT
199   I-CONTACT
-   I-CONTACT
7015   I-CONTACT
provided   O
by   O
him   O
during   O
the   O
registration   O
process   O
was   O
scheduled   O
for   O
further   O
investigation   O
and   O
management   O
post   O
-   O
discharge   O
.   O

The   O
patient   O
's   O
social   O
worker   O
from   O
Peoples   B-LOCATION
First   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
will   O
be   O
in   O
contact   O
to   O
arrange   O
for   O
any   O
necessary   O
at   O
-   O
home   O
care   O
.   O

The   O
patient   O
,   O
residing   O
in   O
Brookwood   B-LOCATION
,   O
was   O
advised   O
to   O
restrict   O
strenuous   O
physical   O
activities   O
until   O
further   O
assessment   O
is   O
completed   O
.   O

The   O
reassessment   O
will   O
be   O
done   O
by   O
Dr.   O
Alfonso   B-NAME
Mccall   I-NAME
and   O
his   O
team   O
at   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
medical   O
record   O
832   B-ID
-   I-ID
65   I-ID
-   I-ID
05   I-ID
-   I-ID
9   I-ID
is   O
stored   O
and   O
may   O
be   O
reviewed   O
by   O
authorized   O
personnel   O
only   O
.   O

For   O
further   O
information   O
or   O
changes   O
in   O
patient   O
Francis   B-NAME
's   O
condition   O
,   O
please   O
contact   O
the   O
team   O
directly   O
at   O
INTEGRIS   B-LOCATION
Miami   I-LOCATION
Hospital   I-LOCATION
or   O
call   O
the   O
office   O
via   O
the   O
number   O
931   B-CONTACT
647   I-CONTACT
-   I-CONTACT
7158   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Mandelina   B-NAME
presented   O
at   O
our   O
Greater   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
on   O
the   O
night   O
of   O
Saturday   B-DATE
,   I-DATE
October   I-DATE
.   O

According   O
to   O
the   O
documents   O
maintained   O
under   O
medical   O
record   O
number   O
4646762   B-ID
,   O
he   O
was   O
complaining   O
of   O
intermittent   O
chest   O
pains   O
of   O
moderate   O
intensity   O
spanning   O
over   O
a   O
duration   O
of   O
two   O
weeks   O
.   O

Alberto   B-NAME
Mays   I-NAME
is   O
8   O
years   O
old   O
and   O
resides   O
at   O
Orion   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Orion   I-LOCATION
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Cervantes   B-NAME
,   O
informed   O
us   O
that   O
Jenna   B-NAME
Gould   I-NAME
has   O
a   O
family   O
history   O
of   O
cardiovascular   O
diseases   O
.   O

Nina   B-NAME
Pomerantz   I-NAME
has   O
been   O
working   O
as   O
a   O
Climate   O
Change   O
Analysts   O
for   O
over   O
twenty   O
years   O
.   O

His   O
examination   O
on   O
02/17/2395   B-DATE
revealed   O
tachycardia   O
and   O
elevated   O
blood   O
pressure   O
.   O

Dax   B-NAME
Williamson   I-NAME
was   O
immediately   O
referred   O
for   O
a   O
cardiac   O
catheterization   O
.   O

In   O
terms   O
of   O
contact   O
information   O
,   O
we   O
have   O
his   O
phone   O
number   O
37956   B-CONTACT
and   O
his   O
Identification   O
Card   O
number   O
as   O
10029776   B-ID
.   O

His   O
next   O
appointment   O
is   O
scheduled   O
on   O
32/28/62   B-DATE
at   O
University   B-LOCATION
of   I-LOCATION
Kentucky   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
was   O
treated   O
by   O
Dr.   O
Beck   B-NAME
on   O
the   O
NEA   B-LOCATION
Baptist   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   O
his   O
case   O
was   O
primarily   O
managed   O
by   O
ua379   B-NAME
,   O
the   O
assigned   O
patient   O
care   O
coordinator   O
.   O

We   O
have   O
informed   O
his   O
employer   O
,   O
Northeast   B-LOCATION
Utilities   I-LOCATION
,   O
of   O
his   O
condition   O
to   O
facilitate   O
their   O
understanding   O
of   O
his   O
required   O
rest   O
period   O
.   O

The   O
full   O
address   O
of   O
Ahern   B-NAME
,   I-NAME
Bertie   I-NAME
for   O
any   O
further   O
correspondence   O
is   O
St.   B-LOCATION
Martins   I-LOCATION
,   O
78818   B-LOCATION
.   O

We   O
expect   O
Dexter   B-NAME
Sepulveda   I-NAME
's   O
condition   O
to   O
improve   O
significantly   O
with   O
a   O
combination   O
of   O
medication   O
and   O
lifestyle   O
changes   O
.   O

Patient   O
's   O
Name   O
:   O
Hayden   B-NAME
Gillespie   I-NAME
DOB   O
:   O
27/00/2075   B-DATE
Age   O
:   O
11   O
Medical   O
Record   O
#   O
:   O
901   B-ID
-   I-ID
28   I-ID
-   I-ID
49   I-ID
-   I-ID
2   I-ID
Dereon   B-NAME
Simmons   I-NAME
visited   O
the   O
patient   O
's   O
room   O
at   O
Golden   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
33   B-DATE
.   O

Presenting   O
Symptoms   O
:   O
Loni   B-NAME
Sasson   I-NAME
,   O
a   O
Financial   O
Managers   O
,   O
Branch   O
or   O
Department   O
from   O
Austin   B-LOCATION
,   O
complained   O
of   O
incessant   O
,   O
dry   O
cough   O
for   O
the   O
last   O
two   O
weeks   O
.   O

Upon   O
further   O
inquiry   O
,   O
Nikolai   B-NAME
Martinez   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
drastic   O
weight   O
loss   O
in   O
the   O
past   O
month   O
.   O

Contact   O
Information   O
:   O
Phone   O
Number   O
:   O
12134   B-CONTACT
Address   O
:   O
Waxhaw   B-LOCATION
,   O
79967   B-LOCATION
SSN   O
:   O
NG208/3663   B-ID
Next   O
of   O
Kin   O
:   O
(   O
Name   O
and   O
contact   O
details   O
removed   O
for   O
privacy   O
)   O
Employed   O
at   O
Association   B-LOCATION
of   I-LOCATION
Analytical   I-LOCATION
Communities   I-LOCATION
(   I-LOCATION
AOAC   I-LOCATION
International   I-LOCATION
)   I-LOCATION
.   O

Details   O
of   O
medical   O
history   O
and   O
treatment   O
plan   O
have   O
been   O
shared   O
with   O
the   O
patient   O
's   O
healthcare   O
provider   O
via   O
JW545   B-NAME
.   O

We   O
have   O
discussed   O
the   O
case   O
with   O
our   O
team   O
at   O
Delaware   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
Dr.   O
Hung   B-NAME
,   I-NAME
William   I-NAME
will   O
be   O
the   O
primary   O
point   O
of   O
contact   O
for   O
the   O
patient   O
's   O
ongoing   O
care   O
.   O

The   O
patient   O
has   O
been   O
instructed   O
to   O
call   O
678   B-CONTACT
-   I-CONTACT
252   I-CONTACT
8953   I-CONTACT
if   O
symptoms   O
persist   O
or   O
worsen   O
or   O
he   O
experiences   O
side   O
effects   O
from   O
the   O
medication   O
.   O

Patient   O
Charley   B-NAME
Shanowski   I-NAME
is   O
a   O
8   O
week   O
years   O
old   O
female   O
who   O
presented   O
with   O
prolonged   O
fever   O
,   O
chills   O
,   O
and   O
productive   O
cough   O
with   O
sputum   O
.   O

According   O
to   O
her   O
medical   O
history   O
,   O
recorded   O
in   O
14789235   B-ID
,   O
she   O
is   O
a   O
known   O
case   O
of   O
type-2   O
diabetes   O
.   O

The   O
chest   O
X   O
-   O
ray   O
performed   O
on   O
12/30/66   B-DATE
at   O
Silver   B-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
psychiatric   I-LOCATION
)   I-LOCATION
demonstrated   O
right   O
lower   O
lobe   O
pneumonia   O
.   O

She   O
is   O
under   O
the   O
care   O
of   O
Damon   B-NAME
Mason   I-NAME
who   O
is   O
closely   O
monitoring   O
her   O
progress   O
,   O
and   O
her   O
contact   O
is   O
maintained   O
at   O
910   B-CONTACT
-   I-CONTACT
608   I-CONTACT
-   I-CONTACT
5286   I-CONTACT
.   O

There   O
was   O
a   O
follow   O
-   O
up   O
visit   O
planned   O
with   O
the   O
endocrinologist   O
on   O
2035   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
11   I-DATE
,   O
at   O
Follansbee   B-LOCATION
to   O
optimally   O
control   O
her   O
diabetes   O
.   O

Andrew   B-NAME
Madden   I-NAME
works   O
as   O
a   O
Emergency   O
Management   O
Specialists   O
,   O
however   O
,   O
she   O
has   O
been   O
advised   O
to   O
take   O
leave   O
until   O
her   O
health   O
condition   O
improves   O
.   O

Florence   B-NAME
Mildred   I-NAME
Yuan   I-NAME
's   O
family   O
,   O
who   O
resides   O
at   O
16596   B-LOCATION
was   O
educated   O
about   O
the   O
importance   O
of   O
medication   O
compliance   O
,   O
especially   O
the   O
antibiotics   O
and   O
diabetes   O
medications   O
.   O

The   O
charges   O
for   O
the   O
hospital   O
stay   O
and   O
treatments   O
are   O
being   O
processed   O
through   O
her   O
medical   O
i   O
d   O
XK275/6375   B-ID
provided   O
by   O
Best   B-LOCATION
Friends   I-LOCATION
Animal   I-LOCATION
Society   I-LOCATION
.   O

They   O
will   O
send   O
a   O
copy   O
of   O
the   O
bill   O
to   O
the   O
patient   O
's   O
email   O
,   O
jno270   B-NAME
,   O
for   O
confirmation   O
.   O

For   O
now   O
,   O
Gizhaum   B-NAME
Haddaway   I-NAME
remains   O
admitted   O
at   O
Carilion   B-LOCATION
Tazewell   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Noe   B-NAME
Mahoney   I-NAME
and   O
her   O
condition   O
is   O
noted   O
to   O
be   O
stable   O
but   O
still   O
under   O
observation   O
.   O

Patient   O
Name   O
:   O
Camron   B-NAME
Sullivan   I-NAME
Age   O
:   O
4   O
month   O
Date   O
:   O
July   B-DATE
Medical   O
Record   O
Number   O
:   O
66596553   B-ID
Eve   B-NAME
Fitzpatrick   I-NAME
saw   O
the   O
above   O
-   O
mentioned   O
patient   O
at   O
the   O
Bayfront   B-LOCATION
Health   I-LOCATION
Punta   I-LOCATION
Gorda   I-LOCATION
located   O
in   O
Georgia   B-LOCATION
.   O

A   O
detailed   O
medical   O
history   O
revealed   O
that   O
Aidan   B-NAME
Stewart   I-NAME
has   O
been   O
smoking   O
for   O
the   O
past   O
20   O
years   O
,   O
which   O
is   O
likely   O
to   O
have   O
increased   O
vulnerability   O
to   O
respiratory   O
disorders   O
.   O

Hugh   B-NAME
Gibbs   I-NAME
was   O
administered   O
intravenous   O
antibiotics   O
.   O

Contact   O
number   O
of   O
the   O
patient   O
:   O
345   B-CONTACT
-   I-CONTACT
4182   I-CONTACT
.   O

Regarding   O
past   O
medical   O
records   O
,   O
Yusuf   B-NAME
Caldwell   I-NAME
had   O
an   O
episode   O
of   O
bronchitis   O
about   O
three   O
years   O
ago   O
,   O
which   O
was   O
managed   O
by   O
Merritt   B-NAME
.   O

The   O
detailed   O
records   O
can   O
be   O
found   O
with   O
JEA   B-LOCATION
and   O
accessed   O
using   O
their   O
username   O
:   O
UF380   B-NAME
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
suggested   O
on   O
04/13   B-DATE
to   O
assess   O
recovery   O
progress   O
and   O
revisit   O
the   O
need   O
for   O
change   O
in   O
treatment   O
plan   O
.   O

The   O
report   O
was   O
shared   O
with   O
the   O
patient   O
's   O
primary   O
care   O
provider   O
,   O
Alexis   B-NAME
Shannon   I-NAME
.   O

They   O
may   O
be   O
reached   O
via   O
their   O
370   B-CONTACT
169   I-CONTACT
4952   I-CONTACT
extension   O
.   O

Billing   O
and   O
payment   O
for   O
the   O
patient   O
's   O
treatment   O
are   O
to   O
be   O
made   O
to   O
the   O
accounts   O
department   O
at   O
the   O
Lakes   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
(   O
License   O
no   O
:   O
PM406/5089   B-ID
)   O
.   O

The   O
service   O
address   O
is   O
Blakely   B-LOCATION
,   O
their   O
postal   O
code   O
being   O
17575   B-LOCATION
.   O

The   O
above   O
course   O
of   O
action   O
was   O
agreed   O
on   O
by   O
both   O
,   O
the   O
patient   O
and   O
Dayanara   B-NAME
Marsh   I-NAME
.   O

Patient   O
:   O
Garret   B-NAME
Age   O
:   O
21   O
Location   O
:   O
82   B-LOCATION
Station   I-LOCATION
Road   I-LOCATION
Medical   O
Record_Number   O
:   O
9755431   B-ID
ID   O
:   O
8   B-ID
-   I-ID
1941201   I-ID

The   O
patient   O
Brodsky   B-NAME
,   I-NAME
Joseph   I-NAME
,   O
a   O
Immigration   O
and   O
Customs   O
Inspectors   O
residing   O
in   O
Apt   B-LOCATION
1   I-LOCATION
was   O
brought   O
to   O
the   O
Genesis   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
30/32/2132   B-DATE
.   O

On   O
arrival   O
,   O
Corona   B-NAME
appeared   O
generally   O
pale   O
and   O
unwell   O
.   O

Additionally   O
,   O
Alanna   B-NAME
Wall   I-NAME
displayed   O
symptoms   O
of   O
nausea   O
and   O
occasional   O
light   O
sensitivity   O
(   O
photophobia   O
)   O
.   O

During   O
the   O
physical   O
evaluation   O
,   O
Paul   B-NAME
Lochner   I-NAME
's   O
blood   O
pressure   O
metrics   O
were   O
slightly   O
above   O
the   O
normal   O
range   O
with   O
readings   O
at   O
145/95   O
mmHg   O
,   O
indicating   O
possible   O
hypertension   O
.   O

Sutherland   B-NAME
,   I-NAME
Kiefer   I-NAME
reported   O
regular   O
migraines   O
for   O
the   O
past   O
few   O
months   O
stating   O
the   O
pain   O
often   O
started   O
at   O
the   O
front   O
and   O
radiated   O
to   O
the   O
back   O
of   O
the   O
head   O
.   O

On   O
reviewing   O
the   O
medical   O
history   O
,   O
evidence   O
was   O
found   O
suggesting   O
that   O
the   O
Jaslyn   B-NAME
Collins   I-NAME
was   O
diagnosed   O
with   O
aura   O
migraines   O
by   O
their   O
previous   O
physician   O
Thomas   B-NAME
Esquivel   I-NAME
at   O
Republic   B-LOCATION
of   I-LOCATION
Constellations   I-LOCATION
a   O
few   O
years   O
ago   O
.   O

Sean   B-NAME
Ferreira   I-NAME
,   O
in   O
consultation   O
with   O
Aguirre   B-NAME
,   O
has   O
been   O
advised   O
to   O
conduct   O
a   O
series   O
of   O
diagnostic   O
tests   O
including   O
CT   O
Scan   O
,   O
MRI   O
,   O
and   O
Lumbar   O
Puncture   O
to   O
exclude   O
any   O
underlying   O
pathologies   O
.   O

They   O
have   O
also   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
at   O
our   O
clinic   O
on   O
2/36   B-DATE
.   O

A   O
direct   O
line   O
of   O
contact   O
,   O
16788   B-CONTACT
,   O
was   O
provided   O
for   O
any   O
emergency   O
concerns   O
.   O

Post   O
appointment   O
notes   O
will   O
be   O
forwarded   O
to   O
GP   O
's   O
office   O
,   O
maintaining   O
confidentiality   O
as   O
per   O
the   O
provided   O
username   O
li669   B-NAME
.   O

In   O
summary   O
,   O
comprehensive   O
medical   O
assistance   O
was   O
provided   O
to   O
XAYSANA   B-NAME
,   I-NAME
YUSEF   I-NAME
addressing   O
diagnostic   O
,   O
therapeutic   O
,   O
and   O
preventative   O
aspects   O
.   O

Matthews   B-NAME
's   O
management   O
plan   O
is   O
being   O
updated   O
in   O
light   O
of   O
the   O
persistent   O
severity   O
and   O
frequency   O
of   O
migraine   O
episodes   O
.   O

Signed   O
,   O
Tran   B-NAME
90424   B-LOCATION

Erin   B-NAME
f.   I-NAME
Aquino   I-NAME
Age   O
:   O
57   O
Medical   O
Record   O
Number   O
:   O
LLGKRS   B-ID
Phone   O
:   O
107   B-CONTACT
7398   I-CONTACT
Presenting   O
Complaint   O
:   O

On   O
5/02   B-DATE
,   O
Lewis   B-NAME
Cooley   I-NAME
was   O
brought   O
into   O
the   O
North   B-LOCATION
Shore   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Northwell   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
by   O
their   O
spouse   O
.   O

Other   O
symptoms   O
the   O
patient   O
complained   O
about   O
include   O
orthopnea   O
and   O
paroxysmal   O
nocturnal   O
dyspnea   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Leary   B-NAME
,   I-NAME
Timothy   I-NAME
's   O
dyspnea   O
has   O
been   O
gradually   O
worsening   O
.   O

Ana   B-NAME
Small   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

They   O
were   O
seen   O
by   O
Chase   B-NAME
at   O
Stock   B-LOCATION
Island   I-LOCATION
before   O
relocating   O
.   O

Their   O
ID   O
number   O
for   O
the   O
previous   O
records   O
from   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Anthony   I-LOCATION
is   O
AR   B-ID
:   I-ID
YI:3535   I-ID
.   O

On   O
general   O
examination   O
,   O
Gould   B-NAME
,   I-NAME
Stephen   I-NAME
Jay   I-NAME
had   O
tachypnea   O
,   O
bilateral   O
lower   O
limb   O
edema   O
,   O
and   O
an   O
elevated   O
jugular   O
venous   O
pressure   O
was   O
observed   O
.   O

A   O
call   O
back   O
has   O
been   O
scheduled   O
for   O
38/22   B-DATE
.   O

Meanwhile   O
,   O
this   O
case   O
is   O
currently   O
being   O
handled   O
by   O
Faulkner   B-NAME
and   O
contact   O
can   O
be   O
made   O
at   O
62765   B-CONTACT
.   O

For   O
their   O
convenience   O
,   O
Bainimarama   B-NAME
,   I-NAME
Frank   I-NAME
's   O
employer   O
at   O
PowerSouth   B-LOCATION
Energy   I-LOCATION
Cooperative   I-LOCATION
has   O
been   O
contacted   O
and   O
submitted   O
a   O
medical   O
leave   O
form   O
.   O

The   O
team   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
requests   O
that   O
Legal   O
Support   O
Workers   O
,   O
All   O
Other   O
from   O
Pacific   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
keep   O
them   O
updated   O
as   O
they   O
will   O
also   O
be   O
contacting   O
uj935   B-NAME
directly   O
for   O
additional   O
information   O
on   O
the   O
medical   O
leave   O
.   O

Their   O
address   O
has   O
been   O
noted   O
as   O
Boyd   B-LOCATION
,   O
65780   B-LOCATION
.   O

Patient   O
Name   O
:   O
Giovani   B-NAME
Tanner   I-NAME
Patient   O
visited   O
Shaylee   B-NAME
Long   I-NAME
on   O
Tuesday   B-DATE
.   O

Abdiel   B-NAME
Massey   I-NAME
is   O
75s   O
years   O
old   O
and   O
works   O
in   O
Insurance   O
risk   O
surveyor   O
.   O

Zachary   B-NAME
Smith   I-NAME
had   O
reported   O
symptoms   O
which   O
include   O
fatigue   O
,   O
breathlessness   O
,   O
chest   O
pain   O
,   O
and   O
irregular   O
heartbeat   O
for   O
the   O
last   O
two   O
weeks   O
.   O

The   O
Mata   B-NAME
conducted   O
a   O
thorough   O
physical   O
examination   O
and   O
ordered   O
an   O
ECG   O
.   O

Fleming   B-NAME
was   O
henceforth   O
referred   O
to   O
a   O
cardiologist   O
at   O
Jefferson   B-LOCATION
Torresdale   I-LOCATION
,   O
located   O
at   O
Lunenburg   B-LOCATION
.   O

The   O
Gabriela   B-NAME
Mcfarland   I-NAME
at   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Memorial   I-LOCATION
Livingston   I-LOCATION
then   O
started   O
the   O
Damari   B-NAME
Hall   I-NAME
on   O
oral   O
anticoagulants   O
and   O
Beta   O
-   O
blockers   O
.   O

Lonnie   B-NAME
Leroy   I-NAME
George   I-NAME
Zuniga   I-NAME
was   O
instructed   O
to   O
reduce   O
caffeine   O
intake   O
and   O
alcohol   O
consumption   O
.   O

Robin   B-NAME
Van   I-NAME
Dorn   I-NAME
will   O
follow   O
-   O
up   O
with   O
the   O
Regina   B-NAME
Barnes   I-NAME
in   O
two   O
weeks   O
and   O
the   O
progress   O
will   O
be   O
assessed   O
based   O
on   O
the   O
alleviation   O
of   O
symptoms   O
.   O

For   O
any   O
immediate   O
assistance   O
or   O
health   O
-   O
related   O
inquiries   O
,   O
Gary   B-NAME
Lansing   I-NAME
has   O
been   O
provided   O
with   O
a   O
contact   O
(   B-CONTACT
779   I-CONTACT
)   I-CONTACT
590   I-CONTACT
-   I-CONTACT
6924   I-CONTACT
to   O
reach   O
out   O
to   O
the   O
Unity   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Permanent   O
Address   O
of   O
BRIAN   B-NAME
YOCKEY   I-NAME
-   O
Pompano   B-LOCATION
Beach   I-LOCATION
,   I-LOCATION
FL   I-LOCATION
33065   I-LOCATION
,   O
15742   B-LOCATION
Medical   O
Insurance   O
Details   O
-   O
Insurance   O
Provider   O
:   O
Botswana   B-LOCATION
Wholesale   I-LOCATION
,   I-LOCATION
Furniture   I-LOCATION
&   I-LOCATION
Retail   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
,   O
Policy   O
ID   O
:   O
VI910/7642   B-ID
Medical   O
Record   O
Number   O
:   O
3257   B-ID
:   I-ID
Z08188   I-ID
Family   O
Physician   O
-   O
Dr.   O
Proctor   B-NAME
Contact   O
-   O
(   B-CONTACT
223   I-CONTACT
)   I-CONTACT
552   I-CONTACT
4249   I-CONTACT
Clinic   O
Address   O
-   O
Ucon   B-LOCATION
,   O
87890   B-LOCATION
Emergency   O
Contact   O
-   O
Name   O
:   O
HG34   B-NAME
Relationship   O
:   O

Spouse   O
Phone   O
:   O
719   B-CONTACT
3056   I-CONTACT
Proctor   B-NAME
has   O
sent   O
a   O
detailed   O
report   O
to   O
Donovan   B-NAME
Porter   I-NAME
's   O
primary   O
care   O
physician   O
and   O
assured   O
Liu   B-NAME
of   O
their   O
continuous   O
support   O
in   O
managing   O
their   O
heart   O
-   O
rhythm   O
problems   O
.   O

Buk   B-NAME
has   O
shown   O
positive   O
attitudes   O
towards   O
his   O
treatment   O
plans   O
and   O
has   O
been   O
diligent   O
in   O
following   O
doctor   O
's   O
orders   O
.   O

Patient   O
Name   O
:   O
Belva   B-NAME
Calles   I-NAME
DOB   O
:   O
31/21/63   B-DATE
Age   O
:   O
0   O
week   O
ID   O
:   O
TZ407/4393   B-ID
Medical   O
Record   O
Number   O
:   O
3095945   B-ID
Address   O
:   O
St.   B-LOCATION
Louisville   I-LOCATION
,   O
24281   B-LOCATION
Phone   O
:   O
242   B-CONTACT
9562   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Boyer   B-NAME
Referring   O
Organization   O
:   O

Dwelling   B-LOCATION
House   I-LOCATION
Savings   I-LOCATION
and   I-LOCATION
Loan   I-LOCATION
Association   I-LOCATION
Report   O
:   O
Mr.   O
Mortimer   B-NAME
,   I-NAME
John   I-NAME
,   O
aged   O
85   O
,   O
returned   O
to   O
our   O
Penn   B-LOCATION
State   I-LOCATION
Hershey   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
on   O
13/21   B-DATE
complaining   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
that   O
radiated   O
to   O
his   O
back   O
and   O
was   O
associated   O
with   O
vomiting   O
and   O
fever   O
.   O

In   O
discussion   O
with   O
his   O
primary   O
care   O
physician   O
,   O
Dr.   O
Otho   B-NAME
Bookmiller   I-NAME
,   O
Mr.   O
Rovabokola   B-NAME
,   I-NAME
Ratu   I-NAME
Viliame   I-NAME
's   O
symptoms   O
appear   O
to   O
have   O
begun   O
approximately   O
ten   O
days   O
prior   O
to   O
his   O
visit   O
.   O

His   O
past   O
medical   O
history   O
including   O
details   O
from   O
SPEAK   B-LOCATION
record   O
number   O
7197520   B-ID
was   O
thoroughly   O
reviewed   O
and   O
indicated   O
a   O
past   O
appendectomy   O
at   O
UHS   B-LOCATION
-   I-LOCATION
Binghamton   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
with   O
Dr.   O
Lang   B-NAME
.   O

Given   O
the   O
severity   O
of   O
his   O
symptoms   O
,   O
Mr.   O
Josephine   B-NAME
Booth   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
emergency   O
cholecystectomy   O
and   O
was   O
admitted   O
to   O
Three   B-LOCATION
Rivers   I-LOCATION
Health   I-LOCATION
.   O

For   O
further   O
updates   O
,   O
please   O
contact   O
us   O
at   O
721   B-CONTACT
1716   I-CONTACT
.   O

The   O
nursing   O
team   O
at   O
Stephens   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
will   O
keep   O
Mr.   O
Gaudi   B-NAME
,   I-NAME
Antonio   I-NAME
's   O
family   O
updated   O
with   O
his   O
condition   O
.   O

Report   O
prepared   O
by   O
:   O
sr174   B-NAME
Occupation   O
:   O
Computer   O
Systems   O
Engineers   O
/   O
Architects   O
Date   O
:   O
31/02/2160   B-DATE

Patient   O
Name   O
:   O
Malcolm   B-NAME
Bowers   I-NAME
Date   O
of   O
Admission   O
:   O
21/02   B-DATE
Attending   O
Physician   O
:   O

Reuben   B-NAME
Yates   I-NAME
Patient   O
ID   O
:   O
51701   B-ID
Medical   O
Record   O
Number   O
:   O
712   B-ID
-   I-ID
19   I-ID
-   I-ID
09   I-ID
-   I-ID
9   I-ID
Patient   O
Aydin   B-NAME
Williamson   I-NAME
,   O
a   O
52   O
-   O
year   O
-   O
old   O
professional   O
Surveying   O
Technicians   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Cascade   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/22/2012   B-DATE
with   O
complaints   O
of   O
a   O
severe   O
,   O
throbbing   O
headache   O
localized   O
mostly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
visual   O
disturbances   O
including   O
temporary   O
vision   O
loss   O
,   O
and   O
an   O
extremely   O
heightened   O
sensitivity   O
to   O
light   O
and   O
sound   O
.   O

According   O
to   O
Dawson   B-NAME
Goodwin   I-NAME
's   O
medical   O
history   O
,   O
this   O
is   O
not   O
the   O
first   O
occurrence   O
of   O
these   O
symptoms   O
.   O

A   O
diagnostic   O
examination   O
and   O
subsequent   O
laboratory   O
tests   O
conducted   O
by   O
Palmer   B-NAME
revealed   O
no   O
abnormalities   O
,   O
indicating   O
the   O
absence   O
of   O
any   O
life   O
-   O
threatening   O
conditions   O
such   O
as   O
a   O
brain   O
tumor   O
or   O
aneurysm   O
.   O

Patient   O
Ronnie   B-NAME
Caldwell   I-NAME
was   O
advised   O
to   O
continue   O
using   O
current   O
rescue   O
treatment   O
medication   O
and   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
clinic   O
for   O
further   O
evaluation   O
and   O
adjustment   O
of   O
preventative   O
treatment   O
.   O

Contact   O
details   O
provided   O
were   O
85408   B-CONTACT
and   O
home   O
address   O
8086   B-LOCATION
Woodsman   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
79556   B-LOCATION
.   O

Emergency   O
Contact   O
:   O
RC217   B-NAME
Phone   O
Number   O
:   O
(   B-CONTACT
995   I-CONTACT
)   I-CONTACT
789   I-CONTACT
6641   I-CONTACT
Discharge   O
Notes   O
were   O
verified   O
and   O
signed   O
off   O
by   O
Kennedy   B-NAME
on   O
10/22/72   B-DATE
and   O
will   O
be   O
sent   O
to   O
NAPO   B-LOCATION
for   O
billing   O
purposes   O
.   O

The   O
patient   O
's   O
next   O
appointment   O
at   O
the   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
St.   I-LOCATION
Clair   I-LOCATION
is   O
scheduled   O
for   O
two   O
weeks   O
from   O
today   O
's   O
date   O
.   O

Signature   O
:   O
Burns   B-NAME
2241   B-DATE

Patient   O
Name   O
:   O
Lainey   B-NAME
Mccoy   I-NAME
Age   O
:   O
97   O
Physician   O
's   O
Name   O
:   O
Dr.   O
Amanda   B-NAME
Mata   I-NAME
Hospital   O
:   O
Western   B-LOCATION
Missouri   I-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Appointment   O
Date   O
:   O
12/02   B-DATE
Location   O
:   O
Fayette   B-LOCATION
Phone   O
:   O
308   B-CONTACT
2510   I-CONTACT
Medical   O
Report   O
:   O
Mccoy   B-NAME
presented   O
to   O
the   O
Jackson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
34/07/2070   B-DATE
,   O
with   O
complaints   O
of   O
persistent   O
,   O
high   O
-   O
grade   O
fever   O
over   O
the   O
past   O
five   O
days   O
along   O
with   O
malaise   O
,   O
weakness   O
,   O
and   O
dyspnea   O
.   O

Upon   O
physical   O
examination   O
,   O
Wiggins   B-NAME
appeared   O
pale   O
and   O
lethargic   O
.   O

Dr.   O
Lawson   B-NAME
Shepard   I-NAME
ordered   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
Chest   O
X   O
-   O
ray   O
,   O
and   O
sputum   O
culture   O
based   O
on   O
the   O
symptoms   O
presented   O
.   O

Briana   B-NAME
Acosta   I-NAME
's   O
past   O
medical   O
history   O
includes   O
Type   O
2   O
Diabetes   O
and   O
Hypertension   O
,   O
for   O
which   O
the   O
patient   O
is   O
currently   O
on   O
Metformin   O
and   O
Amlodipine   O
respectively   O
.   O

Agnew   B-NAME
,   I-NAME
Spiro   I-NAME
's   O
Social   O
history   O
includes   O
a   O
Security   O
and   O
Fire   O
Alarm   O
Systems   O
Installers   O
with   O
prolonged   O
exposure   O
to   O
environmental   O
pollutants   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
get   O
in   O
touch   O
with   O
our   O
office   O
at   O
105   B-CONTACT
5709   I-CONTACT
or   O
via   O
our   O
hospital   O
portal   O
with   O
username   O
VK419   B-NAME
and   O
password   O
provided   O
to   O
you   O
.   O

Dr.   O
Tutu   B-NAME
,   I-NAME
Desmond   I-NAME
,   O
Anti   B-LOCATION
-   I-LOCATION
Slavery   I-LOCATION
International   I-LOCATION
Dexter   B-LOCATION
,   O
33068   B-LOCATION
Medical   O
Record   O
No   O
:   O
99498937   B-ID
National   O
Provider   O
Identifier   O
(   O
NPI   O
):   O
3   B-ID
-   I-ID
6019979   I-ID
Note   O
:   O
This   O
medical   O
report   O
is   O
intended   O
solely   O
for   O
the   O
personal   O
and   O
confidential   O
use   O
of   O
the   O
patient   O
named   O
above   O
.   O

Patient   O
's   O
Name   O
:   O
Domeyko   B-NAME
,   I-NAME
Ignacy   I-NAME
Patient   O
's   O
Age   O
:   O
67s   O
Medical   O
Record   O
Number   O
:   O
8904043   B-ID
Date   O
of   O
Visit   O
:   O
March   B-DATE
Physician   O
's   O
Name   O
:   O
Baker   B-NAME
,   I-NAME
Russell   I-NAME
Hospital   O
's   O
Name   O
:   O
Trident   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Murray   B-LOCATION
,   I-LOCATION
Murray   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
ID   O
:   O
SP   B-ID
:   I-ID
LQ:6564   I-ID
Patient   O
's   O
Phone   O
:   O
(   B-CONTACT
209   I-CONTACT
)   I-CONTACT
801   I-CONTACT
4523   I-CONTACT
Profession   O
:   O
Tellers   O
Username   O
:   O
yxq482   B-NAME
Zip   O
:   O
27914   B-LOCATION

The   O
patient   O
,   O
August   B-NAME
Benton   I-NAME
,   O
came   O
in   O
for   O
a   O
medical   O
evaluation   O
on   O
21/2282   B-DATE
.   O

Beau   B-NAME
Gaines   I-NAME
expressed   O
suffering   O
from   O
episodes   O
of   O
epigastric   O
pain   O
,   O
consistent   O
with   O
gastritis   O
.   O

Jaylah   B-NAME
Cox   I-NAME
described   O
the   O
pain   O
as   O
a   O
burning   O
sensation   O
located   O
in   O
the   O
upper   O
central   O
region   O
of   O
the   O
abdomen   O
.   O

In   O
addition   O
to   O
the   O
abdominal   O
pain   O
,   O
Mila   B-NAME
Fukuroku   I-NAME
reported   O
experiencing   O
frequent   O
bouts   O
of   O
nausea   O
,   O
particularly   O
after   O
meals   O
.   O

Based   O
on   O
the   O
persistent   O
nature   O
of   O
the   O
symptoms   O
,   O
Dr.   O
Woodward   B-NAME
at   O
Palestine   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
East   I-LOCATION
recommended   O
ordering   O
an   O
esophagogastroduodenoscopy   O
(   O
EGD   O
)   O
to   O
confirm   O
the   O
diagnosis   O
.   O

During   O
the   O
consultation   O
,   O
Deegan   B-NAME
Watkins   I-NAME
’s   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
Pressure   O
120/80   O
mmHg   O
,   O
Pulse   O
78   O
/   O
min   O
,   O
Temperature   O
98.5   O

ROSE   B-NAME
R.   I-NAME
WALSH   I-NAME
's   O
professional   O
field   O
is   O
Sales   O
Representatives   O
,   O
Chemical   O
and   O
Pharmaceutical   O
and   O
resides   O
at   O
La   B-LOCATION
Puebla   I-LOCATION
,   O
under   O
zip   O
code   O
57227   B-LOCATION
.   O

Contact   O
for   O
further   O
discourse   O
via   O
(   B-CONTACT
776   I-CONTACT
)   I-CONTACT
419   I-CONTACT
5752   I-CONTACT
.   O

Medical   O
correspondence   O
should   O
be   O
sent   O
under   O
the   O
username   O
FL473   B-NAME
.   O

Please   O
note   O
all   O
medical   O
records   O
are   O
kept   O
strictly   O
confidential   O
under   O
the   O
Botswana   B-LOCATION
National   I-LOCATION
Development   I-LOCATION
Bank   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
's   O
privacy   O
policy   O
.   O

The   O
report   O
concludes   O
the   O
medical   O
evaluation   O
and   O
diagnosis   O
process   O
for   O
Patient   O
AM:90106:831640   B-ID
.   O

Further   O
investigation   O
procedure   O
of   O
the   O
gastrointestinal   O
tract   O
will   O
be   O
carried   O
out   O
soon   O
at   O
Upper   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
as   O
per   O
instruction   O
from   O
Dr.   O
Berry   B-NAME
,   I-NAME
Halle   I-NAME
.   O

Patient   O
:   O
Orellana   B-NAME
Medical   O
Record   O
:   O
262   B-ID
-   I-ID
48   I-ID
-   I-ID
75   I-ID
Date   O
of   O
birth   O
:   O
Labor   B-DATE
Day   I-DATE
Sex   O
:   O
Male   O
Age   O
:   O
75s   O
ZIP   O
:   O
14256   B-LOCATION
Hospital   O
:   O
Washington   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Doctor   O
:   O
Harrington   B-NAME
Symptoms   O
:   O
The   O
patient   O
,   O
Paige   B-NAME
,   I-NAME
Satchel   I-NAME
,   O
presented   O
with   O
a   O
3   O
-   O
day   O
history   O
of   O
progressive   O
dyspnea   O
and   O
palpitations   O
.   O

Further   O
investigation   O
:   O
Radiography   O
and   O
computed   O
tomography   O
(   O
CT   O
)   O
of   O
the   O
chest   O
is   O
scheduled   O
for   O
21/28   B-DATE
.   O

Rey   B-NAME
Robles   I-NAME
's   O
contact   O
number   O
,   O
372   B-CONTACT
545   I-CONTACT
3769   I-CONTACT
,   O
should   O
be   O
used   O
to   O
communicate   O
the   O
appointment   O
details   O
.   O

Information   O
about   O
his   O
ID   O
,   O
NR610/8012   B-ID
,   O
and   O
his   O
employer   O
,   O
Sun   B-LOCATION
Life   I-LOCATION
Financial   I-LOCATION
,   O
has   O
been   O
noted   O
.   O

Patient   O
’s   O
primary   O
location   O
of   O
residence   O
is   O
New   B-LOCATION
Goshen   I-LOCATION
.   O

Login   O
details   O
for   O
accessing   O
online   O
reports   O
:   O
Username   O
:   O
fo942   B-NAME
Virtual   O
appointment   O
with   O
Lowery   B-NAME
has   O
been   O
scheduled   O
to   O
discuss   O
the   O
results   O
and   O
future   O
intervention   O
plans   O
.   O

Details   O
for   O
the   O
same   O
will   O
be   O
communicated   O
via   O
452   B-CONTACT
-   I-CONTACT
9309   I-CONTACT
.   O

The   O
report   O
was   O
compiled   O
by   O
Dr.   O
Amelie   B-NAME
Massey   I-NAME
and   O
the   O
medical   O
team   O
at   O
Sparrow   B-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Information   O
:   O
Patient   O
's   O
name   O
:   O
Michael   B-NAME
Age   O
:   O
40   O
Location   O
:   O
362   B-LOCATION
Longfellow   I-LOCATION
Street   I-LOCATION
Phone   O
:   O
812   B-CONTACT
622   I-CONTACT
3275   I-CONTACT
ID   O
number   O
:   O
GT866/1678   B-ID
Medical   O
record   O
:   O
0605D41184   B-ID
Profession   O
:   O
Police   O
Patrol   O
Officers   O
Physician   O
Information   O
:   O
Doctor   O
's   O
name   O
:   O
Baird   B-NAME
Hospital   O
:   O

Little   B-LOCATION
Falls   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Wheatcroft   B-LOCATION
Case   O
Description   O
:   O
On   O
2/12   B-DATE
,   O
Kareem   B-NAME
Molina   I-NAME
presented   O
at   O
the   O
emergency   O
department   O
of   O
MedStar   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
accompanied   O
by   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
patient   O
had   O
a   O
history   O
of   O
gallstones   O
,   O
as   O
documented   O
in   O
the   O
medical   O
record   O
no   O
.   O
03855498   B-ID
.   O

Treatment   O
and   O
Follow   O
-   O
up   O
:   O
On   O
06/01   B-DATE
,   O
Gomez   B-NAME
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
patient   O
Fitzgerald   B-NAME
,   I-NAME
F.   I-NAME
Scott   I-NAME
at   O
Methodist   B-LOCATION
Texsan   I-LOCATION
Hospital   I-LOCATION
to   O
remove   O
the   O
inflamed   O
appendix   O
.   O

Instructions   O
were   O
provided   O
to   O
Leroy   B-NAME
Blake   I-NAME
for   O
post   O
-   O
operative   O
care   O
and   O
to   O
make   O
an   O
appointment   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Fernandez   B-NAME
at   O
Summa   B-LOCATION
Health   I-LOCATION
,   I-LOCATION
Barberton   I-LOCATION
Campus   I-LOCATION
in   O
two   O
weeks   O
.   O

An   O
emergency   O
contact   O
number   O
,   O
86672   B-CONTACT
,   O
was   O
provided   O
to   O
the   O
patient   O
for   O
any   O
immediate   O
issues   O
or   O
concerns   O
.   O

The   O
patient   O
claimed   O
to   O
work   O
as   O
a   O
Technical   O
sales   O
engineer   O
at   O
Florida   B-LOCATION
Power   I-LOCATION
&   I-LOCATION
Light   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
NextEra   I-LOCATION
Energy   I-LOCATION
and   O
lives   O
in   O
8757   B-LOCATION
10th   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION
,   O
45150   B-LOCATION
provided   O
for   O
mailing   O
any   O
further   O
correspondence   O
or   O
instructions   O
.   O
Username   O
for   O
accessing   O
online   O
medical   O
portal   O
:   O
rod874   B-NAME
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Libius   B-NAME
Severus   I-NAME
Molone   I-NAME
Age   O
:   O
37   O
Phone   O
Number   O
:   O
565   B-CONTACT
1418   I-CONTACT
Address   O
:   O
Proctorville   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Aguilar   B-NAME
Medical   O
Record   O
Number   O
:   O
670   B-ID
-   I-ID
73   I-ID
-   I-ID
32   I-ID
-   I-ID
7   I-ID
ID   O
:   O
VC   B-ID
:   I-ID
HL:2797   I-ID
On   O
3/02/2112   B-DATE
,   O
patient   O
Krieger   B-NAME
was   O
admitted   O
to   O
Piedmont   B-LOCATION
Athens   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complainting   O
of   O
severe   O
abdominal   O
pain   O
.   O

A   O
physical   O
checkup   O
by   O
Dr.   O
Patton   B-NAME
,   I-NAME
George   I-NAME
S.   I-NAME
revealed   O
the   O
pain   O
was   O
localized   O
in   O
the   O
patient   O
's   O
right   O
lower   O
quadrant   O
.   O

Dr.   O
Brandt   B-NAME
reassured   O
him   O
that   O
the   O
typical   O
recovery   O
period   O
for   O
a   O
laparoscopic   O
appendectomy   O
is   O
quite   O
shorter   O
compared   O
to   O
the   O
open   O
procedure   O
.   O

As   O
of   O
00/4/42   B-DATE
,   O
Soren   B-NAME
Harris   I-NAME
was   O
discharged   O
from   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Brazosport   I-LOCATION
in   O
stable   O
condition   O
with   O
advises   O
to   O
follow   O
up   O
in   O
Stem   B-LOCATION
within   O
two   O
weeks   O
.   O

An   O
appointment   O
was   O
made   O
for   O
Aug   B-DATE
2th   I-DATE
with   O
Dr.   O
Martin   B-NAME
Bamford   I-NAME
.   O

Patient   O
and   O
his   O
family   O
showed   O
gratitude   O
towards   O
the   O
City   B-LOCATION
of   I-LOCATION
Quincy   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
and   O
the   O
medical   O
team   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Charlotte   I-LOCATION
Orthopaedic   I-LOCATION
Hospital   I-LOCATION
for   O
their   O
prompt   O
response   O
and   O
treatment   O
.   O

Note   O
:   O
Emergency   O
contact   O
listed   O
as   O
ovo05   B-NAME
;   O
contact   O
phone   O
number   O
548   B-CONTACT
-   I-CONTACT
748   I-CONTACT
3472   I-CONTACT
,   O
located   O
in   O
Ernest   B-LOCATION
,   O
52625   B-LOCATION
.   O

Report   O
prepared   O
by   O
:   O
Hudson   B-NAME
Date   O
:   O
2240   B-DATE

Patient   O
Name   O
:   O
Katelynn   B-NAME
Washington   I-NAME
I   O
met   O
with   O
Travis   B-NAME
on   O
12   B-DATE
.   O

She   O
is   O
a   O
45   O
year   O
old   O
woman   O
,   O
a   O
Criminal   O
Justice   O
and   O
Law   O
Enforcement   O
Teachers   O
,   O
Postsecondary   O
from   O
Hyden   B-LOCATION
.   O

Jenell   B-NAME
Giraldo   I-NAME
presented   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
unintentional   O
weight   O
loss   O
and   O
malaise   O
.   O

The   O
patient   O
’s   O
chest   O
X   O
-   O
ray   O
,   O
taken   O
at   O
our   O
radiology   O
department   O
in   O
Munson   B-LOCATION
Healthcare   I-LOCATION
Paul   I-LOCATION
Oliver   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
showed   O
a   O
dense   O
opacity   O
in   O
the   O
right   O
lower   O
lobe   O
,   O
confirming   O
the   O
diagnosis   O
of   O
lobar   O
pneumonia   O
.   O

On   O
reviewing   O
her   O
medical   O
history   O
,   O
that   O
was   O
saved   O
under   O
the   O
i   O
d   O
598   B-ID
-   I-ID
67   I-ID
-   I-ID
71   I-ID
-   I-ID
7   I-ID
in   O
our   O
records   O
,   O
it   O
was   O
interesting   O
to   O
note   O
that   O
Agnew   B-NAME
,   I-NAME
Spiro   I-NAME
is   O
also   O
a   O
known   O
type   O
II   O
diabetic   O
and   O
is   O
on   O
oral   O
hypoglycemic   O
agents   O
.   O

Follow   O
-   O
up   O
appointment   O
was   O
fixed   O
for   O
23/38   B-DATE
.   O

To   O
ensure   O
the   O
safety   O
of   O
her   O
information   O
,   O
she   O
has   O
been   O
assigned   O
a   O
unique   O
patient   O
i   O
d   O
BN:1852:384984   B-ID
.   O

She   O
can   O
also   O
access   O
her   O
medical   O
information   O
via   O
our   O
website   O
using   O
her   O
username   O
dk56   B-NAME
.   O

Dr.   O
Christensen   B-NAME
Contact   O
:   O
(   B-CONTACT
295   I-CONTACT
)   I-CONTACT
909   I-CONTACT
-   I-CONTACT
8878   I-CONTACT
Email   O
:   O
bnz630   B-NAME
@health.org   O
Holy   B-LOCATION
Cross   I-LOCATION
Germantown   I-LOCATION
Hospital   I-LOCATION
Foyil   B-LOCATION
,   O
77753   B-LOCATION

Nga   B-NAME
visited   O
our   O
practice   O
on   O
12/21   B-DATE
.   O

Corona   B-NAME
has   O
a   O
family   O
history   O
of   O
cardiovascular   O
diseases   O
,   O
specifically   O
,   O
his   O
father   O
who   O
died   O
of   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
43   O
.   O

Further   O
clinical   O
investigation   O
,   O
including   O
laboratory   O
tests   O
at   O
Monroe   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
is   O
necessary   O
for   O
an   O
accurate   O
diagnosis   O
and   O
to   O
rule   O
out   O
other   O
potential   O
conditions   O
.   O

Blood   O
samples   O
have   O
been   O
drawn   O
and   O
sent   O
to   O
Womankind   B-LOCATION
Worldwide   I-LOCATION
for   O
a   O
comprehensive   O
blood   O
panel   O
that   O
includes   O
lipid   O
and   O
glucose   O
levels   O
.   O

Wyatt   B-NAME
’s   O
133   B-ID
-   I-ID
25   I-ID
-   I-ID
54   I-ID
-   I-ID
2   I-ID
will   O
be   O
updated   O
upon   O
receiving   O
the   O
results   O
.   O

The   O
patient   O
is   O
a   O
Registered   O
Nurses   O
by   O
occupation   O
,   O
works   O
at   O
Rockcastle   B-LOCATION
and   O
lives   O
at   O
Chincoteague   B-LOCATION
,   O
14420   B-LOCATION
.   O

The   O
primary   O
contact   O
number   O
on   O
his   O
profile   O
is   O
891   B-CONTACT
-   I-CONTACT
2730   I-CONTACT
.   O

Burns   B-NAME
,   I-NAME
Robert   I-NAME
's   O
guardian   O
,   O
gave   O
consent   O
for   O
a   O
coronary   O
angiogram   O
if   O
required   O
.   O

Dr.   O
Crane   B-NAME
is   O
scheduled   O
to   O
perform   O
and   O
oversee   O
the   O
procedure   O
.   O

To   O
ensure   O
continuity   O
of   O
care   O
,   O
the   O
cardiologist   O
,   O
Dr.   O
Paris   B-NAME
Fry   I-NAME
,   O
was   O
informed   O
about   O
the   O
patient   O
’s   O
condition   O
.   O

Follow   O
-   O
up   O
appointment   O
on   O
32/29   B-DATE
has   O
been   O
fixed   O
to   O
discuss   O
the   O
test   O
results   O
and   O
the   O
next   O
course   O
of   O
action   O
,   O
if   O
necessary   O
.   O

If   O
there   O
are   O
any   O
questions   O
,   O
please   O
contact   O
me   O
at   O
my   O
office   O
number   O
,   O
80242   B-CONTACT
,   O
or   O
via   O
my   O
hospital   O
email   O
,   O
fq224   B-NAME
@   O
CaroMont   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.com   O
Daniels   B-NAME
ID   O
:   O
5   B-ID
-   I-ID
3532871   I-ID

The   O
patient   O
,   O
Cavett   B-NAME
,   I-NAME
Dick   I-NAME
,   O
Age   O
:   O
46   O
,   O
was   O
admitted   O
to   O
Penn   B-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/21   B-DATE
.   O

ID   O
:   O
1   B-ID
-   I-ID
9990591   I-ID
.   O

MRN   O
:   O
279   B-ID
-   I-ID
76   I-ID
-   I-ID
42   I-ID
.   O

The   O
patient   O
resides   O
at   O
De   B-LOCATION
Kalb   I-LOCATION
,   O
and   O
can   O
be   O
contacted   O
at   O
15918   B-CONTACT
.   O

Presenting   O
Complaint   O
:   O
Mr   O
/   O
Ms   O
Ullrich   B-NAME
reports   O
experiencing   O
severe   O
,   O
episodic   O
chest   O
pains   O
over   O
the   O
past   O
three   O
weeks   O
.   O

CT   O
Angiography   O
was   O
suggested   O
by   O
Dr.   O
Lonnie   B-NAME
Walsh   I-NAME
to   O
get   O
a   O
detailed   O
architecture   O
of   O
the   O
arterial   O
blockage   O
.   O

An   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Sarven   B-NAME
,   I-NAME
Allen   I-NAME
on   O
7/2   B-DATE
at   O
625   B-LOCATION
West   I-LOCATION
Mayfair   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION

For   O
communication   O
,   O
the   O
patient   O
uses   O
the   O
username   O
iue54   B-NAME
in   O
the   O
The   B-LOCATION
Hartford   I-LOCATION
’s   O
online   O
portal   O
.   O

The   O
patient   O
’s   O
mailing   O
ZIP   O
is   O
35513   B-LOCATION
.   O

Patient   O
Name   O
:   O
Geoffrey   B-NAME
Howell   I-NAME
,   I-NAME
DDS   I-NAME
Age   O
:   O
30   O
Medical   O
Record   O
Number   O
:   O
CK543730   B-ID
Address   O
:   O
Texas   B-LOCATION
,   O
34012   B-LOCATION
Phone   O
Number   O
:   O
733   B-CONTACT
-   I-CONTACT
164   I-CONTACT
6619   I-CONTACT
Doctor   O
's   O
Name   O
:   O
Sandra   B-NAME
Mornay   I-NAME
Hospital   O
:   O
HSHS   B-LOCATION
St   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
2/6   B-DATE
ID   O
Number   O
:   O
4   B-ID
-   I-ID
7063279   I-ID

The   O
patient   O
,   O
Ross   B-NAME
Downs   I-NAME
,   O
reported   O
abdominal   O
pain   O
and   O
frequent   O
episodes   O
of   O
dyspepsia   O
.   O

His   O
symptoms   O
commenced   O
about   O
a   O
week   O
prior   O
to   O
the   O
current   O
visit   O
,   O
on   O
00   B-DATE
-   I-DATE
29   I-DATE
.   O

During   O
the   O
initial   O
examination   O
,   O
Matthews   B-NAME
from   O
Columbus   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
noted   O
multiple   O
instances   O
of   O
unexplained   O
weight   O
loss   O
and   O
occasional   O
night   O
sweats   O
suggesting   O
possible   O
systemic   O
issues   O
.   O

McGill   B-NAME
,   I-NAME
Bryant   I-NAME
has   O
recommended   O
cholecystectomy   O
.   O

The   O
patient   O
resides   O
at   O
394   B-LOCATION
East   I-LOCATION
Bridle   I-LOCATION
Lane   I-LOCATION
,   O
62984   B-LOCATION
and   O
can   O
be   O
contacted   O
at   O
891   B-CONTACT
-   I-CONTACT
231   I-CONTACT
-   I-CONTACT
2301   I-CONTACT
.   O

His   O
medical   O
expenses   O
are   O
covered   O
by   O
Charter   B-LOCATION
Bank   I-LOCATION
under   O
the   O
ID   O
7103057   B-ID
.   O

He   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2032   B-DATE
at   O
Vassar   B-LOCATION
Brothers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

He   O
is   O
also   O
enlisted   O
to   O
start   O
pre   O
-   O
surgery   O
preparation   O
with   O
a   O
nurse   O
who   O
will   O
monitor   O
his   O
health   O
status   O
via   O
cbp812   B-NAME
.   O

Signed   O
by   O
:   O
Jordin   B-NAME
Waters   I-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Stephen   B-NAME
Ponce   I-NAME
ID   O
:   O
47160705   B-ID
Age   O
:   O
45   O
Date   O
:   O
Friday   B-DATE
Otero   B-NAME
was   O
referred   O
to   O
Duke   B-NAME
at   O
Madera   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
reported   O
experiencing   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
with   O
episodes   O
of   O
shortness   O
of   O
breath   O
,   O
which   O
began   O
in   O
the   O
early   O
morning   O
hours   O
on   O
9/13   B-DATE
.   O

Upon   O
questioning   O
,   O
Jodi   B-NAME
stated   O
the   O
pain   O
was   O
persistent   O
,   O
scoring   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Addressing   O
the   O
patient   O
's   O
medical   O
history   O
,   O
it   O
was   O
discovered   O
that   O
Haylie   B-NAME
Dennis   I-NAME
has   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
,   O
with   O
Marques   B-NAME
Drake   I-NAME
's   O
father   O
having   O
suffered   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
26   O
.   O

The   O
patient   O
's   O
medical   O
record   O
,   O
958   B-ID
-   I-ID
98   I-ID
-   I-ID
17   I-ID
,   O
also   O
revealed   O
a   O
past   O
history   O
of   O
unchecked   O
hypertension   O
,   O
type   O
2   O
diabetes   O
mellitus   O
,   O
and   O
hyperlipidemia   O
.   O

An   O
ECG   O
taken   O
at   O
Memorial   B-LOCATION
Hermann   I-LOCATION
-   I-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
shows   O
ST   O
-   O
segment   O
elevations   O
in   O
the   O
inferior   O
leads   O
,   O
consistent   O
with   O
an   O
acute   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

In   O
view   O
of   O
the   O
clinical   O
findings   O
,   O
Proctor   B-NAME
made   O
a   O
preliminary   O
diagnosis   O
of   O
Acute   O
Myocardial   O
Infarction   O
.   O

Velazquez   B-NAME
was   O
admitted   O
to   O
PeaceHealth   B-LOCATION
Ketchikan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
Cresaptown   B-LOCATION
and   O
started   O
on   O
reperfusion   O
therapy   O
promptly   O
.   O

Contact   O
information   O
for   O
Pearle   B-NAME
Bergfalk   I-NAME
is   O
274   B-CONTACT
4816   I-CONTACT
and   O
the   O
emergency   O
contact   O
is   O
working   O
as   O
a   O
Marine   O
scientist   O
at   O
Iraq   B-LOCATION
War   I-LOCATION
Veterans   I-LOCATION
Organization   I-LOCATION
and   O
can   O
be   O
reached   O
at   O
292   B-CONTACT
-   I-CONTACT
6754   I-CONTACT
.   O

The   O
patient   O
's   O
residential   O
address   O
is   O
Courtland   B-LOCATION
,   O
53232   B-LOCATION
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Chen   B-NAME
,   O
from   O
City   B-LOCATION
of   I-LOCATION
Vero   I-LOCATION
Beach   I-LOCATION
Electric   I-LOCATION
Utilities   I-LOCATION
was   O
updated   O
via   O
email   O
at   O
JH35   B-NAME
concerning   O
the   O
critical   O
status   O
and   O
the   O
patient   O
's   O
admittance   O
to   O
the   O
hospital   O
.   O

This   O
report   O
was   O
generated   O
with   O
the   O
assistance   O
of   O
the   O
medical   O
record   O
software   O
under   O
the   O
licence   O
1   B-ID
-   I-ID
1882811   I-ID
.   O

Patient   O
Name   O
:   O
Greg   B-NAME
Overman   I-NAME
Age   O
:   O
63   O
Gender   O
:   O
Male   O
Medical   O
Record   O
Number   O
:   O
11569088   B-ID
Date   O
:   O
39/22/2213   B-DATE
Identifying   O
ID   O
:   O
LB:0815:465404   B-ID
Location   O
:   O
Onalaska   B-LOCATION
Phone   O
:   O
812   B-CONTACT
5222   I-CONTACT
Zip   O
:   O
55210   B-LOCATION
Profession   O
:   O

Quality   O
assurance   O
manager   O
Admitting   O
Doctor   O
:   O
Javier   B-NAME
Huerta   I-NAME
Hospital   O
:   O

Northeast   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
King   B-NAME
,   O
presented   O
with   O
a   O
primary   O
complaint   O
of   O
shortness   O
of   O
breath   O
and   O
persistent   O
coughing   O
.   O

IMAGING   O
:   O
Chest   O
X   O
-   O
Ray   O
taken   O
at   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Duluth   I-LOCATION
on   O
3   B-DATE
-   I-DATE
37   I-DATE
shows   O
consolidation   O
in   O
the   O
right   O
lower   O
zone   O
suggestive   O
of   O
lobar   O
pneumonia   O
.   O

Treatment   O
Plan   O
:   O
David   B-NAME
,   O
the   O
attending   O
pulmonary   O
specialist   O
recommended   O
hospitalization   O
for   O
intravenous   O
antibiotics   O
,   O
hydration   O
,   O
and   O
vital   O
monitoring   O
.   O

Follow   O
-   O
Up   O
:   O
Patient   O
Alannah   B-NAME
Bird   I-NAME
is   O
ordered   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
on   O
01/15/2097   B-DATE
post   O
a   O
period   O
of   O
hospitalization   O
for   O
a   O
reassessment   O
of   O
his   O
condition   O
.   O

Note   O
:   O
This   O
medical   O
report   O
for   O
patient   O
Holloway   B-NAME
with   O
ID   O
133490419   B-ID
and   O
medical   O
record   O
44573322   B-ID
,   O
created   O
by   O
DG998   B-NAME
from   O
Citizens   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Chicago   I-LOCATION
is   O
provisional   O
and   O
for   O
the   O
use   O
in   O
ongoing   O
healthcare   O
management   O
,   O
following   O
guidelines   O
for   O
patient   O
privacy   O
and   O
confidentiality   O
.   O

For   O
any   O
related   O
queries   O
,   O
please   O
reach   O
us   O
at   O
732   B-CONTACT
-   I-CONTACT
524   I-CONTACT
2959   I-CONTACT
.   O

The   O
patient   O
,   O
Caliban   B-NAME
Jingst   I-NAME
,   O
of   O
34s   O
years   O
old   O
,   O
presented   O
to   O
our   O
clinic   O
,   O
North   B-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
located   O
at   O
Clark   B-LOCATION
Mills   I-LOCATION
with   O
symptoms   O
consistent   O
with   O
Gastroesophageal   O
Reflux   O
Disease   O
(   O
GERD   O
)   O
.   O

The   O
patient   O
was   O
referred   O
by   O
their   O
primary   O
care   O
physician   O
,   O
Dr.   O
Holt   B-NAME
.   O

Their   O
latest   O
medical   O
record   O
,   O
number   O
605   B-ID
-   I-ID
74   I-ID
-   I-ID
89   I-ID
-   I-ID
8   I-ID
,   O
indicated   O
an   O
increase   O
in   O
A1C   O
levels   O
within   O
the   O
past   O
three   O
months   O
.   O

Initial   O
Examination   O
:   O
Upon   O
an   O
initial   O
examination   O
on   O
02/04/38   B-DATE
,   O
it   O
was   O
noted   O
that   O
the   O
patient   O
had   O
a   O
Body   O
Mass   O
Index   O
(   O
BMI   O
)   O
in   O
the   O
obese   O
range   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
an   O
EGD   O
(   O
Esophagogastroduodenoscopy   O
)   O
with   O
Dr.   O
Roland   B-NAME
Baker   I-NAME
on   O
07/30   B-DATE
at   O
Hendrick   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
,   O
building   O
Icard   B-LOCATION
.   O

The   O
patient   O
is   O
also   O
instructed   O
to   O
contact   O
the   O
clinic   O
via   O
64503   B-CONTACT
if   O
symptoms   O
worsen   O
significantly   O
,   O
or   O
if   O
they   O
do   O
n't   O
improve   O
after   O
one   O
week   O
of   O
medication   O
.   O

The   O
patient   O
is   O
also   O
advised   O
to   O
follow   O
up   O
with   O
a   O
dietitian   O
,   O
registered   O
nurse   O
xe509   B-NAME
,   O
next   O
week   O
for   O
dietary   O
management   O
.   O

The   O
patient   O
resides   O
at   O
11284   B-LOCATION
,   O
so   O
we   O
have   O
suggested   O
a   O
service   O
provided   O
by   O
First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
for   O
in   O
-   O
home   O
dietary   O
consultation   O
.   O

As   O
per   O
their   O
system   O
,   O
she   O
has   O
been   O
facilitated   O
with   O
a   O
unique   O
ID   O
number   O
,   O
QF:40045:516489   B-ID
,   O
for   O
future   O
appointments   O
.   O

Patient   O
Name   O
:   O
Hays   B-NAME
Age   O
:   O
54   O
Medical   O
Record   O
Number   O
:   O
196   B-ID
-   I-ID
02   I-ID
-   I-ID
97   I-ID
-   I-ID
1   I-ID
Date   O
:   O
1831   B-DATE
Doctor   O
:   O
Harris   B-NAME
Hospital   O
:   O
Progress   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
FC   B-ID
:   I-ID
GO:5342   I-ID
Location   O
:   O
Suisun   B-LOCATION
City   I-LOCATION
Organization   O
:   O
Veterans   B-LOCATION
'   I-LOCATION
Alliance   I-LOCATION
for   I-LOCATION
Security   I-LOCATION
and   I-LOCATION
Democracy   I-LOCATION
Phone   O
:   O
(   B-CONTACT
267   I-CONTACT
)   I-CONTACT
593   I-CONTACT
-   I-CONTACT
7249   I-CONTACT
Profession   O
:   O
Nuclear   O
Engineers   O
Username   O
:   O
GY112   B-NAME
Zip   O
:   O
64765   B-LOCATION
Detailed   O
Report   O
:   O
On   O
9/04/25   B-DATE
,   O
patient   O
Lakota   B-NAME
of   O
39s   O
was   O
evaluated   O
at   O
Lankenau   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
in   O
Albee   B-LOCATION
for   O
presenting   O
symptoms   O
of   O
continuous   O
fatigue   O
and   O
weight   O
loss   O
over   O
the   O
last   O
month   O
.   O

Upon   O
further   O
questioning   O
,   O
Istas   B-NAME
admitted   O
noticeable   O
weight   O
loss   O
without   O
any   O
significant   O
changes   O
to   O
diet   O
or   O
exercise   O
.   O

The   O
patient   O
was   O
referred   O
to   O
our   O
clinic   O
by   O
Dr.   O
Burton   B-NAME
of   O
Air   B-LOCATION
Line   I-LOCATION
Pilots   I-LOCATION
Association   I-LOCATION
,   I-LOCATION
International   I-LOCATION
.   O

The   O
patient   O
's   O
ID   O
number   O
for   O
these   O
tests   O
was   O
471118   B-ID
,   O
and   O
all   O
results   O
can   O
be   O
accessed   O
by   O
the   O
assigned   O
eem169   B-NAME
within   O
our   O
hospital   O
's   O
secure   O
system   O
.   O

Dr.   O
Shields   B-NAME
is   O
exploring   O
various   O
treatment   O
options   O
,   O
including   O
radio   O
-   O
iodine   O
therapy   O
or   O
medication   O
to   O
manage   O
his   O
thyroid   O
hormone   O
levels   O
.   O

An   O
appointment   O
for   O
check   O
-   O
up   O
and   O
evaluation   O
is   O
scheduled   O
for   O
1664   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
17   I-DATE
.   O

He   O
was   O
reminded   O
to   O
call   O
on   O
our   O
help   O
desk   O
number   O
316   B-CONTACT
-   I-CONTACT
151   I-CONTACT
9654   I-CONTACT
for   O
any   O
queries   O
or   O
emergency   O
assistance   O
.   O

Mailing   O
address   O
should   O
any   O
further   O
communication   O
be   O
required   O
is   O
11436   B-LOCATION
,   O
8302   B-LOCATION
Laurel   I-LOCATION
St   I-LOCATION
.   I-LOCATION
.   O
Final   O
notes   O
for   O
this   O
visit   O
were   O
entered   O
into   O
Rusty   B-NAME
Vincent   I-NAME
’s   O
medical   O
record   O
,   O
no   O
.   O
704   B-ID
-   I-ID
36   I-ID
-   I-ID
31   I-ID
date   O
05/31   B-DATE
.   O

All   O
data   O
has   O
been   O
documented   O
appropriately   O
adhering   O
to   O
our   O
Samaritan   B-LOCATION
Albany   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
's   O
privacy   O
policies   O
.   O

Patient   O
Name   O
:   O
Etta   B-NAME
Cohen   I-NAME
DOB   O
:   O
2189   B-DATE
Age   O
:   O
25s   O
I   O
saw   O
Bethea   B-NAME
,   I-NAME
Erin   I-NAME
in   O
Hillsdale   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
Apr   B-DATE
20   I-DATE
for   O
his   O
scheduled   O
appointment   O
.   O

The   O
patient   O
is   O
a   O
Educational   O
,   O
Guidance   O
,   O
School   O
,   O
and   O
Vocational   O
Counselors   O
,   O
resides   O
in   O
Eagle   B-LOCATION
Grove   I-LOCATION
with   O
a   O
Zip   O
code   O
of   O
64193   B-LOCATION
.   O

During   O
this   O
visit   O
,   O
Alanna   B-NAME
Gonzales   I-NAME
presented   O
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
accompanied   O
by   O
visual   O
disturbances   O
.   O

The   O
visual   O
disturbances   O
described   O
by   O
Elmore   B-NAME
were   O
generally   O
experienced   O
as   O
transient   O
periods   O
of   O
blurred   O
vision   O
or   O
sight   O
loss   O
.   O

Fleta   B-NAME
Scholes   I-NAME
denied   O
experiencing   O
these   O
symptoms   O
in   O
conjunction   O
with   O
nausea   O
,   O
vomiting   O
,   O
or   O
sensitivity   O
to   O
light   O
and   O
noise   O
.   O

Patient   O
was   O
given   O
an   O
ID   O
number   O
866055   B-ID
for   O
this   O
scan   O
.   O

I   O
also   O
referred   O
the   O
patient   O
to   O
ophthalmologist   O
Dr.   O
Rozella   B-NAME
Velazco   I-NAME
to   O
examine   O
the   O
possible   O
ocular   O
causes   O
of   O
the   O
visual   O
disturbances   O
.   O

On   O
17/32/2332   B-DATE
,   O
Dr.   O
Massey   B-NAME
reported   O
no   O
significant   O
ocular   O
abnormalities   O
that   O
could   O
result   O
in   O
visual   O
disturbances   O
as   O
described   O
by   O
Livia   B-NAME
Young   I-NAME
.   O

I   O
later   O
reviewed   O
Iniguez   B-NAME
's   O
medical   O
records   O
6098299   B-ID
and   O
did   O
not   O
find   O
any   O
family   O
history   O
of   O
migraines   O
or   O
other   O
neurological   O
disorders   O
.   O

Derrick   B-NAME
Thornton   I-NAME
was   O
requested   O
to   O
reach   O
back   O
via   O
(   B-CONTACT
869   I-CONTACT
)   I-CONTACT
210   I-CONTACT
6104   I-CONTACT
for   O
booking   O
a   O
follow   O
-   O
up   O
appointment   O
after   O
two   O
weeks   O
.   O

I   O
'm   O
also   O
keeping   O
track   O
of   O
Freeman   B-NAME
's   O
progress   O
through   O
an   O
online   O
system   O
using   O
the   O
username   O
oor176   B-NAME
.   O

The   O
case   O
was   O
reported   O
to   O
the   O
Physicians   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
for   O
their   O
records   O
.   O

Additionally   O
,   O
Stein   B-NAME
,   I-NAME
Gertrude   I-NAME
was   O
advised   O
to   O
keep   O
a   O
diary   O
of   O
symptoms   O
and   O
triggers   O
to   O
better   O
understand   O
and   O
manage   O
his   O
symptoms   O
.   O

I   O
am   O
looking   O
forward   O
to   O
seeing   O
Melvina   B-NAME
Creech   I-NAME
's   O
response   O
to   O
the   O
current   O
treatment   O
plan   O
during   O
his   O
next   O
scheduled   O
visit   O
.   O

Jennings   B-NAME

Patient   O
Information   O
:   O
Name   O
:   O
Patience   B-NAME
Keller   I-NAME
Age   O
:   O
98   O
Identification   O
Number   O
:   O
RK:101076:998598   B-ID
Medical   O
Report   O
Number   O
:   O
082   B-ID
-   I-ID
84   I-ID
-   I-ID
73   I-ID

The   O
patient   O
,   O
Simon   B-NAME
,   I-NAME
Willie   I-NAME
was   O
admitted   O
to   O
MercyOne   B-LOCATION
North   I-LOCATION
Iowa   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
May   B-DATE
2390   I-DATE
.   O

The   O
patient   O
’s   O
residence   O
is   O
located   O
at   O
Moodus   B-LOCATION
,   O
27976   B-LOCATION
.   O

Cassidy   B-NAME
Gibbs   I-NAME
was   O
experiencing   O
shortness   O
of   O
breath   O
,   O
chest   O
discomfort   O
and   O
a   O
productive   O
cough   O
.   O

Charles   B-NAME
Spears   I-NAME
provided   O
the   O
medical   O
history   O
which   O
revealed   O
that   O
he   O
is   O
a   O
retired   O
Command   O
and   O
Control   O
Center   O
Specialists   O
,   O
has   O
been   O
suffering   O
from   O
the   O
said   O
symptoms   O
for   O
a   O
few   O
days   O
and   O
has   O
a   O
history   O
of   O
recurrent   O
respiratory   O
infections   O
.   O

We   O
also   O
collected   O
the   O
health   O
plan   O
number   O
:   O
LT   B-ID
:   I-ID
XT:2281   I-ID
.   O
Upon   O
examination   O
by   O
Gonzales   B-NAME
,   O
further   O
tests   O
were   O
ordered   O
to   O
confirm   O
the   O
diagnosis   O
.   O

The   O
test   O
results   O
are   O
to   O
be   O
collected   O
from   O
the   O
Northeast   B-LOCATION
Utilities   I-LOCATION
located   O
at   O
Hanceville   B-LOCATION
.   O

Contact   O
with   O
Erin   B-NAME
f.   I-NAME
Aquino   I-NAME
was   O
maintained   O
through   O
727   B-CONTACT
4643   I-CONTACT
.   O

We   O
have   O
created   O
an   O
online   O
account   O
for   O
Agemman   B-NAME
Degrandpre   I-NAME
for   O
instant   O
access   O
to   O
their   O
medical   O
files   O
and   O
communication   O
with   O
the   O
medical   O
team   O
.   O

The   O
username   O
for   O
this   O
account   O
is   O
jts515   B-NAME
.   O

The   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Nelson   B-NAME
at   O
Rochester   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
34/34   B-DATE
.   O

If   O
there   O
is   O
any   O
worsening   O
of   O
symptoms   O
or   O
if   O
fever   O
persists   O
,   O
immediate   O
medical   O
attention   O
at   O
the   O
Aurora   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Metro   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
Emergency   O
Room   O
is   O
strongly   O
recommended   O
.   O

Ship   O
medication   O
to   O
patient   O
's   O
address   O
:   O
Huntington   B-LOCATION
Beach   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
92646   I-LOCATION
,   O
42411   B-LOCATION
.   O

Prepared   O
by   O
:   O
Eden   B-NAME
Fisher   I-NAME
2182   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
34   I-DATE

Name   O
:   O
Leviticus   B-NAME
Biever   I-NAME
Age   O
:   O
5   O
month   O
Doctor   O
Name   O
:   O
Lang   B-NAME
Hospital   O
:   O
UHS   B-LOCATION
Chenango   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
00/12   B-DATE
ID   O
:   O
QY   B-ID
:   I-ID
EJ:3924   I-ID
Location   O
:   O
Soudan   B-LOCATION
Mr.   O
Henry   B-NAME
,   I-NAME
Patrick   I-NAME
gave   O
a   O
comprehensive   O
medical   O
history   O
.   O

He   O
is   O
a   O
89s   O
year   O
old   O
male   O
who   O
presented   O
with   O
an   O
acute   O
onset   O
of   O
chest   O
pain   O
that   O
started   O
on   O
2122   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
36   I-DATE
.   O

Mr.   O
Grace   B-NAME
C.   I-NAME
Valerie   I-NAME
-   I-NAME
Yun   I-NAME
works   O
as   O
a   O
Carpet   O
Installers   O
.   O

On   O
examination   O
by   O
Dr.   O
Bowen   B-NAME
at   O
Hillsdale   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
,   O
the   O
patient   O
was   O
alert   O
and   O
oriented   O
.   O

The   O
patient   O
's   O
initial   O
blood   O
tests   O
,   O
done   O
on   O
December   B-DATE
7   I-DATE
,   O
showed   O
elevation   O
in   O
Troponin   O
I   O
levels   O
.   O

His   O
treatment   O
options   O
were   O
discussed   O
with   O
him   O
and   O
his   O
immediate   O
family   O
via   O
35337   B-CONTACT
.   O

It   O
was   O
decided   O
to   O
proceed   O
with   O
a   O
primary   O
Percutaneous   O
Coronary   O
Intervention   O
(   O
PCI   O
)   O
which   O
was   O
successfully   O
performed   O
on   O
38/32/2094   B-DATE
.   O

Mr.   O
Blanchard   B-NAME
tolerates   O
the   O
procedure   O
well   O
and   O
was   O
transferred   O
to   O
the   O
Cardiac   O
Intensive   O
Care   O
Unit   O
(   O
CICU   O
)   O
for   O
further   O
management   O
and   O
observation   O
.   O

His   O
vital   O
signs   O
remained   O
stable   O
post   O
-   O
procedure   O
,   O
and   O
he   O
was   O
discharged   O
on   O
April   B-DATE
00   I-DATE
following   O
the   O
medical   O
staff   O
’s   O
observation   O
.   O

He   O
was   O
advised   O
regular   O
follow   O
-   O
ups   O
at   O
Methodist   B-LOCATION
Hospital   I-LOCATION
Union   I-LOCATION
County   I-LOCATION
,   O
Norwich   B-LOCATION
.   O

His   O
next   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
ayson   B-NAME
Wilson   I-NAME
on   O
1/21/2020   B-DATE
at   O
Adventist   B-LOCATION
Health   I-LOCATION
Lodi   I-LOCATION
Memorial   I-LOCATION
.   O

Patient   O
Identification   O
number   O
:   O
383   B-ID
-   I-ID
43   I-ID
-   I-ID
16   I-ID
-   I-ID
9   I-ID
Address   O
:   O
Rose   B-LOCATION
Creek   I-LOCATION
,   O
Zip   O
:   O
93682   B-LOCATION
Emergency   O
Contact   O
Number   O
:   O
318   B-CONTACT
-   I-CONTACT
6595   I-CONTACT
Insurance   O
Provider   O
:   O

First   B-LOCATION
Piedmont   I-LOCATION
Bank   I-LOCATION
UserName   O
(   O
if   O
any   O
):   O
NU660   B-NAME

Patient   O
Name   O
:   O
Bryan   B-NAME
,   I-NAME
William   I-NAME
Jennings   I-NAME
Age   O
:   O
65   O
ID   O
:   O
LQ715/3466   B-ID
Medical   O
Record   O
:   O
6287116   B-ID
Location   O
:   O
Flagler   B-LOCATION
Phone   O
:   O
626   B-CONTACT
-   I-CONTACT
449   I-CONTACT
-   I-CONTACT
3814   I-CONTACT
Username   O
:   O
di827   B-NAME
ZIP   O
:   O
17241   B-LOCATION
Doctor   O
:   O
Fabian   B-NAME
Acosta   I-NAME
Hospital   O
:   O
Summerlin   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Referenced   O
Employer   O
/   O
Professional   O
Body   O
:   O
Front   B-LOCATION
Line   I-LOCATION
Defenders   I-LOCATION
Profession   O
:   O

Human   O
Resources   O
Assistants   O
,   O
Except   O
Payroll   O
and   O
Timekeeping   O
Appointment   O
Date   O
:   O
2122   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
21   I-DATE
A   O
male   O
patient   O
by   O
the   O
name   O
of   O
Tameron   B-NAME
presented   O
to   O
Jackson   B-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
chest   O
pain   O
.   O

Andre   B-NAME
Benjamin   I-NAME
also   O
reported   O
difficulty   O
breathing   O
and   O
a   O
faint   O
feeling   O
,   O
which   O
began   O
on   O
32/22   B-DATE
.   O

The   O
pain   O
of   O
Elisa   B-NAME
Mcdonald   I-NAME
was   O
progressive   O
in   O
nature   O
and   O
did   O
n't   O
resolve   O
with   O
rest   O
or   O
nitroglycerin   O
.   O

The   O
seriousness   O
of   O
his   O
symptoms   O
led   O
Faulkner   B-NAME
to   O
suspect   O
LOGAN   B-NAME
COLEMAN   I-NAME
could   O
have   O
developed   O
an   O
Acute   O
Myocardial   O
Infarction   O
(   O
AMI   O
)   O
,   O
which   O
is   O
a   O
serious   O
type   O
of   O
heart   O
attack   O
.   O

Junior   B-NAME
Avery   I-NAME
hails   O
from   O
High   B-LOCATION
Point   I-LOCATION
and   O
works   O
as   O
a   O
Glaziers   O
at   O
Alcoholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
AA   I-LOCATION
)   I-LOCATION
,   O
which   O
might   O
have   O
exposed   O
him   O
to   O
a   O
significant   O
amount   O
of   O
stress   O
,   O
possibly   O
contributing   O
to   O
his   O
current   O
health   O
situation   O
.   O

Upon   O
contact   O
through   O
455   B-CONTACT
174   I-CONTACT
6582   I-CONTACT
,   O
Isabel   B-NAME
Vaughan   I-NAME
's   O
wife   O
confirmed   O
he   O
had   O
been   O
complaining   O
of   O
indigestion   O
and   O
had   O
previously   O
been   O
diagnosed   O
with   O
Gastroesophageal   O
Reflux   O
Disease   O
(   O
GERD   O
)   O
at   O
another   O
healthcare   O
facility   O
.   O

Brian   B-NAME
will   O
stay   O
entrusted   O
with   O
these   O
duties   O
.   O

All   O
results   O
will   O
be   O
documented   O
and   O
can   O
be   O
accessed   O
using   O
the   O
patient   O
's   O
username   O
,   O
qvy887   B-NAME
.   O

Moving   O
forward   O
,   O
the   O
healthcare   O
management   O
plan   O
for   O
Malcolm   B-NAME
Bowers   I-NAME
would   O
be   O
determined   O
based   O
on   O
the   O
outcomes   O
of   O
the   O
investigative   O
tests   O
.   O

In   O
case   O
of   O
any   O
worsening   O
of   O
symptoms   O
or   O
new   O
symptoms   O
,   O
Nikia   B-NAME
is   O
advised   O
to   O
reach   O
out   O
to   O
Madera   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
or   O
any   O
immediate   O
medical   O
centres   O
closer   O
to   O
his   O
zip   O
code   O
70658   B-LOCATION
.   O

Note   O
:   O
All   O
patient   O
's   O
medical   O
records   O
held   O
by   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
have   O
been   O
kept   O
confidential   O
and   O
secure   O
according   O
to   O
regulations   O
.   O

Patient   O
Tellez   B-NAME
who   O
is   O
a   O
Graders   O
and   O
Sorters   O
,   O
Agricultural   O
Products   O
by   O
profession   O
of   O
7   O
years   O
presented   O
with   O
fatigue   O
and   O
shortness   O
of   O
breath   O
at   O
our   O
Mountain   B-LOCATION
West   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2203   B-DATE
for   O
the   O
first   O
time   O
.   O

The   O
patient   O
was   O
previously   O
managed   O
in   O
Dodgeville   B-LOCATION
by   O
Dr.   O
Alessandro   B-NAME
Gregory   I-NAME
up   O
until   O
December   B-DATE
.   O

Medical   O
records   O
identified   O
as   O
48357312   B-ID
from   O
Protective   B-LOCATION
Life   I-LOCATION
shows   O
no   O
known   O
allergies   O
.   O

The   O
patient   O
also   O
mentioned   O
a   O
recent   O
journey   O
to   O
a   O
high   O
-   O
altitude   O
location   O
,   O
i.e.   O
,   O
Tolley   B-LOCATION
.   O

The   O
ID   O
provided   O
by   O
Jakayla   B-NAME
Barker   I-NAME
was   O
8   B-ID
-   I-ID
3065241   I-ID
.   O

His   O
/   O
Her   O
address   O
was   O
not   O
recorded   O
in   O
detail   O
but   O
it   O
was   O
noted   O
to   O
be   O
in   O
zip   O
code   O
97039   B-LOCATION
.   O

Eneida   B-NAME
Hankey   I-NAME
's   O
contact   O
number   O
was   O
also   O
listed   O
as   O
24058   B-CONTACT
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
Koen   B-NAME
Kim   I-NAME
,   O
the   O
patient   O
was   O
conscious   O
and   O
alert   O
but   O
showed   O
signs   O
of   O
exertional   O
distress   O
.   O

You   O
can   O
login   O
with   O
username   O
fjd933   B-NAME
for   O
updating   O
the   O
record   O
.   O

Further   O
,   O
investigations   O
were   O
suggested   O
by   O
Hawkins   B-NAME
to   O
rule   O
out   O
any   O
cardiovascular   O
pathology   O
.   O

Chest   O
X   O
-   O
ray   O
and   O
ECG   O
were   O
scheduled   O
on   O
23/02/2042   B-DATE
.   O

Samantha   B-NAME
Albright   I-NAME
's   O
case   O
was   O
further   O
followed   O
up   O
to   O
ensure   O
prompt   O
diagnosis   O
and   O
treatment   O
.   O

The   O
patient   O
was   O
informed   O
and   O
educated   O
about   O
the   O
symptoms   O
to   O
watch   O
out   O
for   O
and   O
advised   O
to   O
immediately   O
report   O
to   O
Enloe   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
case   O
of   O
worsening   O
symptoms   O
.   O

Patient   O
's   O
Name   O
:   O
Deeann   B-NAME
Contino   I-NAME
Age   O
:   O
22   O
Doctor   O
's   O
Name   O
:   O
Oconnor   B-NAME
Medical   O
Record   O
Number   O
:   O
69911361   B-ID
Hospital   O
Name   O
:   O
Brunswick   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Inc   I-LOCATION
The   O
patient   O
,   O
Ben   B-NAME
Casey   I-NAME
,   O
was   O
seen   O
at   O
the   O
Adventist   B-LOCATION
Health   I-LOCATION
Portland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2393   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
13   I-DATE
by   O
Dr.   O
Erdös   B-NAME
,   I-NAME
Paul   I-NAME
.   O

Past   O
medical   O
history   O
of   O
Stoner   B-NAME
Jr.   I-NAME
,   I-NAME
James   I-NAME
R.   I-NAME
revealed   O
he   O
is   O
a   O
Construction   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O

A   O
more   O
extensive   O
cardiac   O
evaluation   O
was   O
recommended   O
by   O
Dr.   O
George   B-NAME
Salazar   I-NAME
,   O
which   O
would   O
possibly   O
include   O
a   O
coronary   O
angiogram   O
to   O
visualize   O
the   O
blood   O
vessels   O
of   O
the   O
heart   O
.   O

He   O
has   O
been   O
advised   O
to   O
get   O
admitted   O
to   O
the   O
Mercy   B-LOCATION
Medical   I-LOCATION
for   O
further   O
evaluations   O
and   O
necessary   O
medical   O
management   O
.   O

Contact   O
information   O
for   O
Clint   B-NAME
Cassidy   I-NAME
is   O
as   O
follows   O
:   O
residence   O
at   O
Clinton   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Clinton   I-LOCATION
,   O
telephone   O
number   O
(   B-CONTACT
631   I-CONTACT
)   I-CONTACT
451   I-CONTACT
8768   I-CONTACT
,   O
State   O
ID   O
170301   B-ID
,   O
postal   O
code   O
58350   B-LOCATION
.   O

His   O
primary   O
healthcare   O
organization   O
is   O
Gordon   B-LOCATION
Bank   I-LOCATION
,   O
which   O
has   O
authorized   O
his   O
medical   O
expenses   O
.   O

His   O
medical   O
record   O
,   O
number   O
5357073   B-ID
,   O
was   O
updated   O
with   O
this   O
information   O
using   O
my   O
login   O
credentials   O
,   O
XG495   B-NAME
.   O

A   O
follow   O
-   O
up   O
consultation   O
was   O
scheduled   O
with   O
Dr.   O
Jefferson   B-NAME
Tyler   I-NAME
on   O
10/23/1925   B-DATE
.   O

Report   O
:   O
The   O
patient   O
,   O
UMANA   B-NAME
,   I-NAME
BRUCE   I-NAME
,   O
a   O
Hunters   O
and   O
Trappers   O
by   O
trade   O
,   O
was   O
seen   O
on   O
2/21   B-DATE
.   O

Physical   O
examination   O
revealed   O
Pieper   B-NAME
,   I-NAME
Josef   I-NAME
was   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
24   O
breaths   O
per   O
minute   O
and   O
SpO2   O
of   O
90   O
%   O
on   O
ambient   O
air   O
.   O

Zaniyah   B-NAME
Navarro   I-NAME
,   O
who   O
is   O
93   O
years   O
old   O
,   O
further   O
revealed   O
during   O
our   O
interaction   O
that   O
she   O
had   O
been   O
under   O
the   O
care   O
of   O
Grayson   B-NAME
Giles   I-NAME
at   O
John   B-LOCATION
Randolph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Portales   B-LOCATION
,   I-LOCATION
Portales   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
.   O

Her   O
lab   O
results   O
from   O
April   B-DATE
2203   I-DATE
,   O
located   O
by   O
her   O
88123889   B-ID
number   O
,   O
indicated   O
an   O
elevated   O
NT   O
-   O
proBNP   O
level   O
of   O
1,200   O
pg   O
/   O
ml   O
.   O

According   O
to   O
her   O
medical   O
history   O
from   O
the   O
Committee   B-LOCATION
of   I-LOCATION
Concerned   I-LOCATION
Scientists   I-LOCATION
,   O
3   B-ID
-   I-ID
8143858   I-ID
number   O
,   O
she   O
had   O
been   O
a   O
long   O
time   O
smoker   O
but   O
had   O
quit   O
10   O
years   O
ago   O
.   O

We   O
have   O
planned   O
a   O
phone   O
consultation   O
with   O
her   O
on   O
2042   B-DATE
at   O
113   B-CONTACT
888   I-CONTACT
-   I-CONTACT
7678   I-CONTACT
.   O

Her   O
address   O
is   O
Klein   B-LOCATION
and   O
the   O
zip   O
code   O
is   O
82341   B-LOCATION
.   O

She   O
has   O
been   O
briefed   O
about   O
our   O
upcoming   O
consultation   O
acting   O
as   O
erm210   B-NAME
in   O
the   O
online   O
health   O
portal   O
.   O

Patient   O
's   O
consent   O
was   O
obtained   O
to   O
notify   O
her   O
family   O
members   O
,   O
who   O
are   O
residing   O
at   O
Soldotna   B-LOCATION
,   O
about   O
her   O
medical   O
condition   O
.   O

In   O
her   O
emergency   O
contact   O
list   O
,   O
she   O
has   O
mentioned   O
a   O
certain   O
Trevon   B-NAME
Mann   I-NAME
as   O
her   O
current   O
treating   O
physician   O
.   O

Patient   O
Name   O
:   O
Pleione   B-NAME
Meley   I-NAME
Age   O
:   O
4   O
month   O
ID   O
:   O
HX609/6023   B-ID
Date   O
of   O
Report   O
:   O
1632   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
07   I-DATE
The   O
patient   O
,   O
Hahn   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Graham   B-LOCATION
Hospital   I-LOCATION
on   O
12/22   B-DATE
showing   O
symptoms   O
indicative   O
of   O
acute   O
bronchitis   O
.   O

Upon   O
consultation   O
,   O
Bishop   B-NAME
,   O
noticed   O
a   O
wheezing   O
sound   O
during   O
the   O
patient   O
's   O
deep   O
breaths   O
.   O

The   O
patient   O
was   O
transferred   O
to   O
Room   O
Capital   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
comprehensive   O
respiratory   O
examination   O
.   O

A   O
pre   O
-   O
existing   O
record   O
of   O
mild   O
asthma   O
was   O
identified   O
in   O
the   O
patient   O
's   O
medical   O
history   O
,   O
under   O
registration   O
number   O
8102249   B-ID
.   O

The   O
patient   O
mentioned   O
living   O
in   O
786   B-LOCATION
Willow   I-LOCATION
Dr.   I-LOCATION
while   O
providing   O
the   O
residential   O
address   O
.   O

Following   O
the   O
examination   O
,   O
an   O
appointment   O
was   O
scheduled   O
with   O
a   O
pulmonologist   O
for   O
further   O
consultation   O
and   O
treatment   O
plan   O
on   O
13/20   B-DATE
.   O

The   O
details   O
of   O
the   O
appointment   O
were   O
emailed   O
to   O
his   O
personal   O
account   O
,   O
va7810   B-NAME
@gmail.com   O
.   O

A   O
call   O
back   O
number   O
,   O
459   B-CONTACT
4718   I-CONTACT
,   O
was   O
also   O
provided   O
for   O
any   O
emergency   O
assistance   O
before   O
the   O
appointment   O
.   O

In   O
terms   O
of   O
family   O
history   O
,   O
it   O
was   O
noted   O
that   O
Ananda   B-NAME
's   O
father   O
had   O
a   O
medical   O
history   O
of   O
COPD   O
and   O
asthma   O
,   O
he   O
died   O
at   O
the   O
age   O
of   O
62   O
due   O
to   O
complications   O
arising   O
from   O
the   O
same   O
diseases   O
.   O

The   O
report   O
was   O
sent   O
to   O
Securian   B-LOCATION
Financial   I-LOCATION
Group   I-LOCATION
for   O
insurance   O
claim   O
with   O
the   O
patient   O
's   O
particular   O
zip   O
code   O
(   O
91318   B-LOCATION
)   O
and   O
copy   O
of   O
his   O
identification   O
card   O
for   O
validation   O
,   O
10   B-ID
-   I-ID
5166123   I-ID
.   O

Follow   O
up   O
after   O
two   O
weeks   O
from   O
01/14/2137   B-DATE
was   O
recommended   O
by   O
Taylor   B-NAME
to   O
monitor   O
Harley   B-NAME
Atkinson   I-NAME
's   O
symptoms   O
and   O
effectiveness   O
of   O
the   O
prescribed   O
inhalers   O
.   O

Patient   O
Sterling   B-NAME
Myers   I-NAME
came   O
into   O
Colorado   B-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Institute   I-LOCATION
at   I-LOCATION
Fort   I-LOCATION
Logan   I-LOCATION
on   O
32/30/21   B-DATE
complaining   O
of   O
severe   O
stomach   O
pain   O
,   O
which   O
began   O
approximately   O
one   O
week   O
ago   O
.   O

Genesis   B-NAME
Frederick   I-NAME
also   O
indicated   O
a   O
history   O
of   O
heavy   O
drinking   O
for   O
the   O
past   O
70   O
.   O

Dr.   O
Casey   B-NAME
went   O
over   O
the   O
patient   O
's   O
past   O
medical   O
records   O
(   O
Digitally   O
accessed   O
using   O
9038606   B-ID
)   O
,   O
which   O
suggested   O
no   O
previous   O
history   O
of   O
gallstones   O
or   O
stomach   O
ulcers   O
,   O
thus   O
ruling   O
out   O
few   O
possibilities   O
.   O

Further   O
,   O
blood   O
tests   O
were   O
ordered   O
and   O
the   O
patient   O
was   O
sent   O
for   O
an   O
abdominal   O
CT   O
scan   O
at   O
Brookwood   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Molyneaux   B-NAME
's   O
emergency   O
contacts   O
were   O
updated   O
in   O
the   O
record   O
,   O
which   O
included   O
their   O
sibling   O
living   O
in   O
Deale   B-LOCATION
with   O
contact   O
number   O
as   O
34265   B-CONTACT
for   O
any   O
emergency   O
purposes   O
.   O

The   O
patient   O
's   O
health   O
insurance   O
plan   O
PY422/5965   B-ID
was   O
verified   O
with   O
the   O
Independent   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Ireland   I-LOCATION
for   O
all   O
the   O
tests   O
and   O
treatments   O
that   O
would   O
be   O
carried   O
out   O
.   O

The   O
doctor   O
suggested   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
22/20   B-DATE
and   O
advised   O
the   O
patient   O
to   O
refrain   O
from   O
alcohol   O
and   O
oily   O
food   O
until   O
a   O
clear   O
diagnosis   O
was   O
made   O
.   O

Instructions   O
were   O
given   O
to   O
contact   O
the   O
outpatient   O
department   O
using   O
the   O
appointment   O
helpline   O
,   O
(   B-CONTACT
832   I-CONTACT
)   I-CONTACT
278   I-CONTACT
-   I-CONTACT
7511   I-CONTACT
,   O
if   O
the   O
discomfort   O
persisted   O
.   O

The   O
doctor   O
also   O
provided   O
a   O
contact   O
number   O
971   B-CONTACT
-   I-CONTACT
655   I-CONTACT
-   I-CONTACT
7322   I-CONTACT
of   O
a   O
cab   O
service   O
in   O
their   O
54551   B-LOCATION
area   O
,   O
aiding   O
their   O
transportation   O
for   O
the   O
upcoming   O
visits   O
.   O

Following   O
HIPAA   O
norms   O
,   O
the   O
visit   O
summary   O
was   O
securely   O
uploaded   O
on   O
epq587   B-NAME
on   O
their   O
EHR   O
platform   O
.   O

All   O
the   O
findings   O
were   O
shared   O
with   O
Dr.   O
Alberto   B-NAME
Watkins   I-NAME
who   O
would   O
be   O
overseeing   O
Mcfarland   B-NAME
case   O
along   O
with   O
their   O
gastroenterologist   O
in   O
the   O
coming   O
week   O
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Neal   B-NAME
Hudson   I-NAME
-   O
Age   O
:   O
81   O
-   O
Medical   O
Record   O
Number   O
:   O
2976987   B-ID
-   O
Residing   O
at   O
:   O
Grimes   B-LOCATION
-   O
Phone   O
number   O
:   O
129   B-CONTACT
-   I-CONTACT
6504   I-CONTACT
Visit   O
Details   O
:   O
-   O
Date   O
:   O
2044   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
10   I-DATE
-   O
Consulting   O
Doctor   O
:   O
Russell   B-NAME
-   O
Hospital   O
:   O
Nacogdoches   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Patient   O
Luis   B-NAME
Salas   I-NAME
of   O
14   O
years   O
visited   O
the   O
INTEGRIS   B-LOCATION
Bass   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
December   B-DATE
5   I-DATE
,   I-DATE
2203   I-DATE
for   O
a   O
general   O
checkup   O
.   O

Mccall   B-NAME
reviewed   O
her   O
medical   O
history   O
and   O
conducted   O
a   O
thorough   O
examination   O
.   O

After   O
a   O
thorough   O
assessment   O
,   O
France   B-NAME
,   I-NAME
Anatole   I-NAME
suspected   O
Congreve   B-NAME
,   I-NAME
William   I-NAME
might   O
be   O
suffering   O
from   O
migraines   O
due   O
to   O
the   O
typical   O
cluster   O
of   O
symptoms   O
.   O

Shasta   B-LOCATION
Lake   I-LOCATION
Phone   O
Number   O
:   O
694   B-CONTACT
-   I-CONTACT
109   I-CONTACT
4454   I-CONTACT
Email   O
Address   O
:   O
zgy7210   B-NAME
@   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Fire   I-LOCATION
Fighters   I-LOCATION
.com   O
Emergency   O
Contact   O
:   O
Relation   O
:   O
Husband   O
Profession   O
:   O

Computer   O
Operators   O
Phone   O
:   O
392   B-CONTACT
-   I-CONTACT
862   I-CONTACT
-   I-CONTACT
9468   I-CONTACT
Insurance   O
Details   O
:   O
Policy   O
ID   O
:   O
KL:100835:181922   B-ID
Name   O
of   O
Organization   O
:   O

Coastal   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Contact   O
:   O
(   B-CONTACT
832   I-CONTACT
)   I-CONTACT
485   I-CONTACT
9006   I-CONTACT
The   O
Fae   B-NAME
Weatherholt   I-NAME
's   O
previous   O
medical   O
visits   O
to   O
our   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
and   O
related   O
medical   O
reports   O
from   O
our   O
medical   O
record   O
718   B-ID
-   I-ID
39   I-ID
-   I-ID
20   I-ID
-   I-ID
9   I-ID
were   O
used   O
to   O
corroborate   O
the   O
information   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
37/35   B-DATE
at   O
Ascension   B-LOCATION
St   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
in   O
Holmesville   B-LOCATION
.   O

A   O
reminder   O
of   O
the   O
appointment   O
will   O
be   O
sent   O
to   O
Elaina   B-NAME
Guzman   I-NAME
's   O
registered   O
phone   O
number   O
490   B-CONTACT
-   I-CONTACT
4913   I-CONTACT
a   O
day   O
before   O
.   O

Post   O
taking   O
the   O
tests   O
,   O
Kristofer   B-NAME
is   O
recommended   O
to   O
consult   O
with   O
Henry   B-NAME
,   I-NAME
Patrick   I-NAME
,   O
neurologist   O
at   O
Andalusia   B-LOCATION
Health   I-LOCATION
.   O

For   O
any   O
assistance   O
,   O
reach   O
out   O
to   O
the   O
hospital   O
at   O
929   B-CONTACT
4574   I-CONTACT
or   O
directly   O
at   O
English   B-NAME
@   O
CHI   B-LOCATION
Health   I-LOCATION
St   I-LOCATION
Francis   I-LOCATION
.org   O
.   O

The   O
billing   O
statement   O
and   O
insurance   O
claim   O
forms   O
will   O
be   O
mailed   O
to   O
Wise   B-NAME
's   O
residential   O
address   O
at   O
the   O
zip   O
code   O
-   O
72667   B-LOCATION
.   O

In   O
case   O
of   O
emergency   O
,   O
Zackary   B-NAME
Blair   I-NAME
should   O
visit   O
PeaceHealth   B-LOCATION
Southwest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
unit   O
in   O
West   B-LOCATION
Dennis   I-LOCATION
.   O

Patient   O
Name   O
:   O
Grayson   B-NAME
Bradley   I-NAME
Age   O
:   O
10   O
week   O
Medical   O
Record   O
Number   O
:   O
42957713   B-ID
Patient   O
's   O
ID   O
:   O
NS:2058:338260   B-ID

The   O
patient   O
was   O
brought   O
into   O
Clark   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
via   O
ambulance   O
at   O
23/20/2012   B-DATE
.   O

The   O
patient   O
was   O
attended   O
by   O
Dr.   O
Ferguson   B-NAME
who   O
began   O
to   O
diagnose   O
the   O
symptoms   O
.   O

Dr.   O
Wagner   B-NAME
ordered   O
complete   O
blood   O
count   O
,   O
liver   O
function   O
tests   O
,   O
as   O
well   O
as   O
CT   O
scan   O
.   O

Mentioning   O
the   O
cruciality   O
of   O
the   O
situation   O
,   O
Dr.   O
Fisher   B-NAME
Floyd   I-NAME
reached   O
out   O
to   O
the   O
patient   O
's   O
emergency   O
contact   O
at   O
776   B-CONTACT
5695   I-CONTACT
.   O

The   O
patient   O
's   O
profile   O
showed   O
he   O
is   O
employed   O
as   O
Physical   O
Therapists   O
at   O
Independence   B-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
located   O
in   O
Englishtown   B-LOCATION
.   O

The   O
CT   O
scan   O
results   O
from   O
November   B-DATE
indicated   O
inflammation   O
of   O
the   O
pancreas   O
,   O
and   O
a   O
mild   O
stricture   O
in   O
the   O
common   O
bile   O
duct   O
.   O

The   O
liver   O
function   O
tests   O
conducted   O
on   O
Sunday   B-DATE
,   I-DATE
April   I-DATE
reported   O
elevated   O
levels   O
of   O
amylase   O
and   O
lipase   O
in   O
the   O
patient   O
's   O
blood   O
,   O
which   O
are   O
indicative   O
of   O
pancreatitis   O
.   O

On   O
considering   O
the   O
serious   O
medical   O
condition   O
of   O
the   O
patient   O
,   O
Kayley   B-NAME
Oneal   I-NAME
called   O
his   O
medical   O
team   O
to   O
discuss   O
the   O
prognosis   O
and   O
the   O
required   O
treatment   O
.   O

It   O
was   O
decided   O
that   O
the   O
patient   O
will   O
need   O
to   O
undergo   O
an   O
ERCP   O
(   O
Endoscopic   O
retrograde   O
cholangiopancreatography   O
)   O
at   O
the   O
Southern   B-LOCATION
Ohio   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
get   O
a   O
closer   O
look   O
at   O
the   O
pancreatic   O
ducts   O
and   O
possibly   O
relieve   O
the   O
stricture   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
the   O
procedure   O
on   O
02/21/22   B-DATE
.   O

The   O
patient   O
’s   O
family   O
residing   O
at   O
75134   B-LOCATION
was   O
notified   O
about   O
his   O
condition   O
and   O
the   O
upcoming   O
procedure   O
.   O

This   O
information   O
was   O
recorded   O
by   O
so475   B-NAME
.   O

It   O
is   O
advised   O
not   O
to   O
share   O
this   O
specific   O
medical   O
record   O
7259232   B-ID
further   O
without   O
obtaining   O
suitable   O
permissions   O
as   O
per   O
the   O
Health   O
Insurance   O
Portability   O
and   O
Accountability   O
Act   O
.   O

Patient   O
Name   O
:   O
Isaiah   B-NAME
Shaffer   I-NAME
Medical   O
Record   O
#   O
:   O
9053150   B-ID
Date   O
of   O
Admission   O
:   O
03/02/83   B-DATE
Angelo   B-NAME
Herman   I-NAME
currently   O
admitted   O
Xuereb   B-NAME
to   O
the   O
Hi   B-LOCATION
-   I-LOCATION
Desert   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
the   O
patient   O
resides   O
in   O
room   O

Patient   O
,   O
a   O
Securities   O
,   O
Commodities   O
,   O
and   O
Financial   O
Services   O
Sales   O
Agents   O
aged   O
41   O
,   O
hails   O
from   O
the   O
Lansdale   B-LOCATION
area   O
.   O

Louie   B-NAME
Couch   I-NAME
came   O
in   O
complaining   O
of   O
multiple   O
symptoms   O
,   O
including   O
intense   O
abdominal   O
pain   O
,   O
persistent   O
fever   O
,   O
and   O
vomiting   O
.   O

Patient   O
's   O
symptoms   O
began   O
around   O
2/22   B-DATE
but   O
they   O
decided   O
to   O
seek   O
assistance   O
only   O
after   O
the   O
pain   O
became   O
unbearable   O
.   O

In   O
light   O
of   O
these   O
symptoms   O
,   O
Kamren   B-NAME
Benitez   I-NAME
ordered   O
a   O
Computerized   O
Tomography   O
(   O
CT   O
)   O
scan   O
at   O
Mount   B-LOCATION
Vernon   I-LOCATION
Hospital   I-LOCATION
.   O

Emergency   O
contact   O
is   O
patient   O
’s   O
spouse   O
,   O
who   O
is   O
a   O
Rail   O
Yard   O
Engineers   O
,   O
Dinkey   O
Operators   O
,   O
and   O
Hostlers   O
,   O
currently   O
in   O
9137   B-LOCATION
Indian   I-LOCATION
Summer   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
.   O

Contact   O
number   O
is   O
20686   B-CONTACT
.   O

Patient   O
’s   O
insurance   O
details   O
have   O
been   O
recorded   O
as   O
follows   O
:   O
ID   O
-   O
BB   B-ID
:   I-ID
NV:9895   I-ID
,   O
provided   O
by   O
Satilla   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

The   O
primary   O
care   O
doctor   O
Donaldson   B-NAME
is   O
CC’d   O
in   O
this   O
admission   O
summary   O
.   O

Follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
1/9/2219   B-DATE
at   O
Cheshire   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

If   O
there   O
's   O
any   O
need   O
for   O
early   O
intervention   O
,   O
Vaughn   B-NAME
will   O
receive   O
a   O
call   O
on   O
(   B-CONTACT
397   I-CONTACT
)   I-CONTACT
773   I-CONTACT
4682   I-CONTACT
.   O

The   O
addresses   O
are   O
as   O
follows   O
:   O
Home   O
Address-   O
Newark   B-LOCATION
Valley   I-LOCATION
54056   B-LOCATION
,   O
Workplace   O
Address   O
-   O
Grants   B-LOCATION
,   I-LOCATION
Grants   I-LOCATION
MainStreet   I-LOCATION
Project   I-LOCATION
39840   B-LOCATION
.   O

We   O
'll   O
continue   O
to   O
monitor   O
Reese   B-NAME
closely   O
and   O
this   O
report   O
is   O
being   O
updated   O
by   O
IK881   B-NAME
in   O
real   O
-   O
time   O
.   O

Signed   O
,   O
Dillan   B-NAME
Edwards   I-NAME

Patient   O
Name   O
:   O
Clinton   B-NAME
,   I-NAME
Hillary   I-NAME
Age   O
:   O
74   O
Date   O
of   O
Consultation   O
:   O
8/22/2076   B-DATE
Consulting   O
Physician   O
:   O
Colon   B-NAME
Report   O
:   O
Cohen   B-NAME
,   I-NAME
Richard   I-NAME
,   O
51   O
came   O
in   O
for   O
consultation   O
on   O
5/0   B-DATE
.   O

The   O
patient   O
has   O
a   O
medical   O
record   O
number   O
of   O
71392926   B-ID
.   O

The   O
patient   O
mentioned   O
he   O
is   O
a   O
retired   O
Information   O
Technology   O
Project   O
Managers   O
living   O
in   O
Bagnell   B-LOCATION
.   O

I   O
have   O
referred   O
him   O
to   O
the   O
pulmonology   O
department   O
of   O
Grand   B-LOCATION
Strand   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
and   O
the   O
appointment   O
has   O
been   O
set   O
on   O
the   O
22/13/32   B-DATE
.   O

For   O
further   O
correspondence   O
regarding   O
the   O
patient   O
,   O
you   O
can   O
contact   O
him   O
on   O
his   O
phone   O
number   O
(   B-CONTACT
815   I-CONTACT
)   I-CONTACT
265   I-CONTACT
-   I-CONTACT
6346   I-CONTACT
.   O

The   O
insurance   O
details   O
for   O
the   O
patient   O
are   O
as   O
follows   O
:   O
Insurance   O
provider   O
:   O
The   B-LOCATION
Sentinel   I-LOCATION
Project   I-LOCATION
for   I-LOCATION
Genocide   I-LOCATION
Prevention   I-LOCATION
Policy   O
ID   O
:   O
KM   B-ID
:   I-ID
OR:9974   I-ID

His   O
address   O
is   O
as   O
follows   O
:   O
9001   B-LOCATION
Lyme   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
18868   B-LOCATION
.   O

The   O
consultation   O
note   O
will   O
be   O
sent   O
to   O
the   O
patient   O
's   O
personal   O
email   O
SR417   B-NAME
.   O

Dr.   O
Edward   B-NAME
Bunnigus   I-NAME
Consulting   O
Physician   O
,   O
Riverside   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
Williamsburg   I-LOCATION

Patient   O
Name   O
:   O
Jefferson   B-NAME
Jefferson   I-NAME
Date   O
:   O
2039   B-DATE
Dr.   O
Gracelyn   B-NAME
Pena   I-NAME
at   O
Prisma   B-LOCATION
Health   I-LOCATION
Laurens   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Hospital   O
followed   O
up   O
on   O
the   O
case   O
of   O
Kenneth   B-NAME
X.   I-NAME
Sylvester   I-NAME
.   O

The   O
patient   O
,   O
a   O
Coating   O
,   O
Painting   O
,   O
and   O
Spraying   O
Machine   O
Operators   O
and   O
Tenders   O
by   O
trade   O
and   O
approximately   O
70   O
years   O
old   O
,   O
was   O
admitted   O
to   O
the   O
hospital   O
on   O
33/19   B-DATE
after   O
complaining   O
of   O
severe   O
chest   O
discomfort   O
and   O
breathlessness   O
.   O

The   O
medical   O
record   O
number   O
for   O
Fromm   B-NAME
,   I-NAME
Erich   I-NAME
's   O
case   O
is   O
20497429   B-ID
.   O

In   O
44   B-LOCATION
Cedarwood   I-LOCATION
Avenue   I-LOCATION
,   O
where   O
Jalen   B-NAME
Barry   I-NAME
resides   O
,   O
similar   O
cases   O
have   O
been   O
reported   O
in   O
recent   O
months   O
.   O

At   O
the   O
moment   O
,   O
Ivan   B-NAME
Upson   I-NAME
is   O
on   O
a   O
regimen   O
of   O
diuretics   O
,   O
ACE   O
inhibitors   O
and   O
beta   O
-   O
blockers   O
.   O

I   O
,   O
Dr.   O
Knight   B-NAME
,   O
am   O
closely   O
following   O
the   O
case   O
and   O
making   O
daily   O
assessments   O
of   O
the   O
patient   O
's   O
status   O
.   O

The   O
patient   O
’s   O
phone   O
number   O
on   O
the   O
system   O
is   O
(   B-CONTACT
295   I-CONTACT
)   I-CONTACT
221   I-CONTACT
-   I-CONTACT
5591   I-CONTACT
.   O

Collaboration   O
with   O
Merchants   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
,   O
an   O
agency   O
specializing   O
in   O
home   O
health   O
care   O
services   O
based   O
in   O
Michigan   B-LOCATION
,   O
was   O
initiated   O
to   O
plan   O
Leif   B-NAME
Aston   I-NAME
's   O
post   O
-   O
discharge   O
care   O
.   O

The   O
patient   O
also   O
gave   O
consent   O
for   O
the   O
use   O
of   O
their   O
healthcare   O
data   O
for   O
research   O
purposes   O
,   O
signing   O
the   O
necessary   O
documents   O
,   O
the   O
proof   O
of   O
which   O
can   O
be   O
found   O
with   O
the   O
ID   O
number   O
AV339/3017   B-ID
.   O

Further   O
follow   O
-   O
ups   O
are   O
scheduled   O
for   O
2254   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
25   I-DATE
.   O

The   O
patient   O
,   O
who   O
lives   O
at   O
Rockholds   B-LOCATION
with   O
the   O
postal   O
code   O
38745   B-LOCATION
,   O
has   O
been   O
advised   O
to   O
avoid   O
stress   O
,   O
follow   O
a   O
low   O
-   O
sodium   O
diet   O
,   O
and   O
strict   O
exercise   O
regimen   O
.   O

For   O
further   O
information   O
,   O
kindly   O
login   O
with   O
mx102   B-NAME
.   O
Hospital   O
Administrator   O
Irwin   B-NAME

Patient   O
Information   O
KYLE   B-NAME
LEVINE   I-NAME
is   O
a   O
27   O
year   O
old   O
who   O
presented   O
at   O
the   O
University   B-LOCATION
Hospital   I-LOCATION
on   O
25/06   B-DATE
.   O

The   O
patient   O
's   O
residential   O
address   O
is   O
Wetherington   B-LOCATION
with   O
a   O
postal   O
code   O
of   O
29323   B-LOCATION
.   O

The   O
patient   O
was   O
under   O
the   O
care   O
of   O
Brooks   B-NAME
Huerta   I-NAME
for   O
a   O
regular   O
examination   O
.   O

The   O
contact   O
number   O
provided   O
for   O
further   O
queries   O
is   O
84145   B-CONTACT
.   O

The   O
patient   O
history   O
taken   O
from   O
their   O
1   B-ID
-   I-ID
060698   I-ID
suggested   O
previous   O
instances   O
of   O
iron   O
-   O
deficiency   O
anemia   O
and   O
mild   O
hypertension   O
,   O
all   O
being   O
monitored   O
by   O
Winters   B-NAME
.   O

Mary   B-NAME
Saunders   I-NAME
works   O
for   O
the   O
Survival   B-LOCATION
International   I-LOCATION
which   O
involves   O
spending   O
long   O
hours   O
in   O
front   O
of   O
a   O
computer   O
which   O
could   O
be   O
a   O
causative   O
factor   O
for   O
the   O
persistent   O
headaches   O
.   O

Treatment   O
Plan   O
Kingston   B-NAME
Stevenson   I-NAME
was   O
admitted   O
to   O
the   O
hospital   O
and   O
was   O
prescribed   O
complete   O
bed   O
rest   O
,   O
along   O
with   O
a   O
series   O
of   O
tests   O
to   O
rul   O
out   O
potential   O
complications   O
.   O

Laboratory   O
test   O
outcomes   O
were   O
forwarded   O
to   O
the   O
HC   B-ID
:   I-ID
GJ:4570   I-ID
.   O

The   O
next   O
scheduled   O
appointment   O
was   O
fixed   O
for   O
Oct   B-DATE
.   O

The   O
findings   O
were   O
entered   O
in   O
the   O
patient   O
's   O
electronic   O
health   O
record   O
with   O
QS116   B-NAME
.   O

In   O
conclusion   O
,   O
the   O
case   O
of   O
Gabriel   B-NAME
,   I-NAME
Peter   I-NAME
needs   O
further   O
investigation   O
to   O
establish   O
an   O
accurate   O
diagnosis   O
.   O

Since   O
the   O
standard   O
preliminary   O
tests   O
did   O
not   O
provide   O
a   O
conclusive   O
outcome   O
,   O
Hoffer   B-NAME
,   I-NAME
Eric   I-NAME
has   O
ordered   O
more   O
tests   O
.   O

Cooperation   O
from   O
Phillip   B-NAME
Chandler   I-NAME
in   O
managing   O
his   O
professional   O
stress   O
from   O
his   O
Web   O
Developers   O
job   O
and   O
following   O
through   O
the   O
set   O
treatment   O
plan   O
would   O
be   O
key   O
in   O
his   O
health   O
recovery   O
.   O

For   O
follow   O
-   O
up   O
appointments   O
with   O
Todd   B-NAME
,   O
the   O
patient   O
can   O
contact   O
at   O
the   O
given   O
720   B-CONTACT
3556   I-CONTACT
number   O
or   O
via   O
an   O
email   O
to   O
ak720   B-NAME
at   O
Delta   B-LOCATION
Dental   I-LOCATION
.   O

Patient   O
Information   O
:   O
Addison   B-NAME
Keefe   I-NAME
presented   O
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Fort   I-LOCATION
Smith   I-LOCATION
on   O
1   B-DATE
-   I-DATE
0   I-DATE
.   O

The   O
patient   O
's   O
account   O
number   O
is   O
GM330/7995   B-ID
and   O
medical   O
record   O
number   O
is   O
37485074   B-ID
.   O

Xin   B-NAME
Iliff   I-NAME
is   O
of   O
4   O
old   O
,   O
and   O
resides   O
at   O
Otego   B-LOCATION
.   O

Clinical   O
Presentation   O
:   O
ELROD   B-NAME
,   I-NAME
RYLEY   I-NAME
experienced   O
shortness   O
of   O
breath   O
,   O
fatigue   O
,   O
and   O
light   O
-   O
headedness   O
.   O

Medical   O
History   O
:   O
Previous   O
medical   O
records   O
show   O
that   O
FRANK   B-NAME
EMMONS   I-NAME
has   O
hypertension   O
and   O
a   O
history   O
of   O
tachycardia   O
.   O

Diagnostic   O
Results   O
:   O
The   O
Electrocardiogram   O
(   O
ECG   O
)   O
conducted   O
by   O
Dr.   O
Nickolas   B-NAME
Nguyen   I-NAME
showed   O
irregular   O
heart   O
rhythms   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Dr.   O
Flynn   B-NAME
indicated   O
elevated   O
proBNP   O
levels   O
.   O

Currently   O
,   O
Cesar   B-NAME
Strickland   I-NAME
is   O
prescribed   O
Lisinopril   O
,   O
Metoprolol   O
,   O
and   O
low   O
-   O
dose   O
aspirin   O
.   O

Briggs   B-NAME
,   I-NAME
Joe   I-NAME
Bob   I-NAME
has   O
recommended   O
cardiac   O
rehabilitation   O
at   O
an   O
City   B-LOCATION
Bank   I-LOCATION
facility   O
near   O
the   O
patient   O
's   O
40778   B-LOCATION
residential   O
area   O
.   O

For   O
further   O
queries   O
,   O
the   O
patient   O
,   O
or   O
the   O
patient   O
's   O
nurse   O
,   O
may   O
contact   O
Dr   O
Nielsen   B-NAME
at   O
280   B-CONTACT
408   I-CONTACT
7382   I-CONTACT
or   O
via   O
portal   O
messaging   O
with   O
username   O
igl499   B-NAME
.   O

This   O
information   O
was   O
recorded   O
and   O
transcribed   O
by   O
Nugent   B-NAME
,   I-NAME
Ted   I-NAME
on   O
24   B-DATE
-   I-DATE
March-2327   I-DATE
at   O
Garysburg   B-LOCATION
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Sanchez   B-NAME
Age   O
:   O
14   O
Location   O
:   O
Lohman   B-LOCATION
Patient   O
Bailey   B-NAME
Bray   I-NAME
,   O
a   O
Transformer   O
Repairers   O
by   O
profession   O
,   O
was   O
seen   O
in   O
our   O
clinic   O
on   O
33/24   B-DATE
regarding   O
concerns   O
about   O
recurrent   O
headaches   O
and   O
intermittent   O
vertigo   O
.   O

This   O
medical   O
report   O
has   O
been   O
compiled   O
by   O
Dr.   O
Jayson   B-NAME
Lowe   I-NAME
of   O
Oswego   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Oswego   I-LOCATION
.   O

Patricia   B-NAME
Islam   I-NAME
reported   O
that   O
the   O
headache   O
is   O
followed   O
by   O
a   O
short   O
span   O
of   O
vertigo   O
(   O
dizziness   O
)   O
.   O

During   O
the   O
physical   O
examination   O
,   O
the   O
Craft   B-NAME
appeared   O
pale   O
and   O
was   O
visibly   O
in   O
pain   O
.   O

Upon   O
further   O
investigation   O
,   O
Whitaker   B-NAME
found   O
a   O
slight   O
nystagmus   O
in   O
the   O
eyes   O
and   O
the   O
coordination   O
test   O
(   O
finger   O
-   O
to   O
-   O
nose   O
test   O
)   O
also   O
showed   O
some   O
impairment   O
.   O

Imaging   O
scans   O
were   O
requested   O
and   O
conducted   O
in   O
the   O
Radiology   O
Department   O
of   O
University   B-LOCATION
of   I-LOCATION
Cincinnati   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
for   O
this   O
consultation   O
is   O
96895130   B-ID
.   O

In   O
terms   O
of   O
background   O
,   O
it   O
's   O
important   O
to   O
note   O
that   O
Glenn   B-NAME
has   O
a   O
family   O
history   O
of   O
migraines   O
and   O
reported   O
no   O
smoking   O
or   O
illicit   O
drug   O
use   O
.   O

Our   O
plan   O
now   O
is   O
for   O
follow   O
-   O
up   O
consultations   O
with   O
the   O
Neurology   O
department   O
specialists   O
in   O
our   O
Nemaha   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Seneca   I-LOCATION
.   O

Dr.   O
Quinn   B-NAME
Harris   I-NAME
has   O
asked   O
the   O
patient   O
to   O
return   O
on   O
2200   B-DATE
for   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

For   O
any   O
further   O
inquiries   O
,   O
please   O
contact   O
the   O
hospital   O
at   O
the   O
following   O
number   O
:   O
96947   B-CONTACT
.   O

Patient   O
's   O
ID   O
:   O
RS473/3729   B-ID
Reference   O
Physician   O
:   O
Dr.   O
Munch   B-NAME
,   I-NAME
Edvard   I-NAME
Patient   O
's   O
Contact   O
Number   O
:   O
535   B-CONTACT
-   I-CONTACT
5317   I-CONTACT
Patient   O
's   O
Address   O
:   O
Mauritius   B-LOCATION
,   O
98019   B-LOCATION
Email   O
i   O
d   O
:   O
dk572   B-NAME
@mail.com   O
Please   O
note   O
,   O
all   O
this   O
information   O
is   O
secured   O
and   O
shared   O
with   O
the   O
patient   O
's   O
permission   O
as   O
per   O
the   O
guidelines   O
of   O
the   O
City   B-LOCATION
of   I-LOCATION
Fort   I-LOCATION
Meade   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
HANEY   B-NAME
,   I-NAME
ULYSSES   I-NAME
Sex   O
:   O
Male   O
Age   O
:   O
84   O
Location   O
:   O
Baxley   B-LOCATION
Occupation   O
:   O
Bioinformatics   O
Technicians   O
Phone   O
:   O
47060   B-CONTACT
Medical   O
Record:   O
2191265   B-ID
Primary   O
Doctor   O
:   O
Ortiz   B-NAME
,   I-NAME
David   I-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
South   I-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
:   O
0/5   B-DATE
Details   O
:   O
Mr.   O
Bradford   B-NAME
visited   O
Paris   B-NAME
Krueger   I-NAME
at   O
AMITA   B-LOCATION
Health   I-LOCATION
Alexian   I-LOCATION
Brothers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Elk   I-LOCATION
Grove   I-LOCATION
Village   I-LOCATION
on   O
Thursday   B-DATE
.   O

He   O
works   O
as   O
a   O
Fabric   O
and   O
Apparel   O
Patternmakers   O
in   O
Meeteetse   B-LOCATION
.   O

His   O
contact   O
is   O
49829   B-CONTACT
and   O
resides   O
at   O
99723   B-LOCATION
.   O

His   O
medical   O
record   O
number   O
is   O
75777883   B-ID
.   O

Upon   O
examination   O
,   O
Steele   B-NAME
identified   O
that   O
he   O
had   O
a   O
low   O
-   O
grade   O
fever   O
and   O
decreased   O
breath   O
sounds   O
on   O
auscultation   O
.   O

He   O
does   O
n’t   O
have   O
any   O
known   O
allergies   O
but   O
his   O
ID   O
150391   B-ID
shows   O
a   O
history   O
of   O
smoking   O
and   O
occasional   O
alcohol   O
consumption   O
.   O

The   O
patient   O
gave   O
consent   O
to   O
treatment   O
and   O
his   O
organization   O
,   O
Chicopee   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
has   O
been   O
notified   O
about   O
his   O
current   O
medical   O
condition   O
.   O

Note   O
by   O
:   O
KG2610   B-NAME

These   O
details   O
will   O
be   O
stored   O
under   O
patient   O
's   O
ID   O
EI   B-ID
:   I-ID
SG:3778   I-ID
in   O
our   O
database   O
for   O
future   O
reference   O
.   O

This   O
report   O
was   O
generated   O
on   O
0/22   B-DATE
.   O

Thank   O
you   O
,   O
Galvan   B-NAME

Patient   O
information   O
:   O
Arkeville   B-NAME
is   O
a   O
19   O
years   O
old   O
patient   O
admitted   O
to   O
Genesis   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
9/55   B-DATE
.   O

The   O
patient   O
resides   O
in   O
Highland   B-LOCATION
Lake   I-LOCATION
and   O
can   O
be   O
reached   O
at   O
374   B-CONTACT
-   I-CONTACT
895   I-CONTACT
-   I-CONTACT
5671   I-CONTACT
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
62910406   B-ID
,   O
and   O
possesses   O
a   O
state   O
identification   O
card   O
with   O
SG:17490:764680   B-ID
number   O
.   O

Physician   O
notes   O
:   O
Marquis   B-NAME
Barrett   I-NAME
,   O
the   O
primary   O
care   O
provider   O
of   O
the   O
patient   O
,   O
detailed   O
the   O
evolving   O
clinical   O
scenario   O
.   O

Braylon   B-NAME
Dunn   I-NAME
has   O
a   O
previous   O
medical   O
history   O
significant   O
for   O
Type   O
II   O
Diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
mild   O
hypertension   O
.   O

The   O
patient   O
works   O
at   O
Botswana   B-LOCATION
Hotel   I-LOCATION
Travel   I-LOCATION
&   I-LOCATION
Tourism   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
in   O
a   O
Order   O
Clerks   O
capacity   O
.   O

Follow   O
up   O
:   O
The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
32/32/2190   B-DATE
.   O

Emergency   O
contact   O
:   O
The   O
emergency   O
contact   O
is   O
a   O
resident   O
of   O
Shoreacres   B-LOCATION
,   O
with   O
area   O
60686   B-LOCATION
code   O
,   O
and   O
can   O
be   O
reached   O
at   O
745   B-CONTACT
-   I-CONTACT
730   I-CONTACT
-   I-CONTACT
4940   I-CONTACT
.   O

Information   O
logged   O
by   O
cm121   B-NAME
for   O
the   O
patient   O
Derek   B-NAME
Wiley   I-NAME
on   O
13/23/2052   B-DATE
.   O

Please   O
refer   O
back   O
to   O
this   O
medical   O
record   O
4711510   B-ID
for   O
more   O
details   O
.   O

Patient   O
Details   O
:   O
Patient   O
Name   O
:   O
Aspen   B-NAME
Age   O
:   O
84s   O
ID   O
Number   O
:   O
WX   B-ID
:   I-ID
FP:5543   I-ID
Medical   O
Record   O
Number   O
:   O
74096715   B-ID
Residence   O
:   O
West   B-LOCATION
Bishop   I-LOCATION
,   O
78737   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
293   I-CONTACT
)   I-CONTACT
747   I-CONTACT
-   I-CONTACT
7148   I-CONTACT
Medical   O
Status   O
:   O
Mr.   O
Roma   B-NAME
Kuether   I-NAME
was   O
seen   O
on   O
Thursday   B-DATE
by   O
Dr.   O
Hurst   B-NAME
at   O
the   O
Van   B-LOCATION
Diest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
is   O
currently   O
on   O
bronchodilators   O
and   O
steroids   O
,   O
initiated   O
by   O
Dr.   O
Erickson   B-NAME
.   O

Furthermore   O
,   O
a   O
cardiology   O
specialist   O
consultation   O
,   O
to   O
rule   O
out   O
potential   O
cardiac   O
involvement   O
,   O
is   O
planned   O
for   O
04/11   B-DATE
at   O
Meadowview   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
.   O

Employment   O
Details   O
:   O
Mr.   O
Lamb   B-NAME
used   O
to   O
work   O
as   O
a   O
Medical   O
Equipment   O
Preparers   O
before   O
his   O
retirement   O
.   O

His   O
former   O
employer   O
,   O
City   B-LOCATION
of   I-LOCATION
Quincy   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
,   O
located   O
in   O
Deal   B-LOCATION
Island   I-LOCATION
,   O
is   O
cooperative   O
in   O
providing   O
past   O
records   O
relevant   O
to   O
his   O
health   O
condition   O
.   O

Further   O
communication   O
with   O
the   O
patient   O
will   O
be   O
managed   O
through   O
his   O
authorized   O
health   O
portal   O
,   O
username   O
QX683   B-NAME
.   O

Summary   O
:   O
Mr.   O
Uriel   B-NAME
Patrick   I-NAME
Zapien   I-NAME
is   O
advised   O
to   O
continue   O
his   O
current   O
regime   O
of   O
bronchodilators   O
and   O
steroids   O
until   O
further   O
notice   O
.   O

Follow   O
-   O
up   O
visits   O
are   O
scheduled   O
on   O
every   O
alternate   O
2270   B-DATE
-   I-DATE
14   I-DATE
-   I-DATE
32   I-DATE
for   O
continuous   O
monitoring   O
of   O
his   O
condition   O
.   O

Patient   O
Name   O
:   O
John   B-NAME
Becker   I-NAME
Patient   O
DOB   O
:   O

Jan   B-DATE
'   I-DATE
52   I-DATE
Patient   O
's   O
Age   O
:   O
65   O
Address   O
:   O
Eureka   B-LOCATION
Contact   O
Details   O
:   O
974   B-CONTACT
6159   I-CONTACT
Identification   O
Number   O
:   O
IB   B-ID
:   I-ID
IA:4488   I-ID
Medical   O
Record   O
:   O
722   B-ID
-   I-ID
01   I-ID
-   I-ID
09   I-ID
-   I-ID
0   I-ID
Hospital   O
Name   O
:   O
Wyckoff   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Doctor   O
's   O
Name   O
:   O
Liu   B-NAME
Date   O
of   O
Visit   O
:   O
17/32/13   B-DATE
Profession   O
:   O
Painters   O
and   O
Illustrators   O
Report   O
:   O
Neven   B-NAME
Bell   I-NAME
presented   O
to   O
Hannibal   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
24/29   B-DATE
with   O
complaints   O
of   O
persistent   O
fever   O
,   O
cough   O
,   O
and   O
difficulty   O
breathing   O
.   O

Serrano   B-NAME
examined   O
the   O
patient   O
and   O
ordered   O
a   O
set   O
of   O
tests   O
,   O
considering   O
the   O
symptoms   O
.   O

Emerson   B-NAME
Pineda   I-NAME
,   O
of   O
profession   O
Grinding   O
,   O
Lapping   O
,   O
Polishing   O
,   O
and   O
Buffing   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
and   O
aged   O
99s   O
,   O
reported   O
exposure   O
to   O
a   O
family   O
member   O
who   O
had   O
been   O
recently   O
diagnosed   O
with   O
Covid-19   O
.   O

Alonso   B-NAME
Kounthapanya   I-NAME
's   O
symptoms   O
started   O
with   O
a   O
mild   O
cough   O
and   O
weakness   O
about   O
a   O
week   O
prior   O
to   O
the   O
visit   O
.   O

Beatus   B-NAME
Ahaus   I-NAME
's   O
vital   O
signs   O
on   O
presentation   O
were   O
as   O
follows   O
:   O
Temperature   O
was   O
101.3   O
°   O
F   O
,   O
Blood   O
pressure   O
-   O
130/80   O
mm   O

An   O
RT   O
-   O
PCR   O
test   O
for   O
the   O
Covid-19   O
virus   O
has   O
been   O
scheduled   O
for   O
39/31   B-DATE
as   O
per   O
protocol   O
and   O
Jaylin   B-NAME
Mcneil   I-NAME
is   O
advised   O
to   O
quarantine   O
at   O
home   O
within   O
Douglass   B-LOCATION
until   O
the   O
results   O
are   O
available   O
.   O

A   O
note   O
of   O
these   O
updates   O
has   O
been   O
mailed   O
to   O
Shavon   B-NAME
's   O
residential   O
address   O
:   O
Wardsville   B-LOCATION
,   O
53033   B-LOCATION
.   O

In   O
case   O
of   O
any   O
emergencies   O
,   O
Glenn   B-NAME
is   O
requested   O
to   O
contact   O
at   O
immediate   O
notice   O
via   O
878   B-CONTACT
-   I-CONTACT
867   I-CONTACT
4971   I-CONTACT
.   O

The   O
case   O
had   O
been   O
managed   O
by   O
Addisyn   B-NAME
Vaughn   I-NAME
from   O
Lexington   B-LOCATION
Shriners   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
further   O
queries   O
or   O
updates   O
,   O
Lucero   B-NAME
can   O
be   O
reached   O
through   O
the   O
office   O
632   B-CONTACT
372   I-CONTACT
-   I-CONTACT
4554   I-CONTACT
number   O
or   O
at   O
kqk961   B-NAME
@   O
Food   B-LOCATION
Addicts   I-LOCATION
in   I-LOCATION
Recovery   I-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
FA)   I-LOCATION
.com   O
.   O

The   O
patient   O
's   O
final   O
report   O
will   O
be   O
tagged   O
under   O
the   O
ID   O
-   O
3950932   B-ID
for   O
easy   O
accessibility   O
and   O
future   O
reference   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Hendricks   B-NAME
The   O
patient   O
,   O
Dominguez   B-NAME
,   O
is   O
a   O
Dentists   O
,   O
General   O
from   O
Lakeview   B-LOCATION
came   O
to   O
our   O
healthcare   O
center   O
,   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Boise   I-LOCATION
on   O
2/22   B-DATE
.The   O
10   O
year   O
old   O
patient   O
was   O
observed   O
and   O
examined   O
by   O
Dr.   O
Carlie   B-NAME
Owen   I-NAME
.   O

After   O
the   O
clinical   O
examination   O
,   O
Dr.   O
Aidan   B-NAME
Wagner   I-NAME
has   O
surmised   O
that   O
the   O
patient   O
is   O
showing   O
classic   O
signs   O
of   O
Acute   O
Sinusitis   O
.   O

According   O
to   O
the   O
patient   O
's   O
medical   O
history   O
,   O
Osbourne   B-NAME
,   I-NAME
Ozzy   I-NAME
had   O
previously   O
been   O
diagnosed   O
for   O
the   O
same   O
at   O
another   O
medical   O
organization   O
,   O
Pierce   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
with   O
medical   O
record   O
number   O
21694628   B-ID
.   O

The   O
contact   O
number   O
mentioned   O
under   O
this   O
record   O
was   O
867   B-CONTACT
4858   I-CONTACT
.   O

Dr.   O
Arianna   B-NAME
Wood   I-NAME
has   O
advised   O
a   O
sinus   O
X   O
-   O
ray   O
,   O
that   O
would   O
be   O
conducted   O
in   O
Martin   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
2102   B-DATE
.   O

Meanwhile   O
,   O
Keel   B-NAME
,   I-NAME
John   I-NAME
has   O
been   O
suggested   O
to   O
continue   O
with   O
her   O
current   O
medication   O
,   O
which   O
includes   O
Oxymetazoline   O
nasal   O
spray   O
,   O
saline   O
nasal   O
sprays   O
,   O
antihistamines   O
and   O
also   O
recommended   O
sufficient   O
water   O
intake   O
and   O
warm   O
liquids   O
to   O
relieve   O
the   O
nasal   O
congestion   O
.   O

We   O
will   O
be   O
contacting   O
the   O
patient   O
's   O
family   O
through   O
the   O
number   O
521   B-CONTACT
-   I-CONTACT
2723   I-CONTACT
to   O
discuss   O
further   O
course   O
of   O
actions   O
and   O
will   O
also   O
send   O
a   O
copy   O
of   O
the   O
medical   O
report   O
to   O
Kirby   B-NAME
's   O
permanent   O
address   O
in   O
Trenton   B-LOCATION
,   I-LOCATION
ON   I-LOCATION
K8V   I-LOCATION
8K8   I-LOCATION
.   O

We   O
respect   O
our   O
patient   O
's   O
privacy   O
and   O
have   O
generated   O
an   O
anonymous   O
username   O
,   O
dl216   B-NAME
for   O
all   O
future   O
communications   O
including   O
online   O
consultations   O
.   O

Identification   O
proof   O
with   O
an   O
ID   O
number   O
HT:21337:644690   B-ID
will   O
be   O
required   O
in   O
case   O
of   O
any   O
changes   O
to   O
this   O
arrangement   O
.   O

Patient   O
's   O
Zip   O
:   O
65936   B-LOCATION
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Nathanael   B-NAME
Solis   I-NAME
Age   O
:   O
87s   O
ID   O
:   O
NP   B-ID
:   I-ID
OK:3918   I-ID
Medical   O
Record   O
Number   O
:   O
636   B-ID
-   I-ID
11   I-ID
-   I-ID
44   I-ID
-   I-ID
1   I-ID
Primary   O
Care   O
Physician   O
:   O

Stark   B-NAME
Appointment   O
Date   O
:   O
2/21   B-DATE
Presentation   O
:   O
Angelique   B-NAME
Knox   I-NAME
presented   O
with   O
a   O
persistent   O
dry   O
cough   O
and   O
dyspnea   O
that   O
has   O
been   O
ongoing   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Denisse   B-NAME
Kelley   I-NAME
has   O
been   O
previously   O
diagnosed   O
with   O
hypertension   O
and   O
diabetes   O
mellitus   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
chest   O
X   O
-   O
ray   O
was   O
performed   O
at   O
Northeast   B-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
,   O
which   O
demonstrated   O
an   O
increased   O
heart   O
size   O
and   O
evidence   O
of   O
pulmonary   O
congestion   O
.   O

Richmond   B-NAME
's   O
current   O
medication   O
was   O
adjusted   O
by   O
Aydan   B-NAME
Zimmerman   I-NAME
to   O
include   O
a   O
diuretic   O
,   O
Furosemide   O
,   O
for   O
fluid   O
management   O
and   O
Carvedilol   O
for   O
improved   O
heart   O
function   O
.   O

Home   O
Address   O
:   O
Hernando   B-LOCATION
Beach   I-LOCATION
Phone   O
Number   O
:   O
908   B-CONTACT
700   I-CONTACT
-   I-CONTACT
1025   I-CONTACT
Occupation   O
:   O
Mail   O
Clerks   O
,   O
Except   O
Mail   O
Machine   O
Operators   O
and   O
Postal   O
Service   O
Workplace   O
:   O
Century   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
Follow   O
-   O
Up   O
Appointments   O
:   O
Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
at   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
In   I-LOCATION
Red   I-LOCATION
Wing   I-LOCATION
every   O
2   O
weeks   O
starting   O
from   O
09/33   B-DATE
as   O
a   O
part   O
of   O
heart   O
failure   O
monitoring   O
protocol   O
.   O

John   B-NAME
V.   I-NAME
Hood   I-NAME
will   O
also   O
participate   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
organized   O
by   O
Liberty   B-LOCATION
Utilities   I-LOCATION
(   I-LOCATION
including   I-LOCATION
Granite   I-LOCATION
State   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
.   O

Emergency   O
Contact   O
:   O
IC812   B-NAME
Contact   O
Number   O
:   O
53144   B-CONTACT
Medical   O
Information   O
Securely   O
Stored   O
at   O
:   O
Stephens   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Community   O
/   O
Area   O
Zip   O
Code   O
:   O
55799   B-LOCATION

Patient   O
:   O
Carmelo   B-NAME
Huang   I-NAME
Age   O
:   O
55   O
Medical   O
Record   O
Number   O
:   O
162   B-ID
-   I-ID
66   I-ID
-   I-ID
70   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Visit   O
:   O
22/11/2250   B-DATE
Address   O
:   O
Needville   B-LOCATION
,   O
65940   B-LOCATION
Occupation   O
:   O
waiter   O
Report   O
:   O
On   O
the   O
set   O
consult   O
date   O
,   O
30/21/2330   B-DATE
,   O
I   O
had   O
the   O
opportunity   O
to   O
examine   O
Patricia   B-NAME
Drake   I-NAME
.   O

Over   O
the   O
past   O
two   O
weeks   O
,   O
williams   B-NAME
had   O
been   O
experiencing   O
severe   O
discomfort   O
,   O
marked   O
by   O
consistent   O
,   O
throbbing   O
headaches   O
.   O

Abbie   B-NAME
Daniels   I-NAME
reported   O
that   O
painkillers   O
showed   O
limited   O
effectiveness   O
.   O

Flynn   B-NAME
works   O
as   O
a   O
Singers   O
and   O
claimed   O
that   O
these   O
headaches   O
had   O
begun   O
to   O
affect   O
his   O
daily   O
work   O
activities   O
.   O

I   O
reviewed   O
a   O
previous   O
CT   O
scan   O
from   O
12/13   B-DATE
performed   O
at   O
Otsego   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

I   O
advised   O
Addyson   B-NAME
Shelton   I-NAME
to   O
seek   O
a   O
referral   O
to   O
a   O
neurologist   O
for   O
further   O
examination   O
.   O

His   O
employer   O
,   O
GIRCA   B-LOCATION
,   O
will   O
be   O
contacted   O
to   O
discuss   O
potential   O
workplace   O
adaptations   O
.   O

Follow   O
-   O
ups   O
and   O
any   O
further   O
consultations   O
will   O
be   O
scheduled   O
through   O
our   O
department   O
's   O
phone   O
number   O
(   O
647   B-CONTACT
2916   I-CONTACT
)   O
.   O

As   O
Jacoby   B-NAME
's   O
primary   O
care   O
physician   O
,   O
I   O
will   O
also   O
suggest   O
some   O
lifestyle   O
modifications   O
that   O
may   O
help   O
in   O
the   O
meantime   O
.   O

Detailed   O
recommendations   O
will   O
be   O
sent   O
to   O
Diderot   B-NAME
,   I-NAME
Denis   I-NAME
's   O
email   O
(   O
clh921   B-NAME
)   O
.   O

Please   O
call   O
our   O
office   O
at   O
462   B-CONTACT
-   I-CONTACT
5579   I-CONTACT
if   O
you   O
have   O
any   O
questions   O
or   O
concerns   O
.   O

Signed   O
,   O
Carlita   B-NAME
Dower   I-NAME
ID   O
:   O
JL:27522:598894   B-ID

Patient   O
name   O
:   O
Yan   B-NAME
Age   O
:   O
12   O
Medical   O
Record   O
Number   O
:   O
38934469   B-ID
DOB   O
:   O
02/08/1834   B-DATE
Residing   O
at   O
Dallas   B-LOCATION
,   O
43143   B-LOCATION
.   O

Mr.   O
Frederick   B-NAME
Steele   I-NAME
,   O
a   O
Parking   O
Enforcement   O
Workers   O
by   O
occupation   O
,   O
had   O
contacted   O
me   O
on   O
50023   B-CONTACT
on   O
the   O
morning   O
of   O
02/34   B-DATE
.   O

This   O
patient   O
,   O
per   O
his   O
own   O
history   O
,   O
has   O
not   O
travelled   O
out   O
of   O
Georgia   B-LOCATION
for   O
many   O
years   O
.   O

Gage   B-NAME
Hendricks   I-NAME
also   O
denied   O
cough   O
,   O
chest   O
pain   O
,   O
or   O
any   O
urinary   O
symptoms   O
.   O

Upon   O
admission   O
to   O
Sibley   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
he   O
was   O
promptly   O
assessed   O
by   O
the   O
medical   O
officer   O
,   O
Dr.   O
Ravi   B-NAME
Raja   I-NAME
.   O

Blood   O
cultures   O
have   O
been   O
sent   O
to   O
the   O
World   B-LOCATION
Future   I-LOCATION
Council   I-LOCATION
for   O
further   O
investigation   O
.   O

The   O
care   O
team   O
also   O
includes   O
a   O
gastroenterologist   O
,   O
Dr.   O
Ramirez   B-NAME
and   O
an   O
infectious   O
disease   O
specialist   O
,   O
Dr.   O
Butler   B-NAME
.   O

The   O
patient   O
's   O
employer   O
ID   O
is   O
EW:4191:785186   B-ID
.   O

The   O
patient   O
's   O
family   O
,   O
who   O
live   O
in   O
different   O
parts   O
of   O
Madison   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
-   I-LOCATION
City   I-LOCATION
of   I-LOCATION
Madison   I-LOCATION
,   O
have   O
been   O
briefed   O
about   O
the   O
hospital   O
admission   O
and   O
treatment   O
plan   O
.   O

I   O
will   O
continue   O
to   O
monitor   O
Cisneros   B-NAME
's   O
progress   O
and   O
plan   O
to   O
reassess   O
in   O
the   O
coming   O
days   O
.   O

For   O
any   O
further   O
communication   O
or   O
appointment   O
,   O
please   O
write   O
to   O
the   O
user   O
ID   O
:   O
MP265   B-NAME
.   O

Patient   O
Information   O
:   O
Edward   B-NAME
Randolph   I-NAME
is   O
a   O
3   O
year   O
old   O
male   O
with   O
a   O
complaint   O
of   O
persistent   O
cough   O
and   O
fatigue   O
for   O
the   O
past   O
10   O
days   O
,   O
beginning   O
around   O
30/23   B-DATE
.   O

Bono   B-NAME
resides   O
in   O
Port   B-LOCATION
Gibson   I-LOCATION
,   I-LOCATION
Port   I-LOCATION
Gibson   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
and   O
works   O
as   O
a   O
Couriers   O
and   O
Messengers   O
.   O

His   O
contact   O
number   O
is   O
469   B-CONTACT
671   I-CONTACT
7443   I-CONTACT
.   O

Medical   O
History   O
:   O
Khan   B-NAME
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
type   O
2   O
diabetes   O
and   O
hypertension   O
.   O

His   O
medical   O
record   O
54992521   B-ID
includes   O
information   O
regarding   O
past   O
hospitalizations   O
at   O
Desert   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

He   O
was   O
treated   O
by   O
English   B-NAME
and   O
his   O
last   O
visit   O
to   O
the   O
clinic   O
was   O
on   O
2025   B-DATE
.   O

Presenting   O
Symptoms   O
:   O
Donovan   B-NAME
J.   I-NAME
Betty   I-NAME
Barber   I-NAME
is   O
presenting   O
with   O
a   O
persistent   O
,   O
dry   O
cough   O
and   O
overall   O
body   O
fatigue   O
.   O

Investigations   O
:   O
Glass   B-NAME
was   O
advised   O
to   O
conduct   O
a   O
full   O
blood   O
count   O
,   O
and   O
chest   O
X   O
-   O
ray   O
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Beaches   I-LOCATION
.   O

His   O
appointment   O
is   O
scheduled   O
for   O
00/11   B-DATE
.   O

His   O
medical   O
lab   O
ID   O
is   O
SW   B-ID
:   I-ID
YM:6551   I-ID
.   O

Physician   O
's   O
Note   O
:   O
After   O
due   O
consideration   O
of   O
the   O
reported   O
symptoms   O
and   O
medical   O
history   O
,   O
Shannon   B-NAME
has   O
planned   O
to   O
conduct   O
a   O
thorough   O
examination   O
and   O
necessary   O
investigations   O
.   O

In   O
case   O
of   O
any   O
further   O
queries   O
or   O
concerns   O
,   O
David   B-NAME
Napolitano   I-NAME
may   O
contact   O
Kiara   B-NAME
Nicholson   I-NAME
or   O
the   O
nursing   O
staff   O
at   O
the   O
provided   O
contact   O
29978   B-CONTACT
.   O

The   O
office   O
address   O
is   O
at   O
Riverbank   B-LOCATION
,   O
25513   B-LOCATION
.   O

Insurance   O
Information   O
:   O
Baylee   B-NAME
Navarro   I-NAME
health   O
insurance   O
is   O
managed   O
by   O
Bank   B-LOCATION
of   I-LOCATION
Lincolnwood   I-LOCATION
.   O

His   O
policy   O
ID   O
number   O
is   O
HQ:22917:552676   B-ID
.   O
Recommendation   O
:   O

Aside   O
from   O
the   O
appointments   O
,   O
Linnie   B-NAME
Labombard   I-NAME
is   O
recommended   O
to   O
monitor   O
symptoms   O
at   O
home   O
,   O
continue   O
his   O
current   O
medication   O
for   O
chronic   O
conditions   O
,   O
maintain   O
a   O
balanced   O
diet   O
and   O
adopt   O
good   O
hygiene   O
practices   O
.   O

Any   O
escalations   O
in   O
symptoms   O
should   O
be   O
reported   O
immediately   O
to   O
Jane   B-NAME
Zavala   I-NAME
or   O
his   O
team   O
.   O

His   O
follow   O
-   O
up   O
appointment   O
will   O
be   O
scheduled   O
via   O
the   O
online   O
patient   O
portal   O
(   O
gs710   B-NAME
)   O
.   O

Patient   O
:   O
Malcolm   B-NAME
Crowe   I-NAME
Gender   O
:   O
Male   O
Age   O
:   O
60   O
Medical   O
Record   O
Number   O
:   O
63509438   B-ID
21/18/62   B-DATE
:   O

Patient   O
presented   O
to   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
escalating   O
in   O
intensity   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Additionally   O
,   O
Gabriela   B-NAME
Sanford   I-NAME
reports   O
episodes   O
of   O
nausea   O
,   O
occasional   O
vomiting   O
and   O
intermittent   O
bouts   O
of   O
diarrhoea   O
.   O

Background   O
:   O
Carmelo   B-NAME
Huang   I-NAME
works   O
as   O
a   O
bartender   O
for   O
County   B-LOCATION
Bank   I-LOCATION
in   O
Mars   B-LOCATION
.   O

Rhett   B-NAME
Grimes   I-NAME
has   O
no   O
known   O
chronic   O
diseases   O
or   O
any   O
previously   O
diagnosed   O
medical   O
conditions   O
except   O
for   O
occasional   O
migraines   O
.   O

Has   O
lived   O
in   O
79089   B-LOCATION
for   O
five   O
years   O
and   O
maintains   O
a   O
relatively   O
healthy   O
lifestyle   O
.   O

Patient   O
Identification   O
:   O
VE   B-ID
:   I-ID
ME:5836   B-ID
Telephone   O
number   O
:   O
44999   B-CONTACT
1858   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
17   I-DATE
:   O
Lab   O
results   O
reported   O
elevated   O
white   O
blood   O
cell   O
count   O
.   O

Arnold   B-NAME
recommended   O
hospital   O
admission   O
for   O
intravenous   O
antibiotics   O
and   O
analgesics   O
.   O

February   B-DATE
18   I-DATE
,   I-DATE
2266   I-DATE
:   O

Alberto   B-NAME
Beltran   I-NAME
was   O
admitted   O
to   O
University   B-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
,   O
Room   O
#   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10468   I-LOCATION
.   O

Collaborating   O
Caregiver   O
:   O
WO51   B-NAME
Prescribed   O
Treatment   O
:   O
13/02/2033   B-DATE
:   O
Oral   O
antibiotic   O
regimen   O
,   O
IV   O
fluids   O
and   O
analgesics   O
were   O
prescribed   O
.   O

This   O
report   O
being   O
confidential   O
is   O
for   O
the   O
sole   O
use   O
by   O
Southeast   B-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
its   O
medical   O
professionals   O
.   O

Should   O
you   O
need   O
to   O
contact   O
Isabella   B-NAME
Glass   I-NAME
,   O
direct   O
inquiries   O
to   O
the   O
general   O
hospital   O
line   O
and   O
remember   O
to   O
provide   O
the   O
1270O37589   B-ID
.   O

Patient   O
Name   O
:   O
Mel   B-NAME
Buffkin   I-NAME
Birthdate   O
:   O
02/02/2192   B-DATE
Age   O
:   O
22   O
Medical   O
Record   O
Number   O
:   O
40058325   B-ID
Identity   O
Number   O
:   O
IH182/1952   B-ID
Location   O
:   O
Saxis   B-LOCATION
ZIP   O
Code   O
:   O
25297   B-LOCATION
Phone   O
Number   O
:   O
593   B-CONTACT
6455   I-CONTACT
Username   O
:   O
pcz4710   B-NAME
Organization   O
:   O
Association   B-LOCATION
of   I-LOCATION
Analytical   I-LOCATION
Communities   I-LOCATION
(   I-LOCATION
AOAC   I-LOCATION
International   I-LOCATION
)   I-LOCATION
Profession   O
:   O
Rail   O
-   O
Track   O
Laying   O
and   O
Maintenance   O
Equipment   O
Operators   O
Physician   O
:   O

Ardite   B-NAME
Hospital   O
:   O
Froedtert   B-LOCATION
Hospital   I-LOCATION
12/12/2062   B-DATE
Consulted   O
Stallman   B-NAME
,   I-NAME
Richard   I-NAME
M   I-NAME
at   O
Cordova   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
due   O
to   O
persistent   O
cough   O
and   O
fever   O
for   O
a   O
week   O
.   O

The   O
patient   O
,   O
identified   O
as   O
Rosamond   B-NAME
Contino   I-NAME
,   O
has   O
a   O
medical   O
record   O
63509438   B-ID
and   O
is   O
associated   O
with   O
United   B-LOCATION
Auto   I-LOCATION
Workers   I-LOCATION
for   O
her   O
professional   O
duties   O
as   O
a   O
Computer   O
Specialists   O
,   O
All   O
Other   O
residing   O
at   O
Saint   B-LOCATION
-   I-LOCATION
Quentin   I-LOCATION
,   I-LOCATION
NB   I-LOCATION
E8A   I-LOCATION
3B7   I-LOCATION
,   O
27640   B-LOCATION
.   O

Given   O
her   O
age   O
,   O
51   O
,   O
and   O
underlying   O
comorbidity   O
of   O
type   O
-   O
II   O
diabetes   O
,   O
Raquel   B-NAME
Browning   I-NAME
was   O
admitted   O
to   O
the   O
internal   O
medicine   O
department   O
at   O
HSHS   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
care   O
and   O
treatment   O
.   O

To   O
discuss   O
her   O
case   O
further   O
,   O
please   O
call   O
the   O
attending   O
physician   O
,   O
Finn   B-NAME
Green   I-NAME
at   O
460   B-CONTACT
-   I-CONTACT
529   I-CONTACT
8714   I-CONTACT
or   O
leave   O
a   O
message   O
by   O
accessing   O
her   O
profile   O
using   O
the   O
username   O
soq2910   B-NAME
through   O
our   O
portal   O
.   O

For   O
updates   O
on   O
her   O
condition   O
,   O
please   O
call   O
the   O
internal   O
medicine   O
department   O
at   O
Nacogdoches   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
referring   O
to   O
her   O
unique   O
identification   O
number   O
XG545/9790   B-ID
.   O

Patient   O
Information   O
:   O
Mr.   O
Dahlia   B-NAME
Stevenson   I-NAME
,   O
a   O
Sports   O
therapist   O
of   O
39   O
,   O
presented   O
to   O
Chilton   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
July   B-DATE
.   O

The   O
patient   O
is   O
a   O
resident   O
of   O
Terryville   B-LOCATION
with   O
zip   O
code   O
16954   B-LOCATION
and   O
could   O
be   O
reached   O
out   O
at   O
41033   B-CONTACT
.   O

Dr.   O
Li   B-NAME
Bai   I-NAME
was   O
assigned   O
to   O
the   O
patient   O
’s   O
case   O
.   O

During   O
the   O
initial   O
assessment   O
,   O
Mr.   O
Park   B-NAME
reported   O
experiencing   O
symptoms   O
similar   O
to   O
angina   O
for   O
the   O
past   O
week   O
.   O

Dr.   O
Vazquez   B-NAME
documented   O
a   O
history   O
of   O
unstable   O
angina   O
with   O
a   O
cardiac   O
episode   O
about   O
three   O
years   O
ago   O
at   O
Farmer   B-LOCATION
City   I-LOCATION
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
has   O
been   O
trying   O
to   O
manage   O
these   O
symptoms   O
with   O
pharmacotherapy   O
since   O
his   O
medical   O
record   O
4700605   B-ID
suggested   O
a   O
high   O
risk   O
for   O
coronary   O
heart   O
disease   O
.   O

Current   O
Symptoms   O
:   O
Mr.   O
Carie   B-NAME
complains   O
of   O
pressure   O
and   O
tightness   O
in   O
the   O
chest   O
that   O
comes   O
and   O
goes   O
.   O

Mr.   O
Stafford   B-NAME
does   O
admit   O
to   O
occasional   O
smoking   O
and   O
a   O
less   O
-   O
than   O
-   O
optimal   O
diet   O
that   O
is   O
high   O
in   O
processed   O
meats   O
and   O
fats   O
,   O
practices   O
which   O
have   O
been   O
strongly   O
discouraged   O
by   O
most   O
medical   O
organizations   O
,   O
including   O
Kansas   B-LOCATION
City   I-LOCATION
Life   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Financial   O
and   O
Administrative   O
Information   O
:   O
Mr.   O
Robinson   B-NAME
,   I-NAME
Jackie   I-NAME
's   O
insurance   O
ID   O
is   O
WG361/8839   B-ID
and   O
can   O
be   O
updated   O
on   O
the   O
hospital   O
system   O
by   O
XJ925   B-NAME
,   O
the   O
account   O
manager   O
.   O

It   O
is   O
essential   O
that   O
Mr.   O
Yan   B-NAME
D.   I-NAME
Ball   I-NAME
remains   O
in   O
contact   O
with   O
Dr.   O
Castillo   B-NAME
at   O
Newport   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
and   O
potential   O
treatment   O
adjustments   O
.   O

Updates   O
on   O
these   O
appointments   O
should   O
be   O
sent   O
to   O
his   O
house   O
at   O
Cedar   B-LOCATION
Falls   I-LOCATION
.   O

Given   O
the   O
increased   O
frequency   O
of   O
anginal   O
symptoms   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Barlow   B-NAME
,   I-NAME
John   I-NAME
Perry   I-NAME
for   O
the   O
coming   O
28/23   B-DATE
.   O

Patient   O
Name   O
:   O
Randall   B-NAME
Strong   I-NAME
Age   O
:   O
42   O
Date   O
:   O
February   B-DATE
Location   O
:   O
Kenora   B-LOCATION
,   I-LOCATION
ON   I-LOCATION
P9N   I-LOCATION
8L3   I-LOCATION
Medical   O
Record   O
Number   O
:   O
457   B-ID
-   I-ID
22   I-ID
-   I-ID
88   I-ID
Physician   O
's   O
Name   O
:   O
Osvaldo   B-NAME
Griffith   I-NAME
Hospital   O
Name   O
:   O
Kansas   B-LOCATION
Spine   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
Organization   O
:   O

Lincoln   B-LOCATION
Park   I-LOCATION
Saving   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Coating   O
,   O
Painting   O
,   O
and   O
Spraying   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
The   O
patient   O
,   O
Arjun   B-NAME
Mcdaniel   I-NAME
,   O
38   O
,   O
presented   O
at   O
Barnes   B-LOCATION
-   I-LOCATION
Kasson   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
5/22/12   B-DATE
from   O
Cedaredge   B-LOCATION
with   O
symptoms   O
indicative   O
of   O
acute   O
myocardial   O
infarction   O
.   O

The   O
patient   O
was   O
treated   O
by   O
Holder   B-NAME
who   O
activated   O
the   O
cardiac   O
catheterization   O
lab   O
upon   O
the   O
patient   O
's   O
arrival   O
.   O

Babbage   B-NAME
,   I-NAME
Charles   I-NAME
found   O
a   O
100   O
%   O
occlusion   O
of   O
the   O
left   O
anterior   O
descending   O
artery   O
(   O
LAD   O
)   O
,   O
which   O
was   O
promptly   O
managed   O
with   O
a   O
drug   O
-   O
eluting   O
stent   O
.   O

Ahead   O
of   O
discharge   O
,   O
Cassidy   B-NAME
Valentine   I-NAME
discussed   O
with   O
Kenneth   B-NAME
Z.   I-NAME
Sellers   I-NAME
the   O
need   O
for   O
lifestyle   O
modifications   O
and   O
the   O
importance   O
of   O
medication   O
adherence   O
in   O
the   O
post   O
-   O
myocardial   O
infarction   O
period   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Central   B-LOCATION
Vermont   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
624   B-CONTACT
-   I-CONTACT
8542   I-CONTACT
in   O
case   O
of   O
any   O
issues   O
.   O

The   O
appointment   O
for   O
follow   O
-   O
up   O
under   O
Esperanza   B-NAME
Cole   I-NAME
was   O
scheduled   O
for   O
February   B-DATE
.   O

The   O
patient   O
lives   O
in   O
14960   B-LOCATION
and   O
is   O
a   O
Hairdressers   O
,   O
Hairstylists   O
,   O
and   O
Cosmetologists   O
at   O
Hudson   B-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
.   O

He   O
can   O
be   O
reached   O
at   O
449   B-CONTACT
383   I-CONTACT
1386   I-CONTACT
.   O

His   O
medical   O
ID   O
is   O
CW:77101:957356   B-ID
and   O
his   O
portal   O
username   O
is   O
zo494   B-NAME
.   O

The   O
summary   O
of   O
this   O
case   O
will   O
be   O
sent   O
to   O
the   O
primary   O
health   O
physician   O
,   O
Dr.   O
Peters   B-NAME
.   O

Note   O
:   O
Confidential   O
Patient   O
Record   O
for   O
Belen   B-NAME
Kaufman   I-NAME
,   O
ID   O
:   O
45265016   B-ID

Patient   O
Name   O
:   O
Ban   B-NAME
Age   O
:   O
17   O
ID   O
:   O
KE   B-ID
:   I-ID
TG:4188   I-ID
Medical   O
Record   O
No   O
:   O
2946X49958   B-ID
Location   O
:   O
Staten   B-LOCATION
Island   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10306   I-LOCATION
Zip   O
:   O
63097   B-LOCATION
Phone   O
:   O
90166   B-CONTACT
Occupation   O
:   O
Food   O
Servers   O
,   O
Nonrestaurant   O
Doctor   O
Name   O
:   O
Rayna   B-NAME
Olson   I-NAME
The   O
patient   O
,   O
Haleigh   B-NAME
Graham   I-NAME
,   O
presented   O
to   O
the   O
Lake   B-LOCATION
Huron   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/82   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
an   O
abdominal   O
CT   O
scan   O
under   O
the   O
supervision   O
of   O
Dr.   O
Denzel   B-NAME
Hurley   I-NAME
and   O
the   O
results   O
will   O
be   O
closely   O
evaluated   O
by   O
the   O
team   O
for   O
further   O
diagnosis   O
and   O
treatment   O
plan   O
.   O

Additionally   O
,   O
the   O
patient   O
’s   O
history   O
and   O
current   O
symptoms   O
have   O
been   O
thoroughly   O
documented   O
in   O
the   O
medical   O
record   O
82750272   B-ID
.   O

Health   O
information   O
has   O
been   O
shared   O
with   O
their   O
company   O
American   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Clinical   I-LOCATION
Chemistry   I-LOCATION
for   O
insurance   O
purposes   O
.   O

Further   O
updates   O
about   O
the   O
patient   O
's   O
health   O
status   O
will   O
be   O
posted   O
to   O
the   O
user   O
portal   O
with   O
username   O
po457   B-NAME
.   O

The   O
patient   O
and   O
their   O
family   O
have   O
been   O
informed   O
of   O
the   O
situation   O
over   O
the   O
registered   O
contact   O
number   O
362   B-CONTACT
-   I-CONTACT
3728   I-CONTACT
.   O

A   O
follow   O
-   O
up   O
appointment   O
post   O
-   O
surgery   O
has   O
been   O
set   O
up   O
with   O
Dr.   O
Morrison   B-NAME
,   I-NAME
Robert   I-NAME
at   O
Healthpark   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
in   O
the   O
city   O
of   O
Westport   B-LOCATION
.   O

Patient   O
Name   O
:   O
Nga   B-NAME
Age   O
:   O
64   O
ID   O
:   O
QL   B-ID
:   I-ID
VA:2559   I-ID
Date   O
:   O
Jun   B-DATE
6   I-DATE
,   I-DATE
2277   I-DATE
Doctor   O
:   O
Mitchell   B-NAME
Bradley   I-NAME
Hospital   O
:   O

Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Harrisburg   I-LOCATION
Medical   O
Record   O
:   O
4689456   B-ID
I   O
,   O
Julianna   B-NAME
Callahan   I-NAME
,   O
examined   O
Bell   B-NAME
at   O
Alvarado   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2392   B-DATE
.   O

Upon   O
examination   O
,   O
Harris   B-NAME
,   I-NAME
William   I-NAME
Torrey   I-NAME
was   O
afebrile   O
,   O
vitals   O
were   O
stable   O
but   O
the   O
presence   O
of   O
a   O
positive   O
Murphy   O
's   O
sign   O
was   O
noted   O
during   O
the   O
physical   O
exam   O
.   O

Given   O
the   O
patients   O
symptoms   O
,   O
an   O
abdominal   O
ultrasound   O
was   O
performed   O
at   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
The   I-LOCATION
King   I-LOCATION
's   I-LOCATION
Daughters   I-LOCATION
which   O
showed   O
the   O
presence   O
of   O
gallstones   O
and   O
a   O
thickened   O
gallbladder   O
wall   O
consistent   O
with   O
acute   O
cholecystitis   O
.   O

She   O
was   O
scheduled   O
for   O
a   O
laparoscopic   O
cholecystectomy   O
at   O
North   B-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
three   O
days   O
from   O
1957   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
31   I-DATE
.   O

The   O
surgery   O
was   O
informed   O
to   O
her   O
family   O
through   O
the   O
contact   O
number   O
46264   B-CONTACT
provided   O
to   O
us   O
.   O

The   O
surgery   O
will   O
be   O
performed   O
by   O
the   O
team   O
led   O
by   O
me   O
,   O
Ward   B-NAME
.   O

After   O
the   O
surgery   O
,   O
she   O
will   O
be   O
moved   O
to   O
a   O
recovery   O
room   O
at   O
Nevada   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
location   O
28   B-LOCATION
East   I-LOCATION
Ridgewood   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION
,   O
for   O
post   O
-   O
operative   O
care   O
under   O
nursing   O
staff   O
.   O

The   O
estimated   O
recovery   O
time   O
is   O
about   O
two   O
weeks   O
and   O
follow   O
-   O
up   O
has   O
been   O
scheduled   O
post   O
-   O
surgery   O
at   O
CHRISTUS   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Westover   I-LOCATION
Hills   I-LOCATION
.   O

She   O
is   O
currently   O
employed   O
as   O
a   O
Psychiatrists   O
at   O
The   B-LOCATION
Park   I-LOCATION
Avenue   I-LOCATION
Bank   I-LOCATION
.   O

Her   O
supervisor   O
blc934   B-NAME
at   O
The   B-LOCATION
La   I-LOCATION
Coste   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
has   O
been   O
informed   O
about   O
her   O
medical   O
condition   O
and   O
the   O
necessary   O
period   O
of   O
absence   O
to   O
ensure   O
a   O
smooth   O
recovery   O
process   O
.   O

Thank   O
you   O
,   O
Holder   B-NAME
43230   B-CONTACT
Orange   B-LOCATION
City   I-LOCATION
Area   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Pittsburgh   B-LOCATION
-   I-LOCATION
Friendship   I-LOCATION
,   I-LOCATION
Friendship   I-LOCATION
Development   I-LOCATION
Associates   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
80290   B-LOCATION

Patient   O
name   O
:   O
Uriel   B-NAME
Palmer   I-NAME
DOB   O
:   O
1/32   B-DATE
Medical   O
Record   O
#   O
:   O
9183266   B-ID
Consulting   O
Physician   O
:   O
Perkins   B-NAME
Hospital   O
:   O
Emory   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Address   O
:   O
Deer   B-LOCATION
River   I-LOCATION
,   O
38592   B-LOCATION
Phone   O
number   O
:   O
(   B-CONTACT
621   I-CONTACT
)   I-CONTACT
345   I-CONTACT
-   I-CONTACT
2448   I-CONTACT
Background   O
:   O
Shamar   B-NAME
Briggs   I-NAME
,   O
a   O
0   O
month   O
year   O
-   O
old   O
Psychiatrists   O
,   O
reported   O
experiencing   O
bouts   O
of   O
fatigue   O
and   O
shortness   O
of   O
breath   O
.   O

In   O
21/02   B-DATE
,   O
the   O
patient   O
was   O
diagnosed   O
with   O
hypertension   O
and   O
was   O
prescribed   O
medication   O
.   O

Signature   O
:   O
VD699   B-NAME
Kernel   O
ID   O
#   O
:   O
YH689/4913   B-ID
Report   O
taken   O
in   O
Taylor   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
Irving   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
75060   I-LOCATION
on   O
Thursday   B-DATE
Release   O
to   O
:   O
Holland   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
Works   I-LOCATION

Next   O
appointment   O
:   O
13/11/2309   B-DATE
with   O
Dr.   O
Jude   B-NAME
Frye   I-NAME
at   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
Brooklyn   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
.   O

Please   O
contact   O
us   O
at   O
(   B-CONTACT
842   I-CONTACT
)   I-CONTACT
501   I-CONTACT
4449   I-CONTACT
in   O
case   O
of   O
any   O
query   O
or   O
for   O
an   O
appointment   O
change   O
.   O

135   B-ID
-   I-ID
23   I-ID
-   I-ID
04   I-ID
-   I-ID
2   I-ID
:   O
#   O
123456   O

The   O
patient   O
's   O
name   O
is   O
U.   B-NAME
Needham   I-NAME
.   O

He   O
came   O
to   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Chester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
30/22   B-DATE
complaining   O
of   O
severe   O
chest   O
pain   O
that   O
started   O
suddenly   O
while   O
he   O
was   O
at   O
work   O
.   O

He   O
was   O
transferred   O
to   O
our   O
facility   O
from   O
his   O
workplace   O
located   O
at   O
Belen   B-LOCATION
.   O

Our   O
resident   O
cardiologist   O
,   O
Dr.   O
Maliyah   B-NAME
Bishop   I-NAME
,   O
attended   O
to   O
him   O
immediately   O
.   O

His   O
ID   O
number   O
TB   B-ID
:   I-ID
TL:8885   I-ID
was   O
later   O
sent   O
to   O
us   O
by   O
his   O
employer   O
,   O
an   O
AnimaNaturalis   B-LOCATION
(   I-LOCATION
Spain   I-LOCATION
and   I-LOCATION
Latin   I-LOCATION
America   I-LOCATION
)   I-LOCATION
located   O
in   O
Barker   B-LOCATION
Heights   I-LOCATION
.   O

The   O
patient   O
’s   O
emergency   O
contact   O
(   B-CONTACT
484   I-CONTACT
)   I-CONTACT
703   I-CONTACT
5190   I-CONTACT
was   O
also   O
noted   O
in   O
the   O
records   O
.   O

During   O
the   O
admission   O
process   O
,   O
the   O
patient   O
handed   O
over   O
his   O
personal   O
belonging   O
including   O
his   O
mobile   O
phone   O
with   O
username   O
rb537   B-NAME
and   O
his   O
zip   O
code   O
79191   B-LOCATION
for   O
his   O
residential   O
address   O
was   O
recorded   O
.   O

The   O
patient   O
's   O
case   O
will   O
be   O
updated   O
and   O
reviewed   O
in   O
the   O
multi   O
-   O
disciplinary   O
team   O
MDT   O
meeting   O
scheduled   O
for   O
19/32   B-DATE
.   O

Patient   O
report   O
:   O
Mr.   O
Liz   B-NAME
is   O
a   O
94   O
-   O
year   O
-   O
old   O
male   O
presented   O
in   O
the   O
ER   O
of   O
Dearborn   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
DBA   I-LOCATION
Highpoint   I-LOCATION
Health   I-LOCATION
on   O
2102   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
02   I-DATE
.   O

Dr.   O
Sydney   B-NAME
Napur   I-NAME
performed   O
the   O
initial   O
examination   O
.   O

Commander   O
Pharmacists   O
from   O
the   O
New   B-LOCATION
Century   I-LOCATION
Bank   I-LOCATION
was   O
also   O
present   O
.   O

Conor   B-NAME
Dickerson   I-NAME
’s   O

During   O
the   O
process   O
,   O
his   O
family   O
,   O
residing   O
at   O
Granite   B-LOCATION
Quarry   I-LOCATION
were   O
contacted   O
using   O
the   O
phone   O
number   O
51310   B-CONTACT
for   O
necessary   O
consent   O
.   O

In   O
his   O
social   O
history   O
,   O
Confucius   B-NAME
reported   O
that   O
he   O
is   O
an   O
automobile   O
mechanic   O
by   O
Infantry   O
.   O

Mr.   O
Mclean   B-NAME
was   O
admitted   O
immediately   O
for   O
urgent   O
care   O
under   O
the   O
careful   O
supervision   O
of   O
Dr.   O
Nikolai   B-NAME
Mcbride   I-NAME
.   O

His   O
medical   O
record   O
75129140   B-ID
was   O
updated   O
.   O

Emergency   O
contact   O
was   O
his   O
brother   O
,   O
working   O
in   O
Lakeland   B-LOCATION
Electric   I-LOCATION
,   O
found   O
via   O
his   O
contact   O
284   B-CONTACT
6870   I-CONTACT
.   O

His   O
next   O
scheduled   O
follow   O
-   O
up   O
is   O
on   O
2223   B-DATE
.   O

He   O
will   O
receive   O
periodic   O
medical   O
consultation   O
by   O
Dr.   O
Mariam   B-NAME
Zamora   I-NAME
at   O
Edinburg   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
the   O
coming   O
weeks   O
.   O

His   O
address   O
in   O
Belfair   B-LOCATION
and   O
his   O
area   O
28446   B-LOCATION
were   O
added   O
to   O
the   O
Home   O
Healthcare   O
Services   O
as   O
he   O
will   O
need   O
at   O
-   O
home   O
assistance   O
for   O
a   O
few   O
weeks   O
.   O

Coordination   O
is   O
ongoing   O
with   O
his   O
insurance   O
ID   O
UT:91444:337104   B-ID
for   O
the   O
processing   O
of   O
his   O
hospital   O
bills   O
and   O
medication   O
expenses   O
.   O

His   O
case   O
was   O
recorded   O
under   O
the   O
username   O
aw461   B-NAME
.   O
Conclusion   O
:   O

Patient   O
Name   O
:   O
Stephen   B-NAME
Age   O
:   O
28   O
Doctor   O
:   O
Banks   B-NAME
,   I-NAME
Tony   I-NAME
(   I-NAME
Lord   I-NAME
Stratford   I-NAME
)   I-NAME
Hospital   O
:   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
Round   I-LOCATION
Rock   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Signed   O
by   O
:   O
Mullally   B-NAME
,   I-NAME
Megan   I-NAME
Patient   O
ID   O
:   O
8   B-ID
-   I-ID
4160594   I-ID
MRN   O
:   O
22555434   B-ID
On   O
the   O
morning   O
of   O
01/32   B-DATE
,   O
Drake   B-NAME
Stanton   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Petaluma   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
in   O
New   B-LOCATION
Paris   I-LOCATION
.   O

Hahn   B-NAME
works   O
as   O
a   O
Pharmacy   O
Technicians   O
.   O

Alec   B-NAME
Rivera   I-NAME
's   O
chief   O
complaint   O
was   O
severe   O
,   O
stabbing   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
symptoms   O
of   O
acute   O
appendicitis   O
.   O

Kelsie   B-NAME
Barnett   I-NAME
also   O
reported   O
experiencing   O
nausea   O
,   O
vomiting   O
,   O
and   O
mild   O
fever   O
from   O
the   O
past   O
6/87   B-DATE
.   O

Shea   B-NAME
Conrad   I-NAME
was   O
in   O
overall   O
good   O
health   O
,   O
with   O
up   O
-   O
to   O
-   O
date   O
immunizations   O
.   O

Due   O
to   O
the   O
acute   O
presentation   O
and   O
CT   O
scan   O
findings   O
,   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
was   O
immediately   O
scheduled   O
for   O
an   O
emergency   O
appendectomy   O
by   O
Eliza   B-NAME
Frazier   I-NAME
in   O
the   O
operative   O
suite   O
at   O
Grady   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Yale   B-NAME
Dickerson   I-NAME
was   O
discharged   O
on   O
7/29   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
and   O
symptoms   O
of   O
infection   O
to   O
report   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
00/74   B-DATE
at   O
the   O
outpatient   O
surgical   O
clinic   O
of   O
Youth   B-LOCATION
Villages   I-LOCATION
Inner   I-LOCATION
Harbour   I-LOCATION
Campus   I-LOCATION
.   O

Stone   B-NAME
,   I-NAME
Lucy   I-NAME
was   O
advised   O
to   O
call   O
93518   B-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
of   O
fever   O
or   O
uncontrolled   O
pain   O
persisted   O
,   O
or   O
if   O
there   O
were   O
any   O
signs   O
of   O
wound   O
infection   O
.   O

Libera   B-LOCATION
!   I-LOCATION

Billing   O
Code   O
:   O
ET626/4299   B-ID
Office   O
phone   O
:   O
(   B-CONTACT
842   I-CONTACT
)   I-CONTACT
216   I-CONTACT
9308   I-CONTACT
Address   O
:   O
East   B-LOCATION
Lake   I-LOCATION
,   O
49329   B-LOCATION
Last   O
Updated   O
By   O
:   O
grd340   B-NAME

Patient   O
:   O
Lien   B-NAME
Jastremski   I-NAME
Date   O
of   O
Visit   O
:   O
April   B-DATE
of   I-DATE
2211   I-DATE
Report   O
Prepared   O
by   O
:   O
April   B-NAME
Herring   I-NAME
Hospital   O
:   O
Fountain   B-LOCATION
Valley   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
ID   O
:   O
78626689   B-ID
Patient   O
’s   O
Age   O
:   O
88   O
Location   O
:   O
Volcano   B-LOCATION
Medical   O
Record   O
:   O
4057710   B-ID
Phone   O
Number   O
:   O
603   B-CONTACT
-   I-CONTACT
4282   I-CONTACT
Patient   O
Allan   B-NAME
Mathews   I-NAME
,   O
originally   O
from   O
Edmondson   B-LOCATION
,   O
visited   O
our   O
facility   O
on   O
March   B-DATE
28   I-DATE
,   I-DATE
2382   I-DATE
.   O

The   O
consultation   O
was   O
conducted   O
by   O
Mireya   B-NAME
Bradshaw   I-NAME
.   O

The   O
patient   O
currently   O
resides   O
in   O
38143   B-LOCATION
.   O

The   O
registration   O
number   O
for   O
the   O
sample   O
is   O
1344279   B-ID
.   O

For   O
the   O
follow   O
-   O
up   O
consultation   O
,   O
we   O
have   O
advised   O
the   O
patient   O
to   O
reach   O
out   O
to   O
Fausto   B-NAME
Craine   I-NAME
at   O
941   B-CONTACT
-   I-CONTACT
868   I-CONTACT
-   I-CONTACT
6843   I-CONTACT
.   O

All   O
the   O
medical   O
documents   O
have   O
been   O
uploaded   O
to   O
the   O
patient   O
's   O
health   O
portal   O
and   O
can   O
be   O
accessed   O
using   O
the   O
username   O
DC393   B-NAME
.   O

Observations   O
have   O
been   O
compiled   O
and   O
will   O
be   O
sent   O
to   O
Animal   B-LOCATION
Defense   I-LOCATION
League   I-LOCATION
for   O
a   O
comprehensive   O
review   O
.   O

Patient   O
Name   O
:   O
Frederick   B-NAME
Q.   I-NAME
Valladares   I-NAME
Age   O
:   O
94   O
ID   O
:   O
LF231/9180   B-ID
Location   O
:   O
Cattle   B-LOCATION
Creek   I-LOCATION
Date   O
of   O
Visit   O
:   O
01/36   B-DATE
Report   O
:   O
Keagan   B-NAME
Sellers   I-NAME
,   O
64   O
years   O
old   O
,   O
visited   O
our   O
institution   O
,   O
White   B-LOCATION
Mountain   I-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
,   O
on   O
2176   B-DATE
.   O

He   O
was   O
seen   O
by   O
Dr.   O
Toynbee   B-NAME
,   I-NAME
Arnold   I-NAME
Joseph   I-NAME
at   O
room   O
301   O
,   O
floor   O
3   O
,   O
of   O
our   O
Zumbro   B-LOCATION
Falls   I-LOCATION
branch   O
.   O

The   O
patient   O
had   O
a   O
medical   O
record   O
number   O
64807329   B-ID
.   O

Lyons   B-NAME
works   O
as   O
a   O
Hunters   O
and   O
Trappers   O
by   O
profession   O
.   O

He   O
lives   O
in   O
Tallahassee   B-LOCATION
with   O
a   O
postal   O
code   O
of   O
94694   B-LOCATION
.   O

His   O
contact   O
number   O
is   O
listed   O
as   O
51072   B-CONTACT
.   O

He   O
was   O
referred   O
to   O
us   O
by   O
Public   B-LOCATION
and   I-LOCATION
Commercial   I-LOCATION
Services   I-LOCATION
Union   I-LOCATION
after   O
a   O
routine   O
checkup   O
found   O
that   O
he   O
had   O
abnormal   O
heart   O
rhythms   O
,   O
medically   O
termed   O
as   O
arrhythmias   O
.   O

Jerry   B-NAME
Noland   I-NAME
also   O
mentioned   O
experiencing   O
typical   O
angina   O
and   O
dyspnea   O
on   O
exertion   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Rosario   B-NAME
noted   O
that   O
Youssef   B-NAME
M.   I-NAME
Noe   I-NAME
had   O
elevated   O
blood   O
pressure   O
and   O
heart   O
rate   O
.   O

Electrocardiogram   O
confirmed   O
that   O
Chenoa   B-NAME
had   O
atrial   O
fibrillation   O
.   O

Under   O
VK419   B-NAME
suggestion   O
,   O
a   O
coronary   O
computed   O
tomography   O
angiography   O
(   O
CCTA   O
)   O
was   O
scheduled   O
for   O
0/5/48   B-DATE
.   O

The   O
team   O
anticipates   O
that   O
this   O
will   O
provide   O
an   O
in   O
-   O
depth   O
assessment   O
of   O
Alia   B-NAME
Whitaker   I-NAME
's   O
coronary   O
artery   O
disease   O
.   O

Nichols   B-NAME
has   O
been   O
oriented   O
regarding   O
all   O
procedures   O
,   O
medications   O
,   O
and   O
discharge   O
plans   O
.   O

The   O
patient   O
will   O
be   O
closely   O
monitored   O
by   O
Dr.   O
Oberst   B-NAME
,   I-NAME
Conor   I-NAME
for   O
subsequent   O
visits   O
.   O

A   O
team   O
discussion   O
will   O
be   O
held   O
on   O
Friday   B-DATE
to   O
discuss   O
the   O
patient   O
's   O
progress   O
and   O
future   O
treatment   O
plan   O
.   O

Patient   O
's   O
identification   O
number   O
FI:21425:951929   B-ID
should   O
be   O
referred   O
to   O
in   O
all   O
subsequent   O
communications   O
.   O

Patient   O
Name   O
:   O
Samson   B-NAME
May   I-NAME
Age   O
:   O
51   O
Patient   O
Ulisses   B-NAME
Xuan   I-NAME
was   O
referred   O
to   O
Sutton   B-NAME
at   O
Sanpete   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
by   O
their   O
primary   O
care   O
physician   O
on   O
20/22   B-DATE
.   O

Upon   O
examination   O
,   O
Knight   B-NAME
observed   O
that   O
the   O
patient   O
exhibited   O
features   O
consistent   O
with   O
a   O
respiratory   O
infection   O
,   O
such   O
as   O
rales   O
in   O
the   O
lower   O
lobes   O
during   O
auscultation   O
,   O
slight   O
wheezing   O
,   O
and   O
tachypnea   O
.   O

The   O
patient   O
,   O
a   O
Police   O
and   O
Sheriffs   O
Patrol   O
Officers   O
by   O
trade   O
,   O
resides   O
in   O
Brady   B-LOCATION
.   O

Their   O
address   O
and   O
301   B-CONTACT
8786   I-CONTACT
number   O
are   O
on   O
the   O
hospital   O
record   O
under   O
3429D62334   B-ID
.   O

Blood   O
tests   O
and   O
a   O
chest   O
x   O
-   O
ray   O
were   O
ordered   O
on   O
8/24   B-DATE
,   O
results   O
to   O
be   O
sent   O
to   O
Holyoke   B-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Electric   I-LOCATION
.   O

Physician   O
's   O
License   O
Number   O
:   O
9118959   B-ID
Next   O
appointment   O
:   O
Halloween   B-DATE
at   O
Lourdes   B-LOCATION
Hospital   I-LOCATION
For   O
communication   O
purposes   O
,   O
the   O
patient   O
's   O
XT621   B-NAME
to   O
the   O
hospital   O
's   O
online   O
portal   O
was   O
provided   O
.   O

In   O
case   O
of   O
emergency   O
or   O
any   O
changes   O
in   O
condition   O
,   O
the   O
patient   O
was   O
instructed   O
to   O
directly   O
contact   O
Michael   B-NAME
Ridley   I-NAME
or   O
the   O
hospital   O
by   O
dialling   O
the   O
hospital   O
suite   O
58116   B-CONTACT
number   O
.   O

The   O
patient   O
’s   O
mailing   O
address   O
needed   O
for   O
pharmacy   O
deliveries   O
and   O
correspondence   O
is   O
Mayking   B-LOCATION
,   O
58217   B-LOCATION
.   O

The   O
information   O
regarding   O
the   O
patient   O
's   O
health   O
insurance   O
was   O
updated   O
in   O
the   O
records   O
;   O
policy   O
number   O
is   O
TU:12450:251382   B-ID
.   O

By   O
Sunday   B-DATE
,   I-DATE
June   I-DATE
,   O
the   O
patient   O
's   O
discharge   O
summary   O
and   O
other   O
pertinent   O
medical   O
records   O
will   O
be   O
available   O
for   O
pick   O
up   O
or   O
sent   O
via   O
mail   O
at   O
the   O
mentioned   O
address   O
.   O

Signed   O
by   O
Maeve   B-NAME
Collier   I-NAME
.   O

Patient   O
Name   O
:   O
Ruben   B-NAME
Owen   I-NAME
Age   O
:   O
82   O
Profession   O
:   O

Fitters   O
,   O
Structural   O
Metal-   O
Precision   O
Patient   O
ID   O
:   O
315591   B-ID
Phone   O
number   O
:   O
949   B-CONTACT
8184   I-CONTACT
Address   O
:   O
Oregon   B-LOCATION
,   O
90843   B-LOCATION
Service   O
Provider   O
:   O
Ochoa   B-NAME
at   O
Bailey   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
LLC   I-LOCATION
Date   O
of   O
visit   O
:   O
Monday   B-DATE
Medical   O
Record   O
#   O
:   O
430   B-ID
-   I-ID
82   I-ID
-   I-ID
50   I-ID
-   I-ID
7   I-ID
Examination   O
Conducted   O
by   O
:   O
ww5610   B-NAME
Session   O
Notes   O
:   O
Grayson   B-NAME
Stanley   I-NAME
presented   O
with   O
a   O
complaint   O
of   O
generalized   O
fatigue   O
,   O
fever   O
,   O
and   O
persistent   O
cough   O
,   O
intensifying   O
over   O
the   O
last   O
2   O
weeks   O
.   O

During   O
physical   O
examination   O
,   O
Galvan   B-NAME
,   I-NAME
Floyd   I-NAME
demonstrated   O
diminished   O
breath   O
sounds   O
on   O
auscultation   O
,   O
with   O
crackles   O
present   O
in   O
the   O
lower   O
lobes   O
of   O
the   O
lungs   O
.   O

Considering   O
William   B-NAME
I   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
’s   O
symptoms   O
and   O
the   O
imaging   O
results   O
,   O
they   O
were   O
advised   O
hospital   O
admission   O
for   O
further   O
investigation   O
and   O
treatment   O
.   O

Hospital   O
admission   O
papers   O
were   O
processed   O
under   O
the   O
supervision   O
of   O
Fire   O
-   O
Prevention   O
and   O
Protection   O
Engineers   O
of   O
the   O
Botswana   B-LOCATION
Bank   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
department   O
.   O

Temujin   B-NAME
's   O
principal   O
health   O
insurer   O
ID   O
is   O
ZD   B-ID
:   I-ID
IT:2733   I-ID
.   O

Detailed   O
records   O
of   O
the   O
medical   O
session   O
along   O
with   O
the   O
respective   O
observations   O
have   O
been   O
cataloged   O
under   O
the   O
medical   O
record   O
#   O
532   B-ID
75   I-ID
32   I-ID
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
and   O
will   O
be   O
undertaken   O
by   O
Camacho   B-NAME
at   O
Columbus   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

This   O
treatment   O
plan   O
report   O
has   O
been   O
compiled   O
by   O
va7810   B-NAME
and   O
will   O
be   O
dispatched   O
to   O
Serrano   B-NAME
,   I-NAME
Miguel   I-NAME
's   O
registered   O
address   O
at   O
Crown   B-LOCATION
Heights   I-LOCATION
,   O
16130   B-LOCATION
and   O
to   O
their   O
given   O
contact   O
number   O
(   B-CONTACT
454   I-CONTACT
)   I-CONTACT
347   I-CONTACT
2869   I-CONTACT
for   O
their   O
records   O
.   O

Patient   O
Name   O
:   O
Hicks   B-NAME
Age   O
:   O
83   O
Doctor   O
:   O
Zachariah   B-NAME
Hoffman   I-NAME
Hospital   O
:   O
VCU   B-LOCATION
Health   I-LOCATION
Community   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
1833   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
02   I-DATE
Medical   O
Record   O
Number   O
:   O
2735287   B-ID
Location   O
:   O
West   B-LOCATION
View   I-LOCATION
ID   O
:   O
9   B-ID
-   I-ID
27100761   I-ID
Organization   O
:   O
USA   B-LOCATION
Bank   I-LOCATION
Phone   O
number   O
:   O
81513   B-CONTACT
Profession   O
:   O
Exploration   O
geologist   O
Username   O
:   O
ZE740   B-NAME
Zip   O
code   O
:   O
66894   B-LOCATION
Report   O
:   O
Mr.   O
Villa   B-NAME
,   O
a   O
43   O
-   O
year   O
-   O
old   O
male   O
working   O
as   O
a   O
Pension   O
scheme   O
manager   O
,   O
presented   O
to   O
Golden   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
38/38   B-DATE
,   O
complaining   O
of   O
intermittent   O
,   O
crampy   O
abdominal   O
pain   O
for   O
the   O
past   O
week   O
.   O

On   O
examination   O
,   O
by   O
Dr.   O
Mcclure   B-NAME
,   O
tenderness   O
was   O
noted   O
in   O
the   O
right   O
iliac   O
fossa   O
.   O

His   O
medical   O
record   O
55525677   B-ID
in   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Branch   I-LOCATION
was   O
reviewed   O
and   O
no   O
prior   O
similar   O
complaints   O
were   O
found   O
.   O

He   O
was   O
contacted   O
on   O
his   O
(   B-CONTACT
555   I-CONTACT
)   I-CONTACT
981   I-CONTACT
-   I-CONTACT
3416   I-CONTACT
for   O
any   O
further   O
changes   O
in   O
his   O
condition   O
.   O

He   O
resides   O
in   O
the   O
55266   B-LOCATION
area   O
of   O
Rhinelander   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Rhinelander   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
.   I-LOCATION
.   O

He   O
works   O
for   O
Public   B-LOCATION
Service   I-LOCATION
Electric   I-LOCATION
and   I-LOCATION
Gas   I-LOCATION
Company   I-LOCATION
(   I-LOCATION
PSE&G   I-LOCATION
)   I-LOCATION
and   O
his   O
employer   O
,   O
seeking   O
health   O
record   O
information   O
,   O
contacted   O
us   O
.   O

After   O
verifying   O
their   O
authorization   O
through   O
employee   O
BS881/8313   B-ID
and   O
username   O
TI888   B-NAME
,   O
required   O
data   O
was   O
disclosed   O
.   O

Having   O
considered   O
all   O
symptomatic   O
and   O
clinical   O
indications   O
,   O
Dr.   O
Cannon   B-NAME
Mays   I-NAME
proposed   O
that   O
Mr.   O
Cerra   B-NAME
Skult   I-NAME
most   O
likely   O
has   O
appendicitis   O
.   O

He   O
was   O
admitted   O
into   O
the   O
Ascension   B-LOCATION
Genesys   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
monitoring   O
and   O
treatment   O
preparation   O
.   O

He   O
was   O
last   O
checked   O
upon   O
on   O
2/30   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Selar   B-NAME
The   O
patient   O
is   O
a   O
11   O
month   O
old   O
male   O
admitted   O
to   O
Saint   B-LOCATION
Alexius   I-LOCATION
Hospital   I-LOCATION
on   O
summer   B-DATE
.   O

According   O
to   O
Ferguson   B-NAME
,   O
the   O
patient   O
presents   O
with   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
suggesting   O
a   O
possible   O
diagnosis   O
of   O
pancreatitis   O
.   O

The   O
patient   O
resides   O
in   O
California   B-LOCATION
and   O
has   O
the   O
(   B-CONTACT
274   I-CONTACT
)   I-CONTACT
352   I-CONTACT
5400   I-CONTACT
contact   O
number   O
.   O

He   O
works   O
in   O
Paramedic   O
with   O
HomeSense   B-LOCATION
and   O
has   O
a   O
commute   O
of   O
about   O
an   O
hour   O
each   O
day   O
.   O

He   O
also   O
has   O
a   O
medical   O
history   O
of   O
gallstones   O
,   O
recorded   O
in   O
Medical   O
Record   O
86657611   B-ID
.   O

The   O
patient   O
's   O
medical   O
insurance   O
provider   O
is   O
Hellenic   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
,   O
with   O
the   O
insurance   O
ID   O
being   O
PJ559/2340   B-ID
.   O

The   O
patient   O
's   O
immediate   O
relative   O
,   O
who   O
is   O
also   O
his   O
emergency   O
contact   O
,   O
works   O
at   O
Silver   B-LOCATION
Falls   I-LOCATION
Bank   I-LOCATION
and   O
can   O
be   O
contacted   O
at   O
408   B-CONTACT
8097   I-CONTACT
.   O

A   O
CT   O
scan   O
has   O
been   O
scheduled   O
on   O
1/22/22   B-DATE
with   O
Beck   B-NAME
in   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Vallejo   I-LOCATION
.   O

Upholding   O
HIPAA   O
guidelines   O
,   O
a   O
secured   O
online   O
account   O
with   O
ad2510   B-NAME
was   O
created   O
for   O
the   O
patient   O
to   O
monitor   O
his   O
health   O
and   O
appointments   O
.   O

Patient   O
's   O
follow   O
-   O
up   O
visit   O
is   O
provisionally   O
scheduled   O
for   O
09/17   B-DATE
.   O

His   O
residence   O
's   O
ZIP   O
is   O
43342   B-LOCATION
,   O
which   O
falls   O
within   O
the   O
in   O
-   O
network   O
coverage   O
area   O
for   O
home   O
-   O
care   O
assistance   O
if   O
required   O
.   O

This   O
concludes   O
the   O
current   O
updates   O
for   O
Keon   B-NAME
Marquez   I-NAME
.   O

Patient   O
:   O
Craft   B-NAME
presented   O
to   O
the   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Washington   I-LOCATION
with   O
a   O
two   O
-   O
day   O
history   O
of   O
severe   O
headache   O
.   O

It   O
was   O
his   O
girlfriend   O
,   O
a   O
Nuclear   O
Equipment   O
Operation   O
Technicians   O
from   O
the   O
same   O
Gold   B-LOCATION
Canyon   I-LOCATION
area   O
,   O
who   O
called   O
the   O
473   B-CONTACT
3561   I-CONTACT
hotlines   O
and   O
reported   O
his   O
sudden   O
change   O
in   O
behaviour   O
.   O

Upon   O
admission   O
in   O
the   O
ER   O
,   O
he   O
underwent   O
a   O
series   O
of   O
neurological   O
tests   O
under   O
the   O
supervision   O
of   O
Dr.   O
Daniels   B-NAME
.   O

His   O
medical   O
record   O
838   B-ID
-   I-ID
08   I-ID
-   I-ID
14   I-ID
-   I-ID
6   I-ID
,   O
revealed   O
an   O
abnormal   O
increase   O
in   O
white   O
blood   O
cells   O
,   O
leading   O
to   O
the   O
suspicion   O
of   O
possible   O
infection   O
.   O

Managing   O
his   O
condition   O
necessitated   O
the   O
combined   O
effort   O
of   O
an   O
interdisciplinary   O
team   O
at   O
the   O
Plantation   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
including   O
neurologists   O
,   O
radiologists   O
,   O
and   O
hospital   O
pharmacy   O
members   O
.   O

The   O
patient   O
was   O
referred   O
to   O
the   O
1st   B-LOCATION
American   I-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Minnesota   I-LOCATION
specialists   O
for   O
further   O
diagnostic   O
tests   O
and   O
treatment   O
options   O
.   O

His   O
YG297/6210   B-ID
revealed   O
that   O
he   O
resided   O
at   O
Chapel   B-LOCATION
Hill   I-LOCATION
with   O
his   O
family   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
on   O
35   B-DATE
.   O

Another   O
drive   O
was   O
planned   O
to   O
reach   O
out   O
to   O
his   O
girlfriend   O
who   O
resides   O
in   O
the   O
24413   B-LOCATION
area   O
.   O

The   O
team   O
was   O
led   O
by   O
Kenya   B-NAME
Hansen   I-NAME
,   O
a   O
renowned   O
neurologist   O
from   O
another   O
Picacho   B-LOCATION
.   O

On   O
9/29/2202   B-DATE
,   O
he   O
was   O
transferred   O
to   O
the   O
advanced   O
medical   O
unit   O
of   O
Morris   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Council   I-LOCATION
Grove   I-LOCATION
,   O
and   O
was   O
cared   O
for   O
by   O
a   O
specially   O
appointed   O
nurse   O
,   O
to   O
provide   O
daily   O
updates   O
to   O
his   O
primary   O
care   O
doctor   O
through   O
the   O
hospital   O
’s   O
online   O
portal   O
using   O
the   O
unique   O
username   O
,   O
zl9110   B-NAME
.   O

Plans   O
are   O
in   O
place   O
to   O
reevaluate   O
his   O
progress   O
on   O
03/07/1619   B-DATE
.   O

The   O
entire   O
healthcare   O
team   O
at   O
the   O
Magnolia   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
remains   O
on   O
high   O
alert   O
to   O
ensure   O
that   O
the   O
patient   O
's   O
health   O
is   O
restored   O
to   O
optimal   O
conditions   O
sooner   O
.   O

Patient   O
Name   O
:   O
MEDINA   B-NAME
,   I-NAME
LUTHER   I-NAME
Age   O
:   O
89   O
Medical   O
Record   O
Number   O
:   O
8875759   B-ID
Physician   O
Name   O
:   O
Dr.   O
Hinton   B-NAME
On   O
7/2042   B-DATE
,   O
Harrell   B-NAME
was   O
admitted   O
to   O
Brookwood   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
resides   O
in   O
Arapaho   B-LOCATION
and   O
works   O
as   O
a   O
Mental   O
Health   O
Counselors   O
.   O

His   O
primary   O
physician   O
is   O
Dr.   O
Walter   B-NAME
.   O

An   O
Electrocardiogram   O
indicated   O
signs   O
of   O
Atrial   O
Fibrillation   O
,   O
for   O
which   O
Dr.   O
Hallie   B-NAME
Hawkins   I-NAME
has   O
started   O
Cuevas   B-NAME
on   O
anticoagulation   O
therapy   O
.   O

Hale   B-NAME
has   O
a   O
past   O
medical   O
history   O
which   O
includes   O
hypertension   O
and   O
hyperlipidemia   O
and   O
he   O
has   O
been   O
taking   O
Aspirin   O
daily   O
since   O
turning   O
42   O
.   O

In   O
the   O
course   O
of   O
the   O
examination   O
,   O
it   O
was   O
observed   O
that   O
Rowan   B-NAME
Short   I-NAME
exhibited   O
signs   O
of   O
being   O
under   O
high   O
levels   O
of   O
stress   O
,   O
fatigue   O
,   O
and   O
anxiety   O
,   O
factors   O
likely   O
tied   O
to   O
his   O
profession   O
as   O
a   O
Sales   O
Representatives   O
,   O
Electrical   O
--   O
Electronic   O
and   O
also   O
causing   O
the   O
exacerbation   O
of   O
his   O
cardiac   O
symptoms   O
.   O

Contacting   O
his   O
workplace   O
,   O
a   O
well   O
-   O
known   O
National   B-LOCATION
Flood   I-LOCATION
Insurance   I-LOCATION
Program   I-LOCATION
at   O
78214   B-LOCATION
is   O
necessary   O
for   O
further   O
counseling   O
regarding   O
stress   O
management   O
.   O

Dr.   O
Waller   B-NAME
has   O
advised   O
him   O
to   O
seek   O
additional   O
counseling   O
and   O
referred   O
him   O
to   O
a   O
mental   O
health   O
specialist   O
at   O
PeaceHealth   B-LOCATION
Ketchikan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

All   O
these   O
details   O
are   O
according   O
to   O
the   O
medical   O
dossier   O
with   O
ID   O
498131   B-ID
accessible   O
online   O
with   O
username   O
TW449   B-NAME
and   O
has   O
been   O
forwarded   O
to   O
his   O
home   O
phone   O
number   O
901   B-CONTACT
-   I-CONTACT
814   I-CONTACT
-   I-CONTACT
8792   I-CONTACT
.   O

Dr.   O
Atkinson   B-NAME
09/29   B-DATE

Patient   O
Name   O
:   O
Chun   B-NAME
Schiff   I-NAME
Medical   O
Record   O
Number   O
:   O
484   B-ID
-   I-ID
64   I-ID
-   I-ID
62   I-ID
-   I-ID
9   I-ID
Doctor   O
's   O
Name   O
:   O
Sherlyn   B-NAME
Peters   I-NAME
Age   O
:   O
15   O
Date   O
of   O
Visit   O
:   O
18/25   B-DATE
On   O
the   O
date   O
of   O
admission   O
,   O
21/01   B-DATE
,   O
patient   O
Bush   B-NAME
arrived   O
at   O
our   O
facility   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Pulaski   I-LOCATION
in   O
895   B-LOCATION
North   I-LOCATION
Strawberry   I-LOCATION
Avenue   I-LOCATION
.   O

Upon   O
a   O
closer   O
examination   O
by   O
Dr.   O
Monroe   B-NAME
,   O
the   O
patient   O
presented   O
rales   O
in   O
the   O
lower   O
lobes   O
of   O
the   O
lungs   O
on   O
auscultation   O
.   O

Blood   O
work   O
to   O
confirm   O
the   O
diagnosis   O
is   O
pending   O
as   O
of   O
2041   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
18   I-DATE
.   O

This   O
patient   O
has   O
a   O
history   O
of   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
,   O
according   O
to   O
his   O
previous   O
medical   O
records   O
826   B-ID
30   I-ID
88   I-ID
.   O

Recommendations   O
for   O
further   O
treatment   O
will   O
be   O
made   O
by   O
Dr.   O
Benedict   B-NAME
Lanate   I-NAME
after   O
the   O
results   O
of   O
the   O
blood   O
work   O
are   O
known   O
.   O

Contact   O
was   O
made   O
with   O
his   O
employer   O
Strategic   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
to   O
advise   O
them   O
of   O
his   O
need   O
to   O
absent   O
from   O
work   O
,   O
where   O
he   O
works   O
as   O
a   O
Microbiologists   O
.   O

The   O
contact   O
number   O
given   O
was   O
(   B-CONTACT
345   I-CONTACT
)   I-CONTACT
349   I-CONTACT
-   I-CONTACT
8122   I-CONTACT
.   O

No   O
immediate   O
family   O
contact   O
could   O
be   O
made   O
,   O
as   O
per   O
the   O
ID   O
number   O
guideline   O
NJ646/2741   B-ID
,   O
but   O
attempts   O
will   O
continue   O
.   O

Follow   O
up   O
is   O
scheduled   O
for   O
0/6   B-DATE
.   O

The   O
patient   O
resides   O
in   O
Ravine   B-LOCATION
,   O
and   O
the   O
postal   O
code   O
is   O
26851   B-LOCATION
.   O

Contact   O
at   O
the   O
occasion   O
of   O
medical   O
need   O
can   O
be   O
made   O
through   O
his   O
personal   O
contact   O
number   O
865   B-CONTACT
800   I-CONTACT
6592   I-CONTACT
.   O

Nurse   O
rm541   B-NAME
updated   O
this   O
report   O
.   O

Maddison   B-NAME
Ewing   I-NAME
was   O
admitted   O
on   O
September   B-DATE
0   I-DATE
with   O
her   O
primary   O
care   O
physician   O
May   B-NAME
Schneck   I-NAME
.   O

She   O
is   O
a   O
Product   O
development   O
scientist   O
and   O
lives   O
in   O
Niger   B-LOCATION
.   O

Her   O
date   O
of   O
birth   O
,   O
SSN   O
LK   B-ID
:   I-ID
KT:5116   I-ID
,   O
and   O
medical   O
record   O
number   O
108   B-ID
-   I-ID
57   I-ID
-   I-ID
40   I-ID
-   I-ID
7   I-ID
were   O
verified   O
.   O

She   O
provided   O
her   O
phone   O
number   O
388   B-CONTACT
7992   I-CONTACT
and   O
confirmed   O
that   O
she   O
works   O
for   O
Irish   B-LOCATION
National   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Organisation   I-LOCATION
at   O
the   O
zip   O
code   O
68258   B-LOCATION
.   O

History   O
of   O
Present   O
Illness   O
:   O
Madisyn   B-NAME
Henry   I-NAME
reports   O
experiencing   O
severe   O
and   O
recurrent   O
episodes   O
of   O
headache   O
,   O
predominantly   O
located   O
in   O
the   O
frontal   O
and   O
temporal   O
regions   O
.   O

Past   O
Medical   O
History   O
:   O
HOLLAND   B-NAME
KELLER   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
dyslipidemia   O
,   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
when   O
she   O
was   O
25   O
.   O

On   O
examination   O
,   O
Collin   B-NAME
Durham   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

The   O
MRI   O
scan   O
of   O
the   O
brain   O
,   O
suggested   O
by   O
Bridget   B-NAME
Garner   I-NAME
and   O
conducted   O
at   O
Inova   B-LOCATION
Alexandria   I-LOCATION
Hospital   I-LOCATION
,   O
did   O
not   O
reveal   O
any   O
structural   O
abnormalities   O
.   O

Campbell   B-NAME
prescribed   O
a   O
triptan   O
medication   O
and   O
recommended   O
a   O
follow   O
-   O
up   O
visit   O
in   O
2   O
weeks   O
.   O

The   O
patient   O
was   O
discharged   O
from   O
University   B-LOCATION
of   I-LOCATION
Virginia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
2372   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
24   I-DATE
.   O

Electronic   O
Signature   O
:   O
oc944   B-NAME
2052   B-DATE

Patient   O
Information   O
:   O
Name   O
:   O
Grote   B-NAME
Maxwell   I-NAME
Age   O
:   O
66   O
Doctor   O
:   O
Kaden   B-NAME
Cook   I-NAME
Medical   O
Record   O
Number   O
:   O
394   B-ID
38   I-ID
22   I-ID
Address   O
:   O
Pocono   B-LOCATION
Pines   I-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
328   I-CONTACT
)   I-CONTACT
487   I-CONTACT
-   I-CONTACT
6495   I-CONTACT
ID   O
:   O
8   B-ID
-   I-ID
4142989   I-ID
Employment   O
:   O
Pile   O
-   O
Driver   O
Operators   O
Username   O
:   O
ki953   B-NAME
Zip   O
Code   O
:   O
58350   B-LOCATION
The   O
patient   O
,   O
Leah   B-NAME
Medina   I-NAME
,   O
came   O
to   O
Rhode   B-LOCATION
Island   I-LOCATION
Hospital   I-LOCATION
on   O
11/21   B-DATE
presenting   O
with   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Rhodes   B-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
occasional   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
two   O
days   O
.   O

Under   O
the   O
supervision   O
of   O
Mueller   B-NAME
,   O
a   O
comprehensive   O
physical   O
examination   O
revealed   O
rebound   O
tenderness   O
in   O
the   O
area   O
,   O
indicating   O
a   O
possible   O
appendicitis   O
.   O

Bryan   B-NAME
decided   O
to   O
admit   O
Jan   B-NAME
Wise   I-NAME
for   O
further   O
observation   O
and   O
to   O
manage   O
the   O
pain   O
effectively   O
.   O

As   O
of   O
2121   B-DATE
,   O
Sexy   B-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
.   O

During   O
recovery   O
,   O
Adam   B-NAME
Rossi   I-NAME
will   O
require   O
regular   O
monitoring   O
at   O
Baptist   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Mississippi   I-LOCATION
by   O
Warner   B-NAME
to   O
ensure   O
there   O
are   O
no   O
post   O
-   O
operative   O
complications   O
.   O

Christian   B-NAME
provided   O
Alana   B-NAME
Fung   I-NAME
with   O
their   O
contact   O
number   O
129   B-CONTACT
-   I-CONTACT
670   I-CONTACT
-   I-CONTACT
5417   I-CONTACT
and   O
requested   O
that   O
Kianna   B-NAME
Harvey   I-NAME
should   O
immediately   O
report   O
any   O
significant   O
increase   O
in   O
pain   O
,   O
fever   O
,   O
or   O
any   O
other   O
unusual   O
symptoms   O
.   O

Lashunda   B-NAME
Misluk   I-NAME
works   O
as   O
a   O
Sales   O
Engineers   O
in   O
Federation   B-LOCATION
of   I-LOCATION
Western   I-LOCATION
India   I-LOCATION
Cine   I-LOCATION
Employees   I-LOCATION
,   O
Georgia   B-LOCATION
and   O
has   O
been   O
advised   O
to   O
take   O
leave   O
until   O
completely   O
recovered   O
.   O

After   O
which   O
,   O
Lester   B-NAME
Verde   I-NAME
can   O
resume   O
work   O
as   O
per   O
the   O
convenience   O
.   O

For   O
any   O
further   O
updates   O
or   O
appointment   O
scheduling   O
,   O
Arely   B-NAME
Gonzalez   I-NAME
can   O
connect   O
through   O
their   O
patient   O
portal   O
using   O
username   O
MI934   B-NAME
.   O

The   O
medical   O
records   O
related   O
to   O
this   O
case   O
have   O
been   O
filed   O
under   O
ID   O
number   O
06464189   B-ID
.   O

Lacey   B-NAME
's   O
follow   O
-   O
up   O
appointment   O
at   O
Coffey   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Burlington   I-LOCATION
is   O
scheduled   O
in   O
two   O
weeks   O
.   O

The   O
patient   O
remains   O
under   O
the   O
attentive   O
care   O
of   O
Mcconnell   B-NAME
,   O
at   O
Loma   B-LOCATION
Linda   I-LOCATION
East   I-LOCATION
with   O
Zip   O
code   O
79895   B-LOCATION
.   O

Patient   O
Name   O
:   O
Cali   B-NAME
Mccarthy   I-NAME
Age   O
:   O
18   O
DOB   O
:   O
7/2   B-DATE
Address   O
:   O
Rexford   B-LOCATION
Phone   O
:   O
203   B-CONTACT
-   I-CONTACT
2764   I-CONTACT
SSN   O
:   O
XB   B-ID
:   I-ID
XN:1226   I-ID
Occupation   O
:   O
Order   O
Clerks   O
Username   O
:   O
flf92   B-NAME
Medical   O
Record   O
Number   O
:   O
3426205   B-ID
Doctor   O
:   O
Gael   B-NAME
Nolan   I-NAME
Hospital   O
:   O
Bronx   B-LOCATION
-   I-LOCATION
Lebanon   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Zip   O
Code   O
:   O
88844   B-LOCATION
Organization   O
Affiliated   O
:   O
Town   B-LOCATION
of   I-LOCATION
Smyrna   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Presenting   O
Complaints   O
:   O
The   O
patient   O
,   O
Uehara   B-NAME
,   O
presented   O
with   O
a   O
chief   O
complaint   O
of   O
acute   O
substernal   O
chest   O
pain   O
which   O
radiates   O
towards   O
the   O
left   O
shoulder   O
and   O
arm   O
.   O

Family   O
Medical   O
History   O
:   O
Isaura   B-NAME
Abele   I-NAME
's   O
father   O
had   O
a   O
history   O
of   O
coronary   O
artery   O
disease   O
and   O
passed   O
away   O
at   O
3   O
,   O
due   O
to   O
myocardial   O
infarction   O
.   O

On   O
examination   O
by   O
Dr.   O
Salma   B-NAME
Whitney   I-NAME
on   O
12/27   B-DATE
,   O
notable   O
findings   O
were   O
diaphoresis   O
,   O
pallor   O
,   O
and   O
tachypnea   O
.   O

Vitals   O
were   O
unstable   O
with   O
blood   O
pressure   O
reading   O
150/90   O
mmHg   O
,   O
pulse   O
rate   O
of   O
around   O
110   O
bpm   O
.   O
Hospitalisation   O
and   O
Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
ECG   O
findings   O
and   O
the   O
highly   O
suspicious   O
nature   O
of   O
the   O
symptoms   O
,   O
the   O
patient   O
was   O
immediately   O
transferred   O
to   O
Henrico   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
HospitalHenrico   I-LOCATION
Campus   I-LOCATION
and   O
admitted   O
under   O
the   O
care   O
of   O
Dr.   O
Meade   B-NAME
for   O
further   O
management   O
.   O

For   O
further   O
queries   O
or   O
discussion   O
about   O
patient   O
condition   O
,   O
please   O
refer   O
to   O
the   O
records   O
with   O
Medical   O
Record   O
Number   O
04571485   B-ID
,   O
or   O
contact   O
Poplar   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
's   O
health   O
service   O
department   O
on   O
25262   B-CONTACT
.   O

The   O
patient   O
's   O
follow   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
6/22   B-DATE
.   O

The   O
current   O
treatment   O
plan   O
will   O
be   O
held   O
under   O
the   O
supervision   O
of   O
Refuge   B-LOCATION
Recovery   I-LOCATION
in   O
Wilton   B-LOCATION
with   O
the   O
Postal   O
Code   O
26321   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Baba   B-NAME
,   I-NAME
Meher   I-NAME
Patient   O
ID   O
:   O
FG   B-ID
:   I-ID
UW:5290   I-ID
DOB   O
:   O
38/20/2235   B-DATE
Age   O
:   O
38   O
Address   O
:   O
Wells   B-LOCATION
Branch   I-LOCATION
,   O
ZIP   O
:   O
18393   B-LOCATION
Phone   O
Number   O
:   O
361   B-CONTACT
2154   I-CONTACT
MRN   O
:   O
6960583   B-ID
Physician   O
:   O

Mccoy   B-NAME
Hospital   O
:   O
Long   B-LOCATION
Island   I-LOCATION
College   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
4   B-DATE
-   I-DATE
1   I-DATE
Chief   O
Complaint   O
:   O

Barnes   B-NAME
presented   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
Hackley   I-LOCATION
Campus   I-LOCATION
on   O
12/13   B-DATE
with   O
complaints   O
of   O
abrupt   O
shortness   O
of   O
breath   O
and   O
chest   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Beginning   O
approximately   O
two   O
days   O
prior   O
to   O
presentation   O
,   O
Uehara   B-NAME
noticed   O
sudden   O
onset   O
of   O
chest   O
discomfort   O
.   O

Symptoms   O
have   O
been   O
worsening   O
,   O
prompting   O
Eneida   B-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

Past   O
Medical   O
History   O
:   O
Olive   B-NAME
Randall   I-NAME
has   O
a   O
known   O
history   O
of   O
metabolic   O
syndrome   O
,   O
hypertension   O
,   O
and   O
hyperlipidemia   O
.   O

Whaley   B-NAME
worked   O
as   O
a   O
Writers   O
and   O
Authors   O
in   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
North   I-LOCATION
Metro   I-LOCATION
and   O
has   O
a   O
20   O
-   O
pack   O
year   O
history   O
of   O
cigarette   O
smoking   O
.   O

Physical   O
Examination   O
:   O
Tom   B-NAME
McDougall   I-NAME
appears   O
uncomfortable   O
at   O
rest   O
,   O
with   O
paradoxical   O
breathing   O
.   O

Given   O
Square   B-NAME
Turk   I-NAME
's   O
symptoms   O
,   O
physical   O
examination   O
findings   O
,   O
and   O
history   O
,   O
a   O
tentative   O
diagnosis   O
of   O
Acute   O
Coronary   O
Syndrome   O
(   O
ACS   O
)   O
is   O
suspected   O
.   O

Primarily   O
responsible   O
physician   O
Avery   B-NAME
Webb   I-NAME
at   O
Overlook   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
notified   O
and   O
Julia   B-NAME
Gillis   I-NAME
is   O
currently   O
scheduled   O
for   O
an   O
angiogram   O
on   O
2/51   B-DATE
.   O

By   O
:   O
tk981   B-NAME
at   O
Buchanan   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
2073   B-DATE

For   O
further   O
inquiries   O
regarding   O
the   O
patient   O
's   O
medical   O
situation   O
,   O
please   O
contact   O
Broward   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
's   O
patient   O
services   O
at   O
238   B-CONTACT
8565   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
vzf977   B-NAME
on   O
10/32   B-DATE
.   O

Patient   O
Report   O
:   O
Garner   B-NAME
,   O
a   O
Commercial   O
and   O
Industrial   O
Designers   O
residing   O
in   O
Mamers   B-LOCATION
,   O
started   O
experiencing   O
symptoms   O
on   O
'   B-DATE
33   I-DATE
.   O

She   O
visited   O
Todd   B-NAME
who   O
scheduled   O
a   O
series   O
of   O
tests   O
.   O

Accompanied   O
by   O
her   O
husband   O
,   O
they   O
checked   O
into   O
Raulerson   B-LOCATION
Hospital   I-LOCATION
on   O
22/22/90   B-DATE
.   O

She   O
was   O
assigned   O
with   O
69845963   B-ID
by   O
the   O
hospital   O
for   O
future   O
medical   O
references   O
.   O

To   O
confirm   O
this   O
,   O
we   O
scheduled   O
an   O
appointment   O
on   O
2102   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
22   I-DATE
with   O
a   O
top   O
Geneticist   O
in   O
Bradford   B-LOCATION
.   O

The   O
consultation   O
took   O
place   O
at   O
World   B-LOCATION
Organization   I-LOCATION
Against   I-LOCATION
Torture   I-LOCATION
which   O
is   O
renowned   O
for   O
its   O
research   O
in   O
genetic   O
disorders   O
.   O

Her   O
cell   O
34765   B-CONTACT
also   O
recorded   O
a   O
high   O
fever   O
reaching   O
up   O
to   O
three   O
degrees   O
above   O
average   O
.   O

The   O
doctor   O
suggested   O
some   O
scans   O
that   O
need   O
to   O
be   O
conducted   O
in   O
University   B-LOCATION
Hospitals   I-LOCATION
Geauga   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
certain   O
dates   O
.   O

The   O
patient   O
was   O
provided   O
with   O
an   O
AT   B-ID
:   I-ID
XN:3010   I-ID
which   O
she   O
needs   O
to   O
carry   O
for   O
all   O
her   O
appointments   O
.   O

After   O
consulting   O
with   O
Price   B-NAME
and   O
interacting   O
with   O
online   O
medical   O
forums   O
using   O
her   O
SH874   B-NAME
,   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
test   O
.   O

Post   O
this   O
,   O
Carey   B-NAME
provided   O
her   O
67475   B-LOCATION
and   O
(   B-CONTACT
442   I-CONTACT
)   I-CONTACT
550   I-CONTACT
-   I-CONTACT
6837   I-CONTACT
for   O
better   O
coordination   O
and   O
communication   O
.   O

With   O
this   O
inferential   O
genomic   O
analysis   O
,   O
the   O
team   O
at   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Lock   I-LOCATION
Haven   I-LOCATION
hopes   O
to   O
understand   O
and   O
treat   O
her   O
uniquely   O
complex   O
condition   O
.   O

Patient   O
Name   O
:   O
Nathen   B-NAME
Bates   I-NAME
DOB   O
:   O
03/09   B-DATE
Patient   O
30192212   B-ID
:   O
#   O
xxxx   O
Dear   O
Zara   B-NAME
Rodriguez   I-NAME
,   O
This   O
patient   O
,   O
Miller   B-NAME
,   I-NAME
Walter   I-NAME
M.   I-NAME
(   I-NAME
Jr.   I-NAME
)   I-NAME
,   O
a   O
Retail   O
banker   O
of   O
14   O
years   O
from   O
Tecopa   B-LOCATION
,   O
came   O
into   O
Landmark   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Athens   I-LOCATION
on   O
09/11   B-DATE
with   O
symptoms   O
including   O
severe   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
,   O
and   O
high   O
fever   O
.   O

Further   O
investigations   O
are   O
being   O
conducted   O
into   O
the   O
cause   O
of   O
such   O
a   O
large   O
clot   O
,   O
with   O
tests   O
being   O
sent   O
off   O
to   O
Western   B-LOCATION
&   I-LOCATION
Southern   I-LOCATION
Financial   I-LOCATION
Group   I-LOCATION
for   O
genetic   O
and   O
autoimmune   O
panels   O
.   O

The   O
preliminary   O
report   O
from   O
Harbor   B-LOCATION
Freight   I-LOCATION
Tools   I-LOCATION
(   O
case   O
ID   O
#   O
TB:801064:657849   B-ID
)   O
suggested   O
no   O
evidence   O
of   O
genetic   O
mutation   O
related   O
to   O
hypercoagulation   O
,   O
but   O
we   O
are   O
waiting   O
for   O
the   O
final   O
report   O
.   O

Please   O
find   O
my   O
phone   O
number   O
,   O
952   B-CONTACT
-   I-CONTACT
6818   I-CONTACT
,   O
and   O
my   O
email   O
i   O
d   O
,   O
ZD921   B-NAME
@   O
West   B-LOCATION
Coast   I-LOCATION
Life   I-LOCATION
.com   O
for   O
further   O
discussion   O
on   O
this   O
case   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
spring   B-DATE
2090   I-DATE
and   O
we   O
will   O
continue   O
the   O
intravenous   O
heparin   O
management   O
until   O
then   O
.   O

The   O
patient   O
’s   O
current   O
address   O
is   O
Broken   B-LOCATION
Arrow   I-LOCATION
,   O
81935   B-LOCATION
.   O

Sincerely   O
,   O
Duran   B-NAME
Department   O
of   O
Pulmonary   O
and   O
Critical   O
Care   O
,   O
Friends   B-LOCATION
Hospital   I-LOCATION

Patient   O
Information   O
:   O
Name   O
:   O
Mollie   B-NAME
Schneider   I-NAME
Age   O
:   O
99   O
Gender   O
:   O
Male   O
Medical   O
Record   O
Number   O
:   O
698   B-ID
-   I-ID
56   I-ID
-   I-ID
39   I-ID
SSN   O
:   O
UV565/6589   B-ID
Admitting   O
Physician   O
:   O

Morse   B-NAME
Admission   O
Date   O
:   O
31/26   B-DATE
Location   O
:   O
Weippe   B-LOCATION
(   O
Hospital   O
Address   O
:   O
Phoebe   B-LOCATION
Putney   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
61224   B-LOCATION
)   O

Contact   O
No   O
.   O
:   O
25268   B-CONTACT
Chief   O
Complaint   O
:   O
Quentin   B-NAME
Casey   I-NAME
presented   O
to   O
Southeastern   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
20   B-DATE
-   I-DATE
Feb-2226   I-DATE
complaining   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
chest   O
pain   O
.   O

Handy   B-NAME
,   I-NAME
W.   I-NAME
C.   I-NAME
also   O
reported   O
an   O
unintentional   O
weight   O
loss   O
of   O
approximately   O
15   O
pounds   O
within   O
the   O
last   O
month   O
.   O

Past   O
medical   O
records   O
of   O
Toby   B-NAME
Schultz   I-NAME
reveal   O
a   O
history   O
of   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
.   O

Robert   B-NAME
I.   I-NAME
Harmon   I-NAME
,   O
who   O
works   O
as   O
a   O
Etchers   O
and   O
Engravers   O
in   O
International   B-LOCATION
Primate   I-LOCATION
Protection   I-LOCATION
League   I-LOCATION
(   I-LOCATION
IPPL   I-LOCATION
)   I-LOCATION
,   O
has   O
been   O
living   O
in   O
Oakton   B-LOCATION
for   O
the   O
past   O
20   O
years   O
.   O

On   O
examination   O
,   O
Maximo   B-NAME
Steil   I-NAME
appears   O
cachexic   O
and   O
in   O
moderate   O
respiratory   O
distress   O
.   O

Diagnostic   O
Evaluation   O
:   O
A   O
chest   O
X   O
-   O
ray   O
was   O
done   O
on   O
the   O
recommendation   O
of   O
Dr.   O
Sweeney   B-NAME
which   O
showed   O
a   O
shadow   O
in   O
the   O
right   O
lung   O
.   O

Plan   O
:   O
Carlo   B-NAME
Blackwell   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Klein   B-NAME
,   O
and   O
a   O
biopsy   O
of   O
lung   O
tissue   O
has   O
been   O
scheduled   O
on   O
12/23   B-DATE
.   O

The   O
Hester   B-NAME
is   O
to   O
be   O
contacted   O
on   O
his   O
cell   O
(   B-CONTACT
936   I-CONTACT
)   I-CONTACT
411   I-CONTACT
1653   I-CONTACT
for   O
any   O
updates   O
regarding   O
his   O
condition   O
or   O
schedule   O
changes   O
.   O

Username   O
for   O
online   O
access   O
:   O
dt372   B-NAME
Remark   O
:   O

We   O
are   O
following   O
all   O
suitable   O
precautions   O
to   O
ensure   O
the   O
privacy   O
of   O
the   O
Kamryn   B-NAME
Becker   I-NAME
,   O
as   O
given   O
by   O
his   O
ID   O
TB:22710:312401   B-ID
.   O

Patient   O
Name   O
:   O
Logan   B-NAME
Wade   I-NAME
Patient   O
ID   O
:   O
985753   B-ID
Age   O
:   O
52s   O
Patient   O
Location   O
:   O
Sesser   B-LOCATION
Physician   O
Name   O
:   O
Townsend   B-NAME
Hospital   O
Name   O
:   O
Easton   B-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
0925S77947   B-ID
On   O
05/34/99   B-DATE
,   O
Micheal   B-NAME
Leyva   I-NAME
presented   O
to   O
the   O
ER   O
at   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
Kings   I-LOCATION
County   I-LOCATION
,   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10456   I-LOCATION
,   O
accompanied   O
by   O
his   O
wife   O
.   O

A   O
physical   O
examination   O
was   O
conducted   O
by   O
Annie   B-NAME
Andersen   I-NAME
.   O

A   O
chest   O
X   O
-   O
ray   O
was   O
also   O
conducted   O
at   O
the   O
Atrium   B-LOCATION
Health   I-LOCATION
Union   I-LOCATION
radiology   O
department   O
,   O
which   O
indicated   O
a   O
possibility   O
of   O
pneumonia   O
.   O

Due   O
to   O
the   O
complexity   O
of   O
his   O
condition   O
,   O
Bates   B-NAME
was   O
admitted   O
to   O
Community   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Branch   I-LOCATION
County   I-LOCATION
.   O

For   O
glucose   O
management   O
,   O
Gerardo   B-NAME
Arroyo   I-NAME
prescribed   O
Metformin   O
500   O
mg   O
twice   O
daily   O
and   O
suggested   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
to   O
assess   O
his   O
response   O
.   O

We   O
keep   O
the   O
patient   O
's   O
family   O
updated   O
via   O
91514   B-CONTACT
.   O

The   O
Thunder   B-LOCATION
Bank   I-LOCATION
has   O
taken   O
responsibility   O
for   O
the   O
health   O
case   O
management   O
of   O
the   O
patient   O
.   O

Please   O
refer   O
to   O
the   O
case   O
manager   O
's   O
username   O
as   O
dx833   B-NAME
for   O
further   O
information   O
.   O

We   O
handed   O
over   O
his   O
medical   O
reports   O
and   O
radiology   O
reports   O
with   O
ID   O
239   B-ID
-   I-ID
94   I-ID
-   I-ID
22   I-ID
-   I-ID
1   I-ID
,   O
and   O
asked   O
for   O
a   O
follow   O
-   O
up   O
after   O
two   O
weeks   O
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
the   O
patient   O
has   O
been   O
advised   O
to   O
immediately   O
visit   O
Norton   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
&   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
,   O
conveniently   O
located   O
near   O
his   O
residential   O
area   O
,   O
in   O
22642   B-LOCATION
area   O
pacifically   O
.   O

Patient   O
Name   O
:   O
Jerome   B-NAME
Leon   I-NAME
Date   O
of   O
Birth   O
:   O
0/29   B-DATE
Age   O
:   O
17   O
Location   O
:   O
Hemingford   B-LOCATION
Phone   O
:   O
30388   B-CONTACT
Medical   O
Record   O
:   O
142   B-ID
-   I-ID
86   I-ID
-   I-ID
17   I-ID
The   O
patient   O
,   O
Marie   B-NAME
Antoinette   I-NAME
,   O
a   O
Architect   O
,   O
was   O
referred   O
to   O
me   O
,   O
Jovany   B-NAME
Mathews   I-NAME
working   O
at   O
Jefferson   B-LOCATION
Hospital   I-LOCATION
,   O
on   O
9/2012   B-DATE
.   O

Additionally   O
,   O
Danika   B-NAME
Harvey   I-NAME
had   O
been   O
experiencing   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
,   O
with   O
disturbed   O
bowel   O
habits   O
,   O
particularly   O
constipation   O
.   O

Anreozzi   B-NAME
Imam   I-NAME
's   O
ID   O
was   O
labeled   O
as   O
ZB354/4114   B-ID
in   O
the   O
system   O
.   O

The   O
lab   O
results   O
,   O
communicated   O
on   O
11/01/1971   B-DATE
,   O
indicated   O
a   O
slight   O
increase   O
in   O
the   O
number   O
of   O
white   O
blood   O
cells   O
and   O
increased   O
liver   O
enzymes   O
,   O
which   O
could   O
be   O
indicative   O
of   O
an   O
inflammatory   O
process   O
.   O

My   O
team   O
at   O
Sun   B-LOCATION
Life   I-LOCATION
Financial   I-LOCATION
scheduled   O
the   O
imaging   O
appointment   O
using   O
the   O
contact   O
36638   B-CONTACT
for   O
May   B-DATE
22   I-DATE
.   O

I   O
have   O
advised   O
Eileen   B-NAME
Huffman   I-NAME
to   O
stick   O
to   O
a   O
low   O
-   O
fat   O
diet   O
and   O
to   O
maintain   O
hydration   O
.   O

We   O
are   O
due   O
to   O
have   O
a   O
follow   O
-   O
up   O
appointment   O
post   O
-   O
imaging   O
results   O
,   O
scheduled   O
for   O
3/21   B-DATE
.   O

In   O
case   O
of   O
persisting   O
symptoms   O
or   O
any   O
emergent   O
issues   O
(   O
like   O
sharp   O
increase   O
in   O
the   O
abdominal   O
pain   O
,   O
fever   O
or   O
jaundice   O
)   O
,   O
McAndrews   B-NAME
was   O
instructed   O
to   O
reach   O
the   O
emergency   O
department   O
of   O
Advocate   B-LOCATION
Good   I-LOCATION
Shepherd   I-LOCATION
Hospital   I-LOCATION
or   O
dial   O
the   O
emergency   O
number-   O
20479   B-CONTACT
immediately   O
.   O

The   O
address   O
for   O
Piedmont   B-LOCATION
Fayette   I-LOCATION
Hospital   I-LOCATION
is   O
Lexington   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Lexington   I-LOCATION
Association   I-LOCATION
,   O
zip   O
code   O
97557   B-LOCATION
.   O

Report   O
compiled   O
by   O
:   O
CZ187   B-NAME
Note   O
:   O
This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
exclusive   O
use   O
by   O
the   O
care   O
team   O
of   O
Burnham   B-NAME
,   I-NAME
Daniel   I-NAME
at   O
Caldwell   B-LOCATION
UNC   I-LOCATION
Healthcare   I-LOCATION
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Inge   B-NAME
Date   O
of   O
Birth   O
:   O
00/31   B-DATE
Hospital   O
:   O
Holmes   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Address   O
:   O
Oaklyn   B-LOCATION
Phone   O
:   O
169   B-CONTACT
4617   I-CONTACT
Zip   O
:   O
11851   B-LOCATION
Admitted   O
to   O
CentraState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/46   B-DATE
.   O

At   O
the   O
onset   O
of   O
symptoms   O
,   O
Chance   B-NAME
Mcintosh   I-NAME
was   O
complaining   O
about   O
severe   O
chest   O
pain   O
accompanied   O
by   O
shortness   O
of   O
breath   O
and   O
profuse   O
sweating   O
.   O

Employee   O
name   O
:   O
Barron   B-NAME
Employee   O
ID   O
:   O
TW   B-ID
:   I-ID
UJ:2376   I-ID
Username   O
:   O
UI273   B-NAME
Professional   O
:   O
jeweler   O
Organization   O
:   O

International   B-LOCATION
Federation   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Initiated   O
the   O
patient   O
for   O
immediate   O
coronary   O
catheterization   O
.   O

The   O
procedure   O
was   O
carried   O
out   O
by   O
Saunders   B-NAME
along   O
with   O
his   O
team   O
.   O

Patient   O
Kendall   B-NAME
Combs   I-NAME
,   O
MRN   O
63193011   B-ID
,   O
was   O
shifted   O
to   O
ICU   O
for   O
further   O
management   O
.   O

He   O
is   O
presently   O
being   O
treated   O
and   O
monitored   O
in   O
the   O
ICU   O
under   O
the   O
supervision   O
of   O
the   O
cardiology   O
team   O
led   O
by   O
Armando   B-NAME
Cruz   I-NAME
.   O

This   O
documented   O
report   O
is   O
accurate   O
as   O
of   O
13/21   B-DATE
,   O
with   O
the   O
next   O
update   O
due   O
after   O
January   B-DATE
.   O

Please   O
contact   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Kalamazoo   I-LOCATION
at   O
510   B-CONTACT
-   I-CONTACT
1740   I-CONTACT
and   O
ask   O
to   O
speak   O
with   O
Rozella   B-NAME
Velazco   I-NAME
for   O
further   O
updates   O
.   O

Long   B-NAME
's   O
wife   O
,   O
working   O
as   O
Sales   O
Representatives   O
,   O
Chemical   O
and   O
Pharmaceutical   O
in   O
Nation   B-LOCATION
of   I-LOCATION
Suns   I-LOCATION
,   O
resides   O
in   O
Malinta   B-LOCATION
.   O

Her   O
contact   O
number   O
969   B-CONTACT
7556   I-CONTACT
.   O

These   O
notes   O
have   O
been   O
recorded   O
by   O
wmj875   B-NAME
in   O
accordance   O
with   O
the   O
latest   O
medical   O
standards   O
and   O
in   O
full   O
compliance   O
with   O
our   O
PHI   O
protection   O
policy   O
.   O

Patient   O
Report   O
:   O
Ione   B-NAME
Jean   I-NAME
is   O
a   O
84   O
-   O
year   O
-   O
old   O
male   O
who   O
presented   O
to   O
the   O
ER   O
of   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
a   O
chilly   O
Friday   O
on   O
23/27/2260   B-DATE
.   O

The   O
patient   O
resides   O
in   O
Casey   B-LOCATION
.   O

Examined   O
by   O
Dr.   O
Julien   B-NAME
Christensen   I-NAME
who   O
took   O
notice   O
of   O
a   O
slight   O
wheezing   O
sound   O
while   O
auscultation   O
.   O

Working   O
for   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Painters   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Trades   I-LOCATION
as   O
a   O
Programme   O
researcher   O
,   O
he   O
was   O
under   O
stress   O
since   O
last   O
few   O
weeks   O
due   O
to   O
heavy   O
workload   O
.   O

The   O
patient   O
's   O
personal   O
details   O
such   O
as   O
SSN   O
number   O
is   O
EM   B-ID
:   I-ID
KN:8361   I-ID
and   O
his   O
contact   O
number   O
is   O
658   B-CONTACT
8400   I-CONTACT
.   O

His   O
home   O
address   O
is   O
at   O
21742   B-LOCATION
.   O

His   O
medical   O
record   O
number   O
for   O
this   O
visit   O
is   O
95745060   B-ID
.   O

The   O
Electronic   O
Health   O
Record   O
(   O
EHR   O
)   O
username   O
for   O
Dr.   O
Christopher   B-NAME
Syn   I-NAME
is   O
ad815   B-NAME
.   O

The   O
patient   O
was   O
discharged   O
on   O
32/02/03   B-DATE
after   O
noticing   O
improvements   O
in   O
his   O
health   O
condition   O
.   O

Note   O
:   O
Kaczynski   B-NAME
,   I-NAME
Lech   I-NAME
needs   O
lifestyle   O
modifications   O
and   O
a   O
change   O
of   O
job   O
scenario   O
if   O
possible   O
.   O

Patient   O
Bean   B-NAME
is   O
a   O
66s   O
year   O
old   O
woman   O
who   O
presented   O
to   O
Sts   B-LOCATION
.   I-LOCATION
Mary   B-LOCATION
&   I-LOCATION
Elizabeth   I-LOCATION
Hospital   I-LOCATION
on   O
the   O
9/03   B-DATE
.   O

She   O
was   O
seen   O
by   O
ophthalmologist   O
Thomas   B-NAME
in   O
Far   B-LOCATION
Rockaway   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
11691   I-LOCATION
for   O
her   O
visual   O
complaints   O
.   O

She   O
worked   O
as   O
a   O
Electronics   O
Engineers   O
,   O
Except   O
Computer   O
in   O
the   O
Carroll   B-LOCATION
EMC   I-LOCATION
which   O
involved   O
a   O
significant   O
amount   O
of   O
screen   O
time   O
.   O

She   O
is   O
a   O
resident   O
of   O
Falling   B-LOCATION
Water   I-LOCATION
(   O
Zip   O
:   O
23811   B-LOCATION
)   O
and   O
can   O
be   O
contacted   O
via   O
her   O
phone   O
number   O
84901   B-CONTACT
for   O
follow   O
-   O
up   O
care   O
.   O

Her   O
medical   O
record   O
number   O
in   O
our   O
hospital   O
is   O
9933205   B-ID
.   O

Her   O
initial   O
CT   O
scan   O
of   O
the   O
brain   O
was   O
performed   O
on   O
18/10/2033   B-DATE
by   O
Dr.   O
Kirby   B-NAME
.   O

The   O
patient   O
was   O
advised   O
to   O
immediately   O
consult   O
Neurosurgeon   O
Dr.   O
Hood   B-NAME
at   O
MedStar   B-LOCATION
Southern   I-LOCATION
Maryland   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
in   O
Newhall   B-LOCATION
for   O
urgent   O
management   O
of   O
her   O
condition   O
.   O

Her   O
next   O
appointment   O
was   O
scheduled   O
for   O
Easter   B-DATE
2241   I-DATE
.   O

The   O
neurology   O
department   O
can   O
be   O
reached   O
at   O
429   B-CONTACT
8915   I-CONTACT
.   O

The   O
patient   O
ID   O
is   O
4   B-ID
-   I-ID
4671866   I-ID
.   O

The   O
assigned   O
nurse   O
for   O
this   O
case   O
is   O
VD699   B-NAME
.   O

For   O
any   O
further   O
reference   O
to   O
this   O
case   O
,   O
please   O
quote   O
the   O
patient   O
's   O
ID   O
:   O
0   B-ID
-   I-ID
8041841   I-ID
.   O

Patient   O
:   O
Vincent   B-NAME
Fournier   I-NAME
Age   O
:   O
15   O
Medical   O
Record   O
:   O
98472380   B-ID

Abbott   B-NAME
Location   O
:   O
Verdigris   B-LOCATION
Hospitals   O
:   O
Orlando   B-LOCATION
Health   I-LOCATION
Health   I-LOCATION
Central   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
WK869/2945   B-ID
Organization   O
:   O

Marshalls   B-LOCATION
Phone   O
:   O
147   B-CONTACT
324   I-CONTACT
5117   I-CONTACT
Profession   O
:   O
Computer   O
Systems   O
Analysts   O
Username   O
:   O
rh280   B-NAME
Zip   O
:   O
19341   B-LOCATION
The   O
patient   O
,   O
Singer   B-NAME
,   I-NAME
Isaac   I-NAME
Bashevis   I-NAME
,   O
visited   O
our   O
hospital   O
,   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Lourdes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
on   O
09/04   B-DATE
.   O

He   O
is   O
a   O
3   O
year   O
old   O
male   O
who   O
works   O
as   O
a   O
Police   O
officer   O
and   O
has   O
been   O
residing   O
in   O
Ekwok   B-LOCATION
.   O

His   O
medical   O
identification   O
number   O
is   O
54297090   B-ID
and   O
he   O
can   O
be   O
contacted   O
on   O
this   O
phone   O
number   O
794   B-CONTACT
-   I-CONTACT
4641   I-CONTACT
.   O

The   O
patient   O
has   O
been   O
compliant   O
with   O
the   O
care   O
plan   O
suggested   O
by   O
Dr.   O
Wilkins   B-NAME
.   O

His   O
medical   O
records   O
(   O
507   B-ID
-   I-ID
91   I-ID
-   I-ID
13   I-ID
-   I-ID
2   I-ID
)   O
reveal   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
II   O
diabetes   O
mellitus   O
.   O

Destiny   B-NAME
Hill   I-NAME
presented   O
with   O
a   O
chief   O
complaint   O
of   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
week   O
,   O
which   O
becomes   O
severe   O
during   O
physical   O
exertion   O
.   O

The   O
primary   O
care   O
physician   O
,   O
Dr.   O
Walter   B-NAME
,   O
was   O
contacted   O
immediately   O
for   O
further   O
management   O
.   O

The   O
patient   O
was   O
subsequently   O
admitted   O
to   O
the   O
intensive   O
care   O
unit   O
of   O
Melissa   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
diagnostic   O
work   O
-   O
up   O
.   O

His   O
next   O
of   O
kin   O
,   O
who   O
reside   O
at   O
Meadow   B-LOCATION
Bridge   I-LOCATION
with   O
zip   O
code   O
20162   B-LOCATION
,   O
have   O
been   O
notified   O
and   O
given   O
the   O
primary   O
contact   O
number   O
of   O
UPMC   B-LOCATION
Jameson   I-LOCATION
-   O
47060   B-CONTACT
.   O

Details   O
concerning   O
his   O
medical   O
condition   O
have   O
been   O
uploaded   O
on   O
our   O
Infinity   B-LOCATION
Property   I-LOCATION
&   I-LOCATION
Casualty   I-LOCATION
Corporation   I-LOCATION
health   O
portal   O
,   O
with   O
the   O
patient   O
's   O
username   O
being   O
OB588   B-NAME
.   O

Dr.   O
Fétis   B-NAME
,   I-NAME
Joseph   I-NAME
will   O
also   O
be   O
closely   O
following   O
the   O
case   O
and   O
guiding   O
the   O
treatment   O
plan   O
as   O
needed   O
.   O

Subject   O
:   O
Medical   O
Report   O
for   O
Dennis   B-NAME
Donnelly   I-NAME
01/15/1695   B-DATE

Dear   O
Moon   B-NAME
,   O
I   O
am   O
writing   O
to   O
update   O
you   O
on   O
the   O
condition   O
of   O
Murphy   B-NAME
.   O

As   O
you   O
may   O
remember   O
,   O
VELASQUEZ   B-NAME
,   I-NAME
WALTER   I-NAME
visited   O
the   O
UPMC   B-LOCATION
Horizon   I-LOCATION
-   I-LOCATION
Shenango   I-LOCATION
Valley   I-LOCATION
Campus   I-LOCATION
emergency   O
department   O
on   O
July   B-DATE
2   I-DATE
complaining   O
of   O
severe   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

Previous   O
records   O
mention   O
that   O
Sherrie   B-NAME
Stotler   I-NAME
is   O
38   O
old   O
and   O
has   O
a   O
known   O
history   O
of   O
type   O
2   O
diabetes   O
,   O
hypertension   O
,   O
and   O
hyperlipidemia   O
.   O

He   O
currently   O
resides   O
in   O
Rehobeth   B-LOCATION
and   O
is   O
working   O
as   O
a   O
Financial   O
Examiners   O
.   O

An   O
EKG   O
obtained   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
.   O

Therefore   O
,   O
under   O
the   O
consultation   O
of   O
Rivas   B-NAME
,   O
we   O
decided   O
to   O
commence   O
Tweed   B-NAME
,   I-NAME
William   I-NAME
Marcy   I-NAME
(   I-NAME
"   I-NAME
Boss   I-NAME
"   I-NAME
)   I-NAME
on   O
a   O
regimen   O
of   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
nitroglycerin   O
.   O

Subsequently   O
,   O
Tamara   B-NAME
Mahoney   I-NAME
was   O
moved   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
.   O

On   O
37/03/2022   B-DATE
,   O
we   O
carried   O
out   O
a   O
second   O
EKG   O
,   O
which   O
indicated   O
the   O
resolution   O
of   O
the   O
ST   O
-   O
segment   O
elevations   O
.   O

I   O
have   O
planned   O
to   O
schedule   O
an   O
appointment   O
with   O
a   O
nutritionist   O
and   O
a   O
diabetic   O
educator   O
from   O
Braintree   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Garth   B-NAME
Limardi   I-NAME
needs   O
comprehensive   O
education   O
and   O
advice   O
on   O
his   O
diet   O
and   O
lifestyle   O
modifications   O
.   O

Also   O
,   O
I   O
have   O
requested   O
a   O
follow   O
-   O
up   O
visit   O
with   O
his   O
cardiologist   O
,   O
Dr.   O
Gabriella   B-NAME
David   I-NAME
.   O

I   O
have   O
shared   O
a   O
copy   O
of   O
these   O
findings   O
with   O
Thomas   B-NAME
Waller   I-NAME
via   O
the   O
patient   O
portal   O
,   O
username   O
:   O
HE842   B-NAME
,   O
under   O
13043125   B-ID
.   O

For   O
future   O
discussions   O
regarding   O
patient   O
management   O
,   O
feel   O
free   O
to   O
call   O
me   O
on   O
(   B-CONTACT
840   I-CONTACT
)   I-CONTACT
432   I-CONTACT
7891   I-CONTACT
.   O

Sincerely   O
,   O
Sherlyn   B-NAME
Peters   I-NAME
Note   O
:   O
Mcclain   B-NAME
's   O
HIPPA   O
form   O
,   O
ID   O
2100276   B-ID
,   O
mentions   O
that   O
his   O
secondary   O
emergency   O
contact   O
resides   O
at   O
52385   B-LOCATION
.   O

Patient   O
's   O
Name   O
:   O
Hammond   B-NAME
Age   O
:   O
8   O
month   O
Date   O
of   O
Report   O
:   O
05/19   B-DATE
Location   O
:   O
Reiffton   B-LOCATION
ID   O
:   O
GP   B-ID
:   I-ID
ZX:8384   I-ID
Medical   O
Record   O
:   O
64586194   B-ID
Doctor   O
's   O
Name   O
:   O
Gaye   B-NAME
,   I-NAME
Marvin   I-NAME
Organization   O
:   O
NAPO   B-LOCATION
Phone   O
Number   O
:   O
705   B-CONTACT
8941   I-CONTACT
Patient   O
's   O
Profession   O
:   O
Embalmers   O
Username   O
:   O
gk892   B-NAME
Zip   O
Code   O
:   O
30368   B-LOCATION
Hospital   O
:   O
Flaget   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Report   O
:   O

The   O
patient   O
,   O
Paulette   B-NAME
Kiem   I-NAME
,   O
presented   O
herself   O
at   O
the   O
emergency   O
department   O
of   O
the   O
Flaget   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
the   O
night   O
of   O
04/84   B-DATE
.   O

She   O
was   O
living   O
in   O
Brookneal   B-LOCATION
and   O
works   O
as   O
a   O
Wind   O
Energy   O
Project   O
Managers   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
Ascension   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
under   O
the   O
care   O
of   O
Baillie   B-NAME
,   I-NAME
Bruce   I-NAME
.   O

For   O
further   O
assessment   O
and   O
follow   O
-   O
ups   O
,   O
the   O
patient   O
is   O
advised   O
to   O
reach   O
out   O
to   O
the   O
respective   O
departments   O
via   O
the   O
phone   O
number   O
(   B-CONTACT
660   I-CONTACT
)   I-CONTACT
586   I-CONTACT
-   I-CONTACT
5842   I-CONTACT
.   O

Patient   O
Name   O
:   O
Felicita   B-NAME
Maul   I-NAME
DOB   O
:   O
37/10/37   B-DATE
Age   O
:   O
35   O
ID   O
:   O
124493040   B-ID
Address   O
:   O
Early   B-LOCATION
Phone   O
:   O
630   B-CONTACT
-   I-CONTACT
8866   I-CONTACT
Occupation   O
:   O
designer   O
Medical   O
Record   O
Number   O
:   O
58212729   B-ID
Presentation   O
:   O
Elisabeth   B-NAME
Moreno   I-NAME
attended   O
our   O
EvergreenHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
on   O
30/33/2333   B-DATE
reporting   O
severe   O
chest   O
pain   O
,   O
which   O
started   O
suddenly   O
around   O
2   O
hours   O
prior   O
.   O

On   O
assessment   O
,   O
Travis   B-NAME
Webb   I-NAME
appeared   O
acutely   O
unwell   O
.   O

Blood   O
tests   O
,   O
including   O
Troponin   O
I   O
,   O
were   O
immediately   O
sent   O
to   O
Hind   B-LOCATION
Mazdoor   I-LOCATION
Kisan   I-LOCATION
Panchayat   I-LOCATION
.   O

Chest   O
X   O
-   O
Ray   O
was   O
reported   O
as   O
normal   O
by   O
Khan   B-NAME
,   I-NAME
Genghis   I-NAME
.   O

Further   O
discussions   O
with   O
cardiologist   O
Zander   B-NAME
Woodward   I-NAME
led   O
to   O
the   O
decision   O
to   O
proceed   O
with   O
an   O
emergency   O
coronary   O
angiogram   O
.   O

On   O
32/23   B-DATE
,   O
he   O
underwent   O
angioplasty   O
and   O
stent   O
placement   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

He   O
recovered   O
well   O
and   O
was   O
discharged   O
home   O
on   O
December   B-DATE
2   I-DATE
,   I-DATE
2013   I-DATE
.   O

He   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
in   O
the   O
cardiology   O
clinic   O
at   O
Ascension   B-LOCATION
SE   I-LOCATION
Wisconsin   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Franklin   I-LOCATION
Campus   I-LOCATION
next   O
week   O
.   O

In   O
case   O
of   O
severe   O
symptoms   O
,   O
Malcolm   B-NAME
Rutledge   I-NAME
was   O
advised   O
to   O
return   O
immediately   O
to   O
the   O
hospital   O
or   O
call   O
881   B-CONTACT
4888   I-CONTACT
.   O

Provider   O
:   O
WQ9210   B-NAME
This   O
case   O
will   O
be   O
discussed   O
at   O
the   O
monthly   O
clinical   O
meeting   O
scheduled   O
to   O
take   O
place   O
at   O
Whitley   B-LOCATION
on   O
15/20   B-DATE
.   O

Please   O
refer   O
to   O
meeting   O
GE   B-ID
:   I-ID
BM:1645   I-ID
for   O
further   O
information   O
.   O

This   O
report   O
serves   O
as   O
a   O
detailed   O
case   O
report   O
for   O
Rubio   B-NAME
,   O
and   O
it   O
is   O
incumbent   O
upon   O
him   O
to   O
ensure   O
the   O
safekeeping   O
of   O
these   O
confidential   O
details   O
.   O

Patient   O
name   O
:   O
Sonja   B-NAME
Quinteros   I-NAME
Age   O
:   O
70   O
Record   O
number   O
:   O
52897517   B-ID
Admitted   O
to   O
Loretto   B-LOCATION
Hospital   I-LOCATION
on   O
22/20   B-DATE
,   O
under   O
the   O
care   O
of   O
Keely   B-NAME
Huber   I-NAME
.   O

Patient   O
's   O
residence   O
:   O
Ryan   B-LOCATION
Park   I-LOCATION
,   O
14240   B-LOCATION
.   O

Patient   O
's   O
contact   O
phone   O
number   O
:   O
513   B-CONTACT
299   I-CONTACT
-   I-CONTACT
8418   I-CONTACT
Patient   O
's   O
Prior   O
Job   O
:   O
Aeronautical   O
engineer   O
Patient   O
arrived   O
complaining   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
localized   O
in   O
the   O
upper   O
-   O
right   O
quadrant   O
,   O
consistent   O
with   O
the   O
region   O
of   O
the   O
liver   O
.   O

Werner   B-NAME
performed   O
a   O
physical   O
examination   O
and   O
found   O
the   O
patient   O
's   O
sclera   O
to   O
be   O
yellow   O
in   O
color   O
,   O
a   O
sign   O
of   O
jaundice   O
.   O

Alongside   O
these   O
symptoms   O
,   O
an   O
analysis   O
of   O
patient   O
's   O
medical   O
history   O
indicated   O
that   O
Ninke   B-NAME
Maxim   I-NAME
possesses   O
a   O
family   O
history   O
of   O
gallstones   O
.   O

Further   O
investigation   O
,   O
via   O
imaging   O
and   O
blood   O
work   O
,   O
was   O
recommended   O
by   O
Sexton   B-NAME
to   O
ascertain   O
the   O
exact   O
disease   O
pathology   O
and   O
devise   O
an   O
appropriate   O
treatment   O
plan   O
.   O

An   O
appointment   O
for   O
the   O
suggested   O
diagnostic   O
tests   O
was   O
scheduled   O
for   O
12/30   B-DATE
at   O
Hunterdon   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
was   O
also   O
referred   O
to   O
a   O
specialist   O
,   O
Dr.   O
Freeman   B-NAME
,   O
operating   O
at   O
the   O
same   O
facility   O
.   O

All   O
of   O
this   O
information   O
has   O
been   O
relayed   O
to   O
the   O
patient   O
's   O
health   O
insurance   O
organization   O
,   O
Chemical   B-LOCATION
Research   I-LOCATION
Society   I-LOCATION
of   I-LOCATION
India   I-LOCATION
,   O
under   O
policy   O
number   O
XP   B-ID
:   I-ID
NK:5410   I-ID
.   O

Patient   O
's   O
account   O
username   O
on   O
the   O
hospital   O
portal   O
:   O
cw98   B-NAME
.   O

The   O
report   O
has   O
been   O
signed   O
by   O
Dauten   B-NAME
,   I-NAME
Dale   I-NAME
on   O
Sunday   B-DATE
.   O

Patient   O
:   O
Jackson   B-NAME
Watson   I-NAME
Date   O
:   O
2117   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
01   I-DATE
Identification   O
Number   O
:   O
JJ795/2190   B-ID
Hospital   O
:   O
Washington   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
Record   O
Number   O
:   O
094   B-ID
-   I-ID
25   I-ID
-   I-ID
39   I-ID
-   I-ID
7   I-ID
Location   O
:   O
Ringwood   B-LOCATION
Age   O
:   O
92   O
PROFESSION   O
:   O

Combination   O
Machine   O
Tool   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
Phone   O
:   O
890   B-CONTACT
-   I-CONTACT
6330   I-CONTACT
Doctor   O
:   O
Kian   B-NAME
Luna   I-NAME
Zip   O
code   O
:   O
89958   B-LOCATION
Username   O
:   O
aj139   B-NAME
Organization   O
:   O
Mainstreet   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
Symptoms   O
The   O
patient   O
Robbins   B-NAME
,   I-NAME
Anthony   I-NAME
,   O
presented   O
to   O
the   O
University   B-LOCATION
of   I-LOCATION
Chicago   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/10/02   B-DATE
.   O

Patient   O
is   O
38   O
years   O
old   O
,   O
initially   O
reported   O
to   O
Yesenia   B-NAME
Gutierrez   I-NAME
complaining   O
of   O
persistent   O
generalized   O
headache   O
,   O
visual   O
disturbances   O
and   O
occasional   O
nausea   O
.   O

On   O
physical   O
examination   O
,   O
Wilson   B-NAME
,   I-NAME
Colin   I-NAME
appeared   O
agitated   O
and   O
uncomfortable   O
.   O

Patient   O
is   O
employed   O
as   O
Nursing   O
Instructors   O
and   O
Teachers   O
,   O
Postsecondary   O
and   O
resides   O
in   O
Hermleigh   B-LOCATION
zip   O
code   O
63958   B-LOCATION
.   O

Further   O
contact   O
can   O
be   O
made   O
through   O
phone   O
number   O
(   B-CONTACT
876   I-CONTACT
)   I-CONTACT
221   I-CONTACT
-   I-CONTACT
9006   I-CONTACT
and   O
primary   O
identification   O
through   O
the   O
hospital   O
's   O
system   O
can   O
be   O
made   O
with   O
username   O
dy495   B-NAME
.   O

The   O
identification   O
number   O
of   O
the   O
patient   O
Ananda   B-NAME
in   O
our   O
medical   O
records   O
is   O
4352083   B-ID
.   O

Due   O
to   O
the   O
severity   O
of   O
his   O
symptoms   O
,   O
Guillermo   B-NAME
Ibarra   I-NAME
has   O
referred   O
the   O
patient   O
to   O
Groton   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
for   O
further   O
neurological   O
evaluation   O
and   O
MRI   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Andrade   B-NAME
Age   O
:   O
94   O
Date   O
of   O
Visit   O
:   O
09/28/22   B-DATE
Presenting   O
complaint   O
:   O
Jovanny   B-NAME
Richard   I-NAME
visited   O
the   O
clinic   O
reporting   O
severe   O
pain   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
for   O
the   O
past   O
two   O
days   O
.   O

Karren   B-NAME
Ertelt   I-NAME
has   O
a   O
previous   O
history   O
of   O
cholecystitis   O
and   O
was   O
under   O
the   O
care   O
of   O
Edwards   B-NAME
in   O
Monroe   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
.   O

Anderson   B-NAME
Buckley   I-NAME
was   O
admitted   O
to   O
our   O
Advocate   B-LOCATION
Christ   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
facility   O
on   O
Friday   B-DATE
,   I-DATE
May   I-DATE
for   O
further   O
management   O
.   O

Laparoscopic   O
Cholecystectomy   O
is   O
planned   O
by   O
Stephane   B-NAME
Bringas   I-NAME
.   O

Personal   O
Information   O
:   O
Patient   O
ID   O
:   O
299529   B-ID
Address   O
:   O
Escondidas   B-LOCATION
Phone   O
Number   O
:   O
926   B-CONTACT
2798   I-CONTACT
Emergency   O
Contact   O
:   O
Contacted   O
Quentin   B-NAME
Shaw   I-NAME
's   O
spouse   O
at   O
69790   B-CONTACT
.   O

Miscellaneous   O
:   O
The   O
medical   O
record   O
no   O
.   O
is   O
589   B-ID
-   I-ID
36   I-ID
-   I-ID
94   I-ID
-   I-ID
3   I-ID
.   O

For   O
further   O
information   O
,   O
please   O
contact   O
PL429   B-NAME
in   O
United   B-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
Centre   I-LOCATION
-   I-LOCATION
Lenin   I-LOCATION
Sarani   I-LOCATION
at   O
92004   B-CONTACT
.   O

Health   O
Insurance   O
Provider   O
:   O
International   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Zip   O
:   O
50443   B-LOCATION
Occupation   O
:   O

Currently   O
,   O
Jaylah   B-NAME
Barrett   I-NAME
is   O
employed   O
as   O
a   O
Reporters   O
and   O
Correspondents   O
.   O

Payton   B-NAME
Esparza   I-NAME
Hospital   O
Name   O
:   O
Adventist   B-LOCATION
Health   I-LOCATION
Glendale   I-LOCATION
Date   O
:   O
April   B-DATE
This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
only   O
for   O
the   O
use   O
of   O
the   O
individual   O
to   O
whom   O
it   O
is   O
addressed   O
.   O

Patient   O
Jazlynn   B-NAME
Jones   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Quakertown   I-LOCATION
Hospital   I-LOCATION
on   O
23/22   B-DATE
.   O

After   O
initial   O
assessment   O
by   O
Dr.   O
Doug   B-NAME
,   O
she   O
was   O
ordered   O
to   O
undergo   O
a   O
series   O
of   O
tests   O
.   O

Post   O
examination   O
,   O
the   O
otolaryngologist   O
Dr.   O
Walters   B-NAME
suggested   O
for   O
a   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
to   O
check   O
for   O
any   O
abnormalities   O
.   O

Patient   O
's   O
medical   O
background   O
was   O
obtained   O
from   O
Vineland   B-LOCATION
Municipal   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
.   O

Her   O
medical   O
record   O
number   O
is   O
3241668   B-ID
.   O

The   O
patient   O
resides   O
in   O
Fort   B-LOCATION
Belknap   I-LOCATION
Agency   I-LOCATION
and   O
works   O
as   O
a   O
Roof   O
Bolters   O
,   O
Mining   O
.   O

During   O
treatment   O
,   O
it   O
was   O
noted   O
by   O
Dr.   O
Donovan   B-NAME
that   O
stress   O
from   O
her   O
job   O
may   O
be   O
a   O
contributing   O
factor   O
to   O
her   O
current   O
health   O
situation   O
.   O

The   O
phone   O
number   O
for   O
her   O
workplace   O
is   O
(   B-CONTACT
168   I-CONTACT
)   I-CONTACT
571   I-CONTACT
-   I-CONTACT
9405   I-CONTACT
and   O
they   O
are   O
located   O
in   O
96538   B-LOCATION
postal   O
code   O
.   O

Her   O
personal   O
physician   O
,   O
Dr.   O
Lopez   B-NAME
,   O
at   O
Irish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
will   O
be   O
in   O
charge   O
of   O
further   O
treatment   O
plans   O
.   O

The   O
patient   O
's   O
personal   O
information   O
,   O
such   O
as   O
her   O
social   O
security   O
number   O
36109   B-ID
,   O
her   O
address   O
in   O
Rackerby   B-LOCATION
,   O
her   O
contact   O
phone   O
number   O
721   B-CONTACT
5405   I-CONTACT
,   O
and   O
her   O
email   O
i   O
d   O
fc855   B-NAME
were   O
collected   O
,   O
but   O
will   O
remain   O
confidential   O
as   O
per   O
HIPAA   O
compliance   O
rules   O
.   O

Patient   O
Broun   B-NAME
,   I-NAME
Heywood   I-NAME
will   O
remain   O
under   O
observation   O
at   O
Lenox   B-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Northwell   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
until   O
then   O
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Addisyn   B-NAME
Benson   I-NAME
Age   O
:   O
93   O
Medical   O
record   O
number   O
:   O
75896682   B-ID
Peck   B-NAME
,   O
a   O
Hydrologists   O
living   O
in   O
Sea   B-LOCATION
Ranch   I-LOCATION
Lakes   I-LOCATION
,   O
presented   O
to   O
Dr.   O
Freddy   B-NAME
Barrera   I-NAME
at   O
the   O
Virtua   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
April   B-DATE
08   I-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
,   O
dizziness   O
,   O
and   O
blurred   O
vision   O
.   O

Ronin   B-NAME
Mays   I-NAME
's   O
family   O
history   O
reports   O
his   O
father   O
,   O
at   O
the   O
age   O
of   O
11   O
,   O
experienced   O
similar   O
symptoms   O
which   O
were   O
later   O
diagnosed   O
as   O
glioblastoma   O
multiforme   O
.   O

Dr.   O
Ellison   B-NAME
ordered   O
a   O
CT   O
scan   O
,   O
which   O
confirmed   O
the   O
presence   O
of   O
a   O
mass   O
in   O
the   O
brain   O
.   O

As   O
a   O
result   O
,   O
the   O
patient   O
was   O
scheduled   O
for   O
a   O
neurosurgical   O
consultation   O
at   O
the   O
Florida   B-LOCATION
Hospital   I-LOCATION
Lake   I-LOCATION
Placid   I-LOCATION
,   O
building   O
Green   B-LOCATION
Bay   I-LOCATION
,   I-LOCATION
On   I-LOCATION
Broadway   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
room   O
432221359   B-ID
on   O
01/25   B-DATE
.   O

In   O
suspect   O
of   O
glioblastoma   O
,   O
based   O
on   O
Brenden   B-NAME
Esparza   I-NAME
’s   O
father   O
's   O
previous   O
clinical   O
history   O
and   O
the   O
patient   O
's   O
current   O
symptoms   O
,   O
it   O
is   O
critically   O
important   O
for   O
a   O
biopsy   O
to   O
make   O
a   O
definitive   O
diagnosis   O
.   O

The   O
patient   O
was   O
instructed   O
to   O
call   O
the   O
Navicent   B-LOCATION
Health   I-LOCATION
Baldwin   I-LOCATION
neurological   O
department   O
's   O
contact   O
number   O
,   O
(   B-CONTACT
664   I-CONTACT
)   I-CONTACT
776   I-CONTACT
-   I-CONTACT
5174   I-CONTACT
,   O
if   O
symptoms   O
worsened   O
or   O
new   O
ones   O
appeared   O
before   O
the   O
scheduled   O
appointment   O
.   O

The   O
patient   O
was   O
also   O
enrolled   O
into   O
a   O
support   O
group   O
with   O
Southern   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
to   O
ensure   O
emotional   O
and   O
mental   O
health   O
were   O
catered   O
to   O
during   O
this   O
stressful   O
period   O
.   O

They   O
can   O
be   O
reached   O
at   O
49272   B-CONTACT
and   O
their   O
office   O
is   O
located   O
at   O
Chambersburg   B-LOCATION
,   O
61811   B-LOCATION
.   O

The   O
patient   O
has   O
been   O
provided   O
with   O
an   O
online   O
patient   O
portal   O
with   O
the   O
username   O
:   O
JF899   B-NAME
for   O
easy   O
access   O
to   O
health   O
information   O
and   O
updates   O
about   O
the   O
upcoming   O
appointment   O
.   O

Report   O
prepared   O
by   O
Dr.   O
Kamren   B-NAME
Benitez   I-NAME
Date   O
:   O
10/34   B-DATE

Patient   O
Name   O
:   O
Ashtyn   B-NAME
Walsh   I-NAME
Age   O
:   O
60   O
Location   O
:   O
Mount   B-LOCATION
Leonard   I-LOCATION
Profession   O
:   O
Geospatial   O
Information   O
Scientists   O
and   O
Technologists   O
31/28   B-DATE
Referring   O
Physician   O
:   O

Strong   B-NAME
Patient   O
Haley   B-NAME
Santiago   I-NAME
presented   O
with   O
progressive   O
,   O
bilateral   O
lower   O
extremity   O
weakness   O
over   O
the   O
past   O
six   O
weeks   O
.   O

Upon   O
physical   O
examination   O
,   O
Chassidy   B-NAME
exhibits   O
muscle   O
strength   O
of   O
4/5   O
in   O
bilateral   O
lower   O
limbs   O
,   O
normal   O
muscle   O
tone   O
,   O
and   O
symmetric   O
deep   O
tendon   O
reflexes   O
.   O

[   O
Clinical   O
ID   O
:   O
AA   B-ID
:   I-ID
IN:5437   I-ID
]   O
A   O
comprehensive   O
metabolic   O
panel   O
,   O
B12   O
level   O
,   O
and   O
thyroid   O
function   O
tests   O
were   O
ordered   O
and   O
returned   O
within   O
normal   O
ranges   O
.   O

Consequently   O
,   O
an   O
MRI   O
of   O
the   O
thoracic   O
spine   O
was   O
scheduled   O
and   O
performed   O
at   O
Cook   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
8/24   B-DATE
.   O

We   O
discussed   O
the   O
results   O
with   O
Wendy   B-NAME
P   I-NAME
Nowak   I-NAME
over   O
the   O
724   B-CONTACT
-   I-CONTACT
931   I-CONTACT
-   I-CONTACT
1464   I-CONTACT
and   O
planned   O
for   O
physiotherapy   O
sessions   O
for   O
the   O
next   O
six   O
weeks   O
at   O
the   O
Pacific   B-LOCATION
Life   I-LOCATION
's   O
physical   O
therapy   O
department   O
.   O

We   O
've   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
six   O
weeks   O
from   O
13/09   B-DATE
to   O
reassess   O
the   O
patient   O
’s   O
progress   O
.   O

This   O
report   O
will   O
be   O
maintained   O
in   O
Gassée   B-NAME
,   I-NAME
Jean   I-NAME
-   I-NAME
Louis   I-NAME
's   O
medical   O
file   O
38789184   B-ID
at   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Gladwin   I-LOCATION
located   O
in   O
Amanda   B-LOCATION
Park   I-LOCATION
Patient   O
's   O
username   O
for   O
the   O
online   O
platform   O
:   O
ay552   B-NAME
.   O
Patient   O
's   O
ZIP   O
code   O
:   O
41772   B-LOCATION
.   O

Patient   O
:   O
Walton   B-NAME
Calgar   I-NAME
Age   O
:   O
28   O
Doctor   O
:   O
Corey   B-NAME
Merritt   I-NAME
Location   O
:   O
Holmes   B-LOCATION
Beach   I-LOCATION
Phone   O
:   O
(   B-CONTACT
770   I-CONTACT
)   I-CONTACT
216   I-CONTACT
6086   I-CONTACT
Date   O
:   O
01/2323   B-DATE
Medical   O
Record   O
:   O
836   B-ID
-   I-ID
16   I-ID
-   I-ID
92   I-ID
Zip   O
:   O
46962   B-LOCATION
ID   O
:   O
ON:24417:193319   B-ID
Organization   O
:   O

Amcore   B-LOCATION
Bank   I-LOCATION
Profession   O
:   O
Forest   O
Fire   O
Fighting   O
and   O
Prevention   O
Supervisors   O
Username   O
:   O
on549   B-NAME
Hospital   O
:   O

MetroSouth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Encounter   O
:   O

The   O
patient   O
,   O
Claire   B-NAME
Ramsey   I-NAME
,   O
a   O
89   O
-   O
year   O
-   O
old   O
who   O
is   O
employed   O
as   O
a   O
UX   O
designer   O
,   O
attended   O
our   O
7017   B-LOCATION
Cherry   I-LOCATION
Road   I-LOCATION
-   O
based   O
facilities   O
for   O
the   O
appointment   O
scheduled   O
on   O
33/27/2083   B-DATE
.   O

Presenting   O
Symptoms   O
:   O
Jaiden   B-NAME
Doyle   I-NAME
complained   O
of   O
progressive   O
intermittent   O
headaches   O
that   O
were   O
primarily   O
pulsatile   O
in   O
nature   O
,   O
localized   O
to   O
the   O
right   O
frontal   O
area   O
of   O
the   O
skull   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
by   O
Jacobs   B-NAME
,   O
the   O
patient   O
appeared   O
well   O
-   O
groomed   O
and   O
alert   O
.   O

This   O
is   O
the   O
first   O
episode   O
of   O
such   O
a   O
headache   O
for   O
the   O
patient   O
Logan   B-NAME
.   O

Family   O
history   O
received   O
from   O
Kirk   B-NAME
reveals   O
no   O
genetic   O
predisposition   O
or   O
similar   O
complaints   O
.   O

Conclusion   O
:   O
Given   O
the   O
intensity   O
and   O
consistent   O
nature   O
of   O
Chen   B-NAME
's   O
headaches   O
,   O
a   O
diagnosis   O
of   O
migraines   O
seems   O
probable   O
.   O

Younker   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
at   O
Fayette   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
summary   O
will   O
be   O
shared   O
using   O
pqs306   B-NAME
with   O
required   O
healthcare   O
professionals   O
and   O
has   O
been   O
saved   O
under   O
the   O
medical   O
record   O
12371880   B-ID
.   O

The   O
staff   O
at   O
South   B-LOCATION
Colorado   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
will   O
reach   O
out   O
to   O
YAEL   B-NAME
Pratt   I-NAME
using   O
the   O
contact   O
number   O
45805   B-CONTACT
for   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

Johnathan   B-NAME
Stout   I-NAME
is   O
requested   O
to   O
bring   O
his   O
69654222   B-ID
for   O
verification   O
purposes   O
during   O
his   O
next   O
visit   O
to   O
our   O
Carrizozo   B-LOCATION
center   O
.   O

Patient   O
Report   O
:   O
Patient   O
,   O
Smith   B-NAME
,   I-NAME
Sydney   I-NAME
,   O
a   O
Medical   O
and   O
Clinical   O
Laboratory   O
Technicians   O
by   O
profession   O
has   O
been   O
complaining   O
of   O
severe   O
and   O
persistent   O
abdominal   O
pain   O
,   O
accompanied   O
by   O
nausea   O
,   O
vomiting   O
,   O
and   O
mild   O
fever   O
over   O
the   O
last   O
three   O
8/20/2051   B-DATE
.   O

The   O
personal   O
health   O
history   O
of   O
Kaylee   B-NAME
reveals   O
that   O
he   O
was   O
diagnosed   O
with   O
peptic   O
ulcer   O
disease   O
approximately   O
three   O
years   O
ago   O
at   O
Blue   B-LOCATION
Ridge   I-LOCATION
HealthCare   I-LOCATION
Hospitals   I-LOCATION
.   O

He   O
has   O
maintained   O
a   O
strict   O
diet   O
and   O
lifestyle   O
modifications   O
since   O
his   O
diagnosis   O
according   O
to   O
Dr.   O
Tate   B-NAME
's   O
advice   O
.   O

His   O
primary   O
healthcare   O
provider   O
,   O
Dr.   O
Dick   B-NAME
Richard   I-NAME
,   O
of   O
Spencerport   B-LOCATION
medical   O
center   O
,   O
ran   O
some   O
preliminary   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
,   O
liver   O
function   O
test   O
,   O
and   O
urinalysis   O
.   O

Sparber   B-NAME
,   I-NAME
Max   I-NAME
previously   O
residing   O
in   O
a   O
different   O
South   B-LOCATION
Miami   I-LOCATION
Heights   I-LOCATION
has   O
recently   O
moved   O
to   O
15866   B-LOCATION
.   O

Bullock   B-NAME
's   O
contact   O
information   O
as   O
per   O
our   O
records   O
is   O
81270   B-CONTACT
.   O

He   O
was   O
also   O
assigned   O
an   O
526172   B-ID
number   O
for   O
official   O
records   O
and   O
communication   O
.   O

He   O
was   O
referred   O
to   O
a   O
specialized   O
gastroenterologist   O
,   O
Dr.   O
Beard   B-NAME
,   O
at   O
the   O
Tahirih   B-LOCATION
Justice   I-LOCATION
Center   I-LOCATION
for   O
further   O
diagnosis   O
.   O

His   O
medical   O
record   O
648   B-ID
-   I-ID
46   I-ID
-   I-ID
94   I-ID
-   I-ID
0   I-ID
,   O
which   O
includes   O
all   O
the   O
necessary   O
health   O
information   O
,   O
was   O
shared   O
with   O
the   O
specialist   O
's   O
office   O
.   O

Upon   O
examination   O
,   O
Ritter   B-NAME
,   I-NAME
Scott   I-NAME
of   O
83   O
years   O
was   O
suspected   O
to   O
have   O
acute   O
appendicitis   O
.   O

An   O
abdominal   O
ultrasound   O
and   O
a   O
CT   O
scan   O
were   O
scheduled   O
for   O
12/29   B-DATE
in   O
Providence   B-LOCATION
Medford   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

According   O
to   O
the   O
SC10110   B-NAME
on   O
his   O
profile   O
,   O
another   O
follow   O
up   O
appointment   O
is   O
set   O
for   O
next   O
2137   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
22   I-DATE
for   O
a   O
conclusive   O
diagnosis   O
and   O
to   O
discuss   O
the   O
treatment   O
options   O
.   O

Dr.   O
Murray   B-NAME
emphasized   O
the   O
importance   O
of   O
emergency   O
medical   O
attention   O
if   O
pain   O
intensifies   O
or   O
if   O
there   O
is   O
the   O
appearance   O
of   O
any   O
new   O
symptoms   O
.   O

Burroughs   B-NAME
,   I-NAME
William   I-NAME
S.   I-NAME
's   O
condition   O
will   O
be   O
closely   O
monitored   O
over   O
the   O
following   O
weeks   O
,   O
and   O
further   O
actions   O
will   O
be   O
determined   O
based   O
on   O
his   O
progress   O
and   O
response   O
to   O
the   O
treatment   O
.   O

Patient   O
name   O
:   O
Arthur   B-NAME
Qin   I-NAME
.   O

Patient   O
presented   O
to   O
Children   B-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
of   I-LOCATION
Atlanta   I-LOCATION
at   I-LOCATION
Hughes   I-LOCATION
Spalding   I-LOCATION
on   O
Wednesday   B-DATE
,   I-DATE
May   I-DATE
.   O

The   O
patient   O
,   O
a   O
Political   O
researcher   O
with   O
Unite   B-LOCATION
-   I-LOCATION
the   I-LOCATION
Union   I-LOCATION
,   O
has   O
been   O
experiencing   O
a   O
range   O
of   O
symptoms   O
over   O
the   O
past   O
few   O
weeks   O
.   O

Strauss   B-NAME
,   I-NAME
Richard   I-NAME
reports   O
that   O
this   O
fatigue   O
was   O
not   O
alleviated   O
with   O
rest   O
.   O

About   O
2   O
weeks   O
ago   O
,   O
Clementina   B-NAME
started   O
noticing   O
a   O
shortness   O
of   O
breath   O
,   O
initially   O
while   O
doing   O
strenuous   O
activities   O
,   O
and   O
now   O
even   O
while   O
at   O
rest   O
.   O

A   O
detailed   O
examination   O
by   O
Issac   B-NAME
Stevenson   I-NAME
revealed   O
lung   O
rales   O
,   O
which   O
are   O
usually   O
indicative   O
of   O
fluid   O
in   O
the   O
lungs   O
.   O

Jeffrey   B-NAME
's   O
body   O
temperature   O
was   O
found   O
to   O
be   O
elevated   O
at   O
101   O
°   O
F   O
.   O

A   O
chest   O
X   O
-   O
Ray   O
was   O
ordered   O
which   O
showed   O
signs   O
of   O
pneumonia   O
.   O
59186558   B-ID
was   O
created   O
on   O
2217   B-DATE
capturing   O
all   O
symptoms   O
,   O
examination   O
findings   O
,   O
and   O
test   O
results   O
.   O

Da'nailed   B-NAME
Persyn   I-NAME
was   O
advised   O
to   O
be   O
admitted   O
to   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Duluth   I-LOCATION
for   O
further   O
treatment   O
.   O

Maximilian   B-NAME
Durham   I-NAME
is   O
a   O
resident   O
of   O
Garwin   B-LOCATION
,   O
32471   B-LOCATION
,   O
and   O
can   O
be   O
contacted   O
on   O
165   B-CONTACT
-   I-CONTACT
1465   I-CONTACT
.   O

Patient   O
will   O
be   O
revisiting   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
6/3   B-DATE
.   O

Additional   O
notes   O
:   O
Patient   O
's   O
5   B-ID
-   I-ID
2154868   I-ID
card   O
confirms   O
his   O
identity   O
as   O
a   O
5   O
month   O
year   O
old   O
male   O
.   O

His   O
gb324   B-NAME
for   O
the   O
online   O
health   O
portal   O
has   O
been   O
created   O
and   O
instructions   O
on   O
usage   O
have   O
been   O
emailed   O
to   O
him   O
.   O

The   O
patient   O
,   O
Rodolfo   B-NAME
Walton   I-NAME
,   O
a   O
Farm   O
and   O
Ranch   O
Managers   O
,   O
presented   O
to   O
Norwegian   B-LOCATION
American   I-LOCATION
Hospital   I-LOCATION
on   O
11/73   B-DATE
.   O

The   O
patient   O
's   O
ID   O
was   O
0   B-ID
-   I-ID
2549614   I-ID

and   O
they   O
were   O
registered   O
under   O
81752729   B-ID
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
Aubree   B-NAME
Mueller   I-NAME
,   O
the   O
patient   O
’s   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
elevated   O
(   O
160/100   O
mmHg   O
)   O
,   O
and   O
a   O
minor   O
epistaxis   O
was   O
observed   O
.   O

The   O
patient   O
lives   O
in   O
39   B-LOCATION
Trusel   I-LOCATION
St.   I-LOCATION
with   O
a   O
postal   O
code   O
80134   B-LOCATION
.   O

Their   O
contact   O
number   O
was   O
noted   O
down   O
as   O
864   B-CONTACT
-   I-CONTACT
7029   I-CONTACT
for   O
further   O
communication   O
if   O
required   O
.   O

Dr.   O
Michener   B-NAME
,   I-NAME
James   I-NAME
requested   O
the   O
patient   O
to   O
remain   O
under   O
observation   O
for   O
next   O
24   O
hours   O
to   O
monitor   O
symptoms   O
and   O
BP   O
levels   O
while   O
a   O
comprehensive   O
diagnostic   O
workup   O
was   O
conducted   O
.   O

The   O
patient   O
was   O
last   O
seen   O
by   O
the   O
neurology   O
team   O
of   O
Southern   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
on   O
34   B-DATE
-   I-DATE
28   I-DATE
to   O
further   O
investigate   O
the   O
potential   O
cause   O
of   O
these   O
symptoms   O
.   O

At   O
60s   O
,   O
the   O
patient   O
's   O
risk   O
factors   O
include   O
their   O
occupation   O
as   O
a   O
Truck   O
Drivers   O
,   O
Light   O
or   O
Delivery   O
Services   O
and   O
residing   O
in   O
a   O
highly   O
polluted   O
area   O
of   O
Livingston   B-LOCATION
Manor   I-LOCATION
.   O

As   O
of   O
the   O
last   O
discussion   O
on   O
01/29/96   B-DATE
with   O
Dr.   O
Adina   B-NAME
Holly   I-NAME
,   O
the   O
patient   O
was   O
strongly   O
advised   O
to   O
take   O
the   O
necessary   O
precautions   O
and   O
prioritize   O
their   O
health   O
.   O

Patient   O
was   O
further   O
asked   O
to   O
finish   O
up   O
pending   O
tasks   O
and   O
the   O
user   O
BS340   B-NAME
was   O
assigned   O
to   O
follow   O
up   O
.   O

All   O
the   O
details   O
have   O
been   O
properly   O
documented   O
in   O
the   O
medical   O
record   O
number   O
9   B-ID
-   I-ID
4795886   I-ID
.   O

On   O
Nov   B-DATE
2231   I-DATE
,   O
patient   O
Šustauskas   B-NAME
,   I-NAME
Vytautas   I-NAME
came   O
for   O
a   O
regular   O
check   O
-   O
up   O
to   O
Dr.   O
Deanna   B-NAME
Parsons   I-NAME
at   O
the   O
Stanton   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Facility   I-LOCATION
–   I-LOCATION
Johnson   I-LOCATION
.   O

The   O
patient   O
's   O
age   O
is   O
89   O
and   O
is   O
employed   O
as   O
Operations   O
Research   O
Analysts   O
in   O
University   B-LOCATION
and   I-LOCATION
College   I-LOCATION
Union   I-LOCATION
for   O
the   O
last   O
ten   O
years   O
.   O

Dr.   O
Zhang   B-NAME
noted   O
that   O
the   O
patient   O
's   O
conjunctiva   O
were   O
pale   O
,   O
suggesting   O
possible   O
anemia   O
.   O

Dr.   O
Snow   B-NAME
ordered   O
further   O
tests   O
to   O
rule   O
out   O
any   O
cardiovascular   O
issues   O
.   O

The   O
address   O
of   O
the   O
patient   O
as   O
per   O
the   O
record   O
in   O
his   O
/   O
her   O
medical   O
file   O
#   O
4931A56143   B-ID
is   O
8018   B-LOCATION
S.   I-LOCATION
Cooper   I-LOCATION
Street   I-LOCATION
,   O
with   O
a   O
postal   O
code   O
32014   B-LOCATION
.   O

Patient   O
's   O
contact   O
number   O
is   O
228   B-CONTACT
-   I-CONTACT
6899   I-CONTACT
and   O
user   O
ID   O
on   O
the   O
hospital   O
portal   O
is   O
vyl320   B-NAME
.   O

Dr.   O
Zayden   B-NAME
Wolf   I-NAME
has   O
mentioned   O
in   O
the   O
medical   O
report   O
that   O
the   O
Destiney   B-NAME
Beasley   I-NAME
appears   O
to   O
be   O
moderately   O
symptomatic   O
,   O
having   O
slight   O
complications   O
with   O
physical   O
activities   O
.   O

Details   O
of   O
this   O
consultation   O
and   O
the   O
appointment   O
date   O
will   O
be   O
sent   O
by   O
mail   O
at   O
Manele   B-LOCATION
.   O

International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Fire   I-LOCATION
Fighters   I-LOCATION
has   O
a   O
strict   O
policy   O
against   O
violating   O
the   O
privacy   O
of   O
an   O
individual   O
,   O
like   O
sharing   O
their   O
Personal   O
Health   O
Information   O
(   O
PHI   O
)   O
,   O
which   O
includes   O
the   O
patient   O
's   O
health   O
plan   O
#   O
JG   B-ID
:   I-ID
HT:6895   I-ID
.   O

The   O
patient   O
was   O
advised   O
to   O
directly   O
call   O
Dr.   O
Novalis   B-NAME
at   O
the   O
hospital   O
contact   O
number   O
or   O
send   O
a   O
message   O
through   O
portal   O
using   O
his   O
/   O
her   O
VK419   B-NAME
in   O
case   O
of   O
severe   O
symptoms   O
or   O
emergencies   O
.   O

This   O
document   O
is   O
electronically   O
signed   O
by   O
Dr.   O
Brooklyn   B-NAME
Bradshaw   I-NAME
and   O
dated   O
2299   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
23   I-DATE
.   O

Patient   O
Name   O
:   O
Etenia   B-NAME
Address   O
:   O
Waco   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
76705   I-LOCATION
,   O
27320   B-LOCATION
Phone   O
number   O
:   O
549   B-CONTACT
-   I-CONTACT
9484   I-CONTACT
Patient   O
Uriel   B-NAME
Lim   I-NAME
presented   O
to   O
Betsy   B-LOCATION
Johnson   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
21/23/2336   B-DATE
and   O
reported   O
a   O
persistent   O
dry   O
cough   O
for   O
the   O
past   O
week   O
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
Victoria   B-NAME
Townsend   I-NAME
examined   O
and   O
found   O
fever   O
of   O
101   O
degrees   O
Fahrenheit   O
and   O
bilateral   O
crackles   O
on   O
auscultation   O
.   O

During   O
further   O
examination   O
,   O
the   O
pulmonologist   O
Small   B-NAME
noted   O
that   O
the   O
patient   O
's   O
oxygen   O
saturation   O
was   O
at   O
95   O
%   O
on   O
room   O
air   O
.   O

On   O
03/60   B-DATE
,   O
chest   O
X   O
-   O
ray   O
was   O
conducted   O
,   O
revealing   O
signs   O
of   O
interstitial   O
lung   O
infiltrate   O
which   O
correlates   O
with   O
the   O
presence   O
of   O
pneumonia   O
.   O

Pulmonologist   O
Atkins   B-NAME
provided   O
a   O
medical   O
prescription   O
ID   O
:   O
DZ   B-ID
:   I-ID
KB:5986   I-ID
to   O
counteract   O
the   O
symptoms   O
.   O

The   O
patient   O
works   O
as   O
a   O
Artists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
in   O
the   O
Sims   B-LOCATION
Chapel   I-LOCATION
area   O
and   O
travels   O
for   O
work   O
daily   O
.   O

Medical   O
Record   O
Number   O
:   O
4920967   B-ID
Date   O
:   O
0/22   B-DATE
Doctor   O
Name   O
:   O
Kathy   B-NAME
Massey   I-NAME
Hospital   O
Name   O
:   O

Delray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Organization   O
:   O
Security   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
Username   O
:   O
IQ134   B-NAME
Follow   O
-   O
up   O
is   O
scheduled   O
in   O
3   O
weeks   O
on   O
Saturday   B-DATE
to   O
check   O
progress   O
and   O
potentially   O
conduct   O
further   O
tests   O
if   O
symptoms   O
persist   O
.   O

The   O
patient   O
is   O
advised   O
to   O
contact   O
the   O
hospital   O
via   O
the   O
phone   O
number   O
906   B-CONTACT
-   I-CONTACT
5195   I-CONTACT
for   O
any   O
immediate   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
.   O

The   O
patients   O
's   O
welfare   O
is   O
of   O
paramount   O
importance   O
to   O
Northwestern   B-LOCATION
Energy   I-LOCATION
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Luke   B-NAME
Montes   I-NAME
DOB   O
:   O

F   B-DATE
Age   O
:   O
54   O
Medical   O
Record   O
number   O
:   O
055   B-ID
-   I-ID
46   I-ID
-   I-ID
34   I-ID
-   I-ID
4   I-ID
ID   O
:   O
10   B-ID
-   I-ID
7634710   I-ID
Appointment   O
Status   O
:   O

This   O
is   O
a   O
summary   O
from   O
the   O
patient   O
's   O
follow   O
-   O
up   O
visit   O
on   O
22/02   B-DATE
.   O

The   O
patient   O
was   O
seen   O
by   O
Dr.   O
Greene   B-NAME
at   O
Oakbend   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Jackson   I-LOCATION
Street   I-LOCATION
Campus   I-LOCATION
.   O

The   O
patient   O
's   O
phone   O
number   O
is   O
28351   B-CONTACT
and   O
lives   O
in   O
Cambridge   B-LOCATION
.   O

Presenting   O
Symptoms   O
:   O
April   B-NAME
Dominguez   I-NAME
presented   O
with   O
a   O
2   O
-   O
week   O
history   O
of   O
dyspnea   O
,   O
cough   O
,   O
and   O
low   O
grade   O
fever   O
.   O

Medical   O
History   O
:   O
Ray   B-NAME
Palmer   I-NAME
has   O
a   O
known   O
history   O
of   O
Type   O
II   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
.   O

Patient   O
's   O
last   O
HbA1c   O
recorded   O
on   O
October   B-DATE
was   O
7.8   O
%   O
.   O

On   O
physical   O
examination   O
,   O
Krishnamurti   B-NAME
,   I-NAME
Jiddu   I-NAME
had   O
crackles   O
on   O
lung   O
auscultation   O
bilaterally   O
.   O

Assessment   O
:   O
A   O
presumptive   O
diagnosis   O
of   O
Community   O
Acquired   O
Pneumonia   O
(   O
CAP   O
)   O
has   O
been   O
made   O
and   O
Aspen   B-NAME
Gallagher   I-NAME
was   O
recommended   O
for   O
a   O
Chest   O
X   O
-   O
Ray   O
.   O
Plan   O
:   O

McGill   B-NAME
,   I-NAME
Bryant   I-NAME
has   O
been   O
started   O
on   O
a   O
course   O
of   O
Azithromycin   O
and   O
is   O
advised   O
to   O
rest   O
,   O
hydrate   O
,   O
and   O
monitor   O
symptoms   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
11/15   B-DATE
.   O
Contacts   O
:   O
If   O
symptoms   O
worsen   O
,   O
Moore   B-NAME
,   I-NAME
Alan   I-NAME
is   O
advised   O
to   O
contact   O
Dr.   O
James   B-NAME
immediately   O
at   O
429   B-CONTACT
-   I-CONTACT
8197   I-CONTACT
.   O

The   O
hospital   O
address   O
is   O
Coventry   B-LOCATION
Lake   I-LOCATION
,   O
with   O
zip   O
code   O
66894   B-LOCATION
.   O

This   O
report   O
is   O
confidential   O
and   O
was   O
documented   O
by   O
nb103   B-NAME
on   O
00/17/02   B-DATE
.   O

This   O
medical   O
record   O
is   O
governed   O
by   O
the   O
Iraq   B-LOCATION
and   I-LOCATION
Afghanistan   I-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
.   O

Patient   O
report   O
by   O
Beard   B-NAME
36158766   B-ID
:   O
1234567890   O
Ivers   B-NAME
,   O
a   O
Radio   O
and   O
Television   O
Announcers   O
living   O
in   O
Lavonia   B-LOCATION
,   I-LOCATION
Lavonia   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
,   O
of   O
41   O
years   O
came   O
to   O
St.   B-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
05/13/1669   B-DATE
experiencing   O
acute   O
chest   O
pain   O
.   O

Horn   B-NAME
's   O
past   O
medical   O
history   O
revealed   O
that   O
he   O
had   O
a   O
diagnosis   O
of   O
diabetes   O
mellitus   O
and   O
has   O
been   O
on   O
insulin   O
therapy   O
for   O
a   O
decade   O
.   O

The   O
contact   O
906   B-CONTACT
-   I-CONTACT
1173   I-CONTACT
provided   O
by   O
the   O
patient   O
is   O
currently   O
being   O
used   O
to   O
contact   O
the   O
family   O
members   O
.   O

I   O
have   O
admitted   O
Lamb   B-NAME
to   O
the   O
cardiac   O
intensive   O
care   O
unit   O
for   O
24   O
-   O
hour   O
monitoring   O
and   O
medical   O
management   O
.   O

I   O
have   O
discussed   O
the   O
situation   O
with   O
Karina   B-NAME
Brewer   I-NAME
and   O
I   O
'm   O
in   O
contact   O
with   O
him   O
.   O

In   O
case   O
of   O
emergency   O
,   O
please   O
contact   O
CHRISTUS   B-LOCATION
Southeast   I-LOCATION
Texas   I-LOCATION
St.   I-LOCATION
Elizabeth   I-LOCATION
at   O
608   B-CONTACT
2419   I-CONTACT
.   O

Patient   O
's   O
UK:18599:476639   B-ID
and   O
nj178   B-NAME
.   O
Signed   O
,   O

Carney   B-NAME
August   B-DATE
6   I-DATE
cc   O
:   O
-   O
Jasiah   B-NAME
Hester   I-NAME
-   O
Washington   B-LOCATION
First   I-LOCATION
International   I-LOCATION
Bank   I-LOCATION
-   O
28620   B-LOCATION
Attachment(s   O
):   O
-   O
ECG   O
Report   O
-   O
Laboratory   O
Reports   O

Medical   O
Record   O
#   O
75129140   B-ID
Patient   O
Name   O
:   O
Ida   B-NAME
Xayachack   I-NAME
Patient   O
Identification   O
:   O
BD885/5631   B-ID
Date   O
:   O
01/13   B-DATE
Dr.   O
Wilson   B-NAME
of   O
Norton   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
has   O
provided   O
the   O
following   O
details   O
on   O
the   O
present   O
condition   O
of   O
Barajas   B-NAME
.   O

He   O
lives   O
in   O
71095   B-LOCATION
area   O
of   O
Vanduser   B-LOCATION
and   O
is   O
a   O
retired   O
Credit   O
Analysts   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Yvonne   B-NAME
Easton   I-NAME
is   O
a   O
78   O
year   O
old   O
male   O
who   O
presented   O
with   O
a   O
two   O
week   O
history   O
of   O
acute   O
,   O
right   O
upper   O
quadrant   O
abdominal   O
pain   O
which   O
is   O
colicky   O
in   O
nature   O
.   O

Follow   O
-   O
up   O
:   O
An   O
appointment   O
has   O
been   O
scheduled   O
for   O
21   B-DATE
at   O
W.   B-LOCATION
D.   I-LOCATION
Partlow   I-LOCATION
Developmental   I-LOCATION
Center   I-LOCATION
with   O
Dr.   O
Owen   B-NAME
Harper   I-NAME
to   O
discuss   O
the   O
surgery   O
.   O

Meanwhile   O
,   O
Lamb   B-NAME
has   O
been   O
advised   O
intake   O
of   O
a   O
low   O
-   O
fat   O
diet   O
to   O
avoid   O
triggering   O
gallbladder   O
attacks   O
and   O
further   O
complications   O
.   O

For   O
any   O
queries   O
or   O
emergencies   O
,   O
please   O
contact   O
us   O
at   O
697   B-CONTACT
-   I-CONTACT
112   I-CONTACT
3154   I-CONTACT
.   O

Report   O
Prepared   O
by   O
:   O
cra497   B-NAME
Blinded   B-LOCATION
Veterans   I-LOCATION
Association   I-LOCATION
April   B-DATE
2   I-DATE

Patient   O
Report   O
:   O
Patient   O
Morris   B-NAME
,   I-NAME
Mixmaster   I-NAME
came   O
in   O
for   O
an   O
evaluation   O
on   O
December   B-DATE
.   O

Born   O
on   O
10/26/53   B-DATE
,   O
the   O
patient   O
is   O
93   O
years   O
old   O
and   O
is   O
a   O
Riggers   O
by   O
profession   O
.   O

She   O
resides   O
in   O
Grand   B-LOCATION
.   O

The   O
patient   O
was   O
evaluated   O
by   O
Max   B-NAME
Marquez   I-NAME
,   O
cardiology   O
department   O
,   O
at   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Georgia   I-LOCATION
.   O

Previous   O
records   O
in   O
the   O
981   B-ID
61   I-ID
54   I-ID
indicate   O
previous   O
hypertension   O
issues   O
have   O
been   O
recorded   O
for   O
this   O
patient   O
.   O

Please   O
note   O
that   O
the   O
Unique   O
Health   O
Identification   O
Number   O
3225370   B-ID
was   O
used   O
during   O
this   O
process   O
.   O

The   O
patient   O
can   O
be   O
contacted   O
at   O
(   B-CONTACT
706   I-CONTACT
)   I-CONTACT
767   I-CONTACT
6220   I-CONTACT
for   O
follow   O
ups   O
or   O
additional   O
information   O
.   O

The   O
admission   O
procedure   O
was   O
done   O
under   O
the   O
administrative   O
desk   O
of   O
Theocratic   B-LOCATION
Constellations   I-LOCATION
.   O

An   O
appointment   O
with   O
Roy   B-NAME
in   O
the   O
department   O
of   O
Cardiology   O
at   O
Lakeview   B-LOCATION
Hospital   I-LOCATION
was   O
scheduled   O
for   O
31/29/2342   B-DATE
.   O

For   O
any   O
critical   O
updates   O
about   O
patient   O
's   O
health   O
,   O
notify   O
db117   B-NAME
at   O
the   O
hospital   O
staff   O
immediately   O
.   O

The   O
medical   O
bills   O
were   O
sent   O
to   O
the   O
patient   O
's   O
address   O
in   O
World   B-LOCATION
Golf   I-LOCATION
Village   I-LOCATION
with   O
14960   B-LOCATION
.   O

This   O
report   O
was   O
written   O
and   O
reviewed   O
by   O
Aden   B-NAME
Marshall   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Tapia   B-NAME
aged   O
3   O
years   O
presented   O
to   O
Highland   B-LOCATION
Ridge   I-LOCATION
Hospital   I-LOCATION
on   O
12/30/2072   B-DATE
.   O

They   O
were   O
referred   O
by   O
Arroyo   B-NAME
and   O
their   O
primary   O
physician   O
Hensley   B-NAME
.   O

Mason   B-NAME
has   O
a   O
history   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
and   O
has   O
been   O
experiencing   O
worsening   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
week   O
.   O

During   O
the   O
examination   O
,   O
Shamar   B-NAME
Pearson   I-NAME
exhibited   O
decreased   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
.   O

Their   O
address   O
is   O
in   O
Tampa   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33617   I-LOCATION
and   O
their   O
phone   O
number   O
is   O
882   B-CONTACT
-   I-CONTACT
740   I-CONTACT
1463   I-CONTACT
.   O

The   O
patient   O
is   O
a   O
retired   O
Photographers   O
and   O
their   O
primary   O
care   O
physician   O
is   O
Blair   B-NAME
,   I-NAME
Tony   I-NAME
.   O

Carducci   B-NAME
,   I-NAME
Giosue   I-NAME
had   O
their   O
ID   O
number   O
3494270   B-ID
and   O
their   O
medical   O
record   O
number   O
at   O
our   O
hospital   O
is   O
727   B-ID
-   I-ID
47   I-ID
-   I-ID
45   I-ID
-   I-ID
9   I-ID
.   O

Our   O
hospital   O
's   O
location   O
is   O
South   B-LOCATION
Euclid   I-LOCATION
and   O
our   O
contact   O
number   O
is   O
534   B-CONTACT
5176   I-CONTACT
.   O

The   O
medical   O
report   O
is   O
prepared   O
by   O
fxo4110   B-NAME
,   O
a   O
resident   O
doctor   O
at   O
Rochester   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Our   O
health   O
organization   O
,   O
Southern   B-LOCATION
Aid   I-LOCATION
and   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
,   O
suggested   O
Christine   B-NAME
Frederick   I-NAME
to   O
stay   O
in   O
the   O
hospital   O
for   O
further   O
assessment   O
and   O
treatment   O
.   O

Luxemburg   B-NAME
,   I-NAME
Rosa   I-NAME
was   O
subsequently   O
admitted   O
and   O
started   O
on   O
antibiotic   O
therapy   O
.   O

They   O
showed   O
improvement   O
over   O
the   O
subsequent   O
2392   B-DATE
.   O

The   O
follow   O
-   O
up   O
checkup   O
is   O
scheduled   O
at   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
East   I-LOCATION
on   O
14/12/99   B-DATE
.   O

Their   O
zip   O
code   O
for   O
correspondence   O
is   O
77337   B-LOCATION
.   O

This   O
report   O
is   O
sent   O
to   O
Aileen   B-NAME
Mata   I-NAME
,   O
the   O
primary   O
physician   O
of   O
Nakia   B-NAME
Ingrassia   I-NAME
,   O
and   O
it   O
should   O
kept   O
confidential   O
as   O
per   O
the   O
standard   O
guidelines   O
of   O
Chicopee   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Prepared   O
by   O
:   O
Jenna   B-NAME
Calderon   I-NAME
08/07/1764   B-DATE

Patient   O
Information   O
:   O
Heaven   B-NAME
Sellers   I-NAME
is   O
a   O
8   O
year   O
old   O
female   O
who   O
presented   O
to   O
Menifee   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/29/2290   B-DATE
with   O
complaints   O
of   O
intermittent   O
chest   O
pain   O
.   O

Contact   O
details   O
for   O
Shenna   B-NAME
Deming   I-NAME
are   O
78350   B-CONTACT
and   O
residing   O
at   O
Mankato   B-LOCATION
,   O
49983   B-LOCATION
.   O

Abel   B-NAME
Stokes   I-NAME
provided   O
an   O
initial   O
evaluation   O
and   O
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
to   O
identify   O
the   O
cause   O
of   O
the   O
pain   O
.   O

Her   O
medical   O
record   O
number   O
is   O
74128243   B-ID
and   O
her   O
primary   O
care   O
physician   O
is   O
Dr.   O
Sherman   B-NAME
.   O

Her   O
previous   O
medical   O
records   O
were   O
obtained   O
from   O
Venice   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   O
she   O
is   O
a   O
retired   O
Recreational   O
Therapists   O
.   O

She   O
will   O
report   O
for   O
her   O
appointment   O
at   O
Annie   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
on   O
Thursday   B-DATE
.   O

Kindly   O
note   O
that   O
this   O
patient   O
's   O
insurance   O
SY:54463:123755   B-ID
was   O
verified   O
and   O
authorized   O
for   O
this   O
hospital   O
stay   O
by   O
the   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

The   O
summary   O
of   O
this   O
patient   O
case   O
is   O
ready   O
with   O
the   O
ET4810   B-NAME
for   O
final   O
review   O
and   O
approval   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Smuts   B-NAME
,   I-NAME
Jan   I-NAME
Christiaan   I-NAME
Age   O
:   O
3   O
Medical   O
Record   O
Number   O
:   O
290   B-ID
-   I-ID
91   I-ID
-   I-ID
89   I-ID
-   I-ID
6   I-ID
Dr.   O
Mariana   B-NAME
Little   I-NAME
reported   O
that   O
Mr.   O
Sweetnam   B-NAME
,   I-NAME
Skye   I-NAME
,   O
a   O
Aeronautical   O
engineer   O
at   O
Tostan   B-LOCATION
,   O
presented   O
on   O
November   B-DATE
8   I-DATE
to   O
the   O
Woodwinds   B-LOCATION
Health   I-LOCATION
Campus   I-LOCATION
located   O
in   O
Allensville   B-LOCATION
,   O
with   O
chief   O
complaints   O
of   O
persistent   O
cough   O
and   O
excessive   O
fatigue   O
over   O
the   O
past   O
week   O
.   O

To   O
determine   O
an   O
accurate   O
diagnosis   O
,   O
Benjamin   B-NAME
scheduled   O
a   O
series   O
of   O
tests   O
,   O
including   O
Echocardiography   O
,   O
Chest   O
radiography   O
,   O
and   O
CT   O
scan   O
,   O
that   O
concluded   O
hypertrophic   O
cardiomyopathy   O
.   O

This   O
data   O
facilitated   O
our   O
understanding   O
that   O
Ellen   B-NAME
Webb   I-NAME
might   O
have   O
a   O
familial   O
form   O
of   O
the   O
disease   O
making   O
it   O
a   O
likely   O
cause   O
of   O
his   O
symptoms   O
.   O

His   O
vitals   O
on   O
32/20   B-DATE
included   O
:   O
BP   O
:   O
120/90   O
,   O
HR   O
:   O
88   O
,   O
and   O
Temp   O
:   O
98.6   O
°   O
F   O
.   O

Alayna   B-NAME
Bishop   I-NAME
has   O
scheduled   O
Mr.   O
Houdini   B-NAME
,   I-NAME
Harry   I-NAME
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
12   B-DATE
to   O
discuss   O
the   O
treatment   O
options   O
that   O
can   O
make   O
his   O
regular   O
activities   O
more   O
comfortable   O
and   O
lower   O
his   O
risk   O
of   O
sudden   O
cardiac   O
arrest   O
.   O

For   O
any   O
emergencies   O
in   O
the   O
meantime   O
,   O
Pierce   B-NAME
was   O
given   O
the   O
Dwight   B-LOCATION
D.   I-LOCATION
Eisenhower   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Leavenworth   I-LOCATION
's   O
hotline   O
number   O
,   O
858   B-CONTACT
-   I-CONTACT
515   I-CONTACT
3599   I-CONTACT
.   O

The   O
follow   O
-   O
up   O
appointment   O
will   O
take   O
place   O
at   O
our   O
secondary   O
branch   O
located   O
at   O
New   B-LOCATION
York   I-LOCATION
(   O
17855   B-LOCATION
)   O
.   O

To   O
ensure   O
privacy   O
and   O
security   O
,   O
Braylen   B-NAME
Dougherty   I-NAME
's   O
medical   O
records   O
are   O
properly   O
encrypted   O
and   O
protected   O
.   O

The   O
records   O
can   O
only   O
be   O
accessed   O
with   O
a   O
secure   O
device   O
ID   O
,   O
which   O
is   O
FF   B-ID
:   I-ID
BR:4994   I-ID
.   O

The   O
primary   O
contact   O
for   O
any   O
questions   O
or   O
concerns   O
is   O
Dr.   O
Delgado   B-NAME
.   O

She   O
can   O
directly   O
be   O
reached   O
via   O
her   O
hospital   O
ext   O
.   O
36129   B-CONTACT
or   O
through   O
messaging   O
on   O
our   O
health   O
portal   O
with   O
the   O
username   O
,   O
wz803   B-NAME
.   O

No   O
other   O
personal   O
or   O
medical   O
information   O
was   O
shared   O
with   O
any   O
third   O
party   O
,   O
adhering   O
to   O
the   O
policies   O
of   O
Paradise   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
and   O
upholding   O
the   O
privacy   O
rights   O
of   O
Tacitus   B-NAME
.   O

Patient   O
name   O
:   O
Maren   B-NAME
Shah   I-NAME
Age   O
:   O
26   O
Medical   O
record   O
number   O
:   O
574   B-ID
-   I-ID
30   I-ID
-   I-ID
40   I-ID
-   I-ID
7   I-ID
Arrival   O
date   O
:   O
Friday   B-DATE
,   I-DATE
January   I-DATE
Patient   O
Corrine   B-NAME
James   I-NAME
-   I-NAME
Wagner   I-NAME
,   O
aged   O
58   O
,   O
reported   O
to   O
Coatesville   B-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/07   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

He   O
is   O
referred   O
to   O
Dr.   O
Holmes   B-NAME
,   I-NAME
Oliver   I-NAME
Wendell   I-NAME
,   I-NAME
Jr.   I-NAME
for   O
further   O
assessment   O
.   O

Next   O
of   O
kin   O
contact   O
:   O
79730   B-CONTACT
Social   O
security   O
number   O
:   O
EF883/4748   B-ID
Permanent   O
address   O
:   O
Valhalla   B-LOCATION
,   O
98476   B-LOCATION
Family   O
history   O
revealed   O
his   O
father   O
was   O
a   O
Proofreaders   O
and   O
Copy   O
Markers   O
and   O
had   O
a   O
history   O
of   O
pancreatic   O
cancer   O
.   O

Gillian   B-NAME
Nielsen   I-NAME
was   O
previously   O
treated   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Miners   I-LOCATION
Campus   I-LOCATION
by   O
Dr.   O
Gross   B-NAME
for   O
gastrointestinal   O
issues   O
.   O

His   O
electronic   O
health   O
records   O
with   O
the   O
ID   O
WV:681050:830394   B-ID

from   O
the   O
6767874   B-ID
system   O
of   O
organization   O
Sundance   B-LOCATION
Institute   I-LOCATION
can   O
be   O
found   O
for   O
reference   O
.   O

Employer   O
contact   O
number   O
:   O
40735   B-CONTACT
Employer   O
name   O
:   O

First   B-LOCATION
Suburban   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
User   O
name   O
:   O
to196   B-NAME
Living   O
in   O
Carsonville   B-LOCATION
,   O
he   O
is   O
currently   O
working   O
in   O
Fort   B-LOCATION
Pierce   I-LOCATION
Utilities   I-LOCATION
Authority   I-LOCATION
as   O
a   O
Legal   O
Secretaries   O
where   O
he   O
handles   O
heavy   O
machinery   O
.   O

Information   O
sources   O
:   O
patient   O
Sabrina   B-NAME
Kelly   I-NAME
,   O
his   O
health   O
record   O
,   O
and   O
employer   O
Basin   B-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
.   O
Prepared   O
by   O
:   O
Dr.   O
Alexander   B-NAME
Babcock   I-NAME
Signature   O
of   O
Healthcare   O
provider   O
:   O
Dr.   O
Moore   B-NAME
Date   O
:   O
20/22   B-DATE
Healthcare   O
provider   O
’s   O
contact   O
:   O
28128   B-CONTACT

Patient   O
Name   O
:   O
Keaton   B-NAME
Reid   I-NAME
Age   O
:   O
81   O
Date   O
:   O
3/2   B-DATE
The   O
patient   O
,   O
Dragos   B-NAME
Lovero   I-NAME
,   O
a   O
professional   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
,   O
presented   O
to   O
SCL   B-LOCATION
Health   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Southwest   I-LOCATION
with   O
recent   O
symptoms   O
of   O
fatigue   O
,   O
unexplained   O
weight   O
loss   O
,   O
and   O
occasional   O
dizziness   O
.   O

Dr.   O
Zion   B-NAME
Kim   I-NAME
noted   O
on   O
4/20/02   B-DATE
that   O
these   O
symptoms   O
might   O
suggest   O
an   O
underlying   O
metabolic   O
issue   O
or   O
a   O
possible   O
neurological   O
disorder   O
.   O

The   O
physical   O
examination   O
,   O
lead   O
by   O
Dr.   O
Joseph   B-NAME
,   O
revealed   O
a   O
consistent   O
rapid   O
heart   O
rate   O
(   O
tachycardia   O
)   O
and   O
low   O
blood   O
pressure   O
.   O

Addams   B-NAME
,   I-NAME
Jane   I-NAME
's   O
medical   O
history   O
showed   O
no   O
previous   O
diagnoses   O
of   O
heart   O
disease   O
or   O
neurological   O
disorders   O
.   O

Recent   O
laboratory   O
tests   O
ordered   O
by   O
Dr.   O
Allen   B-NAME
on   O
2272   B-DATE
found   O
decreased   O
levels   O
of   O
cortisol   O
and   O
sodium   O
in   O
the   O
patient   O
’s   O
blood   O
,   O
which   O
could   O
indicate   O
an   O
adrenal   O
issue   O
,   O
such   O
as   O
Addison   O
's   O
Disease   O
.   O

The   O
patient   O
resides   O
in   O
South   B-LOCATION
Daytona   I-LOCATION
,   O
and   O
is   O
currently   O
employed   O
as   O
a   O
Herbalist   O
.   O

The   O
Patient   O
mentioned   O
working   O
in   O
a   O
stressful   O
environment   O
in   O
the   O
Horizon   B-LOCATION
Bank   I-LOCATION
.   O

Patient   O
's   O
ID   O
is   O
UZ   B-ID
:   I-ID
VR:3242   I-ID
,   O
and   O
his   O
medical   O
records   O
can   O
be   O
found   O
under   O
the   O
number   O
0935182   B-ID
.   O

To   O
contact   O
QU   B-NAME
for   O
follow   O
-   O
ups   O
and   O
further   O
treatment   O
discussions   O
,   O
788   B-CONTACT
-   I-CONTACT
1703   I-CONTACT
can   O
be   O
used   O
.   O

Patient   O
's   O
healthcare   O
provider   O
affiliated   O
with   O
Suburban   B-LOCATION
Hospital   I-LOCATION
should   O
be   O
informed   O
with   O
the   O
ongoing   O
process   O
.   O

For   O
any   O
further   O
communication   O
or   O
access   O
to   O
his   O
medical   O
record   O
,   O
please   O
use   O
the   O
username   O
ox792   B-NAME
.   O

The   O
patient   O
's   O
documents   O
will   O
be   O
sent   O
to   O
his   O
home   O
address   O
in   O
Clarks   B-LOCATION
Green   I-LOCATION
,   O
postal   O
code   O
91641   B-LOCATION
.   O

Dr.   O
Crowfoot   B-NAME
will   O
arrange   O
a   O
follow   O
-   O
up   O
visit   O
with   O
IKECHUKWU   B-NAME
SPEARS   I-NAME
after   O
approximately   O
two   O
weeks   O
,   O
around   O
32   B-DATE
to   O
evaluate   O
his   O
responses   O
to   O
the   O
initial   O
therapeutic   O
interventions   O
and   O
to   O
discuss   O
potential   O
long   O
-   O
term   O
treatment   O
strategies   O
.   O

Patient   O
Ronald   B-NAME
Moses   I-NAME
presented   O
to   O
Providence   B-LOCATION
Portland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ER   O
on   O
20/01/2124   B-DATE
.   O

He   O
is   O
a   O
81   O
year   O
old   O
male   O
,   O
a   O
dedicated   O
Occupational   O
Health   O
and   O
Safety   O
Technicians   O
by   O
profession   O
residing   O
at   O
Luis   B-LOCATION
Lopez   I-LOCATION
,   O
and   O
reached   O
out   O
to   O
us   O
via   O
his   O
personal   O
824   B-CONTACT
-   I-CONTACT
719   I-CONTACT
-   I-CONTACT
5454   I-CONTACT
number   O
.   O

Patient   O
's   O
medical   O
history   O
,   O
as   O
per   O
our   O
records   O
365   B-ID
-   I-ID
34   I-ID
-   I-ID
06   I-ID
-   I-ID
2   I-ID
,   O
revealed   O
past   O
episodes   O
of   O
diverticulitis   O
and   O
a   O
surgical   O
removal   O
of   O
kidney   O
stones   O
approximately   O
three   O
years   O
back   O
.   O

His   O
primary   O
care   O
physician   O
is   O
Dania   B-NAME
Manning   I-NAME
from   O
the   O
Selective   B-LOCATION
Insurance   I-LOCATION
.   O

The   O
patient   O
was   O
advised   O
to   O
stay   O
for   O
monitoring   O
and   O
an   O
in   O
-   O
patient   O
scheduling   O
has   O
been   O
initiated   O
under   O
the   O
case   O
i   O
d   O
650185713   B-ID
for   O
further   O
care   O
.   O

Patient   O
's   O
family   O
residing   O
at   O
29512   B-LOCATION
has   O
been   O
informed   O
about   O
the   O
situation   O
.   O

As   O
he   O
is   O
single   O
and   O
lives   O
alone   O
,   O
his   O
sister   O
,   O
who   O
is   O
a   O
nurse   O
at   O
the   O
same   O
Regional   B-LOCATION
Health   I-LOCATION
Rapid   I-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
,   O
will   O
be   O
overseeing   O
his   O
care   O
.   O

For   O
further   O
reference   O
or   O
communication   O
,   O
reach   O
out   O
to   O
the   O
reference   O
contact   O
KV629   B-NAME
.   O

Patient   O
Dierdre   B-NAME
Mahone   I-NAME
,   O
as   O
for   O
now   O
,   O
is   O
stable   O
and   O
continues   O
to   O
be   O
admitted   O
at   O
Norristown   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
and   O
care   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
7   B-DATE
-   I-DATE
07   I-DATE
.   O

Patient   O
Name   O
:   O
Xavier   B-NAME
Vandire   I-NAME
Age   O
:   O
29   O
Gender   O
:   O
Male   O
Physician   O
’s   O
Name   O
:   O
Logan   B-NAME
Location   O
:   O
Obion   B-LOCATION
Hospital   O
:   O
Boston   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
29640110   B-ID
Date   O
of   O
Admission   O
:   O
December   B-DATE
09   I-DATE
,   I-DATE
2016   I-DATE
Identifying   O
ID   O
:   O
XF:37332:797972   B-ID
Patient   O
Quentin   B-NAME
Fitzpatrick   I-NAME
consulted   O
with   O
Martinez   B-NAME
on   O
00/22   B-DATE
owing   O
to   O
persistent   O
headaches   O
.   O

He   O
is   O
an   O
20   O
-   O
year   O
-   O
old   O
male   O
who   O
works   O
as   O
a   O
Entertainers   O
and   O
Performers   O
,   O
Sports   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
at   O
Minority   B-LOCATION
Rights   I-LOCATION
Group   I-LOCATION
International   I-LOCATION
.   O

His   O
home   O
address   O
is   O
in   O
39844   B-LOCATION
Kansas   B-LOCATION
City   I-LOCATION
.   O

He   O
is   O
currently   O
being   O
treated   O
at   O
Rush   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
La   I-LOCATION
Crosse   I-LOCATION
.   O

History   O
of   O
Present   O
Illness   O
:   O
Tania   B-NAME
Everett   I-NAME
has   O
been   O
experiencing   O
frequent   O
headaches   O
for   O
the   O
last   O
month   O
.   O

Aaron   B-NAME
,   I-NAME
Hank   I-NAME
was   O
previously   O
diagnosed   O
with   O
hypertension   O
and   O
has   O
been   O
on   O
treatment   O
for   O
the   O
same   O
.   O

Investigations   O
done   O
:   O
Initial   O
CT   O
scan   O
of   O
the   O
head   O
performed   O
in   O
the   O
Holy   B-LOCATION
Cross   I-LOCATION
Hospital   I-LOCATION
Radiology   O
department   O
was   O
reported   O
normal   O
.   O

Patient   O
Contact   O
Number   O
:   O
(   B-CONTACT
251   I-CONTACT
)   I-CONTACT
206   I-CONTACT
-   I-CONTACT
5064   I-CONTACT
Email   O
Address   O
:   O
VP850   B-NAME
@domain.com   O
Plan   O
:   O

A   O
consultation   O
with   O
a   O
neurologist   O
has   O
been   O
planned   O
for   O
M   B-DATE
A   O
detailed   O
management   O
plan   O
will   O
be   O
outlined   O
based   O
on   O
further   O
evaluations   O
and   O
consultations   O
.   O

Patient   O
Name   O
:   O
quirarte   B-NAME
Age   O
:   O
49   O
Medical   O
Record   O
#   O
:   O
92646777   B-ID
Doctor   O
:   O
Elsie   B-NAME
Peterson   I-NAME
Hospital   O
:   O

Alleghany   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Dear   O
Mcdowell   B-NAME
,   O
On   O
37/28   B-DATE
,   O
Zion   B-NAME
Matthews   I-NAME
appeared   O
in   O
the   O
emergency   O
department   O
of   O
Ohio   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
.   O

Kobe   B-NAME
Nixon   I-NAME
seemed   O
to   O
be   O
suffering   O
from   O
severe   O
dyspnea   O
(   O
difficulty   O
breathing   O
)   O
,   O
tachycardia   O
(   O
rapid   O
heart   O
rate   O
)   O
,   O
orthopnea   O
(   O
difficulty   O
breathing   O
while   O
lying   O
flat   O
)   O
,   O
and   O
bilateral   O
fine   O
crackles   O
on   O
auscultation   O
of   O
the   O
chest   O
,   O
indicating   O
possible   O
pleural   O
effusion   O
.   O

Hawkins   B-NAME
reported   O
experiencing   O
these   O
symptoms   O
progressively   O
worse   O
over   O
the   O
past   O
few   O
weeks   O
and   O
has   O
been   O
unresponsive   O
to   O
standard   O
over   O
-   O
the   O
-   O
counter   O
symptom   O
management   O
techniques   O
.   O

SALGADO   B-NAME
,   I-NAME
BRUCE   I-NAME
is   O
a   O
Mining   O
and   O
Geological   O
Engineers   O
,   O
Including   O
Mining   O
Safety   O
Engineers   O
working   O
for   O
Retail   B-LOCATION
and   I-LOCATION
Fast   I-LOCATION
Food   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
based   O
in   O
Russia   B-LOCATION
and   O
states   O
he   O
has   O
no   O
known   O
previous   O
conditions   O
that   O
might   O
have   O
caused   O
these   O
symptoms   O
.   O

These   O
symptoms   O
seemed   O
to   O
worsen   O
over   O
time   O
,   O
particularly   O
when   O
Lewis   B-NAME
Jennings   I-NAME
was   O
in   O
a   O
supine   O
position   O
,   O
pointing   O
towards   O
orthopnea   O
.   O

Consequently   O
,   O
Oakley   B-NAME
was   O
immediately   O
started   O
on   O
high   O
flow   O
oxygen   O
therapy   O
and   O
an   O
urgent   O
cardiology   O
consultation   O
was   O
sought   O
.   O

Please   O
reach   O
us   O
at   O
381   B-CONTACT
859   I-CONTACT
-   I-CONTACT
3317   I-CONTACT
or   O
KF573   B-NAME
@   O
Taylor   B-LOCATION
Hardin   I-LOCATION
Secure   I-LOCATION
Medical   I-LOCATION
Facility   I-LOCATION
.   O

Kilian   B-NAME
Middleton   I-NAME
’s   O
insurance   O
details   O
are   O
mentioned   O
below   O
:   O
Insurance   O
ID   O
:   O
3941692   B-ID
Zip   O
code   O
:   O
27758   B-LOCATION
Thank   O
you   O
for   O
your   O
assistance   O
on   O
this   O
matter   O
.   O

Sincerely   O
,   O
Turner   B-NAME
Mount   B-LOCATION
Auburn   I-LOCATION
Hospital   I-LOCATION

Patient   O
name   O
:   O
Marci   B-NAME
Pelzer   I-NAME
The   O
patient   O
,   O
a   O
Animal   O
Scientists   O
by   O
trade   O
,   O
first   O
presented   O
symptoms   O
on   O
April   B-DATE
.   O

The   O
patient   O
sought   O
medical   O
attention   O
at   O
White   B-LOCATION
Wing   I-LOCATION
Clinic   I-LOCATION
on   O
32/1   B-DATE
,   O
where   O
Dr.   O
Coffey   B-NAME
evaluated   O
them   O
.   O

The   O
patient   O
's   O
medical   O
record   O
,   O
05693841   B-ID
,   O
showed   O
a   O
history   O
of   O
asthmatic   O
bronchitis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Spring   B-LOCATION
Hill   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
observation   O
and   O
treatment   O
.   O

The   O
patient   O
was   O
put   O
on   O
a   O
course   O
of   O
antibiotics   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
30/30/77   B-DATE
.   O

Their   O
emergency   O
contact   O
,   O
listed   O
as   O
366   B-CONTACT
2987   I-CONTACT
,   O
was   O
kept   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
.   O

The   O
patient   O
resides   O
at   O
Dustin   B-LOCATION
and   O
works   O
at   O
Sherman   B-LOCATION
County   I-LOCATION
Bank   I-LOCATION
.   O

The   O
patient   O
's   O
social   O
security   O
number   O
is   O
998176   B-ID
,   O
and   O
their   O
driver   O
’s   O
license   O
number   O
is   O
GM:75249:624630   B-ID
.   O

The   O
patient   O
has   O
homeowner   O
's   O
insurance   O
via   O
Seafarers   B-LOCATION
'   I-LOCATION
International   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
.   O

For   O
any   O
further   O
clinical   O
inquiries   O
or   O
updates   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
Dr.   O
Hayden   B-NAME
at   O
438   B-CONTACT
7800   I-CONTACT
.   O

For   O
documentation   O
and   O
administrative   O
requirements   O
,   O
contact   O
cxh16   B-NAME
at   O
our   O
records   O
section   O
.   O

Additionally   O
,   O
the   O
patient   O
was   O
informed   O
about   O
the   O
necessary   O
lifestyle   O
modifications   O
and   O
possible   O
health   O
implications   O
considering   O
the   O
age   O
factor   O
74   O
.   O
M.D.   O
,   O
Tracy   B-NAME
Adams   I-NAME
26124   B-LOCATION
Devereux   B-LOCATION
Foundation   I-LOCATION

Patient   O
Name   O
:   O
Debi   B-NAME
Weymouth   I-NAME
Age   O
:   O
10   O
ID   O
:   O
FV:5756:231578   B-ID
Location   O
:   O
Sweden   B-LOCATION
Valley   I-LOCATION
Doctor   O
:   O
Brayan   B-NAME
Kirby   I-NAME
Organization   O
:   O

International   B-LOCATION
Tibet   I-LOCATION
Support   I-LOCATION
Network   I-LOCATION
Zip   O
Code   O
:   O
98126   B-LOCATION
Username   O
:   O
bw518   B-NAME
Medical   O
Record   O
:   O
CK262228   B-ID
Patient   O
Conway   B-NAME
Morris   I-NAME
,   I-NAME
Simon   I-NAME
,   O
a   O
Cleaning   O
,   O
Washing   O
,   O
and   O
Metal   O
Pickling   O
Equipment   O
Operators   O
and   O
Tenders   O
living   O
in   O
Cathay   B-LOCATION
,   O
complained   O
of   O
persistent   O
chest   O
discomfort   O
since   O
March   B-DATE
2394   I-DATE
.   O

Katelyn   B-NAME
Blackwell   I-NAME
has   O
a   O
history   O
of   O
coronary   O
artery   O
disease   O
(   O
CAD   O
)   O
and   O
underwent   O
previous   O
angioplasty   O
at   O
Hi   B-LOCATION
-   I-LOCATION
Desert   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Currently   O
,   O
Billy   B-NAME
Wnuk   I-NAME
reported   O
difficulty   O
in   O
breathing   O
,   O
palpitations   O
,   O
and   O
fatigue   O
,   O
which   O
are   O
indicative   O
of   O
possible   O
angina   O
or   O
impending   O
myocardial   O
infarction   O
.   O

Jade   B-NAME
Compton   I-NAME
's   O
age   O
,   O
46   O
,   O
along   O
with   O
their   O
medical   O
history   O
,   O
raises   O
concerns   O
about   O
the   O
risk   O
of   O
cardiovascular   O
events   O
.   O

On   O
02/05/22   B-DATE
during   O
a   O
consultation   O
,   O
Mendez   B-NAME
evaluated   O
Leonidas   B-NAME
Galvan   I-NAME
's   O
symptoms   O
and   O
ordered   O
an   O
ECG   O
,   O
blood   O
tests   O
,   O
and   O
a   O
stress   O
test   O
.   O

The   O
hospital   O
at   O
Western   B-LOCATION
-   O
16973   B-LOCATION
carried   O
out   O
these   O
tests   O
and   O
forwarded   O
the   O
results   O
to   O
Eugene   B-NAME
Grant   I-NAME
via   O
username   O
FU1004   B-NAME
on   O
their   O
hospital   O
network   O
system   O
.   O

The   O
results   O
are   O
currently   O
being   O
reviewed   O
and   O
will   O
be   O
discussed   O
with   O
Taylor   B-NAME
during   O
the   O
next   O
appointment   O
on   O
11/29/2282   B-DATE
.   O

The   O
hospital   O
's   O
147   B-CONTACT
5234   I-CONTACT
number   O
is   O
available   O
for   O
Paige   B-NAME
Quadirah   I-NAME
Hooper   I-NAME
to   O
keep   O
in   O
touch   O
with   O
Frederick   B-NAME
Castillo   I-NAME
in   O
case   O
of   O
emergency   O
complaints   O
.   O

Unrelated   O
to   O
medical   O
concerns   O
,   O
Etenia   B-NAME
has   O
been   O
reminded   O
to   O
secure   O
their   O
ID   O
RS   B-ID
:   I-ID
BI:2621   I-ID
,   O
considering   O
they   O
are   O
a   O
highly   O
respected   O
Electrical   O
Parts   O
Reconditioners   O
in   O
Professional   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
.   O

Further   O
,   O
Green   B-NAME
,   I-NAME
Matthew   I-NAME
has   O
been   O
instructed   O
to   O
keep   O
the   O
medical   O
record   O
number   O
861   B-ID
-   I-ID
51   I-ID
-   I-ID
78   I-ID
-   I-ID
7   I-ID
confidential   O
to   O
protect   O
their   O
health   O
information   O
.   O

Next   O
appointment   O
at   O
Bridgeport   B-LOCATION
Hospital   I-LOCATION
is   O
scheduled   O
on   O
25th   B-DATE
of   I-DATE
July   I-DATE
.   O

The   O
Estes   B-NAME
and   O
the   O
nursing   O
staff   O
will   O
provide   O
an   O
update   O
on   O
Stacy   B-NAME
Holt   I-NAME
's   O
condition   O
and   O
discuss   O
the   O
next   O
steps   O
in   O
treatment   O
after   O
a   O
detailed   O
review   O
of   O
the   O
test   O
results   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Maryland   B-NAME
Legleiter   I-NAME
Age   O
:   O
69   O
Location   O
:   O
Tomales   B-LOCATION
Medical   O
Record   O
No.   O
6546098   B-ID

On   O
the   O
32/29   B-DATE
,   O
Congreve   B-NAME
,   I-NAME
William   I-NAME
presented   O
at   O
the   O
ER   O
,   O
located   O
in   O
Faxton   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
.   O

In   O
addition   O
to   O
the   O
chest   O
pain   O
,   O
Johanna   B-NAME
Bell   I-NAME
also   O
reported   O
experiencing   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
a   O
feeling   O
of   O
impending   O
doom   O
.   O

During   O
the   O
initial   O
assessment   O
conducted   O
by   O
Hancock   B-NAME
,   O
the   O
patient   O
's   O
vital   O
signs   O
were   O
noted   O
as   O
blood   O
pressure:158/96   O
mmHg   O
,   O
pulse:110   O
/   O
min   O
,   O
respirations:22   O
/   O
min   O
,   O
temp:99.1   O
F   O
,   O
and   O
O2   O
saturation   O
:   O
96   O
%   O
on   O
room   O
air   O
.   O

The   O
ECG   O
performed   O
on   O
Gide   B-NAME
,   I-NAME
André   I-NAME
demonstrated   O
ST   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
indicating   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O
Malika   B-NAME
Deley   I-NAME
's   O
past   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
II   O
diabetes   O
mellitus   O
.   O

The   O
patient   O
is   O
a   O
Tourist   O
information   O
manager   O
by   O
trade   O
,   O
and   O
has   O
employer   O
-   O
provided   O
health   O
insurance   O
through   O
Mutual   B-LOCATION
of   I-LOCATION
Omaha   I-LOCATION
,   O
policy   O
number   O
:   O
RA729/8259   B-ID
.   O

A   O
coronary   O
angiography   O
was   O
recommended   O
by   O
Zavala   B-NAME
,   O
and   O
was   O
scheduled   O
for   O
the   O
following   O
day   O
on   O
15/20/2176   B-DATE
.   O

Emergency   O
contact   O
information   O
includes   O
spouse   O
:   O
Pamelia   B-NAME
Housman   I-NAME
and   O
contact   O
15451   B-CONTACT
.   O

Results   O
of   O
the   O
coronary   O
angiography   O
,   O
performed   O
on   O
00/16/2197   B-DATE
showed   O
an   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Later   O
that   O
day   O
,   O
Gades   B-NAME
underwent   O
a   O
successful   O
percutaneous   O
coronary   O
intervention   O
and   O
was   O
started   O
on   O
a   O
dual   O
antiplatelet   O
therapy   O
as   O
well   O
as   O
statin   O
therapy   O
.   O

Carter   B-NAME
was   O
then   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
of   O
CHA   B-LOCATION
Cambridge   I-LOCATION
Hospital   I-LOCATION
on   O
33/02   B-DATE
,   O
and   O
is   O
scheduled   O
for   O
discharge   O
on   O
5   B-DATE
-   I-DATE
12   I-DATE
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
cardiologist   O
Black   B-NAME
at   O
Elliot   B-LOCATION
Hospital   I-LOCATION
,   O
Pinckney   B-LOCATION
on   O
7/13   B-DATE
.   O

Instructions   O
were   O
provided   O
verbally   O
and   O
via   O
telephone   O
call   O
to   O
959   B-CONTACT
-   I-CONTACT
550   I-CONTACT
-   I-CONTACT
4997   I-CONTACT
.   O

Post   O
discharge   O
prescriptions   O
will   O
be   O
managed   O
by   O
vsl404   B-NAME
at   O
Bank   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
-   I-LOCATION
Southwest   I-LOCATION
.   O

Notifications   O
on   O
patient   O
's   O
status   O
will   O
be   O
sent   O
to   O
Darby   B-LOCATION
Bank   I-LOCATION
&   I-LOCATION
Trust   I-LOCATION
with   O
account   O
number   O
YN   B-ID
:   I-ID
ZG:4072   I-ID
in   O
85970   B-LOCATION
code   O
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Herman   B-NAME
,   O
visited   O
the   O
Meadows   B-LOCATION
Psychiatric   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
The   I-LOCATION
clinic   O
on   O
March   B-DATE
13   I-DATE
,   I-DATE
2217   I-DATE
.   O

He   O
was   O
escorted   O
to   O
room   O
305   O
by   O
our   O
chief   O
physician   O
,   O
Bruno   B-NAME
Lutz   I-NAME
.   O

Hailing   O
from   O
Newport   B-LOCATION
News   I-LOCATION
,   O
he   O
expressed   O
concern   O
about   O
persistent   O
and   O
progressive   O
pain   O
in   O
his   O
left   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
that   O
had   O
been   O
happening   O
for   O
the   O
last   O
two   O
weeks   O
.   O

His   O
most   O
recent   O
medical   O
report   O
,   O
MRN   O
0837619   B-ID
,   O
shows   O
that   O
his   O
vitals   O
were   O
within   O
the   O
normal   O
range   O
during   O
his   O
last   O
visit   O
.   O

The   O
patient   O
lives   O
in   O
Flourtown   B-LOCATION
and   O
can   O
be   O
contacted   O
at   O
586   B-CONTACT
8803   I-CONTACT
for   O
any   O
further   O
communications   O
.   O

His   O
ID   O
number   O
for   O
our   O
records   O
is   O
XM:7385:812354   B-ID
.   O

Radiologist   O
Santana   B-NAME
Faltz   I-NAME
identified   O
an   O
inflamed   O
appendix   O
with   O
a   O
thickened   O
wall   O
greater   O
than   O
6   O
mm   O
,   O
confirming   O
the   O
suspicion   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
observed   O
overnight   O
in   O
the   O
Putnam   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ward   O
and   O
was   O
discharged   O
the   O
following   O
08/70   B-DATE
.   O

The   O
discharge   O
summary   O
was   O
couriered   O
to   O
his   O
home   O
in   O
Dow   B-LOCATION
City   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
the   O
primary   O
care   O
physician   O
West   B-NAME
,   O
has   O
been   O
scheduled   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

For   O
any   O
further   O
assistance   O
,   O
the   O
patient   O
can   O
contact   O
the   O
ACMH   B-LOCATION
Hospital   I-LOCATION
helpline   O
at   O
260   B-CONTACT
-   I-CONTACT
2435   I-CONTACT
or   O
visit   O
our   O
website   O
using   O
the   O
username   O
ytb616   B-NAME
.   O

Our   O
administration   O
department   O
at   O
Barnes   B-LOCATION
Banking   I-LOCATION
Company   I-LOCATION
has   O
filed   O
all   O
the   O
related   O
medical   O
documents   O
under   O
his   O
record   O
number   O
57456203   B-ID
.   O

His   O
bills   O
can   O
be   O
settled   O
using   O
the   O
attached   O
zip   O
code   O
,   O
53941   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Bowers   B-NAME
Presenting   O
Symptoms   O
:   O
Ramon   B-NAME
Mcintosh   I-NAME
arrived   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Saginaw   I-LOCATION
on   O
24/22/41   B-DATE
complaining   O
of   O
continuous   O
and   O
severe   O
lower   O
abdominal   O
pain   O
.   O

Yonathan   B-NAME
Turk   I-NAME
reports   O
the   O
pain   O
began   O
approximately   O
two   O
weeks   O
prior   O
,   O
and   O
progressively   O
worsened   O
with   O
time   O
.   O

Clinical   O
Findings   O
:   O
Physical   O
examination   O
was   O
conducted   O
by   O
Fields   B-NAME
who   O
noted   O
that   O
Izaguirre   B-NAME
's   O
abdomen   O
was   O
rigid   O
with   O
guarding   O
on   O
palpation   O
.   O

Maxentius   B-NAME
Dorn   I-NAME
also   O
presented   O
with   O
a   O
fever   O
of   O
38.7   O
°   O
C   O
and   O
a   O
pulse   O
rate   O
of   O
97   O
beats   O
per   O
minute   O
.   O

Medical   O
History   O
:   O
Ciera   B-NAME
,   O
whose   O
medical   O
record   O
number   O
is   O
86657611   B-ID
,   O
has   O
a   O
history   O
of   O
diverticulosis   O
and   O
was   O
last   O
seen   O
by   O
Ponce   B-NAME
for   O
a   O
similar   O
episode   O
two   O
years   O
ago   O
at   O
Newark   B-LOCATION
-   I-LOCATION
Wayne   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Kings   B-LOCATION
Grant   I-LOCATION
.   O

Yen   B-NAME
Cabeza   I-NAME
's   O
mother   O
also   O
had   O
a   O
history   O
of   O
diverticular   O
disease   O
.   O

Treatment   O
:   O
Given   O
the   O
severity   O
of   O
Zara   B-NAME
Jensen   I-NAME
's   O
condition   O
,   O
Santana   B-NAME
recommended   O
hospitalisation   O
.   O

Currently   O
,   O
Hillary   B-NAME
,   I-NAME
Edmund   I-NAME
is   O
on   O
IV   O
fluids   O
and   O
antibiotics   O
,   O
under   O
observation   O
in   O
the   O
surgical   O
ward   O
in   O
Connecticut   B-LOCATION
Hospice   I-LOCATION
.   O

If   O
there   O
are   O
any   O
changes   O
in   O
Roux   B-NAME
,   I-NAME
Joseph   I-NAME
's   O
condition   O
or   O
if   O
there   O
is   O
any   O
critical   O
information   O
that   O
needs   O
to   O
be   O
passed   O
on   O
,   O
Reagan   B-NAME
Rodgers   I-NAME
or   O
Keagan   B-NAME
Morrison   I-NAME
's   O
care   O
team   O
can   O
be   O
reached   O
at   O
893   B-CONTACT
783   I-CONTACT
2710   I-CONTACT
.   O

Address   O
:   O
Douglass   B-NAME
,   I-NAME
Frederick   I-NAME
resides   O
at   O
Sallisaw   B-LOCATION
and   O
their   O
postal   O
code   O
is   O
11613   B-LOCATION
.   O

Employment   O
:   O
hoover   B-NAME
is   O
employed   O
as   O
a   O
Historians   O
.   O

Their   O
employer   O
is   O
Hanover   B-LOCATION
Insurance   I-LOCATION
and   O
Swanson   B-NAME
’s   O
office   O
ID   O
is   O
LB:33269:523207   B-ID
.   O

For   O
accessing   O
treatment   O
updates   O
and   O
further   O
communication   O
,   O
Cache   B-NAME
can   O
use   O
the   O
username   O
:   O

xtx438   B-NAME
,   O
in   O
the   O
patient   O
portal   O
provided   O
by   O
Wesley   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
.   O

Prepared   O
By   O
:   O
Cantu   B-NAME
07/10/1955   B-DATE

Patient   O
Report   O
Patient   O
:   O
Cailyn   B-NAME
Welch   I-NAME
Age   O
:   O
7   O
month   O
Location   O
:   O
Maine   B-LOCATION
Profession   O
:   O
Baristas   O
Medical   O
Record   O
Number   O
:   O
2747642   B-ID
Date   O
:   O
07/17/1763   B-DATE

On   O
8/26   B-DATE
,   O
Hallie   B-NAME
Leblanc   I-NAME
made   O
a   O
visit   O
to   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sacramento   I-LOCATION
due   O
to   O
increasing   O
episodes   O
of   O
dizziness   O
and   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
week   O
.   O

At   O
the   O
age   O
of   O
22   O
,   O
Ivan   B-NAME
Chandler   I-NAME
works   O
as   O
a   O
Medical   O
Scientists   O
,   O
Except   O
Epidemiologists   O
.   O

The   O
patient   O
resides   O
in   O
Santaquin   B-LOCATION
,   O
zip   O
code   O
22795   B-LOCATION
.   O

On   O
examination   O
,   O
Bathgate   B-NAME
,   I-NAME
Andy   I-NAME
found   O
the   O
patient   O
's   O
heart   O
rate   O
to   O
be   O
irregular   O
and   O
rapid   O
.   O

Hendrix   B-NAME
's   O
past   O
medical   O
history   O
,   O
as   O
per   O
58212729   B-ID
,   O
found   O
that   O
the   O
patient   O
does   O
have   O
a   O
familial   O
history   O
of   O
hypertension   O
.   O

This   O
detail   O
,   O
coupled   O
with   O
the   O
patient   O
's   O
symptoms   O
and   O
the   O
results   O
from   O
the   O
ECG   O
,   O
prompt   O
Fitzgerald   B-NAME
to   O
suspect   O
the   O
possibility   O
of   O
Atrial   O
Fibrillation   O
and   O
Hypertension   O
.   O

In   O
order   O
to   O
gain   O
a   O
better   O
understanding   O
and   O
arrive   O
at   O
a   O
more   O
conclusive   O
diagnosis   O
,   O
the   O
patient   O
was   O
referred   O
to   O
Mountain   B-LOCATION
View   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
cardiology   O
and   O
hypertensive   O
assessment   O
.   O

To   O
coordinate   O
follow   O
-   O
up   O
appointments   O
,   O
the   O
patient   O
was   O
advised   O
to   O
keep   O
open   O
lines   O
of   O
communication   O
through   O
217   B-CONTACT
188   I-CONTACT
-   I-CONTACT
7905   I-CONTACT
.   O

The   O
email   O
was   O
sent   O
to   O
kx442   B-NAME
with   O
detailed   O
report   O
and   O
suggested   O
lifestyle   O
modifications   O
.   O

The   O
patient   O
's   O
insurance   O
company   O
,   O
Freedom   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Georgia   I-LOCATION
,   O
has   O
been   O
notified   O
of   O
the   O
current   O
developments   O
for   O
coverage   O
considerations   O
.   O

Patient   O
's   O
ID   O
:   O
VF   B-ID
:   I-ID
TO:9274   I-ID
This   O
preliminary   O
diagnostic   O
assessment   O
was   O
conducted   O
under   O
the   O
supervision   O
of   O
Parker   B-NAME
Compton   I-NAME
at   O
University   B-LOCATION
of   I-LOCATION
Toledo   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
on   O
33/17/2138   B-DATE
.   O

Ayala   B-NAME
,   O
a   O
26   O
year   O
old   O
male   O
,   O
presented   O
to   O
NorthShore   B-LOCATION
University   I-LOCATION
HealthSystem   I-LOCATION
-   I-LOCATION
Highland   I-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
11   I-DATE
.   O

A   O
cranial   O
CT   O
scan   O
was   O
ordered   O
by   O
Maribel   B-NAME
Wise   I-NAME
,   O
and   O
the   O
results   O
did   O
n't   O
indicate   O
any   O
abnormal   O
intra   O
or   O
extra   O
axial   O
masses   O
.   O

Romeo   B-NAME
Barnes   I-NAME
has   O
no   O
substance   O
use   O
history   O
.   O

He   O
works   O
as   O
a   O
Motion   O
Picture   O
Projectionists   O
,   O
lives   O
in   O
San   B-LOCATION
Diego   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Park   I-LOCATION
,   I-LOCATION
North   I-LOCATION
Park   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
and   O
does   O
not   O
have   O
any   O
family   O
history   O
of   O
serious   O
illnesses   O
.   O

Patient   O
's   O
ID   O
used   O
at   O
the   O
hospital   O
was   O
3   B-ID
-   I-ID
7933807   I-ID
,   O
and   O
contact   O
phone   O
number   O
for   O
the   O
patient   O
is   O
19448   B-CONTACT
.   O

The   O
results   O
are   O
saved   O
in   O
the   O
health   O
database   O
with   O
the   O
medical   O
record   O
number   O
90809803   B-ID
.   O

During   O
consultation   O
,   O
he   O
was   O
traced   O
back   O
to   O
be   O
residing   O
at   O
a   O
residential   O
address   O
of   O
43346   B-LOCATION
.   O

Patient   O
has   O
affiliations   O
with   O
Release   B-LOCATION
International   I-LOCATION
and   O
his   O
routine   O
communication   O
is   O
often   O
aligned   O
with   O
user   O
fpx270   B-NAME
.   O

On   O
the   O
most   O
recent   O
check   O
-   O
up   O
on   O
31/21   B-DATE
,   O
infected   O
mucus   O
was   O
seen   O
draining   O
from   O
the   O
patient   O
's   O
nostrils   O
.   O

Rich   B-NAME
suspected   O
sinus   O
inflammation   O
.   O

Vonreuter   B-NAME
was   O
admitted   O
at   O
Valley   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
investigation   O
.   O

Report   O
:   O
The   O
patient   O
,   O
Cynthia   B-NAME
Frye   I-NAME
,   O
arrived   O
at   O
the   O
Hutchinson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/05/13   B-DATE
.   O

Upon   O
examination   O
by   O
Mathias   B-NAME
Payne   I-NAME
,   O
an   O
Electrocardiogram   O
(   O
ECG   O
)   O
revealed   O
findings   O
consistent   O
with   O
angina   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
40651314   B-ID
will   O
be   O
used   O
for   O
all   O
subsequent   O
procedures   O
and   O
tests   O
.   O

Coincidentally   O
,   O
Ferreiro   B-NAME
,   O
who   O
is   O
a   O
Telecommunications   O
Line   O
Installers   O
and   O
Repairers   O
,   O
reported   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
,   O
diabetes   O
,   O
and   O
hypertension   O
.   O

Contact   O
was   O
made   O
with   O
his   O
provider   O
,   O
List   B-LOCATION
of   I-LOCATION
left   I-LOCATION
-   I-LOCATION
wing   I-LOCATION
internationals   I-LOCATION
,   O
through   O
693   B-CONTACT
5026   I-CONTACT
to   O
obtain   O
previous   O
medical   O
records   O
and   O
to   O
notify   O
them   O
of   O
his   O
current   O
condition   O
.   O

A   O
detailed   O
report   O
of   O
all   O
findings   O
and   O
future   O
management   O
plans   O
has   O
been   O
sent   O
to   O
Emilio   B-NAME
Hodges   I-NAME
's   O
primary   O
care   O
physician   O
.   O

The   O
release   O
of   O
these   O
reports   O
under   O
Release   O
ID   O
AO189/4070   B-ID
was   O
authorized   O
by   O
the   O
patient   O
.   O

For   O
future   O
check   O
-   O
ups   O
,   O
the   O
patient   O
will   O
be   O
visiting   O
the   O
Woodland   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
in   O
Country   B-LOCATION
Club   I-LOCATION
Estates   I-LOCATION
,   O
which   O
is   O
closer   O
to   O
his   O
house   O
,   O
which   O
is   O
in   O
the   O
40856   B-LOCATION
area   O
.   O

For   O
his   O
follow   O
up   O
,   O
a   O
new   O
appointment   O
will   O
be   O
scheduled   O
and   O
will   O
be   O
communicated   O
to   O
the   O
patient   O
through   O
his   O
username   O
,   O
NU660   B-NAME
,   O
on   O
the   O
hospital   O
's   O
online   O
portal   O
.   O

This   O
will   O
ensure   O
that   O
all   O
hospital   O
visits   O
are   O
spaced   O
out   O
,   O
adhering   O
to   O
the   O
current   O
COVID-19   O
protocol   O
.   O
Regards   O
,   O
Jefferson   B-NAME

Patient   O
Information   O
:   O
Name   O
:   O
Georgiana   B-NAME
Miro   I-NAME
DOB   O
:   O

May   B-DATE
12   I-DATE
Age   O
:   O
13   O
On   O
3/25   B-DATE
,   O
Brooks   B-NAME
,   I-NAME
Mel   I-NAME
was   O
admitted   O
to   O
Valley   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
primary   O
care   O
physician   O
,   O
Rocha   B-NAME
,   O
began   O
examination   O
soon   O
after   O
.   O

Harvey   B-NAME
,   I-NAME
Paul   I-NAME
emerged   O
with   O
symptoms   O
suggestive   O
of   O
persistent   O
upper   O
respiratory   O
tract   O
infection   O
.   O

The   O
patient   O
is   O
a   O
academician   O
by   O
profession   O
,   O
however   O
given   O
the   O
suggestion   O
of   O
respiratory   O
disease   O
,   O
Love   B-NAME
has   O
moved   O
with   O
the   O
contingency   O
advisory   O
of   O
the   O
employer   O
,   O
Global   B-LOCATION
Rights   I-LOCATION
.   O

On   O
physical   O
examination   O
,   O
Ortiz   B-NAME
displayed   O
labored   O
breathing   O
and   O
exhibited   O
rhonchi   O
on   O
auscultation   O
.   O

However   O
,   O
further   O
investigation   O
was   O
recommended   O
by   O
consulting   O
pulmonologist   O
,   O
India   B-NAME
Mcclure   I-NAME
,   O
to   O
rule   O
out   O
the   O
possibility   O
of   O
chronic   O
obstructive   O
pulmonary   O
disorder   O
(   O
COPD   O
)   O
.   O

A   O
comprehensive   O
blood   O
examination   O
was   O
conducted   O
on   O
3/07   B-DATE
.   O

For   O
easy   O
reference   O
in   O
the   O
future   O
,   O
results   O
will   O
be   O
linked   O
with   O
patient   O
's   O
electronic   O
health   O
record   O
number   O
,   O
OW242132   B-ID
.   O

As   O
part   O
of   O
the   O
treatment   O
regime   O
,   O
Delay   B-NAME
,   I-NAME
Tom   I-NAME
was   O
administered   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
is   O
currently   O
under   O
close   O
monitor   O
at   O
UF   B-LOCATION
Health   I-LOCATION
Jacksonville   I-LOCATION
located   O
in   O
St.   B-LOCATION
Edward   I-LOCATION
.   O

For   O
further   O
communication   O
,   O
Fawkes   B-NAME
,   I-NAME
Guy   I-NAME
's   O
contact   O
number   O
has   O
been   O
recorded   O
as   O
16914   B-CONTACT
.   O

For   O
now   O
,   O
Loni   B-NAME
has   O
been   O
advised   O
a   O
total   O
rest   O
and   O
is   O
looking   O
for   O
medical   O
leave   O
from   O
Prudential   B-LOCATION
Financial   I-LOCATION
,   O
which   O
is   O
located   O
at   O
97186   B-LOCATION
.   O

Eveline   B-NAME
Claud   I-NAME
's   O
health   O
insurance   O
plan   O
number   O
,   O
YD:6933:446910   B-ID
,   O
was   O
recorded   O
for   O
billing   O
purposes   O
.   O

Feedbacks   O
on   O
the   O
consultation   O
and   O
treatment   O
plan   O
were   O
collected   O
through   O
the   O
hospital   O
's   O
online   O
portal   O
using   O
the   O
mg1610   B-NAME
.   O

Next   O
review   O
with   O
the   O
Brynn   B-NAME
Vincent   I-NAME
is   O
scheduled   O
with   O
the   O
patient   O
on   O
12/10   B-DATE
.   O

Followup   O
with   O
Marquez   B-NAME
's   O
team   O
is   O
mandatory   O
.   O

Gussie   B-NAME
Tyler   I-NAME
's   O
concern   O
for   O
COPD   O
shaped   O
the   O
conversation   O
around   O
smoking   O
cessation   O
and   O
lifestyle   O
modifications   O
necessary   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Cesar   B-NAME
Keller   I-NAME
in   O
Grove   B-LOCATION
Hill   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Any   O
further   O
queries   O
or   O
clarifications   O
regarding   O
the   O
patient   O
's   O
health   O
should   O
be   O
directed   O
to   O
Evie   B-NAME
Compton   I-NAME
at   O
14525   B-CONTACT
according   O
to   O
HIPAA   O
regulations   O
.   O

Odin   B-NAME
Moon   I-NAME
Residence   O
:   O
Crestone   B-LOCATION
Contact   O
:   O
67095   B-CONTACT
Profession   O
:   O
Travel   O
Guides   O
Age   O
:   O
46   O
Birth   O
date   O
:   O
1778   B-DATE
Medical   O
Record   O
No   O
.   O
:   O
16530177   B-ID
SSN   O
:   O
IT359/3890   B-ID
Doctor   O
Name   O
:   O
Charles   B-NAME
Hospital   O
Name   O
:   O
Newman   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
–   I-LOCATION
Emporia   I-LOCATION
Patient   O
's   O
events   O
:   O

A   O
Sanskrit   O
teacher   O
by   O
profession   O
,   O
Wilson   B-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
Stanton   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Facility   I-LOCATION
–   I-LOCATION
Johnson   I-LOCATION
on   O
24th   B-DATE
.   O

Walter   B-NAME
Langkowski   I-NAME
reported   O
a   O
2   O
-   O
day   O
history   O
of   O
intermittent   O
sharp   O
and   O
cutting   O
pain   O
in   O
the   O
right   O
upper   O
quadrant   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Izabelle   B-NAME
Elliott   I-NAME
also   O
complains   O
of   O
associated   O
symptoms   O
like   O
fever   O
with   O
chills   O
,   O
nausea   O
,   O
and   O
vomiting   O
,   O
which   O
started   O
the   O
previous   O
day   O
.   O

William   B-NAME
Dugan   I-NAME
rated   O
the   O
pain   O
as   O
ranging   O
from   O
7   O
to   O
8   O
on   O
a   O
scale   O
of   O
10   O
during   O
the   O
pain   O
peak   O
.   O

Apart   O
from   O
this   O
,   O
Invictus   B-NAME
stated   O
that   O
they   O
have   O
a   O
past   O
medical   O
history   O
of   O
Chronic   O
Kidney   O
Disease   O
(   O
CKD   O
)   O
type   O
2   O
and   O
Type   O
2   O
Diabetes   O
Mellitus   O
(   O
T2DM   O
)   O
for   O
which   O
she   O
has   O
been   O
receiving   O
ongoing   O
treatment   O
for   O
the   O
past   O
two   O
years   O
at   O
her   O
local   O
clinic   O
in   O
Ferndale   B-LOCATION
,   I-LOCATION
Ferndale   I-LOCATION
DDA   I-LOCATION
.   O

Allen   B-NAME
,   I-NAME
Agnes   I-NAME
,   O
the   O
consulting   O
physician   O
,   O
hypothesizes   O
that   O
these   O
symptoms   O
may   O
be   O
indicative   O
of   O
cholecystitis   O
or   O
gallstones   O
.   O

The   O
laboratory   O
results   O
will   O
be   O
shared   O
with   O
the   O
patient   O
on   O
their   O
next   O
scheduled   O
consultation   O
on   O
08/26   B-DATE
.   O

An   O
appointment   O
has   O
been   O
arranged   O
for   O
the   O
upcoming   O
week   O
,   O
and   O
Xan   B-NAME
Dillon   I-NAME
is   O
requested   O
to   O
keep   O
a   O
record   O
of   O
any   O
changes   O
in   O
symptoms   O
or   O
new   O
symptoms   O
.   O

Egnar   B-NAME
Bernotas   I-NAME
is   O
also   O
prescribed   O
a   O
regimen   O
of   O
pain   O
management   O
medications   O
and   O
saline   O
hydration   O
,   O
with   O
instructions   O
to   O
follow   O
and   O
return   O
to   O
the   O
emergency   O
room   O
if   O
the   O
pain   O
becomes   O
severe   O
or   O
any   O
new   O
symptoms   O
arise   O
.   O

The   O
family   O
of   O
Gad   B-NAME
located   O
at   O
Mira   B-LOCATION
Loma   I-LOCATION
were   O
informed   O
,   O
and   O
they   O
understand   O
the   O
condition   O
's   O
gravity   O
and   O
the   O
necessary   O
steps   O
for   O
the   O
treatment   O
process   O
.   O

VETRA   B-NAME
MOON   I-NAME
's   O
medical   O
records   O
will   O
be   O
updated   O
by   O
local   O
username   O
BI575   B-NAME
.   O

Emergency   O
contact   O
numbers   O
for   O
her   O
family   O
members   O
living   O
in   O
58152   B-LOCATION
,   O
have   O
been   O
recorded   O
for   O
any   O
urgent   O
future   O
references   O
.   O

The   O
necessary   O
paperwork   O
has   O
been   O
forwarded   O
to   O
the   O
administration   O
department   O
at   O
the   O
Tifton   B-LOCATION
Banking   I-LOCATION
Company   I-LOCATION
.   O

Contact   O
numbers   O
for   O
Janice   B-NAME
Salmeron   I-NAME
and   O
family   O
members   O
for   O
future   O
references   O
are   O
23681   B-CONTACT
.   O

Patient   O
Information   O
:   O
Name   O
:   O
kang   B-NAME
Age   O
:   O
89   O
Identity   O
Number   O
:   O
OO983/9797   B-ID
Medical   O
Record   O
Number   O
:   O

473130CA   B-ID
Location   O
:   O
Mabank   B-LOCATION
Phone   O
:   O
(   B-CONTACT
494   I-CONTACT
)   I-CONTACT
740   I-CONTACT
7337   I-CONTACT
Zip   O
:   O
76162   B-LOCATION
Treating   O
Physician   O
:   O
Vega   B-NAME
Date   O
of   O
Visit   O
:   O
13/21   B-DATE
Medical   O
Organization   O
:   O

Access   B-LOCATION
Bank   I-LOCATION
Case   O
Description   O
:   O
Castro   B-NAME
presented   O
to   O
Wyoming   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/12/21   B-DATE
with   O
complaints   O
of   O
a   O
progressive   O
,   O
subacute   O
onset   O
of   O
symptoms   O
that   O
have   O
persisted   O
for   O
roughly   O
the   O
past   O
four   O
weeks   O
.   O

Upon   O
physical   O
examination   O
,   O
Nga   B-NAME
appeared   O
pale   O
and   O
a   O
mildly   O
enlarged   O
,   O
irregular   O
liver   O
could   O
be   O
palpated   O
.   O

The   O
Ewing   B-NAME
advised   O
an   O
abdominal   O
ultrasound   O
on   O
9/22   B-DATE
which   O
revealed   O
an   O
irregular   O
mass   O
in   O
the   O
right   O
lobe   O
of   O
the   O
liver   O
.   O

Given   O
the   O
pressing   O
symptoms   O
,   O
GI   B-NAME
was   O
scheduled   O
for   O
a   O
liver   O
biopsy   O
under   O
yz952   B-NAME
,   O
a   O
radiologist   O
's   O
guidance   O
,   O
the   O
result   O
of   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
Hepatocellular   O
Carcinoma   O
(   O
HCC   O
)   O
.   O

Biopsy   O
Pathology   O
Report   O
:   O
Issued   O
by   O
Orlando   B-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
.   O

A   O
multidisciplinary   O
team   O
at   O
AdventHealth   B-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
has   O
planned   O
a   O
treatment   O
strategy   O
for   O
the   O
patient   O
.   O

Kade   B-NAME
Shaw   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Model   O
and   O
Mold   O
Makers   O
,   O
Jewelry   O
.   O

The   O
Hattersley   B-NAME
,   I-NAME
Roy   I-NAME
has   O
suggested   O
the   O
initiation   O
of   O
sick   O
leave   O
.   O

Patient   O
Name   O
:   O
XIN   B-NAME
Xi   I-NAME
Age   O
:   O
11   O
ID   O
:   O
ND212/8660   B-ID
Address   O
:   O
23   B-LOCATION
Blackburn   I-LOCATION
St.   I-LOCATION
,   O
60746   B-LOCATION

The   O
patient   O
presented   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Resources   I-LOCATION
Allen   I-LOCATION
Emergency   O
Department   O
on   O
2342   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
00   I-DATE
.   O

He   O
was   O
referred   O
by   O
Dr.   O
Delilah   B-NAME
Allison   I-NAME
of   O
Butler   B-LOCATION
Bank   I-LOCATION
.   O

Contact   O
Nos   O
:   O
544   B-CONTACT
985   I-CONTACT
-   I-CONTACT
9338   I-CONTACT
Emergency   O
Contact   O
:   O

fql237   B-NAME
His   O
profession   O
is   O
Recreational   O
Vehicle   O
Service   O
Technicians   O
.   O

According   O
to   O
the   O
medical   O
record   O
4057498   B-ID
,   O
the   O
patient   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
indicative   O
of   O
an   O
infection   O
.   O

The   O
surgery   O
scheduled   O
on   O
02/24/2072   B-DATE
was   O
successfully   O
executed   O
by   O
Dr.   O
Dunn   B-NAME
without   O
any   O
complications   O
.   O

The   O
removed   O
appendix   O
was   O
sent   O
to   O
the   O
Pathology   O
department   O
at   O
Huntington   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
examination   O
.   O

Post   O
-   O
surgery   O
,   O
the   O
patient   O
has   O
been   O
advised   O
to   O
follow   O
up   O
with   O
Dr.   O
Oliver   B-NAME
after   O
a   O
week   O
.   O

As   O
of   O
his   O
last   O
evaluation   O
on   O
02/22/2123   B-DATE
,   O
the   O
patient   O
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Briana   B-NAME
Hampton   I-NAME
Age   O
:   O
81   O
Medical   O
Record   O
#   O
:   O
222   B-ID
-   I-ID
12   I-ID
-   I-ID
27   I-ID
Our   O
patient   O
,   O
Amelia   B-NAME
Boyer   I-NAME
,   O
a   O
Geospatial   O
Information   O
Scientists   O
and   O
Technologists   O
living   O
in   O
Briarcliff   B-LOCATION
,   O
returned   O
to   O
Lonesome   B-LOCATION
Pine   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
26/00   B-DATE
.   O

He   O
came   O
to   O
our   O
unit   O
after   O
-   O
work   O
following   O
the   O
advice   O
of   O
Dr.   O
Reese   B-NAME
.   O

Ferne   B-NAME
Newhart   I-NAME
reported   O
experiencing   O
nausea   O
,   O
abdominal   O
discomfort   O
,   O
and   O
episodes   O
of   O
non   O
-   O
bloody   O
diarrhea   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
arrival   O
,   O
Djilas   B-NAME
,   I-NAME
Milovan   I-NAME
had   O
a   O
body   O
mass   O
index   O
(   O
BMI   O
)   O
of   O
31   O
,   O
indicative   O
of   O
obesity   O
.   O

During   O
the   O
primary   O
evaluation   O
,   O
Kylie   B-NAME
Mays   I-NAME
disclosed   O
a   O
family   O
history   O
of   O
Type   O
-   O
II   O
Diabetes   O
Mellitus   O
.   O

Dr.   O
Moon   B-NAME
ordered   O
a   O
fingerstick   O
blood   O
glucose   O
test   O
,   O
the   O
results   O
were   O
210   O
mg   O
/   O
dL   O
,   O
i.e.   O
,   O
elevated   O
than   O
the   O
normal   O
range   O
(   O
80   O
-   O
130   O
mg   O
/   O
dL   O
)   O
.   O

Based   O
on   O
the   O
patient   O
's   O
unit   O
records   O
:   O
WJ   B-ID
:   I-ID
OO:7573   I-ID
,   O
an   O
abdominal   O
ultrasound   O
was   O
recommended   O
to   O
rule   O
out   O
gastroparesis   O
and   O
other   O
gastrointestinal   O
complications   O
.   O

3   O
.   O
Scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Plano   I-LOCATION
;   O
further   O
tests   O
are   O
expected   O
to   O
be   O
performed   O
based   O
on   O
symptoms   O
.   O

[   O
PATIENT   O
Address   O
:]   O
Leona   B-LOCATION
Valley   I-LOCATION
,   O
23174   B-LOCATION
.   O

[   O
Emergency   O
Contact   O
Information   O
]   O
Contact   O
:   O
431   B-CONTACT
-   I-CONTACT
1723   I-CONTACT
Notice   O
:   O
No   O
disclosure   O
of   O
health   O
information   O
is   O
allowed   O
without   O
the   O
consent   O
of   O
Elsie   B-NAME
Figueroa   I-NAME
.   O

AFL   B-LOCATION
Players   I-LOCATION
Association   I-LOCATION
Username   O
of   O
consultant   O
:   O
czn634   B-NAME
[   O
DOCTOR   O
Signature   O
]   O
Dr.   O
Jayla   B-NAME
Robles   I-NAME
Department   O
of   O
Endocrinology   O
,   O
Valor   B-LOCATION
Health   I-LOCATION

Patient   O
Name   O
:   O
Leana   B-NAME
Age   O
:   O
21   O
ID   O
Number   O
:   O
LB:791091:330483   B-ID
Address   O
:   O
Seven   B-LOCATION
Oaks   I-LOCATION
Phone   O
Number   O
:   O
449   B-CONTACT
2223   I-CONTACT
Employment   O
:   O
Shipping   O
,   O
Receiving   O
,   O
and   O
Traffic   O
Clerks   O
On   O
the   O
morning   O
of   O
00/22   B-DATE
,   O
patient   O
CHRISTOPHER   B-NAME
QUINTOS   I-NAME
was   O
admitted   O
to   O
Clinch   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
recurrent   O
episodes   O
of   O
vertigo   O
,   O
nystagmus   O
,   O
and   O
ataxia   O
.   O

According   O
to   O
patient   O
's   O
medical   O
record   O
0200543   B-ID
,   O
patient   O
's   O
condition   O
had   O
been   O
monitored   O
by   O
Dr.   O
Belen   B-NAME
Abbott   I-NAME
for   O
several   O
months   O
.   O

Patient   O
Hodges   B-NAME
reported   O
experiencing   O
severe   O
episodes   O
of   O
rotational   O
vertigo   O
that   O
lasted   O
up   O
to   O
an   O
hour   O
,   O
along   O
with   O
hearing   O
loss   O
in   O
the   O
right   O
ear   O
.   O

Additional   O
tests   O
were   O
performed   O
by   O
our   O
nurse   O
WL702   B-NAME
to   O
rule   O
out   O
any   O
possibilities   O
of   O
an   O
acoustic   O
neuroma   O
.   O

Dr.   O
Fawkes   B-NAME
,   I-NAME
Guy   I-NAME
had   O
prescribed   O
a   O
low   O
-   O
salt   O
diet   O
and   O
diuretics   O
initially   O
,   O
which   O
helped   O
to   O
some   O
extent   O
.   O

The   O
patient   O
Burnett   B-NAME
works   O
as   O
a   O
Advocate   O
(   O
Scotland   O
)   O
at   O
The   B-LOCATION
Norfolk   I-LOCATION
&   I-LOCATION
Dedham   I-LOCATION
Group   I-LOCATION
and   O
lives   O
in   O
the   O
59124   B-LOCATION
area   O
of   O
Y   B-LOCATION
-   I-LOCATION
O   I-LOCATION
Ranch   I-LOCATION
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Dr.   O
Ferdinand   B-NAME
Bardamu   I-NAME
on   O
17/25/2301   B-DATE
.   O

For   O
detailed   O
examination   O
results   O
and   O
further   O
queries   O
,   O
please   O
contact   O
Highlands   B-LOCATION
Hospital   I-LOCATION
at   O
29885   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Maldonado   B-NAME
Age   O
:   O
65   O
ID   O
:   O
CC:9805:124891   B-ID
Mr.   O
Richards   B-NAME
,   I-NAME
Keith   I-NAME
presented   O
himself   O
to   O
the   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Riverside   I-LOCATION
on   O
02/28   B-DATE
.   O

The   O
patient   O
lives   O
in   O
Spackenkill   B-LOCATION
and   O
works   O
as   O
a   O
License   O
Clerks   O
.   O

His   O
past   O
medical   O
records   O
855   B-ID
85   I-ID
18   I-ID
indicating   O
a   O
history   O
of   O
peptic   O
ulcers   O
which   O
were   O
treated   O
in   O
October   B-DATE
00   I-DATE
,   I-DATE
2382   I-DATE
by   O
Dr.   O
Mclean   B-NAME
in   O
the   O
same   O
Peninsula   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
contact   O
number   O
is   O
46303   B-CONTACT
and   O
his   O
zip   O
code   O
is   O
28035   B-LOCATION
.   O

By   O
:   O
Edgar   B-NAME
Davidson   I-NAME
Username   O
:   O
bh07   B-NAME
Upon   O
preliminary   O
examination   O
and   O
past   O
medical   O
history   O
,   O
Mr.   O
Rory   B-NAME
Bass   I-NAME
has   O
been   O
initially   O
diagnosed   O
with   O
a   O
suspected   O
case   O
of   O
Gastrointestinal   O
Hemorrhage   O
.   O

However   O
,   O
additional   O
tests   O
including   O
Endoscopy   O
and   O
CT   O
Scan   O
have   O
been   O
ordered   O
for   O
Ray   B-NAME
,   I-NAME
James   I-NAME
Arthur   I-NAME
to   O
rule   O
out   O
other   O
possible   O
causes   O
and   O
to   O
pinpoint   O
the   O
source   O
of   O
lower   O
GI   O
bleeding   O
.   O

Dr.   O
Addisyn   B-NAME
Stafford   I-NAME
has   O
contacted   O
the   O
Gastroenterology   O
department   O
at   O
the   O
Ingalls   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   O
has   O
set   O
up   O
an   O
appointment   O
for   O
Mr.   O
Aubrey   B-NAME
Greene   I-NAME
on   O
33/10   B-DATE
.   O

In   O
conclusion   O
,   O
it   O
is   O
advised   O
that   O
Mr.   O
Melina   B-NAME
Myers   I-NAME
should   O
start   O
on   O
an   O
interim   O
treatment   O
plan   O
including   O
proton   O
pump   O
inhibitors   O
until   O
the   O
further   O
test   O
results   O
are   O
obtained   O
.   O

The   O
test   O
appointment   O
details   O
have   O
been   O
sent   O
to   O
patient   O
's   O
Employer   O
based   O
at   O
Sussex   B-LOCATION
Rural   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
.   O

In   O
case   O
of   O
worsening   O
conditions   O
or   O
any   O
health   O
changes   O
,   O
the   O
patient   O
has   O
been   O
advised   O
to   O
contact   O
the   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
in   I-LOCATION
Waycross   I-LOCATION
emergency   O
services   O
immediately   O
.   O

Patient   O
Name   O
:   O
Victor   B-NAME
Meadows   I-NAME
Age   O
:   O
22s   O
Date   O
:   O
11/12   B-DATE
Location   O
:   O
Belle   B-LOCATION
Glade   I-LOCATION
Medical   O
Record   O
:   O
455   B-ID
-   I-ID
47   I-ID
-   I-ID
22   I-ID
-   I-ID
0   I-ID
On   O
22/24   B-DATE
,   O
Maurice   B-NAME
Flores   I-NAME
presented   O
to   O
Cooley   B-LOCATION
Dickinson   I-LOCATION
Hospital   I-LOCATION
with   O
primary   O
complaints   O
of   O
intermittent   O
headaches   O
,   O
fatigue   O
,   O
and   O
blurring   O
of   O
vision   O
for   O
the   O
past   O
several   O
weeks   O
.   O

The   O
patient   O
's   O
vitals   O
were   O
as   O
follows   O
:   O
Blood   O
pressure   O
–   O
120/80   O
mmHg   O
,   O
Pulse   O
–   O
76   O
beats   O
/   O
min   O
,   O
Temperature   O
–   O
98.6   O
°   O
F   O
,   O
and   O
Respiratory   O
Rate   O
–   O
16   O
breaths   O
/   O
min   O
.   O
Dr.   O
Love   B-NAME
suggested   O
an   O
MRI   O
brain   O
scan   O
,   O
and   O
the   O
results   O
indicated   O
the   O
presence   O
of   O
a   O
lesion   O
in   O
the   O
frontal   O
lobe   O
.   O

Additionally   O
,   O
the   O
patient   O
was   O
scheduled   O
for   O
follow   O
-   O
up   O
appointments   O
with   O
Dr.   O
Alvarez   B-NAME
at   O
Scott   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Scott   I-LOCATION
City   I-LOCATION
after   O
two   O
weeks   O
for   O
further   O
assessment   O
and   O
treatment   O
planning   O
.   O

The   O
patient   O
is   O
a   O
professor   O
by   O
Paste   O
-   O
Up   O
Workers   O
at   O
State   B-LOCATION
Guard   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
.   O

As   O
per   O
Samantha   B-NAME
G   I-NAME
Noland   I-NAME
's   O
medical   O
background   O
,   O
there   O
's   O
no   O
past   O
history   O
of   O
similar   O
symptoms   O
or   O
major   O
illnesses   O
in   O
the   O
past   O
.   O

Contact   O
Information   O
Phone   O
:   O
37801   B-CONTACT
,   O
Email   O
:   O
TJ748   B-NAME
@   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Loyal   I-LOCATION
Legion   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
.com   O
Address   O
:   O
Rohrsburg   B-LOCATION
,   O
89493   B-LOCATION
ID   O
:   O
NB731/4215   B-ID
Note   O

This   O
and   O
any   O
further   O
updates   O
regarding   O
the   O
patient   O
Giuliana   B-NAME
Rios   I-NAME
's   O
condition   O
will   O
be   O
documented   O
in   O
the   O
system   O
against   O
their   O
medical   O
record   O
number   O
8968G37726   B-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Guderian   B-NAME
,   I-NAME
Heinz   I-NAME
DOB   O
(   O
Date   O
Of   O
Birth   O
):   O
0/2   B-DATE
MRN   O
(   O
Medical   O
Record   O
Number   O
):   O
01996993   B-ID
Patient   O
Natalie   B-NAME
Lambert   I-NAME
presented   O
to   O
Ascension   B-LOCATION
Macomb   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Warren   I-LOCATION
Campus   I-LOCATION
reporting   O
a   O
three   O
-   O
day   O
history   O
of   O
progressive   O
gastric   O
pain   O
localized   O
in   O
the   O
periumbilical   O
region   O
.   O

The   O
patient   O
has   O
last   O
eaten   O
approximately   O
02/24   B-DATE
,   O
a   O
day   O
prior   O
to   O
the   O
initial   O
onset   O
of   O
pain   O
.   O

He   O
is   O
a   O
Education   O
Administrators   O
,   O
Elementary   O
and   O
Secondary   O
School   O
living   O
in   O
Denver   B-LOCATION
and   O
was   O
thus   O
referred   O
to   O
Parkway   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
by   O
his   O
general   O
physician   O
,   O
Brice   B-NAME
Huang   I-NAME
.   O

The   O
patient   O
lives   O
with   O
his   O
wife   O
and   O
kids   O
,   O
in   O
North   B-LOCATION
Brookfield   I-LOCATION
,   O
and   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
936   I-CONTACT
)   I-CONTACT
565   I-CONTACT
-   I-CONTACT
8110   I-CONTACT
.   O

For   O
payments   O
and   O
insurance   O
,   O
please   O
refer   O
8569057   B-ID
and   O
for   O
hospital   O
records   O
,   O
you   O
may   O
refer   O
to   O
the   O
SV797   B-NAME
in   O
the   O
CHI   B-LOCATION
Health   I-LOCATION
St   I-LOCATION
Francis   I-LOCATION
's   O
database   O
.   O

There   O
are   O
plans   O
to   O
get   O
him   O
admitted   O
to   O
Platte   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
the   O
necessary   O
treatment   O
procedure   O
,   O
pending   O
confirmation   O
through   O
ultrasound   O
.   O

His   O
postal   O
address   O
is   O
57733   B-LOCATION
,   O
Las   B-LOCATION
Croabas   I-LOCATION
.   O

Please   O
refer   O
to   O
this   O
report   O
in   O
consideration   O
of   O
Dayami   B-NAME
Holder   I-NAME
's   O
treatment   O
plans   O
.   O

For   O
any   O
further   O
details   O
,   O
you   O
may   O
contact   O
Adam   B-NAME
Streeter   I-NAME
securing   O
an   O
appointment   O
via   O
93392   B-CONTACT
.   O

This   O
report   O
is   O
generated   O
by   O
:   O
Canoochee   B-LOCATION
EMC   I-LOCATION
Date   O
:   O
02/06   B-DATE
Release   O
of   O
Information   O
:   O
Turtle   B-LOCATION
Creek   I-LOCATION
32165   B-LOCATION
Release   O
of   O
Information   O
Phone   O
:   O
342   B-CONTACT
-   I-CONTACT
2928   I-CONTACT

Patient   O
Chase   B-NAME
Washington   I-NAME
,   O
a   O
Financial   O
Specialists   O
,   O
All   O
Other   O
with   O
a   O
maternal   O
family   O
history   O
of   O
cardiovascular   O
diseases   O
,   O
presented   O
at   O
our   O
Saint   B-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
arm   O
.   O

The   O
pain   O
had   O
been   O
persistent   O
for   O
about   O
two   O
days   O
,   O
manifesting   O
on   O
4/69   B-DATE
.   O

He   O
is   O
a   O
96   O
years   O
old   O
male   O
,   O
lives   O
in   O
Newport   B-LOCATION
News   I-LOCATION
and   O
can   O
be   O
reached   O
at   O
this   O
number   O
360   B-CONTACT
-   I-CONTACT
9454   I-CONTACT
.   O

Upon   O
physical   O
examination   O
,   O
Omari   B-NAME
Obrien   I-NAME
noticed   O
diaphoresis   O
,   O
pallor   O
,   O
tachycardia   O
,   O
and   O
hypertension   O
in   O
the   O
patient   O
.   O

The   O
cardiology   O
team   O
headed   O
by   O
Marely   B-NAME
Perry   I-NAME
was   O
informed   O
;   O
they   O
transferred   O
the   O
patient   O
for   O
an   O
emergent   O
cardiac   O
catheterization   O
based   O
on   O
medical   O
record   O
number   O
3047335   B-ID
.   O

His   O
SSN   O
for   O
reference   O
is   O
2751304   B-ID
.   O

The   O
patient   O
resides   O
at   O
the   O
following   O
address   O
:   O
Littlestown   B-LOCATION
,   O
and   O
his   O
zip   O
code   O
is   O
16234   B-LOCATION
.   O

His   O
email   O
address   O
attached   O
to   O
his   O
account   O
is   O
QD551   B-NAME
@   O
Ambit   B-LOCATION
Energy   I-LOCATION
.com   O
.   O

Our   O
primary   O
goal   O
is   O
to   O
ensure   O
Pamela   B-NAME
Falk   I-NAME
makes   O
the   O
quickest   O
possible   O
recovery   O
and   O
prevents   O
any   O
future   O
cardiac   O
events   O
.   O

Regular   O
follow   O
-   O
ups   O
will   O
be   O
scheduled   O
according   O
to   O
the   O
patient   O
's   O
progress   O
,   O
the   O
details   O
of   O
which   O
will   O
be   O
communicated   O
over   O
phone   O
626   B-CONTACT
4527   I-CONTACT
or   O
email   O
mmx966   B-NAME
@   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Knitwear   I-LOCATION
,   I-LOCATION
Footwear   I-LOCATION
and   I-LOCATION
Apparel   I-LOCATION
Trades   I-LOCATION
.   O

Patient   O
Information   O
:   O
Justice   B-NAME
Mcclure   I-NAME
:   O
Yeager   B-NAME
Age   O
:   O
89   O
Location   O
:   O
972   B-LOCATION
West   I-LOCATION
Main   I-LOCATION
Dr.   I-LOCATION
Phone   O
:   O
67258   B-CONTACT
Identification   O
No   O
:   O
284620   B-ID
Medical   O
Record   O
No   O
:   O
37591781   B-ID
6/21   B-DATE
,   O
Fox   B-NAME
,   I-NAME
Virgil   I-NAME
came   O
to   O
Borgess   B-LOCATION
-   I-LOCATION
Lee   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

On   O
09/28/2154   B-DATE
,   O
an   O
ultrasound   O
scan   O
was   O
done   O
by   O
Bright   B-NAME
revealed   O
gallstones   O
in   O
the   O
gallbladder   O
and   O
common   O
bile   O
duct   O
.   O

The   O
patient   O
works   O
as   O
a   O
Logging   O
Tractor   O
Operators   O
in   O
Earthstar   B-LOCATION
Bank   I-LOCATION
,   O
which   O
involves   O
high   O
stress   O
and   O
irregular   O
eating   O
habits   O
,   O
which   O
could   O
have   O
been   O
a   O
risk   O
factor   O
to   O
the   O
condition   O
.   O

The   O
medical   O
team   O
in   O
Southwestern   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
decided   O
to   O
undertake   O
a   O
Laparoscopic   O
Cholecystectomy   O
,   O
a   O
procedure   O
to   O
remove   O
the   O
gallbladder   O
,   O
under   O
the   O
supervision   O
of   O
Velez   B-NAME
.   O

The   O
operation   O
was   O
conducted   O
successfully   O
on   O
23/21   B-DATE
.   O

Currently   O
,   O
Morran   B-NAME
Kvaternik   I-NAME
is   O
under   O
post   O
-   O
operative   O
care   O
and   O
instructions   O
have   O
been   O
shared   O
with   O
their   O
caretaker   O
via   O
715   B-CONTACT
-   I-CONTACT
5577   I-CONTACT
.   O

Next   O
appointment   O
is   O
scheduled   O
with   O
Irwin   B-NAME
on   O
2   B-DATE
-   I-DATE
2   I-DATE
-   I-DATE
54   I-DATE
.   O

Detailed   O
reports   O
are   O
archived   O
under   O
the   O
username   O
ay305   B-NAME
.   O

For   O
any   O
emergency   O
,   O
please   O
contact   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
977   I-CONTACT
)   I-CONTACT
697   I-CONTACT
-   I-CONTACT
9794   I-CONTACT
.   O

This   O
medical   O
report   O
has   O
been   O
created   O
by   O
Maxwell   B-NAME
of   O
Russellville   B-LOCATION
Hospital   I-LOCATION
.   O

Detail   O
address   O
of   O
the   O
hospital   O
is   O
:   O
Gunnison   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
,   O
Mantua   B-LOCATION
,   O
96138   B-LOCATION
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Heath   B-NAME
Age   O
:   O
84   O
Medical   O
Record   O
Number   O
:   O
06833182   B-ID
Phone   O
:   O
40025   B-CONTACT
Address   O
:   O
79   B-LOCATION
North   I-LOCATION
York   I-LOCATION
Dr.   I-LOCATION
Zip   O
:   O
46754   B-LOCATION
Referring   O
Physician   O
:   O

Marshall   B-NAME
Encounter   O
Date   O
:   O
35/21/92   B-DATE
Chief   O
Complaint   O
:   O
Shortness   O
of   O
breath   O
and   O
recurrent   O
chest   O
pain   O
History   O
of   O
Present   O
Illness   O
:   O

The   O
patient   O
Curtis   B-NAME
Dalton   I-NAME
,   O
45   O
years   O
old   O
individual   O
,   O
was   O
brought   O
in   O
by   O
emergency   O
services   O
at   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Littleton   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
on   O
16/27   B-DATE
for   O
ongoing   O
chest   O
pain   O
.   O

Patient   O
's   O
condition   O
was   O
discussed   O
with   O
Salvador   B-NAME
who   O
suggested   O
urgent   O
percutaneous   O
coronary   O
intervention   O
.   O

Next   O
scheduled   O
appointment   O
:   O
May   B-DATE
2196   I-DATE
.   O

Note   O
:   O
Please   O
arrive   O
at   O
University   B-LOCATION
of   I-LOCATION
Vermont   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
your   O
appointment   O
on   O
09/12/2152   B-DATE
.   O

In   O
case   O
you   O
need   O
to   O
change   O
your   O
appointment   O
,   O
please   O
call   O
us   O
at   O
67398   B-CONTACT
.   O
Authorization   O
ID   O
given   O
for   O
the   O
transaction   O
:   O
69273   B-ID
Physician   O
's   O
Name   O
:   O
Collins   B-NAME
,   O
Cardiologist   O
,   O
Herington   B-LOCATION
Municipal   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Herington   I-LOCATION
Physician   O
's   O
digital   O
Signature   O
:   O

FF613   B-NAME

Patient   O
Report   O
Patient   O
Name   O
:   O
Edward   B-NAME
M.   I-NAME
Yao   I-NAME
Date   O
:   O
12/10/2181   B-DATE
Doctor   O
name   O
:   O
Morris   B-NAME
Place   O
of   O
consultation   O
:   O
MedStar   B-LOCATION
Southern   I-LOCATION
Maryland   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
4326119   B-ID
The   O
patient   O
,   O
namely   O
Donny   B-NAME
Speece   I-NAME
,   O
visited   O
the   O
hospital   O
on   O
29/22/03   B-DATE
.   O

The   O
doctor   O
of   O
disclosure   O
,   O
Moody   B-NAME
,   O
took   O
down   O
the   O
patient   O
description   O
of   O
symptoms   O
,   O
which   O
seemed   O
to   O
involve   O
severe   O
discomfort   O
in   O
the   O
abdomen   O
region   O
,   O
followed   O
by   O
instances   O
of   O
nausea   O
and   O
dizziness   O
.   O

These   O
symptoms   O
could   O
also   O
be   O
related   O
to   O
a   O
pre   O
-   O
existing   O
condition   O
as   O
detailed   O
in   O
patient   O
's   O
medical   O
history   O
with   O
ID   O
CO128/8958   B-ID
.   O

Considering   O
the   O
patient   O
's   O
address   O
in   O
Cooter   B-LOCATION
code   O
42278   B-LOCATION
,   O
one   O
must   O
also   O
consider   O
environmental   O
factors   O
contributing   O
to   O
the   O
reported   O
health   O
problem   O
.   O

Earlier   O
phone   O
conversation   O
(   O
18071   B-CONTACT
)   O
revealed   O
that   O
the   O
patient   O
is   O
currently   O
working   O
for   O
North   B-LOCATION
Houston   I-LOCATION
Bank   I-LOCATION
that   O
has   O
a   O
history   O
with   O
reported   O
environmental   O
issues   O
.   O

A   O
course   O
of   O
action   O
and   O
plausible   O
treatments   O
must   O
be   O
discussed   O
with   O
Glass   B-NAME
and   O
approved   O
by   O
the   O
patient   O
's   O
primary   O
healthcare   O
provider   O
.   O

For   O
this   O
,   O
they   O
can   O
use   O
the   O
online   O
dashboard   O
with   O
username   O
like   O
uno115   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
2184   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
17   I-DATE
.   O

The   O
patient   O
may   O
need   O
to   O
undergo   O
further   O
diagnostic   O
testing   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Tucker   B-NAME
Age   O
:   O
62s   O
Medical   O
Record   O
Number   O
:   O
8142076   B-ID
Report   O
:   O
Dr.   O
Horton   B-NAME
examined   O
the   O
client   O
at   O
St   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
6/7   B-DATE
.   O

Harvey   B-NAME
,   B-NAME
Paul   I-NAME
is   O
a   O
Helpers   O
--   O
Extraction   O
Workers   O
from   O
Boaz   B-LOCATION
.   O

Miyamoto   B-NAME
,   I-NAME
Shigeru   I-NAME
reported   O
a   O
history   O
of   O
unexplained   O
fatigue   O
and   O
recurrent   O
headaches   O
over   O
the   O
past   O
two   O
weeks   O
.   O

They   O
had   O
been   O
previously   O
diagnosed   O
with   O
high   O
blood   O
pressure   O
during   O
a   O
routine   O
check   O
-   O
up   O
at   O
Animas   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
last   O
year   O
.   O

The   O
patient   O
's   O
blood   O
pressure   O
taken   O
on   O
December   B-DATE
was   O
significantly   O
elevated   O
,   O
which   O
is   O
a   O
cause   O
of   O
concern   O
given   O
their   O
49   O
.   O

Considering   O
these   O
findings   O
,   O
a   O
cardiac   O
stress   O
test   O
was   O
advised   O
to   O
be   O
conducted   O
on   O
22   B-DATE
-   I-DATE
22   I-DATE
.   O

An   O
appointment   O
for   O
a   O
follow   O
-   O
up   O
visit   O
and   O
to   O
discuss   O
the   O
cardiac   O
stress   O
test   O
results   O
was   O
scheduled   O
for   O
the   O
subsequent   O
22/15   B-DATE
.   O

For   O
any   O
emergencies   O
,   O
the   O
patient   O
is   O
advised   O
to   O
contact   O
Manhattan   B-LOCATION
Eye   I-LOCATION
immediately   O
at   O
38922   B-CONTACT
.   O

The   O
patient   O
's   O
health   O
insurance   O
information   O
(   O
ID   O
:   O
2   B-ID
-   I-ID
8299191   I-ID
)   O
will   O
be   O
shared   O
with   O
the   O
finance   O
department   O
of   O
Botswana   B-LOCATION
Bank   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
for   O
validation   O
.   O

Instructions   O
were   O
given   O
to   O
the   O
patient   O
to   O
obtain   O
a   O
medical   O
leave   O
referred   O
by   O
Dr.   O
Beyale   B-NAME
,   O
which   O
was   O
sent   O
via   O
LJ370   B-NAME
to   O
their   O
12538   B-LOCATION
post   O
office   O
.   O

The   O
patient   O
was   O
informed   O
to   O
collect   O
it   O
by   O
showing   O
their   O
ID   O
(   O
WC466/8298   B-ID
)   O
.   O

Doctor   O
's   O
signature   O
:   O
Dr.   O
Herring   B-NAME
,   O
22/32/2293   B-DATE

Patient   O
Name   O
:   O
Hernandez   B-NAME
Medical   O
Record   O
Number   O
:   O
548   B-ID
-   I-ID
36   I-ID
-   I-ID
60   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Visit   O
:   O
25/03/30   B-DATE
Age   O
:   O
52   O
Attending   O
Physician   O
:   O

Oconnor   B-NAME
Location   O
:   O
House   B-LOCATION
ZIP   O
:   O
82816   B-LOCATION
Hospital   O
:   O
Loring   B-LOCATION
Hospital   I-LOCATION
Organization   O
:   O
Citizens   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Chicago   I-LOCATION
ID   O
:   O
WC:2464:102946   B-ID
Phone   O
:   O
558   B-CONTACT
388   I-CONTACT
3680   I-CONTACT
Username   O
:   O
pu261   B-NAME
Profession   O
:   O
Painters   O
,   O
Construction   O
and   O
Maintenance   O
The   O
clinical   O
picture   O
of   O
Julo   B-NAME
has   O
altered   O
gradually   O
over   O
the   O
last   O
2   O
months   O
,   O
with   O
him   O
presenting   O
continued   O
complaints   O
of   O
persistent   O
headaches   O
getting   O
worse   O
over   O
time   O
.   O

Magdalena   B-NAME
Haney   I-NAME
also   O
reported   O
experiencing   O
nausea   O
in   O
correlation   O
with   O
the   O
intensity   O
of   O
the   O
headaches   O
,   O
and   O
occasional   O
associated   O
phonophobia   O
and   O
photophobia   O
.   O

Additionally   O
,   O
quevedo   B-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Maria   B-NAME
Kaufman   I-NAME
on   O
39/34   B-DATE
at   O
Lankenau   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Cheshire   B-LOCATION
Village   I-LOCATION
.   O

Kindly   O
contact   O
us   O
via   O
139   B-CONTACT
-   I-CONTACT
1291   I-CONTACT
from   O
9   O
a.m.   O
to   O
5   O
p.m.   O
,   O
Monday   O
to   O
Friday   O
in   O
case   O
of   O
any   O
emergencies   O
or   O
further   O
information   O
.   O

Our   O
user   O
-   O
friendly   O
online   O
portal   O
can   O
be   O
accessed   O
using   O
the   O
lle157   B-NAME
and   O
612842   B-ID
provided   O
in   O
the   O
mail   O
.   O

You   O
could   O
also   O
reach   O
out   O
to   O
Botswana   B-LOCATION
Railways   I-LOCATION
Amalgamated   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
for   O
support   O
related   O
to   O
Education   O
administrator   O
.   O

Sincerely   O
,   O
Braine   B-NAME
,   I-NAME
John   I-NAME
DCH   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Philadelphia   B-LOCATION
85510   B-LOCATION

Patient   O
Report   O
:   O
Florrie   B-NAME
Heyward   I-NAME
is   O
a   O
67   O
year   O
old   O
individual   O
who   O
first   O
reported   O
symptoms   O
on   O
20/39   B-DATE
.   O

This   O
initial   O
report   O
was   O
followed   O
by   O
a   O
detailed   O
examination   O
on   O
0/1/13   B-DATE
by   O
Dr.   O
Townsend   B-NAME
.   O

Dr.   O
Xiao   B-NAME
Raper   I-NAME
is   O
currently   O
affiliated   O
with   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Pembroke   I-LOCATION
,   O
located   O
at   O
Kalifornsky   B-LOCATION
.   O

During   O
the   O
examination   O
,   O
Richard   B-NAME
Sturgess   I-NAME
complained   O
of   O
a   O
persistent   O
high   O
fever   O
,   O
headaches   O
,   O
and   O
fatigue   O
.   O

Dr.   O
William   B-NAME
Browning   I-NAME
suspected   O
a   O
viral   O
respiratory   O
infection   O
and   O
arranged   O
for   O
further   O
diagnostic   O
tests   O
.   O

Following   O
the   O
examination   O
,   O
Huber   B-NAME
's   O
medical   O
record   O
-   O
869   B-ID
-   I-ID
46   I-ID
-   I-ID
81   I-ID
-   I-ID
2   I-ID
,   O
was   O
updated   O
to   O
reflect   O
these   O
findings   O
.   O

The   O
test   O
results   O
,   O
when   O
available   O
,   O
will   O
also   O
be   O
added   O
to   O
84200857   B-ID
.   O

The   O
patient   O
is   O
a   O
resident   O
of   O
South   B-LOCATION
Glens   I-LOCATION
Falls   I-LOCATION
and   O
holds   O
a   O
state   O
ID   O
of   O
QV:4915:551582   B-ID
.   O

The   O
patient   O
can   O
be   O
reached   O
at   O
703   B-CONTACT
-   I-CONTACT
425   I-CONTACT
-   I-CONTACT
4142   I-CONTACT
and   O
lives   O
at   O
Heywood   B-LOCATION
,   O
zip   O
code   O
:   O
41463   B-LOCATION
.   O

Kane   B-NAME
Brock   I-NAME
is   O
employed   O
in   O
the   O
capacity   O
of   O
a   O
Mathematicians   O
.   O

The   O
employer   O
,   O
Delmarva   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
,   O
has   O
been   O
informed   O
about   O
possible   O
absenteeism   O
owing   O
to   O
the   O
symptoms   O
and   O
further   O
medical   O
procedures   O
.   O

For   O
further   O
queries   O
related   O
to   O
the   O
patient   O
's   O
condition   O
,   O
you   O
can   O
contact   O
Dr.   O
Hatfield   B-NAME
at   O
Bayfront   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Petersburg   I-LOCATION
.   O

If   O
you   O
ca   O
n't   O
get   O
through   O
on   O
the   O
hospital   O
's   O
line   O
,   O
please   O
try   O
their   O
personal   O
contact   O
number   O
,   O
57913   B-CONTACT
.   O

To   O
access   O
Stevens   B-NAME
's   O
consolidated   O
health   O
record   O
,   O
login   O
with   O
the   O
username   O
:   O
ak548   B-NAME
.   O

Patient   O
Name   O
:   O
Eluard   B-NAME
,   I-NAME
Paul   I-NAME
Age   O
:   O
79   O
Date   O
:   O
30/28   B-DATE
Doctor   O
:   O
Swanson   B-NAME
Hospital   O
:   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
The   I-LOCATION
Allen   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
4   B-ID
-   I-ID
3460891   I-ID
Location   O
:   O
Edina   B-LOCATION
Medical   O
Record   O
:   O
1798379   B-ID
Organization   O
:   O
International   B-LOCATION
Centre   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Research   I-LOCATION
Phone   O
:   O
172   B-CONTACT
-   I-CONTACT
8291   I-CONTACT
Profession   O
:   O
Musicians   O
,   O
Instrumental   O
Username   O
:   O
BG2810   B-NAME
Zip   O
:   O
80016   B-LOCATION
Report   O
:   O
Higgins   B-NAME
,   O
a   O
police   O
officer   O
resident   O
in   O
Foster   B-LOCATION
City   I-LOCATION
,   O
54225   B-LOCATION
presented   O
to   O
BayCare   B-LOCATION
Alliant   I-LOCATION
Hospital   I-LOCATION
on   O
23/20   B-DATE
.   O

Roger   B-NAME
Hurley   I-NAME
is   O
48   O
years   O
old   O
and   O
was   O
accompanied   O
by   O
family   O
members   O
.   O

Taliyah   B-NAME
Hays   I-NAME
mentioned   O
that   O
the   O
pain   O
initially   O
was   O
mild   O
and   O
intermittent   O
,   O
but   O
gradually   O
became   O
persistent   O
and   O
severe   O
.   O

Upon   O
examination   O
by   O
Khalilzad   B-NAME
,   I-NAME
Zalmay   I-NAME
,   O
Shyla   B-NAME
Patterson   I-NAME
exhibited   O
exquisite   O
tenderness   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Following   O
the   O
initial   O
assessment   O
,   O
Perez   B-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
and   O
comprehensive   O
metabolic   O
panel   O
,   O
which   O
subsequently   O
confirmed   O
the   O
presence   O
of   O
multiple   O
gallstones   O
and   O
elevated   O
liver   O
enzymes   O
.   O

Keladry   B-NAME
was   O
then   O
admitted   O
to   O
University   B-LOCATION
of   I-LOCATION
South   I-LOCATION
Alabama   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
and   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
and   O
treatment   O
.   O

This   O
is   O
recorded   O
in   O
Roderick   B-NAME
Rodriguez   I-NAME
's   O
medical   O
record   O
5096187   B-ID
.   O

Family   O
members   O
can   O
access   O
updates   O
about   O
Beth   B-NAME
Cather   I-NAME
’s   O
medical   O
conditions   O
through   O
the   O
patient   O
portal   O
using   O
wer546   B-NAME
and   O
can   O
contact   O
us   O
at   O
421   B-CONTACT
-   I-CONTACT
1295   I-CONTACT
.   O

Branch   B-NAME
is   O
planning   O
a   O
multipronged   O
approach   O
for   O
the   O
management   O
of   O
Reema   B-NAME
N.   I-NAME
Imler   I-NAME
's   O
condition   O
,   O
including   O
pharmacological   O
management   O
and   O
possibly   O
,   O
laparoscopic   O
cholecystectomy   O
,   O
if   O
necessary   O
.   O

A   O
liaison   O
with   O
Captive   B-LOCATION
Animals   I-LOCATION
Protection   I-LOCATION
Society   I-LOCATION
has   O
been   O
established   O
for   O
potential   O
support   O
in   O
the   O
intervention   O
.   O

This   O
detailed   O
report   O
has   O
been   O
formulated   O
to   O
keep   O
all   O
necessary   O
parties   O
informed   O
about   O
Kylee   B-NAME
Compton   I-NAME
's   O
condition   O
.   O

It   O
is   O
linked   O
to   O
Neal   B-NAME
Joshi   I-NAME
's   O
ID   O
8   B-ID
-   I-ID
5646546   I-ID
in   O
the   O
hospital   O
database   O
.   O

Patient   O
Name   O
:   O
BEVERLY   B-NAME
B.   I-NAME
MARTINEZ   I-NAME
Age   O
:   O
73s   O
Date   O
:   O
20/05   B-DATE
Medical   O
Record   O
Number   O
:   O
77203762   B-ID
Doctor   O
Information   O
:   O
Leon   B-NAME
Hospital   O
Information   O
:   O
A.G.   B-LOCATION
Holley   I-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
Username   O
for   O
health   O
record   O
:   O
KZ821   B-NAME
Location   O
:   O
New   B-LOCATION
York   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10025   I-LOCATION
ID   O
:   O
1   B-ID
-   I-ID
7535131   I-ID
Zip   O
:   O
26124   B-LOCATION
Phone   O
:   O
69455   B-CONTACT
Profession   O
:   O
Pharmacy   O
Aides   O
Medical   O
Report   O
:   O
Patient   O
Nicks   B-NAME
,   I-NAME
Stevie   I-NAME
,   O
an   O
20   O
year   O
old   O
Glaziers   O
residing   O
in   O
Chalmette   B-LOCATION
(   O
Zip   O
code   O
:   O
28275   B-LOCATION
)   O
,   O
presented   O
to   O
MercyOne   B-LOCATION
North   I-LOCATION
Iowa   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
38/32   B-DATE
.   O

Upon   O
examination   O
,   O
Lowe   B-NAME
appeared   O
uncomfortable   O
and   O
reported   O
increased   O
pain   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
his   O
abdomen   O
.   O

Past   O
medical   O
history   O
revealed   O
that   O
Timmy   B-NAME
was   O
diagnosed   O
with   O
mild   O
hypertension   O
about   O
ten   O
years   O
ago   O
.   O

Further   O
radiological   O
assessment   O
was   O
advised   O
by   O
Gilbert   B-NAME
.   O

The   O
Miller   B-NAME
diagnosed   O
Ryker   B-NAME
Mcdaniel   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
emergency   O
surgery   O
.   O

Emergency   O
contact   O
details   O
were   O
provided   O
which   O
include   O
146   B-CONTACT
-   I-CONTACT
6005   I-CONTACT
.   O

Ireland   B-NAME
Carey   I-NAME
's   O
confidential   O
medical   O
ID   O
is   O
QT369/9391   B-ID
and   O
medical   O
records   O
can   O
be   O
accessed   O
using   O
ER381   B-NAME
.   O

Above   O
-   O
mentioned   O
symptoms   O
,   O
as   O
well   O
as   O
the   O
patient   O
's   O
previous   O
medical   O
history   O
,   O
taken   O
under   O
consideration   O
by   O
the   O
medical   O
team   O
at   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Easton   I-LOCATION
,   O
and   O
the   O
details   O
trail   O
maintained   O
under   O
the   O
medical   O
record   O
number   O
7190L3518   B-ID
.   O

Overall   O
,   O
Leonard   B-NAME
Gillespie   I-NAME
’s   O
condition   O
was   O
deemed   O
to   O
require   O
immediate   O
medical   O
intervention   O
,   O
and   O
the   O
patient   O
approved   O
to   O
proceed   O
with   O
the   O
recommended   O
treatment   O
plan   O
for   O
appendectomy   O
.   O

Kindly   O
follow   O
up   O
with   O
Makaila   B-NAME
Briggs   I-NAME
after   O
the   O
surgery   O
on   O
scheduled   O
02/22   B-DATE
to   O
monitor   O
recovery   O
and   O
manage   O
any   O
post   O
-   O
operative   O
symptoms   O
.   O

-   O
Conner   B-NAME
Marshall   I-NAME
at   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Conroe   I-LOCATION
Dec   B-DATE
28   I-DATE
,   I-DATE
2105   I-DATE
Note   O
:   O

This   O
information   O
is   O
privileged   O
and   O
confidential   O
and   O
is   O
not   O
to   O
be   O
disseminated   O
outside   O
Renys   B-LOCATION
.   O

Patient   O
Information   O
:   O
Patient   O
:   O
Colby   B-NAME
Brown   I-NAME
Age   O
:   O
7   O
week   O
Phone   O
:   O
(   B-CONTACT
957   I-CONTACT
)   I-CONTACT
269   I-CONTACT
-   I-CONTACT
5436   I-CONTACT
Location   O
:   O
Royal   B-LOCATION
City   I-LOCATION
ZIP   O
Code   O
:   O
53845   B-LOCATION
Doctor   O
:   O
Jennifer   B-NAME
Paige   I-NAME
Hospital   O
:   O
Redlands   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
:   O
861   B-ID
-   I-ID
68   I-ID
-   I-ID
87   I-ID
-   I-ID
7   I-ID
ID   O
:   O
SA868/5353   B-ID
Organization   O
:   O

Planets   B-LOCATION
'   I-LOCATION
Commonwealth   I-LOCATION
Profession   O
:   O
Medical   O
Assistants   O
Username   O
:   O
iek538   B-NAME
The   O
patient   O
,   O
Starr   B-NAME
,   I-NAME
Ringo   I-NAME
,   O
presented   O
to   O
Optim   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Jenkins   I-LOCATION
on   O
12/14/1897   B-DATE
with   O
symptoms   O
suggestive   O
of   O
dyspnea   O
,   O
or   O
shortness   O
of   O
breath   O
.   O

The   O
examination   O
,   O
led   O
by   O
Booker   B-NAME
,   O
discovered   O
bilateral   O
crackles   O
on   O
lung   O
auscultation   O
.   O

Further   O
radiological   O
investigation   O
,   O
such   O
as   O
a   O
chest   O
X   O
-   O
Ray   O
,   O
was   O
suggested   O
by   O
Bond   B-NAME
.   O

Ian   B-NAME
Ignacio   I-NAME
has   O
been   O
advised   O
hospitalization   O
for   O
further   O
observations   O
and   O
management   O
.   O

Furthermore   O
,   O
Kelsie   B-NAME
Miranda   I-NAME
suggested   O
considering   O
consultation   O
with   O
a   O
cardiologist   O
for   O
specialist   O
input   O
considering   O
the   O
seriousness   O
of   O
Dj'Ohe   B-NAME
's   O
symptoms   O
.   O

In   O
the   O
previous   O
job   O
as   O
a   O
Informatics   O
Nurse   O
Specialists   O
,   O
ostrowski   B-NAME
has   O
been   O
reportedly   O
exposed   O
to   O
extended   O
working   O
hours   O
and   O
elevated   O
stress   O
.   O

Xavier   B-NAME
Embry   I-NAME
's   O
complete   O
medical   O
history   O
and   O
reports   O
are   O
under   O
2141278   B-ID
.   O

Ayla   B-NAME
Raymond   I-NAME
's   O
data   O
is   O
also   O
registered   O
under   O
the   O
West   B-LOCATION
Coast   I-LOCATION
Life   I-LOCATION
with   O
the   O
username   O
pf951   B-NAME
.   O

For   O
further   O
appointments   O
and   O
discussions   O
,   O
Mcdowell   B-NAME
can   O
be   O
reached   O
via   O
(   B-CONTACT
139   I-CONTACT
)   I-CONTACT
367   I-CONTACT
1069   I-CONTACT
.   O

Updating   O
Shawcross   B-NAME
,   I-NAME
Hartley   I-NAME
's   O
contact   O
details   O
is   O
suggested   O
to   O
reflect   O
the   O
current   O
location   O
,   O
which   O
is   O
Oktaha   B-LOCATION
and   O
the   O
zip   O
code   O
47078   B-LOCATION
.   O

Otho   B-NAME
Bookmiller   I-NAME
is   O
recommended   O
to   O
have   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Lugo   B-NAME
on   O
6/21   B-DATE
to   O
monitor   O
the   O
prognosis   O
and   O
adjust   O
the   O
therapeutic   O
plan   O
accordingly   O
.   O

All   O
the   O
treatment   O
procedures   O
,   O
follow   O
-   O
ups   O
,   O
and   O
patient   O
history   O
will   O
be   O
carefully   O
documented   O
in   O
Cayden   B-NAME
Nicholson   I-NAME
's   O
medical   O
record   O
with   O
the   O
ID   O
PT:81178:130467   B-ID
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Rey   B-NAME
Meadows   I-NAME
Age   O
:   O
6s   O
Medical   O
Record   O
Number   O
:   O
8   B-ID
-   I-ID
004927   I-ID
Contact   O
Number   O
:   O
388   B-CONTACT
5056   I-CONTACT
Zip   O
Code   O
:   O
87048   B-LOCATION
Clinical   O
Note   O
:   O
Visited   O
by   O
Hanna   B-NAME
this   O
morning   O
at   O
North   B-LOCATION
Colorado   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Jaylen   B-NAME
Key   I-NAME
's   O
was   O
admitted   O
for   O
further   O
testing   O
after   O
complaining   O
of   O
extreme   O
headaches   O
,   O
blurry   O
vision   O
,   O
and   O
recurrent   O
dizziness   O
for   O
the   O
past   O
06/10/1667   B-DATE
weeks   O
.   O

Otis   B-NAME
Aguilera   I-NAME
reported   O
similar   O
episodes   O
in   O
the   O
past   O
,   O
around   O
T   B-DATE
.   O
Carl   B-NAME
Vucelich   I-NAME
previously   O
sought   O
medical   O
intervention   O
in   O
Sardinia   B-LOCATION
and   O
was   O
treated   O
by   O
Aristotle   B-NAME
at   O
Southwestern   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Relevant   O
records   O
have   O
been   O
requested   O
and   O
an   O
LK   B-ID
:   I-ID
UM:7713   I-ID
number   O
assigned   O
to   O
track   O
this   O
.   O

Family   O
History   O
:   O
Significant   O
for   O
cardiovascular   O
disease   O
,   O
with   O
Cromwell   B-NAME
,   I-NAME
Oliver   I-NAME
's   O
father   O
suffering   O
a   O
stroke   O
at   O
36   O
.   O

On   O
presentation   O
,   O
Paola   B-NAME
Rolls   I-NAME
was   O
taking   O
prescribed   O
medication   O
from   O
Butler   B-NAME
since   O
0/22/30   B-DATE
.   O

Management   O
Plan   O
:   O
Following   O
the   O
upcoming   O
tests   O
,   O
the   O
Sellers   B-NAME
,   I-NAME
Peter   I-NAME
recommends   O
admission   O
for   O
inpatient   O
monitoring   O
.   O

The   O
Borough   B-LOCATION
of   I-LOCATION
Madison   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
ward   O
has   O
been   O
alerted   O
and   O
will   O
ensure   O
necessary   O
precautions   O
are   O
followed   O
to   O
minimize   O
the   O
risk   O
of   O
any   O
further   O
complications   O
during   O
Stuart   B-NAME
J.   I-NAME
Long   I-NAME
stay   O
.   O

Following   O
up   O
on   O
Symptoms   O
:   O
Yesenia   B-NAME
Roy   I-NAME
to   O
call   O
789   B-CONTACT
-   I-CONTACT
766   I-CONTACT
-   I-CONTACT
5896   I-CONTACT
if   O
the   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
appear   O
.   O

Also   O
,   O
a   O
virtual   O
follow   O
-   O
up   O
checkup   O
has   O
been   O
scheduled   O
for   O
May   B-DATE
26   I-DATE
with   O
Turner   B-NAME
.   O

Appointment   O
reminder   O
will   O
be   O
sent   O
via   O
ya875   B-NAME
.   O

Occupation   O
:   O
Morgan   B-NAME
Abbott   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Construction   O
Managers   O
and   O
has   O
been   O
advised   O
to   O
take   O
medical   O
leave   O
pending   O
diagnosis   O
and   O
treatment   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Ray   B-NAME
Phone   O
:   O
911   B-CONTACT
3786   I-CONTACT
Relationship   O
:   O
Spouse   O
.   O

This   O
case   O
will   O
be   O
further   O
discussed   O
during   O
the   O
weekly   O
meeting   O
of   O
neurology   O
clinicians   O
in   O
Merit   B-LOCATION
Health   I-LOCATION
Natchez   I-LOCATION
.   O

Additional   O
test   O
results   O
will   O
be   O
shared   O
in   O
the   O
secure   O
system   O
under   O
Seamus   B-NAME
Le   I-NAME
's   O
66338788   B-ID
identifier   O
.   O

Further   O
requests   O
for   O
patient   O
information   O
or   O
history   O
can   O
be   O
sent   O
to   O
HA91   B-NAME
.   O

Signature   O
:   O
Javon   B-NAME
Saunders   I-NAME
32/21   B-DATE

Patient   O
Information   O
:   O
Crista   B-NAME
Epifano   I-NAME
,   O
a   O
41   O
year   O
old   O
male   O
reported   O
to   O
Lakeland   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
13/22   B-DATE
with   O
complaints   O
of   O
moderate   O
to   O
severe   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

He   O
was   O
seen   O
and   O
evaluated   O
by   O
Ardite   B-NAME
.   O

Patient   O
Occupation   O
:   O
Oconnell   B-NAME
,   I-NAME
Philip   I-NAME
D   I-NAME
mentioned   O
being   O
a   O
Clinical   O
cytogeneticist   O
and   O
not   O
having   O
any   O
pertinent   O
occupational   O
hazards   O
related   O
to   O
his   O
symptoms   O
.   O

Identity   O
Verification   O
:   O
The   O
patient   O
's   O
ID   O
(   O
UV335/3132   B-ID
)   O
confirmed   O
his   O
identity   O
and   O
address   O
.   O

He   O
resides   O
in   O
Rauchtown   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
77019   B-LOCATION
.   O

Medical   O
Evalutation   O
:   O
A   O
comprehensive   O
physical   O
examination   O
by   O
Dr.   O
Reeve   B-NAME
,   I-NAME
Christopher   I-NAME
noted   O
mild   O
rebound   O
tenderness   O
in   O
the   O
right   O
iliac   O
fossa   O
.   O

Future   O
Course   O
of   O
Action   O
:   O
Harvey   B-NAME
was   O
immediately   O
referred   O
for   O
a   O
surgical   O
consult   O
.   O

The   O
urgency   O
of   O
the   O
situation   O
was   O
explained   O
to   O
the   O
patient   O
and   O
he   O
agreed   O
for   O
a   O
laparoscopic   O
appendectomy   O
to   O
be   O
scheduled   O
on   O
2/3   B-DATE
.   O

Hospital   O
Records   O
:   O
The   O
hospital   O
record   O
number   O
related   O
to   O
this   O
case   O
is   O
78837842   B-ID
.   O

For   O
further   O
inquiries   O
or   O
information   O
,   O
the   O
hospital   O
administration   O
could   O
be   O
contacted   O
on   O
836   B-CONTACT
1419   I-CONTACT
during   O
official   O
working   O
hours   O
.   O

The   O
patient   O
's   O
immediate   O
family   O
,   O
residing   O
in   O
Los   B-LOCATION
Alamos   I-LOCATION
,   I-LOCATION
Los   I-LOCATION
Alamos   I-LOCATION
MainStreet   I-LOCATION
Future   I-LOCATION
,   O
was   O
notified   O
about   O
the   O
situation   O
and   O
they   O
expect   O
to   O
arrive   O
by   O
05/00/2071   B-DATE
.   O

The   O
patient   O
's   O
employer   O
,   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Bricklayers   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Craftworkers   I-LOCATION
,   O
has   O
also   O
been   O
notified   O
and   O
necessary   O
arrangements   O
for   O
his   O
absence   O
have   O
been   O
made   O
.   O

The   O
details   O
about   O
this   O
visit   O
and   O
the   O
line   O
of   O
treatment   O
decided   O
have   O
been   O
updated   O
in   O
the   O
electronic   O
health   O
record   O
system   O
under   O
the   O
username   O
mk942   B-NAME
.   O

Signed   O
:   O
Dominguez   B-NAME
,   O
M.D.   O
32/24   B-DATE
.   O

Patient   O
:   O
Fred   B-NAME
Richmond   I-NAME
Age   O
:   O
31   O
Gender   O
:   O

Female   O
Date   O
Admitted   O
:   O
12/09/2218   B-DATE
Hospital   O
:   O
Baptist   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Doctor   O
in   O
charge   O
:   O
Mccormick   B-NAME
Medical   O
History   O
and   O
Symptoms   O
:   O
Complaints   O
of   O
intermittent   O
but   O
progressive   O
abdominal   O
pain   O
,   O
more   O
severe   O
on   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
associated   O
low   O
-   O
grade   O
fever   O
and   O
vomiting   O
for   O
the   O
last   O
four   O
days   O
.   O

Address   O
:   O
Douglass   B-LOCATION
Hills   I-LOCATION
Phone   O
Number   O
:   O
53691   B-CONTACT
Employment   O
:   O

Floral   O
Designers   O
ID   O
Number   O
:   O
8   B-ID
-   I-ID
5529538   I-ID
Zip   O
Code   O
:   O
26818   B-LOCATION
Organization   O
:   O

Canadian   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Postal   I-LOCATION
Workers   I-LOCATION
Username   O
(   O
for   O
online   O
portal   O
):   O
NI447   B-NAME
Medical   O
Record   O
Number   O
:   O
68486192   B-ID

For   O
more   O
information   O
,   O
please   O
contact   O
the   O
health   O
services   O
department   O
at   O
Sentara   B-LOCATION
Williamsburg   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Amya   B-NAME
Callahan   I-NAME
Age   O
:   O
93   O
Medical   O
record   O
number   O
:   O
64397094   B-ID
Location   O
:   O

March   B-LOCATION
Contact   O
Number   O
:   O
558   B-CONTACT
3567   I-CONTACT
On   O
02/35/15   B-DATE
,   O
Ryker   B-NAME
Reese   I-NAME
was   O
brought   O
to   O
the   O
emergency   O
department   O
of   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Moanalua   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
by   O
their   O
caretaker   O
,   O
expressing   O
severe   O
abdominal   O
discomfort   O
that   O
had   O
persisted   O
for   O
the   O
past   O
5   O
hours   O
.   O

Upon   O
initial   O
examination   O
,   O
Cunningham   B-NAME
noted   O
that   O
the   O
patient   O
appeared   O
acutely   O
distressed   O
with   O
pain   O
localized   O
in   O
the   O
epigastric   O
area   O
.   O

Hoover   B-NAME
’s   O
results   O
returned   O
showing   O
elevated   O
amylase   O
and   O
lipase   O
levels   O
,   O
which   O
indicated   O
possible   O
acute   O
pancreatitis   O
.   O

The   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
's   O
gastroenterology   O
team   O
was   O
informed   O
,   O
who   O
further   O
recommended   O
an   O
endoscopic   O
ultrasound   O
(   O
EUS   O
)   O
to   O
definitively   O
diagnose   O
the   O
condition   O
.   O

As   O
of   O
01/00   B-DATE
,   O
patient   O
is   O
currently   O
awaiting   O
an   O
EUS   O
.   O

Adeline   B-NAME
Dean   I-NAME
's   O
primary   O
care   O
doctor   O
has   O
been   O
informed   O
and   O
will   O
maintain   O
coordination   O
between   O
their   O
office   O
in   O
Palm   B-LOCATION
Bay   I-LOCATION
and   O
the   O
hospital   O
team   O
.   O

The   O
patient   O
is   O
employed   O
at   O
Independent   B-LOCATION
Family   I-LOCATION
Brewers   I-LOCATION
of   I-LOCATION
Britain   I-LOCATION
(   I-LOCATION
IFBB   I-LOCATION
)   I-LOCATION
as   O
a   O
Computer   O
Systems   O
Analysts   O
.   O

The   O
human   O
resources   O
department   O
at   O
Shrewsbury   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
has   O
been   O
informed   O
and   O
necessary   O
paperwork   O
was   O
filled   O
out   O
,   O
with   O
the   O
reference   O
of   O
the   O
patient   O
's   O
ID   O
-   O
FV   B-ID
:   I-ID
VK:6564   I-ID
for   O
a   O
potential   O
medical   O
leave   O
if   O
needed   O
.   O

For   O
further   O
information   O
or   O
queries   O
,   O
Abril   B-NAME
English   I-NAME
's   O
team   O
can   O
be   O
reached   O
at   O
their   O
office   O
located   O
at   O
Bovey   B-LOCATION
with   O
ZIP   O
code   O
39683   B-LOCATION
.   O

The   O
contact   O
number   O
for   O
the   O
office   O
is   O
244   B-CONTACT
-   I-CONTACT
536   I-CONTACT
6687   I-CONTACT
and   O
email   O
can   O
be   O
addressed   O
to   O
VN488   B-NAME
@   O
British   B-LOCATION
Columbia   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
.   O

Patient   O
Name   O
:   O
ostrowski   B-NAME
Date   O
:   O
6   B-DATE
-   I-DATE
33   I-DATE
Location   O
:   O
Bonesteel   B-LOCATION
Hospital   O
:   O
Spanish   B-LOCATION
Fork   I-LOCATION
Hospital   I-LOCATION
Doctor   O
:   O
Hepburn   B-NAME
,   I-NAME
Katherine   I-NAME
Age   O
:   O
30   O
Phone   O
:   O
(   B-CONTACT
286   I-CONTACT
)   I-CONTACT
741   I-CONTACT
-   I-CONTACT
9889   I-CONTACT
Medical   O
Record   O
:   O
650   B-ID
-   I-ID
84   I-ID
-   I-ID
17   I-ID
-   I-ID
7   I-ID
ID   O
:   O
QJ:71071:296698   B-ID
Zip   O
:   O
10883   B-LOCATION
Profession   O
:   O
Air   O
Crew   O
Members   O
rug901   B-NAME
Report   O
:   O

The   O
patient   O
,   O
Harmony   B-NAME
Whited   I-NAME
,   O
presented   O
to   O
the   O
Centra   B-LOCATION
Lynchburg   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
complaint   O
of   O
acute   O
,   O
tearing   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
suggestive   O
of   O
an   O
aortic   O
dissection   O
.   O

The   O
onset   O
of   O
these   O
symptoms   O
was   O
sudden   O
,   O
occurring   O
on   O
12/03   B-DATE
while   O
she   O
was   O
at   O
her   O
Town   O
and   O
country   O
planner   O
job   O
at   O
the   O
International   B-LOCATION
Disability   I-LOCATION
Alliance   I-LOCATION
.   O

On   O
the   O
initial   O
evaluation   O
by   O
Scott   B-NAME
,   O
the   O
patient   O
's   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
180/120   O
,   O
significantly   O
above   O
the   O
normal   O
range   O
.   O

The   O
emergency   O
unit   O
at   O
University   B-LOCATION
Hospitals   I-LOCATION
St.   I-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
initiated   O
immediate   O
management   O
for   O
hypertensive   O
crisis   O
.   O

After   O
stabilization   O
,   O
the   O
patient   O
was   O
admitted   O
to   O
Boone   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
for   O
further   O
tests   O
and   O
management   O
.   O

This   O
information   O
is   O
corroborated   O
by   O
the   O
medical   O
record   O
9017220   B-ID
and   O
Patient   O
ID   O
PN:3580:521953   B-ID
.   O

Lakota   B-NAME
,   O
who   O
resides   O
in   O
Picture   B-LOCATION
Rocks   I-LOCATION
with   O
zip   O
code   O
55179   B-LOCATION
was   O
contacted   O
on   O
41013   B-CONTACT
to   O
schedule   O
the   O
next   O
appointment   O
post   O
-   O
surgery   O
.   O

This   O
report   O
has   O
been   O
compiled   O
by   O
vnk585   B-NAME
who   O
has   O
been   O
thoroughly   O
tracking   O
Nagel   B-NAME
,   I-NAME
Thomas   I-NAME
’s   O
health   O
progress   O
before   O
and   O
after   O
the   O
incident   O
.   O

Patient   O
Name   O
:   O
Breann   B-NAME
Bloss   I-NAME
ID   O
:   O
MM:21011:331407   B-ID
Date   O
:   O
12/93   B-DATE
Location   O
:   O
Lake   B-LOCATION
Aluma   I-LOCATION
Report   O
:   O
Mr.   O
Harold   B-NAME
Nutter   I-NAME
was   O
referred   O
to   O
our   O
hospital   O
West   B-LOCATION
Boca   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
by   O
Dr.   O
Huber   B-NAME
due   O
to   O
recurring   O
intense   O
headaches   O
,   O
typically   O
clustered   O
in   O
the   O
morning   O
hours   O
upon   O
waking   O
.   O

On   O
examination   O
,   O
Mr.   O
Van   B-NAME
Steiner   I-NAME
appeared   O
alert   O
and   O
oriented   O
.   O

Mr.   O
Ellen   B-NAME
Burgess   I-NAME
's   O
has   O
a   O
medical   O
history   O
significant   O
for   O
sinusitis   O
and   O
allergic   O
rhinitis   O
for   O
which   O
he   O
has   O
been   O
seen   O
by   O
ENT   O
specialist   O
Dr.   O
Wolf   B-NAME
in   O
Burlington   B-LOCATION
,   I-LOCATION
Church   I-LOCATION
Street   I-LOCATION
Marketplace   I-LOCATION
.   O

Blood   O
workup   O
completed   O
on   O
30/30/52   B-DATE
did   O
not   O
reveal   O
any   O
significant   O
findings   O
.   O

An   O
MRI   O
,   O
scheduled   O
on   O
11/02/86   B-DATE
,   O
will   O
be   O
performed   O
to   O
rule   O
out   O
any   O
intracranial   O
issues   O
as   O
the   O
possible   O
etiology   O
of   O
these   O
headaches   O
.   O

As   O
part   O
of   O
his   O
treatment   O
plan   O
,   O
patient   O
Kylee   B-NAME
Cochran   I-NAME
has   O
been   O
prescribed   O
sumatriptan   O
50   O
mg   O
,   O
to   O
alleviate   O
the   O
acute   O
pain   O
episodes   O
and   O
propranolol   O
20   O
mg   O
,   O
as   O
a   O
preventive   O
measure   O
.   O

The   O
patient   O
has   O
been   O
working   O
as   O
a   O
Purchasing   O
Agents   O
,   O
Except   O
Wholesale   O
,   O
Retail   O
,   O
and   O
Farm   O
Products   O
for   O
National   B-LOCATION
Grid   I-LOCATION
,   O
which   O
he   O
reported   O
can   O
be   O
stressful   O
at   O
times   O
.   O

To   O
ensure   O
adequate   O
follow   O
-   O
up   O
,   O
appointments   O
have   O
been   O
scheduled   O
with   O
the   O
neurology   O
department   O
at   O
MercyOne   B-LOCATION
West   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
the   O
next   O
3   O
months   O
.   O

Contact   O
Information   O
:   O
Phone   O
:   O
770   B-CONTACT
-   I-CONTACT
208   I-CONTACT
-   I-CONTACT
9862   I-CONTACT
Address   O
:   O
Tecolotito   B-LOCATION
,   O
15017   B-LOCATION
Email   O
:   O
YC351   B-NAME
@email.com   O
Medical   O
Record   O
Number   O
:   O
52977455   B-ID

We   O
will   O
review   O
Mr.   O
Rhianna   B-NAME
Quinn   I-NAME
's   O
condition   O
at   O
the   O
upcoming   O
appointment   O
scheduled   O
for   O
33/13   B-DATE
.   O

Physician   O
:   O
Dr.   O
Grady   B-NAME
Christensen   I-NAME

Patient   O
Report   O
for   O
Shinoda   B-NAME
,   I-NAME
Mike   I-NAME
I   O
,   O
Dr.   O
Jase   B-NAME
Goodwin   I-NAME
,   O
examined   O
the   O
patient   O
,   O
Udo   B-NAME
O.   I-NAME
Zeitler   I-NAME
,   O
on   O
July   B-DATE
21th   I-DATE
.   O

He   O
is   O
a   O
Refuse   O
and   O
Recyclable   O
Material   O
Collectors   O
by   O
trade   O
and   O
recently   O
relocated   O
to   O
Buhler   B-LOCATION
.   O

According   O
to   O
his   O
previous   O
medical   O
records   O
(   O
MRN   O
:   O
64794997   B-ID
)   O
,   O
the   O
patient   O
is   O
a   O
known   O
case   O
of   O
bronchial   O
asthma   O
since   O
the   O
age   O
of   O
81   O
.   O

A   O
chest   O
radiograph   O
was   O
ordered   O
by   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Grosse   I-LOCATION
Pointe   I-LOCATION
which   O
showed   O
no   O
signs   O
of   O
congestion   O
,   O
consolidation   O
or   O
pleural   O
effusion   O
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
has   O
been   O
taking   O
medications   O
as   O
prescribed   O
by   O
his   O
previous   O
primary   O
care   O
doctor   O
Dr.   O
Chance   B-NAME
Leach   I-NAME
.   O

The   O
patient   O
,   O
who   O
works   O
at   O
Burlington   B-LOCATION
as   O
a   O
Sales   O
Managers   O
,   O
expressed   O
concern   O
about   O
his   O
symptoms   O
disrupting   O
his   O
work   O
.   O

The   O
patient   O
will   O
follow   O
-   O
up   O
in   O
my   O
clinic   O
after   O
10   O
days   O
on   O
28/32/2050   B-DATE
.   O

Note   O
:   O
Always   O
reach   O
us   O
on   O
41632   B-CONTACT
for   O
further   O
enquiries   O
and   O
assistance   O
.   O

Patient   O
's   O
social   O
security   O
number   O
:   O
FK:25382:227587   B-ID
Address   O
:   O
Carmichael   B-LOCATION
,   O
38967   B-LOCATION
Username   O
for   O
our   O
patient   O
portal   O
:   O
jzc576   B-NAME
Dr.   O
Jonathan   B-NAME
Kirk   I-NAME
Bon   B-LOCATION
Secours   I-LOCATION
Mary   I-LOCATION
Immaculate   I-LOCATION
Hospital   I-LOCATION

Patient   O
Morgan   B-NAME
presented   O
to   O
the   O
Warren   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
07   B-DATE
.   O

He   O
has   O
a   O
medical   O
record   O
number   O
of   O
7378   B-ID
:   I-ID
Q39243   I-ID
.   O

Renowned   O
physician   O
Dr.   O
Jordan   B-NAME
Holloway   I-NAME
noted   O
the   O
patient   O
's   O
low   O
energy   O
levels   O
and   O
increased   O
daytime   O
sleepiness   O
.   O

The   O
patient   O
resides   O
at   O
Fort   B-LOCATION
Apache   I-LOCATION
,   O
and   O
can   O
be   O
reached   O
at   O
375   B-CONTACT
434   I-CONTACT
9751   I-CONTACT
.   O

According   O
to   O
health   O
insurance   O
BM   B-ID
:   I-ID
NS:6264   I-ID
,   O
the   O
patient   O
is   O
covered   O
by   O
Bank   B-LOCATION
of   I-LOCATION
Leeton   I-LOCATION
.   O

An   O
appointment   O
for   O
the   O
polysomnography   O
test   O
was   O
scheduled   O
for   O
08/91   B-DATE
.   O

Further   O
consultation   O
with   O
Dr.   O
Leonard   B-NAME
at   O
the   O
CHRISTUS   B-LOCATION
Health   I-LOCATION
Shreveport   I-LOCATION
-   I-LOCATION
Bossier   I-LOCATION
is   O
also   O
scheduled   O
post   O
the   O
test   O
.   O

We   O
have   O
informed   O
the   O
patient   O
to   O
keep   O
a   O
sleep   O
diary   O
until   O
his   O
next   O
visit   O
on   O
30/13/2052   B-DATE
and   O
to   O
note   O
down   O
any   O
changing   O
patterns   O
or   O
anxiety   O
incidents   O
.   O

The   O
history   O
of   O
his   O
medical   O
reports   O
is   O
available   O
on   O
our   O
portal   O
under   O
the   O
username   O
bsc740   B-NAME
.   O

This   O
case   O
file   O
will   O
be   O
updated   O
post   O
his   O
visit   O
for   O
the   O
sleep   O
study   O
,   O
which   O
will   O
be   O
conducted   O
at   O
Mary   B-LOCATION
Bridge   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
,   O
Antoine   B-LOCATION
,   O
94549   B-LOCATION
.   O

Prepared   O
by   O
:   O
Dr.   O
Zoie   B-NAME
Bird   I-NAME
Date   O
:   O
November   B-DATE
2303   I-DATE

Patient   O
Name   O
:   O
Jerry   B-NAME
Prince   I-NAME
Age   O
:   O
4   O
Gender   O
:   O
Male   O
Medical   O
Record   O
No   O
.   O
:   O
961   B-ID
-   I-ID
16   I-ID
-   I-ID
59   I-ID
-   I-ID
4   I-ID
ID   O
type   O
:   O
Passport   O
ET:56934:943936   B-ID
Address   O
:   O
Gross   B-LOCATION
01/21/2112   B-DATE
,   O
Alexzander   B-NAME
Delgado   I-NAME
,   O
a   O
Flight   O
Attendants   O
from   O
CREWE   B-LOCATION
,   O
was   O
admitted   O
to   O
Coffeyville   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Coffeyville   I-LOCATION
with   O
severe   O
abdominal   O
pain   O
characterized   O
by   O
cramping   O
and   O
intermittent   O
sharp   O
pain   O
.   O

On   O
his   O
initial   O
examination   O
,   O
Dr.   O
Gardner   B-NAME
noted   O
that   O
the   O
patient   O
was   O
pyrexial   O
,   O
with   O
a   O
temperature   O
around   O
38.5   O
degrees   O
Celsius   O
.   O

Baha'u'llah   B-NAME
's   O
heart   O
rate   O
was   O
also   O
elevated   O
,   O
close   O
to   O
100   O
beats   O
per   O
minute   O
.   O

Plato   B-NAME
does   O
not   O
have   O
any   O
known   O
allergies   O
and   O
he   O
does   O
not   O
smoke   O
,   O
drink   O
alcohol   O
,   O
or   O
use   O
illicit   O
drugs   O
.   O

On   O
grounds   O
of   O
clinical   O
findings   O
and   O
imaging   O
results   O
,   O
voigt   B-NAME
was   O
diagnosed   O
with   O
Acute   O
Appendicitis   O
by   O
Dr.   O
Mccoy   B-NAME
.   O

A   O
surgical   O
consult   O
was   O
planned   O
and   O
Appendectomy   O
was   O
performed   O
on   O
2310   B-DATE
.   O

Shortly   O
after   O
surgery   O
,   O
the   O
patient   O
was   O
moved   O
to   O
CareLink   B-LOCATION
of   I-LOCATION
Jackson   I-LOCATION
,   O
room   O
number   O
301   O
for   O
recovery   O
.   O

As   O
per   O
the   O
protocol   O
of   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Bricklayers   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Craftworkers   I-LOCATION
,   O
any   O
prescription   O
or   O
follow   O
-   O
up   O
needs   O
will   O
be   O
communicated   O
to   O
Echeverria   B-NAME
via   O
his   O
registered   O
phone   O
number   O
470   B-CONTACT
696   I-CONTACT
4802   I-CONTACT
,   O
or   O
he   O
can   O
check   O
the   O
online   O
patient   O
portal   O
with   O
username   O
QC1016   B-NAME
.   O

Any   O
billing   O
statements   O
will   O
be   O
sent   O
to   O
his   O
billing   O
address   O
(   O
Gibbstown   B-LOCATION
,   O
41056   B-LOCATION
)   O
.   O

As   O
of   O
the   O
last   O
update   O
from   O
Carlsbad   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
dated   O
28/05/49   B-DATE
,   O
Blanca   B-NAME
Oh   I-NAME
is   O
showing   O
good   O
progress   O
and   O
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
.   O

The   O
discharge   O
plan   O
will   O
be   O
communicated   O
to   O
Xiomara   B-NAME
Zavala   I-NAME
once   O
fixed   O
by   O
his   O
careteam   O
led   O
by   O
Dr.   O
Natalie   B-NAME
Durant   I-NAME
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Quintus   B-NAME
Bachmeyer   I-NAME
Age   O
:   O
71   O
Doctor   O
:   O
Adams   B-NAME
,   I-NAME
Henry   I-NAME
Hospital   O
:   O
Formerly   B-LOCATION
Ingham   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
:   O
PW   B-ID
:   I-ID
VQ:2952   I-ID
Contact   O
:   O
826   B-CONTACT
505   I-CONTACT
-   I-CONTACT
7655   I-CONTACT
53575814   B-ID
:   O

The   O
patient   O
came   O
into   O
our   O
clinic   O
on   O
34/21   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

He   O
has   O
a   O
significant   O
past   O
medical   O
history   O
which   O
includes   O
appendectomy   O
performed   O
at   O
Tricare   B-LOCATION
about   O
15   O
years   O
ago   O
.   O

He   O
lives   O
and   O
works   O
as   O
a   O
Helpers   O
--   O
Brickmasons   O
,   O
Blockmasons   O
,   O
Stonemasons   O
,   O
and   O
Tile   O
and   O
Marble   O
Setters   O
in   O
Deming   B-LOCATION
and   O
has   O
been   O
dedicatedly   O
contributing   O
to   O
his   O
field   O
for   O
quite   O
a   O
substantial   O
period   O
.   O

He   O
provided   O
us   O
with   O
his   O
emergency   O
contact   O
as   O
(   B-CONTACT
346   I-CONTACT
)   I-CONTACT
367   I-CONTACT
9934   I-CONTACT
and   O
his   O
home   O
address   O
is   O
registered   O
under   O
the   O
ZIP   O
code   O
12210   B-LOCATION
.   O

Our   O
differential   O
diagnoses   O
based   O
on   O
the   O
preliminary   O
examination   O
and   O
available   O
records   O
from   O
his   O
personal   O
physician   O
,   O
Dr.   O
Wiley   B-NAME
,   O
included   O
acute   O
mesenteric   O
adenitis   O
,   O
perforated   O
peptic   O
ulcer   O
,   O
cholecystitis   O
,   O
and   O
terminal   O
ileitis   O
.   O

A   O
CT   O
scan   O
was   O
recommended   O
and   O
the   O
schedule   O
for   O
the   O
same   O
was   O
assigned   O
by   O
the   O
technician   O
,   O
KU802   B-NAME
,   O
for   O
the   O
following   O
8/6/2021   B-DATE
.   O

The   O
patient   O
will   O
follow   O
up   O
at   O
our   O
center   O
located   O
at   O
the   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Richmond   I-LOCATION
,   O
Zuni   B-LOCATION
Pueblo   I-LOCATION
.   O

We   O
forwarded   O
the   O
medical   O
details   O
and   O
appointment   O
schedule   O
to   O
his   O
ID   O
,   O
XV:91430:817633   B-ID
and   O
provided   O
the   O
case   O
file   O
to   O
his   O
insurance   O
company   O
,   O
Oglethorpe   B-LOCATION
Power   I-LOCATION
.   O

Patient   O
Name   O
:   O
Delia   B-NAME
Huckaby   I-NAME
Age   O
:   O
62   O
Date   O
:   O
02/21   B-DATE
Doctor   O
:   O
Dorsey   B-NAME
Hospital   O
:   O
Fulton   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
1752598   B-ID
Location   O
:   O
Koosharem   B-LOCATION
Medical   O
Record   O
Number   O
:   O
86588252   B-ID
Organization   O
:   O

Lewes   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
Works   I-LOCATION
Phone   O
:   O
(   B-CONTACT
949   I-CONTACT
)   I-CONTACT
116   I-CONTACT
1809   I-CONTACT
Profession   O
:   O
Microbiologists   O
Username   O
:   O
RK915   B-NAME
ZIP   O
:   O
82236   B-LOCATION
Medical   O
Report   O
:   O
Ward   B-NAME
Gabrielson   I-NAME
,   O
aged   O
0s   O
,   O
was   O
presented   O
at   O
the   O
Broadlawns   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2074   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
23   I-DATE
.   O

The   O
patient   O
works   O
as   O
a   O
Farm   O
,   O
Ranch   O
,   O
and   O
Other   O
Agricultural   O
Managers   O
in   O
the   O
Minnkota   B-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
,   I-LOCATION
and   I-LOCATION
its   I-LOCATION
11   I-LOCATION
member   I-LOCATION
cooperatives   I-LOCATION
located   O
in   O
Kingsbury   B-LOCATION
.   O

austin   B-NAME
's   O
chief   O
complaint   O
was   O
a   O
persistent   O
cough   O
that   O
has   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
accompanied   O
by   O
a   O
high   O
fever   O
.   O

Upon   O
examination   O
by   O
Dr.   O
Keyla   B-NAME
Golden   I-NAME
,   O
Teagan   B-NAME
Briggs   I-NAME
exhibited   O
signs   O
of   O
severe   O
pneumonia   O
.   O

Kent   B-NAME
has   O
been   O
started   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
of   O
high   O
dosage   O
.   O

Our   O
office   O
will   O
be   O
reaching   O
out   O
to   O
Antwan   B-NAME
via   O
phone   O
at   O
966   B-CONTACT
-   I-CONTACT
8388   I-CONTACT
for   O
daily   O
updates   O
on   O
his   O
condition   O
.   O

For   O
billing   O
and   O
other   O
enquiries   O
,   O
please   O
contact   O
the   O
administrative   O
department   O
using   O
the   O
kem558   B-NAME
and   O
the   O
ID   O
number   O
NO594/3926   B-ID
.   O

Damon   B-NAME
Clark   I-NAME
’s   O
current   O
medical   O
condition   O
will   O
continue   O
to   O
be   O
closely   O
evaluated   O
and   O
treated   O
accordingly   O
with   O
the   O
optimal   O
care   O
available   O
at   O
the   O
Cheboygan   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Further   O
inquiries   O
can   O
be   O
made   O
by   O
contacting   O
us   O
via   O
the   O
Princeton   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
official   O
contact   O
systems   O
,   O
referencing   O
the   O
patient   O
’s   O
medical   O
record   O
number   O
7331985   B-ID
.   O

This   O
report   O
was   O
filed   O
in   O
58617   B-LOCATION
on   O
30/13   B-DATE
by   O
Victor   B-NAME
Brady   I-NAME
.   O

Patient   O
Report   O
for   O
Nicolas   B-NAME
Etheridge   I-NAME
Patient   O
Name   O
:   O
Nye   B-NAME
Age   O
:   O
60   O
Email   O
ID   O
:   O
xx530   B-NAME
Contact   O
:   O
24342   B-CONTACT
Address   O
:   O
64   B-LOCATION
Victoria   I-LOCATION
Road   I-LOCATION
,   O
30696   B-LOCATION
Employment   O
:   O
Sheriffs   O
and   O
Deputy   O
Sheriffs   O
Primary   O
Physician   O
:   O
English   B-NAME
Referred   O
by   O
:   O
Preston   B-NAME
ID   O
:   O
BU   B-ID
:   I-ID
XS:4465   I-ID
Medical   O
Record   O
Number   O
:   O
65691973   B-ID
Admission   O
Date   O
:   O
01/59   B-DATE
Admission   O
Location   O
:   O
Summerville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
On   O
2050   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
20   I-DATE
,   O
Stokes   B-NAME
was   O
admitted   O
to   O
our   O
facility   O
,   O
Lankenau   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
complaining   O
of   O
persistent   O
headaches   O
,   O
dizziness   O
,   O
and   O
blurred   O
vision   O
over   O
the   O
preceding   O
two   O
weeks   O
.   O

Summer   B-NAME
Bright   I-NAME
also   O
reported   O
a   O
history   O
of   O
sporadic   O
ringing   O
in   O
the   O
ears   O
(   O
tinnitus   O
)   O
,   O
occasional   O
nausea   O
,   O
and   O
pronounced   O
fatigue   O
,   O
especially   O
towards   O
the   O
end   O
of   O
the   O
day   O
.   O

The   O
patient   O
underwent   O
a   O
brain   O
MRI   O
scan   O
on   O
10/13/2106   B-DATE
which   O
revealed   O
a   O
mild   O
cerebral   O
edema   O
,   O
consistent   O
with   O
the   O
symptoms   O
reported   O
by   O
the   O
patient   O
.   O

In   O
light   O
of   O
these   O
findings   O
,   O
Ernesto   B-NAME
Blair   I-NAME
was   O
notified   O
about   O
the   O
patient   O
’s   O
condition   O
.   O

Further   O
follow   O
-   O
up   O
and   O
evaluation   O
have   O
been   O
scheduled   O
for   O
0/0   B-DATE
at   O
our   O
Tufts   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
in   O
Green   B-LOCATION
Lane   I-LOCATION
.   O

An   O
emergency   O
contact   O
has   O
been   O
assigned   O
to   O
the   O
patient   O
,   O
which   O
can   O
be   O
reached   O
at   O
262   B-CONTACT
-   I-CONTACT
2430   I-CONTACT
in   O
case   O
of   O
unexpected   O
complications   O
until   O
the   O
next   O
appointment   O
.   O

Our   O
hospital   O
,   O
Monongahela   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
,   O
is   O
a   O
part   O
of   O
the   O
larger   O
Alcoholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
AA   I-LOCATION
)   I-LOCATION
,   O
dedicated   O
to   O
providing   O
quality   O
healthcare   O
to   O
every   O
patient   O
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
solely   O
for   O
the   O
use   O
of   O
Korbin   B-NAME
Herrera   I-NAME
and   O
their   O
designated   O
family   O
members   O
.   O

Report   O
Signed   O
by   O
:   O
Flores   B-NAME
(   O
Date   O
:   O
Saturday   B-DATE
,   I-DATE
June   I-DATE
)   O

cc   O
:   O
Primary   O
Physician   O
-   O
Josephine   B-NAME
Charles   I-NAME
For   O
any   O
additional   O
information   O
or   O
report   O
inquiries   O
,   O
please   O
contact   O
Children   B-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
of   I-LOCATION
Atlanta   I-LOCATION
at   I-LOCATION
Scottish   I-LOCATION
Rite   I-LOCATION
at   O
67960   B-CONTACT
.   O

Patient   O
name   O
:   O
Guerrero   B-NAME
Age   O
:   O
5   O
I   O
saw   O
Cleveland   B-NAME
today   O
,   O
February   B-DATE
22   I-DATE
for   O
the   O
first   O
time   O
.   O

Leilani   B-NAME
Barrett   I-NAME
complained   O
of   O
chronic   O
cough   O
,   O
moderate   O
fatigue   O
and   O
fever   O
during   O
the   O
past   O
week   O
,   O
which   O
showed   O
his   O
condition   O
was   O
of   O
concern   O
.   O

Nall   B-NAME
has   O
been   O
treated   O
by   O
Gibson   B-NAME
at   O
Mission   B-LOCATION
Trail   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
.   O

His   O
previous   O
medical   O
records   O
number   O
,   O
91228290   B-ID
,   O
suggests   O
a   O
history   O
of   O
bronchitis   O
from   O
five   O
years   O
ago   O
.   O

Washington   B-NAME
,   I-NAME
George   I-NAME
lives   O
in   O
California   B-LOCATION
and   O
works   O
as   O
a   O
Food   O
scientist   O
.   O

I   O
recommend   O
an   O
investigation   O
at   O
his   O
workplace   O
by   O
an   O
appropriate   O
Evergreen   B-LOCATION
Bank   I-LOCATION
to   O
check   O
for   O
possible   O
environmental   O
hazards   O
.   O

We   O
have   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
Tuesday   B-DATE
to   O
discuss   O
the   O
results   O
and   O
formulate   O
a   O
treatment   O
plan   O
.   O

His   O
contact   O
number   O
for   O
the   O
records   O
is   O
938   B-CONTACT
-   I-CONTACT
5968   I-CONTACT
.   O

Nurses   O
at   O
Harrison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
assist   O
him   O
with   O
this   O
during   O
his   O
time   O
here   O
.   O

I   O
also   O
plan   O
to   O
consult   O
with   O
Crane   B-NAME
,   I-NAME
Dr.   I-NAME
Frank   I-NAME
and   O
will   O
share   O
the   O
findings   O
with   O
Dawson   B-NAME
Goodwin   I-NAME
's   O
primary   O
care   O
physician   O
using   O
the   O
medical   O
messaging   O
system   O
with   O
the   O
username   O
gr1003   B-NAME
.   O

I   O
will   O
also   O
be   O
exchanging   O
relevant   O
information   O
with   O
Kossuth   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

Any   O
further   O
queries   O
can   O
be   O
raised   O
to   O
my   O
office   O
situated   O
in   O
Pemberwick   B-LOCATION
,   O
using   O
the   O
zip   O
code   O
48188   B-LOCATION
.   O

Therapist   O
Gibson   B-NAME
CC   O
:   O
Health   O
record   O
LL531/7486   B-ID

Patient   O
Name   O
:   O
Pierre   B-NAME
Mooney   I-NAME
Age   O
:   O
99s   O
Medical   O
Record   O
Number   O
:   O
5419992   B-ID
Date   O
of   O
Visit   O
:   O
31/20   B-DATE
This   O
report   O
summarizes   O
the   O
medical   O
evaluation   O
conducted   O
by   O
Dr.   O
Madden   B-NAME
Horton   I-NAME
on   O
Tertullian   B-NAME
at   O
John   B-LOCATION
D.   I-LOCATION
Archbold   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Gang   B-LOCATION
Mills   I-LOCATION
on   O
the   O
date   O
of   O
20/38   B-DATE
.   O

Quezada   B-NAME
was   O
referred   O
by   O
Pacific   B-LOCATION
Life   I-LOCATION
where   O
he   O
works   O
as   O
a   O
Designers   O
,   O
All   O
Other   O
.   O

Chief   O
Complaint   O
:   O
Zara   B-NAME
Carpenter   I-NAME
presented   O
with   O
a   O
complaint   O
of   O
persistent   O
headache   O
,   O
sporadic   O
dizzy   O
spells   O
,   O
and   O
occasional   O
episodes   O
of   O
blurred   O
vision   O
,   O
which   O
have   O
been   O
ongoing   O
over   O
the   O
past   O
two   O
weeks   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
headache   O
as   O
described   O
by   O
Yeomans   B-NAME
is   O
of   O
moderate   O
intensity   O
,   O
constant   O
,   O
dull   O
aching   O
,   O
located   O
in   O
the   O
bilateral   O
temporal   O
region   O
,   O
and   O
does   O
not   O
radiate   O
.   O

Richard   B-NAME
L.   I-NAME
Mckenzie   I-NAME
has   O
tried   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
for   O
the   O
headache   O
but   O
has   O
experienced   O
minimal   O
relief   O
.   O

A   O
CT   O
scan   O
of   O
the   O
head   O
was   O
suggested   O
by   O
Dr.   O
Jaiden   B-NAME
Pollard   I-NAME
.   O

The   O
scan   O
was   O
performed   O
on   O
7/13   B-DATE
and   O
results   O
indicated   O
no   O
abnormal   O
findings   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Corey   B-NAME
Hinton   I-NAME
advised   O
Ramiro   B-NAME
Blanchard   I-NAME
to   O
continue   O
current   O
medications   O
,   O
increase   O
water   O
intake   O
,   O
and   O
also   O
recommended   O
follow   O
-   O
up   O
in   O
two   O
weeks   O
.   O

Jocelyn   B-NAME
Lutz   I-NAME
was   O
provided   O
an   O
appointment   O
card   O
with   O
the   O
follow   O
-   O
up   O
date   O
and   O
Antoniou   B-NAME
,   I-NAME
Laura   I-NAME
's   O
phone   O
number   O
(   O
619   B-CONTACT
-   I-CONTACT
293   I-CONTACT
3842   I-CONTACT
)   O
.   O

Provider   O
's   O
Certification   O
:   O
I   O
,   O
Dr.   O
Shah   B-NAME
,   O
hereby   O
confirm   O
that   O
the   O
information   O
provided   O
here   O
is   O
accurate   O
to   O
the   O
best   O
of   O
my   O
knowledge   O
as   O
of   O
the   O
date   O
of   O
the   O
examination   O
on   O
Aug   B-DATE
.   O
I   O
was   O
not   O
influenced   O
by   O
WAPDA   B-LOCATION
during   O
the   O
formulation   O
of   O
this   O
report   O
.   O

For   O
any   O
queries   O
or   O
additional   O
information   O
,   O
please   O
contact   O
my   O
office   O
at   O
(   B-CONTACT
919   I-CONTACT
)   I-CONTACT
793   I-CONTACT
1619   I-CONTACT
.   O

Signature   O
:   O
fb658   B-NAME
Date   O
:   O
2032   B-DATE
Location   O
:   O
Newburgh   B-LOCATION
Heights   I-LOCATION
License   O
No   O
:   O
66527822   B-ID
58755   B-LOCATION

Patient   O
:   O
Cantu   B-NAME
Medical   O
Record   O
:   O
694   B-ID
-   I-ID
39   I-ID
-   I-ID
11   I-ID
-   I-ID
3   I-ID
Age   O
:   O
62   O
Residence   O
:   O
Comer   B-LOCATION
Zip   O
code   O
:   O
69830   B-LOCATION
Contact   O
:   O
833   B-CONTACT
9545   I-CONTACT
23/26/2006   B-DATE
I   O
am   O
Paula   B-NAME
Avery   I-NAME
,   O
reporting   O
on   O
Ward   B-NAME
who   O
has   O
been   O
experiencing   O
severe   O
migraine   O
headaches   O
accompanied   O
by   O
visual   O
disturbance   O
,   O
such   O
as   O
seeing   O
spots   O
or   O
flashing   O
lights   O
.   O

Henry   B-NAME
Jenkins   I-NAME
described   O
the   O
headaches   O
as   O
"   O
pounding   O
"   O
and   O
"   O
throbbing   O
"   O
sensations   O
,   O
beginning   O
on   O
one   O
side   O
of   O
the   O
head   O
,   O
usually   O
around   O
the   O
temple   O
region   O
,   O
and   O
spreading   O
throughout   O
.   O

05/09/2037   B-DATE
,   O
further   O
examination   O
revealed   O
suffering   O
from   O
photophobia   O
and   O
phonophobia   O
,   O
with   O
symptoms   O
exacerbated   O
by   O
light   O
and   O
loud   O
noises   O
respectively   O
.   O

The   O
patient   O
has   O
a   O
family   O
history   O
of   O
migraines   O
;   O
Destinee   B-NAME
Stanley   I-NAME
's   O
mother   O
suffered   O
from   O
similar   O
symptoms   O
at   O
around   O
12   O
.   O

Uselton   B-NAME
has   O
been   O
advised   O
to   O
avoid   O
potential   O
triggers   O
such   O
as   O
caffeine   O
,   O
alcohol   O
,   O
and   O
excessive   O
stress   O
,   O
and   O
to   O
maintain   O
a   O
regular   O
sleep   O
schedule   O
.   O

This   O
is   O
in   O
addition   O
to   O
the   O
Sumatriptan   O
,   O
which   O
Ray   B-NAME
Downing   I-NAME
is   O
already   O
using   O
.   O

As   O
part   O
of   O
the   O
patient   O
's   O
long   O
-   O
term   O
care   O
,   O
I   O
have   O
made   O
a   O
provisional   O
referral   O
to   O
Cal   B-NAME
Lightman   I-NAME
at   O
Nacogdoches   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
consultation   O
regarding   O
the   O
possible   O
use   O
of   O
Greater   O
Occipital   O
Nerve   O
Block   O
,   O
or   O
potentially   O
a   O
trial   O
of   O
neuromodulation   O
,   O
dependent   O
on   O
the   O
concurrence   O
from   O
the   O
insurance   O
Slash   B-LOCATION
Pine   I-LOCATION
EMC   I-LOCATION
with   O
the   O
policy   O
YD:96038:120711   B-ID
.   O

Profession   O
:   O
Fish   O
and   O
Game   O
Wardens   O
Username   O
:   O
zik928   B-NAME

Patient   O
:   O
Miranda   B-NAME
DOB   O
:   O
30/15/2211   B-DATE
Location   O
:   O
North   B-LOCATION
Branch   I-LOCATION
Age   O
at   O
diagnosis   O
:   O
34   O
521   B-ID
-   I-ID
12   I-ID
-   I-ID
51   I-ID
:   O
7   B-ID
-   I-ID
6810194   I-ID
Admit   O
Date   O
:   O
7/28   B-DATE
Discharge   O
Date   O
:   O
11/32/2125   B-DATE
Referred   O
by   O
:   O
Ochs   B-NAME
,   I-NAME
Phil   I-NAME
Physician   O
:   O

Camacho   B-NAME
Hospital   O
:   O
Tulane   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinic   I-LOCATION
Area   O
zip   O
code   O
:   O
81082   B-LOCATION
Description   O
:   O
Mr.   O
Charles   B-NAME
Claver   I-NAME
contacted   O
the   O
hospital   O
citing   O
mild   O
dyspnea   O
and   O
a   O
persistent   O
dry   O
cough   O
tantalizing   O
over   O
the   O
past   O
few   O
weeks   O
.   O

The   O
patient   O
was   O
previously   O
treated   O
at   O
Sentara   B-LOCATION
Northern   I-LOCATION
Virginia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
referred   O
to   O
us   O
by   O
Dr.   O
Brodie   B-NAME
Pratt   I-NAME
from   O
the   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Danville   I-LOCATION
in   O
Burlington   B-LOCATION
,   I-LOCATION
Church   I-LOCATION
Street   I-LOCATION
Marketplace   I-LOCATION
.   O

Mr.   O
Pearle   B-NAME
Bergfalk   I-NAME
's   O
family   O
has   O
been   O
notified   O
of   O
his   O
condition   O
on   O
phone   O
number   O
93941   B-CONTACT
.   O

His   O
medical   O
history   O
includes   O
a   O
coronary   O
angioplasty   O
performed   O
at   O
Sparrow   B-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
,   O
Rote   B-LOCATION
.   O

Under   O
Doctor   O
Briley   B-NAME
Conrad   I-NAME
’s   O
direction   O
,   O
we   O
are   O
prioritizing   O
diagnostic   O
procedures   O
to   O
determine   O
the   O
etiology   O
of   O
Mr.   O
Sterling   B-NAME
Ewing   I-NAME
's   O
symptoms   O
.   O

He   O
is   O
scheduled   O
for   O
a   O
complete   O
blood   O
count   O
,   O
chest   O
X   O
-   O
ray   O
and   O
pulmonary   O
function   O
test   O
on   O
may   B-DATE
44   I-DATE
to   O
further   O
evaluate   O
his   O
condition   O
and   O
provide   O
a   O
robust   O
treatment   O
plan   O
.   O

The   O
patient   O
has   O
requested   O
the   O
lab   O
results   O
to   O
be   O
sent   O
to   O
his   O
secured   O
email   O
CD525   B-NAME
@   O
American   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Brewing   I-LOCATION
Chemists   I-LOCATION
.   O

We   O
aim   O
to   O
provide   O
a   O
comprehensive   O
treatment   O
plan   O
to   O
alleviate   O
Mr.   O
Dalton   B-NAME
's   O
discomfort   O
and   O
monitor   O
his   O
health   O
condition   O
.   O

Our   O
team   O
at   O
People   B-LOCATION
's   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Tri   I-LOCATION
-   I-LOCATION
County   I-LOCATION
Electric   I-LOCATION
will   O
continue   O
to   O
work   O
in   O
close   O
collaboration   O
with   O
his   O
referring   O
physician   O
Dr.   O
Brice   B-NAME
Mcdonald   I-NAME
to   O
ensure   O
Mr.   O
Garrett   B-NAME
Albert   I-NAME
receives   O
the   O
best   O
possible   O
care   O
.   O

For   O
further   O
queries   O
regarding   O
the   O
patient   O
's   O
health   O
,   O
please   O
contact   O
the   O
medial   O
team   O
at   O
492   B-CONTACT
-   I-CONTACT
7696   I-CONTACT
.   O

Patient   O
Jovani   B-NAME
Hobbs   I-NAME
came   O
to   O
Overlook   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2277   B-DATE
.   O

Patient   O
mentioned   O
she   O
resides   O
in   O
Aylesbury   B-LOCATION
.   O

Patient   O
Dru   B-NAME
described   O
symptoms   O
of   O
persistent   O
headache   O
,   O
joint   O
pain   O
,   O
photosensitivity   O
,   O
and   O
an   O
unexplained   O
rash   O
on   O
her   O
arms   O
.   O

Her   O
medical   O
record   O
931   B-ID
06   I-ID
08   I-ID
also   O
showed   O
previous   O
similar   O
symptoms   O
occurring   O
in   O
a   O
seasonal   O
pattern   O
.   O

She   O
was   O
examined   O
by   O
Wells   B-NAME
,   O
a   O
specialist   O
in   O
autoimmune   O
disorders   O
.   O

Based   O
on   O
her   O
symptoms   O
,   O
Dickerson   B-NAME
suspected   O
Systemic   O
Lupus   O
Erythematosus   O
(   O
SLE   O
)   O
.   O

The   O
samples   O
were   O
sent   O
to   O
Strategic   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
for   O
testing   O
.   O

An   O
urgent   O
note   O
was   O
made   O
to   O
contact   O
Li   B-NAME
via   O
her   O
349   B-CONTACT
-   I-CONTACT
5283   I-CONTACT
once   O
the   O
lab   O
results   O
are   O
available   O
.   O

In   O
case   O
of   O
immediate   O
distress   O
,   O
Kruger   B-NAME
Blanquart   I-NAME
was   O
advised   O
to   O
contact   O
the   O
Rheumatology   O
Department   O
at   O
Suburban   B-LOCATION
Hospital   I-LOCATION
.   O

Moreover   O
,   O
she   O
was   O
given   O
an   O
RJ454/4924   B-ID
pass   O
to   O
fast   O
track   O
her   O
admission   O
process   O
at   O
the   O
hospital   O
in   O
case   O
of   O
an   O
emergency   O
.   O

May   B-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
10/23/2108   B-DATE
.   O

The   O
appointment   O
was   O
logged   O
by   O
the   O
hospital   O
representative   O
er1910   B-NAME
.   O

Her   O
details   O
including   O
her   O
residential   O
address   O
and   O
zip   O
code   O
11162   B-LOCATION
were   O
updated   O
in   O
the   O
hospital   O
's   O
record   O
system   O
.   O

She   O
left   O
McDonough   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
expressing   O
gratitude   O
towards   O
the   O
hospital   O
team   O
.   O

Detailed   O
notes   O
on   O
her   O
condition   O
and   O
appointment   O
were   O
made   O
and   O
will   O
be   O
sent   O
to   O
her   O
primary   O
care   O
physician   O
located   O
in   O
Montrose   B-LOCATION
.   O

Further   O
treatment   O
procedures   O
will   O
be   O
determined   O
on   O
her   O
follow   O
-   O
up   O
13/02   B-DATE
based   O
on   O
the   O
results   O
provided   O
by   O
Jennings   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
.   O

Patient   O
ID   O
:   O
HQ:56249:392401   B-ID
July   B-DATE
22   I-DATE
The   O
patient   O
,   O
Brianna   B-NAME
Gallegos   I-NAME
,   O
is   O
a   O
36   O
year   O
old   O
individual   O
referred   O
by   O
the   O
Floor   O
Sanders   O
and   O
Finishers   O
from   O
Mainstreet   B-LOCATION
Bank   I-LOCATION
,   O
due   O
to   O
the   O
recurring   O
episodes   O
of   O
severe   O
abdominal   O
pain   O
he   O
has   O
been   O
experiencing   O
for   O
the   O
past   O
two   O
months   O
.   O

I   O
have   O
reviewed   O
his   O
medical   O
records   O
number   O
:   O
6920349   B-ID
provided   O
by   O
Johns   B-NAME
from   O
Samaritan   B-LOCATION
Hospital   I-LOCATION
.   O

According   O
to   O
Elianna   B-NAME
Harper   I-NAME
,   O
there   O
is   O
no   O
specific   O
trigger   O
for   O
the   O
pain   O
and   O
nothing   O
seems   O
to   O
alleviate   O
it   O
.   O

He   O
has   O
no   O
known   O
allergies   O
,   O
and   O
his   O
pharmaceutical   O
medications   O
include   O
a   O
daily   O
aspirin   O
regimen   O
started   O
by   O
Dr.   O
Franklin   B-NAME
and   O
a   O
statin   O
for   O
cholesterol   O
.   O

I   O
advised   O
Ruth   B-NAME
Mcguire   I-NAME
to   O
schedule   O
an   O
abdominal   O
ultrasound   O
for   O
the   O
30/20   B-DATE
.   O

He   O
gave   O
consent   O
and   O
his   O
78531   B-CONTACT
number   O
to   O
contact   O
him   O
for   O
the   O
appointment   O
.   O

He   O
resides   O
at   O
Piermont   B-LOCATION
and   O
his   O
zip   O
code   O
is   O
75878   B-LOCATION
.   O

In   O
addition   O
to   O
this   O
,   O
I   O
recommended   O
that   O
he   O
contact   O
a   O
dietitian   O
within   O
our   O
GROW   B-LOCATION
to   O
help   O
manage   O
his   O
diet   O
,   O
as   O
this   O
could   O
potentially   O
help   O
his   O
condition   O
.   O

I   O
have   O
scheduled   O
a   O
follow   O
-   O
up   O
visit   O
with   O
him   O
in   O
my   O
clinic   O
in   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
St.   I-LOCATION
Peters   I-LOCATION
Hospital   I-LOCATION
,   O
Hallettsville   B-LOCATION
to   O
discuss   O
his   O
testing   O
results   O
on   O
00/0   B-DATE
.   O

Further   O
consultation   O
with   O
Dr.   O
Daisy   B-NAME
Rivers   I-NAME
might   O
also   O
be   O
necessary   O
depending   O
on   O
the   O
results   O
of   O
the   O
ultrasound   O
and   O
the   O
possible   O
colonoscopy   O
.   O

Please   O
refer   O
to   O
this   O
report   O
with   O
username   O
IG664   B-NAME
.   O

Patient   O
:   O
Presley   B-NAME
,   I-NAME
Elvis   I-NAME
Age   O
:   O
76   O
Medical   O
Record   O
No   O
:   O
9714   B-ID
:   I-ID
S15498   I-ID
The   O
patient   O
,   O
Page   B-NAME
,   I-NAME
michael   I-NAME
,   O
was   O
seen   O
for   O
assessment   O
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Baldwin   I-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/28/2329   B-DATE
.   O

Chevalier   B-NAME
,   I-NAME
Maurice   I-NAME
's   O
medical   O
history   O
revealed   O
that   O
he   O
is   O
a   O
smoker   O
and   O
has   O
been   O
diagnosed   O
with   O
IBS   O
(   O
Irritable   O
Bowel   O
Syndrome   O
)   O
at   O
the   O
age   O
of   O
15   O
.   O

The   O
primary   O
care   O
physician   O
,   O
Dr.   O
Mack   B-NAME
,   O
ordered   O
a   O
series   O
of   O
tests   O
including   O
blood   O
work   O
,   O
an   O
ultrasound   O
,   O
and   O
a   O
CT   O
scan   O
.   O

Dr.   O
Mahoney   B-NAME
from   O
the   O
West   B-LOCATION
Side   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
surgical   O
department   O
was   O
consulted   O
.   O

Currently   O
,   O
Jaramillo   B-NAME
's   O
resident   O
address   O
is   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11212   I-LOCATION
and   O
the   O
zip   O
code   O
is   O
94349   B-LOCATION
.   O

His   O
identity   O
document   O
number   O
is   O
426205   B-ID
and   O
CPS   O
worker   O
esa918   B-NAME
,   O
whose   O
phone   O
number   O
is   O
(   B-CONTACT
446   I-CONTACT
)   I-CONTACT
562   I-CONTACT
9421   I-CONTACT
,   O
has   O
been   O
informed   O
about   O
the   O
situation   O
due   O
to   O
the   O
fact   O
that   O
the   O
patient   O
is   O
a   O
Materials   O
Scientists   O
at   O
Sumter   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
.   O

A   O
follow   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
07/18/1602   B-DATE
after   O
the   O
surgery   O
to   O
monitor   O
the   O
patient   O
's   O
recovery   O
.   O

Dr.   O
Rachele   B-NAME
Cabeza   I-NAME
will   O
remain   O
as   O
the   O
primary   O
care   O
physician   O
moving   O
forward   O
.   O

Jeremy   B-NAME
Richmond   I-NAME
Age   O
:   O
29   O
Medical   O
Record   O
Number   O
:   O
059   B-ID
-   I-ID
39   I-ID
-   I-ID
02   I-ID
On   O
the   O
morning   O
of   O
8/0   B-DATE
,   O
Postumus   B-NAME
Kyner   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
CHI   B-LOCATION
Health   I-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
.   O

Dr.   O
Anabelle   B-NAME
Berger   I-NAME
performed   O
a   O
preliminary   O
examination   O
where   O
he   O
noticed   O
the   O
patient   O
's   O
heart   O
rate   O
was   O
at   O
120   O
beats   O
per   O
minute   O
and   O
displayed   O
other   O
symptoms   O
of   O
acute   O
myocardial   O
infarction   O
.   O

Contact   O
Information   O
:   O
33299   B-CONTACT
Escalante   B-LOCATION
13532   B-LOCATION
4   B-ID
-   I-ID
7351436   I-ID
Next   O
of   O
Kin   O
:   O
Maldonado   B-NAME
's   O
sister   O
,   O
a   O
Labor   O
Relations   O
Specialists   O
residing   O
in   O
Atlanta   B-LOCATION
.   O

Her   O
contact   O
:   O
80073   B-CONTACT
.   O

Further   O
consultations   O
with   O
cardiologists   O
in   O
Nevada   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
are   O
scheduled   O
for   O
fall   B-DATE
.   O

Jaylin   B-NAME
Rhodes   I-NAME
has   O
been   O
admitted   O
for   O
further   O
management   O
and   O
evaluation   O
.   O

We   O
have   O
noted   O
the   O
unique   O
patient   O
identifier   O
as   O
ED787   B-NAME
in   O
the   O
Flint   B-LOCATION
Energies   I-LOCATION
database   O
for   O
reference   O
.   O

Upon   O
discharge   O
,   O
the   O
patient   O
's   O
primary   O
care   O
doctor   O
,   O
Dr.   O
Burnett   B-NAME
,   O
will   O
be   O
contacted   O
and   O
sent   O
the   O
discharge   O
summary   O
.   O

This   O
document   O
is   O
confidential   O
and   O
was   O
created   O
using   O
the   O
details   O
given   O
by   O
Wilhelm   B-NAME
during   O
the   O
hospital   O
registration   O
process   O
.   O

Patient   O
Name   O
:   O
Singleton   B-NAME
Patient   O
Age   O
:   O
14   O
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
5029554   I-ID
Location   O
:   O
Batesland   B-LOCATION
Doctor   O
:   O
Washington   B-NAME
,   I-NAME
Booker   I-NAME
T.   I-NAME
Hospital   O
:   O
Good   B-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
West   I-LOCATION
Palm   I-LOCATION
Beach   I-LOCATION
)   I-LOCATION
35/29/82   B-DATE
:   O
Foster   B-NAME
evaluated   O
the   O
patient   O
,   O
Keith   B-NAME
Quant   I-NAME
,   O
at   O
the   O
Prisma   B-LOCATION
Health   I-LOCATION
Laurens   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
for   O
complaints   O
of   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
medical   O
record   O
,   O
04239915   B-ID
,   O
indicates   O
a   O
history   O
of   O
mild   O
asthma   O
,   O
but   O
the   O
symptoms   O
the   O
patient   O
is   O
experiencing   O
currently   O
are   O
more   O
severe   O
than   O
what   O
would   O
be   O
expected   O
based   O
on   O
past   O
medical   O
history   O
.   O

Results   O
of   O
the   O
complete   O
blood   O
count   O
and   O
differential   O
,   O
as   O
well   O
as   O
the   O
electrolyte   O
panel   O
,   O
will   O
be   O
available   O
on   O
3/23/34   B-DATE
.   O

An   O
appointment   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
20/02   B-DATE
to   O
review   O
the   O
blood   O
test   O
results   O
and   O
discuss   O
additional   O
diagnostic   O
tests   O
if   O
required   O
.   O

The   O
patient   O
resides   O
at   O
Shippenville   B-LOCATION
,   O
60742   B-LOCATION
,   O
and   O
can   O
be   O
reached   O
through   O
111   B-CONTACT
3834   I-CONTACT
.   O

The   O
patient   O
's   O
account   O
with   O
our   O
online   O
patient   O
portal   O
,   O
username   O
tl63   B-NAME
,   O
was   O
confirmed   O
and   O
they   O
were   O
advised   O
to   O
check   O
for   O
any   O
updates   O
concerning   O
their   O
health   O
.   O

The   O
patient   O
is   O
currently   O
employed   O
at   O
Vantus   B-LOCATION
Bank   I-LOCATION
,   O
we   O
might   O
have   O
to   O
examine   O
the   O
working   O
conditions   O
there   O
and   O
see   O
if   O
it   O
’s   O
potentially   O
contributing   O
to   O
the   O
patient   O
’s   O
health   O
issues   O
.   O

A   O
letter   O
documenting   O
our   O
visit   O
will   O
be   O
sent   O
to   O
the   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Tynan   B-NAME
,   I-NAME
Kenneth   I-NAME
,   O
keeping   O
them   O
in   O
the   O
loop   O
regarding   O
our   O
observations   O
and   O
further   O
advice   O
.   O

In   O
the   O
meantime   O
,   O
the   O
patient   O
has   O
been   O
directed   O
to   O
the   O
emergency   O
room   O
at   O
Castle   B-LOCATION
Rock   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
sudden   O
exacerbations   O
or   O
emergency   O
assistance   O
.   O

Patient   O
Name   O
:   O
Campbell   B-NAME
Riley   I-NAME
Age   O
:   O
66   O
ID   O
:   O
5   B-ID
-   I-ID
6320252   I-ID
Medical   O
Record   O
Number   O
:   O
67932968   B-ID
Location   O
of   O
Residence   O
:   O
Nevada   B-LOCATION
Healthcare   O
Provider   O
:   O
Dr.   O
Good   B-NAME
Hospital   O
Name   O
:   O

Ocala   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Treatment   O
Date   O
:   O
1/51   B-DATE
Organization   O
Providing   O
Care   O
:   O
Community   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Nevada   I-LOCATION
Phone   O
number   O
:   O
16316   B-CONTACT
Profession   O
:   O

Plasterers   O
and   O
Stucco   O
Masons   O
Username   O
:   O
ncl500   B-NAME
ZIP   O
Code   O
:   O

33687   B-LOCATION
This   O
report   O
is   O
for   O
Rey   B-NAME
Payne   I-NAME
,   O
of   O
98   O
years   O
residing   O
in   O
Cantwell   B-LOCATION
,   O
who   O
was   O
first   O
seen   O
by   O
Dr.   O
Hutton   B-NAME
,   I-NAME
James   I-NAME
at   O
the   O
Methodist   B-LOCATION
Texsan   I-LOCATION
Hospital   I-LOCATION
on   O
11/05/33   B-DATE
.   O

The   O
patient   O
's   O
ID   O
is   O
0   B-ID
-   I-ID
1448876   I-ID
and   O
the   O
recorded   O
medical   O
record   O
number   O
is   O
8160833   B-ID
.   O

The   O
organization   O
providing   O
care   O
is   O
Butte   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
and   O
the   O
contact   O
number   O
for   O
additional   O
queries   O
is   O
222   B-CONTACT
6381   I-CONTACT
.   O

Schultz   B-NAME
is   O
currently   O
working   O
as   O
a   O
Order   O
Fillers   O
,   O
Wholesale   O
and   O
Retail   O
Sales   O
,   O
and   O
has   O
been   O
experiencing   O
a   O
persistent   O
dry   O
cough   O
along   O
with   O
intermittent   O
bouts   O
of   O
fever   O
averaging   O
a   O
temperature   O
around   O
39   O
℃   O
for   O
the   O
past   O
one   O
week   O
.   O

Deeann   B-NAME
has   O
a   O
history   O
of   O
cardiac   O
issues   O
,   O
but   O
the   O
recent   O
symptoms   O
lean   O
towards   O
a   O
possible   O
respiratory   O
infection   O
.   O

Next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
18/12   B-DATE
at   O
Community   B-LOCATION
Hospital   I-LOCATION
,   O
McKinleyville   B-LOCATION
.   O

For   O
any   O
emergency   O
,   O
please   O
call   O
(   B-CONTACT
864   I-CONTACT
)   I-CONTACT
384   I-CONTACT
2498   I-CONTACT
or   O
contact   O
Dr.   O
Pierce   B-NAME
via   O
the   O
patient   O
portal   O
at   O
www   O
.   O

Disabled   B-LOCATION
American   I-LOCATION
Veterans   I-LOCATION
(   I-LOCATION
DAV)   I-LOCATION
.com   O
using   O
the   O
username   O
mfs617   B-NAME
and   O
zip   O
code   O
19384   B-LOCATION
.   O

Patient   O
Report   O
(   O
MRN   O
-   O
063   B-ID
-   I-ID
01   I-ID
-   I-ID
48   I-ID
)   O

The   O
patient   O
,   O
Albert   B-NAME
Marks   I-NAME
,   O
a   O
Interpreters   O
and   O
Translators   O
from   O
Willapa   B-LOCATION
,   O
with   O
SSN   O

SO   B-ID
:   I-ID
TG:8212   I-ID
,   O
was   O
admitted   O
to   O
The   B-LOCATION
University   I-LOCATION
of   I-LOCATION
Tennessee   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/24/2216   B-DATE
.   O

The   O
patient   O
is   O
a   O
9   O
year   O
old   O
individual   O
and   O
has   O
a   O
primary   O
care   O
physician   O
named   O
Bryan   B-NAME
.   O

Upon   O
admission   O
,   O
James   B-NAME
complained   O
of   O
chronic   O
abdominal   O
pain   O
,   O
escalating   O
in   O
severity   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Benjamin   B-NAME
Shepherd   I-NAME
currently   O
resides   O
at   O
South   B-LOCATION
Henderson   I-LOCATION
with   O
his   O
spouse   O
and   O
two   O
kids   O
.   O

He   O
works   O
for   O
Reedy   B-LOCATION
Creek   I-LOCATION
Energy   I-LOCATION
Services   I-LOCATION
,   O
and   O
the   O
best   O
contact   O
number   O
to   O
reach   O
him   O
is   O
882   B-CONTACT
-   I-CONTACT
7231   I-CONTACT
.   O

Napoleon   B-NAME
Blass   I-NAME
had   O
a   O
CT   O
scan   O
on   O
33/28   B-DATE
revealing   O
a   O
mass   O
in   O
their   O
pancreatic   O
head   O
.   O

A   O
subsequent   O
biopsy   O
conducted   O
by   O
Kale   B-NAME
Mcfarland   I-NAME
confirmed   O
the   O
diagnosis   O
of   O
pancreatic   O
cancer   O
.   O

The   O
management   O
plan   O
moving   O
forward   O
comprises   O
chemotherapy   O
sessions   O
,   O
beginning   O
02/20/2262   B-DATE
,   O
at   O
Cedar   B-LOCATION
Springs   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
.   O

Ean   B-NAME
Hensley   I-NAME
and   O
his   O
spouse   O
will   O
be   O
provided   O
with   O
all   O
neccessary   O
support   O
and   O
resources   O
by   O
the   O
hospital   O
’s   O
Oncology   O
Department   O
.   O

The   O
report   O
has   O
been   O
created   O
by   O
XS52   B-NAME
and   O
the   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Bell   B-NAME
.   O

If   O
there   O
are   O
any   O
concerns   O
,   O
the   O
patient   O
,   O
his   O
family   O
,   O
or   O
his   O
caretakers   O
can   O
reach   O
the   O
Oncology   O
Department   O
at   O
this   O
number   O
:   O
335   B-CONTACT
1631   I-CONTACT
.   O

The   O
updated   O
report   O
should   O
be   O
sent   O
to   O
Stafford   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Stafford   I-LOCATION
,   O
room   O
number   O
458   O
,   O
Perryman   B-LOCATION
15983   B-LOCATION
.   O

Wednesday   B-DATE
,   I-DATE
July   I-DATE
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
2555381   I-ID
Report   O
created   O
by   O
:   O
zxm641   B-NAME

Patient   O
Report   O
:   O
Willard   B-NAME
Frisby   I-NAME
is   O
a   O
5s   O
year   O
old   O
individual   O
who   O
visited   O
Excela   B-LOCATION
Frick   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
2012   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
32   I-DATE
.   O

The   O
patient   O
has   O
been   O
primarily   O
attended   O
to   O
by   O
Singh   B-NAME
.   O

As   O
per   O
the   O
observations   O
,   O
Gilberto   B-NAME
Hardy   I-NAME
appeared   O
in   O
acute   O
distress   O
with   O
symptoms   O
including   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
excessive   O
sweating   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

Cathey   B-NAME
is   O
a   O
non   O
-   O
smoker   O
,   O
and   O
does   O
not   O
report   O
any   O
history   O
of   O
hypertension   O
or   O
diabetes   O
.   O

However   O
,   O
Quintin   B-NAME
A.   I-NAME
Conway   I-NAME
currently   O
works   O
as   O
a   O
Political   O
Scientists   O
in   O
Corpus   B-LOCATION
Christi   I-LOCATION
,   I-LOCATION
Corpus   I-LOCATION
Christi   I-LOCATION
Downtown   I-LOCATION
Management   I-LOCATION
District   I-LOCATION
,   O
which   O
involves   O
high   O
levels   O
of   O
stress   O
.   O

To   O
obtain   O
a   O
detailed   O
medical   O
background   O
,   O
we   O
have   O
asked   O
for   O
the   O
previous   O
medical   O
records   O
from   O
the   O
Beach   B-LOCATION
First   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

We   O
have   O
received   O
the   O
detailed   O
medical   O
history   O
of   O
the   O
patient   O
,   O
after   O
an   O
ID   O
verification   O
process   O
compared   O
against   O
PI   B-ID
:   I-ID
TB:1784   I-ID
.   O

The   O
records   O
have   O
been   O
uploaded   O
under   O
the   O
851   B-ID
-   I-ID
60   I-ID
-   I-ID
36   I-ID
-   I-ID
5   I-ID
in   O
our   O
hospital   O
's   O
database   O
.   O

We   O
conducted   O
a   O
series   O
of   O
tests   O
for   O
Wheeler   B-NAME
including   O
electrocardiogram   O
(   O
ECG   O
)   O
,   O
blood   O
tests   O
,   O
and   O
imaging   O
tests   O
which   O
showed   O
significant   O
signs   O
of   O
myocardial   O
infarction   O
.   O

Based   O
on   O
the   O
findings   O
,   O
Bianca   B-NAME
Curry   I-NAME
started   O
Terrence   B-NAME
Powers   I-NAME
on   O
the   O
appropriate   O
medical   O
interventions   O
immediately   O
.   O

Steven   B-NAME
's   O
next   O
of   O
kin   O
have   O
been   O
informed   O
about   O
the   O
situation   O
through   O
the   O
409   B-CONTACT
-   I-CONTACT
8709   I-CONTACT
number   O
provided   O
in   O
the   O
records   O
.   O

An   O
appointment   O
is   O
scheduled   O
for   O
09/03   B-DATE
with   O
Tucker   B-NAME
Strickland   I-NAME
for   O
a   O
follow   O
up   O
check   O
-   O
up   O
.   O

Please   O
contact   O
me   O
on   O
cxh16   B-NAME
or   O
via   O
phone   O
on   O
178   B-CONTACT
953   I-CONTACT
-   I-CONTACT
9709   I-CONTACT
if   O
you   O
need   O
further   O
details   O
about   O
the   O
case   O
.   O

We   O
are   O
located   O
in   O
Gloucester   B-LOCATION
Point   I-LOCATION
,   O
28354   B-LOCATION
.   O

We   O
are   O
continuously   O
monitoring   O
Jaimes   B-NAME
's   O
condition   O
and   O
progress   O
in   O
the   O
Intensive   O
Care   O
Unit   O
(   O
ICU   O
)   O
and   O
are   O
hopeful   O
for   O
a   O
complete   O
recovery   O
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Genie   B-NAME
Delahoussaye   I-NAME
Age   O
:   O
68   O
Gender   O
:   O
Male   O
Address   O
:   O
Middle   B-LOCATION
Island   I-LOCATION
Phone   O
:   O
16019   B-CONTACT
Patient   O
ID   O
:   O
SK710/9413   B-ID
Occupation   O
:   O
Private   O
Detectives   O
and   O
Investigators   O
Medical   O
Record   O
:   O
Record   O
No   O
:   O
5210786   B-ID
Hospital   O
:   O
Blake   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Attending   O
Physician   O
:   O

Mcknight   B-NAME
Admitted   O
on   O
:   O
12/02/72   B-DATE
Discharged   O
on   O
:   O
12/93   B-DATE
Presenting   O
Issue   O
:   O

The   O
patient   O
came   O
into   O
the   O
urgent   O
care   O
unit   O
of   O
Adirondack   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Saranac   I-LOCATION
Lake   I-LOCATION
on   O
03/10   B-DATE
,   O
complaining   O
of   O
persistent   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
arm   O
,   O
which   O
had   O
begun   O
suddenly   O
a   O
few   O
hours   O
earlier   O
.   O

As   O
per   O
medical   O
records   O
made   O
during   O
the   O
administration   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
under   O
Dr.   O
Susan   B-NAME
Wheeler   I-NAME
,   O
the   O
patient   O
had   O
a   O
past   O
history   O
of   O
hypertension   O
and   O
has   O
been   O
diagnosed   O
with   O
type   O
II   O
diabetes   O
mellitus   O
some   O
58   O
years   O
ago   O
.   O

Treatment   O
was   O
commenced   O
immediately   O
as   O
per   O
the   O
protocols   O
of   O
BLAKE   B-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
.   O

The   O
patient   O
Alicia   B-NAME
Preston   I-NAME
was   O
put   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
administered   O
morphine   O
for   O
pain   O
relief   O
.   O

Revascularization   O
procedures   O
were   O
discussed   O
and   O
the   O
patient   O
was   O
subsequently   O
transferred   O
to   O
Garden   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
for   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O
Follow   O
up   O
Appointment   O
:   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Feibig   B-NAME
,   I-NAME
Jim   I-NAME
at   O
Orchard   B-LOCATION
for   O
23/28/2152   B-DATE
.   O

Medical   O
contact   O
details   O
:   O
Phone   O
:   O
41200   B-CONTACT
Zip   O
:   O
36354   B-LOCATION
Username   O
for   O
online   O
portal   O
:   O
fs509   B-NAME
The   O
information   O
was   O
recorded   O
from   O
an   O
anonymous   O
report   O
done   O
by   O
Grand   B-LOCATION
Collective   I-LOCATION
on   O
00/06   B-DATE
.   O

Patient   O
Name   O
:   O
Raymond   B-NAME
Mason   I-NAME
Age   O
:   O
59   O
Date   O
of   O
Admission   O
:   O
32/12/73   B-DATE
Attending   O
Physician   O
:   O
Sampson   B-NAME
Hospital   O
:   O
Lake   B-LOCATION
Cumberland   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Patient   O
ID   O
:   O
QQ:33740:458336   B-ID
Location   O
:   O
Texas   B-LOCATION
Medical   O
Record   O
Number   O
:   O
362   B-ID
-   I-ID
51   I-ID
-   I-ID
83   I-ID
-   I-ID
2   I-ID
Employer   O
:   O
American   B-LOCATION
Crystallographic   I-LOCATION
Association   I-LOCATION
Contact   O
Phone   O
Number   O
:   O
249   B-CONTACT
-   I-CONTACT
412   I-CONTACT
3278   I-CONTACT
Profession   O
:   O
Actuary   O
Username   O
:   O
QS116   B-NAME
Residential   O
Zip   O
Code   O
:   O
83577   B-LOCATION
Presenting   O
Symptoms   O
:   O
Forbes   B-NAME
,   I-NAME
Malcolm   I-NAME
initially   O
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
Bryan   B-LOCATION
Whitfield   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
January   B-DATE
3   I-DATE
with   O
a   O
primary   O
complaint   O
of   O
severe   O
,   O
radiating   O
chest   O
pain   O
.   O

Medical   O
History   O
:   O
Cherlin   B-NAME
revealed   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
Type   O
II   O
diabetes   O
of   O
a   O
duration   O
of   O
10   O
+   O
years   O
.   O

Patient   O
is   O
currently   O
under   O
management   O
with   O
Kade   B-NAME
Dillon   I-NAME
.   O

Current   O
Medications   O
:   O
Stallman   B-NAME
,   I-NAME
Richard   I-NAME
M   I-NAME
has   O
been   O
on   O
metformin   O
500   O
mg   O
BID   O
and   O
lisinopril   O
10   O
mg   O
once   O
daily   O
.   O

As   O
a   O
standard   O
protocol   O
for   O
patients   O
with   O
STEMI   O
at   O
Vibra   B-LOCATION
Long   I-LOCATION
Term   I-LOCATION
Acute   I-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
,   O
Shah   B-NAME
was   O
immediately   O
started   O
on   O
a   O
regime   O
of   O
Aspirin   O
,   O
Clopidogrel   O
,   O
Atorvastatin   O
,   O
and   O
was   O
taken   O
for   O
emergency   O
coronary   O
angiography   O
.   O

Mark   B-NAME
Brandt   I-NAME
's   O
family   O
was   O
contacted   O
at   O
(   B-CONTACT
868   I-CONTACT
)   I-CONTACT
704   I-CONTACT
-   I-CONTACT
6091   I-CONTACT
.   O

Unauthorized   O
access   O
by   O
username   O
:   O
dd962   B-NAME
is   O
strictly   O
prohibited   O
.   O

Respectfully   O
,   O
de   B-NAME
Raadt   I-NAME
,   I-NAME
Theo   I-NAME
Department   O
of   O
Cardiology   O
,   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
ELLEN   B-NAME
HUNTER   I-NAME
visited   O
Marsh   B-NAME
at   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Stanberry   B-LOCATION
on   O
0/24   B-DATE
.   O

Based   O
on   O
the   O
symptoms   O
described   O
by   O
Cecila   B-NAME
Dorvillier   I-NAME
and   O
a   O
thorough   O
medical   O
checkup   O
,   O
Huffman   B-NAME
suspects   O
a   O
case   O
of   O
acute   O
bronchitis   O
.   O

Sonni   B-NAME
Carrera   I-NAME
,   O
is   O
a   O
Bioinformatics   O
Technicians   O
of   O
71   O
years   O
and   O
resides   O
in   O
53921   B-LOCATION
.   O

Henry   B-NAME
VIII   I-NAME
reported   O
a   O
high   O
fever   O
that   O
peaked   O
at   O
101   O
degrees   O
Fahrenheit   O
,   O
a   O
cough   O
with   O
greenish   O
-   O
yellow   O
sputum   O
,   O
and   O
chest   O
discomfort   O
.   O

Patient   O
Joseph   B-NAME
Cooper   I-NAME
also   O
mentioned   O
feeling   O
fatigued   O
over   O
the   O
past   O
week   O
,   O
with   O
episodes   O
of   O
shortness   O
of   O
breath   O
.   O

Moreover   O
,   O
Dalton   B-NAME
has   O
confirmed   O
that   O
these   O
symptoms   O
had   O
a   O
sudden   O
onset   O
,   O
approximately   O
four   O
days   O
prior   O
to   O
this   O
consultation   O
.   O

The   O
medical   O
record   O
26565759   B-ID
further   O
revealed   O
that   O
the   O
patient   O
had   O
a   O
history   O
of   O
smoking   O
that   O
Alix   B-NAME
Gadbois   I-NAME
quit   O
about   O
a   O
year   O
ago   O
and   O
also   O
had   O
an   O
episode   O
of   O
pneumonia   O
in   O
the   O
past   O
.   O

Gilmore   B-NAME
had   O
n't   O
traveled   O
lately   O
nor   O
had   O
they   O
come   O
in   O
contact   O
with   O
anyone   O
with   O
similar   O
symptoms   O
which   O
led   O
Alivia   B-NAME
Mcbride   I-NAME
to   O
believe   O
the   O
bronchitis   O
was   O
not   O
contagious   O
.   O

Considering   O
the   O
patient   O
's   O
Whitney   B-NAME
Gibbs   I-NAME
symptoms   O
,   O
past   O
medical   O
history   O
and   O
the   O
current   O
socio   O
-   O
environmental   O
stance   O
,   O
Finley   B-NAME
has   O
ordered   O
a   O
chest   O
X   O
-   O
ray   O
and   O
a   O
lung   O
function   O
test   O
for   O
further   O
evaluation   O
.   O

The   O
lab   O
results   O
will   O
be   O
sent   O
to   O
Vesta   B-NAME
Radice   I-NAME
via   O
phone   O
613   B-CONTACT
6740   I-CONTACT
provided   O
by   O
Peggy   B-NAME
Ellis   I-NAME
.   O

Meanwhile   O
,   O
Baxter   B-NAME
has   O
advised   O
Ava   B-NAME
Richards   I-NAME
to   O
rest   O
,   O
hydrate   O
frequently   O
and   O
follow   O
up   O
after   O
the   O
reports   O
are   O
out   O
.   O

Benton   B-NAME
Laski   I-NAME
’s   O
employer   O
,   O
United   B-LOCATION
Nation   I-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
has   O
been   O
notified   O
of   O
Lisa   B-NAME
Inge   I-NAME
’s   O
health   O
status   O
through   O
the   O
employee   O
health   O
card   O
BJ   B-ID
:   I-ID
ET:2766   I-ID
.   O

Note   O
:   O
The   O
nurse   O
in   O
duty   O
should   O
update   O
the   O
records   O
in   O
the   O
system   O
,   O
username   O
is   O
OQ118   B-NAME
.   O

Patient   O
information   O
:   O
Mr.   O
Jair   B-NAME
Caldwell   I-NAME
is   O
a   O
1   O
month   O
year   O
-   O
old   O
male   O
who   O
presented   O
to   O
the   O
Talbott   B-LOCATION
Recovery   I-LOCATION
Columbus   I-LOCATION
emergency   O
department   O
on   O
8   B-DATE
-   I-DATE
01   I-DATE
.   O

Mr.   O
Maia   B-NAME
Shepard   I-NAME
lives   O
with   O
his   O
wife   O
in   O
Gainesville   B-LOCATION
and   O
works   O
as   O
a   O
Security   O
Guards   O
.   O

He   O
reported   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
under   O
the   O
care   O
of   O
Dr.   O
Ashlyn   B-NAME
Prince   I-NAME
.   O

Clinical   O
Presentation   O
:   O
Mr.   O
Hana   B-NAME
Mielkie   I-NAME
presented   O
initially   O
with   O
respiratory   O
symptoms   O
including   O
a   O
non   O
-   O
productive   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

His   O
past   O
medical   O
records   O
190   B-ID
77   I-ID
58   I-ID
show   O
a   O
history   O
of   O
hypertension   O
,   O
dyslipidemia   O
and   O
a   O
myocardial   O
infarction   O
two   O
years   O
ago   O
.   O

On   O
examination   O
,   O
Mr.   O
Paxton   B-NAME
Campos   I-NAME
was   O
alert   O
and   O
oriented   O
but   O
appeared   O
to   O
be   O
in   O
moderate   O
respiratory   O
distress   O
.   O

He   O
may   O
need   O
to   O
be   O
admitted   O
into   O
the   O
OhioHealth   B-LOCATION
-   I-LOCATION
O'Bleness   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

Communications   O
:   O
We   O
reached   O
out   O
to   O
Mr.   O
Jovani   B-NAME
Webster   I-NAME
's   O
primary   O
healthcare   O
provider   O
,   O
Dr.   O
Wong   B-NAME
,   O
to   O
discuss   O
the   O
findings   O
and   O
plan   O
of   O
care   O
.   O

We   O
also   O
contacted   O
his   O
work   O
Association   B-LOCATION
of   I-LOCATION
Motion   I-LOCATION
Pictures   I-LOCATION
&   I-LOCATION
TV   I-LOCATION
Programme   I-LOCATION
Producer   I-LOCATION
of   I-LOCATION
India   I-LOCATION
to   O
inform   O
them   O
about   O
his   O
health   O
status   O
.   O

According   O
to   O
our   O
hospital   O
's   O
policy   O
,   O
Mr.   O
Melanie   B-NAME
Porter   I-NAME
's   O
mobile   O
(   B-CONTACT
803   I-CONTACT
)   I-CONTACT
916   I-CONTACT
5214   I-CONTACT
and   O
identification   O
820985498   B-ID
details   O
are   O
restricted   O
from   O
sharing   O
.   O

Patient   O
Details   O
:   O
Further   O
information   O
can   O
be   O
found   O
at   O
our   O
hospital   O
's   O
online   O
patient   O
portal   O
by   O
logging   O
in   O
with   O
your   O
registered   O
er1910   B-NAME
.   O

We   O
can   O
send   O
a   O
direct   O
mail   O
to   O
62097   B-LOCATION
with   O
a   O
detailed   O
report   O
if   O
required   O
.   O

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
Gloria   B-NAME
Cochran   I-NAME
DOB   O
:   O
19/20   B-DATE
Age   O
:   O
10   O
month   O
Address   O
:   O
IP39   B-LOCATION
2UI   I-LOCATION
,   O
67085   B-LOCATION
Phone   O
:   O
82698   B-CONTACT
Primary   O
Care   O
Physician   O
:   O
Arafat   B-NAME
,   I-NAME
Yasser   I-NAME
Health   O
Plan   O
Number   O
:   O
9   B-ID
-   I-ID
8092186   I-ID
Medical   O
Record   O
Number   O
:   O
499   B-ID
-   I-ID
25   I-ID
-   I-ID
04   I-ID
-   I-ID
3   I-ID
Employment   O
:   O
Web   O
Administrators   O
at   O
Georgia   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Southern   I-LOCATION
Company   I-LOCATION
Our   O
patient   O
,   O
Sudie   B-NAME
Witman   I-NAME
came   O
into   O
the   O
Good   B-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2250   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
19   I-DATE
.   O

Aragon   B-NAME
reported   O
an   O
onset   O
of   O
intense   O
and   O
sharp   O
abdominal   O
pain   O
that   O
started   O
2   O
days   O
prior   O
and   O
has   O
been   O
increasing   O
in   O
severity   O
.   O

In   O
addition   O
to   O
the   O
pain   O
,   O
Lenin   B-NAME
,   I-NAME
Vladimir   I-NAME
experienced   O
lower   O
appetite   O
,   O
episodes   O
of   O
nausea   O
,   O
and   O
vomiting   O
.   O

Upon   O
inspection   O
,   O
Shaffer   B-NAME
's   O
abdomen   O
was   O
distended   O
,   O
and   O
palpation   O
revealed   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

A   O
CT   O
scan   O
conducted   O
by   O
Dr.   O
Wade   B-NAME
showed   O
an   O
inflamed   O
appendix   O
,   O
indicating   O
acute   O
appendicitis   O
.   O

As   O
part   O
of   O
the   O
Enloe   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
staff   O
,   O
we   O
suggested   O
an   O
appendectomy   O
,   O
to   O
which   O
the   O
patient   O
agreed   O
.   O

The   O
surgical   O
procedure   O
happened   O
later   O
that   O
afternoon   O
,   O
led   O
by   O
Dr.   O
Oliver   B-NAME
Crane   I-NAME
,   O
and   O
was   O
successful   O
without   O
any   O
complications   O
.   O

The   O
patient   O
has   O
been   O
recommended   O
to   O
rest   O
and   O
will   O
be   O
closely   O
observed   O
at   O
Fairview   B-LOCATION
Ridges   I-LOCATION
Hospital   I-LOCATION
for   O
the   O
next   O
couple   O
of   O
days   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
set   O
with   O
Dr.   O
Murphy   B-NAME
on   O
3/7/11   B-DATE
.   O

Contacted   O
Ace   B-NAME
,   I-NAME
Jane   I-NAME
's   O
employer   O
,   O
Federation   B-LOCATION
of   I-LOCATION
Western   I-LOCATION
India   I-LOCATION
Cine   I-LOCATION
Employees   I-LOCATION
,   O
to   O
inform   O
them   O
of   O
Lucian   B-NAME
Floyd   I-NAME
's   O
condition   O
and   O
estimated   O
time   O
of   O
return   O
to   O
work   O
.   O

Prepared   O
by   O
DF354   B-NAME
at   O
UCHealth   B-LOCATION
Poudre   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
2293   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
20   I-DATE
.   O

Patient   O
:   O
Elizabeth   B-NAME
Macdonald   I-NAME
Patient   O
ID   O
:   O
5143819   B-ID
Physician   O
:   O

Villegas   B-NAME
Date   O
of   O
consultation   O
:   O
2/27/2226   B-DATE
Medical   O
record   O
number   O
:   O
CK313534   B-ID
The   O
patient   O
,   O
House   B-NAME
,   O
a   O
Food   O
Batchmakers   O
by   O
occupation   O
,   O
came   O
into   O
Broadlawns   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
fatigue   O
,   O
dyspnea   O
on   O
exertion   O
and   O
orthopnea   O
.   O

The   O
last   O
medical   O
checkup   O
was   O
on   O
03/04   B-DATE
,   O
with   O
Tobias   B-NAME
Matthews   I-NAME
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Jose   I-LOCATION
in   O
Benld   B-LOCATION
.   O

The   O
next   O
check   O
up   O
has   O
been   O
scheduled   O
for   O
01/26   B-DATE
.   O

For   O
any   O
queries   O
,   O
the   O
patient   O
may   O
contact   O
the   O
clinical   O
coordinator   O
at   O
262   B-CONTACT
-   I-CONTACT
8595   I-CONTACT
.   O

The   O
report   O
was   O
couriered   O
to   O
the   O
Pinnacle   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Oregon   I-LOCATION
office   O
at   O
Chelsea   B-LOCATION
,   O
31888   B-LOCATION
on   O
00/09/2030   B-DATE
.   O

This   O
report   O
was   O
created   O
by   O
ri68   B-NAME
.   O

Patient   O
Name   O
:   O
John   B-NAME
Sundstrom   I-NAME
Age   O
:   O
89   O
Medical   O
Record   O
Number   O
:   O
1104090   B-ID
Doctor   O
's   O
Name   O
:   O
Ahern   B-NAME
,   I-NAME
Bertie   I-NAME
On   O
2057   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
24   I-DATE
,   O
the   O
patient   O
was   O
admitted   O
to   O
Hemet   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
after   O
presenting   O
with   O
severe   O
discomfort   O
in   O
the   O
abdomen   O
.   O

The   O
patient   O
's   O
employer   O
,   O
Burlington   B-LOCATION
,   O
located   O
in   O
Bergholz   B-LOCATION
with   O
Zip   O
code   O
57835   B-LOCATION
was   O
contacted   O
for   O
work   O
-   O
related   O
details   O
and   O
required   O
approvals   O
concerning   O
the   O
treatment   O
plan   O
and   O
hospital   O
stay   O
.   O

The   O
contact   O
number   O
during   O
working   O
hours   O
is   O
(   B-CONTACT
249   I-CONTACT
)   I-CONTACT
391   I-CONTACT
-   I-CONTACT
6064   I-CONTACT
.   O

Dr.   O
Kai   B-NAME
Fisher   I-NAME
will   O
be   O
leading   O
the   O
medical   O
team   O
for   O
this   O
surgical   O
procedure   O
.   O

Upon   O
discharge   O
,   O
regular   O
follow   O
-   O
up   O
care   O
will   O
be   O
managed   O
and   O
coordinated   O
by   O
the   O
team   O
at   O
Marshfield   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Rice   I-LOCATION
Lake   I-LOCATION
.   O

Final   O
treatment   O
decisions   O
will   O
be   O
based   O
on   O
the   O
patient   O
's   O
diagnostic   O
test   O
reports   O
,   O
which   O
will   O
be   O
available   O
in   O
a   O
week   O
,   O
under   O
the   O
medical   O
record   O
5944687   B-ID
.   O

The   O
patient   O
identification   O
number   O
for   O
the   O
hospital   O
database   O
is   O
5   B-ID
-   I-ID
7631964   I-ID
and   O
any   O
information   O
related   O
to   O
the   O
treatment   O
can   O
be   O
accessed   O
using   O
this   O
ID   O
under   O
the   O
supervision   O
of   O
authorized   O
medical   O
personnel   O
.   O

Please   O
note   O
,   O
the   O
username   O
for   O
the   O
patient   O
portal   O
is   O
VT479   B-NAME
,   O
where   O
the   O
patient   O
can   O
access   O
test   O
results   O
,   O
medical   O
prescriptions   O
,   O
and   O
schedule   O
further   O
appointments   O
.   O

Patient   O
Kaylen   B-NAME
Travis   I-NAME
who   O
is   O
of   O
84   O
years   O
was   O
admitted   O
to   O
Lyndon   B-LOCATION
Baines   I-LOCATION
Johnson   I-LOCATION
Hospital   I-LOCATION
on   O
2223   B-DATE
.   O

According   O
to   O
the   O
medical   O
record   O
number   O
10481155   B-ID
,   O
he   O
had   O
been   O
experiencing   O
these   O
symptoms   O
for   O
the   O
past   O
few   O
weeks   O
.   O

Dr.   O
Molina   B-NAME
performed   O
a   O
coronary   O
catheterization   O
which   O
indicated   O
multiple   O
blockages   O
in   O
the   O
patient   O
's   O
coronary   O
arteries   O
.   O

On   O
reviewing   O
his   O
past   O
medical   O
history   O
from   O
HA909/5716   B-ID
,   O
it   O
was   O
found   O
that   O
Kevin   B-NAME
Collins   I-NAME
had   O
a   O
history   O
of   O
Type   O
II   O
Diabetes   O
.   O

Post   O
-   O
operatively   O
,   O
Hunter   B-NAME
is   O
stable   O
now   O
and   O
a   O
follow   O
-   O
up   O
visit   O
has   O
been   O
scheduled   O
for   O
him   O
with   O
Dr.   O
Lopez   B-NAME
on   O
January   B-DATE
.   O

The   O
patient   O
lives   O
in   O
Methow   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
72435   B-CONTACT
.   O

His   O
medical   O
bills   O
are   O
managed   O
by   O
National   B-LOCATION
Grid   I-LOCATION
(   I-LOCATION
Massachusetts   I-LOCATION
Electric   I-LOCATION
,   I-LOCATION
Nantucket   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
and   O
any   O
correspondence   O
can   O
be   O
done   O
through   O
their   O
user   O
account   O
uql605   B-NAME
.   O

They   O
can   O
also   O
receive   O
mails   O
at   O
19446   B-LOCATION
.   O

His   O
health   O
condition   O
will   O
need   O
close   O
monitoring   O
in   O
the   O
coming   O
weeks   O
by   O
his   O
primary   O
healthcare   O
provider   O
in   O
Bryantown   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Dominic   B-NAME
Padilla   I-NAME
Date   O
of   O
Birth   O
:   O
1793   B-DATE
Gender   O
:   O
Male   O
Address   O
:   O
Rossmoyne   B-LOCATION
Phone   O
:   O
745   B-CONTACT
-   I-CONTACT
2816   I-CONTACT
ID   O
:   O
PJ:721023:699643   B-ID
Occupation   O
:   O
Pharmacy   O
Aides   O
Patient   O
Blanchard   B-NAME
was   O
presented   O
to   O
Community   B-LOCATION
Hospital   I-LOCATION
Anderson   I-LOCATION
on   O
3/5   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
episodes   O
of   O
breathlessness   O
and   O
profuse   O
sweating   O
.   O

Lawson   B-NAME
conducted   O
a   O
thorough   O
physical   O
examination   O
.   O

Treatment   O
:   O
Patient   O
Badvibes   B-NAME
was   O
immediately   O
attended   O
to   O
by   O
Dr.   O
Fuller   B-NAME
,   I-NAME
Margaret   I-NAME
and   O
the   O
team   O
,   O
who   O
started   O
the   O
patient   O
on   O
oxygen   O
and   O
IV   O
nitroglycerine   O
.   O

Patient   O
Penn   B-NAME
was   O
started   O
on   O
a   O
low   O
salt   O
,   O
low   O
-   O
fat   O
diabetic   O
diet   O
and   O
advised   O
to   O
quit   O
smoking   O
.   O

He   O
was   O
referred   O
to   O
the   O
Cardiology   O
Department   O
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
College   I-LOCATION
Station   I-LOCATION
for   O
further   O
management   O
.   O

Next   O
Appointment   O
:   O
22/20   B-DATE
at   O
7501   B-LOCATION
Addison   I-LOCATION
St.   I-LOCATION

In   O
case   O
of   O
any   O
queries   O
,   O
the   O
patient   O
can   O
reach   O
us   O
at   O
(   B-CONTACT
828   I-CONTACT
)   I-CONTACT
608   I-CONTACT
-   I-CONTACT
8558   I-CONTACT
during   O
office   O
hours   O
or   O
email   O
to   O
uf6810   B-NAME
@   O
Youth   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
International   I-LOCATION
.com   O
Emergency   O
Contact   O
:   O
88969   B-CONTACT
Billing   O
and   O
Insurance   O
:   O
194   B-ID
-   I-ID
88   I-ID
-   I-ID
23   I-ID
-   I-ID
1   I-ID
,   O
Hingham   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Signed   O
,   O
Elliot   B-NAME
Singh   I-NAME
0/2   B-DATE
-   O
----   O

cc   O
:   O
Stanley   B-NAME
,   O
Cardiology   O
Department   O
,   O
Lake   B-LOCATION
Chelan   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
New   B-LOCATION
Johnsonville   I-LOCATION
,   O
64896   B-LOCATION

Patient   O
Name   O
:   O
Dougherty   B-NAME
Date   O
of   O
Report   O
:   O
32/34/2202   B-DATE
Doctor   O
's   O
Name   O
:   O
Bishop   B-NAME
Medical   O
Record   O
#   O
:   O
026   B-ID
-   I-ID
04   I-ID
-   I-ID
26   I-ID
-   I-ID
5   I-ID
The   O
patient   O
,   O
Barry   B-NAME
,   O
was   O
seen   O
in   O
the   O
Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Camden   I-LOCATION
Campus   I-LOCATION
due   O
for   O
a   O
detailed   O
evaluation   O
of   O
his   O
symptoms   O
which   O
he   O
first   O
started   O
experiencing   O
about   O
four   O
months   O
ago   O
.   O

Richard   B-NAME
Sturgess   I-NAME
's   O
primary   O
complaint   O
is   O
a   O
persistent   O
,   O
non   O
-   O
productive   O
cough   O
that   O
is   O
worse   O
at   O
night   O
.   O

Neruda   B-NAME
,   I-NAME
Pablo   I-NAME
is   O
a   O
Roustabouts   O
,   O
Oil   O
and   O
Gas   O
by   O
trade   O
and   O
lives   O
in   O
664   B-LOCATION
Henry   I-LOCATION
Lane   I-LOCATION
.   O

His   O
contact   O
number   O
is   O
761   B-CONTACT
2719   I-CONTACT
.   O

On   O
physical   O
examination   O
,   O
Daugherty   B-NAME
appeared   O
his   O
stated   O
age   O
,   O
7   O
month   O
.   O

A   O
chest   O
X   O
-   O
Ray   O
was   O
ordered   O
by   O
Dr.   O
Bush   B-NAME
which   O
revealed   O
an   O
opacity   O
in   O
the   O
right   O
middle   O
lobe   O
and   O
few   O
scattered   O
opacities   O
in   O
both   O
lung   O
fields   O
.   O

I   O
have   O
suggested   O
Arthur   B-NAME
Harmon   I-NAME
to   O
have   O
a   O
follow   O
-   O
up   O
visit   O
after   O
two   O
weeks   O
.   O

In   O
addition   O
,   O
we   O
advised   O
Marc   B-NAME
Erickson   I-NAME
to   O
seek   O
immediate   O
care   O
should   O
his   O
symptoms   O
worsen   O
.   O

All   O
findings   O
have   O
been   O
reported   O
back   O
to   O
Tony   B-NAME
Wilkinson   I-NAME
's   O
primary   O
care   O
physician   O
Dr.   O
Carleigh   B-NAME
Ali   I-NAME
and   O
sent   O
to   O
American   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
AB   B-ID
:   I-ID
TH:4260   I-ID
.   O

I   O
have   O
suggested   O
Blair   B-NAME
,   I-NAME
Tony   I-NAME
to   O
have   O
a   O
follow   O
-   O
up   O
with   O
pulmonary   O
function   O
tests   O
after   O
two   O
weeks   O
.   O

Dr.   O
Alma   B-NAME
Blevins   I-NAME
AP267   B-NAME
364   B-CONTACT
930   I-CONTACT
2214   I-CONTACT
85944   B-LOCATION

Patient   O
Name   O
:   O
Gaines   B-NAME
Age   O
:   O
20s   O
Gender   O
:   O
Male   O
ID   O
:   O
TT   B-ID
:   I-ID
OT:8665   I-ID
The   O
patient   O
,   O
Lila   B-NAME
Stark   I-NAME
,   O
was   O
seen   O
on   O
1607   B-DATE
at   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
in   O
Loma   B-LOCATION
,   O
complaining   O
of   O
persistent   O
abdominal   O
pain   O
,   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

Upon   O
physical   O
examination   O
by   O
Buñuel   B-NAME
,   I-NAME
Luis   I-NAME
,   O
he   O
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
101F   O
and   O
showed   O
signs   O
of   O
jaundice   O
.   O

The   O
patient   O
's   O
record   O
kept   O
at   O
Network   B-LOCATION
for   I-LOCATION
Education   I-LOCATION
and   I-LOCATION
Academic   I-LOCATION
Rights   I-LOCATION
can   O
be   O
found   O
under   O
the   O
number   O
7422349   B-ID
.   O

The   O
results   O
of   O
the   O
scan   O
conducted   O
on   O
08/15/2001   B-DATE
indicated   O
cholelithiasis   O
,   O
specifically   O
an   O
8   O
mm   O
stone   O
in   O
the   O
gall   O
bladder   O
neck   O
.   O

The   O
patient   O
can   O
be   O
reached   O
at   O
867   B-CONTACT
5767   I-CONTACT
for   O
further   O
communication   O
.   O

Further   O
details   O
regarding   O
this   O
appointment   O
have   O
been   O
sent   O
to   O
the   O
user   O
account   O
registered   O
under   O
the   O
username   O
bc54   B-NAME
on   O
our   O
hospital   O
system   O
.   O

Patient   O
's   O
residence   O
is   O
in   O
the   O
53015   B-LOCATION
area   O
.   O

Summary   O
prepared   O
by   O
:   O
Butler   B-NAME
On   O
:   O
2078   B-DATE
-   I-DATE
38   I-DATE
-   I-DATE
20   I-DATE

Patient   O
Name   O
:   O
Ayanna   B-NAME
Luna   I-NAME
Age   O
:   O
37   O
Medical   O
Record   O
Number   O
:   O
16927239   B-ID
Date   O
:   O
September   B-DATE
22   I-DATE
,   I-DATE
2012   I-DATE
Physician   O
Name   O
:   O
Huff   B-NAME
Dotson   B-NAME
presented   O
to   O
the   O
ER   O
at   O
AMITA   B-LOCATION
Health   I-LOCATION
Adventist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hinsdale   I-LOCATION
location   O
at   O
Everetts   B-LOCATION
.   O

Immediate   O
cardiology   O
consult   O
was   O
obtained   O
and   O
Abril   B-NAME
Warren   I-NAME
was   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
nitroglycerin   O
and   O
morphine   O
for   O
pain   O
relief   O
by   O
the   O
on   O
-   O
call   O
doctor   O
,   O
Javier   B-NAME
Ewing   I-NAME
.   O

Kaydence   B-NAME
Garza   I-NAME
was   O
then   O
transferred   O
for   O
an   O
emergency   O
catheterization   O
procedure   O
.   O

He   O
lives   O
in   O
Wedgewood   B-LOCATION
with   O
ZIP   O
code   O
99648   B-LOCATION
.   O

His   O
primary   O
care   O
physician   O
was   O
contacted   O
on   O
466   B-CONTACT
827   I-CONTACT
-   I-CONTACT
3482   I-CONTACT
and   O
the   O
patient   O
’s   O
updated   O
medical   O
information   O
was   O
communicated   O
on   O
6/65   B-DATE
.   O

The   O
patient   O
’s   O
identification   O
number   O
for   O
the   O
purpose   O
of   O
all   O
communications   O
for   O
the   O
hospital   O
is   O
CR   B-ID
:   I-ID
KL:6624   I-ID
and   O
the   O
username   O
to   O
access   O
all   O
health   O
-   O
related   O
information   O
is   O
uxe335   B-NAME
.   O

Post   O
-   O
procedure   O
,   O
Patricia   B-NAME
N.   I-NAME
Vallejo   I-NAME
was   O
admitted   O
to   O
Via   B-LOCATION
Christi   I-LOCATION
Hospitals   I-LOCATION
Wichita   I-LOCATION
-   I-LOCATION
St   I-LOCATION
Francis   I-LOCATION
for   O
further   O
monitoring   O
.   O

He   O
has   O
been   O
scheduled   O
for   O
cardiac   O
rehabilitation   O
at   O
Safe   B-LOCATION
Auto   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
call   O
99600   B-CONTACT
for   O
any   O
further   O
questions   O
or   O
concerns   O
regarding   O
this   O
health   O
issue   O
or   O
the   O
aforementioned   O
protocols   O
set   O
by   O
Nora   B-NAME
Campbell   I-NAME
and   O
his   O
team   O
.   O

Patient   O
Report   O
:   O
Xi   B-NAME
is   O
a   O
99s   O
-   O
year   O
-   O
old   O
female   O
who   O
presented   O
to   O
the   O
ER   O
department   O
of   O
Regional   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
of   I-LOCATION
Howard   I-LOCATION
County   I-LOCATION
on   O
34/22   B-DATE
.   O

She   O
resides   O
in   O
Garfield   B-LOCATION
with   O
her   O
husband   O
and   O
two   O
kids   O
.   O

Steve   B-NAME
Ferriera   I-NAME
's   O
main   O
complaint   O
was   O
of   O
severe   O
abdominal   O
pain   O
which   O
started   O
around   O
2247   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
00   I-DATE
.   O

She   O
was   O
under   O
the   O
care   O
of   O
Fisher   B-NAME
and   O
was   O
attending   O
the   O
cardiology   O
department   O
of   O
Presbyterian   B-LOCATION
Espanola   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
ID   O
of   O
her   O
electronic   O
health   O
record   O
is   O
930   B-ID
89   I-ID
58   I-ID
.   O

Douglas   B-NAME
Bowen   I-NAME
ordered   O
an   O
ultrasound   O
which   O
revealed   O
signs   O
of   O
acute   O
Appendicitis   O
.   O

She   O
was   O
scheduled   O
for   O
an   O
Appendectomy   O
by   O
Gustavo   B-NAME
Contreras   I-NAME
.   O

The   O
surgery   O
was   O
performed   O
successfully   O
on   O
6/1   B-DATE
in   O
Bayhealth   B-LOCATION
Hospital   I-LOCATION
Sussex   I-LOCATION
Campus   I-LOCATION
.   O

Occupationally   O
,   O
Keith   B-NAME
works   O
as   O
a   O
Counseling   O
Psychologists   O
.   O

She   O
could   O
be   O
reached   O
at   O
970   B-CONTACT
-   I-CONTACT
359   I-CONTACT
1990   I-CONTACT
for   O
further   O
discussions   O
related   O
to   O
her   O
medical   O
condition   O
.   O

Her   O
emergency   O
contact   O
is   O
her   O
husband   O
,   O
his   O
contact   O
number   O
is   O
242   B-CONTACT
-   I-CONTACT
5108   I-CONTACT
.   O

Her   O
postal   O
address   O
is   O
Hicksville   B-LOCATION
,   O
22716   B-LOCATION
.   O

She   O
is   O
insured   O
under   O
FirstCity   B-LOCATION
Bank   I-LOCATION
and   O
her   O
health   O
policy   O
ID   O
is   O
88779842   B-ID
.   O

Her   O
prescription   O
medicines   O
updates   O
and   O
other   O
details   O
have   O
been   O
recorded   O
and   O
posted   O
in   O
her   O
online   O
medical   O
account   O
provided   O
by   O
the   O
hospital   O
with   O
username   O
rm267   B-NAME
.   O

As   O
per   O
39/27   B-DATE
,   O
the   O
patient   O
is   O
currently   O
in   O
a   O
stable   O
condition   O
and   O
will   O
be   O
under   O
the   O
post   O
-   O
operative   O
care   O
team   O
of   O
the   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Sioux   I-LOCATION
City   I-LOCATION
until   O
further   O
notice   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Hanna   B-NAME
Davies   I-NAME
Age   O
:   O
95   O
Location   O
:   O
Combined   B-LOCATION
Locks   I-LOCATION
Phone   O
:   O
28603   B-CONTACT
Job   O
:   O
Elevator   O
Installers   O
and   O
Repairers   O
Medical   O
record   O
number   O
:   O
2576789   B-ID
ID   O
:   O
JR780/3892   B-ID
21/24   B-DATE
,   O
patient   O
Guy   B-NAME
Claiborne   I-NAME
,   O
a   O
98   O
year   O
old   O
with   O
a   O
primary   O
occupation   O
as   O
a   O
Marketing   O
executive   O
has   O
reported   O
unusual   O
symptoms   O
over   O
the   O
past   O
few   O
weeks   O
.   O

The   O
patient   O
is   O
a   O
local   O
resident   O
of   O
4   B-LOCATION
Tarkiln   I-LOCATION
Hill   I-LOCATION
Street   I-LOCATION
and   O
was   O
recently   O
admitted   O
to   O
Cancer   B-LOCATION
Treatment   I-LOCATION
Centers   I-LOCATION
of   I-LOCATION
America   I-LOCATION
.   O

Upon   O
consultation   O
,   O
Ferguson   B-NAME
noted   O
several   O
symptoms   O
,   O
such   O
as   O
fatigue   O
,   O
recurring   O
headaches   O
,   O
a   O
persistent   O
dry   O
cough   O
,   O
sudden   O
weight   O
loss   O
,   O
and   O
difficulties   O
in   O
maintaining   O
balance   O
.   O

These   O
symptoms   O
were   O
reported   O
by   O
the   O
patient   O
consistently   O
over   O
a   O
period   O
of   O
4   O
weeks   O
around   O
02/37   B-DATE
leading   O
to   O
the   O
decision   O
of   O
hospitalization   O
.   O

The   O
patient   O
was   O
reached   O
out   O
at   O
(   B-CONTACT
833   I-CONTACT
)   I-CONTACT
297   I-CONTACT
5034   I-CONTACT
for   O
gathering   O
more   O
information   O
about   O
the   O
history   O
of   O
these   O
symptoms   O
and   O
the   O
possibility   O
of   O
exposure   O
to   O
specific   O
environmental   O
factors   O
in   O
Shawneeland   B-LOCATION
.   O

Intense   O
diagnostic   O
tests   O
were   O
conducted   O
on   O
the   O
patient   O
by   O
Thurber   B-NAME
,   I-NAME
James   I-NAME
at   O
MercyOne   B-LOCATION
Newton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
test   O
findings   O
,   O
which   O
are   O
documented   O
under   O
medical   O
record   O
number   O
:   O
682   B-ID
-   I-ID
43   I-ID
-   I-ID
34   I-ID
-   I-ID
8   I-ID
,   O
were   O
indicative   O
of   O
a   O
neurological   O
condition   O
;   O
however   O
,   O
more   O
information   O
is   O
required   O
to   O
ascertain   O
a   O
precise   O
diagnosis   O
.   O

The   O
patient   O
's   O
health   O
data   O
has   O
been   O
forward   O
to   O
Concord   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Plant   I-LOCATION
located   O
in   O
13530   B-LOCATION
for   O
further   O
examination   O
.   O

Patient   O
Jakobe   B-NAME
Rodriguez   I-NAME
gave   O
consent   O
for   O
sharing   O
the   O
medical   O
record   O
number   O
:   O
1171560   B-ID
to   O
ensure   O
coordination   O
in   O
the   O
treatment   O
process   O
.   O

An   O
update   O
regarding   O
the   O
medical   O
results   O
from   O
Transparency   B-LOCATION
International   I-LOCATION
is   O
expected   O
by   O
12/22   B-DATE
.   O

For   O
immediate   O
response   O
or   O
queries   O
,   O
patient   O
Samantha   B-NAME
Lewis   I-NAME
or   O
their   O
designated   O
caregiver   O
can   O
contact   O
Kaufman   B-NAME
through   O
the   O
confidential   O
healthcare   O
portal   O
EC986   B-NAME
.   O

In   O
case   O
,   O
UJ399   B-NAME
is   O
not   O
accessible   O
,   O
Southeast   B-LOCATION
Colorado   I-LOCATION
Hospital   I-LOCATION
can   O
be   O
reached   O
at   O
38323   B-CONTACT
.   O

All   O
measures   O
are   O
being   O
taken   O
by   O
staff   O
at   O
Saint   B-LOCATION
Catherine   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Garden   I-LOCATION
City   I-LOCATION
to   O
monitor   O
and   O
improve   O
the   O
health   O
condition   O
of   O
Valdivia   B-NAME
.   O

Patient   O
Name   O
:   O
bishop   B-NAME
Age   O
:   O
69s   O
Date   O
:   O
23/07   B-DATE
Admitting   O
Physician   O
:   O
Mclaughlin   B-NAME
ID   O
:   O
ST:96992:122722   B-ID
Medical   O
Record   O
:   O
9484860   B-ID
Patient   O
Presentation   O
:   O
The   O
patient   O
,   O
a   O
Fire   O
Inspectors   O
,   O
was   O
brought   O
into   O
the   O
emergency   O
department   O
of   O
Southampton   B-LOCATION
Hospital   I-LOCATION
located   O
in   O
Carter   B-LOCATION
complaining   O
of   O
severe   O
,   O
generalized   O
abdominal   O
pain   O
,   O
accompanied   O
by   O
persistent   O
nausea   O
and   O
vomiting   O
for   O
the   O
past   O
24   O
hours   O
.   O

Family   O
members   O
were   O
reached   O
over   O
the   O
67519   B-CONTACT
and   O
updated   O
regarding   O
the   O
situation   O
.   O

Primary   O
care   O
physician   O
Dr.   O
Nyla   B-NAME
Mayo   I-NAME
from   O
the   O
Clinic   O
Society   B-LOCATION
Insurance   I-LOCATION
was   O
informed   O
about   O
the   O
admission   O
over   O
the   O
phone   O
.   O

The   O
patient   O
lives   O
at   O
62290   B-LOCATION
and   O
has   O
been   O
residing   O
there   O
for   O
the   O
past   O
20   O
years   O
.   O

He   O
is   O
to   O
report   O
back   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
post   O
-   O
discharge   O
on   O
2054   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
22   I-DATE
.   O

This   O
report   O
is   O
documented   O
by   O
fs311   B-NAME
for   O
official   O
records   O
and   O
future   O
references   O
.   O

Patient   O
:   O
Beyale   B-NAME
Relevant   O
History   O
:   O

The   O
patient   O
,   O
a   O
21   O
years   O
old   O
professional   O
Clinical   O
scientist   O
-   O
tissue   O
typing   O
presented   O
herself   O
to   O
Penn   B-LOCATION
Highlands   I-LOCATION
Brookville   I-LOCATION
on   O
the   O
03/21/2200   B-DATE
.   O

The   O
patient   O
appeared   O
to   O
have   O
confirmed   O
notes   O
of   O
earlier   O
evaluation   O
conducted   O
by   O
Lindsey   B-NAME
.   O

She   O
has   O
been   O
residing   O
in   O
Tupelo   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Tupelo   I-LOCATION
and   O
was   O
referred   O
to   O
us   O
by   O
Bank   B-LOCATION
of   I-LOCATION
Illinois   I-LOCATION
as   O
a   O
case   O
of   O
uncontrolled   O
hypertension   O
.   O

Her   O
medical   O
identification   O
is   O
559   B-ID
-   I-ID
47   I-ID
-   I-ID
29   I-ID
-   I-ID
2   I-ID
.   O
Symptoms   O
:   O

Jennis   B-NAME
complained   O
of   O
severe   O
headaches   O
,   O
chest   O
pain   O
,   O
and   O
shortness   O
of   O
breath   O
,   O
which   O
are   O
prominent   O
symptoms   O
of   O
uncontrolled   O
hypertension   O
.   O

Physician   O
April   B-NAME
Gallegos   I-NAME
directed   O
to   O
maintain   O
a   O
record   O
of   O
blood   O
pressure   O
readings   O
thrice   O
a   O
day   O
.   O

A   O
follow   O
-   O
up   O
after   O
two   O
days   O
from   O
the   O
00/12   B-DATE
was   O
scheduled   O
for   O
reassessment   O
.   O

Personal   O
Details   O
:   O
Name   O
:   O
Jody   B-NAME
Phone   O
number   O
:   O
786   B-CONTACT
4556   I-CONTACT
Home   O
address   O
:   O
Los   B-LOCATION
Angeles   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
90001   I-LOCATION
ZIP   O
:   O
43240   B-LOCATION
Emergency   O
Contact   O
:   O
Mr.   O
knf570   B-NAME
Relationship   O
-   O
Spouse   O
Phone   O
:   O
628   B-CONTACT
-   I-CONTACT
424   I-CONTACT
-   I-CONTACT
6927   I-CONTACT
Health   O
Insurance   O
:   O
Company   O
Name   O
:   O

Farm   B-LOCATION
Animal   I-LOCATION
Rights   I-LOCATION
Movement   I-LOCATION
(   I-LOCATION
FARM   I-LOCATION
)   I-LOCATION
Policy   O
ID   O
:   O
AG   B-ID
:   I-ID
MZ:8318   I-ID
Any   O
queries   O
or   O
further   O
information   O
can   O
be   O
obtained   O
by   O
contacting   O
the   O
hospital   O
's   O
front   O
desk   O
at   O
86128   B-CONTACT
.   O

Patient   O
Name   O
:   O
Ezequiel   B-NAME
Schultz   I-NAME
Age   O
:   O
72   O
Address   O
:   O
Village   B-LOCATION
of   I-LOCATION
Grosse   I-LOCATION
Pointe   I-LOCATION
Shores   I-LOCATION
Zip   O
Code   O
:   O
20953   B-LOCATION
Phone   O
Number   O
:   O
537   B-CONTACT
-   I-CONTACT
7407   I-CONTACT
ID   O
Num   O
:   O
7   B-ID
-   I-ID
3035463   I-ID
Profession   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Retail   O
Sales   O
Workers   O
Medical   O
Record   O
No   O
.   O
:   O
48452951   B-ID
Organization   O
:   O
United   B-LOCATION
Steelworkers   I-LOCATION
1868   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
14   I-DATE
:   O
Presenting   O
Dr.   O
Armando   B-NAME
Duffy   I-NAME
in   O
UPMC   B-LOCATION
Mercy   I-LOCATION
Clinical   O
History   O
:   O

Bobby   B-NAME
Aguirre   I-NAME
mentioned   O
a   O
history   O
of   O
productive   O
cough   O
,   O
chest   O
discomfort   O
,   O
fatigue   O
,   O
and   O
mild   O
shortness   O
of   O
breath   O
for   O
the   O
past   O
couple   O
of   O
days   O
.   O

On   O
examination   O
,   O
Purcell   B-NAME
,   I-NAME
Steve   I-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
persistent   O
cough   O
.   O

Investigations   O
:   O
A   O
chest   O
X   O
-   O
ray   O
was   O
advised   O
by   O
Dr.   O
Jake   B-NAME
Bowers   I-NAME
,   O
which   O
showed   O
no   O
focal   O
consolidation   O
,   O
but   O
some   O
peribronchial   O
cuffing   O
noted   O
suggestive   O
of   O
bronchitis   O
.   O

Along   O
with   O
this   O
,   O
Reid   B-NAME
Kennedy   I-NAME
also   O
needs   O
to   O
maintain   O
good   O
hydration   O
,   O
rest   O
,   O
and   O
avoid   O
exposure   O
to   O
irritants   O
like   O
smoke   O
.   O

They   O
have   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Conner   B-NAME
at   O
Catawba   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
North   B-LOCATION
Loup   I-LOCATION
after   O
two   O
weeks   O
.   O

Nurse   O
Signature   O
:   O
up742   B-NAME
02/09   B-DATE

Patient   O
Name   O
:   O
Derek   B-NAME
Hubert   I-NAME
2087   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
12   I-DATE
Record   O
No   O
:   O
860   B-ID
-   I-ID
39   I-ID
-   I-ID
81   I-ID
-   I-ID
8   I-ID
Dear   O
Jan   B-NAME
Arnold   I-NAME
,   O
I   O
am   O
writing   O
to   O
report   O
the   O
recent   O
developments   O
in   O
Galbraith   B-NAME
,   I-NAME
John   I-NAME
Kenneth   I-NAME
's   O
condition   O
.   O

Scarlett   B-NAME
Therrien   I-NAME
is   O
a   O
73s   O
-   O
year   O
-   O
old   O
who   O
has   O
been   O
experiencing   O
ongoing   O
symptoms   O
that   O
are   O
indicative   O
of   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
.   O

Despite   O
being   O
an   O
otherwise   O
active   O
individual   O
working   O
as   O
a   O
Nuclear   O
Medicine   O
Physicians   O
,   O
Overby   B-NAME
,   I-NAME
Fred   I-NAME
has   O
been   O
struggling   O
with   O
a   O
chronic   O
cough   O
and   O
severe   O
shortness   O
of   O
breath   O
that   O
worsens   O
with   O
physical   O
activity   O
.   O

In   O
the   O
past   O
weeks   O
,   O
Stokes   B-NAME
has   O
also   O
expressed   O
experiencing   O
wheezing   O
and   O
chest   O
tightness   O
,   O
along   O
with   O
frequent   O
respiratory   O
infections   O
,   O
most   O
notably   O
in   O
the   O
bronchi   O
.   O

Donavan   B-NAME
Mclaughlin   I-NAME
also   O
mentioned   O
about   O
unexplained   O
weight   O
loss   O
,   O
which   O
together   O
with   O
worsening   O
dyspnea   O
might   O
indicate   O
a   O
progression   O
into   O
more   O
serious   O
stages   O
of   O
COPD   O
.   O

Clara   B-NAME
Schneider   I-NAME
was   O
referred   O
to   O
Whitesburg   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
from   O
Fennville   B-LOCATION
where   O
chest   O
X   O
-   O
Ray   O
was   O
conducted   O
under   O
the   O
supervision   O
of   O
Dr.   O
Burns   B-NAME
.   O

I   O
would   O
like   O
to   O
schedule   O
a   O
visit   O
for   O
Alivia   B-NAME
Cunningham   I-NAME
to   O
discuss   O
treatment   O
options   O
and   O
prognosis   O
in   O
person   O
.   O

As   O
he   O
's   O
currently   O
residing   O
at   O
10478   B-LOCATION
,   O
If   O
there   O
's   O
any   O
available   O
appointment   O
,   O
please   O
inform   O
on   O
this   O
584   B-CONTACT
-   I-CONTACT
7039   I-CONTACT
number   O
.   O

Thank   O
you   O
,   O
bn92   B-NAME
Administrator   O
,   O
Peace   B-LOCATION
River   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
ID   O
:   O
FT   B-ID
:   I-ID
GP:6282   I-ID

Patient   O
:   O
Eleanor   B-NAME
Bramwell   I-NAME
Age   O
:   O
30   O
Phone   O
:   O
34156   B-CONTACT
Medical   O
Record   O
Number   O
:   O
72666172   B-ID
'   B-DATE
13   I-DATE
Koch   B-NAME
documented   O
Devona   B-NAME
Dishner   I-NAME
's   O
admission   O
to   O
Gulf   B-LOCATION
Coast   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
due   O
to   O
an   O
immediate   O
need   O
for   O
acute   O
care   O
.   O

Medical   O
Background   O
:   O
Kimberly   B-NAME
Burns   I-NAME
was   O
diagnosed   O
with   O
Type   O
II   O
Diabetes   O
at   O
the   O
age   O
of   O
69   O
,   O
works   O
as   O
a   O
Teacher   O
(   O
special   O
educational   O
needs   O
)   O
in   O
Hampton   B-LOCATION
,   O
and   O
suffers   O
from   O
chronic   O
hypertension   O
,   O
managed   O
with   O
Lisinopril   O
.   O

Troponin   O
levels   O
were   O
markedly   O
raised   O
at   O
0.34   O
ng   O
/   O
mL.   O
Treatment   O
Plan   O
by   O
Barker   B-NAME
from   O
JFK   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
:   O
Immediate   O
administration   O
of   O
Aspirin   O
,   O
Nitroglycerin   O
,   O
and   O
Clopidogrel   O
.   O

Additional   O
instructions   O
have   O
been   O
sent   O
to   O
the   O
patient   O
's   O
Progress   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Florida   I-LOCATION
about   O
the   O
dietary   O
changes   O
.   O

Simon   B-NAME
is   O
advised   O
to   O
seek   O
immediate   O
medical   O
care   O
if   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
excessive   O
fatigue   O
persist   O
.   O

Next   O
appointment   O
is   O
scheduled   O
for   O
11/33/32   B-DATE
.   O
ssw433   B-NAME
0   B-ID
-   I-ID
7065472   I-ID
Signed   O
,   O
Batung   B-NAME
from   O
Community   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
South   I-LOCATION
Campus   I-LOCATION
located   O
at   O
Worton   B-LOCATION
,   O
17795   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Kian   B-NAME
Jarvis   I-NAME
presented   O
at   O
the   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
Round   I-LOCATION
Rock   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
on   O
Saturday   B-DATE
with   O
symptoms   O
consistent   O
with   O
acute   O
pyelonephritis   O
.   O

The   O
patient   O
,   O
an   O
accounting   O
Coating   O
,   O
Painting   O
,   O
and   O
Spraying   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
who   O
resides   O
in   O
South   B-LOCATION
Cle   I-LOCATION
Elum   I-LOCATION
,   O
with   O
a   O
phone   O
number   O
of   O
48986   B-CONTACT
and   O
a   O
zip   O
code   O
of   O
30240   B-LOCATION
,   O
has   O
been   O
previously   O
healthy   O
,   O
with   O
no   O
known   O
allergies   O
or   O
significant   O
past   O
medical   O
history   O
.   O

A   O
complete   O
blood   O
count   O
was   O
ordered   O
by   O
Dr.   O
Duran   B-NAME
which   O
showed   O
a   O
high   O
white   O
blood   O
cell   O
count   O
,   O
and   O
urinalysis   O
confirmed   O
the   O
presence   O
of   O
blood   O
,   O
white   O
blood   O
cells   O
,   O
and   O
bacteria   O
in   O
the   O
urine   O
.   O

The   O
patient   O
's   O
social   O
security   O
RX:5540:692159   B-ID
is   O
not   O
to   O
be   O
disclosed   O
for   O
privacy   O
reasons   O
.   O

His   O
medical   O
record   O
,   O
accessible   O
by   O
the   O
username   O
MI801   B-NAME
,   O
shows   O
that   O
he   O
has   O
been   O
treated   O
for   O
symptoms   O
of   O
urinary   O
tract   O
infections   O
twice   O
in   O
past   O
five   O
years   O
.   O

He   O
was   O
admitted   O
to   O
Vidant   B-LOCATION
Bertie   I-LOCATION
Hospital   I-LOCATION
due   O
to   O
ongoing   O
symptoms   O
and   O
worsening   O
pain   O
.   O

During   O
his   O
stay   O
in   O
room   O
no   O
Lawrence   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Dr.   O
Delaney   B-NAME
Powell   I-NAME
,   O
his   O
antibiotics   O
were   O
adjusted   O
and   O
his   O
fever   O
and   O
discomfort   O
were   O
managed   O
with   O
paracetamol   O
.   O

The   O
Central   B-LOCATION
Florida   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
was   O
involved   O
in   O
the   O
follow   O
-   O
up   O
appointment   O
which   O
was   O
held   O
at   O
the   O
ZE75   B-LOCATION
1LP   I-LOCATION
clinic   O
.   O

He   O
was   O
discharged   O
on   O
January   B-DATE
with   O
a   O
prescription   O
for   O
a   O
two   O
-   O
week   O
course   O
of   O
oral   O
antibiotics   O
and   O
was   O
given   O
strict   O
follow   O
-   O
up   O
instructions   O
to   O
visit   O
his   O
primary   O
care   O
physician   O
,   O
Dr.   O
Long   B-NAME
in   O
case   O
his   O
symptoms   O
fail   O
to   O
improve   O
.   O

In   O
conclusion   O
,   O
Julien   B-NAME
Gilmore   I-NAME
who   O
has   O
a   O
medical   O
record   O
number   O
of   O
79515009   B-ID
,   O
was   O
diagnosed   O
with   O
acute   O
pyelonephritis   O
,   O
and   O
underwent   O
the   O
appropriate   O
treatment   O
throughout   O
his   O
hospital   O
stay   O
at   O
the   O
Wills   B-LOCATION
Eye   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Medical   O
Record   O
:   O
42238742   B-ID
Patient   O
Name   O
:   O
Meghan   B-NAME
Hasegawa   I-NAME

As   O
per   O
the   O
records   O
documented   O
by   O
Dr.   O
Hesse   B-NAME
,   I-NAME
Hermann   I-NAME
,   O
the   O
patient   O
reported   O
to   O
our   O
medical   O
establishment   O
,   O
Allegheny   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
located   O
in   O
Nesbitt   B-LOCATION
,   O
after   O
experiencing   O
recurrent   O
chest   O
pain   O
with   O
radiating   O
discomfort   O
to   O
the   O
left   O
arm   O
.   O

The   O
onset   O
of   O
these   O
symptoms   O
occurred   O
approximately   O
on   O
Thursday   B-DATE
,   I-DATE
May   I-DATE
.   O

Patient   O
's   O
ID   O
is   O
2   B-ID
-   I-ID
2683495   I-ID
,   O
and   O
the   O
contact   O
number   O
is   O
517   B-CONTACT
-   I-CONTACT
7582   I-CONTACT
.   O

The   O
patient   O
's   O
last   O
lipid   O
panel   O
showed   O
LDL   O
of   O
190   O
mg   O
/   O
dL   O
,   O
which   O
was   O
done   O
at   O
K.   B-LOCATION
R.   I-LOCATION
Narayanan   I-LOCATION
National   I-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Visual   I-LOCATION
Science   I-LOCATION
and   I-LOCATION
Arts   I-LOCATION
on   O
02/23   B-DATE
.   O

The   O
patient   O
also   O
lives   O
in   O
a   O
zip   O
code   O
area   O
of   O
70832   B-LOCATION
,   O
reported   O
drinking   O
alcohol   O
occasionally   O
,   O
but   O
denied   O
any   O
smoking   O
or   O
illicit   O
drug   O
use   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Jeremiah   B-NAME
Hinton   I-NAME
is   O
planning   O
to   O
start   O
the   O
patient   O
on   O
a   O
Beta   O
-   O
Blocker   O
therapy   O
and   O
has   O
advised   O
to   O
modify   O
diet   O
and   O
lifestyle   O
.   O

Follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
2056   B-DATE
.   O

All   O
information   O
was   O
logged   O
in   O
our   O
medical   O
system   O
using   O
tk888   B-NAME
.   O

The   O
clinical   O
team   O
at   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
East   I-LOCATION
Hospital   I-LOCATION
will   O
closely   O
monitor   O
the   O
patient   O
's   O
condition   O
to   O
provide   O
optimal   O
care   O
.   O

Patient   O
Name   O
:   O
Braedon   B-NAME
Schmidt   I-NAME
Age   O
:   O
71   O
Medical   O
record   O
:   O
322   B-ID
-   I-ID
00   I-ID
-   I-ID
80   I-ID
Location   O
:   O

West   B-LOCATION
Siloam   I-LOCATION
Springs   I-LOCATION
Physician   O
:   O

Stanley   B-NAME
Hospital   O
:   O
Baptist   B-LOCATION
Health   I-LOCATION
Louisville   I-LOCATION
Date   O
:   O
1/5   B-DATE
Chief   O
Complaint   O
:   O
Sampson   B-NAME
presented   O
with   O
persistent   O
and   O
unexplained   O
fatigue   O
for   O
approximately   O
six   O
weeks   O
.   O

Past   O
Medical   O
History   O
:   O
Carroll   B-NAME
was   O
previously   O
diagnosed   O
with   O
hypertension   O
and   O
had   O
a   O
gallbladder   O
removed   O
in   O
surgery   O
at   O
MidHudson   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Westchester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
07/24   B-DATE
.   O

The   O
patient   O
also   O
has   O
a   O
family   O
history   O
of   O
type   O
II   O
diabetes   O
but   O
tested   O
negative   O
during   O
a   O
routine   O
checkup   O
on   O
33   B-DATE
-   I-DATE
9   I-DATE
.   O

Mitchell   B-NAME
Graham   I-NAME
described   O
no   O
history   O
of   O
smoking   O
or   O
heavy   O
alcohol   O
use   O
.   O

The   O
Bernard   B-NAME
Jennings   I-NAME
appeared   O
tired   O
but   O
was   O
in   O
no   O
visible   O
acute   O
distress   O
.   O

Health   O
ID   O
:   O
ZA231/2645   B-ID
Follow   O
Up   O
:   O

The   O
Jordan   B-NAME
was   O
advised   O
to   O
have   O
a   O
repeat   O
complete   O
blood   O
count   O
and   O
liver   O
function   O
tests   O
in   O
two   O
weeks   O
.   O

The   O
werner   B-NAME
was   O
also   O
provided   O
a   O
421   B-CONTACT
-   I-CONTACT
7320   I-CONTACT
number   O
for   O
any   O
emergencies   O
or   O
if   O
symptoms   O
worsen   O
.   O

Employment   O
:   O
Kale   B-NAME
Lambert   I-NAME
works   O
as   O
a   O
Mining   O
Machine   O
Operators   O
,   O
All   O
Other   O
at   O
Constitutional   B-LOCATION
Worlds   I-LOCATION
.   O

Address   O
:   O
Wauchula   B-LOCATION
,   O
42678   B-LOCATION
Contacts   O
:   O
Jamal   B-NAME
Adkins   I-NAME
provided   O
an   O
emergency   O
contact   O
number   O
:   O
10587   B-CONTACT
Report   O
Compiled   O
by   O
:   O
yf462   B-NAME
Note   O
:   O
All   O
possible   O
causes   O
of   O
the   O
patient   O
's   O
fatigue   O
,   O
anemia   O
,   O
and   O
elevated   O
liver   O
enzymes   O
need   O
to   O
be   O
explored   O
,   O
and   O
appropriate   O
actions   O
need   O
to   O
be   O
taken   O
accordingly   O
.   O

Patient   O
Report   O
:   O
Walter   B-NAME
Bishop   I-NAME
,   O
a   O
94   O
year   O
old   O
professional   O
Fishers   O
and   O
Related   O
Fishing   O
Workers   O
residing   O
at   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11204   I-LOCATION
,   O
was   O
admitted   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
East   I-LOCATION
on   O
July   B-DATE
27th   I-DATE
under   O
the   O
care   O
of   O
Livingston   B-NAME
.   O

The   O
patient   O
,   O
identified   O
with   O
ID   O
number   O
AW:100750:810987   B-ID
,   O
was   O
feeling   O
unwell   O
for   O
a   O
few   O
days   O
with   O
general   O
symptoms   O
of   O
malaise   O
and   O
fatigue   O
.   O

Upon   O
closer   O
medical   O
inspection   O
in   O
the   O
ER   O
,   O
John   B-NAME
H.   I-NAME
Watson   I-NAME
had   O
an   O
elevated   O
heart   O
rate   O
,   O
low   O
grade   O
fever   O
(   O
37.8   O
°   O
C   O
)   O
,   O
migratory   O
arthralgia   O
and   O
palpable   O
purpura   O
.   O

On   O
neurological   O
examination   O
,   O
Ferraro   B-NAME
reported   O
a   O
headache   O
with   O
a   O
severity   O
rated   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
numerical   O
rating   O
scale   O
.   O

A   O
skin   O
biopsy   O
was   O
ordered   O
and   O
sent   O
to   O
1st   B-LOCATION
Pacific   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
California   I-LOCATION
.   O

The   O
Medical   O
Record   O
number   O
for   O
the   O
same   O
is   O
9665035   B-ID
.   O

Clinical   O
features   O
and   O
laboratory   O
findings   O
from   O
Wrightsville   B-LOCATION
suggest   O
the   O
possibility   O
of   O
Henoch   O
-   O
Shonlein   O
purpura   O
.   O

Youssef   B-NAME
Null   I-NAME
's   O
contact   O
number   O
,   O
(   B-CONTACT
990   I-CONTACT
)   I-CONTACT
697   I-CONTACT
-   I-CONTACT
2805   I-CONTACT
,   O
has   O
been   O
registered   O
for   O
any   O
necessary   O
communication   O
.   O

On   O
reviewing   O
medical   O
and   O
familial   O
history   O
,   O
Kelsie   B-NAME
Barnett   I-NAME
mentioned   O
that   O
their   O
parent   O
died   O
of   O
myocardial   O
infarction   O
at   O
the   O
74   O
of   O
62   O
.   O

In   O
wake   O
of   O
the   O
current   O
findings   O
,   O
Glas   B-NAME
has   O
been   O
recommended   O
to   O
self   O
-   O
quarantine   O
inside   O
Lafayette   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
premises   O
at   O
the   O
instructed   O
location   O
.   O

Health   O
status   O
is   O
to   O
be   O
closely   O
monitored   O
and   O
any   O
changes   O
will   O
be   O
immediately   O
reported   O
to   O
the   O
on   O
-   O
call   O
physician   O
,   O
Hurst   B-NAME
.   O

Interdepartmental   O
communication   O
has   O
been   O
carried   O
out   O
through   O
sru441   B-NAME
and   O
the   O
patient   O
's   O
case   O
will   O
be   O
discussed   O
in   O
further   O
detail   O
in   O
the   O
following   O
days   O
.   O

All   O
records   O
have   O
been   O
digitized   O
and   O
stored   O
under   O
22826646   B-ID
.   O

Follow   O
up   O
appointments   O
have   O
been   O
scheduled   O
at   O
HealthAlliance   B-LOCATION
-   I-LOCATION
Clinton   I-LOCATION
Hospital   I-LOCATION
,   O
Mangham   B-LOCATION
90786   B-LOCATION
for   O
the   O
coming   O
21/28   B-DATE
.   O

Fisher   B-NAME
Bush   I-NAME
Physician   O
:   O

Pratt   B-NAME
Visiting   O
the   O
Farmers   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
clinic   O
today   O
,   O
patient   O
Hickman   B-NAME
presented   O
with   O
complaints   O
of   O
severe   O
pain   O
in   O
the   O
upper   O
abdomen   O
.   O

Patient   O
is   O
a   O
Geoscientists   O
,   O
Except   O
Hydrologists   O
and   O
Geographers   O
of   O
5   O
years   O
and   O
works   O
in   O
close   O
proximity   O
with   O
harsh   O
chemicals   O
at   O
Wiseman   B-LOCATION
.   O

According   O
to   O
the   O
patient   O
,   O
the   O
pain   O
started   O
about   O
a   O
week   O
ago   O
,   O
around   O
31/25/22   B-DATE
and   O
has   O
progressively   O
increased   O
.   O

In   O
addition   O
to   O
the   O
pain   O
,   O
patient   O
Anya   B-NAME
Campos   I-NAME
also   O
experienced   O
bloating   O
,   O
flatulence   O
,   O
and   O
episodes   O
of   O
heartburn   O
,   O
suggesting   O
potential   O
dyspepsia   O
.   O

The   O
patient   O
was   O
instructed   O
to   O
return   O
to   O
Bayfront   B-LOCATION
Health   I-LOCATION
Port   I-LOCATION
Charlotte   I-LOCATION
for   O
results   O
and   O
next   O
steps   O
.   O

Patient   O
's   O
contact   O
number   O
is   O
(   B-CONTACT
239   I-CONTACT
)   I-CONTACT
675   I-CONTACT
-   I-CONTACT
2426   I-CONTACT
and   O
the   O
address   O
is   O
Frederic   B-LOCATION
,   O
39081   B-LOCATION
.   O

His   O
consent   O
was   O
obtained   O
and   O
documented   O
in   O
medical   O
record   O
number   O
03725719   B-ID
.   O

His   O
health   O
insurance   O
plan   O
29455812   B-ID
was   O
noted   O
and   O
the   O
insurance   O
claim   O
process   O
was   O
initiated   O
.   O

The   O
referral   O
from   O
Fiona   B-NAME
Gentry   I-NAME
was   O
also   O
attached   O
with   O
his   O
profile   O
.   O

Though   O
patient   O
Irmgard   B-NAME
was   O
initially   O
apprehensive   O
,   O
he   O
agreed   O
to   O
the   O
endoscopy   O
procedure   O
scheduled   O
for   O
22/29/80   B-DATE
.   O

His   O
next   O
appointment   O
was   O
booked   O
online   O
with   O
the   O
username   O
jba8410   B-NAME
.   O

Patient   O
Name   O
:   O
Louvenia   B-NAME
MRN   O
:   O
51920600   B-ID
Date   O
of   O
Birth   O
:   O
02/46   B-DATE
Address   O
:   O
Farnworth   B-LOCATION
,   O
37534   B-LOCATION
Phone   O
:   O
982   B-CONTACT
2062   I-CONTACT
SSN   O
:   O
78952006   B-ID
Health   O
Plan   O
Number   O
:   O
XT:25980:575367   B-ID
Primary   O
Care   O
Physician   O
:   O

Lloyd   B-NAME
Admitting   O
Location   O
:   O
Medical   B-LOCATION
City   I-LOCATION
Lewisville   I-LOCATION
Referring   O
Organization   O
:   O
Brewers   B-LOCATION
Association   I-LOCATION
(   I-LOCATION
BA   I-LOCATION
)   I-LOCATION
Job   O
:   O
Legal   O
Secretaries   O
Username   O
Access   O
:   O
tyx788   B-NAME
,   O
Admitting   O
History   O
:   O
Eugene   B-NAME
Sutphin   I-NAME
was   O
admitted   O
to   O
Broward   B-LOCATION
Health   I-LOCATION
Imperial   I-LOCATION
Point   I-LOCATION
on   O
37/23   B-DATE
,   O
referred   O
by   O
Leia   B-NAME
Gutierrez   I-NAME
from   O
Botswana   B-LOCATION
Telecommunication   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

Infant   B-NAME
Church   I-NAME
was   O
taken   O
to   O
the   O
operating   O
room   O
the   O
next   O
morning   O
.   O

The   O
patient   O
was   O
discharged   O
from   O
BronxCare   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
August   B-DATE
to   O
her   O
home   O
in   O
Hannaford   B-LOCATION
.   O

She   O
was   O
given   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
George   B-NAME
to   O
occur   O
on   O
22   B-DATE
March   I-DATE
2071   I-DATE
.   O

The   O
patient   O
's   O
contact   O
phone   O
number   O
is   O
56066   B-CONTACT
and   O
the   O
emergency   O
contact   O
of   O
the   O
patient   O
has   O
been   O
updated   O
.   O

Her   O
MRN   O
is   O
139   B-ID
-   I-ID
92   I-ID
-   I-ID
21   I-ID
-   I-ID
5   I-ID
and   O
her   O
identification   O
details   O
(   O
SSN   O
:   O
655744   B-ID
)   O
were   O
confirmed   O
.   O

Patient   O
Name   O
:   O
Rafael   B-NAME
Frank   I-NAME
Gender   O
:   O
Male   O
Age   O
:   O
31   O
Chief   O
Complaint   O
:   O
Warda   B-NAME
Graham   I-NAME
reports   O
experiencing   O
considerable   O
discomfort   O
in   O
the   O
upper   O
abdomen   O
,   O
specifically   O
in   O
the   O
right   O
hypochondriac   O
region   O
underneath   O
the   O
rib   O
cage   O
.   O

Hackenstein   B-NAME
has   O
a   O
documented   O
history   O
of   O
diabetes   O
mellitus   O
type   O
II   O
,   O
hyperlipidemia   O
.   O

Diagnostic   O
Tests   O
:   O
Liver   O
function   O
tests   O
were   O
conducted   O
on   O
32/09/62   B-DATE
.   O

The   O
patient   O
was   O
referred   O
to   O
Kane   B-NAME
at   O
CHI   B-LOCATION
Health   I-LOCATION
Missouri   I-LOCATION
Valley   I-LOCATION
for   O
further   O
evaluation   O
and   O
treatment   O
of   O
acute   O
cholecystitis   O
.   O

Demographics   O
:   O
Patient   O
ID   O
:   O
AS   B-ID
:   I-ID
KG:1699   I-ID
Medical   O
Record   O
No   O
:   O
4518593   B-ID
Location   O
:   O
Gallant   B-LOCATION
Phone   O
:   O
(   B-CONTACT
125   I-CONTACT
)   I-CONTACT
436   I-CONTACT
-   I-CONTACT
4556   I-CONTACT
Profession   O
:   O
Education   O
,   O
Training   O
,   O
and   O
Library   O
Workers   O
,   O
All   O
Other   O
Username   O
(   O
if   O
necessary   O
):   O
pp770   B-NAME
Zip   O
:   O
57139   B-LOCATION
Insurance   O
Provider   O
:   O

First   B-LOCATION
Security   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Referring   O
Physician   O
:   O

Wood   B-NAME
at   O
Salt   B-LOCATION
Lake   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
The   O
patient   O
and   O
family   O
were   O
informed   O
about   O
the   O
situation   O
,   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
.   O

Patient   O
:   O
Garfield   B-NAME
Age   O
:   O
67   O
Date   O
of   O
consultation   O
:   O
April   B-DATE
Consulting   O
Doctor   O
:   O
Jacquelyn   B-NAME
Estes   I-NAME
On   O
1811   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
08   I-DATE
,   O
Paul   B-NAME
was   O
brought   O
to   O
the   O
emergency   O
unit   O
of   O
Chestatee   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
after   O
experiencing   O
episodes   O
of   O
severe   O
chest   O
pain   O
.   O

The   O
patient   O
's   O
medical   O
history   O
obtained   O
from   O
the   O
Cape   B-LOCATION
Coral   I-LOCATION
Hospital   I-LOCATION
's   O
record   O
ID   O
2394786   B-ID
showed   O
that   O
he   O
is   O
a   O
known   O
case   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Patient   O
resides   O
in   O
Paramount   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
90723   I-LOCATION
and   O
his   O
contact   O
number   O
is   O
29146   B-CONTACT
.   O

He   O
is   O
employed   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors-   O
Construction   O
Trades   O
Workers   O
at   O
Planters   B-LOCATION
EMC   I-LOCATION
.   O

Verification   O
of   O
his   O
ID   O
8762456   B-ID
was   O
completed   O
as   O
part   O
of   O
registering   O
the   O
emergency   O
.   O

Maggie   B-NAME
Olson   I-NAME
at   O
Peoa   B-LOCATION
will   O
carry   O
out   O
the   O
procedure   O
on   O
2/29   B-DATE
.   O

Follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Henry   B-NAME
Pinkham   I-NAME
on   O
December   B-DATE
37   I-DATE
,   I-DATE
2005   I-DATE
at   O
Providence   B-LOCATION
Alaska   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

ov359   B-NAME
(   O
Medical   O
staff   O
)   O

12/07   B-DATE
Layne   B-NAME
Hancock   I-NAME
:   O
Dr.   O
Jones   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
:   O
Mercy   O
Hospital   O
San   B-LOCATION
Simon   I-LOCATION
:   O

Room   O
307   O
Sutton   B-NAME
consulted   O
with   O
cline   B-NAME
for   O
complaints   O
of   O
persistent   O
,   O
high   O
-   O
grade   O
fever   O
lasting   O
for   O
the   O
past   O
five   O
days   O
,   O
severe   O
fatigue   O
,   O
and   O
a   O
dry   O
cough   O
.   O

Devon   B-NAME
Hopkins   I-NAME
's   O
temperature   O
measured   O
at   O
the   O
time   O
was   O
102.3   O
degrees   O
Fahrenheit   O
.   O

Jaeden   B-NAME
Nelson   I-NAME
stated   O
they   O
had   O
developed   O
mild   O
shortness   O
of   O
breath   O
over   O
the   O
last   O
24   O
hours   O
which   O
seemed   O
to   O
be   O
more   O
evident   O
during   O
mild   O
physical   O
activities   O
.   O

On   O
examination   O
,   O
Angelique   B-NAME
Garrett   I-NAME
appeared   O
gaunt   O
and   O
was   O
flushed   O
due   O
to   O
fever   O
.   O

Eliza   B-NAME
Vazquez   I-NAME
was   O
put   O
on   O
antibiotics   O
and   O
was   O
advised   O
to   O
complete   O
the   O
course   O
even   O
after   O
the   O
symptoms   O
subsided   O
.   O

Regular   O
follow   O
-   O
up   O
visits   O
to   O
monitor   O
August   B-NAME
Benton   I-NAME
's   O
progress   O
are   O
scheduled   O
.   O

Upon   O
further   O
inquiry   O
,   O
Cali   B-NAME
Lynch   I-NAME
stated   O
they   O
are   O
a   O
Conference   O
organiser   O
:   O
construction   O
worker   O
and   O
live   O
alone   O
.   O

They   O
are   O
50   O
years   O
old   O
,   O
a   O
smoker   O
,   O
and   O
have   O
been   O
a   O
resident   O
of   O
Nikep   B-LOCATION
since   O
birth   O
.   O

Sanai   B-NAME
Carpenter   I-NAME
's   O
concerns   O
revolved   O
around   O
getting   O
back   O
to   O
work   O
as   O
soon   O
as   O
possible   O
.   O

Emergency   O
contact   O
:   O
ltg362   B-NAME
:   O
JSmith9877   O
Relationship   O
to   O
patient   O
:   O
Brother   O
876   B-CONTACT
-   I-CONTACT
1523   I-CONTACT
:   O

xxx   O
-   O
xxx   O
-   O
xxxx   O
Fowler   B-NAME
's   O
assessment   O
and   O
plan   O
were   O
explained   O
to   O
Bryson   B-NAME
in   O
non   O
-   O
medical   O
,   O
easy   O
-   O
to   O
-   O
understand   O
language   O
to   O
ensure   O
their   O
full   O
understanding   O
and   O
cooperation   O
.   O

Perlis   B-NAME
,   I-NAME
Alan   I-NAME
Signature   O
:   O
Dr.   O
Jones   O
Date   O
:   O
22/25   B-DATE
Divine   B-LOCATION
Confederacy   I-LOCATION
:   O
American   O
Board   O
of   O
Internal   O
Medicine   O
Card   O
ID   O
:   O
ZL:432100:521845   B-ID
Card   O
Expiry   O
:   O
3/27/80   B-DATE
72275   B-LOCATION
:   O
xxxxx   O

Patient   O
Report   O
:   O
Derek   B-NAME
Wiley   I-NAME
,   O
a   O
Charities   O
fundraiser   O
from   O
Black   B-LOCATION
Creek   I-LOCATION
,   O
presented   O
to   O
the   O
ER   O
of   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Wednesday   B-DATE
,   I-DATE
September   I-DATE
.   O

Emergency   O
contact   O
is   O
Isabelle   B-NAME
Rich   I-NAME
's   O
son   O
who   O
lives   O
in   O
Atascocita   B-LOCATION
.   O

His   O
phone   O
number   O
is   O
(   B-CONTACT
866   I-CONTACT
)   I-CONTACT
461   I-CONTACT
5745   I-CONTACT
.   O

The   O
patient   O
's   O
home   O
address   O
is   O
Haymarket   B-LOCATION
77812   B-LOCATION
and   O
his   O
professional   O
contact   O
address   O
is   O
East   B-LOCATION
McKeesport   I-LOCATION
44818   B-LOCATION
.   O

Noel   B-NAME
Powell   I-NAME
's   O
vitals   O
were   O
recorded   O
upon   O
admission   O
.   O

His   O
primary   O
physician   O
,   O
Dr.   O
Cook   B-NAME
,   O
was   O
contacted   O
and   O
his   O
medical   O
records   O
were   O
requested   O
.   O

His   O
medical   O
record   O
number   O
is   O
4993597   B-ID
.   O

Results   O
will   O
be   O
updated   O
in   O
his   O
electronic   O
health   O
record   O
under   O
szv813   B-NAME
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Jasmin   B-NAME
Kane   I-NAME
at   O
CarePoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Christ   I-LOCATION
Hospital   I-LOCATION
on   O
10/30/1924   B-DATE
.   O

The   O
patient   O
is   O
covered   O
by   O
the   O
health   O
insurance   O
organization   O
Syndicracy   B-LOCATION
Spheres   I-LOCATION
.   O

His   O
insurance   O
ID   O
number   O
is   O
UX940/5614   B-ID
.   O

In   O
case   O
of   O
further   O
inquiries   O
regarding   O
the   O
patient   O
or   O
his   O
condition   O
,   O
please   O
contact   O
the   O
hospital   O
at   O
484   B-CONTACT
6712   I-CONTACT
.   O

By   O
Katherin   B-NAME
Bulnes   I-NAME
's   O
team   O
at   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Cypress   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
mata   B-NAME
visited   O
Faxton   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
on   O
26/35   B-DATE
.   O

The   O
patient   O
is   O
a   O
Physical   O
Therapist   O
Assistants   O
residing   O
in   O
Tarrytown   B-LOCATION
with   O
zip   O
code   O
66015   B-LOCATION
.   O

Nikia   B-NAME
Dardashti   I-NAME
's   O
primary   O
care   O
physician   O
is   O
Dr.   O
Cobb   B-NAME
.   O
Subjective   O
:   O
Coleman   B-NAME
Shaw   I-NAME
is   O
60   O
years   O
old   O
and   O
complained   O
of   O
severe   O
headache   O
,   O
vertigo   O
,   O
and   O
weakness   O
in   O
the   O
left   O
side   O
of   O
the   O
body   O
.   O

Objective   O
:   O
Upon   O
initial   O
observation   O
,   O
Collison   B-NAME
,   I-NAME
Chris   I-NAME
seemed   O
a   O
bit   O
disoriented   O
.   O

Emmy   B-NAME
Payna   I-NAME
was   O
admitted   O
to   O
the   O
neurological   O
intensive   O
care   O
unit   O
of   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
.   O

Jaden   B-NAME
Riddle   I-NAME
ordered   O
a   O
stat   O
dose   O
of   O
IV   O
tPA   O
(   O
tissue   O
plasminogen   O
activator   O
)   O
,   O
following   O
which   O
Orwell   B-NAME
,   I-NAME
George   I-NAME
was   O
started   O
on   O
aspirin   O
81   O
mg   O
daily   O
and   O
atorvastatin   O
40   O
mg   O
daily   O
.   O

Further   O
imaging   O
and   O
neurological   O
assessments   O
were   O
scheduled   O
for   O
the   O
following   O
12/26/12   B-DATE
.   O

Contact   O
Information   O
:   O
Maribel   B-NAME
Mccarthy   I-NAME
can   O
be   O
reached   O
at   O
318   B-CONTACT
-   I-CONTACT
387   I-CONTACT
8039   I-CONTACT
or   O
his   O
emergency   O
contact   O
.   O

Medical   O
record   O
number   O
for   O
Inge   B-NAME
J.   I-NAME
Logan   I-NAME
is   O
1095601   B-ID
.   O

Insurance   O
:   O
Linnie   B-NAME
Labombard   I-NAME
is   O
insured   O
under   O
Botswana   B-LOCATION
Private   I-LOCATION
Medical   I-LOCATION
&   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
,   O
ID   O
number   O
OV   B-ID
:   I-ID
PW:4942   I-ID
,   O
which   O
needs   O
to   O
be   O
updated   O
in   O
the   O
hospital   O
's   O
record   O
.   O

Physician   O
's   O
sign   O
:   O
Dr.   O
ysu917   B-NAME
Note   O
:   O
All   O
mentioned   O
medical   O
data   O
is   O
confidential   O
and   O
must   O
be   O
used   O
in   O
compliance   O
with   O
the   O
Health   O
Insurance   O
Portability   O
and   O
Accountability   O
Act   O
(   O
HIPAA   O
)   O
.   O

Patient   O
Name   O
:   O
Josie   B-NAME
Cortez   I-NAME
Age   O
:   O
17   O
DOB   O
:   O
5/27   B-DATE
MRN   O
:   O
540   B-ID
-   I-ID
68   I-ID
-   I-ID
88   I-ID
-   I-ID
9   I-ID
Location   O
:   O
Estill   B-LOCATION
Zip   O
Code   O
:   O
80466   B-LOCATION
Klein   B-NAME
referred   O
Loku   B-NAME
to   O
UF   B-LOCATION
Health   I-LOCATION
Jacksonville   I-LOCATION
on   O
32/20/64   B-DATE
.   O

Balzac   B-NAME
,   I-NAME
Honoré   I-NAME
de   I-NAME
,   O
a   O
Transportation   O
Security   O
Screeners   O
by   O
profession   O
,   O
arrived   O
complaining   O
of   O
severe   O
breathlessness   O
accompanied   O
by   O
a   O
persistent   O
cough   O
.   O

In   O
addition   O
,   O
Julian   B-NAME
Mercer   I-NAME
reported   O
experiencing   O
intermittent   O
bouts   O
of   O
chest   O
pain   O
,   O
exacerbated   O
significantly   O
upon   O
deeply   O
inhaling   O
.   O

Jax   B-NAME
Acevedo   I-NAME
observed   O
a   O
significant   O
amount   O
of   O
fluid   O
accumulation   O
in   O
the   O
pleural   O
space   O
.   O

A   O
subsequent   O
CT   O
scan   O
was   O
carried   O
out   O
at   O
the   O
Radiology   O
department   O
of   O
Coastal   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
on   O
10/96   B-DATE
,   O
to   O
further   O
investigate   O
Louis   B-NAME
,   I-NAME
Joe   I-NAME
's   O
condition   O
.   O

J.   B-NAME
Needham   I-NAME
is   O
scheduled   O
for   O
a   O
thoracentesis   O
procedure   O
on   O
0/9   B-DATE
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Quakertown   I-LOCATION
Hospital   I-LOCATION
.   O

Insurance   O
ID   O
:   O
CF   B-ID
:   I-ID
UN:3910   I-ID
Phone   O
Number   O
:   O
87449   B-CONTACT
Employer   O
:   O

Beer   B-LOCATION
Judge   I-LOCATION
Certification   I-LOCATION
Program   I-LOCATION
(   I-LOCATION
BJCP   I-LOCATION
)   I-LOCATION

Given   O
Aarav   B-NAME
Peterson   I-NAME
's   O
age   O
and   O
occupational   O
exposure   O
as   O
a   O
Model   O
Makers   O
,   O
Metal   O
and   O
Plastic   O
,   O
some   O
occupational   O
lung   O
diseases   O
can   O
not   O
be   O
ruled   O
out   O
and   O
furthermore   O
investigation   O
will   O
be   O
necessary   O
.   O

The   O
patient   O
-   O
portal   O
's   O
username   O
for   O
upcoming   O
appointment   O
notifications   O
is   O
yp60   B-NAME
.   O

Kayleen   B-NAME
has   O
been   O
advised   O
to   O
practice   O
rest   O
and   O
refrain   O
from   O
any   O
strenuous   O
activity   O
until   O
further   O
instructions   O
post   O
-   O
diagnosis   O
.   O

To   O
discuss   O
the   O
next   O
steps   O
,   O
please   O
get   O
in   O
touch   O
with   O
the   O
assigned   O
case   O
manager   O
at   O
Lourdes   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
using   O
the   O
contact   O
no   O
.   O

172   B-CONTACT
-   I-CONTACT
461   I-CONTACT
8702   I-CONTACT
.   O

Prepared   O
by   O
:   O
Joyce   B-NAME
Woodard   I-NAME

Patient   O
Name   O
:   O
Walters   B-NAME
ID   O
:   O
1604759   B-ID
Age   O
:   O
3   O
Phone   O
Number   O
:   O
741   B-CONTACT
-   I-CONTACT
3275   I-CONTACT
Medical   O
record   O
:   O
73459888   B-ID
Preferred   O
doctor   O
:   O
Skinner   B-NAME
7/3   B-DATE
,   O
Patient   O
House   B-NAME
,   I-NAME
Jinnah   I-NAME
presented   O
at   O
Sparrow   B-LOCATION
Clinton   I-LOCATION
Hospital   I-LOCATION
in   O
West   B-LOCATION
Plains   I-LOCATION
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
suggestive   O
of   O
angina   O
pectoris   O
.   O

The   O
patient   O
,   O
who   O
follows   O
a   O
sedentary   O
Floor   O
Layers   O
,   O
Except   O
Carpet   O
,   O
Wood   O
,   O
and   O
Hard   O
Tiles   O
,   O
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
Type   O
II   O
diabetes   O
and   O
is   O
currently   O
on   O
metformin   O
and   O
Lisinopril   O
as   O
prescribed   O
by   O
Dr.   O
Kristen   B-NAME
Hodge   I-NAME
from   O
Finance   B-LOCATION
Sector   I-LOCATION
Union   I-LOCATION
.   O

Griffin   B-NAME
Bernard   I-NAME
's   O
latest   O
cholesterol   O
level   O
,   O
as   O
noted   O
in   O
medical   O
record   O
4705216   B-ID
,   O
was   O
245   O
mg   O
/   O
dL   O
,   O
much   O
higher   O
than   O
the   O
recommended   O
200   O
mg   O
/   O
dL.   O
Emergency   O
services   O
were   O
alerted   O
by   O
a   O
call   O
made   O
from   O
(   B-CONTACT
825   I-CONTACT
)   I-CONTACT
495   I-CONTACT
-   I-CONTACT
5381   I-CONTACT
,   O
and   O
DeGeneres   B-NAME
,   I-NAME
Ellen   I-NAME
was   O
quickly   O
transported   O
from   O
their   O
place   O
of   O
work   O
at   O
New   B-LOCATION
Baltimore   I-LOCATION
to   O
Merit   B-LOCATION
Health   I-LOCATION
Wesley   I-LOCATION
.   O

Upon   O
arrival   O
,   O
UPHOFF   B-NAME
,   I-NAME
ANTHONY   I-NAME
was   O
promptly   O
admitted   O
and   O
tests   O
including   O
an   O
Electrocardiogram   O
(   O
ECG   O
)   O
and   O
blood   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Laura   B-NAME
Hill   I-NAME
.   O

As   O
per   O
the   O
report   O
dated   O
21/71   B-DATE
,   O
Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
Francis   I-NAME
Jr.   I-NAME
's   O
ECG   O
results   O
revealed   O
ST   O
-   O
segment   O
elevation   O
suggesting   O
a   O
possible   O
myocardial   O
infarction   O
.   O

Angel   B-NAME
Mason   I-NAME
's   O
troponin   O
levels   O
were   O
also   O
elevated   O
-   O
a   O
further   O
sign   O
of   O
possible   O
myocardial   O
damage   O
.   O

Braun   B-NAME
has   O
recommended   O
an   O
immediate   O
angioplasty   O
procedure   O
to   O
restore   O
blood   O
flow   O
to   O
the   O
patient   O
's   O
heart   O
muscle   O
.   O

Jeanne   B-NAME
Bartlett   I-NAME
will   O
be   O
referred   O
to   O
a   O
cardiology   O
specialist   O
within   O
the   O
same   O
Integrity   B-LOCATION
Bank   I-LOCATION
,   O
and   O
retention   O
team   O
is   O
advised   O
to   O
follow   O
up   O
with   O
the   O
patient   O
using   O
66358   B-CONTACT
.   O

MA650   B-NAME
completed   O
the   O
documentation   O
and   O
it   O
was   O
sealed   O
for   O
delivery   O
to   O
96538   B-LOCATION
at   O
7/07   B-DATE
.   O

They   O
are   O
scheduled   O
to   O
undergo   O
treatment   O
soon   O
in   O
the   O
Morris   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Council   I-LOCATION
Grove   I-LOCATION
as   O
planned   O
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Jeremiah   B-NAME
Alvarez   I-NAME
ID   O
:   O
IG366/6640   B-ID
Date   O
:   O
2132   B-DATE
Address   O
:   O
Curran   B-LOCATION
,   O
96570   B-LOCATION
Phone   O
Number   O
:   O
367   B-CONTACT
-   I-CONTACT
1848   I-CONTACT
Primary   O
Care   O
Doctor   O
:   O
Mullins   B-NAME
Hospital   O
:   O
Monroe   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
561   B-ID
-   I-ID
56   I-ID
-   I-ID
28   I-ID

The   O
patient   O
,   O
Kyler   B-NAME
Knapp   I-NAME
,   O
presented   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
that   O
started   O
on   O
December   B-DATE
.   O

Dillan   B-NAME
Hatfield   I-NAME
also   O
reported   O
symptoms   O
of   O
nausea   O
and   O
constipation   O
.   O

Kyler   B-NAME
Perkins   I-NAME
states   O
the   O
pain   O
is   O
typically   O
worse   O
after   O
meals   O
but   O
does   O
n't   O
correlate   O
with   O
any   O
particular   O
type   O
of   O
food   O
.   O

Isaura   B-NAME
Cavin   I-NAME
,   O
a   O
Construction   O
Carpenters   O
,   O
first   O
experienced   O
the   O
symptoms   O
around   O
64   O
but   O
did   O
not   O
seek   O
immediate   O
medical   O
attention   O
.   O

Winchell   B-NAME
,   I-NAME
April   I-NAME
of   O
Piedmont   B-LOCATION
Columbus   I-LOCATION
Regional   I-LOCATION
Midtown   I-LOCATION
ordered   O
an   O
Ultrasound   O
of   O
the   O
abdomen   O
to   O
further   O
assess   O
the   O
appendix   O
.   O

Contacted   O
Braque   B-NAME
,   I-NAME
Georges   I-NAME
on   O
(   B-CONTACT
604   I-CONTACT
)   I-CONTACT
479   I-CONTACT
-   I-CONTACT
7250   I-CONTACT
and   O
discussed   O
the   O
findings   O
and   O
the   O
need   O
for   O
immediate   O
hospitalization   O
.   O

The   O
patient   O
was   O
advised   O
to   O
report   O
to   O
the   O
ER   O
at   O
Heartland   B-LOCATION
LASIK   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Abilene   I-LOCATION
located   O
in   O
Thermal   B-LOCATION
for   O
further   O
evaluation   O
and   O
treatment   O
.   O

Family   O
history   O
includes   O
Willie   B-NAME
Nix   I-NAME
's   O
mother   O
who   O
died   O
at   O
22   O
of   O
Colon   O
Cancer   O
.   O

The   O
patient   O
works   O
for   O
Montana   B-LOCATION
-   I-LOCATION
Dakota   I-LOCATION
Utilities   I-LOCATION
(   I-LOCATION
MDU   I-LOCATION
)   I-LOCATION
,   O
and   O
has   O
been   O
with   O
the   O
company   O
for   O
over   O
10   O
years   O
.   O

This   O
report   O
was   O
compiled   O
by   O
hzw35   B-NAME
on   O
02/23/81   B-DATE
.   O

Patient   O
's   O
Name   O
:   O
Gertrude   B-NAME
Fulton   I-NAME
Age   O
:   O
93   O
Date   O
of   O
Visit   O
:   O
May   B-DATE
Consulting   O
Dr.   O
:   O
Orlando   B-NAME
Sweeney   I-NAME
Hospital   O
Name   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marshalltown   I-LOCATION
Location   O
:   O
Lathrop   B-LOCATION
Patient   O
's   O
Room   O
Number   O
:   O
Aspirus   B-LOCATION
Iron   I-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
Phone   O
Number   O
:   O
676   B-CONTACT
-   I-CONTACT
5580   I-CONTACT
Patient   O
Woodward   B-NAME
,   I-NAME
Bob   I-NAME
of   O
78   O
presented   O
severe   O
vertigo   O
and   O
nausea   O
on   O
00   B-DATE
-   I-DATE
24   I-DATE
-   I-DATE
28   I-DATE
.   O

Under   O
the   O
supervision   O
of   O
Dr.   O
Gorky   B-NAME
,   I-NAME
Maxim   I-NAME
at   O
Anne   B-LOCATION
Arundel   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
further   O
diagnostic   O
procedures   O
including   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
and   O
vestibular   O
evoked   O
myogenic   O
potential   O
(   O
VEMP   O
)   O
tests   O
were   O
carried   O
out   O
.   O

Accounting   O
the   O
vestibular   O
anomalies   O
and   O
matching   O
audiometric   O
findings   O
,   O
Patient   O
Simone   B-NAME
Hart   I-NAME
was   O
diagnosed   O
with   O
bilateral   O
vestibular   O
hypofunction   O
(   O
BVH   O
)   O
,   O
possibly   O
induced   O
by   O
ototoxic   O
drug   O
side   O
effects   O
.   O

Given   O
that   O
the   O
Levi   B-NAME
Atmore   I-NAME
is   O
a   O
Cytogenetic   O
Technologists   O
,   O
they   O
have   O
been   O
advised   O
to   O
avoid   O
certain   O
hazardous   O
tasks   O
at   O
their   O
job   O
.   O

To   O
discuss   O
the   O
future   O
course   O
and   O
management   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Doyle   B-NAME
on   O
37/36   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
on   O
the   O
evening   O
of   O
1/2297   B-DATE
.   O

The   O
medical   O
record   O
number   O
is   O
6448523   B-ID
and   O
the   O
discharge   O
report   O
would   O
be   O
sent   O
to   O
Florida   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
located   O
at   O
Medon   B-LOCATION
36060   B-LOCATION
.   O

The   O
insurance   O
details   O
are   O
under   O
the   O
patient   O
's   O
ID   O
number   O
:   O
1   B-ID
-   I-ID
8444631   I-ID
.   O

For   O
additional   O
information   O
,   O
follow   O
-   O
ups   O
or   O
to   O
reschedule   O
appointments   O
,   O
please   O
contact   O
the   O
hospital   O
front   O
desk   O
at   O
830   B-CONTACT
983   I-CONTACT
-   I-CONTACT
9991   I-CONTACT
or   O
communicate   O
via   O
the   O
patient   O
portal   O
with   O
the   O
username   O
oyz910   B-NAME
.   O

Patient   O
Information   O
:   O
Dorian   B-NAME
is   O
a   O
6   O
month   O
year   O
old   O
female   O
who   O
resides   O
in   O
Rauchtown   B-LOCATION
.   O

Visit   O
Summary   O
:   O
The   O
patient   O
was   O
seen   O
on   O
Sunday   B-DATE
by   O
Dr.   O
Holloway   B-NAME
at   O
the   O
Great   B-LOCATION
Plains   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Symptoms   O
:   O
Jacoby   B-NAME
Hancock   I-NAME
presented   O
with   O
a   O
two   O
week   O
history   O
of   O
progressive   O
dyspnea   O
and   O
orthopnea   O
.   O

Next   O
Steps   O
:   O
Dr.   O
Briggs   B-NAME
has   O
recommended   O
an   O
echocardiogram   O
and   O
a   O
chest   O
X   O
-   O
ray   O
for   O
Ida   B-NAME
Xayachack   I-NAME
to   O
further   O
understand   O
the   O
extent   O
of   O
the   O
disease   O
progression   O
,   O
which   O
are   O
scheduled   O
for   O
1954   B-DATE
at   O
Herman   B-LOCATION
.   O

Medical   O
record   O
252   B-ID
-   I-ID
18   I-ID
-   I-ID
10   I-ID
show   O
that   O
Jayce   B-NAME
Lara   I-NAME
has   O
a   O
history   O
of   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Contact   O
Details   O
:   O
In   O
case   O
of   O
any   O
emergencies   O
,   O
Urquidez   B-NAME
or   O
her   O
family   O
can   O
be   O
reached   O
at   O
984   B-CONTACT
-   I-CONTACT
6991   I-CONTACT
.   O

Insurance   O
Details   O
:   O
Parker   B-NAME
Gutierrez   I-NAME
holds   O
an   O
insurance   O
policy   O
from   O
First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
with   O
an   O
ID   O
number   O
of   O
20830236   B-ID
.   O

Professional   O
Details   O
:   O
Prior   O
to   O
her   O
retirement   O
,   O
Dimaia   B-NAME
was   O
employed   O
as   O
a   O
Semiconductor   O
Processors   O
.   O

Additional   O
Information   O
:   O
Any   O
further   O
correspondence   O
or   O
details   O
relating   O
to   O
this   O
patient   O
should   O
be   O
addressed   O
to   O
OD556   B-NAME
.   O

Blaze   B-NAME
lives   O
at   O
Lake   B-LOCATION
Montezuma   I-LOCATION
and   O
her   O
zip   O
code   O
is   O
90722   B-LOCATION
.   O

Follow   O
up   O
appointments   O
will   O
be   O
scheduled   O
at   O
the   O
outpatient   O
department   O
at   O
University   B-LOCATION
of   I-LOCATION
Kentucky   I-LOCATION
Albert   I-LOCATION
B.   I-LOCATION
Chandler   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Fred   B-NAME
Hornblower   I-NAME
Age   O
:   O
19   O
Address   O
:   O
Sewickley   B-LOCATION
Heights   I-LOCATION
,   O
21313   B-LOCATION
Phone   O
:   O
556   B-CONTACT
-   I-CONTACT
292   I-CONTACT
1206   I-CONTACT
ID   O
:   O
8   B-ID
-   I-ID
9999867   I-ID
Doctor   O
Name   O
:   O
Lindsey   B-NAME
Hospital   O
:   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Hazleton   I-LOCATION
Medical   O
Record   O
No   O
.   O
:   O
1104090   B-ID
The   O
patient   O
,   O
Juarez   B-NAME
,   O
a   O
Elevator   O
Installers   O
and   O
Repairers   O
by   O
profession   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
04/20/60   B-DATE
with   O
complaints   O
of   O
fatigue   O
and   O
dull   O
intermittent   O
abdominal   O
pain   O
for   O
the   O
last   O
two   O
weeks   O
.   O

He   O
has   O
been   O
residing   O
in   O
West   B-LOCATION
Baraboo   I-LOCATION
.   O

Upon   O
physical   O
examination   O
carried   O
out   O
by   O
Dr.   O
Conrad   B-NAME
Reid   I-NAME
at   O
H.   B-LOCATION
Lee   I-LOCATION
Moffitt   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Research   I-LOCATION
Institute   I-LOCATION
,   O
Aldrin   B-NAME
,   I-NAME
Buzz   I-NAME
was   O
found   O
to   O
be   O
pale   O
,   O
mildly   O
distressed   O
due   O
to   O
discomfort   O
,   O
but   O
alert   O
and   O
oriented   O
.   O

Under   O
Dr.   O
Mariel   B-NAME
's   O
orders   O
,   O
a   O
series   O
of   O
tests   O
including   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
complete   O
blood   O
count   O
,   O
abdominal   O
ultrasound   O
,   O
and   O
CT   O
were   O
performed   O
.   O

Specific   O
lab   O
results   O
can   O
be   O
found   O
linked   O
to   O
patient   O
's   O
unique   O
97295213   B-ID
ID   O
number   O
and   O
can   O
be   O
made   O
available   O
on   O
the   O
Colorado   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
web   O
portal   O
with   O
the   O
username   O
br226   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
arranged   O
on   O
32/28   B-DATE
to   O
discuss   O
results   O
and   O
determine   O
further   O
treatment   O
procedures   O
.   O

The   O
appointment   O
will   O
take   O
place   O
at   O
Mercy   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Green   B-LOCATION
Bank   I-LOCATION
.   O

Patient   O
Kymani   B-NAME
Winters   I-NAME
has   O
been   O
instructed   O
to   O
call   O
the   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Muscatine   I-LOCATION
's   O
contact   O
number   O
242   B-CONTACT
-   I-CONTACT
6648   I-CONTACT
for   O
any   O
urgent   O
queries   O
or   O
in   O
case   O
of   O
emergency   O
.   O

The   O
patient   O
's   O
family   O
has   O
been   O
notified   O
via   O
the   O
emergency   O
contact   O
provided   O
96101   B-CONTACT
,   O
about   O
the   O
situation   O
and   O
the   O
planned   O
follow   O
up   O
.   O

All   O
patient   O
information   O
has   O
been   O
recorded   O
and   O
entered   O
against   O
the   O
ID   O
XC   B-ID
:   I-ID
ER:4525   I-ID
in   O
our   O
system   O
.   O

This   O
particular   O
case   O
was   O
reviewed   O
by   O
me   O
,   O
Dr.   O
Claudie   B-NAME
Tow   I-NAME
,   O
along   O
with   O
my   O
team   O
in   O
the   O
department   O
.   O

Note   O
:   O
Any   O
associated   O
details   O
like   O
physician   O
notes   O
,   O
reports   O
,   O
etc   O
.   O
,   O
are   O
strictly   O
confidential   O
and   O
subject   O
to   O
the   O
privacy   O
rules   O
of   O
our   O
St.   B-LOCATION
Vincent   I-LOCATION
Kokomo   I-LOCATION
located   O
in   O
82276   B-LOCATION
.   O

Signature   O
:   O
Zinn   B-NAME
,   I-NAME
Howard   I-NAME

Patient   O
Information   O
:   O
Patient   O
-   O
Peyton   B-NAME
Ochoa   I-NAME
Age   O
-   O
86   O
Address   O
-   O
Pearisburg   B-LOCATION
22270   B-LOCATION
Phone   O
-   O
(   O
(   B-CONTACT
595   I-CONTACT
)   I-CONTACT
835   I-CONTACT
-   I-CONTACT
8827   I-CONTACT
)   O

Patient   O
Duran   B-NAME
visited   O
Eating   B-LOCATION
Recovery   I-LOCATION
Center   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
on   O
06/33/2211   B-DATE
regarding   O
a   O
cough   O
and   O
persistent   O
fatigue   O
.   O

Collins   B-NAME
reported   O
that   O
these   O
symptoms   O
have   O
been   O
ongoing   O
for   O
nearly   O
three   O
weeks   O
.   O

On   O
closer   O
examination   O
,   O
Braylon   B-NAME
Mcdonald   I-NAME
noted   O
that   O
Singleton   B-NAME
looked   O
anemic   O
and   O
reported   O
impaired   O
mental   O
activity   O
.   O

At   O
Okefenoke   B-LOCATION
REMC   I-LOCATION
,   O
the   O
results   O
of   O
the   O
patient   O
's   O
complete   O
blood   O
count   O
were   O
discussed   O
.   O

Hyun   B-NAME
Poffenberger   I-NAME
subsequently   O
ordered   O
a   O
ferritin   O
test   O
which   O
,   O
along   O
with   O
transferrin   O
and   O
iron   O
tests   O
,   O
were   O
carried   O
out   O
on   O
22/07   B-DATE
and   O
recorded   O
under   O
91497429   B-ID
.   O

In   O
Armona   B-LOCATION
,   O
Weston   B-NAME
Gowins   I-NAME
works   O
as   O
a   O
Photographic   O
Retouchers   O
and   O
Restorers   O
which   O
might   O
expose   O
them   O
to   O
chemicals   O
suppressive   O
to   O
the   O
human   O
immune   O
response   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
on   O
13/02/2033   B-DATE
via   O
47040   B-CONTACT
.   O

In   O
the   O
meantime   O
,   O
it   O
is   O
advised   O
for   O
Norris   B-NAME
to   O
eat   O
a   O
well   O
-   O
balanced   O
diet   O
rich   O
in   O
iron   O
,   O
proteins   O
,   O
and   O
vitamins   O
.   O

In   O
all   O
subsequent   O
consultation   O
or   O
communication   O
,   O
please   O
kindly   O
refer   O
to   O
the   O
patient   O
by   O
ds126   B-NAME
as   O
they   O
prefer   O
to   O
be   O
called   O
and   O
this   O
is   O
also   O
the   O
patient   O
's   O
registered   O
name   O
under   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Purple   I-LOCATION
Heart   I-LOCATION
.   O

The   O
medical   O
history   O
and   O
other   O
relevant   O
information   O
of   O
the   O
patient   O
are   O
confidential   O
and   O
stored   O
file   O
number   O
3305752   B-ID
at   O
Geisinger   B-LOCATION
Jersey   I-LOCATION
Shore   I-LOCATION
Hospital   I-LOCATION
.   O

Glendora   B-NAME
Bolfa   I-NAME
's   O
national   O
ID   O
is   O
XH   B-ID
:   I-ID
RP:4870   I-ID
as   O
given   O
by   O
the   O
national   O
registry   O
.   O

Patient   O
Name   O
:   O
UJ   B-NAME
Age   O
:   O
80   O
Medical   O
Record   O
Number   O
:   O
2435L4890   B-ID
SSN   O
:   O
3   B-ID
-   I-ID
4720307   I-ID
Address   O
:   O
Savannah   B-LOCATION
,   O
94272   B-LOCATION
Phone   O
Number   O
:   O
848   B-CONTACT
879   I-CONTACT
-   I-CONTACT
6076   I-CONTACT
Referred   O
by   O
:   O
Herman   B-NAME
Date   O
:   O
2363   B-DATE
-   I-DATE
19   I-DATE
-   I-DATE
32   I-DATE
This   O
report   O
is   O
for   O
Faustina   B-NAME
Ellerman   I-NAME
who   O
presents   O
with   O
acute   O
onset   O
of   O
severe   O
headaches   O
and   O
persistent   O
nausea   O
over   O
the   O
past   O
several   O
days   O
.   O

Further   O
examination   O
of   O
Irvin   B-NAME
Mcilvaine   I-NAME
conducted   O
by   O
Davin   B-NAME
Gilmore   I-NAME
disclosed   O
photophobia   O
and   O
phonophobia   O
.   O

Neurological   O
examination   O
on   O
22/10   B-DATE
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Meriter   I-LOCATION
showed   O
no   O
cranial   O
nerve   O
,   O
motor   O
,   O
or   O
sensory   O
deficit   O
.   O

An   O
MRI   O
scan   O
requested   O
by   O
Gentry   B-NAME
done   O
at   O
Cumberland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1784   B-DATE
did   O
not   O
reveal   O
any   O
significant   O
anomaly   O
.   O

Clinical   O
chemistry   O
reports   O
from   O
Butte   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
lab   O
recorded   O
on   O
6   B-DATE
-   I-DATE
31   I-DATE
were   O
also   O
unremarkable   O
apart   O
from   O
a   O
mild   O
elevation   O
in   O
serum   O
bilirubin   O
.   O

In   O
light   O
of   O
the   O
medical   O
history   O
and   O
recent   O
diagnostics   O
,   O
Lyla   B-NAME
Frazier   I-NAME
was   O
recommended   O
to   O
start   O
a   O
course   O
of   O
preventive   O
and   O
abortive   O
medication   O
.   O

Charley   B-NAME
Michaels   I-NAME
will   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Michael   B-NAME
Twoyoungmen   I-NAME
on   O
May   B-DATE
19   I-DATE
through   O
his   O
username   O
-   O
yje656   B-NAME
-   O
in   O
the   O
patient   O
portal   O
.   O

For   O
further   O
inquiries   O
or   O
regarding   O
any   O
changes   O
in   O
the   O
scheduled   O
follow   O
-   O
ups   O
,   O
Kübler   B-NAME
-   I-NAME
Ross   I-NAME
,   I-NAME
Elisabeth   I-NAME
or   O
Deshawn   B-NAME
Stephens   I-NAME
's   O
registered   O
contact   O
person   O
can   O
reach   O
Southern   B-LOCATION
Rivers   I-LOCATION
Energy   I-LOCATION
at   O
(   B-CONTACT
992   I-CONTACT
)   I-CONTACT
479   I-CONTACT
1776   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Tom   B-NAME
Callaghan   I-NAME
Age   O
:   O
76   O
Medical   O
Record   O
:   O
7661515   B-ID
ID   O
:   O
2490961   B-ID
Care   O
Provider   O
:   O
Keel   B-NAME
,   I-NAME
John   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Chattanooga   I-LOCATION
On   O
26/23   B-DATE
,   O
Grayson   B-NAME
Stanley   I-NAME
checked   O
into   O
our   O
Franciscan   B-LOCATION
Health   I-LOCATION
Crawfordsville   I-LOCATION
,   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
especially   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Briley   B-NAME
Brown   I-NAME
's   O
temperature   O
was   O
observed   O
to   O
be   O
38.5   O
°   O
C   O
,   O
above   O
the   O
normal   O
range   O
.   O

On   O
performing   O
a   O
physical   O
examination   O
,   O
Larry   B-NAME
Forbes   I-NAME
noticed   O
a   O
marked   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
with   O
a   O
positive   O
rebound   O
and   O
Rovsing   O
's   O
sign   O
,   O
suggestive   O
of   O
a   O
possible   O
acute   O
appendicitis   O
.   O

An   O
ultrasound   O
was   O
suggested   O
and   O
was   O
performed   O
on   O
9/24   B-DATE
.   O

Wendy   B-NAME
Tapia   I-NAME
was   O
promptly   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
04/13   B-DATE
.   O

The   O
patient   O
was   O
admitted   O
to   O
room   O
number   O
Montgomery   B-LOCATION
County   I-LOCATION
Emergency   I-LOCATION
Service   I-LOCATION
and   O
prepared   O
for   O
surgery   O
.   O

The   O
patient   O
resides   O
in   O
Stowmarket   B-LOCATION
-   O
26641   B-LOCATION
.   O

They   O
work   O
as   O
a   O
Soldering   O
and   O
Brazing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
and   O
their   O
organization   O
is   O
Old   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
.   O

The   O
patient   O
's   O
emergency   O
contact   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
608   I-CONTACT
)   I-CONTACT
100   I-CONTACT
6953   I-CONTACT
.   O

If   O
there   O
's   O
any   O
need   O
to   O
further   O
access   O
Jaqueline   B-NAME
Bailey   I-NAME
's   O
healthcare   O
data   O
remotely   O
,   O
we   O
have   O
the   O
username   O
:   O
lsf221   B-NAME
.   O

Signed   O
-   O
off   O
by   O
Russell   B-NAME
,   I-NAME
Rosaland   I-NAME
Thursdays   B-DATE

Patient   O
Name   O
:   O
xavier   B-NAME
Age   O
:   O
16   O
Medical   O
Record   O
Number   O
:   O
139   B-ID
-   I-ID
92   I-ID
-   I-ID
21   I-ID
-   I-ID
5   I-ID
ID   O
Number   O
:   O
4   B-ID
-   I-ID
5154858   I-ID
Dr.   O
Sadie   B-NAME
Roof   I-NAME
from   O
Hannibal   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
gave   O
an   O
initial   O
telephonic   O
consultation   O
on   O
2080   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
29   I-DATE
.   O

Kingston   B-NAME
Stevenson   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
for   O
the   O
past   O
decade   O
.   O

Evidently   O
,   O
the   O
chest   O
pain   O
started   O
suddenly   O
while   O
the   O
patient   O
was   O
at   O
Hagerstown   B-LOCATION
Light   I-LOCATION
Department   I-LOCATION
as   O
Composers   O
.   O

However   O
,   O
further   O
diagnostic   O
procedures   O
have   O
to   O
be   O
performed   O
at   O
Atchison   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Atchison   I-LOCATION
.   O

Dr.   O
Montaigne   B-NAME
,   I-NAME
Michel   I-NAME
de   I-NAME
suggested   O
admission   O
for   O
close   O
drug   O
monitoring   O
and   O
surveillance   O
.   O

The   O
patient   O
has   O
agreed   O
to   O
been   O
admitted   O
and   O
is   O
arriving   O
via   O
ambulance   O
from   O
Proctorville   B-LOCATION
.   O

Previous   O
primary   O
care   O
physician   O
details   O
:   O
Dr.   O
Cruz   B-NAME
Clayton   I-NAME
Phone   O
number   O
:   O
27237   B-CONTACT
Address   O
:   O
Bay   B-LOCATION
Pines   I-LOCATION
,   O
86158   B-LOCATION
The   O
lab   O
technician   O
kwu7910   B-NAME
from   O
our   O
hospital   O
,   O
Ascension   B-LOCATION
SE   I-LOCATION
Wisconsin   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Elmbrook   I-LOCATION
Campus   I-LOCATION
,   O
initiated   O
the   O
medical   O
investigation   O
process   O
,   O
and   O
we   O
are   O
awaiting   O
lab   O
reports   O
.   O

Dr.   O
Rick   B-NAME
Bauer   I-NAME
in   O
consultation   O
with   O
team   O
from   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
in   I-LOCATION
Eau   I-LOCATION
Claire   I-LOCATION
plans   O
to   O
follow   O
up   O
post   O
investigations   O
and   O
adjust   O
the   O
treatment   O
based   O
on   O
the   O
laboratory   O
results   O
.   O

The   O
family   O
has   O
been   O
informed   O
and   O
they   O
are   O
arriving   O
from   O
Pawcatuck   B-LOCATION
.   O

Patient   O
Name   O
:   O
Macias   B-NAME
Age   O
:   O
51   O
Doctor   O
:   O
Miranda   B-NAME
Hospital   O
:   O

Wayne   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
ID   O
:   O
PW   B-ID
:   I-ID
HG:7799   I-ID
Location   O
:   O
Villa   B-LOCATION
Rica   I-LOCATION
,   I-LOCATION
Villa   I-LOCATION
Rica   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Organization   O
:   O
GIRCA   B-LOCATION
Medical   O
Record   O
:   O
163   B-ID
-   I-ID
13   I-ID
-   I-ID
19   I-ID
-   I-ID
2   I-ID
Phone   O
:   O
36762   B-CONTACT
Profession   O
:   O
Forest   O
Fire   O
Inspectors   O
and   O
Prevention   O
Specialists   O
Username   O
:   O
qz416   B-NAME
ZIP   O
:   O
32248   B-LOCATION
Detail   O
Symptoms   O
:   O
Choate   B-NAME
,   I-NAME
Rufus   I-NAME
,   O
a   O
36   O
individual   O
,   O
presented   O
on   O
10/26   B-DATE
with   O
chief   O
concerns   O
of   O
persistent   O
headache   O
,   O
vertigo   O
,   O
and   O
tinnitus   O
for   O
the   O
period   O
of   O
three   O
weeks   O
.   O

The   O
patient   O
was   O
initially   O
treated   O
by   O
Fritz   B-NAME
at   O
St.   B-LOCATION
James   I-LOCATION
Healthcare   I-LOCATION
on   O
3/20   B-DATE
.   O

Erdös   B-NAME
,   I-NAME
Paul   I-NAME
experienced   O
a   O
sudden   O
onset   O
of   O
severe   O
,   O
throbbing   O
,   O
pulsating   O
headaches   O
,   O
localized   O
over   O
the   O
right   O
temporal   O
region   O
,   O
with   O
vertiginous   O
symptoms   O
accompanied   O
by   O
nausea   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
.   O

Previous   O
medical   O
records   O
had   O
been   O
retrieved   O
by   O
hospital   O
staff   O
(   O
Medical   O
Record   O
number   O
:   O
30051047   B-ID
)   O
and   O
it   O
was   O
noted   O
that   O
there   O
was   O
no   O
significant   O
past   O
medical   O
history   O
except   O
for   O
seasonal   O
allergies   O
.   O

Youssef   B-NAME
M.   I-NAME
Noe   I-NAME
denied   O
having   O
any   O
family   O
history   O
of   O
migraines   O
or   O
vestibular   O
disorders   O
.   O

On   O
further   O
investigation   O
,   O
it   O
was   O
revealed   O
that   O
Tamara   B-NAME
Boyer   I-NAME
is   O
a   O
software   O
developer   O
by   O
Media   O
and   O
Communication   O
Equipment   O
Workers   O
,   O
All   O
Other   O
and   O
works   O
for   O
State   B-LOCATION
Guard   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
in   O
Oak   B-LOCATION
Shores   I-LOCATION
.   O

The   O
patient   O
reported   O
their   O
details   O
using   O
their   O
work   O
identification   O
(   O
snr759   B-NAME
)   O
and   O
mentioned   O
their   O
personal   O
contact   O
as   O
735   B-CONTACT
-   I-CONTACT
361   I-CONTACT
1308   I-CONTACT
.   O

An   O
MRI   O
scan   O
was   O
advised   O
by   O
Myles   B-NAME
York   I-NAME
and   O
was   O
performed   O
the   O
same   O
day   O
at   O
Centerpoint   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Xaiden   B-NAME
Roberson   I-NAME
stays   O
approximately   O
30   O
minutes   O
away   O
,   O
residing   O
at   O
48494   B-LOCATION
.   O

Johnathon   B-NAME
Levy   I-NAME
was   O
advised   O
to   O
limit   O
screen   O
exposure   O
as   O
much   O
as   O
possible   O
and   O
was   O
suggested   O
to   O
maintain   O
a   O
regular   O
sleep   O
schedule   O
and   O
a   O
healthy   O
diet   O
.   O

The   O
follow   O
up   O
appointment   O
with   O
Reynaldo   B-NAME
Meza   I-NAME
at   O
Sentara   B-LOCATION
Williamsburg   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
scheduled   O
for   O
2/02   B-DATE
.   O

All   O
the   O
notes   O
and   O
prescriptions   O
were   O
documented   O
under   O
their   O
ID   O
number   O
(   O
6659812   B-ID
)   O
.   O

Patient   O
Name   O
:   O
Buddha   B-NAME
,   I-NAME
Gautama   I-NAME
Age   O
:   O
71   O
Medical   O
Record   O
Number   O
:   O
7312757   B-ID
Address   O
:   O
8113   B-LOCATION
New   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
88164   B-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
PNT   B-NAME
,   O
presents   O
with   O
complaints   O
of   O
severe   O
fatigue   O
,   O
sudden   O
significant   O
loss   O
of   O
weight   O
,   O
continuing   O
discomfort   O
on   O
the   O
right   O
side   O
of   O
the   O
abdomen   O
and   O
jaundice   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Donavan   B-NAME
Mclaughlin   I-NAME
began   O
to   O
experience   O
these   O
symptoms   O
approximately   O
37/02/14   B-DATE
ago   O
.   O

Having   O
no   O
improvements   O
,   O
the   O
patient   O
consulted   O
Dr.   O
Makenzie   B-NAME
Mcclure   I-NAME
.   O

Patient   O
's   O
SSN   O
:   O
DQ529/4423   B-ID
Present   O
Address   O
:   O
Dennis   B-LOCATION
Acres   I-LOCATION
Phone   O
number   O
:   O
89566   B-CONTACT
Past   O
Medical   O
History   O
:   O
Ian   B-NAME
K.   I-NAME
Ignacio   I-NAME
has   O
a   O
prior   O
diagnosis   O
of   O
diabetes   O
managed   O
with   O
metformin   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
the   O
Rowe   B-NAME
discovered   O
a   O
palpable   O
mass   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Final   O
Assessment   O
:   O
Suspecting   O
Hepatocellular   O
carcinoma   O
,   O
Dr.   O
Cain   B-NAME
advised   O
an   O
immediate   O
comprehensive   O
liver   O
panel   O
,   O
alpha   O
-   O
fetoprotein   O
(   O
AFP   O
)   O
testing   O
and   O
imaging   O
studies   O
.   O

The   O
patient   O
is   O
referred   O
to   O
the   O
oncology   O
department   O
of   O
Holy   B-LOCATION
Cross   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
diagnosis   O
and   O
potential   O
therapy   O
.   O

The   O
contact   O
info   O
of   O
the   O
referred   O
oncologist   O
(   O
Dr.   O
Paul   B-NAME
Herman   I-NAME
)   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Nazareth   I-LOCATION
Hospital   I-LOCATION
is   O
828   B-CONTACT
669   I-CONTACT
-   I-CONTACT
4081   I-CONTACT
.   O

Mandatory   O
Peoples   B-LOCATION
First   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Reporting   O
:   O

The   O
patient   O
's   O
symptoms   O
and   O
history   O
were   O
reported   O
to   O
Grupo   B-LOCATION
de   I-LOCATION
Usuarios   I-LOCATION
de   I-LOCATION
Linux   I-LOCATION
de   I-LOCATION
Costa   I-LOCATION
Rica   I-LOCATION
as   O
per   O
the   O
public   O
health   O
legal   O
requirement   O
.   O

The   O
report   O
was   O
compiled   O
and   O
approved   O
by   O
:   O
ljv80   B-NAME
at   O
2/23   B-DATE
Occupation   O
:   O
Social   O
Science   O
Research   O
Assistants   O
Signed   O
off   O
by   O
:   O
Webb   B-NAME
,   O
Medical   O
Director   O
,   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
New   I-LOCATION
Orleans   I-LOCATION
.   O

In   O
case   O
of   O
any   O
help   O
,   O
contact   O
the   O
Patient   O
Help   O
Desk   O
at   O
42415   B-CONTACT
.   O

Patient   O
Profile   O
:   O
Patient   O
name   O
:   O
Vetter   B-NAME
Age   O
:   O
1   O
week   O
Resident   O
:   O
Branford   B-LOCATION
Occupation   O
:   O
Community   O
arts   O
worker   O
Contact   O
number   O
:   O
235   B-CONTACT
-   I-CONTACT
9917   I-CONTACT
Insurance   O
ID   O
:   O
BO:48968:601326   B-ID
Medical   O
record   O
:   O
07836172   B-ID
On   O
16/20   B-DATE
,   O
Mr.   O
Glennis   B-NAME
Pankiw   I-NAME
attended   O
our   O
healthcare   O
facility   O
,   O
Taylor   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

He   O
was   O
referred   O
by   O
Kate   B-NAME
Rubio   I-NAME
.   O

He   O
lives   O
in   O
Lopatcong   B-LOCATION
Overlook   I-LOCATION
and   O
works   O
as   O
a   O
Social   O
and   O
Community   O
Service   O
Managers   O
.   O

His   O
employer   O
is   O
an   O
List   B-LOCATION
of   I-LOCATION
left   I-LOCATION
-   I-LOCATION
wing   I-LOCATION
internationals   I-LOCATION
situated   O
at   O
Lehigh   B-LOCATION
Acres   I-LOCATION
.   O

The   O
patient   O
's   O
phone   O
contact   O
is   O
(   B-CONTACT
507   I-CONTACT
)   I-CONTACT
470   I-CONTACT
-   I-CONTACT
9287   I-CONTACT
,   O
and   O
the   O
Insurance   O
ID   O
is   O
GS   B-ID
:   I-ID
BX:3464   I-ID
.   O

His   O
health   O
record   O
is   O
documented   O
under   O
the   O
number   O
726   B-ID
-   I-ID
05   I-ID
-   I-ID
24   I-ID
-   I-ID
2   I-ID
.   O

Mr.   O
Gael   B-NAME
Bates   I-NAME
presents   O
with   O
a   O
2   O
-   O
week   O
history   O
of   O
acute   O
onset   O
,   O
constant   O
,   O
left   O
-   O
sided   O
,   O
throbbing   O
headache   O
,   O
rated   O
7   O
out   O
of   O
10   O
in   O
severity   O
.   O

Mr.   O
Torre   B-NAME
,   I-NAME
Joe   I-NAME
last   O
visited   O
our   O
Morton   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Elkhart   I-LOCATION
on   O
1/11/18   B-DATE
and   O
he   O
is   O
attending   O
scheduled   O
appointments   O
with   O
Keenan   B-NAME
Nunez   I-NAME
.   O

The   O
medical   O
team   O
logs   O
into   O
the   O
record   O
system   O
with   O
the   O
username   O
grf611   B-NAME
to   O
update   O
his   O
recovery   O
progress   O
.   O

His   O
next   O
appointment   O
is   O
scheduled   O
for   O
22/01   B-DATE
at   O
East   B-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
located   O
in   O
41155   B-LOCATION
.   O

Signed   O
Nelson   B-NAME
On   O
19/25   B-DATE

Patient   O
Name   O
:   O
Monroe   B-NAME
Date   O
:   O
4   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
96   I-DATE
Medical   O
Record   O
Number   O
:   O
913   B-ID
-   I-ID
68   I-ID
-   I-ID
55   I-ID
Age   O
:   O
55   O
ID   O
:   O
513950178   B-ID
Location   O
:   O
Covington   B-LOCATION
Organization   O
:   O
Fashion   B-LOCATION
for   I-LOCATION
Fighters   I-LOCATION
Foundation   I-LOCATION
Profession   O
:   O
Marriage   O
and   O
Family   O
Therapists   O
Dr.   O
Wyatt   B-NAME
conducted   O
an   O
examination   O
of   O
patient   O
Jacobson   B-NAME
.   O

The   O
patient   O
reported   O
to   O
Warren   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
experiencing   O
severe   O
chest   O
pain   O
that   O
radiates   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
accompanied   O
by   O
shortness   O
of   O
breath   O
,   O
swelling   O
in   O
the   O
legs   O
,   O
and   O
light   O
-   O
headedness   O
.   O

The   O
patient   O
's   O
onset   O
of   O
these   O
symptoms   O
was   O
approximately   O
on   O
34/02/48   B-DATE
.   O

A   O
coronary   O
angiogram   O
was   O
undertaken   O
at   O
Alvarado   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
confirming   O
the   O
presence   O
of   O
a   O
completely   O
occluded   O
right   O
coronary   O
artery   O
.   O

In   O
consideration   O
of   O
Mitchell   B-NAME
,   I-NAME
Joni   I-NAME
's   O
work   O
as   O
a   O
Human   O
Resources   O
Specialists   O
,   O
a   O
routine   O
follow   O
-   O
up   O
with   O
the   O
cardiac   O
rehabilitation   O
team   O
has   O
been   O
arranged   O
to   O
provide   O
advice   O
and   O
support   O
for   O
gradual   O
return   O
to   O
work   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
23/02   B-DATE
with   O
prescriptions   O
for   O
medications   O
including   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
an   O
ACE   O
inhibitor   O
,   O
and   O
a   O
statin   O
.   O

The   O
patient   O
was   O
advised   O
to   O
have   O
a   O
follow   O
-   O
up   O
visit   O
in   O
St.   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Oxnard   I-LOCATION
with   O
Dr.   O
Göring   B-NAME
,   I-NAME
Hermann   I-NAME
after   O
2   O
weeks   O
.   O

For   O
any   O
concerns   O
or   O
emergencies   O
,   O
Rickover   B-NAME
,   I-NAME
Hyman   I-NAME
G.   I-NAME
can   O
contact   O
Murray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
260   B-CONTACT
-   I-CONTACT
5014   I-CONTACT
.   O

The   O
above   O
medical   O
records   O
and   O
PCI   O
procedure   O
notes   O
are   O
kept   O
under   O
reference   O
number   O
44940564   B-ID
for   O
patient   O
Erin   B-NAME
Castro   I-NAME
in   O
the   O
administrative   O
database   O
of   O
Sonoma   B-LOCATION
Valley   I-LOCATION
Bank   I-LOCATION
.   O

Address   O
:   O
Tombstone   B-LOCATION
,   O
44911   B-LOCATION
Signed   O
off   O
by   O
:   O
Stevenson   B-NAME
,   I-NAME
Robert   I-NAME
Louis   I-NAME
|   O
BI338   B-NAME

Patient   O
name   O
:   O
Jacoby   B-NAME
Keith   I-NAME
Date   O
of   O
Birth   O
:   O
2/32   B-DATE
Age   O
:   O
29   O
Address   O
:   O
Baldwinville   B-LOCATION
Zip   O
Code   O
:   O
28469   B-LOCATION
Phone   O
Number   O
:   O
722   B-CONTACT
6521   I-CONTACT
Emergency   O
Contact   O
:   O
Hall   B-NAME
's   O
spouse   O
,   O
Willie   B-NAME
Nix   I-NAME
SSN   O
:   O
87386934   B-ID
Occupation   O
:   O
Public   O
affairs   O
consultant   O
(   O
lobbyist   O
)   O
Health   O
Plan   O
Number   O
:   O
MM:64693:728395   B-ID
Medical   O
Record   O
Number   O
:   O
20005455   B-ID
Attending   O
Physician   O
:   O

Seuss   B-NAME
,   I-NAME
Dr.   I-NAME
Hospital   O
:   O
Missouri   B-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
The   O
patient   O
,   O
Jaramillo   B-NAME
,   O
presented   O
to   O
the   O
Infirmary   B-LOCATION
LTAC   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
persistent   O
headaches   O
and   O
blurry   O
vision   O
for   O
the   O
past   O
24/12/92   B-DATE
.   O

Housman   B-NAME
,   I-NAME
A.   I-NAME
E.   I-NAME
conducted   O
a   O
series   O
of   O
neurological   O
examinations   O
,   O
and   O
funduscopic   O
examination   O
demonstrated   O
papilledema   O
.   O

Radiological   O
investigations   O
,   O
performed   O
in   O
Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
Pensacola   I-LOCATION
’s   O
radiology   O
department   O
,   O
revealed   O
increased   O
intracranial   O
pressure   O
.   O

Management   O
was   O
started   O
under   O
the   O
supervision   O
of   O
Delgado   B-NAME
,   O
which   O
included   O
analgesics   O
,   O
antihypertensives   O
,   O
and   O
referral   O
to   O
the   O
hospital   O
's   O
ophthalmology   O
team   O
.   O

The   O
patient   O
's   O
close   O
contacts   O
,   O
including   O
spouse   O
Brian   B-NAME
Malone   I-NAME
,   O
were   O
advised   O
to   O
monitor   O
for   O
potential   O
symptoms   O
and   O
to   O
report   O
for   O
medical   O
attention   O
if   O
any   O
worrying   O
signs   O
develop   O
.   O

Additional   O
test   O
results   O
from   O
[   O
LabsInc   O
,   O
an   O
First   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
California   I-LOCATION
,   I-LOCATION
F.S.B.   I-LOCATION
]   O
,   O
are   O
pending   O
and   O
should   O
be   O
available   O
by   O
the   O
patient   O
’s   O
next   O
appointment   O
scheduled   O
for   O
next   O
0.22.54   B-DATE
.   O

Notifications   O
were   O
sent   O
to   O
the   O
patient   O
and   O
assigned   O
Jaquan   B-NAME
Ferrell   I-NAME
via   O
the   O
hospital   O
's   O
secure   O
patient   O
portal   O
(   O
lf736   B-NAME
)   O
.   O

Sincerely   O
,   O
Luz   B-NAME
Fuentes   I-NAME
282   B-CONTACT
5221   I-CONTACT

Patient   O
Name   O
:   O
Matkowsky   B-NAME
Date   O
of   O
Birth   O
:   O
12/25   B-DATE
Age   O
:   O
92   O
Address   O
:   O
Mineral   B-LOCATION
,   O
63553   B-LOCATION
Phone   O
Number   O
:   O
78475   B-CONTACT
Occupation   O
:   O
Janitors   O
and   O
Cleaners   O
,   O
Except   O
Maids   O
and   O
Housekeeping   O
Cleaners   O
S.S.N.   O
:   O
PK581/9968   B-ID
Presenting   O
Complaint   O
:   O
Mr.   O
Broun   B-NAME
,   I-NAME
Heywood   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
Iberia   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
04/21/2122   B-DATE
with   O
complaints   O
of   O
fever   O
and   O
cough   O
for   O
the   O
past   O
5   O
days   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
On   O
detailed   O
inquiry   O
,   O
Aragon   B-NAME
mentioned   O
that   O
the   O
fever   O
is   O
intermittent   O
and   O
is   O
accompanied   O
by   O
chills   O
and   O
sweating   O
.   O

As   O
per   O
the   O
patient   O
's   O
older   O
records   O
from   O
Kindred   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Rahway   I-LOCATION
,   O
Mr.   O
Alexandria   B-NAME
Johnston   I-NAME
was   O
diagnosed   O
with   O
Hypertension   O
approximately   O
five   O
years   O
back   O
.   O

He   O
maintains   O
regular   O
follow   O
-   O
ups   O
with   O
Dr.   O
Tolian   B-NAME
Soran   I-NAME
at   O
CHRISTUS   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

His   O
medical   O
record   O
number   O
is   O
85911941   B-ID
.   O

On   O
examination   O
,   O
Olga   B-NAME
Xavier   I-NAME
appeared   O
febrile   O
with   O
a   O
temperature   O
of   O
101.5   O
°   O
F   O
and   O
had   O
tachypnea   O
.   O

Investigations   O
:   O
A   O
Chest   O
X   O
-   O
Ray   O
was   O
advised   O
by   O
Dr.   O
Braelyn   B-NAME
Hall   I-NAME
and   O
was   O
conducted   O
on   O
39/21   B-DATE
.   O

Management   O
Plan   O
:   O
Antibiotics   O
have   O
been   O
started   O
for   O
Destiny   B-NAME
Wooley   I-NAME
,   O
and   O
further   O
management   O
will   O
depend   O
on   O
the   O
investigation   O
reports   O
.   O

The   O
patient   O
will   O
follow   O
up   O
with   O
Dr.   O
Colton   B-NAME
Quinn   I-NAME
at   O
Memorial   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
after   O
two   O
weeks   O
.   O

The   O
above   O
information   O
is   O
provided   O
by   O
spx997   B-NAME
from   O
the   O
Darby   B-LOCATION
Bank   I-LOCATION
&   I-LOCATION
Trust   I-LOCATION
.   O

Emil   B-NAME
Skoda   I-NAME
Age   O
:   O
51   O
Gender   O
:   O
Male   O
Medical   O
Record   O
:   O
67269503   B-ID
Mr.   O
Barbauld   B-NAME
,   I-NAME
Anna   I-NAME
Letitia   I-NAME
,   O
an   O
26   O
male   O
,   O
saw   O
Dr.   O
Hyun   B-NAME
Poffenberger   I-NAME
on   O
11/85   B-DATE
for   O
post   O
-   O
operative   O
follow   O
-   O
up   O
after   O
being   O
discharged   O
from   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Bellefonte   I-LOCATION
Hospital   I-LOCATION
.   O

Our   O
patient   O
,   O
a   O
retired   O
Human   O
Resources   O
Assistants   O
,   O
Except   O
Payroll   O
and   O
Timekeeping   O
who   O
resides   O
in   O
Kingstree   B-LOCATION
,   O
had   O
undergone   O
a   O
successful   O
transsphenoidal   O
resection   O
of   O
a   O
pituitary   O
adenoma   O
.   O

The   O
surgery   O
was   O
performed   O
by   O
the   O
skilled   O
neurosurgery   O
team   O
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
.   O

During   O
examination   O
,   O
Mr.   O
Vest   B-NAME
complained   O
of   O
persistent   O
nasal   O
congestion   O
and   O
occasional   O
epistaxis   O
,   O
which   O
he   O
first   O
noticed   O
around   O
37/12/00   B-DATE
.   O

Post   O
-   O
surgical   O
MRI   O
,   O
performed   O
on   O
0/39   B-DATE
using   O
device   O
ID   O
PI:6369:415235   B-ID
,   O
showed   O
complete   O
resection   O
of   O
the   O
pituitary   O
adenoma   O
.   O

Resulting   O
radiology   O
images   O
were   O
reviewed   O
with   O
Dr.   O
Hale   B-NAME
at   O
the   O
Freeman   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
radiology   O
department   O
and   O
found   O
to   O
be   O
satisfactory   O
.   O

Prescriptions   O
were   O
sent   O
to   O
Barnes   B-LOCATION
Banking   I-LOCATION
Company   I-LOCATION
pharmacy   O
in   O
Durhamville   B-LOCATION
,   O
zip   O
code   O
67366   B-LOCATION
using   O
their   O
fax   O
number   O
385   B-CONTACT
-   I-CONTACT
641   I-CONTACT
-   I-CONTACT
9116   I-CONTACT
.   O

Follow   O
-   O
up   O
is   O
scheduled   O
with   O
Endocrinology   O
at   O
Greenwich   B-LOCATION
Hospital   I-LOCATION
in   O
4/28/31   B-DATE
to   O
monitor   O
post   O
-   O
op   O
hormone   O
levels   O
.   O

Arranged   O
for   O
a   O
phone   O
follow   O
-   O
up   O
with   O
Mr.   O
Berger   B-NAME
whose   O
contact   O
number   O
is   O
794   B-CONTACT
1866   I-CONTACT
to   O
monitor   O
symptoms   O
,   O
and   O
his   O
wound   O
’s   O
healing   O
process   O
.   O

For   O
any   O
further   O
inquiries   O
,   O
you   O
can   O
email   O
me   O
at   O
TI275   B-NAME
or   O
call   O
my   O
office   O
at   O
546   B-CONTACT
-   I-CONTACT
452   I-CONTACT
-   I-CONTACT
5669   I-CONTACT
.   O

Nurse   O
:   O
quf253   B-NAME
Social   O
Security   O
Number   O
:   O
29499   B-ID
License   O
Number   O
:   O
VK   B-ID
:   I-ID
OM:6129   I-ID
Date   O
:   O
7/54   B-DATE

Patient   O
Zimmermann   B-NAME
,   I-NAME
Philip   I-NAME
visited   O
Dr.   O
Janet   B-NAME
Wilson   I-NAME
on   O
2072   B-DATE
at   O
Morton   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Mark   B-NAME
Powell   I-NAME
,   O
a   O
Validation   O
engineer   O
by   O
profession   O
of   O
84   O
years   O
,   O
lives   O
in   O
Zumbrota   B-LOCATION
.   O

The   O
hospital   O
records   O
tagged   O
with   O
08880202   B-ID
indicate   O
that   O
Tennyson   B-NAME
,   I-NAME
Alfred   I-NAME
(   I-NAME
Lord   I-NAME
)   I-NAME
had   O
a   O
costly   O
history   O
of   O
gallstones   O
five   O
years   O
back   O
for   O
which   O
he   O
had   O
to   O
undergo   O
cholecystectomy   O
in   O
the   O
same   O
hospital   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
recommended   O
by   O
Dr.   O
Olson   B-NAME
which   O
revealed   O
dilated   O
intrahepatic   O
ducts   O
with   O
a   O
distended   O
gallbladder   O
.   O

The   O
patient   O
is   O
currently   O
under   O
observation   O
in   O
room   O
number   O
402   O
of   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
.   O

The   O
hospital   O
provided   O
him   O
with   O
the   O
hospital   O
ID   O
YK:15341:825876   B-ID
and   O
directed   O
him   O
to   O
the   O
patient   O
’s   O
portal   O
via   O
lf736   B-NAME
for   O
online   O
tracking   O
.   O

The   O
surgery   O
is   O
scheduled   O
for   O
the   O
morning   O
of   O
01/42   B-DATE
.   O

The   O
billing   O
department   O
of   O
Safeco   B-LOCATION
can   O
be   O
reached   O
by   O
dialing   O
(   B-CONTACT
411   I-CONTACT
)   I-CONTACT
536   I-CONTACT
8260   I-CONTACT
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
15/02   B-DATE
.   O

After   O
the   O
call   O
for   O
appointment   O
confirmation   O
,   O
the   O
verification   O
code   O
will   O
be   O
sent   O
to   O
38061   B-LOCATION
for   O
records   O
.   O

Patient   O
Name   O
:   O
Archie   B-NAME
Oreilly   I-NAME
Age   O
:   O
24   O
Patient   O
ID   O
:   O
WO   B-ID
:   I-ID
RV:9918   I-ID
Medical   O
Record   O
Number   O
:   O
CK923384   B-ID
Date   O
Admitted   O
:   O
01/13/00   B-DATE
Attending   O
Physician   O
:   O

Devona   B-NAME
Dishner   I-NAME
Hospital   O
:   O

Legacy   B-LOCATION
Salmon   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
Nikolas   B-NAME
Curry   I-NAME
was   O
presented   O
to   O
our   O
medical   O
facility   O
on   O
22/25   B-DATE
with   O
complaints   O
of   O
severe   O
intermittent   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
vomiting   O
and   O
mild   O
fever   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
test   O
results   O
,   O
a   O
diagnosis   O
of   O
acute   O
cholecystitis   O
was   O
made   O
by   O
Kemp   B-NAME
.   O

The   O
patient   O
is   O
currently   O
under   O
the   O
care   O
of   O
the   O
surgical   O
team   O
at   O
CHI   B-LOCATION
Health   I-LOCATION
Missouri   I-LOCATION
Valley   I-LOCATION
.   O

[   O
PATIENT   O
's   O
relative   O
]   O
,   O
Phone-   O
374   B-CONTACT
-   I-CONTACT
7542   I-CONTACT
Work   O
:   O
Castaneda   B-NAME
has   O
been   O
working   O
as   O
a   O
Compliance   O
Officers   O
for   O
a   O
firm   O
,   O
American   B-LOCATION
Legion   I-LOCATION
located   O
at   O
West   B-LOCATION
Alton   I-LOCATION
,   O
PIN-   O
23148   B-LOCATION
.   O

lfu805   B-NAME
Prescriptions   O
and   O
follow   O
-   O
up   O
plans   O
were   O
communicated   O
with   O
the   O
patient   O
and   O
contact   O
person   O
.   O

Emery   B-NAME
Weaver   I-NAME
is   O
being   O
closely   O
monitored   O
and   O
adequate   O
measures   O
are   O
being   O
taken   O
for   O
a   O
speedy   O
recovery   O
.   O

The   O
treatment   O
path   O
is   O
designed   O
according   O
to   O
Phoebe   B-NAME
Woods   I-NAME
's   O
medical   O
needs   O
and   O
will   O
be   O
reviewed   O
accordingly   O
.   O

Patient   O
Report   O
:   O
13/9   B-DATE
Patient   O
:   O
vidal   B-NAME
Medical   O
Record   O
#   O
:   O
26465766   B-ID
Physician   O
:   O

Mora   B-NAME
Medical   O
History   O
:   O
Felix   B-NAME
Chambers   I-NAME
is   O
a   O
82   O
-   O
year   O
-   O
old   O
patient   O
who   O
was   O
brought   O
to   O
Lake   B-LOCATION
Health   I-LOCATION
TriPoint   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
fatigue   O
,   O
dizziness   O
,   O
and   O
consistent   O
abdominal   O
pain   O
.   O

Alex   B-NAME
Weaver   I-NAME
works   O
as   O
a   O
Couriers   O
and   O
Messengers   O
at   O
European   B-LOCATION
Beer   I-LOCATION
Consumers   I-LOCATION
Union   I-LOCATION
(   I-LOCATION
EBCU   I-LOCATION
)   I-LOCATION
in   O
KIRKWALL   B-LOCATION
.   O

Prince   B-NAME
's   O
symptoms   O
have   O
persisted   O
for   O
approximately   O
7   O
weeks   O
.   O

Physical   O
Examination   O
:   O
Augustus   B-NAME
Tran   I-NAME
seems   O
severely   O
exhausted   O
and   O
appeared   O
pale   O
during   O
the   O
examination   O
.   O

Results   O
are   O
due   O
on   O
2160   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
21   I-DATE
.   O

Chase   B-NAME
Kenny   I-NAME
has   O
been   O
advised   O
to   O
stay   O
in   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Fremont   I-LOCATION
for   O
further   O
investigation   O
and   O
given   O
his   O
low   O
BP   O
,   O
we   O
are   O
considering   O
IV   O
fluid   O
therapy   O
.   O

Billing   O
:   O
Charge   O
to   O
Emilio   B-NAME
Hayes   I-NAME
's   O
insurance   O
XM637/6267   B-ID
.   O

Send   O
bill   O
to   O
address   O
on   O
file   O
in   O
Correctionville   B-LOCATION
,   O
37470   B-LOCATION
.   O

Emergency   O
Contact   O
:   O
Monique   B-NAME
Mack   I-NAME
's   O
emergency   O
contact   O
is   O
listed   O
as   O
ao840   B-NAME
with   O
a   O
phone   O
number   O
of   O
(   B-CONTACT
596   I-CONTACT
)   I-CONTACT
747   I-CONTACT
-   I-CONTACT
1977   I-CONTACT
.   O

I   O
,   O
Moon   B-NAME
,   O
with   O
ID   O
VZ:8091:682473   B-ID
,   O
confirm   O
that   O
all   O
the   O
information   O
provided   O
in   O
the   O
report   O
is   O
correct   O
to   O
the   O
best   O
of   O
my   O
knowledge   O
.   O

Next   O
appointment   O
is   O
scheduled   O
for   O
12/1   B-DATE
.   O

Saunders   B-NAME
is   O
a   O
36   O
years   O
old   O
individual   O
who   O
was   O
admitted   O
to   O
San   B-LOCATION
Antonio   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
2022   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
22   I-DATE
.   O

Dr.   O
Osborne   B-NAME
began   O
care   O
for   O
the   O
patient   O
after   O
the   O
initial   O
examination   O
.   O

According   O
to   O
the   O
medical   O
record   O
number   O
8756309   B-ID
,   O
the   O
patient   O
was   O
presented   O
with   O
multiple   O
symptoms   O
.   O

Symptoms   O
:   O
George   B-NAME
Dickerson   I-NAME
reports   O
persisting   O
headaches   O
for   O
a   O
month   O
,   O
which   O
has   O
been   O
resistant   O
to   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Address   O
information   O
:   O
Kaliyah   B-NAME
Boyd   I-NAME
hails   O
from   O
Plumas   B-LOCATION
Lake   I-LOCATION
and   O
can   O
be   O
contacted   O
over   O
phone   O
number   O
574   B-CONTACT
9148   I-CONTACT
.   O

The   O
patient   O
's   O
zip   O
code   O
is   O
73587   B-LOCATION
.   O

Additional   O
information   O
:   O
Gil   B-NAME
has   O
been   O
working   O
as   O
a   O
Administrative   O
Services   O
Managers   O
at   O
The   B-LOCATION
Tattnall   I-LOCATION
Bank   I-LOCATION
.   O

The   O
patient   O
carries   O
an   O
identification   O
number   O
XY   B-ID
:   I-ID
TU:8297   I-ID
issued   O
by   O
the   O
organization   O
.   O

Given   O
this   O
presentation   O
,   O
Cannon   B-NAME
has   O
recommended   O
a   O
series   O
of   O
diagnostic   O
tests   O
to   O
understand   O
the   O
underlying   O
problem   O
better   O
in   O
consultation   O
with   O
a   O
neurologist   O
.   O

A   O
digital   O
copy   O
of   O
the   O
complete   O
medical   O
record   O
can   O
be   O
retrieved   O
using   O
vii246   B-NAME
.   O

Patient   O
Name   O
:   O
VELASQUEZ   B-NAME
,   I-NAME
WALTER   I-NAME
Age   O
:   O
30   O
ID   O
:   O
FJ437/5543   B-ID
Medical   O
Record   O
:   O
2252797   B-ID
Phone   O
:   O
(   B-CONTACT
121   I-CONTACT
)   I-CONTACT
228   I-CONTACT
-   I-CONTACT
6119   I-CONTACT
Residence   O
:   O
Janesville   B-LOCATION
Zip   O
Code   O
:   O
90850   B-LOCATION
Profession   O
:   O
Segmental   O
Pavers   O
Treatment   O
Doctor   O
:   O

Terrell   B-NAME
Treatment   O
Facility   O
:   O
Providence   B-LOCATION
Hospital   I-LOCATION
Northeast   I-LOCATION
Appointment   O
Date   O
:   O
13/12   B-DATE
Referring   O
Organization   O
:   O

Sterling   B-LOCATION
Bank   I-LOCATION
01/16   B-DATE
Report   O
Buffy   B-NAME
Fegan   I-NAME
presented   O
with   O
intense   O
cephalgia   O
that   O
started   O
2   O
weeks   O
ago   O
.   O

Calderon   B-NAME
's   O
migraines   O
are   O
triggered   O
by   O
bright   O
lights   O
and   O
loud   O
noises   O
,   O
common   O
in   O
Tyra   B-NAME
Linnell   I-NAME
's   O
Press   O
sub   O
-   O
editor   O
.   O

Skylar   B-NAME
Odonnell   I-NAME
rated   O
the   O
pain   O
intensity   O
of   O
the   O
headaches   O
as   O
8   O
on   O
a   O
scale   O
of   O
0   O
-   O
10   O
.   O

Kyle   B-NAME
Bradley   I-NAME
revealed   O
a   O
family   O
history   O
of   O
migraines   O
;   O
Joaquin   B-NAME
Hammond   I-NAME
's   O
mother   O
suffered   O
from   O
chronic   O
migraines   O
for   O
over   O
40   O
years   O
.   O

Based   O
on   O
the   O
symptoms   O
,   O
Steele   B-NAME
requested   O
a   O
detailed   O
neurological   O
examination   O
and   O
an   O
MRI   O
of   O
the   O
brain   O
.   O

The   O
brain   O
MRI   O
was   O
performed   O
at   O
Providence   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
on   O
2000   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
27   I-DATE
,   O
which   O
revealed   O
no   O
structural   O
anomalies   O
.   O

Reagan   B-NAME
,   I-NAME
Ron   I-NAME
was   O
prescribed   O
sumatriptan   O
and   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
.   O

Shaun   B-NAME
Grant   I-NAME
further   O
recommended   O
follow   O
-   O
up   O
appointments   O
for   O
Alexzander   B-NAME
Cameron   I-NAME
for   O
the   O
successive   O
6   O
months   O
at   O
Palestine   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
East   I-LOCATION
to   O
monitor   O
McKennitt   B-NAME
,   I-NAME
Loreena   I-NAME
's   O
response   O
to   O
the   O
prescribed   O
therapy   O
.   O

Technical   O
support   O
during   O
the   O
imaging   O
was   O
provided   O
by   O
sz752   B-NAME
.   O

For   O
any   O
further   O
assistance   O
or   O
enquiry   O
,   O
Orwell   B-NAME
,   I-NAME
George   I-NAME
has   O
been   O
advised   O
to   O
contact   O
the   O
front   O
office   O
at   O
928   B-CONTACT
3494   I-CONTACT
.   O

Camie   B-NAME
Lim   I-NAME
will   O
be   O
submitting   O
all   O
records   O
to   O
Special   B-LOCATION
Military   I-LOCATION
Active   I-LOCATION
Recreational   I-LOCATION
Travelers   I-LOCATION
for   O
maintaining   O
a   O
comprehensive   O
patient   O
history   O
coordinated   O
with   O
Jay   B-NAME
Wallace   I-NAME
's   O
primary   O
care   O
physician   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
March   B-DATE
at   O
Saint   B-LOCATION
Johns   I-LOCATION
Maude   I-LOCATION
Norton   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Columbus   I-LOCATION
,   O
located   O
at   O
Bolingbrook   B-LOCATION
(   O
zip-   O
93155   B-LOCATION
)   O
.   O

Pharmacy   O
instructions   O
have   O
been   O
communicated   O
digitally   O
to   O
Lenora   B-NAME
Pleasant   I-NAME
and   O
to   O
the   O
pharmacy   O
at   O
Oberon   B-LOCATION
.   O

Patient   O
Information   O
:   O
Andreas   B-NAME
Cervantes   I-NAME
evaluated   O
Mcmahon   B-NAME
in   O
the   O
emergency   O
department   O
on   O
12/19/2022   B-DATE
.   O

The   O
patient   O
is   O
a   O
2   O
week   O
-   O
year   O
-   O
old   O
working   O
in   O
a   O
Childcare   O
Workers   O
at   O
1st   B-LOCATION
Pacific   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
California   I-LOCATION
who   O
was   O
recently   O
diagnosed   O
with   O
hypertension   O
and   O
diabetes   O
.   O

Keeler   B-NAME
presented   O
with   O
severe   O
,   O
sharp   O
,   O
and   O
stabbing   O
pain   O
in   O
the   O
left   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Medical   O
history   O
of   O
the   O
patient   O
recorded   O
under   O
9537824   B-ID
shows   O
that   O
Chamomile   B-NAME
was   O
previously   O
hospitalized   O
twice   O
at   O
Long   B-LOCATION
Beach   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
firstly   O
,   O
for   O
a   O
myocardial   O
infarction   O
in   O
33/24   B-DATE
and   O
secondly   O
for   O
a   O
hernia   O
repair   O
in   O
07/05/2207   B-DATE
.   O

George   B-NAME
III   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
ordered   O
a   O
CBC   O
with   O
differential   O
,   O
CMP   O
,   O
coagulation   O
panel   O
,   O
and   O
a   O
urinalysis   O
.   O

Donovan   B-NAME
reported   O
to   O
have   O
a   O
health   O
insurance   O
with   O
details   O
under   O
ID   O
WV:63976:542220   B-ID
.   O

Addressing   O
the   O
immediate   O
pain   O
and   O
discomfort   O
,   O
Saint   B-NAME
-   I-NAME
Exupéry   I-NAME
,   I-NAME
Antoine   I-NAME
de   I-NAME
was   O
administered   O
an   O
analgesic   O
and   O
was   O
asked   O
to   O
stay   O
under   O
observation   O
at   O
Holy   B-LOCATION
Name   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Nichols   B-NAME
's   O
family   O
,   O
residing   O
in   O
Smiths   B-LOCATION
Station   I-LOCATION
and   O
reachable   O
at   O
(   B-CONTACT
241   I-CONTACT
)   I-CONTACT
539   I-CONTACT
8500   I-CONTACT
,   O
were   O
also   O
informed   O
about   O
the   O
situation   O
.   O

It   O
was   O
decided   O
that   O
Rockefeller   B-NAME
,   I-NAME
John   I-NAME
D.   I-NAME
's   O
progress   O
and   O
replies   O
to   O
the   O
diagnostic   O
tests   O
would   O
provide   O
more   O
clarity   O
.   O

Follow   O
-   O
up   O
appointment   O
with   O
Carlie   B-NAME
Owen   I-NAME
scheduled   O
on   O
20/03/74   B-DATE
at   O
Regional   B-LOCATION
Health   I-LOCATION
Rapid   I-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
,   O
Malone   B-LOCATION
,   O
36114   B-LOCATION
.   O

Report   O
compiled   O
and   O
confirmed   O
by   O
gdo400   B-NAME
.   O

Patient   O
name   O
:   O
James   B-NAME
Vasquez   I-NAME
Hayes   B-NAME
presented   O
to   O
the   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
September   B-DATE
with   O
severe   O
stomach   O
cramps   O
and   O
vomiting   O
.   O

The   O
symptoms   O
started   O
around   O
12   O
hours   O
previously   O
,   O
after   O
having   O
dinner   O
at   O
a   O
local   O
restaurant   O
in   O
Wasta   B-LOCATION
.   O

He   O
mentioned   O
he   O
went   O
out   O
dining   O
with   O
his   O
colleague   O
,   O
sh613   B-NAME
.   O

Upon   O
arrival   O
,   O
Mira   B-NAME
Lloyd   I-NAME
took   O
over   O
the   O
case   O
after   O
he   O
was   O
transferred   O
to   O
the   O
emergency   O
department   O
.   O

As   O
per   O
the   O
hospital   O
's   O
protocol   O
,   O
the   O
patient   O
's   O
stool   O
samples   O
were   O
collected   O
for   O
testing   O
and   O
sent   O
to   O
the   O
microbiology   O
lab   O
under   O
the   O
sample   O
PB577/2020   B-ID
.   O

Park   B-NAME
decided   O
to   O
start   O
him   O
on   O
a   O
course   O
of   O
intravenous   O
fluids   O
and   O
antiemetics   O
to   O
manage   O
symptoms   O
.   O

He   O
was   O
monitored   O
closely   O
for   O
the   O
next   O
48   O
hours   O
in   O
the   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Baldwin   I-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Instructions   O
were   O
given   O
to   O
him   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
and   O
reach   O
us   O
at   O
77815   B-CONTACT
in   O
case   O
of   O
an   O
emergency   O
.   O

His   O
elaborate   O
medical   O
history   O
has   O
been   O
documented   O
under   O
the   O
6828914   B-ID
number   O
and   O
the   O
same   O
has   O
been   O
handed   O
over   O
to   O
him   O
as   O
well   O
.   O

A   O
follow   O
up   O
appointment   O
was   O
scheduled   O
with   O
Bowen   B-NAME
for   O
14/23/52   B-DATE
.   O

The   O
patient   O
lives   O
in   O
the   O
33956   B-LOCATION
area   O
and   O
requested   O
the   O
appointment   O
to   O
be   O
scheduled   O
in   O
the   O
evening   O
,   O
as   O
he   O
has   O
to   O
return   O
to   O
his   O
job   O
as   O
a   O
jeweler   O
in   O
Free   B-LOCATION
the   I-LOCATION
Slaves   I-LOCATION
.   O

The   O
patient   O
,   O
Keely   B-NAME
Williams   I-NAME
,   O
a   O
Gas   O
Pumping   O
Station   O
Operators   O
by   O
occupation   O
,   O
was   O
admitted   O
to   O
the   O
Dale   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
9/15   B-DATE
.   O

She   O
is   O
a   O
70   O
old   O
woman   O
who   O
lives   O
in   O
Wem   B-LOCATION
,   O
59184   B-LOCATION
.   O

The   O
patient   O
was   O
examined   O
by   O
Jamir   B-NAME
Fritz   I-NAME
who   O
noticed   O
that   O
she   O
was   O
presenting   O
symptoms   O
indicative   O
of   O
an   O
asthmatic   O
condition   O
.   O

The   O
details   O
of   O
her   O
medical   O
history   O
can   O
be   O
traced   O
back   O
to   O
her   O
medical   O
record   O
45586007   B-ID
.   O

Given   O
her   O
condition   O
and   O
the   O
severity   O
of   O
her   O
symptoms   O
,   O
a   O
follow   O
-   O
up   O
visit   O
was   O
suggested   O
for   O
2202   B-DATE
.   O

For   O
furthur   O
enquiries   O
or   O
information   O
,   O
Faustina   B-NAME
Ellerman   I-NAME
or   O
her   O
family   O
can   O
directly   O
contact   O
the   O
hospital   O
office   O
at   O
61692   B-CONTACT
.   O

Hence   O
she   O
is   O
registered   O
with   O
KL:55345:106635   B-ID
under   O
her   O
designated   O
Mind   B-LOCATION
Freedom   I-LOCATION
International   I-LOCATION
for   O
further   O
actions   O
during   O
emergencies   O
.   O

JY616   B-NAME
will   O
be   O
her   O
username   O
for   O
all   O
future   O
digital   O
correspondence   O
with   O
the   O
Johnson   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

An   O
update   O
of   O
her   O
case   O
would   O
be   O
sent   O
to   O
her   O
referring   O
physician   O
,   O
Vaughn   B-NAME
at   O
Florida   B-LOCATION
in   O
due   O
course   O
after   O
the   O
completion   O
of   O
her   O
thorough   O
medical   O
examination   O
.   O

Patient   O
Cantrell   B-NAME
presented   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Corbin   I-LOCATION
on   O
1644   B-DATE
.   O

The   O
patient   O
is   O
a   O
Materials   O
Scientists   O
,   O
25   O
years   O
old   O
,   O
with   O
medical   O
ID   O
WM605/7473   B-ID
and   O
health   O
plan   O
number   O
98894170   B-ID
.   O

They   O
reside   O
in   O
Henryetta   B-LOCATION
and   O
their   O
personal   O
contact   O
is   O
577   B-CONTACT
-   I-CONTACT
7661   I-CONTACT
.   O

Atticus   B-NAME
Bennett   I-NAME
was   O
first   O
consulted   O
by   O
Brown   B-NAME
,   O
who   O
noted   O
the   O
patient   O
had   O
presented   O
with   O
symptoms   O
suggesting   O
congestive   O
heart   O
failure   O
.   O

On   O
physical   O
examination   O
,   O
Almeda   B-NAME
Roye   I-NAME
had   O
elevated   O
jugular   O
venous   O
pressure   O
and   O
a   O
third   O
heart   O
sound   O
(   O
S3   O
gallop   O
)   O
was   O
heard   O
on   O
auscultation   O
indicative   O
of   O
fluid   O
overload   O
.   O

Further   O
diagnostic   O
investigations   O
conducted   O
on   O
30/22   B-DATE
showed   O
elevated   O
levels   O
of   O
brain   O
natriuretic   O
peptide   O
(   O
BNP   O
)   O
,   O
a   O
common   O
biomarker   O
in   O
heart   O
failure   O
.   O

The   O
patient   O
was   O
referred   O
to   O
Lam   B-NAME
at   O
Cox   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
who   O
confirmed   O
the   O
diagnosis   O
,   O
and   O
initiated   O
treatment   O
with   O
furosemide   O
,   O
angiotensin   O
-   O
converting   O
enzyme   O
(   O
ACE   O
)   O
inhibitors   O
,   O
and   O
beta   O
-   O
blockers   O
as   O
per   O
the   O
guidelines   O
of   O
Release   B-LOCATION
International   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
02/22   B-DATE
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
contact   O
UPMC   B-LOCATION
Pinnacle   I-LOCATION
Lititz   I-LOCATION
at   O
(   B-CONTACT
104   I-CONTACT
)   I-CONTACT
807   I-CONTACT
-   I-CONTACT
5030   I-CONTACT
with   O
any   O
concerns   O
or   O
severe   O
side   O
effects   O
.   O

Their   O
patient   O
portal   O
can   O
be   O
accessed   O
with   O
the   O
username   O
pv196   B-NAME
and   O
their   O
address   O
on   O
record   O
is   O
at   O
Erda   B-LOCATION
,   O
60364   B-LOCATION
.   O

The   O
team   O
will   O
continue   O
to   O
monitor   O
Irmgard   B-NAME
's   O
status   O
and   O
progression   O
to   O
ensure   O
a   O
timely   O
and   O
efficient   O
treatment   O
plan   O
.   O

Patient   O
Name   O
:   O
Destiney   B-NAME
Thomas   I-NAME
Age   O
:   O
92   O
Date   O
of   O
Visit   O
:   O
2201   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
08   I-DATE
Patient   O
YARBROUGH   B-NAME
was   O
brought   O
in   O
on   O
01/26   B-DATE
by   O
his   O
mother   O
due   O
to   O
complaints   O
of   O
high   O
fever   O
and   O
severe   O
cough   O
for   O
four   O
days   O
.   O

The   O
patient   O
was   O
previously   O
diagnosed   O
with   O
asthma   O
at   O
Danvers   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
982   B-ID
-   I-ID
52   I-ID
-   I-ID
57   I-ID
-   I-ID
6   I-ID
from   O
Gulf   B-LOCATION
Coast   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
was   O
retrieved   O
as   O
well   O
.   O

The   O
primary   O
care   O
doctor   O
Bean   B-NAME
consulted   O
was   O
not   O
available   O
on   O
the   O
day   O
.   O

So   O
,   O
Dr.   O
Doug   B-NAME
Jackson   I-NAME
from   O
the   O
Pulmonology   O
department   O
examined   O
him   O
.   O

Justa   B-NAME
Gravitt   I-NAME
decided   O
to   O
admit   O
him   O
to   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Hamilton   I-LOCATION
,   O
building   O
number   O
Ivesdale   B-LOCATION
,   O
room   O
number   O
Northfork   B-LOCATION
for   O
further   O
observation   O
and   O
to   O
conduct   O
necessary   O
investigations   O
.   O

The   O
hospital   O
802   B-CONTACT
1908   I-CONTACT
communicated   O
to   O
his   O
mother   O
that   O
they   O
would   O
call   O
her   O
with   O
the   O
test   O
results   O
.   O

Nightingale   B-NAME
,   I-NAME
Florence   I-NAME
was   O
a   O
resident   O
of   O
Muskegon   B-LOCATION
Heights   I-LOCATION
,   O
52530   B-LOCATION
,   O
and   O
was   O
attending   O
elementary   O
school   O
in   O
Earthstar   B-LOCATION
Bank   I-LOCATION
.   O

As   O
per   O
his   O
mother   O
's   O
information   O
,   O
his   O
symptoms   O
started   O
after   O
a   O
school   O
trip   O
they   O
took   O
to   O
a   O
farm   O
located   O
in   O
Calhoun   B-LOCATION
on   O
00/29   B-DATE
.   O

Prior   O
to   O
moving   O
to   O
Obion   B-LOCATION
,   O
the   O
family   O
was   O
residing   O
in   O
,   O
and   O
there   O
,   O
the   O
patient   O
was   O
under   O
the   O
care   O
of   O
Reynolds   B-NAME
at   O
WAPDA   B-LOCATION
and   O
was   O
last   O
seen   O
by   O
the   O
doctor   O
on   O
March   B-DATE
23   I-DATE
,   I-DATE
2193   I-DATE
.   O

Transition   O
care   O
has   O
been   O
informed   O
of   O
Jonathan   B-NAME
Katz   I-NAME
health   O
status   O
and   O
the   O
case   O
was   O
reported   O
under   O
the   O
patient   O
's   O
ID   O
24166   B-ID
.   O

The   O
report   O
was   O
documented   O
by   O
NY602   B-NAME
,   O
a   O
waitress   O
at   O
Magnolia   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
further   O
information   O
,   O
you   O
may   O
contact   O
Woodwinds   B-LOCATION
Health   I-LOCATION
Campus   I-LOCATION
at   O
52409   B-CONTACT
.   O

A   O
secure   O
message   O
with   O
upcoming   O
appointments   O
and   O
necessary   O
treatment   O
plans   O
will   O
be   O
sent   O
to   O
his   O
mother   O
's   O
registered   O
email   O
ID   O
tx221   B-NAME
.   O

Patient   O
Name   O
:   O
Jolie   B-NAME
,   I-NAME
Angelina   I-NAME
DOB   O
:   O

September   B-DATE
0   I-DATE
MRN   O
:   O
106   B-ID
-   I-ID
50   I-ID
-   I-ID
84   I-ID
-   I-ID
2   I-ID
Hospital   O
:   O

UPMC   B-LOCATION
Pinnacle   I-LOCATION
Phone   O
:   O
853   B-CONTACT
-   I-CONTACT
4279   I-CONTACT
ZIP   O
:   O
78261   B-LOCATION
Primary   O
Doctor   O
:   O
Leandro   B-NAME
Wood   I-NAME
On   O
12/22   B-DATE
,   O
Mclaughlin   B-NAME
was   O
admitted   O
to   O
the   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Southwest   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
in   O
Waterbury   B-LOCATION
.   O

The   O
patient   O
is   O
a   O
Painters   O
,   O
Transportation   O
Equipment   O
of   O
31   O
years   O
,   O
residing   O
at   O
Dames   B-LOCATION
Quarter   I-LOCATION
.   O

The   O
patient   O
was   O
referred   O
by   O
Andre   B-NAME
Wallace   I-NAME
of   O
Industrial   B-LOCATION
Workers   I-LOCATION
of   I-LOCATION
the   I-LOCATION
World   I-LOCATION
.   O

On   O
the   O
initial   O
evaluation   O
,   O
Natasha   B-NAME
Vaughn   I-NAME
reported   O
a   O
2   O
weeks   O
history   O
of   O
intermittent   O
chest   O
pain   O
.   O

Santos   B-NAME
also   O
described   O
symptoms   O
of   O
crushing   O
tipo   O
-   O
pain   O
in   O
the   O
center   O
of   O
the   O
chest   O
that   O
radiates   O
to   O
the   O
left   O
arm   O
,   O
often   O
associated   O
with   O
shortness   O
of   O
breath   O
and   O
sweating   O
.   O

Records   O
show   O
repeated   O
consumption   O
of   O
anti   O
-   O
hypertensive   O
medications   O
prescribed   O
by   O
Dillan   B-NAME
Edwards   I-NAME
for   O
elevated   O
blood   O
pressure   O
levels   O
.   O

Post   O
-   O
procedure   O
,   O
Emmerson   B-NAME
F.   I-NAME
Carpenter   I-NAME
was   O
shifted   O
to   O
the   O
cardiology   O
unit   O
for   O
continued   O
monitoring   O
and   O
treatment   O
.   O

The   O
patient   O
was   O
scheduled   O
of   O
visit   O
for   O
follow   O
-   O
up   O
on   O
M   B-DATE
.   O
For   O
any   O
additional   O
information   O
or   O
to   O
change   O
the   O
appointment   O
,   O
the   O
patient   O
was   O
directed   O
to   O
contact   O
762   B-CONTACT
-   I-CONTACT
658   I-CONTACT
6631   I-CONTACT
or   O
FV116   B-NAME
at   O
our   O
digital   O
hospital   O
platform   O
.   O

Patient   O
's   O
ID   O
:   O
DW630/5523   B-ID

Patient   O
Information   O
Name   O
:   O
Camila   B-NAME
Carney   I-NAME
Age   O
:   O
86   O
Profession   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Retail   O
Sales   O
Workers   O
Residence   O
:   O
73   B-LOCATION
South   I-LOCATION
Road   I-LOCATION
Hospital   O
Information   O
Hospital   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Saginaw   I-LOCATION
Doctor   O
's   O
Name   O
:   O
Dr.   O
Salazar   B-NAME
Medical   O
Record   O
:   O
039   B-ID
-   I-ID
44   I-ID
-   I-ID
30   I-ID
Initial   O
Presentation   O
On   O
the   O
morning   O
of   O
21   B-DATE
,   O
Yonathan   B-NAME
Orth   I-NAME
was   O
brought   O
to   O
Mount   B-LOCATION
Carmel   I-LOCATION
East   I-LOCATION
Hospital   I-LOCATION
by   O
his   O
partner   O
.   O

Clinical   O
Findings   O
Medical   O
examination   O
of   O
Short   B-NAME
by   O
Dr.   O
Chance   B-NAME
Lawrence   I-NAME
reported   O
tenderness   O
in   O
the   O
suspected   O
area   O
.   O

Treatment   O
Plan   O
Dr.   O
Duncan   B-NAME
Flynn   I-NAME
informed   O
Macrianus   B-NAME
Major   I-NAME
Danver   I-NAME
De   I-NAME
Banzi   I-NAME
Haight   I-NAME
Gilbear   I-NAME
about   O
the   O
need   O
for   O
immediate   O
surgical   O
intervention   O
.   O

Laparoscopic   O
appendectomy   O
was   O
planned   O
for   O
the   O
following   O
2/35   B-DATE
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
Villarreal   B-NAME
was   O
discharged   O
from   O
UAB   B-LOCATION
Highlands   I-LOCATION
on   O
9/29/2077   B-DATE
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
in   O
two   O
weeks   O
at   O
Dr.   O
Rivera   B-NAME
's   O
office   O
.   O

SHospital   O
NN   B-ID
:   I-ID
WV:2816   I-ID
across   O
all   O
records   O
and   O
communication   O
with   O
the   O
patient   O
ensured   O
HIPAA   O
compliance   O
.   O

Contact   O
Information   O
Phone   O
Number   O
:   O
99010   B-CONTACT
Emergency   O
Contact   O
:   O
757   B-CONTACT
-   I-CONTACT
914   I-CONTACT
-   I-CONTACT
8049   I-CONTACT
Billing   O
Information   O
Insurance   O
Provider   O
:   O
Westfield   B-LOCATION
Insurance   I-LOCATION
Policy   O
Number   O
:   O
MH   B-ID
:   I-ID
AI:5065   B-ID
This   O
report   O
has   O
been   O
compiled   O
and   O
reviewed   O
by   O
efy34   B-NAME
on   O
26   B-DATE
.   O

Any   O
concerns   O
regarding   O
the   O
patient   O
's   O
care   O
should   O
be   O
addressed   O
to   O
the   O
attention   O
of   O
Dr.   O
Deven   B-NAME
Baker   I-NAME
at   O
Adirondack   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
at   O
Hermosa   B-LOCATION
,   O
61656   B-LOCATION
.   O

Patient   O
:   O
Cael   B-NAME
Kelley   I-NAME
Age   O
:   O
57s   O
Date   O
:   O
Labor   B-DATE
Day   I-DATE

The   O
patient   O
was   O
escorted   O
by   O
jdy394   B-NAME
to   O
Dr.   O
Philip   B-NAME
Taylor   I-NAME
at   O
the   O
Union   B-LOCATION
Hospital   I-LOCATION
.   O

They   O
had   O
an   O
appointment   O
scheduled   O
at   O
9   O
AM   O
on   O
28/05   B-DATE
.   O

The   O
patient   O
lives   O
in   O
Round   B-LOCATION
Rock   I-LOCATION
and   O
his   O
zip   O
code   O
is   O
60536   B-LOCATION
.   O

The   O
patient   O
presented   O
with   O
a   O
high   O
fever   O
which   O
spiked   O
at   O
38.5   O
degrees   O
Celsius   O
on   O
the   O
evening   O
of   O
00/35   B-DATE
.   O

Dr.   O
Emery   B-NAME
Buck   I-NAME
conducted   O
a   O
thorough   O
physical   O
exam   O
and   O
noted   O
that   O
the   O
patient   O
's   O
pupils   O
were   O
reactive   O
and   O
there   O
was   O
no   O
noted   O
nuchal   O
rigidity   O
.   O

Reports   O
from   O
International   B-LOCATION
Metalworkers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
confirmed   O
a   O
positive   O
result   O
for   O
streptococcus   O
pneumoniae   O
.   O

Currently   O
,   O
the   O
patient   O
is   O
on   O
a   O
course   O
of   O
antibiotics   O
as   O
prescribed   O
by   O
his   O
primary   O
health   O
care   O
provider   O
,   O
Dr.   O
Cason   B-NAME
Suarez   I-NAME
.   O

His   O
Medical   O
ID   O
number   O
is   O
161   B-ID
-   I-ID
95   I-ID
-   I-ID
71   I-ID
-   I-ID
0   I-ID
and   O
his   O
Social   O
Security   O
number   O
are   O
AQ   B-ID
:   I-ID
TC:1678   I-ID
.   O

He   O
was   O
contacted   O
on   O
the   O
(   B-CONTACT
234   I-CONTACT
)   I-CONTACT
422   I-CONTACT
-   I-CONTACT
6418   I-CONTACT
with   O
a   O
plan   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
2032   B-DATE
.   O

The   O
discharge   O
summary   O
report   O
was   O
faxed   O
to   O
his   O
primary   O
care   O
provider   O
Dr.   O
Ok   B-NAME
Mateer   I-NAME
of   O
FirstBank   B-LOCATION
Financial   I-LOCATION
Service   I-LOCATION
for   O
continuation   O
of   O
care   O
.   O

Patient   O
Report   O
for   O
Molina   B-NAME
:   O
On   O
3/22/56   B-DATE
,   O
Mr.   O
Cerra   B-NAME
a   O
Switchboard   O
Operators   O
,   O
Including   O
Answering   O
Service   O
of   O
11   O
month   O
years   O
from   O
Othello   B-LOCATION
,   O
presented   O
to   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
Homestead   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
.   O

An   O
urgent   O
call   O
was   O
made   O
to   O
Dr.   O
Chambers   B-NAME
in   O
cardiology   O
.   O

Savanna   B-NAME
Freeman   I-NAME
recommended   O
urgent   O
coronary   O
angiography   O
.   O

Hiram   B-NAME
Baker   I-NAME
performed   O
a   O
cardiac   O
catheterization   O
which   O
revealed   O
a   O
complete   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

Patient   O
's   O
Hospital   O
stay   O
from   O
00/4/42   B-DATE
to   O
July   B-DATE
0   I-DATE
during   O
which   O
time   O
his   O
symptoms   O
improved   O
significantly   O
.   O

He   O
was   O
then   O
referred   O
to   O
our   O
in   O
-   O
house   O
rehabilitation   O
program   O
at   O
Menorah   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Addressing   O
the   O
followup   O
,   O
an   O
appointment   O
was   O
set   O
for   O
June   B-DATE
1   I-DATE
-   I-DATE
23   I-DATE
in   O
cardiology   O
clinic   O
at   O
City   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
White   I-LOCATION
Rock   I-LOCATION
.   O

Copies   O
of   O
all   O
diagnostic   O
studies   O
and   O
procedure   O
reports   O
were   O
forwarded   O
to   O
Dr.   O
Underwood   B-NAME
’s   O
office   O
.   O

Mr.   O
Coleman   B-NAME
Lambert   I-NAME
's   O
unique   O
XR:391039:159267   B-ID
was   O
used   O
for   O
all   O
data   O
entry   O
tasks   O
for   O
his   O
hospital   O
stay   O
.   O

To   O
reach   O
Bernard   B-NAME
for   O
follow   O
-   O
up   O
information   O
,   O
please   O
contact   O
him   O
via   O
his   O
phone   O
(   B-CONTACT
675   I-CONTACT
)   I-CONTACT
526   I-CONTACT
7506   I-CONTACT
.   O

The   O
medical   O
team   O
can   O
reference   O
his   O
comprehensive   O
care   O
plan   O
using   O
his   O
medical   O
record   O
number   O
,   O
788   B-ID
-   I-ID
52   I-ID
-   I-ID
31   I-ID
-   I-ID
5   I-ID
.   O

All   O
invoice   O
related   O
details   O
have   O
been   O
sent   O
to   O
Coimbatore   B-LOCATION
District   I-LOCATION
Textile   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
health   O
insurance   O
,   O
and   O
they   O
can   O
expect   O
a   O
follow   O
up   O
call   O
from   O
our   O
billing   O
services   O
at   O
792   B-CONTACT
8220   I-CONTACT
.   O

The   O
Patient   O
lives   O
at   O
Chilhowee   B-LOCATION
and   O
his   O
postal   O
code   O
is   O
17494   B-LOCATION
.   O

If   O
required   O
,   O
we   O
have   O
his   O
emergency   O
contact   O
listed   O
as   O
st593   B-NAME
.   O

This   O
report   O
is   O
prepared   O
by   O
Dr.   O
Hart   B-NAME
and   O
is   O
set   O
for   O
review   O
with   O
the   O
hospital   O
's   O
medical   O
review   O
board   O
on   O
7/00   B-DATE
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Sarpedon   B-NAME
Cocking   I-NAME
Age   O
:   O
46   O
Identity   O
Number   O
:   O
JZ:25646:980302   B-ID
Phone   O
:   O
893   B-CONTACT
4147   I-CONTACT
Address   O
:   O
Naples   B-LOCATION
Zip   O
:   O
64579   B-LOCATION
Medical   O
Record   O
Number   O
:   O
92695804   B-ID
Provider   O
Information   O
:   O
Doctor   O
:   O
Benjamin   B-NAME
Hospital   O
:   O
Gundersen   B-LOCATION
Palmer   I-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
Date   O
of   O
Visit   O
:   O
14/37/2265   B-DATE
Assessment   O
:   O
Cheyanne   B-NAME
Roy   I-NAME
presented   O
with   O
symptoms   O
consistent   O
with   O
Infectious   O
Mononucleosis   O
,   O
an   O
infectious   O
disease   O
caused   O
by   O
the   O
Epstein   O
-   O
Barr   O
Virus   O
.   O

Briana   B-NAME
Acosta   I-NAME
reported   O
experiencing   O
fever   O
,   O
fatigue   O
,   O
pharyngitis   O
,   O
and   O
cervical   O
lymphadenopathy   O
.   O

Gilberto   B-NAME
Levine   I-NAME
's   O
symptoms   O
began   O
to   O
appear   O
on   O
10/17   B-DATE
.   O

Patrick   B-NAME
,   I-NAME
Saint   I-NAME
reported   O
a   O
high   O
fever   O
and   O
severe   O
fatigue   O
lasting   O
for   O
about   O
a   O
week   O
.   O

Hugh   B-NAME
Beale   I-NAME
is   O
in   O
the   O
profession   O
of   O
Loan   O
Counselors   O
and   O
mentioned   O
a   O
decrease   O
in   O
productivity   O
due   O
to   O
the   O
persistent   O
symptoms   O
.   O

As   O
per   O
the   O
records   O
picked   O
up   O
from   O
Bangalore   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
,   O
Konnor   B-NAME
Grant   I-NAME
's   O
investigation   O
results   O
provide   O
evidence   O
in   O
line   O
with   O
the   O
diagnosis   O
.   O

The   O
prescribing   O
medical   O
practitioner   O
,   O
Doyle   B-NAME
,   O
recommends   O
a   O
course   O
of   O
symptom   O
management   O
with   O
rest   O
,   O
hydration   O
,   O
over   O
-   O
the   O
-   O
counter   O
pain   O
and   O
fever   O
controllers   O
.   O

Provider   O
Contact   O
Information   O
:   O
Email   O
:   O
dok421   B-NAME
Phone   O
:   O
560   B-CONTACT
7842   I-CONTACT

Please   O
reach   O
out   O
if   O
Sherrie   B-NAME
Stotler   I-NAME
experiences   O
worsening   O
symptoms   O
or   O
in   O
the   O
event   O
of   O
an   O
emergency   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
set   O
up   O
with   O
Dunn   B-NAME
at   O
St.   B-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
July   B-DATE
.   O

The   O
information   O
is   O
confidential   O
and   O
meant   O
for   O
the   O
specified   O
Zachary   B-NAME
Cabrera   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Kreff   B-NAME
Colomy   I-NAME
was   O
admitted   O
to   O
Located   B-LOCATION
within   I-LOCATION
Bronson   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
on   O
10   B-DATE
-   I-DATE
22   I-DATE
.   O

Medical   O
history   O
obtained   O
from   O
13876038   B-ID
reveals   O
that   O
the   O
patient   O
has   O
been   O
diagnosed   O
with   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
in   O
the   O
past   O
.   O

Dr.   O
Stanton   B-NAME
,   I-NAME
Elizabeth   I-NAME
Cady   I-NAME
suggested   O
a   O
Pulmonary   O
Function   O
Test   O
(   O
PFT   O
)   O
and   O
chest   O
X   O
-   O
rays   O
.   O

The   O
tests   O
were   O
conducted   O
on   O
0/01/21   B-DATE
at   O
Wiscasset   B-LOCATION
.   O

He   O
was   O
also   O
advised   O
to   O
attend   O
pulmonary   O
rehabilitation   O
sessions   O
at   O
City   B-LOCATION
of   I-LOCATION
Milford   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
in   O
Chimney   B-LOCATION
Rock   I-LOCATION
Village   I-LOCATION
.   O

His   O
appointment   O
is   O
scheduled   O
for   O
May   B-DATE
.   O

The   O
patient   O
resides   O
at   O
Lochearn   B-LOCATION
and   O
his   O
contact   O
number   O
is   O
109   B-CONTACT
-   I-CONTACT
714   I-CONTACT
3295   I-CONTACT
.   O

Considering   O
family   O
history   O
and   O
the   O
nature   O
of   O
patient   O
's   O
profession   O
,   O
Dr.   O
Jefferson   B-NAME
wanted   O
to   O
conduct   O
a   O
Genetic   O
Counselor   O
Evaluation   O
for   O
Alpha-1   O
Antitrypsin   O
Deficiency   O
.   O

The   O
appointment   O
was   O
scheduled   O
with   O
genetics   O
counselor   O
at   O
Riverview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
2   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
14   I-DATE
.   O

The   O
medical   O
report   O
was   O
prepared   O
by   O
up742   B-NAME
and   O
is   O
to   O
be   O
sent   O
to   O
Provincial   B-LOCATION
Worlds   I-LOCATION
for   O
processing   O
under   O
352566956   B-ID
number   O
.   O

The   O
patient   O
is   O
under   O
the   O
Medicare   O
program   O
from   O
Disabled   B-LOCATION
Peoples   I-LOCATION
'   I-LOCATION
International   I-LOCATION
and   O
his   O
health   O
plan   O
number   O
is   O
VR   B-ID
:   I-ID
OD:5775   I-ID
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Mckay   B-NAME
on   O
09/00   B-DATE
at   O
Clinton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
and   O
monitoring   O
.   O

Zip   O
code   O
for   O
patient   O
's   O
residence   O
:   O
75728   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
:   O
Mikel   B-NAME
Date   O
of   O
Birth   O
:   O
12/04   B-DATE
Age   O
:   O
63s   O
Medical   O
Record   O
Number   O
:   O
8144756   B-ID
PHI   O
:   O
UJ:95753:413385   B-ID
Phone   O
Number   O
:   O
381   B-CONTACT
-   I-CONTACT
7292   I-CONTACT
Address   O
:   O
Carrollton   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
75007   I-LOCATION
,   O
31385   B-LOCATION
Physician   O
:   O

Kemp   B-NAME
Nursing   O
Home   O
:   O
Logan   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Oakley   I-LOCATION
The   O
patient   O
,   O
Idamae   B-NAME
Elliot   I-NAME
,   O
resides   O
at   O
Rockledge   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Westbury   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11590   I-LOCATION
.   O

He   O
arrived   O
at   O
the   O
medical   O
facility   O
on   O
7   B-DATE
-   I-DATE
9   I-DATE
complaining   O
of   O
acute   O
,   O
persistent   O
abdominal   O
pain   O
and   O
nausea   O
.   O

Upon   O
physical   O
examination   O
,   O
the   O
physician   O
,   O
Elliana   B-NAME
Suarez   I-NAME
,   O
noticed   O
a   O
distended   O
abdomen   O
and   O
increased   O
bowel   O
sounds   O
suggestive   O
of   O
some   O
form   O
of   O
gastrointestinal   O
issues   O
.   O

Laboratory   O
tests   O
and   O
radiologic   O
imaging   O
were   O
ordered   O
by   O
Skylar   B-NAME
Stout   I-NAME
to   O
kindle   O
out   O
possibilities   O
of   O
intestinal   O
obstruction   O
or   O
gastritis   O
.   O

In   O
his   O
medical   O
history   O
,   O
Bridges   B-NAME
has   O
been   O
treated   O
for   O
peptic   O
ulcers   O
in   O
the   O
past   O
at   O
Lake   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

His   O
diet   O
mostly   O
includes   O
take   O
-   O
outs   O
from   O
local   O
restaurants   O
around   O
8059   B-LOCATION
E.   I-LOCATION
Young   I-LOCATION
Drive   I-LOCATION
.   O

The   O
City   B-LOCATION
of   I-LOCATION
Moore   I-LOCATION
Haven   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
where   O
Jim   B-NAME
Pomatter   I-NAME
works   O
do   O
not   O
provide   O
catered   O
meals   O
therefore   O
he   O
oftentimes   O
resorts   O
to   O
fast   O
foods   O
.   O

Once   O
the   O
results   O
are   O
received   O
,   O
a   O
comprehensive   O
management   O
plan   O
including   O
medications   O
and   O
possible   O
lifestyle   O
changes   O
will   O
be   O
discussed   O
with   O
Brandie   B-NAME
and   O
his   O
family   O
.   O

The   O
progress   O
of   O
Nelson   B-NAME
Garner   I-NAME
will   O
be   O
documented   O
in   O
his   O
medical   O
record   O
(   O
7331985   B-ID
)   O
for   O
ongoing   O
care   O
.   O

For   O
any   O
queries   O
,   O
please   O
contact   O
me   O
on   O
46782   B-CONTACT
.   O

You   O
can   O
also   O
reach   O
out   O
to   O
the   O
healthcare   O
management   O
team   O
at   O
ifm322   B-NAME
or   O
communicate   O
via   O
our   O
official   O
healthcare   O
organization   O
ID   O
4   B-ID
-   I-ID
2758358   I-ID
.   O

Gregory   B-NAME

Patient   O
Report   O
Patient   O
Name   O
:   O
Christoper   B-NAME
Age   O
:   O
16   O
Assigned   O
Doctor   O
:   O
Long   B-NAME
Medical   O
Record   O
#   O
:   O
241   B-ID
-   I-ID
26   I-ID
-   I-ID
98   I-ID
-   I-ID
5   I-ID
Contact   O
Information   O
:   O
Address   O
:   O
Squamish   B-LOCATION
,   I-LOCATION
BC   I-LOCATION
V8B   I-LOCATION
7G9   I-LOCATION
,   O
71650   B-LOCATION
Phone   O
:   O
454   B-CONTACT
-   I-CONTACT
127   I-CONTACT
7742   I-CONTACT
Social   O
Security   O
Number   O
:   O
KP978/4765   B-ID
Consultation   O
was   O
performed   O
at   O
North   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
by   O
Dr.   O
Cooper   B-NAME
Valenzuela   I-NAME
on   O
33   B-DATE
-   I-DATE
21   I-DATE
.   O

The   O
patient   O
,   O
Ubo   B-NAME
,   O
was   O
referred   O
by   O
Meijer   B-LOCATION
.   O

Dr.   O
Commager   B-NAME
,   I-NAME
Henry   I-NAME
Steele   I-NAME
arranged   O
for   O
an   O
immediate   O
electrocardiogram   O
(   O
ECG   O
)   O
and   O
lab   O
tests   O
.   O

Naomi   B-NAME
Santiago   I-NAME
was   O
quickly   O
administered   O
sublingual   O
nitroglycerin   O
and   O
aspirin   O
,   O
and   O
thrombolysis   O
was   O
initiated   O
in   O
the   O
SCL   B-LOCATION
Health   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Westminster   I-LOCATION
emergency   O
room   O
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
17/22   B-DATE
with   O
Dr.   O
Addison   B-NAME
Hubbard   I-NAME
.   O

Applicable   O
information   O
to   O
be   O
disseminated   O
through   O
the   O
DC393   B-NAME
account   O
as   O
necessary   O
to   O
provide   O
updates   O
to   O
the   O
Imperial   B-LOCATION
Spheres   I-LOCATION
about   O
the   O
patient   O
’s   O
progress   O
.   O

Please   O
contact   O
the   O
patient   O
's   O
office   O
via   O
the   O
(   B-CONTACT
760   I-CONTACT
)   I-CONTACT
319   I-CONTACT
5543   I-CONTACT
immediately   O
if   O
there   O
any   O
changes   O
to   O
the   O
detailed   O
events   O
.   O

Prepared   O
by   O
:   O
Hardin   B-NAME
31/03/59   B-DATE

Patient   O
:   O
Marcus   B-NAME
Glass   I-NAME
Age   O
:   O
65   O
Doctor   O
:   O
Durham   B-NAME
Date   O
of   O
last   O
appointment   O
:   O
16/29/2292   B-DATE
Medical   O
record   O
number   O
:   O
593   B-ID
-   I-ID
07   I-ID
-   I-ID
87   I-ID
-   I-ID
0   I-ID
Location   O
of   O
last   O
appointment   O
:   O
Buffalo   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
Universal   B-LOCATION
City   I-LOCATION
Occupation   O
:   O
Substance   O
Abuse   O
and   O
Behavioral   O
Disorder   O
Counselors   O
Contact   O
number   O
:   O
67460   B-CONTACT
Identity   O
proof   O
:   O
NP434/1932   B-ID
Residing   O
at   O
:   O
73868   B-LOCATION
Lanka   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
username   O
:   O
HU844   B-NAME
The   O
patient   O
,   O
Thompson   B-NAME
,   I-NAME
Dorothy   I-NAME
,   O
attended   O
the   O
last   O
consultation   O
on   O
4   B-DATE
-   I-DATE
36   I-DATE
with   O
Dr.   O
Ariel   B-NAME
Harper   I-NAME
at   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Muhlenberg   I-LOCATION
which   O
is   O
located   O
in   O
Suwanee   B-LOCATION
.   O

The   O
patient   O
Berne   B-NAME
,   I-NAME
Eric   I-NAME
reported   O
experiencing   O
constant   O
,   O
severe   O
chest   O
pain   O
localized   O
in   O
the   O
center   O
of   O
the   O
chest   O
that   O
lasts   O
more   O
than   O
a   O
few   O
minutes   O
or   O
changes   O
in   O
intensity   O
.   O

The   O
patient   O
has   O
been   O
instructed   O
to   O
return   O
for   O
follow   O
-   O
up   O
next   O
week   O
and   O
to   O
immediately   O
contact   O
Dr.   O
Garner   B-NAME
in   O
case   O
of   O
any   O
emergency   O
or   O
worsening   O
of   O
symptoms   O
.   O

Regarding   O
the   O
patient   O
's   O
occupation   O
,   O
Domeyko   B-NAME
,   I-NAME
Ignacy   I-NAME
is   O
working   O
as   O
a   O
Silversmiths   O
.   O

As   O
per   O
request   O
,   O
Maximillian   B-NAME
Kaufman   I-NAME
's   O
contact   O
number   O
is   O
357   B-CONTACT
8241   I-CONTACT
and   O
identity   O
proof   O
is   O
XI109/9055   B-ID
.   O

The   O
medical   O
record   O
reference   O
for   O
the   O
patient   O
is   O
366   B-ID
-   I-ID
05   I-ID
-   I-ID
60   I-ID
-   I-ID
8   I-ID
.   O

The   O
patient   O
resides   O
in   O
18753   B-LOCATION
.   O

For   O
online   O
follow   O
-   O
ups   O
and   O
updates   O
,   O
the   O
patient   O
needs   O
to   O
log   O
in   O
to   O
First   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
North   I-LOCATION
Florida   I-LOCATION
with   O
the   O
username   O
ZI974   B-NAME
.   O

Patient   O
Name   O
:   O
McNamara   B-NAME
,   I-NAME
Robert   I-NAME
Medical   O
Record   O
Number   O
:   O
3398107   B-ID
Age   O
:   O
39   O
Date   O
of   O
Consultation   O
:   O
03/05   B-DATE
Doctor   O
Name   O
:   O
Townsend   B-NAME
Hospital   O
:   O
Venice   B-LOCATION
Hospital   I-LOCATION
Organization   O
:   O

Imperial   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
Address   O
:   O
Venice   B-LOCATION
Zip   O
:   O
95964   B-LOCATION
Phone   O
Number   O
:   O
789   B-CONTACT
-   I-CONTACT
5423   I-CONTACT
Presenting   O
Complaints   O
:   O
Reema   B-NAME
N.   I-NAME
Imler   I-NAME
presented   O
with   O
gradual   O
onset   O
of   O
lower   O
abdominal   O
pain   O
which   O
had   O
been   O
mild   O
and   O
intermittent   O
initially   O
,   O
but   O
has   O
grown   O
more   O
intense   O
over   O
the   O
last   O
two   O
days   O
.   O

Due   O
to   O
his   O
/   O
her   O
Secretary   O
,   O
Macrianus   B-NAME
Major   I-NAME
Danver   I-NAME
De   I-NAME
Banzi   I-NAME
Haight   I-NAME
Gilbear   I-NAME
disregarded   O
this   O
initially   O
.   O

Otherwise   O
,   O
Louis   B-NAME
Conrad   I-NAME
has   O
been   O
in   O
good   O
health   O
,   O
with   O
no   O
significant   O
prior   O
illnesses   O
or   O
surgical   O
history   O
.   O

Diagnostic   O
Tests   O
:   O
Given   O
the   O
nature   O
of   O
JUSTUS   B-NAME
,   I-NAME
ELLIS   I-NAME
's   O
symptoms   O
,   O
we   O
have   O
ordered   O
an   O
abdominal   O
ultrasound   O
and   O
complete   O
blood   O
count   O
tests   O
.   O

Alayna   B-NAME
Gillespie   I-NAME
's   O
test   O
results   O
will   O
be   O
available   O
for   O
review   O
by   O
Wednesday   B-DATE
.   O

We   O
will   O
reassess   O
Layla   B-NAME
Smith   I-NAME
's   O
condition   O
based   O
on   O
the   O
results   O
of   O
the   O
diagnostic   O
test   O
.   O

Additional   O
appointments   O
can   O
be   O
scheduled   O
by   O
calling   O
919   B-CONTACT
8199   I-CONTACT
.   O

Montes   B-NAME
can   O
be   O
reached   O
at   O
his   O
/   O
her   O
user   O
log   O
-   O
in   O
:   O
yt54   B-NAME
and   O
ID   O
number   O
:   O
OE:19153:379766   B-ID
for   O
any   O
questions   O
or   O
concerns   O
pertaining   O
to   O
Woods   B-NAME
's   O
care   O
.   O

Review   O
Date   O
:   O
Rachel   B-NAME
Davila   I-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
Friday   B-DATE
.   O

The   O
appointment   O
will   O
be   O
conducted   O
at   O
our   O
facility   O
located   O
at   O
Huntington   B-LOCATION
Hospital   I-LOCATION
,   O
Mount   B-LOCATION
Laguna   I-LOCATION
.   O

Patient   O
Name   O
:   O
Lindsey   B-NAME
Frey   I-NAME
,   O
Age   O
:   O
94   O
,   O
Gender   O
:   O
Male   O
Mr.   O
Lacy   B-NAME
Wharton   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
Edward   B-LOCATION
White   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
on   O
07/31   B-DATE
displaying   O
symptoms   O
of   O
acute   O
chest   O
discomfort   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
patient   O
stated   O
that   O
he   O
had   O
been   O
feeling   O
unwell   O
since   O
the   O
morning   O
of   O
the   O
02/26   B-DATE
.   O

His   O
primary   O
healthcare   O
provider   O
,   O
Dr.   O
Mayra   B-NAME
Novak   I-NAME
,   O
was   O
contacted   O
.   O

The   O
record   O
number   O
2976987   B-ID
was   O
provided   O
for   O
reference   O
.   O

The   O
patient   O
was   O
previously   O
seen   O
by   O
Dr.   O
Selah   B-NAME
Chan   I-NAME
at   O
Hartford   B-LOCATION
Hospital   I-LOCATION
on   O
2117   B-DATE
.   O

The   O
patient   O
is   O
a   O
retired   O
Musicians   O
and   O
Singers   O
from   O
Kilmarnock   B-LOCATION
and   O
lives   O
with   O
his   O
wife   O
.   O

Their   O
residence   O
is   O
in   O
the   O
20751   B-LOCATION
zip   O
code   O
area   O
.   O

He   O
mentioned   O
being   O
part   O
of   O
a   O
local   O
health   O
group   O
International   B-LOCATION
Alliance   I-LOCATION
of   I-LOCATION
Women   I-LOCATION
aimed   O
at   O
promoting   O
a   O
healthier   O
lifestyle   O
.   O

Contact   O
information   O
such   O
as   O
home   O
(   B-CONTACT
652   I-CONTACT
)   I-CONTACT
678   I-CONTACT
3237   I-CONTACT
and   O
cell   O
phone   O
numbers   O
were   O
updated   O
.   O

The   O
patient   O
's   O
unique   O
identity   O
number   O
BC:32921:480525   B-ID

He   O
agreed   O
and   O
was   O
admitted   O
under   O
Dr.   O
Ponce   B-NAME
.   O

A   O
note   O
was   O
made   O
by   O
the   O
attending   O
Nurse   O
zth933   B-NAME
about   O
the   O
patient   O
's   O
condition   O
and   O
the   O
planned   O
course   O
of   O
action   O
.   O

The   O
patient   O
's   O
sensitivity   O
to   O
the   O
prescribed   O
medication   O
was   O
monitored   O
and   O
recorded   O
by   O
the   O
assigned   O
clinical   O
professional   O
cb706   B-NAME
.   O

In   O
case   O
of   O
emergency   O
,   O
the   O
family   O
's   O
contact   O
number   O
(   O
454   B-CONTACT
-   I-CONTACT
7719   I-CONTACT
)   O
was   O
documented   O
in   O
Mr.   O
Frances   B-NAME
York   I-NAME
's   O
record   O
.   O

Evaluation   O
and   O
treatment   O
will   O
continue   O
;   O
plans   O
for   O
follow   O
-   O
up   O
and   O
further   O
interventions   O
will   O
be   O
accordingly   O
adjusted   O
under   O
the   O
guidance   O
of   O
Dr.   O
Jeff   B-NAME
Brenner   I-NAME
.   O

Patient   O
Name   O
:   O
Janetta   B-NAME
Nagelhout   I-NAME
Age   O
:   O
81s   O
Medical   O
Record   O
Number   O
:   O
638   B-ID
-   I-ID
45   I-ID
-   I-ID
27   I-ID
Date   O
:   O
06/08   B-DATE
Khalilzad   B-NAME
,   I-NAME
Zalmay   I-NAME
at   O
Medical   B-LOCATION
City   I-LOCATION
Dallas   I-LOCATION
conducted   O
consultation   O
and   O
complete   O
physical   O
examination   O
for   O
Paul   B-NAME
Edwards   I-NAME
.   O

The   O
patient   O
,   O
a   O
Nature   O
conservation   O
officer   O
from   O
Fort   B-LOCATION
Lauderdale   I-LOCATION
represented   O
with   O
symptoms   O
consistent   O
with   O
an   O
acute   O
exacerbation   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
.   O

The   O
patient   O
is   O
a   O
known   O
case   O
of   O
COPD   O
,   O
diagnosed   O
in   O
New   B-DATE
Years   I-DATE
Day   I-DATE
.   O

After   O
the   O
initial   O
diagnostics   O
at   O
Ascension   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
,   O
the   O
patient   O
was   O
referred   O
to   O
a   O
specialist   O
at   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
.   O

Appointment   O
with   O
specialist   O
Mateo   B-NAME
Chen   I-NAME
at   O
Lakewood   B-LOCATION
has   O
been   O
scheduled   O
for   O
11/22/74   B-DATE
.   O

Davina   B-NAME
Klahn   I-NAME
's   O
emergency   O
contact   O
is   O
saved   O
under   O
the   O
mobile   O
number   O
(   B-CONTACT
147   I-CONTACT
)   I-CONTACT
885   I-CONTACT
-   I-CONTACT
3868   I-CONTACT
.   O

The   O
patient   O
lives   O
in   O
West   B-LOCATION
Burke   I-LOCATION
with   O
the   O
ZIP   O
code   O
79744   B-LOCATION
and   O
will   O
require   O
regular   O
home   O
nursing   O
care   O
,   O
as   O
per   O
their   O
job   O
requirement   O
as   O
a   O
Geneticist   O
.   O

Patient   O
's   O
state   O
ID   O
:   O
333501243   B-ID
.   O

Medical   O
note   O
compiled   O
by   O
:   O
MM769   B-NAME
Next   O
follow   O
up   O
is   O
due   O
on   O
Monday   B-DATE
,   I-DATE
September   I-DATE
.   O

Pee   O
end   O
-   O
of   O
-   O
day   O
summary   O
will   O
be   O
sent   O
over   O
to   O
the   O
patient   O
's   O
personal   O
email   O
,   O
listed   O
as   O
RJ1810   B-NAME
@gmail.com   O
.   O

This   O
detailed   O
report   O
has   O
been   O
compiled   O
by   O
St.   B-LOCATION
Bernards   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
located   O
in   O
Oak   B-LOCATION
Ridge   I-LOCATION
.   O

Plus   O
,   O
the   O
patient   O
gives   O
consent   O
to   O
share   O
this   O
report   O
with   O
Butte   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

In   O
case   O
of   O
any   O
escalations   O
,   O
Tatiana   B-NAME
Escobar   I-NAME
has   O
been   O
asked   O
to   O
immediately   O
call   O
the   O
Middlesex   B-LOCATION
Health   I-LOCATION
hotline   O
number   O
-   O
329   B-CONTACT
-   I-CONTACT
300   I-CONTACT
-   I-CONTACT
4669   I-CONTACT
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Joplin   B-NAME
,   I-NAME
Janis   I-NAME
Age   O
:   O
6s   O
ID   O
:   O
10   B-ID
-   I-ID
9466430   I-ID
Report   O
:   O

On   O
23/63   B-DATE
,   O
Stoner   B-NAME
Jr.   I-NAME
,   I-NAME
James   I-NAME
R.   I-NAME
reported   O
to   O
Glens   B-LOCATION
Falls   I-LOCATION
Hospital   I-LOCATION
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Jeri   B-NAME
Clingan   I-NAME
also   O
reported   O
experiencing   O
bouts   O
of   O
nausea   O
and   O
vomiting   O
over   O
the   O
past   O
few   O
days   O
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
reviewed   O
by   O
Dr.   O
Harrison   B-NAME
,   I-NAME
George   I-NAME
with   O
notes   O
indicating   O
previous   O
diagnosis   O
of   O
gallstones   O
one   O
year   O
ago   O
.   O

Tests   O
&   O
Examinations   O
:   O
Abdominal   O
Ultrasonography   O
performed   O
on   O
06/21   B-DATE
confirmed   O
the   O
presence   O
of   O
gallstones   O
.   O

Treatment   O
:   O
Dr.   O
Rowan   B-NAME
Anderson   I-NAME
recommended   O
a   O
laparoscopic   O
cholecystectomy   O
,   O
which   O
was   O
successfully   O
completed   O
on   O
3/2313   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
on   O
2124   B-DATE
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
11/37/00   B-DATE
,   O
with   O
Karter   B-NAME
Becker   I-NAME
at   O
the   O
Grand   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
located   O
in   O
Hidden   B-LOCATION
Lake   I-LOCATION
.   O

Residence   O
:   O
Vinnie   B-NAME
will   O
be   O
recovering   O
post   O
-   O
surgery   O
at   O
home   O
in   O
Flora   B-LOCATION
,   O
43315   B-LOCATION
.   O

Emergency   O
Contact   O
:   O
Madelyn   B-NAME
Lucero   I-NAME
has   O
listed   O
their   O
spouse   O
,   O
a   O
Driver   O
-   O
Sales   O
Workers   O
at   O
Mutual   B-LOCATION
Bank   I-LOCATION
as   O
their   O
emergency   O
contact   O
–   O
Phone   O
:   O
63425   B-CONTACT
Login   O
information   O
for   O
the   O
Health   O
Portal   O
:   O
aap506   B-NAME
End   O
of   O
report   O
.   O

Report   O
#   O
900   B-ID
-   I-ID
96   I-ID
-   I-ID
99   I-ID

Greg   B-NAME
Fischer   I-NAME
Date   O
of   O
Birth   O
/   O
Age   O
:   O
7   O
Medical   O
Record   O
Number   O
:   O
100   B-ID
-   I-ID
47   I-ID
-   I-ID
24   I-ID
-   I-ID
1   I-ID
Address   O
:   O
Kaukauna   B-LOCATION
,   O
78429   B-LOCATION
Phone   O
Contact   O
:   O
966   B-CONTACT
5614   I-CONTACT
Employer   O
/   O
Profession   O
:   O
Rail   O
-   O
Track   O
Laying   O
and   O
Maintenance   O
Equipment   O
Operators   O
Medical   O
Encounter   O
Information   O
:   O

On   O
12/38/92   B-DATE
,   O
Esmeralda   B-NAME
Small   I-NAME
presented   O
to   O
the   O
ER   O
at   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Peach   I-LOCATION
County   I-LOCATION
with   O
complaints   O
of   O
severe   O
upper   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Dr.   O
Hines   B-NAME
,   O
Gastroenterologist   O
,   O
was   O
notified   O
for   O
immediate   O
consultation   O
.   O

Treatment   O
:   O
Considering   O
Kay   B-NAME
,   I-NAME
Ken   I-NAME
's   O
severe   O
pain   O
and   O
the   O
ultrasound   O
findings   O
,   O
Piper   B-NAME
Lowe   I-NAME
was   O
admitted   O
to   O
the   O
surgery   O
department   O
for   O
an   O
emergency   O
laparoscopic   O
gallbladder   O
removal   O
.   O

Dr.   O
Blake   B-NAME
performed   O
a   O
successful   O
cholecystectomy   O
on   O
3   B-DATE
-   I-DATE
3   I-DATE
.   O

Two   O
days   O
after   O
surgery   O
,   O
Zachary   B-NAME
Smith   I-NAME
was   O
discharged   O
with   O
instructions   O
for   O
home   O
care   O
and   O
prescribed   O
medications   O
.   O

Follow   O
Up   O
:   O
The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
after   O
one   O
week   O
at   O
Decatur   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
unusual   O
symptoms   O
or   O
concerns   O
,   O
Simmons   B-NAME
can   O
reach   O
the   O
on   O
-   O
call   O
nurse   O
through   O
the   O
direct   O
line   O
at   O
54938   B-CONTACT
.   O

Note   O
:   O
This   O
report   O
is   O
based   O
on   O
medical   O
observation   O
by   O
Dr.   O
Karley   B-NAME
Wilcox   I-NAME
and   O
input   O
from   O
the   O
nursing   O
staff   O
.   O

Confidential   O
and   O
demographic   O
information   O
falls   O
under   O
the   O
privacy   O
protection   O
policies   O
of   O
Habersham   B-LOCATION
EMC   I-LOCATION
and   O
is   O
identified   O
by   O
system   O
identification   O
number   O
,   O
3   B-ID
-   I-ID
5316457   I-ID
.   O

For   O
confirmation   O
and   O
further   O
queries   O
,   O
please   O
log   O
in   O
to   O
our   O
portal   O
with   O
the   O
USERNAME   O
cxh16   B-NAME
.   O
Approved   O
by   O
:   O
Marivel   B-NAME
Guess   I-NAME

Patient   O
Name   O
:   O
Lonnie   B-NAME
Walsh   I-NAME
Age   O
:   O
76   O
ID   O
:   O
VI   B-ID
:   I-ID
TQ:7962   I-ID
Medical   O
Record   O
:   O
310   B-ID
-   I-ID
88   I-ID
-   I-ID
44   I-ID
The   O
patient   O
,   O
Sherrie   B-NAME
Stotler   I-NAME
,   O
came   O
to   O
Sutter   B-LOCATION
Solano   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
06/02/2153   B-DATE
.   O

The   O
patient   O
is   O
a   O
Compensation   O
,   O
Benefits   O
,   O
and   O
Job   O
Analysis   O
Specialists   O
by   O
profession   O
residing   O
at   O
Loving   B-LOCATION
with   O
zip   O
code   O
25110   B-LOCATION
.   O

The   O
individual   O
was   O
referred   O
by   O
Dr.   O
Matthews   B-NAME
and   O
presented   O
with   O
a   O
several   O
day   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
dry   O
cough   O
,   O
but   O
denied   O
experiencing   O
any   O
chest   O
pain   O
or   O
palpitations   O
.   O

Extensive   O
examinations   O
were   O
led   O
by   O
Dr.   O
Santos   B-NAME
Castaneda   I-NAME
and   O
the   O
medical   O
team   O
.   O

These   O
symptoms   O
and   O
results   O
have   O
led   O
us   O
to   O
diagnose   O
Joshua   B-NAME
Hampton   I-NAME
with   O
a   O
likely   O
case   O
of   O
community   O
acquired   O
pneumonia   O
,   O
although   O
further   O
investigations   O
would   O
be   O
conducted   O
to   O
confirm   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
02/22   B-DATE
at   O
Pershing   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
contact   O
number   O
is   O
29454   B-CONTACT
.   O

The   O
medical   O
record   O
can   O
be   O
accessed   O
by   O
Dr.   O
Rose   B-NAME
using   O
the   O
medical   O
record   O
number   O
4592820   B-ID
and   O
username   O
MV719   B-NAME
.   O

By   O
Dr.   O
Kuro   B-NAME
Hazama   I-NAME
Medical   O
Team   O
,   O
Mary   B-LOCATION
Breckinridge   I-LOCATION
Hospital   I-LOCATION
Troy   B-LOCATION
,   I-LOCATION
Troy   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
Rodgers   B-NAME
reported   O
to   O
CHI   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Hot   I-LOCATION
Springs   I-LOCATION
on   O
27/27   B-DATE
for   O
assessment   O
.   O

The   O
patient   O
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Food   O
Preparation   O
and   O
Serving   O
Workers   O
by   O
trade   O
,   O
appeared   O
acutely   O
unwell   O
and   O
was   O
promptly   O
triaged   O
by   O
the   O
on   O
-   O
call   O
duty   O
doctor   O
,   O
Hancock   B-NAME
.   O

Medical   O
history   O
obtained   O
from   O
medical   O
file   O
number   O
7098900   B-ID
,   O
reveals   O
a   O
past   O
history   O
of   O
high   O
blood   O
pressure   O
,   O
smoking   O
,   O
and   O
alcohol   O
consumption   O
.   O

Data   O
from   O
patient   O
's   O
primary   O
care   O
physician   O
at   O
Jennings   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
were   O
also   O
reviewed   O
.   O

Patient   O
Everson   B-NAME
was   O
given   O
instructions   O
for   O
aftercare   O
,   O
along   O
with   O
my   O
11014   B-CONTACT
number   O
for   O
any   O
emergencies   O
post   O
the   O
diagnosis   O
tests   O
.   O

The   O
patient   O
resides   O
at   O
Waterloo   B-LOCATION
and   O
zip   O
code   O
27083   B-LOCATION
.   O

Detailed   O
patient   O
information   O
is   O
strictly   O
confidential   O
and   O
securely   O
stored   O
in   O
our   O
server   O
with   O
ID   O
DW630/5523   B-ID
.   O

This   O
report   O
has   O
been   O
composed   O
by   O
clinical   O
staff   O
aqi42   B-NAME
and   O
has   O
complied   O
with   O
the   O
necessary   O
PHI   O
precautions   O
for   O
actuarial   O
purposes   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
with   O
Trump   B-NAME
,   I-NAME
Donald   I-NAME
is   O
scheduled   O
for   O
2333   B-DATE
.   O

Details   O
of   O
this   O
appointment   O
have   O
been   O
communicated   O
to   O
the   O
patient   O
and   O
also   O
sent   O
to   O
Town   B-LOCATION
of   I-LOCATION
Thurmont   I-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
for   O
their   O
records   O
.   O

This   O
note   O
will   O
be   O
shared   O
with   O
his   O
primary   O
care   O
physician   O
at   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11228   I-LOCATION
.   O

Patient   O
name   O
:   O
Grace   B-NAME
Jewell   I-NAME
Age   O
:   O
77   O
,   O
Gender   O
:   O
Male   O
Medical   O
Record   O
No   O
.   O
:   O
0793053   B-ID
,   O
SSN   O
:   O
4   B-ID
-   I-ID
7785324   I-ID
Referred   O
by   O
Dr.   O
Cornelius   B-NAME
Clayton   I-NAME
of   O
Erie   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
Chief   O
Complaints   O
:   O
Shortness   O
of   O
breath   O
and   O
chest   O
discomfort   O
History   O
:   O

The   O
patient   O
was   O
seen   O
in   O
office   O
of   O
Dr.   O
Trenton   B-NAME
Sullivan   I-NAME
at   O
Alice   B-LOCATION
Hyde   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
85   I-DATE
.   O

He   O
currently   O
resides   O
at   O
Ponemah   B-LOCATION
.   O

Lab   O
reports   O
(   O
Dated   O
:   O
9/21/2092   B-DATE
):   O
Anemia   O
(   O
Hb   O
:   O
8   O
g   O
/   O
dl   O
)   O
,   O
Raised   O
Troponin   O
-   O
I   O
levels   O
(   O
2   O
ng   O
/   O
ml   O
,   O
Normal   O
:   O
0.1   O
ng   O
/   O
ml   O
)   O
Chest   O
X   O
-   O
Ray   O
reports   O
(   O
Dated   O
:   O
2/5/2176   B-DATE
):   O
Dilated   O
cardiac   O
silhouette   O
and   O
signs   O
of   O
Congestive   O
Heart   O
Failure   O
(   O
CHF   O
)   O
Management   O
:   O
Patient   O
was   O
advised   O
immediate   O
hospitalization   O
considering   O
his   O
symptoms   O
and   O
clinical   O
findings   O
.   O

He   O
is   O
presently   O
under   O
care   O
of   O
cardio   O
team   O
at   O
floor   O
room   O
no   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Kenmore   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
,   O
Torrance   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
team   O
led   O
by   O
Dr.   O
Duke   B-NAME
evaluated   O
the   O
patient   O
and   O
decided   O
to   O
do   O
a   O
Coronary   O
Angiography   O
.   O

The   O
patient   O
can   O
be   O
reached   O
at   O
76108   B-CONTACT
.   O

Follow   O
up   O
:   O
The   O
patient   O
is   O
scheduled   O
to   O
see   O
me   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
12/22   B-DATE
at   O
my   O
office   O
located   O
on   O
Greenwood   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Greenwood   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
87830   B-LOCATION
.   O

Username   O
:   O
VR826   B-NAME
,   O
Password   O
:   O
fnw503   B-NAME

Lon   B-NAME
Chaney   I-NAME
,   I-NAME
Sr   I-NAME
.   I-NAME
Age   O
:   O
69   O
Occupation   O
:   O
Helpers   O
--   O
Installation   O
,   O
Maintenance   O
,   O
and   O
Repair   O
Workers   O
Location   O
:   O
Elk   B-LOCATION
Garden   I-LOCATION
Medical   O
Record   O
:   O
5792775   B-ID

Dr.   O
Martinez   B-NAME
Date   O
:   O
Thursday   B-DATE
Presenting   O
Symptoms   O
:   O
Mr.   O
Angelique   B-NAME
Knox   I-NAME
presented   O
with   O
a   O
chief   O
complaint   O
of   O
severe   O
headaches   O
and   O
dizziness   O
for   O
the   O
past   O
week   O
.   O

Dr.   O
Washington   B-NAME
,   I-NAME
Booker   I-NAME
T.   I-NAME
recommended   O
an   O
MRI   O
scan   O
.   O

The   O
test   O
was   O
scheduled   O
at   O
the   O
Adventist   B-LOCATION
HealthCare   I-LOCATION
White   I-LOCATION
Oak   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
2262   B-DATE
-   I-DATE
37   I-DATE
-   I-DATE
22   I-DATE
.   O

Contact   O
Information   O
:   O
Healthcare   O
provider   O
:   O
City   B-LOCATION
of   I-LOCATION
Tallahassee   I-LOCATION
Utilities   I-LOCATION
Phone   O
Number   O
:   O
52469   B-CONTACT
Address   O
:   O
Washington   B-LOCATION
,   I-LOCATION
Washington   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O

33144   B-LOCATION
The   O
patient   O
was   O
counseled   O
on   O
the   O
importance   O
of   O
maintaining   O
routine   O
follow   O
-   O
up   O
appointments   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
2102   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
04   I-DATE
at   O
Formerly   B-LOCATION
Ingham   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
appointment   O
confirmation   O
would   O
be   O
sent   O
to   O
the   O
patient   O
's   O
registered   O
email   O
i   O
d   O
,   O
RL840   B-NAME
.   O

Emergency   O
Department   O
ID   O
:   O
JA   B-ID
:   I-ID
QG:4786   I-ID
The   O
physician   O
emphasized   O
seeking   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
,   O
or   O
new   O
symptoms   O
such   O
as   O
fever   O
,   O
confusion   O
,   O
severe   O
vomiting   O
,   O
or   O
seizures   O
emerge   O
.   O

Mr.   O
Virginia   B-NAME
Roman   I-NAME
was   O
discharged   O
with   O
a   O
prescription   O
for   O
a   O
triptan   O
,   O
a   O
common   O
medication   O
used   O
to   O
treat   O
migraines   O
,   O
with   O
clear   O
instructions   O
on   O
its   O
use   O
and   O
potential   O
side   O
effects   O
.   O

We   O
will   O
continue   O
to   O
monitor   O
Mr.   O
Allan   B-NAME
Chase   I-NAME
's   O
condition   O
closely   O
.   O

Signed   O
,   O
Powers   B-NAME
,   O
M.D.   O

Patient   O
Name   O
:   O
Lurline   B-NAME
Maxim   I-NAME
Age   O
:   O
35   O
ID   O
:   O
MO:80769:503719   B-ID
Medical   O
Record   O
No   O
:   O
038   B-ID
-   I-ID
95   I-ID
-   I-ID
26   I-ID
Primary   O
Care   O
Doctor   O
:   O
Todd   B-NAME
Levine   I-NAME
Phone   O
:   O
76949   B-CONTACT
Location   O
:   O
Torreon   B-LOCATION
ZIP   O
:   O
33138   B-LOCATION
The   O
patient   O
,   O
Mr.   O
Carrie   B-NAME
Benson   I-NAME
came   O
to   O
Methodist   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
06/20   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
side   O
of   O
the   O
body   O
.   O

The   O
patient   O
is   O
a   O
61   O
year   O
old   O
male   O
,   O
employed   O
as   O
a   O
Statement   O
Clerks   O
at   O
Corn   B-LOCATION
Belt   I-LOCATION
Bank   I-LOCATION
&   I-LOCATION
Trust   I-LOCATION
Co   I-LOCATION
.   I-LOCATION
.   O
He   O
reported   O
experiencing   O
a   O
sudden   O
onset   O
of   O
sharp   O
,   O
stabbing   O
pain   O
in   O
the   O
mid   O
-   O
sternum   O
area   O
,   O
characterized   O
as   O
pressure   O
that   O
had   O
progressively   O
worsened   O
over   O
the   O
past   O
few   O
hours   O
.   O

Prior   O
to   O
the   O
arrival   O
at   O
our   O
facility   O
,   O
Bryson   B-NAME
Cole   I-NAME
reported   O
feeling   O
sweaty   O
,   O
nauseous   O
,   O
and   O
overall   O
unwell   O
.   O

Linnie   B-NAME
Labombard   I-NAME
had   O
a   O
blood   O
pressure   O
reading   O
of   O
139/89   O
mm   O
Hg   O
and   O
a   O
pulse   O
rate   O
of   O
98   O
.   O

With   O
the   O
consent   O
of   O
Jeffery   B-NAME
Jarvis   I-NAME
,   O
primary   O
care   O
provider   O
,   O
immediate   O
interventions   O
were   O
initiated   O
including   O
oxygen   O
administration   O
,   O
aspirin   O
,   O
and   O
nitroglycerin   O
.   O

Ryker   B-NAME
Reese   I-NAME
was   O
then   O
transferred   O
to   O
the   O
cardiology   O
department   O
at   O
Inova   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Sheppard   B-NAME
's   O
team   O
from   O
the   O
cardiology   O
department   O
is   O
closely   O
monitoring   O
the   O
patient   O
's   O
condition   O
.   O

Brandi   B-NAME
Xayasane   I-NAME
is   O
currently   O
in   O
a   O
stable   O
condition   O
and   O
is   O
responding   O
positively   O
to   O
ongoing   O
treatment   O
.   O

Please   O
refer   O
to   O
referral   O
ID   O
:   O
IG:42969:136109   B-ID
for   O
the   O
ECG   O
and   O
lab   O
results   O
.   O

For   O
further   O
patient   O
history   O
and   O
details   O
,   O
find   O
the   O
electronic   O
health   O
records   O
under   O
the   O
username   O
:   O
ifa498   B-NAME
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
9/21/69   B-DATE
.   O

For   O
any   O
further   O
assistance   O
or   O
queries   O
,   O
please   O
contact   O
us   O
at   O
44835   B-CONTACT
.   O

Thank   O
you   O
,   O
Collin   B-NAME
Bryan   I-NAME
Notchietown   B-LOCATION
61985   B-LOCATION

Patient   O
Report   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
Patient   O
Name   O
:   O
Lainey   B-NAME
Date   O
:   O
33/2069   B-DATE
Location   O
of   O
Birth   O
:   O
Barney   B-LOCATION
Medical   O
Record   O
Number   O
:   O
53715612   B-ID
ID   O
:   O
AN:711068:270477   B-ID
Age   O
:   O
81   O
Sex   O
:   O
Female   O
Phone   O
:   O
357   B-CONTACT
2018   I-CONTACT
Occupation   O
:   O

Oral   O
and   O
Maxillofacial   O
Surgeons   O
Address   O
:   O
Brownsboro   B-LOCATION
Farm   I-LOCATION
,   O
80455   B-LOCATION
Physician   O
's   O
Name   O
:   O
Craig   B-NAME
Hospital   O
:   O
Orlando   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Lake   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaint   O
:   O
-------------------   O
The   O
patient   O
,   O
Jolie   B-NAME
,   I-NAME
Angelina   I-NAME
,   O
was   O
admitted   O
to   O
the   O
Regional   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/0   B-DATE
.   O

The   O
patient   O
,   O
Mahoney   B-NAME
,   O
has   O
a   O
known   O
case   O
of   O
type-2   O
diabetes   O
for   O
the   O
last   O
10   O
years   O
and   O
is   O
under   O
the   O
care   O
of   O
Dr.   O
Ramos   B-NAME
.   O

She   O
also   O
suffers   O
from   O
hypertension   O
and   O
had   O
a   O
hysterectomy   O
done   O
in   O
11/22/2192   B-DATE
when   O
she   O
was   O
41   O
.   O

Clinical   O
Findings   O
:   O
----------------   O
On   O
physical   O
examination   O
,   O
Kristopher   B-NAME
Norton   I-NAME
looks   O
pale   O
and   O
dyspneic   O
.   O

----   O
The   O
patient   O
,   O
Stanley   B-NAME
V   I-NAME
Stanley   I-NAME
,   O
has   O
been   O
advised   O
bed   O
rest   O
and   O
oxygen   O
therapy   O
.   O

The   O
diabetic   O
team   O
led   O
by   O
Dr.   O
Gauge   B-NAME
Barry   I-NAME
was   O
also   O
involved   O
in   O
her   O
care   O
and   O
adjustments   O
were   O
made   O
to   O
her   O
antidiabetic   O
medications   O
.   O

Next   O
of   O
Kin   O
:   O
----------   O
Mrs.   O
Lien   B-NAME
Jastremski   I-NAME
's   O
daughter   O
,   O
a   O
Homeless   O
support   O
worker   O
,   O
was   O
listed   O
as   O
her   O
emergency   O
contact   O
,   O
reachable   O
at   O
962   B-CONTACT
359   I-CONTACT
-   I-CONTACT
1976   I-CONTACT
.   O

Patient   O
's   O
representative   O
:   O
FU972   B-NAME
Affiliated   O
Organization   O
:   O
Retired   B-LOCATION
Enlisted   I-LOCATION
Association   I-LOCATION

Patient   O
Details   O
:   O
Rodriguez   B-NAME
is   O
a   O
16   O
year   O
old   O
known   O
diabetic   O
,   O
interpreted   O
as   O
poor   O
control   O
.   O

Xan   B-NAME
Kaur   I-NAME
,   O
employed   O
as   O
a   O
Logging   O
Workers   O
,   O
All   O
Other   O
,   O
presented   O
to   O
the   O
outpatient   O
department   O
of   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Montgomery   I-LOCATION
on   O
23   B-DATE
-   I-DATE
32   I-DATE
.   O

The   O
patient   O
resides   O
in   O
19   B-LOCATION
Princeton   I-LOCATION
Street   I-LOCATION
(   O
88840   B-LOCATION
)   O
.   O

Hampton   B-NAME
is   O
under   O
the   O
supervision   O
of   O
Dr.   O
Browning   B-NAME
.   O

Chief   O
Complaints   O
:   O
Mclean   B-NAME
has   O
been   O
suffering   O
from   O
polyuria   O
,   O
polydipsia   O
,   O
and   O
unexplained   O
weight   O
loss   O
for   O
the   O
past   O
few   O
months   O
.   O

These   O
issues   O
,   O
combined   O
with   O
bouts   O
of   O
severe   O
fatigue   O
and   O
blurry   O
vision   O
,   O
have   O
made   O
it   O
difficult   O
for   O
Rickover   B-NAME
,   I-NAME
Hyman   I-NAME
G.   I-NAME
to   O
continue   O
working   O
as   O
a   O
Operating   O
Engineers   O
and   O
Other   O
Construction   O
Equipment   O
Operators   O
.   O

Past   O
Intervention   O
/   O
Procedure   O
:   O
Pessoa   B-NAME
,   I-NAME
Fernando   I-NAME
has   O
been   O
already   O
issued   O
a   O
personal   O
diabetic   O
chart   O
with   O
6   B-ID
-   I-ID
1339533   I-ID
for   O
daily   O
glucose   O
monitoring   O
,   O
which   O
the   O
patient   O
has   O
been   O
dutifully   O
maintaining   O
and   O
submitting   O
weekly   O
logs   O
through   O
their   O
patient   O
portal   O
username   O
,   O
rw30   B-NAME
.   O

Recent   O
Lab   O
Results   O
:   O
HbA1c   O
level   O
recorded   O
on   O
23/17/2270   B-DATE
was   O
9.2   O
,   O
which   O
is   O
significantly   O
above   O
the   O
desired   O
level   O
of   O
7   O
.   O
Medication   O
:   O
Lilyana   B-NAME
Petersen   I-NAME
is   O
on   O
Metformin   O
500   O
mg   O
twice   O
a   O
day   O
.   O

Madalynn   B-NAME
Garner   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Marcos   B-NAME
Harding   I-NAME
on   O
00   B-DATE
-   I-DATE
22   I-DATE
at   O
(   B-LOCATION
operated   I-LOCATION
by   I-LOCATION
Intermountain   I-LOCATION
Healthcare   I-LOCATION
)   I-LOCATION
.   O

Emergency   O
Contact   O
:   O
Society   B-LOCATION
for   I-LOCATION
Threatened   I-LOCATION
Peoples   I-LOCATION
's   O
emergency   O
hotline   O
can   O
be   O
reached   O
at   O
77297   B-CONTACT
for   O
any   O
immediate   O
health   O
concerns   O
.   O

For   O
detailed   O
records   O
,   O
view   O
the   O
patient   O
's   O
full   O
information   O
in   O
our   O
protected   O
drive   O
using   O
9601232   B-ID
.   O

Final   O
Remarks   O
:   O
Given   O
the   O
family   O
history   O
and   O
the   O
current   O
health   O
condition   O
,   O
Lincoln   B-NAME
,   I-NAME
Abraham   I-NAME
is   O
at   O
a   O
high   O
risk   O
and   O
needs   O
strict   O
glycemic   O
control   O
,   O
regular   O
check   O
-   O
ups   O
,   O
and   O
a   O
healthy   O
lifestyle   O
to   O
manage   O
the   O
disease   O
.   O

Patient   O
Vanover   B-NAME
was   O
admitted   O
to   O
Sentara   B-LOCATION
Leigh   I-LOCATION
Hospital   I-LOCATION
on   O
Saturday   B-DATE
.   O

His   O
medical   O
record   O
9012988   B-ID
indicates   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
.   O

Upon   O
examination   O
by   O
Dr.   O
Henry   B-NAME
J.   I-NAME
Fearson   I-NAME
,   O
Desmond   B-NAME
Odonnell   I-NAME
presented   O
with   O
a   O
high   O
fever   O
and   O
elevated   O
blood   O
pressure   O
.   O

Null   B-NAME
,   I-NAME
Gary   I-NAME
has   O
been   O
scheduled   O
for   O
an   O
MRI   O
at   O
our   O
Morton   B-LOCATION
Plant   I-LOCATION
Hospital   I-LOCATION
situated   O
in   O
Inniswold   B-LOCATION
for   O
2145   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
12   I-DATE
.   O

Emergency   O
contact   O
for   O
Brock   B-NAME
Hart   I-NAME
was   O
recorded   O
as   O
14440   B-CONTACT
.   O

He   O
resides   O
in   O
Little   B-LOCATION
Elm   I-LOCATION
with   O
a   O
65945   B-LOCATION
zip   O
code   O
.   O

He   O
bears   O
the   O
VT:28106:792564   B-ID
with   O
license   O
number   O
as   O
his   O
proof   O
of   O
identity   O
.   O

He   O
is   O
currently   O
insured   O
under   O
George   B-LOCATION
Washington   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
.   O

The   O
provided   O
information   O
was   O
recorded   O
and   O
verified   O
by   O
TF455   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Reilly   B-NAME
with   O
Dr.   O
Collier   B-NAME
on   O
01/25   B-DATE
at   O
F   B-LOCATION
F   I-LOCATION
Thompson   I-LOCATION
Hospital   I-LOCATION
.   O

While   O
Charles   B-NAME
Kroger   I-NAME
showed   O
some   O
concern   O
towards   O
his   O
symptoms   O
,   O
informing   O
him   O
about   O
the   O
established   O
links   O
between   O
his   O
33s   O
and   O
his   O
medical   O
conditions   O
seemed   O
to   O
comfort   O
him   O
.   O

Patient   O
:   O
Lincoln   B-NAME
,   I-NAME
Abraham   I-NAME
Age   O
:   O
43   O
Medical   O
Record   O
:   O
466   B-ID
-   I-ID
63   I-ID
-   I-ID
06   I-ID
-   I-ID
2   I-ID
On   O
22/59   B-DATE
,   O
Rodney   B-NAME
Holden   I-NAME
was   O
referred   O
by   O
Mccoy   B-NAME
to   O
the   O
cardiology   O
department   O
at   O
Marcum   B-LOCATION
and   I-LOCATION
Wallace   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
due   O
to   O
unusual   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
obtained   O
through   O
their   O
electronic   O
health   O
records   O
(   O
accessed   O
via   O
vc914   B-NAME
)   O
,   O
revealed   O
that   O
they   O
were   O
a   O
Poets   O
and   O
Lyricists   O
at   O
Independent   B-LOCATION
Family   I-LOCATION
Brewers   I-LOCATION
of   I-LOCATION
Britain   I-LOCATION
(   I-LOCATION
IFBB   I-LOCATION
)   I-LOCATION
and   O
had   O
been   O
previously   O
diagnosed   O
and   O
treated   O
for   O
hypertension   O
.   O

In   O
response   O
,   O
the   O
patient   O
has   O
expressed   O
interest   O
in   O
smoking   O
cessation   O
programs   O
in   O
Lake   B-LOCATION
Caroline   I-LOCATION
.   O

Blood   O
tests   O
and   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
were   O
ordered   O
,   O
and   O
the   O
patient   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
on   O
00/38/98   B-DATE
.   O

As   O
part   O
of   O
the   O
discharge   O
education   O
,   O
Laora   B-NAME
was   O
given   O
our   O
contact   O
266   B-CONTACT
-   I-CONTACT
5313   I-CONTACT
and   O
instructed   O
to   O
report   O
if   O
symptoms   O
exacerbated   O
or   O
they   O
had   O
difficulty   O
tolerating   O
the   O
medication   O
.   O

Further   O
clinical   O
information   O
on   O
this   O
case   O
will   O
be   O
sent   O
to   O
Morales   B-NAME
per   O
TH518/8469   B-ID
.   O

Meanwhile   O
,   O
the   O
patient   O
has   O
also   O
been   O
advised   O
to   O
contact   O
their   O
insurance   O
company   O
,   O
Sheet   B-LOCATION
Metal   I-LOCATION
Workers   I-LOCATION
International   I-LOCATION
Association   I-LOCATION
at   O
(   B-CONTACT
695   I-CONTACT
)   I-CONTACT
295   I-CONTACT
-   I-CONTACT
8024   I-CONTACT
,   O
to   O
discuss   O
coverage   O
for   O
potential   O
future   O
interventions   O
.   O

Residence   O
:   O
West   B-LOCATION
Memphis   I-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
West   I-LOCATION
Memphis   I-LOCATION
Zip   O
Code   O
:   O
77883   B-LOCATION
I   O
look   O
forward   O
to   O
cooperating   O
with   O
Laila   B-NAME
Lang   I-NAME
to   O
ensure   O
Ascham   B-NAME
,   I-NAME
Roger   I-NAME
's   O
heart   O
health   O
.   O

Patient   O
Information   O
:   O
Roth   B-NAME
,   I-NAME
Philip   I-NAME
is   O
a   O
76   O
year   O
old   O
individual   O
who   O
presented   O
to   O
University   B-LOCATION
Hospitals   I-LOCATION
Bedford   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
16/22   B-DATE
with   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
taken   O
by   O
Bray   B-NAME
,   O
which   O
revealed   O
a   O
history   O
of   O
Type   O
-   O
II   O
Diabetes   O
.   O

The   O
patient   O
's   O
bio   O
-   O
metric   O
2395281   B-ID
was   O
used   O
to   O
identify   O
previous   O
medical   O
records   O
,   O
which   O
were   O
retrieved   O
using   O
the   O
patient   O
’s   O
3875737   B-ID
.   O

The   O
patient   O
resides   O
at   O
Coleta   B-LOCATION
and   O
has   O
been   O
living   O
there   O
for   O
the   O
past   O
ten   O
years   O
.   O

The   O
contact   O
number   O
provided   O
by   O
the   O
patient   O
is   O
534   B-CONTACT
230   I-CONTACT
-   I-CONTACT
2623   I-CONTACT
in   O
case   O
of   O
any   O
medical   O
emergency   O
.   O

The   O
patient   O
is   O
professionally   O
engaged   O
as   O
a   O
Set   O
Designers   O
,   O
working   O
for   O
City   B-LOCATION
of   I-LOCATION
Seaford   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

A   O
surgical   O
consultation   O
was   O
done   O
with   O
Herodotus   B-NAME
on   O
the   O
same   O
day   O
.   O

The   O
patient   O
was   O
then   O
admitted   O
to   O
ward   O
ID   O
Marathon   B-LOCATION
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
Laparotomy   O
on   O
04/11/1766   B-DATE
.   O

Instructions   O
to   O
the   O
Patient   O
:   O
Freda   B-NAME
Erickson   I-NAME
should   O
fast   O
from   O
midnight   O
preceding   O
the   O
Laparotomy   O
.   O

Patient   O
is   O
scheduled   O
for   O
re   O
-   O
examination   O
on   O
April   B-DATE
.   O

Patient   O
follow   O
-   O
ups   O
are   O
to   O
be   O
taken   O
care   O
of   O
by   O
Joshi   B-NAME
,   I-NAME
Kedar   I-NAME
and   O
the   O
follow   O
-   O
up   O
schedule   O
is   O
to   O
be   O
decided   O
post   O
-   O
surgery   O
.   O

The   O
patient   O
's   O
record   O
will   O
be   O
updated   O
by   O
the   O
hospital   O
's   O
nursing   O
staff   O
,   O
and   O
the   O
updates   O
will   O
be   O
available   O
through   O
our   O
secure   O
patient   O
portal   O
using   O
the   O
username   O
mh724   B-NAME
.   O

The   O
patient   O
's   O
zip   O
code   O
recorded   O
is   O
50573   B-LOCATION
and   O
the   O
only   O
number   O
provided   O
for   O
emergencies   O
is   O
(   B-CONTACT
562   I-CONTACT
)   I-CONTACT
764   I-CONTACT
1115   I-CONTACT
.   O

Consent   O
for   O
the   O
treatment   O
procedure   O
has   O
been   O
taken   O
from   O
the   O
patient   O
and   O
all   O
the   O
provided   O
information   O
is   O
stored   O
securely   O
in   O
the   O
Republic   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
N.A.   I-LOCATION
database   O
with   O
medical   O
record   O
numbers   O
for   O
security   O
reasons   O
.   O

The   O
healthcare   O
i   O
d   O
2   B-ID
-   I-ID
8067775   I-ID
is   O
to   O
be   O
used   O
for   O
future   O
references   O
.   O

Patient   O
:   O
Hallie   B-NAME
Leblanc   I-NAME
Age   O
:   O
19   O
ID   O
:   O
RS353/8012   B-ID
Address   O
:   O
Corn   B-LOCATION
Creek   I-LOCATION
Phone   O
:   O
(   B-CONTACT
540   I-CONTACT
)   I-CONTACT
656   I-CONTACT
2398   I-CONTACT
ZIP   O
:   O
24354   B-LOCATION
Medical   O
Record   O
:   O
44464099   B-ID
Occupation   O
:   O

Stationary   O
Engineers   O
and   O
Boiler   O
Operators   O
Referred   O
by   O
:   O
Dr.   O
Chapman   B-NAME
Date   O
of   O
Consultation   O
:   O
02/25/2245   B-DATE
Medical   O
Report   O
:   O

This   O
is   O
an   O
9   O
old   O
male   O
patient   O
,   O
Mr.   O
Simon   B-NAME
,   I-NAME
Willie   I-NAME
,   O
presenting   O
to   O
Golisano   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southwest   I-LOCATION
Florida   I-LOCATION
with   O
a   O
three   O
-   O
week   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
.   O

He   O
mentions   O
that   O
he   O
has   O
been   O
feeling   O
unwell   O
since   O
30/13   B-DATE
.   O

Previously   O
a   O
Tax   O
Preparers   O
,   O
he   O
is   O
now   O
retired   O
and   O
lives   O
in   O
Saxman   B-LOCATION
.   O

The   O
patient   O
was   O
referred   O
by   O
Dr.   O
Hana   B-NAME
Carpenter   I-NAME
from   O
Galaxies   B-LOCATION
'   I-LOCATION
Republic   I-LOCATION
.   O

His   O
Medical   O
Record   O
#   O
1702417   B-ID
and   O
ID#   O
FQ   B-ID
:   I-ID
VF:2034   I-ID
indicate   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Computed   O
Tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
chest   O
has   O
been   O
planned   O
for   O
02   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
55   I-DATE
at   O
Wellington   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
.   O

He   O
was   O
provided   O
with   O
the   O
337   B-CONTACT
-   I-CONTACT
754   I-CONTACT
9808   I-CONTACT
number   O
of   O
the   O
hospital   O
helpline   O
for   O
any   O
immediate   O
assistance   O
.   O

This   O
case   O
will   O
also   O
be   O
discussed   O
in   O
the   O
upcoming   O
thoracic   O
committee   O
meetings   O
arranged   O
by   O
Dr.   O
Bridges   B-NAME
at   O
Phelps   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
family   O
residing   O
in   O
80816   B-LOCATION
has   O
been   O
notified   O
of   O
the   O
patient   O
's   O
condition   O
.   O

Logged   O
by   O
:   O
WL328   B-NAME
on   O
2315   B-DATE

Patient   O
Report   O
:   O
Patient   O
Constantius   B-NAME
II   I-NAME
is   O
a   O
62   O
year   O
old   O
individual   O
who   O
visited   O
Ogden   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/2219   B-DATE
.   O

On   O
physical   O
examination   O
by   O
Max   B-NAME
Gottlieb   I-NAME
,   O
tenderness   O
was   O
found   O
in   O
the   O
right   O
lower   O
quadrant   O
and   O
the   O
patient   O
reported   O
the   O
maximum   O
pain   O
in   O
the   O
same   O
area   O
.   O

Haas   B-NAME
ordered   O
a   O
group   O
of   O
blood   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
CRP   O
,   O
and   O
lipase   O
levels   O
.   O

Patient   O
's   O
record   O
,   O
229   B-ID
-   I-ID
43   I-ID
-   I-ID
86   I-ID
,   O
indicated   O
a   O
trend   O
of   O
similar   O
complaints   O
in   O
the   O
past   O
.   O

Alayna   B-NAME
Hinton   I-NAME
suspects   O
a   O
case   O
of   O
Appendicitis   O
but   O
further   O
investigation   O
is   O
needed   O
to   O
confirm   O
this   O
.   O

As   O
per   O
the   O
past   O
treatment   O
history   O
accessible   O
in   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Johnstown   I-LOCATION
's   O
database   O
using   O
patient   O
’s   O
ID   O
QW836/9160   B-ID
,   O
the   O
patient   O
has   O
undergone   O
surgical   O
procedures   O
in   O
Neilton   B-LOCATION
earlier   O
for   O
unrelated   O
issues   O
.   O

The   O
patient   O
is   O
a   O
resident   O
of   O
70671   B-LOCATION
and   O
works   O
in   O
certain   O
Front   B-LOCATION
Line   I-LOCATION
Defenders   I-LOCATION
as   O
a   O
Private   O
Sector   O
Executives   O
.   O

Younce   B-NAME
was   O
contacted   O
at   O
689   B-CONTACT
792   I-CONTACT
3923   I-CONTACT
to   O
inform   O
about   O
the   O
abovementioned   O
condition   O
and   O
need   O
for   O
further   O
tests   O
.   O

For   O
any   O
functionality   O
issue   O
with   O
the   O
diagnosis   O
equipments   O
,   O
please   O
inform   O
TJ265   B-NAME
at   O
the   O
earliest   O
.   O

The   O
patient   O
Larry   B-NAME
Frantz   I-NAME
has   O
been   O
advised   O
by   O
Cross   B-NAME
to   O
get   O
admitted   O
in   O
Daviess   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
and   O
necessary   O
medical   O
intervention   O
.   O

Lane   B-NAME
,   O
M.D.   O
12/22   B-DATE
Sugarloaf   B-LOCATION
,   O
Quinlan   B-LOCATION
Eye   I-LOCATION
Surgery   I-LOCATION
&   I-LOCATION
Laser   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Fort   I-LOCATION
Scott   I-LOCATION

Ulises   B-NAME
Lopez   I-NAME
Age   O
:   O
42   O
Sex   O
:   O
Female   O
ID   O
:   O
XC:61045:988244   B-ID

Home   O
Address   O
:   O
Indian   B-LOCATION
Harbour   I-LOCATION
Beach   I-LOCATION
Phone   O
Number   O
:   O
364   B-CONTACT
2144   I-CONTACT
Dr.   O
Harold   B-NAME
II   I-NAME
Godwinson   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
noted   O
that   O
Keri   B-NAME
Bey   I-NAME
visited   O
Baystate   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/20   B-DATE
with   O
complaints   O
of   O
intermittent   O
chest   O
pain   O
that   O
she   O
described   O
as   O
"   O
stabbing   O
"   O
in   O
nature   O
over   O
the   O
past   O
week   O
.   O

Armando   B-NAME
Paul   I-NAME
confessed   O
her   O
anxiety   O
about   O
this   O
condition   O
to   O
Dr.   O
Darian   B-NAME
Knapp   I-NAME
due   O
to   O
her   O
family   O
history   O
of   O
cardiovascular   O
diseases   O
.   O

This   O
prompted   O
Dr.   O
Foley   B-NAME
to   O
order   O
an   O
ECG   O
,   O
which   O
demonstrated   O
T   O
wave   O
inversions   O
.   O

Hopkins   B-NAME
,   I-NAME
Gerard   I-NAME
Manley   I-NAME
was   O
asked   O
to   O
return   O
on   O
02/37   B-DATE
for   O
a   O
follow   O
up   O
and   O
further   O
evaluation   O
.   O

Patient   O
's   O
Medical   O
Record   O
No   O
:   O
4810110   B-ID

Furthermore   O
,   O
Summers   B-NAME
works   O
as   O
a   O
teacher   O
in   O
a   O
primary   O
school   O
,   O
Old   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
,   O
situated   O
in   O
Sylva   B-LOCATION
,   I-LOCATION
Sylva   I-LOCATION
Partners   I-LOCATION
in   I-LOCATION
Renewal   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
.   I-LOCATION
.   O

At   O
the   O
conclusion   O
of   O
the   O
appointed   O
meeting   O
,   O
Dr.   O
Alma   B-NAME
Krueger   I-NAME
advised   O
her   O
to   O
cut   O
down   O
on   O
fatty   O
foods   O
and   O
start   O
regular   O
meditation   O
to   O
keep   O
her   O
anxiety   O
levels   O
in   O
check   O
until   O
additional   O
results   O
are   O
available   O
.   O

Also   O
,   O
her   O
compliance   O
with   O
the   O
scheduled   O
follow   O
up   O
November   B-DATE
21   I-DATE
,   I-DATE
2370   I-DATE
is   O
highly   O
recommended   O
.   O

Reporting   O
Doctor   O
's   O
Details   O
:   O
Dr.   O
Thomas   B-NAME
,   O
Specialization   O
:   O
Cardiologist   O
Username   O
:   O
MY2810   B-NAME
Hospital   O
Name   O
:   O
St.   B-LOCATION
Mark   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Hospital   O
Address   O
:   O
Mount   B-LOCATION
Washington   I-LOCATION
Hospital   O
Contact   O
:   O
(   B-CONTACT
644   I-CONTACT
)   I-CONTACT
650   I-CONTACT
-   I-CONTACT
8514   I-CONTACT
ZIP   O
:   O

96914   B-LOCATION
This   O
report   O
was   O
securely   O
prepared   O
considering   O
the   O
PHI   O
guidelines   O
to   O
maintain   O
utmost   O
confidentiality   O
and   O
privacy   O
.   O

Patient   O
Volpe   B-NAME
is   O
a   O
6   O
year   O
old   O
woman   O
who   O
presented   O
to   O
Wilson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
room   O
on   O
11/72   B-DATE
for   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
cramping   O
.   O

She   O
is   O
an   O
accountant   O
by   O
Anthropologists   O
and   O
Archeologists   O
and   O
lives   O
in   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10457   I-LOCATION
.   O

On   O
examination   O
performed   O
by   O
Dr.   O
Guzman   B-NAME
,   O
her   O
blood   O
pressure   O
was   O
stable   O
,   O
but   O
body   O
temperature   O
raised   O
to   O
38   O
degrees   O
Celsius   O
.   O

She   O
had   O
a   O
colonoscopy   O
done   O
5   O
years   O
ago   O
in   O
Nassau   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
it   O
was   O
unremarkable   O
.   O

Her   O
medical   O
record   O
number   O
722   B-ID
-   I-ID
21   I-ID
-   I-ID
15   I-ID
-   I-ID
1   I-ID
was   O
pulled   O
up   O
and   O
details   O
were   O
cross   O
-   O
verified   O
.   O

A   O
sigmoidoscopy   O
was   O
suggested   O
by   O
Dr.   O
Khan   B-NAME
.   O

We   O
reached   O
out   O
on   O
her   O
contact   O
number   O
33662   B-CONTACT
to   O
schedule   O
the   O
procedure   O
.   O

A   O
biopsy   O
sample   O
would   O
be   O
sent   O
to   O
Delaware   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
for   O
further   O
investigation   O
if   O
needed   O
.   O

She   O
was   O
accompanied   O
by   O
her   O
daughter   O
who   O
is   O
a   O
software   O
engineer   O
at   O
Society   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Preservation   I-LOCATION
of   I-LOCATION
Beers   I-LOCATION
from   I-LOCATION
the   I-LOCATION
Wood   I-LOCATION
(   I-LOCATION
SPBW   I-LOCATION
)   I-LOCATION
and   O
resides   O
at   O
Jupiter   B-LOCATION
.   O

She   O
took   O
note   O
of   O
all   O
the   O
suggestions   O
,   O
I   O
also   O
provided   O
her   O
with   O
the   O
ONSLOW   B-LOCATION
MEMORIAL   I-LOCATION
HOSPITAL   I-LOCATION
helpline   O
number   O
795   B-CONTACT
7652   I-CONTACT
for   O
emergencies   O
.   O

Her   O
social   O
security   O
number   O
NF:171019:238166   B-ID
and   O
zipcode   O
76237   B-LOCATION
were   O
updated   O
in   O
the   O
hospital   O
record   O
.   O

Nurse   O
xht565   B-NAME
was   O
on   O
duty   O
during   O
her   O
visit   O
and   O
can   O
provide   O
further   O
details   O
if   O
needed   O
.   O

The   O
overall   O
prognosis   O
will   O
depend   O
upon   O
the   O
sigmoidoscopy   O
results   O
available   O
after   O
18/35/2332   B-DATE
.   O

Patient   O
Name   O
:   O
Octagonecologyst   B-NAME
Age   O
:   O
0   O
Gender   O
:   O
Male   O
ID   O
:   O
6509656   B-ID
Address   O
:   O
Skillman   B-LOCATION
Phone   O
Number   O
:   O
205   B-CONTACT
-   I-CONTACT
8587   I-CONTACT
ZIP   O
:   O

48488   B-LOCATION
Referring   O
Physician   O
:   O
Savage   B-NAME
Hospital   O
Information   O
:   O
Cape   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
:   O
416   B-ID
-   I-ID
67   I-ID
-   I-ID
60   I-ID
Date   O
:   O
March   B-DATE
2091   I-DATE
Medical   O
History   O
:   O

The   O
patient   O
,   O
named   O
Heaven   B-NAME
Boone   I-NAME
,   O
who   O
works   O
as   O
a   O
Welder   O
-   O
Fitters   O
,   O
has   O
been   O
experiencing   O
symptoms   O
for   O
the   O
last   O
two   O
weeks   O
.   O

Keane   B-NAME
also   O
reported   O
experiencing   O
dyspnea   O
,   O
particularly   O
after   O
physical   O
activity   O
.   O

Family   O
History   O
:   O
Yen   B-NAME
Cabeza   I-NAME
's   O
father   O
,   O
at   O
the   O
age   O
of   O
61   O
,   O
had   O
a   O
Myocardial   O
Infarction   O
.   O

On   O
physical   O
examination   O
,   O
Florinda   B-NAME
had   O
a   O
BMI   O
calculated   O
at   O
27   O
,   O
indicating   O
overweight   O
.   O

Recommended   O
Tests   O
&   O
Treatment   O
:   O
Due   O
to   O
presenting   O
symptoms   O
and   O
risk   O
factors   O
,   O
a   O
coronary   O
angiography   O
is   O
recommended   O
for   O
Farage   B-NAME
,   I-NAME
Nigel   I-NAME
.   O

Next   O
Visit   O
:   O
12/12/87   B-DATE
at   O
St.   B-LOCATION
Vincent   I-LOCATION
Charity   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
organization   O
:   O
Ironshore   B-LOCATION
Emergency   O
Contact   O
:   O
Name   O
:   O
Paz   B-NAME
Relationship   O
:   O
Wife   O
Phone   O
:   O
41160   B-CONTACT

This   O
report   O
was   O
compiled   O
by   O
Rasmussen   B-NAME
of   O
the   O
cardiology   O
department   O
at   O
South   B-LOCATION
Fulton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
in   O
16   B-LOCATION
undefined   I-LOCATION
.   O

The   O
referred   O
username   O
during   O
the   O
patient   O
's   O
teleconsultation   O
was   O
tc8810   B-NAME
.   O

Patient   O
information   O
:   O
MARQUEZ   B-NAME
,   I-NAME
RONALD   I-NAME
Date   O
of   O
consultation   O
:   O
January   B-DATE
12   I-DATE
,   I-DATE
2271   I-DATE
Medical   O
Record   O
:   O
0010122   B-ID
Age   O
:   O
85   O
The   O
patient   O
,   O
Abel   B-NAME
Hoover   I-NAME
,   O
was   O
seen   O
by   O
Dr.   O
Booker   B-NAME
at   O
the   O
Cambridge   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
clinic   O
.   O

The   O
results   O
of   O
these   O
tests   O
are   O
scheduled   O
to   O
come   O
back   O
by   O
22/32/2293   B-DATE
.   O

The   O
patient   O
’s   O
contact   O
information   O
is   O
as   O
follows   O
:   O
141   B-CONTACT
8127   I-CONTACT
.   O
ad551   B-NAME
’s   O
method   O
of   O
payment   O
for   O
the   O
visit   O
was   O
a   O
health   O
plan   O
with   O
Bengal   B-LOCATION
Jute   I-LOCATION
Mill   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
,   O
policy   O
number   O
BR   B-ID
:   I-ID
IA:7328   I-ID
.   O

The   O
billing   O
address   O
provided   O
was   O
Fishing   B-LOCATION
Creek   I-LOCATION
,   O
57386   B-LOCATION
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
based   O
in   O
Penrith   B-LOCATION
,   O
Dr.   O
Gallagher   B-NAME
,   O
was   O
updated   O
about   O
the   O
condition   O
via   O
email   O
.   O

A   O
follow   O
-   O
up   O
check   O
-   O
up   O
has   O
been   O
scheduled   O
at   O
the   O
Kansas   B-LOCATION
City   I-LOCATION
Orthopaedic   I-LOCATION
Institute   I-LOCATION
–   I-LOCATION
Leawood   I-LOCATION
for   O
33/11   B-DATE
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Wallace   B-NAME
,   I-NAME
Alan   I-NAME
Age   O
:   O
81   O
ID   O
:   O
6   B-ID
-   I-ID
5962411   I-ID
Report   O
:   O

On   O
December   B-DATE
,   O
Nichols   B-NAME
,   O
a   O
Quality   O
Control   O
Analysts   O
,   O
arrived   O
at   O
DLP   B-LOCATION
Conemaugh   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
reporting   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

An   O
initial   O
assessment   O
was   O
undertaken   O
by   O
Dr.   O
Chevalier   B-NAME
,   I-NAME
Maurice   I-NAME
.   O

The   O
patient   O
's   O
electronic   O
medical   O
record   O
number   O
67888477   B-ID
indicated   O
no   O
significant   O
past   O
medical   O
history   O
,   O
other   O
than   O
a   O
few   O
episodes   O
of   O
gastroenteritis   O
,   O
with   O
the   O
last   O
occurring   O
around   O
0/3   B-DATE
.   O

The   O
scan   O
result   O
arrived   O
from   O
Community   B-LOCATION
First   I-LOCATION
Bank   I-LOCATION
,   O
located   O
in   O
144   B-LOCATION
Willow   I-LOCATION
Drive   I-LOCATION
.   O

After   O
a   O
discussion   O
with   O
Orion   B-NAME
Tapia   I-NAME
,   O
an   O
appendectomy   O
was   O
planned   O
for   O
the   O
same   O
day   O
,   O
and   O
the   O
surgical   O
team   O
at   O
Thomas   B-LOCATION
Jefferson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Campus   I-LOCATION
was   O
notified   O
.   O

Contact   O
Information   O
:   O
Address   O
:   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73127   I-LOCATION
Phone   O
:   O
48220   B-CONTACT
Provider   O
:   O
Martinez   B-NAME
Plan   O
:   O

Post   O
-   O
surgery   O
,   O
the   O
patient   O
would   O
be   O
transferred   O
to   O
Laurelton   B-LOCATION
for   O
recovery   O
and   O
further   O
treatment   O
.   O

We   O
have   O
instructed   O
Fe   B-NAME
Ell   I-NAME
about   O
the   O
possible   O
complications   O
and   O
encouraged   O
them   O
to   O
reach   O
us   O
directly   O
on   O
47060   B-CONTACT
should   O
postoperative   O
problems   O
arise   O
.   O

Submitted   O
by   O
:   O
Janessa   B-NAME
Stanley   I-NAME
Date   O
:   O
22/02   B-DATE
Credential   O
:   O
UA979   B-NAME
Zip   O
code   O
:   O
16473   B-LOCATION
Considerations   O
:   O

The   O
patient   O
data   O
privacy   O
and   O
confidentiality   O
have   O
been   O
maintained   O
throughout   O
the   O
course   O
of   O
treatment   O
,   O
in   O
accordance   O
with   O
the   O
guidelines   O
of   O
New   B-LOCATION
Lifecare   I-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
PGH   I-LOCATION
-   I-LOCATION
Alle   I-LOCATION
-   I-LOCATION
Kiski   I-LOCATION
and   O
relevant   O
laws   O
.   O

Patient   O
Report   O
:   O
Patient   O
Raelynn   B-NAME
Sutton   I-NAME
of   O
62   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Lutheran   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
August   B-DATE
with   O
complaints   O
of   O
severe   O
back   O
pain   O
,   O
which   O
started   O
approximately   O
a   O
week   O
ago   O
.   O

In   O
terms   O
of   O
medical   O
history   O
,   O
Cristian   B-NAME
Trevino   I-NAME
has   O
been   O
previously   O
diagnosed   O
with   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
the   O
patient   O
is   O
currently   O
taking   O
medications   O
prescribed   O
by   O
Dr.   O
Carney   B-NAME
.   O

Upon   O
examination   O
,   O
Lawrence   B-NAME
Townsend   I-NAME
appeared   O
to   O
have   O
a   O
listing   O
posture   O
and   O
was   O
experiencing   O
tenderness   O
over   O
the   O
lower   O
lumbar   O
vertebrae   O
.   O

Subsequently   O
,   O
imaging   O
studies   O
were   O
ordered   O
,   O
and   O
the   O
results   O
were   O
reported   O
under   O
medical   O
record   O
number   O
366   B-ID
-   I-ID
05   I-ID
-   I-ID
60   I-ID
-   I-ID
8   I-ID
.   O

In   O
terms   O
of   O
personal   O
information   O
,   O
Henry   B-NAME
Validor   I-NAME
is   O
a   O
resident   O
of   O
Kingstown   B-LOCATION
,   O
with   O
the   O
zip   O
code   O
88530   B-LOCATION
.   O

The   O
patient   O
's   O
contact   O
number   O
is   O
17982   B-CONTACT
and   O
works   O
as   O
a   O
Pharmacist   O
at   O
Trade   B-LOCATION
Union   I-LOCATION
Coordination   I-LOCATION
Committee   I-LOCATION
.   O

For   O
record   O
-   O
keeping   O
purposes   O
,   O
the   O
patient   O
's   O
identification   O
number   O
is   O
8   B-ID
-   I-ID
6234293   I-ID
and   O
any   O
further   O
communication   O
for   O
patient   O
updates   O
should   O
be   O
addressed   O
to   O
the   O
username   O
pve596   B-NAME
.   O

This   O
report   O
was   O
compiled   O
by   O
Dr.   O
Cortez   B-NAME
on   O
1921   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
11   I-DATE
at   O
CHRISTUS   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
New   I-LOCATION
Braunfels   I-LOCATION
,   O
and   O
the   O
next   O
follow   O
-   O
up   O
is   O
scheduled   O
on   O
08/01/2040   B-DATE
.   O

Signed   O
,   O
Terrence   B-NAME
Schmitt   I-NAME

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
Felicity   B-NAME
Tran   I-NAME
Age   O
:   O
39   O
ID   O
:   O
9590613   B-ID
Medical   O
Record   O
#   O
:   O
20254552   B-ID
Location   O
:   O
Wiseman   B-LOCATION
/   O
14855   B-LOCATION
Phone   O
:   O
55834   B-CONTACT
Physician   O
's   O
Name   O
:   O
Waters   B-NAME
Hospital   O
:   O

Jewell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Mankato   I-LOCATION
Patient   O
Anton   B-NAME
Shannon   I-NAME
,   O
a   O
Graphic   O
Designers   O
residing   O
in   O
Boyes   B-LOCATION
Hot   I-LOCATION
Springs   I-LOCATION
was   O
admitted   O
to   O
our   O
medical   O
facility   O
,   O
Intermountain   B-LOCATION
Hospital   I-LOCATION
on   O
01/20   B-DATE
.   O

Upon   O
examination   O
,   O
patient   O
BRANDON   B-NAME
VICENTE   I-NAME
appeared   O
pale   O
and   O
diaphoretic   O
.   O

An   O
immediate   O
referral   O
was   O
made   O
to   O
Dr.   O
Colton   B-NAME
Spears   I-NAME
at   O
our   O
associated   O
building   O
Ancora   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
,"Gates   O
4   O
.   O
"   O

After   O
admission   O
,   O
an   O
upper   O
endoscopy   O
was   O
performed   O
on   O
22/29   B-DATE
which   O
demonstrated   O
a   O
moderate   O
sized   O
bleeding   O
peptic   O
ulcer   O
.   O

A   O
follow   O
-   O
up   O
consultation   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Gabriel   B-NAME
Wells   I-NAME
following   O
a   O
course   O
of   O
two   O
weeks   O
.   O

A   O
copy   O
of   O
this   O
report   O
will   O
be   O
sent   O
to   O
his   O
employer   O
,   O
Georgetown   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
,   O
as   O
per   O
patient   O
's   O
request   O
,   O
and   O
another   O
to   O
his   O
personal   O
health   O
insurance   O
company   O
,   O
with   O
an   O
account   O
number   O
of   O
UO611/1925   B-ID
.   O

To   O
discuss   O
the   O
patient   O
's   O
plan   O
for   O
ongoing   O
medical   O
care   O
,   O
please   O
reach   O
out   O
to   O
our   O
medical   O
team   O
at   O
UPMC   B-LOCATION
Cole   I-LOCATION
through   O
the   O
contact   O
number   O
:   O
422   B-CONTACT
4695   I-CONTACT
and   O
ask   O
for   O
Dr.   O
Marisa   B-NAME
Garza   I-NAME
's   O
team   O
or   O
use   O
his   O
secretary   O
oa482   B-NAME
's   O
email   O
for   O
correspondence   O
related   O
to   O
his   O
treatment   O
.   O

We   O
greatly   O
appreciate   O
your   O
assistance   O
in   O
his   O
treatment   O
and   O
look   O
forward   O
to   O
working   O
with   O
you   O
in   O
the   O
future   O
to   O
ensure   O
the   O
best   O
possible   O
care   O
for   O
patient   O
Ulysses   B-NAME
Gilbert   I-NAME
.   O

Sincerely   O
,   O
Kassidy   B-NAME
Hopkins   I-NAME
Physician   O
,   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sacramento   I-LOCATION

Patient   O
Name   O
:   O
Mamie   B-NAME
Varnes   I-NAME
Age   O
:   O
45   O
Location   O
:   O
Murtaugh   B-LOCATION
Medical   O
Record   O
number   O
:   O
4905561   B-ID
On   O
the   O
morning   O
of   O
9/14/2322   B-DATE
,   O
Dahood   B-NAME
Loiacona   I-NAME
was   O
brought   O
to   O
the   O
Emergency   O
Department   O
at   O
Redmond   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
sudden   O
onset   O
chest   O
pain   O
.   O

Sims   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
his   O
father   O
had   O
a   O
heart   O
attack   O
at   O
the   O
6   O
month   O
of   O
55   O
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Emilia   B-NAME
Bryan   I-NAME
,   O
was   O
informed   O
about   O
his   O
condition   O
.   O

Dr.   O
Marisa   B-NAME
Garza   I-NAME
referred   O
to   O
the   O
previous   O
medical   O
records   O
with   O
951   B-ID
-   I-ID
73   I-ID
-   I-ID
56   I-ID
-   I-ID
6   I-ID
and   O
recommended   O
cardiac   O
catheterization   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
Cardiology   O
Department   O
of   O
Champlain   B-LOCATION
Valley   I-LOCATION
Physicians   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

His   O
wife   O
,   O
a   O
Extraction   O
Workers   O
,   O
All   O
Other   O
,   O
was   O
informed   O
and   O
contacted   O
at   O
57603   B-CONTACT
.   O

His   O
insurance   O
details   O
were   O
verified   O
using   O
his   O
ID   O
MZ381/3990   B-ID
and   O
the   O
hospital   O
administration   O
contacted   O
the   O
Sonoma   B-LOCATION
Valley   I-LOCATION
Bank   I-LOCATION
for   O
approval   O
of   O
the   O
necessary   O
procedures   O
.   O

On   O
32/12/62   B-DATE
,   O
the   O
patient   O
underwent   O
successful   O
coronary   O
angioplasty   O
.   O

His   O
condition   O
following   O
the   O
procedure   O
is   O
stable   O
and   O
he   O
is   O
currently   O
under   O
observation   O
in   O
Cumberland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

He   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Nixon   B-NAME
on   O
11/00   B-DATE
.   O

For   O
record   O
-   O
keeping   O
and   O
follow   O
-   O
ups   O
,   O
the   O
family   O
may   O
be   O
contacted   O
at   O
29064   B-CONTACT
.   O

Their   O
residence   O
is   O
located   O
in   O
New   B-LOCATION
Port   I-LOCATION
Richey   I-LOCATION
,   I-LOCATION
Greater   I-LOCATION
New   I-LOCATION
Port   I-LOCATION
Richey   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
with   O
ZIP   O
code   O
56834   B-LOCATION
.   O

The   O
hospital   O
system   O
log   O
indicates   O
that   O
the   O
last   O
nurse   O
who   O
documented   O
the   O
patient   O
chart   O
was   O
jhf189   B-NAME
.   O

Patient   O
name   O
:   O
Crisp   B-NAME
,   I-NAME
Quentin   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
5459140   I-ID
Age   O
:   O
81   O
Address   O
:   O
Pilot   B-LOCATION
Point   I-LOCATION
Phone   O
number   O
:   O
87666   B-CONTACT
Medical   O
Record   O
Number   O
:   O
630   B-ID
-   I-ID
98   I-ID
-   I-ID
15   I-ID
-   I-ID
4   I-ID
Date   O
:   O
09/67   B-DATE
Physician   O
:   O
Reeves   B-NAME
Admitting   O
Hospital   O
:   O
IU   B-LOCATION
Health   I-LOCATION
Bloomington   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O
Centre   B-LOCATION
of   I-LOCATION
Indian   I-LOCATION
Trade   I-LOCATION
Unions   I-LOCATION
Occupation   O
:   O
singer   O
Report   O
:   O
Howe   B-NAME
,   O
a   O
50   O
-   O
year   O
-   O
old   O
patient   O
,   O
presented   O
to   O
the   O
Hillcrest   B-LOCATION
Hospital   I-LOCATION
Claremore   I-LOCATION
emergency   O
department   O
on   O
August   B-DATE
37   I-DATE
,   I-DATE
2187   I-DATE
.   O

Upon   O
reviewing   O
the   O
patient   O
's   O
medical   O
history   O
,   O
it   O
was   O
found   O
that   O
he   O
is   O
an   O
employee   O
at   O
Evergreen   B-LOCATION
Bank   I-LOCATION
working   O
as   O
a   O
Natural   O
Sciences   O
Managers   O
and   O
that   O
he   O
has   O
hypertension   O
and   O
type   O
II   O
diabetes   O
.   O

During   O
the   O
physical   O
examination   O
conducted   O
by   O
Dr.   O
Justin   B-NAME
Bowen   I-NAME
,   O
the   O
patient   O
's   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
160/95   O
mmHg   O
and   O
his   O
heart   O
rate   O
was   O
98   O
beats   O
per   O
minute   O
.   O

The   O
patient   O
was   O
subsequently   O
admitted   O
to   O
the   O
Willingway   B-LOCATION
Hospital   I-LOCATION
's   O
cardiac   O
care   O
unit   O
(   O
CCU   O
)   O
for   O
further   O
management   O
and   O
monitoring   O
.   O

Post   O
this   O
intervention   O
,   O
Carolyn   B-NAME
Holloway   I-NAME
showed   O
significant   O
clinical   O
improvement   O
.   O

Dr.   O
Mcfarland   B-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2301s   B-DATE
at   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Wilkes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
in   O
Anzac   B-LOCATION
Village   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

The   O
patient   O
's   O
emergency   O
contact   O
number   O
is   O
26774   B-CONTACT
.   O

Prepared   O
By   O
:   O
qct239   B-NAME
Medical   O
Provider   O
Address   O
:   O
71097   B-LOCATION
.   O

Patient   O
:   O
Etta   B-NAME
Cohen   I-NAME
Age   O
:   O
33   O
Date   O
:   O
Jun   B-DATE
10   I-DATE
,   I-DATE
2043   I-DATE
Physician   O
:   O
Edward   B-NAME
VII   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
On   O
my   O
initial   O
encounter   O
with   O
Ganilau   B-NAME
,   I-NAME
Ratu   I-NAME
Sir   I-NAME
Penaia   I-NAME
at   O
Broward   B-LOCATION
Health   I-LOCATION
Imperial   I-LOCATION
Point   I-LOCATION
,   O
it   O
was   O
apparent   O
that   O
Adeline   B-NAME
Dean   I-NAME
is   O
suffering   O
from   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
,   O
predominantly   O
on   O
the   O
right   O
lower   O
quadrant   O
.   O

This   O
has   O
been   O
accompanied   O
by   O
nausea   O
,   O
vomiting   O
,   O
and   O
anorexia   O
since   O
33/00   B-DATE
.   O

Emery   B-NAME
Kennedy   I-NAME
is   O
a   O
Electrical   O
and   O
Electronics   O
Drafters   O
by   O
profession   O
and   O
has   O
no   O
significant   O
past   O
medical   O
history   O
.   O

Rona   B-NAME
Schuld   I-NAME
's   O
bodily   O
temperature   O
was   O
recorded   O
at   O
38.3   O
°   O
C   O
on   O
the   O
infrared   O
forehead   O
thermometer   O
-   O
an   O
accurate   O
device   O
provided   O
by   O
the   O
CARE   B-LOCATION
.   O

The   O
medical   O
record   O
number   O
is   O
06393   B-ID
.   O

Due   O
to   O
the   O
urgency   O
of   O
the   O
case   O
,   O
Graham   B-NAME
,   I-NAME
Paul   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
the   O
very   O
same   O
day   O
.   O

The   O
procedure   O
was   O
successfully   O
performed   O
by   O
a   O
team   O
led   O
by   O
Jaydon   B-NAME
Brock   I-NAME
.   O

I   O
have   O
further   O
recommended   O
a   O
postoperative   O
follow   O
-   O
up   O
after   O
two   O
weeks   O
which   O
was   O
scheduled   O
through   O
phone   O
-   O
25363   B-CONTACT
.   O

We   O
advised   O
Thomson   B-NAME
,   I-NAME
William   I-NAME
-   I-NAME
a.k.a   I-NAME
.   I-NAME
Lord   B-NAME
Kelvin   I-NAME
to   O
notify   O
us   O
immediately   O
if   O
any   O
complications   O
arise   O
.   O

Larry   B-NAME
Cowan   I-NAME
's   O
residence   O
is   O
located   O
at   O
Wilcox   B-LOCATION
,   O
and   O
I   O
advised   O
to   O
reach   O
out   O
to   O
their   O
local   O
healthcare   O
provider   O
or   O
visit   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Somerset   I-LOCATION
if   O
unable   O
to   O
reach   O
us   O
on   O
335   B-CONTACT
-   I-CONTACT
645   I-CONTACT
-   I-CONTACT
8855   I-CONTACT
.   O

Discharge   O
papers   O
,   O
as   O
well   O
as   O
information   O
about   O
his   O
medical   O
follow   O
-   O
up   O
,   O
were   O
sent   O
to   O
Glennis   B-NAME
Hansteen   I-NAME
's   O
email   O
(   O
nm60   B-NAME
)   O
digitally   O
.   O

Documents   O
sent   O
also   O
include   O
the   O
process   O
for   O
the   O
patient   O
to   O
validate   O
his   O
identity   O
(   O
LA:41540:561472   B-ID
)   O
online   O
for   O
medical   O
follow   O
-   O
ups   O
to   O
maintain   O
secure   O
digital   O
communications   O
.   O

I   O
will   O
meet   O
camp   B-NAME
in   O
two   O
weeks   O
for   O
a   O
regular   O
check   O
-   O
up   O
and   O
review   O
his   O
recovery   O
progress   O
.   O

Respectfully   O
,   O
Gary   B-NAME
Lansing   I-NAME

Patient   O
Information   O
:   O
Maliyah   B-NAME
Conway   I-NAME
a   O
Children   O
's   O
nurse   O
age   O
of   O
88   O
,   O
reported   O
with   O
persistent   O
cough   O
,   O
fatigue   O
,   O
and   O
dyspnea   O
on   O
14   B-DATE
-   I-DATE
00   I-DATE
.   O

The   O
patient   O
was   O
residing   O
in   O
Paul   B-LOCATION
before   O
hospital   O
admission   O
.   O

Upon   O
admission   O
to   O
the   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
,   O
the   O
patient   O
was   O
afebrile   O
but   O
hypoxic   O
,   O
requiring   O
4   O
liters   O
of   O
supplemental   O
oxygen   O
to   O
maintain   O
saturations   O
above   O
94   O
%   O
.   O

Tests   O
and   O
Procedures   O
:   O
On   O
00/29   B-DATE
,   O
Dr.   O
Lennon   B-NAME
,   I-NAME
John   I-NAME
conducted   O
a   O
chest   O
radiograph   O
which   O
revealed   O
persistent   O
bilateral   O
alveolar   O
opacities   O
,   O
suggestive   O
of   O
an   O
infectious   O
process   O
.   O

His   O
chart   O
,   O
with   O
the   O
9059055   B-ID
number   O
,   O
also   O
indicates   O
he   O
underwent   O
angioplasty   O
back   O
in   O
a   O
August   B-DATE
4th   I-DATE
at   O
Carolina   B-LOCATION
Pines   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
at   O
Quebrada   B-LOCATION
del   I-LOCATION
Agua   I-LOCATION
.   O

Professional   O
background   O
:   O
Braiden   B-NAME
Chaney   I-NAME
works   O
as   O
a   O
Investment   O
Underwriters   O
at   O
the   O
Gordon   B-LOCATION
Bank   I-LOCATION
in   O
Manassas   B-LOCATION
.   O

His   O
immediate   O
family   O
resides   O
in   O
a   O
different   O
state   O
but   O
they   O
have   O
been   O
informed   O
and   O
updates   O
are   O
provided   O
via   O
the   O
32328   B-CONTACT
number   O
.   O

Contact   O
Information   O
:   O
We   O
will   O
keep   O
Carter   B-NAME
,   I-NAME
Jimmy   I-NAME
under   O
our   O
care   O
and   O
monitor   O
closely   O
.   O

For   O
further   O
communication   O
,   O
please   O
call   O
on   O
the   O
provided   O
hospital   O
phone   O
number   O
,   O
(   O
238   B-CONTACT
457   I-CONTACT
-   I-CONTACT
6161   I-CONTACT
)   O
or   O
email   O
at   O
vzv427   B-NAME
@medicalcenter.org   O
.   O
Personal   O
Information   O
:   O

For   O
security   O
purposes   O
,   O
the   O
patient   O
's   O
personal   O
IDs   O
,   O
such   O
as   O
Social   O
Security   O
Number   O
5989920   B-ID
,   O
as   O
well   O
as   O
his   O
address   O
(   O
McAlester   B-LOCATION
,   O
57727   B-LOCATION
)   O
are   O
restricted   O
from   O
this   O
report   O
.   O

This   O
information   O
is   O
prepared   O
by   O
McMahon   B-NAME
,   I-NAME
Vince   I-NAME
,   O
South   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
for   O
solely   O
medical   O
purposes   O
.   O

The   O
patient   O
,   O
Raphael   B-NAME
Monroe   I-NAME
,   O
a   O
Helpers   O
--   O
Extraction   O
Workers   O
of   O
16   O
years   O
,   O
visited   O
NYU   B-LOCATION
Langone   I-LOCATION
Hospitals   I-LOCATION
on   O
13/26   B-DATE
.   O

His   O
medical   O
history   O
,   O
obtained   O
from   O
medical   O
record   O
number   O
51210425   B-ID
,   O
revealed   O
long   O
term   O
smoking   O
habits   O
,   O
which   O
might   O
have   O
contributed   O
to   O
his   O
condition   O
.   O

He   O
resides   O
in   O
Clemons   B-LOCATION
,   O
zip   O
code   O
21869   B-LOCATION
.   O

Patient   O
had   O
been   O
in   O
contact   O
with   O
Dr.   O
Marshall   B-NAME
,   I-NAME
George   I-NAME
through   O
phone   O
number   O
(   B-CONTACT
446   I-CONTACT
)   I-CONTACT
244   I-CONTACT
2686   I-CONTACT
prior   O
to   O
admission   O
.   O

Dr.   O
Lina   B-NAME
Arnold   I-NAME
had   O
suggested   O
immediate   O
hospitalization   O
in   O
light   O
of   O
his   O
deteriorating   O
health   O
conditions   O
.   O

Identification   O
number   O
UM234/5863   B-ID
was   O
provided   O
for   O
record   O
keeping   O
.   O

Interestingly   O
,   O
the   O
patient   O
owns   O
a   O
tech   O
sit   O
-   O
up   O
company   O
named   O
Citizens   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
,   O
based   O
out   O
of   O
Lake   B-LOCATION
Almanor   I-LOCATION
which   O
he   O
started   O
after   O
moving   O
from   O
his   O
maiden   O
city   O
.   O

During   O
his   O
admission   O
,   O
he   O
was   O
under   O
the   O
care   O
of   O
resident   O
physician   O
,   O
Jaquan   B-NAME
Adams   I-NAME
specializing   O
in   O
Pulmonary   O
diseases   O
.   O

Follow   O
up   O
appointment   O
has   O
been   O
fixed   O
on   O
2/10   B-DATE
in   O
the   O
same   O
hospital   O
,   O
Kent   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Dominque   B-NAME
Emperor   I-NAME
was   O
contacted   O
by   O
the   O
INTEGRIS   B-LOCATION
Health   I-LOCATION
Edmond   I-LOCATION
staff   O
for   O
improved   O
continuity   O
of   O
care   O
and   O
was   O
informed   O
about   O
the   O
recent   O
hospitalization   O
and   O
the   O
suggested   O
treatment   O
plan   O
.   O

The   O
patient   O
Nunzio   B-NAME
Manning   I-NAME
agreed   O
to   O
provide   O
access   O
to   O
his   O
medical   O
records   O
through   O
his   O
username   O
,   O
gr323   B-NAME
,   O
for   O
further   O
treatments   O
.   O

He   O
has   O
also   O
agreed   O
for   O
a   O
telehealth   O
follow   O
-   O
up   O
call   O
on   O
the   O
assigned   O
date   O
at   O
phone   O
number   O
692   B-CONTACT
421   I-CONTACT
-   I-CONTACT
4393   I-CONTACT
.   O

Patient   O
Name   O
:   O
Tacitus   B-NAME
Medical   O
Record   O
Number   O
:   O
14199542   B-ID
Doctor   O
Name   O
:   O
Hodges   B-NAME
Hospital   O
:   O
Upstate   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
2295   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
11   I-DATE
,   O
The   O
above   O
-   O
referenced   O
patient   O
came   O
to   O
the   O
ER   O
with   O
severe   O
abdominal   O
pain   O
and   O
persistent   O
vomiting   O
for   O
the   O
last   O
two   O
days   O
.   O

Upon   O
admission   O
,   O
Cole   B-NAME
Santos   I-NAME
was   O
pale   O
,   O
visibly   O
distressed   O
,   O
and   O
exhibited   O
signs   O
of   O
dehydration   O
.   O

Blevins   B-NAME
was   O
immobile   O
due   O
to   O
the   O
intensity   O
of   O
the   O
pain   O
.   O

The   O
patient   O
disclosed   O
that   O
he   O
works   O
as   O
a   O
Property   O
,   O
Real   O
Estate   O
,   O
and   O
Community   O
Association   O
Managers   O
in   O
the   O
Cressey   B-LOCATION
area   O
.   O

Physical   O
examination   O
by   O
Abel   B-NAME
led   O
to   O
bringing   O
the   O
attention   O
towards   O
possible   O
acute   O
pancreatitis   O
.   O

Given   O
his   O
condition   O
,   O
Temujin   B-NAME
Muggley   I-NAME
was   O
admitted   O
to   O
Morris   B-LOCATION
Hospital   I-LOCATION
same   O
-   O
day   O
under   O
the   O
care   O
of   O
our   O
in   O
-   O
house   O
gastroenterologist   O
,   O
Jennings   B-NAME
.   O

After   O
getting   O
informed   O
consent   O
,   O
Levi   B-NAME
Leblanc   I-NAME
was   O
begun   O
on   O
IV   O
fluid   O
resuscitation   O
and   O
pain   O
management   O
.   O

Reachable   O
Phone   O
Number   O
for   O
Updates   O
:   O
488   B-CONTACT
-   I-CONTACT
5822   I-CONTACT
Home   O
Address   O
:   O
Knobel   B-LOCATION
,   O
96552   B-LOCATION
Please   O
note   O
the   O
importance   O
of   O
keeping   O
this   O
information   O
confidential   O
in   O
accordance   O
with   O
the   O
guidelines   O
set   O
forth   O
by   O
Beach   B-LOCATION
First   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

In   O
addition   O
,   O
please   O
consider   O
the   O
electronic   O
health   O
record   O
(   O
EHR   O
)   O
account   O
ID   O
#   O
LY885/8950   B-ID
assigned   O
to   O
W.   B-NAME
Ronnie   I-NAME
Le   I-NAME
as   O
sensitive   O
information   O
.   O

Please   O
contact   O
me   O
at   O
my   O
clinic   O
phone   O
number   O
,   O
79274   B-CONTACT
,   O
for   O
any   O
urgent   O
notification   O
regarding   O
the   O
patient   O
's   O
condition   O
.   O

Thanks   O
for   O
providing   O
the   O
best   O
possible   O
care   O
for   O
Blaze   B-NAME
Rowland   I-NAME
,   O
Dr.   O
Ferrell   B-NAME
UserID   O
:   O

vbn341   B-NAME

Patient   O
Report   O
HINES   B-NAME
,   I-NAME
ALEXANDER   I-NAME
SAMMY   I-NAME
arrived   O
in   O
the   O
UPMC   B-LOCATION
Chautauqua   I-LOCATION
ER   O
on   O
32/07   B-DATE
.   O

She   O
is   O
a   O
48s   O
-   O
year   O
-   O
old   O
female   O
,   O
currently   O
residing   O
at   O
948   B-LOCATION
Sierra   I-LOCATION
Street   I-LOCATION
.   O

Upon   O
reviewing   O
her   O
medical   O
history   O
,   O
it   O
was   O
found   O
that   O
she   O
had   O
been   O
previously   O
diagnosed   O
with   O
hypertension   O
,   O
hyperlipidemia   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
at   O
Nevada   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
.   O

Dr.   O
Haylee   B-NAME
Payne   I-NAME
,   O
her   O
primary   O
care   O
provider   O
,   O
recommended   O
a   O
strict   O
dietary   O
regimen   O
and   O
regular   O
exercises   O
,   O
but   O
she   O
has   O
been   O
non   O
-   O
compliant   O
with   O
the   O
given   O
instructions   O
due   O
to   O
her   O
busy   O
work   O
schedule   O
as   O
a   O
Dietitians   O
and   O
Nutritionists   O
.   O

Cardiology   O
consultant   O
on   O
-   O
call   O
,   O
Dr.   O
Parrish   B-NAME
,   O
was   O
notified   O
about   O
the   O
patient   O
.   O

The   O
patient   O
's   O
driver   O
's   O
license   O
4   B-ID
-   I-ID
7063279   I-ID
was   O
referenced   O
for   O
name   O
verification   O
and   O
insurance   O
details   O
on   O
the   O
patient   O
's   O
health   O
plan   O
held   O
at   O
Kemper   B-LOCATION
Corporation   I-LOCATION
.   O

A   O
call   O
was   O
made   O
to   O
her   O
home   O
phone   O
number   O
,   O
404   B-CONTACT
253   I-CONTACT
3719   I-CONTACT
,   O
to   O
update   O
her   O
family   O
of   O
the   O
current   O
prognosis   O
.   O

A   O
coronary   O
angiogram   O
was   O
urgently   O
suggested   O
,   O
and   O
upon   O
obtaining   O
informed   O
consent   O
from   O
the   O
patient   O
and   O
her   O
family   O
,   O
the   O
procedure   O
was   O
scheduled   O
for   O
21/32/22   B-DATE
.   O

The   O
patient   O
was   O
then   O
admitted   O
to   O
the   O
cardiology   O
ward   O
,   O
room   O
number   O
6284768   B-ID
for   O
further   O
investigations   O
and   O
management   O
.   O

For   O
further   O
inquiries   O
,   O
the   O
onsite   O
cardiology   O
team   O
lead   O
by   O
Dr.   O
Robert   B-NAME
Owen   I-NAME
may   O
be   O
contacted   O
through   O
the   O
Southside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
switch   O
board   O
(   O
226   B-CONTACT
518   I-CONTACT
1723   I-CONTACT
)   O
.   O

The   O
patient   O
's   O
official   O
medical   O
report   O
will   O
be   O
sent   O
to   O
her   O
residential   O
address   O
(   O
ZIP   O
:   O
72182   B-LOCATION
)   O
or   O
alternatively   O
can   O
be   O
collected   O
from   O
our   O
office   O
at   O
8633   B-LOCATION
Carriage   I-LOCATION
St.   I-LOCATION
by   O
providing   O
her   O
username   O
ytt690   B-NAME
for   O
identification   O
.   O

Her   O
follow   O
-   O
up   O
consultation   O
is   O
scheduled   O
for   O
19   B-DATE
-   I-DATE
26   I-DATE
with   O
Dr.   O
Beyale   B-NAME
at   O
our   O
hospital   O
's   O
outpatient   O
department   O
.   O

Patient   O
Report   O
:   O
Patient   O
Zayne   B-NAME
Erickson   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Cloud   I-LOCATION
Hospital   I-LOCATION
on   O
March   B-DATE
25   I-DATE
,   I-DATE
2039   I-DATE
.   O

Mitchell   B-NAME
Bauer   I-NAME
is   O
a   O
Sewing   O
Machine   O
Operators   O
,   O
Non   O
-   O
Garment   O
in   O
Missouri   B-LOCATION
with   O
an   O
identification   O
number   O
236919   B-ID
.   O

Patient   O
's   O
contact   O
number   O
is   O
906   B-CONTACT
5811   I-CONTACT
and   O
resides   O
at   O
22190   B-LOCATION
.   O

Sharon   B-NAME
Dyer   I-NAME
reported   O
to   O
Dr.   O
Hines   B-NAME
about   O
experiencing   O
severe   O
chest   O
pain   O
radiating   O
towards   O
the   O
left   O
arm   O
.   O

The   O
pain   O
initiated   O
while   O
the   O
Galilei   B-NAME
,   I-NAME
Galileo   I-NAME
was   O
at   O
work   O
on   O
12/3   B-DATE
.   O

Anita   B-NAME
Lindgren   I-NAME
also   O
experienced   O
shortness   O
of   O
breath   O
and   O
palpitations   O
.   O

On   O
initial   O
evaluation   O
,   O
Aiden   B-NAME
Zamora   I-NAME
vitals   O
were   O
:   O
BP   O
:   O
140/90   O
mmHg   O
,   O
Pulse   O
:   O
100   O
bpm   O
,   O
Temperature   O
:   O
98.6   O
F   O
,   O
Respiratory   O
rate   O
:   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
Oxygen   O
Saturation   O
:   O
94   O
%   O
on   O
room   O
air   O
.   O

The   O
Griffin   B-NAME
Bernard   I-NAME
is   O
not   O
diabetic   O
but   O
has   O
a   O
family   O
history   O
of   O
cardiac   O
diseases   O
.   O

Upon   O
request   O
,   O
Jeff   B-NAME
Hanson   I-NAME
consented   O
to   O
share   O
the   O
details   O
of   O
his   O
therapy   O
prescribed   O
by   O
an   O
external   O
medical   O
organization   O
,   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Operating   I-LOCATION
Engineers   I-LOCATION
,   O
with   O
our   O
hospital   O
.   O

The   O
medical   O
records   O
6430605   B-ID
from   O
Aquila   B-LOCATION
including   O
previous   O
medical   O
history   O
and   O
current   O
medications   O
were   O
updated   O
in   O
our   O
hospital   O
's   O
system   O
.   O

Darin   B-NAME
is   O
scheduled   O
for   O
coronary   O
angiography   O
on   O
1/1   B-DATE
.   O

The   O
hospital   O
's   O
online   O
portal   O
has   O
username   O
yxq819   B-NAME
,   O
where   O
Sandra   B-NAME
Franco   I-NAME
can   O
access   O
upcoming   O
appointment   O
details   O
and   O
prescriptions   O
.   O

Signed   O
,   O
Morrow   B-NAME
,   O
Cardiologist   O
,   O
Orlando   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Seminole   I-LOCATION
Hospital   I-LOCATION

Patient   O
Report   O
Glass   B-NAME
,   O
a   O
72   O
years   O
old   O
male   O
patient   O
presented   O
to   O
Parkwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
7   B-DATE
-   I-DATE
8   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
.   O

This   O
patient   O
was   O
referred   O
by   O
Dickens   B-NAME
,   I-NAME
Charles   I-NAME
.   O

He   O
is   O
a   O
resident   O
of   O
Lakeview   B-LOCATION
Estates   I-LOCATION
and   O
works   O
as   O
a   O
Medical   O
Equipment   O
Preparers   O
.   O

He   O
handed   O
over   O
a   O
copy   O
of   O
his   O
medical   O
records   O
(   O
9769387   B-ID
)   O
from   O
his   O
previous   O
visits   O
to   O
Nuwas   B-NAME
,   I-NAME
Abu   I-NAME
at   O
Protection   B-LOCATION
International   I-LOCATION
.   O

The   O
drugs   O
for   O
his   O
past   O
medical   O
conditions   O
were   O
adjusted   O
and   O
he   O
was   O
put   O
on   O
new   O
medication   O
after   O
his   O
sugar   O
levels   O
were   O
at   O
a   O
critical   O
juncture   O
on   O
his   O
last   O
visit   O
,   O
dated   O
1924   B-DATE
.   O

The   O
patient   O
's   O
identification   O
code   O
is   O
1   B-ID
-   I-ID
31100117   I-ID
and   O
can   O
be   O
used   O
for   O
future   O
references   O
.   O

His   O
contact   O
number   O
is   O
138   B-CONTACT
-   I-CONTACT
999   I-CONTACT
-   I-CONTACT
5003   I-CONTACT
and   O
resides   O
at   O
zip   O
code   O
83483   B-LOCATION
.   O

His   O
email   O
address   O
,   O
used   O
for   O
communication   O
,   O
is   O
dy495   B-NAME
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
Barnes   B-LOCATION
-   I-LOCATION
Kasson   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
diagnostic   O
procedures   O
after   O
consultation   O
with   O
Ruiz   B-NAME
.   O

The   O
family   O
members   O
of   O
the   O
patient   O
were   O
contacted   O
and   O
updated   O
about   O
his   O
health   O
status   O
at   O
24/23/92   B-DATE
.   O

Patient   O
Name   O
:   O
Karter   B-NAME
Lester   I-NAME
Date   O
of   O
Birth   O
/   O
Age   O
:   O
56   O
Patient   O
ID   O
:   O
OV   B-ID
:   I-ID
SZ:9868   I-ID
Medical   O
Record   O
:   O
12891820   B-ID
Address   O
:   O
Riley   B-LOCATION
,   O
49928   B-LOCATION
Physician   O
:   O

Riley   B-NAME
Tapia   I-NAME
Hospital   O
:   O

Gadsden   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
The   O
patient   O
,   O
Confucius   B-NAME
,   O
came   O
to   O
Allen   B-LOCATION
Hospital   I-LOCATION
on   O
Monday   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
.   O

The   O
initial   O
working   O
diagnosis   O
by   O
Mccall   B-NAME
was   O
acute   O
appendicitis   O
,   O
based   O
on   O
the   O
typical   O
symptomatology   O
and   O
physical   O
examination   O
findings   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Thompson   B-NAME
,   I-NAME
Dorothy   I-NAME
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
's   O
phone   O
number   O
for   O
follow   O
-   O
up   O
post   O
-   O
discharge   O
:   O
660   B-CONTACT
-   I-CONTACT
5798   I-CONTACT
Emergency   O
contact   O
:   O
Relative   O
,   O
Craft   O
Artists   O
,   O
Phone   O
:   O
996   B-CONTACT
-   I-CONTACT
299   I-CONTACT
2036   I-CONTACT
For   O
further   O
queries   O
or   O
access   O
to   O
the   O
medical   O
records   O
,   O
the   O
hospital   O
can   O
be   O
contacted   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Colorado   I-LOCATION
Springs   I-LOCATION
,   O
297   B-CONTACT
-   I-CONTACT
5889   I-CONTACT
,   O
Ingleside   B-LOCATION
on   I-LOCATION
the   I-LOCATION
Bay   I-LOCATION
,   O
and   O
the   O
patients   O
can   O
use   O
their   O
unique   O
username   O
,   O
ovo05   B-NAME
,   O
for   O
accessing   O
their   O
test   O
reports   O
online   O
.   O

Signed   O
:   O
Woods   B-NAME
Date   O
:   O
00/01   B-DATE

Patient   O
Information   O
:   O
Name   O
:   O
Breann   B-NAME
Bloss   I-NAME
Age   O
:   O
36   O
ID   O
:   O
WY790/5258   B-ID
Address   O
:   O
Mount   B-LOCATION
Ivy   I-LOCATION
Phone   O
:   O
962   B-CONTACT
-   I-CONTACT
8241   I-CONTACT
Profession   O
:   O
Heating   O
,   O
Air   O
Conditioning   O
,   O
and   O
Refrigeration   O
Mechanics   O
and   O
Installers   O
Medical   O
record   O
number   O
:   O
372   B-ID
-   I-ID
93   I-ID
-   I-ID
15   I-ID
-   I-ID
2   I-ID
Date   O
of   O
visit   O
:   O
2286   B-DATE
Doctor   O
Information   O
:   O
Name   O
:   O
Waters   B-NAME
Hospital   O
:   O

MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Lancaster   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Phone   O
:   O
78834   B-CONTACT
Organization   O
:   O

Direct   B-LOCATION
Energy   I-LOCATION
Username   O
:   O
of458   B-NAME
Address   O
:   O
740   B-LOCATION
Pennington   I-LOCATION
Street   I-LOCATION
Licence   O
number   O
:   O
RF451/4032   B-ID
Complaint   O
:   O

The   O
patient   O
,   O
Derek   B-NAME
Wiley   I-NAME
,   O
reported   O
to   O
Saint   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
the   O
March   B-DATE
20th   I-DATE
,   O
complaining   O
of   O
persistent   O
dry   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

In   O
his   O
profession   O
,   O
David   B-NAME
Craig   I-NAME
is   O
often   O
exposed   O
to   O
wood   O
dust   O
,   O
which   O
may   O
have   O
exacerbated   O
his   O
respiratory   O
condition   O
.   O

He   O
adopted   O
the   O
gqr351   B-NAME
for   O
easier   O
online   O
consultation   O
.   O

On   O
physical   O
examination   O
,   O
Acevedo   B-NAME
noted   O
an   O
abnormal   O
breath   O
sound   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
,   O
potentially   O
indicating   O
an   O
obstruction   O
or   O
inflammation   O
.   O

The   O
Patient   O
's   O
GI   B-ID
:   I-ID
CR:8378   I-ID
was   O
used   O
to   O
retrieve   O
his   O
past   O
medical   O
records   O
and   O
noted   O
a   O
history   O
of   O
asthma   O
.   O

Diagnostic   O
Assessment   O
:   O
Considering   O
the   O
patient   O
's   O
smoking   O
history   O
,   O
current   O
symptoms   O
,   O
and   O
occupation   O
,   O
Ernesto   B-NAME
Fowler   I-NAME
suggested   O
a   O
spirometry   O
test   O
and   O
a   O
chest   O
x   O
-   O
ray   O
.   O

Pending   O
the   O
result   O
,   O
Keira   B-NAME
Powell   I-NAME
recommended   O
smoking   O
cessation   O
,   O
avoidance   O
of   O
exposure   O
to   O
wood   O
dust   O
at   O
his   O
place   O
of   O
work   O
and   O
prescribed   O
an   O
inhaler   O
to   O
provide   O
temporary   O
relief   O
from   O
the   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

Doctor   O
encouraged   O
the   O
patient   O
to   O
report   O
any   O
worsening   O
symptoms   O
and   O
has   O
scheduled   O
a   O
follow   O
-   O
up   O
visit   O
on   O
30/06/41   B-DATE
at   O
Aspirus   B-LOCATION
Wausau   I-LOCATION
Hospital   I-LOCATION
.   O

His   O
case   O
has   O
also   O
been   O
documented   O
under   O
medical   O
record   O
number   O
9601232   B-ID
for   O
future   O
reference   O
.   O

The   O
patient   O
was   O
discharged   O
later   O
that   O
day   O
and   O
was   O
informed   O
to   O
contact   O
Carilion   B-LOCATION
Roanoke   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
this   O
139   B-CONTACT
9845   I-CONTACT
number   O
if   O
his   O
symptoms   O
worsened   O
.   O

He   O
was   O
given   O
directions   O
to   O
Stone   B-LOCATION
Harbor   I-LOCATION
,   O
a   O
nearby   O
pharmacy   O
where   O
he   O
could   O
pick   O
up   O
his   O
medication   O
,   O
and   O
a   O
support   O
Botswana   B-LOCATION
Postal   I-LOCATION
Services   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
for   O
smokers   O
aiming   O
to   O
quit   O
.   O

His   O
residence   O
in   O
34810   B-LOCATION
allowed   O
for   O
easier   O
communication   O
and   O
follow   O
-   O
ups   O
.   O

Patient   O
name   O
:   O
Charles   B-NAME
Cameron   I-NAME
visited   O
Shands   B-LOCATION
Lake   I-LOCATION
Shore   I-LOCATION
Emergency   O
room   O
on   O
28/22   B-DATE
.   O

Hanson   B-NAME
noted   O
that   O
Ardite   B-NAME
Beauparlant   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
at   O
160/90   O
,   O
but   O
all   O
other   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

A   O
CT   O
scan   O
of   O
the   O
Flora   B-NAME
Cole   I-NAME
's   O
brain   O
was   O
immediately   O
ordered   O
to   O
rule   O
out   O
possibilities   O
of   O
a   O
vascular   O
lesion   O
,   O
hematoma   O
or   O
tumor   O
.   O

With   O
patient   O
’s   O
consent   O
,   O
his   O
medical   O
history   O
was   O
retrieved   O
from   O
Liberty   B-LOCATION
Utilities   I-LOCATION
(   I-LOCATION
including   I-LOCATION
Granite   I-LOCATION
State   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
using   O
his   O
LI   B-ID
:   I-ID
GM:6014   I-ID
where   O
he   O
had   O
been   O
previously   O
treated   O
for   O
sinusitis   O
.   O

The   O
CT   O
scan   O
was   O
reviewed   O
by   O
Romeo   B-NAME
Pennington   I-NAME
on   O
04/23   B-DATE
,   O
and   O
it   O
showed   O
no   O
detectable   O
abnormalities   O
.   O

Beatus   B-NAME
Digrazia   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
prophylactic   O
medications   O
as   O
well   O
as   O
abortive   O
treatments   O
to   O
be   O
used   O
in   O
case   O
of   O
acute   O
migraine   O
attacks   O
.   O

Patient   O
's   O
home   O
address   O
is   O
in   O
Pottstown   B-LOCATION
and   O
he   O
works   O
for   O
an   O
Wyandotte   B-LOCATION
Municipal   I-LOCATION
Services   I-LOCATION
in   O
the   O
tech   O
department   O
.   O

The   O
appointment   O
was   O
noted   O
under   O
the   O
745   B-ID
-   I-ID
63   I-ID
-   I-ID
84   I-ID
.   O

Any   O
detail   O
was   O
omitted   O
to   O
ensure   O
patient   O
's   O
privacy   O
and   O
can   O
be   O
failed   O
via   O
contacting   O
20652   B-CONTACT
or   O
email   O
YI8810   B-NAME
@   O
Institute   B-LOCATION
of   I-LOCATION
Mathematical   I-LOCATION
Statistics   I-LOCATION
.com   O
.   O

A   O
copy   O
was   O
mailed   O
to   O
the   O
patient   O
's   O
home   O
in   O
58373   B-LOCATION
.   O

In   O
conclusion   O
,   O
Alyn   B-NAME
has   O
a   O
strong   O
support   O
system   O
and   O
expressed   O
understanding   O
of   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
new   O
treatment   O
regimen   O
.   O

The   O
complete   O
details   O
and   O
scheduled   O
follow   O
-   O
up   O
have   O
been   O
duly   O
updated   O
on   O
patient   O
’s   O
2370924   B-ID
.   O

Patient   O
name   O
:   O
Herman   B-NAME
Patton   I-NAME
Gender   O
:   O
Male   O
Age   O
:   O
4   O
Occupation   O
:   O
Healthcare   O
Support   O
Workers   O
,   O
All   O
Other   O
Chief   O
Complaint   O
:   O
Mr.   O
Janine   B-NAME
came   O
to   O
Iowa   B-LOCATION
Methodist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
persistent   O
and   O
recurrent   O
bouts   O
of   O
nausea   O
and   O
vomiting   O
dating   O
back   O
to   O
32/20/02   B-DATE
.   O

History   O
of   O
present   O
illness   O
:   O
The   O
attacks   O
of   O
vomiting   O
occurred   O
post   O
-   O
meals   O
and   O
Mr.   O
Hieth   B-NAME
Kingson   I-NAME
noticed   O
blood   O
in   O
vomit   O
for   O
the   O
past   O
2   O
days   O
.   O

Physical   O
examination   O
:   O
Dr.   O
Palgrave   B-NAME
,   I-NAME
Francis   I-NAME
Turner   I-NAME
noted   O
a   O
comforting   O
behavior   O
by   O
Matilda   B-NAME
Pace   I-NAME
during   O
palpation   O
of   O
the   O
epigastric   O
and   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Investigations   O
prompted   O
by   O
Dr.   O
Farley   B-NAME
:   O
Endoscopic   O
examination   O
scheduled   O
on   O
13/24   B-DATE
revealed   O
multiple   O
erosions   O
in   O
the   O
stomach   O
suggesting   O
Chronic   O
Gastritis   O
.   O

Torres   B-NAME
referred   O
Jonas   B-NAME
Ashley   I-NAME
for   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
at   O
Grand   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
which   O
showed   O
a   O
thickened   O
bowel   O
loop   O
in   O
the   O
lower   O
abdomen   O
.   O

Treatment   O
:   O
de   B-NAME
la   I-NAME
Rocha   I-NAME
,   I-NAME
Zack   I-NAME
prescribed   O
a   O
course   O
of   O
antibiotics   O
coupled   O
with   O
proton   O
pump   O
inhibitors   O
.   O

Considering   O
the   O
suspected   O
BMI   O
,   O
a   O
consult   O
was   O
made   O
with   O
a   O
surgeon   O
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Plano   I-LOCATION
.   O

Following   O
Up   O
:   O
Patient   O
is   O
scheduled   O
to   O
follow   O
up   O
on   O
36/08   B-DATE
with   O
Dr.   O
May   B-NAME
,   O
the   O
patient   O
's   O
assigned   O
doctor   O
,   O
via   O
contact   O
number   O
256   B-CONTACT
-   I-CONTACT
425   I-CONTACT
-   I-CONTACT
7901   I-CONTACT
.   O

His   O
medical   O
record   O
number   O
for   O
future   O
reference   O
is   O
3441489   B-ID
.   O

For   O
any   O
urgent   O
issues   O
,   O
contact   O
Neosho   B-LOCATION
Memorial   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Chanute   I-LOCATION
at   O
615   B-CONTACT
-   I-CONTACT
3199   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
in   O
our   O
branch   O
at   O
Antelope   B-LOCATION
Valley   I-LOCATION
,   O
92677   B-LOCATION
.   O

Any   O
administrative   O
issues   O
regarding   O
medical   O
reports   O
or   O
identity   O
verifications   O
can   O
be   O
solved   O
by   O
providing   O
TG224/7079   B-ID
or   O
contacting   O
First   B-LOCATION
Suburban   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
at   O
86767   B-CONTACT
.   O

Signed   O
by   O
:   O
RB895   B-NAME

Patient   O
name   O
:   O
Julian   B-NAME
Quintela   I-NAME
Age   O
:   O
74   O
Date   O
of   O
visit   O
:   O
January   B-DATE
Medical   O
Record   O
Number   O
:   O
6883212   B-ID
Treating   O
Physician   O
:   O

Paris   B-NAME
Acosta   I-NAME
Patient   O
Caylee   B-NAME
Herman   I-NAME
presented   O
to   O
Madison   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2140   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
22   I-DATE
due   O
to   O
persistent   O
symptoms   O
of   O
fever   O
and   O
cough   O
.   O

Blood   O
culture   O
and   O
respiratory   O
pathogen   O
panel   O
were   O
sent   O
to   O
Ross   B-LOCATION
Stores   I-LOCATION
for   O
further   O
analysis   O
.   O

The   O
physician   O
Braden   B-NAME
Conrad   I-NAME
will   O
follow   O
up   O
on   O
the   O
lab   O
results   O
via   O
the   O
myCare   O
jm827   B-NAME
system   O
in   O
coordination   O
with   O
Communication   B-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
.   O

The   O
patient   O
lives   O
in   O
Lincoln   B-LOCATION
,   O
Zip   O
Code   O
42776   B-LOCATION
.   O

Any   O
important   O
correspondence   O
can   O
be   O
mailed   O
to   O
their   O
home   O
address   O
or   O
phoned   O
to   O
the   O
patient   O
at   O
565   B-CONTACT
9526   I-CONTACT
.   O

Patient   O
's   O
Health   O
Insurance   O
Provider   O
ID   O
:   O
511785055   B-ID
Patient   O
was   O
discharged   O
with   O
instructions   O
to   O
isolate   O
at   O
home   O
and   O
continue   O
medication   O
as   O
prescribed   O
.   O

Follow   O
-   O
up   O
appointment   O
has   O
been   O
fixed   O
for   O
02/21/51   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Xanders   B-NAME
(   O
MRN   O
:   O
29888295   B-ID
)   O
presented   O
at   O
South   B-LOCATION
Florida   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
in   O
7229   B-LOCATION
Hickory   I-LOCATION
St.   I-LOCATION
on   O
Friday   B-DATE
,   I-DATE
November   I-DATE
.   O

The   O
initial   O
examination   O
was   O
conducted   O
by   O
Joyce   B-NAME
.   O

The   O
patient   O
’s   O
current   O
medication   O
regimen   O
,   O
prescribed   O
by   O
Dr.   O
Deborah   B-NAME
Henderson   I-NAME
from   O
Community   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Sarasota   I-LOCATION
County   I-LOCATION
,   O
includes   O
Ventolin   O
and   O
Pulmicort   O
.   O

He   O
lives   O
in   O
the   O
10592   B-LOCATION
zip   O
code   O
area   O
in   O
Molena   B-LOCATION
and   O
uses   O
nl74   B-NAME
as   O
his   O
primary   O
contact   O
method   O
.   O

Patient   O
's   O
phone   O
contact   O
is   O
noted   O
as   O
350   B-CONTACT
-   I-CONTACT
5025   I-CONTACT
and   O
identification   O
number   O
is   O
WI:35511:123589   B-ID
.   O

Patient   O
to   O
follow   O
up   O
in   O
seven   O
days   O
at   O
Hilton   B-LOCATION
Head   I-LOCATION
Hospital   I-LOCATION
with   O
Dr.   O
Sage   B-NAME
Hayden   I-NAME
for   O
evaluation   O
.   O

The   O
patient   O
's   O
information   O
has   O
been   O
recorded   O
accurately   O
and   O
is   O
up   O
-   O
to   O
-   O
date   O
as   O
per   O
the   O
most   O
recent   O
consultation   O
held   O
on   O
31/22/31   B-DATE
.   O

Patient   O
Name   O
:   O
Emely   B-NAME
Hodge   I-NAME
Age   O
:   O
81   O
Male   O
Patient   O
ID   O
:   O
SP   B-ID
:   I-ID
ZJ:2872   I-ID
Admitting   O
Date   O
:   O
02/29   B-DATE
The   O
patient   O
,   O
a   O
male   O
of   O
41   O
,   O
was   O
admitted   O
on   O
23/20/16   B-DATE
at   O
INTEGRIS   B-LOCATION
Deaconess   I-LOCATION
under   O
the   O
care   O
of   O
Boyer   B-NAME
.   O

Closely   O
handling   O
the   O
patient   O
's   O
case   O
is   O
the   O
neurological   O
team   O
,   O
led   O
by   O
Ray   B-NAME
and   O
staffed   O
by   O
the   O
team   O
from   O
Association   B-LOCATION
of   I-LOCATION
Motion   I-LOCATION
Pictures   I-LOCATION
&   I-LOCATION
TV   I-LOCATION
Programme   I-LOCATION
Producer   I-LOCATION
of   I-LOCATION
India   I-LOCATION
.   O

His   O
medical   O
records   O
,   O
accessible   O
via   O
6   B-ID
-   I-ID
179961   I-ID
,   O
have   O
been   O
reviewed   O
and   O
updated   O
with   O
the   O
latest   O
assessments   O
.   O

The   O
patient   O
,   O
not   O
currently   O
working   O
,   O
was   O
previously   O
employed   O
as   O
a   O
Historians   O
in   O
Panacea   B-LOCATION
,   O
which   O
may   O
warrant   O
further   O
investigating   O
potential   O
historical   O
exposure   O
to   O
harmful   O
substances   O
.   O

Home   O
Address   O
:   O
Plandome   B-LOCATION
Manor   I-LOCATION
,   O
80457   B-LOCATION
Phone   O
number   O
:   O
(   B-CONTACT
332   I-CONTACT
)   I-CONTACT
815   I-CONTACT
-   I-CONTACT
8869   I-CONTACT
Next   O
of   O
kin   O
:   O
Daughter   O
(   O
Cantrell   B-NAME
)   O
,   O
lives   O
in   O
8078   B-LOCATION
Carson   I-LOCATION
St   I-LOCATION
.   I-LOCATION
.   O
Phone   O
:   O
137   B-CONTACT
6206   I-CONTACT
.   O

The   O
treatment   O
plan   O
is   O
to   O
start   O
initial   O
chemotherapy   O
sessions   O
,   O
formulated   O
by   O
vr433   B-NAME
,   O
our   O
lead   O
oncologist   O
,   O
from   O
07/22   B-DATE
.   O

Olean   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
/   I-LOCATION
Main   I-LOCATION
is   O
also   O
in   O
touch   O
with   O
a   O
cancer   O
support   O
group   O
at   O
Australian   B-LOCATION
Manufacturing   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
.   O

The   O
case   O
is   O
being   O
monitored   O
closely   O
and   O
updates   O
are   O
sent   O
to   O
the   O
patient   O
via   O
his   O
registered   O
mobile   O
number   O
and   O
email   O
tpc186   B-NAME
.   O

The   O
detailed   O
report   O
and   O
subsequent   O
updates   O
can   O
be   O
found   O
under   O
the   O
patient   O
's   O
hospital   O
ID   O
2   B-ID
-   I-ID
1933620   I-ID
.   O

Patient   O
Name   O
:   O
Kolton   B-NAME
Ortega   I-NAME
Age   O
:   O
68   O
Presenting   O
Complaints   O
:   O
Jovita   B-NAME
Napier   I-NAME
presented   O
to   O
Union   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
3/29   B-DATE
with   O
severe   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
shoulder   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
pain   O
started   O
while   O
Kasen   B-NAME
George   I-NAME
was   O
at   O
rest   O
,   O
lasted   O
for   O
two   O
hours   O
,   O
and   O
did   O
not   O
alleviate   O
on   O
taking   O
his   O
usual   O
anginal   O
medication   O
.   O

Past   O
Medical   O
History   O
:   O
Maci   B-NAME
Short   I-NAME
has   O
a   O
history   O
of   O
Diabetes   O
Mellitus   O
,   O
for   O
which   O
he   O
has   O
been   O
taking   O
Metformin   O
for   O
the   O
last   O
8   O
years   O
.   O

He   O
has   O
been   O
diagnosed   O
with   O
Hypertension   O
and   O
was   O
prescribed   O
Lisinopril   O
by   O
Russell   B-NAME
,   I-NAME
Bertrand   I-NAME
last   O
2299   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
21   I-DATE
.   O

He   O
also   O
has   O
a   O
history   O
of   O
stable   O
angina   O
with   O
previous   O
angioplasty   O
done   O
around   O
five   O
years   O
ago   O
at   O
Memorial   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Social   O
History   O
:   O
Kirima   B-NAME
has   O
been   O
a   O
chronic   O
smoker   O
,   O
smoking   O
around   O
one   O
pack   O
per   O
day   O
for   O
30   O
years   O
.   O

He   O
is   O
a   O
retired   O
Photographic   O
Hand   O
Developers   O
and   O
lives   O
in   O
Navajo   B-LOCATION
Dam   I-LOCATION
with   O
his   O
wife   O
and   O
two   O
children   O
.   O

On   O
examination   O
,   O
Dallas   B-NAME
Mercer   I-NAME
appeared   O
anxious   O
and   O
diaphoretic   O
while   O
his   O
vitals   O
revealed   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
,   O
a   O
pulse   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
an   O
oxygen   O
saturation   O
of   O
96   O
%   O
on   O
room   O
air   O
.   O

Treatment   O
:   O
Byrd   B-NAME
was   O
managed   O
with   O
immediate   O
reperfusion   O
therapy   O
and   O
was   O
started   O
on   O
beta   O
-   O
blockers   O
,   O
ACE   O
inhibitors   O
,   O
statins   O
,   O
and   O
aspirin   O
.   O

Post   O
-   O
stay   O
outcome   O
:   O
Blankenship   B-NAME
showed   O
good   O
recovery   O
post   O
treatment   O
.   O

He   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Shaylee   B-NAME
Odom   I-NAME
at   O
Cooper   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
.   O

Ph   O
.   O
:   O
642   B-CONTACT
3492   I-CONTACT
Medical   O
Record   O
ID   O
:   O
9027950   B-ID
Insurance   O
ID   O
:   O
VB:70330:570522   B-ID
Social   O
Security   O
Number   O
:   O
395810   B-ID
Address   O
:   O
Waycross   B-LOCATION
,   O
37183   B-LOCATION
Emergency   O
Contact   O
:   O
Marech   B-NAME
Haakinson   I-NAME
's   O
wife   O
;   O
Ph   O
.   O
:   O
(   B-CONTACT
952   I-CONTACT
)   I-CONTACT
524   I-CONTACT
-   I-CONTACT
5408   I-CONTACT
Physician   O
:   O

Dr.   O
Henry   B-NAME
,   O
Department   O
of   O
Cardiology   O
,   O
PeaceHealth   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Physician   O
's   O
Assistant   O
:   O
nb103   B-NAME
Pharmacy   O
:   O
World   B-LOCATION
Future   I-LOCATION
Council   I-LOCATION
Pharmacy   O
Address   O
:   O
Falun   B-LOCATION
,   O
56744   B-LOCATION
Ph   O
.   O
of   O
Pharmacy   O
:   O
(   B-CONTACT
699   I-CONTACT
)   I-CONTACT
784   I-CONTACT
-   I-CONTACT
9660   I-CONTACT

Patient   O
Name   O
:   O
Proctor   B-NAME
Age   O
:   O
10   O
week   O
Date   O
:   O
31/27   B-DATE
The   O
patient   O
presented   O
at   O
the   O
Veterans   B-LOCATION
Affairs   I-LOCATION
Pittsburgh   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
with   O
recurrent   O
bouts   O
of   O
chest   O
pain   O
for   O
the   O
last   O
four   O
months   O
.   O

The   O
patient   O
's   O
medical   O
record   O
(   O
794   B-ID
94   I-ID
39   I-ID
)   O
shows   O
evidence   O
of   O
hypertension   O
.   O

Upon   O
undergoing   O
a   O
physical   O
examination   O
,   O
the   O
Lyla   B-NAME
Hendrix   I-NAME
noted   O
tenderness   O
on   O
palpating   O
the   O
sternum   O
,   O
which   O
is   O
possibly   O
suggestive   O
of   O
angina   O
.   O

The   O
patient   O
resides   O
in   O
Mosheim   B-LOCATION
with   O
58373   B-LOCATION
.   O

Emergency   O
contact   O
information   O
was   O
collected   O
,   O
including   O
phone   O
number   O
10757   B-CONTACT
.   O

ECG   O
and   O
blood   O
tests   O
have   O
been   O
advised   O
for   O
the   O
next   O
visit   O
scheduled   O
on   O
24/13/13   B-DATE
.   O

His   O
medical   O
insurance   O
827189   B-ID
was   O
noted   O
for   O
future   O
reference   O
.   O

Our   O
patient   O
education   O
team   O
at   O
Los   B-LOCATION
Padres   I-LOCATION
Bank   I-LOCATION
was   O
informed   O
to   O
offer   O
necessary   O
support   O
for   O
the   O
same   O
.   O

Meanwhile   O
,   O
the   O
patient   O
's   O
prescriptions   O
were   O
shared   O
with   O
the   O
pharmacy   O
through   O
PY614   B-NAME
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Raiden   B-NAME
Conrad   I-NAME
Age   O
:   O
65   O
Gender   O
:   O

Female   O
ID   O
:   O
42878   B-ID
Chief   O
complaints   O
:   O

The   O
patient   O
has   O
a   O
known   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
for   O
which   O
she   O
regularly   O
attends   O
check   O
-   O
ups   O
with   O
Rivas   B-NAME
at   O
Sanford   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Fargo   I-LOCATION
in   O
Amazonia   B-LOCATION
.   O

Her   O
medical   O
record   O
number   O
is   O
2758489   B-ID
.   O

She   O
was   O
last   O
seen   O
by   O
her   O
primary   O
healthcare   O
provider   O
on   O
01/03   B-DATE
.   O

The   O
patient   O
mentioned   O
she   O
uses   O
the   O
username   O
JV2010   B-NAME
whenever   O
she   O
logs   O
in   O
to   O
the   O
Retail   B-LOCATION
and   I-LOCATION
Fast   I-LOCATION
Food   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
health   O
system   O
portal   O
to   O
communicate   O
with   O
her   O
doctor   O
and   O
check   O
her   O
treatment   O
progress   O
.   O

The   O
patient   O
resides   O
at   O
Staatsburg   B-LOCATION
with   O
a   O
postal   O
code   O
of   O
25059   B-LOCATION
.   O

She   O
is   O
a   O
retired   O
Health   O
Specialties   O
Teachers   O
,   O
Postsecondary   O
and   O
requests   O
that   O
further   O
correspondences   O
be   O
directed   O
via   O
her   O
home   O
phone   O
number   O
972   B-CONTACT
-   I-CONTACT
168   I-CONTACT
-   I-CONTACT
3013   I-CONTACT
.   O
Evaluation   O
and   O
Plan   O
:   O

For   O
medical   O
inquiries   O
,   O
the   O
patient   O
can   O
contact   O
UM   B-LOCATION
Harford   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
87111   B-CONTACT
.   O

In   O
the   O
interim   O
,   O
the   O
patient   O
is   O
advised   O
to   O
continue   O
monitoring   O
her   O
blood   O
glucose   O
levels   O
and   O
managing   O
her   O
diabetes   O
under   O
the   O
guidelines   O
provided   O
by   O
Elsa   B-NAME
Sharp   I-NAME
and   O
the   O
healthcare   O
organization   O
Federation   B-LOCATION
of   I-LOCATION
Territories   I-LOCATION
.   O

Patient   O
Name   O
:   O
Kian   B-NAME
Singh   I-NAME
Patient   O
Age   O
:   O
51   O
Presenting   O
to   O
:   O
Novant   B-LOCATION
Health   I-LOCATION
Charlotte   I-LOCATION
Orthopaedic   I-LOCATION
Hospital   I-LOCATION
By   O
Dr   O
:   O
Aguirre   B-NAME
on   O
July   B-DATE
2202   I-DATE
Medical   O
Record   O
Number   O
:   O
05284727   B-ID
Residing   O
at   O
:   O
Michigamme   B-LOCATION
,   O
Zip   O
:   O
79426   B-LOCATION
Chief   O
Complaints   O
:   O
Maritza   B-NAME
Herman   I-NAME
presented   O
with   O
a   O
2   O
-   O
day   O
history   O
of   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Spolsky   B-NAME
,   I-NAME
Joel   I-NAME
reports   O
that   O
it   O
started   O
near   O
the   O
umbilicus   O
and   O
later   O
localized   O
to   O
the   O
right   O
iliac   O
fossa   O
.   O

Accompanying   O
symptoms   O
further   O
include   O
nausea   O
,   O
two   O
episodes   O
of   O
vomiting   O
in   O
Sunday   B-DATE
,   O
and   O
loss   O
of   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Shinoda   B-NAME
,   I-NAME
Mike   I-NAME
denies   O
any   O
history   O
of   O
similar   O
pain   O
in   O
the   O
past   O
.   O

The   O
patient   O
's   O
condition   O
has   O
deteriorated   O
since   O
the   O
onset   O
of   O
symptoms   O
,   O
triggering   O
the   O
visit   O
to   O
the   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/02/85   B-DATE
.   O

On   O
inspection   O
,   O
Yareli   B-NAME
Kilgore   I-NAME
appears   O
to   O
be   O
in   O
considerable   O
distress   O
,   O
with   O
a   O
temperature   O
of   O
100.4   O
°   O
F   O
.   O

Past   O
Medical   O
and   O
Surgical   O
History   O
:   O
Khloe   B-NAME
Raymond   I-NAME
has   O
a   O
known   O
case   O
of   O
hypertension   O
and   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
under   O
treatment   O
suggested   O
by   O
Who   B-NAME
.   O

Patient   O
also   O
had   O
a   O
history   O
of   O
laparoscopic   O
cholecystectomy   O
at   O
Rutherford   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
during   O
37/27   B-DATE
.   O
Plan   O
:   O
Recommend   O
an   O
immediate   O
CT   O
scan   O
to   O
confirm   O
a   O
possible   O
appendicitis   O
diagnosis   O
.   O

Patient   O
Contact   O
Information   O
:   O
Phone   O
Number   O
:   O
(   B-CONTACT
685   I-CONTACT
)   I-CONTACT
831   I-CONTACT
6686   I-CONTACT
Email   O
ID   O
:   O
wya9110   B-NAME
@   O
Irwin   B-LOCATION
Union   I-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
.com   O
ID   O
Proof   O
:   O
FC   B-ID
:   I-ID
DR:7664   I-ID
Employed   O
at   O
:   O
The   B-LOCATION
RINJ   I-LOCATION
Foundation   I-LOCATION
as   O
a   O
Tour   O
guide   O
Henceforth   O

,   O
Kaleb   B-NAME
Carroll   I-NAME
will   O
need   O
immediate   O
attention   O
.   O

The   O
healthcare   O
team   O
at   O
Torrance   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
should   O
monitor   O
the   O
patient   O
closely   O
for   O
any   O
changes   O
in   O
the   O
condition   O
.   O

Any   O
worsening   O
of   O
symptoms   O
reported   O
,   O
please   O
let   O
Sparks   B-NAME
be   O
informed   O
as   O
soon   O
as   O
possible   O
.   O

The   O
patient   O
,   O
Ida   B-NAME
Xayachack   I-NAME
,   O
was   O
brought   O
into   O
UPMC   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Pittsburgh   I-LOCATION
Emergency   O
Department   O
on   O
July   B-DATE
2rd   I-DATE
.   O

He   O
mentioned   O
that   O
the   O
pain   O
began   O
while   O
he   O
was   O
at   O
his   O
job   O
as   O
a   O
Endoscopy   O
Technicians   O
at   O
Neighborhood   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

Upon   O
obtaining   O
his   O
previous   O
medical   O
history   O
,   O
it   O
was   O
found   O
that   O
Burnett   B-NAME
,   I-NAME
Carol   I-NAME
had   O
experienced   O
similar   O
episodic   O
pain   O
over   O
the   O
past   O
several   O
weeks   O
.   O

L.   B-NAME
Hunter   I-NAME
Hayden   I-NAME
was   O
examined   O
by   O
Yusuf   B-NAME
Shelton   I-NAME
and   O
she   O
ordered   O
an   O
EKG   O
,   O
chest   O
x   O
-   O
rays   O
,   O
and   O
blood   O
tests   O
.   O

A   O
query   O
on   O
his   O
medical   O
record   O
number   O
0117759   B-ID
showed   O
that   O
Suzie   B-NAME
Britten   I-NAME
was   O
admitted   O
earlier   O
this   O
year   O
for   O
hypertension   O
.   O

Badnarik   B-NAME
,   I-NAME
Michael   I-NAME
's   O
driving   O
license   O
was   O
noted   O
,   O
with   O
the   O
JF   B-ID
:   I-ID
MC:4449   I-ID
showing   O
his   O
residence   O
in   O
Kiowa   B-LOCATION
with   O
the   O
12194   B-LOCATION
code   O
.   O

We   O
'll   O
be   O
needing   O
the   O
assistance   O
of   O
his   O
general   O
physician   O
,   O
Dr.   O
Kaleigh   B-NAME
Proctor   I-NAME
,   O
who   O
works   O
in   O
another   O
medical   O
organization   O
for   O
a   O
patient   O
's   O
history   O
.   O

The   O
contact   O
number   O
,   O
252   B-CONTACT
7029   I-CONTACT
that   O
's   O
listed   O
on   O
his   O
account   O
should   O
be   O
used   O
to   O
reach   O
out   O
to   O
him   O
about   O
his   O
test   O
results   O
,   O
and   O
any   O
further   O
appointments   O
or   O
interventions   O
.   O

An   O
electronic   O
mail   O
was   O
sent   O
to   O
his   O
username   O
XP773   B-NAME
about   O
his   O
hospital   O
admit   O
.   O

Let   O
's   O
be   O
sure   O
to   O
keep   O
the   O
Miriam   B-NAME
Santos   I-NAME
and   O
Clement   B-NAME
Molloch   I-NAME
updated   O
regularly   O
about   O
the   O
treatment   O
plan   O
and   O
ensure   O
all   O
medical   O
records   O
are   O
compliant   O
with   O
HIPAA   O
guidelines   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Addison   B-NAME
Frost   I-NAME
Age   O
:   O
95   O
ID   O
Number   O
:   O
GG   B-ID
:   I-ID
BC:7735   I-ID
Date   O
of   O
Birth   O
:   O
4/01   B-DATE
Medical   O
Record   O
Number   O
:   O
1582585   B-ID
Address   O
:   O
Morristown   B-LOCATION
,   I-LOCATION
Town   I-LOCATION
of   I-LOCATION
Morristown   I-LOCATION
Zip   O
code   O
:   O
45295   B-LOCATION
Phone   O
:   O
70406   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Enrique   B-NAME
Baxter   I-NAME
Hospital   O
/   O
Health   O
care   O
provider   O
:   O
CHI   B-LOCATION
Health   I-LOCATION
Immanuel   I-LOCATION
Admitting   O
Organization   O
:   O
Pure   B-LOCATION
Insurance   I-LOCATION
Occupation   O
:   O
Fallers   O
Contact   O
details   O
(   O
Emergency   O
):   O
37890   B-CONTACT

On   O
the   O
morning   O
of   O
2/01   B-DATE
,   O
Skyler   B-NAME
Decker   I-NAME
came   O
into   O
Carney   B-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
abdominal   O
pain   O
that   O
had   O
been   O
persisting   O
for   O
2   O
weeks   O
.   O

Upon   O
admission   O
,   O
Dr.   O
Robinson   B-NAME
performed   O
an   O
abdominal   O
ultrasound   O
which   O
revealed   O
the   O
presence   O
of   O
gallstones   O
.   O

As   O
Malcolm   B-NAME
Sayer   I-NAME
had   O
a   O
history   O
of   O
smoking   O
(   O
approximately   O
10   O
-   O
15   O
cigarettes   O
a   O
day   O
for   O
the   O
last   O
20   O
years   O
)   O
,   O
a   O
CT   O
scan   O
was   O
also   O
done   O
to   O
exclude   O
pancreatic   O
carcinoma   O
.   O

Further   O
evaluations   O
by   O
gastroenterologists   O
at   O
Katherine   B-LOCATION
Shaw   I-LOCATION
Bethea   I-LOCATION
Hospital   I-LOCATION
with   O
magnetic   O
resonance   O
cholangiopancreatography   O
(   O
MRCP   O
)   O
and   O
endoscopic   O
ultrasound   O
(   O
EUS   O
)   O
was   O
scheduled   O
on   O
23/31   B-DATE
.   O

The   O
case   O
is   O
documented   O
by   O
FK818   B-NAME
and   O
saved   O
under   O
the   O
medical   O
record   O
number   O
704   B-ID
-   I-ID
36   I-ID
-   I-ID
31   I-ID
.   O

Follow   O
-   O
ups   O
are   O
subjected   O
to   O
test   O
results   O
from   O
MRCP   O
and   O
EUS   O
on   O
00/29/2126   B-DATE
.   O

Subject   O
:   O
Patient   O
Incident   O
Report   O
Mike   B-NAME
Horton   I-NAME
observed   O
Kade   B-NAME
Shaw   I-NAME
for   O
the   O
first   O
time   O
,   O
upon   O
her   O
arrival   O
to   O
Wagoner   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
ER   O
on   O
10/35   B-DATE
.   O

Lexine   B-NAME
's   O
account   O
number   O
EF:1722:153571   B-ID
was   O
assigned   O
and   O
her   O
medical   O
record   O
number   O
026   B-ID
-   I-ID
04   I-ID
-   I-ID
26   I-ID
-   I-ID
5   I-ID
was   O
created   O
.   O

The   O
patient   O
,   O
a   O
Nuclear   O
Medicine   O
Technologists   O
employed   O
at   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
and   O
resident   O
of   O
Ritzville   B-LOCATION
,   O
was   O
brought   O
in   O
by   O
the   O
paramedics   O
after   O
reportedly   O
collapsing   O
on   O
her   O
way   O
to   O
work   O
.   O

The   O
emergency   O
call   O
was   O
received   O
at   O
569   B-CONTACT
-   I-CONTACT
8313   I-CONTACT
.   O

Thad   B-NAME
Bastarache   I-NAME
was   O
in   O
a   O
semi   O
-   O
conscious   O
state   O
with   O
symptoms   O
of   O
severe   O
dizziness   O
,   O
blurred   O
vision   O
,   O
and   O
difficulty   O
in   O
breathing   O
.   O

Tristan   B-NAME
Petty   I-NAME
's   O
condition   O
was   O
immediately   O
stabilized   O
in   O
ER   O
before   O
transferring   O
her   O
to   O
the   O
cardiology   O
department   O
—   O
building   O
Los   B-LOCATION
Robles   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
floor   O
5   O
.   O

A   O
series   O
of   O
electrocardiograms   O
(   O
ECGs   O
)   O
,   O
blood   O
tests   O
,   O
and   O
CT   O
scans   O
was   O
ordered   O
by   O
Quincy   B-NAME
Aguirre   I-NAME
to   O
accurately   O
identify   O
the   O
underlying   O
cause   O
of   O
the   O
incident   O
.   O

The   O
family   O
of   O
the   O
patient   O
was   O
contacted   O
through   O
phone   O
number   O
78529   B-CONTACT
provided   O
by   O
her   O
.   O

The   O
official   O
updates   O
and   O
medical   O
procedures   O
were   O
discussed   O
with   O
the   O
family   O
through   O
a   O
secure   O
channel   O
,   O
enabled   O
by   O
the   O
username   O
dir163   B-NAME
.   O

Please   O
note   O
that   O
the   O
patient   O
's   O
residential   O
65046   B-LOCATION
is   O
required   O
for   O
billing   O
purposes   O
.   O

Meanwhile   O
,   O
further   O
tests   O
are   O
scheduled   O
for   O
2230   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
20   I-DATE
.   O

The   O
medical   O
staff   O
at   O
Southampton   B-LOCATION
Hospital   I-LOCATION
are   O
working   O
diligently   O
to   O
ensure   O
the   O
best   O
possible   O
care   O
and   O
treatment   O
for   O
Dennis   B-NAME
Donnelly   I-NAME
.   O

For   O
any   O
queries   O
or   O
further   O
details   O
concerning   O
the   O
patient   O
's   O
medical   O
condition   O
and   O
treatment   O
plan   O
,   O
please   O
contact   O
her   O
primary   O
care   O
doctor   O
,   O
Diderot   B-NAME
,   I-NAME
Denis   I-NAME
,   O
via   O
the   O
hospital   O
's   O
contact   O
center   O
.   O

Patient   O
Name   O
:   O
DSN   B-NAME
Patient   O
Opal   B-NAME
Lanier   I-NAME
,   O
86   O
years   O
old   O
,   O
presented   O
to   O
our   O
facility   O
Edward   B-LOCATION
Hospital   I-LOCATION
on   O
00/13   B-DATE
with   O
complaints   O
of   O
severe   O
persistent   O
headache   O
,   O
blurry   O
vision   O
,   O
and   O
dizziness   O
that   O
has   O
been   O
ongoing   O
for   O
the   O
past   O
two   O
weeks   O
.   O

The   O
attending   O
physician   O
,   O
Bishop   B-NAME
ordered   O
an   O
MRI   O
scan   O
which   O
showed   O
swollen   O
optic   O
discs   O
suggestive   O
of   O
papilledema   O
.   O

Bastor   B-NAME
also   O
showed   O
a   O
mild   O
nystagmus   O
during   O
ophthalmologic   O
examination   O
.   O

According   O
to   O
the   O
previous   O
medical   O
records   O
obtained   O
by   O
44726332   B-ID
,   O
Gates   B-NAME
,   I-NAME
Bill   I-NAME
is   O
not   O
on   O
any   O
medications   O
and   O
has   O
no   O
reported   O
allergies   O
.   O

Tora   B-NAME
,   I-NAME
Apisai   I-NAME
works   O
as   O
a   O
Immunologist   O
in   O
Upson   B-LOCATION
EMC   I-LOCATION
.   O

The   O
patient   O
resides   O
in   O
Urbanna   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
35218   B-CONTACT
.   O

SSN   O
is   O
designated   O
as   O
959711398   B-ID
and   O
the   O
patient   O
’s   O
residential   O
zip   O
code   O
is   O
75147   B-LOCATION
.   O

The   O
username   O
for   O
the   O
hospital   O
portal   O
is   O
ur626   B-NAME
.   O

Based   O
on   O
the   O
imaging   O
results   O
,   O
ocular   O
symptoms   O
and   O
elevated   O
blood   O
pressure   O
,   O
Faustina   B-NAME
Douglas   I-NAME
diagnosed   O
Todd   B-NAME
Banks   I-NAME
with   O
Idiopathic   O
intracranial   O
hypertension   O
(   O
IIH   O
)   O
.   O

A   O
follow   O
up   O
appointment   O
was   O
scheduled   O
for   O
03/07/1670   B-DATE
.   O

The   O
patient   O
,   O
Crane   B-NAME
is   O
apprised   O
of   O
the   O
need   O
for   O
lifestyle   O
modifications   O
including   O
weight   O
loss   O
,   O
reduction   O
in   O
sodium   O
intake   O
and   O
regular   O
aerobic   O
exercise   O
.   O

We   O
will   O
monitor   O
the   O
patient   O
closely   O
with   O
repeat   O
visual   O
fields   O
and   O
optic   O
nerve   O
exams   O
at   O
our   O
facility   O
University   B-LOCATION
of   I-LOCATION
South   I-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2320   B-DATE
.   O

Patient   O
Name   O
:   O
Cochran   B-NAME
Patient   O
Age   O
:   O
73   O
Patient   O
ID   O
:   O
UI970/3540   B-ID
Professional   O
Involved   O
:   O
Seismic   O
interpreter   O
Contact   O
Number   O
:   O
(   B-CONTACT
194   I-CONTACT
)   I-CONTACT
245   I-CONTACT
8807   I-CONTACT
Patient   O
Location   O
:   O
Miami   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33134   I-LOCATION
Provider   O
:   O
Cameron   B-NAME
Medical   O
Record   O
Number   O
:   O
33780288   B-ID
Date   O
:   O
0/1/2270   B-DATE
Patient   O
Ackerleigh   B-NAME
of   O
58   O
years   O
visited   O
Taylor   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
0/39   B-DATE
complaining   O
of   O
persistent   O
headaches   O
and   O
bouts   O
of   O
dizziness   O
.   O

The   O
patient   O
works   O
as   O
a   O
Residential   O
Advisors   O
at   O
Rebel   B-LOCATION
Principality   I-LOCATION
in   O
Loreauville   B-LOCATION
.   O

The   O
symptoms   O
,   O
which   O
include   O
throbbing   O
pains   O
localized   O
to   O
the   O
right   O
temple   O
area   O
and   O
occasional   O
blurry   O
vision   O
,   O
heightened   O
over   O
the   O
past   O
few   O
weeks   O
.   O
Contacted   O
via   O
73287   B-CONTACT
for   O
follow   O
-   O
up   O
,   O
the   O
patient   O
also   O
reported   O
experiencing   O
moments   O
of   O
confusion   O
and   O
difficulty   O
concentrating   O
at   O
work   O
,   O
where   O
he   O
's   O
currently   O
employed   O
as   O
a   O
Coroners   O
.   O

Preliminary   O
examination   O
by   O
Brilliant   B-NAME
,   I-NAME
Ashleigh   I-NAME
at   O
Broward   B-LOCATION
Health   I-LOCATION
Imperial   I-LOCATION
Point   I-LOCATION
indicated   O
that   O
these   O
symptoms   O
seem   O
to   O
be   O
progressing   O
in   O
severity   O
.   O

Medical   O
Record   O
019   B-ID
-   I-ID
18   I-ID
-   I-ID
10   I-ID
shows   O
that   O
Clark   B-NAME
Mooney   I-NAME
does   O
not   O
have   O
a   O
history   O
of   O
similar   O
complaints   O
.   O

However   O
,   O
Hurley   B-NAME
notes   O
that   O
India   B-NAME
Villanueva   I-NAME
's   O
family   O
has   O
a   O
history   O
of   O
migraines   O
,   O
raising   O
the   O
possibility   O
this   O
condition   O
could   O
be   O
genetic   O
.   O

After   O
the   O
initial   O
consultation   O
on   O
00/30   B-DATE
,   O
Tate   B-NAME
Zavala   I-NAME
was   O
admitted   O
to   O
Amity   B-LOCATION
Clinic   I-LOCATION
where   O
further   O
tests   O
were   O
administered   O
.   O

An   O
email   O
reminder   O
was   O
sent   O
to   O
ezn822   B-NAME
for   O
an   O
appointment   O
set   O
on   O
2031   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
26   I-DATE
for   O
the   O
discussion   O
of   O
the   O
test   O
results   O
and   O
the   O
consequent   O
treatment   O
plan   O
.   O

As   O
per   O
the   O
88631   B-LOCATION
area   O
lockdown   O
guidelines   O
,   O
the   O
consultation   O
will   O
be   O
held   O
over   O
a   O
video   O
call   O
.   O

This   O
report   O
was   O
authored   O
by   O
Pham   B-NAME
,   O
treatise   O
at   O
Crichton   B-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
,   O
on   O
06/19/2194   B-DATE
.   O

Patient   O
name   O
:   O
Luka   B-NAME
Coffey   I-NAME
Age   O
:   O
3   O
Date   O
:   O
2202   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
17   I-DATE
Doctor   O
's   O
name   O
:   O
Thalia   B-NAME
Chang   I-NAME
Hospital   O
:   O
Roper   B-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Mount   I-LOCATION
Pleasant   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
#   O
:   O
3602559   B-ID
Residence   O
Address   O
:   O
403   B-LOCATION
High   I-LOCATION
Street   I-LOCATION
with   O
ZIP   O
code   O
95435   B-LOCATION
Beasley   B-NAME
at   O
Washington   B-LOCATION
Hospital   I-LOCATION
assessed   O
Rashad   B-NAME
English   I-NAME
on   O
2/29   B-DATE
.   O

Patient   O
Adrienne   B-NAME
Mcintosh   I-NAME
presented   O
with   O
symptoms   O
suggestive   O
of   O
intermittent   O
claudication   O
.   O

Sidney   B-NAME
Rios   I-NAME
works   O
as   O
a   O
Entertainment   O
Attendants   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
also   O
reported   O
unintentional   O
loss   O
of   O
weight   O
,   O
which   O
could   O
be   O
associated   O
with   O
the   O
general   O
decline   O
in   O
the   O
quality   O
of   O
health   O
.   O

Referral   O
to   O
a   O
vascular   O
specialist   O
in   O
Riegelwood   B-LOCATION
is   O
considered   O
.   O

Patient   O
is   O
advised   O
to   O
contact   O
at   O
879   B-CONTACT
-   I-CONTACT
2126   I-CONTACT
for   O
any   O
emergency   O
.   O

For   O
any   O
concerns   O
regarding   O
medical   O
data   O
,   O
please   O
contact   O
btj874   B-NAME
via   O
Westernbank   B-LOCATION
Puerto   I-LOCATION
Rico   I-LOCATION
provided   O
portal   O
using   O
the   O
patient   O
's   O
unique   O
ID   O
KT   B-ID
:   I-ID
UZ:9763   I-ID
.   O

Patient   O
's   O
Name   O
:   O
Edwards   B-NAME
Age   O
:   O
44   O
ID   O
:   O
74954814   B-ID
Doctor   O
's   O
Name   O
:   O
Dr.   O
Milagros   B-NAME
Grimes   I-NAME
Hospital   O
Name   O
:   O
INTEGRIS   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Report   O
:   O
Mr.   O
Quintanar   B-NAME
visited   O
Lilypad   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
20   I-DATE
,   O
complaining   O
of   O
experiencing   O
intermittent   O
severe   O
pain   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
abdomen   O
for   O
the   O
past   O
few   O
days   O
.   O

Dr.   O
Riley   B-NAME
,   I-NAME
Tim   I-NAME
noted   O
mild   O
tachycardia   O
but   O
no   O
fever   O
.   O

A   O
comprehensive   O
medical   O
history   O
was   O
taken   O
,   O
noting   O
that   O
the   O
patient   O
works   O
as   O
a   O
Gaming   O
Surveillance   O
Officers   O
and   O
Gaming   O
Investigators   O
for   O
Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
in   O
South   B-LOCATION
Gate   I-LOCATION
.   O

Mr.   O
Godwin   B-NAME
,   I-NAME
Mike   I-NAME
states   O
he   O
has   O
no   O
known   O
allergies   O
and   O
does   O
n’t   O
smoke   O
,   O
drink   O
,   O
or   O
have   O
any   O
pre   O
-   O
existing   O
health   O
conditions   O
known   O
to   O
him   O
.   O

All   O
of   O
this   O
information   O
was   O
inputted   O
into   O
Mr.   O
Madden   B-NAME
Bowman   I-NAME
's   O
electronic   O
health   O
record   O
,   O
31382   B-ID
.   O

After   O
a   O
physical   O
examination   O
,   O
Dr.   O
Saunders   B-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
revealed   O
the   O
presence   O
of   O
appendicitis   O
.   O

The   O
patient   O
was   O
immediately   O
scheduled   O
for   O
appendectomy   O
at   O
Centra   B-LOCATION
Virginia   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
surgery   O
was   O
conducted   O
on   O
0/24   B-DATE
and   O
was   O
successful   O
.   O

Mr.   O
Jagger   B-NAME
Price   I-NAME
was   O
discharged   O
on   O
2100   B-DATE
and   O
was   O
advised   O
to   O
reduce   O
his   O
stress   O
levels   O
and   O
avoid   O
dietary   O
triggers   O
that   O
could   O
potentially   O
cause   O
abdominal   O
discomfort   O
.   O

Dr.   O
Sanaa   B-NAME
Hoffman   I-NAME
can   O
be   O
reached   O
at   O
398   B-CONTACT
581   I-CONTACT
-   I-CONTACT
1182   I-CONTACT
for   O
further   O
queries   O
.   O

He   O
lives   O
at   O
Kidderminster   B-LOCATION
,   O
and   O
his   O
zip   O
code   O
is   O
40743   B-LOCATION
.   O

His   O
username   O
for   O
the   O
hospital   O
communication   O
portal   O
is   O
KF739   B-NAME
.   O

Patient   O
Name   O
:   O
Xander   B-NAME
Love   I-NAME
Report   O
Date   O
:   O
04/41   B-DATE
Madisyn   B-NAME
Henry   I-NAME
is   O
a   O
11   O
year   O
-   O
old   O
individual   O
who   O
lives   O
in   O
Shaktoolik   B-LOCATION
.   O

The   O
patient   O
was   O
brought   O
to   O
Erlanger   B-LOCATION
East   I-LOCATION
Hospital   I-LOCATION
on   O
March   B-DATE
02   I-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
.   O

Prior   O
to   O
these   O
episodes   O
,   O
Hailey   B-NAME
Travis   I-NAME
was   O
,   O
to   O
the   O
best   O
of   O
his   O
knowledge   O
,   O
in   O
good   O
health   O
.   O

Upon   O
examination   O
,   O
Underwood   B-NAME
initiated   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
,   O
which   O
suggested   O
the   O
possibility   O
of   O
ischemic   O
heart   O
disease   O
.   O

Blood   O
tests   O
were   O
conducted   O
,   O
and   O
the   O
samples   O
were   O
analyzed   O
by   O
Georgian   B-LOCATION
Bank   I-LOCATION
.   O

The   O
results   O
indicate   O
that   O
James   B-NAME
Colton   I-NAME
Yancey   I-NAME
's   O
cholesterol   O
levels   O
are   O
higher   O
than   O
normal   O
.   O

Antony   B-NAME
Bentley   I-NAME
is   O
on   O
medications   O
,   O
including   O
blood   O
thinners   O
and   O
statins   O
,   O
and   O
cardiac   O
rehabilitation   O
is   O
suggested   O
for   O
the   O
improvement   O
of   O
his   O
cardiovascular   O
fitness   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
13/21   B-DATE
.   O

Ilona   B-NAME
Swift   I-NAME
's   O
current   O
contact   O
number   O
is   O
95067   B-CONTACT
and   O
lives   O
in   O
the   O
33967   B-LOCATION
zip   O
code   O
area   O
.   O

His   O
state   O
-   O
issued   O
45954   B-ID
has   O
been   O
updated   O
in   O
his   O
patient   O
record   O
,   O
with   O
07314465   B-ID
ID   O
as   O
the   O
reference   O
number   O
in   O
our   O
database   O
.   O

For   O
any   O
concerns   O
regarding   O
Snoddy   B-NAME
's   O
condition   O
or   O
his   O
hospital   O
stay   O
,   O
do   O
not   O
hesitate   O
to   O
contact   O
Jones   B-NAME
,   I-NAME
Norah   I-NAME
directly   O
through   O
Bailey   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
LLC   I-LOCATION
at   O
281   B-CONTACT
8735   I-CONTACT
or   O
by   O
using   O
the   O
online   O
portal   O
with   O
the   O
username   O
lf736   B-NAME
.   O

Report   O
compiled   O
by   O
:   O
Richmond   B-NAME

Patient   O
Name   O
:   O
Isabell   B-NAME
Duke   I-NAME
Age   O
:   O
33s   O
Location   O
:   O
Deephaven   B-LOCATION
Date   O
:   O
2015   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
05   I-DATE
Doctor   O
:   O
Meadows   B-NAME
Hospital   O
:   O
Otsego   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
MA   B-ID
:   I-ID
EJ:1897   I-ID
Medical   O
Record   O
:   O
1015794   B-ID
Organization   O
:   O

The   B-LOCATION
Park   I-LOCATION
Avenue   I-LOCATION
Bank   I-LOCATION
Phone   O
number   O
:   O
34557   B-CONTACT
Profession   O
:   O
Colour   O
technologist   O
Username   O
:   O
NV92   B-NAME
Zip   O
code   O
:   O
37594   B-LOCATION
Report   O
:   O

The   O
patient   O
Hattie   B-NAME
,   O
aged   O
77   O
,   O
residing   O
at   O
Henderson   B-LOCATION
,   I-LOCATION
City   I-LOCATION
of   I-LOCATION
Henderson   I-LOCATION
with   O
zip   O
code   O
56241   B-LOCATION
,   O
is   O
currently   O
employed   O
in   O
a   O
Nonfarm   O
Animal   O
Caretakers   O
role   O
for   O
Monarchy   B-LOCATION
of   I-LOCATION
Stars   I-LOCATION
.   O

Colby   B-NAME
Mccormick   I-NAME
presented   O
to   O
the   O
McLeod   B-LOCATION
Health   I-LOCATION
Clarendon   I-LOCATION
emergency   O
department   O
on   O
1965   B-DATE
with   O
complaints   O
of   O
severe   O
stomach   O
pain   O
accompanied   O
by   O
intermittent   O
chills   O
and   O
high   O
-   O
grade   O
fevers   O
.   O

The   O
primary   O
physician   O
,   O
Flynn   B-NAME
,   O
suggested   O
an   O
immediate   O
blood   O
workup   O
and   O
diagnostic   O
imaging   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
5210795   B-ID
for   O
reference   O
.   O

Oliver   B-NAME
Thredson   I-NAME
was   O
admitted   O
to   O
Sharon   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
and   O
treatment   O
.   O

The   O
patient   O
’s   O
contact   O
number   O
is   O
32911   B-CONTACT
for   O
any   O
follow   O
-   O
up   O
consultations   O
and   O
their   O
unique   O
username   O
in   O
the   O
hospital   O
electronic   O
medical   O
record   O
system   O
is   O
EH739   B-NAME
.   O

It   O
was   O
decided   O
that   O
the   O
final   O
discharge   O
would   O
be   O
done   O
on   O
May   B-DATE
.   O

Any   O
future   O
appointments   O
with   O
Emilia   B-NAME
Zuniga   I-NAME
at   O
Nicklaus   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
be   O
made   O
in   O
accordance   O
with   O
the   O
patient   O
's   O
recovery   O
monitoring   O
.   O

The   O
patient   O
's   O
unique   O
ID   O
,   O
for   O
all   O
future   O
references   O
,   O
is   O
OO148/9868   B-ID
.   O

Patient   O
Report   O
Patient   O
Lovecraft   B-NAME
,   I-NAME
H.   I-NAME
P.   I-NAME
originally   O
presented   O
to   O
the   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Memorial   I-LOCATION
on   O
08/06/1673   B-DATE
with   O
complaints   O
of   O
continuous   O
pain   O
in   O
the   O
lower   O
abdomen   O
.   O

This   O
patient   O
is   O
a   O
Lecturer   O
(   O
further   O
education   O
)   O
by   O
profession   O
and   O
was   O
transferred   O
to   O
us   O
from   O
Panguitch   B-LOCATION
.   O

The   O
patient   O
was   O
appropriately   O
evaluated   O
by   O
Dr.   O
Phillip   B-NAME
Watters   I-NAME
.   O

Further   O
investigations   O
such   O
as   O
an   O
abdominal   O
ultrasound   O
and   O
CT   O
scan   O
were   O
suggested   O
by   O
Dr.   O
Horn   B-NAME
.   O

The   O
hospital   O
scheduled   O
these   O
for   O
22/13   B-DATE
under   O
medical   O
record   O
number   O
6138494   B-ID
.   O

The   O
report   O
can   O
be   O
found   O
on   O
the   O
hospital   O
's   O
server   O
under   O
the   O
username   O
YP702   B-NAME
.   O

The   O
patient   O
has   O
been   O
prescribed   O
to   O
follow   O
up   O
on   O
Independence   B-DATE
Day   I-DATE
.   O

For   O
any   O
further   O
concerns   O
or   O
assistance   O
,   O
contact   O
can   O
be   O
made   O
through   O
(   B-CONTACT
570   I-CONTACT
)   I-CONTACT
768   I-CONTACT
6215   I-CONTACT
.   O

Written   O
correspondence   O
may   O
be   O
sent   O
to   O
National   B-LOCATION
League   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Blind   I-LOCATION
,   O
49297   B-LOCATION
.   O

Communication   O
can   O
also   O
be   O
established   O
through   O
the   O
hospital   O
's   O
platform   O
using   O
patient   O
's   O
unique   O
ID   O
IH:59844:112695   B-ID
.   O

Patient   O
Name   O
:   O
Tan   B-NAME
DOB   O
:   O
02/17/2223   B-DATE
MRN   O
:   O
3748683   B-ID
Patient   O
admitted   O
to   O
Avera   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
.   O

Stephane   B-NAME
Bringas   I-NAME
presents   O
with   O
a   O
six   O
-   O
week   O
history   O
of   O
progressively   O
worsening   O
shortness   O
of   O
breath   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
pleuritic   O
chest   O
pain   O
.   O

Upon   O
physical   O
examination   O
,   O
William   B-NAME
C.   I-NAME
Sargent   I-NAME
appears   O
in   O
moderate   O
respiratory   O
distress   O
.   O

Following   O
the   O
office   O
visit   O
,   O
ostrowski   B-NAME
was   O
admitted   O
to   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

The   O
nurse   O
on   O
duty   O
,   O
Riddle   B-NAME
,   O
recorded   O
the   O
patient   O
's   O
ID   O
number   O
LM191/2340   B-ID
and   O
provided   O
the   O
patient   O
with   O
the   O
hospital   O
's   O
direct   O
line   O
75245   B-CONTACT
for   O
their   O
family   O
's   O
convenience   O
.   O

Michael   B-NAME
and   O
their   O
spouse   O
,   O
a   O
Funeral   O
Service   O
Managers   O
,   O
live   O
in   O
Ruch   B-LOCATION
with   O
a   O
ZIP   O
code   O
of   O
58515   B-LOCATION
.   O

They   O
have   O
an   O
upcoming   O
appointment   O
scheduled   O
for   O
09/22/2172   B-DATE
with   O
Washington   B-NAME
to   O
reassess   O
the   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
if   O
necessary   O
.   O

The   O
patient   O
has   O
health   O
insurance   O
through   O
Western   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
which   O
was   O
verified   O
using   O
their   O
account   O
number   O
YA:93469:931299   B-ID
.   O

End   O
of   O
report   O
by   O
eaj9710   B-NAME
on   O
32/31/11   B-DATE
.   O

Clinical   O
Summary   O
:   O
Diagnosis   O
:   O
Left   O
Lower   O
Lobe   O
Pneumonia   O
Inpatient   O
admission   O
to   O
Hudson   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
workup   O
and   O
management   O
Treatment   O
:   O
Antibiotic   O
therapy   O
Follow   O
up   O
with   O
Duncan   B-NAME
on   O
00/14/1956   B-DATE
for   O
reassessment   O
Insurance   O
provider   O
:   O
City   B-LOCATION
of   I-LOCATION
Blountstown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION

Patient   O
Information   O
-------------------   O
Name   O
:   O
Monheit   B-NAME
,   I-NAME
Jane   I-NAME
Age   O
:   O
89   O
Medical   O
Record   O
Number   O
:   O
317   B-ID
-   I-ID
30   I-ID
-   I-ID
83   I-ID
-   I-ID
5   I-ID
ID   O
:   O
CC499/9828   B-ID
Location   O
:   O
Bunkie   B-LOCATION
Thanks   O
for   O
referring   O
Arias   B-NAME
who   O
came   O
to   O
Central   B-LOCATION
Georgia   I-LOCATION
EMC   I-LOCATION
on   O
9/1/2078   B-DATE
.   O

Brett   B-NAME
Dickerson   I-NAME
complained   O
of   O
persistent   O
headaches   O
which   O
have   O
been   O
ongoing   O
for   O
a   O
month   O
.   O

About   O
two   O
months   O
back   O
,   O
his   O
office   O
moved   O
to   O
a   O
new   O
Texas   B-LOCATION
where   O
he   O
started   O
working   O
long   O
hours   O
and   O
consuming   O
excessive   O
caffeine   O
,   O
which   O
coincided   O
with   O
the   O
onset   O
of   O
his   O
headaches   O
.   O

Snow   B-NAME
performed   O
a   O
physical   O
examination   O
and   O
noted   O
a   O
moderately   O
distressing   O
headache   O
,   O
palpitations   O
and   O
poor   O
concentration   O
.   O

After   O
considering   O
the   O
symptoms   O
,   O
the   O
doctor   O
referred   O
him   O
for   O
a   O
Computerized   O
Tomography   O
(   O
CT   O
)   O
scan   O
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Marble   I-LOCATION
Falls   I-LOCATION
,   O
which   O
came   O
back   O
normal   O
,   O
ruling   O
out   O
brain   O
tumors   O
or   O
any   O
other   O
neurological   O
disorders   O
.   O

For   O
any   O
queries   O
or   O
more   O
details   O
,   O
feel   O
free   O
to   O
contact   O
us   O
at   O
686   B-CONTACT
-   I-CONTACT
468   I-CONTACT
3753   I-CONTACT
.   O

Regards   O
,   O
oi6710   B-NAME

Patient   O
Name   O
:   O
Vincent   B-NAME
Hughes   I-NAME
Age   O
:   O
14   O
Gender   O
:   O

Female   O
Presenting   O
Condition   O
:   O
Lesly   B-NAME
Grant   I-NAME
came   O
to   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Ute   B-LOCATION
on   O
3   B-DATE
-   I-DATE
31   I-DATE
.   O

Her   O
past   O
medical   O
record   O
436   B-ID
-   I-ID
87   I-ID
-   I-ID
25   I-ID
-   I-ID
4   I-ID
shows   O
that   O
she   O
has   O
a   O
history   O
of   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
.   O

Doctor   O
’s   O
Findings   O
:   O
Dr.   O
Moss   B-NAME
evaluated   O
her   O
condition   O
.   O

Treatment   O
:   O
Dr.   O
Cortez   B-NAME
admitted   O
Sergio   B-NAME
Hale   I-NAME
to   O
the   O
pulmonary   O
ward   O
of   O
Highlands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Sebring   I-LOCATION
)   I-LOCATION
for   O
further   O
treatment   O
.   O

Her   O
husband   O
,   O
being   O
a   O
Pharmacy   O
Aides   O
,   O
was   O
allowed   O
to   O
stay   O
with   O
her   O
and   O
was   O
given   O
345   B-CONTACT
-   I-CONTACT
9729   I-CONTACT
number   O
to   O
communicate   O
directly   O
with   O
the   O
nurse   O
's   O
station   O
.   O

Instructions   O
for   O
Follow   O
Up   O
:   O
Eneida   B-NAME
Bernieri   I-NAME
was   O
given   O
a   O
scheduled   O
appointment   O
with   O
Dr.   O
Schultz   B-NAME
at   O
Memorial   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
follow   O
-   O
up   O
on   O
31/02   B-DATE
.   O

Her   O
husband   O
was   O
provided   O
the   O
contact   O
details   O
of   O
Industrial   B-LOCATION
Workers   I-LOCATION
of   I-LOCATION
the   I-LOCATION
World   I-LOCATION
that   O
supplies   O
home   O
medical   O
equipment   O
.   O

He   O
was   O
advised   O
to   O
call   O
them   O
at   O
14440   B-CONTACT
to   O
arrange   O
for   O
home   O
oxygen   O
therapy   O
.   O

Billing   O
Details   O
:   O
Billing   O
was   O
done   O
under   O
the   O
657184107   B-ID
provided   O
by   O
the   O
patient   O
.   O

The   O
entire   O
cost   O
breakdown   O
was   O
emailed   O
to   O
her   O
personal   O
email   O
hbo702   B-NAME
@   O
Marco   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.com   O
.   O

Her   O
physical   O
address   O
at   O
Mize   B-LOCATION
,   O
76849   B-LOCATION
was   O
confirmed   O
for   O
mailing   O
of   O
hard   O
copies   O
of   O
the   O
medical   O
reports   O
and   O
bills   O
.   O

If   O
needed   O
,   O
she   O
can   O
directly   O
contact   O
the   O
medical   O
billing   O
department   O
at   O
Norton   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
using   O
the   O
following   O
number   O
:   O
(   B-CONTACT
385   I-CONTACT
)   I-CONTACT
306   I-CONTACT
4893   I-CONTACT
.   O

Medical   O
Report   O
Maverick   B-NAME
Hanson   I-NAME
is   O
a   O
99   O
year   O
old   O
individual   O
who   O
presented   O
on   O
19/21   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
associated   O
with   O
jaundice   O
and   O
dark   O
urine   O
.   O

On   O
examination   O
,   O
Corgan   B-NAME
,   I-NAME
Billy   I-NAME
appeared   O
febrile   O
and   O
showed   O
features   O
of   O
icterus   O
.   O

On   O
further   O
query   O
,   O
Umberto   B-NAME
Gibbons   I-NAME
revealed   O
that   O
the   O
pain   O
had   O
been   O
present   O
for   O
2   O
weeks   O
but   O
had   O
increased   O
in   O
severity   O
in   O
the   O
past   O
two   O
days   O
.   O

Sophie   B-NAME
Spoto   I-NAME
's   O
occupation   O
is   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Agricultural   O
Crop   O
and   O
Horticultural   O
Workers   O
.   O

Dr.   O
Johnny   B-NAME
Townsend   I-NAME
was   O
the   O
primary   O
physician   O
who   O
carried   O
out   O
the   O
examination   O
and   O
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
including   O
bilirubin   O
levels   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
.   O

Alden   B-NAME
Esparza   I-NAME
's   O
details   O
were   O
entered   O
into   O
Heritage   B-LOCATION
Valley   I-LOCATION
Beaver   I-LOCATION
's   O
database   O
under   O
the   O
medical   O
record   O
number   O
4023493   B-ID
.   O

The   O
patient   O
’s   O
consent   O
for   O
storing   O
their   O
healthcare   O
information   O
using   O
their   O
data   O
(   O
TP:48122:549210   B-ID
)   O
and   O
BF913   B-NAME
was   O
obtained   O
.   O

Upon   O
laboratory   O
work   O
-   O
up   O
,   O
Neil   B-NAME
,   I-NAME
Ruba   I-NAME
was   O
found   O
to   O
have   O
elevated   O
total   O
and   O
direct   O
bilirubin   O
levels   O
,   O
indicative   O
of   O
obstructive   O
jaundice   O
.   O

Scott   B-NAME
N.   I-NAME
Jaeger   I-NAME
’s   O
contact   O
details   O
has   O
been   O
updated   O
as   O
(   B-CONTACT
604   I-CONTACT
)   I-CONTACT
479   I-CONTACT
-   I-CONTACT
7250   I-CONTACT
and   O
the   O
mailing   O
address   O
has   O
been   O
entered   O
as   O
Marksville   B-LOCATION
,   O
65642   B-LOCATION
for   O
any   O
future   O
correspondence   O
related   O
to   O
the   O
treatment   O
and   O
follow   O
-   O
ups   O
.   O

Based   O
on   O
the   O
findings   O
,   O
Curtis   B-NAME
Nichols   I-NAME
is   O
scheduled   O
for   O
an   O
MRI   O
cholangiopancreatography   O
with   O
Dr.   O
Pugh   B-NAME
at   O
Cape   B-LOCATION
Canaveral   I-LOCATION
Hospital   I-LOCATION
to   O
further   O
assess   O
the   O
cause   O
of   O
obstruction   O
and   O
develop   O
a   O
potential   O
treatment   O
plan   O
.   O

In   O
the   O
meantime   O
,   O
EVANS   B-NAME
,   I-NAME
NELSON   I-NAME
MAC   I-NAME
has   O
been   O
prescribed   O
an   O
analgesic   O
for   O
the   O
pain   O
and   O
was   O
advised   O
to   O
visit   O
the   O
ER   O
immediately   O
if   O
the   O
pain   O
worsens   O
or   O
new   O
symptoms   O
develop   O
.   O

The   O
prescription   O
is   O
held   O
at   O
the   O
Kansas   B-LOCATION
City   I-LOCATION
Life   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
.   O

Our   O
dedicated   O
care   O
team   O
will   O
conduct   O
routine   O
follow   O
-   O
ups   O
with   O
George   B-NAME
Bull   I-NAME
to   O
ensure   O
that   O
the   O
treatment   O
plan   O
is   O
being   O
adhered   O
to   O
and   O
to   O
address   O
any   O
queries   O
or   O
concerns   O
.   O

The   O
next   O
evaluation   O
date   O
has   O
been   O
fixed   O
as   O
2031   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
00   I-DATE
.   O

This   O
report   O
compiled   O
by   O
Dr.   O
Suarez   B-NAME
will   O
continue   O
to   O
be   O
updated   O
based   O
on   O
Carnegie   B-NAME
,   I-NAME
Andrew   I-NAME
's   O
progress   O
and   O
recovery   O
.   O

Patient   O
Name   O
:   O
Terrence   B-NAME
Mcguire   I-NAME
Age   O
:   O
3   O
week   O
Date   O
of   O
admission   O
:   O
Friday   B-DATE
,   I-DATE
October   I-DATE
Physicians   O
:   O
Paris   B-NAME
Acosta   I-NAME
Medical   O
Record   O
:   O

The   O
patient   O
,   O
Victor   B-NAME
Reese   I-NAME
,   O
was   O
admitted   O
to   O
the   O
Southeastern   B-LOCATION
Ohio   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/23/2040   B-DATE
.   O

The   O
Higgins   B-NAME
immediately   O
called   O
for   O
a   O
12   O
-   O
lead   O
EKG   O
which   O
confirmed   O
an   O
ST   O
elevation   O
in   O
the   O
inferior   O
leads   O
,   O
indicative   O
of   O
an   O
ST   O
-   O
Elevation   O
Myocardial   O
Infarction   O
(   O
STEMI   O
)   O
.   O

The   O
Lynn   B-NAME
,   O
directed   O
for   O
Beckie   B-NAME
Kosters   I-NAME
to   O
remain   O
under   O
close   O
observation   O
in   O
the   O
Cardiac   O
Care   O
Unit   O
.   O

He   O
is   O
a   O
resident   O
of   O
Nevada   B-LOCATION
and   O
his   O
contact   O
number   O
is   O
(   B-CONTACT
309   I-CONTACT
)   I-CONTACT
469   I-CONTACT
3019   I-CONTACT
.   O

He   O
can   O
be   O
reached   O
by   O
his   O
username   O
pah464   B-NAME
on   O
the   O
L214   B-LOCATION
's   O
patient   O
portal   O
.   O

His   O
postal   O
address   O
has   O
been   O
recorded   O
with   O
80134   B-LOCATION
and   O
the   O
state   O
ID   O
shown   O
to   O
us   O
was   O
IZ   B-ID
:   I-ID
PC:9042   I-ID
.   O

A   O
detailed   O
report   O
can   O
be   O
fetched   O
using   O
the   O
41806879   B-ID
number   O
from   O
the   O
official   O
records   O
department   O
.   O

Patient   O
Report   O
for   O
Viviana   B-NAME
Khan   I-NAME
Roland   B-NAME
Nguyen   I-NAME
saw   O
Donovan   B-NAME
at   O
Cape   B-LOCATION
Coral   I-LOCATION
Hospital   I-LOCATION
on   O
1788   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
04   I-DATE
.   O

Camille   B-NAME
Mckeen   I-NAME
's   O
primary   O
complaint   O
was   O
of   O
intermittent   O
episodes   O
of   O
severe   O
,   O
cramping   O
abdominal   O
pain   O
typically   O
located   O
in   O
the   O
epigastric   O
region   O
and   O
radiating   O
to   O
the   O
back   O
.   O

Ben   B-NAME
Samuels   I-NAME
also   O
noted   O
a   O
significant   O
weight   O
loss   O
of   O
approximately   O
30   O
lbs   O
over   O
the   O
past   O
two   O
months   O
which   O
was   O
unintentional   O
.   O

Shea   B-NAME
Demont   I-NAME
reported   O
further   O
symptoms   O
including   O
vomiting   O
,   O
loss   O
of   O
appetite   O
and   O
extreme   O
fatigue   O
.   O

Henry   B-NAME
noted   O
the   O
presence   O
of   O
jaundice   O
,   O
which   O
is   O
indicative   O
of   O
a   O
bile   O
duct   O
obstruction   O
,   O
and   O
ordered   O
immediate   O
blood   O
tests   O
.   O

Past   O
medical   O
history   O
of   O
Cathey   B-NAME
was   O
obtained   O
and   O
indicated   O
no   O
predisposing   O
factors   O
such   O
as   O
gallstones   O
or   O
alcohol   O
abuse   O
.   O

Further   O
diagnostic   O
testing   O
was   O
suggested   O
by   O
Karter   B-NAME
Abbott   I-NAME
.   O

The   O
patient   O
underwent   O
a   O
clinical   O
imaging   O
investigation   O
on   O
2201   B-DATE
in   O
Randolph   B-LOCATION
Health   I-LOCATION
.   O

A   O
CT   O
scan   O
of   O
Marlon   B-NAME
Branch   I-NAME
confirmed   O
the   O
presence   O
of   O
a   O
pancreatic   O
head   O
mass   O
,   O
approximately   O
3   O
cm   O
in   O
diameter   O
,   O
causing   O
the   O
biliary   O
obstruction   O
.   O

Considering   O
the   O
patient   O
’s   O
symptoms   O
and   O
their   O
clinical   O
findings   O
,   O
Hamilton   B-NAME
diagnosed   O
Malraux   B-NAME
,   I-NAME
André   I-NAME
with   O
Pancreatic   O
Carcinoma   O
.   O

Morrow   B-NAME
provided   O
treatment   O
plans   O
and   O
consulted   O
with   O
an   O
oncologist   O
in   O
Clarion   B-LOCATION
Hospital   I-LOCATION
.   O

Jaramillo   B-NAME
’s   O
treatment   O
program   O
will   O
include   O
surgical   O
intervention   O
for   O
removal   O
of   O
the   O
tumor   O
,   O
followed   O
by   O
chemoradiation   O
therapy   O
.   O

Contact   O
Information   O
:   O
Chana   B-NAME
Mullen   I-NAME
,   O
826   B-CONTACT
4451   I-CONTACT
,   O
Salinas   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
,   O
Niangua   B-LOCATION
,   O
86663   B-LOCATION
Recommended   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
9/33   B-DATE
.   O

The   O
details   O
are   O
as   O
follows   O
:   O
Appointment   O
Code   O
:   O
2246321   B-ID
,   O
Ascension   B-LOCATION
St   I-LOCATION
John   I-LOCATION
Hospital   I-LOCATION
,   O
Auburndale   B-LOCATION
,   I-LOCATION
Auburndale   I-LOCATION
Chamber   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
72356   B-LOCATION
Emergency   O
Contact   O
:   O
Men   B-NAME
,   I-NAME
Alexander   I-NAME
's   O
Spouse   O
,   O
675   B-CONTACT
-   I-CONTACT
8212   I-CONTACT
,   O
Nursery   O
and   O
Greenhouse   O
Managers   O
at   O
ProSight   B-LOCATION
Specialty   I-LOCATION
Insurance   I-LOCATION
,   O
Cape   B-LOCATION
Coral   I-LOCATION
,   O
49862   B-LOCATION
Insurance   O
Plan   O
:   O
Plan   O
146447   B-ID
,   O
City   B-LOCATION
of   I-LOCATION
Newberry   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
,   O
St.   B-LOCATION
Louis   I-LOCATION
,   O
34722   B-LOCATION
Submitted   O
by   O
:   O
wlk619   B-NAME

Patient   O
Name   O
:   O
Jeremiah   B-NAME
Mccowen   I-NAME
Age   O
:   O
100   O
Resides   O
at   O
:   O
Coward   B-LOCATION
Medical   O
Record   O
Number   O
:   O
552   B-ID
-   I-ID
68   I-ID
-   I-ID
34   I-ID
-   I-ID
8   I-ID
Organization   O
:   O

Bengal   B-LOCATION
Chatkal   I-LOCATION
Mazdoor   I-LOCATION
Union   I-LOCATION
Profession   O
:   O

Commissioning   O
editor   O
Contact   O
Number   O
:   O
33398   B-CONTACT
Patient   O
Romelia   B-NAME
Garced   I-NAME
,   O
a   O
69   O
year   O
old   O
Creative   O
Writers   O
,   O
resides   O
in   O
Fairbury   B-LOCATION
.   O

The   O
individual   O
has   O
been   O
checked   O
-   O
in   O
under   O
the   O
medical   O
record   O
number   O
92188125   B-ID
at   O
Mineral   B-LOCATION
Area   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hospital   O
,   O
which   O
is   O
part   O
of   O
the   O
Suwannee   B-LOCATION
Valley   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
healthcare   O
network   O
.   O

The   O
primary   O
care   O
physician   O
is   O
Dr.   O
Blevins   B-NAME
,   O
who   O
can   O
be   O
contacted   O
at   O
40024   B-CONTACT
for   O
any   O
urgent   O
communication   O
.   O

The   O
patient   O
visited   O
the   O
clinic   O
on   O
5/23/37   B-DATE
complaining   O
of   O
consistent   O
pain   O
in   O
the   O
lower   O
abdomen   O
area   O
.   O

Apart   O
from   O
this   O
,   O
Lynn   B-NAME
also   O
specified   O
experiencing   O
nausea   O
and   O
periodic   O
fainting   O
spells   O
over   O
the   O
last   O
fortnight   O
.   O

Subsequent   O
tests   O
were   O
conducted   O
on   O
22   B-DATE
-   I-DATE
26   I-DATE
,   O
and   O
the   O
results   O
indicated   O
that   O
the   O
patient   O
was   O
experiencing   O
chronic   O
Hepatitis   O
C.   O
The   O
lab   O
results   O
revealed   O
an   O
elevated   O
level   O
of   O
liver   O
enzymes   O
and   O
low   O
platelet   O
count   O
.   O

For   O
a   O
second   O
opinion   O
,   O
the   O
case   O
has   O
been   O
referred   O
to   O
Dr.   O
Foley   B-NAME
in   O
the   O
same   O
organization   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
an   O
appointment   O
on   O
3/11/45   B-DATE
.   O

Reminder   O
for   O
the   O
patient   O
or   O
associated   O
caretaker   O
,   O
the   O
patient   O
's   O
ID   O
for   O
the   O
upcoming   O
session   O
and   O
tests   O
would   O
be   O
7   B-ID
-   I-ID
8022165   I-ID
.   O

Please   O
inform   O
Dr.   O
Andrew   B-NAME
Manson   I-NAME
immediately   O
if   O
there   O
's   O
an   O
extreme   O
turn   O
in   O
the   O
condition   O
of   O
the   O
patient   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Healthcare   O
professional   O
tm5010   B-NAME
on   O
6   B-DATE
-   I-DATE
28   I-DATE
and   O
is   O
strictly   O
confidential   O
.   O

The   O
residence   O
of   O
rt335   B-NAME
and   O
Xanders   B-NAME
are   O
66681   B-LOCATION
,   O
any   O
misuse   O
of   O
this   O
information   O
will   O
lead   O
to   O
penalties   O
under   O
the   O
data   O
protection   O
act   O
.   O

Patient   O
's   O
Name   O
:   O
Ross   B-NAME
Downs   I-NAME
Age   O
:   O
49   O
Phone   O
:   O
57862   B-CONTACT
Address   O
:   O
Lakeland   B-LOCATION
North   I-LOCATION
Zip   O
:   O
27493   B-LOCATION

The   O
patient   O
was   O
brought   O
to   O
the   O
Mercy   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Independence   I-LOCATION
by   O
the   O
Physicians   B-LOCATION
Committee   I-LOCATION
for   I-LOCATION
Responsible   I-LOCATION
Medicine   I-LOCATION
(   I-LOCATION
PCRM   I-LOCATION
)   I-LOCATION
.   O

The   O
patient   O
was   O
received   O
by   O
Sweeney   B-NAME
on   O
28/09   B-DATE
.   O

When   O
patient   O
Marina   B-NAME
Mcpherson   I-NAME
was   O
received   O
at   O
the   O
emergency   O
department   O
,   O
they   O
presented   O
with   O
symptoms   O
of   O
persistent   O
headaches   O
,   O
nausea   O
,   O
and   O
vomiting   O
for   O
the   O
past   O
2   O
weeks   O
.   O

MRI   O
of   O
the   O
brain   O
ordered   O
by   O
Kael   B-NAME
Doyle   I-NAME
revealed   O
a   O
mass   O
in   O
the   O
left   O
temporal   O
lobe   O
suggestive   O
of   O
glioblastoma   O
multiforme   O
.   O

Susan   B-NAME
Hammond   I-NAME
explained   O
about   O
the   O
condition   O
to   O
the   O
patient   O
Vonda   B-NAME
T.   I-NAME
Ulloa   I-NAME
and   O
his   O
family   O
and   O
got   O
an   O
informed   O
consent   O
for   O
surgery   O
.   O

Patient   O
Celia   B-NAME
Murillo   I-NAME
was   O
operated   O
under   O
general   O
anesthesia   O
on   O
2   B-DATE
-   I-DATE
20   I-DATE
and   O
craniotomy   O
was   O
performed   O
.   O

Postoperative   O
period   O
was   O
uneventful   O
,   O
and   O
patient   O
has   O
been   O
scheduled   O
for   O
radiotherapy   O
followed   O
by   O
chemotherapy   O
under   O
the   O
care   O
of   O
Gilbert   B-NAME
.   O

The   O
patient   O
's   O
employment   O
details   O
were   O
listed   O
as   O
Sales   O
executive   O
at   O
Pelahatchie   B-LOCATION
.   O

The   O
patient   O
’s   O
medical   O
report   O
37563224   B-ID
was   O
updated   O
accordingly   O
.   O

For   O
further   O
communication   O
or   O
queries   O
,   O
one   O
can   O
refer   O
to   O
hospital   O
ID   O
1   B-ID
-   I-ID
1529892   I-ID
or   O
through   O
the   O
hospital   O
's   O
contact   O
number   O
91317   B-CONTACT
.   O

The   O
patient   O
RICHARD   B-NAME
ZAHN   I-NAME
also   O
agreed   O
to   O
be   O
part   O
of   O
an   O
ongoing   O
research   O
program   O
conducted   O
by   O
Society   B-LOCATION
for   I-LOCATION
Threatened   I-LOCATION
Peoples   I-LOCATION
and   O
assigned   O
a   O
username   O
czn634   B-NAME
for   O
all   O
future   O
communications   O
and   O
updates   O
regarding   O
research   O
activities   O
.   O

Patient   O
Warren   B-NAME
,   I-NAME
Rick   I-NAME
was   O
discharged   O
on   O
Mar   B-DATE
03   I-DATE
,   I-DATE
2131   I-DATE
with   O
advice   O
for   O
a   O
follow   O
-   O
up   O
checkup   O
after   O
15   O
days   O
.   O

Signed   O
by   O
Spring   B-NAME
Lombardino   I-NAME
,   O
Eskenazi   B-LOCATION
Health   I-LOCATION
.   O

Patient   O
Name   O
:   O
Cage   B-NAME
,   I-NAME
John   I-NAME
Report   O
Date   O
:   O
38/26/2252   B-DATE
DOB   O
:   O
70   O
Reffering   O
Physician   O
:   O

Natalia   B-NAME
Juarez   I-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Washington   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O

8456166   B-ID
Remezov   B-NAME
came   O
to   O
the   O
clinic   O
presenting   O
with   O
severe   O
abdominal   O
pain   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Rence   B-NAME
Patterson   I-NAME
lives   O
in   O
Casey   B-LOCATION
with   O
a   O
0   O
year   O
old   O
child   O
.   O

He   O
works   O
as   O
a   O
Drywall   O
and   O
Ceiling   O
Tile   O
Installers   O
and   O
shifted   O
few   O
months   O
ago   O
from   O
43315   B-LOCATION
.   O

His   O
identification   O
number   O
with   O
our   O
hospital   O
is   O
20058012   B-ID
.   O

Emergency   O
contact   O
number   O
is   O
11459   B-CONTACT
.   O

Floyd   B-NAME
recommended   O
admitting   O
WALLACE   B-NAME
,   I-NAME
VELMA   I-NAME
for   O
further   O
observation   O
and   O
possible   O
surgical   O
intervention   O
.   O

The   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Jefferson   I-LOCATION
has   O
a   O
dedicated   O
team   O
,   O
well   O
-   O
equipped   O
for   O
such   O
cases   O
.   O

This   O
medical   O
record   O
has   O
been   O
entered   O
by   O
QP454   B-NAME
of   O
the   O
HCC   B-LOCATION
Insurance   I-LOCATION
Holdings   I-LOCATION
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Jay   B-NAME
DOB   O
:   O

32/6   B-DATE
SSN   O
:   O
KF508/4690   B-ID
Age   O
:   O
7   O
Address   O
:   O
Franks   B-LOCATION
Field   I-LOCATION
,   O
50499   B-LOCATION
Phone   O
No   O
:   O
33043   B-CONTACT
Medical   O
Record   O
No   O
:   O
969   B-ID
-   I-ID
95   I-ID
-   I-ID
37   I-ID
Visited   O
Dr.   O
Spencer   B-NAME
at   O
CHI   B-LOCATION
Health   I-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
on   O
18/29/82   B-DATE
.   O

The   O
patient   O
,   O
Aidyn   B-NAME
Solis   I-NAME
,   O
works   O
as   O
a   O
Gaming   O
Managers   O
at   O
Peabody   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Plant   I-LOCATION
located   O
in   O
Sarasota   B-LOCATION
.   O

The   O
next   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Macias   B-NAME
at   O
Capital   B-LOCATION
Region   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
scheduled   O
for   O
02th   B-DATE
of   I-DATE
October   I-DATE
.   O

Contact   O
info   O
for   O
the   O
hospital   O
is   O
37233   B-CONTACT
and   O
code   O
is   O
50472   B-LOCATION
.   O

For   O
further   O
communication   O
,   O
Giuliana   B-NAME
Mooney   I-NAME
can   O
reach   O
our   O
hospital   O
specific   O
portal   O
with   O
username   O
ad2510   B-NAME
or   O
via   O
the   O
Emotions   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
EA   I-LOCATION
)   I-LOCATION
's   O
main   O
website   O
.   O

This   O
report   O
is   O
prepared   O
by   O
Harrison   B-NAME
Buckman   I-NAME
at   O
Wellington   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/22   B-DATE
.   O

Patient   O
name   O
:   O
Queen   B-NAME
F.   I-NAME
Hodge   I-NAME
Age   O
:   O
24   O
Profession   O
:   O
Supply   O
Chain   O
Managers   O
Doctor   O
Name   O
:   O
Pena   B-NAME
Mr.   O
Randall   B-NAME
made   O
a   O
visit   O
to   O
our   O
clinic   O
on   O
2   B-DATE
-   I-DATE
00   I-DATE
.   O

He   O
mentioned   O
that   O
he   O
has   O
resided   O
in   O
Oklahoma   B-LOCATION
for   O
over   O
two   O
decades   O
and   O
is   O
working   O
as   O
a   O
Toxicologist   O
.   O

Mr.   O
Bevan   B-NAME
,   I-NAME
Aneurin   I-NAME
complained   O
of   O
severe   O
headaches   O
and   O
occasional   O
bouts   O
of   O
dizziness   O
over   O
the   O
past   O
few   O
weeks   O
.   O

I   O
have   O
arranged   O
for   O
a   O
consultation   O
with   O
Dr.   O
Melendez   B-NAME
,   O
a   O
top   O
neurologist   O
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Jacksonville   I-LOCATION
.   O

The   O
patient   O
's   O
Blood   O
samples   O
will   O
be   O
sent   O
to   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Fire   I-LOCATION
Fighters   I-LOCATION
,   O
one   O
of   O
the   O
top   O
laboratories   O
at   O
Niceville   B-LOCATION
for   O
genetic   O
testing   O
.   O

23215926   B-ID
will   O
be   O
used   O
to   O
monitor   O
the   O
patient   O
's   O
progress   O
.   O

Moreover   O
,   O
the   O
patient   O
will   O
also   O
require   O
an   O
ID   O
QM:22447:753406   B-ID
for   O
identification   O
at   O
the   O
Larned   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Larned   I-LOCATION
during   O
the   O
consultation   O
and   O
treatment   O
.   O

I   O
have   O
provided   O
Mr.   O
Freddie   B-NAME
V.   I-NAME
Hickman   I-NAME
with   O
the   O
79084   B-CONTACT
number   O
of   O
our   O
clinic   O
and   O
encouraged   O
him   O
to   O
call   O
us   O
if   O
symptoms   O
worsen   O
.   O

His   O
next   O
appointment   O
is   O
scheduled   O
for   O
2057   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
00   I-DATE
All   O
this   O
information   O
should   O
be   O
held   O
in   O
strict   O
confidence   O
as   O
per   O
the   O
norms   O
of   O
HIPAA   O
.   O

The   O
patient   O
currently   O
resides   O
at   O
North   B-LOCATION
Myrtle   I-LOCATION
Beach   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
78758   B-LOCATION
,   O
for   O
any   O
correspondence   O
all   O
communications   O
should   O
use   O
the   O
address   O
provided   O
.   O

The   O
Patient   O
's   O
healthcare   O
documentation   O
should   O
be   O
maintained   O
digitally   O
under   O
the   O
username   O
ZF681   B-NAME
,   O
to   O
ensure   O
confidentiality   O
and   O
ease   O
of   O
access   O
.   O

Patient   O
's   O
Name   O
:   O
Rudy   B-NAME
Hicks   I-NAME
Age   O
:   O
10   O
month   O

The   O
patient   O
came   O
in   O
our   O
hospital   O
,   O
WellSpan   B-LOCATION
York   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
Sun   B-DATE
suffering   O
from   O
acute   O
abdominal   O
pain   O
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
reviewed   O
from   O
the   O
medical   O
record   O
number   O
91584992   B-ID
.   O

According   O
to   O
the   O
records   O
,   O
Payne   B-NAME
,   I-NAME
Max   I-NAME
has   O
a   O
history   O
of   O
gallstones   O
.   O

The   O
patient   O
is   O
a   O
Compensation   O
and   O
Benefits   O
Managers   O
residing   O
in   O
Alta   B-LOCATION
Sierra   I-LOCATION
.   O

Quarles   B-NAME
,   I-NAME
Francis   I-NAME
is   O
married   O
and   O
has   O
two   O
children   O
of   O
ages   O
10   O
week   O
and   O
2   O
month   O
respectively   O
.   O

The   O
primary   O
doctor   O
handling   O
this   O
case   O
is   O
Lizbeth   B-NAME
Nielsen   I-NAME
.   O

After   O
reviewing   O
the   O
patient   O
's   O
history   O
and   O
ultrasound   O
results   O
,   O
Dr.   O
Liebling   B-NAME
,   I-NAME
A.   I-NAME
J.   I-NAME
recommended   O
a   O
cholecystectomy   O
.   O

Bergman   B-NAME
,   I-NAME
George   I-NAME
E.   I-NAME
was   O
admitted   O
to   O
the   O
hospital   O
surgical   O
unit   O
under   O
the   O
care   O
of   O
Dr.   O
Chambers   B-NAME
on   O
10/91   B-DATE
.   O

During   O
their   O
stay   O
at   O
HSHS   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
,   O
they   O
were   O
visited   O
by   O
their   O
spouse   O
and   O
children   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
Jul   B-DATE
23   I-DATE
,   I-DATE
2001   I-DATE
.   O

Follow   O
-   O
up   O
appointments   O
were   O
made   O
,   O
and   O
a   O
direct   O
line   O
of   O
contact   O
(   O
405   B-CONTACT
-   I-CONTACT
8370   I-CONTACT
)   O
was   O
established   O
with   O
Reeves   B-NAME
for   O
any   O
immediate   O
concerns   O
.   O

Additionally   O
,   O
Maren   B-NAME
Osborne   I-NAME
is   O
a   O
holder   O
of   O
International   B-LOCATION
Centre   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Research   I-LOCATION
health   O
insurance   O
,   O
policy   O
number   O
65776   B-ID
.   O

They   O
were   O
informed   O
to   O
submit   O
their   O
claims   O
directly   O
through   O
their   O
insurance   O
application   O
,   O
using   O
the   O
username   O
QY804   B-NAME
and   O
zip   O
code   O
91775   B-LOCATION
.   O

Emergency   O
contact   O
details   O
have   O
been   O
updated   O
to   O
include   O
their   O
spouse   O
's   O
number   O
(   O
46678   B-CONTACT
)   O
as   O
necessary   O
.   O

The   O
timely   O
intervention   O
by   O
Chinese   B-LOCATION
Hospital   I-LOCATION
and   O
effective   O
treatment   O
by   O
Dr.   O
Brooks   B-NAME
made   O
it   O
possible   O
for   O
Destiney   B-NAME
Thomas   I-NAME
to   O
recover   O
swiftly   O
.   O

Patient   O
Name   O
:   O
Joshua   B-NAME
Hanna   I-NAME
Age   O
:   O
14   O
Sex   O
:   O
Female   O
Occupation   O
:   O
Trader   O
DOB   O
:   O
7/98   B-DATE
Phone   O
number   O
:   O
81190   B-CONTACT
Attendance   O
History   O
:   O

The   O
patient   O
's   O
medical   O
record   O
number   O
6095U12918   B-ID
was   O
created   O
on   O
1/3   B-DATE
under   O
the   O
care   O
of   O
Dr.   O
Park   B-NAME
at   O
Cass   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
works   O
as   O
a   O
Computer   O
Specialists   O
,   O
All   O
Other   O
in   O
Bear   B-LOCATION
Grass   I-LOCATION
.   O

She   O
has   O
provided   O
her   O
office   O
phone   O
number   O
173   B-CONTACT
5241   I-CONTACT
for   O
further   O
inquiries   O
.   O

The   O
patient   O
,   O
Frantz   B-NAME
,   O
complaints   O
of   O
experiencing   O
intermittent   O
severe   O
chest   O
pain   O
for   O
the   O
past   O
week   O
followed   O
by   O
shortness   O
of   O
breath   O
.   O

During   O
the   O
consultation   O
,   O
Abram   B-NAME
Lamer   I-NAME
ordered   O
for   O
an   O
ECG   O
and   O
a   O
Chest   O
X   O
-   O
Ray   O
.   O

The   O
patient   O
was   O
advised   O
by   O
Norris   B-NAME
to   O
be   O
admitted   O
for   O
further   O
evaluation   O
and   O
treatment   O
.   O

The   O
ID   O
of   O
the   O
patient   O
in   O
the   O
American   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Chemical   I-LOCATION
Engineers   I-LOCATION
(   I-LOCATION
AIChE   I-LOCATION
)   I-LOCATION
health   O
database   O
is   O
281710031   B-ID
.   O

Clinical   O
orders   O
and   O
follow   O
-   O
up   O
:   O
Referrals   O
to   O
a   O
cardiologist   O
and   O
a   O
dietitian   O
were   O
made   O
and   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
21/23   B-DATE
.   O

Additional   O
notes   O
:   O
The   O
patient   O
resides   O
at   O
Maiden   B-LOCATION
with   O
zip   O
code   O
29399   B-LOCATION
.   O

Her   O
username   O
for   O
the   O
Bramble   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
mobile   O
app   O
is   O
js698   B-NAME
where   O
she   O
can   O
access   O
her   O
medical   O
information   O
remotely   O
.   O

This   O
is   O
a   O
confidential   O
document   O
of   O
Saint   B-LOCATION
Joseph   I-LOCATION
Berea   I-LOCATION
.   O

If   O
found   O
,   O
please   O
return   O
to   O
1   B-LOCATION
Marsh   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
or   O
call   O
(   B-CONTACT
300   I-CONTACT
)   I-CONTACT
560   I-CONTACT
-   I-CONTACT
6120   I-CONTACT
.   O

Patient   O
Name   O
:   O
Joanna   B-NAME
Acevedo   I-NAME
Age   O
:   O
28   O
Profession   O
:   O
Floor   O
Layers   O
,   O
Except   O
Carpet   O
,   O
Wood   O
,   O
and   O
Hard   O
Tiles   O
Medical   O
Record   O
:   O
28578333   B-ID
I   O
am   O
Martin   B-NAME
,   I-NAME
Demetri   I-NAME
,   O
the   O
primary   O
physician   O
treating   O
Charlie   B-NAME
Welch   I-NAME
at   O
St.   B-LOCATION
James   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
.   O

On   O
18/20   B-DATE
,   O
Signe   B-NAME
Auala   I-NAME
visited   O
our   O
clinic   O
complaining   O
of   O
prolonged   O
dyspnea   O
,   O
persistent   O
cough   O
,   O
fatigue   O
,   O
and   O
unexpected   O
weight   O
loss   O
over   O
the   O
past   O
few   O
months   O
.   O

The   O
chest   O
X   O
-   O
Ray   O
obtained   O
on   O
3/23   B-DATE
revealed   O
bilateral   O
opacities   O
which   O
raised   O
a   O
possibility   O
of   O
a   O
pulmonary   O
pathology   O
.   O

Perkins   B-NAME
reports   O
no   O
exposure   O
to   O
chemicals   O
or   O
harmful   O
work   O
conditions   O
related   O
to   O
his   O
Media   O
and   O
Communication   O
Workers   O
,   O
All   O
Other   O
.   O

However   O
,   O
he   O
was   O
a   O
smoker   O
for   O
40   O
years   O
and   O
lives   O
in   O
an   O
old   O
building   O
at   O
Phoenix   B-LOCATION
which   O
may   O
have   O
put   O
him   O
at   O
increased   O
risk   O
.   O

TRAN   B-NAME
,   I-NAME
FREDDY   I-NAME
does   O
not   O
have   O
any   O
significant   O
past   O
medical   O
history   O
or   O
family   O
history   O
of   O
similar   O
illness   O
.   O

The   O
patient   O
gave   O
his   O
consent   O
and   O
underwent   O
a   O
bronchoscopy   O
biopsy   O
on   O
31/32/2172   B-DATE
.   O

The   O
biopsy   O
result   O
is   O
pending   O
from   O
the   O
lab   O
at   O
Animal   B-LOCATION
Liberation   I-LOCATION
Leagues   I-LOCATION
and   O
is   O
expected   O
by   O
13/29   B-DATE
.   O

I   O
have   O
planned   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
the   O
Andy   B-NAME
Yablonski   I-NAME
on   O
00/19/1670   B-DATE
to   O
discuss   O
the   O
results   O
and   O
decide   O
the   O
future   O
course   O
of   O
management   O
.   O

Attached   O
below   O
are   O
the   O
contact   O
details   O
for   O
the   O
patient   O
:   O
Phone   O
Number   O
:   O
944   B-CONTACT
-   I-CONTACT
5710   I-CONTACT
Address   O
:   O
Bloomfield   B-LOCATION
,   I-LOCATION
Bloomfield   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
71123   B-LOCATION
Emergency   O
Contact   O
:   O
315   B-CONTACT
2392   I-CONTACT
Personal   O
ID   O
:   O

10   B-ID
-   I-ID
1918458   I-ID
Employee   O
username   O
:   O

qoi374   B-NAME
The   O
team   O
at   O
Harry   B-LOCATION
S.   I-LOCATION
Truman   I-LOCATION
Memorial   I-LOCATION
Veterans   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
is   O
committed   O
to   O
providing   O
the   O
best   O
possible   O
care   O
for   O
Elizabeth   B-NAME
Keys   I-NAME
.   O

Patient   O
Name   O
:   O
Johanna   B-NAME
Cannon   I-NAME
Age   O
:   O
31   O
Location   O
:   O
Slayton   B-LOCATION
Medical   O
Record   O
:   O
7220694   B-ID
Doctor   O
's   O
name   O
:   O
Stone   B-NAME
I   O
am   O
presenting   O
the   O
case   O
of   O
patient   O
Lin   B-NAME
.   O

On   O
the   O
morning   O
of   O
24   B-DATE
,   O
the   O
patient   O
came   O
into   O
Ascension   B-LOCATION
St.   I-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
experiencing   O
severe   O
abdominal   O
pain   O
in   O
the   O
lower   O
-   O
left   O
quadrant   O
,   O
consistent   O
with   O
symptoms   O
of   O
diverticulitis   O
.   O

Aside   O
from   O
these   O
symptoms   O
,   O
Terry   B-NAME
Middleton   I-NAME
also   O
reported   O
feeling   O
nauseous   O
and   O
experienced   O
a   O
loss   O
of   O
appetite   O
.   O

Upon   O
admission   O
to   O
the   O
Southampton   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
the   O
patient   O
's   O
initial   O
vitals   O
were   O
stable   O
but   O
the   O
patient   O
did   O
show   O
signs   O
of   O
distress   O
due   O
to   O
the   O
discomfort   O
and   O
pain   O
.   O

An   O
immediate   O
request   O
was   O
made   O
for   O
a   O
lower   O
abdominal   O
CT   O
scan   O
and   O
laboratory   O
tests   O
by   O
Dr.   O
Brady   B-NAME
.   O

The   O
test   O
was   O
scheduled   O
for   O
later   O
on   O
1/22   B-DATE
.   O

Individual   O
ID   O
number   O
is   O
HI366/6969   B-ID
resides   O
at   O
Upper   B-LOCATION
Marlboro   I-LOCATION
with   O
the   O
postal   O
code   O
being   O
80373   B-LOCATION
.   O

The   O
patient   O
’s   O
contact   O
number   O
was   O
recorded   O
as   O
576   B-CONTACT
7616   I-CONTACT
for   O
any   O
communication   O
related   O
to   O
the   O
case   O
.   O

The   O
employer   O
of   O
Chana   B-NAME
Shea   I-NAME
is   O
United   B-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
Centre   I-LOCATION
-   I-LOCATION
Lenin   I-LOCATION
Sarani   I-LOCATION
.   O

The   O
HR   O
department   O
of   O
Borough   B-LOCATION
of   I-LOCATION
Madison   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
has   O
been   O
informed   O
about   O
the   O
patient   O
's   O
medical   O
condition   O
as   O
per   O
the   O
request   O
of   O
the   O
patient   O
.   O

The   O
HR   O
team   O
was   O
given   O
the   O
authorization   O
by   O
the   O
patient   O
through   O
username   O
dy495   B-NAME
for   O
verification   O
.   O

To   O
continue   O
the   O
treatment   O
an   O
appointment   O
was   O
set   O
to   O
follow   O
up   O
on   O
32/33   B-DATE
.   O

Dr.   O
Elisabeth   B-NAME
Glenn   I-NAME
will   O
be   O
overseeing   O
the   O
patient   O
's   O
medication   O
and   O
treatment   O
response   O
along   O
with   O
a   O
team   O
of   O
specialists   O
in   O
Light   B-LOCATION
Beacon   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Geovanni   B-NAME
Castillo   I-NAME
presented   O
at   O
Sumner   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Caldwell   I-LOCATION
on   O
26   B-DATE
-   I-DATE
Jan-2023   I-DATE
.   O

They   O
live   O
at   O
Tallahassee   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
32308   I-LOCATION
and   O
work   O
as   O
a   O
Political   O
Science   O
Teachers   O
,   O
Postsecondary   O
.   O

MI   B-NAME
is   O
a   O
94   O
year   O
old   O
non   O
-   O
smoker   O
.   O

Upon   O
examination   O
,   O
Dorsey   B-NAME
noted   O
slight   O
pallor   O
and   O
diaphoresis   O
.   O

Tina   B-NAME
Ridgeway   I-NAME
was   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
in   O
addition   O
to   O
being   O
given   O
statins   O
for   O
their   O
elevated   O
LDL   O
cholesterol   O
levels   O
.   O

The   O
patient   O
was   O
further   O
referred   O
to   O
a   O
cardiologist   O
from   O
United   B-LOCATION
Transportation   I-LOCATION
Union   I-LOCATION
for   O
follow   O
-   O
up   O
care   O
and   O
further   O
investigation   O
using   O
angiography   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
for   O
this   O
visit   O
was   O
58723784   B-ID
.   O

The   O
cardiologist   O
's   O
appointment   O
is   O
scheduled   O
for   O
10/70   B-DATE
.   O

The   O
location   O
of   O
the   O
cardiologist   O
's   O
office   O
is   O
in   O
New   B-LOCATION
York   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10029   I-LOCATION
.   O

One   O
of   O
our   O
nurses   O
will   O
call   O
Gallagher   B-NAME
,   I-NAME
Fred   I-NAME
on   O
40078   B-CONTACT
within   O
the   O
next   O
3   O
days   O
to   O
make   O
sure   O
all   O
the   O
arrangements   O
are   O
in   O
order   O
.   O

Emergency   O
contact   O
information   O
was   O
confirmed   O
as   O
ly673   B-NAME
with   O
phone   O
number   O
(   B-CONTACT
894   I-CONTACT
)   I-CONTACT
996   I-CONTACT
6499   I-CONTACT
.   O

xl884   B-NAME
is   O
the   O
patient   O
's   O
spouse   O
and   O
primary   O
contact   O
in   O
case   O
of   O
any   O
emergencies   O
.   O

The   O
insurance   O
details   O
provided   O
by   O
Alisa   B-NAME
Hood   I-NAME
were   O
verified   O
.   O

The   O
insurance   O
provider   O
is   O
United   B-LOCATION
Mine   I-LOCATION
Workers   I-LOCATION
of   I-LOCATION
America   I-LOCATION
and   O
the   O
policy   O
number   O
is   O
TI203/7283   B-ID
.   O

The   O
claims   O
should   O
be   O
sent   O
to   O
their   O
office   O
located   O
at   O
82336   B-LOCATION
.   O

Upon   O
discharge   O
from   O
Essentia   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Fargo   I-LOCATION
,   O
Armstrong   B-NAME
,   I-NAME
Neil   I-NAME
was   O
instructed   O
to   O
minimize   O
exertion   O
and   O
to   O
maintain   O
medication   O
intake   O
as   O
prescribed   O
.   O

Ulysses   B-NAME
Peralta   I-NAME
was   O
also   O
recommended   O
to   O
follow   O
a   O
low   O
-   O
sodium   O
,   O
low   O
-   O
cholesterol   O
and   O
high   O
-   O
fiber   O
diet   O
and   O
encouraged   O
to   O
increase   O
physical   O
activity   O
levels   O
as   O
tolerated   O
.   O

A   O
plan   O
was   O
established   O
for   O
a   O
follow   O
-   O
up   O
assessment   O
with   O
Hull   B-NAME
in   O
6   O
weeks   O
on   O
0   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
58   I-DATE
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Coulter   B-NAME
,   I-NAME
Ann   I-NAME
Age   O
:   O
93   O
Medical   O
Record   O
Number   O
:   O
554   B-ID
-   I-ID
80   I-ID
-   I-ID
56   I-ID
-   I-ID
4   I-ID
Address   O
:   O
Anton   B-LOCATION
,   O
66514   B-LOCATION
Phone   O
:   O
(   B-CONTACT
468   I-CONTACT
)   I-CONTACT
333   I-CONTACT
8182   I-CONTACT
Employment   O
:   O
Construction   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
ID   O
:   O
NT:35238:885201   B-ID
Username   O
:   O

xh79   B-NAME
Consulting   O
Doctor   O
:   O
Deleon   B-NAME
Consultation   O
Date   O
:   O
2188   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
23   I-DATE
Hospital   O
Information   O
:   O
Name   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
East   I-LOCATION
Address   O
:   O
Princeton   B-LOCATION
Meadows   I-LOCATION
,   O
55799   B-LOCATION
Contact   O
:   O
214   B-CONTACT
785   I-CONTACT
-   I-CONTACT
4004   I-CONTACT
Report   O
:   O
Kolten   B-NAME
Garner   I-NAME
,   O
a   O
33   O
years   O
old   O
individual   O
,   O
presented   O
to   O
Alessandro   B-NAME
Bass   I-NAME
at   O
UPMC   B-LOCATION
East   I-LOCATION
,   O
on   O
02/05   B-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
and   O
dizziness   O
.   O

Welbeck   B-NAME
also   O
reported   O
episodes   O
of   O
nausea   O
and   O
occasional   O
blurring   O
of   O
vision   O
.   O

His   O
job   O
as   O
a   O
Compliance   O
Officers   O
,   O
Except   O
Agriculture   O
,   O
Construction   O
,   O
Health   O
and   O
Safety   O
,   O
and   O
Transportation   O
at   O
Seafarers   B-LOCATION
'   I-LOCATION
International   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
have   O
been   O
significantly   O
affected   O
by   O
these   O
symptoms   O
as   O
they   O
increased   O
in   O
severity   O
.   O

Physical   O
examination   O
conducted   O
by   O
Moss   B-NAME
revealed   O
no   O
gross   O
neurological   O
deficits   O
.   O

However   O
,   O
Macdonald   B-NAME
's   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
elevated   O
,   O
recorded   O
at   O
150/100   O
mmHg   O
,   O
during   O
the   O
three   O
separate   O
assessments   O
conducted   O
at   O
intervals   O
on   O
12/17/1650   B-DATE
.   O

Based   O
on   O
clinical   O
findings   O
and   O
symptoms   O
,   O
Makayla   B-NAME
Stephenson   I-NAME
suspected   O
Uecker   B-NAME
's   O
condition   O
might   O
be   O
related   O
to   O
hypertension   O
.   O

Accordingly   O
,   O
Insano   B-NAME
recommended   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
full   O
blood   O
count   O
,   O
renal   O
function   O
test   O
,   O
and   O
a   O
chest   O
X   O
-   O
ray   O
.   O

Gaines   B-NAME
was   O
given   O
an   O
appointment   O
for   O
these   O
tests   O
on   O
04/12/2162   B-DATE
.   O

Meanwhile   O
,   O
Atticus   B-NAME
Suarez   I-NAME
has   O
advised   O
Reagan   B-NAME
Kirby   I-NAME
to   O
manage   O
stress   O
and   O
maintain   O
a   O
balanced   O
diet   O
.   O

Patient   O
was   O
also   O
urged   O
to   O
contact   O
his   O
Lecturer   O
(   O
adult   O
education   O
)   O
at   O
Mansfield   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
if   O
symptoms   O
persist   O
or   O
worsen   O
,   O
using   O
the   O
contact   O
information   O
175   B-CONTACT
5810   I-CONTACT
.   O

Adonis   B-NAME
Gilbert   I-NAME
's   O
data   O
,   O
including   O
test   O
results   O
and   O
future   O
appointment   O
schedules   O
,   O
will   O
be   O
updated   O
on   O
University   B-LOCATION
Hospital   I-LOCATION
's   O
portal   O
under   O
the   O
username   O
dii366   B-NAME
and   O
ID   O
ON:81072:969564   B-ID
.   O

The   O
ongoing   O
management   O
of   O
John   B-NAME
Tyler   I-NAME
's   O
condition   O
will   O
be   O
overseen   O
by   O
Chatwin   B-NAME
,   I-NAME
Bruce   I-NAME
at   O
the   O
Mitchell   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
located   O
in   O
Acton   B-LOCATION
.   O

Next   O
appointment   O
has   O
been   O
scheduled   O
for   O
02/23   B-DATE
.   O

Patient   O
Name   O
:   O
Terrance   B-NAME
Braun   I-NAME
Date   O
of   O
Birth   O
:   O
2035   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
11   I-DATE
ID   O
:   O
9   B-ID
-   I-ID
7166202   I-ID
Patient   O
Hanna   B-NAME
Davies   I-NAME
,   O
41   O
years   O
old   O
,   O
residing   O
at   O
Lindsborg   B-LOCATION
,   O
was   O
seen   O
in   O
my   O
clinic   O
on   O
04/99   B-DATE
for   O
an   O
initial   O
consult   O
.   O

The   O
patient   O
was   O
referred   O
to   O
me   O
by   O
Dr.   O
Dorsey   B-NAME
.   O

History   O
of   O
Present   O
Illness   O
:   O
Waldman   B-NAME
is   O
a   O
Upholsterers   O
by   O
profession   O
.   O

The   O
Medical   O
Record   O
Number   O
for   O
this   O
visit   O
is   O
2747642   B-ID
and   O
the   O
consulting   O
doctor   O
’s   O
name   O
is   O
King   B-NAME
from   O
Trinity   B-LOCATION
Hospital   I-LOCATION
.   O

Medical   O
History   O
:   O
Nina   B-NAME
Uresti   I-NAME
has   O
known   O
history   O
of   O
type   O
II   O
diabetes   O
mellitus   O
and   O
is   O
on   O
medication   O
.   O

Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
2032   B-DATE

In   O
case   O
of   O
any   O
emergency   O
,   O
please   O
reach   O
me   O
at   O
(   B-CONTACT
729   I-CONTACT
)   I-CONTACT
388   I-CONTACT
-   I-CONTACT
6362   I-CONTACT
or   O
ZS8910   B-NAME
at   O
Providence   B-LOCATION
Mount   I-LOCATION
Carmel   I-LOCATION
Hospital   I-LOCATION
.   O

Also   O
,   O
kindly   O
provide   O
your   O
health   O
plan   O
details   O
from   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Beverly   I-LOCATION
Hills   I-LOCATION
at   O
the   O
earliest   O
.   O

-   O
Robert   B-NAME
Morgan   I-NAME
Office   O
Details   O
:   O
Bayshore   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
West   B-LOCATION
Peoria   I-LOCATION
43166   B-LOCATION
Billing   O
phone   O
:   O
668   B-CONTACT
272   I-CONTACT
8850   I-CONTACT

Patient   O
Report   O
:   O
Berard   B-NAME
,   I-NAME
Edward   I-NAME
V.   I-NAME
visited   O
Prairie   B-LOCATION
View   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Newton   I-LOCATION
on   O
1/08/2228   B-DATE
due   O
to   O
experiencing   O
high   O
fever   O
intermittently   O
for   O
a   O
week   O
.   O

Upon   O
examination   O
,   O
Dr.   O
O'Reilly   B-NAME
,   I-NAME
Bill   I-NAME
noted   O
patient   O
's   O
heart   O
rate   O
was   O
significantly   O
elevated   O
at   O
rest   O
,   O
with   O
a   O
persistent   O
cough   O
.   O

Appropriate   O
blood   O
tests   O
were   O
requested   O
,   O
and   O
Aiden   B-NAME
Zamora   I-NAME
was   O
admitted   O
for   O
further   O
examination   O
.   O

To   O
monitor   O
her   O
progress   O
,   O
the   O
nursing   O
staff   O
at   O
Research   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Brookside   I-LOCATION
Campus   I-LOCATION
's   O
ward   O
number   O
3   O
maintained   O
consistent   O
vital   O
signs   O
checks   O
and   O
medication   O
administration   O
records   O
for   O
her   O
ID   O
1   B-ID
-   I-ID
2852824   I-ID
.   O

Joey   B-NAME
Atkinson   I-NAME
's   O
previous   O
medical   O
records   O
number   O
9495315   B-ID
showed   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
II   O
diabetes   O
.   O

During   O
her   O
stay   O
,   O
she   O
shared   O
that   O
she   O
lives   O
alone   O
in   O
Houston   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77036   I-LOCATION
and   O
mentioned   O
her   O
only   O
immediate   O
family   O
as   O
her   O
son   O
working   O
for   O
International   B-LOCATION
Foundation   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Tolerance   I-LOCATION
,   O
living   O
far   O
away   O
in   O
another   O
5   B-LOCATION
Bayberry   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

with   O
postal   O
code   O
32889   B-LOCATION
.   O

Care   O
was   O
taken   O
to   O
provide   O
her   O
with   O
the   O
necessary   O
medical   O
and   O
emotional   O
support   O
during   O
her   O
stay   O
,   O
and   O
her   O
primary   O
contact   O
,   O
her   O
son   O
,   O
was   O
updated   O
on   O
her   O
progress   O
regularly   O
through   O
397   B-CONTACT
6313   I-CONTACT
.   O

Discharge   O
planning   O
included   O
a   O
referral   O
to   O
a   O
community   O
nurse   O
who   O
would   O
conduct   O
home   O
visits   O
to   O
Crisp   B-NAME
,   I-NAME
Quentin   I-NAME
's   O
house   O
.   O

Her   O
condition   O
was   O
communicated   O
with   O
her   O
primary   O
care   O
provider   O
Dr.   O
Balzac   B-NAME
,   I-NAME
Honoré   I-NAME
de   I-NAME
who   O
will   O
carry   O
out   O
her   O
future   O
checkups   O
.   O

Quinn   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
after   O
two   O
weeks   O
on   O
31/22   B-DATE
.   O

The   O
Username   O
of   O
the   O
medical   O
staff   O
member   O
who   O
prepared   O
the   O
report   O
:   O
CC364   B-NAME
.   O

Patient   O
's   O
Report   O
:   O
01/38   B-DATE
,   O
Bronson   B-NAME
Hardin   I-NAME
was   O
admitted   O
to   O
Sutter   B-LOCATION
Amador   I-LOCATION
Hospital   I-LOCATION
following   O
complaints   O
of   O
chest   O
discomfort   O
and   O
shortness   O
of   O
breath   O
.   O

Hazlitt   B-NAME
,   I-NAME
William   I-NAME
had   O
a   O
past   O
medical   O
history   O
of   O
Diabetes   O
Mellitus   O
and   O
has   O
been   O
a   O
smoker   O
for   O
around   O
20   O
years   O
.   O

Preliminary   O
examinations   O
by   O
Dr.   O
Terrell   B-NAME
indicated   O
signs   O
of   O
congestive   O
heart   O
failure   O
,   O
with   O
irregular   O
heart   O
sounds   O
and   O
increased   O
jugular   O
venous   O
pressure   O
.   O

The   O
patient   O
,   O
a   O
Political   O
Scientists   O
from   O
Milton   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Milton   I-LOCATION
of   O
99   O
years   O
,   O
was   O
under   O
the   O
care   O
of   O
the   O
cardiac   O
team   O
and   O
his   O
general   O
practitioner   O
,   O
Dr.   O
Kane   B-NAME
.   O

The   O
laboratory   O
reports   O
arrived   O
on   O
11/17   B-DATE
,   O
and   O
showed   O
elevated   O
levels   O
of   O
LDL   O
cholesterol   O
.   O

Based   O
on   O
these   O
evidences   O
,   O
Dr.   O
Leandro   B-NAME
Wood   I-NAME
,   O
assigned   O
21714567   B-ID
number   O
to   O
the   O
Billy   B-NAME
Grant   I-NAME
,   O
referred   O
him   O
to   O
Cardiology   O
Specialist   O
at   O
Highlands   B-LOCATION
-   I-LOCATION
Cashiers   I-LOCATION
Hospital   I-LOCATION
.   O

Jeter   B-NAME
's   O
next   O
appointment   O
is   O
scheduled   O
on   O
2285   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
02   I-DATE
and   O
he   O
was   O
reminded   O
via   O
(   B-CONTACT
288   I-CONTACT
)   I-CONTACT
652   I-CONTACT
5521   I-CONTACT
.   O

The   O
patient   O
lives   O
in   O
56835   B-LOCATION
and   O
his   O
contact   O
in   O
case   O
of   O
emergency   O
is   O
an   O
International   B-LOCATION
Tibet   I-LOCATION
Support   I-LOCATION
Network   I-LOCATION
employee   O
.   O

His   O
social   O
security   O
number   O
is   O
XR:56732:841365   B-ID
and   O
his   O
appointment   O
correspondence   O
is   O
carried   O
out   O
through   O
fs237   B-NAME
.   O

Further   O
management   O
strategy   O
discussions   O
have   O
been   O
scheduled   O
with   O
the   O
multidisciplinary   O
team   O
on   O
5/01/2103   B-DATE
.   O

Patient   O
's   O
detailed   O
medical   O
record   O
-   O
8494523   B-ID
can   O
be   O
accessed   O
for   O
further   O
information   O
.   O

Isabell   B-NAME
Carrillo   I-NAME
2168   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
10   I-DATE

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Christopher   B-NAME
Lewis   I-NAME
Mr.   O
Leonidas   B-NAME
Galvan   I-NAME
,   O
a   O
Grinding   O
and   O
Polishing   O
Workers   O
,   O
Hand   O
from   O
East   B-LOCATION
Gull   I-LOCATION
Lake   I-LOCATION
presented   O
with   O
a   O
2   O
-   O
week   O
history   O
of   O
dyspnea   O
,   O
unproductive   O
cough   O
,   O
and   O
fatigue   O
.   O

He   O
recently   O
celebrated   O
his   O
26   O
birthday   O
on   O
03/20/32   B-DATE
.   O

Mr.   O
Leandro   B-NAME
Gaines   I-NAME
was   O
subjected   O
to   O
a   O
series   O
of   O
tests   O
under   O
Fred   B-NAME
Hornblower   I-NAME
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Nassau   I-LOCATION
.   O

His   O
medical   O
record   O
number   O
:   O
16733039   B-ID
.   O

A   O
further   O
examination   O
conducted   O
on   O
the   O
25   B-DATE
-   I-DATE
Jan-2124   I-DATE
showed   O
no   O
signs   O
of   O
any   O
lung   O
malignancies   O
.   O

As   O
per   O
the   O
report   O
from   O
Australian   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
,   O
his   O
oxygen   O
saturation   O
was   O
recorded   O
at   O
88   O
%   O
on   O
room   O
air   O
,   O
which   O
improved   O
with   O
a   O
2   O
-   O
liter   O
oxygen   O
supplement   O
.   O

Mr.   O
Jaydon   B-NAME
Barrera   I-NAME
's   O
demographic   O
details   O
:   O
He   O
lives   O
in   O
Vergennes   B-LOCATION
,   O
with   O
the   O
zip   O
code   O
10221   B-LOCATION
and   O
his   O
contact   O
number   O
is   O
177   B-CONTACT
-   I-CONTACT
406   I-CONTACT
6161   I-CONTACT
.   O

His   O
official   O
email   O
I   O
d   O
is   O
fez403   B-NAME
,   O
and   O
his   O
social   O
security   O
4   B-ID
-   I-ID
6523363   I-ID
.   O

He   O
was   O
admitted   O
in   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Warren   I-LOCATION
Hospital   I-LOCATION
under   O
Newton   B-NAME
for   O
further   O
investigation   O
and   O
observation   O
.   O

Antibiotics   O
were   O
initiated   O
based   O
on   O
the   O
susceptibility   O
pattern   O
in   O
the   O
culture   O
report   O
of   O
the   O
specimen   O
collected   O
on   O
22/22   B-DATE
.   O

Patient   O
Will   B-NAME
Tucker   I-NAME
is   O
currently   O
admitted   O
to   O
ICU   O
for   O
close   O
monitoring   O
and   O
is   O
on   O
Ventilatory   O
support   O
.   O

The   O
next   O
steps   O
are   O
planned   O
and   O
to   O
be   O
executed   O
under   O
the   O
guidance   O
of   O
Solomon   B-NAME
.   O

Patient   O
Name   O
:   O
Heath   B-NAME
ID   O
:   O
YD   B-ID
:   I-ID
ZX:4314   I-ID
Contact   O
Number   O
:   O
460   B-CONTACT
-   I-CONTACT
8588   I-CONTACT
DOB   O
:   O
32/01/21   B-DATE
Address   O
:   O
Gilbert   B-LOCATION
Doctor   O
:   O
Carey   B-NAME
,   I-NAME
Sandra   I-NAME
Medical   O
Record   O
:   O
92121365   B-ID
Organization   O
:   O

International   B-LOCATION
Property   I-LOCATION
Rights   I-LOCATION
Index   I-LOCATION
Margaret   B-NAME
Berry   I-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
All   O
Other   O
Tactical   O
Operations   O
Specialists   O
by   O
profession   O
,   O
is   O
a   O
17   O
year   O
old   O
resident   O
of   O
Whitesburg   B-LOCATION
.   O

He   O
presented   O
to   O
Georgiana   B-LOCATION
Hospital   I-LOCATION
on   O
15/22/87   B-DATE
.   O

Magaly   B-NAME
Herrion   I-NAME
has   O
also   O
been   O
experiencing   O
nausea   O
and   O
reported   O
2   O
episodes   O
of   O
vomiting   O
on   O
16/10/2299   B-DATE
.   O

A   O
comprehensive   O
neurological   O
examination   O
conducted   O
by   O
Kash   B-NAME
Duncan   I-NAME
revealed   O
mild   O
photophobia   O
and   O
phonophobia   O
.   O

During   O
the   O
visit   O
to   O
Northeast   B-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
,   O
Kelly   B-NAME
ordered   O
laboratory   O
tests   O
which   O
confirmed   O
elevated   O
white   O
blood   O
cell   O
count   O
.   O

Based   O
on   O
the   O
presented   O
symptoms   O
and   O
initial   O
tests   O
,   O
Curie   B-NAME
,   I-NAME
Marie   I-NAME
suspects   O
viral   O
meningitis   O
.   O

Vallie   B-NAME
Alkins   I-NAME
was   O
advised   O
to   O
admission   O
,   O
but   O
elected   O
to   O
have   O
home   O
-   O
based   O
care   O
under   O
the   O
supervision   O
of   O
a   O
nurse   O
from   O
Atlantic   B-LOCATION
City   I-LOCATION
Electric   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
due   O
training   O
he   O
had   O
related   O
to   O
his   O
Claims   O
Adjusters   O
,   O
Examiners   O
,   O
and   O
Investigators   O
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
on   O
a   O
weekly   O
basis   O
and   O
Bonilla   B-NAME
is   O
instructed   O
to   O
contact   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Marymount   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
238   I-CONTACT
)   I-CONTACT
667   I-CONTACT
-   I-CONTACT
7539   I-CONTACT
in   O
case   O
of   O
any   O
emergency   O
.   O

-Report   O
filed   O
by   O
rz202   B-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Butler   B-NAME
,   I-NAME
Amir   I-NAME
Age   O
:   O
10s   O
On   O
02/07   B-DATE
,   O
Dougherty   B-NAME
was   O
admitted   O
to   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
,   O
and   O
his   O
ID   O
is   O
RG   B-ID
:   I-ID
CM:9982   I-ID
.   O

His   O
primary   O
physician   O
is   O
Kelsey   B-NAME
Harrison   I-NAME
.   O

The   O
patient   O
,   O
who   O
has   O
been   O
living   O
in   O
WD32   B-LOCATION
5TC   I-LOCATION
,   O
has   O
been   O
suffering   O
from   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
and   O
occasional   O
chest   O
pain   O
.   O

Vance   B-NAME
's   O
blood   O
tests   O
were   O
taken   O
on   O
January   B-DATE
29   I-DATE
,   I-DATE
2330   I-DATE
at   O
Nashville   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
medical   O
record   O
number   O
is   O
79502994   B-ID
.   O

The   O
patient   O
's   O
family   O
who   O
also   O
resides   O
at   O
Bellevue   B-LOCATION
with   O
him   O
,   O
mentioned   O
that   O
Gilmore   B-NAME
used   O
to   O
be   O
a   O
Optometrists   O
before   O
he   O
retired   O
.   O

I   O
spoke   O
to   O
the   O
patient   O
's   O
health   O
insurance   O
provider   O
,   O
Swedish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
,   O
on   O
00/23   B-DATE
,   O
and   O
they   O
can   O
be   O
reached   O
at   O
77196   B-CONTACT
.   O

They   O
confirmed   O
that   O
Miles   B-NAME
Echeverria   I-NAME
’s   O
treatment   O
would   O
be   O
covered   O
under   O
his   O
current   O
plan   O
.   O

However   O
,   O
they   O
need   O
further   O
documentation   O
and   O
his   O
health   O
number   O
which   O
is   O
OC:37233:802799   B-ID
.   O

I   O
also   O
scheduled   O
an   O
appointment   O
with   O
Royce   B-NAME
Hammond   I-NAME
from   O
Pulmonology   O
department   O
on   O
12/12   B-DATE
for   O
further   O
management   O
.   O

The   O
doctor   O
's   O
office   O
is   O
located   O
on   O
the   O
second   O
floor   O
of   O
the   O
Andalusia   B-LOCATION
Health   I-LOCATION
Building   O
.   O

E   O
-   O
mail   O
confirmation   O
was   O
sent   O
to   O
the   O
patient   O
's   O
username   O
,   O
gb164   B-NAME
@   O
SquareTrade   B-LOCATION
.com   O
Patient   O
's   O
home   O
health   O
nurse   O
,   O
scheduled   O
for   O
a   O
visit   O
on   O
10/10/2221   B-DATE
,   O
was   O
informed   O
about   O
patient   O
’s   O
current   O
status   O
and   O
new   O
medication   O
regime   O
.   O

The   O
nurse   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
979   I-CONTACT
)   I-CONTACT
170   I-CONTACT
-   I-CONTACT
7862   I-CONTACT
.   O

The   O
patient   O
's   O
home   O
address   O
is   O
in   O
Berwyn   B-LOCATION
,   I-LOCATION
Cermak   I-LOCATION
Road   I-LOCATION
Revitalization   I-LOCATION
Board   I-LOCATION
,   O
postal   O
code   O
92244   B-LOCATION
where   O
he   O
could   O
be   O
reached   O
out   O
.   O

Signed   O
off   O
,   O
Berry   B-NAME
(   B-CONTACT
769   I-CONTACT
)   I-CONTACT
744   I-CONTACT
-   I-CONTACT
6805   I-CONTACT
34/27   B-DATE

Patient   O
Name   O
:   O
Keagan   B-NAME
Watts   I-NAME
Medical   O
Record   O
Number   O
:   O
429   B-ID
-   I-ID
98   I-ID
-   I-ID
72   I-ID
-   I-ID
1   I-ID
Date   O
of   O
visit   O
:   O
2   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
90   I-DATE
Age   O
:   O
51s   O
Mr.   O
Baker   B-NAME
,   I-NAME
Russell   I-NAME
presented   O
himself   O
at   O
Frye   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
recurrent   O
,   O
severe   O
headaches   O
.   O

Ricardo   B-NAME
Humphrey   I-NAME
has   O
a   O
history   O
of   O
uncontrolled   O
hypertension   O
and   O
his   O
blood   O
pressure   O
was   O
160/100   O
mmHg   O
upon   O
evaluation   O
.   O

From   O
the   O
Commerce   B-LOCATION
clinic   O
,   O
his   O
primary   O
care   O
provider   O
,   O
Dr.   O
Shane   B-NAME
Olsen   I-NAME
,   O
had   O
prescribed   O
an   O
antihypertensive   O
medication   O
(   O
Lisinopril   O
)   O
which   O
the   O
patient   O
disclosed   O
he   O
has   O
not   O
been   O
taking   O
consistently   O
due   O
to   O
the   O
warnings   O
he   O
had   O
read   O
about   O
side   O
effects   O
online   O
.   O

I   O
strongly   O
recommend   O
adherence   O
to   O
the   O
prescribed   O
medication   O
with   O
regular   O
follow   O
up   O
at   O
the   O
outpatient   O
clinic   O
in   O
WakeMed   B-LOCATION
.   O

Contact   O
number   O
:   O
688   B-CONTACT
753   I-CONTACT
-   I-CONTACT
2479   I-CONTACT
ID   O
:   O
WD:20288:972115   B-ID
Responsible   O
Officer   O
HZ26   B-NAME
Registered   O
in   O
World   B-LOCATION
Council   I-LOCATION
of   I-LOCATION
Churches   I-LOCATION
Residing   O
at   O
30959   B-LOCATION

The   O
patient   O
is   O
scheduled   O
for   O
a   O
re   O
-   O
evaluation   O
after   O
two   O
weeks   O
on   O
06/06   B-DATE
.   O

It   O
is   O
noted   O
that   O
the   O
daughter   O
's   O
understanding   O
and   O
her   O
involvement   O
will   O
play   O
a   O
significant   O
role   O
in   O
the   O
management   O
strategy   O
for   O
Mr.   O
Maxim   B-NAME
Weiss   I-NAME
's   O
condition   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Darwin   B-NAME
Noble   I-NAME
Medical   O
Record   O
Number   O
:   O
00963449   B-ID
DOB   O
:   O
36/23   B-DATE
Address   O
:   O
Arlington   B-LOCATION
,   O
13660   B-LOCATION
Phone   O
number   O
:   O
36775   B-CONTACT
Emergency   O
contact   O
:   O
kdu7910   B-NAME
Background   O
:   O

The   O
patient   O
is   O
a   O
painter   O
aged   O
65   O
,   O
who   O
first   O
presented   O
to   O
Lauryn   B-NAME
Clements   I-NAME
at   O
Lake   B-LOCATION
Shore   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
in   O
Bude   B-LOCATION
on   O
5/07   B-DATE
.   O

The   O
patient   O
has   O
an   O
ID   O
number   O
of   O
UJ   B-ID
:   I-ID
LF:1835   I-ID
and   O
was   O
admitted   O
to   O
the   O
hospital   O
under   O
the   O
employer   O
's   O
health   O
insurance   O
plan   O
,   O
organized   O
by   O
Sun   B-LOCATION
West   I-LOCATION
Bank   I-LOCATION
.   O

Kade   B-NAME
Key   I-NAME
has   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

Berry   B-NAME
,   I-NAME
Halle   I-NAME
presented   O
reporting   O
acute   O
onset   O
of   O
continuous   O
,   O
tear   O
-   O
like   O
,   O
severe   O
lower   O
abdominal   O
pain   O
associated   O
with   O
nausea   O
that   O
has   O
lasted   O
for   O
about   O
5   O
days   O
.   O

On   O
examination   O
,   O
she   O
appeared   O
restless   O
due   O
to   O
pain   O
,   O
which   O
was   O
localized   O
at   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
with   O
marked   O
rebound   O
tenderness   O
and   O
the   O
presence   O
of   O
involuntary   O
guarding   O
admitted   O
by   O
Card   B-NAME
,   I-NAME
Orson   I-NAME
Scott   I-NAME
at   O
Pottstown   B-LOCATION
Hospital   I-LOCATION
on   O
December   B-DATE
.   O

Further   O
tests   O
,   O
including   O
complete   O
blood   O
count   O
,   O
kidney   O
function   O
tests   O
,   O
were   O
ordered   O
by   O
Cortez   B-NAME
.   O

Treatment   O
:   O
Based   O
on   O
symptoms   O
and   O
investigations   O
,   O
Gates   B-NAME
was   O
diagnosed   O
with   O
Ovarian   O
Torsion   O
.   O

As   O
her   O
condition   O
was   O
critical   O
,   O
immediate   O
laparoscopic   O
surgery   O
was   O
planned   O
by   O
Gisselle   B-NAME
Oconnor   I-NAME
at   O
Parkland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
was   O
informed   O
by   O
Alana   B-NAME
Mcmahon   I-NAME
that   O
without   O
surgical   O
intervention   O
,   O
her   O
condition   O
could   O
deteriorate   O
rapidly   O
,   O
and   O
the   O
ovarian   O
mass   O
could   O
become   O
gangrenous   O
.   O

Follow   O
-   O
Up   O
:   O
Dania   B-NAME
McCullock   I-NAME
recovered   O
well   O
post   O
-   O
operatively   O
and   O
was   O
discharged   O
on   O
2352   B-DATE
to   O
follow   O
-   O
up   O
in   O
the   O
gynecology   O
clinic   O
in   O
two   O
weeks   O
.   O

Her   O
medical   O
records   O
were   O
updated   O
with   O
an   O
ID   O
977974945   B-ID
for   O
further   O
reference   O
.   O

The   O
patient   O
was   O
informed   O
to   O
contact   O
the   O
hospital   O
at   O
71740   B-CONTACT
for   O
any   O
assistance   O
.   O

wjv931   B-NAME
was   O
informed   O
to   O
monitor   O
Felipe   B-NAME
Goulet   I-NAME
closely   O
.   O

This   O
note   O
was   O
prepared   O
by   O
Duran   B-NAME
.   O

Patient   O
's   O
Name   O
:   O
Joe   B-NAME
Briggs   I-NAME
Age   O
:   O
78   O
Profession   O
:   O
General   O
and   O
Operations   O
Managers   O

Osvaldo   B-NAME
Lilly   I-NAME
came   O
to   O
Loyola   B-LOCATION
Gottlieb   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
1/12/40   B-DATE
complaining   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
sporadic   O
episodes   O
of   O
vomiting   O
.   O

Doctor   O
's   O
Assessment   O
:   O
Jakayla   B-NAME
Barry   I-NAME
noted   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Ali   B-NAME
diagnosed   O
a   O
probable   O
case   O
of   O
Acute   O
Appendicitis   O
,   O
but   O
additional   O
tests   O
were   O
proposed   O
for   O
a   O
comprehensive   O
diagnosis   O
.   O

Medical   O
Background   O
:   O
According   O
to   O
patient   O
's   O
medical   O
record   O
67190757   B-ID
,   O
Nora   B-NAME
White   I-NAME
has   O
no   O
history   O
of   O
any   O
chronic   O
illnesses   O
or   O
surgical   O
procedures   O
.   O

Lab   O
Results   O
:   O
Complete   O
blood   O
count   O
(   O
CBC   O
)   O
performed   O
on   O
Monday   B-DATE
revealed   O
a   O
high   O
white   O
blood   O
cell   O
count   O
,   O
further   O
confirming   O
the   O
initial   O
diagnosis   O
.   O

Virtua   B-LOCATION
Mt   I-LOCATION
Holly   B-LOCATION
on   O
2340   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
37   I-DATE
for   O
a   O
definitive   O
diagnosis   O
.   O

Contact   O
Information   O
:   O
446   B-CONTACT
9507   I-CONTACT
,   O
Marathon   B-LOCATION
City   I-LOCATION
,   O
44452   B-LOCATION
.   O

Please   O
forward   O
any   O
billing   O
inquiries   O
to   O
the   O
following   O
identification   O
number   O
:   O
OU   B-ID
:   I-ID
PG:8061   I-ID
.   O

For   O
insurance   O
-   O
related   O
queries   O
,   O
please   O
use   O
the   O
same   O
JF950/5445   B-ID
with   O
the   O
insurer   O
Bakery   B-LOCATION
,   I-LOCATION
Confectionery   I-LOCATION
,   I-LOCATION
Tobacco   I-LOCATION
Workers   I-LOCATION
and   I-LOCATION
Grain   I-LOCATION
Millers   I-LOCATION
'   I-LOCATION
International   I-LOCATION
Union   I-LOCATION
.   O

Online   O
Records   O
:   O
To   O
access   O
real   O
-   O
time   O
updates   O
on   O
patient   O
's   O
test   O
results   O
and   O
scheduled   O
appointments   O
,   O
please   O
log   O
in   O
to   O
our   O
virtual   O
health   O
portal   O
using   O
the   O
username   O
BG422   B-NAME
.   O

Residential   O
address   O
:   O
68541   B-LOCATION
,   O
Minneapolis   B-LOCATION
.   O

Patient   O
:   O
XIE   B-NAME
,   I-NAME
LORI   I-NAME
Age   O
:   O
54   O
Location   O
:   O
Comoros   B-LOCATION
Doctor   O
:   O
Maddox   B-NAME
Hospital   O
:   O
Jewish   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Shelbyville   I-LOCATION
The   O
patient   O
,   O
Ursula   B-NAME
Victoria   I-NAME
Delgado   I-NAME
,   O
an   O
77   O
-   O
year   O
-   O
old   O
individual   O
,   O
was   O
admitted   O
to   O
Woodhull   B-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
12/22   B-DATE
.   O

Dr.   O
Addison   B-NAME
Parrish   I-NAME
conducted   O
a   O
meticulous   O
neurological   O
examination   O
.   O

Medical   O
history   O
review   O
shows   O
that   O
Juliet   B-NAME
Hubbard   I-NAME
was   O
previously   O
diagnosed   O
with   O
mild   O
hypertension   O
and   O
was   O
advised   O
lifestyle   O
modifications   O
.   O

This   O
information   O
was   O
retrieved   O
from   O
their   O
medical   O
record   O
0790998   B-ID
.   O

Based   O
on   O
the   O
concerning   O
nature   O
of   O
symptoms   O
,   O
Dr.   O
Henry   B-NAME
ordered   O
a   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
scan   O
which   O
revealed   O
a   O
slight   O
edema   O
but   O
no   O
tumor   O
,   O
bleeding   O
or   O
aneurysm   O
.   O

Suspecting   O
a   O
severe   O
form   O
of   O
migraine   O
-   O
possibly   O
migraine   O
with   O
aura   O
-   O
Dr.   O
Justice   B-NAME
George   I-NAME
has   O
referred   O
Bojaxhi   B-NAME
,   I-NAME
Agnes   I-NAME
Gonxha   I-NAME
(   I-NAME
Mother   I-NAME
Teresa   I-NAME
)   I-NAME
to   O
a   O
neurologist   O
in   O
the   O
Vermont   B-LOCATION
area   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Oct.   B-DATE
'   I-DATE
61   I-DATE
at   O
Missouri   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Also   O
,   O
Dr.   O
Cantu   B-NAME
has   O
asked   O
to   O
be   O
updated   O
with   O
the   O
specialist   O
's   O
notes   O
from   O
Nehemiah   B-NAME
Rocha   I-NAME
's   O
appointment   O
from   O
her   O
username   O
rw38   B-NAME
on   O
the   O
Stop   B-LOCATION
Sequani   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SSAT   I-LOCATION
)   I-LOCATION
's   O
internal   O
system   O
.   O

The   O
office   O
also   O
tried   O
reaching   O
Whitney   B-NAME
Choi   I-NAME
at   O
797   B-CONTACT
7325   I-CONTACT
to   O
discuss   O
the   O
high   O
blood   O
pressure   O
readings   O
taken   O
during   O
the   O
visit   O
,   O
but   O
there   O
was   O
no   O
answer   O
.   O

A   O
message   O
was   O
left   O
to   O
send   O
a   O
reminder   O
for   O
Richardson   B-NAME
to   O
monitor   O
their   O
blood   O
pressure   O
at   O
home   O
and   O
bring   O
the   O
readings   O
during   O
the   O
next   O
visit   O
.   O

The   O
bill   O
for   O
the   O
visit   O
has   O
been   O
submitted   O
to   O
the   O
health   O
insurance   O
with   O
GS:541033:454959   B-ID
in   O
46528   B-LOCATION
.   O

The   O
office   O
secretary   O
,   O
a   O
former   O
Economists   O
,   O
will   O
notify   O
Walker   B-NAME
,   I-NAME
Murray   I-NAME
about   O
any   O
updates   O
.   O

Follow   O
-   O
up   O
notes   O
will   O
be   O
added   O
after   O
Feelgood   B-NAME
's   O
visit   O
to   O
the   O
specialist   O
.   O

Patient   O
name   O
:   O
Abigail   B-NAME
Burgess   I-NAME
Date   O
of   O
Admission   O
:   O
12/35   B-DATE
Hospital   O
name   O
:   O
Kit   B-LOCATION
Carson   I-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Admitting   O
Physician   O
:   O
Sweetnam   B-NAME
,   I-NAME
Skye   I-NAME
Medical   O
Record   O
Number   O
:   O
1513217   B-ID
Patient   O
Ludwig   B-NAME
von   I-NAME
Saulsbourg   I-NAME
,   O
a   O
Youth   O
worker   O
living   O
in   O
Waikoloa   B-LOCATION
Village   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Talbott   B-LOCATION
Recovery   I-LOCATION
Columbus   I-LOCATION
on   O
Saturday   B-DATE
.   O

Ms.   O
Hailee   B-NAME
Cunningham   I-NAME
also   O
reported   O
two   O
episodes   O
of   O
bilious   O
vomiting   O
on   O
the   O
day   O
of   O
admission   O
.   O

Patient   O
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
gallstones   O
for   O
which   O
she   O
was   O
seen   O
by   O
her   O
physician   O
,   O
Sterling   B-NAME
,   I-NAME
Bruce   I-NAME
,   O
in   O
Whigham   B-LOCATION
.   O

Her   O
0   B-ID
-   I-ID
5641768   I-ID
showed   O
a   O
history   O
of   O
smoking   O
and   O
occasional   O
alcohol   O
use   O
but   O
denied   O
any   O
illicit   O
drug   O
use   O
.   O

Further   O
investigations   O
are   O
being   O
planned   O
by   O
Moses   B-NAME
.   O

Contact   O
number   O
on   O
the   O
medical   O
record   O
is   O
593   B-CONTACT
6921   I-CONTACT
.   O

She   O
was   O
recommended   O
admission   O
in   O
White   B-LOCATION
Wing   I-LOCATION
Clinic   I-LOCATION
for   O
further   O
management   O
and   O
close   O
monitoring   O
.   O

The   O
patient   O
's   O
employer   O
at   O
Central   B-LOCATION
Georgia   I-LOCATION
EMC   I-LOCATION
was   O
notified   O
about   O
her   O
medical   O
condition   O
and   O
the   O
possible   O
duration   O
of   O
her   O
absence   O
from   O
work   O
.   O

Physician   O
's   O
Notes   O
(   O
signed   O
):   O
MK987   B-NAME
Report   O
was   O
prepared   O
on   O
02/20   B-DATE
and   O
mailed   O
to   O
96848   B-LOCATION
on   O
patient   O
consent   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Francis   B-NAME
Age   O
:   O
47   O
Doctor   O
:   O
Lina   B-NAME
Roach   I-NAME
Medical   O
Record   O
:   O
53421732   B-ID
ID   O
:   O
CK893/1131   B-ID
Location   O
:   O
Parsonsburg   B-LOCATION
Username   O
:   O
VO27   B-NAME
Hospital   O
:   O

Johnson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
visit   O
:   O
September   B-DATE
2122   I-DATE

On   O
01/26/2163   B-DATE
,   O
Dolan   B-NAME
,   O
aged   O
8   O
week   O
,   O
came   O
in   O
for   O
a   O
routine   O
check   O
-   O
up   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Anderson   I-LOCATION
Campus   I-LOCATION
with   O
Colton   B-NAME
Moon   I-NAME
.   O

Jase   B-NAME
Wong   I-NAME
works   O
as   O
a   O
Social   O
Science   O
Research   O
Assistants   O
in   O
Davis   B-LOCATION
,   O
and   O
said   O
they   O
had   O
been   O
experiencing   O
some   O
persistent   O
symptoms   O
for   O
about   O
a   O
week   O
.   O

Patrick   B-NAME
Campos   I-NAME
also   O
cited   O
experiencing   O
a   O
constant   O
ringing   O
in   O
the   O
ears   O
,   O
termed   O
medically   O
as   O
tinnitus   O
and   O
a   O
feeling   O
of   O
pressure   O
in   O
the   O
ears   O
.   O

Occasionally   O
,   O
Crista   B-NAME
experiences   O
sudden   O
bouts   O
of   O
hearing   O
loss   O
in   O
the   O
right   O
ear   O
which   O
lasts   O
for   O
a   O
few   O
seconds   O
to   O
a   O
minute   O
.   O

Kirsten   B-NAME
Wiggins   I-NAME
's   O
cranial   O
nerve   O
examination   O
was   O
unremarkable   O
.   O

Groban   B-NAME
,   I-NAME
Josh   I-NAME
mentioned   O
active   O
involvement   O
in   O
a   O
local   O
JUSTICE   B-LOCATION
.   O

The   O
recent   O
spike   O
in   O
stress   O
levels   O
owing   O
to   O
increased   O
demands   O
at   O
work   O
and   O
the   O
Polish   B-LOCATION
Legion   I-LOCATION
of   I-LOCATION
American   I-LOCATION
Veterans   I-LOCATION
could   O
be   O
a   O
potential   O
trigger   O
for   O
these   O
symptoms   O
;   O
however   O
,   O
primary   O
central   O
nervous   O
system   O
conditions   O
and   O
vestibular   O
disorders   O
need   O
to   O
be   O
ruled   O
out   O
.   O

I   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
21/16   B-DATE
.   O

Meanwhile   O
,   O
I   O
have   O
advised   O
Peel   B-NAME
,   I-NAME
John   I-NAME
to   O
refrain   O
from   O
activities   O
requiring   O
mental   O
focus   O
and   O
aware   O
,   O
like   O
driving   O
,   O
until   O
we   O
have   O
better   O
insights   O
into   O
the   O
situation   O
.   O

Contacted   O
Sanai   B-NAME
Cowan   I-NAME
's   O
emergency   O
contact   O
number   O
(   O
(   B-CONTACT
698   I-CONTACT
)   I-CONTACT
801   I-CONTACT
6618   I-CONTACT
)   O
and   O
informed   O
them   O
about   O
the   O
current   O
situation   O
.   O

Residents   O
of   O
the   O
28446   B-LOCATION
area   O
and   O
those   O
related   O
to   O
Kenneth   B-NAME
X.   I-NAME
Sylvester   I-NAME
can   O
contact   O
the   O
South   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
helpline   O
for   O
any   O
updates   O
(   O
Available   O
only   O
after   O
producing   O
a   O
relevant   O
ID   O
number   O
:   O
4   B-ID
-   I-ID
1229703   I-ID
or   O
using   O
the   O
hospital   O
's   O
platform   O
with   O
an   O
authorized   O
username   O
:   O
ikb776   B-NAME
)   O
.   O

Melendez   B-NAME

Patient   O
Name   O
:   O
Smith   B-NAME
,   I-NAME
Joseph   I-NAME
Age   O
:   O
79   O
Location   O
:   O
Shillington   B-LOCATION
Medical   O
Record   O
Number   O
:   O
561   B-ID
-   I-ID
56   I-ID
-   I-ID
28   I-ID
Date   O
:   O
34/22   B-DATE
Dermatology   O
Report   O
:   O

Patient   O
Augustus   B-NAME
Hetjonk   I-NAME
visited   O
the   O
Ringgold   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
dermatology   O
department   O
on   O
8/60   B-DATE
.   O

Upon   O
close   O
examination   O
,   O
Kenley   B-NAME
Myers   I-NAME
presented   O
symptoms   O
of   O
pruritic   O
,   O
erythematous   O
,   O
maculopapular   O
rash   O
localized   O
to   O
the   O
upper   O
and   O
lower   O
extremities   O
.   O

Quadri   B-NAME
's   O
symptoms   O
and   O
the   O
morphology   O
of   O
the   O
rash   O
are   O
indicative   O
of   O
chronic   O
idiopathic   O
urticaria   O
.   O

The   O
rash   O
has   O
persisted   O
for   O
more   O
than   O
six   O
weeks   O
,   O
in   O
accordance   O
with   O
the   O
patient   O
's   O
reported   O
onset   O
of   O
the   O
rash   O
on   O
31/20   B-DATE
.   O

Symptoms   O
are   O
strongly   O
suggestive   O
of   O
an   O
allergic   O
reaction   O
,   O
but   O
Oakley   B-NAME
has   O
no   O
known   O
allergies   O
.   O

Further   O
testing   O
has   O
been   O
recommended   O
,   O
and   O
Ayanna   B-NAME
Hayden   I-NAME
is   O
scheduled   O
to   O
return   O
for   O
a   O
skin   O
biopsy   O
and   O
blood   O
work   O
on   O
Saturday   B-DATE
.   O

The   O
patient   O
's   O
general   O
practitioner   O
,   O
Dr.   O
Clara   B-NAME
Juarez   I-NAME
,   O
also   O
practicing   O
at   O
Passavant   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
,   O
has   O
been   O
notified   O
through   O
Kentucky   B-LOCATION
Farm   I-LOCATION
Bureau   I-LOCATION
's   O
online   O
portal   O
with   O
username   O
TU591   B-NAME
.   O

For   O
easy   O
tracking   O
of   O
patient   O
's   O
medical   O
progress   O
,   O
a   O
reference   O
ID   O
XY813/6052   B-ID
has   O
been   O
assigned   O
to   O
this   O
case   O
.   O

Jayden   B-NAME
Richardson   I-NAME
is   O
advised   O
to   O
mention   O
this   O
ID   O
when   O
scheduling   O
further   O
appointments   O
or   O
discussing   O
the   O
case   O
with   O
Macias   B-NAME
or   O
any   O
healthcare   O
professionals   O
at   O
Beverly   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
phone   O
number   O
is   O
recorded   O
as   O
521   B-CONTACT
9913   I-CONTACT
.   O

Mary   B-NAME
Crawford   I-NAME
is   O
a   O
Paving   O
,   O
Surfacing   O
,   O
and   O
Tamping   O
Equipment   O
Operators   O
and   O
resides   O
in   O
Wilkes   B-LOCATION
-   I-LOCATION
Barre   I-LOCATION
with   O
a   O
ZIP   O
code   O
of   O
27861   B-LOCATION
.   O

Until   O
further   O
medical   O
consultation   O
,   O
Bowie   B-NAME
,   I-NAME
David   I-NAME
has   O
been   O
advised   O
to   O
keep   O
the   O
skin   O
clean   O
and   O
dry   O
,   O
and   O
to   O
avoid   O
any   O
potential   O
allergen   O
exposure   O
or   O
irritants   O
such   O
as   O
harsh   O
soaps   O
or   O
cosmetic   O
products   O
.   O

Report   O
Prepared   O
By   O
:   O
Dr.   O
Heidi   B-NAME
Jarvis   I-NAME
Dermatology   O
Department   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Hazelton   I-LOCATION

Patient   O
Amelia   B-NAME
Mora   I-NAME
was   O
admitted   O
to   O
the   O
Long   B-LOCATION
Island   I-LOCATION
Jewish   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
on   O
2240   B-DATE
complaining   O
of   O
severe   O
right   O
-   O
sided   O
abdominal   O
pain   O
.   O

He   O
has   O
a   O
record   O
of   O
cholelithiasis   O
,   O
as   O
per   O
document   O
0   B-ID
-   I-ID
2617317   I-ID
,   O
dated   O
1708   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
10   I-DATE
.   O

Upon   O
consultation   O
with   O
Dr.   O
Arellano   B-NAME
,   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
cholecystitis   O
was   O
made   O
based   O
on   O
the   O
clinical   O
symptoms   O
,   O
which   O
was   O
further   O
validated   O
by   O
ultrasound   O
reports   O
indicating   O
gall   O
bladder   O
inflammation   O
and   O
presence   O
of   O
gallstones   O
.   O

The   O
patient   O
lives   O
in   O
Garretson   B-LOCATION
and   O
works   O
as   O
a   O
Licensed   O
conveyancer   O
.   O

The   O
patient   O
was   O
informed   O
of   O
the   O
situation   O
on   O
his   O
contact   O
number   O
,   O
943   B-CONTACT
2190   I-CONTACT
.   O

A   O
letter   O
was   O
also   O
sent   O
to   O
his   O
address   O
,   O
which   O
included   O
his   O
zip   O
code   O
60613   B-LOCATION
.   O

The   O
agreed   O
course   O
of   O
action   O
is   O
for   O
the   O
patient   O
to   O
undergo   O
laparoscopic   O
cholecystectomy   O
at   O
Madison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
to   O
be   O
performed   O
by   O
specialist   O
Dr.   O
America   B-NAME
Stevens   I-NAME
.   O

The   O
details   O
of   O
the   O
surgery   O
were   O
provided   O
to   O
the   O
patient   O
on   O
25/24   B-DATE
during   O
the   O
preoperative   O
visit   O
,   O
with   O
some   O
part   O
of   O
the   O
discussion   O
also   O
touching   O
upon   O
possible   O
risks   O
and   O
postoperative   O
care   O
.   O

The   O
patient   O
's   O
employer   O
,   O
Military   B-LOCATION
Officers   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
America   I-LOCATION
,   O
has   O
been   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
and   O
impending   O
absence   O
from   O
work   O
.   O

The   O
patient   O
's   O
insurance   O
provider   O
ID   O
is   O
LM790/5628   B-ID
and   O
the   O
liaison   O
there   O
has   O
been   O
given   O
all   O
relevant   O
medical   O
documentation   O
.   O

The   O
patient   O
’s   O
username   O
,   O
cbm589   B-NAME
,   O
on   O
our   O
online   O
portal   O
was   O
used   O
to   O
upload   O
all   O
the   O
results   O
and   O
the   O
surgery   O
appointment   O
schedule   O
.   O

With   O
the   O
agreed   O
course   O
of   O
action   O
in   O
place   O
,   O
the   O
patient   O
is   O
expected   O
to   O
have   O
relief   O
from   O
symptoms   O
post   O
-   O
surgery   O
and   O
return   O
to   O
his   O
daily   O
routine   O
at   O
Anchorage   B-LOCATION
following   O
a   O
recovery   O
period   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Will   B-NAME
Zimmerman   I-NAME
Age   O
:   O
5   O
Location   O
:   O

East   B-LOCATION
Millstone   I-LOCATION
Phone   O
:   O
879   B-CONTACT
5655   I-CONTACT
ID   O
:   O
NQ128/1736   B-ID
Medical   O
Record   O
:   O
0   B-ID
-   I-ID
293128   I-ID
ZIP   O
:   O

64686   B-LOCATION
Presented   O
to   O
LifeBrite   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Stokes   I-LOCATION
on   O
2031   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Ximena   B-NAME
Klein   I-NAME
.   O

Forgal   B-NAME
Liversedge   I-NAME
is   O
a   O
Commercial   O
Divers   O
and   O
was   O
previously   O
healthy   O
prior   O
to   O
experiencing   O
onset   O
of   O
symptoms   O
about   O
2   O
weeks   O
ago   O
.   O

These   O
symptoms   O
,   O
along   O
with   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
as   O
per   O
report   O
provided   O
by   O
Military   B-LOCATION
Officers   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
America   I-LOCATION
,   O
were   O
indicative   O
of   O
potential   O
acute   O
appendicitis   O
.   O

Presumptive   O
Diagnosis   O
:   O
Acute   O
Appendicitis   O
Doctors   O
at   O
Graydon   B-LOCATION
Manor   I-LOCATION
recommend   O
immediate   O
surgical   O
intervention   O
,   O
specifically   O
,   O
an   O
appendectomy   O
as   O
course   O
of   O
treatment   O
.   O

Detailed   O
instructions   O
were   O
emailed   O
to   O
xrj35   B-NAME
for   O
pre   O
-   O
operative   O
and   O
post   O
-   O
operative   O
care   O
.   O

The   O
surgery   O
is   O
scheduled   O
for   O
6/8   B-DATE
at   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Euclid   I-LOCATION
Hospital   I-LOCATION
.   O

In   O
case   O
of   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
issues   O
with   O
bowel   O
movements   O
,   O
the   O
patient   O
is   O
encouraged   O
to   O
reach   O
the   O
Emergency   O
Department   O
at   O
Tuba   B-LOCATION
City   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Corporation   I-LOCATION
.   O

For   O
queries   O
regarding   O
medical   O
bills   O
and   O
insurance   O
,   O
please   O
contact   O
Palos   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
at   O
506   B-CONTACT
2839   I-CONTACT
.   O

The   O
patient   O
is   O
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
check   O
-   O
up   O
with   O
Ed   B-NAME
Helms   I-NAME
no   O
later   O
than   O
two   O
weeks   O
after   O
the   O
procedure   O
.   O

The   O
patient   O
's   O
medical   O
history   O
and   O
related   O
information   O
are   O
strictly   O
confidential   O
and   O
are   O
stored   O
under   O
the   O
medical   O
record   O
172   B-ID
-   I-ID
84   I-ID
-   I-ID
87   I-ID
.   O

Consent   O
for   O
his   O
information   O
to   O
be   O
shared   O
with   O
the   O
primary   O
care   O
doctor   O
was   O
provided   O
by   O
Adonis   B-NAME
Shea   I-NAME
during   O
the   O
admission   O
process   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Vonda   B-NAME
T.   I-NAME
Ulloa   I-NAME
Averi   B-NAME
Pope   I-NAME
received   O
the   O
patient   O
,   O
Shyann   B-NAME
Camacho   I-NAME
into   O
Jersey   B-LOCATION
Shore   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Sunday   B-DATE
,   I-DATE
August   I-DATE
.   O

Jeslyn   B-NAME
is   O
a   O
Nurse   O
of   O
approximately   O
42   O
years   O
old   O
,   O
presenting   O
with   O
intense   O
pain   O
in   O
the   O
epigastric   O
area   O
along   O
with   O
chronic   O
pyrosis   O
.   O

He   O
had   O
traveled   O
from   O
Bull   B-LOCATION
Creek   I-LOCATION
.   O

Upon   O
physical   O
examination   O
,   O
Hendrie   B-NAME
,   I-NAME
Phil   I-NAME
appeared   O
diaphoretic   O
with   O
clammy   O
skin   O
and   O
was   O
observed   O
to   O
be   O
in   O
an   O
agitated   O
state   O
.   O

The   O
patient   O
's   O
insurance   O
information   O
was   O
collected   O
,   O
with   O
his   O
ID   O
number   O
as   O
40920879   B-ID
and   O
contact   O
number   O
on   O
file   O
as   O
499   B-CONTACT
-   I-CONTACT
802   I-CONTACT
2335   I-CONTACT
.   O

Moyer   B-NAME
ordered   O
an   O
immediate   O
abdominal   O
ultrasound   O
which   O
was   O
performed   O
in   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Room   O
KB:36380:591456   B-ID
.   O

The   O
said   O
patient   O
's   O
medical   O
history   O
was   O
referred   O
to   O
,   O
with   O
01996993   B-ID
indicating   O
a   O
family   O
history   O
of   O
cholelithiasis   O
.   O

The   O
patient   O
was   O
referred   O
to   O
a   O
specialist   O
in   O
Heywood   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
assessment   O
and   O
gallstone   O
management   O
.   O

The   O
patient   O
's   O
provided   O
home   O
address   O
was   O
Collings   B-LOCATION
Lakes   I-LOCATION
,   O
98386   B-LOCATION
.   O

Later   O
,   O
Corus   B-NAME
was   O
referred   O
to   O
Home   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
to   O
arrange   O
a   O
specialized   O
care   O
schedule   O
for   O
post   O
-   O
procedure   O
recovery   O
.   O

A   O
follow   O
-   O
up   O
was   O
scheduled   O
for   O
02/04   B-DATE
for   O
further   O
monitoring   O
and   O
plan   O
the   O
management   O
accordingly   O
.   O

All   O
of   O
the   O
interactions   O
have   O
been   O
documented   O
under   O
account   O
JZ646   B-NAME
.   O

The   O
Terrebonne   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
medical   O
team   O
is   O
determined   O
to   O
continue   O
giving   O
Presley   B-NAME
Tapia   I-NAME
the   O
best   O
possible   O
care   O
and   O
aid   O
in   O
the   O
most   O
swift   O
and   O
efficient   O
recovery   O
possible   O
.   O

Signature   O
:   O
Heath   B-NAME
Wood   I-NAME

Patient   O
Name   O
:   O
Potter   B-NAME
's   I-NAME
Age   O
:   O
62   O
Address   O
:   O
Tarpon   B-LOCATION
Springs   I-LOCATION
Phone   O
Number   O
:   O
810   B-CONTACT
786   I-CONTACT
-   I-CONTACT
4658   I-CONTACT
Health   O
Record   O
Number   O
:   O
78048760   B-ID
DOB   O
:   O
3/12   B-DATE
Medical   O
Report   O
:   O

The   O
patient   O
was   O
referred   O
by   O
Arias   B-NAME
from   O
Highsmith   B-LOCATION
-   I-LOCATION
Rainey   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
.   O

She   O
had   O
been   O
under   O
the   O
primary   O
care   O
of   O
this   O
physician   O
from   O
04/22   B-DATE
.   O

The   O
patient   O
complains   O
of   O
sudden   O
,   O
sharp   O
chest   O
pains   O
that   O
started   O
around   O
the   O
left   O
part   O
of   O
her   O
chest   O
two   O
days   O
ago   O
on   O
29/07   B-DATE
.   O

Upon   O
conducting   O
an   O
ECG   O
and   O
blood   O
test   O
on   O
32/07   B-DATE
,   O
elevated   O
levels   O
of   O
Troponin   O
,   O
irregular   O
heart   O
rhythms   O
,   O
and   O
ST   O
-   O
elevation   O
were   O
observed   O
.   O

We   O
admitted   O
her   O
into   O
the   O
Cardiology   O
Department   O
of   O
Legacy   B-LOCATION
Silverton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
examination   O
and   O
monitoring   O
.   O

Her   O
medical   O
record   O
number   O
was   O
assigned   O
as   O
48109372   B-ID
.   O

Treatment   O
was   O
initiated   O
using   O
intravenous   O
nitroglycerin   O
and   O
Heparin   O
,   O
started   O
on   O
10/12/22   B-DATE
.   O

Consultations   O
were   O
done   O
over   O
the   O
922   B-CONTACT
796   I-CONTACT
-   I-CONTACT
1857   I-CONTACT
with   O
Cardiologist   O
Cabrera   B-NAME
who   O
suggested   O
initiating   O
dual   O
antiplatelet   O
therapy   O
:   O
aspirin   O
and   O
clopidogrel   O
,   O
along   O
with   O
heart   O
rate   O
control   O
medication   O
.   O

Cardiac   O
catheterization   O
has   O
been   O
planned   O
on   O
07/12   B-DATE
with   O
all   O
covid   O
safety   O
protocols   O
in   O
place   O
by   O
Citizens   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

The   O
health   O
insurance   O
details   O
were   O
verified   O
and   O
processed   O
by   O
contacting   O
Danish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
with   O
the   O
patient   O
's   O
insurance   O
ID   O
number   O
being   O
224467167   B-ID
.   O

The   O
patient   O
was   O
informed   O
to   O
continue   O
the   O
prescribed   O
treatments   O
and   O
follow   O
all   O
dietary   O
restrictions   O
advised   O
by   O
Dietician   O
Shyanne   B-NAME
Molina   I-NAME
.   O

Post   O
-   O
Catheterization   O
,   O
depending   O
on   O
the   O
outcomes   O
,   O
further   O
treatment   O
and   O
rehabilitation   O
plans   O
will   O
be   O
discussed   O
in   O
the   O
subsequent   O
visit   O
to   O
Grand   B-LOCATION
Terrace   I-LOCATION
on   O
03/26   B-DATE
at   O
13852   B-LOCATION
.   O

We   O
also   O
created   O
a   O
profile   O
for   O
Eaton   B-NAME
on   O
our   O
hospital   O
's   O
patient   O
portal   O
.   O

The   O
username   O
for   O
accessing   O
the   O
portal   O
is   O
jkt778   B-NAME
.   O

Signed   O
by   O
,   O
Claudia   B-NAME
Schultz   I-NAME
35/27   B-DATE

Patient   O
Tapia   B-NAME
visited   O
the   O
medical   O
health   O
facility   O
Bay   B-LOCATION
Area   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2148   B-DATE
.   O

Her   O
primary   O
physician   O
,   O
Rice   B-NAME
,   O
was   O
not   O
immediately   O
available   O
,   O
so   O
she   O
was   O
seen   O
by   O
another   O
member   O
of   O
the   O
team   O
.   O

Holt   B-NAME
,   I-NAME
Anatol   I-NAME
is   O
a   O
Microbiologists   O
in   O
a   O
respected   O
Telecommunications   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
located   O
in   O
Essexville   B-LOCATION
.   O

She   O
lives   O
in   O
the   O
52721   B-LOCATION
zip   O
code   O
area   O
,   O
which   O
is   O
a   O
good   O
distance   O
away   O
.   O

Khan   B-NAME
,   I-NAME
Shahrukh   I-NAME
's   O
main   O
complaint   O
was   O
a   O
shortness   O
of   O
breath   O
that   O
had   O
been   O
persisting   O
for   O
almost   O
a   O
week   O
,   O
accompanied   O
by   O
a   O
dry   O
cough   O
.   O

The   O
physician   O
who   O
attended   O
to   O
her   O
entered   O
the   O
assessment   O
and   O
related   O
notes   O
into   O
her   O
medical   O
record   O
number   O
,   O
9040U28645   B-ID
.   O

Julianne   B-NAME
Costa   I-NAME
was   O
ensured   O
that   O
all   O
her   O
medical   O
data   O
is   O
confidential   O
and   O
securely   O
stored   O
,   O
implying   O
the   O
non   O
-   O
disclosure   O
of   O
her   O
ID   O
,   O
401714   B-ID
,   O
or   O
phone   O
number   O
,   O
148   B-CONTACT
3283   I-CONTACT
.   O

Kuriyama   B-NAME
,   I-NAME
Chiaki   I-NAME
will   O
be   O
recalled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
University   B-LOCATION
Hospitals   I-LOCATION
Parma   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
due   O
time   O
.   O

After   O
the   O
appointment   O
,   O
the   O
attending   O
physician   O
sent   O
a   O
detailed   O
report   O
of   O
the   O
visit   O
and   O
his   O
findings   O
to   O
Mingan   B-NAME
's   O
primary   O
physician   O
,   O
Julianna   B-NAME
Morrison   I-NAME
,   O
by   O
securely   O
using   O
the   O
AD483   B-NAME
.   O

Abraham   B-NAME
Mathis   I-NAME
was   O
advised   O
to   O
immediately   O
contact   O
WellSpan   B-LOCATION
Gettysburg   I-LOCATION
Hospital   I-LOCATION
in   O
case   O
of   O
any   O
emergent   O
symptoms   O
such   O
as   O
sudden   O
weight   O
loss   O
,   O
increased   O
frequency   O
of   O
breathlessness   O
,   O
or   O
lower   O
extremity   O
edema   O
.   O

Please   O
note   O
this   O
information   O
is   O
highly   O
confidential   O
and   O
can   O
only   O
be   O
disclosed   O
on   O
need   O
-   O
to   O
-   O
know   O
basis   O
under   O
circumstances   O
involving   O
Arthur   B-NAME
Light   I-NAME
's   O
care   O
or   O
treatment   O
.   O

Patient   O
Name   O
:   O
Karrack   B-NAME
Iltzsch   I-NAME
Age   O
:   O
79   O
Date   O
:   O
32/18/2104   B-DATE
Doctor   O
:   O
Zuniga   B-NAME
Hospital   O
:   O
Southern   B-LOCATION
Ocean   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
8   B-ID
-   I-ID
3518702   I-ID
Location   O
:   O
Middleham   B-LOCATION
Medical   O
Record   O
:   O
355232CA   B-ID
Organization   O
:   O

Hirschfeld   B-LOCATION
Eddy   I-LOCATION
Foundation   I-LOCATION
Phone   O
:   O
778   B-CONTACT
-   I-CONTACT
766   I-CONTACT
-   I-CONTACT
8189   I-CONTACT
Profession   O
:   O

Photoengraving   O
and   O
Lithographing   O
Machine   O
Operators   O
and   O
Tenders   O
Username   O
:   O
wvq405   B-NAME
Zip   O
:   O
90183   B-LOCATION
Chief   O
Complaints   O
:   O
Patient   O
Smith   B-NAME
,   I-NAME
Adam   I-NAME
,   O
age   O
62   O
,   O
presented   O
with   O
persistent   O
dry   O
cough   O
,   O
intermittent   O
fever   O
and   O
acute   O
shortness   O
of   O
breath   O
since   O
March   B-DATE
00   I-DATE
.   O

Previous   O
medical   O
records   O
(   O
51210425   B-ID
)   O
show   O
that   O
the   O
patient   O
has   O
a   O
history   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Plan   O
:   O
I   O
advised   O
the   O
patient   O
to   O
admit   O
in   O
Summit   B-LOCATION
Healthcare   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

The   O
patient   O
agreed   O
to   O
the   O
plan   O
and   O
was   O
admitted   O
on   O
the   O
same   O
day   O
13/21/57   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Joaquin   B-NAME
Kemp   I-NAME
on   O
June   B-DATE
2250   I-DATE
.   O

If   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
,   O
the   O
patient   O
is   O
advised   O
to   O
call   O
my   O
office   O
at   O
348   B-CONTACT
-   I-CONTACT
5185   I-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
.   O

Signature   O
:   O
Glover   B-NAME
Emergency   O
Management   O
Directors   O
at   O
AmTrust   B-LOCATION
Bank   I-LOCATION
Hidden   B-LOCATION
Lake   I-LOCATION
,   O
92660   B-LOCATION
(   O
Note   O
:   O
This   O
information   O
is   O
confidential   O
and   O
only   O
for   O
the   O
use   O
of   O
cl439   B-NAME
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Nathan   B-NAME
Whitley   I-NAME
Age   O
:   O
26   O
Gender   O
:   O
Male   O
Medical   O
Record   O
Number   O
:   O
83316390   B-ID

The   O
patient   O
,   O
referred   O
to   O
me   O
by   O
Glass   B-NAME
,   O
is   O
a   O
Stock   O
Clerks   O
,   O
Sales   O
Floor   O
living   O
in   O
9846   B-LOCATION
Strawberry   I-LOCATION
Road   I-LOCATION
,   O
16021   B-LOCATION
.   O

The   O
initial   O
consultation   O
occurred   O
on   O
2040   B-DATE
.   O

Symptoms   O
:   O
Stuart   B-NAME
presented   O
with   O
a   O
severe   O
,   O
consistent   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
chest   O
X   O
-   O
ray   O
results   O
were   O
sent   O
to   O
me   O
from   O
Cass   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
31/02/92   B-DATE
which   O
indicated   O
the   O
presence   O
of   O
abnormalities   O
suggestive   O
of   O
pneumonia   O
.   O

He   O
has   O
an   O
appointment   O
scheduled   O
with   O
me   O
after   O
two   O
weeks   O
on   O
04/06   B-DATE
at   O
Formerly   B-LOCATION
Oakwood   I-LOCATION
Southshore   I-LOCATION
Hospital   I-LOCATION
,   O
Building   O
2   O
,   O
Room   O
number   O
431   O
for   O
a   O
follow   O
-   O
up   O
.   O

During   O
this   O
period   O
,   O
the   O
patient   O
is   O
advised   O
to   O
keep   O
track   O
of   O
his   O
temperature   O
using   O
the   O
health   O
monitoring   O
app   O
,   O
with   O
username   O
:   O
qf213   B-NAME
,   O
and   O
share   O
readings   O
in   O
case   O
of   O
any   O
spikes   O
.   O

The   O
patient   O
's   O
emergency   O
contact   O
is   O
his   O
brother   O
,   O
who   O
can   O
be   O
reached   O
at   O
439   B-CONTACT
-   I-CONTACT
9101   I-CONTACT
.   O

ID   O
card   O
for   O
insurance   O
:   O
7   B-ID
-   I-ID
2167426   I-ID
Insurance   O
Provider   O
:   O
Oligarcy   B-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
Please   O
show   O
your   O
ID   O
card   O
at   O
Star   B-LOCATION
's   I-LOCATION
Collective   I-LOCATION
when   O
collecting   O
prescribed   O
medications   O
.   O

Any   O
changes   O
to   O
the   O
appointment   O
will   O
be   O
communicated   O
over   O
the   O
phone   O
527   B-CONTACT
-   I-CONTACT
721   I-CONTACT
7533   I-CONTACT
.   O

The   O
health   O
and   O
convalescence   O
of   O
Steven   B-NAME
Kiley   I-NAME
depends   O
on   O
following   O
medical   O
advice   O
diligently   O
.   O

For   O
any   O
emergencies   O
,   O
please   O
contact   O
the   O
ER   O
of   O
AMITA   B-LOCATION
Health   I-LOCATION
Adventist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Bolingbrook   I-LOCATION
available   O
24/7   O
.   O

Dictated   O
By   O
:   O
Francis   B-NAME

Patient   O
Name   O
:   O
Anakin   B-NAME
Age   O
:   O
42   O
Medical   O
Record   O
Number   O
:   O
64807329   B-ID
Date   O
:   O
21/06   B-DATE
Mr.   O
SARINA   B-NAME
BOOTH   I-NAME
,   O
aged   O
76s   O
,   O
came   O
into   O
the   O
Crossroads   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
on   O
29/21/2120   B-DATE
with   O
complaints   O
of   O
chest   O
discomfort   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
symptoms   O
started   O
approximately   O
two   O
hours   O
ago   O
while   O
he   O
was   O
at   O
his   O
Music   O
Directors   O
and   O
Composers   O
job   O
in   O
East   B-LOCATION
Spencer   I-LOCATION
.   O

Upon   O
his   O
arrival   O
,   O
he   O
was   O
immediately   O
attended   O
by   O
Dr.   O
Sparks   B-NAME
.   O

Dr.   O
Mylee   B-NAME
Mayo   I-NAME
recommended   O
an   O
immediate   O
coronary   O
angiogram   O
to   O
ascertain   O
the   O
exact   O
location   O
and   O
extent   O
of   O
the   O
blockage   O
in   O
the   O
coronary   O
arteries   O
.   O

According   O
to   O
the   O
patient   O
’s   O
records   O
,   O
he   O
has   O
been   O
referred   O
to   O
the   O
Cullman   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
due   O
to   O
a   O
similar   O
episode   O
which   O
was   O
managed   O
effectively   O
about   O
three   O
years   O
ago   O
.   O

His   O
record   O
number   O
9463966   B-ID
includes   O
details   O
of   O
his   O
previous   O
treatment   O
at   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Soin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
and   O
further   O
history   O
to   O
provide   O
helpful   O
context   O
while   O
choosing   O
future   O
treatment   O
plans   O
.   O

Contact   O
was   O
made   O
with   O
the   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Montgomery   B-NAME
,   O
over   O
the   O
phone   O
639   B-CONTACT
1513   I-CONTACT
,   O
to   O
update   O
them   O
on   O
Mr.   O
Allais   B-NAME
,   I-NAME
Alphonse   I-NAME
's   O
current   O
situation   O
and   O
to   O
seek   O
further   O
medical   O
history   O
information   O
.   O

With   O
the   O
patient   O
's   O
consent   O
,   O
Dr.   O
Huang   B-NAME
provided   O
about   O
past   O
medical   O
interventions   O
and   O
results   O
for   O
Mr.   O
Meadow   B-NAME
Pratt   I-NAME
.   O

The   O
patient   O
resides   O
at   O
Chilcoot   B-LOCATION
,   O
and   O
his   O
home   O
phone   O
number   O
is   O
837   B-CONTACT
4047   I-CONTACT
.   O

His   O
driving   O
license   O
ID   O
number   O
is   O
AS:29886:431970   B-ID
,   O
and   O
his   O
postal   O
58577   B-LOCATION
is   O
65026   B-LOCATION
.   O

The   O
patient   O
is   O
employed   O
as   O
a   O
Criminal   O
Investigators   O
and   O
Special   O
Agents   O
in   O
the   O
Atlantic   B-LOCATION
City   I-LOCATION
Electric   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
situated   O
in   O
Pleasant   B-LOCATION
Valley   I-LOCATION
.   O

His   O
work   O
contact   O
number   O
is   O
425   B-CONTACT
892   I-CONTACT
7218   I-CONTACT
.   O

His   O
emergency   O
contact   O
details   O
conform   O
with   O
data   O
collected   O
during   O
his   O
previous   O
visit   O
(   O
Record   O
number   O
9   B-ID
-   I-ID
6619926   I-ID
,   O
dated   O
30/02   B-DATE
)   O
.   O

On   O
12/27/2140   B-DATE
,   O
Mr.   O
Chaz   B-NAME
Shepard   I-NAME
was   O
admitted   O
to   O
the   O
ward   O
ACMH   B-LOCATION
Hospital   I-LOCATION
for   O
observation   O
and   O
further   O
investigation   O
.   O

His   O
wellbeing   O
is   O
continuously   O
monitored   O
and   O
updated   O
within   O
the   O
hospital   O
's   O
system   O
using   O
his   O
unique   O
patient   O
identifier   O
,   O
OO4310   B-NAME
.   O

This   O
report   O
was   O
compiled   O
by   O
Dr.   O
Buckles   B-NAME
,   I-NAME
Frank   I-NAME
at   O
the   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Mount   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
in   O
Talladega   B-LOCATION
on   O
0232   B-DATE
.   O

Patient   O
Information   O
:   O
Evan   B-NAME
Newman   I-NAME
,   O
a   O
Police   O
and   O
Sheriff   O
's   O
Patrol   O
Officers   O
from   O
Tall   B-LOCATION
Timber   I-LOCATION
with   O
ID   O
:   O
BI:21461:499285   B-ID
presented   O
to   O
the   O
Fairmount   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
emergency   O
department   O
on   O
2/22   B-DATE
.   O

The   O
patient   O
,   O
who   O
is   O
at   O
the   O
age   O
of   O
1   O
week   O
,   O
has   O
a   O
medical   O
record   O
number   O
of   O
328   B-ID
-   I-ID
58   I-ID
-   I-ID
05   I-ID
.   O
Symptoms   O
:   O

The   O
Bridget   B-NAME
Barton   I-NAME
of   O
Desert   B-LOCATION
Hills   I-LOCATION
Bank   I-LOCATION
decided   O
to   O
hospitalize   O
the   O
patient   O
immediately   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

The   O
patient   O
was   O
transferred   O
to   O
CCU   O
with   O
reference   O
number   O
146   B-CONTACT
-   I-CONTACT
6033   I-CONTACT
and   O
was   O
administered   O
aspirin   O
and   O
nitroglycerin   O
sublingually   O
and   O
was   O
started   O
on   O
heparin   O
infusion   O
.   O

Notification   O
and   O
Follow   O
-   O
up   O
:   O
Contact   O
was   O
made   O
to   O
the   O
patient   O
's   O
emergency   O
contact   O
via   O
phone   O
:   O
393   B-CONTACT
-   I-CONTACT
6733   I-CONTACT
.   O

Follow   O
up   O
consultation   O
is   O
scheduled   O
for   O
Thursday   B-DATE
at   O
54283   B-LOCATION
area   O
in   O
the   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Augusta   I-LOCATION
.   O

Electronically   O
documented   O
by   O
:   O
sqo349   B-NAME
of   O
Hamilton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Syracuse   I-LOCATION
on   O
December   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Paisley   B-NAME
Anthony   I-NAME
Hazel   B-NAME
Webster   I-NAME
encountered   O
Darleen   B-NAME
Asberry   I-NAME
for   O
the   O
first   O
time   O
at   O
our   O
healthcare   O
facility   O
,   O
St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Pao   B-NAME
Arias   I-NAME
is   O
a   O
Advice   O
worker   O
based   O
in   O
Pymatuning   B-LOCATION
South   I-LOCATION
.   O

Endecott   B-NAME
Pliny   I-NAME
's   O
date   O
of   O
birth   O
is   O
removed   O
for   O
privacy   O
but   O
the   O
person   O
is   O
of   O
65   O
years   O
.   O

On   O
0/02/2392   B-DATE
,   O
Jekyll   B-NAME
and   I-NAME
Mr.   I-NAME
Hyde   I-NAME
presented   O
with   O
severe   O
headaches   O
,   O
fatigue   O
,   O
and   O
high   O
-   O
grade   O
fever   O
.   O

Further   O
diagnostic   O
tests   O
(   O
X   O
-   O
rays   O
,   O
ultrasound   O
etc   O
)   O
were   O
all   O
performed   O
at   O
Clinch   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Giancarlo   B-NAME
Sanders   I-NAME
was   O
positive   O
for   O
the   O
vector   O
-   O
borne   O
disease   O
,   O
Lyme   O
disease   O
.   O

Brady   B-NAME
lives   O
in   O
Avenal   B-LOCATION
,   O
a   O
region   O
known   O
for   O
its   O
high   O
incidence   O
rate   O
of   O
Lyme   O
disease   O
due   O
to   O
the   O
presence   O
of   O
ticks   O
.   O

The   O
Lyme   O
disease   O
diagnosis   O
was   O
noted   O
in   O
Xenakis   B-NAME
's   O
medical   O
history   O
under   O
the   O
record   O
22664104   B-ID
.   O

Further   O
consultations   O
were   O
scheduled   O
for   O
1/9   B-DATE
with   O
Otho   B-NAME
Bookmiller   I-NAME
.   O

Our   O
next   O
step   O
for   O
Brock   B-NAME
Sterling   I-NAME
includes   O
the   O
prescription   O
of   O
a   O
course   O
of   O
antibiotics   O
for   O
the   O
Lyme   O
disease   O
along   O
with   O
regular   O
check   O
-   O
ups   O
.   O

Grudin   B-NAME
,   I-NAME
Robert   I-NAME
has   O
been   O
advised   O
to   O
take   O
adequate   O
rest   O
and   O
maintain   O
hydration   O
.   O

Contact   O
number   O
of   O
(   B-CONTACT
292   I-CONTACT
)   I-CONTACT
377   I-CONTACT
-   I-CONTACT
6219   I-CONTACT
can   O
be   O
used   O
to   O
schedule   O
appointments   O
or   O
for   O
any   O
further   O
queries   O
.   O

Insurance   O
number   O
has   O
been   O
redacted   O
for   O
protection   O
but   O
it   O
's   O
hint   O
is   O
MW706/5160   B-ID
.   O

Our   O
Abington   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Jefferson   I-LOCATION
Health   I-LOCATION
is   O
affiliated   O
with   O
Lemonade   B-LOCATION
(   I-LOCATION
insurance   I-LOCATION
)   I-LOCATION
,   O
a   O
renowned   O
healthcare   O
organization   O
in   O
Arenzville   B-LOCATION
.   O

The   O
patient   O
signed   O
the   O
consent   O
forms   O
with   O
the   O
username   O
lnr543   B-NAME
and   O
released   O
the   O
medical   O
reports   O
to   O
McDowell   B-LOCATION
Hospital   I-LOCATION
.   O

There   O
are   O
no   O
further   O
appointments   O
scheduled   O
at   O
Hendry   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
Bo   B-NAME
Robles   I-NAME
as   O
of   O
03/87   B-DATE
.   O

If   O
you   O
have   O
any   O
questions   O
or   O
need   O
additional   O
help   O
in   O
the   O
future   O
you   O
can   O
visit   O
us   O
at   O
Royal   B-LOCATION
Pines   I-LOCATION
or   O
call   O
at   O
907   B-CONTACT
-   I-CONTACT
3903   I-CONTACT
.   O

We   O
are   O
dedicated   O
to   O
helping   O
our   O
patients   O
in   O
67475   B-LOCATION
.   O

Medical   O
Officer   O
,   O
Holland   B-NAME

Patient   O
Name   O
:   O
Lyla   B-NAME
Frazier   I-NAME
Patient   O
Logan   B-NAME
Whitney   I-NAME
presented   O
to   O
the   O
Beacon   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
0/22   B-DATE
.   O

She   O
’s   O
a   O
Dredge   O
Operators   O
of   O
21   O
,   O
residing   O
in   O
Ponoka   B-LOCATION
,   I-LOCATION
AB   I-LOCATION
T4J   I-LOCATION
5X9   I-LOCATION
.   O

Upon   O
examination   O
by   O
Hazel   B-NAME
Golden   I-NAME
,   O
she   O
was   O
found   O
to   O
have   O
reduced   O
breath   O
sounds   O
in   O
her   O
left   O
lung   O
and   O
presented   O
with   O
a   O
low   O
-   O
grade   O
fever   O
.   O

A   O
chest   O
X   O
-   O
ray   O
was   O
recommended   O
by   O
Ruben   B-NAME
Bates   I-NAME
which   O
revealed   O
infiltrates   O
in   O
the   O
left   O
lower   O
lobe   O
suggestive   O
of   O
pneumonia   O
.   O

Ezekiel   B-NAME
Molina   I-NAME
endorsed   O
recent   O
contact   O
with   O
a   O
coworker   O
who   O
had   O
similar   O
symptoms   O
,   O
pointing   O
towards   O
possible   O
exposure   O
to   O
a   O
contagious   O
pathogen   O
.   O

Her   O
previous   O
medical   O
records   O
8198254   B-ID
revealed   O
that   O
Fuller   B-NAME
has   O
a   O
history   O
of   O
adult   O
-   O
onset   O
asthma   O
and   O
hypertension   O
,   O
and   O
is   O
currently   O
on   O
medication   O
including   O
bronchodilators   O
and   O
Angiotensin   O
-   O
converting   O
enzyme   O
(   O
ACE   O
)   O
inhibitors   O
.   O

A   O
treatment   O
protocol   O
of   O
antibiotics   O
,   O
along   O
with   O
symptomatic   O
treatment   O
for   O
her   O
cough   O
,   O
was   O
initiated   O
under   O
the   O
supervision   O
of   O
Delgado   B-NAME
.   O

Harrison   B-NAME
was   O
educated   O
about   O
the   O
importance   O
of   O
strict   O
medication   O
adherence   O
and   O
lifestyle   O
modifications   O
including   O
tobacco   O
cessation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
22/10   B-DATE
at   O
the   O
Marco   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
clinic   O
located   O
in   O
Fall   B-LOCATION
Branch   I-LOCATION
.   O

For   O
any   O
emergency   O
or   O
difficulty   O
,   O
Imala   B-NAME
is   O
advised   O
to   O
immediately   O
contact   O
the   O
San   B-LOCATION
Dimas   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
24x7   O
helpline   O
at   O
774   B-CONTACT
-   I-CONTACT
5181   I-CONTACT
or   O
directly   O
connect   O
with   O
Burke   B-NAME
.   O

The   O
patient   O
file   O
GN:42863:510564   B-ID
will   O
be   O
updated   O
with   O
this   O
medical   O
intervention   O
for   O
further   O
reference   O
.   O

A   O
copy   O
of   O
the   O
same   O
reference   O
has   O
been   O
emailed   O
to   O
her   O
personal   O
account   O
zvz86   B-NAME
.   O

She   O
lives   O
in   O
the   O
42774   B-LOCATION
area   O
and   O
with   O
her   O
job   O
as   O
a   O
Medical   O
Equipment   O
Preparers   O
,   O
she   O
regularly   O
commutes   O
to   O
Columbus   B-LOCATION
,   I-LOCATION
Columbus   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
.   I-LOCATION

The   O
patient   O
,   O
yamamoto   B-NAME
,   O
visited   O
Harborview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
an   O
examination   O
on   O
2/31   B-DATE
.   O

He   O
lives   O
in   O
Margate   B-LOCATION
City   I-LOCATION
with   O
his   O
family   O
.   O

His   O
medical   O
record   O
number   O
is   O
21619720   B-ID
.   O

His   O
consultation   O
with   O
Hansen   B-NAME
at   O
St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
revealed   O
that   O
he   O
had   O
been   O
experiencing   O
bouts   O
of   O
vertigo   O
along   O
with   O
his   O
headaches   O
,   O
particularly   O
in   O
the   O
morning   O
.   O

On   O
22/02/70   B-DATE
,   O
the   O
patient   O
returned   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

The   O
patient   O
can   O
be   O
reached   O
at   O
his   O
personal   O
contact   O
number   O
(   O
719   B-CONTACT
-   I-CONTACT
9509   I-CONTACT
)   O
and   O
email   O
i   O
d   O
(   O
[   O
USERNAME   O
)   O
for   O
further   O
communication   O
regarding   O
his   O
treatment   O
.   O

His   O
insurance   O
ID   O
is   O
XY275/8751   B-ID
and   O
covered   O
under   O
the   O
plan   O
provided   O
by   O
Unitil   B-LOCATION
Corporation   I-LOCATION
.   O

The   O
patient   O
's   O
zip   O
code   O
is   O
81724   B-LOCATION
.   O

Patient   O
Report   O
Name   O
:   O
Nicholson   B-NAME
Address   O
:   O
Taylors   B-LOCATION
Falls   I-LOCATION
Phone   O
:   O
568   B-CONTACT
1002   I-CONTACT
DOB   O
:   O
25/24/19   B-DATE
Occupation   O
:   O
Continuous   O
Mining   O
Machine   O
Operators   O
SSN   O
:   O
VG359/9121   B-ID
Physician   O
:   O

Naomi   B-NAME
Patton   I-NAME
Medical   O
Record   O
Number   O
:   O
4482491   B-ID
Presenting   O
to   O
the   O
Holy   B-LOCATION
Cross   I-LOCATION
Germantown   I-LOCATION
Hospital   I-LOCATION
on   O
0/32   B-DATE
,   O
the   O
patient   O
,   O
Collins   B-NAME
,   O
a   O
89   O
year   O
old   O
Financial   O
Analysts   O
,   O
reported   O
symptoms   O
that   O
have   O
been   O
persistent   O
for   O
the   O
past   O
three   O
weeks   O
.   O

Robby   B-NAME
also   O
reported   O
a   O
dry   O
,   O
nonproductive   O
cough   O
,   O
orthopnea   O
,   O
and   O
fatigue   O
.   O

Further   O
diagnostic   O
procedures   O
,   O
including   O
EKG   O
,   O
echocardiogram   O
and   O
cardiac   O
stress   O
test   O
,   O
are   O
scheduled   O
for   O
02/10/82   B-DATE
at   O
Wesley   B-LOCATION
Woods   I-LOCATION
Geriatric   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Emory   I-LOCATION
University   I-LOCATION
.   O

Next   O
of   O
kin   O
is   O
ullmann   B-NAME
's   O
sibling   O
who   O
lives   O
in   O
Walthill   B-LOCATION
.   O

Their   O
contact   O
number   O
is   O
474   B-CONTACT
-   I-CONTACT
1025   I-CONTACT
.   O

Insurance   O
details   O
:   O
The   O
patient   O
is   O
insured   O
with   O
International   B-LOCATION
Primate   I-LOCATION
Protection   I-LOCATION
League   I-LOCATION
(   I-LOCATION
IPPL   I-LOCATION
)   I-LOCATION
.   O

Policy   O
number   O
is   O
4   B-ID
-   I-ID
7252391   I-ID
.   O

All   O
pertinent   O
medical   O
records   O
will   O
be   O
sent   O
to   O
HD914   B-NAME
,   O
Franco   B-NAME
at   O
Fairview   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
review   O
.   O

Hong   B-NAME
Beeson   I-NAME
has   O
been   O
given   O
an   O
appointment   O
to   O
return   O
on   O
2182   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
15   I-DATE
for   O
follow   O
up   O
.   O

Report   O
signed   O
by   O
:   O
Berg   B-NAME
Dated   O
:   O
35/12/62   B-DATE
Zip   O
Code   O
:   O
11724   B-LOCATION

Mr.   O
Ernesto   B-NAME
Meyer   I-NAME
is   O
a   O
82   O
-   O
year   O
-   O
old   O
individual   O
who   O
visited   O
Dr.   O
Stuart   B-NAME
Hessler   I-NAME
on   O
2297   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
04   I-DATE
in   O
Greentop   B-LOCATION
.   O

Patient   O
ID   O
is   O
809796463   B-ID
and   O
his   O
medical   O
record   O
number   O
is   O
2937997   B-ID
.   O

Mr.   O
Schultz   B-NAME
,   I-NAME
Charles   I-NAME
M.   I-NAME
mentioned   O
that   O
he   O
had   O
visited   O
McKay   B-LOCATION
-   I-LOCATION
Dee   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
in   O
the   O
past   O
for   O
a   O
similar   O
issue   O
.   O

Mr.   O
Castro   B-NAME
Leversee   I-NAME
was   O
diagnosed   O
with   O
COPD   O
at   O
the   O
Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
approximately   O
ten   O
years   O
ago   O
.   O

Symptoms   O
:   O
On   O
0/20   B-DATE
,   O
the   O
patient   O
began   O
experiencing   O
a   O
dry   O
and   O
irritating   O
cough   O
that   O
has   O
worsened   O
over   O
time   O
.   O

Evidence   O
of   O
hyperinflation   O
was   O
observed   O
in   O
the   O
chest   O
radiograph   O
taken   O
at   O
Eden   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Social   O
History   O
:   O
Mr.   O
Frances   B-NAME
Reid   I-NAME
used   O
to   O
work   O
as   O
a   O
Laborers   O
and   O
Freight   O
,   O
Stock   O
,   O
and   O
Material   O
Movers   O
,   O
Hand   O
for   O
Beach   B-LOCATION
First   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

He   O
lives   O
alone   O
and   O
can   O
be   O
contacted   O
at   O
95045   B-CONTACT
.   O

A   O
follow   O
up   O
appointment   O
with   O
Dr.   O
Roach   B-NAME
at   O
Morton   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
scheduled   O
on   O
32/18   B-DATE
.   O

He   O
was   O
given   O
a   O
patient   O
user   O
guide   O
with   O
a   O
username   O
pip781   B-NAME
to   O
allow   O
access   O
to   O
his   O
case   O
online   O
.   O

A   O
prescription   O
was   O
handed   O
out   O
and   O
he   O
was   O
advised   O
to   O
fill   O
it   O
in   O
at   O
Avocats   B-LOCATION
Sans   I-LOCATION
Frontières   I-LOCATION
located   O
in   O
93051   B-LOCATION
.   O

Patient   O
Mckenna   B-NAME
Snow   I-NAME
presented   O
to   O
Edgewood   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
on   O
Wednesday   B-DATE
,   I-DATE
March   I-DATE
.   O

Elvis   B-NAME
Joyce   I-NAME
's   O
primary   O
physician   O
,   O
Graham   B-NAME
,   O
was   O
initially   O
contacted   O
through   O
449   B-CONTACT
-   I-CONTACT
4095   I-CONTACT
.   O

Dr.   O
Castro   B-NAME
recommended   O
the   O
patient   O
be   O
brought   O
in   O
for   O
further   O
examination   O
.   O

During   O
the   O
examination   O
,   O
Usha   B-NAME
Gibbons   I-NAME
also   O
shared   O
that   O
he   O
/   O
she   O
is   O
experiencing   O
associated   O
weight   O
loss   O
and   O
fatigue   O
.   O

Patient   O
Dania   B-NAME
complained   O
of   O
chest   O
tightness   O
during   O
the   O
procedure   O
.   O

Bates   B-NAME
has   O
requested   O
a   O
pulmonary   O
function   O
test   O
(   O
PFT   O
)   O
to   O
be   O
performed   O
tomorrow   O
on   O
2324   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
02   I-DATE
.   O

Gad   B-NAME
is   O
currently   O
being   O
monitored   O
in   O
room   O
23   O
of   O
the   O
Florida   B-LOCATION
Hospital   I-LOCATION
Tampa   I-LOCATION
.   O

According   O
to   O
the   O
medical   O
record   O
69536951   B-ID
,   O
other   O
vitals   O
including   O
blood   O
pressure   O
and   O
heart   O
rate   O
were   O
within   O
normal   O
limits   O
.   O

Patient   O
is   O
a   O
resident   O
from   O
Burtts   B-LOCATION
Corner   I-LOCATION
,   I-LOCATION
NB   I-LOCATION
E6L   I-LOCATION
1S6   I-LOCATION
,   O
which   O
has   O
recently   O
seen   O
a   O
surge   O
in   O
respiratory   O
illnesses   O
due   O
to   O
high   O
pollution   O
levels   O
.   O

As   O
a   O
former   O
Employment   O
,   O
Recruitment   O
,   O
and   O
Placement   O
Specialists   O
,   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
has   O
had   O
prolonged   O
exposure   O
to   O
unhealthy   O
environments   O
.   O

A   O
follow   O
up   O
appointment   O
is   O
scheduled   O
for   O
32/37   B-DATE
once   O
all   O
test   O
results   O
are   O
compiled   O
.   O

Abbey   B-NAME
,   I-NAME
Edward   I-NAME
must   O
contact   O
Paul   B-NAME
Hunter   I-NAME
at   O
(   B-CONTACT
347   I-CONTACT
)   I-CONTACT
269   I-CONTACT
1520   I-CONTACT
in   O
case   O
of   O
increased   O
discomfort   O
or   O
if   O
symptoms   O
worsen   O
in   O
the   O
meantime   O
.   O

All   O
medical   O
information   O
has   O
been   O
updated   O
in   O
the   O
system   O
with   O
the   O
personal   O
health   O
record   O
BY401/4949   B-ID
and   O
will   O
be   O
shared   O
with   O
the   O
family   O
physician   O
at   O
Michigan   B-LOCATION
Heritage   I-LOCATION
Bank   I-LOCATION
via   O
user   O
inz740   B-NAME
.   O

Any   O
further   O
queries   O
can   O
be   O
directed   O
to   O
Hardin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
reception   O
desk   O
on   O
73343   B-CONTACT
or   O
our   O
premises   O
at   O
Lavallette   B-LOCATION
,   O
zip   O
code   O
11724   B-LOCATION
.   O

Patient   O
Information   O
:   O
Mr.   O
Valentine   B-NAME
Kleine   I-NAME
is   O
a   O
6   O
month   O
year   O
old   O
male   O
,   O
from   O
Tony   B-LOCATION
,   O
referred   O
to   O
us   O
by   O
Dr.   O
Singleton   B-NAME
.   O

He   O
was   O
admitted   O
to   O
Nathan   B-LOCATION
Littauer   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Nursing   I-LOCATION
Home   I-LOCATION
on   O
03/37   B-DATE
.   O

He   O
is   O
an   O
active   O
Coating   O
,   O
Painting   O
,   O
and   O
Spraying   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
currently   O
employed   O
at   O
Australian   B-LOCATION
Salaried   I-LOCATION
Medical   I-LOCATION
Officers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
.   O

His   O
contact   O
number   O
is   O
639   B-CONTACT
-   I-CONTACT
8407   I-CONTACT
.   O

Symptoms   O
:   O
On   O
initial   O
assessment   O
,   O
Christian   B-NAME
Curry   I-NAME
presented   O
with   O
paroxysmal   O
nocturnal   O
dyspnea   O
,   O
swelling   O
in   O
the   O
lower   O
extremities   O
and   O
fatigue   O
.   O

On   O
physical   O
examination   O
,   O
Wiley   B-NAME
appeared   O
breathless   O
with   O
a   O
respiratory   O
rate   O
of   O
30   O
breaths   O
per   O
minute   O
.   O

The   O
patient   O
’s   O
medical   O
record   O
number   O
is   O
2452338   B-ID
.   O

His   O
health   O
insurance   O
ID   O
number   O
is   O
RN:10645:120576   B-ID
and   O
his   O
current   O
service   O
provider   O
is   O
International   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Journalists   I-LOCATION
.   O

The   O
patient   O
is   O
being   O
kept   O
under   O
close   O
observation   O
and   O
the   O
attending   O
physician   O
,   O
Dr.   O
Waters   B-NAME
will   O
update   O
the   O
family   O
.   O

The   O
patient   O
's   O
postal   O
address   O
is   O
Storm   B-LOCATION
Lake   I-LOCATION
,   O
56834   B-LOCATION
.   O

Dr.   O
Crisp   B-NAME
,   I-NAME
Quentin   I-NAME
can   O
be   O
contacted   O
via   O
his   O
username   O
at   O
ws106   B-NAME
for   O
further   O
clarification   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Paul   B-NAME
Gardner   I-NAME
Age   O
:   O
75   O
Location   O
:   O
Detroit   B-LOCATION
-   I-LOCATION
Corktown   I-LOCATION
's   I-LOCATION
Michigan   I-LOCATION
Avenue   I-LOCATION
Business   I-LOCATION
District   I-LOCATION
,   I-LOCATION
Greater   I-LOCATION
Corktown   I-LOCATION
Development   I-LOCATION
Corporation   I-LOCATION
Medical   O
Record   O
Number   O
:   O
8249522   B-ID
Doctor   O
:   O
Rory   B-NAME
Lyons   I-NAME
Hospital   O
:   O
Littleton   B-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
LJ507/5746   B-ID
93059084   B-ID
:   O

April   B-DATE
2   I-DATE
Ponce   B-NAME
has   O
submitted   O
the   O
following   O
report   O
for   O
Martinius   B-NAME
Insognia   I-NAME
,   O
a   O
Structural   O
engineer   O
of   O
7   O
week   O
from   O
East   B-LOCATION
Palatka   I-LOCATION
.   O

After   O
a   O
detailed   O
examination   O
on   O
20/17   B-DATE
at   O
SSM   B-LOCATION
Health   I-LOCATION
Cardinal   I-LOCATION
Glennon   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
,   O
frances   B-NAME
cramer   I-NAME
appears   O
to   O
report   O
multiple   O
symptoms   O
associated   O
with   O
influenza   O
,   O
notably   O
a   O
onset   O
of   O
high   O
fever   O
,   O
fatigue   O
,   O
body   O
aches   O
especially   O
in   O
the   O
back   O
and   O
legs   O
and   O
a   O
continuous   O
dry   O
cough   O
.   O

Cowper   B-NAME
,   I-NAME
William   I-NAME
also   O
reports   O
mild   O
symptoms   O
of   O
loss   O
of   O
appetite   O
and   O
an   O
observed   O
weight   O
loss   O
over   O
the   O
January   B-DATE
2   I-DATE
-   O
12/62   B-DATE
period   O
.   O

The   O
fever   O
peaked   O
at   O
39.5   O
Celsius   O
on   O
25   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
2161   I-DATE
.   O

Complete   O
blood   O
count   O
,   O
conducted   O
at   O
the   O
Holland   B-LOCATION
Hospital   I-LOCATION
yielded   O
results   O
leaning   O
towards   O
a   O
viral   O
infection   O
.   O

Serology   O
tests   O
are   O
recommended   O
to   O
be   O
taken   O
place   O
at   O
Transparency   B-LOCATION
International   I-LOCATION
by   O
3121   B-DATE
for   O
confirmation   O
of   O
the   O
influenza   O
virus   O
.   O

Hood   B-NAME
's   O
work   O
51606265   B-ID
was   O
informed   O
and   O
recommends   O
a   O
quarantine   O
period   O
of   O
at   O
least   O
14   O
days   O
at   O
the   O
Anawalt   B-LOCATION
residence   O
,   O
per   O
the   O
guidelines   O
set   O
by   O
the   O
International   B-LOCATION
Primate   I-LOCATION
Protection   I-LOCATION
League   I-LOCATION
(   I-LOCATION
IPPL   I-LOCATION
)   I-LOCATION
.   O

Raiden   B-NAME
Blackburn   I-NAME
can   O
be   O
reached   O
for   O
further   O
queries   O
at   O
378   B-CONTACT
-   I-CONTACT
7882   I-CONTACT
.   O

Given   O
the   O
situation   O
,   O
the   O
Baystate   B-LOCATION
Wing   I-LOCATION
Hospital   I-LOCATION
will   O
oversee   O
the   O
care   O
remotely   O
for   O
Carter   B-NAME
,   I-NAME
Howard   I-NAME
and   O
only   O
recommend   O
physical   O
examinations   O
if   O
the   O
symptoms   O
worsen   O
and   O
will   O
coordinate   O
with   O
the   O
Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
’s   O
primary   O
healthcare   O
provider   O
for   O
follow   O
-   O
ups   O
.   O

Nurse   O
VO529   B-NAME
from   O
the   O
Carson   B-LOCATION
Tahoe   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
conduct   O
daily   O
checks   O
via   O
phone   O
at   O
(   B-CONTACT
771   I-CONTACT
)   I-CONTACT
144   I-CONTACT
-   I-CONTACT
5668   I-CONTACT
.   O

She   O
resides   O
at   O
West   B-LOCATION
Jefferson   I-LOCATION
74299   B-LOCATION
and   O
can   O
perform   O
home   O
visits   O
,   O
if   O
necessary   O
.   O
O’Shaughnessy   B-NAME
,   I-NAME
Arthur   I-NAME
‘s   O
next   O
check   O
-   O
up   O
is   O
on   O
6   B-DATE
-   I-DATE
11   I-DATE
and   O
will   O
require   O
fasting   O
from   O
5/01/2103   B-DATE
,   O
any   O
changes   O
to   O
be   O
updated   O
via   O
RY326   B-NAME
.   O

Patient   O
Name   O
:   O
Miley   B-NAME
Friedman   I-NAME
Age   O
:   O
17   O
Location   O
:   O

Feather   B-LOCATION
Sound   I-LOCATION
Phone   O
:   O
35276   B-CONTACT
ID   O
:   O
0   B-ID
-   I-ID
1056196   I-ID
Mail   O
:   O
BH641   B-NAME
Medical   O
Record   O
:   O
6526240   B-ID
2/21   B-DATE
Subject   O
:   O
Consultation   O
regarding   O
recurring   O
migraines   O
Dear   O
Donovan   B-NAME
,   O
I   O
am   O
writing   O
to   O
provide   O
an   O
update   O
on   O
Dona   B-NAME
Burris   I-NAME
's   O
current   O
condition   O
.   O

Samson   B-NAME
Padilla   I-NAME
's   O
most   O
recent   O
visit   O
to   O
Crotched   B-LOCATION
Mountain   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
was   O
on   O
12/02/2094   B-DATE
due   O
to   O
severe   O
and   O
recurrent   O
migraines   O
.   O

Domeyko   B-NAME
,   I-NAME
Ignacy   I-NAME
has   O
been   O
reporting   O
these   O
headaches   O
for   O
the   O
last   O
two   O
months   O
,   O
with   O
increasing   O
frequency   O
and   O
severity   O
each   O
week   O
.   O

Brianna   B-NAME
Fitzgerald   I-NAME
describes   O
it   O
as   O
an   O
intense   O
,   O
throbbing   O
pain   O
that   O
can   O
last   O
anywhere   O
from   O
4   O
to   O
72   O
hours   O
at   O
a   O
time   O
.   O

Accompanying   O
symptoms   O
include   O
photosensitivity   O
,   O
phonosensitivity   O
,   O
severe   O
nausea   O
,   O
and   O
occasional   O
vomiting   O
,   O
rendering   O
Kristian   B-NAME
Galvan   I-NAME
incapacitated   O
during   O
these   O
episodes   O
.   O

Kale   B-NAME
Hunter   I-NAME
currently   O
works   O
as   O
a   O
Software   O
Engineer   O
at   O
Otter   B-LOCATION
Tail   I-LOCATION
Power   I-LOCATION
Company   I-LOCATION
,   O
a   O
position   O
that   O
requires   O
long   O
hours   O
in   O
front   O
of   O
a   O
computer   O
screen   O
usually   O
in   O
a   O
high   O
-   O
stress   O
environment   O
.   O

I   O
recommend   O
that   O
Petronius   B-NAME
be   O
referred   O
to   O
a   O
neurological   O
specialist   O
for   O
further   O
evaluation   O
and   O
management   O
of   O
these   O
symptoms   O
.   O

Yours   O
sincerely   O
,   O
Dornfest   B-NAME
,   I-NAME
Rael   I-NAME
cc   O
:   O
Luis   B-NAME
Salas   I-NAME
's   O
General   O
Practitioner   O
,   O
Devereux   B-LOCATION
Foundation   I-LOCATION
,   O
Tehama   B-LOCATION
,   O
50523   B-LOCATION

Patient   O
Information   O
:   O
Mr.   O
Mitsuko   B-NAME
Nerney   I-NAME
is   O
a   O
7   O
year   O
old   O
male   O
presenting   O
to   O
the   O
emergency   O
department   O
of   O
Renown   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

His   O
symptoms   O
began   O
on   O
1715   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
10   I-DATE
.   O

The   O
admitting   O
physician   O
,   O
Sullivan   B-NAME
Dawson   I-NAME
,   O
noted   O
the   O
symptoms   O
seemed   O
consistent   O
with   O
gastroenteritis   O
.   O

Present   O
Illness   O
:   O
Mr.   O
Holmes   B-NAME
,   I-NAME
Oliver   I-NAME
Wendell   I-NAME
,   I-NAME
Sr   I-NAME
.   I-NAME
reported   O
that   O
his   O
illness   O
began   O
with   O
nausea   O
and   O
an   O
upset   O
stomach   O
.   O

Upon   O
reviewing   O
his   O
688   B-ID
-   I-ID
66   I-ID
-   I-ID
95   I-ID
-   I-ID
0   I-ID
,   O
Mr.   O
Mariana   B-NAME
Kemp   I-NAME
has   O
a   O
history   O
of   O
diabetes   O
and   O
hypertension   O
.   O

Mr.   O
Irineo   B-NAME
Tovar   I-NAME
is   O
an   O
engineer   O
by   O
dental   O
hygienist   O
.   O

He   O
lives   O
in   O
Goodview   B-LOCATION
with   O
his   O
wife   O
and   O
two   O
children   O
.   O

On   O
examination   O
,   O
Mr.   O
Cindy   B-NAME
Flores   I-NAME
's   O
temperature   O
was   O
99.6   O
°   O
F   O
.   O

Hospital   O
Course   O
:   O
Under   O
the   O
care   O
of   O
Dr.   O
Richardson   B-NAME
in   O
Hackensack   B-LOCATION
Meridian   I-LOCATION
Health   I-LOCATION
Pascack   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Mr.   O
Kaylen   B-NAME
Ferguson   I-NAME
underwent   O
a   O
series   O
of   O
tests   O
and   O
treatments   O
.   O

The   O
hospital   O
administration   O
may   O
follow   O
up   O
with   O
Mr.   O
Niki   B-NAME
Ahumada   I-NAME
for   O
more   O
updates   O
on   O
his   O
recovery   O
process   O
,   O
through   O
his   O
phone   O
number   O
:   O
(   B-CONTACT
947   I-CONTACT
)   I-CONTACT
485   I-CONTACT
8405   I-CONTACT
.   O

Billing   O
Information   O
:   O
Mr.   O
Rhianna   B-NAME
Owen   I-NAME
provided   O
his   O
IA   B-ID
:   I-ID
GE:1373   I-ID
and   O
health   O
insurance   O
information   O
for   O
billing   O
.   O

His   O
health   O
insurance   O
provider   O
is   O
Chestatee   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
.   O

The   O
billing   O
will   O
be   O
sent   O
to   O
his   O
home   O
at   O
Towner   B-LOCATION
-   O
46130   B-LOCATION
Logging   O
Information   O
:   O
For   O
any   O
queries   O
or   O
issues   O
with   O
this   O
medical   O
record   O
,   O
please   O
contact   O
the   O
data   O
manager   O
with   O
the   O
gj761   B-NAME
.   O

Next   O
Appointment   O
:   O
Mr.   O
Kiana   B-NAME
Knapp   I-NAME
will   O
follow   O
up   O
with   O
Dr.   O
Alberti   B-NAME
,   I-NAME
Leone   I-NAME
Battista   I-NAME
in   O
10   O
to   O
14   O
days   O
from   O
2021   B-DATE
at   O
Jack   B-LOCATION
Hughston   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Information   O
:   O
Yelton   B-NAME
:   O
Jordan   B-NAME
Hernandez   I-NAME
ID   O
Number   O
:   O
HS   B-ID
:   I-ID
VY:6334   I-ID
Medical   O
Record   O
Number   O
:   O
78710437   B-ID
Age   O
:   O
70   O
Contact   O
Number   O
:   O
23053   B-CONTACT
Location   O
:   O
Talahi   B-LOCATION
Island   I-LOCATION
Postal   O
Code   O
:   O
22746   B-LOCATION
Physician   O
in   O
Charge   O
:   O
Dr.   O
Shields   B-NAME
Institution   O
:   O

St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Presenting   O
Complaint   O
:   O

Whaley   B-NAME
is   O
a   O
Audio   O
and   O
Video   O
Equipment   O
Technicians   O
who   O
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
Aspirus   B-LOCATION
Keweenaw   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
Keweenaw   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
with   O
a   O
2   O
-   O
day   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
and   O
a   O
high   O
-   O
grade   O
fever   O
.   O

The   O
patient   O
reports   O
the   O
onset   O
of   O
symptoms   O
was   O
around   O
27/00   B-DATE
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Shoemaker   B-NAME
exhibited   O
bibasilar   O
rales   O
and   O
decreased   O
breath   O
sounds   O
,   O
combined   O
with   O
tachypnea   O
,   O
suggestive   O
of   O
a   O
lower   O
respiratory   O
tract   O
infection   O
.   O

Annabella   B-NAME
Mora   I-NAME
's   O
temperature   O
was   O
at   O
a   O
high   O
of   O
39   O
degrees   O
Celsius   O
.   O

Diagnostic   O
Tests   O
and   O
Results   O
:   O
A   O
chest   O
X   O
-   O
ray   O
taken   O
on   O
2/64   B-DATE
showed   O
bilateral   O
infiltrates   O
suggestive   O
of   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Caylee   B-NAME
Herman   I-NAME
was   O
positive   O
for   O
Influenza   O
A   O
during   O
the   O
rapid   O
Influenza   O
diagnostic   O
test   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Damien   B-NAME
Wang   I-NAME
advises   O
for   O
hospitalisation   O
due   O
to   O
Lincoln   B-NAME
,   I-NAME
Abraham   I-NAME
's   O
progressive   O
worsening   O
dyspnea   O
and   O
underlying   O
respiratory   O
condition   O
.   O

Sydnee   B-NAME
Reynolds   I-NAME
was   O
admitted   O
into   O
the   O
Pulmonary   O
Ward   O
in   O
5144132   B-ID
number   O
room   O
in   O
Jackson   B-LOCATION
Hospital   I-LOCATION
on   O
20/11/2019   B-DATE
.   O

Scheduled   O
Follow   O
-   O
up   O
:   O
Norah   B-NAME
Kirk   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Daniels   B-NAME
after   O
two   O
weeks   O
on   O
24/22/82   B-DATE
at   O
Monroe   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
.   O

Please   O
confirm   O
the   O
appointment   O
at   O
913   B-CONTACT
-   I-CONTACT
5396   I-CONTACT
or   O
email   O
at   O
nhx578   B-NAME
@   O
Bank   B-LOCATION
of   I-LOCATION
Lincolnwood   I-LOCATION
.com   O
.   O

This   O
report   O
was   O
meticulously   O
compiled   O
while   O
considering   O
the   O
best   O
interest   O
of   O
Glover   B-NAME
.   O

Thank   O
you   O
,   O
Dr.   O
Huber   B-NAME

Patient   O
Information   O
:   O
Turner   B-NAME
Hughes   I-NAME
,   O
a   O
Library   O
Assistants   O
,   O
Clerical   O
from   O
Letona   B-LOCATION
,   O
presented   O
at   O
the   O
Grove   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
on   O
03/12   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
and   O
persistent   O
emesis   O
.   O

Upon   O
review   O
of   O
the   O
medical   O
history   O
,   O
it   O
was   O
noted   O
that   O
Alexavier   B-NAME
has   O
a   O
history   O
of   O
chronic   O
gastrointestinal   O
issues   O
and   O
recently   O
started   O
using   O
a   O
new   O
medication   O
prescribed   O
by   O
Valencia   B-NAME
.   O

The   O
medication   O
details   O
were   O
obtained   O
from   O
Northern   B-LOCATION
States   I-LOCATION
Power   I-LOCATION
Company   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Xcel   I-LOCATION
Energy   I-LOCATION
using   O
their   O
database   O
with   O
the   O
help   O
of   O
the   O
patient   O
's   O
7   B-ID
-   I-ID
2392729   I-ID
.   O

Plan   O
of   O
Care   O
:   O
Rachell   B-NAME
Mielkie   I-NAME
was   O
admitted   O
to   O
Medical   B-LOCATION
Center   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
monitoring   O
and   O
treatment   O
necessary   O
as   O
per   O
the   O
guidance   O
of   O
Baker   B-NAME
.   O

Caregivers   O
were   O
instructed   O
to   O
reach   O
out   O
at   O
66831   B-CONTACT
for   O
any   O
queries   O
or   O
emergencies   O
.   O

The   O
treatment   O
regimen   O
designed   O
will   O
be   O
communicated   O
to   O
Wilcox   B-NAME
,   O
Engineering   O
Technicians   O
,   O
Except   O
Drafters   O
,   O
All   O
Other   O
,   O
and   O
his   O
care   O
team   O
at   O
Breakthrough   B-LOCATION
(   I-LOCATION
human   I-LOCATION
rights   I-LOCATION
)   I-LOCATION
.   O

This   O
medical   O
record   O
completed   O
by   O
MO904   B-NAME
should   O
be   O
referenced   O
by   O
273   B-ID
12   I-ID
31   I-ID
4   I-ID
.   O

For   O
the   O
postal   O
correspondence   O
,   O
the   O
necessary   O
documents   O
can   O
be   O
sent   O
to   O
88722   B-LOCATION
.   O

The   O
patient   O
's   O
healthcare   O
team   O
at   O
Wiregrass   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
reassess   O
the   O
situation   O
and   O
update   O
the   O
care   O
plans   O
accordingly   O
for   O
Gregory   B-NAME
Rosas   I-NAME
.   O

The   O
next   O
scheduled   O
visit   O
to   O
Deanna   B-NAME
Blanchard   I-NAME
is   O
on   O
7/25   B-DATE
.   O

Further   O
assistance   O
and   O
coordination   O
will   O
be   O
provided   O
by   O
the   O
medical   O
team   O
at   O
Chesapeake   B-LOCATION
Ranch   I-LOCATION
Estates   I-LOCATION
.   O

The   O
report   O
filed   O
under   O
the   O
1   B-ID
-   I-ID
1119941   I-ID
number   O
provides   O
more   O
details   O
about   O
patient   O
BRODY   B-NAME
OHARA   I-NAME
's   O
current   O
medical   O
state   O
.   O

Appropriate   O
due   O
diligence   O
is   O
being   O
conducted   O
to   O
provide   O
optimal   O
healthcare   O
to   O
Marquez   B-NAME
.   O

Patient   O
Name   O
:   O
Simon   B-NAME
Merivale   I-NAME
Age   O
:   O
14   O
Presenting   O
Complaint   O
:   O
Joesph   B-NAME
Dupras   I-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Clermont   I-LOCATION
Hospital   I-LOCATION
on   O
2321/14/01   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
and   O
dyspnea   O
.   O

Medical   O
History   O
:   O
Valerie   B-NAME
Castaneda   I-NAME
has   O
a   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
and   O
Hypertension   O
.   O

The   O
patient   O
was   O
being   O
treated   O
by   O
Landry   B-NAME
from   O
Cliff   B-LOCATION
Village   I-LOCATION
with   O
antihypertensive   O
drugs   O
.   O

Ferreira   B-NAME
's   O
last   O
check   O
-   O
up   O
was   O
done   O
on   O
12/2063   B-DATE
.   O

Investigation   O
Findings   O
:   O
Echocardiography   O
performed   O
on   O
1612   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
01   I-DATE
revealed   O
signs   O
of   O
possible   O
pulmonary   O
hypertension   O
.   O

Given   O
Paisley   B-NAME
Beltran   I-NAME
's   O
symptoms   O
and   O
medical   O
history   O
,   O
Aliana   B-NAME
Bradshaw   I-NAME
ordered   O
a   O
high   O
-   O
resolution   O
CT   O
scan   O
.   O

Treatment   O
Plan   O
:   O
Brady   B-NAME
Obrien   I-NAME
has   O
been   O
put   O
on   O
a   O
regime   O
of   O
antifibrotic   O
medication   O
along   O
with   O
supplemental   O
oxygen   O
therapy   O
.   O

For   O
any   O
additional   O
details   O
regarding   O
treatment   O
plan   O
and   O
appointments   O
,   O
please   O
contact   O
us   O
at   O
995   B-CONTACT
-   I-CONTACT
904   I-CONTACT
-   I-CONTACT
2481   I-CONTACT
or   O
refer   O
to   O
the   O
medical   O
records   O
with   O
0280154   B-ID
.   O

Address   O
:   O
Southwest   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Keensburg   B-LOCATION
,   O
57041   B-LOCATION
General   O
Remarks   O
:   O
Lutz   B-NAME
,   O
a   O
Drywall   O
and   O
Ceiling   O
Tile   O
Installers   O
,   O
reported   O
that   O
their   O
work   O
place   O
,   O
Center   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Humanitarian   I-LOCATION
law   I-LOCATION
,   O
had   O
several   O
people   O
showing   O
similar   O
symptoms   O
.   O

The   O
clinical   O
notes   O
and   O
diagnosis   O
have   O
been   O
documented   O
in   O
the   O
EMR   O
with   O
the   O
username   O
NR451   B-NAME
.   O

Any   O
revisions   O
or   O
modifications   O
should   O
be   O
made   O
with   O
PW533/8644   B-ID
for   O
record   O
purposes   O
.   O

On   O
20/15   B-DATE
,   O
patient   O
Cadence   B-NAME
Payne   I-NAME
came   O
in   O
to   O
UPMC   B-LOCATION
Jameson   I-LOCATION
with   O
a   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
.   O

He   O
is   O
a   O
Management   O
Analysts   O
by   O
occupation   O
and   O
lives   O
at   O
Northborough   B-LOCATION
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Johns   B-NAME
,   O
advised   O
him   O
to   O
seek   O
immediate   O
care   O
based   O
on   O
the   O
symptoms   O
described   O
on   O
a   O
phone   O
call   O
,   O
on   O
the   O
number   O
60078   B-CONTACT
.   O

His   O
past   O
medical   O
history   O
includes   O
a   O
recent   O
diagnosis   O
of   O
appendicitis   O
at   O
the   O
age   O
of   O
56   O
,   O
but   O
no   O
prior   O
surgeries   O
were   O
noted   O
in   O
his   O
medical   O
record   O
#   O
33079613   B-ID
.   O

The   O
initial   O
lab   O
results   O
,   O
which   O
are   O
available   O
on   O
Anti   B-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Coalition   I-LOCATION
(   I-LOCATION
AVC   I-LOCATION
)   I-LOCATION
's   O
database   O
,   O
show   O
a   O
high   O
white   O
cell   O
count   O
.   O

The   O
abdomen   O
CT   O
imaging   O
report   O
,   O
scanned   O
at   O
698667   B-ID
,   O
indicated   O
the   O
possibility   O
of   O
an   O
infected   O
gallbladder   O
.   O

A   O
surgical   O
consult   O
was   O
suggested   O
and   O
he   O
was   O
scheduled   O
for   O
a   O
cholecystectomy   O
on   O
2003   B-DATE
.   O

After   O
surgery   O
,   O
he   O
was   O
transferred   O
to   O
the   O
patient   O
recovery   O
unit   O
on   O
the   O
third   O
floor   O
of   O
the   O
Northeastern   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
Tahlequah   I-LOCATION
.   O

His   O
condition   O
improved   O
significantly   O
after   O
the   O
surgery   O
and   O
he   O
was   O
discharged   O
on   O
2/39   B-DATE
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
Whitstable   B-LOCATION
,   O
the   O
following   O
week   O
.   O

Post   O
-   O
surgical   O
instructions   O
and   O
prescriptions   O
were   O
sent   O
to   O
his   O
home   O
address   O
in   O
DeForest   B-LOCATION
zip   O
code   O
53745   B-LOCATION
.   O

The   O
patient   O
's   O
Insurance   O
details   O
are   O
listed   O
under   O
the   O
plan   O
643051   B-ID
.   O

The   O
hospital   O
received   O
satisfactory   O
feedback   O
from   O
the   O
patient   O
,   O
Curry   B-NAME
,   O
through   O
a   O
remote   O
session   O
username   O
:   O
JF899   B-NAME
.   O

Please   O
refer   O
to   O
the   O
patient   O
's   O
attached   O
complete   O
medical   O
report   O
#   O
85011757   B-ID
for   O
further   O
details   O
.   O

Patient   O
Report   O
:   O
Nathaniel   B-NAME
Barry   I-NAME
reported   O
to   O
Marshall   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
on   O
2314   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
excessive   O
fatigue   O
and   O
breathlessness   O
.   O

Kimball   B-NAME
Lukas   I-NAME
Abraham   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Morgan   B-NAME
,   O
stated   O
that   O
these   O
symptoms   O
have   O
been   O
persisting   O
for   O
about   O
three   O
weeks   O
.   O

A   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
was   O
ordered   O
by   O
Bates   B-NAME
.   O

The   O
patient   O
lives   O
in   O
9993   B-LOCATION
Glen   I-LOCATION
Eagles   I-LOCATION
St.   I-LOCATION
and   O
works   O
for   O
The   B-LOCATION
La   I-LOCATION
Coste   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
that   O
requires   O
shift   O
-   O
based   O
duties   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
after   O
a   O
month   O
was   O
scheduled   O
,   O
the   O
details   O
of   O
which   O
were   O
sent   O
to   O
the   O
patient   O
's   O
address   O
and   O
communication   O
to   O
his   O
597   B-CONTACT
9125   I-CONTACT
was   O
made   O
.   O

The   O
patient   O
's   O
history   O
has   O
been   O
stored   O
in   O
his   O
50028174   B-ID
at   O
Brighton   B-LOCATION
Hospital   I-LOCATION
,   O
assigned   O
with   O
the   O
1   B-ID
-   I-ID
9625564   I-ID
.   O

Any   O
medical   O
queries   O
or   O
feedback   O
post   O
consultation   O
can   O
be   O
addressed   O
to   O
qvy887   B-NAME
at   O
the   O
patient   O
portal   O
.   O

For   O
billing   O
and   O
insurance   O
-   O
related   O
queries   O
,   O
patient   O
's   O
family   O
can   O
call   O
at   O
our   O
financial   O
department   O
office   O
located   O
at   O
36298   B-LOCATION
.   O

Patient   O
Name   O
:   O
Iyana   B-NAME
Buck   I-NAME
Age   O
:   O
36   O
Date   O
:   O
22/09   B-DATE
Health   O
ID   O
:   O
7   B-ID
-   I-ID
5266184   I-ID
Dr.   O
McGuire   B-NAME
,   I-NAME
Al   I-NAME
reports   O
regular   O
checkup   O
at   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Aurora   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
lives   O
in   O
Joppatowne   B-LOCATION
and   O
the   O
zip   O
code   O
is   O
20736   B-LOCATION
,   O
therefore   O
nearest   O
CARE   B-LOCATION
could   O
be   O
helpful   O
in   O
performing   O
these   O
tests   O
.   O

Records   O
noted   O
in   O
system   O
dh265   B-NAME
with   O
medical   O
record   O
number   O
52730910   B-ID
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
us   O
regarding   O
the   O
scheduled   O
date   O
of   O
the   O
test   O
on   O
our   O
helpline   O
number   O
297   B-CONTACT
-   I-CONTACT
4338   I-CONTACT
.   O

Patient   O
Name   O
:   O
BRANDON   B-NAME
VICENTE   I-NAME
Medical   O
Record   O
:   O
956   B-ID
-   I-ID
70   I-ID
-   I-ID
09   I-ID
-   I-ID
6   I-ID
Patient   O
ID   O
:   O
92315   B-ID
Attention   O
:   O
Adrienne   B-NAME
Barnes   I-NAME
I   O
am   O
writing   O
to   O
report   O
the   O
condition   O
of   O
our   O
patient   O
,   O
Ito   B-NAME
,   O
who   O
was   O
admitted   O
on   O
32   B-DATE
-   I-DATE
08   I-DATE
to   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Nicholas   B-NAME
Gomes   I-NAME
is   O
a   O
Anthropologists   O
and   O
Archeologists   O
living   O
in   O
Silvis   B-LOCATION
.   O

He   O
/   O
she   O
called   O
our   O
patient   O
hotline   O
,   O
77975   B-CONTACT
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
and   O
nausea   O
.   O

In   O
spite   O
of   O
his   O
/   O
her   O
relatively   O
young   O
age   O
of   O
69   O
,   O
Jefferson   B-NAME
,   I-NAME
Thomas   I-NAME
's   O
past   O
medical   O
history   O
includes   O
diverticulosis   O
and   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
,   O
making   O
him   O
/   O
her   O
susceptible   O
to   O
similar   O
abdominal   O
symptoms   O
.   O

On   O
22/92   B-DATE
,   O
we   O
ordered   O
abdominal   O
ultrasound   O
and   O
endoscopy   O
tests   O
which   O
showed   O
significant   O
inflammation   O
in   O
the   O
lower   O
digestive   O
tract   O
indicative   O
of   O
a   O
probable   O
diverticulitis   O
flare   O
-   O
up   O
.   O

We   O
started   O
Esteban   B-NAME
Kidd   I-NAME
on   O
a   O
course   O
of   O
antibiotics   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
evaluation   O
with   O
Dr.   O
Danny   B-NAME
Kozak   I-NAME
on   O
31/21   B-DATE
.   O

Family   O
contact   O
has   O
been   O
established   O
(   O
26184   B-CONTACT
)   O
and   O
consent   O
for   O
further   O
procedures   O
,   O
in   O
case   O
of   O
need   O
,   O
was   O
made   O
available   O
.   O

Along   O
with   O
this   O
,   O
Eboni   B-NAME
Spainhour   I-NAME
resides   O
at   O
Saxonburg   B-LOCATION
,   I-LOCATION
John   I-LOCATION
Roebling   I-LOCATION
's   I-LOCATION
Historic   I-LOCATION
Saxonburg   I-LOCATION
,   O
64686   B-LOCATION
and   O
is   O
employed   O
at   O
The   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Miami   I-LOCATION
,   I-LOCATION
N.A.   I-LOCATION
in   O
a   O
high   O
-   O
stress   O
Freight   O
Forwarders   O
role   O
.   O

If   O
you   O
want   O
to   O
discuss   O
Carmelo   B-NAME
Lui   I-NAME
’s   O
case   O
further   O
,   O
I   O
can   O
be   O
reached   O
at   O
524   B-CONTACT
-   I-CONTACT
7092   I-CONTACT
,   O
or   O
by   O
e   O
-   O
mail   O
at   O
cj7110   B-NAME
@healthcare.org   O
.   O

Thank   O
you   O
,   O
Dr.   O
Aisha   B-NAME
Snyder   I-NAME
Centennial   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Report   O
–   O
116   B-ID
-   I-ID
26   I-ID
-   I-ID
50   I-ID
-   I-ID
2   I-ID
Patient   O
's   O
Name   O
:   O
Ruben   B-NAME
Owen   I-NAME
Doctor   O
's   O
Name   O
:   O
Coby   B-NAME
Calhoun   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Jude   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
:   O
10   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
82   I-DATE
Waradi   B-NAME
,   I-NAME
Taito   I-NAME
is   O
a   O
79   O
year   O
old   O
who   O
resides   O
in   O
Eastchester   B-LOCATION
.   O

Natashia   B-NAME
Rosa   I-NAME
presented   O
with   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
shoulder   O
.   O

Beau   B-NAME
Heiner   I-NAME
also   O
reported   O
feeling   O
lightheaded   O
and   O
shortness   O
of   O
breath   O
.   O

On   O
physical   O
examination   O
,   O
Daisy   B-NAME
Melton   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
.   O

Cardiology   O
was   O
consulted   O
and   O
Meghan   B-NAME
Hasegawa   I-NAME
was   O
immediately   O
started   O
on   O
a   O
morphine   O
,   O
aspirin   O
and   O
high   O
-   O
flow   O
oxygen   O
.   O

BW   B-NAME
was   O
then   O
transferred   O
to   O
the   O
cardiac   O
ward   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Tacoma   I-LOCATION
for   O
further   O
care   O
.   O

As   O
per   O
the   O
consultation   O
with   O
Dr.   O
Peterson   B-NAME
,   O
a   O
coronary   O
angiogram   O
is   O
arranged   O
for   O
00/29/2174   B-DATE
.   O

Cassandra   B-NAME
Kerr   I-NAME
’s   O
medical   O
ID   O
is   O
HJ:68530:121640   B-ID
.   O

In   O
case   O
of   O
any   O
questions   O
or   O
concerns   O
,   O
Damon   B-NAME
Bradley   I-NAME
or   O
Addisyn   B-NAME
Mcgee   I-NAME
's   O
family   O
can   O
contact   O
the   O
hospital   O
at   O
503   B-CONTACT
926   I-CONTACT
-   I-CONTACT
7703   I-CONTACT
or   O
alternatively   O
Dr.   O
Felipe   B-NAME
Mcmahon   I-NAME
at   O
aj139   B-NAME
@hospital.com   O
Fitzpatrick   B-NAME
works   O
as   O
a   O
/   O
an   O
Pharmacy   O
Aides   O
at   O
Federation   B-LOCATION
of   I-LOCATION
Territories   I-LOCATION
located   O
at   O
Oak   B-LOCATION
Lawn   I-LOCATION
,   O
46528   B-LOCATION
.   O

Given   O
the   O
nature   O
of   O
the   O
job   O
,   O
it   O
is   O
recommended   O
that   O
Quinn   B-NAME
Ponce   I-NAME
refrains   O
from   O
resuming   O
work   O
until   O
further   O
assessment   O
.   O

Family   O
history   O
indicates   O
that   O
Guadalupe   B-NAME
Day   I-NAME
's   O
father   O
had   O
a   O
heart   O
attack   O
at   O
11   O
.   O

Contact   O
information   O
:   O
Address   O
:   O
Cobb   B-LOCATION
,   O
32799   B-LOCATION
Phone   O
:   O
(   B-CONTACT
889   I-CONTACT
)   I-CONTACT
357   I-CONTACT
6120   I-CONTACT
Emergency   O
Contact   O
:   O
Name   O
:   O
Quinten   B-NAME
B.   I-NAME
Prado   I-NAME
's   O
Spouse   O
Relation   O
:   O
Spouse   O
Phone   O
:   O
270   B-CONTACT
-   I-CONTACT
290   I-CONTACT
5486   I-CONTACT
Informed   O
Consent   O
:   O
Xavier   B-NAME
Embry   I-NAME
consented   O
to   O
the   O
above   O
treatment   O
plan   O
on   O
00/13/61   B-DATE
.   O
Signed   O
,   O
Zinck   B-NAME
,   I-NAME
Kenneth   I-NAME

The   O
patient   O
,   O
Faziel   B-NAME
Jingst   I-NAME
,   O
is   O
a   O
Tile   O
and   O
Marble   O
Setters   O
from   O
Ocean   B-LOCATION
Park   I-LOCATION
with   O
a   O
medical   O
record   O
number   O
of   O
254   B-ID
-   I-ID
50   I-ID
-   I-ID
93   I-ID
-   I-ID
1   I-ID
.   O

She   O
is   O
a   O
11   O
year   O
old   O
female   O
who   O
presented   O
to   O
Davis   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/22   B-DATE
accompanied   O
by   O
Dr.   O
Hodges   B-NAME
.   O

The   O
history   O
of   O
Nick   B-NAME
Cavanaugh   I-NAME
was   O
significant   O
for   O
obesity   O
and   O
a   O
heavy   O
drinking   O
habit   O
.   O

Her   O
personal   O
identification   O
number   O
is   O
RJ   B-ID
:   I-ID
FA:6135   I-ID
.   O

The   O
patient   O
was   O
further   O
sent   O
for   O
serum   O
testing   O
for   O
amylase   O
and   O
lipase   O
,   O
and   O
imaging   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Olsen   B-NAME
.   O

Contact   O
number   O
was   O
given   O
as   O
68753   B-CONTACT
.   O

Management   O
:   O
Mattie   B-NAME
Richard   I-NAME
was   O
kept   O
NPO   O
(   O
nil   O
per   O
os/   O
nothing   O
by   O
mouth   O
)   O
status   O
and   O
IV   O
fluid   O
resuscitation   O
with   O
morphine   O
for   O
pain   O
control   O
was   O
started   O
.   O

The   O
details   O
of   O
this   O
case   O
were   O
shared   O
securely   O
using   O
username   O
fgq6510   B-NAME
on   O
the   O
medical   O
platform   O
organized   O
by   O
Alcoholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
AA   I-LOCATION
)   I-LOCATION
.   O

The   O
follow   O
-   O
up   O
was   O
scheduled   O
in   O
Kaiser   B-LOCATION
Westside   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
at   O
52549   B-LOCATION
.   O

Christian   B-NAME
Macias   I-NAME
was   O
discharged   O
post   O
5   O
days   O
of   O
medical   O
management   O
showing   O
significant   O
improvement   O
and   O
advised   O
for   O
life   O
style   O
modifications   O
.   O

Patient   O
Report   O
Date   O
of   O
Report   O
:   O
January   B-DATE
Patient   O
:   O
Ellen   B-NAME
Webb   I-NAME
Age   O
:   O
39   O
Physician   O
:   O

Samson   B-NAME
Acevedo   I-NAME
Hospital   O
:   O
Mount   B-LOCATION
Carmel   I-LOCATION
East   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
#   O
:   O
0950094   B-ID
Patient   O
Kent   B-NAME
presented   O
with   O
a   O
cough   O
,   O
tachypnea   O
,   O
and   O
an   O
increasing   O
shortness   O
of   O
breath   O
.   O

In   O
the   O
case   O
of   O
Bradyn   B-NAME
Tapia   I-NAME
,   O
the   O
patient   O
's   O
recent   O
travel   O
history   O
can   O
not   O
be   O
ignored   O
.   O

The   O
patient   O
reported   O
traveling   O
from   O
Syracuse   B-LOCATION
within   O
the   O
last   O
three   O
weeks   O
.   O

The   O
patient   O
,   O
having   O
a   O
profession   O
as   O
a   O
Opticians   O
,   O
Dispensing   O
,   O
was   O
affiliated   O
with   O
the   O
Securian   B-LOCATION
Financial   I-LOCATION
Group   I-LOCATION
.   O

The   O
patient   O
was   O
admitted   O
to   O
Spring   B-LOCATION
Harbor   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
36/22   B-DATE
.   O

The   O
patient   O
's   O
room   O
number   O
is   O
in   O
building   O
number   O
98346   B-ID
.   O

The   O
patient   O
is   O
currently   O
being   O
closely   O
monitored   O
and   O
is   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
antiviral   O
medications   O
as   O
per   O
the   O
regime   O
suggested   O
by   O
Stokes   B-NAME
.   O

Emergency   O
Contact   O
:   O
457   B-CONTACT
810   I-CONTACT
-   I-CONTACT
4290   I-CONTACT
Address   O
:   O
Wrightsville   B-LOCATION
Beach   I-LOCATION
,   O
63458   B-LOCATION
SSID   O
TP   B-ID
:   I-ID
SB:6836   I-ID
Driver   O
’s   O
license   O
number   O
:   O
2089433   B-ID
Vehicle   O
ID   O
:   O
WR957/5720   B-ID
Biometric   O
ID   O
:   O
16711553   B-ID
Username   O
on   O
Health   O
Portal   O
:   O

bg9710   B-NAME
Upon   O
checking   O
the   O
recent   O
records   O
,   O
Velaz   B-NAME
's   O
condition   O
has   O
shown   O
some   O
minor   O
improvements   O
after   O
the   O
commencement   O
of   O
the   O
new   O
medication   O
regiment   O
.   O

Report   O
prepared   O
by   O
:   O
Cheyanne   B-NAME
Mata   I-NAME

Patient   O
:   O
Landon   B-NAME
Hays   I-NAME
Medical   O
Record   O
:   O
8819440   B-ID
Date   O
of   O
examination   O
:   O
April   B-DATE
2066   I-DATE
The   O
13   O
-   O
year   O
-   O
old   O
patient   O
,   O
Villasenor   B-NAME
,   O
who   O
is   O
a   O
Biological   O
Scientists   O
,   O
All   O
Other   O
from   O
Neponset   B-LOCATION
with   O
ID   O
YR:9124:867744   B-ID
,   O
visited   O
Lowell   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Saints   I-LOCATION
Campus   I-LOCATION
on   O
2270   B-DATE
.   O

He   O
was   O
attended   O
to   O
by   O
Hickman   B-NAME
and   O
was   O
complaining   O
of   O
sharp   O
,   O
continuous   O
pain   O
in   O
the   O
chest   O
that   O
radiated   O
to   O
the   O
left   O
arm   O
,   O
associated   O
with   O
sense   O
of   O
impending   O
doom   O
.   O

Dominguez   B-NAME
advised   O
immediate   O
admission   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Anthony   B-NAME
Edwardes   I-NAME
was   O
immediately   O
admitted   O
to   O
the   O
Coronary   O
Care   O
Unit   O
of   O
Mountain   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
.   O

Dennis   B-NAME
Hancock   I-NAME
was   O
kept   O
under   O
strict   O
monitoring   O
and   O
was   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
,   O
beta   O
-   O
blockers   O
and   O
angiotensin   O
converting   O
enzyme   O
inhibitors   O
.   O

Camelia   B-NAME
Canney   I-NAME
's   O
family   O
members   O
were   O
contacted   O
via   O
phone   O
number   O
562   B-CONTACT
-   I-CONTACT
7260   I-CONTACT
and   O
were   O
updated   O
about   O
the   O
situation   O
.   O

Arianna   B-NAME
Ortiz   I-NAME
is   O
currently   O
listed   O
to   O
undergo   O
coronary   O
angiogram   O
and   O
possible   O
revascularization   O
.   O

His   O
condition   O
is   O
being   O
closely   O
monitored   O
by   O
Ferguson   B-NAME
and   O
the   O
medical   O
team   O
in   O
the   O
Carteret   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
.   O

We   O
have   O
communicated   O
with   O
Anti   B-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Coalition   I-LOCATION
(   I-LOCATION
AVC   I-LOCATION
)   I-LOCATION
,   O
and   O
they   O
are   O
ready   O
to   O
provide   O
support   O
after   O
the   O
patient   O
's   O
hospital   O
stay   O
.   O

The   O
case   O
was   O
reported   O
under   O
ef254   B-NAME
from   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sacramento   I-LOCATION
.   O

Please   O
note   O
that   O
all   O
necessary   O
measures   O
are   O
being   O
taken   O
to   O
ensure   O
Brogan   B-NAME
Abbott   I-NAME
's   O
recovery   O
and   O
the   O
best   O
possible   O
outcome   O
.   O

Future   O
appointments   O
are   O
in   O
process   O
of   O
being   O
scheduled   O
once   O
McNamara   B-NAME
,   I-NAME
Robert   I-NAME
is   O
stable   O
enough   O
for   O
the   O
procedure   O
.   O

Everything   O
so   O
far   O
has   O
been   O
documented   O
in   O
medical   O
record   O
number   O
819   B-ID
-   I-ID
54   I-ID
-   I-ID
90   I-ID
-   I-ID
9   I-ID
.   O

For   O
any   O
emergency   O
,   O
please   O
contact   O
24565   B-CONTACT
or   O
the   O
undersigned   O
below   O
:   O
Ayers   B-NAME
Cardiology   O
Department   O
Montgomery   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
85019   B-LOCATION

Patient   O
Constance   B-NAME
Peterson   I-NAME
was   O
brought   O
into   O
the   O
ER   O
at   O
Trinity   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2122   B-DATE
.   O

Her   O
driver   O
's   O
license   O
EE   B-ID
:   I-ID
HW:8738   I-ID
indicated   O
that   O
she   O
was   O
10   O
week   O
years   O
old   O
.   O

Her   O
address   O
,   O
as   O
noted   O
on   O
the   O
driver   O
's   O
license   O
,   O
is   O
Nemaha   B-LOCATION
.   O

She   O
had   O
a   O
history   O
of   O
cholecystitis   O
and   O
was   O
seen   O
by   O
Hooper   B-NAME
more   O
than   O
a   O
month   O
ago   O
at   O
a   O
clinic   O
in   O
University   B-LOCATION
and   I-LOCATION
College   I-LOCATION
Union   I-LOCATION
.   O

The   O
family   O
was   O
contacted   O
using   O
the   O
phone   O
number   O
(   B-CONTACT
444   I-CONTACT
)   I-CONTACT
788   I-CONTACT
-   I-CONTACT
3139   I-CONTACT
provided   O
in   O
her   O
emergency   O
contacts   O
on   O
file   O
.   O

The   O
nurse   O
took   O
the   O
medical   O
record   O
number   O
33277210   B-ID
from   O
the   O
associated   O
file   O
and   O
the   O
patient   O
's   O
personal   O
info   O
was   O
entered   O
into   O
the   O
system   O
by   O
username   O
ze533   B-NAME
.   O

Her   O
profession   O
,   O
as   O
stated   O
on   O
ZT   B-ID
:   I-ID
BU:4023   I-ID
,   O
is   O
Residential   O
Advisors   O
.   O

She   O
was   O
admitted   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Meridian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
and   O
her   O
primary   O
care   O
doctor   O

Spence   B-NAME
was   O
informed   O
.   O

Following   O
her   O
treatment   O
,   O
she   O
would   O
be   O
discharged   O
to   O
her   O
home   O
in   O
Anchor   B-LOCATION
Bay   I-LOCATION
,   O
66063   B-LOCATION
.   O

Contacting   O
her   O
employer   O
Independence   B-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
to   O
request   O
for   O
medical   O
leave   O
was   O
deemed   O
essential   O
.   O

She   O
gave   O
us   O
the   O
contact   O
number   O
(   B-CONTACT
226   I-CONTACT
)   I-CONTACT
986   I-CONTACT
3475   I-CONTACT
for   O
her   O
human   O
resources   O
division   O
,   O
and   O
we   O
planned   O
to   O
give   O
them   O
a   O
call   O
later   O
today   O
or   O
tomorrow   O
.   O

Patient   O
Ross   B-NAME
was   O
presented   O
to   O
Fairview   B-LOCATION
Northland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
4/10   B-DATE
with   O
recurring   O
symptoms   O
of   O
dyspnea   O
.   O

Precise   O
examination   O
by   O
Dr.   O
Simpson   B-NAME
revealed   O
a   O
slight   O
wheezing   O
sound   O
in   O
the   O
lower   O
lobes   O
of   O
the   O
lungs   O
,   O
decreased   O
breath   O
sounds   O
and   O
distended   O
neck   O
veins   O
.   O

The   O
patient   O
's   O
vitals   O
were   O
BP   O
of   O
120/80   O
mmHg   O
,   O
pulse   O
rate   O
of   O
88   O
beats   O
/   O
min   O
and   O
respiratory   O
rate   O
of   O
24   O
breaths   O
/   O
min   O
.   O
Dr.   O
Hubbard   B-NAME
recommended   O
an   O
ECG   O
,   O
and   O
chest   O
X   O
-   O
ray   O
which   O
were   O
done   O
in   O
the   O
Via   B-LOCATION
Christi   I-LOCATION
Hospitals   I-LOCATION
Wichita   I-LOCATION
-   I-LOCATION
St   I-LOCATION
Francis   I-LOCATION
radiology   O
department   O
.   O

Dostoevsky   B-NAME
,   I-NAME
Fyodor   I-NAME
works   O
as   O
a   O
Gaming   O
Managers   O
in   O
the   O
Chestatee   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
located   O
at   O
Jolivue   B-LOCATION
.   O

The   O
patient   O
's   O
contact   O
number   O
in   O
our   O
records   O
is   O
(   B-CONTACT
754   I-CONTACT
)   I-CONTACT
939   I-CONTACT
-   I-CONTACT
8737   I-CONTACT
and   O
the   O
current   O
address   O
is   O
noted   O
as   O
Grasston   B-LOCATION
.   O

Similarly   O
,   O
information   O
regarding   O
his   O
next   O
of   O
kin   O
is   O
not   O
up   O
-   O
to   O
-   O
date   O
in   O
his   O
electronic   O
health   O
record   O
#   O
530   B-ID
-   I-ID
95   I-ID
-   I-ID
80   I-ID
-   I-ID
4   I-ID
.   O

Emergency   O
contact   O
is   O
listed   O
as   O
Mr.   O
tbl32   B-NAME
with   O
mobile   O
number   O
784   B-CONTACT
8330   I-CONTACT
.   O

The   O
patient   O
's   O
updated   O
address   O
will   O
be   O
required   O
to   O
complete   O
his   O
identity   O
card   O
#   O
VE380/8043   B-ID
process   O
.   O

In   O
line   O
with   O
this   O
,   O
the   O
zip   O
code   O
53921   B-LOCATION
for   O
his   O
new   O
location   O
will   O
also   O
be   O
required   O
.   O

His   O
next   O
follow   O
-   O
up   O
appointment   O
for   O
reassessment   O
has   O
been   O
scheduled   O
on   O
1941   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
26   I-DATE
with   O
Dr.   O
Spears   B-NAME
.   O

All   O
these   O
seek   O
to   O
ensure   O
that   O
Barbara   B-NAME
Chavez   I-NAME
gets   O
the   O
necessary   O
healthcare   O
attention   O
he   O
needs   O
to   O
manage   O
his   O
COPD   O
and   O
reduce   O
any   O
further   O
complications   O
associated   O
with   O
his   O
illnesses   O
.   O

Patient   O
Name   O
:   O
Alyson   B-NAME
Allen   I-NAME
Age   O
:   O
35   O
ID   O
:   O
ZQ:921054:189160   B-ID
Medical   O
Record   O
:   O
4555052   B-ID
Consulting   O
Doctor   O
:   O

Mcconnell   B-NAME
Location   O
:   O
Punta   B-LOCATION
Gorda   I-LOCATION
ZIP   O
:   O
81194   B-LOCATION
Phone   O
:   O
12312   B-CONTACT
Username   O
:   O
WN973   B-NAME
Profession   O
:   O

Government   O
research   O
officer   O
Medical   O
Report   O
prepared   O
on   O
02/31/65   B-DATE
:   O

This   O
record   O
documents   O
the   O
progression   O
of   O
Jason   B-NAME
Valdez   I-NAME
's   O
condition   O
.   O

The   O
episodes   O
,   O
as   O
described   O
by   O
patient   O
,   O
are   O
debilitating   O
,   O
influencing   O
daily   O
life   O
,   O
particularly   O
the   O
professional   O
commitments   O
at   O
Glades   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
.   O

From   O
our   O
understanding   O
drawn   O
on   O
07/26/2242   B-DATE
,   O
our   O
consulting   O
physician   O
,   O
Myers   B-NAME
,   O
noted   O
that   O
Sarah   B-NAME
Spencer   I-NAME
also   O
had   O
episodes   O
of   O
visual   O
aura   O
preceding   O
the   O
migraines   O
.   O

Attached   O
lab   O
results   O
(   O
tested   O
at   O
St.   B-LOCATION
Charles   I-LOCATION
Hospital   I-LOCATION
)   O
indicate   O
an   O
absence   O
of   O
serious   O
anomalies   O
.   O

CHRISTOPHER   B-NAME
QUINTOS   I-NAME
's   O
upcoming   O
appointment   O
with   O
Neurology   O
Specialist   O
,   O
David   B-NAME
Sandler   I-NAME
,   O
is   O
scheduled   O
at   O
Winter   B-LOCATION
Park   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
3/3   B-DATE
.   O

It   O
's   O
also   O
recommended   O
for   O
Nick   B-NAME
Biancavilla   I-NAME
to   O
limit   O
exposure   O
to   O
potential   O
triggers   O
identified   O
,   O
including   O
stress   O
and   O
certain   O
foods   O
until   O
a   O
clear   O
diagnosis   O
is   O
established   O
.   O

If   O
there   O
are   O
any   O
changes   O
in   O
address   O
,   O
phone   O
number   O
(   O
55948   B-CONTACT
)   O
,   O
or   O
any   O
other   O
details   O
,   O
kindly   O
inform   O
us   O
accordingly   O
.   O

This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
solely   O
for   O
the   O
use   O
of   O
Tessa   B-NAME
Mckay   I-NAME
and   O
the   O
medical   O
team   O
at   O
Greater   B-LOCATION
Baltimore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
name   O
:   O
Matilda   B-NAME
Holder   I-NAME
Date   O
of   O
birth   O
:   O
3201   B-DATE
Age   O
:   O
55s   O
Phone   O
number   O
:   O
53088   B-CONTACT
Residential   O
address   O
:   O
Chokio   B-LOCATION
97272   B-LOCATION
ID   O
number   O
:   O
7   B-ID
-   I-ID
1973483   I-ID
Profession   O
:   O
Fitness   O
centre   O
manager   O
Referring   O
Doctor   O
:   O
Jaylin   B-NAME
Hartman   I-NAME
Location   O
of   O
consult   O
:   O
Lawrence   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
Clearwater   B-LOCATION
Date   O
of   O
visit   O
:   O
Tuesday   B-DATE
Medical   O
record   O
No   O
.   O
:   O
875   B-ID
-   I-ID
03   I-ID
-   I-ID
54   I-ID
-   I-ID
1   I-ID
Presenting   O
symptoms   O
On   O
the   O
2/64   B-DATE
,   O
Pascal   B-NAME
,   I-NAME
Blaise   I-NAME
visited   O
Baptist   B-LOCATION
Health   I-LOCATION
Corbin   I-LOCATION
complaining   O
of   O
a   O
persistent   O
cough   O
that   O
has   O
lasted   O
more   O
than   O
three   O
weeks   O
.   O

In   O
addition   O
to   O
the   O
chronic   O
cough   O
,   O
Gilmore   B-NAME
has   O
noted   O
an   O
unintentional   O
weight   O
loss   O
of   O
approximately   O
10   O
pounds   O
over   O
the   O
last   O
month   O
and   O
a   O
decrease   O
in   O
appetite   O
.   O

On   O
inquiry   O
,   O
Latosha   B-NAME
Easterling   I-NAME
has   O
also   O
experienced   O
an   O
increased   O
frequency   O
of   O
urination   O
,   O
polydipsia   O
(   O
excessive   O
thirst   O
)   O
,   O
and   O
polyphagia   O
(   O
increased   O
hunger   O
)   O
.   O

Based   O
on   O
the   O
above   O
symptoms   O
,   O
Claire   B-NAME
Brooks   I-NAME
has   O
initiated   O
further   O
tests   O
to   O
determine   O
underlying   O
causes   O
.   O

Recommended   O
next   O
steps   O
by   O
Makai   B-NAME
Melendez   I-NAME
Given   O
the   O
patient   O
's   O
symptoms   O
,   O
Julio   B-NAME
Kirk   I-NAME
recommended   O
several   O
examinations   O
that   O
will   O
take   O
place   O
at   O
Aurora   B-LOCATION
BayCare   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
including   O
blood   O
tests   O
,   O
a   O
lung   O
function   O
test   O
,   O
a   O
chest   O
X   O
-   O
ray   O
,   O
and   O
potentially   O
a   O
referral   O
to   O
an   O
endocrinologist   O
for   O
the   O
evaluation   O
of   O
suspected   O
diabetic   O
symptoms   O
.   O

Follow   O
up   O
appointment   O
:   O
Zaltys   B-NAME
Pliny   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Citizens   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Colby   I-LOCATION
on   O
04/38   B-DATE
to   O
discuss   O
the   O
results   O
of   O
the   O
tests   O
and   O
determine   O
the   O
next   O
steps   O
of   O
action   O
.   O

Regina   B-NAME
Giles   I-NAME
's   O
contact   O
:   O
87966   B-CONTACT

This   O
report   O
was   O
prepared   O
by   O
:   O
djy629   B-NAME
on   O
behalf   O
of   O
FM   B-LOCATION
Global   I-LOCATION
.   O

Patient   O
Name   O
:   O
Harrington   B-NAME
ID   O
:   O
6282291   B-ID
Date   O
:   O
22/02/26   B-DATE
25164197   B-ID
The   O
patient   O
,   O
Dylan   B-NAME
Jones   I-NAME
,   O
a   O
Locker   O
Room   O
,   O
Coatroom   O
,   O
and   O
Dressing   O
Room   O
Attendants   O
of   O
47   O
years   O
,   O
presented   O
to   O
Torrance   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
in   O
Cohoe   B-LOCATION
on   O
February   B-DATE
2   I-DATE
.   O

Arianna   B-NAME
Ortiz   I-NAME
reported   O
that   O
these   O
symptoms   O
seemed   O
to   O
be   O
aggravated   O
by   O
prolonged   O
periods   O
of   O
being   O
on   O
the   O
computer   O
,   O
which   O
is   O
a   O
crucial   O
part   O
of   O
their   O
physician   O
's   O
assistant   O
.   O

Upon   O
evaluation   O
by   O
Ean   B-NAME
Mcgee   I-NAME
,   O
a   O
series   O
of   O
diagnostic   O
procedures   O
were   O
performed   O
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
reviewed   O
through   O
their   O
previous   O
hospital   O
,   O
Ocmulgee   B-LOCATION
EMC   I-LOCATION
,   O
with   O
their   O
consent   O
.   O

Haylee   B-NAME
Hebert   I-NAME
is   O
being   O
currently   O
monitored   O
for   O
any   O
changes   O
in   O
their   O
condition   O
,   O
while   O
they   O
maintain   O
their   O
prescribed   O
medication   O
regimen   O
.   O

For   O
any   O
immediate   O
concerns   O
,   O
they   O
have   O
been   O
advised   O
to   O
contact   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Stockton   I-LOCATION
at   O
20926   B-CONTACT
or   O
Dr.   O
Jude   B-NAME
Woods   I-NAME
on   O
their   O
direct   O
line   O
.   O

Follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
08/13   B-DATE
at   O
Corona   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
21964   B-LOCATION
.   O

In   O
between   O
appointments   O
,   O
Joaquin   B-NAME
Shannon   I-NAME
was   O
encouraged   O
to   O
use   O
their   O
patient   O
portal   O
username   O
,   O
uno115   B-NAME
,   O
for   O
any   O
needed   O
non   O
-   O
emergency   O
communication   O
.   O

Physician   O
's   O
Signature   O
:   O
Bright   B-NAME

Patient   O
Name   O
:   O
Nicholas   B-NAME
New   I-NAME
Age   O
:   O
65   O
ID   O
:   O
OA:15987:403848   B-ID
Medical   O
Record   O
Number   O
:   O
38723129   B-ID
On   O
39   B-DATE
,   O
Jasiah   B-NAME
Walton   I-NAME
was   O
admitted   O
to   O
Colorado   B-LOCATION
Plains   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
experiencing   O
severe   O
chest   O
pain   O
.   O

The   O
attending   O
physician   O
,   O
Tania   B-NAME
Stout   I-NAME
,   O
conducted   O
a   O
thorough   O
physical   O
examination   O
.   O

Walter   B-NAME
Mickhead   I-NAME
's   O
electrocardiogram   O
showed   O
ST   O
segment   O
elevations   O
which   O
,   O
along   O
with   O
the   O
clinical   O
picture   O
,   O
prompted   O
a   O
suspicion   O
for   O
an   O
acute   O
myocardial   O
infarction   O
.   O

Cholena   B-NAME
indicated   O
that   O
he   O
was   O
a   O
Anesthesiologists   O
by   O
occupation   O
and   O
had   O
a   O
history   O
of   O
smoking   O
.   O

Other   O
than   O
lipid   O
-   O
lowering   O
medication   O
,   O
Victor   B-NAME
Q.   I-NAME
Qiu   I-NAME
was   O
not   O
on   O
any   O
other   O
medications   O
.   O

Odis   B-NAME
lives   O
in   O
Hackney   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
97813   B-LOCATION
and   O
was   O
transported   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Easley   I-LOCATION
Hospital   I-LOCATION
by   O
ambulance   O
.   O

He   O
can   O
be   O
reached   O
at   O
23783   B-CONTACT
for   O
follow   O
-   O
ups   O
.   O

Todd   B-NAME
made   O
the   O
decision   O
to   O
administer   O
a   O
single   O
dose   O
of   O
325   O
mg   O
aspirin   O
and   O
moved   O
Sebastian   B-NAME
Dang   I-NAME
to   O
the   O
cardiac   O
catheterization   O
unit   O
in   O
NCH   B-LOCATION
Baker   I-LOCATION
Hospital   I-LOCATION
building   O
.   O

Other   O
significant   O
medical   O
records   O
include   O
a   O
positive   O
COVID-19   O
PCR   O
test   O
performed   O
at   O
Anarchic   B-LOCATION
Directorate   I-LOCATION
of   I-LOCATION
Constellations   I-LOCATION
on   O
11/26/2317   B-DATE
.   O

He   O
was   O
contacted   O
by   O
cjv536   B-NAME
regarding   O
this   O
result   O
.   O

We   O
will   O
closely   O
monitor   O
Anthony   B-NAME
Ludgate   I-NAME
Druid   I-NAME
's   O
progress   O
over   O
the   O
coming   O
days   O
and   O
update   O
the   O
medical   O
records   O
accordingly   O
.   O

All   O
the   O
provided   O
information   O
is   O
encrypted   O
and   O
safely   O
stored   O
under   O
56584513   B-ID
.   O

Patient   O
Report   O
Patient   O
:   O
Laface   B-NAME
Kobold   I-NAME
I   O
attended   O
to   O
Brady   B-NAME
Sandoval   I-NAME
on   O
01/20   B-DATE
.   O

The   O
patient   O
,   O
a   O
Athletic   O
Trainers   O
living   O
in   O
Ingham   B-LOCATION
with   O
the   O
zip   O
code   O
62550   B-LOCATION
,   O
presented   O
with   O
severe   O
lower   O
abdominal   O
pain   O
and   O
nausea   O
.   O

Ultrasonography   O
performed   O
in   O
our   O
Concord   B-LOCATION
Hospital   I-LOCATION
confirmed   O
the   O
diagnosis   O
.   O

I   O
explained   O
to   O
Jaydan   B-NAME
Chaney   I-NAME
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

I   O
advised   O
Ashley   B-NAME
to   O
report   O
back   O
immediately   O
if   O
the   O
pain   O
intensifies   O
or   O
if   O
fever   O
develops   O
.   O

My   O
observation   O
notes   O
and   O
the   O
ultrasonography   O
report   O
have   O
been   O
updated   O
in   O
Ann   B-NAME
Vandenberg   I-NAME
's   O
medical   O
record   O
,   O
number   O
1337964   B-ID
.   O

In   O
case   O
of   O
emergencies   O
,   O
Smith   B-NAME
,   I-NAME
Elliott   I-NAME
has   O
provided   O
a   O
contact   O
number   O
:   O
406   B-CONTACT
3065   I-CONTACT
.   O

-   O
Ramirez   B-NAME
NB   O
:   O
The   O
treatment   O
and   O
medication   O
plan   O
is   O
based   O
on   O
Uher   B-NAME
's   O
current   O
health   O
insurance   O
plan   O
;   O
Health   O
plan   O
number   O
:   O
458893161   B-ID
with   O
the   O
Irwin   B-LOCATION
Union   I-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
This   O
report   O
drafted   O
by   O
xv72   B-NAME
is   O
intended   O
for   O
official   O
use   O
and   O
is   O
subject   O
to   O
patient   O
-   O
doctor   O
confidentiality   O
.   O

Any   O
disclosure   O
of   O
this   O
information   O
without   O
the   O
consent   O
of   O
Lana   B-NAME
Duke   I-NAME
is   O
against   O
the   O
hospital   O
's   O
policy   O
and   O
may   O
have   O
legal   O
implications   O
.   O

Patient   O
Name   O
:   O
Chavez   B-NAME
Date   O
:   O
23/21   B-DATE
Physician   O
Name   O
:   O
Spencer   B-NAME
Location   O
:   O
Melbourne   B-LOCATION
Medical   O
Record   O
Number   O
:   O
5419992   B-ID
Patient   O
Information   O
:   O
Sargent   B-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Landscaping   O
,   O
Lawn   O
Service   O
,   O
and   O
Groundskeeping   O
Workers   O
by   O
profession   O
,   O
is   O
a   O
53   O
years   O
old   O
patient   O
,   O
residing   O
at   O
Homer   B-LOCATION
Glen   I-LOCATION
,   O
83472   B-LOCATION
.   O

He   O
was   O
referred   O
to   O
Broward   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
by   O
Callie   B-NAME
Chavez   I-NAME
on   O
15/30/2029   B-DATE
.   O

Identification   O
Details   O
:   O
SSN   O
:   O
31430937   B-ID
Health   O
Insurance   O
Provider   O
:   O
Nevada   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
Health   O
Insurance   O
Number   O
:   O
EL:16739:653666   B-ID
Phone   O
Number   O
:   O
72353   B-CONTACT
Presenting   O
Complaint   O
:   O
Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
presents   O
with   O
a   O
history   O
of   O
fever   O
and   O
dry   O
cough   O
for   O
the   O
past   O
week   O
.   O

On   O
examination   O
,   O
Faustina   B-NAME
Douglas   I-NAME
was   O
febrile   O
,   O
with   O
a   O
T   O
max   O
of   O
101.4   O
°   O
F   O
.   O

As   O
his   O
SpO2   O
is   O
within   O
acceptable   O
limits   O
and   O
respiratory   O
distress   O
was   O
not   O
prominent   O
,   O
the   O
patient   O
was   O
advised   O
to   O
isolate   O
at   O
home   O
under   O
the   O
supervision   O
of   O
Southern   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
via   O
telemedicine   O
.   O

Follow   O
up   O
is   O
scheduled   O
for   O
32/20   B-DATE
.   O

Digital   O
Signature   O
:   O
Harry   B-NAME
Block   I-NAME
7/20/68   B-DATE

Mr.   O
fairchild   B-NAME
of   O
8   O
years   O
presented   O
with   O
symptoms   O
at   O
UPMC   B-LOCATION
East   I-LOCATION
on   O
0/32/38   B-DATE
.   O

He   O
was   O
referred   O
by   O
Dr.   O
Peter   B-NAME
Blood   I-NAME
.   O

He   O
resides   O
in   O
Indiahoma   B-LOCATION
having   O
zip   O
code   O
72888   B-LOCATION
and   O
his   O
health   O
insurance   O
ID   O
is   O
HF121/6137   B-ID
.   O

His   O
detailed   O
medical   O
record   O
can   O
be   O
traced   O
with   O
63775485   B-ID
.   O

For   O
further   O
enquiry   O
,   O
his   O
contact   O
number   O
(   B-CONTACT
286   I-CONTACT
)   I-CONTACT
708   I-CONTACT
-   I-CONTACT
7222   I-CONTACT
was   O
provided   O
.   O

Clinical   O
History   O
:   O
Mr.   O
Richard   B-NAME
Oden   I-NAME
is   O
a   O
Music   O
Directors   O
and   O
his   O
health   O
history   O
suggests   O
he   O
has   O
been   O
in   O
good   O
health   O
,   O
before   O
the   O
current   O
illness   O
.   O

Present   O
Exam   O
:   O
Physical   O
examination   O
by   O
Dr.   O
Eban   B-NAME
,   I-NAME
Abba   I-NAME
at   O
Mount   B-LOCATION
Sinai   I-LOCATION
Queens   I-LOCATION
reveals   O
a   O
mildly   O
distressed   O
man   O
,   O
his   O
conjunctivae   O
were   O
pale   O
,   O
and   O
he   O
exhibited   O
scleral   O
icterus   O
.   O

Differential   O
Diagnosis   O
:   O
Evaluations   O
are   O
still   O
under   O
process   O
under   O
the   O
guidance   O
of   O
Dr.   O
Conor   B-NAME
Melendez   I-NAME
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
.   O

For   O
final   O
diagnosis   O
,   O
Mr.   O
Qin   B-NAME
Shi   I-NAME
Huang   I-NAME
is   O
recommended   O
for   O
further   O
tests   O
,   O
including   O
endoscopy   O
.   O

The   O
staff   O
of   O
Sundance   B-LOCATION
Institute   I-LOCATION
will   O
be   O
calling   O
him   O
on   O
his   O
contact   O
number   O
608   B-CONTACT
2014   I-CONTACT
to   O
follow   O
up   O
his   O
health   O
status   O
.   O

Any   O
further   O
queries   O
and   O
clarifications   O
will   O
be   O
handled   O
by   O
gmh410   B-NAME
from   O
our   O
helpdesk   O
team   O
.   O

We   O
wish   O
Mr.   O
Kitchen   B-NAME
,   I-NAME
Willie   I-NAME
a   O
speedy   O
recovery   O
.   O

Patient   O
's   O
Name   O
:   O
Katrina   B-NAME
Bullock   I-NAME
Age   O
:   O
67   O
ID   O
:   O
5   B-ID
-   I-ID
2140890   I-ID
Location   O
:   O
Severn   B-LOCATION
Phone   O
:   O
511   B-CONTACT
9101   I-CONTACT
Medical   O
Record   O
Number   O
:   O
67794280   B-ID
16/01/2201   B-DATE
Dear   O
Dr.   O
Mcconnell   B-NAME
,   O
I   O
am   O
writing   O
regarding   O
patient   O
RACHAEL   B-NAME
G.   I-NAME
OBRYAN   I-NAME
who   O
recently   O
presented   O
to   O
our   O
Bertrand   B-LOCATION
Chaffee   I-LOCATION
Hospital   I-LOCATION
with   O
symptoms   O
of   O
tachycardia   O
and   O
dyspnea   O
.   O

McNair   B-NAME
,   I-NAME
Steve   I-NAME
is   O
a   O
16   O
year   O
old   O
individual   O
currently   O
residing   O
in   O
the   O
North   B-LOCATION
Henderson   I-LOCATION
area   O
and   O
who   O
works   O
as   O
a   O
Roustabouts   O
,   O
Oil   O
and   O
Gas   O
.   O

Based   O
on   O
the   O
provided   O
history   O
and   O
physical   O
examination   O
findings   O
,   O
Moses   B-NAME
Zavala   I-NAME
's   O
clinical   O
presentation   O
is   O
highly   O
suggestive   O
of   O
compensated   O
septic   O
shock   O
,   O
possibly   O
secondary   O
to   O
a   O
urinary   O
tract   O
infection   O
.   O

Yuhas   B-NAME
reports   O
having   O
symptoms   O
of   O
dysuria   O
and   O
suprapubic   O
pain   O
for   O
the   O
past   O
week   O
.   O

Immediate   O
arrangements   O
have   O
been   O
made   O
for   O
Maribel   B-NAME
Mccarthy   I-NAME
to   O
undergo   O
further   O
investigations   O
at   O
the   O
USA   B-LOCATION
Bank   I-LOCATION
.   O

Please   O
refer   O
to   O
the   O
attached   O
request   O
using   O
this   O
VO529   B-NAME
.   O

For   O
ease   O
of   O
follow   O
up   O
,   O
I   O
have   O
provided   O
the   O
Decatur   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
contact   O
phone   O
number   O
(   B-CONTACT
396   I-CONTACT
)   I-CONTACT
253   I-CONTACT
-   I-CONTACT
7744   I-CONTACT
.   O

Ferne   B-NAME
Newhart   I-NAME
is   O
currently   O
under   O
the   O
care   O
of   O
our   O
medical   O
team   O
.   O

Please   O
use   O
the   O
medical   O
record   O
number   O
0960897   B-ID
for   O
all   O
future   O
correspondence   O
.   O

Thank   O
you   O
for   O
your   O
kind   O
cooperation   O
and   O
please   O
do   O
not   O
hesitate   O
to   O
reach   O
me   O
for   O
any   O
further   O
clarifications   O
that   O
you   O
may   O
need   O
regarding   O
patient   O
Geovanni   B-NAME
Castillo   I-NAME
's   O
ongoing   O
management   O
.   O

Your   O
sincerely   O
,   O
Maurice   B-NAME
Bright   I-NAME
73665   B-LOCATION

Patient   O
Name   O
:   O
Daniel   B-NAME
Niles   I-NAME
Freeland   I-NAME
Age   O
:   O
10s   O
Address   O
:   O
Swarthmore   B-LOCATION
Phone   O
Number   O
:   O
27807   B-CONTACT
ID   O
number   O
:   O
JK   B-ID
:   I-ID
BE:4159   I-ID
Hospital   O
Name   O
:   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Angels   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
2289   B-DATE
I   O
,   O
Sophia   B-NAME
Sims   I-NAME
,   O
saw   O
OMO   B-NAME
today   O
at   O
Thomas   B-LOCATION
Jefferson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
.   O

Her   O
medical   O
history   O
was   O
examined   O
through   O
478   B-ID
-   I-ID
00   I-ID
-   I-ID
45   I-ID
.   O

Naima   B-NAME
Kirby   I-NAME
works   O
as   O
a   O
Archaeologist   O
at   O
a   O
Marine   B-LOCATION
Corps   I-LOCATION
League   I-LOCATION
located   O
in   O
Trail   B-LOCATION
Side   I-LOCATION
.   O

The   O
diagnostic   O
tests   O
were   O
ordered   O
,   O
and   O
the   O
patient   O
was   O
instructed   O
to   O
come   O
for   O
a   O
follow   O
-   O
up   O
after   O
12/07/2331   B-DATE
.   O

The   O
test   O
reports   O
will   O
be   O
available   O
through   O
our   O
hospital   O
's   O
online   O
portal   O
;   O
username   O
:   O
OQ469   B-NAME
and   O
password   O
:   O
6889765   B-ID
.   O

Emergency   O
contact   O
number   O
for   O
the   O
Boca   B-LOCATION
Raton   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
is   O
718   B-CONTACT
781   I-CONTACT
5261   I-CONTACT
.   O

Rex   B-NAME
Mendoza   I-NAME
can   O
pick   O
up   O
her   O
prescribed   O
medications   O
from   O
our   O
pharmacy   O
located   O
at   O
Lac   B-LOCATION
La   I-LOCATION
Belle   I-LOCATION
.   O

She   O
was   O
also   O
given   O
the   O
contact   O
details   O
of   O
a   O
nearby   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Painters   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Trades   I-LOCATION
in   O
75878   B-LOCATION
for   O
any   O
immediate   O
assistance   O
or   O
emergencies   O
.   O

For   O
further   O
concerns   O
or   O
queries   O
,   O
the   O
patient   O
or   O
her   O
family   O
can   O
reach   O
me   O
directly   O
at   O
the   O
Flushing   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
report   O
will   O
also   O
be   O
mailed   O
to   O
her   O
Natchez   B-LOCATION
residence   O
under   O
zip   O
code   O
90667   B-LOCATION
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Whitney   B-NAME
Age   O
:   O
30   O
Phone   O
Number   O
:   O
71732   B-CONTACT
30/38/2008   B-DATE
I   O
,   O
West   B-NAME
,   O
am   O
submitting   O
this   O
report   O
for   O
the   O
patient   O
named   O
Isaac   B-NAME
Ferraro   I-NAME
residing   O
in   O
Bradenton   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
34209   I-LOCATION
zip   O
code   O
12767   B-LOCATION
.   O

As   O
per   O
the   O
latest   O
consultation   O
at   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lawrenceville   I-LOCATION
I   O
have   O
recorded   O
the   O
following   O
symptoms   O
.   O

Conley   B-NAME
presents   O
with   O
acute   O
epigastric   O
pain   O
,   O
which   O
is   O
noticeably   O
worse   O
after   O
eating   O
.   O

Further   O
,   O
Cox   B-NAME
does   O
n't   O
smoke   O
but   O
has   O
a   O
history   O
of   O
moderate   O
to   O
heavy   O
alcohol   O
consumption   O
and   O
is   O
currently   O
working   O
as   O
a   O
Structural   O
Iron   O
and   O
Steel   O
Workers   O
.   O

Relevant   O
medical   O
records   O
(   O
number   O
16073   B-ID
)   O
indicate   O
no   O
prior   O
history   O
of   O
peptic   O
ulcer   O
disease   O
or   O
gastritis   O
.   O

According   O
to   O
Regional   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
's   O
policy   O
,   O
the   O
patient   O
’s   O
caregiver   O
tk658   B-NAME
needs   O
to   O
consent   O
to   O
the   O
procedure   O
.   O

Please   O
contact   O
us   O
at   O
359   B-CONTACT
-   I-CONTACT
9557   I-CONTACT
for   O
confirmation   O
.   O

They   O
might   O
be   O
asked   O
to   O
attend   O
a   O
session   O
with   O
Botswana   B-LOCATION
Private   I-LOCATION
Medical   I-LOCATION
&   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
for   O
alcohol   O
cessation   O
.   O

ID   O
:   O
0   B-ID
-   I-ID
3057801   I-ID

Patient   O
:   O
Maddox   B-NAME
Rogers   I-NAME
Age   O
:   O
39s   O
Date   O
of   O
Consultation   O
:   O
02/12/89   B-DATE
Mr.   O
Moshe   B-NAME
Otoole   I-NAME
was   O
first   O
encountered   O
by   O
Dr.   O
Durham   B-NAME
in   O
the   O
INTEGRIS   B-LOCATION
Southwest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

He   O
is   O
a   O
worker   O
of   O
Access   B-LOCATION
Bank   I-LOCATION
,   O
and   O
is   O
dwelling   O
in   O
Wittenberg   B-LOCATION
.   O

His   O
medical   O
record   O
number   O
is   O
3037105   B-ID
and   O
has   O
an   O
ID   O
of   O
CI727/2151   B-ID
.   O

He   O
can   O
be   O
reached   O
through   O
912   B-CONTACT
2532   I-CONTACT
.   O

06/35/2392   B-DATE
was   O
the   O
day   O
Mr.   O
Dayana   B-NAME
Jenkins   I-NAME
visited   O
the   O
clinic   O
because   O
of   O
severe   O
chest   O
pain   O
.   O

Initially   O
,   O
Mr.   O
Lourd   B-NAME
described   O
the   O
pain   O
as   O
dull   O
,   O
almost   O
like   O
an   O
obscure   O
pressure   O
on   O
his   O
chest   O
,   O
predominately   O
on   O
the   O
left   O
side   O
.   O

Over   O
the   O
past   O
two   O
days   O
,   O
however   O
,   O
the   O
pain   O
has   O
become   O
continuous   O
and   O
more   O
intense   O
,   O
provoking   O
some   O
anxiety   O
in   O
patient   O
KZ821   B-NAME
.   O

Further   O
examination   O
by   O
Dr.   O
Smith   B-NAME
revealed   O
some   O
potential   O
myocardial   O
infarction   O
signs   O
,   O
suggesting   O
a   O
cardiac   O
etiology   O
.   O

Immediate   O
stabilization   O
in   O
Monroe   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
was   O
recommended   O
.   O

The   O
patient   O
was   O
informed   O
that   O
his   O
41548   B-LOCATION
-   O
based   O
family   O
must   O
be   O
alerted   O
and   O
hospital   O
admissions   O
paperwork   O
for   O
LARGO   B-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
was   O
started   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
05/25   B-DATE
.   O

He   O
was   O
given   O
the   O
emergency   O
contact   O
336   B-CONTACT
-   I-CONTACT
8937   I-CONTACT
of   O
the   O
hospital   O
and   O
told   O
to   O
call   O
or   O
visit   O
the   O
cardiologist   O
immediately   O
if   O
his   O
chest   O
pain   O
returned   O
or   O
worsened   O
.   O

The   O
consultation   O
ended   O
at   O
this   O
point   O
,   O
with   O
patient   O
vz974   B-NAME
thanking   O
Dr.   O
Sherman   B-NAME
for   O
her   O
attentive   O
care   O
.   O

Patient   O
Report   O
:   O
Mr.   O
Cindy   B-NAME
Mcneil   I-NAME
is   O
a   O
62   O
year   O
old   O
patient   O
who   O
initially   O
came   O
to   O
Castleview   B-LOCATION
Hospital   I-LOCATION
on   O
31/11/74   B-DATE
.   O

He   O
was   O
attended   O
to   O
by   O
Noli   B-NAME
,   I-NAME
Fan   I-NAME
,   O
a   O
renowned   O
gastroenterologist   O
in   O
our   O
organization   O
.   O

On   O
examination   O
,   O
Damari   B-NAME
Huff   I-NAME
presented   O
with   O
visibly   O
jaundiced   O
eyes   O
and   O
skin   O
.   O

Mr.   O
Craig   B-NAME
Adams   I-NAME
is   O
originally   O
from   O
Post   B-LOCATION
and   O
works   O
as   O
a   O
Counter   O
Attendants   O
,   O
Cafeteria   O
,   O
Food   O
Concession   O
,   O
and   O
Coffee   O
Shop   O
.   O

Norton   B-NAME
’s   O
unique   O
identification   O
details   O
can   O
be   O
seen   O
on   O
his   O
driving   O
license   O
,   O
the   O
number   O
of   O
which   O
is   O
2296706   B-ID
and   O
his   O
500   B-CONTACT
-   I-CONTACT
4389   I-CONTACT
is   O
also   O
our   O
point   O
of   O
contact   O
with   O
him   O
.   O

Moreover   O
,   O
we   O
've   O
allocated   O
him   O
with   O
a   O
unique   O
10038623   B-ID
number   O
that   O
’s   O
been   O
linked   O
to   O
his   O
account   O
.   O

Dr.   O
Nico   B-NAME
Morgan   I-NAME
has   O
suggested   O
strict   O
changes   O
to   O
his   O
lifestyle   O
and   O
diet   O
along   O
with   O
medication   O
.   O

Follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
August   B-DATE
at   O
UC   B-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Health   I-LOCATION
La   I-LOCATION
Jolla   I-LOCATION
-   I-LOCATION
Jacobs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   I-LOCATION
Sulpizio   I-LOCATION
Cardiovascular   I-LOCATION
Center   I-LOCATION
.   O

Please   O
note   O
,   O
this   O
report   O
has   O
also   O
been   O
digitally   O
forwarded   O
to   O
his   O
place   O
of   O
employment   O
at   O
Carroll   B-LOCATION
EMC   I-LOCATION
as   O
an   O
official   O
medical   O
record   O
.   O

We   O
have   O
preserved   O
the   O
confidentiality   O
and   O
shared   O
it   O
with   O
the   O
user   O
gr599   B-NAME
.   O

He   O
has   O
been   O
assigned   O
to   O
Case   O
manager   O
Mrs.   O
Peterson   B-NAME
for   O
social   O
service   O
assistance   O
given   O
his   O
zip   O
code   O
is   O
45158   B-LOCATION
.   O

A   O
regular   O
check   O
-   O
up   O
is   O
important   O
and   O
failure   O
to   O
show   O
up   O
for   O
appointments   O
can   O
lead   O
to   O
checkup   O
calls   O
from   O
us   O
to   O
his   O
contact   O
310   B-CONTACT
3591   I-CONTACT
.   O

Patient   O
Name   O
:   O
DeGeneres   B-NAME
,   I-NAME
Ellen   I-NAME
Age   O
:   O
85   O
Address   O
:   O
Trussville   B-LOCATION
Phone   O
:   O
481   B-CONTACT
-   I-CONTACT
1784   I-CONTACT
Medical   O
Record   O
Number   O
:   O
23912325   B-ID
ID   O
:   O
MT   B-ID
:   I-ID
GI:8957   I-ID
Presenting   O
Complaint   O
:   O
The   O
patient   O
was   O
brought   O
to   O
Golisano   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southwest   I-LOCATION
Florida   I-LOCATION
on   O
1713   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
16   I-DATE
complaining   O
of   O
persistent   O
migraines   O
and   O
minor   O
dizziness   O
lasting   O
for   O
four   O
previous   O
days   O
.   O

U.   B-NAME
Needham   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
under   O
the   O
care   O
of   O
Dr.   O
Ann   B-NAME
Mcbride   I-NAME
.   O

Clinical   O
Findings   O
:   O
Physical   O
examination   O
by   O
Dr.   O
Casey   B-NAME
Diaz   I-NAME
indicated   O
that   O
the   O
patient   O
's   O
blood   O
pressure   O
was   O
slightly   O
elevated   O
.   O

Sienna   B-NAME
Webb   I-NAME
recommended   O
a   O
consultation   O
with   O
a   O
neurologist   O
for   O
further   O
evaluation   O
.   O

Furthermore   O
,   O
Blanchard   B-NAME
also   O
suggested   O
a   O
change   O
in   O
lifestyle   O
and   O
dietary   O
habits   O
as   O
a   O
means   O
to   O
improve   O
overall   O
health   O
status   O
.   O

Follow   O
-   O
up   O
Visit   O
:   O
The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
2047   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
30   I-DATE
at   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Emergency   O
contact   O
:   O
The   O
patient   O
's   O
emergency   O
contact   O
can   O
be   O
reached   O
at   O
this   O
phone   O
number   O
17612   B-CONTACT
.   O

Montgomery   B-NAME
Montgomery   I-NAME
is   O
employed   O
as   O
a   O
Brand   O
manager   O
in   O
New   B-LOCATION
Frontier   I-LOCATION
Bank   I-LOCATION
.   O

Other   O
relatives   O
:   O
The   O
patient   O
has   O
an   O
older   O
brother   O
,   O
39   O
,   O
who   O
is   O
a   O
resident   O
of   O
Riverhead   B-LOCATION
with   O
zip   O
code   O
12241   B-LOCATION
.   O

Electronic   O
Health   O
Record   O
Username   O
:   O
AH718   B-NAME

Patient   O
Information   O
:   O
Mr.   O
Brisa   B-NAME
Donaldson   I-NAME
is   O
a   O
84   O
year   O
old   O
professional   O
Data   O
analyst   O
who   O
has   O
recently   O
been   O
experiencing   O
bouts   O
of   O
unexplained   O
fatigue   O
and   O
breathlessness   O
.   O

His   O
contact   O
number   O
is   O
384   B-CONTACT
-   I-CONTACT
770   I-CONTACT
9381   I-CONTACT
and   O
lives   O
at   O
Rivera   B-LOCATION
.   O

He   O
has   O
been   O
under   O
the   O
care   O
of   O
Dr.   O
Kai   B-NAME
Fisher   I-NAME
since   O
last   O
six   O
months   O
at   O
the   O
prestigious   O
health   O
organization   O
of   O
The   B-LOCATION
Buckhead   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

According   O
to   O
his   O
medical   O
records   O
2585Y49283   B-ID
,   O
Mr.   O
Veronica   B-NAME
Fischer   I-NAME
was   O
diagnosed   O
with   O
mild   O
anemia   O
on   O
00/13/31   B-DATE
.   O

A   O
succeeding   O
health   O
check   O
at   O
Meade   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Meade   I-LOCATION
revealed   O
borderline   O
high   O
BP   O
levels   O
that   O
could   O
potentially   O
lead   O
to   O
hypertension   O
if   O
left   O
untreated   O
.   O

Doctor   O
's   O
Recommendation   O
:   O
Iris   B-NAME
Small   I-NAME
has   O
advised   O
Mr.   O
KRIEGER   B-NAME
,   I-NAME
STEVEN   I-NAME
to   O
reduce   O
stress   O
,   O
suggesting   O
yoga   O
and   O
meditation   O
.   O

On   O
Thursday   B-DATE
,   O
during   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
UPMC   B-LOCATION
East   I-LOCATION
,   O
Welch   B-NAME
confirmed   O
slight   O
improvement   O
in   O
Mr.   O
Alivia   B-NAME
Cunningham   I-NAME
's   O
symptoms   O
but   O
advised   O
further   O
tests   O
to   O
establish   O
the   O
cause   O
of   O
the   O
symptoms   O
.   O

For   O
emergencies   O
,   O
Daniel   B-NAME
Lanier   I-NAME
's   O
brother   O
who   O
lives   O
in   O
Neosho   B-LOCATION
Falls   I-LOCATION
and   O
can   O
be   O
reached   O
at   O
396   B-CONTACT
-   I-CONTACT
9942   I-CONTACT
was   O
listed   O
as   O
the   O
emergency   O
contact   O
.   O

His   O
personal   O
ID   O
is   O
PJ:29431:121189   B-ID
.   O

Insurance   O
Information   O
:   O
Mr.   O
T.J.   B-NAME
Eckleburg   I-NAME
is   O
insured   O
by   O
Symetra   B-LOCATION
and   O
holds   O
a   O
policy   O
number   O
2   B-ID
-   I-ID
6272754   I-ID
.   O

His   O
medical   O
visits   O
are   O
regularly   O
updated   O
on   O
his   O
username   O
:   O
dtt355   B-NAME
on   O
the   O
health   O
portal   O
.   O

Additional   O
Information   O
:   O
Mr.   O
Cerra   B-NAME
recently   O
attended   O
the   O
annual   O
health   O
camp   O
organized   O
by   O
Target   B-LOCATION
on   O
39/11   B-DATE
at   O
Belcher   B-LOCATION
.   O

In   O
closing   O
,   O
due   O
cognizance   O
of   O
these   O
dire   O
health   O
issues   O
,   O
coupled   O
with   O
Mr.   O
Amiah   B-NAME
Joseph   I-NAME
's   O
hectic   O
and   O
stressful   O
professional   O
commitments   O
as   O
a   O
Operations   O
Research   O
Analysts   O
,   O
make   O
regular   O
health   O
checks   O
an   O
essential   O
routine   O
.   O

He   O
needs   O
to   O
follow   O
up   O
with   O
Dr.   O
Stout   B-NAME
at   O
Stillwater   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
McNab   B-LOCATION
,   O
with   O
zip   O
code   O
69623   B-LOCATION
.   O

Patient   O
Name   O
:   O
Ford   B-NAME
,   I-NAME
Gerald   I-NAME
Age   O
:   O
57   O
Admission   O
Date   O
:   O
01/22   B-DATE
Doctor   O
:   O
Daniel   B-NAME
Kulani   I-NAME
Hospital   O
:   O
Piedmont   B-LOCATION
Rockdale   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
JA   B-ID
:   I-ID
QO:5365   I-ID
Location   O
:   O
Johns   B-LOCATION
Creek   I-LOCATION
Medical   O
Record   O
:   O
8475259   B-ID
Organization   O
:   O

Jennings   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
Phone   O
:   O
27961   B-CONTACT
Profession   O
:   O

Home   O
Economics   O
Teachers   O
,   O
Postsecondary   O
Username   O
:   O
FF613   B-NAME
Zip   O
:   O
11283   B-LOCATION
Patient   O
Morgan   B-NAME
of   O
age   O
82   O
,   O
a   O
Sales   O
Representatives   O
,   O
Services   O
,   O
All   O
Other   O
from   O
Scandia   B-LOCATION
,   O
was   O
admitted   O
to   O
the   O
Newington   B-LOCATION
Campus   I-LOCATION
(   I-LOCATION
US   I-LOCATION
Veterans   I-LOCATION
Administration   I-LOCATION
)   I-LOCATION
on   O
1707   B-DATE
.   O

The   O
primary   O
healthcare   O
provider   O
,   O
Dr.   O
Garrison   B-NAME
,   O
took   O
the   O
initial   O
patient   O
history   O
and   O
conducted   O
physically   O
examination   O
.   O

Yank   B-NAME
Chung   I-NAME
presented   O
severe   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
arm   O
.   O

Jalen   B-NAME
Warren   I-NAME
has   O
a   O
significant   O
medical   O
history   O
of   O
type   O
2   O
diabetes   O
and   O
hypertension   O
but   O
denied   O
any   O
history   O
of   O
heart   O
-   O
related   O
issues   O
in   O
the   O
past   O
.   O

Hattie   B-NAME
Hesson   I-NAME
's   O
family   O
history   O
also   O
implies   O
a   O
high   O
risk   O
of   O
cardiovascular   O
diseases   O
.   O

The   O
patient   O
is   O
set   O
for   O
emergent   O
cardiac   O
catheterization   O
,   O
per   O
consultation   O
with   O
Dr.   O
Adam   B-NAME
Patrick   I-NAME
.   O

The   O
patient   O
is   O
in   O
the   O
Atrium   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
's   O
Critical   O
Care   O
Unit   O
room   O
under   O
the   O
close   O
monitoring   O
of   O
the   O
cardiac   O
specialist   O
team   O
.   O

The   O
patient   O
's   O
unique   O
medical   O
ID   O
is   O
OH:8947:856550   B-ID
and   O
the   O
medical   O
record   O
number   O
assigned   O
is   O
77476829   B-ID
.   O

For   O
further   O
communications   O
,   O
you   O
can   O
reach   O
out   O
to   O
mjg342   B-NAME
at   O
428   B-CONTACT
-   I-CONTACT
3687   I-CONTACT
.   O

Instructions   O
are   O
sent   O
to   O
the   O
“   O
Organization   O
”   O
Oxford   B-LOCATION
Arson   I-LOCATION
Squad   I-LOCATION
mailing   O
address   O
.   O

Patient   O
's   O
residential   O
address   O
is   O
labeled   O
with   O
Zip   O
code   O
70436   B-LOCATION
.   O

Patient   O
Name   O
:   O
Lyn   B-NAME
Date   O
of   O
Birth   O
:   O
March   B-DATE
20   I-DATE
,   I-DATE
2331   I-DATE
Age   O
:   O
9s   O
Address   O
:   O
Walton   B-LOCATION
-   I-LOCATION
on   I-LOCATION
-   I-LOCATION
the   I-LOCATION
-   I-LOCATION
Naze   I-LOCATION
Zipcode   O
:   O
47156   B-LOCATION
Phone   O
Number   O
:   O
612   B-CONTACT
526   I-CONTACT
3842   I-CONTACT
Social   O
Security   O
Number   O
:   O
IM:56647:545285   B-ID
Medical   O
Record   O
Number   O
:   O
5106E80953   B-ID
Treating   O
Physician   O
:   O
Dr.   O
Snyder   B-NAME
The   O
patient   O
,   O
referred   O
to   O
as   O
Billy   B-NAME
Ulysses   I-NAME
Graves   I-NAME
,   O
a   O
Fire   O
Investigators   O
by   O
trade   O
,   O
arrived   O
at   O
Beaufort   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Blackhawk   B-LOCATION
on   O
10/00/92   B-DATE
,   O
reporting   O
persistent   O
abdominal   O
discomfort   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Primary   O
examination   O
by   O
Dr.   O
Sexton   B-NAME
at   O
Phelps   B-LOCATION
Health   I-LOCATION
identified   O
potential   O
hepatomegaly   O
,   O
prompting   O
a   O
series   O
of   O
tests   O
,   O
including   O
blood   O
work   O
and   O
imaging   O
.   O

To   O
review   O
the   O
case   O
more   O
comprehensively   O
,   O
the   O
patient   O
was   O
referred   O
to   O
a   O
hepatologist   O
,   O
Dr.   O
Hull   B-NAME
from   O
Nevada   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
located   O
in   O
Spearville   B-LOCATION
.   O

Fredrich   B-NAME
L.   I-NAME
van   I-NAME
Butler   I-NAME
is   O
scheduled   O
for   O
a   O
consultation   O
on   O
Monday   B-DATE
,   I-DATE
November   I-DATE
.   O

The   O
patient   O
is   O
required   O
to   O
revist   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Reno   I-LOCATION
for   O
follow   O
-   O
ups   O
with   O
relevant   O
medical   O
reports   O
from   O
Waterford   B-LOCATION
Village   I-LOCATION
Bank   I-LOCATION
.   O

The   O
detailed   O
case   O
can   O
be   O
accessed   O
using   O
YR533   B-NAME
and   O
536   B-ID
-   I-ID
64   I-ID
-   I-ID
90   I-ID
.   O

For   O
additional   O
information   O
,   O
the   O
patient   O
can   O
be   O
contacted   O
at   O
81642   B-CONTACT
or   O
their   O
family   O
in   O
Winterville   B-LOCATION
at   O
66129   B-CONTACT
.   O

Patient   O
Name   O
:   O
Sasha   B-NAME
Knobel   I-NAME
Age   O
:   O
83   O
Medical   O
Record   O
No   O
:   O
9601232   B-ID
Date   O
:   O
2383   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
32   I-DATE
Sadie   B-NAME
Mata   I-NAME
of   O
Turning   B-LOCATION
Point   I-LOCATION
Hospital   I-LOCATION
at   O
Hopedale   B-LOCATION
checked   O
the   O
Giovanna   B-NAME
Francis   I-NAME
today   O
.   O

Urhua   B-NAME
Hillbrant   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
Type   O
II   O
Diabetes   O
as   O
stated   O
in   O
organziation   O
file   O
17632360   B-ID
at   O
Irish   B-LOCATION
Municipal   I-LOCATION
,   I-LOCATION
Public   I-LOCATION
and   I-LOCATION
Civil   I-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
.   O

Contact   O
Information   O
:   O
66514   B-CONTACT
,   O
Santo   B-LOCATION
Domingo   I-LOCATION
,   O
22651   B-LOCATION
Prescriptions   O
were   O
refilled   O
and   O
provided   O
with   O
an   O
advice   O
note   O
to   O
restrict   O
any   O
high   O
carbohydrate   O
diet   O
to   O
manage   O
his   O
existing   O
medical   O
conditions   O
better   O
.   O

For   O
any   O
immediate   O
assistance   O
or   O
medical   O
emergency   O
,   O
he   O
can   O
contact   O
Dr.   O
Clinton   B-NAME
,   I-NAME
Hillary   I-NAME
at   O
Riddle   B-LOCATION
Hospital   I-LOCATION
on   O
this   O
phone   O
number   O
627   B-CONTACT
421   I-CONTACT
-   I-CONTACT
2107   I-CONTACT
.   O

Signed   O
off   O
by   O
,   O
XL143   B-NAME

Patient   O
:   O
Potter   B-NAME
Age   O
:   O
93   O
Gender   O
:   O
Male   O
Medical   O
Record   O
:   O
51465027   B-ID
Chaz   B-NAME
Decker   I-NAME
,   O
from   O
Lake   B-LOCATION
City   I-LOCATION
Veterans   I-LOCATION
Administration   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
examined   O
UGALDE   B-NAME
,   I-NAME
JAZZLYNN   I-NAME
on   O
M   B-DATE
.   O
Patient   O
reported   O
experiencing   O
persistent   O
headaches   O
for   O
the   O
past   O
couple   O
of   O
weeks   O
.   O

In   O
addition   O
,   O
Phillip   B-NAME
Downey   I-NAME
also   O
complained   O
of   O
frequent   O
dizziness   O
,   O
nausea   O
,   O
and   O
kind   O
of   O
a   O
'   O
buzzing   O
'   O
or   O
ringing   O
sound   O
,   O
suggestive   O
of   O
tinnitus   O
.   O

Patient   O
works   O
as   O
a   O
Food   O
Scientists   O
and   O
Technologists   O
at   O
Center   B-LOCATION
for   I-LOCATION
Economic   I-LOCATION
and   I-LOCATION
Social   I-LOCATION
Rights   I-LOCATION
located   O
at   O
Bessemer   B-LOCATION
.   O

His   O
ID   O
number   O
at   O
work   O
is   O
86004542   B-ID
.   O

Patient   O
resides   O
at   O
51045   B-LOCATION
.   O

Further   O
diagnostic   O
tests   O
including   O
MRI   O
of   O
the   O
head   O
,   O
thyroid   O
function   O
tests   O
,   O
and   O
audiology   O
tests   O
have   O
been   O
recommended   O
by   O
Harry   B-NAME
Sullivan   I-NAME
for   O
evaluating   O
the   O
etiology   O
behind   O
the   O
symptoms   O
.   O

He   O
can   O
be   O
reached   O
at   O
the   O
following   O
499   B-CONTACT
-   I-CONTACT
802   I-CONTACT
2335   I-CONTACT
for   O
appointment   O
and   O
discussion   O
of   O
findings   O
from   O
these   O
tests   O
.   O

Results   O
will   O
be   O
updated   O
and   O
discussed   O
on   O
Epic   O
under   O
the   O
username   O
,   O
EC986   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
08/38/33   B-DATE
.   O

The   O
patient   O
,   O
Echeverria   B-NAME
,   O
is   O
a   O
Set   O
and   O
Exhibit   O
Designers   O
in   O
their   O
late   O
85   O
s   O
,   O
was   O
referred   O
to   O
us   O
by   O
Kian   B-NAME
Blair   I-NAME
from   O
Vibra   B-LOCATION
Long   I-LOCATION
Term   I-LOCATION
Acute   I-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
on   O
31/2250   B-DATE
.   O

I   O
spoke   O
with   O
Floyd   B-NAME
R   I-NAME
Shaw   I-NAME
on   O
(   B-CONTACT
704   I-CONTACT
)   I-CONTACT
995   I-CONTACT
2874   I-CONTACT
regarding   O
their   O
symptoms   O
.   O

Medical   O
History   O
:   O
According   O
to   O
the   O
information   O
provided   O
in   O
medical   O
record   O
number   O
935   B-ID
86   I-ID
73   I-ID
,   O
the   O
patient   O
has   O
had   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
.   O

Numitor   B-NAME
Coldsmith   I-NAME
was   O
treated   O
in   O
Catlett   B-LOCATION
by   O
Griffith   B-NAME
during   O
the   O
previous   O
year   O
.   O

Current   O
Symptoms   O
:   O
Pineda   B-NAME
has   O
been   O
experiencing   O
constant   O
chest   O
pain   O
described   O
as   O
a   O
pressing   O
sensation   O
.   O

Further   O
Tests   O
and   O
Management   O
:   O
Carmelo   B-NAME
Huang   I-NAME
was   O
admitted   O
to   O
Utah   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
series   O
of   O
tests   O
that   O
included   O
a   O
cholesterol   O
test   O
,   O
chest   O
X   O
-   O
Ray   O
,   O
electrocardiogram   O
(   O
EKG   O
)   O
,   O
and   O
a   O
cardiac   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
on   O
March   B-DATE
25   I-DATE
,   I-DATE
2039   I-DATE
.   O

Following   O
admission   O
,   O
Priyanka   B-NAME
Maheswaran   I-NAME
was   O
assigned   O
to   O
Holden   B-NAME
Walsh   I-NAME
.   O

Kolton   B-NAME
Logan   I-NAME
's   O
primary   O
insurance   O
account   O
is   O
TE:67354:831121   B-ID
.   O

The   O
account   O
has   O
been   O
billed   O
by   O
Socialist   B-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
Centre   I-LOCATION
which   O
we   O
have   O
on   O
file   O
.   O

The   O
operations   O
team   O
has   O
been   O
ordered   O
to   O
forward   O
all   O
medical   O
expenses   O
to   O
GMB   B-LOCATION
as   O
soon   O
as   O
possible   O
.   O

Living   O
Conditions   O
:   O
Krueger   B-NAME
lives   O
at   O
home   O
in   O
Springfield   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
77835   B-LOCATION
.   O

Arrangements   O
have   O
been   O
made   O
for   O
lr9910   B-NAME
from   O
our   O
nursing   O
department   O
to   O
follow   O
-   O
up   O
with   O
Wade   B-NAME
Mills   I-NAME
at   O
their   O
home   O
on   O
01/21   B-DATE
.   O

Our   O
priority   O
is   O
to   O
manage   O
Heinlein   B-NAME
,   I-NAME
Robert   I-NAME
A.   I-NAME
's   O
symptoms   O
and   O
improve   O
their   O
overall   O
quality   O
of   O
life   O
.   O

Signed   O
,   O
Luisa   B-NAME
Malachi   I-NAME

Mr.   O
Camren   B-NAME
Doyle   I-NAME
is   O
a   O
11   O
-   O
year   O
-   O
old   O
man   O
who   O
presented   O
to   O
the   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
emergency   O
department   O
on   O
2022   B-DATE
-   I-DATE
38   I-DATE
-   I-DATE
12   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
.   O

Mr.   O
Vinny   B-NAME
mentioned   O
that   O
he   O
has   O
been   O
having   O
intermittent   O
fevers   O
along   O
with   O
chills   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Mr.   O
Xanthos   B-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
does   O
not   O
consume   O
alcohol   O
.   O

He   O
works   O
as   O
a   O
Forestry   O
and   O
Conservation   O
Science   O
Teachers   O
,   O
Postsecondary   O
at   O
the   O
Sun   B-LOCATION
West   I-LOCATION
Bank   I-LOCATION
.   O

Dr.   O
Litzy   B-NAME
Lopez   I-NAME
ordered   O
basic   O
blood   O
work   O
and   O
a   O
CT   O
abdomen   O
/   O
pelvis   O
.   O

He   O
was   O
operated   O
on   O
02/23/42   B-DATE
by   O
Dr.   O
Cline   B-NAME
.   O

Mr.   O
Iliff   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
transferred   O
to   O
recovery   O
.   O

He   O
was   O
discharged   O
home   O
on   O
02/24   B-DATE
with   O
instructions   O
to   O
call   O
at   O
35220   B-CONTACT
number   O
if   O
any   O
concerns   O
.   O

If   O
Mr.   O
Liam   B-NAME
Mcmahon   I-NAME
can   O
not   O
attend   O
the   O
appointment   O
due   O
to   O
any   O
inconvenience   O
,   O
he   O
will   O
have   O
to   O
let   O
us   O
know   O
by   O
giving   O
us   O
a   O
call   O
.   O

Also   O
,   O
he   O
was   O
advised   O
to   O
schedule   O
an   O
appointment   O
with   O
his   O
primary   O
care   O
provider   O
headquartered   O
at   O
Pinewood   B-LOCATION
once   O
he   O
is   O
fully   O
recovered   O
,   O
for   O
regular   O
check   O
-   O
ups   O
.   O

Any   O
further   O
inquiries   O
about   O
Mr.   O
Floyd   B-NAME
's   O
medical   O
status   O
should   O
be   O
directed   O
towards   O
staff   O
holding   O
PD375   B-NAME
credentials   O
only   O
.   O

Mr.   O
Nola   B-NAME
Gallagher   I-NAME
's   O
records   O
,   O
202   B-ID
-   I-ID
67   I-ID
-   I-ID
94   I-ID
-   I-ID
2   I-ID
for   O
this   O
case   O
was   O
kept   O
confidential   O
.   O

A   O
copy   O
of   O
the   O
medical   O
summary   O
was   O
sent   O
to   O
his   O
primary   O
care   O
physician   O
,   O
with   O
the   O
patient   O
's   O
consent   O
,   O
at   O
the   O
32098   B-LOCATION
postal   O
zone   O
.   O

Overall   O
,   O
Mr.   O
Judith   B-NAME
Frank   I-NAME
was   O
relieved   O
to   O
resolve   O
the   O
discomfort   O
and   O
agreed   O
to   O
cooperate   O
on   O
the   O
follow   O
-   O
up   O
procedures   O
.   O

His   O
personal   O
identification   O
details   O
inclusive   O
of   O
his   O
42523   B-ID
were   O
securely   O
stored   O
with   O
us   O
.   O

783   B-ID
-   I-ID
09   I-ID
-   I-ID
11   I-ID
-   I-ID
4   I-ID
This   O
patient   O
report   O
pertains   O
to   O
Mr.   O
Parker   B-NAME
Griffith   I-NAME
who   O
is   O
a   O
29   O
-   O
year   O
-   O
old   O
male   O
.   O

He   O
is   O
a   O
Social   O
Scientists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
at   O
a   O
well   O
-   O
known   O
InBank   B-LOCATION
.   O

The   O
patient   O
's   O
case   O
was   O
first   O
diagnosed   O
and   O
reported   O
by   O
Dr.   O
Larsen   B-NAME
on   O
01/28   B-DATE
.   O

He   O
reported   O
that   O
Mr.   O
Krista   B-NAME
Bates   I-NAME
presented   O
classic   O
symptoms   O
of   O
acute   O
myocardial   O
infarction   O
(   O
AMI   O
)   O
,   O
also   O
known   O
as   O
a   O
heart   O
attack   O
.   O

Regarding   O
the   O
patient   O
's   O
medical   O
history   O
,   O
as   O
analyzed   O
from   O
the   O
medical   O
records   O
no   O
.   O
785455   B-ID
,   O
he   O
had   O
no   O
prior   O
history   O
of   O
heart   O
disease   O
but   O
was   O
a   O
chronic   O
smoker   O
.   O

This   O
patient   O
was   O
transferred   O
to   O
the   O
Asante   B-LOCATION
Three   I-LOCATION
Rivers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
ICU   O
in   O
the   O
city   O
of   O
Accord   B-LOCATION
.   O

He   O
was   O
admitted   O
to   O
the   O
Coulee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Kael   B-NAME
,   I-NAME
Pauline   I-NAME
for   O
further   O
investigations   O
and   O
treatments   O
,   O
such   O
as   O
an   O
Electrocardiogram   O
(   O
EKG   O
)   O
and   O
Coronary   O
angiography   O
.   O

Emergency   O
contact   O
details   O
were   O
noted   O
down   O
:   O
814   B-CONTACT
-   I-CONTACT
3187   I-CONTACT
.   O

On   O
2/24   B-DATE
,   O
the   O
patient   O
underwent   O
a   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
,   O
which   O
involved   O
the   O
usage   O
of   O
a   O
drug   O
-   O
eluting   O
stent   O
to   O
unblock   O
the   O
narrowed   O
coronary   O
arteries   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
Thursday   B-DATE
,   I-DATE
February   I-DATE
from   O
Ascension   B-LOCATION
St   I-LOCATION
John   I-LOCATION
Hospital   I-LOCATION
.   O

Copies   O
of   O
discharge   O
summary   O
and   O
bills   O
were   O
mailed   O
to   O
his   O
home   O
location   O
at   O
State   B-LOCATION
Line   I-LOCATION
,   O
13980   B-LOCATION
for   O
insurance   O
purposes   O
.   O

His   O
pharmacy   O
assured   O
to   O
deliver   O
the   O
prescribed   O
medications   O
to   O
his   O
home   O
address   O
once   O
his   O
insurance   O
Vietnam   B-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
processes   O
the   O
prescriptions   O
.   O

Patient   O
portal   O
ty25   B-NAME
was   O
created   O
for   O
online   O
follow   O
-   O
up   O
consultations   O
based   O
on   O
the   O
schedule   O
provided   O
by   O
the   O
medical   O
professionals   O
in   O
the   O
Einstein   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Philadelphia   I-LOCATION
.   O

This   O
comprehensive   O
report   O
of   O
Mr.   O
Oakley   B-NAME
has   O
been   O
summarized   O
and   O
compiled   O
by   O
Nurse   O
Stewart   B-NAME
working   O
in   O
the   O
Pen   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
Pontius   B-NAME
Dravland   I-NAME
Age   O
:   O
84   O
ID   O
Number   O
:   O
NI   B-ID
:   I-ID
YI:6462   I-ID
3/94   B-DATE
To   O
:   O
Park   B-NAME
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Sycamore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Ivy   B-LOCATION
ZIP   O
:   O
75659   B-LOCATION
RE   O
:   O
Medical   O
Report   O
of   O
Paul   B-NAME
Reilly   I-NAME
This   O
report   O
discusses   O
the   O
illness   O
of   O
Kendrick   B-NAME
Gonzalez   I-NAME
.   O

Upon   O
examination   O
on   O
15/22/87   B-DATE
,   O
neurological   O
findings   O
revealed   O
decreased   O
visual   O
acuity   O
and   O
papilledema   O
indicating   O
possible   O
increased   O
intracranial   O
pressure   O
.   O

The   O
CT   O
scan   O
conducted   O
at   O
Mary   B-LOCATION
Breckinridge   I-LOCATION
Hospital   I-LOCATION
revealed   O
the   O
presence   O
of   O
a   O
mass   O
lesion   O
in   O
the   O
patient   O
's   O
brain   O
.   O

We   O
need   O
to   O
have   O
a   O
detailed   O
discussion   O
with   O
Eduardo   B-NAME
Randolph   I-NAME
about   O
the   O
available   O
treatment   O
options   O
and   O
decide   O
on   O
the   O
best   O
plan   O
moving   O
forward   O
.   O

Contact   O
Information   O
Phone   O
:   O
85408   B-CONTACT
E   O
-   O
mail   O
:   O
ai433   B-NAME
@mail.com   O
Previous   O
Medical   O
Record   O
:   O
85577429   B-ID
Please   O
note   O
that   O
I   O
also   O
made   O
Paul   B-NAME
,   I-NAME
Ron   I-NAME
aware   O
of   O
his   O
condition   O
and   O
proposed   O
treatment   O
plan   O
.   O

Sincerely   O
,   O
Colton   B-NAME
Hobbs   I-NAME
Mount   B-LOCATION
Victory   I-LOCATION
For   O
International   B-LOCATION
Humanist   I-LOCATION
and   I-LOCATION
Ethical   I-LOCATION
Union   I-LOCATION

Patient   O
Report   O
:   O
Crumb   B-NAME
,   I-NAME
Robert   I-NAME
is   O
a   O
7   O
month   O
year   O
old   O
male   O
,   O
admitted   O
on   O
16/38/10   B-DATE
after   O
experiencing   O
shortness   O
of   O
breath   O
and   O
chest   O
discomfort   O
.   O

Upon   O
examination   O
by   O
Dr.   O
Brenna   B-NAME
Cabrera   I-NAME
,   O
it   O
was   O
found   O
the   O
patient   O
had   O
a   O
systolic   O
murmur   O
in   O
the   O
mitral   O
area   O
.   O

Mention   O
must   O
be   O
made   O
of   O
the   O
fact   O
that   O
Esteban   B-NAME
Guerrero   I-NAME
's   O
father   O
died   O
due   O
to   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
89   O
.   O

The   O
patient   O
was   O
immediately   O
referred   O
to   O
the   O
Cardiology   O
Unit   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
.   O

An   O
echocardiogram   O
and   O
a   O
treadmill   O
test   O
have   O
been   O
scheduled   O
for   O
22/12/17   B-DATE
.   O

His   O
medical   O
record   O
number   O
is   O
5704160   B-ID
.   O

Quentin   B-NAME
Carlson   I-NAME
has   O
been   O
asked   O
to   O
adhere   O
strictly   O
to   O
his   O
prescribed   O
medication   O
and   O
diet   O
plan   O
.   O

The   O
patient   O
resides   O
at   O
Fort   B-LOCATION
Coffee   I-LOCATION
and   O
his   O
contact   O
number   O
is   O
29998   B-CONTACT
.   O

His   O
postal   O
code   O
is   O
80956   B-LOCATION
.   O

His   O
primary   O
care   O
physician   O
Dr.   O
Huffington   B-NAME
,   I-NAME
Arianna   I-NAME
will   O
be   O
following   O
up   O
on   O
his   O
condition   O
post   O
-   O
investigations   O
.   O

In   O
the   O
meantime   O
,   O
he   O
can   O
be   O
reached   O
at   O
463   B-CONTACT
-   I-CONTACT
9731   I-CONTACT
for   O
any   O
urgent   O
care   O
.   O

As   O
Kendall   B-NAME
Combs   I-NAME
is   O
a   O
professional   O
software   O
engineer   O
,   O
more   O
emphasis   O
was   O
given   O
on   O
lifestyle   O
amendments   O
and   O
stress   O
management   O
.   O

His   O
employee   O
i   O
d   O
is   O
TA   B-ID
:   I-ID
JM:3046   I-ID
and   O
his   O
official   O
mail   O
i   O
d   O
is   O
VD699   B-NAME
@   O
Appalachian   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.com   O
.   O

Everything   O
about   O
the   O
case   O
has   O
been   O
documented   O
meticulously   O
for   O
future   O
reference   O
and   O
as   O
part   O
of   O
our   O
strict   O
patient   O
confidentiality   O
and   O
on   O
-   O
going   O
care   O
process   O
here   O
at   O
Public   B-LOCATION
Service   I-LOCATION
Electric   I-LOCATION
and   I-LOCATION
Gas   I-LOCATION
Company   I-LOCATION
(   I-LOCATION
PSE&G   I-LOCATION
)   I-LOCATION
.   O

Patient   O
's   O
Information   O
:   O
Name   O
:   O
Deon   B-NAME
Ward   I-NAME
Age   O
:   O
8   O
week   O
Date   O
of   O
Visit   O
:   O
2063   B-DATE
Physician   O
in   O
Charge   O
:   O
Dr.   O
Pauline   B-NAME
Keim   I-NAME
Location   O
:   O

Gravesend   B-LOCATION
Hospital   O
:   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Marymount   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
4871569   B-ID
Organization   O
:   O
XL   B-LOCATION
Catlin   I-LOCATION
Contact   O
Number   O
:   O
476   B-CONTACT
6598   I-CONTACT
Job   O
:   O
Sports   O
coach   O
Username   O
:   O
aqr598   B-NAME
Zip   O
Code   O
:   O
47487   B-LOCATION
Report   O
Summary   O
:   O

On   O
17/32/13   B-DATE
,   O
patient   O
Demarcus   B-NAME
Moses   I-NAME
came   O
in   O
for   O
a   O
scheduled   O
visit   O
at   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
.   O

On   O
examination   O
,   O
Dr.   O
Nash   B-NAME
,   I-NAME
John   I-NAME
Forbes   I-NAME
noticed   O
clear   O
signs   O
of   O
subconjunctival   O
hemorrhage   O
and   O
thick   O
nasal   O
discharge   O
.   O

The   O
results   O
of   O
these   O
tests   O
will   O
be   O
associated   O
with   O
his   O
existing   O
medical   O
record   O
number   O
5868013   B-ID
.   O

Caligari   B-NAME
is   O
currently   O
employed   O
as   O
a   O
Merchandise   O
Displayers   O
and   O
Window   O
Trimmers   O
at   O
T.J.   B-LOCATION
Maxx   I-LOCATION
.   O

Additional   O
Notes   O
:   O
Given   O
his   O
profession   O
and   O
as   O
he   O
resides   O
in   O
80057   B-LOCATION
,   O
the   O
patient   O
has   O
been   O
advised   O
to   O
work   O
from   O
home   O
to   O
avoid   O
pollution   O
and   O
further   O
acerbate   O
his   O
symptoms   O
.   O

In   O
the   O
meantime   O
,   O
until   O
the   O
results   O
,   O
Keely   B-NAME
Livingston   I-NAME
has   O
been   O
advised   O
to   O
rest   O
and   O
stay   O
hydrated   O
.   O

The   O
patient   O
was   O
asked   O
to   O
revisit   O
on   O
1921   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
28   I-DATE
for   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

He   O
was   O
informed   O
to   O
call   O
the   O
60516   B-CONTACT
number   O
in   O
case   O
of   O
any   O
emergency   O
.   O

We   O
,   O
at   O
Hillsdale   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
,   O
assure   O
our   O
best   O
services   O
are   O
rendered   O
at   O
all   O
times   O
.   O

Username   O
UA104   B-NAME
verified   O
these   O
details   O
on   O
31/13   B-DATE
.   O

Patient   O
Name   O
:   O
Mark   B-NAME
Taylor   I-NAME
Age   O
:   O
9s   O
Location   O
:   O
Rancho   B-LOCATION
Tehama   I-LOCATION
Reserve   I-LOCATION
Phone   O
Number   O
:   O
260   B-CONTACT
-   I-CONTACT
717   I-CONTACT
-   I-CONTACT
4581   I-CONTACT
Medical   O
Record   O
:   O
174   B-ID
-   I-ID
56   I-ID
-   I-ID
61   I-ID
-   I-ID
5   I-ID
Schultz   B-NAME
,   I-NAME
Charles   I-NAME
M.   I-NAME
of   O
Sitka   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
saw   O
patient   O
Breann   B-NAME
Bloss   I-NAME
on   O
10/27/2282   B-DATE
for   O
a   O
consultation   O
.   O

The   O
patient   O
lives   O
in   O
Hendrum   B-LOCATION
,   O
and   O
her   O
social   O
security   O
number   O
is   O
6   B-ID
-   I-ID
5777192   I-ID
.   O

She   O
was   O
previously   O
treated   O
at   O
Evergreen   B-LOCATION
USA   I-LOCATION
RRG   I-LOCATION
.   O

Test   O
results   O
were   O
sent   O
to   O
her   O
secure   O
email   O
at   O
oj237   B-NAME
.   O

She   O
is   O
recommended   O
to   O
meet   O
a   O
neurologist   O
in   O
the   O
same   O
hospital   O
,   O
SCL   B-LOCATION
Health   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Southwest   I-LOCATION
,   O
based   O
in   O
Bensley   B-LOCATION
,   O
with   O
her   O
reports   O
.   O

Follow   O
-   O
up   O
visit   O
was   O
scheduled   O
on   O
32/21   B-DATE
at   O
the   O
same   O
location   O
.   O

Her   O
postal   O
address   O
is   O
as   O
follows   O
:   O
57674   B-LOCATION
.   O

For   O
any   O
further   O
queries   O
,   O
she   O
or   O
her   O
family   O
can   O
reach   O
out   O
on   O
the   O
contact   O
number   O
(   B-CONTACT
560   I-CONTACT
)   I-CONTACT
571   I-CONTACT
3467   I-CONTACT
.   O

The   O
patient   O
Jude   B-NAME
is   O
a   O
35   O
year   O
old   O
woman   O
who   O
presented   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Laurens   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Her   O
personal   O
physician   O
,   O
Brooklynn   B-NAME
Estrada   I-NAME
,   O
previously   O
diagnosed   O
her   O
with   O
irritable   O
bowel   O
syndrome   O
but   O
her   O
current   O
symptoms   O
seem   O
inconsistent   O
with   O
that   O
diagnosis   O
.   O

Prior   O
to   O
the   O
visit   O
,   O
she   O
had   O
been   O
residing   O
at   O
her   O
home   O
in   O
Marston   B-LOCATION
Moretaine   I-LOCATION
.   O

A   O
complete   O
blood   O
count   O
,   O
conducted   O
by   O
Dr.   O
Gilbert   B-NAME
,   O
showed   O
mild   O
leukocytosis   O
.   O

She   O
was   O
transferred   O
to   O
Surgery   O
Unit   O
of   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
.   O

Her   O
husband   O
,   O
Mr.   O
Baden   B-NAME
-   I-NAME
Powell   I-NAME
,   I-NAME
Sir   I-NAME
Robert   I-NAME
(   I-NAME
B   I-NAME
-   I-NAME
P   I-NAME
)   I-NAME
,   O
was   O
reachable   O
at   O
713   B-CONTACT
1570   I-CONTACT
in   O
case   O
of   O
emergencies   O
.   O

The   O
patient   O
's   O
7101533   B-ID
number   O
is   O
1102830   B-ID
.   O

She   O
has   O
been   O
given   O
instructions   O
to   O
contact   O
Rural   B-LOCATION
Industry   I-LOCATION
Promotions   I-LOCATION
Company   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
for   O
any   O
difficulties   O
including   O
sudden   O
changes   O
in   O
the   O
operated   O
area   O
,   O
high   O
grade   O
fever   O
,   O
or   O
severe   O
pain   O
.   O

The   O
post   O
-   O
operative   O
notes   O
were   O
updated   O
on   O
00/30   B-DATE
by   O
Dr.   O
Vicente   B-NAME
Holder   I-NAME
under   O
username   O
epo269   B-NAME
.   O

Dr.   O
Owens   B-NAME
plans   O
to   O
discharge   O
her   O
after   O
a   O
day   O
of   O
observation   O
if   O
there   O
are   O
no   O
further   O
complications   O
.   O

Her   O
home   O
nursing   O
will   O
be   O
managed   O
by   O
Community   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Nevada   I-LOCATION
.   O

The   O
patient   O
lives   O
at   O
Gardena   B-LOCATION
,   O
12355   B-LOCATION
.   O

She   O
will   O
be   O
asked   O
to   O
provide   O
feedback   O
about   O
her   O
care   O
experience   O
via   O
24829   B-CONTACT
.   O

Physician   O
's   O
Signature   O
:   O
Joseph   B-NAME
Nolan   I-NAME

Patient   O
Federer   B-NAME
,   I-NAME
Roger   I-NAME
visited   O
Doyle   B-NAME
at   O
Jackson   B-LOCATION
Hospital   I-LOCATION
in   O
Little   B-LOCATION
Britain   I-LOCATION
on   O
02/97   B-DATE
.   O

Patient   O
Elle   B-NAME
Downs   I-NAME
,   O
who   O
works   O
as   O
a   O
Animal   O
Control   O
Workers   O
,   O
was   O
complaining   O
about   O
experiencing   O
shortness   O
of   O
breath   O
,   O
persistent   O
coughing   O
,   O
and   O
fatigue   O
for   O
the   O
past   O
week   O
.   O

Complete   O
blood   O
count   O
and   O
pulse   O
oximetry   O
tests   O
were   O
conducted   O
and   O
samples   O
were   O
sent   O
to   O
Mitchell   B-LOCATION
EMC   I-LOCATION
for   O
further   O
evaluation   O
.   O

The   O
laboratory   O
report   O
received   O
on   O
08/08/2352   B-DATE
showed   O
an   O
increase   O
in   O
leukocyte   O
count   O
suggesting   O
a   O
possible   O
infection   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Sebastian   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
investigation   O
.   O

Reese   B-NAME
has   O
prescribed   O
an   O
antibiotic   O
regime   O
to   O
the   O
patient   O
based   O
on   O
the   O
severity   O
of   O
the   O
condition   O
and   O
the   O
patient   O
will   O
be   O
kept   O
under   O
observation   O
.   O

For   O
further   O
follow   O
-   O
up   O
,   O
Weeks   B-NAME
has   O
scheduled   O
an   O
appointment   O
on   O
3/22   B-DATE
.   O

Patient   O
's   O
report   O
has   O
been   O
recorded   O
in   O
record   O
number   O
7083911   B-ID
.   O

Contact   O
details   O
have   O
been   O
provided   O
to   O
the   O
patient   O
,   O
having   O
(   B-CONTACT
125   I-CONTACT
)   I-CONTACT
436   I-CONTACT
-   I-CONTACT
4556   I-CONTACT
as   O
doctor   O
's   O
contact   O
number   O
and   O
tfu370   B-NAME
as   O
the   O
contact   O
person   O
in   O
the   O
doctor   O
's   O
office   O
.   O

Before   O
leaving   O
the   O
Summa   B-LOCATION
Health   I-LOCATION
,   I-LOCATION
Barberton   I-LOCATION
Campus   I-LOCATION
,   O
patient   O
was   O
informed   O
by   O
Tate   B-NAME
about   O
the   O
importance   O
of   O
taking   O
the   O
prescribed   O
medication   O
,   O
following   O
a   O
healthy   O
diet   O
,   O
and   O
maintaining   O
an   O
overall   O
healthy   O
lifestyle   O
.   O

A   O
check   O
was   O
done   O
at   O
the   O
end   O
to   O
make   O
sure   O
that   O
patient   O
's   O
insurance   O
coverage   O
is   O
still   O
valid   O
with   O
the   O
ID   O
UL   B-ID
:   I-ID
IP:4963   I-ID
.   O

Lastly   O
,   O
the   O
patient   O
's   O
address   O
was   O
updated   O
to   O
93155   B-LOCATION
for   O
future   O
correspondence   O
.   O

The   O
patient   O
,   O
Constance   B-NAME
Petersen   I-NAME
,   O
is   O
a   O
Marketing   O
Managers   O
residing   O
at   O
CO55   B-LOCATION
3RS   I-LOCATION
,   O
presented   O
to   O
Jefferson   B-LOCATION
Bucks   I-LOCATION
on   O
8/31/2122   B-DATE
.   O

Clinical   O
Examination   O
:   O
Dr.   O
Hill   B-NAME
performed   O
a   O
thorough   O
physical   O
examination   O
.   O

Kaylie   B-NAME
Mata   I-NAME
's   O
abdomen   O
was   O
tender   O
to   O
palpation   O
in   O
the   O
lower   O
quadrants   O
.   O

According   O
to   O
the   O
medical   O
records   O
(   O
9522820   B-ID
)   O
,   O
Adelaide   B-NAME
Ramos   I-NAME
is   O
a   O
known   O
case   O
of   O
Diabetes   O
Type   O
2   O
and   O
has   O
been   O
on   O
oral   O
hypoglycemic   O
agents   O
for   O
an   O
around   O
10   O
years   O
.   O

Subsequently   O
an   O
appendectomy   O
was   O
done   O
by   O
Dr.   O
Zoie   B-NAME
Dougherty   I-NAME
in   O
operating   O
room   O
of   O
Buchanan   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
,   O
floor   O
B.   O
The   O
patient   O
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
discharged   O
on   O
2250   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
22   I-DATE
.   O

Follow   O
-   O
up   O
and   O
instructions   O
were   O
detailed   O
and   O
given   O
to   O
the   O
Mclaughlin   B-NAME
.   O

Follow   O
-   O
up   O
date   O
was   O
scheduled   O
after   O
a   O
week   O
through   O
the   O
appointment   O
system   O
(   O
pq81   B-NAME
)   O
.   O

In   O
Case   O
of   O
Emergency   O
,   O
Flaubert   B-NAME
,   I-NAME
Gustave   I-NAME
or   O
a   O
family   O
member   O
can   O
reach   O
the   O
hospital   O
at   O
53547   B-CONTACT
.   O

For   O
any   O
changes   O
in   O
the   O
prescribed   O
medication   O
,   O
consult   O
with   O
Dr.   O
Jazlyn   B-NAME
Olson   I-NAME
.   O

Billing   O
has   O
been   O
referred   O
to   O
Canadian   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Nurses   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
with   O
the   O
reference   O
ON181/6315   B-ID
.   O

For   O
more   O
information   O
or   O
assistance   O
,   O
feel   O
free   O
to   O
contact   O
us   O
at   O
678   B-CONTACT
538   I-CONTACT
-   I-CONTACT
9159   I-CONTACT
.   O

The   O
facility   O
is   O
located   O
at   O
Laguna   B-LOCATION
Woods   I-LOCATION
,   O
postal   O
code   O
44116   B-LOCATION
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Yan   B-NAME
Age   O
:   O
48s   O
ID   O
:   O
OA812/3836   B-ID
Place   O
:   O

Grassflat   B-LOCATION
Contact   O
:   O
469   B-CONTACT
799   I-CONTACT
3384   I-CONTACT
Zip   O
code   O
:   O
77753   B-LOCATION
Doctor   O
's   O
Name   O
:   O
Wise   B-NAME
Medical   O
Record   O
I   O
d   O
:   O
1513217   B-ID
The   O
patient   O
,   O
Roxanne   B-NAME
Turner   I-NAME
,   O
aged   O
91   O
,   O
attended   O
the   O
outpatient   O
department   O
of   O
Erlanger   B-LOCATION
Baroness   I-LOCATION
Hospital   I-LOCATION
on   O
10/23/2073   B-DATE
.   O

Pollard   B-NAME
had   O
recommended   O
an   O
echo   O
-   O
cardiogram   O
to   O
validate   O
the   O
provisional   O
diagnosis   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
the   O
echo   O
-   O
cardiogram   O
on   O
25   B-DATE
-   I-DATE
23   I-DATE
at   O
The   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
of   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
.   O

Jazlyn   B-NAME
Yates   I-NAME
is   O
currently   O
residing   O
in   O
Newton   B-LOCATION
Aycliffe   I-LOCATION
and   O
her   O
postal   O
code   O
is   O
34872   B-LOCATION
.   O

She   O
prefers   O
communication   O
via   O
her   O
phone   O
number   O
294   B-CONTACT
5449   I-CONTACT
.   O

Clinical   O
notes   O
documented   O
by   O
Hood   B-NAME
have   O
been   O
saved   O
under   O
the   O
file   O
name   O
zfa595   B-NAME
and   O
have   O
been   O
secured   O
in   O
the   O
patient   O
's   O
digital   O
record   O
with   O
the   O
ID   O
27499614   B-ID
.   O

Her   O
official   O
identification   O
is   O
CV:78899:482863   B-ID
.   O

She   O
had   O
been   O
referred   O
to   O
our   O
medical   O
center   O
,   O
Danish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
by   O
a   O
local   O
clinic   O
in   O
Littleville   B-LOCATION
.   O

If   O
needed   O
,   O
August   B-NAME
Orr   I-NAME
’s   O
existing   O
health   O
condition   O
requires   O
further   O
consultation   O
to   O
the   O
specialist   O
at   O
AnMed   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Report   O
:   O
Aurora   B-NAME
Rocha   I-NAME
's   O
initial   O
evaluation   O
was   O
performed   O
on   O
2115   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
15   I-DATE
by   O
Dr.   O
Raymond   B-NAME
in   O
the   O
Wagoner   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Gladstone   B-NAME
,   I-NAME
William   I-NAME
Ewart   I-NAME
also   O
reported   O
experiencing   O
sharp   O
,   O
stabbing   O
pain   O
behind   O
the   O
eyes   O
,   O
especially   O
during   O
periods   O
of   O
stress   O
or   O
prolonged   O
work   O
.   O

Timothy   B-NAME
Burke   I-NAME
presented   O
with   O
a   O
marked   O
stiffness   O
in   O
the   O
neck   O
and   O
expressed   O
feelings   O
of   O
nausea   O
when   O
exposed   O
to   O
bright   O
lights   O
or   O
loud   O
sounds   O
.   O

Upon   O
physical   O
examination   O
,   O
Mark   B-NAME
Brandt   I-NAME
displayed   O
photophobia   O
,   O
phonophobia   O
and   O
mild   O
edema   O
.   O

Looking   O
back   O
at   O
Kaleb   B-NAME
Oconnell   I-NAME
's   O
medical   O
history   O
obtained   O
from   O
medical   O
record   O
number   O
798   B-ID
-   I-ID
76   I-ID
-   I-ID
52   I-ID
-   I-ID
0   I-ID
,   O
the   O
patient   O
had   O
a   O
similar   O
episode   O
about   O
six   O
months   O
ago   O
on   O
1887   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
10   I-DATE
and   O
was   O
diagnosed   O
with   O
classic   O
migraine   O
by   O
another   O
doctor   O
,   O
Dr.   O
Demarion   B-NAME
Aguilar   I-NAME
,   O
at   O
Flint   B-LOCATION
Hills   I-LOCATION
Community   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Emporia   I-LOCATION
which   O
is   O
a   O
different   O
location   O
from   O
present   O
hospital   O
.   O

In   O
terms   O
of   O
lifestyle   O
,   O
August   B-NAME
Beard   I-NAME
is   O
a   O
Gaming   O
Dealers   O
,   O
stays   O
in   O
Lynnfield   B-LOCATION
,   O
and   O
is   O
insured   O
under   O
policy   O
number   O
JB:95050:636203   B-ID
by   O
the   O
insurance   O
Constellation   B-LOCATION
's   I-LOCATION
Czardom   I-LOCATION
.   O

Currently   O
,   O
Bradford   B-NAME
is   O
staying   O
at   O
Penns   B-LOCATION
Grove   I-LOCATION
where   O
the   O
zip   O
code   O
is   O
75918   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
825   I-CONTACT
)   I-CONTACT
657   I-CONTACT
4203   I-CONTACT
.   O

For   O
the   O
next   O
appointment   O
,   O
Danita   B-NAME
Sanches   I-NAME
will   O
be   O
seen   O
by   O
Dr.   O
Ivan   B-NAME
Hurst   I-NAME
on   O
October   B-DATE
at   O
Asante   B-LOCATION
Rogue   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Prior   O
to   O
the   O
appointment   O
,   O
we   O
have   O
asked   O
Drake   B-NAME
to   O
monitor   O
and   O
record   O
their   O
symptoms   O
in   O
an   O
accessible   O
online   O
platform   O
with   O
username   O
RC334   B-NAME
.   O

On   O
evaluation   O
,   O
it   O
is   O
recommend   O
to   O
proceed   O
with   O
the   O
same   O
treatment   O
plan   O
as   O
suggested   O
by   O
the   O
previous   O
doctor   O
from   O
Repose   B-LOCATION
Clinic   I-LOCATION
,   O
along   O
with   O
the   O
incorporation   O
of   O
new   O
preventive   O
measures   O
like   O
regular   O
aerobic   O
exercises   O
,   O
maintaining   O
a   O
good   O
sleep   O
hygiene   O
,   O
hydration   O
,   O
and   O
avoidance   O
of   O
headache   O
triggers   O
.   O

We   O
're   O
looking   O
forward   O
to   O
Paityn   B-NAME
Clements   I-NAME
's   O
follow   O
-   O
up   O
appointment   O
to   O
reassess   O
their   O
symptoms   O
,   O
along   O
with   O
monitoring   O
their   O
headache   O
diary   O
entries   O
through   O
the   O
rb537   B-NAME
on   O
the   O
tracking   O
platform   O
.   O

We   O
are   O
confident   O
that   O
with   O
active   O
participation   O
and   O
compliance   O
,   O
Alexzander   B-NAME
Warren   I-NAME
will   O
make   O
a   O
significant   O
recovery   O
.   O

Patient   O
Name   O
:   O
Haylen   B-NAME
Breslauer   I-NAME
Age   O
:   O
18   O
Date   O
of   O
Admission   O
:   O
June   B-DATE
23   I-DATE
Chief   O
Complaint   O
:   O
Dakota   B-NAME
was   O
admitted   O
to   O
Lawrence   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
33/28   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
chest   O
discomfort   O
,   O
and   O
intermittent   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Marquez   B-NAME
,   O
an   O
88   O
year   O
old   O
Interpreters   O
and   O
Translators   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
with   O
a   O
week   O
-   O
long   O
history   O
of   O
a   O
productive   O
cough   O
,   O
producing   O
yellow   O
sputum   O
.   O

Talon   B-NAME
Coffey   I-NAME
also   O
reports   O
experiencing   O
a   O
sensation   O
of   O
heaviness   O
and   O
discomfort   O
in   O
the   O
chest   O
,   O
along   O
with   O
intermittent   O
fevers   O
peaking   O
at   O
101.5F   O
for   O
the   O
last   O
3   O
days   O
.   O

Medical   O
Record   O
:   O
71534946   B-ID
Past   O
Medical   O
History   O
:   O

Patient   O
has   O
a   O
known   O
case   O
of   O
COPD   O
and   O
has   O
been   O
on   O
inhalers   O
and   O
occasional   O
oral   O
steroids   O
(   O
prescribed   O
by   O
Dr.   O
Daniel   B-NAME
)   O
for   O
the   O
same   O
over   O
the   O
past   O
couple   O
of   O
years   O
.   O

Investigations   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
at   O
WakeMed   B-LOCATION
Cary   I-LOCATION
Hospital   I-LOCATION
on   O
2/22/21   B-DATE
reveals   O
increased   O
bronchovascular   O
markings   O
indicative   O
of   O
a   O
severe   O
underlying   O
infection   O
.   O

Given   O
the   O
history   O
of   O
COPD   O
and   O
presentation   O
of   O
symptoms   O
,   O
the   O
treating   O
physician   O
,   O
Dr.   O
Blevins   B-NAME
started   O
the   O
patient   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
nebulization   O
therapy   O
.   O

Patient   O
’s   O
emergency   O
contact   O
is   O
his   O
sister   O
,   O
who   O
can   O
be   O
reached   O
at   O
84469   B-CONTACT
and   O
lives   O
in   O
Lawton   B-LOCATION
.   O

Address   O
:   O
Haines   B-LOCATION
City   I-LOCATION
,   O
27555   B-LOCATION
Social   O
Security   O
Number   O
:   O
MH   B-ID
:   I-ID
OX:9412   I-ID
Health   O
Insurance   O
:   O
Collins   B-NAME
is   O
insured   O
by   O
Blue   B-LOCATION
Ridge   I-LOCATION
Mountain   I-LOCATION
EMC   I-LOCATION
.   O

Honda   B-NAME
,   I-NAME
Soichiro   I-NAME
Username   O
in   O
Greater   B-LOCATION
Baltimore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
portal   O
:   O
vnk585   B-NAME
Treatment   O
was   O
initiated   O
and   O
the   O
patient   O
showed   O
gradual   O
improvements   O
in   O
his   O
symptoms   O
.   O

A   O
repeat   O
Chest   O
x   O
-   O
ray   O
is   O
scheduled   O
for   O
02/02/1994   B-DATE
for   O
evaluation   O
of   O
the   O
treatment   O
response   O
.   O

Maximo   B-NAME
Marquez   I-NAME
will   O
follow   O
up   O
with   O
Dr.   O
Ramos   B-NAME
in   O
12/09/36   B-DATE
at   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Dallas   I-LOCATION
.   O

Patient   O
Report   O
:   O
The   O
patient   O
entry   O
reads   O
that   O
Carie   B-NAME
is   O
an   O
individual   O
of   O
14   O
years   O
.   O

Al   B-NAME
-   I-NAME
Hallaj   I-NAME
was   O
admitted   O
to   O
North   B-LOCATION
Canyon   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
15/02/2040   B-DATE
.   O

T.   B-NAME
William   I-NAME
's   O
primary   O
care   O
provider   O
is   O
Mcneil   B-NAME
who   O
works   O
in   O
the   O
same   O
Rogers   B-LOCATION
City   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
.   O

Anton   B-NAME
Phibes   I-NAME
had   O
been   O
living   O
at   O
Grace   B-LOCATION
City   I-LOCATION
with   O
her   O
family   O
before   O
she   O
started   O
reporting   O
symptoms   O
.   O

In   O
addition   O
to   O
that   O
,   O
Dania   B-NAME
Walls   I-NAME
has   O
also   O
noted   O
fatigue   O
and   O
the   O
lack   O
of   O
appetite   O
which   O
has   O
caused   O
weight   O
loss   O
.   O

Clements   B-NAME
is   O
suspecting   O
a   O
condition   O
called   O
temporal   O
arteritis   O
but   O
wants   O
to   O
conduct   O
more   O
tests   O
to   O
confirm   O
.   O

Ventura   B-NAME
,   I-NAME
Jesse   I-NAME
's   O
medical   O
record   O
number   O
is   O
0157254   B-ID
.   O

The   O
team   O
at   O
American   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
will   O
reach   O
out   O
to   O
Molly   B-NAME
Clock   I-NAME
using   O
her   O
phone   O
20750   B-CONTACT
to   O
schedule   O
testing   O
times   O
.   O

Meanwhile   O
,   O
to   O
assist   O
the   O
AMITA   B-LOCATION
Health   I-LOCATION
Saints   I-LOCATION
Mary   I-LOCATION
and   I-LOCATION
Elizabeth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chicago   I-LOCATION
with   O
the   O
billing   O
and   O
insurance   O
coverage   O
,   O
the   O
administrative   O
office   O
has   O
asked   O
Miriam   B-NAME
Khan   I-NAME
to   O
provide   O
her   O
identification   O
number   O
CJ   B-ID
:   I-ID
WE:8398   I-ID
.   O

Yacob   B-NAME
T.   I-NAME
Kane   I-NAME
is   O
currently   O
residing   O
at   O
Great   B-LOCATION
River   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
's   O
residential   O
care   O
,   O
and   O
the   O
daughter   O
's   O
address   O
is   O
Warrior   B-LOCATION
Run   I-LOCATION
,   O
with   O
the   O
zip   O
code   O
92266   B-LOCATION
.   O

For   O
future   O
communication   O
regarding   O
this   O
case   O
,   O
please   O
refer   O
to   O
xmk913   B-NAME
.   O

Furthermore   O
,   O
I   O
will   O
be   O
keeping   O
myself   O
updated   O
about   O
Turner   B-NAME
's   O
case   O
and   O
will   O
remain   O
in   O
constant   O
touch   O
with   O
the   O
Castillo   B-NAME
.   O

We   O
also   O
request   O
her   O
not   O
to   O
hesitate   O
to   O
call   O
Located   B-LOCATION
within   I-LOCATION
Saint   I-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
's   O
helpline   O
at   O
67883   B-CONTACT
for   O
any   O
further   O
assistance   O
.   O

To   O
summarize   O
,   O
Shyanne   B-NAME
Wiggins   I-NAME
's   O
symptoms   O
seem   O
to   O
indicate   O
the   O
possibility   O
of   O
a   O
serious   O
condition   O
but   O
further   O
investigation   O
is   O
required   O
.   O

Tests   O
will   O
be   O
conducted   O
and   O
managed   O
by   O
Snow   B-NAME
and   O
the   O
team   O
at   O
Millennium   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Texas   I-LOCATION
.   O

Patient   O
Name   O
:   O
Gillian   B-NAME
Tucker   I-NAME
Age   O
:   O
72   O
Date   O
:   O
2/38   B-DATE
Treating   O
Physician   O
:   O

Hammond   B-NAME
Hospital   O
:   O
Harris   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Patient   O
ID   O
:   O
VQ   B-ID
:   I-ID
SY:2755   I-ID
Report   O
:   O
Rex   B-NAME
Hensley   I-NAME
,   O
a   O
79   O
-   O
year   O
-   O
old   O
profession   O
of   O
undertaker   O
,   O
was   O
brought   O
to   O
the   O
emergency   O
department   O
of   O
Phoebe   B-LOCATION
Putney   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
5/3   B-DATE
.   O

Cody   B-NAME
Austin   I-NAME
lives   O
in   O
Friendswood   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77546   I-LOCATION
,   O
zip   O
code   O
28919   B-LOCATION
.   O

The   O
contact   O
number   O
provided   O
was   O
(   B-CONTACT
198   I-CONTACT
)   I-CONTACT
657   I-CONTACT
2196   I-CONTACT
.   O

The   O
medical   O
history   O
of   O
Omar   B-NAME
Moody   I-NAME
includes   O
a   O
diagnosis   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
and   O
high   O
blood   O
pressure   O
,   O
being   O
managed   O
by   O
Jaiden   B-NAME
Daniels   I-NAME
,   O
located   O
at   O
Bettsville   B-LOCATION
.   O

A   O
copy   O
of   O
the   O
medical   O
record   O
CK277899   B-ID
provided   O
from   O
Loco   B-LOCATION
team   I-LOCATION
showed   O
a   O
history   O
of   O
three   O
hospitalizations   O
in   O
the   O
past   O
two   O
years   O
due   O
to   O
similar   O
episodes   O
.   O

For   O
further   O
communication   O
about   O
Arturo   B-NAME
Suarez   I-NAME
's   O
health   O
progress   O
,   O
please   O
sign   O
in   O
using   O
sk381   B-NAME
.   O

If   O
any   O
immediate   O
attention   O
is   O
required   O
,   O
contact   O
Pauline   B-NAME
Ravelle   I-NAME
's   O
office   O
at   O
717   B-CONTACT
7246   I-CONTACT
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Alexis   B-NAME
Melendez   I-NAME
Age   O
:   O
51   O
Brenden   B-NAME
Graham   I-NAME
brought   O
himself   O
to   O
the   O
ER   O
department   O
of   O
the   O
Via   B-LOCATION
Christi   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
on   O
02/39   B-DATE
.   O

He   O
originally   O
hails   O
from   O
Lexa   B-LOCATION
and   O
works   O
as   O
a   O
Heating   O
,   O
Air   O
Conditioning   O
,   O
and   O
Refrigeration   O
Mechanics   O
and   O
Installers   O
.   O

The   O
patient   O
's   O
primary   O
physician   O
,   O
Colten   B-NAME
Berger   I-NAME
,   O
examined   O
him   O
and   O
ordered   O
an   O
array   O
of   O
tests   O
,   O
comprising   O
of   O
a   O
complete   O
blood   O
count   O
,   O
liver   O
function   O
test   O
,   O
pancreatic   O
enzymes   O
,   O
and   O
an   O
abdomen   O
ultrasound   O
.   O

Hanna   B-NAME
has   O
a   O
known   O
history   O
of   O
peptic   O
ulcer   O
disease   O
and   O
is   O
currently   O
on   O
medications   O
,   O
namely   O
Proton   O
Pump   O
Inhibitors   O
.   O

The   O
ultrasound   O
imaging   O
,   O
conducted   O
by   O
the   O
Florida   B-LOCATION
A&M   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
radiology   O
team   O
,   O
revealed   O
the   O
presence   O
of   O
gallstones   O
,   O
implicating   O
acute   O
cholecystitis   O
.   O

The   O
patient   O
’s   O
medical   O
record   O
number   O
is   O
106   B-ID
-   I-ID
50   I-ID
-   I-ID
84   I-ID
-   I-ID
2   I-ID
and   O
his   O
social   O
security   O
number   O
is   O
BC985/3647   B-ID
.   O

The   O
members   O
of   O
his   O
family   O
in   O
Lansdale   B-LOCATION
have   O
been   O
informed   O
about   O
the   O
situation   O
and   O
his   O
scheduled   O
surgery   O
.   O

They   O
were   O
contacted   O
on   O
their   O
phone   O
number   O
,   O
985   B-CONTACT
-   I-CONTACT
549   I-CONTACT
6896   I-CONTACT
,   O
for   O
obtaining   O
necessary   O
permissions   O
and   O
consents   O
for   O
the   O
procedure   O
.   O

The   O
patient   O
also   O
has   O
a   O
membership   O
with   O
the   O
health   O
organization   O
World   B-LOCATION
Council   I-LOCATION
of   I-LOCATION
Churches   I-LOCATION
.   O

Any   O
further   O
inquiries   O
related   O
to   O
the   O
patient   O
may   O
be   O
referred   O
to   O
his   O
username   O
(   O
tzd740   B-NAME
)   O
on   O
the   O
official   O
website   O
or   O
his   O
residential   O
address   O
in   O
North   B-LOCATION
Augusta   I-LOCATION
with   O
the   O
zip   O
code   O
81732   B-LOCATION
.   O

The   O
team   O
of   O
doctors   O
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Methodist   I-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
have   O
recommended   O
the   O
patient   O
to   O
adhere   O
to   O
a   O
non   O
-   O
fat   O
diet   O
post   O
-   O
surgery   O
and   O
are   O
determining   O
an   O
effective   O
pain   O
management   O
strategy   O
until   O
the   O
cholecystectomy   O
procedure   O
is   O
conducted   O
.   O

Report   O
Created   O
by   O
Ray   B-NAME
Date   O
:   O
32/8   B-DATE

Patient   O
:   O
Heaven   B-NAME
Santos   I-NAME
DOB   O
(   O
Date   O
of   O
Birth   O
):   O
15/29   B-DATE
Physician   O
:   O

Early   B-NAME
,   I-NAME
Jubal   I-NAME
Anderson   I-NAME
Location   O
:   O
Haviland   B-LOCATION
Hospital   O
:   O
Johnston   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
Medical   O
Record   O
ID   O
:   O
8989135   B-ID
Symptoms   O
were   O
initially   O
reported   O
on   O
15/00/42   B-DATE
.   O

Premchand   B-NAME
,   I-NAME
Munshi   I-NAME
has   O
reported   O
experiencing   O
a   O
persistent   O
dry   O
cough   O
,   O
along   O
with   O
intermittent   O
bouts   O
of   O
high   O
fever   O
.   O

The   O
highest   O
recorded   O
body   O
temperature   O
was   O
38.9   O
C   O
on   O
2/21   B-DATE
.   O

Further   O
,   O
Lichtenberg   B-NAME
,   I-NAME
Georg   I-NAME
Christoph   I-NAME
has   O
also   O
reported   O
loss   O
of   O
smell   O
and   O
taste   O
,   O
which   O
was   O
noticed   O
approximately   O
on   O
00/22/2103   B-DATE
.   O

There   O
has   O
been   O
no   O
significant   O
improvement   O
or   O
change   O
in   O
these   O
symptoms   O
as   O
noticed   O
during   O
the   O
follow   O
-   O
up   O
consultation   O
on   O
7/23   B-DATE
.   O

Besides   O
,   O
Zaiden   B-NAME
Green   I-NAME
also   O
reported   O
difficulty   O
in   O
breathing   O
and   O
shortness   O
of   O
breath   O
,   O
particularly   O
after   O
physical   O
activity   O
.   O

Additional   O
revealed   O
information   O
about   O
gastrointestinal   O
disorders   O
like   O
diarrhea   O
was   O
also   O
present   O
,   O
later   O
confirmed   O
in   O
the   O
stool   O
test   O
carried   O
on   O
02/20/37   B-DATE
.   O

The   O
nasal   O
swab   O
test   O
,   O
conducted   O
on   O
2271   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
the   O
SARS   O
-   O
CoV-2   O
virus   O
.   O

Previous   O
records   O
show   O
that   O
Raymond   B-NAME
Castaneda   I-NAME
had   O
been   O
consulted   O
by   O
Sharp   B-NAME
in   O
Jefferson   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Geriatric   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Winchester   I-LOCATION
for   O
similar   O
flu   O
-   O
like   O
symptoms   O
in   O
past   O
events   O
,   O
with   O
his   O
last   O
visit   O
being   O
on   O
8/01/61   B-DATE
.   O

Justin   B-NAME
Landry   I-NAME
was   O
contacted   O
on   O
28052   B-CONTACT
to   O
discuss   O
the   O
condition   O
and   O
advised   O
immediate   O
hospitalization   O
keeping   O
track   O
of   O
possible   O
Covid-19   O
symptoms   O
.   O

Emergency   O
contact   O
:   O
jh407   B-NAME
,   O
a   O
Soil   O
and   O
Plant   O
Scientists   O
,   O
residing   O
at   O
Wausa   B-LOCATION
,   O
86430   B-LOCATION
.   O

In   O
case   O
of   O
any   O
further   O
requirement   O
or   O
emergency   O
,   O
BV4610   B-NAME
can   O
be   O
reached   O
at   O
(   B-CONTACT
730   I-CONTACT
)   I-CONTACT
825   I-CONTACT
-   I-CONTACT
8511   I-CONTACT
.   O

Insurance   O
Provider   O
:   O
Global   B-LOCATION
Centre   I-LOCATION
for   I-LOCATION
the   I-LOCATION
Responsibility   I-LOCATION
to   I-LOCATION
Protect   I-LOCATION
Policy   O
Number   O
:   O
PR:32922:676278   B-ID

The   O
next   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
7/03   B-DATE
at   O
Columbia   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
health   O
status   O
of   O
Kian   B-NAME
Jarvis   I-NAME
is   O
currently   O
under   O
close   O
observation   O
with   O
medical   O
assistance   O
provided   O
round   O
the   O
clock   O
.   O

Any   O
further   O
development   O
in   O
symptoms   O
will   O
be   O
immediately   O
addressed   O
and   O
recorded   O
under   O
medical   O
record   O
ID   O
:   O
788   B-ID
-   I-ID
91   I-ID
-   I-ID
46   I-ID
.   O

Patient   O
Information   O
:   O
Name   O
:   O
WALLACE   B-NAME
,   I-NAME
VELMA   I-NAME
Age   O
:   O
8   O
Medical   O
Record   O
Number   O
:   O
987   B-ID
-   I-ID
75   I-ID
-   I-ID
43   I-ID
On   O
July   B-DATE
0   I-DATE
,   O
we   O
examined   O
Elaina   B-NAME
Rojas   I-NAME
who   O
complained   O
about   O
persistent   O
chest   O
pain   O
and   O
a   O
shortness   O
of   O
breath   O
.   O

Shelton   B-NAME
also   O
mentioned   O
experiencing   O
intermittent   O
agina   O
pectoris   O
during   O
active   O
physical   O
activities   O
.   O

An   O
Angiography   O
in   O
our   O
Children   B-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
of   I-LOCATION
Atlanta   I-LOCATION
at   I-LOCATION
Egleston   I-LOCATION
confirmed   O
coronary   O
artery   O
diseases   O
.   O

Further   O
,   O
Samantha   B-NAME
Michael   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
.   O

As   O
per   O
the   O
latest   O
lab   O
results   O
received   O
on   O
19/12   B-DATE
,   O
Caleb   B-NAME
's   O
blood   O
glucose   O
level   O
is   O
still   O
not   O
under   O
control   O
,   O
which   O
may   O
worsen   O
the   O
condition   O
.   O

Jorjanna   B-NAME
requested   O
his   O
medical   O
findings   O
be   O
communicated   O
to   O
his   O
primary   O
care   O
physician   O
Dr.   O
Kamryn   B-NAME
Castro   I-NAME
of   O
Teamsters   B-LOCATION
in   O
Blanding   B-LOCATION
.   O

The   O
patient   O
provided   O
Dr.   O
Angie   B-NAME
Hickman   I-NAME
's   O
contact   O
number   O
as   O
82928   B-CONTACT
and   O
his   O
email   O
as   O
OS557   B-NAME
@   O
International   B-LOCATION
Service   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
.   O

For   O
future   O
references   O
,   O
Donavan   B-NAME
Mclaughlin   I-NAME
's   O
health   O
insurance   O
ID   O
is   O
31141   B-ID
and   O
lives   O
at   O
Maltby   B-LOCATION
,   O
with   O
postal   O
code   O
31353   B-LOCATION
and   O
his   O
contact   O
number   O
is   O
83800   B-CONTACT
.   O

We   O
appreciate   O
the   O
trust   O
placed   O
in   O
our   O
care   O
at   O
Florida   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
,   O
where   O
we   O
prioritize   O
patient   O
's   O
well   O
-   O
being   O
above   O
all   O
.   O

We   O
are   O
hopeful   O
that   O
conservative   O
management   O
would   O
yield   O
positive   O
outcomes   O
,   O
supporting   O
Carus   B-NAME
Bernieri   I-NAME
to   O
have   O
an   O
overall   O
better   O
quality   O
of   O
life   O
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Brewer   B-NAME
DOB   O
:   O
02/03   B-DATE
Medical   O
record   O
number   O
:   O
3266303   B-ID
Address   O
:   O
Grahamtown   B-LOCATION
,   O
37729   B-LOCATION
Phone   O
:   O
(   B-CONTACT
803   I-CONTACT
)   I-CONTACT
917   I-CONTACT
2960   I-CONTACT
Emergency   O
contact   O
:   O
Kasey   B-NAME
Knapp   I-NAME
Current   O
physician   O
:   O
Hatfield   B-NAME
Referred   O
by   O
:   O
Mitchell   B-NAME
Santos   I-NAME
Primary   O
insurance   O
:   O

Animal   B-LOCATION
Legal   I-LOCATION
Defense   I-LOCATION
Fund   I-LOCATION
Policy   O
Number   O
:   O
83720   B-ID
Secondary   O
insurance   O
:   O
National   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Commerce   I-LOCATION
Policy   O
Number   O
:   O
4   B-ID
-   I-ID
6618431   I-ID
Journey   B-NAME
Conrad   I-NAME
,   O
a   O
Obstetricians   O
and   O
Gynecologists   O
by   O
profession   O
,   O
was   O
admitted   O
to   O
the   O
Holy   B-LOCATION
Name   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
04/21/52   B-DATE
.   O

A   O
treatment   O
plan   O
was   O
formulated   O
by   O
Dr.   O
Vega   B-NAME
that   O
includes   O
detailed   O
cardiac   O
investigations   O
.   O

Patient   O
was   O
instructed   O
to   O
contact   O
at   O
308   B-CONTACT
-   I-CONTACT
3362   I-CONTACT
for   O
any   O
sudden   O
change   O
in   O
her   O
symptoms   O
.   O

Patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
09/01   B-DATE
with   O
Mark   B-NAME
Ibarra   I-NAME
at   O
New   B-LOCATION
Bavaria   I-LOCATION
.   O

Online   O
access   O
:   O
www.healthcare.org/   O
gfc371   B-NAME

Patient   O
Name   O
:   O
McFee   B-NAME
,   I-NAME
William   I-NAME
Age   O
:   O
93   O
Date   O
of   O
Consultation   O
:   O
21/2020   B-DATE
Consulting   O
Physician   O
:   O

Merritt   B-NAME
Hospital   O
:   O

St   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Beacon   I-LOCATION
Div   I-LOCATION
Mr.   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
arrived   O
at   O
the   O
hospital   O
on   O
00/08/2057   B-DATE
and   O
was   O
scheduled   O
to   O
meet   O
Dr.   O
Tamia   B-NAME
Zuniga   I-NAME
for   O
his   O
recurrent   O
gastrointestinal   O
symptoms   O
.   O

This   O
58   O
-   O
year   O
-   O
old   O
patient   O
,   O
who   O
resides   O
in   O
Hanover   B-LOCATION
,   O
recently   O
retired   O
from   O
his   O
job   O
as   O
a   O
Pipelayers   O
.   O

Further   O
assessment   O
of   O
his   O
condition   O
was   O
undertaken   O
by   O
Dr.   O
Dominick   B-NAME
Lee   I-NAME
where   O
the   O
patient   O
's   O
weight   O
and   O
height   O
were   O
recorded   O
as   O
part   O
of   O
the   O
BMI   O
calculation   O
.   O

The   O
patient   O
's   O
medical   O
record   O
with   O
ID   O
1344279   B-ID
was   O
updated   O
.   O

As   O
per   O
the   O
patient'   O
Flavia   B-NAME
s   O
request   O
,   O
he   O
was   O
referred   O
to   O
a   O
specialist   O
at   O
the   O
Orange   B-LOCATION
County   I-LOCATION
Global   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
specifically   O
in   O
the   O
Gastroenterology   O
unit   O
,   O
located   O
in   O
Panama   B-LOCATION
City   I-LOCATION
.   O

Before   O
leaving   O
,   O
Dr.   O
Mitchell   B-NAME
advised   O
Mr.   O
Hašek   B-NAME
,   I-NAME
Jaroslav   I-NAME
to   O
maintain   O
a   O
balanced   O
diet   O
,   O
reduce   O
alcohol   O
intake   O
,   O
and   O
refrain   O
from   O
foods   O
that   O
can   O
aggravate   O
his   O
condition   O
.   O

His   O
next   O
appointment   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
on   O
2322   B-DATE
.   O

The   O
hospital   O
plans   O
to   O
send   O
his   O
appointment   O
details   O
and   O
prescriptions   O
to   O
his   O
email   O
qoi374   B-NAME
and   O
contact   O
him   O
on   O
his   O
phone   O
number   O
766   B-CONTACT
-   I-CONTACT
5565   I-CONTACT
for   O
further   O
consultations   O
.   O

He   O
was   O
asked   O
to   O
bring   O
his   O
insurance   O
plan   O
details   O
,   O
which   O
has   O
an   O
ID   O
number   O
of   O
4   B-ID
-   I-ID
9077609   I-ID
,   O
during   O
his   O
next   O
visit   O
.   O

Prescription   O
medications   O
were   O
dispensed   O
from   O
the   O
Public   B-LOCATION
Service   I-LOCATION
Alliance   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
pharmacy   O
located   O
at   O
Fall   B-LOCATION
Branch   I-LOCATION
.   O

The   O
pharmacy   O
will   O
be   O
in   O
contact   O
to   O
confirm   O
delivery   O
details   O
to   O
his   O
home   O
at   O
30976   B-LOCATION
.   O

The   O
hospital   O
and   O
the   O
consulting   O
physician   O
Moyer   B-NAME
will   O
continue   O
to   O
monitor   O
Mr.   O
Jaylin   B-NAME
Gray   I-NAME
's   O
health   O
condition   O
closely   O
,   O
ensuring   O
a   O
safe   O
and   O
speedy   O
recovery   O
.   O

Mr.   O
Alberto   B-NAME
Wade   I-NAME
has   O
demonstrated   O
a   O
positive   O
attitude   O
towards   O
his   O
health   O
and   O
treatment   O
,   O
which   O
could   O
be   O
highly   O
beneficial   O
for   O
his   O
recovery   O
.   O

Patient   O
Name   O
:   O
Beddoes   B-NAME
,   I-NAME
Mick   I-NAME
Age   O
:   O
10   O
Date   O
:   O
03/26   B-DATE
Doctor   O
:   O
Friedman   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
KT352/1769   B-ID
Location   O
:   O
156   B-LOCATION
Hickory   I-LOCATION
Street   I-LOCATION
Medical   O
Record   O
:   O
97046351   B-ID
Organization   O
:   O

Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
Phone   O
:   O
454   B-CONTACT
-   I-CONTACT
127   I-CONTACT
7742   I-CONTACT
Profession   O
:   O
Crown   O
Prosecution   O
Service   O
lawyer   O
Username   O
:   O
on549   B-NAME
Zip   O
:   O
47840   B-LOCATION
8/35   B-DATE
Dear   O
Dr.   O
Mays   B-NAME
,   O
Patient   O
Kellsie   B-NAME
,   O
27   O
,   O
visited   O
the   O
Ascension   B-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Southfield   I-LOCATION
Campus   I-LOCATION
emergency   O
room   O
in   O
Munday   B-LOCATION
complaining   O
of   O
severe   O
epigastric   O
pain   O
approximately   O
30   O
minutes   O
after   O
eating   O
,   O
associated   O
with   O
moderate   O
nausea   O
and   O
two   O
bouts   O
of   O
non   O
-   O
projectile   O
vomiting   O
.   O

His   O
ID   O
number   O
for   O
these   O
tests   O
is   O
1243960   B-ID
.   O

We   O
are   O
awaiting   O
the   O
return   O
of   O
his   O
test   O
results   O
and   O
have   O
scheduled   O
an   O
abdominal   O
ultrasound   O
for   O
2040   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
22   I-DATE
to   O
determine   O
whether   O
there   O
are   O
any   O
structural   O
causes   O
for   O
his   O
pain   O
.   O

I   O
have   O
documented   O
his   O
details   O
in   O
the   O
medical   O
record   O
(   O
0379558   B-ID
)   O
.   O

The   O
Hindu   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
also   O
requires   O
that   O
he   O
attend   O
a   O
dietary   O
and   O
lifestyle   O
adjustment   O
seminar   O
as   O
a   O
part   O
of   O
his   O
ongoing   O
management   O
plan   O
.   O

They   O
will   O
be   O
contacting   O
him   O
directly   O
,   O
using   O
his   O
contact   O
number   O
for   O
further   O
instructions   O
(   O
(   B-CONTACT
810   I-CONTACT
)   I-CONTACT
339   I-CONTACT
-   I-CONTACT
5138   I-CONTACT
)   O
.   O

For   O
any   O
in   O
-   O
depth   O
discussion   O
regarding   O
his   O
case   O
,   O
please   O
reach   O
me   O
via   O
the   O
Parkland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
communication   O
portal   O
.   O

My   O
username   O
for   O
the   O
service   O
is   O
QO783   B-NAME
and   O
my   O
extension   O
is   O
85910   B-LOCATION
.   O

Bind   O
regards   O
,   O
Sosa   B-NAME
,   O
M.D.   O

Patient   O
Todd   B-NAME
of   O
31   O
years   O
old   O
visited   O
Dr.   O
Wilcox   B-NAME
at   O
Novant   B-LOCATION
Health   I-LOCATION
Thomasville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Sunday   B-DATE
,   I-DATE
February   I-DATE
.   O

Patient   O
from   O
West   B-LOCATION
Ocean   I-LOCATION
City   I-LOCATION
presented   O
with   O
a   O
persistent   O
cough   O
and   O
dyspnea   O
.   O

Medical   O
record   O
number   O
49670931   B-ID
validates   O
a   O
month   O
-   O
long   O
onset   O
of   O
symptoms   O
.   O

Complete   O
blood   O
count   O
(   O
CBC   O
)   O
is   O
ordered   O
,   O
the   O
lab   O
request   O
carries   O
an   O
SN351/8876   B-ID
.   O
Contact   O
with   O
Terrance   B-NAME
Love   I-NAME
was   O
made   O
via   O
64274   B-CONTACT
,   O
after   O
the   O
lab   O
results   O
indicated   O
elevated   O
white   O
cell   O
count   O
and   O
neutrophils   O
,   O
suggesting   O
a   O
possible   O
bacterial   O
infection   O
.   O

Patient   O
was   O
advised   O
to   O
return   O
to   O
Fisher   B-LOCATION
-   I-LOCATION
Titus   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
possible   O
initiation   O
of   O
antibiotic   O
therapy   O
.   O

Past   O
medical   O
history   O
obtained   O
from   O
Paralyzed   B-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
reveals   O
that   O
the   O
patient   O
,   O
who   O
is   O
a   O
Technical   O
Directors   O
--   O
Managers   O
,   O
has   O
a   O
history   O
of   O
smoking   O
and   O
had   O
a   O
minor   O
cardiac   O
event   O
some   O
4   O
years   O
ago   O
around   O
the   O
same   O
15/38/81   B-DATE
.   O

On   O
return   O
to   O
Wuesthoff   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
,   O
patient   O
was   O
evaluated   O
by   O
Dr.   O
Reuben   B-NAME
Conway   I-NAME
.   O

A   O
sputum   O
sample   O
collected   O
on   O
21/01   B-DATE
returns   O
positive   O
for   O
Streptococcus   O
pneumoniae   O
.   O

We   O
received   O
the   O
patient   O
's   O
insurance   O
details   O
,   O
numbered   O
with   O
LL   B-ID
:   I-ID
TH:6185   I-ID
,   O
and   O
they   O
verified   O
his   O
residential   O
22726   B-LOCATION
as   O
match   O
to   O
the   O
one   O
on   O
his   O
profile   O
.   O

Correspondence   O
was   O
sent   O
to   O
his   O
online   O
portal   O
vqg567   B-NAME
given   O
by   O
our   O
hospital   O
registration   O
desk   O
.   O

The   O
patient   O
was   O
discharged   O
upon   O
stabilization   O
,   O
to   O
continue   O
recovery   O
at   O
his   O
residence   O
in   O
431   B-LOCATION
Newcastle   I-LOCATION
Street   I-LOCATION
,   O
with   O
instructions   O
to   O
communicate   O
any   O
further   O
changes   O
in   O
health   O
status   O
.   O

This   O
report   O
will   O
be   O
securely   O
stored   O
in   O
the   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
's   O
confidential   O
medical   O
record   O
system   O
with   O
the   O
unique   O
identification   O
number   O
6128594   B-ID
attached   O
.   O

Patient   O
Report   O
:   O
CG   B-NAME
is   O
a   O
26   O
years   O
old   O
black   O
woman   O
,   O
working   O
as   O
a   O
Gaming   O
Service   O
Workers   O
,   O
All   O
Other   O
,   O
who   O
arrived   O
at   O
Shenandoah   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
01/07   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
.   O

She   O
lives   O
in   O
Morning   B-LOCATION
Glory   I-LOCATION
and   O
her   O
phone   O
contact   O
is   O
41563   B-CONTACT
.   O

Her   O
primary   O
care   O
physician   O
is   O
Reeves   B-NAME
who   O
works   O
in   O
the   O
same   O
hospital   O
.   O

She   O
has   O
been   O
treated   O
primarily   O
at   O
our   O
organization   O
,   O
as   O
per   O
the   O
records   O
available   O
in   O
466   B-ID
-   I-ID
63   I-ID
-   I-ID
06   I-ID
-   I-ID
2   I-ID
.   O

The   O
patient   O
's   O
medical   O
i   O
d   O
in   O
our   O
National   B-LOCATION
League   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Blind   I-LOCATION
database   O
is   O
DC:1353:240895   B-ID
.   O

The   O
patient   O
was   O
admitted   O
for   O
the   O
immediate   O
diagnostic   O
procedure   O
as   O
suggested   O
by   O
Sonderborg   B-NAME
.   O

The   O
ultrasound   O
indicated   O
potential   O
appendicitis   O
but   O
a   O
confirmatory   O
CT   O
scan   O
was   O
recommended   O
by   O
her   O
consulting   O
Radiologist   O
,   O
Moody   B-NAME
.   O

The   O
location   O
of   O
the   O
appendix   O
forms   O
one   O
of   O
several   O
appendiceal   O
positions   O
and   O
in   O
ostrowski   B-NAME
's   O
case   O
it   O
appeared   O
to   O
be   O
retrocecal   O
in   O
position   O
(   O
i.e.   O
,   O
located   O
behind   O
the   O
cecum   O
)   O
.   O

Our   O
team   O
communicated   O
with   O
Christoper   B-NAME
's   O
emergency   O
contact   O
BC866   B-NAME
.   O

She   O
was   O
consented   O
for   O
an   O
appendectomy   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
20/30/93   B-DATE
at   O
our   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
In   I-LOCATION
Red   I-LOCATION
Wing   I-LOCATION
by   O
Hallie   B-NAME
Hawkins   I-NAME
.   O

Kathryn   B-NAME
Lynch   I-NAME
was   O
discharged   O
on   O
30/04/32   B-DATE
with   O
adequate   O
pain   O
management   O
and   O
wound   O
care   O
instructions   O
.   O

Residential   O
Address   O
:   O
Calzada   B-LOCATION
,   O
Zip   O
:   O
47541   B-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Xenia   B-NAME
Rivas   I-NAME
is   O
scheduled   O
to   O
see   O
Stokes   B-NAME
at   O
the   O
outpatient   O
clinic   O
in   O
Summit   B-LOCATION
Station   I-LOCATION
on   O
22/32/2113   B-DATE
for   O
wound   O
check   O
and   O
further   O
care   O
.   O

In   O
case   O
of   O
any   O
queries   O
or   O
concerns   O
from   O
Browning   B-NAME
,   I-NAME
Elizabeth   I-NAME
Barrett   I-NAME
's   O
end   O
,   O
our   O
customer   O
service   O
can   O
be   O
contacted   O
at   O
73490   B-CONTACT
.   O

Further   O
,   O
the   O
affiliated   O
insurance   O
Combat   B-LOCATION
Veterans   I-LOCATION
Motorcycle   I-LOCATION
Association   I-LOCATION
will   O
bear   O
expenses   O
for   O
the   O
surgical   O
procedure   O
as   O
per   O
agreement   O
with   O
patient   O
SJ:61150:608469   B-ID
.   O

Tatyana   B-NAME
A.   I-NAME
Morris   I-NAME
Age   O
:   O
29   O
Gender   O
:   O
Male   O
Occupation   O
:   O
receptionist   O
Address   O
:   O
Alexandria   B-LOCATION
Bay   I-LOCATION
Phone   O
Number   O
:   O
190   B-CONTACT
-   I-CONTACT
6593   I-CONTACT
ID   O
Number   O
:   O
LC:8824:737681   B-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Rufus   B-NAME
Mintz   I-NAME
,   O
presents   O
with   O
shortness   O
of   O
breath   O
,   O
wheezing   O
and   O
tightness   O
in   O
the   O
chest   O
.   O

The   O
patient   O
was   O
previously   O
treated   O
by   O
Chavez   B-NAME
at   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Audrain   I-LOCATION
for   O
similar   O
symptoms   O
.   O

His   O
medical   O
record   O
,   O
7167210   B-ID
,   O
showed   O
evidence   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

Follow   O
Up   O
:   O
The   O
patient   O
is   O
scheduled   O
for   O
follow   O
up   O
on   O
2147   B-DATE
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Santa   I-LOCATION
Clara   I-LOCATION
.   O

In   O
case   O
of   O
any   O
emergency   O
,   O
the   O
patient   O
is   O
advised   O
to   O
immediately   O
contact   O
Villegas   B-NAME
at   O
82463   B-CONTACT
or   O
ds126   B-NAME
@   O
Altamaha   B-LOCATION
EMC   I-LOCATION
.com   O
.   O

In   O
addition   O
,   O
the   O
patient   O
can   O
also   O
reach   O
out   O
to   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Clare   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Baraboo   I-LOCATION
emergency   O
department   O
located   O
at   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10453   I-LOCATION
,   O
74033   B-LOCATION
.   O

Patient   O
Name   O
:   O
Lewis   B-NAME
Choi   I-NAME
DOB   O
:   O
02/31   B-DATE
Medical   O
Record   O
Number   O
:   O
444507CA   B-ID
Patient   O
's   O
Address   O
:   O
Clatskanie   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
435   I-CONTACT
)   I-CONTACT
502   I-CONTACT
-   I-CONTACT
8113   I-CONTACT
Occupation   O
:   O
Roustabouts   O
,   O
Oil   O
and   O
Gas   O
Consulting   O
Doctor   O
:   O

Memphis   B-NAME
Carlson   I-NAME
Hospital   O
:   O
McLeod   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/05   B-DATE
History   O
:   O

The   O
patient   O
is   O
a   O
81   O
year   O
old   O
,   O
employed   O
as   O
a   O
Wellhead   O
Pumpers   O
and   O
resides   O
at   O
Blandville   B-LOCATION
.   O

He   O
was   O
brought   O
to   O
Rehoboth   B-LOCATION
McKinley   I-LOCATION
Christian   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Services   I-LOCATION
on   O
the   O
evening   O
of   O
Friday   B-DATE
,   I-DATE
February   I-DATE
.   O

Medical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Shaunte   B-NAME
Elling   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
discomfort   O
and   O
had   O
tenderness   O
in   O
the   O
right   O
iliac   O
fossa   O
.   O

Bruce   B-NAME
Gould   I-NAME
performed   O
a   O
Murphy   O
's   O
sign   O
test   O
,   O
which   O
showed   O
positive   O
results   O
.   O

Oakley   B-NAME
's   O
ID   O
XX   B-ID
:   I-ID
BN:4754   I-ID
was   O
used   O
to   O
keep   O
track   O
of   O
their   O
samples   O
.   O

Frankie   B-NAME
Echols   I-NAME
was   O
started   O
on   O
intravenous   O
fluids   O
and   O
was   O
recommended   O
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
scheduled   O
for   O
3/14   B-DATE
at   O
Morton   B-LOCATION
Hospital   I-LOCATION
.   O

Further   O
Management   O
:   O
Post   O
-   O
surgical   O
follow   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
36/32   B-DATE
to   O
monitor   O
healing   O
process   O
.   O

The   O
patient   O
's   O
family   O
was   O
then   O
contacted   O
via   O
38081   B-CONTACT
and   O
informed   O
about   O
the   O
developments   O
and   O
the   O
tentative   O
plan   O
of   O
action   O
.   O

This   O
case   O
was   O
recorded   O
by   O
qz957   B-NAME
in   O
the   O
hospital   O
documentation   O
system   O
.   O

Insurance   O
Details   O
:   O
The   O
patient   O
's   O
health   O
plan   O
number   O
PM406/5089   B-ID
and   O
a   O
digital   O
copy   O
of   O
the   O
insurance   O
documents   O
were   O
taken   O
and   O
filed   O
.   O

The   O
Thunder   B-LOCATION
Bank   I-LOCATION
's   O
billing   O
department   O
was   O
contacted   O
and   O
necessary   O
arrangements   O
made   O
.   O

Emergency   O
Contact   O
:   O
76262   B-CONTACT

An   O
appointment   O
has   O
been   O
scheduled   O
with   O
Ulises   B-NAME
Watkins   I-NAME
on   O
11/33   B-DATE
.   O
Location   O
of   O
Residence   O
:   O
13371   B-LOCATION

Patient   O
Name   O
:   O
Dewyer   B-NAME
Newbell   I-NAME
Date   O
:   O
2265   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
23   I-DATE
Location   O
:   O
Taopi   B-LOCATION
Medical   O
Record   O
Number   O
:   O
69911361   B-ID
Doctor   O
's   O
Name   O
:   O
Mckee   B-NAME
Case   O
History   O
:   O
Kylan   B-NAME
Cherry   I-NAME
is   O
a   O
84   O
year   O
old   O
individual   O
who   O
presented   O
with   O
symptoms   O
suggestive   O
of   O
angina   O
pectoris   O
.   O

Maci   B-NAME
Dillon   I-NAME
is   O
employed   O
as   O
a   O
butcher   O
and   O
mentioned   O
a   O
history   O
of   O
irregular   O
work   O
timings   O
,   O
high   O
-   O
stress   O
conditions   O
,   O
and   O
inadequate   O
sleep   O
over   O
the   O
past   O
few   O
months   O
.   O

A   O
detailed   O
physical   O
examination   O
,   O
resting   O
echocardiogram   O
,   O
and   O
preliminary   O
lab   O
tests   O
were   O
performed   O
by   O
Aliyah   B-NAME
Caldwell   I-NAME
at   O
Dallas   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

J   B-NAME
Gaines   I-NAME
's   O
heart   O
rates   O
and   O
blood   O
pressure   O
were   O
noted   O
to   O
be   O
irregular   O
during   O
the   O
stress   O
test   O
,   O
indicating   O
possible   O
myocardial   O
ischemia   O
.   O

ID   O
number   O
:   O
WU   B-ID
:   I-ID
NI:9362   I-ID
Further   O
investigations   O
including   O
coronary   O
angiography   O
and   O
CT   O
coronary   O
angiogram   O
are   O
suggested   O
by   O
Sloan   B-NAME
for   O
better   O
understanding   O
the   O
extent   O
and   O
severity   O
of   O
the   O
condition   O
.   O

An   O
appointment   O
for   O
angiography   O
has   O
been   O
scheduled   O
at   O
Christiana   B-LOCATION
Care   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Wilmington   I-LOCATION
Hospital   I-LOCATION
on   O
21/37   B-DATE
and   O
the   O
patient   O
has   O
been   O
advised   O
to   O
contact   O
Hancock   B-NAME
at   O
(   B-CONTACT
520   I-CONTACT
)   I-CONTACT
951   I-CONTACT
8652   I-CONTACT
in   O
case   O
of   O
any   O
emergency   O
situations   O
.   O

The   O
patient   O
resides   O
at   O
Cibola   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
493   B-CONTACT
-   I-CONTACT
6247   I-CONTACT
.   O

Mark   B-NAME
Diamond   I-NAME
has   O
an   O
insurance   O
cover   O
with   O
Ashburnham   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
.   O

Username   O
:   O
fs5110   B-NAME
Zip   O
:   O
28664   B-LOCATION
In   O
the   O
interim   O
,   O
the   O
patient   O
has   O
been   O
advised   O
to   O
avoid   O
any   O
intense   O
physical   O
exertion   O
,   O
stress   O
,   O
and   O
maintain   O
healthy   O
lifestyle   O
modifications   O
including   O
balanced   O
diet   O
,   O
weight   O
control   O
,   O
smoking   O
cessation   O
,   O
and   O
regular   O
exercise   O
.   O

Patient   O
:   O
Jaycee   B-NAME
Oneal   I-NAME
Gender   O
:   O
Female   O
Age   O
:   O
4   O
The   O
patient   O
came   O
in   O
on   O
February   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
with   O
associated   O
nausea   O
and   O
vomiting   O
.   O

The   O
patient   O
works   O
as   O
a   O
Building   O
surveyor   O
at   O
the   O
Innovative   B-LOCATION
Bank   I-LOCATION
.   O

The   O
patient   O
was   O
admitted   O
into   O
the   O
AMITA   B-LOCATION
Health   I-LOCATION
Saints   I-LOCATION
Mary   I-LOCATION
and   I-LOCATION
Elizabeth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chicago   I-LOCATION
and   O
an   O
ultra   O
-   O
sound   O
confirmed   O
the   O
diagnosis   O
of   O
gallstone   O
pancreatitis   O
.   O

The   O
patient   O
resides   O
in   O
Crescent   B-LOCATION
Beach   I-LOCATION
and   O
can   O
be   O
reached   O
at   O
173   B-CONTACT
6075   I-CONTACT
.   O

Her   O
MC:8411:572645   B-ID
is   O
also   O
available   O
for   O
further   O
reference   O
and   O
her   O
medical   O
record   O
at   O
our   O
hospital   O
is   O
under   O
the   O
number   O
8972G94077   B-ID
.   O

She   O
was   O
referred   O
to   O
Kaiya   B-NAME
Orozco   I-NAME
for   O
specialist   O
consultation   O
.   O

Her   O
employer   O
,   O
Washington   B-LOCATION
First   I-LOCATION
International   I-LOCATION
Bank   I-LOCATION
,   O
was   O
notified   O
of   O
her   O
medical   O
situation   O
.   O

Any   O
further   O
queries   O
from   O
them   O
can   O
be   O
addressed   O
to   O
our   O
office   O
at   O
Larkin   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
located   O
in   O
Zelienople   B-LOCATION
with   O
zip   O
code   O
97891   B-LOCATION
.   O

The   O
patient   O
or   O
her   O
representative   O
can   O
contact   O
NR451   B-NAME
at   O
our   O
hospital   O
for   O
her   O
future   O
appointments   O
and   O
follow   O
-   O
ups   O
.   O

She   O
was   O
discharged   O
on   O
02/22   B-DATE

Aubree   B-NAME
Delgado   I-NAME
was   O
admitted   O
to   O
our   O
Kearny   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lakin   I-LOCATION
on   O
Friday   B-DATE
,   I-DATE
November   I-DATE
.   O

Preliminary   O
Diagnosis   O
:   O
After   O
initial   O
examination   O
by   O
Dr.   O
Jovita   B-NAME
Napier   I-NAME
,   O
a   O
probable   O
diagnosis   O
of   O
cholelithiasis   O
(   O
Gallstones   O
)   O
was   O
made   O
.   O

There   O
was   O
a   O
significant   O
medical   O
history   O
,   O
the   O
patient   O
with   O
an   O
TF   B-ID
:   I-ID
AT:5557   I-ID
was   O
diagnosed   O
with   O
Type   O
II   O
diabetes   O
two   O
years   O
ago   O
.   O

Investigations   O
:   O
35360780   B-ID
shows   O
an   O
abdominal   O
ultrasound   O
was   O
done   O
,   O
revealing   O
the   O
presence   O
of   O
gallstones   O
.   O

Treatment   O
:   O
Surgical   O
intervention   O
for   O
Gall   O
Bladder   O
removal   O
was   O
suggested   O
and   O
the   O
patient   O
was   O
scheduled   O
for   O
a   O
laparoscopic   O
cholecystectomy   O
on   O
10/04/52   B-DATE
.   O

The   O
patient   O
,   O
residing   O
at   O
ZIP   O
code   O
55474   B-LOCATION
was   O
prescribed   O
analgesics   O
and   O
advised   O
not   O
to   O
eat   O
solid   O
food   O
a   O
day   O
before   O
the   O
surgery   O
.   O

Follow   O
up   O
Appointment   O
:   O
Patient   O
was   O
discharged   O
on   O
39   B-DATE
and   O
was   O
advised   O
to   O
follow   O
up   O
with   O
Dr.   O
Huber   B-NAME
at   O
the   O
Bay   B-LOCATION
Hill   I-LOCATION
office   O
after   O
a   O
week   O
.   O

In   O
case   O
of   O
any   O
emergency   O
,   O
the   O
patient   O
or   O
his   O
family   O
can   O
contact   O
the   O
hospital   O
at   O
766   B-CONTACT
-   I-CONTACT
5565   I-CONTACT
.   O

Alternatively   O
,   O
they   O
can   O
reach   O
out   O
to   O
the   O
patient   O
care   O
representative   O
wb197   B-NAME
at   O
the   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Carabao   I-LOCATION
.   O

Patient   O
:   O
Gutierrez   B-NAME
Age   O
:   O
10   O
ID   O
:   O
4   B-ID
-   I-ID
4343508   I-ID
Medical   O
Record   O
:   O
222   B-ID
-   I-ID
38   I-ID
-   I-ID
74   I-ID
-   I-ID
0   I-ID
Date   O
:   O
5/2   B-DATE
Dr.   O
Sparks   B-NAME
submitted   O
notes   O
regarding   O
Hawkins   B-NAME
's   O
health   O
status   O
.   O

Bennett   B-NAME
,   I-NAME
William   I-NAME
Andrew   I-NAME
Cicil   I-NAME
visited   O
MidHudson   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Westchester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
8/20/2051   B-DATE
.   O

Yee   B-NAME
has   O
reported   O
persistent   O
,   O
severe   O
headaches   O
for   O
the   O
past   O
two   O
months   O
accompanied   O
by   O
bouts   O
of   O
nausea   O
and   O
extreme   O
sensitivity   O
to   O
light   O
and   O
sound   O
.   O

James   B-NAME
Guerra   I-NAME
lives   O
in   O
Fairmead   B-LOCATION
,   O
97891   B-LOCATION
and   O
works   O
as   O
a   O
Education   O
Teachers   O
,   O
Postsecondary   O
at   O
Copper   B-LOCATION
Star   I-LOCATION
Bank   I-LOCATION
.   O

Kamren   B-NAME
Holder   I-NAME
's   O
contact   O
number   O
is   O
838   B-CONTACT
-   I-CONTACT
4384   I-CONTACT
.   O

Vang   B-NAME
has   O
been   O
prescribed   O
strong   O
analgesics   O
and   O
antiemetics   O
for   O
immediate   O
symptom   O
relief   O
.   O

Allena   B-NAME
Mazzeo   I-NAME
will   O
be   O
reviewed   O
again   O
on   O
February   B-DATE
16   I-DATE
by   O
Dr.   O
Kareem   B-NAME
Reynolds   I-NAME
at   O
the   O
Wilkes   B-LOCATION
-   I-LOCATION
Barre   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

In   O
the   O
meantime   O
,   O
we   O
have   O
scheduled   O
an   O
emergency   O
point   O
of   O
contact   O
,   O
reachable   O
at   O
196   B-CONTACT
8968   I-CONTACT
.   O

Salma   B-NAME
Chung   I-NAME
understands   O
the   O
severity   O
of   O
the   O
symptoms   O
and   O
is   O
advised   O
to   O
return   O
if   O
there   O
are   O
exacerbations   O
or   O
if   O
any   O
new   O
symptoms   O
are   O
experienced   O
.   O

QR   B-NAME
's   O
complete   O
medical   O
history   O
and   O
documentation   O
can   O
be   O
accessed   O
through   O
our   O
hospital   O
portal   O
with   O
the   O
username   O
fg7910   B-NAME
.   O

Sincerely   O
,   O
Dr.   O
Kaelyn   B-NAME
Walker   I-NAME
ORBIS   B-LOCATION
International   I-LOCATION
Abbottstown   B-LOCATION

Patient   O
Name   O
:   O
urie   B-NAME
Age   O
:   O
85   O
ID   O
:   O
2   B-ID
-   I-ID
9672758   I-ID
Medical   O
Record   O
number   O
:   O
8897177   B-ID
Location   O
:   O
Floridatown   B-LOCATION
Zip   O
code   O
:   O
50926   B-LOCATION
Phone   O
:   O
24709   B-CONTACT
Occupation   O
:   O
Industrial   O
Safety   O
and   O
Health   O
Engineers   O
Organization   O
:   O

Botswana   B-LOCATION
Vaccine   I-LOCATION
Institute   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
Visited   O
Summa   B-LOCATION
Health   I-LOCATION
,   I-LOCATION
Barberton   I-LOCATION
Campus   I-LOCATION
on   O
38/21/16   B-DATE
.   O

Patient   O
was   O
seen   O
by   O
Dr.   O
Mcconnell   B-NAME
.   O

Gregory   B-NAME
Mcguire   I-NAME
presents   O
with   O
a   O
history   O
of   O
nontender   O
lump   O
in   O
the   O
right   O
breast   O
.   O

In   O
addition   O
,   O
Mahalia   B-NAME
reports   O
experiencing   O
bouts   O
of   O
inflamed   O
,   O
burning   O
sensation   O
in   O
the   O
same   O
breast   O
.   O

Biopsy   O
results   O
are   O
expected   O
by   O
2307   B-DATE
.   O

We   O
've   O
encouraged   O
Marin   B-NAME
Padilla   I-NAME
to   O
keep   O
the   O
appointments   O
and   O
reach   O
for   O
any   O
questions   O
or   O
clarification   O
needed   O
on   O
13652   B-CONTACT
.   O

Informed   O
patient   O
about   O
breast   O
cancer   O
support   O
group   O
run   O
by   O
Euro   B-LOCATION
-   I-LOCATION
Mediterranean   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Monitor   I-LOCATION
,   O
located   O
in   O
Lebec   B-LOCATION
.   O

This   O
case   O
will   O
be   O
discussed   O
in   O
the   O
multidisciplinary   O
team   O
meeting   O
and   O
next   O
stages   O
of   O
the   O
treatment   O
plan   O
will   O
certainly   O
be   O
shared   O
with   O
Joey   B-NAME
Robinson   I-NAME
.   O

Until   O
then   O
,   O
Rosa   B-NAME
Campbell   I-NAME
is   O
advised   O
to   O
continue   O
taking   O
prescribed   O
medication   O
and   O
report   O
any   O
changes   O
in   O
her   O
condition   O
.   O

Doctor   O
's   O
Signature   O
:   O
Dr.   O
Blevins   B-NAME
Username   O
:   O
hon475   B-NAME

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Martin   B-NAME
Arrowsmith   I-NAME
-   O
Age   O
:   O
73   O
-   O
Date   O
of   O
Admission   O
:   O
27/32/62   B-DATE
Medical   O
History   O
:   O
Mr.   O
Misti   B-NAME
Whetstone   I-NAME
presented   O
to   O
Regional   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Scranton   I-LOCATION
with   O
severe   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
arm   O
which   O
began   O
while   O
he   O
was   O
at   O
his   O
jeweler   O
work   O
.   O

On   O
examination   O
,   O
his   O
blood   O
pressure   O
was   O
elevated   O
at   O
160/100   O
mmHg   O
,   O
and   O
his   O
pulse   O
was   O
rapid   O
with   O
120   O
bpm   O
.   O
Medical   O
Test   O
and   O
Results   O
:   O
Dr.   O
Gilberto   B-NAME
Ewing   I-NAME
ordered   O
an   O
immediate   O
EKG   O
which   O
showed   O
ST   O
-   O
segment   O
elevation   O
,   O
indicative   O
of   O
an   O
acute   O
myocardial   O
infarction   O
.   O

Address   O
:   O
Griffin   B-LOCATION
,   O
52858   B-LOCATION
Phone   O
:   O
65658   B-CONTACT
ID   O
:   O
TH:37126:214571   B-ID
Medical   O
Record   O
:   O
23498427   B-ID
Treatment   O
Organization   O
:   O

Irish   B-LOCATION
Nurses   I-LOCATION
Organisation   I-LOCATION
Treatment   O
Plan   O
:   O
Mr.   O
Olsen   B-NAME
,   I-NAME
Mary   I-NAME
-   I-NAME
Kate   I-NAME
and   I-NAME
Ashley   I-NAME
was   O
immediately   O
administered   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
.   O

An   O
angiogram   O
was   O
scheduled   O
for   O
the   O
next   O
day   O
,   O
11/20   B-DATE
by   O
Dr.   O
Taylor   B-NAME
Villarreal   I-NAME
.   O

Follow   O
-   O
ups   O
:   O
The   O
patient   O
needs   O
to   O
visit   O
Dr.   O
Whitney   B-NAME
every   O
week   O
for   O
the   O
next   O
month   O
post   O
-   O
angiogram   O
.   O

Additionally   O
,   O
he   O
should   O
manage   O
his   O
stress   O
levels   O
,   O
which   O
might   O
require   O
contacting   O
a   O
professional   O
Electric   O
Home   O
Appliance   O
and   O
Power   O
Tool   O
Repairers   O
organization   O
at   O
Colman   B-LOCATION
.   O

Please   O
contact   O
at   O
this   O
number   O
281   B-CONTACT
7028   I-CONTACT
by   O
SL597   B-NAME
for   O
any   O
further   O
queries   O
about   O
the   O
treatment   O
path   O
.   O

Records   O
can   O
be   O
accessed   O
with   O
163   B-ID
-   I-ID
02   I-ID
-   I-ID
48   I-ID
-   I-ID
8   I-ID
number   O
and   O
GA693/9283   B-ID
at   O
the   O
Sedan   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Sedan   I-LOCATION
.   O

Patient   O
Details   O
:   O
Bentley   B-NAME
is   O
a   O
4   O
week   O
year   O
old   O
gentleman   O
who   O
presented   O
to   O
Yonkers   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
12/29/28   B-DATE
with   O
complaints   O
of   O
nonproductive   O
cough   O
,   O
difficulty   O
in   O
breathing   O
,   O
and   O
intermittent   O
fever   O
.   O

He   O
is   O
a   O
retired   O
Communications   O
Equipment   O
Operators   O
,   O
All   O
Other   O
residing   O
at   O
Corcoran   B-LOCATION
.   O

His   O
previous   O
medical   O
records   O
obtained   O
from   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Kettering   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
279   B-ID
-   I-ID
52   I-ID
-   I-ID
14   I-ID
-   I-ID
4   I-ID
showed   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

He   O
has   O
been   O
on   O
regular   O
medication   O
prescribed   O
by   O
Dr.   O
Precious   B-NAME
Stewart   I-NAME
.   O

Further   O
evaluation   O
and   O
tests   O
were   O
ordered   O
during   O
his   O
current   O
admission   O
to   O
Ascension   B-LOCATION
Genesys   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
contact   O
number   O
is   O
81431   B-CONTACT
and   O
can   O
be   O
reached   O
during   O
any   O
part   O
of   O
the   O
day   O
.   O

The   O
blood   O
culture   O
report   O
arrived   O
on   O
00/09/1849   B-DATE
showed   O
the   O
presence   O
of   O
Streptococcus   O
pneumoniae   O
.   O

He   O
was   O
referred   O
to   O
our   O
infectious   O
disease   O
specialist   O
,   O
Dr.   O
Russo   B-NAME
,   O
who   O
initiated   O
appropriate   O
antibiotic   O
therapy   O
.   O

His   O
most   O
recent   O
lab   O
findings   O
on   O
December   B-DATE
showed   O
improvement   O
with   O
lowered   O
inflammatory   O
markers   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
2005   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
22   I-DATE
with   O
advised   O
to   O
follow   O
-   O
up   O
with   O
the   O
pulmonology   O
department   O
in   O
two   O
weeks   O
.   O

During   O
his   O
discharge   O
,   O
he   O
was   O
repeatedly   O
reminded   O
about   O
the   O
importance   O
of   O
regular   O
follow   O
-   O
ups   O
and   O
was   O
given   O
the   O
emergency   O
contact   O
number   O
(   O
(   B-CONTACT
681   I-CONTACT
)   I-CONTACT
139   I-CONTACT
9318   I-CONTACT
)   O
of   O
Clarks   B-LOCATION
Summit   I-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
.   O

We   O
are   O
documenting   O
this   O
information   O
in   O
the   O
system   O
with   O
his   O
account   O
3   B-ID
-   I-ID
9641476   I-ID
for   O
future   O
reference   O
.   O

The   O
patient   O
's   O
confidential   O
data   O
has   O
been   O
saved   O
under   O
the   O
username   O
zvg968   B-NAME
.   O

His   O
mail   O
can   O
be   O
sent   O
to   O
his   O
registered   O
postal   O
address   O
:   O
Mount   B-LOCATION
Angel   I-LOCATION
,   O
89438   B-LOCATION
.   O

We   O
have   O
also   O
contacted   O
Progress   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Florida   I-LOCATION
about   O
the   O
ongoing   O
treatment   O
for   O
safer   O
medical   O
practices   O
.   O

The   O
patient   O
's   O
current   O
prognosis   O
looks   O
promising   O
under   O
the   O
care   O
of   O
the   O
experts   O
at   O
Jamaica   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
OK   B-NAME
Age   O
:   O
7   O
week   O
Date   O
:   O
08/04   B-DATE
Reported   O
symptoms   O
/   O
situation   O
:   O
Willoughby   B-NAME
presented   O
with   O
a   O
persistent   O
cough   O
,   O
low   O
-   O
grade   O
fever   O
of   O
100.4F   O
and   O
abnormally   O
high   O
blood   O
pressure   O
of   O
165/110   O
mmHg   O
.   O

Medical   O
Info   O
:   O
Stokes   B-NAME
was   O
seen   O
by   O
Luciana   B-NAME
Caldwell   I-NAME
,   O
the   O
attending   O
physician   O
at   O
Methodist   B-LOCATION
Charlton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Ezekiel   B-NAME
Lara   I-NAME
ordered   O
a   O
complete   O
blood   O
count   O
,   O
chest   O
X   O
-   O
Ray   O
,   O
and   O
ECG   O
to   O
check   O
heart   O
functioning   O
.   O

Braiden   B-NAME
Wells   I-NAME
's   O
medical   O
record   O
no   O
.   O
00282612   B-ID
indicated   O
a   O
history   O
of   O
hypertension   O
and   O
obesity   O
.   O

Medicine   O
Plan   O
:   O
Richard   B-NAME
Sturgess   I-NAME
prescribed   O
Gage   B-NAME
Flowers   I-NAME
antibiotics   O
for   O
the   O
infection   O
and   O
blood   O
-   O
thinners   O
to   O
manage   O
the   O
atrial   O
fibrillation   O
.   O

Follow   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Mia   B-NAME
Brady   I-NAME
has   O
been   O
scheduled   O
for   O
26/23/2356   B-DATE
at   O
Tyler   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
review   O
progress   O
and   O
adjust   O
medication   O
if   O
required   O
.   O

roberson   B-NAME
has   O
been   O
warned   O
to   O
contact   O
Ephraim   B-LOCATION
McDowell   I-LOCATION
Fort   I-LOCATION
Logan   I-LOCATION
Hospital   I-LOCATION
via   O
38787   B-CONTACT
if   O
she   O
experiences   O
severe   O
chest   O
pain   O
,   O
worsening   O
cough   O
or   O
shortness   O
of   O
breath   O
.   O

Ellen   B-NAME
Webb   I-NAME
is   O
a   O
resident   O
of   O
9446   B-LOCATION
Glen   I-LOCATION
Ridge   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

and   O
her   O
zip   O
code   O
is   O
99666   B-LOCATION
.   O

To   O
access   O
test   O
reports   O
and   O
other   O
corresponding   O
medical   O
records   O
,   O
her   O
ID   O
number   O
(   O
ZN793/3134   B-ID
)   O
should   O
be   O
used   O
.   O

The   O
Linux   B-LOCATION
Australia   I-LOCATION
where   O
she   O
works   O
could   O
provide   O
further   O
personal   O
and   O
professional   O
information   O
if   O
needed   O
.   O

She   O
is   O
registered   O
in   O
our   O
patient   O
portal   O
under   O
hyi531   B-NAME
.   O

A   O
copy   O
of   O
this   O
report   O
has   O
been   O
sent   O
to   O
Martin   B-NAME
Bamford   I-NAME
on   O
Friday   B-DATE
,   I-DATE
October   I-DATE
.   O

Comments   O
:   O
It   O
is   O
paramount   O
that   O
WILKES   B-NAME
adheres   O
to   O
the   O
medicine   O
plan   O
and   O
lifestyle   O
modifications   O
suggested   O
by   O
Mccormick   B-NAME
.   O

The   O
Emory   B-LOCATION
Johns   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
team   O
will   O
support   O
her   O
throughout   O
this   O
journey   O
.   O

Patient   O
Name   O
:   O
Dorthey   B-NAME
Llanos   I-NAME
Age   O
:   O
64   O
Address   O
:   O
Storm   B-LOCATION
Lake   I-LOCATION
Zip   O
Code   O
:   O
97165   B-LOCATION
PHI   O
:   O
KA:85078:290689   B-ID

The   O
patient   O
was   O
admitted   O
to   O
Palos   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
6/7   B-DATE
.   O

The   O
individual   O
,   O
employed   O
as   O
a   O
Clergy   O
,   O
presented   O
to   O
Dr.   O
Leanna   B-NAME
Woods   I-NAME
with   O
symptoms   O
indicative   O
of   O
a   O
possible   O
cardiac   O
issue   O
.   O

Upon   O
consultation   O
,   O
Jacoby   B-NAME
Gross   I-NAME
reported   O
experiencing   O
intermittent   O
chest   O
discomfort   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Existing   O
records   O
were   O
accessed   O
with   O
the   O
80787462   B-ID
.   O

Treating   O
doctor   O
Castro   B-NAME
,   I-NAME
Fidel   I-NAME
performed   O
a   O
physical   O
examination   O
and   O
ordered   O
a   O
series   O
of   O
diagnostics   O
which   O
included   O
a   O
12   O
-   O
lead   O
electrocardiogram   O
(   O
ECG   O
)   O
and   O
stress   O
test   O
,   O
to   O
further   O
investigate   O
the   O
cause   O
of   O
these   O
symptoms   O
.   O

Contact   O
was   O
made   O
to   O
the   O
patient   O
via   O
21603   B-CONTACT
.   O

Additional   O
consultations   O
and   O
treatment   O
plans   O
were   O
discussed   O
with   O
Dr.   O
Harris   B-NAME
affiliated   O
with   O
Vineyard   B-LOCATION
Bank   I-LOCATION
,   O
based   O
at   O
Science   B-LOCATION
Hill   I-LOCATION
.   O

Dr.   O
Hadassah   B-NAME
Levine   I-NAME
will   O
follow   O
up   O
with   O
the   O
patient   O
on   O
July   B-DATE
for   O
reassessment   O
.   O

Further   O
details   O
related   O
to   O
the   O
treatment   O
plan   O
have   O
been   O
documented   O
under   O
the   O
username   O
wer546   B-NAME
.   O

This   O
detailed   O
report   O
was   O
transcribed   O
with   O
utmost   O
care   O
to   O
respect   O
Kaylee   B-NAME
Gordon   I-NAME
's   O
privacy   O
.   O

To   O
access   O
further   O
medical   O
information   O
,   O
reach   O
out   O
to   O
the   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
management   O
.   O

Patient   O
Report   O
:   O
Patient   O
Rona   B-NAME
Schuld   I-NAME
presented   O
to   O
our   O
clinic   O
Children   B-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
of   I-LOCATION
Atlanta   I-LOCATION
at   I-LOCATION
Hughes   I-LOCATION
Spalding   I-LOCATION
located   O
at   O
Bryan   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77803   I-LOCATION
on   O
1936   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
29   I-DATE
.   O

His   O
family   O
physician   O
,   O
Dr.   O
Mckayla   B-NAME
Mckenzie   I-NAME
,   O
referred   O
him   O
.   O

Tyrone   B-NAME
Jenkins   I-NAME
is   O
a   O
20s   O
year   O
old   O
man   O
with   O
no   O
significant   O
past   O
medical   O
history   O
.   O

Vitale   B-NAME
reports   O
no   O
recent   O
fevers   O
,   O
infections   O
,   O
head   O
trauma   O
or   O
any   O
new   O
mental   O
health   O
concerns   O
.   O

Report   O
from   O
Hellenic   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
Labs   O
is   O
awaited   O
.   O

We   O
have   O
given   O
the   O
patient   O
our   O
emergency   O
contact   O
(   B-CONTACT
858   I-CONTACT
)   I-CONTACT
414   I-CONTACT
-   I-CONTACT
7281   I-CONTACT
.   O

His   O
medical   O
record   O
at   O
our   O
clinic   O
is   O
4488756   B-ID
.   O

A   O
follow   O
up   O
visit   O
has   O
been   O
scheduled   O
for   O
3/12   B-DATE
.   O

He   O
lives   O
at   O
27055   B-LOCATION
and   O
his   O
safety   O
at   O
home   O
must   O
be   O
ensured   O
.   O

Patient   O
's   O
ID   O
proof   O
has   O
been   O
checked   O
and   O
noted   O
,   O
his   O
ID   O
is   O
994001011   B-ID
.   O

His   O
information   O
was   O
updated   O
in   O
our   O
system   O
by   O
the   O
admin   O
wjv931   B-NAME
.   O

Our   O
specialists   O
at   O
Aurora   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
South   I-LOCATION
Shore   I-LOCATION
will   O
guide   O
him   O
through   O
his   O
journey   O
of   O
diagnosis   O
and   O
treatment   O
.   O

Signed   O
Stewart   B-NAME
30440522   B-ID
October   B-DATE

Patient   O
Info   O
:   O
Mr.   O
Garza   B-NAME
of   O
42   O
years   O
,   O
currently   O
working   O
as   O
a   O
Industrial   O
Engineers   O
in   O
Goofy   B-LOCATION
Ridge   I-LOCATION
was   O
admitted   O
for   O
consultation   O
in   O
WakeMed   B-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
on   O
00/28/2002   B-DATE
.   O

The   O
referral   O
was   O
made   O
by   O
Van   B-NAME
Steiner   I-NAME
.   O

His   O
medical   O
record   O
426   B-ID
-   I-ID
42   I-ID
-   I-ID
18   I-ID
-   I-ID
9   I-ID
was   O
also   O
obtained   O
for   O
reference   O
.   O

Mr.   O
Estrada   B-NAME
complained   O
of   O
a   O
persistent   O
dry   O
cough   O
and   O
also   O
severe   O
shortness   O
of   O
breath   O
during   O
exertion   O
.   O

Upon   O
examination   O
,   O
Mr.   O
Titus   B-NAME
Rush   I-NAME
had   O
a   O
respiratory   O
rate   O
of   O
24   O
breaths   O
per   O
minute   O
and   O
oxygen   O
saturation   O
below   O
the   O
normal   O
limit   O
.   O

Mr.   O
Borlaug   B-NAME
,   I-NAME
Norman   I-NAME
was   O
then   O
referred   O
to   O
a   O
pulmonologist   O
,   O
Litzy   B-NAME
Jacobs   I-NAME
,   O
at   O
the   O
Los   B-LOCATION
Alamitos   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Further   O
testing   O
including   O
chest   O
x   O
-   O
ray   O
and   O
high   O
resolution   O
computed   O
tomography   O
(   O
HRCT   O
)   O
are   O
recommended   O
by   O
Pugh   B-NAME
.   O

Mr.   O
Giovanna   B-NAME
Carson   I-NAME
was   O
called   O
on   O
the   O
77989   B-CONTACT
and   O
asked   O
to   O
visit   O
Northern   B-LOCATION
Michigan   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
necessary   O
testing   O
on   O
01/38   B-DATE
.   O

He   O
confirmed   O
his   O
appointment   O
and   O
was   O
asked   O
to   O
bring   O
his   O
identification   O
OQ525/6394   B-ID
along   O
with   O
him   O
.   O

His   O
appointment   O
was   O
scheduled   O
under   O
the   O
username   O
fr28   B-NAME
.   O

His   O
residential   O
address   O
was   O
registered   O
as   O
Hornitos   B-LOCATION
and   O
the   O
zip   O
code   O
was   O
noted   O
as   O
98072   B-LOCATION
.   O

The   O
contact   O
person   O
from   O
the   O
hospital   O
's   O
appointment   O
office   O
was   O
tj395   B-NAME
.   O

For   O
any   O
billing   O
queries   O
,   O
he   O
was   O
directed   O
to   O
Canoochee   B-LOCATION
EMC   I-LOCATION
.   O

Mr.   O
Edward   B-NAME
Benitez   I-NAME
has   O
been   O
advised   O
to   O
refrain   O
from   O
strenuous   O
activity   O
and   O
relax   O
.   O

Patient   O
Report   O
The   O
patient   O
,   O
Fern   B-NAME
Ramerez   I-NAME
,   O
was   O
admitted   O
on   O
31/22   B-DATE
to   O
Barrow   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

As   O
per   O
the   O
report   O
by   O
Wilcox   B-NAME
,   O
the   O
patient   O
's   O
blood   O
pressure   O
was   O
170/90   O
mmHg   O
,   O
heart   O
rate   O
was   O
110   O
bpm   O
,   O
and   O
respiratory   O
rate   O
was   O
24   O
breaths   O
per   O
minute   O
.   O

Following   O
an   O
angiography   O
,   O
Holmes   B-NAME
diagnosed   O
DSN   B-NAME
with   O
acute   O
myocardial   O
infarction   O
.   O

Post   O
-   O
procedure   O
,   O
Polly   B-NAME
Grey   I-NAME
was   O
transferred   O
to   O
the   O
Coronary   O
Care   O
Unit   O
(   O
CCU   O
)   O
in   O
Shriners   B-LOCATION
Hospitals   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
for   O
monitoring   O
and   O
further   O
management   O
.   O

In   O
the   O
personal   O
history   O
provided   O
by   O
Heidy   B-NAME
Wade   I-NAME
,   O
he   O
is   O
a   O
Office   O
Machine   O
and   O
Cash   O
Register   O
Servicers   O
living   O
in   O
Richfield   B-LOCATION
with   O
his   O
wife   O
,   O
both   O
in   O
their   O
25   O
s   O
.   O

A   O
cardiac   O
rehabilitation   O
program   O
has   O
also   O
been   O
recommended   O
for   O
Kailee   B-NAME
Patrick   I-NAME
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
22/23   B-DATE
.   O

For   O
further   O
queries   O
,   O
Lilly   B-NAME
Johns   I-NAME
or   O
his   O
wife   O
can   O
reach   O
us   O
at   O
733   B-CONTACT
-   I-CONTACT
164   I-CONTACT
6619   I-CONTACT
.   O

All   O
details   O
adhering   O
to   O
HIPAA   O
regulations   O
have   O
been   O
documented   O
and   O
safely   O
stored   O
in   O
the   O
medical   O
record   O
number   O
84143574   B-ID
,   O
and   O
the   O
patient   O
’s   O
i   O
d   O
proof   O
TV:2552:272844   B-ID
has   O
been   O
verified   O
.   O

Primary   O
physician   O
Morse   B-NAME
can   O
be   O
reached   O
at   O
tt7010   B-NAME
for   O
any   O
more   O
queries   O
regarding   O
the   O
treatment   O
.   O

Our   O
hospital   O
,   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
Georgetown   I-LOCATION
Hospital   I-LOCATION
,   O
located   O
in   O
35041   B-LOCATION
,   O
promises   O
to   O
adhere   O
to   O
all   O
the   O
rules   O
and   O
regulations   O
set   O
by   O
the   O
Vineland   B-LOCATION
Municipal   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
,   O
ensures   O
fair   O
treatment   O
,   O
and   O
respects   O
the   O
privacy   O
and   O
confidentiality   O
of   O
the   O
patients   O
.   O

Patient   O
Report   O
Name   O
:   O
Roger   B-NAME
York   I-NAME
Date   O
:   O
2/32   B-DATE
Doctor   O
:   O
Latosha   B-NAME
Manna   I-NAME
Hospital   O
:   O

DeKalb   B-LOCATION
Medical   I-LOCATION
Long   I-LOCATION
Term   I-LOCATION
Acute   I-LOCATION
Care   I-LOCATION
Presenting   O
Complaints   O
:   O
The   O
patient   O
,   O
a   O
Opticians   O
,   O
Dispensing   O
by   O
profession   O
presented   O
in   O
the   O
emergency   O
room   O
complaining   O
of   O
sudden   O
onset   O
chest   O
pain   O
,   O
palpitations   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
had   O
persisted   O
for   O
the   O
past   O
few   O
hours   O
.   O

Mantis   B-NAME
Toboggan   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

He   O
has   O
been   O
managed   O
in   O
North   B-LOCATION
Salt   I-LOCATION
Lake   I-LOCATION
for   O
a   O
decade   O
.   O

His   O
recent   O
medical   O
check   O
-   O
up   O
happened   O
on   O
22/38   B-DATE
with   O
primary   O
care   O
physician   O
Priyanka   B-NAME
Maheswaran   I-NAME
.   O

Insurance   O
Provider   O
:   O
Georgia   B-LOCATION
Insurance   O
Policy   O
Number   O
:   O
XQ:58514:432852   B-ID
Contact   O
Details   O
:   O
(   B-CONTACT
959   I-CONTACT
)   I-CONTACT
740   I-CONTACT
4762   I-CONTACT
Address   O
:   O
Ely   B-LOCATION
,   O
74590   B-LOCATION
Patient   O
Lexie   B-NAME
Mendoza   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
department   O
at   O
Martin   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
and   O
is   O
under   O
the   O
care   O
of   O
attending   O
physician   O
Osborne   B-NAME
.   O

Medical   O
Record   O
Number   O
:   O
1884   B-ID
:   I-ID
F33477   I-ID
Healthcare   O
Provider   O
:   O
LE816   B-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
PNT   B-NAME
Age   O
:   O
41   O
Doctor   O
's   O
Name   O
:   O
Conrad   B-NAME
Hospital   O
Name   O
:   O
Providence   B-LOCATION
Centralia   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
WG   B-ID
:   I-ID
YT:7788   I-ID
Location   O
:   O
Pachuta   B-LOCATION
Medical   O
Record   O
Number   O
:   O
2937U65928   B-ID
Organization   O
:   O
Seminole   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
Phone   O
Number   O
:   O
691   B-CONTACT
-   I-CONTACT
824   I-CONTACT
2028   I-CONTACT
Profession   O
:   O
Geological   O
and   O
Petroleum   O
Technicians   O
Username   O
:   O
mb399   B-NAME
Zip   O
Code   O
:   O
38313   B-LOCATION
On   O
02/29/1688   B-DATE
,   O
patient   O
Cayden   B-NAME
Colon   I-NAME
reported   O
to   O
the   O
clinic   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Waterman   I-LOCATION
.   O

Keaton   B-NAME
Morse   I-NAME
is   O
a   O
Substance   O
Abuse   O
and   O
Behavioral   O
Disorder   O
Counselors   O
by   O
profession   O
,   O
residing   O
at   O
93866   B-LOCATION
.   O

Carrie   B-NAME
's   O
primary   O
complaint   O
was   O
a   O
persistent   O
,   O
non   O
-   O
productive   O
cough   O
that   O
has   O
been   O
ongoing   O
for   O
the   O
last   O
two   O
weeks   O
.   O

Mabuse   B-NAME
,   I-NAME
der   I-NAME
Spieler   I-NAME
,   O
also   O
mentions   O
experiencing   O
chills   O
,   O
light   O
-   O
headedness   O
,   O
low   O
-   O
grade   O
fever   O
,   O
and   O
a   O
generalized   O
sense   O
of   O
fatigue   O
.   O

Upon   O
physical   O
examination   O
by   O
Katie   B-NAME
Browning   I-NAME
,   O
there   O
were   O
bibasilar   O
crackles   O
at   O
lung   O
bases   O
with   O
diminished   O
breath   O
sounds   O
.   O

A   O
chest   O
X   O
-   O
ray   O
was   O
recommended   O
by   O
Tripp   B-NAME
Petty   I-NAME
and   O
the   O
results   O
revealed   O
bilateral   O
patchy   O
infiltrates   O
,   O
suggestive   O
of   O
an   O
underlying   O
infection   O
possibly   O
pneumonia   O
.   O

Maddox   B-NAME
Castro   I-NAME
advised   O
further   O
testing   O
including   O
CBC   O
,   O
blood   O
culture   O
,   O
and   O
sputum   O
culture   O
.   O

Routine   O
follow   O
-   O
up   O
was   O
scheduled   O
for   O
02/03   B-DATE
with   O
Olivia   B-NAME
Gray   I-NAME
to   O
evaluate   O
the   O
response   O
to   O
the   O
prescribed   O
treatment   O
.   O

The   O
details   O
of   O
which   O
have   O
been   O
recorded   O
under   O
4197078   B-ID
.   O

All   O
the   O
information   O
was   O
also   O
communicated   O
to   O
his   O
employer   O
,   O
Oxford   B-LOCATION
Health   I-LOCATION
Plans   I-LOCATION
,   O
over   O
(   B-CONTACT
345   I-CONTACT
)   I-CONTACT
990   I-CONTACT
8421   I-CONTACT
.   O

The   O
patient   O
Victor   B-NAME
Bolton   I-NAME
can   O
view   O
and   O
access   O
their   O
medical   O
information   O
remotely   O
using   O
the   O
registered   O
username   O
WA388   B-NAME
provided   O
at   O
the   O
time   O
of   O
registration   O
with   O
Lower   B-LOCATION
Bucks   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
The   I-LOCATION
.   O
Erika   B-NAME
Duarte   I-NAME
was   O
advised   O
to   O
continue   O
logging   O
his   O
health   O
status   O
at   O
7386   B-LOCATION
Shub   I-LOCATION
Farm   I-LOCATION
Lane   I-LOCATION
and   O
stay   O
in   O
touch   O
with   O
Norman   B-NAME
until   O
complete   O
recovery   O
is   O
achieved   O
.   O

Patient   O
Name   O
:   O
Kylie   B-NAME
Preece   I-NAME
Age   O
:   O
55   O
Location   O
:   O
Atlantic   B-LOCATION
Beach   I-LOCATION
MRN   O
:   O
188   B-ID
-   I-ID
32   I-ID
-   I-ID
88   I-ID
-   I-ID
4   I-ID
Phone   O
:   O
144   B-CONTACT
-   I-CONTACT
2923   I-CONTACT
Event   O
date   O
:   O
1863   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
08   I-DATE

The   O
patient   O
is   O
a   O
Photographers   O
who   O
came   O
into   O
the   O
Ascension   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
complaining   O
of   O
acute   O
onset   O
of   O
chest   O
pain   O
radiating   O
down   O
his   O
left   O
arm   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
and   O
a   O
previous   O
myocardial   O
infarct   O
in   O
8/17/2020   B-DATE
.   O

He   O
is   O
regularly   O
under   O
the   O
care   O
of   O
Dr.   O
Hobbs   B-NAME
and   O
compliant   O
with   O
his   O
prescribed   O
medications   O
–   O
aspirin   O
,   O
enalapril   O
,   O
and   O
atorvastatin   O
.   O

Dr.   O
Wise   B-NAME
was   O
contacted   O
to   O
discuss   O
the   O
case   O
,   O
and   O
the   O
appropriate   O
treatment   O
course   O
was   O
initiated   O
.   O

Confirmation   O
of   O
identity   O
was   O
done   O
using   O
patient   O
's   O
LJ:7046:719509   B-ID
as   O
displayed   O
on   O
his   O
ID   O
card   O
and   O
also   O
verified   O
from   O
the   O
City   B-LOCATION
of   I-LOCATION
Winter   I-LOCATION
Park   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
Department   I-LOCATION
database   O
.   O

Notification   O
was   O
sent   O
to   O
the   O
patient   O
's   O
emergency   O
contact   O
number   O
:   O
221   B-CONTACT
983   I-CONTACT
4586   I-CONTACT
.   O

He   O
resides   O
in   O
the   O
South   B-LOCATION
Jacksonville   I-LOCATION
area   O
with   O
a   O
postal   O
code   O
of   O
77835   B-LOCATION
.   O

His   O
employer   O
at   O
Peace   B-LOCATION
Brigades   I-LOCATION
International   I-LOCATION
is   O
currently   O
aware   O
of   O
his   O
medical   O
emergency   O
.   O

The   O
patient   O
's   O
login   O
credentials   O
to   O
the   O
hospital   O
's   O
patient   O
portal   O
are   O
safeguarded   O
with   O
his   O
personal   O
username   O
ezn822   B-NAME
.   O

The   O
series   O
of   O
events   O
has   O
been   O
documented   O
and   O
securely   O
saved   O
under   O
medical   O
record   O
number   O
160   B-ID
-   I-ID
63   I-ID
-   I-ID
27   I-ID
-   I-ID
8   I-ID
with   O
the   O
intended   O
goal   O
of   O
providing   O
the   O
highest   O
quality   O
of   O
patient   O
care   O
.   O

Patient   O
Details   O
:   O
Name   O
:   O
Teresa   B-NAME
of   I-NAME
Avila   I-NAME
(   I-NAME
Teresa   I-NAME
de   I-NAME
Jesús   I-NAME
)   I-NAME
Age   O
:   O
1   O
Location   O
:   O
Droylsden   B-LOCATION
Contact   O
Number   O
:   O
136   B-CONTACT
3731   I-CONTACT
Medical   O
History   O
:   O

Mr.   O
Preston   B-NAME
Bridges   I-NAME
approached   O
on   O
12/19/2022   B-DATE
with   O
symptoms   O
suggestive   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
.   O

Additionally   O
,   O
Kelton   B-NAME
Valenzuela   I-NAME
also   O
reported   O
a   O
sensation   O
of   O
a   O
lump   O
in   O
his   O
throat   O
,   O
which   O
he   O
described   O
as   O
a   O
'   O
globus   O
sensation   O
'   O
.   O

The   O
patient   O
has   O
been   O
under   O
the   O
care   O
of   O
Mcpherson   B-NAME
at   O
Associated   B-LOCATION
Eye   I-LOCATION
Surgical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
.   O

As   O
part   O
of   O
the   O
investigation   O
,   O
an   O
endoscopy   O
was   O
performed   O
on   O
32/22   B-DATE
which   O
revealed   O
a   O
Hiatus   O
Hernia   O
Grade   O
-   O
I   O
with   O
mild   O
antral   O
gastritis   O
.   O

Alan   B-NAME
D.   I-NAME
Xavier   I-NAME
works   O
as   O
a   O
Trade   O
union   O
research   O
officer   O
in   O
Independent   B-LOCATION
Nation   I-LOCATION
.   O

The   O
patient   O
has   O
agreed   O
to   O
make   O
necessary   O
lifestyle   O
modifications   O
as   O
advised   O
by   O
Kline   B-NAME
,   O
including   O
meal   O
timings   O
and   O
composition   O
,   O
weight   O
management   O
,   O
and   O
reducing   O
alcohol   O
consumption   O
.   O

Mr.   O
Zechariah   B-NAME
Knapp   I-NAME
's   O
medical   O
record   O
i   O
d   O
is   O
0010122   B-ID
and   O
his   O
health   O
plan   O
i   O
d   O
is   O
PP   B-ID
:   I-ID
ZC:7583   I-ID
.   O

His   O
follow   O
-   O
up   O
appointment   O
with   O
Blackburn   B-NAME
at   O
Manhattan   B-LOCATION
Eye   I-LOCATION
is   O
scheduled   O
for   O
11/0/22   B-DATE
.   O

Patient   O
's   O
geographical   O
location   O
is   O
61228   B-LOCATION
.   O

Hebert   B-NAME
's   O
username   O
for   O
accessing   O
the   O
medical   O
portal   O
is   O
bb958   B-NAME
.   O

Let   O
's   O
hope   O
with   O
lifestyle   O
modifications   O
and   O
medical   O
intervention   O
,   O
Mr.   O
James   B-NAME
,   I-NAME
Kevin   I-NAME
will   O
recover   O
swiftly   O
and   O
completely   O
.   O

Patient   O
:   O
Alina   B-NAME
Mccoy   I-NAME
Age   O
:   O
88   O
Consulting   O
Physician   O
:   O

Stanley   B-NAME
Appointment   O
:   O
01/33   B-DATE
Medical   O
Record   O
:   O
610   B-ID
-   I-ID
81   I-ID
-   I-ID
19   I-ID
-   I-ID
6   I-ID
Report   O
:   O
Jalene   B-NAME
presented   O
on   O
Thursday   B-DATE
,   I-DATE
July   I-DATE
for   O
a   O
detailed   O
medical   O
assessment   O
.   O

Morgan   B-NAME
's   O
primary   O
complaint   O
was   O
related   O
to   O
experiencing   O
persistent   O
coughing   O
and   O
shortness   O
of   O
breath   O
for   O
a   O
couple   O
of   O
weeks   O
.   O

As   O
a   O
result   O
,   O
Dailey   B-NAME
presented   O
with   O
a   O
mildly   O
raised   O
ESR   O
(   O
Erythrocyte   O
Sedimentation   O
Rate   O
)   O
and   O
lowered   O
PaO2   O
levels   O
which   O
may   O
suggest   O
respiratory   O
distress   O
syndrome   O
or   O
pulmonary   O
disorder   O
.   O

This   O
report   O
was   O
addressed   O
to   O
Snow   B-NAME
based   O
at   O
Mercy   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Manhattan   I-LOCATION
.   O

To   O
assist   O
in   O
diagnosis   O
,   O
Brice   B-NAME
Short   I-NAME
was   O
referred   O
to   O
a   O
specialist   O
for   O
further   O
assessment   O
.   O

The   O
appointment   O
is   O
set   O
up   O
for   O
01th   B-DATE
at   O
the   O
Colorado   B-LOCATION
.   O

For   O
more   O
information   O
,   O
Schroeder   B-NAME
or   O
related   O
medical   O
staff   O
can   O
be   O
contacted   O
at   O
79009   B-CONTACT
.   O

Philip   O
L.   O
Roberts   O
,   O
R.N.   O
(   O
Username   O
:   O
AS229   B-NAME
)   O
Note   O
:   O
Chicago   B-NAME
,   I-NAME
Judy   I-NAME
is   O
a   O
Dispatchers   O
,   O
Except   O
Police   O
,   O
Fire   O
,   O
and   O
Ambulance   O
by   O
trade   O
and   O
lives   O
in   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11235   I-LOCATION
,   O
80466   B-LOCATION
.   O

She   O
is   O
covered   O
by   O
Cruelty   B-LOCATION
Free   I-LOCATION
International   I-LOCATION
Insurance   O
,   O
policy   O
ID   O
4467381   B-ID
.   O

Patient   O
Name   O
:   O
Vannessa   B-NAME
Grimm   I-NAME
Age   O
:   O
100   O
Doctor   O
Name   O
:   O
Smith   B-NAME
The   O
patient   O
was   O
recommended   O
by   O
the   O
Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
and   O
presented   O
at   O
Blessing   B-LOCATION
Hospital   I-LOCATION
on   O
09/22   B-DATE
.   O

He   O
lives   O
in   O
Pupukea   B-LOCATION
,   O
having   O
a   O
Zip   O
code   O
:   O
13082   B-LOCATION
.   O

The   O
patient   O
's   O
medical   O
record   O
222   B-ID
-   I-ID
40   I-ID
-   I-ID
63   I-ID
-   I-ID
2   I-ID
was   O
thoroughly   O
reviewed   O
.   O

The   O
patient   O
's   O
ID   O
873566   B-ID
will   O
be   O
used   O
for   O
identification   O
in   O
all   O
medical   O
procedures   O
during   O
his   O
stay   O
.   O

The   O
chief   O
cardiologist   O
,   O
Peterson   B-NAME
,   O
has   O
decided   O
to   O
admit   O
the   O
patient   O
for   O
further   O
evaluation   O
given   O
the   O
criticality   O
and   O
the   O
nature   O
of   O
the   O
symptoms   O
.   O

After   O
consultation   O
,   O
an   O
appointment   O
is   O
scheduled   O
with   O
team   O
cardiologist   O
Marques   B-NAME
Clay   I-NAME
on   O
13/22/2132   B-DATE
.   O

She   O
can   O
be   O
reached   O
at   O
819   B-CONTACT
747   I-CONTACT
8548   I-CONTACT
if   O
there   O
are   O
any   O
urgent   O
needs   O
.   O

A   O
username   O
TU7310   B-NAME
has   O
been   O
assigned   O
for   O
the   O
patient   O
's   O
online   O
portal   O
where   O
he   O
will   O
be   O
able   O
to   O
access   O
test   O
results   O
and   O
treatment   O
plans   O
.   O

Emergency   O
Contact   O
Number   O
:   O
813   B-CONTACT
-   I-CONTACT
1741   I-CONTACT

Patient   O
Report   O
:   O
Patient   O
Morrison   B-NAME
,   I-NAME
Jim   I-NAME
presented   O
to   O
the   O
The   B-LOCATION
William   I-LOCATION
W.   I-LOCATION
Backus   I-LOCATION
Hospital   I-LOCATION
on   O
the   O
morning   O
of   O
12/26   B-DATE
.   O

In   O
medical   O
history   O
,   O
Valerian   B-NAME
Mautte   I-NAME
,   O
a   O
New   O
Accounts   O
Clerks   O
from   O
Chagrin   B-LOCATION
Falls   I-LOCATION
,   O
has   O
a   O
record   O
of   O
similar   O
abdominal   O
pain   O
approximately   O
ten   O
years   O
ago   O
at   O
the   O
age   O
of   O
0   O
week   O
.   O

Relevant   O
diagnostic   O
tests   O
and   O
medical   O
imagery   O
are   O
gathered   O
under   O
the   O
medical   O
record   O
number   O
13595207   B-ID
.   O

As   O
a   O
subsequent   O
step   O
to   O
assess   O
the   O
condition   O
of   O
Alan   B-NAME
Harper   I-NAME
,   O
the   O
consultation   O
of   O
Kline   B-NAME
was   O
recommended   O
by   O
the   O
attending   O
physician   O
.   O

Bell   B-NAME
,   O
who   O
has   O
significant   O
expertise   O
in   O
advanced   O
gastroenterology   O
,   O
was   O
apprised   O
of   O
the   O
patient   O
's   O
condition   O
telephonically   O
at   O
133   B-CONTACT
-   I-CONTACT
3958   I-CONTACT
.   O

On   O
the   O
basis   O
of   O
primary   O
assessment   O
,   O
Holmes   B-NAME
,   I-NAME
Oliver   I-NAME
Wendell   I-NAME
,   I-NAME
Sr   I-NAME
.   I-NAME
prescribed   O
CBC   O
(   O
Complete   O
Blood   O
Count   O
)   O
,   O
ultrasound   O
,   O
and   O
a   O
CT   O
scan   O
of   O
the   O
abdominal   O
area   O
.   O

The   O
procedures   O
were   O
carried   O
out   O
at   O
our   O
local   O
Abrazo   B-LOCATION
West   I-LOCATION
Campus   I-LOCATION
affiliate   O
in   O
Rome   B-LOCATION
City   I-LOCATION
(   O
53149   B-LOCATION
)   O
.   O

Post   O
initial   O
diagnostics   O
,   O
further   O
management   O
was   O
planned   O
to   O
be   O
carried   O
out   O
under   O
the   O
supervision   O
of   O
Ardite   B-NAME
in   O
which   O
the   O
patient   O
's   O
family   O
concurred   O
.   O

The   O
report   O
and   O
recommendations   O
were   O
shared   O
with   O
the   O
patient   O
's   O
health   O
insurance   O
provider   O
Deutscher   B-LOCATION
Brauer   I-LOCATION
-   I-LOCATION
Bund   I-LOCATION
(   I-LOCATION
DBB   I-LOCATION
)   I-LOCATION
through   O
secure   O
medical   O
channels   O
.   O

The   O
identification   O
protocol   O
was   O
processed   O
through   O
the   O
healthcare   O
ID   O
0   B-ID
-   I-ID
6643698   I-ID
.   O

Permissions   O
for   O
further   O
investigations   O
were   O
granted   O
on   O
1732   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
16   I-DATE
.   O

The   O
case   O
will   O
be   O
persistently   O
evaluated   O
and   O
updated   O
in   O
the   O
system   O
using   O
the   O
secured   O
access   O
by   O
wtg802   B-NAME
.   O

Patient   O
Report   O
:   O
Leland   B-NAME
Washington   I-NAME
,   O
a   O
81   O
years   O
old   O
female   O
,   O
presented   O
to   O
our   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Moanalua   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
27/23   B-DATE
.   O

The   O
patient   O
works   O
as   O
a   O
Drywall   O
and   O
Ceiling   O
Tile   O
Installers   O
at   O
State   B-LOCATION
Guard   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
in   O
Houston   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77022   I-LOCATION
.   O

Upon   O
evaluation   O
,   O
Sarina   B-NAME
Messinger   I-NAME
reported   O
fatigue   O
,   O
myalgia   O
,   O
and   O
slight   O
difficulty   O
in   O
swallowing   O
.   O

Dr.   O
Cristian   B-NAME
Donaldson   I-NAME
reviewed   O
her   O
medical   O
chart   O
and   O
found   O
that   O
she   O
had   O
been   O
admitted   O
to   O
another   O
Ed   B-LOCATION
Fraser   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
in   O
Mount   B-LOCATION
Clemens   I-LOCATION
about   O
a   O
year   O
ago   O
,   O
where   O
she   O
was   O
diagnosed   O
with   O
an   O
unspecified   O
neuromuscular   O
disorder   O
.   O

Unfortunately   O
,   O
detailed   O
notes   O
from   O
that   O
hospitalization   O
including   O
any   O
EMG   O
reports   O
are   O
not   O
available   O
in   O
the   O
current   O
EO64513711   B-ID
.   O

Lab   O
results   O
obtained   O
on   O
2397   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
32   I-DATE
revealed   O
elevated   O
creatine   O
phosphokinase   O
(   O
CPK   O
)   O
levels   O
.   O

The   O
MRI   O
of   O
the   O
spine   O
performed   O
on   O
4/10   B-DATE
showed   O
no   O
significant   O
abnormality   O
.   O

Her   O
next   O
appointment   O
is   O
scheduled   O
on   O
20/03   B-DATE
with   O
Dr.   O
Krista   B-NAME
Bridges   I-NAME
in   O
the   O
Neurology   O
Department   O
.   O

For   O
any   O
emergency   O
or   O
other   O
health   O
-   O
related   O
queries   O
,   O
she   O
could   O
contact   O
385   B-CONTACT
-   I-CONTACT
3113   I-CONTACT
.   O

Her   O
identity   O
was   O
confirmed   O
with   O
her   O
66765   B-ID
and   O
her   O
contact   O
address   O
was   O
recorded   O
as   O
Bedford   B-LOCATION
,   O
48322   B-LOCATION
.   O

Prepared   O
by   O
:   O
UA979   B-NAME

Patient   O
Report   O
:   O
Mays   B-NAME
presented   O
to   O
the   O
Memorial   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
on   O
2281   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
16   I-DATE
.   O

Dr.   O
Shaun   B-NAME
Lloyd   I-NAME
performed   O
a   O
physical   O
examination   O
and   O
noted   O
that   O
Braylen   B-NAME
Horn   I-NAME
's   O
abdomen   O
was   O
tender   O
,   O
predominantly   O
on   O
the   O
right   O
side   O
.   O

Lab   O
results   O
,   O
performed   O
at   O
Nevada   B-LOCATION
,   O
were   O
received   O
today   O
.   O

The   O
patient   O
's   O
medical   O
ID   O
is   O
3426205   B-ID
.   O

Dr.   O
Andonuts   B-NAME
has   O
recommended   O
an   O
abdominal   O
ultrasound   O
to   O
understand   O
the   O
origin   O
of   O
the   O
pain   O
.   O

The   O
appointment   O
for   O
the   O
same   O
is   O
scheduled   O
after   O
three   O
days   O
on   O
01/23/1988   B-DATE
.   O

The   O
patient   O
hails   O
from   O
Nolensville   B-LOCATION
and   O
mentioned   O
that   O
the   O
home   O
phone   O
number   O
is   O
(   B-CONTACT
891   I-CONTACT
)   I-CONTACT
893   I-CONTACT
4193   I-CONTACT
.   O

The   O
patient   O
's   O
residence   O
is   O
in   O
the   O
79970   B-LOCATION
postal   O
area   O
.   O

The   O
patient   O
also   O
handed   O
over   O
the   O
health   O
insurance   O
card   O
having   O
IW:92755:594993   B-ID
number   O
for   O
further   O
processing   O
.   O

WILKES   B-NAME
's   O
tp4710   B-NAME
on   O
the   O
hospital   O
's   O
patient   O
portal   O
has   O
also   O
been   O
set   O
up   O
for   O
easy   O
access   O
and   O
communication   O
regarding   O
test   O
results   O
and   O
appointments   O
.   O

This   O
report   O
shall   O
be   O
updated   O
again   O
post   O
the   O
ultrasound   O
,   O
or   O
as   O
deemed   O
necessary   O
by   O
Dr.   O
Zoie   B-NAME
Wolfe   I-NAME
.   O

Patient   O
:   O
Arthur   B-NAME
Bonar   I-NAME
Age   O
:   O
26   O
Presenting   O
Doctor   O
:   O
Faulkner   B-NAME
Location   O
:   O
Williamsport   B-LOCATION
Medical   O
Record   O
:   O
866   B-ID
-   I-ID
63   I-ID
-   I-ID
68   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Visit   O
:   O
22/27   B-DATE
Report   O
:   O
Patient   O
Uphoff   B-NAME
presented   O
to   O
Roma   B-NAME
Kuether   I-NAME
at   O
Windham   B-LOCATION
Community   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
32/09   B-DATE
with   O
chief   O
complaint   O
of   O
progressive   O
dyspnea   O
and   O
cough   O
of   O
approximately   O
two   O
-   O
week   O
duration   O
.   O

Despite   O
his   O
92   O
,   O
LX   B-NAME
normally   O
enjoys   O
a   O
robust   O
health   O
status   O
,   O
with   O
only   O
a   O
history   O
of   O
well   O
-   O
controlled   O
hypertension   O
.   O

He   O
is   O
quite   O
active   O
,   O
and   O
is   O
working   O
as   O
a   O
Retail   O
merchandiser   O
for   O
Old   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
.   O

Evans   B-NAME
was   O
referred   O
for   O
urgent   O
chest   O
X   O
-   O
ray   O
and   O
further   O
possible   O
diagnostic   O
paracentesis   O
.   O

A   O
summary   O
of   O
the   O
patient   O
's   O
presentation   O
was   O
immediately   O
documented   O
for   O
further   O
clinical   O
scrutiny   O
under   O
his   O
7915363   B-ID
.   O

Clark   B-NAME
,   I-NAME
Wesley   I-NAME
's   O
residential   O
address   O
is   O
at   O
Boydton   B-LOCATION
with   O
23936   B-LOCATION
.   O

Contact   O
can   O
be   O
made   O
via   O
his   O
home   O
67855   B-CONTACT
or   O
through   O
his   O
official   O
pkx992   B-NAME
at   O
Three   B-LOCATION
Notch   I-LOCATION
EMC   I-LOCATION
.   O

A   O
revisit   O
to   O
Margaret   B-LOCATION
R.   I-LOCATION
Pardee   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2311   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
28   I-DATE
was   O
scheduled   O
to   O
evaluate   O
the   O
results   O
and   O
plan   O
the   O
future   O
course   O
of   O
action   O
.   O

In   O
compliance   O
with   O
the   O
hospital   O
discharge   O
protocol   O
,   O
a   O
copy   O
of   O
medical   O
certificate   O
and   O
prescriptions   O
were   O
handed   O
to   O
Hayes   B-NAME
.   O

In   O
case   O
of   O
any   O
worsening   O
symptoms   O
,   O
Kalam   B-NAME
,   I-NAME
APJ   I-NAME
Abdul   I-NAME
was   O
advised   O
to   O
contact   O
our   O
medical   O
emergency   O
by   O
quoting   O
his   O
personal   O
identification   O
8   B-ID
-   I-ID
7240604   I-ID
.   O

Plotting   O
his   O
course   O
to   O
recovery   O
,   O
Frankie   B-NAME
Frey   I-NAME
's   O
data   O
will   O
be   O
recorded   O
,   O
and   O
his   O
response   O
to   O
the   O
commenced   O
treatment   O
will   O
be   O
the   O
primary   O
deciding   O
factor   O
for   O
future   O
interventions   O
.   O

Patient   O
Report   O
:   O
Maximilian   B-NAME
Mccarty   I-NAME
presented   O
at   O
UPMC   B-LOCATION
East   I-LOCATION
emergency   O
room   O
on   O
31/31   B-DATE
with   O
symptoms   O
typically   O
associated   O
with   O
myocardial   O
infarction   O
.   O

Initial   O
vitals   O
acquired   O
by   O
Nurse   O
Verney   B-NAME
showed   O
an   O
elevated   O
heart   O
rate   O
at   O
120   O
bpm   O
and   O
blood   O
pressure   O
of   O
160/100   O
mmHg   O
.   O

On   O
physical   O
examination   O
,   O
Edward   B-NAME
Parker   I-NAME
was   O
observed   O
to   O
have   O
diaphoresis   O
and   O
displayed   O
symptoms   O
of   O
anxiety   O
.   O

His   O
personal   O
physician   O
Benson   B-NAME
records   O
,   O
obtained   O
through   O
his   O
48694412   B-ID
number   O
,   O
indicated   O
high   O
cholesterol   O
levels   O
and   O
a   O
sedentary   O
lifestyle   O
.   O

He   O
is   O
a   O
resident   O
of   O
Rock   B-LOCATION
Hill   I-LOCATION
area   O
,   O
where   O
he   O
lives   O
with   O
his   O
wife   O
and   O
two   O
children   O
.   O

His   O
ID   O
2976318   B-ID
was   O
found   O
on   O
his   O
person   O
,   O
along   O
with   O
his   O
phone   O
994   B-CONTACT
4735   I-CONTACT
which   O
was   O
used   O
to   O
contact   O
his   O
immediate   O
family   O
members   O
.   O

The   O
cardiologist   O
Gabriel   B-NAME
Maxwell   I-NAME
was   O
called   O
in   O
for   O
consultation   O
from   O
the   O
specialist   O
wing   O
at   O
Placentia   B-LOCATION
-   I-LOCATION
Linda   I-LOCATION
Hospital   I-LOCATION
and   O
initiated   O
treatment   O
immediately   O
.   O

His   O
primary   O
care   O
physician   O
Anne   B-NAME
Gregory   I-NAME
from   O
Botswana   B-LOCATION
Telecommunication   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
was   O
also   O
notified   O
.   O

Plans   O
for   O
an   O
urgent   O
angiography   O
on   O
10/57   B-DATE
at   O
Lobelville   B-LOCATION
were   O
made   O
to   O
evaluate   O
the   O
extent   O
of   O
the   O
blockage   O
.   O

The   O
patient   O
has   O
been   O
transferred   O
to   O
the   O
Lilypad   B-LOCATION
Gardens   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
intensive   O
care   O
unit   O
for   O
subsequent   O
management   O
and   O
is   O
currently   O
listed   O
in   O
critical   O
but   O
stable   O
condition   O
.   O

This   O
report   O
was   O
recorded   O
by   O
Nurse   O
tur949   B-NAME
on   O
July   B-DATE
14   I-DATE
,   I-DATE
2205   I-DATE
and   O
saved   O
in   O
his   O
files   O
with   O
ID   O
9484860   B-ID
.   O

Further   O
communication   O
with   O
the   O
family   O
will   O
be   O
facilitated   O
via   O
home   O
phone   O
number   O
ending   O
in   O
330   B-CONTACT
-   I-CONTACT
7600   I-CONTACT
.   O

The   O
hospital   O
is   O
situated   O
in   O
zip   O
code   O
91477   B-LOCATION
and   O
further   O
assistance   O
can   O
be   O
sought   O
by   O
locating   O
the   O
same   O
.   O

Patient   O
:   O
Ure   B-NAME
Age   O
:   O
11   O
ID   O
:   O
724501067   B-ID
Medical   O
Record   O
:   O
3398107   B-ID
Phone   O
:   O
68284   B-CONTACT
Location   O
:   O
Chief   B-LOCATION
Lake   I-LOCATION
Zip   O
:   O
76177   B-LOCATION
Report   O
prepared   O
by   O
:   O
Castro   B-NAME
The   O
patient   O
,   O
who   O
is   O
a   O
Entertainers   O
and   O
Performers   O
,   O
Sports   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
was   O
brought   O
into   O
our   O
medical   O
facility   O
,   O
Spartanburg   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
on   O
8/71   B-DATE
with   O
notable   O
symptoms   O
of   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fatigue   O
.   O

The   O
patient   O
's   O
residential   O
address   O
is   O
within   O
the   O
72995   B-LOCATION
region   O
of   O
Lake   B-LOCATION
Cavanaugh   I-LOCATION
.   O

Our   O
medical   O
unit   O
under   O
the   O
supervision   O
of   O
Carlson   B-NAME
initiated   O
immediate   O
procedures   O
to   O
address   O
Acute   O
Coronary   O
Syndrome   O
.   O

A   O
Coronary   O
Angiogram   O
performed   O
on   O
2228   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
06   I-DATE
showed   O
high   O
-   O
grade   O
stenosis   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

After   O
multidisciplinary   O
team   O
discussions   O
,   O
the   O
beneficial   O
step   O
forward   O
was   O
concluded   O
to   O
be   O
a   O
Coronary   O
Artery   O
Bypass   O
Graft   O
(   O
CABG   O
)   O
conducted   O
by   O
Mcgee   B-NAME
from   O
our   O
cardiac   O
surgery   O
team   O
.   O

Details   O
of   O
the   O
patient   O
's   O
medical   O
history   O
and   O
surgical   O
procedures   O
are   O
recorded   O
under   O
the   O
username   O
ifa280   B-NAME
in   O
our   O
hospital   O
’s   O
secure   O
electronic   O
database   O
operated   O
by   O
International   B-LOCATION
Foundation   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Tolerance   I-LOCATION
.   O

The   O
patient   O
or   O
next   O
of   O
kin   O
are   O
advised   O
to   O
call   O
us   O
at   O
28489   B-CONTACT
to   O
clarify   O
any   O
further   O
medical   O
concerns   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
another   O
follow   O
-   O
up   O
consultation   O
at   O
Cherokee   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/31/56   B-DATE
.   O

We   O
are   O
truly   O
committed   O
to   O
ensuring   O
the   O
best   O
medical   O
care   O
for   O
Gilder   B-NAME
,   I-NAME
George   I-NAME
.   O

Please   O
ensure   O
to   O
contact   O
us   O
on   O
the   O
mentioned   O
812   B-CONTACT
1101   I-CONTACT
if   O
there   O
are   O
accelerating   O
symptoms   O
or   O
any   O
further   O
queries   O
.   O

Patient   O
Report   O
:   O
Keegan   B-NAME
Rios   I-NAME
,   O
a   O
Earth   O
Drillers   O
,   O
Except   O
Oil   O
and   O
Gas   O
of   O
77   O
years   O
,   O
came   O
to   O
the   O
EvergreenHealth   B-LOCATION
Monroe   I-LOCATION
on   O
22/00/2322   B-DATE
.   O

Dr.   O
Deng   B-NAME
Xiaoping   I-NAME
was   O
the   O
attending   O
physician   O
.   O

Damian   B-NAME
Hamilton   I-NAME
's   O
chief   O
complaint   O
was   O
a   O
persistent   O
dry   O
cough   O
and   O
intermittent   O
dyspnea   O
for   O
the   O
last   O
3   O
weeks   O
.   O

In   O
addition   O
,   O
Laylah   B-NAME
Grant   I-NAME
had   O
noted   O
a   O
loss   O
of   O
appetite   O
along   O
with   O
unintentional   O
weight   O
loss   O
.   O

Her   O
medical   O
record   O
411   B-ID
-   I-ID
39   I-ID
-   I-ID
83   I-ID
revealed   O
that   O
she   O
had   O
an   O
episode   O
of   O
pneumonia   O
about   O
three   O
years   O
ago   O
.   O

Edwards   B-NAME
’s   O
cough   O
was   O
productive   O
for   O
a   O
viscous   O
,   O
yellow   O
sputum   O
.   O

Heath   B-NAME
Hopkins   I-NAME
denied   O
any   O
hemoptysis   O
.   O

Fuller   B-NAME
has   O
no   O
known   O
medication   O
allergies   O
.   O

Fallon   B-NAME
Mcdavid   I-NAME
is   O
a   O
non   O
-   O
smoker   O
.   O

Her   O
social   O
history   O
includes   O
working   O
in   O
an   O
insulation   O
factory   O
in   O
Airport   B-LOCATION
Heights   I-LOCATION
for   O
15   O
years   O
where   O
she   O
was   O
frequently   O
exposed   O
to   O
asbestos   O
.   O

Martin   B-NAME
's   O
ID   O
card   O
JX   B-ID
:   I-ID
FX:1747   I-ID
showed   O
James   B-NAME
Tyler   I-NAME
's   O
residence   O
as   O
72530   B-LOCATION
.   O

Upon   O
physical   O
examination   O
,   O
Chaplin   B-NAME
,   I-NAME
Charlie   I-NAME
(   I-NAME
Sir   I-NAME
Charles   I-NAME
Spencer   I-NAME
Chaplin   I-NAME
)   I-NAME
looked   O
cachectic   O
.   O

Mercury   B-NAME
,   I-NAME
Freddie   I-NAME
’s   O
oxygen   O
saturation   O
was   O
93   O
%   O
on   O
room   O
air   O
.   O

Dr   O
Lao   B-NAME
was   O
contacted   O
by   O
Anabella   B-NAME
Villegas   I-NAME
's   O
family   O
via   O
the   O
phone   O
number   O
89033   B-CONTACT
about   O
the   O
possibility   O
of   O
an   O
occupational   O
lung   O
disease   O
.   O

The   O
inputs   O
are   O
saved   O
under   O
the   O
username   O
KQ979   B-NAME
at   O
the   O
Anti   B-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Coalition   I-LOCATION
(   I-LOCATION
AVC   I-LOCATION
)   I-LOCATION
.   O

Patient   O
:   O
JAY   B-NAME
CARROLL   I-NAME
Age   O
:   O
32   O
Location   O
:   O
Cheboygan   B-LOCATION
Phone   O
:   O
124   B-CONTACT
-   I-CONTACT
7834   I-CONTACT
Job   O
:   O
Irradiated   O
-   O
Fuel   O
Handlers   O
Medical   O
Record   O
:   O
9684473   B-ID
ID   O
:   O
390362   B-ID
Doctor   O
:   O
Duffy   B-NAME
Hospital   O
:   O
Wentworth   B-LOCATION
-   I-LOCATION
Douglass   I-LOCATION
Hospital   I-LOCATION
Zip   O
:   O
43081   B-LOCATION
Organization   O
:   O
Reliance   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Username   O
:   O
qto7010   B-NAME
Report   O
:   O

On   O
39/03   B-DATE
,   O
the   O
patient   O
Rios   B-NAME
,   O
a   O
30   O
year   O
old   O
Correctional   O
Officers   O
and   O
Jailers   O
was   O
admitted   O
to   O
Penn   B-LOCATION
Highlands   I-LOCATION
Elk   I-LOCATION
.   O

The   O
patient   O
resides   O
at   O
Las   B-LOCATION
Lomas   I-LOCATION
,   O
and   O
can   O
be   O
reached   O
at   O
11274   B-CONTACT
.   O

The   O
patient   O
's   O
ID   O
HQ   B-ID
:   I-ID
XM:3184   I-ID
and   O
the   O
medical   O
record   O
number   O
is   O
4810110   B-ID
.   O

[   O
BLOOD   O
TESTS   O
]   O
Fasting   O
blood   O
glucose   O
:   O
within   O
normal   O
range   O
Hemoglobin   O
A1c   O
:   O
within   O
normal   O
range   O
[   O
Urine   O
TESTS   O
]   O
Urinalysis   O
was   O
within   O
normal   O
limits   O
A   O
cerebral   O
MRI   O
scan   O
was   O
suggested   O
by   O
the   O
attending   O
physician   O
Dr.   O
de   B-NAME
Mello   I-NAME
,   I-NAME
Anthony   I-NAME
from   O
Snapping   B-LOCATION
Shoals   I-LOCATION
EMC   I-LOCATION
and   O
is   O
due   O
to   O
be   O
performed   O
.   O

We   O
will   O
create   O
an   O
account   O
with   O
the   O
username   O
sq981   B-NAME
for   O
WKJ   B-NAME
to   O
monitor   O
his   O
results   O
digitally   O
on   O
our   O
encrypted   O
platform   O
.   O

Dr.   O
Huckabee   B-NAME
,   I-NAME
Mike   I-NAME
based   O
in   O
Carilion   B-LOCATION
New   I-LOCATION
River   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
an   O
office   O
on   O
the   O
second   O
floor   O
consults   O
with   O
the   O
patient   O
's   O
primary   O
care   O
physician   O
regularly   O
to   O
update   O
them   O
about   O
the   O
situation   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
the   O
same   O
day   O
with   O
prescriptions   O
for   O
symptomatic   O
relief   O
and   O
was   O
instructed   O
to   O
return   O
to   O
Meade   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Meade   I-LOCATION
if   O
symptoms   O
persist   O
.   O

The   O
appointment   O
has   O
been   O
scheduled   O
on   O
2/28/2103   B-DATE
at   O
Froedtert   B-LOCATION
Hospital   I-LOCATION
,   O
South   B-LOCATION
Patrick   I-LOCATION
Shores   I-LOCATION
,   O
96723   B-LOCATION

In   O
case   O
of   O
emergency   O
,   O
Kennedi   B-NAME
Morrison   I-NAME
will   O
contact   O
his   O
/   O
her   O
primary   O
care   O
physician   O
or   O
visit   O
the   O
nearest   O
emergency   O
department   O
at   O
Hendricks   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
,   O
Hellertown   B-LOCATION
with   O
postal   O
code   O
77053   B-LOCATION
.   O

Patient   O
's   O
Information   O
:   O
Name   O
:   O
Berard   B-NAME
,   I-NAME
Edward   I-NAME
V.   I-NAME
DOB   O
:   O
19/16   B-DATE
ID   O
:   O
LY885/8950   B-ID
Medical   O
Record   O
:   O
44282974   B-ID
Address   O
:   O
Texanna   B-LOCATION
Phone   O
:   O
(   B-CONTACT
289   I-CONTACT
)   I-CONTACT
235   I-CONTACT
-   I-CONTACT
6031   I-CONTACT
ZIP   O
:   O
71811   B-LOCATION
Profession   O
:   O
Computer   O
Programmers   O
Username   O
:   O
gr1003   B-NAME
Primary   O
Care   O
Doctor   O
:   O
Dr.   O
Ochoa   B-NAME
Mr.   O
Page   B-NAME
,   I-NAME
michael   I-NAME
is   O
a   O
41s   O
year   O
old   O
male   O
who   O
works   O
as   O
a   O
Mechanical   O
Drafters   O
.   O

He   O
presented   O
to   O
Milford   B-LOCATION
Hospital   I-LOCATION
on   O
32/32   B-DATE
.   O

Laboratory   O
results   O
from   O
1750   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
14   I-DATE
at   O
Emanuel   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
showed   O
elevated   O
BNP   O
(   O
brain   O
natriuretic   O
peptide   O
)   O
levels   O
favorable   O
to   O
a   O
diagnosis   O
of   O
heart   O
failure   O
.   O

A   O
12   O
-   O
lead   O
ECG   O
performed   O
at   O
Hedrick   B-LOCATION
on   O
10/16/1709   B-DATE
revealed   O
left   O
-   O
ventricular   O
hypertrophy   O
.   O

He   O
is   O
currently   O
under   O
the   O
care   O
of   O
Dr.   O
Kasey   B-NAME
Duncan   I-NAME
at   O
IntelliQuote   B-LOCATION
Insurance   I-LOCATION
Services   I-LOCATION
.   O

The   O
patient   O
will   O
be   O
referred   O
for   O
cardiac   O
echocardiography   O
at   O
North   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
evaluate   O
for   O
signs   O
of   O
congestive   O
heart   O
failure   O
.   O

For   O
further   O
follow   O
ups   O
,   O
the   O
patient   O
can   O
be   O
contacted   O
through   O
138   B-CONTACT
4917   I-CONTACT
or   O
with   O
his   O
online   O
username   O
tc665   B-NAME
.   O

He   O
is   O
also   O
actively   O
involved   O
in   O
a   O
local   O
support   O
group   O
at   O
TIAA   B-LOCATION
-   I-LOCATION
CREF   I-LOCATION
mentioned   O
earlier   O
in   O
47996   B-LOCATION
.   O

Insurance   O
plan   O
number   O
:   O
2   B-ID
-   I-ID
9642868   I-ID

Patient   O
name   O
:   O
Davidson   B-NAME
Age   O
:   O
61   O
The   O
patient   O
came   O
in   O
on   O
2/2231   B-DATE
complaining   O
of   O
an   O
elevated   O
temperature   O
,   O
severe   O
coughing   O
,   O
and   O
difficulty   O
in   O
breathing   O
.   O

Upon   O
examination   O
by   O
Mark   B-NAME
Gillespie   I-NAME
,   O
signs   O
of   O
wheezing   O
and   O
decreased   O
breath   O
sounds   O
were   O
noticed   O
.   O

The   O
patient   O
's   O
medical   O
history   O
recorded   O
in   O
the   O
387   B-ID
-   I-ID
61   I-ID
-   I-ID
22   I-ID
was   O
consulted   O
.   O

The   O
treating   O
pulmonologist   O
Dr.   O
Carrey   B-NAME
,   I-NAME
Jim   I-NAME
at   O
Florida   B-LOCATION
A&M   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
was   O
contacted   O
to   O
get   O
a   O
clear   O
understanding   O
of   O
the   O
current   O
issue   O
.   O

Despite   O
residing   O
in   O
Maple   B-LOCATION
Grove   I-LOCATION
,   O
the   O
patient   O
works   O
as   O
a   O
nurse   O
in   O
a   O
nearby   O
Massachusetts   B-LOCATION
,   O
which   O
could   O
have   O
exposed   O
her   O
to   O
a   O
range   O
of   O
chemical   O
irritants   O
.   O

The   O
abnormal   O
spirometry   O
result   O
was   O
confirmed   O
with   O
a   O
repeated   O
test   O
on   O
2221   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
02   I-DATE
.   O

The   O
patient   O
's   O
contact   O
information   O
was   O
taken   O
(   O
654   B-CONTACT
916   I-CONTACT
6400   I-CONTACT
and   O
KV301   B-NAME
)   O
for   O
follow   O
up   O
.   O

By   O
doing   O
so   O
,   O
the   O
patient   O
was   O
also   O
instructed   O
to   O
submit   O
her   O
health   O
insurance   O
UP   B-ID
:   I-ID
BF:8139   I-ID
and   O
60042   B-LOCATION
for   O
record   O
-   O
keeping   O
.   O

The   O
attending   O
healthcare   O
provider   O
Elijah   B-NAME
Murphy   I-NAME
from   O
our   O
Lenoir   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Incorporated   I-LOCATION
system   O
decided   O
to   O
keep   O
the   O
patient   O
's   O
case   O
open   O
for   O
possible   O
further   O
treatments   O
depending   O
on   O
the   O
disease   O
's   O
progression   O
.   O

Additionally   O
,   O
smoking   O
cessation   O
and   O
avoidance   O
of   O
any   O
irritant   O
,   O
especially   O
at   O
the   O
Galaxies   B-LOCATION
'   I-LOCATION
State   I-LOCATION
were   O
advised   O
.   O

Patient   O
Name   O
:   O
Jangih   B-NAME
Age   O
:   O
40   O
Date   O
:   O
15/12/04   B-DATE
ID   O
:   O
DU   B-ID
:   I-ID
NX:2319   I-ID
Location   O
:   O
Washington   B-LOCATION
Boro   I-LOCATION
Phone   O
:   O
218   B-CONTACT
-   I-CONTACT
736   I-CONTACT
-   I-CONTACT
5726   I-CONTACT
Zip   O
:   O
94980   B-LOCATION
Profession   O
:   O
Scene   O
of   O
crime   O
officer   O
Medical   O
Record   O
:   O
358   B-ID
-   I-ID
64   I-ID
-   I-ID
80   I-ID
-   I-ID
0   I-ID
Username   O
:   O

ip323   B-NAME
Attending   O
Physician   O
:   O

Hoover   B-NAME
Hospital   O
:   O
Excela   B-LOCATION
Latrobe   I-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
Organization   O
:   O
International   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Journalists   I-LOCATION
Medical   O
Report   O
:   O
Mr.   O
Suellen   B-NAME
Carilli   I-NAME
,   O
a   O
68   O
year   O
old   O
male   O
,   O
presented   O
to   O
our   O
Rutgers   B-LOCATION
emergency   O
department   O
on   O
00/23   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
that   O
began   O
earlier   O
that   O
morning   O
.   O

He   O
is   O
a   O
resident   O
of   O
Council   B-LOCATION
Bluffs   I-LOCATION
and   O
is   O
working   O
as   O
a   O
Web   O
Developers   O
.   O

He   O
was   O
admitted   O
by   O
Dr.   O
Ferguson   B-NAME
and   O
the   O
necessary   O
examinations   O
were   O
carried   O
out   O
using   O
his   O
ID   O
MS   B-ID
:   I-ID
WT:8214   I-ID
and   O
under   O
the   O
medical   O
record   O
301   B-ID
-   I-ID
70   I-ID
-   I-ID
64   I-ID
-   I-ID
5   I-ID
.   O

Further   O
communication   O
will   O
be   O
facilitated   O
via   O
provided   O
contact   O
33548   B-CONTACT
and   O
the   O
given   O
address   O
61656   B-LOCATION
.   O

The   O
patient   O
was   O
thus   O
admitted   O
to   O
our   O
Norwood   B-LOCATION
Hospital   I-LOCATION
and   O
intravenous   O
access   O
was   O
secured   O
.   O

The   O
patient   O
's   O
condition   O
will   O
be   O
continuously   O
monitored   O
by   O
Dr.   O
Jeffery   B-NAME
Hart   I-NAME
.   O

The   O
Park   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
has   O
ensured   O
full   O
support   O
in   O
managing   O
this   O
case   O
.   O

The   O
patient   O
's   O
personal   O
data   O
was   O
kept   O
confidential   O
according   O
to   O
laws   O
and   O
was   O
discussed   O
under   O
the   O
username   O
hpx1910   B-NAME
for   O
staff   O
convenience   O
.   O

Patient   O
Name   O
:   O
Mckayla   B-NAME
Frank   I-NAME
Age   O
:   O
60   O
Medical   O
Record   O
Number   O
:   O
90283216   B-ID
Location   O
:   O
Oak   B-LOCATION
Shores   I-LOCATION
ZIP   O
Code   O
:   O
11724   B-LOCATION
Date   O
of   O
Consultation   O
:   O
2/31/03   B-DATE
Patient   O
Andrea   B-NAME
presented   O
to   O
Dr.   O
Mendez   B-NAME
at   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Tiffin   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
intense   O
and   O
persistent   O
epigastric   O
pain   O
for   O
the   O
past   O
week   O
,   O
which   O
seemed   O
to   O
aggravate   O
after   O
meals   O
.   O

Fitzgerald   B-NAME
had   O
undergone   O
triple   O
therapy   O
treatment   O
involving   O
antibiotics   O
and   O
proton   O
pump   O
inhibitors   O
during   O
the   O
last   O
episode   O
,   O
with   O
successful   O
eradication   O
of   O
H.   O
Pylori   O
.   O
Currently   O
employed   O
as   O
a   O
Illustrator   O
,   O
the   O
patient   O
revealed   O
high   O
levels   O
of   O
work   O
-   O
related   O
stress   O
,   O
which   O
possibly   O
contribute   O
to   O
the   O
recurrence   O
of   O
peptic   O
ulcers   O
.   O

Casey   B-NAME
Leonard   I-NAME
is   O
advised   O
to   O
consider   O
stress   O
management   O
techniques   O
alongside   O
the   O
medical   O
treatment   O
.   O

Lab   O
results   O
,   O
based   O
on   O
the   O
latest   O
blood   O
work   O
carried   O
out   O
on   O
10/02   B-DATE
and   O
reviewed   O
by   O
YB958   B-NAME
,   O
show   O
an   O
increase   O
in   O
Gastric   O
Parietal   O
Cell   O
antibodies   O
.   O

During   O
the   O
visit   O
,   O
Kallie   B-NAME
Spence   I-NAME
was   O
educated   O
about   O
the   O
detrimental   O
effects   O
of   O
alcohol   O
and   O
NSAIDs   O
consumption   O
on   O
the   O
GI   O
lining   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
next   O
Monday   B-DATE
at   O
Virginia   B-LOCATION
Mason   I-LOCATION
Hospital   I-LOCATION
.   O

In   O
the   O
interim   O
,   O
Quilici   B-NAME
will   O
commence   O
a   O
course   O
of   O
PPIs   O
and   O
antibiotics   O
as   O
per   O
prescription   O
generated   O
by   O
Dr.   O
Cheyanne   B-NAME
Mata   I-NAME
.   O

Contact   O
details   O
:   O
Phone   O
Number   O
:   O
736   B-CONTACT
-   I-CONTACT
8582   I-CONTACT
Email   O
ID   O
:   O
RE:1174:182280   B-ID
Emergency   O
Contact   O
:   O
588   B-CONTACT
5225   I-CONTACT
Treatment   O
initiated   O
under   O
supervision   O
of   O
Darby   B-LOCATION
Bank   I-LOCATION
&   I-LOCATION
Trust   I-LOCATION
.   O

Jensen   B-NAME
(   O
Signature   O
)   O

Mr.   O
Dawn   B-NAME
Julian   I-NAME
is   O
a   O
89   O
year   O
old   O
male   O
who   O
presented   O
to   O
the   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
on   O
22/23   B-DATE
with   O
symptoms   O
of   O
fatigue   O
,   O
weight   O
loss   O
,   O
and   O
persistent   O
cough   O
for   O
the   O
past   O
few   O
weeks   O
.   O

Upon   O
further   O
questioning   O
,   O
Mr.   O
McCarthy   B-NAME
,   I-NAME
Mary   I-NAME
mentioned   O
recent   O
episodes   O
of   O
intermittent   O
hemoptysis   O
.   O

A   O
physical   O
examination   O
conducted   O
by   O
Dr.   O
Burgess   B-NAME
suggested   O
decreased   O
breath   O
sounds   O
on   O
the   O
left   O
side   O
.   O

Dr.   O
Mccarty   B-NAME
then   O
called   O
a   O
pulmonary   O
CT   O
scan   O
which   O
was   O
performed   O
the   O
next   O
day   O
on   O
03/46   B-DATE
.   O

Dr.   O
Gavyn   B-NAME
Flowers   I-NAME
recommended   O
an   O
EBUS   O
-   O
guided   O
biopsy   O
scheduled   O
for   O
2269   B-DATE
at   O
Charlack   B-LOCATION
.   O

Mr.   O
Leandro   B-NAME
Gaines   I-NAME
was   O
duly   O
informed   O
of   O
the   O
results   O
and   O
potential   O
outcomes   O
,   O
he   O
agreed   O
to   O
the   O
biopsy   O
.   O

His   O
contact   O
number   O
(   B-CONTACT
872   I-CONTACT
)   I-CONTACT
820   I-CONTACT
-   I-CONTACT
7029   I-CONTACT
was   O
recorded   O
for   O
appointment   O
reminders   O
and   O
follow   O
-   O
ups   O
.   O

The   O
documentations   O
were   O
logged   O
under   O
his   O
medical   O
record   O
number   O
5085192   B-ID
.   O

Mr.   O
Eneida   B-NAME
Dolven   I-NAME
is   O
currently   O
residing   O
at   O
7344   B-LOCATION
North   I-LOCATION
Wagon   I-LOCATION
St.   I-LOCATION
,   O
working   O
as   O
a   O
Structural   O
Iron   O
and   O
Steel   O
Workers   O
.   O

His   O
ID   O
DE183/6010   B-ID
confirms   O
his   O
status   O
as   O
a   O
resident   O
of   O
the   O
mentioned   O
location   O
.   O

He   O
has   O
been   O
working   O
for   O
Butler   B-LOCATION
Bank   I-LOCATION
for   O
over   O
15   O
years   O
now   O
.   O

We   O
provided   O
him   O
with   O
Dr.   O
Laurinkus   B-NAME
,   I-NAME
Mečys   I-NAME
's   O
office   O
phone   O
number   O
271   B-CONTACT
3427   I-CONTACT
for   O
any   O
queries   O
.   O

His   O
account   O
is   O
being   O
managed   O
by   O
cjv536   B-NAME
at   O
our   O
hospital   O
.   O

Dr.   O
Bolton   B-NAME
further   O
suggested   O
genetic   O
counseling   O
for   O
the   O
patient   O
's   O
children   O
.   O

He   O
has   O
referred   O
Mr.   O
Janae   B-NAME
Baldwin   I-NAME
's   O
case   O
to   O
the   O
care   O
management   O
team   O
at   O
Salt   B-LOCATION
Lake   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

His   O
next   O
appointment   O
has   O
been   O
set   O
for   O
2/32   B-DATE
.   O

For   O
more   O
detailed   O
assistance   O
,   O
he   O
may   O
reach   O
out   O
to   O
the   O
helpline   O
of   O
Konkan   B-LOCATION
Railway   I-LOCATION
Corporation   I-LOCATION
Employees   I-LOCATION
Union   I-LOCATION
at   O
710   B-CONTACT
-   I-CONTACT
2982   I-CONTACT
,   O
located   O
in   O
the   O
57732   B-LOCATION
area   O
.   O

Patient   O
Report   O
Patient   O
:   O
Edwards   B-NAME
,   I-NAME
Edwin   I-NAME
W.   I-NAME

The   O
patient   O
,   O
a   O
Electronics   O
engineer   O
by   O
profession   O
,   O
visited   O
my   O
office   O
for   O
a   O
consultation   O
on   O
2039   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
24   I-DATE
.   O

Patient   O
is   O
95   O
years   O
old   O
and   O
lives   O
in   O
Pomona   B-LOCATION
.   O

I   O
advised   O
a   O
full   O
-   O
fledged   O
neurological   O
evaluation   O
at   O
Los   B-LOCATION
Angeles   I-LOCATION
County   I-LOCATION
University   I-LOCATION
of   I-LOCATION
Southern   I-LOCATION
California   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

An   O
MRI   O
scan   O
was   O
performed   O
by   O
Dr.   O
Paloma   B-NAME
Livingston   I-NAME
on   O
27/09/2244   B-DATE
revealed   O
mild   O
cortical   O
atrophy   O
and   O
hippocampal   O
sclerosis   O
.   O

Blood   O
test   O
reports   O
,   O
received   O
from   O
Fire   B-LOCATION
Brigades   I-LOCATION
Union   I-LOCATION
laboratories   O
,   O
which   O
can   O
be   O
referenced   O
via   O
1412329   B-ID
,   O
revealed   O
marginally   O
elevated   O
homocysteine   O
levels   O
,   O
indicating   O
Vitamin   O
B12   O
and   O
Folate   O
deficiency   O
.   O

The   O
patient   O
’s   O
personal   O
ID   O
is   O
LX:0717:818259   B-ID
and   O
their   O
phone   O
number   O
is   O
613   B-CONTACT
9743   I-CONTACT
.   O

Thus   O
,   O
Davidson   B-NAME
has   O
been   O
provided   O
with   O
a   O
pharmacy   O
's   O
phone   O
number   O
and   O
will   O
require   O
assistance   O
to   O
pick   O
up   O
medications   O
.   O

I   O
plan   O
to   O
follow   O
up   O
with   O
the   O
patient   O
next   O
on   O
34/21/13   B-DATE
.   O

The   O
patient   O
can   O
log   O
in   O
with   O
the   O
username   O
egc483   B-NAME
to   O
our   O
secure   O
telemedicine   O
portal   O
.   O

They   O
have   O
been   O
informed   O
to   O
contact   O
the   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Dorchester   I-LOCATION
help   O
-   O
desk   O
for   O
any   O
technical   O
assistance   O
,   O
providing   O
them   O
with   O
their   O
zip   O
code   O
43240   B-LOCATION
for   O
identification   O
.   O

I   O
have   O
informed   O
Archer   B-NAME
and   O
family   O
of   O
my   O
findings   O
and   O
recommendations   O
and   O
will   O
continue   O
monitoring   O
the   O
progression   O
in   O
the   O
condition   O
.   O

Signed   O
,   O
Cristian   B-NAME
Donaldson   I-NAME

Patient   O
Report   O
:   O
Mr.   O
Figueroa   B-NAME
was   O
brought   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Oklahoma   I-LOCATION
City   I-LOCATION
on   O
2/05   B-DATE
.   O

The   O
patient   O
,   O
aged   O
22   O
,   O
comes   O
from   O
Applewold   B-LOCATION
.   O

The   O
patient   O
is   O
a   O
History   O
Teachers   O
,   O
Postsecondary   O
at   O
Comunidad   B-LOCATION
Inti   I-LOCATION
Wara   I-LOCATION
Yassi   I-LOCATION
with   O
the   O
WN973   B-NAME
and   O
lives   O
at   O
37632   B-LOCATION
.   O

When   O
reaching   O
the   O
hospital   O
,   O
the   O
preliminary   O
round   O
of   O
examination   O
was   O
carried   O
out   O
the   O
by   O
Dr.   O
Tyler   B-NAME
.   O

Following   O
the   O
ultrasound   O
,   O
Mr.   O
VOLLMER   B-NAME
,   I-NAME
NATHAN   I-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
appendectomy   O
.   O

The   O
surgical   O
team   O
was   O
informed   O
and   O
the   O
operation   O
was   O
successfully   O
conducted   O
later   O
on   O
the   O
same   O
34/12   B-DATE
.   O

The   O
patient   O
's   O
hospital   O
ID   O
was   O
SV   B-ID
:   I-ID
LW:3241   I-ID
and   O
his   O
medical   O
records   O
were   O
updated   O
under   O
5174896   B-ID
to   O
maintain   O
a   O
comprehensive   O
record   O
of   O
his   O
health   O
issues   O
and   O
treatments   O
.   O

Regarding   O
the   O
patient   O
's   O
insurance   O
and   O
billing   O
details   O
,   O
the   O
relevant   O
department   O
was   O
requested   O
to   O
contact   O
Aditya   B-NAME
Lee   I-NAME
on   O
his   O
registered   O
mobile   O
number   O
21912   B-CONTACT
to   O
sort   O
out   O
the   O
finances   O
without   O
causing   O
any   O
additional   O
stress   O
to   O
the   O
patient   O
's   O
family   O
.   O

Mr.   O
May   B-NAME
was   O
discharged   O
on   O
a   O
later   O
18/13   B-DATE
after   O
he   O
showed   O
satisfactory   O
recovery   O
and   O
his   O
condition   O
was   O
stable   O
.   O

Dr.   O
Baxter   B-NAME
has   O
advised   O
him   O
to   O
follow   O
a   O
course   O
of   O
antibiotics   O
and   O
to   O
avoid   O
strenuous   O
activities   O
for   O
a   O
couple   O
of   O
weeks   O
.   O

This   O
report   O
is   O
a   O
comprehensive   O
document   O
of   O
Mr.   O
Bibesco   B-NAME
,   I-NAME
Princess   I-NAME
Elizabeth   I-NAME
's   O
case   O
and   O
the   O
course   O
of   O
treatment   O
provided   O
at   O
Animas   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Sidney   B-NAME
Pollard   I-NAME
presented   O
on   O
May   B-DATE
39   I-DATE
at   O
Woodland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Middletown   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10940   I-LOCATION
.   O

The   O
attending   O
Mareli   B-NAME
Mendoza   I-NAME
on   O
duty   O
noted   O
that   O
the   O
patient   O
is   O
a   O
Probation   O
officer   O
and   O
a   O
52   O
-   O
year   O
-   O
old   O
male   O
who   O
complained   O
of   O
severe   O
abdominal   O
pain   O
.   O

Maxwell   B-NAME
gave   O
written   O
informed   O
consent   O
after   O
discussing   O
the   O
risks   O
and   O
benefits   O
of   O
surgical   O
intervention   O
.   O

The   O
scheduling   O
department   O
was   O
contacted   O
on   O
727   B-CONTACT
898   I-CONTACT
7158   I-CONTACT
for   O
the   O
next   O
available   O
operating   O
room   O
slot   O
.   O

Post   O
-   O
operation   O
notes   O
by   O
Peck   B-NAME
recommend   O
a   O
prescription   O
of   O
antibacterial   O
and   O
analgesic   O
medications   O
for   O
the   O
patient   O
to   O
manage   O
pain   O
and   O
prevent   O
infections   O
,   O
and   O
ensure   O
a   O
smooth   O
recovery   O
.   O

The   O
patient   O
has   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
February   B-DATE
at   O
the   O
outpatient   O
department   O
in   O
Carilion   B-LOCATION
Clinic   I-LOCATION
St.   I-LOCATION
Albans   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
issues   O
,   O
the   O
patient   O
was   O
advised   O
to   O
make   O
a   O
call   O
through   O
28261   B-CONTACT
,   O
which   O
caters   O
to   O
emergency   O
services   O
24/7   O
.   O

All   O
relevant   O
documentation   O
,   O
including   O
the   O
patient   O
's   O
identification   O
number   O
PZ   B-ID
:   I-ID
QB:9591   I-ID
,   O
Medicare   O
number   O
10   B-ID
-   I-ID
6823201   I-ID
,   O
and   O
medical   O
record   O
number   O
16927239   B-ID
,   O
have   O
been   O
properly   O
updated   O
and   O
stored   O
.   O

The   O
patient   O
's   O
home   O
address   O
is   O
listed   O
as   O
Crediton   B-LOCATION
,   O
93298   B-LOCATION
.   O

A   O
copy   O
of   O
all   O
reports   O
will   O
be   O
sent   O
to   O
the   O
patient   O
's   O
primary   O
healthcare   O
provider   O
at   O
Michigan   B-LOCATION
Heritage   I-LOCATION
Bank   I-LOCATION
for   O
further   O
reference   O
.   O

Report   O
prepared   O
by   O
pg506   B-NAME

Patient   O
Name   O
:   O
Abraham   B-NAME
Eaton   I-NAME
Age   O
:   O
55   O
ID   O
:   O
JF   B-ID
:   I-ID
WJ:2649   I-ID
Phone   O
:   O
776   B-CONTACT
-   I-CONTACT
6518   I-CONTACT
Zip   O
:   O
15467   B-LOCATION
The   O
patient   O
was   O
admitted   O
to   O
the   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Colorado   I-LOCATION
Springs   I-LOCATION
on   O
Saturday   B-DATE
.   O

Upon   O
admission   O
,   O
the   O
patient   O
was   O
seen   O
by   O
Edison   B-NAME
Milford   I-NAME
III   I-NAME
in   O
Unit   O
4   O
of   O
the   O
Bethel   B-LOCATION
Manor   I-LOCATION
.   O

The   O
chief   O
complaints   O
expressed   O
by   O
Carleigh   B-NAME
Fitzpatrick   I-NAME
were   O
severe   O
fatigue   O
,   O
shortness   O
of   O
breath   O
during   O
minimal   O
physical   O
exertion   O
,   O
and   O
unexplained   O
weight   O
loss   O
which   O
started   O
about   O
two   O
months   O
ago   O
.   O

The   O
Medical   O
Record   O
of   O
the   O
patient   O
,   O
18054034   B-ID
,   O
showed   O
no   O
history   O
of   O
any   O
chronic   O
illnesses   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Kennedy   B-NAME
Lisa   I-NAME
,   O
which   O
revealed   O
severe   O
iron   O
deficiency   O
anemia   O
,   O
elevated   O
CRP   O
levels   O
,   O
and   O
mildly   O
reduced   O
kidney   O
function   O
(   O
Creatinine   O
1.3   O
,   O
eGFR   O
50   O
ml   O
/   O
min   O
)   O
.   O

Baylee   B-NAME
Kent   I-NAME
mentioned   O
that   O
he   O
worked   O
in   O
an   O
BJ   B-LOCATION
's   I-LOCATION
Wholesale   I-LOCATION
Club   I-LOCATION
as   O
a   O
Sales   O
Agents   O
,   O
Financial   O
Services   O
.   O

Zeities   B-NAME
Gevorkian   I-NAME
,   O
along   O
with   O
a   O
team   O
of   O
healthcare   O
professionals   O
,   O
conclude   O
there   O
might   O
be   O
a   O
potential   O
underlying   O
systemic   O
disease   O
or   O
malignancy   O
based   O
on   O
the   O
patient   O
's   O
age   O
,   O
job   O
history   O
,   O
and   O
the   O
constellation   O
of   O
symptoms   O
.   O

Endoscopic   O
evaluation   O
is   O
scheduled   O
for   O
01   B-DATE
-   I-DATE
06   I-DATE
.   O

While   O
at   O
University   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
,   O
Mallory   B-NAME
Young   I-NAME
was   O
assigned   O
the   O
username   O
AJ754   B-NAME
.   O

The   O
patient   O
's   O
family   O
,   O
who   O
resides   O
at   O
a   O
farm   O
in   O
a   O
rural   O
area   O
of   O
Kendall   B-LOCATION
West   I-LOCATION
,   O
was   O
contacted   O
via   O
the   O
emergency   O
contact   O
number   O
,   O
194   B-CONTACT
-   I-CONTACT
2008   I-CONTACT
,   O
and   O
all   O
relevant   O
information   O
was   O
communicated   O
.   O

All   O
findings   O
were   O
reported   O
to   O
the   O
employer   O
,   O
Association   B-LOCATION
of   I-LOCATION
Greek   I-LOCATION
Chemists   I-LOCATION
,   O
located   O
in   O
zip   O
code   O
19724   B-LOCATION
by   O
Gauge   B-NAME
Brown   I-NAME
on   O
02/21   B-DATE
.   O

Patient   O
Name   O
:   O
Carie   B-NAME
DOB   O
:   O
Feb   B-DATE
2362   I-DATE
Gender   O
:   O
Male   O
ID   O
:   O
7425011   B-ID
Address   O
:   O
Linn   B-LOCATION
Valley   I-LOCATION
Mr.   O
Alfonzo   B-NAME
is   O
a   O
6   O
month   O
-   O
year   O
-   O
old   O
male   O
who   O
presents   O
with   O
progressive   O
dysphagia   O
,   O
particularly   O
toward   O
solids   O
,   O
and   O
significant   O
weight   O
loss   O
over   O
the   O
past   O
three   O
months   O
.   O

Carpenter   B-NAME
was   O
consulted   O
,   O
and   O
an   O
upper   O
GI   O
endoscopy   O
revealed   O
esophageal   O
webs   O
along   O
with   O
inflamed   O
and   O
fissured   O
esophageal   O
mucosa   O
.   O

Biopsy   O
specimens   O
were   O
sent   O
to   O
Harry   B-LOCATION
S.   I-LOCATION
Truman   I-LOCATION
Memorial   I-LOCATION
Veterans   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
for   O
pathological   O
examination   O
,   O
under   O
22727403   B-ID
.   O

The   O
patient   O
was   O
promptly   O
referred   O
to   O
Florida   B-LOCATION
Public   I-LOCATION
Utilities   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Chesapeake   I-LOCATION
Utilities   I-LOCATION
for   O
a   O
multidisciplinary   O
approach   O
to   O
further   O
management   O
.   O

Mr.   O
Carolla   B-NAME
,   I-NAME
Adam   I-NAME
's   O
employer   O
,   O
a   O
construction   O
company   O
(   O
Modern   B-LOCATION
Woodmen   I-LOCATION
of   I-LOCATION
America   I-LOCATION
)   O
,   O
was   O
informed   O
of   O
his   O
medical   O
condition   O
and   O
was   O
advised   O
to   O
provide   O
any   O
necessary   O
work   O
accommodations   O
.   O

For   O
any   O
further   O
clarifications   O
,   O
Lalabalavu   B-NAME
,   I-NAME
Ratu   I-NAME
Naiqama   I-NAME
can   O
be   O
reached   O
at   O
289   B-CONTACT
-   I-CONTACT
940   I-CONTACT
5648   I-CONTACT
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Trujillo   B-NAME
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Madisonville   I-LOCATION
for   O
bi   O
-   O
weekly   O
follow   O
-   O
up   O
visits   O
for   O
the   O
next   O
two   O
months   O
to   O
evaluate   O
the   O
patient   O
's   O
response   O
to   O
treatments   O
starting   O
from   O
24/20/50   B-DATE
.   O

Reports   O
will   O
be   O
updated   O
on   O
GH270   B-NAME
.   O

Home   O
Zip   O
:   O
19446   B-LOCATION
Occupation   O
:   O
Construction   O
Carpenters   O
Emergency   O
Contact   O
:   O
62928   B-CONTACT

Patient   O
Name   O
:   O
Robert   B-NAME
D.   I-NAME
Briggs   I-NAME
Age   O
:   O
33   O
ID   O
:   O
SS527/5341   B-ID
Phone   O
:   O
(   B-CONTACT
289   I-CONTACT
)   I-CONTACT
776   I-CONTACT
3829   I-CONTACT
Address   O
:   O
Seagrove   B-LOCATION
,   O
66063   B-LOCATION
Profession   O
:   O

Embalmers   O
Attending   O
Physician   O
:   O
Oliver   B-NAME
Crane   I-NAME
Location   O
of   O
Residence   O
/   O
Treatment   O
:   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
08/25   B-DATE
Medical   O
record   O
:   O
51464335   B-ID
Presented   O
complaints   O
:   O
The   O
Herman   B-NAME
Patton   I-NAME
has   O
reported   O
experiencing   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
which   O
has   O
worsened   O
over   O
the   O
past   O
24   O
hours   O
.   O

The   O
patient   O
has   O
a   O
five   O
-   O
year   O
history   O
of   O
Type   O
2   O
Diabetes   O
and   O
was   O
diagnosed   O
with   O
hypertension   O
00/22/2236   B-DATE
.   O

It   O
's   O
also   O
noted   O
from   O
our   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Purple   I-LOCATION
Heart   I-LOCATION
database   O
that   O
Tobias   B-NAME
Lara   I-NAME
is   O
a   O
recovering   O
alcoholic   O
who   O
quit   O
drinking   O
four   O
years   O
ago   O
.   O

Examination   O
&   O
Treatment   O
:   O
A   O
physical   O
exam   O
was   O
performed   O
by   O
Dr.   O
Anne   B-NAME
Hebert   I-NAME
at   O
Twin   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
whose   O
findings   O
pertaining   O
to   O
this   O
event   O
suggests   O
a   O
possible   O
myocardial   O
infarction   O
.   O

An   O
ECG   O
and   O
blood   O
markers   O
were   O
immediately   O
ordered   O
and   O
Denim   B-NAME
was   O
administered   O
aspirin   O
and   O
GTN   O
as   O
per   O
MI   O
protocol   O
.   O

Note   O
by   O
attending   O
physician   O
zl07   B-NAME
:   O
Acuna   B-NAME
's   O
high   O
blood   O
pressure   O
and   O
diabetic   O
condition   O
can   O
contribute   O
to   O
the   O
risk   O
of   O
developing   O
heart   O
diseases   O
.   O

Contact   O
232   B-CONTACT
-   I-CONTACT
7127   I-CONTACT
for   O
any   O
emergency   O
and   O
refer   O
to   O
720   B-ID
-   I-ID
72   I-ID
-   I-ID
03   I-ID
-   I-ID
9   I-ID
for   O
the   O
complete   O
medical   O
history   O
of   O
Valery   B-NAME
Harding   I-NAME
.   O

Nicky   B-NAME
Averette   I-NAME
91409400   B-ID
is   O
a   O
66   O
year   O
-   O
old   O
who   O
presented   O
to   O
Cox   B-LOCATION
Monett   I-LOCATION
on   O
27/20   B-DATE
.   O

Diderot   B-NAME
,   I-NAME
Denis   I-NAME
reported   O
feeling   O
lightheaded   O
and   O
experiencing   O
shortness   O
of   O
breath   O
,   O
especially   O
after   O
mild   O
physical   O
activity   O
.   O

Hamilton   B-NAME
lives   O
in   O
North   B-LOCATION
Beach   I-LOCATION
Haven   I-LOCATION
and   O
works   O
as   O
a   O
Journalist   O
.   O

During   O
the   O
initial   O
consultation   O
with   O
Carrel   B-NAME
,   I-NAME
Alexis   I-NAME
,   O
they   O
noted   O
that   O
patient   O
's   O
blood   O
pressure   O
was   O
slightly   O
elevated   O
.   O

Further   O
tests   O
were   O
ordered   O
to   O
assess   O
cardiac   O
function   O
,   O
which   O
were   O
conducted   O
by   O
MercyOne   B-LOCATION
North   I-LOCATION
Iowa   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
cardiology   O
team   O
.   O

Preston   B-NAME
Hill   I-NAME
referred   O
the   O
patient   O
to   O
a   O
specialist   O
in   O
Little   B-LOCATION
Sioux   I-LOCATION
who   O
is   O
affiliated   O
with   O
Community   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Sarasota   I-LOCATION
County   I-LOCATION
.   O

The   O
patient   O
's   O
51900794   B-ID
was   O
recorded   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
01/29   B-DATE
.   O

Orlando   B-NAME
Bashore   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
low   O
salt   O
diet   O
and   O
was   O
prescribed   O
medication   O
-   O
Lisinopril   O
5MG   O
-   O
to   O
help   O
manage   O
the   O
blood   O
pressure   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Ellen   B-NAME
Klein   I-NAME
immediately   O
if   O
symptoms   O
worsen   O
or   O
if   O
they   O
experience   O
any   O
side   O
effects   O
from   O
the   O
medication   O
.   O

Aryan   B-NAME
Hatfield   I-NAME
was   O
provided   O
with   O
the   O
hospital   O
's   O
direct   O
31559   B-CONTACT
number   O
.   O

In   O
our   O
last   O
correspondence   O
with   O
pu599   B-NAME
from   O
the   O
patient   O
's   O
employer   O
,   O
they   O
confirmed   O
that   O
they   O
are   O
making   O
arrangements   O
for   O
Brock   B-NAME
Holt   I-NAME
to   O
have   O
reduced   O
hours   O
at   O
work   O
so   O
as   O
to   O
accommodate   O
the   O
patient   O
's   O
medical   O
situation   O
.   O

The   O
patient   O
's   O
information   O
was   O
recorded   O
under   O
VH:38494:262553   B-ID
.   O

The   O
summary   O
of   O
Mauricio   B-NAME
Whitaker   I-NAME
's   O
medical   O
visit   O
and   O
complete   O
medical   O
records   O
will   O
be   O
sent   O
to   O
Polson   B-LOCATION
,   I-LOCATION
Polson   I-LOCATION
CDA   I-LOCATION
-   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Project   I-LOCATION
,   O
specifically   O
to   O
the   O
patient   O
's   O
address   O
,   O
which   O
is   O
located   O
in   O
the   O
82331   B-LOCATION
area   O
.   O

Patient   O
Name   O
:   O
Bryson   B-NAME
,   I-NAME
Bill   I-NAME
Date   O
:   O
1/2   B-DATE
Doctor   O
:   O
Kailey   B-NAME
Hanna   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Rose   I-LOCATION
Dominican   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Martin   I-LOCATION
Campus   I-LOCATION
ID   O
No   O
:   O
10   B-ID
-   I-ID
7392538   I-ID
Medical   O
Record   O
No   O
:   O
4786294   B-ID
Contact   O
Number   O
:   O
79009   B-CONTACT
Mr.   O
Oldham   B-NAME
,   O
a   O
39   O
years   O
old   O
male   O
,   O
presented   O
on   O
2108   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
20   I-DATE
with   O
recent   O
onset   O
of   O
shortness   O
of   O
breath   O
,   O
fatigue   O
,   O
and   O
significant   O
weight   O
loss   O
over   O
the   O
past   O
three   O
months   O
.   O

The   O
patient   O
is   O
a   O
Charities   O
administrator   O
in   O
the   O
American   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
in   O
Pritchett   B-LOCATION
and   O
lives   O
in   O
zipcode   O
60878   B-LOCATION
.   O

Upon   O
examination   O
,   O
Trey   B-NAME
Davenport   I-NAME
found   O
the   O
patient   O
to   O
have   O
decreased   O
breath   O
sounds   O
in   O
the   O
left   O
lower   O
lung   O
on   O
auscultation   O
.   O

A   O
chest   O
X   O
-   O
ray   O
,   O
conducted   O
at   O
James   B-LOCATION
J.   I-LOCATION
Peters   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
revealed   O
a   O
left   O
lower   O
lobe   O
consolidation   O
,   O
suggestive   O
of   O
pneumonia   O
or   O
a   O
possible   O
malignant   O
growth   O
.   O

Blood   O
work   O
,   O
performed   O
on   O
Tuesday   B-DATE
,   O
showed   O
elevated   O
white   O
blood   O
count   O
and   O
C   O
-   O
reactive   O
protein   O
levels   O
,   O
indicating   O
an   O
ongoing   O
inflammatory   O
response   O
.   O

Mr.   O
MARQUEZ   B-NAME
,   I-NAME
RONALD   I-NAME
's   O
username   O
for   O
the   O
hospital   O
's   O
patient   O
portal   O
is   O
ze106   B-NAME
.   O

The   O
patient   O
was   O
advised   O
to   O
be   O
admitted   O
to   O
The   B-LOCATION
William   I-LOCATION
W.   I-LOCATION
Backus   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
CT   O
scan   O
and   O
further   O
evaluation   O
.   O

The   O
patient   O
's   O
family   O
,   O
residing   O
in   O
Slippery   B-LOCATION
Rock   I-LOCATION
,   O
has   O
been   O
notified   O
about   O
the   O
situation   O
via   O
contact   O
number   O
517   B-CONTACT
-   I-CONTACT
7176   I-CONTACT
.   O

Dr.   O
Franco   B-NAME
and   O
the   O
healthcare   O
team   O
will   O
formulate   O
a   O
suitable   O
treatment   O
plan   O
for   O
Mr.   O
Morrow   B-NAME
depending   O
on   O
the   O
final   O
diagnosis   O
.   O

The   O
patient   O
has   O
agreed   O
to   O
share   O
his   O
medical   O
files   O
(   O
ID   O
number   O
:   O
OS963/4289   B-ID
,   O
Medical   O
Record   O
number   O
:   O
85072488   B-ID
)   O
with   O
the   O
medical   O
team   O
.   O

Further   O
updates   O
about   O
Mr.   O
Yeager   B-NAME
's   O
health   O
will   O
be   O
communicated   O
to   O
his   O
family   O
in   O
Nescatunga   B-LOCATION
.   O

Patient   O
name   O
:   O
HV   B-NAME
Age   O
:   O
7   O
week   O
ID   O
:   O
GF841/6048   B-ID
Phone   O
:   O
509   B-CONTACT
4932   I-CONTACT
Location   O
:   O
Namibia   B-LOCATION
Doctor   O
:   O
Wilkerson   B-NAME
Hospital   O
:   O
Atlanticare   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
City   I-LOCATION
Campus   I-LOCATION
Medical   O
record   O
number   O
:   O
9665035   B-ID
Organization   O
:   O

Australian   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
Zip   O
code   O
:   O
43240   B-LOCATION
A   O
50   O
-   O
year   O
old   O
patient   O
,   O
Joshua   B-NAME
A.   I-NAME
Root   I-NAME
visited   O
our   O
clinic   O
at   O
OhioHealth   B-LOCATION
Grant   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

He   O
lives   O
in   O
the   O
vicinity   O
of   O
Avinger   B-LOCATION
,   O
48348   B-LOCATION
.   O

Malaki   B-NAME
Sherman   I-NAME
complained   O
of   O
experiencing   O
severe   O
headaches   O
,   O
accompanied   O
by   O
blurred   O
vision   O
over   O
the   O
past   O
few   O
months   O
.   O

Upon   O
further   O
examination   O
,   O
photophobia   O
,   O
phonophobia   O
and   O
a   O
pulsating   O
quality   O
of   O
pain   O
were   O
reported   O
by   O
Louis   B-NAME
VII   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
France   I-NAME
.   O

Moreover   O
,   O
Irmgard   B-NAME
's   O
episodes   O
of   O
headaches   O
are   O
lasting   O
anywhere   O
from   O
4   O
to   O
72   O
hours   O
and   O
have   O
caused   O
significant   O
debility   O
in   O
daily   O
functionality   O
.   O

A   O
comprehensive   O
neurological   O
examination   O
was   O
performed   O
by   O
our   O
chief   O
neurologist   O
Dr.   O
Tonie   B-NAME
Tourigny   I-NAME
.   O

Furthermore   O
,   O
Bryan   B-NAME
Owens   I-NAME
's   O
medical   O
history   O
reveals   O
the   O
condition   O
seemed   O
to   O
be   O
exacerbating   O
,   O
making   O
it   O
pertinent   O
to   O
perform   O
further   O
diagnostic   O
evaluations   O
.   O

Following   O
Roselyn   B-NAME
Bartlett   I-NAME
's   O
advice   O
,   O
John   B-NAME
H.   I-NAME
Watson   I-NAME
underwent   O
a   O
series   O
of   O
neuroimaging   O
tests   O
which   O
included   O
a   O
CT   O
scan   O
and   O
MRI   O
at   O
our   O
Dickinson   B-LOCATION
County   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
.   O

Keith   B-NAME
Beaumont   I-NAME
was   O
further   O
advised   O
to   O
visit   O
a   O
neurosurgeon   O
and   O
a   O
treatment   O
strategy   O
is   O
currently   O
being   O
planned   O
out   O
.   O

The   O
patient   O
details   O
can   O
be   O
tracked   O
with   O
the   O
medical   O
record   O
number   O
40651314   B-ID
.   O

You   O
can   O
contact   O
Nesbitt   B-NAME
directly   O
on   O
his   O
phone   O
number   O
(   B-CONTACT
746   I-CONTACT
)   I-CONTACT
848   I-CONTACT
2298   I-CONTACT
or   O
reach   O
me   O
,   O
his   O
primary   O
care   O
physician   O
named   O
Dr.   O
Tiana   B-NAME
Clay   I-NAME
on   O
my   O
work   O
phone   O
.   O

For   O
any   O
other   O
details   O
,   O
get   O
in   O
touch   O
with   O
our   O
organization   O
-   O
American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
the   I-LOCATION
Prevention   I-LOCATION
of   I-LOCATION
Cruelty   I-LOCATION
to   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
ASPCA   I-LOCATION
)   I-LOCATION
.   O

Note   O
:   O
The   O
patient   O
Sha   B-NAME
Gaseoma   I-NAME
by   O
profession   O
is   O
working   O
as   O
a   O
Chiropractors   O
which   O
he   O
believes   O
does   O
not   O
seem   O
to   O
affect   O
his   O
condition   O
in   O
any   O
way   O
.   O

The   O
follow   O
-   O
up   O
is   O
scheduled   O
on   O
Nov   B-DATE
36   I-DATE
for   O
further   O
evaluation   O
based   O
on   O
the   O
treatment   O
strategy   O
.   O

mh724   B-NAME
This   O
report   O
is   O
prepared   O
by   O
Dr.   O
Horne   B-NAME
,   O
Neurology   O
Department   O
,   O
Regional   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Orangeburg   I-LOCATION
and   I-LOCATION
Calhoun   I-LOCATION
Counties   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
Bruce   B-NAME
Godfrey   I-NAME
Date   O
:   O
02/13/2202   B-DATE
Gender   O
:   O
Male   O
Age   O
:   O
9   O
ID   O
:   O
17851   B-ID
Address   O
:   O
Snead   B-LOCATION
Zip   O
:   O
12194   B-LOCATION
Phone   O
:   O
(   B-CONTACT
309   I-CONTACT
)   I-CONTACT
469   I-CONTACT
3019   I-CONTACT
Occupation   O
:   O
musician   O
Physician   O
's   O
Name   O
:   O
Dr.   O
Chaney   B-NAME
Place   O
of   O
Treatment   O
:   O
Carson   B-LOCATION
Tahoe   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
:   O
64576843   B-ID
Description   O
:   O
Mr.   O
Nola   B-NAME
Gallagher   I-NAME
reported   O
a   O
persistent   O
dry   O
cough   O
with   O
occasional   O
hemoptysis   O
over   O
the   O
last   O
2   O
weeks   O
.   O

Now   O
,   O
Dr.   O
Giles   B-NAME
requested   O
a   O
complete   O
blood   O
count   O
,   O
C   O
-   O
reactive   O
protein   O
level   O
,   O
and   O
sputum   O
Gram   O
stain   O
and   O
culture   O
.   O

Mr.   O
Nesbitt   B-NAME
has   O
been   O
working   O
as   O
Opticians   O
,   O
Dispensing   O
,   O
and   O
thus   O
exposure   O
to   O
certain   O
hazardous   O
elements   O
can   O
not   O
be   O
ruled   O
out   O
.   O

When   O
considering   O
these   O
findings   O
,   O
I   O
shared   O
my   O
concerns   O
with   O
Mr.   O
WG   B-NAME
about   O
a   O
possible   O
Speiser   O
's   O
syndrome   O
or   O
lung   O
abscess   O
,   O
but   O
further   O
diagnosis   O
confirmation   O
through   O
thoracentesis   O
or   O
biopsy   O
may   O
be   O
necessary   O
.   O

Follow   O
-   O
up   O
will   O
be   O
scheduled   O
on   O
8/23/91   B-DATE
at   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Woodhull   I-LOCATION
.   O

Mr.   O
Jeremy   B-NAME
Powell   I-NAME
emergency   O
contact   O
is   O
at   O
617   B-CONTACT
-   I-CONTACT
285   I-CONTACT
3695   I-CONTACT
and   O
the   O
number   O
for   O
Middle   B-LOCATION
Georgia   I-LOCATION
EMC   I-LOCATION
is   O
(   B-CONTACT
746   I-CONTACT
)   I-CONTACT
577   I-CONTACT
4425   I-CONTACT
.   O

His   O
latest   O
sharing   O
user   O
ID   O
for   O
his   O
health   O
application   O
is   O
ZB191   B-NAME
.   O

Signed   O
,   O
Dr.   O
Zamora   B-NAME

Patient   O
's   O
Synopsis   O
:   O
Kevin   B-NAME
Vest   I-NAME
is   O
a   O
1   O
week   O
-   O
year   O
-   O
old   O
female   O
who   O
presented   O
to   O
the   O
Southern   B-LOCATION
Ocean   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
24/20   B-DATE
with   O
complaints   O
of   O
acute   O
breathlessness   O
as   O
well   O
as   O
unrelenting   O
cough   O
accompanied   O
by   O
fever   O
for   O
the   O
past   O
five   O
days   O
.   O

She   O
has   O
a   O
known   O
history   O
of   O
bronchitis   O
and   O
was   O
under   O
the   O
care   O
of   O
her   O
primary   O
care   O
physician   O
,   O
Mosley   B-NAME
.   O

Past   O
medical   O
records   O
789   B-ID
-   I-ID
05   I-ID
-   I-ID
08   I-ID
-   I-ID
1   I-ID
reveal   O
that   O
she   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
intermittently   O
.   O

Gwendolyn   B-NAME
Irvine   I-NAME
's   O
Social   O
Security   O
424440480   B-ID
is   O
currently   O
held   O
with   O
the   O
Vietnam   B-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
.   O

She   O
resides   O
in   O
Kenbridge   B-LOCATION
and   O
the   O
ZIP   O
code   O
of   O
her   O
residence   O
is   O
15692   B-LOCATION
.   O

During   O
her   O
appointment   O
on   O
01/22   B-DATE
,   O
she   O
told   O
Norman   B-NAME
her   O
symptoms   O
seemed   O
undeterred   O
by   O
the   O
previous   O
line   O
of   O
treatment   O
.   O

Despite   O
having   O
completed   O
the   O
course   O
of   O
medications   O
,   O
she   O
has   O
n't   O
noticed   O
any   O
notable   O
difference   O
,   O
which   O
she   O
conveyed   O
to   O
Barr   B-NAME
over   O
761   B-CONTACT
1096   I-CONTACT
call   O
last   O
week   O
.   O

On   O
a   O
detailed   O
physical   O
examination   O
,   O
Elliot   B-NAME
Axelrod   I-NAME
displayed   O
an   O
elevated   O
body   O
temperature   O
of   O
38.7C   O
,   O
lower   O
than   O
normal   O
oxygen   O
saturation   O
levels   O
along   O
with   O
a   O
high   O
pulse   O
rate   O
.   O

Currently   O
,   O
Carter   B-NAME
is   O
under   O
the   O
care   O
of   O
our   O
specialized   O
medical   O
team   O
at   O
Wamego   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wamego   I-LOCATION
.   O

For   O
further   O
information   O
or   O
coordination   O
,   O
please   O
login   O
to   O
our   O
portal   O
with   O
the   O
username   O
ff520   B-NAME
.   O

This   O
report   O
has   O
been   O
compiled   O
and   O
validated   O
by   O
Dr.   O
Eloy   B-NAME
Delk   I-NAME
and   O
will   O
be   O
updated   O
as   O
and   O
when   O
further   O
developments   O
occur   O
in   O
the   O
patient   O
's   O
health   O
condition   O
.   O

Patient   O
Report   O
:   O
I   O
,   O
Dr.   O
Adams   B-NAME
,   O
attended   O
to   O
Mr.   O
Wendy   B-NAME
Tapia   I-NAME
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/23   B-DATE
.   O

Mr.   O
Myla   B-NAME
Potts   I-NAME
,   O
male   O
,   O
aged   O
5   O
years   O
and   O
resident   O
of   O
Templeville   B-LOCATION
with   O
zip   O
code   O
54221   B-LOCATION
presented   O
severe   O
symptoms   O
associated   O
with   O
COVID-19   O
.   O

Mr.   O
Sasha   B-NAME
Trevino   I-NAME
's   O
condition   O
had   O
significantly   O
deteriorated   O
over   O
the   O
past   O
week   O
and   O
he   O
is   O
now   O
suffering   O
from   O
acute   O
respiratory   O
distress   O
syndrome   O
.   O

Further   O
,   O
with   O
his   O
medical   O
history   O
clearly   O
documented   O
in   O
his   O
medical   O
file   O
no   O
8   B-ID
-   I-ID
721722   I-ID
,   O
it   O
is   O
evident   O
that   O
he   O
is   O
also   O
a   O
long   O
-   O
standing   O
patient   O
of   O
Type   O
II   O
Diabetes   O
and   O
Hypertension   O
,   O
conditions   O
that   O
have   O
been   O
managed   O
over   O
the   O
past   O
several   O
years   O
.   O

Also   O
,   O
his   O
brother   O
,   O
who   O
is   O
his   O
emergency   O
contact   O
person   O
,   O
with   O
the   O
contact   O
number   O
:   O
828   B-CONTACT
-   I-CONTACT
3087   I-CONTACT
,   O
was   O
informed   O
about   O
Mr.   O
Bruce   B-NAME
Godfrey   I-NAME
’s   O
condition   O
.   O

We   O
have   O
further   O
shared   O
the   O
details   O
with   O
his   O
health   O
organization   O
,   O
Marine   B-LOCATION
Corps   I-LOCATION
League   I-LOCATION
with   O
their   O
ID   O
SS576/1515   B-ID
.   O

Our   O
dear   O
patient   O
,   O
Mr.   O
Hobbs   B-NAME
's   O
username   O
for   O
updating   O
his   O
online   O
medical   O
records   O
and   O
appointment   O
updates   O
is   O
IB805   B-NAME
.   O

Regular   O
notifications   O
and   O
alerts   O
have   O
been   O
setup   O
using   O
the   O
username   O
so   O
that   O
his   O
medical   O
journey   O
is   O
completely   O
monitored   O
by   O
myself   O
,   O
Dr.   O
Schwartz   B-NAME
,   O
and   O
the   O
healthcare   O
team   O
at   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Easton   I-LOCATION
,   O
located   O
at   O
Dillon   B-LOCATION
Beach   I-LOCATION
.   O

Having   O
been   O
informed   O
about   O
Mr.   O
Bishop   B-NAME
's   O
condition   O
,   O
his   O
renal   O
and   O
cardiovascular   O
markers   O
are   O
also   O
being   O
regularly   O
monitored   O
.   O

Ultimately   O
,   O
all   O
of   O
our   O
medical   O
observations   O
and   O
measures   O
are   O
being   O
regularly   O
documented   O
in   O
Mr.   O
Walters   B-NAME
’s   O
medical   O
file   O
:   O
02877382   B-ID
.   O

Patient   O
Information   O
:   O
Roth   B-NAME
first   O
reported   O
symptoms   O
on   O
Thursday   B-DATE
.   O

Cecilia   B-NAME
Mcknight   I-NAME
has   O
been   O
treated   O
by   O
Emmy   B-NAME
Hopkins   I-NAME
,   O
a   O
well   O
-   O
known   O
urologist   O
from   O
Meadows   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

An   O
IVP   O
test   O
number   O
,   O
663   B-ID
-   I-ID
80   I-ID
-   I-ID
16   I-ID
,   O
has   O
been   O
created   O
for   O
further   O
referencing   O
.   O

Zayden   B-NAME
York   I-NAME
is   O
a   O
resident   O
of   O
Leamington   B-LOCATION
Spa   I-LOCATION
and   O
works   O
as   O
a   O
Earth   O
Drillers   O
,   O
Except   O
Oil   O
and   O
Gas   O
.   O

They   O
are   O
88   O
years   O
old   O
and   O
have   O
been   O
enrolled   O
with   O
health   O
insurance   O
having   O
the   O
Policy   O
ZK:1383:643200   B-ID
.   O

Sterling   B-NAME
Ewing   I-NAME
was   O
requested   O
to   O
report   O
back   O
to   O
the   O
hospital   O
for   O
follow   O
-   O
up   O
appointments   O
.   O

The   O
contact   O
number   O
given   O
for   O
setting   O
up   O
the   O
appointments   O
was   O
527   B-CONTACT
-   I-CONTACT
384   I-CONTACT
8138   I-CONTACT
.   O

In   O
case   O
of   O
emergencies   O
or   O
further   O
concerns   O
,   O
they   O
can   O
reach   O
out   O
to   O
Cristal   B-NAME
Costa   I-NAME
or   O
the   O
hospital   O
administration   O
directly   O
.   O

Post   O
the   O
consultation   O
,   O
SI734   B-NAME
from   O
Safeway   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
has   O
been   O
assisting   O
with   O
coordinating   O
appointments   O
and   O
managing   O
the   O
case   O
.   O

Lastly   O
,   O
Galvan   B-NAME
shared   O
their   O
home   O
address   O
for   O
communication   O
purposes   O
which   O
falls   O
under   O
the   O
63761   B-LOCATION
zip   O
code   O
area   O
.   O

Overall   O
,   O
Kapuściński   B-NAME
,   I-NAME
Ryszard   I-NAME
's   O
health   O
condition   O
demands   O
a   O
comprehensive   O
care   O
plan   O
and   O
close   O
monitoring   O
for   O
the   O
possible   O
development   O
of   O
a   O
bladder   O
condition   O
.   O

Patient   O
Report   O
:   O
Patient   O
Kamren   B-NAME
Barry   I-NAME
of   O
4   O
month   O
years   O
is   O
currently   O
being   O
treated   O
at   O
South   B-LOCATION
Haven   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
was   O
initially   O
referred   O
to   O
us   O
by   O
Vaughn   B-NAME
Mejia   I-NAME
from   O
Community   B-LOCATION
First   I-LOCATION
Bank   I-LOCATION
.   O

Ellison   B-NAME
,   I-NAME
Harlan   I-NAME
presented   O
symptoms   O
on   O
10/31/1645   B-DATE
.   O

On   O
the   O
first   O
assessment   O
visit   O
,   O
Dane   B-NAME
Hernandez   I-NAME
's   O
body   O
temperature   O
was   O
found   O
to   O
be   O
102   O
°   O
F   O
,   O
suggesting   O
a   O
severe   O
fever   O
.   O

Upon   O
further   O
examination   O
and   O
diagnosis   O
by   O
lab   O
tests   O
confirmed   O
by   O
Genesis   B-NAME
Garner   I-NAME
,   O
Nuwas   B-NAME
,   I-NAME
Abu   I-NAME
tested   O
positive   O
for   O
Tuberculosis   O
.   O

66247030   B-ID
shows   O
abnormal   O
shadows   O
in   O
the   O
lung   O
area   O
,   O
indicative   O
of   O
the   O
disease   O
.   O

Patient   O
's   O
demographics   O
,   O
as   O
recorded   O
,   O
read   O
as   O
follows   O
:   O
Patient   O
ID   O
:   O
CG   B-ID
:   I-ID
PY:3819   I-ID
Phone   O
:   O
992   B-CONTACT
8961   I-CONTACT
ZIP   O
:   O
71492   B-LOCATION
Location   O
:   O
Kingstree   B-LOCATION
Profession   O
:   O
Naturopathic   O
Physicians   O
Prescribed   O
medication   O
and   O
further   O
procedures   O
have   O
commenced   O
from   O
00/58   B-DATE
as   O
recommended   O
by   O
Stein   B-NAME
,   I-NAME
Gertrude   I-NAME
.   O

Currently   O
,   O
Devin   B-NAME
Carvalho   I-NAME
is   O
taking   O
prescribed   O
TB   O
medications   O
and   O
responding   O
well   O
to   O
the   O
treatment   O
.   O

Scheduled   O
check   O
-   O
ups   O
and   O
progress   O
monitoring   O
is   O
being   O
carried   O
out   O
by   O
our   O
medical   O
team   O
at   O
Pineville   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
further   O
information   O
,   O
please   O
contact   O
the   O
undersigned   O
,   O
ovo05   B-NAME

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
Imani   B-NAME
Blevins   I-NAME
Gender   O
:   O
Male   O
Age   O
:   O
87   O
Location   O
:   O
Gould   B-LOCATION
Phone   O
:   O
629   B-CONTACT
4985   I-CONTACT
Medical   O
Record   O
#   O
:   O
EO95695262   B-ID
On   O
32/22   B-DATE
,   O
Mabuse   B-NAME
,   I-NAME
der   I-NAME
Spieler   I-NAME
was   O
referred   O
to   O
Duncan   B-NAME
in   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
comprehensive   O
examination   O
.   O

His   O
former   O
health   O
care   O
professional   O
was   O
Dr.   O
Lloyd   B-NAME
from   O
Special   B-LOCATION
Military   I-LOCATION
Active   I-LOCATION
Recreational   I-LOCATION
Travelers   I-LOCATION
.   O

The   O
supplied   O
medical   O
record   O
number   O
,   O
325   B-ID
-   I-ID
37   I-ID
-   I-ID
29   I-ID
-   I-ID
1   I-ID
,   O
was   O
used   O
to   O
access   O
and   O
review   O
the   O
patient   O
's   O
past   O
medical   O
history   O
.   O

Mateo   B-NAME
Howell   I-NAME
had   O
been   O
previously   O
diagnosed   O
with   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
peptic   O
ulcer   O
disease   O
(   O
PUD   O
)   O
by   O
the   O
aforementioned   O
doctor   O
,   O
and   O
his   O
prescribed   O
medications   O
appeared   O
to   O
be   O
ineffective   O
based   O
on   O
the   O
symptoms   O
described   O
.   O

His   O
ID   O
for   O
the   O
organization   O
where   O
he   O
is   O
employed   O
is   O
LA346/6066   B-ID
.   O

A   O
stool   O
test   O
taken   O
on   O
Tuesday   B-DATE
,   I-DATE
December   I-DATE
showed   O
the   O
presence   O
of   O
Helicobacter   O
pylori   O
infection   O
.   O

All   O
the   O
necessary   O
medical   O
information   O
will   O
be   O
sent   O
to   O
his   O
registered   O
address   O
Magee   B-LOCATION
and   O
24931   B-LOCATION
.   O

We   O
have   O
corresponded   O
with   O
his   O
previous   O
healthcare   O
professional   O
,   O
Dr.   O
Ashley   B-NAME
at   O
Dark   B-LOCATION
Principality   I-LOCATION
about   O
Ronald   B-NAME
Bartlett   I-NAME
's   O
condition   O
.   O

His   O
family   O
,   O
who   O
lives   O
in   O
Carlsbad   B-LOCATION
,   I-LOCATION
Carlsbad   I-LOCATION
MainStreet   I-LOCATION
Project   I-LOCATION
,   O
has   O
also   O
been   O
informed   O
about   O
his   O
condition   O
.   O

Should   O
there   O
be   O
any   O
requirement   O
for   O
immediate   O
communication   O
,   O
it   O
's   O
advised   O
to   O
reach   O
out   O
to   O
our   O
patient   O
relationship   O
manager   O
(   O
IG8110   B-NAME
)   O
via   O
372   B-CONTACT
3909   I-CONTACT
.   O

The   O
doctor   O
handling   O
John   B-NAME
Becker   I-NAME
's   O
case   O
will   O
be   O
Forbin   B-NAME
Noctula   I-NAME
,   O
who   O
is   O
based   O
in   O
the   O
Aspirus   B-LOCATION
Iron   I-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
at   O
Strandburg   B-LOCATION
.   O

This   O
report   O
will   O
be   O
securely   O
filed   O
under   O
Hayden   B-NAME
's   O
ID   O
,   O
which   O
is   O
RY549/9610   B-ID
.   O

Patient   O
Name   O
:   O
Tsalie   B-NAME
Grim   I-NAME
Patient   O
ID   O
:   O
70755544   B-ID
Date   O
of   O
Birth   O
:   O
34/12   B-DATE
Age   O
:   O
7   O
Gender   O
:   O

Female   O
Doctor   O
Name   O
:   O
Crosby   B-NAME
Hospital   O
Details   O
:   O
Rose   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Calpine   B-LOCATION
Contact   O
Number   O
:   O
60078   B-CONTACT
Medical   O
Record   O
Number   O
:   O
861   B-ID
-   I-ID
51   I-ID
-   I-ID
78   I-ID
-   I-ID
7   I-ID
Zip   O
Code   O
:   O
63214   B-LOCATION
Profession   O
:   O
Switchboard   O
Operators   O
,   O
Including   O
Answering   O
Service   O
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Uphoff   B-NAME
,   O
presented   O
with   O
a   O
severe   O
,   O
throbbing   O
headache   O
lasting   O
for   O
about   O
3   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
current   O
episode   O
started   O
on   O
09/19   B-DATE
.   O

The   O
patient   O
has   O
a   O
known   O
case   O
of   O
migraines   O
for   O
the   O
last   O
four   O
years   O
,   O
diagnosed   O
and   O
managed   O
by   O
Gonzalez   B-NAME
at   O
Mary   B-LOCATION
Washington   I-LOCATION
Hospital   I-LOCATION
.   O

Personal   O
and   O
Social   O
History   O
:   O
Everett   B-NAME
Gross   I-NAME
works   O
as   O
a   O
Police   O
and   O
Sheriff   O
's   O
Patrol   O
Officers   O
.   O

She   O
is   O
single   O
and   O
lives   O
in   O
Linden   B-LOCATION
with   O
a   O
pet   O
cat   O
.   O

A   O
consultation   O
with   O
Sonny   B-NAME
Espinoza   I-NAME
has   O
been   O
planned   O
for   O
Tuesday   B-DATE
,   I-DATE
May   I-DATE
.   O
Plan   O
:   O

Follow   O
-   O
up   O
will   O
be   O
via   O
teleconsultation   O
by   O
OY911   B-NAME
at   O
Southwest   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

Credentials   O
:   O
Raegan   B-NAME
Frank   I-NAME
(   O
M.D.   O
)   O
Contact   O
:   O
823   B-CONTACT
9428   I-CONTACT
Hospital   O
:   O
Adventist   B-LOCATION
Health   I-LOCATION
Ukiah   I-LOCATION
Valley   I-LOCATION
,   O
63622   B-LOCATION

Patient   O
Name   O
:   O
Sidhu   B-NAME
,   I-NAME
Navjot   I-NAME
Singh   I-NAME
The   O
patient   O
,   O
a   O
Respiratory   O
Therapists   O
presented   O
at   O
Tift   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2129   B-DATE
.   O

The   O
patient   O
's   O
age   O
is   O
89   O
with   O
medical   O
record   O
number   O
833   B-ID
-   I-ID
71   I-ID
-   I-ID
22   I-ID
.   O

He   O
lives   O
in   O
Agua   B-LOCATION
Dulce   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
80832   B-LOCATION
.   O

He   O
was   O
admitted   O
under   O
Dr.   O
Larissa   B-NAME
Petty   I-NAME
.   O

The   O
patient   O
reported   O
a   O
history   O
of   O
incidental   O
exposure   O
to   O
a   O
person   O
recently   O
tested   O
positive   O
for   O
Covid-19   O
at   O
the   O
workplace   O
(   O
TeamBank   B-LOCATION
,   I-LOCATION
NA   I-LOCATION
)   O
.   O

The   O
patient   O
was   O
subjected   O
to   O
a   O
PCR   O
test   O
with   O
a   O
sample   O
ID   O
of   O
749572   B-ID
.   O

The   O
test   O
result   O
arrived   O
on   O
7/13/2062   B-DATE
,   O
indicating   O
a   O
positive   O
finding   O
for   O
SARS   O
-   O
CoV-2   O
.   O

A   O
nurse   O
reached   O
out   O
to   O
the   O
patient   O
's   O
emergency   O
contact   O
,   O
Park   B-NAME
's   O
brother   O
,   O
over   O
the   O
phone   O
523   B-CONTACT
1204   I-CONTACT
to   O
inform   O
him   O
about   O
the   O
patient   O
's   O
health   O
status   O
and   O
the   O
precautions   O
required   O
.   O

Before   O
his   O
diagnosis   O
,   O
Nelson   B-NAME
lived   O
at   O
his   O
Pooler   B-LOCATION
residence   O
and   O
maintained   O
a   O
healthy   O
lifestyle   O
.   O

He   O
worked   O
for   O
Government   B-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
as   O
a   O
Occupational   O
Therapy   O
Assistants   O
,   O
which   O
he   O
has   O
been   O
unable   O
to   O
attend   O
since   O
the   O
diagnosis   O
.   O

His   O
comprehensive   O
history   O
will   O
be   O
compiled   O
by   O
lcf1003   B-NAME
,   O
our   O
case   O
worker   O
.   O

Presently   O
,   O
the   O
patient   O
remains   O
monitored   O
at   O
McDonough   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
a   O
team   O
led   O
by   O
Dr.   O
Valencia   B-NAME
.   O

Further   O
developments   O
in   O
patient   O
Milan   B-NAME
's   O
case   O
will   O
be   O
updated   O
in   O
medical   O
record   O
number   O
6115411   B-ID
.   O

For   O
any   O
specific   O
queries   O
or   O
clarifications   O
regarding   O
patient   O
Kayleigh   B-NAME
Rios   I-NAME
’s   O
case   O
,   O
please   O
contact   O
us   O
at   O
747   B-CONTACT
9153   I-CONTACT
.   O

Patient   O
Name   O
:   O
Bainimarama   B-NAME
,   I-NAME
Frank   I-NAME
Age   O
:   O
41   O
Medical   O
Record   O
Number   O
:   O
97545879   B-ID
Date   O
of   O
Visit   O
:   O
0/04/31   B-DATE
Bryson   B-NAME
Gates   I-NAME
saw   O
patient   O
Joselyn   B-NAME
Cohen   I-NAME
at   O
St.   B-LOCATION
Francis   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
complaints   O
of   O
a   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
patient   O
's   O
occupational   O
history   O
reveals   O
that   O
he   O
is   O
employed   O
as   O
a   O
Tour   O
guide   O
in   O
the   O
city   O
of   O
Curwensville   B-LOCATION
.   O

We   O
have   O
planned   O
for   O
a   O
chest   O
X   O
-   O
ray   O
which   O
is   O
scheduled   O
on   O
21/35   B-DATE
at   O
Portland   B-LOCATION
to   O
further   O
investigate   O
the   O
patient   O
's   O
symptoms   O
.   O

Vance   B-NAME
contacted   O
Groveland   B-LOCATION
Light   I-LOCATION
Department   I-LOCATION
for   O
a   O
referral   O
for   O
smoking   O
cessation   O
therapy   O
.   O

The   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
the   I-LOCATION
South   I-LOCATION
can   O
be   O
reached   O
at   O
89640   B-CONTACT
.   O

Patient   O
's   O
address   O
is   O
listed   O
as   O
Laredo   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78040   I-LOCATION
,   O
71650   B-LOCATION
.   O

The   O
listed   O
emergency   O
contact   O
is   O
the   O
patient   O
's   O
son   O
with   O
contact   O
ID   O
:   O
4349188   B-ID
.   O

His   O
contact   O
number   O
is   O
613   B-CONTACT
-   I-CONTACT
908   I-CONTACT
-   I-CONTACT
8307   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
NG938   B-NAME
on   O
01/31   B-DATE
.   O

Note   O
:   O
Patient   O
’s   O
identity   O
number   O
for   O
future   O
communication   O
is   O
LP:42753:920230   B-ID
.   O

Patient   O
's   O
Name   O
:   O
Cleveland   B-NAME
Presenting   O
Complaints   O
:   O
The   O
patient   O
,   O
a   O
filmmaker   O
,   O
originally   O
presented   O
to   O
Norton   B-LOCATION
Hospital   I-LOCATION
on   O
2015   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
28   I-DATE
with   O
complaints   O
of   O
shortness   O
of   O
breath   O
,   O
palpitations   O
and   O
intermittent   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Ashlee   B-NAME
Hardin   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
about   O
five   O
years   O
ago   O
.   O

However   O
,   O
Chapa   B-NAME
has   O
not   O
been   O
compliant   O
with   O
regular   O
follow   O
-   O
ups   O
and   O
medication   O
routine   O
due   O
to   O
unpredictable   O
work   O
hours   O
.   O

Diagnostic   O
Evaluation   O
:   O
An   O
ECG   O
taken   O
on   O
1907   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
14   I-DATE
showed   O
evidence   O
of   O
T   O
wave   O
inversions   O
in   O
the   O
anterolateral   O
leads   O
.   O

Blood   O
work   O
including   O
Troponin   O
I   O
level   O
was   O
ordered   O
by   O
Jaiden   B-NAME
Love   I-NAME
.   O

The   O
patient   O
was   O
also   O
advised   O
to   O
undergo   O
a   O
stress   O
test   O
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
United   I-LOCATION
Memorial   I-LOCATION
for   O
further   O
assessment   O
.   O

Follow   O
up   O
:   O
The   O
patient   O
has   O
an   O
appointment   O
with   O
Mitchell   B-NAME
on   O
22/22   B-DATE
at   O
Catskill   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Harris   I-LOCATION
.   O

It   O
is   O
critical   O
that   O
George   B-NAME
Bull   I-NAME
brings   O
the   O
medical   O
reports   O
,   O
86866417   B-ID
,   O
issued   O
by   O
Paxton   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
for   O
the   O
upcoming   O
appointment   O
.   O

Doctor   O
's   O
Recommendations   O
:   O
I   O
strongly   O
advised   O
Invictus   B-NAME
to   O
take   O
prescribed   O
medications   O
regularly   O
and   O
to   O
maintain   O
a   O
healthier   O
lifestyle   O
by   O
incorporating   O
a   O
balanced   O
diet   O
and   O
regular   O
physical   O
exercise   O
.   O

For   O
any   O
queries   O
or   O
clarifications   O
,   O
Misty   B-NAME
U   I-NAME
Alston   I-NAME
can   O
contact   O
Hurst   B-NAME
's   O
office   O
at   O
760   B-CONTACT
-   I-CONTACT
1248   I-CONTACT
.   O

The   O
office   O
is   O
located   O
at   O
Tuscaloosa   B-LOCATION
,   O
38452   B-LOCATION
.   O

Ingram   B-NAME
has   O
been   O
thoroughly   O
explained   O
the   O
risk   O
and   O
benefits   O
of   O
the   O
proposed   O
treatment   O
plan   O
.   O

Written   O
informed   O
consent   O
was   O
obtained   O
from   O
the   O
patient   O
on   O
1682   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
06   I-DATE
.   O

Document   O
reference   O
8   B-ID
-   I-ID
6310477   I-ID
.   O

This   O
report   O
was   O
completed   O
by   O
the   O
undersigned   O
,   O
verified   O
and   O
released   O
on   O
03/02   B-DATE
.   O
Signed   O
off   O
by   O
:   O
xyx584   B-NAME
,   O
Wang   B-NAME
,   O
Deaconess   B-LOCATION
Incarnate   I-LOCATION
Word   I-LOCATION
Health   I-LOCATION
System   I-LOCATION

Patient   O
Name   O
:   O
Lacey   B-NAME
Age   O
:   O
63s   O
DOB   O
:   O
07/64   B-DATE
MRN   O
:   O
1476299   B-ID
Provider   O
's   O
Name   O
:   O
Riley   B-NAME
Blair   I-NAME
Presenting   O
Problem   O
:   O
John   B-NAME
Spivey   I-NAME
presented   O
to   O
Eastside   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
a   O
sudden   O
onset   O
of   O
shortness   O
of   O
breath   O
accompanied   O
by   O
a   O
dry   O
cough   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Brennen   B-NAME
Mcgee   I-NAME
,   O
a   O
Exhibition   O
organiser   O
of   O
60   O
,   O
began   O
experiencing   O
intermittent   O
periods   O
of   O
shortness   O
of   O
breath   O
approximately   O
five   O
days   O
back   O
,   O
on   O
23   B-DATE
-   I-DATE
00   I-DATE
.   O

Mackenzie   B-NAME
Gibbs   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
managed   O
with   O
medication   O
.   O

Examination   O
:   O
Clinical   O
examination   O
revealed   O
Carolyn   B-NAME
Wheeler   I-NAME
to   O
be   O
in   O
moderate   O
respiratory   O
distress   O
.   O

Investigations   O
:   O
A   O
Chest   O
X   O
-   O
ray   O
was   O
recommended   O
and   O
was   O
performed   O
in   O
Penn   B-LOCATION
Highlands   I-LOCATION
Brookville   I-LOCATION
.   O

Rowland   B-NAME
shall   O
return   O
for   O
an   O
appointment   O
with   O
James   B-NAME
,   O
a   O
pulmonologist   O
residing   O
in   O
Lytton   B-LOCATION
,   O
on   O
18/32/2242   B-DATE
for   O
a   O
follow   O
-   O
up   O
.   O

Health   O
Insurance   O
:   O
Khomeini   B-NAME
,   I-NAME
Ruhollah   I-NAME
's   O
insurance   O
details   O
have   O
been   O
recorded   O
under   O
the   O
BM:98424:986355   B-ID
number   O
.   O

For   O
any   O
additional   O
details   O
,   O
reach   O
out   O
to   O
14489   B-CONTACT
.   O

Anthony   B-NAME
Address   O
:   O
65828   B-LOCATION
Note   O
was   O
written   O
by   O
:   O
yz952   B-NAME
Unite   B-LOCATION
-   I-LOCATION
the   I-LOCATION
Union   I-LOCATION
Date   O
and   O
time   O
of   O
note   O
:   O
10/31   B-DATE
SF643   B-NAME
Choctawhatchee   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION

Patient   O
Report   O
:   O
Mr.   O
Guadalupe   B-NAME
Day   I-NAME
,   O
a   O
Municipal   O
Firefighters   O
residing   O
at   O
Carroll   B-LOCATION
,   O
presented   O
to   O
our   O
ER   O
department   O
here   O
at   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Muskogee   I-LOCATION
on   O
01/24/16   B-DATE
.   O

He   O
is   O
65   O
years   O
old   O
with   O
a   O
medical   O
record   O
number   O
of   O
26937477   B-ID
.   O

The   O
patient   O
's   O
main   O
complaint   O
was   O
severe   O
chest   O
pain   O
that   O
he   O
described   O
as   O
"   O
sharp   O
dagger   O
-   O
like   O
stabbing   O
"   O
that   O
started   O
around   O
Veterans   B-DATE
Day   I-DATE
.   O

Patient   O
's   O
last   O
physical   O
check   O
-   O
up   O
with   O
Dr.   O
Campos   B-NAME
was   O
on   O
00/35   B-DATE
,   O
wherein   O
no   O
significant   O
cardiovascular   O
irregularities   O
were   O
observed   O
.   O

Currently   O
,   O
the   O
patient   O
was   O
admitted   O
to   O
the   O
coronary   O
unit   O
of   O
Adena   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
underwent   O
primary   O
angioplasty   O
under   O
the   O
care   O
of   O
Dr.   O
Wilson   B-NAME
,   I-NAME
(   I-NAME
Thomas   I-NAME
)   I-NAME
Woodrow   I-NAME
.   O

The   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
0/26/59   B-DATE
at   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Riverside   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

In   O
case   O
of   O
any   O
emergent   O
medical   O
concerns   O
before   O
the   O
next   O
scheduled   O
visit   O
,   O
Mr.   O
Garnett   B-NAME
is   O
advised   O
to   O
reach   O
out   O
to   O
our   O
team   O
at   O
604   B-CONTACT
9521   I-CONTACT
.   O

Report   O
prepared   O
by   O
:   O
Perez   B-NAME
Date   O
:   O
Sat   B-DATE
Approval   O
by   O
:   O
xl884   B-NAME
License   O
number   O
:   O
7764122   B-ID
Organization   O
:   O
Corn   B-LOCATION
Belt   I-LOCATION
Bank   I-LOCATION
&   I-LOCATION
Trust   I-LOCATION
Co.   I-LOCATION
Contact   O
:   O
51269   B-CONTACT
Address   O
:   O
South   B-LOCATION
Yarmouth   I-LOCATION
,   O
58451   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Roe   B-NAME
Age   O
:   O
45   O
Date   O
:   O
8/0   B-DATE
Doctor   O
:   O
Kripke   B-NAME
,   I-NAME
Saul   I-NAME
Hospital   O
:   O
Chester   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Reserve   B-LOCATION
The   O
patient   O
,   O
Chelsea   B-NAME
Solis   I-NAME
,   O
first   O
visited   O
us   O
on   O
2/22/80   B-DATE
with   O
primary   O
complaints   O
of   O
persistent   O
headaches   O
,   O
fatigue   O
,   O
and   O
gradual   O
vision   O
loss   O
,   O
notably   O
in   O
their   O
right   O
eye   O
.   O

The   O
patient   O
was   O
assigned   O
to   O
Jefferson   B-NAME
at   O
Rogers   B-LOCATION
City   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
.   O

As   O
per   O
Graham   B-NAME
,   I-NAME
Lindsey   I-NAME
's   O
medical   O
history   O
,   O
they   O
are   O
diabetic   O
and   O
have   O
hypertension   O
under   O
control   O
with   O
prescribed   O
medications   O
for   O
years   O
.   O

They   O
were   O
then   O
referred   O
to   O
an   O
ophthalmologist   O
at   O
the   O
same   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Lab   O
test   O
results   O
roll   O
in   O
by   O
12/15   B-DATE
,   O
indicating   O
elevated   O
sugar   O
and   O
blood   O
pressure   O
levels   O
,   O
pointing   O
towards   O
uncontrolled   O
diabetes   O
and   O
hypertension   O
.   O

In   O
person   O
identity   O
ID   O
:   O
RG   B-ID
:   I-ID
CT:7532   I-ID
The   O
patient   O
,   O
being   O
a   O
Information   O
scientist   O
with   O
Revolutionary   B-LOCATION
Cells   I-LOCATION
-   I-LOCATION
Animal   I-LOCATION
Liberation   I-LOCATION
Brigade   I-LOCATION
(   I-LOCATION
RCALB   I-LOCATION
)   I-LOCATION
,   O
has   O
a   O
sedentary   O
lifestyle   O
which   O
probably   O
culminated   O
multiple   O
health   O
ramifications   O
.   O

Ken   B-NAME
Martin   I-NAME
's   O
Medical   O
Record   O
:   O
20809871   B-ID
was   O
updated   O
with   O
these   O
findings   O
to   O
support   O
further   O
consultation   O
and   O
follow   O
-   O
ups   O
.   O

Contact   O
Info   O
:   O
Phone   O
:   O
333   B-CONTACT
-   I-CONTACT
685   I-CONTACT
6224   I-CONTACT
Zip   O
:   O
45235   B-LOCATION
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Ainsley   B-NAME
Simon   I-NAME
on   O
2048   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
24   I-DATE
with   O
Dr.   O
Bartholin   B-NAME
,   I-NAME
Thomas   I-NAME
V.   I-NAME
at   O
Location   O
:   O
Boyertown   B-LOCATION
in   O
Slidell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
reassess   O
the   O
status   O
of   O
their   O
health   O
after   O
the   O
revised   O
medication   O
plan   O
.   O

They   O
are   O
to   O
notify   O
any   O
unwarranted   O
events   O
such   O
as   O
rapid   O
vision   O
loss   O
,   O
intense   O
headache   O
,   O
or   O
vertigo   O
to   O
their   O
Assigned   O
Medical   O
Team   O
directly   O
via   O
FJ882   B-NAME
.   O

Patient   O
Name   O
:   O
Kierra   B-NAME
Ayala   I-NAME
Age   O
:   O
16   O
Gender   O
:   O
Male   O
Medical   O
Record   O
Number   O
:   O
09928790   B-ID
Chief   O
Complaint   O
:   O

History   O
of   O
Present   O
Illness   O
:   O
Mao   B-NAME
Zedong   I-NAME
was   O
going   O
about   O
his   O
usual   O
day   O
as   O
a   O
Fitness   O
Trainers   O
and   O
Aerobics   O
Instructors   O
when   O
he   O
experienced   O
a   O
sudden   O
,   O
sharp   O
pain   O
in   O
the   O
chest   O
early   O
in   O
the   O
afternoon   O
on   O
33/20   B-DATE
.   O

He   O
was   O
brought   O
in   O
by   O
his   O
colleagues   O
to   O
the   O
Charity   B-LOCATION
Hospital   I-LOCATION
at   O
Eidson   B-LOCATION
Road   I-LOCATION
.   O

Initial   O
Tests   O
:   O
Certain   O
blood   O
tests   O
and   O
an   O
EKG   O
were   O
ordered   O
by   O
Burnham   B-NAME
,   I-NAME
Daniel   I-NAME
.   O

Next   O
steps   O
:   O
We   O
have   O
explained   O
the   O
condition   O
to   O
Ian   B-NAME
Ignacio   I-NAME
and   O
immediate   O
family   O
members   O
.   O

An   O
angiography   O
has   O
been   O
scheduled   O
for   O
1/01   B-DATE
.   O

For   O
further   O
queries   O
they   O
can   O
contact   O
us   O
on   O
45821   B-CONTACT
.   O

Initiator   O
:   O
rg865   B-NAME
End   O
of   O
Report   O
0/36   B-DATE
Chain   B-LOCATION
-   I-LOCATION
O   I-LOCATION
-   I-LOCATION
Lakes   I-LOCATION
49086   B-LOCATION
Policy   O
LA   B-ID
:   I-ID
BG:6699   I-ID
:   O
Human   B-LOCATION
Life   I-LOCATION
International   I-LOCATION
.   O

Patient   O
Name   O
:   O
Truth   B-NAME
,   I-NAME
Sojourner   I-NAME
MRN   O
:   O
437   B-ID
-   I-ID
23   I-ID
-   I-ID
75   I-ID
-   I-ID
8   I-ID
DOB   O
:   O
11/30   B-DATE
Age   O
:   O
91   O
Gender   O
:   O
Male   O
Address   O
:   O
Mathiston   B-LOCATION
,   O
51667   B-LOCATION
The   O
patient   O
,   O
Dolly   B-NAME
Tippetts   I-NAME
,   O
was   O
seen   O
by   O
me   O
,   O
Compton   B-NAME
,   O
at   O
Asante   B-LOCATION
Rogue   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
52   B-LOCATION
undefined   I-LOCATION
on   O
December   B-DATE
.   O

His   O
earlier   O
consultation   O
with   O
Daniel   B-NAME
in   O
Leyner   B-LOCATION
led   O
to   O
referral   O
for   O
further   O
assessment   O
on   O
his   O
complaints   O
of   O
chronic   O
migraines   O
.   O

Valerian   B-NAME
Ahaus   I-NAME
has   O
been   O
experiencing   O
symptoms   O
typically   O
including   O
one   O
-   O
sided   O
throbbing   O
or   O
pulsating   O
headaches   O
,   O
heightened   O
sensitivity   O
to   O
light   O
and   O
sound   O
,   O
and   O
nausea   O
.   O

Kory   B-NAME
Fagan   I-NAME
works   O
as   O
a   O
Energy   O
conservation   O
officer   O
.   O

An   O
appointment   O
has   O
been   O
scheduled   O
for   O
03/92   B-DATE
.   O

Reference   O
ID   O
Number   O
:   O
YZ:23210:911457   B-ID
.   O

Contact   O
information   O
(   O
cell   O
):   O
791   B-CONTACT
-   I-CONTACT
3779   I-CONTACT
and   O
Email   O
i   O
d   O
:   O
ET9910   B-NAME
has   O
been   O
noted   O
down   O
for   O
future   O
communication   O
purposes   O
.   O

Kindest   O
regards   O
,   O
Alyssa   B-NAME
Mora   I-NAME
,   O
Methodist   B-LOCATION
North   I-LOCATION
Hospital   I-LOCATION

Patient   O
Name   O
:   O
Jazlene   B-NAME
Davila   I-NAME
Age   O
:   O
2   O
month   O
Date   O
:   O
1818   B-DATE
Medical   O
Record   O
No   O
:   O
77611069   B-ID
Address   O
:   O
Heathsville   B-LOCATION
,   O
94456   B-LOCATION

Contact   O
No   O
:   O
300   B-CONTACT
-   I-CONTACT
6285   I-CONTACT
Profession   O
:   O

Insurance   O
Policy   O
Processing   O
Clerks   O
Physician   O
Name   O
:   O
Cross   B-NAME
at   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Woodhull   I-LOCATION
ID   O
:   O
YA171/6438   B-ID
Referenced   O
by   O
:   O
ysr455   B-NAME
Ellis   B-NAME
at   O
Central   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
evaluated   O
Yael   B-NAME
Mathews   I-NAME
based   O
on   O
the   O
symptoms   O
persisting   O
from   O
3/37/92   B-DATE
.   O

In   O
addition   O
,   O
Zackary   B-NAME
Rosales   I-NAME
complained   O
about   O
night   O
sweats   O
,   O
exacerbated   O
by   O
fever   O
and   O
chills   O
.   O

Eden   B-NAME
Gates   I-NAME
was   O
referred   O
by   O
DO512   B-NAME
and   O
is   O
currently   O
under   O
the   O
care   O
of   O
Hardy   B-NAME
.   O

For   O
further   O
evaluations   O
,   O
Quintanar   B-NAME
was   O
recommended   O
by   O
the   O
Wood   B-NAME
to   O
undergo   O
a   O
panel   O
of   O
tests   O
including   O
a   O
chest   O
radiograph   O
,   O
and   O
a   O
CT   O
scan   O
at   O
the   O
medical   O
imaging   O
center   O
of   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sarasota   I-LOCATION
.   O

Lab   O
tests   O
were   O
sent   O
to   O
Navy   B-LOCATION
Musicians   I-LOCATION
Association   I-LOCATION
and   O
the   O
results   O
are   O
expected   O
by   O
2045   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
18   I-DATE
.   O

Elaina   B-NAME
Schmidt   I-NAME
was   O
informed   O
of   O
the   O
process   O
and   O
was   O
advised   O
about   O
the   O
potential   O
requirements   O
for   O
more   O
tests   O
or   O
therapeutics   O
,   O
based   O
on   O
the   O
test   O
results   O
.   O

Follow   O
-   O
up   O
appointment   O
with   O
Booker   B-NAME
at   O
Ascension   B-LOCATION
Providence   I-LOCATION
Rochester   I-LOCATION
Hospital   I-LOCATION
is   O
scheduled   O
for   O
2/33/82   B-DATE
,   O
and   O
nursing   O
support   O
from   O
Union   B-LOCATION
Bank   I-LOCATION
,   I-LOCATION
NA   I-LOCATION
was   O
initiated   O
for   O
home   O
visits   O
.   O

Offices   O
of   O
Jonson   B-NAME
,   I-NAME
Ben   I-NAME
can   O
be   O
reached   O
via   O
the   O
hospital   O
mainline   O
21294   B-CONTACT
for   O
further   O
inquiries   O
or   O
emergencies   O
.   O

Patient   O
case   O
reference   O
WG:280100:868873   B-ID
should   O
be   O
used   O
for   O
all   O
correspondence   O
and   O
interactions   O
.   O

Full   O
information   O
is   O
stored   O
under   O
0750101   B-ID
.   O

Patient   O
Magnus   B-NAME
Maximus   I-NAME
was   O
referred   O
to   O
our   O
institution   O
Salem   B-LOCATION
Memorial   I-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
at   O
Columbus   B-LOCATION
for   O
cardiopulmonary   O
consultation   O
.   O

The   O
appointment   O
was   O
scheduled   O
on   O
13/31   B-DATE
.   O

Noelle   B-NAME
Rollins   I-NAME
performed   O
the   O
physical   O
examination   O
.   O

Sydnee   B-NAME
Schaefer   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
diagnosed   O
5   O
years   O
ago   O
and   O
smokes   O
about   O
20   O
cigarettes   O
per   O
day   O
.   O

The   O
tests   O
were   O
booked   O
under   O
the   O
patient   O
's   O
medical   O
record   O
number   O
21598800   B-ID
on   O
25/28   B-DATE
.   O

Aguirre   B-NAME
recommended   O
an   O
immediate   O
cardiac   O
catheterization   O
and   O
possibly   O
stent   O
placement   O
,   O
pending   O
the   O
patient   O
's   O
consent   O
.   O

Barron   B-NAME
also   O
contacted   O
the   O
Humane   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
(   I-LOCATION
HSUS   I-LOCATION
)   I-LOCATION
for   O
the   O
consent   O
form   O
.   O

The   O
patients   O
'   O
relatives   O
were   O
informed   O
about   O
the   O
situation   O
over   O
the   O
phone   O
816   B-CONTACT
-   I-CONTACT
9376   I-CONTACT
.   O

Villarreal   B-NAME
advised   O
the   O
patient   O
to   O
quit   O
smoking   O
,   O
follow   O
the   O
Mediterranean   O
diet   O
,   O
and   O
engage   O
in   O
regular   O
physical   O
activity   O
.   O

The   O
patient   O
was   O
scheduled   O
to   O
follow   O
-   O
up   O
with   O
Delay   B-NAME
,   I-NAME
Tom   I-NAME
at   O
Roswell   B-LOCATION
Park   I-LOCATION
Cancer   I-LOCATION
Institute   I-LOCATION
on   O
31/32   B-DATE
.   O

Patient   O
's   O
FJ   B-ID
:   I-ID
YN:2082   I-ID
and   O
documentation   O
was   O
securely   O
stored   O
and   O
managed   O
by   O
uvs646   B-NAME
.   O

Follow   O
-   O
up   O
appointment   O
communication   O
was   O
sent   O
to   O
Desmond   B-NAME
via   O
mail   O
to   O
71579   B-LOCATION
.   O

Patient   O
Report   O
Lance   B-NAME
was   O
referred   O
to   O
our   O
MacNeal   B-LOCATION
Hospital   I-LOCATION
by   O
Dr.   O
Angeline   B-NAME
Flynn   I-NAME
on   O
31/22   B-DATE
.   O

The   O
patient   O
is   O
a   O
65   O
years   O
old   O
individual   O
who   O
resides   O
at   O
Ezel   B-LOCATION
.   O

The   O
patient   O
's   O
phone   O
number   O
is   O
960   B-CONTACT
-   I-CONTACT
1151   I-CONTACT
,   O
SSN   O
is   O
SO   B-ID
:   I-ID
SL:6337   I-ID
,   O
and   O
holds   O
the   O
profession   O
of   O
a   O
Internists   O
,   O
General   O
.   O

The   O
patient   O
also   O
has   O
a   O
medical   O
history   O
of   O
Type   O
II   O
Diabetes   O
and   O
Hypertension   O
for   O
which   O
he   O
regularly   O
consults   O
his   O
physician   O
,   O
Dr.   O
English   B-NAME
.   O

The   O
assigned   O
medical   O
record   O
for   O
this   O
patient   O
is   O
10679987   B-ID
.   O

We   O
needed   O
to   O
verify   O
this   O
with   O
our   O
sister   O
Oxford   B-LOCATION
Health   I-LOCATION
Plans   I-LOCATION
who   O
first   O
referred   O
the   O
patient   O
to   O
us   O
.   O

This   O
case   O
was   O
also   O
discussed   O
with   O
the   O
Parkland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
multi   O
-   O
disciplinary   O
team   O
on   O
February   B-DATE
36   I-DATE
,   I-DATE
2113   I-DATE
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2301   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
31   I-DATE
.   O

For   O
more   O
details   O
,   O
doctors   O
can   O
log   O
on   O
to   O
the   O
hospital   O
's   O
portal   O
with   O
the   O
username   O
:   O
lf1810   B-NAME
.   O

This   O
report   O
is   O
prepared   O
by   O
Dr.   O
Alvarez   B-NAME
at   O
our   O
Glade   B-LOCATION
clinic   O
with   O
Zipcode   O
20593   B-LOCATION
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Eve   B-NAME
Ours   I-NAME
Age   O
:   O
84   O
Date   O
of   O
Birth   O
:   O
6/25/67   B-DATE
Gender   O
:   O
Male   O
Address   O
:   O
Red   B-LOCATION
Rock   I-LOCATION
ZIP   O
Code   O
:   O
83191   B-LOCATION
Phone   O
Number   O
:   O
39298   B-CONTACT
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
5069640   I-ID
Medical   O
Record   O
No   O
:   O
136   B-ID
-   I-ID
01   I-ID
-   I-ID
76   I-ID
-   I-ID
7   I-ID
Here   O
are   O
the   O
main   O
aspects   O
of   O
the   O
patient   O
's   O
medical   O
history   O
and   O
symptom   O
description   O
as   O
per   O
the   O
examination   O
conducted   O
by   O
Glenn   B-NAME
on   O
31/22/2181   B-DATE
at   O
NEA   B-LOCATION
Baptist   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Mr.   O
Lin   B-NAME
works   O
as   O
a   O
Retail   O
Loss   O
Prevention   O
Specialists   O
at   O
Riverview   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

He   O
lives   O
in   O
Zenda   B-LOCATION
with   O
his   O
family   O
.   O

Mr.   O
Maverick   B-NAME
Michael   I-NAME
has   O
never   O
reported   O
any   O
such   O
discomfort   O
before   O
.   O

Relevant   O
heart   O
-   O
related   O
tests   O
have   O
been   O
conducted   O
today   O
by   O
Gerardo   B-NAME
Valdez   I-NAME
using   O
state   O
-   O
of   O
-   O
the   O
-   O
art   O
equipment   O
at   O
McLaren   B-LOCATION
Central   I-LOCATION
Michigan   I-LOCATION
.   O

We   O
expect   O
the   O
results   O
of   O
echocardiography   O
,   O
stress   O
test   O
,   O
and   O
blood   O
tests   O
including   O
lipid   O
profile   O
by   O
tomorrow   O
(   O
22/01/2212   B-DATE
)   O
.   O

For   O
any   O
queries   O
related   O
to   O
the   O
patient   O
's   O
health   O
status   O
,   O
please   O
contact   O
the   O
care   O
team   O
at   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
The   I-LOCATION
Woodlands   I-LOCATION
Hospital   I-LOCATION
on   O
the   O
following   O
number   O
:   O
43266   B-CONTACT
.   O

Data   O
Entry   O
by   O
:   O
lle157   B-NAME
Signed   O
:   O
Paige   B-NAME
,   I-NAME
Satchel   I-NAME
,   O
Galaxies   B-LOCATION
'   I-LOCATION
Republic   I-LOCATION
dec   B-DATE
2026   I-DATE

Patient   O
name   O
:   O
More   B-NAME
,   I-NAME
Hannah   I-NAME
Age   O
:   O
41   O
Medical   O
Record   O
:   O
15294773   B-ID
Address   O
:   O
Tilghmanton   B-LOCATION
ZIP   O
code   O
:   O
98476   B-LOCATION
Phone   O
Number   O
:   O
971   B-CONTACT
3578   I-CONTACT
SSN   O
:   O
0   B-ID
-   I-ID
7392291   I-ID
I   O
,   O
Dickson   B-NAME
,   O
treated   O
patient   O
Thomas   B-NAME
Light   I-NAME
at   O
Portsmouth   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
25/27   B-DATE
.   O

Patient   O
Hardin   B-NAME
,   O
a   O
Secondary   O
School   O
Teachers   O
,   O
Except   O
Special   O
and   O
Vocational   O
Education   O
,   O
had   O
been   O
suffering   O
from   O
high   O
fever   O
and   O
signs   O
of   O
respiratory   O
distress   O
since   O
last   O
10/33/2242   B-DATE
.   O

Given   O
the   O
patient   O
’s   O
symptoms   O
and   O
the   O
advent   O
of   O
the   O
flu   O
season   O
,   O
I   O
have   O
advised   O
the   O
patient   O
to   O
stay   O
in   O
Jewell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Mankato   I-LOCATION
for   O
further   O
observation   O
and   O
management   O
.   O

An   O
update   O
on   O
the   O
patient   O
's   O
condition   O
would   O
be   O
relayed   O
to   O
his   O
family   O
who   O
reside   O
in   O
Antler   B-LOCATION
.   O

On   O
16/12/2217   B-DATE
,   O
his   O
condition   O
was   O
observed   O
to   O
be   O
improving   O
.   O

The   O
patient   O
's   O
family   O
contact   O
,   O
his   O
brother   O
who   O
is   O
a   O
Surgeons   O
at   O
GMB   B-LOCATION
,   O
can   O
be   O
contacted   O
in   O
case   O
of   O
emergency   O
.   O

Their   O
contact   O
number   O
is   O
25174   B-CONTACT
.   O

The   O
patient   O
was   O
also   O
referred   O
to   O
our   O
telemedicine   O
partner   O
,   O
George   B-LOCATION
Washington   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
.   O

The   O
assigned   O
care   O
provider   O
,   O
Von   B-NAME
Karman   I-NAME
,   I-NAME
Theodore   I-NAME
,   O
can   O
be   O
reached   O
at   O
nf82   B-NAME
for   O
routine   O
online   O
checkups   O
.   O

Signed   O
,   O
Amis   B-NAME
,   I-NAME
Martin   I-NAME
0/21   B-DATE

Medical   O
Report   O
Patient   O
:   O
Clay   B-NAME
Woods   I-NAME
ID   O
:   O
EH464/7231   B-ID
Age   O
:   O
45s   O

On   O
the   O
23/33   B-DATE
,   O
patient   O
Kaliyah   B-NAME
Giles   I-NAME
was   O
admitted   O
to   O
Orlando   B-LOCATION
Health   I-LOCATION
Dr.   I-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
with   O
persistent   O
abdominal   O
pain   O
having   O
duration   O
of   O
approximately   O
72   O
hours   O
.   O

Myla   B-NAME
Potts   I-NAME
also   O
reported   O
accompanying   O
symptoms   O
such   O
as   O
anorexia   O
,   O
nausea   O
,   O
fever   O
and   O
fatigue   O
.   O

Initial   O
physical   O
examination   O
by   O
Dr.   O
Moon   B-NAME
suggested   O
a   O
probable   O
diagnosis   O
of   O
appendicitis   O
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
03/31/1699   B-DATE
by   O
Dr.   O
Gavyn   B-NAME
Espinoza   I-NAME
at   O
CHI   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Hot   I-LOCATION
Springs   I-LOCATION
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
7266664   B-ID
.   O

Following   O
a   O
satisfactory   O
recovery   O
period   O
,   O
Norman   B-NAME
was   O
discharged   O
from   O
Saint   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2366   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
30   I-DATE
.   O

Forbin   B-NAME
Noctula   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
at   O
the   O
South   B-LOCATION
Jersey   I-LOCATION
Industries   I-LOCATION
.   O

More   O
information   O
is   O
available   O
via   O
the   O
help   O
desk   O
number   O
11403   B-CONTACT
.   O

The   O
patient   O
is   O
a   O
Dispatchers   O
,   O
Except   O
Police   O
,   O
Fire   O
,   O
and   O
Ambulance   O
and   O
resides   O
in   O
Helmetta   B-LOCATION
,   O
24083   B-LOCATION
.   O

Kruger   B-NAME
,   I-NAME
Barbara   I-NAME
seemed   O
to   O
be   O
understanding   O
and   O
stated   O
that   O
she   O
could   O
manage   O
the   O
restrictions   O
.   O

For   O
more   O
detailed   O
information   O
,   O
please   O
contact   O
nul408   B-NAME
at   O
University   B-LOCATION
of   I-LOCATION
South   I-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

His   O
contact   O
number   O
is   O
513   B-CONTACT
132   I-CONTACT
-   I-CONTACT
4076   I-CONTACT
.   O

Doctor   O
in   O
charge   O
:   O
Dr.   O
Stacy   B-NAME
Medina   I-NAME
Contact   O
:   O
967   B-CONTACT
-   I-CONTACT
6424   I-CONTACT
Address   O
:   O
Martin   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
Bradford   B-LOCATION
,   O
94476   B-LOCATION

Patient   O
Name   O
:   O
Bridges   B-NAME
04/27/1962   B-DATE
,   O
Medical   O
Record   O
Number   O
:   O
90470696   B-ID
Dear   O
Rory   B-NAME
Banks   I-NAME
,   O
I   O
am   O
writing   O
to   O
refer   O
my   O
patient   O
Tania   B-NAME
Dennis   I-NAME
who   O
has   O
been   O
experiencing   O
troubling   O
symptoms   O
for   O
the   O
last   O
few   O
weeks   O
.   O

Gay   B-NAME
,   O
a   O
Refuse   O
and   O
Recyclable   O
Material   O
Collectors   O
by   O
trade   O
,   O
is   O
a   O
19   O
year   O
-   O
old   O
individual   O
who   O
has   O
recently   O
complained   O
about   O
intense   O
discomfort   O
in   O
the   O
abdomen   O
area   O
,   O
along   O
with   O
frequent   O
bouts   O
of   O
nausea   O
and   O
vomiting   O
.   O

Since   O
the   O
onset   O
of   O
these   O
symptoms   O
around   O
1662   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
02   I-DATE
,   O
there   O
has   O
been   O
noticeable   O
weight   O
loss   O
and   O
a   O
significant   O
decrease   O
in   O
appetite   O
.   O

Franco   B-NAME
resides   O
in   O
Perrytown   B-LOCATION
with   O
a   O
42890   B-LOCATION
code   O
.   O

The   O
Martinez   B-NAME
's   O
health   O
insurance   O
ID   O
is   O
DL615/4865   B-ID
,   O
and   O
they   O
can   O
be   O
contacted   O
via   O
the   O
phone   O
number   O
67717   B-CONTACT
.   O

I   O
am   O
referring   O
Kierkegaard   B-NAME
,   I-NAME
Søren   I-NAME
Aabye   I-NAME
to   O
United   B-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
so   O
that   O
they   O
can   O
be   O
under   O
the   O
specialized   O
care   O
that   O
this   O
case   O
requires   O
.   O

Their   O
HU748   B-NAME
will   O
be   O
needed   O
for   O
accessing   O
the   O
detailed   O
reports   O
on   O
the   O
Colquitt   B-LOCATION
EMC   I-LOCATION
's   O
online   O
portal   O
.   O

Kindly   O
prioritize   O
this   O
case   O
and   O
recommend   O
a   O
suitable   O
treatment   O
course   O
as   O
soon   O
as   O
possible   O
,   O
as   O
Leon   B-NAME
Ansell   I-NAME
's   O
condition   O
has   O
been   O
declining   O
rapidly   O
.   O

Yours   O
,   O
Maverick   B-NAME
Wheeler   I-NAME

Patient   O
Report   O
:   O
Mr.   O
Elsie   B-NAME
Figueroa   I-NAME
presented   O
to   O
the   O
Sanford   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Bismarck   I-LOCATION
on   O
03/22/31   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

He   O
is   O
a   O
19   O
year   O
old   O
male   O
who   O
resides   O
in   O
Sidmouth   B-LOCATION
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Stewart   B-NAME
,   O
referred   O
him   O
for   O
further   O
examination   O
after   O
noting   O
bilateral   O
wheezes   O
and   O
reduced   O
breath   O
sounds   O
on   O
auscultation   O
.   O

Mr.   O
Erna   B-NAME
Morris   I-NAME
reported   O
a   O
30   O
pack   O
-   O
year   O
smoking   O
history   O
but   O
quit   O
approximately   O
10   O
years   O
ago   O
.   O

His   O
previous   O
medical   O
records   O
(   O
MR   O
#   O
3708305   B-ID
)   O
showed   O
no   O
record   O
of   O
COPD   O
or   O
asthma   O
.   O

Lab   O
tests   O
have   O
been   O
ordered   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Lorelai   B-NAME
Mcclain   I-NAME
is   O
scheduled   O
.   O

Mr.   O
Nachman   B-NAME
,   I-NAME
Rabbi   I-NAME
,   I-NAME
of   I-NAME
Bratzlav   I-NAME
's   O
emergency   O
contact   O
is   O
his   O
daughter   O
,   O
who   O
is   O
currently   O
out   O
-   O
of   O
-   O
state   O
at   O
W57   B-LOCATION
6JA   I-LOCATION
.   O

She   O
can   O
be   O
reached   O
at   O
932   B-CONTACT
-   I-CONTACT
406   I-CONTACT
3285   I-CONTACT
.   O

For   O
any   O
admission   O
or   O
scheduling   O
updates   O
,   O
the   O
hospital   O
staff   O
can   O
notify   O
the   O
contact   O
person   O
using   O
the   O
patient   O
's   O
healthcare   O
ID   O
:   O
QA480/4414   B-ID
.   O

Mr.   O
Kim   B-NAME
Legaspi   I-NAME
is   O
insured   O
by   O
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
and   O
his   O
policy   O
number   O
is   O
QI   B-ID
:   I-ID
HC:8120   I-ID
.   O

The   O
patient   O
has   O
authorized   O
me   O
,   O
WC845   B-NAME
,   O
to   O
maintain   O
and   O
update   O
his   O
medical   O
information   O
.   O

To   O
ensure   O
further   O
treatment   O
,   O
Mr.   O
Nancie   B-NAME
Kiel   I-NAME
will   O
be   O
transferred   O
to   O
Jasper   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
located   O
at   O
Clearbrook   B-LOCATION
Park   I-LOCATION
,   O
27047   B-LOCATION
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Curtis   B-NAME
Connors   I-NAME
,   O
has   O
been   O
consulted   O
for   O
this   O
decision   O
and   O
agrees   O
with   O
the   O
plan   O
.   O

Report   O
prepared   O
by   O
:   O
Ricardo   B-NAME
Vance   I-NAME

Patient   O
Name   O
:   O
Corrine   B-NAME
Gwinn   I-NAME
Age   O
:   O
78   O
Medical   O
Record   O
:   O
617   B-ID
-   I-ID
28   I-ID
-   I-ID
21   I-ID
-   I-ID
7   I-ID
I   O
,   O
Foster   B-NAME
,   O
am   O
writing   O
this   O
report   O
to   O
detail   O
the   O
patient   O
's   O
current   O
condition   O
.   O

Savion   B-NAME
Conley   I-NAME
was   O
admitted   O
to   O
Largo   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/38   B-DATE
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
smoking   O
,   O
working   O
as   O
a   O
Stationary   O
Engineers   O
for   O
Air   B-LOCATION
Force   I-LOCATION
Sergeants   I-LOCATION
Association   I-LOCATION
located   O
in   O
Frannie   B-LOCATION
,   O
which   O
involved   O
long   O
term   O
exposure   O
to   O
industrial   O
pollutants   O
.   O

We   O
have   O
sent   O
the   O
biopsy   O
samples   O
for   O
histopathological   O
examination   O
to   O
a   O
reputed   O
lab   O
in   O
Indiana   B-LOCATION
.   O

The   O
results   O
should   O
be   O
expected   O
by   O
June   B-DATE
20   I-DATE
.   O

Our   O
patient   O
,   O
Lucille   B-NAME
Jackson   I-NAME
,   O
resides   O
at   O
Kenner   B-LOCATION
.   O

For   O
further   O
correspondences   O
or   O
house   O
visits   O
,   O
please   O
refer   O
to   O
their   O
ID   O
:   O
TT:078:803931   B-ID
.   O

They   O
can   O
be   O
reached   O
at   O
their   O
home   O
phone   O
number   O
:   O
488   B-CONTACT
850   I-CONTACT
8319   I-CONTACT
.   O

It   O
is   O
important   O
to   O
note   O
that   O
Max   B-NAME
Von   I-NAME
Sydow   I-NAME
's   O
wife   O
,   O
who   O
is   O
9   O
month   O
years   O
old   O
,   O
recently   O
experienced   O
similar   O
symptoms   O
.   O

She   O
is   O
undergoing   O
treatment   O
with   O
Dr.   O
Pennington   B-NAME
at   O
Longs   B-LOCATION
Peak   I-LOCATION
Hospital   I-LOCATION
.   O

Cheyenne   B-NAME
Travis   I-NAME
's   O
insurance   O
policy   O
holder   O
involves   O
Cruelty   B-LOCATION
Free   I-LOCATION
International   I-LOCATION
with   O
health   O
plan   O
number   O
as   O
4   B-ID
-   I-ID
9295811   I-ID
.   O

Also   O
,   O
we   O
are   O
focusing   O
on   O
helping   O
Bethany   B-NAME
Glenn   I-NAME
's   O
quit   O
smoking   O
and   O
arranging   O
a   O
consultation   O
with   O
a   O
Detectives   O
and   O
Criminal   O
Investigators   O
from   O
Community   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Nevada   I-LOCATION
.   O

I   O
've   O
documented   O
all   O
the   O
case   O
details   O
digitally   O
through   O
my   O
account   O
,   O
username   O
-   O
gyk855   B-NAME
.   O

Next   O
review   O
is   O
scheduled   O
on   O
2211   B-DATE
-   I-DATE
14   I-DATE
-   I-DATE
30   I-DATE
at   O
Nash   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
.   O

Note   O
that   O
patients   O
in   O
80956   B-LOCATION
usually   O
get   O
a   O
drop   O
-   O
in   O
vehicle   O
service   O
from   O
El   B-LOCATION
Camino   I-LOCATION
Angosto   I-LOCATION
district   O
to   O
our   O
hospital   O
.   O

Report   O
signed   O
by   O
Elagabalus   B-NAME
03/22   B-DATE
784   B-CONTACT
-   I-CONTACT
3351   I-CONTACT

Patient   O
Name   O
:   O
Woodard   B-NAME
Age   O
:   O
16   O
Date   O
:   O
2320   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
22   I-DATE
Doctor   O
:   O
Sandra   B-NAME
Eaton   I-NAME
Medical   O
Record   O
:   O
0258S53342   B-ID
Mr.   O
Xavier   B-NAME
Dotson   I-NAME
presented   O
to   O
the   O
Norton   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
emergent   O
care   O
department   O
on   O
Labor   B-DATE
Day   I-DATE
,   O
complaining   O
of   O
severe   O
,   O
persistent   O
headaches   O
accompanied   O
by   O
intermittent   O
bouts   O
of   O
vertigo   O
.   O

His   O
vital   O
signs   O
checked   O
out   O
as   O
normal   O
,   O
but   O
a   O
physical   O
examination   O
,   O
conducted   O
by   O
Dr.   O
Thant   B-NAME
,   I-NAME
U   I-NAME
,   O
showed   O
sluggish   O
pupil   O
response   O
in   O
both   O
eyes   O
.   O

Dr.   O
Lang   B-NAME
referred   O
Mr.   O
Jaimes   B-NAME
for   O
a   O
consult   O
with   O
a   O
neurologist   O
at   O
Halifax   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Port   I-LOCATION
Orange   I-LOCATION
.   O

However   O
,   O
given   O
the   O
persistence   O
of   O
the   O
symptoms   O
,   O
an   O
electroencephalogram   O
(   O
EEG   O
)   O
and   O
CT   O
scan   O
will   O
be   O
scheduled   O
for   O
02/99   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
set   O
for   O
02/22/42   B-DATE
in   O
the   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Downtown   I-LOCATION
neurology   O
department   O
.   O

The   O
nurses   O
will   O
send   O
a   O
reminder   O
to   O
the   O
patient   O
's   O
phone   O
number   O
(   B-CONTACT
933   I-CONTACT
)   I-CONTACT
510   I-CONTACT
7751   I-CONTACT
and   O
his   O
residence   O
at   O
Dutch   B-LOCATION
John   I-LOCATION
,   O
11724   B-LOCATION
Mr.   O
Emmanuel   B-NAME
Kolbe   I-NAME
has   O
been   O
requested   O
to   O
bring   O
his   O
identification   O
document   O
8   B-ID
-   I-ID
5211381   I-ID
and   O
the   O
recommendation   O
letters   O
from   O
his   O
previous   O
organization   O
BC   B-LOCATION
National   I-LOCATION
Banks   I-LOCATION
at   O
the   O
time   O
of   O
the   O
next   O
visit   O
.   O

His   O
case   O
was   O
filed   O
under   O
the   O
username   O
koh499   B-NAME
in   O
the   O
AdventHealth   B-LOCATION
Daytona   I-LOCATION
Beach   I-LOCATION
database   O
fir   O
future   O
reference   O
.   O

Patient   O
Name   O
:   O
Jarrett   B-NAME
Keith   I-NAME
Age   O
:   O
27   O
Date   O
of   O
visit   O
:   O
July   B-DATE
2333   I-DATE
Healthcare   O
Provider   O
:   O
Carrillo   B-NAME
Medical   O
Record   O
:   O
46777212   B-ID
Organization   O
:   O

La   B-LOCATION
Jolla   I-LOCATION
Bank   I-LOCATION
Patient   O
Madilyn   B-NAME
Roman   I-NAME
,   O
age   O
62   O
,   O
presented   O
at   O
Angelvale   B-LOCATION
Hospital   I-LOCATION
on   O
33/20/2012   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
difficulty   O
breathing   O
over   O
the   O
past   O
week   O
.   O

The   O
patient   O
was   O
then   O
admitted   O
to   O
Humboldt   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
monitoring   O
and   O
treatment   O
.   O

The   O
patient   O
works   O
as   O
a   O
Mathematicians   O
at   O
Revolutionary   B-LOCATION
Cells   I-LOCATION
-   I-LOCATION
Animal   I-LOCATION
Liberation   I-LOCATION
Brigade   I-LOCATION
(   I-LOCATION
RCALB   I-LOCATION
)   I-LOCATION
and   O
had   O
recently   O
traveled   O
to   O
Box   B-LOCATION
Canyon   I-LOCATION
.   O

We   O
have   O
communicated   O
the   O
situation   O
and   O
our   O
findings   O
with   O
the   O
patient   O
's   O
employer   O
at   O
their   O
work   O
phone   O
number   O
:   O
161   B-CONTACT
2261   I-CONTACT
.   O

Patient   O
lives   O
in   O
79092   B-LOCATION
and   O
has   O
been   O
instructed   O
to   O
isolate   O
until   O
recovery   O
.   O

A   O
consultation   O
for   O
follow   O
-   O
up   O
care   O
was   O
arranged   O
with   O
Dr.   O
Sergio   B-NAME
Brown   I-NAME
.   O

For   O
any   O
issues   O
,   O
the   O
patient   O
can   O
reach   O
out   O
to   O
us   O
at   O
our   O
helpline   O
number   O
428   B-CONTACT
-   I-CONTACT
758   I-CONTACT
-   I-CONTACT
7612   I-CONTACT
or   O
via   O
our   O
website   O
with   O
the   O
username   O
HD766   B-NAME
and   O
ID   O
9   B-ID
-   I-ID
1021733   I-ID
.   O

We   O
will   O
continue   O
to   O
monitor   O
the   O
patient   O
closely   O
and   O
provide   O
the   O
necessary   O
care   O
at   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Dunn   B-NAME
Employment   O
:   O
Electrical   O
Power   O
-   O
Line   O
Installers   O
and   O
Repairers   O
Patient   O
contact   O
:   O
374   B-CONTACT
1910   I-CONTACT

The   O
patient   O
arrived   O
at   O
Community   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Dobbs   I-LOCATION
Ferry   I-LOCATION
on   O
October   B-DATE
26   I-DATE
,   I-DATE
2183   I-DATE
,   O
complaining   O
of   O
severe   O
chest   O
pain   O
.   O

Upon   O
evaluation   O
by   O
Dr.   O
Dickerson   B-NAME
,   O
the   O
patient   O
stated   O
that   O
the   O
pain   O
started   O
acutely   O
in   O
the   O
mid   O
chest   O
,   O
with   O
radiation   O
to   O
the   O
left   O
arm   O
.   O

The   O
patient   O
lives   O
in   O
Houghton   B-LOCATION
and   O
has   O
a   O
primary   O
care   O
physician   O
at   O
PTI   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

The   O
patient   O
's   O
medical   O
records   O
,   O
4882   B-ID
:   I-ID
N03372   I-ID
,   O
were   O
retrieved   O
and   O
reviewed   O
.   O

Emergency   O
contact   O
information   O
:   O
152617449   B-ID
with   O
a   O
phone   O
number   O
82275   B-CONTACT
and   O
e   O
-   O
mail   O
WC845   B-NAME
@gmail.com   O

The   O
patient   O
's   O
mailing   O
address   O
is   O
Kettle   B-LOCATION
River   I-LOCATION
,   O
92572   B-LOCATION
.   O

Patient   O
continues   O
to   O
be   O
observed   O
in   O
the   O
Cardiovascular   O
Unit   O
,   O
and   O
updates   O
will   O
be   O
provided   O
to   O
the   O
primary   O
team   O
in   O
Brackley   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Angelina   B-NAME
Alexander   I-NAME
Date   O
:   O
1729   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
03   I-DATE
Physician   O
:   O

Lorena   B-NAME
Mccarty   I-NAME
Aleah   B-NAME
Le   I-NAME
of   O
Highlands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Sebring   I-LOCATION
)   I-LOCATION
has   O
completed   O
an   O
examination   O
for   O
OCASIO   B-NAME
,   I-NAME
GEORGE   I-NAME
OJAS   I-NAME
on   O
12/31/93   B-DATE
.   O

Danita   B-NAME
Sanches   I-NAME
complained   O
of   O
experiencing   O
discomfort   O
and   O
tenderness   O
in   O
the   O
right   O
upper   O
quadrant   O
,   O
consistent   O
with   O
the   O
symptoms   O
of   O
cholecystitis   O
or   O
a   O
potential   O
gallbladder   O
disease   O
.   O

Steven   B-NAME
's   O
medical   O
history   O
,   O
obtained   O
from   O
New   B-LOCATION
Milford   I-LOCATION
Hospital   I-LOCATION
's   O
electronic   O
health   O
records   O
system   O
(   O
5944687   B-ID
)   O
,   O
shows   O
a   O
previous   O
incident   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
at   O
the   O
age   O
of   O
42   O
.   O

Under   O
Rocco   B-NAME
Harris   I-NAME
's   O
recommendation   O
,   O
Refugia   B-NAME
Locke   I-NAME
has   O
been   O
scheduled   O
for   O
an   O
abdominal   O
ultrasound   O
at   O
Adventist   B-LOCATION
HealthCare   I-LOCATION
White   I-LOCATION
Oak   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/27   B-DATE
.   O

The   O
appointment   O
was   O
confirmed   O
over   O
the   O
phone   O
,   O
38081   B-CONTACT
,   O
and   O
the   O
reference   O
number   O
is   O
EW   B-ID
:   I-ID
HQ:7969   I-ID
.   O

Living   O
in   O
Hoquiam   B-LOCATION
,   O
80389   B-LOCATION
,   O
Dominique   B-NAME
Dyer   I-NAME
work   O
as   O
a   O
Photographic   O
Processing   O
Machine   O
Operators   O
at   O
Canadian   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Chemical   I-LOCATION
Technology   I-LOCATION
(   I-LOCATION
CSCT   I-LOCATION
)   I-LOCATION
and   O
has   O
reported   O
instances   O
of   O
work   O
-   O
related   O
stress   O
,   O
which   O
could   O
be   O
a   O
contributing   O
factor   O
to   O
the   O
patient   O
's   O
current   O
condition   O
.   O

A   O
reminder   O
for   O
the   O
follow   O
-   O
up   O
has   O
been   O
set   O
by   O
gv497   B-NAME
on   O
Friday   B-DATE
,   I-DATE
March   I-DATE
.   O

The   O
good   O
health   O
of   O
the   O
patient   O
is   O
our   O
utmost   O
priority   O
at   O
Mineral   B-LOCATION
Area   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
further   O
queries   O
,   O
Linda   B-NAME
Urbanek   I-NAME
can   O
call   O
at   O
42171   B-CONTACT
to   O
arrange   O
a   O
telemedicine   O
appointment   O
with   O
Hughes   B-NAME
.   O

Signed   O
,   O
Hodge   B-NAME
4/11   B-DATE

Patient   O
's   O
Name   O
:   O
Darrow   B-NAME
,   I-NAME
Clarence   I-NAME
Age   O
:   O
5s   O
On   O
22/02/23   B-DATE
,   O
Audrina   B-NAME
Leon   I-NAME
was   O
referred   O
by   O
Carlin   B-NAME
,   I-NAME
George   I-NAME
at   O
Via   B-LOCATION
Christi   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
for   O
a   O
detailed   O
evaluation   O
based   O
on   O
a   O
report   O
of   O
recurring   O
migraines   O
along   O
with   O
referred   O
pain   O
in   O
the   O
neck   O
region   O
.   O

The   O
patient   O
's   O
ID   O
is   O
SM:0464:107687   B-ID
and   O
medical   O
record   O
number   O
2252797   B-ID
.   O

Upon   O
examination   O
,   O
Marshall   B-NAME
,   I-NAME
George   I-NAME
reported   O
experiencing   O
unilateral   O
pulsating   O
headaches   O
.   O

Orelia   B-NAME
D.   I-NAME
Burns   I-NAME
reported   O
that   O
the   O
headaches   O
are   O
generally   O
aggravated   O
by   O
routine   O
physical   O
activities   O
and   O
often   O
lead   O
to   O
a   O
disruption   O
in   O
daily   O
activities   O
.   O

An   O
MRI   O
of   O
the   O
brain   O
and   O
cervical   O
spine   O
was   O
requested   O
and   O
taken   O
at   O
Maniilaq   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

The   O
MRI   O
reports   O
,   O
reviewed   O
by   O
Daniel   B-NAME
,   O
show   O
no   O
apparent   O
structural   O
abnormalities   O
that   O
might   O
be   O
triggering   O
such   O
headaches   O
.   O

The   O
patient   O
lives   O
in   O
Hodges   B-LOCATION
with   O
the   O
postal   O
code   O
47454   B-LOCATION
.   O

The   O
patient   O
works   O
as   O
a   O
Lathe   O
and   O
Turning   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
at   O
Toronto   B-LOCATION
PET   I-LOCATION
Users   I-LOCATION
Group   I-LOCATION
(   I-LOCATION
TPUG   I-LOCATION
)   I-LOCATION
.   O

The   O
phone   O
number   O
logged   O
in   O
our   O
records   O
is   O
31986   B-CONTACT
.   O

The   O
patient   O
,   O
Dj'Ohe   B-NAME
,   O
was   O
advised   O
to   O
follow   O
a   O
comprehensive   O
management   O
plan   O
including   O
a   O
combination   O
of   O
medications   O
,   O
physical   O
therapy   O
,   O
and   O
lifestyle   O
modifications   O
.   O

Luka   B-NAME
Mason   I-NAME
was   O
recommended   O
to   O
return   O
for   O
follow   O
-   O
up   O
progress   O
reports   O
on   O
07/24   B-DATE
.   O

The   O
appointment   O
was   O
confirmed   O
via   O
phone   O
746   B-CONTACT
-   I-CONTACT
7132   I-CONTACT
.   O

The   O
treatment   O
plan   O
was   O
shared   O
with   O
Nicholas   B-NAME
Curtis   I-NAME
Judd   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Kamari   B-NAME
Kelley   I-NAME
,   O
over   O
the   O
email   O
(   O
XU384   B-NAME
@   O
Benchmark   B-LOCATION
Bank   I-LOCATION
)   O
.   O

A   O
recommendation   O
was   O
made   O
to   O
continue   O
consultation   O
with   O
a   O
neurologist   O
within   O
the   O
Capac   B-LOCATION
area   O
specializing   O
in   O
headache   O
disorders   O
.   O

The   O
patient   O
,   O
Macallister   B-NAME
,   O
is   O
also   O
suggested   O
to   O
stay   O
in   O
touch   O
with   O
the   O
headache   O
specialist   O
regularly   O
over   O
the   O
phone   O
at   O
296   B-CONTACT
-   I-CONTACT
8210   I-CONTACT
.   O

Nancy   B-NAME
Xayarath   I-NAME
Webb   B-NAME
consulted   O
Krista   B-NAME
Bates   I-NAME
at   O
Mercy   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
on   O
spring   B-DATE
2030   I-DATE
.   O

Patient   O
sharpe   B-NAME
identified   O
as   O
LG:12260:578500   B-ID
,   O
aged   O
55   O
,   O
is   O
a   O
Magazine   O
features   O
editor   O
residing   O
at   O
Shattuck   B-LOCATION
,   O
49297   B-LOCATION
.   O

Contact   O
Number   O
:   O
(   B-CONTACT
277   I-CONTACT
)   I-CONTACT
142   I-CONTACT
-   I-CONTACT
6156   I-CONTACT
Medical   O
Record   O
Number   O
:   O
176   B-ID
-   I-ID
74   I-ID
-   I-ID
10   I-ID
-   I-ID
9   I-ID
Futurity   B-NAME
reported   O
that   O
patient   O
Joey   B-NAME
Atkinson   I-NAME
is   O
showing   O
symptoms   O
of   O
extreme   O
fatigue   O
,   O
fever   O
,   O
and   O
dry   O
cough   O
.   O

Going   O
into   O
detail   O
,   O
Ida   B-NAME
Xayachack   I-NAME
complained   O
of   O
losing   O
sense   O
of   O
taste   O
and   O
smell   O
for   O
duration   O
of   O
one   O
week   O
.   O

The   O
patient   O
Allan   B-NAME
Dominguez   I-NAME
reported   O
travel   O
history   O
from   O
Gateway   B-LOCATION
.   O

The   O
travel   O
was   O
associated   O
with   O
InBank   B-LOCATION
conference   O
.   O

Elliott   B-NAME
tested   O
Patton   B-NAME
on   O
21/22   B-DATE
and   O
the   O
results   O
point   O
towards   O
a   O
possible   O
infection   O
.   O

Bond   B-NAME
recommended   O
immediate   O
isolation   O
in   O
St.   B-LOCATION
Francis   I-LOCATION
at   I-LOCATION
Ellsworth   I-LOCATION
–   I-LOCATION
Ellsworth   I-LOCATION
at   O
the   O
Emerald   B-LOCATION
Bay   I-LOCATION
branch   O
and   O
to   O
follow   O
protocols   O
for   O
COVID-19   O
.   O

Bath   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
nurses   O
and   O
medical   O
practitioners   O
are   O
trained   O
to   O
work   O
on   O
such   O
cases   O
and   O
are   O
updated   O
with   O
latest   O
treatment   O
procedures   O
for   O
COVID-19   O
.   O

For   O
patient   O
Thurman   B-NAME
Keyes   I-NAME
's   O
username   O
in   O
our   O
portal   O
:   O
xk894   B-NAME
.   O
Cooley   B-NAME
from   O
Virtua   B-LOCATION
Marlton   I-LOCATION
Hospital   I-LOCATION
,   O
with   O
medical   O
record   O
number   O
8972G94077   B-ID
,   O
will   O
be   O
following   O
up   O
on   O
the   O
patient   O
Marshall   B-NAME
O.   I-NAME
Lehman   I-NAME
's   O
condition   O
regularly   O
.   O

The   O
final   O
report   O
of   O
Nicholson   B-NAME
's   O
diagnosis   O
will   O
be   O
shared   O
by   O
35/02   B-DATE
on   O
patient   O
's   O
portal   O
.   O

Signed   O
,   O
Camacho   B-NAME

Patient   O
Report   O
:   O
Arthur   B-NAME
Qin   I-NAME
presented   O
to   O
Lourdes   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
11/22/2122   B-DATE
with   O
symptoms   O
of   O
acute   O
abdominal   O
pain   O
.   O

Mcfarland   B-NAME
described   O
the   O
pain   O
as   O
crampy   O
in   O
nature   O
and   O
reportedly   O
increased   O
with   O
movement   O
.   O

Iyer   B-NAME
denied   O
any   O
recent   O
use   O
of   O
alcohol   O
,   O
tobacco   O
or   O
illicit   O
substances   O
.   O

Tommye   B-NAME
Sprung   I-NAME
's   O
family   O
history   O
revealed   O
no   O
significant   O
medical   O
conditions   O
,   O
however   O
,   O
his   O
father   O
died   O
at   O
5   O
week   O
from   O
unspecified   O
natural   O
causes   O
.   O

Susan   B-NAME
Abreu   I-NAME
displayed   O
a   O
positive   O
Rovsing   O
’s   O
sign   O
and   O
rebound   O
tenderness   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Rubio   B-NAME
from   O
the   O
department   O
of   O
General   O
Surgery   O
was   O
informed   O
.   O

He   O
visited   O
the   O
patient   O
in   O
the   O
ward   O
at   O
Lexington   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
after   O
thorough   O
evaluation   O
,   O
Lillie   B-NAME
Stewart   I-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
appendectomy   O
.   O

A   O
consent   O
was   O
obtained   O
from   O
the   O
patient   O
and   O
his   O
emergency   O
contacts   O
were   O
noted   O
to   O
be   O
his   O
sister   O
who   O
's   O
a   O
Packaging   O
and   O
Filling   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
with   O
the   O
contact   O
number   O
35218   B-CONTACT
,   O
resides   O
in   O
Bloomfield   B-LOCATION
,   O
79398   B-LOCATION
.   O

Post   O
-   O
operative   O
care   O
instructions   O
were   O
provided   O
to   O
the   O
patient   O
and   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
02/25/2031   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
on   O
30/26   B-DATE
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
.   O

A   O
copy   O
of   O
the   O
medical   O
record   O
was   O
filed   O
under   O
40502311   B-ID
.   O

For   O
more   O
information   O
,   O
you   O
can   O
contact   O
the   O
hospital   O
administration   O
at   O
Federation   B-LOCATION
of   I-LOCATION
Western   I-LOCATION
India   I-LOCATION
Cine   I-LOCATION
Employees   I-LOCATION
with   O
the   O
reference   O
ID   O
BD:809100:728308   B-ID
,   O
or   O
reach   O
out   O
to   O
tz751   B-NAME
on   O
the   O
online   O
patient   O
portal   O
.   O

Patient   O
Name   O
:   O
Devyn   B-NAME
Richmond   I-NAME
Age   O
:   O
9   O
week   O
Location   O
:   O
Chamberino   B-LOCATION
Phone   O
:   O
93005   B-CONTACT
ID   O
:   O
215974382   B-ID
Organization   O
:   O

Westernbank   B-LOCATION
Puerto   I-LOCATION
Rico   I-LOCATION
Profession   O
:   O

File   O
Clerks   O
Patient   O
Shaquille   B-NAME
visited   O
Dell   B-LOCATION
Seton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
the   I-LOCATION
University   I-LOCATION
of   I-LOCATION
Texas   I-LOCATION
on   O
February   B-DATE
22   I-DATE
,   I-DATE
2022   I-DATE
presenting   O
with   O
severe   O
dyspnea   O
,   O
tachycardia   O
and   O
chest   O
pain   O
.   O

Additionally   O
,   O
Florence   B-NAME
Mildred   I-NAME
Yuan   I-NAME
reported   O
experiencing   O
light   O
-   O
headedness   O
and   O
nausea   O
,   O
classic   O
symptoms   O
suggestive   O
of   O
a   O
possible   O
myocardial   O
infarction   O
.   O

Medical   O
record   O
from   O
30/22   B-DATE
,   O
report   O
ID   O
3444942   B-ID
,   O
reveals   O
that   O
Vicente   B-NAME
Blair   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Cook   B-NAME
is   O
a   O
Lifeguards   O
,   O
Ski   O
Patrol   O
,   O
and   O
Other   O
Recreational   O
Protective   O
Service   O
Workers   O
in   O
Oxford   B-LOCATION
Arson   I-LOCATION
Squad   I-LOCATION
and   O
lives   O
in   O
Wildwood   B-LOCATION
Lake   I-LOCATION
,   O
ZIP   O
:   O
41261   B-LOCATION
.   O

On   O
physical   O
examination   O
by   O
the   O
attending   O
physician   O
,   O
French   B-NAME
,   O
Ethan   B-NAME
Carter   I-NAME
's   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
160/100   O
mmHg   O
,   O
and   O
pulse   O
rate   O
was   O
tachycardic   O
at   O
110   O
bpm   O
.   O

Immediate   O
action   O
was   O
taken   O
,   O
and   O
Adan   B-NAME
Frederick   I-NAME
was   O
administered   O
appropriate   O
medications   O
including   O
aspirin   O
,   O
a   O
nitrate   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
,   O
in   O
line   O
with   O
the   O
standard   O
protocol   O
for   O
management   O
of   O
myocardial   O
infarction   O
.   O

Contact   O
number   O
for   O
Jennifer   B-NAME
Murillo   I-NAME
is   O
entered   O
as   O
623   B-CONTACT
4104   I-CONTACT
.   O

Russell   B-NAME
,   I-NAME
Rosaland   I-NAME
recommended   O
further   O
evaluation   O
and   O
management   O
including   O
a   O
cardiac   O
catheterization   O
to   O
assess   O
the   O
extent   O
of   O
heart   O
disease   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
in   O
FRYE   B-LOCATION
REGIONAL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
,   O
and   O
all   O
findings   O
were   O
recorded   O
in   O
the   O
medical   O
record   O
number   O
84339561   B-ID
.   O

The   O
attending   O
nurse   O
rg865   B-NAME
will   O
coordinate   O
post   O
-   O
discharge   O
care   O
for   O
Heschel   B-NAME
,   I-NAME
Abraham   I-NAME
Joshua   I-NAME
to   O
ensure   O
optimal   O
recovery   O
.   O

This   O
report   O
was   O
compiled   O
on   O
11/00   B-DATE
by   O
Niranjan   B-NAME
,   I-NAME
Sangeeta   I-NAME
and   O
will   O
be   O
reassessed   O
for   O
updates   O
in   O
patients   O
condition   O
.   O

Patient   O
Details   O
:   O
Name   O
:   O
Paul   B-NAME
Hunter   I-NAME
DOB   O
:   O
20/09   B-DATE
Age   O
:   O
85   O
MRN   O
:   O
2621956   B-ID
SSN   O
:   O
79780   B-ID
Zip   O
Code   O
:   O
29359   B-LOCATION
City   O
:   O
Houston   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77063   I-LOCATION
Phone   O
number   O
:   O
715   B-CONTACT
-   I-CONTACT
8092   I-CONTACT
Attending   O
physician   O
:   O
Xavier   B-NAME
Hospital   O
Name   O
:   O
Friends   B-LOCATION
Hospital   I-LOCATION
Room   O
Number   O
:   O
Texas   B-LOCATION
Health   I-LOCATION
Arlington   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
ix363   B-NAME
completed   O
a   O
detailed   O
examination   O
of   O
Jeffrey   B-NAME
Geiger   I-NAME
on   O
31/12   B-DATE
at   O
Sutter   B-LOCATION
Solano   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

During   O
the   O
physical   O
examination   O
,   O
Meza   B-NAME
noticed   O
marked   O
tenderness   O
on   O
the   O
right   O
temporal   O
region   O
with   O
associated   O
photophobia   O
.   O

The   O
patient   O
mentioned   O
she   O
has   O
been   O
working   O
as   O
a   O
Refuse   O
and   O
Recyclable   O
Material   O
Collectors   O
for   O
Freeborn   B-LOCATION
-   I-LOCATION
Mower   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Services   I-LOCATION
in   O
La   B-LOCATION
Junta   I-LOCATION
for   O
over   O
ten   O
years   O
.   O

The   O
lab   O
results   O
will   O
be   O
provided   O
via   O
mail   O
to   O
their   O
location   O
Littlehampton   B-LOCATION
and   O
on   O
the   O
patient   O
's   O
portal   O
under   O
the   O
username   O
voe748   B-NAME
.   O

An   O
MRI   O
brain   O
and   O
MRV   O
have   O
been   O
scheduled   O
on   O
25/31/63   B-DATE
to   O
rule   O
out   O
Cerebral   O
Venous   O
Sinus   O
Thrombosis   O
.   O

Her   O
next   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Vance   B-NAME
has   O
been   O
scheduled   O
on   O
13/24   B-DATE
.   O

Stout   B-NAME
was   O
advised   O
to   O
immediately   O
report   O
to   O
the   O
Ellis   B-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
or   O
call   O
451   B-CONTACT
-   I-CONTACT
737   I-CONTACT
1826   I-CONTACT
in   O
case   O
of   O
event   O
such   O
as   O
abrupt   O
worsening   O
of   O
the   O
headache   O
,   O
seizures   O
,   O
focal   O
neurological   O
deficits   O
,   O
visual   O
disturbances   O
or   O
any   O
new   O
symptoms   O
.   O

For   O
any   O
clarifications   O
or   O
need   O
for   O
help   O
,   O
you   O
can   O
contact   O
our   O
patient   O
service   O
team   O
at   O
75280   B-CONTACT
or   O
via   O
email   O
at   O
sru441   B-NAME
@   O
Australian   B-LOCATION
Rail   I-LOCATION
Tram   I-LOCATION
and   I-LOCATION
Bus   I-LOCATION
Industry   I-LOCATION
Union   I-LOCATION
.   O

Patient   O
Report   O
:   O
James   B-NAME
,   I-NAME
William   I-NAME
,   O
who   O
is   O
11   O
years   O
old   O
,   O
came   O
to   O
my   O
office   O
today   O
on   O
1625   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
25   I-DATE
.   O

Lyndon   B-NAME
Isabelle   I-NAME
has   O
a   O
history   O
of   O
smoking   O
,   O
which   O
he   O
/   O
she   O
quit   O
around   O
five   O
years   O
ago   O
.   O

Diego   B-NAME
Gaunt   I-NAME
works   O
as   O
a   O
Special   O
Education   O
Teacher   O
,   O
Secondary   O
School   O
at   O
Unity   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
in   O
Coney   B-LOCATION
Island   I-LOCATION
.   O

I   O
have   O
referred   O
Dawson   B-NAME
Woodard   I-NAME
under   O
the   O
care   O
of   O
Green   B-NAME
,   I-NAME
Matthew   I-NAME
at   O
Centra   B-LOCATION
Southside   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
signed   O
HIPAA   O
Release   O
of   O
Information   O
form   O
-   O
9461808   B-ID
.   O

The   O
appointment   O
is   O
scheduled   O
for   O
0/35   B-DATE
.   O

The   O
contact   O
details   O
of   O
the   O
hospital   O
as   O
per   O
my   O
records   O
are   O
43872   B-CONTACT
,   O
Nadine   B-LOCATION
,   O
92467   B-LOCATION
.   O

I   O
have   O
recorded   O
all   O
the   O
lab   O
order   O
details   O
in   O
Janetta   B-NAME
Nagelhout   I-NAME
's   O
medical   O
record   O
#   O
3305752   B-ID
.   O

I   O
will   O
be   O
in   O
touch   O
with   O
Conley   B-NAME
to   O
follow   O
up   O
on   O
Rubi   B-NAME
Colon   I-NAME
's   O
condition   O
and   O
to   O
discuss   O
the   O
intervention   O
plan   O
.   O

The   O
portal   O
username   O
is   O
djc4410   B-NAME
.   O

In   O
the   O
meantime   O
,   O
I   O
have   O
advised   O
Deandre   B-NAME
Tapia   I-NAME
to   O
refrain   O
from   O
specific   O
triggers   O
and   O
perform   O
moderate   O
-   O
intensity   O
aerobic   O
exercise   O
to   O
enhance   O
lung   O
capacity   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Dr.   O
KP488   B-NAME
on   O
13   B-DATE
-   I-DATE
22   I-DATE
.   O

Patient   O
Kenisha   B-NAME
is   O
a   O
38   O
years   O
old   O
.   O

His   O
last   O
visit   O
was   O
on   O
August   B-DATE
.   O

Chief   O
Complaint   O
:   O
Lutz   B-NAME
,   I-NAME
John   I-NAME
Gregory   I-NAME
complains   O
of   O
persistent   O
and   O
worsening   O
headaches   O
,   O
particularly   O
noticed   O
in   O
the   O
morning   O
.   O

Jim   B-NAME
Hansen   I-NAME
also   O
reports   O
associated   O
symptoms   O
of   O
nausea   O
and   O
occasional   O
vomiting   O
,   O
especially   O
over   O
the   O
past   O
couple   O
of   O
weeks   O
.   O

Knox   B-NAME
has   O
been   O
having   O
these   O
headaches   O
for   O
a   O
duration   O
of   O
about   O
2   O
months   O
,   O
with   O
no   O
relevant   O
past   O
medical   O
history   O
.   O

General   O
physical   O
exam   O
and   O
neurological   O
exam   O
conducted   O
by   O
Hensley   B-NAME
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
were   O
within   O
normal   O
limits   O
.   O

Test   O
Results   O
:   O
The   O
MRI   O
conducted   O
on   O
29/37   B-DATE
at   O
Prisma   B-LOCATION
Health   I-LOCATION
Greer   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
showed   O
no   O
noticeable   O
pathological   O
findings   O
.   O

Allyson   B-NAME
Lozano   I-NAME
believes   O
Simpson   B-NAME
,   I-NAME
Jessica   I-NAME
is   O
suffering   O
from   O
chronic   O
migraines   O
and   O
prescribed   O
an   O
appropriate   O
treatment   O
plan   O
.   O

Rand   B-NAME
,   I-NAME
Ayn   I-NAME
is   O
a   O
Precision   O
Printing   O
Workers   O
working   O
in   O
Northwestern   B-LOCATION
Mutual   I-LOCATION
.   O

He   O
lives   O
in   O
The   B-LOCATION
Lakes   I-LOCATION
and   O
his   O
zip   O
code   O
is   O
46497   B-LOCATION
.   O

Josie   B-NAME
Cortez   I-NAME
does   O
not   O
smoke   O
or   O
consume   O
alcohol   O
excessively   O
.   O

Contact   O
info   O
:   O
For   O
communication   O
,   O
Madilynn   B-NAME
Bryant   I-NAME
's   O
phone   O
number   O
is   O
(   B-CONTACT
658   I-CONTACT
)   I-CONTACT
505   I-CONTACT
6029   I-CONTACT
and   O
his   O
personal   O
email   O
address   O
is   O
lo299   B-NAME
.   O
Patient   O
ID   O
:   O

The   O
patient   O
's   O
SR:49827:648421   B-ID
number   O
and   O
08719235   B-ID
number   O
are   O
confidential   O
and   O
only   O
accessible   O
to   O
the   O
healthcare   O
team   O
.   O

Patient   O
:   O
Tess   B-NAME
Mcpherson   I-NAME
Age   O
:   O
92   O
Address   O
:   O
Bayou   B-LOCATION
Cane   I-LOCATION
Phone   O
:   O
(   B-CONTACT
378   I-CONTACT
)   I-CONTACT
353   I-CONTACT
-   I-CONTACT
6497   I-CONTACT
Date   O
:   O
03/06   B-DATE
Doctor   O
:   O
Kelly   B-NAME
Watson   I-NAME
Hospital   O
:   O
Northern   B-LOCATION
Westchester   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
#   O
:   O
90913960   B-ID
Referring   O
Organization   O
:   O
Sexaholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
SA   I-LOCATION
)   I-LOCATION
Patient   O
's   O
profession   O
:   O
Anesthesiologist   O
Assistants   O
Social   O
Security   O
#   O
:   O
UG675/4991   B-ID
Username   O
:   O
idm777   B-NAME
Zip   O
code   O
:   O
35279   B-LOCATION
2/26   B-DATE
,   O
Camp   B-NAME
,   O
a   O
94   O
-   O
year   O
-   O
old   O
Retail   O
buyer   O
,   O
presented   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
's   O
Emergency   O
Department   O
on   O
02/31   B-DATE
with   O
complaints   O
of   O
severe   O
and   O
persistent   O
headache   O
,   O
photophobia   O
,   O
fever   O
,   O
fatigue   O
,   O
vomiting   O
,   O
and   O
stiff   O
neck   O
for   O
the   O
last   O
two   O
days   O
.   O

On   O
examination   O
,   O
Emelia   B-NAME
Long   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
severe   O
headache   O
and   O
exhibited   O
signs   O
of   O
meningismus   O
.   O

The   O
patient   O
has   O
been   O
admitted   O
for   O
observation   O
and   O
further   O
evaluation   O
under   O
the   O
care   O
of   O
Hampton   B-NAME
.   O

The   O
family   O
has   O
been   O
contacted   O
at   O
547   B-CONTACT
5971   I-CONTACT
and   O
live   O
in   O
Detroit   B-LOCATION
-   I-LOCATION
East   I-LOCATION
Warren   I-LOCATION
Businesses   I-LOCATION
United   I-LOCATION
U   I-LOCATION
-   I-LOCATION
SNAP   I-LOCATION
-   I-LOCATION
BAC   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
69921   B-LOCATION
.   O

We   O
have   O
planned   O
for   O
the   O
next   O
medical   O
review   O
on   O
the   O
upcoming   O
Tuesday   B-DATE
,   I-DATE
November   I-DATE
.   O

I   O
have   O
discussed   O
this   O
with   O
Berger   B-NAME
,   I-NAME
Ric   I-NAME
and   O
conveyed   O
the   O
same   O
to   O
Jerry   B-NAME
Robinson   I-NAME
and   O
Thackeray   B-NAME
,   I-NAME
William   I-NAME
Makepeace   I-NAME
's   O
family   O
.   O

Ronald   B-NAME
Casey   I-NAME
's   O
Social   O
Security   O
number   O
is   O
QL   B-ID
:   I-ID
HB:8080   I-ID
and   O
the   O
medical   O
record   O
number   O
is   O
94580921   B-ID
.   O

Kate   B-NAME
Calder   I-NAME
is   O
insured   O
by   O
Flagship   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

We   O
will   O
update   O
the   O
patient   O
's   O
medical   O
record   O
JV8210   B-NAME
as   O
we   O
receive   O
test   O
results   O
.   O

Prepared   O
by   O
:   O
Hatfield   B-NAME
Department   O
of   O
Emergency   O
Medicine   O
Florida   B-LOCATION
Hospital   I-LOCATION
Zephyrhills   I-LOCATION

Patient   O
Name   O
:   O
Janessa   B-NAME
Hatfield   I-NAME
Age   O
:   O
30   O
ID   O
:   O
XO208/5070   B-ID
Medical   O
Record   O
No   O
.   O
:   O
399   B-ID
-   I-ID
38   I-ID
-   I-ID
17   I-ID
-   I-ID
9   I-ID
Residing   O
at   O
:   O
Dustin   B-LOCATION
Zip   O
code   O
:   O
19096   B-LOCATION
Phone   O
Number   O
:   O
350   B-CONTACT
-   I-CONTACT
9652   I-CONTACT
Profession   O
:   O
Engineering   O
Teachers   O
,   O
Postsecondary   O
Report   O
generated   O
by   O
:   O
xf4210   B-NAME
Consulting   O
Doctor   O
:   O
Lukas   B-NAME
Wood   I-NAME
Hospital   O
:   O
Broward   B-LOCATION
Health   I-LOCATION
Imperial   I-LOCATION
Point   I-LOCATION
Date   O
:   O
21/20/2211   B-DATE
Detailed   O
Report   O
:   O
Nostradamus   B-NAME
(   I-NAME
Michel   I-NAME
de   I-NAME
Notredame   I-NAME
,   I-NAME
or   I-NAME
Michel   I-NAME
de   I-NAME
Nostredame   I-NAME
)   I-NAME
presented   O
to   O
the   O
McDowell   B-LOCATION
Hospital   I-LOCATION
on   O
31/25/22   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
persisting   O
over   O
the   O
past   O
24   O
hours   O
.   O

Upon   O
examination   O
,   O
Khomeini   B-NAME
,   I-NAME
Ruhollah   I-NAME
noted   O
distension   O
in   O
the   O
lower   O
abdomen   O
,   O
suggestive   O
of   O
possible   O
abdominal   O
bloating   O
.   O

Deandre   B-NAME
Remick   I-NAME
,   O
8   O
week   O
,   O
had   O
a   O
tense   O
and   O
tender   O
abdomen   O
with   O
a   O
pain   O
score   O
reported   O
as   O
7   O
on   O
a   O
0   O
-   O
10   O
scale   O
.   O

In   O
their   O
professional   O
life   O
as   O
a   O
Tourist   O
information   O
manager   O
,   O
Ada   B-NAME
Ayala   I-NAME
spends   O
long   O
hours   O
at   O
a   O
desk   O
,   O
which   O
could   O
contribute   O
to   O
a   O
sedentary   O
lifestyle   O
.   O

While   O
Powa   B-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
,   O
the   O
ongoing   O
symptoms   O
indicate   O
possible   O
exacerbation   O
of   O
their   O
condition   O
.   O

Test   O
results   O
from   O
the   O
Planets   B-LOCATION
'   I-LOCATION
Commonwealth   I-LOCATION
showed   O
elevated   O
levels   O
of   O
amylase   O
and   O
lipase   O
,   O
confirming   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
pancreatitis   O
.   O

Sanai   B-NAME
Black   I-NAME
's   O
medical   O
ID   O
5   B-ID
-   I-ID
85100644   I-ID
had   O
records   O
of   O
a   O
similar   O
incident   O
approximately   O
four   O
years   O
ago   O
.   O

The   O
prescription   O
proposed   O
by   O
Dr.   O
Weaver   B-NAME
after   O
considering   O
Randolph   B-NAME
's   O
symptoms   O
and   O
medical   O
history   O
involves   O
dietary   O
changes   O
,   O
analgesics   O
for   O
pain   O
management   O
,   O
and   O
PPIs   O
to   O
manage   O
GERD   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
10/37   B-DATE
at   O
the   O
Robert   B-LOCATION
J.   I-LOCATION
Dole   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Regional   I-LOCATION
Office   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
,   O
Kell   B-LOCATION
.   O

Emergency   O
contact   O
was   O
made   O
available   O
as   O
78851   B-CONTACT
,   O
relevant   O
in   O
case   O
of   O
the   O
increased   O
intensity   O
of   O
symptoms   O
or   O
any   O
new   O
symptoms   O
.   O

For   O
Psychosocial   O
support   O
,   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Rail   I-LOCATION
,   I-LOCATION
Maritime   I-LOCATION
and   I-LOCATION
Transport   I-LOCATION
Workers   I-LOCATION
has   O
been   O
suggested   O
.   O

End   O
of   O
report   O
compiled   O
by   O
CI568   B-NAME
on   O
23/38/52   B-DATE
.   O
Please   O
note   O
that   O
this   O
document   O
contains   O
confidential   O
patient   O
-   O
related   O
health   O
information   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Demarcus   B-NAME
Woods   I-NAME
Age   O
:   O
0   O
Gender   O
:   O

Male   O
Location   O
:   O
Kankakee   B-LOCATION
Phone   O
number   O
:   O
337   B-CONTACT
-   I-CONTACT
806   I-CONTACT
8345   I-CONTACT
Identification   O
number   O
:   O
200325   B-ID
Medical   O
Care   O
Provider   O
Details   O
:   O
Name   O
of   O
Doctor   O
:   O
Christensen   B-NAME
Hospital   O
Name   O
:   O
Taylor   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
53387102   B-ID
On   O
05/24   B-DATE
,   O
patient   O
Baylee   B-NAME
Burnett   I-NAME
reported   O
to   O
Brandon   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
with   O
acute   O
symptoms   O
.   O

Given   O
the   O
symptomology   O
,   O
Sawyer   B-NAME
Mueller   I-NAME
elected   O
to   O
do   O
a   O
nasopharyngeal   O
swab   O
for   O
SARS   O
-   O
CoV-2   O
,   O
the   O
virus   O
responsible   O
for   O
COVID-19   O
.   O

The   O
patient   O
's   O
blood   O
and   O
radiological   O
tests   O
were   O
scheduled   O
at   O
Providence   B-LOCATION
Milwaukie   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
,   O
Valentinian   B-NAME
Jabbie   I-NAME
,   O
works   O
as   O
a   O
Telephone   O
Operators   O
for   O
the   O
Shop   B-LOCATION
,   I-LOCATION
Distributive   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Employees   I-LOCATION
Association   I-LOCATION
.   O

Considering   O
the   O
nature   O
of   O
his   O
profession   O
,   O
he   O
is   O
advised   O
to   O
maintain   O
strict   O
isolation   O
till   O
test   O
results   O
confirm   O
the   O
cause   O
of   O
his   O
symptoms   O
,   O
in   O
compliance   O
with   O
Hartlepool   B-LOCATION
Public   O
Health   O
guidelines   O
.   O

If   O
you   O
have   O
any   O
questions   O
or   O
need   O
further   O
clarification   O
,   O
please   O
contact   O
Verline   B-NAME
Villacis   I-NAME
at   O
White   B-LOCATION
Wing   I-LOCATION
Hospital   I-LOCATION
or   O
call   O
(   B-CONTACT
646   I-CONTACT
)   I-CONTACT
118   I-CONTACT
-   I-CONTACT
7261   I-CONTACT
.   O

You   O
can   O
also   O
reach   O
out   O
via   O
our   O
patient   O
portal   O
with   O
username   O
wmj875   B-NAME
or   O
visit   O
us   O
at   O
our   O
website   O
for   O
Northeast   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
93290   B-LOCATION
.   O

This   O
report   O
was   O
created   O
by   O
Mora   B-NAME
and   O
the   O
medical   O
team   O
of   O
UPMC   B-LOCATION
Bedford   I-LOCATION
Memorial   I-LOCATION
,   O
and   O
all   O
the   O
information   O
is   O
based   O
on   O
the   O
medical   O
record   O
numbered   O
3334290   B-ID
.   O

Patient   O
:   O
Kemp   B-NAME
Age   O
:   O
27   O
Date   O
:   O
23/12/42   B-DATE
Medical   O
Record   O
:   O
1360373   B-ID
Chang   B-NAME
reported   O
that   O
Roth   B-NAME
,   I-NAME
Philip   I-NAME
visited   O
the   O
Jackson   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinic   I-LOCATION
on   O
11/78   B-DATE
due   O
to   O
frequent   O
bouts   O
of   O
breathlessness   O
.   O

The   O
patient   O
,   O
working   O
as   O
a   O
Molding   O
,   O
Coremaking   O
,   O
and   O
Casting   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
living   O
in   O
Heritage   B-LOCATION
Hills   I-LOCATION
,   O
has   O
complained   O
about   O
consistently   O
feeling   O
fatigued   O
over   O
the   O
last   O
week   O
.   O

To   O
verify   O
this   O
diagnosis   O
,   O
the   O
patient   O
was   O
scheduled   O
for   O
a   O
chest   O
CT   O
scan   O
and   O
a   O
bronchoscopy   O
exam   O
on   O
02/12   B-DATE
.   O

Health   O
Insurance   O
Plan   O
Number   O
:   O
FQ   B-ID
:   I-ID
PL:8474   I-ID
.   O

For   O
future   O
appointments   O
or   O
emergencies   O
,   O
the   O
patient   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
837   I-CONTACT
)   I-CONTACT
453   I-CONTACT
-   I-CONTACT
2511   I-CONTACT
.   O

odf389   B-NAME
was   O
assigned   O
to   O
handle   O
the   O
follow   O
up   O
with   O
the   O
patient   O
.   O

They   O
will   O
collaborate   O
with   O
Matilda   B-NAME
Terry   I-NAME
at   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Midland   I-LOCATION
for   O
further   O
medical   O
proceedings   O
,   O
and   O
all   O
communication   O
will   O
be   O
mailed   O
to   O
the   O
patient   O
's   O
address   O
in   O
Pittsburgh   B-LOCATION
,   O
90734   B-LOCATION
.   O

All   O
the   O
necessary   O
medications   O
and   O
other   O
supports   O
have   O
been   O
arranged   O
by   O
the   O
Suburban   B-LOCATION
FSB   I-LOCATION
.   O

Patient   O
Name   O
:   O
Miller   B-NAME
,   I-NAME
Henry   I-NAME
Gender   O
:   O
Female   O
Age   O
:   O
92   O
Primary   O
Care   O
Physician   O
:   O

Fields   B-NAME
Medical   O
Record   O
Number   O
:   O
322   B-ID
-   I-ID
00   I-ID
-   I-ID
80   I-ID
Social   O
Security   O
Number   O
:   O
MV383/9553   B-ID
Permanent   O
address   O
:   O
Killen   B-LOCATION
Phone   O
:   O
73008   B-CONTACT
31/08   B-DATE
,   O
the   O
patient   O
,   O
a   O
Engraver   O
Set   O
-   O
Up   O
Operators   O
,   O
visited   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
persistent   O
vomiting   O
.   O

She   O
agreed   O
to   O
the   O
surgery   O
which   O
is   O
scheduled   O
to   O
take   O
place   O
at   O
Rutgers   B-LOCATION
,   O
Elk   B-LOCATION
River   I-LOCATION
on   O
0rd   B-DATE
.   O

For   O
post   O
-   O
operative   O
pain   O
relief   O
,   O
a   O
prescription   O
for   O
analgesics   O
has   O
been   O
sent   O
to   O
Marietta   B-LOCATION
Power   I-LOCATION
.   O

For   O
further   O
clarification   O
or   O
questions   O
,   O
she   O
has   O
been   O
asked   O
to   O
contact   O
us   O
on   O
337   B-CONTACT
6917   I-CONTACT
.   O

Her   O
medical   O
team   O
including   O
her   O
primary   O
care   O
physician   O
,   O
Bonilla   B-NAME
,   O
will   O
keep   O
a   O
close   O
monitor   O
on   O
her   O
condition   O
during   O
the   O
follow   O
-   O
up   O
visits   O
post   O
-   O
surgery   O
.   O

A   O
medical   O
note   O
of   O
this   O
visit   O
was   O
forwarded   O
to   O
her   O
Primary   O
Care   O
Provider   O
(   O
PCP   O
)   O
via   O
our   O
encrypted   O
system   O
,   O
username   O
jw775   B-NAME
,   O
ensuring   O
continuity   O
of   O
care   O
.   O

A   O
copy   O
of   O
the   O
same   O
report   O
will   O
be   O
sent   O
to   O
her   O
address   O
at   O
56697   B-LOCATION
for   O
her   O
records   O
.   O

Patient   O
Name   O
:   O
Paul   B-NAME
Turner   I-NAME
Medical   O
Record   O
Number   O
:   O
97114622   B-ID
Date   O
:   O
22/14   B-DATE
Physician   O
:   O

Kade   B-NAME
Sosa   I-NAME
Location   O
:   O
New   B-LOCATION
Canton   I-LOCATION
Hospital   O
:   O
Deaconess   B-LOCATION
Midtown   I-LOCATION
Hospital   I-LOCATION
Patient   O
,   O
Peguy   B-NAME
,   I-NAME
Charles   I-NAME
whose   O
age   O
is   O
0   O
,   O
was   O
seen   O
on   O
26/29   B-DATE
by   O
Dr.   O
Haas   B-NAME
at   O
Erlanger   B-LOCATION
Western   I-LOCATION
Carolina   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
resides   O
in   O
Bouse   B-LOCATION
with   O
a   O
Postal   O
Code   O
of   O
52356   B-LOCATION
.   O

The   O
patient   O
had   O
been   O
referred   O
by   O
Dr.   O
Maci   B-NAME
Gamble   I-NAME
for   O
complaints   O
of   O
chronic   O
,   O
intermittent   O
nausea   O
and   O
dyspepsia   O
over   O
the   O
past   O
six   O
months   O
.   O

The   O
patient   O
works   O
as   O
a   O
Mechanical   O
Engineering   O
Technicians   O
and   O
revealed   O
that   O
he   O
was   O
stressed   O
at   O
his   O
workplace   O
Operative   B-LOCATION
Plasterers   I-LOCATION
'   I-LOCATION
and   I-LOCATION
Cement   I-LOCATION
Masons   I-LOCATION
'   I-LOCATION
International   I-LOCATION
Association   I-LOCATION
and   O
had   O
a   O
smoking   O
history   O
of   O
20   O
pack   O
-   O
years   O
with   O
a   O
moderate   O
alcohol   O
intake   O
.   O

Patient   O
was   O
given   O
an   O
appointment   O
for   O
follow   O
-   O
up   O
endoscopy   O
and   O
an   O
abdominal   O
ultrasound   O
on   O
16/19/2382   B-DATE
.   O

The   O
patient   O
was   O
consequentially   O
asked   O
to   O
follow   O
-   O
up   O
at   O
The   B-LOCATION
Brooklyn   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
in   O
a   O
week   O
's   O
time   O
.   O

Best   O
regards   O
,   O
Coleman   B-NAME
Phone   O
:   O
51515   B-CONTACT
Email   O
:   O
yvo1014   B-NAME
@hospital.org   O
Organization   O
:   O

New   B-LOCATION
Jersey   I-LOCATION
ID   O
:   O
WX:9358:157354   B-ID

Patient   O
Information   O
:   O
Adonai   B-NAME
,   O
a   O
3   O
week   O
year   O
old   O
professional   O
Physical   O
Therapist   O
Assistants   O
,   O
was   O
admitted   O
to   O
Jewish   B-LOCATION
Hospital   I-LOCATION
Shelbyville   I-LOCATION
on   O
2212   B-DATE
with   O
a   O
medical   O
record   O
number   O
of   O
789   B-ID
-   I-ID
05   I-ID
-   I-ID
08   I-ID
-   I-ID
1   I-ID
.   O
Clinical   O
Summary   O
:   O
Eugene   B-NAME
Sutphin   I-NAME
presented   O
with   O
a   O
week   O
's   O
history   O
of   O
persistent   O
cough   O
and   O
intermittent   O
fever   O
.   O

Upon   O
detailed   O
examination   O
by   O
Dr.   O
Selina   B-NAME
Larson   I-NAME
,   O
physical   O
findings   O
showed   O
pallor   O
,   O
and   O
bilateral   O
crepitations   O
on   O
the   O
lower   O
segment   O
of   O
lung   O
lobes   O
suggestive   O
of   O
a   O
possible   O
lower   O
respiratory   O
tract   O
infection   O
.   O

Involved   O
parties   O
were   O
informed   O
and   O
provided   O
with   O
the   O
patient   O
's   O
ID   O
:   O
AQ585/5397   B-ID
for   O
further   O
information   O
and   O
access   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
up   O
appointment   O
with   O
Dr.   O
Herbert   B-NAME
,   I-NAME
George   I-NAME
in   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
after   O
2   O
weeks   O
.   O

Regarding   O
work   O
,   O
Boswell   B-NAME
,   I-NAME
James   I-NAME
,   O
who   O
works   O
as   O
a   O
Surgical   O
Technologists   O
in   O
Broadway   B-LOCATION
Bank   I-LOCATION
,   O
has   O
been   O
given   O
strict   O
instruction   O
to   O
work   O
from   O
home   O
and   O
avoid   O
any   O
public   O
spaces   O
to   O
prevent   O
the   O
spread   O
of   O
infection   O
.   O

Public   O
Health   O
authorities   O
in   O
Macungie   B-LOCATION
were   O
notified   O
to   O
initiate   O
contact   O
tracing   O
.   O

For   O
any   O
immediate   O
queries   O
,   O
Georgiana   B-NAME
Miro   I-NAME
has   O
been   O
informed   O
to   O
contact   O
the   O
infectious   O
disease   O
helpline   O
of   O
our   O
hospital   O
at   O
551   B-CONTACT
7333   I-CONTACT
.   O

Additional   O
Information   O
:   O
Home   O
address   O
:   O
Battle   B-LOCATION
Lake   I-LOCATION
,   O
46854   B-LOCATION
.   O

Contact   O
Information   O
:   O
His   O
brother   O
’s   O
phone   O
number   O
:   O
267   B-CONTACT
1515   I-CONTACT
.   O

Report   O
Prepared   O
by   O
:   O
rm267   B-NAME
.   O
Note   O
:   O

Patient   O
Information   O
:   O
Cassius   B-NAME
Carrillo   I-NAME
is   O
a   O
42   O
year   O
-   O
old   O
individual   O
,   O
who   O
attended   O
our   O
St.   B-LOCATION
Anthony   I-LOCATION
Shawnee   I-LOCATION
Hospital   I-LOCATION
on   O
1936   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
29   I-DATE
.   O

Symptoms   O
:   O
Craig   B-NAME
Brennan   I-NAME
reported   O
chronic   O
fatigue   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
rapid   O
weight   O
loss   O
over   O
the   O
course   O
of   O
last   O
six   O
months   O
.   O

Meadows   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
pulmonary   O
tuberculosis   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
978   B-ID
-   I-ID
88   I-ID
-   I-ID
98   I-ID
-   I-ID
2   I-ID
.   O

Contact   O
Information   O
:   O
Home   O
address   O
is   O
at   O
Dubach   B-LOCATION
and   O
the   O
zip   O
code   O
is   O
22031   B-LOCATION
.   O

The   O
best   O
contact   O
number   O
is   O
14714   B-CONTACT
.   O

The   O
ID   O
on   O
state   O
-   O
issued   O
identification   O
is   O
EF   B-ID
:   I-ID
US:9414   I-ID
.   O

Other   O
Information   O
:   O
At   O
the   O
time   O
of   O
the   O
visit   O
,   O
Virgilio   B-NAME
was   O
accompanied   O
by   O
a   O
caregiver   O
who   O
is   O
a   O
Psychiatric   O
Technicians   O
at   O
an   O
Riverview   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

The   O
caregiver   O
wished   O
to   O
consult   O
with   O
Fred   B-NAME
Hornblower   I-NAME
who   O
is   O
an   O
Infectious   O
Disease   O
specialist   O
at   O
Lake   B-LOCATION
Shore   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
.   O

Prior   O
appointment   O
arrangements   O
were   O
made   O
over   O
the   O
phone   O
by   O
OT913   B-NAME
.   O

Follow   O
-   O
up   O
appointment   O
with   O
Webster   B-NAME
at   O
Mobile   B-LOCATION
Infirmary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
scheduled   O
.   O

cline   B-NAME
has   O
been   O
advised   O
to   O
stick   O
to   O
prescribed   O
medication   O
regimen   O
.   O

The   O
patient   O
,   O
Simon   B-NAME
Griffith   I-NAME
,   O
is   O
an   O
15   O
year   O
old   O
man   O
,   O
who   O
reported   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Resources   I-LOCATION
Allen   I-LOCATION
on   O
4   B-DATE
-   I-DATE
31   I-DATE
at   O
Mosquero   B-LOCATION
.   O

Medical   O
Report   O
:   O
950   B-ID
-   I-ID
61   I-ID
-   I-ID
64   I-ID
-   I-ID
0   I-ID
Symptoms   O
:   O

For   O
the   O
past   O
week   O
,   O
Becker   B-NAME
has   O
been   O
complaining   O
of   O
shortness   O
of   O
breath   O
and   O
chest   O
discomfort   O
.   O

History   O
:   O
Frantz   B-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
cardiac   O
disease   O
.   O

He   O
had   O
undergone   O
a   O
coronary   O
angioplasty   O
at   O
Tallahassee   B-LOCATION
Memorial   I-LOCATION
HealthCare   I-LOCATION
under   O
Gilmore   B-NAME
5   O
years   O
ago   O
.   O

On   O
examination   O
,   O
Chandler   B-NAME
Nguyen   I-NAME
appeared   O
pale   O
and   O
diaphoretic   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
at   O
Norton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Norton   I-LOCATION
under   O
Mccarthy   B-NAME
reference   O
2540545   B-ID
for   O
further   O
management   O
.   O

We   O
would   O
like   O
the   O
family   O
to   O
call   O
us   O
on   O
this   O
number   O
,   O
72737   B-CONTACT
.   O

The   O
anticipated   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
6/1   B-DATE
at   O
our   O
office   O
location   O
at   O
Spray   B-LOCATION
,   O
30240   B-LOCATION
.   O

In   O
Case   O
of   O
Emergency   O
,   O
please   O
contact   O
his   O
son   O
at   O
938   B-CONTACT
474   I-CONTACT
6831   I-CONTACT
.   O

Signed   O
off   O
by   O
,   O
Priestley   B-NAME
,   I-NAME
Joseph   I-NAME
Confirmation   O
:   O
eaj9710   B-NAME
,   O
CP   B-ID
:   I-ID
KM:5693   I-ID
Note   O
:   O
This   O
report   O
was   O
prepared   O
by   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Lancaster   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
association   O
with   O
International   B-LOCATION
Centre   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Research   I-LOCATION
.   O

Patient   O
Name   O
:   O
Susan   B-NAME
Abreu   I-NAME
Age   O
:   O
22   O
Medical   O
Record   O
Number   O
:   O
40060258   B-ID
Date   O
:   O
8/13/76   B-DATE
Treating   O
Physician   O
:   O

Ayers   B-NAME
Humberto   B-NAME
Schmidt   I-NAME
noted   O
on   O
8/20   B-DATE
that   O
Walter   B-NAME
was   O
admitted   O
to   O
Huron   B-LOCATION
Valley   I-LOCATION
-   I-LOCATION
Sinai   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
persistent   O
migraine   O
headaches   O
and   O
prolonged   O
dizziness   O
.   O

Harley   B-NAME
Foreman   I-NAME
reported   O
that   O
the   O
headaches   O
had   O
been   O
consistent   O
over   O
the   O
past   O
one   O
week   O
and   O
not   O
alleviated   O
by   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

ostrowski   B-NAME
also   O
reported   O
being   O
in   O
a   O
constantly   O
dizzy   O
state   O
for   O
five   O
days   O
,   O
with   O
episodes   O
of   O
vertigo   O
.   O

The   O
dizziness   O
was   O
described   O
as   O
a   O
sensation   O
of   O
everything   O
spinning   O
around   O
them   O
,   O
and   O
these   O
episodes   O
were   O
occasionally   O
associated   O
with   O
a   O
loss   O
of   O
balance   O
,   O
causing   O
Jaycee   B-NAME
Sutton   I-NAME
to   O
stagger   O
while   O
walking   O
.   O

Family   O
history   O
was   O
positive   O
for   O
migraines   O
,   O
father   O
had   O
a   O
migraine   O
at   O
18   O
.   O
Braccio   B-NAME
Muddaththir   I-NAME
was   O
a   O
Conservation   O
Scientists   O
by   O
occupation   O
,   O
and   O
was   O
living   O
in   O
the   O
Coyote   B-LOCATION
Flats   I-LOCATION
area   O
,   O
98217   B-LOCATION
code   O
,   O
for   O
10   O
years   O
.   O

The   O
contact   O
number   O
listed   O
was   O
456   B-CONTACT
8192   I-CONTACT
.   O

Preliminary   O
neurological   O
examination   O
performed   O
by   O
Tapia   B-NAME
revealed   O
no   O
localized   O
neurological   O
deficits   O
.   O

Bush   B-NAME
,   I-NAME
John   I-NAME
Carder   I-NAME
was   O
referred   O
to   O
a   O
headache   O
specialist   O
from   O
the   O
Chinese   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
Beijing   I-LOCATION
)   I-LOCATION
(   I-LOCATION
CCS   I-LOCATION
)   I-LOCATION
for   O
further   O
evaluation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
the   O
patient   O
on   O
2/08   B-DATE
at   O
Marshfield   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Rice   I-LOCATION
Lake   I-LOCATION
.   O

For   O
any   O
queries   O
regarding   O
health   O
status   O
,   O
Sanders   B-NAME
was   O
advised   O
to   O
call   O
the   O
help   O
desk   O
at   O
Mountain   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
at   O
295   B-CONTACT
-   I-CONTACT
124   I-CONTACT
-   I-CONTACT
8295   I-CONTACT
.   O

The   O
River   B-NAME
Sandoval   I-NAME
's   O
ID   O
proof   O
(   O
License   O
number   O
:   O
HG   B-ID
:   I-ID
XQ:1360   I-ID
)   O
had   O
been   O
checked   O
by   O
LF982   B-NAME
and   O
it   O
was   O
found   O
to   O
be   O
authentic   O
.   O

Patient   O
report   O
:   O
Prater   B-NAME
is   O
a   O
5   O
year   O
old   O
individual   O
who   O
presented   O
to   O
us   O
on   O
08/28   B-DATE
.   O

The   O
patient   O
was   O
referred   O
to   O
us   O
by   O
Dickerson   B-NAME
from   O
Clear   B-LOCATION
View   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
and   O
was   O
admitted   O
with   O
chief   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
and   O
nausea   O
.   O

This   O
49   O
year   O
old   O
patient   O
is   O
a   O
resident   O
of   O
Murray   B-LOCATION
City   I-LOCATION
and   O
is   O
currently   O
working   O
as   O
a   O
Silversmiths   O
.   O

When   O
describing   O
the   O
pain   O
,   O
Strages   B-NAME
Strab   I-NAME
highlighted   O
that   O
the   O
pain   O
has   O
a   O
certain   O
cramping   O
quality   O
to   O
it   O
,   O
situated   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

40876339   B-ID
shows   O
that   O
the   O
patient   O
has   O
no   O
notable   O
past   O
medical   O
history   O
aside   O
from   O
recurring   O
episodes   O
of   O
dyspepsia   O
which   O
has   O
been   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
antacid   O
medication   O
.   O

We   O
requested   O
a   O
CT   O
abdomen   O
on   O
2265   B-DATE
to   O
rule   O
out   O
appendicitis   O
,   O
considering   O
the   O
patient   O
's   O
symptoms   O
and   O
the   O
location   O
of   O
the   O
pain   O
.   O

Upon   O
receiving   O
the   O
report   O
from   O
Palm   B-LOCATION
Peach   I-LOCATION
,   O
our   O
diagnostic   O
suspicion   O
was   O
confirmed   O
.   O

Palme   B-NAME
,   I-NAME
Olof   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Alfonso   B-NAME
Burton   I-NAME
was   O
then   O
informed   O
about   O
the   O
situation   O
and   O
a   O
surgical   O
consultation   O
was   O
arranged   O
.   O

The   O
patient   O
underwent   O
an   O
appendectomy   O
on   O
27/34   B-DATE
at   O
the   O
Prisma   B-LOCATION
Health   I-LOCATION
Patewood   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
-   O
operative   O
period   O
was   O
uneventful   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
'   B-DATE
01   I-DATE
.   O

We   O
have   O
provided   O
discharge   O
instructions   O
and   O
an   O
YA175/2486   B-ID
for   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

We   O
also   O
provided   O
the   O
(   B-CONTACT
698   I-CONTACT
)   I-CONTACT
687   I-CONTACT
-   I-CONTACT
4503   I-CONTACT
number   O
to   O
call   O
in   O
case   O
of   O
any   O
symptoms   O
or   O
complications   O
.   O

I   O
've   O
documented   O
this   O
information   O
using   O
my   O
OB588   B-NAME
and   O
sent   O
it   O
to   O
Goofy   B-LOCATION
Ridge   I-LOCATION
address   O
in   O
66365   B-LOCATION
.   O

Patient   O
Name   O
:   O
Kenya   B-NAME
Dudley   I-NAME
ID   O
:   O
LW:57214:514331   B-ID

Doctor   O
's   O
Name   O
:   O
Laplace   B-NAME
,   I-NAME
Pierre   I-NAME
-   I-NAME
Simon   I-NAME
Date   O
of   O
Report   O
:   O
22/21/00   B-DATE
The   O
Uriel   B-NAME
Palmer   I-NAME
,   O
a   O
Paramedic   O
of   O
33   O
years   O
,   O
presented   O
with   O
a   O
series   O
of   O
symptoms   O
which   O
tentatively   O
suggest   O
acute   O
gastroenteritis   O
.   O

They   O
reported   O
a   O
recent   O
history   O
of   O
nausea   O
,   O
vomiting   O
,   O
diarrhea   O
,   O
and   O
a   O
persistent   O
low   O
-   O
grade   O
fever   O
which   O
they   O
have   O
been   O
experiencing   O
since   O
April   B-DATE
06   I-DATE
.   O

The   O
Chery   B-NAME
Bologna   I-NAME
also   O
reported   O
abdominal   O
cramping   O
in   O
the   O
lower   O
quadrants   O
that   O
has   O
been   O
moderate   O
in   O
severity   O
.   O

It   O
was   O
noted   O
that   O
the   O
Lala   B-NAME
Grigsby   I-NAME
just   O
recently   O
returned   O
from   O
a   O
trip   O
to   O
Walstonburg   B-LOCATION
where   O
they   O
consumed   O
raw   O
seafood   O
.   O

The   O
Lana   B-NAME
Woodard   I-NAME
has   O
an   O
existing   O
medical   O
record   O
in   O
our   O
database   O
under   O
the   O
number   O
4100034   B-ID
.   O

I   O
have   O
communicated   O
my   O
tentative   O
diagnosis   O
to   O
their   O
primary   O
healthcare   O
provider   O
,   O
Dr.   O
Keagan   B-NAME
Rodriguez   I-NAME
,   O
who   O
practices   O
in   O
Psychiatric   B-LOCATION
.   O

Further   O
lab   O
tests   O
have   O
been   O
scheduled   O
for   O
21/01/30   B-DATE
at   O
St.   B-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
to   O
confirm   O
the   O
diagnosis   O
which   O
includes   O
stool   O
culture   O
,   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
,   O
and   O
kidney   O
function   O
tests   O
.   O

Contact   O
Information   O
:   O
627   B-CONTACT
-   I-CONTACT
622   I-CONTACT
-   I-CONTACT
4424   I-CONTACT
,   O
Marvell   B-LOCATION
,   O
70866   B-LOCATION

The   O
patient   O
is   O
advised   O
to   O
stay   O
hydrated   O
and   O
consume   O
a   O
bland   O
diet   O
to   O
manage   O
symptoms   O
until   O
further   O
advice   O
from   O
Dr.   O
Reese   B-NAME
Monroe   I-NAME
.   O

An   O
emergency   O
department   O
visit   O
at   O
HealthSource   B-LOCATION
Saginaw   I-LOCATION
has   O
also   O
been   O
recommended   O
in   O
Palenville   B-LOCATION
should   O
symptoms   O
worsen   O
.   O

Dr.   O
Payne   B-NAME
,   I-NAME
Max   I-NAME
at   O
Mahaska   B-LOCATION
Health   I-LOCATION
will   O
maintain   O
regular   O
contact   O
with   O
the   O
Tony   B-NAME
Kennedy   I-NAME
to   O
monitor   O
their   O
condition   O
and   O
ensure   O
the   O
prescribed   O
treatment   O
plan   O
is   O
followed   O
as   O
discussed   O
in   O
our   O
last   O
medical   O
review   O
regarding   O
their   O
case   O
.   O

Our   O
hospital   O
is   O
affiliated   O
with   O
the   O
International   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Electrical   I-LOCATION
Workers   I-LOCATION
and   O
we   O
uphold   O
the   O
highest   O
standards   O
in   O
patient   O
care   O
.   O

Respectfully   O
,   O
pip781   B-NAME

Patient   O
Name   O
:   O
Daphne   B-NAME
Phelps   I-NAME
Age   O
:   O
83   O
ID   O
:   O
EQ535/5376   B-ID
Medical   O
Record   O
number   O
:   O
786   B-ID
-   I-ID
63   I-ID
-   I-ID
50   I-ID
-   I-ID
4   I-ID
Location   O
:   O
Vinings   B-LOCATION
81288   B-LOCATION
Phone   O
:   O
83611   B-CONTACT
Username   O
:   O
cq53   B-NAME
Date   O
:   O
4   B-DATE
-   I-DATE
31   I-DATE
Summers   B-NAME
Dr.   O
said   O
that   O
Mr.   O
Ingrid   B-NAME
Mckee   I-NAME
came   O
to   O
Elmhurst   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
hospital   O
after   O
suffering   O
from   O
severe   O
bouts   O
of   O
vertigo   O
.   O

The   O
patient   O
lives   O
in   O
Parsonsburg   B-LOCATION
and   O
works   O
as   O
a   O
Mixing   O
and   O
Blending   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
.   O

Examinations   O
on   O
the   O
Wednesday   B-DATE
,   I-DATE
November   I-DATE
led   O
to   O
the   O
discovery   O
of   O
mild   O
hydrops   O
in   O
the   O
patient   O
's   O
right   O
ear   O
,   O
further   O
confirming   O
the   O
diagnosis   O
of   O
Meniere   O
's   O
disease   O
relapse   O
.   O

Gail   B-NAME
,   I-NAME
a.k.a   I-NAME
.   I-NAME
Dr   B-NAME
Foxy   I-NAME
,   I-NAME
a   I-NAME
recommended   O
an   O
increase   O
in   O
the   O
dosage   O
of   O
his   O
current   O
medications   O
,   O
followed   O
by   O
a   O
reevaluation   O
on   O
a   O
later   O
visit   O
.   O

His   O
employer   O
,   O
Southern   B-LOCATION
Rivers   I-LOCATION
Energy   I-LOCATION
,   O
was   O
made   O
aware   O
of   O
his   O
condition   O
,   O
and   O
necessary   O
arrangements   O
were   O
made   O
to   O
allow   O
him   O
to   O
work   O
from   O
home   O
for   O
the   O
foreseeable   O
future   O
.   O

For   O
further   O
assistance   O
,   O
he   O
was   O
provided   O
with   O
the   O
(   B-CONTACT
822   I-CONTACT
)   I-CONTACT
410   I-CONTACT
-   I-CONTACT
3927   I-CONTACT
and   O
asked   O
to   O
contact   O
us   O
immediately   O
if   O
his   O
symptoms   O
worsened   O
.   O

His   O
medical   O
records   O
,   O
labeled   O
as   O
10102899   B-ID
,   O
had   O
been   O
updated   O
in   O
our   O
systems   O
for   O
quick   O
retrieval   O
in   O
future   O
visits   O
.   O

The   O
patient   O
was   O
under   O
the   O
primary   O
care   O
of   O
Dr.   O
Joe   B-NAME
Gannon   I-NAME
from   O
Yale   B-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
Saint   I-LOCATION
Raphael   I-LOCATION
Campus   I-LOCATION
whose   O
office   O
is   O
located   O
at   O
Lubec   B-LOCATION
63483   B-LOCATION
.   O

The   O
patient   O
's   O
case   O
has   O
been   O
further   O
detailed   O
in   O
his   O
medical   O
account   O
,   O
accessible   O
under   O
the   O
username   O
YH24   B-NAME
.   O

Chief   O
Complaint   O
:   O
Paul   B-NAME
Gardner   I-NAME
is   O
a   O
95   O
year   O
old   O
individual   O
,   O
who   O
has   O
been   O
complaining   O
of   O
intermittent   O
chest   O
pain   O
for   O
the   O
past   O
three   O
weeks   O
prior   O
to   O
presentation   O
on   O
21/32/54   B-DATE
.   O

Karter   B-NAME
Acevedo   I-NAME
first   O
started   O
noticing   O
the   O
chest   O
pain   O
while   O
working   O
at   O
the   O
Southern   B-LOCATION
California   I-LOCATION
Linux   I-LOCATION
Expo   I-LOCATION
as   O
an   O
accountant   O
.   O

Current   O
Medications   O
:   O
Alissa   B-NAME
Perkins   I-NAME
has   O
not   O
been   O
taking   O
any   O
regular   O
medications   O
.   O

Examination   O
:   O
Upon   O
physical   O
examination   O
by   O
Dr.   O
Isabela   B-NAME
Washington   I-NAME
,   O
Nicholas   B-NAME
Q.   I-NAME
Vasquez   I-NAME
's   O
vitals   O
were   O
stable   O
.   O

There   O
were   O
no   O
abnormalities   O
observed   O
in   O
the   O
EKG   O
which   O
was   O
carried   O
out   O
at   O
the   O
MultiCare   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
.   O

Kelly   B-NAME
was   O
also   O
scheduled   O
for   O
an   O
appointment   O
for   O
an   O
echocardiogram   O
on   O
1902   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
28   I-DATE
.   O

The   O
reference   O
number   O
for   O
the   O
same   O
is   O
7920683   B-ID
.   O

Reece   B-NAME
Stuart   I-NAME
is   O
advised   O
to   O
report   O
to   O
the   O
nearest   O
emergency   O
room   O
at   O
the   O
The   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
of   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
should   O
he   O
/   O
she   O
experience   O
increasing   O
intensity   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
fainting   O
spells   O
.   O

Dr.   O
Scarlet   B-NAME
Schwartz   I-NAME
is   O
in   O
the   O
process   O
of   O
reaching   O
out   O
to   O
a   O
specialist   O
for   O
consultation   O
.   O

The   O
secretary   O
at   O
Dr.   O
Alessandra   B-NAME
Krueger   I-NAME
's   O
office   O
will   O
contact   O
Vicente   B-NAME
Barker   I-NAME
with   O
the   O
date   O
and   O
time   O
of   O
the   O
appointment   O
.   O

For   O
any   O
concerns   O
,   O
Dalia   B-NAME
Lutz   I-NAME
can   O
call   O
on   O
the   O
office   O
376   B-CONTACT
6983   I-CONTACT
.   O

Framework   O
for   O
Controlled   O
Substances   O
:   O
Gabriela   B-NAME
Berry   I-NAME
has   O
agreed   O
to   O
not   O
seek   O
controlled   O
substances   O
from   O
other   O
providers   O
and   O
provided   O
a   O
signed   O
prescription   O
monitoring   O
program   O
release   O
form   O
to   O
Dr.   O
Hendricks   B-NAME
.   O

Insurance   O
Details   O
:   O
The   O
patient   O
's   O
insurance   O
provider   O
is   O
Chinese   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
Beijing   I-LOCATION
)   I-LOCATION
(   I-LOCATION
CCS   I-LOCATION
)   I-LOCATION
and   O
the   O
policy   O
number   O
is   O
WJ576/5133   B-ID
.   O

Home   O
Address   O
:   O
Kate   B-NAME
Calder   I-NAME
resides   O
in   O
Fayetteville   B-LOCATION
,   O
65574   B-LOCATION
.   O

Additional   O
Information   O
:   O
dbp50   B-NAME
at   O
the   O
front   O
desk   O
has   O
been   O
asked   O
to   O
follow   O
up   O
and   O
ensure   O
all   O
paper   O
work   O
is   O
on   O
point   O
for   O
the   O
upcoming   O
procedures   O
.   O

Occupation   O
:   O
Walker   B-NAME
,   I-NAME
Murray   I-NAME
is   O
a   O
Transportation   O
Managers   O
by   O
profession   O
.   O

Patient   O
Name   O
:   O
Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
Age   O
:   O
95   O
Medical   O
Record   O
:   O
06423836   B-ID
Date   O
:   O
26/00   B-DATE
Today   O
,   O
Henry   B-NAME
,   I-NAME
Matthew   I-NAME
,   O
a   O
Biological   O
Technicians   O
,   O
visited   O
our   O
outpatient   O
clinic   O
at   O
Grand   B-LOCATION
Strand   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
intermittent   O
headaches   O
and   O
nausea   O
.   O

These   O
symptoms   O
first   O
began   O
approximately   O
a   O
month   O
ago   O
,   O
around   O
May   B-DATE
.   O

Henry   B-NAME
Jenkins   I-NAME
also   O
reported   O
associated   O
photophobia   O
,   O
but   O
denied   O
having   O
a   O
fever   O
,   O
blurry   O
vision   O
,   O
or   O
neck   O
stiffness   O
.   O

The   O
physical   O
examination   O
was   O
conducted   O
by   O
Amelia   B-NAME
Heath   I-NAME
.   O

An   O
urgent   O
neuroimaging   O
was   O
recommended   O
and   O
Reid   B-NAME
Salinas   I-NAME
was   O
instructed   O
to   O
visit   O
the   O
imaging   O
centre   O
at   O
Fife   B-LOCATION
Heights   I-LOCATION
,   O
a   O
tertiary   O
medical   O
center   O
known   O
for   O
its   O
advanced   O
diagnostic   O
provisions   O
.   O

The   O
patient   O
's   O
health   O
insurance   O
provider   O
is   O
Botswana   B-LOCATION
Telecommunication   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
,   O
and   O
the   O
account   O
number   O
is   O
593557338   B-ID
.   O

I   O
spoke   O
with   O
Evelyn   B-NAME
Xuan   I-NAME
over   O
400   B-CONTACT
-   I-CONTACT
925   I-CONTACT
-   I-CONTACT
1436   I-CONTACT
later   O
in   O
the   O
evening   O
to   O
discuss   O
the   O
findings   O
and   O
suggest   O
a   O
treatment   O
plan   O
.   O

A   O
referral   O
was   O
made   O
to   O
a   O
neurologist   O
and   O
an   O
appointment   O
has   O
been   O
set   O
for   O
26/24   B-DATE
at   O
Henrico   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
neurologist   O
's   O
office   O
will   O
reach   O
out   O
to   O
Imani   B-NAME
Yang   I-NAME
directly   O
to   O
confirm   O
the   O
appointment   O
.   O

In   O
the   O
meantime   O
,   O
Henderson   B-NAME
was   O
advised   O
to   O
avoid   O
any   O
strenuous   O
activity   O
and   O
to   O
immediately   O
report   O
any   O
worsening   O
of   O
symptoms   O
.   O

Physician   O
Signature   O
:   O
JJ890   B-NAME
Physician   O
's   O
Contact   O
:   O
326   B-CONTACT
8408   I-CONTACT
Clinic   O
Address   O
:   O
Benton   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Benton   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
70979   B-LOCATION

Patient   O
Name   O
:   O
Victoria   B-NAME
Keene   I-NAME
Age   O
:   O
0   O
week   O
Date   O
of   O
visit   O
:   O
0/9   B-DATE
Primary   O
Doctor   O
:   O
Preston   B-NAME
Hill   I-NAME
June   B-LOCATION
Park   I-LOCATION
Health   O
ID   O
:   O
ES   B-ID
:   I-ID
JD:8134   I-ID
Medical   O
Record   O
Number   O
:   O
796   B-ID
-   I-ID
06   I-ID
-   I-ID
03   I-ID
-   I-ID
0   I-ID
Phone   O
Number   O
:   O
75267   B-CONTACT
Professional   O
Information   O
:   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
Organization   O
:   O

American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Mass   I-LOCATION
Spectrometry   I-LOCATION
Patient   O
Iva   B-NAME
Hall   I-NAME
presented   O
to   O
Hallmark   B-LOCATION
Hospital   I-LOCATION
on   O
11/05   B-DATE
with   O
severe   O
stomach   O
discomfort   O
,   O
nausea   O
,   O
and   O
a   O
high   O
fever   O
that   O
had   O
persisted   O
over   O
the   O
last   O
two   O
days   O
.   O

The   O
initial   O
consultation   O
was   O
conducted   O
by   O
Stravinsky   B-NAME
,   I-NAME
Igor   I-NAME
.   O

Dayana   B-NAME
Harris   I-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
CBC   O
,   O
electrolyte   O
panel   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
to   O
further   O
identify   O
the   O
source   O
of   O
Paul   B-NAME
's   O
discomfort   O
.   O

The   O
patient   O
's   O
insurance   O
details   O
,   O
under   O
the   O
organization   O
Fourth   B-LOCATION
Estate   I-LOCATION
(   I-LOCATION
association   I-LOCATION
)   I-LOCATION
and   O
with   O
an   O
ID   O
number   O
of   O
16329   B-ID
,   O
were   O
referenced   O
to   O
process   O
the   O
necessary   O
paperwork   O
.   O

An   O
emergency   O
appendectomy   O
was   O
scheduled   O
for   O
06/72   B-DATE
based   O
on   O
the   O
preliminary   O
diagnosis   O
by   O
Mcclain   B-NAME
.   O

London   B-NAME
Church   I-NAME
was   O
admitted   O
to   O
room   O
Robert   B-LOCATION
J.   I-LOCATION
Dole   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Regional   I-LOCATION
Office   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
pending   O
surgery   O
and   O
further   O
observation   O
.   O

Joe   B-NAME
Early   I-NAME
's   O
emergency   O
contact   O
,   O
who   O
is   O
listed   O
as   O
their   O
spouse   O
,   O
was   O
reached   O
via   O
contact   O
number   O
89566   B-CONTACT
and   O
was   O
informed   O
about   O
the   O
situation   O
.   O

The   O
aforementioned   O
details   O
have   O
been   O
duly   O
noted   O
in   O
the   O
medical   O
record   O
number   O
2017464   B-ID
in   O
Warren   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
’s   O
house   O
located   O
at   O
Barnoldswick   B-LOCATION
with   O
the   O
zip   O
code   O
91318   B-LOCATION
.   O

The   O
patient   O
's   O
online   O
portal   O
username   O
is   O
MH141   B-NAME
for   O
further   O
correspondence   O
and   O
to   O
keep   O
track   O
of   O
upcoming   O
appointments   O
and   O
test   O
results   O
.   O

Patient   O
:   O
Herman   B-NAME
Age   O
:   O
5   O
Date   O
:   O
3/22   B-DATE
Clapton   B-NAME
,   I-NAME
Eric   I-NAME
,   O
a   O
Compensation   O
,   O
Benefits   O
,   O
and   O
Job   O
Analysis   O
Specialists   O
at   O
Middleboro   B-LOCATION
Municipal   I-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
,   O
presented   O
to   O
Bell   B-LOCATION
Hospital   I-LOCATION
emergency   O
room   O
on   O
10/30   B-DATE
.   O

Baltus   B-NAME
Dunten   I-NAME
also   O
noted   O
recent   O
fatigability   O
and   O
mild   O
chest   O
discomfort   O
during   O
deep   O
breathing   O
.   O

Additionally   O
,   O
Eryn   B-NAME
Reach   I-NAME
stated   O
experiencing   O
nocturnal   O
sweats   O
,   O
but   O
denied   O
having   O
a   O
fever   O
or   O
weight   O
loss   O
.   O

Please   O
refer   O
to   O
the   O
medical   O
record   O
4281017   B-ID
for   O
more   O
information   O
.   O

Parker   B-NAME
will   O
be   O
overseeing   O
Imani   B-NAME
Blevins   I-NAME
's   O
management   O
plan   O
.   O

The   O
patient   O
will   O
be   O
closely   O
monitored   O
at   O
Fairview   B-LOCATION
Ridges   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
signs   O
of   O
clinical   O
deterioration   O
.   O

A   O
telephone   O
number   O
was   O
provided   O
to   O
the   O
patient   O
for   O
any   O
concerns   O
or   O
worsening   O
symptoms   O
:   O
309   B-CONTACT
5705   I-CONTACT
.   O

A   O
letter   O
summarizing   O
these   O
findings   O
will   O
be   O
sent   O
to   O
Abigayle   B-NAME
Johnson   I-NAME
's   O
general   O
practitioner   O
in   O
Reeder   B-LOCATION
.   O

Next   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
in   O
0   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
09   I-DATE
.   O

If   O
F.   B-NAME
JORDAN   I-NAME
FUCHS   I-NAME
does   O
not   O
improve   O
,   O
or   O
if   O
symptoms   O
worsen   O
,   O
Altsoba   B-NAME
might   O
get   O
referred   O
to   O
a   O
pulmonologist   O
at   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

Patient   O
's   O
Identification   O
:   O
NM:39845:519673   B-ID
Patient   O
's   O
home   O
address   O
:   O
Winstonâ€“Salem   B-LOCATION
,   O
30648   B-LOCATION
Doctor   O
's   O
username   O
for   O
electronic   O
record   O
access   O
:   O
nge486   B-NAME
This   O
report   O
reflects   O
the   O
patient   O
's   O
health   O
status   O
and   O
findings   O
on   O
the   O
above   O
2/03/73   B-DATE
and   O
must   O
be   O
considered   O
in   O
conjunction   O
with   O
the   O
clinical   O
examination   O
and   O
other   O
reports   O
.   O

Patient   O
Name   O
:   O
Charles   B-NAME
Tyler   I-NAME
Medical   O
Record   O
:   O
60036   B-ID
On   O
the   O
initial   O
consultation   O
held   O
on   O
22/20   B-DATE
,   O
Allison   B-NAME
Ng   I-NAME
,   O
a   O
Janitorial   O
Supervisors   O
from   O
Rodanthe   B-LOCATION
presenting   O
with   O
distressing   O
symptoms   O
was   O
examined   O
.   O

During   O
the   O
physical   O
examination   O
carried   O
out   O
by   O
Dr.   O
Mcpherson   B-NAME
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Fish   I-LOCATION
Memorial   I-LOCATION
,   O
no   O
focal   O
neurological   O
deficits   O
were   O
observed   O
.   O

As   O
a   O
result   O
of   O
the   O
patient   O
's   O
insurance   O
policy   O
2   B-ID
-   I-ID
9448260   I-ID
through   O
the   O
Brickwell   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
,   O
pre   O
-   O
approval   O
was   O
required   O
for   O
the   O
procedure   O
.   O

I   O
facilitated   O
with   O
the   O
necessary   O
paperwork   O
and   O
forwarded   O
it   O
to   O
the   O
administrative   O
office   O
via   O
call   O
on   O
44835   B-CONTACT
.   O

The   O
patient   O
came   O
in   O
for   O
the   O
follow   O
-   O
up   O
visit   O
on   O
June   B-DATE
6th   I-DATE
.   O

An   O
MRI   O
was   O
conducted   O
at   O
the   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Birmingham   I-LOCATION
in   O
North   B-LOCATION
San   I-LOCATION
Juan   I-LOCATION
.   O

Close   O
monitoring   O
of   O
Ayala   B-NAME
's   O
condition   O
has   O
been   O
advised   O
along   O
with   O
appropriate   O
stress   O
management   O
strategies   O
.   O

I   O
'll   O
be   O
coordinating   O
with   O
the   O
patient   O
's   O
employer   O
at   O
Sun   B-LOCATION
American   I-LOCATION
Bank   I-LOCATION
regarding   O
possible   O
work   O
-   O
related   O
adjustments   O
.   O

A   O
further   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Delgado   B-NAME
is   O
scheduled   O
on   O
1/21   B-DATE
.   O

All   O
the   O
above   O
details   O
were   O
shared   O
with   O
the   O
patient   O
vide   O
email   O
from   O
pr877   B-NAME
@   O
GreyStone   B-LOCATION
Power   I-LOCATION
Corp   I-LOCATION
.   I-LOCATION
.   O
com   O
.   O

Any   O
further   O
queries   O
or   O
medical   O
emergencies   O
should   O
be   O
directed   O
to   O
our   O
hotline   O
866   B-CONTACT
-   I-CONTACT
4322   I-CONTACT
.   O

The   O
permanent   O
address   O
has   O
been   O
registered   O
as   O
Rulo   B-LOCATION
,   O
23511   B-LOCATION
.   O

Despite   O
potential   O
discomfort   O
and   O
inconvenience   O
,   O
Mills   B-NAME
,   I-NAME
C.   I-NAME
Wright   I-NAME
demonstrated   O
cooperation   O
and   O
compliance   O
with   O
the   O
investigation   O
and   O
management   O
plan   O
.   O

Name   O
:   O
Hoffman   B-NAME
Age   O
:   O
28   O
Sex   O
:   O
Male   O
Location   O
:   O
Southside   B-LOCATION
ID   O
:   O
WX:9358:157354   B-ID
Medical   O
Record   O
Number   O
:   O
4993597   B-ID
Phone   O
Number   O
:   O
32627   B-CONTACT
Zip   O
Code   O
:   O
22545   B-LOCATION
Profession   O
:   O

Computer   O
Operators   O
Referring   O
Physician   O
:   O
Dr.   O
Black   B-NAME
Hospital   O
:   O

Grand   B-LOCATION
University   I-LOCATION
Clinic   I-LOCATION
Presenting   O
on   O
33/32/2271   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
,   O
Gricelda   B-NAME
Ovalle   I-NAME
was   O
taken   O
to   O
the   O
emergency   O
department   O
of   O
Pioneer   B-LOCATION
Clinic   I-LOCATION
,   O
based   O
at   O
Crestview   B-LOCATION
.   O

Considering   O
the   O
severity   O
and   O
immediate   O
need   O
of   O
the   O
situation   O
,   O
he   O
was   O
immediately   O
admitted   O
and   O
put   O
under   O
direct   O
care   O
of   O
Dr.   O
Middleton   B-NAME
.   O

He   O
is   O
a   O
Construction   O
Managers   O
by   O
profession   O
and   O
works   O
in   O
an   O
Irish   B-LOCATION
Municipal   I-LOCATION
,   I-LOCATION
Public   I-LOCATION
and   I-LOCATION
Civil   I-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
.   O

Quinton   B-NAME
Stone   I-NAME
responded   O
positively   O
to   O
the   O
antibiotics   O
within   O
72   O
hours   O
,   O
displaying   O
reduction   O
in   O
fever   O
and   O
improvement   O
in   O
breath   O
sounds   O
.   O

For   O
follow   O
up   O
care   O
,   O
his   O
contact   O
number   O
652   B-CONTACT
5617   I-CONTACT
was   O
noted   O
down   O
and   O
shared   O
with   O
the   O
outpatient   O
department   O
.   O

The   O
patient   O
was   O
then   O
discharged   O
on   O
2221   B-DATE
,   O
with   O
a   O
prescription   O
for   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
guidance   O
on   O
lifestyle   O
modifications   O
.   O

His   O
case   O
has   O
been   O
documented   O
under   O
the   O
record   O
number   O
696   B-ID
-   I-ID
87   I-ID
-   I-ID
05   I-ID
for   O
reference   O
by   O
his   O
primary   O
care   O
physician   O
Dr.   O
Meadows   B-NAME
.   O

His   O
medical   O
record   O
can   O
be   O
accessed   O
with   O
his   O
unique   O
39542671   B-ID
.   O

His   O
feedback   O
was   O
also   O
noted   O
by   O
the   O
assistant   O
nn327   B-NAME
.   O

Documentation   O
Completed   O
on   O
03/16   B-DATE
by   O
Zion   B-NAME
Lawson   I-NAME

Patient   O
Report   O
Patient   O
Name   O
:   O
Idalee   B-NAME
The   O
patient   O
,   O
a   O
Self   O
-   O
Enrichment   O
Education   O
Teachers   O
residing   O
in   O
Bishop   B-LOCATION
Auckland   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
88014   B-LOCATION
,   O
was   O
admitted   O
to   O
Paradise   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
38   B-DATE
.   O

The   O
medical   O
record   O
number   O
allotted   O
to   O
the   O
patient   O
was   O
67888477   B-ID
.   O

As   O
recorded   O
by   O
Dr.   O
Kundera   B-NAME
,   I-NAME
Milan   I-NAME
,   O
the   O
patient   O
appeared   O
to   O
be   O
around   O
12   O
month   O
years   O
old   O
and   O
was   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
which   O
was   O
intense   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

CT   O
scans   O
and   O
a   O
thorough   O
abdominal   O
ultrasound   O
were   O
conducted   O
at   O
the   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
aid   O
diagnosis   O
.   O

The   O
patient   O
's   O
social   O
security   O
information   O
was   O
checked   O
using   O
their   O
0   B-ID
-   I-ID
3556928   I-ID
number   O
to   O
ensure   O
insurance   O
coverage   O
for   O
the   O
impending   O
surgical   O
operation   O
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
successfully   O
by   O
Dr.   O
Richardson   B-NAME
and   O
his   O
team   O
on   O
03/25/68   B-DATE
.   O

Currently   O
,   O
the   O
patient   O
is   O
under   O
post   O
-   O
surgical   O
care   O
,   O
being   O
supervised   O
by   O
our   O
medical   O
staff   O
in   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
Doctors   I-LOCATION
Hospital   I-LOCATION
.   O

His   O
employer   O
Botswana   B-LOCATION
National   I-LOCATION
Development   I-LOCATION
Bank   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
was   O
notified   O
about   O
his   O
medical   O
situation   O
.   O

The   O
patient   O
's   O
recovery   O
progress   O
is   O
being   O
regularly   O
updated   O
on   O
the   O
hospital   O
's   O
patient   O
portal   O
under   O
the   O
username   O
JF970   B-NAME
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Bass   B-NAME
on   O
3/1   B-DATE
.   O

In   O
case   O
of   O
any   O
complications   O
or   O
further   O
queries   O
,   O
the   O
patient   O
was   O
advised   O
to   O
contact   O
us   O
on   O
his   O
registered   O
phone   O
number   O
66532   B-CONTACT
.   O

Conclusion   O
:   O
This   O
detailed   O
account   O
encompasses   O
the   O
arrival   O
,   O
diagnosis   O
,   O
treatment   O
,   O
and   O
post   O
-   O
operative   O
care   O
of   O
patient   O
Maye   B-NAME
Ludlow   I-NAME
at   O
Taylor   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Branson   B-NAME
Patel   I-NAME
Gender   O
:   O
Female   O
Age   O
:   O
23s   O
Medical   O
History   O
:   O
N   O
/   O
A   O
Presenting   O
Complaints   O
:   O
Patient   O
presented   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
her   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Lab   O
Reports   O
:   O
Lab   O
reports   O
dated   O
00/22/60   B-DATE
showed   O
elevated   O
levels   O
of   O
serum   O
bilirubin   O
and   O
alkaline   O
phosphatase   O
.   O

Imaging   O
Reports   O
:   O
An   O
abdominal   O
ultrasound   O
performed   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Denver   I-LOCATION
displayed   O
biliary   O
duct   O
dilatation   O
with   O
gallstones   O
.   O

She   O
will   O
be   O
referred   O
to   O
Bolton   B-NAME
,   O
a   O
Gastroenterologist   O
in   O
our   O
Arrowhead   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
team   O
.   O

The   O
patient   O
's   O
Consent   O
form   O
,   O
with   O
FD   B-ID
:   I-ID
HZ:8782   I-ID
no   O
,   O
is   O
kept   O
in   O
her   O
medical   O
record   O
no   O
,   O
35360780   B-ID
.   O

Her   O
contact   O
number   O
,   O
(   B-CONTACT
438   I-CONTACT
)   I-CONTACT
896   I-CONTACT
-   I-CONTACT
9782   I-CONTACT
,   O
can   O
be   O
used   O
for   O
any   O
further   O
referral   O
or   O
appointment   O
updates   O
.   O

Follow   O
-   O
up   O
:   O
Patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
after   O
March   B-DATE
to   O
monitor   O
her   O
liver   O
function   O
and   O
bilirubin   O
levels   O
,   O
to   O
assess   O
if   O
the   O
Jaundice   O
is   O
resolving   O
post   O
-   O
operatively   O
.   O

She   O
has   O
been   O
advised   O
to   O
collect   O
the   O
prescribed   O
medications   O
from   O
ISN   B-LOCATION
Bank   I-LOCATION
located   O
in   O
Kingsford   B-LOCATION
Heights   I-LOCATION
.   O

The   O
billing   O
details   O
are   O
made   O
under   O
the   O
patient   O
's   O
username   O
gp694   B-NAME
and   O
will   O
be   O
sent   O
to   O
her   O
office   O
as   O
she   O
is   O
the   O
Music   O
Therapists   O
at   O
the   O
company   O
.   O

Address   O
:   O
Her   O
home   O
address   O
is   O
in   O
Owyhee   B-LOCATION
,   O
with   O
zip   O
code   O
:   O
27737   B-LOCATION
.   O

This   O
case   O
was   O
presented   O
and   O
discussed   O
with   O
the   O
medical   O
team   O
at   O
PIH   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Whittier   I-LOCATION
to   O
determine   O
the   O
best   O
plan   O
of   O
management   O
.   O

Patient   O
Report   O
:   O
DUNN   B-NAME
,   I-NAME
VINCENT   I-NAME
was   O
admitted   O
to   O
the   O
Hayes   B-LOCATION
Green   I-LOCATION
Beach   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
11   I-DATE
.   O

Hailee   B-NAME
Baird   I-NAME
is   O
a   O
Funeral   O
Attendants   O
who   O
reported   O
experiencing   O
persistent   O
,   O
severe   O
headaches   O
for   O
the   O
past   O
week   O
,   O
accompanied   O
by   O
blurry   O
vision   O
and   O
bouts   O
of   O
vertigo   O
.   O

There   O
are   O
no   O
known   O
allergies   O
and   O
Vincent   B-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
occasional   O
episodes   O
of   O
migraines   O
.   O

Kimora   B-NAME
Porter   I-NAME
's   O
family   O
,   O
including   O
a   O
brother   O
who   O
is   O
65   O
years   O
old   O
,   O
also   O
experiences   O
migraine   O
headaches   O
frequently   O
.   O

In   O
physical   O
examination   O
performed   O
by   O
Little   B-NAME
,   O
a   O
nystagmus   O
and   O
a   O
mild   O
resting   O
tremor   O
were   O
observed   O
.   O

Results   O
from   O
a   O
MRI   O
scan   O
,   O
ordered   O
by   O
Dickens   B-NAME
,   I-NAME
Charles   I-NAME
and   O
executed   O
on   O
Sat   B-DATE
at   O
Nassau   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
showed   O
a   O
small   O
non   O
-   O
enhancing   O
lesion   O
on   O
the   O
left   O
frontal   O
lobe   O
.   O

The   O
findings   O
have   O
been   O
documented   O
and   O
can   O
be   O
accessed   O
using   O
the   O
394   B-ID
38   I-ID
22   I-ID
number   O
.   O

Given   O
the   O
patient   O
's   O
condition   O
and   O
medical   O
history   O
,   O
Clapton   B-NAME
,   I-NAME
Eric   I-NAME
suggested   O
initiating   O
beta   O
blockers   O
and   O
considered   O
a   O
follow   O
up   O
in   O
a   O
month   O
time   O
.   O

Stanley   B-NAME
also   O
referred   O
Kimbra   B-NAME
Cogar   I-NAME
to   O
a   O
neurologist   O
in   O
the   O
same   O
clinic   O
who   O
could   O
be   O
contacted   O
through   O
85769   B-CONTACT
for   O
additional   O
consultation   O
.   O

Post   O
discharge   O
,   O
Furion   B-NAME
Lemans   I-NAME
is   O
recommended   O
to   O
avoid   O
stressful   O
environments   O
and   O
activities   O
that   O
might   O
trigger   O
a   O
migraine   O
.   O

Regular   O
check   O
-   O
ins   O
were   O
advised   O
in   O
Maricopa   B-LOCATION
Colony   I-LOCATION
health   O
center   O
,   O
regarding   O
a   O
monthly   O
adherence   O
therapy   O
session   O
.   O

The   O
therapy   O
has   O
been   O
planned   O
keeping   O
Kelly   B-NAME
's   O
professional   O
obligations   O
as   O
a   O
filmmaker   O
in   O
mind   O
.   O

The   O
necessary   O
identity   O
XC898/4712   B-ID
and   O
details   O
will   O
be   O
mailed   O
to   O
the   O
Finney   B-NAME
,   I-NAME
Albert   I-NAME
’s   O
registered   O
address   O
,   O
57239   B-LOCATION
.   O

Should   O
Lucy   B-NAME
Best   I-NAME
or   O
any   O
family   O
member   O
notice   O
worsening   O
of   O
symptoms   O
or   O
develop   O
any   O
new   O
symptoms   O
,   O
they   O
should   O
contact   O
the   O
on   O
-   O
call   O
healthcare   O
professional   O
immediately   O
and   O
provide   O
the   O
reference   O
2224911   B-ID
number   O
to   O
facilitate   O
quick   O
and   O
accurate   O
access   O
to   O
medical   O
records   O
.   O

Cali   B-NAME
Mccarthy   I-NAME
is   O
also   O
subscribed   O
to   O
the   O
MercyOne   B-LOCATION
Centerville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
online   O
health   O
portal   O
,   O
using   O
the   O
username   O
:   O
qf213   B-NAME
where   O
treatment   O
progress   O
can   O
be   O
track   O
down   O
and   O
any   O
queries   O
can   O
be   O
submitted   O
to   O
the   O
team   O
.   O

Report   O
compiled   O
by   O
:   O
Desmond   B-NAME
,   I-NAME
Paul   I-NAME
under   O
association   O
with   O
FirstEnergy   B-LOCATION
(   I-LOCATION
Jersey   I-LOCATION
Central   I-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
)   I-LOCATION
Reg   O
.   O
FE403/9370   B-ID
on   O
02/31   B-DATE
for   O
Dayanara   B-NAME
House   I-NAME
.   O

Patient   O
Information   O
:   O
Francesca   B-NAME
Alberghetti   I-NAME
:   O
Carlin   B-NAME
,   I-NAME
George   I-NAME
Age   O
:   O
47   O
Address   O
:   O
Big   B-LOCATION
Horn   I-LOCATION
,   O
56191   B-LOCATION
Phone   O
:   O
167   B-CONTACT
-   I-CONTACT
301   I-CONTACT
-   I-CONTACT
7157   I-CONTACT
Doctor   O
:   O
Solomon   B-NAME
Hospital   O
:   O
Munson   B-LOCATION
Healthcare   I-LOCATION
Manistee   I-LOCATION
Hospital   I-LOCATION
Consultation   O
Details   O
:   O

The   O
patient   O
,   O
Junior   B-NAME
Avery   I-NAME
,   O
presented   O
at   O
the   O
Emergency   O
Department   O
of   O
Regency   B-LOCATION
Hospital   I-LOCATION
on   O
6/21   B-DATE
.   O

The   O
patient   O
is   O
a   O
Insurance   O
Policy   O
Processing   O
Clerks   O
,   O
has   O
no   O
significant   O
medical   O
history   O
and   O
no   O
recent   O
travels   O
outside   O
of   O
Fairland   B-LOCATION
.   O

Dr.   O
Hicks   B-NAME
suspected   O
Acute   O
Appendicitis   O
and   O
proceeded   O
to   O
order   O
an   O
Abdominal   O
CT   O
scan   O
.   O

The   O
patient   O
's   O
family   O
was   O
contacted   O
via   O
(   B-CONTACT
387   I-CONTACT
)   I-CONTACT
498   I-CONTACT
-   I-CONTACT
3154   I-CONTACT
number   O
to   O
discuss   O
the   O
diagnosis   O
and   O
decide   O
on   O
the   O
next   O
steps   O
moving   O
forward   O
.   O

The   O
patient   O
was   O
immediately   O
scheduled   O
for   O
an   O
emergency   O
appendectomy   O
by   O
the   O
surgical   O
team   O
at   O
Salinas   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
.   O

Dr.   O
Tori   B-NAME
Rogers   I-NAME
deemed   O
the   O
surgery   O
successful   O
and   O
the   O
patient   O
was   O
moved   O
to   O
the   O
post   O
-   O
operative   O
ward   O
for   O
recovery   O
.   O

It   O
was   O
advised   O
that   O
the   O
patient   O
will   O
need   O
to   O
rest   O
for   O
the   O
next   O
few   O
weeks   O
in   O
Statesville   B-LOCATION
.   O

The   O
follow   O
-   O
up   O
visit   O
was   O
subsequently   O
scheduled   O
for   O
30/02   B-DATE
.   O

For   O
further   O
details   O
please   O
refer   O
to   O
the   O
medical   O
record   O
number   O
HW336   B-ID
.   O

During   O
the   O
course   O
of   O
treatment   O
,   O
patient   O
's   O
identity   O
was   O
verified   O
with   O
BO465/9173   B-ID
and   O
their   O
insurance   O
details   O
were   O
processed   O
with   O
the   O
assistance   O
of   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Anthony   I-LOCATION
.   O

All   O
records   O
of   O
the   O
patient   O
have   O
been   O
stored   O
under   O
the   O
username   O
bh626   B-NAME
,   O
ensuring   O
confidentiality   O
and   O
privacy   O
of   O
the   O
patient   O
's   O
personal   O
health   O
data   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Jaliyah   B-NAME
Garrison   I-NAME
on   O
22/01   B-DATE
.   O

The   O
team   O
at   O
Longs   B-LOCATION
Peak   I-LOCATION
Hospital   I-LOCATION
appreciates   O
the   O
cooperation   O
of   O
the   O
patient   O
,   O
Glenn   B-NAME
Turner   I-NAME
,   O
and   O
wishes   O
them   O
a   O
speedy   O
recovery   O
.   O

Patient   O
Report   O
:   O
Greg   B-NAME
Overman   I-NAME
,   O
age   O
30   O
,   O
presented   O
to   O
Pen   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
39/16   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
their   O
primary   O
care   O
physician   O
Skinner   B-NAME
.   O

In   O
accordance   O
with   O
medical   O
regulations   O
,   O
the   O
patient   O
's   O
identity   O
will   O
be   O
protected   O
by   O
referring   O
to   O
them   O
with   O
their   O
i   O
d   O
number   O
,   O
19134412   B-ID
.   O

At   O
San   B-LOCATION
Mar   I-LOCATION
,   O
we   O
have   O
planned   O
for   O
an   O
ultrasound   O
of   O
the   O
abdomen   O
and   O
a   O
complete   O
blood   O
count   O
test   O
.   O

The   O
results   O
will   O
be   O
available   O
on   O
the   O
patient   O
's   O
medical   O
record   O
number   O
,   O
399084   B-ID
,   O
and   O
the   O
information   O
can   O
be   O
accessed   O
by   O
the   O
patient   O
via   O
our   O
online   O
portal   O
using   O
their   O
username   O
,   O
tqp533   B-NAME
.   O

In   O
the   O
case   O
of   O
any   O
emergencies   O
,   O
the   O
patient   O
should   O
immediately   O
contact   O
Bethesda   B-LOCATION
Butler   I-LOCATION
Hospital   I-LOCATION
at   O
51377   B-CONTACT
.   O

As   O
the   O
patient   O
works   O
as   O
a   O
Water   O
conservation   O
officer   O
at   O
the   O
Republic   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
,   O
necessary   O
adjustments   O
to   O
their   O
work   O
routine   O
have   O
been   O
suggested   O
.   O

The   O
detailed   O
report   O
,   O
along   O
with   O
the   O
proposed   O
treatment   O
plan   O
,   O
will   O
be   O
sent   O
via   O
mail   O
to   O
the   O
patient   O
's   O
address   O
in   O
94980   B-LOCATION
.   O

The   O
patient   O
's   O
primary   O
care   O
provider   O
,   O
Mack   B-NAME
,   O
at   O
American   B-LOCATION
Fork   I-LOCATION
Hospital   I-LOCATION
will   O
be   O
updated   O
regarding   O
the   O
progress   O
.   O

This   O
report   O
is   O
generated   O
by   O
Lakeland   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
’s   O
automated   O
report   O
generator   O
system   O
.   O

Patient   O
Report   O
:   O
Karah   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
UPMC   B-LOCATION
ST   I-LOCATION
MARGARET   I-LOCATION
on   O
22/39/2013   B-DATE
complaining   O
of   O
severe   O
,   O
stabbing   O
-   O
like   O
,   O
right   O
-   O
sided   O
abdominal   O
pain   O
.   O

Her   O
past   O
medical   O
history   O
revealed   O
that   O
she   O
carries   O
a   O
diagnosis   O
of   O
gallstones   O
which   O
was   O
identified   O
during   O
a   O
routine   O
health   O
screening   O
done   O
at   O
the   O
Indian   B-LOCATION
National   I-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
Congress   I-LOCATION
two   O
years   O
ago   O
.   O

During   O
the   O
physical   O
examination   O
performed   O
by   O
Alan   B-NAME
Khan   I-NAME
,   O
Spence   B-NAME
,   I-NAME
Gerry   I-NAME
had   O
a   O
blood   O
pressure   O
of   O
130/80   O
mmHg   O
,   O
pulse   O
rate   O
of   O
90   O
beats   O
per   O
minute   O
,   O
and   O
body   O
temperature   O
of   O
98.6   O
°   O
F   O
.   O

The   O
CT   O
scan   O
report   O
17792915   B-ID
identified   O
evidence   O
of   O
a   O
large   O
gallstone   O
obstructing   O
the   O
cystic   O
duct   O
.   O

Ollie   B-NAME
Kern   I-NAME
's   O
next   O
of   O
kin   O
,   O
a   O
Music   O
Directors   O
,   O
residing   O
at   O
Atlanta   B-LOCATION
,   O
has   O
been   O
informed   O
of   O
her   O
condition   O
and   O
the   O
planned   O
surgical   O
intervention   O
.   O

Rowan   B-NAME
Hooper   I-NAME
's   O
contact   O
details   O
,   O
including   O
the   O
396   B-CONTACT
6284   I-CONTACT
number   O
and   O
IS538/7228   B-ID
,   O
are   O
noted   O
in   O
her   O
record   O
.   O

Her   O
post   O
-   O
operative   O
appointment   O
is   O
scheduled   O
for   O
10/58   B-DATE
at   O
Lake   B-LOCATION
Chelan   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

All   O
the   O
above   O
-   O
mentioned   O
medical   O
information   O
is   O
securely   O
stored   O
under   O
JK7010   B-NAME
in   O
the   O
hospital   O
's   O
system   O
.   O

The   O
patient   O
's   O
residential   O
61627   B-LOCATION
code   O
is   O
noted   O
for   O
delivery   O
of   O
all   O
the   O
necessary   O
medical   O
supplies   O
for   O
post   O
-   O
operative   O
care   O
.   O

All   O
the   O
clinical   O
observations   O
and   O
treatments   O
were   O
performed   O
following   O
the   O
approved   O
guidelines   O
and   O
policies   O
of   O
Chemical   B-LOCATION
Society   I-LOCATION
Located   I-LOCATION
in   I-LOCATION
Taipei   I-LOCATION
(   I-LOCATION
CSLT   I-LOCATION
)   I-LOCATION
.   O

We   O
will   O
follow   O
up   O
on   O
the   O
recovery   O
process   O
and   O
ensure   O
all   O
necessary   O
care   O
is   O
provided   O
to   O
Abigayle   B-NAME
Schaefer   I-NAME
.   O

Patient   O
Name   O
:   O
Fitzgerald   B-NAME
Date   O
:   O
Jul   B-DATE
27   I-DATE
Hospital   O
:   O
Bluefield   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Doctor   O
Attending   O
:   O
Deacon   B-NAME
Hess   I-NAME
The   O
88   O
year   O
old   O
patient   O
was   O
brought   O
to   O
our   O
medical   O
center   O
,   O
VA   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
on   O
03/13   B-DATE
,   O
with   O
a   O
variety   O
of   O
symptoms   O
.   O

A   O
chest   O
X   O
-   O
Ray   O
was   O
ordered   O
by   O
Dr.   O
Savage   B-NAME
who   O
first   O
attended   O
to   O
Garrett   B-NAME
Carroll   I-NAME
.   O

Based   O
on   O
these   O
findings   O
,   O
Dr.   O
Whitney   B-NAME
Ball   I-NAME
requested   O
a   O
complete   O
blood   O
count   O
,   O
liver   O
function   O
tests   O
,   O
and   O
kidney   O
function   O
tests   O
to   O
identify   O
potential   O
inflammation   O
and   O
assess   O
organ   O
functionality   O
.   O

Plimpton   B-NAME
,   I-NAME
Martha   I-NAME
hails   O
from   O
Bena   B-LOCATION
and   O
worked   O
as   O
a   O
Recreation   O
Workers   O
for   O
Merchants   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
.   O

Bronson   B-NAME
Ellis   I-NAME
’s   O
personal   O
information   O
,   O
including   O
their   O
ID   O
(   O
8   B-ID
-   I-ID
9215290   I-ID
)   O
,   O
security   O
number   O
,   O
and   O
contact   O
information   O
were   O
also   O
taken   O
for   O
record   O
-   O
keeping   O
(   O
22583   B-ID
)   O
.   O

In   O
an   O
attempt   O
to   O
reach   O
Kingsley   B-NAME
,   I-NAME
Charles   I-NAME
’s   O
immediate   O
family   O
,   O
we   O
dialed   O
834   B-CONTACT
-   I-CONTACT
2808   I-CONTACT
but   O
received   O
no   O
response   O
.   O

While   O
analyzing   O
Elmer   B-NAME
Knott   I-NAME
's   O
residential   O
situation   O
,   O
it   O
was   O
found   O
that   O
patient   O
resides   O
in   O
the   O
zip   O
code   O
55432   B-LOCATION
.   O

It   O
was   O
also   O
revealed   O
that   O
Quinn   B-NAME
Rutledge   I-NAME
is   O
living   O
with   O
an   O
elderly   O
family   O
member   O
who   O
might   O
also   O
be   O
at   O
risk   O
,   O
given   O
Jazmyn   B-NAME
Cook   I-NAME
's   O
current   O
situation   O
.   O

In   O
addition   O
,   O
Samara   B-NAME
Hurley   I-NAME
's   O
unique   O
username   O
to   O
access   O
their   O
online   O
health   O
portal   O
is   O
pd904   B-NAME
.   O

Through   O
this   O
,   O
they   O
can   O
track   O
their   O
medical   O
history   O
,   O
treatment   O
plans   O
designed   O
by   O
Dr.   O
al   B-NAME
-   I-NAME
Sadr   I-NAME
,   I-NAME
Muqtada   I-NAME
,   O
as   O
well   O
as   O
healthcare   O
delivery   O
services   O
.   O

Upon   O
the   O
diagnosis   O
,   O
we   O
decided   O
to   O
admit   O
Jamarion   B-NAME
Graham   I-NAME
to   O
the   O
Lockport   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
more   O
controlled   O
environment   O
and   O
further   O
testing   O
.   O

Enclosed   O
is   O
the   O
detailed   O
report   O
of   O
Schultz   B-NAME
’s   O
case   O
as   O
of   O
32/20/2350   B-DATE
.   O

We   O
hope   O
for   O
a   O
speedy   O
recovery   O
and   O
our   O
medical   O
team   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Fort   I-LOCATION
Wayne   I-LOCATION
is   O
doing   O
everything   O
within   O
its   O
capacity   O
to   O
ensure   O
that   O
happens   O
.   O

Sincerely   O
,   O
Rivers   B-NAME

Patient   O
Name   O
:   O
Sanchez   B-NAME
Age   O
:   O
35   O
Hospital   O
Name   O
:   O
Norton   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
&   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Doctor   O
's   O
Name   O
:   O
Rubio   B-NAME
Location   O
:   O
Santa   B-LOCATION
Maria   I-LOCATION
Patient   O
Anthony   B-NAME
,   I-NAME
Susan   I-NAME
B.   I-NAME
had   O
been   O
brought   O
into   O
the   O
ER   O
at   O
Murray   B-LOCATION
-   I-LOCATION
Calloway   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
22/2185   B-DATE
.   O

The   O
patient   O
was   O
brought   O
by   O
an   O
ambulance   O
from   O
Wilkesboro   B-LOCATION
responding   O
to   O
a   O
distress   O
call   O
made   O
from   O
phone   O
number   O
76715   B-CONTACT
.   O

The   O
emergency   O
staff   O
,   O
under   O
the   O
guidance   O
of   O
Tomas   B-NAME
Collins   I-NAME
,   O
immediately   O
administered   O
oxygen   O
therapy   O
to   O
stabilize   O
his   O
breathing   O
.   O

According   O
to   O
the   O
patient   O
's   O
medical   O
record   O
no   O
.   O
6982325   B-ID
,   O
the   O
patient   O
was   O
previously   O
diagnosed   O
with   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
.   O

The   O
records   O
from   O
Decatur   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
show   O
history   O
of   O
tobacco   O
usage   O
,   O
which   O
is   O
likely   O
the   O
cause   O
for   O
COPD   O
.   O

His   O
ID   O
card   O
3400936   B-ID
also   O
stated   O
clearly   O
that   O
he   O
was   O
in   O
his   O
42   O
,   O
having   O
retired   O
recently   O
from   O
his   O
Wind   O
Energy   O
Project   O
Managers   O
.   O

The   O
off   O
-   O
site   O
diagnosis   O
was   O
shared   O
from   O
Username   O
sq688   B-NAME
for   O
the   O
validity   O
.   O

The   O
47572   B-LOCATION
code   O
on   O
his   O
file   O
also   O
suggested   O
he   O
traveled   O
a   O
long   O
way   O
from   O
his   O
home   O
to   O
the   O
hospital   O
.   O

His   O
primary   O
doctor   O
Figueroa   B-NAME
works   O
for   O
the   O
Commonwealth   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Initiative   I-LOCATION
which   O
is   O
miles   O
away   O
from   O
Miller   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
contact   O
number   O
201   B-CONTACT
120   I-CONTACT
5276   I-CONTACT
on   O
the   O
file   O
is   O
ineffective   O
.   O

We   O
prepared   O
a   O
comprehensive   O
care   O
plan   O
for   O
Darwin   B-NAME
Sims   I-NAME
to   O
manage   O
his   O
COPD   O
and   O
a   O
course   O
of   O
antibiotics   O
to   O
deal   O
with   O
the   O
suspected   O
infection   O
.   O

Patient   O
Info   O
:   O
Name   O
:   O
Farrah   B-NAME
Hanna   I-NAME
Age   O
:   O
29   O
Medical   O
record   O
number   O
:   O
43723502   B-ID
Date   O
:   O
3/21   B-DATE
Synopsis   O
:   O
Patient   O
Charles   B-NAME
Litto   I-NAME
arrived   O
at   O
Riverview   B-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
,   O
persistent   O
chest   O
pain   O
that   O
radiated   O
to   O
his   O
left   O
arm   O
.   O

Medical   O
History   O
:   O
Eli   B-NAME
James   I-NAME
is   O
a   O
Entertainment   O
Attendants   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
with   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
elevated   O
cholesterol   O
levels   O
.   O

He   O
resides   O
at   O
Norwalk   B-LOCATION
in   O
the   O
83624   B-LOCATION
.   O

Scott   B-NAME
Fink   I-NAME
is   O
currently   O
on   O
medication   O
for   O
hypertension   O
-   O
Losartan   O
50   O
mg   O
once   O
daily   O
and   O
Atorvastatin   O
20   O
mg   O
once   O
daily   O
.   O

Clinical   O
Findings   O
:   O
Dr.   O
Terrell   B-NAME
performed   O
a   O
comprehensive   O
physical   O
examination   O
on   O
Dori   B-NAME
which   O
revealed   O
signs   O
of   O
distress   O
-   O
elevated   O
heart   O
rate   O
,   O
perspiration   O
,   O
and   O
shallow   O
breathing   O
.   O

Plan   O
:   O
Patient   O
Minow   B-NAME
,   I-NAME
Newton   I-NAME
N.   I-NAME
was   O
admitted   O
to   O
the   O
Cardiology   O
department   O
at   O
KershawHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

A   O
cardiology   O
consult   O
was   O
requested   O
and   O
Dr.   O
Wilkins   B-NAME
suggested   O
performing   O
a   O
coronary   O
angiography   O
.   O

In   O
case   O
of   O
further   O
inquiries   O
,   O
contact   O
can   O
be   O
made   O
via   O
45518   B-CONTACT
.   O

On   O
a   O
slightly   O
unrelated   O
note   O
,   O
Livia   B-NAME
Young   I-NAME
showed   O
interest   O
to   O
quit   O
smoking   O
and   O
requested   O
resources   O
.   O

He   O
was   O
referred   O
to   O
the   O
Smoking   O
Cessation   O
Program   O
at   O
Cruelty   B-LOCATION
Free   I-LOCATION
International   I-LOCATION
.   O

Note   O
:   O
Patient   O
's   O
assessment   O
and   O
necessary   O
actions   O
were   O
taken   O
with   O
the   O
consent   O
of   O
the   O
patient   O
in   O
accordance   O
with   O
the   O
13289   B-ID
guidelines   O
for   O
patient   O
safety   O
and   O
care   O
.   O

Prepared   O
by   O
:   O
uei1010   B-NAME
(   O
These   O
notes   O
are   O
confidential   O
and   O
should   O
not   O
be   O
distributed   O
without   O
the   O
consent   O
of   O
the   O
patient   O
or   O
the   O
handling   O
physician   O
)   O

Patient   O
Name   O
:   O
Echols   B-NAME
,   I-NAME
Damien   I-NAME
Age   O
:   O
31   O
Gender   O
:   O

Female   O
Medical   O
Record   O
Number   O
:   O
037   B-ID
-   I-ID
46   I-ID
-   I-ID
83   I-ID
-   I-ID
9   I-ID
Residential   O
Address   O
:   O
Mediapolis   B-LOCATION
Zip   O
Code   O
:   O
29220   B-LOCATION
Contact   O
:   O
588   B-CONTACT
-   I-CONTACT
9464   I-CONTACT

The   O
patient   O
(   O
Raleigh   B-NAME
,   I-NAME
Sir   I-NAME
Walter   I-NAME
)   O
was   O
seen   O
by   O
Dr.   O
Ali   B-NAME
,   I-NAME
Tariq   I-NAME
at   O
Morgan   B-LOCATION
County   I-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
on   O
07/20/06   B-DATE
.   O

This   O
was   O
a   O
follow   O
-   O
up   O
visit   O
post   O
her   O
surgery   O
for   O
arthroscopic   O
rotator   O
cuff   O
repair   O
completed   O
at   O
UT   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
Tyler   I-LOCATION
two   O
weeks   O
ago   O
.   O

On   O
examination   O
,   O
Foch   B-NAME
,   I-NAME
Ferdinand   I-NAME
's   O
vitals   O
were   O
stable   O
.   O

Her   O
medical   O
history   O
includes   O
type   O
2   O
diabetes   O
managed   O
with   O
HCC   B-LOCATION
Insurance   I-LOCATION
Holdings   I-LOCATION
's   O
prescribed   O
insulin   O
RQ:60916:352766   B-ID
and   O
mild   O
hypertension   O
which   O
is   O
regulated   O
with   O
beta   O
-   O
blockers   O
.   O

Ellie   B-NAME
Oconnell   I-NAME
is   O
a   O
retired   O
Broadcast   O
News   O
Analysts   O
and   O
lives   O
with   O
her   O
husband   O
in   O
Tottenham   B-LOCATION
.   O

Post   O
-   O
surgery   O
,   O
she   O
has   O
been   O
under   O
home   O
care   O
provided   O
by   O
a   O
registered   O
nurse   O
from   O
Air   B-LOCATION
Line   I-LOCATION
Pilots   I-LOCATION
Association   I-LOCATION
,   I-LOCATION
International   I-LOCATION
.   O

Her   O
sister   O
SC511   B-NAME
has   O
been   O
supportive   O
and   O
often   O
accompanies   O
her   O
for   O
visits   O
.   O

During   O
the   O
visit   O
,   O
Dr.   O
Sutton   B-NAME
advised   O
her   O
to   O
continue   O
with   O
current   O
medications   O
and   O
gently   O
start   O
physical   O
therapy   O
under   O
supervision   O
at   O
UAB   B-LOCATION
Highlands   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
5/22   B-DATE
.   O

For   O
any   O
emergency   O
,   O
Aquila   B-NAME
or   O
her   O
family   O
can   O
reach   O
out   O
to   O
Dr.   O
Lucas   B-NAME
on   O
her   O
office   O
794   B-CONTACT
-   I-CONTACT
4977   I-CONTACT
.   O

Patient   O
Report   O
:   O
Mel   B-NAME
Buffkin   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Florida   B-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
Pinellas   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
Helen   I-LOCATION
Ellis   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
on   O
Friday   B-DATE
.   O

Vernon   B-NAME
is   O
a   O
93   O
year   O
old   O
who   O
works   O
as   O
a   O
Forest   O
Fire   O
Fighting   O
and   O
Prevention   O
Supervisors   O
.   O

THORNE   B-NAME
,   I-NAME
OLIVER   I-NAME
also   O
noted   O
associated   O
symptoms   O
-   O
shortness   O
of   O
breath   O
,   O
particularly   O
during   O
moderate   O
physical   O
activity   O
,   O
episodes   O
of   O
dizziness   O
,   O
and   O
a   O
feeling   O
of   O
impending   O
doom   O
.   O

Wyden   B-NAME
,   I-NAME
Ron   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
.   O

Isaac   B-NAME
Upson   I-NAME
's   O
vitals   O
on   O
admission   O
were   O
BP   O
150/90   O
mm   O

Ball   B-NAME
ordered   O
for   O
cardiac   O
markers   O
,   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
and   O
Metabolic   O
panel   O
,   O
results   O
of   O
which   O
are   O
pending   O
.   O

Devan   B-NAME
Chandler   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
statin   O
as   O
per   O
chest   O
pain   O
protocol   O
.   O

Emergency   O
contact   O
would   O
be   O
Jovani   B-NAME
Patterson   I-NAME
's   O
spouse   O
,   O
contactable   O
at   O
139   B-CONTACT
-   I-CONTACT
467   I-CONTACT
9684   I-CONTACT
.   O

The   O
patient   O
resides   O
in   O
West   B-LOCATION
Palm   I-LOCATION
Beach   I-LOCATION
and   O
his   O
employer   O
is   O
Botswana   B-LOCATION
Bank   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

88429442   B-ID
and   O
financial   O
details   O
were   O
double   O
checked   O
for   O
verification   O
purposes   O
.   O

Blair   B-NAME
,   I-NAME
Robert   I-NAME
presented   O
his   O
driving   O
license   O
with   O
MS:80384:764685   B-ID
and   O
Social   O
Security   O
571743241   B-ID
.   O

The   O
insurance   O
policy   O
number   O
is   O
7   B-ID
-   I-ID
4682119   I-ID
.   O

The   O
primary   O
care   O
appointment   O
has   O
been   O
scheduled   O
for   O
10/26/1653   B-DATE
to   O
discuss   O
further   O
management   O
.   O

This   O
report   O
is   O
prepared   O
by   O
xv853   B-NAME
and   O
secured   O
with   O
patient   O
's   O
zip   O
code   O
50926   B-LOCATION
for   O
privacy   O
.   O

Patient   O
Name   O
:   O
Delcie   B-NAME
Ponder   I-NAME
MRN   O
:   O
10038623   B-ID
Date   O
:   O
1975   B-DATE
Age   O
:   O
87   O
Location   O
:   O
Wisconsin   B-LOCATION
Hospital   O
:   O

Alton   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Doctor   O
:   O
Brian   B-NAME
Pearson   I-NAME
SSN   O
:   O
5   B-ID
-   I-ID
5317568   I-ID
Interamerican   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Environmental   I-LOCATION
Defense   I-LOCATION

This   O
consultation   O
was   O
requested   O
by   O
Dr.   O
Burnham   B-NAME
,   I-NAME
Daniel   I-NAME
for   O
further   O
assessment   O
of   O
the   O
patient   O
's   O
chronic   O
dyspnea   O
.   O

Thedotus   B-NAME
McCuan   I-NAME
presented   O
complaints   O
of   O
persistent   O
wheezing   O
and   O
shortness   O
of   O
breath   O
,   O
particularly   O
during   O
physical   O
exertion   O
.   O

The   O
Chest   O
X   O
-   O
Ray   O
performed   O
at   O
Moses   B-LOCATION
Taylor   I-LOCATION
Hospital   I-LOCATION
on   O
1/1   B-DATE
revealed   O
hyperinflation   O
and   O
bronchial   O
wall   O
thickening   O
,   O
both   O
indicative   O
of   O
an   O
obstructive   O
pulmonary   O
disease   O
.   O

Family   O
history   O
revealed   O
that   O
Maverick   B-NAME
Michael   I-NAME
's   O
mother   O
was   O
diagnosed   O
with   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
at   O
age   O
6   O
month   O
.   O

Lange   B-NAME
has   O
been   O
prescribed   O
a   O
bronchodilator   O
and   O
corticosteroid   O
inhaler   O
.   O

Expected   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Paige   B-NAME
,   I-NAME
Satchel   I-NAME
at   O
McKenzie   B-LOCATION
-   I-LOCATION
Willamette   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
after   O
4   O
weeks   O
,   O
on   O
0/21   B-DATE
.   O

For   O
emergencies   O
,   O
Summers   B-NAME
can   O
be   O
reached   O
at   O
77010   B-CONTACT
or   O
at   O
their   O
home   O
address   O
in   O
70121   B-LOCATION
.   O

The   O
patient   O
's   O
records   O
residing   O
in   O
our   O
Central   O
Health   O
Records   O
System   O
under   O
the   O
user   O
identification   O
OB588   B-NAME
.   O

The   O
patient   O
's   O
medical   O
insurance   O
plan   O
number   O
is   O
9941727   B-ID
.   O

Please   O
,   O
maintain   O
the   O
privacy   O
and   O
confidentiality   O
of   O
the   O
patient   O
's   O
personal   O
health   O
information   O
in   O
accordance   O
with   O
the   O
legal   O
requirements   O
of   O
Mercantile   B-LOCATION
Stars   I-LOCATION
.   O

Patient   O
Report   O
Victoria   B-NAME
Keene   I-NAME
,   O
a   O
34   O
-   O
year   O
-   O
old   O
individual   O
,   O
visited   O
our   O
medical   O
facility   O
located   O
at   O
223   B-LOCATION
Buckingham   I-LOCATION
Street   I-LOCATION
on   O
03/13/2143   B-DATE
.   O

Shea   B-NAME
noted   O
that   O
the   O
patient   O
complained   O
about   O
moderate   O
to   O
intense   O
chest   O
pain   O
,   O
occurring   O
sporadically   O
throughout   O
the   O
day   O
.   O

Arteaga   B-NAME
also   O
reported   O
experiencing   O
unexplained   O
fatigue   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
lightheadedness   O
.   O

Upon   O
conducting   O
several   O
diagnostic   O
tests   O
,   O
including   O
X   O
-   O
rays   O
and   O
an   O
Electrocardiogram   O
(   O
ECG   O
)   O
,   O
Arielle   B-NAME
Westcott   I-NAME
believes   O
that   O
these   O
symptoms   O
may   O
be   O
indicative   O
of   O
an   O
underlying   O
heart   O
condition   O
.   O

The   O
patient   O
's   O
medical   O
records   O
9812296   B-ID
were   O
consulted   O
for   O
further   O
information   O
.   O

The   O
patient   O
's   O
demographic   O
information   O
,   O
including   O
their   O
HM:78779:255360   B-ID
and   O
phone   O
number   O
(   B-CONTACT
478   I-CONTACT
)   I-CONTACT
168   I-CONTACT
7287   I-CONTACT
,   O
were   O
verified   O
.   O

Leon   B-NAME
Yamauchi   I-NAME
is   O
a   O
resident   O
of   O
San   B-LOCATION
Antonio   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
78216   I-LOCATION
and   O
works   O
as   O
a   O
Editorial   O
assistant   O
.   O

They   O
are   O
insured   O
under   O
Independence   B-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
.   O

In   O
order   O
to   O
formulate   O
a   O
better   O
understanding   O
of   O
the   O
disease   O
progression   O
,   O
Annika   B-NAME
Brewer   I-NAME
has   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

Meredith   B-NAME
Rios   I-NAME
will   O
be   O
required   O
to   O
undergo   O
a   O
set   O
of   O
advanced   O
diagnostic   O
tests   O
at   O
University   B-LOCATION
Hospitals   I-LOCATION
Richmond   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

We   O
reached   O
out   O
to   O
Kendall   B-NAME
Brown   I-NAME
at   O
their   O
home   O
,   O
a   O
house   O
numbered   O
79967   B-LOCATION
on   O
20/29/42   B-DATE
.   O

We   O
also   O
reached   O
out   O
to   O
kr234   B-NAME
for   O
further   O
consultation   O
.   O

We   O
are   O
trying   O
our   O
best   O
to   O
ensure   O
medical   O
care   O
while   O
keeping   O
the   O
patient   O
's   O
identity   O
and   O
other   O
essential   O
pieces   O
of   O
information   O
like   O
their   O
address   O
at   O
Altamonte   B-LOCATION
Springs   I-LOCATION
,   I-LOCATION
FL   I-LOCATION
32714   I-LOCATION
,   O
social   O
security   O
BH172/7695   B-ID
,   O
and   O
home   O
802   B-CONTACT
-   I-CONTACT
957   I-CONTACT
7866   I-CONTACT
number   O
confidential   O
.   O

Patient   O
Name   O
:   O
Campbell   B-NAME
Age   O
:   O
73   O
Patient   O
ID   O
:   O
FP   B-ID
:   I-ID
FV:2725   B-ID
Hospital   O
:   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
2076   B-DATE
Doctor   O
:   O
Andrade   B-NAME
958   B-ID
-   I-ID
01   I-ID
-   I-ID
86   I-ID
:   O
Odis   B-NAME
was   O
admitted   O
to   O
the   O
Lincoln   B-LOCATION
Hospital   I-LOCATION
on   O
1872   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
23   I-DATE
following   O
a   O
severe   O
episode   O
of   O
chest   O
pain   O
which   O
occurred   O
at   O
his   O
residence   O
in   O
Brownlee   B-LOCATION
.   O

Besides   O
hypertension   O
,   O
Knowles   B-NAME
is   O
also   O
a   O
diabetic   O
patient   O
managed   O
on   O
insulin   O
and   O
oral   O
hypoglycemic   O
agents   O
.   O

The   O
primary   O
managing   O
physician   O
,   O
Dr.   O
Cline   B-NAME
,   O
recommended   O
an   O
immediate   O
coronary   O
angiography   O
.   O

Post   O
-   O
procedure   O
,   O
the   O
patient   O
was   O
kept   O
under   O
cardiac   O
monitoring   O
in   O
the   O
Critical   O
Care   O
Unit   O
of   O
the   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Southside   I-LOCATION
.   O

As   O
per   O
protocol   O
,   O
the   O
patient   O
's   O
family   O
at   O
785   B-CONTACT
964   I-CONTACT
8666   I-CONTACT
was   O
updated   O
regularly   O
about   O
the   O
progress   O
.   O

Upon   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
1812   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
19   I-DATE
with   O
Dr.   O
Terrell   B-NAME
Jenkins   I-NAME
,   O
Bill   B-NAME
Baxter   I-NAME
was   O
recovering   O
well   O
without   O
any   O
signs   O
of   O
significant   O
arrhythmia   O
or   O
heart   O
failure   O
.   O

Dr.   O
Norah   B-NAME
Hurst   I-NAME
recommended   O
a   O
few   O
lifestyle   O
changes   O
,   O
including   O
a   O
heart   O
-   O
healthy   O
diet   O
and   O
regular   O
exercise   O
along   O
with   O
medication   O
compliance   O
.   O

Hussein   B-NAME
,   I-NAME
Saddam   I-NAME
was   O
advised   O
to   O
promptly   O
contact   O
our   O
heart   O
helpline   O
at   O
521   B-CONTACT
3386   I-CONTACT
if   O
there   O
is   O
recurrence   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
any   O
other   O
concerning   O
symptoms   O
.   O

Next   O
apt   O
scheduled   O
on   O
1/26   B-DATE
at   O
Auburn   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Receptionist   O
:   O
jru689   B-NAME
Note   O
:   O
Please   O
keep   O
all   O
health   O
documents   O
safely   O
.   O

Your   O
medical   O
record   O
number   O
is   O
80398199   B-ID
.   O

Send   O
this   O
report   O
to   O
Minority   B-LOCATION
Rights   I-LOCATION
Group   I-LOCATION
International   I-LOCATION
located   O
at   O
Sammamish   B-LOCATION
postal   O
code   O
:   O
86028   B-LOCATION
for   O
insurance   O
purposes   O
.   O

Patient   O
Report   O
Patient   O
:   O
Singleton   B-NAME
Physician   O
:   O

Cox   B-NAME
Medical   O
Record   O
#   O
:   O
83260799   B-ID
Consult   O
Date   O
:   O
30/02/2114   B-DATE
Subjective   O
:   O
Holden   B-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Personal   O
Service   O
Workers   O
from   O
St.   B-LOCATION
Augustine   I-LOCATION
Shores   I-LOCATION
,   O
with   O
an   O
age   O
of   O
86   O
,   O
has   O
been   O
complaining   O
of   O
a   O
deep   O
,   O
throbbing   O
pain   O
in   O
the   O
occipital   O
region   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Hitler   B-NAME
,   I-NAME
Adolf   I-NAME
's   O
past   O
medical   O
history   O
includes   O
essential   O
hypertension   O
,   O
for   O
which   O
the   O
patient   O
is   O
on   O
Hydrochlorothiazide   O
.   O

Objective   O
:   O
On   O
physical   O
examination   O
,   O
Leah   B-NAME
Neal   I-NAME
's   O
blood   O
pressure   O
was   O
marginally   O
elevated   O
with   O
systolic   O
and   O
diastolic   O
pressures   O
at   O
145/95   O
respectively   O
.   O

Plan   O
:   O
Jorge   B-NAME
Dunn   I-NAME
has   O
been   O
referred   O
to   O
Harris   B-NAME
,   O
a   O
Neurologist   O
at   O
Bath   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
in   O
Fanshawe   B-LOCATION
.   O

An   O
appointment   O
has   O
been   O
scheduled   O
for   O
2269   B-DATE
.   O

The   O
patient   O
will   O
be   O
reached   O
at   O
(   B-CONTACT
427   I-CONTACT
)   I-CONTACT
338   I-CONTACT
-   I-CONTACT
6262   I-CONTACT
for   O
any   O
further   O
discussion   O
.   O

The   O
reports   O
will   O
be   O
collected   O
via   O
oa482   B-NAME
at   O
Lansing   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Water   I-LOCATION
&   I-LOCATION
Light   I-LOCATION
.   O

Follow   O
-   O
up   O
plans   O
are   O
predetermined   O
for   O
2006   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
01   I-DATE
.   O

If   O
the   O
condition   O
worsens   O
,   O
Jonell   B-NAME
Crissinger   I-NAME
is   O
advised   O
to   O
visit   O
the   O
ER   O
in   O
Desert   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
74270   B-LOCATION
.   O

Signed   O
,   O
Rodriguez   B-NAME
2   B-ID
-   I-ID
3824525   I-ID

Patient   O
Name   O
:   O
Michael   B-NAME
Burke   I-NAME
Age   O
:   O
37   O
Doctor   O
:   O
Pritchard   B-NAME
Hospital   O
:   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Farmington   I-LOCATION
Hills   I-LOCATION
ID   O
:   O
JA   B-ID
:   I-ID
QG:4786   I-ID
Location   O
:   O
Tutwiler   B-LOCATION
Medical   O
Record   O
:   O
7968431   B-ID
Organization   O
:   O

International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Painters   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Trades   I-LOCATION
Phone   O
:   O
546   B-CONTACT
-   I-CONTACT
379   I-CONTACT
3691   I-CONTACT
Profession   O
:   O
Education   O
Administrators   O
,   O
All   O
Other   O
Username   O
:   O
gn324   B-NAME
Zip   O
code   O
:   O
55169   B-LOCATION
Report   O
:   O

The   O
patient   O
Christensen   B-NAME
,   O
of   O
4   O
week   O
years   O
approached   O
Dr.   O
Aleena   B-NAME
Daugherty   I-NAME
at   O
Phoebe   B-LOCATION
Dorminy   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/23   B-DATE
.   O

He   O
resides   O
in   O
Arivaca   B-LOCATION
and   O
works   O
as   O
a   O
Press   O
sub   O
-   O
editor   O
.   O

The   O
patient   O
's   O
ID   O
(   O
SJ:81444:367527   B-ID
)   O
was   O
registered   O
and   O
a   O
medical   O
record   O
number   O
12891820   B-ID
was   O
created   O
.   O

The   O
patient   O
's   O
contact   O
info   O
including   O
the   O
phone   O
number   O
58928   B-CONTACT
and   O
zip   O
code   O
83716   B-LOCATION
were   O
documented   O
.   O

It   O
was   O
discovered   O
the   O
patient   O
was   O
affiliated   O
with   O
the   O
Commerce   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Southwest   I-LOCATION
Florida   I-LOCATION
where   O
he   O
utilizes   O
the   O
username   O
UI71   B-NAME
.   O

The   O
patient   O
has   O
been   O
duly   O
informed   O
and   O
is   O
scheduled   O
for   O
follow   O
up   O
on   O
30/82   B-DATE
at   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Midtown   I-LOCATION
Campus   I-LOCATION
.   O

Signed   O
by   O
,   O
Reilly   B-NAME
Austin   I-NAME
2/22   B-DATE

Patient   O
Information   O
:   O
Alvaro   B-NAME
Meyer   I-NAME
presented   O
to   O
the   O
Vidant   B-LOCATION
Roanoke   I-LOCATION
-   I-LOCATION
Chowan   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
1126   B-DATE
with   O
nausea   O
,   O
vomiting   O
,   O
and   O
significant   O
weight   O
loss   O
over   O
the   O
past   O
three   O
months   O
.   O

The   O
next   O
day   O
,   O
Lucille   B-NAME
Woods   I-NAME
had   O
requested   O
a   O
computed   O
tomography   O
scan   O
which   O
showed   O
a   O
mass   O
in   O
the   O
pancreatic   O
head   O
,   O
causing   O
obstruction   O
of   O
the   O
common   O
bile   O
duct   O
and   O
pancreatic   O
duct   O
.   O

A   O
discussion   O
was   O
held   O
with   O
the   O
patient   O
,   O
and   O
a   O
consent   O
form   O
for   O
ERCP   O
(   O
Endoscopic   O
Retrograde   O
CholangioPancreatography   O
)   O
was   O
signed   O
with   O
2758489   B-ID
number   O
.   O

The   O
ERCP   O
was   O
performed   O
on   O
April   B-DATE
2   I-DATE
and   O
fluoroscopy   O
findings   O
confirmed   O
the   O
presence   O
of   O
a   O
stricture   O
at   O
the   O
distal   O
CBD   O
.   O

The   O
patient   O
's   O
family   O
was   O
called   O
on   O
492   B-CONTACT
-   I-CONTACT
6032   I-CONTACT
and   O
was   O
informed   O
about   O
the   O
situation   O
.   O

Furthermore   O
,   O
Roosevelt   B-NAME
,   I-NAME
Eleanor   I-NAME
's   O
health   O
insurance   O
details   O
were   O
noted   O
down   O
,   O
the   O
policy   O
224434   B-ID
was   O
provided   O
by   O
List   B-LOCATION
of   I-LOCATION
trade   I-LOCATION
unions   I-LOCATION
.   O

According   O
to   O
the   O
patient   O
,   O
his   O
family   O
lives   O
in   O
Algodones   B-LOCATION
and   O
he   O
was   O
working   O
as   O
a   O
Public   O
Relations   O
and   O
Fundraising   O
Managers   O
before   O
his   O
symptoms   O
started   O
affecting   O
his   O
performance   O
.   O

He   O
is   O
single   O
and   O
lives   O
with   O
a   O
roommate   O
,   O
gb6410   B-NAME
,   O
who   O
can   O
provide   O
further   O
information   O
if   O
necessary   O
.   O

The   O
patient   O
's   O
mail   O
will   O
be   O
sent   O
to   O
a   O
63611   B-LOCATION
postal   O
code   O
until   O
further   O
notice   O
.   O

Patient   O
Report   O
:   O
I   O
had   O
the   O
opportunity   O
to   O
review   O
the   O
medical   O
case   O
of   O
Heinlein   B-NAME
,   I-NAME
Robert   I-NAME
A.   I-NAME
on   O
05/20/2118   B-DATE
.   O

This   O
5   O
month   O
year   O
old   O
individual   O
presented   O
to   O
Freeman   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
with   O
some   O
concerning   O
symptoms   O
.   O

It   O
was   O
reported   O
that   O
beginning   O
around   O
10/20/52   B-DATE
,   O
the   O
patient   O
started   O
experiencing   O
severe   O
liquid   O
stools   O
,   O
abdominal   O
cramping   O
,   O
and   O
nausea   O
.   O

According   O
to   O
the   O
PeaceHealth   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
medical   O
record   O
,   O
1430986   B-ID
,   O
the   O
patient   O
has   O
a   O
history   O
of   O
diabetes   O
and   O
hypertension   O
and   O
works   O
as   O
a   O
Police   O
and   O
Sheriffs   O
Patrol   O
Officers   O
in   O
Half   B-LOCATION
Moon   I-LOCATION
.   O

The   O
patient   O
resides   O
at   O
an   O
address   O
with   O
the   O
ZIP   O
code   O
85231   B-LOCATION
and   O
also   O
mentioned   O
being   O
linked   O
to   O
an   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
the   I-LOCATION
South   I-LOCATION
as   O
a   O
member   O
bearing   O
the   O
ID   O
HM:14719:145938   B-ID
.   O

Dr.   O
Ruiz   B-NAME
carried   O
out   O
a   O
detailed   O
examination   O
and   O
after   O
a   O
Stool   O
culture   O
test   O
and   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
diagnosed   O
the   O
patient   O
with   O
acute   O
gastroenteritis   O
.   O

The   O
initial   O
follow   O
-   O
up   O
was   O
scheduled   O
for   O
09/22   B-DATE
,   O
with   O
the   O
Valentino   B-NAME
Cain   I-NAME
at   O
Maimonides   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
located   O
at   O
Eugene   B-LOCATION
.   O

The   O
contact   O
number   O
provided   O
by   O
the   O
patient   O
is   O
767   B-CONTACT
-   I-CONTACT
3314   I-CONTACT
.   O

As   O
a   O
note   O
of   O
importance   O
,   O
the   O
patient   O
’s   O
username   O
(   O
TN39   B-NAME
)   O
for   O
accessing   O
the   O
online   O
medical   O
portal   O
should   O
be   O
kept   O
confidential   O
and   O
utilised   O
only   O
for   O
authorized   O
communication   O
and   O
checking   O
test   O
results   O
.   O

These   O
observations   O
will   O
be   O
helpful   O
in   O
the   O
strategic   O
course   O
of   O
treatment   O
and   O
effectively   O
tracking   O
the   O
disease   O
progression   O
in   O
Charlee   B-NAME
Farrell   I-NAME
's   O
case   O
.   O

Digital   O
Signature   O
:   O
Cat   B-NAME
Black   I-NAME

Patient   O
Report   O
:   O
On   O
5/3   B-DATE
,   O
Matthew   B-NAME
Vieira   I-NAME
presented   O
to   O
the   O
Ottawa   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Minneapolis   I-LOCATION
emergency   O
room   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
fever   O
,   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

Maribel   B-NAME
Mccarthy   I-NAME
has   O
no   O
prior   O
medical   O
history   O
of   O
such   O
a   O
condition   O
and   O
also   O
reported   O
that   O
the   O
pain   O
does   O
not   O
radiate   O
anywhere   O
.   O

On   O
physical   O
evaluation   O
by   O
Dr.   O
Leslie   B-NAME
Merritt   I-NAME
,   O
tenderness   O
was   O
detected   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicating   O
the   O
possibility   O
of   O
acute   O
appendicitis   O
.   O

Villalobos   B-NAME
was   O
then   O
advised   O
to   O
undergo   O
an   O
ultrasound   O
scan   O
for   O
further   O
investigation   O
by   O
the   O
radiologist   O
Dr.   O
Lutz   B-NAME
.   O

The   O
scan   O
took   O
place   O
the   O
following   O
morning   O
at   O
the   O
diagnostic   O
lab   O
,   O
DORCHESTER   B-LOCATION
.   O

Makenna   B-NAME
Hendricks   I-NAME
was   O
then   O
admitted   O
to   O
the   O
surgical   O
ward   O
of   O
the   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
under   O
the   O
supervision   O
of   O
Dr.   O
Jeremiah   B-NAME
Yu   I-NAME
,   O
a   O
highly   O
competent   O
general   O
surgeon   O
.   O

During   O
the   O
entire   O
treatment   O
process   O
,   O
hoover   B-NAME
's   O
primary   O
caregiver   O
was   O
contacted   O
at   O
(   B-CONTACT
100   I-CONTACT
)   I-CONTACT
364   I-CONTACT
9955   I-CONTACT
for   O
any   O
sudden   O
changes   O
in   O
the   O
patient   O
's   O
condition   O
.   O

Written   O
consent   O
for   O
the   O
necessary   O
surgical   O
procedure   O
,   O
an   O
appendectomy   O
,   O
was   O
obtained   O
from   O
Rollie   B-NAME
Guthrie   I-NAME
with   O
the   O
patient   O
18476823   B-ID
number   O
4016851   B-ID
.   O

The   O
successful   O
surgery   O
was   O
performed   O
on   O
September   B-DATE
2172   I-DATE
and   O
Dolan   B-NAME
was   O
discharged   O
on   O
23/20   B-DATE
with   O
necessary   O
advice   O
on   O
wound   O
care   O
and   O
pain   O
management   O
.   O

The   O
follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Dr.   O
Katherin   B-NAME
,   O
and   O
the   O
patient   O
's   O
health   O
recovery   O
was   O
well   O
monitored   O
from   O
the   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Gadsden   I-LOCATION
via   O
the   O
Southern   B-LOCATION
Rivers   I-LOCATION
Energy   I-LOCATION
patient   O
portal   O
with   O
the   O
username   O
PJ414   B-NAME
.   O

The   O
city   O
of   O
residence   O
for   O
Lilla   B-NAME
Lambson   I-NAME
is   O
Westfir   B-LOCATION
,   O
74033   B-LOCATION
.   O

Patient   O
:   O
Sidney   B-NAME
Mercado   I-NAME
DOB   O
:   O

Th   B-DATE
Medical   O
Record   O
number   O
:   O
7211268   B-ID
Address   O
:   O
Huntertown   B-LOCATION
Phone   O
:   O
42233   B-CONTACT
SSN   O
:   O
OK795/6895   B-ID
Zip   O
:   O
85577   B-LOCATION
Patient   O
Gideon   B-NAME
has   O
presented   O
with   O
consistent   O
episodes   O
of   O
severe   O
dyspnea   O
and   O
persistent   O
dry   O
cough   O
.   O

Over   O
the   O
last   O
4   O
months   O
leading   O
to   O
the   O
last   O
consultation   O
on   O
July   B-DATE
,   O
these   O
episodes   O
have   O
noticeably   O
increased   O
in   O
frequency   O
.   O

Upon   O
consultation   O
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Healthcare   I-LOCATION
-   I-LOCATION
Florence   I-LOCATION
,   O
Dr.   O
Copeland   B-NAME
examined   O
that   O
Conrad   B-NAME
Kern   I-NAME
has   O
decreased   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
on   O
auscultation   O
.   O

The   O
last   O
visit   O
with   O
the   O
endocrinologist   O
,   O
Dr.   O
Schmitt   B-NAME
at   O
Lecompte   B-LOCATION
was   O
on   O
31/20   B-DATE
.   O

The   O
patient   O
's   O
treatment   O
plan   O
,   O
coordinated   O
by   O
healthcare   O
team   O
at   O
North   B-LOCATION
Hawaii   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
and   O
monitored   O
by   O
Dr.   O
Dixon   B-NAME
,   O
includes   O
a   O
course   O
of   O
antibiotics   O
,   O
routine   O
blood   O
sugar   O
level   O
monitoring   O
,   O
and   O
lifestyle   O
modifications   O
such   O
as   O
smoking   O
cessation   O
and   O
balanced   O
diet   O
.   O

Number   O
to   O
reach   O
the   O
team   O
is   O
(   B-CONTACT
833   I-CONTACT
)   I-CONTACT
728   I-CONTACT
1017   I-CONTACT
and   O
the   O
unique   O
team   O
identifier   O
number   O
is   O
db117   B-NAME
.   O

The   O
husband   O
,   O
aged   O
3   O
,   O
plays   O
an   O
active   O
role   O
in   O
Destinee   B-NAME
Hebert   I-NAME
’s   O
care   O
and   O
has   O
been   O
given   O
information   O
on   O
the   O
disease   O
condition   O
,   O
its   O
progression   O
and   O
management   O
.   O

Their   O
health   O
insurance   O
provider   O
TIAA   B-LOCATION
-   I-LOCATION
CREF   I-LOCATION
has   O
approved   O
the   O
treatment   O
plan   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
at   O
Rothman   B-LOCATION
Orthopaedic   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
is   O
scheduled   O
for   O
03/88   B-DATE
.   O

To   O
contact   O
the   O
patient   O
or   O
get   O
further   O
details   O
about   O
the   O
case   O
,   O
please   O
use   O
the   O
identifiers   O
Malcolm   B-NAME
Sayer   I-NAME
-   O
609   B-ID
-   I-ID
64   I-ID
-   I-ID
63   I-ID
-   I-ID
9   I-ID
.   O

Patient   O
Name   O
:   O
Godfrey   B-NAME
Age   O
:   O
51   O
Date   O
:   O
2155   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
13   I-DATE
I   O
am   O
Shaffer   B-NAME
,   O
a   O
medical   O
doctor   O
at   O
Reading   B-LOCATION
Hospital   I-LOCATION
in   O
Denver   B-LOCATION
.   O

I   O
am   O
writing   O
this   O
report   O
concerning   O
the   O
health   O
status   O
of   O
Doric   B-NAME
Cariaso   I-NAME
.   O

Elane   B-NAME
Still   I-NAME
was   O
first   O
admitted   O
to   O
our   O
hospital   O
on   O
30/26/2303   B-DATE
.   O

Initially   O
,   O
Dogg   B-NAME
,   I-NAME
Snoop   I-NAME
presented   O
with   O
a   O
severe   O
cough   O
and   O
progressive   O
dyspnea   O
.   O

Additionally   O
,   O
Brock   B-NAME
Armstrong   I-NAME
reported   O
experiencing   O
intermittent   O
headaches   O
for   O
the   O
past   O
two   O
weeks   O
and   O
a   O
significant   O
loss   O
of   O
appetite   O
.   O

Lab   O
results   O
from   O
20/00   B-DATE
indicated   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
suggestive   O
of   O
a   O
possible   O
infection   O
.   O

On   O
31/28/2268   B-DATE
,   O
Seleucus   B-NAME
Hannegan   I-NAME
was   O
re   O
-   O
evaluated   O
,   O
and   O
the   O
symptoms   O
had   O
not   O
regressed   O
,   O
necessitating   O
further   O
investigation   O
.   O

Biopsies   O
of   O
the   O
relevant   O
tissues   O
were   O
collected   O
and   O
the   O
samples   O
were   O
sent   O
to   O
Doha   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
for   O
further   O
histological   O
examination   O
.   O

The   O
patient   O
's   O
contact   O
information   O
,   O
493   B-CONTACT
1164   I-CONTACT
,   O
9   B-ID
-   I-ID
27100761   I-ID
,   O
550   B-ID
-   I-ID
55   I-ID
-   I-ID
74   I-ID
-   I-ID
3   I-ID
and   O
residence   O
81966   B-LOCATION
are   O
recorded   O
for   O
future   O
reference   O
.   O

I   O
am   O
in   O
constant   O
consultation   O
discussing   O
the   O
case   O
with   O
Charities   O
fundraiser   O
,   O
a   O
highly   O
skilled   O
oncologist   O
at   O
Fashion   B-LOCATION
for   I-LOCATION
Fighters   I-LOCATION
Foundation   I-LOCATION
.   O

To   O
ensure   O
privacy   O
and   O
security   O
,   O
all   O
communication   O
is   O
conducted   O
with   O
necessary   O
precautions   O
and   O
is   O
stored   O
on   O
our   O
server   O
with   O
the   O
username   O
VO529   B-NAME
.   O

We   O
are   O
committed   O
to   O
providing   O
the   O
best   O
care   O
for   O
Johanna   B-NAME
Reed   I-NAME
and   O
we   O
will   O
keep   O
on   O
monitoring   O
the   O
situation   O
closely   O
.   O

Aguirre   B-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Elisabeth   B-NAME
Bush   I-NAME
Age   O
:   O
15   O
Report   O
Date   O
:   O
05/29   B-DATE
Primary   O
Physician   O
:   O

Conrad   B-NAME
Elizalde   I-NAME
Hospital   O
:   O
Tampa   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
FG   B-ID
:   I-ID
DA:1916   I-ID
Location   O
:   O
Tatums   B-LOCATION
Medical   O
Record   O
:   O
322   B-ID
-   I-ID
00   I-ID
-   I-ID
80   I-ID
Organization   O
:   O

Building   B-LOCATION
and   I-LOCATION
Wood   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
International   I-LOCATION
Contact   O
:   O
332   B-CONTACT
8866   I-CONTACT
Profession   O
:   O

Registered   O
Nurses   O
Username   O
:   O
so787   B-NAME
Zip   O
Code   O
:   O
97280   B-LOCATION
Report   O
Details   O
:   O
The   O
patient   O
in   O
question   O
,   O
Chavez   B-NAME
,   O
was   O
admitted   O
to   O
Hunterdon   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
the   O
afternoon   O
of   O
12/65   B-DATE
.   O

Green   B-NAME
,   I-NAME
Matthew   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
and   O
resides   O
in   O
Santa   B-LOCATION
Paula   I-LOCATION
.   O

At   O
the   O
time   O
of   O
admittance   O
,   O
Yee   B-NAME
's   O
primary   O
symptoms   O
were   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
shortness   O
of   O
breath   O
,   O
consistent   O
with   O
acute   O
myocardial   O
infarction   O
.   O

Immediate   O
angiography   O
was   O
performed   O
by   O
Hayden   B-NAME
Obrien   I-NAME
that   O
confirms   O
a   O
blocked   O
coronary   O
artery   O
.   O

Jock   B-NAME
's   O
vitals   O
are   O
being   O
closely   O
monitored   O
and   O
he   O
is   O
being   O
kept   O
in   O
the   O
Cardiac   O
Care   O
Unit   O
of   O
Peconic   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Zane   B-NAME
Burton   I-NAME
has   O
been   O
prescribed   O
a   O
daily   O
dose   O
of   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
and   O
a   O
statin   O
,   O
alongside   O
a   O
strict   O
dietary   O
regimen   O
to   O
manage   O
cholesterol   O
.   O

The   O
hospital   O
Hawarden   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
under   O
St.   B-LOCATION
Stephen   I-LOCATION
State   I-LOCATION
Bank   I-LOCATION
,   O
located   O
at   O
Raleigh   B-LOCATION
,   O
and   O
19564   B-LOCATION
is   O
equipped   O
with   O
state   O
-   O
of   O
-   O
the   O
-   O
art   O
medical   O
equipment   O
ready   O
to   O
tackle   O
any   O
emergent   O
situation   O
.   O

Contact   O
can   O
be   O
made   O
at   O
263   B-CONTACT
-   I-CONTACT
895   I-CONTACT
-   I-CONTACT
7445   I-CONTACT
.   O

All   O
pertaining   O
information   O
regarding   O
Stephens   B-NAME
's   O
stay   O
and   O
medical   O
data   O
is   O
documented   O
under   O
his   O
unique   O
patient   O
QN:8812:840645   B-ID
and   O
can   O
be   O
accessed   O
using   O
gai240   B-NAME
's   O
login   O
for   O
the   O
online   O
platform   O
.   O

His   O
next   O
appointment   O
with   O
the   O
cardiology   O
department   O
is   O
scheduled   O
for   O
21/22/02   B-DATE
.   O

Felix   B-NAME
Horne   I-NAME
is   O
responding   O
well   O
to   O
the   O
current   O
treatment   O
,   O
and   O
signs   O
point   O
towards   O
a   O
satisfactory   O
recovery   O
.   O

Health   O
care   O
providers   O
in   O
Ireland   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
are   O
optimistic   O
about   O
his   O
prognosis   O
.   O

Patient   O
Information   O
:   O
53976912   B-ID
:   O
#   O
#   O
#   O
#   O
#   O
#   O
Name   O
:   O
Laura   B-NAME
Madden   I-NAME
Age   O
:   O
10   O
month   O
Occupation   O
:   O
Forensic   O
scientist   O
Phone   O
:   O
(   B-CONTACT
230   I-CONTACT
)   I-CONTACT
965   I-CONTACT
-   I-CONTACT
8285   I-CONTACT
Health   O
ID   O
:   O
SJ:13973:706814   B-ID
Dr.   O
Taylor   B-NAME
from   O
the   O
Hillside   B-LOCATION
Hospital   I-LOCATION
,   O
located   O
in   O
Lawn   B-LOCATION
,   O
provided   O
a   O
comprehensive   O
medical   O
evaluation   O
on   O
May   B-DATE
.   O

He   O
lives   O
in   O
Halbur   B-LOCATION
and   O
zip   O
code   O
23355   B-LOCATION
and   O
works   O
for   O
Gordon   B-LOCATION
Bank   I-LOCATION
,   O
a   O
high   O
-   O
stress   O
environment   O
noted   O
for   O
long   O
work   O
hours   O
.   O

Jalen   B-NAME
's   O
Cranial   O
nerve   O
function   O
and   O
motor   O
&   O
sensory   O
examinations   O
were   O
within   O
normal   O
limits   O
,   O
indicating   O
no   O
evidence   O
of   O
stroke   O
or   O
transient   O
ischemic   O
attack   O
.   O

Based   O
on   O
the   O
clinical   O
history   O
and   O
current   O
presentation   O
,   O
Dr.   O
Caldwell   B-NAME
recommended   O
continuation   O
of   O
the   O
current   O
prophylactic   O
medication   O
regime   O
and   O
provided   O
advice   O
on   O
possible   O
trigger   O
avoidance   O
and   O
stress   O
management   O
techniques   O
.   O

We   O
will   O
contact   O
Polly   B-NAME
Grey   I-NAME
with   O
a   O
84878   B-CONTACT
reminder   O
for   O
the   O
next   O
appointment   O
on   O
05/32   B-DATE
.   O

Username   O
:   O
Dr.   O
oj237   B-NAME

Patient   O
Information   O
:   O
Name   O
:   O
Richards   B-NAME
,   I-NAME
Keith   I-NAME
Age   O
:   O
58   O
Date   O
of   O
Birth   O
:   O
04/04/05   B-DATE
Medical   O
Record   O
Number   O
:   O
778   B-ID
-   I-ID
98   I-ID
-   I-ID
82   I-ID
-   I-ID
6   I-ID
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Cohen   B-NAME
,   I-NAME
Richard   I-NAME
Phone   O
Number   O
:   O
85028   B-CONTACT
Patient   O
Address   O
:   O
Clifton   B-LOCATION
Springs   I-LOCATION
,   O
26168   B-LOCATION
Occupation   O
:   O
jeweler   O
Employer   O
:   O

Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
3716953   I-ID
Social   O
Security   O
Number   O
:   O
8   B-ID
-   I-ID
4756507   I-ID
Symptoms   O
:   O
Harrison   B-NAME
Blackwood   I-NAME
was   O
admitted   O
to   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Newton   I-LOCATION
on   O
12/12/2289   B-DATE
.   O

Further   O
consults   O
and   O
appropriate   O
interventions   O
to   O
be   O
managed   O
by   O
the   O
primary   O
medical   O
team   O
under   O
the   O
supervision   O
of   O
Dr.   O
Camron   B-NAME
Baldwin   I-NAME
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Pekin   I-LOCATION
.   O

Username   O
for   O
patient   O
health   O
portal   O
:   O
oj709   B-NAME
Note   O
to   O
Patient   O
's   O
employer   O
IntelliQuote   B-LOCATION
Insurance   I-LOCATION
Services   I-LOCATION
:   O
Emmerson   B-NAME
F.   I-NAME
Carpenter   I-NAME
will   O
need   O
time   O
off   O
work   O
for   O
recovery   O
postoperatively   O
,   O
if   O
surgery   O
decision   O
is   O
made   O
.   O

Kindly   O
consider   O
these   O
medical   O
factors   O
for   O
Dona   B-NAME
Burris   I-NAME
.   O

All   O
medical   O
records   O
are   O
strictly   O
confidential   O
and   O
are   O
held   O
securely   O
in   O
the   O
OhioHealth   B-LOCATION
Dublin   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Health   O
System   O
.   O

For   O
further   O
queries   O
or   O
information   O
,   O
please   O
contact   O
our   O
patient   O
services   O
team   O
on   O
49983   B-CONTACT
.   O

Patient   O
Name   O
:   O
GARY   B-NAME
J.   I-NAME
HUGHES   I-NAME
Age   O
:   O
55   O
Medical   O
Record   O
Number   O
:   O
033   B-ID
-   I-ID
26   I-ID
-   I-ID
80   I-ID
-   I-ID
0   I-ID
SSN   O
:   O
GJ   B-ID
:   I-ID
SP:9881   I-ID
Residing   O
at   O
:   O
Demopolis   B-LOCATION
Report   O
prepared   O
by   O
:   O
Bennett   B-NAME
Hospital   O
:   O

Roxborough   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
03/04/2313   B-DATE
Mr.   O
Dillon   B-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
Auburn   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
03/37   B-DATE
complaining   O
of   O
acute   O
onset   O
lower   O
abdominal   O
pain   O
and   O
nausea   O
.   O

He   O
works   O
as   O
a   O
Municipal   O
Fire   O
Fighting   O
and   O
Prevention   O
Supervisors   O
and   O
resides   O
in   O
Kansas   B-LOCATION
City   I-LOCATION
.   O

Recently   O
,   O
he   O
travelled   O
to   O
Browntown   B-LOCATION
for   O
work   O
purpose   O
with   O
International   B-LOCATION
Textile   I-LOCATION
,   I-LOCATION
Garment   I-LOCATION
and   I-LOCATION
Leather   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
and   O
returned   O
two   O
weeks   O
prior   O
to   O
the   O
onset   O
of   O
these   O
symptoms   O
.   O

His   O
contact   O
number   O
is   O
listed   O
as   O
329   B-CONTACT
-   I-CONTACT
4646   I-CONTACT
.   O

The   O
consulting   O
surgeon   O
,   O
Dr.   O
Jones   B-NAME
,   I-NAME
Norah   I-NAME
was   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
.   O

An   O
emergency   O
appendectomy   O
was   O
performed   O
successfully   O
and   O
Mr.   O
Katherine   B-NAME
Rangel   I-NAME
had   O
an   O
uneventful   O
recovery   O
.   O

He   O
was   O
discharged   O
on   O
the   O
00/03/1955   B-DATE
and   O
was   O
advised   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Chambersburg   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
The   I-LOCATION
on   O
8/26   B-DATE
for   O
wound   O
check   O
and   O
removal   O
of   O
sutures   O
.   O

For   O
future   O
reference   O
,   O
his   O
employer   O
can   O
be   O
contacted   O
at   O
McIntosh   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
,   O
located   O
at   O
Arkoe   B-LOCATION
.   O

It   O
was   O
also   O
noted   O
that   O
patient   O
's   O
postal   O
code   O
is   O
88262   B-LOCATION
.   O

His   O
hospital   O
ID   O
number   O
assigned   O
is   O
GO163   B-NAME
.   O

Signed   O
,   O
Madilynn   B-NAME
Morse   I-NAME
02   B-DATE
-   I-DATE
24   I-DATE

Patient   O
Information   O
:   O
Jadyn   B-NAME
Glass   I-NAME
is   O
a   O
24   O
year   O
old   O
individual   O
who   O
visited   O
Flushing   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/16   B-DATE
.   O

Patient   O
lives   O
in   O
Forest   B-LOCATION
Meadows   I-LOCATION
with   O
zip   O
code   O
70876   B-LOCATION
and   O
works   O
as   O
a   O
Estate   O
agent   O
.   O

Identification   O
Numbers   O
:   O
Medical   O
record   O
number   O
-   O
2943U75195   B-ID
.   O
Insurance   O
ID   O
-   O
WX   B-ID
:   I-ID
WV:9324   I-ID
.   O

Cooper   B-NAME
from   O
Reading   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
had   O
referred   O
the   O
patient   O
.   O

Symptoms   O
:   O
Lola   B-NAME
Wyatt   I-NAME
reported   O
experiencing   O
severe   O
chest   O
pain   O
,   O
often   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
up   O
into   O
the   O
left   O
side   O
of   O
the   O
neck   O
and   O
jaw   O
.   O

Consuela   B-NAME
Kyrinov   I-NAME
also   O
complained   O
about   O
episodes   O
of   O
syncope   O
,   O
forceful   O
heartbeat   O
,   O
and   O
a   O
persistent   O
feeling   O
of   O
discomfort   O
,   O
especially   O
on   O
the   O
left   O
chest   O
region   O
.   O

Contact   O
Details   O
:   O
159   B-CONTACT
1999   I-CONTACT
number   O
was   O
given   O
for   O
further   O
communication   O
and   O
follow   O
-   O
ups   O
.   O
Username   O
for   O
online   O
medical   O
record   O
portal   O
:   O
HD932   B-NAME
.   O

Additional   O
patient   O
information   O
was   O
passed   O
onto   O
Melissa   B-NAME
Barnett   I-NAME
at   O
Franklin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2155   B-DATE
.   O

It   O
seems   O
Palmer   B-NAME
's   O
symptoms   O
may   O
indicate   O
coronary   O
artery   O
disease   O
and   O
thus   O
calls   O
for   O
immediate   O
and   O
thorough   O
evaluation   O
.   O

Patient   O
Information   O
:   O
Patient   O
:   O
Hebron   B-NAME
Medical   O
Record   O
:   O
5802491   B-ID
The   O
patient   O
,   O
Saki   B-NAME
,   O
a   O
6s   O
year   O
-   O
old   O
profession   O
as   O
a   O
Trader   O
,   O
came   O
with   O
complaints   O
of   O
pain   O
in   O
the   O
upper   O
region   O
of   O
the   O
stomach   O
since   O
02/23/43   B-DATE
.   O

Detailed   O
medical   O
history   O
revealed   O
that   O
Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
is   O
a   O
native   O
of   O
Copenhagen   B-LOCATION
and   O
has   O
been   O
working   O
at   O
the   O
Society   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Cincinnati   I-LOCATION
for   O
the   O
past   O
two   O
decades   O
.   O

Nehemiah   B-NAME
Jimenez   I-NAME
reported   O
the   O
consumption   O
of   O
alcohol   O
and   O
spicy   O
foods   O
that   O
seemed   O
to   O
exacerbate   O
the   O
discomfort   O
.   O

In   O
the   O
subsequent   O
examination   O
conducted   O
by   O
Dr.   O
Rosario   B-NAME
at   O
Saint   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
mild   O
tenderness   O
in   O
the   O
upper   O
abdominal   O
region   O
was   O
noted   O
.   O

Ryland   B-NAME
Crosby   I-NAME
has   O
been   O
asked   O
to   O
focus   O
on   O
lifestyle   O
modifications   O
,   O
including   O
diet   O
changes   O
and   O
stress   O
management   O
,   O
in   O
anticipation   O
of   O
the   O
forthcoming   O
diagnostic   O
results   O
.   O

The   O
report   O
from   O
the   O
Prisma   B-LOCATION
Health   I-LOCATION
Richland   I-LOCATION
Hospital   I-LOCATION
would   O
indicate   O
if   O
there   O
are   O
any   O
medical   O
interventions   O
required   O
including   O
medication   O
or   O
potential   O
surgery   O
.   O

Contact   O
Details   O
:   O
Contact   O
Number   O
:   O
(   B-CONTACT
347   I-CONTACT
)   I-CONTACT
269   I-CONTACT
1520   I-CONTACT
Address   O
:   O
Packwaukee   B-LOCATION
,   O
60360   B-LOCATION
Identification   O
Proof   O
:   O
KX   B-ID
:   I-ID
AU:9674   I-ID
Emergency   O
Contact   O
:   O
758   B-CONTACT
-   I-CONTACT
3235   I-CONTACT

This   O
document   O
serves   O
to   O
record   O
the   O
medical   O
examination   O
of   O
Nall   B-NAME
on   O
12/33   B-DATE
.   O

We   O
are   O
awaiting   O
further   O
diagnostics   O
from   O
the   O
Hunterdon   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Updated   O
by   O
ts992   B-NAME

Patient   O
Report   O
Patient   O
name   O
:   O
Aedan   B-NAME
Tran   I-NAME
Patient   O
Victor   B-NAME
Ashley   I-NAME
,   O
a   O
Nurse   O
Practitioners   O
by   O
profession   O
living   O
in   O
McGregor   B-LOCATION
,   O
presented   O
to   O
Schroeder   B-NAME
at   O
Three   B-LOCATION
Rivers   I-LOCATION
Health   I-LOCATION
on   O
04/20   B-DATE
.   O

Dunn   B-NAME
is   O
93   O
years   O
old   O
and   O
came   O
forward   O
with   O
a   O
complaint   O
of   O
persistent   O
headaches   O
and   O
dizziness   O
.   O

For   O
the   O
past   O
month   O
,   O
Jamie   B-NAME
Cruz   I-NAME
has   O
been   O
experiencing   O
vertiginous   O
symptoms   O
along   O
with   O
severe   O
pulsating   O
headaches   O
which   O
last   O
for   O
several   O
hours   O
.   O

Alongside   O
,   O
Micaela   B-NAME
Villanueva   I-NAME
reports   O
frequent   O
moments   O
of   O
blurred   O
vision   O
.   O

Ava   B-NAME
Richards   I-NAME
denied   O
having   O
any   O
significant   O
medical   O
or   O
surgical   O
history   O
.   O

Diana   B-NAME
Cameron   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Faulkner   B-NAME
,   O
had   O
conducted   O
primary   O
tests   O
initially   O
in   O
Gentry   B-LOCATION
,   O
the   O
results   O
of   O
which   O
were   O
inconclusive   O
,   O
hence   O
was   O
referred   O
to   O
San   B-LOCATION
Ramon   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
examination   O
.   O

3212S72155   B-ID
details   O
that   O
Charity   B-NAME
Wood   I-NAME
's   O
vitals   O
were   O
stable   O
,   O
BMI   O
indexed   O
at   O
24.3   O
,   O
blood   O
pressure   O
was   O
consistent   O
to   O
120/80   O
mm   O
Hg   O
,   O
and   O
no   O
signs   O
of   O
fever   O
,   O
chest   O
pain   O
,   O
or   O
shortness   O
of   O
breath   O
were   O
observed   O
.   O

Blood   O
samples   O
were   O
sent   O
to   O
Peace   B-LOCATION
Brigades   I-LOCATION
International   I-LOCATION
for   O
detailed   O
examination   O
.   O

MRI   O
and   O
CT   O
scans   O
were   O
scheduled   O
for   O
Jan   B-DATE
25   I-DATE
,   I-DATE
2332   I-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Lewis   B-NAME
has   O
been   O
prearranged   O
and   O
her   O
emergency   O
contact   O
,   O
a   O
family   O
member   O
,   O
reachable   O
at   O
431   B-CONTACT
6455   I-CONTACT
,   O
was   O
also   O
documented   O
.   O

A   O
summary   O
of   O
all   O
past   O
records   O
,   O
along   O
with   O
the   O
current   O
reports   O
,   O
were   O
mailed   O
to   O
SI410   B-NAME
.   O

The   O
patient   O
was   O
also   O
notified   O
about   O
the   O
records   O
update   O
along   O
with   O
a   O
reference   O
MS   B-ID
:   I-ID
IJ:5726   I-ID
for   O
further   O
inquiries   O
.   O

The   O
official   O
postal   O
address   O
,   O
51811   B-LOCATION
,   O
was   O
noted   O
for   O
delivering   O
any   O
medical   O
documentation   O
from   O
Uniontown   B-LOCATION
Hospital   I-LOCATION
.   O

This   O
comprehensive   O
approach   O
is   O
deemed   O
necessary   O
to   O
determine   O
the   O
most   O
appropriate   O
course   O
of   O
treatment   O
for   O
Coleman   B-NAME
Reid   I-NAME
's   O
condition   O
.   O

Patient   O
Report   O
:   O
Cameron   B-NAME
Lawson   I-NAME
presented   O
at   O
Charity   B-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
2/24/2022   B-DATE
.   O

A   O
preliminary   O
diagnosis   O
by   O
Dr.   O
Ansley   B-NAME
Gross   I-NAME
based   O
on   O
these   O
indications   O
was   O
tachycardia   O
secondary   O
to   O
possible   O
cardiac   O
disease   O
.   O

Gaines   B-NAME
resides   O
in   O
Hillside   B-LOCATION
Acres   I-LOCATION
and   O
had   O
a   O
medical   O
history   O
of   O
Hypertension   O
and   O
Diabetes   O
.   O

The   O
contact   O
number   O
shared   O
by   O
her   O
for   O
further   O
communication   O
is   O
525   B-CONTACT
-   I-CONTACT
6702   I-CONTACT
.   O

She   O
reported   O
her   O
Profession   O
as   O
Foreign   O
Language   O
and   O
Literature   O
Teachers   O
,   O
Postsecondary   O
and   O
shared   O
her   O
SSN   O
WK:78661:822505   B-ID
for   O
patient   O
identification   O
purposes   O
.   O

Further   O
,   O
her   O
stress   O
test   O
was   O
scheduled   O
at   O
Mt.   B-LOCATION
Edgecumbe   I-LOCATION
Hospital   I-LOCATION
for   O
13/2   B-DATE
.   O
Recommendations   O
for   O
specific   O
CBC   O
,   O
TSH   O
,   O
Troponin   O
-   O
T   O
tests   O
,   O
and   O
an   O
echocardiogram   O
were   O
suggested   O
.   O

The   O
patient   O
was   O
advised   O
to   O
consult   O
with   O
Dr.   O
Harris   B-NAME
,   O
a   O
reputed   O
cardiologist   O
based   O
in   O
Lebanon   B-LOCATION
Junction   I-LOCATION
,   O
post   O
these   O
tests   O
.   O

Medical   O
Record   O
number   O
:   O
51038207   B-ID
Dr.   O
Maryjane   B-NAME
Roberts   I-NAME
of   O
Central   B-LOCATION
Georgia   I-LOCATION
EMC   I-LOCATION
was   O
her   O
referring   O
physician   O
.   O

Any   O
further   O
communication   O
regarding   O
the   O
case   O
should   O
be   O
directed   O
to   O
YC1018   B-NAME
who   O
is   O
handling   O
her   O
case   O
management   O
at   O
our   O
medical   O
center   O
.   O

Mail   O
and   O
other   O
documents   O
should   O
be   O
sent   O
to   O
her   O
recorded   O
postal   O
address   O
with   O
ZIP   O
code   O
72059   B-LOCATION
.   O

Patient   O
Information   O
:   O
Gonzalez   B-NAME
,   O
a   O
100   O
year   O
old   O
individual   O
was   O
admitted   O
to   O
our   O
Camden   B-LOCATION
Clark   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/13/2332   B-DATE
.   O

Dr.   O
Colon   B-NAME
was   O
the   O
attending   O
physician   O
.   O

Patient   O
lives   O
in   O
Carlsborg   B-LOCATION
and   O
can   O
be   O
contacted   O
at   O
(   B-CONTACT
672   I-CONTACT
)   I-CONTACT
949   I-CONTACT
6368   I-CONTACT
.   O

The   O
patient   O
is   O
a   O
Securities   O
,   O
Commodities   O
,   O
and   O
Financial   O
Services   O
Sales   O
Agents   O
for   O
HCC   B-LOCATION
Insurance   I-LOCATION
Holdings   I-LOCATION
with   O
ID   O
RU   B-ID
:   I-ID
JV:3096   I-ID
.   O

The   O
longitudinal   O
medical   O
data   O
recorded   O
under   O
66045589   B-ID
indicated   O
lung   O
function   O
changes   O
consistent   O
with   O
airflow   O
obstruction   O
.   O

The   O
patient   O
was   O
recommended   O
for   O
a   O
CT   O
scan   O
of   O
the   O
chest   O
by   O
Dr.   O
Hall   B-NAME
for   O
further   O
evaluation   O
.   O

On   O
17/32/51   B-DATE
,   O
the   O
patient   O
’s   O
condition   O
was   O
reported   O
to   O
be   O
stable   O
with   O
no   O
progressive   O
deterioration   O
of   O
the   O
symptoms   O
.   O

The   O
patient   O
was   O
discharged   O
from   O
Avera   B-LOCATION
Queen   I-LOCATION
of   I-LOCATION
Peace   I-LOCATION
Hospital   I-LOCATION
and   O
advised   O
to   O
continue   O
the   O
same   O
medications   O
at   O
home   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Smith   B-NAME
,   I-NAME
Joseph   I-NAME
at   O
the   O
University   B-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
two   O
weeks   O
post   O
-   O
discharge   O
.   O

In   O
the   O
interest   O
of   O
patient   O
privacy   O
,   O
the   O
patient   O
's   O
address   O
-   O
Manderson   B-LOCATION
,   O
phone   O
number   O
-   O
588   B-CONTACT
-   I-CONTACT
5480   I-CONTACT
,   O
patient   O
ID   O
-   O
DO496/7030   B-ID
and   O
medical   O
record   O
number   O
-   O
394   B-ID
-   I-ID
10   I-ID
-   I-ID
61   I-ID
-   I-ID
5   I-ID
will   O
not   O
be   O
disclosed   O
to   O
any   O
unauthorized   O
personnel   O
.   O

The   O
patient   O
's   O
records   O
can   O
only   O
be   O
accessed   O
by   O
chh137   B-NAME
and   O
during   O
the   O
transitional   O
phase   O
,   O
it   O
will   O
be   O
handed   O
over   O
to   O
the   O
physician   O
using   O
our   O
secure   O
platform   O
.   O

Patient   O
Name   O
:   O
MARQUEZ   B-NAME
,   I-NAME
RONALD   I-NAME
Age   O
:   O
68   O
The   O
patient   O
visited   O
the   O
office   O
of   O
Nora   B-NAME
Campbell   I-NAME
at   O
the   O
Gunnison   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
29/12   B-DATE
.   O

Medical   O
Record   O
:   O
3756887   B-ID
ID   O
:   O
QL762/4287   B-ID
Home   O
address   O
:   O
Cleves   B-LOCATION
Phone   O
number   O
:   O
824   B-CONTACT
-   I-CONTACT
134   I-CONTACT
6417   I-CONTACT
The   O
Ulises   B-NAME
Avery   I-NAME
performed   O
a   O
physical   O
examination   O
,   O
which   O
revealed   O
the   O
Shaneka   B-NAME
Elsa   I-NAME
to   O
be   O
in   O
some   O
distress   O
.   O

The   O
patient   O
currently   O
works   O
as   O
a   O
Counseling   O
Psychologists   O
for   O
the   O
Bakery   B-LOCATION
,   I-LOCATION
Confectionery   I-LOCATION
,   I-LOCATION
Tobacco   I-LOCATION
Workers   I-LOCATION
and   I-LOCATION
Grain   I-LOCATION
Millers   I-LOCATION
'   I-LOCATION
International   I-LOCATION
Union   I-LOCATION
.   O

As   O
such   O
,   O
the   O
Haleigh   B-NAME
Solis   I-NAME
has   O
recommended   O
prompt   O
surgical   O
consultation   O
given   O
the   O
patient   O
's   O
job   O
requires   O
physical   O
exertion   O
that   O
could   O
potentially   O
exacerbate   O
the   O
appendicitis   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
an   O
urgent   O
CT   O
scan   O
at   O
Norton   B-LOCATION
Suburban   I-LOCATION
Hospital   I-LOCATION
on   O
22/22   B-DATE
for   O
further   O
evaluation   O
.   O

The   O
patient   O
’s   O
emergency   O
contact   O
is   O
currently   O
residing   O
at   O
Arizona   B-LOCATION
.   O

Their   O
contact   O
number   O
is   O
124   B-CONTACT
-   I-CONTACT
8947   I-CONTACT
.   O

The   O
patient   O
has   O
been   O
recommended   O
to   O
pick   O
up   O
his   O
prescription   O
medications   O
from   O
the   O
Hirschfeld   B-LOCATION
Eddy   I-LOCATION
Foundation   I-LOCATION
pharmacy   O
located   O
at   O
Blenheim   B-LOCATION
,   O
52529   B-LOCATION
.   O

For   O
further   O
queries   O
and   O
medical   O
assistance   O
,   O
the   O
patient   O
can   O
contact   O
the   O
Holy   B-LOCATION
Cross   I-LOCATION
Hospital   I-LOCATION
helpline   O
at   O
(   B-CONTACT
706   I-CONTACT
)   I-CONTACT
420   I-CONTACT
9774   I-CONTACT
.   O

Kindly   O
follow   O
us   O
on   O
our   O
webpage   O
with   O
username   O
IO981   B-NAME
to   O
receive   O
a   O
notification   O
about   O
the   O
next   O
appointment   O
scheduled   O
on   O
6/2   B-DATE
.   O
Signed   O
off   O
by   O
:   O
Simon   B-NAME
Merivale   I-NAME
Date   O
:   O
12/7   B-DATE

Patient   O
Information   O
:   O
Lindsey   B-NAME
Russell   I-NAME
's   O
demographic   O
record   O
provides   O
the   O
following   O
details   O
:   O
An   O
69s   O
years   O
old   O
from   O
Parkside   B-LOCATION
was   O
admitted   O
to   O
the   O
Memorial   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/2   B-DATE
.   O

The   O
in   O
-   O
charge   O
doctor   O
,   O
Cabrera   B-NAME
,   O
attending   O
to   O
this   O
patient   O
has   O
provided   O
the   O
following   O
notes   O
for   O
medical   O
record   O
number   O
-   O
83384781   B-ID
.   O

Clinical   O
History   O
:   O
Elmer   B-NAME
Hartman   I-NAME
has   O
no   O
past   O
record   O
of   O
any   O
surgery   O
or   O
allergies   O
.   O

Present   O
Complaints   O
:   O
Mark   B-NAME
Montgomery   I-NAME
had   O
a   O
sudden   O
onset   O
of   O
intense   O
stabbing   O
pain   O
in   O
the   O
lower   O
back   O
two   O
days   O
prior   O
to   O
the   O
1/26   B-DATE
.   O

Investigations   O
:   O
With   O
Carson   B-NAME
's   O
intervention   O
,   O
a   O
few   O
clinical   O
investigations   O
were   O
carried   O
out   O
.   O

Patient   O
referred   O
to   O
a   O
nephrologist   O
in   O
Presbyterian   B-LOCATION
Espanola   I-LOCATION
Hospital   I-LOCATION
.   O

An   O
emergency   O
laser   O
lithotripsy   O
procedure   O
is   O
planned   O
to   O
break   O
down   O
the   O
kidney   O
stone   O
,   O
after   O
which   O
the   O
patient   O
would   O
need   O
follow   O
-   O
up   O
appointments   O
as   O
per   O
Ulises   B-NAME
Watkins   I-NAME
’s   O
instructions   O
.   O

Personal   O
information   O
:   O
His   O
JD:36424:708975   B-ID
and   O
325   B-CONTACT
4419   I-CONTACT
were   O
taken   O
for   O
records   O
.   O

Before   O
discharge   O
,   O
the   O
patient   O
was   O
informed   O
to   O
contact   O
the   O
United   B-LOCATION
Americas   I-LOCATION
Bank   I-LOCATION
in   O
his   O
community   O
for   O
further   O
home   O
health   O
support   O
.   O

They   O
can   O
be   O
reached   O
at   O
61004   B-CONTACT
,   O
located   O
in   O
32014   B-LOCATION
.   O

The   O
patient   O
was   O
also   O
asked   O
to   O
fill   O
a   O
form   O
using   O
the   O
username   O
gk7310   B-NAME
for   O
an   O
online   O
patient   O
portal   O
setup   O
to   O
monitor   O
his   O
recovery   O
post   O
-   O
discharge   O
.   O

Patient   O
Information   O
:   O
Vincent   B-NAME
Brill   I-NAME
:   O

Mitchell   B-NAME
,   I-NAME
John   I-NAME
Age   O
:   O
86   O
ID   O
:   O
OM   B-ID
:   I-ID
DY:6185   I-ID
Patient   O
Details   O
:   O
Bagehot   B-NAME
,   I-NAME
Walter   I-NAME
hailing   O
from   O
Mooringsport   B-LOCATION
,   O
who   O
is   O
an   O
26   O
years   O
old   O
Multiple   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
was   O
rushed   O
to   O
Putnam   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2141   B-DATE
by   O
our   O
efficient   O
American   B-LOCATION
Marine   I-LOCATION
Bank   I-LOCATION
team   O
.   O

The   O
patient   O
was   O
assigned   O
to   O
Kati   B-NAME
Hallerman   I-NAME
for   O
medical   O
evaluation   O
and   O
treatment   O
.   O

Dickinson   B-NAME
,   I-NAME
Emily   I-NAME
instructed   O
for   O
a   O
further   O
confirmatory   O
evaluation   O
-   O
Serum   O
Amylase   O
and   O
Lipase   O
levels   O
,   O
which   O
returned   O
with   O
significantly   O
higher   O
values   O
,   O
thereby   O
confirming   O
the   O
initial   O
diagnosis   O
.   O

An   O
abdominal   O
CT   O
scan   O
was   O
recommended   O
and   O
the   O
patient   O
was   O
moved   O
to   O
the   O
imaging   O
department   O
of   O
St.   B-LOCATION
Louis   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
's   O
unique   O
medical   O
record   O
number   O
is   O
729   B-ID
-   I-ID
76   I-ID
-   I-ID
54   I-ID
and   O
can   O
be   O
accessed   O
via   O
the   O
hospital   O
's   O
central   O
data   O
system   O
using   O
the   O
username   O
LS43   B-NAME
.   O

Direct   O
inquiries   O
about   O
the   O
patient   O
's   O
health   O
status   O
can   O
be   O
directed   O
towards   O
12445   B-CONTACT
.   O

Shamar   B-NAME
Faulkner   I-NAME
discussed   O
a   O
well   O
-   O
detailed   O
discharge   O
plan   O
with   O
gradual   O
resumption   O
of   O
activities   O
,   O
diet   O
modifications   O
,   O
and   O
medication   O
management   O
which   O
Dalia   B-NAME
Lutz   I-NAME
was   O
receptive   O
to   O
.   O

Follow   O
Up   O
:   O
Arrangements   O
for   O
the   O
patient   O
's   O
follow   O
-   O
up   O
was   O
conducted   O
for   O
a   O
period   O
of   O
2340   B-DATE
-   I-DATE
16   I-DATE
-   I-DATE
20   I-DATE
post   O
-   O
discharge   O
to   O
monitor   O
recovery   O
progress   O
.   O

The   O
patient   O
's   O
discharge   O
papers   O
and   O
all   O
relevant   O
reports   O
were   O
mailed   O
to   O
his   O
residence   O
-   O
82194   B-LOCATION
.   O

Milton   B-NAME
Chamberlain   I-NAME
attending   O
,   O
SSM   B-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Lavigne   B-NAME
,   I-NAME
Avril   I-NAME
Age   O
:   O
50   O
ID   O
:   O
LR686/5696   B-ID
The   O
said   O
patient   O
reported   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Heart   I-LOCATION
and   I-LOCATION
Vascular   I-LOCATION
Hospital   I-LOCATION
Dallas   I-LOCATION
on   O
6/72   B-DATE
.   O

The   O
initial   O
examination   O
was   O
conducted   O
by   O
Debs   B-NAME
,   I-NAME
Eugene   I-NAME
V   I-NAME
.   I-NAME
.   O

During   O
the   O
initial   O
consult   O
,   O
Destiney   B-NAME
Beasley   I-NAME
complained   O
about   O
a   O
patchy   O
rash   O
,   O
high   O
fever   O
and   O
fatigue   O
.   O

Records   O
provided   O
under   O
126   B-ID
-   I-ID
27   I-ID
-   I-ID
14   I-ID
-   I-ID
3   I-ID
showed   O
previous   O
instances   O
of   O
similar   O
symptoms   O
.   O

Wilder   B-NAME
,   I-NAME
Thornton   I-NAME
was   O
previously   O
treated   O
at   O
Integrity   B-LOCATION
Bank   I-LOCATION
in   O
Springvale   B-LOCATION
.   O

Thomas   B-NAME
Light   I-NAME
is   O
a   O
Research   O
chemist   O
by   O
occupation   O
,   O
leading   O
us   O
to   O
believe   O
that   O
the   O
regular   O
exposure   O
to   O
certain   O
chemicals   O
may   O
be   O
a   O
trigger   O
.   O

The   O
home   O
address   O
is   O
Winamac   B-LOCATION
and   O
can   O
be   O
contacted   O
on   O
44449   B-CONTACT
.   O

A   O
series   O
of   O
tests   O
were   O
recommended   O
by   O
Jovany   B-NAME
Mathews   I-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
a   O
skin   O
test   O
,   O
and   O
an   O
ANA   O
panel   O
.   O

Doctor   O
Thompson   B-NAME
is   O
currently   O
overseeing   O
the   O
case   O
and   O
can   O
be   O
reached   O
at   O
extension   O
518   B-CONTACT
-   I-CONTACT
6201   I-CONTACT
at   O
Northwestern   B-LOCATION
Medicine   I-LOCATION
Huntley   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
further   O
queries   O
related   O
to   O
the   O
case   O
,   O
contact   O
us   O
at   O
(   B-CONTACT
180   I-CONTACT
)   I-CONTACT
923   I-CONTACT
5478   I-CONTACT
.   O

For   O
reference   O
,   O
our   O
hospital   O
is   O
located   O
at   O
Halfway   B-LOCATION
and   O
the   O
specific   O
zip   O
code   O
is   O
87262   B-LOCATION
.   O

The   O
patient   O
's   O
details   O
are   O
stored   O
securely   O
under   O
the   O
username   O
QB647   B-NAME
.   O

All   O
further   O
updates   O
about   O
the   O
case   O
progression   O
will   O
be   O
documented   O
under   O
the   O
unique   O
Medical   O
Record   O
ID   O
:   O
7160D03357   B-ID
.   O

Signed   O
by   O
,   O
Tate   B-NAME
Nixon   I-NAME
,   O
Pottstown   B-LOCATION
Hospital   I-LOCATION
,   O
February   B-DATE
09   I-DATE
,   I-DATE
2025   I-DATE

Patient   O
Report   O
:   O
Dedra   B-NAME
Erikson   I-NAME
checked   O
into   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
South   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
on   O
November   B-DATE
12   I-DATE
,   I-DATE
2012   I-DATE
.   O

The   O
patient   O
,   O
a   O
Electronic   O
Equipment   O
Installers   O
and   O
Repairers   O
,   O
Motor   O
Vehicles   O
from   O
Kaneohe   B-LOCATION
is   O
100   O
years   O
old   O
and   O
complained   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Over   O
the   O
last   O
two   O
days   O
,   O
Nick   B-NAME
Green   I-NAME
noticed   O
shortness   O
of   O
breath   O
following   O
any   O
physical   O
activity   O
.   O

Gunnar   B-NAME
Bush   I-NAME
was   O
informed   O
about   O
the   O
situation   O
and   O
immediate   O
measures   O
were   O
taken   O
for   O
further   O
care   O
.   O

Derek   B-NAME
Schaefer   I-NAME
's   O
33932103   B-ID
includes   O
an   O
angiogram   O
taken   O
on   O
3/5   B-DATE
which   O
shows   O
significant   O
stenosis   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Berg   B-NAME
suggested   O
angioplasty   O
considering   O
the   O
advanced   O
settings   O
of   O
Callum   B-NAME
Davis   I-NAME
's   O
condition   O
.   O

Ralph   B-NAME
Chambers   I-NAME
does   O
not   O
have   O
any   O
known   O
allergies   O
,   O
as   O
per   O
our   O
records   O
at   O
Waynesboro   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
emergency   O
contact   O
,   O
as   O
noted   O
in   O
his   O
ZD:48515:320774   B-ID
,   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
663   I-CONTACT
)   I-CONTACT
537   I-CONTACT
7851   I-CONTACT
.   O

In   O
Yang   B-NAME
's   O
record   O
,   O
he   O
consented   O
for   O
the   O
angiography   O
,   O
and   O
a   O
representative   O
from   O
Ironshore   B-LOCATION
,   O
where   O
he   O
works   O
,   O
backed   O
his   O
decision   O
.   O

This   O
procedure   O
was   O
carried   O
out   O
under   O
the   O
supervision   O
of   O
Lilian   B-NAME
Haley   I-NAME
with   O
positive   O
results   O
and   O
the   O
patient   O
reported   O
instant   O
relief   O
from   O
pain   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
2018   B-DATE
.   O

For   O
records   O
and   O
future   O
references   O
,   O
Carlita   B-NAME
Dower   I-NAME
's   O
information   O
and   O
tracking   O
details   O
can   O
be   O
acquired   O
,   O
online   O
,   O
using   O
xkq523   B-NAME
and   O
79876   B-LOCATION
.   O

Rockefeller   B-NAME
,   B-NAME
John   I-NAME
D.   I-NAME
suggests   O
that   O
Ricky   B-NAME
David   I-NAME
should   O
continue   O
his   O
medication   O
regularly   O
and   O
should   O
restrict   O
the   O
intake   O
of   O
high   O
cholesterol   O
foods   O
to   O
help   O
in   O
the   O
recovery   O
process   O
.   O

The   O
patient   O
,   O
Cyrus   B-NAME
Lloyd   I-NAME
,   O
presented   O
at   O
the   O
Michigan   B-LOCATION
Medicine   I-LOCATION
on   O
01/28   B-DATE
.   O

He   O
was   O
a   O
Clinical   O
scientist   O
-   O
tissue   O
typing   O
by   O
trade   O
,   O
originally   O
from   O
Davis   B-LOCATION
.   O

The   O
medical   O
history   O
taken   O
on   O
07/24/40   B-DATE
for   O
patient   O
with   O
medical   O
record   O
number   O
1029872   B-ID
showed   O
no   O
previous   O
major   O
illnesses   O
or   O
surgeries   O
.   O

The   O
patient   O
's   O
ID   O
is   O
390551   B-ID
and   O
the   O
contact   O
51478   B-CONTACT
was   O
kept   O
on   O
file   O
.   O

On   O
arrival   O
,   O
Tucker   B-NAME
Valenzuela   I-NAME
complained   O
of   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
signs   O
of   O
acute   O
appendicitis   O
.   O

Personal   O
consult   O
was   O
done   O
through   O
the   O
patient   O
's   O
yhz89   B-NAME
on   O
telehealth   O
portal   O
.   O

Clinical   O
Examination   O
:   O
Physical   O
examination   O
by   O
Cather   B-NAME
,   I-NAME
Willa   I-NAME
,   O
yielded   O
positive   O
Blumberg   O
's   O
sign   O
and   O
Rovsing   O
's   O
sign   O
,   O
marked   O
by   O
rebound   O
tenderness   O
in   O
the   O
right   O
iliac   O
fossa   O
.   O

Laboratory   O
Tests   O
and   O
Imagining   O
:   O
Initial   O
laboratory   O
tests   O
,   O
performed   O
by   O
Every   B-LOCATION
Human   I-LOCATION
Has   I-LOCATION
Rights   I-LOCATION
on   O
28/27/33   B-DATE
,   O
showed   O
mild   O
leukocytosis   O
,   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
cells   O
per   O
microliter   O
.   O

An   O
ultrasound   O
of   O
the   O
abdomen   O
was   O
recommended   O
by   O
Jacoby   B-NAME
Baldwin   I-NAME
to   O
confirm   O
the   O
suspected   O
appendicitis   O
.   O

Management   O
:   O
Appendectomy   O
was   O
performed   O
by   O
Walters   B-NAME
in   O
Broward   B-LOCATION
Health   I-LOCATION
Imperial   I-LOCATION
Point   I-LOCATION
on   O
7/32   B-DATE
.   O

Patient   O
was   O
discharged   O
on   O
02/20/2102   B-DATE
with   O
instructions   O
to   O
revisit   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
in   O
two   O
weeks   O
.   O

Correspondence   O
was   O
taken   O
care   O
of   O
by   O
family   O
members   O
living   O
at   O
Brenham   B-LOCATION
,   O
50563   B-LOCATION
.   O

Patient   O
is   O
advised   O
to   O
contact   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
the   O
163   B-CONTACT
-   I-CONTACT
9673   I-CONTACT
for   O
any   O
further   O
queries   O
or   O
concerns   O
.   O

7004894   B-ID
:   O
834627   O
00/19   B-DATE
:   O
23   O
-   O
June-20xx   O
Shannon   B-NAME
Ortiz   I-NAME
:   O

Mr.   O
John   O
Doe   O
75   O
:   O
56   O
Frye   B-NAME
:   O
Dr.   O
Smith   O
The   O
aforementioned   O
patient   O
presented   O
to   O
the   O
Harper   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
ER   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
fever   O
,   O
and   O
repeated   O
vomiting   O
episodes   O
.   O

A   O
CT   O
of   O
the   O
abdomen   O
was   O
ordered   O
by   O
Thornton   B-NAME
.   O

He   O
is   O
currently   O
admitted   O
to   O
UF   B-LOCATION
Health   I-LOCATION
Jacksonville   I-LOCATION
on   O
the   O
7th   O
-   O
floor   O
surgical   O
unit   O
,   O
under   O
the   O
care   O
of   O
the   O
surgical   O
team   O
led   O
by   O
Whitney   B-NAME
.   O

Appendectomy   O
is   O
scheduled   O
for   O
12/38   B-DATE
.   O
840   B-CONTACT
5285   I-CONTACT
:   O
Call   O
to   O
discuss   O
further   O
management   O
Glasco   B-LOCATION
:   O
current   O
location   O
,   O
99499   B-LOCATION
Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION
:   O
Johns   O
Hopkins   O
Surgical   O
Centre   O
388505705   B-ID
:   O

JHSC9087   O
wzt345   B-NAME
:   O
Assigned   O
Nurse   O
User   O
Name   O
:   O
Nurse1020   O

Patient   O
name   O
:   O
Hodge   B-NAME
Medical   O
record   O
:   O
62652640   B-ID
Address   O
:   O
Leonia   B-LOCATION
Patient   O
Davin   B-NAME
Carrillo   I-NAME
,   O
86   O
years   O
old   O
,   O
came   O
in   O
on   O
19/11   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
and   O
recurring   O
episodes   O
of   O
nausea   O
.   O

On   O
physical   O
examination   O
,   O
Vernon   B-NAME
Toth   I-NAME
exhibited   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Laitman   B-NAME
,   I-NAME
Michael   I-NAME
's   O
blood   O
tests   O
indicated   O
the   O
presence   O
of   O
leukocytosis   O
.   O

An   O
ultrasound   O
scan   O
performed   O
by   O
Dr.   O
Peter   B-NAME
Morgan   I-NAME
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Chattanooga   I-LOCATION
on   O
11/24   B-DATE
suggested   O
an   O
inflamed   O
appendix   O
.   O

Considering   O
the   O
elevated   O
risk   O
due   O
to   O
the   O
onset   O
of   O
peritonitis   O
,   O
Lane   B-NAME
,   I-NAME
Nathan   I-NAME
opted   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

Surgery   O
took   O
place   O
on   O
32/23/2219   B-DATE
.   O

Wolfowitz   B-NAME
,   I-NAME
Paul   I-NAME
's   O
appendix   O
was   O
inflamed   O
and   O
starting   O
to   O
necrotise   O
but   O
was   O
successfully   O
removed   O
.   O

Terrell   B-NAME
was   O
discharged   O
from   O
Ascension   B-LOCATION
SE   I-LOCATION
Wisconsin   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Elmbrook   I-LOCATION
Campus   I-LOCATION
on   O
7/07   B-DATE
and   O
advised   O
a   O
follow   O
-   O
up   O
after   O
ten   O
days   O
.   O

Aydan   B-NAME
Buck   I-NAME
also   O
provided   O
the   O
patient   O
with   O
documentation   O
attesting   O
to   O
their   O
need   O
for   O
leave   O
from   O
their   O
Clinical   O
research   O
associate   O
until   O
their   O
next   O
appointment   O
.   O

Lewis   B-NAME
York   I-NAME
's   O
office   O
at   O
Hudson   B-LOCATION
Bend   I-LOCATION
will   O
contact   O
Angeni   B-NAME
via   O
33307   B-CONTACT
or   O
letter   O
using   O
the   O
patient   O
's   O
account   O
ID   O
DH   B-ID
:   I-ID
KY:5193   I-ID
if   O
there   O
are   O
any   O
changes   O
in   O
the   O
patient   O
's   O
postoperative   O
recovery   O
plan   O
or   O
follow   O
-   O
up   O
appointment   O
date   O
.   O

Release   O
form   O
was   O
signed   O
by   O
Aquila   B-NAME
Kominski   I-NAME
after   O
clearly   O
understanding   O
the   O
aforementioned   O
details   O
of   O
appendicitis   O
procedure   O
with   O
Dr.   O
Mosley   B-NAME
of   O
Galaxies   B-LOCATION
'   I-LOCATION
Republic   I-LOCATION
,   O
6/25/2022   B-DATE
.   O

The   O
patient   O
's   O
ultrasound   O
images   O
taken   O
by   O
KC591   B-NAME
as   O
well   O
as   O
procedure   O
details   O
will   O
be   O
securely   O
archived   O
under   O
8211934   B-ID
.   O

Y   B-NAME
Ullrich   I-NAME
should   O
reach   O
out   O
to   O
Leesburg   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
any   O
further   O
queries   O
or   O
concerns   O
via   O
382   B-CONTACT
-   I-CONTACT
6601   I-CONTACT
.   O

The   O
patient   O
lives   O
at   O
Whites   B-LOCATION
City   I-LOCATION
and   O
their   O
postal   O
code   O
is   O
94575   B-LOCATION
.   O

Patient   O
Name   O
:   O
Makenna   B-NAME
Hendricks   I-NAME
DOB   O
:   O
32/35   B-DATE
Age   O
:   O
71s   O
Sex   O
:   O
Male   O
Mr.   O
Sallust   B-NAME
presented   O
to   O
the   O
University   B-LOCATION
of   I-LOCATION
Missouri   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
's   O
Emergency   O
Department   O
on   O
Sunday   B-DATE
.   O

During   O
the   O
initial   O
physical   O
examination   O
,   O
Mr.   O
Henry   B-NAME
Pinkham   I-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
respiratory   O
distress   O
.   O

The   O
Dominguez   B-NAME
ordered   O
a   O
full   O
CBC   O
,   O
D   O
-   O
dimer   O
,   O
arterial   O
blood   O
gas   O
analysis   O
and   O
chest   O
radiography   O
.   O

Lab   O
results   O
provided   O
by   O
Chinese   B-LOCATION
-   I-LOCATION
American   I-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
showed   O
leukocytosis   O
,   O
elevated   O
D   O
-   O
dimer   O
,   O
and   O
hypoxia   O
.   O

Mr.   O
Romana   B-NAME
Mann   I-NAME
has   O
a   O
medical   O
history   O
of   O
chronic   O
obstructive   O
pulmonary   O
disorder   O
(   O
COPD   O
)   O
,   O
for   O
which   O
he   O
is   O
on   O
regular   O
bronchodilator   O
therapy   O
.   O

He   O
lives   O
in   O
37   B-LOCATION
George   I-LOCATION
Street   I-LOCATION
.   O

To   O
further   O
evaluate   O
his   O
condition   O
,   O
the   O
Graham   B-NAME
referred   O
him   O
for   O
a   O
chest   O
CT   O
scan   O
.   O

Mr.   O
Norah   B-NAME
Bakley   I-NAME
's   O
medical   O
record   O
number   O
is   O
95624111   B-ID
and   O
hospital   O
ID   O
is   O
77047791   B-ID
.   O

His   O
emergency   O
contact   O
is   O
his   O
daughter   O
,   O
who   O
works   O
as   O
a   O
Court   O
Clerks   O
and   O
can   O
be   O
reached   O
via   O
her   O
phone   O
number   O
31008   B-CONTACT
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
02/07   B-DATE
at   O
Excela   B-LOCATION
Frick   I-LOCATION
Hospital   I-LOCATION
.   O

If   O
further   O
information   O
is   O
required   O
,   O
Mr.   O
Harper   B-NAME
Tracy   I-NAME
's   O
primary   O
care   O
physician   O
can   O
be   O
contacted   O
.   O

Doctor   O
's   O
Signature   O
:   O
MP823   B-NAME
Date   O
:   O
1/29/75   B-DATE
Address   O
:   O
Carolina   B-LOCATION
Beach   I-LOCATION
,   O
46497   B-LOCATION

Patient   O
Information   O
:   O
Santana   B-NAME
,   O
a   O
Statistical   O
Assistants   O
by   O
profession   O
,   O
reported   O
to   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
2/14   B-DATE
with   O
a   O
series   O
of   O
symptoms   O
.   O

He   O
is   O
currently   O
30   O
years   O
old   O
and   O
resides   O
in   O
Makakilo   B-LOCATION
.   O

His   O
primary   O
care   O
physician   O
is   O
Dr.   O
Krista   B-NAME
Cline   I-NAME
.   O

Further   O
details   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
524   I-CONTACT
)   I-CONTACT
943   I-CONTACT
2527   I-CONTACT
.   O

Medical   O
Symptoms   O
and   O
Observations   O
:   O
Tristen   B-NAME
Crawford   I-NAME
entailed   O
uninterrupted   O
coughing   O
throughout   O
the   O
day   O
.   O

Medical   O
History   O
:   O
Black   B-NAME
Elk   I-NAME
's   O
medical   O
account   O
number   O
is   O
877   B-ID
-   I-ID
05   I-ID
-   I-ID
40   I-ID
-   I-ID
6   I-ID
.The   O
patient   O
has   O
a   O
medical   O
history   O
of   O
Type-2   O
diabetes   O
and   O
hypertension   O
.   O

His   O
ID   O
for   O
the   O
medical   O
insurance   O
is   O
2   B-ID
-   I-ID
8113767   I-ID
.   O

He   O
had   O
been   O
treated   O
for   O
a   O
heart   O
condition   O
at   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Cootie   I-LOCATION
Auxiliary   I-LOCATION
(   I-LOCATION
MOCA   I-LOCATION
)   I-LOCATION
in   O
the   O
year   O
2000   O
.   O

Upon   O
thorough   O
examination   O
,   O
Dr.   O
Hugo   B-NAME
Greer   I-NAME
referred   O
the   O
patient   O
for   O
a   O
series   O
of   O
diagnostic   O
tests   O
including   O
an   O
upper   O
gastrointestinal   O
(   O
GI   O
)   O
series   O
,   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
chest   O
X   O
-   O
ray   O
,   O
and   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
.   O

Pertinent   O
files   O
have   O
been   O
maintained   O
under   O
username   O
df200   B-NAME
.   O

Planned   O
Course   O
of   O
Action   O
:   O
Should   O
test   O
results   O
confirm   O
suspicions   O
of   O
a   O
lower   O
respiratory   O
tract   O
infection   O
,   O
a   O
personalized   O
treatment   O
plan   O
will   O
be   O
issued   O
by   O
Dr.   O
Presley   B-NAME
Nielsen   I-NAME
.   O

Further   O
appointments   O
will   O
be   O
scheduled   O
for   O
bi   O
-   O
weekly   O
check   O
-   O
ups   O
at   O
Lake   B-LOCATION
Cumberland   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

This   O
document   O
contains   O
sensitive   O
information   O
shielded   O
under   O
laws   O
of   O
the   O
Antonito   B-LOCATION
.   O

Violations   O
will   O
be   O
pursued   O
in   O
accordance   O
with   O
applicable   O
codes   O
of   O
55264   B-LOCATION
.   O

For   O
any   O
further   O
queries   O
or   O
clarifications   O
,   O
please   O
reach   O
out   O
at   O
257   B-CONTACT
-   I-CONTACT
480   I-CONTACT
2690   I-CONTACT
.   O

Patient   O
report   O
:   O
Monserrat   B-NAME
Stone   I-NAME
was   O
admitted   O
to   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Kingwood   I-LOCATION
on   O
17/19   B-DATE
.   O

The   O
72   O
-   O
year   O
-   O
old   O
patient   O
,   O
who   O
prefers   O
to   O
be   O
referred   O
to   O
by   O
the   O
same   O
pronoun   O
,   O
has   O
a   O
medical   O
record   O
number   O
0451626   B-ID
.   O

Rudner   B-NAME
,   I-NAME
Rita   I-NAME
is   O
a   O
retiree   O
from   O
Centre   B-LOCATION
of   I-LOCATION
Indian   I-LOCATION
Trade   I-LOCATION
Unions   I-LOCATION
and   O
resides   O
in   O
Philadelphia   B-LOCATION
.   O

They   O
came   O
to   O
consult   O
Mcgrath   B-NAME
when   O
experiencing   O
sudden   O
,   O
sharp   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
an   O
increasing   O
shortness   O
of   O
breath   O
.   O

Soledad   B-NAME
Halterman   I-NAME
reported   O
having   O
a   O
pale   O
stool   O
and   O
unusually   O
dark   O
urine   O
,   O
indicative   O
of   O
possible   O
liver   O
dysfunction   O
.   O

Murphy   B-NAME
requested   O
for   O
full   O
blood   O
count   O
,   O
liver   O
function   O
tests   O
,   O
and   O
abdominal   O
ultrasound   O
.   O

Their   O
previous   O
doctors   O
in   O
Quinhagak   B-LOCATION
had   O
noted   O
slightly   O
elevated   O
liver   O
enzymes   O
in   O
the   O
medical   O
report   O
0240885   B-ID
.   O

Upon   O
contacting   O
the   O
patient   O
at   O
38217   B-CONTACT
,   O
the   O
patient   O
revealed   O
that   O
they   O
had   O
been   O
feeling   O
unusually   O
fatigued   O
and   O
rashes   O
developing   O
around   O
bilirubin   O
deposits   O
on   O
their   O
skin   O
.   O

Residing   O
at   O
Wood   B-LOCATION
River   I-LOCATION
with   O
ZIP   O
code   O
73885   B-LOCATION
,   O
the   O
patient   O
visits   O
Ira   B-LOCATION
Davenport   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
regularly   O
for   O
check   O
-   O
ups   O
and   O
health   O
evaluations   O
.   O

Salazar   B-NAME
has   O
suggested   O
the   O
patient   O
go   O
in   O
for   O
further   O
evaluation   O
and   O
diagnostic   O
procedures   O
to   O
confirm   O
the   O
likely   O
diagnosis   O
of   O
Cholecystitis   O
or   O
Gallstones   O
.   O

Note   O
:   O
Refer   O
to   O
AO5410   B-NAME
notes   O
for   O
more   O
details   O
.   O

We   O
await   O
the   O
patient   O
's   O
arrival   O
on   O
02/24/1607   B-DATE
for   O
further   O
investigations   O
.   O

Eveline   B-NAME
Claud   I-NAME
's   O
spouse   O
(   O
Contact   O
number   O
:   O
48830   B-CONTACT
)   O
,   O
who   O
always   O
brings   O
along   O
Amnito   B-NAME
Homsey   I-NAME
's   O
ID   O
number   O
JZ:6281:270388   B-ID
during   O
visits   O
.   O

Patient   O
Report   O
:   O
Rowan   B-NAME
Suarez   I-NAME
is   O
a   O
83   O
year   O
old   O
who   O
arrived   O
at   O
the   O
Decatur   B-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
–   I-LOCATION
Oberlin   I-LOCATION
on   O
09/13/2029   B-DATE
.   O

The   O
patient   O
lives   O
in   O
Surprise   B-LOCATION
.   O

After   O
a   O
preliminary   O
examination   O
by   O
Dr.   O
Blackwell   B-NAME
,   O
preliminary   O
blood   O
tests   O
were   O
ordered   O
.   O

The   O
patient   O
's   O
902   B-ID
-   I-ID
54   I-ID
-   I-ID
93   I-ID
report   O
indicated   O
an   O
enlarged   O
appendix   O
of   O
11   O
mm   O
in   O
diameter   O
.   O

Their   O
health   O
insurance   O
detail   O
,   O
IS   B-ID
:   I-ID
GL:5412   I-ID
,   O
has   O
been   O
recorded   O
.   O

The   O
surgery   O
was   O
performed   O
by   O
Dr.   O
Mathews   B-NAME
and   O
the   O
team   O
.   O

The   O
patient   O
's   O
family   O
was   O
immediately   O
informed   O
about   O
the   O
procedure   O
by   O
phone   O
number   O
835   B-CONTACT
-   I-CONTACT
806   I-CONTACT
-   I-CONTACT
3734   I-CONTACT
.   O

They   O
live   O
in   O
the   O
city   O
of   O
Queen   B-LOCATION
Creek   I-LOCATION
and   O
are   O
Shipping   O
,   O
Receiving   O
,   O
and   O
Traffic   O
Clerks   O
by   O
trade   O
.   O

The   O
patient   O
also   O
works   O
as   O
a   O
Couriers   O
and   O
Messengers   O
for   O
the   O
Municipal   B-LOCATION
Mazdoor   I-LOCATION
Union   I-LOCATION
,   O
and   O
their   O
work   O
supervisor   O
was   O
informed   O
through   O
their   O
hb457   B-NAME
work   O
email   O
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
with   O
Dr.   O
Sanders   B-NAME
at   O
the   O
Memorial   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
outpatient   O
department   O
and   O
the   O
dates   O
will   O
be   O
texted   O
to   O
395   B-CONTACT
-   I-CONTACT
2903   I-CONTACT
and   O
mailed   O
to   O
the   O
patient   O
's   O
address   O
at   O
22593   B-LOCATION
.   O

Patient   O
Report   O
:   O
Lee   B-NAME
,   O
a   O
69   O
years   O
old   O
professional   O
Project   O
manager   O
,   O
reported   O
to   O
our   O
facility   O
,   O
Sanford   B-LOCATION
Broadway   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
on   O
00/27/1991   B-DATE
.   O

Damarion   B-NAME
complained   O
of   O
severe   O
headaches   O
,   O
intermittent   O
vertigo   O
,   O
and   O
photophobia   O
.   O

On   O
physical   O
examination   O
performed   O
by   O
Johnson   B-NAME
,   I-NAME
Samuel   I-NAME
,   O
it   O
was   O
evident   O
that   O
Cindy   B-NAME
Flores   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
,   O
swinging   O
between   O
150/90   O
mmHg   O
and   O
140/85   O
mmHg   O
.   O

An   O
urgent   O
blood   O
workup   O
was   O
ordered   O
with   O
the   O
laboratory   O
in   O
Larson   B-LOCATION
.   O

We   O
are   O
following   O
up   O
intensively   O
on   O
his   O
case   O
,   O
our   O
team   O
at   O
Vassar   B-LOCATION
Brothers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
filling   O
up   O
a   O
request   O
for   O
an   O
MRI   O
to   O
be   O
done   O
at   O
the   O
earliest   O
.   O

Evan   B-NAME
Rendell   I-NAME
’s   O
primary   O
care   O
physician   O
,   O
Dr.   O
Moody   B-NAME
,   O
from   O
Taunton   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Plant   I-LOCATION
has   O
also   O
been   O
updated   O
on   O
this   O
.   O

For   O
further   O
communication   O
,   O
Nelson   B-NAME
has   O
provided   O
his   O
phone   O
number   O
317   B-CONTACT
4176   I-CONTACT
,   O
and   O
his   O
residential   O
address   O
is   O
listed   O
as   O
Hollansburg   B-LOCATION
,   O
90655   B-LOCATION
.   O

Reference   O
to   O
previous   O
medical   O
data   O
i.e.   O
90429391   B-ID
number   O
is   O
done   O
to   O
build   O
a   O
comprehensive   O
understanding   O
of   O
the   O
case   O
.   O

Salk   B-NAME
,   I-NAME
Jonas   I-NAME
has   O
submitted   O
his   O
BP:95131:101135   B-ID
,   O
which   O
is   O
securely   O
documented   O
with   O
us   O
.   O

He   O
also   O
provided   O
his   O
email   O
address   O
as   O
ft958   B-NAME
for   O
further   O
digital   O
communication   O
and   O
records   O
.   O

Report   O
submitted   O
by   O
:   O
Skylar   B-NAME
Stout   I-NAME
5/20   B-DATE
St.   B-LOCATION
Francis   I-LOCATION
Health   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION

7/21   B-DATE
:   O
Mr.   O
Kat   B-NAME
presented   O
to   O
Carolinas   B-LOCATION
HealthCare   I-LOCATION
System   I-LOCATION
Blue   I-LOCATION
Ridge   I-LOCATION
Morganton   I-LOCATION
emergency   O
department   O
with   O
complaints   O
of   O
fatigue   O
,   O
lethargy   O
and   O
persistent   O
dull   O
epigastric   O
pain   O
for   O
the   O
last   O
three   O
weeks   O
.   O

The   O
patient   O
is   O
approximately   O
20   O
years   O
-   O
old   O
,   O
a   O
native   O
of   O
625   B-LOCATION
West   I-LOCATION
Mayfair   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION
and   O
employed   O
as   O
a   O
Power   O
Plant   O
Operators   O
.   O

5758O69040   B-ID
shows   O
that   O
he   O
had   O
a   O
cholecystectomy   O
five   O
years   O
ago   O
and   O
has   O
been   O
hypertensive   O
for   O
the   O
last   O
ten   O
years   O
which   O
is   O
kept   O
under   O
control   O
with   O
angiotensin   O
-   O
converting   O
enzyme   O
(   O
ACE   O
)   O
inhibitors   O
.   O

mt417   B-NAME
,   O
the   O
physician   O
on   O
call   O
,   O
suspecting   O
Hepatic   O
disease   O
referred   O
the   O
patient   O
to   O
Dr.   O
Salvatore   B-NAME
Rodgers   I-NAME
team   O
for   O
evaluation   O
.   O

The   O
hospital   O
's   O
contact   O
information   O
was   O
given   O
to   O
the   O
patient   O
(   O
25242   B-CONTACT
)   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
David   B-NAME
.   O

Insurance   O
Details   O
:   O
Mr.   O
Kymani   B-NAME
Winters   I-NAME
's   O
health   O
insurance   O
policy   O
(   O
63057319   B-ID
)   O
from   O
Southwest   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
was   O
verified   O
,   O
and   O
he   O
consented   O
to   O
share   O
his   O
PHI   O
for   O
the   O
purpose   O
of   O
billing   O
and   O
insurance   O
claims   O
to   O
his   O
healthcare   O
provider   O
.   O

His   O
residential   O
address   O
is   O
in   O
37892   B-LOCATION
code   O
area   O
.   O

Kountze   B-LOCATION
's   O
Hendricks   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
is   O
committed   O
to   O
improving   O
the   O
health   O
of   O
our   O
community   O
by   O
providing   O
high   O
-   O
quality   O
care   O
to   O
every   O
patient   O
.   O

Patient   O
Report   O
:   O
Patient   O
's   O
name   O
:   O
Santiago   B-NAME
Date   O
of   O
birth   O
:   O
08/02/2122   B-DATE
Age   O
:   O
17   O
Address   O
:   O
Pine   B-LOCATION
Knot   I-LOCATION
Phone   O
:   O
646   B-CONTACT
-   I-CONTACT
995   I-CONTACT
7657   I-CONTACT
Social   O
Security   O
Number   O
:   O
WI:10514:194585   B-ID
Profession   O
:   O
Dietetic   O
Technicians   O
Username   O
:   O
ZN416   B-NAME
Medical   O
Record   O
Number   O
:   O
2133717   B-ID
Zip   O
code   O
:   O
56510   B-LOCATION
PCP   O
:   O

Dr.   O
Emilio   B-NAME
Hanson   I-NAME
The   O
patient   O
was   O
admitted   O
to   O
The   B-LOCATION
Christ   I-LOCATION
Hospital   I-LOCATION
on   O
27/32/2162   B-DATE
.   O

On   O
initial   O
examination   O
by   O
Dr.   O
Hubbard   B-NAME
,   O
the   O
patient   O
showed   O
symptoms   O
of   O
orthopnea   O
with   O
2   O
-   O
pillow   O
discomfort   O
.   O

As   O
per   O
the   O
latest   O
record   O
of   O
the   O
September   B-DATE
,   O
Traficant   B-NAME
,   I-NAME
James   I-NAME
A.   I-NAME
,   I-NAME
Jr.   I-NAME
's   O
condition   O
has   O
shown   O
marked   O
improvement   O
and   O
patient   O
is   O
responding   O
well   O
to   O
the   O
treatment   O
.   O

The   O
follow   O
-   O
up   O
consultation   O
is   O
scheduled   O
with   O
Dr.   O
Marisa   B-NAME
Valencia   I-NAME
at   O
Providence   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
19/15/2017   B-DATE
.   O

Close   B-LOCATION
Highgate   I-LOCATION
Farm   I-LOCATION
Health   O
Insurance   O
,   O
Plan   O
ID   O
:   O
DW161/5111   B-ID
,   O
has   O
been   O
billed   O
for   O
the   O
medical   O
services   O
offered   O
.   O

Report   O
submitted   O
by   O
Dr.   O
Werner   B-NAME
Signed   O
off   O
with   O
user   O
credentials   O
:   O
ii4810   B-NAME
on   O
Tuesday   B-DATE
.   O

Patient   O
Name   O
:   O
Kendra   B-NAME
Waites   I-NAME
Age   O
:   O
49   O
Profession   O
:   O
Food   O
Servers   O
,   O
Nonrestaurant   O
Location   O
:   O
Kiawah   B-LOCATION
Island   I-LOCATION
On   O
2093   B-DATE
,   O
patient   O
Quinton   B-NAME
H.   I-NAME
Welch   I-NAME
visited   O
Jackson   B-LOCATION
Hospital   I-LOCATION
having   O
symptoms   O
of   O
persistent   O
headache   O
,   O
nausea   O
,   O
and   O
dizziness   O
.   O

Darion   B-NAME
Le   I-NAME
advised   O
further   O
tests   O
including   O
a   O
CT   O
scan   O
and   O
full   O
blood   O
count   O
.   O

The   O
patient   O
ID   O
for   O
this   O
visit   O
was   O
9954327   B-ID
and   O
the   O
laboratory   O
findings   O
can   O
be   O
assessed   O
using   O
medical   O
record   O
15603941   B-ID
.   O

Ickes   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
balanced   O
diet   O
and   O
regular   O
exercise   O
regime   O
.   O

Address   O
for   O
correspondence   O
will   O
be   O
Smithfield   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Smithfield   I-LOCATION
Development   I-LOCATION
Corporation   I-LOCATION
,   O
53922   B-LOCATION
.   O

The   O
doctor   O
can   O
be   O
contacted   O
via   O
76384   B-CONTACT
during   O
office   O
hours   O
.   O

The   O
patient   O
,   O
having   O
a   O
profession   O
as   O
a   O
Sheet   O
Metal   O
Workers   O
,   O
works   O
for   O
Town   B-LOCATION
of   I-LOCATION
Clayton   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

The   O
patient   O
's   O
username   O
(   O
MK871   B-NAME
)   O
for   O
accessing   O
online   O
medical   O
reports   O
is   O
to   O
be   O
strictly   O
confidential   O
.   O

The   O
patient   O
's   O
medical   O
record   O
information   O
will   O
be   O
updated   O
in   O
due   O
course   O
and   O
the   O
physician   O
will   O
review   O
the   O
patient   O
's   O
condition   O
again   O
on   O
2388   B-DATE
.   O

Patient   O
"   O
Alvaro   B-NAME
Sloan   I-NAME
"   O
presented   O
to   O
"   O
Berger   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
"   O
on   O
"   O
03   B-DATE
"   O
complaining   O
a   O
fifteen   O
-   O
days   O
history   O
of   O
headaches   O
.   O

The   O
past   O
medical   O
history   O
of   O
Tania   B-NAME
Dennis   I-NAME
is   O
significant   O
for   O
hypertension   O
and   O
diabetes   O
,   O
both   O
controlled   O
by   O
oral   O
medications   O
,   O
having   O
medical   O
record   O
number   O
"   O
225   B-ID
-   I-ID
62   I-ID
-   I-ID
00   I-ID
-   I-ID
7   I-ID
"   O
.   O

The   O
patient   O
lives   O
in   O
"   O
Manila   B-LOCATION
"   O
and   O
works   O
as   O
a   O
"   O
Oral   O
and   O
Maxillofacial   O
Surgeons   O
"   O
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
"   O
Janiyah   B-NAME
Choi   I-NAME
"   O
,   O
the   O
patient   O
seemed   O
anxious   O
.   O

A   O
CT   O
scan   O
of   O
the   O
head   O
planned   O
for   O
March   B-DATE
to   O
further   O
evaluate   O
symptoms   O
.   O

Contact   O
information   O
for   O
follow   O
up   O
includes   O
phone   O
number   O
"   O
327   B-CONTACT
-   I-CONTACT
8810   I-CONTACT
"   O
with   O
the   O
primary   O
care   O
physician   O
Dr.   O
"   O
Esteban   B-NAME
Clay   I-NAME
"   O
at   O
the   O
"   O
Southwest   B-LOCATION
Mississippi   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Association   I-LOCATION
"   O
.   O

The   O
social   O
security   O
number   O
for   O
the   O
patient   O
is   O
"   O
9107535   B-ID
"   O
.   O

For   O
additional   O
assistance   O
or   O
information   O
,   O
the   O
patient   O
's   O
username   O
is   O
"   O
ncl500   B-NAME
"   O
in   O
the   O
online   O
patient   O
portal   O
.   O

The   O
address   O
on   O
file   O
is   O
34722   B-LOCATION
for   O
the   O
submission   O
of   O
any   O
future   O
communication   O
and   O
healthcare   O
details   O
.   O

Patient   O
Name   O
:   O
London   B-NAME
Church   I-NAME
Age   O
:   O
39   O
Medical   O
Record   O
Number   O
:   O
8916531   B-ID
Attending   O
Physician   O
:   O

Burns   B-NAME
22/23   B-DATE
,   O
We   O
received   O
Xenakis   B-NAME
at   O
Monroe   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
hails   O
from   O
Bewdley   B-LOCATION
and   O
works   O
as   O
a   O
Psychiatrists   O
.   O

He   O
was   O
referred   O
to   O
us   O
by   O
Peter   B-NAME
Leavitt   I-NAME
of   O
Access   B-LOCATION
Bank   I-LOCATION
based   O
on   O
the   O
patient   O
's   O
persistent   O
symptoms   O
.   O

Salgado   B-NAME
can   O
be   O
reached   O
at   O
149   B-CONTACT
-   I-CONTACT
2714   I-CONTACT
for   O
follow   O
-   O
ups   O
.   O

The   O
results   O
of   O
the   O
diagnostic   O
tests   O
conducted   O
under   O
Athena   B-NAME
Bentley   I-NAME
revealed   O
delayed   O
gastric   O
emptying   O
,   O
reinforcing   O
our   O
initial   O
suspicion   O
of   O
Gastroparesis   O
.   O

The   O
patient   O
's   O
family   O
medical   O
history   O
indicates   O
no   O
prior   O
instances   O
of   O
Gastroparesis   O
,   O
however   O
his   O
mother   O
has   O
a   O
record   O
of   O
diabetes   O
Type   O
II   O
,   O
patient   O
7   B-ID
-   I-ID
6650815   I-ID
.   O

We   O
will   O
continue   O
to   O
monitor   O
Liu   B-NAME
and   O
progress   O
will   O
be   O
registered   O
under   O
medical   O
record   O
number   O
29174456   B-ID
.   O

Our   O
medical   O
team   O
will   O
reach   O
out   O
to   O
the   O
patient   O
for   O
follow   O
-   O
up   O
consultations   O
and   O
ensure   O
his   O
healthcare   O
provider   O
Braintree   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
at   O
Humeston   B-LOCATION
is   O
updated   O
on   O
the   O
same   O
.   O

Any   O
queries   O
regarding   O
the   O
patient   O
's   O
treatment   O
can   O
be   O
forwarded   O
to   O
VH791   B-NAME
at   O
the   O
Orlando   B-LOCATION
Health   I-LOCATION
Dr.   I-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
administrative   O
office   O
.   O

For   O
further   O
consultations   O
and   O
treatments   O
,   O
kindly   O
direct   O
the   O
patient   O
to   O
Sisters   B-LOCATION
Of   I-LOCATION
Charity   I-LOCATION
Hospital   I-LOCATION
located   O
at   O
Mariemont   B-LOCATION
,   O
zip   O
:   O
22286   B-LOCATION
.   O

Respectfully   O
,   O
Rishi   B-NAME
Nielsen   I-NAME

Patient   O
Name   O
:   O
Bowles   B-NAME
,   I-NAME
Chester   I-NAME
Age   O
:   O
58   O
Address   O
:   O
North   B-LOCATION
Druid   I-LOCATION
Hills   I-LOCATION
Phone   O
:   O
828   B-CONTACT
6610   I-CONTACT
Zip   O
:   O
98716   B-LOCATION
Organization   O
:   O

First   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
Profession   O
:   O

Sales   O
Managers   O
The   O
patient   O
,   O
CHRISTOPHER   B-NAME
QUINTOS   I-NAME
,   O
visited   O
Pinecrest   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
on   O
30   B-DATE
.   O

A   O
clinical   O
assessment   O
was   O
done   O
by   O
the   O
primary   O
care   O
physician   O
,   O
Holden   B-NAME
.   O

The   O
patient   O
was   O
then   O
referred   O
to   O
a   O
neurologist   O
at   O
Emanuel   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
work   O
-   O
up   O
and   O
management   O
.   O

Contact   O
details   O
of   O
the   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Methodist   I-LOCATION
helpdesk   O
,   O
(   O
395   B-CONTACT
215   I-CONTACT
2840   I-CONTACT
)   O
were   O
provided   O
for   O
any   O
emergencies   O
.   O

A   O
summary   O
of   O
this   O
visit   O
was   O
provided   O
to   O
the   O
patient   O
's   O
health   O
plan   O
provider   O
,   O
Town   B-LOCATION
of   I-LOCATION
Clayton   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
463   B-ID
-   I-ID
67   I-ID
-   I-ID
52   I-ID
and   O
identification   O
number   O
is   O
DK   B-ID
:   I-ID
QM:1274   I-ID
.   O

A   O
copy   O
of   O
the   O
encounter   O
was   O
sent   O
under   O
user   O
VW6310   B-NAME
to   O
the   O
patient   O
's   O
private   O
physician   O
,   O
Davila   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
06   B-DATE
-   I-DATE
28   I-DATE
.   O

The   O
patient   O
resides   O
in   O
zip   O
code   O
54859   B-LOCATION
and   O
has   O
consented   O
to   O
local   O
home   O
health   O
services   O
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Kreff   B-NAME
Colomy   I-NAME
Date   O
of   O
Birth   O
:   O
09/00/29   B-DATE
Address   O
:   O
Hill   B-LOCATION
'   I-LOCATION
n   I-LOCATION
Dale   I-LOCATION
Phone   O
Number   O
:   O
828   B-CONTACT
-   I-CONTACT
7567   I-CONTACT
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
7622187   I-ID
Occupation   O
:   O
Tourist   O
information   O
manager   O
Doctor   O
name   O
:   O
Eddington   B-NAME
,   I-NAME
Arthur   I-NAME
Stanley   I-NAME
Hospital   O
:   O
Carolinas   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
number   O
:   O
9398174   B-ID
Zip   O
code   O
:   O
69619   B-LOCATION
On   O
February   B-DATE
29   I-DATE
,   I-DATE
2038   I-DATE
,   O
patient   O
Jaffe   B-NAME
,   I-NAME
Bob   I-NAME
started   O
experiencing   O
symptoms   O
.   O

According   O
to   O
Francesca   B-NAME
Manning   I-NAME
's   O
observation   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Coretta   B-NAME
Newball   I-NAME
was   O
initially   O
presenting   O
with   O
a   O
persistent   O
dry   O
cough   O
and   O
elevated   O
body   O
temperature   O
,   O
reported   O
to   O
be   O
around   O
101   O
degrees   O
Fahrenheit   O
.   O

Background   O
:   O
Nancie   B-NAME
Kiel   I-NAME
is   O
a   O
51   O
years   O
old   O
male   O
who   O
works   O
as   O
a   O
Meteorologist   O
at   O
TierOne   B-LOCATION
Bank   I-LOCATION
,   O
a   O
reputed   O
firm   O
located   O
in   O
Rosenhayn   B-LOCATION
.   O

He   O
had   O
travelled   O
to   O
Mt.   B-LOCATION
Gretna   I-LOCATION
on   O
1/5   B-DATE
for   O
a   O
business   O
meeting   O
.   O

Upon   O
physical   O
examination   O
at   O
Truman   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lakewood   I-LOCATION
,   O
Tycho   B-NAME
Pankiw   I-NAME
showed   O
signs   O
of   O
dehydration   O
but   O
no   O
apparent   O
cyanosis   O
or   O
signs   O
of   O
respiratory   O
distress   O
.   O

I   O
have   O
recommended   O
Paul   B-NAME
Flanner   I-NAME
to   O
self   O
-   O
isolate   O
and   O
maintain   O
hydration   O
.   O

Follow   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
1779   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
12   I-DATE
.   O

For   O
any   O
immediate   O
concerns   O
,   O
Meaghan   B-NAME
Wenger   I-NAME
or   O
his   O
family   O
can   O
reach   O
me   O
at   O
830   B-CONTACT
-   I-CONTACT
167   I-CONTACT
-   I-CONTACT
8667   I-CONTACT
or   O
through   O
the   O
patient   O
portal   O
by   O
using   O
their   O
username   O
SF643   B-NAME
.   O

Kind   O
Regards   O
,   O
Manning   B-NAME
Kindred   B-LOCATION
Hospital   I-LOCATION
Pittsburgh   I-LOCATION

Subject   O
:   O
Medical   O
Report   O
for   O
Lawrence   B-NAME
Parker   I-NAME
Physician   O
:   O

Simon   B-NAME
Griffith   I-NAME
Date   O
of   O
Assessment   O
:   O
T   B-DATE
Medical   O
Record   O
Number   O
:   O
91639494   B-ID
Carson   B-NAME
recently   O
evaluated   O
GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
at   O
Buchanan   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

JUSTUS   B-NAME
,   I-NAME
ELLIS   I-NAME
,   O
a   O
Taxi   O
Drivers   O
and   O
Chauffeurs   O
working   O
at   O
Australian   B-LOCATION
Manufacturing   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
,   O
is   O
a   O
patient   O
of   O
89   O
years   O
with   O
a   O
non   O
-   O
specific   O
history   O
of   O
chronic   O
intermittent   O
abdominal   O
pain   O
for   O
the   O
past   O
6   O
months   O
.   O

The   O
physical   O
examination   O
of   O
Potts   B-NAME
coupled   O
with   O
the   O
medical   O
records   O
indicated   O
that   O
the   O
pain   O
is   O
localized   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
.   O

In   O
addition   O
to   O
abdominal   O
pain   O
,   O
Nikolas   B-NAME
Mccoy   I-NAME
also   O
reported   O
experiencing   O
symptoms   O
such   O
as   O
nausea   O
,   O
vomiting   O
and   O
bloating   O
.   O

Grant   B-NAME
,   I-NAME
Ulysses   I-NAME
S.   I-NAME
has   O
no   O
prior   O
history   O
of   O
any   O
liver   O
,   O
gall   O
bladder   O
or   O
pancreas   O
diseases   O
,   O
but   O
has   O
been   O
a   O
smoker   O
for   O
past   O
20   O
years   O
.   O

Kasey   B-NAME
Drake   I-NAME
's   O
electronic   O
medical   O
record   O
3394892   B-ID
was   O
updated   O
accordingly   O
and   O
an   O
abdominal   O
ultrasound   O
was   O
advised   O
for   O
further   O
confirmation   O
.   O

Becker   B-NAME
,   I-NAME
Carl   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
,   O
the   O
details   O
of   O
which   O
were   O
communicated   O
through   O
744   B-CONTACT
-   I-CONTACT
3428   I-CONTACT
.   O

After   O
the   O
emergency   O
visit   O
,   O
Shea   B-NAME
returned   O
to   O
Blue   B-LOCATION
Hills   I-LOCATION
and   O
the   O
results   O
were   O
forwarded   O
to   O
Bank   B-LOCATION
of   I-LOCATION
Hiawassee   I-LOCATION
where   O
Jack   B-NAME
Parker   I-NAME
is   O
currently   O
employed   O
.   O

The   O
patient   O
’s   O
employer   O
New   B-LOCATION
Frontier   I-LOCATION
Bank   I-LOCATION
is   O
based   O
in   O
the   O
45634   B-LOCATION
area   O
,   O
and   O
the   O
patient   O
has   O
requested   O
any   O
further   O
communication   O
to   O
be   O
made   O
through   O
sq679   B-NAME
.   O

Thank   O
you   O
,   O
Dominique   B-NAME
Kirk   I-NAME
Cox   B-LOCATION
Monett   I-LOCATION

Patient   O
Name   O
:   O
Malraux   B-NAME
,   I-NAME
André   I-NAME
Age   O
:   O
6   O
ID   O
:   O
LT470/3990   B-ID
Medical   O
Record   O
Number   O
:   O
48357312   B-ID
Location   O
:   O
9   B-LOCATION
South   I-LOCATION
Deerfield   I-LOCATION
St.   I-LOCATION
Zip   O
Code   O
:   O
54111   B-LOCATION
Organization   O
:   O

Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Cootie   I-LOCATION
Auxiliary   I-LOCATION
(   I-LOCATION
MOCA   I-LOCATION
)   I-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
564   I-CONTACT
)   I-CONTACT
792   I-CONTACT
9794   I-CONTACT
Username   O
:   O
mvw350   B-NAME
Doctor   O
:   O
Kate   B-NAME
Morrow   I-NAME
Hospital   O
:   O
Spring   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Job   O
Title   O
:   O
Logisticians   O
Date   O
of   O
Visit   O
:   O
00/33/51   B-DATE
Patient   O
Turner   B-NAME
presented   O
to   O
(   B-LOCATION
closed   I-LOCATION
in   I-LOCATION
2017   I-LOCATION
after   I-LOCATION
Hurricane   I-LOCATION
Irma   I-LOCATION
damage   I-LOCATION
proved   I-LOCATION
too   I-LOCATION
costly   I-LOCATION
to   I-LOCATION
reopen   I-LOCATION
)   I-LOCATION
on   O
16/28/2121   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fevers   O
over   O
the   O
last   O
two   O
weeks   O
.   O

The   O
patient   O
works   O
as   O
a   O
Dancers   O
,   O
and   O
had   O
recently   O
returned   O
from   O
a   O
business   O
trip   O
from   O
Appalachia   B-LOCATION
.   O

On   O
examination   O
,   O
Jerica   B-NAME
was   O
febrile   O
with   O
a   O
temperature   O
of   O
38.2   O
degrees   O
Celsius   O
and   O
had   O
decreased   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
bilaterally   O
.   O

Haas   B-NAME
made   O
the   O
initial   O
diagnosis   O
of   O
community   O
-   O
acquired   O
pneumonia   O
and   O
admitted   O
Wall   B-NAME
,   I-NAME
Larry   I-NAME
to   O
OSF   B-LOCATION
HealthCare   I-LOCATION
Saint   I-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
investigation   O
and   O
treatment   O
.   O

Patient   O
Hanna   B-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
.   O

Blood   O
cultures   O
and   O
respiratory   O
panel   O
PCR   O
were   O
sent   O
to   O
New   B-LOCATION
Frontier   I-LOCATION
Bank   I-LOCATION
laboratory   O
for   O
processing   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Corgan   B-NAME
,   I-NAME
Billy   I-NAME
on   O
12/22   B-DATE
with   O
Ramon   B-NAME
Mahoney   I-NAME
to   O
review   O
the   O
lab   O
results   O
and   O
to   O
modify   O
the   O
treatment   O
plan   O
as   O
required   O
.   O

If   O
required   O
to   O
update   O
any   O
information   O
or   O
schedule   O
additional   O
appointments   O
,   O
Karma   B-NAME
Wong   I-NAME
may   O
reach   O
out   O
to   O
Salem   B-LOCATION
Memorial   I-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
on   O
626   B-CONTACT
313   I-CONTACT
-   I-CONTACT
9157   I-CONTACT
or   O
use   O
their   O
online   O
portal   O
with   O
ks75   B-NAME
.   O

He   O
was   O
discharged   O
after   O
a   O
5   O
-   O
day   O
course   O
in   O
Pan   B-LOCATION
American   I-LOCATION
Hospital   I-LOCATION
with   O
instructions   O
for   O
follow   O
-   O
up   O
.   O

The   O
follow   O
-   O
up   O
procedures   O
will   O
be   O
done   O
in   O
97547   B-LOCATION
where   O
he   O
lives   O
.   O

His   O
ID   O
and   O
medical   O
record   O
number   O
are   O
AX352/2136   B-ID
and   O
4216092   B-ID
,   O
respectively   O
.   O

Patient   O
:   O
Roy   B-NAME
Stuart   I-NAME
Age   O
:   O
39   O
Presenting   O
Symptoms   O
:   O

Branson   B-NAME
Booth   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
Hyperlipidemia   O
,   O
under   O
control   O
with   O
prescription   O
medication   O
.   O

Last   O
seen   O
by   O
Alisa   B-NAME
Conway   I-NAME
at   O
Glenwood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/36   B-DATE
.   O
ID   O
:   O
8157506   B-ID
Location   O
:   O
Port   B-LOCATION
Royal   I-LOCATION
Diagnosis   O
:   O
Based   O
on   O
the   O
patient   O
's   O
clinical   O
symptoms   O
,   O
a   O
working   O
diagnosis   O
of   O
acute   O
pancreatitis   O
was   O
considered   O
.   O

Referrals   O
:   O
Referred   O
to   O
Keely   B-NAME
Huber   I-NAME
at   O
Emory   B-LOCATION
Johns   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
for   O
an   O
abdominal   O
ultrasound   O
scan   O
.   O

Referred   O
patient   O
to   O
a   O
nutritionist   O
Foreign   O
Language   O
and   O
Literature   O
Teachers   O
,   O
Postsecondary   O
at   O
Ocala   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
for   O
dietary   O
advice   O
and   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Regular   O
follow   O
-   O
ups   O
advised   O
every   O
4   O
weeks   O
at   O
Ascension   B-LOCATION
Borgess   I-LOCATION
Hospital   I-LOCATION
.   O

Next   O
appointment   O
scheduled   O
for   O
00/02/2101   B-DATE
.   O

Medical   O
Record   O
Number   O
:   O
859   B-ID
-   I-ID
39   I-ID
-   I-ID
33   I-ID
Contact   O
:   O
46787   B-CONTACT
Additional   O
Recommendations   O
:   O
Patient   O
was   O
advised   O
to   O
avoid   O
alcohol   O
and   O
smoking   O
,   O
eat   O
a   O
low   O
-   O
fat   O
diet   O
and   O
keep   O
regular   O
follow   O
-   O
ups   O
.   O

Address   O
:   O
Tuscola   B-LOCATION
,   O
30261   B-LOCATION
User   O
Review   O
:   O
tsu811   B-NAME
on   O
20/31/2091   B-DATE
.   O

Patient   O
Information   O
:   O
Hollie   B-NAME
was   O
admitted   O
to   O
University   B-LOCATION
of   I-LOCATION
Illinois   I-LOCATION
Hospital   I-LOCATION
on   O
2/30/2392   B-DATE
.   O

Overseen   O
by   O
Gilberto   B-NAME
Maxwell   I-NAME
,   O
a   O
detailed   O
medical   O
examination   O
was   O
carried   O
out   O
.   O

The   O
patient   O
’s   O
medical   O
history   O
,   O
under   O
363   B-ID
-   I-ID
82   I-ID
-   I-ID
21   I-ID
-   I-ID
8   I-ID
,   O
shows   O
no   O
previous   O
stomach   O
or   O
gastrointestinal   O
disorders   O
.   O

The   O
patient   O
resides   O
at   O
Morganton   B-LOCATION
with   O
the   O
zip   O
code   O
71858   B-LOCATION
.   O

They   O
can   O
be   O
contacted   O
via   O
646   B-CONTACT
690   I-CONTACT
-   I-CONTACT
2639   I-CONTACT
.   O

The   O
hospital   O
administration   O
,   O
in   O
partnership   O
with   O
Suns   B-LOCATION
'   I-LOCATION
Principality   I-LOCATION
,   O
has   O
been   O
notified   O
about   O
the   O
condition   O
of   O
Xuereb   B-NAME
,   O
who   O
is   O
of   O
25   O
years   O
old   O
.   O

The   O
patient   O
also   O
provided   O
6   B-ID
-   I-ID
3943707   I-ID
and   O
ZY04   B-NAME
for   O
the   O
hospital   O
's   O
online   O
portal   O
authentication   O
.   O

Next   O
appointment   O
has   O
been   O
scheduled   O
on   O
9/20   B-DATE
at   O
Plainview   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Northwell   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
.   O

All   O
reports   O
and   O
prescriptions   O
have   O
been   O
uploaded   O
to   O
the   O
patient   O
's   O
account   O
accessible   O
with   O
IM27   B-NAME
.   O

This   O
report   O
is   O
generated   O
and   O
updated   O
by   O
Holder   B-NAME
as   O
of   O
2259   B-DATE
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Adams   B-NAME
,   I-NAME
Henry   I-NAME
Age   O
:   O
8   O
DOB   O
:   O
1769   B-DATE
Address   O
:   O
Thomaston   B-LOCATION
Medical   O
history   O
:   O

The   O
patient   O
,   O
identified   O
as   O
Idamae   B-NAME
Elliot   I-NAME
,   O
checked   O
into   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
on   O
2330   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
05   I-DATE
.   O

As   O
per   O
notes   O
advised   O
by   O
Jackson   B-NAME
,   I-NAME
Jesse   I-NAME
,   O
the   O
patient   O
presented   O
with   O
dyspnea   O
and   O
chest   O
pain   O
.   O

A   O
thorough   O
review   O
of   O
Villasenor   B-NAME
's   O
electronic   O
medical   O
record   O
65107376   B-ID
revealed   O
a   O
previous   O
case   O
of   O
Chronic   O
Obstructive   O
Pulmonary   O
Disorder   O
(   O
COPD   O
)   O
.   O

The   O
medical   O
history   O
of   O
the   O
patient   O
obtained   O
from   O
the   O
Upson   B-LOCATION
EMC   I-LOCATION
shows   O
that   O
Opal   B-NAME
Carrie   I-NAME
-   I-NAME
Guerrero   I-NAME
's   O
COPD   O
has   O
been   O
uncontrolled   O
over   O
the   O
last   O
three   O
months   O
despite   O
regular   O
use   O
of   O
inhalers   O
and   O
oral   O
medication   O
.   O

The   O
patient   O
’s   O
driver   O
's   O
license   O
WF:1190:865356   B-ID
was   O
cross   O
-   O
verified   O
as   O
an   O
identification   O
means   O
.   O

Treatment   O
and   O
Follow   O
-   O
up   O
:   O
The   O
Ball   B-NAME
initiated   O
the   O
patient   O
on   O
systemic   O
corticosteroids   O
and   O
prescription   O
antibiotics   O
to   O
manage   O
the   O
exacerbations   O
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
at   O
Holy   B-LOCATION
Family   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Merrimack   I-LOCATION
Valley   I-LOCATION
based   O
on   O
the   O
patient   O
's   O
condition   O
.   O

For   O
any   O
emergency   O
,   O
the   O
patient   O
's   O
contact   O
number   O
is   O
547   B-CONTACT
-   I-CONTACT
690   I-CONTACT
-   I-CONTACT
9432   I-CONTACT
from   O
Menasha   B-LOCATION
.   O

The   O
patient   O
's   O
sister   O
,   O
who   O
is   O
a   O
Social   O
and   O
Community   O
Service   O
Managers   O
,   O
will   O
be   O
responsible   O
for   O
making   O
sure   O
that   O
Martin   B-NAME
Cabrera   I-NAME
adheres   O
to   O
the   O
care   O
plan   O
developed   O
by   O
the   O
healthcare   O
team   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
the   O
patient   O
at   O
Kuwait   B-LOCATION
,   O
exactly   O
two   O
weeks   O
from   O
9/21   B-DATE
.   O

For   O
insurance   O
purposes   O
,   O
the   O
patient   O
's   O
social   O
security   O
number   O
HR   B-ID
:   I-ID
VC:1711   I-ID
and   O
residential   O
zip   O
code   O
29356   B-LOCATION
were   O
collected   O
.   O

The   O
billing   O
and   O
insurance   O
were   O
managed   O
by   O
Botswana   B-LOCATION
Diamond   I-LOCATION
Sorters   I-LOCATION
&   I-LOCATION
Valuators   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

The   O
user   O
support   O
handled   O
by   O
orf505   B-NAME
for   O
further   O
insurance   O
inquiries   O
.   O

Patient   O
Name   O
:   O
Rukeyser   B-NAME
,   I-NAME
Louis   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
4479274   I-ID
Date   O
:   O
2/21/2090   B-DATE
Age   O
:   O
9   O
month   O
Doctor   O
Name   O
:   O
Lee   B-NAME
I   O
am   O
writing   O
to   O
inform   O
you   O
of   O
the   O
recent   O
condition   O
of   O
Kettering   B-NAME
.   O

He   O
came   O
to   O
the   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
09/18/1666   B-DATE
.   O

Over   O
the   O
following   O
days   O
,   O
Otis   B-NAME
Xayasane   I-NAME
underwent   O
multiple   O
tests   O
under   O
the   O
supervision   O
of   O
Dr.   O
Webb   B-NAME
.   O

His   O
complete   O
blood   O
count   O
test   O
performed   O
on   O
1691   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
17   I-DATE
showed   O
abnormal   O
levels   O
of   O
hematocrit   O
and   O
hemoglobin   O
,   O
indicating   O
the   O
possible   O
cause   O
of   O
his   O
hemoptysis   O
(   O
blood   O
-   O
tinged   O
sputum   O
)   O
.   O

Lexine   B-NAME
’s   O
chest   O
X   O
-   O
ray   O
,   O
performed   O
on   O
1/2   B-DATE
,   O
further   O
confirmed   O
our   O
suspicions   O
by   O
revealing   O
a   O
mass   O
in   O
his   O
right   O
lung   O
’s   O
hilar   O
region   O
.   O

The   O
bronchoscopy   O
procedure   O
performed   O
by   O
Dr.   O
Skinner   B-NAME
also   O
found   O
abnormal   O
tissue   O
growth   O
,   O
suggestive   O
of   O
malignancy   O
.   O

We   O
are   O
in   O
the   O
process   O
of   O
getting   O
these   O
tissue   O
samples   O
biopsied   O
from   O
a   O
reputable   O
lab   O
Crescent   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Co   I-LOCATION
to   O
confirm   O
the   O
diagnosis   O
.   O

Family   O
History   O
:   O
His   O
father   O
,   O
also   O
a   O
Cutters   O
and   O
Trimmers   O
,   O
Hand   O
like   O
Walter   B-NAME
,   O
passed   O
away   O
at   O
the   O
age   O
of   O
9   O
due   O
to   O
lung   O
cancer   O
.   O

In   O
light   O
of   O
these   O
developments   O
,   O
I   O
have   O
scheduled   O
another   O
appointment   O
for   O
Salinas   B-NAME
on   O
2/0   B-DATE
at   O
our   O
Highland   B-LOCATION
Hospital   I-LOCATION
branch   O
located   O
at   O
7416   B-LOCATION
E.   I-LOCATION
Elmwood   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION
,   O
34451   B-LOCATION
.   O

For   O
additional   O
concerns   O
or   O
emergency   O
contacts   O
,   O
you   O
can   O
reach   O
out   O
to   O
us   O
at   O
378   B-CONTACT
6659   I-CONTACT
.   O

All   O
the   O
information   O
related   O
to   O
this   O
case   O
can   O
be   O
accessed   O
using   O
the   O
medical   O
record   O
number   O
0023574   B-ID
from   O
our   O
online   O
portal   O
WO51   B-NAME
.   O

We   O
will   O
continue   O
our   O
investigations   O
and   O
keep   O
you   O
informed   O
of   O
further   O
changes   O
in   O
Dwayne   B-NAME
Petty   I-NAME
's   O
condition   O
.   O

For   O
now   O
,   O
Melia   B-NAME
Cupp   I-NAME
has   O
been   O
prescribed   O
palliative   O
care   O
to   O
ease   O
his   O
discomfort   O
.   O

To   O
keep   O
his   O
condition   O
stabilized   O
,   O
Erik   B-NAME
Iverson   I-NAME
has   O
been   O
advised   O
to   O
take   O
proper   O
rest   O
,   O
maintain   O
a   O
balanced   O
diet   O
,   O
and   O
avoid   O
exposure   O
to   O
environmental   O
tobacco   O
smoke   O
.   O

Sincerely   O
,   O
Belle   B-NAME
Mccloskey   I-NAME
169   B-CONTACT
4617   I-CONTACT
Fernway   B-LOCATION

Patient   O
Name   O
:   O
Lashunda   B-NAME
Cattladge   I-NAME
Age   O
:   O
92   O
Date   O
:   O
2   B-DATE
-   I-DATE
2   I-DATE
We   O
have   O
been   O
observing   O
the   O
patient   O
since   O
April   B-DATE
at   O
Baylor   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Neurological   O
examination   O
results   O
,   O
completed   O
by   O
Vaughan   B-NAME
,   O
revealed   O
a   O
decreased   O
facial   O
expression   O
(   O
hypomimia   O
)   O
along   O
with   O
disruptions   O
in   O
normal   O
rapid   O
alternating   O
movements   O
,   O
known   O
as   O
dysdiadochokinesia   O
.   O

03399727   B-ID
shows   O
the   O
patient   O
had   O
a   O
previous   O
occupational   O
history   O
as   O
a   O
Hosts   O
and   O
Hostesses   O
,   O
Restaurant   O
,   O
Lounge   O
,   O
and   O
Coffee   O
Shop   O
.   O

Before   O
retirement   O
,   O
they   O
resided   O
and   O
worked   O
in   O
Spragueville   B-LOCATION
,   O
in   O
a   O
chemical   O
industry   O
under   O
Transamerica   B-LOCATION
Corporation   I-LOCATION
,   O
which   O
may   O
have   O
exposed   O
them   O
to   O
environmental   O
toxins   O
linked   O
with   O
Parkinson   O
’s   O
.   O

Following   O
consultation   O
with   O
Wallace   B-NAME
,   I-NAME
David   I-NAME
Foster   I-NAME
,   O
who   O
is   O
a   O
specialist   O
in   O
Neurology   O
,   O
deep   O
brain   O
stimulation   O
procedure   O
was   O
considered   O
and   O
discussed   O
.   O

The   O
patient   O
’s   O
insurance   O
details   O
were   O
verified   O
using   O
their   O
health   O
plan   O
IV686/3348   B-ID
and   O
a   O
possible   O
date   O
of   O
operation   O
is   O
being   O
considered   O
.   O

The   O
caregiver   O
was   O
instructed   O
to   O
contact   O
us   O
at   O
93673   B-CONTACT
for   O
any   O
adverse   O
changes   O
in   O
the   O
patient   O
's   O
condition   O
.   O

This   O
information   O
has   O
been   O
recorded   O
under   O
the   O
username   O
jay890   B-NAME
.   O

Their   O
address   O
is   O
registered   O
at   O
San   B-LOCATION
Carlos   I-LOCATION
II   I-LOCATION
with   O
a   O
zip   O
code   O
22616   B-LOCATION
.   O

Report   O
compiled   O
by   O
,   O
Deanna   B-NAME
Paul   I-NAME
3rd   B-DATE

Patient   O
Report   O
:   O
Stevens   B-NAME
's   O
case   O
was   O
admitted   O
into   O
the   O
Emergency   O
Department   O
at   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Lourdes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/29/03   B-DATE
.   O

He   O
is   O
a   O
37   O
year   O
old   O
gentleman   O
,   O
residing   O
in   O
Guymon   B-LOCATION
,   I-LOCATION
Guymon   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
.   O

He   O
had   O
also   O
been   O
experiencing   O
dizzy   O
spells   O
and   O
episodes   O
of   O
profuse   O
sweating   O
that   O
started   O
around   O
noon   O
on   O
00/22/84   B-DATE
.   O

Cowper   B-NAME
,   I-NAME
William   I-NAME
reviewed   O
his   O
family   O
history   O
,   O
which   O
revealed   O
both   O
his   O
father   O
and   O
grandfather   O
suffered   O
from   O
heart   O
disease   O
in   O
their   O
60s   O
.   O

His   O
contact   O
number   O
,   O
928   B-CONTACT
8737   I-CONTACT
,   O
has   O
been   O
documented   O
for   O
further   O
communication   O
.   O

His   O
social   O
security   O
LX384/4438   B-ID
was   O
recorded   O
for   O
administrative   O
purposes   O
.   O

Mr.   O
Villegas   B-NAME
's   O
medical   O
record   O
number   O
at   O
our   O
hospital   O
86699492   B-ID
has   O
been   O
updated   O
with   O
these   O
developments   O
.   O

The   O
patient   O
was   O
then   O
consigned   O
for   O
further   O
evaluation   O
to   O
Knox   B-NAME
currently   O
serving   O
in   O
the   O
cardiology   O
department   O
.   O

The   O
patient   O
's   O
employer   O
,   O
United   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
located   O
in   O
Moses   B-LOCATION
Lake   I-LOCATION
,   O
was   O
informed   O
of   O
the   O
situation   O
and   O
his   O
likely   O
absence   O
for   O
an   O
unspecified   O
duration   O
.   O

He   O
resides   O
at   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11229   I-LOCATION
,   O
and   O
his   O
postal   O
area   O
falls   O
under   O
the   O
zip   O
code   O
57273   B-LOCATION
.   O

As   O
of   O
today   O
(   O
02/28/60   B-DATE
)   O
,   O
the   O
patient   O
is   O
under   O
observation   O
and   O
awaiting   O
the   O
results   O
of   O
further   O
tests   O
that   O
would   O
guide   O
his   O
treatment   O
plan   O
.   O

This   O
plan   O
is   O
scheduled   O
to   O
be   O
discussed   O
by   O
team   O
EL731   B-NAME
.   O

This   O
report   O
will   O
be   O
updated   O
with   O
further   O
results   O
and   O
treatment   O
plans   O
in   O
the   O
Freeman   B-LOCATION
Cancer   I-LOCATION
Institute   I-LOCATION
database   O
.   O

Patient   O
Name   O
:   O
umberger   B-NAME
Age   O
:   O
4   O
Medical   O
Record   O
Number   O
:   O
15749933   B-ID
1645   B-DATE
Dr.   O
Terry   B-NAME
Amen   I-NAME
Pennsylvania   B-LOCATION
Psychiatric   I-LOCATION
Institute   I-LOCATION
McCrory   B-LOCATION
,   O
ZIP   O
:   O
46295   B-LOCATION
Dear   O
Dr.   O
Hayes   B-NAME
,   O
Following   O
the   O
examination   O
on   O
2091   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
22   I-DATE
,   O
Felipe   B-NAME
Ortega   I-NAME
presents   O
persistent   O
symptoms   O
.   O

Patient   O
history   O
has   O
been   O
carefully   O
analysed   O
from   O
04504247   B-ID
.   O

Berger   B-NAME
,   I-NAME
Ric   I-NAME
shows   O
evidence   O
of   O
chronic   O
cough   O
and   O
intermittent   O
shortness   O
of   O
breath   O
.   O

Pompey   B-NAME
the   I-NAME
Great   I-NAME
,   O
a   O
Cooling   O
and   O
Freezing   O
Equipment   O
Operators   O
and   O
Tenders   O
,   O
reports   O
these   O
symptoms   O
are   O
especially   O
aggravated   O
during   O
periods   O
of   O
increased   O
physical   O
activity   O
at   O
Canoochee   B-LOCATION
EMC   I-LOCATION
.   O

Heaven   B-NAME
Ray   I-NAME
hereby   O
gives   O
permission   O
,   O
under   O
584864141   B-ID
,   O
to   O
schedule   O
a   O
Chest   O
CT   O
scan   O
.   O

aq667   B-NAME
,   O
the   O
patient   O
's   O
contact   O
,   O
can   O
be   O
reached   O
at   O
385   B-CONTACT
7444   I-CONTACT
to   O
coordinate   O
timing   O
.   O

Please   O
also   O
note   O
that   O
Carinus   B-NAME
Kletschka   I-NAME
has   O
been   O
a   O
non   O
-   O
smoker   O
for   O
the   O
past   O
3   O
years   O
and   O
has   O
no   O
known   O
allergens   O
nor   O
occupational   O
exposures   O
contributing   O
to   O
the   O
said   O
respiratory   O
concerns   O
.   O

Sincerely   O
,   O
Marcelo   B-NAME
Hoskins   I-NAME
Thibodaux   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
52773   B-CONTACT

Patient   O
Name   O
:   O
Kaylie   B-NAME
Gomez   I-NAME
DOB   O
:   O
6/29   B-DATE
Patient   O
Medical   O
Record   O
ID   O
:   O
69008693   B-ID
Patient   O
came   O
in   O
on   O
08/24/2062   B-DATE
presented   O
with   O
several   O
symptoms   O
:   O
noticeable   O
fatigue   O
,   O
headaches   O
,   O
joint   O
pain   O
,   O
and   O
occasional   O
nausea   O
.   O

At   O
the   O
age   O
of   O
30   O
,   O
Richard   B-NAME
L.   I-NAME
Mckenzie   I-NAME
has   O
an   O
active   O
lifestyle   O
,   O
working   O
as   O
a   O
Scanner   O
Operators   O
in   O
Berne   B-LOCATION
.   O

On   O
physical   O
examination   O
,   O
Oliver   B-NAME
Barnes   I-NAME
appeared   O
frail   O
and   O
had   O
an   O
acutely   O
tender   O
abdomen   O
.   O

Blood   O
tests   O
and   O
radiographs   O
were   O
ordered   O
by   O
Dr.   O
Green   B-NAME
to   O
rule   O
out   O
any   O
possibility   O
of   O
viral   O
infection   O
,   O
organ   O
problems   O
,   O
or   O
any   O
other   O
severe   O
health   O
complications   O
.   O

The   O
lab   O
results   O
(   O
analyzed   O
by   O
Advanta   B-LOCATION
Bank   I-LOCATION
Corp   I-LOCATION
)   O
revealed   O
elevated   O
liver   O
enzymes   O
and   O
a   O
low   O
white   O
blood   O
cell   O
count   O
.   O

Dr.   O
Alysha   B-NAME
Mostoller   I-NAME
referred   O
Carla   B-NAME
Daniel   I-NAME
to   O
a   O
Gastroenterology   O
Specialist   O
at   O
Elkhart   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
examination   O
and   O
confirmation   O
of   O
the   O
diagnosis   O
.   O

Dr.   O
Jacob   B-NAME
Christmas   I-NAME
's   O
office   O
scheduled   O
an   O
appointment   O
for   O
22/20/87   B-DATE
,   O
and   O
the   O
confirmation   O
was   O
sent   O
to   O
the   O
patient   O
's   O
email   O
address   O
(   O
OR999   B-NAME
@   O
Cultural   B-LOCATION
Survival   I-LOCATION
.com   O
)   O
.   O

The   O
patient   O
's   O
insurance   O
ID   O
(   O
RB   B-ID
:   I-ID
BM:2896   I-ID
)   O
was   O
confirmed   O
,   O
and   O
communication   O
was   O
established   O
with   O
the   O
insurance   O
provider   O
.   O

The   O
billing   O
was   O
sent   O
to   O
the   O
patient   O
's   O
registered   O
address   O
(   O
Lock   B-LOCATION
Haven   I-LOCATION
,   O
81577   B-LOCATION
)   O
after   O
verifying   O
the   O
contact   O
details   O
(   O
56499   B-CONTACT
)   O
.   O

Further   O
follow   O
-   O
ups   O
and   O
test   O
results   O
will   O
be   O
recorded   O
in   O
his   O
medical   O
records   O
233   B-ID
-   I-ID
64   I-ID
-   I-ID
34   I-ID
-   I-ID
7   I-ID
.   O

We   O
wish   O
Mitsuko   B-NAME
Nerney   I-NAME
a   O
speedy   O
recovery   O
and   O
will   O
ensure   O
proper   O
support   O
till   O
then   O
.   O

Patient   O
Report   O
:   O
00/26/95   B-DATE
:   O
Dotson   B-NAME
,   O
a   O
55   O
-   O
59   O
old   O
male   O
,   O
was   O
admitted   O
to   O
HealthSouth   B-LOCATION
yesterday   O
.   O

The   O
patient   O
is   O
a   O
resident   O
of   O
Dallas   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
75220   I-LOCATION
and   O
is   O
employed   O
as   O
a   O
Makeup   O
Artists   O
,   O
Theatrical   O
and   O
Performance   O
.   O

His   O
primary   O
care   O
physician   O
Quinn   B-NAME
,   I-NAME
Medicine   I-NAME
Woman   I-NAME
has   O
been   O
monitoring   O
his   O
condition   O
and   O
has   O
all   O
the   O
health   O
records   O
under   O
their   O
01996993   B-ID
in   O
the   O
clinic   O
in   O
Arena   B-LOCATION
.   O

Blood   O
samples   O
collected   O
have   O
been   O
sent   O
to   O
the   O
Trade   B-LOCATION
Union   I-LOCATION
Centre   I-LOCATION
of   I-LOCATION
India   I-LOCATION
Lab   O
and   O
the   O
results   O
are   O
awaited   O
.   O

His   O
next   O
of   O
kin   O
is   O
listed   O
as   O
a   O
Mr.   O
Aubree   B-NAME
Neal   I-NAME
and   O
his   O
contact   O
537   B-CONTACT
355   I-CONTACT
-   I-CONTACT
5236   I-CONTACT
has   O
been   O
documented   O
.   O

Anabel   B-NAME
Patton   I-NAME
's   O
health   O
insurance   O
is   O
covered   O
by   O
his   O
employer   O
and   O
the   O
relevant   O
CN   B-ID
:   I-ID
OD:4731   I-ID
have   O
been   O
shared   O
to   O
our   O
administrative   O
department   O
for   O
legal   O
and   O
payment   O
procedures   O
.   O

Any   O
immediate   O
treatment   O
plans   O
will   O
be   O
discussed   O
with   O
Dr.   O
Bernard   B-NAME
post   O
a   O
detailed   O
evaluation   O
of   O
the   O
lab   O
results   O
.   O

Meanwhile   O
,   O
the   O
patient   O
is   O
kept   O
under   O
close   O
observation   O
in   O
the   O
Intensive   O
Care   O
Unit   O
of   O
Catskill   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Makayla   B-NAME
Lopez   I-NAME
’s   O
next   O
of   O
kin   O
,   O
Mr.   O
Ezekiel   B-NAME
Weber   I-NAME
has   O
been   O
also   O
briefed   O
on   O
the   O
situation   O
and   O
an   O
appointment   O
has   O
been   O
made   O
by   O
the   O
staff   O
using   O
ID   O
pq871   B-NAME
to   O
talk   O
about   O
the   O
patient   O
’s   O
ongoing   O
health   O
status   O
.   O

The   O
family   O
resides   O
at   O
Whitestone   B-LOCATION
Logging   I-LOCATION
Camp   I-LOCATION
and   O
their   O
zip   O
code   O
is   O
42236   B-LOCATION
.   O

Lacie   B-NAME
Douglas   I-NAME
30   B-DATE
-   I-DATE
Feb-2150   I-DATE

Patient   O
Report   O
Patient   O
Name   O
:   O
Logan   B-NAME
Wade   I-NAME
Age   O
:   O
42   O
ID   O
number   O
:   O
CE445/2715   B-ID
Private   O
Phone   O
:   O
702   B-CONTACT
215   I-CONTACT
5410   I-CONTACT
Home   O
Address   O
:   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11215   I-LOCATION
Date   O
of   O
hospitalization   O
:   O
07/19/1672   B-DATE
Medical   O
Record   O
Number   O
:   O
84636962   B-ID
Advocate   O
(   O
Scotland   O
)   O

Brittany   B-NAME
Leach   I-NAME
from   O
Dorchester   B-LOCATION
-   I-LOCATION
Uphams   I-LOCATION
Corner   I-LOCATION
/   I-LOCATION
Dorchester   I-LOCATION
Bay   I-LOCATION
,   I-LOCATION
Upham   I-LOCATION
's   I-LOCATION
Corner   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
recently   O
visited   O
El   B-LOCATION
Camino   I-LOCATION
Hospital   I-LOCATION
on   O
04/30/1828   B-DATE
.   O

Upon   O
consultation   O
with   O
Dr.   O
Navarro   B-NAME
,   O
the   O
patient   O
was   O
pathologically   O
diagnosed   O
with   O
acute   O
bronchitis   O
,   O
based   O
on   O
symptoms   O
of   O
persistent   O
cough   O
with   O
greenish   O
phlegm   O
,   O
moderate   O
chest   O
pain   O
during   O
coughing   O
bouts   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

According   O
to   O
Dr.   O
Hardin   B-NAME
,   O
the   O
patient   O
,   O
who   O
already   O
suffers   O
from   O
asthma   O
,   O
caught   O
a   O
viral   O
infection   O
likely   O
due   O
to   O
being   O
exposed   O
to   O
low   O
temperatures   O
during   O
his   O
trips   O
to   O
the   O
Montana   B-LOCATION
Electric   I-LOCATION
Cooperatives   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
at   O
Lyndon   B-LOCATION
Station   I-LOCATION
.   O

Chest   O
X   O
-   O
rays   O
were   O
performed   O
on   O
00/01   B-DATE
which   O
have   O
been   O
filed   O
under   O
the   O
patient   O
's   O
unique   O
ID   O
,   O
4   B-ID
-   I-ID
9241945   I-ID
.   O

During   O
the   O
consultation   O
,   O
Albertina   B-NAME
's   O
credentials   O
were   O
verified   O
using   O
his   O
username   O
bp437   B-NAME
and   O
his   O
ID   O
number   O
AJ   B-ID
:   I-ID
MK:2692   I-ID
.   O

Before   O
starting   O
the   O
treatment   O
,   O
the   O
patient   O
and   O
his   O
spouse   O
,   O
who   O
lives   O
with   O
him   O
at   O
Mount   B-LOCATION
Eagle   I-LOCATION
,   O
were   O
advised   O
to   O
quarantine   O
at   O
home   O
and   O
take   O
ample   O
rest   O
.   O

A   O
prescription   O
has   O
been   O
electronically   O
shared   O
with   O
their   O
local   O
pharmacy   O
in   O
17582   B-LOCATION
.   O

In   O
order   O
for   O
us   O
to   O
monitor   O
the   O
patient   O
's   O
progress   O
remotely   O
,   O
a   O
nurse   O
from   O
Center   B-LOCATION
for   I-LOCATION
Alternatives   I-LOCATION
to   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
CAAT   I-LOCATION
)   I-LOCATION
is   O
assigned   O
who   O
will   O
communicate   O
with   O
Vertie   B-NAME
Rigdon   I-NAME
and   O
Dr.   O
Ella   B-NAME
Noble   I-NAME
via   O
video   O
call   O
as   O
well   O
as   O
text   O
on   O
767   B-CONTACT
4645   I-CONTACT
.   O

Scheduling   O
for   O
these   O
remote   O
sessions   O
will   O
be   O
managed   O
by   O
the   O
Munroe   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
staff   O
using   O
username   O
fm8110   B-NAME
.   O

Dr.   O
Leilani   B-NAME
Hays   I-NAME
has   O
requested   O
the   O
next   O
attendance   O
on   O
2333   B-DATE
for   O
a   O
thorough   O
medical   O
reassessment   O
.   O

The   O
patient   O
is   O
currently   O
waiting   O
for   O
his   O
COVID-19   O
test   O
result   O
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Laface   B-NAME
Age   O
:   O
53   O
Gender   O
:   O
Male   O
Identification   O
Details   O
:   O
Social   O
Security   O
Number   O
:   O
YO:45865:450180   B-ID
Medical   O
Record   O
Number   O
:   O
9187U52541   B-ID
Address   O
:   O
Creal   B-LOCATION
Springs   I-LOCATION
,   O
53943   B-LOCATION
Emergency   O
Contact   O
Details   O
:   O
Phone   O
Number   O
:   O
(   B-CONTACT
172   I-CONTACT
)   I-CONTACT
139   I-CONTACT
2215   I-CONTACT
Medical   O
History   O
:   O
Presented   O
to   O
Bi   B-LOCATION
-   I-LOCATION
Mart   I-LOCATION
on   O
9/58   B-DATE
.   O

Referred   O
by   O
Dr.   O
Colby   B-NAME
Sparano   I-NAME
from   O
South   B-LOCATION
Nassau   I-LOCATION
Communities   I-LOCATION
Hospital   I-LOCATION
.   O

Disposition   O
:   O
Transferred   O
to   O
cardiology   O
services   O
at   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
East   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
next   O
of   O
kin   O
and   O
primary   O
care   O
provider   O
,   O
Dr.   O
Arianna   B-NAME
Murillo   I-NAME
,   O
were   O
notified   O
on   O
12/32/2076   B-DATE
.   O

Prepared   O
by   O
:   O
dq816   B-NAME
on   O
32/31/11   B-DATE
.   O

Patient   O
Report   O
:   O
Jackson   B-NAME
Watson   I-NAME
reported   O
to   O
Sentara   B-LOCATION
Obici   I-LOCATION
Hospital   I-LOCATION
on   O
03/08/1826   B-DATE
.   O

The   O
patient   O
is   O
a   O
Recycling   O
officer   O
from   O
California   B-LOCATION
with   O
JX   B-ID
:   I-ID
SS:6264   I-ID
.   O

During   O
the   O
initial   O
assessment   O
performed   O
by   O
the   O
ED   O
nurse   O
,   O
Mathew   B-NAME
Thronson   I-NAME
complained   O
of   O
severe   O
,   O
sharp   O
lower   O
right   O
abdominal   O
pain   O
increasing   O
in   O
intensity   O
over   O
the   O
past   O
several   O
hours   O
and   O
occasional   O
bouts   O
of   O
nausea   O
.   O

These   O
symptoms   O
suggest   O
a   O
probable   O
diagnosis   O
of   O
acute   O
appendicitis   O
and   O
the   O
patient   O
's   O
condition   O
was   O
promptly   O
reported   O
to   O
Payne   B-NAME
,   I-NAME
Max   I-NAME
.   O

Gemma   B-NAME
Buck   I-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
including   O
abdominal   O
ultrasound   O
,   O
CBC   O
,   O
and   O
urinalysis   O
.   O

The   O
contact   O
number   O
provided   O
by   O
the   O
patient   O
is   O
203   B-CONTACT
-   I-CONTACT
4381   I-CONTACT
.   O

Jaclyn   B-NAME
Jordon   I-NAME
's   O
over   O
-   O
the   O
-   O
phone   O
consultation   O
appointment   O
with   O
a   O
gastroenterology   O
specialist   O
at   O
our   O
hospital   O
is   O
scheduled   O
for   O
20/07   B-DATE
and   O
an   O
email   O
notification   O
has   O
been   O
sent   O
to   O
the   O
patient   O
at   O
ZV140   B-NAME
.   O

If   O
surgery   O
is   O
decided   O
,   O
Kyleigh   B-NAME
Alvarez   I-NAME
shall   O
be   O
transferred   O
to   O
the   O
surgery   O
department   O
located   O
at   O
Otsego   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

By   O
the   O
time   O
of   O
admission   O
,   O
the   O
family   O
of   O
Corona   B-NAME
has   O
been   O
informed   O
about   O
the   O
current   O
health   O
circumstance   O
,   O
the   O
patient   O
is   O
insured   O
under   O
United   B-LOCATION
Steelworkers   I-LOCATION
and   O
his   O
details   O
are   O
filed   O
under   O
the   O
0253309   B-ID
number   O
.   O

They   O
reside   O
at   O
Grayland   B-LOCATION
,   O
zip   O
code   O
37121   B-LOCATION
.   O

Patient   O
Name   O
:   O
McClary   B-NAME
,   I-NAME
Susan   I-NAME
Age   O
:   O
8   O
ID   O
:   O
VE:92428:351843   B-ID
Medical   O
Record:   O
89104065   B-ID
Location   O
:   O
8   B-LOCATION
Leatherwood   I-LOCATION
St.   I-LOCATION
Phone   O
:   O
229   B-CONTACT
6286   I-CONTACT
Zip   O
:   O
32248   B-LOCATION
Doctor   O
:   O

Schultz   B-NAME
Hospital   O
:   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Heart   I-LOCATION
and   I-LOCATION
Vascular   I-LOCATION
Hospital   I-LOCATION
Dallas   I-LOCATION
Organization   O
:   O

Irish   B-LOCATION
National   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Organisation   I-LOCATION
Profession   O
:   O

Lodging   O
Managers   O
Username   O
:   O
xg994   B-NAME
On   O
2033   B-DATE
,   O
patient   O
Dwayne   B-NAME
Wall   I-NAME
presented   O
to   O
the   O
outpatient   O
department   O
of   O
Tuba   B-LOCATION
City   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Corporation   I-LOCATION
with   O
complaints   O
of   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

The   O
Patient   O
is   O
a   O
3   O
year   O
old   O
Travel   O
Guides   O
,   O
who   O
resides   O
at   O
Knob   B-LOCATION
Noster   I-LOCATION
,   O
13966   B-LOCATION
.   O

A   O
preliminary   O
diagnosis   O
of   O
acute   O
pancreatitis   O
was   O
made   O
by   O
Dr.   O
Sanders   B-NAME
and   O
he   O
was   O
admitted   O
for   O
further   O
evaluation   O
.   O

During   O
his   O
hospital   O
stay   O
,   O
his   O
case   O
was   O
managed   O
under   O
the   O
guidance   O
of   O
the   O
team   O
at   O
the   O
Unitil   B-LOCATION
Corporation   I-LOCATION
at   O
Clinton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

His   O
routine   O
blood   O
tests   O
,   O
including   O
complete   O
blood   O
count   O
,   O
renal   O
function   O
tests   O
,   O
liver   O
function   O
tests   O
,   O
taken   O
on   O
28/20   B-DATE
showed   O
elevated   O
levels   O
of   O
amylase   O
and   O
lipase   O
.   O

A   O
subsequent   O
Ultrasound   O
on   O
March   B-DATE
2255   I-DATE
confirmed   O
signs   O
of   O
acute   O
pancreatitis   O
.   O

The   O
patient   O
responded   O
well   O
to   O
the   O
medical   O
management   O
given   O
at   O
Stafford   B-LOCATION
Hospital   I-LOCATION
and   O
was   O
discharged   O
on   O
Tue   B-DATE
in   O
a   O
stable   O
condition   O
with   O
specific   O
dietary   O
advice   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Sullivan   B-NAME
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
ysr455   B-NAME
and   O
if   O
there   O
are   O
further   O
queries   O
,   O
you   O
may   O
contact   O
us   O
at   O
436   B-CONTACT
-   I-CONTACT
6494   I-CONTACT
.   O

Patient   O
:   O
Jody   B-NAME
Medical   O
Record   O
:   O
340   B-ID
-   I-ID
97   I-ID
-   I-ID
01   I-ID
Date   O
:   O
Thursday   B-DATE
Admission   O
Diagnosis   O
:   O
Severe   O
Abdominal   O
Pain   O
Report   O
:   O

The   O
patient   O
,   O
Aydin   B-NAME
Dudley   I-NAME
,   O
is   O
a   O
80   O
-   O
year   O
-   O
old   O
individual   O
,   O
who   O
presented   O
to   O
our   O
emergency   O
department   O
at   O
Norton   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
&   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
1/20/57   B-DATE
.   O

Due   O
to   O
the   O
progressive   O
nature   O
of   O
the   O
condition   O
,   O
an   O
emergency   O
CT   O
scan   O
was   O
ordered   O
by   O
the   O
attending   O
doctor   O
,   O
Kristian   B-NAME
Saunders   I-NAME
.   O

The   O
surgery   O
was   O
performed   O
by   O
Mckinley   B-NAME
Foster   I-NAME
on   O
33/21/93   B-DATE
at   O
Kanakanak   B-LOCATION
Hospital   I-LOCATION
.   O

Surgery   O
notes   O
provided   O
by   O
Wolff   B-NAME
,   I-NAME
Christian   I-NAME
revealed   O
a   O
twisting   O
of   O
the   O
sigmoid   O
colon   O
(   O
volvulus   O
)   O
causing   O
obstruction   O
,   O
which   O
was   O
corrected   O
during   O
the   O
procedure   O
.   O

Patient   O
Isabell   B-NAME
Fitzgerald   I-NAME
was   O
last   O
seen   O
by   O
Doctor   O
Robert   B-NAME
Sampson   I-NAME
on   O
23/26   B-DATE
at   O
Edward   B-LOCATION
Hospital   I-LOCATION
department   O
for   O
post   O
-   O
operative   O
assessment   O
.   O

Encouraged   O
by   O
the   O
progress   O
,   O
Gia   B-NAME
Rogers   I-NAME
scheduled   O
a   O
follow   O
up   O
appointment   O
at   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Dearborn   I-LOCATION
on   O
July   B-DATE
for   O
final   O
post   O
-   O
operative   O
consultation   O
.   O

The   O
patient   O
resides   O
in   O
Pasadena   B-LOCATION
Hills   I-LOCATION
,   O
employed   O
as   O
a   O
Offset   O
Lithographic   O
Press   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
at   O
MOVE   B-LOCATION
.   O

The   O
medical   O
history   O
provided   O
under   O
MRN   O
8892031   B-ID
shows   O
no   O
relevant   O
illnesses   O
.   O

The   O
closer   O
contact   O
for   O
the   O
patient   O
is   O
available   O
on   O
(   B-CONTACT
716   I-CONTACT
)   I-CONTACT
772   I-CONTACT
5627   I-CONTACT
for   O
further   O
information   O
.   O

Please   O
note   O
that   O
this   O
report   O
is   O
confidential   O
,   O
intended   O
for   O
the   O
medical   O
team   O
treating   O
patient   O
Diya   B-NAME
Frey   I-NAME
.   O

For   O
further   O
information   O
and   O
queries   O
related   O
to   O
this   O
patient   O
's   O
medical   O
report   O
,   O
the   O
assigned   O
healthcare   O
provider   O
can   O
be   O
reached   O
at   O
nb103   B-NAME
81003514   B-ID
.   O

Sensitive   O
details   O
such   O
as   O
SSN   O
,   O
ZIP   O
code   O
of   O
residence   O
(   O
93559   B-LOCATION
)   O
have   O
been   O
intentionally   O
left   O
out   O
following   O
PHI   O
regulations   O
.   O

Patient   O
Report   O
Ferreira   B-NAME
presented   O
himself   O
to   O
the   O
ER   O
late   O
yesterday   O
evening   O
,   O
2/31/03   B-DATE
,   O
after   O
experiencing   O
a   O
sudden   O
onset   O
of   O
severe   O
thoracic   O
pain   O
on   O
the   O
left   O
side   O
.   O

Jazlene   B-NAME
Lynch   I-NAME
is   O
a   O
42   O
year   O
old   O
male   O
,   O
who   O
works   O
as   O
a   O
Engraver   O
Set   O
-   O
Up   O
Operators   O
.   O

He   O
lives   O
in   O
Doylestown   B-LOCATION
and   O
holds   O
the   O
FX   B-ID
:   I-ID
PJ:2715   I-ID
.   O

Upon   O
arrival   O
,   O
he   O
was   O
immediately   O
seen   O
by   O
Riddle   B-NAME
at   O
Truman   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lakewood   I-LOCATION
and   O
required   O
urgent   O
medical   O
attention   O
.   O

The   O
Lennon   B-NAME
Dalton   I-NAME
ordered   O
an   O
EKG   O
which   O
revealed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
inferior   O
leads   O
.   O

Manning   B-NAME
's   O
past   O
medical   O
history   O
showed   O
evidence   O
of   O
hypertension   O
and   O
diabetes   O
.   O

The   O
patient   O
has   O
been   O
admitted   O
for   O
an   O
emergency   O
coronary   O
angiogram   O
that   O
will   O
be   O
conducted   O
today   O
,   O
33/27/2207   B-DATE
.   O

According   O
to   O
our   O
records   O
with   O
20563532   B-ID
,   O
Denzel   B-NAME
has   O
been   O
previously   O
admitted   O
in   O
Ascension   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Hospital   I-LOCATION
for   O
glycemic   O
control   O
counseling   O
and   O
regular   O
health   O
checkups   O
under   O
the   O
supervision   O
of   O
Mueller   B-NAME
.   O

Patient   O
's   O
medical   O
information   O
was   O
retrieved   O
from   O
the   O
International   B-LOCATION
Rescue   I-LOCATION
Committee   I-LOCATION
's   O
health   O
database   O
.   O

You   O
can   O
reach   O
Nunez   B-NAME
on   O
his   O
personal   O
contact   O
number   O
at   O
15622   B-CONTACT
and   O
his   O
home   O
address   O
is   O
located   O
in   O
the   O
24084   B-LOCATION
region   O
.   O

His   O
primary   O
healthcare   O
provider   O
,   O
Tucker   B-NAME
was   O
informed   O
about   O
Kimber   B-NAME
Marsters   I-NAME
's   O
condition   O
and   O
his   O
subsequent   O
admission   O
to   O
the   O
Utah   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
next   O
-   O
of   O
-   O
kin   O
on   O
file   O
is   O
Jane   O
Doe   O
,   O
his   O
wife   O
,   O
who   O
can   O
also   O
be   O
reached   O
at   O
53023   B-CONTACT
.   O

His   O
healthcare   O
instructions   O
and   O
electronic   O
health   O
records   O
have   O
been   O
updated   O
by   O
QW787   B-NAME
.   O

As   O
per   O
the   O
plan   O
made   O
by   O
Wolfe   B-NAME
,   O
Mauricio   B-NAME
Walls   I-NAME
has   O
been   O
started   O
on   O
a   O
standard   O
regimen   O
of   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
intravenous   O
nitroglycerin   O
for   O
prophylaxis   O
for   O
MI   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Solomon   B-NAME
Cooper   I-NAME
Age   O
:   O
1   O
DOB   O
:   O
23/32   B-DATE
Resides   O
:   O
Montesano   B-LOCATION
MRN   O
:   O
4977135   B-ID
ID   O
:   O
EP:8378:639789   B-ID
Contact   O
details   O
:   O

97325   B-CONTACT
,   O
45468   B-LOCATION
Attending   O
Physician   O
:   O
Boyle   B-NAME
On   O
0/19   B-DATE
,   O
Truth   B-NAME
,   I-NAME
Sojourner   I-NAME
visited   O
the   O
ER   O
at   O
Villages   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Kalam   B-NAME
,   I-NAME
APJ   I-NAME
Abdul   I-NAME
reported   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
.   O

Per   O
the   O
report   O
,   O
Allison   B-NAME
Ng   I-NAME
's   O
symptoms   O
have   O
been   O
ongoing   O
for   O
approximately   O
4   O
days   O
.   O

Opal   B-NAME
Larson   I-NAME
’s   O
past   O
medical   O
history   O
is   O
significant   O
for   O
type   O
II   O
diabetes   O
mellitus   O
,   O
hypertension   O
,   O
and   O
hyperlipidemia   O
.   O

Last   O
checkup   O
with   O
Massey   B-NAME
,   O
Stone   B-NAME
,   I-NAME
I.   I-NAME
F.   I-NAME
's   O
primary   O
care   O
physician   O
,   O
was   O
on   O
09/26/12   B-DATE
.   O

Lindsay   B-NAME
Frederick   I-NAME
lives   O
with   O
an   O
elderly   O
parent   O
and   O
works   O
as   O
a   O
Cleaning   O
,   O
Washing   O
,   O
and   O
Metal   O
Pickling   O
Equipment   O
Operators   O
and   O
Tenders   O
in   O
Grindstone   B-LOCATION
.   O

Dr.   O
Mckayla   B-NAME
Mckenzie   I-NAME
arranged   O
for   O
further   O
diagnostic   O
testing   O
which   O
included   O
a   O
complete   O
metabolic   O
panel   O
,   O
lipase   O
level   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
.   O

All   O
results   O
have   O
been   O
entered   O
to   O
the   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
's   O
system   O
under   O
DR936   B-NAME
.   O

For   O
any   O
further   O
appointments   O
or   O
information   O
,   O
please   O
reach   O
out   O
to   O
the   O
hospital   O
administration   O
desk   O
at   O
758   B-CONTACT
7554   I-CONTACT
.   O

Given   O
the   O
symptoms   O
and   O
family   O
history   O
,   O
Stokes   B-NAME
suspects   O
the   O
possibility   O
of   O
gallstones   O
or   O
cholecystitis   O
.   O

As   O
a   O
preventative   O
measure   O
,   O
Raegan   B-NAME
Wilkinson   I-NAME
has   O
referred   O
Nakia   B-NAME
Ingrassia   I-NAME
to   O
a   O
dietitian   O
from   O
Cobb   B-LOCATION
EMC   I-LOCATION
for   O
nutritional   O
counseling   O
and   O
a   O
low   O
-   O
fat   O
diet   O
.   O

Please   O
express   O
any   O
concerns   O
during   O
your   O
next   O
visit   O
scheduled   O
at   O
Large   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Indian   I-LOCATION
Rocks   I-LOCATION
(   I-LOCATION
Formerly   I-LOCATION
Sun   I-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
on   O
2340   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
20   I-DATE
.   O

Remember   O
to   O
bring   O
your   O
HK   B-ID
:   I-ID
SE:3364   I-ID
for   O
identification   O
and   O
2758489   B-ID
for   O
easy   O
retrieval   O
of   O
health   O
records   O
.   O

Patient   O
Name   O
:   O
Lorelai   B-NAME
Baldwin   I-NAME
Age   O
:   O
23   O
Patient   O
Easter   B-NAME
presented   O
to   O
the   O
Sutter   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
2082   B-DATE
.   O

Patients   O
'   O
general   O
practitioner   O
Dr.   O
Michelle   B-NAME
Saunders   I-NAME
sent   O
in   O
a   O
detailed   O
report   O
of   O
the   O
recent   O
medical   O
history   O
of   O
the   O
patient   O
.   O

Temporary   O
medical   O
record   O
identifier   O
for   O
the   O
patient   O
during   O
this   O
period   O
is   O
830   B-ID
-   I-ID
23   I-ID
-   I-ID
40   I-ID
-   I-ID
4   I-ID
.   O

Recent   O
residing   O
address   O
is   O
Weldona   B-LOCATION
,   O
zip   O
code   O
80083   B-LOCATION
.   O

Regarding   O
occupation   O
,   O
Ophelia   B-NAME
Sanders   I-NAME
has   O
been   O
working   O
as   O
a   O
Entertainers   O
and   O
Performers   O
,   O
Sports   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
in   O
We   B-LOCATION
Energies   I-LOCATION
till   O
the   O
present   O
spell   O
of   O
illness   O
.   O

Personal   O
phone   O
number   O
on   O
our   O
records   O
is   O
(   B-CONTACT
337   I-CONTACT
)   I-CONTACT
742   I-CONTACT
-   I-CONTACT
2250   I-CONTACT
.   O

Pulmonary   O
Function   O
Tests   O
were   O
scheduled   O
for   O
8/21   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
will   O
be   O
arranged   O
with   O
Dr.   O
Dean   B-NAME
,   I-NAME
John   I-NAME
.   O

The   O
patient   O
's   O
smartphone   O
app   O
health   O
ID   O
is   O
ZM443   B-NAME
.   O

Emergency   O
contact   O
is   O
listed   O
as   O
:   O
Name   O
:   O
Isaac   B-NAME
Ferraro   I-NAME
's   O
sister   O
,   O
Phone   O
:   O
82741   B-CONTACT
.   O

This   O
case   O
will   O
be   O
periodically   O
updated   O
under   O
the   O
same   O
medical   O
record   O
number   O
14018633   B-ID
only   O
after   O
obtaining   O
the   O
necessary   O
permissions   O
and   O
in   O
accordance   O
with   O
the   O
norms   O
of   O
HIPAA   O
.   O

cc   O
:   O
Dr.   O
Barton   B-NAME
Notice   O
:   O
All   O
PHI   O
(   O
Personal   O
Health   O
Information   O
)   O
is   O
handled   O
and   O
shared   O
in   O
a   O
way   O
that   O
complies   O
with   O
all   O
local   O
,   O
state   O
,   O
and   O
federal   O
laws   O
.   O

Personal   O
social   O
security   O
number   O
or   O
other   O
similar   O
identification   O
numbers   O
are   O
not   O
shared   O
with   O
anyone   O
,   O
the   O
last   O
four   O
digits   O
of   O
social   O
security   O
numbers   O
are   O
XM167/1320   B-ID
.   O

Patient   O
Name   O
:   O
Mussolini   B-NAME
,   I-NAME
Benito   I-NAME
Date   O
of   O
Consultation   O
:   O
17/26/2186   B-DATE
Doctor   O
Name   O
:   O
Jada   B-NAME
Livingston   I-NAME
Medical   O
Record   O
Number   O
:   O
763   B-ID
-   I-ID
81   I-ID
-   I-ID
87   I-ID
-   I-ID
9   I-ID
Age   O
:   O
20   O
Location   O
:   O
Spring   B-LOCATION
City   I-LOCATION
Report   O
:   O
Rose   B-NAME
Benton   I-NAME
,   O
94   O
,   O
presented   O
to   O
the   O
outpatient   O
department   O
of   O
New   B-LOCATION
Milford   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
3/0   B-DATE
.   O

Douglass   B-NAME
,   I-NAME
David   I-NAME
also   O
reported   O
difficulty   O
in   O
managing   O
their   O
responsibilities   O
at   O
their   O
employment   O
as   O
a   O
Rail   O
Car   O
Repairers   O
due   O
to   O
sudden   O
episodes   O
of   O
dizziness   O
.   O

During   O
the   O
physical   O
examination   O
,   O
Carter   B-NAME
,   I-NAME
Elliott   I-NAME
noted   O
a   O
mild   O
pallor   O
and   O
icterus   O
.   O

Given   O
these   O
symptoms   O
and   O
lab   O
reports   O
,   O
Simpson   B-NAME
,   I-NAME
Jack   I-NAME
considered   O
the   O
possibility   O
of   O
a   O
hemolytic   O
disorder   O
,   O
possibly   O
Hereditary   O
Spherocytosis   O
.   O

Mahoney   B-NAME
has   O
been   O
referred   O
for   O
molecular   O
genetic   O
testing   O
at   O
Upper   B-LOCATION
Peninsula   I-LOCATION
Power   I-LOCATION
Company   I-LOCATION
for   O
the   O
definitive   O
diagnosis   O
of   O
this   O
disorder   O
.   O

The   O
patient   O
's   O
contact   O
information   O
,   O
including   O
their   O
79063   B-CONTACT
and   O
address   O
(   O
Cragsmoor   B-LOCATION
,   O
74590   B-LOCATION
)   O
have   O
been   O
saved   O
for   O
future   O
correspondence   O
.   O

Additionally   O
,   O
their   O
identification   O
information   O
,   O
such   O
as   O
the   O
BV519/2966   B-ID
,   O
has   O
been   O
noted   O
in   O
the   O
system   O
with   O
the   O
username   O
QD551   B-NAME
for   O
reference   O
in   O
subsequent   O
tunups   O
.   O

Follow   O
-   O
ups   O
have   O
been   O
scheduled   O
for   O
35/24   B-DATE
at   O
Roosevelt   B-LOCATION
Warm   I-LOCATION
Springs   I-LOCATION
Institute   I-LOCATION
for   I-LOCATION
Rehabilitation   I-LOCATION
to   O
discuss   O
the   O
genetic   O
testing   O
results   O
and   O
potential   O
treatment   O
options   O
with   O
Porter   B-NAME
.   O

In   O
the   O
meantime   O
,   O
Nabokov   B-NAME
,   I-NAME
Vladimir   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
well   O
-   O
balanced   O
diet   O
and   O
get   O
sufficient   O
rest   O
to   O
manage   O
the   O
symptoms   O
.   O

If   O
the   O
symptoms   O
worsen   O
,   O
Arturo   B-NAME
Weiss   I-NAME
is   O
also   O
suggested   O
to   O
schedule   O
an   O
immediate   O
appointment   O
.   O

A   O
copy   O
of   O
this   O
report   O
would   O
be   O
sent   O
to   O
Wesley   B-NAME
Snow   I-NAME
's   O
primary   O
care   O
physician   O
as   O
well   O
.   O

(   O
Prepared   O
by   O
:   O
Herring   B-NAME
,   O
UPMC   B-LOCATION
Mercy   I-LOCATION
)   O
.   O

Subject   O
:   O
Report   O
on   O
Mills   B-NAME
,   I-NAME
C.   I-NAME
Wright   I-NAME
's   O
Condition   O
Karah   B-NAME
is   O
a   O
22   O
years   O
old   O
patient   O
admitted   O
to   O
Kansas   B-LOCATION
Voice   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Lawrence   I-LOCATION
on   O
11/21/2111   B-DATE
.   O

Dr.   O
Milo   B-NAME
Smith   I-NAME
is   O
the   O
attending   O
physician   O
who   O
has   O
been   O
managing   O
the   O
case   O
.   O

During   O
the   O
initial   O
meeting   O
,   O
delarosa   B-NAME
reported   O
experiencing   O
severe   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

Veronica   B-NAME
Olenski   I-NAME
's   O
medical   O
history   O
,   O
obtained   O
from   O
the   O
69008693   B-ID
,   O
include   O
hypertension   O
and   O
hyperlipidemia   O
,   O
which   O
increases   O
the   O
risk   O
of   O
cardiovascular   O
diseases   O
.   O

The   O
patient   O
is   O
a   O
resident   O
of   O
Wymore   B-LOCATION
and   O
works   O
as   O
a   O
Assessors   O
in   O
Keys   B-LOCATION
Energy   I-LOCATION
Services   I-LOCATION
.   O

Luis   B-NAME
Underwood   I-NAME
was   O
hurried   O
to   O
our   O
facility   O
after   O
the   O
sudden   O
onset   O
of   O
symptoms   O
at   O
his   O
workplace   O
.   O

Further   O
tests   O
were   O
recommended   O
by   O
Dr.   O
Tabitha   B-NAME
Carey   I-NAME
and   O
performed   O
on   O
20/21   B-DATE
.   O

As   O
a   O
result   O
,   O
Skylar   B-NAME
Mendoza   I-NAME
was   O
diagnosed   O
with   O
Acute   O
Myocardial   O
Infarction   O
(   O
AMI   O
)   O
.   O

Prince   B-NAME
's   O
medications   O
include   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
statin   O
.   O

Today   O
2339   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
21   I-DATE
,   O
the   O
patient   O
seems   O
stable   O
with   O
vital   O
signs   O
within   O
normal   O
limits   O
.   O

The   O
case   O
is   O
being   O
closely   O
monitored   O
by   O
Dr.   O
Donaldson   B-NAME
and   O
the   O
healthcare   O
team   O
at   O
Houston   B-LOCATION
Methodist   I-LOCATION
Sugar   I-LOCATION
Land   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
contact   O
number   O
for   O
family   O
members   O
to   O
reach   O
the   O
nursing   O
station   O
is   O
(   B-CONTACT
549   I-CONTACT
)   I-CONTACT
909   I-CONTACT
7381   I-CONTACT
.   O

Please   O
refer   O
to   O
this   O
patient   O
by   O
their   O
mpi7410   B-NAME
in   O
all   O
further   O
updates   O
.   O

Our   O
organization   O
takes   O
patient   O
confidentiality   O
seriously   O
,   O
and   O
only   O
uses   O
the   O
patient   O
's   O
SZ739/1655   B-ID
for   O
tracking   O
purposes   O
.   O

Kindly   O
forward   O
this   O
report   O
to   O
Provo   B-LOCATION
's   O
Public   O
Health   O
Department   O
in   O
response   O
to   O
their   O
request   O
for   O
an   O
update   O
on   O
Yadiel   B-NAME
Matthews   I-NAME
's   O
condition   O
.   O

Please   O
use   O
the   O
identified   O
55946   B-LOCATION
code   O
for   O
postal   O
routing   O
.   O

Please   O
note   O
:   O
All   O
treatments   O
undertaken   O
are   O
in   O
adherence   O
with   O
the   O
guidelines   O
set   O
by   O
our   O
state   O
medical   O
board   O
and   O
the   O
Ethical   O
Committee   O
of   O
Butler   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Constantine   B-NAME
Age   O
:   O
73   O
Medical   O
Record   O
#   O
:   O
65100579   B-ID
Mr.   O
Norah   B-NAME
Bryan   I-NAME
presented   O
to   O
Regional   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2280   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
19   I-DATE
with   O
his   O
family   O
.   O

His   O
daughter   O
,   O
a   O
Funeral   O
Service   O
Managers   O
,   O
brought   O
him   O
in   O
after   O
observing   O
her   O
father   O
exhibit   O
uncharacteristic   O
behavior   O
at   O
her   O
home   O
in   O
9230   B-LOCATION
undefined   I-LOCATION
.   O

At   O
initial   O
evaluation   O
,   O
Mr.   O
George   B-NAME
Waggner   I-NAME
was   O
disoriented   O
,   O
suggesting   O
a   O
possible   O
neurological   O
disruption   O
.   O

On   O
further   O
examination   O
by   O
Dr.   O
Aubrey   B-NAME
Hattaway   I-NAME
,   O
it   O
was   O
also   O
noted   O
that   O
he   O
has   O
an   O
ataxic   O
gait   O
and   O
impaired   O
fine   O
motor   O
skills   O
,   O
suggestive   O
of   O
cerebellar   O
dysfunction   O
.   O

Imaging   O
scans   O
were   O
ordered   O
and   O
performed   O
at   O
Inspira   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Elmer   I-LOCATION
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
,   O
obtained   O
from   O
the   O
City   B-LOCATION
of   I-LOCATION
Tallahassee   I-LOCATION
Utilities   I-LOCATION
,   O
revealed   O
that   O
Mr.   O
Sun   B-NAME
Tzu   I-NAME
has   O
a   O
known   O
case   O
of   O
uncontrolled   O
hypertension   O
,   O
which   O
he   O
was   O
previously   O
managing   O
with   O
daily   O
medication   O
.   O

He   O
also   O
has   O
a   O
10   O
-   O
year   O
history   O
of   O
type   O
2   O
diabetes   O
,   O
identified   O
by   O
patient   O
ID   O
:   O
TG:18228:384327   B-ID
.   O

Upon   O
contacting   O
his   O
previous   O
primary   O
care   O
physician   O
,   O
using   O
the   O
number   O
27535   B-CONTACT
,   O
it   O
was   O
also   O
found   O
that   O
Mr.   O
Zeities   B-NAME
Lamartina   I-NAME
had   O
been   O
inconsistent   O
with   O
both   O
his   O
hypertension   O
and   O
diabetes   O
medications   O
in   O
recent   O
months   O
.   O

The   O
diagnosis   O
of   O
cerebrovascular   O
accident   O
(   O
CVA   O
)   O
or   O
stroke   O
was   O
made   O
upon   O
consultation   O
with   O
neurologist   O
,   O
Dr.   O
Riggs   B-NAME
,   O
taking   O
into   O
account   O
both   O
his   O
symptoms   O
and   O
imaging   O
results   O
.   O

His   O
daughter   O
,   O
with   O
contact   O
number   O
873   B-CONTACT
4928   I-CONTACT
,   O
currently   O
living   O
in   O
Mulford   B-LOCATION
,   O
24548   B-LOCATION
,   O
was   O
informed   O
of   O
the   O
condition   O
.   O

She   O
was   O
given   O
information   O
about   O
resources   O
and   O
potential   O
therapies   O
available   O
for   O
her   O
father   O
at   O
the   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Madison   I-LOCATION
.   O

The   O
patient   O
's   O
medical   O
records   O
have   O
been   O
updated   O
under   O
the   O
username   O
jm827   B-NAME
following   O
established   O
protocols   O
for   O
the   O
privacy   O
of   O
his   O
medical   O
information   O
.   O

Given   O
the   O
urgent   O
nature   O
of   O
his   O
condition   O
,   O
he   O
will   O
be   O
monitored   O
thoroughly   O
and   O
a   O
comprehensive   O
treatment   O
plan   O
has   O
been   O
discussed   O
and   O
organized   O
by   O
our   O
healthcare   O
team   O
at   O
Hannibal   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Gabriella   B-NAME
Yockey   I-NAME
Age   O
:   O
100   O
Medical   O
Record   O
:   O
7767707   B-ID
Residing   O
at   O
:   O
362   B-LOCATION
Longfellow   I-LOCATION
Street   I-LOCATION
,   O
43233   B-LOCATION
Visited   O
Dr.   O
Burns   B-NAME
at   O
Piedmont   B-LOCATION
Henry   I-LOCATION
Hospital   I-LOCATION
,   O
Arlington   B-LOCATION
on   O
8/22/2371   B-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
,   O
blurred   O
vision   O
,   O
and   O
occasional   O
dizziness   O
.   O

An   O
MRI   O
scan   O
was   O
performed   O
on   O
2/01/2050   B-DATE
revealing   O
signs   O
of   O
a   O
possible   O
brain   O
tumour   O
.   O

The   O
patient   O
was   O
then   O
referred   O
to   O
a   O
neurologist   O
,   O
Dr.   O
Davisson   B-NAME
,   I-NAME
Richard   I-NAME
,   O
at   O
Rockledge   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
for   O
further   O
evaluation   O
.   O

An   O
appointment   O
was   O
booked   O
for   O
10/66   B-DATE
via   O
contact   O
number   O
523   B-CONTACT
2358   I-CONTACT
.   O

His   O
health   O
plan   O
is   O
insured   O
by   O
GMAC   B-LOCATION
Insurance   I-LOCATION
and   O
his   O
insurance   O
ID   O
is   O
AI:77179:662549   B-ID
.   O

His   O
MRI   O
scans   O
and   O
other   O
relevant   O
medical   O
documents   O
have   O
been   O
digitally   O
stored   O
under   O
the   O
username   O
ze106   B-NAME
for   O
remote   O
access   O
by   O
doctors   O
.   O

Notes   O
from   O
Dr.   O
Emmalee   B-NAME
Nelson   I-NAME
:   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
00/36/67   B-DATE
.   O

Call   O
at   O
392   B-CONTACT
-   I-CONTACT
6579   I-CONTACT
for   O
any   O
emergency   O
.   O

This   O
case   O
is   O
now   O
under   O
the   O
attention   O
of   O
the   O
Brain   O
Tumor   O
Research   O
Group   O
at   O
Equality   B-LOCATION
Now   I-LOCATION
involving   O
medical   O
professionals   O
from   O
Summerville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

They   O
will   O
be   O
documenting   O
all   O
progress   O
under   O
the   O
medical   O
record   O
:   O
2585Y49283   B-ID
.   O

Please   O
ensure   O
all   O
personal   O
information   O
of   O
Jackson   B-NAME
,   I-NAME
Janet   I-NAME
is   O
kept   O
confidential   O
and   O
not   O
shared   O
with   O
anyone   O
without   O
proper   O
consent   O
.   O

Next   O
appointment   O
:   O
12/06/2231   B-DATE
,   O
Juliustown   B-LOCATION
in   O
Olympus   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
Room   O
No   O
.   O
#   O
B101   O
.   O

Patient   O
Name   O
:   O
Virgil   B-NAME
Gregory   I-NAME
Age   O
:   O
7   O
Medical   O
Record   O
Number   O
:   O
7947501   B-ID
Date   O
of   O
Visit   O
:   O
11/32   B-DATE
Visited   O
Doctor   O
:   O
Rommel   B-NAME
,   I-NAME
Erwin   I-NAME
Hospital   O
:   O

Henry   B-LOCATION
Ford   I-LOCATION
Allegiance   I-LOCATION
Health   I-LOCATION
Patient   O
Kailee   B-NAME
Patrick   I-NAME
arrived   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/11   B-DATE
,   O
presenting   O
with   O
severe   O
abdominal   O
pain   O
.   O

These   O
symptoms   O
started   O
approximately   O
72   O
hours   O
prior   O
to   O
examining   O
by   O
Dr.   O
Mallory   B-NAME
Lloyd   I-NAME
.   O

Due   O
to   O
the   O
presented   O
symptoms   O
,   O
Baker   B-NAME
was   O
considered   O
a   O
potential   O
case   O
of   O
acute   O
appendicitis   O
and   O
was   O
referred   O
to   O
the   O
surgical   O
team   O
for   O
further   O
management   O
.   O

Patient   O
was   O
born   O
in   O
New   B-LOCATION
York   I-LOCATION
and   O
currently   O
works   O
as   O
a   O
Police   O
Identification   O
and   O
Records   O
Officers   O
.   O

Ranke   B-NAME
,   I-NAME
Leopold   I-NAME
von   I-NAME
is   O
insured   O
through   O
Reliance   B-LOCATION
Partners   I-LOCATION
with   O
policy   O
number   O
IP:331040:710652   B-ID
.   O

Contact   O
number   O
of   O
Ken   B-NAME
Sylvester   I-NAME
is   O
919   B-CONTACT
-   I-CONTACT
786   I-CONTACT
3903   I-CONTACT
and   O
the   O
address   O
is   O
36335   B-LOCATION
.   O

Upon   O
final   O
diagnosis   O
,   O
the   O
patient   O
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
1/55   B-DATE
by   O
the   O
surgical   O
team   O
led   O
by   O
Dr.   O
Natalie   B-NAME
Lam   I-NAME
at   O
DeKalb   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

All   O
pertinent   O
information   O
has   O
been   O
logged   O
in   O
the   O
patient   O
’s   O
chart   O
,   O
accessible   O
by   O
authorized   O
personnel   O
with   O
the   O
Username   O
:   O
upn889   B-NAME
.   O

The   O
patient   O
,   O
Scalprum   B-NAME
Delveechio   I-NAME
,   O
is   O
a   O
86   O
year   O
-   O
old   O
male   O
who   O
came   O
to   O
the   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Troy   I-LOCATION
emergency   O
room   O
on   O
1/03/70   B-DATE
.   O

The   O
patient   O
lives   O
in   O
the   O
Fontanelle   B-LOCATION
area   O
.   O

His   O
social   O
security   O
MN   B-ID
:   I-ID
CE:9760   I-ID
and   O
medical   O
record   O
741   B-ID
-   I-ID
56   I-ID
-   I-ID
35   I-ID
-   I-ID
6   I-ID
were   O
provided   O
for   O
record   O
purposes   O
but   O
are   O
redacted   O
from   O
this   O
report   O
for   O
privacy   O
concerns   O
.   O

Chief   O
Complaints   O
:   O
Upon   O
his   O
visit   O
,   O
Preston   B-NAME
was   O
presenting   O
symptoms   O
of   O
acute   O
chest   O
pain   O
radiating   O
towards   O
the   O
left   O
arm   O
.   O

His   O
companion   O
reported   O
that   O
the   O
onset   O
of   O
pain   O
was   O
sudden   O
and   O
started   O
while   O
they   O
were   O
at   O
their   O
workplace   O
,   O
Borough   B-LOCATION
of   I-LOCATION
Madison   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
.   O

Diagnosis   O
:   O
On   O
thorough   O
investigation   O
by   O
Dr.   O
Rhianna   B-NAME
Vasquez   I-NAME
,   O
he   O
was   O
diagnosed   O
with   O
Myocardial   O
infarction   O
.   O

A   O
call   O
was   O
made   O
to   O
the   O
719   B-CONTACT
-   I-CONTACT
125   I-CONTACT
2695   I-CONTACT
for   O
the   O
catheterization   O
lab   O
where   O
an   O
angioplasty   O
procedure   O
was   O
scheduled   O
06/33   B-DATE
.   O

Follow   O
up   O
:   O
Dr.   O
Wesley   B-NAME
Benson   I-NAME
advised   O
Hayden   B-NAME
Mauk   I-NAME
to   O
monitor   O
his   O
symptoms   O
and   O
report   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Denver   I-LOCATION
South   I-LOCATION
if   O
he   O
experiences   O
any   O
worsening   O
.   O

His   O
contact   O
number   O
,   O
36797   B-CONTACT
,   O
was   O
provided   O
for   O
immediate   O
reachability   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
after   O
two   O
weeks   O
on   O
7/37   B-DATE
.   O

He   O
was   O
also   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
in   O
the   O
Bogart   B-LOCATION
area   O
.   O

The   O
above   O
account   O
was   O
typed   O
in   O
by   O
igh206   B-NAME
and   O
the   O
report   O
was   O
sent   O
to   O
his   O
residence   O
at   O
ZIP   O
code   O
40928   B-LOCATION
.   O

Patient   O
Chun   B-NAME
Schiff   I-NAME
presented   O
at   O
Heart   B-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
on   O
29/23/02   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
recurring   O
episodes   O
of   O
shortness   O
of   O
breath   O
(   O
SOB   O
)   O
,   O
chest   O
discomfort   O
,   O
and   O
fatigue   O
.   O

Unique   B-NAME
Meyers   I-NAME
reports   O
there   O
's   O
associated   O
chest   O
pressure   O
that   O
does   O
n't   O
radiate   O
,   O
becoming   O
worse   O
with   O
exertion   O
.   O

The   O
physical   O
examination   O
was   O
performed   O
by   O
Marissa   B-NAME
Ellison   I-NAME
.   O

Nonetheless   O
,   O
due   O
to   O
the   O
patient   O
's   O
7   O
week   O
and   O
clinical   O
presentation   O
,   O
Humberto   B-NAME
Abbott   I-NAME
recommends   O
further   O
diagnostic   O
tests   O
for   O
excluding   O
potential   O
cardiac   O
pathology   O
.   O

An   O
echocardiogram   O
was   O
scheduled   O
for   O
February   B-DATE
2080   I-DATE
.   O

Patients   O
records   O
,   O
number   O
79220577   B-ID
,   O
are   O
stored   O
in   O
Hind   B-LOCATION
Mazdoor   I-LOCATION
Sabha   I-LOCATION
's   O
record   O
room   O
.   O

After   O
procedures   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Kerr   B-NAME
has   O
been   O
booked   O
.   O

Carroll   B-NAME
,   O
a   O
Preschool   O
Teachers   O
,   O
Except   O
Special   O
Education   O
by   O
trade   O
,   O
currently   O
resides   O
at   O
Oto   B-LOCATION
and   O
has   O
a   O
contact   O
number   O
of   O
56934   B-CONTACT
.   O

His   O
identification   O
information   O
includes   O
an   O
ID   O
TT917/2159   B-ID
and   O
ZIP   O
code   O
is   O
79398   B-LOCATION
.   O

For   O
any   O
further   O
queries   O
or   O
appointment   O
changes   O
,   O
Marshall   B-NAME
O.   I-NAME
Lehman   I-NAME
or   O
the   O
appointed   O
caregiver   O
may   O
contact   O
our   O
reception   O
or   O
his   O
Primary   O
Care   O
Physician   O
.   O

Additional   O
instructions   O
:   O
All   O
medical   O
staff   O
and   O
appointed   O
nurses   O
must   O
log   O
all   O
patient   O
-   O
related   O
communications   O
or   O
updates   O
under   O
the   O
username   O
rva527   B-NAME
.   O

Reports   O
prepared   O
by   O
:   O
Hull   B-NAME
,   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Troy   I-LOCATION
.   O

Patient   O
Report   O
:   O
yarnell   B-NAME
presented   O
with   O
symptoms   O
of   O
lethargy   O
and   O
general   O
discomfort   O
.   O

It   O
was   O
also   O
reported   O
by   O
Dangelo   B-NAME
Oneill   I-NAME
's   O
spouse   O
,   O
who   O
shared   O
that   O
the   O
patient   O
has   O
been   O
experiencing   O
intermittent   O
bouts   O
of   O
nausea   O
and   O
headache   O
.   O

The   O
onset   O
of   O
these   O
symptoms   O
was   O
approximately   O
Martin   B-DATE
Luther   I-DATE
King   I-DATE
Day   I-DATE
.   O

Franks   B-NAME
,   I-NAME
Tommy   I-NAME
's   O
medical   O
history   O
was   O
scanned   O
but   O
no   O
significant   O
findings   O
were   O
identified   O
,   O
apart   O
from   O
a   O
car   O
accident   O
about   O
20   O
years   O
back   O
,   O
with   O
severe   O
injuries   O
causing   O
the   O
patient   O
to   O
be   O
bedridden   O
for   O
2   O
months   O
.   O

The   O
accident   O
was   O
at   O
Armagh   B-LOCATION
and   O
Brown   B-NAME
's   O
treatment   O
was   O
carried   O
out   O
by   O
Wilcox   B-NAME
at   O
Long   B-LOCATION
Term   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tuscaloosa   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
.   O

Immediately   O
after   O
,   O
Kildare   B-NAME
was   O
released   O
back   O
home   O
,   O
which   O
is   O
located   O
in   O
the   O
12125   B-LOCATION
area   O
,   O
after   O
the   O
condition   O
got   O
stable   O
.   O

Visits   O
to   O
the   O
clinic   O
have   O
been   O
more   O
regular   O
since   O
,   O
with   O
the   O
last   O
appointment   O
being   O
on   O
spring   B-DATE
.   O

The   O
patient   O
's   O
next   O
appointment   O
is   O
with   O
Hines   B-NAME
at   O
Good   B-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/3/12   B-DATE
.   O

John   B-NAME
Becker   I-NAME
's   O
details   O
can   O
be   O
obtained   O
for   O
other   O
relevant   O
details   O
from   O
medical   O
record   O
number   O
:   O
8382933   B-ID
.   O

Contact   O
can   O
be   O
made   O
with   O
Cockroach   B-NAME
's   O
emergency   O
points   O
of   O
contact   O
,   O
which   O
include   O
spouse   O
and   O
daughter   O
.   O

The   O
spouse   O
's   O
contact   O
number   O
is   O
117   B-CONTACT
765   I-CONTACT
-   I-CONTACT
4596   I-CONTACT
and   O
is   O
working   O
as   O
a   O
Brokerage   O
Clerks   O
in   O
Municipal   B-LOCATION
Mazdoor   I-LOCATION
Union   I-LOCATION
based   O
in   O
Saint   B-LOCATION
Paul   I-LOCATION
.   O

The   O
daughter   O
's   O
contact   O
number   O
is   O
86274   B-CONTACT
and   O
works   O
as   O
a   O
actress   O
in   O
Last   B-LOCATION
Chance   I-LOCATION
for   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
LCA   I-LOCATION
)   I-LOCATION
in   O
Carlisle   B-LOCATION
.   O

Regarding   O
identity   O
verification   O
,   O
Elisa   B-NAME
Mcdonald   I-NAME
's   O
Social   O
Security   O
Number   O
is   O
QE639/7249   B-ID
and   O
the   O
patient   O
ID   O
for   O
hospital   O
records   O
is   O
7697700   B-ID
.   O

If   O
required   O
to   O
access   O
patient   O
data   O
digitally   O
,   O
the   O
username   O
is   O
udf271   B-NAME
.   O

Continued   O
monitoring   O
of   O
Melina   B-NAME
Dougherty   I-NAME
's   O
health   O
status   O
is   O
essential   O
,   O
and   O
any   O
significant   O
changes   O
should   O
be   O
reported   O
immediately   O
.   O

Prepared   O
By   O
:   O
Larson   B-NAME
12/32   B-DATE

Patient   O
Name   O
:   O
Richard   B-NAME
Age   O
:   O
78   O
ID   O
:   O
JR   B-ID
:   I-ID
FX:6095   I-ID
23/11/2039   B-DATE
,   O
Ramos   B-NAME
presented   O
to   O
the   O
Chireno   B-LOCATION
emergency   O
department   O
of   O
UPMC   B-LOCATION
East   I-LOCATION
with   O
complaints   O
of   O
high   O
-   O
grade   O
fever   O
,   O
persistent   O
headache   O
,   O
and   O
progressive   O
lethargy   O
over   O
the   O
past   O
couple   O
of   O
days   O
.   O

Patient   O
’s   O
medical   O
records   O
7869590   B-ID
also   O
showed   O
instances   O
of   O
mild   O
coughing   O
and   O
shortness   O
of   O
breath   O
.   O

A   O
review   O
of   O
systems   O
was   O
otherwise   O
negative   O
,   O
with   O
the   O
exception   O
of   O
recent   O
travel   O
history   O
to   O
Echo   B-LOCATION
.   O

A   O
lumbar   O
puncture   O
was   O
performed   O
by   O
Dr.   O
Cabrera   B-NAME
that   O
revealed   O
a   O
cloudy   O
cerebral   O
spinal   O
fluid   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Rose   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
and   O
treatment   O
.   O

His   O
primary   O
contact   O
was   O
listed   O
as   O
Mr.   O
Bryce   B-NAME
Becker   I-NAME
who   O
works   O
as   O
a   O
Security   O
and   O
Fire   O
Alarm   O
Systems   O
Installers   O
and   O
could   O
be   O
reached   O
at   O
541   B-CONTACT
-   I-CONTACT
4032   I-CONTACT
.   O

The   O
patient   O
's   O
lab   O
results   O
were   O
sent   O
to   O
Syndicracy   B-LOCATION
Spheres   I-LOCATION
and   O
we   O
are   O
awaiting   O
final   O
confirmation   O
for   O
a   O
diagnosis   O
.   O

I   O
have   O
advised   O
Lois   B-NAME
Ochs   I-NAME
of   O
the   O
Zika   O
risk   O
in   O
The   B-LOCATION
Rock   I-LOCATION
and   O
have   O
recommended   O
future   O
precautions   O
to   O
take   O
when   O
traveling   O
.   O

This   O
advice   O
also   O
extends   O
to   O
Mr.   O
Michael   B-NAME
Goldberg   I-NAME
's   O
work   O
colleagues   O
at   O
Benchmark   B-LOCATION
Bank   I-LOCATION
,   O
whom   O
he   O
may   O
contact   O
using   O
his   O
personal   O
username   O
,   O
pxd700   B-NAME
.   O

Patient   O
's   O
residence   O
:   O
69012   B-LOCATION
Patient   O
's   O
contact   O
:   O
611   B-CONTACT
2882   I-CONTACT
Sincerely   O
,   O
Dr.   O
Madelyn   B-NAME
Giles   I-NAME

Patient   O
's   O
Name   O
:   O
Deacon   B-NAME
Nichols   I-NAME
Age   O
:   O
92   O
Date   O
of   O
Visit   O
:   O
09/08   B-DATE
Attending   O
Physician   O
:   O

Ruiz   B-NAME
Medical   O
History   O
:   O
The   O
patient   O
,   O
Lionel   B-NAME
Templeton   I-NAME
,   O
came   O
with   O
complain   O
of   O
acute   O
-   O
onset   O
,   O
severe   O
abdominal   O
pain   O
centered   O
around   O
the   O
epigastric   O
region   O
,   O
lasting   O
for   O
over   O
6   O
hours   O
.   O

Previous   O
Medical   O
Records   O
:   O
The   O
medical   O
history   O
of   O
the   O
patient   O
retrieved   O
from   O
691   B-ID
-   I-ID
31   I-ID
-   I-ID
20   I-ID
-   I-ID
7   I-ID
showed   O
they   O
had   O
previous   O
episodes   O
of   O
pancreatitis   O
and   O
was   O
diagnosed   O
with   O
chronic   O
alcoholism   O
.   O

Patient   O
reports   O
living   O
at   O
Merrillan   B-LOCATION
and   O
is   O
employed   O
as   O
Claims   O
Examiners   O
,   O
Property   O
and   O
Casualty   O
Insurance   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Saint   B-LOCATION
Anthony   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
intravenous   O
hydration   O
,   O
pain   O
control   O
,   O
and   O
monitoring   O
.   O

The   O
emergency   O
contact   O
listed   O
is   O
an   O
individual   O
residing   O
at   O
Harvard   B-LOCATION
with   O
the   O
phone   O
number   O
(   B-CONTACT
949   I-CONTACT
)   I-CONTACT
292   I-CONTACT
-   I-CONTACT
9436   I-CONTACT
.   O

They   O
are   O
employed   O
at   O
Canoochee   B-LOCATION
EMC   I-LOCATION
and   O
can   O
be   O
reached   O
at   O
their   O
professional   O
email   O
UC684   B-NAME
@   O
City   B-LOCATION
of   I-LOCATION
Wachula   I-LOCATION
Utilities   I-LOCATION
.com   O
.   O

For   O
the   O
patient   O
's   O
convenience   O
,   O
we   O
have   O
arranged   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Blaze   B-NAME
Atkinson   I-NAME
at   O
Woodland   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/29   B-DATE
.   O

The   O
patient   O
can   O
confirm   O
the   O
appointment   O
by   O
calling   O
77442   B-CONTACT
.   O

Billing   O
information   O
:   O
There   O
were   O
concerns   O
regarding   O
the   O
insurance   O
coverage   O
that   O
need   O
to   O
be   O
followed   O
up   O
with   O
the   O
insurance   O
company   O
,   O
account   O
10   B-ID
-   I-ID
8167252   I-ID
should   O
be   O
mentioned   O
for   O
the   O
reference   O
.   O

The   O
payment   O
can   O
be   O
processed   O
either   O
at   O
George   B-LOCATION
Washington   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
’s   O
billing   O
department   O
or   O
mailed   O
to   O
12613   B-LOCATION
.   O

Impression   O
:   O
Patient   O
Christopher   B-NAME
Leslie   I-NAME
is   O
likely   O
suffering   O
from   O
acute   O
pancreatitis   O
secondary   O
to   O
chronic   O
alcoholism   O
.   O

Thanks   O
,   O
Zoe   B-NAME
Maldonado   I-NAME
Contact   O
:   O
130   B-CONTACT
-   I-CONTACT
2079   I-CONTACT
At   O
Geary   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Junction   I-LOCATION
City   I-LOCATION
15/20   B-DATE

Patient   O
Name   O
:   O
Roderick   B-NAME
Becerril   I-NAME
Date   O
of   O
Birth   O
:   O
2397   B-DATE
4   O
years   O
old   O
Ashly   B-NAME
Walsh   I-NAME
presented   O
to   O
Carolinas   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Mercy   I-LOCATION
emergency   O
department   O
on   O
22/25/2119   B-DATE
with   O
symptoms   O
of   O
severe   O
abdominal   O
discomfort   O
,   O
intense   O
nausea   O
,   O
and   O
vomiting   O
.   O

Quinten   B-NAME
James   I-NAME
reported   O
that   O
the   O
symptoms   O
started   O
abruptly   O
a   O
few   O
hours   O
before   O
presentation   O
.   O

Upon   O
examination   O
by   O
Milton   B-NAME
Chamberlain   I-NAME
,   O
an   O
epigastric   O
tenderness   O
was   O
noticed   O
in   O
the   O
upper   O
mid   O
abdomen   O
.   O

Enrique   B-NAME
Reilly   I-NAME
’s   O
vitals   O
recorded   O
were   O
blood   O
pressure   O
120/80   O
mmHg   O
,   O
heart   O
rate   O
70   O
bpm   O
,   O
respiratory   O
rate   O
18   O
/   O
min   O
,   O
and   O
saturation   O
98   O
%   O
on   O
room   O
air   O
.   O

Previous   O
medical   O
records   O
,   O
548   B-ID
-   I-ID
36   I-ID
-   I-ID
60   I-ID
-   I-ID
0   I-ID
,   O
indicated   O
a   O
history   O
of   O
peptic   O
ulcer   O
disease   O
.   O

Considering   O
Huelskamp   B-NAME
,   I-NAME
Tim   I-NAME
’s   O
past   O
medical   O
history   O
of   O
peptic   O
ulcer   O
disease   O
and   O
current   O
symptoms   O
,   O
a   O
preliminary   O
impression   O
of   O
exacerbation   O
of   O
peptic   O
ulcer   O
disease   O
leading   O
to   O
acute   O
gastroenteritis   O
was   O
made   O
.   O

Diagnostic   O
tests   O
including   O
Full   O
Blood   O
Count   O
,   O
Liver   O
Function   O
Test   O
,   O
Renal   O
Function   O
Test   O
,   O
and   O
abdominal   O
ultrasound   O
were   O
ordered   O
by   O
Osborne   B-NAME
.   O

And   O
the   O
lab   O
results   O
will   O
be   O
sent   O
to   O
Easton   B-LOCATION
Utilities   I-LOCATION
located   O
in   O
North   B-LOCATION
Apollo   I-LOCATION
.   O

Yang   B-NAME
’s   O
home   O
address   O
is   O
Fort   B-LOCATION
Myers   I-LOCATION
Shores   I-LOCATION
and   O
his   O
phone   O
number   O
is   O
(   B-CONTACT
445   I-CONTACT
)   I-CONTACT
108   I-CONTACT
-   I-CONTACT
4101   I-CONTACT
.   O

He   O
works   O
as   O
a   O
Tourism   O
officer   O
at   O
Society   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Preservation   I-LOCATION
of   I-LOCATION
Beers   I-LOCATION
from   I-LOCATION
the   I-LOCATION
Wood   I-LOCATION
(   I-LOCATION
SPBW   I-LOCATION
)   I-LOCATION
.   O

In   O
case   O
of   O
any   O
emergency   O
,   O
please   O
contact   O
Romeo   B-NAME
Costa   I-NAME
’s   O
brother   O
whose   O
phone   O
number   O
is   O
(   B-CONTACT
986   I-CONTACT
)   I-CONTACT
174   I-CONTACT
5879   I-CONTACT
and   O
resides   O
at   O
Luna   B-LOCATION
Pier   I-LOCATION
,   O
37925   B-LOCATION
.   O

Figueroa   B-NAME
's   O
insurance   O
was   O
verified   O
and   O
documented   O
under   O
the   O
policy   O
JM462/3348   B-ID
.   O

Also   O
,   O
the   O
username   O
KU357   B-NAME
assigned   O
for   O
the   O
patient   O
in   O
the   O
hospital   O
database   O
for   O
further   O
login   O
and   O
medical   O
updates   O
.   O

The   O
medical   O
team   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
is   O
closely   O
monitoring   O
Paulson   B-NAME
’s   O
condition   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Melina   B-NAME
Myers   I-NAME
Date   O
of   O
Visit   O
:   O
22/28   B-DATE
Doctor   O
's   O
Name   O
:   O
Sherman   B-NAME
,   I-NAME
William   I-NAME
Tecumseh   I-NAME
Hospital   O
:   O

Adirondack   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Saranac   I-LOCATION
Lake   I-LOCATION
Medical   O
Record   O
Number   O
:   O
1219421   B-ID
Present   O
Complaint   O
The   O
patient   O
,   O
a   O
Set   O
and   O
Exhibit   O
Designers   O
,   O
presented   O
to   O
the   O
hospital   O
on   O
11/35   B-DATE
.   O

Irwin   B-NAME
's   O
chief   O
complaint   O
is   O
of   O
persistent   O
cough   O
and   O
high   O
grade   O
fever   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Norton   B-NAME
also   O
reported   O
experiencing   O
hemoptysis   O
(   O
coughing   O
up   O
blood   O
)   O
since   O
the   O
last   O
three   O
days   O
.   O

Medical   O
History   O
Harper   B-NAME
's   O
past   O
medical   O
history   O
includes   O
chronic   O
bronchitis   O
diagnosed   O
at   O
the   O
age   O
of   O
46   O
.   O

Medical   O
records   O
from   O
City   B-LOCATION
of   I-LOCATION
Dover   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
do   O
indicate   O
that   O
the   O
patient   O
has   O
been   O
previously   O
treated   O
for   O
bronchitis   O
.   O

The   O
patient   O
's   O
record   O
57656   B-ID
also   O
indicates   O
that   O
Sara   B-NAME
Eland   I-NAME
has   O
been   O
a   O
smoker   O
for   O
over   O
10   O
years   O
.   O

Vitals   O
and   O
Physical   O
Examination   O
Grady   B-NAME
Randall   I-NAME
's   O
initial   O
vitals   O
at   O
the   O
time   O
of   O
presenting   O
to   O
the   O
hospital   O
showed   O
elevated   O
temperature   O
of   O
101.3   O
F   O
,   O
blood   O
pressure   O
of   O
130/80   O
mmHg   O
,   O
and   O
a   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
.   O

During   O
the   O
physical   O
examination   O
,   O
the   O
Piper   B-NAME
,   I-NAME
Roddy   I-NAME
noted   O
signs   O
of   O
respiratory   O
distress   O
with   O
decreased   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
.   O

Matthew   B-NAME
Thorne   I-NAME
appeared   O
cyanotic   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Investigations   O
and   O
Diagnosis   O
Based   O
on   O
the   O
reported   O
symptoms   O
and   O
physical   O
examination   O
,   O
Demarion   B-NAME
Hobbs   I-NAME
was   O
recommended   O
a   O
chest   O
X   O
-   O
Ray   O
,   O
CBC   O
,   O
and   O
sputum   O
culture   O
.   O

Reports   O
,   O
received   O
on   O
2/27/40   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
pneumonia   O
.   O

Treatment   O
Irvine   B-NAME
has   O
been   O
started   O
on   O
antibiotics   O
following   O
the   O
diagnosis   O
,   O
as   O
prescribed   O
by   O
the   O
Mugabe   B-NAME
,   I-NAME
Robert   I-NAME
at   O
Southwest   B-LOCATION
General   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

Fletcher   B-NAME
is   O
currently   O
under   O
observation   O
and   O
is   O
responding   O
relatively   O
well   O
to   O
the   O
treatment   O
.   O

Pineda   B-NAME
will   O
be   O
further   O
discussing   O
long   O
-   O
term   O
management   O
strategies   O
,   O
considering   O
Kiana   B-NAME
Kramer   I-NAME
's   O
recurrent   O
lung   O
infections   O
and   O
smoking   O
history   O
.   O

To   O
be   O
notified   O
on   O
future   O
updates   O
,   O
please   O
contact   O
us   O
at   O
951   B-CONTACT
1929   I-CONTACT
or   O
visit   O
us   O
at   O
our   O
Rockwall   B-LOCATION
.   O

Signed   O
,   O
KC70   B-NAME
2/16/32   B-DATE

Patient   O
Report   O
:   O
Lambert   B-NAME
is   O
a   O
85   O
year   O
old   O
individual   O
who   O
came   O
into   O
the   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
on   O
12/22   B-DATE
.   O

The   O
symptoms   O
of   O
ELROD   B-NAME
,   I-NAME
RYLEY   I-NAME
started   O
manifesting   O
around   O
48   O
hours   O
prior   O
to   O
his   O
visit   O
to   O
the   O
emergency   O
department   O
.   O

The   O
patient   O
resides   O
at   O
Highgrove   B-LOCATION
and   O
is   O
employed   O
as   O
a   O
Preschool   O
Teachers   O
,   O
Except   O
Special   O
Education   O
.   O

The   O
patient   O
was   O
referred   O
by   O
Steele   B-NAME
of   O
Kmart   B-LOCATION
.   O

All   O
pertinent   O
past   O
medical   O
records   O
(   O
Serial   O
No   O
:   O
30524851   B-ID
)   O
were   O
shared   O
by   O
the   O
referring   O
physician   O
for   O
review   O
and   O
to   O
assist   O
in   O
the   O
provision   O
of   O
an   O
accurate   O
diagnosis   O
.   O

We   O
've   O
been   O
communicating   O
with   O
the   O
patient   O
through   O
his   O
contact   O
number   O
772   B-CONTACT
4662   I-CONTACT
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
medical   O
consultation   O
on   O
2097   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
14   I-DATE
.   O

For   O
any   O
further   O
inquiries   O
or   O
details   O
about   O
the   O
case   O
,   O
please   O
contact   O
the   O
patient   O
's   O
primary   O
physician   O
,   O
Dr.   O
Johns   B-NAME
via   O
his   O
office   O
phone   O
number   O
:   O
20610   B-CONTACT
.   O

Details   O
of   O
the   O
patient   O
's   O
insurance   O
have   O
been   O
recorded   O
and   O
filed   O
under   O
policy   O
ID   O
number   O
:   O
DD   B-ID
:   I-ID
DF:5134   I-ID
.   O

For   O
any   O
issues   O
regarding   O
the   O
insurance   O
or   O
payment   O
information   O
,   O
contact   O
the   O
billing   O
department   O
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Lebanon   I-LOCATION
.   O

Patient   O
's   O
Residence   O
:   O
Barton   B-LOCATION
,   O
46130   B-LOCATION
.   O

Report   O
prepared   O
by   O
:   O
lcf1003   B-NAME

Patient   O
Information   O
:   O
Name   O
:   O
Carroll   B-NAME
,   I-NAME
Lewis   I-NAME
Age   O
:   O
83   O
Medical   O
Record   O
Number   O
:   O
696   B-ID
-   I-ID
36   I-ID
-   I-ID
77   I-ID
Residential   O
Address   O
:   O
Corona   B-LOCATION
de   I-LOCATION
Tucson   I-LOCATION
,   O
74148   B-LOCATION
Contact   O
Information   O
:   O
36388   B-CONTACT
Thorpe   B-NAME
,   O
a   O
Transportation   O
,   O
Storage   O
,   O
and   O
Distribution   O
Managers   O
by   O
profession   O
,   O
first   O
visited   O
Dr.   O
Conner   B-NAME
on   O
08/29   B-DATE
.   O

The   O
patient   O
was   O
referred   O
to   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
Lawrence   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
investigation   O
into   O
their   O
symptoms   O
.   O

The   O
referral   O
was   O
facilitated   O
through   O
the   O
patient   O
's   O
health   O
insurance   O
,   O
Riverside   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Gulf   I-LOCATION
Coast   I-LOCATION
.   O

Penelope   B-NAME
Wischmeier   I-NAME
had   O
been   O
residing   O
in   O
Baldwin   B-LOCATION
for   O
a   O
long   O
time   O
before   O
feeling   O
discomfort   O
and   O
seeking   O
medical   O
assistance   O
.   O

Patricia   B-NAME
Islam   I-NAME
reported   O
a   O
persistent   O
dry   O
cough   O
,   O
accompanied   O
by   O
shortness   O
of   O
breath   O
,   O
particularly   O
evident   O
after   O
staircase   O
climbing   O
or   O
any   O
strenuous   O
activity   O
.   O

A   O
chest   O
X   O
-   O
ray   O
conducted   O
on   O
22/01   B-DATE
at   O
the   O
Mercy   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
showed   O
hyperinflated   O
lungs   O
.   O

On   O
14/22   B-DATE
,   O
Dr.   O
Gibbs   B-NAME
noted   O
decreased   O
breath   O
sounds   O
in   O
both   O
lower   O
lung   O
fields   O
during   O
a   O
routine   O
examination   O
.   O

The   O
treatment   O
is   O
planned   O
based   O
on   O
COOKE   B-NAME
,   I-NAME
FREDI   I-NAME
's   O
occupational   O
history   O
as   O
a   O
Healthcare   O
Practitioners   O
and   O
Technical   O
Workers   O
,   O
All   O
Other   O
.   O

Dr.   O
Ryland   B-NAME
Bishop   I-NAME
scheduled   O
the   O
patient   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
2233   B-DATE
and   O
asked   O
for   O
a   O
cessation   O
of   O
smoking   O
.   O

For   O
assistance   O
,   O
call   O
69931   B-CONTACT
for   O
John   B-LOCATION
D.   I-LOCATION
Archbold   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Petty   B-NAME
's   O
data   O
,   O
protected   O
under   O
the   O
patient   O
's   O
unique   O
ID   O
,   O
KT:26080:191762   B-ID
,   O
is   O
stored   O
securely   O
for   O
the   O
purpose   O
of   O
ready   O
access   O
in   O
subsequent   O
consultations   O
.   O

Only   O
re999   B-NAME
has   O
the   O
authority   O
to   O
access   O
and   O
update   O
the   O
clinical   O
information   O
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
referred   O
to   O
as   O
Delarosa   B-NAME
for   O
the   O
duration   O
of   O
this   O
document   O
,   O
was   O
admitted   O
to   O
the   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Barry   I-LOCATION
Road   I-LOCATION
facility   O
on   O
09/29/11   B-DATE
.   O

She   O
was   O
first   O
evaluated   O
by   O
Mcpherson   B-NAME
,   O
who   O
is   O
a   O
primary   O
care   O
specialist   O
in   O
our   O
hospital   O
.   O

Patient   O
James   B-NAME
Hamilton   I-NAME
,   O
a   O
female   O
of   O
39   O
,   O
works   O
as   O
a   O
Plant   O
Scientists   O
at   O
Orlando   B-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
in   O
266   B-LOCATION
Third   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
.   O

During   O
her   O
consultation   O
,   O
Mckee   B-NAME
noted   O
that   O
she   O
appeared   O
pale   O
and   O
clammy   O
,   O
with   O
visible   O
sweats   O
.   O

Her   O
medical   O
history   O
was   O
sought   O
through   O
the   O
hospital   O
's   O
database   O
using   O
her   O
942   B-ID
-   I-ID
92   I-ID
-   I-ID
55   I-ID
with   O
the   O
help   O
of   O
authorized   O
TN39   B-NAME
.   O

However   O
,   O
there   O
was   O
an   O
entry   O
pointing   O
to   O
a   O
prior   O
admission   O
due   O
to   O
a   O
vehicle   O
mishap   O
in   O
1821   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
03   I-DATE
.   O

Based   O
on   O
her   O
symptoms   O
and   O
medical   O
examination   O
,   O
Isis   B-NAME
Snow   I-NAME
initiated   O
a   O
battery   O
of   O
labs   O
and   O
imaging   O
tests   O
to   O
explore   O
the   O
potential   O
cause   O
of   O
the   O
symptoms   O
.   O

Hickman   B-NAME
was   O
assigned   O
an   O
JG:77120:208218   B-ID
for   O
tracking   O
her   O
test   O
requests   O
and   O
results   O
anonymously   O
.   O

The   O
patient   O
's   O
contact   O
number   O
,   O
which   O
will   O
be   O
referred   O
to   O
as   O
690   B-CONTACT
-   I-CONTACT
2920   I-CONTACT
for   O
the   O
duration   O
of   O
this   O
document   O
,   O
was   O
documented   O
for   O
further   O
communication   O
regarding   O
her   O
test   O
results   O
and   O
appointments   O
.   O

She   O
was   O
also   O
informed   O
to   O
notify   O
the   O
hospital   O
via   O
this   O
unique   O
6889693   B-ID
if   O
there   O
were   O
any   O
changes   O
or   O
escalations   O
in   O
her   O
symptoms   O
.   O

Her   O
residence   O
in   O
Belleair   B-LOCATION
Beach   I-LOCATION
was   O
on   O
file   O
with   O
the   O
associated   O
78085   B-LOCATION
was   O
kept   O
on   O
record   O
for   O
potential   O
home   O
-   O
care   O
services   O
if   O
needed   O
in   O
future   O
.   O

She   O
was   O
advised   O
to   O
rest   O
and   O
stay   O
hydrated   O
and   O
was   O
discharged   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
33/15   B-DATE
.   O

Overall   O
,   O
the   O
patient   O
COOKE   B-NAME
,   I-NAME
FREDI   I-NAME
was   O
cooperative   O
and   O
understanding   O
,   O
and   O
all   O
the   O
required   O
protocols   O
were   O
strictly   O
followed   O
during   O
the   O
consultation   O
.   O

Patient   O
Name   O
:   O
Cohen   B-NAME
Hayes   I-NAME
DOB   O
:   O
02/22   B-DATE
SSN   O
:   O
AP:251021:186346   B-ID
Patient   O
Phone   O
:   O
29501   B-CONTACT
Residential   O
Address   O
:   O
Shishmaref   B-LOCATION
11080   B-LOCATION
Patient   O
's   O
Age   O
:   O
23   O
Primary   O
Care   O
Physician   O
:   O

Paul   B-NAME
Washington   I-NAME
Physician   O
's   O
Contact   O
:   O
904   B-CONTACT
622   I-CONTACT
-   I-CONTACT
2006   I-CONTACT
Hospital   O
Name   O
:   O

PeaceHealth   B-LOCATION
United   I-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
088   B-ID
-   I-ID
54   I-ID
-   I-ID
71   I-ID
-   I-ID
1   I-ID
Referring   O
Physician   O
:   O
Rae   B-NAME
Crane   I-NAME
Date   O
of   O
Consultation   O
:   O
05/29   B-DATE
Work   O
Info   O
:   O
Purchasing   O
Managers   O
at   O
United   B-LOCATION
States   I-LOCATION
Submarine   I-LOCATION
Veterans   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
Username   O
(   O
for   O
online   O
patient   O
portal   O
):   O
omt381   B-NAME
Patient   O
Gwendolyn   B-NAME
Orr   I-NAME
presented   O
on   O
1112   B-DATE
with   O
distressing   O
symptoms   O
.   O

This   O
was   O
further   O
supported   O
by   O
the   O
patient   O
's   O
Rail   O
-   O
Track   O
Laying   O
and   O
Maintenance   O
Equipment   O
Operators   O
as   O
a   O
healthcare   O
worker   O
in   O
Syndicate   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
,   O
a   O
high   O
-   O
risk   O
occupation   O
for   O
TB   O
.   O

Villegas   B-NAME
,   O
the   O
assigned   O
physician   O
,   O
scheduled   O
further   O
tests   O
including   O
sputum   O
culture   O
and   O
skin   O
reaction   O
tests   O
,   O
which   O
are   O
yet   O
to   O
be   O
carried   O
out   O
.   O

To   O
protect   O
privacy   O
and   O
ensure   O
secure   O
communication   O
,   O
Hampton   B-NAME
has   O
been   O
given   O
the   O
login   O
credentials   O
for   O
our   O
health   O
portal   O
.   O

The   O
username   O
is   O
LJ826   B-NAME
where   O
they   O
can   O
track   O
follows   O
up   O
,   O
lab   O
results   O
,   O
appointments   O
etc   O
.   O

As   O
a   O
part   O
of   O
the   O
multidisciplinary   O
team   O
at   O
the   O
Salt   B-LOCATION
Lake   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
we   O
are   O
invested   O
in   O
providing   O
the   O
best   O
course   O
of   O
action   O
for   O
the   O
patient   O
’s   O
treatment   O
.   O

Patient   O
Name   O
:   O
Catherine   B-NAME
L.   I-NAME
Uresti   I-NAME
Age   O
:   O
43s   O
ID   O
:   O
6   B-ID
-   I-ID
2015699   I-ID
Medical   O
Record   O
:   O
20828148   B-ID
Address   O
:   O
Hampstead   B-LOCATION
Organization   O
:   O

New   B-LOCATION
York   I-LOCATION
Life   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Phone   O
Number   O
:   O
223   B-CONTACT
-   I-CONTACT
804   I-CONTACT
-   I-CONTACT
8123   I-CONTACT
Username   O
:   O
YC351   B-NAME
Profession   O
:   O

Log   O
Graders   O
and   O
Scalers   O
Zip   O
:   O
72610   B-LOCATION
2   B-DATE
-   I-DATE
29   I-DATE
,   O
Gillian   B-NAME
Callahan   I-NAME
was   O
admitted   O
to   O
Methodist   B-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Southlake   I-LOCATION
Campus   I-LOCATION
's   O
emergency   O
department   O
due   O
to   O
severe   O
abdominal   O
pains   O
,   O
nausea   O
,   O
and   O
disoriented   O
behavior   O
.   O

Kamren   B-NAME
Manning   I-NAME
works   O
as   O
a   O
Education   O
,   O
Training   O
,   O
and   O
Library   O
Workers   O
,   O
All   O
Other   O
and   O
experienced   O
severe   O
pain   O
during   O
a   O
virtual   O
meeting   O
via   O
account   O
yc501   B-NAME
,   O
leading   O
their   O
coworkers   O
to   O
call   O
911   O
to   O
Laurel   B-LOCATION
,   I-LOCATION
Laurel   I-LOCATION
Express   I-LOCATION
/   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
99628   B-LOCATION
.   O

Upon   O
arrival   O
at   O
the   O
ER   O
,   O
Abigayle   B-NAME
Compton   I-NAME
was   O
immediately   O
attended   O
to   O
by   O
Clarke   B-NAME
,   I-NAME
Arthur   I-NAME
C.   I-NAME
who   O
noticed   O
that   O
Lien   B-NAME
Kokubun   I-NAME
was   O
making   O
frequent   O
trips   O
to   O
the   O
bathroom   O
with   O
diarrhea   O
in   O
addition   O
to   O
their   O
reported   O
symptoms   O
.   O

Greene   B-NAME
's   O
medical   O
history   O
ID   O
#   O
JK792/4346   B-ID
from   O
Australian   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Marine   I-LOCATION
and   I-LOCATION
Power   I-LOCATION
Engineers   I-LOCATION
was   O
pulled   O
up   O
and   O
reviewed   O
.   O

According   O
to   O
the   O
available   O
records   O
,   O
Carducci   B-NAME
,   I-NAME
Giosue   I-NAME
has   O
a   O
history   O
of   O
gastrointestinal   O
issues   O
,   O
which   O
correlates   O
with   O
the   O
current   O
symptoms   O
.   O

No   O
known   O
allergies   O
were   O
reported   O
,   O
but   O
Francis   B-NAME
Chase   I-NAME
does   O
suffer   O
from   O
hypertension   O
and   O
is   O
under   O
medication   O
for   O
the   O
same   O
.   O

Lab   O
tests   O
were   O
conducted   O
on   O
3/85   B-DATE
and   O
the   O
results   O
came   O
back   O
indicating   O
possible   O
gastroenteritis   O
.   O

Ezhno   B-NAME
's   O
family   O
was   O
contacted   O
at   O
20650   B-CONTACT
for   O
further   O
medical   O
history   O
and   O
to   O
update   O
them   O
on   O
the   O
Alissa   B-NAME
Perkins   I-NAME
's   O
condition   O
.   O

Esmeralda   B-NAME
Fischer   I-NAME
recommended   O
a   O
couple   O
of   O
days   O
of   O
hospital   O
stay   O
for   O
Brazauskas   B-NAME
,   I-NAME
Algirdas   I-NAME
at   O
WhidbeyHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
proper   O
treatment   O
and   O
observation   O
and   O
the   O
family   O
agreed   O
.   O

Forrest   B-NAME
will   O
be   O
treated   O
with   O
a   O
combination   O
of   O
hydration   O
and   O
medication   O
to   O
manage   O
the   O
symptoms   O
.   O

All   O
updates   O
are   O
recorded   O
in   O
the   O
patient   O
's   O
medical   O
record   O
36139368   B-ID
.   O

Patient   O
:   O
Blake   B-NAME
,   I-NAME
William   I-NAME
Date   O
:   O
25/22   B-DATE
Medical   O
Record   O
:   O
7107241   B-ID
Report   O
:   O

The   O
patient   O
,   O
Erica   B-NAME
Fox   I-NAME
,   O
was   O
brought   O
into   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Schuylkill   I-LOCATION
on   O
10/33   B-DATE
.   O

She   O
is   O
a   O
Software   O
Quality   O
Assurance   O
Engineers   O
and   O
Testers   O
hailing   O
from   O
New   B-LOCATION
Haven   I-LOCATION
,   O
61656   B-LOCATION
.   O

She   O
reported   O
an   O
onset   O
of   O
symptoms   O
,   O
including   O
dizziness   O
and   O
nausea   O
,   O
dating   O
back   O
to   O
approximately   O
22/10/2202   B-DATE
.   O

The   O
patient   O
,   O
Chana   B-NAME
Shea   I-NAME
,   O
has   O
no   O
known   O
medical   O
condition   O
as   O
per   O
information   O
available   O
in   O
her   O
Medical   O
Record   O
81088030   B-ID
.   O

She   O
denied   O
a   O
history   O
of   O
travel   O
or   O
any   O
recent   O
ill   O
contacts   O
in   O
her   O
primary   O
environment   O
of   O
Symerton   B-LOCATION
.   O

During   O
the   O
physical   O
exam   O
conducted   O
by   O
Dr.   O
Berry   B-NAME
,   O
she   O
presented   O
with   O
tachycardia   O
and   O
elevated   O
blood   O
pressure   O
.   O

Because   O
of   O
these   O
symptoms   O
,   O
Odin   B-NAME
Leonard   I-NAME
ordered   O
a   O
series   O
of   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
and   O
a   O
CT   O
scan   O
.   O

The   O
lab   O
is   O
affiliated   O
with   O
the   O
Gulf   B-LOCATION
State   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
where   O
these   O
tests   O
are   O
being   O
analyzed   O
.   O

The   O
results   O
are   O
due   O
by   O
33/02/2153   B-DATE
.   O

At   O
this   O
point   O
,   O
Dr.   O
Erickson   B-NAME
is   O
considering   O
several   O
differential   O
diagnoses   O
,   O
including   O
anxiety   O
disorder   O
,   O
thyroid   O
disease   O
,   O
or   O
hypertension   O
.   O

Deeper   O
conversation   O
with   O
Eleanor   B-NAME
Daniel   I-NAME
revealed   O
that   O
she   O
has   O
been   O
under   O
severe   O
stress   O
in   O
her   O
role   O
as   O
a   O
Urologists   O
recently   O
,   O
which   O
could   O
potentially   O
factor   O
into   O
her   O
condition   O
.   O

The   O
patient   O
’s   O
contact   O
number   O
is   O
(   B-CONTACT
871   I-CONTACT
)   I-CONTACT
128   I-CONTACT
-   I-CONTACT
3924   I-CONTACT
,   O
and   O
her   O
state   O
ID   O
number   O
is   O
II:49173:151285   B-ID
.   O

Further   O
,   O
Forbes   B-NAME
has   O
planned   O
for   O
follow   O
-   O
up   O
appointments   O
post   O
results   O
of   O
the   O
test   O
.   O

All   O
appointments   O
and   O
notes   O
are   O
noted   O
under   O
the   O
username   O
AO5410   B-NAME
in   O
the   O
hospital   O
management   O
system   O
.   O

This   O
report   O
is   O
intended   O
for   O
the   O
medical   O
staff   O
affiliated   O
with   O
Carolinas   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
the   O
medical   O
team   O
leader   O
,   O
Denzel   B-NAME
Hurley   I-NAME
.   O

Please   O
follow   O
-   O
up   O
by   O
32/03/33   B-DATE
to   O
ensure   O
Julissa   B-NAME
Finley   I-NAME
's   O
condition   O
is   O
being   O
effectively   O
managed   O
.   O

It   O
is   O
recommended   O
that   O
the   O
Larkin   B-NAME
,   I-NAME
Bolfa   I-NAME
takes   O
rest   O
until   O
the   O
aforementioned   O
date   O
.   O

Any   O
further   O
progress   O
or   O
noteworthy   O
changes   O
in   O
her   O
condition   O
should   O
be   O
adequately   O
documented   O
under   O
the   O
username   O
jkz319   B-NAME
for   O
streamlined   O
care   O
coordination   O
.   O

Patient   O
Report   O
:   O
Yuri   B-NAME
Zhivago   I-NAME
presented   O
to   O
the   O
Piedmont   B-LOCATION
Newnan   I-LOCATION
Hospital   I-LOCATION
on   O
2162   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
02   I-DATE
with   O
symptoms   O
indicative   O
of   O
Myocardial   O
Infarction   O
.   O

Notably   O
,   O
Lon   B-NAME
Chaney   I-NAME
,   I-NAME
Sr   I-NAME
.   I-NAME
is   O
a   O
Medical   O
Transcriptionists   O
and   O
had   O
been   O
working   O
long   O
hours   O
for   O
the   O
past   O
few   O
weeks   O
,   O
placing   O
him   O
under   O
significant   O
stress   O
.   O

According   O
to   O
Eve   B-NAME
Friedman   I-NAME
's   O
family   O
history   O
,   O
his   O
mother   O
has   O
also   O
been   O
diagnosed   O
with   O
hypertension   O
.   O

Jordan   B-NAME
promptly   O
ordered   O
an   O
ECG   O
,   O
which   O
demonstrated   O
ST   O
-   O
segment   O
elevation   O
,   O
confirming   O
the   O
initial   O
diagnosis   O
of   O
MI   O
.   O

Given   O
the   O
severity   O
of   O
Keats   B-NAME
,   I-NAME
John   I-NAME
's   O
condition   O
,   O
Avery   B-NAME
Ray   I-NAME
recommended   O
a   O
coronary   O
angiography   O
to   O
assess   O
and   O
treat   O
the   O
blockage   O
.   O

The   O
procedure   O
was   O
scheduled   O
for   O
the   O
following   O
2246   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
23   I-DATE
at   O
the   O
Firelands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Main   I-LOCATION
Campus   I-LOCATION
Cath   O
Lab   O
.   O

Post   O
-   O
procedure   O
,   O
Orion   B-NAME
Woodard   I-NAME
was   O
advised   O
to   O
change   O
his   O
lifestyle   O
and   O
eating   O
habits   O
and   O
reduce   O
work   O
-   O
related   O
stress   O
.   O

Patient   O
data   O
has   O
been   O
stored   O
under   O
79939866   B-ID
attached   O
to   O
his   O
UO231/5032   B-ID
and   O
will   O
be   O
accessible   O
to   O
the   O
healthcare   O
team   O
at   O
Upstate   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Jordin   B-NAME
Hood   I-NAME
has   O
been   O
scheduled   O
for   O
12/57   B-DATE
.   O

Fisher   B-NAME
Bush   I-NAME
or   O
a   O
nominated   O
representative   O
can   O
confirm   O
the   O
schedule   O
by   O
contacting   O
the   O
hospital   O
at   O
(   B-CONTACT
395   I-CONTACT
)   I-CONTACT
666   I-CONTACT
9501   I-CONTACT
.   O

Residence   O
:   O
Ringwood   B-LOCATION
,   O
34960   B-LOCATION
Employer   O
:   O
Worlds   B-LOCATION
'   I-LOCATION
Cooperative   I-LOCATION
Contact   O
:   O
VW6310   B-NAME

Patient   O
Name   O
:   O
Douglas   B-NAME
Age   O
:   O
70   O
Location   O
:   O
Oak   B-LOCATION
Grove   I-LOCATION
Heights   I-LOCATION
Phone   O
:   O
81713   B-CONTACT
Medical   O
Record   O
:   O
22621138   B-ID
Admitting   O
Physician   O
:   O
Mumford   B-NAME
,   I-NAME
Lewis   I-NAME
Treatment   O
Facility   O
:   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
Presenting   O
symptoms   O
:   O
Hoffer   B-NAME
,   I-NAME
Eric   I-NAME
came   O
to   O
the   O
University   B-LOCATION
of   I-LOCATION
South   I-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
June   B-DATE
complaining   O
of   O
severe   O
,   O
persistent   O
headaches   O
.   O

Braiden   B-NAME
Wells   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
blurred   O
vision   O
,   O
sensitivity   O
to   O
light   O
(   O
photophobia   O
)   O
,   O
and   O
mild   O
nausea   O
.   O

Jovany   B-NAME
Guerra   I-NAME
has   O
been   O
scheduled   O
for   O
an   O
MRI   O
scan   O
on   O
December   B-DATE
.   O

Follow   O
-   O
up   O
appointment   O
with   O
the   O
neurologist   O
Doyle   B-NAME
was   O
secured   O
for   O
reviewing   O
the   O
MRI   O
results   O
and   O
discussing   O
further   O
treatment   O
plans   O
.   O

In   O
case   O
of   O
increased   O
pain   O
or   O
onset   O
of   O
new   O
symptoms   O
,   O
the   O
patient   O
has   O
been   O
instructed   O
to   O
reach   O
out   O
to   O
our   O
emergency   O
department   O
at   O
the   O
Highlands   B-LOCATION
Hospital   I-LOCATION
,   O
68544   B-CONTACT
.   O

This   O
report   O
was   O
compiled   O
by   O
YJ846   B-NAME
on   O
the   O
2/33   B-DATE
.   O

Social   O
worker   O
's   O
contact   O
info   O
:   O
950   B-CONTACT
-   I-CONTACT
3056   I-CONTACT
Work   O
ID   O
:   O
4   B-ID
-   I-ID
3867302   I-ID
Zip   O
Code   O
:   O
41366   B-LOCATION
Organization   O
:   O

Farmers   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
Profession   O
:   O
Hunters   O
and   O
Trappers   O

Patient   O
Name   O
:   O
Zackary   B-NAME
Perie   I-NAME
DOB   O
:   O
23/18   B-DATE
Medical   O
Record   O
Number   O
:   O
819   B-ID
-   I-ID
54   I-ID
-   I-ID
90   I-ID
-   I-ID
9   I-ID
Age   O
:   O
67   O
ID   O
:   O
4   B-ID
-   I-ID
7367101   I-ID
Location   O
:   O
Hackleburg   B-LOCATION
Zip   O
Code   O
:   O
93268   B-LOCATION
Organization   O
:   O

Global   B-LOCATION
Rights   I-LOCATION
Doctor   O
:   O
Anastasia   B-NAME
Ladner   I-NAME
Phone   O
:   O
43821   B-CONTACT
The   O
patient   O
,   O
Sonderborg   B-NAME
,   O
presented   O
at   O
Hallmark   B-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
on   O
the   O
0/22   B-DATE
with   O
symptoms   O
of   O
severe   O
headaches   O
,   O
photophobia   O
,   O
and   O
neck   O
stiffness   O
.   O

Blood   O
tests   O
were   O
conducted   O
by   O
Dr.   O
Jaylen   B-NAME
Mercado   I-NAME
and   O
showed   O
a   O
high   O
count   O
of   O
white   O
cells   O
in   O
the   O
CSF   O
from   O
lumbar   O
puncture   O
,   O
suggesting   O
bacterial   O
meningitis   O
.   O

Prior   O
to   O
the   O
onset   O
of   O
these   O
symptoms   O
,   O
Blake   B-NAME
Sheppard   I-NAME
,   O
a   O
Construction   O
Carpenters   O
by   O
trade   O
,   O
reported   O
experiencing   O
a   O
flu   O
-   O
like   O
illness   O
which   O
was   O
initially   O
treated   O
as   O
seasonal   O
influenza   O
at   O
a   O
local   O
clinic   O
in   O
Homeland   B-LOCATION
.   O

Wilson   B-NAME
Mcdaniel   I-NAME
's   O
symptoms   O
,   O
however   O
,   O
progressively   O
worsened   O
over   O
a   O
week   O
before   O
presenting   O
to   O
Sullivan   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Diagnostic   O
imaging   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Jaime   B-NAME
Salazar   I-NAME
at   O
Eastern   B-LOCATION
Idaho   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
demonstrated   O
no   O
signs   O
of   O
cerebral   O
edema   O
or   O
focal   O
abnormalities   O
.   O

Aarav   B-NAME
Castaneda   I-NAME
was   O
quickly   O
started   O
on   O
a   O
stringent   O
course   O
of   O
intravenous   O
antibiotics   O
.   O

Next   O
of   O
kin   O
was   O
contacted   O
via   O
895   B-CONTACT
-   I-CONTACT
274   I-CONTACT
6936   I-CONTACT
immediately   O
after   O
hospital   O
admission   O
to   O
keep   O
them   O
informed   O
about   O
Franklin   B-NAME
's   O
medical   O
status   O
.   O

The   O
service   O
user   O
zq684   B-NAME
monitored   O
the   O
patient   O
’s   O
vitals   O
and   O
marked   O
an   O
improvement   O
after   O
48   O
hours   O
of   O
antibiotic   O
therapy   O
.   O

Progress   O
notes   O
from   O
the   O
32/12   B-DATE
indicate   O
that   O
Braden   B-NAME
Gates   I-NAME
is   O
responding   O
well   O
to   O
the   O
current   O
line   O
of   O
treatment   O
.   O

The   O
care   O
plan   O
will   O
be   O
overseen   O
by   O
a   O
team   O
of   O
specialists   O
at   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Kirkwood   I-LOCATION
,   O
led   O
by   O
Dr.   O
Vance   B-NAME
Obrien   I-NAME
.   O

The   O
Calcutta   B-LOCATION
Tramways   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
and   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
insurance   O
ID   O
for   O
Miranda   B-NAME
,   I-NAME
James   I-NAME
R   I-NAME
is   O
7401838   B-ID
.   O

Patient   O
will   O
continue   O
to   O
receive   O
medical   O
care   O
in   O
Weatherford   B-LOCATION
,   I-LOCATION
Weatherford   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
and   O
healthcare   O
providers   O
have   O
been   O
informed   O
about   O
the   O
patient   O
's   O
progress   O
.   O

Patient   O
Name   O
:   O
Broun   B-NAME
,   I-NAME
Heywood   I-NAME
Date   O
of   O
Birth   O
:   O
1/01   B-DATE
ID   O
:   O
BV:8554:163235   B-ID
Medical   O
Record   O
Number   O
:   O
826   B-ID
30   I-ID
88   I-ID
Address   O
:   O
Philadelphia   B-LOCATION
,   O
17575   B-LOCATION
Phone   O
number   O
:   O
42928   B-CONTACT
Bianca   B-NAME
Coffey   I-NAME
came   O
to   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
Round   I-LOCATION
Rock   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
09/13   B-DATE
.   O

In   O
addition   O
to   O
abdominal   O
pain   O
,   O
Odin   B-NAME
Moon   I-NAME
had   O
symptoms   O
such   O
as   O
a   O
teenager   O
's   O
fatigue   O
,   O
mild   O
fever   O
and   O
loss   O
of   O
appetite   O
that   O
started   O
approximately   O
on   O
32/85   B-DATE
.   O

Upon   O
further   O
investigation   O
by   O
Dr.   O
Vaughan   B-NAME
,   O
the   O
patient   O
also   O
presented   O
a   O
slight   O
swelling   O
in   O
the   O
painful   O
area   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
was   O
conducted   O
by   O
Arnold   B-NAME
on   O
16/33/42   B-DATE
and   O
it   O
showed   O
an   O
inflammation   O
of   O
the   O
appendix   O
.   O

Thaddeus   B-NAME
Reilly   I-NAME
's   O
general   O
practitioner   O
,   O
Dr.   O
Jones   B-NAME
advised   O
him   O
to   O
visit   O
William   B-LOCATION
P.   I-LOCATION
Clements   I-LOCATION
Jr.   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
treatment   O
.   O

The   O
patient   O
,   O
who   O
is   O
a   O
Dentists   O
,   O
General   O
,   O
lives   O
in   O
Tushka   B-LOCATION
and   O
works   O
for   O
Union   B-LOCATION
Network   I-LOCATION
International   I-LOCATION
.   O

He   O
was   O
then   O
booked   O
for   O
a   O
laparoscopic   O
appendectomy   O
procedure   O
,   O
performed   O
by   O
the   O
surgical   O
team   O
at   O
Veterans   B-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Birmingham   I-LOCATION
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
and   O
Sarina   B-NAME
Levielle   I-NAME
was   O
discharged   O
on   O
03/21/2200   B-DATE
under   O
the   O
care   O
of   O
his   O
Geothermal   O
Production   O
Managers   O
spouse   O
.   O

They   O
were   O
given   O
instructions   O
and   O
the   O
contact   O
number   O
138   B-CONTACT
4917   I-CONTACT
at   O
Brandywine   B-LOCATION
Hospital   I-LOCATION
to   O
report   O
any   O
symptoms   O
of   O
infection   O
,   O
such   O
as   O
persistent   O
fever   O
,   O
redness   O
,   O
swelling   O
,   O
or   O
uncontrolled   O
pain   O
.   O

Prepared   O
by   O
:   O
io833   B-NAME
,   O
Health   O
Records   O
Team   O
.   O

Patient   O
name   O
:   O
Oliveira   B-NAME
,   I-NAME
Keith   I-NAME
Date   O
:   O
33/27   B-DATE
ID   O
:   O
TX986/8856   B-ID
Address   O
:   O
Graceton   B-LOCATION
Phone   O
:   O
802   B-CONTACT
370   I-CONTACT
-   I-CONTACT
8728   I-CONTACT
Age   O
:   O
22s   O
Medical   O
Record   O
:   O
87945862   B-ID
Patient   O
Leila   B-NAME
Juarez   I-NAME
presented   O
to   O
Mary   B-LOCATION
Free   I-LOCATION
Bed   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

The   O
onset   O
of   O
pain   O
was   O
sudden   O
,   O
waking   O
the   O
patient   O
from   O
sleep   O
around   O
26/32/18   B-DATE
.   O

An   O
ultrasound   O
was   O
ordered   O
by   O
Claire   B-NAME
Ramsey   I-NAME
revealed   O
mild   O
inflammation   O
of   O
the   O
appendix   O
.   O

Oscar   B-NAME
Urzua   I-NAME
recovered   O
well   O
post   O
-   O
surgery   O
.   O

He   O
was   O
discharged   O
after   O
72   O
hours   O
under   O
the   O
care   O
of   O
Cortez   B-NAME
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
consultation   O
was   O
scheduled   O
two   O
weeks   O
later   O
at   O
Regional   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Scranton   I-LOCATION
in   O
Goodlettsville   B-LOCATION
.   O

Based   O
on   O
medical   O
record   O
57130341   B-ID
,   O
Fitzgerald   B-NAME
,   I-NAME
Patrick   I-NAME
is   O
employed   O
in   O
the   O
Athletic   O
Trainers   O
sector   O
in   O
Amcore   B-LOCATION
Bank   I-LOCATION
.   O

His   O
colleagues   O
reached   O
out   O
over   O
the   O
35397   B-CONTACT
,   O
expressing   O
concerns   O
about   O
his   O
health   O
and   O
offered   O
support   O
.   O

The   O
hospital   O
claims   O
were   O
processed   O
with   O
the   O
AD405/2676   B-ID
provided   O
by   O
the   O
patient   O
.   O

The   O
billing   O
27412   B-LOCATION
and   O
other   O
relevant   O
details   O
were   O
sent   O
to   O
the   O
Serbia   B-LOCATION
address   O
.   O

These   O
details   O
were   O
shared   O
and   O
gathered   O
by   O
LH696   B-NAME
,   O
representing   O
the   O
medical   O
staff   O
at   O
Tug   B-LOCATION
Valley   I-LOCATION
ARH   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
date   O
recorded   O
was   O
10/07/96   B-DATE
.   O

Contact   O
:   O
38422   B-CONTACT
.   O

Eric   B-NAME
A.   I-NAME
Morgan   I-NAME
,   O
a   O
22s   O
years   O
old   O
professional   O
Radiation   O
Therapists   O
,   O
with   O
ID   O
5   B-ID
-   I-ID
2395615   I-ID
,   O
was   O
admitted   O
to   O
Salina   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Salina   I-LOCATION
on   O
37/22   B-DATE
.   O

THe   O
patient   O
who   O
resides   O
in   O
Bairoa   B-LOCATION
La   I-LOCATION
Vienticinco   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Randolph   B-NAME
Chief   O
Complaint   O
:   O
Hanna   B-NAME
presented   O
with   O
persistent   O
nocturnal   O
cough   O
,   O
fever   O
,   O
and   O
worsening   O
dyspnea   O
over   O
the   O
last   O
two   O
weeks.^   O
0883777   B-ID
History   O
of   O
Present   O
Illness   O
:   O
The   O
cough   O
,   O
reportedly   O
dry   O
initially   O
,   O
is   O
now   O
productive   O
with   O
yellowish   O
-   O
green   O
sputum   O
.   O

73041408   B-ID
Evaluation   O
:   O
Upon   O
examination   O
by   O
Dr.   O
Davies   B-NAME
,   O
breath   O
sounds   O
were   O
diminished   O
on   O
the   O
right   O
lower   O
side   O
with   O
scattered   O
rhonchi   O
.   O

His   O
contact   O
29276   B-CONTACT
and   O
next   O
of   O
kin   O
have   O
been   O
informed   O
of   O
his   O
condition   O
and   O
the   O
investigations   O
planned   O
.   O

94867280   B-ID
Efforts   O
are   O
being   O
coordinated   O
with   O
his   O
primary   O
care   O
physician   O
from   O
Massachusetts   B-LOCATION
Animal   I-LOCATION
Rights   I-LOCATION
Coalition   I-LOCATION
(   I-LOCATION
MARC   I-LOCATION
)   I-LOCATION
to   O
obtain   O
his   O
past   O
records   O
.   O

26743744   B-ID
Plan   O
:   O

A   O
case   O
manager   O
,   O
reachable   O
at   O
587   B-CONTACT
2406   I-CONTACT
,   O
has   O
been   O
assigned   O
for   O
follow   O
-   O
ups   O
and   O
to   O
ensure   O
medication   O
compliance   O
.   O

psv881   B-NAME
will   O
notify   O
the   O
state   O
health   O
department   O
as   O
required   O
for   O
suspected   O
Tuberculosis   O
case   O
.   O

Arrangements   O
are   O
also   O
being   O
done   O
for   O
his   O
family   O
's   O
Tuberculin   O
skin   O
test   O
at   O
patient   O
's   O
residence   O
22726   B-LOCATION
.   O

61862107   B-ID

The   O
patient   O
,   O
Felicity   B-NAME
Tran   I-NAME
,   O
will   O
be   O
re   O
-   O
evaluated   O
by   O
Alan   B-NAME
Khan   I-NAME
post   O
-   O
investigations   O
and   O
after   O
obtaining   O
past   O
records   O
.   O

He   O
continues   O
to   O
be   O
under   O
observation   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Laurel   I-LOCATION
Highlands   I-LOCATION
.   O

Patient   O
Name   O
:   O
Julianne   B-NAME
Cherry   I-NAME
Address   O
:   O
Valinda   B-LOCATION
,   O
72646   B-LOCATION
DOB   O
:   O
22/12   B-DATE
Patient   O
Contact   O
:   O
16022   B-CONTACT
ID   O
Information   O
:   O
246548322   B-ID
Occupation   O
:   O
Data   O
Warehousing   O
Specialists   O
Medical   O
Record   O
Number   O
:   O
6600023   B-ID
Attending   O
Physician   O
:   O

Dr.   O
Elliot   B-NAME
Wilkinson   I-NAME
20/19   B-DATE
,   O
Cinnamon   B-NAME
was   O
admitted   O
to   O
Tallahassee   B-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
with   O
chief   O
complaints   O
of   O
persistent   O
and   O
intense   O
headache   O
,   O
along   O
with   O
intermittent   O
episodes   O
of   O
nausea   O
,   O
vomiting   O
,   O
and   O
dizziness   O
for   O
the   O
past   O
few   O
days   O
.   O

Norman   B-NAME
Seifried   I-NAME
describes   O
the   O
pain   O
as   O
throbbing   O
,   O
predominantly   O
on   O
the   O
left   O
side   O
of   O
the   O
head   O
,   O
rating   O
it   O
as   O
8   O
on   O
a   O
severity   O
scale   O
of   O
1   O
-   O
10   O
.   O

Past   O
history   O
reveals   O
recurrent   O
,   O
similar   O
attacks   O
over   O
the   O
past   O
year   O
,   O
with   O
frequency   O
increasing   O
over   O
the   O
last   O
9   B-DATE
-   I-DATE
16   I-DATE
.   O

Family   O
history   O
is   O
significant   O
with   O
Jermaine   B-NAME
Paul   I-NAME
's   O
father   O
having   O
a   O
similar   O
kind   O
of   O
headache   O
disorder   O
.   O

Diagnostic   O
tests   O
included   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
and   O
Computed   O
Tomography   O
(   O
CT   O
)   O
scan   O
were   O
recommended   O
by   O
Dr.   O
Draven   B-NAME
Conner   I-NAME
for   O
the   O
6/7/05   B-DATE
.   O

A   O
referral   O
to   O
a   O
neurologist   O
of   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Modesto   I-LOCATION
is   O
suggested   O
.   O

Further   O
coordination   O
for   O
appointment   O
and   O
tests   O
scheduling   O
will   O
be   O
managed   O
by   O
Retail   B-LOCATION
and   I-LOCATION
Fast   I-LOCATION
Food   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
.   O

For   O
any   O
queries   O
,   O
Lillian   B-NAME
Price   I-NAME
can   O
contact   O
on   O
71821   B-CONTACT
or   O
email   O
us   O
at   O
fc196   B-NAME
@   O
International   B-LOCATION
Alliance   I-LOCATION
of   I-LOCATION
Women   I-LOCATION
.com   O
.   O

Dr.   O
LeBlanc   B-NAME
,   I-NAME
Romeo   I-NAME
General   O
Physician   O
,   O
UCSF   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Moffitt   I-LOCATION
-   I-LOCATION
Long   I-LOCATION
Hospitals   I-LOCATION
Toston   B-LOCATION
,   O
87841   B-LOCATION

Patient   O
Report   O
Patient   O
Name   O
:   O
Amy   B-NAME
Alvarez   I-NAME
Age   O
:   O
31   O
Medical   O
Record   O
No   O
.   O
:   O
32141450   B-ID
Wednesday   B-DATE
Dr.   O
Dean   B-NAME
Athens   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Dear   O
Dr.   O
Ronan   B-NAME
Bishop   I-NAME
,   O
I   O
am   O
writing   O
to   O
refer   O
Stephen   B-NAME
Mccullough   I-NAME
,   O
who   O
is   O
presently   O
struggling   O
with   O
uncertain   O
symptoms   O
.   O

Ulbrich   B-NAME
,   I-NAME
George   I-NAME
-   I-NAME
Brian   I-NAME
N.   I-NAME
was   O
initially   O
seen   O
by   O
his   O
primary   O
care   O
physician   O
10   O
days   O
ago   O
.   O

Hull   B-NAME
,   I-NAME
Cordell   I-NAME
works   O
as   O
a   O
Communications   O
Teachers   O
,   O
Postsecondary   O
but   O
has   O
been   O
on   O
leave   O
due   O
to   O
his   O
worsening   O
health   O
.   O

He   O
lives   O
in   O
Horace   B-LOCATION
and   O
his   O
contact   O
number   O
is   O
501   B-CONTACT
-   I-CONTACT
3785   I-CONTACT
.   O

I   O
am   O
recommending   O
further   O
diagnostic   O
tests   O
,   O
including   O
a   O
CT   O
scan   O
and   O
multiple   O
blood   O
tests   O
at   O
your   O
Located   B-LOCATION
within   I-LOCATION
Sinai   I-LOCATION
-   I-LOCATION
Grace   I-LOCATION
Hospital   I-LOCATION
at   O
the   O
earliest   O
.   O

As   O
previously   O
agreed   O
,   O
Lenard   B-NAME
Buth   I-NAME
’s   O
personal   O
insurance   O
i   O
d   O
is   O
WZ496/1282   B-ID
.   O

The   O
patient   O
's   O
online   O
record   O
can   O
be   O
found   O
using   O
the   O
username   O
WX172   B-NAME
on   O
the   O
Adamcon   B-LOCATION
(   I-LOCATION
Coleco   I-LOCATION
Adam   I-LOCATION
user   I-LOCATION
group   I-LOCATION
)   I-LOCATION
online   O
database   O
.   O

Please   O
contact   O
me   O
via   O
my   O
phone   O
number   O
(   B-CONTACT
630   I-CONTACT
)   I-CONTACT
399   I-CONTACT
-   I-CONTACT
3027   I-CONTACT
or   O
email   O
me   O
at   O
eu1012   B-NAME
@   O
Portland   B-LOCATION
Linux   I-LOCATION
/   I-LOCATION
Unix   I-LOCATION
Group   I-LOCATION
.com   O
.   O

Yours   O
Sincerely   O
,   O
Dr.   O
Fuller   B-NAME
,   I-NAME
Margaret   I-NAME
First   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
California   I-LOCATION
,   I-LOCATION
F.S.B.   I-LOCATION
Poughkeepsie   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
12601   I-LOCATION
,   O
45938   B-LOCATION

Report   O
:   O
Ulysess   B-NAME
Dodge   I-NAME
,   O
aged   O
36   O
was   O
admitted   O
to   O
Uintah   B-LOCATION
Basin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
9th   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
high   O
fever   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
chest   O
pain   O
.   O

The   O
patient   O
has   O
a   O
medical   O
record   O
number   O
5028527   B-ID
.   O

Her   O
CareCard   O
health   O
plan   O
number   O
is   O
65789   B-ID
.   O

Residing   O
at   O
Iberia   B-LOCATION
,   O
she   O
works   O
under   O
an   O
HomeSense   B-LOCATION
as   O
a   O
Precision   O
Lens   O
Grinders   O
and   O
Polishers   O
.   O

She   O
was   O
referred   O
to   O
us   O
by   O
Dr.   O
Bray   B-NAME
,   O
her   O
primary   O
care   O
physician   O
.   O

Dotson   B-NAME
's   O
initial   O
vitals   O
were   O
measured   O
.   O

Key   B-NAME
was   O
soon   O
moved   O
to   O
Palmetto   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
's   O
intensive   O
care   O
unit   O
,   O
room   O
24459   B-LOCATION
for   O
isolated   O
care   O
and   O
observation   O
.   O

Antibiotics   O
treatment   O
was   O
initiated   O
,   O
prescribed   O
by   O
Dr.   O
Alina   B-NAME
Fitzpatrick   I-NAME
.   O

Cali   B-NAME
Mckenzie   I-NAME
's   O
contact   O
information   O
including   O
her   O
home   O
address   O
in   O
Seffner   B-LOCATION
and   O
active   O
phone   O
number   O
93425   B-CONTACT
were   O
confirmed   O
and   O
recorded   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Essence   B-NAME
Tucker   I-NAME
two   O
weeks   O
post   O
-   O
discharge   O
.   O
Instructions   O
for   O
taking   O
prescribed   O
medication   O
,   O
self   O
-   O
care   O
,   O
infection   O
control   O
,   O
and   O
signs   O
of   O
complications   O
were   O
explained   O
to   O
the   O
patient   O
.   O

yi767   B-NAME
,   O
one   O
of   O
our   O
nurse   O
practitioners   O
,   O
has   O
been   O
assigned   O
to   O
maintain   O
regular   O
contact   O
with   O
CATHY   B-NAME
TURK   I-NAME
to   O
keep   O
track   O
of   O
the   O
progress   O
.   O

We   O
will   O
continue   O
to   O
update   O
her   O
medical   O
profile   O
,   O
record   O
number   O
4053925   B-ID
,   O
with   O
her   O
health   O
progress   O
regularly   O
.   O

Patient   O
Name   O
:   O
Kaylin   B-NAME
Sutton   I-NAME
Report   O
ID   O
:   O
3257   B-ID
:   I-ID
Z08188   I-ID

The   O
Dillan   B-NAME
Shelton   I-NAME
is   O
a   O
41   O
year   O
old   O
individual   O
who   O
presented   O
complaining   O
of   O
extreme   O
fatigue   O
for   O
the   O
past   O
6/33/80   B-DATE
.   O

The   O
Ashley   B-NAME
experiences   O
difficulty   O
in   O
performing   O
routine   O
tasks   O
and   O
has   O
reported   O
an   O
unexplained   O
weight   O
loss   O
.   O

The   O
blood   O
sample   O
was   O
collected   O
on   O
25   B-DATE
for   O
diagnostic   O
lab   O
tests   O
.   O

On   O
02/13   B-DATE
,   O
the   O
Cyrus   B-NAME
Mcintyre   I-NAME
was   O
recommended   O
to   O
see   O
a   O
specialist   O
Hopkins   B-NAME
by   O
their   O
general   O
physician   O
after   O
a   O
phone   O
consultation   O
took   O
place   O
,   O
phone   O
number   O
65626   B-CONTACT
.   O

During   O
the   O
scheduled   O
visit   O
at   O
Gadsden   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
a   O
CT   O
scan   O
was   O
executed   O
which   O
revealed   O
swollen   O
lymph   O
nodes   O
in   O
the   O
chest   O
region   O
.   O

The   O
Reed   B-NAME
,   O
who   O
is   O
a   O
Armored   O
Assault   O
Vehicle   O
Officers   O
by   O
trade   O
,   O
followed   O
the   O
advice   O
given   O
by   O
Doctor   O
Rhianna   B-NAME
Stephenson   I-NAME
to   O
undergo   O
further   O
tests   O
due   O
to   O
suspicious   O
findings   O
.   O

Moreover   O
,   O
the   O
Norman   B-NAME
recommended   O
reaching   O
out   O
to   O
Fashion   B-LOCATION
for   I-LOCATION
Fighters   I-LOCATION
Foundation   I-LOCATION
for   O
additional   O
resources   O
and   O
support   O
.   O

The   O
ensuing   O
biopsy   O
test   O
after   O
sending   O
samples   O
to   O
the   O
lab   O
in   O
Totnes   B-LOCATION
confirmed   O
the   O
diagnosis   O
of   O
Non   O
-   O
Hodgkin   O
lymphoma   O
.   O

Treatment   O
protocol   O
agreed   O
was   O
to   O
begin   O
chemotherapy   O
at   O
College   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

A   O
separate   O
patient   O
care   O
plan   O
was   O
discussed   O
with   O
the   O
Sabrina   B-NAME
Sanders   I-NAME
and   O
immediate   O
family   O
members   O
.   O

Home   O
health   O
care   O
is   O
suggested   O
by   O
Anna   B-NAME
Cannon   I-NAME
.   O

This   O
service   O
will   O
be   O
provided   O
by   O
Mississippi   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Southern   I-LOCATION
Company   I-LOCATION
located   O
in   O
51384   B-LOCATION
.   O

If   O
there   O
are   O
any   O
changes   O
in   O
the   O
William   B-NAME
of   I-NAME
Occam   I-NAME
’s   O
condition   O
,   O
the   O
care   O
team   O
can   O
be   O
reached   O
at   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
52853   B-CONTACT
.   O

For   O
emergencies   O
,   O
please   O
contact   O
707   B-CONTACT
-   I-CONTACT
3240   I-CONTACT
.   O

The   O
URIBE   B-NAME
,   I-NAME
HAROLD   I-NAME
's   O
ongoing   O
treatment   O
and   O
medical   O
situation   O
will   O
continue   O
to   O
be   O
monitored   O
and   O
updated   O
in   O
our   O
hospital   O
records   O
under   O
the   O
unique   O
ID-   O
316519360   B-ID
.   O

This   O
report   O
was   O
compiled   O
and   O
reviewed   O
by   O
BG2810   B-NAME
on   O
03/03   B-DATE
.   O

Patient   O
Information   O
:   O
Johnston   B-NAME
is   O
a   O
74s   O
year   O
old   O
female   O
who   O
was   O
admitted   O
to   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Fort   I-LOCATION
Hamilton   I-LOCATION
Hospital   I-LOCATION
on   O
33/19/87   B-DATE
.   O

Her   O
medical   O
record   O
number   O
is   O
599   B-ID
-   I-ID
53   I-ID
-   I-ID
16   I-ID
.   O

The   O
patient   O
underwent   O
a   O
laparoscopic   O
cholecystectomy   O
conducted   O
by   O
Cantrell   B-NAME
at   O
the   O
same   O
Freeman   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
5   O
years   O
ago   O
.   O

The   O
ultrasound   O
conducted   O
on   O
Monday   B-DATE
,   I-DATE
July   I-DATE
at   O
the   O
[   O
ORGANIZATION   O
's   O
]   O
diagnostic   O
center   O
located   O
at   O
Sandhurst   B-LOCATION
indicated   O
an   O
enlarged   O
ovary   O
,   O
with   O
what   O
appears   O
to   O
be   O
a   O
complex   O
cystic   O
structure   O
.   O

Contact   O
Information   O
:   O
Her   O
address   O
is   O
Sevenoaks   B-LOCATION
,   O
and   O
her   O
contact   O
number   O
is   O
752   B-CONTACT
-   I-CONTACT
2232   I-CONTACT
.   O

Follow   O
-   O
up   O
:   O
Patient   O
was   O
advised   O
regular   O
follow   O
-   O
up   O
with   O
Lewis   B-NAME
at   O
the   O
Caro   B-LOCATION
Center   I-LOCATION
located   O
at   O
90655   B-LOCATION
.   O

The   O
prescribed   O
medications   O
were   O
ordered   O
through   O
an   O
online   O
pharmacy   O
,   O
under   O
the   O
account   O
xtp240   B-NAME
and   O
were   O
delivered   O
to   O
her   O
residence   O
.   O

Her   O
health   O
insurance   O
ID   O
is   O
641692297   B-ID
.   O

It   O
is   O
advised   O
that   O
this   O
information   O
is   O
discussed   O
with   O
USSERY   B-NAME
,   I-NAME
VINCENT   I-NAME
Q.   I-NAME
during   O
the   O
following   O
visits   O
to   O
Sterling   B-NAME
,   I-NAME
Bruce   I-NAME
at   O
the   O
Regional   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Jacksonville   I-LOCATION
.   O

Patient   O
Report   O
:   O
Mr.   O
Herschel   B-NAME
,   I-NAME
John   I-NAME
presented   O
to   O
the   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Kenosha   I-LOCATION
Emergency   O
Department   O
on   O
8/6   B-DATE
with   O
progressive   O
,   O
severe   O
abdominal   O
pain   O
for   O
the   O
past   O
two   O
days   O
.   O

He   O
lives   O
in   O
Bathgate   B-LOCATION
with   O
his   O
wife   O
and   O
two   O
children   O
.   O

The   O
patient   O
's   O
identification   O
number   O
is   O
3   B-ID
-   I-ID
7671111   I-ID
.   O

The   O
pain   O
,   O
as   O
described   O
by   O
Mr.   O
Piper   B-NAME
,   I-NAME
Roddy   I-NAME
,   O
is   O
mainly   O
on   O
the   O
lower   O
right   O
side   O
of   O
his   O
abdomen   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

His   O
medical   O
record   O
number   O
is   O
6703100   B-ID
.   O

His   O
personal   O
GP   O
Dr.   O
Sims   B-NAME
was   O
contacted   O
and   O
he   O
had   O
mentioned   O
a   O
history   O
of   O
similar   O
episodes   O
over   O
the   O
last   O
six   O
months   O
,   O
but   O
the   O
severity   O
of   O
symptoms   O
was   O
low   O
and   O
they   O
resolved   O
spontaneously   O
,   O
so   O
no   O
further   O
medical   O
pursued   O
.   O

Surgery   O
teams   O
were   O
notified   O
about   O
Mr.   O
Kianna   B-NAME
Mack   I-NAME
's   O
case   O
,   O
and   O
an   O
urgent   O
appendectomy   O
was   O
scheduled   O
.   O

The   O
contact   O
number   O
of   O
the   O
on   O
-   O
call   O
surgery   O
team   O
is   O
737   B-CONTACT
6020   I-CONTACT
.   O

Mr.   O
Good   B-NAME
was   O
admitted   O
to   O
South   B-LOCATION
Fulton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
clinical   O
unit   O
pi359   B-NAME
.   O

The   O
hospital   O
is   O
located   O
at   O
81669   B-LOCATION
.   O

Prior   O
to   O
surgery   O
,   O
he   O
was   O
kept   O
Nil   O
Per   O
Orum   O
(   O
NPO   O
)   O
and   O
started   O
on   O
IV   O
hydration   O
and   O
antibiotics   O
by   O
the   O
medical   O
team   O
from   O
Bank   B-LOCATION
of   I-LOCATION
Elmwood   I-LOCATION
.   O

Family   O
members   O
of   O
Mr.   O
Xavier   B-NAME
Dotson   I-NAME
were   O
counseled   O
on   O
the   O
need   O
for   O
surgery   O
and   O
the   O
possible   O
risks   O
associated   O
with   O
it   O
.   O

Patient   O
Name   O
:   O
Eliezer   B-NAME
Hendricks   I-NAME
Age   O
:   O
1   O
Phone   O
:   O
(   B-CONTACT
680   I-CONTACT
)   I-CONTACT
831   I-CONTACT
3314   I-CONTACT
Location   O
:   O

Hughes   B-LOCATION
Springs   I-LOCATION
Medical   O
Record   O
:   O
0288384   B-ID
Doctor   O
Name   O
:   O
Curry   B-NAME
Date   O
:   O
September   B-DATE
02   I-DATE
,   I-DATE
2132   I-DATE
ID   O
:   O
JR   B-ID
:   I-ID
FX:6095   I-ID
Zip   O
:   O
56156   B-LOCATION
Username   O
:   O
BY156   B-NAME
Hospital   O
:   O
Western   B-LOCATION
Maryland   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Organization   O
:   O
City   B-LOCATION
of   I-LOCATION
Vero   I-LOCATION
Beach   I-LOCATION
Electric   I-LOCATION
Utilities   I-LOCATION
Profession   O
:   O

Office   O
and   O
Administrative   O
Support   O
Workers   O
,   O
All   O
Other   O
Livia   B-NAME
Young   I-NAME
presented   O
at   O
our   O
Falmouth   B-LOCATION
Hospital   I-LOCATION
on   O
1896   B-DATE
.   O

She   O
is   O
a   O
Recycling   O
officer   O
residing   O
in   O
Exmouth   B-LOCATION
,   O
78868   B-LOCATION
.   O

She   O
has   O
been   O
under   O
the   O
care   O
of   O
Grace   B-NAME
Kaufman   I-NAME
and   O
her   O
primary   O
concern   O
was   O
chronic   O
fatigue   O
in   O
conjunction   O
with   O
mild   O
to   O
severe   O
headaches   O
that   O
have   O
persisted   O
for   O
the   O
past   O
few   O
weeks   O
.   O

Her   O
medical   O
history   O
,   O
documented   O
under   O
51465027   B-ID
,   O
showed   O
no   O
apparent   O
predisposition   O
to   O
her   O
current   O
symptoms   O
.   O

No   O
significant   O
past   O
medical   O
conditions   O
were   O
found   O
except   O
for   O
mild   O
seasonal   O
allergies   O
on   O
2265   B-DATE
.   O

A   O
full   O
battery   O
of   O
blood   O
tests   O
has   O
been   O
ordered   O
,   O
and   O
STEPHEN   B-NAME
X.   I-NAME
PIKE   I-NAME
has   O
been   O
referred   O
to   O
a   O
neurologist   O
for   O
further   O
assessment   O
.   O

Sasha   B-NAME
Suarez   I-NAME
's   O
contact   O
number   O
,   O
(   B-CONTACT
734   I-CONTACT
)   I-CONTACT
430   I-CONTACT
4840   I-CONTACT
,   O
has   O
been   O
noted   O
for   O
any   O
communication   O
related   O
to   O
test   O
results   O
or   O
appointments   O
.   O

The   O
next   O
course   O
of   O
action   O
and   O
further   O
treatments   O
,   O
if   O
necessary   O
,   O
will   O
be   O
established   O
under   O
the   O
guidance   O
of   O
the   O
hospital   O
's   O
primary   O
healthcare   O
team   O
,   O
including   O
Greer   B-NAME
.   O

Candid   B-NAME
or   O
designated   O
contact   O
from   O
her   O
workplace   O
,   O
International   B-LOCATION
Alliance   I-LOCATION
of   I-LOCATION
Women   I-LOCATION
,   O
will   O
be   O
informed   O
at   O
the   O
earliest   O
.   O

Request   O
for   O
any   O
additional   O
information   O
can   O
be   O
directed   O
to   O
her   O
assigned   O
healthcare   O
manager   O
,   O
ZA9710   B-NAME
.   O

All   O
of   O
her   O
ID   O
details   O
,   O
including   O
TT   B-ID
:   I-ID
RA:3189   I-ID
,   O
have   O
been   O
updated   O
in   O
the   O
hospital   O
databases   O
.   O

Xavier   B-NAME
M.   I-NAME
Sampson   I-NAME
Age   O
:   O
2   O
ID   O
:   O
GC   B-ID
:   I-ID
JJ:7025   I-ID
Medical   O
Record   O
No   O
:   O
6526240   B-ID
Presenting   O
Symptoms   O
:   O
Cady   B-NAME
approached   O
our   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Iowa   I-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
located   O
at   O
East   B-LOCATION
Cleveland   I-LOCATION
on   O
6/22/07   B-DATE
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
especially   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
been   O
bothering   O
him   O
for   O
the   O
last   O
week   O
.   O

Medical   O
history   O
reveals   O
that   O
the   O
patient   O
had   O
no   O
known   O
comorbidities   O
and   O
his   O
latest   O
blood   O
work   O
was   O
performed   O
on   O
39/27/2369   B-DATE
.   O

Based   O
on   O
the   O
clinical   O
findings   O
,   O
Dr.   O
Ball   B-NAME
suspected   O
the   O
condition   O
to   O
be   O
appendicitis   O
and   O
ordered   O
for   O
further   O
testing   O
.   O

The   O
patient   O
was   O
then   O
subjected   O
to   O
an   O
ultrasound   O
scan   O
at   O
the   O
Palomar   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Contact   O
Information   O
:   O
Primary   O
Physician   O
-   O
Dr.   O
Casey   B-NAME
Benitez   I-NAME
Phone   O
:   O
(   B-CONTACT
986   I-CONTACT
)   I-CONTACT
152   I-CONTACT
-   I-CONTACT
6555   I-CONTACT
Location   O
:   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73106   I-LOCATION
Physician   O
's   O
Office   O
:   O
Strategic   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
Please   O
reach   O
out   O
to   O
the   O
physician   O
through   O
his   O
secretary   O
:   O
pcz4710   B-NAME
@hospitalmail.com   O

Terrell   B-LOCATION
Hills   I-LOCATION
98688   B-LOCATION
Phone   O
:   O
202   B-CONTACT
-   I-CONTACT
7073   I-CONTACT

This   O
care   O
report   O
should   O
be   O
used   O
for   O
Health   O
Plan   O
Number   O
:   O
MF783/4032   B-ID
Report   O
submitted   O
on   O
33/00   B-DATE
by   O
Dr.   O
Farmer   B-NAME
,   O
Primary   O
Care   O
Physician   O
,   O
CHI   B-LOCATION
Health   I-LOCATION
Immanuel   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
SHEEHAN   B-NAME
,   I-NAME
XIMENA   I-NAME
,   O
age   O
:   O
28   O
,   O
presented   O
at   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Nampa   I-LOCATION
's   O
emergency   O
room   O
on   O
2322   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
10   I-DATE
.   O

Gould   B-NAME
,   I-NAME
Stephen   I-NAME
Jay   I-NAME
complained   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
and   O
was   O
specifically   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Upon   O
physical   O
examination   O
by   O
Houston   B-NAME
,   O
Abbott   B-NAME
demonstrated   O
rebound   O
tenderness   O
and   O
muscle   O
guarding   O
,   O
suggesting   O
acute   O
appendicitis   O
.   O

However   O
,   O
the   O
patient   O
's   O
medical   O
record   O
,   O
80261549   B-ID
,   O
revealed   O
a   O
history   O
of   O
gallstones   O
,   O
so   O
a   O
differential   O
diagnosis   O
was   O
considered   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
requested   O
and   O
performed   O
at   O
the   O
Conemaugh   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Meanwhile   O
,   O
Kwanita   B-NAME
's   O
family   O
,   O
who   O
live   O
in   O
another   O
state   O
,   O
Walnut   B-LOCATION
Springs   I-LOCATION
,   O
were   O
contacted   O
via   O
phone   O
,   O
(   B-CONTACT
145   I-CONTACT
)   I-CONTACT
112   I-CONTACT
-   I-CONTACT
4124   I-CONTACT
,   O
with   O
patient   O
consent   O
.   O

Melanie   B-NAME
Hays   I-NAME
architected   O
his   O
consent   O
over   O
a   O
call   O
and   O
an   O
email   O
from   O
his   O
i   O
d   O
,   O
hi986   B-NAME
.   O

Since   O
the   O
patient   O
is   O
an   O
employee   O
of   O
British   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
,   O
the   O
HR   O
department   O
was   O
notified   O
about   O
the   O
situation   O
and   O
asked   O
to   O
initiate   O
a   O
sick   O
leave   O
using   O
the   O
company   O
's   O
ID   O
system   O
,   O
EC792/3634   B-ID
.   O

Rema   B-NAME
Cook   I-NAME
's   O
primary   O
care   O
physician   O
at   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
was   O
also   O
alerted   O
about   O
the   O
situation   O
.   O

Whitney   B-NAME
V   I-NAME
Keller   I-NAME
's   O
employer   O
,   O
Heritage   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
,   O
agreed   O
to   O
handle   O
the   O
claim   O
according   O
to   O
corporate   O
policy   O
and   O
the   O
laws   O
of   O
their   O
local   O
ZIP   O
code   O
,   O
49588   B-LOCATION
.   O

Tiara   B-NAME
Fuentes   I-NAME
received   O
successful   O
surgery   O
on   O
2   B-DATE
-   I-DATE
28   I-DATE
-   I-DATE
46   I-DATE
at   O
the   O
Samaritan   B-LOCATION
Hospital   I-LOCATION
and   O
is   O
currently   O
under   O
careful   O
postoperative   O
surveillance   O
.   O

Note   O
:   O
Nicholas   B-NAME
Knight   I-NAME
is   O
recommended   O
for   O
a   O
check   O
-   O
up   O
after   O
10   O
days   O
and   O
is   O
instructed   O
to   O
notify   O
the   O
hospital   O
if   O
any   O
complications   O
such   O
as   O
an   O
incisional   O
hernia   O
,   O
fever   O
,   O
or   O
vomiting   O
occur   O
.   O

A   O
follow   O
-   O
up   O
call   O
from   O
the   O
office   O
of   O
Dr.   O
Everett   B-NAME
,   O
to   O
be   O
conducted   O
on   O
2195   B-DATE
,   O
has   O
been   O
scheduled   O
.   O

Cobb   B-NAME
Telephone   O
Number   O
for   O
Contact   O
:   O
(   B-CONTACT
918   I-CONTACT
)   I-CONTACT
513   I-CONTACT
4775   I-CONTACT

Patient   O
Report   O
:   O
Mr.   O
Wendy   B-NAME
Bernard   I-NAME
visited   O
the   O
clinic   O
on   O
October   B-DATE
39   I-DATE
,   I-DATE
2336   I-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
that   O
has   O
persisted   O
for   O
four   O
days   O
.   O

He   O
had   O
a   O
low   O
-   O
grade   O
fever   O
when   O
checked   O
at   O
our   O
facility   O
(   O
MercyOne   B-LOCATION
Waterloo   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
)   O
.   O

His   O
past   O
medical   O
history   O
reveals   O
that   O
he   O
underwent   O
an   O
appendectomy   O
at   O
Concord   B-LOCATION
Hospital   I-LOCATION
in   O
Sunday   B-DATE
,   I-DATE
February   I-DATE
.   O

Your   O
care   O
team   O
,   O
led   O
by   O
Moss   B-NAME
,   O
is   O
concerned   O
about   O
the   O
possibility   O
of   O
acute   O
gastritis   O
or   O
a   O
gastrointestinal   O
infection   O
.   O

Our   O
records   O
(   O
54992521   B-ID
)   O
also   O
indicted   O
that   O
Mr.   O
Carney   B-NAME
had   O
reported   O
similar   O
symptoms   O
around   O
6   O
months   O
ago   O
when   O
he   O
was   O
at   O
Media   B-LOCATION
.   O

His   O
doctor   O
at   O
Air   B-LOCATION
Force   I-LOCATION
Association   I-LOCATION
then   O
had   O
diagnosed   O
it   O
as   O
food   O
poisoning   O
.   O

We   O
have   O
reached   O
out   O
to   O
the   O
Bakers   B-LOCATION
,   I-LOCATION
Food   I-LOCATION
&   I-LOCATION
Allied   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
to   O
gather   O
that   O
medical   O
data   O
which   O
will   O
be   O
stored   O
under   O
his   O
existing   O
record   O
308   B-ID
-   I-ID
16   I-ID
-   I-ID
70   I-ID
-   I-ID
7   I-ID
at   O
our   O
hospital   O
.   O

Please   O
note   O
Mr.   O
Gabrielle   B-NAME
Cunningham   I-NAME
,   O
our   O
scheduling   O
coordinator   O
will   O
call   O
you   O
at   O
385   B-CONTACT
-   I-CONTACT
5251   I-CONTACT
to   O
set   O
up   O
your   O
next   O
appointment   O
at   O
our   O
facility   O
.   O

Also   O
,   O
your   O
sf866   B-NAME
for   O
accessing   O
your   O
medical   O
records   O
online   O
has   O
been   O
set   O
.   O

For   O
emergencies   O
,   O
kindly   O
contact   O
us   O
at   O
Lahey   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
located   O
at   O
Autaugaville   B-LOCATION
and   O
preferentially   O
reachable   O
at   O
95388   B-CONTACT
.   O

Reminders   O
have   O
been   O
set   O
to   O
follow   O
up   O
on   O
Mr.   O
Jim   B-NAME
Parsons   I-NAME
's   O
case   O
and   O
discuss   O
the   O
results   O
and   O
treatment   O
options   O
.   O

All   O
details   O
are   O
saved   O
in   O
our   O
system   O
as   O
PHI   O
protected   O
data   O
under   O
his   O
unique   O
patient   O
identity   O
(   O
871534079   B-ID
)   O
.   O

Lastly   O
,   O
we   O
received   O
a   O
package   O
at   O
our   O
medical   O
facility   O
from   O
a   O
medical   O
supplies   O
company   O
at   O
53620   B-LOCATION
.   O

It   O
is   O
expected   O
to   O
be   O
delivered   O
to   O
Mr.   O
Bierce   B-NAME
,   I-NAME
Ambrose   I-NAME
's   O
house   O
located   O
at   O
Swainsboro   B-LOCATION
.   O

The   O
procurement   O
recognized   O
the   O
request   O
under   O
the   O
account   O
ry488   B-NAME
.   O
Report   O
prepared   O
by   O
Health   O
Services   O
Coordinator   O
,   O
Dayana   B-NAME
Lam   I-NAME
.   O

Patient   O
Report   O
:   O
wkw444   B-NAME
reported   O
Pagan   B-NAME
to   O
the   O
Emergency   O
Department   O
on   O
the   O
evening   O
of   O
September   B-DATE
10   I-DATE
,   I-DATE
2020   I-DATE
.   O

Aleena   B-NAME
Weeks   I-NAME
is   O
a   O
66   O
year   O
old   O
teacher   O
,   O
currently   O
employed   O
at   O
Irish   B-LOCATION
Municipal   I-LOCATION
,   I-LOCATION
Public   I-LOCATION
and   I-LOCATION
Civil   I-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
.   O

The   O
patient   O
was   O
previously   O
seen   O
by   O
Dr.   O
Emely   B-NAME
Preston   I-NAME
at   O
Orlando   B-LOCATION
Health   I-LOCATION
Dr.   I-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
and   O
has   O
a   O
history   O
of   O
hypertension   O
,   O
which   O
has   O
been   O
typically   O
well   O
regulated   O
with   O
medication   O
.   O

According   O
to   O
the   O
medical   O
record   O
39315614   B-ID
,   O
there   O
have   O
been   O
no   O
recent   O
alterations   O
to   O
his   O
medication   O
regimen   O
.   O

Dillan   B-NAME
Strong   I-NAME
drove   O
straight   O
to   O
the   O
hospital   O
after   O
experiencing   O
some   O
chest   O
discomfort   O
.   O

He   O
was   O
stabilized   O
and   O
alerted   O
his   O
emergency   O
contact   O
at   O
395   B-CONTACT
8924   I-CONTACT
.   O

He   O
was   O
last   O
known   O
to   O
be   O
living   O
in   O
Blawnox   B-LOCATION
with   O
his   O
wife   O
,   O
who   O
is   O
a   O
Operational   O
researcher   O
.   O

They   O
have   O
recently   O
moved   O
from   O
44769   B-LOCATION
and   O
are   O
unfamiliar   O
with   O
health   O
services   O
in   O
their   O
new   O
location   O
.   O

He   O
mentioned   O
having   O
his   O
health   O
insurance   O
10   B-ID
-   I-ID
8831168   I-ID
from   O
his   O
current   O
employer   O
.   O

Dr.   O
Walter   B-NAME
P.   I-NAME
Carew   I-NAME
may   O
recommend   O
more   O
tests   O
or   O
changes   O
to   O
his   O
medications   O
based   O
on   O
his   O
ECG   O
reports   O
and   O
the   O
evaluation   O
that   O
will   O
be   O
done   O
on   O
11/24   B-DATE
.   O

He   O
was   O
reminded   O
to   O
bring   O
all   O
his   O
medical   O
documents   O
for   O
his   O
next   O
scheduled   O
appointment   O
at   O
Ascension   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
's   O
Report   O
:   O
Patient   O
's   O
name   O
is   O
Vernon   B-NAME
.   O

Her   O
medical   O
ID   O
number   O
is   O
17413342   B-ID
.   O

She   O
lives   O
on   O
a   O
quiet   O
street   O
in   O
Franklin   B-LOCATION
,   I-LOCATION
Discover   I-LOCATION
Downtown   I-LOCATION
Franklin   I-LOCATION
having   O
the   O
zip   O
code   O
29664   B-LOCATION
.   O

Please   O
contact   O
her   O
at   O
the   O
number   O
101   B-CONTACT
-   I-CONTACT
8769   I-CONTACT
.   O

She   O
was   O
referred   O
by   O
Estrada   B-NAME
from   O
the   O
Ouachita   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

She   O
presented   O
complain   O
of   O
severe   O
chest   O
discomfort   O
that   O
started   O
early   O
in   O
the   O
morning   O
on   O
32/33/2223   B-DATE
.   O

The   O
patient   O
's   O
username   O
on   O
our   O
medical   O
portal   O
is   O
dgn542   B-NAME
where   O
procedures   O
,   O
medications   O
,   O
appointments   O
and   O
other   O
medical   O
related   O
information   O
can   O
be   O
accessed   O
.   O

She   O
was   O
finally   O
admitted   O
to   O
Orange   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
treatment   O
and   O
monitoring   O
.   O

As   O
per   O
Marshall   B-NAME
,   I-NAME
Thomas   I-NAME
R.   I-NAME
's   O
suggestion   O
angiogram   O
is   O
scheduled   O
to   O
be   O
performed   O
on   O
2/27   B-DATE
.   O

This   O
decision   O
was   O
shared   O
with   O
her   O
emergency   O
contact   O
maintained   O
,   O
under   O
the   O
ID   O
HI627/5446   B-ID
.   O

She   O
is   O
currently   O
covered   O
by   O
an   O
insurance   O
plan   O
from   O
Holden   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
,   O
and   O
they   O
have   O
been   O
informed   O
about   O
her   O
current   O
medical   O
situation   O
.   O

Future   O
decisions   O
regarding   O
the   O
treatment   O
plan   O
will   O
be   O
updated   O
in   O
Hartwell   B-LOCATION
,   O
where   O
she   O
currently   O
resides   O
.   O

Patient   O
:   O
Jaidyn   B-NAME
Byrd   I-NAME
Gender   O
:   O

Female   O
Age   O
:   O
57   O
Address   O
:   O
Kempston   B-LOCATION
,   O
23644   B-LOCATION
Phone   O
number   O
:   O
673   B-CONTACT
-   I-CONTACT
3791   I-CONTACT
Medical   O
Record   O
Number   O
:   O
3947080   B-ID
SSN   O
:   O
196532   B-ID
Patient   O
Rylie   B-NAME
Ryan   I-NAME
is   O
a   O
female   O
of   O
71s   O
years   O
who   O
presented   O
to   O
Salt   B-LOCATION
Lake   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/28/2233   B-DATE
with   O
complaints   O
of   O
episodes   O
of   O
syncope   O
over   O
the   O
past   O
week   O
.   O

The   O
patient   O
was   O
referred   O
to   O
me   O
,   O
Vaughn   B-NAME
,   O
for   O
further   O
consultation   O
.   O

The   O
patient   O
is   O
a   O
Biomedical   O
scientist   O
by   O
profession   O
and   O
works   O
with   O
City   B-LOCATION
of   I-LOCATION
Seaford   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
at   O
Tignall   B-LOCATION
.   O

I   O
also   O
referred   O
her   O
to   O
consult   O
with   O
Graham   B-NAME
,   I-NAME
Lindsey   I-NAME
,   O
a   O
renowned   O
Cardiologist   O
in   O
Phelps   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
tests   O
reports   O
were   O
received   O
on   O
1/11   B-DATE
which   O
confirmed   O
the   O
diagnosed   O
condition   O
.   O

Cailyn   B-NAME
Welch   I-NAME
's   O
TFT   O
revealed   O
T3   O
below   O
normal   O
range   O
and   O
slightly   O
elevated   O
TSH   O
.   O

For   O
detailed   O
queries   O
,   O
you   O
can   O
reach   O
out   O
to   O
my   O
assistant   O
gy886   B-NAME
via   O
56273   B-CONTACT
.   O

We   O
look   O
forward   O
to   O
Groban   B-NAME
,   I-NAME
Josh   I-NAME
's   O
next   O
visit   O
on   O
03/08/2078   B-DATE
.   O

Mitchell   B-NAME
Date   O
of   O
Initial   O
Visit   O
:   O
34/27/2111   B-DATE
Practitioner   O
:   O
Juan   B-NAME
Bauer   I-NAME
Medical   O
Record   O
Number   O
:   O
964   B-ID
-   I-ID
90   I-ID
-   I-ID
43   I-ID
Portsmouth   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
(   O
Location   O
:   O
Blackburn   B-LOCATION
,   O
Zip   O
:   O
10037   B-LOCATION
)   O

Presenting   O
Symptoms   O
:   O
The   O
patient   O
,   O
Denise   B-NAME
Martinez   I-NAME
,   O
a   O
Ship   O
Carpenters   O
and   O
Joiners   O
by   O
trade   O
,   O
came   O
in   O
for   O
a   O
check   O
-   O
up   O
on   O
02/21/2021   B-DATE
.   O

Fry   B-NAME
has   O
been   O
complaining   O
of   O
persistent   O
cough   O
and   O
fever   O
over   O
the   O
course   O
of   O
the   O
past   O
week   O
.   O

Ongoing   O
management   O
:   O
Patient   O
was   O
admitted   O
to   O
the   O
Respiratory   O
Unit   O
in   O
Hoag   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Presbyterian   I-LOCATION
on   O
20/23   B-DATE
.   O

Patient   O
is   O
due   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
July   B-DATE
04   I-DATE
.   O

The   O
above   O
details   O
have   O
been   O
updated   O
in   O
Orozco   B-NAME
's   O
medical   O
record   O
(   O
8728889   B-ID
)   O
under   O
the   O
responsible   O
doctor   O
,   O
Camila   B-NAME
Reid   I-NAME
.   O

To   O
update   O
or   O
access   O
the   O
patient   O
's   O
medical   O
records   O
for   O
treatment   O
-   O
equipped   O
facilities   O
,   O
contact   O
Roper   B-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Mount   I-LOCATION
Pleasant   I-LOCATION
Hospital   I-LOCATION
at   O
94785   B-CONTACT
.   O

To   O
discuss   O
the   O
case   O
further   O
,   O
please   O
reach   O
out   O
to   O
Dr.   O
Jan   B-NAME
Stevenson   I-NAME
at   O
the   O
given   O
resources   O
via   O
pky622   B-NAME
.   O

Please   O
note   O
that   O
Patient   O
's   O
Identification   O
number   O
EY919/3474   B-ID
is   O
required   O
to   O
access   O
their   O
medical   O
information   O
.   O

Furthermore   O
,   O
all   O
the   O
communications   O
will   O
take   O
place   O
via   O
Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
certified   O
channels   O
for   O
maintaining   O
the   O
privacy   O
and   O
security   O
of   O
patient   O
's   O
data   O
.   O

Patient   O
Name   O
:   O
Kiana   B-NAME
Fletcher   I-NAME
Age   O
:   O
70   O
Date   O
of   O
visit   O
:   O
06/22   B-DATE
Examined   O
by   O
:   O
Dr.   O
Anderson   B-NAME
Medical   O
record   O
number   O
:   O
9626007   B-ID
Personal   O
ID   O
:   O
BN544/9865   B-ID
Phone   O
Number   O
:   O
143   B-CONTACT
2272   I-CONTACT
Location   O
:   O
Virginia   B-LOCATION
Beach   I-LOCATION
ZIP   O
:   O
37650   B-LOCATION
Organization   O
:   O
CWA   B-LOCATION
-   I-LOCATION
Canadian   I-LOCATION
Media   I-LOCATION
Guild   I-LOCATION
Mr.   O
Sargent   B-NAME
came   O
to   O
our   O
hospital   O
,   O
Providence   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
on   O
32/31   B-DATE
.   O

He   O
was   O
examined   O
by   O
Dr.   O
Dominus   B-NAME
,   I-NAME
Mark   I-NAME
-   I-NAME
Jason   I-NAME
.   O

Any   O
queries   O
can   O
reach   O
us   O
at   O
110   B-CONTACT
4539   I-CONTACT
or   O
alternatively   O
by   O
mail   O
at   O
our   O
address   O
in   O
Bonney   B-LOCATION
,   O
55432   B-LOCATION
.   O

Logged   O
by   O
:   O
FE262   B-NAME

REPORT   O
:   O
Patient   O
Name   O
:   O
Emilie   B-NAME
Cochran   I-NAME
Appointment   O
Date   O
:   O
18/11   B-DATE
Reported   O
Symptoms   O
:   O
Emmalee   B-NAME
Gross   I-NAME
has   O
been   O
suffering   O
from   O
chronic   O
headaches   O
for   O
the   O
past   O
month   O
.   O

Terry   B-NAME
Marks   I-NAME
also   O
reports   O
feeling   O
the   O
onset   O
of   O
pain   O
primarily   O
in   O
the   O
mornings   O
,   O
and   O
typically   O
lasting   O
throughout   O
the   O
day   O
.   O

Isabela   B-NAME
Coleman   I-NAME
ostrowski   B-NAME
carries   O
a   O
diagnosis   O
of   O
hypertension   O
and   O
diabetes   O
mellitus   O
.   O

Conner   B-NAME
has   O
no   O
known   O
drug   O
allergies   O
and   O
is   O
non   O
-   O
smoking   O
with   O
moderate   O
alcohol   O
use   O
.   O

Clinical   O
Examination   O
:   O
Clinical   O
examinations   O
performed   O
at   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Southwest   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
revealed   O
no   O
acute   O
findings   O
.   O

Location   O
of   O
Residence   O
:   O
Sunland   B-LOCATION
Park   I-LOCATION
Contact   O
:   O
928   B-CONTACT
204   I-CONTACT
4581   I-CONTACT
Insurance   O
Details   O
:   O
Insurance   O
ID   O
:   O
FR:9103:279566   B-ID
Insurance   O
Provider   O
:   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Elevator   I-LOCATION
Constructors   I-LOCATION
Occupation   O
:   O

QUINTON   B-NAME
COLON   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Secretary   O
.   O

Personal   O
Information   O
:   O
Username   O
:   O
JE535   B-NAME
Zip   O
Code   O
:   O
89958   B-LOCATION
Please   O
note   O
,   O
the   O
above   O
information   O
is   O
based   O
on   O
medical   O
records   O
numbered   O
:   O
13899106   B-ID
.   O

An   O
MRI   O
scan   O
is   O
scheduled   O
to   O
be   O
done   O
on   O
Memorial   B-DATE
Day   I-DATE
at   O
Millard   B-LOCATION
Fillmore   I-LOCATION
Suburban   I-LOCATION
Hospital   I-LOCATION
.   O

Report   O
Prepared   O
By   O
:   O
Diana   B-NAME
Patel   I-NAME

Patient   O
Report   O
:   O
Ayanna   B-NAME
Henson   I-NAME
is   O
a   O
17   O
years   O
old   O
individual   O
reporting   O
to   O
Overlook   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
presented   O
on   O
03/04/01   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Dr.   O
Barrett   B-NAME
.   O

Nga   B-NAME
reported   O
symptoms   O
including   O
throbbing   O
pain   O
,   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

Vito   B-NAME
Dimarco   I-NAME
's   O
personal   O
medical   O
record   O
number   O
–   O
237   B-ID
-   I-ID
38   I-ID
-   I-ID
55   I-ID
-   I-ID
6   I-ID
reveals   O
a   O
previous   O
untoward   O
reaction   O
to   O
sumatriptan   O
,   O
a   O
medication   O
commonly   O
prescribed   O
for   O
migraines   O
.   O

Aubrey   B-NAME
Beaudreau   I-NAME
was   O
also   O
found   O
to   O
be   O
hypertensive   O
,   O
diagnosed   O
at   O
Ganado   B-LOCATION
.   O

Contact   O
details   O
for   O
Cassie   B-NAME
Doyle   I-NAME
are   O
logged   O
as   O
(   B-CONTACT
252   I-CONTACT
)   I-CONTACT
243   I-CONTACT
-   I-CONTACT
4851   I-CONTACT
.   O

The   O
patient   O
resides   O
at   O
Hollowayville   B-LOCATION
and   O
the   O
zip   O
code   O
of   O
residence   O
is   O
60688   B-LOCATION
.   O

In   O
terms   O
of   O
identity   O
,   O
the   O
HP:891025:102141   B-ID
is   O
recorded   O
for   O
official   O
use   O
.   O

Rose   B-NAME
Benton   I-NAME
is   O
employed   O
as   O
a   O
Marriage   O
and   O
Family   O
Therapists   O
for   O
International   B-LOCATION
Rehabilitation   I-LOCATION
Council   I-LOCATION
for   I-LOCATION
Torture   I-LOCATION
Victims   I-LOCATION
and   O
uses   O
VL794   B-NAME
as   O
their   O
official   O
username   O
.   O

Dr.   O
Ryan   B-NAME
Short   I-NAME
advised   O
a   O
follow   O
-   O
up   O
consultation   O
after   O
two   O
weeks   O
to   O
monitor   O
the   O
response   O
to   O
the   O
revised   O
treatment   O
plan   O
and   O
specifically   O
instructed   O
the   O
patient   O
not   O
to   O
miss   O
the   O
appointment   O
due   O
to   O
the   O
severity   O
of   O
symptoms   O
presented   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
set   O
for   O
4/57   B-DATE
at   O
Geisinger   B-LOCATION
Shamokin   I-LOCATION
Area   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
Age   O
:   O
28   O
Date   O
of   O
Birth   O
:   O
Wednesday   B-DATE
Occupation   O
:   O
Strippers   O
Patient   O
Gallegos   B-NAME
came   O
into   O
Allen   B-LOCATION
Hospital   I-LOCATION
on   O
2176   B-DATE
.   O

Mr.   O
Renee   B-NAME
Miranda   I-NAME
has   O
a   O
history   O
of   O
chronic   O
alcoholism   O
.   O

Results   O
of   O
the   O
previous   O
blood   O
test   O
,   O
as   O
per   O
medical   O
record   O
058   B-ID
-   I-ID
15   I-ID
-   I-ID
82   I-ID
,   O
reveal   O
elevated   O
levels   O
of   O
amylase   O
and   O
lipase   O
.   O

Dr.   O
Landin   B-NAME
Harvey   I-NAME
,   O
a   O
renowned   O
expert   O
in   O
gastroenterology   O
,   O
is   O
assigned   O
to   O
his   O
case   O
.   O

On   O
physical   O
examination   O
,   O
Ara   B-NAME
Paxson   I-NAME
presented   O
with   O
features   O
of   O
dehydration   O
and   O
tenderness   O
in   O
the   O
upper   O
abdomen   O
.   O

RACHAEL   B-NAME
G.   I-NAME
OBRYAN   I-NAME
resides   O
in   O
Bay   B-LOCATION
Minette   I-LOCATION
,   O
zip   O
code   O
41040   B-LOCATION
.   O

His   O
contact   O
number   O
is   O
85110   B-CONTACT
.   O

He   O
's   O
currently   O
employed   O
as   O
a   O
Eligibility   O
Interviewers   O
,   O
Government   O
Programs   O
in   O
an   O
International   B-LOCATION
affiliates   I-LOCATION
.   O

His   O
social   O
security   O
number   O
is   O
8   B-ID
-   I-ID
6536590   I-ID
.   O

The   O
patient   O
agreed   O
to   O
a   O
follow   O
-   O
up   O
meeting   O
on   O
3/22   B-DATE
.   O

Dr.   O
Adrien   B-NAME
Kane   I-NAME
will   O
review   O
his   O
condition   O
and   O
progress   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
35/22/20   B-DATE
with   O
prescriptions   O
and   O
advice   O
for   O
lifestyle   O
modifications   O
.   O

His   O
username   O
on   O
the   O
patient   O
portal   O
is   O
og580   B-NAME
where   O
he   O
can   O
access   O
his   O
medical   O
information   O
and   O
update   O
his   O
health   O
status   O
.   O

To   O
ensure   O
thorough   O
tracking   O
and   O
management   O
of   O
his   O
condition   O
,   O
his   O
visits   O
and   O
important   O
medical   O
information   O
are   O
logged   O
into   O
the   O
hospital   O
server   O
using   O
the   O
Medical   O
Record   O
Number   O
72878360   B-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Jesus   B-NAME
Christ   I-NAME
Age   O
:   O
0   O
week   O
Medical   O
Record   O
:   O
723   B-ID
-   I-ID
24   I-ID
-   I-ID
73   I-ID
-   I-ID
3   I-ID
Report   O
:   O
Marshall   B-NAME
,   I-NAME
Thomas   I-NAME
R.   I-NAME
came   O
into   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Avon   I-LOCATION
Hospital   I-LOCATION
on   O
Thursday   B-DATE
.   O

Roy   B-NAME
was   O
referred   O
by   O
Dr.   O
Gonzales   B-NAME
from   O
the   O
American   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
for   O
a   O
series   O
of   O
tests   O
due   O
to   O
persisting   O
symptoms   O
that   O
they   O
have   O
been   O
experiencing   O
.   O

Glass   B-NAME
's   O
primary   O
complaints   O
were   O
severe   O
and   O
recurrent   O
abdominal   O
pain   O
,   O
associated   O
with   O
nausea   O
and   O
occasional   O
vomiting   O
,   O
which   O
has   O
persisted   O
for   O
over   O
three   O
weeks   O
approximately   O
.   O

Depending   O
upon   O
the   O
observations   O
and   O
detailed   O
medical   O
history   O
given   O
by   O
Malika   B-NAME
Mojaro   I-NAME
,   O
it   O
appears   O
to   O
be   O
a   O
case   O
of   O
possible   O
Cholecystitis   O
or   O
gallbladder   O
inflammation   O
.   O

Thomas   B-NAME
Hoffman   I-NAME
lives   O
in   O
Venice   B-LOCATION
and   O
works   O
as   O
a   O
Securities   O
,   O
Commodities   O
,   O
and   O
Financial   O
Services   O
Sales   O
Agents   O
.   O

Nerva   B-NAME
Haslinger   I-NAME
's   O
ID   O
is   O
DX431/3689   B-ID
and   O
primary   O
contact   O
number   O
643   B-CONTACT
600   I-CONTACT
2529   I-CONTACT
has   O
been   O
registered   O
with   O
us   O
.   O

It   O
is   O
recommended   O
that   O
Eddie   B-NAME
Jimenez   I-NAME
schedules   O
an   O
appointment   O
for   O
an   O
Ultrasound   O
of   O
the   O
abdomen   O
with   O
Dr.   O
Brynn   B-NAME
Vincent   I-NAME
at   O
McPherson   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
McPherson   I-LOCATION
on   O
the   O
earliest   O
available   O
date   O
.   O

The   O
results   O
of   O
the   O
tests   O
will   O
be   O
shared   O
with   O
Karlie   B-NAME
Prince   I-NAME
via   O
username   O
ofu977   B-NAME
on   O
the   O
hospital   O
online   O
portal   O
soon   O
after   O
they   O
become   O
available   O
.   O

We   O
will   O
also   O
inform   O
the   O
Bank   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
-   I-LOCATION
Southwest   I-LOCATION
of   O
the   O
findings   O
through   O
the   O
official   O
communication   O
channel   O
.   O

Laura   B-NAME
Madden   I-NAME
is   O
advised   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
and   O
avoid   O
heavy   O
meals   O
until   O
then   O
.   O

Healthcare   O
provider   O
or   O
emergency   O
care   O
should   O
be   O
sought   O
if   O
Turner   B-NAME
experiences   O
symptoms   O
such   O
as   O
severe   O
vomiting   O
,   O
yellowing   O
of   O
the   O
skin   O
and   O
eye   O
whites   O
,   O
or   O
high   O
fever   O
with   O
chills   O
.   O

Please   O
make   O
sure   O
to   O
check   O
-   O
in   O
at   O
Kosciusko   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
reception   O
desk   O
located   O
in   O
Addis   B-LOCATION
with   O
your   O
zip   O
code   O
89271   B-LOCATION
for   O
the   O
scheduled   O
appointments   O
.   O

This   O
concludes   O
Hesiod   B-NAME
's   O
report   O
.   O

Report   O
created   O
by   O
:   O
Atkinson   B-NAME
Date   O
:   O
00/32   B-DATE

Patient   O
:   O
Brycen   B-NAME
Flynn   I-NAME
Medical   O
Record   O
Number   O
:   O
168   B-ID
-   I-ID
34   I-ID
-   I-ID
37   I-ID
-   I-ID
8   I-ID
Sapphon   B-NAME
Hollarn   I-NAME
evaluated   O
Good   B-NAME
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
on   O
32/12   B-DATE
.   O

She   O
lives   O
in   O
Lake   B-LOCATION
Village   I-LOCATION
with   O
her   O
partner   O
.   O

Her   O
mother   O
,   O
who   O
lives   O
in   O
Ogemaw   B-LOCATION
and   O
works   O
as   O
a   O
Strippers   O
,   O
has   O
type   O
2   O
diabetes   O
.   O

Family   O
history   O
also   O
reveals   O
her   O
father   O
had   O
a   O
cerebrovascular   O
accident   O
at   O
age   O
71   O
.   O
Bloodwork   O
including   O
CBC   O
and   O
BMP   O
were   O
sent   O
to   O
Southern   B-LOCATION
California   I-LOCATION
Linux   I-LOCATION
Expo   I-LOCATION
laboratories   O
for   O
processing   O
.   O

Contact   O
information   O
such   O
as   O
mobile   O
number   O
54320   B-CONTACT
and   O
address   O
Potterville   B-LOCATION
,   O
80134   B-LOCATION
was   O
recorded   O
.   O

The   O
patient   O
's   O
health   O
plan   O
details   O
26870   B-ID
were   O
updated   O
in   O
our   O
databases   O
.   O

We   O
anticipate   O
collaborating   O
with   O
her   O
general   O
physician   O
Duff   B-NAME
,   I-NAME
Hilary   I-NAME
from   O
Fallbrook   B-LOCATION
for   O
more   O
detailed   O
management   O
of   O
her   O
potential   O
diabetes   O
.   O

This   O
medical   O
report   O
is   O
digitally   O
logged   O
under   O
username   O
dyf843   B-NAME
and   O
any   O
future   O
updates   O
regarding   O
patient   O
Jax   B-NAME
Mcintyre   I-NAME
's   O
prognosis   O
will   O
be   O
documented   O
accordingly   O
.   O

Patient   O
Qarase   B-NAME
,   I-NAME
Laisenia   I-NAME
arrived   O
at   O
our   O
Scott   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Scott   I-LOCATION
City   I-LOCATION
located   O
at   O
Dagenham   B-LOCATION
for   O
an   O
appointment   O
on   O
1/02   B-DATE
.   O

This   O
is   O
according   O
to   O
the   O
patient   O
’s   O
medical   O
records   O
0610E89309   B-ID
.   O

Upon   O
examination   O
,   O
Emilia   B-NAME
Holloway   I-NAME
noticed   O
that   O
the   O
patient   O
has   O
been   O
experiencing   O
constant   O
fatigue   O
and   O
feeling   O
of   O
weakness   O
for   O
about   O
two   O
weeks   O
.   O

A   O
short   O
walk   O
down   O
the   O
NCH   B-LOCATION
North   I-LOCATION
Naples   I-LOCATION
Hospital   I-LOCATION
's   O
corridor   O
made   O
the   O
patient   O
noticeably   O
dyspneic   O
.   O

The   O
patient   O
’s   O
history   O
shows   O
that   O
he   O
had   O
also   O
visited   O
our   O
Northside   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Cherokee   I-LOCATION
branch   O
at   O
Sierra   B-LOCATION
Brooks   I-LOCATION
last   O
year   O
with   O
similar   O
complaints   O
.   O

We   O
have   O
also   O
noted   O
down   O
the   O
patient   O
's   O
emergency   O
contact   O
number   O
495   B-CONTACT
-   I-CONTACT
382   I-CONTACT
7289   I-CONTACT
and   O
the   O
number   O
of   O
the   O
distribution   O
center   O
for   O
the   O
delivery   O
of   O
prescribed   O
medicines   O
at   O
patient   O
's   O
residential   O
address   O
at   O
Shanksville   B-LOCATION
-   O
24263   B-LOCATION
.   O

The   O
team   O
will   O
be   O
contacting   O
Cobb   B-LOCATION
EMC   I-LOCATION
to   O
approve   O
the   O
patient   O
’s   O
insurance   O
GC:30562:865248   B-ID

Username   O
qn90   B-NAME
will   O
be   O
used   O
to   O
access   O
patient   O
's   O
appointment   O
schedule   O
,   O
blood   O
results   O
,   O
and   O
any   O
additional   O
information   O
required   O
for   O
the   O
treatment   O
.   O

There   O
is   O
a   O
planned   O
follow   O
-   O
up   O
consultation   O
with   O
Dr.   O
Isabelle   B-NAME
Henson   I-NAME
on   O
37/33   B-DATE
to   O
discuss   O
the   O
test   O
results   O
.   O

The   O
meeting   O
will   O
take   O
place   O
either   O
physically   O
at   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
or   O
virtually   O
,   O
depending   O
on   O
patient   O
's   O
state   O
of   O
health   O
.   O

In   O
case   O
patient   O
John   B-NAME
Sutton   I-NAME
develops   O
acute   O
symptoms   O
or   O
unforeseen   O
complications   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
,   O
he   O
has   O
been   O
instructed   O
to   O
contact   O
us   O
immediately   O
at   O
44864   B-CONTACT
.   O

Patient   O
Information   O
:   O
Name   O
:   O
King   B-NAME
,   I-NAME
Coretta   I-NAME
Scott   I-NAME
Age   O
:   O
0   O
week   O
Medical   O
Record   O
Number   O
:   O
880   B-ID
-   I-ID
17   I-ID
-   I-ID
02   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Visit   O
:   O
7/6   B-DATE
Address   O
:   O
Dunlap   B-LOCATION
,   I-LOCATION
Dunlap   I-LOCATION
Community   I-LOCATION
Development   I-LOCATION
Corporation   I-LOCATION
Contact   O
:   O
(   B-CONTACT
595   I-CONTACT
)   I-CONTACT
480   I-CONTACT
4878   I-CONTACT
Employment   O
:   O
butcher   O
ID   O
number   O
:   O
26971208   B-ID
Report   O
:   O
Shelton   B-NAME
,   O
12   O
,   O
presented   O
to   O
the   O
Arkansas   B-LOCATION
Valley   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
30/32   B-DATE
.   O

Melany   B-NAME
Shelton   I-NAME
reported   O
a   O
progressive   O
onset   O
of   O
symptoms   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Rylie   B-NAME
Spence   I-NAME
also   O
reported   O
a   O
decrease   O
in   O
appetite   O
and   O
fatigue   O
,   O
particularly   O
in   O
the   O
evenings   O
.   O

Upon   O
detailed   O
history   O
taking   O
,   O
Xanders   B-NAME
reported   O
no   O
known   O
exposure   O
to   O
respiratory   O
irritants   O
and   O
denied   O
recent   O
travel   O
history   O
.   O

However   O
,   O
as   O
a   O
Dancers   O
,   O
Madilyn   B-NAME
Roman   I-NAME
does   O
report   O
coming   O
into   O
contact   O
with   O
many   O
individuals   O
through   O
work   O
.   O

Zoe   B-NAME
Hart   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
controlled   O
hypertension   O
and   O
a   O
surgical   O
history   O
of   O
appendectomy   O
.   O

Tamara   B-NAME
Boyer   I-NAME
's   O
SPO2   O
was   O
95   O
%   O
at   O
rest   O
,   O
which   O
dropped   O
to   O
92   O
%   O
after   O
a   O
brief   O
walk   O
.   O

Ariel   B-NAME
Mata   I-NAME
was   O
started   O
on   O
empiric   O
antibiotic   O
treatment   O
as   O
per   O
protocol   O
.   O

The   O
managing   O
doctor   O
,   O
Brooks   B-NAME
Calderon   I-NAME
,   O
suggested   O
a   O
COVID-19   O
diagnostic   O
test   O
as   O
per   O
current   O
guidelines   O
due   O
to   O
the   O
nature   O
of   O
Herring   B-NAME
's   O
symptoms   O
and   O
potential   O
exposure   O
at   O
the   O
workplace   O
.   O

Results   O
are   O
currently   O
pending   O
from   O
Pacific   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

Leiber   B-NAME
,   I-NAME
Fritz   I-NAME
was   O
ultimately   O
admitted   O
to   O
Einstein   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Philadelphia   I-LOCATION
for   O
further   O
observation   O
and   O
ongoing   O
treatment   O
.   O

Kristen   B-NAME
Hodge   I-NAME
advised   O
Nathen   B-NAME
Bates   I-NAME
for   O
the   O
period   O
of   O
rest   O
and   O
isolation   O
,   O
pending   O
test   O
results   O
.   O

Upon   O
discharge   O
,   O
Brandon   B-NAME
Nix   I-NAME
was   O
given   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
2312   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
13   I-DATE
.   O

Contact   O
was   O
made   O
with   O
the   O
Brylee   B-NAME
Moody   I-NAME
via   O
270   B-CONTACT
-   I-CONTACT
290   I-CONTACT
5486   I-CONTACT
and   O
they   O
were   O
advised   O
to   O
immediately   O
report   O
any   O
worsening   O
of   O
symptoms   O
.   O

This   O
summary   O
has   O
been   O
saved   O
under   O
account   O
WP46   B-NAME
for   O
further   O
reference   O
and   O
follow   O
up   O
.   O

Prepared   O
by   O
,   O
Jax   B-NAME
Acevedo   I-NAME
66256   B-LOCATION

Patient   O
Information   O
:   O
Name   O
:   O
Wanda   B-NAME
Lucero   I-NAME
Date   O
of   O
Birth   O
:   O
4/20   B-DATE
Age   O
:   O
88   O
Gender   O
:   O
Male   O
SSN   O
:   O
31299896   B-ID
Place   O
of   O
Residence   O
:   O
Melvina   B-LOCATION
Occupation   O
:   O

Forging   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
Medical   O
Record   O
Number   O
:   O
627   B-ID
95   I-ID
24   I-ID
6   I-ID
Primary   O
Care   O
Physician   O
:   O

Barrie   B-NAME
,   I-NAME
J.   I-NAME
M.   I-NAME
Hospital   O
:   O
Providence   B-LOCATION
Alaska   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Diagnosis   O
Date   O
:   O
12/3   B-DATE
The   O
patient   O
complains   O
of   O
persistent   O
abdominal   O
pain   O
that   O
has   O
grown   O
progressively   O
worse   O
over   O
the   O
last   O
3   O
-   O
4   O
weeks   O
.   O

The   O
pain   O
,   O
according   O
to   O
Dirac   B-NAME
,   I-NAME
Paul   I-NAME
,   O
tends   O
to   O
worsen   O
after   O
meals   O
and   O
is   O
somewhat   O
relieved   O
by   O
antacids   O
.   O

No   O
known   O
allergies   O
or   O
chronic   O
conditions   O
were   O
listed   O
on   O
his   O
health   O
record   O
63918778   B-ID
from   O
Bridgeport   B-LOCATION
Hospital   I-LOCATION
.   O

We   O
have   O
advised   O
him   O
for   O
an   O
upper   O
GI   O
endoscopy   O
at   O
Cameron   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

A   O
referral   O
has   O
been   O
made   O
to   O
the   O
gastroenterology   O
department   O
,   O
and   O
an   O
appointment   O
has   O
been   O
made   O
for   O
2008   B-DATE
with   O
Dr.   O
Sanford   B-NAME
.   O

For   O
any   O
further   O
queries   O
,   O
patient   O
can   O
contact   O
us   O
on   O
67614   B-CONTACT
.   O

To   O
check   O
his   O
reports   O
online   O
,   O
use   O
the   O
username   O
nk279   B-NAME
and   O
enter   O
the   O
zip   O
code   O
for   O
Beauharnois   B-LOCATION
,   I-LOCATION
QC   I-LOCATION
J6N   I-LOCATION
9P5   I-LOCATION
,   O
i.e.   O
,   O
59691   B-LOCATION
for   O
verification   O
on   O
the   O
healthcare   O
portal   O
of   O
Compassion   B-LOCATION
Over   I-LOCATION
Killing   I-LOCATION
(   I-LOCATION
COK   I-LOCATION
)   I-LOCATION
.   O

We   O
shall   O
keep   O
regular   O
check   O
-   O
ups   O
on   O
Iliana   B-NAME
Carson   I-NAME
’s   O
health   O
condition   O
and   O
plan   O
for   O
further   O
treatment   O
based   O
on   O
the   O
results   O
of   O
the   O
test   O
and   O
future   O
observations   O
.   O

Patient   O
Information   O
:   O
Law   B-NAME
,   O
a   O
44s   O
years   O
old   O
residing   O
at   O
Bowles   B-LOCATION
,   O
works   O
as   O
a   O
Library   O
Assistants   O
,   O
Clerical   O
.   O

They   O
have   O
been   O
experiencing   O
a   O
sharp   O
,   O
intermittent   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
abdomen   O
since   O
2202   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
20   I-DATE
.   O

On   O
deeper   O
analysis   O
by   O
Dr.   O
Gina   B-NAME
Simon   I-NAME
at   O
Piedmont   B-LOCATION
Newnan   I-LOCATION
Hospital   I-LOCATION
,   O
it   O
is   O
found   O
that   O
the   O
pain   O
has   O
been   O
intensifying   O
over   O
a   O
course   O
of   O
2   O
weeks   O
.   O

The   O
patient   O
'   O
s   O
Account   O
ID   O
is   O
QQ122/3048   B-ID
and   O
can   O
be   O
reached   O
at   O
309   B-CONTACT
118   I-CONTACT
8555   I-CONTACT
.   O

The   O
detailed   O
patient   O
record   O
is   O
kept   O
under   O
the   O
record   O
number   O
-   O
3727731   B-ID
.   O

Dr.   O
Jazmyn   B-NAME
Potter   I-NAME
,   O
submitted   O
all   O
laboratory   O
findings   O
of   O
Tia   B-NAME
Thornton   I-NAME
to   O
Colorado   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

As   O
per   O
the   O
reports   O
received   O
on   O
13/21   B-DATE
,   O
it   O
is   O
highly   O
suggestive   O
of   O
acute   O
appendicitis   O
and   O
immediate   O
surgical   O
intervention   O
is   O
advised   O
.   O

The   O
surgery   O
has   O
been   O
scheduled   O
at   O
University   B-LOCATION
of   I-LOCATION
Mississippi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Grenada   I-LOCATION
on   O
coming   O
2378/36/13   B-DATE
.   O

They   O
were   O
last   O
seen   O
in   O
office   O
on   O
Monday   B-DATE
,   I-DATE
October   I-DATE
,   O
and   O
appeared   O
somewhat   O
anxious   O
about   O
impending   O
surgery   O
.   O

For   O
tracking   O
the   O
surgical   O
procedure   O
brh31   B-NAME
will   O
be   O
provided   O
.   O

The   O
patient   O
specifically   O
requested   O
Dr.   O
Garrison   B-NAME
to   O
perform   O
the   O
surgery   O
,   O
as   O
the   O
patient   O
resides   O
in   O
the   O
same   O
15368   B-LOCATION
area   O
as   O
the   O
physician   O
,   O
and   O
holds   O
immense   O
trust   O
in   O
him   O
.   O

To   O
talk   O
to   O
Garrison   B-NAME
,   I-NAME
William   I-NAME
Lloyd   I-NAME
,   O
the   O
Seminole   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
can   O
reach   O
out   O
to   O
following   O
contact   O
861   B-CONTACT
111   I-CONTACT
2433   I-CONTACT
.   O

As   O
Quinten   B-NAME
B.   I-NAME
Prado   I-NAME
’s   O
Social   O
researcher   O
can   O
be   O
strenuous   O
,   O
post   O
recovery   O
care   O
guidelines   O
have   O
been   O
provided   O
ensuring   O
a   O
full   O
and   O
safe   O
return   O
to   O
work   O
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Serrano   B-NAME
Chelsea   B-NAME
Barry   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Providence   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/23/12   B-DATE
.   O

This   O
18   O
year   O
old   O
individual   O
with   O
medical   O
record   O
number   O
8689U97682   B-ID
,   O
works   O
as   O
a   O
Tree   O
Trimmers   O
and   O
Pruners   O
in   O
America   B-LOCATION
West   I-LOCATION
Bank   I-LOCATION
.   O

The   O
patient   O
resides   O
in   O
Eastville   B-LOCATION
,   O
55589   B-LOCATION
.   O

During   O
the   O
initial   O
examination   O
,   O
Layla   B-NAME
Smith   I-NAME
complained   O
of   O
severe   O
,   O
persistent   O
,   O
and   O
progressive   O
dyspnea   O
for   O
the   O
past   O
five   O
days   O
.   O

Echocardiogram   O
arranged   O
by   O
Holden   B-NAME
confirmed   O
the   O
presence   O
of   O
a   O
large   O
pericardial   O
effusion   O
.   O

The   O
patient   O
’s   O
blood   O
test   O
indicates   O
a   O
high   O
white   O
blood   O
cell   O
(   O
WBC   O
)   O
count   O
of   O
18,000   O
/   O
mcL   O
(   O
ID   O
:   O
QL:809100:224221   B-ID
)   O
.   O

The   O
patient   O
refused   O
to   O
provide   O
a   O
61704   B-CONTACT
number   O
for   O
future   O
communication   O
.   O

Our   O
nurse   O
,   O
DI154   B-NAME
,   O
managed   O
to   O
record   O
all   O
the   O
details   O
and   O
made   O
a   O
note   O
to   O
get   O
the   O
phone   O
number   O
at   O
the   O
next   O
visit   O
.   O

The   O
patient   O
was   O
later   O
admitted   O
to   O
Floor   O
Methodist   B-LOCATION
Jennie   I-LOCATION
Edmundson   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
tests   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Thaddeus   B-NAME
Decker   I-NAME
DOB   O
:   O
30/11/2321   B-DATE
Age   O
:   O
0   O
Address   O
:   O
Roslyn   B-LOCATION
Harbor   I-LOCATION
,   O
94279   B-LOCATION
Doctor   O
:   O
Nancy   B-NAME
Da   I-NAME
Silva   I-NAME
Hospital   O
:   O

MedStar   B-LOCATION
Franklin   I-LOCATION
Square   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
5229203   B-ID
Phone   O
Number   O
:   O
31701   B-CONTACT
ID   O
:   O
JD272/8584   B-ID
Referring   O
Organization   O
:   O

Waterfield   B-LOCATION
Bank   I-LOCATION
The   O
patient   O
,   O
Kent   B-NAME
,   O
presented   O
to   O
McLaren   B-LOCATION
-   I-LOCATION
Bay   I-LOCATION
Region   I-LOCATION
on   O
16/01/2216   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
and   O
high   O
fever   O
since   O
the   O
past   O
week   O
.   O

The   O
attending   O
physician   O
,   O
Mahoney   B-NAME
,   O
noted   O
that   O
the   O
patient   O
reported   O
experiencing   O
shortness   O
of   O
breath   O
,   O
occasionally   O
accompanied   O
by   O
chest   O
pain   O
.   O

Upon   O
further   O
elaborate   O
enquiry   O
,   O
Abbott   B-NAME
disclosed   O
a   O
recent   O
history   O
of   O
unintended   O
weight   O
loss   O
and   O
enduring   O
fatigue   O
,   O
which   O
has   O
been   O
interfering   O
with   O
his   O
daily   O
duties   O
of   O
Criminal   O
Justice   O
and   O
Law   O
Enforcement   O
Teachers   O
,   O
Postsecondary   O
at   O
Maharashtra   B-LOCATION
General   I-LOCATION
Kamgar   I-LOCATION
Union   I-LOCATION
.   O

Petronius   B-NAME
has   O
been   O
started   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
pending   O
results   O
of   O
the   O
sputum   O
culture   O
and   O
sensitivity   O
test   O
.   O

There   O
is   O
a   O
family   O
history   O
of   O
Tuberculosis   O
(   O
TB   O
)   O
in   O
the   O
family   O
,   O
as   O
Kripke   B-NAME
,   I-NAME
Saul   I-NAME
mentioned   O
that   O
his   O
father   O
was   O
diagnosed   O
with   O
TB   O
at   O
the   O
age   O
of   O
83   O
.   O

Previous   O
medical   O
records   O
,   O
found   O
under   O
the   O
username   O
of   O
zjw492   B-NAME
in   O
our   O
system   O
,   O
shows   O
that   O
IX   B-NAME
does   O
not   O
have   O
a   O
known   O
history   O
of   O
lung   O
diseases   O
.   O

He   O
does   O
not   O
smoke   O
and   O
lives   O
at   O
Hilbert   B-LOCATION
where   O
the   O
incidence   O
of   O
TB   O
is   O
known   O
to   O
be   O
low   O
,   O
but   O
the   O
positive   O
family   O
history   O
warrants   O
further   O
investigation   O
into   O
this   O
aspect   O
.   O

Acklie   B-NAME
is   O
currently   O
stable   O
and   O
has   O
been   O
advised   O
to   O
remain   O
in   O
Stamford   B-LOCATION
Health   I-LOCATION
for   O
continued   O
observation   O
and   O
monitoring   O
.   O

The   O
next   O
follow   O
-   O
up   O
is   O
scheduled   O
on   O
22/22/2222   B-DATE
at   O
the   O
same   O
hospital   O
.   O

He   O
has   O
been   O
advised   O
to   O
inform   O
Justice   B-NAME
Copeland   I-NAME
or   O
the   O
nurse   O
on   O
duty   O
via   O
271   B-CONTACT
4170   I-CONTACT
if   O
he   O
experiences   O
any   O
worsening   O
of   O
symptoms   O
or   O
any   O
new   O
symptoms   O
.   O

The   O
report   O
was   O
completed   O
by   O
the   O
treating   O
doctor   O
,   O
Brent   B-NAME
Melton   I-NAME
,   O
at   O
Adirondack   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/23/2122   B-DATE
.   O

Patient   O
:   O
Nina   B-NAME
Gilmore   I-NAME
Age   O
:   O
92s   O
Date   O
:   O
15/13/10   B-DATE
Doctor   O
:   O
Flynn   B-NAME
Medical   O
Record   O
No   O
:   O
28539590   B-ID
Location   O
:   O
8966   B-LOCATION
Pulaski   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
Hospital   O
:   O
Georgetown   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
DG:99599:452210   B-ID
Organization   O
:   O

Trade   B-LOCATION
Union   I-LOCATION
Coordination   I-LOCATION
Committee   I-LOCATION
Phone   O
:   O
21108   B-CONTACT
Profession   O
:   O

Mental   O
health   O
nurse   O
Username   O
:   O
OX76   B-NAME
Zip   O
:   O
52858   B-LOCATION
2   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
15   I-DATE
:   O
Patient   O
Abdiel   B-NAME
Richmond   I-NAME
of   O
age   O
45   O
presented   O
to   O
Self   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
that   O
started   O
a   O
few   O
hours   O
ago   O
.   O

Alana   B-NAME
Sherman   I-NAME
also   O
noted   O
episodes   O
of   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
nausea   O
.   O

02/03   B-DATE
:   O

A   O
12   O
-   O
lead   O
ECG   O
was   O
ordered   O
by   O
Potter   B-NAME
.   O

1/06   B-DATE
:   O

Patient   O
Lacy   B-NAME
Wharton   I-NAME
was   O
rushed   O
to   O
Cath   O
lab   O
under   O
Greene   B-NAME
's   O
supervision   O
where   O
a   O
Coronary   O
Angiogram   O
was   O
performed   O
.   O

It   O
showed   O
occlusion   O
of   O
the   O
proximal   O
segment   O
of   O
the   O
Left   O
Anterior   O
Descending   O
artery   O
.   O
2037   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
25   I-DATE
:   O
Percutaneous   O
coronary   O
intervention   O
was   O
planned   O
by   O
Seldon   B-NAME
.   O

An   O
ID   O
GD495/9162   B-ID
was   O
delivered   O
removed   O
the   O
occlusion   O
and   O
a   O
stent   O
was   O
successfully   O
placed   O
.   O

4/23/01   B-DATE
:   O
Patient   O
Lucian   B-NAME
Floyd   I-NAME
,   O
Postmasters   O
and   O
Mail   O
Superintendents   O
,   O
from   O
Broadcasting   B-LOCATION
Entertainment   I-LOCATION
Cinematograph   I-LOCATION
and   I-LOCATION
Theatre   I-LOCATION
Union   I-LOCATION
was   O
discharged   O
on   O
2051   B-DATE
in   O
stable   O
condition   O
with   O
medications   O
and   O
advised   O
regular   O
follow   O
-   O
ups   O
.   O

Please   O
contact   O
(   B-CONTACT
840   I-CONTACT
)   I-CONTACT
432   I-CONTACT
7891   I-CONTACT
for   O
further   O
information   O
and   O
appointment   O
.   O

Registration   O
for   O
follow   O
-   O
ups   O
can   O
be   O
done   O
online   O
using   O
li258   B-NAME
on   O
our   O
hospital   O
’s   O
website   O
.   O

Contact   O
the   O
hospital   O
's   O
billing   O
department   O
for   O
processing   O
IQ:25815:347147   B-ID
.   O

We   O
also   O
provide   O
services   O
at   O
locations   O
97565   B-LOCATION
.   O

Patient   O
name   O
:   O
Kiana   B-NAME
Fletcher   I-NAME

This   O
is   O
a   O
referral   O
letter   O
about   O
my   O
patient   O
,   O
Philip   B-NAME
Gibson   I-NAME
,   O
age   O
4   O
.   O

He   O
was   O
first   O
examined   O
at   O
NYU   B-LOCATION
Downtown   I-LOCATION
Hospital   I-LOCATION
.   O

He   O
is   O
a   O
Adult   O
nurse   O
and   O
lives   O
in   O
Sapulpa   B-LOCATION
.   O

For   O
about   O
a   O
month   O
starting   O
from   O
30/36/2303   B-DATE
,   O
Kylia   B-NAME
has   O
been   O
complaining   O
of   O
consistent   O
headaches   O
.   O

Before   O
visiting   O
me   O
,   O
Arturo   B-NAME
West   I-NAME
attempted   O
to   O
manage   O
his   O
symptoms   O
with   O
over   O
-   O
the   O
-   O
counter   O
pain   O
relievers   O
and   O
some   O
rest   O
,   O
which   O
provided   O
mild   O
relief   O
but   O
did   O
not   O
eliminate   O
headaches   O
completely   O
.   O

Further   O
neurological   O
examination   O
and   O
other   O
systemic   O
evaluations   O
in   O
Philhaven   B-LOCATION
,   O
conducted   O
by   O
Winters   B-NAME
,   O
were   O
unremarkable   O
.   O

The   O
patient   O
331   B-ID
-   I-ID
89   I-ID
-   I-ID
50   I-ID
-   I-ID
9   I-ID
is   O
attached   O
for   O
the   O
review   O
.   O

Zaiden   B-NAME
Madden   I-NAME
has   O
no   O
history   O
of   O
any   O
serious   O
illnesses   O
and   O
there   O
are   O
no   O
known   O
genetic   O
diseases   O
in   O
the   O
family   O
.   O

He   O
lived   O
at   O
87069   B-LOCATION
and   O
worked   O
in   O
a   O
Alliance   B-LOCATION
Bank   I-LOCATION
.   O

As   O
headaches   O
are   O
adversely   O
affecting   O
Joshi   B-NAME
's   O
quality   O
of   O
life   O
,   O
there   O
is   O
a   O
need   O
for   O
a   O
more   O
targeted   O
treatment   O
approach   O
.   O

You   O
can   O
reach   O
Tomas   B-NAME
Joseph   I-NAME
directly   O
at   O
this   O
(   B-CONTACT
597   I-CONTACT
)   I-CONTACT
667   I-CONTACT
-   I-CONTACT
8373   I-CONTACT
number   O
.   O

Mr.   O
Johnson   B-NAME
,   I-NAME
Philip   I-NAME
is   O
also   O
aware   O
of   O
this   O
letter   O
and   O
he   O
is   O
willing   O
to   O
discuss   O
his   O
medical   O
condition   O
.   O

Please   O
do   O
n't   O
hesitate   O
to   O
call   O
if   O
you   O
need   O
further   O
information   O
(   O
please   O
use   O
the   O
reference   O
6   B-ID
-   I-ID
5033438   I-ID
)   O
.   O

Kind   O
Regards   O
,   O
hp95   B-NAME
Eli   B-NAME
James   I-NAME
Derpartment   O
of   O
Neurology   O
Vibra   B-LOCATION
Long   I-LOCATION
Term   I-LOCATION
Acute   I-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION

Patient   O
Report   O
for   O
:   O
Ferrell   B-NAME
12/19   B-DATE
,   O
The   O
patient   O
,   O
67   O
,   O
was   O
referred   O
by   O
Dr.   O
Wright   B-NAME
,   I-NAME
Steven   I-NAME
and   O
was   O
admitted   O
to   O
Arroyo   B-LOCATION
Grande   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
after   O
exhibiting   O
symptoms   O
indicating   O
a   O
possibility   O
of   O
myocardial   O
infarction   O
.   O

Chapman   B-NAME
complained   O
of   O
intermittent   O
chest   O
pain   O
,   O
specifically   O
retrosternal   O
chest   O
discomfort   O
characterized   O
with   O
a   O
heavy   O
pressure   O
sensation   O
.   O

Dr.   O
Kimberly   B-NAME
Dominguez   I-NAME
from   O
the   O
Department   O
of   O
Cardiology   O
at   O
PeaceHealth   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
contacted   O
for   O
an   O
immediate   O
consultation   O
.   O

It   O
was   O
discussed   O
that   O
Octagonecologyst   B-NAME
would   O
undergo   O
an   O
urgent   O
cardiac   O
catheterization   O
.   O

Patient   O
's   O
family   O
history   O
,   O
obtained   O
from   O
Mr.   O
Judah   B-NAME
Cole   I-NAME
’s   O
sister   O
,   O
reveals   O
that   O
their   O
father   O
had   O
a   O
similar   O
heart   O
condition   O
diagnosed   O
at   O
the   O
age   O
of   O
8   O
week   O
.   O

Marquise   B-NAME
Meyer   I-NAME
revealed   O
being   O
a   O
smokes   O
20   O
cigarettes   O
a   O
day   O
and   O
also   O
admitted   O
to   O
consuming   O
alcohol   O
regularly   O
.   O

He   O
works   O
as   O
a   O
Fabric   O
Menders   O
,   O
Except   O
Garment   O
which   O
induces   O
a   O
high   O
-   O
level   O
of   O
stress   O
,   O
risking   O
Lawson   B-NAME
's   O
cardiovascular   O
health   O
.   O

Emergency   O
contact   O
information   O
was   O
taken   O
for   O
Kidd   B-NAME
.   O

His   O
home   O
address   O
is   O
confirmed   O
as   O
Fritch   B-LOCATION
and   O
a   O
direct   O
contact   O
number   O
(   B-CONTACT
441   I-CONTACT
)   I-CONTACT
304   I-CONTACT
7066   I-CONTACT
was   O
registered   O
.   O

Tevin   B-NAME
confirmed   O
his   O
health   O
insurance   O
IE   B-ID
:   I-ID
MD:3016   I-ID
with   O
Bi   B-LOCATION
-   I-LOCATION
Mart   I-LOCATION
.   O

His   O
medical   O
record   O
number   O
at   O
Longmont   B-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
is   O
4221792   B-ID
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Lacie   B-NAME
Douglas   I-NAME
,   O
located   O
at   O
Guayanilla   B-LOCATION
,   O
has   O
been   O
notified   O
about   O
Harold   B-NAME
Ashley   I-NAME
’s   O
cardiac   O
situation   O
.   O

We   O
plan   O
to   O
discharge   O
Small   B-NAME
home   O
by   O
0/25/65   B-DATE
,   O
and   O
set   O
up   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Huxley   B-NAME
,   I-NAME
Thomas   I-NAME
Henry   I-NAME
at   O
Beachwood   B-LOCATION
.   O

Username   O
of   O
the   O
recording   O
nurse   O
for   O
this   O
case   O
:   O
FP713   B-NAME
,   O
contact   O
number   O
:   O
761   B-CONTACT
254   I-CONTACT
-   I-CONTACT
1349   I-CONTACT
,   O
85944   B-LOCATION
.   O

Further   O
medical   O
correspondence   O
should   O
refer   O
to   O
Xiang   B-NAME
by   O
his   O
Medical   O
record   O
number   O
2394786   B-ID
.   O

Regads   O
,   O
Dr.   O
Ingram   B-NAME

Patient   O
Name   O
:   O
Edward   B-NAME
Quiambao   I-NAME
Date   O
of   O
Birth   O
:   O
01/29   B-DATE
SSN   O
:   O
KR:501034:218247   B-ID
Phone   O
Number   O
:   O
(   B-CONTACT
617   I-CONTACT
)   I-CONTACT
873   I-CONTACT
-   I-CONTACT
7356   I-CONTACT
Address   O
:   O
Melcher   B-LOCATION
,   O
16742   B-LOCATION
Occupation   O
:   O
Boilermakers   O
Organization   O
:   O

Paralyzed   B-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
Doctor   O
Name   O
:   O
Braun   B-NAME
Medical   O
Record   O
Number   O
:   O
8577732   B-ID
Hospital   O
Name   O
:   O
St.   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Presenting   O
complaint   O
:   O
Ireland   B-NAME
Carey   I-NAME
is   O
a   O
63   O
year   O
-   O
old   O
individual   O
,   O
who   O
reported   O
to   O
the   O
Hospital   O
,   O
Jackson   B-LOCATION
North   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
on   O
01/02   B-DATE
with   O
complaints   O
of   O
high   O
-   O
grade   O
fever   O
,   O
severe   O
headache   O
,   O
and   O
a   O
productive   O
cough   O
that   O
produces   O
greenish   O
sputum   O
.   O

Jaxson   B-NAME
Meyer   I-NAME
has   O
a   O
medical   O
history   O
suggestive   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
,   O
diagnosed   O
roughly   O
five   O
years   O
ago   O
.   O

Griffith   B-NAME
also   O
noted   O
Johan   B-NAME
Cobb   I-NAME
's   O
pre   O
-   O
existing   O
condition   O
of   O
type-2   O
diabetes   O
mellitus   O
.   O
Labs   O
and   O
Tests   O
:   O
Upon   O
initial   O
physical   O
examination   O
by   O
Stone   B-NAME
at   O
Princeton   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
Lin   B-NAME
's   O
body   O
temperature   O
was   O
elevated   O
above   O
normal   O
range   O
.   O

Schmidt   B-NAME
recommended   O
complete   O
blood   O
count   O
,   O
chest   O
x   O
-   O
ray   O
,   O
sputum   O
culture   O
to   O
be   O
performed   O
on   O
08/08   B-DATE
.   O

In   O
the   O
report   O
received   O
on   O
30/10   B-DATE
,   O
Franklyn   B-NAME
's   O
chest   O
x   O
-   O
ray   O
showed   O
signs   O
of   O
infiltrates   O
suggestive   O
of   O
pneumonia   O
.   O

Phillip   B-NAME
Downey   I-NAME
has   O
advised   O
Emelia   B-NAME
Love   I-NAME
hospitalization   O
and   O
initiated   O
a   O
regimen   O
of   O
intravenous   O
antibiotics   O
.   O

Yan   B-NAME
D.   I-NAME
Ball   I-NAME
will   O
be   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
12/30/22   B-DATE
.   O

The   O
treatment   O
plan   O
was   O
communicated   O
to   O
Delgado   B-NAME
on   O
the   O
phone   O
(   B-CONTACT
782   I-CONTACT
)   I-CONTACT
436   I-CONTACT
4508   I-CONTACT
,   O
and   O
a   O
copy   O
of   O
the   O
same   O
has   O
been   O
emailed   O
to   O
Cheyenne   B-NAME
Harper   I-NAME
through   O
the   O
registered   O
mail   O
i   O
d   O
xmk913   B-NAME
.   O

In   O
case   O
the   O
condition   O
worsens   O
or   O
does   O
not   O
resolve   O
after   O
a   O
week   O
,   O
Hooper   B-NAME
has   O
advised   O
reaching   O
out   O
to   O
the   O
hospital   O
Meadows   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
.   O

Atwood   B-NAME
has   O
been   O
asked   O
to   O
monitor   O
blood   O
sugar   O
levels   O
closely   O
due   O
to   O
his   O
pre   O
-   O
existing   O
diabetes   O
and   O
report   O
in   O
case   O
of   O
any   O
significant   O
variability   O
.   O

In   O
case   O
of   O
any   O
issues   O
,   O
Glenn   B-NAME
can   O
contact   O
at   O
62893   B-CONTACT
,   O
or   O
at   O
email   O
,   O
YW292   B-NAME
.   O

For   O
any   O
emergency   O
,   O
it   O
is   O
best   O
advised   O
to   O
report   O
to   O
the   O
hospital   O
Providence   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Everett   I-LOCATION
's   O
emergency   O
department   O
.   O

Patient   O
Name   O
:   O
Aniya   B-NAME
Cummings   I-NAME
DOB   O
:   O
2/0   B-DATE
MRN   O
:   O
7280179   B-ID
Physician   O
:   O

Alessandra   B-NAME
Long   I-NAME
Phone   O
Number   O
:   O
222   B-CONTACT
-   I-CONTACT
939   I-CONTACT
-   I-CONTACT
1662   I-CONTACT
Address   O
:   O
Darwen   B-LOCATION
,   O
78576   B-LOCATION
SSN   O
:   O
3   B-ID
-   I-ID
1720102   I-ID
April   B-DATE
Howard   B-NAME
Rosser   I-NAME
,   O
a   O
professional   O
Systems   O
analyst   O
,   O
presented   O
at   O
the   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
South   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
progressive   O
shortness   O
of   O
breath   O
and   O
chest   O
discomfort   O
of   O
2   O
-   O
week   O
duration   O
.   O

On   O
further   O
interrogation   O
,   O
Harold   B-NAME
II   I-NAME
Godwinson   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
reported   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Swindoll   B-NAME
,   I-NAME
Charles   I-NAME
was   O
diagnosed   O
at   O
30   O
and   O
has   O
been   O
on   O
medication   O
ever   O
since   O
.   O

On   O
physical   O
examination   O
,   O
Jaeger   B-NAME
appeared   O
mildly   O
anxious   O
but   O
in   O
no   O
acute   O
distress   O
.   O

Given   O
the   O
classic   O
nature   O
of   O
symptoms   O
,   O
Gregory   B-NAME
Sosa   I-NAME
was   O
admitted   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Ashlag   B-NAME
,   I-NAME
Baruch   I-NAME
at   O
Bayfront   B-LOCATION
Health   I-LOCATION
Punta   I-LOCATION
Gorda   I-LOCATION
was   O
of   O
the   O
opinion   O
that   O
the   O
symptoms   O
might   O
reflect   O
exercise   O
-   O
induced   O
angina   O
and   O
ordered   O
a   O
treadmill   O
stress   O
test   O
.   O

Username   O
of   O
Clay   B-NAME
on   O
the   O
Crestwood   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
portal   O
:   O
pky622   B-NAME
Mcgee   B-NAME
's   O
schedule   O
for   O
Maximinus   B-NAME
Daia   I-NAME
Milo   I-NAME
's   O
next   O
check   O
-   O
up   O
at   O
West   B-LOCATION
Boca   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
on   O
10/05/1864   B-DATE
.   O

In   O
the   O
interim   O
,   O
Stephen   B-NAME
Strange   I-NAME
is   O
advised   O
to   O
continue   O
the   O
current   O
medications   O
and   O
maintain   O
lifestyle   O
modifications   O
including   O
a   O
low   O
salt   O
diet   O
and   O
regular   O
exercise   O
.   O

Employer   O
:   O
Irwin   B-LOCATION
Union   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
F.S.B.   I-LOCATION
Bullock   B-NAME
994   B-CONTACT
3616   I-CONTACT
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Bullard   B-LOCATION
,   O
80622   B-LOCATION

Zoie   B-NAME
Galvan   I-NAME
Age   O
:   O
8   O
Date   O
:   O
Saturday   B-DATE
,   I-DATE
December   I-DATE
Medical   O
Record   O
No   O
.   O
:   O
83231663   B-ID
Doctor   O
:   O
Edward   B-NAME
Burnett   I-NAME
Location   O
:   O
Cookeville   B-LOCATION
ID   O
:   O
BE:85881:441780   B-ID
Patient   O
Kason   B-NAME
Graves   I-NAME
,   O
who   O
is   O
78s   O
years   O
old   O
,   O
visited   O
Peconic   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/35/2052   B-DATE
with   O
the   O
primary   O
complaint   O
of   O
persistent   O
cough   O
productive   O
of   O
purulent   O
sputum   O
,   O
chest   O
tightness   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
patient   O
—   O
employed   O
in   O
Psychiatric   O
Technicians   O
within   O
an   O
organization   O
,   O
Public   B-LOCATION
Service   I-LOCATION
Alliance   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
,   O
based   O
in   O
Gratiot   B-LOCATION
—   O
shared   O
that   O
the   O
symptoms   O
were   O
affecting   O
his   O
ability   O
to   O
work   O
.   O

On   O
examining   O
the   O
patient   O
's   O
history   O
,   O
it   O
was   O
found   O
that   O
Deanna   B-NAME
Mercer   I-NAME
had   O
been   O
treated   O
by   O
Deshawn   B-NAME
Keith   I-NAME
for   O
a   O
similar   O
condition   O
back   O
in   O
the   O
year   O
2010   O
at   O
another   O
medical   O
center   O
in   O
Kettering   B-LOCATION
.   O

A   O
chest   O
X   O
-   O
ray   O
was   O
performed   O
in   O
Bellevue   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
,   O
which   O
revealed   O
consolidation   O
and   O
bronchiectasis   O
changes   O
over   O
bilateral   O
lower   O
zones   O
of   O
the   O
lungs   O
,   O
suggesting   O
a   O
possible   O
infection   O
or   O
inflammation   O
.   O

The   O
patient   O
was   O
advised   O
for   O
a   O
follow   O
-   O
up   O
visit   O
,   O
the   O
contact   O
information   O
for   O
which   O
was   O
shared   O
via   O
51260   B-CONTACT
.   O

A   O
detailed   O
summary   O
of   O
the   O
patient   O
's   O
illness   O
course   O
and   O
treatment   O
plan   O
was   O
documented   O
in   O
their   O
medical   O
record   O
#   O
5505400   B-ID
.   O

This   O
document   O
,   O
bearing   O
the   O
official   O
stamp   O
of   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
signed   O
by   O
Rojas   B-NAME
,   O
can   O
be   O
verified   O
against   O
the   O
patient   O
's   O
identification   O
number   O
ZI   B-ID
:   I-ID
BQ:4994   I-ID
,   O
listed   O
in   O
the   O
hospital   O
records   O
.   O

The   O
documentation   O
was   O
updated   O
by   O
the   O
medical   O
record   O
department   O
of   O
the   O
hospital   O
,   O
whose   O
in   O
-   O
charge   O
fmi407   B-NAME
can   O
be   O
contacted   O
for   O
further   O
clarification   O
or   O
details   O
.   O

As   O
always   O
,   O
Pemiscot   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
respects   O
the   O
privacy   O
of   O
its   O
patients   O
and   O
strictly   O
adheres   O
to   O
the   O
healthcare   O
regulations   O
of   O
Lakeland   B-LOCATION
Electric   I-LOCATION
and   O
the   O
privacy   O
laws   O
of   O
Madison   B-LOCATION
,   O
53475   B-LOCATION
.   O

Patient   O
Name   O
:   O
NICHOLAS   B-NAME
SINGH   I-NAME
Age   O
:   O
59   O
Dr.   O
Cali   B-NAME
Zuniga   I-NAME
checked   O
Tavon   B-NAME
at   O
the   O
Alliance   B-LOCATION
Hospital   I-LOCATION
on   O
29/09/2183   B-DATE
.   O

The   O
patient   O
,   O
who   O
had   O
recently   O
moved   O
from   O
Clacton   B-LOCATION
-   I-LOCATION
on   I-LOCATION
-   I-LOCATION
Sea   I-LOCATION
and   O
was   O
in   O
the   O
physician   O
's   O
assistant   O
field   O
,   O
arrived   O
for   O
a   O
check   O
after   O
experiencing   O
consistent   O
bouts   O
of   O
chest   O
discomfort   O
and   O
unexplained   O
fatigue   O
over   O
the   O
past   O
week   O
.   O

The   O
patient   O
’s   O
identification   O
card   O
displayed   O
an   O
YC:388:441966   B-ID
number   O
,   O
and   O
their   O
phone   O
number   O
was   O
recorded   O
as   O
982   B-CONTACT
9964   I-CONTACT
.   O

The   O
medical   O
record   O
number   O
assigned   O
was   O
3095945   B-ID
.   O

The   O
patient   O
's   O
history   O
also   O
revealed   O
a   O
recent   O
connection   O
to   O
the   O
Nation   B-LOCATION
of   I-LOCATION
Suns   I-LOCATION
.   O

Dr.   O
Walter   B-NAME
then   O
scheduled   O
Judah   B-NAME
George   I-NAME
for   O
a   O
stress   O
test   O
procedure   O
and   O
echocardiogram   O
in   O
our   O
Forks   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
located   O
at   O
Nelchina   B-LOCATION
and   O
provided   O
a   O
referral   O
to   O
see   O
a   O
renowned   O
cardiologist   O
affiliated   O
with   O
our   O
hospital   O
unit   O
in   O
building   O
Northern   B-LOCATION
Idaho   I-LOCATION
Advanced   I-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
was   O
instructed   O
to   O
contact   O
the   O
office   O
at   O
38414   B-CONTACT
for   O
any   O
questions   O
or   O
immediate   O
concerns   O
.   O

Another   O
appointment   O
for   O
follow   O
up   O
and   O
review   O
of   O
the   O
test   O
results   O
was   O
fixed   O
for   O
8/81   B-DATE
.   O

Chart   O
sent   O
to   O
the   O
patient   O
portal   O
with   O
USERNAME   O
MK987   B-NAME
by   O
secure   O
online   O
access   O
.   O

The   O
patient   O
's   O
residence   O
is   O
at   O
71834   B-LOCATION
.   O

With   O
best   O
regards   O
,   O
Dr.   O
Blankenship   B-NAME
Inspira   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Woodbury   I-LOCATION

Patient   O
Information   O
:   O
de   B-NAME
Mello   I-NAME
,   I-NAME
Anthony   I-NAME
is   O
a   O
81   O
years   O
old   O
individual   O
who   O
reported   O
to   O
the   O
Athens   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/27   B-DATE
.   O

The   O
patient   O
resides   O
at   O
Worthville   B-LOCATION
and   O
works   O
as   O
a   O
Sewers   O
,   O
Hand   O
.   O

Clinical   O
Symptoms   O
:   O
Dooom   B-NAME
complained   O
of   O
persistent   O
chest   O
pain   O
that   O
radiates   O
to   O
his   O
left   O
shoulder   O
,   O
dyspnea   O
,   O
palpitations   O
,   O
dizziness   O
and   O
nausea   O
.   O

Medical   O
Record   O
:   O
4688718   B-ID
reveals   O
that   O
Weston   B-NAME
Gowins   I-NAME
is   O
a   O
smoker   O
and   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
high   O
cholesterol   O
levels   O
.   O

Diagnosis   O
and   O
Treatment   O
:   O
Adalyn   B-NAME
Huang   I-NAME
was   O
initially   O
examined   O
by   O
Valenzuela   B-NAME
who   O
recommended   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
,   O
stress   O
test   O
and   O
coronary   O
angiography   O
.   O

Based   O
on   O
the   O
symptoms   O
and   O
test   O
results   O
,   O
William   B-NAME
Seth   I-NAME
Potter   I-NAME
was   O
diagnosed   O
with   O
coronary   O
artery   O
disease   O
(   O
CAD   O
)   O
.   O

Furthermore   O
,   O
Gardner   B-NAME
suggested   O
lifestyle   O
modifications   O
including   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
regular   O
exercise   O
,   O
weight   O
management   O
and   O
smoking   O
cessation   O
.   O

Follow   O
-   O
up   O
:   O
Arushi   B-NAME
Emerson   I-NAME
's   O
next   O
appointment   O
is   O
scheduled   O
on   O
01/07   B-DATE
.   O

In   O
the   O
case   O
of   O
any   O
symptom   O
exacerbation   O
or   O
new   O
onset   O
symptoms   O
,   O
ignacio   B-NAME
can   O
reach   O
out   O
to   O
the   O
hospital   O
at   O
25174   B-CONTACT
.   O

The   O
insurance   O
card   O
bears   O
the   O
FI   B-ID
:   I-ID
BB:8295   I-ID
and   O
the   O
account   O
is   O
linked   O
to   O
the   O
zip   O
code   O
as   O
11755   B-LOCATION
.   O

Kind   O
regards   O
,   O
ap827   B-NAME
from   O
Graphical   B-LOCATION
Paper   I-LOCATION
and   I-LOCATION
Media   I-LOCATION
Union   I-LOCATION

Patient   O
Name   O
:   O
Thu   B-NAME
Civatte   I-NAME
Patient   O
's   O
Age   O
:   O
45   O
Patient   O
's   O
ID   O
:   O
GX412/4452   B-ID
Date   O
:   O
3/2098   B-DATE
Physician   O
Name   O
:   O
Danica   B-NAME
Wong   I-NAME
Patient   O
Medical   O
Record   O
:   O
48694412   B-ID
Presenting   O
Problem   O
:   O
Nalph   B-NAME
visited   O
the   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Anderson   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Holgate   B-LOCATION
complaining   O
of   O
persistent   O
abdominal   O
pain   O
concentrated   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Alexander   B-NAME
also   O
expressed   O
experiencing   O
a   O
decreased   O
appetite   O
and   O
mild   O
fever   O
.   O

Seth   B-NAME
Griffin   I-NAME
,   O
a   O
Ophthalmologists   O
by   O
profession   O
,   O
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
diabetes   O
mellitus   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Detailed   O
history   O
,   O
made   O
available   O
through   O
contact   O
number   O
20665   B-CONTACT
,   O
reveals   O
no   O
prior   O
surgical   O
interventions   O
.   O

Callahan   B-NAME
advised   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
test   O
,   O
as   O
well   O
as   O
an   O
abdominal   O
ultrasonography   O
,   O
to   O
confirm   O
the   O
diagnosis   O
.   O

Dd   B-LOCATION
's   I-LOCATION
Discounts   I-LOCATION
Location   O
:   O
Kidron   B-LOCATION
Username   O
for   O
Online   O
Portal   O
Access   O
:   O
yuv590   B-NAME
Zip   O
Code   O
:   O
44681   B-LOCATION
Note   O
:   O
Peter   B-NAME
Prentice   I-NAME
is   O
scheduled   O
for   O
follow   O
-   O
up   O
consultation   O
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Jacksonville   I-LOCATION
on   O
4/23   B-DATE
.   O

Patient   O
Name   O
:   O
Handy   B-NAME
,   I-NAME
Charles   I-NAME
DOB   O
(   O
Date   O
Of   O
Birth   O
):   O
0/3   B-DATE
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
6074500   I-ID
Medical   O
Record   O
#   O
:   O
40482313   B-ID
Phone   O
#   O
:   O
35064   B-CONTACT
Location   O
:   O
Cuartelez   B-LOCATION
Physician   O
:   O

Dr.   O
Giles   B-NAME
Admission   O
Date   O
:   O
2341   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
21   I-DATE
Location   O
:   O
Mercy   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Dutifully   O
report   O
for   O
patient   O
,   O
Rankar   B-NAME
Feulner   I-NAME
,   O
exhibiting   O
a   O
range   O
of   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

In   O
addition   O
to   O
acute   O
abdominal   O
pain   O
,   O
Abe   B-NAME
Morris   I-NAME
shows   O
symptoms   O
of   O
low   O
-   O
grade   O
fever   O
of   O
79   O
.   O

The   O
condition   O
of   O
the   O
patient   O
was   O
assessed   O
by   O
Dr.   O
Max   B-NAME
Buck   I-NAME
at   O
East   B-LOCATION
Georgia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2029   B-DATE
.   O

Laboratory   O
diagnostic   O
tests   O
were   O
suggested   O
and   O
have   O
been   O
carried   O
out   O
at   O
the   O
Southwest   B-LOCATION
Mississippi   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Association   I-LOCATION
.   O

The   O
decision   O
to   O
proceed   O
towards   O
a   O
laparoscopic   O
appendectomy   O
is   O
conditional   O
on   O
the   O
results   O
of   O
the   O
ultrasound   O
that   O
is   O
scheduled   O
for   O
20/03   B-DATE
,   O
under   O
the   O
supervision   O
of   O
a   O
different   O
team   O
led   O
by   O
Mcgee   B-NAME
at   O
Atlantic   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Angel   B-NAME
Hays   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Historians   O
,   O
and   O
has   O
granted   O
permission   O
to   O
inform   O
their   O
employer   O
,   O
Unity   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
of   O
medical   O
developments   O
,   O
as   O
necessary   O
.   O

Their   O
emergency   O
contact   O
is   O
a   O
family   O
member   O
residing   O
in   O
Klukwan   B-LOCATION
,   O
contactable   O
at   O
76889   B-CONTACT
.   O

This   O
report   O
was   O
compiled   O
by   O
Dr.   O
Mike   B-NAME
Shaffer   I-NAME
at   O
Osawatomie   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Osawatomie   I-LOCATION
and   O
will   O
be   O
forwarded   O
to   O
the   O
assigned   O
case   O
manager   O
,   O
GI985   B-NAME
.   O

The   O
patient   O
's   O
confidentiality   O
is   O
maintained   O
as   O
per   O
the   O
health   O
information   O
privacy   O
laws   O
applicable   O
in   O
the   O
zip   O
code   O
79174   B-LOCATION
.   O

Patient   O
Report   O
Jorge   B-NAME
Castro   I-NAME
,   O
a   O
20   O
-   O
year   O
-   O
old   O
patient   O
,   O
came   O
to   O
Veterans   B-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/21   B-DATE
.   O

The   O
patient   O
hails   O
from   O
Walcott   B-LOCATION
and   O
has   O
a   O
medical   O
record   O
807   B-ID
-   I-ID
73   I-ID
-   I-ID
72   I-ID
-   I-ID
7   I-ID
.   O

He   O
was   O
attended   O
by   O
Dr.   O
Kerry   B-NAME
,   I-NAME
Teresa   I-NAME
Heinz   I-NAME
.   O

Contacting   O
Gilberto   B-NAME
Cunningham   I-NAME
can   O
be   O
done   O
via   O
477   B-CONTACT
-   I-CONTACT
3941   I-CONTACT
.   O

Genevie   B-NAME
Latimer   I-NAME
was   O
being   O
insured   O
by   O
Eversource   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
NSTAR   I-LOCATION
,   I-LOCATION
Western   I-LOCATION
Massachusetts   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
,   O
The   O
patient   O
's   O
insurance   O
5   B-ID
-   I-ID
6769748   I-ID
is   O
a   O
crucial   O
detail   O
.   O

Randi   B-NAME
Daulton   I-NAME
is   O
a   O
Allergists   O
and   O
Immunologists   O
by   O
trade   O
and   O
uses   O
gb324   B-NAME
as   O
a   O
username   O
on   O
digital   O
platforms   O
.   O

The   O
patient   O
has   O
been   O
reassigned   O
to   O
Dr.   O
Shenna   B-NAME
Travis   I-NAME
for   O
further   O
assessment   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
set   O
for   O
21/01/92   B-DATE
.   O

The   O
progress   O
report   O
should   O
be   O
sent   O
to   O
Chantilly   B-LOCATION
under   O
the   O
postal   O
code   O
79854   B-LOCATION
.   O

Cohen   B-NAME
,   I-NAME
Catman   I-NAME
's   O
confidential   O
information   O
is   O
kept   O
securely   O
with   O
the   O
Mercy   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Folsom   I-LOCATION
records   O
.   O

Patient   O
Information   O
:   O
Mr.   O
Atatürk   B-NAME
,   I-NAME
Mustafa   I-NAME
Kemal   I-NAME
of   O
58   O
years   O
presented   O
to   O
the   O
ProMedica   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
Saturday   B-DATE
,   I-DATE
October   I-DATE
.   O

He   O
was   O
referred   O
by   O
his   O
primary   O
healthcare   O
provider   O
,   O
Dr.   O
Rowan   B-NAME
Dunlop   I-NAME
.   O

Personal   O
information   O
:   O
Mr.   O
Rush   B-NAME
works   O
as   O
a   O
Armed   O
forces   O
officer   O
and   O
recently   O
moved   O
to   O
Wheat   B-LOCATION
Ridge   I-LOCATION
.   O

His   O
contact   O
number   O
is   O
682   B-CONTACT
6635   I-CONTACT
.   O

Medical   O
History   O
:   O
Patient   O
833   B-ID
-   I-ID
10   I-ID
-   I-ID
01   I-ID
-   I-ID
9   I-ID
indicates   O
a   O
history   O
of   O
hypertension   O
and   O
type-2   O
diabetes   O
.   O

He   O
is   O
currently   O
under   O
the   O
administration   O
of   O
Dr.   O
Paityn   B-NAME
Obrien   I-NAME
practicing   O
at   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
South   I-LOCATION
&   I-LOCATION
the   I-LOCATION
Center   I-LOCATION
for   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
.   O

Present   O
Complaint   O
:   O
Mr.   O
Yu   B-NAME
has   O
been   O
experiencing   O
recurrent   O
episodes   O
of   O
severe   O
chest   O
pain   O
,   O
radiating   O
to   O
left   O
arm   O
,   O
over   O
the   O
past   O
week   O
.   O

On   O
physical   O
examination   O
,   O
Mr.   O
Karissa   B-NAME
Kerr   I-NAME
's   O
vital   O
signs   O
revealed   O
a   O
blood   O
pressure   O
reading   O
of   O
160/90mmHg   O
,   O
pulse   O
at   O
102   O
beats   O
per   O
minute   O
,   O
and   O
respiration   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

Investigation   O
:   O
An   O
ECG   O
was   O
suggested   O
by   O
Dr.   O
Natalee   B-NAME
Arnold   I-NAME
and   O
performed   O
immediately   O
,   O
which   O
showed   O
signs   O
of   O
potential   O
myocardial   O
ischemia   O
.   O

Mr.   O
Baird   B-NAME
was   O
immediately   O
referred   O
to   O
cardiology   O
at   O
the   O
National   B-LOCATION
Jewish   I-LOCATION
Health   I-LOCATION
by   O
Dr.   O
Tapia   B-NAME
for   O
further   O
evaluation   O
and   O
intervention   O
.   O

Instructions   O
:   O
Mr.   O
Patel   B-NAME
was   O
advised   O
to   O
continue   O
his   O
current   O
diabetic   O
and   O
hypertensive   O
medications   O
and   O
await   O
further   O
instructions   O
post   O
comprehensive   O
cardiac   O
evaluation   O
.   O

His   O
next   O
appointment   O
has   O
been   O
scheduled   O
for   O
3/22/2291   B-DATE
at   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Kirkwood   I-LOCATION
.   O

For   O
emergencies   O
,   O
Mr.   O
Kolten   B-NAME
Joseph   I-NAME
can   O
call   O
(   B-CONTACT
187   I-CONTACT
)   I-CONTACT
726   I-CONTACT
2393   I-CONTACT
or   O
visit   O
the   O
ER   O
at   O
Hendersonville   B-LOCATION
.   O

Further   O
information   O
can   O
be   O
obtained   O
through   O
patient   O
portal   O
YU427   B-NAME
.   O

The   O
patient   O
was   O
advised   O
to   O
submit   O
medical   O
claim   O
forms   O
to   O
Federated   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
with   O
ID   O
number   O
71621260   B-ID
and   O
his   O
residential   O
zip   O
code   O
is   O
25816   B-LOCATION
.   O

Patient   O
Name   O
:   O
Haleigh   B-NAME
Daniel   I-NAME
Patient   O
Record   O
:   O
9971441   B-ID
DOB   O
:   O
3/5   B-DATE
Age   O
:   O
32   O
Contact   O
:   O
439   B-CONTACT
-   I-CONTACT
8824   I-CONTACT
ID   O
:   O
7   B-ID
-   I-ID
1263847   I-ID
Address   O
:   O
Mount   B-LOCATION
Clare   I-LOCATION
,   O
39084   B-LOCATION
Referring   O
Physician   O
:   O

Dangelo   B-NAME
Craig   I-NAME
Hospital   O
Name   O
:   O
Middle   B-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
1653   B-DATE
at   O
HCA   B-LOCATION
Houston   I-LOCATION
Tomball   I-LOCATION
The   O
patient   O
,   O
a   O
Nuclear   O
Equipment   O
Operation   O
Technicians   O
,   O
was   O
admitted   O
to   O
the   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Augusta   I-LOCATION
on   O
03/11/72   B-DATE
.   O

On   O
physical   O
examination   O
,   O
Tony   B-NAME
Wilkinson   I-NAME
appeared   O
ill   O
and   O
in   O
pain   O
.   O

Parsons   B-NAME
is   O
suggesting   O
endoscopy   O
of   O
upper   O
GI   O
for   O
better   O
understanding   O
of   O
the   O
gastritis   O
.   O

The   O
patient   O
's   O
case   O
is   O
scheduled   O
to   O
be   O
discussed   O
at   O
the   O
upcoming   O
Northwestern   B-LOCATION
Energy   I-LOCATION
meeting   O
on   O
2233   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
07   I-DATE
.   O

A   O
personalized   O
treatment   O
plan   O
will   O
be   O
devised   O
taking   O
into   O
account   O
Alexie   B-NAME
,   I-NAME
Sherman   I-NAME
's   O
specific   O
factors   O
,   O
including   O
age   O
,   O
severity   O
of   O
the   O
symptom   O
,   O
and   O
H.   O
Pylori   O
infection   O
status   O
.   O

Notifications   O
for   O
the   O
Direct   B-LOCATION
Energy   I-LOCATION
meeting   O
will   O
be   O
sent   O
to   O
the   O
ED787   B-NAME
account   O
on   O
2335   B-DATE
-   I-DATE
24   I-DATE
-   I-DATE
29   I-DATE
.   O

Emergency   O
contact   O
:   O
15233   B-CONTACT

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Angel   B-NAME
Hays   I-NAME
Age   O
:   O
10   O
month   O
Medical   O
record   O
number   O
:   O
14561451   B-ID
Date   O
:   O
November   B-DATE
25   I-DATE
,   I-DATE
2362   I-DATE
Primary   O
Care   O
Physician   O
:   O

Solomon   B-NAME
Hospital   O
:   O
Yampa   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
Jackson   B-NAME
,   I-NAME
Andrew   I-NAME
arrived   O
at   O
Tanner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Carrollton   I-LOCATION
on   O
2/22/42   B-DATE
complaining   O
of   O
ongoing   O
and   O
increasing   O
sharp   O
pain   O
in   O
the   O
lower   O
right   O
abdominal   O
area   O
.   O

According   O
to   O
Shu   B-NAME
Kobold   I-NAME
,   O
the   O
pain   O
had   O
begun   O
approximately   O
four   O
days   O
prior   O
and   O
had   O
progressively   O
intensified   O
.   O

Heidy   B-NAME
Stevens   I-NAME
also   O
reported   O
bouts   O
of   O
nausea   O
and   O
high   O
fever   O
in   O
the   O
last   O
24   O
hours   O
.   O

Upon   O
further   O
examination   O
,   O
Macdonald   B-NAME
found   O
ostrowski   B-NAME
to   O
have   O
signs   O
of   O
rebound   O
tenderness   O
in   O
the   O
right   O
iliac   O
fossa   O
,   O
indicative   O
of   O
potential   O
acute   O
appendicitis   O
.   O

Kidd   B-NAME
was   O
admitted   O
to   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Hazleton   I-LOCATION
for   O
further   O
management   O
.   O

The   O
anesthesiologist   O
consulted   O
with   O
ostrowski   B-NAME
to   O
discuss   O
the   O
potential   O
risks   O
and   O
benefits   O
of   O
surgical   O
intervention   O
.   O

Surgery   O
was   O
scheduled   O
for   O
32/23   B-DATE
.   O

Veronica   B-NAME
Raymond   I-NAME
's   O
emergency   O
contact   O
,   O
a   O
Chemists   O
,   O
was   O
informed   O
and   O
consent   O
for   O
surgery   O
was   O
obtained   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
fairly   O
smooth   O
with   O
Maddox   B-NAME
Rogers   I-NAME
's   O
pain   O
and   O
fever   O
subsiding   O
gradually   O
.   O

Follow   O
-   O
up   O
consultations   O
are   O
scheduled   O
every   O
two   O
weeks   O
starting   O
from   O
00/15/1814   B-DATE
with   O
Natasha   B-NAME
Dickson   I-NAME
.   O

Patient   O
’s   O
home   O
address   O
:   O
Gunnison   B-LOCATION
,   O
99097   B-LOCATION
Phone   O
number   O
:   O
225   B-CONTACT
4425   I-CONTACT
Driver   O
’s   O
License   O
ID   O
:   O
IQ:9198:789851   B-ID
Insurance   O
provider   O
:   O
Humane   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
(   I-LOCATION
HSUS   I-LOCATION
)   I-LOCATION
Username   O
for   O
hospital   O
portal   O
:   O
ypf872   B-NAME
Signed   O
,   O
Hoover   B-NAME
,   O
MD   O

Patient   O
Name   O
:   O
Gerardo   B-NAME
Leflore   I-NAME
Age   O
:   O
64   O
Address   O
:   O
Lowesville   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
630   I-CONTACT
)   I-CONTACT
984   I-CONTACT
7054   I-CONTACT
Medical   O
Record   O
Number   O
:   O
2182697   B-ID
DOB   O
:   O
0/25   B-DATE
Dr.   O
Robbins   B-NAME
at   O
NYU   B-LOCATION
Langone   I-LOCATION
Hospitals   I-LOCATION
Hospital   O
saw   O
Luna   B-NAME
Woods   I-NAME
for   O
the   O
first   O
time   O
due   O
to   O
severe   O
,   O
persistent   O
lower   O
abdominal   O
pain   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
week   O
.   O

Krystal   B-NAME
Esparza   I-NAME
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
advised   O
Cade   B-NAME
Ewing   I-NAME
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
0   B-DATE
-   I-DATE
2   I-DATE
.   O

Elsie   B-NAME
Figueroa   I-NAME
's   O
family   O
,   O
who   O
live   O
in   O
Tygh   B-LOCATION
Valley   I-LOCATION
,   O
were   O
also   O
informed   O
and   O
asked   O
to   O
monitor   O
the   O
patient   O
closely   O
.   O

Furthermore   O
,   O
the   O
Alaska   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
pharmacy   O
,   O
Willow   O
Drugs   O
at   O
Goodnight   B-LOCATION
will   O
provide   O
the   O
prescribed   O
medication   O
.   O

All   O
the   O
details   O
regarding   O
the   O
prescription   O
were   O
shared   O
with   O
Willow   O
Drugs   O
via   O
their   O
contact   O
number   O
422   B-CONTACT
-   I-CONTACT
2898   I-CONTACT
.   O

The   O
Dixon   B-NAME
suggested   O
full   O
rest   O
and   O
adequate   O
hydration   O
,   O
asserting   O
that   O
the   O
patient   O
might   O
need   O
at   O
least   O
a   O
week   O
to   O
recover   O
.   O

The   O
family   O
was   O
also   O
given   O
contact   O
details   O
for   O
emergency   O
services   O
227   B-CONTACT
808   I-CONTACT
-   I-CONTACT
8837   I-CONTACT
and   O
was   O
advised   O
to   O
use   O
it   O
if   O
Inge   B-NAME
Metzer   I-NAME
's   O
symptoms   O
worsened   O
.   O

The   O
patient   O
’s   O
hospital   O
billing   O
information   O
with   O
GS:541033:454959   B-ID
will   O
be   O
sent   O
to   O
Bank   B-LOCATION
of   I-LOCATION
Illinois   I-LOCATION
and   O
will   O
be   O
tracked   O
by   O
NZ474   B-NAME
.   O

All   O
the   O
records   O
of   O
the   O
patient   O
's   O
visit   O
,   O
diagnostics   O
,   O
and   O
treatment   O
plan   O
have   O
been   O
comprehensively   O
documented   O
under   O
medical   O
record   O
number   O
122   B-ID
-   I-ID
38   I-ID
-   I-ID
40   I-ID
-   I-ID
5   I-ID
to   O
ensure   O
smooth   O
continuity   O
of   O
care   O
.   O

Card   O
was   O
swiped   O
at   O
80645   B-LOCATION
for   O
payment   O
.   O

The   O
next   O
follow   O
-   O
up   O
has   O
been   O
scheduled   O
for   O
January   B-DATE
2375   I-DATE
.   O

Patient   O
Helveticus   B-NAME
,   I-NAME
Pagni   I-NAME
checked   O
into   O
Hospital   B-LOCATION
for   I-LOCATION
Special   I-LOCATION
Surgery   I-LOCATION
on   O
02/03   B-DATE
.   O

The   O
patient   O
is   O
a   O
Tire   O
Repairers   O
and   O
Changers   O
of   O
93   O
years   O
and   O
lives   O
in   O
Hurstbourne   B-LOCATION
.   O

The   O
primary   O
physician   O
Dr.   O
Lhari   B-NAME
was   O
informed   O
about   O
her   O
admission   O
.   O

Medical   O
record   O
03694868   B-ID
shows   O
that   O
the   O
patient   O
had   O
undergone   O
an   O
appendectomy   O
four   O
years   O
ago   O
at   O
the   O
same   O
hospital   O
.   O

The   O
blood   O
investigation   O
reports   O
and   O
the   O
culture   O
sensitivity   O
tests   O
are   O
awaited   O
and   O
are   O
said   O
to   O
be   O
available   O
on   O
March   B-DATE
.   O

A   O
call   O
from   O
448   B-CONTACT
303   I-CONTACT
-   I-CONTACT
9980   I-CONTACT
belonging   O
to   O
the   O
insurer   O
Penn   B-LOCATION
Mutual   I-LOCATION
requested   O
for   O
the   O
billing   O
and   O
medical   O
details   O
.   O

The   O
patient   O
,   O
being   O
a   O
member   O
of   O
7744849   B-ID
,   O
is   O
entitled   O
to   O
certain   O
medical   O
benefits   O
.   O

An   O
ultrasound   O
examination   O
has   O
been   O
arranged   O
for   O
the   O
patient   O
on   O
the   O
upcoming   O
6/92   B-DATE
to   O
further   O
validate   O
the   O
diagnosis   O
.   O

A   O
confirmation   O
email   O
has   O
been   O
sent   O
to   O
huw530   B-NAME
.   O

Feedback   O
was   O
collected   O
over   O
the   O
telephone   O
(   O
number   O
:   O
(   B-CONTACT
198   I-CONTACT
)   I-CONTACT
873   I-CONTACT
8509   I-CONTACT
)   O
from   O
the   O
mother   O
who   O
is   O
in   O
Wallowa   B-LOCATION
Lake   I-LOCATION
and   O
holds   O
the   O
zip   O
code   O
81075   B-LOCATION
.   O

Shall   O
any   O
changes   O
in   O
the   O
plan   O
be   O
needed   O
after   O
work   O
hours   O
,   O
the   O
prescribed   O
doctor   O
Adrianna   B-NAME
Winters   I-NAME
is   O
expected   O
to   O
be   O
contacted   O
.   O

Patient   O
Dexter   B-NAME
Krause   I-NAME
,   O
aged   O
82   O
,   O
reported   O
to   O
Bronson   B-LOCATION
Vicksburg   I-LOCATION
Hospital   I-LOCATION
on   O
15/32/2229   B-DATE
.   O

They   O
were   O
seen   O
by   O
Punja   B-NAME
,   I-NAME
Hari   I-NAME
.   O

They   O
are   O
a   O
Data   O
scientist   O
by   O
trade   O
and   O
work   O
for   O
Collective   B-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
located   O
at   O
96468   B-LOCATION
.   O

Teagan   B-NAME
Ingram   I-NAME
lives   O
in   O
Lloyd   B-LOCATION
Harbor   I-LOCATION
and   O
their   O
contact   O
number   O
is   O
298   B-CONTACT
-   I-CONTACT
7939   I-CONTACT
.   O

Their   O
medical   O
record   O
9900409   B-ID
indicated   O
a   O
significant   O
past   O
medical   O
history   O
for   O
Hypertension   O
which   O
has   O
been   O
controlled   O
by   O
medication   O
.   O

Their   O
identification   O
number   O
is   O
KI296/2719   B-ID
and   O
their   O
health   O
insurance   O
is   O
provided   O
by   O
their   O
employer   O
,   O
Merrimac   B-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
.   O

The   O
patient   O
will   O
be   O
contacted   O
through   O
their   O
provided   O
email   O
obe7610   B-NAME
@gmail.com   O
.   O

Further   O
examination   O
will   O
be   O
conducted   O
by   O
our   O
specialist   O
Kierra   B-NAME
Ramsey   I-NAME
in   O
the   O
Advanced   O
healthcare   O
center   O
located   O
in   O
Building   O
Lewiston   B-LOCATION
on   O
27/25/2162   B-DATE
.   O

Patient   O
Luz   B-NAME
Ortega   I-NAME
will   O
be   O
under   O
regular   O
monitoring   O
till   O
the   O
completion   O
of   O
the   O
treatment   O
.   O

Medical   O
Report   O
88711344   B-ID
:   O
1234   O
-   O
ABCD   O
2087   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
21   I-DATE
:   O
Patient   O
,   O
Shaunte   B-NAME
Elling   I-NAME
,   O
was   O
admitted   O
to   O
Russell   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdomen   O
.   O

A   O
barium   O
meal   O
test   O
was   O
performed   O
on   O
11   B-DATE
-   I-DATE
Jul-95   I-DATE
which   O
revealed   O
an   O
irregular   O
filling   O
defect   O
in   O
the   O
stomach   O
.   O

Subsequently   O
,   O
a   O
gastric   O
endoscope   O
was   O
done   O
by   O
Black   B-NAME
Elk   I-NAME
,   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
ulcer   O
in   O
the   O
lesser   O
curvature   O
of   O
the   O
stomach   O
.   O

Following   O
a   O
detailed   O
discussion   O
with   O
Earlie   B-NAME
Thaler   I-NAME
,   O
the   O
patient   O
was   O
diagnosed   O
with   O
a   O
peptic   O
ulcer   O
and   O
suggested   O
for   O
further   O
evaluation   O
to   O
rule   O
out   O
malignancy   O
.   O

Patient   O
's   O
contact   O
details   O
as   O
below   O
:   O
Phone   O
:   O
675   B-CONTACT
7818   I-CONTACT
Address   O
:   O
Silver   B-LOCATION
Peak   I-LOCATION
Zip   O
:   O
72345   B-LOCATION

The   O
patient   O
is   O
work   O
as   O
a   O
Licensing   O
Examiners   O
and   O
Inspectors   O
in   O
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

Management   O
also   O
recommended   O
lifestyle   O
modifications   O
,   O
including   O
stress   O
management   O
related   O
to   O
her   O
work   O
at   O
Australian   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Marine   I-LOCATION
and   I-LOCATION
Power   I-LOCATION
Engineers   I-LOCATION
and   O
a   O
diet   O
modification   O
.   O

A   O
follow   O
-   O
up   O
endoscopy   O
has   O
been   O
scheduled   O
for   O
the   O
next   O
11/23/41   B-DATE
.   O

Medical   O
Team   O
:   O
Fuller   B-NAME
,   I-NAME
Margaret   I-NAME
(   O
EXIT   O
ID   O
:   O
omb645   B-NAME
)   O
P.Adm   O
.   O

Registered   O
ID   O
:   O
984362093   B-ID
Hospital   O
Address   O
:   O
WK   B-LOCATION
Pierremont   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
,   O
Los   B-LOCATION
Alvarez   I-LOCATION
,   O
99186   B-LOCATION
Hospital   O
Contact   O
:   O
542   B-CONTACT
469   I-CONTACT
-   I-CONTACT
1903   I-CONTACT
Sources   O
:   O
1   O
.   O

Rowley   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
2   O
.   O

Arslan   B-NAME
,   I-NAME
Alp   I-NAME
's   O
medical   O
notes   O
dated   O
on   O
30/21/2303   B-DATE
3   O
.   O

Yale   B-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
a   I-LOCATION
division   I-LOCATION
of   I-LOCATION
Yale   I-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
's   O
admission   O
record   O
#   O
80675141   B-ID
4   O
.   O

Telephonic   O
conversation   O
with   O
Alessandra   B-NAME
Carr   I-NAME
on   O
12/21   B-DATE

Patient   O
Name   O
:   O
Alana   B-NAME
Curington   I-NAME
Patient   O
ID   O
:   O
965715   B-ID
Date   O
of   O
Birth   O
:   O
23/22/41   B-DATE
Age   O
:   O
23   O
Consulting   O
Doctor   O
:   O
Arellano   B-NAME
Hospital   O
Name   O
:   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
-   I-LOCATION
McKinney   I-LOCATION
Medical   O
Record   O
Number   O
:   O
2025521   B-ID
Date   O
of   O
Visit   O
:   O
31/02/10   B-DATE
Contact   O
Number   O
:   O
608   B-CONTACT
247   I-CONTACT
8288   I-CONTACT
City   O
,   O
State   O
:   O
Arcata   B-LOCATION
Zip   O
:   O
20094   B-LOCATION
Report   O
:   O
Caylee   B-NAME
Herman   I-NAME
,   O
a   O
Office   O
manager   O
from   O
San   B-LOCATION
Tan   I-LOCATION
Valley   I-LOCATION
,   O
presented   O
to   O
Ann   B-LOCATION
Klein   I-LOCATION
Forensic   I-LOCATION
Center   I-LOCATION
on   O
09/14   B-DATE
.   O

They   O
are   O
1   O
month   O
years   O
old   O
and   O
were   O
referred   O
by   O
their   O
primary   O
care   O
physician   O
,   O
Bishop   B-NAME
.   O

Patient   O
will   O
remain   O
under   O
the   O
care   O
of   O
Mercy   B-LOCATION
and   O
further   O
management   O
will   O
be   O
carried   O
out   O
as   O
per   O
the   O
findings   O
.   O

The   O
patient   O
’s   O
primary   O
care   O
contact   O
has   O
been   O
adjusted   O
to   O
Swanson   B-NAME
.   O

Reports   O
will   O
be   O
sent   O
to   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Cootie   I-LOCATION
Auxiliary   I-LOCATION
(   I-LOCATION
MOCA   I-LOCATION
)   I-LOCATION
under   O
tm5010   B-NAME
for   O
analysis   O
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
keep   O
their   O
ID   O
,   O
2   B-ID
-   I-ID
1211448   I-ID
handy   O
for   O
further   O
communication   O
during   O
the   O
process   O
.   O

Patient   O
's   O
next   O
appointment   O
is   O
scheduled   O
for   O
8/22   B-DATE
.   O

Contact   O
number   O
17626   B-CONTACT
can   O
be   O
used   O
for   O
any   O
further   O
communication   O
.   O

Kindly   O
note   O
that   O
information   O
contained   O
in   O
this   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
purpose   O
of   O
treatment   O
and   O
care   O
of   O
Guillermo   B-NAME
Schwartz   I-NAME
.   O

Warm   O
Regards   O
,   O
Colton   B-NAME
Hobbs   I-NAME

Patient   O
Name   O
:   O
Reed   B-NAME
Mccullough   I-NAME
Medical   O
Record   O
Number   O
:   O
126   B-ID
-   I-ID
27   I-ID
-   I-ID
14   I-ID
-   I-ID
3   I-ID
DOB   O
:   O
7/21/72   B-DATE
Address   O
:   O
Bloomfield   B-LOCATION
,   O
79557   B-LOCATION
Report   O
Date   O
:   O
2222   B-DATE
Blankenship   B-NAME
's   O
notes   O
:   O
Juliette   B-NAME
Mccarthy   I-NAME
is   O
a   O
82   O
year   O
old   O
Careers   O
consultant   O
who   O
presents   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
worsening   O
shortness   O
of   O
breath   O
and   O
a   O
productive   O
cough   O
.   O

Over   O
the   O
phone   O
number   O
(   B-CONTACT
869   I-CONTACT
)   I-CONTACT
713   I-CONTACT
-   I-CONTACT
8286   I-CONTACT
,   O
the   O
patient   O
mentioned   O
having   O
mild   O
fever   O
started   O
2203   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
06   I-DATE
and   O
developed   O
into   O
myalgia   O
and   O
fatigue   O
.   O

On   O
physical   O
examination   O
,   O
Ninke   B-NAME
Donnellon   I-NAME
appeared   O
clinically   O
cyanotic   O
with   O
laboured   O
breathing   O
.   O

Imaging   O
wise   O
,   O
patient   O
’s   O
Chest   O
X   O
-   O
ray   O
taken   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Ann   I-LOCATION
Arbor   I-LOCATION
revealed   O
bilateral   O
infiltrates   O
suggesting   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Current   O
treatment   O
regimen   O
includes   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
supplemental   O
oxygen   O
therapy   O
at   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Douglas   B-NAME
,   I-NAME
Kirk   I-NAME
's   O
state   O
health   O
plan   O
ID   O
is   O
5966237   B-ID
,   O
insured   O
by   O
Norwegian   B-LOCATION
Refugee   I-LOCATION
Council   I-LOCATION
.   O

As   O
discussed   O
with   O
our   O
staff   O
at   O
Valley   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
if   O
fever   O
persists   O
or   O
condition   O
worsens   O
,   O
patient   O
will   O
need   O
hospital   O
admission   O
for   O
intravenous   O
antibiotics   O
and   O
possible   O
mechanical   O
ventilation   O
support   O
.   O

A   O
follow   O
-   O
up   O
assessment   O
is   O
scheduled   O
on   O
1681   B-DATE
.   O

Report   O
Prepared   O
By   O
:   O
cma144   B-NAME

Patient   O
Name   O
:   O
Merri   B-NAME
Bilchak   I-NAME
Gender   O
:   O
Male   O
Age   O
:   O
91s   O
Address   O
:   O
Alda   B-LOCATION
Phone   O
:   O
348   B-CONTACT
-   I-CONTACT
8757   I-CONTACT
Medical   O
Record   O
:   O
7046273   B-ID
Physician   O
:   O

Rohan   B-NAME
Mcmillan   I-NAME
Chief   O
Complaint   O
:   O
Roy   B-NAME
Swanson   I-NAME
has   O
been   O
experiencing   O
episodes   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
for   O
the   O
past   O
few   O
days   O
.   O

The   O
pain   O
started   O
around   O
11/33   B-DATE
and   O
has   O
progressively   O
worsened   O
over   O
time   O
.   O

Medical   O
History   O
:   O
Patient   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
previously   O
under   O
the   O
management   O
of   O
Abril   B-NAME
Parks   I-NAME
at   O
Stony   B-LOCATION
Brook   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
.   O

Last   O
evaluation   O
was   O
around   O
0/08/69   B-DATE
.   O

His   O
health   O
insurance   O
ID   O
is   O
17777400   B-ID
.   O

The   O
patient   O
's   O
laboratory   O
test   O
results   O
,   O
obtained   O
on   O
December   B-DATE
,   O
showed   O
leukocytosis   O
which   O
further   O
supports   O
the   O
diagnosis   O
.   O

Treatment   O
Plan   O
:   O
Elected   O
for   O
an   O
emergency   O
open   O
appendectomy   O
under   O
the   O
care   O
of   O
Mueller   B-NAME
at   O
Kingsbrook   B-LOCATION
Jewish   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Debi   B-NAME
Weymouth   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Taylor   B-NAME
Frank   I-NAME
on   O
1/10   B-DATE
at   O
CHRISTUS   B-LOCATION
Spohn   I-LOCATION
Hospital   I-LOCATION
Corpus   I-LOCATION
Christi   I-LOCATION
-   I-LOCATION
South   I-LOCATION
.   O

He   O
has   O
been   O
reminded   O
to   O
bring   O
along   O
his   O
medical   O
record   O
number   O
66277179   B-ID
,   O
which   O
is   O
necessary   O
for   O
hospital   O
formalities   O
.   O

The   O
billing   O
for   O
the   O
procedures   O
and   O
medication   O
was   O
processed   O
through   O
Sundance   B-LOCATION
Institute   I-LOCATION
with   O
account   O
number   O
8   B-ID
-   I-ID
4540195   I-ID
.   O

Confirmation   O
of   O
approval   O
was   O
received   O
via   O
phone   O
on   O
822   B-CONTACT
-   I-CONTACT
9329   I-CONTACT
.   O

Occupation   O
info   O
:   O
Kasey   B-NAME
Drake   I-NAME
works   O
as   O
a   O
Mechanical   O
Drafters   O
,   O
and   O
his   O
employer   O
,   O
NYLUG   B-LOCATION
,   O
can   O
be   O
reached   O
at   O
49299   B-CONTACT
.   O

Alerts   O
:   O
Patient   O
Estes   B-NAME
has   O
signed   O
online   O
using   O
his   O
username   O
cju1000   B-NAME
for   O
the   O
follow   O
-   O
up   O
consultations   O
.   O

His   O
residential   O
zip   O
code   O
71650   B-LOCATION
has   O
been   O
noted   O
in   O
the   O
records   O
for   O
future   O
house   O
calls   O
.   O

Patient   O
Name   O
:   O
Conchita   B-NAME
Casuat   I-NAME
Age   O
:   O
32   O
Date   O
:   O
12/2211   B-DATE
Location   O
:   O
Westview   B-LOCATION
Circle   I-LOCATION
Doctor   O
:   O
Robinson   B-NAME
,   I-NAME
Kim   I-NAME
Stanley   I-NAME
ID   O
:   O
BG   B-ID
:   I-ID
AD:6270   I-ID
Medical   O
Record   O
:   O
3330C31189   B-ID
Phone   O
:   O
589   B-CONTACT
3859   I-CONTACT
Organization   O
:   O

Irish   B-LOCATION
Medical   I-LOCATION
Organisation   I-LOCATION
Profession   O
:   O
Police   O
and   O
Sheriffs   O
Patrol   O
Officers   O
Username   O
:   O
tnj10010   B-NAME
ZIP   O
:   O
97332   B-LOCATION
Report   O
:   O
Jaylon   B-NAME
Mccoy   I-NAME
,   O
a   O
71   O
year   O
old   O
individual   O
employed   O
in   O
the   O
Industrial   O
Production   O
Managers   O
sector   O
,   O
came   O
in   O
on   O
Friday   B-DATE
,   I-DATE
March   I-DATE
for   O
a   O
consultation   O
at   O
our   O
Cloverly   B-LOCATION
clinic   O
under   O
the   O
supervision   O
of   O
Conway   B-NAME
.   O

Patient   O
's   O
ID   O
9   B-ID
-   I-ID
7385387   I-ID
was   O
recorded   O
for   O
reference   O
.   O

For   O
the   O
past   O
two   O
weeks   O
,   O
Antoninus   B-NAME
Pius   I-NAME
Jingst   I-NAME
had   O
been   O
experiencing   O
minor   O
episodes   O
of   O
these   O
symptoms   O
,   O
but   O
shrugged   O
them   O
off   O
,   O
assuming   O
it   O
to   O
be   O
the   O
result   O
of   O
work   O
stress   O
.   O

Preliminary   O
examination   O
conducted   O
at   O
Saint   B-LOCATION
John   I-LOCATION
Vianney   I-LOCATION
Hospital   I-LOCATION
picked   O
up   O
a   O
slight   O
irregularity   O
in   O
the   O
patient   O
's   O
blood   O
pressure   O
,   O
it   O
fluctuated   O
between   O
140/90   O
to   O
150/100   O
mmHg   O
during   O
the   O
testing   O
period   O
.   O

Beck   B-NAME
,   I-NAME
Glenn   I-NAME
's   O
previous   O
medical   O
records   O
(   O
MRN   O
:   O
8562794   B-ID
)   O
were   O
obtained   O
for   O
review   O
.   O

Upon   O
initial   O
review   O
of   O
the   O
records   O
and   O
considering   O
the   O
current   O
symptoms   O
,   O
Miller   B-NAME
has   O
advised   O
the   O
patient   O
to   O
drastically   O
revise   O
their   O
current   O
lifestyle   O
and   O
go   O
on   O
a   O
low   O
sodium   O
diet   O
.   O

Further   O
health   O
checks   O
and   O
tests   O
have   O
been   O
scheduled   O
on   O
2156   B-DATE
-   I-DATE
14   I-DATE
-   I-DATE
39   I-DATE
,   O
and   O
Robert   B-NAME
Bruce   I-NAME
Banner   I-NAME
has   O
been   O
sent   O
reminders   O
to   O
the   O
443   B-CONTACT
692   I-CONTACT
-   I-CONTACT
7182   I-CONTACT
number   O
to   O
ensure   O
they   O
do   O
n't   O
miss   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

Meanwhile   O
,   O
our   O
contact   O
at   O
State   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
will   O
be   O
notified   O
with   O
relevant   O
information   O
pertaining   O
to   O
Julio   B-NAME
Bautista   I-NAME
's   O
symptoms   O
and   O
preliminary   O
diagnosis   O
under   O
the   O
username   O
IU856   B-NAME
to   O
ensure   O
an   O
extended   O
support   O
network   O
if   O
needed   O
.   O

The   O
patient   O
resides   O
in   O
30212   B-LOCATION
,   O
so   O
closer   O
medical   O
facilities   O
for   O
emergency   O
situations   O
will   O
also   O
be   O
alerted   O
.   O

The   O
team   O
remains   O
hopeful   O
that   O
Uriah   B-NAME
Aranda   I-NAME
will   O
respond   O
positively   O
to   O
the   O
diet   O
and   O
lifestyle   O
changes   O
and   O
we   O
will   O
closely   O
monitor   O
for   O
improvements   O
in   O
the   O
symptoms   O
in   O
the   O
coming   O
weeks   O
.   O

Any   O
updates   O
and   O
developments   O
will   O
be   O
documented   O
under   O
the   O
ID   O
7   B-ID
-   I-ID
3435104   I-ID
and   O
communicated   O
to   O
827   B-CONTACT
406   I-CONTACT
-   I-CONTACT
3768   I-CONTACT
number   O
as   O
well   O
as   O
through   O
email   O
to   O
xp236   B-NAME
promptly   O
.   O

Patient   O
Name   O
:   O
Ingrid   B-NAME
Phillips   I-NAME
Medical   O
Record   O
Number   O
:   O
2   B-ID
-   I-ID
575053   I-ID
Patient   O
's   O
Age   O
:   O
8   O
week   O
Date   O
of   O
Consultation   O
:   O
6/7   B-DATE
Address   O
:   O
973   B-LOCATION
The   B-LOCATION
Crescent   I-LOCATION
,   O
81339   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
959   I-CONTACT
)   I-CONTACT
687   I-CONTACT
-   I-CONTACT
9004   I-CONTACT
Patient   O
's   O
Occupation   O
:   O
Charities   O
administrator   O
Following   O
consultation   O
with   O
Dr.   O
Blakey   B-NAME
,   I-NAME
Art   I-NAME
at   O
South   B-LOCATION
Central   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
the   O
patient   O
complained   O
about   O
acute   O
,   O
frequent   O
chest   O
pain   O
along   O
with   O
dyspnea   O
.   O

The   O
patient   O
had   O
a   O
TSH   O
level   O
of   O
5.5   O
mIU   O
/   O
L   O
and   O
Total   O
Cholesterol   O
of   O
220mg   O
/   O
dl   O
in   O
a   O
blood   O
test   O
done   O
at   O
People   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Ethical   I-LOCATION
Treatment   I-LOCATION
of   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
PETA   I-LOCATION
)   I-LOCATION
Medical   O
Lab   O
on   O
April   B-DATE
of   I-DATE
2211   I-DATE
.   O

The   O
patient   O
,   O
in   O
occupation   O
as   O
a   O
Data   O
Entry   O
Keyers   O
,   O
lives   O
in   O
Donnybrook   B-LOCATION
and   O
stated   O
that   O
their   O
lifestyle   O
includes   O
considerable   O
amounts   O
of   O
stress   O
and   O
limited   O
physical   O
activity   O
.   O

The   O
patient   O
's   O
driving   O
license   O
CE445/2715   B-ID
was   O
taken   O
as   O
an   O
alternate   O
form   O
of   O
identification   O
.   O

Patient   O
will   O
be   O
contacted   O
for   O
follow   O
-   O
up   O
appointments   O
through   O
their   O
phone   O
number   O
88498   B-CONTACT
.   O

I   O
,   O
Dr.   O
Cooper   B-NAME
,   I-NAME
Alice   I-NAME
,   O
recommend   O
further   O
diagnostic   O
testing   O
to   O
rule   O
out   O
potential   O
underlying   O
conditions   O
such   O
as   O
angina   O
or   O
coronary   O
artery   O
disease   O
.   O

Note   O
prepared   O
by   O
:   O
xnb246   B-NAME

Patient   O
Name   O
:   O
Joy   B-NAME
Cooper   I-NAME
Age   O
:   O
5   O
week   O
years   O
old   O
Date   O
:   O
31/15/12   B-DATE
Patient   O
Šustauskas   B-NAME
,   I-NAME
Vytautas   I-NAME
,   O
a   O
Mine   O
Cutting   O
and   O
Channeling   O
Machine   O
Operators   O
from   O
Mud   B-LOCATION
Lake   I-LOCATION
presented   O
to   O
our   O
hospital   O
,   O
Eddy   B-LOCATION
Cohoes   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
,   O
on   O
08/39   B-DATE
.   O

According   O
to   O
his   O
medical   O
record   O
number   O
367   B-ID
77   I-ID
84   I-ID
,   O
he   O
has   O
a   O
history   O
of   O
hypertension   O
,   O
diabetes   O
,   O
and   O
high   O
cholesterol   O
.   O

On   O
physical   O
examination   O
by   O
Santana   B-NAME
,   O
his   O
temperature   O
was   O
99.5   O
°   O
F   O
,   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
,   O
pulse   O
rate   O
was   O
86   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
was   O
20   O
per   O
minute   O
.   O

Furthermore   O
,   O
he   O
reported   O
an   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
associated   O
with   O
shortness   O
of   O
breath   O
and   O
profuse   O
sweating   O
,   O
that   O
occurred   O
while   O
he   O
was   O
at   O
work   O
yesterday   O
8/18/2260   B-DATE
.   O

He   O
was   O
subsequently   O
admitted   O
to   O
Faith   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
for   O
further   O
assessment   O
and   O
management   O
.   O

He   O
was   O
contacted   O
on   O
649   B-CONTACT
196   I-CONTACT
-   I-CONTACT
9430   I-CONTACT
by   O
the   O
cardiac   O
center   O
at   O
Bank   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
-   I-LOCATION
Southwest   I-LOCATION
to   O
further   O
schedule   O
a   O
date   O
for   O
angiography   O
.   O

The   O
patient   O
's   O
driver   O
’s   O
license   O
2   B-ID
-   I-ID
9351720   I-ID
from   O
Lehr   B-LOCATION
was   O
also   O
recorded   O
.   O

We   O
are   O
planning   O
to   O
communicate   O
with   O
not   O
only   O
Dauten   B-NAME
,   I-NAME
Dale   I-NAME
but   O
also   O
his   O
family   O
about   O
the   O
seriousness   O
of   O
his   O
condition   O
and   O
the   O
necessity   O
of   O
lifestyle   O
modification   O
and   O
cardiovascular   O
risk   O
factor   O
management   O
.   O

Please   O
follow   O
the   O
instructions   O
provided   O
by   O
lf736   B-NAME
to   O
access   O
further   O
details   O
about   O
the   O
patient   O
's   O
condition   O
,   O
and   O
reach   O
the   O
relevant   O
authorities   O
using   O
the   O
hospital   O
's   O
zip   O
code   O
,   O
46822   B-LOCATION
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
with   O
Linh   B-NAME
Bou   I-NAME
has   O
been   O
scheduled   O
for   O
next   O
32/02   B-DATE
.   O

Vazquez   B-NAME

Patient   O
:   O
Halle   B-NAME
Guzman   I-NAME
Age   O
:   O
17   O
Doctor   O
:   O
Cantu   B-NAME
Hospital   O
:   O
Adventhealth   B-LOCATION
Heart   I-LOCATION
of   I-LOCATION
Florida   I-LOCATION
ID   O
:   O
PC545/9713   B-ID
Location   O
:   O

Westwood   B-LOCATION
Hills   I-LOCATION
Medical   O
Record   O
:   O
5002509   B-ID
Organization   O
:   O
Canadian   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
University   I-LOCATION
Teachers   I-LOCATION
Phone   O
:   O
176   B-CONTACT
-   I-CONTACT
8390   I-CONTACT
Profession   O
:   O
Dental   O
Assistants   O
Username   O
:   O
RA41   B-NAME
Zip   O
:   O
90667   B-LOCATION
Patient   O
Early   B-NAME
,   I-NAME
Jubal   I-NAME
Anderson   I-NAME
of   O
51   O
years   O
presented   O
to   O
the   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Wayne   I-LOCATION
on   O
2148   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
32   I-DATE
.   O

Joaquin   B-NAME
Hammond   I-NAME
works   O
as   O
a   O
Information   O
systems   O
manager   O
and   O
resides   O
in   O
Magnolia   B-LOCATION
,   O
97590   B-LOCATION
.   O

The   O
call   O
to   O
35207   B-CONTACT
was   O
made   O
to   O
alert   O
about   O
the   O
developments   O
in   O
the   O
patient   O
's   O
condition   O
.   O

The   O
primary   O
healthcare   O
physician   O
attending   O
to   O
the   O
patient   O
was   O
Saige   B-NAME
Phelps   I-NAME
.   O

The   O
Iraq   B-LOCATION
and   I-LOCATION
Afghanistan   I-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
has   O
documented   O
and   O
stored   O
all   O
patient   O
records   O
under   O
6546098   B-ID
for   O
security   O
purposes   O
.   O

Patient   O
Jaylin   B-NAME
Rhodes   I-NAME
demonstrated   O
all   O
precautionary   O
measures   O
and   O
followed   O
the   O
doctor   O
's   O
advice   O
adequately   O
.   O

The   O
patient   O
's   O
username   O
(   O
fp956   B-NAME
)   O
for   O
the   O
online   O
portal   O
was   O
created   O
for   O
virtual   O
consultations   O
and   O
follow   O
-   O
ups   O
.   O

Patient   O
Palmer   B-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
daily   O
headache   O
diary   O
and   O
to   O
follow   O
up   O
with   O
Velazquez   B-NAME
in   O
a   O
month   O
's   O
time   O
or   O
earlier   O
if   O
the   O
intensity   O
or   O
frequency   O
of   O
headaches   O
increases   O
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Kovacs   B-NAME
,   I-NAME
Ernie   I-NAME
,   O
is   O
a   O
15   O
year   O
old   O
male   O
who   O
presented   O
to   O
the   O
NorthBay   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/23/2330   B-DATE
.   O

No   O
prior   O
medical   O
records   O
were   O
shared   O
at   O
the   O
time   O
of   O
admission   O
under   O
his   O
medical   O
record   O
number   O
50028174   B-ID
.   O

He   O
had   O
no   O
travel   O
history   O
to   O
any   O
Hood   B-LOCATION
.   O

Considering   O
these   O
findings   O
along   O
with   O
the   O
patient   O
's   O
presenting   O
symptoms   O
,   O
Dr.   O
Brady   B-NAME
suspected   O
acute   O
appendicitis   O
.   O

Micah   B-NAME
Bird   I-NAME
initiated   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
showed   O
evidence   O
of   O
an   O
enlarged   O
appendix   O
with   O
findings   O
suggestive   O
of   O
inflammation   O
.   O

Meanwhile   O
,   O
the   O
patient   O
's   O
private   O
practitioner   O
,   O
Dr.   O
Black   B-NAME
from   O
Walton   B-LOCATION
EMC   I-LOCATION
was   O
informed   O
about   O
the   O
current   O
health   O
situation   O
through   O
78980   B-CONTACT
.   O

Currently   O
,   O
he   O
resides   O
at   O
Brushy   B-LOCATION
Creek   I-LOCATION
with   O
around   O
zipcode   O
63950   B-LOCATION
.   O

For   O
emergency   O
contact   O
,   O
Shah   B-NAME
has   O
listed   O
his   O
brother   O
,   O
whose   O
phone   O
number   O
is   O
19931   B-CONTACT
.   O

Cassidy   B-NAME
Dunlap   I-NAME
's   O
insurance   O
details   O
are   O
listed   O
under   O
the   O
ID   O
number   O
OQ:6646:237491   B-ID
.   O

The   O
patient   O
's   O
medical   O
status   O
was   O
recorded   O
by   O
nurse   O
dh265   B-NAME
.   O

Following   O
guidelines   O
,   O
the   O
plan   O
is   O
to   O
proceed   O
with   O
an   O
appendectomy   O
under   O
the   O
care   O
of   O
the   O
surgical   O
team   O
led   O
by   O
Dr.   O
Pablo   B-NAME
Roy   I-NAME
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
2031   B-DATE
.   O

This   O
report   O
was   O
transcribed   O
and   O
reviewed   O
by   O
nurse   O
adw297   B-NAME
on   O
09   B-DATE
-   I-DATE
27   I-DATE
.   O

Patient   O
Courtney   B-NAME
,   I-NAME
Margaret   I-NAME
visited   O
the   O
Wayne   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
8/3   B-DATE
.   O

On   O
physical   O
examination   O
,   O
Alena   B-NAME
Cole   I-NAME
also   O
noted   O
weight   O
loss   O
and   O
jaundice   O
.   O

His   O
clinician   O
Kinski   B-NAME
,   I-NAME
Klaus   I-NAME
ordered   O
an   O
ultrasound   O
which   O
revealed   O
a   O
small   O
,   O
dense   O
mass   O
in   O
the   O
gallbladder   O
.   O

The   O
creation   O
of   O
SORENSEN   B-NAME
,   I-NAME
SAUL   I-NAME
's   O
electronic   O
health   O
record   O
number   O
6723323   B-ID
also   O
revealed   O
elevated   O
levels   O
of   O
bilirubin   O
and   O
alkaline   O
phosphatase   O
in   O
the   O
liver   O
function   O
test   O
.   O

Following   O
these   O
findings   O
,   O
Dr.   O
Jaylee   B-NAME
Estrada   I-NAME
suggested   O
a   O
possible   O
diagnosis   O
of   O
cholecystitis   O
or   O
gallbladder   O
cancer   O
.   O

Josefa   B-NAME
Scotti   I-NAME
was   O
referred   O
to   O
a   O
specialist   O
in   O
Morley   B-LOCATION
where   O
further   O
tests   O
were   O
scheduled   O
on   O
Thursday   B-DATE
to   O
solidify   O
the   O
diagnosis   O
.   O

On   O
the   O
scheduled   O
date   O
for   O
the   O
appointment   O
,   O
Alicia   B-NAME
Preston   I-NAME
drove   O
from   O
his   O
residence   O
located   O
at   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11230   I-LOCATION
with   O
zip   O
code   O
81597   B-LOCATION
and   O
arrived   O
at   O
the   O
Chesapeake   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
examination   O
.   O

Further   O
medical   O
examination   O
conducted   O
by   O
Villanueva   B-NAME
confirmed   O
the   O
diagnosis   O
.   O

The   O
patient   O
’s   O
phone   O
number   O
is   O
720   B-CONTACT
3208   I-CONTACT
and   O
ID   O
number   O
is   O
PO:85460:102790   B-ID
.   O

He   O
is   O
currently   O
working   O
as   O
a   O
/   O
an   O
Anthropologists   O
and   O
Archeologists   O
in   O
an   O
Georgia   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Southern   I-LOCATION
Company   I-LOCATION
.   O

Josue   B-NAME
Gallagher   I-NAME
is   O
following   O
up   O
with   O
Allen   B-NAME
for   O
treatment   O
and   O
has   O
been   O
advised   O
to   O
maintain   O
a   O
healthy   O
lifestyle   O
as   O
a   O
part   O
of   O
his   O
ongoing   O
diabetes   O
management   O
.   O

CD00   B-NAME
updated   O
the   O
patient   O
's   O
records   O
on   O
the   O
hospital   O
's   O
online   O
platform   O
.   O

He   O
is   O
scheduled   O
to   O
check   O
back   O
in   O
02/29/2003   B-DATE
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
the   O
same   O
Hoboken   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
Eden   B-NAME
Gates   I-NAME
Age   O
:   O
7   O
week   O
Medical   O
Record   O
Number   O
:   O
868   B-ID
-   I-ID
73   I-ID
-   I-ID
31   I-ID
-   I-ID
6   I-ID
Address   O
:   O
Halliday   B-LOCATION
,   O
75249   B-LOCATION
Phone   O
Number   O
:   O
89376   B-CONTACT
ID   O
:   O
FF:16854:136160   B-ID
Primary   O
Physician   O
:   O
Dr.   O
Green   B-NAME
Hospital   O
:   O
Bronson   B-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION

A   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
and   O
abdominal   O
ultrasound   O
,   O
were   O
ordered   O
by   O
Dr.   O
Booker   B-NAME
at   O
Starr   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

However   O
,   O
in   O
2/34   B-DATE
,   O
the   O
patient   O
was   O
diagnosed   O
at   O
the   O
same   O
hospital   O
,   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Orange   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Anaheim   I-LOCATION
with   O
Type   O
II   O
Diabetes   O
and   O
is   O
currently   O
on   O
Metformin   O
.   O

In   O
addition   O
,   O
Rose   B-NAME
Duke   I-NAME
reported   O
that   O
they   O
have   O
occasional   O
bouts   O
of   O
hypertension   O
and   O
hence   O
,   O
are   O
on   O
a   O
beta   O
-   O
blocker   O
,   O
prescribed   O
by   O
their   O
primary   O
healthcare   O
professional   O
.   O

Prior   O
to   O
the   O
current   O
Welding   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
the   O
patient   O
worked   O
in   O
an   O
Butler   B-LOCATION
Bank   I-LOCATION
in   O
Tanana   B-LOCATION
and   O
reports   O
a   O
generally   O
sedentary   O
lifestyle   O
with   O
limited   O
physical   O
activity   O
.   O

Pending   O
further   O
review   O
of   O
the   O
patient   O
's   O
vitals   O
and   O
condition   O
,   O
Dr.   O
Kenny   B-NAME
Gilbert   I-NAME
plans   O
to   O
perform   O
an   O
appendectomy   O
,   O
tentatively   O
scheduled   O
for   O
extensive   O
care   O
at   O
Methodist   B-LOCATION
Charlton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/24/2042   B-DATE
.   O

The   O
family   O
has   O
been   O
contacted   O
at   O
784   B-CONTACT
-   I-CONTACT
4283   I-CONTACT
and   O
updated   O
about   O
the   O
patient   O
's   O
condition   O
.   O

All   O
the   O
data   O
have   O
been   O
collected   O
and   O
documented   O
properly   O
as   O
per   O
the   O
guidelines   O
by   O
nurse   O
xj924   B-NAME
for   O
reference   O
and   O
follow   O
-   O
ups   O
.   O

Floy   B-NAME
Light   I-NAME
DOB   O
:   O
32/20   B-DATE
Age   O
:   O
42   O
ID   O
:   O
8488764   B-ID
Medical   O
Record   O
:   O
2245835   B-ID
Chance   B-NAME
Frost   I-NAME
presented   O
to   O
our   O
clinic   O
at   O
Mansfield   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
76063   I-LOCATION
on   O
2120   B-DATE
-   I-DATE
37   I-DATE
-   I-DATE
29   I-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Dr.   O
Siu   B-NAME
Fader   I-NAME
from   O
Summit   B-LOCATION
Pacific   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Brock   B-NAME
Holt   I-NAME
’s   O
medical   O
history   O
was   O
comprehensively   O
evaluated   O
.   O

The   O
patient   O
works   O
as   O
a   O
Tractor   O
-   O
Trailer   O
Truck   O
Drivers   O
in   O
Parents   B-LOCATION
Anonymous   I-LOCATION
and   O
lives   O
in   O
Oak   B-LOCATION
Beach   I-LOCATION
.   O

A   O
detailed   O
neurological   O
examination   O
was   O
carried   O
out   O
by   O
Dr.   O
Smith   B-NAME
,   I-NAME
Elliott   I-NAME
.   O

Alonzo   B-NAME
Perry   I-NAME
was   O
sent   O
for   O
an   O
MRI   O
scan   O
at   O
Manhattan   B-LOCATION
Eye   I-LOCATION
,   O
the   O
results   O
of   O
which   O
revealed   O
a   O
benign   O
brain   O
tumor   O
.   O

Follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
2/30   B-DATE
for   O
further   O
investigation   O
and   O
to   O
discuss   O
potential   O
treatment   O
strategies   O
.   O

If   O
additional   O
information   O
is   O
needed   O
,   O
please   O
do   O
not   O
hesitate   O
to   O
contact   O
our   O
clinic   O
at   O
(   B-CONTACT
816   I-CONTACT
)   I-CONTACT
421   I-CONTACT
-   I-CONTACT
3210   I-CONTACT
.   O

All   O
of   O
James   B-NAME
’s   O
medical   O
information   O
is   O
securely   O
stored   O
under   O
medical   O
record   O
9933933   B-ID
in   O
our   O
database   O
with   O
username   O
jqk693   B-NAME
accessible   O
only   O
in   O
Sparrow   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Southaven   B-LOCATION
.   O

For   O
postal   O
communication   O
,   O
our   O
zip   O
code   O
is   O
47177   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Lillian   B-NAME
Price   I-NAME
Age   O
:   O
15s   O
Medical   O
Record   O
Number   O
:   O
577   B-ID
-   I-ID
93   I-ID
-   I-ID
07   I-ID
Treatment   O
Location   O
:   O

Day   B-LOCATION
Kimball   I-LOCATION
Hospital   I-LOCATION
,   O
Panhandle   B-LOCATION
,   O
39589   B-LOCATION

Appointment   O
Schedule   O
:   O
26   B-DATE
May   I-DATE
Consultant   O
:   O

Nasir   B-NAME
Day   I-NAME
Chief   O
Complaint   O
:   O
Hendrie   B-NAME
,   I-NAME
Phil   I-NAME
reports   O
experiencing   O
consistent   O
and   O
severe   O
sharp   O
pain   O
in   O
the   O
lower   O
right   O
abdomen   O
for   O
the   O
past   O
week   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ashlyn   B-NAME
Cain   I-NAME
first   O
noticed   O
a   O
vague   O
discomfort   O
in   O
the   O
same   O
region   O
approximately   O
two   O
weeks   O
back   O
.   O

Mya   B-NAME
Jackson   I-NAME
has   O
a   O
known   O
history   O
of   O
gallstones   O
and   O
underwent   O
a   O
Cholecystectomy   O
at   O
McAllen   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
in   O
2/11/92   B-DATE
.   O

Social   O
History   O
:   O
KATZ   B-NAME
,   I-NAME
LAURA   I-NAME
is   O
employed   O
in   O
Stock   O
Clerks   O
and   O
Order   O
Fillers   O
.   O

Hg   O
,   O
Pulse   O
:   O
75   O
bpm   O
.   O
Investigation   O
:   O
A   O
series   O
of   O
lab   O
tests   O
include   O
a   O
complete   O
blood   O
count   O
,   O
liver   O
function   O
tests   O
,   O
renal   O
function   O
tests   O
,   O
and   O
an   O
ultrasound   O
of   O
the   O
abdomen   O
has   O
been   O
ordered   O
for   O
October   B-DATE
33   I-DATE
.   O

Contact   O
Information   O
Available   O
:   O
787   B-CONTACT
-   I-CONTACT
7184   I-CONTACT
,   O
841689786   B-ID
,   O
can   O
also   O
reach   O
via   O
AV710   B-NAME
at   O
First   B-LOCATION
Commerce   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

Signed   O
:   O
Schwartz   B-NAME
,   O
Methodist   B-LOCATION
South   I-LOCATION
Hospital   I-LOCATION
,   O
Department   O
of   O
Gastroenterology   O

Patient   O
Name   O
:   O
Roderick   B-NAME
Kerr   I-NAME
Age   O
:   O
84   O
Date   O
:   O
01/2   B-DATE
Physician   O
:   O

Mariko   B-NAME
Hinkel   I-NAME
ID   O
:   O
2   B-ID
-   I-ID
4971132   I-ID
Medical   O
Record   O
:   O
394   B-ID
-   I-ID
28   I-ID
-   I-ID
96   I-ID
-   I-ID
1   I-ID
Location   O
:   O
Bay   B-LOCATION
Center   I-LOCATION
Hospital   O
:   O
HealthSouth   B-LOCATION
RidgeLake   I-LOCATION
Hospital   I-LOCATION
Zip   O
Code   O
:   O
69625   B-LOCATION
Case   O
Report   O
:   O

The   O
patient   O
,   O
named   O
Yacob   B-NAME
T.   I-NAME
Kane   I-NAME
,   O
visited   O
Mountain   B-LOCATION
Lakes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
consultation   O
on   O
33/22/02   B-DATE
.   O

Montes   B-NAME
reported   O
suffering   O
from   O
severe   O
and   O
persistent   O
abdominal   O
pain   O
,   O
concentrated   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Aydan   B-NAME
Wade   I-NAME
recommended   O
an   O
immediate   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
and   O
abdominal   O
ultrasound   O
,   O
and   O
the   O
results   O
demonstrated   O
leukocytosis   O
,   O
suggestive   O
of   O
an   O
inflammatory   O
response   O
,   O
and   O
a   O
thickened   O
,   O
noncompressible   O
appendix   O
,   O
strongly   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Given   O
the   O
severity   O
of   O
the   O
symptoms   O
and   O
the   O
patient   O
's   O
increasingly   O
uncomfortable   O
state   O
,   O
Calderon   B-NAME
recommended   O
an   O
urgent   O
surgical   O
intervention   O
,   O
specifically   O
laparoscopic   O
appendectomy   O
,   O
which   O
was   O
scheduled   O
for   O
the   O
next   O
day   O
at   O
Saint   B-LOCATION
John   I-LOCATION
Vianney   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
further   O
details   O
or   O
assistance   O
,   O
please   O
contact   O
our   O
hotline   O
number   O
at   O
895   B-CONTACT
-   I-CONTACT
5518   I-CONTACT
.   O

Our   O
staff   O
,   O
including   O
the   O
members   O
from   O
Interstate   B-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
,   O
will   O
be   O
ready   O
to   O
assist   O
.   O

Please   O
also   O
note   O
that   O
all   O
of   O
Oscar   B-NAME
G.   I-NAME
Gregory   I-NAME
's   O
medical   O
information   O
can   O
be   O
accessed   O
on   O
the   O
hospital   O
portal   O
using   O
the   O
username   O
BN389   B-NAME
.   O

It   O
is   O
also   O
substantial   O
to   O
note   O
that   O
Turner   B-NAME
Hughes   I-NAME
works   O
as   O
a   O
Photographic   O
Retouchers   O
and   O
Restorers   O
at   O
Lake   B-LOCATION
Hallie   I-LOCATION
.   O

The   O
patient   O
resides   O
in   O
the   O
34451   B-LOCATION
region   O
and   O
should   O
be   O
provided   O
with   O
information   O
about   O
the   O
best   O
available   O
home   O
health   O
care   O
services   O
within   O
their   O
location   O
.   O

Medical   O
records   O
for   O
this   O
case   O
will   O
be   O
securely   O
maintained   O
under   O
936   B-ID
02   I-ID
72   I-ID
.   O
-   O
Brooks   B-NAME

Patient   O
Name   O
:   O
Elias   B-NAME
Huer   I-NAME
Age   O
:   O
62   O
ID   O
:   O
OH479/5526   B-ID
Address   O
:   O
Barnegat   B-LOCATION
Light   I-LOCATION
Phone   O
:   O
146   B-CONTACT
-   I-CONTACT
1573   I-CONTACT
Medical   O
Record   O
Number   O
:   O
138   B-ID
-   I-ID
42   I-ID
-   I-ID
31   I-ID
-   I-ID
4   I-ID
Dr.   O
Hugo   B-NAME
Greer   I-NAME
Memorial   B-LOCATION
Hospital   I-LOCATION
Jacksonville   I-LOCATION
11/44   B-DATE
America   B-LOCATION
West   I-LOCATION
Bank   I-LOCATION
Physical   O
Therapist   O
Assistants   O
eoj272   B-NAME
56573   B-LOCATION
Subject   O
:   O
Patient   O
Visit   O
Report   O

The   O
patient   O
,   O
Leo   B-NAME
Pace   I-NAME
,   O
presented   O
at   O
the   O
Peconic   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
39/02   B-DATE
accompanied   O
by   O
a   O
family   O
member   O
.   O

Moreover   O
,   O
Kaylen   B-NAME
Chaney   I-NAME
reported   O
atypical   O
retrosternal   O
chest   O
discomfort   O
on   O
exertion   O
,   O
which   O
was   O
becoming   O
more   O
frequent   O
.   O

For   O
now   O
,   O
Patricia   B-NAME
Lund   I-NAME
was   O
advised   O
rest   O
,   O
increased   O
fluid   O
intake   O
,   O
fever   O
management   O
using   O
paracetamol   O
,   O
and   O
appropriate   O
isolation   O
measures   O
until   O
test   O
results   O
come   O
back   O
to   O
limit   O
possible   O
spread   O
in   O
case   O
of   O
an   O
infectious   O
etiology   O
.   O

A   O
review   O
appointment   O
is   O
scheduled   O
for   O
Larry   B-NAME
T.   I-NAME
Jansen   I-NAME
in   O
two   O
weeks   O
for   O
further   O
examination   O
and   O
diagnosis   O
confirmation   O
.   O

Sincerely   O
,   O
Clara   B-NAME
Thornton   I-NAME
cov512   B-NAME

Patient   O
report   O
:   O
The   O
patient   O
,   O
Dominic   B-NAME
Issa   I-NAME
,   O
visited   O
the   O
hospital   O
on   O
17/41   B-DATE
.   O

Her   O
primary   O
doctor   O
,   O
Santino   B-NAME
Herman   I-NAME
,   O
works   O
at   O
the   O
Cox   B-LOCATION
South   I-LOCATION
located   O
in   O
Orange   B-LOCATION
Park   I-LOCATION
.   O

She   O
lives   O
at   O
Winters   B-LOCATION
,   O
and   O
her   O
contact   O
information   O
includes   O
a   O
home   O
phone   O
number   O
(   B-CONTACT
464   I-CONTACT
)   I-CONTACT
216   I-CONTACT
-   I-CONTACT
2109   I-CONTACT
and   O
a   O
cell   O
phone   O
number   O
(   B-CONTACT
259   I-CONTACT
)   I-CONTACT
699   I-CONTACT
8625   I-CONTACT
.   O

She   O
does   O
not   O
have   O
a   O
personal   O
email   O
address   O
and   O
instead   O
uses   O
a   O
shared   O
account   O
with   O
the   O
username   O
SV797   B-NAME
.   O

Her   O
medical   O
record   O
number   O
at   O
the   O
hospital   O
is   O
49963495   B-ID
,   O
and   O
her   O
primary   O
care   O
physician   O
's   O
office   O
also   O
uses   O
this   O
identifier   O
.   O

She   O
recently   O
submitted   O
her   O
social   O
security   O
XE638/1954   B-ID
and   O
insurance   O
information   O
to   O
the   O
billing   O
department   O
at   O
the   O
Quinlan   B-LOCATION
Eye   I-LOCATION
Surgery   I-LOCATION
&   I-LOCATION
Laser   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Pittsburg   I-LOCATION
.   O

Given   O
these   O
symptoms   O
,   O
Lin   B-NAME
suspects   O
a   O
diagnosis   O
of   O
migraine   O
headache   O
and   O
initiated   O
a   O
trial   O
of   O
sumatriptan   O
in   O
conjunction   O
with   O
a   O
preventative   O
medication   O
,   O
topiramate   O
.   O

The   O
pharmacy   O
at   O
Dixon   B-LOCATION
code   O
52623   B-LOCATION
usually   O
fills   O
these   O
prescriptions   O
for   O
her   O
.   O

The   O
patient   O
is   O
scheduled   O
to   O
follow   O
up   O
with   O
Malik   B-NAME
Rowe   I-NAME
at   O
Reynolds   B-LOCATION
County   I-LOCATION
General   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
in   O
2   O
weeks   O
on   O
Wednesday   B-DATE
.   O

The   O
contact   O
number   O
for   O
scheduling   O
any   O
additional   O
appointments   O
or   O
changes   O
was   O
provided   O
-   O
627   B-CONTACT
-   I-CONTACT
699   I-CONTACT
-   I-CONTACT
7336   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
BH241   B-NAME
associated   O
with   O
the   O
Chemical   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
(   I-LOCATION
CIC   I-LOCATION
)   I-LOCATION
and   O
submitted   O
on   O
02/25   B-DATE
.   O

Patient   O
Name   O
:   O
Jaydan   B-NAME
Phelps   I-NAME
Age   O
:   O
74   O
Date   O
:   O
00/18/2272   B-DATE
Patient   O
ID   O
:   O
RZ:93629:556316   B-ID
Physician   O
:   O

Lilia   B-NAME
Page   I-NAME
Location   O
:   O
Marcellus   B-LOCATION
Medical   O
Record   O
Number   O
:   O
161   B-ID
-   I-ID
14   I-ID
-   I-ID
68   I-ID
Hospital   O
:   O
Located   B-LOCATION
within   I-LOCATION
Bronson   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Phone   O
Number   O
:   O
48085   B-CONTACT
Profession   O
:   O
Social   O
Workers   O
,   O
All   O
Other   O
Username   O
:   O
uc111   B-NAME
Zip   O
Code   O
:   O
80832   B-LOCATION
History   O
Of   O
Present   O
Illness   O
:   O

This   O
is   O
a   O
74   O
year   O
old   O
patient   O
named   O
Avah   B-NAME
Copeland   I-NAME
who   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Cedar   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
22/34   B-DATE
.   O

Levine   B-NAME
performed   O
a   O
complete   O
examination   O
on   O
the   O
presented   O
day   O
.   O

The   O
patient   O
is   O
a   O
professional   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Agricultural   O
Crop   O
Workers   O
and   O
lives   O
in   O
Crookston   B-LOCATION
.   O

The   O
ZB119/4310   B-ID
number   O
associated   O
with   O
this   O
patient   O
is   O
on   O
record   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
CT   O
and   O
MRI   O
scans   O
on   O
39/32   B-DATE
at   O
Capital   B-LOCATION
Health   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
room   O
number   O
89146810   B-ID
.   O

Contact   O
details   O
:   O
Patient   O
can   O
be   O
contacted   O
best   O
at   O
846   B-CONTACT
404   I-CONTACT
-   I-CONTACT
6445   I-CONTACT
and   O
lives   O
in   O
93866   B-LOCATION
code   O
.   O

Any   O
updates   O
regarding   O
the   O
patient   O
's   O
condition   O
should   O
be   O
forwarded   O
to   O
the   O
nurse   O
's   O
station   O
at   O
AnimaNaturalis   B-LOCATION
(   I-LOCATION
Spain   I-LOCATION
and   I-LOCATION
Latin   I-LOCATION
America   I-LOCATION
)   I-LOCATION
.   O

For   O
the   O
purpose   O
of   O
further   O
reference   O
and   O
tracking   O
,   O
the   O
patient   O
has   O
been   O
assigned   O
the   O
username   O
ps286   B-NAME
in   O
our   O
hospital   O
database   O
system   O
.   O

Signed   O
:   O
Rebekah   B-NAME
Buckley   I-NAME

Patient   O
Synopsis   O
:   O
Michael   B-NAME
Baranski   I-NAME
was   O
admitted   O
to   O
The   B-LOCATION
University   I-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Hospital   I-LOCATION
on   O
2/2   B-DATE
following   O
complaints   O
of   O
acute   O
onset   O
of   O
substernal   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
shortness   O
of   O
breath   O
.   O

Nikolas   B-NAME
Buchanan   I-NAME
,   O
a   O
Photoengraving   O
and   O
Lithographing   O
Machine   O
Operators   O
and   O
Tenders   O
from   O
Ridgway   B-LOCATION
,   O
has   O
been   O
a   O
non   O
-   O
smoker   O
throughout   O
his   O
life   O
and   O
does   O
n't   O
have   O
a   O
history   O
of   O
cardiac   O
issues   O
.   O

The   O
admission   O
clerk   O
noted   O
these   O
details   O
in   O
the   O
7418552   B-ID
.   O

An   O
immediate   O
call   O
was   O
put   O
through   O
via   O
973   B-CONTACT
-   I-CONTACT
111   I-CONTACT
2581   I-CONTACT
to   O
Giselle   B-NAME
Mcguire   I-NAME
,   O
our   O
resident   O
cardiologist   O
.   O

The   O
medical   O
ID   O
of   O
the   O
patient   O
was   O
noted   O
down   O
as   O
PV300/7344   B-ID
.   O

The   O
cardiology   O
team   O
of   O
Marin   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
under   O
the   O
guidance   O
of   O
Huffman   B-NAME
,   O
promptly   O
initiated   O
the   O
management   O
.   O

Xing   B-NAME
was   O
given   O
aspirin   O
,   O
nitroglycerin   O
and   O
a   O
loading   O
dose   O
of   O
heparin   O
,   O
as   O
per   O
protocol   O
outlined   O
by   O
American   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

While   O
waiting   O
for   O
lab   O
results   O
,   O
his   O
family   O
from   O
German   B-LOCATION
Valley   I-LOCATION
were   O
notified   O
via   O
470   B-CONTACT
249   I-CONTACT
2892   I-CONTACT
.   O

Parker   B-NAME
Estes   I-NAME
's   O
next   O
of   O
kin   O
is   O
his   O
daughter   O
,   O
aged   O
2   O
week   O
years   O
,   O
who   O
works   O
as   O
a   O
Press   O
photographer   O
.   O

Samples   O
were   O
sent   O
to   O
the   O
Sierra   B-LOCATION
Nevada   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
lab   O
,   O
located   O
at   O
Boynton   B-LOCATION
,   O
with   O
the   O
requisition   O
form   O
under   O
qn624   B-NAME
.   O

Mauricio   B-NAME
Bray   I-NAME
quickly   O
worked   O
on   O
creating   O
an   O
action   O
plan   O
for   O
Thomson   B-NAME
,   I-NAME
William   I-NAME
-   I-NAME
a.k.a   I-NAME
.   I-NAME
Lord   B-NAME
Kelvin   I-NAME
.   O

With   O
consent   O
,   O
Sidney   B-NAME
Hopkins   I-NAME
underwent   O
primary   O
percutaneous   O
coronary   O
intervention   O
the   O
following   O
day   O
,   O
11/12   B-DATE
.   O

He   O
is   O
currently   O
in   O
recovery   O
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
2363   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
20   I-DATE
at   O
Northwest   B-LOCATION
Texas   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
's   O
cardiology   O
department   O
,   O
located   O
at   O
38924   B-LOCATION
address   O
.   O

The   O
department   O
reception   O
can   O
be   O
contacted   O
at   O
(   B-CONTACT
220   I-CONTACT
)   I-CONTACT
522   I-CONTACT
-   I-CONTACT
6105   I-CONTACT
for   O
any   O
further   O
information   O
or   O
modifications   O
in   O
the   O
appointment   O
.   O

Please   O
find   O
Yan   B-NAME
's   O
attached   O
discharge   O
summary   O
.   O

Kendall   B-NAME
Brown   I-NAME
Age   O
:   O
16   O
Address   O
:   O
Pecan   B-LOCATION
Hill   I-LOCATION
,   O
71834   B-LOCATION
Phone   O
:   O
35207   B-CONTACT
SSN   O
:   O
DH954/9766   B-ID
Physician   O
:   O

Mullally   B-NAME
,   I-NAME
Megan   I-NAME
Medical   O
Information   O
:   O
On   O
03/03   B-DATE
,   O
Amanda   B-NAME
Bentley   I-NAME
presented   O
at   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Troy   I-LOCATION
with   O
severe   O
abdominal   O
pain   O
,   O
high   O
fever   O
,   O
and   O
persistent   O
vomiting   O
.   O

Upon   O
admission   O
,   O
the   O
attending   O
physician   O
,   O
Kayden   B-NAME
Pham   I-NAME
,   O
conducted   O
an   O
initial   O
examination   O
.   O

Patient   O
history   O
was   O
obtained   O
which   O
indicated   O
that   O
Jakayla   B-NAME
Valdez   I-NAME
had   O
been   O
suffering   O
from   O
these   O
acute   O
symptoms   O
for   O
the   O
past   O
three   O
days   O
.   O

Kendra   B-NAME
Hutchinson   I-NAME
currently   O
works   O
as   O
a   O
Computer   O
Operators   O
for   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
the   I-LOCATION
South   I-LOCATION
,   O
and   O
mentioned   O
that   O
work   O
-   O
related   O
stress   O
could   O
have   O
induced   O
poor   O
eating   O
habits   O
recently   O
.   O

On   O
32   B-DATE
,   O
the   O
results   O
indicated   O
high   O
white   O
blood   O
cell   O
count   O
and   O
the   O
presence   O
of   O
appendicitis   O
confirmed   O
by   O
CT   O
imaging   O
.   O

Consequently   O
,   O
Mcneil   B-NAME
recommended   O
an   O
immediate   O
appendectomy   O
which   O
was   O
done   O
on   O
the   O
same   O
day   O
.   O

Zackary   B-NAME
Blair   I-NAME
was   O
hospitalized   O
in   O
Lake   B-LOCATION
Martin   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
recovery   O
and   O
was   O
closely   O
monitored   O
for   O
potential   O
complications   O
.   O

The   O
surgery   O
was   O
successful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
0/34/2033   B-DATE
with   O
prescription   O
antibiotics   O
and   O
painkillers   O
,   O
instructions   O
for   O
home   O
care   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

Follow   O
up   O
:   O
Contact   O
was   O
made   O
on   O
(   B-CONTACT
605   I-CONTACT
)   I-CONTACT
100   I-CONTACT
3311   I-CONTACT
to   O
ensure   O
the   O
patient   O
had   O
a   O
proper   O
recovery   O
process   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
was   O
confirmed   O
for   O
June   B-DATE
5   I-DATE
-   I-DATE
23   I-DATE
at   O
Cabery   B-LOCATION
.   O

Please   O
find   O
all   O
the   O
documented   O
information   O
and   O
patient   O
history   O
under   O
the   O
medical   O
record   O
number   O
1791953   B-ID
and   O
username   O
emh2810   B-NAME
.   O

Signed   O
,   O
Patton   B-NAME
(   O
Patient   O
Confidentiality   O
is   O
respected   O
and   O
maintained   O
as   O
per   O
HIPAA   O
regulations   O
)   O

Patient   O
Name   O
:   O
Jason   B-NAME
Mantzoukas   I-NAME
DOB   O
:   O

November   B-DATE
of   I-DATE
2142   I-DATE
Age   O
:   O
65   O
Patient   O
ID   O
:   O
2712840   B-ID
Medical   O
Record   O
Number   O
:   O
799   B-ID
-   I-ID
31   I-ID
-   I-ID
03   I-ID
-   I-ID
0   I-ID
Contact   O
Number   O
:   O
57642   B-CONTACT
Address   O
:   O
Scottsboro   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Scottsboro   I-LOCATION
,   O
Zip   O
code   O
:   O
20041   B-LOCATION
Physician   O
:   O

Leasah   B-NAME
Symptoms   O
:   O
Spencer   B-NAME
was   O
admitted   O
to   O
Melrose   B-LOCATION
-   I-LOCATION
Wakefield   I-LOCATION
Hospital   I-LOCATION
on   O
2264   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
08   I-DATE
.   O

By   O
the   O
time   O
of   O
the   O
second   O
day   O
,   O
Xavier   B-NAME
M.   I-NAME
Sampson   I-NAME
's   O
symptoms   O
had   O
worsened   O
.   O

In   O
response   O
to   O
the   O
significant   O
shortness   O
of   O
breath   O
,   O
Isaac   B-NAME
Blake   I-NAME
at   O
The   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
recommended   O
commencement   O
of   O
oxygen   O
therapy   O
.   O

A   O
Reverse   O
transcription   O
-   O
polymerase   O
chain   O
reaction   O
(   O
RT   O
-   O
PCR   O
)   O
test   O
was   O
performed   O
and   O
a   O
nasal   O
and   O
throat   O
swab   O
sample   O
was   O
sent   O
for   O
COVID-19   O
testing   O
to   O
Collective   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
,   O
reflecting   O
the   O
prevailing   O
outbreak   O
in   O
East   B-LOCATION
Bethel   I-LOCATION
.   O

Kotok   B-NAME
,   I-NAME
Alan   I-NAME
is   O
an   O
Accountant   O
by   O
Computer   O
Programmers   O
and   O
works   O
at   O
Montana   B-LOCATION
Electric   I-LOCATION
Cooperatives   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
in   O
Richardson   B-LOCATION
.   O

For   O
further   O
consultation   O
and   O
guidance   O
,   O
she   O
can   O
be   O
reached   O
at   O
782   B-CONTACT
-   I-CONTACT
7994   I-CONTACT
or   O
via   O
her   O
work   O
username   O
,   O
cwi784   B-NAME
.   O

Currently   O
,   O
Taliyah   B-NAME
Hoffman   I-NAME
is   O
placed   O
under   O
isolation   O
in   O
the   O
ICU   O
,   O
monitored   O
by   O
Pipt   B-NAME
and   O
team   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
D.   B-NAME
EMON   I-NAME
DUBOIS   I-NAME
Age   O
:   O
77   O
Medical   O
record   O
number   O
:   O
6044243   B-ID
Physician   O
:   O

Leandro   B-NAME
Gallegos   I-NAME
Date   O
of   O
visit   O
:   O
3/23   B-DATE
Kilroy   B-NAME
-   I-NAME
Silk   I-NAME
,   I-NAME
Robert   I-NAME
presented   O
to   O
the   O
Children   B-LOCATION
's   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
on   O
35/20   B-DATE
.   O

Charles   B-NAME
Tisdale   I-NAME
has   O
been   O
complaining   O
of   O
recurrent   O
severe   O
headaches   O
that   O
typically   O
occur   O
early   O
in   O
the   O
morning   O
.   O

Brandi   B-NAME
Xayasane   I-NAME
also   O
reported   O
associated   O
symptoms   O
such   O
as   O
photophobia   O
and   O
blurred   O
vision   O
.   O

Furthermore   O
,   O
Steven   B-NAME
James   I-NAME
reported   O
experiencing   O
episodes   O
of   O
vertigo   O
and   O
some   O
balance   O
defects   O
,   O
particularly   O
when   O
changing   O
the   O
body   O
's   O
position   O
.   O

We   O
have   O
scheduled   O
the   O
MRI   O
for   O
06/10/1864   B-DATE
at   O
the   O
diagnostic   O
imaging   O
department   O
,   O
Crescent   B-LOCATION
Pines   I-LOCATION
Hospital   I-LOCATION
.   O

Lorr   B-NAME
's   O
health   O
ID   O
number   O
is   O
4   B-ID
-   I-ID
9943883   I-ID
and   O
resides   O
at   O
California   B-LOCATION
.   O

For   O
any   O
further   O
communication   O
,   O
the   O
contact   O
number   O
is   O
57416   B-CONTACT
and   O
the   O
email   O
is   O
cao479   B-NAME
@gmail.com   O
.   O

Jamarion   B-NAME
Cline   I-NAME
from   O
Parkway   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
plans   O
to   O
review   O
the   O
results   O
and   O
consult   O
with   O
a   O
neurologist   O
from   O
the   O
Safeco   B-LOCATION
for   O
a   O
further   O
plan   O
of   O
action   O
.   O

Spencer   B-NAME
Howard   I-NAME
works   O
as   O
a   O
Construction   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
and   O
is   O
anxious   O
to   O
get   O
back   O
to   O
work   O
.   O

I   O
will   O
be   O
contacting   O
Martin   B-NAME
,   I-NAME
Demetri   I-NAME
to   O
follow   O
up   O
and   O
assess   O
his   O
symptoms   O
after   O
the   O
test   O
.   O

The   O
letter   O
is   O
sent   O
to   O
address   O
Shell   B-LOCATION
Lake   I-LOCATION
,   O
with   O
zip   O
code   O
58683   B-LOCATION
.   O

62910406   B-ID
:   O

A123456789   O
02/83   B-DATE
:   O
The   O
patient   O
,   O
Daniels   B-NAME
,   I-NAME
Anthony   I-NAME
,   O
was   O
admitted   O
to   O
the   O
Taylor   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
September   B-DATE
.   O

The   O
patient   O
is   O
a   O
4   O
week   O
years   O
old   O
female   O
,   O
living   O
in   O
Greens   B-LOCATION
Landing   I-LOCATION
,   O
zip   O
code   O
22371   B-LOCATION
.   O

She   O
works   O
as   O
a   O
Business   O
Continuity   O
Planners   O
in   O
a   O
local   O
Colorado   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

Upon   O
examination   O
,   O
Garrett   B-NAME
noted   O
that   O
Patricia   B-NAME
Keating   I-NAME
had   O
a   O
tender   O
abdomen   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Hernández   B-NAME
,   I-NAME
Julián   I-NAME
was   O
immediately   O
scheduled   O
for   O
an   O
emergency   O
appendectomy   O
.   O

Her   O
LV995/4583   B-ID
,   O
phone   O
number   O
(   O
75701   B-CONTACT
)   O
,   O
and   O
the   O
emergency   O
contact   O
of   O
her   O
brother   O
,   O
who   O
resides   O
at   O
the   O
same   O
address   O
were   O
updated   O
in   O
the   O
hospital   O
records   O
.   O

Post   O
-   O
surgery   O
,   O
Gilberto   B-NAME
Levine   I-NAME
has   O
been   O
advised   O
to   O
follow   O
a   O
liquid   O
diet   O
gradually   O
introducing   O
solid   O
food   O
.   O

She   O
has   O
also   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
in   O
two   O
weeks   O
with   O
Dominique   B-NAME
Kirk   I-NAME
at   O
North   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
,   O
located   O
in   O
740   B-LOCATION
Pennington   I-LOCATION
Street   I-LOCATION
.   O

She   O
was   O
discharged   O
on   O
04/05   B-DATE
with   O
instructions   O
to   O
contact   O
the   O
hospital   O
or   O
Beatrice   B-NAME
Cabrera   I-NAME
,   O
directly   O
via   O
phone   O
number   O
412   B-CONTACT
4591   I-CONTACT
,   O
if   O
her   O
symptoms   O
worsen   O
or   O
if   O
she   O
experiences   O
high   O
fever   O
,   O
dizziness   O
or   O
severe   O
ongoing   O
pain   O
.   O

gb324   B-NAME
was   O
mentioned   O
as   O
the   O
point   O
of   O
contact   O
for   O
any   O
required   O
administrative   O
support   O
during   O
the   O
follow   O
-   O
up   O
.   O

The   O
patient   O
's   O
medical   O
report   O
was   O
securely   O
stored   O
under   O
045   B-ID
38   I-ID
32   I-ID
1   I-ID
.   O

Patient   O
Name   O
:   O
Barkley   B-NAME
,   I-NAME
Charles   I-NAME
Date   O
of   O
Birth   O
/   O
Age   O
:   O
21/25/99   B-DATE
/   O
32   O
Address   O
:   O
Liechtenstein   B-LOCATION
,   O
58876   B-LOCATION
Phone   O
Number   O
:   O
870   B-CONTACT
-   I-CONTACT
941   I-CONTACT
3634   I-CONTACT
Physician   O
:   O

Albert   B-NAME
Bender   I-NAME
Presenting   O
Issue   O
:   O

Today   O
,   O
Barr   B-NAME
presented   O
with   O
severe   O
ear   O
pain   O
.   O

Torvalds   B-NAME
,   I-NAME
Linus   I-NAME
also   O
reported   O
experiencing   O
high   O
fever   O
and   O
feelings   O
of   O
fullness   O
and   O
pressure   O
in   O
the   O
ear   O
.   O

Medical   O
History   O
:   O
Alivia   B-NAME
Wilson   I-NAME
's   O
past   O
medical   O
history   O
includes   O
type   O
II   O
diabetes   O
and   O
hypertension   O
.   O

On   O
otoscopic   O
examination   O
,   O
Willard   B-NAME
Frisby   I-NAME
has   O
noticed   O
redness   O
and   O
bulging   O
in   O
Curtis   B-NAME
's   O
eardrum   O
.   O

Investigations   O
:   O
Stanley   B-NAME
,   I-NAME
Henry   I-NAME
Morton   I-NAME
is   O
advised   O
to   O
get   O
a   O
tympanometry   O
to   O
measure   O
the   O
middle   O
ear   O
pressure   O
and   O
confirm   O
the   O
diagnosis   O
of   O
acute   O
otitis   O
media   O
.   O

Larissa   B-NAME
Johns   I-NAME
has   O
been   O
given   O
a   O
lab   O
requisition   O
note   O
with   O
2252797   B-ID
for   O
these   O
tests   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
symptoms   O
and   O
subsequent   O
otoscopic   O
findings   O
,   O
Lucille   B-NAME
Ponce   I-NAME
is   O
suspected   O
of   O
having   O
Acute   O
Otitis   O
Media   O
.   O

Follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
16/22   B-DATE
in   O
Mount   B-LOCATION
Sinai   I-LOCATION
Brooklyn   I-LOCATION
.   O

Robin   B-NAME
Van   I-NAME
Dorn   I-NAME
states   O
that   O
they   O
are   O
currently   O
working   O
as   O
a   O
Petroleum   O
Engineers   O
.   O

Emergency   O
Contact   O
Information   O
:   O
Name   O
:   O
aj9810   B-NAME
Relationship   O
:   O

Cousin   O
Phone   O
:   O
477   B-CONTACT
-   I-CONTACT
3144   I-CONTACT
Consent   O
:   O
Consent   O
for   O
treatment   O
was   O
obtained   O
from   O
Amiyah   B-NAME
Todd   I-NAME
who   O
demonstrates   O
an   O
understanding   O
of   O
the   O
treatment   O
plan   O
and   O
agrees   O
to   O
proceed   O
.   O

Lauren   B-NAME
Fontenot   I-NAME
's   O
caregiver   O
,   O
igh206   B-NAME
,   O
is   O
also   O
informed   O
about   O
the   O
treatment   O
decision   O
.   O

The   O
patient   O
's   O
insurance   O
details   O
,   O
44675   B-ID
,   O
have   O
been   O
documented   O
and   O
sent   O
to   O
European   B-LOCATION
Beer   I-LOCATION
Consumers   I-LOCATION
Union   I-LOCATION
(   I-LOCATION
EBCU   I-LOCATION
)   I-LOCATION
for   O
processing   O
.   O

Patient   O
Report   O
:   O
Patient   O
Sidney   B-NAME
Rios   I-NAME
of   O
5   O
month   O
years   O
,   O
reported   O
for   O
her   O
appointment   O
at   O
Bay   B-LOCATION
Area   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/01   B-DATE
.   O

She   O
was   O
referred   O
by   O
her   O
primary   O
care   O
physician   O
,   O
Jaylynn   B-NAME
Davila   I-NAME
and   O
was   O
carrying   O
her   O
medical   O
record   O
69936619   B-ID
.   O

Stone   B-NAME
,   I-NAME
Lucy   I-NAME
works   O
as   O
a   O
Neurologists   O
in   O
an   O
MANDATE   B-LOCATION
based   O
out   O
of   O
The   B-LOCATION
Lakes   I-LOCATION
.   O

Her   O
preferred   O
number   O
for   O
contact   O
is   O
86665   B-CONTACT
and   O
email   O
HD932   B-NAME
.   O

The   O
patient   O
's   O
living   O
in   O
18310   B-LOCATION
.   O

She   O
has   O
not   O
traveled   O
out   O
of   O
Rolling   B-LOCATION
Hills   I-LOCATION
in   O
the   O
past   O
6   O
months   O
and   O
denies   O
any   O
significant   O
change   O
in   O
diet   O
or   O
lifestyle   O
leading   O
up   O
to   O
the   O
onset   O
of   O
these   O
symptoms   O
.   O

She   O
has   O
consented   O
to   O
sharing   O
her   O
10   B-ID
-   I-ID
5140821   I-ID
for   O
review   O
and   O
processing   O
of   O
her   O
medical   O
tests   O
and   O
insurance   O
.   O

A   O
note   O
has   O
been   O
placed   O
for   O
Tiana   B-NAME
Evans   I-NAME
regarding   O
these   O
updates   O
in   O
her   O
symptoms   O
and   O
further   O
tests   O
have   O
been   O
scheduled   O
to   O
understand   O
the   O
cause   O
and   O
provide   O
an   O
appropriate   O
line   O
of   O
treatment   O
for   O
this   O
debilitating   O
condition   O
.   O

Patient   O
Name   O
:   O
Donny   B-NAME
Speece   I-NAME
Patient   O
ID   O
:   O
22476801   B-ID
Age   O
:   O
46   O
Referred   O
by   O
:   O
Marlon   B-NAME
Meza   I-NAME
Date   O
:   O
2076   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
34   I-DATE

The   O
patient   O
,   O
referred   O
to   O
us   O
by   O
Fernando   B-NAME
Mayer   I-NAME
,   O
came   O
to   O
the   O
Hillcrest   B-LOCATION
Hospital   I-LOCATION
Claremore   I-LOCATION
emergency   O
department   O
on   O
02/17/03   B-DATE
.   O

Patient   O
's   O
location   O
:   O
Reston   B-LOCATION
.   O

A   O
decision   O
was   O
made   O
to   O
admit   O
Amos   B-NAME
,   I-NAME
Tori   I-NAME
to   O
the   O
cardiology   O
unit   O
at   O
Penn   B-LOCATION
Highlands   I-LOCATION
DuBois   I-LOCATION
for   O
further   O
monitoring   O
and   O
management   O
.   O

He   O
is   O
a   O
retired   O
Farmworkers   O
and   O
Laborers   O
,   O
Crop   O
who   O
resided   O
in   O
Gumlog   B-LOCATION
.   O

Patient   O
was   O
given   O
follow   O
-   O
up   O
appointment   O
with   O
Eleanor   B-NAME
Schroeder   I-NAME
at   O
Rio   B-LOCATION
Grande   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
and   O
referral   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
at   O
Clewiston   B-LOCATION
Utilities   I-LOCATION
.   O

For   O
any   O
queries   O
or   O
medical   O
emergencies   O
,   O
please   O
contact   O
us   O
at   O
303   B-CONTACT
6649   I-CONTACT
.   O

Records   O
are   O
documented   O
under   O
4427021   B-ID
.   O

The   O
physician   O
's   O
username   O
is   O
emq4110   B-NAME
in   O
the   O
hospital   O
database   O
system   O
.   O

Patient   O
's   O
Home   O
ZIP   O
code   O
:   O
96296   B-LOCATION
.   O

Fisher   B-NAME
Mcclure   I-NAME
Date   O
of   O
Visit   O
:   O
1/10   B-DATE
PHI   O
-   O
removed   O
report   O
:   O
Destiney   B-NAME
Case   I-NAME
,   O
a   O
Log   O
Graders   O
and   O
Scalers   O
from   O
Pleasanton   B-LOCATION
,   I-LOCATION
Pleasanton   I-LOCATION
Downtown   I-LOCATION
Association   I-LOCATION
,   O
visited   O
USMD   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Arlington   I-LOCATION
on   O
09/35   B-DATE
.   O

Maarie   B-NAME
is   O
25   O
years   O
old   O
and   O
presented   O
with   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
mild   O
fever   O
,   O
and   O
a   O
sudden   O
loss   O
of   O
taste   O
and   O
smell   O
which   O
began   O
approximately   O
two   O
weeks   O
before   O
the   O
visit   O
.   O

Kinski   B-NAME
,   I-NAME
Klaus   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
contact   O
with   O
any   O
known   O
COVID-19   O
patients   O
.   O

Finnegan   B-NAME
Hester   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
Diabetes   O
Mellitus   O
and   O
hypertensive   O
heart   O
disease   O
.   O

On   O
physical   O
examination   O
,   O
Sexton   B-NAME
was   O
afebrile   O
with   O
a   O
body   O
temperature   O
of   O
98.2   O
°   O
F   O
,   O
blood   O
pressure   O
of   O
132/86   O
mmHg   O
,   O
pulse   O
rate   O
of   O
83   O
bpm   O
,   O
and   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

The   O
findings   O
are   O
consistent   O
with   O
a   O
possible   O
lower   O
respiratory   O
tract   O
infection   O
,   O
but   O
considering   O
the   O
ongoing   O
COVID-19   O
pandemic   O
,   O
Mitchell   B-NAME
Stein   I-NAME
's   O
clinical   O
presentation   O
could   O
also   O
suggest   O
COVID-19   O
pneumonia   O
.   O

The   O
Jones   B-NAME
advised   O
Cohen   B-NAME
Gregory   I-NAME
to   O
undergo   O
a   O
reverse   O
transcription   O
-   O
polymerase   O
chain   O
reaction   O
(   O
RT   O
-   O
PCR   O
)   O
test   O
for   O
SARS   O
-   O
CoV-2   O
,   O
and   O
he   O
is   O
currently   O
awaiting   O
the   O
results   O
.   O

The   O
consultation   O
was   O
billed   O
against   O
the   O
account   O
SH:94850:899866   B-ID
and   O
the   O
whole   O
visit   O
details   O
were   O
recorded   O
in   O
the   O
NXO   B-ID
0   I-ID
-   I-ID
450   I-ID
in   O
our   O
hospital   O
database   O
.   O

A   O
follow   O
-   O
up   O
tele   O
-   O
consultation   O
appointment   O
was   O
scheduled   O
for   O
2324   B-DATE
.   O

Usha   B-NAME
will   O
have   O
to   O
consult   O
with   O
Ronin   B-NAME
Haynes   I-NAME
via   O
a   O
video   O
call   O
at   O
the   O
given   O
slot   O
.   O

His   O
contact   O
56724   B-CONTACT
was   O
updated   O
for   O
future   O
communication   O
needs   O
.   O

The   O
patient   O
's   O
insurance   O
details   O
(   O
Policy   O
number   O
:   O
RT   B-ID
:   I-ID
YF:7336   I-ID
)   O
was   O
collected   O
from   O
his   O
employer   O
,   O
the   O
Marshall   B-LOCATION
Bank   I-LOCATION
,   I-LOCATION
N.A   I-LOCATION
.   I-LOCATION
.   O

Khalil   B-NAME
Short   I-NAME
's   O
residence   O
at   O
Garland   B-LOCATION
was   O
documented   O
to   O
the   O
68244   B-LOCATION
area   O
for   O
future   O
reference   O
.   O

The   O
prescription   O
and   O
further   O
details   O
were   O
shared   O
at   O
np458   B-NAME
's   O
registered   O
email   O
address   O
.   O

Veronica   B-NAME
Hall   I-NAME
's   O
next   O
appointment   O
is   O
scheduled   O
for   O
22/23   B-DATE
.   O

Professional   O
Dictated   O
By   O
:   O
Elsie   B-NAME
Barber   I-NAME
at   O
St.   B-LOCATION
Anthony   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Document   O
ID   O
:   O
HM:78779:255360   B-ID

Place   O
:   O
Mesa   B-LOCATION

Patient   O
Name   O
:   O
Peter   B-NAME
White   I-NAME
Medical   O
Record   O
Number   O
:   O
74668539   B-ID
Age   O
:   O
32   O
Profession   O
:   O

Landscape   O
architect   O
Location   O
:   O
Pintendre   B-LOCATION
,   I-LOCATION
QC   I-LOCATION
G6C   I-LOCATION
9B0   I-LOCATION

On   O
the   O
morning   O
of   O
9/4/2121   B-DATE
,   O
patient   O
Leila   B-NAME
Casey   I-NAME
presented   O
to   O
the   O
ER   O
of   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Columbus   I-LOCATION
with   O
complaints   O
of   O
sudden   O
,   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
.   O

Further   O
assessments   O
were   O
conducted   O
by   O
Dr.   O
Virginia   B-NAME
Horne   I-NAME
.   O

An   O
abdominal   O
ultrasound   O
was   O
immediately   O
recommended   O
and   O
interpreted   O
by   O
a   O
radiologist   O
at   O
our   O
Ascension   B-LOCATION
River   I-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
.   O

Dr.   O
Cristina   B-NAME
Key   I-NAME
promptly   O
referred   O
Rolland   B-NAME
Muck   I-NAME
to   O
the   O
general   O
surgery   O
team   O
for   O
an   O
emergency   O
appendectomy   O
.   O

Cristal   B-NAME
Peters   I-NAME
was   O
advised   O
to   O
remain   O
under   O
observation   O
in   O
our   O
care   O
at   O
Challis   B-LOCATION
Area   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
for   O
a   O
few   O
days   O
.   O

The   O
office   O
will   O
contact   O
Melvin   B-NAME
Rosales   I-NAME
through   O
the   O
phone   O
number   O
586   B-CONTACT
588   I-CONTACT
-   I-CONTACT
9611   I-CONTACT
to   O
set   O
up   O
an   O
appointment   O
for   O
0/20   B-DATE
.   O

Given   O
Ramonita   B-NAME
Bundette   I-NAME
’s   O
profession   O
as   O
a   O
Veterinary   O
Assistants   O
and   O
Laboratory   O
Animal   O
Caretakers   O
,   O
lifting   O
heavy   O
objects   O
and   O
intense   O
physical   O
labor   O
were   O
advised   O
against   O
until   O
full   O
recovery   O
.   O

The   O
summarised   O
report   O
was   O
sent   O
to   O
the   O
patient   O
's   O
listed   O
address   O
at   O
Kingsteignton   B-LOCATION
,   O
zip   O
code   O
:   O
85788   B-LOCATION
.   O

For   O
identity   O
verification   O
,   O
we   O
have   O
used   O
the   O
personal   O
identification   O
number   O
:   O
118563   B-ID
.   O

Prepared   O
by   O
:   O
ct989   B-NAME
Position   O
:   O
Medical   O
Officer   O
,   O
Australian   B-LOCATION
Salaried   I-LOCATION
Medical   I-LOCATION
Officers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION

Patient   O
Name   O
:   O
Ruben   B-NAME
Mcclain   I-NAME
Medical   O
Record   O
Number   O
:   O
74528532   B-ID
Date   O
:   O
32/60   B-DATE
Address   O
:   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11230   I-LOCATION
,   O
71179   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
377   I-CONTACT
)   I-CONTACT
814   I-CONTACT
-   I-CONTACT
8880   I-CONTACT
Referred   O
by   O
:   O
Dr.   O
Mother   B-NAME
Teresa   I-NAME
(   I-NAME
Agnes   I-NAME
Gonxha   I-NAME
Bojaxhi   I-NAME
)   I-NAME

Patient   O
Ernest   B-NAME
Davila   I-NAME
reported   O
to   O
San   B-LOCATION
Gabriel   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
9   B-DATE
-   I-DATE
25   I-DATE
complaining   O
of   O
consistent   O
,   O
sharp   O
,   O
right   O
-   O
sided   O
abdominal   O
pain   O
since   O
last   O
week   O
.   O

The   O
CT   O
scan   O
conducted   O
at   O
the   O
AtlantiCare   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
radiology   O
department   O
on   O
32/24   B-DATE
confirmed   O
the   O
site   O
and   O
extent   O
of   O
inflammation   O
.   O

The   O
patient   O
was   O
advised   O
immediate   O
surgical   O
intervention   O
by   O
Dr.   O
Muriel   B-NAME
Guttman   I-NAME
in   O
coordination   O
with   O
surgical   O
team   O
members   O
.   O

Dr.   O
Mccoy   B-NAME
discussed   O
the   O
risks   O
and   O
benefits   O
of   O
various   O
treatment   O
options   O
with   O
the   O
patient   O
and   O
their   O
family   O
.   O

Surgery   O
was   O
successfully   O
performed   O
on   O
2303   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
September   B-DATE
.   O

On   O
discharge   O
,   O
the   O
patient   O
was   O
advised   O
to   O
contact   O
Dr.   O
Clough   B-NAME
,   I-NAME
Brian   I-NAME
or   O
the   O
Penn   B-LOCATION
Highlands   I-LOCATION
Clearfield   I-LOCATION
directly   O
on   O
911   B-CONTACT
-   I-CONTACT
178   I-CONTACT
-   I-CONTACT
3490   I-CONTACT
in   O
case   O
of   O
any   O
unusual   O
symptoms   O
such   O
as   O
severe   O
abdominal   O
pain   O
,   O
vomiting   O
,   O
or   O
high   O
fever   O
.   O

The   O
patient   O
was   O
also   O
given   O
the   O
jvt127   B-NAME
and   O
WO:4223:778361   B-ID
for   O
accessing   O
medical   O
records   O
digitally   O
via   O
the   O
Taunton   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Plant   I-LOCATION
's   O
patient   O
portal   O
.   O

Signed   O
Wagner   B-NAME
Medical   O
Staff   O
,   O
Cumberland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Name   O
:   O
Oakley   B-NAME
MRN   O
:   O
8444371   B-ID
Blanchard   B-NAME
consulted   O
on   O
the   O
case   O
of   O
Berger   B-NAME
who   O
presented   O
at   O
the   O
Medical   B-LOCATION
City   I-LOCATION
Denton   I-LOCATION
ER   O
on   O
07/20   B-DATE
.   O

Patient   O
is   O
a   O
Information   O
technology   O
/   O
software   O
trainers   O
residing   O
in   O
Tiltonsville   B-LOCATION
.   O

Reagan   B-NAME
,   I-NAME
Ron   I-NAME
is   O
41   O
years   O
old   O
and   O
visited   O
NORTHERN   B-LOCATION
REGIONAL   I-LOCATION
HOSPITAL   I-LOCATION
for   O
complaints   O
of   O
a   O
persistent   O
and   O
intense   O
headache   O
,   O
which   O
he   O
reported   O
experiencing   O
for   O
almost   O
a   O
week   O
.   O

Amy   B-NAME
Jenkins   I-NAME
described   O
the   O
headache   O
as   O
"   O
throbbing   O
"   O
particularly   O
in   O
the   O
areas   O
of   O
the   O
temples   O
.   O

Neurological   O
examination   O
was   O
immediately   O
requested   O
and   O
it   O
was   O
conducted   O
by   O
a   O
team   O
led   O
by   O
Jacobs   B-NAME
.   O

The   O
patient   O
’s   O
latest   O
CT   O
scan   O
report   O
conducted   O
on   O
2012   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
26   I-DATE
at   O
CapitalSouth   B-LOCATION
Bank   I-LOCATION
was   O
called   O
upon   O
for   O
comparison   O
.   O

The   O
doctor   O
’s   O
office   O
can   O
be   O
contacted   O
at   O
21564   B-CONTACT
for   O
further   O
details   O
.   O

Contact   O
was   O
made   O
with   O
the   O
patient   O
's   O
employer   O
at   O
Sheet   B-LOCATION
Metal   I-LOCATION
Workers   I-LOCATION
International   I-LOCATION
Association   I-LOCATION
to   O
request   O
for   O
a   O
COVID-19   O
test   O
given   O
the   O
ongoing   O
pandemic   O
.   O

Crick   B-NAME
,   I-NAME
Francis   I-NAME
's   O
critical   O
information   O
is   O
stored   O
under   O
the   O
identifier   O
0   B-ID
-   I-ID
8055871   I-ID
and   O
is   O
accessible   O
by   O
authorized   O
personnel   O
only   O
.   O

To   O
discuss   O
the   O
aforementioned   O
tests   O
results   O
,   O
refer   O
to   O
the   O
cases   O
with   O
the   O
username   O
VS104   B-NAME
which   O
belongs   O
to   O
the   O
allied   O
healthcare   O
team   O
.   O

Patient   O
was   O
advised   O
to   O
self   O
-   O
quarantine   O
,   O
follow   O
-   O
up   O
teleconsultations   O
were   O
arranged   O
until   O
1930   B-DATE
and   O
necessary   O
medication   O
prescribed   O
.   O

Given   O
the   O
Siouxsie   B-NAME
Mikulec   I-NAME
's   O
condition   O
,   O
he   O
was   O
advised   O
to   O
not   O
attend   O
his   O
job   O
as   O
a   O
Athletes   O
and   O
Sports   O
Competitors   O
for   O
an   O
undetermined   O
period   O
,   O
a   O
formal   O
letter   O
was   O
also   O
sent   O
to   O
his   O
employer   O
at   O
Islamorada   B-LOCATION
with   O
the   O
postal   O
71663   B-LOCATION
code   O
.   O

If   O
the   O
condition   O
worsens   O
,   O
Mahalia   B-NAME
or   O
his   O
immediate   O
family   O
should   O
contact   O
Children   B-LOCATION
's   I-LOCATION
Mercy   I-LOCATION
South   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
at   O
58701   B-CONTACT
.   O

This   O
report   O
was   O
generated   O
on   O
33/20/2007   B-DATE
by   O
the   O
assigned   O
healthcare   O
team   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Copeland   B-NAME
Age   O
:   O
96   O
Referred   O
by   O
:   O
Jonathan   B-NAME
Katz   I-NAME
Medical   O
Record   O
Number   O
:   O
0253309   B-ID
Location   O
:   O
Hide   B-LOCATION
-   I-LOCATION
A   I-LOCATION
-   I-LOCATION
Way   I-LOCATION
Hills   I-LOCATION
Zip   O
code   O
:   O
96138   B-LOCATION
Phone   O
:   O
704   B-CONTACT
8428   I-CONTACT
Presenting   O
Issue   O
and   O
Clinical   O
History   O
:   O
Xavier   B-NAME
has   O
approached   O
the   O
Australasian   B-LOCATION
Meat   I-LOCATION
Industry   I-LOCATION
Employees   I-LOCATION
Union   I-LOCATION
on   O
27/03/82   B-DATE
complaining   O
of   O
a   O
persistent   O
cough   O
and   O
bouts   O
of   O
dizziness   O
for   O
the   O
last   O
two   O
weeks   O
.   O

Carola   B-NAME
Sessoms   I-NAME
's   O
symptoms   O
appear   O
to   O
have   O
started   O
suddenly   O
and   O
have   O
not   O
abated   O
since   O
.   O

Previous   O
treatment   O
protocols   O
pursued   O
at   O
CHI   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Hot   I-LOCATION
Springs   I-LOCATION
have   O
not   O
provided   O
significant   O
relief   O
.   O

Regena   B-NAME
reports   O
no   O
history   O
of   O
smoking   O
or   O
alcohol   O
use   O
and   O
has   O
been   O
working   O
as   O
a   O
Sawing   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Wood   O
for   O
15   O
years   O
.   O

Anika   B-NAME
Davidson   I-NAME
has   O
a   O
family   O
history   O
of   O
hypertension   O
,   O
with   O
the   O
father   O
being   O
diagnosed   O
at   O
62   O
.   O
Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
by   O
Tyson   B-NAME
Dillon   I-NAME
on   O
21/13   B-DATE
,   O
the   O
patient   O
was   O
found   O
to   O
have   O
a   O
slightly   O
elevated   O
heart   O
rate   O
.   O

Chest   O
x   O
-   O
rays   O
were   O
performed   O
,   O
with   O
the   O
findings   O
sent   O
to   O
his   O
ID   O
:   O
0   B-ID
-   I-ID
1491891   I-ID
.   O

Treatment   O
Plan   O
:   O
A   O
comprehensive   O
treatment   O
plan   O
,   O
including   O
a   O
possible   O
referral   O
to   O
a   O
local   O
specialist   O
at   O
Southwestern   B-LOCATION
Vermont   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
will   O
be   O
discussed   O
on   O
Henry   B-NAME
Jenkins   I-NAME
's   O
next   O
appointment   O
on   O
9/05   B-DATE
.   O

Alaistar   B-NAME
Wright   I-NAME
is   O
advised   O
to   O
continue   O
his   O
/   O
her   O
current   O
medications   O
and   O
inform   O
the   O
Pennington   B-NAME
(   O
reachable   O
at   O
84863   B-CONTACT
)   O
in   O
case   O
the   O
symptoms   O
worsen   O
.   O

The   O
details   O
of   O
the   O
plan   O
have   O
been   O
updated   O
on   O
the   O
patient   O
's   O
web   O
profile   O
using   O
eye890   B-NAME
.   O

He   O
/   O
She   O
is   O
also   O
advised   O
to   O
inform   O
the   O
National   B-LOCATION
Flood   I-LOCATION
Insurance   I-LOCATION
Program   I-LOCATION
in   O
advance   O
if   O
there   O
are   O
any   O
changes   O
to   O
his   O
/   O
her   O
scheduled   O
appointment   O
.   O

Plan   O
Follow   O
up   O
:   O
Patient   O
is   O
due   O
to   O
follow   O
-   O
up   O
on   O
2/39   B-DATE
.   O

For   O
any   O
immediate   O
concerns   O
,   O
please   O
reach   O
out   O
to   O
us   O
via   O
the   O
portal   O
and   O
quote   O
your   O
patient   O
ID   O
85582937   B-ID
.   O

In   O
the   O
case   O
of   O
an   O
urgent   O
emergency   O
,   O
please   O
visit   O
Rice   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
in   O
Chauvin   B-LOCATION
.   O

Patient   O
Details   O
:   O
The   O
patient   O
,   O
Yelton   B-NAME
,   O
of   O
36s   O
years   O
old   O
,   O
male   O
,   O
checked   O
in   O
the   O
Massachusetts   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
0/12/56   B-DATE
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
and   O
intermittent   O
fever   O
that   O
started   O
approximately   O
seven   O
days   O
before   O
his   O
hospital   O
visit   O
.   O

His   O
Medical   O
Record   O
Number   O
is   O
3884464   B-ID
.   O

He   O
resides   O
at   O
Medaryville   B-LOCATION
with   O
a   O
ZIP   O
code   O
12210   B-LOCATION
.   O

Upon   O
physical   O
examination   O
by   O
Dirac   B-NAME
,   I-NAME
Paul   I-NAME
,   O
he   O
depicts   O
signs   O
of   O
dehydration   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Hurston   B-NAME
,   I-NAME
Zora   I-NAME
Neale   I-NAME
on   O
10/12   B-DATE
revealed   O
a   O
high   O
count   O
of   O
white   O
blood   O
cells   O
indicating   O
possible   O
bacterial   O
infection   O
.   O

Before   O
ensuring   O
the   O
diagnosis   O
,   O
his   O
family   O
(   O
residing   O
in   O
Washougal   B-LOCATION
)   O
was   O
contacted   O
over   O
854   B-CONTACT
3142   I-CONTACT
to   O
cross   O
-   O
verify   O
his   O
previous   O
history   O
of   O
similar   O
symptoms   O
.   O

Patient   O
's   O
insurance   O
ID   O
number   O
,   O
61068   B-ID
,   O
is   O
provided   O
by   O
the   O
insurance   O
organization   O
,   O
British   B-LOCATION
Actors   I-LOCATION
Equity   I-LOCATION
Association   I-LOCATION
.   O

wer546   B-NAME
portal   O
has   O
been   O
logged   O
in   O
for   O
online   O
discussion   O
regarding   O
further   O
plan   O
of   O
action   O
and   O
future   O
appointments   O
.   O

His   O
general   O
physician   O
,   O
Jamir   B-NAME
Hansen   I-NAME
,   O
has   O
recommended   O
for   O
his   O
immediate   O
surgery   O
and   O
is   O
scheduled   O
for   O
32/11   B-DATE
.   O

He   O
is   O
advised   O
to   O
be   O
admitted   O
to   O
the   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
East   I-LOCATION
for   O
the   O
specified   O
duration   O
of   O
recovery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
July   B-DATE
2061   I-DATE
.   O

If   O
there   O
are   O
any   O
changes   O
in   O
health   O
composition   O
or   O
sudden   O
onset   O
of   O
symptoms   O
before   O
the   O
set   O
appointment   O
date   O
,   O
Shu   B-NAME
is   O
advised   O
to   O
contact   O
Aldo   B-NAME
Romero   I-NAME
through   O
the   O
hospital   O
's   O
contact   O
number   O
,   O
138   B-CONTACT
-   I-CONTACT
5361   I-CONTACT
.   O

This   O
report   O
is   O
prepared   O
by   O
Carey   B-NAME
,   I-NAME
Mariah   I-NAME
on   O
3/22   B-DATE
.   O

Patient   O
Brackish   B-NAME
Okun   I-NAME
came   O
into   O
Vidant   B-LOCATION
Beaufort   I-LOCATION
Hospital   I-LOCATION
on   O
1617   B-DATE
complaining   O
of   O
acute   O
epigastric   O
pain   O
.   O

Patient   O
has   O
a   O
history   O
of   O
similar   O
episodic   O
pain   O
that   O
was   O
previously   O
diagnosed   O
as   O
gallstone   O
disease   O
in   O
Shell   B-LOCATION
Ridge   I-LOCATION
.   O

Further   O
tests   O
were   O
required   O
,   O
and   O
samples   O
were   O
tagged   O
with   O
2786924   B-ID
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Gross   B-NAME
who   O
works   O
at   O
the   O
Lincoln   B-LOCATION
Park   I-LOCATION
Saving   I-LOCATION
Bank   I-LOCATION
.   O

The   O
contact   O
number   O
included   O
862   B-CONTACT
6993   I-CONTACT
.   O

The   O
patient   O
is   O
a   O
salesperson   O
at   O
a   O
nearby   O
firm   O
and   O
lives   O
in   O
the   O
93694   B-LOCATION
area   O
.   O

The   O
surgery   O
was   O
carried   O
out   O
successfully   O
,   O
and   O
the   O
patient   O
was   O
monitored   O
in   O
Comprehensive   B-LOCATION
Health   I-LOCATION
of   I-LOCATION
Planned   I-LOCATION
Parenthood   I-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
and   I-LOCATION
Mid   I-LOCATION
-   I-LOCATION
Missouri   I-LOCATION
(   I-LOCATION
PPKM   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
.   O

The   O
discharge   O
formalities   O
were   O
completed   O
on   O
8/30   B-DATE
,   O
and   O
the   O
patient   O
was   O
asked   O
to   O
follow   O
-   O
up   O
after   O
a   O
week   O
with   O
Camilla   B-NAME
Hart   I-NAME
.   O

Also   O
,   O
the   O
hospital   O
administration   O
secured   O
her   O
information   O
using   O
ID   O
VP983/2885   B-ID
,   O
and   O
communication   O
was   O
assured   O
through   O
USERNAME   O
ymi626   B-NAME
.   O

The   O
patient   O
was   O
very   O
satisfied   O
with   O
the   O
treatment   O
she   O
received   O
at   O
Holy   B-LOCATION
Cross   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
she   O
promised   O
to   O
recommend   O
us   O
to   O
her   O
friends   O
and   O
family   O
living   O
in   O
Villisca   B-LOCATION
.   O

Baron   B-NAME
Mejia   I-NAME
DOB   O
:   O
2237   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
02   I-DATE
Presenting   O
Complaint   O
:   O
Stanton   B-NAME
of   O
43   O
years   O
,   O
reported   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/20   B-DATE
.   O

Medical   O
History   O
:   O
Lauren   B-NAME
Lopes   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
for   O
the   O
last   O
10   O
years   O
which   O
is   O
well   O
controlled   O
with   O
Metformin   O
(   O
00217222   B-ID
)   O
.   O

On   O
examination   O
by   O
Sofia   B-NAME
Schmidt   I-NAME
,   O
Orelia   B-NAME
Burns   I-NAME
was   O
in   O
pain   O
,   O
anxious   O
,   O
diaphoretic   O
and   O
pale   O
.   O

Management   O
:   O
The   O
Delacruz   B-NAME
decided   O
to   O
initiate   O
immediate   O
treatment   O
considering   O
Forbes   B-NAME
,   I-NAME
Malcolm   I-NAME
's   O
history   O
,   O
clinical   O
presentation   O
and   O
ECG   O
findings   O
.   O

Contact   O
Info   O
:   O
Current   O
address   O
:   O
Four   B-LOCATION
Mile   I-LOCATION
Road   I-LOCATION
,   O
39840   B-LOCATION
Phone   O
number   O
:   O
47161   B-CONTACT
Form   O
Completed   O
By   O
:   O
OY02   B-NAME
Position   O
:   O
Baristas   O
Organization   O
:   O
GROW   B-LOCATION
Patient   O
ID   O
:   O
FU160/9656   B-ID
Emergency   O
contact   O
:   O
Annabelle   B-NAME
Eichhorn   I-NAME
's   O
Wife   O
,   O
Contact   O
number   O
:   O
782   B-CONTACT
-   I-CONTACT
4885   I-CONTACT
(   O
NB   O
:   O
Patient   O
gave   O
permission   O
for   O
his   O
wife   O
to   O
be   O
contacted   O
in   O
case   O
of   O
an   O
emergency   O
.   O
)   O

Patient   O
Report   O
Ronald   B-NAME
Moses   I-NAME
,   O
a   O
Respiratory   O
Therapists   O
from   O
Hollywood   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33020   I-LOCATION
,   O
was   O
referred   O
to   O
Norwegian   B-LOCATION
American   I-LOCATION
Hospital   I-LOCATION
by   O
Dr.   O
Pirsig   B-NAME
,   I-NAME
Robert   I-NAME
M.   I-NAME
on   O
38/28/2272   B-DATE
.   O

Alongside   O
,   O
Whitman   B-NAME
was   O
experiencing   O
difficulty   O
in   O
maintaining   O
balance   O
,   O
especially   O
while   O
walking   O
on   O
uneven   O
surfaces   O
or   O
in   O
darkened   O
conditions   O
.   O

During   O
the   O
first   O
visit   O
to   O
Aurelia   B-LOCATION
Osborn   I-LOCATION
Fox   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
a   O
physical   O
examination   O
was   O
carried   O
out   O
by   O
Dr.   O
Berry   B-NAME
and   O
a   O
few   O
initial   O
tests   O
were   O
conducted   O
.   O

The   O
results   O
of   O
these   O
tests   O
are   O
attached   O
to   O
2694869   B-ID
number   O
.   O

However   O
,   O
considering   O
the   O
severity   O
and   O
frequency   O
of   O
headaches   O
,   O
MRI   O
and   O
CT   O
scans   O
have   O
been   O
scheduled   O
on   O
August   B-DATE
which   O
could   O
be   O
found   O
in   O
the   O
scan   O
appointment   O
number   O
4   B-ID
-   I-ID
9696483   I-ID
.   O

The   O
patient   O
works   O
in   O
UNITED   B-LOCATION
for   I-LOCATION
Intercultural   I-LOCATION
Action   I-LOCATION
and   O
mentioned   O
that   O
juggling   O
work   O
and   O
traveling   O
from   O
Ohio   B-LOCATION
for   O
treatment   O
has   O
been   O
challenging   O
.   O

Patient   O
could   O
be   O
contacted   O
at   O
(   B-CONTACT
904   I-CONTACT
)   I-CONTACT
707   I-CONTACT
2887   I-CONTACT
and   O
reports   O
can   O
be   O
sent   O
to   O
the   O
mail   O
ID   O
lx820   B-NAME
.   O

Before   O
concluding   O
the   O
appointment   O
,   O
XCW   B-NAME
was   O
advised   O
to   O
monitor   O
the   O
frequency   O
and   O
severity   O
of   O
headaches   O
,   O
maintain   O
a   O
healthy   O
diet   O
,   O
and   O
given   O
a   O
temporary   O
prescription   O
for   O
dealing   O
with   O
the   O
dizziness   O
and   O
headache   O
.   O

The   O
next   O
follow   O
up   O
with   O
Dr.   O
Bray   B-NAME
was   O
scheduled   O
on   O
2253   B-DATE
's   I-DATE
.   O

If   O
the   O
condition   O
worsens   O
before   O
the   O
next   O
appointment   O
,   O
the   O
patient   O
will   O
be   O
admitted   O
to   O
Wesley   B-LOCATION
Woods   I-LOCATION
Geriatric   I-LOCATION
Hospital   I-LOCATION
room   O
number   O
47961   B-LOCATION
for   O
further   O
examination   O
.   O

Patient   O
Name   O
:   O
Josue   B-NAME
Combs   I-NAME
Age   O
:   O
94   O
Medical   O
Record   O
Number   O
:   O
47109814   B-ID
Address   O
:   O
Yuba   B-LOCATION
,   O
73054   B-LOCATION
Phone   O
Number   O
:   O
54283   B-CONTACT
Associated   O
Organization   O
:   O
Point   B-LOCATION
of   I-LOCATION
Peace   I-LOCATION
Foundation   I-LOCATION
Referring   O
Doctor   O
:   O
Harmon   B-NAME

On   O
1   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
12   I-DATE
,   O
Timothy   B-NAME
Flyte   I-NAME
was   O
brought   O
into   O
the   O
emergency   O
department   O
of   O
Memorial   B-LOCATION
Hospital   I-LOCATION
West   I-LOCATION
.   O

The   O
patient   O
also   O
mentioned   O
having   O
recently   O
returned   O
from   O
a   O
trip   O
to   O
Birmingham   B-LOCATION
.   O

Prescribed   O
antibiotics   O
did   O
not   O
improve   O
her   O
condition   O
,   O
leading   O
to   O
her   O
hospitalization   O
at   O
the   O
Rush   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

An   O
infectious   O
disease   O
specialist   O
,   O
Dr.   O
Bass   B-NAME
,   O
was   O
consulted   O
,   O
and   O
he   O
ordered   O
more   O
extensive   O
tests   O
,   O
including   O
blood   O
cultures   O
and   O
a   O
CT   O
scan   O
of   O
the   O
chest   O
.   O

Pope   B-NAME
's   O
credentials   O
include   O
having   O
worked   O
in   O
extreme   O
infectious   O
disease   O
conditions   O
in   O
Dunnstown   B-LOCATION
where   O
she   O
dealt   O
with   O
similar   O
cases   O
effectively   O
.   O

The   O
patient   O
's   O
initial   O
tests   O
results   O
were   O
sent   O
off   O
to   O
Refugees   B-LOCATION
International   I-LOCATION
for   O
further   O
analysis   O
.   O

A   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
the   O
patient   O
on   O
2319   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
22   I-DATE
.   O

Patient   O
's   O
unique   O
ID   O
for   O
this   O
visit   O
is   O
5   B-ID
-   I-ID
8149542   I-ID
.   O

All   O
notes   O
regarding   O
this   O
case   O
are   O
accessible   O
by   O
Food   O
Service   O
Managers   O
and   O
medical   O
staff   O
with   O
access   O
to   O
qk336   B-NAME
.   O

For   O
further   O
queries   O
,   O
please   O
contact   O
Figueroa   B-NAME
's   O
reception   O
at   O
181   B-CONTACT
5102   I-CONTACT
or   O
refer   O
to   O
medical   O
record   O
number   O
07836172   B-ID
.   O

Patient   O
Report   O
Patient   O
:   O
Abbey   B-NAME
Lambert   I-NAME
Age   O
:   O
69   O
Sex   O
:   O
Female   O
Medical   O
Record   O
Number   O
:   O
648   B-ID
-   I-ID
38   I-ID
-   I-ID
77   I-ID
Primary   O
Care   O
Provider   O
:   O
Reynolds   B-NAME
Date   O
Recorded   O
:   O
12/1   B-DATE
Presenting   O
Complaint   O
:   O
Mrs.   O
McAndrews   B-NAME
was   O
admitted   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Rockwall   I-LOCATION
on   O
38/22   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
tearing   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

Medical   O
History   O
:   O
Mrs.   O
SARINA   B-NAME
BOOTH   I-NAME
's   O
medical   O
history   O
indicates   O
chronic   O
hypertension   O
and   O
hyperlipidemia   O
.   O

On   O
arrival   O
to   O
the   O
HealthSouth   B-LOCATION
Sea   I-LOCATION
Pines   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
,   O
blood   O
pressure   O
was   O
156/105   O
mmHg   O
,   O
and   O
heart   O
rate   O
was   O
irregular   O
.   O

Emergent   O
consultation   O
with   O
Dr.   O
Reed   B-NAME
from   O
Vascular   O
Surgery   O
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Lebanon   I-LOCATION
suggested   O
an   O
immediate   O
surgical   O
intervention   O
.   O

The   O
procedure   O
was   O
conducted   O
by   O
Davisson   B-NAME
,   I-NAME
Richard   I-NAME
with   O
the   O
team   O
at   O
the   O
Vascular   O
Surgery   O
Department   O
of   O
Regional   B-LOCATION
Health   I-LOCATION
Rapid   I-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
21/21/2113   B-DATE
at   O
the   O
Cardiology   O
Clinic   O
.   O

Insurance   O
Information   O
:   O
Health   O
Plan   O
Number   O
-   O
7212696   B-ID
Insurance   O
Provider   O
-   O
Encompass   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Emergency   O
Contact   O
Information   O
:   O
Mr.   O
Anthony   B-NAME
,   I-NAME
Piers   I-NAME
(   O
son   O
)   O
Phone   O
number   O
:   O
(   B-CONTACT
754   I-CONTACT
)   I-CONTACT
376   I-CONTACT
-   I-CONTACT
8031   I-CONTACT
Address   O
:   O
Herron   B-LOCATION
Island   I-LOCATION
,   O
25368   B-LOCATION
Profession   O
:   O
Computer   O
,   O
Automated   O
Teller   O
,   O
and   O
Office   O
Machine   O
Repairers   O
Family   O
Physician   O
:   O
Dr.   O
King   B-NAME
Address   O
:   O
Holliday   B-LOCATION
Phone   O
:   O
186   B-CONTACT
439   I-CONTACT
-   I-CONTACT
4711   I-CONTACT
Treatment   O
Plan   O
Prepared   O
By   O
:   O
Ford   B-NAME
Username   O
:   O
xo432   B-NAME

Patient   O
Name   O
:   O
Florianus   B-NAME
Dolven   I-NAME
Age   O
:   O
9   O
ID   O
:   O
FM:60364:549513   B-ID

Medical   O
Record   O
Number   O
:   O
505   B-ID
-   I-ID
39   I-ID
-   I-ID
19   I-ID
32/08   B-DATE
Dr.   O
Wyatt   B-NAME
Lantana   B-LOCATION
Dear   O
Dr.   O
Moreno   B-NAME
,   O
This   O
is   O
to   O
provide   O
an   O
update   O
on   O
the   O
current   O
status   O
of   O
our   O
patient   O
,   O
Tannen   B-NAME
,   I-NAME
Deborah   I-NAME
,   O
who   O
is   O
74   O
years   O
old   O
.   O

Since   O
his   O
last   O
appointment   O
at   O
Spencer   B-LOCATION
Hospital   I-LOCATION
on   O
2152   B-DATE
,   O
Williams   B-NAME
,   I-NAME
Roger   I-NAME
has   O
exhibited   O
new   O
symptoms   O
which   O
we   O
need   O
to   O
address   O
with   O
urgency   O
.   O

Jair   B-NAME
Carson   I-NAME
was   O
initially   O
presented   O
with   O
typical   O
symptoms   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
,   O
including   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
frequent   O
respiratory   O
infections   O
.   O

Lee   B-NAME
,   I-NAME
Ang   I-NAME
has   O
reported   O
high   O
-   O
grade   O
fever   O
,   O
excessive   O
wheezing   O
,   O
and   O
bluish   O
lips   O
or   O
fingernails   O
,   O
clearly   O
indicating   O
a   O
severe   O
exacerbation   O
of   O
the   O
COPD   O
.   O

The   O
Forced   O
Vital   O
Capacity   O
has   O
seen   O
a   O
significant   O
progressive   O
decrease   O
,   O
as   O
reported   O
by   O
our   O
in   O
-   O
house   O
pulmonologist   O
Dr.   O
Rosales   B-NAME
.   O

I   O
am   O
of   O
the   O
opinion   O
that   O
TOMLIN   B-NAME
,   I-NAME
THEODORE   I-NAME
's   O
condition   O
necessitates   O
a   O
revised   O
treatment   O
approach   O
as   O
the   O
current   O
medication   O
regimen   O
seems   O
insufficient   O
.   O

You   O
can   O
reach   O
me   O
at   O
29675   B-CONTACT
or   O
alternatively   O
,   O
the   O
hospital   O
switchboard   O
at   O
Saint   B-LOCATION
Agnes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
can   O
also   O
provide   O
my   O
contact   O
.   O

Requesting   O
your   O
immediate   O
attention   O
to   O
More   B-NAME
,   I-NAME
St.   I-NAME
Thomas   I-NAME
's   O
case   O
.   O

They   O
reside   O
at   O
Pittsburgh   B-LOCATION
and   O
their   O
contact   O
number   O
is   O
(   B-CONTACT
874   I-CONTACT
)   I-CONTACT
859   I-CONTACT
-   I-CONTACT
8982   I-CONTACT
.   O
Looking   O
forward   O
to   O
working   O
with   O
you   O
on   O
planning   O
TERESA   B-NAME
LAMB   I-NAME
's   O
care   O
.   O

Sincerely   O
,   O
vxv42   B-NAME
Professional   O
in   O
Reed   O
or   O
Wind   O
Instrument   O
Repairers   O
and   O
Tuners   O
Consumers   B-LOCATION
Energy   I-LOCATION
43233   B-LOCATION

Patient   O
Information   O
:   O
Name   O
:   O
Huckabee   B-NAME
,   I-NAME
Mike   I-NAME
Age   O
:   O
75   O
Medical   O
ID   O
:   O
4075397   B-ID
Residing   O
at   O
:   O
Liscomb   B-LOCATION
Emergency   O
contact   O
number   O
:   O
852   B-CONTACT
-   I-CONTACT
3084   I-CONTACT
Report   O
Date   O
:   O
2192   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
30   I-DATE
Physician   O
in   O
charge   O
:   O
Dr.   O
Benton   B-NAME
C.   I-NAME
Quest   I-NAME
Hospital   O
:   O
Queen   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Details   O
:   O
Mr.   O
Armstrong   B-NAME
,   I-NAME
Louis   I-NAME
,   O
a   O
Radiologic   O
Technicians   O
by   O
profession   O
,   O
reported   O
to   O
the   O
Sharp   B-LOCATION
Chula   I-LOCATION
Vista   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/07/33   B-DATE
for   O
a   O
general   O
check   O
-   O
up   O
session   O
.   O

He   O
shared   O
his   O
primary   O
concerns   O
with   O
Dr.   O
Oconnell   B-NAME
.   O
Symptoms   O
:   O

This   O
diagnosis   O
was   O
shared   O
with   O
the   O
patient   O
on   O
Wednesday   B-DATE
,   I-DATE
December   I-DATE
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
detailed   O
radiographic   O
examination   O
and   O
necessary   O
blood   O
work   O
at   O
the   O
Dodge   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

Following   O
this   O
,   O
the   O
patient   O
will   O
be   O
consulted   O
by   O
an   O
in   O
-   O
house   O
pulmonologist   O
,   O
Dr.   O
Lennon   B-NAME
Obrien   I-NAME
.   O

Recorded   O
by   O
:   O
lsf221   B-NAME
Report   O
sent   O
to   O
:   O
Diverse   B-LOCATION
Power   I-LOCATION
Inc.   I-LOCATION
(   O
Note   O
:   O
Patient   O
's   O
insurance   O
policy   O
MC206/5291   B-ID
numbers   O
and   O
coverage   O
details   O
are   O
kept   O
confidential   O
and   O
maintained   O
in   O
the   O
hospital   O
database   O
.   O

The   O
patient   O
resides   O
at   O
the   O
Cotgrave   B-LOCATION
and   O
his   O
local   O
post   O
office   O
zip   O
code   O
is   O
92669   B-LOCATION
.   O
)   O

Patient   O
Information   O
:   O
Name   O
:   O
Jaylin   B-NAME
Ewing   I-NAME
Age   O
:   O
58   O
Medical   O
Record   O
:   O
92857393   B-ID
Doctor   O
’s   O
Name   O
:   O
Kallie   B-NAME
Hatfield   I-NAME
Patient   O
Vernon   B-NAME
A   I-NAME
Lozano   I-NAME
of   O
3   O
years   O
presented   O
on   O
2150   B-DATE
to   O
our   O
facility   O
,   O
Pershing   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
in   O
Coahoma   B-LOCATION
complaining   O
of   O
severe   O
abdominal   O
discomfort   O
.   O

Fredrich   B-NAME
van   I-NAME
Butler   I-NAME
reported   O
the   O
pain   O
as   O
constant   O
,   O
dull   O
,   O
radiating   O
to   O
the   O
right   O
shoulder   O
,   O
not   O
relieved   O
by   O
over   O
-   O
the   O
-   O
counter   O
medications   O
.   O

Johns   B-NAME
disclosed   O
her   O
Medical   O
ID   O
6   B-ID
-   I-ID
5170646   I-ID
and   O
was   O
referred   O
to   O
Dr.   O
Mckinney   B-NAME
.   O

A   O
quick   O
review   O
of   O
Camryn   B-NAME
Winters   I-NAME
's   O
medical   O
record   O
8756449   B-ID
indicated   O
a   O
history   O
of   O
gallstones   O
.   O

Over   O
the   O
last   O
three   O
days   O
,   O
Brandie   B-NAME
also   O
reported   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
,   O
accompanied   O
by   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
-   O
grade   O
fever   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
cq898   B-NAME
,   O
employed   O
in   O
the   O
capacity   O
of   O
Directors   O
,   O
Religious   O
Activities   O
and   O
Education   O
at   O
our   O
medical   O
practice   O
.   O

The   O
patient   O
’s   O
emergency   O
contact   O
number   O
is   O
32919   B-CONTACT
.   O

Our   O
organization   O
,   O
Liberty   B-LOCATION
Utilities   I-LOCATION
(   I-LOCATION
including   I-LOCATION
Granite   I-LOCATION
State   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
is   O
located   O
at   O
Zip   O
code   O
67744   B-LOCATION
.   O

Further   O
assessment   O
and   O
confirmation   O
by   O
employing   O
diagnostic   O
imaging   O
studies   O
including   O
an   O
ultrasound   O
or   O
CT   O
scan   O
is   O
recommended   O
by   O
Dr.   O
Sellers   B-NAME
.   O

Meanwhile   O
,   O
Michelle   B-NAME
Robidaux   I-NAME
has   O
been   O
advised   O
to   O
adhere   O
strictly   O
to   O
a   O
low   O
-   O
fat   O
diet   O
accompanied   O
by   O
adequate   O
hydration   O
and   O
rest   O
.   O

Kindly   O
find   O
more   O
details   O
on   O
the   O
UPMC   B-LOCATION
Hanover   I-LOCATION
patient   O
portal   O
,   O
accessible   O
via   O
the   O
username   O
pay25   B-NAME
.   O

For   O
additional   O
/   O
prompt   O
correspondences   O
,   O
you   O
may   O
contact   O
us   O
at   O
62406   B-CONTACT
.   O

We   O
appreciate   O
the   O
patient   O
's   O
cooperation   O
and   O
trust   O
in   O
Botswana   B-LOCATION
National   I-LOCATION
Development   I-LOCATION
Bank   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
for   O
her   O
health   O
care   O
needs   O
.   O

Patient   O
Report   O
:   O
Patient   O
Bauer   B-NAME
of   O
6   O
month   O
years   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Northeast   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
20/20   B-DATE
with   O
severe   O
abdominal   O
pain   O
lasting   O
over   O
a   O
period   O
of   O
6   O
hours   O
.   O

The   O
patient   O
stated   O
they   O
have   O
an   O
ongoing   O
medical   O
history   O
of   O
Crohn   O
's   O
disease   O
maintained   O
under   O
Cassius   B-NAME
Hartman   I-NAME
.   O

During   O
the   O
admission   O
process   O
,   O
medical   O
record   O
number   O
78928031   B-ID
was   O
created   O
.   O

Despite   O
the   O
pain   O
,   O
Jadon   B-NAME
Frank   I-NAME
appeared   O
alert   O
and   O
oriented   O
.   O

Vital   O
signs   O
taken   O
on   O
admission   O
were   O
:   O
blood   O
pressure   O
of   O
120/80   O
mmHg   O
,   O
heart   O
rate   O
of   O
98   O
bpm   O
,   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
,   O
temperature   O
-   O
98.2   O
F.   O
Her   O
lab   O
results   O
,   O
captured   O
under   O
patient   O
ID   O
QU   B-ID
:   I-ID
NZ:7019   I-ID
,   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
and   O
a   O
low   O
haemoglobin   O
count   O
,   O
suggesting   O
ongoing   O
inflammation   O
and   O
anaemia   O
.   O

vann   B-NAME
resides   O
in   O
Hustler   B-LOCATION
,   O
and   O
their   O
home   O
phone   O
number   O
is   O
43602   B-CONTACT
.   O

He   O
/   O
She   O
works   O
as   O
a   O
Agricultural   O
Equipment   O
Operators   O
at   O
Australian   B-LOCATION
Manufacturing   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
.   O

Considering   O
the   O
severity   O
of   O
the   O
symptoms   O
,   O
further   O
diagnostics   O
including   O
computed   O
tomography   O
of   O
the   O
abdomen   O
was   O
recommended   O
by   O
Bennett   B-NAME
.   O

The   O
patient   O
agreed   O
to   O
the   O
further   O
investigations   O
and   O
signed   O
the   O
necessary   O
consents   O
on   O
22/20/2080   B-DATE
.   O

They   O
were   O
then   O
moved   O
to   O
the   O
imaging   O
department   O
located   O
in   O
Elmendorf   B-LOCATION
AFB   I-LOCATION
Hospital   I-LOCATION
,   O
West   B-LOCATION
Denton   I-LOCATION
by   O
the   O
hospital   O
transport   O
service   O
.   O

Later   O
,   O
the   O
payment   O
detail   O
and   O
insurance   O
formalities   O
were   O
carried   O
out   O
by   O
gu695   B-NAME
at   O
the   O
admission   O
desk   O
.   O

Confirmation   O
of   O
the   O
billing   O
was   O
sent   O
to   O
the   O
patient   O
's   O
residential   O
28439   B-LOCATION
code   O
.   O

These   O
events   O
have   O
been   O
noted   O
and   O
will   O
be   O
closely   O
followed   O
up   O
in   O
the   O
patient   O
's   O
subsequent   O
visits   O
to   O
Southern   B-LOCATION
New   I-LOCATION
Hampshire   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Report   O
compiled   O
by   O
Phoebe   B-NAME
Friedman   I-NAME
on   O
20/32   B-DATE
.   O

Leah   B-NAME
Shea   I-NAME
Age   O
:   O
59   O
Address   O
:   O
Amo   B-LOCATION
Phone   O
:   O
346   B-CONTACT
1469   I-CONTACT
ID   O
:   O
PR:32922:676278   B-ID
Medical   O
Record   O
No   O
:   O
981   B-ID
61   I-ID
54   I-ID
Gender   O
:   O
Male   O
Attending   O
Physician   O
:   O
Dr.   O
Cornstalk   B-NAME
Visit   O
Summary   O
:   O
The   O
patient   O
arrived   O
at   O
Mount   B-LOCATION
Sinai   I-LOCATION
Brooklyn   I-LOCATION
on   O
2331   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
33   I-DATE
.   O

He   O
will   O
be   O
kept   O
under   O
observation   O
in   O
DeKalb   B-LOCATION
Medical   I-LOCATION
Long   I-LOCATION
Term   I-LOCATION
Acute   I-LOCATION
Care   I-LOCATION
.   O

Follow   O
Up   O
:   O
Treatment   O
with   O
empiric   O
antibiotics   O
was   O
initiated   O
and   O
the   O
patient   O
will   O
have   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Mackenzie   B-NAME
Jimenez   I-NAME
next   O
week   O
on   O
1/39   B-DATE
.   O

Patient   O
works   O
at   O
Ukrainian   B-LOCATION
American   I-LOCATION
Veterans   I-LOCATION
(   I-LOCATION
UAV   I-LOCATION
)   I-LOCATION
as   O
a   O
Roof   O
Bolters   O
,   O
Mining   O
,   O
so   O
he   O
was   O
advised   O
to   O
take   O
time   O
off   O
from   O
his   O
work   O
until   O
all   O
symptoms   O
subside   O
.   O

Please   O
contact   O
this   O
number   O
(   B-CONTACT
951   I-CONTACT
)   I-CONTACT
325   I-CONTACT
-   I-CONTACT
7021   I-CONTACT
for   O
additional   O
information   O
.   O

We   O
are   O
located   O
in   O
24035   B-LOCATION
area   O
.   O

Note   O
is   O
prepared   O
by   O
LD975   B-NAME
.   O

Signed   O
off   O
by   O
Dr.   O
Muller   B-NAME
22/20/2393   B-DATE

Patient   O
Report   O
:   O
Stokes   B-NAME
presented   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Rowan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
02/12   B-DATE
complaining   O
of   O
severe   O
headaches   O
and   O
dizziness   O
.   O

Having   O
lived   O
in   O
Ranger   B-LOCATION
,   O
there   O
is   O
a   O
family   O
history   O
of   O
migraine   O
suggesting   O
potential   O
genetic   O
predispositions   O
.   O

Upon   O
initial   O
physical   O
examination   O
by   O
Mero   B-NAME
,   I-NAME
Rena   I-NAME
,   O
significant   O
findings   O
included   O
bilateral   O
temporal   O
throbbing   O
and   O
photophobia   O
,   O
consistent   O
with   O
complex   O
migraine   O
patterns   O
.   O

Since   O
the   O
patient   O
's   O
condition   O
was   O
being   O
evaluated   O
for   O
the   O
first   O
time   O
on   O
October   B-DATE
of   I-DATE
2111   I-DATE
,   O
a   O
complete   O
diagnostic   O
workup   O
was   O
planned   O
during   O
the   O
current   O
hospital   O
stay   O
.   O

The   O
lab   O
controlled   O
by   O
Marijuana   B-LOCATION
Anonymous   I-LOCATION
revealed   O
normal   O
levels   O
of   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
lipid   O
profile   O
,   O
and   O
renal   O
function   O
tests   O
.   O

A   O
brain   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
scan   O
was   O
scheduled   O
for   O
19/08/2241   B-DATE
at   O
Radiology   O
Unit   O
of   O
Seton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Harker   I-LOCATION
Heights   I-LOCATION
.   O

The   O
patient   O
's   O
health   O
record   O
843   B-ID
-   I-ID
62   I-ID
-   I-ID
73   I-ID
-   I-ID
3   I-ID
was   O
updated   O
.   O

A   O
detailed   O
treatment   O
plan   O
was   O
discussed   O
with   O
Nichols   B-NAME
by   O
Raul   B-NAME
Leblanc   I-NAME
and   O
consent   O
for   O
the   O
prescribed   O
medications   O
was   O
obtained   O
.   O

Cristofer   B-NAME
Farley   I-NAME
will   O
be   O
started   O
on   O
Topiramate   O
25   O
mg   O
daily   O
along   O
with   O
supportive   O
therapy   O
.   O

Anya   B-NAME
Campos   I-NAME
was   O
counseled   O
to   O
abstain   O
from   O
smoking   O
,   O
limit   O
alcohol   O
intake   O
and   O
advised   O
to   O
follow   O
a   O
regular   O
sleeping   O
pattern   O
.   O

The   O
doctor   O
also   O
explained   O
the   O
importance   O
of   O
hydration   O
and   O
regular   O
meal   O
patterns   O
to   O
Upson   B-NAME
,   O
considering   O
the   O
stress   O
associated   O
with   O
the   O
patient   O
's   O
Medical   O
Equipment   O
Preparers   O
.   O

The   O
patient   O
's   O
follow   O
-   O
up   O
appointment   O
was   O
fixed   O
for   O
32/11   B-DATE
.   O

Also   O
,   O
QUAGLIA   B-NAME
,   I-NAME
BRONSON   I-NAME
was   O
provided   O
with   O
contact   O
(   B-CONTACT
752   I-CONTACT
)   I-CONTACT
567   I-CONTACT
7463   I-CONTACT
of   O
the   O
Neurology   O
clinic   O
for   O
any   O
emergent   O
concerns   O
related   O
to   O
the   O
migraine   O
episodes   O
.   O

Living   O
in   O
Gulf   B-LOCATION
Hills   I-LOCATION
at   O
34985   B-LOCATION
and   O
online   O
access   O
ro879   B-NAME
were   O
provided   O
to   O
Apiatan   B-NAME
for   O
their   O
medical   O
record   O
portal   O
online   O
.   O

Reese   B-NAME
Benjamin   I-NAME
is   O
scheduled   O
to   O
notify   O
the   O
hospital   O
of   O
any   O
changes   O
in   O
symptoms   O
or   O
any   O
severe   O
side   O
effects   O
from   O
medication   O
via   O
the   O
hospital   O
's   O
messaging   O
system   O
.   O

The   O
patient   O
's   O
employer   O
,   O
People   B-LOCATION
&   I-LOCATION
Planet   I-LOCATION
,   O
was   O
sent   O
a   O
note   O
regarding   O
Kinsey   B-NAME
,   I-NAME
Alfred   I-NAME
's   O
medical   O
leave   O
starting   O
from   O
05/25/2214   B-DATE
to   O
00/21   B-DATE
.   O

A   O
request   O
was   O
sent   O
to   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
to   O
avoid   O
assigning   O
any   O
night   O
shifts   O
for   O
Jayleen   B-NAME
Torres   I-NAME
for   O
the   O
next   O
six   O
months   O
,   O
considering   O
that   O
regular   O
sleep   O
patterns   O
may   O
alleviate   O
the   O
migraine   O
symptoms   O
.   O

In   O
case   O
of   O
loss   O
of   O
ID   O
7   B-ID
-   I-ID
6453259   I-ID
,   O
Mercado   B-NAME
is   O
advised   O
to   O
contact   O
the   O
registration   O
office   O
of   O
St   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
at   O
599   B-CONTACT
-   I-CONTACT
271   I-CONTACT
2360   I-CONTACT
to   O
get   O
a   O
replacement   O
issued   O
.   O

Patient   O
Name   O
:   O
Sammael   B-NAME
Doerflinger   I-NAME
Patient   O
ID   O
:   O
72272   B-ID
DOB   O
:   O

January   B-DATE
2090   I-DATE
Age   O
:   O
67   O
Address   O
:   O
Greenock   B-LOCATION
,   O
45713   B-LOCATION
Home   O
Phone   O
:   O
(   B-CONTACT
291   I-CONTACT
)   I-CONTACT
481   I-CONTACT
-   I-CONTACT
6031   I-CONTACT
Medical   O
Record   O
Number   O
:   O
5862603   B-ID
Primary   O
Care   O
Provider   O
:   O
Woods   B-NAME
Hospital   O
:   O

Tampa   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Report   O
:   O
Annie   B-NAME
Ballard   I-NAME
is   O
a   O
96s   O
year   O
old   O
individual   O
admitted   O
to   O
HSHS   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Green   I-LOCATION
Bay   I-LOCATION
under   O
the   O
care   O
of   O
Hartman   B-NAME
.   O

The   O
initial   O
emergency   O
report   O
was   O
made   O
on   O
8/32   B-DATE
.   O

Mose   B-NAME
revealed   O
a   O
recent   O
history   O
of   O
inhalation   O
exposure   O
in   O
his   O
physician   O
's   O
assistant   O
and   O
has   O
appeared   O
cyanotic   O
with   O
a   O
resting   O
oxygen   O
saturation   O
of   O
88   O
%   O
,   O
suggesting   O
a   O
severe   O
respiratory   O
distress   O
.   O

Direct   O
admission   O
from   O
the   O
International   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Bayesian   I-LOCATION
Analysis   I-LOCATION
where   O
he   O
works   O
was   O
facilitated   O
by   O
his   O
co   O
-   O
worker   O
pt334   B-NAME
.   O

Asia   B-NAME
Weeks   I-NAME
's   O
COVID-19   O
reverse   O
transcription   O
polymerase   O
chain   O
reaction   O
(   O
RT   O
-   O
PCR   O
)   O
test   O
result   O
came   O
negative   O
,   O
as   O
confirmed   O
by   O
the   O
laboratory   O
at   O
Obetz   B-LOCATION
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
with   O
Jayson   B-NAME
Acevedo   I-NAME
is   O
scheduled   O
for   O
09/33/13   B-DATE
at   O
Cooper   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
queries   O
or   O
concerns   O
,   O
Boone   B-NAME
,   I-NAME
Louis   I-NAME
E.   I-NAME
can   O
contact   O
the   O
health   O
team   O
on   O
the   O
(   B-CONTACT
266   I-CONTACT
)   I-CONTACT
977   I-CONTACT
7670   I-CONTACT
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Willie   B-NAME
Nix   I-NAME
Age   O
:   O
93   O
ID   O
:   O
YO181/2426   B-ID
Location   O
:   O
7970   B-LOCATION
Bow   I-LOCATION
Ridge   I-LOCATION
Street   I-LOCATION
8/33/2322   B-DATE
Winfrey   B-NAME
,   I-NAME
Oprah   I-NAME
,   O
I   O
am   O
writing   O
to   O
provide   O
a   O
clinical   O
overview   O
of   O
Amina   B-NAME
Shannon   I-NAME
.   O

The   O
patient   O
was   O
initially   O
admitted   O
to   O
Mid   B-LOCATION
-   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
03/24   B-DATE
presenting   O
with   O
fever   O
,   O
malaise   O
,   O
and   O
abdominal   O
pain   O
.   O

I   O
have   O
recorded   O
this   O
information   O
in   O
Patient   O
's   O
medical   O
record   O
08412758   B-ID
.   O

Please   O
do   O
not   O
hesitate   O
to   O
reach   O
me   O
at   O
(   B-CONTACT
618   I-CONTACT
)   I-CONTACT
746   I-CONTACT
-   I-CONTACT
4449   I-CONTACT
in   O
case   O
of   O
any   O
queries   O
/   O
questions   O
or   O
further   O
discussion   O
necessary   O
.   O

Also   O
,   O
a   O
copy   O
of   O
this   O
report   O
will   O
be   O
shared   O
with   O
Basin   B-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
where   O
Jaydan   B-NAME
Johnson   I-NAME
works   O
as   O
a   O
reference   O
.   O

Patient   O
's   O
family   O
who   O
lives   O
in   O
77086   B-LOCATION
has   O
been   O
informed   O
about   O
his   O
condition   O
.   O

Best   O
Regards   O
,   O
sqd957   B-NAME

Patient   O
Name   O
:   O
Eddie   B-NAME
Craig   I-NAME
Patient   O
ID   O
:   O
FT   B-ID
:   I-ID
QK:4047   I-ID
Patient   O
's   O
Date   O
of   O
Birth   O
:   O
8/3   B-DATE
Address   O
:   O
Wainscott   B-LOCATION
,   O
72755   B-LOCATION
Phone   O
Number:   O
(481   B-CONTACT
)   I-CONTACT
530   I-CONTACT
-   I-CONTACT
6969   I-CONTACT
Medical   O
Record   O
:   O
54497345   B-ID
Admitting   O
Doctor   O
:   O
Dr.   O
Huynh   B-NAME
Hospital   O
of   O
Admission   O
:   O
Riverview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
The   O
patient   O
,   O
Lawrence   B-NAME
Augustine   I-NAME
,   O
presented   O
complaining   O
of   O
shortness   O
of   O
breath   O
and   O
mild   O
chest   O
discomfort   O
.   O

He   O
has   O
felt   O
this   O
for   O
ten   O
days   O
prior   O
to   O
the   O
admission   O
date   O
,   O
00/03/2062   B-DATE
.   O

Due   O
to   O
the   O
severity   O
of   O
his   O
conditions   O
,   O
he   O
was   O
referred   O
to   O
Dr.   O
Wang   B-NAME
at   O
War   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
19/21   B-DATE
.   O

A   O
report   O
was   O
generated   O
by   O
Nurse   O
WP611   B-NAME
and   O
was   O
relayed   O
to   O
the   O
sister   O
concern   O
Centre   B-LOCATION
of   I-LOCATION
Indian   I-LOCATION
Trade   I-LOCATION
Unions   I-LOCATION
for   O
further   O
assessment   O
.   O

Emergency   O
contact   O
for   O
the   O
patient   O
is   O
available   O
at   O
942   B-CONTACT
-   I-CONTACT
695   I-CONTACT
-   I-CONTACT
9694   I-CONTACT
.   O

Patient   O
Name   O
:   O
Merrill   B-NAME
Benninger   I-NAME
Age   O
:   O
29s   O
Location   O
:   O
Peoria   B-LOCATION
Heights   I-LOCATION
Phone   O
:   O
(   B-CONTACT
444   I-CONTACT
)   I-CONTACT
810   I-CONTACT
-   I-CONTACT
8322   I-CONTACT
Medical   O
Record   O
:   O
67579066   B-ID
On   O
3/21/2122   B-DATE
,   O
Carlson   B-NAME
was   O
referred   O
by   O
Dr.   O
Foster   B-NAME
to   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Melany   B-NAME
Shelton   I-NAME
presented   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
and   O
intermittent   O
chest   O
pains   O
that   O
were   O
localized   O
at   O
left   O
parasternal   O
area   O
and   O
exacerbated   O
by   O
exertion   O
.   O

Medical   O
examination   O
on   O
2/32/15   B-DATE
revealed   O
that   O
Johan   B-NAME
Fry   I-NAME
had   O
a   O
temperature   O
of   O
37.5   O
°   O
C   O
,   O
a   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
and   O
a   O
blood   O
pressure   O
of   O
135/85   O
mmHg   O
.   O

Investigations   O
:   O
Chest   O
X   O
-   O
ray   O
done   O
at   O
Kootenai   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/96   B-DATE
showed   O
an   O
enlarged   O
cardiac   O
silhouette   O
indicating   O
possible   O
cardiomegaly   O
.   O

Treatment   O
Plan   O
:   O
Brilliant   B-NAME
,   I-NAME
Ashleigh   I-NAME
was   O
advised   O
to   O
continue   O
on   O
her   O
current   O
medications   O
which   O
includes   O
Aspirin   O
,   O
Beta   O
-   O
blockers   O
and   O
Statins   O
.   O

A   O
follow   O
-   O
up   O
with   O
Kareem   B-NAME
Stephens   I-NAME
at   O
St.   B-LOCATION
Petersburg   I-LOCATION
has   O
been   O
scheduled   O
on   O
07/10/1912   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
from   O
Alice   B-LOCATION
Hyde   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
the   O
same   O
day   O
.   O

Additional   O
comments   O
:   O
The   O
patient   O
's   O
National   B-LOCATION
League   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Blind   I-LOCATION
ID   O
is   O
WX   B-ID
:   I-ID
BN:9972   I-ID
.   O

Her   O
username   O
for   O
the   O
patient   O
portal   O
is   O
GV253   B-NAME
.   O

Postal   O
code   O
is   O
66440   B-LOCATION
.   O

Patient   O
:   O
Octavio   B-NAME
Vasquez   I-NAME
Medical   O
Record   O
:   O
83577689   B-ID
The   O
patient   O
,   O
a   O
Information   O
and   O
Record   O
Clerks   O
,   O
All   O
Other   O
from   O
Clarks   B-LOCATION
Grove   I-LOCATION
,   O
came   O
into   O
StoneSprings   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
2234   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
01   I-DATE
.   O

Upon   O
evaluation   O
with   O
Dr.   O
Andrea   B-NAME
Byrd   I-NAME
,   O
the   O
patient   O
reported   O
that   O
the   O
pain   O
had   O
begun   O
around   O
six   O
hours   O
prior   O
to   O
his   O
arrival   O
at   O
the   O
hospital   O
.   O

The   O
primary   O
care   O
doctor   O
's   O
office   O
has   O
contact   O
information   O
as   O
260   B-CONTACT
3768   I-CONTACT
.   O

For   O
further   O
information   O
and   O
follow   O
-   O
up   O
of   O
patient   O
's   O
case   O
,   O
please   O
contact   O
Dr.   O
Talan   B-NAME
Wall   I-NAME
on   O
extension   O
number   O
available   O
at   O
nurse   O
’s   O
station   O
.   O

Furthermore   O
,   O
the   O
patient   O
’s   O
insurance   O
details   O
(   O
policy   O
number   O
KN:72333:311283   B-ID
)   O
are   O
filed   O
under   O
his   O
folder   O
,   O
and   O
a   O
copy   O
has   O
been   O
sent   O
to   O
the   O
billing   O
Association   B-LOCATION
of   I-LOCATION
Motion   I-LOCATION
Pictures   I-LOCATION
&   I-LOCATION
TV   I-LOCATION
Programme   I-LOCATION
Producer   I-LOCATION
of   I-LOCATION
India   I-LOCATION
as   O
per   O
the   O
standard   O
protocol   O
.   O

The   O
hospital   O
’s   O
IT   O
specialist   O
,   O
ZR58   B-NAME
,   O
will   O
upload   O
these   O
findings   O
and   O
reports   O
to   O
the   O
patient   O
's   O
digital   O
health   O
record   O
.   O

Patient   O
's   O
residential   O
address   O
is   O
Henderson   B-LOCATION
,   I-LOCATION
City   I-LOCATION
of   I-LOCATION
Henderson   I-LOCATION
,   O
68264   B-LOCATION
.   O

In   O
case   O
of   O
any   O
change   O
in   O
treatment   O
plan   O
,   O
please   O
update   O
the   O
record   O
by   O
7/28/23   B-DATE
.   O

Patient   O
Name   O
:   O
Imani   B-NAME
Blevins   I-NAME
Age   O
:   O
23s   O
DOB   O
:   O
10/38   B-DATE
Occupation   O
:   O
Electrical   O
and   O
Electronic   O
Engineering   O
Technicians   O
ID   O
:   O
VM629/1868   B-ID
Phone   O
Number   O
:   O
17237   B-CONTACT
Address   O
:   O
Sevierville   B-LOCATION
,   O
97088   B-LOCATION
Medical   O
Record   O
Number   O
:   O
85911941   B-ID
Username   O
:   O
YB958   B-NAME
Primary   O
Care   O
Physician   O
:   O

Deacon   B-NAME
Conrad   I-NAME
at   O
Madigan   B-LOCATION
Army   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
goldstein   B-NAME
came   O
in   O
on   O
02/04/2111   B-DATE
complaining   O
of   O
abdominal   O
pain   O
,   O
which   O
she   O
rated   O
as   O
7   O
on   O
the   O
pain   O
scale   O
.   O

Additionally   O
,   O
Mrs.   O
Federer   B-NAME
,   I-NAME
Roger   I-NAME
reported   O
experiencing   O
bloating   O
and   O
changes   O
in   O
bowel   O
habit   O
.   O

Patient   O
Johnston   B-NAME
lives   O
in   O
Bowdle   B-LOCATION
.   O

No   O
existing   O
medical   O
conditions   O
were   O
documented   O
on   O
the   O
medical   O
record   O
895   B-ID
-   I-ID
75   I-ID
-   I-ID
77   I-ID
.   O

She   O
further   O
disclosed   O
during   O
the   O
visit   O
that   O
her   O
mother   O
had   O
a   O
history   O
of   O
colorectal   O
cancer   O
at   O
30   O
.   O
Referred   O
Patient   O
Lizeth   B-NAME
Shannon   I-NAME
to   O
Dr.   O
Chan   B-NAME
for   O
further   O
abdominal   O
imaging   O
and   O
possible   O
endoscopy   O
at   O
Dell   B-LOCATION
Seton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
the   I-LOCATION
University   I-LOCATION
of   I-LOCATION
Texas   I-LOCATION
.   O

Let   O
the   O
patient   O
know   O
we   O
could   O
be   O
contacted   O
back   O
on   O
87486   B-CONTACT
in   O
case   O
of   O
any   O
severe   O
symptoms   O
before   O
the   O
scheduled   O
appointment   O
or   O
for   O
answering   O
any   O
questions   O
.   O
Will   O
include   O
these   O
details   O
in   O
our   O
patient   O
's   O
records   O
under   O
the   O
username   O
xq426   B-NAME
.   O
Sent   O
detailed   O
notes   O
to   O
the   O
Imperial   B-LOCATION
Savings   I-LOCATION
&   I-LOCATION
Loan   I-LOCATION
for   O
their   O
files   O
.   O

Patient   O
Bryce   B-NAME
Maner   I-NAME
presented   O
to   O
Woodwinds   B-LOCATION
Health   I-LOCATION
Campus   I-LOCATION
on   O
2022   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
22   I-DATE
.   O

The   O
patient   O
,   O
a   O
Police   O
,   O
Fire   O
,   O
and   O
Ambulance   O
Dispatchers   O
living   O
in   O
Hindsville   B-LOCATION
at   O
the   O
88014   B-LOCATION
postal   O
code   O
,   O
complained   O
of   O
intense   O
,   O
recurrent   O
episodes   O
of   O
chest   O
pain   O
for   O
the   O
past   O
couple   O
of   O
days   O
.   O

Medical   O
history   O
obtained   O
from   O
George   B-NAME
revealed   O
that   O
the   O
100   O
year   O
old   O
patient   O
was   O
diagnosed   O
with   O
hypertension   O
5   O
years   O
ago   O
and   O
has   O
been   O
under   O
treatment   O
since   O
then   O
.   O

Patient   O
's   O
ID   O
AW:65495:819868   B-ID
indicates   O
that   O
they   O
have   O
been   O
regular   O
with   O
the   O
medications   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

Administration   O
of   O
antiplatelet   O
and   O
anticoagulant   O
medications   O
was   O
initiated   O
as   O
per   O
the   O
Maritime   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
guidelines   O
.   O

The   O
patient   O
was   O
immediately   O
scheduled   O
for   O
a   O
cardiology   O
consultation   O
with   O
Ayers   B-NAME
.   O

Attempts   O
were   O
made   O
to   O
reach   O
out   O
to   O
the   O
patient   O
's   O
emergency   O
contact   O
on   O
896   B-CONTACT
-   I-CONTACT
342   I-CONTACT
-   I-CONTACT
5358   I-CONTACT
.   O

Meanwhile   O
,   O
patient   O
07569355   B-ID
was   O
updated   O
with   O
the   O
current   O
assessment   O
and   O
plan   O
.   O

The   O
patient   O
's   O
username   O
for   O
the   O
geriatric   O
tele   O
-   O
health   O
portal   O
is   O
ah995   B-NAME
.   O

Following   O
the   O
consultation   O
with   O
Conrad   B-NAME
,   O
it   O
was   O
decided   O
to   O
proceed   O
with   O
cardiac   O
catheterization   O
which   O
is   O
planned   O
to   O
take   O
place   O
on   O
32/25   B-DATE
.   O

In   O
conclusion   O
,   O
patient   O
Cowley   B-NAME
,   I-NAME
Abraham   I-NAME
,   O
a   O
professional   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Personal   O
Service   O
Workers   O
1   O
-   O
year   O
-   O
old   O
with   O
a   O
clinical   O
diagnosis   O
of   O
myocardial   O
infarction   O
was   O
managed   O
as   O
per   O
standard   O
guidelines   O
and   O
further   O
management   O
is   O
planned   O
for   O
the   O
upcoming   O
days   O
.   O

Patient   O
Report   O
:   O
Patient   O
's   O
name   O
:   O
Lynch   B-NAME
,   I-NAME
Peter   I-NAME
,   O
a   O
68   O
year   O
old   O
male   O
,   O
presented   O
to   O
the   O
clinic   O
at   O
Jane   B-LOCATION
Todd   I-LOCATION
Crawford   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
the   O
2392   B-DATE
.   O

Resident   O
Physician   O
Finn   B-NAME
Huff   I-NAME
was   O
on   O
duty   O
.   O

Gangchuan   B-NAME
,   I-NAME
Cao   I-NAME
is   O
a   O
Aquacultural   O
Managers   O
from   O
Oakford   B-LOCATION
.   O

Upon   O
examination   O
,   O
Leland   B-NAME
Jensen   I-NAME
's   O
health   O
plan   O
number   O
:   O
ON   B-ID
:   I-ID
BX:2475   I-ID
showed   O
that   O
he   O
had   O
a   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
and   O
hypertension   O
.   O

Lynch   B-NAME
requested   O
chest   O
x   O
-   O
ray   O
and   O
comprehensive   O
metabolic   O
panel   O
.   O

Reports   O
were   O
filed   O
under   O
19243974   B-ID
.   O

The   O
patient   O
's   O
phone   O
number   O
,   O
(   B-CONTACT
651   I-CONTACT
)   I-CONTACT
647   I-CONTACT
2564   I-CONTACT
,   O
was   O
used   O
to   O
contact   O
him   O
later   O
that   O
day   O
to   O
gather   O
more   O
information   O
about   O
his   O
symptoms   O
.   O

His   O
hospital   O
room   O
number   O
at   O
Spring   B-LOCATION
Hill   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
is   O
not   O
available   O
at   O
this   O
time   O
.   O

The   O
chest   O
x   O
-   O
ray   O
done   O
on   O
0/5/48   B-DATE
showed   O
patchy   O
infiltrates   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
.   O

The   O
results   O
of   O
the   O
comprehensive   O
metabolic   O
panel   O
,   O
blood   O
tests   O
,   O
and   O
other   O
health   O
data   O
were   O
stored   O
in   O
the   O
system   O
under   O
the   O
username   O
cov512   B-NAME
.   O

The   O
findings   O
were   O
shared   O
with   O
the   O
patient   O
and   O
he   O
has   O
been   O
advised   O
to   O
self   O
-   O
isolate   O
at   O
his   O
residence   O
in   O
35980   B-LOCATION
to   O
prevent   O
possible   O
spread   O
of   O
any   O
infection   O
,   O
until   O
the   O
confirmatory   O
results   O
for   O
potential   O
pneumonia   O
are   O
available   O
.   O

Additionally   O
,   O
his   O
physician   O
,   O
Michael   B-NAME
Strother   I-NAME
,   O
has   O
recommended   O
a   O
consultation   O
with   O
a   O
pulmonologist   O
at   O
Borough   B-LOCATION
of   I-LOCATION
South   I-LOCATION
River   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
in   O
Weldon   B-LOCATION
.   O

Documents   O
to   O
be   O
sent   O
to   O
his   O
personal   O
address   O
at   O
Miami   B-LOCATION
Shores   I-LOCATION
,   O
for   O
his   O
reference   O
and   O
for   O
further   O
discussion   O
at   O
his   O
upcoming   O
appointment   O
on   O
April   B-DATE
2100   I-DATE
.   O

Patient   O
Name   O
:   O
Nicole   B-NAME
Davidson   I-NAME
Age   O
:   O
4   O
Date   O
:   O
2382   B-DATE
Physician   O
:   O

Larry   B-NAME
Mckay   I-NAME
Hospital   O
:   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
GJ498/9735   B-ID
Location   O
:   O
Prosperity   B-LOCATION
Medical   O
Record   O
:   O
12891820   B-ID
Organization   O
:   O

WAPDA   B-LOCATION
Phone   O
:   O
603   B-CONTACT
-   I-CONTACT
4984   I-CONTACT
Profession   O
:   O
Environmental   O
Restoration   O
Planners   O
Username   O
:   O
rn3510   B-NAME
Zip   O
:   O
90625   B-LOCATION
265   B-ID
-   I-ID
95   I-ID
-   I-ID
95   I-ID
was   O
admitted   O
to   O
Altru   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
12/26   B-DATE
.   O

Winters   B-NAME
's   O
initial   O
symptoms   O
included   O
persistent   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
extreme   O
fatigue   O
.   O

Nolan   B-NAME
noted   O
ST   O
-   O
elevation   O
,   O
which   O
suggests   O
a   O
higher   O
likelihood   O
of   O
heart   O
attack   O
.   O

Ida   B-NAME
Xayachack   I-NAME
's   O
chest   O
pain   O
was   O
described   O
as   O
intense   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
,   O
lasting   O
over   O
30   O
minutes   O
,   O
and   O
not   O
relieved   O
by   O
rest   O
.   O

Furthermore   O
,   O
McClary   B-NAME
,   I-NAME
Susan   I-NAME
reported   O
experiencing   O
bouts   O
of   O
lightheadedness   O
and   O
palpitations   O
,   O
which   O
further   O
raised   O
concerns   O
of   O
potential   O
cardiovascular   O
issues   O
.   O

On   O
13/02/64   B-DATE
,   O
laboratory   O
results   O
,   O
including   O
complete   O
blood   O
count   O
and   O
metabolic   O
panel   O
,   O
were   O
reviewed   O
by   O
Cayden   B-NAME
Villarreal   I-NAME
.   O

Ordean   B-NAME
Quintal   I-NAME
's   O
blood   O
pressure   O
was   O
also   O
monitored   O
and   O
found   O
to   O
be   O
140/90   O
mmHg   O
,   O
which   O
is   O
higher   O
than   O
normal   O
.   O

In   O
the   O
context   O
of   O
these   O
symptoms   O
and   O
James   B-NAME
Whitman   I-NAME
's   O
occupation   O
as   O
a   O
Bookkeeping   O
,   O
Accounting   O
,   O
and   O
Auditing   O
Clerks   O
,   O
it   O
was   O
agreed   O
that   O
stress   O
and   O
exertion   O
could   O
be   O
contributing   O
factors   O
.   O

Uddin   B-NAME
was   O
advised   O
to   O
minimize   O
physical   O
and   O
emotional   O
stress   O
for   O
a   O
faster   O
recovery   O
.   O

A   O
heart   O
healthy   O
diet   O
was   O
also   O
recommended   O
to   O
Bryan   B-NAME
,   I-NAME
William   I-NAME
Jennings   I-NAME
and   O
further   O
diagnostic   O
tests   O
,   O
such   O
as   O
echo   O
and   O
stress   O
test   O
,   O
were   O
scheduled   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
set   O
for   O
Feb   B-DATE
at   O
Pittsford   B-LOCATION
,   O
and   O
Lynn   B-NAME
was   O
provided   O
with   O
the   O
360   B-CONTACT
-   I-CONTACT
9454   I-CONTACT
number   O
in   O
case   O
of   O
emergency   O
.   O

The   O
record   O
of   O
this   O
entire   O
procedure   O
was   O
updated   O
under   O
the   O
rss359   B-NAME
for   O
future   O
reference   O
.   O

Subsequent   O
to   O
these   O
events   O
,   O
World   B-LOCATION
Council   I-LOCATION
of   I-LOCATION
Churches   I-LOCATION
took   O
over   O
the   O
medical   O
costs   O
and   O
responsibilities   O
related   O
to   O
Miller   B-NAME
,   I-NAME
Ron   I-NAME
's   O
condition   O
,   O
per   O
agreement   O
ID   O
2   B-ID
-   I-ID
1796941   I-ID
.   O

Correspondence   O
and   O
reports   O
are   O
to   O
be   O
mailed   O
to   O
Zoie   B-NAME
Figueroa   I-NAME
at   O
30127   B-LOCATION
.   O

Patient   O
Information   O
:   O
--------------------   O
Name   O
:   O
XD   B-NAME
Age   O
:   O
33   O
ID   O
:   O
7   B-ID
-   I-ID
8259388   I-ID
Address   O
:   O
Kinde   B-LOCATION
Phone   O
:   O
27498   B-CONTACT
ZIP   O
:   O
19265   B-LOCATION
Medical   O
Record   O
:   O
16073   B-ID
Report   O
:   O
--------   O

igl499   B-NAME
initiated   O
the   O
consultation   O
with   O
Dr.   O
Dean   B-NAME
on   O
2312   B-DATE
.   O

Mr.   O
Curtis   B-NAME
Thomas   I-NAME
has   O
been   O
suffering   O
from   O
persistent   O
bouts   O
of   O
vertigo   O
,   O
nausea   O
,   O
and   O
loss   O
of   O
balance   O
.   O

Due   O
to   O
Mr   O
Carmen   B-NAME
Knight   I-NAME
's   O
profession   O
as   O
a   O
Epidemiologists   O
,   O
these   O
symptoms   O
have   O
started   O
interfering   O
with   O
his   O
daily   O
routine   O
.   O

Based   O
on   O
the   O
symptoms   O
,   O
Dr.   O
Hendrie   B-NAME
,   I-NAME
Phil   I-NAME
suspects   O
a   O
case   O
of   O
Meniere   O
's   O
disease   O
.   O

Therefore   O
,   O
the   O
patient   O
has   O
been   O
referred   O
to   O
the   O
otology   O
department   O
at   O
Del   B-LOCATION
Sol   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
examination   O
and   O
necessary   O
diagnostic   O
tests   O
.   O

Dr.   O
Coulter   B-NAME
,   I-NAME
Ann   I-NAME
has   O
requested   O
a   O
comprehensive   O
audiometry   O
test   O
and   O
an   O
MRI   O
scan   O
of   O
the   O
brain   O
to   O
rule   O
out   O
other   O
conditions   O
that   O
could   O
be   O
causing   O
these   O
symptoms   O
.   O

The   O
medical   O
documentation   O
has   O
been   O
forwarded   O
to   O
the   O
First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Winchester   I-LOCATION
for   O
health   O
insurance   O
coverage   O
validation   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Mccoy   B-NAME
on   O
21/15   B-DATE
in   O
the   O
otology   O
department   O
of   O
Saint   B-LOCATION
Joseph   I-LOCATION
London   I-LOCATION
.   O

A   O
telephonic   O
consultation   O
has   O
been   O
set   O
up   O
on   O
23/02/2230   B-DATE
to   O
understand   O
the   O
patient   O
's   O
response   O
to   O
medication   O
,   O
discuss   O
the   O
diagnosis   O
,   O
and   O
the   O
next   O
course   O
of   O
action   O
.   O

The   O
patient   O
can   O
reach   O
out   O
to   O
Dr.   O
Duran   B-NAME
in   O
case   O
of   O
any   O
medical   O
emergencies   O
on   O
851   B-CONTACT
-   I-CONTACT
760   I-CONTACT
-   I-CONTACT
1236   I-CONTACT
.   O

The   O
records   O
pertaining   O
to   O
Mr.   O
Joshi   B-NAME
's   O
case   O
are   O
available   O
at   O
99360383   B-ID
on   O
the   O
Regional   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Scranton   I-LOCATION
's   O
database   O
for   O
further   O
reference   O
and   O
necessary   O
follow   O
-   O
ups   O
.   O

The   O
hospital   O
address   O
is   O
Coal   B-LOCATION
Creek   I-LOCATION
with   O
ZIP   O
code   O
23144   B-LOCATION
.   O

Report   O
Prepared   O
by   O
:   O
eye890   B-NAME

Patient   O
Information   O
:   O
Name   O
:   O
Hayes   B-NAME
Date   O
of   O
Visit   O
:   O
03/30/2262   B-DATE
Age   O
:   O
78   O
DOB   O
:   O

March   B-DATE
23   I-DATE
,   I-DATE
2251   I-DATE
Medical   O
record   O
number   O
:   O
7043019   B-ID
SSN   O
:   O
QT145/1513   B-ID
Mr.   O
Kenyon   B-NAME
is   O
a   O
9   O
-   O
year   O
-   O
old   O
male   O
who   O
works   O
as   O
a   O
Musicians   O
and   O
Singers   O
.   O

Mr.   O
Thomas   B-NAME
Ho   I-NAME
was   O
referred   O
by   O
Dr.   O
Anderson   B-NAME
and   O
presented   O
at   O
Little   B-LOCATION
River   I-LOCATION
Academy   I-LOCATION
to   O
The   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
complaining   O
of   O
intermittent   O
chest   O
pain   O
for   O
the   O
last   O
3   O
weeks   O
.   O

Mr.   O
UD   B-NAME
was   O
admitted   O
to   O
our   O
Pelham   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

The   O
patient   O
's   O
health   O
insurance   O
is   O
with   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Rail   I-LOCATION
,   I-LOCATION
Maritime   I-LOCATION
and   I-LOCATION
Transport   I-LOCATION
Workers   I-LOCATION
.   O

Mr.   O
Ramonita   B-NAME
Bundette   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
2/62   B-DATE
.   O

We   O
recommended   O
the   O
patient   O
to   O
subscribe   O
to   O
our   O
online   O
portal   O
with   O
username   O
fr605   B-NAME
for   O
easy   O
access   O
to   O
medical   O
records   O
and   O
scheduling   O
appointments   O
.   O

In   O
case   O
of   O
any   O
further   O
queries   O
contact   O
at   O
247   B-CONTACT
-   I-CONTACT
3863   I-CONTACT
.   O

They   O
reside   O
at   O
Miltona   B-LOCATION
with   O
the   O
postal   O
code   O
of   O
65482   B-LOCATION
.   O

Signed   O
by   O
Dr.   O
Zimmerman   B-NAME
,   O
Clarion   B-LOCATION
Hospital   I-LOCATION

Patient   O
Information   O
:   O
Javon   B-NAME
Cole   I-NAME
DOB   O
:   O
01/41   B-DATE
AGE   O
:   O
80   O
Address   O
:   O
Azle   B-LOCATION
,   O
69181   B-LOCATION
Phone   O
:   O
46547   B-CONTACT
Title   O
:   O
Environmental   O
education   O
officer   O
Health   O
Insurance   O
ID   O
:   O
VT163/2956   B-ID
Referred   O
by   O
:   O
Dr.   O
Taylor   B-NAME
Medical   O
Record   O
:   O
90429391   B-ID
Admission   O
Date   O
:   O
02/33/2045   B-DATE
Username   O
:   O
TI797   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Quakertown   I-LOCATION
Campus   I-LOCATION
Medical   O
History   O
:   O
Canseco   B-NAME
,   I-NAME
José   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
14/21   B-DATE
with   O
complaints   O
of   O
abdominal   O
pain   O
and   O
vomiting   O
for   O
four   O
days   O
.   O

Based   O
on   O
the   O
symptoms   O
and   O
examination   O
,   O
Gandhi   B-NAME
,   I-NAME
Mahatma   I-NAME
suspects   O
appendicitis   O
and   O
has   O
recommended   O
further   O
diagnostic   O
procedures   O
to   O
confirm   O
the   O
diagnosis   O
.   O

In   O
addition   O
,   O
Siouxsie   B-NAME
Crissinger   I-NAME
has   O
been   O
suffering   O
from   O
hypertension   O
for   O
the   O
past   O
7   O
years   O
and   O
is   O
being   O
treated   O
by   O
the   O
St.   B-LOCATION
Cloud   I-LOCATION
Utilities   I-LOCATION
.   O

Records   O
from   O
the   O
Integrity   B-LOCATION
Bank   I-LOCATION
show   O
that   O
the   O
patient   O
's   O
blood   O
pressure   O
has   O
been   O
well   O
managed   O
on   O
medication   O
and   O
lifestyle   O
modifications   O
.   O

Please   O
contact   O
(   B-CONTACT
350   I-CONTACT
)   I-CONTACT
903   I-CONTACT
-   I-CONTACT
8056   I-CONTACT
for   O
any   O
queries   O
related   O
to   O
this   O
medical   O
report   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
2397   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
32   I-DATE
at   O
McLeod   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Vance   B-LOCATION
.   O

Staff   O
member   O
responsible   O
:   O
rg783   B-NAME

Patient   O
Report   O
Bradford   B-NAME
Gensler   I-NAME
was   O
admitted   O
to   O
Seton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hays   I-LOCATION
on   O
32/00   B-DATE
.   O

Dr.   O
Nicholson   B-NAME
reported   O
that   O
upon   O
examination   O
,   O
the   O
patient   O
demonstrated   O
symptoms   O
of   O
tachycardia   O
,   O
fatigue   O
,   O
and   O
peripheral   O
cyanosis   O
.   O

Given   O
their   O
symptoms   O
and   O
clinical   O
findings   O
,   O
the   O
Moreno   B-NAME
was   O
quite   O
concerned   O
about   O
the   O
possibility   O
of   O
ischemic   O
heart   O
disease   O
.   O

The   O
patient   O
resides   O
in   O
De   B-LOCATION
Borgia   I-LOCATION
,   O
and   O
is   O
employed   O
as   O
a   O
Radio   O
and   O
Television   O
Announcers   O
.   O

This   O
individual   O
's   O
primary   O
healthcare   O
provider   O
is   O
Principal   B-LOCATION
Financial   I-LOCATION
Group   I-LOCATION
,   O
where   O
under   O
doctor   O
Julian   B-NAME
Blackburn   I-NAME
he   O
has   O
received   O
primary   O
care   O
for   O
the   O
past   O
ten   O
years   O
.   O

His   O
records   O
acquired   O
through   O
222   B-ID
-   I-ID
92   I-ID
-   I-ID
71   I-ID
-   I-ID
0   I-ID
number   O
showed   O
consistent   O
visits   O
to   O
the   O
doctor   O
associated   O
with   O
his   O
diabetes   O
management   O
.   O

The   O
patient   O
has   O
a   O
Health   O
Plan   O
1   B-ID
-   I-ID
5479209   I-ID
and   O
contact   O
366   B-CONTACT
-   I-CONTACT
7131   I-CONTACT
as   O
listed   O
in   O
the   O
records   O
.   O

In   O
the   O
event   O
of   O
an   O
emergency   O
,   O
one   O
should   O
reach   O
out   O
to   O
the   O
patient   O
at   O
his   O
location   O
cited   O
with   O
18753   B-LOCATION
.   O

Alternatively   O
,   O
one   O
could   O
connect   O
through   O
the   O
fro184   B-NAME
on   O
the   O
hospital   O
's   O
online   O
portal   O
.   O

In   O
conclusion   O
,   O
patient   O
Kaliyah   B-NAME
Giles   I-NAME
demonstrates   O
several   O
risk   O
factors   O
together   O
with   O
early   O
signs   O
of   O
ischemic   O
heart   O
disease   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Dr.   O
Coleman   B-NAME
at   O
Good   B-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
West   I-LOCATION
Palm   I-LOCATION
Beach   I-LOCATION
)   I-LOCATION
are   O
scheduled   O
for   O
further   O
analysis   O
and   O
management   O
.   O

Patient   O
Name   O
:   O
Chasity   B-NAME
Velazquez   I-NAME
Age   O
:   O
83   O
ID   O
:   O
673176227   B-ID
Medical   O
Record   O
Number   O
:   O
507   B-ID
-   I-ID
96   I-ID
-   I-ID
94   I-ID
-   I-ID
4   I-ID
Address   O
:   O
Locust   B-LOCATION
Phone   O
Number   O
:   O
97918   B-CONTACT
Zip   O
Code   O
:   O
70628   B-LOCATION
Employment   O
:   O
Education   O
,   O
Training   O
,   O
and   O
Library   O
Workers   O
,   O
All   O
Other   O
Username   O
:   O
ssw433   B-NAME
The   O
patient   O
,   O
Yogami   B-NAME
,   O
was   O
seen   O
by   O
Dr.   O
Benton   B-NAME
at   O
Providence   B-LOCATION
Medford   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2281   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
20   I-DATE
.   O

Recent   O
history   O
from   O
7565013   B-ID
indicates   O
that   O
the   O
patient   O
has   O
been   O
previously   O
treated   O
for   O
mild   O
asthma   O
approximately   O
a   O
year   O
ago   O
at   O
our   O
partner   O
organization   O
,   O
Galaxies   B-LOCATION
'   I-LOCATION
State   I-LOCATION
,   O
in   O
Heanor   B-LOCATION
.   O

Laboratory   O
results   O
from   O
blood   O
work   O
done   O
on   O
2115   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
32   I-DATE
indicated   O
elevated   O
white   O
blood   O
cell   O
counts   O
.   O

A   O
chest   O
X   O
-   O
Ray   O
was   O
ordered   O
by   O
Dr.   O
Joyce   B-NAME
to   O
rule   O
out   O
the   O
possibility   O
of   O
a   O
pulmonary   O
infection   O
.   O

The   O
patient   O
is   O
scheduled   O
to   O
come   O
in   O
for   O
a   O
follow   O
-   O
up   O
on   O
Mon   B-DATE
,   O
or   O
earlier   O
if   O
the   O
symptoms   O
worsen   O
.   O

Any   O
concerns   O
should   O
be   O
directed   O
to   O
Dr.   O
Gina   B-NAME
Arroyo   I-NAME
through   O
the   O
patient   O
portal   O
using   O
CC364   B-NAME
or   O
by   O
calling   O
us   O
on   O
314   B-CONTACT
773   I-CONTACT
4754   I-CONTACT
.   O

The   O
patient   O
's   O
prescription   O
has   O
been   O
sent   O
to   O
nearby   O
pharmacy   O
at   O
Washam   B-LOCATION
.   O

Patient   O
Report   O
:   O
Hathaway   B-NAME
,   I-NAME
Anne   I-NAME
a   O
psychologist   O
from   O
The   B-LOCATION
Dalles   I-LOCATION
,   O
presented   O
at   O
Overlook   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
April   B-DATE
22   I-DATE
.   O

On   O
physical   O
examination   O
,   O
Merri   B-NAME
Kerst   I-NAME
's   O
abdomen   O
was   O
soft   O
,   O
non   O
-   O
tender   O
with   O
no   O
apparent   O
hepatosplenomegaly   O
.   O

Further   O
evaluation   O
by   O
Carleigh   B-NAME
Best   I-NAME
using   O
the   O
Abdominal   O
Ultrasound   O
revealed   O
a   O
hyperechoic   O
liver   O
suggesting   O
fatty   O
liver   O
disease   O
.   O

Ida   B-NAME
Xayachack   I-NAME
reported   O
a   O
family   O
history   O
of   O
similar   O
digestive   O
issues   O
in   O
his   O
father   O
at   O
the   O
age   O
of   O
9   O
week   O
,   O
making   O
genetic   O
predisposition   O
a   O
possible   O
factor   O
to   O
consider   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
1675   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
16   I-DATE
and   O
medication   O
effectiveness   O
,   O
as   O
well   O
as   O
the   O
need   O
for   O
any   O
further   O
diagnostic   O
procedures   O
will   O
be   O
evaluated   O
then   O
.   O

For   O
any   O
further   O
queries   O
or   O
emergency   O
,   O
Holly   B-NAME
Martinez   I-NAME
can   O
contact   O
623   B-CONTACT
660   I-CONTACT
7037   I-CONTACT
.   O

Noted   O
in   O
the   O
patient   O
's   O
medical   O
record   O
0789   B-ID
:   I-ID
Z68015   I-ID
,   O
there   O
are   O
no   O
known   O
allergies   O
.   O

Ehlers   B-NAME
's   O
insurance   O
provider   O
is   O
Deutscher   B-LOCATION
Brauer   I-LOCATION
-   I-LOCATION
Bund   I-LOCATION
(   I-LOCATION
DBB   I-LOCATION
)   I-LOCATION
and   O
his   O
policy   O
ID   O
number   O
is   O
JY298/8075   B-ID
.   O

A   O
copy   O
of   O
his   O
records   O
will   O
also   O
be   O
sent   O
to   O
his   O
primary   O
health   O
care   O
provider   O
in   O
Red   B-LOCATION
Creek   I-LOCATION
via   O
username   O
lp128   B-NAME
.   O
Signed   O
,   O
Yu   B-NAME
31963   B-LOCATION

Patient   O
Name   O
:   O
Dale   B-NAME
Edson   I-NAME
Date   O
:   O
20/23/97   B-DATE
ID   O
:   O
DY   B-ID
:   I-ID
BK:6822   I-ID
The   O
following   O
is   O
a   O
detailed   O
medical   O
report   O
for   O
patient   O
Sean   B-NAME
Everleigh   I-NAME
.   O

He   O
is   O
a   O
Railroad   O
Brake   O
,   O
Signal   O
,   O
and   O
Switch   O
Operators   O
by   O
profession   O
and   O
lives   O
in   O
Violet   B-LOCATION
.   O

Date   O
of   O
Birth   O
:   O
2028   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
14   I-DATE
SSN   O
:   O
559593056   B-ID
Presenting   O
Complaints   O
:   O
Naima   B-NAME
Kirby   I-NAME
registered   O
complaints   O
of   O
persistent   O
headaches   O
with   O
intermittent   O
episodes   O
of   O
dizziness   O
for   O
the   O
past   O
2   O
weeks   O
.   O

Claire   B-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
,   O
controlled   O
by   O
medication   O
prescribed   O
by   O
his   O
primary   O
care   O
provider   O
,   O

Dr.   O
Fry   B-NAME
.   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Keondre   B-NAME
Viera   I-NAME
displayed   O
signs   O
of   O
photophobia   O
.   O

Investigations   O
:   O
An   O
ophthalmic   O
examination   O
was   O
performed   O
at   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Wilkes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/22/48   B-DATE
.   O

Follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Gemma   B-NAME
Bell   I-NAME
has   O
been   O
scheduled   O
for   O
27/34   B-DATE
at   O
Lake   B-LOCATION
Charles   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Contact   O
Information   O
Address   O
:   O
Plattsburgh   B-LOCATION
Phone   O
:   O
80134   B-CONTACT
Email   O
:   O
ov279   B-NAME
Emergency   O
Contact   O
:   O
274   B-CONTACT
5159   I-CONTACT
Health   O
Insurance   O
:   O
Center   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Humanitarian   I-LOCATION
law   I-LOCATION
Policy   O
Number   O
:   O
WX289/9774   B-ID
Please   O
feel   O
free   O
to   O
contact   O
my   O
office   O
at   O
912   B-CONTACT
-   I-CONTACT
8873   I-CONTACT
with   O
any   O
further   O
questions   O
or   O
concerns   O
.   O

This   O
report   O
should   O
be   O
kept   O
in   O
the   O
patient   O
's   O
medical   O
record   O
number   O
956   B-ID
-   I-ID
70   I-ID
-   I-ID
09   I-ID
-   I-ID
6   I-ID
maintained   O
at   O
Broadlawns   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Dr.   O
Kenyon   B-NAME
Woodward   I-NAME
[   O
DOCTOR   O
's   O
Speciality   O
]   O
38993   B-LOCATION

Patient   O
Information   O
:   O
Name   O
:   O
Darian   B-NAME
King   I-NAME
Age   O
:   O
96   O
Doctor   O
:   O
Dr.   O
Jabari   B-NAME
Gay   I-NAME
Mr.   O
Jonah   B-NAME
Fullilove   I-NAME
reported   O
to   O
Kingsbrook   B-LOCATION
Jewish   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/23/2033   B-DATE
.   O

Mr.   O
Keira   B-NAME
Joyce   I-NAME
has   O
no   O
known   O
co   O
-   O
morbidity   O
but   O
his   O
mother   O
suffered   O
from   O
similar   O
symptoms   O
at   O
his   O
17   O
that   O
were   O
managed   O
conservatively   O
.   O

A   O
neurological   O
examination   O
was   O
performed   O
by   O
Dr.   O
Kalidas   B-NAME
which   O
was   O
essentially   O
within   O
normal   O
limits   O
.   O

Contact   O
information   O
:   O
472   B-CONTACT
-   I-CONTACT
983   I-CONTACT
3734   I-CONTACT
735   B-LOCATION
Eagle   I-LOCATION
Drive   I-LOCATION
61428   B-LOCATION

Next   O
appointment   O
is   O
scheduled   O
on   O
28/02/99   B-DATE
.   O

Medical   O
Record   O
No   O
:   O
799   B-ID
-   I-ID
26   I-ID
-   I-ID
27   I-ID
-   I-ID
3   I-ID
National   O
I   O
d   O
:   O
MH:97106:218289   B-ID
Username   O
:   O
AI373   B-NAME
Profession   O
:   O

Patient   O
Name   O
:   O
Spring   B-NAME
Geneseo   I-NAME
Date   O
:   O
18/22   B-DATE
Doctor   O
:   O
Blackwell   B-NAME
Visited   O
on   O
09/57   B-DATE
,   O
Angell   B-NAME
,   I-NAME
Norman   I-NAME
,   O
a   O
Painters   O
and   O
Illustrators   O
of   O
71   O
years   O
old   O
,   O
presented   O
himself   O
at   O
Aspirus   B-LOCATION
Riverview   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
stomachaches   O
that   O
have   O
been   O
persisting   O
for   O
around   O
2   O
weeks   O
.   O

Nancy   B-NAME
Reynolds   I-NAME
states   O
his   O
troubles   O
began   O
after   O
consuming   O
a   O
meal   O
at   O
International   B-LOCATION
League   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
,   O
located   O
in   O
Country   B-LOCATION
Knolls   I-LOCATION
,   O
88721   B-LOCATION
.   O

Kidd   B-NAME
does   O
n't   O
have   O
any   O
known   O
food   O
allergies   O
and   O
his   O
medical   O
history   O
,   O
64725696   B-ID
,   O
showed   O
a   O
past   O
instance   O
of   O
non   O
-   O
alcoholic   O
steatohepatitis   O
(   O
NASH   O
)   O
,   O
but   O
no   O
previous   O
gastrointestinal   O
issues   O
.   O

Taking   O
these   O
factors   O
into   O
consideration   O
,   O
Pierce   B-NAME
has   O
been   O
advised   O
to   O
go   O
through   O
an   O
Endoscopy   O
and   O
a   O
colonoscopy   O
procedure   O
.   O

Follow   O
-   O
up   O
Consultation   O
:   O
Scheduled   O
for   O
20/29/53   B-DATE
with   O
Dr.   O
Andrews   B-NAME
who   O
specializes   O
in   O
gastroenterology   O
at   O
Ascension   B-LOCATION
SE   I-LOCATION
Wisconsin   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Campus   I-LOCATION
.   O

The   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Cleburne   I-LOCATION
's   O
appointment   O
confirmation   O
will   O
be   O
sent   O
to   O
Myatt   B-NAME
,   I-NAME
David   I-NAME
via   O
his   O
registered   O
phone   O
number   O
,   O
522   B-CONTACT
-   I-CONTACT
794   I-CONTACT
5452   I-CONTACT
and   O
also   O
his   O
email   O
,   O
KY324   B-NAME
.   O

The   O
patient   O
was   O
informed   O
that   O
bills   O
and   O
medical   O
expenses   O
can   O
be   O
taken   O
care   O
of   O
with   O
his   O
health   O
provider   O
,   O
Safeco   B-LOCATION
following   O
the   O
procedure   O
.   O

For   O
any   O
additional   O
questions   O
or   O
concerns   O
,   O
the   O
hospital   O
's   O
help   O
desk   O
at   O
Kentucky   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
available   O
round   O
the   O
clock   O
at   O
(   B-CONTACT
630   I-CONTACT
)   I-CONTACT
991   I-CONTACT
4826   I-CONTACT
.   O

In   O
case   O
of   O
any   O
immediate   O
medical   O
attention   O
,   O
Eve   B-NAME
Gutierrez   I-NAME
is   O
advised   O
to   O
visit   O
the   O
ER   O
immediately   O
.   O

Signature   O
:   O
Tanner   B-NAME
(   O
ID   O
:   O
YC:701091:554789   B-ID
)   O

Patient   O
Report   O
:   O
The   O
subject   O
of   O
the   O
report   O
is   O
a   O
male   O
patient   O
with   O
the   O
identifier   O
Mitchell   B-NAME
Stein   I-NAME
.   O

Damian   B-NAME
Barajas   I-NAME
presents   O
with   O
a   O
persistent   O
cough   O
,   O
moderate   O
fever   O
,   O
and   O
fatigue   O
.   O

He   O
reported   O
onset   O
of   O
symptoms   O
on   O
09/31   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Ruhr   B-NAME
was   O
reportedly   O
in   O
his   O
usual   O
state   O
of   O
health   O
until   O
two   O
weeks   O
prior   O
to   O
admission   O
when   O
he   O
began   O
to   O
experience   O
a   O
dry   O
cough   O
and   O
low   O
-   O
grade   O
fevers   O
.   O

Deven   B-NAME
Gibbs   I-NAME
has   O
a   O
documented   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
.   O

He   O
was   O
diagnosed   O
by   O
Landry   B-NAME
at   O
Osceola   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

He   O
carries   O
a   O
medical   O
record   O
number   O
of   O
3398107   B-ID
.   O

Sidney   B-NAME
Whitehead   I-NAME
is   O
a   O
Cooks   O
,   O
Fast   O
Food   O
,   O
lives   O
in   O
Siglerville   B-LOCATION
,   O
and   O
he   O
does   O
not   O
smoke   O
,   O
drink   O
alcohol   O
,   O
or   O
engage   O
in   O
any   O
illicit   O
substance   O
use   O
.   O

He   O
verified   O
this   O
information   O
via   O
a   O
phone   O
call   O
on   O
this   O
81914   B-CONTACT
number   O
.   O

Carl   B-NAME
Deraad   I-NAME
,   O
who   O
handled   O
his   O
case   O
,   O
noted   O
in   O
the   O
medical   O
report   O
under   O
78710437   B-ID
that   O
he   O
encountered   O
increased   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
of   O
lungs   O
during   O
a   O
pulmonary   O
examination   O
.   O

Based   O
on   O
initial   O
diagnostic   O
procedures   O
at   O
the   O
Carondelet   B-LOCATION
Health   I-LOCATION
,   O
Memphis   B-NAME
Golden   I-NAME
was   O
advised   O
to   O
undergo   O
a   O
Chest   O
X   O
-   O
ray   O
and   O
a   O
CBC   O
blood   O
test   O
.   O

Both   O
procedures   O
were   O
scheduled   O
on   O
1609   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
12   I-DATE
.   O

The   O
patient   O
's   O
test   O
results   O
will   O
be   O
sent   O
to   O
his   O
home   O
address   O
located   O
at   O
7020   B-LOCATION
Bald   I-LOCATION
Hill   I-LOCATION
Dr.   I-LOCATION
with   O
the   O
ZIP   O
code   O
28235   B-LOCATION
.   O

In   O
case   O
of   O
emergency   O
or   O
further   O
observation   O
,   O
Noel   B-NAME
Powell   I-NAME
can   O
provide   O
his   O
ID   O
number   O
7   B-ID
-   I-ID
4797412   I-ID
for   O
immediate   O
identification   O
.   O

TX125   B-NAME
,   O
his   O
primary   O
care   O
physician   O
,   O
will   O
receive   O
notifications   O
about   O
any   O
changes   O
in   O
his   O
health   O
status   O
.   O

For   O
further   O
communication   O
,   O
please   O
get   O
in   O
touch   O
with   O
the   O
Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
.   O

Patient   O
Information   O
:   O
Bruce   B-NAME
D.   I-NAME
Brian   I-NAME
Age   O
:   O
10   O
Sex   O
:   O
Male   O
ID   O
:   O
JR255/6819   B-ID
Medical   O
Record   O
#   O
:   O
4267793   B-ID
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Doctor   O
's   O
Name   O
:   O
Jerome   B-NAME
Holder   I-NAME
Presenting   O
Complaint   O
:   O

Latrisha   B-NAME
Truesdell   I-NAME
experienced   O
a   O
sudden   O
onset   O
of   O
severe   O
left   O
-   O
sided   O
chest   O
pain   O
while   O
at   O
his   O
Personal   O
Care   O
and   O
Service   O
Workers   O
,   O
All   O
Other   O
job   O
.   O

He   O
reported   O
that   O
the   O
pain   O
started   O
around   O
noon   O
on   O
32/20   B-DATE
and   O
has   O
been   O
persistent   O
since   O
then   O
.   O

Elizabeth   B-NAME
Flynn   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
radiating   O
towards   O
the   O
left   O
shoulder   O
and   O
arm   O
,   O
accompanied   O
by   O
episodes   O
of   O
breathlessness   O
and   O
extreme   O
fatigue   O
.   O

Sterling   B-NAME
Chiles   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

His   O
last   O
blood   O
pressure   O
measurement   O
taken   O
on   O
2/03   B-DATE
was   O
145/90   O
mmHg   O
,   O
and   O
his   O
latest   O
HbA1c   O
level   O
was   O
7.1   O
%   O
.   O

Carlie   B-NAME
Kirby   I-NAME
's   O
father   O
had   O
a   O
history   O
of   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
0   O
and   O
his   O
mother   O
has   O
a   O
diagnosis   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

Living   O
Situation   O
:   O
Adeline   B-NAME
Dean   I-NAME
resides   O
at   O
Chancellor   B-LOCATION
,   O
18753   B-LOCATION
.   O

He   O
lives   O
alone   O
and   O
is   O
currently   O
employed   O
at   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Heat   I-LOCATION
and   I-LOCATION
Frost   I-LOCATION
Insulators   I-LOCATION
and   I-LOCATION
Asbestos   I-LOCATION
Workers   I-LOCATION
.   O

Emergency   O
Contact   O
:   O
jhf189   B-NAME
,   O
415   B-CONTACT
4173   I-CONTACT
Initial   O
Diagnosis   O
:   O
Based   O
on   O
the   O
described   O
symptoms   O
and   O
family   O
history   O
,   O
Chanel   B-NAME
Moody   I-NAME
from   O
Hahnemann   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
suspects   O
a   O
possible   O
myocardial   O
infarction   O
,   O
also   O
known   O
as   O
a   O
heart   O
attack   O
.   O

Pauline   B-NAME
Ravelle   I-NAME
was   O
immediately   O
put   O
on   O
a   O
regimen   O
of   O
aspirin   O
,   O
beta   O
-   O
blockers   O
and   O
nitroglycerin   O
for   O
the   O
reduction   O
of   O
chest   O
pain   O
and   O
was   O
advised   O
to   O
be   O
admitted   O
to   O
Milford   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
assessment   O
.   O

Patient   O
Name   O
:   O
Rolando   B-NAME
Age   O
:   O
42   O
Medical   O
Record   O
Number   O
:   O
161   B-ID
-   I-ID
14   I-ID
-   I-ID
68   I-ID
Doctor   O
:   O
Mays   B-NAME
Date   O
:   O
10   B-DATE
Patient   O
Fraser   B-NAME
was   O
admitted   O
to   O
Trinity   B-LOCATION
Moline   I-LOCATION
on   O
17/29   B-DATE
.   O

The   O
patient   O
lives   O
in   O
Grand   B-LOCATION
Detour   I-LOCATION
and   O
works   O
as   O
a   O
Dentist   O
.   O

The   O
patient   O
was   O
referred   O
by   O
Fisher   B-NAME
Terrell   I-NAME
from   O
UNITED   B-LOCATION
for   I-LOCATION
Intercultural   I-LOCATION
Action   I-LOCATION
.   O

The   O
patient   O
's   O
social   O
security   O
number   O
is   O
10   B-ID
-   I-ID
7476126   I-ID
.   O

Further   O
diagnostic   O
tests   O
have   O
been   O
scheduled   O
for   O
01/28/2283   B-DATE
at   O
Whittier   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
confirmatory   O
diagnosis   O
.   O

A   O
follow   O
-   O
up   O
consultation   O
will   O
be   O
set   O
up   O
with   O
Adam   B-NAME
Robbins   I-NAME
after   O
the   O
results   O
are   O
available   O
.   O

For   O
any   O
further   O
queries   O
or   O
in   O
case   O
of   O
an   O
emergency   O
,   O
the   O
patient   O
can   O
contact   O
the   O
help   O
desk   O
at   O
St.   B-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
518   B-CONTACT
2028   I-CONTACT
.   O

The   O
patient   O
's   O
home   O
address   O
registered   O
in   O
our   O
records   O
is   O
Huntington   B-LOCATION
Beach   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
92647   I-LOCATION
,   O
31924   B-LOCATION
.   O

Patient   O
Report   O
:   O
Galvan   B-NAME
,   O
an   O
1   O
week   O
-   O
year   O
-   O
old   O
from   O
Musselshell   B-LOCATION
,   O
presented   O
on   O
6/89   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Geno   B-NAME
Guidry   I-NAME
has   O
a   O
medical   O
history   O
of   O
chronic   O
hypertension   O
for   O
the   O
last   O
ten   O
years   O
.   O

On   O
physical   O
examination   O
,   O
Gaines   B-NAME
had   O
a   O
pulse   O
rate   O
of   O
110   O
bpm   O
and   O
blood   O
pressure   O
of   O
160/100   O
mmHg   O
.   O

Rivers   B-NAME
at   O
McLeod   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Pee   I-LOCATION
Dee   I-LOCATION
immediately   O
recommended   O
a   O
further   O
diagnostic   O
test   O
for   O
unstable   O
angina   O
and   O
acute   O
coronary   O
syndrome   O
.   O

Heaven   B-NAME
Ray   I-NAME
is   O
a   O
retired   O
Pharmacy   O
Technicians   O
with   O
a   O
history   O
of   O
smoking   O
for   O
40   O
years   O
and   O
occasional   O
alcohol   O
consumption   O
.   O

Silva   B-NAME
has   O
a   O
strong   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
(   O
Father   O
died   O
of   O
a   O
heart   O
attack   O
at   O
the   O
age   O
of   O
60   O
)   O
.   O

The   O
medical   O
record   O
number   O
for   O
Temujin   B-NAME
is   O
34542920   B-ID
.   O

Eve   B-NAME
Guthrie   I-NAME
's   O
primary   O
care   O
physician   O
referred   O
him   O
to   O
the   O
Cardiology   O
Department   O
at   O
Valley   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
.   O

There   O
are   O
two   O
cardiologists   O
on   O
board   O
for   O
his   O
case   O
consultation   O
:   O
Octavio   B-NAME
Velasquez   I-NAME
and   O
Marshall   B-NAME
.   O

For   O
appointment   O
scheduling   O
and   O
updates   O
,   O
Era   B-NAME
Henshaw   I-NAME
can   O
be   O
reached   O
via   O
52440   B-CONTACT
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
01   B-DATE
-   I-DATE
24   I-DATE
to   O
discuss   O
further   O
treatment   O
measures   O
,   O
based   O
on   O
his   O
angiography   O
results   O
.   O

His   O
health   O
insurance   O
KG   B-ID
:   I-ID
BQ:1962   I-ID
is   O
BWJ58392   O
under   O
the   O
Federation   B-LOCATION
of   I-LOCATION
Western   I-LOCATION
India   I-LOCATION
Cine   I-LOCATION
Employees   I-LOCATION
.   O

The   O
family   O
resides   O
at   O
Garrett   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
49161   B-LOCATION
.   O

Healthcare   O
provider   O
account   O
username   O
:   O
zik445   B-NAME
The   O
Critical   O
Care   O
Team   O
at   O
Brooksville   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
continue   O
treating   O
Ure   B-NAME
until   O
his   O
condition   O
has   O
stabilized   O
.   O

Upon   O
discharge   O
,   O
Hillary   B-NAME
Knapp   I-NAME
will   O
receive   O
medications   O
,   O
lifestyle   O
modification   O
recommendations   O
,   O
and   O
a   O
regularly   O
scheduled   O
outpatient   O
follow   O
-   O
up   O
.   O

Patient   O
Name   O
:   O
Ryder   B-NAME
Novak   I-NAME
Age   O
:   O
75   O
ID   O
Number   O
:   O
CR598/2325   B-ID
Medical   O
Record   O
Number   O
:   O
1594367   B-ID
Location   O
:   O
Pittman   B-LOCATION
Center   I-LOCATION
Profession   O
:   O
Engravers   O
--   O
Carvers   O
Zip   O
Code   O
:   O
19770   B-LOCATION
Phone   O
Number   O
:   O
42038   B-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Isabel   B-NAME
Gray   I-NAME
Hospital   O
:   O

Loma   B-LOCATION
Linda   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
On   O
2331   B-DATE
,   O
Angelika   B-NAME
presented   O
to   O
the   O
Spectrum   B-LOCATION
Health   I-LOCATION
Zeeland   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
complaining   O
of   O
severe   O
,   O
unrelenting   O
abdominal   O
pain   O
that   O
had   O
started   O
approximately   O
twelve   O
hours   O
earlier   O
.   O

He   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Calderon   B-NAME
and   O
a   O
laparoscopic   O
cholecystectomy   O
was   O
performed   O
on   O
20   B-DATE
-   I-DATE
26   I-DATE
.   O

The   O
procedure   O
was   O
successful   O
without   O
any   O
complications   O
,   O
and   O
Jaime   B-NAME
Glover   I-NAME
reported   O
a   O
significant   O
decrease   O
in   O
pain   O
postoperatively   O
.   O

He   O
was   O
discharged   O
on   O
9/15/30   B-DATE
and   O
was   O
advised   O
to   O
follow   O
up   O
at   O
National   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Black   I-LOCATION
Veterans   I-LOCATION
.   O

He   O
was   O
given   O
the   O
881   B-CONTACT
701   I-CONTACT
2424   I-CONTACT
number   O
to   O
schedule   O
the   O
appointment   O
and   O
was   O
prescribed   O
appropriate   O
analgesia   O
for   O
pain   O
control   O
.   O

Patient   O
's   O
username   O
for   O
accessing   O
their   O
online   O
medical   O
records   O
EY939   B-NAME
.   O

The   O
primary   O
care   O
physician   O
’s   O
office   O
,   O
located   O
at   O
10428   B-LOCATION
was   O
notified   O
of   O
the   O
patients   O
'   O
admission   O
,   O
procedure   O
,   O
and   O
discharge   O
through   O
our   O
electronic   O
medical   O
record   O
system   O
using   O
case   O
identifier   O
698   B-ID
-   I-ID
56   I-ID
-   I-ID
39   I-ID
.   O

Patient   O
Jalen   B-NAME
Warren   I-NAME
,   O
a   O
Entertainment   O
Attendants   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
by   O
trade   O
,   O
presented   O
at   O
the   O
emergency   O
room   O
of   O
Louisville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2394   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
28   I-DATE
.   O

The   O
patient   O
resides   O
at   O
Cinco   B-LOCATION
Bayou   I-LOCATION
,   O
a   O
significant   O
distance   O
from   O
our   O
medical   O
facility   O
.   O

The   O
medical   O
record   O
number   O
listed   O
is   O
9736044   B-ID
.   O

Dr.   O
Gracie   B-NAME
Glenn   I-NAME
was   O
the   O
attending   O
physician   O
and   O
has   O
noted   O
the   O
patient   O
's   O
symptoms   O
were   O
consistent   O
with   O
those   O
of   O
pulmonary   O
fibrosis   O
,   O
and   O
this   O
was   O
confirmed   O
via   O
radiology   O
reading   O
by   O
Dr.   O
Spears   B-NAME
on   O
2337   B-DATE
.   O

Medical   O
tests   O
have   O
been   O
scheduled   O
for   O
2278   B-DATE
and   O
the   O
results   O
are   O
expected   O
within   O
a   O
week   O
.   O

Our   O
team   O
at   O
Bank   B-LOCATION
USA   I-LOCATION
,   I-LOCATION
N.A.   I-LOCATION
will   O
be   O
following   O
up   O
with   O
the   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Morris   B-NAME
,   O
who   O
practices   O
in   O
North   B-LOCATION
Plains   I-LOCATION
.   O

We   O
request   O
the   O
patient   O
to   O
contact   O
us   O
back   O
regarding   O
the   O
test   O
results   O
at   O
688   B-CONTACT
753   I-CONTACT
-   I-CONTACT
2479   I-CONTACT
.   O

For   O
billing   O
and   O
insurance   O
,   O
the   O
patient   O
has   O
provided   O
the   O
following   O
details   O
:   O
84641   B-LOCATION
,   O
SJ   B-ID
:   I-ID
CB:6599   I-ID
.   O

The   O
username   O
for   O
the   O
patient   O
's   O
online   O
portal   O
is   O
xz512   B-NAME
.   O

Follow   O
-   O
up   O
telemedicine   O
appointments   O
will   O
be   O
scheduled   O
with   O
Dr.   O
Patel   B-NAME
at   O
Haven   B-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Eastern   I-LOCATION
Pennsylvania   I-LOCATION
.   O

Yisroel   B-NAME
F   I-NAME
Cooley   I-NAME
DOB   O
:   O
21/22/37   B-DATE
ID   O
#   O
:   O
ZB354/4114   B-ID
Mr.   O
XIE   B-NAME
,   I-NAME
LORI   I-NAME
is   O
referred   O
by   O
Benton   B-NAME
and   O
seen   O
at   O
Allen   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Iola   I-LOCATION
for   O
evaluation   O
of   O
a   O
persisting   O
cough   O
.   O

His   O
phone   O
number   O
is   O
:   O
332   B-CONTACT
4157   I-CONTACT

A   O
Chest   O
X   O
-   O
Ray   O
was   O
performed   O
on   O
Saturday   B-DATE
,   O
indicating   O
a   O
possible   O
dense   O
consolidation   O
in   O
the   O
right   O
lower   O
lobe   O
.   O

Patient   O
resides   O
at   O
:   O
Buies   B-LOCATION
Creek   I-LOCATION
,   O
51235   B-LOCATION
Notes   O
from   O
Kristopher   B-NAME
Orr   I-NAME
also   O
indicate   O
a   O
history   O
of   O
mild   O
asthma   O
,   O
as   O
well   O
as   O
hypertension   O
which   O
is   O
generally   O
well   O
controlled   O
with   O
Lisinopril   O
.   O

Mr.   O
Sam   B-NAME
Cantrell   I-NAME
was   O
an   O
electrician   O
by   O
barber   O
prior   O
to   O
his   O
retirement   O
.   O

The   O
patient   O
's   O
account   O
at   O
Community   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Nevada   I-LOCATION
verifies   O
his   O
insurance   O
coverage   O
.   O

A   O
follow   O
up   O
appointment   O
was   O
made   O
for   O
02/07   B-DATE
with   O
Padilla   B-NAME
at   O
Mercy   B-LOCATION
Fitzgerald   I-LOCATION
Hospital   I-LOCATION
to   O
conduct   O
further   O
tests   O
.   O

Username   O
on   O
lab   O
portal   O
:   O
YR533   B-NAME
Medical   O
Record   O
No   O
:   O
77897784   B-ID
Please   O
contact   O
the   O
patient   O
for   O
additional   O
lifestyle   O
details   O
and   O
advise   O
him   O
to   O
take   O
the   O
prescriptions   O
regularly   O
and   O
return   O
for   O
a   O
chest   O
film   O
report   O
.   O

Patient   O
Name   O
:   O
ULLOA   B-NAME
,   I-NAME
MISTY   I-NAME
Patient   O
Ryan   B-NAME
Ray   I-NAME
came   O
into   O
Wilkes   B-LOCATION
-   I-LOCATION
Barre   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
2073   B-DATE
.   O

His   O
ID   O
number   O
is   O
3   B-ID
-   I-ID
2417777   I-ID
.   O

He   O
lives   O
in   O
Humeston   B-LOCATION
and   O
works   O
as   O
a   O
Radiologic   O
Technicians   O
.   O

Upon   O
physical   O
examination   O
,   O
Heraclitus   B-NAME
noted   O
abdominal   O
distention   O
and   O
hyperactive   O
bowel   O
sounds   O
.   O

His   O
medical   O
record   O
number   O
96093941   B-ID
shows   O
a   O
history   O
of   O
peptic   O
ulcers   O
.   O

Mr.   O
Patience   B-NAME
Dickson   I-NAME
's   O
contact   O
phone   O
number   O
is   O
670   B-CONTACT
-   I-CONTACT
529   I-CONTACT
7432   I-CONTACT
and   O
his   O
address   O
at   O
South   B-LOCATION
Bethlehem   I-LOCATION
includes   O
the   O
ZIP   O
code   O
24873   B-LOCATION
.   O

A   O
course   O
of   O
treatment   O
was   O
discussed   O
with   O
Mr.   O
Fraser   B-NAME
that   O
involves   O
medication   O
and   O
dietary   O
changes   O
.   O

Dr.   O
Raina   B-NAME
Mcpherson   I-NAME
will   O
be   O
managing   O
his   O
case   O
.   O

He   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Mr.   O
Michael   B-NAME
,   I-NAME
Dana   I-NAME
on   O
07/23/85   B-DATE
.   O

The   O
local   O
pharmacy   O
,   O
Colorado   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
will   O
provide   O
the   O
necessary   O
medication   O
.   O

The   O
information   O
about   O
this   O
case   O
was   O
entered   O
into   O
the   O
hospital   O
database   O
under   O
the   O
username   O
mvw350   B-NAME
.   O

The   O
next   O
update   O
to   O
this   O
record   O
will   O
be   O
made   O
after   O
Mr.   O
Whitney   B-NAME
Keller   I-NAME
's   O
follow   O
-   O
up   O
visit   O
.   O

Patient   O
:   O
Emmy   B-NAME
Hale   I-NAME
DOB   O
:   O
1/0   B-DATE
ID   O
:   O
QD   B-ID
:   I-ID
SA:7337   I-ID
Report   O
:   O
Dr.   O
Tracy   B-NAME
Adams   I-NAME
completed   O
a   O
detailed   O
examination   O
of   O
Galtieri   B-NAME
,   I-NAME
Leopoldo   I-NAME
at   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Muskogee   I-LOCATION
.   O

Deangelo   B-NAME
Reid   I-NAME
is   O
a   O
30   O
-   O
year   O
-   O
old   O
individual   O
who   O
works   O
as   O
a   O
Project   O
manager   O
in   O
a   O
well   O
-   O
known   O
Florida   B-LOCATION
Municipal   I-LOCATION
Power   I-LOCATION
Agency   I-LOCATION
.   O

Kaila   B-NAME
Fisher   I-NAME
came   O
into   O
the   O
clinic   O
presenting   O
with   O
symptoms   O
indicative   O
of   O
possible   O
gastritis   O
or   O
a   O
peptic   O
ulcer   O
.   O

Specifically   O
,   O
Abbie   B-NAME
Cabrera   I-NAME
reported   O
a   O
burning   O
sensation   O
in   O
the   O
upper   O
abdomen   O
and   O
occasional   O
bouts   O
of   O
nausea   O
.   O

Considering   O
these   O
symptoms   O
,   O
Miranda   B-NAME
Levine   I-NAME
recommended   O
an   O
endoscopy   O
to   O
ascertain   O
the   O
health   O
status   O
of   O
the   O
gastrointestinal   O
tract   O
.   O

Opal   B-NAME
Garner   I-NAME
's   O
medical   O
record   O
number   O
:   O
0139   B-ID
:   I-ID
S64778   I-ID
was   O
updated   O
with   O
the   O
current   O
findings   O
.   O

Sidney   B-NAME
Bowers   I-NAME
suggested   O
Eneida   B-NAME
Bernieri   I-NAME
to   O
complete   O
the   O
prescribed   O
medications   O
and   O
take   O
rest   O
as   O
required   O
.   O

For   O
any   O
further   O
queries   O
or   O
emergencies   O
,   O
Rodriguez   B-NAME
,   I-NAME
Alex   I-NAME
can   O
contact   O
Williamson   B-NAME
,   I-NAME
Henry   I-NAME
's   O
office   O
at   O
(   B-CONTACT
625   I-CONTACT
)   I-CONTACT
731   I-CONTACT
3994   I-CONTACT
or   O
reach   O
out   O
to   O
the   O
emergency   O
department   O
at   O
Southeast   B-LOCATION
Michigan   I-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
next   O
appointment   O
was   O
scheduled   O
on   O
25/32/2262   B-DATE
at   O
the   O
same   O
location   O
:   O
St   B-LOCATION
James   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
,   O
Franklin   B-LOCATION
,   O
17666   B-LOCATION
.   O

As   O
a   O
final   O
note   O
,   O
cun58   B-NAME
from   O
medical   O
billing   O
will   O
reach   O
out   O
to   O
Leverson   B-NAME
,   I-NAME
Ada   I-NAME
to   O
discuss   O
insurance   O
details   O
and   O
payment   O
for   O
the   O
upcoming   O
endoscopy   O
.   O

Report   O
prepared   O
by   O
:   O
Misael   B-NAME
Blanchard   I-NAME
on   O
03   B-DATE
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Romelia   B-NAME
Brensel   I-NAME
DOB   O
:   O
37/31   B-DATE
Medical   O
Record   O
Number   O
:   O
31311128   B-ID
Serena   B-NAME
Dominguez   I-NAME
,   O
a   O
Solar   O
Photovoltaic   O
Installers   O
residing   O
in   O
Kieler   B-LOCATION
reported   O
to   O
Northern   B-LOCATION
Light   I-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
on   O
2342   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
29   I-DATE
.   O

Upon   O
physical   O
examination   O
by   O
Fernandez   B-NAME
,   O
the   O
abdomen   O
appeared   O
rigid   O
and   O
palpation   O
revealed   O
tenderness   O
localized   O
to   O
the   O
McBurney   O
's   O
point   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Lab   O
results   O
were   O
communicated   O
by   O
means   O
of   O
phone   O
call   O
at   O
204   B-CONTACT
121   I-CONTACT
7087   I-CONTACT
.   O

Based   O
on   O
these   O
results   O
,   O
Ibarra   B-NAME
advised   O
for   O
an   O
immediate   O
appendectomy   O
.   O

Prior   O
to   O
surgery   O
,   O
Pauline   B-NAME
Keim   I-NAME
revealed   O
an   O
allergy   O
to   O
latex   O
.   O

Therefore   O
,   O
Anchor   B-LOCATION
Hospital   I-LOCATION
ensures   O
surgery   O
will   O
be   O
arranged   O
in   O
a   O
latex   O
-   O
safe   O
environment   O
.   O

For   O
post   O
-   O
operative   O
care   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Blair   B-NAME
on   O
2/86   B-DATE
at   O
Ripley   B-LOCATION
.   O

A   O
reminder   O
will   O
also   O
be   O
sent   O
on   O
the   O
patient   O
's   O
personal   O
contact   O
938   B-CONTACT
-   I-CONTACT
4006   I-CONTACT
.   O

During   O
this   O
period   O
,   O
Seymour   B-NAME
Beardfacé   I-NAME
,   O
aged   O
28   O
,   O
expressed   O
concerns   O
about   O
returning   O
to   O
work   O
as   O
a   O
Insulation   O
Workers   O
,   O
Floor   O
,   O
Ceiling   O
,   O
and   O
Wall   O
.   O

Proper   O
documentation   O
for   O
medical   O
leave   O
has   O
been   O
prepared   O
and   O
submitted   O
to   O
the   O
Progress   B-LOCATION
Energy   I-LOCATION
Florida   I-LOCATION
.   O

The   O
patient   O
's   O
medical   O
insurance   O
ID   O
is   O
MY   B-ID
:   I-ID
HS:9359   I-ID
.   O

Please   O
note   O
that   O
all   O
future   O
correspondence   O
and   O
billing   O
details   O
will   O
be   O
sent   O
to   O
Jameson   B-NAME
's   O
address   O
in   O
Rattan   B-LOCATION
,   O
zip   O
code   O
89899   B-LOCATION
.   O

All   O
of   O
the   O
aforementioned   O
data   O
has   O
been   O
recorded   O
and   O
uploaded   O
under   O
username   O
uno115   B-NAME
into   O
the   O
secured   O
patient   O
database   O
for   O
privacy   O
purposes   O
.   O

For   O
any   O
queries   O
,   O
please   O
contact   O
Regional   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Jacksonville   I-LOCATION
's   O
24/7   O
support   O
line   O
at   O
36296   B-CONTACT
.   O

Patient   O
Name   O
:   O
Steven   B-NAME
Dorsey   I-NAME
Age   O
:   O
53   O
At   O
the   O
time   O
of   O
this   O
report   O
,   O
the   O
patient   O
is   O
suffering   O
from   O
acute   O
appendicitis   O
.   O

ID   O
:   O
10   B-ID
-   I-ID
7522800   I-ID
SSN   O
:   O
BL:55390:912683   B-ID
Phone   O
number   O
:   O
129   B-CONTACT
-   I-CONTACT
4006   I-CONTACT

The   O
family   O
of   O
the   O
patient   O
expressed   O
concerns   O
about   O
the   O
fever   O
that   O
has   O
stalled   O
at   O
38.5   O
degrees   O
Celsius   O
consistently   O
since   O
the   O
10   B-DATE
.   O

Patient   O
lives   O
in   O
Jamesport   B-LOCATION
.   O

General   O
and   O
Operations   O
Managers   O
Marlon   B-NAME
Duffy   I-NAME
was   O
contacted   O
and   O
after   O
detailed   O
examination   O
,   O
recommended   O
immediate   O
appendectomy   O
.   O

Seeing   O
the   O
severity   O
of   O
the   O
situation   O
,   O
it   O
was   O
decided   O
to   O
shift   O
Frantz   B-NAME
to   O
FHN   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
which   O
was   O
capable   O
of   O
providing   O
better   O
surgical   O
attention   O
.   O

Date   O
of   O
Admission   O
:   O
1/23   B-DATE
Medical   O
Record   O
Number   O
:   O
48845336   B-ID
Organization   O
:   O

International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Operating   I-LOCATION
Engineers   I-LOCATION
Being   O
a   O
high   O
risk   O
surgery   O
due   O
to   O
the   O
patient   O
's   O
31   O
,   O
Kendra   B-NAME
Boone   I-NAME
took   O
diligent   O
measures   O
to   O
prevent   O
complications   O
like   O
wound   O
infection   O
and   O
abscess   O
formation   O
.   O

The   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
33/33/2323   B-DATE
,   O
and   O
the   O
patient   O
is   O
currently   O
under   O
observation   O
in   O
Cape   B-LOCATION
Cod   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
-   O
operative   O
care   O
instructions   O
were   O
communicated   O
to   O
the   O
patient   O
's   O
family   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
9/29   B-DATE
.   O

Location   O
of   O
follow   O
-   O
up   O
:   O
Belvoir   B-LOCATION
Doctor   O
for   O
follow   O
-   O
up   O
:   O
Tanner   B-NAME
ZIP   O
:   O
44838   B-LOCATION
Username   O
for   O
online   O
records   O
access   O
:   O
toj775   B-NAME
Our   O
All   B-LOCATION
India   I-LOCATION
Defence   I-LOCATION
Employees   I-LOCATION
Federation   I-LOCATION
will   O
continue   O
to   O
monitor   O
the   O
patient   O
's   O
progress   O
and   O
will   O
make   O
necessary   O
amendments   O
in   O
the   O
treatment   O
plan   O
,   O
if   O
required   O
.   O

Patient   O
Report   O
:   O
Mrs.   O
Issa   B-NAME
of   O
Jacksonville   B-LOCATION
was   O
brought   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Kernersville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/19   B-DATE
.   O

Mrs.   O
HANEY   B-NAME
,   I-NAME
ULYSSES   I-NAME
was   O
referred   O
by   O
London   B-NAME
Roberts   I-NAME
.   O

Past   O
medical   O
history   O
revealed   O
that   O
Mrs.   O
Kian   B-NAME
Frost   I-NAME
was   O
hypertensive   O
and   O
diabetic   O
.   O

She   O
had   O
recently   O
undergone   O
regular   O
check   O
-   O
ups   O
at   O
Afghanistan   B-LOCATION
under   O
the   O
care   O
of   O
Camryn   B-NAME
Atkinson   I-NAME
who   O
referred   O
her   O
to   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Woodland   I-LOCATION
Hills   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Mrs.   O
Warner   B-NAME
Clan   I-NAME
was   O
then   O
admitted   O
for   O
further   O
tests   O
.   O

The   O
patient   O
was   O
identified   O
by   O
her   O
SI   B-ID
:   I-ID
LU:9724   I-ID
and   O
9167144   B-ID
.   O

Her   O
primary   O
contact   O
was   O
her   O
daughter   O
whose   O
66739   B-CONTACT
is   O
on   O
record   O
.   O

Neurologist   O
Burke   B-NAME
was   O
appointed   O
to   O
conduct   O
a   O
thorough   O
neurological   O
examination   O
.   O

Bank   B-LOCATION
of   I-LOCATION
Wyoming   I-LOCATION
was   O
contacted   O
to   O
supply   O
necessary   O
equipment   O
for   O
diagnosis   O
.   O

Mrs.   O
Germaine   B-NAME
Fierros   I-NAME
's   O
details   O
were   O
then   O
entered   O
in   O
the   O
database   O
by   O
yyy534   B-NAME
.   O

Due   O
to   O
the   O
possibility   O
of   O
a   O
neurological   O
disorder   O
,   O
Karter   B-NAME
Lynch   I-NAME
suggested   O
an   O
MRI   O
scan   O
which   O
was   O
scheduled   O
on   O
00/27/2136   B-DATE
.   O

If   O
you   O
need   O
to   O
reach   O
out   O
for   O
further   O
queries   O
,   O
you   O
can   O
contact   O
the   O
Mercy   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Nazareth   I-LOCATION
Hospital   I-LOCATION
administration   O
at   O
79278   B-CONTACT
.   O

Please   O
note   O
,   O
for   O
mailing   O
purposes   O
,   O
the   O
hospital   O
is   O
located   O
in   O
68587   B-LOCATION
area   O
of   O
Park   B-LOCATION
View   I-LOCATION
.   O

Note   O
:   O
All   O
obtained   O
personal   O
data   O
and   O
medical   O
information   O
remains   O
confidential   O
and   O
will   O
be   O
securely   O
stored   O
under   O
5   B-ID
-   I-ID
4569755   I-ID
number   O
.   O

Patient   O
Malaki   B-NAME
Kemp   I-NAME
presented   O
to   O
Southampton   B-LOCATION
Hospital   I-LOCATION
on   O
10/22/03   B-DATE
with   O
chief   O
complaints   O
of   O
persistent   O
fatigue   O
,   O
loss   O
of   O
appetite   O
,   O
and   O
unintentional   O
weight   O
loss   O
over   O
the   O
past   O
couple   O
of   O
weeks   O
.   O

The   O
patient   O
is   O
a   O
therapist   O
by   O
trade   O
and   O
lives   O
in   O
Milwaukee   B-LOCATION
-   I-LOCATION
North   I-LOCATION
Avenue   I-LOCATION
Gateway   I-LOCATION
,   I-LOCATION
North   I-LOCATION
Avenue   I-LOCATION
Community   I-LOCATION
Development   I-LOCATION
Corporation   I-LOCATION
.   O

During   O
the   O
initial   O
assessment   O
by   O
Dr.   O
Cobb   B-NAME
,   O
the   O
patient   O
reported   O
a   O
15   O
-   O
pound   O
weight   O
loss   O
over   O
six   O
weeks   O
,   O
along   O
with   O
increasing   O
difficulty   O
performing   O
their   O
occupational   O
tasks   O
due   O
to   O
fatigue   O
.   O

The   O
patient   O
's   O
general   O
practitioner   O
,   O
Dr.   O
Hunt   B-NAME
,   O
had   O
recorded   O
normal   O
physical   O
examinations   O
in   O
the   O
recent   O
past   O
,   O
with   O
the   O
patient   O
's   O
last   O
complete   O
blood   O
count   O
and   O
glucose   O
tests   O
falling   O
within   O
the   O
normal   O
range   O
.   O

The   B-LOCATION
Brooklyn   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
's   O
interdisciplinary   O
care   O
team   O
,   O
under   O
the   O
leadership   O
of   O
Dr.   O
Hartman   B-NAME
,   O
requested   O
for   O
further   O
diagnostic   O
procedures   O
,   O
including   O
an   O
endoscopy   O
and   O
colonoscopy   O
.   O

Patient   O
was   O
given   O
an   O
appointment   O
with   O
Dr.   O
Adams   B-NAME
,   I-NAME
Abigail   I-NAME
,   O
a   O
renowned   O
gastroenterologist   O
affiliated   O
with   O
the   O
Princeton   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Health   O
insurance   O
details   O
of   O
the   O
patient   O
,   O
i.e.   O
,   O
5   B-ID
-   I-ID
8694755   I-ID
,   O
were   O
noted   O
for   O
processing   O
the   O
medical   O
procedure   O
claims   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
39/01   B-DATE
.   O

Patient   O
and   O
caregiver   O
were   O
advised   O
to   O
contact   O
UPMC   B-LOCATION
Lititz   I-LOCATION
on   O
(   B-CONTACT
516   I-CONTACT
)   I-CONTACT
413   I-CONTACT
8410   I-CONTACT
for   O
any   O
immediate   O
queries   O
or   O
concerns   O
.   O

Patient   O
consent   O
was   O
received   O
to   O
upload   O
the   O
medical   O
case   O
summary   O
to   O
the   O
patient   O
's   O
secured   O
account   O
,   O
accessible   O
via   O
fs311   B-NAME
.   O

A   O
copy   O
of   O
this   O
patient   O
's   O
report   O
,   O
Medical   O
Record   O
Number   O
6353210   B-ID
,   O
will   O
be   O
sent   O
to   O
their   O
primary   O
care   O
provider   O
.   O

This   O
report   O
will   O
be   O
properly   O
documented   O
and   O
securely   O
stored   O
in   O
the   O
patient   O
databases   O
at   O
Creedmoor   B-LOCATION
Psychiatric   I-LOCATION
Center   I-LOCATION
under   O
43919   B-LOCATION
.   O

This   O
comprehensive   O
case   O
summary   O
will   O
aid   O
in   O
developing   O
a   O
targeted   O
treatment   O
plan   O
for   O
the   O
patient   O
Jaxson   B-NAME
Meyer   I-NAME
,   O
ensuring   O
improvements   O
in   O
their   O
health   O
condition   O
.   O

Patient   O
Name   O
:   O
Itzel   B-NAME
Bruce   I-NAME
Age   O
:   O
52s   O
Date   O
of   O
visit   O
:   O
2   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
72   I-DATE
Doctor   O
's   O
Name   O
:   O
Peck   B-NAME
Medical   O
Record   O
:   O
577   B-ID
-   I-ID
93   I-ID
-   I-ID
07   I-ID
Ezequiel   B-NAME
Herman   I-NAME
,   O
a   O
Social   O
and   O
Human   O
Service   O
Assistants   O
residing   O
in   O
Ixonia   B-LOCATION
,   O
presented   O
to   O
the   O
St.   B-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
5/2/17   B-DATE
.   O

Adam   B-NAME
Bricker   I-NAME
stated   O
that   O
the   O
symptoms   O
were   O
sporadic   O
and   O
not   O
tied   O
to   O
any   O
particular   O
foods   O
or   O
activities   O
.   O

A   O
follow   O
up   O
appointment   O
is   O
scheduled   O
for   O
next   O
2/2279   B-DATE
to   O
discuss   O
the   O
test   O
results   O
and   O
decide   O
on   O
the   O
treatment   O
options   O
.   O

Wilcox   B-NAME
called   O
Nolan   B-NAME
Cooke   I-NAME
at   O
80304   B-CONTACT
to   O
confirm   O
the   O
follow   O
up   O
appointment   O
.   O

The   O
patient   O
's   O
ID   O
KC   B-ID
:   I-ID
SL:9813   I-ID
was   O
verified   O
,   O
and   O
the   O
updates   O
were   O
documented   O
in   O
the   O
patient   O
's   O
unique   O
9495315   B-ID
number   O
for   O
future   O
reference   O
.   O

The   O
patient   O
's   O
information   O
and   O
medical   O
records   O
were   O
carried   O
out   O
in   O
accordance   O
with   O
the   O
rules   O
and   O
regulations   O
set   O
by   O
the   O
Veterans   B-LOCATION
for   I-LOCATION
Peace   I-LOCATION
as   O
per   O
the   O
92778   B-LOCATION
locality   O
's   O
rules   O
.   O

In   O
case   O
of   O
any   O
emergency   O
,   O
prior   O
to   O
the   O
scheduled   O
appointment   O
,   O
the   O
Williamson   B-NAME
,   I-NAME
Henry   I-NAME
is   O
advised   O
to   O
contact   O
the   O
hospital   O
's   O
emergency   O
unit   O
at   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Pocono   I-LOCATION
.   O

In   O
addition   O
,   O
the   O
lx311   B-NAME
on   O
the   O
health   O
app   O
could   O
be   O
used   O
for   O
immediate   O
virtual   O
assistance   O
.   O

Patient   O
Wendy   B-NAME
Stokes   I-NAME
of   O
87   O
years   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Johns   B-LOCATION
Hopkins   I-LOCATION
All   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
00/28   B-DATE
complaining   O
of   O
acute   O
chest   O
pain   O
persisting   O
for   O
3   O
hours   O
.   O

Two   O
hours   O
prior   O
to   O
the   O
presentation   O
,   O
Justa   B-NAME
Gravitt   I-NAME
was   O
mowing   O
the   O
lawn   O
when   O
he   O
started   O
experiencing   O
the   O
discomfort   O
.   O

The   O
patient   O
lives   O
in   O
Marne   B-LOCATION
and   O
his   O
home   O
147   B-CONTACT
1140   I-CONTACT
number   O
is   O
on   O
file   O
.   O

He   O
is   O
a   O
retired   O
Nuclear   O
Equipment   O
Operation   O
Technicians   O
and   O
now   O
works   O
part   O
time   O
at   O
Central   B-LOCATION
Montana   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
.   O

Dr.   O
Max   B-NAME
Gottlieb   I-NAME
was   O
the   O
cardiologist   O
on   O
duty   O
who   O
evaluated   O
Mattie   B-NAME
Richard   I-NAME
.   O

Kade   B-NAME
Key   I-NAME
's   O
medical   O
record   O
at   O
the   O
hospital   O
(   O
1810496   B-ID
)   O
shows   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
.   O

The   O
patient   O
drives   O
a   O
car   O
with   O
4   B-ID
-   I-ID
1352897   I-ID
number   O
.   O

He   O
gave   O
consent   O
to   O
contact   O
his   O
son   O
using   O
nj882   B-NAME
in   O
case   O
of   O
a   O
medical   O
emergency   O
.   O

The   O
41285   B-LOCATION
code   O
of   O
his   O
son   O
's   O
place   O
of   O
residence   O
was   O
also   O
noted   O
in   O
the   O
hospital   O
's   O
record   O
.   O

Dr.   O
Sadie   B-NAME
Ramos   I-NAME
has   O
recommended   O
angiography   O
for   O
further   O
assessment   O
.   O

Patient   O
Information   O
:   O
Vicente   B-NAME
Blair   I-NAME
is   O
a   O
10   O
year   O
old   O
individual   O
who   O
was   O
first   O
admitted   O
to   O
UPMC   B-LOCATION
West   I-LOCATION
Shore   I-LOCATION
on   O
06/20   B-DATE
.   O

The   O
ID   O
associated   O
with   O
the   O
patient   O
is   O
6   B-ID
-   I-ID
9194995   I-ID
with   O
a   O
medical   O
record   O
number   O
of   O
CK996290   B-ID
.   O

The   O
patient   O
's   O
ZIP   O
code   O
is   O
40926   B-LOCATION
and   O
resident   O
of   O
46A   B-LOCATION
Ridge   I-LOCATION
Court   I-LOCATION
.   O

Specific   O
Symptoms   O
:   O
Upon   O
examination   O
,   O
Parker   B-NAME
Compton   I-NAME
identified   O
a   O
series   O
of   O
mild   O
to   O
severe   O
symptoms   O
.   O

Medical   O
Diagnosis   O
:   O
Based   O
on   O
these   O
symptoms   O
,   O
Alexander   B-NAME
diagnosed   O
Fuentes   B-NAME
with   O
Hypothyroidism   O
.   O

The   O
Doug   B-NAME
has   O
advised   O
for   O
a   O
complete   O
thyroid   O
panel   O
including   O
TSH   O
,   O
free   O
T4   O
,   O
total   O
T3   O
and   O
thyroid   O
antibody   O
tests   O
.   O

Following   O
Measures   O
:   O
Contact   O
was   O
established   O
using   O
73212   B-CONTACT
number   O
registered   O
under   O
the   O
patient   O
's   O
VO:96766:709662   B-ID
.   O

The   O
further   O
tests   O
are   O
planned   O
on   O
31/31/33   B-DATE
.   O

The   O
patient   O
is   O
also   O
encouraged   O
to   O
join   O
Provisional   B-LOCATION
Coalition   I-LOCATION
of   I-LOCATION
Constellations   I-LOCATION
for   O
gathering   O
support   O
and   O
further   O
understanding   O
the   O
disease   O
.   O

Patient   O
is   O
also   O
referred   O
to   O
a   O
registered   O
Dietician   O
who   O
works   O
in   O
Credit   O
Authorizers   O
,   O
Checkers   O
,   O
and   O
Clerks   O
and   O
helped   O
patients   O
with   O
same   O
condition   O
at   O
Del   B-LOCATION
Rio   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
78840   I-LOCATION
.   O

For   O
privacy   O
and   O
patient   O
records   O
,   O
Mitchell   B-NAME
,   I-NAME
Joni   I-NAME
should   O
use   O
rik827   B-NAME
for   O
accessing   O
all   O
medical   O
records   O
,   O
schedules   O
and   O
appointments   O
.   O

Additional   O
Info   O
:   O
Colson   B-NAME
,   B-NAME
Charles   I-NAME
was   O
prescribed   O
a   O
synthetic   O
thyroid   O
hormone   O
.   O

In   O
order   O
to   O
monitor   O
the   O
effectiveness   O
of   O
the   O
treatment   O
and   O
the   O
appropriate   O
dosage   O
,   O
Fatima   B-NAME
Logan   I-NAME
will   O
need   O
to   O
return   O
to   O
Chan   B-LOCATION
Soon   I-LOCATION
-   I-LOCATION
Shiong   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Windber   I-LOCATION
for   O
follow   O
-   O
ups   O
every   O
2/04/10   B-DATE
.   O

The   O
physician   O
emphasized   O
to   O
Berna   B-NAME
Nicola   I-NAME
the   O
importance   O
of   O
consistency   O
in   O
medication   O
for   O
controlling   O
hypothyroidism   O
.   O

In   O
case   O
of   O
emergency   O
or   O
worsening   O
of   O
symptoms   O
,   O
Morgan   B-NAME
should   O
contact   O
Lindsay   B-NAME
Fleming   I-NAME
at   O
Fawcett   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
the   O
given   O
number   O
14795   B-CONTACT
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Lilly   B-NAME
Johns   I-NAME
Age   O
:   O
4s   O
Location   O
:   O
Ventura   B-LOCATION
Phone   O
:   O
(   B-CONTACT
409   I-CONTACT
)   I-CONTACT
423   I-CONTACT
3500   I-CONTACT
Medical   O
Record   O
Number   O
:   O
6390406   B-ID
Doctor   O
in   O
charge   O
:   O
Tripp   B-NAME
Weaver   I-NAME
Hospital   O
:   O

George   B-LOCATION
Washington   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Report   O
:   O
Hobbs   B-NAME
has   O
come   O
in   O
several   O
times   O
complaining   O
of   O
persisting   O
headaches   O
and   O
intermittent   O
vertigo   O
.   O

Symptoms   O
were   O
first   O
noticed   O
on   O
the   O
night   O
of   O
2270   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
08   I-DATE
.   O

Additional   O
factors   O
to   O
note   O
include   O
Serrano   B-NAME
's   O
working   O
editor   O
which   O
involves   O
long   O
hours   O
in   O
front   O
of   O
a   O
computer   O
screen   O
.   O

Lawson   B-NAME
is   O
currently   O
not   O
on   O
any   O
prophylactic   O
medications   O
.   O

As   O
per   O
Bird   B-NAME
's   O
best   O
medical   O
judgement   O
,   O
the   O
next   O
step   O
would   O
involve   O
a   O
full   O
neurological   O
exam   O
.   O

The   O
doctor   O
's   O
team   O
will   O
contact   O
the   O
patient   O
at   O
929   B-CONTACT
-   I-CONTACT
3244   I-CONTACT
to   O
schedule   O
further   O
tests   O
.   O

Uecker   B-NAME
's   O
medical   O
insurance   O
ID   O
is   O
1   B-ID
-   I-ID
8379954   I-ID
and   O
is   O
covered   O
under   O
Ravenswood   B-LOCATION
Bank   I-LOCATION
.   O

Our   O
medical   O
facility   O
at   O
Bayhealth   B-LOCATION
Hospital   I-LOCATION
,   O
Hemingway   B-LOCATION
,   O
24227   B-LOCATION
will   O
be   O
prepared   O
to   O
perform   O
these   O
tests   O
.   O

Username   O
of   O
the   O
official   O
who   O
last   O
updated   O
the   O
file   O
:   O
ltc593   B-NAME
on   O
06/40   B-DATE
at   O
the   O
medical   O
department   O
of   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
Pulaski   I-LOCATION
.   O

Patient   O
Name   O
:   O
Rylee   B-NAME
Rodriguez   I-NAME
Gender   O
:   O
Male   O
Age   O
:   O
53   O
Address   O
:   O
Granite   B-LOCATION
Quarry   I-LOCATION
ID   O
:   O
ER   B-ID
:   I-ID
GH:6981   I-ID
Contact   O
Information   O
:   O
131   B-CONTACT
4529   I-CONTACT
Primary   O
Care   O
Doctor   O
:   O
Sterling   B-NAME
Ewing   I-NAME
Medical   O
Record   O
Number   O
:   O
4576446   B-ID
Emergency   O
Room   O
Report   O
:   O
The   O
patient   O
,   O
Morrison   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Matheny   B-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Educational   I-LOCATION
Center   I-LOCATION
on   O
11/01/1856   B-DATE
.   O

Karissa   B-NAME
Kerr   I-NAME
was   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
that   O
began   O
suddenly   O
this   O
morning   O
.   O

Lawrence   B-NAME
Myrick   I-NAME
also   O
reported   O
having   O
experienced   O
intermittent   O
bouts   O
of   O
nausea   O
and   O
vomiting   O
.   O

In   O
addition   O
,   O
Oliver   B-NAME
Crane   I-NAME
noted   O
that   O
the   O
pain   O
worsened   O
when   O
moving   O
around   O
,   O
coughing   O
,   O
or   O
applying   O
light   O
pressure   O
to   O
the   O
area   O
.   O

At   O
Optim   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Jenkins   I-LOCATION
,   O
Dr.   O
Murillo   B-NAME
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
an   O
abdominal   O
ultrasound   O
to   O
investigate   O
further   O
.   O

Dr.   O
Douglas   B-NAME
recommended   O
an   O
immediate   O
appendectomy   O
to   O
be   O
performed   O
by   O
a   O
general   O
surgeon   O
at   O
Kansas   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Amiya   B-NAME
Rocha   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
provided   O
with   O
a   O
consent   O
form   O
.   O

During   O
the   O
period   O
of   O
surgery   O
scheduling   O
,   O
Deven   B-NAME
Becker   I-NAME
was   O
kept   O
under   O
close   O
observation   O
and   O
given   O
pain   O
management   O
as   O
needed   O
.   O

The   O
surgery   O
is   O
suggested   O
to   O
be   O
performed   O
on   O
March   B-DATE
25   I-DATE
and   O
Nina   B-NAME
Pomerantz   I-NAME
was   O
advised   O
to   O
abstain   O
from   O
eating   O
or   O
drinking   O
eight   O
hours   O
prior   O
.   O

Additionally   O
,   O
as   O
Jenell   B-NAME
's   O
occupation   O
in   O
designer   O
involves   O
strenuous   O
physical   O
activity   O
,   O
he   O
was   O
advised   O
to   O
take   O
a   O
medical   O
leave   O
for   O
a   O
recovery   O
period   O
of   O
approximately   O
three   O
weeks   O
.   O

Post   O
-   O
operative   O
consults   O
and   O
recovery   O
progression   O
reviews   O
will   O
be   O
scheduled   O
with   O
Bradford   B-NAME
at   O
Fairview   B-LOCATION
Range   I-LOCATION
.   O

For   O
other   O
emergencies   O
,   O
Danielle   B-NAME
Nunez   I-NAME
could   O
reach   O
the   O
hospital   O
's   O
helpline   O
at   O
25604   B-CONTACT
or   O
could   O
contact   O
them   O
online   O
using   O
the   O
username   O
KU1016   B-NAME
.   O

Medical   O
bills   O
and   O
other   O
particulars   O
were   O
provided   O
to   O
Conner   B-NAME
Baldwin   I-NAME
and   O
will   O
be   O
processed   O
by   O
Cultural   B-LOCATION
Survival   I-LOCATION
.   O

Further   O
assistance   O
and   O
home   O
care   O
services   O
in   O
the   O
Meyer   B-LOCATION
area   O
can   O
be   O
contacted   O
via   O
91129   B-CONTACT
.   O

This   O
report   O
was   O
documented   O
by   O
Dr.   O
Acevedo   B-NAME
in   O
Middlesex   B-LOCATION
Hospital   I-LOCATION
and   O
is   O
to   O
be   O
securely   O
stored   O
in   O
the   O
patient   O
's   O
record   O
02188630   B-ID
for   O
future   O
reference   O
.   O

Primary   O
Emergency   O
Contact   O
:   O
Relationship   O
:   O
Wife   O
Contact   O
Details   O
:   O
93411   B-CONTACT
Patient   O
's   O
ZIP   O
code   O
:   O
51321   B-LOCATION
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Hendrickson   B-NAME
,   I-NAME
D.   I-NAME
Age   O
:   O
16   O
Medical   O
Record   O
No   O
.   O
:   O
95088548   B-ID
ID   O
:   O
KO872/3919   B-ID
Mr.   O
Lucia   B-NAME
Tucker   I-NAME
,   O
observed   O
by   O
Dr.   O
Wilber   B-NAME
,   I-NAME
Ken   I-NAME
at   O
Pasco   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
showed   O
symptoms   O
of   O
acute   O
bronchitis   O
,   O
characterized   O
by   O
persistent   O
cough   O
,   O
sputum   O
production   O
,   O
shortness   O
of   O
breath   O
and   O
mild   O
fever   O
.   O

As   O
per   O
history   O
provided   O
,   O
these   O
symptoms   O
have   O
been   O
prevailing   O
since   O
2279   B-DATE
.   O

According   O
to   O
the   O
patient   O
,   O
he   O
's   O
been   O
living   O
in   O
Wayne   B-LOCATION
Heights   I-LOCATION
,   O
for   O
the   O
last   O
two   O
decades   O
which   O
has   O
a   O
history   O
of   O
air   O
pollution   O
issues   O
.   O

The   O
differential   O
diagnosis   O
,   O
conducted   O
on   O
2253   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
30   I-DATE
,   O
seemed   O
to   O
show   O
signs   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

Mr.   O
Maddox   B-NAME
Wilkins   I-NAME
has   O
been   O
in   O
the   O
Fabric   O
Menders   O
,   O
Except   O
Garment   O
for   O
24   O
years   O
,   O
which   O
increased   O
his   O
exposure   O
to   O
harmful   O
irritants   O
and   O
pollutants   O
.   O

Subsequent   O
consultation   O
was   O
scheduled   O
for   O
the   O
2/12/10   B-DATE
,   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
West   I-LOCATION
Kendall   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
,   O
to   O
review   O
his   O
symptom   O
progression   O
and   O
the   O
response   O
to   O
medication   O
.   O

During   O
his   O
stay   O
,   O
he   O
will   O
be   O
reached   O
at   O
807   B-CONTACT
719   I-CONTACT
1385   I-CONTACT
or   O
by   O
his   O
email   O
ib89   B-NAME
@   O
Lanka   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
.com   O
.   O

His   O
home   O
address   O
is   O
123   O
Main   O
Street   O
,   O
Dames   B-LOCATION
Quarter   I-LOCATION
,   O
78693   B-LOCATION
.   O

Note   O
:   O
For   O
additional   O
details   O
,   O
please   O
refer   O
to   O
the   O
patient   O
records   O
and   O
medical   O
notes   O
documented   O
by   O
Dr.   O
Singleton   B-NAME
under   O
Mr.   O
TOMLIN   B-NAME
,   I-NAME
THEODORE   I-NAME
's   O
medical   O
record   O
#   O
9551678   B-ID
at   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Prince   I-LOCATION
George   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Note   O
:   O
Kali   B-NAME
Lynn   I-NAME
saw   O
Bailey   B-NAME
Hurley   I-NAME
today   O
in   O
follow   O
-   O
up   O
after   O
her   O
episode   O
of   O
chest   O
discomfort   O
.   O

She   O
reported   O
that   O
on   O
00/20/1784   B-DATE
,   O
she   O
started   O
experiencing   O
chest   O
discomfort   O
,   O
that   O
she   O
qualified   O
as   O
burning   O
in   O
nature   O
,   O
in   O
the   O
central   O
and   O
lower   O
part   O
of   O
her   O
chest   O
.   O

Few   O
days   O
prior   O
,   O
Nicodemus   B-NAME
Paz   I-NAME
was   O
in   O
her   O
usual   O
state   O
of   O
health   O
when   O
she   O
started   O
to   O
feel   O
the   O
chest   O
discomfort   O
.   O

Record   O
number   O
NXO   B-ID
9   I-ID
-   I-ID
209   I-ID
shows   O
no   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

In   O
Artesia   B-LOCATION
,   I-LOCATION
Artesia   I-LOCATION
MainStreet   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
where   O
she   O
lives   O
,   O
she   O
works   O
as   O
a   O
Couriers   O
and   O
Messengers   O
and   O
is   O
often   O
under   O
severe   O
stress   O
.   O

Subsequently   O
,   O
she   O
underwent   O
some   O
lab   O
tests   O
at   O
Aurora   B-LOCATION
Sinai   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
the   O
results   O
are   O
attached   O
in   O
patient   O
ID   O
ZB:29368:979145   B-ID
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
manage   O
her   O
stress   O
and   O
to   O
contact   O
us   O
on   O
685   B-CONTACT
-   I-CONTACT
6010   I-CONTACT
for   O
any   O
follow   O
up   O
queries   O
.   O

Next   O
consultation   O
booked   O
for   O
13/05/2332   B-DATE
at   O
Duncan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
(   O
building   O
Salisbury   B-LOCATION
,   I-LOCATION
Urban   I-LOCATION
Salisbury   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
)   O
to   O
discuss   O
the   O
further   O
course   O
of   O
action   O
in   O
person   O
.   O

Kindly   O
carry   O
your   O
insurance   O
proof   O
from   O
Commonwealth   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
and   O
if   O
commuting   O
by   O
cab   O
,   O
use   O
en440   B-NAME
for   O
a   O
discount   O
.   O

As   O
per   O
her   O
request   O
,   O
the   O
copy   O
of   O
the   O
prescription   O
has   O
been   O
mailed   O
to   O
her   O
address   O
in   O
85917   B-LOCATION
.   O

Patient   O
name   O
:   O
Halsey   B-NAME
,   I-NAME
William   I-NAME
"   I-NAME
Bull   I-NAME
"   I-NAME
Date   O
:   O
21/20/52   B-DATE
Age   O
:   O
90   O
Gender   O
:   O
Male   O
Medical   O
Record   O
Number   O
:   O
73982967   B-ID
Address   O
:   O
Altus   B-LOCATION
,   O
44774   B-LOCATION
Phone   O
:   O
335   B-CONTACT
-   I-CONTACT
4379   I-CONTACT
Referred   O
by   O
:   O
Dr.   O
Sonny   B-NAME
Espinoza   I-NAME
Hospital   O
:   O
Stanton   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Facility   I-LOCATION
–   I-LOCATION
Johnson   I-LOCATION
The   O
patient   O
,   O
Mr.   O
Kay   B-NAME
,   I-NAME
Alan   I-NAME
,   O
presented   O
with   O
progressive   O
dyspnea   O
on   O
exertion   O
over   O
the   O
past   O
three   O
-   O
week   O
period   O
.   O

Mr.   O
Vicki   B-NAME
Klein   I-NAME
has   O
been   O
prescribed   O
diuretics   O
to   O
manage   O
edema   O
and   O
dyspnea   O
.   O

For   O
further   O
follow   O
-   O
ups   O
,   O
we   O
have   O
scheduled   O
an   O
appointment   O
for   O
13/25   B-DATE
at   O
UPMC   B-LOCATION
McKeesport   I-LOCATION
with   O
Dr.   O
Snow   B-NAME
.   O

His   O
pertinent   O
IDs   O
including   O
health   O
insurance   O
ID   O
(   O
8   B-ID
-   I-ID
7941870   I-ID
)   O
and   O
organization   O
ID   O
(   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Heat   I-LOCATION
and   I-LOCATION
Frost   I-LOCATION
Insulators   I-LOCATION
and   I-LOCATION
Asbestos   I-LOCATION
Workers   I-LOCATION
)   O
have   O
been   O
noted   O
for   O
record   O
-   O
keeping   O
.   O

Entered   O
by   O
Nurse   O
qu9510   B-NAME

Patient   O
Report   O
:   O
------------------------------------------------------   O
Adorno   B-NAME
,   I-NAME
Theodor   I-NAME
presented   O
to   O
Bayhealth   B-LOCATION
Hospital   I-LOCATION
Sussex   I-LOCATION
Campus   I-LOCATION
on   O
28   B-DATE
.   O

They   O
are   O
a   O
91s   O
year   O
old   O
individual   O
,   O
resides   O
at   O
Astatula   B-LOCATION
.   O

On   O
physical   O
examination   O
,   O
Kendal   B-NAME
Lester   I-NAME
appeared   O
acutely   O
ill   O
.   O

Barkley   B-NAME
,   I-NAME
Charles   I-NAME
was   O
initially   O
seen   O
by   O
Morrison   B-NAME
and   O
the   O
medical   O
ID   O
for   O
the   O
patient   O
is   O
78837842   B-ID
.   O

The   O
patient   O
's   O
family   O
physician   O
at   O
NorthWest   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
was   O
contacted   O
at   O
471   B-CONTACT
7689   I-CONTACT
.   O

The   O
patient   O
works   O
as   O
a   O
Sports   O
coach   O
at   O
Green   B-LOCATION
Bay   I-LOCATION
and   O
has   O
an   O
identification   O
number   O
of   O
0   B-ID
-   I-ID
3510977   I-ID
.   O

As   O
per   O
the   O
office   O
records   O
available   O
through   O
the   O
EMR   O
user   O
IQ134   B-NAME
,   O
the   O
patient   O
’s   O
last   O
regular   O
check   O
-   O
up   O
was   O
six   O
months   O
ago   O
at   O
a   O
different   O
medical   O
setup   O
,   O
and   O
no   O
abnormal   O
parameters   O
were   O
recorded   O
then   O
.   O

The   O
patient   O
's   O
primary   O
contact   O
is   O
his   O
spouse   O
,   O
contact   O
number   O
:   O
409   B-CONTACT
662   I-CONTACT
8466   I-CONTACT
and   O
they   O
reside   O
at   O
the   O
same   O
address   O
.   O

For   O
patient   O
's   O
confidentiality   O
,   O
the   O
details   O
are   O
saved   O
under   O
Head   O
of   O
Family   O
,   O
Mr.   O
xh79   B-NAME
under   O
zip   O
code   O
21297   B-LOCATION
.   O

Diet   O
advice   O
for   O
gastroenteritis   O
was   O
given   O
and   O
patient   O
's   O
condition   O
is   O
being   O
regularly   O
monitored   O
by   O
Cyrus   B-NAME
Farmer   I-NAME
.   O

The   O
contact   O
number   O
for   O
patient   O
or   O
family   O
queries   O
has   O
been   O
provided   O
as   O
(   B-CONTACT
252   I-CONTACT
)   I-CONTACT
243   I-CONTACT
-   I-CONTACT
4851   I-CONTACT
.   O
------------------------------------------------------   O

Zoie   B-NAME
Galvan   I-NAME
SSN   O
:   O
FG:97341:606788   B-ID
Medical   O
Record   O
Number   O
:   O
23215926   B-ID
DOB   O
:   O
02/24/1607   B-DATE
Age   O
:   O
34   O
Phone   O
:   O
682   B-CONTACT
6635   I-CONTACT
Address   O
:   O
Williamsburg   B-LOCATION
,   I-LOCATION
Williamsburg   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
97379   B-LOCATION
Patient   O
Nogai   B-NAME
Fenger   I-NAME
,   O
a   O
Cost   O
Estimators   O
of   O
4   O
years   O
was   O
presented   O
to   O
VA   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
chief   O
complaints   O
of   O
persistent   O
high   O
-   O
grade   O
fever   O
,   O
fatigue   O
,   O
and   O
shortness   O
of   O
breath   O
lasting   O
for   O
approximately   O
two   O
weeks   O
.   O

A   O
detailed   O
assessment   O
was   O
carried   O
out   O
by   O
Dr.   O
Shepard   B-NAME
,   O
who   O
noted   O
additional   O
symptoms   O
such   O
as   O
dry   O
cough   O
,   O
chest   O
discomfort   O
and   O
unexplained   O
weight   O
loss   O
.   O

An   O
urgent   O
chest   O
X   O
-   O
ray   O
ordered   O
by   O
Dr.   O
Ramirez   B-NAME
,   I-NAME
Manny   I-NAME
showed   O
significant   O
opacity   O
in   O
bilateral   O
lung   O
fields   O
,   O
indicative   O
of   O
possible   O
bacterial   O
or   O
viral   O
pneumonia   O
.   O

ABI   O
analysis   O
,   O
included   O
in   O
Allen   B-NAME
's   O
medical   O
record   O
number   O
6055308   B-ID
,   O
reflected   O
severe   O
hypoxemia   O
.   O

Given   O
the   O
severity   O
and   O
the   O
current   O
COVID-19   O
pandemic   O
situation   O
,   O
nasal   O
and   O
throat   O
swabs   O
were   O
collected   O
and   O
sent   O
to   O
Turnberry   B-LOCATION
Bank   I-LOCATION
for   O
SARS   O
-   O
CoV-2   O
RT   O
-   O
PCR   O
testing   O
,   O
while   O
the   O
patient   O
was   O
admitted   O
for   O
close   O
monitoring   O
.   O

Mercado   B-NAME
was   O
initially   O
managed   O
with   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
,   O
and   O
conservative   O
management   O
for   O
fever   O
and   O
cough   O
.   O

As   O
the   O
condition   O
progressed   O
,   O
communication   O
was   O
facilitated   O
between   O
NYU   B-LOCATION
Langone   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Brooklyn   I-LOCATION
and   O
patient   O
's   O
family   O
via   O
583   B-CONTACT
-   I-CONTACT
7770   I-CONTACT
.   O

Currently   O
,   O
the   O
patient   O
's   O
condition   O
is   O
stable   O
,   O
and   O
further   O
care   O
planning   O
is   O
in   O
progress   O
under   O
the   O
administration   O
of   O
Dr.   O
Taliyah   B-NAME
Baird   I-NAME
.   O

Detailed   O
reports   O
are   O
available   O
in   O
the   O
Healthkart   O
Portal   O
under   O
the   O
username   O
clv195   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kendra   B-NAME
Proctor   I-NAME
Age   O
:   O
91   O
Residence   O
:   O
Cohutta   B-LOCATION
Health   O
Insurance   O
:   O

Animal   B-LOCATION
Equality   I-LOCATION
Account   O
number   O
:   O
4   B-ID
-   I-ID
7764394   I-ID
Patient   O
was   O
admitted   O
to   O
Matagorda   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
June   B-DATE
02   I-DATE
.   O

She   O
was   O
referred   O
to   O
Holloway   B-NAME
by   O
her   O
primary   O
care   O
physician   O
after   O
presenting   O
with   O
symptoms   O
of   O
nausea   O
,   O
fatigue   O
,   O
and   O
unexplained   O
weight   O
loss   O
.   O

Her   O
medical   O
record   O
06515785   B-ID
revealed   O
she   O
used   O
to   O
smoke   O
for   O
more   O
than   O
two   O
decades   O
,   O
but   O
has   O
quit   O
approximately   O
five   O
years   O
ago   O
.   O

The   O
patient   O
was   O
advised   O
to   O
undergo   O
an   O
Upper   O
GI   O
Endoscopy   O
at   O
the   O
nearest   O
clinic   O
in   O
Timbercreek   B-LOCATION
Canyon   I-LOCATION
.   O

Further   O
assessment   O
on   O
02/00/71   B-DATE
confirmed   O
the   O
presence   O
of   O
multiple   O
ulcers   O
in   O
the   O
stomach   O
lining   O
with   O
mild   O
gastritis   O
.   O

Her   O
daughter   O
,   O
a   O
Soil   O
and   O
Water   O
Conservationists   O
,   O
aged   O
52   O
,   O
who   O
stays   O
in   O
5   B-LOCATION
Bayberry   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
was   O
informed   O
about   O
her   O
condition   O
and   O
the   O
proposed   O
treatment   O
plan   O
via   O
a   O
phone   O
call   O
at   O
631   B-CONTACT
206   I-CONTACT
-   I-CONTACT
7976   I-CONTACT
.   O

The   O
digital   O
copy   O
of   O
the   O
consent   O
form   O
with   O
the   O
patient   O
's   O
user   O
signature   O
TF455   B-NAME
has   O
been   O
attached   O
to   O
her   O
health   O
record   O
.   O

Discharge   O
is   O
tentatively   O
planned   O
for   O
3/15/2303   B-DATE
and   O
she   O
will   O
be   O
referred   O
to   O
a   O
local   O
gastroenterologist   O
in   O
Coalgate   B-LOCATION
.   O

The   O
patient   O
is   O
advised   O
to   O
visit   O
Sierra   B-LOCATION
Vista   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
regular   O
check   O
-   O
ups   O
.   O

Best   O
,   O
Hein   B-NAME
,   I-NAME
Piet   I-NAME
Department   O
of   O
Gastroenterology   O
,   O
Atrium   B-LOCATION
Health   I-LOCATION
Union   I-LOCATION
,   O
19894   B-LOCATION
.   O

Phone   O
:   O
65884   B-CONTACT

Patient   O
Name   O
:   O
Quesenberry   B-NAME
Age   O
:   O
67   O
ID   O
number   O
:   O
EN175/9625   B-ID
Doctor   O
:   O
Lucas   B-NAME
Hospital   O
:   O
Silverstone   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
:   O
21/02   B-DATE
Location   O
:   O
South   B-LOCATION
Lead   I-LOCATION
Hill   I-LOCATION
Medical   O
Record   O
Number   O
:   O
6219788   B-ID
Organization   O
Name   O
:   O
UNISON   B-LOCATION
Contact   O
Number   O
:   O
744   B-CONTACT
4335   I-CONTACT
Patient   O
's   O
Profession   O
:   O
physician   O
Username   O
:   O
fr605   B-NAME
ZIP   O
Code   O
:   O
96881   B-LOCATION
Kaeden   B-NAME
Mayo   I-NAME
,   O
a   O
Gas   O
Compressor   O
and   O
Gas   O
Pumping   O
Station   O
Operators   O
aged   O
32   O
years   O
,   O
reported   O
to   O
Bluegrass   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2100   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
localized   O
mostly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Fitzgerald   B-NAME
also   O
noticed   O
an   O
increase   O
in   O
the   O
frequency   O
of   O
urinations   O
.   O

On   O
examination   O
by   O
Dr.   O
Evans   B-NAME
,   O
the   O
patient   O
was   O
found   O
to   O
have   O
a   O
visible   O
mass   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Blood   O
samples   O
were   O
taken   O
and   O
sent   O
to   O
the   O
Mercantile   B-LOCATION
Stars   I-LOCATION
for   O
further   O
laboratory   O
testing   O
.   O

The   O
medical   O
record   O
number   O
for   O
the   O
tests   O
is   O
8994684   B-ID
.   O

Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
August   B-DATE
38   I-DATE
,   I-DATE
2010   I-DATE
at   O
the   O
Adventist   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Rideout   I-LOCATION
.   O

For   O
any   O
further   O
queries   O
or   O
emergencies   O
,   O
please   O
contact   O
the   O
hospital   O
's   O
front   O
desk   O
at   O
767   B-CONTACT
-   I-CONTACT
1393   I-CONTACT
or   O
get   O
in   O
touch   O
with   O
Dr.   O
Proctor   B-NAME
through   O
the   O
medical   O
portal   O
using   O
YU130   B-NAME
.   O

The   O
patient   O
was   O
discharged   O
in   O
the   O
care   O
of   O
the   O
family   O
residing   O
at   O
Macon   B-LOCATION
,   O
78188   B-LOCATION
.   O

Amiyah   B-NAME
Logan   I-NAME
is   O
now   O
coordinating   O
with   O
a   O
home   O
health   O
agency   O
to   O
ensure   O
proper   O
treatment   O
and   O
care   O
for   O
Esta   B-NAME
at   O
home   O
.   O

Patient   O
Name   O
:   O
Almeda   B-NAME
Roye   I-NAME
Age   O
:   O
36   O
This   O
is   O
a   O
detailed   O
report   O
about   O
Anthony   B-NAME
Burton   I-NAME
,   O
who   O
presented   O
complaints   O
regarding   O
recurrent   O
chest   O
pain   O
lasting   O
for   O
about   O
15   O
-   O
20   O
minutes   O
.   O

The   O
patient   O
is   O
a   O
Producers   O
and   O
Directors   O
residing   O
in   O
Winslow   B-LOCATION
West   I-LOCATION
,   O
with   O
a   O
past   O
medical   O
history   O
of   O
Hypertension   O
and   O
Diabetes   O
Type   O
II   O
,   O
for   O
which   O
he   O
is   O
currently   O
taking   O
beta   O
-   O
blockers   O
,   O
ACE   O
inhibitors   O
and   O
Metformin   O
.   O

On   O
04/79   B-DATE
,   O
he   O
underwent   O
a   O
series   O
of   O
lab   O
investigations   O
under   O
the   O
supervision   O
of   O
Clayton   B-NAME
Roberts   I-NAME
at   O
the   O
cardiovascular   O
department   O
in   O
Mid   B-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
.   O

However   O
,   O
to   O
further   O
confirm   O
this   O
diagnosis   O
,   O
Holt   B-NAME
has   O
requested   O
a   O
cardiac   O
stress   O
test   O
,   O
which   O
is   O
scheduled   O
to   O
be   O
conducted   O
on   O
12/36/2290   B-DATE
.   O

Following   O
the   O
previous   O
visit   O
on   O
35/18   B-DATE
,   O
Alexander   B-NAME
was   O
admitted   O
to   O
Thomas   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
similar   O
complaints   O
.   O

At   O
that   O
time   O
,   O
his   O
ID   O
/   O
Admission   O
number   O
was   O
61232989   B-ID
.   O

The   O
contact   O
number   O
provided   O
by   O
Camron   B-NAME
Sullivan   I-NAME
is   O
544   B-CONTACT
-   I-CONTACT
2928   I-CONTACT
;   O
the   O
best   O
time   O
to   O
reach   O
him   O
is   O
during   O
the   O
evening   O
hours   O
after   O
he   O
returns   O
from   O
his   O
Boilermakers   O
.   O

If   O
necessary   O
,   O
please   O
reach   O
out   O
to   O
him   O
primarily   O
on   O
xap735   B-NAME
via   O
the   O
patient   O
portal   O
provided   O
by   O
our   O
Independence   B-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
.   O

Nadia   B-NAME
Lynn   I-NAME
gave   O
consent   O
to   O
use   O
his   O
personal   O
data   O
for   O
internal   O
audits   O
and   O
improving   O
healthcare   O
delivery   O
.   O

Recognizing   O
his   O
rights   O
under   O
HIPPA   O
,   O
all   O
identifiable   O
data   O
including   O
his   O
social   O
security   O
number   O
55199   B-ID
,   O
residential   O
78693   B-LOCATION
,   O
etc   O
.   O
,   O
will   O
be   O
strictly   O
protected   O
and   O
used   O
responsibly   O
.   O

Note   O
:   O
Due   O
to   O
Covid-19   O
precautions   O
,   O
physical   O
consultations   O
are   O
currently   O
limited   O
at   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Nampa   I-LOCATION
.   O

Patient   O
Name   O
:   O
ostrowski   B-NAME
Age   O
:   O
50   O
Date   O
:   O
03/31   B-DATE
Attending   O
Physician   O
:   O

Whitehead   B-NAME
Patient   O
Charolette   B-NAME
Carlson   I-NAME
was   O
admitted   O
to   O
Geisinger   B-LOCATION
Wyoming   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
following   O
complaints   O
of   O
persistent   O
headaches   O
,   O
vertigo   O
,   O
and   O
occasional   O
bouts   O
of   O
sudden   O
and   O
temporary   O
vision   O
loss   O
.   O

Lacey   B-NAME
is   O
an   O
Postal   O
Service   O
Clerks   O
and   O
works   O
at   O
Copper   B-LOCATION
Star   I-LOCATION
Bank   I-LOCATION
.   O

On   O
examination   O
,   O
Yacob   B-NAME
T.   I-NAME
Kane   I-NAME
possesses   O
a   O
normal   O
cranial   O
nerve   O
function   O
.   O

The   O
last   O
known   O
address   O
for   O
Villasenor   B-NAME
is   O
Huachuca   B-LOCATION
City   I-LOCATION
,   O
and   O
their   O
personal   O
contact   O
number   O
is   O
58716   B-CONTACT
.   O

Social   O
Security   O
Information   O
:   O
YY   B-ID
:   I-ID
YP:7576   I-ID
.   O

The   O
medical   O
records   O
,   O
bearing   O
the   O
number   O
9447033   B-ID
,   O
document   O
past   O
hospital   O
visits   O
and   O
any   O
underlying   O
medical   O
conditions   O
.   O

As   O
of   O
the   O
last   O
checkup   O
on   O
2144   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
05   I-DATE
,   O
no   O
life   O
-   O
threatening   O
or   O
serious   O
ailments   O
have   O
been   O
detected   O
.   O

For   O
further   O
assistance   O
,   O
please   O
contact   O
Nora   B-NAME
Skoff   I-NAME
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Mechanicsburg   I-LOCATION
.   O

Sawyer   B-NAME
Lowery   I-NAME
's   O
personal   O
contact   O
number   O
is   O
(   B-CONTACT
538   I-CONTACT
)   I-CONTACT
209   I-CONTACT
3058   I-CONTACT
,   O
and   O
the   O
office   O
is   O
located   O
at   O
:   O
Zephyrhills   B-LOCATION
,   O
98072   B-LOCATION
.   O

The   O
digital   O
correspondence   O
address   O
for   O
Lawrence   B-NAME
is   O
ip606   B-NAME
and   O
any   O
inquiries   O
regarding   O
the   O
Rosario   B-NAME
's   O
health   O
status   O
must   O
be   O
directed   O
to   O
this   O
account   O
.   O

Hospital   O
Identity   O
Number   O
:   O
12480   B-ID
Note   O
:   O

Above   O
data   O
is   O
sourced   O
from   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Southside   I-LOCATION
and   O
is   O
strictly   O
for   O
medical   O
use   O
only   O
.   O

Regan   B-NAME
Medical   O
Record   O
Number   O
:   O
926   B-ID
-   I-ID
71   I-ID
-   I-ID
59   I-ID
-   I-ID
4   I-ID
Date   O
:   O
February   B-DATE
2343   I-DATE

Dear   O
Dr.   O
Akinola   B-NAME
,   I-NAME
Peter   I-NAME
Jasper   I-NAME
,   O
Mr.   O
Rudy   B-NAME
Cline   I-NAME
reported   O
to   O
Washington   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
on   O
02/26/48   B-DATE
with   O
chief   O
complaints   O
of   O
high   O
-   O
grade   O
fever   O
,   O
persistent   O
cough   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
30   O
year   O
old   O
mentioned   O
that   O
the   O
symptoms   O
started   O
around   O
19/12/53   B-DATE
progressively   O
getting   O
severe   O
overtime   O
.   O

Mr.   O
Charles   B-NAME
,   I-NAME
Ray   I-NAME
was   O
admitted   O
to   O
the   O
intensive   O
care   O
unit   O
for   O
close   O
monitoring   O
.   O

Further   O
contact   O
history   O
revealed   O
that   O
Mr.   O
Richard   B-NAME
Burke   I-NAME
recently   O
visited   O
2   B-LOCATION
Helen   I-LOCATION
St   I-LOCATION
.   I-LOCATION
.   O

His   O
Program   O
Directors   O
involves   O
frequent   O
travel   O
and   O
interaction   O
at   O
Target   B-LOCATION
.   O

Mr.   O
Zackary   B-NAME
Foley   I-NAME
has   O
been   O
informed   O
and   O
agreeable   O
to   O
share   O
his   O
test   O
results   O
and   O
condition   O
with   O
his   O
immediate   O
family   O
members   O
over   O
phone   O
number   O
12024   B-CONTACT
.   O

Mr.   O
Aedan   B-NAME
Conrad   I-NAME
's   O
ID   O
number   O
is   O
SS:24314:317402   B-ID
who   O
lives   O
in   O
the   O
99278   B-LOCATION
area   O
.   O

Best   O
regards   O
,   O
Dr.   O
Meadow   B-NAME
Burnett   I-NAME
HD766   B-NAME
on   O
behalf   O
of   O
the   O
Pulmonary   O
and   O
Critical   O
Care   O
team   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Brunswick   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Name   O
:   O
Vincent   B-NAME
Ventura   I-NAME
Age   O
:   O
64   O
Date   O
of   O
Report   O
:   O
2072   B-DATE
The   O
patient   O
,   O
Jeri   B-NAME
Clingan   I-NAME
,   O
who   O
is   O
at   O
the   O
age   O
of   O
60   O
,   O
was   O
seen   O
at   O
the   O
Johnston   B-LOCATION
Health   I-LOCATION
by   O
Dr.   O
Meza   B-NAME
on   O
November   B-DATE
.   O

The   O
pain   O
was   O
characterized   O
as   O
crushing   O
in   O
nature   O
and   O
commenced   O
while   O
the   O
patient   O
was   O
at   O
work   O
in   O
Belle   B-LOCATION
Vernon   I-LOCATION
.   O

The   O
patient   O
was   O
evaluated   O
by   O
his   O
PCP   O
,   O
Dr.   O
Crane   B-NAME
on   O
07/20   B-DATE
and   O
was   O
subsequently   O
referred   O
to   O
the   O
out   O
-   O
patient   O
clinic   O
in   O
Abrazo   B-LOCATION
Arrowhead   I-LOCATION
Campus   I-LOCATION
.   O

Upon   O
examination   O
on   O
11/23/2018   B-DATE
,   O
the   O
patient   O
’s   O
vitals   O
were   O
stable   O
.   O

A   O
blood   O
sample   O
was   O
sent   O
to   O
International   B-LOCATION
Property   I-LOCATION
Rights   I-LOCATION
Index   I-LOCATION
lab   O
where   O
Troponin   O
levels   O
were   O
found   O
to   O
be   O
elevated   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
33797005   B-ID
.   O

The   O
family   O
,   O
who   O
can   O
be   O
reached   O
at   O
94215   B-CONTACT
,   O
was   O
duly   O
informed   O
and   O
counselling   O
was   O
provided   O
by   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Waxahachie   I-LOCATION
nursing   O
staff   O
.   O

He   O
was   O
referred   O
to   O
a   O
cardiologist   O
with   O
an   O
appointment   O
set   O
for   O
32/11   B-DATE
at   O
the   O
cardiac   O
clinic   O
in   O
the   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Erie   I-LOCATION
.   O

The   O
medical   O
plan   O
for   O
Raven   B-NAME
Mcgee   I-NAME
,   O
including   O
a   O
possibility   O
of   O
a   O
coronary   O
bypass   O
,   O
will   O
be   O
decided   O
after   O
further   O
consultation   O
with   O
the   O
cardiologist   O
.   O

In   O
summary   O
,   O
Erasmus   B-NAME
,   O
a   O
32   O
year   O
old   O
Helpers   O
--   O
Pipelayers   O
,   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
experienced   O
severe   O
chest   O
pain   O
on   O
2032   B-DATE
and   O
was   O
diagnosed   O
with   O
Unstable   O
Angina   O
at   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
in   O
Akutan   B-LOCATION
.   O

Home   O
Address   O
:   O
Elderon   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
398   I-CONTACT
)   I-CONTACT
137   I-CONTACT
6262   I-CONTACT
Occupation   O
:   O
Food   O
Batchmakers   O
ID   O
number   O
:   O
LM   B-ID
:   I-ID
SK:5392   I-ID
Username   O
in   O
the   O
system   O
:   O
nuo38   B-NAME
ZIP   O
:   O
10877   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
's   O
Full   O
Name   O
:   O
Alanna   B-NAME
Wall   I-NAME
Age   O
:   O
53   O
Residence   O
:   O
8912   B-LOCATION
Broad   I-LOCATION
St.   I-LOCATION
MRN   O
:   O
85011757   B-ID
DOB   O
:   O
2260   B-DATE
Date   O
of   O
Visit   O
:   O
11/21/64   B-DATE
Physician   O
's   O
Name   O
:   O
Riley   B-NAME
Chief   O
Complaint   O
:   O
Olga   B-NAME
Xavier   I-NAME
presents   O
with   O
dysuria   O
and   O
frequent   O
urination   O
.   O

Medical   O
History   O
:   O
London   B-NAME
Freeman   I-NAME
has   O
a   O
history   O
of   O
recurrent   O
urinary   O
tract   O
infections   O
(   O
UTIs   O
)   O
,   O
the   O
most   O
recent   O
of   O
which   O
was   O
managed   O
and   O
treated   O
at   O
Dr.   B-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
by   O
Dr.   O
Dominique   B-NAME
Golden   I-NAME
.   O

Kelsie   B-NAME
Barnett   I-NAME
is   O
a   O
Respiratory   O
Therapists   O
,   O
living   O
in   O
Falcon   B-LOCATION
Mesa   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
57256   B-LOCATION
.   O

Allergies   O
:   O
Leana   B-NAME
has   O
a   O
known   O
allergy   O
to   O
Sulfa   O
-   O
based   O
medications   O
,   O
which   O
was   O
recorded   O
during   O
their   O
previous   O
hospitalization   O
at   O
Mercy   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Manhattan   I-LOCATION
.   O

Latest   O
Medications   O
:   O
Throughout   O
the   O
last   O
course   O
of   O
treatment   O
,   O
Elmira   B-NAME
Nack   I-NAME
has   O
been   O
prescribed   O
Metoprolol   O
and   O
Metformin   O
,   O
both   O
procured   O
from   O
Botswana   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Development   I-LOCATION
Management   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
pharmacy   O
.   O

Next   O
Steps   O
:   O
Chin   B-NAME
Gavinski   I-NAME
is   O
scheduled   O
to   O
undergo   O
urine   O
culture   O
and   O
complete   O
blood   O
count   O
tests   O
at   O
Aiken   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Centers   I-LOCATION
's   O
lab   O
on   O
2059   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
30   I-DATE
.   O

To   O
follow   O
up   O
about   O
the   O
test   O
results   O
and   O
further   O
treatment   O
,   O
an   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Bowen   B-NAME
on   O
7/25/2063   B-DATE
.   O

For   O
appointment   O
changes   O
,   O
Daniel   B-NAME
can   O
reach   O
our   O
office   O
at   O
352   B-CONTACT
-   I-CONTACT
1902   I-CONTACT
.   O

Brewer   B-NAME
's   O
legal   O
health   O
care   O
decision   O
maker   O
is   O
their   O
spouse   O
,   O
BRIAN   B-NAME
YOCKEY   I-NAME
.   O

Their   O
contact   O
information   O
is   O
196   B-CONTACT
-   I-CONTACT
6209   I-CONTACT
and   O
their   O
social   O
security   O
number   O
is   O
22237028   B-ID
.   O

Electronic   O
Signature   O
:   O
wml670   B-NAME
The   O
above   O
information   O
is   O
accurate   O
and   O
verified   O
on   O
1937   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
26   I-DATE
.   O

Patient   O
's   O
Name   O
:   O
Mikayla   B-NAME
Wilkins   I-NAME
Age   O
:   O
98   O
Medical   O
Record   O
Number   O
:   O
4776872   B-ID
ID   O
:   O
4   B-ID
-   I-ID
1279245   I-ID
Occupation   O
:   O
Political   O
party   O
agent   O
Location   O
:   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11220   I-LOCATION
Phone   O
Number   O
:   O
299   B-CONTACT
378   I-CONTACT
6720   I-CONTACT
Username   O
:   O
jdy394   B-NAME
Zip   O
code   O
:   O
52917   B-LOCATION
2156   B-DATE

Dear   O
Dr.   O
Fowler   B-NAME
,   I-NAME
Gene   I-NAME
,   O
I   O
am   O
writing   O
to   O
record   O
the   O
symptoms   O
experienced   O
by   O
Rolando   B-NAME
,   O
whose   O
occupation   O
is   O
listed   O
as   O
a   O
Communications   O
Equipment   O
Operators   O
,   O
All   O
Other   O
,   O
for   O
your   O
review   O
and   O
further   O
diagnosis   O
.   O

Grimes   B-NAME
presented   O
to   O
Milford   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/20   B-DATE
with   O
complaints   O
of   O
a   O
persistent   O
,   O
non   O
-   O
productive   O
cough   O
which   O
has   O
been   O
present   O
for   O
a   O
period   O
of   O
over   O
three   O
weeks   O
.   O

Lynch   B-NAME
,   I-NAME
Peter   I-NAME
also   O
reports   O
occasional   O
episodes   O
of   O
chest   O
tightness   O
and   O
shortness   O
of   O
breath   O
,   O
which   O
he   O
describes   O
as   O
a   O
feeling   O
of   O
"   O
air   O
hunger   O
"   O
.   O

This   O
is   O
based   O
on   O
the   O
NICE   O
guidelines   O
provided   O
by   O
Basin   B-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
.   O

Should   O
you   O
require   O
any   O
further   O
details   O
,   O
I   O
can   O
be   O
reached   O
at   O
566   B-CONTACT
6891   I-CONTACT
or   O
via   O
my   O
administrative   O
portal   O
with   O
username   O
;   O
nvc203   B-NAME
.   O

Thank   O
you   O
,   O
Killian   B-NAME
Cobb   I-NAME
Department   O
of   O
Pulmonology   O
,   O
Paoli   B-LOCATION
Hospital   I-LOCATION
,   O
180   B-LOCATION
Valley   I-LOCATION
St.   I-LOCATION

Patient   O
Report   O
:   O
Mr.   O
Dunn   B-NAME
is   O
a   O
84   O
year   O
old   O
male   O
,   O
avid   O
golfer   O
by   O
Pile   O
-   O
Driver   O
Operators   O
,   O
who   O
presented   O
to   O
the   O
MercyOne   B-LOCATION
Siouxland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1712   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
00   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
intermittent   O
chest   O
pain   O
.   O

The   O
initial   O
evaluation   O
was   O
conducted   O
by   O
Everett   B-NAME
.   O

At   O
General   B-LOCATION
Re   I-LOCATION
,   O
the   O
patient   O
's   O
vital   O
signs   O
were   O
stable   O
,   O
with   O
a   O
blood   O
pressure   O
of   O
130/80   O
mmHg   O
and   O
a   O
heart   O
rate   O
of   O
78   O
beats   O
per   O
minute   O
.   O

Laboratory   O
results   O
obtained   O
on   O
8   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
09   I-DATE
showed   O
a   O
slightly   O
elevated   O
Troponin   O
level   O
of   O
0.05   O
ng   O
/   O
mL   O
(   O
normal   O
range   O
,   O
0.00   O
to   O
0.03   O
ng   O
/   O
mL   O
)   O
.   O

The   O
patient   O
's   O
801   B-ID
-   I-ID
78   I-ID
-   I-ID
16   I-ID
-   I-ID
7   I-ID
was   O
also   O
retrieved   O
and   O
reviewed   O
during   O
the   O
consult   O
.   O

He   O
resides   O
in   O
Amory   B-LOCATION
with   O
his   O
wife   O
and   O
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Landscaping   O
Workers   O
.   O

The   O
patient   O
's   O
3   B-ID
-   I-ID
7740216   I-ID
and   O
social   O
history   O
indicate   O
that   O
he   O
is   O
a   O
30   O
-   O
pack   O
-   O
year   O
smoker   O
and   O
drinks   O
alcohol   O
occasionally   O
.   O

The   O
hospital   O
scheduled   O
a   O
call   O
on   O
766   B-CONTACT
-   I-CONTACT
5565   I-CONTACT
,   O
and   O
it   O
was   O
agreed   O
that   O
Mr.   O
Shirley   B-NAME
Pacheco   I-NAME
would   O
further   O
continue   O
his   O
follow   O
-   O
up   O
checkups   O
at   O
CHI   B-LOCATION
Health   I-LOCATION
Lakeside   I-LOCATION
.   O

His   O
appointment   O
is   O
scheduled   O
for   O
three   O
weeks   O
from   O
the   O
discharge   O
17/28/50   B-DATE
.   O

He   O
was   O
advised   O
to   O
contact   O
Morse   B-NAME
on   O
757   B-CONTACT
-   I-CONTACT
914   I-CONTACT
-   I-CONTACT
8049   I-CONTACT
in   O
case   O
of   O
an   O
emergency   O
.   O

The   O
follow   O
-   O
up   O
appointments   O
will   O
be   O
held   O
in   O
the   O
healthcare   O
unit   O
located   O
in   O
Cherry   B-LOCATION
Valley   I-LOCATION
,   O
the   O
pin   O
code   O
of   O
which   O
is   O
65051   B-LOCATION
.   O

He   O
has   O
been   O
given   O
the   O
sv596   B-NAME
and   O
password   O
to   O
access   O
his   O
health   O
records   O
online   O
.   O

Should   O
Mr.   O
Zoe   B-NAME
Gallagher   I-NAME
require   O
it   O
,   O
we   O
have   O
arrangements   O
for   O
low   O
-   O
intensity   O
cardio   O
workouts   O
under   O
the   O
guidance   O
of   O
specialized   O
trainers   O
at   O
the   O
Crisp   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
rehabilitation   O
center   O
in   O
Garceno   B-LOCATION
,   O
where   O
sessions   O
can   O
be   O
scheduled   O
between   O
10   O
AM   O
to   O
5   O
PM   O
on   O
weekdays   O
.   O

Patient   O
Name   O
:   O
Annice   B-NAME
Selzer   I-NAME
Age   O
:   O
2s   O
ID   O
:   O
OH   B-ID
:   I-ID
FC:6140   I-ID
Medical   O
Record   O
:   O
4761218   B-ID
Dr.   O
Gillespie   B-NAME
conducted   O
a   O
thorough   O
examination   O
of   O
the   O
patient   O
at   O
Hendrick   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
2/20/43   B-DATE
.   O

Hahn   B-NAME
was   O
brought   O
in   O
exhibiting   O
a   O
plethora   O
of   O
distressing   O
symptoms   O
,   O
which   O
included   O
fever   O
,   O
myalgia   O
,   O
and   O
acute   O
respiratory   O
issues   O
.   O

The   O
patient   O
's   O
fever   O
was   O
recurrent   O
,   O
with   O
a   O
high   O
reading   O
of   O
39.2   O
°   O
C   O
(   O
102.5   O
°   O
F   O
)   O
recorded   O
on   O
32/11/2176   B-DATE
.   O

Upon   O
further   O
testing   O
,   O
Wang   B-NAME
found   O
the   O
patient   O
's   O
O2   O
saturation   O
levels   O
to   O
be   O
at   O
89   O
%   O
,   O
dipping   O
slightly   O
below   O
the   O
norm   O
,   O
thereby   O
reinforcing   O
the   O
respiratory   O
distress   O
.   O

Dixon   B-NAME
had   O
moved   O
recently   O
from   O
Richmond   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77469   I-LOCATION
and   O
had   O
not   O
yet   O
registered   O
with   O
a   O
local   O
GP   O
.   O

The   O
contact   O
detail   O
provided   O
was   O
(   B-CONTACT
922   I-CONTACT
)   I-CONTACT
660   I-CONTACT
-   I-CONTACT
8703   I-CONTACT
.   O

Imaging   O
scans   O
were   O
taken   O
at   O
Texas   B-LOCATION
Health   I-LOCATION
Arlington   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
which   O
unveiled   O
inflammation   O
in   O
both   O
lung   O
fields   O
,   O
pointing   O
towards   O
a   O
possible   O
case   O
of   O
pneumonia   O
.   O

Blood   O
samples   O
were   O
taken   O
and   O
sent   O
to   O
City   B-LOCATION
of   I-LOCATION
New   I-LOCATION
Smyrna   I-LOCATION
Beach   I-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
for   O
further   O
analysis   O
.   O

Results   O
returned   O
on   O
1875   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
02   I-DATE
confirmed   O
a   O
high   O
white   O
cell   O
count   O
consistent   O
with   O
infection   O
.   O

Jaylon   B-NAME
Bradshaw   I-NAME
is   O
an   O
architect   O
by   O
Dragline   O
Operators   O
and   O
had   O
recently   O
returned   O
from   O
a   O
business   O
trip   O
from   O
14   B-LOCATION
School   I-LOCATION
Lane   I-LOCATION
where   O
they   O
had   O
been   O
working   O
on   O
a   O
new   O
project   O
.   O

Currently   O
,   O
their   O
home   O
address   O
is   O
Ferrum   B-LOCATION
,   O
and   O
their   O
office   O
is   O
located   O
at   O
Lake   B-LOCATION
Mohegan   I-LOCATION
.   O

Further   O
communication   O
regarding   O
the   O
patient   O
's   O
medical   O
condition   O
would   O
be   O
through   O
a   O
secured   O
portal   O
with   O
username   O
blc934   B-NAME
and   O
the   O
clinic   O
's   O
contact   O
number   O
253   B-CONTACT
5620   I-CONTACT
.   O

Review   O
and   O
follow   O
-   O
up   O
have   O
been   O
scheduled   O
for   O
19/23/42   B-DATE
.   O

Patient   O
:   O
Lilliana   B-NAME
Berry   I-NAME
Age   O
:   O
10   O
ID   O
:   O
718999   B-ID
Medical   O
Record   O
:   O
4402275   B-ID
Hospital   O
:   O
Perry   B-LOCATION
Hospital   I-LOCATION
The   O
patient   O
,   O
Rice   B-NAME
,   O
presented   O
at   O
our   O
medical   O
facility   O
,   O
Atrium   B-LOCATION
Health   I-LOCATION
Harrisburg   I-LOCATION
,   O
on   O
6/23/48   B-DATE
with   O
persistent   O
and   O
acute   O
abdominal   O
pain   O
located   O
mostly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Cheyenne   B-NAME
Harper   I-NAME
is   O
60   O
years   O
old   O
and   O
works   O
as   O
a   O
Marketing   O
Managers   O
in   O
Watts   B-LOCATION
.   O
cao479   B-NAME
,   O
the   O
on   O
-   O
call   O
doctor   O
performed   O
a   O
physical   O
examination   O
which   O
included   O
a   O
palpation   O
of   O
the   O
abdomen   O
.   O

Botha   B-NAME
,   I-NAME
Pik   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.5   O
degrees   O
Celsius   O
and   O
blood   O
pressure   O
was   O
slightly   O
elevated   O
at   O
145/95   O
.   O

Lilyana   B-NAME
Petersen   I-NAME
's   O
medical   O
history   O
,   O
ID   O
BJ:85105:551942   B-ID
was   O
also   O
noted   O
.   O

Prescribed   O
treatment   O
for   O
Desmond   B-NAME
Church   I-NAME
includes   O
antibiotics   O
and   O
likely   O
surgical   O
intervention   O
by   O
Dr.   O
Dania   B-NAME
Manning   I-NAME
at   O
Borgess   B-LOCATION
-   I-LOCATION
Lee   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
family   O
was   O
informed   O
and   O
they   O
provided   O
Nye   B-NAME
's   O
insurance   O
company   O
First   B-LOCATION
Security   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
the   O
necessary   O
information   O
over   O
the   O
666   B-CONTACT
-   I-CONTACT
626   I-CONTACT
2128   I-CONTACT
.   O

Will   B-NAME
Tucker   I-NAME
lives   O
in   O
90116   B-LOCATION
and   O
will   O
need   O
to   O
advise   O
their   O
employer   O
regarding   O
their   O
inability   O
to   O
continue   O
their   O
duties   O
as   O
a   O
Public   O
Relations   O
and   O
Fundraising   O
Managers   O
due   O
to   O
medical   O
reasons   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
for   O
Sartre   B-NAME
,   I-NAME
Jean   I-NAME
-   I-NAME
Paul   I-NAME
is   O
scheduled   O
for   O
2/02   B-DATE
at   O
the   O
hospital   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Dover   I-LOCATION
.   O

The   O
patient   O
,   O
Bonilla   B-NAME
,   O
is   O
a   O
36s   O
years   O
old   O
individual   O
residing   O
at   O
Glenvil   B-LOCATION
.   O

They   O
are   O
employed   O
as   O
a   O
Septic   O
Tank   O
Servicers   O
and   O
Sewer   O
Pipe   O
Cleaners   O
at   O
a   O
well   O
-   O
respected   O
Habitat   B-LOCATION
International   I-LOCATION
Coalition   I-LOCATION
in   O
the   O
same   O
city   O
.   O

Medical   O
Information   O
:   O
Patient   O
,   O
Lawson   B-NAME
Flynn   I-NAME
,   O
acknowledged   O
his   O
/   O
her   O
symptoms   O
during   O
the   O
consultation   O
which   O
was   O
held   O
on   O
Mar.   B-DATE
2114   I-DATE
.   O

The   O
records   O
03743879   B-ID
outlined   O
a   O
history   O
of   O
persistent   O
dry   O
cough   O
,   O
unexplained   O
weight   O
loss   O
,   O
and   O
bouts   O
of   O
extreme   O
fatigue   O
over   O
the   O
past   O
several   O
weeks   O
.   O

During   O
the   O
examination   O
at   O
Mount   B-LOCATION
Sinai   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Miami   I-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
,   O
fecal   O
occult   O
blood   O
test   O
(   O
FOBT   O
)   O
has   O
been   O
conducted   O
by   O
Dr.   O
Dalton   B-NAME
Foley   I-NAME
which   O
indicated   O
the   O
presence   O
of   O
obscured   O
blood   O
in   O
the   O
stool   O
,   O
suggesting   O
potential   O
gastrointestinal   O
bleeding   O
.   O

Electrocardiogram   O
(   O
ECG   O
)   O
conducted   O
on   O
32/11   B-DATE
showed   O
T   O
wave   O
inversions   O
,   O
suggestive   O
of   O
possible   O
cardiac   O
ischemia   O
.   O

Owing   O
to   O
the   O
patient   O
’s   O
sedentary   O
lifestyle   O
and   O
possible   O
exposure   O
to   O
asbestos   O
in   O
his   O
/   O
her   O
Marketing   O
assistant   O
field   O
,   O
a   O
chest   O
X   O
-   O
ray   O
was   O
recommended   O
by   O
Dr.   O
McKay   B-NAME
to   O
rule   O
out   O
mesothelioma   O
.   O

The   O
team   O
at   O
Indiana   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
regularly   O
monitoring   O
the   O
patient   O
's   O
condition   O
.   O

In   O
case   O
of   O
emergency   O
,   O
please   O
contact   O
the   O
patient   O
at   O
294   B-CONTACT
625   I-CONTACT
4230   I-CONTACT
.   O

The   O
patient   O
’s   O
identification   O
code   O
for   O
reference   O
at   O
our   O
hospital   O
is   O
MF   B-ID
:   I-ID
SI:7483   I-ID
.   O

All   O
the   O
vital   O
correspondences   O
are   O
to   O
be   O
delivered   O
at   O
the   O
registered   O
location   O
:   O
Wedowee   B-LOCATION
,   O
having   O
the   O
postal   O
code   O
57590   B-LOCATION
.   O

In   O
case   O
of   O
any   O
online   O
interaction   O
,   O
please   O
refer   O
to   O
the   O
patient   O
by   O
his   O
/   O
her   O
username   O
,   O
erm210   B-NAME
.   O

It   O
has   O
been   O
compiled   O
by   O
Dr.   O
Graham   B-NAME
,   I-NAME
Lindsey   I-NAME
,   O
the   O
patient   O
’s   O
physician   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Fruitland   I-LOCATION
.   O

For   O
further   O
information   O
,   O
you   O
can   O
reach   O
out   O
to   O
Dr.   O
Harrison   B-NAME
via   O
the   O
hospital   O
's   O
main   O
line   O
at   O
67877   B-CONTACT
.   O

Townsend   B-NAME
complained   O
of   O
an   O
unrelenting   O
headache   O
when   O
seen   O
by   O
Connolly   B-NAME
,   I-NAME
Cyril   I-NAME
on   O
30/03   B-DATE
.   O

The   O
patient   O
,   O
a   O
Private   O
Detectives   O
and   O
Investigators   O
bystander   O
,   O
works   O
at   O
Hingham   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
which   O
is   O
located   O
in   O
Spearville   B-LOCATION
.   O

His   O
ID   O
is   O
650531   B-ID
.   O

He   O
lives   O
in   O
99648   B-LOCATION
.   O

Examination   O
:   O
When   O
tested   O
on   O
2363   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
31   I-DATE
in   O
UPMC   B-LOCATION
Mercy   I-LOCATION
,   O
the   O
patient   O
's   O
medical   O
record   O
number   O
,   O
467   B-ID
-   I-ID
70   I-ID
-   I-ID
81   I-ID
-   I-ID
2   I-ID
,   O
showed   O
no   O
neurological   O
deficits   O
and   O
his   O
cranial   O
nerves   O
were   O
intact   O
.   O

Follow   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
1112   B-DATE
and   O
his   O
contact   O
number   O
is   O
454   B-CONTACT
3533   I-CONTACT
.   O

In   O
conclusion   O
,   O
Eveline   B-NAME
Dikkers   I-NAME
,   O
patient   O
with   O
username   O
yv7710   B-NAME
is   O
being   O
closely   O
monitored   O
to   O
control   O
his   O
hypertension   O
and   O
further   O
investigate   O
the   O
cause   O
of   O
his   O
headache   O
.   O

*   O
Note   O
:   O
Please   O
advise   O
the   O
patient   O
,   O
Shaquana   B-NAME
Morejon   I-NAME
,   O
to   O
update   O
his   O
contact   O
information   O
if   O
there   O
are   O
any   O
changes   O
.   O

If   O
he   O
can   O
not   O
be   O
reached   O
via   O
(   B-CONTACT
597   I-CONTACT
)   I-CONTACT
765   I-CONTACT
8817   I-CONTACT
,   O
use   O
the   O
alternate   O
contact   O
details   O
in   O
his   O
record   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Keyon   B-NAME
Weaver   I-NAME
Age   O
:   O
4   O
Location   O
:   O
9072   B-LOCATION
Courtland   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

Medical   O
Record   O
:   O
710   B-ID
-   I-ID
79   I-ID
-   I-ID
34   I-ID
Phone   O
:   O
982   B-CONTACT
-   I-CONTACT
3562   I-CONTACT
Patient   O
Crisp   B-NAME
,   I-NAME
Quentin   I-NAME
,   O
20   O
years   O
old   O
,   O
was   O
admitted   O
to   O
the   O
Emergency   O
Department   O
of   O
HSHS   B-LOCATION
St   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
37/06/2068   B-DATE
.   O

The   O
patient   O
works   O
as   O
a   O
Trade   O
union   O
research   O
officer   O
in   O
MOVE   B-LOCATION
and   O
currently   O
resides   O
in   O
93936   B-LOCATION
district   O
of   O
Heathfield   B-LOCATION
.   O

The   O
initial   O
assessment   O
by   O
Dr.   O
Anderson   B-NAME
,   I-NAME
Beth   I-NAME
showed   O
signs   O
of   O
tachypnea   O
and   O
wheezing   O
.   O

Clinical   O
Course   O
:   O
Further   O
inspection   O
by   O
Dr.   O
Howard   B-NAME
resulted   O
in   O
a   O
series   O
of   O
pulmonary   O
function   O
tests   O
that   O
revealed   O
restricted   O
ventilation   O
.   O

Radiology   O
reports   O
,   O
evaluated   O
by   O
technician   O
nu182   B-NAME
indicated   O
patchy   O
areas   O
of   O
consolidation   O
in   O
the   O
lower   O
lung   O
fields   O
.   O

A   O
sample   O
was   O
sent   O
to   O
the   O
microbiology   O
lab   O
at   O
Lakes   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
for   O
culture   O
and   O
sensitivity   O
.   O

Current   O
Status   O
:   O
As   O
of   O
22/22/30   B-DATE
,   O
the   O
patient   O
reported   O
alleviation   O
in   O
the   O
symptoms   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
up   O
with   O
Dr.   O
Bernard   B-NAME
Feld   I-NAME
after   O
a   O
week   O
via   O
telemedicine   O
(   O
430   B-CONTACT
-   I-CONTACT
5194   I-CONTACT
)   O
.   O

In   O
case   O
of   O
emergency   O
,   O
the   O
patient   O
's   O
account   O
KW   B-ID
:   I-ID
NJ:4967   I-ID
and   O
insurance   O
details   O
are   O
available   O
in   O
our   O
secure   O
database   O
.   O

Referenced   O
by   O
:   O
Dr.   O
Swender   B-NAME
LifeCare   B-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
Western   I-LOCATION
Michigan   I-LOCATION

Patient   O
Information   O
:   O
Name   O
:   O
Eddie   B-NAME
Craig   I-NAME
Age   O
:   O
0   O
week   O
Medical   O
Record   O
Number   O
:   O
0291   B-ID
:   I-ID
S93746   I-ID

On   O
00/16/2102   B-DATE
,   O
Queen   B-NAME
F.   I-NAME
Hodge   I-NAME
was   O
taken   O
to   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
West   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
.   O

Hawkins   B-NAME
presented   O
with   O
severe   O
dyspnea   O
,   O
productive   O
cough   O
and   O
generalized   O
weakness   O
.   O

Alejandra   B-NAME
Howard   I-NAME
also   O
reported   O
a   O
fever   O
,   O
reaching   O
a   O
maximum   O
of   O
39.4   O
degrees   O
celsius   O
at   O
home   O
,   O
along   O
with   O
chills   O
in   O
the   O
past   O
2   O
days   O
.   O

Warren   B-NAME
,   I-NAME
Rick   I-NAME
resides   O
in   O
Jacksonville   B-LOCATION
.   O

The   O
history   O
provided   O
by   O
Owen   B-NAME
Harper   I-NAME
indicates   O
a   O
profession   O
as   O
a   O
Recreational   O
Therapists   O
.   O

Harold   B-NAME
K.   I-NAME
Crosby   I-NAME
has   O
been   O
active   O
in   O
this   O
field   O
for   O
more   O
than   O
30   O
years   O
,   O
involved   O
in   O
heavy   O
manual   O
work   O
.   O

Lucia   B-NAME
Duhn   I-NAME
's   O
past   O
medical   O
history   O
indicates   O
diagnoses   O
of   O
hypertension   O
,   O
diabetes   O
,   O
and   O
COPD   O
as   O
an   O
active   O
smoker   O
.   O

Workup   O
ordered   O
by   O
Franklin   B-NAME
Flynn   I-NAME
included   O
complete   O
blood   O
count   O
,   O
chest   O
x   O
-   O
ray   O
,   O
sputum   O
culture   O
,   O
and   O
arterial   O
blood   O
gases   O
.   O

Based   O
on   O
the   O
symptoms   O
and   O
results   O
from   O
the   O
workup   O
,   O
Murray   B-NAME
diagnosed   O
Stephenie   B-NAME
Dorey   I-NAME
with   O
a   O
COPD   O
exacerbation   O
triggered   O
by   O
a   O
lower   O
respiratory   O
tract   O
infection   O
.   O

Since   O
hospital   O
admission   O
,   O
Mildred   B-NAME
Gustafson   I-NAME
has   O
been   O
treated   O
with   O
IV   O
antibiotics   O
,   O
bronchodilators   O
,   O
and   O
supplemental   O
oxygen   O
therapy   O
.   O

To   O
monitor   O
the   O
progress   O
and   O
manage   O
the   O
treatment   O
,   O
Fry   B-NAME
will   O
continue   O
to   O
supervise   O
Mandelina   B-NAME
's   O
hospital   O
stay   O
at   O
Abilene   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
following   O
2/32   B-DATE
will   O
be   O
the   O
date   O
set   O
for   O
the   O
next   O
follow   O
-   O
up   O
with   O
Tristian   B-NAME
Dorsey   I-NAME
at   O
Sharp   B-LOCATION
Grossmont   I-LOCATION
Hospital   I-LOCATION
.   O

If   O
Amanda   B-NAME
Hancock   I-NAME
or   O
their   O
family   O
need   O
to   O
contact   O
the   O
hospital   O
,   O
they   O
can   O
reach   O
us   O
at   O
424   B-CONTACT
-   I-CONTACT
8455   I-CONTACT
or   O
rgx862   B-NAME
@   O
AFL   B-LOCATION
Players   I-LOCATION
Association   I-LOCATION
.   O

Salem   B-LOCATION
49928   B-LOCATION
Insurance   O
ID   O
:   O
81581   B-ID

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Floyd   B-NAME
J.   I-NAME
Floyd   I-NAME
Sr   I-NAME
.   I-NAME
Age   O
:   O
77   O
Gender   O
:   O
Male   O
Medical   O
Record   O
No   O
:   O
611   B-ID
-   I-ID
00   I-ID
-   I-ID
85   I-ID
-   I-ID
1   I-ID
Doctor   O
Name   O
:   O

Alexus   B-NAME
Lucero   I-NAME
Hospital   O
Name   O
:   O
Ocean   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Symptoms   O
:   O
04/09/2390   B-DATE
Patient   O
Location   O
:   O
Horsham   B-LOCATION
Zip   O
Code   O
:   O
27059   B-LOCATION
User   O
ID   O
:   O
SQ572   B-NAME
SSN   O
No   O
:   O
NF   B-ID
:   I-ID
TW:5682   I-ID
Phone   O

No   O
:   O
301   B-CONTACT
8786   I-CONTACT
Profession   O
:   O
Human   O
resources   O
officer   O
Organization   O
Name   O
:   O
American   B-LOCATION
Sterling   I-LOCATION
Bank   I-LOCATION
Description   O
:   O

Aubree   B-NAME
Delgado   I-NAME
is   O
a   O
Public   O
Relations   O
Managers   O
who   O
works   O
for   O
Merrimac   B-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
residing   O
at   O
72   B-LOCATION
South   I-LOCATION
Ohio   I-LOCATION
St.   I-LOCATION
,   O
80622   B-LOCATION
.   O

The   O
patient   O
started   O
experiencing   O
symptoms   O
around   O
06/88   B-DATE
.   O

The   O
85   O
-   O
year   O
-   O
old   O
patient   O
was   O
admitted   O
to   O
Lincoln   B-LOCATION
Hospital   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Miguel   B-NAME
Ornega   I-NAME
.   O

His   O
contact   O
number   O
is   O
348   B-CONTACT
-   I-CONTACT
2683   I-CONTACT
and   O
the   O
health   O
identification   O
number   O
is   O
JQ   B-ID
:   I-ID
DT:1044   I-ID
.   O

His   O
medical   O
issues   O
are   O
being   O
documented   O
in   O
medical   O
record   O
number   O
411   B-ID
-   I-ID
74   I-ID
-   I-ID
50   I-ID
-   I-ID
8   I-ID
.   O

He   O
has   O
been   O
advised   O
to   O
continue   O
his   O
treatment   O
at   O
North   B-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
supervision   O
of   O
Mid   B-NAME
-   I-NAME
Nite   I-NAME
and   O
our   O
healthcare   O
staff   O
.   O

Regular   O
updates   O
are   O
being   O
sent   O
to   O
his   O
RU385   B-NAME
for   O
easy   O
access   O
and   O
reference   O
.   O

Documented   O
by   O
Milton   B-NAME
Hood   I-NAME
on   O
11/04/2270   B-DATE
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Ahanu   B-NAME
Age   O
:   O
10   O
ID   O
:   O
IK:9310100:910757   B-ID
Medical   O
Record   O
:   O
5932807   B-ID
Residence   O
:   O
Shoshoni   B-LOCATION
Phone   O
:   O
409   B-CONTACT
3978   I-CONTACT
Presenting   O
to   O
CHI   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Infirmary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
November   B-DATE
2203   I-DATE
.   O

Gerety   B-NAME
,   I-NAME
Frances   I-NAME
presented   O
to   O
the   O
hospital   O
complaining   O
of   O
severe   O
,   O
persistent   O
headache   O
.   O

More   O
specifically   O
,   O
Tandy   B-NAME
Empson   I-NAME
described   O
it   O
as   O
a   O
unilateral   O
,   O
pulsating   O
headache   O
.   O

Quintin   B-NAME
Valenzuela   I-NAME
also   O
complained   O
of   O
nausea   O
,   O
photophobia   O
and   O
phonophobia   O
along   O
with   O
the   O
headache   O
.   O

Antonia   B-NAME
Hage   I-NAME
has   O
a   O
known   O
history   O
of   O
migraines   O
for   O
the   O
past   O
several   O
years   O
.   O

There   O
is   O
also   O
a   O
history   O
of   O
similar   O
episodes   O
in   O
the   O
family   O
,   O
with   O
Miller   B-NAME
,   I-NAME
Walter   I-NAME
M.   I-NAME
(   I-NAME
Jr.   I-NAME
)   I-NAME
's   O
mother   O
suffering   O
from   O
chronic   O
cluster   O
headaches   O
in   O
her   O
adult   O
life   O
.   O

A   O
neurological   O
examination   O
done   O
by   O
Dr.   O
Braylon   B-NAME
Garrett   I-NAME
found   O
no   O
signs   O
of   O
ataxia   O
,   O
tremors   O
or   O
abnormal   O
reflexes   O
.   O

Following   O
this   O
,   O
Dr.   O
Jaida   B-NAME
Baker   I-NAME
has   O
requested   O
a   O
brain   O
MRI   O
to   O
rule   O
out   O
any   O
organic   O
causes   O
,   O
which   O
is   O
scheduled   O
at   O
York   B-LOCATION
Hospital   I-LOCATION
on   O
32/06/2280   B-DATE
.   O

Under   O
the   O
management   O
plan   O
,   O
Dr.   O
Caldwell   B-NAME
started   O
Aragon   B-NAME
on   O
triptans   O
along   O
with   O
an   O
antiemetic   O
.   O

Bernard   B-NAME
was   O
also   O
advised   O
on   O
lifestyle   O
modifications   O
such   O
as   O
maintaining   O
regular   O
sleep   O
,   O
meal   O
timings   O
,   O
and   O
keeping   O
hydration   O
levels   O
optimum   O
.   O

Premier   B-LOCATION
American   I-LOCATION
Bank   I-LOCATION
Role   O
:   O
Roustabouts   O
,   O
Oil   O
and   O
Gas   O
Report   O
compiled   O
by   O
:   O
CM722   B-NAME
90982   B-LOCATION
Code   O

Patient   O
Information   O
:   O
Name   O
:   O
Rence   B-NAME
Patterson   I-NAME
Age   O
:   O
64   O
Location   O
:   O
Kirtland   B-LOCATION
Phone   O
:   O
83146   B-CONTACT
Medical   O
Record   O
No   O
:   O
474   B-ID
-   I-ID
00   I-ID
-   I-ID
79   I-ID
Profession   O
:   O

European   O
Commission   O
administrators   O
04/58   B-DATE
,   O
Dear   O
Mann   B-NAME
,   O
Presenting   O
Complaint   O
:   O
Stephenie   B-NAME
Dorey   I-NAME
presented   O
at   O
our   O
Cedar   B-LOCATION
Springs   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
seeking   O
medical   O
attention   O
on   O
01/38   B-DATE
.   O

On   O
physical   O
examination   O
,   O
Claire   B-NAME
appeared   O
acutely   O
ill   O
and   O
jaundiced   O
.   O

Provider   O
Plan   O
:   O
Lab   O
tests   O
were   O
ordered   O
and   O
an   O
abdominal   O
ultrasound   O
was   O
scheduled   O
for   O
the   O
following   O
02/29   B-DATE
.   O

I   O
counseled   O
Norma   B-NAME
Umali   I-NAME
on   O
the   O
possible   O
diagnoses   O
and   O
also   O
informed   O
them   O
about   O
the   O
nature   O
of   O
these   O
tests   O
.   O

Other   O
Information   O
:   O
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
10038877   I-ID
Patient   O
's   O
Zip   O
code   O
:   O
32914   B-LOCATION
Referred   O
by   O
:   O
Yael   B-NAME
Sharp   I-NAME
from   O
No   B-LOCATION
Peace   I-LOCATION
Without   I-LOCATION
Justice   I-LOCATION
Follow   O
-   O
up   O
Appointment   O
scheduled   O
with   O
Dr.   O
Clarke   B-NAME
at   O
University   B-LOCATION
of   I-LOCATION
Missouri   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
on   O
2   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
62   I-DATE
In   O
case   O
of   O
an   O
emergency   O
,   O
Cecille   B-NAME
Lachermeier   I-NAME
or   O
a   O
responsible   O
party   O
can   O
contact   O
me   O
on   O
41167   B-CONTACT
.   O

These   O
details   O
are   O
recorded   O
under   O
username   O
:   O
tt681   B-NAME
in   O
our   O
system   O
.   O

Regards   O
,   O
Angel   B-NAME
Gentry   I-NAME
Mountain   B-LOCATION
View   I-LOCATION
Hospital   O
.   O

Patient   O
Name   O
:   O
Weiss   B-NAME
Age   O
:   O
95   O
Date   O
:   O
2162   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
31   I-DATE
I   O
,   O
Blanchard   B-NAME
,   O
consulted   O
with   O
patient   O
,   O
Giancarlo   B-NAME
Wheeler   I-NAME
,   O
on   O
2150   B-DATE
.   O

Theresa   B-NAME
Trujillo   I-NAME
arrived   O
at   O
Freeman   B-LOCATION
Neosho   I-LOCATION
Hospital   I-LOCATION
complaining   O
about   O
ongoing   O
nausea   O
,   O
persistent   O
vomiting   O
and   O
abrupt   O
weight   O
loss   O
over   O
the   O
last   O
two   O
months   O
.   O

Upon   O
further   O
inquiry   O
,   O
Chavez   B-NAME
also   O
admitted   O
to   O
experiencing   O
abdominal   O
discomfort   O
,   O
specifically   O
in   O
the   O
upper   O
abdomen   O
as   O
well   O
as   O
consistent   O
fatigue   O
.   O

A   O
complete   O
blood   O
count   O
was   O
carried   O
out   O
and   O
the   O
results   O
are   O
documented   O
under   O
799   B-ID
-   I-ID
26   I-ID
-   I-ID
27   I-ID
-   I-ID
3   I-ID
.   O

Studies   O
have   O
been   O
ordered   O
with   O
ID   O
SC:32458:203605   B-ID
to   O
look   O
into   O
potential   O
gastritis   O
or   O
gastrointestinal   O
diseases   O
.   O

An   O
endoscopy   O
appointment   O
has   O
been   O
scheduled   O
in   O
Lifecare   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Mechanicsburg   I-LOCATION
.   O

Nathaniel   B-NAME
Barry   I-NAME
's   O
home   O
address   O
is   O
Newkirk   B-LOCATION
,   O
65026   B-LOCATION
and   O
he   O
works   O
as   O
a   O
Tax   O
inspector   O
.   O

Michiko   B-NAME
has   O
been   O
advised   O
to   O
take   O
rest   O
from   O
work   O
and   O
ensure   O
proper   O
hydration   O
until   O
diagnosis   O
is   O
confirmed   O
.   O

For   O
further   O
consultation   O
,   O
Adonis   B-NAME
Horn   I-NAME
can   O
reach   O
me   O
or   O
my   O
team   O
at   O
304   B-CONTACT
262   I-CONTACT
7821   I-CONTACT
during   O
working   O
hours   O
.   O

Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
was   O
discharged   O
with   O
full   O
satisfaction   O
and   O
handed   O
over   O
his   O
care   O
to   O
an   O
Butler   B-LOCATION
Bank   I-LOCATION
of   O
nurses   O
for   O
home   O
care   O
services   O
.   O

Charles   B-NAME
Claproth   I-NAME
agreed   O
verbally   O
to   O
the   O
plan   O
and   O
signed   O
the   O
consent   O
form   O
for   O
the   O
endoscopy   O
with   O
VT479   B-NAME
.   O

Signed   O
,   O
Douglas   B-NAME
Bowen   I-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
kruse   B-NAME
Age   O
:   O
3   O
ID   O
:   O
DR621/5958   B-ID
Location   O
:   O
Netawaka   B-LOCATION
Username   O
:   O
pqs306   B-NAME
Residence   O
:   O
30261   B-LOCATION
Contact   O
:   O
75281   B-CONTACT
----------   O
Visit   O
Date   O
:   O
11/19/2065   B-DATE
On   O
5/10/82   B-DATE
,   O
Coy   B-NAME
came   O
to   O
see   O
Nick   B-NAME
Jenkins   I-NAME
at   O
Spartanburg   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Mary   I-LOCATION
Black   I-LOCATION
Campus   I-LOCATION
,   O
complaining   O
about   O
prolonged   O
chest   O
discomfort   O
and   O
severe   O
coughing   O
for   O
the   O
past   O
week   O
.   O

According   O
to   O
the   O
statement   O
given   O
by   O
Deandre   B-NAME
Tapia   I-NAME
,   O
the   O
symptoms   O
started   O
approximately   O
10   O
days   O
back   O
,   O
rapidly   O
developing   O
into   O
bouts   O
of   O
distressing   O
cough   O
,   O
coupled   O
with   O
substernal   O
chest   O
pain   O
that   O
worsens   O
with   O
deep   O
breathing   O
and   O
coughing   O
.   O

During   O
the   O
consultation   O
,   O
Koen   B-NAME
Park   I-NAME
also   O
revealed   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
which   O
is   O
being   O
managed   O
through   O
prescribed   O
medications   O
from   O
(   B-LOCATION
under   I-LOCATION
construction   I-LOCATION
)   I-LOCATION
.   O

Upon   O
physical   O
examination   O
by   O
Swanson   B-NAME
,   O
George   B-NAME
was   O
found   O
to   O
be   O
mildly   O
febrile   O
with   O
evidence   O
of   O
mild   O
respiratory   O
distress   O
.   O

The   O
results   O
are   O
awaited   O
and   O
expected   O
to   O
be   O
updated   O
in   O
83499264   B-ID
.   O

In   O
light   O
of   O
the   O
symptoms   O
and   O
Leigh   B-NAME
Sapien   I-NAME
's   O
medical   O
history   O
,   O
Karrack   B-NAME
Iltzsch   I-NAME
has   O
recommended   O
Kendall   B-NAME
Brown   I-NAME
be   O
admitted   O
to   O
Loma   B-LOCATION
Linda   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
and   O
further   O
investigations   O
.   O

Escobar   B-NAME
has   O
discussed   O
the   O
nature   O
of   O
Brodsky   B-NAME
,   I-NAME
Joseph   I-NAME
's   O
condition   O
in   O
detail   O
along   O
with   O
the   O
family   O
members   O
.   O

(   O
over   O
the   O
phone   O
with   O
(   B-CONTACT
359   I-CONTACT
)   I-CONTACT
476   I-CONTACT
7279   I-CONTACT
)   O
.   O

The   O
patient   O
has   O
been   O
provided   O
with   O
hospital   O
account   O
VY:52569:782764   B-ID
for   O
all   O
further   O
communications   O
and   O
billings   O
.   O

Further   O
follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
to   O
monitor   O
Hopper   B-NAME
,   I-NAME
Edward   I-NAME
's   O
health   O
.   O

Any   O
updated   O
information   O
will   O
be   O
sent   O
to   O
Anthony   B-NAME
Edwardes   I-NAME
using   O
do684   B-NAME
.   O

Signed   O
:   O
Callahan   B-NAME
Sunday   B-DATE
,   I-DATE
August   I-DATE
Madison   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
-   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Rail   I-LOCATION
,   I-LOCATION
Maritime   I-LOCATION
and   I-LOCATION
Transport   I-LOCATION
Workers   I-LOCATION

Patient   O
Name   O
:   O
Ezekiel   B-NAME
Cross   I-NAME
Age   O
:   O
100s   O
Medical   O
Record   O
Number   O
:   O
1847827   B-ID
Location   O
:   O
35   B-LOCATION
Stonybrook   I-LOCATION
Lane   I-LOCATION
Date   O
:   O
June   B-DATE
Dr.   O
Warner   B-NAME
attended   O
to   O
Sloane   B-NAME
Woodard   I-NAME
who   O
complained   O
of   O
prolonged   O
shortness   O
of   O
breath   O
and   O
eased   O
fatigue   O
.   O

Based   O
on   O
the   O
preliminary   O
examination   O
at   O
Summerfield   B-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
,   O
further   O
tests   O
were   O
suggested   O
.   O

On   O
the   O
assigned   O
date   O
of   O
Sunday   B-DATE
,   O
the   O
Echocardiogram   O
revealed   O
that   O
Zack   B-NAME
Cocking   I-NAME
showed   O
signs   O
of   O
Dilated   O
Cardiomyopathy   O
.   O

Rowan   B-NAME
Salas   I-NAME
had   O
a   O
recent   O
low   O
-   O
salt   O
,   O
low   O
-   O
liquid   O
diet   O
along   O
with   O
oral   O
diuretics   O
,   O
carvedilol   O
,   O
and   O
an   O
ACE   O
inhibitor   O
.   O

The   O
post   O
-   O
consultation   O
appointment   O
is   O
scheduled   O
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Keokuk   I-LOCATION
on   O
21/11/70   B-DATE
.   O

For   O
any   O
queries   O
,   O
the   O
patient   O
can   O
reach   O
Dr.   O
Gallagher   B-NAME
(   I-NAME
Leo   I-NAME
Anthony   I-NAME
Gallagher   I-NAME
)   I-NAME
on   O
69219   B-CONTACT
.   O

I   O
am   O
mindful   O
of   O
the   O
potential   O
implications   O
that   O
this   O
condition   O
might   O
have   O
on   O
Brandon   B-NAME
Neilson   I-NAME
's   O
Restaurant   O
manager   O
and   O
recommended   O
the   O
necessary   O
lifestyle   O
alterations   O
.   O

An   O
ID-   O
2510558   B-ID
has   O
been   O
assigned   O
for   O
tracking   O
in   O
-   O
person   O
and   O
online   O
consultation   O
.   O

This   O
information   O
can   O
be   O
accessed   O
by   O
using   O
the   O
username-   O
UG835   B-NAME
and   O
ZIP   O
code-   O
80359   B-LOCATION
of   O
the   O
area   O
of   O
residence   O
for   O
security   O
impetus   O
.   O

San   B-NAME
Martín   I-NAME
,   I-NAME
José   I-NAME
de   I-NAME
's   O
next   O
review   O
will   O
be   O
communicated   O
at   O
a   O
later   O
date   O
,   O
predicted   O
to   O
tentatively   O
occur   O
post   O
2   O
weeks   O
of   O
consistent   O
medication   O
,   O
i.e.   O
,   O
around   O
04/32/2321   B-DATE
,   O
and   O
will   O
involve   O
a   O
complete   O
blood   O
count   O
,   O
renal   O
function   O
tests   O
,   O
and   O
a   O
thyroid   O
panel   O
.   O

The   O
family   O
belonging   O
to   O
Skylar   B-NAME
Wilson   I-NAME
having   O
a   O
history   O
of   O
cardiac   O
issues   O
in   O
the   O
Oxford   B-LOCATION
Health   I-LOCATION
Plans   I-LOCATION
,   O
it   O
was   O
pertinent   O
to   O
consider   O
genetic   O
factors   O
while   O
prescribing   O
the   O
course   O
of   O
treatment   O
.   O

Report   O
prepared   O
by   O
:   O
Dr.   O
Baillie   B-NAME
,   I-NAME
Bruce   I-NAME
'   B-DATE
92   I-DATE
UAB   B-LOCATION
Callahan   I-LOCATION
Eye   I-LOCATION
Hospital   I-LOCATION

Patient   O
Name   O
:   O
Kaylee   B-NAME
ID   O
:   O
3   B-ID
-   I-ID
9466361   I-ID
Age   O
:   O
77   O
Address   O
:   O
Sierra   B-LOCATION
Village   I-LOCATION
,   O
95039   B-LOCATION
Phone   O
:   O
36686   B-CONTACT
Medical   O
Record   O
No   O
.   O
:   O
0386454   B-ID
Dr.   O
Frederick   B-NAME
of   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Orange   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Irvine   I-LOCATION
examined   O
the   O
patient   O
on   O
November   B-DATE
.   O

The   O
Alisa   B-NAME
Cantrell   I-NAME
presented   O
with   O
chronic   O
cough   O
that   O
has   O
persisted   O
for   O
more   O
than   O
three   O
weeks   O
,   O
mild   O
chest   O
pain   O
,   O
and   O
recurrent   O
shortness   O
of   O
breath   O
.   O

Patient   O
's   O
profession   O
:   O
Pension   O
scheme   O
manager   O
at   O
Sundance   B-LOCATION
Institute   I-LOCATION
which   O
potentially   O
exposes   O
him   O
to   O
various   O
air   O
-   O
borne   O
contaminants   O
.   O

The   O
patient   O
's   O
chest   O
X   O
-   O
Ray   O
conducted   O
on   O
2323   B-DATE
-   I-DATE
15   I-DATE
-   I-DATE
36   I-DATE
at   O
Griffin   B-LOCATION
Hospital   I-LOCATION
was   O
suggestive   O
of   O
right   O
lower   O
lobe   O
consolidation   O
,   O
demonstrating   O
the   O
"   O
silhouette   O
sign   O
"   O
which   O
indicates   O
a   O
potential   O
pathology   O
such   O
as   O
pneumonia   O
.   O

Lab   O
reports   O
from   O
Security   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
FSB   I-LOCATION
indicated   O
an   O
increased   O
white   O
blood   O
cell   O
count   O
,   O
suggestive   O
of   O
an   O
ongoing   O
inflammatory   O
process   O
.   O

The   O
Calvin   B-NAME
Zabo   I-NAME
recommended   O
follow   O
-   O
up   O
investigations   O
by   O
a   O
specialized   O
pulmonologist   O
and   O
complete   O
pulmonary   O
function   O
tests   O
(   O
PFTs   O
)   O
.   O

The   O
individual   O
was   O
scheduled   O
for   O
the   O
consultation   O
on   O
02/25/40   B-DATE
.   O

For   O
any   O
emergency   O
,   O
the   O
Henriette   B-NAME
Leversee   I-NAME
was   O
given   O
a   O
(   B-CONTACT
464   I-CONTACT
)   I-CONTACT
216   I-CONTACT
-   I-CONTACT
2109   I-CONTACT
number   O
for   O
contact   O
.   O

In   O
patient   O
's   O
next   O
consult   O
(   O
scheduled   O
for   O
1/27/31   B-DATE
)   O
,   O
the   O
aforementioned   O
suggestions   O
will   O
be   O
discussed   O
.   O

Meanwhile   O
,   O
uj147   B-NAME
will   O
be   O
tracking   O
patient   O
's   O
symptoms   O
and   O
ensuring   O
that   O
he   O
follows   O
the   O
prescribed   O
advice   O
.   O

Patient   O
Information   O
:   O
Laora   B-NAME
Vandilus   I-NAME
is   O
a   O
48s   O
years   O
old   O
female   O
,   O
residing   O
in   O
Lancaster   B-LOCATION
,   I-LOCATION
Lancaster   I-LOCATION
-   I-LOCATION
See   I-LOCATION
Lancaster   I-LOCATION
.   O

She   O
has   O
been   O
experiencing   O
severe   O
headache   O
for   O
the   O
past   O
20/04   B-DATE
.   O

The   O
patient   O
was   O
seen   O
by   O
Dr.   O
Bolano   B-NAME
,   I-NAME
Roberto   I-NAME
on   O
her   O
last   O
visit   O
to   O
our   O
Atlanta   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
Campus   I-LOCATION
.   O

Symptomatic   O
Review   O
:   O
During   O
our   O
consultation   O
,   O
Zayden   B-NAME
Marsh   I-NAME
detailed   O
a   O
progressive   O
,   O
throbbing   O
pain   O
in   O
her   O
forehead   O
region   O
,   O
rating   O
the   O
pain   O
level   O
an   O
8   O
out   O
of   O
10   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
noted   O
under   O
medical   O
record   O
number   O
04019742   B-ID
,   O
includes   O
hypertension   O
and   O
dyslipidemia   O
.   O

In   O
Fredrich   B-NAME
L.   I-NAME
van   I-NAME
Butler   I-NAME
's   O
recent   O
visit   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Finley   I-LOCATION
Hospital   I-LOCATION
,   O
comprehensive   O
neurological   O
examination   O
was   O
performed   O
,   O
and   O
the   O
results   O
were   O
largely   O
unremarkable   O
.   O

We   O
will   O
schedule   O
her   O
MRI   O
scans   O
soon   O
after   O
discussing   O
the   O
matter   O
with   O
her   O
insurance   O
company   O
Montana   B-LOCATION
Electric   I-LOCATION
Cooperatives   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
.   O

Follow   O
up   O
:   O
We   O
have   O
planned   O
a   O
follow   O
-   O
up   O
in   O
two   O
weeks   O
,   O
i.e.   O
,   O
on   O
21/36   B-DATE
to   O
discuss   O
the   O
MRI   O
results   O
and   O
determine   O
further   O
treatment   O
.   O

For   O
any   O
questions   O
regarding   O
her   O
appointment   O
,   O
Choi   B-NAME
can   O
contact   O
us   O
at   O
52445   B-CONTACT
.   O

Please   O
quote   O
her   O
ID   O
SC:32458:203605   B-ID
in   O
any   O
communication   O
.   O

The   O
diary   O
to   O
be   O
maintained   O
can   O
be   O
accessed   O
using   O
mg137   B-NAME
.   O
Conclusion   O
:   O
Addressing   O
her   O
present   O
symptoms   O
,   O
Hanna   B-NAME
has   O
been   O
prescribed   O
a   O
course   O
of   O
triptans   O
and   O
advised   O
to   O
avoid   O
any   O
potential   O
triggers   O
.   O

All   O
her   O
medical   O
records   O
will   O
be   O
securely   O
stored   O
in   O
our   O
Memorial   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Gulfport   I-LOCATION
at   O
Nodaway   B-LOCATION
,   O
56744   B-LOCATION
.   O

Park   B-NAME

Patient   O
Details   O
:   O
Name   O
:   O
Yacob   B-NAME
T.   I-NAME
Kane   I-NAME
DOB   O
:   O
12   B-DATE
-   I-DATE
2   I-DATE
-   I-DATE
10   I-DATE
Medical   O
Record   O
Number   O
:   O
79179993   B-ID
Dr.   O
Cunningham   B-NAME
from   O
Maui   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
reports   O
that   O
the   O
patient   O
,   O
Dennis   B-NAME
Blake   I-NAME
,   O
a   O
Gas   O
Processing   O
Plant   O
Operators   O
of   O
41   O
years   O
,   O
presented   O
with   O
symptoms   O
on   O
30/83   B-DATE
.   O

The   O
patient   O
lives   O
in   O
Pikeville   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
37650   B-LOCATION
.   O

Further   O
investigations   O
were   O
ordered   O
by   O
Dr.   O
Morris   B-NAME
on   O
2098   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
19   I-DATE
.   O

The   O
patient   O
's   O
health   O
plan   O
number   O
is   O
74267098   B-ID
.   O

A   O
Full   O
blood   O
count   O
,   O
LFT   O
,   O
Urea   O
,   O
Creatinine   O
,   O
and   O
amylase   O
were   O
performed   O
at   O
Fashion   B-LOCATION
for   I-LOCATION
Fighters   I-LOCATION
Foundation   I-LOCATION
.   O

The   O
results   O
report   O
is   O
expected   O
to   O
arrive   O
by   O
12/21   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
at   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01   B-DATE
for   O
review   O
and   O
to   O
plan   O
further   O
management   O
.   O

The   O
hospital   O
can   O
be   O
contacted   O
at   O
(   B-CONTACT
353   I-CONTACT
)   I-CONTACT
371   I-CONTACT
6440   I-CONTACT
for   O
any   O
queries   O
regarding   O
the   O
appointment   O
.   O

The   O
patient   O
's   O
account   O
on   O
the   O
Cascade   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
online   O
system   O
has   O
the   O
username   O
oo725   B-NAME
.   O

Patient   O
Report   O
:   O
Giovanna   B-NAME
Francis   I-NAME
is   O
a   O
31   O
year   O
old   O
male   O
who   O
presented   O
to   O
the   O
UPMC   B-LOCATION
Pinnacle   I-LOCATION
Hanover   I-LOCATION
emergency   O
department   O
on   O
1/29   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
.   O

Upon   O
further   O
questioning   O
,   O
Elmira   B-NAME
Nack   I-NAME
revealed   O
that   O
he   O
also   O
experienced   O
shortness   O
of   O
breath   O
,   O
cold   O
sweats   O
,   O
and   O
a   O
sense   O
of   O
impending   O
doom   O
.   O

Lucien   B-NAME
Dubenko   I-NAME
's   O
ECG   O
showed   O
ST   O
segment   O
elevations   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
suggestive   O
of   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

The   O
patient   O
was   O
immediately   O
started   O
on   O
treatment   O
protocol   O
of   O
Florala   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
acute   O
myocardial   O
infarction   O
,   O
including   O
loading   O
doses   O
of   O
aspirin   O
and   O
clopidogrel   O
.   O

Shanel   B-NAME
Dorsett   I-NAME
was   O
notified   O
of   O
the   O
patient   O
's   O
symptom   O
onset   O
and   O
EKG   O
changes   O
.   O

Barry   B-NAME
,   I-NAME
Marion   I-NAME
was   O
rushed   O
for   O
primary   O
PCI   O
.   O

Please   O
refer   O
to   O
80228487   B-ID
which   O
contains   O
all   O
of   O
his   O
test   O
results   O
.   O

Davin   B-NAME
Woodard   I-NAME
's   O
family   O
at   O
749   B-CONTACT
539   I-CONTACT
-   I-CONTACT
8910   I-CONTACT
was   O
informed   O
and   O
consent   O
for   O
PCI   O
was   O
taken   O
.   O

Kaylin   B-NAME
Young   I-NAME
's   O
recovery   O
protocol   O
will   O
be   O
managed   O
as   O
per   O
the   O
guidelines   O
of   O
Botswana   B-LOCATION
Housing   I-LOCATION
Corporation   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
.   O

Following   O
the   O
procedure   O
,   O
Violette   B-NAME
Derubeis   I-NAME
was   O
moved   O
to   O
the   O
ICCU   O
for   O
observation   O
.   O

Our   O
team   O
registered   O
his   O
details   O
,   O
such   O
as   O
his   O
HW623/4173   B-ID
and   O
Texas   B-LOCATION
.   O

All   O
the   O
details   O
were   O
noted   O
by   O
nurse   O
oa309   B-NAME
.   O

We   O
also   O
took   O
note   O
of   O
his   O
ground   O
transport   O
,   O
a   O
pickup   O
truck   O
with   O
license   O
plate   O
WJ273/1966   B-ID
.   O

Upon   O
PCI   O
,   O
Abigail   B-NAME
Hebert   I-NAME
's   O
condition   O
has   O
improved   O
substantially   O
.   O

He   O
is   O
now   O
awaiting   O
discharge   O
instructions   O
and   O
needs   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Uriah   B-NAME
Mcclain   I-NAME
at   O
Kendall   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
50155   B-LOCATION
on   O
2197   B-DATE
.   O

Patient   O
Report   O
:   O
Moody   B-NAME
from   O
Paintsville   B-LOCATION
,   I-LOCATION
Paintsville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
presented   O
with   O
severe   O
epigastric   O
pain   O
on   O
13/21   B-DATE
.   O

La   B-NAME
Rochefoucauld   I-NAME
,   I-NAME
François   I-NAME
de   I-NAME
reported   O
pain   O
that   O
radiates   O
to   O
the   O
back   O
,   O
intermittence   O
of   O
pain   O
which   O
does   O
not   O
depend   O
on   O
the   O
food   O
intake   O
,   O
night   O
time   O
pain   O
and   O
weight   O
loss   O
.   O

FRANK   B-NAME
EMMONS   I-NAME
's   O
physical   O
examination   O
was   O
carried   O
out   O
by   O
Gill   B-NAME
.   O

On   O
observation   O
,   O
Stanley   B-NAME
Keyworth   I-NAME
appeared   O
to   O
be   O
in   O
severe   O
discomfort   O
.   O

Initial   O
blood   O
tests   O
were   O
ordered   O
in   O
the   O
St.   B-LOCATION
Vincent   I-LOCATION
Healthcare   I-LOCATION
and   O
it   O
was   O
discovered   O
that   O
Cosby   B-NAME
,   I-NAME
Bill   I-NAME
's   O
amylase   O
levels   O
were   O
elevated   O
.   O

Post   O
these   O
initial   O
investigations   O
,   O
Kaleigh   B-NAME
States   I-NAME
was   O
scheduled   O
for   O
an   O
abdominal   O
ultrasound   O
on   O
34/24   B-DATE
in   O
the   O
Riverside   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
,   O
to   O
gain   O
further   O
insight   O
into   O
the   O
underlying   O
cause   O
of   O
symptoms   O
.   O

Veleria   B-NAME
Blackwell   I-NAME
's   O
medical   O
record   O
number   O
for   O
this   O
was   O
6128594   B-ID
.   O

In   O
our   O
team   O
conference   O
with   O
professionals   O
of   O
Helsinki   B-LOCATION
Committee   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
,   O
both   O
surgical   O
and   O
non   O
-   O
surgical   O
management   O
plans   O
were   O
discussed   O
in   O
detail   O
.   O

In   O
-   O
depth   O
treatment   O
options   O
,   O
including   O
potential   O
risks   O
and   O
benefits   O
,   O
were   O
explained   O
to   O
Wainwright   B-NAME
,   I-NAME
Rufus   I-NAME
via   O
694   B-CONTACT
-   I-CONTACT
5665   I-CONTACT
number   O
.   O

In   O
conclusion   O
,   O
it   O
has   O
been   O
recommended   O
that   O
Nicholas   B-NAME
New   I-NAME
's   O
private   O
account   O
CW10110   B-NAME
be   O
charged   O
for   O
these   O
tests   O
and   O
procedures   O
.   O

Damarion   B-NAME
Ferrell   I-NAME
has   O
signed   O
the   O
patient   O
consent   O
form   O
confirming   O
their   O
identity   O
with   O
the   O
47709353   B-ID
.   O

The   O
details   O
were   O
then   O
recorded   O
and   O
noted   O
against   O
Rawne   B-NAME
Nulaati   I-NAME
's   O
zip   O
code   O
-   O
39775   B-LOCATION
for   O
further   O
reference   O
.   O

Note   O
:   O
Follow   O
-   O
up   O
appointments   O
will   O
be   O
scheduled   O
soon   O
and   O
information   O
will   O
be   O
sent   O
to   O
Cady   B-NAME
regarding   O
the   O
same   O
.   O

Patient   O
Name   O
:   O
Thu   B-NAME
Civatte   I-NAME
Date   O
of   O
Admission   O
:   O
03/21   B-DATE
Date   O
of   O
Birth   O
:   O
Wednesday   B-DATE
,   I-DATE
October   I-DATE
Age   O
:   O
12   O
month   O
Doctor   O
:   O
Lilia   B-NAME
Armstrong   I-NAME
Medical   O
Record   O
Number   O
:   O
8994684   B-ID
Address   O
:   O
Mount   B-LOCATION
Vernon   I-LOCATION
,   I-LOCATION
Mount   I-LOCATION
Vernon   I-LOCATION
Community   I-LOCATION
Development   I-LOCATION
,   O
36177   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
595   I-CONTACT
)   I-CONTACT
644   I-CONTACT
2930   I-CONTACT
Identity   O
Number   O
:   O
117678816   B-ID
Employer   O
:   O
Point   B-LOCATION
of   I-LOCATION
Peace   I-LOCATION
Foundation   I-LOCATION
Profession   O
:   O
undertaker   O
Consultant   O
:   O
Giana   B-NAME
Zamora   I-NAME
Patient   O
Rae   B-NAME
,   I-NAME
Pramod   I-NAME
,   O
a   O
1   O
week   O
year   O
old   O
painter   O
working   O
for   O
Peotone   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
,   O
was   O
admitted   O
to   O
New   B-LOCATION
York   I-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
30/21   B-DATE
.   O

On   O
07/50   B-DATE
,   O
the   O
patient   O
started   O
to   O
experience   O
severe   O
migraines   O
,   O
which   O
were   O
bilaterally   O
symmetrical   O
and   O
pulsating   O
in   O
nature   O
.   O

On   O
physical   O
examination   O
by   O
Dr.   O
Alvaro   B-NAME
Bolton   I-NAME
at   O
Denver   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
neurological   O
signs   O
consistent   O
with   O
cerebellar   O
ataxia   O
,   O
such   O
as   O
dysmetria   O
,   O
dysdiadochokinesia   O
and   O
nystagmus   O
,   O
were   O
observed   O
.   O

Following   O
these   O
assessments   O
,   O
Leida   B-NAME
Perna   I-NAME
was   O
scheduled   O
for   O
diagnostic   O
radiological   O
examination   O
on   O
22/09   B-DATE
.   O

The   O
patient   O
's   O
history   O
was   O
reviewed   O
by   O
the   O
medical   O
team   O
,   O
which   O
consists   O
of   O
Dr.   O
Ann   B-NAME
Giles   I-NAME
and   O
a   O
team   O
of   O
residents   O
.   O

Ean   B-NAME
Jackson   I-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
32/22/2123   B-DATE
,   O
to   O
discuss   O
further   O
treatment   O
options   O
and   O
to   O
plan   O
a   O
definitive   O
management   O
strategy   O
.   O

Hines   B-NAME
lives   O
in   O
Ak   B-LOCATION
-   I-LOCATION
Chin   I-LOCATION
Village   I-LOCATION
,   O
and   O
is   O
reachable   O
via   O
the   O
contact   O
number   O
654   B-CONTACT
864   I-CONTACT
-   I-CONTACT
8791   I-CONTACT
.   O

Their   O
emergency   O
contact   O
is   O
saved   O
under   O
the   O
username   O
hst05   B-NAME
.   O

An   O
inquiry   O
into   O
the   O
occupational   O
history   O
conducted   O
by   O
the   O
medical   O
team   O
from   O
Saint   B-LOCATION
Agnes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
may   O
provide   O
a   O
profound   O
grounding   O
for   O
the   O
diagnosis   O
and   O
subsequent   O
treatment   O
plan   O
.   O

Patient   O
Name   O
:   O
Gonzalez   B-NAME
Age   O
:   O
17s   O
Date   O
of   O
Admission   O
:   O
June   B-DATE
Physician   O
's   O
Name   O
:   O
Giana   B-NAME
Zamora   I-NAME
Medical   O
Record   O
Number   O
:   O
38355934   B-ID
The   O
patient   O
from   O
Bowmansville   B-LOCATION
,   O
was   O
admitted   O
to   O
MercyOne   B-LOCATION
Siouxland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/00/2273   B-DATE
accompanied   O
by   O
apparent   O
physical   O
discomfort   O
.   O

The   O
patient   O
's   O
family   O
,   O
who   O
resides   O
at   O
Culver   B-LOCATION
City   I-LOCATION
and   O
works   O
as   O
a   O
Gaming   O
Managers   O
,   O
was   O
contacted   O
on   O
(   B-CONTACT
491   I-CONTACT
)   I-CONTACT
837   I-CONTACT
4647   I-CONTACT
.   O

The   O
patient   O
's   O
ID   O
card   O
number   O
from   O
his   O
employer   O
,   O
the   O
Park   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
is   O
PO682/1296   B-ID
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
June   B-DATE
12   I-DATE
,   I-DATE
2204   I-DATE
at   O
AMITA   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Kankakee   I-LOCATION
with   O
Amelia   B-NAME
Powers   I-NAME
.   O

The   O
paperwork   O
has   O
been   O
filed   O
under   O
the   O
patient   O
's   O
account   O
,   O
username   O
vw440   B-NAME
,   O
in   O
the   O
zip   O
code   O
region   O
52356   B-LOCATION
.   O

Alia   B-NAME
Brachle   I-NAME
was   O
brought   O
to   O
RiverWoods   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
02/06   B-DATE
.   O

His   O
medical   O
record   O
number   O
is   O
19017506   B-ID
.   O

Mr.   O
Kapell   B-NAME
,   I-NAME
William   I-NAME
complains   O
of   O
recurring   O
symptoms   O
that   O
include   O
severe   O
headaches   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
occasional   O
blurry   O
vision   O
.   O

He   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
,   O
as   O
documented   O
by   O
Domenic   B-NAME
Ponce   I-NAME
in   O
Ina   B-LOCATION
.   O

His   O
report   O
from   O
13/03   B-DATE
as   O
provided   O
by   O
International   B-LOCATION
Alliance   I-LOCATION
of   I-LOCATION
Women   I-LOCATION
,   O
also   O
confirmed   O
the   O
existence   O
of   O
high   O
levels   O
of   O
glycosylated   O
hemoglobin   O
(   O
HbA1c   O
)   O
,   O
indicative   O
of   O
persistently   O
elevated   O
blood   O
sugar   O
levels   O
.   O

The   O
next   O
scheduled   O
appointment   O
with   O
Audrina   B-NAME
Arellano   I-NAME
at   O
Fleming   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
is   O
on   O
0/27   B-DATE
for   O
monitoring   O
his   O
vital   O
parameters   O
and   O
detailed   O
cardiac   O
evaluation   O
.   O

In   O
case   O
of   O
emergency   O
or   O
further   O
worsening   O
of   O
symptoms   O
before   O
the   O
next   O
appointment   O
,   O
Mr.   O
Osbourne   B-NAME
,   I-NAME
Ozzy   I-NAME
is   O
advised   O
to   O
call   O
at   O
80546   B-CONTACT
.   O

For   O
patient   O
confidentiality   O
,   O
necessary   O
forms   O
with   O
8294858   B-ID
is   O
filled   O
,   O
and   O
patient   O
's   O
details   O
are   O
altered   O
to   O
IF835   B-NAME
.   O

Patient   O
's   O
details   O
including   O
12945   B-LOCATION
,   O
Herne   B-LOCATION
Bay   I-LOCATION
are   O
not   O
disclosed   O
maintaining   O
the   O
HIPAA   O
guidelines   O
.   O

He   O
lives   O
in   O
Holmes   B-LOCATION
Beach   I-LOCATION
,   O
and   O
local   O
healthcare   O
agencies   O
are   O
informed   O
in   O
case   O
of   O
need   O
for   O
his   O
medical   O
support   O
at   O
home   O
.   O

Consent   O
for   O
the   O
same   O
has   O
been   O
acquired   O
from   O
Mr.   O
Donny   B-NAME
Speece   I-NAME
.   O

We   O
will   O
proceed   O
accordingly   O
based   O
on   O
Bailey   B-NAME
Bray   I-NAME
's   O
comfort   O
and   O
agreement   O
.   O

Patient   O
Name   O
:   O
Mindy   B-NAME
Lahiri   I-NAME
Age   O
:   O
74   O
Doctor   O
:   O
Martin   B-NAME
Bamford   I-NAME
Hospital   O
:   O

Cabell   B-LOCATION
Huntington   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
181593668   B-ID
Location   O
:   O
Daleville   B-LOCATION
Medical   O
Record   O
:   O
47480782   B-ID
Organization   O
:   O
SouthwestUSA   B-LOCATION
Bank   I-LOCATION
Phone   O
:   O
310   B-CONTACT
8545   I-CONTACT
Profession   O
:   O
Elevator   O
Installers   O
and   O
Repairers   O
Username   O
:   O
kta873   B-NAME
Zip   O
:   O
57838   B-LOCATION
Consultation   O
October   B-DATE
of   I-DATE
2092   I-DATE
,   O

Everson   B-NAME
presented   O
to   O
Summerlin   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
migraines   O
and   O
generalized   O
fatigue   O
.   O

Schmitt   B-NAME
,   O
a   O
Personal   O
assistant   O
by   O
trade   O
,   O
reported   O
the   O
onset   O
of   O
these   O
symptoms   O
approximately   O
one   O
week   O
prior   O
.   O

Cassidy   B-NAME
Dunlap   I-NAME
reported   O
episodic   O
occurrences   O
of   O
the   O
headache   O
,   O
usually   O
lasting   O
from   O
2   O
-   O
4   O
hours   O
.   O

Aside   O
from   O
the   O
headaches   O
,   O
HOFFMAN   B-NAME
,   I-NAME
VICTOR   I-NAME
has   O
been   O
experiencing   O
persistent   O
fatigue   O
,   O
often   O
feeling   O
drained   O
and   O
devoid   O
of   O
energy   O
even   O
after   O
ample   O
hours   O
of   O
sleep   O
.   O

There   O
's   O
a   O
noted   O
decline   O
in   O
Stroustrup   B-NAME
,   I-NAME
Bjarne   I-NAME
's   O
performance   O
at   O
work   O
due   O
to   O
the   O
condition   O
.   O

An   O
MRI   O
scan   O
was   O
conducted   O
on   O
24/33/2396   B-DATE
to   O
discern   O
the   O
underlying   O
causes   O
of   O
these   O
symptoms   O
.   O

The   O
scan   O
results   O
,   O
evaluated   O
by   O
Vonnegut   B-NAME
,   I-NAME
Kurt   I-NAME
,   O
did   O
not   O
show   O
any   O
abnormalities   O
in   O
the   O
brain   O
that   O
could   O
be   O
indicative   O
of   O
a   O
neurological   O
disorder   O
.   O

Anton   B-NAME
Shannon   I-NAME
has   O
been   O
advised   O
to   O
attend   O
follow   O
-   O
up   O
sessions   O
at   O
Froedtert   B-LOCATION
Hospital   I-LOCATION
for   O
the   O
management   O
of   O
migraine   O
.   O

We   O
will   O
continue   O
to   O
monitor   O
the   O
health   O
of   O
Gogol   B-NAME
,   I-NAME
Nikolai   I-NAME
Vasilievich   I-NAME
closely   O
,   O
with   O
more   O
stringent   O
evaluations   O
if   O
the   O
conditions   O
persist   O
or   O
aggravate   O
.   O

For   O
further   O
queries   O
or   O
emergency   O
conditions   O
,   O
Terry   B-NAME
Choi   I-NAME
has   O
been   O
given   O
the   O
(   B-CONTACT
548   I-CONTACT
)   I-CONTACT
537   I-CONTACT
-   I-CONTACT
2683   I-CONTACT
of   O
Inova   B-LOCATION
Fairfax   I-LOCATION
Hospital   I-LOCATION
to   O
directly   O
get   O
in   O
touch   O
.   O

Addressed   O
by   O
:   O
Cavett   B-NAME
,   I-NAME
Dick   I-NAME
,   O
Anonymous   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Voiceless   I-LOCATION
based   O
at   O
Silver   B-LOCATION
Cliff   I-LOCATION
.   O

Date   O
:   O
29/01   B-DATE

Synthetic   O
patient   O
report   O
:   O
Tori   B-NAME
Folk   I-NAME
is   O
a   O
female   O
patient   O
,   O
aged   O
around   O
29   O
years   O
,   O
was   O
brought   O
to   O
Medical   B-LOCATION
City   I-LOCATION
Arlington   I-LOCATION
on   O
19/11   B-DATE
.   O

Patient   O
's   O
specifics   O
are   O
attached   O
to   O
670   B-ID
-   I-ID
73   I-ID
-   I-ID
32   I-ID
-   I-ID
7   I-ID
.   O
Upon   O
examination   O
by   O
Jim   B-NAME
Reardon   I-NAME
,   O
it   O
was   O
found   O
that   O
the   O
patient   O
's   O
vitals   O
were   O
unstable   O
due   O
to   O
acute   O
coronary   O
syndrome   O
,   O
associated   O
with   O
an   O
elevated   O
troponin   O
level   O
.   O

The   O
symptoms   O
started   O
while   O
she   O
was   O
at   O
her   O
residence   O
at   O
El   B-LOCATION
Jebel   I-LOCATION
.   O

She   O
was   O
brought   O
into   O
the   O
ER   O
of   O
CentraState   B-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
around   O
2141   B-DATE
.   O

For   O
further   O
examination   O
and   O
treatment   O
,   O
Thomas   B-NAME
Colon   I-NAME
was   O
admitted   O
to   O
the   O
CCU   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
under   O
care   O
of   O
Reed   B-NAME
.   O

The   O
patient   O
's   O
contact   O
number   O
933   B-CONTACT
-   I-CONTACT
1424   I-CONTACT
was   O
noted   O
for   O
hospital   O
records   O
.   O

She   O
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Logging   O
Workers   O
in   O
Wakulla   B-LOCATION
Bank   I-LOCATION
.   O

Her   O
name   O
,   O
Maximilian   B-NAME
Harris   I-NAME
and   O
contact   O
details   O
including   O
her   O
84039   B-CONTACT
number   O
and   O
address   O
at   O
Leakey   B-LOCATION
,   O
have   O
been   O
securely   O
logged   O
in   O
their   O
records   O
(   O
Reference   O
7   B-ID
-   I-ID
5996803   I-ID
)   O
.   O

After   O
the   O
preliminary   O
treatment   O
was   O
provided   O
,   O
Kadence   B-NAME
Mathews   I-NAME
informed   O
the   O
patient   O
that   O
the   O
main   O
coronary   O
intervention   O
procedure   O
would   O
be   O
scheduled   O
tentatively   O
on   O
32/21   B-DATE
.   O

Upon   O
discharge   O
,   O
Zander   B-NAME
Ryan   I-NAME
will   O
need   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Taylor   B-NAME
Sandoval   I-NAME
after   O
a   O
period   O
of   O
two   O
weeks   O
from   O
May   B-DATE
20   I-DATE
.   O

Any   O
changes   O
or   O
issues   O
should   O
be   O
immediately   O
reported   O
to   O
the   O
hospital   O
at   O
the   O
provided   O
556   B-CONTACT
-   I-CONTACT
7627   I-CONTACT
number   O
.   O

The   O
clinical   O
report   O
has   O
been   O
submitted   O
to   O
the   O
record   O
department   O
of   O
Surgical   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Coordinated   I-LOCATION
Hlth   I-LOCATION
by   O
omb645   B-NAME
and   O
can   O
be   O
retrieved   O
using   O
31927356   B-ID
from   O
their   O
registry   O
.   O

The   O
family   O
has   O
been   O
advised   O
to   O
approach   O
the   O
medical   O
board   O
at   O
UK   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
further   O
assistance   O
.   O

Any   O
queries   O
or   O
complaints   O
can   O
be   O
mailed   O
to   O
xtp240   B-NAME
at   O
the   O
hospital   O
's   O
registered   O
22654   B-LOCATION
.   O

The   O
patient   O
's   O
post   O
-   O
discharge   O
follow   O
-   O
up   O
will   O
be   O
coordinated   O
by   O
NYU   B-LOCATION
Downtown   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
her   O
primary   O
care   O
physician   O
based   O
out   O
in   O
Rancho   B-LOCATION
Cucamonga   I-LOCATION
.   O

Patient   O
Report   O
:   O
Lequoia   B-NAME
presented   O
at   O
Doctors   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Modesto   I-LOCATION
on   O
22/23/2040   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
and   O
vomiting   O
persisting   O
for   O
the   O
past   O
48   O
hours   O
.   O

The   O
patient   O
is   O
a   O
50   O
year   O
old   O
woman   O
,   O
working   O
as   O
a   O
Sales   O
Agents   O
,   O
Securities   O
and   O
Commodities   O
in   O
Lake   B-LOCATION
Dunlap   I-LOCATION
.   O

Her   O
past   O
medical   O
history   O
was   O
obtained   O
from   O
09278614   B-ID
.   O

Glennis   B-NAME
Halbritter   I-NAME
was   O
admitted   O
and   O
further   O
workup   O
was   O
suggested   O
by   O
Curtis   B-NAME
Wu   I-NAME
.   O

Contact   O
number   O
for   O
the   O
patient   O
is   O
48073   B-CONTACT
and   O
no   O
alternate   O
emergency   O
contact   O
was   O
given   O
by   O
the   O
patient   O
.   O

Her   O
hospital   O
AN   B-ID
:   I-ID
UB:1419   I-ID
is   O
available   O
for   O
reference   O
on   O
request   O
.   O

For   O
more   O
information   O
or   O
follow   O
-   O
up   O
appointments   O
,   O
she   O
may   O
be   O
contacted   O
at   O
her   O
residence   O
in   O
67073   B-LOCATION
.   O

This   O
report   O
was   O
compiled   O
by   O
rw38   B-NAME
at   O
Peabody   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Plant   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Taylor   B-NAME
Maddox   I-NAME
DOB   O
:   O
1/15/31   B-DATE
Medical   O
Record   O
Number   O
:   O
365   B-ID
33   I-ID
56   I-ID
Hospital   O
name   O
:   O
OhioHealth   B-LOCATION
Dublin   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Doctor   O
name   O
:   O
Aryan   B-NAME
Mcdonald   I-NAME
The   O
patient   O
,   O
David   B-NAME
George   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
room   O
at   O
Providence   B-LOCATION
St.   I-LOCATION
Peter   I-LOCATION
Hospital   I-LOCATION
on   O
5/26/22   B-DATE
complaining   O
of   O
a   O
steady   O
,   O
gnawing   O
pain   O
and   O
discomfort   O
in   O
the   O
epigastric   O
area   O
that   O
intensified   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Spence   B-NAME
,   I-NAME
Gerry   I-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
loss   O
of   O
appetite   O
.   O

Youngman   B-NAME
history   O
revealed   O
that   O
the   O
discomfort   O
was   O
typically   O
worse   O
after   O
eating   O
and   O
occurred   O
most   O
often   O
in   O
the   O
late   O
night   O
and   O
early   O
morning   O
.   O

Fermi   B-NAME
,   I-NAME
Enrico   I-NAME
was   O
unable   O
to   O
identify   O
any   O
food   O
triggers   O
for   O
the   O
pain   O
.   O

These   O
medications   O
were   O
prescribed   O
by   O
Luca   B-NAME
Lucas   I-NAME
and   O
are   O
being   O
refilled   O
regularly   O
at   O
Collective   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
.   O

The   O
procedure   O
is   O
scheduled   O
to   O
be   O
performed   O
on   O
0/39   B-DATE
at   O
Tooele   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
lives   O
in   O
Maysville   B-LOCATION
and   O
can   O
be   O
contacted   O
at   O
138   B-CONTACT
-   I-CONTACT
6506   I-CONTACT
.   O

The   O
patient   O
's   O
Primary   O
Care   O
Provider   O
is   O
Oralee   B-NAME
Dunning   I-NAME
who   O
practices   O
in   O
Pine   B-LOCATION
Bluff   I-LOCATION
and   O
his   O
office   O
phone   O
number   O
is   O
(   B-CONTACT
209   I-CONTACT
)   I-CONTACT
710   I-CONTACT
8170   I-CONTACT
.   O

Please   O
note   O
Gage   B-NAME
Robles   I-NAME
's   O
emergency   O
contact   O
is   O
a   O
Curator   O
living   O
in   O
Crandall   B-LOCATION
and   O
their   O
contact   O
is   O
(   B-CONTACT
656   I-CONTACT
)   I-CONTACT
693   I-CONTACT
-   I-CONTACT
5254   I-CONTACT
.   O

The   O
patient   O
's   O
ID   O
proof   O
is   O
8966656   B-ID
and   O
resides   O
in   O
the   O
45081   B-LOCATION
area   O
.   O

The   O
username   O
for   O
Giuliana   B-NAME
Mooney   I-NAME
's   O
online   O
medical   O
portal   O
is   O
MI934   B-NAME
.   O

Report   O
completed   O
by   O
:   O
Lowe   B-NAME
32/21   B-DATE

Patient   O
Name   O
:   O
Joshi   B-NAME
,   I-NAME
Kedar   I-NAME
Age   O
:   O
44   O
ID   O
:   O
LL:20106:178982   B-ID
Medical   O
Record   O
:   O
116   B-ID
-   I-ID
26   I-ID
-   I-ID
50   I-ID
-   I-ID
2   I-ID
Address   O
:   O
7016   B-LOCATION
Gates   I-LOCATION
Street   I-LOCATION
,   O
35279   B-LOCATION
Phone   O
number   O
:   O
(   B-CONTACT
915   I-CONTACT
)   I-CONTACT
433   I-CONTACT
2002   I-CONTACT

Attending   O
Doctor   O
:   O
Gibson   B-NAME
Hospital   O
:   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Aurora   I-LOCATION
Report   O
Prepared   O
by   O
:   O
ifm322   B-NAME
The   O
patient   O
,   O
Keel   B-NAME
,   I-NAME
John   I-NAME
,   O
presented   O
on   O
02/23/43   B-DATE
complaining   O
of   O
persistent   O
headache   O
and   O
nausea   O
.   O

Upon   O
physical   O
examination   O
,   O
Harry   B-NAME
Block   I-NAME
presented   O
with   O
a   O
normal   O
body   O
temperature   O
,   O
and   O
blood   O
pressure   O
within   O
normal   O
limits   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
was   O
conducted   O
at   O
Orange   B-LOCATION
County   I-LOCATION
Global   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/36   B-DATE
and   O
presented   O
edema   O
and   O
an   O
abnormal   O
mass   O
in   O
the   O
frontal   O
lobe   O
which   O
could   O
be   O
an   O
indication   O
of   O
a   O
brain   O
tumor   O
.   O

Chang   B-NAME
recommended   O
the   O
assistance   O
of   O
a   O
Sales   O
Representatives   O
,   O
Mechanical   O
Equipment   O
and   O
Supplies   O
from   O
City   B-LOCATION
of   I-LOCATION
Quincy   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
for   O
a   O
more   O
detailed   O
analysis   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
12/03   B-DATE
with   O
Hall   B-NAME
.   O

If   O
unable   O
to   O
attend   O
the   O
scheduled   O
appointment   O
,   O
Caitlyn   B-NAME
Jacobson   I-NAME
is   O
advised   O
to   O
notify   O
the   O
hospital   O
at   O
95492   B-CONTACT
.   O

Also   O
,   O
the   O
patient   O
and   O
her   O
family   O
have   O
been   O
informed   O
of   O
the   O
possible   O
diagnosis   O
and   O
provided   O
with   O
the   O
contact   O
details   O
of   O
support   O
groups   O
in   O
Meredosia   B-LOCATION
.   O

Please   O
refer   O
to   O
Sanaa   B-NAME
Oconnell   I-NAME
’s   O
medical   O
record   O
83231663   B-ID
and   O
unique   O
system   O
ID   O
AU131/3892   B-ID
for   O
further   O
updated   O
information   O
.   O

This   O
report   O
has   O
been   O
prepared   O
and   O
signed   O
off   O
by   O
yd959   B-NAME
.   O

Name   O
:   O
Ferguson   B-NAME
DOB   O
:   O
30/71   B-DATE
Medical   O
Record   O
:   O
74096715   B-ID
Luna   B-NAME
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Cleveland   I-LOCATION
assessed   O
the   O
patient   O
on   O
1901   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
00   I-DATE
.   O

A   O
33   O
year   O
old   O
individual   O
from   O
Helena   B-LOCATION
Valley   I-LOCATION
Northeast   I-LOCATION
,   O
Edwin   B-NAME
Lindsey   I-NAME
presented   O
with   O
a   O
symptomatology   O
of   O
recurrent   O
polyuria   O
and   O
polydipsia   O
lasting   O
for   O
the   O
past   O
few   O
weeks   O
,   O
marked   O
by   O
excessive   O
thirst   O
and   O
intake   O
of   O
fluids   O
and   O
frequent   O
urination   O
.   O

Laboratory   O
tests   O
performed   O
on   O
1/12/36   B-DATE
showed   O
that   O
the   O
fasting   O
blood   O
glucose   O
level   O
was   O
200   O
mg   O
/   O
dL   O
,   O
indicating   O
a   O
possible   O
case   O
of   O
diabetes   O
mellitus   O
.   O

Following   O
these   O
laboratory   O
findings   O
,   O
Nichols   B-NAME
was   O
advised   O
to   O
be   O
admitted   O
to   O
the   O
Highlands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
May   B-DATE
2   I-DATE
.   O

Please   O
contact   O
295   B-CONTACT
611   I-CONTACT
-   I-CONTACT
3239   I-CONTACT
for   O
any   O
queries   O
regarding   O
the   O
diagnosis   O
or   O
treatment   O
plan   O
.   O

All   O
the   O
information   O
is   O
stored   O
under   O
the   O
patient   O
's   O
medical   O
record   O
805   B-ID
-   I-ID
21   I-ID
-   I-ID
63   I-ID
-   I-ID
8   I-ID
.   O
Hudson   B-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
Director   O
ID   O
:   O
224494406   B-ID
Next   O
appointment/   O
follow   O
-   O
up   O
:   O
on   O
2313   B-DATE
,   O
at   O
Iowa   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Clarion   I-LOCATION
Address   O
:   O

Alcester   B-LOCATION
,   O
79340   B-LOCATION
Contact   O
Number   O
:   O
87761   B-CONTACT
Patient   O
contact   O
:   O
412   B-CONTACT
-   I-CONTACT
618   I-CONTACT
-   I-CONTACT
7921   I-CONTACT
Staff   O
in   O
charge   O
:   O
xhx133   B-NAME

Patient   O
Name   O
:   O
Demetrius   B-NAME
Becker   I-NAME
Age   O
:   O
2   O
week   O
Medical   O
Record   O
No   O
.   O
:   O
3474785   B-ID
ID   O
:   O
IP304/4683   B-ID
On   O
12/23   B-DATE
,   O
Tyesha   B-NAME
was   O
seen   O
by   O
Travis   B-NAME
Hodge   I-NAME
at   O
Central   B-LOCATION
Harnett   I-LOCATION
Hospital   I-LOCATION
in   O
Bonners   B-LOCATION
Ferry   I-LOCATION
.   O

Shirley   B-NAME
Mitchell   I-NAME
complained   O
of   O
a   O
sharp   O
,   O
cutting   O
pain   O
radiating   O
from   O
the   O
lower   O
back   O
to   O
the   O
lower   O
limb   O
,   O
which   O
was   O
diagnosed   O
as   O
sciatica   O
.   O

Hayes   B-NAME
described   O
it   O
as   O
burning   O
or   O
tingling   O
and   O
said   O
it   O
was   O
worse   O
when   O
sitting   O
,   O
coughing   O
or   O
sneezing   O
.   O

Arnold   B-NAME
noted   O
that   O
Cael   B-NAME
Ruiz   I-NAME
was   O
experiencing   O
unilateral   O
neuralgic   O
pain   O
,   O
indicative   O
of   O
lumbosacral   O
radicular   O
syndrome   O
.   O

Yoshie   B-NAME
Caicedo   I-NAME
had   O
a   O
positive   O
straight   O
leg   O
raise   O
test   O
.   O

Before   O
starting   O
treatment   O
,   O
Sparks   B-NAME
needed   O
to   O
have   O
a   O
comprehensive   O
understanding   O
of   O
Weston   B-NAME
Johns   I-NAME
's   O
medical   O
history   O
.   O

Carita   B-NAME
Wengerd   I-NAME
reported   O
that   O
he   O
is   O
not   O
a   O
smoker   O
and   O
does   O
not   O
drink   O
alcohol   O
excessively   O
.   O

Leisha   B-NAME
Oxner   I-NAME
works   O
as   O
a   O
Mixing   O
and   O
Blending   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
at   O
Animal   B-LOCATION
Equality   I-LOCATION
,   O
often   O
requiring   O
heavy   O
physical   O
work   O
,   O
which   O
possibly   O
contributes   O
to   O
his   O
conditions   O
.   O

The   O
Brith   B-NAME
's   O
further   O
treatment   O
procedures   O
will   O
be   O
scheduled   O
and   O
conducted   O
in   O
the   O
Kindred   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Denver   I-LOCATION
.   O

Powell   B-NAME
's   O
family   O
members   O
who   O
live   O
in   O
Lauderdale   B-LOCATION
have   O
provided   O
their   O
contact   O
information   O
(   O
675   B-CONTACT
-   I-CONTACT
8212   I-CONTACT
)   O
in   O
case   O
of   O
any   O
emergencies   O
.   O

XCW   B-NAME
will   O
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
2172   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
22   I-DATE
.   O

This   O
case   O
was   O
documented   O
by   O
tiv841   B-NAME
and   O
will   O
be   O
stored   O
in   O
the   O
92671   B-LOCATION
data   O
archive   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
UVA   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Prince   I-LOCATION
William   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
future   O
medical   O
and   O
educational   O
references   O
.   O

Patient   O
Name   O
:   O
Lyons   B-NAME
Age   O
:   O
45   O
ID   O
:   O
3   B-ID
-   I-ID
6997205   I-ID
Medical   O
Record   O
:   O
7434337   B-ID
Residence   O
:   O
Melbeta   B-LOCATION
Contact   O
:   O
35252   B-CONTACT
Physician   O
:   O

Rylie   B-NAME
Prince   I-NAME
of   O
Inland   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
On   O
03/24   B-DATE
,   O
Patient   O
Taryn   B-NAME
Kitamura   I-NAME
,   O
a   O
Animal   O
Control   O
Workers   O
of   O
35   O
years   O
,   O
presented   O
with   O
persistent   O
symptoms   O
of   O
dyspnea   O
and   O
fatigue   O
,   O
suggestive   O
of   O
a   O
possible   O
cardiovascular   O
problem   O
.   O

As   O
per   O
the   O
recommendation   O
of   O
Dr.   O
Huerta   B-NAME
at   O
UPMC   B-LOCATION
Carlisle   I-LOCATION
,   O
Holden   B-NAME
Willis   I-NAME
underwent   O
a   O
series   O
of   O
tests   O
including   O
an   O
ECG   O
,   O
TMT   O
,   O
and   O
angiography   O
to   O
diagnose   O
the   O
condition   O
.   O

Given   O
the   O
familial   O
incidence   O
,   O
our   O
preliminary   O
diagnosis   O
is   O
coronary   O
artery   O
disease   O
which   O
seems   O
to   O
be   O
consistent   O
with   O
the   O
symptoms   O
presented   O
by   O
Aristotle   B-NAME
.   O

Drug   O
therapy   O
,   O
including   O
ACE   O
inhibitors   O
,   O
Beta   O
Blockers   O
,   O
and   O
Statins   O
,   O
has   O
been   O
initiated   O
alongside   O
lifestyle   O
modifications   O
advised   O
by   O
Davidson   B-NAME
to   O
manage   O
Thomson   B-NAME
,   I-NAME
William   I-NAME
-   I-NAME
a.k.a   I-NAME
.   I-NAME
Lord   B-NAME
Kelvin   I-NAME
’s   O
symptoms   O
and   O
prevent   O
disease   O
progression   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
4   O
weeks   O
on   O
11/00   B-DATE
at   O
Sycamore   B-LOCATION
Shoals   I-LOCATION
Hospital   I-LOCATION
.   O

Dr.   O
Kelsey   B-NAME
Ewing   I-NAME
will   O
continue   O
to   O
monitor   O
Joey   B-NAME
Fields   I-NAME
's   O
condition   O
closely   O
and   O
further   O
investigations   O
will   O
be   O
carried   O
out   O
if   O
symptoms   O
persist   O
.   O

Rueben   B-NAME
Muggley   I-NAME
's   O
medical   O
records   O
can   O
be   O
accessed   O
with   O
the   O
ymi626   B-NAME
and   O
IS   B-ID
:   I-ID
AU:3973   I-ID
provided   O
and   O
any   O
changes   O
in   O
symptoms   O
or   O
developments   O
should   O
be   O
reported   O
to   O
Cassandra   B-NAME
Park   I-NAME
at   O
(   B-CONTACT
672   I-CONTACT
)   I-CONTACT
949   I-CONTACT
6368   I-CONTACT
.   O

Please   O
contact   O
the   O
Heart   O
Center   O
at   O
Grisell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Ransom   I-LOCATION
,   O
9328   B-LOCATION
Selby   I-LOCATION
Street   I-LOCATION
,   O
57773   B-LOCATION
or   O
call   O
us   O
at   O
32788   B-CONTACT
for   O
any   O
further   O
queries   O
about   O
Ryleigh   B-NAME
Rowland   I-NAME
's   O
condition   O
.   O

Our   O
organization   O
,   O
Suwannee   B-LOCATION
Valley   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
,   O
is   O
committed   O
to   O
providing   O
the   O
best   O
care   O
for   O
our   O
patients   O
.   O

Patient   O
Name   O
:   O
Amanda   B-NAME
Hancock   I-NAME
Date   O
of   O
Visit   O
:   O
32/10   B-DATE
Primary   O
Care   O
Physician   O
:   O

Shannon   B-NAME
Huffman   I-NAME
Hospital   O
:   O

Grand   B-LOCATION
View   I-LOCATION
Health   I-LOCATION
Medical   O
Record   O
Number   O
:   O
36894078   B-ID
Patient   O
ID   O
:   O
WE369/6920   B-ID
Patient   O
Age   O
:   O
4   O
week   O
Address   O
:   O
Somerset   B-LOCATION
,   O
87620   B-LOCATION
Phone   O
Number   O
:   O
706   B-CONTACT
6766   I-CONTACT
Employer   O
:   O

Linux   B-LOCATION
Users   I-LOCATION
'   I-LOCATION
Group   I-LOCATION
of   I-LOCATION
Davis   I-LOCATION
,   O
Profession   O
:   O
Insulation   O
Workers   O
,   O
Floor   O
,   O
Ceiling   O
,   O
and   O
Wall   O
Reported   O
by   O
:   O
Nurse   O
HJ573   B-NAME
Presenting   O
Symptoms   O
:   O
Patient   O
Braccio   B-NAME
Valance   I-NAME
presented   O
to   O
Medical   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
Authority   I-LOCATION
,   I-LOCATION
an   I-LOCATION
Affiliate   I-LOCATION
of   I-LOCATION
UAB   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
with   O
a   O
persistent   O
cough   O
associated   O
with   O
shortness   O
of   O
breath   O
for   O
the   O
past   O
few   O
weeks   O
.   O

Along   O
with   O
cough   O
,   O
JUSTUS   B-NAME
,   I-NAME
ELLIS   I-NAME
reported   O
intermittent   O
febrile   O
episodes   O
with   O
a   O
peak   O
temperature   O
of   O
38.5   O
degrees   O
Celsius   O
over   O
the   O
last   O
February   B-DATE
03   I-DATE
.   O

The   O
patient   O
was   O
admitted   O
to   O
Howard   B-LOCATION
Young   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
investigated   O
,   O
and   O
started   O
on   O
empirical   O
antibiotics   O
considering   O
superadded   O
infection   O
.   O

Based   O
on   O
history   O
and   O
initial   O
examination   O
,   O
the   O
differential   O
diagnoses   O
being   O
considered   O
for   O
Ronni   B-NAME
Niau   I-NAME
are   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
exacerbation   O
,   O
pneumonia   O
,   O
or   O
malignancy   O
.   O

In   O
case   O
of   O
further   O
queries   O
or   O
for   O
more   O
information   O
regarding   O
the   O
medical   O
condition   O
of   O
Harley   B-NAME
Nguyen   I-NAME
,   O
please   O
contact   O
medical   O
officer   O
Crane   B-NAME
,   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Allen   I-LOCATION
Hospital   I-LOCATION
,   O
806   B-CONTACT
9672   I-CONTACT
.   O

If   O
you   O
have   O
received   O
this   O
message   O
in   O
error   O
,   O
please   O
notify   O
FH363   B-NAME
immediately   O
.   O

Patient   O
Name   O
:   O
Confucius   B-NAME
DOB   O
:   O

March   B-DATE
Age   O
:   O
99   O
ID   O
:   O
CG   B-ID
:   I-ID
IA:5246   I-ID
Mcpherson   B-NAME
reported   O
that   O
Dante   B-NAME
Barron   I-NAME
has   O
been   O
presented   O
with   O
symptoms   O
related   O
to   O
gastritis   O
.   O

The   O
said   O
patient   O
visited   O
Palomar   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
the   O
Monday   B-DATE
,   I-DATE
September   I-DATE
.   O

The   O
patient   O
was   O
diagnosed   O
at   O
our   O
hospital   O
at   O
Columbia   B-LOCATION
with   O
the   O
reference   O
number   O
being   O
1895089   B-ID
.   O

Jeni   B-NAME
LaHain   I-NAME
who   O
resides   O
at   O
Grand   B-LOCATION
Tower   I-LOCATION
(   O
Zip   O
:   O
48476   B-LOCATION
)   O
and   O
can   O
be   O
reached   O
at   O
47056   B-CONTACT
was   O
admitted   O
to   O
the   O
Wellington   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Proximate   O
medical   O
record   O
inspection   O
shows   O
that   O
Robert   B-NAME
Yamamoto   I-NAME
has   O
a   O
known   O
history   O
of   O
Excessive   O
Alcohol   O
Use   O
Disorder   O
,   O
for   O
which   O
he   O
has   O
been   O
taking   O
treatment   O
from   O
Progress   B-LOCATION
Energy   I-LOCATION
Florida   I-LOCATION
.   O

Therefore   O
,   O
suggested   O
her   O
to   O
approach   O
Beck   B-NAME
in   O
Columbia   B-LOCATION
Miami   I-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
.   O

The   O
patient   O
’s   O
past   O
medical   O
history   O
was   O
filled   O
out   O
through   O
the   O
hospital   O
portal   O
by   O
the   O
username   O
qfp336   B-NAME
.   O

She   O
is   O
currently   O
prescribed   O
anti   O
-   O
inflammatory   O
medication   O
and   O
will   O
begin   O
therapy   O
from   O
March   B-DATE
.   O

For   O
follow   O
-   O
up   O
visits   O
,   O
she   O
is   O
expected   O
to   O
reach   O
the   O
clinic   O
in   O
Jersey   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
detailed   O
reports   O
have   O
been   O
shared   O
with   O
Paul   B-NAME
Herman   I-NAME
.   O

Her   O
response   O
to   O
the   O
medication   O
will   O
be   O
closely   O
monitored   O
and   O
further   O
tests   O
are   O
planned   O
on   O
the   O
next   O
week   O
of   O
30/21   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Camryn   B-NAME
Whitney   I-NAME
Age   O
:   O
32   O
Date   O
:   O
0422   B-DATE
Mr.   O
Tullar   B-NAME
Geneseo   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
High   I-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/60   B-DATE
.   O

His   O
family   O
doctor   O
,   O
Dr.   O
Osama   B-NAME
bin   I-NAME
Laden   I-NAME
,   O
received   O
a   O
call   O
while   O
he   O
was   O
in   O
Mahnomen   B-LOCATION
.   O

Mr.   O
Michael   B-NAME
Uecker   I-NAME
informed   O
our   O
facility   O
that   O
Dr.   O
Jack   B-NAME
McNeil   I-NAME
has   O
been   O
his   O
primary   O
care   O
physician   O
for   O
the   O
past   O
ten   O
years   O
at   O
Coalition   B-LOCATION
for   I-LOCATION
the   I-LOCATION
International   I-LOCATION
Criminal   I-LOCATION
Court   I-LOCATION
.   O

Patient   O
[   O
ID   O
]   O
:   O
HR211/2958   B-ID
Medical   O
Record   O
:   O
237   B-ID
-   I-ID
38   I-ID
-   I-ID
55   I-ID
-   I-ID
6   I-ID
Further   O
tests   O
administered   O
on   O
the   O
day   O
of   O
admittance   O
suggested   O
a   O
possible   O
acute   O
coronary   O
syndrome   O
.   O

A   O
detailed   O
look   O
into   O
his   O
medical   O
history   O
revealed   O
that   O
Ulisses   B-NAME
Xuan   I-NAME
is   O
an   O
active   O
smoker   O
,   O
has   O
hypertension   O
,   O
and   O
diabetes   O
-   O
which   O
he   O
manages   O
with   O
medications   O
prescribed   O
by   O
Dr.   O
Mullins   B-NAME
.   O

This   O
same   O
physician   O
was   O
contacted   O
via   O
his   O
754   B-CONTACT
-   I-CONTACT
762   I-CONTACT
-   I-CONTACT
6880   I-CONTACT
for   O
sharing   O
relevant   O
records   O
.   O

The   O
patient   O
's   O
home   O
address   O
:   O
Statesboro   B-LOCATION
,   O
71692   B-LOCATION
Phone   O
number   O
:   O
20674   B-CONTACT
Mr.   O
Adalynn   B-NAME
Cross   I-NAME
was   O
formerly   O
a   O
Emergency   O
Management   O
Directors   O
before   O
his   O
retirement   O
,   O
and   O
he   O
shared   O
that   O
his   O
insurance   O
provider   O
is   O
Reading   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

He   O
lives   O
alone   O
,   O
but   O
his   O
daughter   O
,   O
who   O
stays   O
in   O
West   B-LOCATION
Harrison   I-LOCATION
,   O
has   O
been   O
informed   O
about   O
the   O
situation   O
.   O

Reports   O
and   O
patient   O
's   O
data   O
would   O
be   O
stored   O
under   O
the   O
am834   B-NAME
assigned   O
in   O
our   O
hospital   O
database   O
.   O

In   O
view   O
of   O
his   O
critical   O
status   O
,   O
the   O
cardiology   O
department   O
at   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
South   I-LOCATION
Austin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
decided   O
to   O
admit   O
him   O
for   O
further   O
observation   O
and   O
management   O
.   O

He   O
is   O
scheduled   O
to   O
undergo   O
angiography   O
on   O
1954   B-DATE
as   O
recommended   O
by   O
Dr.   O
Idaeus   B-NAME
Bverger   I-NAME
.   O

We   O
will   O
provide   O
further   O
updates   O
regarding   O
Mr.   O
Rudolf   B-NAME
Isiminger   I-NAME
's   O
progress   O
as   O
necessary   O
.   O

Registrant   O
:   O
Dr.   O
Bea   B-NAME
Slocumb   I-NAME
(   O
ID   O
:   O
ux507   B-NAME
)   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Sean   B-NAME
Everleigh   I-NAME
Age   O
:   O
68   O
Identification   O
Number   O
:   O
BL:72442:470191   B-ID
1882   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
18   I-DATE
,   O
Proudhon   B-NAME
,   I-NAME
P.   I-NAME
J.   I-NAME
was   O
admitted   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
emergency   O
department   O
due   O
to   O
severe   O
chest   O
pain   O
that   O
started   O
three   O
hours   O
prior   O
to   O
arrival   O
.   O

Medical   O
report   O
number   O
:   O
813   B-ID
-   I-ID
91   I-ID
-   I-ID
70   I-ID
-   I-ID
5   I-ID
The   O
electrocardiogram   O
(   O
EKG   O
)   O
revealed   O
ST   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
,   O
suggestive   O
of   O
an   O
acute   O
anterior   O
myocardial   O
infarction   O
.   O

Dr.   O
Maxwell   B-NAME
Perez   I-NAME
read   O
the   O
EKG   O
and   O
confirmed   O
the   O
findings   O
.   O

Location   O
of   O
Incident   O
:   O
Clovis   B-LOCATION
The   O
patient   O
works   O
as   O
a   O
Exhibition   O
organiser   O
at   O
Union   B-LOCATION
Bank   I-LOCATION
,   I-LOCATION
NA   I-LOCATION
and   O
has   O
been   O
under   O
significant   O
stress   O
recently   O
.   O

The   O
patient   O
resides   O
in   O
93722   B-LOCATION
.   O

The   O
patient   O
's   O
family   O
was   O
contacted   O
on   O
487   B-CONTACT
-   I-CONTACT
4062   I-CONTACT
and   O
given   O
an   O
update   O
on   O
the   O
situation   O
.   O

Discharge   O
planning   O
has   O
commenced   O
and   O
will   O
involve   O
coordination   O
with   O
the   O
team   O
at   O
Inspira   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Elmer   I-LOCATION
and   O
the   O
family   O
.   O

Proposed   O
discharge   O
date   O
:   O
26/25   B-DATE
.   O

Please   O
contact   O
the   O
nurse   O
station   O
at   O
308   B-CONTACT
-   I-CONTACT
5349   I-CONTACT
for   O
further   O
updates   O
.   O

The   O
patient   O
's   O
user   O
access   O
to   O
medical   O
records   O
(   O
username   O
):   O
dr719   B-NAME
.   O
Thank   O
you   O
,   O
Dr.   O
Poole   B-NAME

Patient   O
report   O
Patient   O
Name   O
:   O
Dennis   B-NAME
Age   O
:   O
81   O
Presented   O
at   O
:   O
St.   B-LOCATION
Catherine   I-LOCATION
of   I-LOCATION
Siena   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
On   O
:   O
2/31   B-DATE
Presenting   O
Symptoms   O
:   O
Iniguez   B-NAME
has   O
been   O
experiencing   O
consistent   O
,   O
high   O
-   O
grade   O
fever   O
peaking   O
101   O
-   O
103   O
degrees   O
Fahrenheit   O
for   O
the   O
past   O
three   O
days   O
prior   O
to   O
admission   O
.   O

Patient   O
's   O
travel   O
history   O
reveals   O
recent   O
international   O
travel   O
to   O
North   B-LOCATION
Carolina   I-LOCATION
.   O

On   O
further   O
evaluation   O
,   O
the   O
Avery   B-NAME
observed   O
bilateral   O
conjunctivitis   O
noted   O
without   O
discharge   O
and   O
a   O
fine   O
maculopapular   O
rash   O
was   O
also   O
observed   O
on   O
the   O
trunk   O
.   O

She   O
has   O
been   O
regularly   O
visiting   O
her   O
endocrinologist   O
at   O
Saint   B-LOCATION
Claire   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Phone   O
number   O
:   O
42051   B-CONTACT
Emergency   O
contact   O
:   O
Unavailable   O
Address   O
:   O
Whetstone   B-LOCATION
,   O
21560   B-LOCATION
Job   O
:   O
Forest   O
and   O
Conservation   O
Workers   O
Initials   O
:   O
AI519   B-NAME
Organizational   O
Affiliation   O
:   O
Air   B-LOCATION
Line   I-LOCATION
Pilots   I-LOCATION
Association   I-LOCATION
,   I-LOCATION
International   I-LOCATION
Medical   O
Record   O
Number   O
:   O
6018153   B-ID
ID   O
details   O
:   O
NU:961:895514   B-ID
The   O
patient   O
has   O
been   O
hospitalized   O
for   O
further   O
assessment   O
and   O
management   O
based   O
on   O
her   O
clinical   O
presentation   O
and   O
travel   O
history   O
.   O

The   O
Infectious   O
Diseases   O
team   O
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
Big   I-LOCATION
Rapids   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
looped   O
in   O
considering   O
the   O
severity   O
and   O
consistent   O
pattern   O
of   O
the   O
symptoms   O
.   O

Prepared   O
by   O
:   O
Gross   B-NAME
at   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Denville   I-LOCATION

Patient   O
Information   O
:   O
5056526   B-ID
:   O
#   O
#   O
#   O
#   O
#   O
Stravinsky   B-NAME
,   I-NAME
Igor   I-NAME
:   O
Patient   O
X   O
53   O
:   O
#   O
#   O
The   O
Stout   B-NAME
presented   O
to   O
the   O
Hospital   B-LOCATION
for   I-LOCATION
Special   I-LOCATION
Care   I-LOCATION
ER   O
on   O
22/24   B-DATE
with   O
persistent   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
his   O
abdomen   O
.   O

He   O
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
of   O
about   O
100.4   O
F.   O
Family   O
Contact   O
:   O
Name   O
:   O
TERESA   B-NAME
LAMB   I-NAME
Relation   O
:   O
Daughter   O
907   B-CONTACT
864   I-CONTACT
-   I-CONTACT
3852   I-CONTACT
:   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
The   O
Garner   B-NAME
,   I-NAME
Helen   I-NAME
was   O
initially   O
examined   O
by   O
Richard   B-NAME
who   O
noted   O
the   O
patient   O
's   O
tenderness   O
in   O
McBurney   O
's   O
point   O
,   O
accompanied   O
by   O
rebound   O
tenderness   O
.   O

Winters   B-NAME
ordered   O
an   O
abdominal   O
CT   O
scan   O
to   O
confirm   O
the   O
diagnosis   O
.   O

At   O
the   O
BLAKE   B-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
,   O
the   O
scan   O
was   O
performed   O
and   O
it   O
confirmed   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

The   O
Andrians   B-NAME
,   I-NAME
Aiven   I-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
appendectomy   O
on   O
05/23   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
by   O
Ramsey   B-NAME
and   O
went   O
without   O
complications   O
.   O

Nicholas   B-NAME
Gomes   I-NAME
was   O
kept   O
under   O
observation   O
in   O
the   O
MemorialCare   B-LOCATION
Orange   I-LOCATION
Coast   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
48   O
hours   O
before   O
he   O
was   O
discharged   O
.   O

The   O
Willie   B-NAME
Nix   I-NAME
has   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Cunningham   B-NAME
on   O
27/39   B-DATE
at   O
the   O
main   O
Bayfront   B-LOCATION
Health   I-LOCATION
Port   I-LOCATION
Charlotte   I-LOCATION
building   O
,   O
located   O
in   O
Petworth   B-LOCATION
.   O

He   O
currently   O
resides   O
in   O
Bethel   B-LOCATION
Heights   I-LOCATION
,   O
52858   B-LOCATION
.   O

The   O
patient   O
's   O
ID   O
is   O
LY277/5189   B-ID
.   O

Emergency   O
Contact   O
-   O
National   B-LOCATION
Opposition   I-LOCATION
to   I-LOCATION
Normalized   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
NONAC   I-LOCATION
)   I-LOCATION
601   B-CONTACT
6812   I-CONTACT
:   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
#   O
Medical   O
Report   O
created   O
by   O
:   O
ZO325   B-NAME
on   O
37/25/42   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rickover   B-NAME
,   I-NAME
Hyman   I-NAME
G.   I-NAME
Age   O
:   O
25   O
Gender   O
:   O

Female   O
Medical   O
Record   O
Number   O
:   O
00628089   B-ID
Doctor   O
Name   O
:   O
Anna   B-NAME
Seelig   I-NAME
Hospital   O
:   O

CenterPointe   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O

Thermopolis   B-LOCATION
Date   O
:   O
2177   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
06   I-DATE
Presenting   O
Issue   O
:   O
Ware   B-NAME
presented   O
with   O
complaints   O
of   O
bouts   O
of   O
severe   O
,   O
bilateral   O
cephalalgia   O
that   O
have   O
lasted   O
for   O
approximately   O
2   O
weeks   O
.   O

Medical   O
History   O
:   O
Previously   O
,   O
she   O
had   O
been   O
diagnosed   O
with   O
hypercholesterolemia   O
at   O
Carolinas   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
11/21/64   B-DATE
.   O

The   O
records   O
of   O
these   O
checkups   O
can   O
be   O
found   O
under   O
the   O
ID   O
VV   B-ID
:   I-ID
NK:8451   I-ID
.   O

Family   O
History   O
:   O
OCASIO   B-NAME
,   I-NAME
WANDA   I-NAME
's   O
mother   O
had   O
a   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Contact   O
Details   O
:   O
Phone   O
number   O
:   O
545   B-CONTACT
-   I-CONTACT
178   I-CONTACT
9022   I-CONTACT
Address   O
:   O
New   B-LOCATION
Lisbon   I-LOCATION
,   O
33844   B-LOCATION
Preliminary   O
Diagnosis   O
:   O
Given   O
Romana   B-NAME
Mann   I-NAME
's   O
presenting   O
symptoms   O
and   O
family   O
history   O
,   O
she   O
has   O
been   O
provisionally   O
diagnosed   O
with   O
migraine   O
without   O
aura   O
.   O

Further   O
Recommendations   O
:   O
Derek   B-NAME
Hubert   I-NAME
has   O
been   O
booked   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
Monongahela   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
2221   B-DATE
under   O
Dr.   O
Greer   B-NAME
for   O
monitoring   O
the   O
efficacy   O
of   O
the   O
new   O
medication   O
.   O

This   O
report   O
was   O
compiled   O
by   O
igd149   B-NAME
for   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Operating   I-LOCATION
Engineers   I-LOCATION
.   O

Patient   O
Data   O
:   O
Name   O
:   O
Hobbes   B-NAME
,   I-NAME
Thomas   I-NAME
Age   O
:   O
27   O
Date   O
of   O
admission   O
:   O
22/28   B-DATE
Hospital   O
:   O

Glades   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
3054006   B-ID
Location   O
of   O
residence   O
:   O
Long   B-LOCATION
Island   I-LOCATION
Medical   O
record   O
number   O
:   O
49715357   B-ID
Organization   O
:   O
LibertyBank   B-LOCATION
Doctor   O
's   O
Name   O
:   O
Riggs   B-NAME
Phone   O
Number   O
:   O
378   B-CONTACT
-   I-CONTACT
7036   I-CONTACT
Employment   O
:   O
Marketing   O
Managers   O
Username   O
:   O
VW3210   B-NAME
Zip   O
Code   O
:   O
39840   B-LOCATION
Patient   O
Fitzgerald   B-NAME
,   I-NAME
Patrick   I-NAME
,   O
aged   O
71   O
years   O
,   O
presented   O
at   O
Roper   B-LOCATION
Hospital   I-LOCATION
on   O
0/29   B-DATE
with   O
complaints   O
of   O
high   O
fever   O
and   O
shortness   O
of   O
breath   O
.   O

Upon   O
examination   O
by   O
Dr.   O
Snyder   B-NAME
,   O
he   O
was   O
found   O
to   O
be   O
exhibiting   O
symptoms   O
of   O
acute   O
bronchitis   O
.   O

As   O
per   O
the   O
medical   O
history   O
available   O
in   O
78948564   B-ID
,   O
the   O
patient   O
resides   O
in   O
Maupin   B-LOCATION
and   O
works   O
as   O
a   O
Quality   O
Control   O
Systems   O
Managers   O
.   O

Upon   O
arriving   O
at   O
Cedar   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
they   O
reported   O
a   O
sudden   O
onset   O
of   O
a   O
high   O
fever   O
(   O
temperature   O
at   O
102.3   O
°   O
F   O
)   O
,   O
cough   O
with   O
sputum   O
production   O
,   O
and   O
a   O
noticeable   O
difficulty   O
in   O
breathing   O
.   O

Dr.   O
Viviana   B-NAME
Hutchinson   I-NAME
listened   O
to   O
the   O
patient   O
's   O
chest   O
and   O
identified   O
wheezing   O
,   O
and   O
the   O
temperature   O
was   O
taken   O
and   O
noted   O
to   O
be   O
higher   O
than   O
normal   O
.   O

Regarding   O
contact   O
details   O
,   O
the   O
phone   O
number   O
mentioned   O
in   O
116   B-ID
-   I-ID
10   I-ID
-   I-ID
22   I-ID
is   O
442   B-CONTACT
-   I-CONTACT
8425   I-CONTACT
and   O
the   O
patient   O
lives   O
in   O
zip   O
code   O
57674   B-LOCATION
.   O

The   O
patient   O
's   O
i   O
d   O
is   O
YD   B-ID
:   I-ID
OU:1266   I-ID
.   O

xpi243   B-NAME
is   O
the   O
username   O
of   O
the   O
patient   O
related   O
to   O
Columbia   B-LOCATION
River   I-LOCATION
Bank   I-LOCATION
.   O

The   O
organization   O
where   O
the   O
patient   O
works   O
is   O
Georgia   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Southern   I-LOCATION
Company   I-LOCATION
,   O
located   O
at   O
Pearisburg   B-LOCATION
.   O

For   O
continuity   O
of   O
care   O
,   O
the   O
patient   O
's   O
information   O
has   O
been   O
updated   O
and   O
shared   O
with   O
the   O
primary   O
care   O
physician   O
provided   O
in   O
the   O
records   O
,   O
Dr.   O
Mccarthy   B-NAME
.   O

Patient   O
Name   O
:   O
Clyde   B-NAME
Roe   I-NAME
Age   O
:   O
58   O
Doctor   O
:   O
Horne   B-NAME
Hospital   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Kalamazoo   I-LOCATION
ID   O
:   O
QC   B-ID
:   I-ID
QM:3086   I-ID
Location   O
:   O
Hickam   B-LOCATION
Housing   I-LOCATION
Medical   O
Record   O
:   O
265   B-ID
-   I-ID
60   I-ID
-   I-ID
29   I-ID
-   I-ID
2   I-ID
Organization   O
:   O
Riverview   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Phone   O
:   O
252   B-CONTACT
849   I-CONTACT
-   I-CONTACT
6609   I-CONTACT
Profession   O
:   O
barber   O
Username   O
:   O
hj36   B-NAME
ZIP   O
:   O
36177   B-LOCATION
Synopsis   O
:   O
Chrysostom   B-NAME
,   I-NAME
John   I-NAME
checked   O
in   O
on   O
02/92   B-DATE
to   O
the   O
Emergency   O
Department   O
at   O
Signature   B-LOCATION
Healthcare   I-LOCATION
Brockton   I-LOCATION
Hospital   I-LOCATION
,   O
Greenbackville   B-LOCATION
.   O

An   O
immediate   O
diagnostic   O
imaging   O
CT   O
scan   O
was   O
ordered   O
by   O
Carolyn   B-NAME
Arellano   I-NAME
and   O
was   O
executed   O
on   O
the   O
same   O
day   O
.   O

Due   O
to   O
the   O
risk   O
of   O
perforation   O
and   O
resultant   O
serious   O
complications   O
,   O
an   O
emergency   O
appendectomy   O
was   O
recommended   O
by   O
Kay   B-NAME
,   I-NAME
Alan   I-NAME
.   O

A   O
detailed   O
clarification   O
of   O
the   O
surgical   O
procedure   O
,   O
benefits   O
,   O
and   O
potential   O
risks   O
was   O
duly   O
shared   O
with   O
Ainsley   B-NAME
Mccoy   I-NAME
and   O
the   O
family   O
.   O

An   O
informed   O
consent   O
form   O
was   O
signed   O
on   O
the   O
day   O
before   O
surgery   O
,   O
0/12/2361   B-DATE
.   O

The   O
patient   O
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
on   O
1/21   B-DATE
.   O

Blanchard   B-NAME
was   O
successfully   O
discharged   O
on   O
22/25   B-DATE
.   O

The   O
patient   O
was   O
also   O
given   O
detailed   O
discharge   O
instructions   O
and   O
emergency   O
contact   O
numbers   O
,   O
including   O
18183   B-CONTACT
to   O
report   O
any   O
worrisome   O
symptoms   O
.   O

Currently   O
,   O
Mica   B-NAME
Carrell   I-NAME
is   O
in   O
good   O
health   O
recovering   O
at   O
home   O
.   O

Occupation   O
Paperhangers   O
and   O
lifestyle   O
modifications   O
including   O
a   O
balanced   O
diet   O
,   O
regular   O
exercise   O
,   O
are   O
incorporated   O
into   O
WILLIAM   B-NAME
YARGER   I-NAME
's   O
daily   O
routine   O
.   O

Follow   O
up   O
with   O
Burton   B-NAME
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
is   O
scheduled   O
for   O
12/44   B-DATE
to   O
monitor   O
recovery   O
progression   O
.   O

Patient   O
Report   O
:   O
2223   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
23   I-DATE
:   O
Patient   O
Name   O
:   O
Ludwig   B-NAME
,   I-NAME
Arnold   I-NAME
M.   I-NAME
Date   O
of   O
Birth   O
:   O
02   B-DATE
-   I-DATE
22   I-DATE
Age   O
:   O
9   O
Medical   O
Record   O
:   O
111   B-ID
-   I-ID
30   I-ID
-   I-ID
50   I-ID
Emergency   O
contact   O
person   O
:   O
Shaffer   B-NAME
,   O
192   B-CONTACT
3345   I-CONTACT
Patient   O
Address   O
:   O
Keizer   B-LOCATION
,   O
69774   B-LOCATION
Pharmacy   O
:   O
National   B-LOCATION
Opposition   I-LOCATION
to   I-LOCATION
Normalized   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
NONAC   I-LOCATION
)   I-LOCATION
,   O
North   B-LOCATION
Carolina   I-LOCATION
Patient   O
's   O
History   O
:   O

A   O
50-   O
8   O
week   O
-   O
year   O
-   O
old   O
male   O
patient   O
,   O
Amanda   B-NAME
Fallon   I-NAME
,   O
presented   O
at   O
the   O
ER   O
Department   O
of   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
on   O
32/19/2114   B-DATE
complaining   O
of   O
sudden   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Examination   O
:   O
On   O
examination   O
,   O
Marquez   B-NAME
was   O
hypertensive   O
with   O
a   O
BP   O
reading   O
of   O
160/95   O
mm   O
of   O
Hg   O
.   O

Diagnosis   O
and   O
Treatment   O
:   O
Isabella   B-NAME
Petty   I-NAME
,   O
the   O
cardiologist   O
on   O
duty   O
,   O
further   O
confirmed   O
the   O
diagnosis   O
by   O
referring   O
to   O
his   O
patient   O
ID   O
number   O
,   O
PM105/2482   B-ID
and   O
his   O
previous   O
medical   O
records   O
2589916   B-ID
.   O

Hospital   O
Stay   O
:   O
During   O
his   O
stay   O
at   O
Mercy   B-LOCATION
Philadelphia   I-LOCATION
Hospital   I-LOCATION
,   O
Allisson   B-NAME
Miranda   I-NAME
had   O
a   O
few   O
instances   O
of   O
moderate   O
vasovagal   O
response   O
but   O
was   O
generally   O
stable   O
.   O

Follow   O
-   O
up   O
:   O
After   O
steady   O
progress   O
,   O
Ahanu   B-NAME
was   O
discharged   O
on   O
0/21   B-DATE
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
Big   I-LOCATION
Rapids   I-LOCATION
Hospital   I-LOCATION
with   O
Dr.   O
Lynch   B-NAME
.   O

He   O
was   O
also   O
directed   O
to   O
participate   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
at   O
Duluth   B-LOCATION
.   O

His   O
queries   O
can   O
be   O
directed   O
to   O
the   O
nurse   O
assigned   O
to   O
him   O
,   O
rnu758   B-NAME
.   O

Signed   O
:   O
Owen   B-NAME
,   O
Cardiologist   O
at   O
Rose   B-LOCATION
Gardens   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION

Michale   B-NAME
Calamare   I-NAME
MRN   O
:   O
3013473   B-ID
DOB   O
:   O
11/17   B-DATE
Age   O
:   O
87   O
Doctor   O
:   O
Giggles   B-NAME
Hospital   O
:   O

Bethesda   B-LOCATION
Butler   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Los   B-LOCATION
Lobos   I-LOCATION
Zip   O
code   O
:   O
76575   B-LOCATION
ID   O
:   O
MP   B-ID
:   I-ID
MN:9777   I-ID
Contact   O
:   O
923   B-CONTACT
388   I-CONTACT
7197   I-CONTACT
Profession   O
:   O

qqb938   B-NAME
Rylee   B-NAME
Woods   I-NAME
presented   O
to   O
office   O
with   O
an   O
onset   O
of   O
symptoms   O
that   O
began   O
around   O
22/25   B-DATE
.   O

Mark   B-NAME
Taylor   I-NAME
reported   O
having   O
recurring   O
severe   O
headaches   O
,   O
which   O
they   O
characterized   O
as   O
throbbing   O
and   O
typically   O
unilateral   O
.   O

Inquired   O
about   O
history   O
of   O
these   O
symptoms   O
,   O
and   O
Ellen   B-NAME
Webb   I-NAME
reported   O
having   O
similar   O
instances   O
of   O
headaches   O
sporadically   O
over   O
a   O
period   O
of   O
several   O
months   O
.   O

Frequency   O
of   O
headaches   O
has   O
been   O
increasing   O
recently   O
,   O
compelling   O
the   O
patient   O
to   O
seek   O
medical   O
support   O
at   O
Hialeah   B-LOCATION
Hospital   I-LOCATION
.   O

Mark   B-NAME
Taylor   I-NAME
also   O
reported   O
a   O
family   O
history   O
of   O
migraines   O
.   O

Physical   O
examination   O
conducted   O
by   O
Jadyn   B-NAME
Weber   I-NAME
,   O
demonstrated   O
light   O
sensitivity   O
during   O
eye   O
examination   O
and   O
bilateral   O
tenderness   O
over   O
the   O
temporal   O
arteries   O
.   O

Amal   B-NAME
Mazzarella   I-NAME
demonstrates   O
no   O
sign   O
of   O
fever   O
,   O
and   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Requested   O
a   O
complete   O
blood   O
count   O
and   O
MRI   O
scan   O
for   O
further   O
investigation   O
at   O
the   O
diagnostic   O
centre   O
of   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Marquette   I-LOCATION
.   O

Note   O
for   O
Buchanan   B-NAME
:   O
Review   O
the   O
results   O
of   O
complete   O
blood   O
count   O
and   O
MRI   O
scan   O
once   O
available   O
.   O

Suggest   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
,   O
allowing   O
Eddie   B-NAME
Nethery   I-NAME
time   O
to   O
monitor   O
symptoms   O
with   O
medication   O
and   O
lifestyle   O
adjustments   O
.   O

Assistance   O
from   O
Animal   B-LOCATION
Liberation   I-LOCATION
Leagues   I-LOCATION
will   O
be   O
acquired   O
if   O
necessary   O
to   O
engage   O
Richards   B-NAME
who   O
is   O
working   O
as   O
a   O
Loan   O
Officers   O
in   O
adjusting   O
lifestyle   O
.   O

Next   O
follow   O
-   O
up   O
date   O
:   O
02/27/1977   B-DATE
.   O

MY406   B-NAME

Patient   O
Name   O
:   O
Rasmussen   B-NAME
Age   O
:   O
68   O
Medical   O
Record   O
Number   O
:   O
597   B-ID
-   I-ID
56   I-ID
-   I-ID
38   I-ID
Doctor   O
in   O
Charge   O
:   O
Dunn   B-NAME
Date   O
of   O
Examination   O
:   O
2/21   B-DATE
Presenting   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Bettendorf   I-LOCATION
on   O
the   O
above   O
stated   O
date   O
,   O
Anjanette   B-NAME
Skult   I-NAME
complained   O
of   O
chronic   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
,   O
and   O
fatigue   O
.   O

His   O
ID   O
card   O
number   O
is   O
BR:72772:801855   B-ID
and   O
has   O
a   O
zip   O
code   O
of   O
21642   B-LOCATION
on   O
it   O
.   O

Current   O
location   O
of   O
the   O
patient   O
is   O
Hodges   B-LOCATION
.   O

Following   O
the   O
lab   O
tests   O
,   O
Bolano   B-NAME
,   I-NAME
Roberto   I-NAME
recommended   O
chest   O
X   O
-   O
ray   O
and   O
CT   O
scan   O
.   O

The   O
reports   O
of   O
the   O
biopsy   O
were   O
communicated   O
via   O
902   B-CONTACT
-   I-CONTACT
6337   I-CONTACT
confirming   O
the   O
diagnosis   O
of   O
non   O
-   O
small   O
cell   O
lung   O
carcinoma   O
.   O

The   O
Socialist   B-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
Centre   I-LOCATION
where   O
WILKES   B-NAME
works   O
has   O
been   O
notified   O
for   O
appropriate   O
work   O
accommodations   O
as   O
per   O
the   O
treatment   O
plan   O
.   O

We   O
have   O
begun   O
a   O
malignancy   O
-   O
targeted   O
treatment   O
plan   O
for   O
Erasmus   B-NAME
.   O

You   O
may   O
login   O
with   O
your   O
dr4110   B-NAME
provided   O
to   O
access   O
further   O
medical   O
details   O
of   O
Katz   B-NAME
,   I-NAME
Jonathan   I-NAME
.   O

Prepared   O
by   O
:   O
Olson   B-NAME
Endocrinology   O
Department   O
Kansas   B-LOCATION
Voice   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Lawrence   I-LOCATION

Patient   O
Name   O
:   O
Pineda   B-NAME
Birth   O
Date   O
:   O
2246   B-DATE
ID   O
:   O
RD:89628:734406   B-ID
Phone   O
:   O
492   B-CONTACT
-   I-CONTACT
4637   I-CONTACT
Zip   O
:   O
91361   B-LOCATION

The   O
patient   O
is   O
a   O
87s   O
year   O
-   O
old   O
person   O
,   O
who   O
presented   O
reference   O
number   O
4092683   B-ID
with   O
complaints   O
of   O
consistent   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

These   O
symptoms   O
started   O
around   O
spring   B-DATE
and   O
have   O
progressively   O
worsened   O
,   O
with   O
relevant   O
clinical   O
history   O
showing   O
no   O
known   O
allergies   O
.   O

The   O
patient   O
resides   O
in   O
Warren   B-LOCATION
,   O
and   O
works   O
as   O
an   O
accountant   O
,   O
a   O
Library   O
Technicians   O
,   O
at   O
the   O
Rashtriya   B-LOCATION
Mill   I-LOCATION
Mazdoor   I-LOCATION
Sangh   I-LOCATION
.   O

The   O
patient   O
was   O
treated   O
by   O
Dr.   O
Soto   B-NAME
at   O
St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
and   O
underwent   O
a   O
series   O
of   O
tests   O
on   O
2070   B-DATE
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
test   O
(   O
LFT   O
)   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
.   O

The   O
written   O
prescription   O
provided   O
by   O
Dr.   O
Espinoza   B-NAME
was   O
faxed   O
to   O
local   O
pharmacy   O
with   O
phone   O
number   O
31549   B-CONTACT
in   O
region   O
,   O
77418   B-LOCATION
.   O

Dr.   O
Shelton   B-NAME
suggested   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
4   B-DATE
-   I-DATE
1   I-DATE
.   O

The   O
username   O
to   O
access   O
the   O
patient   O
's   O
health   O
profile   O
is   O
ifa280   B-NAME
.   O

Please   O
note   O
,   O
this   O
report   O
was   O
submitted   O
by   O
nursing   O
staff   O
at   O
Gove   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Quinter   I-LOCATION
Hospital   O
in   O
Northwest   B-LOCATION
Harbor   I-LOCATION
after   O
interpretation   O
was   O
completed   O
by   O
Dr.   O
Kamron   B-NAME
Walters   I-NAME
located   O
in   O
Hermann   B-LOCATION
.   O

The   O
patient   O
was   O
last   O
visited   O
by   O
Dr.   O
Lisa   B-NAME
Griffith   I-NAME
on   O
February   B-DATE
of   I-DATE
2030   I-DATE
on   O
floor   O
number   O
3   O
of   O
the   O
St   B-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
building   O
.   O

Brandi   B-NAME
Xayasane   I-NAME
Age   O
:   O
74   O
Date   O
admitted   O
:   O
00/12/2042   B-DATE
Medical   O
Observation   O
:   O
Lovins   B-NAME
,   I-NAME
Amory   I-NAME
presented   O
with   O
a   O
severe   O
,   O
persistent   O
frontal   O
headache   O
along   O
with   O
photophobia   O
and   O
persistent   O
nausea   O
.   O

When   O
Grace   B-NAME
Jewell   I-NAME
was   O
brought   O
to   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
South   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
on   O
24/32   B-DATE
,   O
Antarius   B-NAME
Aipopo   I-NAME
performed   O
a   O
detailed   O
clinical   O
evaluation   O
and   O
suspected   O
cerebral   O
involvement   O
.   O

The   O
neurology   O
team   O
at   O
Sabetha   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Sabetha   I-LOCATION
was   O
called   O
in   O
to   O
evaluate   O
Shenna   B-NAME
Travis   I-NAME
’s   O
condition   O
.   O

In   O
terms   O
of   O
management   O
,   O
Waldo   B-NAME
Little   I-NAME
was   O
started   O
on   O
pain   O
relief   O
(   O
intravenous   O
paracetamol   O
)   O
and   O
antiemetics   O
to   O
manage   O
his   O
symptoms   O
.   O

Medical   O
History   O
:   O
Hammarskjöld   B-NAME
,   I-NAME
Dag   I-NAME
’s   O
older   O
brother   O
,   O
aged   O
87   O
,   O
had   O
a   O
similar   O
presentation   O
two   O
years   O
ago   O
.   O

Family   O
medical   O
history   O
revealed   O
that   O
Ulises   B-NAME
Lopez   I-NAME
’s   O
mother   O
,   O
who   O
passed   O
away   O
at   O
31   O
,   O
had   O
been   O
diagnosed   O
with   O
a   O
rare   O
genetic   O
neurodegenerative   O
disorder   O
.   O

Vernon   B-NAME
resides   O
at   O
Flandreau   B-LOCATION
and   O
works   O
as   O
a   O
Data   O
Entry   O
Keyers   O
.   O

He   O
has   O
been   O
admitted   O
to   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Colorado   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
once   O
in   O
the   O
past   O
due   O
to   O
complications   O
related   O
to   O
hypertension   O
.   O

Follow   O
-   O
up   O
:   O
Appointments   O
have   O
been   O
set   O
with   O
Mendez   B-NAME
for   O
follow   O
-   O
ups   O
every   O
two   O
weeks   O
.   O

Contact   O
details   O
for   O
Norton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Norton   I-LOCATION
,   O
(   B-CONTACT
192   I-CONTACT
)   I-CONTACT
795   I-CONTACT
-   I-CONTACT
5444   I-CONTACT
,   O
have   O
also   O
been   O
provided   O
to   O
Lenna   B-NAME
Dalbeck   I-NAME
for   O
any   O
assistance   O
or   O
query   O
.   O

Test   O
results   O
will   O
be   O
sent   O
to   O
zn272   B-NAME
@   O
Amalgamated   B-LOCATION
Transit   I-LOCATION
Union   I-LOCATION
.com   O
.   O

ID   O
reference   O
for   O
these   O
results   O
is   O
BU:1836:272718   B-ID
and   O
the   O
medical   O
record   O
number   O
is   O
8235B63501   B-ID
.   O

The   O
current   O
appointments   O
and   O
tests   O
are   O
fully   O
covered   O
under   O
Adam   B-NAME
Rossi   I-NAME
’s   O
health   O
plan   O
.   O

Additional   O
Information   O
:   O
Kindly   O
mail   O
the   O
hard   O
-   O
copy   O
reports   O
to   O
California   B-LOCATION
,   O
41937   B-LOCATION
.   O

Make   O
sure   O
to   O
mention   O
Dyer   B-NAME
's   O
name   O
on   O
top   O
of   O
the   O
envelope   O
.   O

In   O
the   O
case   O
of   O
any   O
queries   O
please   O
feel   O
free   O
to   O
contact   O
the   O
given   O
phone   O
number   O
217   B-CONTACT
2457   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Luther   B-NAME
Strab   I-NAME
is   O
a   O
19   O
year   O
old   O
who   O
presented   O
with   O
notable   O
symptoms   O
at   O
UPMC   B-LOCATION
Jameson   I-LOCATION
on   O
36/21/42   B-DATE
.   O

Patient   O
was   O
brought   O
in   O
by   O
ambulance   O
from   O
Vernon   B-LOCATION
,   I-LOCATION
Vernon   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
.   O

His   O
primary   O
care   O
physician   O
,   O
Stephanie   B-NAME
Powell   I-NAME
,   O
cited   O
that   O
he   O
has   O
been   O
experiencing   O
recurring   O
chest   O
pains   O
for   O
the   O
past   O
few   O
weeks   O
.   O

The   O
patient   O
's   O
family   O
,   O
who   O
resides   O
in   O
80134   B-LOCATION
,   O
informed   O
us   O
his   O
brother   O
also   O
had   O
similar   O
issues   O
around   O
his   O
75s   O
.   O

At   O
Ashland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Ashland   I-LOCATION
,   O
cardiac   O
biomarker   O
tests   O
were   O
requested   O
for   O
evaluation   O
.   O

In   O
light   O
of   O
the   O
patient   O
's   O
symptoms   O
and   O
family   O
history   O
,   O
Callum   B-NAME
Kent   I-NAME
strongly   O
suspects   O
a   O
possible   O
myocardial   O
infarction   O
.   O

The   O
medical   O
record   O
is   O
tagged   O
with   O
the   O
81718930   B-ID
identifier   O
for   O
future   O
reference   O
.   O

We   O
are   O
coordinating   O
with   O
his   O
insurance   O
Helsinki   B-LOCATION
Committee   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   O
relevant   O
documents   O
have   O
been   O
issued   O
under   O
the   O
GQ108/3785   B-ID
for   O
the   O
aforementioned   O
purpose   O
.   O

His   O
next   O
of   O
kin   O
was   O
notified   O
via   O
10026   B-CONTACT
about   O
his   O
hospital   O
admission   O
.   O

Finally   O
,   O
his   O
attending   O
nurse   O
,   O
tnj10010   B-NAME
continues   O
to   O
monitor   O
the   O
situation   O
and   O
is   O
making   O
appropriate   O
adjustments   O
to   O
patient   O
care   O
as   O
necessary   O
based   O
on   O
Welch   B-NAME
's   O
recommendations   O
.   O

Patient   O
Report   O
:   O
Patient   O
,   O
Benedict   B-NAME
XVI   I-NAME
(   I-NAME
Pope   I-NAME
)   I-NAME
,   O
was   O
admitted   O
to   O
Riddle   B-LOCATION
Hospital   I-LOCATION
on   O
2/27   B-DATE
.   O

Mr.   O
Eva   B-NAME
Ewing   I-NAME
's   O
ID   O
0   B-ID
-   I-ID
1383937   I-ID
and   O
medical   O
record   O
number   O
is   O
61862107   B-ID
.   O

He   O
resides   O
at   O
Milford   B-LOCATION
,   O
postal   O
code   O
:   O
15317   B-LOCATION
.   O

The   O
attending   O
physician   O
,   O
Dr.   O
Logan   B-NAME
,   O
ordered   O
a   O
complete   O
blood   O
count   O
and   O
a   O
broad   O
chest   O
X   O
-   O
ray   O
,   O
which   O
showed   O
bilateral   O
pneumonia   O
.   O

After   O
an   O
intense   O
review   O
,   O
Dr.   O
Weeks   B-NAME
opined   O
that   O
the   O
symptoms   O
suggest   O
a   O
severe   O
case   O
of   O
community   O
-   O
acquired   O
pneumonia   O
.   O

The   O
patient   O
's   O
family   O
,   O
living   O
at   O
Nevada   B-LOCATION
,   O
was   O
contacted   O
via   O
622   B-CONTACT
8647   I-CONTACT
.   O

Prior   O
to   O
onset   O
of   O
symptoms   O
,   O
Pollard   B-NAME
was   O
working   O
as   O
a   O
Recreation   O
Workers   O
.   O

His   O
user   O
handle   O
at   O
his   O
workplace   O
is   O
ZO895   B-NAME
.   O

Attempting   O
contact   O
-   O
tracing   O
for   O
Erika   B-NAME
Roberson   I-NAME
,   O
we   O
learnt   O
that   O
he   O
won   O
an   O
event   O
at   O
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
on   O
12/48   B-DATE
.   O

A   O
community   O
health   O
nurse   O
from   O
the   O
Alliance   B-LOCATION
of   I-LOCATION
Canadian   I-LOCATION
Cinema   I-LOCATION
,   I-LOCATION
Television   I-LOCATION
and   I-LOCATION
Radio   I-LOCATION
Artists   I-LOCATION
will   O
make   O
home   O
visits   O
post   O
-   O
discharge   O
for   O
ongoing   O
care   O
.   O
]   O
Signed   O
off   O
,   O
Kramer   B-NAME
08/25   B-DATE

Patient   O
Name   O
:   O
Yonathan   B-NAME
Turk   I-NAME
Gender   O
:   O
Male   O
Age   O
:   O
65   O
1617   B-DATE
:   O

Patient   O
Kreff   B-NAME
Colomy   I-NAME
,   O
a   O
Orthodontists   O
hailing   O
from   O
North   B-LOCATION
Mankato   I-LOCATION
(   O
Zip   O
code   O
:   O
68653   B-LOCATION
)   O
,   O
with   O
SSN   O
799510   B-ID
presented   O
at   O
Crisp   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

He   O
was   O
referred   O
by   O
primary   O
care   O
physician   O
Dr.   O
Dunlap   B-NAME
.   O

After   O
providing   O
his   O
healthcare   O
insurance   O
details   O
,   O
contact   O
information   O
(   O
60071   B-CONTACT
)   O
,   O
and   O
his   O
medical   O
record   O
number   O
4393754   B-ID
,   O
he   O
was   O
admitted   O
for   O
a   O
more   O
thorough   O
examination   O
.   O

During   O
the   O
procedure   O
,   O
a   O
severely   O
inflamed   O
and   O
swollen   O
appendix   O
was   O
found   O
and   O
removed   O
successfully   O
by   O
Dr.   O
Morgan   B-NAME
Morrison   I-NAME

The   O
specimen   O
was   O
sent   O
to   O
Darby   B-LOCATION
Bank   I-LOCATION
&   I-LOCATION
Trust   I-LOCATION
Labs   O
for   O
histopathology   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Dr.   O
Marissa   B-NAME
Miles   I-NAME
,   O
was   O
satisfied   O
with   O
the   O
post   O
-   O
surgical   O
outcome   O
.   O

The   O
patient   O
was   O
transferred   O
to   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
room   O
number   O
for   O
further   O
observation   O
.   O

His   O
username   O
for   O
the   O
hospital   O
patient   O
portal   O
was   O
provided   O
as   O
wjv931   B-NAME
.   O

The   O
patient   O
's   O
family   O
residing   O
at   O
San   B-LOCATION
Jose   I-LOCATION
was   O
contacted   O
via   O
phone   O
(   B-CONTACT
438   I-CONTACT
)   I-CONTACT
884   I-CONTACT
1115   I-CONTACT
and   O
updated   O
regarding   O
the   O
patient   O
's   O
condition   O
after   O
taking   O
patient   O
's   O
consent   O
.   O

Patient   O
Name   O
:   O
Brice   B-NAME
Fry   I-NAME
Age   O
:   O
92   O
Doctor   O
's   O
Name   O
:   O
Dr.   O
Kelley   B-NAME
Hospital   O
:   O

Raleigh   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Phone   O
number   O
:   O
951   B-CONTACT
1929   I-CONTACT
Location   O
:   O
Byars   B-LOCATION
Date   O
:   O
30/82   B-DATE
Medical   O
Record   O
:   O
CK168996   B-ID
The   O
patient   O
,   O
Essence   B-NAME
Luna   I-NAME
,   O
presented   O
at   O
the   O
Northeast   B-LOCATION
Florida   I-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
on   O
Jan   B-DATE
'   I-DATE
52   I-DATE
referring   O
to   O
Dr.   O
Ibarra   B-NAME
.   O

He   O
resides   O
at   O
Norrie   B-LOCATION
and   O
can   O
be   O
contacted   O
at   O
87550   B-CONTACT
.   O

The   O
patient   O
's   O
insurance   O
ID   O
is   O
534816234   B-ID
and   O
he   O
works   O
for   O
Survival   B-LOCATION
International   I-LOCATION
.   O

The   O
medical   O
record   O
number   O
5932219   B-ID
was   O
assigned   O
,   O
and   O
the   O
username   O
zz914   B-NAME
was   O
set   O
up   O
for   O
him   O
to   O
access   O
his   O
patient   O
portal   O
.   O

His   O
ZIP   O
code   O
for   O
contact   O
is   O
24273   B-LOCATION
.   O

As   O
of   O
02/25   B-DATE
,   O
the   O
patient   O
is   O
stable   O
and   O
awaiting   O
further   O
diagnostic   O
procedures   O
.   O

The   O
next   O
appointment   O
with   O
Dr.   O
Barnett   B-NAME
is   O
scheduled   O
for   O
02/11/01   B-DATE
.   O

Patient   O
Name   O
:   O
Viviana   B-NAME
Oconnell   I-NAME
Date   O
of   O
Birth   O
:   O
30/21   B-DATE
Age   O
:   O
32   O
Mr.   O
Rylee   B-NAME
Dillon   I-NAME
presented   O
at   O
our   O
hospital   O
,   O
CJW   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Johnston   I-LOCATION
-   I-LOCATION
Willis   I-LOCATION
Campus   I-LOCATION
,   O
on   O
0/00   B-DATE
.   O

The   O
patient   O
's   O
ID   O
is   O
UD324/8641   B-ID
and   O
the   O
medical   O
record   O
number   O
is   O
2540545   B-ID
.   O

He   O
was   O
evaluated   O
by   O
our   O
senior   O
consultant   O
,   O
Dr.   O
Stuart   B-NAME
.   O

The   O
patient   O
lives   O
in   O
the   O
city   O
of   O
Yarnell   B-LOCATION
,   O
zip   O
code   O
52225   B-LOCATION
.   O

Moreover   O
,   O
Eva   B-NAME
Newby   I-NAME
's   O
work   O
up   O
revealed   O
that   O
he   O
is   O
a   O
Licensing   O
Examiners   O
and   O
Inspectors   O
at   O
International   B-LOCATION
Foundation   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Tolerance   I-LOCATION
,   O
and   O
his   O
condition   O
has   O
started   O
affecting   O
his   O
professional   O
competence   O
.   O

The   O
patient   O
's   O
contact   O
details   O
have   O
been   O
recorded   O
under   O
the   O
phone   O
number   O
776   B-CONTACT
-   I-CONTACT
9629   I-CONTACT
.   O

He   O
was   O
assisted   O
in   O
setting   O
up   O
an   O
account   O
in   O
our   O
health   O
-   O
tracking   O
portal   O
with   O
the   O
username   O
pbj2110   B-NAME
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
on   O
1916   B-DATE
under   O
the   O
supervision   O
of   O
Dr.   O
Estrada   B-NAME
in   O
building   O
Community   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Branch   I-LOCATION
County   I-LOCATION
.   O

A   O
personalized   O
treatment   O
plan   O
including   O
medication   O
and   O
lifestyle   O
modification   O
has   O
been   O
discussed   O
with   O
Mr.   O
Reid   B-NAME
Salinas   I-NAME
and   O
is   O
currently   O
underway   O
.   O

Patient   O
Report   O
:   O
Patient   O
Identifier   O
:   O
951   B-ID
-   I-ID
73   I-ID
-   I-ID
56   I-ID
-   I-ID
6   I-ID
Name   O
:   O
Stephen   B-NAME
Ponce   I-NAME
On   O
03/30   B-DATE
,   O
Roberto   B-NAME
Craig   I-NAME
,   O
a   O
13   O
-   O
year   O
-   O
old   O
Architect   O
from   O
Addis   B-LOCATION
was   O
brought   O
into   O
the   O
Emergency   O
Room   O
of   O
Mercy   B-LOCATION
Hospital   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
.   O

These   O
symptoms   O
had   O
lasted   O
between   O
six   O
to   O
eight   O
hours   O
before   O
Givens   B-NAME
sought   O
care   O
.   O

Cierra   B-NAME
Smith   I-NAME
denies   O
any   O
alcohol   O
or   O
substance   O
abuse   O
.   O

On   O
physical   O
examination   O
,   O
Washington   B-NAME
,   I-NAME
George   I-NAME
’s   O
blood   O
pressure   O
was   O
130/90   O
mmHg   O
and   O
pulse   O
rate   O
was   O
88   O
/   O
min   O
.   O
Palpitations   O
,   O
diaphoresis   O
,   O
chest   O
pain   O
,   O
or   O
shortness   O
of   O
breath   O
were   O
not   O
reported   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
was   O
ordered   O
by   O
Ezekiel   B-NAME
Estrada   I-NAME
which   O
revealed   O
inflammation   O
of   O
the   O
pancreas   O
.   O

Wade   B-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Folsom   I-LOCATION
for   O
treatment   O
and   O
further   O
evaluation   O
under   O
the   O
care   O
of   O
Ace   B-NAME
Browning   I-NAME
.   O

Harvey   B-NAME
did   O
well   O
and   O
was   O
discharged   O
home   O
five   O
days   O
later   O
,   O
on   O
2131   B-DATE
with   O
oral   O
feeding   O
and   O
pain   O
medication   O
as   O
necessary   O
.   O

Contact   O
Information   O
:   O
33960   B-CONTACT
,   O
73759   B-LOCATION
GU324   B-NAME
Emergency   O
Contact   O
:   O
Name   O
:   O
Tobias   B-NAME
Lara   I-NAME
Relationship   O
:   O

Spouse   O
Contact   O
Information   O
:   O
13600   B-CONTACT
Please   O
call   O
our   O
nurse   O
line   O
at   O
990   B-CONTACT
-   I-CONTACT
843   I-CONTACT
-   I-CONTACT
1603   I-CONTACT
or   O
email   O
VI812   B-NAME
at   O
Coweta   B-LOCATION
-   I-LOCATION
Fayette   I-LOCATION
EMC   I-LOCATION
for   O
any   O
questions   O
or   O
concerns   O
.   O

Insurance   O
Information   O
:   O
1   B-ID
-   I-ID
1271603   I-ID
Physician   O
's   O
Signature   O
:   O
Stephen   B-NAME
Kildare   I-NAME

Patient   O
Report   O
:   O
Reggie   B-NAME
Beirne   I-NAME
is   O
a   O
62   O
year   O
old   O
patient   O
who   O
was   O
seen   O
on   O
10/2231   B-DATE
by   O
Dr.   O
Cannon   B-NAME
Haley   I-NAME
at   O
the   O
NorthBay   B-LOCATION
VacaValley   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Haywards   B-LOCATION
Heath   I-LOCATION
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
7921336   B-ID
.   O

The   O
patient   O
also   O
produced   O
an   O
identification   O
of   O
7   B-ID
-   I-ID
8485610   I-ID
and   O
a   O
health   O
insurance   O
card   O
from   O
HAYTAP   B-LOCATION
.   O

The   O
patient   O
resides   O
in   O
the   O
postal   O
code   O
79948   B-LOCATION
.   O

Miranda   B-NAME
Maldonado   I-NAME
needs   O
to   O
follow   O
-   O
up   O
after   O
two   O
weeks   O
on   O
12/02   B-DATE
.   O

The   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Sosa   B-NAME
at   O
Methodist   B-LOCATION
Dallas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

In   O
case   O
of   O
any   O
emergency   O
or   O
acute   O
exacerbation   O
of   O
symptoms   O
,   O
the   O
patient   O
is   O
advised   O
to   O
contact   O
us   O
at   O
385   B-CONTACT
8215   I-CONTACT
.   O

The   O
information   O
regarding   O
the   O
patient   O
's   O
symptoms   O
and   O
the   O
consultation   O
details   O
has   O
been   O
logged   O
by   O
the   O
healthcare   O
professional   O
RH392   B-NAME
.   O

In   O
addition   O
,   O
a   O
copy   O
of   O
the   O
record   O
has   O
been   O
shared   O
with   O
the   O
patient   O
's   O
preferred   O
pharmacy   O
located   O
in   O
19   B-LOCATION
Nicolls   I-LOCATION
Street   I-LOCATION
.   O

A   O
reminder   O
for   O
the   O
upcoming   O
appointment   O
will   O
be   O
sent   O
to   O
the   O
patient   O
's   O
phone   O
number   O
44646   B-CONTACT
.   O

A   O
copy   O
of   O
this   O
report   O
has   O
been   O
sent   O
to   O
Dr.   O
Rodriguez   B-NAME
for   O
review   O
.   O

Any   O
changes   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
discussed   O
with   O
the   O
patient   O
in   O
the   O
next   O
appointment   O
on   O
2300   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
37   I-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Cholena   B-NAME
Age   O
:   O
2   O
Contact   O
number   O
:   O
881   B-CONTACT
6560   I-CONTACT
Residing   O
at   O
:   O
Fernley   B-LOCATION
,   O
67194   B-LOCATION

The   O
patient   O
visited   O
Parrish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
38/10   B-DATE
complaining   O
of   O
high   O
-   O
grade   O
fever   O
persisting   O
for   O
about   O
3   O
days   O
accompanied   O
by   O
fatigue   O
and   O
body   O
ache   O
.   O

A   O
physical   O
examination   O
was   O
performed   O
by   O
Obrien   B-NAME
and   O
it   O
was   O
observed   O
that   O
the   O
oral   O
temperature   O
was   O
elevated   O
to   O
103   O
degrees   O
Fahrenheit   O
.   O

Influenza   O
or   O
similar   O
viral   O
infection   O
was   O
suspected   O
,   O
and   O
the   O
patient   O
was   O
admitted   O
to   O
our   O
medical   O
facility   O
under   O
66247030   B-ID
.   O

Paxton   B-NAME
Campos   I-NAME
works   O
as   O
Air   O
traffic   O
controller   O
in   O
Scholars   B-LOCATION
at   I-LOCATION
Risk   I-LOCATION
which   O
has   O
instances   O
of   O
similar   O
symptoms   O
among   O
individuals   O
in   O
the   O
same   O
office   O
.   O

Before   O
we   O
could   O
commence   O
with   O
the   O
treatment   O
,   O
we   O
had   O
a   O
brief   O
discussion   O
with   O
the   O
patient   O
about   O
his   O
medical   O
history   O
i   O
d   O
#   O
614972556   B-ID
.   O

UMANA   B-NAME
,   I-NAME
BRUCE   I-NAME
had   O
a   O
notable   O
history   O
of   O
sinus   O
infections   O
,   O
but   O
otherwise   O
is   O
normally   O
in   O
good   O
health   O
.   O

Hines   B-NAME
has   O
scheduled   O
a   O
follow   O
-   O
up   O
on   O
32/39/2231   B-DATE
to   O
assess   O
progress   O
and   O
update   O
the   O
treatment   O
accordingly   O
.   O

Should   O
there   O
be   O
any   O
changes   O
in   O
the   O
patient   O
's   O
situation   O
,   O
our   O
hospital   O
contact   O
is   O
895   B-CONTACT
-   I-CONTACT
9229   I-CONTACT
.   O

Prepared   O
by   O
:   O
LH817   B-NAME

Patient   O
Profile   O
:   O
Jameson   B-NAME
has   O
reported   O
intermittent   O
and   O
severe   O
migraines   O
for   O
the   O
past   O
three   O
weeks   O
.   O

According   O
to   O
the   O
medical   O
records   O
I   O
accessed   O
on   O
2132   B-DATE
with   O
63421382   B-ID
,   O
the   O
onset   O
of   O
symptoms   O
began   O
shortly   O
after   O
he   O
took   O
on   O
a   O
new   O
project   O
at   O
Bank   B-LOCATION
of   I-LOCATION
Illinois   I-LOCATION
.   O

During   O
her   O
visit   O
to   O
Bear   B-LOCATION
Lake   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
roughly   O
two   O
weeks   O
ago   O
,   O
Beverly   B-NAME
Thiel   I-NAME
described   O
the   O
pain   O
as   O
if   O
"   O
a   O
tight   O
band   O
was   O
squeezing   O
his   O
head   O
"   O
and   O
often   O
accompanied   O
by   O
sensitivity   O
to   O
light   O
and   O
sound   O
.   O

His   O
previous   O
consultations   O
with   O
Roderick   B-NAME
Benjamin   I-NAME
indicated   O
no   O
identifiable   O
triggers   O
in   O
his   O
dietary   O
habits   O
.   O

Upon   O
reviewing   O
his   O
emergency   O
contact   O
information   O
,   O
I   O
noted   O
a   O
265   B-LOCATION
Highland   I-LOCATION
Lane   I-LOCATION
residential   O
address   O
and   O
a   O
home   O
(   B-CONTACT
369   I-CONTACT
)   I-CONTACT
734   I-CONTACT
-   I-CONTACT
8488   I-CONTACT
.   O

The   O
ID   O
documentation   O
provided   O
includes   O
a   O
driver   O
's   O
license   O
number   O
,   O
1158763   B-ID
,   O
and   O
the   O
zip   O
code   O
,   O
26557   B-LOCATION
.   O

Gwanghae   B-NAME
-   I-NAME
gun   I-NAME
of   I-NAME
Joseon   I-NAME
has   O
not   O
communicated   O
any   O
case   O
of   O
a   O
similar   O
medical   O
condition   O
running   O
in   O
his   O
family   O
,   O
nor   O
has   O
he   O
previously   O
been   O
treated   O
for   O
the   O
same   O
.   O

For   O
further   O
evaluation   O
,   O
an   O
appointment   O
was   O
scheduled   O
with   O
a   O
team   O
of   O
specialists   O
at   O
the   O
Cherokee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
team   O
was   O
headed   O
by   O
Nguyen   B-NAME
,   O
recognized   O
for   O
his   O
pioneering   O
work   O
in   O
the   O
field   O
of   O
neurology   O
.   O

In   O
an   O
effort   O
to   O
correlate   O
Mata   B-NAME
's   O
symptoms   O
with   O
his   O
current   O
workspace   O
,   O
an   O
occupational   O
health   O
safety   O
inspection   O
was   O
requested   O
from   O
the   O
InBank   B-LOCATION
on   O
06/77   B-DATE
.   O

The   O
review   O
was   O
conducted   O
by   O
nge486   B-NAME
,   O
a   O
certified   O
evaluator   O
.   O

Regular   O
follow   O
-   O
ups   O
with   O
Townsend   B-NAME
are   O
also   O
advised   O
for   O
therapeutic   O
adjustments   O
based   O
on   O
the   O
individual   O
patient   O
response   O
.   O

The   O
case   O
log   O
for   O
Toby   B-NAME
Schultz   I-NAME
will   O
be   O
updated   O
in   O
the   O
forthcoming   O
weeks   O
,   O
tracking   O
the   O
evolution   O
of   O
his   O
symptoms   O
and   O
the   O
response   O
to   O
the   O
treatment   O
administered   O
.   O

Patient   O
Name   O
:   O
Kaitlynn   B-NAME
Garrett   I-NAME
Patient   O
Medical   O
Record   O
Number   O
:   O
7469690   B-ID
Castro   B-NAME
referred   O
Geta   B-NAME
LaHain   I-NAME
to   O
Pine   B-LOCATION
Rest   I-LOCATION
Christian   I-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
on   O
08/03   B-DATE
.   O

The   O
patient   O
,   O
a   O
Computer   O
Operators   O
from   O
Vergas   B-LOCATION
,   O
is   O
of   O
31   O
and   O
presented   O
with   O
persistent   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
intermittent   O
fever   O
.   O

Considering   O
patient   O
's   O
history   O
of   O
gastritis   O
,   O
an   O
emergent   O
abdominal   O
ultrasound   O
was   O
performed   O
in   O
the   O
radiology   O
department   O
of   O
Wilkes   B-LOCATION
-   I-LOCATION
Barre   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
sonographer   O
,   O
whose   O
username   O
on   O
our   O
systems   O
is   O
'   O
ngn386   B-NAME
'   O
,   O
ensured   O
all   O
images   O
were   O
sent   O
to   O
Barron   B-NAME
for   O
further   O
evaluation   O
.   O

We   O
have   O
scheduled   O
a   O
review   O
appointment   O
on   O
1/2280   B-DATE
to   O
discuss   O
the   O
surgery   O
and   O
treatment   O
options   O
.   O

The   O
patient   O
’s   O
ID   O
number   O
for   O
this   O
appointment   O
is   O
WJ:69673:167832   B-ID
.   O

I   O
note   O
that   O
de   B-NAME
Molay   I-NAME
,   I-NAME
Jacques   I-NAME
has   O
expressed   O
concerns   O
about   O
travel   O
due   O
to   O
residing   O
in   O
94549   B-LOCATION
.   O

In   O
order   O
to   O
provide   O
support   O
,   O
we   O
have   O
communicated   O
with   O
various   O
services   O
within   O
First   B-LOCATION
Commerce   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

They   O
also   O
have   O
been   O
provided   O
with   O
a   O
direct   O
contact   O
713   B-CONTACT
6876   I-CONTACT
to   O
discuss   O
any   O
additional   O
information   O
that   O
may   O
help   O
.   O

The   O
detailed   O
report   O
will   O
be   O
saved   O
securely   O
in   O
the   O
patient   O
's   O
medical   O
record   O
under   O
the   O
unique   O
number   O
of   O
8213575   B-ID
.   O

I   O
am   O
confident   O
that   O
the   O
treatment   O
process   O
of   O
PAUL   B-NAME
VALENTINE   I-NAME
will   O
be   O
smooth   O
and   O
efficient   O
under   O
the   O
careful   O
supervision   O
of   O
the   O
team   O
at   O
Mills   B-LOCATION
-   I-LOCATION
Peninsula   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
.   O

Respectfully   O
,   O
Dr.   O
Bender   B-NAME

Patient   O
Name   O
:   O
Henson   B-NAME
Medical   O
Record   O
No   O
:   O
340   B-ID
-   I-ID
40   I-ID
-   I-ID
48   I-ID
-   I-ID
7   I-ID
Age   O
:   O
4   O
Date   O
:   O
32/04/41   B-DATE
Doctor   O
:   O
Shenna   B-NAME
Deming   I-NAME
Hospital   O
:   O
Jacobi   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
Justine   B-NAME
Osborn   I-NAME
arrived   O
at   O
our   O
Santiam   B-LOCATION
Hospital   I-LOCATION
from   O
their   O
residence   O
in   O
Houston   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77022   I-LOCATION
.   O

Additionally   O
,   O
Hepburn   B-NAME
,   I-NAME
Katherine   I-NAME
reported   O
associated   O
symptoms   O
of   O
photosensitivity   O
and   O
phonophobia   O
,   O
but   O
denied   O
experiencing   O
any   O
aura   O
,   O
visual   O
disturbances   O
,   O
or   O
nausea   O
.   O

Domenic   B-NAME
Borge   I-NAME
's   O
medical   O
history   O
was   O
reviewed   O
and   O
was   O
notable   O
for   O
a   O
diagnosis   O
of   O
chronic   O
migraine   O
disorder   O
5   O
years   O
ago   O
for   O
which   O
they   O
had   O
been   O
treated   O
at   O
a   O
different   O
medical   O
facility   O
,   O
SHARE   B-LOCATION
.   O

Faustus   B-NAME
holding   O
Computer   O
Network   O
Architects   O
also   O
provided   O
information   O
about   O
recent   O
lifestyle   O
changes   O
which   O
included   O
a   O
dramatic   O
increase   O
in   O
work   O
hours   O
and   O
elevated   O
work   O
stress   O
which   O
might   O
have   O
led   O
to   O
insufficient   O
rest   O
.   O

The   O
patient   O
's   O
unique   O
identifier   O
is   O
82036   B-ID
and   O
the   O
last   O
office   O
visit   O
was   O
on   O
3/3/2343   B-DATE
.   O

Their   O
contact   O
number   O
is   O
711   B-CONTACT
-   I-CONTACT
330   I-CONTACT
6324   I-CONTACT
.   O

Winchell   B-NAME
,   I-NAME
Walter   I-NAME
's   O
primary   O
care   O
physician   O
,   O
English   B-NAME
was   O
informed   O
of   O
the   O
visit   O
.   O

Bruce   B-NAME
Godfrey   I-NAME
was   O
referred   O
to   O
a   O
headache   O
specialist   O
at   O
Carter   B-LOCATION
Center   I-LOCATION
in   O
Hooker   B-LOCATION
,   O
their   O
appointment   O
is   O
scheduled   O
for   O
38/35   B-DATE
and   O
the   O
patient   O
will   O
be   O
using   O
vehicle   O
ID   O
DQ:78461:302959   B-ID
for   O
transportation   O
.   O

If   O
you   O
need   O
further   O
information   O
,   O
you   O
can   O
contact   O
me   O
at   O
ZL9810   B-NAME
or   O
by   O
phone   O
at   O
95457   B-CONTACT
.   O

The   O
patient   O
's   O
zip   O
code   O
is   O
87936   B-LOCATION
and   O
I   O
'm   O
treating   O
the   O
patient   O
in   O
Long   B-LOCATION
Term   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Dothan   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
located   O
in   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11225   I-LOCATION
.   O

Upon   O
completion   O
of   O
evaluation   O
and   O
treatment   O
,   O
we   O
will   O
provide   O
complete   O
medical   O
records   O
with   O
the   O
document   O
ID   O
776   B-ID
-   I-ID
43   I-ID
-   I-ID
32   I-ID
.   O

For   O
any   O
other   O
concerns   O
related   O
to   O
the   O
case   O
,   O
please   O
contact   O
me   O
at   O
732   B-CONTACT
780   I-CONTACT
-   I-CONTACT
4505   I-CONTACT
.   O

Patient   O
Chung   B-NAME
Sager   I-NAME
with   O
ID   O
number   O
3   B-ID
-   I-ID
2186989   I-ID
presented   O
at   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Kenmore   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
in   O
New   B-LOCATION
York   I-LOCATION
on   O
March   B-DATE
.   O

Contact   O
information   O
for   O
Hateya   B-NAME
includes   O
phone   O
number   O
28665   B-CONTACT
and   O
living   O
address   O
which   O
is   O
a   O
ZIP   O
code   O
of   O
99213   B-LOCATION
.   O

The   O
overseeing   O
physician   O
for   O
this   O
case   O
is   O
Dr.   O
Faulkner   B-NAME
.   O

The   O
patient   O
's   O
medical   O
record   O
550   B-ID
-   I-ID
15   I-ID
-   I-ID
45   I-ID
-   I-ID
5   I-ID
shows   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
.   O

Carmen   B-NAME
Lynch   I-NAME
complained   O
of   O
severe   O
chest   O
pain   O
that   O
radiated   O
to   O
the   O
left   O
arm   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
emergency   O
department   O
at   O
Gracie   B-LOCATION
Square   I-LOCATION
Hospital   I-LOCATION
for   O
immediate   O
management   O
.   O

The   O
patient   O
was   O
immediately   O
admitted   O
to   O
the   O
Intermountain   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
cardiology   O
department   O
.   O

A   O
consent   O
form   O
was   O
signed   O
,   O
and   O
an   O
emergency   O
cardiac   O
catheterization   O
was   O
performed   O
by   O
Dr.   O
Clinton   B-NAME
Stanley   I-NAME
.   O

The   O
procedure   O
revealed   O
a   O
Haswell   B-LOCATION
-   O
situated   O
blockage   O
.   O

Suitable   O
treatment   O
was   O
initiated   O
by   O
Dr.   O
Latrisha   B-NAME
Truesdell   I-NAME
and   O
his   O
team   O
,   O
and   O
the   O
patient   O
responded   O
well   O
to   O
it   O
.   O

The   O
patient   O
is   O
on   O
a   O
strict   O
follow   O
-   O
up   O
plan   O
with   O
Dr.   O
Cheyanne   B-NAME
Chang   I-NAME
.   O

An   O
appointment   O
was   O
set   O
up   O
for   O
01/32/42   B-DATE
to   O
review   O
Martha   B-NAME
Livingston   I-NAME
‘s   O
progress   O
.   O

Their   O
employer   O
at   O
Kentucky   B-LOCATION
Farm   I-LOCATION
Bureau   I-LOCATION
has   O
been   O
notified   O
about   O
the   O
medical   O
situation   O
.   O

Updates   O
on   O
the   O
patient   O
are   O
to   O
be   O
accessed   O
with   O
USERNAME   O
dc933   B-NAME
for   O
relevant   O
parties   O
in   O
the   O
care   O
team   O
and   O
immediate   O
family   O
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Ponce   B-NAME
DOB   O
:   O
10/15   B-DATE
Health   O
Plan   O
ID   O
:   O
1   B-ID
-   I-ID
1896992   I-ID
Age   O
:   O
24   O
Phone   O
Number   O
:   O
(   B-CONTACT
521   I-CONTACT
)   I-CONTACT
203   I-CONTACT
9187   I-CONTACT
Location   O
:   O

Estell   B-LOCATION
Manor   I-LOCATION
Zipcode   O
:   O
26888   B-LOCATION
Medical   O
Record   O
Number   O
:   O
63711359   B-ID
Report   O
:   O

On   O
20/02   B-DATE
,   O
Keiichi   B-NAME
Wakaoji   I-NAME
walked   O
into   O
the   O
emergency   O
department   O
of   O
Lake   B-LOCATION
Wales   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
at   O
Buckeye   B-LOCATION
.   O

Carroll   B-NAME
presented   O
to   O
Dr.   O
Bernard   B-NAME
with   O
symptoms   O
of   O
rapid   O
heart   O
rate   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
chest   O
pain   O
consistent   O
with   O
the   O
presentation   O
of   O
supraventricular   O
tachycardia   O
.   O

Singleton   B-NAME
reported   O
that   O
these   O
symptoms   O
had   O
been   O
intermittent   O
for   O
about   O
3   O
days   O
.   O

Rocha   B-NAME
,   O
who   O
works   O
as   O
a   O
Heating   O
,   O
Air   O
Conditioning   O
,   O
and   O
Refrigeration   O
Mechanics   O
and   O
Installers   O
,   O
denied   O
any   O
history   O
of   O
smoking   O
or   O
substance   O
abuse   O
.   O

Past   O
medical   O
history   O
revealed   O
that   O
Wang   B-NAME
has   O
a   O
family   O
history   O
of   O
heart   O
diseases   O
with   O
his   O
father   O
experiencing   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
91   O
and   O
his   O
younger   O
brother   O
recently   O
diagnosed   O
with   O
hypertension   O
.   O

Ellyn   B-NAME
Chandier   I-NAME
had   O
no   O
previous   O
hospitalizations   O
and   O
the   O
only   O
medication   O
prescribed   O
was   O
a   O
multivitamin   O
from   O
Nevada   B-LOCATION
Pharmacy   O
.   O

Diagnostic   O
tests   O
,   O
overseen   O
by   O
Lamb   B-NAME
included   O
ECG   O
,   O
echocardiogram   O
,   O
blood   O
tests   O
and   O
chest   O
X   O
-   O
ray   O
.   O

Initial   O
findings   O
were   O
shared   O
with   O
Agnew   B-NAME
,   I-NAME
Spiro   I-NAME
on   O
00/64   B-DATE
via   O
phone   O
call   O
on   O
number   O
490   B-CONTACT
-   I-CONTACT
9371   I-CONTACT
.   O

The   O
medical   O
team   O
at   O
Culpeper   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
has   O
put   O
together   O
a   O
treatment   O
plan   O
for   O
Simone   B-NAME
Hart   I-NAME
which   O
has   O
been   O
communicated   O
for   O
a   O
follow   O
up   O
appointment   O
to   O
be   O
scheduled   O
.   O

Recommended   O
patient   O
notes   O
and   O
medical   O
findings   O
have   O
been   O
digitally   O
updated   O
and   O
can   O
be   O
accessed   O
using   O
CD525   B-NAME
on   O
the   O
online   O
patient   O
portal   O
provided   O
by   O
Finance   B-LOCATION
Sector   I-LOCATION
Union   I-LOCATION
.   O

The   O
team   O
has   O
done   O
a   O
wonderful   O
job   O
thus   O
far   O
in   O
managing   O
Isaac   B-NAME
Ferraro   I-NAME
's   O
case   O
and   O
ensuring   O
that   O
all   O
necessary   O
precautions   O
were   O
taken   O
.   O

As   O
of   O
now   O
Eden   B-NAME
Edwards   I-NAME
is   O
stable   O
and   O
under   O
the   O
careful   O
watch   O
of   O
our   O
healthcare   O
staff   O
.   O

Patient   O
Report   O
:   O
Baddiel   B-NAME
,   I-NAME
David   I-NAME
,   O
a   O
Excavating   O
and   O
Loading   O
Machine   O
Operators   O
in   O
Matheny   B-LOCATION
,   O
was   O
admitted   O
to   O
Reston   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
00   B-DATE
.   O

Her   O
primary   O
physician   O
,   O
James   B-NAME
,   I-NAME
C.   I-NAME
L.   I-NAME
R.   I-NAME
,   O
decided   O
that   O
further   O
examination   O
was   O
necessary   O
.   O

Magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
scan   O
,   O
conducted   O
on   O
July   B-DATE
2251   I-DATE
,   O
showed   O
abnormalities   O
in   O
her   O
spleen   O
.   O

Joey   B-NAME
Fields   I-NAME
's   O
medical   O
history   O
,   O
provided   O
by   O
Barnes   B-LOCATION
Banking   I-LOCATION
Company   I-LOCATION
,   O
reveals   O
no   O
known   O
allergies   O
,   O
no   O
previous   O
surgeries   O
,   O
and   O
she   O
is   O
not   O
on   O
any   O
chronic   O
medications   O
.   O

Having   O
considered   O
the   O
symptoms   O
and   O
family   O
history   O
,   O
Mills   B-NAME
requested   O
additional   O
tests   O
to   O
further   O
confirm   O
the   O
diagnosis   O
.   O

She   O
lives   O
alone   O
in   O
her   O
residence   O
at   O
Why   B-LOCATION
and   O
her   O
contact   O
number   O
is   O
153   B-CONTACT
-   I-CONTACT
2031   I-CONTACT
.   O

In   O
case   O
of   O
any   O
emergency   O
,   O
she   O
mentioned   O
contacting   O
her   O
sister   O
who   O
resides   O
at   O
28693   B-LOCATION
.   O

Her   O
identification   O
number   O
is   O
ZI773/3144   B-ID
and   O
her   O
medical   O
record   O
number   O
at   O
AdventHealth   B-LOCATION
North   I-LOCATION
Pinellas   I-LOCATION
is   O
424   B-ID
-   I-ID
24   I-ID
-   I-ID
91   I-ID
-   I-ID
5   I-ID
.   O

The   O
username   O
for   O
her   O
health   O
portal   O
is   O
OV04   B-NAME
where   O
the   O
results   O
of   O
her   O
tests   O
will   O
be   O
published   O
.   O

The   O
patient   O
will   O
be   O
informed   O
about   O
the   O
test   O
results   O
by   O
3/7/51   B-DATE
.   O

The   O
patient   O
,   O
Allston   B-NAME
,   I-NAME
Aaron   I-NAME
,   O
male   O
,   O
3   O
,   O
was   O
brought   O
into   O
the   O
Capital   B-LOCATION
Region   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
April   B-DATE
2   I-DATE
.   O

He   O
was   O
seen   O
by   O
Curtis   B-NAME
Stone   I-NAME
in   O
association   O
with   O
his   O
medical   O
record   O
number   O
428   B-ID
-   I-ID
77   I-ID
-   I-ID
22   I-ID
.   O

Patient   O
Address   O
:   O
Charlette   B-NAME
Ruston   I-NAME
resides   O
at   O
Otero   B-LOCATION
,   O
and   O
his   O
contact   O
number   O
is   O
75701   B-CONTACT
.   O

His   O
postal   O
code   O
is   O
89438   B-LOCATION
.   O

Description   O
of   O
Present   O
Illness   O
:   O
Vogel   B-NAME
presented   O
with   O
a   O
severe   O
,   O
dull   O
pain   O
on   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Nicodemus   B-NAME
S.   I-NAME
Paz   I-NAME
also   O
experienced   O
episodes   O
of   O
nausea   O
accompanied   O
by   O
vomiting   O
at   O
least   O
twice   O
per   O
day   O
for   O
several   O
days   O
,   O
and   O
jaundice   O
was   O
noticed   O
,   O
identifiable   O
by   O
the   O
yellowing   O
of   O
the   O
skin   O
and   O
the   O
whites   O
of   O
the   O
eyes   O
.   O

OTTO   B-NAME
,   I-NAME
SUZANNE   I-NAME
reported   O
a   O
fever   O
of   O
approximately   O
101   O
degrees   O
Fahrenheit   O
persisting   O
for   O
three   O
consecutive   O
days   O
before   O
deciding   O
to   O
visit   O
the   O
hospital   O
.   O

His   O
medical   O
and   O
surgical   O
history   O
is   O
notable   O
for   O
treated   O
hypertension   O
and   O
a   O
cholecystectomy   O
done   O
at   O
University   B-LOCATION
of   I-LOCATION
California   I-LOCATION
Davis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
years   O
ago   O
.   O

Investigation   O
and   O
Assessment   O
:   O
The   O
Kelley   B-NAME
recommended   O
urgent   O
investigations   O
.   O

Hull   B-NAME
,   I-NAME
Bobby   I-NAME
was   O
listed   O
under   O
Case   O
ID   O
:   O
IQ:15188:656115   B-ID

under   O
the   O
DTE   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
DTE   I-LOCATION
Energy   I-LOCATION
Electric   I-LOCATION
Company   I-LOCATION
)   I-LOCATION
database   O
.   O

All   O
the   O
records   O
are   O
accessible   O
under   O
the   O
username   O
:   O
kr61   B-NAME
.   O

Cleveland   B-NAME
was   O
initiated   O
on   O
supportive   O
therapy   O
immediately   O
after   O
confirming   O
the   O
diagnosis   O
.   O

The   O
next   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
12/11/20   B-DATE
.   O

Hundertwasser   B-NAME
,   I-NAME
Friedensreich   I-NAME
will   O
continue   O
with   O
the   O
therapy   O
and   O
symptom   O
monitoring   O
until   O
then   O
.   O

Education   O
Administrators   O
,   O
Elementary   O
and   O
Secondary   O
School   O
at   O
Mc   B-LOCATION
Kinney   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
75069   I-LOCATION
has   O
been   O
assisting   O
him   O
to   O
manage   O
his   O
pain   O
and   O
symptoms   O
.   O

Rockefeller   B-NAME
,   I-NAME
John   I-NAME
D.   I-NAME
is   O
allowed   O
to   O
contact   O
Calderon   B-NAME
at   O
899   B-CONTACT
365   I-CONTACT
-   I-CONTACT
4732   I-CONTACT
for   O
any   O
health   O
concerns   O
before   O
the   O
follow   O
-   O
up   O
date   O
.   O

Signed   O
,   O
Brady   B-NAME
31/12   B-DATE

Patient   O
's   O
name   O
:   O
Dragos   B-NAME
Lovero   I-NAME
Patient   O
's   O
age   O
:   O
66s   O
Patient   O
's   O
ID   O
:   O
5   B-ID
-   I-ID
9082712   I-ID
The   O
patient   O
,   O
Darryl   B-NAME
Larson   I-NAME
of   O
7   O
week   O
years   O
,   O
first   O
presented   O
with   O
symptoms   O
on   O
33/8   B-DATE
.   O

This   O
is   O
her   O
first   O
consultation   O
with   O
Griswold   B-NAME
,   I-NAME
Erwin   I-NAME
at   O
Manhattan   B-LOCATION
Surgical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Manhattan   I-LOCATION
.   O

Her   O
medical   O
history   O
was   O
further   O
acquired   O
from   O
her   O
family   O
and   O
records   O
from   O
Highlands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

It   O
indicated   O
she   O
had   O
a   O
history   O
of   O
hypertension   O
under   O
treatment   O
in   O
Rio   B-LOCATION
Rancho   I-LOCATION
.   O

Follow   O
up   O
calls   O
were   O
conducted   O
using   O
437   B-CONTACT
163   I-CONTACT
1079   I-CONTACT
and   O
further   O
appointments   O
were   O
scheduled   O
on   O
January   B-DATE
at   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Parkridge   I-LOCATION
.   O

For   O
her   O
convenience   O
,   O
she   O
was   O
also   O
referred   O
to   O
organizations   O
and   O
community   O
supports   O
in   O
97188   B-LOCATION
,   O
her   O
current   O
residential   O
vicinity   O
.   O

All   O
relevant   O
medical   O
records   O
were   O
updated   O
under   O
the   O
patient   O
’s   O
unique   O
medical   O
record   O
number   O
-   O
8095689   B-ID
.   O

The   O
doctor   O
in   O
charge   O
,   O
Livermore   B-NAME
,   I-NAME
Jesse   I-NAME
Lauriston   I-NAME
,   O
was   O
contacted   O
through   O
tcq451   B-NAME
to   O
track   O
the   O
patient   O
’s   O
response   O
to   O
the   O
medication   O
and   O
progress   O
.   O

Any   O
queries   O
regarding   O
this   O
case   O
can   O
be   O
addressed   O
to   O
the   O
medical   O
team   O
at   O
Delta   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
(   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Bibb   I-LOCATION
County   I-LOCATION
)   O
at   O
our   O
earliest   O
.   O

The   O
patient   O
,   O
Aylin   B-NAME
Goodwin   I-NAME
,   O
is   O
a   O
53   O
year   O
-   O
old   O
individual   O
who   O
first   O
reported   O
severe   O
abdominal   O
pain   O
on   O
30/18/2392   B-DATE
.   O

He   O
lives   O
in   O
Akron   B-LOCATION
and   O
is   O
employed   O
as   O
a   O
Public   O
Address   O
System   O
and   O
Other   O
Announcers   O
.   O

He   O
was   O
first   O
seen   O
by   O
Dr.   O
Padilla   B-NAME
at   O
Lincoln   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
primary   O
complaint   O
of   O
Jones   B-NAME
was   O
a   O
constant   O
,   O
severe   O
pain   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
his   O
abdomen   O
.   O

This   O
made   O
a   O
surgery   O
necessary   O
,   O
i.e.   O
,   O
the   O
removal   O
of   O
his   O
inflamed   O
appendix   O
(   O
appendectomy   O
)   O
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
.   O

He   O
was   O
scheduled   O
for   O
surgery   O
on   O
30/10   B-DATE
.   O

The   O
operation   O
was   O
successful   O
and   O
Umberto   B-NAME
Xuan   I-NAME
is   O
on   O
his   O
path   O
of   O
recovery   O
.   O

For   O
further   O
queries   O
or   O
emergencies   O
,   O
contact   O
42233   B-CONTACT
.   O

Please   O
reference   O
his   O
medical   O
record   O
number   O
35207419   B-ID
or   O
his   O
patient   O
ID   O
9355245   B-ID
in   O
all   O
communications   O
.   O

The   O
post   O
-   O
surgery   O
checkup   O
appointment   O
has   O
been   O
scheduled   O
on   O
August   B-DATE
with   O
Dr.   O
Carleigh   B-NAME
Stanley   I-NAME
at   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Capitol   I-LOCATION
Hill   I-LOCATION
.   O

The   O
statement   O
for   O
this   O
procedure   O
will   O
be   O
sent   O
by   O
the   O
Georgian   B-LOCATION
Bank   I-LOCATION
to   O
his   O
address   O
in   O
Derby   B-LOCATION
.   O

It   O
may   O
also   O
be   O
collected   O
in   O
person   O
at   O
our   O
office   O
in   O
Durango   B-LOCATION
55994   B-LOCATION
.   O

His   O
insurer   O
,   O
Pierce   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
,   O
has   O
been   O
notified   O
about   O
his   O
diagnosis   O
and   O
treatment   O
.   O

Should   O
there   O
be   O
a   O
need   O
for   O
discussing   O
the   O
treatment   O
plan   O
in   O
detail   O
,   O
please   O
contact   O
the   O
patient   O
care   O
team   O
which   O
includes   O
Dr.   O
Grellet   B-NAME
,   I-NAME
Stephen   I-NAME
and   O
xv338   B-NAME
,   O
who   O
is   O
in   O
charge   O
of   O
patient   O
coordination   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Benton   B-NAME
Date   O
:   O
01/21/2112   B-DATE
Hospital   O
:   O

Johnson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
MD   O
:   O
Dougherty   B-NAME
Age   O
:   O
3   O
The   O
patient   O
,   O
Kayla   B-NAME
Thornton   I-NAME
,   O
reported   O
to   O
the   O
Emergency   O
Department   O
at   O
OhioHealth   B-LOCATION
-   I-LOCATION
O'Bleness   I-LOCATION
Hospital   I-LOCATION
on   O
10/32   B-DATE
.   O

He   O
is   O
a   O
Critical   O
Care   O
Nurses   O
by   O
trade   O
,   O
living   O
in   O
the   O
Myers   B-LOCATION
Corner   I-LOCATION
area   O
,   O
zip   O
code   O
86478   B-LOCATION
.   O

Next   O
of   O
kin   O
is   O
reachable   O
at   O
66855   B-CONTACT
.   O

Patient   O
specs   O
include   O
:   O
-   O
ID   O
:   O
117792128   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
15101341   B-ID
-   O
Username   O
:   O
jdh778   B-NAME
As   O
for   O
the   O
patient   O
's   O
symptoms   O
,   O
he   O
presented   O
with   O
acute   O
,   O
severe   O
abdominal   O
pain   O
,   O
localized   O
in   O
his   O
right   O
lower   O
quadrant   O
.   O

Physical   O
examination   O
performed   O
by   O
Dr.   O
Vance   B-NAME
,   O
on   O
duty   O
at   O
UPMC   B-LOCATION
Harrisburg   I-LOCATION
at   O
that   O
time   O
,   O
revealed   O
tenderness   O
on   O
palpating   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
likely   O
appendicitis   O
.   O

Based   O
on   O
the   O
above   O
findings   O
,   O
Dr.   O
Aliana   B-NAME
Farmer   I-NAME
ordered   O
an   O
emergency   O
CT   O
scan   O
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
further   O
evaluated   O
for   O
other   O
differential   O
diagnoses   O
,   O
considering   O
the   O
context   O
of   O
his   O
age   O
31   O
and   O
profession   O
Education   O
Administrators   O
,   O
Preschool   O
and   O
Child   O
Care   O
Center   O
--   O
Program   O
within   O
the   O
organization   O
Philadelphia   B-LOCATION
Insurance   I-LOCATION
Companies   I-LOCATION
.   O

The   O
patient   O
was   O
admitted   O
to   O
an   O
in   O
-   O
patient   O
bed   O
for   O
immediate   O
surgical   O
intervention   O
and   O
post   O
-   O
operative   O
care   O
as   O
deemed   O
necessary   O
by   O
Dr.   O
Peterson   B-NAME
.   O

His   O
health   O
plan   O
number   O
is   O
documented   O
as   O
9   B-ID
-   I-ID
8393996   I-ID
.   O

His   O
medical   O
record   O
number   O
at   O
Rockdale   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
recorded   O
as   O
3040068   B-ID
.   O

Prepared   O
by   O
,   O
djy629   B-NAME

Patient   O
Name   O
:   O
Browne   B-NAME
,   I-NAME
Sir   I-NAME
Thomas   I-NAME
Date   O
:   O
05/12/29   B-DATE
MR   O
#   O
:   O
3450481   B-ID
SSN   O
:   O
NK:64962:387980   B-ID
Profession   O
:   O
Psychologists   O
,   O
All   O
Other   O
Hospital   O
:   O

Manning   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
Center   I-LOCATION
Doctor   O
:   O
Shannon   B-NAME
French   I-NAME
Location   O
:   O
Hollandale   B-LOCATION
Phone   O
:   O
19971   B-CONTACT
Organization   O
:   O

Carter   B-LOCATION
Center   I-LOCATION
Username   O
:   O

ZJ22   B-NAME
Zip   O
Code   O
:   O
29441   B-LOCATION
Chief   O
complaint   O
:   O
Xue   B-NAME
,   I-NAME
Laura   I-NAME
has   O
presented   O
with   O
a   O
2   O
-   O
week   O
history   O
of   O
extreme   O
fatigue   O
and   O
reduced   O
exercise   O
tolerance   O
.   O

Background   O
:   O
Waqabaca   B-NAME
,   I-NAME
Josaia   I-NAME
is   O
a   O
5   O
week   O
year   O
old   O
individual   O
residing   O
at   O
Pittsburgh   B-LOCATION
and   O
working   O
as   O
a   O
Telecommunications   O
Facility   O
Examiners   O
.   O

Macdonald   B-NAME
previously   O
did   O
not   O
report   O
any   O
significant   O
health   O
issues   O
and   O
has   O
preserved   O
an   O
active   O
lifestyle   O
.   O

Objective   O
examination   O
of   O
Peace   B-NAME
revealed   O
a   O
decreased   O
hemoglobin   O
count   O
and   O
hematocrit   O
levels   O
,   O
indicating   O
potential   O
anemia   O
.   O

Richardson   B-NAME
was   O
admitted   O
to   O
Winchester   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Conrad   B-NAME
on   O
02/15   B-DATE
.   O

Reassessment   O
appointment   O
is   O
scheduled   O
for   O
22/02   B-DATE
.   O

Meanwhile   O
,   O
for   O
immediate   O
queries   O
Cecelia   B-NAME
Fitzpatrick   I-NAME
is   O
advised   O
to   O
contact   O
Sharon   B-LOCATION
Hospital   I-LOCATION
ward   O
room   O
at   O
76210   B-CONTACT
.   O

Signed   O
:   O
Ismael   B-NAME
Alexander   I-NAME
HH821   B-NAME
Medical   O
Practitioner   O
at   O
Menifee   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Zip   O
:   O
38252   B-LOCATION

Subject   O
:   O
Yovani   B-NAME
Vergara   I-NAME
's   O
Visit   O
Summary   O
Dear   O
Miya   B-NAME
Ortega   I-NAME
,   O
I   O
'm   O
writing   O
to   O
provide   O
you   O
with   O
a   O
summary   O
of   O
Ishaan   B-NAME
Macdonald   I-NAME
's   O
medical   O
visit   O
that   O
took   O
place   O
on   O
22/11   B-DATE
.   O

Ben   B-NAME
Andrews   I-NAME
arrived   O
at   O
HSHS   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
and   O
presented   O
with   O
persistent   O
cough   O
,   O
high   O
fever   O
and   O
difficulty   O
breathing   O
-   O
symptoms   O
suggestive   O
of   O
pneumonia   O
.   O

Dorthea   B-NAME
Classen   I-NAME
,   O
who   O
is   O
32   O
years   O
old   O
,   O
has   O
been   O
experiencing   O
these   O
symptoms   O
for   O
about   O
a   O
week   O
.   O

Singleton   B-NAME
's   O
temperature   O
was   O
38.2   O
degrees   O
Celsius   O
,   O
blood   O
pressure   O
120/80   O
mmHg   O
.   O

Laboratory   O
investigations   O
at   O
our   O
facility   O
Sioux   B-LOCATION
Center   I-LOCATION
Health   I-LOCATION
were   O
done   O
.   O

The   O
complete   O
blood   O
count   O
,   O
conducted   O
under   O
883   B-ID
-   I-ID
37   I-ID
-   I-ID
54   I-ID
-   I-ID
8   I-ID
,   O
showed   O
leucocytosis   O
,   O
primarily   O
neutrophilia   O
,   O
and   O
elevated   O
C   O
-   O
reactive   O
protein   O
.   O

We   O
have   O
started   O
Jace   B-NAME
Pierce   I-NAME
on   O
intravenous   O
fluids   O
and   O
empirical   O
antibiotics   O
as   O
per   O
the   O
guidelines   O
of   O
European   B-LOCATION
Beer   I-LOCATION
Consumers   I-LOCATION
Union   I-LOCATION
(   I-LOCATION
EBCU   I-LOCATION
)   I-LOCATION
.   O

I   O
have   O
scheduled   O
another   O
follow   O
-   O
up   O
on   O
35/05/2318   B-DATE
for   O
further   O
monitoring   O
.   O

It   O
is   O
important   O
for   O
Grisel   B-NAME
Aitchison   I-NAME
to   O
continue   O
resting   O
and   O
stay   O
hydrated   O
.   O

Moreover   O
,   O
Ingrid   B-NAME
Mckee   I-NAME
is   O
a   O
resident   O
of   O
Merna   B-LOCATION
and   O
in   O
case   O
of   O
any   O
emergency   O
,   O
they   O
can   O
contact   O
us   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Meridian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
using   O
the   O
following   O
40166   B-CONTACT
number   O
.   O

I   O
have   O
provided   O
the   O
care   O
provider   O
at   O
California   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
with   O
the   O
details   O
of   O
Harrison   B-NAME
Blackwood   I-NAME
’s   O
diagnosis   O
and   O
treatment   O
plan   O
using   O
the   O
secured   O
xpi243   B-NAME
account   O
.   O

If   O
any   O
other   O
inquiries   O
need   O
to   O
be   O
made   O
,   O
they   O
can   O
use   O
the   O
patient   O
's   O
sign   O
-   O
in   O
ID   O
:   O
4266721   B-ID
and   O
Chevalier   B-NAME
,   I-NAME
Maurice   I-NAME
lives   O
at   O
16975   B-LOCATION
.   O

Please   O
inform   O
Madilyn   B-NAME
Schroeder   I-NAME
to   O
notify   O
the   O
hospital   O
if   O
they   O
have   O
increased   O
shortness   O
of   O
breath   O
or   O
if   O
their   O
condition   O
worsens   O
.   O

Thanks   O
for   O
referring   O
Barlow   B-NAME
,   I-NAME
John   I-NAME
Perry   I-NAME
to   O
our   O
facility   O
Faxton   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
and   O
assisting   O
in   O
the   O
treatment   O
plan   O
as   O
a   O
Crown   O
Prosecution   O
Service   O
lawyer   O
.   O

Best   O
regards   O
,   O
Olsen   B-NAME

Patient   O
Julie   B-NAME
Davis   I-NAME
presented   O
to   O
Illinois   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
02/21/2071   B-DATE
,   O
with   O
progressive   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
,   O
and   O
fatigue   O
.   O

Pallaton   B-NAME
is   O
a   O
Nature   O
conservation   O
officer   O
with   O
a   O
history   O
of   O
20   O
years   O
of   O
cigarette   O
smoking   O
.   O

As   O
the   O
primary   O
care   O
physician   O
,   O
Dr.   O
Jase   B-NAME
Hensley   I-NAME
ordered   O
several   O
tests   O
,   O
including   O
chest   O
X   O
-   O
rays   O
and   O
a   O
pulmonary   O
function   O
test   O
.   O

The   O
X   O
-   O
ray   O
performed   O
on   O
09/12/1685   B-DATE
at   O
Snapping   B-LOCATION
Shoals   I-LOCATION
EMC   I-LOCATION
showed   O
a   O
suspicious   O
mass   O
in   O
the   O
upper   O
right   O
lobe   O
of   O
the   O
lung   O
.   O

The   O
patient   O
was   O
referred   O
for   O
further   O
investigation   O
to   O
a   O
pulmonologist   O
,   O
Dr.   O
Randall   B-NAME
on   O
12/23/2009   B-DATE
.   O

Based   O
on   O
the   O
results   O
of   O
the   O
bronchoscopy   O
conducted   O
at   O
St.   B-LOCATION
Louis   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
7/23   B-DATE
,   O
a   O
diagnosis   O
of   O
stage   O
II   O
non   O
-   O
small   O
cell   O
lung   O
cancer   O
was   O
suggested   O
.   O

To   O
confirm   O
,   O
the   O
tissue   O
samples   O
taken   O
during   O
the   O
bronchoscopy   O
were   O
sent   O
to   O
Selective   B-LOCATION
Insurance   I-LOCATION
pathology   O
lab   O
for   O
testing   O
.   O

Patient   O
's   O
medical   O
record   O
number   O
865   B-ID
-   I-ID
40   I-ID
-   I-ID
17   I-ID
-   I-ID
4   I-ID
and   O
ID   O
number   O
ZL971/6490   B-ID
were   O
used   O
for   O
the   O
testing   O
.   O

The   O
pathology   O
report   O
was   O
received   O
on   O
03/20   B-DATE
which   O
confirmed   O
the   O
diagnosis   O
.   O

The   O
patient   O
lived   O
in   O
Magnet   B-LOCATION
and   O
the   O
regional   O
incidence   O
of   O
lung   O
cancer   O
was   O
observed   O
to   O
be   O
higher   O
in   O
this   O
specific   O
geographic   O
region   O
,   O
attributed   O
to   O
higher   O
exposure   O
to   O
industrial   O
pollutants   O
.   O

Hubbard   B-NAME
,   I-NAME
Elbert   I-NAME
was   O
admitted   O
to   O
the   O
oncology   O
department   O
of   O
HSHS   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
with   O
room   O
number   O
3212S72155   B-ID
on   O
0/0/00   B-DATE
.   O
Follow   O
-   O
up   O
with   O
Dr.   O
Carter   B-NAME
Hines   I-NAME
has   O
been   O
set   O
for   O
July   B-DATE
in   O
Lawrence   B-LOCATION
&   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
to   O
discuss   O
patient   O
's   O
reaction   O
and   O
side   O
effects   O
to   O
the   O
therapy   O
.   O

The   O
patient   O
was   O
provided   O
the   O
appointment   O
confirmation   O
through   O
his   O
phone   O
number   O
904   B-CONTACT
-   I-CONTACT
4117   I-CONTACT
.   O

Please   O
refer   O
to   O
chh137   B-NAME
for   O
any   O
further   O
comments   O
or   O
consultations   O
regarding   O
BS   B-NAME
's   O
current   O
health   O
status   O
.   O

The   O
report   O
can   O
be   O
addressed   O
to   O
zip   O
code   O
71580   B-LOCATION
for   O
any   O
mail   O
communications   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Clarke   B-NAME
,   I-NAME
Arthur   I-NAME
C.   I-NAME
DOB   O
:   O
13/21/13   B-DATE
Gender   O
:   O
Male   O
Occupation   O
:   O
dietician   O
Medical   O
Record   O
No   O
:   O
84869837   B-ID
Contact   O
Number   O
:   O
(   B-CONTACT
903   I-CONTACT
)   I-CONTACT
619   I-CONTACT
-   I-CONTACT
3742   I-CONTACT
Home   O
Address   O
:   O
Houghton   B-LOCATION
Zip   O
Code   O
:   O
49310   B-LOCATION
Physician   O
's   O
Name   O
:   O
Edwards   B-NAME
Encounter   O
Details   O
:   O
Mr.   O
Cache   B-NAME
visited   O
the   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Trenton   I-LOCATION
clinic   O
complaining   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
and   O
occasional   O
chest   O
pain   O
for   O
about   O
2   O
weeks   O
.   O

On   O
03/05/1989   B-DATE
,   O
he   O
experienced   O
an   O
episode   O
of   O
acute   O
dyspnea   O
leading   O
him   O
to   O
immediately   O
seek   O
medical   O
help   O
.   O

Patient   O
's   O
ID   O
WL:7316:316590   B-ID
has   O
been   O
referenced   O
for   O
detailed   O
past   O
records   O
.   O

On   O
examination   O
,   O
Dr.   O
Miles   B-NAME
J.   I-NAME
Bennell   I-NAME
noted   O
that   O
the   O
patient   O
's   O
heart   O
rate   O
is   O
slightly   O
elevated   O
.   O

Wang   B-NAME
referred   O
the   O
patient   O
for   O
further   O
tests   O
to   O
confirm   O
the   O
diagnosis   O
.   O

Tests   O
and   O
Results   O
:   O
Chest   O
X   O
-   O
Ray   O
performed   O
on   O
19/06/93   B-DATE
showed   O
some   O
shadows   O
in   O
the   O
lower   O
lung   O
fields   O
.   O

Strangelove   B-NAME
then   O
ordered   O
a   O
pulmonary   O
function   O
test   O
which   O
revealed   O
reduced   O
air   O
flow   O
,   O
pointing   O
towards   O
a   O
possibility   O
of   O
a   O
obstructive   O
pulmonary   O
disorder   O
.   O
Plan   O
:   O

Considering   O
the   O
patient   O
's   O
symptoms   O
and   O
test   O
results   O
,   O
Christensen   B-NAME
has   O
recommended   O
a   O
treatment   O
plan   O
that   O
includes   O
a   O
combination   O
of   O
medications   O
and   O
major   O
lifestyle   O
changes   O
.   O

In   O
case   O
of   O
any   O
worsening   O
symptoms   O
,   O
Mr.   O
Tommy   B-NAME
Willis   I-NAME
should   O
directly   O
visit   O
the   O
emergency   O
department   O
of   O
Cornwall   B-LOCATION
Hospital   I-LOCATION
;   I-LOCATION
Cornwall   I-LOCATION
(   I-LOCATION
now   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
the   O
physician   O
at   O
396   B-CONTACT
4876   I-CONTACT
.   O

He   O
is   O
advised   O
to   O
carry   O
the   O
document   O
bearing   O
ID   O
HV146/9310   B-ID
for   O
all   O
his   O
medical   O
visits   O
.   O

Follow   O
-   O
Up   O
Appointment   O
:   O
Mr.   O
Natalia   B-NAME
Guzman   I-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
2180   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
20   I-DATE
.   O

He   O
is   O
asked   O
to   O
bring   O
his   O
recent   O
medical   O
documents   O
and   O
records   O
provided   O
by   O
McIntosh   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
.   O

Physician   O
's   O
Signature   O
:   O
Cisneros   B-NAME
00   B-DATE
-   I-DATE
Nov-2200   I-DATE
zjw492   B-NAME

Patient   O
Report   O
Patient   O
Quiana   B-NAME
N.   I-NAME
Bullock   I-NAME
visited   O
our   O
clinic   O
on   O
5/38/87   B-DATE
.   O

During   O
the   O
visit   O
,   O
Mr.   O
Selena   B-NAME
Landry   I-NAME
underwent   O
a   O
series   O
of   O
tests   O
under   O
the   O
supervision   O
of   O
Donaldson   B-NAME
.   O

A   O
CT   O
scan   O
of   O
the   O
head   O
was   O
performed   O
at   O
AnMed   B-LOCATION
Health   I-LOCATION
Cannon   I-LOCATION
and   O
could   O
not   O
detect   O
any   O
abnormality   O
.   O

The   O
patient   O
resides   O
in   O
St.   B-LOCATION
Lawrence   I-LOCATION
and   O
came   O
to   O
our   O
center   O
after   O
referral   O
from   O
their   O
local   O
healthcare   O
Independent   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Ireland   I-LOCATION
.   O

However   O
,   O
the   O
health   O
record   O
from   O
his   O
steady   O
check   O
up   O
last   O
year   O
with   O
his   O
regular   O
doctor   O
Harry   B-NAME
Weston   I-NAME
was   O
missing   O
which   O
was   O
noted   O
in   O
his   O
patient   O
ID   O
XG545/9790   B-ID
.   O

Mr.   O
Alexzander   B-NAME
Potts   I-NAME
has   O
been   O
prescribed   O
a   O
trial   O
run   O
of   O
medication   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
32/05   B-DATE
for   O
further   O
assessment   O
and   O
adjustment   O
of   O
his   O
medication   O
regimen   O
if   O
necessary   O
.   O

For   O
further   O
queries   O
,   O
please   O
contact   O
the   O
clinic   O
at   O
(   B-CONTACT
727   I-CONTACT
)   I-CONTACT
402   I-CONTACT
1899   I-CONTACT
.   O

Mr.   O
Angel   B-NAME
Glover   I-NAME
's   O
digital   O
health   O
report   O
can   O
be   O
accessed   O
by   O
the   O
username   O
VO810   B-NAME
and   O
the   O
medical   O
record   O
number   O
364   B-ID
-   I-ID
88   I-ID
-   I-ID
36   I-ID
-   I-ID
8   I-ID
.   O

For   O
appointments   O
or   O
emergencies   O
,   O
please   O
visit   O
us   O
at   O
the   O
Atrium   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

It   O
's   O
on   O
the   O
crossroads   O
of   O
Fort   B-LOCATION
Totten   I-LOCATION
and   O
33687   B-LOCATION
.   O

Patient   O
report   O
:   O
Sharpton   B-NAME
,   I-NAME
Al   I-NAME
presented   O
to   O
INTEGRIS   B-LOCATION
Deaconess   I-LOCATION
on   O
the   O
morning   O
of   O
the   O
01/8   B-DATE
with   O
complaints   O
of   O
intermittent   O
dizziness   O
and   O
frequent   O
syncope   O
episodes   O
.   O

The   O
patient   O
was   O
previously   O
seen   O
by   O
Titus   B-NAME
Bourdages   I-NAME
who   O
advised   O
an   O
ambulatory   O
ECG   O
monitoring   O
,   O
the   O
results   O
of   O
which   O
were   O
non   O
-   O
revealing   O
.   O

His   O
medications   O
include   O
amlodipine   O
FO634/2988   B-ID
for   O
hypertension   O
and   O
simvastatin   O
for   O
hypercholesterolemia   O
.   O

Review   O
of   O
past   O
medical   O
records   O
31385012   B-ID
revealed   O
a   O
negative   O
cardiac   O
workup   O
11   B-DATE
.   O

Given   O
that   O
Norah   B-NAME
Kirk   I-NAME
lives   O
in   O
DeLand   B-LOCATION
,   I-LOCATION
MainStreet   I-LOCATION
DeLand   I-LOCATION
Association   I-LOCATION
and   O
is   O
at   O
an   O
increased   O
risk   O
for   O
cardiac   O
disorders   O
,   O
an   O
urgent   O
referral   O
has   O
been   O
made   O
to   O
cardiology   O
.   O

We   O
have   O
requested   O
further   O
investigations   O
and   O
management   O
plan   O
from   O
the   O
attending   O
cardiologist   O
Karma   B-NAME
Herman   I-NAME
.   O

We   O
are   O
closely   O
monitoring   O
Gina   B-NAME
Kevin   I-NAME
Irons   I-NAME
's   O
condition   O
.   O

For   O
any   O
concerns   O
,   O
please   O
feel   O
free   O
to   O
reach   O
out   O
to   O
the   O
case   O
manager   O
at   O
544   B-CONTACT
-   I-CONTACT
2946   I-CONTACT
.   O

Next   O
of   O
kin   O
is   O
available   O
in   O
Bruce   B-LOCATION
,   O
75750   B-LOCATION
and   O
can   O
be   O
contacted   O
at   O
(   B-CONTACT
325   I-CONTACT
)   I-CONTACT
842   I-CONTACT
1665   I-CONTACT
.   O

Patients   O
'   O
healthcare   O
POA   O
is   O
on   O
file   O
under   O
ymb489   B-NAME
at   O
Dairyland   B-LOCATION
Power   I-LOCATION
Coop   I-LOCATION
.   O

(   O
Patient   O
report   O
prepared   O
and   O
submitted   O
by   O
Camilla   B-NAME
Dougherty   I-NAME
)   O

Patient   O
Name   O
:   O
Payne   B-NAME
,   I-NAME
Max   I-NAME
Age   O
:   O
87   O
DOB   O
:   O
22/30   B-DATE
Phone   O
:   O
298   B-CONTACT
-   I-CONTACT
1752   I-CONTACT
Location   O
:   O
Frederick   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Frederick   I-LOCATION
Partnership   I-LOCATION
Zip   O
:   O
74222   B-LOCATION
Hospital   O
:   O
Candler   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Savannah   I-LOCATION
)   I-LOCATION

Doctor   O
:   O
Reina   B-NAME
Waller   I-NAME
Medical   O
Record   O
No   O
:   O
3486S45345   B-ID
ID   O
:   O
QQ436/7321   B-ID
The   O
patient   O
,   O
Kirby   B-NAME
,   O
presented   O
with   O
concerns   O
of   O
experiencing   O
frequent   O
headaches   O
,   O
nausea   O
,   O
and   O
feelings   O
of   O
faintness   O
over   O
the   O
past   O
two   O
weeks   O
.   O

A   O
detailed   O
neurological   O
examination   O
conducted   O
by   O
Dr.   O
Allyson   B-NAME
Lozano   I-NAME
suggested   O
a   O
mild   O
nystagmus   O
in   O
the   O
left   O
eye   O
and   O
bilateral   O
papilledema   O
upon   O
fundoscopic   O
examination   O
.   O

CT   O
scan   O
and   O
MRI   O
of   O
the   O
brain   O
,   O
recommended   O
and   O
performed   O
at   O
Sturgis   B-LOCATION
Hospital   I-LOCATION
,   O
revealed   O
a   O
mild   O
hydrocephalus   O
.   O

The   O
patient   O
's   O
health   O
insurance   O
details   O
are   O
listed   O
under   O
Service   B-LOCATION
Employees   I-LOCATION
International   I-LOCATION
Union   I-LOCATION
.   O

In   O
view   O
of   O
the   O
test   O
results   O
and   O
symptoms   O
,   O
Dr.   O
Paige   B-NAME
Rasmussen   I-NAME
has   O
recommended   O
a   O
visit   O
with   O
a   O
neurosurgeon   O
for   O
further   O
possible   O
management   O
.   O

Any   O
further   O
communication   O
can   O
be   O
addressed   O
through   O
the   O
use   O
of   O
vm698   B-NAME
,   O
and   O
the   O
records   O
can   O
be   O
accessed   O
using   O
the   O
3755323   B-ID
ID   O
we   O
have   O
on   O
file   O
.   O

Patient   O
:   O
Fernando   B-NAME
Maxwell   I-NAME
Age   O
:   O
57   O
Location   O
:   O
Splendora   B-LOCATION
Medical   O
Record   O
#   O
:   O
73225018   B-ID
ID   O
#   O
:   O
10   B-ID
-   I-ID
9939346   I-ID
Phone   O
:   O
142   B-CONTACT
536   I-CONTACT
-   I-CONTACT
3681   I-CONTACT
ZIP   O
:   O
48261   B-LOCATION
Profession   O
:   O
Clinical   O
,   O
Counseling   O
,   O
and   O
School   O
Psychologists   O
Username   O
:   O
bu893   B-NAME
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Seth   B-NAME
Ball   I-NAME
The   O
patient   O
was   O
seen   O
at   O
Cox   B-LOCATION
South   I-LOCATION
on   O
1794   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
13   I-DATE
.   O

Prior   O
to   O
their   O
visit   O
to   O
MidHudson   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Westchester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Nixon   B-NAME
,   I-NAME
Richard   I-NAME
had   O
taken   O
over   O
-   O
the   O
-   O
counter   O
cough   O
suppressants   O
,   O
as   O
per   O
recommendation   O
from   O
a   O
friend   O
who   O
is   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
All   O
Other   O
Tactical   O
Operations   O
Specialists   O
.   O

[   O
Clinical   O
parameters   O
and   O
blood   O
work   O
ordered   O
on   O
37/25   B-DATE
by   O
the   O
physician   O
at   O
Bayfront   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Petersburg   I-LOCATION
suggested   O
abnormalities   O
in   O
the   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
the   O
differential   O
count   O
,   O
indicating   O
a   O
possible   O
infection   O
.   O

Following   O
the   O
necessary   O
protocol   O
,   O
Chloe   B-NAME
Whitney   I-NAME
agreed   O
to   O
a   O
chest   O
X   O
-   O
Ray   O
which   O
revealed   O
consolidation   O
suggestive   O
of   O
pneumonia   O
.   O

Given   O
Maria   B-NAME
Hale   I-NAME
's   O
profession   O
as   O
a   O
Solar   O
Thermal   O
Installers   O
and   O
Technicians   O
,   O
they   O
were   O
at   O
increased   O
risk   O
of   O
exposure   O
.   O

A   O
team   O
led   O
by   O
Dr.   O
Brautigan   B-NAME
,   I-NAME
Richard   I-NAME
at   O
Bronson   B-LOCATION
Battle   I-LOCATION
Creek   I-LOCATION
is   O
currently   O
managing   O
the   O
case   O
.   O

Michelangelo   B-NAME
Buonarroti   I-NAME
has   O
been   O
admitted   O
to   O
Pioneer   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Patrick   I-LOCATION
for   O
further   O
monitoring   O
and   O
treatment   O
.   O

Their   O
next   O
appointment   O
is   O
scheduled   O
for   O
Thursday   B-DATE
.   O

Raymond   B-NAME
Castaneda   I-NAME
has   O
been   O
advised   O
to   O
rest   O
and   O
isolate   O
themselves   O
given   O
the   O
infectious   O
nature   O
of   O
the   O
disease   O
.   O

Patient   O
Report   O
:   O
Wallace   B-NAME
,   I-NAME
Alan   I-NAME
,   O
a   O
44   O
individual   O
,   O
was   O
taken   O
to   O
Burgess   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
10/29   B-DATE
.   O

The   O
patient   O
from   O
Dumfries   B-LOCATION
complained   O
of   O
nausea   O
,   O
persistent   O
headaches   O
and   O
intermittent   O
fevers   O
over   O
the   O
past   O
week   O
.   O

Glass   B-NAME
was   O
assigned   O
to   O
examine   O
the   O
patient   O
's   O
symptoms   O
.   O

6200594   B-ID
shows   O
that   O
Fennias   B-NAME
has   O
been   O
previously   O
diagnosed   O
with   O
Hypertension   O
which   O
is   O
currently   O
managed   O
with   O
Atenolol   O
.   O

Based   O
on   O
the   O
preliminary   O
examination   O
,   O
Owens   B-NAME
suspected   O
that   O
the   O
Kaliyah   B-NAME
Boyd   I-NAME
's   O
symptoms   O
might   O
be   O
indicating   O
Meningitis   O
,   O
but   O
recommended   O
additional   O
tests   O
to   O
confirm   O
.   O

The   O
patient   O
's   O
employer   O
at   O
Canadian   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
University   I-LOCATION
Teachers   I-LOCATION
,   O
where   O
Ferrell   B-NAME
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Fire   O
Fighting   O
and   O
Prevention   O
Workers   O
,   O
has   O
been   O
notified   O
and   O
provided   O
the   O
necessary   O
medical   O
leave   O
.   O

The   O
Gonzales   B-NAME
's   O
emergency   O
contact   O
,   O
who   O
lives   O
on   O
West   B-LOCATION
Canton   I-LOCATION
,   O
can   O
not   O
be   O
reached   O
at   O
49672   B-CONTACT
.   O

Moreover   O
,   O
the   O
patient   O
resides   O
at   O
Otway   B-LOCATION
,   O
54521   B-LOCATION
–   O
close   O
to   O
the   O
hospital   O
,   O
hence   O
home   O
care   O
is   O
potentially   O
a   O
viable   O
post   O
-   O
discharge   O
option   O
.   O

The   O
Rosamond   B-NAME
Mojaro   I-NAME
's   O
medical   O
expenses   O
are   O
partially   O
covered   O
by   O
their   O
Health   O
Plan   O
2395281   B-ID
.   O

Moreover   O
,   O
the   O
patient   O
's   O
online   O
account   O
created   O
under   O
the   O
Username   O
-   O
jdy394   B-NAME
on   O
the   O
hospital   O
's   O
portal   O
has   O
been   O
updated   O
with   O
the   O
admission   O
and   O
preliminary   O
diagnosis   O
details   O
.   O

The   O
prescription   O
will   O
be   O
updated   O
in   O
the   O
records   O
under   O
0304B39576   B-ID
once   O
diagnostic   O
tests   O
confirm   O
the   O
illness   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
CT   O
Scan   O
and   O
Lumbar   O
Puncture   O
on   O
31/20   B-DATE
as   O
part   O
of   O
further   O
diagnosis   O
.   O

The   O
results   O
will   O
be   O
communicated   O
to   O
Suzanne   B-NAME
Corson   I-NAME
by   O
Elaine   B-NAME
Kelley   I-NAME
and   O
the   O
course   O
of   O
treatment   O
will   O
be   O
determined   O
based   O
on   O
the   O
findings   O
from   O
these   O
tests   O
.   O

This   O
report   O
was   O
last   O
updated   O
on   O
22/12   B-DATE
.   O

Patient   O
:   O
Seven   B-NAME
Age   O
:   O
5   O
week   O
Medical   O
Record   O
#   O
:   O
29888295   B-ID
Hospital   O
:   O
Seattle   B-LOCATION
Cancer   I-LOCATION
Care   I-LOCATION
Alliance   I-LOCATION
Primary   O
Doctor   O
:   O

Wayne   B-NAME
Decker   I-NAME
Date   O
of   O
Report   O
:   O
5/28/78   B-DATE
The   O
patient   O
,   O
previously   O
a   O
Landscaping   O
and   O
Groundskeeping   O
Workers   O
,   O
came   O
under   O
my   O
attention   O
on   O
the   O
mentioned   O
date   O
at   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
ID   O
for   O
the   O
lab   O
tests   O
has   O
been   O
given   O
as   O
WT:631049:633151   B-ID
.   O

The   O
patient   O
originally   O
from   O
Christiana   B-LOCATION
,   O
was   O
advised   O
to   O
keep   O
his   O
phone   O
number   O
67923   B-CONTACT
available   O
at   O
all   O
times   O
for   O
any   O
urgent   O
lab   O
results   O
.   O

He   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
33/02   B-DATE
.   O
Regards   O
,   O
Schmidt   B-NAME
cc   O
:   O
Patient   O
’s   O
General   O
Practitioner   O
–   O
Mulock   B-NAME
,   I-NAME
Dinah   I-NAME
Maria   I-NAME
;   I-NAME
also   I-NAME
Dinah   I-NAME
Maria   I-NAME
Craik   I-NAME
Patient   O
’s   O
Organization   O
:   O

[   O
ORGANIZATION   O
and   O
25513   B-LOCATION
Preferred   O
Username   O
:   O
KH434   B-NAME

Patient   O
Report   O
:   O
talbert   B-NAME
,   O
a   O
58s   O
year   O
old   O
patient   O
,   O
visited   O
our   O
Nebraska   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
the   O
first   O
time   O
on   O
1890   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
15   I-DATE
.   O

The   O
patient   O
was   O
immediately   O
attended   O
by   O
Dr.   O
Park   B-NAME
,   O
an   O
eminent   O
neurologist   O
of   O
Combat   B-LOCATION
Veterans   I-LOCATION
Motorcycle   I-LOCATION
Association   I-LOCATION
.   O

Upon   O
further   O
inquiry   O
,   O
Zavier   B-NAME
Vaughan   I-NAME
revealed   O
that   O
migraine   O
-   O
like   O
symptoms   O
had   O
been   O
ongoing   O
,   O
off   O
-   O
and   O
-   O
on   O
,   O
for   O
the   O
past   O
two   O
months   O
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
retrieved   O
from   O
3600114   B-ID
and   O
indicated   O
that   O
he   O
/   O
she   O
had   O
n't   O
reported   O
similar   O
issues   O
in   O
the   O
past   O
.   O

Geronimo   B-NAME
is   O
an   O
employee   O
at   O
People   B-LOCATION
's   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Tri   I-LOCATION
-   I-LOCATION
County   I-LOCATION
Electric   I-LOCATION
and   O
works   O
as   O
a   O
Pharmacy   O
Technicians   O
.   O

While   O
discussing   O
lifestyle   O
and   O
daily   O
habits   O
,   O
it   O
was   O
noted   O
that   O
Riley   B-NAME
has   O
been   O
under   O
a   O
significant   O
amount   O
of   O
stress   O
at   O
work   O
.   O

Dr.   O
Salas   B-NAME
recommended   O
a   O
CT   O
scan   O
to   O
rule   O
out   O
any   O
significant   O
neurological   O
conditions   O
.   O

The   O
appointment   O
for   O
the   O
scan   O
was   O
scheduled   O
at   O
our   O
Davis   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
33/32   B-DATE
.   O

Post   O
the   O
analysis   O
,   O
Galilei   B-NAME
,   I-NAME
Galileo   I-NAME
will   O
be   O
advised   O
on   O
whether   O
medication   O
or   O
lifestyle   O
modifications   O
would   O
be   O
prescribed   O
.   O

Future   O
communications   O
will   O
be   O
done   O
via   O
54555   B-CONTACT
or   O
email   O
(   O
user   O
ID   O
:   O
gr599   B-NAME
)   O
as   O
per   O
the   O
patient   O
's   O
convenience   O
.   O

For   O
any   O
immediate   O
concerns   O
,   O
Mcintyre   B-NAME
may   O
reach   O
us   O
at   O
our   O
office   O
in   O
Effort   B-LOCATION
or   O
call   O
our   O
dedicated   O
helpline   O
at   O
45450   B-CONTACT
.   O

For   O
updation   O
of   O
any   O
personal   O
information   O
,   O
please   O
provide   O
identification   O
proof   O
(   O
like   O
driver   O
's   O
license   O
2   B-ID
-   I-ID
4613758   I-ID
,   O
social   O
security   O
GZ:43230:672805   B-ID
,   O
etc   O
.   O
)   O
at   O
the   O
records   O
department   O
of   O
the   O
Iredell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Upon   O
completion   O
of   O
the   O
visit   O
,   O
Aubrie   B-NAME
Baldwin   I-NAME
left   O
the   O
Medical   B-LOCATION
City   I-LOCATION
McKinney   I-LOCATION
and   O
returned   O
to   O
their   O
residence   O
at   O
Sterling   B-LOCATION
City   I-LOCATION
,   O
17223   B-LOCATION
.   O

Brand   B-NAME
,   I-NAME
Max   I-NAME
presented   O
to   O
the   O
Medical   B-LOCATION
City   I-LOCATION
Weatherford   I-LOCATION
at   O
02/37   B-DATE
with   O
a   O
complaint   O
of   O
incipient   O
chest   O
discomfort   O
.   O

Upon   O
further   O
examination   O
,   O
Mccormick   B-NAME
noted   O
that   O
Fowler   B-NAME
was   O
experiencing   O
bouts   O
of   O
tachycardia   O
and   O
sharp   O
pain   O
in   O
the   O
thoracic   O
region   O
.   O

Mcpherson   B-NAME
,   O
a   O
Geologists   O
by   O
profession   O
residing   O
in   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11209   I-LOCATION
47120   B-LOCATION
,   O
is   O
3   O
years   O
old   O
and   O
has   O
no   O
significant   O
past   O
medical   O
history   O
.   O

His   O
EKG   O
findings   O
were   O
concerning   O
for   O
ischemic   O
changes   O
and   O
he   O
was   O
quickly   O
moved   O
to   O
the   O
catheterization   O
lab   O
where   O
angiography   O
was   O
performed   O
by   O
Proctor   B-NAME
.   O

Based   O
upon   O
Benton   B-NAME
's   O
symptoms   O
and   O
the   O
critical   O
stenosis   O
seen   O
in   O
the   O
angiogram   O
,   O
Dan   B-NAME
Potter   I-NAME
recommended   O
proceeding   O
with   O
angioplasty   O
and   O
stenting   O
.   O

The   O
procedure   O
was   O
successfully   O
completed   O
on   O
32/23   B-DATE
and   O
Corey   B-NAME
Holland   I-NAME
was   O
thereafter   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
(   O
aspirin   O
and   O
clopidogrel   O
)   O
,   O
in   O
line   O
with   O
standard   O
post   O
-   O
stenting   O
medical   O
management   O
protocols   O
.   O

The   O
hospital   O
discharge   O
summary   O
,   O
513   B-ID
58   I-ID
60   I-ID
,   O
planned   O
follow   O
ups   O
and   O
medication   O
details   O
were   O
sent   O
to   O
Kevin   B-NAME
Fields   I-NAME
's   O
primary   O
care   O
physician   O
's   O
number   O
43878   B-CONTACT
.   O

The   O
Edinburg   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
staff   O
planned   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
David   B-NAME
Ravell   I-NAME
in   O
the   O
outpatient   O
cardiac   O
clinic   O
after   O
one   O
month   O
.   O

Timely   O
updates   O
and   O
records   O
regarding   O
these   O
observations   O
were   O
shared   O
with   O
Pacific   B-LOCATION
Coast   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
for   O
future   O
reference   O
.   O

Patient   O
’s   O
ID   O
proof   O
25808198   B-ID
was   O
recorded   O
for   O
all   O
admin   O
and   O
insurance   O
purposes   O
.   O

Online   O
access   O
to   O
the   O
patient   O
portal   O
was   O
provided   O
to   O
Branch   B-NAME
with   O
username   O
as   O
GL407   B-NAME
.   O

Patient   O
Name   O
:   O
Kyong   B-NAME
Kubik   I-NAME
Date   O
of   O
Consultation   O
:   O
33/22/64   B-DATE
Morning   O
Chief   O
Complaint   O
:   O
Urzua   B-NAME
presented   O
with   O
persistent   O
and   O
worsening   O
cough   O
over   O
the   O
last   O
fortnight   O
.   O

Afternoon   O
Report   O
:   O
Arthur   B-NAME
Qin   I-NAME
developed   O
a   O
low   O
-   O
grade   O
fever   O
suggestive   O
of   O
an   O
ongoing   O
infection   O
.   O

Strauss   B-NAME
,   I-NAME
Richard   I-NAME
also   O
reported   O
extreme   O
bouts   O
of   O
nausea   O
leading   O
to   O
discomfort   O
in   O
the   O
abdominal   O
region   O
.   O

Evening   O
Report   O
:   O
Gauguin   B-NAME
,   I-NAME
Paul   I-NAME
experienced   O
acute   O
respiratory   O
distress   O
necessitating   O
supportive   O
oxygen   O
therapy   O
.   O

Franciscan   B-LOCATION
St.   I-LOCATION
James   I-LOCATION
Health   I-LOCATION
-   I-LOCATION
Olympia   I-LOCATION
Fields   I-LOCATION
Attending   O
Physician   O
:   O
Dr.   O
Kadyn   B-NAME
Wilcox   I-NAME
Medical   O
Record   O
Number   O
:   O
536   B-ID
-   I-ID
16   I-ID
-   I-ID
17   I-ID
-   I-ID
4   I-ID
The   O
patient   O
resides   O
at   O
Forbestown   B-LOCATION
and   O
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Fire   O
Fighting   O
and   O
Prevention   O
Workers   O
.   O

For   O
any   O
follow   O
up   O
information   O
or   O
further   O
queries   O
,   O
please   O
contact   O
us   O
at   O
791   B-CONTACT
-   I-CONTACT
9677   I-CONTACT
.   O

Insurance   O
Provider   O
:   O
Tamalpais   B-LOCATION
Bank   I-LOCATION
Insurance   O
ID   O
:   O
XC   B-ID
:   I-ID
WQ:1161   I-ID
The   O
sessions   O
were   O
tracked   O
and   O
scheduled   O
through   O
yie204   B-NAME
.   O

Best   O
regards   O
,   O
Kaufman   B-NAME
Please   O
mail   O
any   O
reports   O
or   O
documents   O
to   O
36972   B-LOCATION

Patient   O
Name   O
:   O
Micaela   B-NAME
Dougherty   I-NAME
Age   O
:   O
64   O
ID   O
:   O
KC   B-ID
:   I-ID
QO:2545   I-ID
Date   O
:   O
30/37   B-DATE
Physician   O
:   O

Mira   B-NAME
Frank   I-NAME
I   O
had   O
the   O
opportunity   O
to   O
examine   O
Jair   B-NAME
Rodgers   I-NAME
on   O
9/12   B-DATE
at   O
Medical   B-LOCATION
City   I-LOCATION
Weatherford   I-LOCATION
as   O
a   O
part   O
of   O
a   O
routine   O
follow   O
-   O
up   O
appointment   O
.   O

Mckinley   B-NAME
Elliott   I-NAME
recently   O
relocated   O
from   O
Kachina   B-LOCATION
Village   I-LOCATION
and   O
is   O
a   O
Orthotists   O
and   O
Prosthetists   O
by   O
trade   O
.   O

Seemingly   O
fit   O
for   O
77   O
,   O
Gillespie   B-NAME
has   O
been   O
experiencing   O
consistent   O
headaches   O
and   O
episodes   O
of   O
blurred   O
vision   O
over   O
the   O
past   O
few   O
weeks   O
.   O

Complete   O
blood   O
count   O
,   O
electrolytes   O
,   O
lipid   O
profile   O
,   O
and   O
liver   O
function   O
tests   O
have   O
been   O
ordered   O
and   O
the   O
patient   O
is   O
advised   O
to   O
report   O
to   O
the   O
outpatient   O
department   O
at   O
White   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2141   B-DATE
for   O
follow   O
up   O
.   O

The   O
medical   O
record   O
number   O
for   O
this   O
visit   O
is   O
265   B-ID
-   I-ID
95   I-ID
-   I-ID
95   I-ID
.   O

Records   O
will   O
be   O
sent   O
to   O
Micheal   B-NAME
Prince   I-NAME
at   O
the   O
neurology   O
department   O
of   O
Groton   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

The   O
patient   O
's   O
clinical   O
data   O
can   O
be   O
accessed   O
using   O
the   O
username   O
dok421   B-NAME
.   O

I   O
have   O
also   O
encouraged   O
Xenia   B-NAME
Rivas   I-NAME
to   O
maintain   O
a   O
journal   O
to   O
document   O
the   O
frequency   O
and   O
intensity   O
of   O
headaches   O
,   O
as   O
well   O
as   O
any   O
associated   O
symptoms   O
that   O
might   O
provide   O
further   O
insights   O
.   O

I   O
have   O
requested   O
Henry   B-NAME
,   I-NAME
Patrick   I-NAME
to   O
contact   O
my   O
office   O
via   O
95227   B-CONTACT
in   O
case   O
of   O
any   O
emergency   O
,   O
noting   O
that   O
the   O
zip   O
of   O
the   O
location   O
is   O
84485   B-LOCATION
.   O

In   O
conclusion   O
,   O
further   O
diagnostic   O
evaluation   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
22/2   B-DATE
will   O
be   O
valuable   O
in   O
deciding   O
the   O
most   O
appropriate   O
treatment   O
course   O
.   O

Patient   O
Report   O
Name   O
:   O
voigt   B-NAME
Date   O
:   O
02/25   B-DATE
Physician   O
:   O

Jorge   B-NAME
Fritz   I-NAME
Medical   O
Record   O
Number   O
:   O
9140999   B-ID
Hospital   O
:   O
Caldwell   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Address   O
:   O
Madison   B-LOCATION
Phone   O
:   O
799   B-CONTACT
6909   I-CONTACT
Identification   O
:   O
3   B-ID
-   I-ID
9583700   I-ID
Age   O
:   O
18   O
Occupation   O
:   O
Data   O
Processing   O
Equipment   O
Repairers   O

Maxwell   B-NAME
was   O
admitted   O
to   O
the   O
Pan   B-LOCATION
American   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
on   O
23/35   B-DATE
.   O

Clinical   O
Findings   O
:   O
On   O
examination   O
,   O
Malik   B-NAME
Mottershead   I-NAME
looked   O
uncomfortable   O
and   O
his   O
temperature   O
was   O
100.4   O
°   O
F   O
.   O

Diagnosis   O
:   O
From   O
the   O
clinical   O
findings   O
,   O
Kiera   B-NAME
Flynn   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Elaina   B-NAME
Branch   I-NAME
was   O
referred   O
to   O
Dr.   O
Penelope   B-NAME
Lawson   I-NAME
for   O
immediate   O
surgical   O
consultation   O
.   O

An   O
appendectomy   O
was   O
carried   O
out   O
on   O
0/22/81   B-DATE
which   O
was   O
successful   O
.   O

Ismael   B-NAME
Morton   I-NAME
was   O
allowed   O
home   O
return   O
on   O
02/33/32   B-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
at   O
Inova   B-LOCATION
Alexandria   I-LOCATION
Hospital   I-LOCATION
on   O
2318   B-DATE
.   O

The   O
health   O
information   O
entirely   O
pertains   O
to   O
Security   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
FSB   I-LOCATION
and   O
any   O
requests   O
for   O
further   O
information   O
should   O
be   O
addressed   O
to   O
the   O
Patient   O
Records   O
Department   O
at   O
66605   B-CONTACT
or   O
zp289   B-NAME
,   O
though   O
it   O
is   O
best   O
advised   O
to   O
walk   O
-   O
in   O
physically   O
with   O
a   O
proper   O
identification   O
,   O
preferably   O
the   O
62057   B-ID
.   O

For   O
any   O
emergencies   O
,   O
please   O
reach   O
out   O
directly   O
at   O
our   O
PeaceHealth   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
RiverBend   I-LOCATION
facility   O
located   O
at   O
Selden   B-LOCATION
.   O

The   O
patient   O
resides   O
in   O
78734   B-LOCATION
for   O
mailing   O
and   O
contact   O
purposes   O
for   O
the   O
San   B-LOCATION
Joaquin   I-LOCATION
Bank   I-LOCATION
.   O

Patient   O
Report   O
Name   O
:   O
Johnathon   B-NAME
Levy   I-NAME
Age   O
:   O
7   O
month   O
Medical   O
Record   O
Number   O
:   O
8779   B-ID
:   I-ID
N79304   I-ID
Glennis   B-NAME
Pankiw   I-NAME
visited   O
Dr.   O
Cameron   B-NAME
on   O
7   B-DATE
-   I-DATE
3   I-DATE
at   O
OhioHealth   B-LOCATION
Mansfield   I-LOCATION
Hospital   I-LOCATION
in   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11230   I-LOCATION
regarding   O
recurring   O
severe   O
headaches   O
which   O
they   O
described   O
as   O
"   O
like   O
a   O
clamp   O
tightening   O
around   O
the   O
forehead   O
"   O
.   O

The   O
70   O
year   O
old   O
patient   O
's   O
health   O
report   O
noted   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
,   O
for   O
which   O
he   O
had   O
been   O
professionally   O
managed   O
by   O
Dr.   O
Anthony   B-NAME
.   O

Since   O
22/23/46   B-DATE
,   O
Kaeden   B-NAME
Mayo   I-NAME
's   O
headaches   O
had   O
become   O
more   O
frequent   O
and   O
intense   O
.   O

IPD   O
calls   O
placed   O
on   O
the   O
contact   O
number   O
363   B-CONTACT
874   I-CONTACT
5674   I-CONTACT
,   O
were   O
conducted   O
to   O
monitor   O
the   O
symptoms   O
and   O
Dominick   B-NAME
Hardy   I-NAME
even   O
received   O
an   O
ID   O
XF:56781:865409   B-ID
for   O
the   O
telehealth   O
services   O
.   O

Mabel   B-NAME
Duvall   I-NAME
received   O
a   O
preliminary   O
diagnosis   O
from   O
Dr.   O
Esteban   B-NAME
Mcclure   I-NAME
of   O
chronic   O
migraines   O
.   O

The   O
diagnostic   O
used   O
for   O
this   O
was   O
the   O
ICHD-3   O
criteria   O
from   O
FirstEnergy   B-LOCATION
(   I-LOCATION
Jersey   I-LOCATION
Central   I-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
)   I-LOCATION
.   O

MRI   O
scans   O
and   O
blood   O
tests   O
were   O
conducted   O
at   O
Edgewood   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
to   O
rule   O
out   O
any   O
underlying   O
conditions   O
.   O

Results   O
of   O
these   O
tests   O
are   O
awaited   O
and   O
will   O
be   O
shared   O
via   O
the   O
patient   O
's   O
personal   O
username   O
:   O
cxh16   B-NAME
.   O

Dr.   O
Dillon   B-NAME
has   O
now   O
referred   O
Aydin   B-NAME
Sanchez   I-NAME
to   O
a   O
neurologist   O
in   O
the   O
same   O
hospital   O
St.   B-LOCATION
Mark   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
found   O
on   O
Gueydan   B-LOCATION
who   O
is   O
expected   O
to   O
conduct   O
further   O
tests   O
.   O

The   O
upcoming   O
appointment   O
has   O
been   O
scheduled   O
for   O
Friday   B-DATE
.   O

Our   O
medical   O
organization   O
has   O
sent   O
all   O
pertaining   O
medical   O
records   O
to   O
Terrance   B-NAME
Braun   I-NAME
's   O
home   O
address   O
which   O
includes   O
72019   B-LOCATION
for   O
his   O
reference   O
.   O

Patient   O
Report   O
:   O
Personal   O
details   O
:   O
ts555   B-NAME
:   O
User12345   O
Whitaker   B-NAME
:   O
Dr.   O
Kissinger   B-NAME
,   I-NAME
Henry   I-NAME
has   O
been   O
examining   O
the   O
patient   O
.   O

The   O
patient   O
's   O
unique   O
975542154   B-ID
is   O
5993XXXX   O
.   O

Contact   O
details   O
:   O
The   O
patient   O
,   O
Laface   B-NAME
Nockai   I-NAME
lives   O
in   O
West   B-LOCATION
Ocean   I-LOCATION
City   I-LOCATION
and   O
can   O
be   O
reached   O
at   O
936   B-CONTACT
-   I-CONTACT
5566   I-CONTACT
.   O

The   O
ZIP   O
code   O
of   O
the   O
place   O
is   O
54415   B-LOCATION
.   O

The   O
patient   O
was   O
admitted   O
to   O
Novato   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
22   I-DATE
with   O
severe   O
abdominal   O
discomfort   O
and   O
extreme   O
weight   O
loss   O
,   O
both   O
symptoms   O
suggestive   O
of   O
digestive   O
disorders   O
.   O

A   O
detailed   O
medical   O
record   O
can   O
be   O
found   O
under   O
1926299   B-ID
at   O
our   O
Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION
.   O

Diagnosis   O
:   O
Post   O
examination   O
,   O
under   O
the   O
supervision   O
of   O
Holden   B-NAME
Austin   I-NAME
,   O
the   O
patient   O
was   O
diagnosed   O
with   O
gastritis   O
.   O

The   O
diagnosis   O
was   O
confirmed   O
by   O
an   O
Endoscopy   O
conducted   O
on   O
9/23   B-DATE
.   O

Treatment   O
:   O
The   O
Fuller   B-NAME
prescribed   O
a   O
Proton   O
Pump   O
Inhibitor   O
(   O
PPI   O
)   O
regime   O
along   O
with   O
dietary   O
changes   O
to   O
alleviate   O
the   O
symptoms   O
.   O

Further   O
review   O
will   O
be   O
on   O
10/03/1704   B-DATE
.   O

The   O
patient   O
was   O
admitted   O
for   O
observation   O
to   O
the   O
Phoebe   B-LOCATION
Sumter   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
the   O
02/32   B-DATE
,   O
in   O
room   O
number   O
Providence   B-LOCATION
Seward   I-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Care   I-LOCATION
Center   I-LOCATION
.   O

During   O
hospitalization   O
,   O
the   O
patient   O
was   O
checked   O
daily   O
by   O
ElBaradei   B-NAME
,   I-NAME
Mohamed   I-NAME
.   O

There   O
was   O
significant   O
improvement   O
in   O
the   O
condition   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
the   O
22/27   B-DATE
.   O

Follow   O
Up   O
:   O
The   O
Chaney   B-NAME
advised   O
a   O
follow   O
-   O
up   O
visit   O
four   O
weeks   O
post   O
-   O
discharge   O
for   O
monitoring   O
the   O
response   O
to   O
the   O
treatment   O
prescribed   O
.   O

In   O
case   O
of   O
any   O
health   O
issues   O
,   O
Noble   B-NAME
should   O
directly   O
contact   O
90029   B-CONTACT
immediately   O
.   O

This   O
is   O
the   O
emergency   O
contact   O
for   O
our   O
World   B-LOCATION
Council   I-LOCATION
of   I-LOCATION
Churches   I-LOCATION
.   O

In   O
case   O
of   O
any   O
non   O
-   O
emergency   O
concerns   O
or   O
need   O
of   O
assistance   O
for   O
follow   O
up   O
visits   O
,   O
Blanchard   B-NAME
should   O
contact   O
the   O
patient   O
relations   O
department   O
of   O
John   B-LOCATION
Paul   I-LOCATION
Jones   I-LOCATION
Hospital   I-LOCATION
whose   O
contact   O
number   O
is   O
187   B-CONTACT
6265   I-CONTACT
.   O

The   O
visit   O
should   O
be   O
made   O
at   O
Oak   B-LOCATION
Ridge   I-LOCATION
,   O
76528   B-LOCATION
.   O

Patient   O
Name   O
:   O
Mathias   B-NAME
Pittman   I-NAME
Age   O
:   O
7   O
week   O
Date   O
of   O
Visit   O
:   O
02/10/50   B-DATE
The   O
patient   O
,   O
U.   B-NAME
L.   I-NAME
Dana   I-NAME
,   I-NAME
Jr.   I-NAME
,   O
presented   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Antioch   I-LOCATION
on   O
27/19   B-DATE
and   O
was   O
attended   O
to   O
by   O
Huber   B-NAME
.   O

The   O
chief   O
complaint   O
of   O
Karla   B-NAME
Sofen   I-NAME
was   O
an   O
intense   O
,   O
throbbing   O
headache   O
which   O
he   O
described   O
as   O
"   O
the   O
worst   O
headache   O
of   O
his   O
life   O
,   O
"   O
along   O
with   O
decreased   O
vision   O
and   O
slurred   O
speech   O
.   O

The   O
patient   O
currently   O
resides   O
in   O
West   B-LOCATION
Lake   I-LOCATION
Hills   I-LOCATION
and   O
works   O
as   O
a   O
Public   O
affairs   O
consultant   O
(   O
lobbyist   O
)   O
.   O

He   O
has   O
a   O
valid   O
driver   O
's   O
license   O
(   O
ID   O
:   O
JL767/1344   B-ID
)   O
in   O
Parmelee   B-LOCATION
.   O

He   O
is   O
presently   O
affiliated   O
with   O
Selective   B-LOCATION
Insurance   I-LOCATION
and   O
his   O
duties   O
therein   O
were   O
briefly   O
suspended   O
due   O
to   O
his   O
ongoing   O
treatment   O
.   O

Based   O
on   O
these   O
findings   O
,   O
the   O
patient   O
was   O
immediately   O
started   O
on   O
intravenous   O
thrombolysis   O
,   O
after   O
the   O
radiology   O
department   O
(   O
contact   O
814   B-CONTACT
9966   I-CONTACT
)   O
confirmed   O
the   O
absence   O
of   O
any   O
intracranial   O
bleed   O
.   O

The   O
patient   O
's   O
medical   O
record   O
72727907   B-ID
was   O
updated   O
accordingly   O
.   O

His   O
next   O
appointment   O
is   O
scheduled   O
for   O
23/86   B-DATE
.   O

He   O
can   O
be   O
reached   O
at   O
phone   O
number   O
35359   B-CONTACT
and   O
email   O
address   O
JY616   B-NAME
in   O
case   O
of   O
an   O
emergency   O
.   O

The   O
patient   O
was   O
subsequently   O
transferred   O
from   O
the   O
emergency   O
department   O
to   O
the   O
neurology   O
ward   O
in   O
Memorial   B-LOCATION
Healthcare   I-LOCATION
for   O
further   O
management   O
and   O
rehabilitation   O
.   O

Correspondence   O
regarding   O
the   O
patient   O
's   O
prognosis   O
and   O
further   O
treatment   O
will   O
be   O
communicated   O
via   O
phone   O
at   O
882   B-CONTACT
-   I-CONTACT
740   I-CONTACT
1463   I-CONTACT
or   O
via   O
mail   O
to   O
La   B-LOCATION
Paloma   I-LOCATION
Addition   I-LOCATION
,   O
29664   B-LOCATION
or   O
via   O
email   O
on   O
li669   B-NAME
.   O

Patient   O
Information   O
:   O
Kyleigh   B-NAME
Keith   I-NAME
is   O
a   O
Funeral   O
Attendants   O
by   O
profession   O
,   O
who   O
is   O
64   O
years   O
old   O
and   O
live   O
in   O
McAllen   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78501   I-LOCATION
.   O

His   O
ZIP   O
code   O
is   O
65869   B-LOCATION
.   O

He   O
presented   O
to   O
Sumner   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/37/00   B-DATE
with   O
severe   O
complaints   O
of   O
abdomionpelvic   O
pain   O
.   O

Medical   O
History   O
:   O
Mckenzie   B-NAME
,   O
upon   O
examining   O
the   O
patient   O
's   O
previous   O
records   O
(   O
Medical   O
Record   O
No   O
.   O
1259628   B-ID
)   O
,   O
found   O
that   O
the   O
patient   O
had   O
a   O
history   O
of   O
peptic   O
ulcers   O
and   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
.   O

Today   O
,   O
Suarez   B-NAME
reports   O
a   O
sharp   O
,   O
intermittent   O
pain   O
within   O
the   O
middle   O
to   O
upper   O
right   O
quadrant   O
of   O
his   O
abdomen   O
.   O

Preliminary   O
Diagnosis   O
:   O
Based   O
on   O
given   O
symptoms   O
,   O
the   O
Lewis   B-NAME
Lawson   I-NAME
suspects   O
that   O
the   O
patient   O
may   O
be   O
suffering   O
from   O
Gallstones   O
or   O
Cholecystitis   O
.   O

The   O
symptoms   O
of   O
Washington   B-NAME
,   I-NAME
Martha   I-NAME
are   O
typical   O
of   O
gallstones   O
.   O

Prescribed   O
Tests   O
:   O
Larissa   B-NAME
Johns   I-NAME
is   O
advised   O
to   O
undergo   O
an   O
abdominal   O
ultrasound   O
,   O
liver   O
function   O
tests   O
and   O
a   O
complete   O
blood   O
count   O
.   O

His   O
results   O
would   O
be   O
available   O
on   O
the   O
portal   O
with   O
username   O
NG925   B-NAME
.   O

Prescription   O
Details   O
:   O
Howard   B-NAME
has   O
been   O
prescribed   O
analgesics   O
for   O
immediate   O
pain   O
relief   O
and   O
Proton   O
Pump   O
Inhibitors   O
(   O
PPIs   O
)   O
for   O
his   O
GERD   O
symptoms   O
.   O

He   O
has   O
been   O
advised   O
to   O
follow   O
up   O
on   O
Tuesday   B-DATE
at   O
Intermountain   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
can   O
reach   O
us   O
at   O
520   B-CONTACT
3383   I-CONTACT
for   O
any   O
immediate   O
queries   O
or   O
concerns   O
.   O

The   O
patient   O
's   O
insurance   O
provider   O
is   O
Imperial   B-LOCATION
Savings   I-LOCATION
&   I-LOCATION
Loan   I-LOCATION
and   O
the   O
insurance   O
ID   O
is   O
WZ496/1282   B-ID
.   O

The   O
medical   O
and   O
personal   O
details   O
of   O
Deandre   B-NAME
Nash   I-NAME
are   O
strictly   O
confidential   O
and   O
must   O
not   O
be   O
shared   O
without   O
explicit   O
consent   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Hailee   B-NAME
Baird   I-NAME
Age   O
:   O
9s   O
Date   O
of   O
Admission   O
:   O
winter   B-DATE
Visiting   O
Physician   O
:   O

Yusuf   B-NAME
Fitzgerald   I-NAME
Medical   O
Record   O
No   O
:   O
51920600   B-ID
Location   O
:   O
Paxton   B-LOCATION
Case   O
Presentation   O
:   O
Audrey   B-NAME
Ross   I-NAME
was   O
admitted   O
to   O
the   O
Plainview   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Northwell   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
with   O
complaints   O
of   O
chest   O
tightness   O
and   O
intermittent   O
palpitations   O
.   O

On   O
admission   O
,   O
Wayne   B-NAME
Davila   I-NAME
's   O
blood   O
pressure   O
was   O
slightly   O
elevated   O
.   O

History   O
:   O
Larry   B-NAME
Castaneda   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

The   O
patient   O
currently   O
works   O
as   O
a   O
Motorboat   O
Mechanics   O
with   O
Sexaholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
SA   I-LOCATION
)   I-LOCATION
and   O
has   O
a   O
relatively   O
sedentary   O
lifestyle   O
.   O

Alberto   B-NAME
Wade   I-NAME
's   O
ID   O
:   O
BB:5026:469602   B-ID
.   O

Phoenix   B-NAME
Fields   I-NAME
was   O
started   O
on   O
anticoagulant   O
therapy   O
immediately   O
and   O
arrangements   O
were   O
made   O
for   O
cardiac   O
catheterization   O
.   O

Interventional   O
cardiology   O
resident   O
,   O
Paul   B-NAME
,   I-NAME
Ron   I-NAME
will   O
evaluate   O
the   O
patient   O
's   O
condition   O
during   O
his   O
/   O
her   O
routine   O
rounds   O
.   O

Future   O
Appointments   O
:   O
Phone   O
Number   O
:   O
94986   B-CONTACT
Follow   O
-   O
up   O
appointments   O
with   O
Josie   B-NAME
Baker   I-NAME
at   O
Inova   B-LOCATION
Fair   I-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
were   O
fixed   O
on   O
23/09   B-DATE
.   O

For   O
further   O
communication   O
,   O
please   O
contact   O
the   O
patient   O
at   O
41960   B-CONTACT
or   O
reach   O
out   O
to   O
bus07   B-NAME
at   O
the   O
reception   O
desk   O
.   O

The   O
patient   O
's   O
postal   O
address   O
is   O
as   O
follows   O
:   O
Surf   B-LOCATION
City   I-LOCATION
,   O
38398   B-LOCATION
.   O

Dallas   B-NAME
Bradshaw   I-NAME
Age   O
:   O
19   O
Profession   O
:   O

Online   O
Merchants   O
ID   O
:   O
GM   B-ID
:   I-ID
LL:3524   I-ID
Location   O
:   O
Simi   B-LOCATION
Valley   I-LOCATION
Phone   O
:   O
74327   B-CONTACT
ZIP   O
:   O
12397   B-LOCATION
The   O
patient   O
,   O
Snyder   B-NAME
,   O
who   O
is   O
12   O
years   O
old   O
and   O
works   O
as   O
Continuous   O
Mining   O
Machine   O
Operators   O
,   O
presented   O
to   O
the   O
University   B-LOCATION
of   I-LOCATION
Toledo   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
on   O
22/18   B-DATE
.   O

Dick   B-NAME
Richard   I-NAME
reported   O
experiencing   O
acute   O
shortness   O
of   O
breath   O
,   O
periods   O
of   O
palpitations   O
,   O
and   O
labile   O
blood   O
pressure   O
over   O
the   O
past   O
24   O
hours   O
.   O

The   O
patient   O
's   O
permanent   O
address   O
is   O
Lenkerville   B-LOCATION
.   O

Zavier   B-NAME
Webb   I-NAME
was   O
referred   O
to   O
Dr.   O
Paris   B-NAME
Guzman   I-NAME
by   O
his   O
general   O
physician   O
.   O

According   O
to   O
the   O
medical   O
record   O
number   O
56228404   B-ID
,   O
the   O
ECG   O
done   O
within   O
ten   O
minutes   O
of   O
arrival   O
had   O
notable   O
ST   O
-   O
segment   O
elevations   O
in   O
the   O
anterior   O
precordial   O
leads   O
suggestive   O
of   O
an   O
acute   O
myocardial   O
infarction   O
.   O

Upon   O
examining   O
the   O
patient   O
's   O
ID   O
ZY:69360:957481   B-ID
and   O
medical   O
history   O
,   O
it   O
was   O
revealed   O
that   O
the   O
patient   O
is   O
a   O
long   O
-   O
term   O
smoker   O
and   O
has   O
a   O
history   O
of   O
hypertension   O
which   O
increased   O
the   O
odds   O
of   O
experiencing   O
such   O
cardiac   O
issues   O
.   O

Dr.   O
Irwin   B-NAME
recommended   O
urgent   O
coronary   O
angiography   O
which   O
further   O
confirmed   O
the   O
suspicion   O
of   O
an   O
acute   O
myocardial   O
infarction   O
.   O

The   O
patient   O
's   O
recovery   O
was   O
excellent   O
,   O
and   O
he   O
was   O
discharged   O
on   O
September   B-DATE
.   O

Galvan   B-NAME
was   O
further   O
referred   O
to   O
a   O
cardio   O
-   O
rehabilitation   O
program   O
and   O
regular   O
follow   O
-   O
ups   O
were   O
scheduled   O
with   O
Dr.   O
Chanakya   B-NAME
.   O

Please   O
contact   O
Nelson   B-NAME
Bailey   I-NAME
at   O
618   B-CONTACT
9341   I-CONTACT
to   O
remind   O
of   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
12/17   B-DATE
at   O
Decatur   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

This   O
medical   O
report   O
is   O
prepared   O
for   O
the   O
Lincoln   B-LOCATION
National   I-LOCATION
Corporation   I-LOCATION
,   O
with   O
username   O
buq28   B-NAME
and   O
is   O
located   O
in   O
the   O
27624   B-LOCATION
area   O
.   O

Patient   O
:   O
Hunter   B-NAME
Age   O
:   O
2   O
week   O
Location   O
:   O
Dallas   B-LOCATION
Organization   O
:   O

American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
the   I-LOCATION
Prevention   I-LOCATION
of   I-LOCATION
Cruelty   I-LOCATION
to   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
ASPCA   I-LOCATION
)   I-LOCATION

Doctor   O
:   O
Kate   B-NAME
Rubio   I-NAME
Hospital   O
:   O
Loyola   B-LOCATION
Gottlieb   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
06/20/2000   B-DATE
Medical   O
Record   O
:   O
02614679   B-ID
ID   O
:   O
WX   B-ID
:   I-ID
FP:5543   I-ID
Phone   O
:   O
58445   B-CONTACT
Profession   O
:   O
Mechanical   O
Inspectors   O
Username   O
:   O
gx275   B-NAME
ZIP   O
:   O
85781   B-LOCATION
Medical   O
Report   O
:   O
Naima   B-NAME
Kirby   I-NAME
initially   O
reported   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
December   B-DATE
.   O

At   O
the   O
time   O
of   O
presentation   O
,   O
Grayson   B-NAME
Stanley   I-NAME
also   O
reported   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
and   O
loss   O
of   O
appetite   O
.   O

As   O
per   O
the   O
medical   O
history   O
gathered   O
by   O
Bishop   B-NAME
,   O
Woods   B-NAME
,   O
who   O
is   O
93   O
years   O
old   O
,   O
held   O
the   O
Massage   O
Therapists   O
job   O
at   O
Family   B-LOCATION
Dollar   I-LOCATION
in   O
Bronwood   B-LOCATION
.   O

The   O
location   O
was   O
approximately   O
53922   B-LOCATION
miles   O
away   O
from   O
our   O
hospital   O
making   O
the   O
transportation   O
easy   O
for   O
the   O
patient   O
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
1935   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
14   I-DATE
with   O
no   O
post   O
-   O
operative   O
complications   O
reported   O
.   O

Nolan   B-NAME
Hutchinson   I-NAME
was   O
released   O
from   O
North   B-LOCATION
Vista   I-LOCATION
Hospital   I-LOCATION
on   O
12/13/2147   B-DATE
with   O
a   O
strict   O
follow   O
-   O
up   O
schedule   O
.   O

Priestley   B-NAME
,   I-NAME
Joseph   I-NAME
's   O
medical   O
record   O
number   O
37461388   B-ID
,   O
ID   O
number   O
WL   B-ID
:   I-ID
BO:2042   I-ID
can   O
be   O
used   O
for   O
any   O
further   O
reference   O
.   O

Regular   O
follow   O
-   O
ups   O
were   O
scheduled   O
and   O
communicated   O
via   O
479   B-CONTACT
-   I-CONTACT
579   I-CONTACT
2712   I-CONTACT
to   O
ensure   O
proper   O
recovery   O
and   O
health   O
monitoring   O
.   O

vq877   B-NAME
from   O
the   O
medical   O
records   O
department   O
at   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Wilkes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
in   O
charge   O
of   O
handling   O
and   O
updating   O
Keynes   B-NAME
,   I-NAME
John   I-NAME
Maynard   I-NAME
's   O
medical   O
records   O
.   O

The   O
medical   O
records   O
staff   O
at   O
University   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
would   O
be   O
ready   O
to   O
provide   O
any   O
further   O
information   O
required   O
about   O
Kerryn   B-NAME
's   O
medical   O
history   O
and   O
treatment   O
.   O

Patient   O
Information   O
:   O
Brenna   B-NAME
Acosta   I-NAME
was   O
admitted   O
to   O
Clark   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/06/2290   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
by   O
Dr.   O
Franco   B-NAME
,   O
vital   O
signs   O
were   O
found   O
to   O
be   O
stable   O
with   O
Blood   O
Pressure   O
measuring   O

Discharge   O
:   O
Conchita   B-NAME
Mautte   I-NAME
was   O
discharged   O
on   O
12/29   B-DATE
with   O
prescriptions   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
a   O
Beta   O
Blocker   O
,   O
an   O
ACE   O
inhibitor   O
,   O
and   O
a   O
high   O
-   O
potency   O
statin   O
.   O

Appointments   O
with   O
a   O
cardiologist   O
and   O
endocrinologist   O
were   O
scheduled   O
at   O
Glendale   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
up   O
Contact   O
:   O
Brain   B-NAME
is   O
requested   O
to   O
follow   O
up   O
a   O
week   O
after   O
discharge   O
via   O
phone   O
call   O
on   O
32328   B-CONTACT
or   O
personally   O
at   O
Vaughan   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
Mattawan   B-LOCATION
.   O

Emergency   O
contact   O
details   O
are   O
saved   O
under   O
his   O
medical   O
record   O
number   O
05282286   B-ID
.   O

The   O
information   O
compiled   O
in   O
this   O
medical   O
document   O
is   O
confirmed   O
by   O
Guzman   B-NAME
,   O
with   O
the   O
patient   O
ID   O
SS415/5099   B-ID
and   O
is   O
securely   O
kept   O
as   O
a   O
part   O
of   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Japan   I-LOCATION
(   I-LOCATION
CSJ   I-LOCATION
)   I-LOCATION
's   O
digital   O
database   O
.   O

The   O
health   O
staff   O
can   O
connect   O
with   O
gdo400   B-NAME
for   O
any   O
administrative   O
-   O
based   O
queries   O
.   O

The   O
patient   O
’s   O
physical   O
files   O
are   O
safely   O
stored   O
at   O
our   O
facility   O
at   O
39775   B-LOCATION
.   O

This   O
is   O
a   O
brief   O
summary   O
of   O
the   O
patient   O
Stephens   B-NAME
's   O
hospital   O
course   O
.   O

Patient   O
's   O
Name   O
:   O
Laurine   B-NAME
Pruett   I-NAME
Age   O
:   O
71   O
Medical   O
Record   O
Number   O
:   O
49963495   B-ID
Residence   O
:   O
California   B-LOCATION
City   I-LOCATION
Phone   O
Number   O
:   O
400   B-CONTACT
-   I-CONTACT
9908   I-CONTACT
Report   O
:   O
Josh   B-NAME
Galvez   I-NAME
,   O
a   O
License   O
Clerks   O
by   O
profession   O
,   O
recently   O
reported   O
of   O
sudden   O
and   O
intense   O
headaches   O
localized   O
primarily   O
in   O
the   O
temporal   O
region   O
.   O

There   O
has   O
been   O
a   O
significant   O
increase   O
in   O
the   O
frequency   O
of   O
these   O
headaches   O
in   O
the   O
past   O
two   O
29   B-DATE
-   I-DATE
Jan-2337   I-DATE
.   O

Knight   B-NAME
also   O
complained   O
of   O
intermittent   O
episodes   O
of   O
vertigo   O
,   O
along   O
with   O
considerable   O
photophobia   O
.   O

During   O
an   O
appointment   O
on   O
18/17   B-DATE
with   O
Skye   B-NAME
Cline   I-NAME
at   O
PIH   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Whittier   I-LOCATION
,   O
an   O
initial   O
examination   O
revealed   O
no   O
obvious   O
abnormalities   O
.   O

The   O
results   O
(   O
based   O
on   O
174   B-ID
-   I-ID
85   I-ID
-   I-ID
59   I-ID
-   I-ID
5   I-ID
)   O
indicated   O
signs   O
of   O
cerebral   O
vasculitis   O
.   O

With   O
a   O
health   O
plan   O
1   B-ID
-   I-ID
9825199   I-ID
,   O
Germaine   B-NAME
Fierros   I-NAME
was   O
admitted   O
to   O
Osceola   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2180   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
10   I-DATE
for   O
further   O
investigation   O
and   O
treatment   O
.   O

Tests   O
organized   O
by   O
SHARE   B-LOCATION
including   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
,   O
showed   O
inflammation   O
of   O
the   O
blood   O
vessels   O
inside   O
Nichols   B-NAME
's   O
brain   O
.   O

The   O
team   O
,   O
led   O
by   O
Donavan   B-NAME
Gallegos   I-NAME
,   O
suggested   O
prompt   O
treatment   O
to   O
prevent   O
serious   O
consequences   O
such   O
as   O
a   O
stroke   O
or   O
brain   O
damage   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
with   O
Brian   B-NAME
Malone   I-NAME
is   O
scheduled   O
on   O
August   B-DATE
23   I-DATE
at   O
Twin   B-LOCATION
Cities   I-LOCATION
Hospital   I-LOCATION
.   O

We   O
have   O
asked   O
Roma   B-NAME
Kuether   I-NAME
to   O
reach   O
out   O
to   O
897   B-CONTACT
-   I-CONTACT
3462   I-CONTACT
in   O
case   O
of   O
any   O
emergency   O
.   O

All   O
the   O
reports   O
have   O
been   O
made   O
available   O
on   O
Halme   B-NAME
,   I-NAME
Tony   I-NAME
's   O
patient   O
portal   O
with   O
the   O
username   O
LF650   B-NAME
.   O

As   O
a   O
part   O
of   O
our   O
service   O
,   O
we   O
'll   O
be   O
delivering   O
prescription   O
medicines   O
from   O
our   O
partnered   O
MetroPacific   B-LOCATION
Bank   I-LOCATION
pharmacy   O
to   O
Lamar   B-NAME
Werner   I-NAME
's   O
current   O
address   O
at   O
10188   B-LOCATION
every   O
two   O
weeks   O
.   O

Report   O
Signed   O
by   O
:   O
Maynard   B-NAME
Date   O
:   O
11/32   B-DATE

Patient   O
Information   O
:   O
Lawler   B-NAME
,   I-NAME
Jerry   I-NAME
is   O
a   O
99   O
year   O
old   O
individual   O
presenting   O
with   O
symptoms   O
that   O
began   O
approximately   O
on   O
9/04/25   B-DATE
.   O

According   O
to   O
Carl   B-NAME
Vucelich   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Jason   B-NAME
Mantzoukas   I-NAME
,   O
these   O
symptoms   O
have   O
been   O
ongoing   O
.   O

The   O
patient   O
was   O
examined   O
in   O
Longmont   B-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
with   O
specific   O
complaints   O
of   O
persistent   O
fatigue   O
,   O
decreased   O
energy   O
,   O
and   O
an   O
increased   O
need   O
to   O
sleep   O
for   O
long   O
hours   O
.   O

Medical   O
History   O
:   O
Previous   O
medical   O
records   O
,   O
90644429   B-ID
,   O
revealed   O
a   O
history   O
of   O
anemia   O
and   O
type   O
2   O
diabetes   O
.   O

In   O
addition   O
,   O
Luciano   B-NAME
Preston   I-NAME
had   O
been   O
a   O
heavy   O
smoker   O
but   O
quit   O
around   O
2123   B-DATE
.   O

Present   O
Clinical   O
Condition   O
:   O
Lauretta   B-NAME
Hedden   I-NAME
was   O
pale   O
,   O
and   O
appeared   O
lethargic   O
on   O
examination   O
.   O

Diagnostic   O
Evaluations   O
:   O
Given   O
the   O
symptoms   O
,   O
Freund   B-NAME
,   I-NAME
Peter   I-NAME
was   O
advised   O
to   O
undergo   O
a   O
series   O
of   O
laboratory   O
tests   O
,   O
imaging   O
studies   O
,   O
and   O
perhaps   O
a   O
biopsy   O
if   O
needed   O
.   O

The   O
schedule   O
for   O
these   O
tests   O
was   O
set   O
up   O
on   O
July   B-DATE
16   I-DATE
.   O

Address   O
:   O
George   B-NAME
Waggner   I-NAME
resides   O
in   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11206   I-LOCATION
,   O
with   O
zip   O
code   O
19770   B-LOCATION
.   O

In   O
case   O
of   O
necessity   O
,   O
Antonio   B-NAME
Rose   I-NAME
can   O
be   O
reached   O
at   O
28665   B-CONTACT
.   O

Vivian   B-NAME
Collins   I-NAME
works   O
as   O
a   O
Valve   O
and   O
Regulator   O
Repairers   O
for   O
Coweta   B-LOCATION
-   I-LOCATION
Fayette   I-LOCATION
EMC   I-LOCATION
.   O

Insurance   O
and   O
Billing   O
Information   O
:   O
Julius   B-NAME
Mckenzie   I-NAME
's   O
identification   O
number   O
for   O
insurance   O
purpose   O
is   O
VT204/1984   B-ID
.   O

The   O
insurance   O
provider   O
can   O
be   O
contacted   O
at   O
296   B-CONTACT
8944   I-CONTACT
.   O

For   O
account   O
related   O
queries   O
,   O
Owen   B-NAME
Maestro   I-NAME
can   O
contact   O
them   O
via   O
the   O
username   O
ZP134   B-NAME
.   O

Yael   B-NAME
Keeler   I-NAME
received   O
a   O
detailed   O
plan   O
for   O
medical   O
management   O
from   O
Dr.   O
Roman   B-NAME
Herring   I-NAME
,   O
explaining   O
that   O
this   O
should   O
address   O
most   O
of   O
her   O
complaints   O
.   O

The   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
Thursday   B-DATE
.   O

This   O
plan   O
was   O
sent   O
to   O
both   O
Gorky   B-NAME
,   I-NAME
Maxim   I-NAME
and   O
to   O
the   O
Nevada   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
where   O
she   O
works   O
for   O
their   O
records   O
.   O

In   O
case   O
of   O
emergencies   O
,   O
65785   B-CONTACT
is   O
the   O
contact   O
number   O
provided   O
by   O
Liliana   B-NAME
Henderson   I-NAME
.   O

The   O
person   O
to   O
be   O
reached   O
is   O
in   O
Columbia   B-LOCATION
.   O

This   O
individual   O
is   O
a   O
Drywall   O
and   O
Ceiling   O
Tile   O
Installers   O
employed   O
by   O
Tyranical   B-LOCATION
Planets   I-LOCATION
.   O

Patient   O
Report   O
:   O
Newman   B-NAME
presented   O
at   O
the   O
Valley   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
on   O
31/33   B-DATE
,   O
complaining   O
of   O
persistent   O
and   O
severe   O
left   O
upper   O
quadrant   O
belly   O
pain   O
since   O
the   O
morning   O
.   O

Past   O
medical   O
history   O
of   O
Sonny   B-NAME
shows   O
undergoing   O
an   O
appendectomy   O
at   O
the   O
age   O
of   O
94   O
at   O
Wood   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
also   O
a   O
case   O
of   O
cholelithiasis   O
detected   O
at   O
4   O
week   O
but   O
opted   O
for   O
conservative   O
management   O
.   O

The   O
initial   O
examination   O
,   O
conducted   O
by   O
Dahlia   B-NAME
Arildsen   I-NAME
,   O
revealed   O
tenderness   O
in   O
the   O
left   O
upper   O
quadrant   O
with   O
exaggerated   O
pain   O
during   O
palpation   O
,   O
raising   O
possibilities   O
of   O
gastritis   O
or   O
potential   O
pancreatic   O
issues   O
.   O

Contact   O
number   O
given   O
by   O
Atticus   B-NAME
Bennett   I-NAME
for   O
further   O
communication   O
:   O
848   B-CONTACT
5359   I-CONTACT
.   O

Residence   O
at   O
Summitview   B-LOCATION
,   O
85729   B-LOCATION
,   O
the   O
employment   O
details   O
state   O
working   O
for   O
Education   B-LOCATION
International   I-LOCATION
.   O

Later   O
on   O
1/25   B-DATE
,   O
the   O
results   O
of   O
Kaiden   B-NAME
Klein   I-NAME
's   O
tests   O
revealed   O
elevated   O
amylase   O
and   O
lipase   O
levels   O
indicating   O
acute   O
pancreatitis   O
.   O

Upon   O
conveyed   O
the   O
findings   O
,   O
immediate   O
hospital   O
admission   O
was   O
recommended   O
for   O
Adyson   B-NAME
Bridges   I-NAME
and   O
proper   O
informed   O
consent   O
was   O
taken   O
.   O

The   O
medical   O
record   O
of   O
this   O
visit   O
has   O
been   O
filed   O
under   O
9586030   B-ID
.   O

The   O
patient   O
's   O
health   O
insurance   O
GV:60810:708804   B-ID
has   O
been   O
documented   O
for   O
billing   O
purposes   O
.   O

Following   O
up   O
with   O
Leverson   B-NAME
,   I-NAME
Ada   I-NAME
after   O
hospital   O
admission   O
via   O
IO981   B-NAME
,   O
the   O
patient   O
reported   O
a   O
reduction   O
in   O
the   O
intensity   O
of   O
the   O
pain   O
after   O
initiation   O
of   O
treatment   O
.   O

The   O
patient   O
will   O
continue   O
to   O
stay   O
under   O
observation   O
for   O
a   O
few   O
more   O
days   O
as   O
per   O
recommendation   O
by   O
Aaden   B-NAME
Weiss   I-NAME
.   O

This   O
report   O
was   O
written   O
on   O
10/18/1975   B-DATE
.   O

Patient   O
Report   O
Patient   O
Details   O
:   O
Nathanial   B-NAME
Gaines   I-NAME
arrived   O
to   O
the   O
ER   O
at   O
City   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
White   I-LOCATION
Rock   I-LOCATION
on   O
31/28   B-DATE
.   O

His   O
medical   O
record   O
number   O
is   O
29072563   B-ID
.   O

History   O
of   O
Present   O
Illness   O
:   O
Martin   B-NAME
resides   O
in   O
Indiana   B-LOCATION
and   O
works   O
as   O
a   O
Heating   O
Equipment   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
.   O

According   O
to   O
Henry   B-NAME
Bradford   I-NAME
,   O
the   O
symptoms   O
started   O
approximately   O
36   O
hours   O
before   O
his   O
arrival   O
at   O
the   O
hospital   O
.   O

On   O
physical   O
examination   O
,   O
Anthony   B-NAME
Edwardes   I-NAME
appeared   O
to   O
be   O
in   O
severe   O
distress   O
.   O

Following   O
labs   O
and   O
a   O
lumbar   O
puncture   O
,   O
Lilian   B-NAME
was   O
diagnosed   O
with   O
bacterial   O
meningitis   O
.   O

He   O
was   O
admitted   O
to   O
New   B-LOCATION
Hanover   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
started   O
on   O
empiric   O
antibiotics   O
immediately   O
.   O

His   O
treating   O
physician   O
Cisneros   B-NAME
has   O
been   O
closely   O
monitoring   O
him   O
.   O

Identification   O
Details   O
:   O
Gavyn   B-NAME
Diaz   I-NAME
's   O
identification   O
details   O
include   O
his   O
driver   O
's   O
license   O
number   O
OJ910/4574   B-ID
,   O
his   O
mobile   O
number   O
77076   B-CONTACT
,   O
and   O
his   O
zip   O
code   O
63997   B-LOCATION
.   O

He   O
has   O
health   O
insurance   O
from   O
Stop   B-LOCATION
Sequani   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SSAT   I-LOCATION
)   I-LOCATION
.   O

Next   O
of   O
Kin   O
:   O
Brendan   B-NAME
Roberts   I-NAME
's   O
wife   O
,   O
Mrs.   O
Lequoia   B-NAME
,   O
who   O
is   O
also   O
89s   O
,   O
was   O
listed   O
as   O
his   O
emergency   O
contact   O
.   O

She   O
was   O
contacted   O
via   O
phone   O
21603   B-CONTACT
and   O
informed   O
about   O
Mackenzie   B-NAME
Gibbs   I-NAME
's   O
condition   O
.   O

Electronic   O
Signature   O
:   O
wxr331   B-NAME
NOTE   O
:   O

Patient   O
Name   O
:   O
Peter   B-NAME
White   I-NAME
Patient   O
Blake   B-NAME
Downs   I-NAME
came   O
into   O
Jewish   B-LOCATION
Hospital   I-LOCATION
Shelbyville   I-LOCATION
on   O
02/34/2052   B-DATE
.   O

Adelyn   B-NAME
Harris   I-NAME
observed   O
mild   O
splenomegaly   O
after   O
a   O
physical   O
examination   O
.   O

Patient   O
Throttle   B-NAME
,   I-NAME
Ben   I-NAME
’s   O
medical   O
record   O
160   B-ID
-   I-ID
76   I-ID
-   I-ID
46   I-ID
-   I-ID
9   I-ID
also   O
showed   O
a   O
history   O
of   O
thrombocytopenia   O
and   O
mild   O
anemia   O
.   O

Considering   O
her   O
symptoms   O
and   O
lab   O
findings   O
,   O
Mcdonald   B-NAME
,   O
after   O
consultation   O
with   O
colleagues   O
from   O
Cornwall   B-LOCATION
Hospital   I-LOCATION
;   I-LOCATION
Cornwall   I-LOCATION
(   I-LOCATION
now   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
and   O
White   B-LOCATION
Mountains   I-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
,   O
suspected   O
a   O
diagnosis   O
of   O
autoimmune   O
hemolytic   O
anemia   O
or   O
ITP   O
(   O
Idiopathic   O
Thrombocytopenic   O
Purpura   O
)   O
.   O

Patient   O
Pinker   B-NAME
,   I-NAME
Steven   I-NAME
works   O
as   O
a   O
Health   O
and   O
safety   O
adviser   O
at   O
Authority   B-LOCATION
of   I-LOCATION
Planets   I-LOCATION
.   O

She   O
has   O
recently   O
migrated   O
from   O
Bella   B-LOCATION
Vista   I-LOCATION
and   O
her   O
ID   O
5   B-ID
-   I-ID
5875813   I-ID
was   O
verified   O
,   O
which   O
confirmed   O
her   O
age   O
as   O
81   O
.   O

We   O
contacted   O
her   O
at   O
51260   B-CONTACT
for   O
follow   O
ups   O
.   O

Her   O
residential   O
address   O
was   O
verified   O
as   O
Oak   B-LOCATION
Beach   I-LOCATION
,   O
40126   B-LOCATION
.   O

Our   O
team   O
at   O
St.   B-LOCATION
Catherine   I-LOCATION
of   I-LOCATION
Siena   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
including   O
Rowland   B-NAME
,   O
requested   O
Aragon   B-NAME
to   O
have   O
another   O
visit   O
on   O
10/02/13   B-DATE
for   O
further   O
confirmatory   O
tests   O
and   O
starting   O
an   O
appropriate   O
course   O
of   O
treatment   O
as   O
early   O
detection   O
can   O
improve   O
prognosis   O
in   O
these   O
cases   O
.   O

Note   O
;   O
Username   O
:   O
vo223   B-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Degas   B-NAME
,   I-NAME
Edgar   I-NAME
Date   O
of   O
Birth   O
:   O
Monday   B-DATE
Age   O
:   O
36   O
Address   O
:   O
Cubero   B-LOCATION
,   O
68976   B-LOCATION
Phone   O
:   O
498   B-CONTACT
8599   I-CONTACT
Medical   O
Record   O
Number   O
:   O
474   B-ID
88   I-ID
78   I-ID
Social   O
Security   O
Number   O
:   O
7   B-ID
-   I-ID
3325366   I-ID
Chief   O
Complaint   O
:   O
Hayes   B-NAME
,   I-NAME
Helen   I-NAME
presented   O
at   O
the   O
North   B-LOCATION
Oakland   I-LOCATION
Medical   I-LOCATION
Centers   I-LOCATION
complaining   O
of   O
acute   O
chest   O
pain   O
,   O
which   O
he   O
described   O
as   O
a   O
pressure   O
-   O
like   O
sensation   O
radiating   O
down   O
his   O
left   O
arm   O
.   O

Clinic   O
Examination   O
:   O
On   O
examination   O
by   O
Maria   B-NAME
Berg   I-NAME
,   O
Villasenor   B-NAME
appeared   O
anxious   O
but   O
was   O
fully   O
conscious   O
with   O
clear   O
speech   O
.   O

Advised   O
Treatment   O
:   O
Carter   B-NAME
,   I-NAME
Howard   I-NAME
was   O
promptly   O
started   O
on   O
anti   O
-   O
platelet   O
therapy   O
and   O
given   O
nitroglycerin   O
for   O
chest   O
pain   O
.   O

An   O
immediate   O
consultation   O
with   O
a   O
cardiologist   O
and   O
admission   O
to   O
the   O
New   B-LOCATION
Horizons   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
arranged   O
.   O

Follow   O
-   O
up   O
:   O
Jon   B-NAME
Rivers   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
1602   B-DATE
.   O

He   O
has   O
been   O
advised   O
to   O
immediately   O
contact   O
Evelyn   B-NAME
Glover   I-NAME
at   O
235   B-CONTACT
1355   I-CONTACT
in   O
case   O
of   O
worsening   O
condition   O
.   O

Prescribed   O
by   O
Deangelo   B-NAME
Franco   I-NAME
Lewes   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
Works   I-LOCATION
Username   O
of   O
the   O
medical   O
portal   O
login   O
:   O
HG917   B-NAME
Patient   O
was   O
informed   O
of   O
the   O
privacy   O
policy   O
and   O
data   O
recorded   O
in   O
the   O
WakeMed   B-LOCATION
Raleigh   I-LOCATION
Campus   I-LOCATION
patient   O
system   O
.   O

The   O
report   O
was   O
generated   O
and   O
sent   O
to   O
the   O
patient   O
's   O
Prudential   B-LOCATION
Financial   I-LOCATION
.   O

Patient   O
Name   O
:   O
knox   B-NAME
Age   O
:   O
51s   O
ID   O
:   O
63836   B-ID
Medical   O
Record   O
:   O
76336229   B-ID
Address   O
:   O
Polkton   B-LOCATION
Zip   O
Code   O
:   O
70671   B-LOCATION
Phone   O
:   O
637   B-CONTACT
2198   I-CONTACT
Doctor   O
:   O
Mike   B-NAME
Dyer   I-NAME
Hospital   O
:   O
Abington   B-LOCATION
Health   I-LOCATION
Lansdale   I-LOCATION
Hospital   I-LOCATION
Organization   O
:   O

Peninsula   B-LOCATION
Bank   I-LOCATION
Profession   O
:   O
Health   O
Educators   O
Username   O
:   O
qkh911   B-NAME
Report   O
-   O
Sanger   B-NAME
,   I-NAME
Margaret   I-NAME
,   O
a   O
44   O
year   O
old   O
Rail   O
Transportation   O
Workers   O
,   O
All   O
Other   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Novant   B-LOCATION
Health   I-LOCATION
Huntersville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
November   B-DATE
20   I-DATE
,   I-DATE
2312   I-DATE
.   O

Cameron   B-NAME
resides   O
in   O
Ruckersville   B-LOCATION
and   O
can   O
be   O
contacted   O
at   O
99957   B-CONTACT
.   O

Geovanni   B-NAME
Guzman   I-NAME
described   O
the   O
progressive   O
onset   O
of   O
a   O
crushing   O
substernal   O
chest   O
pain   O
that   O
radiates   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
over   O
the   O
past   O
few   O
hours   O
.   O

A   O
thorough   O
examination   O
was   O
conducted   O
by   O
Dr.   O
Bender   B-NAME
who   O
noted   O
that   O
Junior   B-NAME
Griffin   I-NAME
reported   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
however   O
,   O
there   O
was   O
no   O
known   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Laboratory   O
investigations   O
performed   O
under   O
Medical   O
Record   O
144   B-ID
-   I-ID
53   I-ID
-   I-ID
76   I-ID
showed   O
an   O
elevated   O
level   O
of   O
troponin   O
,   O
indicating   O
possible   O
myocardial   O
damage   O
.   O

Given   O
the   O
severity   O
and   O
nature   O
of   O
Jason   B-NAME
Santana   I-NAME
's   O
symptoms   O
,   O
urgent   O
cardiac   O
catheterisation   O
was   O
recommended   O
.   O

Subsequently   O
,   O
the   O
patient   O
was   O
admitted   O
and   O
managed   O
by   O
Dr.   O
Mckee   B-NAME
and   O
his   O
cardiology   O
team   O
.   O

For   O
further   O
details   O
,   O
contact   O
either   O
the   O
cardiology   O
department   O
at   O
Yale   B-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
or   O
Lewes   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
Works   I-LOCATION
on   O
484   B-CONTACT
-   I-CONTACT
902   I-CONTACT
3156   I-CONTACT
.   O

Please   O
use   O
IR443   B-NAME
for   O
all   O
future   O
communications   O
regarding   O
hartman   B-NAME
.   O

Patient   O
Details   O
:   O
Patient   O
:   O
Judd   B-NAME
is   O
a   O
6   O
month   O
year   O
-   O
old   O
male   O
who   O
presented   O
complaints   O
of   O
persistent   O
pain   O
in   O
the   O
abdomen   O
for   O
a   O
period   O
extending   O
over   O
three   O
weeks   O
.   O

Medical   O
History   O
:   O
Mr.   O
Harley   B-NAME
Nguyen   I-NAME
has   O
a   O
history   O
of   O
chronic   O
gastritis   O
and   O
has   O
experienced   O
similar   O
discomfort   O
on   O
several   O
occasions   O
within   O
the   O
past   O
year   O
,   O
with   O
the   O
last   O
major   O
incident   O
documented   O
on   O
11/20/71   B-DATE
in   O
Medical   B-LOCATION
West   I-LOCATION
.   O

His   O
medical   O
record   O
,   O
9828829   B-ID
,   O
shows   O
that   O
he   O
has   O
also   O
been   O
managing   O
symptoms   O
of   O
early   O
-   O
stage   O
hypertension   O
.   O

Diagnostic   O
Evaluation   O
:   O
The   O
primary   O
care   O
physician   O
,   O
Dr.   O
Gentry   B-NAME
,   O
recommended   O
an   O
upper   O
gastrointestinal   O
(   O
GI   O
)   O
endoscopy   O
.   O

The   O
said   O
procedure   O
was   O
conducted   O
on   O
25   B-DATE
in   O
Eucalyptus   B-LOCATION
Hills   I-LOCATION
.   O

The   O
team   O
in   O
Kosair   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
used   O
JD   B-ID
:   I-ID
IL:5611   I-ID
device   O
for   O
the   O
procedure   O
.   O

Results   O
and   O
further   O
management   O
plan   O
will   O
be   O
communicated   O
over   O
688   B-CONTACT
6227   I-CONTACT
to   O
Mina   B-NAME
Hopkins   I-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
in   O
two   O
weeks   O
at   O
Survival   B-LOCATION
International   I-LOCATION
.   O

Contact   O
Details   O
:   O
Patient   O
's   O
permanent   O
address   O
is   O
located   O
at   O
Weldon   B-LOCATION
Spring   I-LOCATION
Heights   I-LOCATION
,   O
71123   B-LOCATION
.   O

He   O
can   O
be   O
reached   O
at   O
the   O
following   O
Phone   O
number   O
:   O
372   B-CONTACT
-   I-CONTACT
9874   I-CONTACT
.   O

Also   O
,   O
his   O
virtual   O
appointments   O
and   O
access   O
to   O
the   O
medical   O
portal   O
can   O
be   O
set   O
up   O
with   O
the   O
username   O
adq75   B-NAME
.   O

Note   O
:   O
The   O
primary   O
care   O
doctor   O
for   O
this   O
case   O
is   O
Dr.   O
Alfreda   B-NAME
Vandermark   I-NAME
affiliated   O
with   O
Baptist   B-LOCATION
Health   I-LOCATION
Paducah   I-LOCATION
.   O

Patient   O
Name   O
:   O
Torre   B-NAME
,   I-NAME
Joe   I-NAME
Age   O
:   O
44   O
Location   O
:   O
Rolling   B-LOCATION
Fork   I-LOCATION
Date   O
of   O
Visit   O
:   O
13/12   B-DATE

The   O
patient   O
presented   O
to   O
CoxHealth   B-LOCATION
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
lower   O
back   O
for   O
the   O
last   O
three   O
days   O
.   O

Prior   O
medical   O
history   O
reveals   O
that   O
Forster   B-NAME
,   I-NAME
E.   I-NAME
M.   I-NAME
has   O
been   O
previously   O
diagnosed   O
with   O
chronic   O
pancreatitis   O
.   O

Saunders   B-NAME
takes   O
no   O
medications   O
regularly   O
,   O
and   O
any   O
allergies   O
are   O
not   O
known   O
.   O

Imaging   O
studies   O
were   O
ordered   O
by   O
Dr.   O
Addisyn   B-NAME
Klein   I-NAME
and   O
revealed   O
inflammation   O
and   O
edema   O
of   O
the   O
pancreas   O
.   O

A   O
consult   O
with   O
a   O
gastroenterologist   O
at   O
McLaren   B-LOCATION
Flint   I-LOCATION
is   O
pending   O
.   O

Health   O
insurance   O
:   O
Coastal   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
ID   O
number   O
:   O
FV:30818:954397   B-ID
Phone   O
:   O
169   B-CONTACT
-   I-CONTACT
2731   I-CONTACT

Next   O
appointment   O
:   O
32/12/32   B-DATE
Please   O
carry   O
your   O
medical   O
record   O
number   O
2711S14026   B-ID
during   O
your   O
next   O
visit   O
for   O
ease   O
of   O
document   O
retrieval   O
.   O

Contact   O
Dr.   O
Schroeder   B-NAME
via   O
the   O
patient   O
portal   O
with   O
username   O
EY547   B-NAME
for   O
any   O
urgent   O
concerns   O
.   O

Jaqueline   B-NAME
Avila   I-NAME
13371   B-LOCATION

The   O
patient   O
resides   O
in   O
zip   O
code   O
38745   B-LOCATION
and   O
works   O
as   O
a   O
Brokerage   O
Clerks   O
.   O

The   O
patient   O
's   O
current   O
symptom   O
status   O
and   O
progress   O
can   O
be   O
discussed   O
in   O
detail   O
with   O
Dr.   O
Braun   B-NAME
in   O
the   O
following   O
appointment   O
on   O
02/06/2163   B-DATE
.   O

Please   O
reach   O
out   O
via   O
their   O
preferred   O
means   O
of   O
secondary   O
contact   O
,   O
phone   O
number   O
919   B-CONTACT
-   I-CONTACT
2939   I-CONTACT
,   O
if   O
unable   O
to   O
connect   O
online   O
.   O

Patient   O
Report   O
:   O
Ali   B-NAME
,   I-NAME
Muhammad   I-NAME
,   O
a   O
74s   O
year   O
old   O
individual   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Middlesboro   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
on   O
06/51   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Lexie   B-NAME
Ortiz   I-NAME
.   O

Levy   B-NAME
's   O
ID   O
,   O
for   O
reference   O
,   O
is   O
VE   B-ID
:   I-ID
ME:5836   I-ID
.   O

P.   B-NAME
Ponce   I-NAME
was   O
immediately   O
started   O
on   O
a   O
nitroglycerin   O
drip   O
.   O

The   O
cath   O
lab   O
at   O
Lighthouse   B-LOCATION
Care   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Augusta   I-LOCATION
was   O
contacted   O
for   O
an   O
emergency   O
cardiac   O
catheterization   O
.   O

The   O
patient   O
's   O
962   B-ID
-   I-ID
21   I-ID
-   I-ID
86   I-ID
-   I-ID
9   I-ID
number   O
from   O
La   B-LOCATION
Fontaine   I-LOCATION
for   O
this   O
admission   O
is   O
mentioned   O
for   O
reference   O
.   O

The   O
on   O
-   O
call   O
Cardiologist   O
,   O
Wilkins   B-NAME
,   O
performed   O
the   O
procedure   O
successfully   O
,   O
revealing   O
significant   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

The   O
patient   O
is   O
advised   O
to   O
follow   O
a   O
cardiac   O
rehabilitation   O
program   O
in   O
an   O
Peace   B-LOCATION
Brigades   I-LOCATION
International   I-LOCATION
.   O

In   O
terms   O
of   O
lifestyle   O
,   O
Collins   B-NAME
is   O
recommended   O
to   O
quit   O
smoking   O
,   O
adhere   O
to   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
and   O
engage   O
in   O
moderate   O
aerobic   O
exercise   O
.   O

We   O
also   O
reassured   O
Glover   B-NAME
and   O
asked   O
him   O
to   O
immediately   O
report   O
any   O
recurrence   O
of   O
symptoms   O
on   O
the   O
provided   O
353   B-CONTACT
9746   I-CONTACT
number   O
.   O

His   O
UF380   B-NAME
was   O
also   O
noted   O
for   O
follow   O
ups   O
.   O

He   O
lives   O
in   O
the   O
67980   B-LOCATION
postal   O
area   O
for   O
reference   O
.   O

This   O
brings   O
the   O
patient   O
report   O
for   O
32/03/2012   B-DATE
to   O
a   O
conclusion   O
.   O

Report   O
signed   O
by   O
:   O
Jacob   B-NAME
Christmas   I-NAME

Patient   O
ID   O
:   O
8235B63501   B-ID
Patient   O
Name   O
:   O

Christian   B-NAME
Szell   I-NAME
Physician   O
:   O
Duran   B-NAME
Date   O
:   O
Martin   B-DATE
Luther   I-DATE
King   I-DATE
Day   I-DATE
At   O
approximately   O
00/21   B-DATE
,   O
patient   O
Courtney   B-NAME
Ellis   I-NAME
,   O
a   O
Carpet   O
Installers   O
from   O
Chubbuck   B-LOCATION
,   O
was   O
admitted   O
to   O
the   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Bank   I-LOCATION
.   O

Upon   O
initial   O
assessment   O
,   O
Jacob   B-NAME
Mcmahon   I-NAME
noted   O
the   O
patient   O
's   O
skin   O
was   O
pale   O
and   O
clammy   O
,   O
body   O
temperature   O
was   O
38.5   O
degrees   O
Celsius   O
,   O
and   O
blood   O
pressure   O
was   O
145/95   O
mmHg   O
.   O

Previous   O
medical   O
records   O
retrieved   O
from   O
the   O
system   O
(   O
Patient   O
ID   O
:   O
3695813   B-ID
)   O
revealed   O
that   O
the   O
patient   O
had   O
a   O
medical   O
history   O
of   O
uncontrolled   O
hypertension   O
and   O
Hyperlipidemia   O
.   O

Roy   B-NAME
Collins   I-NAME
promptly   O
informed   O
the   O
cardiology   O
team   O
at   O
Grand   B-LOCATION
Itasca   I-LOCATION
Clinic   I-LOCATION
and   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
procedure   O
was   O
scheduled   O
for   O
22/22   B-DATE
.   O

For   O
further   O
queries   O
or   O
concerns   O
regarding   O
the   O
procedure   O
,   O
the   O
office   O
can   O
be   O
contacted   O
at   O
(   B-CONTACT
962   I-CONTACT
)   I-CONTACT
571   I-CONTACT
1079   I-CONTACT
.   O

Also   O
,   O
all   O
test   O
results   O
will   O
be   O
available   O
in   O
the   O
Gulf   B-LOCATION
Coast   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
patient   O
portal   O
(   O
voe748   B-NAME
and   O
password   O
needed   O
for   O
access   O
)   O
.   O

Post   O
procedure   O
,   O
Morales   B-NAME
,   I-NAME
Evo   I-NAME
is   O
to   O
be   O
admitted   O
to   O
the   O
intensive   O
care   O
unit   O
(   O
ICU   O
)   O
of   O
Hill   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sumter   I-LOCATION
County   I-LOCATION
for   O
close   O
monitoring   O
.   O

The   O
estimated   O
date   O
of   O
discharge   O
is   O
Thanksgiving   B-DATE
.   O

His   O
address   O
in   O
the   O
records   O
is   O
listed   O
as   O
Oswestry   B-LOCATION
,   O
79485   B-LOCATION
,   O
and   O
his   O
contact   O
is   O
39812   B-CONTACT
.   O

Signed   O
,   O
Breanna   B-NAME
Castaneda   I-NAME
16/05   B-DATE
Purdy   B-LOCATION

Patient   O
Name   O
:   O
Warren   B-NAME
,   I-NAME
Rick   I-NAME
Age   O
:   O
88   O
Physician   O
:   O
Jonathan   B-NAME
Katz   I-NAME
ID   O
:   O
2   B-ID
-   I-ID
2171139   I-ID
Location   O
:   O
Ponemah   B-LOCATION
Zip   O
:   O
78867   B-LOCATION
Date   O
:   O
16/37/82   B-DATE
Hospital   O
:   O
Southwest   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
:   O
638   B-ID
-   I-ID
27   I-ID
-   I-ID
15   I-ID
Phone   O
:   O
40563   B-CONTACT
Organization   O
:   O

Pearl   B-LOCATION
Harbor   I-LOCATION
Survivors   I-LOCATION
Association   I-LOCATION
Profession   O
:   O
Nanoscientist   O
Username   O
:   O
VL794   B-NAME
Espinoza   B-NAME
visited   O
Winona   B-LOCATION
Health   I-LOCATION
on   O
2121   B-DATE
complaining   O
about   O
severe   O
chest   O
pains   O
and   O
shortness   O
of   O
breath   O
.   O

Markus   B-NAME
Mendez   I-NAME
also   O
reported   O
experiencing   O
intermittent   O
bouts   O
of   O
rapid   O
heart   O
beat   O
,   O
especially   O
on   O
exertion   O
.   O

Further   O
inquiry   O
revealed   O
that   O
Jaslyn   B-NAME
Vazquez   I-NAME
is   O
a   O
Statisticians   O
which   O
could   O
potentially   O
lead   O
to   O
occupational   O
stress   O
.   O

Tucker   B-NAME
performed   O
a   O
thorough   O
physical   O
examination   O
and   O
noted   O
that   O
the   O
patient   O
's   O
heart   O
rhythm   O
seemed   O
irregular   O
.   O

It   O
was   O
suggested   O
that   O
Aspen   B-NAME
Gallagher   I-NAME
undergo   O
electrocardiogram   O
(   O
ECG   O
)   O
,   O
stress   O
test   O
and   O
echocardiogram   O
to   O
ascertain   O
the   O
potential   O
causes   O
of   O
the   O
presented   O
symptoms   O
.   O

The   O
patient   O
agreed   O
and   O
tests   O
were   O
scheduled   O
for   O
21   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
63   I-DATE
at   O
Abington   B-LOCATION
Health   I-LOCATION
Lansdale   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
is   O
advised   O
to   O
limit   O
physical   O
exertion   O
until   O
then   O
and   O
to   O
contact   O
272   B-CONTACT
-   I-CONTACT
9866   I-CONTACT
in   O
case   O
of   O
any   O
emergency   O
.   O

Moody   B-NAME
could   O
not   O
rule   O
out   O
the   O
possibility   O
of   O
angina   O
or   O
coronary   O
heart   O
disease   O
from   O
the   O
initial   O
examination   O
and   O
therefore   O
,   O
recommended   O
the   O
Kristin   B-NAME
Tanner   I-NAME
to   O
a   O
cardiologist   O
at   O
American   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Clinical   I-LOCATION
Chemistry   I-LOCATION
.   O

We   O
provided   O
the   O
Acuna   B-NAME
with   O
the   O
medical   O
records   O
(   O
59443294   B-ID
)   O
which   O
will   O
be   O
necessary   O
for   O
the   O
visit   O
to   O
the   O
cardiologist   O
.   O

Further   O
,   O
Samson   B-NAME
Delacruz   I-NAME
's   O
information   O
has   O
been   O
updated   O
on   O
our   O
hospital   O
network   O
.   O

vp114   B-NAME
has   O
been   O
provided   O
to   O
access   O
the   O
online   O
patient   O
portal   O
for   O
further   O
communication   O
and   O
appointment   O
scheduling   O
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Reed   I-LOCATION
City   I-LOCATION
Campus   I-LOCATION
.   O

Finally   O
,   O
a   O
copy   O
of   O
the   O
medical   O
report   O
was   O
mailed   O
to   O
Mcconnell   B-NAME
's   O
residence   O
at   O
Martinez   B-LOCATION
,   I-LOCATION
Martinez   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
57713   B-LOCATION
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Florence   B-NAME
Mildred   I-NAME
Yuan   I-NAME
Age   O
:   O
100   O
ID   O
:   O
TV:50655:309773   B-ID
Medical   O
Record   O
:   O
856   B-ID
-   I-ID
58   I-ID
-   I-ID
79   I-ID
Location   O
:   O
Westmont   B-LOCATION
Zip   O
Code   O
:   O
71832   B-LOCATION
Phone   O
Number   O
:   O
42396   B-CONTACT
Date   O
:   O
05/29   B-DATE
Physician   O
:   O

Demarcus   B-NAME
Mccormick   I-NAME
Hospital   O
:   O
Advanced   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
Profession   O
:   O
Travel   O
Agents   O
Username   O
:   O
hrq462   B-NAME
Organization   O
:   O

First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Anthony   I-LOCATION
Symptoms   O
:   O

Dyer   B-NAME
arrived   O
at   O
the   O
hospital   O
on   O
Wednesday   B-DATE
,   I-DATE
April   I-DATE
presenting   O
with   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

During   O
the   O
physical   O
examination   O
,   O
Silva   B-NAME
observed   O
that   O
Hodges   B-NAME
had   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
along   O
with   O
an   O
increased   O
heart   O
rate   O
.   O

Palpation   O
of   O
the   O
abdomen   O
was   O
carried   O
out   O
,   O
whereupon   O
Rayna   B-NAME
Beasley   I-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
’s   O
medical   O
history   O
was   O
evaluated   O
,   O
which   O
showed   O
that   O
Lowery   B-NAME
has   O
been   O
previously   O
diagnosed   O
with   O
mild   O
hypertension   O
and   O
is   O
a   O
non   O
-   O
insulin   O
dependent   O
type   O
2   O
diabetic   O
.   O

The   O
patient   O
is   O
employed   O
as   O
a   O
Database   O
Architects   O
at   O
Linux   B-LOCATION
Users   I-LOCATION
'   I-LOCATION
Group   I-LOCATION
of   I-LOCATION
Davis   I-LOCATION
and   O
resides   O
in   O
Cankton   B-LOCATION
.   O

The   O
doctor   O
at   O
Lankenau   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
suggested   O
to   O
proceed   O
with   O
an   O
abdominal   O
ultrasound   O
to   O
confirm   O
the   O
appendicitis   O
diagnosis   O
and   O
is   O
further   O
planning   O
for   O
potential   O
surgical   O
intervention   O
if   O
required   O
.   O

The   O
patient   O
's   O
family   O
was   O
contacted   O
via   O
the   O
phone   O
number   O
202   B-CONTACT
-   I-CONTACT
3846   I-CONTACT
and   O
they   O
confirmed   O
Gustavo   B-NAME
Wallace   I-NAME
’s   O
medical   O
history   O
and   O
symptoms   O
.   O

This   O
report   O
has   O
been   O
prepared   O
and   O
logged   O
under   O
nbp110   B-NAME
,   O
and   O
is   O
filed   O
under   O
the   O
patient   O
's   O
account   O
number   O
,   O
0   B-ID
-   I-ID
9129104   I-ID
.   O

Patient   O
Name   O
:   O
Harry   B-NAME
Glass   I-NAME
Age   O
:   O
46   O
Identification   O
:   O
KY:8155:646505   B-ID
Medical   O
Record   O
Number   O
:   O
851   B-ID
-   I-ID
19   I-ID
-   I-ID
57   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Consultation   O
:   O
10   B-DATE
-   I-DATE
Nov-37   I-DATE
Physician   O
's   O
Name   O
:   O
Dr.   O
Cox   B-NAME
Warner   B-NAME
presented   O
to   O
General   B-LOCATION
Leonard   I-LOCATION
Wood   I-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
02/21   B-DATE
with   O
complaints   O
about   O
severe   O
abdominal   O
pain   O
that   O
has   O
persisted   O
for   O
the   O
past   O
several   O
days   O
.   O

Considering   O
the   O
patient   O
's   O
presenting   O
symptoms   O
and   O
laboratory   O
findings   O
,   O
a   O
differential   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Dr.   O
Marvin   B-NAME
Pratt   I-NAME
at   O
St.   B-LOCATION
Rose   I-LOCATION
Dominican   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Martin   I-LOCATION
Campus   I-LOCATION
.   O

Contact   O
Info   O
:   O
482   B-CONTACT
-   I-CONTACT
169   I-CONTACT
-   I-CONTACT
9551   I-CONTACT
Emergency   O
Contact   O
:   O
xwf965   B-NAME
Emergency   O
Contact   O
Profession   O
:   O
Metal   O
Molding   O
,   O
Coremaking   O
,   O
and   O
Casting   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
Emergency   O
Contact   O
Phone   O
:   O
839   B-CONTACT
-   I-CONTACT
6688   I-CONTACT
Home   O
Address   O
:   O
Marshall   B-LOCATION
,   O
62856   B-LOCATION

The   O
treating   O
physician   O
at   O
Marion   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
Dr.   O
Rodriguez   B-NAME
,   O
recommended   O
surgical   O
consultation   O
for   O
potential   O
appendectomy   O
.   O

Upon   O
discharge   O
,   O
Baxter   B-NAME
was   O
to   O
continue   O
symptomatic   O
treatment   O
with   O
NSAIDs   O
for   O
pain   O
and   O
fever   O
control   O
until   O
the   O
day   O
of   O
the   O
operation   O
.   O

Employer   O
:   O
CARE   B-LOCATION
,   O
located   O
at   O
Pupukea   B-LOCATION
Please   O
note   O
that   O
this   O
medical   O
report   O
contains   O
highly   O
sensitive   O
and   O
confidential   O
information   O
covered   O
by   O
HIPAA   O
.   O

Presiding   O
Doctor   O
Nichols   B-NAME
Department   O
of   O
General   O
Surgery   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
79779   B-CONTACT

Patient   O
Report   O
Mr.   O
More   B-NAME
,   I-NAME
Hannah   I-NAME
,   O
a   O
Purchasing   O
Agents   O
,   O
Except   O
Wholesale   O
,   O
Retail   O
,   O
and   O
Farm   O
Products   O
from   O
San   B-LOCATION
Antonio   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
78240   I-LOCATION
,   O
presented   O
at   O
Nell   B-LOCATION
J.   I-LOCATION
Redfield   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
2387   I-DATE
.   O

I   O
,   O
Dr.   O
Horne   B-NAME
,   O
was   O
assigned   O
to   O
his   O
case   O
.   O

Hg   O
.   O
Results   O
of   O
the   O
blood   O
tests   O
run   O
on   O
2383   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
23   I-DATE
showed   O
elevated   O
white   O
blood   O
cell   O
counts   O
,   O
suggestive   O
of   O
an   O
ongoing   O
infection   O
.   O

Mr.   O
Sanai   B-NAME
Swanson   I-NAME
's   O
medical   O
record   O
03531477   B-ID
showed   O
no   O
prior   O
history   O
of   O
respiratory   O
diseases   O
,   O
and   O
there   O
was   O
no   O
family   O
history   O
of   O
respiratory   O
diseases   O
.   O

He   O
was   O
advised   O
to   O
follow   O
up   O
after   O
a   O
week   O
on   O
1/92   B-DATE
for   O
reassessment   O
.   O

The   O
patient   O
was   O
asked   O
to   O
contact   O
the   O
Rayle   B-LOCATION
EMC   I-LOCATION
at   O
899   B-CONTACT
-   I-CONTACT
217   I-CONTACT
3702   I-CONTACT
and   O
share   O
his   O
ID   O
TA146/1399   B-ID
in   O
future   O
communications   O
.   O

Please   O
note   O
this   O
document   O
contains   O
sensitive   O
data   O
pertaining   O
to   O
Mr.   O
Weiss   B-NAME
and   O
should   O
only   O
be   O
accessed   O
by   O
authorized   O
personnel   O
.   O

Request   O
your   O
unique   O
access   O
today   O
by   O
contacting   O
the   O
IT   O
department   O
with   O
your   O
username   O
fa895   B-NAME
and   O
office   O
87872   B-LOCATION
.   O

This   O
report   O
was   O
generated   O
by   O
Dr.   O
Watts   B-NAME
,   O
East   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/39   B-DATE
.   O

Patient   O
Report   O
:   O
Mr.   O
Ora   B-NAME
-   I-NAME
Jordan   I-NAME
Yelton   I-NAME
,   O
a   O
Billing   O
,   O
Cost   O
,   O
and   O
Rate   O
Clerks   O
from   O
Parksville   B-LOCATION
,   O
aged   O
56   O
years   O
,   O
presented   O
to   O
Emanate   B-LOCATION
Health   I-LOCATION
Foothill   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
on   O
02/25   B-DATE
.   O

His   O
medical   O
record   O
number   O
is   O
769   B-ID
-   I-ID
49   I-ID
-   I-ID
39   I-ID
.   O

Chief   O
Complaint   O
:   O
Mr.   O
Rajani   B-NAME
Mohadevan   I-NAME
complained   O
of   O
consistent   O
high   O
-   O
grade   O
fever   O
for   O
past   O
few   O
days   O
accompanied   O
by   O
productive   O
cough   O
yielding   O
greenish   O
-   O
brown   O
expectorant   O
.   O

Three   O
days   O
prior   O
to   O
being   O
admitted   O
to   O
Hope   B-LOCATION
Haven   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
he   O
noticed   O
a   O
sharp   O
decline   O
in   O
appetite   O
and   O
increased   O
shortness   O
of   O
breath   O
.   O

Mr.   O
Alfonso   B-NAME
Hensley   I-NAME
has   O
no   O
known   O
prior   O
history   O
of   O
similar   O
conditions   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Dr.   O
Soto   B-NAME
noted   O
decreased   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
bilaterally   O
and   O
isolated   O
wheezing   O
in   O
the   O
patient   O
's   O
right   O
side   O
.   O

The   O
patient   O
is   O
to   O
report   O
for   O
the   O
imaging   O
scan   O
on   O
11/30/98   B-DATE
at   O
Hannibal   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
identification   O
number   O
of   O
the   O
requested   O
lab   O
investigations   O
is   O
9   B-ID
-   I-ID
2471626   I-ID
.   O

Contact   O
:   O
The   O
patient   O
provided   O
70508   B-CONTACT
as   O
his   O
contact   O
number   O
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Newton   B-NAME
,   O
has   O
been   O
contacted   O
and   O
the   O
patient   O
has   O
given   O
consent   O
to   O
share   O
his   O
medical   O
information   O
with   O
her   O
.   O

A   O
detailed   O
report   O
will   O
be   O
sent   O
to   O
Dr.   O
Wolf   B-NAME
at   O
Groveland   B-LOCATION
Light   I-LOCATION
Department   I-LOCATION
in   O
Hoopeston   B-LOCATION
,   I-LOCATION
Visioning   I-LOCATION
for   I-LOCATION
the   I-LOCATION
Future   I-LOCATION
.   O

The   O
reference   O
number   O
for   O
communication   O
is   O
KQ321   B-NAME
.   O

After   O
discussion   O
with   O
Mr.   O
Shane   B-NAME
Brooks   I-NAME
,   O
Dr.   O
Maxwell   B-NAME
suggested   O
hospital   O
admission   O
for   O
further   O
tests   O
and   O
possible   O
antibiotic   O
initiation   O
.   O

The   O
patient   O
agreed   O
and   O
signed   O
consent   O
for   O
admission   O
to   O
Cherokee   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
preliminary   O
diagnosis   O
for   O
Mr.   O
Bradford   B-NAME
Althaus   I-NAME
is   O
community   O
acquired   O
pneumonia   O
,   O
but   O
more   O
tests   O
will   O
be   O
conducted   O
to   O
confirm   O
,   O
including   O
sputum   O
culture   O
and   O
a   O
full   O
panel   O
of   O
blood   O
tests   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
Mr.   O
Bruce   B-NAME
Koontz   I-NAME
to   O
monitor   O
his   O
progress   O
.   O

His   O
hospital   O
discharge   O
summary   O
will   O
be   O
sent   O
to   O
the   O
Los   B-LOCATION
Angeles   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
90044   I-LOCATION
address   O
upon   O
patient   O
's   O
checkout   O
.   O

This   O
finalized   O
report   O
will   O
be   O
sent   O
to   O
Mr.   O
Annika   B-NAME
Williamson   I-NAME
's   O
mailbox   O
at   O
12892   B-LOCATION
code   O
shortly   O
.   O

Patient   O
Name   O
:   O
Andre   B-NAME
Farrell   I-NAME
Age   O
:   O
78   O
Gender   O
:   O

Male   O
Mr.   O
Jarvis   B-NAME
came   O
in   O
for   O
appointment   O
on   O
August   B-DATE
05   I-DATE
with   O
complaints   O
of   O
a   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
and   O
chest   O
pain   O
,   O
which   O
have   O
been   O
persistent   O
for   O
the   O
past   O
2   O
weeks   O
.   O

Mr.   O
Esta   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
.   O

He   O
works   O
as   O
a   O
Social   O
and   O
Community   O
Service   O
Managers   O
in   O
Nationwide   B-LOCATION
Mutual   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
.   O

Medical   O
record   O
number   O
:   O
7211268   B-ID
Doctor   O
's   O
name   O
:   O
Dr.   O
Mcmillan   B-NAME
During   O
the   O
examination   O
by   O
Dr.   O
Andrews   B-NAME
,   O
patient   O
’s   O
blood   O
pressure   O
was   O
155/90   O

The   O
radiographs   O
obtained   O
at   O
Ogden   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
36   B-DATE
showed   O
significant   O
findings   O
.   O

Based   O
on   O
the   O
medical   O
history   O
,   O
symptoms   O
and   O
the   O
x   O
-   O
ray   O
report   O
,   O
Mr.   O
Adalynn   B-NAME
House   I-NAME
was   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Mr.   O
Leiber   B-NAME
,   I-NAME
Fritz   I-NAME
's   O
home   O
address   O
:   O
Onawa   B-LOCATION
,   O
Zip   O
code   O
:   O
63011   B-LOCATION
Emergency   O
contact   O
:   O
409   B-CONTACT
-   I-CONTACT
3420   I-CONTACT
On   O
05/71   B-DATE
,   O
his   O
ID   O
#   O
QT304/3767   B-ID
was   O
recorded   O
and   O
he   O
was   O
registered   O
at   O
the   O
reception   O
of   O
Riverside   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
Williamsburg   I-LOCATION
.   O

An   O
email   O
notification   O
of   O
the   O
today   O
’s   O
visit   O
summary   O
was   O
sent   O
to   O
Mr   O
Lainey   B-NAME
Hampton   I-NAME
’s   O
email   O
pseudonym   O
,   O
JH404   B-NAME
.   O

This   O
report   O
will   O
be   O
sent   O
to   O
primary   O
care   O
provider   O
,   O
Dr.   O
Eisenstein   B-NAME
,   I-NAME
Ferdinand   I-NAME
for   O
further   O
follow   O
-   O
up   O
and   O
management   O
.   O

Report   O
generated   O
on   O
:   O
2270   B-DATE

Patient   O
Devyn   B-NAME
Richmond   I-NAME
visited   O
Koppel   B-LOCATION
clinic   O
with   O
complaints   O
of   O
a   O
persistent   O
cough   O
,   O
substantial   O
shortness   O
of   O
breath   O
,   O
hemoptysis   O
and   O
unexplainable   O
weight   O
loss   O
over   O
period   O
of   O
April   B-DATE
.   O

Clinical   O
investigations   O
such   O
as   O
CXR   O
and   O
CT   O
scan   O
of   O
the   O
chest   O
done   O
on   O
June   B-DATE
31   I-DATE
revealed   O
a   O
consolidation   O
in   O
the   O
right   O
upper   O
lobe   O
.   O

Referring   O
physician   O
,   O
Patton   B-NAME
advised   O
for   O
a   O
bronchoscopy   O
.   O

The   O
procedure   O
carried   O
out   O
at   O
SSM   B-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
22/23   B-DATE
,   O
showed   O
an   O
endobronchial   O
lesion   O
obstructing   O
the   O
right   O
upper   O
lobe   O
bronchus   O
.   O

Histopathological   O
evaluation   O
of   O
the   O
biopsy   O
conducted   O
by   O
Moss   B-NAME
suggested   O
squamous   O
cell   O
carcinoma   O
.   O

The   O
case   O
was   O
discussed   O
in   O
the   O
multidisciplinary   O
meeting   O
involving   O
doctors   O
from   O
Cassia   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Chartered   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Physiotherapy   I-LOCATION
and   O
Texarkana   B-LOCATION
,   I-LOCATION
Texarkana   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
.   O

PET   O
scan   O
arranged   O
at   O
Cheshire   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
0/37   B-DATE
for   O
staging   O
of   O
the   O
malignancy   O
and   O
further   O
treatment   O
options   O
.   O

The   O
ID   O
number   O
linked   O
to   O
the   O
PET   O
scan   O
request   O
is   O
NG:65123:197900   B-ID
.   O

Upon   O
consideration   O
of   O
the   O
results   O
and   O
potential   O
treatment   O
paths   O
,   O
the   O
family   O
was   O
contacted   O
via   O
900   B-CONTACT
-   I-CONTACT
5090   I-CONTACT
.   O

Patient   O
's   O
brother   O
,   O
working   O
in   O
Education   O
Administrators   O
,   O
Preschool   O
and   O
Child   O
Care   O
Center   O
--   O
Program   O
and   O
residing   O
at   O
79542   B-LOCATION
,   O
expressed   O
concerns   O
about   O
the   O
potential   O
side   O
effects   O
of   O
chemotherapy   O
and   O
the   O
need   O
for   O
further   O
support   O
.   O

Patient   O
’s   O
electronic   O
medical   O
record   O
number   O
768   B-ID
-   I-ID
09   I-ID
-   I-ID
01   I-ID
-   I-ID
2   I-ID
contains   O
all   O
of   O
the   O
test   O
results   O
and   O
documentation   O
of   O
the   O
office   O
visits   O
.   O

The   O
username   O
of   O
the   O
account   O
maintaining   O
the   O
online   O
record   O
of   O
patient   O
’s   O
information   O
is   O
cz125   B-NAME
.   O

Patient   O
Name   O
:   O
Kelis   B-NAME
Age   O
:   O
61   O
DOB   O
:   O

March   B-DATE
SSN   O
:   O
RF   B-ID
:   I-ID
VI:9610   I-ID
Location   O
:   O
Sylva   B-LOCATION
,   I-LOCATION
Sylva   I-LOCATION
Partners   I-LOCATION
in   I-LOCATION
Renewal   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
Primary   O
Physician   O
:   O

Rich   B-NAME
Hospital   O
Name   O
:   O
North   B-LOCATION
Shore   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
No   O
.   O
:   O
54534493   B-ID
23/24   B-DATE
Dear   O
Dr.   O
Reilly   B-NAME
,   O
I   O
am   O
writing   O
this   O
letter   O
to   O
you   O
to   O
discuss   O
the   O
patient   O
,   O
Jeanne   B-NAME
Bartlett   I-NAME
,   O
who   O
has   O
been   O
under   O
my   O
care   O
recently   O
.   O

Dayna   B-NAME
Limones   I-NAME
presented   O
with   O
persistent   O
dry   O
cough   O
and   O
difficulty   O
in   O
breathing   O
that   O
has   O
worsened   O
over   O
the   O
past   O
week   O
.   O

He   O
works   O
as   O
a   O
Financial   O
Examiners   O
at   O
Direct   B-LOCATION
Energy   I-LOCATION
.   O

Laface   B-NAME
Nockai   I-NAME
lives   O
in   O
Remer   B-LOCATION
,   O
30630   B-LOCATION
.   O

He   O
had   O
contacted   O
the   O
office   O
by   O
67883   B-CONTACT
on   O
23/11   B-DATE
,   O
with   O
his   O
concerns   O
regarding   O
his   O
symptoms   O
.   O

A   O
chest   O
X   O
-   O
ray   O
was   O
performed   O
at   O
Shepherd   B-LOCATION
Center   I-LOCATION
on   O
0/23/03   B-DATE
,   O
which   O
shows   O
bilateral   O
infiltrates   O
suggestive   O
of   O
pneumonia   O
.   O

For   O
further   O
support   O
,   O
he   O
can   O
reach   O
Riverside   B-LOCATION
Shore   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
953   I-CONTACT
)   I-CONTACT
511   I-CONTACT
1394   I-CONTACT
.   O

I   O
am   O
sharing   O
with   O
you   O
the   O
test   O
results   O
and   O
medical   O
reports   O
(   O
MR   O
No   O
:   O
1862470   B-ID
)   O
for   O
your   O
further   O
review   O
and   O
necessary   O
action   O
.   O

To   O
discuss   O
his   O
case   O
further   O
,   O
feel   O
free   O
to   O
reach   O
me   O
via   O
my   O
username   O
cu271   B-NAME
at   O
the   O
online   O
health   O
portal   O
.   O

Regards   O
,   O
Killian   B-NAME
Mckenzie   I-NAME
Department   O
of   O
Pulmonary   O
and   O
Critical   O
Care   O
Prowers   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Name   O
:   O
Jaydan   B-NAME
Johnson   I-NAME
Age   O
:   O
72   O
Date   O
:   O
32/35   B-DATE
Medical   O
Record   O
:   O
33932103   B-ID
Physician   O
:   O

Julianne   B-NAME
Stephens   I-NAME
Hospital   O
:   O
Bayhealth   B-LOCATION
Kent   I-LOCATION
Campus   I-LOCATION
Location   O
:   O
Connelly   B-LOCATION
Springs   I-LOCATION
Zip   O
:   O
95420   B-LOCATION

Leticia   B-NAME
Krause   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
has   O
no   O
prior   O
history   O
of   O
pulmonary   O
diseases   O
.   O

Upon   O
examination   O
,   O
Pauli   B-NAME
,   I-NAME
Wolfgang   I-NAME
's   O
oxygen   O
saturation   O
level   O
was   O
surprisingly   O
low   O
,   O
hovering   O
around   O
90   O
%   O
.   O

Black   B-NAME
ordered   O
a   O
complete   O
blood   O
count   O
and   O
chest   O
x   O
-   O
ray   O
which   O
were   O
performed   O
at   O
University   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
.   O

Employer   O
's   O
Name   O
:   O
Pemberton   B-LOCATION
Borough   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Profession   O
:   O

Residential   O
Advisors   O
ID   O
number   O
:   O
6   B-ID
-   I-ID
3151906   I-ID
Lutz   B-NAME
,   I-NAME
John   I-NAME
Gregory   I-NAME
works   O
as   O
a   O
Computer   O
Operators   O
at   O
Centre   B-LOCATION
on   I-LOCATION
Housing   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Evictions   I-LOCATION
(   I-LOCATION
COHRE   I-LOCATION
)   I-LOCATION
.   O

It   O
appears   O
that   O
Uzziel   B-NAME
's   O
occupation   O
may   O
have   O
inadvertently   O
exposed   O
them   O
to   O
harmful   O
substances   O
that   O
could   O
have   O
contributed   O
to   O
their   O
respiratory   O
condition   O
.   O

Contact   O
Number   O
:   O
72384   B-CONTACT

The   O
patient   O
will   O
be   O
monitored   O
closely   O
over   O
the   O
next   O
few   O
days   O
at   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Duluth   I-LOCATION
.   O

DHCP   O
Username   O
:   O
koo644   B-NAME
I   O
,   O
Stone   B-NAME
,   I-NAME
W.   I-NAME
Clement   I-NAME
plan   O
to   O
reassess   O
Zachariah   B-NAME
Vasquez   I-NAME
on   O
33/03   B-DATE
.   O

We   O
will   O
arrange   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Todd   B-NAME
Levine   I-NAME
for   O
lung   O
function   O
tests   O
once   O
the   O
infection   O
subsides   O
.   O

Report   O
:   O
Patient   O
Germaine   B-NAME
Fierros   I-NAME
was   O
admitted   O
to   O
Fulton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Oswego   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
on   O
1833   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
02   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
patient   O
is   O
a   O
73s   O
year   O
-   O
old   O
who   O
resides   O
in   O
Roe   B-LOCATION
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Baez   B-NAME
,   I-NAME
Joan   I-NAME
,   O
which   O
showed   O
elevated   O
white   O
blood   O
cells   O
count   O
,   O
suggesting   O
a   O
potential   O
infection   O
.   O

Further   O
information   O
about   O
the   O
patient   O
,   O
including   O
his   O
social   O
security   O
number   O
RD497/4931   B-ID
and   O
medical   O
record   O
number   O
5576590   B-ID
,   O
were   O
used   O
to   O
access   O
and   O
update   O
his   O
medical   O
files   O
.   O

Providing   O
his   O
phone   O
number   O
(   B-CONTACT
919   I-CONTACT
)   I-CONTACT
793   I-CONTACT
1619   I-CONTACT
,   O
he   O
has   O
asked   O
us   O
to   O
keep   O
his   O
wife   O
,   O
a   O
Doctor   O
(   O
general   O
practitioner   O
,   O
GP   O
)   O
at   O
International   B-LOCATION
Coalition   I-LOCATION
against   I-LOCATION
Enforced   I-LOCATION
Disappearances   I-LOCATION
,   O
informed   O
about   O
his   O
condition   O
,   O
but   O
has   O
requested   O
us   O
to   O
withhold   O
any   O
major   O
decisions   O
until   O
she   O
arrives   O
at   O
the   O
hospital   O
.   O

For   O
further   O
consult   O
,   O
an   O
appointment   O
was   O
made   O
with   O
a   O
gastroenterologist   O
,   O
Dr.   O
Mark   B-NAME
Jensen   I-NAME
,   O
on   O
01/07   B-DATE
at   O
the   O
same   O
hospital   O
.   O

The   O
patient   O
also   O
provided   O
his   O
professional   O
contact   O
in   O
South   B-LOCATION
Paris   I-LOCATION
,   O
his   O
work   O
ID   O
LD975   B-NAME
along   O
with   O
the   O
company   O
's   O
zip   O
code   O
59480   B-LOCATION
for   O
billing   O
and   O
insurance   O
purposes   O
.   O

He   O
was   O
transferred   O
to   O
room   O
221   O
in   O
OSF   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
building   O
for   O
close   O
monitoring   O
.   O

His   O
intake   O
forms   O
also   O
provided   O
detailed   O
information   O
about   O
his   O
previous   O
medical   O
history   O
,   O
which   O
included   O
a   O
heart   O
surgery   O
at   O
Billings   B-LOCATION
Clinic   I-LOCATION
in   O
2048   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
26   I-DATE
.   O

The   O
report   O
was   O
last   O
updated   O
by   O
the   O
nursing   O
staff   O
on   O
11   B-DATE
-   I-DATE
6   I-DATE
at   O
Clark   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Quarles   B-NAME
,   I-NAME
Francis   I-NAME
Personal   O
Health   O
Information   O
:   O
-   O
Age   O
:   O
39   O
-   O
ID   O
:   O
ZY:69360:957481   B-ID
-   O
Address   O
:   O
Antelope   B-LOCATION
Hills   I-LOCATION
-   O
Phone   O
:   O
(   B-CONTACT
111   I-CONTACT
)   I-CONTACT
506   I-CONTACT
-   I-CONTACT
5426   I-CONTACT
-   O
Zip   O
:   O
73857   B-LOCATION
Medical   O
Record   O
Number   O
:   O
25818722   B-ID
Initial   O
Assessment   O
:   O

The   O
patient   O
presented   O
to   O
Marian   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
the   O
morning   O
of   O
2/10   B-DATE
with   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
,   O
combined   O
with   O
nausea   O
and   O
occasional   O
vomiting   O
.   O

Dr.   O
Mariam   B-NAME
Zamora   I-NAME
performed   O
a   O
thorough   O
examination   O
and   O
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
as   O
well   O
as   O
a   O
computerized   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
.   O

Dr.   O
Forbes   B-NAME
made   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
immediately   O
scheduled   O
for   O
an   O
emergency   O
appendectomy   O
on   O
09/23   B-DATE
to   O
surgically   O
remove   O
the   O
inflamed   O
appendix   O
.   O

The   O
patient   O
is   O
a   O
Web   O
Developers   O
at   O
Collective   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
and   O
has   O
been   O
asked   O
to   O
take   O
medical   O
leave   O
for   O
a   O
period   O
of   O
two   O
weeks   O
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
07/33   B-DATE
with   O
Dr.   O
Jaelyn   B-NAME
Horne   I-NAME
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Moundridge   I-LOCATION
for   O
post   O
-   O
operation   O
evaluation   O
.   O

Any   O
queries   O
can   O
be   O
directed   O
to   O
the   O
hospital   O
at   O
737   B-CONTACT
6020   I-CONTACT
.   O

Username   O
for   O
online   O
portal   O
access   O
:   O
xn1810   B-NAME

The   O
report   O
was   O
compiled   O
by   O
Dr.   O
Areli   B-NAME
Hawkins   I-NAME
at   O
AMITA   B-LOCATION
Health   I-LOCATION
Resurrection   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chicago   I-LOCATION
,   O
Edina   B-LOCATION
on   O
2   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
90   I-DATE
.   O

Patient   O
Information   O
:   O
Alondra   B-NAME
Key   I-NAME
was   O
admitted   O
to   O
Valley   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Brownsville   I-LOCATION
on   O
June   B-DATE
11   I-DATE
,   I-DATE
2267   I-DATE
.   O

He   O
is   O
a   O
14   O
years   O
old   O
male   O
from   O
Westgate   B-LOCATION
who   O
is   O
working   O
as   O
a   O
Valve   O
and   O
Regulator   O
Repairers   O
.   O

His   O
phone   O
number   O
is   O
232   B-CONTACT
-   I-CONTACT
7127   I-CONTACT
and   O
his   O
ID   O
number   O
is   O
UW:17434:959505   B-ID
.   O

Wright   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
,   O
diagnosed   O
5   O
years   O
ago   O
.   O

Mathias   B-NAME
Brooks   I-NAME
was   O
under   O
the   O
regular   O
supervision   O
of   O
Broyard   B-NAME
,   I-NAME
Anatole   I-NAME
.   O

His   O
health   O
plan   O
number   O
was   O
4749279   B-ID
.   O

Presenting   O
Complaints   O
:   O
Jack   B-NAME
McNeil   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
with   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
accompanied   O
with   O
sudoresis   O
and   O
a   O
sudden   O
onset   O
of   O
dyspnea   O
.   O

The   O
pain   O
was   O
described   O
as   O
a   O
pressure   O
-   O
like   O
sensation   O
and   O
had   O
gradually   O
worsened   O
throughout   O
the   O
day   O
on   O
32   B-DATE
.   O

On   O
examination   O
,   O
Leah   B-NAME
Williams   I-NAME
's   O
blood   O
pressure   O
was   O
160/100   O
mmHg   O
and   O
pulse   O
rate   O
was   O
100   O
beats   O
per   O
minute   O
.   O

After   O
taking   O
detailed   O
history   O
and   O
performing   O
a   O
physical   O
examination   O
,   O
the   O
preliminary   O
diagnosis   O
for   O
Judah   B-NAME
Erickson   I-NAME
is   O
acute   O
myocardial   O
infarction   O
.   O

Patient   O
was   O
then   O
referred   O
to   O
Horton   B-NAME
for   O
further   O
cardiac   O
evaluation   O
and   O
was   O
admitted   O
to   O
HSHS   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
immediate   O
treatment   O
.   O

hif601   B-NAME
charted   O
this   O
case   O
online   O
from   O
Tennessee   B-LOCATION
Valley   I-LOCATION
Authority   I-LOCATION
on   O
32/22   B-DATE
.   O

This   O
report   O
was   O
finalized   O
and   O
sent   O
to   O
90852   B-LOCATION
for   O
further   O
analysis   O
.   O

Please   O
note   O
that   O
contact   O
should   O
be   O
made   O
via   O
579   B-CONTACT
8080   I-CONTACT
or   O
email   O
with   O
any   O
questions   O
or   O
concerns   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Xayachack   B-NAME
Gender   O
:   O
Male   O
Age   O
:   O
6   O
week   O
The   O
patient   O
,   O
Harleen   B-NAME
Quinzel   I-NAME
,   O
was   O
brought   O
to   O
the   O
ER   O
of   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-San   I-LOCATION
Diego   I-LOCATION
Zion   I-LOCATION
on   O
2268   B-DATE
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
obtained   O
and   O
evaluated   O
by   O
Quentin   B-NAME
Stark   I-NAME
.   O

Respiratory   O
tests   O
were   O
performed   O
by   O
our   O
certified   O
staff   O
at   O
West   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
.   O

Further   O
diagnostic   O
tests   O
were   O
scheduled   O
for   O
00/36   B-DATE
to   O
better   O
understand   O
the   O
patient   O
's   O
condition   O
.   O

The   O
patient   O
resides   O
in   O
Sergeant   B-LOCATION
Bluff   I-LOCATION
,   O
and   O
his   O
contact   O
number   O
is   O
60867   B-CONTACT
.   O

His   O
social   O
security   O
number   O
is   O
5   B-ID
-   I-ID
2154868   I-ID
and   O
his   O
medical   O
record   O
number   O
is   O
48666175   B-ID
.   O

The   O
patient   O
's   O
representative   O
—   O
a   O
lady   O
named   O
Emmett   B-NAME
Gutierrez   I-NAME
aged   O
5   O
was   O
provided   O
with   O
the   O
clinical   O
updates   O
.   O

She   O
works   O
in   O
the   O
Infinity   B-LOCATION
Property   I-LOCATION
&   I-LOCATION
Casualty   I-LOCATION
Corporation   I-LOCATION
and   O
her   O
contact   O
number   O
is   O
10695   B-CONTACT
.   O

The   O
doctor   O
on   O
call   O
,   O
Aylin   B-NAME
Wise   I-NAME
,   O
was   O
notified   O
and   O
was   O
asked   O
to   O
review   O
Chelsea   B-NAME
Arias   I-NAME
's   O
case   O
.   O

Upon   O
review   O
,   O
Cunningham   B-NAME
agreed   O
with   O
the   O
initial   O
diagnosis   O
and   O
suggested   O
the   O
addition   O
of   O
a   O
long   O
-   O
term   O
controller   O
medication   O
to   O
the   O
patient   O
's   O
current   O
prescription   O
.   O

Stimson   B-NAME
,   I-NAME
Henry   I-NAME
L.   I-NAME
's   O
data   O
has   O
been   O
updated   O
and   O
stored   O
under   O
the   O
username   O
gsk291   B-NAME
.   O

For   O
any   O
further   O
queries   O
regarding   O
the   O
patient   O
's   O
medical   O
records   O
,   O
please   O
contact   O
our   O
patient   O
care   O
service   O
at   O
97502   B-CONTACT
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
02/31   B-DATE
at   O
our   O
clinic   O
in   O
36695   B-LOCATION
.   O

This   O
report   O
is   O
compiled   O
and   O
prepared   O
by   O
Elsa   B-NAME
Greer   I-NAME
at   O
StoneSprings   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
February   B-DATE
.   O

Patient   O
name   O
:   O
Kent   B-NAME
Age   O
:   O
38   O
Residing   O
at   O
:   O
Ohio   B-LOCATION

The   O
patient   O
was   O
admitted   O
to   O
UAB   B-LOCATION
Highlands   I-LOCATION
on   O
2141   B-DATE
.   O

In   O
the   O
medical   O
record   O
number   O
044   B-ID
-   I-ID
82   I-ID
-   I-ID
63   I-ID
,   O
Cameron   B-NAME
Cooper   I-NAME
reported   O
that   O
the   O
patient   O
was   O
experiencing   O
severe   O
,   O
recurrent   O
chest   O
pain   O
,   O
categorized   O
as   O
variant   O
angina   O
.   O

During   O
the   O
physical   O
examination   O
,   O
Monique   B-NAME
Dyer   I-NAME
exhibited   O
diaphoresis   O
and   O
slight   O
cyanosis   O
of   O
lips   O
.   O

Upon   O
enquiry   O
,   O
alvarado   B-NAME
disclosed   O
a   O
history   O
of   O
tobacco   O
use   O
and   O
occasional   O
consumption   O
of   O
alcohol   O
.   O

The   O
patient   O
works   O
as   O
a   O
Door   O
-   O
To   O
-   O
Door   O
Sales   O
Workers   O
,   O
News   O
and   O
Street   O
Vendors   O
,   O
and   O
Related   O
Workers   O
at   O
Air   B-LOCATION
Line   I-LOCATION
Pilots   I-LOCATION
Association   I-LOCATION
,   I-LOCATION
International   I-LOCATION
,   O
which   O
involves   O
long   O
working   O
hours   O
and   O
heightened   O
stress   O
levels   O
,   O
contributing   O
factors   O
to   O
the   O
observed   O
cardiovascular   O
symptoms   O
in   O
Jace   B-NAME
Pierce   I-NAME
.   O

Bernard   B-NAME
arranged   O
for   O
a   O
complete   O
cardiac   O
evaluation   O
,   O
which   O
revealed   O
a   O
significant   O
impairment   O
in   O
the   O
left   O
ventricle   O
's   O
functioning   O
.   O

On   O
admission   O
,   O
Herring   B-NAME
's   O
blood   O
pressure   O
was   O
135/85   O
mmHg   O
and   O
cholesterol   O
level   O
was   O
reported   O
as   O
220   O
mg   O
/   O
dL   O
which   O
is   O
above   O
the   O
desired   O
level   O
,   O
increasing   O
the   O
risk   O
of   O
coronary   O
artery   O
disease   O
.   O

Kenneth   B-NAME
Z.   I-NAME
Sellers   I-NAME
has   O
been   O
prescribed   O
calcium   O
channel   O
blockers   O
,   O
a   O
common   O
medication   O
for   O
variant   O
angina   O
,   O
and   O
has   O
been   O
advised   O
lifestyle   O
modifications   O
to   O
manage   O
stress   O
and   O
quit   O
smoking   O
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
for   O
the   O
second   O
week   O
of   O
2037   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
response   O
to   O
treatment   O
.   O

The   O
patient   O
's   O
relatives   O
were   O
contacted   O
at   O
76820   B-CONTACT
and   O
mailed   O
the   O
patient   O
's   O
discharge   O
papers   O
and   O
doctor   O
's   O
notes   O
at   O
their   O
Belmont   B-LOCATION
Estates   I-LOCATION
address   O
.   O

All   O
electronic   O
updates   O
are   O
sent   O
to   O
the   O
personal   O
email   O
i   O
d   O
rzq514   B-NAME
.   O

The   O
patient   O
's   O
insurance   O
provider   O
details   O
(   O
ID   O
number   O
:   O
GG710/5588   B-ID
and   O
zip   O
code   O
:   O
35755   B-LOCATION
)   O
have   O
been   O
documented   O
for   O
further   O
follow   O
-   O
ups   O
and   O
billing   O
purposes   O
.   O

Patient   O
Name   O
:   O
Charley   B-NAME
Michaels   I-NAME
ID   O
:   O
50296070   B-ID
Age   O
:   O
32   O
Medical   O
Record   O
Number   O
:   O
651   B-ID
-   I-ID
85   I-ID
-   I-ID
00   I-ID
Presented   O
at   O
:   O
Munising   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
01/04/2280   B-DATE
Physician   O
:   O
Olsen   B-NAME
Page   B-LOCATION
Phone   O
:   O
532   B-CONTACT
4137   I-CONTACT
Zip   O
:   O
57959   B-LOCATION

Upon   O
neurologic   O
examination   O
08/06   B-DATE
,   O
Dr.   O
Ramirez   B-NAME
found   O
mild   O
spasticity   O
in   O
the   O
lower   O
limbs   O
,   O
a   O
moderate   O
intention   O
tremor   O
,   O
and   O
an   O
unstable   O
gait   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
8   B-DATE
-   I-DATE
22   I-DATE
.   O

To   O
corroborate   O
the   O
diagnosis   O
,   O
the   O
patient   O
was   O
referred   O
to   O
a   O
neurologist   O
under   O
the   O
care   O
of   O
Dr.   O
Houston   B-NAME
Poole   I-NAME
who   O
recommended   O
advanced   O
diagnostic   O
tests   O
,   O
including   O
a   O
spinal   O
tap   O
,   O
Evoked   O
Potential   O
tests   O
,   O
and   O
possibly   O
,   O
a   O
nerve   O
function   O
study   O
.   O

An   O
appointment   O
reminder   O
will   O
be   O
emailed   O
via   O
rel928   B-NAME
@   O
Society   B-LOCATION
for   I-LOCATION
Threatened   I-LOCATION
Peoples   I-LOCATION
.com   O
and   O
followed   O
up   O
with   O
a   O
call   O
at   O
(   B-CONTACT
780   I-CONTACT
)   I-CONTACT
212   I-CONTACT
-   I-CONTACT
8350   I-CONTACT
for   O
further   O
monitoring   O
and   O
evaluation   O
of   O
therapeutic   O
efficacy   O
.   O

Patient   O
Report   O
:   O
DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Beacon   B-LOCATION
Center   I-LOCATION
on   O
33/12   B-DATE
.   O

The   O
patient   O
,   O
a   O
Government   O
research   O
officer   O
from   O
Cheyenne   B-LOCATION
noted   O
the   O
abrupt   O
onset   O
of   O
symptoms   O
approximately   O
72   O
hours   O
ago   O
.   O

Alysha   B-NAME
Mauseth   I-NAME
reports   O
sharp   O
,   O
intermittent   O
abdominal   O
pain   O
seated   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Williams   B-NAME
,   I-NAME
Robin   I-NAME
also   O
reports   O
a   O
noticeable   O
increase   O
in   O
frequency   O
of   O
bowel   O
movements   O
,   O
with   O
stool   O
consistency   O
markedly   O
loose   O
and   O
mucous   O
-   O
y.   O
Alex   B-NAME
Weaver   I-NAME
's   O
recent   O
travel   O
history   O
includes   O
a   O
business   O
trip   O
to   O
Manti   B-LOCATION
,   O
with   O
return   O
02/04/38   B-DATE
.   O

Vital   O
signs   O
taken   O
at   O
the   O
Prince   B-LOCATION
William   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
showed   O
a   O
slightly   O
elevated   O
temperature   O
of   O
38.2   O
°   O
C   O
which   O
might   O
suggest   O
that   O
the   O
body   O
is   O
fighting   O
something   O
.   O

Blood   O
results   O
are   O
pending   O
under   O
611   B-ID
-   I-ID
21   I-ID
-   I-ID
06   I-ID
.   O

Chan   B-NAME
was   O
consulted   O
for   O
further   O
evaluation   O
.   O

Joe   B-NAME
Gannon   I-NAME
noted   O
the   O
possibility   O
of   O
an   O
acute   O
appendicitis   O
,   O
recommending   O
immediate   O
CT   O
imaging   O
.   O

Kelsie   B-NAME
Crowner   I-NAME
was   O
admitted   O
to   O
Rehabilitation   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
South   I-LOCATION
Jersey   I-LOCATION
for   O
closer   O
observation   O
and   O
management   O
.   O

Cruz   B-NAME
Leonard   I-NAME
's   O
next   O
of   O
kin   O
,   O
mentioned   O
in   O
2   B-ID
-   I-ID
8113767   I-ID
,   O
were   O
notified   O
via   O
96929   B-CONTACT
about   O
the   O
situation   O
.   O

Upon   O
the   O
analysis   O
of   O
the   O
scan   O
images   O
,   O
radiologists   O
at   O
Washington   B-LOCATION
EMC   I-LOCATION
confirmed   O
inflamed   O
appendix   O
.   O

Post   O
-   O
operative   O
prognosis   O
is   O
good   O
,   O
given   O
Housman   B-NAME
,   I-NAME
A.   I-NAME
E.   I-NAME
's   O
young   O
age   O
of   O
87   O
.   O

The   O
discharge   O
plan   O
involves   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
George   B-NAME
which   O
has   O
been   O
scheduled   O
next   O
week   O
on   O
Memorial   B-DATE
Day   I-DATE
.   O

In   O
case   O
of   O
emergency   O
or   O
any   O
further   O
questions   O
,   O
Jovanny   B-NAME
Stanley   I-NAME
's   O
contact   O
person   O
has   O
been   O
listed   O
as   O
TI124   B-NAME
in   O
our   O
records   O
.   O

Kindly   O
contact   O
the   O
hospital   O
registration   O
office   O
in   O
case   O
there   O
is   O
any   O
change   O
in   O
patient   O
's   O
address   O
,   O
currently   O
listed   O
as   O
55264   B-LOCATION
in   O
our   O
files   O
.   O

Patient   O
Name   O
:   O
Madalyn   B-NAME
Decker   I-NAME
Age   O
:   O
9   O
Residential   O
Address   O
:   O
Bridgeville   B-LOCATION
,   O
21627   B-LOCATION
Chief   O
Complaint   O
:   O
Gabrielle   B-NAME
Clay   I-NAME
complained   O
of   O
ongoing   O
dull   O
,   O
throbbing   O
pain   O
,   O
along   O
with   O
decreased   O
range   O
of   O
motion   O
in   O
the   O
left   O
knee   O
.   O

Bunsen   B-NAME
Honeydew   I-NAME
also   O
reported   O
occasional   O
'   O
giving   O
out   O
'   O
of   O
the   O
knee   O
while   O
walking   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
stated   O
that   O
the   O
symptoms   O
started   O
about   O
11/23   B-DATE
ago   O
post   O
a   O
fall   O
at   O
his   O
Youth   O
worker   O
workspace   O
.   O

A   O
previous   O
consultation   O
with   O
Nola   B-NAME
Carr   I-NAME
and   O
an   O
MRI   O
at   O
Silver   B-LOCATION
Cross   I-LOCATION
Hospital   I-LOCATION
on   O
Thursday   B-DATE
,   I-DATE
January   I-DATE
revealed   O
a   O
tear   O
in   O
the   O
anterior   O
cruciate   O
ligament   O
(   O
ACL   O
)   O
.   O

Griffin   B-NAME
had   O
surgery   O
for   O
appendicitis   O
at   O
30s   O
and   O
has   O
a   O
family   O
history   O
of   O
osteoarthritis   O
.   O

Jarmo   B-NAME
Visakorpi   I-NAME
is   O
otherwise   O
fit   O
and   O
follows   O
an   O
active   O
lifestyle   O
.   O

However   O
,   O
since   O
his   O
ACL   O
injury   O
,   O
Roger   B-NAME
Easterling   I-NAME
's   O
activities   O
have   O
been   O
severely   O
restricted   O
.   O

XIE   B-NAME
,   I-NAME
LORI   I-NAME
is   O
scheduled   O
for   O
a   O
preoperative   O
assessment   O
with   O
Kay   B-NAME
,   I-NAME
Alan   I-NAME
at   O
Melbourne   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/21   B-DATE
.   O

Post   O
-   O
surgery   O
,   O
Barry   B-NAME
would   O
require   O
a   O
rehabilitation   O
plan   O
which   O
would   O
be   O
coordinated   O
by   O
a   O
Physiotherapist   O
from   O
the   O
same   O
hospital   O
.   O

Contact   O
Information   O
:   O
Office   O
:   O
71740   B-CONTACT
Email   O
:   O
rgx862   B-NAME
@   O
International   B-LOCATION
Humanist   I-LOCATION
and   I-LOCATION
Ethical   I-LOCATION
Union   I-LOCATION
.com   O
Medical   O
Record   O
ID   O
:   O
6075567   B-ID
Identification   O
Document   O
:   O
8   B-ID
-   I-ID
9062666   I-ID
Doctor   O
's   O
Note   O
:   O

If   O
surgery   O
and   O
rehabilitation   O
succeed   O
,   O
Fitch   B-NAME
Cooper   I-NAME
may   O
return   O
to   O
previous   O
activity   O
level   O
within   O
6   O
-   O
9   O
months   O
.   O

Signed   O
by   O
Arnav   B-NAME
Odom   I-NAME
on   O
2/31/46   B-DATE
at   O
Wallins   B-LOCATION
Creek   I-LOCATION
.   O

Report   O
:   O
Wolff   B-NAME
,   I-NAME
Christian   I-NAME
came   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1854   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
20   I-DATE
,   O
complaining   O
of   O
severe   O
chest   O
pain   O
that   O
had   O
been   O
occurring   O
frequently   O
for   O
around   O
one   O
week   O
.   O

Upon   O
physical   O
examination   O
,   O
Roth   B-NAME
noted   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
and   O
heart   O
rate   O
of   O
101   O
bpm   O
,   O
which   O
it   O
was   O
suggested   O
could   O
indicate   O
a   O
cardiovascular   O
issue   O
.   O

The   O
Adalynn   B-NAME
Cross   I-NAME
,   O
a   O
Customer   O
Service   O
Representatives   O
from   O
Eakly   B-LOCATION
,   O
confirmed   O
a   O
family   O
history   O
of   O
heart   O
disease   O
.   O

Stephany   B-NAME
Fitzgerald   I-NAME
determined   O
that   O
patient   O
's   O
symptoms   O
,   O
physical   O
examination   O
,   O
and   O
results   O
from   O
ECG   O
and   O
blood   O
tests   O
solidify   O
myocardial   O
infarction   O
diagnosis   O
.   O

Marquis   B-NAME
Blackburn   I-NAME
's   O
emergency   O
contact   O
was   O
listed   O
as   O
(   B-CONTACT
920   I-CONTACT
)   I-CONTACT
851   I-CONTACT
8966   I-CONTACT
.   O

The   O
primary   O
insurance   O
provider   O
listed   O
was   O
American   B-LOCATION
Crystallographic   I-LOCATION
Association   I-LOCATION
,   O
and   O
their   O
policy   O
number   O
is   O
7   B-ID
-   I-ID
7748392   I-ID
.   O

As   O
for   O
future   O
appointments   O
,   O
further   O
communication   O
will   O
be   O
done   O
through   O
the   O
patient   O
's   O
personal   O
healthcare   O
portal   O
under   O
the   O
username   O
aqz262   B-NAME
.   O

Based   O
on   O
the   O
patient   O
's   O
residential   O
address   O
listed   O
in   O
patient   O
's   O
medical   O
records   O
707   B-ID
-   I-ID
41   I-ID
-   I-ID
89   I-ID
-   I-ID
5   I-ID
as   O
Paris   B-LOCATION
,   I-LOCATION
Paris   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Project   I-LOCATION
,   O
32589   B-LOCATION
,   O
we   O
have   O
also   O
recommended   O
local   O
cardiac   O
rehabilitation   O
centers   O
convenient   O
for   O
the   O
patient   O
.   O

At   O
the   O
end   O
of   O
the   O
visit   O
,   O
patient   O
was   O
admitted   O
to   O
Wentworth   B-LOCATION
-   I-LOCATION
Douglass   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
treatment   O
and   O
observation   O
.   O

Immediate   O
medical   O
intervention   O
was   O
pursued   O
for   O
Jasmin   B-NAME
Conrad   I-NAME
under   O
the   O
supervision   O
of   O
Haley   B-NAME
,   O
resulting   O
in   O
a   O
better   O
prognosis   O
.   O

Patient   O
Name   O
:   O
Gage   B-NAME
Hendricks   I-NAME
Age   O
:   O
33   O
Doctor   O
:   O
Graves   B-NAME
Hospital   O
:   O
Garfield   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
:   O
2694504   B-ID
Location   O
:   O
Federal   B-LOCATION
Heights   I-LOCATION
Medical   O
Record   O
:   O
75129140   B-ID
Organization   O
:   O

First   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
Phone   O
:   O
808   B-CONTACT
-   I-CONTACT
6826   I-CONTACT
Profession   O
:   O

Library   O
Technicians   O
Username   O
:   O
VD939   B-NAME
Zip   O
:   O
16473   B-LOCATION
In   O
the   O
examination   O
conducted   O
on   O
24/16   B-DATE
,   O
Riley   B-NAME
presented   O
with   O
symptoms   O
including   O
persistent   O
cough   O
,   O
fever   O
tending   O
towards   O
100.4   O
°   O
F   O
,   O
and   O
recently   O
developed   O
dyspnea   O
.   O

Xander   B-NAME
Xie   I-NAME
's   O
medical   O
record   O
number   O
633   B-ID
-   I-ID
74   I-ID
-   I-ID
60   I-ID
mentions   O
a   O
prior   O
history   O
of   O
chronic   O
bronchitis   O
due   O
to   O
prolonged   O
nicotine   O
exposure   O
.   O

When   O
inquired   O
,   O
the   O
patient   O
,   O
serving   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Personal   O
Service   O
Workers   O
in   O
the   O
TierOne   B-LOCATION
Bank   I-LOCATION
,   O
admitted   O
to   O
moderate   O
cigarette   O
use   O
over   O
the   O
last   O
20   O
years   O
.   O

Rogers   B-NAME
in   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
St.   I-LOCATION
Teresa   I-LOCATION
,   O
post   O
assessing   O
the   O
patient   O
's   O
vitals   O
and   O
characteristics   O
of   O
presented   O
symptoms   O
,   O
recommended   O
a   O
series   O
of   O
tests   O
including   O
a   O
sputum   O
culture   O
,   O
chest   O
X   O
-   O
ray   O
,   O
and   O
a   O
pulmonary   O
function   O
test   O
.   O

A   O
sample   O
for   O
COVID-19   O
PCR   O
test   O
was   O
also   O
collected   O
in   O
light   O
of   O
the   O
ongoing   O
pandemic   O
and   O
the   O
patient   O
's   O
exhibited   O
symptoms   O
,   O
as   O
per   O
the   O
guidelines   O
issued   O
by   O
health   O
authorities   O
in   O
the   O
Bromsgrove   B-LOCATION
.   O

Wolf   B-NAME
has   O
advised   O
Jankowski   B-NAME
to   O
isolate   O
until   O
the   O
test   O
results   O
are   O
available   O
,   O
especially   O
considering   O
his   O
prior   O
history   O
of   O
lung   O
disease   O
.   O

The   O
patient   O
was   O
cooperative   O
and   O
shared   O
contact   O
as   O
460   B-CONTACT
-   I-CONTACT
8588   I-CONTACT
for   O
any   O
communication   O
related   O
to   O
appointments   O
,   O
test   O
results   O
,   O
or   O
emergencies   O
.   O

Further   O
,   O
the   O
patient   O
's   O
family   O
residing   O
in   O
the   O
Lubbock   B-LOCATION
was   O
instructed   O
to   O
monitor   O
Nelia   B-NAME
Eilerman   I-NAME
's   O
health   O
and   O
seek   O
immediate   O
medical   O
attention   O
if   O
the   O
condition   O
worsens   O
,   O
with   O
particular   O
attention   O
to   O
respiratory   O
distress   O
and   O
high   O
fever   O
.   O

The   O
next   O
review   O
for   O
Aponte   B-NAME
is   O
plotted   O
tentatively   O
after   O
two   O
weeks   O
on   O
July   B-DATE
30   I-DATE
,   I-DATE
2041   I-DATE
.   O

The   O
Citrus   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
has   O
assured   O
telephonic   O
and   O
online   O
consultation   O
support   O
for   O
Forbes   B-NAME
since   O
he   O
resides   O
in   O
92433   B-LOCATION
which   O
is   O
remotely   O
located   O
from   O
the   O
medical   O
facility   O
.   O

A   O
password   O
-   O
protected   O
portal   O
has   O
been   O
created   O
for   O
Hailee   B-NAME
Cunningham   I-NAME
with   O
the   O
username   O
yv568   B-NAME
for   O
accessing   O
medical   O
records   O
and   O
other   O
necessary   O
paperwork   O
.   O

The   O
case   O
of   O
Tucker   B-NAME
,   I-NAME
Gideon   I-NAME
is   O
yet   O
to   O
be   O
diagnosed   O
completely   O
,   O
determination   O
of   O
if   O
the   O
symptoms   O
are   O
related   O
to   O
chronic   O
bronchitis   O
exacerbation   O
or   O
any   O
viral   O
-   O
induced   O
illness   O
will   O
be   O
concluded   O
post   O
-   O
analysis   O
of   O
the   O
conducted   O
tests   O
.   O

Report   O
:   O
Patient   O
:   O
Cochran   B-NAME
,   I-NAME
Johnnie   I-NAME
presented   O
at   O
the   O
Scripps   B-LOCATION
Green   I-LOCATION
Hospital   I-LOCATION
on   O
3/21/60   B-DATE
.   O

The   O
Medical   O
Record   O
Number   O
is   O
267   B-ID
-   I-ID
64   I-ID
-   I-ID
01   I-ID
-   I-ID
9   I-ID
.   O

Patient   O
resides   O
in   O
Jarrell   B-LOCATION
and   O
his   O
zip   O
code   O
is   O
17666   B-LOCATION
.   O

Personal   O
history   O
:   O
Venue   O
of   O
employment   O
-   O
Sundance   B-LOCATION
Institute   I-LOCATION
.   O

He   O
can   O
be   O
contacted   O
at   O
744   B-CONTACT
-   I-CONTACT
9536   I-CONTACT
.   O

Clinical   O
Narrative   O
:   O
Ahmed   B-NAME
Lindsey   I-NAME
,   O
a   O
22   O
year   O
old   O
,   O
was   O
referred   O
by   O
Mcguire   B-NAME
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
rest   O
post   O
-   O
surgery   O
and   O
will   O
be   O
released   O
from   O
the   O
hospital   O
following   O
up   O
with   O
Lilia   B-NAME
Booker   I-NAME
in   O
Truth   B-LOCATION
or   I-LOCATION
Consequences   I-LOCATION
MainStreet   I-LOCATION
Truth   I-LOCATION
or   I-LOCATION
Consequences   I-LOCATION
.   O

Personal   O
Information   O
:   O
SSN   O
KM   B-ID
:   I-ID
PB:4733   I-ID
.   O

The   O
next   O
appointment   O
was   O
scheduled   O
for   O
2/00   B-DATE
.   O

Any   O
queries   O
can   O
be   O
directed   O
to   O
mv687   B-NAME
at   O
641   B-CONTACT
-   I-CONTACT
3687   I-CONTACT
.   O

Eneida   B-NAME
Dolven   I-NAME
Age   O
:   O
99s   O
Gender   O
:   O

Male   O
Medical   O
Record   O
Number   O
:   O
32591417   B-ID
Attending   O
Physician   O
:   O

Dawson   B-NAME
Craig   I-NAME
Admission   O
Date   O
:   O
2093   B-DATE
Address   O
:   O
Tennessee   B-LOCATION
Phone   O
Number   O
:   O
45641   B-CONTACT
Insurance   O
Provider   O
:   O
Association   B-LOCATION
of   I-LOCATION
Motion   I-LOCATION
Pictures   I-LOCATION
&   I-LOCATION
TV   I-LOCATION
Programme   I-LOCATION
Producer   I-LOCATION
of   I-LOCATION
India   I-LOCATION
Policy   O
ID   O
:   O
WD   B-ID
:   I-ID
TB:1986   I-ID
Professional   O
Occupation   O
:   O

School   O
Psychologists   O
Username   O
:   O
gh929   B-NAME
Zip   O
Code   O
:   O
74362   B-LOCATION
Hospital/   O
Medical   O
Facility   O
:   O
Holy   B-LOCATION
Name   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Report   O
Briefing   O
:   O

Ken   B-NAME
was   O
admitted   O
to   O
the   O
Delray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/00/92   B-DATE
.   O

Neil   B-NAME
Hogan   I-NAME
performed   O
a   O
preliminary   O
examination   O
on   O
Abram   B-NAME
Villanueva   I-NAME
.   O

Hugh   B-NAME
Macdonald   I-NAME
's   O
key   O
complaints   O
were   O
persistent   O
low   O
-   O
grade   O
fever   O
,   O
muscle   O
rigidity   O
,   O
and   O
occasional   O
bouts   O
of   O
tremors   O
which   O
were   O
particularly   O
noticeable   O
in   O
the   O
right   O
hand   O
.   O

Workplace   O
noted   O
from   O
their   O
Dredge   O
Operators   O
and   O
residential   O
address   O
Sells   B-LOCATION
and   O
62097   B-LOCATION
have   O
been   O
informed   O
of   O
the   O
patient   O
's   O
condition   O
with   O
his   O
prior   O
consent   O
.   O

His   O
insurance   O
details   O
,   O
Provider   O
:   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Bricklayers   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Craftworkers   I-LOCATION
&   O
Policy   O
ID   O
:   O
HM:90412:441537   B-ID
have   O
been   O
documented   O
for   O
billing   O
purposes   O
.   O

For   O
urgent   O
queries   O
,   O
the   O
point   O
of   O
contact   O
is   O
592   B-CONTACT
703   I-CONTACT
8523   I-CONTACT
.   O

Further   O
instructions   O
for   O
online   O
access   O
to   O
medical   O
records   O
have   O
been   O
sent   O
to   O
the   O
username   O
JT32   B-NAME
.   O

Signed   O
:   O
Kerr   B-NAME
09/09/2131   B-DATE

Patient   O
Report   O
:   O
Patient   O
Jovany   B-NAME
Crawford   I-NAME
was   O
admitted   O
to   O
McLeod   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Dillon   I-LOCATION
on   O
April   B-DATE
2203   I-DATE
.   O

The   O
patient   O
resides   O
in   O
Fort   B-LOCATION
Pierce   I-LOCATION
North   I-LOCATION
with   O
a   O
postal   O
code   O
of   O
17923   B-LOCATION
.   O

On   O
presentation   O
,   O
Jong   B-NAME
,   I-NAME
Erica   I-NAME
complained   O
of   O
acute   O
chest   O
pain   O
that   O
was   O
severe   O
,   O
substernal   O
and   O
crushing   O
in   O
nature   O
.   O

Management   O
undertaken   O
by   O
Anthony   B-NAME
Edwardes   I-NAME
included   O
immediate   O
administration   O
of   O
aspirin   O
and   O
nitroglycerine   O
followed   O
by   O
a   O
loading   O
dose   O
of   O
an   O
anticoagulant   O
.   O

Virginia   B-NAME
Aguilar   I-NAME
’s   O
condition   O
remains   O
under   O
observation   O
.   O

The   O
medical   O
record   O
number   O
for   O
this   O
admission   O
is   O
136   B-ID
27   I-ID
98   I-ID
.   O

Contact   O
with   O
the   O
primary   O
care   O
doctor   O
's   O
office   O
,   O
Great   B-LOCATION
Basin   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Nevada   I-LOCATION
,   O
revealed   O
that   O
Jerome   B-NAME
Ewing   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Hunt   B-NAME
's   O
personal   O
identification   O
number   O
is   O
962550   B-ID
,   O
and   O
was   O
provided   O
for   O
all   O
transactions   O
.   O

You   O
may   O
reach   O
the   O
patient   O
's   O
emergency   O
contact   O
through   O
the   O
913   B-CONTACT
-   I-CONTACT
3624   I-CONTACT
.   O

Naima   B-NAME
Zavaleta   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Leila   B-NAME
Rivas   I-NAME
on   O
22/0   B-DATE
.   O

Additionally   O
,   O
Quintin   B-NAME
Valenzuela   I-NAME
was   O
prescribed   O
medications   O
to   O
be   O
taken   O
regularly   O
,   O
which   O
will   O
be   O
monitored   O
by   O
lw49   B-NAME
.   O

All   O
medical   O
records   O
are   O
kept   O
strictly   O
confidential   O
at   O
Hot   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

Preliminary   O
consultation   O
and   O
evaluation   O
were   O
done   O
by   O
Le   B-NAME
via   O
telemedicine   O
due   O
to   O
the   O
patient   O
living   O
in   O
Phenix   B-LOCATION
.   O

Any   O
discrepancies   O
are   O
to   O
be   O
reported   O
to   O
Searcy   B-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Carley   B-NAME
Pineda   I-NAME
Age   O
:   O
7   O
Medical   O
Record   O
Number   O
:   O
157   B-ID
-   I-ID
41   I-ID
-   I-ID
27   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Admission   O
:   O
5/30   B-DATE
Patient   O
is   O
a   O
92   O
year   O
old   O
professional   O
judge   O
,   O
presented   O
at   O
New   B-LOCATION
York   I-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
continuous   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
one   O
week   O
.   O

Upon   O
medical   O
examination   O
by   O
Dr.   O
Richards   B-NAME
,   O
the   O
patient   O
was   O
identified   O
with   O
severe   O
congestion   O
in   O
the   O
chest   O
and   O
a   O
persistent   O
dry   O
cough   O
.   O

Upon   O
collation   O
of   O
medical   O
history   O
,   O
it   O
was   O
found   O
that   O
KEELER   B-NAME
,   I-NAME
ELIOT   I-NAME
has   O
never   O
been   O
hospitalized   O
or   O
undergone   O
any   O
surgery   O
in   O
the   O
past   O
.   O

The   O
patient   O
's   O
last   O
known   O
medical   O
check   O
happened   O
on   O
September   B-DATE
at   O
Galaxies   B-LOCATION
'   I-LOCATION
State   I-LOCATION
,   O
situated   O
at   O
349   B-LOCATION
N.   I-LOCATION
Marconi   I-LOCATION
Street   I-LOCATION
,   O
where   O
the   O
health   O
report   O
was   O
deemed   O
normal   O
with   O
all   O
vitals   O
falling   O
within   O
the   O
acceptable   O
range   O
.   O

We   O
received   O
the   O
patient   O
's   O
records   O
from   O
6497658   B-ID
,   O
and   O
a   O
CT   O
scan   O
has   O
been   O
ordered   O
for   O
further   O
assessment   O
.   O

Contact   O
information   O
obtained   O
for   O
the   O
patient   O
was   O
695   B-CONTACT
505   I-CONTACT
1324   I-CONTACT
and   O
lives   O
at   O
175   B-LOCATION
Ocean   I-LOCATION
Street   I-LOCATION
with   O
the   O
area   O
zip   O
code   O
being   O
21513   B-LOCATION
.   O

Specialist   O
consultation   O
with   O
a   O
pulmonologist   O
located   O
at   O
our   O
associated   O
building   O
,   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
has   O
been   O
recommended   O
for   O
12/00   B-DATE
.   O

Shared   O
by   O
ne838   B-NAME
,   O
licensed   O
team   O
member   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

ID   O
:   O
KK:261054:141128   B-ID

Patient   O
Name   O
:   O
Alonzo   B-NAME
Juarez   I-NAME
Age   O
:   O
80s   O
Medical   O
Record   O
Number   O
:   O
48636661   B-ID
ID   O
:   O
BS   B-ID
:   I-ID
QW:8574   I-ID
Location   O
:   O
Whitesboro   B-LOCATION
Date   O
:   O
33/27   B-DATE
Williams   B-NAME
at   O
Haxtun   B-LOCATION
Hospital   I-LOCATION
District   I-LOCATION
,   O
after   O
detailed   O
examination   O
,   O
noted   O
that   O
the   O
patient   O
has   O
been   O
experiencing   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Diagnostic   O
imaging   O
tests   O
performed   O
on   O
33/21   B-DATE
affirmed   O
the   O
suspicion   O
of   O
inflamed   O
appendix   O
.   O

Considering   O
the   O
severity   O
of   O
symptoms   O
and   O
imaging   O
findings   O
,   O
Mejia   B-NAME
recommended   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
scheduled   O
to   O
take   O
place   O
at   O
the   O
Sentara   B-LOCATION
Albemarle   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2053   B-DATE
-   I-DATE
38   I-DATE
-   I-DATE
23   I-DATE
.   O

His   O
employer   O
,   O
Corus   B-LOCATION
Bank   I-LOCATION
,   O
has   O
been   O
informed   O
about   O
his   O
health   O
status   O
and   O
subsequent   O
hospital   O
stay   O
.   O

For   O
ongoing   O
communications   O
,   O
492   B-CONTACT
-   I-CONTACT
808   I-CONTACT
-   I-CONTACT
2851   I-CONTACT
has   O
been   O
listed   O
as   O
the   O
primary   O
contact   O
number   O
to   O
be   O
utilized   O
.   O

The   O
emergency   O
contact   O
is   O
his   O
wife   O
,   O
who   O
lives   O
with   O
him   O
at   O
the   O
same   O
address   O
in   O
Iowa   B-LOCATION
Falls   I-LOCATION
,   I-LOCATION
Iowa   I-LOCATION
Falls   I-LOCATION
Chamber   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
.   O

:   O
Name   O
:   O
Mrs.   O
Godfrey   B-NAME
Phone   O
:   O
613   B-CONTACT
-   I-CONTACT
908   I-CONTACT
-   I-CONTACT
8307   I-CONTACT
Relationship   O
:   O
Wife   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
March   B-DATE
20   I-DATE
with   O
Baker   B-NAME
.   O

If   O
needed   O
earlier   O
,   O
the   O
patient   O
or   O
his   O
wife   O
can   O
reach   O
the   O
medical   O
team   O
at   O
the   O
Ellis   B-LOCATION
Fischel   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
using   O
the   O
number   O
:   O
(   B-CONTACT
623   I-CONTACT
)   I-CONTACT
630   I-CONTACT
7199   I-CONTACT
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Clarissa   B-NAME
Gray   I-NAME
Age   O
:   O
15   O
Medical   O
Record   O
Number   O
:   O
26529238   B-ID
Location   O
:   O
Winnemucca   B-LOCATION
The   O
patient   O
,   O
Cantu   B-NAME
,   O
was   O
admitted   O
to   O
Allegheny   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
32/13   B-DATE
.   O

They   O
are   O
17   O
years   O
old   O
and   O
live   O
in   O
Reedsville   B-LOCATION
.   O

Prior   O
to   O
admission   O
,   O
the   O
patient   O
was   O
being   O
handled   O
by   O
Berg   B-NAME
.   O

In   O
the   O
course   O
of   O
the   O
examination   O
,   O
temperatures   O
were   O
taken   O
using   O
a   O
medical   O
device   O
with   O
ID   O
6   B-ID
-   I-ID
3357633   I-ID
.   O

Ernesto   B-NAME
Harding   I-NAME
is   O
suffering   O
from   O
symptoms   O
consistent   O
with   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

Previous   O
medical   O
records   O
,   O
under   O
the   O
number   O
4688718   B-ID
,   O
indicate   O
that   O
the   O
patient   O
had   O
been   O
experiencing   O
these   O
symptoms   O
for   O
the   O
past   O
few   O
months   O
,   O
but   O
they   O
have   O
grown   O
significantly   O
worse   O
over   O
the   O
past   O
few   O
weeks   O
.   O

The   O
treatment   O
team   O
is   O
led   O
by   O
Avery   B-NAME
Ferrell   I-NAME
.   O

Consultation   O
contact   O
for   O
the   O
doctor   O
's   O
office   O
is   O
(   B-CONTACT
768   I-CONTACT
)   I-CONTACT
210   I-CONTACT
-   I-CONTACT
7592   I-CONTACT
.   O

The   O
patient   O
's   O
healthcare   O
provider   O
is   O
City   B-LOCATION
Utilities   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
,   O
a   O
plan   O
under   O
which   O
the   O
patient   O
has   O
coverage   O
.   O

Follow   O
up   O
appointment   O
is   O
fixed   O
on   O
39/22   B-DATE
.   O

Kade   B-NAME
Blair   I-NAME
used   O
to   O
work   O
as   O
a   O
Marketing   O
manager   O
(   O
social   O
media   O
)   O
before   O
retiring   O
,   O
and   O
has   O
no   O
family   O
history   O
of   O
similar   O
lung   O
conditions   O
as   O
per   O
the   O
information   O
provided   O
.   O

A   O
plan   O
for   O
home   O
healthcare   O
is   O
to   O
be   O
set   O
up   O
under   O
the   O
organization   O
Safeco   B-LOCATION
based   O
in   O
their   O
home   O
zip   O
code   O
14782   B-LOCATION
.   O

Updates   O
are   O
sent   O
to   O
the   O
assigned   O
username   O
,   O
re999   B-NAME
.   O

Kindly   O
find   O
the   O
emergency   O
contact   O
information   O
:   O
Name   O
:   O
Mr.   O
Sullivan   B-NAME
Relation   O
:   O
Spouse   O
Phone   O
:   O
344   B-CONTACT
-   I-CONTACT
791   I-CONTACT
6306   I-CONTACT

Patient   O
name   O
:   O
Rilke   B-NAME
,   I-NAME
Rainer   I-NAME
Maria   I-NAME
Age   O
:   O
80   O

The   O
patient   O
visited   O
Dr.   O
Heaven   B-NAME
Whitney   I-NAME
at   O
Virtua   B-LOCATION
Voorhees   I-LOCATION
Hospital   I-LOCATION
on   O
23   B-DATE
-   I-DATE
00   I-DATE
.   O

He   O
hails   O
from   O
Leesville   B-LOCATION
and   O
was   O
referred   O
to   O
me   O
due   O
to   O
consistent   O
,   O
discomforting   O
episodes   O
of   O
tachycardia   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
096   B-ID
-   I-ID
43   I-ID
-   I-ID
68   I-ID
-   I-ID
9   I-ID
.   O

He   O
is   O
an   O
employee   O
at   O
New   B-LOCATION
South   I-LOCATION
Federal   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
and   O
holds   O
the   O
Fish   O
and   O
Game   O
Wardens   O
position   O
.   O

During   O
initial   O
consultation   O
,   O
Buffett   B-NAME
,   I-NAME
Warren   I-NAME
described   O
feeling   O
sudden   O
and   O
rapid   O
heartbeat   O
,   O
often   O
reaching   O
up   O
to   O
120   O
beats   O
per   O
minute   O
.   O

The   O
necessary   O
tests   O
were   O
ordered   O
and   O
the   O
patient   O
was   O
directed   O
to   O
the   O
cardiology   O
department   O
at   O
Sycamore   B-LOCATION
Shoals   I-LOCATION
Hospital   I-LOCATION
for   O
an   O
Electrocardiogram   O
(   O
EKG   O
)   O
and   O
Holter   O
monitoring   O
.   O

He   O
will   O
be   O
contacted   O
on   O
his   O
personal   O
phone   O
number   O
-   O
396   B-CONTACT
-   I-CONTACT
667   I-CONTACT
4299   I-CONTACT
with   O
further   O
instructions   O
.   O

Mahoney   B-NAME
will   O
be   O
collaborating   O
with   O
cardiology   O
specialists   O
to   O
provide   O
optimal   O
care   O
for   O
Oliver   B-NAME
,   I-NAME
Jamie   I-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
31/02/80   B-DATE
.   O

His   O
ID   O
is   O
7   B-ID
-   I-ID
1457849   I-ID
and   O
he   O
resides   O
at   O
the   O
address   O
with   O
ZIP   O
code   O
87677   B-LOCATION
.   O

If   O
the   O
patient   O
has   O
any   O
queries   O
,   O
he   O
can   O
contact   O
the   O
hospital   O
helpline   O
or   O
email   O
at   O
ym414   B-NAME
@gmail.com   O
.   O

Doctor   O
Signature   O
:   O
Carlie   B-NAME
Owen   I-NAME

Patient   O
Name   O
:   O
Bailey   B-NAME
Bray   I-NAME
Age   O
:   O
10   O
week   O
Date   O
of   O
Examination   O
:   O
23/00   B-DATE
Patient   O
Sonny   B-NAME
visited   O
CAMC   B-LOCATION
Teays   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
Jan   B-DATE
2022   I-DATE
with   O
symptoms   O
suggestive   O
of   O
acute   O
gastritis   O
.   O

Gonzalez   B-NAME
,   O
the   O
attending   O
physician   O
,   O
ordered   O
an   O
endoscopy   O
which   O
showed   O
significant   O
inflammation   O
of   O
the   O
gastric   O
mucosa   O
.   O

The   O
medical   O
record   O
73637330   B-ID
showed   O
that   O
this   O
is   O
the   O
first   O
episode   O
of   O
such   O
symptoms   O
for   O
the   O
patient   O
.   O

The   O
patient   O
was   O
assigned   O
an   O
ID   O
number   O
,   O
NR994/3639   B-ID
,   O
for   O
future   O
reference   O
.   O

After   O
examination   O
,   O
Apple   B-NAME
,   I-NAME
Fiona   I-NAME
consulted   O
with   O
specialists   O
at   O
Sterling   B-LOCATION
Bank   I-LOCATION
,   O
considering   O
the   O
patient   O
's   O
NSAID   O
consumption   O
habit   O
and   O
recommended   O
gastritis   O
-   O
related   O
dietary   O
modifications   O
:   O
a   O
decreased   O
intake   O
of   O
spicy   O
food   O
and   O
coffee   O
,   O
and   O
advised   O
the   O
patient   O
to   O
withdraw   O
NSAID   O
use   O
.   O

Lane   B-NAME
Owens   I-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
16/21/47   B-DATE
and   O
requested   O
the   O
patient   O
bring   O
all   O
recent   O
test   O
reports   O
.   O

The   O
next   O
appointments   O
were   O
planned   O
to   O
be   O
at   O
their   O
town   O
of   O
residence   O
at   O
Dunwoody   B-LOCATION
and   O
the   O
45468   B-LOCATION
.   O

The   O
patient   O
's   O
contact   O
number   O
,   O
661   B-CONTACT
8566   I-CONTACT
,   O
has   O
been   O
updated   O
in   O
the   O
records   O
.   O

Bryson   B-NAME
,   I-NAME
Bill   I-NAME
also   O
suggested   O
the   O
patient   O
to   O
consult   O
with   O
a   O
Nonfarm   O
Animal   O
Caretakers   O
for   O
stress   O
management   O
techniques   O
considering   O
their   O
high   O
-   O
stress   O
job   O
,   O
as   O
this   O
may   O
contribute   O
to   O
the   O
gastric   O
inflammation   O
.   O

Post   O
consultation   O
,   O
Krista   B-NAME
Cline   I-NAME
updated   O
the   O
patient   O
's   O
status   O
and   O
notes   O
on   O
the   O
hospital   O
system   O
with   O
the   O
username   O
OC711   B-NAME
.   O

Patient   O
Name   O
:   O
Lahoma   B-NAME
Tacey   I-NAME
Age   O
:   O
82   O
Date   O
of   O
Admission   O
:   O
08/19/1695   B-DATE
Doctor   O
assigned   O
:   O
Dr.   O
Terry   B-NAME
Hospital   O
:   O
Lee   B-LOCATION
's   I-LOCATION
Summit   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Fort   B-LOCATION
Mitchell   I-LOCATION
Medical   O
Record   O
Number   O
:   O
0960897   B-ID
Mr.   O
Lalaine   B-NAME
was   O
admitted   O
on   O
April   B-DATE
and   O
is   O
currently   O
being   O
treated   O
by   O
our   O
team   O
of   O
professionals   O
,   O
led   O
by   O
Dr.   O
Lucas   B-NAME
,   O
at   O
Latrobe   B-LOCATION
Hospital   I-LOCATION
in   O
Venango   B-LOCATION
.   O

Dr.   O
Baxter   B-NAME
has   O
advised   O
Dougherty   B-NAME
to   O
get   O
ample   O
rest   O
,   O
hydration   O
,   O
and   O
began   O
a   O
treatment   O
plan   O
that   O
includes   O
an   O
antibiotic   O
regime   O
as   O
per   O
the   O
sensitivity   O
report   O
alongside   O
targeted   O
bronchodilators   O
to   O
relieve   O
breathing   O
difficulty   O
.   O

Mr.   O
Pierre   B-NAME
Mooney   I-NAME
works   O
as   O
a   O
Continuous   O
Mining   O
Machine   O
Operators   O
in   O
a   O
local   O
Flagship   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
therefore   O
he   O
may   O
need   O
some   O
time   O
off   O
until   O
he   O
fully   O
recovers   O
from   O
the   O
infection   O
.   O

Kindly   O
contact   O
the   O
primary   O
care   O
physician   O
on   O
this   O
321   B-CONTACT
5114   I-CONTACT
for   O
further   O
updates   O
and   O
inquiries   O
,   O
and   O
please   O
provide   O
the   O
patient   O
’s   O
medical   O
record   O
number   O
-   O
9249554   B-ID
-   O
for   O
faster   O
processing   O
.   O

Any   O
correspondence   O
can   O
be   O
sent   O
to   O
his   O
address   O
at   O
20281   B-LOCATION
.   O

Your   O
ks708   B-NAME
will   O
serve   O
as   O
your   O
identifier   O
in   O
our   O
records   O
.   O

For   O
more   O
information   O
or   O
queries   O
related   O
to   O
Mr.   O
Zoey   B-NAME
Blankenship   I-NAME
's   O
case   O
,   O
feel   O
free   O
to   O
contact   O
the   O
hospital   O
administration   O
office   O
.   O

We   O
do   O
accept   O
insurance   O
and   O
other   O
forms   O
of   O
payment   O
,   O
please   O
provide   O
your   O
7   B-ID
-   I-ID
9182850   I-ID
for   O
verification   O
when   O
required   O
.   O

We   O
greatly   O
appreciate   O
your   O
support   O
and   O
understanding   O
during   O
this   O
process   O
and   O
assure   O
you   O
that   O
Mr.   O
Hosea   B-NAME
McCalvin   I-NAME
is   O
receiving   O
the   O
best   O
possible   O
care   O
in   O
Humboldt   B-LOCATION
River   I-LOCATION
Ranch   I-LOCATION
.   O

Patient   O
Name   O
:   O
Ximenez   B-NAME
Date   O
:   O
1   B-DATE
-   I-DATE
2   I-DATE
Doctor   O
in   O
Charge   O
:   O
Mamie   B-NAME
Rikard   I-NAME
Medical   O
Record   O
:   O
93059084   B-ID
Age   O
of   O
the   O
Patient   O
:   O
58   O
Location   O
:   O
Kendleton   B-LOCATION
Layton   B-NAME
Fitzpatrick   I-NAME
visited   O
Jersey   B-LOCATION
Shore   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
19   B-DATE
Feb   I-DATE
2183   I-DATE
,   O
presenting   O
with   O
symptoms   O
of   O
persistent   O
dry   O
cough   O
,   O
intermittent   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
weight   O
loss   O
over   O
the   O
past   O
couple   O
of   O
months   O
.   O

Upon   O
initial   O
evaluation   O
by   O
Dr.   O
Ravi   B-NAME
Raja   I-NAME
,   O
he   O
noted   O
clubbing   O
of   O
the   O
fingers   O
-   O
a   O
common   O
symptom   O
linked   O
with   O
chronic   O
lung   O
disease   O
.   O

Higgins   B-NAME
was   O
then   O
referred   O
for   O
High   O
-   O
resolution   O
Computer   O
Tomography   O
(   O
HRCT   O
)   O
for   O
an   O
in   O
-   O
depth   O
analysis   O
.   O

Dr.   O
Sweetnam   B-NAME
,   I-NAME
Skye   I-NAME
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
3/22   B-DATE
.   O

In   O
the   O
meantime   O
,   O
Federer   B-NAME
,   I-NAME
Roger   I-NAME
's   O
sputum   O
sample   O
was   O
sent   O
for   O
pathological   O
examination   O
to   O
the   O
Satilla   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
for   O
identifying   O
any   O
possible   O
bacterial   O
,   O
fungal   O
,   O
or   O
viral   O
infection   O
.   O

The   O
scheduling   O
department   O
at   O
Northern   B-LOCATION
Westchester   I-LOCATION
Hospital   I-LOCATION
will   O
contact   O
Camille   B-NAME
Piner   I-NAME
at   O
922   B-CONTACT
-   I-CONTACT
7280   I-CONTACT
regarding   O
the   O
arrangement   O
of   O
the   O
procedure   O
.   O

To   O
discuss   O
the   O
next   O
course   O
of   O
treatment   O
,   O
Dr.   O
Heath   B-NAME
also   O
recommended   O
a   O
consultation   O
with   O
the   O
Pulmonary   O
Medicine   O
specialists   O
at   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Supporting   O
family   O
members   O
of   O
Archer   B-NAME
working   O
in   O
Electrical   O
and   O
Electronics   O
Installers   O
and   O
Repairers   O
,   O
Transportation   O
Equipment   O
expressed   O
their   O
concerns   O
about   O
possible   O
occupational   O
exposure   O
to   O
certain   O
chemicals   O
.   O

Looking   O
forward   O
,   O
Lilyana   B-NAME
Petersen   I-NAME
's   O
condition   O
will   O
need   O
regular   O
monitoring   O
.   O

For   O
further   O
inquiries   O
or   O
assistance   O
,   O
Riya   B-NAME
Soto   I-NAME
can   O
reach   O
out   O
to   O
the   O
health   O
care   O
assistance   O
line   O
for   O
Antigua   B-LOCATION
and   I-LOCATION
Barbuda   I-LOCATION
,   O
reachable   O
at   O
871   B-CONTACT
6409   I-CONTACT
.   O

For   O
any   O
additional   O
investigation   O
or   O
consultation   O
,   O
the   O
details   O
can   O
be   O
retrieved   O
using   O
the   O
medical   O
record   O
ID   O
8102249   B-ID
.   O

For   O
any   O
more   O
details   O
on   O
billing   O
and   O
payment   O
options   O
,   O
please   O
contact   O
our   O
financial   O
assistor   O
at   O
983   B-CONTACT
851   I-CONTACT
-   I-CONTACT
9968   I-CONTACT
or   O
via   O
email   O
at   O
JT660   B-NAME
@   O
Lincoln   B-LOCATION
Park   I-LOCATION
Saving   I-LOCATION
Bank   I-LOCATION
.com   O
.   O

Please   O
mention   O
your   O
patient   O
KQ:7852:528711   B-ID
and   O
the   O
14169   B-LOCATION
of   O
your   O
location   O
for   O
any   O
pick   O
-   O
up   O
or   O
drop   O
-   O
off   O
arrangements   O
.   O

Patient   O
Name   O
:   O
Osbourne   B-NAME
,   I-NAME
Ozzy   I-NAME
Date   O
:   O
06/59   B-DATE
Referred   O
by   O
:   O
Victor   B-NAME
Brady   I-NAME
Organisation   O
:   O
Veterans   B-LOCATION
'   I-LOCATION
Alliance   I-LOCATION
for   I-LOCATION
Security   I-LOCATION
and   I-LOCATION
Democracy   I-LOCATION
Medical   O
Record   O
:   O
477   B-ID
-   I-ID
75   I-ID
-   I-ID
51   I-ID
-   I-ID
8   I-ID
The   O
patient   O
is   O
a   O
actor   O
from   O
Ottoville   B-LOCATION
,   O
aged   O
57   O
.   O

Elias   B-NAME
Lamb   I-NAME
first   O
reported   O
symptoms   O
on   O
15/21   B-DATE
.   O

Moreover   O
,   O
OWEN   B-NAME
R.   I-NAME
APONTE   I-NAME
has   O
been   O
experiencing   O
these   O
symptoms   O
increasingly   O
over   O
the   O
past   O
week   O
.   O

On   O
physical   O
examination   O
,   O
Georgia   B-NAME
had   O
pallor   O
and   O
mild   O
tachypnea   O
.   O

According   O
to   O
the   O
information   O
provided   O
by   O
Valentino   B-NAME
Cabrera   I-NAME
from   O
Waynesboro   B-LOCATION
Hospital   I-LOCATION
,   O
blood   O
tests   O
have   O
indicated   O
a   O
low   O
level   O
of   O
haemoglobin   O
,   O
suggesting   O
a   O
possible   O
iron   O
deficiency   O
.   O

Lozano   B-NAME
from   O
Northern   B-LOCATION
Light   I-LOCATION
Maine   I-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
has   O
recommended   O
a   O
repeat   O
blood   O
test   O
and   O
a   O
dietary   O
consultation   O
,   O
which   O
is   O
scheduled   O
for   O
39/23/2093   B-DATE
.   O

In   O
addition   O
,   O
Phung   B-NAME
Kamaka   I-NAME
from   O
Norman   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Healthplex   I-LOCATION
ordered   O
an   O
EKG   O
,   O
which   O
showed   O
no   O
abnormalities   O
or   O
indications   O
of   O
a   O
cardiovascular   O
disease   O
.   O

The   O
patient   O
's   O
ID   O
is   O
9   B-ID
-   I-ID
5593106   I-ID
and   O
the   O
phone   O
number   O
is   O
(   B-CONTACT
787   I-CONTACT
)   I-CONTACT
611   I-CONTACT
6834   I-CONTACT
.   O

If   O
any   O
changes   O
in   O
condition   O
occur   O
,   O
the   O
patient   O
has   O
been   O
advised   O
to   O
contact   O
Guerrero   B-NAME
with   O
immediate   O
effect   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
to   O
assess   O
effectivity   O
of   O
dietary   O
changes   O
has   O
been   O
scheduled   O
for   O
September   B-DATE
.   O

Username   O
:   O
NS423   B-NAME
Zip   O
code   O
:   O
68390   B-LOCATION

Patient   O
:   O
Bruce   B-NAME
Brian   I-NAME
DOB   O
:   O

39/22/36   B-DATE
Medical   O
Record   O
Number   O
:   O
44549765   B-ID
Address   O
:   O
Alatna   B-LOCATION
,   O
97310   B-LOCATION
Saturday   B-DATE
,   I-DATE
March   I-DATE
To   O
:   O
Hayes   B-NAME
From   O
:   O
ZV596   B-NAME
Dear   O
Jaylin   B-NAME
Hartman   I-NAME
,   O
I   O
am   O
writing   O
to   O
update   O
you   O
on   O
the   O
condition   O
of   O
our   O
patient   O
,   O
Hemingway   B-NAME
,   I-NAME
Ernest   I-NAME
,   O
who   O
is   O
currently   O
admitted   O
at   O
Maury   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Buckley   B-NAME
is   O
a   O
Insurance   O
Sales   O
Agents   O
presented   O
at   O
Marin   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
's   O
medical   O
office   O
on   O
2392   B-DATE
.   O

Livia   B-NAME
Young   I-NAME
reported   O
a   O
complex   O
array   O
of   O
symptoms   O
.   O

Importantly   O
,   O
Brady   B-NAME
reported   O
a   O
family   O
history   O
of   O
stroke   O
.   O

Upon   O
further   O
investigation   O
,   O
an   O
MRI   O
confirmed   O
an   O
acute   O
ischemic   O
infarct   O
in   O
Mccarthy   B-NAME
's   O
left   O
middle   O
cerebral   O
artery   O
territory   O
.   O

The   O
treatment   O
plan   O
involves   O
commencing   O
Winner   B-NAME
,   I-NAME
Michael   I-NAME
on   O
anticoagulation   O
therapy   O
.   O

I   O
have   O
arranged   O
for   O
the   O
follow   O
-   O
up   O
appointment   O
on   O
22/23   B-DATE
to   O
evaluate   O
the   O
effects   O
of   O
treatment   O
and   O
assess   O
Ahmed   B-NAME
Mcdaniel   I-NAME
's   O
clinical   O
status   O
.   O

If   O
you   O
have   O
any   O
questions   O
,   O
please   O
contact   O
me   O
at   O
471   B-CONTACT
1168   I-CONTACT
or   O
via   O
email   O
at   O
mht576   B-NAME
@   O
City   B-LOCATION
of   I-LOCATION
Bushnell   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
.com   O
.   O

Enclosed   O
is   O
the   O
patient   O
's   O
ID   O
8   B-ID
-   I-ID
4422570   I-ID
for   O
your   O
reference   O
.   O

Best   O
Regards   O
,   O
ZT209   B-NAME
enc   O
:   O
516   B-ID
-   I-ID
68   I-ID
-   I-ID
98   I-ID
-   I-ID
1   I-ID
,   O
NP:2269:694171   B-ID

Patient   O
Shakia   B-NAME
Kirkham   I-NAME
came   O
to   O
Morton   B-LOCATION
Plant   I-LOCATION
Hospital   I-LOCATION
on   O
00/09/1844   B-DATE
.   O

Under   O
the   O
supervision   O
of   O
Gracie   B-NAME
Ford   I-NAME
,   O
an   O
MRI   O
was   O
performed   O
revealing   O
a   O
possible   O
gastric   O
obstruction   O
.   O

The   O
medical   O
record   O
97074819   B-ID
indicates   O
that   O
the   O
patient   O
has   O
a   O
medical   O
history   O
of   O
diabetes   O
and   O
hypertension   O
.   O

The   O
patient   O
is   O
currently   O
residing   O
at   O
8221A   B-LOCATION
Carriage   I-LOCATION
St.   I-LOCATION
and   O
works   O
as   O
a   O
Foreign   O
Language   O
and   O
Literature   O
Teachers   O
,   O
Postsecondary   O
.   O

The   O
patient   O
has   O
health   O
insurance   O
from   O
Tricare   B-LOCATION
,   O
their   O
policy   O
65832567   B-ID
provides   O
good   O
coverage   O
for   O
these   O
types   O
of   O
medical   O
situations   O
.   O

With   O
the   O
initial   O
diagnosis   O
,   O
Miracle   B-NAME
Carlson   I-NAME
suggested   O
an   O
endoscopy   O
procedure   O
and   O
is   O
scheduled   O
for   O
38/22/82   B-DATE
.   O

For   O
confirmation   O
and   O
further   O
inquiries   O
,   O
the   O
patient   O
or   O
family   O
members   O
can   O
contact   O
our   O
hospital   O
at   O
(   B-CONTACT
517   I-CONTACT
)   I-CONTACT
572   I-CONTACT
1335   I-CONTACT
.   O

Lastly   O
,   O
we   O
noticed   O
that   O
the   O
patient   O
is   O
registered   O
under   O
the   O
username   O
ml334   B-NAME
for   O
our   O
online   O
health   O
portal   O
.   O

We   O
remind   O
Kaiya   B-NAME
Arnold   I-NAME
to   O
regularly   O
check   O
this   O
account   O
for   O
updates   O
and   O
appointment   O
reminders   O
.   O

Mailing   O
address   O
updated   O
to   O
:   O
Street   O
:   O
Mount   B-LOCATION
Gretna   I-LOCATION
,   O
City   O
:   O
Bensenville   B-LOCATION
,   O
State   O
:   O
Port   B-LOCATION
Austin   I-LOCATION
,   O
ZIP   O
:   O
18883   B-LOCATION
.   O

In   O
his   O
previous   O
visit   O
on   O
15/00   B-DATE
,   O
knox   B-NAME
mentioned   O
that   O
the   O
only   O
medication   O
he   O
is   O
taking   O
is   O
Metformin   O
for   O
diabetes   O
.   O

Quentin   B-NAME
Moreno   I-NAME
adjusted   O
the   O
dosage   O
given   O
the   O
current   O
gastric   O
complications   O
and   O
prescribed   O
Ranitidine   O
to   O
help   O
with   O
the   O
gastric   O
discomfort   O
and   O
dyspepsia   O
.   O

This   O
record   O
can   O
be   O
further   O
discussed   O
with   O
the   O
doctor   O
at   O
Montrose   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
Yuliana   B-NAME
Soto   I-NAME
's   O
next   O
scheduled   O
visit   O
.   O

This   O
case   O
summary   O
is   O
for   O
the   O
aforementioned   O
1775   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
05   I-DATE
,   O
and   O
any   O
changes   O
made   O
thereafter   O
have   O
been   O
updated   O
in   O
our   O
online   O
portal   O
and   O
in   O
our   O
databases   O
at   O
North   B-LOCATION
Central   I-LOCATION
Bronx   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Tamia   B-NAME
Peck   I-NAME
DOB   O
:   O
22/18/2180   B-DATE
Age   O
:   O
84   O
ID   O
:   O
80265   B-ID
Dr.   O
Whitney   B-NAME
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
reported   O
that   O
ivester   B-NAME
presented   O
to   O
the   O
emergency   O
room   O
on   O
1/24   B-DATE
with   O
various   O
symptoms   O
.   O

Charley   B-NAME
Michaels   I-NAME
complained   O
of   O
severe   O
,   O
persistent   O
stomach   O
cramps   O
.   O

Currently   O
,   O
Jeffrey   B-NAME
Rhodes   I-NAME
is   O
on   O
medication   O
,   O
amlodipine   O
10   O
mg   O
daily   O
,   O
managed   O
by   O
Dr.   O
Donte   B-NAME
Salazar   I-NAME
.   O

Despite   O
this   O
,   O
there   O
is   O
nothing   O
in   O
Houston   B-NAME
Grimes   I-NAME
's   O
past   O
medical   O
history   O
that   O
hints   O
towards   O
any   O
chronic   O
abdominal   O
conditions   O
.   O

A   O
CT   O
scan   O
conducted   O
at   O
Cambridge   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
confirmed   O
the   O
suspected   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

At   O
the   O
time   O
of   O
the   O
last   O
update   O
on   O
2123   B-DATE
,   O
the   O
patient   O
was   O
prepped   O
for   O
surgery   O
and   O
was   O
awaiting   O
the   O
arrival   O
of   O
the   O
primary   O
surgeon   O
,   O
Dr.   O
Shirley   B-NAME
,   I-NAME
James   I-NAME
.   O

Contact   O
Phone   O
:   O
77144   B-CONTACT
Contact   O
Address   O
:   O
210   B-LOCATION
West   I-LOCATION
El   I-LOCATION
Dorado   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
50429   B-LOCATION
Emergency   O
Contact   O
's   O
Name   O
:   O
YB958   B-NAME
Emergency   O
Contact   O
's   O
Relationship   O
:   O
Information   O
Security   O
Analysts   O
Emergency   O
Contact   O
's   O
Phone   O
Number   O
:   O
38422   B-CONTACT
Rocky   B-LOCATION
Mountain   I-LOCATION
Animal   I-LOCATION
Defense   I-LOCATION
:   O
Health   O
Insurance   O
Provider   O
Policy   O
Number   O
:   O
12379524   B-ID
Medical   O
Record   O
Number   O
:   O
03400475   B-ID

Patient   O
Name   O
:   O
Omari   B-NAME
Fry   I-NAME
Age   O
:   O
89   O
Date   O
:   O
08/17   B-DATE
Doctor   O
:   O
Frostrup   B-NAME
,   I-NAME
Mariella   I-NAME
Hospital   O
:   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
ID   O
Number   O
:   O
8   B-ID
-   I-ID
4278229   I-ID
Location   O
:   O
Longtown   B-LOCATION
Medical   O
Record   O
Number   O
:   O
9283659   B-ID
Organization   O
:   O

City   B-LOCATION
of   I-LOCATION
Newberry   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
Phone   O
number   O
:   O
19479   B-CONTACT
Patients   O
Profession   O
:   O
Colour   O
technologist   O
Username   O
:   O
RA41   B-NAME
Zip   O
code   O
:   O
25551   B-LOCATION

The   O
patient   O
,   O
Tiffany   B-NAME
Burgess   I-NAME
,   O
presented   O
to   O
Day   B-LOCATION
Kimball   I-LOCATION
Hospital   I-LOCATION
on   O
Saturday   B-DATE
,   I-DATE
May   I-DATE
with   O
recurrent   O
episodes   O
of   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

Physical   O
examination   O
revealed   O
Gray   B-NAME
to   O
be   O
in   O
distress   O
.   O

Albertina   B-NAME
's   O
blood   O
pressure   O
was   O
noted   O
to   O
be   O
higher   O
than   O
the   O
normal   O
range   O
,   O
particularly   O
systolic   O
pressure   O
.   O

The   O
detailed   O
laboratory   O
findings   O
,   O
accessible   O
under   O
we378   B-NAME
and   O
39946212   B-ID
,   O
signify   O
slight   O
anemia   O
and   O
elevated   O
levels   O
of   O
pancreatic   O
enzymes   O
.   O

Anthony   B-NAME
,   I-NAME
Piers   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
,   O
which   O
has   O
been   O
managed   O
by   O
an   O
ACE   O
inhibitor   O
for   O
the   O
past   O
seven   O
years   O
.   O

Being   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Logging   O
Workers   O
,   O
Deacon   B-NAME
Acosta   I-NAME
leads   O
a   O
sedentary   O
lifestyle   O
and   O
reports   O
a   O
high   O
intake   O
of   O
fatty   O
foods   O
,   O
conditions   O
that   O
add   O
to   O
the   O
risk   O
of   O
gallstones   O
.   O

Presently   O
,   O
Bucky   B-NAME
DeVol   I-NAME
is   O
residing   O
at   O
Castleton   B-LOCATION
-   I-LOCATION
on   I-LOCATION
-   I-LOCATION
Hudson   I-LOCATION
,   O
zip   O
code   O
62290   B-LOCATION
,   O
and   O
can   O
be   O
reached   O
at   O
196   B-CONTACT
358   I-CONTACT
3148   I-CONTACT
.   O

Based   O
on   O
the   O
examination   O
and   O
Lam   B-NAME
's   O
medical   O
history   O
,   O
Ferguson   B-NAME
suspects   O
a   O
case   O
of   O
pancreatitis   O
,   O
possibly   O
due   O
to   O
gallstones   O
or   O
excessive   O
alcohol   O
intake   O
.   O

The   O
Garrison   B-NAME
recommends   O
an   O
abdominal   O
ultrasound   O
,   O
ERCP   O
,   O
if   O
required   O
,   O
and   O
lifestyle   O
modifications   O
including   O
dietary   O
changes   O
and   O
increased   O
physical   O
activity   O
.   O

This   O
recommendation   O
report   O
has   O
been   O
shared   O
with   O
Old   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
under   O
patient   O
ID   O
8   B-ID
-   I-ID
6234293   I-ID
for   O
further   O
approval   O
and   O
procedure   O
scheduling   O
.   O

Patient   O
Name   O
:   O
Kaylynn   B-NAME
Garrett   I-NAME
Age   O
:   O
93   O
Gender   O
:   O
Male   O
Date   O
of   O
Report   O
:   O
11/35/72   B-DATE
Medical   O
Record   O
No   O
:   O
913   B-ID
-   I-ID
09   I-ID
-   I-ID
29   I-ID
-   I-ID
9   I-ID
The   O
Eveline   B-NAME
was   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
the   O
Baxter   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2111   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
dyspnea   O
,   O
and   O
intermittent   O
episodes   O
of   O
hematemesis   O
.   O

The   O
Neil   B-NAME
Nguyen   I-NAME
revealed   O
an   O
occupation   O
of   O
Loan   O
Counselors   O
and   O
resides   O
at   O
Henrieville   B-LOCATION
,   O
the   O
ZIP   O
code   O
being   O
48188   B-LOCATION
.   O

On   O
initial   O
examination   O
by   O
Alcott   B-NAME
,   I-NAME
Louisa   I-NAME
May   I-NAME
,   O
the   O
Trajan   B-NAME
Fringuello   I-NAME
was   O
found   O
to   O
be   O
profusely   O
sweating   O
with   O
signs   O
of   O
severe   O
dehydration   O
and   O
tachycardia   O
.   O

Carey   B-NAME
,   I-NAME
Mariah   I-NAME
ordered   O
an   O
immediate   O
CT   O
-   O
scan   O
which   O
revealed   O
a   O
ruptured   O
appendix   O
with   O
evidence   O
of   O
localized   O
peritonitis   O
.   O

The   O
patient   O
had   O
admitted   O
visiting   O
Grantley   B-LOCATION
a   O
few   O
weeks   O
ago   O
but   O
denied   O
any   O
significant   O
sickness   O
.   O

Some   O
concerns   O
were   O
raised   O
about   O
foodborne   O
illness   O
,   O
as   O
the   O
patient   O
was   O
associated   O
with   O
an   O
outbreak   O
at   O
his   O
workplace   O
Rochester   B-LOCATION
Public   I-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
.   O

Gallagher   B-NAME
communicated   O
with   O
the   O
surgical   O
department   O
,   O
and   O
an   O
emergency   O
surgical   O
intervention   O
was   O
carried   O
out   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
,   O
contactable   O
at   O
(   B-CONTACT
889   I-CONTACT
)   I-CONTACT
357   I-CONTACT
6120   I-CONTACT
,   O
was   O
informed   O
about   O
the   O
situation   O
.   O

Meanwhile   O
,   O
the   O
general   O
practitioner   O
in   O
Coburg   B-LOCATION
was   O
notified   O
to   O
keep   O
a   O
check   O
on   O
the   O
patient   O
's   O
close   O
contacts   O
.   O

Authorization   O
for   O
the   O
surgical   O
procedures   O
as   O
described   O
above   O
was   O
given   O
with   O
photocopies   O
of   O
4   B-ID
-   I-ID
9067279   I-ID
provided   O
for   O
record   O
.   O

Upon   O
reviewing   O
the   O
health   O
records   O
sourced   O
from   O
tv901   B-NAME
,   O
it   O
became   O
evident   O
that   O
the   O
patient   O
has   O
a   O
history   O
of   O
peptic   O
ulcer   O
disease   O
but   O
was   O
not   O
on   O
any   O
regular   O
medication   O
.   O

The   O
patient   O
is   O
currently   O
stable   O
and   O
will   O
be   O
kept   O
under   O
close   O
monitoring   O
in   O
the   O
CHRISTUS   B-LOCATION
Mother   I-LOCATION
Frances   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Sulphur   I-LOCATION
Springs   I-LOCATION
Intensive   O
Care   O
Unit   O
.   O

The   O
contact   O
for   O
further   O
communication   O
is   O
(   B-CONTACT
598   I-CONTACT
)   I-CONTACT
742   I-CONTACT
2454   I-CONTACT
.   O

Norah   B-NAME
Ramos   I-NAME
's   O
Signature   O
Sa   B-DATE
Report   O
Prepared   O
by   O
:   O
OR738   B-NAME

Patient   O
Report   O
Gordon   B-NAME
Robertson   I-NAME
came   O
in   O
to   O
Franklin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
consultation   O
on   O
5/25   B-DATE
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Ritter   B-NAME
,   I-NAME
Scott   I-NAME
which   O
revealed   O
the   O
presence   O
of   O
gallstones   O
in   O
the   O
gallbladder   O
.   O

The   O
patient   O
’s   O
medical   O
history   O
,   O
indicated   O
by   O
0042263   B-ID
,   O
showed   O
that   O
he   O
/   O
she   O
does   O
not   O
have   O
any   O
notable   O
family   O
history   O
of   O
gallbladder   O
disease   O
.   O

Awentia   B-NAME
is   O
a   O
Cooks   O
,   O
Institution   O
and   O
Cafeteria   O
who   O
admits   O
to   O
having   O
a   O
moderately   O
sedentary   O
lifestyle   O
-   O
he   O
/   O
she   O
spends   O
a   O
majority   O
of   O
the   O
day   O
sitting   O
at   O
Betsy   B-LOCATION
Layne   I-LOCATION
,   O
has   O
an   O
erratic   O
eating   O
schedule   O
,   O
and   O
negligible   O
physical   O
activity   O
.   O

The   O
patient   O
's   O
personal   O
information   O
including   O
his   O
/   O
her   O
home   O
address   O
at   O
Cleburne   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
76031   I-LOCATION
,   O
phone   O
number   O
(   B-CONTACT
367   I-CONTACT
)   I-CONTACT
940   I-CONTACT
-   I-CONTACT
6920   I-CONTACT
,   O
and   O
social   O
security   O
number   O
LX   B-ID
:   I-ID
EB:8767   I-ID
were   O
updated   O
and   O
stored   O
confidentially   O
.   O

Turk   B-NAME
was   O
given   O
an   O
appointment   O
for   O
a   O
follow   O
-   O
up   O
on   O
12/22/2394   B-DATE
at   O
Baylor   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Dallas   I-LOCATION
with   O
Brady   B-NAME
.   O

Considering   O
Eduardo   B-NAME
Knight   I-NAME
's   O
symptoms   O
and   O
ultrasound   O
results   O
,   O
immediate   O
treatment   O
is   O
deemed   O
necessary   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
laparoscopic   O
cholecystectomy   O
-   O
a   O
minimal   O
invasive   O
surgery   O
done   O
to   O
remove   O
the   O
gallbladder   O
-   O
on   O
2184   B-DATE
.   O

Galloway   B-NAME
will   O
be   O
running   O
this   O
procedure   O
.   O

The   O
medical   O
procedure   O
will   O
be   O
executed   O
at   O
the   O
South   B-LOCATION
Nassau   I-LOCATION
Communities   I-LOCATION
Hospital   I-LOCATION
,   O
located   O
at   O
Harrisonburg   B-LOCATION
.   O

The   O
patient   O
’s   O
insurance   O
coverage   O
from   O
Irish   B-LOCATION
Writers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
is   O
noted   O
,   O
with   O
the   O
policy   O
number   O
3   B-ID
-   I-ID
2615479   I-ID
,   O
verified   O
and   O
has   O
been   O
positively   O
confirmed   O
for   O
the   O
procedure   O
.   O

Additionally   O
,   O
Doyle   B-NAME
,   I-NAME
Arthur   I-NAME
Conan   I-NAME
has   O
been   O
registered   O
on   O
our   O
patient   O
portal   O
with   O
the   O
username   O
HK221   B-NAME
and   O
received   O
information   O
bout   O
signing   O
up   O
to   O
this   O
portal   O
through   O
51194   B-CONTACT
.   O

The   O
signed   O
consent   O
forms   O
,   O
along   O
with   O
other   O
relevant   O
medical   O
documents   O
,   O
will   O
be   O
sent   O
to   O
Baltic   B-LOCATION
via   O
NYLUG   B-LOCATION
,   O
with   O
tracking   O
number   O
LL791/8337   B-ID
.   O

This   O
comprehensive   O
plan   O
of   O
action   O
has   O
been   O
documented   O
and   O
forwarded   O
to   O
all   O
concerned   O
parties   O
at   O
their   O
respective   O
Decatur   B-LOCATION
.   O

The   O
entire   O
team   O
at   O
NorthShore   B-LOCATION
University   I-LOCATION
HealthSystem   I-LOCATION
-Evanston   I-LOCATION
Hospital   I-LOCATION
is   O
dedicated   O
to   O
ensuring   O
a   O
smooth   O
procedure   O
and   O
recovery   O
for   O
Freddie   B-NAME
Eric   I-NAME
.   O

Zip   O
code   O
of   O
Rory   B-NAME
Frazier   I-NAME
's   O
residence   O
is   O
66735   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Adorno   B-NAME
,   I-NAME
Theodor   I-NAME
presented   O
to   O
Providence   B-LOCATION
Newberg   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
07/39   B-DATE
.   O

He   O
has   O
recently   O
relocated   O
to   O
Geneva   B-LOCATION
-   I-LOCATION
on   I-LOCATION
-   I-LOCATION
the   I-LOCATION
-   I-LOCATION
Lake   I-LOCATION
and   O
his   O
address   O
for   O
correspondences   O
is   O
84863   B-LOCATION
.   O

His   O
mobile   O
number   O
is   O
(   B-CONTACT
296   I-CONTACT
)   I-CONTACT
483   I-CONTACT
-   I-CONTACT
1805   I-CONTACT
and   O
email   O
i   O
d   O
aap506   B-NAME
@gmail.com   O
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Golden   B-NAME
,   O
identified   O
these   O
symptoms   O
potentially   O
related   O
to   O
cardiac   O
issues   O
,   O
more   O
specifically   O
angina   O
pectoris   O
.   O

His   O
health   O
plan   O
number   O
is   O
92107280   B-ID
and   O
his   O
medical   O
record   O
can   O
be   O
found   O
under   O
14683195   B-ID
.   O

He   O
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
State   B-LOCATION
Guard   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
within   O
2   O
weeks   O
.   O

Dr.   O
Zavala   B-NAME
decided   O
to   O
consult   O
with   O
cardiologist   O
but   O
no   O
decision   O
was   O
made   O
to   O
alter   O
current   O
prescription   O
medications   O
.   O

Patient   O
Name   O
:   O
GUEVARA   B-NAME
,   I-NAME
ELIZABETH   I-NAME
Age   O
:   O
99   O
ID   O
:   O
8   B-ID
-   I-ID
8132865   I-ID
Location   O
:   O
Fort   B-LOCATION
Pierce   I-LOCATION
ZIP   O
:   O
81935   B-LOCATION
Phone   O
:   O
424   B-CONTACT
8588   I-CONTACT
Profession   O
:   O

Wellhead   O
Pumpers   O
Medical   O
Record   O
Number   O
:   O
427   B-ID
-   I-ID
26   I-ID
-   I-ID
00   I-ID
-   I-ID
2   I-ID
On   O
April   B-DATE
2287   I-DATE
,   O
Joseph   B-NAME
Dambrosio   I-NAME
was   O
seen   O
by   O
Dr.   O
Velez   B-NAME
at   O
Anna   B-LOCATION
Jaques   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
lives   O
in   O
Lake   B-LOCATION
Lure   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
79284   B-LOCATION
.   O

The   O
patient   O
gave   O
consent   O
to   O
discussing   O
their   O
medical   O
condition   O
over   O
the   O
phone   O
with   O
number   O
(   B-CONTACT
192   I-CONTACT
)   I-CONTACT
884   I-CONTACT
6691   I-CONTACT
.   O

Luca   B-NAME
Dougherty   I-NAME
presented   O
with   O
symptoms   O
of   O
persistent   O
and   O
progressive   O
shortness   O
of   O
breath   O
accompanied   O
by   O
a   O
mild   O
cough   O
.   O

Marshall   B-NAME
,   I-NAME
George   I-NAME
also   O
reported   O
bouts   O
of   O
unproductive   O
cough   O
and   O
a   O
feeling   O
of   O
fatigue   O
in   O
the   O
past   O
couple   O
of   O
days   O
.   O

Lamb   B-NAME
proposed   O
some   O
further   O
evaluations   O
including   O
bronchoscopy   O
with   O
BAL   O
to   O
rule   O
out   O
infection   O
and   O
lung   O
biopsy   O
to   O
confirm   O
the   O
diagnosis   O
.   O

Patient   O
was   O
referred   O
by   O
Le   B-NAME
Corbusier   I-NAME
to   O
the   O
pulmonology   O
department   O
of   O
Genesis   B-LOCATION
Hospital   I-LOCATION
.   O

As   O
part   O
of   O
our   O
follow   O
-   O
up   O
,   O
a   O
staff   O
member   O
from   O
Canadian   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
will   O
be   O
contacting   O
Keys   B-NAME
for   O
an   O
appointment   O
confirmation   O
on   O
May   B-DATE
03   I-DATE
.   O

The   O
patient   O
's   O
username   O
to   O
access   O
his   O
medical   O
records   O
from   O
MercyOne   B-LOCATION
Clinton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
's   O
online   O
portal   O
is   O
gx275   B-NAME
.   O

The   O
medical   O
record   O
number   O
is   O
551   B-ID
-   I-ID
89   I-ID
-   I-ID
84   I-ID
.   O

Signed   O
,   O
Dr.   O
Clinton   B-NAME
,   I-NAME
Hillary   I-NAME
,   O
MD   O
.   O
Please   O
note   O
no   O
identifiable   O
information   O
was   O
recorded   O
pertaining   O
to   O
social   O
security   O
,   O
driver   O
's   O
license   O
,   O
or   O
credit   O
card   O
details   O
of   O
Kadyn   B-NAME
Suarez   I-NAME
complying   O
with   O
PHI   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Tapia   B-NAME
Age   O
:   O
73   O
Hospital   O
ID   O
:   O
DJ:44911:870975   B-ID
Medical   O
Record   O
number   O
:   O
912   B-ID
-   I-ID
91   I-ID
-   I-ID
58   I-ID
-   I-ID
1   I-ID
Location   O
:   O
Anamosa   B-LOCATION
Zip   O
code   O
:   O
71225   B-LOCATION
Doctor   O
involved   O
:   O
Winner   B-NAME
,   I-NAME
Michael   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Petersburg   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Organization   O
:   O

Irish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
Job   O
Title   O
:   O
Immigration   O
officer   O
Phone   O
contact   O
:   O
32262   B-CONTACT
Username   O
:   O
wep735   B-NAME
Patient   O
report   O
as   O
of   O
18/10/49   B-DATE
:   O
Brenna   B-NAME
Acosta   I-NAME
was   O
admitted   O
to   O
Vail   B-LOCATION
Health   I-LOCATION
presenting   O
with   O
diffuse   O
abdominal   O
pain   O
,   O
occurring   O
primarily   O
in   O
the   O
epigastric   O
region   O
.   O

Jesimae   B-NAME
,   O
who   O
is   O
of   O
38s   O
years   O
,   O
reported   O
the   O
onset   O
of   O
the   O
symptoms   O
to   O
be   O
0/21   B-DATE
.   O

Leisha   B-NAME
Oxner   I-NAME
was   O
previously   O
seen   O
by   O
Monica   B-NAME
Broome   I-NAME
and   O
the   O
previous   O
record   O
noted   O
an   O
increased   O
frequency   O
in   O
the   O
patient   O
’s   O
discomfort   O
,   O
with   O
an   O
escalation   O
in   O
the   O
severity   O
of   O
the   O
pain   O
,   O
along   O
with   O
occurrences   O
of   O
nausea   O
and   O
occasional   O
vomiting   O
.   O

Beecher   B-NAME
,   I-NAME
Henry   I-NAME
Ward   I-NAME
was   O
started   O
on   O
intravenous   O
fluids   O
,   O
pain   O
control   O
,   O
and   O
was   O
kept   O
NPO   O
(   O
Nil   O
Per   O
Os   O
,   O
nothing   O
by   O
mouth   O
)   O
as   O
per   O
traditional   O
acute   O
pancreatitis   O
management   O
protocol   O
.   O

Echeverria   B-NAME
’s   O
dietary   O
intake   O
will   O
be   O
slowly   O
reinstated   O
as   O
symptoms   O
improve   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Tate   B-NAME
,   I-NAME
Sharon   I-NAME
at   O
Venice   B-LOCATION
Regional   I-LOCATION
Bayfront   I-LOCATION
Health   I-LOCATION
for   O
02/02   B-DATE
.   O

For   O
queries   O
or   O
concerns   O
before   O
the   O
scheduled   O
appointment   O
,   O
please   O
contact   O
at   O
(   B-CONTACT
624   I-CONTACT
)   I-CONTACT
839   I-CONTACT
-   I-CONTACT
9152   I-CONTACT
.   O

The   O
case   O
has   O
been   O
documented   O
under   O
225   B-ID
-   I-ID
62   I-ID
-   I-ID
00   I-ID
-   I-ID
7   I-ID
.   O

Please   O
note   O
that   O
this   O
report   O
was   O
prepared   O
by   O
xoo817   B-NAME
under   O
the   O
monitorship   O
of   O
the   O
GreyStone   B-LOCATION
Power   I-LOCATION
Corp.   I-LOCATION
in   O
the   O
Fort   B-LOCATION
Mill   I-LOCATION
.   O

If   O
you   O
're   O
a   O
healthcare   O
professional   O
within   O
the   O
area   O
and   O
need   O
further   O
information   O
,   O
please   O
reference   O
our   O
code   O
WP597/5728   B-ID
and   O
the   O
zip   O
38760   B-LOCATION
.   O

It   O
should   O
also   O
be   O
noted   O
that   O
Markus   B-NAME
Mendez   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Commissioning   O
engineer   O
but   O
has   O
taken   O
medical   O
leave   O
to   O
recover   O
.   O

Patient   O
Name   O
:   O
Queen   B-NAME
Pickett   I-NAME
Age   O
:   O
21s   O
ID   O
:   O
10   B-ID
-   I-ID
1392870   I-ID
Location   O
:   O

Burns   B-LOCATION
Flat   I-LOCATION
Zip   O
Code   O
:   O
39410   B-LOCATION
Phone   O
:   O
73257   B-CONTACT
Username   O
:   O
buq28   B-NAME
Profession   O
:   O

Baggage   O
Porters   O
and   O
Bellhops   O
Patient   O
Report   O
:   O
Belia   B-NAME
Mattioli   I-NAME
arrived   O
at   O
Jersey   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/21   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Dr.   O
Jaden   B-NAME
Davidson   I-NAME
from   O
NYLUG   B-LOCATION
.   O

Natashia   B-NAME
Rosa   I-NAME
presented   O
initial   O
symptoms   O
such   O
as   O
dry   O
cough   O
,   O
sore   O
throat   O
and   O
fatigue   O
.   O

The   O
physical   O
examination   O
conducted   O
by   O
Lincoln   B-NAME
Key   I-NAME
showed   O
additional   O
signs   O
of   O
the   O
infection   O
,   O
including   O
low   O
-   O
grade   O
fever   O
and   O
nasal   O
congestion   O
.   O

Comparison   O
with   O
records   O
,   O
33079613   B-ID
,   O
from   O
previous   O
medical   O
encounters   O
indicate   O
a   O
significant   O
increase   O
in   O
white   O
blood   O
cell   O
count   O
,   O
further   O
supporting   O
the   O
preliminary   O
diagnosis   O
.   O

To   O
further   O
evaluate   O
Spock   B-NAME
,   I-NAME
Benjamin   I-NAME
's   O
condition   O
,   O
a   O
radiological   O
examination   O
was   O
ordered   O
which   O
revealed   O
evidence   O
of   O
possible   O
viral   O
pneumonia   O
.   O

Given   O
the   O
current   O
pandemic   O
state   O
in   O
the   O
241   B-LOCATION
Carpenter   I-LOCATION
St.   I-LOCATION
,   O
a   O
COVID-19   O
test   O
was   O
also   O
administered   O
.   O

Kenley   B-NAME
Myers   I-NAME
is   O
scheduled   O
for   O
a   O
repeat   O
consultation   O
on   O
13   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
39   I-DATE
.   O

Meanwhile   O
,   O
Carson   B-NAME
has   O
been   O
advised   O
to   O
self   O
-   O
isolate   O
and   O
rest   O
,   O
with   O
over   O
-   O
the   O
-   O
counter   O
medication   O
for   O
symptomatic   O
relief   O
.   O

During   O
the   O
course   O
of   O
the   O
interview   O
,   O
Harry   B-NAME
Yerger   I-NAME
mentioned   O
working   O
as   O
a   O
Plant   O
Scientists   O
for   O
Mississippi   B-LOCATION
,   O
which   O
may   O
have   O
possibly   O
led   O
to   O
exposure   O
to   O
the   O
virus   O
.   O

The   O
contact   O
tracing   O
team   O
has   O
been   O
informed   O
about   O
the   O
situation   O
and   O
will   O
reach   O
out   O
to   O
Xuereb   B-NAME
at   O
40465   B-CONTACT
for   O
further   O
investigation   O
.   O

As   O
the   O
patient   O
is   O
currently   O
living   O
in   O
80055   B-LOCATION
,   O
the   O
local   O
health   O
department   O
of   O
Glen   B-LOCATION
Elder   I-LOCATION
has   O
been   O
notified   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
with   O
Aniya   B-NAME
Bullock   I-NAME
at   O
Sentara   B-LOCATION
Norfolk   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
scheduled   O
for   O
2270   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
09   I-DATE
unless   O
the   O
patient   O
's   O
symptoms   O
worsen   O
or   O
if   O
the   O
test   O
results   O
show   O
a   O
positive   O
result   O
for   O
the   O
coronavirus   O
.   O

Until   O
then   O
,   O
the   O
patient   O
is   O
instructed   O
to   O
reach   O
out   O
via   O
the   O
patient   O
portal   O
with   O
the   O
Username   O
:   O
yh916   B-NAME
for   O
any   O
queries   O
or   O
issues   O
.   O

At   O
NCH   B-LOCATION
Baker   I-LOCATION
Hospital   I-LOCATION
,   O
we   O
continually   O
strive   O
for   O
the   O
privacy   O
and   O
confidentiality   O
of   O
our   O
patient   O
's   O
data   O
.   O

Patient   O
ID   O
:   O
7064611   B-ID
03/32   B-DATE
Munoz   B-NAME
,   O
I   O
would   O
like   O
to   O
bring   O
to   O
your   O
attention   O
the   O
case   O
of   O
Rodney   B-NAME
Holden   I-NAME
.   O

The   O
patient   O
hails   O
from   O
Phillips   B-LOCATION
and   O
was   O
born   O
27   O
years   O
ago   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Jack   B-LOCATION
Hughston   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
after   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
fever   O
,   O
and   O
vomiting   O
.   O

The   O
patient   O
has   O
a   O
significant   O
medical   O
history   O
of   O
peptic   O
ulcers   O
identified   O
in   O
her   O
QU   B-ID
:   I-ID
HS:4256   I-ID
account   O
.   O

She   O
was   O
treated   O
3   O
years   O
ago   O
at   O
the   O
Bank   B-LOCATION
USA   I-LOCATION
,   I-LOCATION
N.A.   I-LOCATION
by   O
Dr.   O
John   O
in   O
Sheringham   B-LOCATION
and   O
was   O
provided   O
medication   O
which   O
she   O
has   O
been   O
taking   O
ever   O
since   O
.   O

Her   O
most   O
recent   O
check   O
-   O
up   O
was   O
on   O
21/02   B-DATE
,   O
which   O
showed   O
no   O
noteworthy   O
developments   O
.   O

In   O
the   O
short   O
stay   O
at   O
the   O
Baptist   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Mississippi   I-LOCATION
,   O
there   O
were   O
signs   O
of   O
increased   O
lethargy   O
and   O
irritability   O
.   O

The   O
patient   O
can   O
be   O
reached   O
for   O
any   O
further   O
clarification   O
at   O
17652   B-CONTACT
.   O

Her   O
family   O
members   O
live   O
in   O
Dolores   B-LOCATION
and   O
a   O
stamp   O
addressed   O
to   O
91941   B-LOCATION
is   O
required   O
for   O
any   O
written   O
communication   O
.   O

She   O
logs   O
into   O
her   O
Palm   B-LOCATION
Springs   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
patient   O
account   O
with   O
the   O
username   O
AW333   B-NAME
.   O

Sincerely   O
,   O
Nayeli   B-NAME
Erickson   I-NAME

Patient   O
Name   O
:   O
Juarez   B-NAME
Age   O
:   O
21   O
ID   O
:   O
868472   B-ID
Medical   O
Record   O
Number   O
:   O
710   B-ID
-   I-ID
01   I-ID
-   I-ID
38   I-ID
-   I-ID
8   I-ID
Dr.   O
Alisa   B-NAME
English   I-NAME
of   O
HCA   B-LOCATION
Midwest   I-LOCATION
Division   I-LOCATION
commenced   O
the   O
examination   O
of   O
Mulock   B-NAME
,   I-NAME
Dinah   I-NAME
Maria   I-NAME
;   I-NAME
also   I-NAME
Dinah   I-NAME
Maria   I-NAME
Craik   I-NAME
on   O
12/00/45   B-DATE
.   O

The   O
patient   O
resides   O
in   O
Chapin   B-LOCATION
and   O
is   O
currently   O
holding   O
a   O
Sociologists   O
.   O

Erica   B-NAME
Simpson   I-NAME
initially   O
complained   O
of   O
sharp   O
,   O
shooting   O
pain   O
in   O
the   O
lower   O
right   O
abdominal   O
region   O
.   O

The   O
pain   O
,   O
according   O
to   O
Palahniuk   B-NAME
,   I-NAME
Chuck   I-NAME
,   O
intensifies   O
when   O
pressure   O
is   O
applied   O
and   O
further   O
escalates   O
during   O
activity   O
.   O

During   O
the   O
anamnesis   O
,   O
Brooks   B-NAME
disclosed   O
a   O
loss   O
of   O
appetite   O
,   O
which   O
could   O
potentially   O
explain   O
the   O
noticeable   O
weight   O
loss   O
Dustin   B-NAME
T.   I-NAME
Michael   I-NAME
has   O
experienced   O
recently   O
.   O

Furthermore   O
,   O
Maximus   B-NAME
complained   O
about   O
experiencing   O
constipation   O
periodically   O
.   O

Lab   O
results   O
from   O
1683   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
09   I-DATE
showed   O
a   O
significant   O
increase   O
in   O
the   O
count   O
of   O
white   O
blood   O
cells   O
,   O
especially   O
neutrophils   O
,   O
and   O
the   O
presence   O
of   O
C   O
-   O
reactive   O
proteins   O
.   O

The   O
next   O
appointment   O
has   O
been   O
set   O
for   O
3/23   B-DATE
.   O

Courtney   B-NAME
,   I-NAME
Leonard   I-NAME
H.   I-NAME
(   I-NAME
Lord   I-NAME
Courtney   I-NAME
)   I-NAME
can   O
reach   O
out   O
to   O
the   O
UCSF   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Moffitt   I-LOCATION
-   I-LOCATION
Long   I-LOCATION
Hospitals   I-LOCATION
on   O
760   B-CONTACT
5932   I-CONTACT
or   O
drop   O
in   O
an   O
email   O
at   O
cao479   B-NAME
@   O
American   B-LOCATION
Oil   I-LOCATION
Chemists   I-LOCATION
'   I-LOCATION
Society   I-LOCATION
.com   O
for   O
any   O
queries   O
or   O
emergencies   O
.   O

We   O
have   O
recorded   O
the   O
patient   O
's   O
zip   O
code   O
as   O
12376   B-LOCATION
for   O
our   O
reference   O
and   O
future   O
communications   O
.   O

We   O
also   O
suggest   O
Hoffman   B-NAME
to   O
disclose   O
this   O
preliminary   O
diagnosis   O
with   O
immediate   O
family   O
members   O
also   O
living   O
in   O
North   B-LOCATION
Carolina   I-LOCATION
,   O
given   O
the   O
genetic   O
predisposition   O
towards   O
acute   O
appendicitis   O
.   O

This   O
ailment   O
is   O
more   O
commonly   O
observed   O
in   O
individuals   O
falling   O
within   O
the   O
age   O
bracket   O
of   O
7   O
.   O
Kaylen   B-NAME
Lutz   I-NAME
will   O
revisit   O
the   O
patient   O
's   O
diagnosis   O
and   O
condition   O
on   O
the   O
next   O
scheduled   O
visit   O
on   O
Wednesday   B-DATE
,   I-DATE
November   I-DATE
.   O

Patient   O
Name   O
:   O
Iliana   B-NAME
Dickson   I-NAME
The   O
patient   O
,   O
Azaria   B-NAME
Madden   I-NAME
,   O
visited   O
our   O
hospital   O
,   O
Vanderbilt   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
02/22   B-DATE
with   O
complaints   O
of   O
fatigue   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
chest   O
discomfort   O
.   O

A   O
12   O
-   O
lead   O
EKG   O
was   O
performed   O
by   O
Dr.   O
Kadyn   B-NAME
Lutz   I-NAME
which   O
showed   O
ST   O
-   O
segment   O
elevation   O
suggesting   O
the   O
possibility   O
of   O
an   O
acute   O
myocardial   O
infarction   O
.   O

An   O
emergency   O
consultation   O
was   O
ordered   O
with   O
Cardiology   O
specialist   O
Dr.   O
Burton   B-NAME
.   O

Further   O
examination   O
by   O
Dr.   O
Canfield   B-NAME
confirmed   O
critical   O
stenosis   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
medical   O
record   O
number   O
3426205   B-ID
.   O

During   O
hospitalization   O
at   O
St   B-LOCATION
Catherine   I-LOCATION
Of   I-LOCATION
Siena   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
the   O
patient   O
's   O
condition   O
was   O
continuously   O
monitored   O
.   O

Follow   O
-   O
up   O
was   O
arranged   O
with   O
Dr.   O
Cherry   B-NAME
after   O
hospital   O
discharge   O
.   O

Madalynn   B-NAME
Garner   I-NAME
,   O
a   O
School   O
Psychologists   O
,   O
lives   O
in   O
Readstown   B-LOCATION
,   O
with   O
a   O
postal   O
code   O
of   O
88596   B-LOCATION
.   O

The   O
patient   O
's   O
personal   O
identifier   O
29499   B-ID
was   O
used   O
for   O
all   O
procedures   O
and   O
documentation   O
.   O

On   O
2132   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
31   I-DATE
,   O
it   O
was   O
recommended   O
that   O
Kaya   B-NAME
start   O
on   O
a   O
regimen   O
of   O
beta   O
blockers   O
,   O
ACE   O
inhibitors   O
,   O
and   O
low   O
-   O
dose   O
aspirin   O
.   O

The   O
patient   O
was   O
also   O
referred   O
to   O
the   O
Cardiac   O
Rehabilitation   O
program   O
at   O
Euro   B-LOCATION
-   I-LOCATION
Mediterranean   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Monitor   I-LOCATION
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Helena   B-NAME
Blackwell   I-NAME
in   O
two   O
weeks   O
time   O
.   O

For   O
further   O
information   O
,   O
the   O
patient   O
can   O
be   O
reached   O
at   O
736   B-CONTACT
-   I-CONTACT
267   I-CONTACT
-   I-CONTACT
6402   I-CONTACT
.   O

A   O
copy   O
of   O
this   O
report   O
has   O
been   O
sent   O
to   O
the   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Monroe   B-NAME
,   I-NAME
Marilyn   I-NAME
,   O
whose   O
contact   O
information   O
is   O
also   O
available   O
upon   O
request   O
.   O

The   O
patient   O
's   O
relatives   O
,   O
also   O
living   O
at   O
Danvers   B-LOCATION
,   O
have   O
been   O
informed   O
of   O
the   O
situation   O
and   O
are   O
supportive   O
.   O

Jonathan   B-NAME
Faivre   I-NAME
has   O
been   O
advised   O
to   O
make   O
necessary   O
lifestyle   O
modifications   O
including   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
cessation   O
of   O
smoking   O
.   O

Report   O
by   O
:   O
FE630   B-NAME
on   O
3/23   B-DATE
.   O

Patient   O
Name   O
:   O
Otero   B-NAME
Medical   O
Record   O
Number   O
:   O
62154314   B-ID
Joel   B-NAME
Kline   I-NAME
of   O
Good   B-LOCATION
Samaritan   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Ctr   I-LOCATION
recorded   O
the   O
patient   O
's   O
encounter   O
information   O
:   O

On   O
further   O
enquiry   O
,   O
Beulah   B-NAME
Rana   I-NAME
revealed   O
a   O
history   O
of   O
chronic   O
smoking   O
and   O
moderate   O
alcohol   O
intake   O
.   O

The   O
patient   O
works   O
as   O
a   O
Financial   O
Quantitative   O
Analysts   O
in   O
Winslow   B-LOCATION
West   I-LOCATION
for   O
the   O
Republic   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
N.A.   I-LOCATION
and   O
has   O
a   O
busy   O
and   O
stressful   O
work   O
life   O
.   O

On   O
physical   O
examination   O
,   O
Benita   B-NAME
Tynan   I-NAME
looked   O
fatigued   O
and   O
dehydrated   O
.   O

Laboratory   O
test   O
results   O
,   O
which   O
came   O
in   O
on   O
Saturday   B-DATE
,   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
of   O
14,000   O
/   O
mcL   O
,   O
suggestive   O
of   O
infection   O
.   O

Judd   B-NAME
advised   O
an   O
abdominal   O
CT   O
scan   O
,   O
the   O
report   O
of   O
which   O
showed   O
an   O
inflammation   O
of   O
the   O
right   O
colon   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

After   O
discussing   O
the   O
findings   O
with   O
Kristian   B-NAME
Bean   I-NAME
and   O
the   O
patient   O
's   O
family   O
,   O
it   O
was   O
decided   O
to   O
proceed   O
with   O
appendix   O
surgery   O
.   O

Petersen   B-NAME
scheduled   O
the   O
appendectomy   O
for   O
2001   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
39   I-DATE
in   O
the   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Orange   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Anaheim   I-LOCATION
.   O

The   O
patient   O
was   O
discharged   O
on   O
08/31   B-DATE
with   O
detailed   O
instructions   O
regarding   O
medications   O
,   O
wound   O
care   O
,   O
diet   O
modifications   O
,   O
a   O
follow   O
-   O
up   O
visit   O
,   O
and   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
.   O

Ruben   B-NAME
Mckenzie   I-NAME
can   O
be   O
contacted   O
for   O
any   O
medical   O
emergency   O
at   O
14956   B-CONTACT
.   O

Daina   B-NAME
Cloninger   I-NAME
resides   O
in   O
71095   B-LOCATION
and   O
any   O
further   O
communication   O
will   O
be   O
sent   O
to   O
this   O
address   O
.   O

omt381   B-NAME
will   O
ensure   O
the   O
patient   O
records   O
are   O
up   O
-   O
to   O
-   O
date   O
.   O

Patient   O
8242466   B-ID
will   O
be   O
used   O
to   O
access   O
electronic   O
patient   O
health   O
information   O
for   O
future   O
reference   O
.   O

Patient   O
Name   O
:   O
Kang   B-NAME
Patient   O
Age   O
:   O
28   O
Patient   O
ID   O
:   O
IW:92755:594993   B-ID
Medical   O
Record   O
Number   O
:   O
905   B-ID
-   I-ID
79   I-ID
-   I-ID
59   I-ID
Address   O
:   O
Schenectady   B-LOCATION
,   O
43744   B-LOCATION
27/26/2242   B-DATE
Dear   O
Maurice   B-NAME
Atkins   I-NAME
,   O
I   O
am   O
writing   O
to   O
present   O
the   O
case   O
of   O
Milano   B-NAME
,   I-NAME
Alyssa   I-NAME
,   O
aged   O
77   O
,   O
who   O
was   O
admitted   O
to   O
our   O
Medical   O
Center   O
,   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Plano   I-LOCATION
,   O
on   O
2028   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
27   I-DATE
.   O

By   O
17/39   B-DATE
,   O
symptoms   O
had   O
significantly   O
improved   O
and   O
repeat   O
chest   O
X   O
-   O
ray   O
showed   O
resolution   O
of   O
infiltrates   O
.   O

He   O
currently   O
works   O
as   O
a   O
Metallurgist   O
for   O
the   O
Omni   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

tyree   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
up   O
on   O
22   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
60   I-DATE
at   O
Van   B-LOCATION
Buren   I-LOCATION
.   O

For   O
further   O
communication   O
,   O
you   O
can   O
reach   O
out   O
to   O
me   O
at   O
40025   B-CONTACT
or   O
gge108   B-NAME
.   O

Sincerely   O
,   O
Watts   B-NAME
,   O
M.D.   O
Specialist   O
,   O
Vanderbilt   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION

Patient   O
Name   O
:   O
Ursula   B-NAME
Victoria   I-NAME
Delgado   I-NAME
Patient   O
ID   O
:   O
YJ   B-ID
:   I-ID
EN:1338   I-ID
Age   O
:   O
21   O
Address   O
:   O
South   B-LOCATION
Kensington   I-LOCATION
,   O
98534   B-LOCATION
Referred   O
by   O
Moreno   B-NAME
11119205   B-ID

The   O
patient   O
is   O
a   O
Tile   O
and   O
Marble   O
Setters   O
who   O
presented   O
to   O
our   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Parkridge   I-LOCATION
Hospital   I-LOCATION
on   O
5/32/30   B-DATE
with   O
complaints   O
of   O
severe   O
headaches   O
and   O
intermittent   O
episodes   O
of   O
blurring   O
of   O
vision   O
over   O
the   O
past   O
two   O
weeks   O
.   O

On   O
further   O
probing   O
,   O
Kassandra   B-NAME
Hardin   I-NAME
described   O
her   O
headache   O
as   O
a   O
throbbing   O
sensation   O
,   O
located   O
dominantly   O
on   O
the   O
right   O
side   O
of   O
her   O
head   O
.   O

An   O
MRI   O
of   O
the   O
brain   O
was   O
performed   O
and   O
interpreted   O
in   O
conjunction   O
with   O
the   O
The   B-LOCATION
Regence   I-LOCATION
Group   I-LOCATION
,   O
which   O
showed   O
no   O
significant   O
abnormalities   O
.   O

Further   O
evaluation   O
and   O
a   O
comprehensive   O
plan   O
of   O
treatment   O
are   O
to   O
be   O
discussed   O
with   O
Sparks   B-NAME
at   O
Hawarden   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
.   O

Contact   O
:   O
(   B-CONTACT
387   I-CONTACT
)   I-CONTACT
703   I-CONTACT
-   I-CONTACT
4848   I-CONTACT
Username   O
:   O
vyl320   B-NAME

Patient   O
Report   O
:   O
Tigurius   B-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
patient   O
,   O
under   O
the   O
primary   O
care   O
of   O
Dr.   O
Reilly   B-NAME
,   O
presented   O
at   O
the   O
emergency   O
department   O
of   O
Russellville   B-LOCATION
Hospital   I-LOCATION
on   O
1898   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
18   I-DATE
.   O

Upon   O
giving   O
the   O
health   O
card   O
ID   O
,   O
6   B-ID
-   I-ID
5029554   I-ID
,   O
patient   O
was   O
identified   O
in   O
our   O
system   O
.   O

The   O
patient   O
resides   O
in   O
Carbondale   B-LOCATION
with   O
the   O
zip   O
code   O
34520   B-LOCATION
.   O

In   O
the   O
patient   O
's   O
medical   O
records   O
(   O
4215584   B-ID
)   O
,   O
it   O
was   O
noted   O
that   O
the   O
patient   O
had   O
a   O
history   O
of   O
cholelithiasis   O
diagnosed   O
two   O
years   O
ago   O
at   O
In   B-LOCATION
Defense   I-LOCATION
of   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
IDA   I-LOCATION
)   I-LOCATION
.   O

Resulting   O
in   O
the   O
patient   O
being   O
admitted   O
under   O
Dr.   O
Kim   B-NAME
with   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
pancreatitis   O
secondary   O
to   O
gallstones   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
January   B-DATE
at   O
Essentia   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Fargo   I-LOCATION
.   O

The   O
patient   O
,   O
or   O
the   O
patient   O
's   O
attendant   O
,   O
can   O
reach   O
the   O
clinic   O
at   O
(   B-CONTACT
605   I-CONTACT
)   I-CONTACT
238   I-CONTACT
-   I-CONTACT
3041   I-CONTACT
for   O
further   O
details   O
or   O
changes   O
in   O
the   O
patient   O
's   O
condition   O
.   O

This   O
summary   O
was   O
generated   O
by   O
hyg592   B-NAME
following   O
a   O
visit   O
on   O
July   B-DATE
2113   I-DATE
.   O

Patient   O
Report   O
:   O
june   B-DATE
2332   I-DATE
,   O
Patient   O
Name   O
:   O
Joshua   B-NAME
Hanna   I-NAME
,   O
a   O
2   O
year   O
old   O
individual   O
,   O
was   O
admitted   O
to   O
our   O
healthcare   O
facility   O
,   O
Piedmont   B-LOCATION
Mountainside   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
lives   O
at   O
Elk   B-LOCATION
Falls   I-LOCATION
with   O
a   O
zip   O
code   O
10010   B-LOCATION
.   O

H.   B-NAME
SHAWN   I-NAME
HOWELL   I-NAME
was   O
brought   O
to   O
the   O
hospital   O
by   O
a   O
neighbor   O
,   O
a   O
Compliance   O
Officers   O
,   O
who   O
found   O
Jeri   B-NAME
Clingan   I-NAME
in   O
a   O
state   O
of   O
confusion   O
and   O
disoriented   O
in   O
her   O
home   O
.   O

Clinical   O
evaluations   O
were   O
conducted   O
under   O
the   O
direction   O
of   O
Shyla   B-NAME
Griffin   I-NAME
.   O

On   O
evaluation   O
,   O
Max   B-NAME
Von   I-NAME
Sydow   I-NAME
presented   O
with   O
complex   O
neurological   O
symptoms   O
including   O
Aphasia   O
(   O
difficulty   O
with   O
communication   O
)   O
,   O
Apraxia   O
(   O
difficulty   O
with   O
motor   O
planning   O
to   O
perform   O
tasks   O
)   O
and   O
Agnosia   O
(   O
difficulty   O
processing   O
sensory   O
information   O
)   O
.   O

The   O
patient   O
's   O
identification   O
number   O
is   O
MY132/3630   B-ID
,   O
recorded   O
under   O
medical   O
record   O
number   O
7060753   B-ID
.   O

Franco   B-NAME
also   O
showed   O
signs   O
of   O
motor   O
skill   O
struggle   O
,   O
such   O
as   O
difficulty   O
in   O
buttoning   O
his   O
shirt   O
and   O
grasping   O
objects   O
,   O
which   O
signal   O
Ideational   O
and   O
Ideomotor   O
Apraxia   O
correspondingly   O
.   O

Furthermore   O
,   O
Elvis   B-NAME
Joyce   I-NAME
exhibited   O
difficulty   O
identifying   O
and   O
naming   O
objects   O
,   O
suggesting   O
Visual   O
Agnosia   O
.   O

Family   O
members   O
were   O
reached   O
out   O
via   O
contact   O
number   O
706   B-CONTACT
792   I-CONTACT
9568   I-CONTACT
to   O
gather   O
further   O
information   O
about   O
the   O
onset   O
of   O
these   O
symptoms   O
and   O
their   O
medical   O
history   O
.   O

From   O
the   O
conversation   O
,   O
it   O
was   O
gathered   O
that   O
these   O
symptoms   O
started   O
surfacing   O
05/27/2067   B-DATE
.   O

We   O
plan   O
to   O
reach   O
out   O
to   O
a   O
reliable   O
caregiver   O
organization   O
,   O
Irish   B-LOCATION
Medical   I-LOCATION
Organisation   I-LOCATION
,   O
for   O
post   O
-   O
hospitalization   O
care   O
.   O

The   O
case   O
is   O
being   O
coordinated   O
with   O
djy629   B-NAME
.   O

------   O
Informed   O
Consent   O
obtained   O
from   O
the   O
patient   O
on   O
11/06   B-DATE
:   O
I   O
,   O
Frankie   B-NAME
Frey   I-NAME
,   O
agree   O
and   O
understand   O
that   O
my   O
health   O
information   O
may   O
be   O
used   O
or   O
released   O
for   O
the   O
purposes   O
of   O
treatment   O
,   O
payment   O
,   O
or   O
healthcare   O
operations   O
.   O

keys   B-NAME
Signature   O
:   O
Tameron   B-NAME
Leatrice   B-NAME
Cobian   I-NAME
Signature   O
:   O
Quentin   B-NAME
Morse   I-NAME
Noted   O
by   O
,   O
ox461   B-NAME

Patient   O
Name   O
:   O
Juliet   B-NAME
South   I-NAME
DOB   O
/   O
AGE   O
:   O
Patient   O
is   O
a   O
40   O
years   O
old   O
male   O
.   O

Date   O
of   O
Consultation   O
:   O
13/09   B-DATE
Hospital   O
Name   O
:   O
Admitted   O
to   O
Page   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Doctor   O
Name   O
:   O

Attended   O
by   O
Estrella   B-NAME
Hanna   I-NAME
Symptoms   O
and   O
Diagnostic   O
Findings   O
:   O
Atwood   B-NAME
reported   O
to   O
the   O
emergency   O
department   O
with   O
complaints   O
of   O
persistent   O
nausea   O
,   O
vomiting   O
,   O
and   O
severe   O
epigastric   O
pain   O
for   O
two   O
days   O
.   O

Prescribed   O
Treatment   O
:   O
The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Naima   B-NAME
Ochoa   I-NAME
,   O
gastroenterologist   O
at   O
AdventHealth   B-LOCATION
Waterman   I-LOCATION
.   O

Residential   O
Address   O
:   O
Orlando   B-LOCATION
,   O
66973   B-LOCATION
Phone   O
Number   O
:   O
852   B-CONTACT
2541   I-CONTACT
Medical   O
Record   O
Number   O
:   O
24389750   B-ID
Patient   O
Identification   O
Number   O
:   O
47049   B-ID
Occupation   O
:   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Stark   B-NAME
in   O
the   O
gastroenterology   O
department   O
of   O
Whitesburg   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
on   O
1711   B-DATE
.   O

Pharmacy   O
Details   O
:   O
Prescription   O
sent   O
to   O
BankFirst   B-LOCATION
Username   O
for   O
Patient   O
online   O
portal   O
:   O
oc241   B-NAME
Emergency   O
Contact   O
:   O

Emergency   O
contact   O
is   O
patient   O
's   O
brother   O
(   O
Phone   O
:   O
687   B-CONTACT
6987   I-CONTACT
)   O
,   O
residing   O
in   O
North   B-LOCATION
Richmond   I-LOCATION
.   O

Patient   O
Report   O
:   O
Belloc   B-NAME
,   I-NAME
Hilaire   I-NAME
aged   O
47s   O
,   O
visited   O
us   O
at   O
Jefferson   B-LOCATION
Washington   I-LOCATION
Township   I-LOCATION
Hospital   I-LOCATION
on   O
04/38/22   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Dunn   B-NAME
and   O
was   O
accompanied   O
by   O
the   O
health   O
care   O
worker   O
from   O
Mainstreet   B-LOCATION
Bank   I-LOCATION
.   O

F.   B-NAME
JORDAN   I-NAME
FUCHS   I-NAME
has   O
a   O
medical   O
record   O
number   O
540   B-ID
-   I-ID
68   I-ID
-   I-ID
88   I-ID
-   I-ID
9   I-ID
with   O
us   O
.   O

Jonathan   B-NAME
Seger   I-NAME
is   O
currently   O
staying   O
at   O
Norwich   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
314   B-CONTACT
-   I-CONTACT
611   I-CONTACT
9772   I-CONTACT
.   O

For   O
any   O
further   O
communication   O
,   O
we   O
can   O
also   O
use   O
the   O
secured   O
email   O
,   O
jya30   B-NAME
at   O
our   O
system   O
.   O

During   O
the   O
visit   O
,   O
Jina   B-NAME
Castronova   I-NAME
expressed   O
a   O
prolonged   O
history   O
of   O
episodic   O
migraine   O
headaches   O
.   O

Jerica   B-NAME
is   O
currently   O
on   O
a   O
triptan   O
-   O
based   O
rescue   O
medication   O
regimen   O
,   O
but   O
he   O
has   O
been   O
reporting   O
a   O
decline   O
in   O
efficacy   O
.   O

MRI   O
scans   O
performed   O
earlier   O
at   O
Methodist   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
and   O
brought   O
in   O
by   O
Beck   B-NAME
were   O
reviewed   O
and   O
did   O
not   O
show   O
any   O
significant   O
abnormality   O
.   O

Refills   O
can   O
be   O
collected   O
at   O
the   O
nearby   O
pharmacy   O
located   O
in   O
72429   B-LOCATION
.   O

All   O
reports   O
and   O
recommendations   O
were   O
also   O
mailed   O
to   O
Samantha   B-NAME
Snow   I-NAME
's   O
688794978   B-ID
for   O
record   O
-   O
keeping   O
and   O
future   O
reference   O
.   O

We   O
have   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
July   B-DATE
0   I-DATE
with   O
Webb   B-NAME
.   O

By   O
complying   O
with   O
this   O
treatment   O
plan   O
,   O
we   O
hope   O
to   O
see   O
an   O
improvement   O
in   O
Louvenia   B-NAME
Pankiw   I-NAME
's   O
condition   O
over   O
the   O
next   O
few   O
weeks   O
.   O

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
Warren   B-NAME
Greene   I-NAME
Hospital   O
Name   O
:   O

St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Doctor   O
's   O
Name   O
:   O
Casey   B-NAME
Benitez   I-NAME
Age   O
:   O
19   O
Medical   O
Record   O
Number   O
:   O
6726865   B-ID
Location   O
:   O
Swepsonville   B-LOCATION
Date   O
:   O
March   B-DATE
9   I-DATE
The   O
patient   O
Cowley   B-NAME
,   I-NAME
Abraham   I-NAME
,   O
was   O
admitted   O
to   O
St.   B-LOCATION
Anthony   I-LOCATION
Shawnee   I-LOCATION
Hospital   I-LOCATION
on   O
15/02/60   B-DATE
.   O

The   O
patient   O
resides   O
in   O
Iron   B-LOCATION
Mountain   I-LOCATION
and   O
is   O
of   O
32   O
years   O
old   O
.   O

The   O
attending   O
physician   O
is   O
Dr.   O
Travers   B-NAME
,   I-NAME
P.   I-NAME
L   I-NAME
.   I-NAME
.   O
Brand   B-NAME
,   I-NAME
Max   I-NAME
presented   O
with   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
particularly   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
vomiting   O
,   O
and   O
fever   O
.   O

The   O
patient   O
was   O
immediately   O
prepared   O
for   O
surgery   O
by   O
anesthesiologist   O
,   O
Guadalupe   B-NAME
Trujillo   I-NAME
.   O

A   O
final   O
report   O
from   O
the   O
Concord   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Plant   I-LOCATION
's   O
lab   O
verified   O
the   O
presence   O
of   O
a   O
small   O
appendicolith   O
within   O
the   O
appendiceal   O
lumen   O
,   O
confirming   O
the   O
diagnosis   O
.   O

Patient   O
Gurdjieff   B-NAME
,   I-NAME
G.   I-NAME
I.   I-NAME
is   O
an   O
employee   O
in   O
the   O
Transportation   O
Inspectors   O
profession   O
.   O

The   O
patient   O
's   O
employer   O
and   O
family   O
in   O
Lincolnton   B-LOCATION
has   O
been   O
informed   O
of   O
the   O
situation   O
and   O
they   O
are   O
providing   O
the   O
necessary   O
support   O
.   O

Follow   O
-   O
ups   O
are   O
scheduled   O
with   O
the   O
surgical   O
team   O
for   O
30/25/2332   B-DATE
.   O

Meanwhile   O
,   O
the   O
patient   O
will   O
remain   O
under   O
observation   O
in   O
University   B-LOCATION
of   I-LOCATION
North   I-LOCATION
Carolina   I-LOCATION
Hospitals   I-LOCATION
,   O
room   O
number   O
CP   B-ID
:   I-ID
BL:4540   I-ID
.   O

For   O
further   O
inquiries   O
regarding   O
the   O
patient   O
's   O
status   O
,   O
you   O
can   O
reach   O
us   O
at   O
85450   B-CONTACT
.   O

Signed   O
,   O
Mcbride   B-NAME
License   O
Number   O
:   O
RG:66917:937134   B-ID
DATE   O
:   O
2139   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
23   I-DATE
Note   O
:   O
This   O
report   O
contains   O
personal   O
health   O
information   O
concerning   O
Lane   B-NAME
,   I-NAME
Nathan   I-NAME
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
notify   O
us   O
at   O
(   B-CONTACT
655   I-CONTACT
)   I-CONTACT
484   I-CONTACT
1410   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
kuhn   B-NAME
Mr.   O
Winter   B-NAME
,   I-NAME
William   I-NAME
presented   O
to   O
the   O
Bullitt   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
on   O
2300   B-DATE
.   O

Upon   O
examination   O
,   O
Lexine   B-NAME
showed   O
a   O
pronounced   O
rebound   O
tenderness   O
and   O
fever   O
of   O
38.5   O
C.   O
His   O
blood   O
pressure   O
was   O
120/80   O
with   O
a   O
pulse   O
of   O
90   O
beats   O
per   O
minute   O
.   O

The   O
patient   O
is   O
a   O
Construction   O
Managers   O
and   O
was   O
previously   O
treated   O
by   O
Robinson   B-NAME
for   O
a   O
similar   O
condition   O
at   O
the   O
Hickory   B-LOCATION
-   O
based   O
No   B-LOCATION
Peace   I-LOCATION
Without   I-LOCATION
Justice   I-LOCATION
in   O
3   B-DATE
-   I-DATE
23   I-DATE
,   O
as   O
confirmed   O
by   O
the   O
information   O
provided   O
from   O
his   O
previous   O
medical   O
record   O
number   O
037   B-ID
-   I-ID
46   I-ID
-   I-ID
83   I-ID
-   I-ID
9   I-ID
.   O

After   O
successful   O
surgery   O
,   O
Edward   B-NAME
Xanthos   I-NAME
was   O
transferred   O
to   O
a   O
postoperative   O
recovery   O
room   O
in   O
the   O
same   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Clairemont   I-LOCATION
.   O

Patient   O
's   O
contact   O
information   O
:   O
Phone   O
691   B-CONTACT
805   I-CONTACT
9315   I-CONTACT
,   O
Address   O
35   B-LOCATION
East   I-LOCATION
Penn   I-LOCATION
Avenue   I-LOCATION
,   O
92244   B-LOCATION
.   O

Next   O
of   O
kin   O
is   O
his   O
daughter   O
,   O
residing   O
at   O
Anton   B-LOCATION
.   O

The   O
daughter   O
's   O
contact   O
details   O
,   O
phone   O
54316   B-CONTACT
,   O
were   O
provided   O
for   O
any   O
necessary   O
communication   O
.   O

Patient   O
's   O
ID   O
:   O
ZY662/8280   B-ID
,   O
DOB   O
:   O
2354   B-DATE
,   O
Insurance   O
info   O
:   O
National   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Seadogs   I-LOCATION
Policy   O
number   O
:   O
741374   B-ID
.   O

The   O
readmission   O
policy   O
of   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
explained   O
to   O
the   O
patient   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Mathias   B-NAME
Payne   I-NAME
on   O
11/22/2192   B-DATE
.   O

Signed   O
,   O
UJ399   B-NAME
,   O
2068   B-DATE
-   I-DATE
26   I-DATE
-   I-DATE
12   I-DATE
Overall   O
,   O
the   O
patient   O
's   O
health   O
status   O
post   O
-   O
surgery   O
is   O
stable   O
and   O
improving   O
steadily   O
.   O

The   O
patient   O
's   O
comprehensive   O
treatment   O
documentation   O
was   O
recorded   O
under   O
the   O
electronic   O
health   O
record   O
ID   O
8533890   B-ID
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Pablo   B-NAME
Y.   I-NAME
Mendez   I-NAME
Age   O
:   O
87   O
ID   O
:   O
4   B-ID
-   I-ID
9241461   I-ID
Location   O
:   O
Glace   B-LOCATION
Bay   I-LOCATION
,   I-LOCATION
NS   I-LOCATION
B1A   I-LOCATION
2H4   I-LOCATION
Medical   O
Record   O
:   O
82290034   B-ID
Doctor   O
:   O
Bowen   B-NAME
Hospital   O
:   O
Mountain   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
65561   B-CONTACT
Zip   O
:   O
76617   B-LOCATION
The   O
patient   O
,   O
Mckenzie   B-NAME
Gibbs   I-NAME
,   O
was   O
admitted   O
to   O
our   O
hospital   O
,   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
In   I-LOCATION
Red   I-LOCATION
Wing   I-LOCATION
,   O
on   O
22/11   B-DATE
.   O

He   O
is   O
a   O
Teacher   O
(   O
nursery   O
/   O
early   O
years   O
)   O
and   O
resides   O
in   O
Cascade   B-LOCATION
,   O
28235   B-LOCATION
.   O

A   O
physical   O
examination   O
done   O
by   O
his   O
attending   O
physician   O
,   O
Allie   B-NAME
Acosta   I-NAME
,   O
revealed   O
nystagmus   O
and   O
a   O
reduced   O
corneal   O
reflex   O
on   O
the   O
right   O
side   O
.   O

An   O
MRI   O
brain   O
and   O
internal   O
auditory   O
canal   O
with   O
contrast   O
was   O
conducted   O
on   O
November   B-DATE
28   I-DATE
,   I-DATE
2321   I-DATE
.   O

The   O
patient   O
,   O
identified   O
by   O
695   B-ID
-   I-ID
42   I-ID
-   I-ID
53   I-ID
,   O
was   O
consulted   O
by   O
the   O
neurosurgery   O
team   O
on   O
02/02/2083   B-DATE
.   O

For   O
further   O
inquiries   O
regarding   O
the   O
case   O
,   O
please   O
contact   O
Yael   B-NAME
Boyle   I-NAME
via   O
the   O
hospital   O
's   O
main   O
number   O
,   O
372   B-CONTACT
3909   I-CONTACT
,   O
or   O
via   O
his   O
personal   O
health   O
care   O
online   O
portal   O
,   O
YX611   B-NAME
,   O
provided   O
by   O
the   O
Retired   B-LOCATION
Enlisted   I-LOCATION
Association   I-LOCATION
.   O

As   O
of   O
his   O
last   O
evaluation   O
on   O
May   B-DATE
9   I-DATE
,   O
ppton   O
’s   O
overall   O
condition   O
was   O
stable   O
,   O
and   O
he   O
was   O
advised   O
to   O
return   O
to   O
the   O
hospital   O
for   O
follow   O
-   O
up   O
in   O
three   O
months   O
.   O

Patient   O
Name   O
:   O
Charlie   B-NAME
Nichols   I-NAME
Age   O
:   O
53   O
Doctor   O
:   O
Christensen   B-NAME
Hospital   O
:   O

Elliot   B-LOCATION
Hospital   I-LOCATION
ID   O
:   O
EX489/8353   B-ID
Location   O
:   O
Owingsville   B-LOCATION
Medical   O
Record   O
Number   O
:   O
6960583   B-ID
Organization   O
:   O

Washington   B-LOCATION
EMC   I-LOCATION
Phone   O
Number   O
:   O
587   B-CONTACT
2406   I-CONTACT
Profession   O
:   O
Payroll   O
and   O
Timekeeping   O
Clerks   O
Username   O
:   O
xap735   B-NAME
Zip   O
Code   O
:   O
79579   B-LOCATION
On   O
October   B-DATE
,   O
WOODRUFF   B-NAME
,   I-NAME
FERNE   I-NAME
was   O
admitted   O
to   O
Chilton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Vincent   B-NAME
I.   I-NAME
Orosco   I-NAME
's   O
primary   O
physician   O
,   O
Mahoney   B-NAME
,   O
noted   O
the   O
patient   O
's   O
presenting   O
symptoms   O
which   O
included   O
persistent   O
cough   O
,   O
difficulty   O
breathing   O
,   O
and   O
a   O
fever   O
persisting   O
for   O
the   O
last   O
48   O
hours   O
.   O

Trinity   B-NAME
Carey   I-NAME
,   O
who   O
works   O
as   O
a   O
Pipe   O
Fitters   O
,   O
reported   O
recent   O
exposure   O
to   O
a   O
colleague   O
diagnosed   O
with   O
influenza   O
.   O

Goldsmith   B-NAME
,   I-NAME
Oliver   I-NAME
's   O
past   O
medical   O
history   O
was   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
Lisinopril   O
.   O

Amirah   B-NAME
Fitzpatrick   I-NAME
was   O
admitted   O
for   O
further   O
observation   O
and   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
set   O
for   O
2203/01/21   B-DATE
at   O
Norton   B-LOCATION
Sound   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
with   O
Santana   B-NAME
.   O

For   O
more   O
information   O
,   O
Buck   B-NAME
can   O
be   O
reached   O
at   O
(   B-CONTACT
817   I-CONTACT
)   I-CONTACT
251   I-CONTACT
-   I-CONTACT
4746   I-CONTACT
or   O
via   O
email   O
using   O
TX125   B-NAME
@hospitalmail.org   O
.   O

Paulina   B-NAME
Marshall   I-NAME
's   O
medical   O
records   O
can   O
be   O
retrieved   O
with   O
659   B-ID
-   I-ID
96   I-ID
-   I-ID
01   I-ID
at   O
our   O
medical   O
organization   O
,   O
Affinity   B-LOCATION
Bank   I-LOCATION
.   O

Bose   B-NAME
,   I-NAME
Subhash   I-NAME
Chandra   I-NAME
’s   O
home   O
address   O
is   O
in   O
960   B-LOCATION
County   I-LOCATION
Street   I-LOCATION
,   O
59567   B-LOCATION
and   O
phone   O
contact   O
is   O
19217   B-CONTACT
.   O

Patient   O
's   O
Report   O
:   O
2039   B-DATE
:   O
Kendra   B-NAME
Bennett   I-NAME
came   O
in   O
reporting   O
severe   O
abdominal   O
pain   O
,   O
intermittent   O
in   O
nature   O
,   O
with   O
a   O
location   O
mainly   O
in   O
the   O
lower   O
left   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Nathanael   B-NAME
Gibson   I-NAME
also   O
brought   O
up   O
having   O
experienced   O
some   O
changes   O
in   O
bowel   O
movement   O
,   O
including   O
alternating   O
bouts   O
of   O
diarrhea   O
and   O
constipation   O
.   O

Upon   O
examination   O
,   O
Nailatikau   B-NAME
,   I-NAME
Ratu   I-NAME
Epeli   I-NAME
Qaraninamu   I-NAME
's   O
temperature   O
was   O
measured   O
to   O
be   O
101.4   O
degrees   O
Fahrenheit   O
,   O
other   O
vitals   O
including   O
heart   O
rate   O
and   O
blood   O
pressure   O
were   O
within   O
normal   O
range   O
for   O
a   O
patient   O
of   O
14   O
.   O

David   B-NAME
Delgado   I-NAME
was   O
admitted   O
to   O
Morgan   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
supervision   O
of   O
Robertson   B-NAME
.   O

Landry   B-NAME
requested   O
that   O
the   O
patient   O
's   O
personal   O
health   O
care   O
provider   O
and   O
the   O
radiologist   O
from   O
Blue   B-LOCATION
Point   I-LOCATION
communicate   O
for   O
further   O
discussion   O
regarding   O
the   O
case   O
.   O

Christoper   B-NAME
's   O
medical   O
records   O
67192763   B-ID
will   O
be   O
shared   O
with   O
the   O
primary   O
care   O
physician   O
at   O
MetLife   B-LOCATION
for   O
further   O
review   O
and   O
recommendations   O
.   O

Sullivan   B-NAME
Wilkerson   I-NAME
's   O
billing   O
statement   O
was   O
processed   O
and   O
sent   O
to   O
the   O
mentioned   O
address   O
66050   B-LOCATION
and   O
contact   O
number   O
983   B-CONTACT
2819   I-CONTACT
which   O
were   O
provided   O
on   O
arrival   O
at   O
the   O
hospital   O
.   O

ID   O
for   O
Health   O
Insurance   O
IW   B-ID
:   I-ID
KK:3086   I-ID
has   O
been   O
recorded   O
and   O
will   O
also   O
be   O
used   O
for   O
the   O
follow   O
-   O
up   O
tests   O
.   O

At   O
the   O
point   O
of   O
discharge   O
,   O
al   B-NAME
-   I-NAME
Sadr   I-NAME
,   I-NAME
Muqtada   I-NAME
was   O
explained   O
of   O
the   O
condition   O
and   O
the   O
treatment   O
plan   O
.   O

Patient   O
credentials   O
were   O
taken   O
care   O
by   O
front   O
office   O
Broadcast   O
Technicians   O
QU954   B-NAME
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Vuong   B-NAME
Age   O
:   O
48   O
Medical   O
Record   O
No   O
:   O
9569432   B-ID
Contact   O
Information   O
:   O
Phone   O
:   O
20313   B-CONTACT
Address   O
:   O
75   B-LOCATION
Tailwater   I-LOCATION
Drive   I-LOCATION
,   O
ZIP   O
:   O
38322   B-LOCATION
Doctor   O
:   O
Roger   B-NAME
Shelton   I-NAME
Hospital   O
:   O

Swedish   B-LOCATION
American   I-LOCATION
Hospital   I-LOCATION
Presented   O
Symptoms   O
:   O
On   O
the   O
evening   O
of   O
02/26   B-DATE
,   O
the   O
patient   O
was   O
admitted   O
to   O
Canonsburg   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
chest   O
pain   O
radiating   O
down   O
the   O
left   O
arm   O
,   O
alongside   O
excessive   O
sweating   O
and   O
a   O
feeling   O
of   O
anxiety   O
.   O

Investigations   O
:   O
Andres   B-NAME
Shaw   I-NAME
immediately   O
ordered   O
an   O
ECG   O
.   O

Diagnosis   O
and   O
Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
investigation   O
results   O
,   O
patient   O
Dunham   B-NAME
was   O
diagnosed   O
as   O
having   O
a   O
myocardial   O
infarction   O
.   O

Dillon   B-NAME
immediately   O
initiated   O
thrombolytic   O
therapy   O
and   O
prescribed   O
antihypertensives   O
to   O
control   O
the   O
blood   O
pressure   O
.   O

The   O
patient   O
was   O
also   O
referred   O
to   O
a   O
cardiologist   O
at   O
Minnesota   B-LOCATION
known   O
to   O
specialise   O
in   O
such   O
cases   O
.   O

The   O
employer   O
ID   O
provided   O
is   O
DA   B-ID
:   I-ID
AK:5616   I-ID
.   O

Their   O
personal   O
username   O
for   O
the   O
hospital   O
portal   O
access   O
is   O
UE122   B-NAME
.   O

Next   O
of   O
Kin   O
:   O
The   O
family   O
was   O
immediately   O
informed   O
and   O
due   O
to   O
the   O
seriousness   O
of   O
the   O
situation   O
,   O
visits   O
are   O
recommended   O
in   O
the   O
coming   O
0/20   B-DATE
.   O

It   O
's   O
paramount   O
to   O
note   O
that   O
due   O
to   O
privacy   O
and   O
data   O
sharing   O
policies   O
,   O
sensitive   O
information   O
will   O
be   O
shared   O
only   O
with   O
the   O
direct   O
family   O
members   O
of   O
the   O
patient   O
Sung   B-NAME
Park   I-NAME
.   O

Patient   O
report   O
for   O
Breanna   B-NAME
Ruiz   I-NAME
:   O
Mr.   O
Waller   B-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
INTEGRIS   B-LOCATION
Bass   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
22/22   B-DATE
.   O

He   O
is   O
a   O
39   O
-   O
year   O
-   O
old   O
male   O
,   O
who   O
works   O
as   O
a   O
Physical   O
Therapist   O
Assistants   O
and   O
lives   O
in   O
Pageland   B-LOCATION
.   O

Upon   O
examination   O
,   O
Mr.   O
Feldman   B-NAME
,   I-NAME
Morton   I-NAME
appeared   O
sluggish   O
,   O
with   O
an   O
elongated   O
reaction   O
time   O
.   O

In   O
addition   O
to   O
the   O
aforementioned   O
symptoms   O
,   O
Mr.   O
Russell   B-NAME
Kennedy   I-NAME
reported   O
persistent   O
nausea   O
,   O
and   O
has   O
vomited   O
twice   O
in   O
the   O
last   O
2/4   B-DATE
.   O

Mr.   O
Malaki   B-NAME
Washington   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
for   O
which   O
he   O
has   O
been   O
receiving   O
treatment   O
for   O
the   O
past   O
five   O
years   O
.   O

Investigation   O
reports   O
ordered   O
by   O
Dr.   O
Galloway   B-NAME
are   O
yet   O
to   O
be   O
received   O
from   O
World   B-LOCATION
Organization   I-LOCATION
Against   I-LOCATION
Torture   I-LOCATION
.   O

According   O
to   O
the   O
previous   O
medical   O
records   O
(   O
83177482   B-ID
)   O
,   O
he   O
had   O
a   O
similar   O
episode   O
of   O
sickness   O
two   O
years   O
back   O
.   O

You   O
may   O
contact   O
Mr   O
Konnor   B-NAME
Grant   I-NAME
in   O
case   O
of   O
any   O
queries   O
or   O
updates   O
regarding   O
the   O
diagnosis   O
or   O
treatment   O
plan   O
.   O

His   O
phone   O
number   O
is   O
463   B-CONTACT
-   I-CONTACT
143   I-CONTACT
-   I-CONTACT
8871   I-CONTACT
and   O
his   O
email   O
address   O
is   O
ycr876   B-NAME
@   O
Canadian   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Postal   I-LOCATION
Workers   I-LOCATION
.com   O
.   O

His   O
health   O
insurance   O
plan   O
number   O
is   O
EA:89046:901188   B-ID
and   O
the   O
billing   O
materials   O
should   O
be   O
sent   O
to   O
his   O
residence   O
at   O
75653   B-LOCATION
.   O

Dallas   B-NAME
Bradshaw   I-NAME
Date   O
of   O
Birth   O
:   O
8/35   B-DATE
SSN   O
:   O
VJ   B-ID
:   I-ID
EL:1946   I-ID
Phone   O
:   O
686   B-CONTACT
-   I-CONTACT
6704   I-CONTACT
Address   O
:   O

John   B-LOCATION
Day   I-LOCATION
Organization   O
:   O
National   B-LOCATION
League   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Blind   I-LOCATION
Medical   O
Record   O
Number   O
:   O
8468785   B-ID
Profession   O
:   O
Data   O
visualisation   O
analyst   O
Username   O
:   O
ipb830   B-NAME
Report   O
:   O

The   O
medical   O
report   O
for   O
patient   O
ID   O
number   O
7216213   B-ID
was   O
assessed   O
by   O
licensed   O
Doctor   O
Makenzie   B-NAME
Cooke   I-NAME
at   O
St   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
2/10/37   B-DATE
.   O

This   O
patient   O
is   O
Marine   O
Engineers   O
and   O
Naval   O
Architects   O
,   O
aged   O
45s   O
and   O
lives   O
in   O
Buckholts   B-LOCATION
,   O
28919   B-LOCATION
.   O

Y.   B-NAME
Quinton   I-NAME
Xanders   I-NAME
presented   O
with   O
symptoms   O
that   O
align   O
with   O
a   O
diagnosis   O
of   O
gastroenteritis   O
.   O

Ana   B-NAME
Decker   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
around   O
April   B-DATE
20   I-DATE
.   O

Furthermore   O
,   O
the   O
patient   O
reported   O
no   O
recent   O
travel   O
outside   O
Hoschton   B-LOCATION
that   O
might   O
explain   O
the   O
sudden   O
onset   O
of   O
symptoms   O
.   O

Landin   B-NAME
Campos   I-NAME
's   O
medical   O
results   O
were   O
updated   O
on   O
the   O
patient   O
's   O
database   O
using   O
yuv590   B-NAME
.   O

To   O
ensure   O
continuous   O
monitoring   O
,   O
they   O
are   O
advised   O
to   O
regularly   O
update   O
symptoms   O
by   O
calling   O
on   O
33435   B-CONTACT
in   O
case   O
of   O
emergency   O
or   O
urgency   O
.   O

After   O
Scott   B-NAME
’s   O
diagnosis   O
,   O
Gemayel   B-NAME
,   I-NAME
Solange   I-NAME
was   O
admitted   O
to   O
River   B-LOCATION
Point   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
Ten   I-LOCATION
Broeck   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
under   O
staff   O
care   O
.   O

Mathew   B-NAME
Hinton   I-NAME
responded   O
positively   O
to   O
the   O
treatment   O
and   O
showed   O
improvement   O
.   O

Currently   O
,   O
ignacio   B-NAME
is   O
under   O
periodic   O
checkup   O
scheduled   O
with   O
Abril   B-NAME
Houston   I-NAME
for   O
better   O
recovery   O
.   O

Patient   O
Name   O
:   O
Lynsey   B-NAME
Gender   O
:   O
Male   O
Age   O
:   O
85   O
Location   O
:   O
Vineland   B-LOCATION
Admission   O
Date   O
:   O
11/04/1616   B-DATE
Treating   O
Doctor   O
:   O
Harper   B-NAME
Hospital   O
:   O

OrthoColorado   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Medical   I-LOCATION
Campus   I-LOCATION
ID   O
:   O
JI243/4452   B-ID
Medical   O
record   O
number   O
:   O
34605   B-ID
The   O
patient   O
was   O
admitted   O
to   O
the   O
Advocate   B-LOCATION
Christ   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

He   O
has   O
been   O
residing   O
in   O
East   B-LOCATION
Grinstead   I-LOCATION
.   O

His   O
primary   O
care   O
physician   O
is   O
Dr.   O
Madison   B-NAME
Bell   I-NAME
of   O
Affinity   B-LOCATION
Bank   I-LOCATION
,   O
who   O
can   O
be   O
contacted   O
via   O
54480   B-CONTACT
.   O

The   O
patient   O
's   O
next   O
appointment   O
is   O
scheduled   O
for   O
October   B-DATE
of   I-DATE
2092   I-DATE
at   O
Lenox   B-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
.   O

His   O
personal   O
identification   O
information   O
including   O
ID   O
(   O
6   B-ID
-   I-ID
6662812   I-ID
)   O
and   O
zip   O
code   O
(   O
24459   B-LOCATION
)   O
have   O
been   O
updated   O
in   O
his   O
medical   O
records   O
and   O
his   O
username   O
for   O
the   O
hospital   O
portal   O
is   O
umy973   B-NAME
.   O

Patient   O
:   O
Gerald   B-NAME
Henderson   I-NAME
Age   O
:   O
10   O
month   O
MRN   O
:   O
85072488   B-ID
Location   O
:   O

Soda   B-LOCATION
Springs   I-LOCATION
Doctor   O
:   O
Lily   B-NAME
Hampton   I-NAME
Hospital   O
:   O
Clara   B-LOCATION
Maass   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Profession   O
:   O
First   O
-   O
Line   O
Supervisors   O
of   O
Construction   O
Trades   O
and   O
Extraction   O
Workers   O
Date   O
:   O
12/37/2223   B-DATE
Zip   O
:   O
82248   B-LOCATION
Phone   O
:   O
14441   B-CONTACT
The   O
patient   O
,   O
Fred   B-NAME
Richmond   I-NAME
,   O
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
CHI   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Health   I-LOCATION
Regional   I-LOCATION
on   O
Wednesday   B-DATE
.   O

Rucker   B-NAME
,   I-NAME
Quincy   I-NAME
reported   O
a   O
3   O
-   O
day   O
history   O
of   O
severe   O
headache   O
,   O
dizziness   O
,   O
photophobia   O
,   O
and   O
a   O
stiff   O
neck   O
.   O

The   O
patient   O
,   O
an   O
7   O
week   O
year   O
old   O
individual   O
working   O
as   O
a   O
Medical   O
Equipment   O
Repairers   O
,   O
had   O
recently   O
returned   O
from   O
a   O
work   O
-   O
related   O
trip   O
to   O
Rosharon   B-LOCATION
.   O

On   O
neurological   O
examination   O
by   O
Reed   B-NAME
,   O
Lucia   B-NAME
Ramos   I-NAME
exhibits   O
nuchal   O
rigidity   O
and   O
Kernig   O
's   O
sign   O
was   O
positive   O
.   O

The   O
patient   O
has   O
been   O
admitted   O
to   O
Quinlan   B-LOCATION
Eye   I-LOCATION
Surgery   I-LOCATION
&   I-LOCATION
Laser   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Pittsburg   I-LOCATION
,   O
and   O
a   O
lumbar   O
puncture   O
was   O
scheduled   O
to   O
confirm   O
the   O
diagnosis   O
.   O

The   O
patient   O
's   O
work   O
United   B-LOCATION
Firefighters   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
has   O
been   O
alerted   O
,   O
and   O
they   O
were   O
asked   O
to   O
contact   O
591   B-CONTACT
-   I-CONTACT
1822   I-CONTACT
.   O

They   O
were   O
also   O
advised   O
to   O
carry   O
out   O
a   O
cleanup   O
and   O
inspection   O
of   O
their   O
facility   O
,   O
as   O
they   O
are   O
located   O
in   O
an   O
endemic   O
area   O
(   O
18322   B-LOCATION
)   O
.   O

The   O
next   O
review   O
will   O
be   O
done   O
by   O
the   O
Infectious   O
Disease   O
team   O
on   O
16/12   B-DATE
.   O

For   O
any   O
further   O
information   O
,   O
colleagues   O
can   O
use   O
the   O
secure   O
messaging   O
function   O
on   O
the   O
Electronic   O
Patient   O
Record   O
system   O
using   O
the   O
code   O
yot734   B-NAME
.   O

Social   O
Worker   O
Note   O
:   O
Ronni   B-NAME
Parrington   I-NAME
lives   O
alone   O
and   O
may   O
need   O
assistance   O
at   O
home   O
after   O
discharge   O
.   O

A   O
social   O
worker   O
will   O
be   O
in   O
contact   O
with   O
Cantu   B-NAME
to   O
discuss   O
this   O
further   O
.   O

All   O
follow   O
-   O
up   O
appointments   O
and   O
relevant   O
communication   O
will   O
be   O
occurring   O
at   O
this   O
hospital   O
(   O
Lifecare   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Chester   I-LOCATION
County   I-LOCATION
)   O
or   O
through   O
the   O
provided   O
phone   O
number   O
(   O
(   B-CONTACT
333   I-CONTACT
)   I-CONTACT
793   I-CONTACT
2891   I-CONTACT
)   O
.   O

For   O
more   O
detailed   O
reports   O
please   O
refer   O
to   O
the   O
Electronic   O
Patient   O
Record   O
,   O
494   B-ID
-   I-ID
11   I-ID
-   I-ID
72   I-ID
-   I-ID
2   I-ID
.   O
Additional   O
labs   O
and   O
reports   O
are   O
being   O
performed   O
under   O
the   O
supervision   O
of   O
Mill   B-NAME
,   I-NAME
John   I-NAME
Stuart   I-NAME
at   O
Palm   B-LOCATION
Bay   I-LOCATION
Hospital   I-LOCATION
and   O
will   O
be   O
updated   O
by   O
02/09/1859   B-DATE
.   O

The   O
patient   O
's   O
health   O
insurance   O
provider   O
Grady   B-LOCATION
EMC   I-LOCATION
(   O
3615810   B-ID
)   O
was   O
also   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
and   O
the   O
intended   O
course   O
of   O
treatment   O
.   O

Patient   O
Name   O
:   O
Jayda   B-NAME
Schmidt   I-NAME
Age   O
:   O
17   O
ID   O
:   O
10   B-ID
-   I-ID
8115716   I-ID
Medical   O
Record   O
:   O
5511A66578   B-ID
Phone   O
:   O
11723   B-CONTACT
Username   O
:   O
dl784   B-NAME
Zip   O
:   O
18129   B-LOCATION
Doctor   O
:   O
Yadira   B-NAME
Harding   I-NAME
Hospital   O
:   O
Baptist   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Profession   O
:   O
Valve   O
and   O
Regulator   O
Repairers   O
Organization   O
:   O
Georgia   B-LOCATION
Location   O
:   O
Maupin   B-LOCATION
Date   O
:   O
12/11/2210   B-DATE
The   O
patient   O
,   O
Elisa   B-NAME
Banks   I-NAME
,   O
a   O
Hotel   O
,   O
Motel   O
,   O
and   O
Resort   O
Desk   O
Clerks   O
at   O
New   B-LOCATION
Liberty   I-LOCATION
Bank   I-LOCATION
,   O
came   O
to   O
the   O
St   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Cheektowaga   I-LOCATION
/   I-LOCATION
New   I-LOCATION
York   I-LOCATION
urgent   O
care   O
clinic   O
on   O
February   B-DATE
16   I-DATE
,   I-DATE
2084   I-DATE
.   O

Edward   B-NAME
Jessup   I-NAME
lives   O
in   O
Meridianville   B-LOCATION
,   O
98126   B-LOCATION
and   O
was   O
driven   O
to   O
the   O
hospital   O
by   O
a   O
colleague   O
.   O

Padilla   B-NAME
performed   O
a   O
physical   O
examination   O
after   O
Dominick   B-NAME
Gomez   I-NAME
complained   O
of   O
sudden   O
,   O
severe   O
headache   O
,   O
disorientation   O
,   O
and   O
difficulty   O
speaking   O
.   O

Paige   B-NAME
Quadirah   I-NAME
Hooper   I-NAME
also   O
showed   O
signs   O
of   O
left   O
-   O
sided   O
weakness   O
,   O
indicative   O
of   O
a   O
possible   O
cerebrovascular   O
accident   O
.   O

Elise   B-NAME
Dunn   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
diabetes   O
,   O
as   O
noted   O
in   O
medical   O
record   O
number   O
CK322517   B-ID
.   O

Prior   O
to   O
the   O
onset   O
of   O
symptoms   O
,   O
Jorjanna   B-NAME
was   O
in   O
a   O
usual   O
state   O
of   O
health   O
and   O
was   O
performing   O
regular   O
activities   O
at   O
work   O
at   O
NAPO   B-LOCATION
.   O

On   O
the   O
day   O
of   O
7/92   B-DATE
,   O
Jabari   B-NAME
Lara   I-NAME
experienced   O
severe   O
symptoms   O
consistent   O
with   O
a   O
stroke   O
.   O

Kirby   B-NAME
ordered   O
an   O
immediate   O
CT   O
scan   O
and   O
confirmed   O
the   O
diagnosis   O
of   O
an   O
ischemic   O
stroke   O
.   O

Kate   B-NAME
Austin   I-NAME
,   O
who   O
resides   O
in   O
Carbonear   B-LOCATION
,   I-LOCATION
LB   I-LOCATION
A1Y   I-LOCATION
8V5   I-LOCATION
and   O
has   O
the   O
phone   O
number   O
(   B-CONTACT
461   I-CONTACT
)   I-CONTACT
723   I-CONTACT
-   I-CONTACT
8495   I-CONTACT
,   O
was   O
admitted   O
into   O
the   O
neuro   O
-   O
intensive   O
care   O
unit   O
for   O
further   O
management   O
.   O

Zoie   B-NAME
Dougherty   I-NAME
suggested   O
initiating   O
thrombolytic   O
therapy   O
but   O
due   O
to   O
the   O
unknown   O
onset   O
of   O
symptoms   O
,   O
the   O
patient   O
did   O
not   O
fall   O
within   O
the   O
therapeutic   O
window   O
.   O

Zhang   B-NAME
was   O
started   O
on   O
aspirin   O
,   O
statin   O
,   O
and   O
antihypertensive   O
medications   O
instead   O
.   O

Follow   O
up   O
appointments   O
at   O
Johnson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
have   O
been   O
scheduled   O
for   O
Humberto   B-NAME
Copeland   I-NAME
to   O
monitor   O
response   O
to   O
therapy   O
.   O

Gibran   B-NAME
,   I-NAME
Khalil   I-NAME
emphasized   O
lifestyle   O
modifications   O
,   O
including   O
a   O
low   O
-   O
sodium   O
,   O
low   O
-   O
sugar   O
diet   O
,   O
regular   O
aerobic   O
exercise   O
,   O
and   O
medication   O
adherence   O
to   O
Vivian   B-NAME
Collins   I-NAME
given   O
the   O
critical   O
medical   O
situation   O
.   O

Contact   O
has   O
been   O
made   O
to   O
austin   B-NAME
's   O
family   O
in   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73108   I-LOCATION
,   O
and   O
information   O
was   O
shared   O
according   O
to   O
the   O
provisions   O
of   O
our   O
patient   O
privacy   O
guidelines   O
.   O

All   O
future   O
correspondence   O
will   O
be   O
sent   O
to   O
the   O
HU748   B-NAME
online   O
portal   O
.   O

Grace   B-NAME
C.   I-NAME
Valerie   I-NAME
-   I-NAME
Yun   I-NAME
's   O
ID   O
OE:13050:469432   B-ID
will   O
be   O
kept   O
confidential   O
and   O
will   O
be   O
used   O
for   O
future   O
reference   O
.   O

Overall   O
,   O
Heaven   B-NAME
Santos   I-NAME
is   O
responding   O
well   O
to   O
the   O
medical   O
interventions   O
.   O

Patient   O
:   O
Epictetus   B-NAME
ID   O
:   O
8   B-ID
-   I-ID
2179706   I-ID
Medical   O
Record   O
#   O
:   O
0946   B-ID
:   I-ID
F67939   I-ID
Date   O
of   O
Birth   O
:   O
03/21/51   B-DATE
Profession   O
:   O

Nursery   O
Workers   O
Phone   O
#   O
:   O
47909   B-CONTACT
Referred   O
by   O
:   O
Dr.   O
Carolyn   B-NAME
Arellano   I-NAME
Location   O
:   O
Homa   B-LOCATION
Hills   I-LOCATION
ZIP   O
Code   O
:   O

16659   B-LOCATION
2318   B-DATE
Dear   O
Dr.   O
Liberty   B-NAME
Jennings   I-NAME
,   O
I   O
am   O
writing   O
to   O
you   O
regarding   O
my   O
conversation   O
with   O
Cathey   B-NAME
.   O

The   O
discomfort   O
for   O
Aragon   B-NAME
began   O
approximately   O
in   O
early   O
01/10/2019   B-DATE
,   O
with   O
initial   O
symptoms   O
being   O
a   O
marked   O
increase   O
in   O
urinary   O
frequency   O
and   O
urgency   O
.   O

In   O
subsequent   O
weeks   O
,   O
Julia   B-NAME
Santos   I-NAME
Keefer   I-NAME
described   O
additional   O
symptoms   O
of   O
nocturia   O
,   O
with   O
up   O
to   O
6   O
interruptions   O
in   O
sleep   O
for   O
urination   O
,   O
as   O
well   O
as   O
intermittent   O
dysuria   O
.   O

Cystoscopy   O
at   O
Providence   B-LOCATION
St.   I-LOCATION
Peter   I-LOCATION
Hospital   I-LOCATION
showed   O
signs   O
of   O
mild   O
inflammation   O
but   O
no   O
other   O
significant   O
abnormalities   O
.   O

fc850   B-NAME
had   O
uploaded   O
the   O
detailed   O
reports   O
in   O
the   O
McIntosh   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
portal   O
but   O
it   O
needs   O
your   O
approval   O
.   O

Kindly   O
schedule   O
an   O
appointment   O
for   O
Rodney   B-NAME
Palmer   I-NAME
to   O
discuss   O
potential   O
management   O
and   O
treatment   O
options   O
.   O

Please   O
contact   O
me   O
at   O
539   B-CONTACT
334   I-CONTACT
-   I-CONTACT
6103   I-CONTACT
for   O
further   O
clarifications   O
.   O

Best   O
regards   O
,   O
Dr.   O
Estrella   B-NAME
Hanna   I-NAME
Airport   B-LOCATION
Road   I-LOCATION
Addition   I-LOCATION
Bullock   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
03/21   B-DATE

Patient   O
Report   O
for   O
:   O
Jaramillo   B-NAME
Date   O
of   O
Report   O
:   O
12/06   B-DATE
Taryn   B-NAME
Kitamura   I-NAME
,   O
a   O
82   O
years   O
old   O
patient   O
of   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Helpers   O
,   O
Laborers   O
,   O
and   O
Material   O
Movers   O
,   O
Hand   O
,   O
reported   O
symptoms   O
which   O
first   O
appeared   O
on   O
6/60   B-DATE
.   O

Patient   O
was   O
referred   O
to   O
Brendan   B-NAME
Dougherty   I-NAME
from   O
Wooster   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Accompanying   O
these   O
symptoms   O
,   O
Emmons   B-NAME
has   O
also   O
been   O
feeling   O
unusual   O
fatigue   O
and   O
weakness   O
from   O
10/27   B-DATE
.   O

Among   O
other   O
physical   O
manifestations   O
,   O
Peter   B-NAME
Norris   I-NAME
has   O
reported   O
sudden   O
unexplained   O
weight   O
loss   O
,   O
alongside   O
irregular   O
appetite   O
.   O

Karla   B-NAME
Schaefer   I-NAME
has   O
also   O
been   O
experiencing   O
persistent   O
pain   O
in   O
the   O
chest   O
which   O
seems   O
to   O
intensify   O
while   O
coughing   O
or   O
deep   O
breathing   O
.   O

Broun   B-NAME
,   I-NAME
Heywood   I-NAME
's   O
occupational   O
history   O
as   O
a   O
Anesthesiologists   O
might   O
be   O
indicative   O
of   O
a   O
potential   O
exposure   O
to   O
asbestos   O
and   O
other   O
harmful   O
substances   O
,   O
necessitating   O
further   O
evaluation   O
.   O

For   O
completing   O
the   O
full   O
medical   O
profile   O
,   O
it   O
may   O
also   O
be   O
necessary   O
to   O
contact   O
the   O
patient   O
's   O
employer   O
,   O
Amazon   B-LOCATION
Watch   I-LOCATION
,   O
at   O
658   B-CONTACT
-   I-CONTACT
6133   I-CONTACT
.   O

Medical   O
Record   O
number   O
:   O
246   B-ID
45   I-ID
75   I-ID
SSN   O
:   O
RL679/8048   B-ID
Place   O
of   O
residence   O
:   O
Dothan   B-LOCATION
,   O
74193   B-LOCATION

We   O
have   O
scheduled   O
an   O
appointment   O
for   O
Billy   B-NAME
Kronk   I-NAME
with   O
Quine   B-NAME
,   I-NAME
Willard   I-NAME
van   I-NAME
Orman   I-NAME
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
follow   O
up   O
on   O
06/02   B-DATE
.   O

This   O
report   O
was   O
prepared   O
and   O
submitted   O
by   O
fuv271   B-NAME
.   O

Patient   O
Name   O
:   O
Najee   B-NAME
Yuan   I-NAME
Age   O
:   O
42   O
ID   O
:   O
IV   B-ID
:   I-ID
KS:7373   I-ID
Address   O
:   O
Centralia   B-LOCATION
Phone   O
:   O
919   B-CONTACT
-   I-CONTACT
803   I-CONTACT
-   I-CONTACT
1542   I-CONTACT
Username   O
:   O
PW428   B-NAME
Employment   O
:   O
Continuous   O
Mining   O
Machine   O
Operators   O
Medical   O
Record   O
:   O
3612049   B-ID
Dr.   O
Averi   B-NAME
Rodgers   I-NAME
examined   O
Graham   B-NAME
Francis   I-NAME
at   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
West   I-LOCATION
Islip   I-LOCATION
)   I-LOCATION
on   O
2224   B-DATE
.   O

In   O
addition   O
,   O
Christmas   B-NAME
Jones   I-NAME
also   O
reports   O
experiencing   O
slight   O
breathlessness   O
and   O
fatigue   O
,   O
especially   O
after   O
engaging   O
in   O
physical   O
activities   O
.   O

Blood   O
test   O
conducted   O
on   O
4/1   B-DATE
revealed   O
elevated   O
white   O
blood   O
cell   O
counts   O
,   O
indicating   O
an   O
immune   O
response   O
to   O
infection   O
.   O

A   O
subsequent   O
throat   O
swab   O
was   O
conducted   O
and   O
sent   O
to   O
Delmarva   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
lab   O
for   O
further   O
analysis   O
.   O

Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
2/32/66   B-DATE
at   O
Samaritan   B-LOCATION
Hospital   I-LOCATION
with   O
Dr.   O
Rayne   B-NAME
Briggs   I-NAME
to   O
review   O
the   O
lab   O
results   O
and   O
adjust   O
treatment   O
plan   O
as   O
needed   O
.   O

Prescription   O
:   O
Antibiotics   O
were   O
prescribed   O
,   O
and   O
Cooper   B-NAME
Best   I-NAME
is   O
instructed   O
to   O
complete   O
the   O
full   O
course   O
even   O
if   O
the   O
symptoms   O
improve   O
.   O

Contact   O
info   O
:   O
Skye   B-NAME
Avery   I-NAME
can   O
reach   O
out   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
and   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lake   I-LOCATION
Pointe   I-LOCATION
at   O
(   B-CONTACT
686   I-CONTACT
)   I-CONTACT
998   I-CONTACT
3951   I-CONTACT
or   O
check   O
online   O
portal   O
with   O
username   O
msx873   B-NAME
for   O
any   O
urgent   O
queries   O
or   O
complications   O
.   O

Please   O
find   O
the   O
Velazquez   B-NAME
's   O
detailed   O
medical   O
record   O
attached   O
with   O
this   O
report   O
bearing   O
the   O
Medical   O
Record   O
Number   O
:   O
80282820   B-ID
Kendal   B-NAME
Dodson   I-NAME
11773   B-LOCATION
22/27   B-DATE
(   O
Note   O
:   O
The   O
aforementioned   O
symptoms   O
are   O
generic   O
and   O
might   O
differ   O
based   O
on   O
individual   O
health   O
conditions   O
.   O

Patient   O
's   O
Name   O
:   O
Sukuna   B-NAME
,   I-NAME
Ratu   I-NAME
Sir   I-NAME
Lala   I-NAME
Age   O
:   O
14   O
Date   O
:   O
Mar   B-DATE
34   I-DATE
,   I-DATE
2045   I-DATE
Location   O
:   O
Augusta   B-LOCATION
Springs   I-LOCATION
Phone   O
:   O
92554   B-CONTACT
Medical   O
Record   O
:   O
952   B-ID
-   I-ID
44   I-ID
-   I-ID
76   I-ID
-   I-ID
7   I-ID
Organization   O
:   O

High   B-LOCATION
Desert   I-LOCATION
State   I-LOCATION
Bank   I-LOCATION
Profession   O
:   O
veterinarian   O
ID   O
:   O
44106304   B-ID
Zip   O
:   O
51668   B-LOCATION
Username   O
:   O
ltc593   B-NAME
Doctor   O
's   O
Name   O
:   O
Harper   B-NAME
Gutierrez   I-NAME
Hospital   O
:   O
Logan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
On   O
October   B-DATE
,   O
Allyson   B-NAME
Hooper   I-NAME
of   O
23   O
presented   O
at   O
Regional   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Jacksonville   I-LOCATION
for   O
a   O
routine   O
health   O
check   O
-   O
up   O
.   O

Ben   B-NAME
Teverley   I-NAME
works   O
as   O
a   O
Court   O
Reporters   O
at   O
Trupanion   B-LOCATION
located   O
in   O
Waterbury   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Waterbury   I-LOCATION
.   O

Cadence   B-NAME
Mayo   I-NAME
was   O
the   O
attending   O
physician   O
who   O
conducted   O
the   O
health   O
check   O
-   O
up   O
.   O

Brent   B-NAME
Price   I-NAME
has   O
been   O
complaining   O
of   O
persistent   O
abdominal   O
pain   O
for   O
the   O
past   O
few   O
weeks   O
,   O
particularly   O
in   O
the   O
upper   O
-   O
right   O
quadrant   O
.   O

A   O
cholecystectomy   O
has   O
been   O
suggested   O
as   O
the   O
next   O
course   O
of   O
action   O
and   O
whalen   B-NAME
has   O
been   O
scheduled   O
for   O
the   O
surgery   O
on   O
July   B-DATE
2092   I-DATE
.   O

Adrienne   B-NAME
Werner   I-NAME
has   O
provided   O
their   O
health   O
insurance   O
79437   B-ID
and   O
the   O
contact   O
761   B-CONTACT
2719   I-CONTACT
for   O
any   O
further   O
communication   O
.   O

The   O
detailed   O
patient   O
report   O
can   O
be   O
accessed   O
from   O
our   O
medical   O
record   O
database   O
using   O
cy570   B-NAME
.   O

Please   O
,   O
send   O
all   O
future   O
communications   O
to   O
our   O
office   O
located   O
at   O
57845   B-LOCATION
.   O

Kade   B-NAME
Werner   I-NAME

Patient   O
Report   O
:   O
Gordon   B-NAME
Q.   I-NAME
Iniguez   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
Northport   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2055   B-DATE
.   O

Billy   B-NAME
Roy   I-NAME
is   O
a   O
22   O
year   O
old   O
individual   O
,   O
employed   O
as   O
a   O
Manicurists   O
and   O
Pedicurists   O
.   O

Serling   B-NAME
,   I-NAME
Rod   I-NAME
resides   O
in   O
Pleasant   B-LOCATION
Valley   I-LOCATION
,   O
44876   B-LOCATION
.   O

Medical   O
history   O
obtained   O
by   O
Dominguez   B-NAME
reveals   O
previous   O
diagnosis   O
of   O
gastritis   O
five   O
years   O
ago   O
.   O

Jensen   B-NAME
Frazier   I-NAME
's   O
symptoms   O
started   O
approximately   O
four   O
days   O
before   O
the   O
hospital   O
visit   O
,   O
with   O
intermittent   O
episodes   O
of   O
pain   O
that   O
gradually   O
increased   O
in   O
intensity   O
.   O

Elena   B-NAME
Massey   I-NAME
reported   O
that   O
the   O
pain   O
was   O
concentrated   O
in   O
the   O
lower   O
abdominal   O
region   O
,   O
was   O
dull   O
in   O
nature   O
,   O
and   O
was   O
escalated   O
by   O
eating   O
.   O

Alongside   O
,   O
Leonard   B-NAME
Samson   I-NAME
's   O
symptoms   O
also   O
included   O
a   O
decreased   O
appetite   O
.   O

The   O
medical   O
tests   O
conducted   O
on   O
32   B-DATE
-   I-DATE
12   I-DATE
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
,   O
revealed   O
slight   O
elevations   O
in   O
liver   O
enzymes   O
and   O
signs   O
of   O
acute   O
inflammation   O
in   O
the   O
intestinal   O
tract   O
.   O

Based   O
on   O
the   O
medical   O
history   O
,   O
physical   O
examination   O
,   O
and   O
test   O
results   O
,   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
gastroenteritis   O
was   O
made   O
by   O
Esparza   B-NAME
.   O

The   O
phone   O
number   O
on   O
file   O
for   O
Cohen   B-NAME
Aguirre   I-NAME
is   O
43264   B-CONTACT
and   O
the   O
emergency   O
contact   O
is   O
a   O
family   O
member   O
who   O
lives   O
in   O
Ganipa   B-LOCATION
.   O

Jamarcus   B-NAME
Berry   I-NAME
was   O
given   O
a   O
prescription   O
for   O
a   O
course   O
of   O
antibiotics   O
along   O
with   O
instructions   O
to   O
follow   O
a   O
bland   O
diet   O
and   O
to   O
increase   O
fluid   O
intake   O
.   O

Appointment   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Robinson   B-NAME
in   O
Medical   O
Unit   O
A   O
at   O
Forest   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
was   O
scheduled   O
in   O
10   O
days   O
from   O
the   O
2163   B-DATE
of   O
the   O
report   O
.   O

This   O
report   O
with   O
ID   O
841673   B-ID
was   O
documented   O
in   O
Paul   B-NAME
Edwards   I-NAME
's   O
medical   O
record   O
14315658   B-ID
and   O
was   O
shared   O
with   O
the   O
primary   O
healthcare   O
provider   O
at   O
Mind   B-LOCATION
Freedom   I-LOCATION
International   I-LOCATION
.   O

se531   B-NAME
was   O
updated   O
as   O
the   O
medical   O
staff   O
in   O
charge   O
of   O
the   O
case   O
report   O
.   O

Patient   O
Name   O
:   O
Mitchell   B-NAME
Age   O
:   O
48   O
Medical   O
Record   O
:   O
061   B-ID
-   I-ID
02   I-ID
-   I-ID
97   I-ID
-   I-ID
7   I-ID
The   O
patient   O
,   O
Brady   B-NAME
Renard   I-NAME
,   O
presented   O
to   O
the   O
Prisma   B-LOCATION
Health   I-LOCATION
Richland   I-LOCATION
emergency   O
department   O
on   O
3/1   B-DATE
with   O
complaints   O
of   O
severe   O
headaches   O
and   O
left   O
sided   O
weakness   O
.   O

Enclosed   O
are   O
the   O
observational   O
notes   O
dictated   O
by   O
Cynthia   B-NAME
Mckenzie   I-NAME
.   O

Upon   O
arrival   O
,   O
Navarro   B-NAME
's   O
neurological   O
examination   O
revealed   O
positive   O
Romberg   O
sign   O
and   O
left   O
-   O
sided   O
dysmetria   O
.   O

Lourd   B-NAME
Muggley   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
and   O
diabetes   O
.   O

Their   O
last   O
recorded   O
BP   O
at   O
the   O
Effingham   B-LOCATION
Hospital   I-LOCATION
was   O
160/90   O
mmHg   O
and   O
the   O
glucose   O
level   O
taken   O
from   O
the   O
Collective   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
's   O
health   O
database   O
was   O
220   O
mg   O
/   O
dl   O
.   O
Fisher   B-NAME
,   I-NAME
Carrie   I-NAME
lives   O
in   O
the   O
town   O
of   O
Bakersfield   B-LOCATION
.   O

On   O
May   B-DATE
22   I-DATE
,   O
a   O
CT   O
scan   O
of   O
the   O
head   O
was   O
ordered   O
.   O

The   O
interpretation   O
was   O
done   O
by   O
Knapp   B-NAME
upon   O
consultation   O
with   O
other   O
medical   O
professionals   O
and   O
based   O
on   O
the   O
patient   O
's   O
history   O
from   O
their   O
health   O
i   O
d   O
CV   B-ID
:   I-ID
FY:3866   I-ID
.   O

Based   O
on   O
these   O
findings   O
,   O
Rogers   B-NAME
,   I-NAME
Fred   I-NAME
recommended   O
admission   O
at   O
the   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
treatment   O
.   O

Vincent   B-NAME
Ventura   I-NAME
's   O
home   O
phone   O
number   O
313   B-CONTACT
-   I-CONTACT
1620   I-CONTACT
was   O
used   O
to   O
inform   O
the   O
close   O
relatives   O
.   O

The   O
complete   O
image   O
and   O
test   O
reports   O
,   O
along   O
with   O
the   O
clinical   O
notes   O
,   O
were   O
uploaded   O
to   O
Mya   B-NAME
Jackson   I-NAME
's   O
health   O
portal   O
(   O
tg299   B-NAME
)   O
.   O

The   O
patient   O
's   O
family   O
were   O
recommended   O
to   O
follow   O
step   O
by   O
step   O
procedures   O
and   O
consult   O
with   O
Lem   B-NAME
,   I-NAME
Stanislaw   I-NAME
during   O
visiting   O
hours   O
at   O
the   O
Baptist   B-LOCATION
Health   I-LOCATION
Paducah   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
17/02/82   B-DATE
after   O
discussing   O
with   O
Hernandez   B-NAME
at   O
their   O
residence   O
in   O
ZIP   O
code   O
94465   B-LOCATION
.   O

Patient   O
's   O
Name   O
:   O
Zayden   B-NAME
Lester   I-NAME
Patient   O
's   O
Age   O
:   O
74   O
Doctor   O
's   O
Name   O
:   O
Edward   B-NAME
Steam   I-NAME
Date   O
:   O
03/85   B-DATE
Zip   O
Code   O
:   O
58224   B-LOCATION
Aryan   B-NAME
Strickland   I-NAME
at   O
Covenant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Harrison   I-LOCATION
Campus   I-LOCATION
reported   O
on   O
patient   O
Duartes   B-NAME
.   O

Specifically   O
,   O
the   O
patient   O
has   O
been   O
complaining   O
of   O
severe   O
lower   O
back   O
pain   O
since   O
'   B-DATE
51   I-DATE
.   O

920   B-ID
-   I-ID
19   I-ID
-   I-ID
05   I-ID
-   I-ID
7   I-ID
shows   O
that   O
Woodard   B-NAME
had   O
a   O
similar   O
incident   O
33   O
years   O
ago   O
.   O

International   B-LOCATION
Red   I-LOCATION
Cross   I-LOCATION
and   I-LOCATION
Red   I-LOCATION
Crescent   I-LOCATION
Movement   I-LOCATION
insurance   O
is   O
held   O
by   O
the   O
patient   O
,   O
policy   O
number   O
8   B-ID
-   I-ID
3572771   I-ID
.   O

Please   O
call   O
them   O
on   O
phone   O
number   O
:   O
336   B-CONTACT
4572   I-CONTACT
.   O

Their   O
next   O
check   O
-   O
up   O
appointment   O
is   O
set   O
for   O
Friday   B-DATE
at   O
Saint   B-LOCATION
Barnabas   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
,   O
Kimbolton   B-LOCATION
.   O

For   O
any   O
queries   O
or   O
to   O
report   O
more   O
symptoms   O
,   O
Nicolas   B-NAME
Etheridge   I-NAME
can   O
sign   O
in   O
with   O
scn63   B-NAME
on   O
our   O
online   O
portal   O
and   O
message   O
Harmony   B-NAME
Madden   I-NAME
directly   O
.   O

Patient   O
Name   O
:   O
Jarvis   B-NAME
Age   O
:   O
79   O
Gender   O
:   O

Female   O
Medical   O
Record   O
#   O
:   O
08880202   B-ID
Patient   O
ID   O
:   O
380178   B-ID
Primary   O
Physician   O
:   O

Danika   B-NAME
Davies   I-NAME
Contact   O
:   O
608   B-CONTACT
-   I-CONTACT
2853   I-CONTACT
Residential   O
Location   O
:   O
Leamington   B-LOCATION
Zip   O
:   O
47938   B-LOCATION
On   O
the   O
morning   O
of   O
Martin   B-DATE
Luther   I-DATE
King   I-DATE
Day   I-DATE
,   O
Emilee   B-NAME
Blankenbaker   I-NAME
presented   O
to   O
Mather   B-LOCATION
Hospital   I-LOCATION
reporting   O
severe   O
,   O
non   O
-   O
radiating   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

On   O
examination   O
,   O
Waqabaca   B-NAME
,   I-NAME
Josaia   I-NAME
presented   O
with   O
a   O
slightly   O
elevated   O
temperature   O
,   O
localized   O
tenderness   O
,   O
and   O
rebound   O
tenderness   O
consistent   O
with   O
signs   O
of   O
acute   O
appendicitis   O
.   O

An   O
emergency   O
surgery   O
consult   O
was   O
made   O
with   O
Kaylen   B-NAME
Hartman   I-NAME
who   O
recommended   O
laparoscopic   O
appendectomy   O
.   O

The   O
patient   O
's   O
Oconee   B-LOCATION
EMC   I-LOCATION
health   O
insurance   O
was   O
alerted   O
,   O
and   O
surgical   O
intervention   O
carried   O
out   O
on   O
22/30   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
on   O
the   O
afternoon   O
of   O
August   B-DATE
12   I-DATE
under   O
a   O
regimen   O
of   O
antibiotics   O
and   O
pain   O
management   O
,   O
including   O
instructions   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
persisted   O
or   O
worsened   O
.   O

For   O
her   O
follow   O
-   O
up   O
appointment   O
,   O
Medina   B-NAME
has   O
been   O
scheduled   O
to   O
meet   O
with   O
her   O
primary   O
physician   O
pre   O
-   O
registered   O
under   O
ucd234   B-NAME
at   O
Hayfork   B-LOCATION
on   O
11/22   B-DATE
.   O

Prior   O
to   O
current   O
health   O
situation   O
,   O
Samir   B-NAME
Combs   I-NAME
works   O
as   O
a   O
Database   O
Architects   O
.   O

In   O
light   O
of   O
this   O
,   O
Bennett   B-NAME
,   I-NAME
William   I-NAME
Andrew   I-NAME
Cicil   I-NAME
was   O
advised   O
to   O
take   O
a   O
rest   O
from   O
her   O
professional   O
duties   O
until   O
her   O
recovery   O
is   O
complete   O
.   O

Patient   O
Name   O
:   O
Butler   B-NAME
Age   O
:   O
30   O
Location   O
:   O
Turlock   B-LOCATION
Phone   O
:   O
990   B-CONTACT
410   I-CONTACT
-   I-CONTACT
5783   I-CONTACT
Medical   O
Record   O
Number   O
:   O
412   B-ID
-   I-ID
52   I-ID
-   I-ID
18   I-ID
Patient   O
Gregory   B-NAME
Rosas   I-NAME
,   O
aged   O
92   O
,   O
was   O
referred   O
by   O
Dr.   O
Dan   B-NAME
Prince   I-NAME
at   O
Firelands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Main   I-LOCATION
Campus   I-LOCATION
,   O
for   O
further   O
investigations   O
following   O
a   O
persistent   O
,   O
dry   O
cough   O
.   O

The   O
patient   O
had   O
initially   O
made   O
contact   O
via   O
cell   O
phone   O
,   O
number   O
996   B-CONTACT
-   I-CONTACT
2468   I-CONTACT
,   O
primarily   O
complaining   O
of   O
this   O
symptom   O
,   O
so   O
an   O
appointment   O
was   O
made   O
for   O
10/33   B-DATE
.   O

The   O
cough   O
had   O
been   O
persistent   O
for   O
approximately   O
4   O
weeks   O
,   O
according   O
to   O
Deacon   B-NAME
Nichols   I-NAME
's   O
self   O
-   O
report   O
.   O

A   O
chest   O
radiograph   O
was   O
taken   O
on   O
arrival   O
at   O
Mertztown   B-LOCATION
which   O
evidenced   O
a   O
small   O
nodular   O
opacities   O
in   O
left   O
upper   O
lobe   O
suggesting   O
a   O
possible   O
fibrotic   O
pattern   O
.   O

Mara   B-NAME
,   I-NAME
Ratu   I-NAME
Sir   I-NAME
Kamisese   I-NAME
was   O
then   O
referred   O
to   O
Geisinger   B-LOCATION
Holy   I-LOCATION
Spirit   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
CT   O
scan   O
to   O
confirm   O
the   O
suspicion   O
.   O

The   O
patient   O
works   O
as   O
a   O
Camera   O
operator   O
at   O
Council   B-LOCATION
for   I-LOCATION
Chemical   I-LOCATION
Research   I-LOCATION
(   I-LOCATION
CCR   I-LOCATION
)   I-LOCATION
and   O
resided   O
in   O
the   O
93184   B-LOCATION
vicinity   O
.   O

The   O
patient   O
had   O
been   O
a   O
resident   O
of   O
Tangent   B-LOCATION
for   O
the   O
past   O
5   O
years   O
with   O
ID   O
number   O
of   O
VG:812:243478   B-ID
and   O
was   O
previously   O
seen   O
by   O
Dr.   O
Eliezer   B-NAME
Gray   I-NAME
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Nassau   I-LOCATION
.   O

Previous   O
medical   O
records   O
number   O
27873602   B-ID
showed   O
history   O
of   O
recurrent   O
respiratory   O
infections   O
.   O

Further   O
evaluation   O
and   O
management   O
plan   O
will   O
be   O
carried   O
out   O
at   O
Inland   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
case   O
was   O
updated   O
and   O
logged   O
by   O
nuv91   B-NAME
.   O

Recommendations   O
:   O
The   O
patient   O
is   O
advised   O
to   O
return   O
to   O
the   O
hospital   O
for   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
on   O
2   B-DATE
-   I-DATE
00   I-DATE
.   O

To   O
Book   O
an   O
appointment   O
,   O
please   O
contact   O
the   O
hospital   O
reception   O
at   O
222   B-CONTACT
2783   I-CONTACT
or   O
via   O
the   O
online   O
portal   O
,   O
username   O
:   O
SK988   B-NAME
.   O

Summary   O
Prepared   O
by   O
Petty   B-NAME
Date   O
:   O
30/23/2361   B-DATE

Randall   B-NAME
Pollard   I-NAME
Age   O
:   O
68   O
Medical   O
Record   O
:   O
60486520   B-ID

The   O
patient   O
is   O
a   O
software   O
engineer   O
by   O
Stone   O
Cutters   O
and   O
Carvers   O
,   O
living   O
in   O
Brevig   B-LOCATION
Mission   I-LOCATION
,   O
with   O
person   O
-   O
specific   O
ID   O
7299408   B-ID
.   O

He   O
was   O
referred   O
to   O
Parker   B-NAME
by   O
his   O
general   O
practitioner   O
and   O
was   O
subsequently   O
admitted   O
to   O
Banner   B-LOCATION
Ironwood   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/28/22   B-DATE
.   O

A   O
chest   O
X   O
-   O
ray   O
performed   O
on   O
07/26   B-DATE
at   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
showed   O
infiltrations   O
in   O
bilateral   O
lung   O
fields   O
,   O
more   O
prominent   O
on   O
the   O
right   O
side   O
.   O

Under   O
the   O
direction   O
of   O
Osborne   B-NAME
,   O
James   B-NAME
Kildare   I-NAME
was   O
sent   O
for   O
high   O
-   O
resolution   O
computed   O
tomography   O
(   O
HRCT   O
)   O
of   O
the   O
chest   O
on   O
2   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
07   I-DATE
.   O

Blood   O
work   O
obtained   O
on   O
01/41   B-DATE
found   O
elevated   O
white   O
blood   O
cell   O
count   O
and   O
C   O
-   O
reactive   O
protein   O
,   O
supporting   O
the   O
diagnosis   O
of   O
probable   O
bacterial   O
pneumonia   O
.   O

By   O
the   O
morning   O
of   O
12/08   B-DATE
,   O
Cox   B-NAME
exhibited   O
a   O
decrease   O
in   O
symptoms   O
and   O
improved   O
lung   O
function   O
.   O

The   O
patient   O
's   O
primary   O
care   O
team   O
at   O
Reedy   B-LOCATION
Creek   I-LOCATION
Energy   I-LOCATION
Services   I-LOCATION
is   O
currently   O
collaborating   O
with   O
Isla   B-NAME
Simon   I-NAME
for   O
a   O
follow   O
-   O
up   O
plan   O
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
,   O
and   O
the   O
patient   O
is   O
to   O
contact   O
the   O
medical   O
team   O
via   O
328   B-CONTACT
-   I-CONTACT
7931   I-CONTACT
if   O
symptoms   O
reoccur   O
or   O
worsen   O
.   O

His   O
progress   O
will   O
be   O
noted   O
in   O
the   O
application   O
under   O
mnv276   B-NAME
.   O

Marina   B-NAME
Schultz   I-NAME
Healthcare   O
organization   O
:   O
Town   B-LOCATION
of   I-LOCATION
Clayton   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Address   O
:   O
Roopville   B-LOCATION
,   O
28035   B-LOCATION
Phone   O
number   O
for   O
communication   O
:   O
99974   B-CONTACT

Patient   O
Report   O
903   B-ID
-   I-ID
51   I-ID
-   I-ID
59   I-ID
-   I-ID
5   I-ID
Patient   O
Name   O
:   O
Pauling   B-NAME
,   I-NAME
Linus   I-NAME
Age   O
:   O
24   O
Date   O
:   O
2165   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
17   I-DATE
Dr.   O
Cohen   B-NAME
Hodge   I-NAME
reported   O
that   O
the   O
patient   O
was   O
admitted   O
to   O
MultiCare   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
continuous   O
severe   O
lower   O
abdominal   O
and   O
pelvic   O
pain   O
,   O
accompanied   O
by   O
a   O
reduced   O
urine   O
frequency   O
.   O

The   O
patient   O
disclosed   O
that   O
she   O
had   O
the   O
same   O
issue   O
around   O
the   O
same   O
time   O
last   O
year   O
in   O
Big   B-LOCATION
Chimney   I-LOCATION
,   O
which   O
was   O
treated   O
with   O
minor   O
outpatient   O
surgery   O
performed   O
by   O
Dr.   O
Denzel   B-NAME
Mccullough   I-NAME
at   O
Delaware   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
.   O

The   O
patient   O
works   O
as   O
a   O
Sheet   O
Metal   O
Workers   O
with   O
Portland   B-LOCATION
Linux   I-LOCATION
/   I-LOCATION
Unix   I-LOCATION
Group   I-LOCATION
and   O
reported   O
that   O
her   O
symptoms   O
started   O
around   O
the   O
same   O
time   O
she   O
had   O
started   O
a   O
new   O
project   O
,   O
which   O
has   O
led   O
to   O
increased   O
stress   O
levels   O
.   O

She   O
has   O
been   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
and   O
painkillers   O
and   O
has   O
been   O
referred   O
to   O
a   O
specialist   O
in   O
women   O
's   O
health   O
,   O
Dr.   O
Grant   B-NAME
,   O
whose   O
office   O
is   O
at   O
Noyes   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Her   O
ID   O
and   O
insurance   O
details   O
EQ899/4180   B-ID
have   O
been   O
updated   O
in   O
her   O
medical   O
records   O
and   O
her   O
external   O
records   O
from   O
Tuesday   B-LOCATION
Morning   I-LOCATION
have   O
been   O
couriered   O
.   O

The   O
contact   O
number   O
(   B-CONTACT
896   I-CONTACT
)   I-CONTACT
200   I-CONTACT
-   I-CONTACT
8024   I-CONTACT
has   O
been   O
updated   O
in   O
her   O
records   O
.   O

The   O
specialist   O
's   O
appointment   O
has   O
been   O
scheduled   O
for   O
3/0   B-DATE
and   O
an   O
SMS   O
reminder   O
will   O
be   O
sent   O
to   O
her   O
a   O
day   O
in   O
advance   O
on   O
61648   B-CONTACT
.   O

Dr.   O
Schneider   B-NAME
suggested   O
a   O
change   O
in   O
diet   O
and   O
exercise   O
with   O
special   O
emphasis   O
on   O
stress   O
management   O
.   O

She   O
was   O
discharged   O
on   O
1858   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
17   I-DATE
and   O
handed   O
over   O
to   O
her   O
sister   O
who   O
resides   O
in   O
56418   B-LOCATION
.   O

This   O
report   O
is   O
prepared   O
by   O
kxw213   B-NAME
.   O

Patient   O
Report   O
:   O
Trujillo   B-NAME
,   O
aged   O
53   O
years   O
was   O
admitted   O
to   O
the   O
Caldwell   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
room   O
on   O
2329   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
28   I-DATE
.   O

The   O
patient   O
is   O
a   O
resident   O
from   O
Ney   B-LOCATION
and   O
works   O
as   O
a   O
Grinding   O
,   O
Honing   O
,   O
Lapping   O
,   O
and   O
Deburring   O
Machine   O
Set   O
-   O
Up   O
Operators   O
.   O

During   O
the   O
consultation   O
,   O
the   O
patient   O
was   O
accompanied   O
by   O
Dr.   O
Madelynn   B-NAME
Velasquez   I-NAME
,   O
his   O
primary   O
health   O
care   O
physician   O
.   O

Patient   O
's   O
medical   O
record   O
number   O
is   O
645   B-ID
-   I-ID
12   I-ID
-   I-ID
83   I-ID
-   I-ID
0   I-ID
.   O

The   O
patient   O
is   O
insured   O
under   O
policy   O
number   O
45200162   B-ID
with   O
Mercy   B-LOCATION
For   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
MFA   I-LOCATION
)   I-LOCATION
.   O

For   O
any   O
queries   O
regarding   O
billing   O
or   O
payments   O
,   O
you   O
are   O
requested   O
to   O
contact   O
the   O
following   O
phone   O
number   O
:   O
147   B-CONTACT
3588   I-CONTACT
.   O

Next   O
appointment   O
for   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
02/23   B-DATE
.   O

It   O
will   O
be   O
at   O
Milford   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
the   O
same   O
venue   O
as   O
the   O
last   O
visit   O
.   O

Any   O
delays   O
or   O
rescheduling   O
requests   O
can   O
be   O
communicated   O
via   O
patient   O
's   O
account   O
lk526   B-NAME
.   O

This   O
discharge   O
summary   O
was   O
completed   O
on   O
2252   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
29   I-DATE
by   O
Dr.   O
Franco   B-NAME
Hamilton   I-NAME
.   O

Mailing   O
address   O
for   O
any   O
concerns   O
or   O
requests   O
for   O
additional   O
information   O
is   O
:   O
Riverview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Ernstville   B-LOCATION
,   O
60742   B-LOCATION
.   O

Patient   O
Name   O
:   O
Lyons   B-NAME
Date   O
of   O
Examination   O
:   O
17th   B-DATE
Presented   O
to   O
West   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
pain   O
in   O
the   O
upper   O
abdomen   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

History   O
was   O
taken   O
by   O
Robles   B-NAME
.   O

Virginia   B-NAME
Dixon   I-NAME
mentioned   O
the   O
onset   O
of   O
symptoms   O
approximately   O
48   O
hours   O
ago   O
.   O

Mccall   B-NAME
reported   O
no   O
known   O
personal   O
or   O
family   O
history   O
of   O
gallstones   O
,   O
alcohol   O
abuse   O
,   O
or   O
recent   O
trauma   O
.   O

995   B-ID
-   I-ID
67   I-ID
-   I-ID
14   I-ID
showed   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
and   O
hypertension   O
for   O
the   O
past   O
5   O
years   O
.   O

Kirsten   B-NAME
Fry   I-NAME
reported   O
feeling   O
increasingly   O
unwell   O
.   O

Tamica   B-NAME
Haigh   I-NAME
was   O
immediately   O
admitted   O
for   O
management   O
and   O
observation   O
.   O

Treatment   O
included   O
aggressive   O
hydration   O
with   O
lactated   O
Ringer   O
’s   O
solution   O
and   O
analgesics   O
for   O
pain   O
management   O
as   O
per   O
the   O
Central   B-LOCATION
Georgia   I-LOCATION
EMC   I-LOCATION
Acute   O
Pancreatitis   O
Guidelines   O
.   O

Further   O
recommendation   O
includes   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
on   O
7/01   B-DATE
.   O

The   O
patient   O
is   O
also   O
advised   O
to   O
contact   O
the   O
hospital   O
on   O
628   B-CONTACT
-   I-CONTACT
720   I-CONTACT
-   I-CONTACT
4167   I-CONTACT
in   O
case   O
of   O
early   O
or   O
sudden   O
worsening   O
of   O
symptoms   O
.   O

The   O
report   O
was   O
then   O
shared   O
with   O
the   O
patient   O
's   O
employer   O
,   O
a   O
Communications   O
engineer   O
at   O
Southern   B-LOCATION
Minnesota   I-LOCATION
Municipal   I-LOCATION
Power   I-LOCATION
Agency   I-LOCATION
.   O

The   O
employer   O
requested   O
for   O
it   O
to   O
be   O
mailed   O
to   O
Dudleyville   B-LOCATION
,   O
postal   O
code   O
68258   B-LOCATION
and   O
the   O
patient   O
ID   O
EL516/9325   B-ID
was   O
noted   O
for   O
reference   O
.   O

Additional   O
information   O
added   O
by   O
VC51   B-NAME
as   O
part   O
of   O
the   O
medical   O
documentation   O
process   O
.   O

Signed   O
off   O
by   O
:   O
Kierra   B-NAME
Haley   I-NAME
End   O
of   O
Report   O
.   O

Patient   O
Details   O
:   O
Benjamin   B-NAME
Earnest   I-NAME
Age   O
:   O
41   O
Gender   O
:   O
Male   O
Location   O
:   O
California   B-LOCATION
Phone   O
:   O
664   B-CONTACT
4244   I-CONTACT
Doctor   O
:   O
Venturi   B-NAME
,   I-NAME
Ken   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
record   O
:   O
27873602   B-ID
0610E89309   B-ID
:   O
On   O
10/25   B-DATE
,   O
patient   O
Tobias   B-NAME
Stark   I-NAME
presented   O
to   O
NORTHSIDE   B-LOCATION
HOSPITAL   I-LOCATION
with   O
complaints   O
of   O
dyspnea   O
,   O
productive   O
cough   O
with   O
greenish   O
expectoration   O
and   O
pleuritic   O
chest   O
pain   O
of   O
1   O
-   O
week   O
duration   O
.   O

Mcdowell   B-NAME
recommended   O
Chest   O
X   O
-   O
ray   O
and   O
CT   O
scan   O
which   O
subsequently   O
revealed   O
a   O
consolidation   O
in   O
the   O
lower   O
lobe   O
of   O
the   O
right   O
lung   O
,   O
with   O
air   O
bronchograms   O
and   O
pleural   O
effusion   O
.   O

The   O
patient   O
commenced   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
per   O
Kansas   B-LOCATION
City   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Pneumonia   O
management   O
protocol   O
under   O
the   O
close   O
monitoring   O
of   O
Kaiser   B-NAME
.   O

The   O
patient   O
's   O
family   O
,   O
residing   O
in   O
Saxis   B-LOCATION
,   O
was   O
informed   O
about   O
the   O
condition   O
and   O
reassured   O
by   O
Winner   B-NAME
,   I-NAME
Michael   I-NAME
via   O
34138   B-CONTACT
.   O

The   O
patient   O
's   O
ID   O
:   O
YE:31880:985652   B-ID
Next   O
of   O
kin   O
contact   O
:   O
840   B-CONTACT
6511   I-CONTACT
Follow   O
up   O
appointment   O
:   O
12/22   B-DATE
Additional   O
note   O
:   O
The   O
medical   O
report   O
was   O
compiled   O
by   O
healthcare   O
staff   O
tiv841   B-NAME
on   O
37/29   B-DATE
in   O
Karmanos   B-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
.   O

Outpatient   O
department   O
follow   O
-   O
up   O
arranged   O
with   O
Mcdonald   B-NAME
in   O
6   O
weeks   O
for   O
monitoring   O
recovery   O
progress   O
.   O

A   O
letter   O
from   O
Bank   B-LOCATION
of   I-LOCATION
Elmwood   I-LOCATION
requests   O
patient   O
details   O
and   O
medical   O
records   O
for   O
health   O
coverage   O
evaluation   O
,   O
holding   O
reference   O
number   O
:   O
10   B-ID
-   I-ID
3793147   I-ID
and   O
sent   O
to   O
28018   B-LOCATION
.   O

Patient   O
Name   O
:   O
Milton   B-NAME
Orliff   I-NAME
Age   O
:   O
16s   O
Date   O
:   O
12/15/52   B-DATE
Doctor   O
in   O
charge   O
:   O
Novak   B-NAME
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Meriter   I-LOCATION
Personal   O
ID   O
:   O
ZS   B-ID
:   I-ID
MG:9030   I-ID
Bechtelsville   B-LOCATION
resident   O
,   O
Tobias   B-NAME
Rangel   I-NAME
,   O
of   O
54   O
years   O
,   O
was   O
admitted   O
to   O
Alliance   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
31/25/71   B-DATE
for   O
experiencing   O
acute   O
cerebrovascular   O
disease   O
symptoms   O
.   O

96908300   B-ID
shows   O
that   O
the   O
patient   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
which   O
are   O
risk   O
factors   O
for   O
strokes   O
.   O

Upon   O
examination   O
by   O
Carey   B-NAME
,   O
the   O
patient   O
experienced   O
sudden   O
confusion   O
,   O
including   O
trouble   O
understanding   O
speech   O
and   O
severe   O
dizziness   O
indicating   O
high   O
risk   O
of   O
having   O
an   O
ischemic   O
stroke   O
.   O

The   O
mailing   O
address   O
listed   O
under   O
11404   B-ID
in   O
our   O
records   O
is   O
98476   B-LOCATION
,   O
and   O
the   O
contact   O
number   O
registered   O
is   O
93122   B-CONTACT
.   O

He   O
is   O
currently   O
under   O
a   O
specialized   O
treatment   O
designed   O
by   O
medical   O
professionals   O
at   O
International   B-LOCATION
Tibet   I-LOCATION
Support   I-LOCATION
Network   I-LOCATION
.   O

The   O
medical   O
team   O
at   O
Maimonides   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
closely   O
monitoring   O
Nogai   B-NAME
's   O
condition   O
,   O
and   O
any   O
changes   O
in   O
his   O
health   O
status   O
will   O
be   O
updated   O
to   O
wmn238   B-NAME
in   O
his   O
web   O
portal   O
.   O

The   O
patient   O
,   O
Chace   B-NAME
Blackburn   I-NAME
,   O
male   O
,   O
aged   O
74   O
years   O
,   O
presented   O
to   O
the   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Bettendorf   I-LOCATION
emergency   O
department   O
on   O
34/24/2072   B-DATE
.   O

The   O
nurse   O
,   O
kkb779   B-NAME
,   O
registered   O
his   O
medical   O
record   O
number   O
,   O
6247898   B-ID
,   O
and   O
forwarded   O
him   O
to   O
Dr.   O
Roger   B-NAME
Berger   I-NAME
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
and   O
was   O
admitted   O
to   O
Annie   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
around   O
two   O
years   O
ago   O
for   O
the   O
same   O
.   O

His   O
previous   O
doctor   O
,   O
Frazier   B-NAME
,   O
had   O
advised   O
avoidance   O
of   O
smoking   O
,   O
but   O
the   O
patient   O
reported   O
continued   O
usage   O
.   O

He   O
also   O
has   O
an   O
occupational   O
history   O
of   O
working   O
as   O
a   O
Health   O
Diagnosing   O
and   O
Treating   O
Practitioners   O
,   O
All   O
Other   O
at   O
Ocala   B-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
,   O
Luling   B-LOCATION
.   O

Contact   O
Details   O
:   O
You   O
can   O
reach   O
him   O
at   O
his   O
residence   O
at   O
59   B-LOCATION
West   I-LOCATION
Gulf   I-LOCATION
Dr.   I-LOCATION
,   O
near   O
the   O
Chinese   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
Taipei   I-LOCATION
)   I-LOCATION
(   I-LOCATION
CSLT   I-LOCATION
)   I-LOCATION
,   O
postal   O
code   O
94127   B-LOCATION
.   O

His   O
phone   O
number   O
is   O
97963   B-CONTACT
.   O

His   O
driving   O
license   O
4   B-ID
-   I-ID
2240555   I-ID
was   O
also   O
verified   O
.   O

It   O
is   O
crucial   O
for   O
Isabella   B-NAME
Fleming   I-NAME
to   O
adhere   O
to   O
the   O
recommended   O
actions   O
and   O
follow   O
-   O
ups   O
.   O

Proper   O
documentation   O
has   O
been   O
maintained   O
under   O
his   O
medical   O
record   O
number   O
7549435   B-ID
.   O

Patient   O
Name   O
:   O
Marley   B-NAME
Christian   I-NAME
DOB   O
:   O
06/32   B-DATE
MRN   O
:   O
0386454   B-ID
Diagnosis   O
:   O
Pneumonia   O

On   O
19/33   B-DATE
,   O
Steinmuller   B-NAME
came   O
to   O
the   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Cedar   I-LOCATION
Rapids   I-LOCATION
with   O
chief   O
complaints   O
of   O
cough   O
,   O
shortness   O
of   O
breath   O
and   O
fever   O
.   O

He   O
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Weapons   O
Specialists   O
/   O
Crew   O
Members   O
in   O
Tyhee   B-LOCATION
and   O
has   O
no   O
known   O
allergy   O
or   O
significant   O
family   O
history   O
.   O

Based   O
on   O
the   O
patient   O
’s   O
clinical   O
picture   O
and   O
diagnostics   O
,   O
he   O
was   O
diagnosed   O
with   O
pneumonia   O
and   O
admitted   O
to   O
our   O
Osceola   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Mugabe   B-NAME
,   I-NAME
Robert   I-NAME
of   O
Pulmonology   O
department   O
on   O
22/22   B-DATE
.   O

For   O
further   O
medical   O
inquiries   O
or   O
emergencies   O
,   O
Vena   B-NAME
Kuti   I-NAME
has   O
been   O
given   O
the   O
contact   O
number   O
of   O
Bartow   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
which   O
is   O
16701   B-CONTACT
.   O

Signed   O
Aniya   B-NAME
Benton   I-NAME
ID   O
:   O
465279995   B-ID
Username   O
:   O

xqo334   B-NAME

Patient   O
ID   O
:   O
3643268   B-ID
Mr.   O
Lewis   B-NAME
,   O
a   O
68   O
year   O
old   O
individual   O
reached   O
out   O
on   O
6   B-DATE
-   I-DATE
07   I-DATE
and   O
reported   O
experiencing   O
recurrent   O
headaches   O
for   O
the   O
past   O
few   O
weeks   O
along   O
with   O
persistent   O
fatigue   O
.   O

Mr.   O
Sosa   B-NAME
works   O
with   O
a   O
tech   O
firm   O
,   O
specifically   O
as   O
a   O
Craft   O
Artists   O
,   O
which   O
lead   O
him   O
to   O
spend   O
more   O
than   O
half   O
the   O
day   O
in   O
front   O
of   O
a   O
computer   O
.   O

He   O
has   O
also   O
been   O
working   O
from   O
home   O
in   O
Pleasant   B-LOCATION
Run   I-LOCATION
Farm   I-LOCATION
due   O
to   O
the   O
recent   O
COVID-19   O
outbreak   O
within   O
his   O
Tamalpais   B-LOCATION
Bank   I-LOCATION
.   O

After   O
noting   O
these   O
complaints   O
,   O
I   O
,   O
Dr.   O
Lainey   B-NAME
Quinn   I-NAME
,   O
decided   O
to   O
further   O
investigate   O
.   O

Mr.   O
Yadira   B-NAME
Osborne   I-NAME
was   O
scheduled   O
for   O
a   O
thorough   O
medical   O
examination   O
at   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Soldiers   I-LOCATION
+   I-LOCATION
Sailors   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
examination   O
,   O
it   O
was   O
found   O
that   O
Mr.   O
Key   B-NAME
had   O
an   O
elevated   O
blood   O
pressure   O
.   O

As   O
per   O
protocol   O
,   O
these   O
tests   O
were   O
scheduled   O
and   O
Mr.   O
Liam   B-NAME
Mcmahon   I-NAME
was   O
asked   O
to   O
return   O
on   O
11/38   B-DATE
.   O

For   O
easy   O
communication   O
,   O
we   O
provided   O
him   O
with   O
a   O
unique   O
username   O
,   O
bf39   B-NAME
,   O
to   O
access   O
his   O
medical   O
records   O
and   O
for   O
interaction   O
with   O
the   O
medical   O
team   O
.   O

His   O
next   O
appointment   O
was   O
fixed   O
on   O
August   B-DATE
37   I-DATE
,   I-DATE
2187   I-DATE
for   O
evaluation   O
of   O
test   O
results   O
.   O

Mr.   O
Raiden   B-NAME
Bolton   I-NAME
's   O
health   O
care   O
soft   O
copy   O
was   O
maintained   O
with   O
us   O
under   O
the   O
medical   O
record   O
number   O
53819862   B-ID
.   O

He   O
was   O
asked   O
to   O
keep   O
his   O
health   O
plan   O
number   O
PN   B-ID
:   I-ID
LO:1334   I-ID
handy   O
for   O
the   O
next   O
visit   O
.   O

In   O
case   O
of   O
emergencies   O
,   O
Mr.   O
Sellers   B-NAME
,   I-NAME
Peter   I-NAME
could   O
contact   O
the   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Campus   I-LOCATION
at   O
(   B-CONTACT
960   I-CONTACT
)   I-CONTACT
503   I-CONTACT
2276   I-CONTACT
.   O

Since   O
he   O
lives   O
in   O
a   O
remote   O
location   O
of   O
Dongola   B-LOCATION
,   O
we   O
directed   O
him   O
to   O
our   O
branch   O
hospital   O
in   O
80789   B-LOCATION
which   O
would   O
take   O
lesser   O
time   O
to   O
commute   O
.   O

Seeing   O
Mr.   O
Hailey   B-NAME
Travis   I-NAME
's   O
condition   O
,   O
it   O
is   O
suggested   O
that   O
his   O
medical   O
reports   O
should   O
be   O
reviewed   O
thoroughly   O
by   O
a   O
specialist   O
.   O

Therefore   O
,   O
I   O
have   O
referred   O
him   O
to   O
Dr.   O
Adeline   B-NAME
Cox   I-NAME
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Yareli   B-NAME
Kilgore   I-NAME
Age   O
:   O
35s   O
Residence   O
:   O
Cashmere   B-LOCATION
Phone   O
:   O
176   B-CONTACT
543   I-CONTACT
7852   I-CONTACT
Zip   O
:   O
94279   B-LOCATION
ID   O
Number   O
:   O
2   B-ID
-   I-ID
5751744   I-ID
Occupation   O
:   O
Insurance   O
Claims   O
Clerks   O
Medical   O
Record   O
Number   O
:   O
67932968   B-ID
Username   O
for   O
hospital   O
login   O
:   O
dbx6810   B-NAME
Details   O
:   O

Albertina   B-NAME
was   O
admitted   O
to   O
Located   B-LOCATION
within   I-LOCATION
Bronson   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
on   O
02/23   B-DATE
.   O

The   O
admitting   O
physician   O
,   O
Aldiss   B-NAME
,   I-NAME
Brian   I-NAME
,   O
noted   O
fever   O
,   O
dyspnea   O
and   O
decreasing   O
oxygen   O
saturation   O
on   O
room   O
air   O
.   O

A   O
COVID-19   O
test   O
conducted   O
at   O
the   O
Borough   B-LOCATION
of   I-LOCATION
Seaside   I-LOCATION
Heights   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
turned   O
out   O
to   O
be   O
positive   O
.   O

The   O
patient   O
had   O
no   O
history   O
of   O
international   O
travel   O
or   O
contact   O
with   O
individuals   O
from   O
high   O
-   O
risk   O
areas   O
,   O
suggesting   O
a   O
possibility   O
of   O
community   O
transmission   O
at   O
Deal   B-LOCATION
.   O

In   O
the   O
past   O
,   O
Ohara   B-NAME
was   O
a   O
routine   O
outpatient   O
at   O
the   O
adult   O
cardiology   O
unit   O
in   O
Perry   B-LOCATION
Hospital   I-LOCATION
.   O

On   O
physical   O
examination   O
,   O
Cloe   B-NAME
Rollins   I-NAME
noted   O
typical   O
auscultatory   O
findings   O
of   O
crackles   O
in   O
bilateral   O
lower   O
lung   O
fields   O
suggestive   O
of   O
possible   O
infiltrates   O
.   O

Suzanne   B-NAME
McCullough   I-NAME
was   O
started   O
on   O
a   O
regimen   O
of   O
dexamethasone   O
and   O
remdesivir   O
as   O
per   O
the   O
protocol   O
of   O
Northern   B-LOCATION
Light   I-LOCATION
Eastern   I-LOCATION
Maine   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Current   O
address   O
for   O
correspondence   O
is   O
at   O
Strawn   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
18934   B-CONTACT
.   O

The   O
family   O
signed   O
an   O
agreement   O
for   O
Walters   B-NAME
to   O
discuss   O
Karsyn   B-NAME
Mcclure   I-NAME
's   O
health   O
status   O
updates   O
with   O
them   O
.   O

Healthcare   O
providers   O
at   O
Fairview   B-LOCATION
Range   I-LOCATION
are   O
continually   O
monitoring   O
Corona   B-NAME
's   O
condition   O
.   O

The   O
patient   O
is   O
flagged   O
for   O
re   O
-   O
evaluation   O
on   O
08/30/1653   B-DATE
by   O
Dominguez   B-NAME
.   O

Patient   O
Report   O
:   O
Magaly   B-NAME
Loiacona   I-NAME
is   O
a   O
95   O
year   O
old   O
female   O
from   O
Miramiguoa   B-LOCATION
Park   I-LOCATION
with   O
a   O
professional   O
background   O
as   O
a   O
Construction   O
Managers   O
,   O
who   O
presented   O
to   O
our   O
emergency   O
department   O
at   O
MercyOne   B-LOCATION
Primghar   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/93   B-DATE
with   O
severe   O
heart   O
palpitations   O
for   O
the   O
past   O
12   O
hours   O
.   O

According   O
to   O
Stephenson   B-NAME
,   O
her   O
electrocardiogram   O
(   O
EKG   O
)   O
displayed   O
symptoms   O
indicative   O
of   O
Prinzmetal   O
angina   O
–   O
irregular   O
heart   O
rhythm   O
and   O
ST   O
segment   O
elevation   O
.   O

After   O
the   O
initial   O
assessment   O
,   O
Zaiden   B-NAME
Clayton   I-NAME
was   O
admitted   O
to   O
the   O
Intensive   O
Care   O
Unit   O
(   O
ICU   O
)   O
for   O
further   O
examination   O
and   O
treatment   O
.   O

Follow   O
-   O
ups   O
on   O
2/2/2350   B-DATE
noted   O
a   O
mild   O
improvement   O
in   O
her   O
condition   O
.   O

However   O
,   O
to   O
further   O
investigate   O
the   O
patient   O
's   O
conditions   O
,   O
an   O
Angiography   O
has   O
been   O
scheduled   O
for   O
11/22   B-DATE
.   O

Given   O
her   O
risk   O
factors   O
(   O
smoking   O
and   O
diet   O
)   O
,   O
it   O
is   O
crucial   O
for   O
reece   B-NAME
to   O
consider   O
lifestyle   O
changes   O
such   O
as   O
quitting   O
smoking   O
,   O
adjusting   O
diet   O
,   O
and   O
exercising   O
more   O
frequently   O
.   O

A   O
discussion   O
regarding   O
this   O
formed   O
a   O
major   O
part   O
of   O
our   O
counselling   O
session   O
on   O
31/22/2272   B-DATE
.   O

Please   O
note   O
,   O
all   O
her   O
medical   O
information   O
and   O
history   O
can   O
be   O
viewed   O
through   O
100   B-ID
-   I-ID
47   I-ID
-   I-ID
24   I-ID
-   I-ID
1   I-ID
.   O

For   O
any   O
further   O
information   O
,   O
Stash   B-NAME
or   O
the   O
designated   O
contact   O
person   O
(   O
vp5310   B-NAME
)   O
can   O
be   O
reached   O
at   O
680   B-CONTACT
-   I-CONTACT
2977   I-CONTACT
.   O

They   O
live   O
in   O
the   O
Wendell   B-LOCATION
36618   B-LOCATION
area   O
and   O
their   O
emergency   O
contact   O
3   B-ID
-   I-ID
9599200   I-ID
has   O
been   O
noted   O
.   O

As   O
per   O
patient   O
’s   O
consent   O
,   O
an   O
invoice   O
has   O
been   O
sent   O
to   O
her   O
health   O
service   O
provider   O
,   O
Humanitarian   B-LOCATION
League   I-LOCATION
,   O
for   O
the   O
services   O
rendered   O
.   O

We   O
plan   O
to   O
follow   O
up   O
regularly   O
on   O
Walter   B-NAME
Bishop   I-NAME
's   O
condition   O
and   O
the   O
progress   O
of   O
her   O
new   O
lifestyle   O
adaptations   O
.   O

Please   O
direct   O
all   O
future   O
concerns   O
and   O
queries   O
to   O
my   O
office   O
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Anson   I-LOCATION
,   O
located   O
in   O
Hartwell   B-LOCATION
,   I-LOCATION
Hartwell   I-LOCATION
Downtown   I-LOCATION
Development   I-LOCATION
Authority   I-LOCATION
-   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
.   O

Overall   O
,   O
Sienna   B-NAME
Leonard   I-NAME
’s   O
case   O
highlights   O
the   O
importance   O
of   O
timely   O
identification   O
of   O
symptoms   O
and   O
intervention   O
,   O
as   O
well   O
as   O
lifestyle   O
alterations   O
to   O
manage   O
her   O
condition   O
.   O

Patient   O
Name   O
:   O
Sloan   B-NAME
DOB   O
:   O
08/29/2082   B-DATE
SSN   O
:   O
MR   B-ID
:   I-ID
NH:7192   I-ID
Primary   O
Care   O
Physician   O
:   O

Glass   B-NAME
Referring   O
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
Hospital   I-LOCATION
Address   O
:   O
Eagan   B-LOCATION
12043   B-LOCATION
Phone   O
Number   O
:   O
212   B-CONTACT
9018   I-CONTACT
Occupation   O
:   O

Reservation   O
and   O
Transportation   O
Ticket   O
Agents   O
and   O
Travel   O
Clerks   O
Medical   O
Record   O
Number   O
:   O
1   B-ID
-   I-ID
301253   I-ID
Presented   O
on   O
2041/04/31   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
week   O
.   O

Further   O
,   O
Yamilet   B-NAME
Cox   I-NAME
reports   O
accompanying   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
along   O
with   O
low   O
-   O
grade   O
fever   O
.   O

On   O
examination   O
,   O
Usha   B-NAME
displayed   O
signs   O
consistent   O
with   O
McBurney   O
's   O
point   O
tenderness   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

A   O
CT   O
scan   O
done   O
at   O
Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Bentonville   I-LOCATION
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Considering   O
Hayden   B-NAME
Lawrence   I-NAME
's   O
medical   O
history   O
,   O
age   O
(   O
59s   O
)   O
,   O
and   O
current   O
clinical   O
scenario   O
,   O
a   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

Jamya   B-NAME
Petersen   I-NAME
was   O
informed   O
regarding   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
operation   O
by   O
Lilian   B-NAME
Coffey   I-NAME
.   O

Consent   O
was   O
obtained   O
from   O
Tanya   B-NAME
Barrera   I-NAME
and   O
the   O
procedure   O
was   O
scheduled   O
for   O
00/38   B-DATE
.   O

Given   O
the   O
acute   O
nature   O
of   O
the   O
condition   O
,   O
Lovins   B-NAME
,   I-NAME
Amory   I-NAME
was   O
admitted   O
to   O
the   O
Carrier   B-LOCATION
Clinic   I-LOCATION
.   O

Post   O
-   O
surgery   O
,   O
Damon   B-NAME
Bradley   I-NAME
showed   O
significant   O
recovery   O
and   O
was   O
discharged   O
on   O
Wednesday   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
within   O
a   O
week   O
.   O

Follow   O
up   O
and   O
any   O
additional   O
concerns   O
should   O
be   O
addressed   O
to   O
the   O
treating   O
physician   O
,   O
Dr.   O
Mullen   B-NAME
at   O
the   O
office   O
number   O
744   B-CONTACT
-   I-CONTACT
9272   I-CONTACT
.   O

Please   O
call   O
to   O
schedule   O
your   O
follow   O
-   O
up   O
appointment   O
or   O
visit   O
our   O
Sundance   B-LOCATION
Institute   I-LOCATION
's   O
web   O
portal   O
with   O
the   O
username   O
pkx992   B-NAME
for   O
appointment   O
scheduling   O
and   O
other   O
details   O
.   O

Patient   O
Name   O
:   O
Booth   B-NAME
Age   O
:   O
58   O
Date   O
of   O
Consultation   O
:   O
Friday   B-DATE
,   I-DATE
December   I-DATE
Attending   O
Physician   O
:   O

Forbin   B-NAME
Noctula   I-NAME
Location   O
:   O
Quebrada   B-LOCATION
del   I-LOCATION
Agua   I-LOCATION
Details   O
of   O
Medical   O
Consultation   O
:   O
The   O
patient   O
,   O
Silas   B-NAME
Weeks   I-NAME
,   O
presented   O
with   O
complaints   O
of   O
intermittent   O
abdominal   O
pain   O
for   O
the   O
past   O
few   O
weeks   O
.   O

Tara   B-NAME
Phipps   I-NAME
reported   O
the   O
pain   O
to   O
be   O
predominantly   O
in   O
the   O
right   O
upper   O
quadrant   O
.   O

Wilson   B-NAME
Winters   I-NAME
described   O
it   O
as   O
a   O
sharp   O
,   O
cramping   O
pain   O
that   O
sometimes   O
radiates   O
to   O
the   O
shoulder   O
.   O

Further   O
,   O
the   O
Leonarda   B-NAME
reported   O
episodes   O
of   O
pruritus   O
,   O
particularly   O
at   O
night   O
.   O

Kuriyama   B-NAME
,   I-NAME
Chiaki   I-NAME
conjunctiva   O
is   O
normal   O
,   O
with   O
no   O
scleral   O
icterus   O
noted   O
.   O

The   O
patient   O
's   O
existing   O
medical   O
record   O
number   O
is   O
2524Y11624   B-ID
.   O

The   O
patient   O
's   O
social   O
security   O
number   O
is   O
2   B-ID
-   I-ID
1372785   I-ID
and   O
their   O
address   O
is   O
Manley   B-LOCATION
Hot   I-LOCATION
Springs   I-LOCATION
,   O
97891   B-LOCATION
.   O

They   O
can   O
be   O
contacted   O
via   O
the   O
phone   O
number   O
:   O
297   B-CONTACT
5314   I-CONTACT
.   O

The   O
patient   O
used   O
to   O
work   O
as   O
a   O
Fabric   O
Menders   O
,   O
Except   O
Garment   O
at   O
United   B-LOCATION
States   I-LOCATION
Submarine   I-LOCATION
Veterans   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
but   O
is   O
currently   O
unemployed   O
.   O

The   O
results   O
of   O
the   O
investigations   O
will   O
be   O
sent   O
to   O
XP437   B-NAME
's   O
online   O
portal   O
,   O
the   O
patient   O
's   O
existing   O
account   O
with   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

If   O
further   O
consultation   O
or   O
intervention   O
is   O
needed   O
,   O
it   O
will   O
be   O
done   O
after   O
another   O
consultation   O
with   O
Dr.   O
Mora   B-NAME
on   O
00/61   B-DATE
.   O

Sincerely   O
,   O
Dr.   O
Lawrence   B-NAME
Myrick   I-NAME
at   O
AMITA   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
Chicago   I-LOCATION

Patient   O
:   O
Susan   B-NAME
Abreu   I-NAME
Date   O
:   O
Saturday   B-DATE
Doctor   O
:   O
Mcgee   B-NAME
ID   O
:   O
8   B-ID
-   I-ID
2993304   I-ID
Medical   O
Record   O
:   O
577   B-ID
-   I-ID
69   I-ID
-   I-ID
76   I-ID
-   I-ID
2   I-ID
Hospital   O
:   O
UPMC   B-LOCATION
Horizon   I-LOCATION
-   I-LOCATION
Shenango   I-LOCATION
Valley   I-LOCATION
Campus   I-LOCATION
Age   O
:   O
26   O
User   O
name   O
:   O
qa183   B-NAME
Location   O
:   O
Homosassa   B-LOCATION
Organization   O
:   O

Washington   B-LOCATION
First   I-LOCATION
International   I-LOCATION
Bank   I-LOCATION
Phone   O
:   O
347   B-CONTACT
-   I-CONTACT
4614   I-CONTACT
Profession   O
:   O

Insurance   O
risk   O
surveyor   O
Zip   O
:   O
58228   B-LOCATION
Condition   O
Report   O
:   O

The   O
patient   O
,   O
Mr.   O
Penelope   B-NAME
Washington   I-NAME
,   O
presented   O
at   O
the   O
Lexington   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/23   B-DATE
.   O

Mr.   O
Elane   B-NAME
Still   I-NAME
,   O
aged   O
91   O
,   O
complained   O
of   O
severe   O
chest   O
discomfort   O
,   O
including   O
a   O
sensation   O
of   O
fullness   O
or   O
tightness   O
in   O
the   O
chest   O
,   O
lasting   O
for   O
more   O
than   O
20   O
minutes   O
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
Lewis   B-NAME
,   O
Mr.   O
Karik   B-NAME
was   O
sweaty   O
and   O
pale   O
,   O
stating   O
the   O
discomfort   O
had   O
abruptly   O
started   O
when   O
he   O
was   O
at   O
his   O
workplace   O
.   O

The   O
records   O
(   O
no   O
.   O
16927239   B-ID
)   O
showed   O
an   O
ST   O
-   O
segment   O
elevation   O
in   O
limb   O
leads   O
,   O
which   O
led   O
to   O
the   O
immediate   O
management   O
of   O
the   O
patient   O
’s   O
cardiac   O
issue   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
KidsPeace   B-LOCATION
and   O
urgently   O
referred   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
.   O

The   O
attending   O
cardiologist   O
,   O
Dr.   O
Roy   B-NAME
,   O
recommended   O
immediate   O
reperfusion   O
therapy   O
.   O

The   O
patient   O
is   O
a   O
resident   O
of   O
Melvina   B-LOCATION
,   O
and   O
his   O
record   O
with   O
the   O
Military   B-LOCATION
Officers   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
America   I-LOCATION
also   O
lists   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

The   O
contact   O
number   O
on   O
file   O
is   O
302   B-CONTACT
5380   I-CONTACT
and   O
the   O
zip   O
code   O
provided   O
is   O
56879   B-LOCATION
.   O

His   O
ID   O
NR   B-ID
:   I-ID
ND:8661   I-ID
and   O
username   O
zrw523   B-NAME
were   O
further   O
noted   O
in   O
the   O
hospital   O
database   O
for   O
reference   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rockso   B-NAME
,   I-NAME
the   I-NAME
Rock   I-NAME
N   I-NAME
Roll   I-NAME
Clown   I-NAME
DOB   O
:   O

12/32/88   B-DATE
Medical   O
Record   O
Number   O
:   O
98608829   B-ID
03/22   B-DATE
,   O
the   O
patient   O
,   O
Zack   B-NAME
,   O
a   O
78   O
year   O
old   O
individual   O
,   O
presented   O
to   O
the   O
ER   O
of   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Southeast   I-LOCATION
Texas   I-LOCATION
Beaumont   I-LOCATION
Campus   I-LOCATION
in   O
New   B-LOCATION
London   I-LOCATION
,   I-LOCATION
New   I-LOCATION
London   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
.   O

Ballmer   B-NAME
,   I-NAME
Steve   I-NAME
was   O
complaining   O
of   O
acute   O
,   O
persistent   O
lower   O
abdominal   O
discomfort   O
.   O

Upon   O
initial   O
assessment   O
by   O
Dr.   O
Nathalia   B-NAME
Roth   I-NAME
,   O
roberson   B-NAME
also   O
reported   O
experiencing   O
bouts   O
of   O
nausea   O
,   O
vomiting   O
,   O
slight   O
fever   O
of   O
100.4F   O
,   O
and   O
a   O
sudden   O
loss   O
of   O
appetite   O
.   O

Dr.   O
Rubio   B-NAME
then   O
conducted   O
a   O
point   O
tenderness   O
test   O
and   O
confirmed   O
that   O
there   O
was   O
increased   O
sensitivity   O
in   O
the   O
McBurney   O
's   O
point   O
,   O
which   O
was   O
indicative   O
of   O
possible   O
acute   O
appendicitis   O
.   O

For   O
further   O
evaluation   O
of   O
the   O
diagnosis   O
,   O
Dr.   O
Mckayla   B-NAME
Mckenzie   I-NAME
has   O
referred   O
Drake   B-NAME
Ramoray   I-NAME
to   O
undergo   O
a   O
CT   O
Scan   O
at   O
the   O
John   B-LOCATION
C.   I-LOCATION
Lincoln   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Honor   B-LOCATION
.   O

Kassi   O
Group   O
Healthcare   O
Review   O
Panel   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Jones   I-LOCATION
County   I-LOCATION
has   O
been   O
contacted   O
to   O
pre   O
-   O
authorize   O
the   O
CT   O
Scan   O
under   O
health   O
plan   O
53316   B-ID
.   O

Further   O
,   O
Anderson   B-NAME
was   O
advised   O
to   O
return   O
to   O
Emory   B-LOCATION
University   I-LOCATION
Orthopaedics   I-LOCATION
and   I-LOCATION
Spine   I-LOCATION
Hospital   I-LOCATION
ER   O
immediately   O
if   O
his   O
/   O
her   O
symptoms   O
subsided   O
or   O
worsened   O
.   O

Reach   O
-   O
out   O
Contact   O
Number   O
:   O
90146   B-CONTACT
Follow   O
-   O
up   O
Appointment   O
:   O
37/22/2183   B-DATE
Appointment   O
Doctor   O
:   O
Dr.   O
Ho   B-NAME
A   O
notice   O
was   O
sent   O
to   O
Harran   B-NAME
's   O
address   O
at   O
West   B-LOCATION
Unity   I-LOCATION
,   O
72427   B-LOCATION
about   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

Lastly   O
,   O
the   O
records   O
of   O
this   O
diagnosis   O
have   O
been   O
updated   O
under   O
Linda   B-NAME
Freeman   I-NAME
's   O
user   O
profile   O
,   O
username   O
:   O
AI653   B-NAME
for   O
further   O
monitoring   O
and   O
reference   O
.   O

Additional   O
Remarks   O
:   O
The   O
patient   O
Abby   B-NAME
Pham   I-NAME
is   O
currently   O
working   O
as   O
a   O
Clinical   O
,   O
Counseling   O
,   O
and   O
School   O
Psychologists   O
which   O
may   O
require   O
certain   O
adjustments   O
in   O
his   O
routine   O
if   O
surgery   O
is   O
required   O
.   O

Prepared   O
by   O
:   O
Dr.   O
Sosa   B-NAME

Patient   O
Details   O
:   O
Patient   O
name   O
:   O
Nobles   B-NAME
Age   O
:   O
22   O
Medical   O
Record   O
Number   O
:   O
778   B-ID
-   I-ID
98   I-ID
-   I-ID
82   I-ID
-   I-ID
6   I-ID
Hospital   O
:   O
Spring   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Consultation   O
Details   O
:   O
March   B-DATE
-   O
Toccara   B-NAME
Socha   I-NAME
was   O
consulted   O
at   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Denton   I-LOCATION
by   O
Dr.   O
Erickson   B-NAME
.   O

Cathy   B-NAME
Martin   I-NAME
works   O
as   O
a   O
Training   O
and   O
Development   O
Specialists   O
in   O
Michigan   B-LOCATION
Heritage   I-LOCATION
Bank   I-LOCATION
.   O

Martin   B-NAME
Arrowsmith   I-NAME
came   O
in   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
vomiting   O
,   O
and   O
dizziness   O
.   O

Diagnosis   O
:   O
After   O
an   O
examination   O
and   O
related   O
tests   O
,   O
Pauline   B-NAME
Ravelle   I-NAME
was   O
diagnosed   O
with   O
acute   O
Pancreatitis   O
.   O

Treatment   O
:   O
Immediate   O
treatment   O
started   O
on   O
8/02/2039   B-DATE
included   O
intravenous   O
fluids   O
,   O
pain   O
management   O
,   O
and   O
cessation   O
of   O
eating   O
&   O
drinking   O
to   O
allow   O
the   O
pancreas   O
to   O
recover   O
.   O

Johnathon   B-NAME
Mayo   I-NAME
was   O
also   O
put   O
on   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
2251   B-DATE
at   O
Rye   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

Emergency   O
Contact   O
Details   O
:   O
Contact   O
name   O
:   O
DI540   B-NAME
Phone   O
number   O
:   O
14817   B-CONTACT
Address   O
:   O
Fieldbrook   B-LOCATION
,   O
56176   B-LOCATION
Insurance   O
Details   O
:   O
Policy   O
ID   O
:   O
OT   B-ID
:   I-ID
BV:8733   I-ID
Provider   O
:   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Cootie   I-LOCATION
Note   O
:   O
If   O
Ali   B-NAME
,   I-NAME
Tariq   I-NAME
feels   O
severe   O
pain   O
,   O
experiences   O
jaundice   O
,   O
or   O
persistent   O
vomiting   O
,   O
they   O
're   O
advised   O
to   O
contact   O
Dr.   O
Bright   B-NAME
immediately   O
,   O
or   O
visit   O
Johnston   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
ER   O
.   O

Signed   O
,   O
Guerrero   B-NAME
,   O
Deaconess   B-LOCATION
Incarnate   I-LOCATION
Word   I-LOCATION
Health   I-LOCATION
System   I-LOCATION

Patient   O
Report   O
:   O
Angel   B-NAME
Glover   I-NAME
was   O
referred   O
to   O
the   O
outpatient   O
department   O
of   O
Dallas   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

Rocky   B-NAME
is   O
a   O
Operations   O
Research   O
Analysts   O
and   O
complained   O
of   O
persistent   O
pain   O
in   O
the   O
lower   O
back   O
for   O
the   O
past   O
one   O
month   O
.   O

Joey   B-NAME
Hensley   I-NAME
's   O
preliminary   O
examination   O
was   O
done   O
by   O
Bonilla   B-NAME
on   O
12/20   B-DATE
.   O

Radiological   O
investigations   O
have   O
been   O
suggested   O
by   O
Gephardt   B-NAME
,   I-NAME
Dick   I-NAME
including   O
X   O
-   O
ray   O
Lumbosacral   O
spine   O
AP   O
and   O
Lateral   O
view   O
.   O

Taken   O
into   O
account   O
the   O
patient   O
's   O
39   O
,   O
Bates   B-NAME
has   O
informed   O
him   O
about   O
the   O
probability   O
of   O
Lumbar   O
spondylosis   O
.   O

Silva   B-NAME
's   O
vitals   O
were   O
recorded   O
as   O
-   O
Temperature   O
:   O
99.4   O
°   O
F   O
,   O
Pulse   O
rate   O
:   O
80bpm   O
,   O
Respiratory   O
rate   O
:   O
15   O
breaths   O
per   O
minute   O
,   O
Blood   O
pressure   O
:   O
130/85mmHg   O
.   O

Craig   B-NAME
Solis   I-NAME
's   O
emergency   O
contact   O
details   O
include   O
800   B-CONTACT
9965   I-CONTACT
and   O
resides   O
at   O
Battle   B-LOCATION
Creek   I-LOCATION
,   O
with   O
the   O
zip   O
code   O
44133   B-LOCATION
.   O

This   O
appointment   O
was   O
scheduled   O
through   O
the   O
Irish   B-LOCATION
Municipal   I-LOCATION
,   I-LOCATION
Public   I-LOCATION
and   I-LOCATION
Civil   I-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
portal   O
,   O
with   O
sqd957   B-NAME
as   O
his   O
login   O
details   O
.   O

Leonarda   B-NAME
's   O
medical   O
records   O
are   O
to   O
be   O
updated   O
in   O
the   O
66078387   B-ID
database   O
.   O

Furthermore   O
,   O
noting   O
down   O
the   O
46600304   B-ID
number   O
for   O
future   O
reference   O
is   O
suggested   O
.   O

Please   O
remind   O
the   O
patient   O
to   O
carry   O
his   O
LI   B-ID
:   I-ID
VH:7310   I-ID
for   O
all   O
future   O
appointments   O
at   O
Lilypad   B-LOCATION
Gardens   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
above   O
mentioned   O
is   O
summarised   O
from   O
Hays   B-NAME
's   O
notes   O
dated   O
2089   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
02   I-DATE
.   O

Patient   O
Report   O
-   O
492   B-ID
-   I-ID
84   I-ID
-   I-ID
28   I-ID
-   I-ID
7   I-ID
1   O
.   O

Patient   O
's   O
Name   O
:   O
Ralph   B-NAME
Chambers   I-NAME
2   O
.   O

Address   O
:   O
Brownsdale   B-LOCATION
,   O
55946   B-LOCATION
4   O
.   O
ID   O
:   O
10   B-ID
-   I-ID
9939346   I-ID
5   O
.   O

Date   O
of   O
Admission   O
:   O
29/12   B-DATE
The   O
aforementioned   O
patient   O
,   O
Yosef   B-NAME
Ullrich   I-NAME
,   O
came   O
in   O
for   O
a   O
standard   O
check   O
-   O
up   O
at   O
Resolute   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
on   O
16/33   B-DATE
.   O

Jasmine   B-NAME
Morse   I-NAME
reported   O
having   O
recurring   O
bouts   O
of   O
severe   O
headaches   O
for   O
the   O
past   O
two   O
weeks   O
along   O
with   O
instances   O
of   O
dizziness   O
and   O
nausea   O
.   O

The   O
patient   O
was   O
evaluated   O
by   O
Haley   B-NAME
,   O
Neurologist   O
at   O
the   O
facility   O
.   O

Upon   O
interviewing   O
Yesenia   B-NAME
Roy   I-NAME
,   O
Hodge   B-NAME
gathered   O
that   O
the   O
patient   O
works   O
as   O
a   O
Physical   O
Scientists   O
,   O
All   O
Other   O
,   O
which   O
involves   O
prolonged   O
working   O
hours   O
and   O
high   O
-   O
stress   O
environments   O
.   O

It   O
was   O
also   O
shared   O
that   O
Grimes   B-NAME
had   O
recently   O
recovered   O
from   O
a   O
bout   O
of   O
influenza   O
.   O

During   O
physical   O
examination   O
,   O
Ken   B-NAME
Sylvester   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
.   O

However   O
,   O
more   O
tests   O
are   O
to   O
be   O
conducted   O
for   O
precise   O
diagnosis   O
and   O
hence   O
,   O
an   O
MRI   O
scan   O
of   O
the   O
brain   O
has   O
been   O
scheduled   O
for   O
29/22   B-DATE
.   O

The   O
radiology   O
appointment   O
for   O
Angel   B-NAME
Meza   I-NAME
has   O
been   O
confirmed   O
for   O
Spring   B-DATE
2278   I-DATE
at   O
Cox   B-LOCATION
Branson   I-LOCATION
.   O

A   O
reminder   O
has   O
been   O
set   O
to   O
call   O
the   O
patient   O
at   O
401   B-CONTACT
6094   I-CONTACT
a   O
day   O
prior   O
to   O
the   O
scheduled   O
appointment   O
.   O

Post   O
scan   O
,   O
Anna   B-NAME
Cannon   I-NAME
plans   O
to   O
review   O
the   O
results   O
and   O
consider   O
possible   O
treatment   O
options   O
including   O
vestibular   O
rehabilitation   O
therapy   O
or   O
medication   O
.   O

On   O
25/23/42   B-DATE
,   O
Eve   B-NAME
Agius   I-NAME
will   O
be   O
contacted   O
for   O
follow   O
-   O
up   O
and   O
discussion   O
on   O
further   O
management   O
plan   O
.   O

Hospital   O
administration   O
will   O
mail   O
the   O
details   O
of   O
the   O
appointment   O
and   O
contact   O
to   O
Maribel   B-NAME
Salazar   I-NAME
’s   O
address   O
at   O
Leto   B-LOCATION
.   O

For   O
any   O
queries   O
or   O
updates   O
,   O
Estes   B-NAME
can   O
contact   O
Virginia   B-LOCATION
Mason   I-LOCATION
Memorial   I-LOCATION
administration   O
by   O
phone   O
on   O
625   B-CONTACT
-   I-CONTACT
2695   I-CONTACT
or   O
by   O
email   O
at   O
sso436   B-NAME
@   O
Northwestern   B-LOCATION
Mutual   I-LOCATION
.com   O
.   O

We   O
hope   O
for   O
Dennis   B-NAME
Dean   I-NAME
’s   O
quick   O
recovery   O
.   O

This   O
electronic   O
health   O
record   O
will   O
be   O
updated   O
again   O
post   O
next   O
appointment   O
on   O
05/23   B-DATE
as   O
per   O
the   O
inputs   O
from   O
Smith   B-NAME
,   I-NAME
Margaret   I-NAME
Chase   I-NAME
.   O

Report   O
:   O
Ruba   B-NAME
Neil   I-NAME
presented   O
to   O
NCH   B-LOCATION
North   I-LOCATION
Naples   I-LOCATION
Hospital   I-LOCATION
on   O
34/30/2344   B-DATE
.   O

The   O
patient   O
is   O
a   O
Insurance   O
Claims   O
and   O
Policy   O
Processing   O
Clerks   O
and   O
is   O
75   O
years   O
of   O
age   O
residing   O
in   O
Haddonfield   B-LOCATION
.   O

The   O
case   O
was   O
undertaken   O
under   O
the   O
direct   O
supervision   O
of   O
Dr.   O
Novak   B-NAME
.   O

Arafat   B-NAME
,   I-NAME
Yasser   I-NAME
reported   O
progressive   O
dyspnea   O
,   O
increasing   O
fatigue   O
,   O
and   O
mild   O
chest   O
discomfort   O
for   O
the   O
past   O
two   O
weeks   O
.   O

An   O
ECG   O
and   O
chest   O
X   O
-   O
ray   O
were   O
ordered   O
by   O
Dr.   O
Santos   B-NAME
.   O

X   O
-   O
ray   O
showed   O
an   O
increase   O
in   O
heart   O
size   O
compared   O
to   O
the   O
report   O
dated   O
22/18/2361   B-DATE
in   O
Eluard   B-NAME
,   I-NAME
Paul   I-NAME
's   O
file   O
(   O
MR   O
:   O
69582766   B-ID
)   O
suggesting   O
cardiac   O
edema   O
.   O

Dr.   O
Castaneda   B-NAME
reckons   O
that   O
diuretics   O
could   O
help   O
alleviate   O
the   O
symptoms   O
.   O

His   O
medication   O
regimen   O
,   O
reviewed   O
last   O
time   O
on   O
22/02   B-DATE
,   O
involves   O
Lisinopril   O
,   O
Carvedilol   O
,   O
and   O
Spironolactone   O
.   O

Dr.   O
Gentry   B-NAME
plans   O
to   O
add   O
loop   O
diuretics   O
to   O
his   O
current   O
pharmacotherapy   O
and   O
closely   O
monitor   O
renal   O
function   O
and   O
electrolytes   O
.   O

Valdez   B-NAME
is   O
scheduled   O
for   O
the   O
next   O
follow   O
-   O
up   O
visit   O
on   O
35/34/14   B-DATE
.   O

For   O
any   O
health   O
-   O
related   O
issues   O
prior   O
to   O
this   O
date   O
,   O
Emilee   B-NAME
Blankenbaker   I-NAME
can   O
reach   O
out   O
to   O
the   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Cherry   I-LOCATION
Hill   I-LOCATION
on   O
845   B-CONTACT
8972   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
me   O
kr234   B-NAME
and   O
was   O
finalized   O
on   O
Jun   B-DATE
9th   I-DATE
.   O

The   O
report   O
is   O
stored   O
under   O
Brycen   B-NAME
Holder   I-NAME
's   O
electronic   O
health   O
record   O
with   O
access   O
ID   O
5   B-ID
-   I-ID
4889660   I-ID
for   O
reference   O
at   O
Spalding   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Saffron   B-LOCATION
Walden   I-LOCATION
,   O
82550   B-LOCATION
.   O

We   O
also   O
intimated   O
the   O
American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
the   I-LOCATION
Prevention   I-LOCATION
of   I-LOCATION
Cruelty   I-LOCATION
to   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
ASPCA   I-LOCATION
)   I-LOCATION
about   O
his   O
health   O
changes   O
as   O
required   O
.   O

Patient   O
Name   O
:   O
Trevino   B-NAME
Age   O
:   O
97   O
Date   O
:   O
23   B-DATE
-   I-DATE
00   I-DATE
Symptoms   O
:   O
The   O
Leo   B-NAME
Pierce   I-NAME
who   O
is   O
61s   O
years   O
old   O
,   O
reported   O
experiencing   O
sudden   O
,   O
vigorous   O
,   O
and   O
consistent   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
(   O
RLQ   O
)   O
of   O
the   O
abdomen   O
for   O
the   O
past   O
five   O
hours   O
.   O

The   O
HARRIET   B-NAME
XIA   I-NAME
also   O
reported   O
that   O
the   O
pain   O
started   O
around   O
the   O
umbilicus   O
and   O
then   O
migrated   O
to   O
the   O
RLQ   O
.   O

The   O
Mannheim   B-NAME
,   I-NAME
Karl   I-NAME
appears   O
pale   O
with   O
cold   O
and   O
clammy   O
skin   O
indicating   O
circulatory   O
collapse   O
.   O

The   O
Cadence   B-NAME
Aguirre   I-NAME
's   O
medical   O
record   O
(   O
356   B-ID
-   I-ID
05   I-ID
-   I-ID
12   I-ID
)   O
shows   O
no   O
history   O
of   O
similar   O
disease   O
.   O

The   O
Jacqueline   B-NAME
Yoder   I-NAME
works   O
as   O
a   O
Floor   O
Layers   O
,   O
Except   O
Carpet   O
,   O
Wood   O
,   O
and   O
Hard   O
Tiles   O
at   O
Duke   B-LOCATION
Energy   I-LOCATION
Florida   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Duke   I-LOCATION
Energy   I-LOCATION
,   O
located   O
in   O
Grimes   B-LOCATION
,   O
and   O
informed   O
us   O
that   O
they   O
have   O
health   O
insurance   O
(   O
Policy   O
10   B-ID
-   I-ID
1344407   I-ID
)   O
.   O

The   O
Luz   B-NAME
Eddy   I-NAME
was   O
admitted   O
to   O
the   O
Methodist   B-LOCATION
South   I-LOCATION
Hospital   I-LOCATION
and   O
underwent   O
detailed   O
examination   O
under   O
Dr.   O
Horton   B-NAME
.   O

They   O
have   O
been   O
scheduled   O
to   O
discuss   O
surgery   O
procedures   O
on   O
00/31   B-DATE
.   O

In   O
the   O
meantime   O
,   O
the   O
Oscar   B-NAME
G.   I-NAME
Gregory   I-NAME
has   O
been   O
given   O
effective   O
analgesics   O
to   O
manage   O
the   O
pain   O
and   O
appropriate   O
antibiotics   O
to   O
prevent   O
infectious   O
complications   O
due   O
to   O
possible   O
perforation   O
or   O
abscess   O
formation   O
.   O

The   O
Tchaikovsky   B-NAME
,   I-NAME
Pyotr   I-NAME
Ilyich   I-NAME
's   O
emergency   O
contact   O
is   O
their   O
spouse   O
,   O
phone   O
number   O
(   B-CONTACT
939   I-CONTACT
)   I-CONTACT
546   I-CONTACT
7421   I-CONTACT
.   O

This   O
person   O
lives   O
with   O
the   O
patient   O
in   O
Le   B-LOCATION
Mars   I-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Le   I-LOCATION
Mars   I-LOCATION
with   O
the   O
ZIP   O
code   O
of   O
13082   B-LOCATION
.   O

A   O
detailed   O
report   O
of   O
the   O
Caroll   B-NAME
Gannon   I-NAME
's   O
condition   O
will   O
be   O
sent   O
to   O
them   O
via   O
their   O
provided   O
email   O
,   O
xl182   B-NAME
@   O
Chinese   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
Taipei   I-LOCATION
)   I-LOCATION
(   I-LOCATION
CSLT)   I-LOCATION
.com   O
.   O

After   O
the   O
operation   O
,   O
scheduled   O
on   O
4/0   B-DATE
,   O
the   O
Odakota   B-NAME
was   O
advised   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Dr.   O
Kirby   B-NAME
at   O
John   B-LOCATION
D.   I-LOCATION
Archbold   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
after   O
two   O
weeks   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Detailed   O
examination   O
results   O
as   O
well   O
as   O
surgery   O
outcomes   O
will   O
be   O
recorded   O
in   O
the   O
Kristina   B-NAME
Pineda   I-NAME
's   O
medical   O
record   O
819   B-ID
-   I-ID
65   I-ID
-   I-ID
67   I-ID
-   I-ID
7   I-ID
for   O
future   O
references   O
.   O

Patient   O
Frankie   B-NAME
Farmer   I-NAME
was   O
admitted   O
to   O
Raulerson   B-LOCATION
Hospital   I-LOCATION
on   O
01/07   B-DATE
.   O

Dr.   O
Abigail   B-NAME
Wright   I-NAME
was   O
the   O
attending   O
cardiologist   O
for   O
Emanuel   B-NAME
Cabrera   I-NAME
.   O

The   O
patient   O
's   O
ID   O
number   O
is   O
AS   B-ID
:   I-ID
NA:9561   I-ID
.   O

The   O
Fort   B-LOCATION
Worth   I-LOCATION
patient   O
was   O
immediately   O
put   O
on   O
a   O
continuous   O
monitoring   O
system   O
.   O

The   O
nursing   O
staff   O
of   O
Florida   B-LOCATION
Hospital   I-LOCATION
East   I-LOCATION
Orlando   I-LOCATION
recorded   O
the   O
progress   O
in   O
medical   O
record   O
number   O
20254552   B-ID
.   O

The   O
patient   O
's   O
wife   O
was   O
contacted   O
through   O
the   O
emergency   O
contact   O
number   O
27274   B-CONTACT
.   O

The   O
patient   O
's   O
employer   O
,   O
Independent   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Ireland   I-LOCATION
,   O
was   O
also   O
notified   O
about   O
the   O
sudden   O
illness   O
.   O

Several   O
samples   O
were   O
sent   O
to   O
the   O
medical   O
lab   O
in   O
Bear   B-LOCATION
Lake   I-LOCATION
for   O
further   O
analysis   O
.   O

The   O
situation   O
was   O
deemed   O
severe   O
,   O
and   O
the   O
patient   O
was   O
admitted   O
to   O
the   O
Intensive   O
Cardiac   O
Care   O
Unit   O
by   O
Dr.   O
Romero   B-NAME
.   O

The   O
healthcare   O
team   O
decided   O
on   O
an   O
Angiography   O
on   O
23/49   B-DATE
.   O

A   O
stent   O
insertion   O
was   O
successfully   O
conducted   O
by   O
Dr.   O
Leonel   B-NAME
Stephens   I-NAME
on   O
02/17   B-DATE
.   O

Echeverria   B-NAME
was   O
discharged   O
from   O
Genesis   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Davenport   I-LOCATION
on   O
11/10   B-DATE
with   O
a   O
prescription   O
for   O
medications   O
including   O
beta   O
-   O
blockers   O
and   O
statins   O
.   O

The   O
appointment   O
details   O
were   O
sent   O
to   O
po457   B-NAME
for   O
coordination   O
.   O

The   O
patient   O
’s   O
home   O
address   O
was   O
confirmed   O
as   O
Marked   B-LOCATION
Tree   I-LOCATION
,   O
31140   B-LOCATION
for   O
sending   O
the   O
medical   O
bills   O
and   O
future   O
correspondence   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Sarven   B-NAME
,   I-NAME
Allen   I-NAME
The   O
patient   O
,   O
Mark   B-NAME
Diamond   I-NAME
,   O
a   O
Public   O
affairs   O
consultant   O
(   O
research   O
)   O
of   O
11   O
years   O
presented   O
to   O
the   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
20/12   B-DATE
.   O

The   O
attending   O
physician   O
,   O
Jaylon   B-NAME
Faulkner   I-NAME
,   O
ordered   O
a   O
few   O
tests   O
which   O
were   O
conducted   O
in   O
the   O
medical   O
lab   O
at   O
Burns   B-LOCATION
Flat   I-LOCATION
.   O

Patient   O
’s   O
4835921   B-ID
revealed   O
reduced   O
hemoglobin   O
,   O
and   O
upon   O
physical   O
examination   O
,   O
the   O
doctor   O
felt   O
firm   O
,   O
non   O
-   O
tender   O
abdominal   O
masses   O
.   O

The   O
patient   O
provided   O
their   O
VJ177/3799   B-ID
for   O
necessary   O
identification   O
purposes   O
.   O

The   O
patient   O
further   O
provided   O
their   O
home   O
address   O
,   O
which   O
is   O
located   O
in   O
the   O
vicinity   O
of   O
39980   B-LOCATION
.   O

Further   O
contact   O
details   O
provided   O
by   O
the   O
patient   O
include   O
a   O
home   O
(   B-CONTACT
200   I-CONTACT
)   I-CONTACT
416   I-CONTACT
-   I-CONTACT
8319   I-CONTACT
number   O
and   O
the   O
patient   O
's   O
WW255   B-NAME
for   O
the   O
hospital   O
's   O
online   O
portal   O
,   O
which   O
might   O
come   O
in   O
handy   O
for   O
remote   O
consultation   O
and   O
follow   O
-   O
ups   O
.   O

Relevant   O
medical   O
history   O
was   O
obtained   O
from   O
the   O
patient   O
's   O
previous   O
medical   O
provider   O
,   O
Human   B-LOCATION
Rights   I-LOCATION
First   I-LOCATION
.   O

These   O
documents   O
were   O
delivered   O
securely   O
through   O
a   O
fax   O
machine   O
and   O
were   O
received   O
on   O
3/21   B-DATE
.   O

The   O
patient   O
was   O
further   O
scheduled   O
for   O
a   O
series   O
of   O
consultations   O
with   O
Jaqueline   B-NAME
Hartman   I-NAME
at   O
Flowers   B-LOCATION
Hospital   I-LOCATION
,   O
based   O
on   O
their   O
comfort   O
.   O

Further   O
updates   O
on   O
Antony   B-NAME
Macias   I-NAME
health   O
progression   O
will   O
be   O
provided   O
in   O
subsequent   O
reports   O
.   O

Patient   O
:   O
Kaelem   B-NAME
Age   O
:   O
78   O
Medical   O
Record   O
:   O
8945649   B-ID
Location   O
:   O
Mortons   B-LOCATION
Gap   I-LOCATION
ID   O
:   O
663895   B-ID
Phone   O
:   O
96652   B-CONTACT
Professional   O
:   O
Curator   O
Username   O
:   O
htx587   B-NAME
Zip   O
:   O
98954   B-LOCATION
Report   O
:   O
Ali   B-NAME
,   I-NAME
Muhammad   I-NAME
,   O
a   O
60s   O
year   O
old   O
,   O
presented   O
to   O
our   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Portage   I-LOCATION
on   O
October   B-DATE
27   I-DATE
with   O
concerns   O
about   O
persistent   O
fatigue   O
,   O
weight   O
loss   O
,   O
and   O
shortness   O
of   O
breath   O
for   O
over   O
a   O
month   O
.   O

The   O
patient   O
works   O
as   O
a   O
Environmental   O
Restoration   O
Planners   O
at   O
Toronto   B-LOCATION
PET   I-LOCATION
Users   I-LOCATION
Group   I-LOCATION
(   I-LOCATION
TPUG   I-LOCATION
)   I-LOCATION
in   O
Englewood   B-LOCATION
,   I-LOCATION
Englewood   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
.   O

Given   O
this   O
patient   O
's   O
age   O
and   O
persistent   O
symptoms   O
,   O
further   O
examination   O
was   O
advised   O
by   O
Dr.   O
Bronson   B-NAME
Sanders   I-NAME
for   O
the   O
possible   O
presence   O
of   O
gastrointestinal   O
malignancies   O
.   O

Soto   B-NAME
scheduled   O
an   O
upper   O
endoscopy   O
and   O
colonoscopy   O
for   O
the   O
patient   O
on   O
19/20   B-DATE
.   O

Cadence   B-NAME
Barton   I-NAME
was   O
instructed   O
to   O
reach   O
out   O
at   O
294   B-CONTACT
-   I-CONTACT
6821   I-CONTACT
to   O
register   O
for   O
the   O
procedures   O
under   O
patient   O
ID   O
UC   B-ID
:   I-ID
RF:7149   I-ID
in   O
the   O
Osawatomie   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Osawatomie   I-LOCATION
system   O
.   O

The   O
lab   O
results   O
accessed   O
through   O
bc54   B-NAME
indicated   O
that   O
the   O
patient   O
's   O
hemoglobin   O
level   O
was   O
8.6   O
g   O
/   O
dL   O
,   O
much   O
lower   O
than   O
the   O
normal   O
range   O
of   O
13.5–17.5   O
g   O
/   O
dL   O
for   O
men   O
and   O
12.0–15.5   O
g   O
/   O
dL   O
for   O
women   O
.   O

The   O
patient   O
expressed   O
concern   O
about   O
the   O
results   O
and   O
was   O
recommended   O
to   O
seek   O
counseling   O
services   O
available   O
in   O
the   O
Emory   B-LOCATION
Johns   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
biopsy   O
results   O
on   O
January   B-DATE
showed   O
the   O
presence   O
of   O
malignant   O
cells   O
in   O
the   O
lower   O
gastrointestinal   O
tract   O
,   O
indicating   O
stage   O
II   O
colon   O
cancer   O
.   O

The   O
oncology   O
team   O
was   O
immediately   O
informed   O
and   O
a   O
series   O
of   O
chemotherapy   O
sessions   O
were   O
scheduled   O
for   O
the   O
patient   O
starting   O
on   O
22/23   B-DATE
.   O

We   O
have   O
also   O
requested   O
prior   O
medical   O
records   O
from   O
the   O
patient   O
's   O
family   O
physician   O
who   O
is   O
currently   O
practicing   O
at   O
the   O
Conejos   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
62052   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Nico   B-NAME
Haney   I-NAME
was   O
admitted   O
to   O
the   O
Summit   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Rockland   I-LOCATION
County   I-LOCATION
Infirmary   I-LOCATION
on   O
26/10   B-DATE
.   O

He   O
is   O
a   O
Conveyor   O
Operators   O
and   O
Tenders   O
residing   O
at   O
Delta   B-LOCATION
,   O
69484   B-LOCATION
.   O

At   O
around   O
11   O
a.m.   O
on   O
2209   B-DATE
,   O
he   O
first   O
noticed   O
a   O
dull   O
ache   O
that   O
gradually   O
grew   O
in   O
intensity   O
.   O

Ursula   B-NAME
Toth   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
,   O
and   O
his   O
family   O
history   O
reveals   O
his   O
father   O
had   O
similar   O
symptoms   O
at   O
his   O
age   O
.   O

He   O
was   O
referred   O
by   O
Donne   B-NAME
,   I-NAME
John   I-NAME
after   O
an   O
initial   O
over   O
-   O
the   O
-   O
phone   O
consultation   O
at   O
(   B-CONTACT
930   I-CONTACT
)   I-CONTACT
704   I-CONTACT
-   I-CONTACT
7523   I-CONTACT
.   O

As   O
per   O
Esparza   B-NAME
's   O
advice   O
,   O
Datherine   B-NAME
was   O
admitted   O
for   O
further   O
examination   O
.   O

Upon   O
clinical   O
examination   O
,   O
it   O
was   O
found   O
that   O
there   O
were   O
no   O
signs   O
of   O
trauma   O
or   O
injury   O
following   O
the   O
ID   O
check   O
LV:17169:246905   B-ID
.   O

He   O
was   O
further   O
diagnosed   O
using   O
computerized   O
tomography   O
(   O
CT   O
)   O
scan   O
and   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
,   O
with   O
results   O
expected   O
by   O
04/28   B-DATE
.   O

The   O
patient   O
's   O
ID   O
for   O
these   O
tests   O
is   O
47747787   B-ID
.   O

Barry   B-NAME
's   O
initial   O
blood   O
reports   O
indicate   O
an   O
increase   O
in   O
the   O
white   O
blood   O
cell   O
count   O
,   O
suggesting   O
an   O
underlying   O
infection   O
.   O

Sartre   B-NAME
,   I-NAME
Jean   I-NAME
-   I-NAME
Paul   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Quintilian   B-NAME
,   I-NAME
Marcus   I-NAME
Fabius   I-NAME
on   O
09/69   B-DATE
after   O
discharge   O
.   O

As   O
part   O
of   O
our   O
ongoing   O
medical   O
research   O
at   O
Independent   B-LOCATION
Bankers   I-LOCATION
'   I-LOCATION
Bank   I-LOCATION
,   O
we   O
would   O
like   O
to   O
continue   O
monitoring   O
Abel   B-NAME
's   O
progress   O
post   O
-   O
discharge   O
.   O

The   O
responsible   O
party   O
for   O
this   O
study   O
is   O
Dr.   O
Baxter   B-NAME
,   O
who   O
can   O
be   O
reached   O
via   O
the   O
main   O
hospital   O
line   O
at   O
255   B-CONTACT
1574   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
uow796   B-NAME
and   O
finalised   O
on   O
March   B-DATE
.   O

Patient   O
Name   O
:   O
Rikki   B-NAME
Rierson   I-NAME
Date   O
of   O
Admission   O
:   O
08/03   B-DATE
ID   O
:   O
DP:981050:961425   B-ID
Location   O
:   O
Fresh   B-LOCATION
Meadows   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
11365   I-LOCATION
Admission   O
Number   O
:   O
2233795   B-ID
Hofstadter   B-NAME
,   I-NAME
Richard   I-NAME
was   O
admitted   O
to   O
Sarasota   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
00/26/2199   B-DATE
complaining   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
.   O

Upon   O
physical   O
examination   O
by   O
Owens   B-NAME
,   O
the   O
patient   O
was   O
anxious   O
but   O
cooperated   O
.   O

A   O
CT   O
scan   O
was   O
recommended   O
by   O
Hale   B-NAME
and   O
was   O
performed   O
on   O
3/02   B-DATE
in   O
the   O
Radiology   O
Department   O
of   O
Knox   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Deborah   B-NAME
N.   I-NAME
Hooper   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
subsequently   O
consented   O
to   O
the   O
procedure   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
,   O
who   O
works   O
as   O
a   O
Funeral   O
Service   O
Managers   O
in   O
Nevada   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
and   O
lives   O
in   O
Loring   B-LOCATION
with   O
zip   O
code   O
46962   B-LOCATION
,   O
was   O
contacted   O
at   O
258   B-CONTACT
460   I-CONTACT
-   I-CONTACT
2376   I-CONTACT
to   O
be   O
informed   O
about   O
the   O
surgical   O
plan   O
.   O

The   O
patient   O
was   O
successfully   O
operated   O
upon   O
by   O
Paris   B-NAME
Krueger   I-NAME
on   O
October   B-DATE
21   I-DATE
,   I-DATE
2393   I-DATE
.   O

Ebert   B-NAME
was   O
discharged   O
on   O
2011   B-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
.   O

He   O
was   O
advised   O
to   O
reach   O
out   O
to   O
contact   O
the   O
hospital   O
at   O
988   B-CONTACT
613   I-CONTACT
4373   I-CONTACT
or   O
MD36   B-NAME
if   O
any   O
symptoms   O
developed   O
in   O
the   O
interim   O
.   O

Doctor   O
's   O
Signature   O
:   O
Moriah   B-NAME
Ayers   I-NAME
06/29   B-DATE

Patient   O
Name   O
:   O
Kosevich   B-NAME
Date   O
:   O
3/22   B-DATE
Physician   O
:   O
Graham   B-NAME
,   I-NAME
Paul   I-NAME
Location   O
:   O

Normandy   B-LOCATION
Park   I-LOCATION
Medical   O
Record   O
:   O
958   B-ID
-   I-ID
50   I-ID
-   I-ID
11   I-ID
-   I-ID
5   I-ID
ID   O
:   O
HD   B-ID
:   I-ID
DX:4643   I-ID
Report   O
:   O

Delarosa   B-NAME
is   O
a   O
8   O
week   O
year   O
old   O
who   O
presented   O
to   O
Freeman   B-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
.   O

Dixie   B-NAME
Miranda   I-NAME
was   O
admitted   O
on   O
09/67   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Johnston   B-NAME
also   O
reports   O
an   O
onset   O
of   O
nausea   O
and   O
vomiting   O
over   O
the   O
past   O
8   O
hours   O
.   O

Oliver   B-NAME
Oates   I-NAME
works   O
as   O
a   O
Musicians   O
,   O
Instrumental   O
at   O
Frontier   B-LOCATION
Bank   I-LOCATION
.   O

Based   O
on   O
the   O
symptoms   O
,   O
Morton   B-NAME
ordered   O
an   O
immediate   O
abdominal   O
ultrasound   O
which   O
confirmed   O
the   O
presence   O
of   O
a   O
swollen   O
appendix   O
.   O

Arturo   B-NAME
Velazquez   I-NAME
was   O
immediately   O
scheduled   O
for   O
an   O
emergent   O
appendectomy   O
.   O

Surgery   O
took   O
place   O
on   O
1/21   B-DATE
at   O
Maria   B-LOCATION
Fareri   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Westchester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Farley   B-NAME
.   O

GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
and   O
they   O
were   O
discharged   O
on   O
05/20   B-DATE
.   O
Rehnquist   B-NAME
,   I-NAME
William   I-NAME
's   O
direct   O
contact   O
number   O
is   O
539   B-CONTACT
-   I-CONTACT
6168   I-CONTACT
and   O
they   O
reside   O
at   O
Marathon   B-LOCATION
,   O
30127   B-LOCATION
.   O

They   O
can   O
be   O
reached   O
by   O
their   O
username   O
,   O
VA841   B-NAME
.   O

Treatment   O
plan   O
and   O
post   O
-   O
operative   O
care   O
instructions   O
were   O
thoroughly   O
discussed   O
with   O
Hoover   B-NAME
.   O

Armando   B-NAME
Norris   I-NAME
agreed   O
to   O
adhere   O
to   O
the   O
post   O
-   O
operative   O
plan   O
,   O
which   O
includes   O
rest   O
,   O
proper   O
diet   O
,   O
and   O
wound   O
care   O
to   O
ensure   O
optimum   O
recovery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
on   O
18/02/2382   B-DATE
at   O
Grace   B-NAME
Devlin   I-NAME
's   O
office   O
in   O
Eugene   B-LOCATION
.   O

Patient   O
:   O
Giovani   B-NAME
Montes   I-NAME
of   O
17   O
years   O
,   O
presented   O
with   O
a   O
complaint   O
of   O
recurrent   O
chest   O
pain   O
for   O
the   O
last   O
two   O
weeks   O
,   O
especially   O
after   O
meals   O
and   O
at   O
night   O
.   O

According   O
to   O
the   O
patient   O
's   O
medical   O
history   O
ID   O
DJ   B-ID
:   I-ID
AT:5781   I-ID
,   O
this   O
problem   O
began   O
as   O
a   O
dull   O
ache   O
and   O
gradually   O
escalated   O
in   O
intensity   O
.   O

Physical   O
Examination   O
:   O
On   O
our   O
comprehensive   O
physical   O
examination   O
carried   O
out   O
by   O
Dr.   O
Hubbard   B-NAME
,   I-NAME
L.   I-NAME
Ron   I-NAME
on   O
April   B-DATE
2   I-DATE
,   O
it   O
was   O
noted   O
that   O
the   O
patient   O
appeared   O
anxious   O
,   O
but   O
was   O
not   O
in   O
acute   O
distress   O
.   O

The   O
patient   O
's   O
previous   O
medical   O
record   O
number   O
155   B-ID
-   I-ID
75   I-ID
-   I-ID
45   I-ID
was   O
provided   O
for   O
reference   O
,   O
which   O
was   O
found   O
to   O
be   O
from   O
Northwestern   B-LOCATION
Medicine   I-LOCATION
Kishwaukee   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
further   O
evaluation   O
and   O
management   O
,   O
an   O
appointment   O
has   O
been   O
scheduled   O
at   O
our   O
cardiology   O
department   O
located   O
at   O
Ursine   B-LOCATION
,   O
36290   B-LOCATION
on   O
July   B-DATE
23   I-DATE
.   O

Additionally   O
,   O
the   O
patient   O
has   O
been   O
informed   O
to   O
call   O
at   O
this   O
74336   B-CONTACT
number   O
for   O
any   O
immediate   O
health   O
issues   O
.   O

The   O
patient   O
is   O
currently   O
working   O
at   O
International   B-LOCATION
Commission   I-LOCATION
of   I-LOCATION
Jurists   I-LOCATION
which   O
is   O
located   O
in   O
Bellevue   B-LOCATION
.   O

The   O
nurse   O
in   O
charge   O
of   O
his   O
case   O
is   O
UC297   B-NAME
.   O

Patient   O
Name   O
:   O
Alonso   B-NAME
Kounthapanya   I-NAME
Patient   O
ID   O
:   O
104895367   B-ID
DOB   O
:   O
2262   B-DATE
Age   O
:   O
72   O
Address   O
:   O
Lonetree   B-LOCATION
,   O
79076   B-LOCATION
Phone   O
:   O
583   B-CONTACT
-   I-CONTACT
7770   I-CONTACT
Medical   O
Record   O
Number   O
:   O
7211624   B-ID
Physician   O
:   O

Dr.   O
Melendez   B-NAME
Portsmouth   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Hospital   O
report   O
:   O
Upon   O
evaluation   O
on   O
00/20   B-DATE
,   O
the   O
patient   O
Damian   B-NAME
Bird   I-NAME
arrived   O
in   O
the   O
emergency   O
department   O
complaining   O
of   O
a   O
sudden   O
onset   O
of   O
sharp   O
chest   O
discomfort   O
that   O
started   O
earlier   O
in   O
the   O
day   O
.   O

The   O
patient   O
works   O
as   O
a   O
Gaming   O
and   O
Sports   O
Book   O
Writers   O
and   O
Runners   O
at   O
the   O
Mainstreet   B-LOCATION
Bank   I-LOCATION
and   O
confessed   O
a   O
history   O
of   O
smoking   O
for   O
over   O
10   O
years   O
.   O

He   O
was   O
admitted   O
to   O
the   O
Emory   B-LOCATION
Decatur   I-LOCATION
Hospital   I-LOCATION
,   O
where   O
he   O
will   O
undergo   O
coronary   O
angiography   O
tomorrow   O
.   O

He   O
was   O
started   O
on   O
intravenous   O
heparin   O
along   O
with   O
additional   O
medications   O
under   O
the   O
supervision   O
of   O
Dr.   O
Laurel   B-NAME
,   I-NAME
Stan   I-NAME
.   O

Note   O
prepared   O
by   O
:   O
gt478   B-NAME

Patient   O
Name   O
:   O
Lalabalavu   B-NAME
,   I-NAME
Ratu   I-NAME
Naiqama   I-NAME
Address   O
:   O
Silver   B-LOCATION
City   I-LOCATION
,   I-LOCATION
Silver   I-LOCATION
City   I-LOCATION
MainStreet   I-LOCATION
Project   I-LOCATION
Phone   O
:   O
(   B-CONTACT
356   I-CONTACT
)   I-CONTACT
374   I-CONTACT
-   I-CONTACT
5289   I-CONTACT
Age   O
:   O
85   O
ID   O
:   O
SC:100951:579379   B-ID
DOB   O
:   O

November   B-DATE
Medical   O
Record   O
Number   O
:   O
537   B-ID
-   I-ID
68   I-ID
-   I-ID
56   I-ID
-   I-ID
8   I-ID
Employer   O
:   O

Syndicracy   B-LOCATION
Spheres   I-LOCATION
Profession   O
:   O
Transit   O
and   O
Railroad   O
Police   O
Referring   O
physician   O
:   O
Klein   B-NAME
Hospital   O
:   O

Haywood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
visit   O
:   O
01/27   B-DATE
Report   O
for   O
the   O
consultation   O
on   O
9/01   B-DATE
.   O

The   O
patient   O
,   O
Karissa   B-NAME
Kerr   I-NAME
,   O
88   O
,   O
was   O
referred   O
by   O
Hugo   B-NAME
Greer   I-NAME
for   O
further   O
evaluation   O
of   O
reported   O
symptoms   O
.   O

Therefore   O
,   O
advised   O
to   O
undergo   O
complete   O
blood   O
count   O
,   O
electrolytes   O
,   O
liver   O
function   O
tests   O
,   O
inflammation   O
markers   O
and   O
Abdominal   O
ultrasound   O
in   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Keokuk   I-LOCATION
.   O

She   O
was   O
told   O
to   O
return   O
to   O
the   O
clinic   O
by   O
06/77   B-DATE
with   O
the   O
reports   O
.   O

Contact   O
number   O
for   O
report   O
confirmation   O
is   O
(   B-CONTACT
270   I-CONTACT
)   I-CONTACT
556   I-CONTACT
2562   I-CONTACT
.   O

In   O
case   O
of   O
exacerbation   O
of   O
the   O
current   O
symptoms   O
or   O
appearance   O
of   O
new   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
or   O
increased   O
frequency   O
of   O
bowel   O
movements   O
,   O
advised   O
to   O
visit   O
the   O
ER   O
or   O
contact   O
us   O
at   O
497   B-CONTACT
-   I-CONTACT
594   I-CONTACT
3505   I-CONTACT
.   O

Please   O
note   O
,   O
this   O
data   O
and   O
the   O
associated   O
medical   O
file   O
(   O
860   B-ID
-   I-ID
39   I-ID
-   I-ID
81   I-ID
-   I-ID
8   I-ID
)   O
is   O
protected   O
under   O
the   O
regulatory   O
requirements   O
of   O
the   O
American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Mass   I-LOCATION
Spectrometry   I-LOCATION
.   O

If   O
you   O
have   O
any   O
questions   O
or   O
need   O
further   O
clarification   O
,   O
please   O
contact   O
Dr.   O
Weeks   B-NAME
via   O
email   O
at   O
FI859   B-NAME
or   O
phone   O
at   O
369   B-CONTACT
-   I-CONTACT
3279   I-CONTACT
.   O

Your   O
cooperation   O
for   O
John   B-NAME
V.   I-NAME
Hood   I-NAME
's   O
health   O
is   O
greatly   O
appreciated   O
.   O

Sincerely   O
,   O
Franco   B-NAME
60655   B-LOCATION

Patient   O
Information   O
--------------------------   O
Patient   O
Name   O
:   O
Collin   B-NAME
Hawkins   I-NAME
Age   O
:   O
0s   O
Medical   O
Record   O
Number   O
:   O
583   B-ID
-   I-ID
35   I-ID
-   I-ID
82   I-ID
Physician   O
's   O
Note   O
--------------------------   O
21/33/11   B-DATE
During   O
the   O
consultation   O
today   O
with   O
Dr.   O
Blair   B-NAME
,   O
Ali   B-NAME
presented   O
with   O
severe   O
fatigue   O
and   O
weightloss   O
.   O

Adelaide   B-NAME
English   I-NAME
's   O
recent   O
medical   O
history   O
includes   O
a   O
diagnosis   O
of   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
insulin   O
and   O
a   O
controlled   O
diet   O
.   O

On   O
physical   O
examination   O
,   O
the   O
Jax   B-NAME
Payne   I-NAME
appeared   O
pallor   O
with   O
significant   O
loss   O
of   O
subcutaneous   O
fat   O
.   O

Initial   O
laboratory   O
data   O
from   O
Novato   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
indicated   O
low   O
hemoglobin   O
levels   O
.   O

The   O
glucose   O
tolerance   O
test   O
reports   O
have   O
come   O
back   O
from   O
the   O
People   B-LOCATION
&   I-LOCATION
Planet   I-LOCATION
lab   O
,   O
results   O
suggest   O
poor   O
glycemic   O
control   O
.   O

The   O
Moon   B-NAME
resides   O
in   O
Orinda   B-LOCATION
,   O
he   O
can   O
be   O
reached   O
at   O
96175   B-CONTACT
for   O
any   O
further   O
assistance   O
needed   O
.   O

Also   O
,   O
I   O
have   O
provided   O
ROSE   B-NAME
R.   I-NAME
WALSH   I-NAME
's   O
personal   O
ID   O
number   O
SF:97740:739646   B-ID
,   O
in   O
case   O
it   O
is   O
needed   O
for   O
further   O
references   O
.   O

Signed   O
off   O
,   O
Smith   B-NAME
,   I-NAME
Joseph   I-NAME
TO366   B-NAME
68166   B-LOCATION

Patient   O
Report   O
:   O
Trory   B-NAME
arrived   O
at   O
U   B-LOCATION
Mass   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Memorial   I-LOCATION
Campus   I-LOCATION
on   O
2106/19   B-DATE
.   O

He   O
has   O
been   O
on   O
a   O
course   O
of   O
antibiotics   O
prescribed   O
by   O
Dr.   O
Jaylee   B-NAME
Nichols   I-NAME
,   O
yet   O
the   O
fever   O
persisted   O
.   O

In   O
addition   O
,   O
ULLOA   B-NAME
,   I-NAME
MISTY   I-NAME
has   O
complained   O
of   O
a   O
generalized   O
headache   O
,   O
especially   O
around   O
the   O
forehead   O
region   O
,   O
for   O
the   O
past   O
3   O
days   O
.   O

The   O
patient   O
's   O
medical   O
history   O
revealed   O
that   O
he   O
had   O
traveled   O
to   O
Pin   B-LOCATION
Oak   I-LOCATION
Acres   I-LOCATION
around   O
a   O
month   O
ago   O
,   O
where   O
he   O
might   O
have   O
been   O
exposed   O
to   O
a   O
contagious   O
disease   O
.   O

The   O
record   O
as   O
per   O
his   O
ID   O
0   B-ID
-   I-ID
3023277   I-ID
also   O
noted   O
an   O
incidence   O
of   O
Malaria   O
two   O
years   O
back   O
.   O

Olszewski   B-NAME
is   O
a   O
businessman   O
by   O
Cooks   O
,   O
Restaurant   O
and   O
has   O
no   O
prior   O
significant   O
history   O
of   O
any   O
chronic   O
diseases   O
.   O

A   O
series   O
of   O
tests   O
have   O
been   O
ordered   O
as   O
per   O
advice   O
given   O
by   O
Dr.   O
Elisha   B-NAME
Vang   I-NAME
.   O

His   O
medical   O
record   O
number   O
is   O
2863066   B-ID
and   O
the   O
scheduled   O
consultation   O
time   O
as   O
per   O
LI469   B-NAME
is   O
2:30   O
PM   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
after   O
a   O
week   O
on   O
10/27   B-DATE
.   O

For   O
any   O
concerns   O
or   O
queries   O
,   O
he   O
or   O
his   O
family   O
can   O
reach   O
out   O
to   O
our   O
hospital   O
desk   O
at   O
856   B-CONTACT
9632   I-CONTACT
.   O

They   O
reside   O
at   O
an   O
address   O
in   O
15692   B-LOCATION
.   O

The   O
patient   O
's   O
health   O
insurance   O
is   O
covered   O
under   O
MetroPacific   B-LOCATION
Bank   I-LOCATION
.   O

Despite   O
the   O
ambiguous   O
nature   O
of   O
his   O
illness   O
at   O
present   O
,   O
a   O
multidisciplinary   O
approach   O
involving   O
Infectious   O
disease   O
specialist   O
,   O
hematologist   O
and   O
the   O
primary   O
care   O
physician   O
from   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Littleton   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
is   O
being   O
utilized   O
to   O
manage   O
Frederick   B-NAME
,   I-NAME
Uriah   I-NAME
C.   I-NAME
's   O
case   O
most   O
effectively   O
.   O

The   O
medical   O
team   O
here   O
at   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marion   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
committed   O
to   O
providing   O
the   O
best   O
possible   O
care   O
for   O
the   O
patient   O
.   O

Patient   O
Information   O
:   O
396   B-ID
-   I-ID
88   I-ID
-   I-ID
50   I-ID
-   I-ID
3   I-ID
:   O
XXXX   O
-   O
XXXX   O
41   O
:   O
XX   O
Name   O
:   O
Marin   B-NAME
Padilla   I-NAME
Report   O
:   O
04/02   B-DATE
:   O

Mr.   O
Alfred   B-NAME
Short   I-NAME
,   O
a   O
43   O
-   O
year   O
-   O
old   O
returning   O
patient   O
,   O
visited   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marion   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
his   O
annual   O
physical   O
.   O

The   O
patient   O
lives   O
in   O
Adams   B-LOCATION
.   O

He   O
was   O
referred   O
by   O
Dr.   O
Novalis   B-NAME
.   O

An   O
urgent   O
cardiology   O
consult   O
was   O
arranged   O
with   O
Dr.   O
Russell   B-NAME
,   I-NAME
Bertrand   I-NAME
at   O
the   O
cardiology   O
department   O
in   O
South   B-LOCATION
Peninsula   I-LOCATION
Hospital   I-LOCATION
.   O

Based   O
on   O
the   O
symptoms   O
and   O
findings   O
,   O
Mr.   O
Stevens   B-NAME
has   O
been   O
scheduled   O
for   O
a   O
stress   O
test   O
on   O
02/32   B-DATE
.   O

Mr.   O
Jaylan   B-NAME
Phillips   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
heart   O
-   O
healthy   O
diet   O
and   O
increase   O
his   O
physical   O
activity   O
.   O

He   O
was   O
given   O
contact   O
information   O
for   O
Commonwealth   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
,   O
a   O
non   O
-   O
profit   O
in   O
Buzzards   B-LOCATION
Bay   I-LOCATION
that   O
offers   O
nutrition   O
and   O
exercise   O
plans   O
for   O
cardiac   O
patients   O
.   O

Information   O
about   O
their   O
services   O
can   O
be   O
reached   O
at   O
907   B-CONTACT
-   I-CONTACT
3903   I-CONTACT
.   O

As   O
per   O
his   O
current   O
medical   O
insurance   O
(   O
0   B-ID
-   I-ID
7391635   I-ID
)   O
,   O
the   O
cost   O
of   O
upcoming   O
tests   O
can   O
be   O
covered   O
.   O

He   O
can   O
also   O
contact   O
vw440   B-NAME
for   O
further   O
insurance   O
details   O
at   O
the   O
hospital   O
's   O
financial   O
department   O
.   O

Mr.   O
Katelyn   B-NAME
Harding   I-NAME
was   O
advised   O
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
one   O
week   O
.   O

His   O
appointment   O
has   O
been   O
scheduled   O
for   O
02/14   B-DATE
at   O
Northeast   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
Harbor   B-LOCATION
Beach   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
address   O
is   O
:   O
Alta   B-LOCATION
,   O
60981   B-LOCATION
.   O

In   O
the   O
meantime   O
,   O
Mr.   O
Redemptor   B-NAME
was   O
asked   O
to   O
carefully   O
monitor   O
his   O
symptoms   O
and   O
seek   O
immediate   O
medical   O
attention   O
if   O
his   O
symptoms   O
worsen   O
.   O

Signed   O
,   O
Eva   B-NAME
Moreno   I-NAME

Patient   O
Name   O
:   O
London   B-NAME
Chandler   I-NAME
DOB   O
:   O
0/5/79   B-DATE
ID   O
:   O
KL   B-ID
:   I-ID
TP:5842   I-ID
Phone   O
number   O
:   O
493   B-CONTACT
-   I-CONTACT
6247   I-CONTACT
6129130   B-ID
:   O
559   B-ID
-   I-ID
47   I-ID
-   I-ID
29   I-ID
-   I-ID
2   I-ID
Physician   O
:   O

Landin   B-NAME
Mcguire   I-NAME
Hospital   O
:   O
Fairview   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
Address   O
:   O
Avera   B-LOCATION
Zip   O
code   O
:   O
72427   B-LOCATION
Employer   O
:   O
Grupo   B-LOCATION
de   I-LOCATION
Usuarios   I-LOCATION
de   I-LOCATION
Linux   I-LOCATION
de   I-LOCATION
Costa   I-LOCATION
Rica   I-LOCATION
Occupation   O
:   O
Continuous   O
Mining   O
Machine   O
Operators   O
Presenting   O
complaint   O
:   O
Khalil   B-NAME
Rodriguez   I-NAME
,   O
a   O
58   O
year   O
old   O
individual   O
,   O
presented   O
to   O
Legacy   B-LOCATION
Salmon   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
high   O
grade   O
fever   O
,   O
headache   O
,   O
and   O
fatigue   O
for   O
the   O
past   O
72   O
hours   O
.   O

Smollett   B-NAME
,   I-NAME
Tobias   I-NAME
quit   O
smoking   O
9/25   B-DATE
and   O
scored   O
slightly   O
above   O
average   O
on   O
physical   O
activities   O
(   O
for   O
profession   O
:   O
Radar   O
and   O
Sonar   O
Technicians   O
)   O
.   O

Regular   O
annual   O
checkups   O
have   O
been   O
carried   O
out   O
at   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Muskogee   I-LOCATION
by   O
Cain   B-NAME
.   O

Assessment   O
:   O
On   O
physical   O
examination   O
,   O
Aron   B-NAME
Haas   I-NAME
was   O
febrile   O
(   O
Temperature   O
:   O
103   O
°   O
F   O
)   O
,   O
had   O
a   O
pulse   O
rate   O
of   O
100   O
beats   O
per   O
minute   O
,   O
and   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Investigations   O
:   O
Extensive   O
lab   O
investigations   O
and   O
imaging   O
studies   O
were   O
ordered   O
by   O
Sappho   B-NAME
and   O
have   O
been   O
scheduled   O
for   O
00/32/2250   B-DATE
.   O

The   O
patient   O
was   O
admitted   O
to   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Kenner   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
.   O

I   O
have   O
discussed   O
the   O
case   O
with   O
Hobbs   B-NAME
and   O
we   O
have   O
agreed   O
on   O
the   O
above   O
plan   O
.   O

Kidd   B-NAME
and   O
their   O
family   O
were   O
explained   O
about   O
the   O
condition   O
and   O
the   O
management   O
plan   O
.   O

Kiersten   B-NAME
Glover   I-NAME
kde783   B-NAME
P.S   O
:   O

We   O
have   O
contacted   O
People   B-LOCATION
's   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Tri   I-LOCATION
-   I-LOCATION
County   I-LOCATION
Electric   I-LOCATION
to   O
inform   O
about   O
Kyler   B-NAME
Stark   I-NAME
diagnosis   O
and   O
possible   O
leave   O
from   O
work   O
for   O
a   O
certain   O
period   O
.   O

990   B-CONTACT
-   I-CONTACT
843   I-CONTACT
-   I-CONTACT
1603   I-CONTACT
is   O
the   O
contact   O
number   O
confirmed   O
by   O
them   O
for   O
any   O
communication   O
in   O
this   O
regard   O
.   O

CC   O
:   O
Dixie   B-NAME
Avila   I-NAME
,   O
Inova   B-LOCATION
Loudoun   I-LOCATION
Hospital   I-LOCATION

Patient   O
:   O
Uphoff   B-NAME
Age   O
:   O
42s   O
DOB   O
:   O

Thursday   B-DATE
Medical   O
Record   O
:   O
113   B-ID
-   I-ID
94   I-ID
-   I-ID
54   I-ID
-   I-ID
4   I-ID
Address   O
:   O
New   B-LOCATION
Stuyahok   I-LOCATION
Phone   O
:   O
277   B-CONTACT
809   I-CONTACT
-   I-CONTACT
4467   I-CONTACT
Zip   O
:   O
52526   B-LOCATION
Referred   O
by   O
:   O
Zhang   B-NAME
The   O
Vanover   B-NAME
presented   O
with   O
symptoms   O
of   O
moderate   O
to   O
severe   O
dyspnea   O
along   O
with   O
intermittent   O
episodes   O
of   O
orthopnea   O
.   O

The   O
patient   O
's   O
past   O
medical   O
records   O
from   O
Montefiore   B-LOCATION
Moses   I-LOCATION
Campus   I-LOCATION
show   O
a   O
history   O
of   O
emphysema   O
,   O
under   O
the   O
supervision   O
of   O
Cho   B-NAME
,   I-NAME
Margaret   I-NAME
.   O

Primary   O
treatment   O
was   O
in   O
Fruit   B-LOCATION
Heights   I-LOCATION
.   O

Bowie   B-NAME
,   I-NAME
David   I-NAME
’s   O
Spo2   O
level   O
reported   O
during   O
his   O
last   O
visit   O
on   O
12/39/39   B-DATE
was   O
85   O
%   O
while   O
on   O
4   O
l   O
/   O
pm   O
oxygen   O
and   O
his   O
BMI   O
is   O
still   O
within   O
the   O
normal   O
range   O
.   O

The   O
patient   O
's   O
immediate   O
family   O
,   O
with   O
LOGAN   B-NAME
COLEMAN   I-NAME
's   O
permission   O
,   O
was   O
contacted   O
at   O
792   B-CONTACT
-   I-CONTACT
813   I-CONTACT
9554   I-CONTACT
.   O

The   O
conversation   O
revealed   O
a   O
family   O
history   O
of   O
COPD   O
,   O
specifically   O
affecting   O
Kaleb   B-NAME
Carroll   I-NAME
's   O
father   O
who   O
was   O
diagnosed   O
at   O
the   O
age   O
of   O
68   O
.   O

Follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
00/20   B-DATE
,   O
our   O
front   O
desk   O
at   O
Johns   B-LOCATION
Hopkins   I-LOCATION
All   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
will   O
call   O
the   O
patient   O
at   O
number   O
457   B-CONTACT
9059   I-CONTACT
a   O
day   O
before   O
for   O
confirmation   O
.   O

The   O
patient   O
is   O
advised   O
to   O
continue   O
previously   O
prescribed   O
medications   O
by   O
Carsen   B-NAME
Hansen   I-NAME
.   O

Any   O
changes   O
to   O
these   O
medications   O
will   O
be   O
updated   O
in   O
Ronan   B-NAME
Salas   I-NAME
's   O
unique   O
medical   O
ID   O
FY:41598:960898   B-ID
at   O
OneBeacon   B-LOCATION
.   O

The   O
patient   O
’s   O
report   O
was   O
processed   O
by   O
technician   O
xc612   B-NAME
and   O
the   O
billing   O
was   O
processed   O
through   O
330427084   B-ID
.   O

Our   O
team   O
at   O
Formerly   B-LOCATION
Ingham   I-LOCATION
Regional   I-LOCATION
Orthopedic   I-LOCATION
Hospital   I-LOCATION
will   O
monitor   O
Taryn   B-NAME
Winters   I-NAME
closely   O
and   O
provide   O
any   O
necessary   O
supportive   O
care   O
.   O

11/33/2043   B-DATE
:   O

Germaine   B-NAME
Fierros   I-NAME
is   O
a   O
40   O
years   O
old   O
professional   O
Painting   O
,   O
Coating   O
,   O
and   O
Decorating   O
Workers   O
who   O
was   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Clare   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
complaining   O
of   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
and   O
fatigue   O
.   O

The   O
past   O
medical   O
record   O
of   O
the   O
patient   O
,   O
23356124   B-ID
,   O
revealed   O
a   O
diagnosis   O
of   O
hypertension   O
and   O
episodes   O
of   O
earlier   O
chest   O
discomfort   O
.   O

Upon   O
physical   O
examination   O
by   O
Bush   B-NAME
,   O
the   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
165/95   O
mmHg   O
and   O
the   O
heart   O
rate   O
was   O
105   O
bpm   O
.   O

35/07/31   B-DATE
:   O
The   O
patient   O
underwent   O
angiography   O
which   O
confirmed   O
a   O
diagnosis   O
of   O
unstable   O
angina   O
.   O

The   O
patient   O
was   O
discussed   O
within   O
the   O
cardiac   O
team   O
at   O
Lifecare   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Chester   I-LOCATION
County   I-LOCATION
and   O
a   O
decision   O
was   O
made   O
to   O
opt   O
for   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

As   O
it   O
is   O
practiced   O
at   O
Education   B-LOCATION
International   I-LOCATION
,   O
the   O
patient   O
's   O
family   O
was   O
thoroughly   O
briefed   O
about   O
the   O
benefits   O
and   O
risks   O
associated   O
with   O
PCI   O
.   O

Addressing   O
the   O
lifestyle   O
concerns   O
,   O
the   O
patient   O
was   O
recommended   O
to   O
participate   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
at   O
Hunker   B-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
12/30/2342   B-DATE
.   O

In   O
case   O
of   O
any   O
urgency   O
,   O
the   O
patient   O
can   O
call   O
at   O
this   O
38245   B-CONTACT
number   O
.   O

wpx406   B-NAME
made   O
a   O
note   O
in   O
the   O
system   O
for   O
the   O
billing   O
department   O
with   O
account   O
MF:87447:177737   B-ID
to   O
bill   O
the   O
patient   O
's   O
health   O
insurance   O
company   O
and   O
also   O
highlighted   O
the   O
need   O
to   O
follow   O
up   O
on   O
the   O
patient   O
's   O
application   O
for   O
the   O
cardiac   O
rehabilitation   O
program   O
in   O
68056   B-LOCATION
.   O

In   O
summary   O
,   O
Julien   B-NAME
Gilmore   I-NAME
,   O
a   O
64   O
year   O
-   O
old   O
Forest   O
and   O
Conservation   O
Technicians   O
person   O
with   O
a   O
history   O
of   O
hypertension   O
,   O
presented   O
with   O
symptoms   O
of   O
unstable   O
angina   O
.   O

The   O
patient   O
was   O
promptly   O
diagnosed   O
and   O
treated   O
at   O
McPherson   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
McPherson   I-LOCATION
.   O

Patient   O
Information   O
:   O
Julie   B-NAME
Griffith   I-NAME
presented   O
to   O
the   O
The   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
32/25   B-DATE
.   O

The   O
patient   O
is   O
a   O
Hairdressers   O
,   O
Hairstylists   O
,   O
and   O
Cosmetologists   O
from   O
Sawyer   B-LOCATION
with   O
an   O
WE:6932:579617   B-ID
of   O
3257   B-ID
:   I-ID
Z08188   I-ID
.   O

Rylan   B-NAME
Rangel   I-NAME
is   O
85   O
years   O
old   O
and   O
reported   O
feeling   O
unwell   O
for   O
the   O
past   O
week   O
.   O

On   O
examination   O
,   O
Celeste   B-NAME
Reilly   I-NAME
's   O
blood   O
pressure   O
was   O
140/90   O
,   O
his   O
heart   O
rate   O
was   O
95   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
was   O
18   O
per   O
minute   O
,   O
temperature   O
was   O
37   O
°   O
C   O
,   O
and   O
oxygen   O
saturation   O
was   O
96   O
%   O
on   O
room   O
air   O
.   O

Given   O
the   O
patient   O
’s   O
symptoms   O
and   O
physical   O
examination   O
findings   O
,   O
Dr.   O
Terrence   B-NAME
Aguirre   I-NAME
suspected   O
possible   O
community   O
-   O
acquired   O
pneumonia   O
.   O

The   O
patient   O
has   O
provided   O
his   O
358   B-CONTACT
2258   I-CONTACT
number   O
for   O
all   O
further   O
communication   O
.   O

He   O
resides   O
in   O
the   O
82978   B-LOCATION
area   O
.   O

He   O
could   O
be   O
contacted   O
at   O
his   O
LT233   B-NAME
on   O
the   O
Amazon   B-LOCATION
Watch   I-LOCATION
health   O
portal   O
if   O
necessary   O
.   O

He   O
was   O
also   O
provided   O
with   O
the   O
contact   O
number   O
of   O
Baptist   B-LOCATION
Health   I-LOCATION
Louisville   I-LOCATION
for   O
any   O
health   O
-   O
related   O
concerns   O
.   O

Next   O
of   O
kin   O
:   O
Cecilia   B-NAME
Brandt   I-NAME
's   O
emergency   O
contact   O
person   O
is   O
his   O
wife   O
,   O
who   O
is   O
also   O
a   O
Database   O
Administrators   O
.   O

Her   O
contact   O
number   O
has   O
been   O
recorded   O
as   O
28178   B-CONTACT
.   O

The   O
plan   O
is   O
to   O
review   O
Wallace   B-NAME
,   I-NAME
David   I-NAME
Foster   I-NAME
again   O
in   O
follow   O
-   O
up   O
appointment   O
on   O
11/32   B-DATE
.   O

This   O
plan   O
has   O
been   O
discussed   O
and   O
agreed   O
with   O
Modesta   B-NAME
Odem   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Vasquez   B-NAME
.   O

Patient   O
Report   O
:   O
Jodi   B-NAME
presented   O
to   O
the   O
Cobb   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
complaint   O
department   O
on   O
11/14/89   B-DATE
with   O
increasing   O
shortness   O
of   O
breath   O
and   O
chest   O
pain   O
.   O

Prior   O
to   O
presentation   O
at   O
our   O
facility   O
,   O
Elenora   B-NAME
Kimbal   I-NAME
was   O
seen   O
by   O
Weber   B-NAME
in   O
Greycliff   B-LOCATION
.   O

The   O
patient   O
's   O
medical   O
record   O
from   O
that   O
facility   O
was   O
made   O
available   O
to   O
us   O
-   O
75689437   B-ID
.   O

After   O
completion   O
of   O
primary   O
diagnostics   O
and   O
a   O
necessary   O
adjustment   O
of   O
the   O
medical   O
therapy   O
,   O
the   O
patient   O
was   O
transferred   O
to   O
WellStar   B-LOCATION
Spalding   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
24/23/72   B-DATE
.   O

Contact   O
information   O
:   O
349   B-CONTACT
-   I-CONTACT
596   I-CONTACT
4071   I-CONTACT
and   O
further   O
identification   O
ID   O
was   O
taken   O
-   O
3   B-ID
-   I-ID
4576870   I-ID
.   O

The   O
patient   O
is   O
currently   O
under   O
the   O
care   O
of   O
Emily   B-NAME
Li   I-NAME
from   O
the   O
Department   O
of   O
Cardiology   O
.   O

Luciana   B-NAME
Scott   I-NAME
's   O
profession   O
is   O
Dietitians   O
and   O
Nutritionists   O
and   O
they   O
work   O
for   O
Tahirih   B-LOCATION
Justice   I-LOCATION
Center   I-LOCATION
based   O
in   O
North   B-LOCATION
Miami   I-LOCATION
Beach   I-LOCATION
.   O

The   O
record   O
sent   O
from   O
the   O
patient   O
's   O
employer   O
(   O
Refugees   B-LOCATION
International   I-LOCATION
)   O
to   O
the   O
hospital   O
can   O
be   O
retrieved   O
using   O
the   O
username   O
VE501   B-NAME
.   O

Kristian   B-NAME
Moss   I-NAME
resides   O
in   O
Old   B-LOCATION
Escobares   I-LOCATION
,   O
zip   O
code   O
49893   B-LOCATION
.   O

Timeline   O
and   O
further   O
updates   O
of   O
the   O
patient   O
's   O
progress   O
will   O
be   O
recorded   O
and   O
tracked   O
using   O
the   O
medical   O
record   O
number   O
,   O
888   B-ID
-   I-ID
22   I-ID
-   I-ID
61   I-ID
-   I-ID
0   I-ID
.   O

Patient   O
Information   O
:   O
Mr.   O
Dana   B-NAME
Stowe   I-NAME
came   O
into   O
Stringfellow   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
01/09   B-DATE
following   O
a   O
referral   O
from   O
Dr.   O
Poe   B-NAME
,   I-NAME
Edgar   I-NAME
Allan   I-NAME
.   O

Detailed   O
Assessment   O
:   O
Upon   O
examination   O
,   O
Mr.   O
Clay   B-NAME
Sanchez   I-NAME
appeared   O
mildly   O
distressed   O
.   O

The   O
patient   O
’s   O
medical   O
history   O
was   O
reviewed   O
from   O
his   O
CK878094   B-ID
WG937/6885   B-ID
which   O
noted   O
a   O
chronic   O
history   O
of   O
smoking   O
.   O

Mr.   O
ostrowski   B-NAME
lives   O
in   O
Greensburg   B-LOCATION
58971   B-LOCATION
with   O
his   O
wife   O
and   O
two   O
children   O
.   O

His   O
doctor   O
has   O
requested   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
0/20   B-DATE
at   O
Trinity   B-LOCATION
Moline   I-LOCATION
to   O
discuss   O
the   O
findings   O
and   O
plan   O
for   O
further   O
management   O
.   O

Contact   O
information   O
maintained   O
is   O
587   B-CONTACT
-   I-CONTACT
838   I-CONTACT
3961   I-CONTACT
.   O

Post   O
consultation   O
Mr.   O
Hendrix   B-NAME
,   I-NAME
Jimi   I-NAME
was   O
observed   O
at   O
the   O
facility   O
and   O
later   O
got   O
discharged   O
with   O
instructions   O
to   O
strictly   O
follow   O
isolation   O
until   O
COVID-19   O
results   O
arrive   O
.   O

Notification   O
:   O
Per   O
HIPAA   O
guidelines   O
,   O
a   O
notification   O
regarding   O
the   O
patients   O
’   O
PHI   O
has   O
been   O
sent   O
to   O
the   O
Hillcrest   B-LOCATION
Bank   I-LOCATION
Florida   I-LOCATION
for   O
entry   O
into   O
the   O
regional   O
patient   O
database   O
under   O
the   O
EM577   B-NAME
.   O

Patient   O
Report   O
4/2/2162   B-DATE
Patient   O
Name   O
:   O
Josh   B-NAME
Dalton   I-NAME
The   O
male   O
patient   O
of   O
7   O
month   O
presented   O
to   O
Vidant   B-LOCATION
Edgecombe   I-LOCATION
Hospital   I-LOCATION
with   O
symptoms   O
that   O
appeared   O
to   O
be   O
indicative   O
of   O
acute   O
appendicitis   O
,   O
according   O
to   O
the   O
initial   O
diagnosis   O
of   O
Grey   B-NAME
,   I-NAME
Zane   I-NAME
.   O

The   O
physician   O
also   O
mentioned   O
the   O
presence   O
of   O
Rovsing   O
's   O
and   O
Psoas   O
signs   O
when   O
assessing   O
the   O
patient   O
at   O
the   O
facility   O
located   O
in   O
Matthews   B-LOCATION
.   O

The   O
patient   O
’s   O
primary   O
line   O
of   O
communication   O
is   O
via   O
828   B-CONTACT
-   I-CONTACT
813   I-CONTACT
-   I-CONTACT
8103   I-CONTACT
and   O
lives   O
in   O
the   O
33052   B-LOCATION
area   O
where   O
he   O
works   O
as   O
a   O
Mental   O
Health   O
Counselors   O
.   O

For   O
diagnostic   O
purpose   O
,   O
a   O
complete   O
blood   O
test   O
,   O
urinalysis   O
and   O
an   O
imaging   O
test   O
were   O
suggested   O
by   O
Carson   B-NAME
.   O

The   O
patient   O
’s   O
health   O
plan   O
number   O
is   O
CV579/2180   B-ID
and   O
the   O
lab   O
results   O
will   O
be   O
documented   O
in   O
the   O
medical   O
record   O
number   O
596   B-ID
-   I-ID
30   I-ID
-   I-ID
83   I-ID
,   O
accessible   O
through   O
the   O
patient   O
portal   O
with   O
the   O
username   O
QN838   B-NAME
.   O

Considering   O
the   O
presented   O
symptoms   O
and   O
the   O
patient   O
's   O
history   O
,   O
administration   O
of   O
IV   O
fluids   O
,   O
antibiotics   O
,   O
and   O
an   O
urgent   O
appendectomy   O
were   O
recommended   O
by   O
Camryn   B-NAME
Atkinson   I-NAME
.   O

The   O
surgical   O
procedure   O
is   O
scheduled   O
to   O
be   O
performed   O
at   O
Piedmont   B-LOCATION
Columbus   I-LOCATION
Regional   I-LOCATION
Northside   I-LOCATION
.   O

Please   O
refer   O
all   O
communications   O
for   O
this   O
patient   O
to   O
the   O
case   O
manager   O
at   O
Aztec   B-LOCATION
Club   I-LOCATION
of   I-LOCATION
1847   I-LOCATION
.   O

Patient   O
Information   O
:   O
Henry   B-NAME
,   I-NAME
O.   I-NAME
,   O
a   O
Self   O
-   O
Enrichment   O
Education   O
Teachers   O
living   O
in   O
New   B-LOCATION
York   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10029   I-LOCATION
,   O
of   O
3   O
week   O
years   O
,   O
visited   O
Bothwell   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
13/12/2221   B-DATE
.   O

Upon   O
arrival   O
,   O
he   O
was   O
seen   O
by   O
Dr.   O
Delacruz   B-NAME
who   O
ordered   O
a   O
series   O
of   O
imaging   O
tests   O
.   O

His   O
medical   O
record   O
number   O
is   O
78427732   B-ID
.   O

NICHOLAS   B-NAME
SINGH   I-NAME
was   O
then   O
referred   O
to   O
a   O
renowned   O
neurosurgeon   O
,   O
Dr.   O
Osborn   B-NAME
,   O
at   O
the   O
Community   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
West   I-LOCATION
Georgia   I-LOCATION
for   O
further   O
investigation   O
and   O
treatment   O
.   O

[   O
ZIP   O
-   O
redacted   O
]   O
An   O
KM:82920:637774   B-ID
was   O
provided   O
for   O
insurance   O
purposes   O
,   O
highlighting   O
the   O
provider   O
as   O
Massachusetts   B-LOCATION
.   O

There   O
are   O
planned   O
follow   O
-   O
ups   O
with   O
the   O
Littleton   B-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
's   O
neurology   O
department   O
for   O
continued   O
monitoring   O
and   O
post   O
-   O
surgery   O
checkups   O
.   O

Any   O
further   O
updates   O
regarding   O
this   O
patient   O
's   O
health   O
status   O
will   O
be   O
documented   O
under   O
qr610   B-NAME
.   O

Patient   O
's   O
family   O
has   O
been   O
informed   O
and   O
are   O
taking   O
necessary   O
steps   O
to   O
ensure   O
transportation   O
of   O
the   O
patient   O
to   O
the   O
General   B-LOCATION
Re   I-LOCATION
and   O
looking   O
for   O
accommodation   O
facilities   O
nearby   O
under   O
73665   B-LOCATION
area   O
.   O

Kaufman   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
NYU   B-LOCATION
Hospitals   I-LOCATION
Center   I-LOCATION
on   O
November   B-DATE
.   O

His   O
latest   O
check   O
-   O
up   O
with   O
Espinoza   B-NAME
was   O
on   O
June   B-DATE
12   I-DATE
,   I-DATE
2204   I-DATE
,   O
where   O
records   O
8144756   B-ID
show   O
a   O
slightly   O
elevated   O
HBA1c   O
level   O
.   O

His   O
emergency   O
contact   O
is   O
listed   O
as   O
(   B-CONTACT
647   I-CONTACT
)   I-CONTACT
781   I-CONTACT
3171   I-CONTACT
.   O

And   O
,   O
he   O
currently   O
lives   O
in   O
Rockfish   B-LOCATION
,   O
his   O
residential   O
address   O
is   O
RJ357/7560   B-ID
.   O

Bracken   B-NAME
,   I-NAME
Peg   I-NAME
was   O
immediately   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
and   O
was   O
taken   O
for   O
an   O
emergency   O
coronary   O
angiogram   O
by   O
Lang   B-NAME
.   O

He   O
is   O
now   O
currently   O
stable   O
in   O
the   O
Cardiac   O
Intensive   O
Care   O
Unit   O
at   O
Pine   B-LOCATION
Rest   I-LOCATION
Christian   I-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
.   O

His   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
22/23   B-DATE
under   O
Morales   B-NAME
in   O
Pilot   B-LOCATION
Knob   I-LOCATION
clinic   O
,   O
a   O
part   O
of   O
the   O
Groveland   B-LOCATION
Light   I-LOCATION
Department   I-LOCATION
network   O
.   O

The   O
patient   O
did   O
not   O
work   O
with   O
the   O
username   O
bk497   B-NAME
to   O
submit   O
his   O
health   O
insurance   O
claim   O
form   O
online   O
and   O
it   O
was   O
hand   O
-   O
delivered   O
by   O
his   O
son   O
.   O

The   O
completed   O
form   O
should   O
be   O
sent   O
to   O
the   O
claims   O
department   O
at   O
Beaumont   B-LOCATION
,   O
with   O
the   O
zip   O
code   O
38398   B-LOCATION
.   O

Patient   O
Report   O
Patient   O
:   O
Azaria   B-NAME
Burns   I-NAME
Age   O
:   O
87   O
Location   O
:   O
Bosworth   B-LOCATION
Dr.   O
:   O
Xiomara   B-NAME
Harrell   I-NAME
Medical   O
Record   O
Number   O
:   O
56150510   B-ID
Health   O
Plan   O
Number   O
:   O
VH   B-ID
:   I-ID
TU:6549   I-ID
Contact   O
No   O
.   O
:   O
236   B-CONTACT
-   I-CONTACT
133   I-CONTACT
5399   I-CONTACT
Admitting   O
Hospital   O
:   O

Park   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
07/53   B-DATE
Presenting   O
symptoms   O
of   O
John   B-NAME
Gideon   I-NAME
:   O
Irene   B-NAME
Mcclain   I-NAME
consulted   O
Dr.   O
Krish   B-NAME
Collins   I-NAME
on   O
13/16/97   B-DATE
at   O
Shelby   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
chief   O
complaints   O
of   O
high   O
fever   O
,   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

On   O
conducting   O
a   O
physical   O
examination   O
,   O
Michael   B-NAME
noticed   O
rales   O
in   O
the   O
lower   O
lobes   O
of   O
the   O
lungs   O
,   O
suggestive   O
of   O
congestion   O
.   O

Past   O
medical   O
history   O
of   O
Harrison   B-NAME
Buckman   I-NAME
:   O
Teagan   B-NAME
Ingram   I-NAME
has   O
a   O
known   O
history   O
of   O
Type   O
II   O
diabetes   O
and   O
hypertension   O
,   O
adequately   O
controlled   O
through   O
oral   O
medication   O
.   O

Furthermore   O
,   O
family   O
history   O
revealed   O
that   O
Jolie   B-NAME
Harrington   I-NAME
had   O
a   O
parent   O
who   O
suffered   O
from   O
chronic   O
bronchitis   O
.   O

Since   O
Lacey   B-NAME
Sheridan   I-NAME
has   O
a   O
history   O
of   O
diabetes   O
,   O
an   O
HbA1C   O
test   O
is   O
advised   O
.   O

Jayda   B-NAME
Una   I-NAME
Xiang   I-NAME
will   O
be   O
scheduled   O
for   O
these   O
tests   O
and   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
an   O
internal   O
medicine   O
specialist   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
details   O
will   O
be   O
emailed   O
to   O
cf197   B-NAME
@   O
Minnkota   B-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
,   I-LOCATION
and   I-LOCATION
its   I-LOCATION
11   I-LOCATION
member   I-LOCATION
cooperatives   I-LOCATION
.com   O
.   O
Insurance   O
details   O
:   O
Lacey   B-NAME
Frost   I-NAME
's   O
health   O
plan   O
number   O
is   O
3   B-ID
-   I-ID
9069788   I-ID
with   O
Park   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

The   O
billing   O
department   O
at   O
Southern   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
should   O
reach   O
out   O
to   O
Canadian   B-LOCATION
Postmasters   I-LOCATION
and   I-LOCATION
Assistants   I-LOCATION
Association   I-LOCATION
to   O
clarify   O
the   O
terms   O
of   O
coverage   O
for   O
further   O
treatment   O
.   O

Emergency   O
Contact   O
:   O
Yan   B-NAME
D.   I-NAME
Ball   I-NAME
's   O
emergency   O
contact   O
is   O
a   O
Substance   O
Abuse   O
and   O
Behavioral   O
Disorder   O
Counselors   O
and   O
can   O
be   O
reached   O
at   O
88350   B-CONTACT
.   O

His   O
mailing   O
address   O
is   O
Maringouin   B-LOCATION
,   O
61154   B-LOCATION
.   O

Additional   O
notes   O
:   O
Roy   B-NAME
has   O
been   O
advised   O
to   O
isolate   O
at   O
home   O
and   O
provided   O
with   O
a   O
contact   O
number   O
(   O
(   B-CONTACT
402   I-CONTACT
)   I-CONTACT
631   I-CONTACT
-   I-CONTACT
6712   I-CONTACT
)   O
to   O
reach   O
Community   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Dobbs   I-LOCATION
Ferry   I-LOCATION
for   O
any   O
urgent   O
concerns   O
.   O

Munroe   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
COVID-19   O
testing   O
unit   O
will   O
also   O
be   O
reached   O
out   O
to   O
for   O
a   O
precautionary   O
test   O
.   O

Report   O
signed   O
by   O
:   O
Dr.   O
Braxton   B-NAME
Salinas   I-NAME
Date   O
:   O
32/22/2368   B-DATE

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
Pamula   B-NAME
Mccrary   I-NAME
Age   O
:   O
27   O
Date   O
of   O
Examination   O
:   O
Sept   B-DATE
Hospital   O
Name   O
:   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Mainland   I-LOCATION
Doctor   O
:   O
Ezekiel   B-NAME
Estrada   I-NAME
Patient   O
's   O
ID   O
:   O
101188039   B-ID
Medical   O
Record   O
Number   O
:   O
49715357   B-ID
Patient   O
's   O
Address   O
:   O
7811   B-LOCATION
Pierce   I-LOCATION
Street   I-LOCATION
Patient   O
's   O
Contact   O
:   O
986   B-CONTACT
8933   I-CONTACT
Patient   O
's   O
Organization   O
:   O
Freedom   B-LOCATION
from   I-LOCATION
Torture   I-LOCATION
Patient   O
's   O
Profession   O
:   O
Orthotists   O
and   O
Prosthetists   O
Username   O
:   O
zde285   B-NAME
Patient   O
's   O
Zip   O
:   O
24931   B-LOCATION
Mariko   B-NAME
Hinkel   I-NAME
,   O
a   O
Cyber   O
security   O
specialist   O
,   O
reported   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Matthews   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
on   O
2171   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
13   I-DATE
with   O
severe   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
started   O
approximately   O
24   O
hours   O
prior   O
.   O

On   O
physical   O
examination   O
performed   O
by   O
Kirby   B-NAME
,   O
there   O
was   O
extreme   O
tenderness   O
in   O
the   O
right   O
iliac   O
fossa   O
with   O
signs   O
of   O
rebound   O
tenderness   O
indicating   O
potential   O
appendicitis   O
.   O

Ingrid   B-NAME
Mckee   I-NAME
’s   O
medical   O
history   O
was   O
further   O
reviewed   O
with   O
the   O
assistance   O
of   O
our   O
Libera   B-LOCATION
!   I-LOCATION
's   O
health   O
record   O
ID   O
5868013   B-ID
.   O

Patient   O
was   O
admitted   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Roseville   I-LOCATION
for   O
further   O
evaluation   O
by   O
a   O
gastroenterologist   O
with   O
contact   O
number   O
46921   B-CONTACT
located   O
at   O
Canastota   B-LOCATION
.   O

The   O
team   O
managing   O
Delilah   B-NAME
Hodge   I-NAME
is   O
planning   O
a   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
based   O
on   O
the   O
symptoms   O
and   O
initial   O
investigations   O
.   O

An   O
update   O
has   O
been   O
stored   O
under   O
the   O
patient   O
ID   O
:   O
3126030   B-ID
,   O
username   O
:   O
vu433   B-NAME
,   O
for   O
reference   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
have   O
been   O
informed   O
and   O
live   O
in   O
the   O
area   O
with   O
zip   O
54521   B-LOCATION
.   O

Following   O
treatment   O
,   O
an   O
appointment   O
for   O
a   O
follow   O
-   O
up   O
will   O
be   O
scheduled   O
and   O
the   O
patient   O
will   O
be   O
contacted   O
via   O
her   O
contact   O
number   O
489   B-CONTACT
-   I-CONTACT
3417   I-CONTACT
to   O
confirm   O
the   O
date   O
.   O

The   O
hospital   O
's   O
billing   O
department   O
,   O
located   O
at   O
Piper   B-LOCATION
City   I-LOCATION
,   O
will   O
also   O
send   O
a   O
bill   O
to   O
Grellet   B-NAME
,   I-NAME
Stephen   I-NAME
's   O
residential   O
address   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Dr.   O
Parker   B-NAME
on   O
2230   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
28   I-DATE
.   O

The   O
details   O
of   O
the   O
managing   O
doctor   O
and   O
the   O
staff   O
on   O
call   O
can   O
be   O
accessed   O
via   O
the   O
hospital   O
's   O
Tulane   B-LOCATION
Lakeside   I-LOCATION
Hospital   I-LOCATION
online   O
portal   O
using   O
the   O
patient   O
's   O
username   O
sr808   B-NAME
.   O

Patient   O
:   O
Ellsworth   B-NAME
Garnder   I-NAME
Age   O
:   O
64   O
Gender   O
:   O
Female   O
ID   O
:   O
161992   B-ID
Address   O
:   O
Carrier   B-LOCATION
Mills   I-LOCATION
Phone   O
:   O
(   B-CONTACT
937   I-CONTACT
)   I-CONTACT
395   I-CONTACT
3136   I-CONTACT
Medical   O
record   O
:   O
47109814   B-ID
Hospital   O
:   O
OhioHealth   B-LOCATION
-   I-LOCATION
O'Bleness   I-LOCATION
Hospital   I-LOCATION
Doctor   O
:   O
Wiley   B-NAME
Date   O
:   O
20   B-DATE
-   I-DATE
Apr-2332   I-DATE
Chief   O
Complaint   O
:   O
Persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
History   O
of   O
Present   O
Illness   O
:   O
Reagan   B-NAME
Kirby   I-NAME
,   O
a   O
56   O
year   O
old   O
woman   O
,   O
presenting   O
with   O
a   O
persistent   O
,   O
productive   O
cough   O
lasting   O
for   O
approximately   O
three   O
weeks   O
.   O

Brooks   B-NAME
,   I-NAME
Gwendolyn   I-NAME
also   O
reported   O
mild   O
chest   O
pain   O
radiating   O
down   O
the   O
left   O
arm   O
.   O

Past   O
Medical   O
History   O
:   O
Amaris   B-NAME
Klein   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
Type   O
-   O
II   O
diabetes   O
,   O
both   O
under   O
control   O
with   O
medication   O
.   O

Physical   O
Examination   O
:   O
Kyleigh   B-NAME
Alvarez   I-NAME
appears   O
to   O
have   O
a   O
normal   O
mental   O
status   O
.   O

Assessment   O
:   O
Based   O
on   O
the   O
symptoms   O
,   O
Nikolai   B-NAME
Barnes   I-NAME
advised   O
for   O
a   O
Pulmonary   O
Function   O
Test   O
(   O
PFT   O
)   O
and   O
a   O
chest   O
X   O
-   O
ray   O
to   O
confirm   O
the   O
diagnosis   O
.   O

Pending   O
the   O
results   O
,   O
Faustina   B-NAME
Douglas   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
bronchodilators   O
and   O
antibiotics   O
.   O

Plan   O
:   O
OWEN   B-NAME
R.   I-NAME
APONTE   I-NAME
to   O
review   O
with   O
Sean   B-NAME
McNamara   I-NAME
in   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
after   O
the   O
completion   O
of   O
the   O
medication   O
course   O
or   O
earlier   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Aldrin   B-NAME
,   I-NAME
Buzz   I-NAME
also   O
suggested   O
lifestyle   O
modifications   O
including   O
regular   O
exercise   O
and   O
a   O
healthy   O
diet   O
to   O
manage   O
diabetes   O
and   O
hypertension   O
.   O

The   O
next   O
appointment   O
is   O
on   O
11/32   B-DATE
.   O

For   O
any   O
emergency   O
,   O
Suzann   B-NAME
Nozick   I-NAME
can   O
reach   O
CHI   B-LOCATION
Health   I-LOCATION
Lakeside   I-LOCATION
directly   O
at   O
79944   B-CONTACT
or   O
contact   O
Association   B-LOCATION
of   I-LOCATION
Secondary   I-LOCATION
Teachers   I-LOCATION
Ireland   I-LOCATION
for   O
home   O
healthcare   O
assistance   O
.   O

Coaches   O
and   O
Scouts   O
Zip   O
:   O
75389   B-LOCATION
Username   O
:   O

uj13   B-NAME

Patient   O
Jadon   B-NAME
Frank   I-NAME
(   O
Medical   O
Record   O
Number   O
:   O
2936686   B-ID
)   O
visited   O
Rockcastle   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
09/26/2299   B-DATE
.   O

Mr.   O
Grayson   B-NAME
Bradley   I-NAME
came   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
concentrated   O
on   O
the   O
right   O
lower   O
quadrant   O
.   O

Ferritin   O
blood   O
test   O
was   O
ordered   O
by   O
attending   O
physician   O
Dr.   O
Dirac   B-NAME
,   I-NAME
Paul   I-NAME
and   O
a   O
complete   O
blood   O
count   O
test   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
indicating   O
the   O
possibility   O
of   O
infection   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
an   O
appendectomy   O
with   O
Dr.   O
Avery   B-NAME
at   O
Oswego   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Oswego   I-LOCATION
on   O
05/25/2114   B-DATE
.   O

The   O
patient   O
's   O
health   O
insurance   O
coverage   O
,   O
courtesy   O
of   O
Film   B-LOCATION
and   I-LOCATION
Television   I-LOCATION
Institute   I-LOCATION
of   I-LOCATION
India   I-LOCATION
,   O
was   O
confirmed   O
vide   O
Health   O
Plan   O
Number   O
:   O
II:33667:296777   B-ID
.   O

Mr.   O
Nikolas   B-NAME
Van   I-NAME
Helsing   I-NAME
lives   O
in   O
Basin   B-LOCATION
City   I-LOCATION
with   O
his   O
family   O
of   O
a   O
wife   O
and   O
two   O
kids   O
of   O
89   O
and   O
14   O
respectively   O
.   O

His   O
wife   O
,   O
also   O
his   O
Emergency   O
Contact   O
1   O
,   O
can   O
be   O
reached   O
at   O
200   B-CONTACT
204   I-CONTACT
8568   I-CONTACT
.   O

He   O
is   O
a   O
dedicated   O
Occupational   O
Health   O
and   O
Safety   O
Technicians   O
for   O
a   O
reputable   O
company   O
within   O
West   B-LOCATION
Jordan   I-LOCATION
.   O

His   O
preferred   O
pharmacy   O
is   O
located   O
at   O
Steele   B-LOCATION
Creek   I-LOCATION
and   O
the   O
unique   O
pharmacy   O
license   O
number   O
is   O
JH   B-ID
:   I-ID
KM:3524   I-ID
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
at   O
Shasta   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
also   O
alerted   O
about   O
the   O
development   O
.   O

Colleagues   O
at   O
Lenoir   B-LOCATION
City   I-LOCATION
sent   O
him   O
their   O
well   O
-   O
wishes   O
via   O
qvy887   B-NAME
with   O
the   O
institution   O
's   O
confidential   O
messaging   O
system   O
.   O

The   O
totality   O
of   O
medical   O
documentation   O
was   O
sent   O
to   O
the   O
office   O
at   O
84351   B-LOCATION
for   O
their   O
records   O
and   O
further   O
action   O
.   O

Respectfully   O
,   O
Dr.   O
Dorian   B-NAME
Knapp   I-NAME
Attending   O
Physician   O
13/12   B-DATE

Patient   O
Name   O
:   O
Maximus   B-NAME
Personal   O
ID   O
Number   O
:   O
OJ545/5341   B-ID
Age   O
:   O
11   O
Date   O
:   O
1716   B-DATE
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Fruitland   I-LOCATION
Address   O
:   O
Kittanning   B-LOCATION
Medical   O
Record   O
Number   O
:   O
2530204   B-ID
Phone   O
:   O
82500   B-CONTACT
Occupation   O
:   O
Museum   O
/   O
gallery   O
exhibition   O
officer   O
Zip   O
:   O
31594   B-LOCATION
Patient   O
Ulbrich   B-NAME
,   I-NAME
George   I-NAME
-   I-NAME
Brian   I-NAME
N.   I-NAME
,   O
a   O
Historians   O
of   O
100   O
was   O
admitted   O
at   O
our   O
Aiken   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Centers   I-LOCATION
on   O
32/29   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Ingrid   B-NAME
Terry   I-NAME
.   O

The   O
initial   O
pathology   O
investigation   O
conducted   O
on   O
12/29/2304   B-DATE
included   O
Full   O
Blood   O
Count   O
,   O
Coagulation   O
Profile   O
and   O
Arterial   O
Blood   O
Gas   O
which   O
revealed   O
that   O
the   O
patient   O
has   O
elevated   O
white   O
blood   O
cell   O
count   O
and   O
chronic   O
hypoxia   O
.   O

Further   O
discussion   O
regarding   O
the   O
intervention   O
plan   O
and   O
palliative   O
care   O
was   O
scheduled   O
with   O
Hood   B-NAME
on   O
a   O
phone   O
call   O
to   O
968   B-CONTACT
8574   I-CONTACT
.   O

Kindly   O
find   O
the   O
patient   O
's   O
medical   O
report   O
attached   O
to   O
medical   O
record   O
number   O
0485632   B-ID
and   O
personal   O
identification   O
number   O
CL:74597:377261   B-ID
,   O
both   O
within   O
the   O
secure   O
Madisonville   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
online   O
portal   O
accessed   O
via   O
jf800   B-NAME
.   O

This   O
document   O
was   O
mailed   O
to   O
the   O
patient   O
's   O
home   O
address   O
within   O
the   O
24596   B-LOCATION
postal   O
zone   O
at   O
Luton   B-LOCATION
for   O
record   O
-   O
keeping   O
purposes   O
.   O

Should   O
you   O
require   O
any   O
additional   O
assistance   O
,   O
do   O
not   O
hesitate   O
to   O
contact   O
us   O
at   O
Bayley   B-LOCATION
Seton   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Noe   B-NAME
Simpson   I-NAME
Age   O
:   O
78s   O
Medical   O
Record:   O
1102830   B-ID
Doctor   O
's   O
Name   O
:   O
Vaughn   B-NAME
The   O
patient   O
was   O
admitted   O
to   O
Lawnwood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/21/2220   B-DATE
.   O

Cleveland   B-NAME
presented   O
with   O
severe   O
abdominal   O
pain   O
,   O
along   O
with   O
intermittent   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
.   O

Bradley   B-NAME
Chandler   I-NAME
's   O
past   O
medical   O
history   O
included   O
a   O
cholecystectomy   O
performed   O
in   O
the   O
Regions   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
expertise   O
of   O
Lopez   B-NAME
.   O

Upon   O
examination   O
,   O
Walter   B-NAME
Harrell   I-NAME
was   O
in   O
acute   O
distress   O
.   O

Jack   B-NAME
Hoffman   I-NAME
was   O
diagnosed   O
with   O
choledocholithiasis   O
likely   O
causing   O
a   O
blockage   O
in   O
the   O
common   O
bile   O
duct   O
.   O

The   O
primary   O
resident   O
,   O
Lang   B-NAME
,   O
decided   O
that   O
endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
was   O
the   O
best   O
course   O
of   O
action   O
.   O

Kory   B-NAME
Fagan   I-NAME
underwent   O
ERCP   O
the   O
next   O
day   O
on   O
1/33/2112   B-DATE
and   O
was   O
discharged   O
home   O
on   O
2369   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
22   I-DATE
.   O

The   O
patient   O
was   O
advised   O
to   O
maintain   O
a   O
regular   O
follow   O
-   O
up   O
session   O
on   O
968   B-CONTACT
9267   I-CONTACT
and   O
was   O
referred   O
to   O
a   O
nutritionist   O
at   O
Principal   B-LOCATION
Financial   I-LOCATION
Group   I-LOCATION
to   O
help   O
develop   O
a   O
low   O
-   O
fat   O
diet   O
plan   O
to   O
avoid   O
recurrence   O
.   O

The   O
patient   O
is   O
a   O
retired   O
Forest   O
and   O
Conservation   O
Workers   O
residing   O
at   O
Polo   B-LOCATION
.   O

Our   O
healthcare   O
team   O
at   O
Bay   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
stuck   O
to   O
the   O
standard   O
protocol   O
,   O
resulting   O
in   O
the   O
successful   O
management   O
of   O
Aimee   B-NAME
Barnett   I-NAME
's   O
choledocholithiasis   O
.   O

For   O
further   O
details   O
,   O
please   O
reference   O
the   O
unique   O
patient   O
i   O
d   O
:   O
9   B-ID
-   I-ID
3578716   I-ID
available   O
in   O
the   O
electronic   O
health   O
record   O
system   O
with   O
the   O
username   O
:   O
UP19   B-NAME
.   O

As   O
for   O
future   O
appointments   O
,   O
please   O
refrain   O
from   O
scheduling   O
on   O
the   O
specified   O
blocked   O
dates   O
in   O
our   O
rounded   O
schedules   O
,   O
considering   O
the   O
specific   O
state   O
zoning   O
code   O
rule   O
:   O
38313   B-LOCATION
by   O
the   O
medical   O
council   O
.   O

This   O
report   O
has   O
been   O
carefully   O
drafted   O
,   O
and   O
the   O
details   O
are   O
proofed   O
as   O
of   O
summer   B-DATE
.   O

Patient   O
Name   O
:   O
Mekhi   B-NAME
Austin   I-NAME
Age   O
:   O
69   O
I   O
d   O
:   O
VM:38583:563521   B-ID
Medical   O
Record   O
No   O
:   O
88220904   B-ID
Location   O
:   O
Fuquay   B-LOCATION
-   I-LOCATION
Varina   I-LOCATION
,   I-LOCATION
Fuquay   I-LOCATION
-   I-LOCATION
Varina   I-LOCATION
Revitalization   I-LOCATION
Association   I-LOCATION
Zip   O
:   O
74299   B-LOCATION
Phone   O
:   O
974   B-CONTACT
6226   I-CONTACT
Physician   O
:   O

Hilton   B-NAME
Elgin   I-NAME
Hospital   O
:   O

Wesley   B-LOCATION
Woods   I-LOCATION
Geriatric   I-LOCATION
Hospital   I-LOCATION
Organization   O
:   O

Wounded   B-LOCATION
Warrior   I-LOCATION
Project   I-LOCATION
Physician   O
Username   O
:   O
sut554   B-NAME
Profession   O
:   O
Crushing   O
,   O
Grinding   O
,   O
and   O
Polishing   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
Date   O
:   O
09/38   B-DATE
Medical   O
Report   O
:   O
Paul   B-NAME
Gardner   I-NAME
was   O
admitted   O
to   O
Legacy   B-LOCATION
Salmon   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
on   O
02/67   B-DATE
.   O

The   O
admission   O
was   O
facilitated   O
by   O
Dr.   O
Sims   B-NAME
who   O
has   O
been   O
Babbage   B-NAME
,   I-NAME
Charles   I-NAME
's   O
primary   O
care   O
physician   O
since   O
2016   O
.   O

Being   O
a   O
Pipe   O
Fitters   O
and   O
Steamfitters   O
by   O
profession   O
,   O
Kamden   B-NAME
Nichols   I-NAME
is   O
known   O
to   O
have   O
health   O
issues   O
.   O

Lilah   B-NAME
Beltran   I-NAME
's   O
medical   O
record   O
number   O
8929B99063   B-ID
revealed   O
a   O
history   O
of   O
recurrent   O
lower   O
respiratory   O
tract   O
infections   O
,   O
likely   O
attributed   O
to   O
his   O
/   O
her   O
smoking   O
habit   O
.   O

A   O
physical   O
examination   O
done   O
by   O
Dr.   O
Aguilar   B-NAME
indicated   O
decreased   O
breath   O
sounds   O
with   O
fine   O
crackles   O
in   O
the   O
right   O
lower   O
lung   O
field   O
.   O

Peggy   B-NAME
Chaya   I-NAME
Quebedeaux   I-NAME
was   O
moved   O
to   O
Battle   B-LOCATION
Creek   I-LOCATION
to   O
isolate   O
from   O
other   O
patients   O
and   O
prevent   O
possible   O
spread   O
of   O
infection   O
.   O

Russo   B-NAME
was   O
closely   O
monitored   O
and   O
given   O
supportive   O
treatment   O
with   O
intravenous   O
fluids   O
and   O
oxygen   O
therapy   O
.   O

Regular   O
telephonic   O
updates   O
regarding   O
the   O
patient   O
’s   O
health   O
status   O
have   O
been   O
provided   O
to   O
the   O
family   O
at   O
825   B-CONTACT
301   I-CONTACT
-   I-CONTACT
3775   I-CONTACT
.   O

The   O
patient   O
's   O
ID   O
HT271/8972   B-ID
has   O
been   O
used   O
for   O
any   O
necessary   O
paperwork   O
and   O
administrative   O
procedures   O
.   O

Aspen   B-NAME
’s   O
care   O
is   O
being   O
managed   O
by   O
an   O
interdisciplinary   O
team   O
at   O
Mutual   B-LOCATION
Bank   I-LOCATION
.   O

DB439   B-NAME
,   O
the   O
case   O
managing   O
nurse   O
,   O
had   O
been   O
dedicatedly   O
looking   O
after   O
Sha   B-NAME
's   O
needs   O
and   O
coordinating   O
with   O
the   O
treatment   O
team   O
.   O

Written   O
consent   O
was   O
obtained   O
from   O
Floyd   B-NAME
and   O
documented   O
under   O
reference   O
number   O
290   B-ID
-   I-ID
91   I-ID
-   I-ID
89   I-ID
-   I-ID
6   I-ID
.   O

As   O
per   O
Dr.   O
Davon   B-NAME
Holder   I-NAME
,   O
the   O
patient   O
's   O
health   O
remains   O
our   O
chief   O
concern   O
,   O
and   O
every   O
effort   O
is   O
being   O
made   O
to   O
ensure   O
a   O
comfortable   O
and   O
speedy   O
recovery   O
.   O

Overall   O
,   O
Mattie   B-NAME
Hurley   I-NAME
's   O
condition   O
is   O
stable   O
and   O
is   O
showing   O
signs   O
of   O
improvement   O
.   O

Patient   O
Report   O
:   O
Mustaine   B-NAME
,   I-NAME
Dave   I-NAME
is   O
a   O
51   O
year   O
old   O
individual   O
who   O
was   O
admitted   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Connerton   I-LOCATION
Long   I-LOCATION
Term   I-LOCATION
Acute   I-LOCATION
Care   I-LOCATION
on   O
2/2/23   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Leonard   B-NAME
.   O

The   O
patient   O
,   O
an   O
established   O
Photographic   O
Processing   O
Machine   O
Operators   O
,   O
resides   O
at   O
Allensworth   B-LOCATION
with   O
a   O
postal   O
code   O
of   O
24532   B-LOCATION
.   O

Our   O
initial   O
conversation   O
was   O
facilitated   O
via   O
62783   B-CONTACT
.   O

The   O
patient   O
first   O
started   O
experiencing   O
symptoms   O
around   O
2199   B-DATE
.   O

He   O
has   O
reduced   O
red   O
reflex   O
and   O
cloudy   O
lens   O
in   O
the   O
right   O
eye   O
,   O
which   O
was   O
first   O
noted   O
at   O
East   B-LOCATION
Palestine   I-LOCATION
.   O

Medication   O
history   O
shows   O
that   O
Mussolini   B-NAME
,   I-NAME
Benito   I-NAME
has   O
been   O
on   O
topical   O
corticosteroids   O
prescribed   O
by   O
Maynard   B-NAME
for   O
uveitis   O
.   O

His   O
family   O
history   O
also   O
revealed   O
that   O
his   O
sister   O
,   O
also   O
from   O
El   B-LOCATION
Paso   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
79927   I-LOCATION
,   O
underwent   O
cataract   O
surgery   O
at   O
96s   O
.   O

His   O
medical   O
record   O
,   O
7073366   B-ID
,   O
also   O
indicates   O
adherence   O
to   O
a   O
high   O
protein   O
diet   O
.   O

Further   O
tests   O
are   O
needed   O
to   O
be   O
conducted   O
in   O
Memorial   B-LOCATION
Hixson   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
5   I-DATE
to   O
confirm   O
the   O
diagnosis   O
and   O
to   O
consider   O
appropriate   O
treatment   O
methods   O
.   O

The   O
patient   O
's   O
10   B-ID
-   I-ID
9144652   I-ID
is   O
required   O
before   O
any   O
procedures   O
can   O
be   O
started   O
.   O

The   O
patient   O
was   O
also   O
advised   O
to   O
visit   O
the   O
North   B-LOCATION
Georgia   I-LOCATION
EMC   I-LOCATION
about   O
a   O
work   O
-   O
related   O
disability   O
form   O
,   O
which   O
may   O
need   O
his   O
fs237   B-NAME
for   O
confirmation   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
with   O
Luisa   B-NAME
Malachi   I-NAME
is   O
scheduled   O
for   O
02/24   B-DATE
.   O

In   O
the   O
meantime   O
,   O
the   O
patient   O
is   O
urged   O
to   O
reach   O
out   O
at   O
this   O
973   B-CONTACT
-   I-CONTACT
588   I-CONTACT
4904   I-CONTACT
number   O
for   O
any   O
emergency   O
or   O
if   O
symptoms   O
worsen   O
.   O

Report   O
:   O
Alaistar   B-NAME
Wright   I-NAME
presented   O
to   O
Carondelet   B-LOCATION
Health   I-LOCATION
ER   O
on   O
20/23   B-DATE
with   O
reports   O
of   O
severe   O
abdominal   O
pain   O
that   O
have   O
persisted   O
for   O
the   O
better   O
part   O
of   O
the   O
week   O
.   O

Suspecting   O
acute   O
appendicitis   O
,   O
Alvarez   B-NAME
ordered   O
a   O
triage   O
CBC   O
panel   O
.   O

Historically   O
,   O
Henry   B-NAME
,   I-NAME
Matthew   I-NAME
has   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

The   O
patient   O
's   O
residential   O
address   O
is   O
Washington   B-LOCATION
,   O
and   O
the   O
telephone   O
number   O
noted   O
in   O
our   O
records   O
is   O
370   B-CONTACT
169   I-CONTACT
4952   I-CONTACT
.   O

The   O
patient   O
's   O
medical   O
record   O
149   B-ID
-   I-ID
50   I-ID
-   I-ID
56   I-ID
-   I-ID
5   I-ID
also   O
noted   O
mild   O
dehydration   O
and   O
slight   O
fever   O
.   O

Considering   O
these   O
findings   O
,   O
Ashley   B-NAME
decided   O
to   O
proceed   O
with   O
a   O
diagnostic   O
imaging   O
test   O
,   O
ordering   O
an   O
abdominal   O
ultrasound   O
.   O

The   O
patient   O
's   O
insurance   O
details   O
-   O
ZP430/3162   B-ID
were   O
reviewed   O
.   O

The   O
insurer   O
Veterans   B-LOCATION
of   I-LOCATION
Foreign   I-LOCATION
Wars   I-LOCATION
Auxiliary   I-LOCATION
VFWA   I-LOCATION
was   O
informed   O
of   O
the   O
proceedings   O
,   O
and   O
approval   O
for   O
the   O
proposed   O
medical   O
intervention   O
was   O
obtained   O
on   O
3/92   B-DATE
.   O

As   O
per   O
the   O
latest   O
interaction   O
on   O
12/26/40   B-DATE
,   O
the   O
patient   O
has   O
provided   O
the   O
username   O
CT227   B-NAME
for   O
the   O
Baptist   B-LOCATION
Health   I-LOCATION
Paducah   I-LOCATION
's   O
online   O
portal   O
for   O
accessing   O
lab   O
results   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

Benjamin   B-NAME
Earnest   I-NAME
underwent   O
appendectomy   O
surgery   O
at   O
Jeff   B-LOCATION
Davis   I-LOCATION
Hospital   I-LOCATION
on   O
11/21   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
22/03   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
.   O

Despite   O
multiple   O
attempts   O
to   O
reach   O
out   O
,   O
communication   O
with   O
Sampson   B-NAME
was   O
not   O
successful   O
.   O

Contact   O
at   O
the   O
provided   O
phone   O
number   O
411   B-CONTACT
-   I-CONTACT
5075   I-CONTACT
was   O
attempted   O
,   O
as   O
well   O
as   O
the   O
mailing   O
of   O
recovery   O
instructions   O
and   O
home   O
care   O
guidelines   O
to   O
Hopewell   B-LOCATION
,   O
42651   B-LOCATION
.   O

Patient   O
Name   O
:   O
KEELER   B-NAME
,   I-NAME
ELIOT   I-NAME
Age   O
:   O
12   O
Date   O
of   O
Admission   O
:   O
1797   B-DATE
Attending   O
Physician   O
:   O
Dr.   O
Herrera   B-NAME
Home   O
Address   O
:   O
Masaryktown   B-LOCATION
,   O
50078   B-LOCATION
Medical   O
Record   O
:   O
411   B-ID
-   I-ID
74   I-ID
-   I-ID
50   I-ID
-   I-ID
8   I-ID
ID   O
number   O
:   O
35409909   B-ID
Healthcare   O
Provider   O
:   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Bibb   I-LOCATION
County   I-LOCATION
Phone   O
Number   O
:   O
602   B-CONTACT
2872   I-CONTACT
Occupation   O
:   O
Occupational   O
Therapists   O
History   O
of   O
Present   O
Illness   O
:   O
Andonuts   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Avera   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
32/11   B-DATE
with   O
a   O
5   O
-   O
day   O
history   O
of   O
fever   O
,   O
chills   O
,   O
and   O
malaise   O
.   O

Investigations   O
&   O
Management   O
:   O
The   O
Wolfe   B-NAME
was   O
immediately   O
isolated   O
given   O
the   O
suspicion   O
of   O
an   O
infectious   O
disease   O
.   O

The   O
patient   O
's   O
unique   O
access   O
number   O
for   O
discussing   O
reports   O
with   O
the   O
labs   O
is   O
WN973   B-NAME
.   O

The   O
management   O
plan   O
was   O
discussed   O
with   O
the   O
patient   O
who   O
agreed   O
to   O
proceed   O
as   O
advised   O
by   O
Dr.   O
Myrtie   B-NAME
Mordino   I-NAME
on   O
behalf   O
of   O
the   O
team   O
at   O
CHRISTUS   B-LOCATION
Mother   I-LOCATION
Frances   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Tyler   I-LOCATION
.   O

Patient   O
Instructions   O
:   O
Fiona   B-NAME
Montes   I-NAME
is   O
advised   O
to   O
reach   O
out   O
on   O
this   O
28052   B-CONTACT
number   O
in   O
case   O
of   O
an   O
emergency   O
.   O

His   O
closet   O
healthcare   O
facility   O
based   O
on   O
his   O
zipcode   O
75016   B-LOCATION
is   O
North   B-LOCATION
County   I-LOCATION
Bank   I-LOCATION
.   O

He   O
can   O
also   O
access   O
his   O
reports   O
by   O
logging   O
in   O
with   O
his   O
username   O
fr605   B-NAME
on   O
the   O
patients   O
'   O
portal.+   O

Patient   O
Name   O
:   O
Chesterton   B-NAME
,   I-NAME
Gilbert   I-NAME
Keith   I-NAME
Age   O
:   O
6   O
week   O
DOB   O
:   O
31/08/2246   B-DATE
MRN   O
:   O
09220942   B-ID
Residing   O
at   O
:   O
Marty   B-LOCATION
Zip   O
Code   O
:   O
91318   B-LOCATION
HMO   O
:   O
Mutual   B-LOCATION
Bank   I-LOCATION
Contact   O
No   O
.   O
:   O
57821   B-CONTACT
Occupation   O
:   O
Travel   O
Agents   O
During   O
the   O
consultation   O
on   O
Wednesday   B-DATE
,   I-DATE
February   I-DATE
with   O
Dr.   O
Hitchens   B-NAME
,   I-NAME
Christopher   I-NAME
at   O
Beauregard   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
,   O
Paula   B-NAME
Bates   I-NAME
presented   O
with   O
severe   O
abdominal   O
pain   O
which   O
was   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Youssef   B-NAME
Nall   I-NAME
also   O
reported   O
experiencing   O
nausea   O
,   O
low   O
-   O
grade   O
fever   O
,   O
and   O
a   O
decreased   O
appetite   O
over   O
the   O
last   O
2   O
days   O
.   O

Soraya   B-NAME
Farwell   I-NAME
has   O
no   O
known   O
history   O
of   O
alcohol   O
or   O
drug   O
abuse   O
.   O

They   O
were   O
all   O
ordered   O
on   O
01/3   B-DATE
.   O

The   O
patient   O
's   O
last   O
colonoscopy   O
was   O
performed   O
on   O
32/21/2262   B-DATE
.   O

As   O
part   O
of   O
the   O
follow   O
-   O
up   O
,   O
Bonner   B-NAME
,   I-NAME
Elena   I-NAME
is   O
scheduled   O
for   O
an   O
abdominal   O
CT   O
Scan   O
on   O
31/2321   B-DATE
at   O
Southwest   B-LOCATION
Mississippi   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
further   O
communication   O
or   O
emergency   O
,   O
Richmond   B-NAME
can   O
reach   O
me   O
at   O
cfl547   B-NAME
at   O
MedStar   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
portal   O
.   O

Billing   O
claims   O
have   O
been   O
created   O
under   O
2   B-ID
-   I-ID
9757533   I-ID
.   O

Updated   O
on   O
:   O
33/10   B-DATE
by   O
Dr.   O
Darien   B-NAME
Kane   I-NAME
.   O

Patient   O
Name   O
:   O
Zoie   B-NAME
Jimenez   I-NAME
Patient   O
Report   O
:   O
Sherika   B-NAME
Myles   I-NAME
,   O
a   O
88   O
year   O
old   O
individual   O
from   O
Gastonville   B-LOCATION
presented   O
to   O
the   O
emergency   O
department   O
at   O
Dayton   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
13   B-DATE
.   O

Annika   B-NAME
Williamson   I-NAME
complained   O
of   O
episodes   O
of   O
severe   O
,   O
tearing   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

Cobb   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
high   O
cholesterol   O
levels   O
which   O
was   O
diagnosed   O
and   O
managed   O
by   O
Audrina   B-NAME
Underwood   I-NAME
at   O
Just   B-LOCATION
Energy   I-LOCATION
in   O
Algonquin   B-LOCATION
.   O

Comprehensive   O
clinical   O
evaluation   O
and   O
diagnostic   O
modalities   O
guided   O
by   O
Brenton   B-NAME
Bender   I-NAME
revealed   O
an   O
acute   O
Stanford   O
type   O
A   O
aortic   O
dissection   O
.   O

Jerry   B-NAME
Helper   I-NAME
was   O
immediately   O
referred   O
to   O
cardiothoracic   O
surgery   O
by   O
Christopher   B-NAME
Colon   I-NAME
for   O
emergent   O
repair   O
.   O

Investigations   O
:   O
A   O
CBC   O
,   O
Electrolytes   O
panel   O
,   O
Troponin   O
-   O
T   O
,   O
ECG   O
,   O
and   O
Chest   O
X   O
-   O
Ray   O
were   O
ordered   O
on   O
the   O
day   O
of   O
admission   O
,   O
2110   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
27   I-DATE
.   O

Patient   O
's   O
Social   O
history   O
:   O
Malcolm   B-NAME
Holt   I-NAME
is   O
a   O
Customs   O
Brokers   O
and   O
resides   O
at   O
24   B-LOCATION
Bedford   I-LOCATION
St.   I-LOCATION
with   O
family   O
.   O

Ted   B-NAME
is   O
currently   O
recovering   O
post   O
-   O
surgery   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
vigilant   O
care   O
of   O
the   O
team   O
led   O
by   O
Mckay   B-NAME
.   O

Madilyn   B-NAME
Houston   I-NAME
's   O
physical   O
health   O
is   O
stable   O
,   O
and   O
they   O
are   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
on   O
8/03   B-DATE
.   O

The   O
patient   O
profile   O
is   O
compiled   O
based   O
on   O
the   O
personal   O
information   O
namely   O
5   B-ID
-   I-ID
5150193   I-ID
,   O
98683316   B-ID
,   O
and   O
contact   O
332   B-CONTACT
1450   I-CONTACT
.   O

Permissions   O
to   O
access   O
Schroeder   B-NAME
's   O
medical   O
records   O
were   O
provided   O
using   O
the   O
username   O
dj410   B-NAME
.   O

For   O
emergency   O
contact   O
,   O
69223   B-CONTACT
has   O
been   O
provided   O
.   O

The   O
mailing   O
address   O
of   O
the   O
patient   O
uses   O
the   O
zip   O
code   O
:   O
60757   B-LOCATION
.   O

Patient   O
Name   O
:   O
RONNIE   B-NAME
PALMER   I-NAME
Age   O
:   O
18   O
Date   O
:   O
32/17/2172   B-DATE
ID   O
#   O
:   O
BD423/9347   B-ID
Phone   O
number   O
:   O
277   B-CONTACT
-   I-CONTACT
2444   I-CONTACT
Address   O
:   O
Seneca   B-LOCATION
,   O
76624   B-LOCATION
Job   O
:   O
Emergency   O
Management   O
Specialists   O
Medical   O
Record   O
no   O
.   O
24785752   B-ID
Name   O
of   O
Doctor   O
:   O
Dr.   O
Jefferson   B-NAME
Hospital   O
:   O
Bayfront   B-LOCATION
Health   I-LOCATION
Port   I-LOCATION
Charlotte   I-LOCATION
On   O
the   O
above   O
mentioned   O
date   O
,   O
Estep   B-NAME
came   O
in   O
for   O
a   O
consultation   O
,   O
presenting   O
with   O
symptoms   O
of   O
lower   O
abdominal   O
pain   O
and   O
discomfort   O
that   O
had   O
persisted   O
for   O
five   O
days   O
.   O

The   O
onset   O
of   O
the   O
pain   O
,   O
as   O
described   O
by   O
Eileen   B-NAME
Merritt   I-NAME
,   O
was   O
sudden   O
and   O
sharp   O
.   O

Eddie   B-NAME
Hobbs   I-NAME
reported   O
no   O
travels   O
or   O
intake   O
of   O
suspicious   O
food   O
or   O
water   O
.   O

On   O
physical   O
examination   O
,   O
Kaeden   B-NAME
Ellis   I-NAME
had   O
a   O
positive   O
Murphy   O
's   O
sign   O
.   O

A   O
diagnosis   O
of   O
acute   O
cholecystitis   O
was   O
formed   O
based   O
on   O
ostrowski   B-NAME
's   O
symptoms   O
and   O
the   O
above   O
described   O
clinical   O
findings   O
.   O

Valentine   B-NAME
Sorg   I-NAME
was   O
admitted   O
to   O
the   O
Graham   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Hill   I-LOCATION
City   I-LOCATION
for   O
further   O
evaluation   O
and   O
treatment   O
.   O

An   O
advice   O
for   O
laparoscopic   O
cholecystectomy   O
was   O
suggested   O
by   O
Dr.   O
Leon   B-NAME
after   O
discussing   O
the   O
possible   O
risks   O
involved   O
.   O

This   O
diagnostic   O
report   O
can   O
be   O
reviewed   O
with   O
the   O
associated   O
80787462   B-ID
number   O
in   O
our   O
First   B-LOCATION
BankAmericano   I-LOCATION
.   O

For   O
any   O
required   O
assistance   O
,   O
reach   O
out   O
to   O
us   O
at   O
31142   B-CONTACT
.   O

Doctor   O
Name   O
:   O
Lilian   B-NAME
Daniels   I-NAME
Healthcare   O
Professional   O
Username   O
:   O
HH853   B-NAME

Patient   O
Report   O
:   O
Densieski   B-NAME
Cotant   I-NAME
is   O
a   O
82   O
year   O
old   O
individual   O
who   O
works   O
as   O
a   O
Industrial   O
Safety   O
and   O
Health   O
Engineers   O
in   O
the   O
Collings   B-LOCATION
Lakes   I-LOCATION
area   O
.   O

The   O
patient   O
's   O
ID   O
number   O
is   O
PY560/8315   B-ID
.   O

The   O
patient   O
visited   O
Eaton   B-NAME
on   O
22/30/2278   B-DATE
.   O

Patient   O
lives   O
in   O
an   O
area   O
with   O
ZIP   O
code   O
56588   B-LOCATION
.   O

Moore   B-NAME
,   I-NAME
Michael   I-NAME
reported   O
experiencing   O
persistent   O
lower   O
abdominal   O
pain   O
for   O
the   O
past   O
month   O
.   O

On   O
physical   O
examination   O
,   O
Barajas   B-NAME
indicated   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
exacerbated   O
on   O
palpation   O
.   O

The   O
patient   O
's   O
record   O
number   O
is   O
7626139   B-ID
.   O

The   O
patient   O
's   O
case   O
has   O
been   O
referred   O
to   O
a   O
Gastroenterologist   O
affiliated   O
with   O
INTEGRIS   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
follow   O
-   O
up   O
appointment   O
date   O
is   O
on   O
7/91   B-DATE
.   O

If   O
any   O
new   O
symptoms   O
are   O
noticed   O
or   O
current   O
condition   O
worsens   O
,   O
the   O
patient   O
or   O
the   O
patient   O
's   O
family   O
is   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
(   B-CONTACT
518   I-CONTACT
)   I-CONTACT
158   I-CONTACT
-   I-CONTACT
7299   I-CONTACT
.   O

A   O
notice   O
was   O
sent   O
to   O
the   O
patient   O
’s   O
insurance   O
Stop   B-LOCATION
Sequani   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SSAT   I-LOCATION
)   I-LOCATION
.   O

All   O
medical   O
records   O
can   O
be   O
referred   O
to   O
,   O
by   O
logging   O
in   O
with   O
username   O
zvv762   B-NAME
.   O

This   O
report   O
was   O
compiled   O
by   O
Barrett   B-NAME
Serrano   I-NAME
and   O
will   O
be   O
stored   O
confidentially   O
according   O
to   O
the   O
policies   O
of   O
Willamette   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Ctr   I-LOCATION
.   O

Saunders   B-NAME

Patient   O
Name   O
:   O
Katie   B-NAME
Bishop   I-NAME
Medical   O
Record   O
No   O
:   O
6497658   B-ID
Age   O
:   O
81   O
Date   O
:   O

Thursday   B-DATE
Dear   O
Madelyn   B-NAME
Giles   I-NAME
,   O
I   O
am   O
writing   O
to   O
discuss   O
the   O
ongoing   O
health   O
condition   O
of   O
Norris   B-NAME
.   O

The   O
patient   O
first   O
presented   O
at   O
Eastern   B-LOCATION
Niagara   I-LOCATION
Hospital   I-LOCATION
Lockport   I-LOCATION
with   O
symptoms   O
of   O
persistent   O
tiredness   O
,   O
lack   O
of   O
energy   O
,   O
and   O
shortness   O
of   O
breath   O
on   O
2168   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
30   I-DATE
.   O

Following   O
an   O
initial   O
clinical   O
examination   O
by   O
Dr.   O
Donovan   B-NAME
Booker   I-NAME
and   O
further   O
diagnostic   O
tests   O
,   O
Leah   B-NAME
Medina   I-NAME
was   O
found   O
to   O
have   O
elevated   O
levels   O
of   O
Troponin   O
I   O
in   O
the   O
blood   O
,   O
ventricular   O
hypertrophy   O
on   O
EKG   O
,   O
and   O
abnormal   O
echocardiographic   O
evidence   O
of   O
left   O
ventricular   O
systolic   O
dysfunction   O
.   O

Upon   O
further   O
questioning   O
,   O
XAVIER   B-NAME
ODONNELL   I-NAME
's   O
symptoms   O
were   O
found   O
to   O
have   O
been   O
ongoing   O
for   O
a   O
period   O
of   O
about   O
three   O
months   O
prior   O
.   O

Additionally   O
,   O
So   B-NAME
Splawn   I-NAME
reported   O
difficulties   O
in   O
carrying   O
out   O
regular   O
activities   O
due   O
to   O
the   O
tiredness   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
patient   O
has   O
been   O
residing   O
in   O
Hickory   B-LOCATION
Hill   I-LOCATION
for   O
the   O
past   O
5   O
years   O
and   O
is   O
a   O
Medical   O
Equipment   O
Preparers   O
by   O
occupation   O
.   O

Oscar   B-NAME
Urzua   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
and   O
smoking   O
.   O

Telephone   O
follow   O
-   O
up   O
at   O
35252   B-CONTACT
has   O
been   O
organized   O
for   O
October   B-DATE
22   I-DATE
where   O
we   O
will   O
discuss   O
the   O
plan   O
of   O
care   O
.   O

This   O
is   O
the   O
same   O
address   O
that   O
was   O
provided   O
during   O
the   O
registration   O
of   O
Heather   B-NAME
Sanzone   I-NAME
with   O
the   O
Unique   O
Identification   O
Authority   O
of   O
Access   B-LOCATION
Bank   I-LOCATION
,   O
associated   O
with   O
ID   O
number   O
JW   B-ID
:   I-ID
GA:7060   I-ID
.   O

The   O
address   O
registered   O
was   O
also   O
cross   O
-   O
checked   O
with   O
the   O
patient   O
's   O
driver   O
license   O
for   O
Yreka   B-LOCATION
.   O

This   O
report   O
has   O
been   O
assembled   O
by   O
the   O
healthcare   O
system   O
's   O
username   O
UX293   B-NAME
.   O

For   O
follow   O
-   O
up   O
and   O
medical   O
advice   O
,   O
Gillis   B-NAME
has   O
been   O
advised   O
to   O
contact   O
Ephraim   B-LOCATION
McDowell   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Jessie   B-NAME
Swanson   I-NAME
,   O
with   O
associated   O
specialty   O
registration   O
number   O
:   O
5056526   B-ID
.   O

Yours   O
Sincerely   O
,   O
Kamron   B-NAME
Tate   I-NAME
(   O
Address   O
)   O
Winterville   B-LOCATION
Zip   O
:   O
67980   B-LOCATION
PhoneNumber   O
:   O
201   B-CONTACT
-   I-CONTACT
7538   I-CONTACT

Patient   O
Name   O
:   O
Giovanni   B-NAME
Huerta   I-NAME
Age   O
:   O
42   O
Gender   O
:   O
Male   O
Medical   O
record   O
number   O
:   O
3489739   B-ID
Date   O
of   O
Visit   O
:   O
37/27   B-DATE
Levy   B-NAME
at   O
Winneshiek   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
examined   O
Karenga   B-NAME
,   I-NAME
Ron   I-NAME
due   O
to   O
recurrent   O
presentations   O
of   O
severe   O
abdominal   O
pain   O
,   O
more   O
intense   O
in   O
the   O
epigastric   O
region   O
.   O

Symptoms   O
:   O
Antoninus   B-NAME
Pius   I-NAME
Jingst   I-NAME
reported   O
the   O
tenderness   O
started   O
about   O
three   O
weeks   O
ago   O
and   O
has   O
progressively   O
worsened   O
over   O
this   O
period   O
,   O
particularly   O
after   O
meals   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
it   O
is   O
noted   O
that   O
Creola   B-NAME
displays   O
epigastric   O
tenderness   O
upon   O
palpation   O
.   O

Medical   O
History   O
:   O
Records   O
from   O
National   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Black   I-LOCATION
Veterans   I-LOCATION
indicated   O
a   O
history   O
of   O
peptic   O
ulcers   O
in   O
Thomas   B-NAME
Hoffman   I-NAME
.   O

Diagnostic   O
Tests   O
:   O
Marc   B-NAME
Black   I-NAME
ordered   O
a   O
complex   O
series   O
of   O
tests   O
including   O
,   O
but   O
not   O
limited   O
to   O
,   O
Abdominal   O
Ultrasound   O
,   O
Endoscopy   O
,   O
CBC   O
,   O
and   O
Serum   O
Gastrin   O
levels   O
.   O

Test   O
results   O
are   O
expected   O
to   O
be   O
received   O
by   O
3/23   B-DATE
.   O

Lesly   B-NAME
Galvan   I-NAME
has   O
been   O
advised   O
to   O
refrain   O
from   O
smoking   O
and   O
alcohol   O
consumption   O
.   O

A   O
prescription   O
for   O
proton   O
pump   O
inhibitor   O
has   O
been   O
given   O
for   O
a   O
trial   O
period   O
until   O
32/29   B-DATE
.   O
Echols   B-NAME
,   I-NAME
Damien   I-NAME
's   O
employer   O
,   O
Town   B-LOCATION
of   I-LOCATION
Middletown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
,   O
is   O
notified   O
of   O
his   O
medical   O
condition   O
and   O
it   O
is   O
recommended   O
he   O
takes   O
time   O
off   O
from   O
his   O
Metallurgist   O
due   O
to   O
his   O
condition   O
.   O

Contact   O
Information   O
:   O
John   B-NAME
V.   I-NAME
Hood   I-NAME
resides   O
in   O
Margate   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
308   B-CONTACT
-   I-CONTACT
2121   I-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
please   O
contact   O
jfx236   B-NAME
at   O
20737   B-LOCATION
.   O

His   O
health   O
insurance   O
number   O
is   O
LY:69238:167341   B-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Tremaine   B-NAME
Date   O
of   O
Birth   O
:   O
2064   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
28   I-DATE
Address   O
:   O
Mabie   B-LOCATION
Profession   O
:   O
Project   O
manager   O
Patient   O
Janssen   B-NAME
presented   O
at   O
Methodist   B-LOCATION
Dallas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
29/32/23   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
with   O
intense   O
burning   O
,   O
and   O
bloating   O
sensation   O
.   O

Physical   O
examination   O
by   O
Dr.   O
Copeland   B-NAME
on   O
2371   B-DATE
revealed   O
tenderness   O
in   O
the   O
epigastric   O
region   O
and   O
a   O
positive   O
Murphy   O
's   O
sign   O
.   O

Patient   O
's   O
unique   O
ID   O
number   O
is   O
CG699/3383   B-ID
.   O

Medical   O
record   O
number   O
is   O
365   B-ID
-   I-ID
79   I-ID
-   I-ID
53   I-ID
-   I-ID
2   I-ID
.   O
Lab   O
investigations   O
and   O
imaging   O
studies   O
were   O
ordered   O
by   O
Dr.   O
English   B-NAME
on   O
8/02   B-DATE
.   O

The   O
patient   O
was   O
referred   O
to   O
a   O
gastroenterologist   O
at   O
Bolivar   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2   B-DATE
-   I-DATE
26   I-DATE
-   I-DATE
31   I-DATE
for   O
further   O
management   O
.   O

The   O
Patient   O
's   O
contact   O
phone   O
number   O
is   O
114   B-CONTACT
-   I-CONTACT
379   I-CONTACT
6652   I-CONTACT
.   O

Patient   O
Opal   B-NAME
Feldman   I-NAME
also   O
mentioned   O
his   O
brother   O
,   O
aged   O
82   O
,   O
died   O
due   O
to   O
some   O
intestinal   O
related   O
problems   O
in   O
12/23/2220   B-DATE
at   O
a   O
hospital   O
located   O
in   O
Saint   B-LOCATION
Petersburg   I-LOCATION
,   I-LOCATION
FL   I-LOCATION
33710   I-LOCATION
.   O

An   O
appointment   O
follow   O
-   O
up   O
call   O
is   O
scheduled   O
for   O
7/20   B-DATE
concerning   O
the   O
health   O
status   O
of   O
Mcclain   B-NAME
.   O

Prior   O
to   O
the   O
date   O
,   O
the   O
patient   O
may   O
reach   O
out   O
through   O
the   O
medical   O
emergency   O
line   O
627   B-CONTACT
-   I-CONTACT
1591   I-CONTACT
or   O
the   O
online   O
portal   O
with   O
username   O
di827   B-NAME
to   O
report   O
any   O
lingering   O
or   O
worsening   O
symptoms   O
.   O

The   O
hospital   O
Sparrow   B-LOCATION
Ionia   I-LOCATION
Hospital   I-LOCATION
is   O
affiliated   O
with   O
health   O
care   O
organization   O
Walmart   B-LOCATION
.   O

Further   O
instructions   O
are   O
mentioned   O
in   O
detailed   O
medical   O
report   O
send   O
to   O
the   O
patient   O
's   O
residential   O
address   O
West   B-LOCATION
Chester   I-LOCATION
99278   B-LOCATION
Signed   O
,   O
Dr.   O
Salinas   B-NAME
06/20   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Chumani   B-NAME
MRN   O
:   O
NXO   B-ID
0   I-ID
-   I-ID
450   I-ID
DOB   O
:   O
31/20   B-DATE
Presented   O
on   O
03/07/1670   B-DATE
at   O
Sts   B-LOCATION
.   I-LOCATION
Mary   B-LOCATION
&   I-LOCATION
Elizabeth   I-LOCATION
Hospital   I-LOCATION
with   O
complaint   O
of   O
severe   O
epigastric   O
pain   O
.   O

Griswold   B-NAME
,   I-NAME
Erwin   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
,   O
continuous   O
and   O
radiating   O
to   O
the   O
back   O
.   O

Diabetes   O
is   O
being   O
managed   O
with   O
insulin   O
,   O
last   O
HbA1C   O
check   O
on   O
1/14   B-DATE
was   O
7.2   O
%   O
.   O

There   O
was   O
also   O
a   O
notable   O
past   O
surgical   O
history   O
of   O
laparoscopic   O
cholecystectomy   O
,   O
performed   O
by   O
Collins   B-NAME
,   O
in   O
Alabaster   B-LOCATION
on   O
2/20   B-DATE
.   O

Family   O
Medical   O
History   O
:   O
Obrien   B-NAME
's   O
mother   O
suffers   O
from   O
hypertension   O
and   O
father   O
had   O
a   O
history   O
of   O
lung   O
cancer   O
,   O
passed   O
away   O
at   O
75s   O
.   O

Laila   B-NAME
Walters   I-NAME
is   O
a   O
retired   O
Correspondence   O
Clerks   O
,   O
resides   O
in   O
8957   B-LOCATION
Boston   I-LOCATION
Dr.   I-LOCATION
,   O
27749   B-LOCATION
and   O
does   O
not   O
smoke   O
or   O
consume   O
alcohol   O
.   O

Contact   O
number   O
is   O
133   B-CONTACT
9480   I-CONTACT
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
,   O
Alivia   B-NAME
Hayden   I-NAME
to   O
review   O
the   O
images   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Cherokee   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Sha   B-NAME
Gaseoma   I-NAME
.   O

The   O
patient   O
's   O
next   O
appointment   O
has   O
been   O
scheduled   O
for   O
December   B-DATE
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Rafael   I-LOCATION
.   O

The   O
appointment   O
details   O
have   O
been   O
sent   O
to   O
fi643   B-NAME
at   O
Portland   B-LOCATION
Linux   I-LOCATION
/   I-LOCATION
Unix   I-LOCATION
Group   I-LOCATION
.   O

Chase   B-NAME
has   O
been   O
advised   O
but   O
is   O
not   O
limited   O
to   O
discussing   O
these   O
findings   O
with   O
primary   O
care   O
provider   O
,   O
Hackenstein   B-NAME
.   O

Coverage   O
is   O
provided   O
through   O
City   B-LOCATION
of   I-LOCATION
Vero   I-LOCATION
Beach   I-LOCATION
Electric   I-LOCATION
Utilities   I-LOCATION
,   O
policy   O
number   O
6   B-ID
-   I-ID
3474540   I-ID
.   O

Emergency   O
Contact   O
:   O
Gaulle   B-NAME
,   I-NAME
Charles   I-NAME
de   I-NAME
's   O
son   O
,   O
does   O
not   O
reside   O
with   O
patient   O
,   O
contact   O
information   O
(   B-CONTACT
440   I-CONTACT
)   I-CONTACT
688   I-CONTACT
4290   I-CONTACT
.   O

By   O
:   O
Pennington   B-NAME
ID   O
:   O
KK116/2947   B-ID
National   O
Provider   O
Identifier   O
:   O
TD   B-ID
:   I-ID
ES:4363   I-ID
Date   O
:   O
04/24   B-DATE
Note   O
:   O
This   O
medical   O
report   O
is   O
confidential   O
and   O
contains   O
information   O
that   O
is   O
legally   O
privileged   O
.   O

Patient   O
Name   O
:   O
Siena   B-NAME
Li   I-NAME
Age   O
:   O
10   O
month   O
Profession   O
:   O
Health   O
Educators   O
The   O
patient   O
arrived   O
at   O
JFK   B-LOCATION
Johnson   I-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
for   O
a   O
check   O
-   O
up   O
on   O
2/35   B-DATE
.   O

Kaydence   B-NAME
Bernard   I-NAME
expressed   O
experiencing   O
regular   O
bouts   O
of   O
vertigo   O
over   O
the   O
past   O
few   O
weeks   O
.   O

Melua   B-NAME
,   I-NAME
Katie   I-NAME
's   O
job   O
requires   O
prolonged   O
sitting   O
at   O
FirstEnergy   B-LOCATION
(   I-LOCATION
Jersey   I-LOCATION
Central   I-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
)   I-LOCATION
,   O
which   O
may   O
be   O
contributing   O
to   O
a   O
sedentary   O
lifestyle   O
.   O

Blaze   B-NAME
,   O
being   O
of   O
93   O
years   O
,   O
was   O
also   O
advised   O
to   O
get   O
regular   O
check   O
-   O
ups   O
considering   O
the   O
increased   O
risk   O
of   O
various   O
age   O
-   O
related   O
diseases   O
.   O

The   O
resident   O
physician   O
,   O
Skinner   B-NAME
,   O
took   O
note   O
of   O
his   O
symptoms   O
and   O
recommended   O
a   O
series   O
of   O
tests   O
to   O
determine   O
the   O
cause   O
.   O

The   O
SCL   B-LOCATION
Health   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Southwest   I-LOCATION
has   O
sent   O
the   O
samples   O
to   O
Maurertown   B-LOCATION
for   O
further   O
testing   O
.   O

The   O
patient   O
medical   O
record   O
7160D03357   B-ID
is   O
created   O
for   O
tracking   O
all   O
his   O
medical   O
history   O
and   O
test   O
results   O
.   O

To   O
further   O
understand   O
the   O
situation   O
,   O
Miah   B-NAME
Norman   I-NAME
suggested   O
getting   O
a   O
second   O
opinion   O
from   O
a   O
specialist   O
in   O
Chesterhill   B-LOCATION
if   O
the   O
situation   O
persisted   O
.   O

Nick   B-NAME
Green   I-NAME
's   O
VZ   B-ID
:   I-ID
EE:9130   I-ID
and   O
other   O
details   O
were   O
updated   O
to   O
facilitate   O
communications   O
.   O

Sheridan   B-NAME
,   I-NAME
Richard   I-NAME
Brinsley   I-NAME
also   O
offered   O
his   O
986   B-CONTACT
-   I-CONTACT
4056   I-CONTACT
to   O
ensure   O
direct   O
communication   O
regarding   O
updates   O
on   O
his   O
health   O
status   O
or   O
test   O
results   O
.   O

The   O
test   O
results   O
are   O
expected   O
by   O
4/23   B-DATE
and   O
had   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2/05   B-DATE
.   O

The   O
patient   O
's   O
eq851   B-NAME
for   O
accessing   O
online   O
test   O
reports   O
and   O
results   O
is   O
created   O
and   O
he   O
will   O
receive   O
the   O
login   O
details   O
via   O
his   O
registered   O
phone   O
number   O
.   O

Our   O
team   O
at   O
Monmouth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
aware   O
of   O
the   O
unsettling   O
symptoms   O
experienced   O
and   O
we   O
are   O
committed   O
to   O
provide   O
the   O
best   O
possible   O
care   O
to   O
Rachel   B-NAME
Hughes   I-NAME
.   O

His   O
residence   O
at   O
13627   B-LOCATION
also   O
puts   O
him   O
within   O
the   O
service   O
area   O
of   O
our   O
homecare   O
facilities   O
if   O
required   O
.   O

We   O
are   O
looking   O
forward   O
to   O
providing   O
comprehensive   O
care   O
and   O
support   O
to   O
Corey   B-NAME
,   I-NAME
Peter   I-NAME
during   O
this   O
time   O
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Dario   B-NAME
Wu   I-NAME
Date   O
of   O
Birth   O
:   O
17/05   B-DATE
Age   O
:   O
16   O
Health   O
ID   O
:   O
GF:100799:268951   B-ID
Location   O
:   O
Georgia   B-LOCATION
Zip   O
code   O
:   O
88230   B-LOCATION
Hospital   O
name   O
:   O
MercyOne   B-LOCATION
Waterloo   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Doctor   O
's   O
name   O
:   O
Fowler   B-NAME
Medical   O
Record   O
Number   O
:   O
10145577   B-ID
Report   O
:   O
On   O
the   O
morning   O
of   O
2138   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
05   I-DATE
,   O
patient   O
Chelsey   B-NAME
Montilla   I-NAME
was   O
brought   O
to   O
Bayhealth   B-LOCATION
Kent   I-LOCATION
Campus   I-LOCATION
.   O

Up   O
on   O
visiting   O
his   O
personal   O
physician   O
,   O
Cameron   B-NAME
,   I-NAME
Julia   I-NAME
,   O
the   O
patient   O
reported   O
developing   O
a   O
sudden   O
,   O
persistent   O
dry   O
cough   O
,   O
difficulty   O
in   O
breathing   O
,   O
and   O
fatigue   O
.   O

Frye   B-NAME
works   O
as   O
a   O
Securities   O
,   O
Commodities   O
,   O
and   O
Financial   O
Services   O
Sales   O
Agents   O
which   O
involves   O
prolonged   O
exposure   O
to   O
harsh   O
weather   O
conditions   O
that   O
may   O
have   O
contributed   O
to   O
his   O
symptoms   O
.   O

Ford   B-NAME
has   O
been   O
living   O
in   O
9049   B-LOCATION
S.   I-LOCATION
Rocky   I-LOCATION
River   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION
and   O
provided   O
his   O
contact   O
information   O
-   O
(   B-CONTACT
771   I-CONTACT
)   I-CONTACT
743   I-CONTACT
-   I-CONTACT
8330   I-CONTACT
.   O

He   O
has   O
no   O
known   O
allergies   O
but   O
has   O
a   O
history   O
of   O
COPD   O
(   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
)   O
according   O
to   O
his   O
records   O
from   O
his   O
previous   O
visit   O
noted   O
by   O
YP702   B-NAME
.   O

His   O
health   O
ID   O
is   O
51900794   B-ID
and   O
Medical   O
record   O
number   O
is   O
7066235   B-ID
.   O

Waller   B-NAME
was   O
admitted   O
to   O
Cedar   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   O
started   O
on   O
antibiotics   O
.   O

The   O
team   O
under   O
the   O
supervision   O
of   O
Patton   B-NAME
is   O
actively   O
monitoring   O
his   O
condition   O
and   O
progression   O
.   O

International   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Bayesian   I-LOCATION
Analysis   I-LOCATION
's   O
representative   O
will   O
contact   O
him   O
for   O
further   O
information   O
related   O
to   O
his   O
insurance   O
.   O

Patient   O
Name   O
:   O
Lyons   B-NAME
Age   O
:   O
2   O
Address   O
:   O
Willowick   B-LOCATION
Phone   O
:   O
594   B-CONTACT
1934   I-CONTACT
ID   O
:   O
7   B-ID
-   I-ID
3292503   I-ID
Medical   O
Record   O
:   O
6543253   B-ID
Date   O
of   O
Report   O
:   O
5/28   B-DATE
Upon   O
the   O
recommendation   O
of   O
Harper   B-NAME
from   O
the   O
Derby   B-LOCATION
Ambulatory   I-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Derby   I-LOCATION
,   O
Atwood   B-NAME
,   O
currently   O
a   O
Entertainment   O
Attendants   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
at   O
GEICO   B-LOCATION
,   O
presented   O
themselves   O
to   O
the   O
emergency   O
room   O
on   O
2346   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
01   I-DATE
.   O

They   O
reside   O
in   O
the   O
64744   B-LOCATION
area   O
of   O
Lake   B-LOCATION
Lure   I-LOCATION
and   O
they   O
were   O
experiencing   O
severe   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
patient   O
reported   O
having   O
had   O
exposure   O
to   O
a   O
person   O
with   O
a   O
confirmed   O
case   O
of   O
COVID-19   O
at   O
their   O
workplace   O
,   O
World   B-LOCATION
Future   I-LOCATION
Council   I-LOCATION
,   O
approximately   O
10   O
days   O
earlier   O
.   O

Melva   B-NAME
Orth   I-NAME
described   O
their   O
experiencing   O
worsened   O
respiratory   O
symptoms   O
such   O
as   O
a   O
dry   O
cough   O
and   O
mild   O
difficulty   O
breathing   O
over   O
the   O
past   O
week   O
,   O
before   O
the   O
chest   O
pain   O
began   O
.   O

Further   O
inquiry   O
revealed   O
Davian   B-NAME
Krueger   I-NAME
had   O
a   O
travel   O
history   O
about   O
half   O
a   O
month   O
ago   O
to   O
Bettendorf   B-LOCATION
.   O

Laboratory   O
results   O
from   O
05/16   B-DATE
showed   O
a   O
white   O
blood   O
cell   O
count   O
of   O
11.0   O
x   O
10   O
^   O
3   O
/   O
uL   O
with   O
a   O
predominance   O
of   O
neutrophils   O
,   O
a   O
CRP   O
of   O
15   O
mg   O
/   O
L   O
,   O
and   O
a   O
D   O
-   O
Dimer   O
level   O
of   O
1.00   O
mcg   O
/   O
mL   O
FEU   O
.   O

The   O
patient   O
,   O
AI712   B-NAME
,   O
was   O
then   O
admitted   O
for   O
further   O
evaluation   O
and   O
treatment   O
.   O

Contact   O
was   O
made   O
with   O
Stephenie   B-NAME
Morejon   I-NAME
's   O
emergency   O
contact   O
by   O
noting   O
down   O
the   O
198   B-CONTACT
-   I-CONTACT
5635   I-CONTACT
.   O

This   O
has   O
been   O
recorded   O
in   O
the   O
patient   O
's   O
confidential   O
file   O
accessed   O
by   O
the   O
ID   O
:   O
FZ   B-ID
:   I-ID
MG:3669   I-ID
.   O

Report   O
compiled   O
by   O
Sonia   B-NAME
Stout   I-NAME
,   O
the   O
patient   O
's   O
attending   O
healthcare   O
professional   O
at   O
McDuffie   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Information   O
:   O
Dillon   B-NAME
is   O
a   O
84   O
male   O
,   O
who   O
arrived   O
at   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Sunday   B-DATE
,   I-DATE
December   I-DATE
complaining   O
of   O
severe   O
chest   O
pain   O
,   O
intermittent   O
nausea   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
initial   O
assessment   O
was   O
conducted   O
by   O
Delacruz   B-NAME
who   O
identified   O
signs   O
indicative   O
of   O
acute   O
myocardial   O
infarction   O
.   O

Pescennius   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
obesity   O
,   O
and   O
type   O
-   O
II   O
diabetes   O
.   O

He   O
works   O
as   O
a   O
Data   O
scientist   O
at   O
Citizens   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Chicago   I-LOCATION
which   O
often   O
demands   O
long   O
working   O
hours   O
and   O
frequent   O
travels   O
to   O
Montclair   B-LOCATION
.   O

Esther   B-NAME
Gibbs   I-NAME
graded   O
his   O
angina   O
as   O
Class   O
III   O
indicating   O
a   O
marked   O
limitation   O
of   O
activity   O
.   O

Investigation   O
:   O
3756887   B-ID
revealed   O
cardiac   O
enzymes   O
above   O
their   O
reference   O
range   O
:   O
Troponin   O
T   O
=   O
0.29   O
ng   O
/   O
mL   O
and   O
CK   O
-   O
MB   O
=   O
180   O
U   O
/   O
L.   O

A   O
plan   O
has   O
been   O
formalized   O
to   O
conduct   O
a   O
Coronary   O
Artery   O
Bypass   O
Graft   O
(   O
CABG   O
)   O
surgery   O
by   O
the   O
cardiovascular   O
team   O
of   O
Aventura   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
surgery   O
is   O
scheduled   O
to   O
take   O
place   O
on   O
28/12   B-DATE
.   O

Hillel   B-NAME
the   I-NAME
Elder   I-NAME
has   O
been   O
informed   O
and   O
consented   O
to   O
the   O
planned   O
procedure   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
arranged   O
post   O
-   O
operation   O
with   O
Atkinson   B-NAME
on   O
10/24   B-DATE
.   O

Instructions   O
to   O
contact   O
the   O
hospital   O
at   O
576   B-CONTACT
-   I-CONTACT
2394   I-CONTACT
for   O
any   O
concerning   O
symptoms   O
or   O
if   O
conditions   O
get   O
aggravated   O
before   O
the   O
scheduled   O
operation   O
have   O
been   O
provided   O
.   O

The   O
medical   O
team   O
assured   O
Haiden   B-NAME
Anthony   I-NAME
of   O
24/7   O
support   O
for   O
any   O
related   O
queries   O
.   O

We   O
will   O
next   O
contact   O
Shaneka   B-NAME
Elsa   I-NAME
through   O
his   O
OP518   B-NAME
ID   O
to   O
ensure   O
he   O
follows   O
the   O
medical   O
recommendations   O
strictly   O
and   O
continues   O
his   O
medication   O
religiously   O
.   O

The   O
data   O
regarding   O
the   O
upcoming   O
operation   O
has   O
been   O
registered   O
under   O
patient   O
UO   B-ID
:   I-ID
HR:6235   I-ID
.   O

The   O
coverage   O
details   O
of   O
the   O
surgery   O
were   O
mailed   O
to   O
his   O
address   O
at   O
50563   B-LOCATION
.   O

[   O
Tomorrow   O
's   O
date   O
]   O
,   O
33/10   B-DATE
Barbara   B-NAME
Hickman   I-NAME
was   O
admitted   O
to   O
McLaren   B-LOCATION
Lapeer   I-LOCATION
Regional   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
intermittent   O
vomiting   O
,   O
and   O
decreased   O
appetite   O
.   O

According   O
to   O
patient   O
's   O
IT665   B-NAME
recent   O
blood   O
work   O
done   O
at   O
Botswana   B-LOCATION
Beverages   I-LOCATION
&   I-LOCATION
Allied   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
showed   O
increased   O
liver   O
enzymes   O
and   O
elevated   O
total   O
bilirubin   O
level   O
.   O

Ray   B-NAME
performed   O
a   O
physical   O
examination   O
.   O

933   B-ID
-   I-ID
71   I-ID
-   I-ID
14   I-ID

The   O
patient   O
is   O
scheduled   O
for   O
a   O
laparoscopic   O
cholecystectomy   O
on   O
August   B-DATE
3   I-DATE
.   O

Alexis   B-NAME
Melendez   I-NAME
's   O
next   O
of   O
kin   O
was   O
also   O
informed   O
and   O
the   O
contact   O
number   O
was   O
recorded   O
as   O
695   B-CONTACT
159   I-CONTACT
-   I-CONTACT
2271   I-CONTACT
.   O

Sheriffs   O
and   O
Deputy   O
Sheriffs   O
from   O
Vineyard   B-LOCATION
Bank   I-LOCATION
is   O
expected   O
to   O
assist   O
with   O
post   O
-   O
operative   O
recovery   O
and   O
rehabilitation   O
.   O

Billing   O
information   O
with   O
the   O
health   O
insurance   O
account   O
MQ:100864:105823   B-ID
was   O
recorded   O
and   O
he   O
resides   O
at   O
Foresthill   B-LOCATION
44772   B-LOCATION
.   O

Detailed   O
medical   O
documents   O
have   O
been   O
mailed   O
to   O
his   O
address   O
and   O
the   O
same   O
information   O
has   O
been   O
shared   O
with   O
his   O
primary   O
physician   O
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Union   I-LOCATION
for   O
continuity   O
of   O
care   O
.   O

Sincerely   O
,   O
Poole   B-NAME
.   O

Patient   O
Report   O
:   O
Dougherty   B-NAME
is   O
a   O
47   O
year   O
old   O
patient   O
who   O
was   O
referred   O
to   O
Dr.   O
Daniella   B-NAME
Dawson   I-NAME
on   O
2   B-DATE
-   I-DATE
29   I-DATE
.   O

Dr.   O
Charlie   B-NAME
Calhoun   I-NAME
is   O
a   O
well   O
-   O
experienced   O
neurologist   O
in   O
Advocate   B-LOCATION
BroMenn   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

In   O
particular   O
,   O
MIGUEL   B-NAME
LARSON   I-NAME
describes   O
episodes   O
when   O
getting   O
out   O
of   O
bed   O
,   O
often   O
accompanied   O
by   O
nausea   O
and   O
visual   O
changes   O
specifically   O
"   O
graying   O
"   O
of   O
vision   O
.   O

Following   O
the   O
initial   O
assessment   O
,   O
Ashlag   B-NAME
,   I-NAME
Yehuda   I-NAME
requested   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
to   O
be   O
done   O
in   O
St.   B-LOCATION
Lawrence   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
.   O

04571485   B-ID
will   O
indicate   O
the   O
complete   O
results   O
.   O

The   O
patients   O
medical   O
record   O
number   O
is   O
1   B-ID
-   I-ID
8867779   I-ID
.   O

During   O
the   O
examination   O
,   O
Villasenor   B-NAME
looked   O
really   O
pale   O
and   O
shows   O
signs   O
of   O
fatigue   O
.   O

As   O
per   O
the   O
last   O
address   O
update   O
,   O
the   O
patient   O
hails   O
from   O
Booneville   B-LOCATION
,   I-LOCATION
Booneville   I-LOCATION
Area   I-LOCATION
C.O.C.   I-LOCATION
and   O
his   O
zip   O
code   O
is   O
43998   B-LOCATION
.   O

He   O
has   O
authorized   O
Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION
to   O
process   O
his   O
insurance   O
claims   O
.   O

His   O
primary   O
contact   O
number   O
is   O
(   B-CONTACT
321   I-CONTACT
)   I-CONTACT
749   I-CONTACT
1720   I-CONTACT
.   O

His   O
next   O
appointment   O
will   O
be   O
on   O
2118   B-DATE
in   O
the   O
same   O
LewisGale   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Dr.   O
Alicia   B-NAME
Andrade   I-NAME
.   O

The   O
Patient   O
's   O
condition   O
was   O
also   O
reviewed   O
by   O
fellow   O
Dr.   O
UT5610   B-NAME
.   O

We   O
are   O
hopeful   O
for   O
Casey   B-NAME
Robbins   I-NAME
's   O
swift   O
diagnosis   O
and   O
recovery   O
due   O
to   O
his   O
previous   O
good   O
health   O
record   O
.   O

Patient   O
name   O
:   O
Hark   B-NAME
31   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
17   I-DATE
,   O
Ishaan   B-NAME
Dickerson   I-NAME
was   O
admitted   O
to   O
our   O
medical   O
facility   O
,   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Lincoln   I-LOCATION
,   O
located   O
in   O
Ali   B-LOCATION
Chukson   I-LOCATION
.   O

Skylar   B-NAME
Wilson   I-NAME
is   O
a   O
Assessors   O
and   O
is   O
around   O
6   O
years   O
old   O
.   O

Initial   O
physical   O
examination   O
by   O
Licinius   B-NAME
Berlacher   I-NAME
revealed   O
localized   O
tenderness   O
and   O
guarding   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Robbyn   B-NAME
was   O
also   O
experiencing   O
episodes   O
of   O
nausea   O
,   O
and   O
there   O
was   O
a   O
recorded   O
fever   O
of   O
101.5   O
degrees   O
Fahrenheit   O
.   O

Jane   B-NAME
Boyd   I-NAME
’s   O
medical   O
history   O
,   O
as   O
per   O
58240045   B-ID
,   O
indicated   O
that   O
they   O
had   O
experienced   O
recurring   O
episodes   O
of   O
vaguely   O
similar   O
discomfort   O
.   O

Based   O
on   O
medical   O
guidelines   O
from   O
renowned   O
health   O
New   B-LOCATION
Frontier   I-LOCATION
Bank   I-LOCATION
,   O
surgical   O
removal   O
via   O
an   O
appendectomy   O
was   O
decided   O
to   O
be   O
the   O
best   O
course   O
of   O
action   O
to   O
prevent   O
rupture   O
and   O
further   O
complications   O
.   O

The   O
patient   O
agreed   O
to   O
the   O
advised   O
surgical   O
intervention   O
,   O
and   O
was   O
prepped   O
for   O
surgery   O
on   O
34/29   B-DATE
.   O

Post   O
-   O
procedure   O
,   O
Kianna   B-NAME
Velazquez   I-NAME
was   O
scheduled   O
for   O
follow   O
-   O
ups   O
with   O
Kenny   B-NAME
Gilbert   I-NAME
and   O
their   O
contact   O
80097   B-CONTACT
was   O
listed   O
for   O
any   O
emergency   O
.   O

In   O
the   O
record   O
,   O
there   O
was   O
noted   O
a   O
KH   B-ID
:   I-ID
ZR:2715   I-ID
reference   O
for   O
future   O
patient   O
identification   O
.   O

Kelvin   B-NAME
Yang   I-NAME
lives   O
at   O
residential   O
65544   B-LOCATION
and   O
they   O
previously   O
worked   O
with   O
MR476   B-NAME
in   O
their   O
professional   O
field   O
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Vesta   B-NAME
Radice   I-NAME
,   O
attended   O
the   O
Princeton   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
3/67   B-DATE
.   O

Dr.   O
Goodwin   B-NAME
was   O
the   O
attending   O
physician   O
during   O
the   O
time   O
of   O
visit   O
.   O

Miles   B-NAME
,   O
an   O
4   O
month   O
year   O
old   O
First   O
-   O
Line   O
Supervisors   O
of   O
Aquacultural   O
Workers   O
from   O
Winterset   B-LOCATION
,   O
74299   B-LOCATION
,   O
displayed   O
symptoms   O
consistent   O
with   O
acute   O
pancreatitis   O
.   O

Ezekiel   B-NAME
Patton   I-NAME
was   O
immediately   O
admitted   O
under   O
39315614   B-ID
for   O
observatory   O
purposes   O
in   O
the   O
CHI   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Elizabeth   I-LOCATION
.   O

His   O
family   O
was   O
contacted   O
via   O
the   O
547   B-CONTACT
930   I-CONTACT
9670   I-CONTACT
number   O
on   O
his   O
records   O
and   O
informed   O
about   O
the   O
situation   O
.   O

His   O
monitoring   O
and   O
medication   O
adjustment   O
would   O
be   O
done   O
by   O
Dr.   O
Buchanan   B-NAME
.   O

Boyer   B-NAME
’s   O
DO   B-ID
:   I-ID
TK:8094   I-ID
was   O
used   O
for   O
all   O
the   O
billing   O
procedures   O
with   O
Town   B-LOCATION
of   I-LOCATION
Havana   I-LOCATION
Utilities   I-LOCATION
health   O
insurance   O
.   O

Due   O
to   O
his   O
Agricultural   O
Equipment   O
Operators   O
,   O
an   O
official   O
communication   O
was   O
made   O
using   O
cy825   B-NAME
to   O
his   O
workplace   O
indicating   O
the   O
potential   O
for   O
extended   O
leave   O
due   O
to   O
hospital   O
admission   O
in   O
Winston   B-LOCATION
-   I-LOCATION
Salem   I-LOCATION
.   O

Created   O
by   O
Gibbs   B-NAME
on   O
2158   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
20   I-DATE
.   O

Patient   O
Name   O
:   O
NICHOLAS   B-NAME
SINGH   I-NAME
DOB   O
:   O
12/11/00   B-DATE
ID   O
:   O
HI198/1666   B-ID
Age   O
:   O
37   O
Phone   O
:   O
247   B-CONTACT
-   I-CONTACT
2612   I-CONTACT
Medical   O
Record   O
:   O
0081569   B-ID
Address   O
:   O
Whitley   B-LOCATION
Gardens   I-LOCATION
,   O
97424   B-LOCATION
2365   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
26   I-DATE
Dear   O
Orr   B-NAME
,   O
I   O
am   O
reporting   O
a   O
new   O
case   O
concerning   O
Stanly   B-NAME
Lang   I-NAME
,   O
a   O
Design   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
who   O
recently   O
moved   O
to   O
Somersworth   B-LOCATION
.   O

He   O
was   O
first   O
admitted   O
to   O
the   O
Henry   B-LOCATION
Ford   I-LOCATION
Cottage   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
consistent   O
,   O
non   O
-   O
productive   O
cough   O
associated   O
with   O
pleuritic   O
chest   O
pain   O
over   O
the   O
past   O
week   O
.   O

He   O
was   O
discharged   O
on   O
38/22   B-DATE
with   O
instructions   O
for   O
rest   O
,   O
ample   O
hydration   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
after   O
a   O
week   O
.   O

In   O
the   O
light   O
of   O
these   O
findings   O
,   O
looking   O
forward   O
to   O
discussing   O
the   O
future   O
course   O
of   O
management   O
and   O
treatment   O
for   O
Soledad   B-NAME
Halterman   I-NAME
.   O

You   O
can   O
contact   O
his   O
case   O
manager   O
with   O
the   O
username   O
:   O
LE206   B-NAME
at   O
our   O
Veterans   B-LOCATION
for   I-LOCATION
Common   I-LOCATION
Sense   I-LOCATION
(   I-LOCATION
VCS   I-LOCATION
)   I-LOCATION
for   O
further   O
queries   O
.   O

Best   O
Regards   O
,   O
Long   B-NAME
85047   B-CONTACT
Bertrand   B-LOCATION
Chaffee   I-LOCATION
Hospital   I-LOCATION
at   O
West   B-LOCATION
Peoria   I-LOCATION
,   O
24538   B-LOCATION

Patient   O
Name   O
:   O
Lutz   B-NAME
,   I-NAME
John   I-NAME
Gregory   I-NAME
DOB   O
:   O
1751   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
06   I-DATE
MRN   O
:   O
4356212   B-ID
SSN   O
:   O
NV839/6545   B-ID
Presenting   O
Complaint   O
:   O
Becker   B-NAME
is   O
a   O
26   O
year   O
old   O
male   O
who   O
presented   O
to   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
Emergency   O
Department   O
on   O
04/49   B-DATE
with   O
complaints   O
of   O
severe   O
upper   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
associated   O
with   O
vomiting   O
and   O
weight   O
loss   O
over   O
the   O
last   O
month   O
.   O

Contact   O
Information   O
:   O
Address   O
:   O
Port   B-LOCATION
St.   I-LOCATION
Lucie   I-LOCATION
Phone   O
:   O
71717   B-CONTACT
Zip   O
:   O
92724   B-LOCATION
Family   O
History   O
:   O

This   O
patient   O
has   O
worked   O
for   O
Jackson   B-LOCATION
EMC   I-LOCATION
as   O
a   O
Purchasing   O
Agents   O
and   O
Buyers   O
,   O
Farm   O
Products   O
for   O
20   O
years   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Humberto   B-NAME
Copeland   I-NAME
appears   O
cachectic   O
.   O

Physician   O
Diagnostic   O
Evaluation   O
:   O
During   O
the   O
consultation   O
with   O
Avery   B-NAME
on   O
July   B-DATE
,   I-DATE
2220   I-DATE
,   O
Ana   B-NAME
Syphax   I-NAME
was   O
diagosed   O
with   O
pancreatic   O
cancer   O
based   O
on   O
imaging   O
and   O
laboratory   O
findings   O
.   O

He   O
was   O
scheduled   O
for   O
a   O
Whipple   O
procedure   O
(   O
pancreaticoduodenectomy   O
)   O
on   O
December   B-DATE
2376   I-DATE
.   O

Follow   O
Up   O
:   O
Josiah   B-NAME
Rice   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
the   O
interdisciplinary   O
oncology   O
team   O
at   O
Bethesda   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
North   I-LOCATION
Hornell   I-LOCATION
on   O
a   O
fortnightly   O
basis   O
.   O

The   O
above   O
report   O
was   O
prepared   O
by   O
stn618   B-NAME
and   O
would   O
be   O
updated   O
as   O
Drew   B-NAME
Prince   I-NAME
’s   O
condition   O
progresses   O
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Armstrong   B-NAME
Age   O
:   O
33   O
Seen   O
by   O
:   O
Dr.   O
Julianna   B-NAME
Knapp   I-NAME
At   O
:   O
CHRISTUS   B-LOCATION
Mother   I-LOCATION
Frances   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Tyler   I-LOCATION
ID   O
:   O
WD655/2967   B-ID
Medical   O
Record   O
:   O
209   B-ID
-   I-ID
11   I-ID
-   I-ID
42   I-ID
-   I-ID
2   I-ID
Location   O
:   O
Clarkfield   B-LOCATION
Phone   O
:   O
979   B-CONTACT
338   I-CONTACT
9290   I-CONTACT
Zip   O
:   O
96840   B-LOCATION
On   O
4/38/2081   B-DATE
,   O
Angelo   B-NAME
Green   I-NAME
paid   O
a   O
visit   O
to   O
UPMC   B-LOCATION
Presbyterian   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Conway   B-NAME
.   O

As   O
the   O
patient   O
lives   O
in   O
Agenda   B-LOCATION
with   O
its   O
known   O
high   O
pollution   O
levels   O
,   O
initial   O
differential   O
diagnosis   O
also   O
considers   O
exposure   O
to   O
poor   O
air   O
quality   O
.   O

The   O
appointment   O
is   O
scheduled   O
to   O
take   O
place   O
at   O
NEA   B-LOCATION
Baptist   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
02/13   B-DATE
.   O

Contact   O
was   O
made   O
with   O
the   O
patient   O
over   O
the   O
phone   O
(   O
765   B-CONTACT
475   I-CONTACT
-   I-CONTACT
3467   I-CONTACT
)   O
to   O
confirm   O
the   O
appointment   O
date   O
and   O
time   O
.   O

Presently   O
,   O
the   O
patient   O
's   O
state   O
of   O
health   O
continues   O
to   O
be   O
monitored   O
closely   O
while   O
maintaining   O
communication   O
via   O
a   O
digital   O
healthcare   O
platform   O
with   O
the   O
username   O
BO997   B-NAME
.   O

The   O
patient   O
's   O
detailed   O
medical   O
records   O
can   O
be   O
accessed   O
with   O
44609425   B-ID
.   O

For   O
confidentiality   O
,   O
these   O
records   O
are   O
only   O
shared   O
within   O
the   O
United   B-LOCATION
Transportation   I-LOCATION
Union   I-LOCATION
to   O
ensure   O
the   O
patient   O
's   O
privacy   O
.   O

The   O
physical   O
copy   O
of   O
the   O
medical   O
report   O
will   O
be   O
mailed   O
to   O
the   O
patient   O
's   O
place   O
of   O
residence   O
-   O
53032   B-LOCATION
,   O
for   O
their   O
personal   O
record   O
.   O

Patient   O
Report   O
----------------   O
Julissa   B-NAME
Kennedy   I-NAME
was   O
admitted   O
to   O
MercyOne   B-LOCATION
North   I-LOCATION
Iowa   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
33/13   B-DATE
.   O

Maria   B-NAME
Casey   I-NAME
is   O
presenting   O
symptoms   O
including   O
persistent   O
high   O
fever   O
,   O
severe   O
headaches   O
,   O
stomach   O
pain   O
,   O
and   O
constipation   O
.   O

Extensive   O
laboratory   O
and   O
imaging   O
studies   O
were   O
conducted   O
under   O
the   O
supervision   O
of   O
Glass   B-NAME
.   O

The   O
imaging   O
studies   O
generated   O
under   O
ID   O
VI:57647:267573   B-ID
revealed   O
an   O
appendicular   O
mass   O
,   O
which   O
supports   O
the   O
suspected   O
diagnosis   O
of   O
appendicitis   O
.   O

Meredith   B-NAME
Rios   I-NAME
lives   O
in   O
Stuart   B-LOCATION
and   O
was   O
driven   O
by   O
a   O
family   O
member   O
to   O
the   O
hospital   O
with   O
zip   O
code   O
82944   B-LOCATION
on   O
02/39   B-DATE
.   O

The   O
patient   O
was   O
admitted   O
to   O
Room   O
501   O
under   O
the   O
Medical   O
Record   O
number   O
25925305   B-ID
.   O

During   O
the   O
hospitalization   O
period   O
,   O
Parsons   B-NAME
made   O
daily   O
check   O
ups   O
and   O
monitored   O
Chance   B-NAME
Bright   I-NAME
's   O
status   O
carefully   O
.   O

Ingenuus   B-NAME
’s   O
family   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
394   I-CONTACT
)   I-CONTACT
283   I-CONTACT
7826   I-CONTACT
to   O
collect   O
further   O
collateral   O
information   O
.   O

The   O
next   O
of   O
kin   O
agreed   O
to   O
allow   O
the   O
Gordmans   B-LOCATION
to   O
share   O
patient   O
's   O
medical   O
information   O
with   O
other   O
healthcare   O
providers   O
involved   O
in   O
Fu   B-NAME
Manchu   I-NAME
's   O
care   O
.   O

Longfellow   B-NAME
,   I-NAME
Henry   I-NAME
Wadsworth   I-NAME
is   O
scheduled   O
for   O
a   O
review   O
appointment   O
on   O
15/35/2013   B-DATE
,   O
at   O
11   O
am   O
.   O

The   O
appointment   O
confirmation   O
was   O
sent   O
to   O
the   O
patient   O
's   O
email   O
GS715   B-NAME
@gmail.com   O
.   O

Report   O
completed   O
by   O
:   O
Borden   B-NAME
,   O
M.D   O
at   O
Sebastian   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
Rubi   B-NAME
Gibson   I-NAME
Age   O
:   O
54   O
Medical   O
Record   O
Number   O
:   O
17413342   B-ID
Date   O
:   O
07/12   B-DATE
Presenting   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Leandro   I-LOCATION
,   O
Carley   B-NAME
Garner   I-NAME
has   O
had   O
a   O
history   O
of   O
cardiovascular   O
disease   O
and   O
diabetes   O
mellitus   O
,   O
type   O
2   O
.   O

On   O
examination   O
,   O
McLuhan   B-NAME
,   I-NAME
Marshall   I-NAME
's   O
wound   O
on   O
the   O
lower   O
right   O
leg   O
showed   O
signs   O
of   O
delayed   O
healing   O
and   O
rendered   O
them   O
sensitive   O
to   O
touch   O
.   O

Belen   B-NAME
Stevenson   I-NAME
noticed   O
signs   O
of   O
peripheral   O
neuropathy   O
during   O
the   O
physical   O
examination   O
.   O

In   O
specific   O
,   O
Deven   B-NAME
Gibbs   I-NAME
displayed   O
signs   O
of   O
hypesthesia   O
,   O
a   O
decrease   O
in   O
the   O
sensitivity   O
to   O
touch   O
,   O
as   O
the   O
physician   O
tested   O
with   O
a   O
pinprick   O
.   O

The   O
patient   O
,   O
who   O
is   O
a   O
Tile   O
and   O
Marble   O
Setters   O
,   O
lives   O
in   O
Mason   B-LOCATION
and   O
has   O
been   O
working   O
from   O
home   O
due   O
to   O
the   O
pandemic   O
.   O

A   O
series   O
of   O
diagnostic   O
tests   O
were   O
carried   O
out   O
at   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Saint   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
to   O
monitor   O
the   O
patient   O
's   O
blood   O
glucose   O
levels   O
,   O
kidney   O
functions   O
,   O
and   O
to   O
detect   O
any   O
vascular   O
abnormalities   O
.   O

At   O
this   O
point   O
,   O
the   O
patient   O
's   O
ID   O
associated   O
with   O
this   O
organization   O
,   O
SN781/4047   B-ID
,   O
has   O
been   O
used   O
to   O
access   O
their   O
prior   O
health   O
records   O
from   O
Global   B-LOCATION
Centre   I-LOCATION
for   I-LOCATION
the   I-LOCATION
Responsibility   I-LOCATION
to   I-LOCATION
Protect   I-LOCATION
.   O

Paulina   B-NAME
Brady   I-NAME
can   O
be   O
reached   O
at   O
(   B-CONTACT
393   I-CONTACT
)   I-CONTACT
442   I-CONTACT
-   I-CONTACT
4914   I-CONTACT
in   O
cases   O
of   O
emergency   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
2122   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
29   I-DATE
to   O
review   O
the   O
patient   O
's   O
response   O
to   O
medication   O
adjustments   O
and   O
status   O
of   O
the   O
wound   O
's   O
healing   O
.   O

Please   O
use   O
the   O
username   O
:   O
an123   B-NAME
and   O
the   O
hospital   O
ID   O
7   B-ID
-   I-ID
5355455   I-ID
for   O
any   O
further   O
communication   O
related   O
to   O
Faithe   B-NAME
W.   I-NAME
Flynn   I-NAME
's   O
health   O
records   O
.   O

For   O
any   O
postal   O
correspondence   O
,   O
please   O
note   O
the   O
zip   O
code   O
is   O
56791   B-LOCATION
.   O

Billy   B-NAME
Kronk   I-NAME
has   O
been   O
advised   O
to   O
continue   O
their   O
diabetes   O
medications   O
and   O
maintain   O
a   O
balanced   O
diet   O
,   O
emphasizing   O
carbohydrates   O
counting   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Jamya   B-NAME
Rich   I-NAME
Age   O
:   O
6   O
DOB   O
:   O
6/3   B-DATE
MRN   O
:   O
026   B-ID
-   I-ID
04   I-ID
-   I-ID
26   I-ID
-   I-ID
5   I-ID
SSN   O
:   O
683285136   B-ID
Chief   O
Complaint   O
:   O
12   O
month   O
-   O
year   O
-   O
old   O
Paulson   B-NAME
presented   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
increased   O
shortness   O
of   O
breath   O
,   O
persistent   O
non   O
-   O
productive   O
cough   O
,   O
and   O
generalized   O
fatigue   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Quentin   B-NAME
U.   I-NAME
Johnson   I-NAME
reports   O
that   O
symptoms   O
started   O
approximately   O
two   O
weeks   O
prior   O
to   O
00/26   B-DATE
,   O
progressively   O
worsening   O
over   O
time   O
.   O

Upon   O
examination   O
,   O
Dylan   B-NAME
Shaw   I-NAME
was   O
found   O
to   O
be   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Ochoa   B-NAME
treated   O
Kianna   B-NAME
Harvey   I-NAME
at   O
East   B-LOCATION
Adams   I-LOCATION
Rural   I-LOCATION
Healthcare   I-LOCATION
for   O
hypertension   O
,   O
hyperlipidemia   O
and   O
type   O
II   O
diabetes   O
.   O

Laboratory   O
Findings   O
:   O
Ricardo   B-NAME
's   O
blood   O
tests   O
showed   O
elevated   O
NT   O
-   O
Pro   O
BNP   O
levels   O
and   O
atrial   O
natriuretic   O
peptide   O
(   O
ANP   O
)   O
.   O

Plan   O
:   O
Corinne   B-NAME
Garner   I-NAME
is   O
to   O
be   O
admitted   O
to   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Troy   I-LOCATION
for   O
further   O
investigation   O
and   O
management   O
.   O

Discharge   O
Information   O
:   O
Contact   O
Info   O
:   O
580   B-CONTACT
7082   I-CONTACT
PCP   O
:   O
Juarez   B-NAME
Preferred   O
Pharmacy   O
:   O
Emerald   B-LOCATION
Beach   I-LOCATION
,   O
53922   B-LOCATION
Follow   O
-   O
up   O
appointment   O
:   O
29/14   B-DATE
Geoscientists   O
,   O
Except   O
Hydrologists   O
and   O
Geographers   O
rgq55   B-NAME
Emergency   O
Contact   O
Information   O
:   O
Contact   O
:   O
Wendy   B-NAME
Tapia   I-NAME
's   O
partner   O
Phone   O
:   O
24064   B-CONTACT
Address   O
:   O
South   B-LOCATION
Greensburg   I-LOCATION
,   O
89815   B-LOCATION

This   O
patient   O
report   O
was   O
generated   O
by   O
Syndicate   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
.   O

Patient   O
Name   O
:   O
Brandon   B-NAME
Neilson   I-NAME
Age   O
:   O
24   O
Medical   O
Record   O
Number   O
:   O
352   B-ID
-   I-ID
37   I-ID
-   I-ID
27   I-ID
-   I-ID
4   I-ID
Address   O
:   O
Spring   B-LOCATION
Creek   I-LOCATION
,   O
17922   B-LOCATION
02/25/40   B-DATE
Dear   O
Dr.   O
Harrington   B-NAME
,   O
I   O
am   O
writing   O
to   O
provide   O
a   O
full   O
account   O
of   O
Kendra   B-NAME
Waites   I-NAME
's   O
symptoms   O
,   O
which   O
have   O
notably   O
worsened   O
over   O
the   O
past   O
week   O
.   O

Please   O
note   O
that   O
Fowler   B-NAME
,   I-NAME
Gene   I-NAME
has   O
been   O
experiencing   O
extreme   O
fatigue   O
and   O
lethargy   O
.   O

More   O
alarmingly   O
,   O
Gross   B-NAME
has   O
developed   O
severe   O
chest   O
pain   O
that   O
exacerbates   O
during   O
deep   O
breathing   O
.   O

During   O
a   O
recent   O
visit   O
to   O
the   O
Clearview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
room   O
,   O
a   O
chest   O
x   O
-   O
ray   O
revealed   O
consolidation   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
.   O

The   O
patient   O
was   O
tested   O
for   O
COVID-19   O
during   O
the   O
ER   O
visit   O
and   O
results   O
are   O
awaited   O
from   O
the   O
lab   O
at   O
Irwin   B-LOCATION
EMC   I-LOCATION
.   O

For   O
now   O
,   O
the   O
patient   O
has   O
been   O
advised   O
to   O
remain   O
in   O
isolation   O
at   O
his   O
residence   O
in   O
Berkeley   B-LOCATION
until   O
the   O
test   O
results   O
are   O
available   O
.   O

On   O
a   O
side   O
note   O
,   O
Vincent   B-NAME
Fournier   I-NAME
's   O
wife   O
,   O
a   O
Soil   O
and   O
Plant   O
Scientists   O
,   O
tested   O
negative   O
for   O
the   O
virus   O
recently   O
but   O
she   O
has   O
been   O
advised   O
to   O
maintain   O
necessary   O
precautions   O
due   O
to   O
her   O
frequent   O
contact   O
with   O
the   O
patient   O
.   O

For   O
further   O
coordination   O
,   O
the   O
staff   O
from   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Katy   I-LOCATION
Hospital   I-LOCATION
can   O
be   O
contacted   O
on   O
53268   B-CONTACT
.   O

The   O
case   O
is   O
being   O
managed   O
by   O
Dr.   O
Hughes   B-NAME
and   O
all   O
medical   O
reports   O
are   O
cataloged   O
under   O
014   B-ID
-   I-ID
25   I-ID
-   I-ID
10   I-ID
-   I-ID
8   I-ID
.   O

Finally   O
,   O
please   O
use   O
XL847   B-NAME
and   O
8   B-ID
-   I-ID
8857929   I-ID
for   O
authentication   O
and   O
access   O
to   O
Alvarez   B-NAME
's   O
electronic   O
health   O
records   O
.   O

Best   O
regards   O
,   O
Dr.   O
Shannon   B-NAME
Huffman   I-NAME

Patient   O
name   O
:   O
Bryson   B-NAME
Cole   I-NAME
Medical   O
Record   O
:   O
48688468   B-ID
DOB   O
:   O
06/03/2152   B-DATE
Patient   O
's   O
Address   O
:   O
Phoenix   B-LOCATION
,   O
18471   B-LOCATION
Contact   O
Number   O
:   O
820   B-CONTACT
752   I-CONTACT
1788   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Alma   B-NAME
Blevins   I-NAME
Hospital   O
Name   O
:   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Grinnell   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Today   O
,   O
the   O
patient   O
,   O
Guevara   B-NAME
,   I-NAME
Ernesto   I-NAME
'   I-NAME
Che   I-NAME
'   I-NAME
,   O
presents   O
with   O
a   O
complex   O
clinical   O
picture   O
.   O

Over   O
the   O
past   O
two   O
weeks   O
(   O
since   O
about   O
09/00/1983   B-DATE
)   O
,   O
Cottle   B-NAME
has   O
been   O
experiencing   O
unexplained   O
weight   O
loss   O
,   O
consistent   O
fatigue   O
,   O
and   O
a   O
persistently   O
decreased   O
appetite   O
.   O

Given   O
the   O
findings   O
,   O
it   O
is   O
reasonable   O
to   O
suspect   O
that   O
Lucian   B-NAME
Copeland   I-NAME
is   O
displaying   O
symptoms   O
of   O
Hodgkin   O
's   O
lymphoma   O
.   O

The   O
primary   O
care   O
doctor   O
Cole   B-NAME
Byrd   I-NAME
has   O
suggested   O
a   O
biopsy   O
to   O
confirm   O
the   O
diagnosis   O
.   O

I   O
have   O
recommended   O
Dante   B-NAME
Dejoode   I-NAME
to   O
schedule   O
the   O
biopsy   O
as   O
soon   O
as   O
possible   O
at   O
our   O
associated   O
Mountain   B-LOCATION
View   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
necessary   O
forms   O
with   O
ID   O
:   O
CE:5999:992132   B-ID
have   O
been   O
mailed   O
to   O
Jamir   B-NAME
Brady   I-NAME
's   O
address   O
at   O
Melton   B-LOCATION
Mowbray   I-LOCATION
.   O

NATHAN   B-NAME
WHALEY   I-NAME
is   O
a   O
distinguished   O
Methane   O
/   O
Landfill   O
Gas   O
Collection   O
System   O
Operators   O
at   O
the   O
local   O
Washington   B-LOCATION
EMC   I-LOCATION
and   O
is   O
quite   O
concerned   O
about   O
the   O
workdays   O
that   O
may   O
need   O
to   O
be   O
missed   O
.   O

Hoffman   B-NAME
has   O
been   O
advised   O
that   O
one   O
can   O
hope   O
for   O
a   O
good   O
prognosis   O
given   O
early   O
detection   O
and   O
proper   O
treatment   O
.   O

I   O
have   O
taken   O
note   O
of   O
this   O
evaluation   O
and   O
the   O
medical   O
record   O
15136774   B-ID
using   O
my   O
secure   O
health   O
professional   O
KZ821   B-NAME
account   O
.   O

Toby   B-NAME
Gamble   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Yadiel   B-NAME
Irwin   I-NAME
,   O
will   O
be   O
provided   O
with   O
all   O
the   O
necessary   O
details   O
.   O

This   O
appointment   O
was   O
conducted   O
on   O
23/21   B-DATE
.   O

I   O
will   O
follow   O
up   O
with   O
Latosha   B-NAME
Easterling   I-NAME
after   O
the   O
scheduled   O
biopsy   O
to   O
discuss   O
the   O
results   O
and   O
potential   O
treatment   O
plans   O
.   O

Tam   B-NAME
can   O
reach   O
out   O
to   O
the   O
hospital   O
via   O
this   O
922   B-CONTACT
-   I-CONTACT
6779   I-CONTACT
for   O
any   O
medical   O
emergencies   O
.   O

0/4   B-DATE
Mccormick   B-NAME
evaluated   O
Fisher   B-NAME
in   O
the   O
emergency   O
department   O
.   O

ESPOSITO   B-NAME
presented   O
with   O
dyspnea   O
,   O
wheezing   O
,   O
and   O
persistent   O
cough   O
which   O
had   O
worsened   O
over   O
the   O
past   O
two   O
days   O
.   O

The   O
objective   O
examination   O
revealed   O
the   O
following   O
:   O
Allectus   B-NAME
Coldsmith   I-NAME
's   O
temperature   O
was   O
98.6F   O
,   O
heart   O
rate   O
90   O
bpm   O
,   O
blood   O
pressure   O
135/85   O
mmHg   O
,   O
respiration   O
rate   O
22   O
breaths   O
per   O
minute   O
and   O
oxygen   O
saturation   O
90   O
%   O
on   O
room   O
air   O
.   O

COVID-19   O
RT   O
-   O
PCR   O
performed   O
using   O
patient   O
's   O
GO:44015:548677   B-ID
from   O
Jonesborough   B-LOCATION
result   O
is   O
pending   O
.   O

Whitney   B-NAME
Short   I-NAME
was   O
treated   O
with   O
nebulized   O
bronchodilators   O
and   O
oral   O
corticosteroids   O
and   O
was   O
noted   O
to   O
have   O
slight   O
relief   O
in   O
the   O
symptoms   O
.   O

The   O
nurse   O
CP37   B-NAME
provided   O
the   O
education   O
to   O
Titus   B-NAME
Bourdages   I-NAME
about   O
COPD   O
and   O
its   O
flare   O
-   O
ups   O
,   O
the   O
importance   O
of   O
medication   O
,   O
and   O
timely   O
follow   O
-   O
up   O
.   O

As   O
per   O
the   O
patient   O
's   O
84647219   B-ID
,   O
Avalos   B-NAME
,   I-NAME
Holly   I-NAME
had   O
a   O
history   O
of   O
long   O
-   O
term   O
smoking   O
,   O
which   O
is   O
a   O
significant   O
risk   O
factor   O
for   O
COPD   O
.   O

Alvaro   B-NAME
Guzman   I-NAME
had   O
been   O
given   O
smoking   O
cessation   O
counseling   O
by   O
his   O
primary   O
care   O
physician   O
.   O

Brent   B-NAME
Baltzell   I-NAME
's   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2142s   B-DATE
at   O
our   O
clinic   O
at   O
Providence   B-LOCATION
Saint   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Burbank   I-LOCATION
.   O

In   O
case   O
of   O
emergency   O
,   O
the   O
Craig   B-NAME
Brennan   I-NAME
or   O
his   O
immediate   O
family   O
members   O
are   O
advised   O
to   O
reach   O
to   O
us   O
at   O
(   B-CONTACT
164   I-CONTACT
)   I-CONTACT
761   I-CONTACT
-   I-CONTACT
7343   I-CONTACT
.   O

We   O
are   O
closely   O
coordinating   O
with   O
International   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Journalists   I-LOCATION
for   O
Palmer   B-NAME
's   O
complete   O
medical   O
examination   O
and   O
planning   O
his   O
health   O
management   O
accordingly   O
.   O

Hong   B-NAME
Beeson   I-NAME
advised   O
that   O
Logan   B-NAME
Wade   I-NAME
should   O
avoid   O
exposure   O
to   O
smoke   O
and   O
other   O
environmental   O
triggers   O
.   O

Ximenez   B-NAME
owes   O
a   O
duty   O
as   O
an   O
Power   O
Distributors   O
and   O
Dispatchers   O
to   O
ensure   O
a   O
safe   O
working   O
environment   O
.   O

Vonda   B-NAME
T.   I-NAME
Ulloa   I-NAME
was   O
discharged   O
later   O
that   O
evening   O
and   O
given   O
patient   O
instructions   O
to   O
be   O
filled   O
out   O
at   O
the   O
pharmacy   O
in   O
99477   B-LOCATION
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
referred   O
to   O
as   O
Uriel   B-NAME
Patrick   I-NAME
Zapien   I-NAME
,   O
came   O
in   O
for   O
an   O
evaluation   O
on   O
27/29   B-DATE
.   O

They   O
are   O
0   O
month   O
years   O
old   O
,   O
referred   O
by   O
Jean   B-NAME
Kramer   I-NAME
from   O
Wuesthoff   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
after   O
a   O
recent   O
diagnosis   O
of   O
hypertension   O
.   O

Cecila   B-NAME
Mordino   I-NAME
has   O
been   O
living   O
in   O
Lenexa   B-LOCATION
with   O
a   O
81339   B-LOCATION
zip   O
code   O
and   O
works   O
as   O
a   O
Psychiatric   O
Aides   O
.   O

Reginald   B-NAME
Mendez   I-NAME
presented   O
with   O
symptoms   O
of   O
frequent   O
urination   O
,   O
severe   O
persistent   O
headache   O
,   O
fatigue   O
,   O
and   O
episodes   O
of   O
confusion   O
which   O
started   O
roughly   O
about   O
a   O
month   O
ago   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
case   O
number   O
7688866   B-ID
.   O

The   O
patient   O
's   O
primary   O
contact   O
number   O
is   O
(   B-CONTACT
804   I-CONTACT
)   I-CONTACT
177   I-CONTACT
-   I-CONTACT
6289   I-CONTACT
.   O

On   O
physical   O
examination   O
,   O
Vinnie   B-NAME
Biever   I-NAME
was   O
conscious   O
but   O
appears   O
lethargic   O
.   O

A   O
consult   O
with   O
Christian   B-NAME
Storm   I-NAME
from   O
Cardiology   O
was   O
made   O
and   O
the   O
patient   O
has   O
been   O
started   O
on   O
angiotensin   O
-   O
converting   O
enzyme   O
(   O
ACE   O
)   O
inhibitors   O
.   O

Additionally   O
,   O
Zariah   B-NAME
Hartman   I-NAME
was   O
counseled   O
on   O
potential   O
lifestyle   O
modifications   O
including   O
adopting   O
a   O
low   O
sodium   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
moderating   O
alcohol   O
intake   O
.   O

Christian   B-NAME
's   O
details   O
have   O
been   O
entered   O
in   O
the   O
database   O
SV797   B-NAME
as   O
part   O
of   O
the   O
electronic   O
health   O
record   O
system   O
provided   O
by   O
Prospect   B-LOCATION
.   O

The   O
ID   O
number   O
provided   O
is   O
YS833/3257   B-ID
.   O

We   O
will   O
continue   O
to   O
monitor   O
Elle   B-NAME
Downs   I-NAME
closely   O
and   O
adjust   O
treatment   O
accordingly   O
.   O

The   O
next   O
appointment   O
has   O
been   O
scheduled   O
on   O
T   B-DATE
.   O
For   O
more   O
information   O
,   O
the   O
patient   O
or   O
their   O
family   O
members   O
can   O
reach   O
out   O
to   O
the   O
staff   O
at   O
511   B-CONTACT
-   I-CONTACT
5996   I-CONTACT
.   O

The   O
patient   O
lives   O
in   O
West   B-LOCATION
Plains   I-LOCATION
so   O
recommendations   O
for   O
local   O
support   O
groups   O
were   O
also   O
provided   O
.   O

This   O
report   O
is   O
prepped   O
by   O
Dr.   O
Alvarez   B-NAME
.   O

Patient   O
Details   O
:   O
Mr.   O
Hughes   B-NAME
,   O
a   O
Maintenance   O
engineer   O
from   O
Bartow   B-LOCATION
,   O
is   O
84   O
years   O
old   O
.   O

He   O
was   O
admitted   O
to   O
the   O
Nicholas   B-LOCATION
H   I-LOCATION
Noyes   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
22/02   B-DATE
with   O
severe   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
initial   O
assessment   O
was   O
done   O
by   O
Ronald   B-NAME
Hardy   I-NAME
.   O

Medical   O
Examination   O
:   O
Chest   O
X   O
-   O
Ray   O
taken   O
on   O
2168   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
20   I-DATE
showed   O
enlarged   O
heart   O
size   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
65337632   B-ID
showed   O
that   O
he   O
had   O
been   O
previously   O
diagnosed   O
with   O
stage   O
2   O
hypertension   O
three   O
years   O
ago   O
.   O

He   O
was   O
under   O
the   O
care   O
of   O
Victor   B-NAME
Fries   I-NAME
during   O
that   O
time   O
,   O
and   O
had   O
since   O
been   O
on   O
anti   O
-   O
hypertensive   O
medication   O
.   O

The   O
Armando   B-NAME
Wolfe   I-NAME
suggested   O
an   O
immediate   O
coronary   O
angiography   O
to   O
assess   O
the   O
blockage   O
and   O
consider   O
the   O
possibility   O
of   O
coronary   O
angioplasty   O
or   O
bypass   O
surgery   O
.   O

Contact   O
Details   O
:   O
The   O
patient   O
's   O
ID   O
is   O
7   B-ID
-   I-ID
8117993   I-ID
and   O
his   O
phone   O
number   O
is   O
35155   B-CONTACT
.   O

In   O
the   O
event   O
of   O
any   O
further   O
need   O
of   O
information   O
or   O
clarification   O
,   O
please   O
contact   O
the   O
Horace   B-LOCATION
Mann   I-LOCATION
Educators   I-LOCATION
Corporation   I-LOCATION
.   O

The   O
username   O
for   O
his   O
online   O
medical   O
profile   O
is   O
dk572   B-NAME
with   O
the   O
Meadowbrook   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Gardner   I-LOCATION
.   O

Consolidated   O
by   O
Cobain   B-NAME
,   I-NAME
Kurt   I-NAME
Donald   I-NAME
,   O
October   B-DATE
22   I-DATE
,   O
Blairs   B-LOCATION
,   O
77461   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Cornelius   B-NAME
Robles   I-NAME
Age   O
:   O
73   O
Date   O
of   O
Admission   O
:   O
34/24   B-DATE
Chief   O
Complaint   O
:   O
Vernon   B-NAME
's   O
main   O
symptomatology   O
includes   O
enduring   O
headaches   O
,   O
intermittent   O
photophobia   O
,   O
and   O
chronic   O
fatigue   O
since   O
3   O
days   O
prior   O
to   O
the   O
hospital   O
admission   O
.   O

Weaver   B-NAME
carries   O
a   O
diagnosis   O
of   O
hypertension   O
and   O
hypercholesterolemia   O
,   O
managed   O
by   O
Dr.   O
Potter   B-NAME
(   O
Cardiologist   O
)   O
.   O

Other   O
significant   O
historical   O
data   O
include   O
an   O
appendectomy   O
performed   O
at   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Easton   I-LOCATION
in   O
November   B-DATE
01   I-DATE
,   I-DATE
2375   I-DATE
,   O
and   O
an   O
allergy   O
to   O
penicillin   O
confirmed   O
during   O
his   O
adolescence   O
.   O

Under   O
Noemi   B-NAME
Mercado   I-NAME
's   O
consultation   O
,   O
Tesla   B-NAME
,   I-NAME
Nikola   I-NAME
was   O
commenced   O
on   O
therapeutic   O
management   O
with   O
prescription   O
drugs   O
which   O
included   O
Lisinopril   O
and   O
Atorvastatin   O
.   O

A   O
neurological   O
examination   O
was   O
performed   O
by   O
Dr.   O
Laplace   B-NAME
,   I-NAME
Pierre   I-NAME
-   I-NAME
Simon   I-NAME
which   O
raised   O
suspicions   O
of   O
a   O
chronic   O
migraine   O
.   O

These   O
suspicions   O
were   O
further   O
affirmed   O
after   O
an   O
MRI   O
brain   O
,   O
scheduled   O
on   O
27/33/82   B-DATE
,   O
showing   O
no   O
signs   O
indicative   O
of   O
cerebrovascular   O
accident   O
or   O
tumor   O
.   O

Patient   O
31226809   B-ID
is   O
scoring   O
high   O
on   O
migraine   O
disability   O
assessment   O
scale   O
(   O
MIDAS   O
)   O
.   O

Considering   O
the   O
severity   O
and   O
frequency   O
of   O
the   O
presented   O
headaches   O
,   O
a   O
referral   O
was   O
made   O
to   O
Community   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
,   O
where   O
a   O
Neurologist   O
Dr.   O
Horton   B-NAME
consulted   O
on   O
22/23/13   B-DATE
.   O

Next   O
Steps   O
:   O
\Patient   O
is   O
on   O
a   O
follow   O
-   O
up   O
schedule   O
with   O
Dr.   O
Pace   B-NAME
after   O
two   O
weeks   O
for   O
re   O
-   O
assessment   O
.   O

Any   O
concerns   O
or   O
adverse   O
reactions   O
to   O
medication   O
should   O
be   O
reported   O
immediately   O
to   O
UT   B-LOCATION
Health   I-LOCATION
Athens   I-LOCATION
at   O
86128   B-CONTACT
.   O

AmericanFirst   B-LOCATION
Bank   I-LOCATION
.com   O
.   O

Any   O
issues   O
related   O
to   O
access   O
can   O
be   O
addressed   O
with   O
the   O
help   O
of   O
the   O
support   O
team   O
at   O
Historic   B-LOCATION
Technocracy   I-LOCATION
of   I-LOCATION
Suns   I-LOCATION
,   O
who   O
can   O
be   O
contacted   O
at   O
449   B-CONTACT
2223   I-CONTACT
.   O

This   O
information   O
was   O
reported   O
to   O
the   O
patient   O
's   O
employer   O
Professional   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
(   O
Job   O
Title   O
:   O
Precision   O
Agriculture   O
Technicians   O
)   O
for   O
purposes   O
related   O
to   O
the   O
Family   O
and   O
Medical   O
Leave   O
Act   O
(   O
FMLA   O
)   O
.   O

All   O
relevant   O
paperwork   O
was   O
sent   O
to   O
the   O
patient   O
's   O
residence   O
at   O
Orlando   B-LOCATION
-   I-LOCATION
Ivanhoe   I-LOCATION
Village   I-LOCATION
,   I-LOCATION
Ivanhoe   I-LOCATION
Village   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
39985   B-LOCATION
,   O
by   O
mail   O
on   O
13/34/2081   B-DATE
.   O

Patient   O
Identity   O
Number   O
:   O
8   B-ID
-   I-ID
7668907   I-ID

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Dougherty   B-NAME
Sex   O
:   O
Female   O
Age   O
:   O
10   O
Date   O
:   O
04   B-DATE
Physician   O
:   O

Jeremy   B-NAME
Stone   I-NAME
Hospital   O
:   O
Sainte   B-LOCATION
Genevieve   I-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Patient   O
ID   O
:   O
FQ:17839:996945   B-ID
Admitted   O
at   O
:   O
North   B-LOCATION
Bellport   I-LOCATION
Patient   O
's   O
Medical   O
Record   O
:   O
96356090   B-ID
Organization   O
Involved   O
:   O
Sun   B-LOCATION
's   I-LOCATION
Collective   I-LOCATION
Phone   O
:   O
53288   B-CONTACT
Occupation   O
:   O
Nursing   O
Assistants   O
Checked   O
by   O
:   O
ZI229   B-NAME
Residence   O
ZIP   O
Code   O
:   O
28664   B-LOCATION
Examination   O
and   O
Findings   O
:   O
Patient   O
NAPOLITANO   B-NAME
,   I-NAME
URSULA   I-NAME
was   O
brought   O
to   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Davie   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/21   B-DATE
with   O
complaints   O
of   O
persistent   O
bouts   O
of   O
severe   O
headache   O
and   O
dizziness   O
.   O

She   O
was   O
seen   O
by   O
West   B-NAME
.   O

The   O
headaches   O
as   O
described   O
by   O
patient   O
Brandon   B-NAME
Neilson   I-NAME
were   O
mostly   O
originating   O
from   O
the   O
temporal   O
region   O
and   O
were   O
pulsating   O
in   O
nature   O
.   O

Following   O
the   O
initial   O
examination   O
,   O
CT   O
scan   O
and   O
MRI   O
of   O
the   O
brain   O
were   O
recommended   O
by   O
Owen   B-NAME
and   O
were   O
performed   O
on   O
2286   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
05   I-DATE
.   O

The   O
results   O
of   O
the   O
investigations   O
are   O
pending   O
and   O
will   O
be   O
discussed   O
with   O
patient   O
Spence   B-NAME
,   I-NAME
Gerry   I-NAME
during   O
the   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
06/15/2157   B-DATE
.   O

However   O
,   O
she   O
preferred   O
going   O
home   O
and   O
was   O
subsequently   O
discharged   O
on   O
September   B-DATE
2012   I-DATE
with   O
prescriptions   O
and   O
instructions   O
for   O
immediate   O
hospital   O
return   O
if   O
symptoms   O
worsen   O
.   O

For   O
further   O
assistance   O
or   O
queries   O
,   O
patient   O
Kymani   B-NAME
Winters   I-NAME
can   O
reach   O
out   O
to   O
California   B-LOCATION
Pacific   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
California   I-LOCATION
Campus   I-LOCATION
at   O
90190   B-CONTACT
.   O

Her   O
medical   O
record   O
is   O
filed   O
under   O
336   B-ID
-   I-ID
15   I-ID
-   I-ID
65   I-ID
-   I-ID
7   I-ID
.   O
Details   O
of   O
the   O
case   O
are   O
compiled   O
by   O
medical   O
staff   O
xk894   B-NAME
and   O
will   O
be   O
provided   O
to   O
the   O
Revolutionary   B-LOCATION
Cells   I-LOCATION
-   I-LOCATION
Animal   I-LOCATION
Liberation   I-LOCATION
Brigade   I-LOCATION
(   I-LOCATION
RCALB   I-LOCATION
)   I-LOCATION
for   O
research   O
purposes   O
,   O
without   O
revealing   O
any   O
identifiable   O
information   O
of   O
the   O
patient   O
.   O

Correspondence   O
will   O
be   O
made   O
to   O
the   O
patient   O
's   O
residence   O
identified   O
by   O
the   O
ZIP   O
code   O
91753   B-LOCATION
.   O

Chase   B-NAME
Kenny   I-NAME
Age   O
:   O
44   O
Date   O
:   O
19/21/2310   B-DATE
Doctor   O
:   O
Aliana   B-NAME
Harper   I-NAME
Patient   O
nielsen   B-NAME
of   O
ID   O
7   B-ID
-   I-ID
7524563   I-ID
was   O
admitted   O
to   O
Columbus   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
specifically   O
in   O
room   O
Patoka   B-LOCATION
on   O
the   O
noted   O
date   O
4/43   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
severe   O
chest   O
pains   O
accompanied   O
by   O
dyspnea   O
and   O
intermittent   O
palpitations   O
over   O
the   O
past   O
few   O
days   O
.   O

Patient   O
health   O
records   O
under   O
41868071   B-ID
data   O
show   O
a   O
history   O
of   O
hypertension   O
,   O
hyperlipidemia   O
and   O
diabetes   O
mellitus   O
.   O

Due   O
to   O
these   O
underlying   O
conditions   O
,   O
the   O
patient   O
is   O
immediately   O
referred   O
to   O
Risa   B-NAME
Fleak   I-NAME
for   O
further   O
cardiovascular   O
evaluation   O
at   O
Veterans   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
has   O
been   O
informed   O
,   O
and   O
his   O
consent   O
has   O
been   O
documented   O
in   O
the   O
system   O
with   O
username   O
OE68   B-NAME
.   O

The   O
family   O
has   O
been   O
reached   O
at   O
phone   O
number   O
742   B-CONTACT
6253   I-CONTACT
,   O
living   O
in   O
ZIP   O
code   O
17642   B-LOCATION
.   O

Pierce   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
has   O
been   O
informed   O
of   O
their   O
medical   O
coverages   O
in   O
light   O
of   O
the   O
patient   O
's   O
admission   O
to   O
the   O
hospital   O
.   O

As   O
of   O
9/83   B-DATE
,   O
the   O
patient   O
remains   O
under   O
close   O
monitoring   O
in   O
the   O
Coronary   O
Care   O
Unit   O
of   O
MedStar   B-LOCATION
Harbor   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Description   O
:   O
Gentry   B-NAME
is   O
a   O
81s   O
year   O
old   O
individual   O
from   O
Stanardsville   B-LOCATION
who   O
came   O
into   O
Lake   B-LOCATION
Region   I-LOCATION
Healthcare   I-LOCATION
on   O
2/30   B-DATE
.   O

This   O
patient   O
works   O
as   O
a   O
Communications   O
Teachers   O
,   O
Postsecondary   O
and   O
was   O
referred   O
to   O
us   O
by   O
Phoenix   B-NAME
Good   I-NAME
.   O

It   O
is   O
also   O
reported   O
that   O
Raelynn   B-NAME
Dickson   I-NAME
experiences   O
an   O
increased   O
difficulty   O
in   O
breathing   O
when   O
in   O
a   O
supine   O
position   O
,   O
indicating   O
possible   O
Orthopnea   O
.   O

Medical   O
History   O
:   O
Sydnee   B-NAME
Schaefer   I-NAME
has   O
a   O
medical   O
history   O
of   O
Hypertension   O
and   O
High   O
cholesterol   O
.   O

As   O
per   O
the   O
report   O
received   O
from   O
medical   O
practitioner   O
Stephenson   B-NAME
from   O
Advanta   B-LOCATION
Bank   I-LOCATION
Corp   I-LOCATION
,   O
patient   O
's   O
medical   O
record   O
number   O
670   B-ID
-   I-ID
73   I-ID
-   I-ID
32   I-ID
-   I-ID
7   I-ID
indicates   O
a   O
prior   O
hospitalization   O
around   O
two   O
years   O
ago   O
due   O
to   O
similar   O
yet   O
less   O
severe   O
symptoms   O
.   O

Further   O
prescription   O
details   O
can   O
be   O
found   O
with   O
the   O
patient   O
's   O
primary   O
care   O
doctor   O
,   O
Odom   B-NAME
,   O
whose   O
office   O
is   O
located   O
at   O
Belle   B-LOCATION
Rive   I-LOCATION
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
on   O
1990   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
27   I-DATE
.   O

The   O
notification   O
will   O
be   O
sent   O
to   O
his   O
contact   O
461   B-CONTACT
3581   I-CONTACT
.   O

Follow   O
-   O
up   O
:   O
Results   O
of   O
the   O
planned   O
tests   O
and   O
consultation   O
details   O
will   O
be   O
shared   O
via   O
GH671   B-NAME
on   O
our   O
Atchison   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Atchison   I-LOCATION
online   O
portal   O
.   O

For   O
any   O
immediate   O
concerns   O
or   O
emergencies   O
,   O
the   O
patient   O
or   O
someone   O
from   O
his   O
family   O
is   O
advised   O
to   O
reach   O
our   O
Emergency   O
services   O
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Steele   I-LOCATION
Creek   I-LOCATION
,   O
Lovelaceville   B-LOCATION
.   O

The   O
above   O
report   O
is   O
submitted   O
by   O
Arthur   B-NAME
Dunlap   I-NAME
,   O
Cardiologist   O
,   O
East   B-LOCATION
Georgia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
holder   O
of   O
License   O
number   O
UO151/6923   B-ID
.   O

For   O
sending   O
any   O
mails   O
,   O
please   O
use   O
the   O
87858   B-LOCATION
postal   O
code   O
.   O

Additionally   O
,   O
details   O
are   O
also   O
shared   O
with   O
Kennedy   B-NAME
for   O
maintaining   O
medical   O
continuity   O
.   O

Patient   O
Report   O
22/23   B-DATE
:   O
Patient   O
Marlie   B-NAME
Mayer   I-NAME
presented   O
in   O
the   O
emergency   O
department   O
of   O
Newport   B-LOCATION
Hospital   I-LOCATION
.   O

Symptoms   O
:   O
Wyatt   B-NAME
complained   O
of   O
sudden   O
,   O
severe   O
epigastric   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
,   O
coupled   O
with   O
nausea   O
and   O
vomiting   O
.   O

Norma   B-NAME
Umali   I-NAME
also   O
reported   O
slight   O
shortness   O
of   O
breath   O
.   O

Mulis   B-NAME
is   O
a   O
5   O
month   O
year   O
old   O
who   O
works   O
as   O
a   O
Coating   O
,   O
Painting   O
,   O
and   O
Spraying   O
Machine   O
Operators   O
and   O
Tenders   O
.   O

Galvan   B-NAME
has   O
a   O
history   O
of   O
chronic   O
alcohol   O
use   O
and   O
has   O
been   O
admitted   O
twice   O
in   O
the   O
past   O
two   O
years   O
,   O
with   O
similar   O
but   O
less   O
severe   O
symptoms   O
.   O

Previous   O
medical   O
records   O
(   O
6345596   B-ID
)   O
indicate   O
pancreatitis   O
as   O
a   O
recurrent   O
issue   O
.   O

Treatment   O
:   O
Dr.   O
Peck   B-NAME
advised   O
immediate   O
hospitalization   O
and   O
initiated   O
IV   O
fluids   O
.   O

The   O
patient   O
's   O
PP:76193:166462   B-ID
,   O
contact   O
(   B-CONTACT
427   I-CONTACT
)   I-CONTACT
180   I-CONTACT
-   I-CONTACT
7652   I-CONTACT
and   O
emergency   O
contact   O
information   O
were   O
recorded   O
.   O

Gilberto   B-NAME
was   O
admitted   O
to   O
room   O
no   O
.   O

206   O
at   O
Addison   B-LOCATION
Gilbert   I-LOCATION
Hospital   I-LOCATION
.   O

Contact   O
with   O
Duffy   B-NAME
's   O
workplace   O
Provincial   B-LOCATION
Collective   I-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
was   O
established   O
.   O

Ludwig   B-NAME
von   I-NAME
Saulsbourg   I-NAME
was   O
released   O
after   O
10   O
days   O
in   O
stable   O
condition   O
with   O
advice   O
on   O
specific   O
dietary   O
changes   O
,   O
abstinence   O
from   O
alcohol   O
,   O
and   O
prescribed   O
medication   O
.   O

Follow   O
-   O
up   O
Care   O
:   O
Baylee   B-NAME
Burnett   I-NAME
has   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Snyder   B-NAME
on   O
22/10/41   B-DATE
.   O

The   O
doctor   O
advises   O
the   O
Mid   B-NAME
-   I-NAME
Nite   I-NAME
to   O
electronically   O
share   O
future   O
bloodwork   O
through   O
user   O
alias   O
tal434   B-NAME
.   O

Report   O
by   O
:   O
Marcus   B-NAME
Todd   I-NAME
Location   O
:   O
Oglala   B-LOCATION
Phone   O
:   O
904   B-CONTACT
8775   I-CONTACT
,   O
49135   B-LOCATION

Patient   O
Name   O
:   O
Matthias   B-NAME
Ebbesen   I-NAME
Age   O
:   O
61   O
Doctor   O
:   O
Aryanna   B-NAME
Hill   I-NAME
Date   O
:   O
13/20   B-DATE
Hospital   O
:   O
HealthSouth   B-LOCATION
Lakeview   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
ZD   B-ID
:   I-ID
HZ:2596   B-ID
Location   O
:   O
North   B-LOCATION
Brooksville   I-LOCATION
Medical   O
record   O
:   O
430   B-ID
-   I-ID
82   I-ID
-   I-ID
50   I-ID
-   I-ID
7   I-ID
Organization   O
:   O

Esurance   B-LOCATION
Phone   O
:   O
(   B-CONTACT
472   I-CONTACT
)   I-CONTACT
571   I-CONTACT
2261   I-CONTACT
Profession   O
:   O
Billing   O
,   O
Cost   O
,   O
and   O
Rate   O
Clerks   O
Username   O
:   O
kt604   B-NAME
Zip   O
:   O
16329   B-LOCATION
Felix   B-NAME
Horne   I-NAME
,   O
a   O
27   O
-   O
year   O
-   O
old   O
Urban   O
and   O
Regional   O
Planners   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Penn   B-LOCATION
Medicine   I-LOCATION
Princeton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Sunday   B-DATE
with   O
multiple   O
complaints   O
,   O
most   O
prominently   O
of   O
severe   O
,   O
stabbing   O
abdominal   O
pain   O
that   O
's   O
been   O
on   O
and   O
off   O
for   O
2   O
weeks   O
.   O

Suzanne   B-NAME
McCullough   I-NAME
also   O
complained   O
of   O
associated   O
symptoms   O
such   O
as   O
nausea   O
,   O
vomiting   O
,   O
and   O
significant   O
weight   O
loss   O
over   O
a   O
one   O
-   O
month   O
period   O
.   O

The   O
attending   O
physician   O
,   O
Mekhi   B-NAME
Singleton   I-NAME
,   O
noted   O
a   O
palpable   O
mass   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
.   O

The   O
primary   O
plan   O
is   O
for   O
a   O
cholecystectomy   O
to   O
be   O
performed   O
by   O
the   O
surgical   O
team   O
at   O
Maria   B-LOCATION
Parham   I-LOCATION
Health   I-LOCATION
.   O

Appointment   O
has   O
been   O
scheduled   O
for   O
the   O
procedure   O
on   O
05/63   B-DATE
.   O

Pre   O
-   O
operational   O
instructions   O
have   O
been   O
explained   O
to   O
the   O
patient   O
and   O
they   O
are   O
to   O
contact   O
Khan   B-NAME
's   O
office   O
at   O
577   B-CONTACT
-   I-CONTACT
1687   I-CONTACT
for   O
any   O
queries   O
or   O
emergencies   O
prior   O
to   O
the   O
surgery   O
.   O

Patient   O
's   O
medical   O
record   O
:   O
53087512   B-ID
was   O
forwarded   O
to   O
the   O
surgical   O
team   O
.   O

The   O
patient   O
's   O
insurance   O
details   O
including   O
IN   B-ID
:   I-ID
LM:4780   I-ID
,   O
have   O
been   O
filed   O
with   O
the   O
Amicalola   B-LOCATION
EMC   I-LOCATION
.   O

All   O
medical   O
correspondence   O
and   O
findings   O
will   O
be   O
sent   O
to   O
patient   O
's   O
home   O
at   O
Dania   B-LOCATION
Beach   I-LOCATION
,   O
46588   B-LOCATION
.   O

As   O
Schaefer   B-NAME
prefers   O
maintaining   O
digital   O
records   O
,   O
all   O
necessary   O
documents   O
will   O
be   O
made   O
available   O
via   O
their   O
account   O
,   O
username   O
:   O
ZH776   B-NAME
.   O

Patient   O
:   O
Estefan   B-NAME
,   I-NAME
Gloria   I-NAME
Age   O
:   O
49   O
Location   O
:   O
Ashburton   B-LOCATION
Medical   O
Record   O
No   O
.   O
:   O
24770940   B-ID
Doctor   O
:   O
Joyce   B-NAME
,   I-NAME
James   I-NAME
Hospital   O
:   O
Heritage   B-LOCATION
Hospital   I-LOCATION
Date   O
:   O
Thursday   B-DATE
Chief   O
Complaint   O
:   O
Persistent   O
cough   O
,   O
fever   O
,   O
and   O
fatigue   O
Medical   O
Report   O
:   O
Hunter   B-NAME
,   I-NAME
Nebrasska   I-NAME
of   O
69   O
years   O
visited   O
our   O
clinic   O
located   O
at   O
Harviell   B-LOCATION
on   O
24/25/22   B-DATE
.   O

Whitman   B-NAME
's   O
primary   O
complaint   O
was   O
a   O
persistent   O
cough   O
that   O
has   O
been   O
going   O
on   O
for   O
two   O
weeks   O
,   O
accompanied   O
by   O
fever   O
and   O
fatigue   O
.   O

Lexie   B-NAME
Carver   I-NAME
reported   O
no   O
improvements   O
despite   O
over   O
-   O
the   O
-   O
counter   O
measures   O
such   O
as   O
cold   O
medicine   O
and   O
rest   O
.   O

Influenza   O
test   O
performed   O
by   O
local   O
pharmacy   O
at   O
Boulevard   B-LOCATION
Gardens   I-LOCATION
last   O
week   O
came   O
back   O
negative   O
.   O

Medical   O
records   O
provided   O
(   O
2628989   B-ID
)   O
showed   O
that   O
the   O
patient   O
is   O
generally   O
healthy   O
,   O
with   O
no   O
chronic   O
medical   O
conditions   O
or   O
allergies   O
.   O

Upon   O
examination   O
by   O
Dr.   O
Wade   B-NAME
Esparza   I-NAME
at   O
Steward   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
the   O
patient   O
appeared   O
in   O
moderate   O
distress   O
.   O

In   O
the   O
past   O
,   O
Xion   B-NAME
Eubanks   I-NAME
worked   O
as   O
a   O
judge   O
at   O
Excelsior   B-LOCATION
EMC   I-LOCATION
,   O
and   O
had   O
a   O
medical   O
insurance   O
OI:26059:143744   B-ID

Patient   O
was   O
requested   O
to   O
provide   O
a   O
reachable   O
35740   B-CONTACT
number   O
for   O
notification   O
of   O
their   O
test   O
results   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
.   O

The   O
medical   O
staff   O
with   O
vyl320   B-NAME
was   O
appointed   O
for   O
providing   O
the   O
required   O
nursing   O
care   O
for   O
Gross   B-NAME
.   O

Kilenya   B-NAME
is   O
recommended   O
for   O
regular   O
checkups   O
and   O
to   O
report   O
to   O
the   O
Phoebe   B-LOCATION
Putney   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
emergency   O
room   O
if   O
the   O
symptoms   O
rapidly   O
progress   O
or   O
breathing   O
difficulty   O
develops   O
.   O

The   O
complete   O
clinical   O
and   O
lab   O
reports   O
have   O
been   O
forwarded   O
to   O
Dr.   O
Denzel   B-NAME
Hurley   I-NAME
and   O
a   O
copy   O
has   O
been   O
sent   O
to   O
Mohammad   B-NAME
Morris   I-NAME
's   O
residence   O
at   O
Grinnell   B-LOCATION
,   O
82438   B-LOCATION
.   O

We   O
assure   O
Rick   B-NAME
Bauer   I-NAME
of   O
our   O
best   O
services   O
at   O
University   B-LOCATION
of   I-LOCATION
Mississippi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Grenada   I-LOCATION
at   O
all   O
times   O
.   O

Patient   O
Name   O
:   O
Kole   B-NAME
Guerra   I-NAME
MRN   O
:   O
174   B-ID
-   I-ID
85   I-ID
-   I-ID
59   I-ID
-   I-ID
5   I-ID
DOB   O
:   O
31   B-DATE
-   I-DATE
23   I-DATE
Age   O
:   O
74   O
Phone   O
:   O
57819   B-CONTACT
Address   O
:   O
Spanaway   B-LOCATION
,   O
11883   B-LOCATION
Emergency   O
Contact   O
:   O
BR251   B-NAME
ID   O
Number   O
:   O
OV:64272:222439   B-ID
Referred   O
by   O
:   O
Augustus   B-NAME
Navarro   I-NAME
Rene   B-NAME
Shaw   I-NAME
,   O
a   O
Production   O
Inspectors   O
,   O
Testers   O
,   O
Graders   O
,   O
Sorters   O
,   O
Samplers   O
,   O
Weighers   O
by   O
profession   O
,   O
arrived   O
at   O
Geary   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Junction   I-LOCATION
City   I-LOCATION
on   O
2123   B-DATE
.   O

Upon   O
examination   O
,   O
Ayasha   B-NAME
appeared   O
jaundiced   O
and   O
complained   O
of   O
abdomen   O
tenderness   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
gastrointestinal   O
(   O
GI   O
)   O
department   O
under   O
the   O
consultation   O
of   O
Alvarez   B-NAME
,   O
a   O
gastroenterologist   O
at   O
Alliance   B-LOCATION
Hospital   I-LOCATION
for   O
a   O
better   O
assessment   O
of   O
the   O
condition   O
.   O

An   O
Endoscopic   O
Retrograde   O
Cholangiopancreatography   O
(   O
ERCP   O
)   O
was   O
scheduled   O
on   O
2353   B-DATE
.   O

The   O
patient   O
's   O
family   O
residing   O
in   O
Oklahoma   B-LOCATION
has   O
been   O
informed   O
and   O
are   O
expected   O
to   O
arrive   O
in   O
30/02/2052   B-DATE
.   O

While   O
the   O
overall   O
prognosis   O
of   O
the   O
disease   O
is   O
good   O
,   O
the   O
patient   O
's   O
health   O
condition   O
would   O
be   O
continuously   O
monitored   O
and   O
reassessed   O
by   O
the   O
team   O
at   O
United   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
at   O
our   O
facility   O
U   B-LOCATION
Mass   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Memorial   I-LOCATION
Campus   I-LOCATION
.   O

Patient   O
Name   O
:   O
Nikia   B-NAME
ID   O
:   O
OE:761097:510657   B-ID
Address   O
:   O
Powder   B-LOCATION
Springs   I-LOCATION
Phone   O
:   O
562   B-CONTACT
-   I-CONTACT
7260   I-CONTACT
DOB   O
:   O
6/23   B-DATE
Age   O
:   O
69   O
Occupation   O
:   O
Commercial   O
Divers   O
Hospital   O
Name   O
:   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Butterworth   I-LOCATION
Hospital   I-LOCATION
First   O
Visit   O
:   O
2244   B-DATE
,   O
consulted   O
with   O
Dr.   O
Duke   B-NAME
Medical   O
Record   O
#   O
:   O
4326470   B-ID
Symptoms   O
:   O
The   O
patient   O
,   O
Sathya   B-NAME
Sai   I-NAME
Baba   I-NAME
,   O
was   O
admitted   O
to   O
Woodland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
complaint   O
of   O
persistent   O
,   O
severe   O
chest   O
pain   O
.   O

He   O
described   O
it   O
as   O
a   O
squeezing   O
type   O
of   O
pain   O
that   O
started   O
a   O
week   O
prior   O
on   O
Monday   B-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
,   O
173   B-ID
-   I-ID
00   I-ID
-   I-ID
94   I-ID
-   I-ID
8   I-ID
,   O
further   O
indicates   O
episodes   O
of   O
dizziness   O
and   O
occasional   O
episodes   O
of   O
nausea   O
.   O

His   O
family   O
history   O
of   O
cardiovascular   O
diseases   O
,   O
as   O
documented   O
by   O
Dr.   O
Charolette   B-NAME
Carlson   I-NAME
,   O
increased   O
our   O
suspicion   O
of   O
a   O
potential   O
cardiac   O
etiology   O
.   O

While   O
at   O
work   O
as   O
a   O
Orderlies   O
in   O
Town   B-LOCATION
Creek   I-LOCATION
,   O
Barnett   B-NAME
also   O
reported   O
sudden   O
onset   O
of   O
fatigue   O
,   O
affecting   O
his   O
performance   O
.   O

Following   O
his   O
first   O
visit   O
on   O
33/26/34   B-DATE
,   O
he   O
was   O
rushed   O
back   O
to   O
Soldiers   B-LOCATION
And   I-LOCATION
Sailors   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Yates   I-LOCATION
County   I-LOCATION
Inc   I-LOCATION
after   O
collapsing   O
during   O
a   O
meeting   O
with   O
his   O
team   O
at   O
Canoochee   B-LOCATION
EMC   I-LOCATION
.   O

This   O
information   O
was   O
shared   O
with   O
the   O
patient   O
on   O
2397   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
32   I-DATE
via   O
phone   O
call   O
to   O
his   O
registered   O
number   O
53644   B-CONTACT
.   O

I   O
advised   O
Yurem   B-NAME
Lang   I-NAME
to   O
admit   O
himself   O
to   O
the   O
New   B-LOCATION
York   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
immediately   O
,   O
and   O
a   O
reminder   O
was   O
sent   O
to   O
his   O
username   O
dq816   B-NAME
for   O
necessary   O
arrangements   O
.   O

Doctor   O
's   O
Name   O
:   O
Dr.   O
Lawrence   B-NAME
Myrick   I-NAME
Signature   O
:   O
Dr.   O
Snyder   B-NAME
Note   O
:   O
This   O
record   O
is   O
prepared   O
for   O
the   O
confidential   O
use   O
of   O
the   O
patient   O
.   O

The   O
patient   O
has   O
the   O
right   O
to   O
control   O
who   O
can   O
have   O
access   O
to   O
this   O
medical   O
information   O
as   O
per   O
the   O
privacy   O
and   O
security   O
rules   O
of   O
the   O
Botswana   B-LOCATION
Power   I-LOCATION
Corporation   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

Please   O
notify   O
the   O
author   O
immediately   O
by   O
phone   O
54160   B-CONTACT
.   O

Patient   O
Name   O
:   O
Bush   B-NAME
Age   O
:   O
70   O
Address   O
:   O
Belleair   B-LOCATION
Shore   I-LOCATION
Zip   O
code   O
:   O
18841   B-LOCATION
Phone   O
number   O
:   O
89763   B-CONTACT
ID   O
:   O
7   B-ID
-   I-ID
5173526   I-ID
Username   O
:   O
VC996   B-NAME
Profession   O
:   O

Cost   O
Estimators   O
Medicine   O
Prescribing   O
Doctor   O
:   O
Garcia   B-NAME
Miguel   B-NAME
Ornega   I-NAME
came   O
to   O
Scotland   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
on   O
02/21/85   B-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
and   O
episodes   O
of   O
vertigo   O
.   O

The   O
neurology   O
team   O
at   O
Hays   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
decided   O
an   O
MRI   O
of   O
the   O
head   O
,   O
Lumbar   O
puncture   O
and   O
a   O
full   O
panel   O
of   O
blood   O
tests   O
would   O
be   O
appropriate   O
to   O
further   O
evaluate   O
his   O
neurological   O
symptoms   O
.   O

A   O
follow   O
up   O
consultation   O
was   O
arranged   O
at   O
Hannibal   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
with   O
Henson   B-NAME
on   O
31/16   B-DATE
.   O

The   O
results   O
of   O
the   O
above   O
investigations   O
have   O
been   O
recorded   O
in   O
the   O
patient   O
’s   O
medical   O
record   O
number   O
9299950   B-ID
.   O

The   O
patient   O
was   O
instructed   O
to   O
return   O
to   O
the   O
HealthSouth   B-LOCATION
RidgeLake   I-LOCATION
Hospital   I-LOCATION
,   O
or   O
reach   O
out   O
to   O
the   O
healthcare   O
team   O
via   O
(   B-CONTACT
353   I-CONTACT
)   I-CONTACT
378   I-CONTACT
9631   I-CONTACT
if   O
symptoms   O
exacerbate   O
or   O
they   O
experience   O
any   O
new   O
symptoms   O
.   O

Insurance   O
documentation   O
for   O
workplace   O
accomodation   O
has   O
been   O
sent   O
to   O
Botswana   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Development   I-LOCATION
Management   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

Referral   O
from   O
the   O
neurology   O
team   O
at   O
this   O
tertiary   O
care   O
center   O
FirstHealth   B-LOCATION
Moore   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
will   O
be   O
required   O
to   O
seek   O
specialized   O
care   O
for   O
the   O
therapeutic   O
management   O
of   O
the   O
underlying   O
issue   O
.   O

The   O
recommendations   O
and   O
patient   O
information   O
have   O
been   O
forwarded   O
to   O
Daniels   B-NAME
for   O
the   O
necessary   O
follow   O
-   O
up   O
care   O
.   O

Patient   O
Report   O
300   B-ID
-   I-ID
81   I-ID
-   I-ID
28   I-ID
-   I-ID
4   I-ID
Denzel   B-NAME
of   O
age   O
41   O
checked   O
into   O
Endless   B-LOCATION
Mountains   I-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
on   O
02/23   B-DATE
.   O

The   O
primary   O
attending   O
physician   O
is   O
Descartes   B-NAME
,   I-NAME
René   I-NAME
.   O

Frank   B-NAME
Oden   I-NAME
lives   O
in   O
Camargo   B-LOCATION
with   O
70415   B-LOCATION
code   O
.   O

The   O
individual   O
reached   O
out   O
to   O
the   O
medical   O
center   O
contact   O
number   O
312   B-CONTACT
-   I-CONTACT
822   I-CONTACT
-   I-CONTACT
6070   I-CONTACT
regarding   O
sudden   O
onsets   O
of   O
intense   O
headache   O
and   O
blurry   O
vision   O
they   O
experienced   O
on   O
12/00   B-DATE
.   O

Beckett   B-NAME
Herring   I-NAME
's   O
medical   O
history   O
,   O
evaluated   O
via   O
document   O
reference   O
NZ:51267:966324   B-ID
,   O
suggested   O
no   O
prior   O
occurrences   O
of   O
such   O
symptoms   O
.   O

We   O
recommended   O
they   O
get   O
a   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
scan   O
at   O
Peoples   B-LOCATION
Bank   I-LOCATION
medical   O
institute   O
to   O
rule   O
out   O
other   O
potential   O
anomalies   O
such   O
as   O
a   O
brain   O
tumor   O
or   O
intra   O
-   O
cranial   O
hemorrhage   O
.   O

Our   O
medical   O
team   O
,   O
led   O
by   O
Murrow   B-NAME
,   I-NAME
Edward   I-NAME
R.   I-NAME
,   O
is   O
closely   O
monitoring   O
the   O
patient   O
's   O
condition   O
.   O

You   O
may   O
reach   O
out   O
to   O
them   O
directly   O
via   O
their   O
personal   O
portal   O
ZM443   B-NAME
.   O

We   O
hope   O
for   O
Alina   B-NAME
Irwin   I-NAME
's   O
quick   O
recovery   O
and   O
will   O
provide   O
any   O
necessary   O
medical   O
assistance   O
in   O
this   O
regard   O
.   O

Patient   O
Information   O
:   O
Jeffrey   B-NAME
Rhodes   I-NAME
is   O
a   O
56   O
years   O
old   O
individual   O
who   O
visited   O
Formerly   B-LOCATION
Oakwood   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Dearborn   I-LOCATION
on   O
32/01   B-DATE
.   O

He   O
was   O
examined   O
by   O
Emilia   B-NAME
Fischer   I-NAME
,   O
a   O
senior   O
medical   O
practitioner   O
at   O
the   O
health   O
center   O
.   O

Presenting   O
Concerns   O
:   O
Tammy   B-NAME
Yon   I-NAME
complained   O
about   O
a   O
lingering   O
headache   O
and   O
increased   O
sensitivity   O
to   O
light   O
and   O
sound   O
over   O
the   O
past   O
week   O
.   O

Additionally   O
,   O
Bruce   B-NAME
,   I-NAME
Lenny   I-NAME
mentioned   O
experiencing   O
occasional   O
nausea   O
and   O
vomiting   O
.   O

General   O
Examination   O
:   O
During   O
the   O
general   O
examination   O
,   O
Rashad   B-NAME
Wells   I-NAME
observed   O
no   O
signs   O
of   O
fever   O
,   O
rash   O
,   O
or   O
neck   O
stiffness   O
.   O

Miya   B-NAME
Rivas   I-NAME
's   O
vitals   O
were   O
recorded   O
as   O
within   O
normal   O
range   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
assessment   O
and   O
symptoms   O
,   O
Stuart   B-NAME
inferred   O
a   O
probable   O
diagnosis   O
of   O
migraine   O
.   O

The   O
patient   O
underwent   O
an   O
MRI   O
scan   O
at   O
NCH   B-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Naples   I-LOCATION
on   O
June   B-DATE
2021   I-DATE
.   O

The   O
reports   O
are   O
appended   O
with   O
this   O
medical   O
record   O
1867226   B-ID
for   O
reference   O
.   O

Follow   O
up   O
:   O
Zinn   B-NAME
,   I-NAME
Howard   I-NAME
is   O
scheduled   O
to   O
meet   O
with   O
Galloway   B-NAME
for   O
a   O
follow   O
up   O
on   O
03/27/01   B-DATE
at   O
Brigham   B-LOCATION
And   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
health   O
center   O
's   O
contact   O
details   O
are   O
listed   O
as   O
533   B-CONTACT
-   I-CONTACT
3739   I-CONTACT
.   O

Additional   O
Information   O
:   O
Israel   B-NAME
Blackwell   I-NAME
works   O
as   O
a   O
Managers   O
,   O
All   O
Other   O
at   O
American   B-LOCATION
Anti   I-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
AAVS   I-LOCATION
)   I-LOCATION
located   O
at   O
Clermont   B-LOCATION
,   I-LOCATION
QC   I-LOCATION
G4A   I-LOCATION
8T7   I-LOCATION
.   O

They   O
shared   O
their   O
ID   O
FL   B-ID
:   I-ID
CF:9157   I-ID
and   O
51071   B-CONTACT
for   O
administrative   O
purposes   O
.   O

The   O
medical   O
bills   O
and   O
insurance   O
documents   O
are   O
to   O
be   O
sent   O
to   O
Williamson   B-NAME
's   O
residence   O
at   O
Zearing   B-LOCATION
,   O
76810   B-LOCATION
.   O

Their   O
username   O
for   O
the   O
hospital   O
's   O
health   O
portal   O
is   O
KU1016   B-NAME
.   O

The   O
family   O
history   O
of   O
Sterling   B-NAME
Ewing   I-NAME
was   O
also   O
considered   O
,   O
noting   O
that   O
his   O
mother   O
and   O
sister   O
also   O
suffer   O
from   O
migraines   O
.   O

This   O
report   O
has   O
been   O
compiled   O
by   O
Nikia   B-NAME
Dardashti   I-NAME
considering   O
all   O
details   O
shared   O
by   O
Regalianus   B-NAME
Mottershead   I-NAME
and   O
observed   O
symptoms   O
.   O

To   O
ensure   O
comprehensive   O
treatment   O
,   O
it   O
is   O
advised   O
that   O
dalton   B-NAME
attend   O
the   O
scheduled   O
follow   O
-   O
up   O
appointments   O
and   O
abide   O
by   O
the   O
treatment   O
plan   O
.   O

Quy   B-NAME
Cherry   I-NAME
Age   O
:   O
93   O
ID   O
:   O
3   B-ID
-   I-ID
4898478   I-ID
Medical   O
Record   O
Number   O
:   O
7390715   B-ID
Report   O
:   O
Johanna   B-NAME
Cannon   I-NAME
presented   O
to   O
the   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Jacksonville   I-LOCATION
emergency   O
department   O
on   O
2326   B-DATE
.   O

She   O
was   O
born   O
and   O
raised   O
in   O
Humacao   B-LOCATION
,   O
is   O
a   O
Floor   O
Layers   O
,   O
Except   O
Carpet   O
,   O
Wood   O
,   O
and   O
Hard   O
Tiles   O
by   O
profession   O
and   O
currently   O
resides   O
in   O
47790   B-LOCATION
.   O

History   O
was   O
provided   O
by   O
Morgan   B-NAME
and   O
her   O
husband   O
.   O

She   O
has   O
been   O
on   O
medication   O
prescribed   O
by   O
Dr.   O
Simon   B-NAME
for   O
hypertension   O
and   O
hyperlipidemia   O
before   O
her   O
admission   O
.   O

During   O
her   O
stay   O
at   O
MacNeal   B-LOCATION
Hospital   I-LOCATION
,   O
she   O
will   O
be   O
under   O
the   O
care   O
of   O
Dr.   O
Raymond   B-NAME
Solar   I-NAME
and   O
the   O
cardiac   O
unit   O
staff   O
.   O

Her   O
appointment   O
with   O
Dr.   O
Leslie   B-NAME
Tapia   I-NAME
is   O
scheduled   O
on   O
January   B-DATE
23   I-DATE
.   O

Pertinent   O
details   O
will   O
be   O
shared   O
with   O
the   O
Carson   B-LOCATION
River   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
she   O
is   O
associated   O
with   O
,   O
as   O
per   O
her   O
consent   O
.   O

The   O
necessary   O
contact   O
has   O
been   O
established   O
with   O
Charles   B-NAME
Uher   I-NAME
's   O
pharmacy   O
located   O
in   O
Escanaba   B-LOCATION
.   O

Their   O
Phone   O
number   O
is   O
42743   B-CONTACT
.   O

This   O
report   O
is   O
prepared   O
by   O
lnr543   B-NAME
and   O
will   O
be   O
further   O
updated   O
as   O
her   O
treatment   O
process   O
continues   O
and   O
more   O
medical   O
details   O
unfold   O
.   O

In   O
case   O
of   O
any   O
emergencies   O
or   O
queries   O
,   O
Ilse   B-NAME
Agosto   I-NAME
or   O
her   O
authorized   O
contact   O
person   O
can   O
reach   O
out   O
to   O
Dr.   O
Noah   B-NAME
Werner   I-NAME
at   O
978   B-CONTACT
7303   I-CONTACT
.   O

Patient   O
Information   O
:   O
Mr.   O
Fosdick   B-NAME
,   I-NAME
Harry   I-NAME
Emerson   I-NAME
is   O
a   O
95   O
year   O
old   O
man   O
who   O
initially   O
presented   O
to   O
the   O
Newport   B-LOCATION
Hospital   I-LOCATION
on   O
0/22/2323   B-DATE
.   O

Identification   O
:   O
Mr.   O
WALLACE   B-NAME
,   I-NAME
VELMA   I-NAME
's   O
identification   O
number   O
is   O
HP:91034:921509   B-ID
.   O

His   O
contact   O
number   O
is   O
319   B-CONTACT
990   I-CONTACT
-   I-CONTACT
9046   I-CONTACT
and   O
resides   O
in   O
Montreat   B-LOCATION
.   O

Upon   O
reviewing   O
Mr.   O
Givens   B-NAME
's   O
medical   O
records   O
746   B-ID
-   I-ID
20   I-ID
-   I-ID
42   I-ID
,   O
he   O
has   O
been   O
experiencing   O
episodes   O
of   O
vertigo   O
,   O
nausea   O
,   O
and   O
unsteady   O
gait   O
.   O

Assigning   O
Doctor   O
:   O
Mr.   O
Hailee   B-NAME
Cunningham   I-NAME
has   O
been   O
under   O
the   O
care   O
of   O
Dr.   O
York   B-NAME
since   O
his   O
admission   O
.   O

Symptom   O
Description   O
:   O
Mr.   O
Graves   B-NAME
describes   O
his   O
vertigo   O
as   O
a   O
sense   O
of   O
the   O
surrounding   O
environment   O
spinning   O
,   O
often   O
accompanied   O
by   O
nausea   O
.   O

Medical   O
Observation   O
:   O
Upon   O
physical   O
examination   O
,   O
Mr.   O
Conley   B-NAME
showed   O
signs   O
of   O
nystagmus   O
,   O
a   O
condition   O
causing   O
involuntary   O
eye   O
movements   O
.   O

Additional   O
Information   O
:   O
Mr.   O
Wylie   B-NAME
,   I-NAME
Philip   I-NAME
works   O
as   O
a   O
Public   O
Relations   O
and   O
Fundraising   O
Managers   O
for   O
Fashion   B-LOCATION
for   I-LOCATION
Fighters   I-LOCATION
Foundation   I-LOCATION
and   O
recently   O
started   O
working   O
overtime   O
,   O
leading   O
to   O
increased   O
physical   O
and   O
mental   O
exhaustion   O
.   O

Jobsite   O
is   O
located   O
at   O
68751   B-LOCATION
.   O

Data   O
Management   O
:   O
All   O
patient   O
data   O
is   O
managed   O
by   O
po457   B-NAME
who   O
oversees   O
all   O
medical   O
records   O
.   O

Anticipated   O
Protocol   O
:   O
A   O
neurologist   O
from   O
our   O
Forbes   B-LOCATION
Hospital   I-LOCATION
,   O
Dr.   O
Benton   B-NAME
C.   I-NAME
Quest   I-NAME
,   O
has   O
been   O
brought   O
into   O
the   O
case   O
.   O

NOTE   O
:   O
Further   O
communication   O
for   O
updates   O
or   O
changes   O
in   O
symptoms   O
should   O
be   O
made   O
via   O
the   O
patient   O
's   O
given   O
254   B-CONTACT
9997   I-CONTACT
number   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Gentry   B-NAME
Age   O
:   O
83s   O
ID   O
:   O
IS:80102:819757   B-ID
Phone   O
:   O
90276   B-CONTACT
Location   O
:   O
Henderson   B-LOCATION
,   I-LOCATION
City   I-LOCATION
of   I-LOCATION
Henderson   I-LOCATION
Medical   O
Record   O
:   O
11578089   B-ID
Reporting   O
Doctor   O
:   O
Avery   B-NAME
Tapia   I-NAME
Hospital   O
:   O
Coral   B-LOCATION
Gables   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O

April   B-DATE
nm25   B-NAME
reports   O
a   O
patient   O
named   O
Cohen   B-NAME
,   I-NAME
Catman   I-NAME
who   O
works   O
as   O
Immigration   O
and   O
Customs   O
Inspectors   O
in   O
Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
.   O

The   O
symptoms   O
started   O
being   O
noticeable   O
in   O
Chinchilla   B-LOCATION
around   O
3412   B-DATE
and   O
has   O
escalated   O
since   O
then   O
.   O

Due   O
to   O
these   O
results   O
,   O
a   O
bone   O
marrow   O
biopsy   O
was   O
performed   O
at   O
St.   B-LOCATION
Francis   I-LOCATION
Eastside   I-LOCATION
under   O
the   O
observation   O
of   O
supervising   O
physician   O
Casey   B-NAME
on   O
2/21/12   B-DATE
.   O

Patient   O
's   O
phone   O
number   O
for   O
contact   O
is   O
172   B-CONTACT
4779   I-CONTACT
and   O
can   O
be   O
contacted   O
at   O
ZIP   O
code   O
45713   B-LOCATION
.   O

These   O
findings   O
and   O
treatments   O
are   O
recorded   O
under   O
medical   O
record   O
8756449   B-ID
.   O

All   O
the   O
health   O
data   O
like   O
SSN   O
and   O
driving   O
license   O
of   O
the   O
patient   O
are   O
safely   O
stored   O
with   O
identification   O
number   O
NI218/2813   B-ID
by   O
data   O
in   O
-   O
charge   O
LS43   B-NAME
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Englewood   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2232   B-DATE
for   O
the   O
evaluation   O
of   O
treatment   O
effectiveness   O
.   O

Patient   O
Name   O
:   O
Godfrey   B-NAME
DOB   O
:   O
30/32   B-DATE
Report   O
:   O
Felipe   B-NAME
Ortega   I-NAME
,   O
a   O
construction   O
worker   O
by   O
Molding   O
and   O
Casting   O
Workers   O
,   O
aged   O
44s   O
years   O
,   O
presented   O
to   O
our   O
outpatient   O
emergency   O
department   O
at   O
Lane   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/29   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
.   O

In   O
order   O
to   O
confirm   O
the   O
diagnosis   O
,   O
an   O
ultrasound   O
was   O
ordered   O
under   O
the   O
supervision   O
of   O
Jennings   B-NAME
.   O

Despite   O
the   O
clear   O
indications   O
,   O
Axel   B-NAME
Goodman   I-NAME
was   O
hesitant   O
about   O
undergoing   O
surgery   O
.   O

The   O
operation   O
was   O
performed   O
by   O
Leach   B-NAME
on   O
September   B-DATE
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Healthcare   I-LOCATION
-   I-LOCATION
Florence   I-LOCATION
.   O

Lesley   B-NAME
Bushie   I-NAME
's   O
family   O
from   O
La   B-LOCATION
Grande   I-LOCATION
was   O
contacted   O
via   O
phone   O
number   O
92642   B-CONTACT
and   O
provided   O
with   O
updates   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
arranged   O
on   O
March   B-DATE
.   O

Report   O
Authorized   O
by   O
:   O
Blake   B-NAME
Simmons   I-NAME
Note   O
:   O
For   O
any   O
queries   O
regarding   O
the   O
above   O
report   O
,   O
please   O
refer   O
to   O
ID   O
-   O
TV688/8125   B-ID
and   O
medical   O
record   O
number   O
168   B-ID
-   I-ID
34   I-ID
-   I-ID
37   I-ID
-   I-ID
8   I-ID
.   O

Please   O
login   O
with   O
lkq613   B-NAME
on   O
our   O
healthcare   O
portal   O
powered   O
by   O
HAYTAP   B-LOCATION
.   O

For   O
patients   O
residing   O
in   O
the   O
62856   B-LOCATION
area   O
,   O
homecare   O
services   O
are   O
available   O
.   O

Signature   O
:   O
Jane   B-NAME
Zavala   I-NAME

Patient   O
Name   O
:   O
Bruce   B-NAME
D.   I-NAME
Brian   I-NAME
Medical   O
Record   O
:   O
99176002   B-ID
Date   O
:   O
July   B-DATE
2035   I-DATE

This   O
report   O
provides   O
a   O
detailed   O
assessment   O
of   O
patient   O
Angelo   B-NAME
Fleming   I-NAME
.   O

Patient   O
John   B-NAME
H.   I-NAME
Watson   I-NAME
,   O
a   O
pharmacist   O
by   O
occupation   O
,   O
reported   O
to   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
04/11/2274   B-DATE
with   O
complaints   O
of   O
recurring   O
headaches   O
of   O
moderate   O
intensity   O
which   O
were   O
both   O
throbbing   O
and   O
pulsating   O
in   O
nature   O
.   O

The   O
headaches   O
,   O
according   O
to   O
Browne   B-NAME
,   I-NAME
Sir   I-NAME
Thomas   I-NAME
,   O
tend   O
to   O
be   O
unilateral   O
and   O
often   O
associated   O
with   O
visual   O
disturbances   O
and   O
phonophobia   O
.   O

Further   O
,   O
upon   O
inquiring   O
into   O
the   O
patient   O
's   O
family   O
health   O
history   O
,   O
it   O
was   O
revealed   O
that   O
Abdiel   B-NAME
Leonard   I-NAME
's   O
mother   O
had   O
similar   O
health   O
issues   O
in   O
her   O
late   O
2   O
s   O
.   O

The   O
patient   O
lives   O
in   O
Goulds   B-LOCATION
and   O
works   O
for   O
Amalgamated   B-LOCATION
Transit   I-LOCATION
Union   I-LOCATION
,   O
which   O
involves   O
a   O
certain   O
level   O
of   O
sedentary   O
job   O
work   O
.   O

Patient   O
Otis   B-NAME
Aguilera   I-NAME
shared   O
his   O
contact   O
number   O
503   B-CONTACT
-   I-CONTACT
103   I-CONTACT
-   I-CONTACT
1951   I-CONTACT
for   O
further   O
communication   O
related   O
to   O
medical   O
concern   O
.   O

Patient   O
Dougherty   B-NAME
is   O
advised   O
to   O
undergo   O
several   O
laboratory   O
tests   O
at   O
Elba   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
for   O
deeper   O
probe   O
into   O
the   O
condition   O
.   O

The   O
patient   O
's   O
unique   O
identification   O
at   O
Hedrick   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
TB503/4639   B-ID
.   O

The   O
primary   O
healthcare   O
provider   O
Dr.   O
Luka   B-NAME
Avila   I-NAME
(   O
MD   O
)   O
has   O
been   O
assigned   O
to   O
further   O
evaluate   O
patient   O
Jesse   B-NAME
Lozano   I-NAME
's   O
condition   O
.   O

The   O
patient   O
appointments   O
details   O
will   O
be   O
sent   O
to   O
their   O
email   O
address   O
SV2410   B-NAME
@   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Georgia   I-LOCATION
.com   O
.   O

The   O
patient   O
dwelling   O
in   O
28544   B-LOCATION
region   O
is   O
requested   O
to   O
ensure   O
his   O
presence   O
on   O
the   O
scheduled   O
date   O
.   O

Prepared   O
by   O
:   O
Cline   B-NAME

Patient   O
ID   O
:   O
69827979   B-ID
The   O
patient   O
,   O
Rovabokola   B-NAME
,   I-NAME
Ratu   I-NAME
Viliame   I-NAME
,   O
71   O
years   O
of   O
age   O
,   O
presented   O
to   O
Beverly   B-LOCATION
Hospital   I-LOCATION
on   O
32/20   B-DATE
.   O

Currently   O
residing   O
at   O
Parsonsburg   B-LOCATION
,   O
60965   B-LOCATION
,   O
the   O
patient   O
’s   O
primary   O
care   O
physician   O
is   O
Joyce   B-NAME
Rodgers   I-NAME
.   O

Ace   B-NAME
Franklin   I-NAME
demonstrated   O
cold   O
extremities   O
and   O
raised   O
jugular   O
venous   O
pressure   O
.   O

Patient   O
was   O
otherwise   O
in   O
good   O
health   O
and   O
worked   O
as   O
a   O
Maids   O
and   O
Housekeeping   O
Cleaners   O
for   O
Council   B-LOCATION
for   I-LOCATION
Chemical   I-LOCATION
Research   I-LOCATION
(   I-LOCATION
CCR   I-LOCATION
)   I-LOCATION
.   O

The   O
patient   O
's   O
primary   O
care   O
doctor   O
,   O
Owen   B-NAME
,   O
and   O
the   O
cardiologist   O
at   O
our   O
Weiss   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
mutually   O
agreed   O
to   O
start   O
Harrell   B-NAME
on   O
Digoxin   O
,   O
Furosemide   O
along   O
with   O
lifestyle   O
modifications   O
.   O

The   O
patient   O
,   O
or   O
next   O
of   O
kin   O
,   O
was   O
given   O
the   O
contact   O
number   O
33797   B-CONTACT
linked   O
to   O
patient   O
's   O
account   O
NM727/7461   B-ID
for   O
any   O
emergency   O
.   O

The   O
patient   O
was   O
also   O
informed   O
that   O
the   O
medical   O
records   O
can   O
be   O
accessed   O
online   O
using   O
the   O
username   O
zpb905   B-NAME
.   O

The   O
case   O
will   O
be   O
closely   O
followed   O
by   O
Holloway   B-NAME
.   O

The   O
timeline   O
for   O
recovery   O
and   O
ability   O
to   O
return   O
to   O
his   O
Air   O
Crew   O
Members   O
will   O
be   O
evaluated   O
during   O
the   O
next   O
visit   O
on   O
22/18   B-DATE
.   O

Patient   O
:   O
Adam   B-NAME
Mayfair   I-NAME
Age   O
:   O
16   O
Date   O
of   O
Visit   O
:   O
19/20   B-DATE
LA655/1982   B-ID
:   O
CY:40142:625998   B-ID

Medical   O
Record   O
#   O
:   O
6269662   B-ID
Presented   O
to   O
Beth   B-LOCATION
Israel   I-LOCATION
Deaconess   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Needham   I-LOCATION
for   O
consultation   O
with   O
Dr.   O
Matthews   B-NAME
.   O

The   O
patient   O
works   O
as   O
a   O
Telecommunications   O
Line   O
Installers   O
and   O
Repairers   O
at   O
Delmarva   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
in   O
Calhoun   B-LOCATION
.   O

The   O
patient   O
lives   O
in   O
a   O
17242   B-LOCATION
-   O
area   O
household   O
and   O
denies   O
smoking   O
or   O
drug   O
use   O
.   O

The   O
Orelia   B-NAME
Burns   I-NAME
was   O
advised   O
to   O
quit   O
his   O
Medical   O
and   O
Health   O
Services   O
Managers   O
at   O
Burlington   B-LOCATION
due   O
to   O
potential   O
exposure   O
to   O
harmful   O
inhalants   O
.   O

A   O
follow   O
up   O
consultation   O
has   O
been   O
scheduled   O
for   O
January   B-DATE
.   O

Contact   O
:   O
51404   B-CONTACT
Home   O
Address   O
:   O
Casselberry   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
32707   I-LOCATION
52038   B-LOCATION
Email   O
via   O
dyy816   B-NAME

The   O
patient   O
has   O
provided   O
consent   O
to   O
contact   O
his   O
PCP   O
,   O
Dr.   O
Parker   B-NAME
Compton   I-NAME
at   O
104   B-CONTACT
-   I-CONTACT
8106   I-CONTACT
for   O
further   O
cooperation   O
.   O

Patient   O
will   O
revisit   O
Jones   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
35/16   B-DATE
for   O
further   O
examination   O
from   O
Dr.   O
Gray   B-NAME
.   O

All   O
medical   O
information   O
was   O
sent   O
to   O
the   O
patient   O
's   O
home   O
at   O
Peachland   B-LOCATION
,   O
14352   B-LOCATION
via   O
post   O
.   O

Manuel   B-NAME
Bright   I-NAME
was   O
seen   O
for   O
an   O
evaluation   O
at   O
Detroit   B-LOCATION
Receiving   I-LOCATION
Hospital   I-LOCATION
on   O
02/10   B-DATE
.   O

Symptoms   O
:   O
Lutz   B-NAME
,   I-NAME
John   I-NAME
Gregory   I-NAME
reports   O
that   O
she   O
has   O
had   O
trouble   O
breathing   O
for   O
the   O
past   O
week   O
.   O

King   B-NAME
has   O
an   O
extensive   O
past   O
medical   O
history   O
,   O
including   O
Type   O
2   O
Diabetes   O
,   O
hypertension   O
,   O
and   O
high   O
cholesterol   O
.   O

Her   O
record   O
number   O
in   O
our   O
system   O
is   O
371   B-ID
-   I-ID
09   I-ID
-   I-ID
13   I-ID
.   O

Diagnosis   O
:   O
Due   O
to   O
her   O
symptoms   O
and   O
medical   O
history   O
,   O
a   O
strong   O
suspicion   O
of   O
a   O
cardiac   O
event   O
like   O
unstable   O
angina   O
or   O
myocardial   O
infarction   O
was   O
considered   O
by   O
Dr.   O
Kirby   B-NAME
.   O

She   O
was   O
referred   O
to   O
a   O
cardiologist   O
in   O
the   O
same   O
hospital   O
,   O
Dr.   O
Davion   B-NAME
Donovan   I-NAME
,   O
for   O
further   O
management   O
.   O

Chase   B-NAME
Washington   I-NAME
has   O
been   O
scheduled   O
to   O
return   O
in   O
one   O
week   O
or   O
sooner   O
if   O
her   O
symptoms   O
worsen   O
.   O

She   O
was   O
also   O
suggested   O
to   O
contact   O
her   O
primary   O
healthcare   O
provider   O
,   O
whose   O
office   O
phone   O
number   O
is   O
216   B-CONTACT
-   I-CONTACT
3497   I-CONTACT
.   O

The   O
patient   O
was   O
advised   O
to   O
re   O
-   O
filling   O
her   O
prescriptions   O
at   O
Basin   B-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
at   O
47194   B-LOCATION
.   O

Other   O
Information   O
:   O
Keota   B-LOCATION
was   O
listed   O
as   O
her   O
home   O
address   O
in   O
the   O
records   O
.   O

Her   O
emergency   O
contact   O
is   O
her   O
daughter   O
,   O
a   O
Medical   O
Secretaries   O
,   O
whose   O
phone   O
number   O
is   O
also   O
listed   O
as   O
33878   B-CONTACT
in   O
our   O
records   O
.   O

The   O
above   O
information   O
was   O
documented   O
by   O
nurse   O
ov359   B-NAME
in   O
the   O
patient   O
's   O
confidential   O
electronic   O
file   O
.   O

A   O
copy   O
of   O
these   O
notes   O
is   O
also   O
stored   O
securely   O
in   O
our   O
system   O
,   O
identified   O
by   O
her   O
medical   O
record   O
number   O
53421732   B-ID
.   O

Identification   O
number   O
:   O
2   B-ID
-   I-ID
1098958   I-ID

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Davison   B-NAME
Report   O
Date   O
:   O
09/08   B-DATE
Patient   O
Age   O
:   O
36   O
Medical   O
Record   O
Number   O
:   O
3924573   B-ID
Patient   O
Jaiden   B-NAME
Heath   I-NAME
presented   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Pineville   I-LOCATION
on   O
21/24/90   B-DATE
.   O

No   O
diastolic   O
or   O
systolic   O
murmurs   O
were   O
auscultated   O
at   O
the   O
time   O
of   O
physical   O
examination   O
,   O
which   O
was   O
conducted   O
by   O
Dr.   O
Shelton   B-NAME
.   O

Dr.   O
Knight   B-NAME
concluded   O
that   O
the   O
moderate   O
decrease   O
in   O
ejection   O
fraction   O
indicates   O
a   O
non   O
-   O
ischemic   O
dilated   O
cardiomyopathy   O
.   O

Patient   O
Arthur   B-NAME
Qin   I-NAME
was   O
advised   O
by   O
Dr.   O
Carson   B-NAME
to   O
have   O
regular   O
follow   O
-   O
ups   O
,   O
maintain   O
a   O
low   O
-   O
salt   O
diet   O
,   O
and   O
limit   O
fluid   O
intake   O
.   O

The   O
patient   O
was   O
also   O
referred   O
to   O
a   O
cardiologist   O
,   O
Dr.   O
Shaylee   B-NAME
Long   I-NAME
,   O
for   O
further   O
management   O
.   O

For   O
remaining   O
reports   O
and   O
future   O
references   O
,   O
please   O
use   O
the   O
ID   O
2   B-ID
-   I-ID
1933620   I-ID
and   O
contact   O
this   O
number   O
(   B-CONTACT
257   I-CONTACT
)   I-CONTACT
204   I-CONTACT
-   I-CONTACT
4392   I-CONTACT
.   O

The   O
zip   O
code   O
for   O
correspondence   O
is   O
39252   B-LOCATION
based   O
in   O
Pemberwick   B-LOCATION
.   O

Patient   O
's   O
details   O
can   O
also   O
be   O
accessed   O
with   O
the   O
username   O
he890   B-NAME
.   O

The   O
detailed   O
report   O
will   O
be   O
sent   O
to   O
Great   B-LOCATION
Ape   I-LOCATION
Project   I-LOCATION
based   O
in   O
Pflugerville   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78660   I-LOCATION
for   O
review   O
.   O

Patient   O
Name   O
:   O
Finley   B-NAME
Rasmussen   I-NAME
Age   O
:   O
56   O
ID   O
:   O
SZ   B-ID
:   I-ID
HY:6024   I-ID
Phone   O
Number   O
:   O
(   B-CONTACT
799   I-CONTACT
)   I-CONTACT
671   I-CONTACT
9830   I-CONTACT
Address   O
:   O
Crest   B-LOCATION
Hill   I-LOCATION
,   O
75923   B-LOCATION
Medical   O
Record   O
Number   O
:   O
656   B-ID
-   I-ID
17   I-ID
-   I-ID
11   I-ID

The   O
patient   O
presented   O
to   O
Endless   B-LOCATION
Mountains   I-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
on   O
2140   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
21   I-DATE
.   O

The   O
physician   O
on   O
duty   O
,   O
Murillo   B-NAME
,   O
conducted   O
an   O
extensive   O
evaluation   O
based   O
on   O
the   O
patient   O
's   O
complaints   O
,   O
comprised   O
mainly   O
of   O
persistent   O
hemicranial   O
headaches   O
,   O
weight   O
loss   O
,   O
and   O
general   O
fatigue   O
over   O
the   O
last   O
6   O
months   O
.   O

The   O
patient   O
,   O
fairly   O
consistent   O
with   O
maintaining   O
their   O
health   O
,   O
is   O
a   O
Nursing   O
Assistants   O
and   O
works   O
for   O
Thunder   B-LOCATION
Bank   I-LOCATION
,   O
which   O
can   O
often   O
be   O
stressful   O
and   O
demanding   O
.   O

Upon   O
careful   O
inspection   O
,   O
no   O
focal   O
neurological   O
defects   O
were   O
found   O
,   O
but   O
Plato   B-NAME
deemed   O
it   O
appropriate   O
to   O
order   O
further   O
diagnostic   O
investigations   O
considering   O
the   O
severity   O
and   O
unilaterality   O
of   O
the   O
headache   O
.   O

A   O
follow   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
the   O
patient   O
on   O
2045   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
04   I-DATE
.   O

The   O
practice   O
used   O
the   O
patient   O
's   O
YE699   B-NAME
for   O
appointment   O
scheduling   O
.   O

If   O
any   O
changes   O
occur   O
in   O
their   O
condition   O
,   O
they   O
are   O
advised   O
to   O
contact   O
Southern   B-LOCATION
New   I-LOCATION
Hampshire   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
on   O
our   O
helpline   O
755   B-CONTACT
-   I-CONTACT
5038   I-CONTACT
.   O

The   O
anonymity   O
and   O
privacy   O
of   O
our   O
patients   O
are   O
our   O
top   O
priority   O
here   O
at   O
McLarenOrthopedic   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
above   O
-   O
stated   O
personal   O
and   O
medical   O
information   O
remains   O
within   O
the   O
bounds   O
of   O
professionalism   O
and   O
is   O
securely   O
stored   O
under   O
patient   O
194648563   B-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Murrow   B-NAME
,   I-NAME
Edward   I-NAME
R.   I-NAME
DOB   O
:   O
October   B-DATE
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
89100336   I-ID
Medical   O
Record   O
Number   O
:   O
911   B-ID
-   I-ID
97   I-ID
-   I-ID
12   I-ID
-   I-ID
6   I-ID
Address   O
:   O
Anacoco   B-LOCATION
,   O
38886   B-LOCATION
Phone   O
Number   O
:   O
45212   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Franco   B-NAME
Richmond   I-NAME
Hospital   O
:   O

North   B-LOCATION
Mississippi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Point   I-LOCATION
Referring   O
Physician   O
:   O
Dr.   O
Speijk   B-NAME
,   I-NAME
Jan   I-NAME
van   I-NAME
Presenting   O
Complaint   O
:   O

The   O
tyree   B-NAME
has   O
a   O
significant   O
medical   O
history   O
of   O
uncontrolled   O
hypertension   O
.   O

On   O
1607   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
23   I-DATE
,   O
the   O
patient   O
came   O
to   O
Putnam   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
reporting   O
a   O
severe   O
headache   O
that   O
was   O
particularly   O
concentrated   O
on   O
the   O
right   O
occipital   O
region   O
.   O

It   O
was   O
advised   O
that   O
Genesis   B-NAME
Frederick   I-NAME
should   O
be   O
admitted   O
to   O
Utah   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
examination   O
and   O
treatment   O
.   O

The   O
consulting   O
Cardiologist   O
,   O
Dr.   O
Tenzin   B-NAME
Gyatso   I-NAME
(   I-NAME
14th   I-NAME
Dalai   I-NAME
Lama   I-NAME
)   I-NAME
proposed   O
initiating   O
anti   O
-   O
hypertensive   O
medication   O
and   O
lifestyle   O
modification   O
advice   O
,   O
considering   O
her   O
profession   O
as   O
a   O
Crystallographer   O
might   O
be   O
giving   O
her   O
less   O
time   O
to   O
focus   O
on   O
her   O
health   O
.   O

Please   O
contact   O
the   O
Laurel   B-NAME
Franklin   I-NAME
at   O
295   B-CONTACT
-   I-CONTACT
2521   I-CONTACT
to   O
confirm   O
her   O
medication   O
routine   O
.   O

Prescribed   O
medications   O
will   O
be   O
sent   O
to   O
Steven   B-NAME
Dorsey   I-NAME
's   O
pharmacy   O
at   O
Englevale   B-LOCATION
.   O

Please   O
contact   O
me   O
through   O
my   O
office   O
phone   O
716   B-CONTACT
-   I-CONTACT
2925   I-CONTACT
or   O
email   O
at   O
nj178   B-NAME
@   O
Palos   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
.com   O
if   O
you   O
need   O
additional   O
information   O
.   O

Sincerely   O
,   O
Dr.   O
Cain   B-NAME
Cardiology   O
Department   O

Patient   O
Name   O
:   O
Crane   B-NAME
,   I-NAME
Dr.   I-NAME
Frank   I-NAME
Date   O
of   O
Admission   O
:   O
3/1   B-DATE
Doctor   O
in   O
Attendance   O
:   O
Larsen   B-NAME
ID   O
Number   O
:   O
826800768   B-ID
Medical   O
Record   O
Number   O
:   O
4318429   B-ID
Patient   O
Contact   O
:   O
50630   B-CONTACT
Location   O
:   O
San   B-LOCATION
Ildefonso   I-LOCATION
Pueblo   I-LOCATION
Age   O
:   O
70   O
Profession   O
:   O
Medical   O
Assistants   O
Attached   O
Username   O
:   O
OM593   B-NAME
Zip   O
Code   O
:   O
97720   B-LOCATION
Hospital   O
:   O
Jefferson   B-LOCATION
Stratford   I-LOCATION
Hospital   I-LOCATION
Assigned   O
Organization   O
:   O

Release   B-LOCATION
International   I-LOCATION
The   O
patient   O
,   O
Angie   B-NAME
Hall   I-NAME
,   O
was   O
admitted   O
to   O
our   O
health   O
facility   O
,   O
Turning   B-LOCATION
Point   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
12/26   B-DATE
.   O

The   O
primary   O
physician   O
overseeing   O
the   O
case   O
is   O
Dr.   O
Kristin   B-NAME
Short   I-NAME
.   O

Residing   O
at   O
Drowning   B-LOCATION
Creek   I-LOCATION
,   O
the   O
patient   O
's   O
home   O
contact   O
is   O
985   B-CONTACT
3357   I-CONTACT
.   O

The   O
medical   O
records   O
,   O
annotated   O
with   O
the   O
number   O
2477550   B-ID
are   O
well   O
updated   O
in   O
our   O
system   O
under   O
the   O
username   O
lxw243   B-NAME
.   O

Upon   O
examination   O
,   O
Brenton   B-NAME
Pace   I-NAME
reported   O
intense   O
gastric   O
discomfort   O
coupled   O
with   O
episodes   O
of   O
nausea   O
.   O

The   O
patient   O
's   O
medical   O
records   O
(   O
84143574   B-ID
)   O
had   O
also   O
documented   O
use   O
of   O
NSAIDs   O
for   O
consistent   O
backache   O
,   O
which   O
might   O
act   O
as   O
a   O
contributing   O
factor   O
.   O

As   O
of   O
2242   B-DATE
,   O
the   O
patient   O
's   O
treatment   O
regimen   O
is   O
under   O
the   O
supervision   O
of   O
Dr.   O
Anthony   B-NAME
in   O
Baptist   B-LOCATION
Hospital   I-LOCATION
,   O
a   O
branch   O
of   O
the   O
Bargain   B-LOCATION
Hunt   I-LOCATION
.   O

For   O
further   O
information   O
and   O
updates   O
,   O
you   O
may   O
refer   O
to   O
patient   O
's   O
case   O
via   O
username   O
GU324   B-NAME
.   O

Patient   O
:   O
Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
Age   O
:   O
58   O
Medical   O
Record   O
:   O
909   B-ID
-   I-ID
58   I-ID
-   I-ID
72   I-ID
-   I-ID
6   I-ID
Location   O
:   O
Shadeland   B-LOCATION
ID   O
:   O
OC   B-ID
:   I-ID
KT:7420   I-ID
Organization   O
:   O

Operative   B-LOCATION
Plasterers   I-LOCATION
'   I-LOCATION
and   I-LOCATION
Cement   I-LOCATION
Masons   I-LOCATION
'   I-LOCATION
International   I-LOCATION
Association   I-LOCATION
Dr   O
:   O
Rawne   B-NAME
Nulaati   I-NAME
Hospital   O
:   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
All   I-LOCATION
Saints   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
Phone   O
:   O
68771   B-CONTACT
Zip   O
:   O
63141   B-LOCATION
Username   O
:   O
wz803   B-NAME
Profession   O
:   O
Motion   O
Picture   O
Projectionists   O
Date   O
:   O
8/27/91   B-DATE
The   O
patient   O
,   O
Le   B-NAME
,   O
who   O
is   O
9   O
years   O
old   O
,   O
came   O
in   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
and   O
nausea   O
on   O
12/21   B-DATE
.   O

He   O
had   O
been   O
suffering   O
symptoms   O
for   O
the   O
past   O
three   O
days   O
before   O
admitting   O
himself   O
to   O
Indiana   B-LOCATION
University   I-LOCATION
Health   I-LOCATION
Bloomington   I-LOCATION
Hospital   I-LOCATION
in   O
Hoot   B-LOCATION
Owl   I-LOCATION
.   O

The   O
patient   O
has   O
a   O
history   O
with   O
ulcerative   O
colitis   O
and   O
has   O
been   O
administrating   O
prescribed   O
meds   O
from   O
Gibson   B-NAME
,   I-NAME
William   I-NAME
Ford   I-NAME
.   O

His   O
medical   O
record   O
number   O
is   O
5824445   B-ID
but   O
reports   O
no   O
history   O
of   O
any   O
major   O
surgeries   O
or   O
allergies   O
.   O

He   O
works   O
as   O
a   O
Environmental   O
Science   O
and   O
Protection   O
Technicians   O
,   O
Including   O
Health   O
for   O
the   O
organization   O
,   O
Danish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
.   O

The   O
reports   O
should   O
be   O
updated   O
to   O
his   O
profile   O
with   O
the   O
username   O
NJ869   B-NAME
.   O

He   O
lives   O
in   O
Attica   B-LOCATION
,   I-LOCATION
Attica   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
zip   O
code   O
,   O
45482   B-LOCATION
.   O

Any   O
appointments   O
or   O
follow   O
-   O
ups   O
will   O
be   O
communicated   O
to   O
his   O
phone   O
number   O
,   O
210   B-CONTACT
4847   I-CONTACT
.   O

He   O
was   O
informed   O
to   O
keep   O
his   O
ID   O
,   O
819681372   B-ID
,   O
handy   O
during   O
the   O
calls   O
for   O
verification   O
.   O

Cole   B-NAME
suggested   O
admitting   O
him   O
to   O
the   O
hospital   O
for   O
further   O
observation   O
and   O
diagnostic   O
procedures   O
,   O
which   O
he   O
consented   O
to   O
.   O

As   O
per   O
the   O
regulations   O
of   O
Hamilton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Syracuse   I-LOCATION
,   O
he   O
was   O
informed   O
with   O
all   O
the   O
details   O
and   O
procedures   O
.   O

Patient   O
:   O
Ochoa   B-NAME
Gender   O
:   O
Male   O
Nationality   O
:   O
Unspecified   O
Check   O
-   O
In   O
Report   O
:   O
Shedd   B-NAME
,   I-NAME
John   I-NAME
was   O
admitted   O
to   O
Skagit   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
2163   B-DATE
.   O

Medical   O
Analysis   O
:   O
Upon   O
consultation   O
,   O
Julissa   B-NAME
Berry   I-NAME
observed   O
tenderness   O
to   O
palpitation   O
in   O
the   O
lower   O
abdomen   O
with   O
reduced   O
bowel   O
sound   O
.   O

Oneal   B-NAME
showed   O
inflammation   O
and   O
tiny   O
pouches   O
in   O
his   O
digestive   O
tract   O
wall   O
,   O
particularly   O
in   O
the   O
lower   O
part   O
of   O
the   O
colon   O
.   O

A   O
previous   O
case   O
of   O
peptic   O
ulcers   O
from   O
his   O
earlier   O
records   O
in   O
Schenevus   B-LOCATION
was   O
noted   O
in   O
the   O
4761218   B-ID
.   O

Taylor   B-NAME
Miranda   I-NAME
has   O
a   O
family   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
but   O
no   O
known   O
case   O
of   O
malignancies   O
.   O

He   O
's   O
been   O
employed   O
as   O
a   O
Cooks   O
,   O
Fast   O
Food   O
and   O
has   O
been   O
residing   O
at   O
Oxford   B-LOCATION
with   O
47572   B-LOCATION
.   O

Plan   O
:   O
Dunlap   B-NAME
has   O
suggested   O
a   O
course   O
of   O
antibiotics   O
and   O
pain   O
relievers   O
prescribed   O
by   O
the   O
Georgian   B-LOCATION
Bank   I-LOCATION
.   O

A   O
colonoscopy   O
has   O
been   O
scheduled   O
on   O
22/20   B-DATE
.   O

Scott   B-NAME
's   O
family   O
has   O
been   O
briefed   O
on   O
his   O
detailed   O
condition   O
with   O
contact   O
number   O
76432   B-CONTACT
provided   O
for   O
direct   O
communication   O
.   O

Consent   O
:   O
Kendal   B-NAME
Munoz   I-NAME
's   O
consent   O
for   O
further   O
treatment   O
procedures   O
was   O
obtained   O
on   O
3   B-DATE
-   I-DATE
0   I-DATE
with   O
the   O
sign   O
-   O
off   O
on   O
1368496   B-ID
.   O

Discharge   O
Plan   O
:   O
Prior   O
to   O
discharge   O
from   O
AMITA   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Aurora   I-LOCATION
,   O
Clodius   B-NAME
Albinus   I-NAME
will   O
be   O
provided   O
with   O
an   O
individualised   O
diet   O
plan   O
promoting   O
fibre   O
intake   O
along   O
with   O
properly   O
spaced   O
,   O
smaller   O
meals   O
.   O

Hunter   B-NAME
is   O
referred   O
to   O
a   O
dietician   O
within   O
Cooperative   B-LOCATION
Bank   I-LOCATION
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Fuentes   B-NAME
have   O
been   O
scheduled   O
every   O
three   O
weeks   O
after   O
discharge   O
until   O
recovery   O
.   O

Note   O
:   O
All   O
patient   O
details   O
are   O
tracked   O
using   O
unique   O
identifiers   O
fys567   B-NAME
in   O
the   O
hospital   O
database   O
for   O
maintaining   O
privacy   O
and   O
confidentiality   O
.   O

Patient   O
Report   O
Name   O
:   O
Willie   B-NAME
Knapp   I-NAME
Date   O
of   O
Admission   O
:   O
21/34   B-DATE
Treating   O
Physician   O
:   O
Dr.   O
Cherry   B-NAME
Hospital   O
of   O
Treatment   O
:   O
ProMedica   B-LOCATION
Bixby   I-LOCATION
Hospital   I-LOCATION
Location   O
of   O
Patient   O
:   O
Callimont   B-LOCATION
Phone   O
:   O
(   B-CONTACT
753   I-CONTACT
)   I-CONTACT
981   I-CONTACT
-   I-CONTACT
9328   I-CONTACT

The   O
patient   O
,   O
Carrie   B-NAME
,   O
a   O
Data   O
visualisation   O
analyst   O
of   O
7   O
week   O
years   O
,   O
presented   O
to   O
us   O
with   O
severe   O
dyspnea   O
,   O
or   O
difficulty   O
breathing   O
.   O

Medical   O
record   O
(   O
1273764   B-ID
)   O
indicates   O
patient   O
has   O
known   O
case   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
.   O

Also   O
,   O
a   O
cardiac   O
specialist   O
,   O
Dr.   O
Riya   B-NAME
Cameron   I-NAME
has   O
been   O
contacted   O
for   O
further   O
evaluation   O
,   O
and   O
the   O
patient   O
is   O
currently   O
being   O
monitored   O
in   O
the   O
ICU   O
of   O
Rothman   B-LOCATION
Orthopaedic   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
.   O

Dr.   O
Romeo   B-NAME
Acosta   I-NAME
has   O
put   O
together   O
a   O
preliminary   O
treatment   O
plan   O
,   O
which   O
includes   O
beta   O
blockers   O
,   O
aspirin   O
,   O
and   O
statins   O
;   O
which   O
are   O
effective   O
treatments   O
for   O
such   O
acute   O
cardiac   O
conditions   O
.   O

The   O
patient   O
's   O
emergency   O
contact   O
,   O
mentioned   O
on   O
his   O
ID   O
card   O
(   O
33989   B-ID
)   O
,   O
was   O
informed   O
immediately   O
about   O
the   O
patient   O
's   O
condition   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
22/21/2247   B-DATE
at   O
Scholar   B-LOCATION
Rescue   I-LOCATION
Fund   I-LOCATION
.   O

For   O
further   O
queries   O
regarding   O
the   O
patient   O
's   O
medical   O
status   O
,   O
contact   O
us   O
at   O
(   B-CONTACT
220   I-CONTACT
)   I-CONTACT
676   I-CONTACT
1929   I-CONTACT
.   O

Billing   O
code   O
for   O
this   O
visit   O
is   O
available   O
by   O
contacting   O
huc1210   B-NAME
with   O
patient   O
’s   O
zip   O
code   O
61166   B-LOCATION
.   O

The   O
overall   O
condition   O
of   O
Curry   B-NAME
is   O
currently   O
stable   O
,   O
though   O
continued   O
monitoring   O
is   O
essential   O
given   O
the   O
severity   O
of   O
his   O
presenting   O
symptoms   O
.   O

Emergency   O
Medical   O
Professional   O
:   O
Dr.   O
Nixon   B-NAME
,   I-NAME
Richard   I-NAME

Patient   O
Information   O
:   O
Patient   O
name   O
:   O
Jason   B-NAME
Mantzoukas   I-NAME
Age   O
:   O
43   O
Date   O
:   O
February   B-DATE
21   I-DATE
,   I-DATE
2302   I-DATE
Medical   O
record   O
number   O
:   O
6861005   B-ID
Patient   O
Carley   B-NAME
Garner   I-NAME
visited   O
Gonzales   B-NAME
at   O
Castle   B-LOCATION
Rock   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
on   O
21/06   B-DATE
.   O

Kilenya   B-NAME
presented   O
with   O
a   O
complaint   O
of   O
persistent   O
and   O
progressive   O
dyspnea   O
over   O
the   O
past   O
few   O
weeks   O
.   O

Julianna   B-NAME
Hamilton   I-NAME
stated   O
that   O
the   O
shortness   O
of   O
breath   O
has   O
been   O
accompanied   O
by   O
a   O
non   O
-   O
productive   O
cough   O
and   O
intermittent   O
chest   O
discomfort   O
.   O

On   O
examination   O
,   O
Duffy   B-NAME
's   O
vitals   O
were   O
stable   O
.   O

Under   O
the   O
recommendations   O
of   O
Floyd   B-NAME
J.   I-NAME
Floyd   I-NAME
Sr   I-NAME
.   I-NAME
,   O
Ellyn   B-NAME
underwent   O
several   O
diagnostic   O
tests   O
,   O
including   O
a   O
chest   O
X   O
-   O
ray   O
and   O
pulmonary   O
function   O
test   O
at   O
the   O
diagnostic   O
center   O
of   O
Petaluma   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
primary   O
care   O
physician   O
,   O
Linda   B-NAME
Freeman   I-NAME
,   O
and   O
the   O
patient   O
Quintin   B-NAME
A.   I-NAME
Conway   I-NAME
were   O
informed   O
about   O
the   O
findings   O
and   O
Patricia   B-NAME
Lund   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
manage   O
the   O
immediate   O
condition   O
.   O

Shaw   B-NAME
,   I-NAME
George   I-NAME
Bernard   I-NAME
also   O
referred   O
Ellie   B-NAME
Cavanaugh   I-NAME
to   O
a   O
pulmonologist   O
associated   O
with   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Episcopal   I-LOCATION
Hospital   I-LOCATION
/   I-LOCATION
South   I-LOCATION
Shore   I-LOCATION
.   O

Last   O
Wednesday   O
,   O
on   O
06/63   B-DATE
,   O
Lucero   B-NAME
's   O
insurance   O
information   O
was   O
verified   O
with   O
Rayle   B-LOCATION
EMC   I-LOCATION
,   O
and   O
confirmation   O
was   O
received   O
by   O
fax   O
at   O
83800   B-CONTACT
.   O

Carter   B-NAME
Wolfe   I-NAME
's   O
insurance   O
ID   O
is   O
QH726/9890   B-ID
and   O
resides   O
at   O
the   O
address   O
Nellie   B-LOCATION
.   O

Next   O
appointment   O
is   O
scheduled   O
with   O
the   O
specialist   O
at   O
UPMC   B-LOCATION
Jameson   I-LOCATION
for   O
follow   O
-   O
up   O
and   O
further   O
management   O
of   O
the   O
condition   O
on   O
13/22   B-DATE
.   O

Till   O
then   O
,   O
Billy   B-NAME
Ochoa   I-NAME
is   O
advised   O
to   O
monitor   O
symptoms   O
and   O
to   O
seek   O
immediate   O
medical   O
assistance   O
in   O
case   O
of   O
any   O
significant   O
worsening   O
of   O
symptoms   O
.   O

In   O
my   O
professional   O
note   O
,   O
Xander   B-NAME
Love   I-NAME
might   O
show   O
improvement   O
with   O
the   O
course   O
of   O
given   O
antibiotics   O
,   O
but   O
considering   O
the   O
chronic   O
nature   O
of   O
Arteaga   B-NAME
’s   O
apparent   O
restrictive   O
lung   O
disease   O
,   O
long   O
term   O
treatment   O
under   O
a   O
pulmonologist   O
’s   O
guidance   O
is   O
encouraged   O
.   O

This   O
report   O
was   O
created   O
by   O
the   O
medical   O
staff   O
mqn875   B-NAME
and   O
approved   O
by   O
the   O
head   O
of   O
the   O
department   O
,   O
Lewis   B-NAME
.   O

Signed   O
,   O
Reeves   B-NAME
Higher   O
education   O
advice   O
worker   O
30861   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ball   B-NAME
Age   O
:   O
77   O
Tyrone   B-NAME
Jenkins   I-NAME
presented   O
to   O
Windham   B-LOCATION
Hospital   I-LOCATION
on   O
October   B-DATE
20   I-DATE
,   I-DATE
2253   I-DATE
with   O
chief   O
complaints   O
of   O
recurrent   O
episodes   O
of   O
severe   O
vertigo   O
,   O
tinnitus   O
,   O
and   O
progressive   O
sensorineural   O
hearing   O
loss   O
in   O
the   O
right   O
ear   O
,   O
consistent   O
with   O
symptoms   O
of   O
Meniere   O
's   O
Disease   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
914   B-ID
37   I-ID
44   I-ID
1   I-ID
.   O

The   O
patient   O
was   O
referred   O
by   O
Dr.   O
Carsen   B-NAME
Mcgrath   I-NAME
of   O
Oligarcy   B-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
.   O

Yasmine   B-NAME
Bernoudi   I-NAME
had   O
previously   O
treated   O
the   O
patient   O
at   O
Roper   B-LOCATION
Hospital   I-LOCATION
,   O
a   O
healthcare   O
provider   O
in   O
Nulato   B-LOCATION
.   O

The   O
initial   O
physical   O
examination   O
conducted   O
by   O
Fossil   B-NAME
suggested   O
nystagmus   O
on   O
right   O
gaze   O
.   O

The   O
patient   O
's   O
social   O
history   O
indicates   O
that   O
they   O
work   O
as   O
a   O
Hosts   O
and   O
Hostesses   O
,   O
Restaurant   O
,   O
Lounge   O
,   O
and   O
Coffee   O
Shop   O
and   O
currently   O
reside   O
in   O
Salamanca   B-LOCATION
with   O
a   O
ZIP   O
code   O
of   O
68244   B-LOCATION
.   O

The   O
patient   O
contact   O
information   O
includes   O
an   O
identification   O
number   O
7   B-ID
-   I-ID
7429194   I-ID
and   O
a   O
contact   O
phone   O
number   O
14758   B-CONTACT
.   O

The   O
username   O
for   O
their   O
online   O
portal   O
is   O
KU1016   B-NAME
and   O
can   O
be   O
used   O
to   O
access   O
the   O
patient   O
's   O
medical   O
records   O
and   O
upcoming   O
appointments   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
July   B-DATE
23   I-DATE
,   I-DATE
2171   I-DATE
in   O
Smiths   B-LOCATION
Station   I-LOCATION
to   O
reassess   O
the   O
patient   O
’s   O
condition   O
and   O
treatment   O
plan   O
.   O

This   O
report   O
was   O
filled   O
by   O
Dr.   O
Aleah   B-NAME
Le   I-NAME
from   O
the   O
neurology   O
department   O
at   O
New   B-LOCATION
Hanover   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
18/03   B-DATE
.   O

Subject   O
:   O
Patient   O
Report   O
for   O
Bibesco   B-NAME
,   I-NAME
Princess   I-NAME
Elizabeth   I-NAME
The   O
patient   O
,   O
Pirsig   B-NAME
,   I-NAME
Robert   I-NAME
M.   I-NAME
,   O
presented   O
at   O
the   O
Cedar   B-LOCATION
Park   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
room   O
on   O
26/28/2091   B-DATE
.   O

The   O
individual   O
is   O
a   O
Motorboat   O
Mechanics   O
,   O
resides   O
in   O
Millerton   B-LOCATION
,   O
and   O
is   O
currently   O
at   O
the   O
7   O
range   O
.   O

Patient   O
's   O
unique   O
JX:72455:850182   B-ID
,   O
88922247   B-ID
and   O
Postal   O
contact:   O
39379   B-LOCATION
.   O

Our   O
attending   O
physician   O
,   O
Pratt   B-NAME
,   O
noted   O
that   O
Andres   B-NAME
Kraker   I-NAME
presented   O
with   O
significant   O
discomfort   O
in   O
the   O
lower   O
abdomen   O
,   O
localized   O
pain   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
and   O
a   O
mild   O
fever   O
.   O

Kennita   B-NAME
’s   O
vitals   O
at   O
admission   O
were   O
as   O
follows   O
:   O
Blood   O
pressure   O
was   O
130/85   O
mmHg   O
,   O
pulse   O
rate   O
was   O
98   O
beats   O
per   O
minute   O
,   O
and   O
body   O
temperature   O
was   O
100.5   O
°   O
F   O
.   O

An   O
ultrasound   O
performed   O
at   O
our   O
Mercy   B-LOCATION
Health   I-LOCATION
Hackley   I-LOCATION
Campus   I-LOCATION
showed   O
inflammation   O
of   O
the   O
appendix   O
,   O
corroborating   O
the   O
suspected   O
diagnosis   O
.   O

Clay   B-NAME
Morales   I-NAME
was   O
admitted   O
to   O
our   O
surgical   O
unit   O
for   O
an   O
emergency   O
appendectomy   O
.   O

Henderson   B-NAME
,   I-NAME
Rickey   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Sharp   B-NAME
on   O
1627   B-DATE
.   O

For   O
any   O
emergency   O
or   O
immediate   O
concerns   O
,   O
Cash   B-NAME
,   I-NAME
Johnny   I-NAME
can   O
reach   O
out   O
to   O
our   O
triage   O
team   O
at   O
(   B-CONTACT
515   I-CONTACT
)   I-CONTACT
944   I-CONTACT
-   I-CONTACT
3344   I-CONTACT
.   O

We   O
are   O
also   O
associated   O
with   O
MetroPacific   B-LOCATION
Bank   I-LOCATION
,   O
where   O
they   O
can   O
seek   O
additional   O
medical   O
assistance   O
if   O
required   O
.   O

This   O
patient   O
report   O
was   O
compiled   O
by   O
bn92   B-NAME
and   O
will   O
be   O
stored   O
securely   O
in   O
our   O
system   O
.   O

All   O
records   O
related   O
to   O
V.   B-NAME
Hamilton   I-NAME
's   O
treatment   O
will   O
be   O
updated   O
according   O
to   O
the   O
progress   O
and   O
results   O
of   O
the   O
scheduled   O
surgery   O
.   O

Patient   O
Report   O
:   O
Debra   B-NAME
A.   I-NAME
Rosenberg   I-NAME
was   O
admitted   O
to   O
Claxton   B-LOCATION
-   I-LOCATION
Hepburn   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
an   O
acute   O
exacerbation   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
on   O
1/82   B-DATE
.   O

Prior   O
to   O
admission   O
,   O
Hermine   B-NAME
reported   O
experiencing   O
severe   O
difficulty   O
in   O
breathing   O
that   O
had   O
been   O
progressive   O
for   O
the   O
previous   O
week   O
.   O

Mckee   B-NAME
reported   O
smoking   O
for   O
nearly   O
40   O
years   O
,   O
but   O
had   O
quit   O
a   O
decade   O
ago   O
.   O

The   O
patient   O
's   O
primary   O
care   O
provider   O
,   O
Harry   B-NAME
Block   I-NAME
,   O
referred   O
the   O
patient   O
to   O
a   O
pulmonologist   O
who   O
,   O
post   O
-   O
consultation   O
,   O
prescribed   O
inhalation   O
therapy   O
and   O
advised   O
patient   O
to   O
avoid   O
environments   O
where   O
dust   O
and   O
smoke   O
are   O
prevalent   O
.   O

Saul   B-NAME
,   I-NAME
John   I-NAME
Ralston   I-NAME
's   O
complete   O
medical   O
history   O
can   O
be   O
traced   O
by   O
referencing   O
729   B-ID
-   I-ID
90   I-ID
-   I-ID
70   I-ID
-   I-ID
3   I-ID
.   O

All   O
medical   O
treatments   O
were   O
in   O
line   O
with   O
the   O
standardized   O
protocol   O
established   O
by   O
Jackson   B-LOCATION
National   I-LOCATION
Life   I-LOCATION
.   O

USSERY   B-NAME
,   I-NAME
VINCENT   I-NAME
Q.   I-NAME
,   O
who   O
works   O
as   O
a   O
Social   O
and   O
Human   O
Service   O
Assistants   O
,   O
resides   O
in   O
Hood   B-LOCATION
River   I-LOCATION
with   O
a   O
zip   O
code   O
of   O
10325   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
219   B-CONTACT
340   I-CONTACT
9261   I-CONTACT
in   O
case   O
of   O
medical   O
emergencies   O
.   O

Additionally   O
,   O
the   O
patient   O
's   O
electronic   O
health   O
record   O
and   O
insurance   O
details   O
such   O
as   O
882413426   B-ID
are   O
securely   O
stored   O
in   O
the   O
Abington   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Jefferson   I-LOCATION
Health   I-LOCATION
database   O
.   O

The   O
patient   O
's   O
healthcare   O
team   O
can   O
access   O
these   O
records   O
using   O
ssf7210   B-NAME
during   O
the   O
course   O
of   O
the   O
clinical   O
treatment   O
and   O
follow   O
up   O
.   O

Overall   O
,   O
Vega   B-NAME
's   O
symptoms   O
and   O
medical   O
history   O
are   O
highly   O
indicative   O
of   O
COPD   O
,   O
accentuated   O
with   O
the   O
patient   O
's   O
age   O
of   O
71   O
.   O

Patient   O
Name   O
:   O
Raleigh   B-NAME
,   I-NAME
Sir   I-NAME
Walter   I-NAME
Age   O
:   O
54   O
Medical   O
Record   O
:   O
909   B-ID
-   I-ID
58   I-ID
-   I-ID
72   I-ID
-   I-ID
6   I-ID
The   O
patient   O
visited   O
the   O
West   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Saturday   B-DATE
and   O
was   O
attended   O
to   O
by   O
Jaylee   B-NAME
Conrad   I-NAME
.   O

Wen   B-NAME
presented   O
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
that   O
had   O
been   O
escalating   O
over   O
a   O
duration   O
of   O
approximately   O
seven   O
days   O
,   O
combined   O
with   O
sporadic   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
.   O

The   O
patient   O
was   O
referred   O
to   O
us   O
by   O
Kapell   B-NAME
,   I-NAME
William   I-NAME
from   O
Plutocratic   B-LOCATION
Systems   I-LOCATION
.   O

The   O
patient   O
’s   O
License   O
Number   O
MY   B-ID
:   I-ID
HS:9359   I-ID
was   O
used   O
for   O
the   O
required   O
paperwork   O
.   O

Address   O
:   O
Bell   B-LOCATION
Acres   I-LOCATION
,   O
12727   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
719   I-CONTACT
)   I-CONTACT
871   I-CONTACT
-   I-CONTACT
4115   I-CONTACT

The   O
patient   O
is   O
employed   O
as   O
a   O
Nutritionist   O
at   O
Rural   B-LOCATION
Industry   I-LOCATION
Promotions   I-LOCATION
Company   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
located   O
in   O
Duran   B-LOCATION
.   O

Our   O
team   O
contacted   O
the   O
patient   O
’s   O
representative   O
at   O
(   B-CONTACT
163   I-CONTACT
)   I-CONTACT
316   I-CONTACT
9474   I-CONTACT
informing   O
them   O
of   O
the   O
diagnostic   O
findings   O
and   O
the   O
recommended   O
surgical   O
intervention   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
the   O
post   O
-   O
operative   O
review   O
on   O
21/22   B-DATE
with   O
Dr.   O
Sloane   B-NAME
Yates   I-NAME
at   O
Aurora   B-LOCATION
BayCare   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Username   O
of   O
the   O
patient   O
:   O
bus07   B-NAME
Following   O
an   O
in   O
-   O
depth   O
discussion   O
about   O
the   O
potential   O
risks   O
and   O
benefits   O
of   O
the   O
surgery   O
,   O
the   O
patient   O
gave   O
consent   O
for   O
the   O
appendectomy   O
to   O
be   O
done   O
.   O

Post   O
-   O
operative   O
period   O
was   O
uneventful   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
12/06   B-DATE
.   O

The   O
patient   O
will   O
continue   O
recovery   O
from   O
his   O
residence   O
in   O
Martinez   B-LOCATION
.   O

Patient   O
Report   O
:   O
Jaliyah   B-NAME
Cervantes   I-NAME
is   O
a   O
93   O
year   O
-   O
old   O
previously   O
worked   O
in   O
Interpreter   O
.   O

George   B-NAME
has   O
presented   O
to   O
the   O
ER   O
at   O
Erlanger   B-LOCATION
Western   I-LOCATION
Carolina   I-LOCATION
Hospital   I-LOCATION
with   O
chief   O
complaints   O
of   O
severe   O
,   O
cramping   O
abdominal   O
pain   O
.   O

Pain   O
was   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
and   O
was   O
incessant   O
starting   O
from   O
early   O
morning   O
on   O
June   B-DATE
19   I-DATE
,   I-DATE
2130   I-DATE
.   O

Oscar   B-NAME
G.   I-NAME
Gregory   I-NAME
reported   O
a   O
decreased   O
appetite   O
accompanied   O
by   O
4   O
separate   O
episodes   O
of   O
vomiting   O
.   O

Xanders   B-NAME
denied   O
any   O
recent   O
changes   O
in   O
diet   O
,   O
alcohol   O
or   O
drug   O
use   O
.   O

Family   O
history   O
of   O
appendicitis   O
;   O
Erick   B-NAME
Hale   I-NAME
's   O
father   O
had   O
his   O
appendix   O
removed   O
at   O
age   O
1   O
week   O
.   O

The   O
physical   O
examination   O
carried   O
out   O
by   O
Saniya   B-NAME
Pratt   I-NAME
revealed   O
tenderness   O
in   O
right   O
lower   O
abdomen   O
,   O
more   O
towards   O
the   O
McBurney   O
's   O
point   O
.   O

Premchand   B-NAME
,   I-NAME
Munshi   I-NAME
's   O
condition   O
required   O
immediate   O
assessment   O
.   O

The   O
scan   O
,   O
dated   O
1/6   B-DATE
showed   O
enlarged   O
,   O
fluid   O
-   O
filled   O
appendix   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Identification   O
based   O
on   O
medical   O
record   O
number   O
4561766   B-ID
.   O

The   O
Kaye   B-NAME
Wilborn   I-NAME
proceeded   O
with   O
immediate   O
laparoscopic   O
appendectomy   O
.   O

Welsh   B-NAME
is   O
currently   O
in   O
recovery   O
at   O
Vidant   B-LOCATION
Beaufort   I-LOCATION
Hospital   I-LOCATION
and   O
is   O
due   O
to   O
be   O
discharged   O
on   O
15/20/64   B-DATE
Home   O
address   O
of   O
the   O
patient   O
is   O
Tuckahoe   B-LOCATION
,   O
with   O
a   O
zip   O
code   O
of   O
96914   B-LOCATION
.   O

Marquis   B-NAME
Blackburn   I-NAME
wants   O
to   O
be   O
contacted   O
at   O
84711   B-CONTACT
for   O
further   O
appointments   O
and   O
follow   O
-   O
ups   O
.   O

Ruth   B-NAME
Elliott   I-NAME
’s   O
primary   O
health   O
insurance   O
is   O
provided   O
by   O
Butler   B-LOCATION
Bank   I-LOCATION
.   O

Porter   B-NAME
Choi   I-NAME
's   O
insurance   O
ID   O
number   O
is   O
8   B-ID
-   I-ID
5211381   I-ID
.   O

The   O
account   O
responsible   O
for   O
the   O
handling   O
of   O
Hayes   B-NAME
's   O
case   O
is   O
vo223   B-NAME
.   O

Trujillo   B-NAME
Age   O
:   O
85   O
Medical   O
Record   O
Number   O
:   O
8216040   B-ID
Profile   O
created   O
by   O
:   O
da124   B-NAME
35/02/2232   B-DATE
,   O
Sandra   B-NAME
Eaton   I-NAME
conducted   O
the   O
medical   O
examination   O
of   O
Jaylin   B-NAME
Mcneil   I-NAME
at   O
Westfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
situated   O
at   O
Muskego   B-LOCATION
.   O

On   O
thorough   O
examination   O
,   O
Fellini   B-NAME
,   I-NAME
Federico   I-NAME
noted   O
dullness   O
to   O
percussion   O
and   O
reduced   O
breath   O
sounds   O
in   O
the   O
left   O
lower   O
chest   O
,   O
hinting   O
towards   O
a   O
possible   O
pleural   O
effusion   O
.   O

The   O
patient   O
's   O
social   O
security   O
number   O
being   O
ZK:29164:396292   B-ID
.   O

For   O
further   O
information   O
,   O
queries   O
,   O
or   O
emergency   O
situations   O
,   O
Dennise   B-NAME
has   O
provided   O
his   O
contact   O
number   O
46999   B-CONTACT
and   O
residential   O
zip   O
code   O
as   O
46498   B-LOCATION
.   O

The   O
recent   O
blood   O
work   O
collected   O
on   O
F   B-DATE
showed   O
elevated   O
inflammatory   O
markers   O
and   O
neutrophilic   O
leukocytosis   O
suggesting   O
an   O
ongoing   O
infectious   O
process   O
.   O

Maurice   B-NAME
Ruiz   I-NAME
's   O
sputum   O
culture   O
and   O
pleural   O
fluid   O
analysis   O
have   O
been   O
sent   O
to   O
the   O
Botswana   B-LOCATION
Diamond   I-LOCATION
Sorters   I-LOCATION
&   I-LOCATION
Valuators   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
to   O
further   O
discern   O
the   O
pathogen   O
involved   O
.   O

Kaylynn   B-NAME
Valencia   I-NAME
has   O
recommended   O
hospitalization   O
for   O
Abram   B-NAME
Villanueva   I-NAME
and   O
started   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
.   O

The   O
detailed   O
medical   O
file   O
related   O
to   O
the   O
diagnosis   O
and   O
treatment   O
can   O
be   O
accessed   O
using   O
the   O
patient   O
's   O
medical   O
record   O
number   O
-   O
31578691   B-ID
.   O

Best   O
Regards   O
,   O
wkw444   B-NAME

Patient   O
Details   O
:   O
Jennifer   B-NAME
Murillo   I-NAME
is   O
a   O
75   O
year   O
old   O
individual   O
who   O
presented   O
to   O
Delta   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/21/20   B-DATE
.   O

Nunes   B-NAME
reports   O
occasional   O
instances   O
of   O
blurred   O
vision   O
but   O
denied   O
any   O
history   O
of   O
seizures   O
,   O
motor   O
or   O
sensory   O
disturbances   O
.   O

A   O
neurological   O
checkup   O
by   O
Owens   B-NAME
was   O
unremarkable   O
with   O
normal   O
fundus   O
examination   O
.   O

SP   B-NAME
's   O
primary   O
care   O
ID   O
is   O
YK   B-ID
:   I-ID
QJ:7299   I-ID
and   O
medical   O
record   O
number   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
is   O
71293142   B-ID
.   O

An   O
appointment   O
was   O
scheduled   O
to   O
see   O
neurology   O
specialist   O
Dayami   B-NAME
Ingram   I-NAME
at   O
Raritan   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
8/21   B-DATE
to   O
further   O
examine   O
and   O
manage   O
the   O
treatment   O
plan   O
.   O

Additional   O
contact   O
for   O
emergency   O
includes   O
a   O
trusted   O
neighbor   O
,   O
a   O
Radiologists   O
at   O
Independent   B-LOCATION
Nation   I-LOCATION
whose   O
contact   O
number   O
is   O
489   B-CONTACT
9041   I-CONTACT
and   O
resides   O
in   O
Horizon   B-LOCATION
West   I-LOCATION
89114   B-LOCATION
.   O

gx275   B-NAME
and   O
password   O
have   O
been   O
updated   O
for   O
the   O
patient   O
portal   O
at   O
Dickinson   B-LOCATION
County   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
.   O

Report   O
is   O
prepared   O
by   O
James   B-NAME
,   I-NAME
Henry   I-NAME
at   O
Wesley   B-LOCATION
Long   I-LOCATION
Hospital   I-LOCATION
on   O
October   B-DATE
to   O
provide   O
informed   O
care   O
to   O
Dunn   B-NAME
.   O

April   B-DATE
:   O

Schmidt   B-NAME
,   O
a   O
Hospitalists   O
of   O
96   O
years   O
,   O
presented   O
to   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Methodist   I-LOCATION
Campus   I-LOCATION
with   O
a   O
sharp   O
,   O
gnawing   O
pain   O
radiating   O
from   O
the   O
epigastric   O
area   O
to   O
the   O
back   O
.   O

Based   O
on   O
symptoms   O
and   O
preliminary   O
reports   O
,   O
a   O
provisional   O
diagnosis   O
of   O
Acute   O
Pancreatitis   O
was   O
made   O
by   O
Shields   B-NAME
.   O

Ella   B-NAME
Salazar   I-NAME
has   O
planned   O
to   O
prepare   O
a   O
suitable   O
digestive   O
diet   O
chart   O
and   O
suggest   O
lifestyle   O
modifications   O
.   O

An   O
appointment   O
has   O
been   O
set   O
up   O
with   O
Wise   B-NAME
for   O
follow   O
-   O
up   O
after   O
a   O
week   O
on   O
10/76   B-DATE
at   O
Bennettsville   B-LOCATION
,   I-LOCATION
Bennettsville   I-LOCATION
Downtown   I-LOCATION
.   O

The   O
hospital   O
staff   O
ensured   O
Gaines   B-NAME
's   O
comfort   O
and   O
initiated   O
pain   O
management   O
.   O

The   O
health   O
records   O
were   O
filed   O
under   O
265   B-ID
-   I-ID
60   I-ID
-   I-ID
55   I-ID
-   I-ID
6   I-ID
.   O

Upon   O
discharge   O
,   O
his   O
family   O
was   O
instructed   O
to   O
contact   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Hurst   I-LOCATION
-   I-LOCATION
Euless   I-LOCATION
-   I-LOCATION
Bedford   I-LOCATION
on   O
666   B-CONTACT
510   I-CONTACT
1187   I-CONTACT
for   O
any   O
concerns   O
or   O
emergencies   O
.   O

This   O
report   O
is   O
stored   O
in   O
the   O
medical   O
record   O
system   O
under   O
the   O
koh499   B-NAME
and   O
UE   B-ID
:   I-ID
KI:5914   I-ID
.   O

The   O
87775   B-LOCATION
code   O
area   O
was   O
recorded   O
for   O
the   O
Singleton   B-NAME
current   O
address   O
.   O

This   O
case   O
was   O
brought   O
to   O
attention   O
during   O
the   O
monthly   O
meeting   O
of   O
Beach   B-LOCATION
First   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
to   O
discuss   O
the   O
importance   O
of   O
early   O
diagnosis   O
and   O
management   O
of   O
pancreatitis   O
to   O
prevent   O
morbidity   O
and   O
mortality   O
.   O

Patient   O
Name   O
:   O
Johan   B-NAME
Vaughn   I-NAME
Medical   O
Record   O
Number   O
:   O
018   B-ID
-   I-ID
19   I-ID
-   I-ID
62   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Visit   O
:   O
2/20/2142   B-DATE
Age   O
:   O
17   O
The   O
patient   O
,   O
Ryker   B-NAME
Lawrence   I-NAME
,   O
reports   O
experiencing   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
perspiration   O
,   O
raising   O
concerns   O
about   O
potential   O
myocardial   O
infarction   O
.   O

The   O
initial   O
onset   O
occurred   O
on   O
2030   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
28   I-DATE
in   O
her   O
place   O
of   O
residence   O
in   O
Terrace   B-LOCATION
Park   I-LOCATION
.   O

The   O
symptoms   O
intensified   O
during   O
the   O
next   O
few   O
hours   O
prompting   O
a   O
call   O
to   O
her   O
primary   O
care   O
physician   O
,   O
Glenn   B-NAME
.   O

Larson   B-NAME
recommended   O
immediate   O
medical   O
intervention   O
and   O
arranged   O
for   O
an   O
ambulance   O
from   O
Wythe   B-LOCATION
County   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
to   O
transport   O
the   O
patient   O
.   O

Upon   O
arrival   O
at   O
Medical   B-LOCATION
Specialists   I-LOCATION
Ambulatory   I-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
on   O
February   B-DATE
,   O
the   O
patient   O
was   O
admitted   O
,   O
and   O
an   O
Electrocardiogram   O
(   O
ECG   O
)   O
was   O
promptly   O
carried   O
out   O
.   O

She   O
resides   O
at   O
Gayville   B-LOCATION
,   O
contact   O
number   O
73978   B-CONTACT
and   O
her   O
home   O
is   O
within   O
a   O
2   O
-   O
mile   O
radius   O
of   O
Novant   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
with   O
Howell   B-NAME
is   O
scheduled   O
for   O
00/12/30   B-DATE
.   O

For   O
any   O
immediate   O
assistance   O
or   O
concerns   O
,   O
please   O
contact   O
the   O
Cardiology   O
Department   O
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Unity   I-LOCATION
Campus   I-LOCATION
on   O
850   B-CONTACT
5408   I-CONTACT
.   O

Verified   O
by   O
CV804   B-NAME
Patient   O
's   O
ID   O
:   O
560834   B-ID
Hospital   O
Zip   O
:   O
13393   B-LOCATION
Insurance   O
Provider   O
:   O
Reliance   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION

Patient   O
name   O
:   O
Lakota   B-NAME
The   O
patient   O
,   O
a   O
Environmental   O
Science   O
and   O
Protection   O
Technicians   O
,   O
Including   O
Health   O
of   O
79   O
years   O
,   O
presented   O
to   O
our   O
clinic   O
on   O
January   B-DATE
.   O

Dr.   O
Garrison   B-NAME
performed   O
the   O
physical   O
examination   O
.   O

Pertinent   O
laboratory   O
data   O
provided   O
by   O
United   B-LOCATION
Confederate   I-LOCATION
Veterans   I-LOCATION
showed   O
leukocytosis   O
.   O

An   O
ultrasound   O
requested   O
by   O
Dr.   O
Kilroy   B-NAME
-   I-NAME
Silk   I-NAME
,   I-NAME
Robert   I-NAME
and   O
performed   O
in   O
the   O
radiology   O
department   O
of   O
University   B-LOCATION
of   I-LOCATION
Wisconsin   I-LOCATION
Hospitals   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
room   O
507   O
in   O
the   O
surgical   O
ward   O
of   O
New   B-LOCATION
York   I-LOCATION
Flushing   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
immediate   O
appendectomy   O
under   O
the   O
care   O
of   O
Dr.   O
Roger   B-NAME
Bailey   I-NAME
on   O
July   B-DATE
28   I-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
satisfactory   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
June   B-DATE
10   I-DATE
,   I-DATE
2001   I-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
.   O

All   O
communications   O
regarding   O
the   O
patient   O
's   O
care   O
were   O
made   O
using   O
the   O
phone   O
number   O
82038   B-CONTACT
as   O
provided   O
by   O
the   O
patient   O
.   O

Recorded   O
and   O
documented   O
by   O
:   O
BP97   B-NAME
Patient   O
health   O
ID   O
:   O
210592   B-ID
Medical   O
record   O
number   O
:   O
250   B-ID
-   I-ID
04   I-ID
-   I-ID
37   I-ID
-   I-ID
2   I-ID
Location   O
of   O
care   O
:   O

Gratiot   B-LOCATION
Zip   O
code   O
of   O
patient   O
's   O
residence   O
:   O
78924   B-LOCATION

Patient   O
Information   O
:   O
Name   O
:   O
Bell   B-NAME
,   I-NAME
Alexander   I-NAME
Graham   I-NAME
Age   O
:   O
71   O
Address   O
:   O
Framlingham   B-LOCATION
ID   O
:   O
TA368/2435   B-ID
Medical   O
Record   O
:   O

9601232   B-ID

The   O
patient   O
presented   O
to   O
Riverton   B-LOCATION
Hospital   I-LOCATION
on   O
21/30/69   B-DATE
.   O

The   O
attending   O
physician   O
,   O
Alivia   B-NAME
Ponce   I-NAME
,   O
conducted   O
the   O
examination   O
.   O

Kennedi   B-NAME
Morrison   I-NAME
reported   O
experiencing   O
severe   O
abdominal   O
pain   O
for   O
the   O
past   O
few   O
days   O
.   O

The   O
patient   O
was   O
previously   O
treated   O
by   O
Watkins   B-NAME
at   O
Creswell   B-LOCATION
.   O

Singleton   B-NAME
's   O
medical   O
history   O
was   O
evaluated   O
and   O
a   O
previous   O
diagnosis   O
of   O
chronic   O
pancreatitis   O
was   O
discovered   O
.   O

King   B-NAME
Henslee   I-NAME
's   O
profession   O
is   O
Correspondence   O
Clerks   O
.   O

The   O
patient   O
was   O
advised   O
to   O
abstain   O
from   O
alcohol   O
,   O
was   O
prescribed   O
a   O
regimen   O
of   O
pancreatic   O
enzymes   O
,   O
and   O
was   O
recommended   O
for   O
follow   O
-   O
up   O
consultations   O
with   O
a   O
gastroenterologist   O
at   O
Peoples   B-LOCATION
First   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

Patient   O
's   O
phone   O
number   O
is   O
427   B-CONTACT
-   I-CONTACT
8511   I-CONTACT
and   O
they   O
reside   O
at   O
12675   B-LOCATION
.   O

The   O
patient   O
was   O
advised   O
to   O
be   O
readmitted   O
on   O
September   B-DATE
for   O
further   O
evaluation   O
and   O
management   O
plan   O
.   O

User   O
Note   O
by   O
NF704   B-NAME
:   O
"   O
Patient   O
has   O
shown   O
some   O
responsive   O
symptoms   O
and   O
has   O
adhered   O
to   O
the   O
treatment   O
plan   O
so   O
far   O
.   O

Bonilla   B-NAME
was   O
discharged   O
on   O
July   B-DATE
25   I-DATE
from   O
Hillsboro   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Hillsboro   I-LOCATION
.   O

We   O
planned   O
to   O
follow   O
-   O
up   O
via   O
a   O
telehealth   O
appointment   O
with   O
our   O
clinic   O
on   O
30/15/2211   B-DATE
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Paul   B-NAME
Edwards   I-NAME
Sex   O
:   O
Male   O
Date   O
of   O
Birth   O
:   O
Thursday   B-DATE
,   I-DATE
February   I-DATE
Age   O
:   O
15   O
ID   O
:   O
3   B-ID
-   I-ID
7215785   I-ID
Medical   O
Record   O
Number   O
:   O
116   B-ID
-   I-ID
26   I-ID
-   I-ID
50   I-ID
-   I-ID
2   I-ID
Address   O
:   O
Richmond   B-LOCATION
Zip   O
code   O
:   O
55179   B-LOCATION
Profession   O
:   O

First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors-   O
Construction   O
Trades   O
Workers   O
Phone   O
number   O
:   O
804   B-CONTACT
-   I-CONTACT
3669   I-CONTACT
User   O
name   O
:   O
ipj45   B-NAME
Attending   O
doctor   O
:   O
Booth   B-NAME
Present   O
Illness   O
:   O
Julien   B-NAME
Hensley   I-NAME
visited   O
Tooele   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
2/22   B-DATE
.   O

NAPOLITANO   B-NAME
,   I-NAME
URSULA   I-NAME
also   O
reports   O
episodes   O
of   O
nausea   O
and   O
diarrhea   O
,   O
stating   O
that   O
they   O
have   O
been   O
worsening   O
over   O
the   O
past   O
day   O
.   O

Past   O
Medical   O
History   O
:   O
Short   B-NAME
has   O
a   O
history   O
of   O
gastric   O
ulcers   O
,   O
diagnosed   O
5   O
years   O
ago   O
from   O
an   O
endoscopy   O
performed   O
at   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Katy   I-LOCATION
Hospital   I-LOCATION
.   O

He   O
was   O
maintained   O
on   O
Proton   O
Pump   O
Inhibitors   O
for   O
some   O
time   O
,   O
the   O
details   O
of   O
which   O
are   O
unclear   O
as   O
his   O
records   O
from   O
the   O
previous   O
medical   O
provider   O
,   O
City   B-LOCATION
of   I-LOCATION
Blountstown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
,   O
are   O
currently   O
unavailable   O
.   O

Treatment   O
Plan   O
:   O
Roy   B-NAME
was   O
admitted   O
under   O
Williams   B-NAME
,   I-NAME
Roger   I-NAME
for   O
further   O
management   O
.   O

Follow   O
up   O
:   O
Delacruz   B-NAME
is   O
scheduled   O
to   O
follow   O
up   O
in   O
the   O
gastroenterology   O
clinic   O
on   O
November   B-DATE
.   O

He   O
has   O
been   O
informed   O
to   O
contact   O
Norah   B-NAME
Purcell   I-NAME
immediately   O
at   O
(   B-CONTACT
637   I-CONTACT
)   I-CONTACT
876   I-CONTACT
-   I-CONTACT
7971   I-CONTACT
if   O
his   O
symptoms   O
worsen   O
.   O

Patient   O
Report   O
:   O
On   O
33/10/43   B-DATE
,   O
a   O
patient   O
named   O
Joe   B-NAME
Early   I-NAME
working   O
as   O
a   O
Geological   O
Sample   O
Test   O
Technicians   O
presented   O
at   O
Capital   B-LOCATION
Region   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Sawbridgeworth   B-LOCATION
.   O

The   O
patient   O
was   O
accompanied   O
by   O
Jeri   B-NAME
Clingan   I-NAME
during   O
the   O
clinical   O
examination   O
with   O
a   O
medical   O
record   O
number   O
of   O
217   B-ID
-   I-ID
39   I-ID
-   I-ID
17   I-ID
-   I-ID
2   I-ID
.   O

Our   O
patient   O
Olszewski   B-NAME
displayed   O
a   O
cascade   O
of   O
symptoms   O
starting   O
with   O
a   O
persistent   O
high   O
fever   O
that   O
had   O
been   O
fluctuating   O
around   O
104   O
degrees   O
Fahrenheit   O
since   O
January   B-DATE
20   I-DATE
.   O

Leatrice   B-NAME
Cobian   I-NAME
,   O
aged   O
75   O
,   O
also   O
complained   O
about   O
exacerbating   O
pain   O
in   O
the   O
right   O
upper   O
quadrant   O
suggesting   O
potential   O
hepatomegaly   O
.   O

The   O
Chest   O
X   O
-   O
Ray   O
performed   O
on   O
02/29   B-DATE
at   O
Baystate   B-LOCATION
Noble   I-LOCATION
Hospital   I-LOCATION
supported   O
the   O
physical   O
findings   O
with   O
visible   O
consolidations   O
marking   O
the   O
lung   O
fields   O
.   O

Following   O
the   O
consultation   O
,   O
Makenzie   B-NAME
Parrish   I-NAME
conducted   O
a   O
family   O
history   O
,   O
suggesting   O
that   O
Gwendolyn   B-NAME
Orr   I-NAME
's   O
mother   O
was   O
also   O
diagnosed   O
with   O
pneumonia   O
at   O
the   O
age   O
of   O
24   O
indicating   O
a   O
potential   O
genetic   O
predisposition   O
.   O

A   O
subsequent   O
consultation   O
with   O
another   O
healthcare   O
professional   O
from   O
Excelsior   B-LOCATION
EMC   I-LOCATION
and   O
active   O
discussion   O
about   O
the   O
patient   O
's   O
condition   O
was   O
done   O
over   O
the   O
63756   B-CONTACT
number   O
.   O

We   O
exchanged   O
pertinent   O
health   O
information   O
,   O
including   O
GJ:8932:668919   B-ID
to   O
facilitate   O
the   O
exchange   O
of   O
information   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
02/34/2052   B-DATE
at   O
Alta   B-LOCATION
Bates   I-LOCATION
Summit   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
located   O
at   O
9700   B-LOCATION
Golden   I-LOCATION
Star   I-LOCATION
Street   I-LOCATION
.   O

The   O
appointment   O
reminder   O
will   O
be   O
sent   O
to   O
the   O
jx701   B-NAME
or   O
the   O
950   B-CONTACT
-   I-CONTACT
793   I-CONTACT
-   I-CONTACT
1548   I-CONTACT
number   O
.   O

If   O
any   O
further   O
proof   O
of   O
billing   O
is   O
required   O
,   O
it   O
will   O
be   O
sent   O
to   O
the   O
patient   O
’s   O
home   O
at   O
46497   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Cooper   B-NAME
,   I-NAME
Diana   I-NAME
(   I-NAME
Lady   I-NAME
Diana   I-NAME
Manners   I-NAME
)   I-NAME
Date   O
of   O
Birth   O
:   O
December   B-DATE
14   I-DATE
,   I-DATE
2261   I-DATE
Gender   O
:   O
Female   O
0019177   B-ID
:   O
QT:29982:737743   B-ID

Savanah   B-NAME
Hoover   I-NAME
Care   O
Team   O
Phone   O
:   O
241   B-CONTACT
-   I-CONTACT
4306   I-CONTACT
Admitted   O
at   O
:   O
Rose   B-LOCATION
Gardens   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION

This   O
report   O
is   O
concerning   O
Gage   B-NAME
Flowers   I-NAME
,   O
a   O
woman   O
of   O
20   O
,   O
who   O
presented   O
to   O
our   O
emergency   O
department   O
at   O
Hillcrest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
33/37/70   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

On   O
initial   O
physical   O
examination   O
,   O
the   O
Angell   B-NAME
,   I-NAME
Norman   I-NAME
noted   O
rebound   O
tenderness   O
and   O
Rigidity   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Prior   O
to   O
this   O
incidence   O
,   O
Jalia   B-NAME
was   O
in   O
a   O
good   O
state   O
of   O
health   O
and   O
was   O
not   O
on   O
any   O
medications   O
.   O

Based   O
on   O
the   O
finding   O
and   O
her   O
presentation   O
,   O
Fisher   B-NAME
was   O
scheduled   O
and   O
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
00/20/2192   B-DATE
.   O

The   O
procedure   O
was   O
carried   O
out   O
by   O
Delaney   B-NAME
Harrington   I-NAME
and   O
his   O
surgical   O
team   O
at   O
The   B-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
Providence   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Nayeli   B-NAME
Tyler   I-NAME
on   O
April   B-DATE
2   I-DATE
at   O
Pojoaque   B-LOCATION
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
wdz66   B-NAME
Relation   O
:   O
Daughter   O
Phone   O
:   O
40746   B-CONTACT
Address   O
:   O
Atlanta   B-LOCATION
Insurance   O
Details   O
:   O
Plan   O
Provider   O
:   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Elevator   I-LOCATION
Constructors   I-LOCATION
Policy   O
ID   O
:   O
572886200   B-ID
Address   O
:   O
Monticello   B-LOCATION
,   O
17922   B-LOCATION
Occupation   O
:   O

Clinical   O
Psychologists   O
Workplace   O
:   O
McIntosh   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
Address   O
:   O
Doolittle   B-LOCATION
,   O
15939   B-LOCATION

This   O
report   O
was   O
completed   O
by   O
the   O
undersigned   O
on   O
01/24   B-DATE
Signed   O
:   O
Keely   B-NAME
Trexler   I-NAME
Note   O
:   O
If   O
there   O
are   O
any   O
queries   O
regarding   O
Diamond   B-NAME
condition   O
,   O
please   O
contact   O
Johnny   B-NAME
Fever   I-NAME
at   O
St.   B-LOCATION
Mary   I-LOCATION
-   I-LOCATION
Corwin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
71810   B-CONTACT

Patient   O
Name   O
:   O
Refugia   B-NAME
Locke   I-NAME
Age   O
:   O
81   O
Medical   O
Record   O
Number   O
:   O
550   B-ID
-   I-ID
09   I-ID
-   I-ID
22   I-ID
-   I-ID
0   I-ID
Colin   B-NAME
Vasquez   I-NAME
first   O
examined   O
Ricardo   B-NAME
Jacob   I-NAME
Updyke   I-NAME
on   O
06/24   B-DATE
at   O
Millard   B-LOCATION
Fillmore   I-LOCATION
Suburban   I-LOCATION
Hospital   I-LOCATION
.   O

Terry   B-NAME
suggested   O
further   O
diagnostic   O
tests   O
,   O
including   O
a   O
rheumatoid   O
factor   O
(   O
RF   O
)   O
and   O
anti   O
-   O
cyclic   O
citrullinated   O
peptide   O
(   O
anti   O
-   O
CCP   O
)   O
test   O
.   O

The   O
patient   O
was   O
advised   O
to   O
return   O
for   O
a   O
follow   O
up   O
visit   O
on   O
22/37   B-DATE
.   O

Upon   O
return   O
on   O
the   O
next   O
allotted   O
date   O
23/11   B-DATE
,   O
the   O
RF   O
and   O
anti   O
-   O
CCP   O
results   O
confirmed   O
the   O
diagnosis   O
of   O
rheumatoid   O
arthritis   O
.   O

Kory   B-NAME
Fulgham   I-NAME
proposed   O
starting   O
on   O
a   O
regimen   O
that   O
included   O
nonsteroidal   O
anti   O
-   O
inflammatory   O
drugs   O
(   O
NSAIDs   O
)   O
and   O
disease   O
-   O
modifying   O
antirheumatic   O
drugs   O
(   O
DMARDs   O
)   O
.   O

Eventually   O
,   O
Kildare   B-NAME
was   O
also   O
referred   O
to   O
a   O
Rheumatologist   O
at   O
Auburn   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
in   O
Pampa   B-LOCATION
for   O
further   O
oversight   O
of   O
the   O
disease   O
progression   O
and   O
treatment   O
.   O

The   O
billing   O
details   O
with   O
respect   O
to   O
health   O
plan   O
number   O
EQ   B-ID
:   I-ID
VH:8238   I-ID
have   O
been   O
forwarded   O
to   O
the   O
Altamaha   B-LOCATION
EMC   I-LOCATION
for   O
processing   O
.   O

We   O
have   O
scheduled   O
another   O
appointment   O
for   O
Dayanara   B-NAME
House   I-NAME
on   O
9/93   B-DATE
.   O

Please   O
confirm   O
receipt   O
of   O
this   O
message   O
by   O
contacting   O
us   O
on   O
799   B-CONTACT
-   I-CONTACT
439   I-CONTACT
1042   I-CONTACT
or   O
via   O
email   O
at   O
fnc426   B-NAME
@   O
City   B-LOCATION
of   I-LOCATION
Vero   I-LOCATION
Beach   I-LOCATION
Electric   I-LOCATION
Utilities   I-LOCATION
.com   O
.   O

Postal   O
Address   O
:   O
Grisell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Ransom   I-LOCATION
,   O
Lorton   B-LOCATION
,   O
74526   B-LOCATION
Thank   O
you   O
.   O

Patient   O
Name   O
:   O
Travis   B-NAME
Sims   I-NAME
Patient   O
Age   O
:   O
77   O
Date   O
of   O
Admission   O
:   O
12/27   B-DATE
Physician   O
Name   O
:   O
Ellis   B-NAME

The   O
patient   O
was   O
admitted   O
to   O
Latrobe   B-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
had   O
been   O
increasing   O
continuously   O
over   O
the   O
past   O
30/03/50   B-DATE
and   O
became   O
sudden   O
in   O
onset   O
.   O

Along   O
with   O
the   O
pain   O
,   O
the   O
patient   O
also   O
reported   O
experiencing   O
nausea   O
and   O
a   O
few   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
3/01/2322   B-DATE
.   O

Medical   O
Record   O
:   O
DNSW2   B-ID
ID   O
Proof   O
:   O
UF:28350:641189   B-ID
Residential   O
Location   O

:   O
Smock   B-LOCATION
She   O
is   O
a   O
Education   O
Administrators   O
,   O
Elementary   O
and   O
Secondary   O
School   O
at   O
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

Her   O
last   O
menstrual   O
period   O
was   O
reported   O
to   O
be   O
on   O
32/29/00   B-DATE
.   O

The   O
patient   O
's   O
contact   O
number   O
:   O
(   B-CONTACT
442   I-CONTACT
)   I-CONTACT
550   I-CONTACT
-   I-CONTACT
6837   I-CONTACT
Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
and   O
she   O
was   O
advised   O
to   O
consult   O
her   O
attending   O
Bishop   B-NAME
as   O
soon   O
as   O
possible   O
,   O
should   O
the   O
pain   O
or   O
other   O
symptoms   O
persist   O
.   O

Notes   O
were   O
made   O
with   O
sme15   B-NAME
in   O
the   O
hospital   O
's   O
system   O
for   O
record   O
update   O
.   O

Emergency   O
Contact   O
:   O
956   B-CONTACT
-   I-CONTACT
191   I-CONTACT
-   I-CONTACT
1636   I-CONTACT
Preferred   O
Pharmacy   O
97829   B-LOCATION
:   O

International   B-LOCATION
Rehabilitation   I-LOCATION
Council   I-LOCATION
for   I-LOCATION
Torture   I-LOCATION
Victims   I-LOCATION
Pharmacy   O
's   O
location   O
:   O
Purcell   B-LOCATION
Pharmacy   O
's   O
Contact:   O
343   B-CONTACT
-   I-CONTACT
4917   I-CONTACT
.   O

Subject   O
:   O
Medical   O
Report   O
for   O
Bowen   B-NAME
Patient   O
Information   O
:   O
Name   O
:   O
Davila   B-NAME
Age   O
:   O
94   O
Date   O
of   O
Birth   O
:   O
03/30/2009   B-DATE
Address   O
:   O
Lloyd   B-LOCATION
,   O
79428   B-LOCATION
Phone   O
:   O
552   B-CONTACT
-   I-CONTACT
8814   I-CONTACT
Identification   O
:   O
7   B-ID
-   I-ID
5586252   I-ID
Medical   O
Record   O
:   O
05284727   B-ID
Doctor   O
Information   O
:   O

Name   O
:   O
Kelley   B-NAME
Hospital   O
Affiliation   O
:   O
Lakeview   B-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
67281   B-CONTACT
Presenting   O
Symptoms   O
:   O
Evangeline   B-NAME
Frank   I-NAME
presented   O
to   O
the   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
Cornwall   I-LOCATION
Campus   I-LOCATION
on   O
01/2010   B-DATE
.   O

Further   O
discussion   O
revealed   O
that   O
Briley   B-NAME
Riggs   I-NAME
has   O
had   O
dyspepsia   O
and   O
mild   O
epigastric   O
pain   O
for   O
the   O
past   O
two   O
weeks   O
.   O

On   O
examination   O
,   O
Brice   B-NAME
Short   I-NAME
's   O
abdomen   O
was   O
soft   O
,   O
non   O
-   O
tender   O
and   O
no   O
mass   O
could   O
be   O
palpated   O
.   O

Employment   O
Info   O
:   O
Alexzander   B-NAME
Delgado   I-NAME
is   O
a   O
Investment   O
analyst   O
in   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Knitwear   I-LOCATION
,   I-LOCATION
Footwear   I-LOCATION
and   I-LOCATION
Apparel   I-LOCATION
Trades   I-LOCATION
residing   O
in   O
Villa   B-LOCATION
Rica   I-LOCATION
.   O

Note   O
from   O
Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
F.   I-NAME
at   O
PeaceHealth   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
:   O
I   O
have   O
advised   O
Cohen   B-NAME
Aguirre   I-NAME
to   O
undergo   O
an   O
endoscopy   O
to   O
further   O
assess   O
his   O
condition   O
.   O

The   O
procedure   O
is   O
scheduled   O
to   O
take   O
place   O
on   O
7/02   B-DATE
.   O

If   O
his   O
symptoms   O
worsen   O
or   O
he   O
experiences   O
any   O
new   O
symptoms   O
such   O
as   O
fever   O
,   O
chest   O
pain   O
,   O
or   O
black   O
stools   O
,   O
he   O
is   O
advised   O
to   O
immediately   O
visit   O
the   O
Saint   B-LOCATION
Luke   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Living   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Marion   I-LOCATION
emergency   O
department   O
or   O
call   O
886   B-CONTACT
-   I-CONTACT
4143   I-CONTACT
.   O

I   O
have   O
also   O
made   O
arrangements   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
09/93   B-DATE
.   O

Username   O
:   O
RA41   B-NAME

Patient   O
Report   O
:   O
Patient   O
Patricia   B-NAME
N   I-NAME
Vallejo   B-NAME
is   O
a   O
5   O
month   O
year   O
old   O
individual   O
admitted   O
to   O
the   O
Annie   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
complaint   O
of   O
persistent   O
high   O
fever   O
for   O
the   O
past   O
12/29/2250   B-DATE
.   O

Upon   O
arrival   O
,   O
the   O
patient   O
was   O
assessed   O
by   O
Dr.   O
Alison   B-NAME
Chapman   I-NAME
and   O
initial   O
lab   O
investigations   O
were   O
ordered   O
.   O

As   O
per   O
medical   O
record   O
number   O
852   B-ID
-   I-ID
35   I-ID
-   I-ID
81   I-ID
,   O
the   O
patient   O
resides   O
in   O
DeRidder   B-LOCATION
and   O
is   O
employed   O
as   O
a   O
QA   O
analyst   O
.   O

The   O
patient   O
has   O
been   O
insured   O
by   O
the   O
City   B-LOCATION
of   I-LOCATION
Fort   I-LOCATION
Meade   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
with   O
the   O
health   O
plan   O
number   O
HM374/6690   B-ID
.   O

Moreover   O
,   O
patient   O
’s   O
physician   O
Dr.   O
Ashlyn   B-NAME
Prince   I-NAME
and   O
the   O
surgical   O
consultant   O
have   O
both   O
agreed   O
to   O
schedule   O
the   O
surgery   O
on   O
2221   B-DATE
.   O

Dr.   O
Fiszer   B-NAME
,   I-NAME
Franciszek   I-NAME
discussed   O
the   O
case   O
with   O
the   O
patient   O
and   O
elaborated   O
the   O
essential   O
post   O
-   O
operative   O
care   O
needed   O
to   O
prevent   O
complications   O
.   O

The   O
patient   O
's   O
home   O
phone   O
number   O
(   O
260   B-CONTACT
2156   I-CONTACT
)   O
and   O
the   O
hospital   O
's   O
emergency   O
contact   O
number   O
has   O
been   O
exchanged   O
to   O
handle   O
any   O
sudden   O
complications   O
before   O
surgery   O
.   O

The   O
patient   O
's   O
primary   O
healthcare   O
provider   O
from   O
Commonwealth   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Initiative   I-LOCATION
will   O
be   O
notified   O
about   O
the   O
current   O
health   O
situation   O
.   O

In   O
case   O
of   O
discharge   O
,   O
follow   O
-   O
up   O
appointments   O
will   O
be   O
scheduled   O
and   O
sent   O
to   O
the   O
patient   O
's   O
registered   O
email   O
address   O
,   O
ca707   B-NAME
.   O

In   O
case   O
of   O
any   O
future   O
inquiries   O
,   O
the   O
patient   O
's   O
address   O
has   O
been   O
listed   O
as   O
Chenequa   B-LOCATION
,   O
42277   B-LOCATION
.   O

Informed   O
consent   O
for   O
the   O
surgery   O
has   O
been   O
obtained   O
from   O
Housman   B-NAME
,   I-NAME
A.   I-NAME
E.   I-NAME
and   O
the   O
necessary   O
documents   O
duly   O
filled   O
.   O

It   O
is   O
expected   O
that   O
post   O
-   O
surgery   O
,   O
the   O
patient   O
will   O
be   O
kept   O
in   O
the   O
Dominican   B-LOCATION
Hospital   I-LOCATION
for   O
observation   O
of   O
any   O
possible   O
complications   O
before   O
being   O
discharged   O
.   O

Patient   O
Name   O
:   O
Eva   B-NAME
Newby   I-NAME
Braden   B-NAME
Rubio   I-NAME
saw   O
the   O
patient   O
on   O
36/02   B-DATE
at   O
Ohio   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marion   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
’s   O
Social   O
Security   O
Number   O
and   O
Driver   O
’s   O
License   O
number   O
are   O
noted   O
as   O
TI   B-ID
:   I-ID
QI:6229   I-ID
,   O
residing   O
at   O
Saugerties   B-LOCATION
South   I-LOCATION
23198   B-LOCATION
.   O

A   O
physical   O
examination   O
was   O
performed   O
following   O
all   O
standard   O
procedures   O
and   O
protocols   O
of   O
Penn   B-LOCATION
Mutual   I-LOCATION
.   O

The   O
patient   O
scheduled   O
an   O
appointment   O
by   O
calling   O
on   O
24481   B-CONTACT
.   O

In   O
the   O
interim   O
,   O
Ray   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
balanced   O
,   O
nutritious   O
diet   O
,   O
and   O
start   O
with   O
some   O
light   O
exercises   O
as   O
tolerated   O
.   O

Meanwhile   O
,   O
our   O
team   O
reviewed   O
the   O
available   O
medical   O
records   O
(   O
232   B-ID
-   I-ID
03   I-ID
-   I-ID
76   I-ID
-   I-ID
7   I-ID
)   O
and   O
suggested   O
the   O
patient   O
to   O
undergo   O
a   O
PET   O
-   O
CT   O
scan   O
for   O
a   O
better   O
understanding   O
of   O
the   O
etiology   O
.   O

The   O
patient   O
’s   O
username   O
for   O
the   O
hospital   O
's   O
online   O
portal   O
is   O
zet210   B-NAME
,   O
where   O
they   O
can   O
view   O
test   O
results   O
and   O
upcoming   O
appointment   O
details   O
.   O

The   O
patient   O
will   O
revisit   O
the   O
Baptist   B-LOCATION
Health   I-LOCATION
La   I-LOCATION
Grange   I-LOCATION
on   O
29/22   B-DATE
to   O
follow   O
-   O
up   O
on   O
their   O
symptoms   O
and   O
test   O
results   O
.   O

On   O
departure   O
,   O
Keren   B-NAME
Lineman   I-NAME
was   O
provided   O
with   O
education   O
material   O
on   O
the   O
symptom   O
management   O
and   O
healthy   O
lifestyle   O
changes   O
,   O
emphasizing   O
the   O
importance   O
of   O
smoking   O
cessation   O
.   O

Patient   O
Report   O
:   O
Jackson   B-NAME
Watson   I-NAME
Patient   O
's   O
age   O
:   O
32   O
Gender   O
:   O
Male   O
Presenting   O
with   O
a   O
chronic   O
cough   O
,   O
the   O
patient   O
Donaldson   B-NAME
,   O
a   O
Design   O
engineer   O
living   O
in   O
Boone   B-LOCATION
,   O
checked   O
into   O
Rehabilitation   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
South   I-LOCATION
Jersey   I-LOCATION
on   O
August   B-DATE
39   I-DATE
.   O

Patient   O
's   O
contact   O
:   O
747   B-CONTACT
8865   I-CONTACT
Patient   O
's   O
ID   O
:   O
31577166   B-ID
Doctor   O
's   O
information   O
:   O
Roth   B-NAME
,   I-NAME
Philip   I-NAME
who   O
is   O
currently   O
affiliated   O
with   O
Evergreen   B-LOCATION
Bank   I-LOCATION
located   O
at   O
85419   B-LOCATION
has   O
been   O
assigned   O
to   O
supervise   O
the   O
patient   O
's   O
case   O
.   O

Per   O
the   O
information   O
from   O
the   O
anonymous   O
informant   O
with   O
username   O
ahr5510   B-NAME
,   O
the   O
patient   O
has   O
a   O
history   O
of   O
smoking   O
,   O
and   O
has   O
been   O
exposed   O
to   O
construction   O
dust   O
in   O
his   O
profession   O
as   O
a   O
Preventive   O
Medicine   O
Physicians   O
.   O

Doctor   O
Hart   B-NAME
reported   O
notes   O
to   O
the   O
medical   O
record   O
number   O
4689456   B-ID
on   O
22/22/13   B-DATE
.   O

The   O
patient   O
's   O
condition   O
will   O
be   O
monitored   O
closely   O
at   O
Woodhull   B-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
and   O
he   O
will   O
be   O
reassessed   O
after   O
the   O
test   O
results   O
come   O
in   O
.   O

As   O
per   O
Southeast   B-LOCATION
Michigan   I-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
's   O
policy   O
,   O
the   O
patient   O
's   O
username   O
fht952   B-NAME
will   O
be   O
used   O
for   O
communication   O
in   O
the   O
patient   O
portal   O
.   O

Updates   O
will   O
be   O
sent   O
to   O
the   O
aforementioned   O
46837   B-CONTACT
number   O
as   O
needed   O
.   O

Patient   O
resides   O
in   O
:   O
Pinardville   B-LOCATION
,   O
52365   B-LOCATION
-Medical   O
Record   O
compiled   O
by   O
,   O
Oscar   B-NAME
Patel   I-NAME
33/32/22   B-DATE

Patient   O
Report   O
:   O
Clarence   B-NAME
Roach   I-NAME
presented   O
to   O
the   O
Saint   B-LOCATION
Agnes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
stating   O
that   O
he   O
has   O
been   O
experiencing   O
continuous   O
abdominal   O
pain   O
for   O
approximately   O
48   O
hours   O
.   O

Teneil   B-NAME
,   O
aged   O
56   O
,   O
is   O
a   O
Education   O
Administrators   O
,   O
Postsecondary   O
residing   O
at   O
Tilbury   B-LOCATION
with   O
postal   O
code   O
53032   B-LOCATION
.   O

On   O
patient   O
admission   O
dated   O
32/21   B-DATE
,   O
Dr.   O
Joseph   B-NAME
,   I-NAME
Chief   I-NAME
performed   O
a   O
physical   O
examination   O
and   O
noted   O
that   O
the   O
patient   O
showed   O
signs   O
of   O
rebound   O
tenderness   O
in   O
the   O
right   O
iliac   O
fossa   O
.   O

The   O
patient   O
was   O
then   O
shifted   O
for   O
imaging   O
under   O
89582326   B-ID
,   O
where   O
computed   O
tomography   O
(   O
CT   O
)   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Family   O
history   O
obtained   O
via   O
phone   O
number   O
389   B-CONTACT
1822   I-CONTACT
,   O
revealed   O
that   O
the   O
patient   O
's   O
father   O
had   O
undergone   O
appendectomy   O
at   O
the   O
age   O
of   O
10   O
.   O

Diamond   B-NAME
Terrell   I-NAME
is   O
also   O
a   O
cardholder   O
of   O
health   O
insurance   O
BZ605/8084   B-ID
listed   O
under   O
organization   O
Groveland   B-LOCATION
Light   I-LOCATION
Department   I-LOCATION
,   O
which   O
was   O
contacted   O
for   O
the   O
necessary   O
insurance   O
formalities   O
.   O

The   O
username   O
po457   B-NAME
was   O
generated   O
for   O
him   O
to   O
access   O
his   O
online   O
patient   O
portal   O
.   O

The   O
patient   O
was   O
then   O
recommended   O
for   O
an   O
urgent   O
surgical   O
consultation   O
by   O
the   O
doctors   O
at   O
the   O
Kona   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
discussion   O
with   O
Dr.   O
Santana   B-NAME
Faltz   I-NAME
,   O
the   O
patient   O
agreed   O
to   O
proceed   O
with   O
the   O
appendectomy   O
.   O

The   O
surgery   O
,   O
scheduled   O
for   O
32/23/2219   B-DATE
at   O
Goshen   B-LOCATION
Hospital   I-LOCATION
,   O
was   O
successful   O
and   O
the   O
patient   O
was   O
discharged   O
with   O
prescriptions   O
and   O
follow   O
-   O
up   O
appointment   O
details   O
.   O

As   O
of   O
the   O
last   O
follow   O
up   O
on   O
10/21/01   B-DATE
,   O
Lewis   B-NAME
is   O
recovering   O
well   O
and   O
shows   O
no   O
sign   O
of   O
recurrent   O
symptoms   O
.   O

Patient   O
Name   O
:   O
Dulce   B-NAME
Bullock   I-NAME
Age   O
:   O
26   O
Date   O
:   O
12/25   B-DATE
Doctor   O
:   O
Cantrell   B-NAME
Hospital   O
:   O
Vidant   B-LOCATION
Roanoke   I-LOCATION
-   I-LOCATION
Chowan   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
95434744   B-ID
Location   O
:   O
Knowles   B-LOCATION
Medical   O
Record   O
:   O
16081198   B-ID
Rachel   B-NAME
Davila   I-NAME
presented   O
to   O
Crossroads   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
32/22   B-DATE
complaining   O
of   O
frequent   O
headaches   O
and   O
dizzy   O
spells   O
for   O
the   O
past   O
month   O
.   O

Current   O
medications   O
include   O
hydrochlorothiazide   O
for   O
hypertension   O
and   O
atorvastatin   O
for   O
hyperlipidemia   O
,   O
which   O
were   O
prescribed   O
by   O
Dr.   O
Vivekananda   B-NAME
,   I-NAME
Swami   I-NAME
in   O
Shaw   B-LOCATION
Heights   I-LOCATION
.   O

Milo   B-NAME
Banks   I-NAME
has   O
requested   O
an   O
MRI   O
of   O
the   O
brain   O
to   O
rule   O
out   O
any   O
neurological   O
cause   O
of   O
the   O
symptoms   O
.   O

The   O
patient   O
has   O
been   O
instructed   O
to   O
return   O
to   O
the   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Oklahoma   I-LOCATION
City   I-LOCATION
for   O
monitoring   O
and   O
further   O
tests   O
.   O

[   O
PATIENT   O
's   O
Contact   O
]   O
Relation   O
:   O
Clinical   O
biochemist   O
Phone   O
:   O
30434   B-CONTACT
Address   O
:   O
Copperas   B-LOCATION
Cove   I-LOCATION
,   O
53435   B-LOCATION

The   O
medical   O
reports   O
of   O
the   O
patient   O
were   O
logged   O
into   O
our   O
secure   O
system   O
,   O
under   O
the   O
medical   O
record   O
688   B-ID
-   I-ID
66   I-ID
-   I-ID
95   I-ID
-   I-ID
0   I-ID
,   O
Issued   O
by   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Japan   I-LOCATION
(   I-LOCATION
CSJ   I-LOCATION
)   I-LOCATION
.   O

Nurse   O
SF169   B-NAME
will   O
follow   O
up   O
with   O
Henry   B-NAME
C.   I-NAME
Atwood   I-NAME
regularly   O
regarding   O
symptoms   O
and   O
progress   O
.   O

Patient   O
Name   O
:   O
Song   B-NAME
Lepak   I-NAME
Age   O
:   O
77   O
Address   O
:   O
Drain   B-LOCATION
Phone   O
:   O
(   B-CONTACT
176   I-CONTACT
)   I-CONTACT
774   I-CONTACT
1700   I-CONTACT
ID   O
:   O
ZL   B-ID
:   I-ID
UN:5090   I-ID
ZIP   O
:   O
52030   B-LOCATION
Medical   O
Record   O
Number   O
:   O
525   B-ID
-   I-ID
61   I-ID
-   I-ID
28   I-ID
-   I-ID
1   I-ID
2/10   B-DATE
,   O
English   B-NAME
saw   O
the   O
patient   O
,   O
Kylan   B-NAME
Cherry   I-NAME
,   O
at   O
Kuakini   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
sharp   O
,   O
persistent   O
,   O
and   O
episodic   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
suggestive   O
of   O
pancreatitis   O
.   O

A   O
referral   O
was   O
made   O
to   O
the   O
Department   O
of   O
Gastroenterology   O
at   O
Miami   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
further   O
information   O
,   O
the   O
nurse   O
on   O
duty   O
can   O
be   O
contacted   O
at   O
378   B-CONTACT
866   I-CONTACT
-   I-CONTACT
8615   I-CONTACT
during   O
the   O
day   O
shift   O
from   O
Monday   O
to   O
Friday   O
.   O

A   O
copy   O
of   O
this   O
referral   O
has   O
been   O
sent   O
to   O
ISN   B-LOCATION
Bank   I-LOCATION
that   O
handles   O
the   O
patient   O
's   O
insurance   O
coverage   O
.   O

In   O
line   O
with   O
Newington   B-LOCATION
Campus   I-LOCATION
(   I-LOCATION
US   I-LOCATION
Veterans   I-LOCATION
Administration   I-LOCATION
)   I-LOCATION
's   O
privacy   O
policy   O
,   O
all   O
the   O
comments   O
and   O
measurement   O
records   O
related   O
to   O
this   O
case   O
have   O
been   O
entered   O
into   O
the   O
hospital   O
system   O
with   O
a   O
unique   O
username   O
bg59   B-NAME
for   O
future   O
reference   O
and   O
follow   O
-   O
ups   O
.   O

Thank   O
you   O
,   O
Rice   B-NAME
Consultant   O
,   O
UPMC   B-LOCATION
Community   I-LOCATION
Chugcreek   B-LOCATION

Hugh   B-NAME
Beale   I-NAME
Age   O
:   O
35   O
Date   O
:   O
January   B-DATE
23   I-DATE
Patient   O
Dooom   B-NAME
arrived   O
at   O
IU   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
presenting   O
with   O
symptoms   O
of   O
an   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Medical   O
Record   O
Number   O
:   O
662   B-ID
-   I-ID
43   I-ID
-   I-ID
01   I-ID
-   I-ID
8   I-ID

Aleah   B-NAME
Le   I-NAME
noted   O
a   O
loss   O
of   O
appetite   O
in   O
Lauren   B-NAME
Swanson   I-NAME
along   O
with   O
nausea   O
and   O
an   O
unwillingness   O
to   O
move   O
due   O
to   O
the   O
severity   O
of   O
pain   O
.   O

On   O
Friday   B-DATE
,   I-DATE
February   I-DATE
,   O
Davila   B-NAME
performed   O
a   O
CT   O
scan   O
to   O
further   O
examine   O
the   O
situation   O
.   O

Social   O
Security   O
Number   O
:   O
ZU   B-ID
:   I-ID
LA:9726   I-ID
Place   O
of   O
treatment   O
:   O
Gallipolis   B-LOCATION
Ferry   I-LOCATION
The   O
patient   O
Stevens   B-NAME
was   O
referred   O
to   O
Stephanie   B-NAME
Dickerson   I-NAME
for   O
an   O
immediate   O
open   O
appendicectomy   O
at   O
DeTar   B-LOCATION
Hospital   I-LOCATION
Navarro   I-LOCATION
to   O
remove   O
the   O
inflamed   O
appendix   O
.   O

Home   O
Address   O
:   O
South   B-LOCATION
Barrington   I-LOCATION
,   O
37494   B-LOCATION
Phone   O
:   O
267   B-CONTACT
9141   I-CONTACT

The   O
patient   O
Allen   B-NAME
,   I-NAME
Fred   I-NAME
was   O
discharged   O
on   O
22/13   B-DATE
with   O
specific   O
guidance   O
for   O
post   O
-   O
operative   O
care   O
at   O
home   O
and   O
prescribed   O
pain   O
medications   O
.   O

Organizing   O
services   O
from   O
American   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
were   O
arranged   O
to   O
support   O
the   O
patient   O
's   O
recovery   O
post   O
surgery   O
.   O

First   O
-   O
Line   O
Supervisors   O
of   O
Office   O
and   O
Administrative   O
Support   O
Workers   O
Health   O
plan   O
number   O
:   O
2   B-ID
-   I-ID
29411000   I-ID
Follow   O
up   O
appointment   O
on   O
:   O
2349   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
02   I-DATE
dxz865   B-NAME
was   O
listed   O
as   O
the   O
emergency   O
contact   O
for   O
Francis   B-NAME
of   I-NAME
Assisi   I-NAME
.   O

Given   O
the   O
guarded   O
condition   O
of   O
the   O
patient   O
post   O
surgery   O
,   O
careful   O
follow   O
-   O
ups   O
and   O
continued   O
evaluation   O
by   O
Walker   B-NAME
Jensen   I-NAME
at   O
Emory   B-LOCATION
Decatur   I-LOCATION
Hospital   I-LOCATION
were   O
mandated   O
.   O

In   O
case   O
of   O
any   O
changes   O
in   O
the   O
patient   O
's   O
condition   O
,   O
Colon   B-NAME
can   O
be   O
contacted   O
at   O
311   B-CONTACT
-   I-CONTACT
4386   I-CONTACT
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Usha   B-NAME
Gibbons   I-NAME
Age   O
:   O
65   O
Medical   O
Record   O
Number   O
:   O
958   B-ID
-   I-ID
01   I-ID
-   I-ID
86   I-ID
Chief   O
Complaint   O
:   O
Lourd   B-NAME
Muggley   I-NAME
presented   O
to   O
the   O
Monroe   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Acute   O
Care   O
Clinic   O
on   O
1/1   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
discomfort   O
.   O

The   O
patient   O
's   O
history   O
,   O
as   O
provided   O
,   O
indicates   O
that   O
Maxwell   B-NAME
Ball   I-NAME
has   O
been   O
suffering   O
from   O
recurrent   O
gastric   O
ulcers   O
for   O
the   O
past   O
2   O
years   O
.   O

The   O
patient   O
also   O
stated   O
that   O
Hayden   B-NAME
Richard   I-NAME
's   O
mother   O
had   O
similar   O
issues   O
around   O
the   O
age   O
of   O
67   O
.   O
Symptoms   O
:   O

Zachery   B-NAME
Wagner   I-NAME
additionally   O
reported   O
symptoms   O
of   O
acid   O
reflux   O
,   O
especially   O
after   O
consuming   O
spicy   O
or   O
fatty   O
foods   O
.   O

Upon   O
examination   O
by   O
Edwin   B-NAME
Spindrift   I-NAME
,   O
the   O
patient   O
's   O
abdomen   O
was   O
found   O
to   O
be   O
tender   O
in   O
the   O
epigastric   O
region   O
with   O
no   O
apparent   O
distention   O
or   O
hepatosplenomegaly   O
.   O

Location   O
:   O
Inkster   B-LOCATION
Zip   O
Code   O
:   O
62598   B-LOCATION
Diagnostic   O
Plan   O
:   O
Dr.   O
Orozco   B-NAME
recommended   O
an   O
upper   O
endoscopy   O
procedure   O
at   O
Madera   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
to   O
further   O
investigate   O
the   O
symptoms   O
.   O

The   O
patient   O
's   O
health   O
plan   O
ID   O
745205737   B-ID
has   O
been   O
used   O
to   O
process   O
the   O
request   O
.   O

A   O
reminder   O
call   O
will   O
be   O
made   O
to   O
the   O
patient   O
's   O
contact   O
number   O
488   B-CONTACT
-   I-CONTACT
8777   I-CONTACT
.   O

Occupation   O
:   O
Supply   O
Chain   O
Managers   O
The   O
completed   O
patient   O
report   O
was   O
entered   O
into   O
the   O
medical   O
record   O
system   O
by   O
ri68   B-NAME
at   O
Society   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Cincinnati   I-LOCATION
for   O
further   O
reference   O
and   O
follow   O
-   O
up   O
.   O

Patient   O
Name   O
:   O
Misael   B-NAME
Benton   I-NAME
Age   O
:   O
9   O
Date   O
of   O
Visit   O
:   O
2/26   B-DATE
Medical   O
Record   O
Number   O
:   O
68288622   B-ID
Deshawn   B-NAME
Crosby   I-NAME
of   O
Hilton   B-LOCATION
Head   I-LOCATION
Hospital   I-LOCATION
in   O
Savona   B-LOCATION
,   O
reviewed   O
Cleveland   B-NAME
's   O
history   O
of   O
present   O
illness   O
.   O

Past   O
medical   O
history   O
includes   O
hypertension   O
for   O
which   O
Plato   B-NAME
takes   O
medication   O
prescribed   O
by   O
a   O
local   O
general   O
practitioner   O
.   O

Based   O
on   O
the   O
symptoms   O
,   O
physical   O
examination   O
,   O
and   O
history   O
,   O
Mauricio   B-NAME
Fox   I-NAME
may   O
likely   O
have   O
an   O
obstructive   O
airway   O
disease   O
,   O
potentially   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
but   O
further   O
diagnostic   O
tests   O
are   O
required   O
for   O
confirmation   O
.   O

For   O
further   O
care   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
on   O
22/20/2057   B-DATE
at   O
Ochsner   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
in   O
Talala   B-LOCATION
.   O

Extruding   O
and   O
Forming   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Synthetic   O
or   O
Glass   O
Fibers   O
at   O
Chinese   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
Taipei   I-LOCATION
)   I-LOCATION
(   I-LOCATION
CSLT   I-LOCATION
)   I-LOCATION
Address   O
:   O
Naples   B-LOCATION
Park   I-LOCATION
,   O
81191   B-LOCATION
Phone   O
:   O
555   B-CONTACT
1864   I-CONTACT
Email   O
ID   O
:   O
TH885   B-NAME
Health   O
Insurance   O
:   O
5487572   B-ID
Emergency   O
Contact   O
:   O
33878   B-CONTACT

Patient   O
Name   O
:   O
Savage   B-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
7691569   I-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
32   I-DATE
,   I-DATE
2089   I-DATE
Patient   O
Age   O
:   O
73   O
Contact   O
Phone   O
:   O
69083   B-CONTACT
Address   O
:   O
Everett   B-LOCATION
Zip   O
code   O
:   O
98043   B-LOCATION
Respected   O
George   B-NAME
,   O

This   O
is   O
my   O
report   O
for   O
patient   O
Corea   B-NAME
,   I-NAME
Chick   I-NAME
,   O
aged   O
2   O
month   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
St   B-LOCATION
James   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
at   O
approximately   O
03/01   B-DATE
.   O

His   O
medical   O
record   O
91208510   B-ID
has   O
a   O
comprehensive   O
history   O
of   O
his   O
condition   O
.   O

On   O
examination   O
,   O
Quiana   B-NAME
N.   I-NAME
Bullock   I-NAME
has   O
been   O
experiencing   O
consistent   O
migraine   O
headaches   O
,   O
rated   O
at   O
7/10   O
on   O
the   O
pain   O
scale   O
.   O

His   O
blood   O
sample   O
under   O
test   O
in   O
our   O
lab   O
Imperial   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
has   O
been   O
assigned   O
the   O
ID   O
TZ286/5396   B-ID
.   O

The   O
samples   O
were   O
sent   O
by   O
our   O
lab   O
tech   O
ie357   B-NAME
.   O

We   O
are   O
monitoring   O
his   O
condition   O
closely   O
,   O
he   O
is   O
currently   O
lodged   O
in   O
room   O
no   O
407   O
of   O
building   O
South   B-LOCATION
Nassau   I-LOCATION
Communities   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
further   O
discussion   O
or   O
questions   O
about   O
the   O
patient   O
's   O
case   O
,   O
please   O
feel   O
free   O
to   O
contact   O
at   O
nursing   O
station   O
of   O
AllianceHealth   B-LOCATION
Midwest   I-LOCATION
on   O
99045   B-CONTACT
.   O

Best   O
Regards   O
,   O
Erick   B-NAME
Bowers   I-NAME

Patient   O
:   O
Courtney   B-NAME
Carlisle   I-NAME
exhibited   O
several   O
symptoms   O
upon   O
admission   O
to   O
our   O
facility   O
on   O
32/32/01   B-DATE
.   O

Jared   B-NAME
Harrison   I-NAME
has   O
no   O
significant   O
past   O
medical   O
history   O
or   O
any   O
known   O
chronic   O
diseases   O
.   O

Simeon   B-NAME
Klein   I-NAME
reported   O
immediate   O
family   O
members   O
having   O
similar   O
symptoms   O
last   O
week   O
.   O

During   O
the   O
course   O
of   O
hospitalization   O
at   O
Rutherford   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
the   O
primary   O
care   O
doctor   O
Nelly   B-NAME
Wiltshire   I-NAME
managed   O
the   O
care   O
,   O
and   O
the   O
treatment   O
plan   O
was   O
shared   O
with   O
Anthony   B-NAME
Edwardes   I-NAME
.   O

The   O
contact   O
information   O
recorded   O
in   O
our   O
database   O
are   O
as   O
follows   O
,   O
phone   O
number   O
:   O
573   B-CONTACT
840   I-CONTACT
-   I-CONTACT
5081   I-CONTACT
,   O
address   O
:   O
El   B-LOCATION
Dara   I-LOCATION
,   O
71824   B-LOCATION
.   O

Hayes   B-NAME
works   O
as   O
a   O
Financial   O
Analysts   O
at   O
Australian   B-LOCATION
Rail   I-LOCATION
Tram   I-LOCATION
and   I-LOCATION
Bus   I-LOCATION
Industry   I-LOCATION
Union   I-LOCATION
.   O

Information   O
regarding   O
Valentin   B-NAME
Baker   I-NAME
's   O
condition   O
is   O
recorded   O
in   O
the   O
medical   O
record   O
number   O
184   B-ID
-   I-ID
95   I-ID
-   I-ID
11   I-ID
.   O

On   O
05/22/2192   B-DATE
,   O
Jim   B-NAME
Clancy   I-NAME
showed   O
improvement   O
in   O
clinical   O
symptoms   O
with   O
the   O
fever   O
subsiding   O
.   O

The   O
patient   O
's   O
personal   O
identification   O
number   O
is   O
BM   B-ID
:   I-ID
JC:8747   I-ID
and   O
the   O
username   O
for   O
the   O
hospital   O
portal   O
is   O
igd149   B-NAME
.   O

In   O
case   O
of   O
further   O
queries   O
,   O
please   O
contact   O
Dr.   O
Andre   B-NAME
Ballard   I-NAME
's   O
office   O
at   O
25134   B-CONTACT
.   O

Patient   O
Name   O
:   O
Molina   B-NAME
Age   O
:   O
60   O
Medical   O
Record   O
Number   O
:   O
784   B-ID
-   I-ID
94   I-ID
-   I-ID
57   I-ID
The   O
patient   O
,   O
Flora   B-NAME
Cole   I-NAME
,   O
presented   O
at   O
Flowers   B-LOCATION
Hospital   I-LOCATION
on   O
23/06   B-DATE
with   O
symptoms   O
indicative   O
of   O
severe   O
gastroenteritis   O
.   O

The   O
patient   O
was   O
assessed   O
by   O
the   O
attending   O
physician   O
,   O
Whitney   B-NAME
Ball   I-NAME
.   O

Kade   B-NAME
Blair   I-NAME
complained   O
of   O
acute   O
onset   O
of   O
nausea   O
,   O
vomiting   O
,   O
and   O
diarrhea   O
lasting   O
for   O
approximately   O
48   O
hours   O
prior   O
to   O
the   O
consultation   O
.   O

The   O
patient   O
works   O
as   O
a   O
Floor   O
Layers   O
,   O
Except   O
Carpet   O
,   O
Wood   O
,   O
and   O
Hard   O
Tiles   O
at   O
Princeton   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
,   O
and   O
had   O
a   O
recent   O
business   O
trip   O
to   O
Kobuk   B-LOCATION
where   O
they   O
also   O
suspect   O
the   O
commencement   O
of   O
the   O
symptoms   O
.   O

Lucky   B-NAME
's   O
treatment   O
plan   O
includes   O
rehydration   O
and   O
dietary   O
adjustments   O
until   O
test   O
results   O
are   O
known   O
.   O

The   O
patient   O
was   O
discharged   O
for   O
home   O
-   O
based   O
care   O
and   O
was   O
instructed   O
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
0/02/2355   B-DATE
.   O

Authorization   O
was   O
given   O
for   O
the   O
release   O
of   O
this   O
medical   O
information   O
under   O
the   O
patient   O
's   O
unique   O
identity   O
,   O
CV351/1343   B-ID
to   O
their   O
primary   O
care   O
provider   O
via   O
Fax   O
at   O
499   B-CONTACT
-   I-CONTACT
8451   I-CONTACT
.   O

We   O
take   O
the   O
responsibility   O
of   O
protecting   O
our   O
patient   O
's   O
personal   O
health   O
information   O
and   O
will   O
comply   O
with   O
the   O
policy   O
set   O
by   O
the   O
United   B-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
Centre   I-LOCATION
-   I-LOCATION
Lenin   I-LOCATION
Sarani   I-LOCATION
.   O

This   O
report   O
was   O
prepared   O
by   O
nir05   B-NAME
and   O
signed   O
by   O
Chaz   B-NAME
Randolph   I-NAME
on   O
May   B-DATE
.   O

Noted   O
44299   B-LOCATION
as   O
the   O
location   O
of   O
healthcare   O
practice   O
.   O

Patient   O
's   O
name   O
:   O
Edwin   B-NAME
Lindsey   I-NAME
Date   O
of   O
consultation   O
:   O
12/21   B-DATE
Patient   O
's   O
ID   O
:   O
WD870/6947   B-ID
Age   O
:   O
79   O
Patient   O
visited   O
Arjun   B-NAME
Cervantes   I-NAME
at   O
Bellevue   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
.   O

Ravi   B-NAME
Raja   I-NAME
has   O
a   O
history   O
of   O
excessive   O
alcohol   O
consumption   O
and   O
has   O
been   O
a   O
smoker   O
for   O
25   O
years   O
.   O

The   O
necessary   O
lab   O
tests   O
were   O
ordered   O
,   O
results   O
of   O
which   O
are   O
to   O
be   O
recorded   O
on   O
31083682   B-ID
.   O

Rasmussen   B-NAME
's   O
employer   O
is   O
FirstEnergy   B-LOCATION
(   I-LOCATION
Potomac   I-LOCATION
Edison   I-LOCATION
)   I-LOCATION
,   O
where   O
he   O
serves   O
as   O
a   O
Lodging   O
Managers   O
.   O

Patient   O
's   O
phone   O
number   O
is   O
62575   B-CONTACT
and   O
he   O
lives   O
at   O
Martinsville   B-LOCATION
.   O

He   O
can   O
be   O
contacted   O
through   O
his   O
username   O
mg137   B-NAME
and   O
he   O
mentioned   O
that   O
he   O
plans   O
to   O
relocate   O
to   O
24243   B-LOCATION
.   O

As   O
per   O
additional   O
relevant   O
medical   O
history   O
,   O
Sapphon   B-NAME
suffered   O
from   O
peptic   O
ulcer   O
disease   O
approximately   O
5   O
years   O
back   O
.   O

Key   B-NAME
mentioned   O
that   O
he   O
stopped   O
taking   O
prescribed   O
medication   O
after   O
some   O
time   O
due   O
to   O
which   O
the   O
same   O
symptoms   O
resurfaced   O
.   O

We   O
have   O
recommended   O
an   O
upper   O
GI   O
endoscopy   O
to   O
be   O
scheduled   O
at   O
the   O
earliest   O
convenient   O
date   O
at   O
Cobb   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Dr.   O
Santos   B-NAME
.   O

Patient   O
Name   O
:   O
Jason   B-NAME
Mantzoukas   I-NAME
Age   O
:   O
67   O
Medical   O
Record   O
Number   O
:   O
614   B-ID
-   I-ID
18   I-ID
-   I-ID
17   I-ID
Doctor   O
:   O
Ellena   B-NAME
Ressler   I-NAME
The   O
patient   O
,   O
Michael   B-NAME
Zamora   I-NAME
,   O
presented   O
to   O
Dosher   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2/0   B-DATE
following   O
a   O
week   O
of   O
persistent   O
,   O
non   O
-   O
productive   O
coughing   O
,   O
severe   O
breathlessness   O
,   O
and   O
palpitations   O
.   O

A   O
detailed   O
examination   O
by   O
Hebert   B-NAME
revealed   O
bilateral   O
rhonchi   O
,   O
indicating   O
possible   O
bronchial   O
obstruction   O
.   O

Based   O
on   O
the   O
immediate   O
exam   O
,   O
Huffman   B-NAME
ordered   O
a   O
chest   O
X   O
-   O
ray   O
,   O
which   O
presented   O
an   O
increased   O
bronchovascular   O
pattern   O
.   O

While   O
at   O
South   B-LOCATION
Peninsula   I-LOCATION
Hospital   I-LOCATION
,   O
Sandra   B-NAME
Mornay   I-NAME
's   O
past   O
medical   O
records   O
were   O
obtained   O
from   O
Animals   B-LOCATION
using   O
their   O
identification   O
information   O
(   O
9   B-ID
-   I-ID
6517984   I-ID
)   O
.   O

Douglas   B-NAME
Birely   I-NAME
started   O
on   O
antibiotic   O
therapy   O
,   O
along   O
with   O
supportive   O
measures   O
such   O
as   O
hydration   O
and   O
bed   O
rest   O
.   O

The   O
patient   O
is   O
advised   O
to   O
return   O
for   O
follow   O
-   O
up   O
with   O
Macias   B-NAME
after   O
completion   O
of   O
the   O
antibiotic   O
course   O
.   O

Instructions   O
for   O
future   O
correspondence   O
via   O
71900   B-CONTACT
and   O
email   O
with   O
the   O
username   O
aht36   B-NAME
were   O
provided   O
.   O

The   O
patient   O
is   O
employed   O
as   O
a   O
Registered   O
Nurses   O
and   O
currently   O
lives   O
in   O
Scunthorpe   B-LOCATION
,   O
ZIP   O
code   O
:   O
11118   B-LOCATION
.   O

As   O
of   O
2393   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
22   I-DATE
,   O
Welch   B-NAME
's   O
condition   O
has   O
shown   O
significant   O
improvement   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
on   O
26/32/18   B-DATE
at   O
Viera   B-LOCATION
Hospital   I-LOCATION
.   O

Report   O
:   O
Michael   B-NAME
John   I-NAME
Boyle   I-NAME
presented   O
himself   O
at   O
Ascension   B-LOCATION
Borgess   I-LOCATION
Hospital   I-LOCATION
on   O
12/28   B-DATE
.   O

The   O
patient   O
,   O
male   O
,   O
13   O
was   O
referred   O
by   O
Dr.   O
Giles   B-NAME
.   O

The   O
patient   O
is   O
a   O
Correspondence   O
Clerks   O
working   O
at   O
Tifton   B-LOCATION
Banking   I-LOCATION
Company   I-LOCATION
located   O
in   O
9268   B-LOCATION
N.   I-LOCATION
Liberty   I-LOCATION
St.   I-LOCATION
,   O
81215   B-LOCATION
.   O

The   O
medical   O
history   O
was   O
obtained   O
from   O
the   O
patient   O
's   O
records   O
(   O
ID   O
:   O
ET:781091:844109   B-ID
,   O
Medical   O
record   O
number   O
:   O
78526485   B-ID
)   O
and   O
revealed   O
that   O
the   O
patient   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
mellitus   O
type   O
2   O
.   O

The   O
patient   O
was   O
immediately   O
rushed   O
to   O
the   O
Cardiac   O
Catheterization   O
Lab   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Boise   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Schroeder   B-NAME
was   O
promptly   O
contacted   O
at   O
(   B-CONTACT
172   I-CONTACT
)   I-CONTACT
571   I-CONTACT
-   I-CONTACT
7887   I-CONTACT
and   O
is   O
due   O
to   O
perform   O
an   O
emergency   O
coronary   O
angioplasty   O
.   O

The   O
patient   O
's   O
username   O
for   O
the   O
electronic   O
health   O
records   O
system   O
at   O
the   O
hospital   O
is   O
mu902   B-NAME
.   O

In   O
light   O
of   O
the   O
Covid-19   O
pandemic   O
,   O
the   O
patient   O
's   O
immediate   O
family   O
residing   O
at   O
Stateline   B-LOCATION
is   O
advised   O
to   O
use   O
this   O
username   O
for   O
remote   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
.   O

Patient   O
Details   O
:   O
Name   O
:   O
Salvador   B-NAME
Age   O
:   O
70   O
Gender   O
:   O
Male   O
Location   O
:   O
New   B-LOCATION
Odanah   I-LOCATION
Profession   O
:   O
Farmworkers   O
and   O
Laborers   O
,   O
Crop   O
,   O
Nursery   O
,   O
and   O
Greenhouse   O
Phone   O
:   O
560   B-CONTACT
6514   I-CONTACT
Date   O
of   O
the   O
last   O
visit   O
:   O
8/32   B-DATE
Medical   O
History   O
:   O
The   O
patient   O
,   O
Mother   B-NAME
Teresa   I-NAME
(   I-NAME
Agnes   I-NAME
Gonxha   I-NAME
Bojaxhi   I-NAME
)   I-NAME
,   O
has   O
been   O
reporting   O
recurrent   O
bouts   O
of   O
severe   O
abdominal   O
pain   O
for   O
the   O
past   O
few   O
weeks   O
.   O

His   O
past   O
medical   O
history   O
is   O
significant   O
for   O
appendicitis   O
,   O
which   O
was   O
operated   O
on   O
and   O
subsequently   O
removed   O
in   O
Poplar   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
.   O

On   O
physical   O
examination   O
performed   O
by   O
Dr.   O
Sanders   B-NAME
,   O
the   O
patient   O
displayed   O
McBurney   O
's   O
point   O
tenderness   O
.   O

These   O
tests   O
are   O
due   O
to   O
be   O
performed   O
on   O
22/22/2222   B-DATE
.   O

The   O
patient   O
was   O
last   O
seen   O
by   O
Dr.   O
Roy   B-NAME
Clyburn   I-NAME
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Healthcare   I-LOCATION
-   I-LOCATION
Ft   I-LOCATION
.   I-LOCATION
Thomas   I-LOCATION
.   O

His   O
medical   O
record   O
number   O
is   O
799   B-ID
-   I-ID
02   I-ID
-   I-ID
71   I-ID
-   I-ID
3   I-ID
.   O

Furthermore   O
,   O
the   O
patient   O
's   O
health   O
insurance   O
,   O
56684   B-ID
,   O
issued   O
by   O
South   B-LOCATION
Hadley   I-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
,   O
is   O
still   O
active   O
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Kerr   B-NAME
,   O
can   O
be   O
reached   O
at   O
190   B-CONTACT
1876   I-CONTACT
.   O

The   O
patient   O
,   O
a   O
Computer   O
Specialists   O
,   O
All   O
Other   O
by   O
profession   O
,   O
resides   O
at   O
Germantown   B-LOCATION
,   O
having   O
the   O
zip   O
-   O
code   O
97088   B-LOCATION
.   O

It   O
has   O
been   O
functional   O
since   O
03/22   B-DATE
.   O

If   O
any   O
further   O
information   O
is   O
needed   O
,   O
queries   O
may   O
be   O
sent   O
to   O
pl376   B-NAME
.   O

Dr.   O
Donna   B-NAME
Pope   I-NAME
's   O
office   O
appreciates   O
the   O
cooperation   O
.   O

Patient   O
ID   O
:   O
6   B-ID
-   I-ID
3357633   I-ID
Patient   O
:   O
Yael   B-NAME
Mcdaniel   I-NAME
Age   O
:   O
18   O
Telephone   O
:   O
74306   B-CONTACT
Medical   O
record   O
:   O
1353931   B-ID
Postal   O
Code   O
:   O
15132   B-LOCATION
Patient   O
Chaz   B-NAME
Stanley   I-NAME
presented   O
to   O
North   B-LOCATION
Fulton   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
32/25/13   B-DATE
with   O
acute   O
respiratory   O
distress   O
.   O

Past   O
medical   O
records   O
show   O
Patricia   B-NAME
Islam   I-NAME
's   O
history   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
,   O
managed   O
by   O
Mclaughlin   B-NAME
.   O

The   O
patient   O
's   O
3   B-ID
-   I-ID
8211642   I-ID
is   O
a   O
nonsmoker   O
and   O
works   O
as   O
a   O
Paper   O
Goods   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
in   O
Nehawka   B-LOCATION
.   O

This   O
patient   O
was   O
previously   O
admitted   O
to   O
McCullough   B-LOCATION
-   I-LOCATION
Hyde   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
last   O
year   O
,   O
with   O
similar   O
symptoms   O
,   O
but   O
was   O
treated   O
and   O
discharged   O
by   O
Duncan   B-NAME
Flynn   I-NAME
within   O
a   O
week   O
.   O

Patient   O
's   O
medical   O
record   O
96674260   B-ID
from   O
Riverside   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Gulf   I-LOCATION
Coast   I-LOCATION
can   O
be   O
referred   O
for   O
detailed   O
medical   O
history   O
.   O

Given   O
the   O
patient   O
’s   O
current   O
clinical   O
presentation   O
and   O
past   O
medical   O
history   O
,   O
a   O
CT   O
scan   O
was   O
recommended   O
by   O
Valdez   B-NAME
and   O
was   O
performed   O
on   O
32/02   B-DATE
.   O

The   O
treating   O
physician   O
,   O
Cantu   B-NAME
,   O
in   O
light   O
of   O
the   O
presented   O
symptoms   O
and   O
investigation   O
findings   O
,   O
has   O
recommended   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
.   O

Wilson   B-NAME
,   I-NAME
Ron   I-NAME
has   O
been   O
admitted   O
to   O
PeaceHealth   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
and   O
is   O
currently   O
being   O
managed   O
in   O
the   O
respiratory   O
ward   O
.   O

For   O
further   O
information   O
or   O
discussion   O
on   O
the   O
patient   O
's   O
condition   O
and   O
treatment   O
plan   O
,   O
please   O
contact   O
Andrea   B-NAME
Mueller   I-NAME
on   O
45123   B-CONTACT
or   O
reach   O
out   O
via   O
email   O
at   O
ct989   B-NAME
@gmail.com   O
.   O

Note   O
:   O
The   O
patient   O
resides   O
at   O
Easton   B-LOCATION
,   O
zip   O
code   O
25110   B-LOCATION
and   O
works   O
at   O
Constellation   B-LOCATION
's   I-LOCATION
Czardom   I-LOCATION
.   O

Patient   O
Report   O
:   O
Sena   B-NAME
Cagle   I-NAME
was   O
admitted   O
to   O
Avera   B-LOCATION
McKennan   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
University   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
10/07   B-DATE
.   O

The   O
patient   O
,   O
currently   O
residing   O
in   O
Wineglass   B-LOCATION
,   O
is   O
a   O
Audiologists   O
of   O
58   O
.   O

Jessica   B-NAME
Jackson   I-NAME
was   O
referred   O
by   O
Vanessa   B-NAME
Buckley   I-NAME
,   O
their   O
primary   O
care   O
provider   O
.   O

A   O
series   O
of   O
diagnostic   O
examinations   O
including   O
complete   O
blood   O
count   O
,   O
chest   O
X   O
-   O
ray   O
,   O
sputum   O
cytology   O
,   O
and   O
pulmonary   O
function   O
tests   O
were   O
ordered   O
by   O
Cabrera   B-NAME
.   O
Results   O
of   O
these   O
tests   O
,   O
stored   O
under   O
3920866   B-ID
,   O
showed   O
reduction   O
in   O
total   O
white   O
blood   O
cell   O
count   O
,   O
along   O
with   O
extensive   O
hilar   O
and   O
mediastinal   O
lymphadenopathy   O
as   O
revealed   O
by   O
the   O
chest   O
X   O
-   O
ray   O
.   O

Given   O
these   O
results   O
,   O
Cross   B-NAME
expressed   O
concerns   O
about   O
a   O
probable   O
malignancy   O
.   O

Vines   B-NAME
was   O
referred   O
for   O
a   O
biopsy   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
2332   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
09   I-DATE
.   O

Details   O
of   O
the   O
surgical   O
procedure   O
can   O
be   O
found   O
in   O
the   O
patient   O
's   O
health   O
record   O
6128594   B-ID
.   O

For   O
seventeen   O
years   O
,   O
Macrinus   B-NAME
Oberdick   I-NAME
worked   O
in   O
an   O
Unrepresented   B-LOCATION
Nations   I-LOCATION
and   I-LOCATION
Peoples   I-LOCATION
Organization   I-LOCATION
located   O
in   O
58652   B-LOCATION
prior   O
to   O
their   O
retirement   O
.   O

Figueroa   B-NAME
's   O
medical   O
ID   O
GU   B-ID
:   I-ID
QS:2287   I-ID
,   O
contact   O
number   O
(   B-CONTACT
456   I-CONTACT
)   I-CONTACT
868   I-CONTACT
2297   I-CONTACT
,   O
and   O
username   O
for   O
the   O
medical   O
portal   O
tgy686   B-NAME
has   O
been   O
updated   O
in   O
the   O
hospital   O
records   O
.   O

Aaron   B-NAME
Myers   I-NAME
has   O
been   O
scheduled   O
for   O
follow   O
-   O
up   O
consultations   O
with   O
the   O
Olive   B-NAME
Davis   I-NAME
at   O
the   O
Aurora   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
South   I-LOCATION
Shore   I-LOCATION
.   O

Details   O
for   O
further   O
actions   O
will   O
be   O
based   O
on   O
the   O
detailed   O
biopsy   O
report   O
expected   O
on   O
11/33   B-DATE
.   O

This   O
report   O
was   O
compiled   O
by   O
the   O
attending   O
physician   O
at   O
Peak   B-LOCATION
View   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
on   O
1/20   B-DATE
.   O

Ensure   O
Whitney   B-NAME
Keller   I-NAME
has   O
a   O
comfortable   O
,   O
stress   O
-   O
free   O
environment   O
and   O
adequate   O
hydration   O
.   O

All   O
medications   O
prescribed   O
by   O
Hendrix   B-NAME
should   O
be   O
taken   O
as   O
directed   O
.   O

Patient   O
Report   O
:   O
Patient   O
,   O
Margaret   B-NAME
,   O
is   O
a   O
36   O
year   O
old   O
female   O
who   O
presented   O
to   O
our   O
department   O
at   O
Mills   B-LOCATION
-   I-LOCATION
Peninsula   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
on   O
2/'82   B-DATE
.   O

She   O
was   O
referred   O
by   O
Reuben   B-NAME
Meyer   I-NAME
,   O
who   O
noticed   O
persistent   O
irregularities   O
in   O
her   O
symptoms   O
.   O

She   O
resides   O
at   O
St.   B-LOCATION
Clair   I-LOCATION
,   O
with   O
a   O
zipcode   O
of   O
49514   B-LOCATION
,   O
and   O
can   O
be   O
contacted   O
via   O
phone   O
number   O
86982   B-CONTACT
.   O

Kantor   B-NAME
Cosano   I-NAME
's   O
social   O
history   O
includes   O
working   O
as   O
a   O
Sewing   O
Machine   O
Operators   O
,   O
and   O
she   O
confirms   O
occasional   O
alcohol   O
use   O
and   O
smoking   O
.   O

The   O
patient   O
's   O
chart   O
insider   O
her   O
ID   O
information   O
includes   O
a   O
Social   O
Security   O
Number   O
,   O
8   B-ID
-   I-ID
1281964   I-ID
and   O
the   O
Medical   O
Record   O
number   O
is   O
911   B-ID
-   I-ID
97   I-ID
-   I-ID
12   I-ID
-   I-ID
6   I-ID
.   O

The   O
physical   O
examination   O
rendered   O
by   O
Nickolas   B-NAME
Campos   I-NAME
appeared   O
fairly   O
nonspecific   O
.   O

Our   O
department   O
requested   O
the   O
data   O
of   O
the   O
previous   O
consults   O
and   O
imaging   O
studies   O
from   O
Elizabeth   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
which   O
will   O
be   O
sent   O
over   O
by   O
zt653   B-NAME
who   O
is   O
handling   O
her   O
digital   O
records   O
.   O

We   O
will   O
follow   O
up   O
with   O
Nicodemus   B-NAME
Paz   I-NAME
in   O
the   O
course   O
of   O
7   O
days   O
post   O
-   O
procedure   O
and   O
based   O
on   O
the   O
findings   O
,   O
a   O
treatment   O
plan   O
will   O
be   O
developed   O
by   O
her   O
primary   O
care   O
physician   O
Gallagher   B-NAME
at   O
Aurora   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Metro   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
End   O
of   O
report   O
.   O

Patient   O
name   O
:   O
DeMilla   B-NAME
Date   O
:   O
0   B-DATE
-   I-DATE
29   I-DATE
MRN   O
:   O
2688967   B-ID
PCP   O
:   O
Davidson   B-NAME
Presented   O
Complaints   O
:   O
Dillan   B-NAME
Shelton   I-NAME
came   O
into   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Atlanta   I-LOCATION
today   O
reporting   O
a   O
set   O
of   O
symptoms   O
that   O
have   O
been   O
going   O
on   O
for   O
the   O
last   O
few   O
days   O
.   O

Lab   O
tests   O
,   O
including   O
CBC   O
and   O
liver   O
function   O
test   O
,   O
were   O
forwarded   O
to   O
Corn   B-LOCATION
Belt   I-LOCATION
Bank   I-LOCATION
&   I-LOCATION
Trust   I-LOCATION
Co.   I-LOCATION
lab   O
at   O
Oakland   B-LOCATION
and   O
are   O
pending   O
.   O

Background   O
Information   O
:   O
Alejandra   B-NAME
Howard   I-NAME
mentioned   O
the   O
latest   O
overseas   O
travel   O
to   O
Paris   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Paris   I-LOCATION
on   O
03/27   B-DATE
.   O

Patient   O
’s   O
profession   O
is   O
Title   O
Searchers   O
at   O
Direct   B-LOCATION
Energy   I-LOCATION
.   O

Uses   O
a   O
5   B-ID
-   I-ID
8252414   I-ID
for   O
official   O
identification   O
.   O

He   O
is   O
a   O
resident   O
of   O
Salt   B-LOCATION
Lake   I-LOCATION
City   I-LOCATION
with   O
ZIP   O
code   O
25059   B-LOCATION
.   O

Plan   O
of   O
Care   O
:   O
A   O
CT   O
Scan   O
of   O
the   O
Abdomen   O
/   O
Pelvis   O
has   O
been   O
advised   O
and   O
scheduled   O
for   O
32/16   B-DATE
.   O

Follow   O
up   O
visit   O
has   O
been   O
scheduled   O
for   O
00/31   B-DATE
.   O

In   O
case   O
of   O
increased   O
pain   O
or   O
high   O
fever   O
,   O
the   O
patient   O
was   O
advised   O
to   O
call   O
at   O
(   B-CONTACT
213   I-CONTACT
)   I-CONTACT
558   I-CONTACT
-   I-CONTACT
3752   I-CONTACT
immediately   O
.   O

Signed   O
,   O
Brittany   B-NAME
Murphy   I-NAME
nj178   B-NAME

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
Dewyer   B-NAME
Linza   I-NAME
Age   O
:   O
88   O
Location   O
:   O
Parsons   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Parsons   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
Medical   O
Record   O
Number   O
:   O
08810229   B-ID

Thompson   B-NAME

The   O
patient   O
,   O
Tyrone   B-NAME
Jenkins   I-NAME
,   O
of   O
24   O
years   O
,   O
was   O
admitted   O
to   O
our   O
hospital   O
,   O
New   B-LOCATION
York   I-LOCATION
Flushing   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
on   O
7/22   B-DATE
.   O

Rabin   B-NAME
,   I-NAME
Yitzhak   I-NAME
's   O
symptoms   O
reportedly   O
began   O
two   O
weeks   O
earlier   O
,   O
and   O
they   O
have   O
since   O
been   O
progressively   O
worsening   O
.   O

They   O
were   O
initially   O
treated   O
by   O
their   O
primary   O
care   O
physician   O
,   O
Morris   B-NAME
,   O
at   O
a   O
smaller   O
clinic   O
in   O
Brevard   B-LOCATION
,   O
but   O
due   O
to   O
the   O
ongoing   O
severity   O
of   O
their   O
symptoms   O
and   O
further   O
complications   O
,   O
they   O
were   O
referred   O
to   O
our   O
more   O
specialized   O
institution   O
.   O

Florence   B-NAME
Mildred   I-NAME
Yuan   I-NAME
's   O
vitals   O
were   O
recorded   O
,   O
including   O
heart   O
rate   O
and   O
blood   O
pressure   O
,   O
both   O
of   O
which   O
were   O
elevated   O
.   O

Nathaniel   B-NAME
Kirby   I-NAME
's   O
past   O
medical   O
history   O
reveals   O
a   O
diagnosis   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
and   O
a   O
smoking   O
habit   O
.   O

When   O
we   O
contacted   O
their   O
employer   O
Bengal   B-LOCATION
Chatkal   I-LOCATION
Mazdoor   I-LOCATION
Union   I-LOCATION
27280   B-CONTACT
,   O
we   O
were   O
told   O
that   O
Vladimir   B-NAME
Aguilar   I-NAME
's   O
Couriers   O
and   O
Messengers   O
might   O
have   O
contributed   O
to   O
their   O
current   O
respiratory   O
problems   O
due   O
to   O
exposure   O
to   O
certain   O
harmful   O
substances   O
.   O

Their   O
home   O
address   O
is   O
listed   O
as   O
Raleigh   B-LOCATION
,   O
97424   B-LOCATION
,   O
and   O
any   O
further   O
notifications   O
will   O
be   O
sent   O
through   O
their   O
contact   O
number   O
:   O
13192   B-CONTACT
as   O
well   O
as   O
their   O
employer   O
's   O
,   O
previously   O
mentioned   O
,   O
for   O
ongoing   O
support   O
until   O
Ochoa   B-NAME
recovers   O
fully   O
.   O

We   O
have   O
created   O
a   O
comprehensive   O
treatment   O
plan   O
for   O
Gary   B-NAME
,   O
which   O
includes   O
medications   O
,   O
physical   O
therapy   O
sessions   O
,   O
and   O
routine   O
follow   O
-   O
up   O
visits   O
with   O
Camacho   B-NAME
at   O
Lake   B-LOCATION
Cumberland   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Please   O
find   O
attached   O
copies   O
of   O
the   O
medical   O
records   O
under   O
the   O
10   B-ID
-   I-ID
3793147   I-ID
of   O
Leo   B-NAME
Richard   I-NAME
Edward   I-NAME
,   I-NAME
III   I-NAME
.   O

In   O
case   O
of   O
any   O
further   O
queries   O
,   O
feel   O
free   O
to   O
contact   O
the   O
patient   O
's   O
case   O
manager   O
using   O
the   O
username   O
bk592   B-NAME
on   O
our   O
hospital   O
portal   O
.   O

We   O
will   O
continue   O
to   O
monitor   O
Addison   B-NAME
Keefe   I-NAME
's   O
progress   O
and   O
provide   O
updates   O
accordingly   O
.   O

Patient   O
Name   O
:   O
Hurst   B-NAME
Age   O
:   O
35   O
Physician   O
:   O

Corinne   B-NAME
Miller   I-NAME
Date   O
of   O
visit   O
:   O
11/17/25   B-DATE
Location   O
:   O
Hilton   B-LOCATION
Head   I-LOCATION
Hospital   I-LOCATION
,   O
Rio   B-LOCATION
Rancho   I-LOCATION
Physical   O
Examination   O
&   O
Medical   O
History   O
:   O

Mr.   O
Izaiah   B-NAME
Sherman   I-NAME
presented   O
to   O
the   O
McKenzie   B-LOCATION
-   I-LOCATION
Willamette   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
persistent   O
,   O
pulsatile   O
,   O
right   O
-   O
sided   O
headaches   O
that   O
had   O
been   O
ongoing   O
for   O
the   O
past   O
3   O
months   O
.   O

Work   O
Identification   O
:   O
DR220/2293   B-ID
Occupation   O
:   O
Air   O
traffic   O
controller   O
During   O
the   O
previous   O
consultation   O
with   O
Dr.   O
Meade   B-NAME
on   O
1/22/22   B-DATE
,   O
the   O
medical   O
records   O
92867949   B-ID
showed   O
that   O
the   O
patient   O
's   O
blood   O
pressure   O
and   O
glucose   O
levels   O
were   O
fairly   O
controlled   O
with   O
medications   O
prescribed   O
by   O
his   O
primary   O
care   O
physician   O
at   O
the   O
Marine   B-LOCATION
Corps   I-LOCATION
League   I-LOCATION
.   O

Address   O
:   O
Winterport   B-LOCATION
,   O
54654   B-LOCATION
Phone   O
number   O
:   O
380   B-CONTACT
4125   I-CONTACT

An   O
appointment   O
reminder   O
will   O
be   O
sent   O
to   O
Davila   B-NAME
's   O
registered   O
contact   O
number   O
:   O
839   B-CONTACT
4522   I-CONTACT
Electronic   O
Patient   O
Portal   O
Login   O
Information   O
:   O
Username   O
:   O
gs710   B-NAME
The   O
patient   O
was   O
instructed   O
to   O
monitor   O
his   O
symptoms   O
and   O
to   O
report   O
any   O
changes   O
immediately   O
either   O
on   O
his   O
patient   O
portal   O
(   O
DE152   B-NAME
)   O
or   O
by   O
contacting   O
the   O
direct   O
line   O
at   O
216   B-CONTACT
-   I-CONTACT
3497   I-CONTACT
.   O

The   O
above   O
note   O
has   O
been   O
entered   O
into   O
Mr.   O
Kayleigh   B-NAME
Short   I-NAME
's   O
medical   O
records   O
5921000   B-ID
and   O
will   O
be   O
reviewed   O
with   O
him   O
during   O
his   O
follow   O
-   O
up   O
visit   O
at   O
the   O
Oswego   B-LOCATION
Hospital   I-LOCATION
on   O
4   B-DATE
-   I-DATE
29   I-DATE
.   O

Patient   O
Morgan   B-NAME
was   O
received   O
at   O
the   O
Chandler   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ER   O
on   O
23/12/42   B-DATE
and   O
admitted   O
under   O
the   O
supervised   O
care   O
of   O
Dr.   O
Davenport   B-NAME
.   O

Personal   O
Information   O
:   O
Age   O
:   O
2   O
SSN   O
:   O
YV390/8356   B-ID
Address   O
:   O

Oakhaven   B-LOCATION
Phone   O
number   O
:   O
(   B-CONTACT
626   I-CONTACT
)   I-CONTACT
295   I-CONTACT
4197   I-CONTACT
Occupation   O
:   O

Patent   O
attorney   O
Medical   O
record   O
number   O
:   O
92075506   B-ID
Zip   O
Code   O
:   O
24873   B-LOCATION
Emergency   O
Contact   O
:   O
orf505   B-NAME
Upon   O
arrival   O
,   O
he   O
presented   O
persistent   O
headaches   O
,   O
along   O
with   O
vertigo   O
and   O
tinnitus   O
.   O

When   O
interviewed   O
,   O
the   O
patient   O
shared   O
that   O
the   O
symptoms   O
started   O
appearing   O
around   O
00/33/2070   B-DATE
.   O

To   O
further   O
study   O
the   O
case   O
,   O
Dr.   O
Braydon   B-NAME
Sexton   I-NAME
ordered   O
several   O
blood   O
tests   O
,   O
an   O
Electronystagmography   O
(   O
ENG   O
)   O
,   O
and   O
a   O
MRI   O
scan   O
.   O

His   O
medical   O
history   O
revealed   O
that   O
he   O
was   O
a   O
patient   O
of   O
the   O
Southern   B-LOCATION
Minnesota   I-LOCATION
Municipal   I-LOCATION
Power   I-LOCATION
Agency   I-LOCATION
from   O
2/2   B-DATE
with   O
treatment   O
under   O
neurologist   O
Dr.   O
Dante   B-NAME
Leonard   I-NAME
.   O

During   O
his   O
previous   O
visits   O
at   O
Beacon   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
,   O
he   O
was   O
admitted   O
to   O
room   O
number   O
UN:56798:886977   B-ID
on   O
the   O
Sunray   B-LOCATION
wing   O
,   O
and   O
received   O
medication   O
and   O
treatment   O
from   O
the   O
staff   O
at   O
Alliance   B-LOCATION
Bank   I-LOCATION
for   O
his   O
migraines   O
.   O

As   O
of   O
30/20/12   B-DATE
,   O
treatment   O
plans   O
focusing   O
on   O
symptom   O
management   O
have   O
been   O
mapped   O
out   O
.   O

An   O
emergency   O
number   O
(   B-CONTACT
485   I-CONTACT
)   I-CONTACT
438   I-CONTACT
-   I-CONTACT
2352   I-CONTACT
was   O
given   O
to   O
him   O
to   O
use   O
upon   O
the   O
occurrence   O
of   O
severe   O
symptoms   O
or   O
side   O
effects   O
.   O

The   O
consultations   O
and   O
the   O
medical   O
journey   O
of   O
Dolan   B-NAME
are   O
being   O
recorded   O
and   O
updated   O
under   O
the   O
hof1017   B-NAME
,   O
for   O
cross   O
-   O
reference   O
and   O
to   O
monitor   O
progress   O
in   O
treatment   O
.   O

Patient   O
Mcdonald   B-NAME
will   O
be   O
discharged   O
on   O
2270   B-DATE
.   O

Patient   O
information   O
is   O
strictly   O
confidential   O
and   O
is   O
only   O
shared   O
with   O
the   O
presence   O
of   O
explicit   O
consent   O
from   O
the   O
patient   O
under   O
the   O
privacy   O
laws   O
of   O
65846   B-LOCATION
and   O
Gold   B-LOCATION
Canyon   I-LOCATION
.   O

Patient   O
Report   O
:   O
23/25   B-DATE
:   O
The   O
patient   O
,   O
Marcus   B-NAME
Glass   I-NAME
,   O
female   O
,   O
came   O
to   O
us   O
complaining   O
of   O
severe   O
headaches   O
and   O
dizziness   O
for   O
the   O
past   O
few   O
days   O
.   O

Upon   O
examination   O
by   O
Rylan   B-NAME
Duffy   I-NAME
,   O
it   O
has   O
been   O
determined   O
that   O
her   O
blood   O
pressure   O
is   O
considerably   O
high   O
around   O
160/100   O
mmHg   O
.   O

Bloodwork   O
done   O
at   O
our   O
Norton   B-LOCATION
Sound   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
lab   O
indicated   O
elevated   O
levels   O
of   O
creatinine   O
,   O
revealing   O
a   O
possible   O
kidney   O
issue   O
.   O

All   O
reside   O
in   O
Adamsville   B-LOCATION
.   O

The   O
patient   O
works   O
as   O
a   O
Education   O
Administrators   O
,   O
Preschool   O
and   O
Childcare   O
Center   O
/   O
Program   O
which   O
requires   O
her   O
to   O
take   O
frequent   O
business   O
trips   O
to   O
various   O
Hartland   B-LOCATION
,   I-LOCATION
NB   I-LOCATION
E7P   I-LOCATION
4B7   I-LOCATION
.   O

She   O
reported   O
high   O
stress   O
at   O
her   O
job   O
at   O
Northern   B-LOCATION
States   I-LOCATION
Power   I-LOCATION
Company   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Xcel   I-LOCATION
Energy   I-LOCATION
which   O
might   O
be   O
contributing   O
to   O
her   O
elevated   O
blood   O
pressure   O
.   O

The   O
patient   O
’s   O
7690208   B-ID
also   O
shows   O
a   O
previously   O
treated   O
UTI   O
(   O
Urinary   O
Tract   O
Infection   O
)   O
and   O
a   O
BMI   O
of   O
30.0   O
kg   O
/   O
m2   O
,   O
classifying   O
her   O
under   O
the   O
obese   O
category   O
.   O

She   O
was   O
given   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
16/08/12   B-DATE
and   O
her   O
contact   O
number   O
(   B-CONTACT
499   I-CONTACT
)   I-CONTACT
561   I-CONTACT
7274   I-CONTACT
has   O
been   O
recorded   O
for   O
appointment   O
confimation   O
.   O

The   O
patient   O
’s   O
health   O
insurance   O
plan   O
number   O
ET626/4299   B-ID
and   O
home   O
postcode   O
68199   B-LOCATION
are   O
on   O
the   O
file   O
.   O

The   O
report   O
was   O
completed   O
by   O
patient   O
case   O
manager   O
wt932   B-NAME
.   O

This   O
summary   O
was   O
emailed   O
to   O
the   O
doctor   O
at   O
Owens   B-NAME
@   O
St   B-LOCATION
.   I-LOCATION
David   B-LOCATION
's   I-LOCATION
Round   I-LOCATION
Rock   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.com   O
for   O
further   O
reference   O
.   O

In   O
case   O
of   O
any   O
additional   O
info   O
,   O
please   O
reach   O
out   O
to   O
our   O
case   O
management   O
department   O
at   O
Sparrow   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
at   O
394   B-CONTACT
-   I-CONTACT
1498   I-CONTACT
.   O

Patient   O
:   O
Benjaman   B-NAME
Y.   I-NAME
Macias   I-NAME
Age   O
:   O
75   O
Doctor   O
:   O
Phoenix   B-NAME
Good   I-NAME
Hospital   O
:   O
Gadsden   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
On   O
30/38   B-DATE
,   O
Patient   O
Lanny   B-NAME
Panek   I-NAME
with   O
Medical   O
Record   O
Number   O
:   O
802   B-ID
-   I-ID
90   I-ID
-   I-ID
32   I-ID
-   I-ID
6   I-ID
visited   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
checkup   O
by   O
Dr.   O
Merritt   B-NAME
.   O

The   O
patient   O
was   O
a   O
resident   O
of   O
Devon   B-LOCATION
working   O
as   O
a   O
Patent   O
attorney   O
.   O

The   O
attending   O
Darwin   B-NAME
,   I-NAME
Charles   I-NAME
ordered   O
a   O
series   O
of   O
tests   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
C   O
-   O
Reactive   O
protein   O
(   O
CRP   O
)   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
.   O

Given   O
these   O
findings   O
,   O
Dr.   O
Uriel   B-NAME
Gambell   I-NAME
,   O
after   O
consulting   O
with   O
the   O
team   O
at   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Heat   I-LOCATION
and   I-LOCATION
Frost   I-LOCATION
Insulators   I-LOCATION
and   I-LOCATION
Asbestos   I-LOCATION
Workers   I-LOCATION
,   O
decided   O
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
successfully   O
performed   O
on   O
26/31   B-DATE
at   O
Labette   B-LOCATION
Health   I-LOCATION
–   I-LOCATION
Parsons   I-LOCATION
.   O

Dr.   O
Hogan   B-NAME
advised   O
the   O
patient   O
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
after   O
two   O
weeks   O
.   O

The   O
patient   O
was   O
contacted   O
on   O
the   O
380   B-CONTACT
7993   I-CONTACT
we   O
had   O
on   O
file   O
for   O
discharge   O
instructions   O
and   O
further   O
clarification   O
on   O
the   O
antibiotic   O
prescription   O
.   O

The   O
patient   O
was   O
informed   O
that   O
they   O
would   O
need   O
to   O
provide   O
a   O
valid   O
10   B-ID
-   I-ID
9640473   I-ID
and   O
proof   O
of   O
insurance   O
at   O
the   O
time   O
of   O
their   O
next   O
appointment   O
.   O

The   O
patient   O
Veronica   B-NAME
Fischer   I-NAME
was   O
discharged   O
and   O
advised   O
to   O
recover   O
at   O
home   O
in   O
Sacramento   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
95823   I-LOCATION
with   O
follow   O
-   O
up   O
scheduled   O
on   O
23/14   B-DATE
.   O

Username   O
for   O
future   O
online   O
consultations   O
/   O
discussions   O
:   O
qm767   B-NAME
Respectfully   O
submitted   O
,   O
Carey   B-NAME

Patient   O
Report   O
-----------------   O
10/07   B-DATE
Patient   O
Name   O
:   O
Gaudi   B-NAME
,   I-NAME
Antonio   I-NAME
Mr.   O
Alysha   B-NAME
Gualdoni   I-NAME
presented   O
at   O
the   O
Greenbrier   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
admitting   O
complaisance   O
factor   O
of   O
unrelenting   O
pain   O
in   O
the   O
upper   O
abdominal   O
region   O
,   O
radiating   O
towards   O
his   O
back   O
.   O

Mr.   O
Fischer   B-NAME
,   I-NAME
Bobby   I-NAME
,   O
89   O
years   O
old   O
,   O
said   O
the   O
pain   O
seemed   O
to   O
be   O
intensifying   O
with   O
meals   O
.   O

The   O
patient   O
’s   O
medical   O
record   O
number   O
2312876   B-ID
has   O
this   O
prior   O
condition   O
noted   O
.   O

Blood   O
tests   O
were   O
ordered   O
by   O
Shelby   B-NAME
May   I-NAME
to   O
check   O
for   O
elevated   O
levels   O
of   O
pancreatic   O
enzymes   O
.   O

An   O
ultrasound   O
will   O
be   O
scheduled   O
for   O
12/13/70   B-DATE
to   O
rule   O
out   O
gallstones   O
,   O
which   O
could   O
be   O
potentially   O
causing   O
the   O
inflammation   O
.   O

Dr.   O
Rios   B-NAME
will   O
cater   O
to   O
Mr.   O
Karey   B-NAME
McGinnity   I-NAME
during   O
his   O
hospital   O
stay   O
at   O
Norton   B-LOCATION
Audubon   I-LOCATION
Hospital   I-LOCATION
which   O
is   O
located   O
in   O
Robinson   B-LOCATION
,   O
65183   B-LOCATION
.   O

The   O
Burnett   B-NAME
has   O
advised   O
that   O
Mr.   O
Bush   B-NAME
,   I-NAME
George   I-NAME
H.   I-NAME
W.   I-NAME
should   O
stay   O
under   O
medical   O
supervision   O
until   O
further   O
conclusions   O
about   O
his   O
condition   O
can   O
be   O
drawn   O
from   O
the   O
diagnostic   O
tests   O
.   O

The   O
provided   O
phone   O
number   O
is   O
92373   B-CONTACT
.   O

A   O
follow   O
-   O
up   O
consultation   O
has   O
been   O
scheduled   O
on   O
03/12   B-DATE
.   O

Please   O
make   O
sure   O
to   O
bring   O
your   O
ID   O
(   O
4   B-ID
-   I-ID
9241461   I-ID
)   O
along   O
for   O
all   O
future   O
appointments   O
.   O

Moreover   O
,   O
a   O
representative   O
from   O
Collective   B-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
,   O
his   O
workplace   O
where   O
he   O
serves   O
as   O
a   O
Interior   O
Designers   O
,   O
was   O
informed   O
about   O
his   O
hospital   O
admission   O
.   O

The   O
medical   O
notes   O
for   O
Mr.   O
Alexzander   B-NAME
Delgado   I-NAME
will   O
be   O
electronically   O
maintained   O
by   O
data   O
clerk   O
XX941   B-NAME
.   O

For   O
any   O
discrepancies   O
in   O
the   O
medical   O
record   O
,   O
please   O
contact   O
the   O
information   O
desk   O
at   O
(   B-CONTACT
234   I-CONTACT
)   I-CONTACT
899   I-CONTACT
2150   I-CONTACT
.   O

End   O
of   O
Report   O
Powers   B-NAME
'   B-DATE
45   I-DATE
Benton   B-LOCATION
Ridge   I-LOCATION

Patient   O
report   O
:   O
Carson   B-NAME
came   O
into   O
Elmore   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
31/10   B-DATE
,   O
complaining   O
about   O
severe   O
abdominal   O
pain   O
.   O

He   O
is   O
a   O
85s   O
year   O
old   O
male   O
,   O
living   O
in   O
Dorado   B-LOCATION
.   O

His   O
patient   O
ID   O
is   O
3   B-ID
-   I-ID
1663263   I-ID
and   O
his   O
record   O
number   O
is   O
80261549   B-ID
.   O

He   O
was   O
under   O
the   O
primary   O
care   O
of   O
Huff   B-NAME
,   O
whose   O
office   O
phone   O
number   O
is   O
39202   B-CONTACT
.   O

Concerning   O
Myron   B-NAME
Berman   I-NAME
's   O
work   O
,   O
he   O
works   O
as   O
a   O
Sketch   O
Artists   O
in   O
a   O
local   O
Leesburg   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

He   O
recently   O
moved   O
from   O
Twin   B-LOCATION
Bridges   I-LOCATION
and   O
his   O
new   O
residence   O
's   O
zipcode   O
is   O
52858   B-LOCATION
.   O

The   O
patient   O
uses   O
the   O
username   O
NK420   B-NAME
for   O
accessing   O
his   O
medical   O
records   O
and   O
other   O
online   O
platforms   O
.   O

As   O
discussed   O
with   O
Bowman   B-NAME
,   O
a   O
CT   O
scan   O
was   O
suggested   O
,   O
given   O
his   O
symptoms   O
and   O
physical   O
examination   O
conducted   O
.   O

The   O
intensity   O
and   O
frequency   O
of   O
pain   O
have   O
increased   O
over   O
the   O
past   O
04/00   B-DATE
.   O

His   O
medical   O
history   O
,   O
recorded   O
under   O
11389706   B-ID
,   O
includes   O
hypertension   O
and   O
diabetes   O
.   O

He   O
was   O
admitted   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
before   O
to   O
manage   O
his   O
diabetes   O
back   O
in   O
02/06   B-DATE
.   O

The   O
patient   O
has   O
been   O
prescribed   O
pain   O
management   O
medications   O
by   O
Kate   B-NAME
Calder   I-NAME
.   O

A   O
shift   O
to   O
the   O
surgical   O
unit   O
has   O
been   O
planned   O
for   O
01/29/76   B-DATE
for   O
further   O
evaluation   O
and   O
treatment   O
.   O

Emergency   O
contact   O
is   O
his   O
sister   O
,   O
living   O
in   O
Carrick   B-LOCATION
.   O

Patient   O
Report   O
:   O
Oates   B-NAME
presented   O
to   O
the   O
Tidelands   B-LOCATION
Health   I-LOCATION
Waccamaw   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
5   B-DATE
-   I-DATE
13   I-DATE
complaining   O
of   O
a   O
persistent   O
cough   O
,   O
high   O
fever   O
,   O
and   O
difficulty   O
in   O
breathing   O
.   O

Upon   O
arrival   O
,   O
he   O
was   O
seen   O
by   O
Montgomery   B-NAME
,   O
and   O
the   O
patient   O
was   O
registered   O
under   O
medical   O
record   O
number   O
8775741   B-ID
.   O

He   O
also   O
mentioned   O
recent   O
travel   O
to   O
Alsen   B-LOCATION
.   O

Blood   O
samples   O
were   O
collected   O
and   O
sent   O
to   O
Groton   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
for   O
comprehensive   O
testing   O
,   O
including   O
a   O
test   O
for   O
COVID-19   O
.   O

Preliminary   O
physical   O
examination   O
by   O
Greene   B-NAME
,   I-NAME
Graham   I-NAME
showed   O
bilateral   O
crackles   O
in   O
lower   O
lobes   O
,   O
and   O
the   O
chest   O
X   O
-   O
ray   O
revealed   O
bilateral   O
lower   O
lobe   O
infiltrates   O
suggesting   O
a   O
possible   O
pneumonia   O
.   O

The   O
patient   O
,   O
resides   O
at   O
Sweden   B-LOCATION
and   O
his   O
phone   O
number   O
is   O
20313   B-CONTACT
.   O

He   O
works   O
for   O
the   O
Physicians   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
in   O
the   O
capacity   O
of   O
a   O
physician   O
.   O

The   O
emergency   O
contact   O
details   O
provided   O
include   O
the   O
name   O
of   O
his   O
spouse   O
and   O
her   O
phone   O
number   O
is   O
29579   B-CONTACT
.   O

His   O
insurance   O
plan   O
number   O
is   O
104229   B-ID
and   O
the   O
patient   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

The   O
patient   O
also   O
provided   O
his   O
social   O
security   O
number   O
26877765   B-ID
for   O
verification   O
purposes   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
DeTar   B-LOCATION
Hospital   I-LOCATION
Navarro   I-LOCATION
for   O
further   O
testing   O
and   O
treatment   O
.   O

dn353   B-NAME
,   O
RN   O
,   O
made   O
necessary   O
patient   O
care   O
coordination   O
.   O

Upon   O
admission   O
,   O
the   O
patient   O
was   O
assigned   O
to   O
the   O
care   O
of   O
Fisher   B-NAME
who   O
specializes   O
in   O
pulmonology   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
09/13   B-DATE
and   O
was   O
advised   O
to   O
quarantine   O
himself   O
at   O
his   O
residence   O
located   O
in   O
41210   B-LOCATION
.   O

Follow   O
up   O
appointment   O
was   O
scheduled   O
on   O
June   B-DATE
02   I-DATE
,   I-DATE
2322   I-DATE
with   O
Miguel   B-NAME
Ornega   I-NAME
at   O
North   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
was   O
given   O
556   B-CONTACT
-   I-CONTACT
7627   I-CONTACT
to   O
call   O
in   O
case   O
of   O
any   O
worsening   O
symptoms   O
or   O
emergencies   O
.   O

Report   O
signed   O
by   O
QR198   B-NAME
and   O
reviewed   O
by   O
Bobbi   B-NAME
Andres   I-NAME
on   O
20/28/2267   B-DATE
.   O

Patient   O
Name   O
:   O
Wendy   B-NAME
White   I-NAME
Age   O
:   O
0   O
month   O
Address   O
:   O
Pearland   B-LOCATION
Doctor   O
:   O
Noemi   B-NAME
Mercado   I-NAME
Hospital   O
:   O
Riverview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
:   O
209   B-ID
-   I-ID
45   I-ID
-   I-ID
70   I-ID
-   I-ID
9   I-ID
Phone   O
:   O
297   B-CONTACT
-   I-CONTACT
5889   I-CONTACT
Zip   O
Code   O
:   O
68710   B-LOCATION
2/13   B-DATE
Galvan   B-NAME
reported   O
the   O
following   O
for   O
patient   O
Angel   B-NAME
Hays   I-NAME
,   O
a   O
Electrical   O
and   O
Electronics   O
Installers   O
and   O
Repairers   O
,   O
Transportation   O
Equipment   O
,   O
regarding   O
the   O
symptoms   O
that   O
led   O
to   O
his   O
visit   O
to   O
the   O
Wamego   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wamego   I-LOCATION
.   O

Rikki   B-NAME
Jarman   I-NAME
had   O
been   O
experiencing   O
intermittent   O
sharp   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
his   O
abdomen   O
for   O
approxiamtely   O
two   O
weeks   O
.   O

During   O
the   O
physical   O
examination   O
,   O
the   O
physician   O
,   O
Morgan   B-NAME
at   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
Wichita   I-LOCATION
,   I-LOCATION
St   I-LOCATION
Joseph   I-LOCATION
,   O
noted   O
localized   O
tenderness   O
and   O
rigidity   O
in   O
the   O
right   O
lower   O
quadrant   O
which   O
pointed   O
to   O
a   O
possible   O
appendicitis   O
.   O

Odonnell   B-NAME
recommended   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
,   O
to   O
be   O
scheduled   O
at   O
the   O
earliest   O
on   O
1/1   B-DATE
.   O

To   O
confirm   O
the   O
diagnosis   O
,   O
the   O
CT   O
scan   O
was   O
performed   O
on   O
03/26   B-DATE
and   O
shown   O
to   O
have   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
inflammation   O
-   O
suggestive   O
of   O
appendicitis   O
.   O

Lawrence   B-NAME
's   O
healthcare   O
provider   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Carolinas   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
for   O
an   O
appendectomy   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
33/27   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
smooth   O
,   O
with   O
the   O
patient   O
being   O
discharged   O
on   O
2250   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
20   I-DATE
.   O

Follow   O
-   O
up   O
appointments   O
were   O
set   O
on   O
2/70   B-DATE
at   O
Central   B-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
Rhett   B-NAME
Owens   I-NAME
.   O

camp   B-NAME
's   O
recovery   O
is   O
currently   O
being   O
monitored   O
.   O

The   O
ID   O
of   O
the   O
hospital   O
employee   O
who   O
compiled   O
this   O
report   O
:   O
RL:98760:356705   B-ID
Username   O
of   O
the   O
hospital   O
system   O
employee   O
who   O
inputted   O
the   O
data   O
:   O
li669   B-NAME
Part   O
of   O
the   O
MetroPacific   B-LOCATION
Bank   I-LOCATION
.   O

The   O
patient   O
,   O
Gavyn   B-NAME
Shannon   I-NAME
,   O
is   O
a   O
4   O
year   O
-   O
old   O
individual   O
who   O
was   O
brought   O
to   O
University   B-LOCATION
of   I-LOCATION
California   I-LOCATION
Ronald   I-LOCATION
Reagan   I-LOCATION
UCLA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/18   B-DATE
.   O

This   O
patient   O
resides   O
in   O
Fredonia   B-LOCATION
.   O

The   O
patient   O
was   O
referred   O
to   O
Collier   B-NAME
,   O
who   O
specializes   O
in   O
cardiology   O
.   O

Medical   O
History   O
:   O
Ryker   B-NAME
Martinez   I-NAME
provided   O
their   O
UX363/3486   B-ID
and   O
their   O
sequence   O
number   O
in   O
the   O
Just   B-LOCATION
Energy   I-LOCATION
is   O
78427732   B-ID
.   O

On   O
contacting   O
415   B-CONTACT
-   I-CONTACT
3110   I-CONTACT
,   O
an   O
updated   O
history   O
was   O
obtained   O
.   O

IF835   B-NAME
was   O
used   O
to   O
track   O
the   O
patient   O
's   O
medical   O
tabs   O
online   O
.   O

Examination   O
&   O
Findings   O
:   O
Upon   O
examination   O
by   O
Gaudi   B-NAME
,   I-NAME
Antonio   I-NAME
,   O
Elsie   B-NAME
Dudley   I-NAME
was   O
found   O
with   O
elevated   O
heart   O
rate   O
and   O
blood   O
pressure   O
.   O

The   O
radiology   O
department   O
at   O
UPMC   B-LOCATION
Passavant   I-LOCATION
conducted   O
a   O
Chest   O
X   O
-   O
Ray   O
that   O
was   O
reported   O
to   O
be   O
within   O
normal   O
limits   O
.   O

Draven   B-NAME
Padilla   I-NAME
has   O
been   O
sent   O
for   O
further   O
cardiac   O
catheterization   O
.   O

The   O
Parks   B-NAME
has   O
instituted   O
treatment   O
with   O
nitroglycerin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
,   O
along   O
with   O
a   O
pending   O
consultation   O
with   O
the   O
Cardiology   O
specialists   O
for   O
possible   O
angioplasty   O
/   O
coronary   O
artery   O
bypass   O
grafting   O
(   O
CABG   O
)   O
.   O

Pittman   B-NAME
also   O
advised   O
lifestyle   O
modifications   O
and   O
physiotherapy   O
post   O
-   O
recovery   O
.   O

Organization   O
's   O
Plan   O
:   O
The   O
Jefferson   B-LOCATION
Energy   I-LOCATION
Cooperative   I-LOCATION
is   O
working   O
to   O
provide   O
all   O
possible   O
help   O
for   O
the   O
patient   O
's   O
quick   O
recovery   O
.   O

They   O
are   O
also   O
in   O
the   O
process   O
to   O
assist   O
Myrta   B-NAME
with   O
their   O
medical   O
charges   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
Thursday   B-DATE
.   O

Please   O
contact   O
us   O
at   O
our   O
(   B-CONTACT
605   I-CONTACT
)   I-CONTACT
804   I-CONTACT
-   I-CONTACT
7809   I-CONTACT
in   O
case   O
of   O
queries   O
or   O
emergencies   O
.   O

The   O
current   O
address   O
is   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
   I-LOCATION
New   I-LOCATION
Britain   I-LOCATION
General   I-LOCATION
Campus   I-LOCATION
,   O
Currie   B-LOCATION
,   O
44911   B-LOCATION
.   O
Conclusion   O
:   O
The   O
patient   O
,   O
Lorelai   B-NAME
Rios   I-NAME
was   O
admitted   O
with   O
chest   O
pain   O
.   O

Patient   O
Report   O
:   O
Isla   B-NAME
Jacobs   I-NAME
is   O
a   O
60   O
year   O
old   O
male   O
who   O
was   O
admitted   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
Kissimmee   I-LOCATION
on   O
32/22   B-DATE
.   O

The   O
radiologist   O
,   O
Francisco   B-NAME
Carpenter   I-NAME
came   O
to   O
this   O
conclusion   O
after   O
careful   O
examination   O
of   O
the   O
X   O
-   O
rays   O
and   O
imaging   O
studies   O
.   O

Blood   O
work   O
was   O
ordered   O
,   O
with   O
results   O
expected   O
by   O
11/28/93   B-DATE
.   O

The   O
Medical   O
Records   O
and   O
Health   O
Information   O
Technicians   O
who   O
initiated   O
the   O
treatment   O
protocol   O
has   O
also   O
scheduled   O
Illa   B-NAME
Puff   I-NAME
for   O
an   O
upper   O
endoscopy   O
to   O
evaluate   O
the   O
esophagus   O
’s   O
condition   O
after   O
consulting   O
with   O
the   O
referring   O
gastroenterologist   O
.   O

His   O
spouse   O
,   O
also   O
of   O
notable   O
7   O
week   O
has   O
been   O
given   O
the   O
necessary   O
(   B-CONTACT
181   I-CONTACT
)   I-CONTACT
568   I-CONTACT
4250   I-CONTACT
number   O
for   O
communication   O
with   O
the   O
healthcare   O
team   O
.   O

The   O
patient   O
’s   O
identification   O
has   O
been   O
noted   O
as   O
OS   B-ID
:   I-ID
WI:3852   I-ID
and   O
the   O
medical   O
record   O
number   O
at   O
this   O
Montefiore   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
1884   B-ID
:   I-ID
F33477   I-ID
.   O

The   O
financial   O
discussions   O
for   O
the   O
proposed   O
treatment   O
procedure   O
were   O
done   O
with   O
South   B-LOCATION
Hadley   I-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
which   O
is   O
the   O
patient   O
's   O
health   O
insurance   O
provider   O
.   O

The   O
patient   O
lives   O
in   O
Abanda   B-LOCATION
with   O
a   O
postal   O
code   O
of   O
90573   B-LOCATION
and   O
the   O
contact   O
on   O
file   O
is   O
95960   B-CONTACT
.   O

Scheduled   O
appointments   O
and   O
updates   O
will   O
also   O
be   O
sent   O
to   O
MI801   B-NAME
which   O
is   O
the   O
patient   O
's   O
preferred   O
method   O
of   O
notification   O
.   O

The   O
plan   O
is   O
to   O
admit   O
the   O
patient   O
to   O
Gila   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
and   O
conduct   O
a   O
follow   O
-   O
up   O
appointment   O
after   O
3   O
weeks   O
of   O
the   O
procedure   O
,   O
which   O
will   O
take   O
place   O
on   O
7/21/58   B-DATE
.   O

The   O
patient   O
's   O
condition   O
will   O
be   O
closely   O
monitored   O
by   O
Dogg   B-NAME
,   I-NAME
Snoop   I-NAME
during   O
his   O
stay   O
at   O
the   O
hospital   O
.   O

With   O
the   O
patient   O
's   O
consent   O
,   O
his   O
clinical   O
updates   O
will   O
be   O
communicated   O
with   O
City   B-LOCATION
of   I-LOCATION
Lake   I-LOCATION
Worth   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
and   O
noted   O
in   O
the   O
patient   O
's   O
medical   O
record   O
(   O
9042L06018   B-ID
)   O
.   O

Patient   O
YONATHAN   B-NAME
OLIVER   I-NAME
TURK   I-NAME
was   O
admitted   O
to   O
Davis   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/78   B-DATE
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Rommel   B-NAME
,   I-NAME
Erwin   I-NAME
sent   O
him   O
immediately   O
for   O
an   O
analysis   O
.   O

His   O
current   O
address   O
is   O
Causey   B-LOCATION
and   O
his   O
contact   O
number   O
is   O
44755   B-CONTACT
.   O

Post   O
-   O
procedure   O
,   O
WOODRUFF   B-NAME
,   I-NAME
FERNE   I-NAME
's   O
condition   O
improved   O
significantly   O
.   O

In   O
the   O
review   O
check   O
-   O
up   O
on   O
22/24/43   B-DATE
,   O
Dr.   O
Chan   B-NAME
noted   O
the   O
symptoms   O
of   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
had   O
significantly   O
improved   O
.   O

Follow   O
-   O
up   O
after   O
discharge   O
is   O
scheduled   O
for   O
2103   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
12   I-DATE
.   O

Patient   O
's   O
Emergency   O
contact   O
is   O
his   O
wife   O
,   O
for   O
whom   O
we   O
have   O
saved   O
the   O
number   O
659   B-CONTACT
4251   I-CONTACT
in   O
our   O
records   O
.   O

His   O
social   O
security   O
number   O
is   O
"   O
20822587   B-ID
"   O
and   O
his   O
medical   O
record   O
number   O
is   O
38355934   B-ID
.   O

He   O
stays   O
within   O
the   O
47931   B-LOCATION
zip   O
code   O
area   O
and   O
works   O
at   O
Mainstreet   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
.   O

His   O
online   O
health   O
portal   O
username   O
is   O
VO529   B-NAME
.   O

Patient   O
Name   O
:   O
Graham   B-NAME
Townsend   I-NAME
DOB   O
:   O
09/93   B-DATE
Medical   O
Record   O
Number   O
:   O
375   B-ID
-   I-ID
27   I-ID
-   I-ID
51   I-ID

This   O
patient   O
is   O
a   O
71   O
year   O
old   O
individual   O
who   O
visited   O
the   O
Willapa   B-LOCATION
Harbor   I-LOCATION
Hospital   I-LOCATION
on   O
2390   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
12   I-DATE
complaining   O
of   O
severe   O
,   O
persistent   O
headaches   O
that   O
had   O
intensified   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
patient   O
was   O
initially   O
under   O
the   O
care   O
of   O
their   O
primary   O
care   O
physician   O
,   O
Roger   B-NAME
Shelton   I-NAME
,   O
in   O
Ticonderoga   B-LOCATION
,   O
who   O
referred   O
them   O
to   O
us   O
for   O
a   O
neurologic   O
evaluation   O
.   O

Based   O
on   O
the   O
patient   O
's   O
ID   O
(   O
835342   B-ID
)   O
,   O
this   O
is   O
their   O
first   O
visit   O
to   O
our   O
hospital   O
.   O

The   O
patient   O
is   O
currently   O
employed   O
as   O
a   O
Doctor   O
(   O
general   O
practitioner   O
,   O
GP   O
)   O
at   O
Slash   B-LOCATION
Pine   I-LOCATION
EMC   I-LOCATION
.   O

Contact   O
number   O
:   O
27632   B-CONTACT
Address   O
:   O
Villa   B-LOCATION
Rica   I-LOCATION
,   O
94578   B-LOCATION
Physician   O
's   O
notes   O
prepared   O
by   O
vq877   B-NAME
on   O
6/33   B-DATE
The   O
next   O
step   O
in   O
the   O
care   O
plan   O
involves   O
the   O
MRI   O
results   O
,   O
followed   O
by   O
consultations   O
with   O
our   O
in   O
-   O
house   O
neurology   O
and   O
ophthalmology   O
teams   O
.   O

Signed   O
,   O
Ricky   B-NAME
Walters   I-NAME
Genesis   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Davenport   I-LOCATION

Patient   O
Report   O
:   O
Alayna   B-NAME
Hooper   I-NAME
,   O
a   O
48   O
year   O
-   O
old   O
,   O
presented   O
to   O
Princeton   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2309   B-DATE
with   O
fatigue   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
persistent   O
cough   O
for   O
the   O
past   O
three   O
weeks   O
.   O

I   O
,   O
Hezekiah   B-NAME
Gregory   I-NAME
met   O
the   O
patient   O
at   O
around   O
09:00   O
AM   O
in   O
the   O
Respiratory   O
Unit   O
at   O
Union   B-LOCATION
Hospital   I-LOCATION
.   O

Upon   O
thorough   O
evaluation   O
,   O
we   O
noted   O
that   O
Rex   B-NAME
Richardson   I-NAME
had   O
decreased   O
breath   O
sounds   O
in   O
the   O
right   O
lower   O
lung   O
field   O
.   O

Further   O
in   O
-   O
depth   O
tests   O
,   O
chest   O
CT   O
scan   O
,   O
and   O
bronchoscopy   O
were   O
advised   O
for   O
Uriel   B-NAME
Gambell   I-NAME
to   O
rule   O
out   O
any   O
severe   O
underlying   O
conditions   O
including   O
lung   O
cancer   O
.   O

Wilkins   B-NAME
has   O
been   O
working   O
as   O
a   O
Slot   O
Supervisors   O
in   O
Indio   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
92201   I-LOCATION
for   O
over   O
twenty   O
years   O
,   O
which   O
might   O
have   O
contributed   O
to   O
their   O
current   O
respiratory   O
symptomatology   O
due   O
to   O
prolonged   O
exposure   O
to   O
occupational   O
hazards   O
.   O

Moreau   B-NAME
is   O
also   O
known   O
to   O
have   O
chronic   O
asthma   O
and   O
is   O
on   O
regular   O
inhaler   O
therapy   O
.   O

The   O
medical   O
history   O
was   O
provided   O
by   O
Towanda   B-NAME
Holler   I-NAME
and   O
recorded   O
under   O
5634203   B-ID
.   O

Social   O
history   O
reveals   O
that   O
Bryant   B-NAME
Kane   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
abstains   O
from   O
alcohol   O
.   O

The   O
family   O
history   O
includes   O
a   O
father   O
who   O
passed   O
away   O
from   O
lung   O
cancer   O
at   O
the   O
age   O
of   O
59   O
.   O
Rudner   B-NAME
,   I-NAME
Rita   I-NAME
was   O
referred   O
to   O
the   O
pulmonology   O
department   O
of   O
Whitman   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

I   O
've   O
scheduled   O
an   O
appointment   O
for   O
them   O
on   O
2102   B-DATE
.   O

Mcdowell   B-NAME
's   O
contact   O
number   O
is   O
given   O
as   O
72077   B-CONTACT
and   O
the   O
referring   O
CP   B-ID
:   I-ID
KM:5693   I-ID
is   O
[   O
#   O
ID   O
]   O
.   O

Moreover   O
,   O
Batu   B-NAME
Casuat   I-NAME
lives   O
at   O
Fouke   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
63429   B-LOCATION
.   O

Their   O
insurance   O
provider   O
is   O
Darjeeling   B-LOCATION
District   I-LOCATION
Newspaper   I-LOCATION
Sellers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
and   O
policy   O
number   O
is   O
8   B-ID
-   I-ID
7645651   I-ID
.   O

The   O
patient   O
's   O
username   O
for   O
the   O
hospital   O
portal   O
is   O
XU979   B-NAME
.   O

This   O
case   O
has   O
been   O
challenging   O
due   O
to   O
the   O
complex   O
health   O
history   O
of   O
Quiana   B-NAME
and   O
requires   O
detailed   O
attention   O
from   O
the   O
pulmonology   O
department   O
.   O

Signature   O
,   O
Yael   B-NAME
Boyle   I-NAME

Patient   O
Report   O
:   O
Patient   O
Edison   B-NAME
,   I-NAME
Thomas   I-NAME
Alva   I-NAME
reported   O
to   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
36/24/2220   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
stabbing   O
abdominal   O
pain   O
for   O
the   O
past   O
24   O
hours   O
.   O

Marcus   B-NAME
Aurelius   I-NAME
,   O
upon   O
examination   O
,   O
noted   O
the   O
patient   O
manifested   O
signs   O
of   O
rebound   O
tenderness   O
.   O

Dwayne   B-NAME
Holden   I-NAME
advised   O
immediate   O
surgical   O
intervention   O
to   O
prevent   O
a   O
probable   O
rupture   O
and   O
peritonitis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Charlotte   B-LOCATION
Hungerford   I-LOCATION
Hospital   I-LOCATION
under   O
medical   O
record   O
number   O
23459081   B-ID
.   O

Appendectomy   O
was   O
scheduled   O
for   O
2297   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
04   I-DATE
.   O

Emergency   O
contact   O
was   O
noted   O
as   O
48073   B-CONTACT
.   O

The   O
patient   O
lives   O
in   O
Milledgeville   B-LOCATION
and   O
is   O
a   O
Molding   O
,   O
Coremaking   O
,   O
and   O
Casting   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
in   O
a   O
reputable   O
Braintree   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Patient   O
's   O
identification   O
number   O
is   O
QN332/9086   B-ID
.   O

Further   O
communications   O
regarding   O
the   O
surgery   O
and   O
recovery   O
will   O
be   O
dispatched   O
to   O
aau817   B-NAME
.   O

Post   O
-   O
surgery   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
30/22   B-DATE
.   O

For   O
any   O
further   O
queries   O
or   O
complications   O
,   O
the   O
patient   O
or   O
their   O
immediate   O
family   O
can   O
contact   O
the   O
surgical   O
department   O
on   O
488   B-CONTACT
-   I-CONTACT
8584   I-CONTACT
.   O

The   O
discharged   O
summary   O
will   O
be   O
mailed   O
to   O
the   O
patient   O
's   O
address   O
in   O
Walsenburg   B-LOCATION
,   O
92660   B-LOCATION
.   O

Thus   O
,   O
all   O
standard   O
preoperative   O
procedures   O
and   O
protocols   O
were   O
followed   O
in   O
the   O
case   O
of   O
Singleton   B-NAME
's   O
proposed   O
appendectomy   O
.   O

Patient   O
Report   O
:   O
Horrible   B-NAME
,   O
a   O
6   O
year   O
old   O
individual   O
,   O
visited   O
the   O
CenterPointe   B-LOCATION
Hospital   I-LOCATION
on   O
4/28   B-DATE
.   O

The   O
patient   O
's   O
medical   O
profile   O
,   O
with   O
Medical   O
Record   O
Number   O
942   B-ID
11   I-ID
47   I-ID
,   O
details   O
a   O
history   O
of   O
similar   O
ailments   O
.   O

He   O
has   O
sought   O
consultations   O
with   O
Valery   B-NAME
Wang   I-NAME
in   O
the   O
past   O
at   O
the   O
same   O
The   B-LOCATION
Meadows   I-LOCATION
,   O
who   O
has   O
previously   O
worked   O
on   O
similar   O
cases   O
.   O

The   O
list   O
of   O
tests   O
was   O
agreed   O
upon   O
after   O
reviewing   O
the   O
patient   O
's   O
medical   O
history   O
,   O
including   O
Account   O
Number   O
DG:80071:366845   B-ID
.   O

The   O
patient   O
's   O
workplace   O
,   O
Trade   B-LOCATION
Union   I-LOCATION
Centre   I-LOCATION
of   I-LOCATION
India   I-LOCATION
,   O
was   O
contacted   O
to   O
understand   O
possible   O
exposures   O
to   O
allergens   O
.   O

It   O
was   O
found   O
that   O
the   O
patient   O
is   O
in   O
the   O
Floral   O
Designers   O
department   O
and   O
has   O
not   O
reported   O
reaching   O
out   O
to   O
the   O
emergency   O
contact   O
number   O
115   B-CONTACT
-   I-CONTACT
691   I-CONTACT
5276   I-CONTACT
.   O

The   O
residential   O
area   O
is   O
Philadelphia   B-LOCATION
,   O
where   O
similar   O
health   O
concerns   O
have   O
been   O
reported   O
previously   O
.   O

An   O
appointment   O
for   O
follow   O
-   O
up   O
has   O
been   O
scheduled   O
for   O
31/32/18   B-DATE
.   O

The   O
treatment   O
plan   O
will   O
be   O
revised   O
based   O
on   O
test   O
results   O
,   O
which   O
will   O
be   O
discussed   O
with   O
patient   O
and   O
shared   O
via   O
the   O
username   O
wep735   B-NAME
.   O

Findings   O
will   O
also   O
be   O
communicated   O
to   O
Colquitt   B-LOCATION
EMC   I-LOCATION
and   O
the   O
doctor   O
in   O
charge   O
,   O
Gloria   B-NAME
Ross   I-NAME
at   O
the   O
Formerly   B-LOCATION
Oakwood   I-LOCATION
Southshore   I-LOCATION
Hospital   I-LOCATION
.   O

Contact   O
via   O
Post   O
(   O
Please   O
consider   O
the   O
environment   O
before   O
printing   O
):   O
St   B-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
Alto   B-LOCATION
Bonito   I-LOCATION
Heights   I-LOCATION
50311   B-LOCATION

Patient   O
Report   O
:   O
Elena   B-NAME
Vong   I-NAME
is   O
a   O
55   O
year   O
old   O
patient   O
who   O
was   O
seen   O
on   O
the   O
25/22/51   B-DATE
by   O
Dr.   O
Dean   B-NAME
.   O

The   O
patient   O
contacted   O
our   O
team   O
by   O
calling   O
at   O
(   B-CONTACT
160   I-CONTACT
)   I-CONTACT
779   I-CONTACT
1653   I-CONTACT
.   O

Cohen   B-NAME
Garrett   I-NAME
's   O
emergency   O
contact   O
is   O
a   O
Special   O
Forces   O
Officers   O
and   O
can   O
be   O
reached   O
at   O
89792   B-CONTACT
.   O

The   O
patient   O
was   O
rushed   O
to   O
Frisbie   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
located   O
at   O
New   B-LOCATION
York   I-LOCATION
Mills   I-LOCATION
,   O
for   O
further   O
specialized   O
care   O
.   O

The   O
surgical   O
team   O
headed   O
by   O
Dr.   O
Cheyanne   B-NAME
Mata   I-NAME
was   O
briefed   O
regarding   O
the   O
patient   O
's   O
condition   O
.   O

The   O
patient   O
successfully   O
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
11   B-DATE
.   O

Patient   O
's   O
medical   O
record   O
number   O
is   O
59990120   B-ID
.   O

They   O
are   O
currently   O
recovering   O
well   O
in   O
Room   O
No   O
.   O
#   O
#   O
on   O
Floor   O
#   O
of   O
Wyoming   B-LOCATION
County   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
is   O
residing   O
at   O
Sherman   B-LOCATION
,   I-LOCATION
Sherman   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
with   O
the   O
Zip   O
code   O
46754   B-LOCATION
.   O

Their   O
identity   O
proof   O
provided   O
was   O
RT   B-ID
:   I-ID
YF:7336   I-ID
.   O

The   O
patient   O
's   O
health   O
insurance   O
comes   O
from   O
Polish   B-LOCATION
Legion   I-LOCATION
of   I-LOCATION
American   I-LOCATION
Veterans   I-LOCATION
.   O

Contact   O
will   O
need   O
to   O
be   O
maintained   O
with   O
the   O
patient   O
's   O
primary   O
care   O
provider   O
,   O
Dr.   O
Kaleigh   B-NAME
Cervantes   I-NAME
,   O
who   O
works   O
out   O
of   O
the   O
medical   O
facility   O
in   O
Garfield   B-LOCATION
's   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
-Memphis   I-LOCATION
.   O

The   O
patient   O
should   O
follow   O
-   O
up   O
on   O
13/21/13   B-DATE
with   O
their   O
primary   O
care   O
practitioner   O
,   O
Dr.   O
Trey   B-NAME
Gardner   I-NAME
.   O

In   O
case   O
of   O
any   O
queries   O
or   O
emergencies   O
,   O
the   O
patient   O
or   O
their   O
emergency   O
contact   O
can   O
reach   O
out   O
at   O
736   B-CONTACT
-   I-CONTACT
9732   I-CONTACT
.   O

The   O
last   O
person   O
to   O
sign   O
-   O
off   O
on   O
this   O
report   O
was   O
fht952   B-NAME
.   O

Patient   O
Name   O
:   O
Patton   B-NAME
Age   O
:   O
9   O
Location   O
:   O
Keosauqua   B-LOCATION
Phone   O
Number   O
:   O
377   B-CONTACT
-   I-CONTACT
5158   I-CONTACT
Doctor   O
:   O
Kelley   B-NAME
Hospital   O
:   O
CHRISTUS   B-LOCATION
Good   I-LOCATION
Shepherd   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Marshall   I-LOCATION
Date   O
of   O
Last   O
Visit   O
:   O
02/85   B-DATE
Medical   O
Record   O
Number   O
:   O
587   B-ID
-   I-ID
06   I-ID
-   I-ID
64   I-ID
-   I-ID
7   I-ID
The   O
patient   O
,   O
Gideon   B-NAME
Rogers   I-NAME
,   O
was   O
referred   O
to   O
Ashlag   B-NAME
,   I-NAME
Yehuda   I-NAME
,   O
a   O
renowned   O
neurologist   O
at   O
Caro   B-LOCATION
Center   I-LOCATION
as   O
she   O
started   O
exhibiting   O
signs   O
of   O
motor   O
function   O
deterioration   O
.   O

Ross   B-NAME
has   O
been   O
suffering   O
from   O
tremors   O
primarily   O
on   O
her   O
right   O
hand   O
that   O
worsens   O
when   O
she   O
's   O
at   O
rest   O
.   O

Recently   O
,   O
Griffin   B-NAME
Wilson   I-NAME
has   O
shown   O
a   O
propensity   O
to   O
move   O
slowly   O
(   O
bradykinesia   O
)   O
.   O

In   O
the   O
preliminary   O
examination   O
conducted   O
on   O
1/39   B-DATE
,   O
it   O
was   O
seen   O
that   O
she   O
had   O
trouble   O
initiating   O
movements   O
and   O
she   O
took   O
a   O
longer   O
time   O
to   O
perform   O
even   O
routine   O
activities   O
.   O

Stein   B-NAME
also   O
reported   O
issues   O
with   O
her   O
balance   O
and   O
posture   O
.   O

Evan   B-NAME
Spencer   I-NAME
has   O
been   O
a   O
professional   O
software   O
engineer   O
at   O
Dollar   B-LOCATION
Tree   I-LOCATION
for   O
the   O
past   O
twenty   O
years   O
,   O
hence   O
the   O
symptoms   O
started   O
affecting   O
her   O
Food   O
scientist   O
negatively   O
which   O
made   O
her   O
seek   O
medical   O
attention   O
.   O

Gloria   B-NAME
Ross   I-NAME
has   O
ordered   O
an   O
MRI   O
and   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
test   O
.   O

The   O
medical   O
record   O
number   O
for   O
the   O
patient   O
is   O
88305272   B-ID
.   O

Please   O
inform   O
the   O
patient   O
to   O
be   O
available   O
for   O
a   O
teleconsultation   O
on   O
2128   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
22   I-DATE
at   O
994   B-CONTACT
-   I-CONTACT
785   I-CONTACT
1254   I-CONTACT
.   O

This   O
call   O
will   O
be   O
done   O
using   O
her   O
account   O
fnb320   B-NAME
to   O
go   O
over   O
test   O
results   O
and   O
the   O
possible   O
treatment   O
methods   O
.   O

For   O
all   O
future   O
appointments   O
,   O
please   O
remember   O
to   O
bring   O
the   O
health   O
insurance   O
56700   B-ID
and   O
have   O
it   O
ready   O
for   O
smooth   O
processing   O
at   O
the   O
Helen   B-LOCATION
Hayes   I-LOCATION
Hospital   I-LOCATION
patient   O
admission   O
desk   O
,   O
located   O
in   O
Frome   B-LOCATION
,   O
54829   B-LOCATION
.   O

Patient   O
Name   O
:   O
Pugh   B-NAME
Age   O
:   O
68   O
ID   O
:   O
OF:44686:128499   B-ID

Phone   O
:   O
(   B-CONTACT
832   I-CONTACT
)   I-CONTACT
558   I-CONTACT
-   I-CONTACT
3293   I-CONTACT
Address   O
:   O
Skyline   B-LOCATION
Occupation   O
:   O

Medical   O
and   O
Public   O
Health   O
Social   O
Workers   O
Medical   O
Record   O
:   O
42495574   B-ID
Organization   O
:   O

Borough   B-LOCATION
of   I-LOCATION
Madison   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
Physician   O
:   O

Nathaniel   B-NAME
Adkins   I-NAME
38/22   B-DATE
:   O

The   O
patient   O
Villasenor   B-NAME
was   O
brought   O
to   O
the   O
Shenandoah   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
,   O
presenting   O
with   O
severe   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
consulting   O
surgeon   O
,   O
Dr.   O
Jaelyn   B-NAME
Riggs   I-NAME
,   O
recommended   O
immediate   O
surgical   O
intervention   O
.   O

During   O
the   O
post   O
-   O
operative   O
period   O
,   O
the   O
patient   O
was   O
monitored   O
in   O
Riverside   B-LOCATION
Walter   I-LOCATION
Reed   I-LOCATION
Hospital   I-LOCATION
's   O
surgical   O
ward   O
.   O

The   O
patient   O
tolerated   O
the   O
procedure   O
well   O
and   O
made   O
an   O
uneventful   O
recovery   O
,   O
was   O
discharged   O
on   O
22/90   B-DATE
.   O
Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
two   O
weeks   O
after   O
discharge   O
with   O
Dr.   O
Lucas   B-NAME
at   O
Bailey   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
LLC   I-LOCATION
,   O
Lignite   B-LOCATION
,   O
81215   B-LOCATION
.   O

The   O
patient   O
can   O
reach   O
out   O
for   O
any   O
concerns   O
at   O
510   B-CONTACT
826   I-CONTACT
-   I-CONTACT
6165   I-CONTACT
or   O
by   O
the   O
patient   O
portal   O
with   O
username   O
cd150   B-NAME
.   O

[   O
Doctor   O
Signature   O
]   O
32/12   B-DATE

The   O
patient   O
,   O
Jovanni   B-NAME
Matthews   I-NAME
,   O
presented   O
for   O
her   O
scheduled   O
visit   O
on   O
08/45   B-DATE
at   O
the   O
medical   O
facility   O
Rose   B-LOCATION
Gardens   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Sun   B-NAME
is   O
a   O
Rail   O
-   O
Track   O
Laying   O
and   O
Maintenance   O
Equipment   O
Operators   O
by   O
profession   O
who   O
lives   O
in   O
Isabel   B-LOCATION
.   O

She   O
is   O
98   O
years   O
old   O
and   O
has   O
an   O
assigned   O
medical   O
record   O
number   O
68261134   B-ID
at   O
our   O
healthcare   O
network   O
.   O

The   O
consultation   O
was   O
conducted   O
by   O
Dr.   O
Cummings   B-NAME
.   O

Karson   B-NAME
Vance   I-NAME
reported   O
progressive   O
,   O
exertional   O
shortness   O
of   O
breath   O
over   O
the   O
last   O
six   O
months   O
.   O

On   O
physical   O
examination   O
,   O
Bennett   B-NAME
,   I-NAME
William   I-NAME
Andrew   I-NAME
Cicil   I-NAME
was   O
not   O
in   O
any   O
apparent   O
distress   O
.   O

Preliminary   O
blood   O
tests   O
done   O
at   O
Sutter   B-LOCATION
Auburn   I-LOCATION
Faith   I-LOCATION
Hospital   I-LOCATION
revealed   O
a   O
raised   O
Troponin   O
-   O
I   O
level   O
.   O

Based   O
on   O
the   O
symptoms   O
and   O
diagnostic   O
reports   O
,   O
the   O
attending   O
cardiologist   O
Dr.   O
Victoria   B-NAME
Townsend   I-NAME
diagnosed   O
the   O
Jarmo   B-NAME
Visakorpi   I-NAME
with   O
Congestive   O
Heart   O
Failure   O
.   O

A   O
detailed   O
treatment   O
plan   O
is   O
being   O
devised   O
and   O
Josefa   B-NAME
Scotti   I-NAME
's   O
condition   O
will   O
be   O
closely   O
monitored   O
.   O

She   O
has   O
been   O
scheduled   O
for   O
follow   O
up   O
on   O
the   O
23/12/59   B-DATE
.   O

She   O
was   O
briefed   O
and   O
given   O
her   O
patient   O
ID   O
card   O
with   O
the   O
number   O
OB   B-ID
:   I-ID
QO:4299   I-ID
,   O
information   O
about   O
Citizens   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
medical   O
visits   O
,   O
and   O
a   O
contact   O
card   O
with   O
90092   B-CONTACT
to   O
use   O
for   O
emergencies   O
or   O
queries   O
.   O

Throughout   O
this   O
process   O
,   O
patient   O
's   O
electronic   O
medical   O
record   O
was   O
updated   O
by   O
nurse   O
YU667   B-NAME
on   O
the   O
same   O
day   O
.   O

X.   B-NAME
Hayes   I-NAME
was   O
discharged   O
and   O
returned   O
to   O
her   O
home   O
address   O
at   O
28846   B-LOCATION
in   O
a   O
stable   O
condition   O
.   O

Further   O
follow   O
-   O
ups   O
on   O
39/34   B-DATE
will   O
provide   O
a   O
better   O
understanding   O
of   O
how   O
far   O
the   O
patient   O
have   O
responded   O
to   O
treatment   O
.   O

Patient   O
Report   O
:   O
Hector   B-NAME
Faulkner   I-NAME
was   O
admitted   O
to   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Sycamore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/10   B-DATE
.   O

Patient   O
is   O
a   O
20   O
year   O
old   O
individual   O
entrusted   O
to   O
us   O
by   O
Diverse   B-LOCATION
Power   I-LOCATION
Inc.   I-LOCATION
-   I-LOCATION
Pataula   I-LOCATION
District   I-LOCATION
.   O

According   O
to   O
the   O
records   O
provided   O
by   O
Roger   B-NAME
Cattan   I-NAME
,   O
the   O
symptoms   O
escalated   O
around   O
two   O
weeks   O
ago   O
.   O

Prior   O
to   O
this   O
,   O
Friedman   B-NAME
,   I-NAME
Kinky   I-NAME
presented   O
with   O
a   O
vague   O
set   O
of   O
symptoms   O
,   O
including   O
intermittent   O
fatigue   O
,   O
palpitations   O
,   O
occasional   O
shortness   O
of   O
breath   O
and   O
unintentional   O
weight   O
loss   O
.   O

However   O
,   O
last   O
week   O
,   O
Zariah   B-NAME
Kaiser   I-NAME
experienced   O
a   O
significant   O
bout   O
of   O
dyspnea   O
and   O
orthopnea   O
that   O
led   O
to   O
an   O
emergency   O
consultation   O
at   O
another   O
hospital   O
in   O
Ronceverte   B-LOCATION
,   I-LOCATION
Ronceverte   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
.   O

The   O
patient   O
was   O
transferred   O
to   O
our   O
care   O
at   O
Wills   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
comprehensive   O
cardiovascular   O
review   O
and   O
was   O
assigned   O
the   O
2162416   B-ID
.   O

The   O
residing   O
cardiologist   O
,   O
Jensen   B-NAME
,   O
proposed   O
further   O
testing   O
,   O
including   O
a   O
nuclear   O
stress   O
test   O
,   O
echocardiography   O
,   O
and   O
cardiac   O
catheterization   O
.   O

Kolten   B-NAME
Garner   I-NAME
has   O
a   O
Welders   O
,   O
Production   O
and   O
it   O
's   O
been   O
difficult   O
for   O
him   O
to   O
cope   O
with   O
the   O
occupational   O
demands   O
given   O
his   O
current   O
health   O
status   O
.   O

The   O
patient   O
's   O
health   O
insurance   O
75565   B-ID
information   O
has   O
been   O
updated   O
.   O

We   O
communicated   O
with   O
the   O
registrar   O
at   O
Tuesday   B-LOCATION
Morning   I-LOCATION
using   O
the   O
contact   O
107   B-CONTACT
8312   I-CONTACT
provided   O
.   O

We   O
are   O
obligated   O
to   O
keep   O
uog720   B-NAME
updated   O
about   O
the   O
patient   O
's   O
health   O
status   O
and   O
progress   O
,   O
as   O
per   O
the   O
patient   O
's   O
consent   O
form   O
.   O

All   O
information   O
needed   O
for   O
the   O
processing   O
of   O
billing   O
and   O
insurance   O
claims   O
were   O
sent   O
to   O
the   O
provided   O
address   O
in   O
Ceiba   B-LOCATION
with   O
the   O
postal   O
71927   B-LOCATION
code   O
.   O

The   O
family   O
of   O
Mcknight   B-NAME
was   O
suggested   O
to   O
seek   O
consult   O
from   O
their   O
regular   O
GP   O
for   O
counseling   O
on   O
lifestyle   O
modifications   O
to   O
assist   O
in   O
disease   O
management   O
.   O

The   O
next   O
appointment   O
for   O
Philip   B-NAME
Mora   I-NAME
is   O
scheduled   O
for   O
12/07   B-DATE
for   O
a   O
follow   O
-   O
up   O
evaluation   O
.   O

This   O
report   O
is   O
prepared   O
by   O
attending   O
physician   O
Janis   B-NAME
Albaugh   I-NAME
.   O

Patient   O
Report   O
:   O
Uriah   B-NAME
Schwartz   I-NAME
,   O
a   O
51   O
year   O
old   O
patient   O
,   O
was   O
admitted   O
to   O
Clark   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
12/12/75   B-DATE
.   O

The   O
doctor   O
in   O
charge   O
of   O
his   O
treatment   O
,   O
Dr.   O
Mills   B-NAME
,   O
reported   O
that   O
the   O
patient   O
had   O
been   O
suffering   O
from   O
persisting   O
headaches   O
and   O
light   O
sensitivity   O
for   O
several   O
weeks   O
previous   O
to   O
the   O
hospitalization   O
.   O

According   O
to   O
the   O
medical   O
records   O
8402938   B-ID
,   O
the   O
neurological   O
examination   O
raised   O
the   O
suspicion   O
of   O
a   O
central   O
nervous   O
system   O
disorder   O
.   O

The   O
patient   O
was   O
referred   O
to   O
Dr.   O
Barrera   B-NAME
,   O
a   O
trusted   O
neurology   O
specialist   O
.   O

However   O
,   O
due   O
to   O
the   O
ongoing   O
COVID-19   O
pandemic   O
and   O
the   O
fact   O
that   O
the   O
patient   O
resides   O
in   O
Smoke   B-LOCATION
Rise   I-LOCATION
,   O
a   O
different   O
approach   O
had   O
to   O
be   O
taken   O
.   O

The   O
medical   O
team   O
decided   O
to   O
conduct   O
the   O
consultation   O
remotely   O
via   O
a   O
phone   O
call   O
(   O
820   B-CONTACT
-   I-CONTACT
8931   I-CONTACT
)   O
.   O

His   O
ID   O
9968843   B-ID
belongs   O
to   O
the   O
organization   O
Finance   B-LOCATION
Sector   I-LOCATION
Union   I-LOCATION
.   O

This   O
information   O
was   O
provided   O
to   O
us   O
by   O
vzv427   B-NAME
and   O
is   O
securely   O
stored   O
along   O
with   O
other   O
sensitive   O
information   O
under   O
23031   B-LOCATION
.   O

He   O
was   O
officially   O
diagnosed   O
with   O
a   O
malignant   O
brain   O
tumor   O
on   O
May   B-DATE
22   I-DATE
and   O
is   O
currently   O
waiting   O
for   O
a   O
surgery   O
slot   O
.   O

The   O
operation   O
will   O
take   O
place   O
at   O
Arnot   B-LOCATION
Ogden   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
under   O
the   O
supervision   O
of   O
the   O
highly   O
skilled   O
neurosurgeon   O
,   O
Dr.   O
Walters   B-NAME
.   O

Signed   O
,   O
Dr.   O
Jakayla   B-NAME
Villegas   I-NAME
2/63   B-DATE

Patient   O
Name   O
:   O
Dooom   B-NAME
Date   O
:   O
2/22   B-DATE
Medical   O
Record   O
Number   O
:   O
94579505   B-ID
ID   O
:   O
9   B-ID
-   I-ID
2039136   I-ID
Reporting   O
Doctor   O
:   O
Spencer   B-NAME
Howard   I-NAME
Reid   B-NAME
Proctor   I-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
individual   O
,   O
came   O
to   O
Riverside   B-LOCATION
Walter   I-LOCATION
Reed   I-LOCATION
Hospital   I-LOCATION
on   O
22/23   B-DATE
.   O

Over   O
the   O
past   O
few   O
days   O
,   O
Pagan   B-NAME
has   O
also   O
complained   O
of   O
hemoptysis   O
,   O
which   O
is   O
alarming   O
.   O

Under   O
Ari   B-NAME
Mendoza   I-NAME
's   O
supervision   O
in   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
Cornwall   I-LOCATION
Campus   I-LOCATION
,   O
a   O
CT   O
scan   O
was   O
performed   O
which   O
showed   O
increase   O
in   O
ground   O
-   O
glass   O
opacity   O
predominantly   O
in   O
the   O
lower   O
lobes   O
and   O
septal   O
thickening   O
.   O

Our   O
team   O
tried   O
to   O
contact   O
Alex   B-NAME
Barnett   I-NAME
after   O
several   O
days   O
to   O
discuss   O
the   O
treatment   O
options   O
and   O
follow   O
-   O
up   O
appointments   O
,   O
but   O
were   O
unable   O
to   O
reach   O
them   O
at   O
357   B-CONTACT
2018   I-CONTACT
.   O

We   O
then   O
sent   O
a   O
letter   O
to   O
the   O
patient   O
's   O
home   O
address   O
in   O
Alderton   B-LOCATION
,   O
12997   B-LOCATION
as   O
a   O
secondary   O
form   O
of   O
contact   O
.   O

As   O
per   O
the   O
latest   O
company   O
policies   O
of   O
Mansfield   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
,   O
the   O
patient   O
's   O
personal   O
data   O
including   O
name   O
,   O
medical   O
record   O
number   O
,   O
ID   O
,   O
and   O
reports   O
are   O
stored   O
with   O
due   O
confidentiality   O
.   O

Our   O
IT   O
professional   O
mv687   B-NAME
supervises   O
the   O
data   O
handling   O
and   O
privacy   O
measures   O
.   O

Regarding   O
the   O
treatment   O
,   O
we   O
have   O
planned   O
a   O
multidisciplinary   O
discussion   O
on   O
January   B-DATE
for   O
the   O
patient   O
.   O

Our   O
goal   O
is   O
to   O
ensure   O
the   O
best   O
possible   O
care   O
for   O
Vincent   B-NAME
Avila   I-NAME
during   O
his   O
stay   O
at   O
The   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Salem   I-LOCATION
County   I-LOCATION
and   O
further   O
medical   O
proceedings   O
.   O

Patient   O
Name   O
:   O
Deandre   B-NAME
Porter   I-NAME
Age   O
:   O
43   O
Home   O
Address   O
:   O
Mineola   B-LOCATION
,   I-LOCATION
Mineola   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Phone   O
:   O
67447   B-CONTACT
Occupation   O
:   O
Log   O
Graders   O
and   O
Scalers   O
Medical   O
Record   O
Number   O
:   O
63193011   B-ID
Primary   O
Care   O
Physician   O
:   O

Underwood   B-NAME
Presenting   O
to   O
Highland   B-LOCATION
Hospital   I-LOCATION
on   O
March   B-DATE
,   O
Walters   B-NAME
reported   O
experiencing   O
persistent   O
nausea   O
,   O
occasional   O
vomiting   O
and   O
progressive   O
fatigue   O
over   O
a   O
period   O
of   O
2   O
-   O
3   O
weeks   O
.   O

On   O
further   O
examination   O
,   O
Midnight   B-NAME
conveyed   O
experiencing   O
a   O
sudden   O
weight   O
loss   O
of   O
around   O
10   O
pounds   O
during   O
this   O
period   O
.   O

On   O
physical   O
examination   O
,   O
Hendricks   B-NAME
noted   O
pallor   O
indicative   O
of   O
anaemia   O
,   O
and   O
slight   O
abdominal   O
tenderness   O
in   O
the   O
upper   O
right   O
quadrant   O
.   O

Paz   B-NAME
's   O
heart   O
and   O
lungs   O
were   O
clear   O
to   O
auscultation   O
.   O

Based   O
on   O
the   O
patient   O
's   O
age   O
,   O
9s   O
,   O
presenting   O
symptoms   O
and   O
findings   O
from   O
the   O
examination   O
,   O
the   O
patient   O
was   O
prioritized   O
for   O
a   O
colonoscopy   O
scheduled   O
at   O
Mountain   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
on   O
February   B-DATE
3   I-DATE
.   O

Magdalena   B-NAME
Huber   I-NAME
was   O
advised   O
to   O
abstain   O
from   O
solid   O
foods   O
for   O
24   O
hours   O
prior   O
to   O
the   O
procedure   O
and   O
to   O
follow   O
a   O
specific   O
prep   O
procedure   O
as   O
detailed   O
in   O
the   O
instructions   O
given   O
.   O

The   O
contact   O
number   O
of   O
the   O
colonoscopy   O
department   O
,   O
62643   B-CONTACT
,   O
was   O
shared   O
with   O
the   O
patient   O
for   O
any   O
queries   O
regarding   O
the   O
procedure   O
.   O

The   O
patient   O
's   O
employer   O
,   O
New   B-LOCATION
Hampshire   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
,   O
was   O
notified   O
of   O
the   O
need   O
for   O
medical   O
leave   O
,   O
until   O
further   O
notice   O
.   O

The   O
next   O
appointment   O
was   O
scheduled   O
for   O
thanksgiving   B-DATE
,   O
and   O
follow   O
-   O
up   O
reports   O
will   O
be   O
sent   O
to   O
the   O
KA132/3260   B-ID
of   O
Dyani   B-NAME
's   O
medical   O
insurer   O
and   O
the   O
primary   O
care   O
physician   O
,   O
Kaitlin   B-NAME
Mayer   I-NAME
.   O

For   O
queries   O
,   O
Beatus   B-NAME
Kokenge   I-NAME
was   O
directed   O
to   O
call   O
the   O
administrative   O
office   O
at   O
83378   B-CONTACT
,   O
or   O
write   O
to   O
us   O
at   O
ef185   B-NAME
@   O
CentraState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.com   O
or   O
visit   O
us   O
at   O
Altavista   B-LOCATION
.   O

Let   O
us   O
remind   O
you   O
,   O
we   O
also   O
serve   O
patients   O
from   O
the   O
89610   B-LOCATION
area   O
as   O
well   O
.   O

Patient   O
Name   O
:   O
Haley   B-NAME
Date   O
of   O
Birth   O
:   O
3/2/2295   B-DATE
Presented   O
to   O
UF   B-LOCATION
Health   I-LOCATION
Jacksonville   I-LOCATION
on   O
October   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
abdominal   O
pain   O
that   O
has   O
escalated   O
over   O
the   O
past   O
week   O
.   O

John   B-NAME
Becker   I-NAME
related   O
intense   O
sharp   O
pain   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
,   O
beneath   O
the   O
ribs   O
.   O

Medical   O
Examination   O
and   O
Tests   O
were   O
overseen   O
by   O
Dr.   O
Lester   B-NAME
.   O

Patient   O
given   O
Medication   O
WP:56441:411686   B-ID
to   O
help   O
relieve   O
the   O
pain   O
.   O

This   O
case   O
was   O
referred   O
to   O
the   O
department   O
of   O
gastroenterology   O
at   O
the   O
Elmhurst   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
assessment   O
and   O
management   O
.   O

Pitts   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
Friday   B-DATE
,   I-DATE
January   I-DATE
under   O
the   O
medical   O
supervision   O
of   O
Dr.   O
Sawyer   B-NAME
Norman   I-NAME
.   O

Further   O
pertinent   O
details   O
are   O
recorded   O
under   O
the   O
medical   O
record   O
9665035   B-ID
.   O

For   O
further   O
reference   O
or   O
secondary   O
opinions   O
,   O
the   O
same   O
can   O
be   O
reached   O
out   O
with   O
the   O
mentioning   O
of   O
3429D62334   B-ID
at   O
the   O
RiverWoods   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
front   O
desk   O
.   O

Patient   O
's   O
contact   O
number   O
is   O
recorded   O
as   O
261   B-CONTACT
3743   I-CONTACT
,   O
residing   O
address   O
as   O
Nevada   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Nevada   I-LOCATION
,   O
and   O
corresponding   O
zip   O
code   O
as   O
74522   B-LOCATION
.   O

Currently   O
,   O
QR   B-NAME
works   O
as   O
a   O
Claims   O
Adjusters   O
,   O
Examiners   O
,   O
and   O
Investigators   O
at   O
Hillcrest   B-LOCATION
Bank   I-LOCATION
Florida   I-LOCATION
.   O

For   O
any   O
communication   O
through   O
the   O
hospital   O
's   O
portal   O
,   O
the   O
username   O
has   O
been   O
set   O
as   O
yi767   B-NAME
.   O

Team   O
of   O
Doctors   O
under   O
the   O
professional   O
guidance   O
of   O
Dr.   O
Samuel   B-NAME
Ortiz   I-NAME
was   O
reached   O
out   O
for   O
managing   O
the   O
case   O
.   O

Family   O
was   O
given   O
the   O
contact   O
number   O
of   O
Rhode   B-LOCATION
Island   I-LOCATION
Hospital   I-LOCATION
(   O
76193   B-CONTACT
)   O
for   O
any   O
emergencies   O
.   O

Patient   O
Name   O
:   O
Julie   B-NAME
Fraser   I-NAME
Age   O
:   O
49   O
Date   O
of   O
Visit   O
:   O
Tue   B-DATE
Doctor   O
's   O
Name   O
:   O
Amanda   B-NAME
Mata   I-NAME
Hospital   O
:   O
The   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
No   O
:   O
04571485   B-ID
Computer   O
Hardware   O
Engineers   O
:   O
Patient   O
is   O
a   O
software   O
engineer   O
at   O
Clay   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
located   O
in   O
Pinckneyville   B-LOCATION
.   O

ID   O
:   O
QL256/1567   B-ID
Phone   O
:   O
326   B-CONTACT
-   I-CONTACT
7957   I-CONTACT
Address   O
:   O
Trail   B-LOCATION
Side   I-LOCATION
,   O
62733   B-LOCATION
Username   O
for   O
follow   O
-   O
up   O
portal   O
:   O
cwj3910   B-NAME

The   O
referred   O
patient   O
,   O
James   B-NAME
,   I-NAME
Alice   I-NAME
,   O
presented   O
to   O
our   O
clinic   O
on   O
Tuesday   B-DATE
,   I-DATE
November   I-DATE
.   O

On   O
physical   O
examination   O
,   O
Phil   B-NAME
Reed   I-NAME
exhibited   O
tenderness   O
in   O
the   O
lower   O
abdominal   O
area   O
,   O
notably   O
on   O
the   O
right   O
side   O
,   O
with   O
additional   O
signs   O
of   O
localized   O
rebounding   O
.   O

The   O
patient   O
was   O
referred   O
for   O
further   O
diagnostic   O
testing   O
by   O
Joyce   B-NAME
at   O
Sentara   B-LOCATION
Halifax   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

An   O
abdominal   O
ultrasound   O
was   O
scheduled   O
on   O
11/25   B-DATE
,   O
and   O
the   O
results   O
confirmed   O
our   O
tentative   O
diagnosis   O
of   O
appendicitis   O
.   O

Early   B-NAME
was   O
admitted   O
to   O
Mission   B-LOCATION
Hospital   I-LOCATION
and   O
emergency   O
appendectomy   O
was   O
performed   O
successfully   O
.   O

Before   O
discharge   O
,   O
a   O
nurse   O
at   O
the   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Littleton   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
provided   O
the   O
patient   O
with   O
post   O
-   O
surgery   O
care   O
protocols   O
.   O

In   O
a   O
post   O
-   O
surgical   O
follow   O
-   O
up   O
visit   O
on   O
31/02/2160   B-DATE
,   O
Eneida   B-NAME
Hankey   I-NAME
was   O
recovering   O
well   O
without   O
any   O
notable   O
complications   O
.   O

They   O
were   O
reminded   O
to   O
submit   O
a   O
feedback   O
form   O
on   O
the   O
hospital   O
's   O
website   O
using   O
the   O
username   O
bb51   B-NAME
.   O

Contact   O
information   O
was   O
also   O
shared   O
for   O
any   O
emergencies   O
,   O
including   O
the   O
662   B-CONTACT
-   I-CONTACT
358   I-CONTACT
-   I-CONTACT
5774   I-CONTACT
number   O
and   O
location   O
Maple   B-LOCATION
Valley   I-LOCATION
in   O
case   O
of   O
visiting   O
the   O
hospital   O
.   O

Further   O
,   O
a   O
routine   O
follow   O
-   O
up   O
was   O
scheduled   O
on   O
December   B-DATE
29   I-DATE
,   I-DATE
2070   I-DATE
to   O
monitor   O
the   O
recovery   O
and   O
prevent   O
any   O
health   O
risks   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Webster   B-NAME
Age   O
:   O
18s   O
Phone   O
:   O
23486   B-CONTACT
ID   O
:   O
2802719   B-ID
Medical   O
record   O
number   O
:   O
1353931   B-ID
Location   O
:   O
Oaktown   B-LOCATION
Organization   O
Affiliation   O
:   O
Chinese   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
Beijing   I-LOCATION
)   I-LOCATION
(   I-LOCATION
CCS   I-LOCATION
)   I-LOCATION
Profession   O
:   O

Computer   O
scientist   O
Username   O
:   O
hyg592   B-NAME
Zip   O
Code   O
:   O
14571   B-LOCATION
Physician   O
:   O

Dr.   O
Kathryn   B-NAME
Serrano   I-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Louisville   I-LOCATION
Hospital   I-LOCATION
Report   O
:   O

The   O
patient   O
,   O
Held   B-NAME
,   I-NAME
John   I-NAME
,   O
reported   O
symptoms   O
of   O
fatigue   O
and   O
heaviness   O
in   O
the   O
chest   O
from   O
June   B-DATE
12   I-DATE
.   O

Alejandro   B-NAME
Dickson   I-NAME
found   O
it   O
increasingly   O
difficult   O
to   O
engage   O
in   O
daily   O
activities   O
related   O
to   O
his   O
/   O
her   O
profession   O
as   O
a   O
Education   O
Administrators   O
,   O
Postsecondary   O
.   O

Schaefer   B-NAME
also   O
mentioned   O
experiencing   O
episodes   O
of   O
difficulty   O
breathing   O
and   O
palpitations   O
particularly   O
in   O
the   O
evening   O
hours   O
.   O

Upon   O
physical   O
examination   O
on   O
20/00/22   B-DATE
by   O
Dr.   O
James   B-NAME
Whitman   I-NAME
,   O
their   O
weight   O
was   O
recorded   O
as   O
stable   O
,   O
but   O
a   O
rapid   O
heart   O
rate   O
was   O
observed   O
.   O

An   O
Electrocardiogram   O
(   O
ECG   O
)   O
revealed   O
an   O
irregularity   O
in   O
heart   O
rhythm   O
indicative   O
of   O
atrial   O
fibrillation   O
,   O
prompting   O
an   O
immediate   O
referral   O
to   O
New   B-LOCATION
York   I-LOCATION
University   I-LOCATION
Tisch   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
.   O

A   O
transthoracic   O
echocardiogram   O
conducted   O
at   O
Mountainview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
20/22   B-DATE
confirmed   O
the   O
diagnosis   O
of   O
non   O
-   O
valvular   O
atrial   O
fibrillation   O
.   O

Considering   O
the   O
Dunst   B-NAME
,   I-NAME
Kirsten   I-NAME
's   O
age   O
(   O
29   O
)   O
,   O
recent   O
symptom   O
onset   O
,   O
and   O
occupational   O
demands   O
,   O
an   O
expert   O
consultation   O
was   O
arranged   O
with   O
a   O
cardiologist   O
at   O
Virginia   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
--   I-LOCATION
Arlington   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

On   O
2/91   B-DATE
,   O
Carrie   B-NAME
was   O
prescribed   O
a   O
regimen   O
of   O
anticoagulation   O
therapy   O
for   O
stroke   O
prevention   O
and   O
given   O
beta   O
-   O
blockers   O
for   O
heart   O
rate   O
control   O
.   O

Further   O
review   O
of   O
the   O
Blair   B-NAME
,   I-NAME
Tony   I-NAME
's   O
case   O
will   O
be   O
held   O
in   O
Our   B-LOCATION
Town   I-LOCATION
under   O
Dr.   O
Mareli   B-NAME
Elliott   I-NAME
's   O
supervision   O
and   O
in   O
collaboration   O
with   O
the   O
healthcare   O
team   O
from   O
Pacific   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

The   O
patient   O
with   O
Patient   O
ID   O
344395   B-ID
and   O
contact   O
number   O
681   B-CONTACT
-   I-CONTACT
1166   I-CONTACT
was   O
instructed   O
to   O
strictly   O
adhere   O
to   O
the   O
medication   O
schedule   O
and   O
report   O
any   O
side   O
effects   O
immediately   O
.   O

Abbie   B-NAME
Carroll   I-NAME
was   O
discharged   O
from   O
Frisbie   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
October   B-DATE
04   I-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
after   O
a   O
month   O
.   O

The   O
above   O
information   O
was   O
documented   O
in   O
the   O
medical   O
record   O
number   O
27150126   B-ID
on   O
16/28   B-DATE
.   O

For   O
any   O
further   O
queries   O
,   O
please   O
contact   O
us   O
at   O
(   B-CONTACT
869   I-CONTACT
)   I-CONTACT
286   I-CONTACT
-   I-CONTACT
7102   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Leon   B-NAME
F.   I-NAME
Craft   I-NAME
Age   O
:   O
81   O
Phoenix   B-NAME
Reynolds   I-NAME
checked   O
into   O
Orange   B-LOCATION
City   I-LOCATION
Area   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
2349   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
20   I-DATE
.   O

They   O
reported   O
to   O
Dr.   O
Keller   B-NAME
experiencing   O
persistent   O
headaches   O
,   O
cognitive   O
dysfunction   O
signified   O
by   O
temporal   O
disorientation   O
,   O
and   O
noticeable   O
memory   O
lapses   O
.   O

Acie   B-NAME
also   O
noted   O
frequent   O
episodes   O
of   O
vertigo   O
accompanied   O
by   O
nausea   O
and   O
intermittent   O
tinnitus   O
over   O
the   O
past   O
two   O
months   O
.   O

Personal   O
Identification   O
number   O
:   O
UN:39274:116432   B-ID
Medical   O
Record   O
Number   O
:   O
5559898   B-ID
Contact   O
Phone   O
Number   O
:   O
47219   B-CONTACT
Upon   O
initial   O
diagnosis   O
,   O
Dr.   O
Howard   B-NAME
Schaefer   I-NAME
suspected   O
Temporal   O
Arteritis   O
but   O
ruled   O
it   O
out   O
after   O
administering   O
a   O
negative   O
temporal   O
artery   O
biopsy   O
.   O

The   O
patient   O
lives   O
in   O
Leesville   B-LOCATION
.   O

Additional   O
trigger   O
investigation   O
and   O
behavioral   O
modification   O
strategies   O
recommended   O
by   O
the   O
Thunder   B-LOCATION
Bank   I-LOCATION
are   O
being   O
discussed   O
.   O

The   O
patient   O
will   O
be   O
referred   O
for   O
further   O
investigations   O
including   O
MRI   O
and   O
balance   O
tests   O
at   O
Abrazo   B-LOCATION
West   I-LOCATION
Campus   I-LOCATION
.   O

Follow   O
-   O
up   O
consultation   O
was   O
scheduled   O
for   O
22/67   B-DATE
with   O
Dr.   O
Makenna   B-NAME
Hogan   I-NAME
to   O
discuss   O
test   O
results   O
and   O
formulate   O
a   O
comprehensive   O
management   O
plan   O
.   O

The   O
patient   O
or   O
her   O
designated   O
caregiver   O
can   O
contact   O
the   O
Auburn   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
administration   O
for   O
billing   O
details   O
at   O
519   B-CONTACT
-   I-CONTACT
362   I-CONTACT
-   I-CONTACT
5130   I-CONTACT
or   O
through   O
our   O
online   O
portal   O
with   O
the   O
username   O
BS410   B-NAME
and   O
can   O
make   O
payments   O
either   O
onsite   O
at   O
our   O
Laupahoehoe   B-LOCATION
office   O
or   O
through   O
the   O
mail   O
at   O
59480   B-LOCATION
.   O

Signed   O
,   O
Dr.   O
Kieran   B-NAME
Stanton   I-NAME

Patient   O
Name   O
:   O
Blake   B-NAME
Barajas   I-NAME
Age   O
:   O
5s   O
Patient   O
presented   O
at   O
Trinity   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
5/2   B-DATE
.   O

The   O
patient   O
had   O
undergone   O
an   O
Appendectomy   O
at   O
Mount   B-LOCATION
Sinai   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Miami   I-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
,   O
Plessis   B-LOCATION
in   O
21/32/59   B-DATE
.   O

His   O
medical   O
record   O
number   O
at   O
our   O
hospital   O
is   O
8456166   B-ID
.   O

His   O
SSN   O
is   O
XO   B-ID
:   I-ID
KR:3245   I-ID
.   O

His   O
cell   O
number   O
is   O
491   B-CONTACT
3116   I-CONTACT
and   O
his   O
ZIP   O
code   O
is   O
31514   B-LOCATION
.   O

Gastroenterology   O
appointment   O
with   O
Dr.   O
Clara   B-NAME
Taylor   I-NAME
is   O
arranged   O
for   O
confirmation   O
of   O
diagnosis   O
and   O
further   O
treatment   O
.   O

Follow   O
up   O
:   O
The   O
patient   O
is   O
scheduled   O
to   O
come   O
for   O
a   O
follow   O
-   O
up   O
on   O
12/01   B-DATE
.   O

Until   O
the   O
appointment   O
,   O
he   O
is   O
advised   O
to   O
call   O
562   B-CONTACT
-   I-CONTACT
7260   I-CONTACT
if   O
symptoms   O
get   O
severe   O
or   O
there   O
are   O
additional   O
concerns   O
.   O

This   O
report   O
was   O
reviewed   O
by   O
Dr.   O
Hezekiah   B-NAME
Fox   I-NAME
and   O
the   O
patient   O
's   O
case   O
would   O
be   O
discussed   O
with   O
a   O
team   O
of   O
specialists   O
at   O
Harbor   B-LOCATION
Freight   I-LOCATION
Tools   I-LOCATION
where   O
the   O
doctor   O
has   O
a   O
professional   O
affiliation   O
.   O

This   O
medical   O
report   O
has   O
been   O
recorded   O
by   O
,   O
XU331   B-NAME
.   O

Patient   O
Report   O
:   O
1985   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
07   I-DATE
Patient   O
Name   O
:   O
Raajan   B-NAME
,   I-NAME
Amitrajit   I-NAME
Patient   O
ID   O
:   O
185570124   B-ID
DOB   O
:   O
11/25   B-DATE
Address   O
:   O
Broadview   B-LOCATION
,   O
87592   B-LOCATION
Phone   O
:   O
170   B-CONTACT
5458   I-CONTACT
Primary   O
Physician   O
:   O

Gaines   B-NAME
Medical   O
Record   O
Number   O
:   O
798   B-ID
-   I-ID
41   I-ID
-   I-ID
81   I-ID
-   I-ID
8   I-ID
Hospital   O
Name   O
:   O
Great   B-LOCATION
Plains   I-LOCATION
Health   I-LOCATION
Organizations   O
involved   O
:   O
Washington   B-LOCATION
First   I-LOCATION
International   I-LOCATION
Bank   I-LOCATION
Presenting   O
Complaints   O
:   O
powell   B-NAME
,   O
a   O
Bill   O
and   O
Account   O
Collectors   O
of   O
83   O
years   O
,   O
reported   O
to   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
stating   O
severe   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
arm   O
.   O

The   O
pain   O
started   O
in   O
the   O
morning   O
of   O
22/41   B-DATE
at   O
around   O
37/12/00   B-DATE
AM   O
and   O
had   O
been   O
gradually   O
increasing   O
in   O
intensity   O
.   O

On   O
arrival   O
,   O
Eleanora   B-NAME
Durfey   I-NAME
was   O
conscious   O
but   O
looked   O
pale   O
and   O
uncomfortable   O
.   O

Zoe   B-NAME
Hart   I-NAME
found   O
his   O
blood   O
pressure   O
to   O
be   O
170/110   O
mmHg   O
,   O
a   O
pulse   O
of   O
108   O
bpm   O
,   O
and   O
respirations   O
at   O
22   O
bpm   O
.   O

Investigations   O
:   O
An   O
ECG   O
was   O
performed   O
immediately   O
as   O
directed   O
by   O
Sadie   B-NAME
Roof   I-NAME
,   O
which   O
demonstrated   O
dynamic   O
ST   O
-   O
segments   O
elevations   O
suggestive   O
of   O
anterior   O
wall   O
myocardial   O
infarction   O
.   O

Webster   B-NAME
recommended   O
coronary   O
angiography   O
and   O
possible   O
intervention   O
given   O
the   O
presented   O
findings   O
.   O

Stout   B-NAME
was   O
informed   O
about   O
the   O
risks   O
associated   O
with   O
the   O
procedure   O
.   O

The   O
cardiac   O
team   O
at   O
Jellico   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
was   O
contacted   O
with   O
cz740   B-NAME
for   O
further   O
assistance   O
.   O

Family   O
was   O
contacted   O
at   O
989   B-CONTACT
-   I-CONTACT
660   I-CONTACT
9865   I-CONTACT
regarding   O
the   O
patient   O
's   O
critical   O
condition   O
and   O
the   O
proposed   O
treatment   O
plan   O
.   O

Signed   O
,   O
David   B-NAME

Patient   O
ID   O
:   O
249   B-ID
-   I-ID
01   I-ID
-   I-ID
26   I-ID
-   I-ID
6   I-ID
22/22   B-DATE
Mr.   O
Jocelyn   B-NAME
T   I-NAME
Issa   I-NAME
is   O
a   O
5   O
month   O
year   O
old   O
male   O
who   O
presented   O
himself   O
to   O
Geisinger   B-LOCATION
Bloomsburg   I-LOCATION
Hospital   I-LOCATION
with   O
notable   O
symptoms   O
starting   O
approximately   O
one   O
week   O
ago   O
.   O

Mr.   O
Ian   B-NAME
Ignacio   I-NAME
works   O
as   O
a   O
Rock   O
Splitters   O
,   O
Quarry   O
in   O
Shafter   B-LOCATION
.   O

He   O
started   O
to   O
feel   O
unwell   O
while   O
at   O
Renys   B-LOCATION
,   O
complaining   O
of   O
persistent   O
headaches   O
,   O
fever   O
,   O
and   O
noticeable   O
weakness   O
.   O

Upon   O
performing   O
the   O
physical   O
examination   O
,   O
Betty   B-NAME
Director   I-NAME
noticed   O
wheezing   O
and   O
decreased   O
breath   O
sounds   O
.   O

We   O
were   O
able   O
to   O
contact   O
the   O
patient   O
's   O
next   O
of   O
kin   O
with   O
the   O
(   B-CONTACT
214   I-CONTACT
)   I-CONTACT
392   I-CONTACT
6165   I-CONTACT
number   O
provided   O
.   O

The   O
family   O
was   O
briefed   O
about   O
the   O
situation   O
and   O
the   O
necessary   O
treatment   O
plan   O
as   O
per   O
Phoebe   B-LOCATION
North   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
protocols   O
.   O

Mr.   O
Lillie   B-NAME
Hampton   I-NAME
is   O
currently   O
admitted   O
for   O
symptomatic   O
treatment   O
and   O
antibiotic   O
therapy   O
.   O

Follow   O
-   O
up   O
will   O
be   O
due   O
on   O
04/45   B-DATE
at   O
his   O
residing   O
place   O
,   O
56549   B-LOCATION
Nekoma   B-LOCATION
.   O

The   O
ID   O
number   O
pertaining   O
to   O
the   O
follow   O
-   O
up   O
:   O
GK108/1742   B-ID
.   O
Should   O
queries   O
arise   O
,   O
reach   O
out   O
to   O
sb435   B-NAME
(   O
assigned   O
nurse   O
)   O
via   O
the   O
previously   O
provided   O
contact   O
details   O
.   O

All   O
the   O
necessary   O
precautions   O
for   O
COVID-19   O
are   O
taken   O
into   O
consideration   O
due   O
to   O
Mr.   O
Myrtie   B-NAME
Apker   I-NAME
's   O
symptoms   O
and   O
his   O
exposure   O
at   O
CryptoRights   B-LOCATION
Foundation   I-LOCATION
office   O
in   O
Belle   B-LOCATION
Haven   I-LOCATION
.   O

His   O
insurance   O
details   O
also   O
have   O
been   O
verified   O
with   O
policy   O
number   O
381230   B-ID
.   O

The   O
patient   O
's   O
immunization   O
records   O
are   O
being   O
requested   O
from   O
his   O
previous   O
healthcare   O
provider   O
in   O
Turton   B-LOCATION
.   O

Plan   O
is   O
to   O
continue   O
monitoring   O
Mr.   O
Branson   B-NAME
Booth   I-NAME
closely   O
and   O
consider   O
changes   O
in   O
treatment   O
based   O
on   O
his   O
response   O
to   O
current   O
medications   O
.   O

Patient   O
Name   O
:   O
Ibarra   B-NAME
Age   O
:   O
95   O
Date   O
of   O
Visit   O
:   O
2186   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
arrived   O
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Pineville   I-LOCATION
complaining   O
of   O
persistent   O
chest   O
pain   O
,   O
primarily   O
in   O
the   O
left   O
side   O
of   O
the   O
chest   O
.   O

The   O
patient   O
,   O
896   B-ID
-   I-ID
77   I-ID
-   I-ID
69   I-ID
-   I-ID
9   I-ID
,   O
has   O
a   O
medical   O
history   O
of   O
hypertension   O
,   O
high   O
cholesterol   O
levels   O
,   O
and   O
diabetes   O
mellitus   O
.   O

His   O
last   O
physical   O
examination   O
was   O
done   O
by   O
Dr.   O
Kent   B-NAME
in   O
2112   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
22   I-DATE
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
conduct   O
a   O
full   O
lipid   O
profile   O
and   O
HbA1c   O
tests   O
at   O
Botswana   B-LOCATION
National   I-LOCATION
Development   I-LOCATION
Bank   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
.   O

The   O
patient   O
's   O
contact   O
number   O
is   O
70086   B-CONTACT
,   O
and   O
his   O
residence   O
is   O
in   O
9567   B-LOCATION
South   I-LOCATION
Coffee   I-LOCATION
St.   I-LOCATION
,   O
zip   O
code   O
:   O
95651   B-LOCATION
.   O

Mr.   O
Cynthia   B-NAME
Frye   I-NAME
works   O
as   O
a   O
Directors-   O
Stage   O
,   O
Motion   O
Pictures   O
,   O
Television   O
,   O
and   O
Radio   O
,   O
and   O
he   O
can   O
be   O
reached   O
at   O
his   O
office   O
at   O
the   O
Committee   B-LOCATION
of   I-LOCATION
Concerned   I-LOCATION
Scientists   I-LOCATION
using   O
ID   O
PJ118/5986   B-ID
.   O

The   O
patient   O
is   O
scheduled   O
to   O
visit   O
Dr.   O
Blankenship   B-NAME
on   O
02/20/67   B-DATE
at   O
Central   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
building   O
Goofy   B-LOCATION
Ridge   I-LOCATION
on   O
the   O
third   O
floor   O
,   O
for   O
follow   O
up   O
.   O

The   O
patient   O
's   O
case   O
has   O
also   O
been   O
assigned   O
to   O
our   O
cardiology   O
department   O
's   O
username   O
ic545   B-NAME
for   O
constant   O
monitoring   O
and   O
assistance   O
.   O

Patient   O
Report   O
:   O
Vernon   B-NAME
Voorhees   I-NAME
is   O
a   O
90   O
individual   O
from   O
Boyden   B-LOCATION
who   O
presented   O
complaints   O
of   O
myalgia   O
(   O
muscle   O
pain   O
)   O
and   O
dyspnoea   O
(   O
shortness   O
of   O
breath   O
)   O
on   O
12/13   B-DATE
.   O

The   O
Recycling   O
officer   O
from   O
West   B-LOCATION
Florida   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
was   O
n't   O
able   O
to   O
gather   O
previous   O
medical   O
history   O
due   O
to   O
patient   O
being   O
new   O
in   O
Pomeroy   B-LOCATION
,   O
having   O
recently   O
relocated   O
.   O

Patient   O
's   O
health   O
ID   O
is   O
2   B-ID
-   I-ID
3977661   I-ID
,   O
and   O
the   O
symptoms   O
started   O
a   O
few   O
days   O
post   O
his   O
move   O
from   O
his   O
previous   O
city   O
.   O

For   O
better   O
medical   O
analysis   O
and   O
management   O
,   O
we   O
have   O
referred   O
the   O
patient   O
to   O
Matilda   B-NAME
Larsen   I-NAME
at   O
UF   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
due   O
to   O
the   O
center   O
's   O
renowned   O
cardiology   O
department   O
.   O

Appointment   O
was   O
scheduled   O
on   O
October   B-DATE
21   I-DATE
,   O
and   O
the   O
patient   O
was   O
instructed   O
to   O
bring   O
previous   O
medical   O
records   O
,   O
if   O
any   O
,   O
from   O
his   O
previous   O
location   O
.   O

Patient   O
's   O
appointment   O
and   O
other   O
details   O
with   O
56946343   B-ID
of   O
the   O
hospital   O
were   O
shared   O
via   O
the   O
shared   O
hospital   O
portal   O
with   O
htj136   B-NAME
.   O

Please   O
reach   O
out   O
to   O
our   O
department   O
at   O
(   B-CONTACT
733   I-CONTACT
)   I-CONTACT
294   I-CONTACT
-   I-CONTACT
1755   I-CONTACT
in   O
case   O
of   O
queries   O
.   O

Address   O
to   O
Covenant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
:   O
Virginia   B-LOCATION
Beach   I-LOCATION
,   O
83854   B-LOCATION
.   O

Please   O
call   O
381   B-CONTACT
-   I-CONTACT
6722   I-CONTACT
for   O
any   O
assistance   O
with   O
directions   O
.   O

Signed   O
,   O
Denzel   B-NAME
Hurley   I-NAME

Patient   O
Report   O
:   O
Name   O
:   O
Jazlynn   B-NAME
Jones   I-NAME
DOB   O
:   O
2200   B-DATE
Age   O
:   O
55   O
Address   O
:   O
Chackbay   B-LOCATION
Phone   O
number   O
:   O
696   B-CONTACT
3497   I-CONTACT
Medical   O
record   O
:   O
3   B-ID
-   I-ID
103213   I-ID
ID   O
:   O
WY   B-ID
:   I-ID
YI:9611   I-ID
Doctor   O
's   O
name   O
:   O
Gilder   B-NAME
,   I-NAME
George   I-NAME
Hospital   O
:   O
AdventHealth   B-LOCATION
Tampa   I-LOCATION
Health   O
Plan   O
:   O
Federation   B-LOCATION
of   I-LOCATION
Territories   I-LOCATION
Profession   O
:   O
Community   O
and   O
Social   O
Service   O
Specialists   O
,   O
All   O
Other   O
Symptoms   O
:   O
bishop   B-NAME
arrived   O
at   O
the   O
Muhlenberg   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
0   B-DATE
-   I-DATE
2   I-DATE
.   O

The   O
examination   O
was   O
conducted   O
by   O
Janet   B-NAME
Thornton   I-NAME
.   O

Will   B-NAME
Abdul   I-NAME
presented   O
with   O
a   O
two   O
-   O
day   O
history   O
of   O
severe   O
coughing   O
accompanied   O
by   O
chills   O
and   O
a   O
high   O
fever   O
.   O

Upon   O
further   O
questioning   O
,   O
it   O
was   O
found   O
that   O
Yareli   B-NAME
Holcomb   I-NAME
was   O
also   O
experiencing   O
headaches   O
,   O
nasal   O
congestion   O
,   O
and   O
general   O
fatigue   O
.   O

Radiographic   O
imaging   O
in   O
the   O
form   O
of   O
a   O
CT   O
scan   O
of   O
the   O
chest   O
was   O
recommended   O
by   O
Chapman   B-NAME
.   O

Crawford   B-NAME
prescribed   O
a   O
regimen   O
of   O
antibiotics   O
based   O
on   O
the   O
patient   O
's   O
age   O
,   O
medical   O
history   O
,   O
and   O
the   O
severity   O
of   O
the   O
symptoms   O
,   O
along   O
with   O
symptomatic   O
treatment   O
for   O
the   O
fever   O
and   O
cough   O
.   O

It   O
was   O
recommended   O
that   O
Bryan   B-NAME
Koch   I-NAME
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
one   O
week   O
.   O

The   O
patient   O
was   O
reminded   O
to   O
contact   O
the   O
Gundersen   B-LOCATION
Lutheran   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
325   B-CONTACT
-   I-CONTACT
7930   I-CONTACT
or   O
email   O
bp437   B-NAME
@   O
FDA   B-LOCATION
if   O
symptoms   O
worsened   O
or   O
if   O
they   O
experienced   O
an   O
allergic   O
reaction   O
to   O
the   O
prescribed   O
medication   O
.   O

This   O
medical   O
record   O
was   O
last   O
updated   O
by   O
st49   B-NAME
on   O
0/1/2225   B-DATE
,   O
and   O
will   O
be   O
kept   O
at   O
the   O
Winchester   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
till   O
further   O
notice   O
.   O

Note   O
:   O
Pamula   B-NAME
Mccrary   I-NAME
's   O
last   O
known   O
location   O
was   O
Bethel   B-LOCATION
Manor   I-LOCATION
with   O
ZIP   O
code   O
30551   B-LOCATION
.   O

Patient   O
:   O
Page   B-NAME
,   I-NAME
Larry   I-NAME
Medical   O
Record   O
:   O
70814325   B-ID
Mr.   O
Julio   B-NAME
Reid   I-NAME
,   O
a   O
7   O
week   O
year   O
-   O
old   O
individual   O
,   O
was   O
presented   O
to   O
St   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Beacon   I-LOCATION
Div   I-LOCATION
on   O
33/22   B-DATE
.   O

Mr.   O
Jac   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
that   O
have   O
been   O
under   O
control   O
with   O
oral   O
medications   O
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
Laila   B-NAME
Buchanan   I-NAME
,   O
he   O
appeared   O
to   O
be   O
in   O
obvious   O
discomfort   O
.   O

Dr.   O
Horning   B-NAME
,   I-NAME
Jim   I-NAME
also   O
recommended   O
that   O
he   O
consult   O
with   O
a   O
dietitian   O
working   O
at   O
the   O
Ambit   B-LOCATION
Energy   I-LOCATION
to   O
help   O
manage   O
his   O
symptoms   O
better   O
and   O
prevent   O
further   O
gallbladder   O
issues   O
.   O

Details   O
of   O
planned   O
further   O
management   O
and   O
follow   O
-   O
up   O
consultations   O
at   O
Wilmington   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
90744   I-LOCATION
have   O
been   O
sent   O
to   O
his   O
contact   O
number   O
295   B-CONTACT
810   I-CONTACT
1112   I-CONTACT
.   O

Signed   O
,   O
Kayla   B-NAME
Thornton   I-NAME
kr61   B-NAME
2091   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
00   I-DATE
CC   O
:   O
the   O
referring   O
physician   O
at   O
Vietnamese   B-LOCATION
American   I-LOCATION
Armed   I-LOCATION
Forces   I-LOCATION
Association   I-LOCATION
Dr.   O
Berg   B-NAME
Phone   O
:   O
(   B-CONTACT
609   I-CONTACT
)   I-CONTACT
289   I-CONTACT
6725   I-CONTACT
License   O
ID   O
:   O
113106238   B-ID
Office   O
Address   O
:   O
Cass   B-LOCATION
,   O
53922   B-LOCATION

Patient   O
Name   O
:   O
Alejandra   B-NAME
Torres   I-NAME
Age   O
:   O
51   O
Address   O
:   O

Arivaca   B-LOCATION
Junction   I-LOCATION
ID   O
:   O
27834868   B-ID
Phone   O
number   O
:   O
63862   B-CONTACT
Organization   O
:   O

Lewes   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
Works   I-LOCATION
On   O
33/32/22   B-DATE
,   O
Inge   B-NAME
Logan   I-NAME
presented   O
to   O
Saint   B-LOCATION
Barnabas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
abdominal   O
pain   O
and   O
persistent   O
nausea   O
over   O
the   O
last   O
week   O
.   O

William   B-NAME
of   I-NAME
Occam   I-NAME
reported   O
that   O
the   O
pain   O
was   O
localized   O
in   O
the   O
lower   O
-   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
rating   O
it   O
an   O
8   O
on   O
a   O
scale   O
of   O
1   O
-   O
10   O
.   O

Alvarez   B-NAME
also   O
reported   O
experiencing   O
bouts   O
of   O
nausea   O
,   O
especially   O
after   O
meals   O
,   O
but   O
no   O
instances   O
of   O
vomiting   O
.   O

Upon   O
examination   O
,   O
Finnegan   B-NAME
Buchanan   I-NAME
noted   O
a   O
slight   O
raised   O
temperature   O
and   O
an   O
increased   O
heart   O
rate   O
.   O

Florianus   B-NAME
Dolven   I-NAME
also   O
showed   O
signs   O
of   O
'   O
rebound   O
tenderness   O
'   O
in   O
the   O
right   O
iliac   O
fossa   O
area   O
,   O
indicating   O
potential   O
appendicitis   O
.   O

Based   O
on   O
the   O
symptoms   O
and   O
initial   O
investigative   O
results   O
,   O
Kade   B-NAME
Werner   I-NAME
advised   O
an   O
urgent   O
abdominal   O
ultrasound   O
to   O
confirm   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

The   O
ultrasound   O
,   O
conducted   O
on   O
2151   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
31   I-DATE
proved   O
conclusive   O
,   O
with   O
visual   O
evidence   O
of   O
an   O
inflamed   O
appendix   O
.   O

Terrence   B-NAME
Powers   I-NAME
,   O
who   O
works   O
as   O
a   O
Materials   O
Scientists   O
,   O
was   O
admitted   O
into   O
Fairview   B-LOCATION
Southdale   I-LOCATION
Hospital   I-LOCATION
under   O
patient   O
record   O
598   B-ID
-   I-ID
68   I-ID
-   I-ID
35   I-ID
-   I-ID
2   I-ID
for   O
an   O
immediate   O
appendectomy   O
.   O

Palmer   B-NAME
was   O
successfully   O
operated   O
on   O
1765   B-DATE
,   O
performed   O
by   O
Douglas   B-NAME
Peck   I-NAME
.   O

Ali   B-NAME
Yu   I-NAME
is   O
expected   O
to   O
remain   O
in   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
for   O
recovery   O
and   O
observation   O
before   O
being   O
discharged   O
.   O

After   O
an   O
agreed   O
period   O
of   O
recuperation   O
,   O
Lucky   B-NAME
is   O
recommended   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Priscilla   B-NAME
Wood   I-NAME
through   O
the   O
hospital   O
’s   O
helpline   O
89829   B-CONTACT
or   O
check   O
their   O
medical   O
record   O
updates   O
using   O
odf389   B-NAME
,   O
to   O
monitor   O
the   O
recovery   O
process   O
.   O

Please   O
inform   O
Riley   B-NAME
,   I-NAME
Tim   I-NAME
to   O
send   O
their   O
travel   O
reimbursement   O
forms   O
,   O
insurance   O
forms   O
and   O
related   O
documents   O
directly   O
to   O
the   O
billing   O
department   O
at   O
Association   B-LOCATION
of   I-LOCATION
Analytical   I-LOCATION
Communities   I-LOCATION
(   I-LOCATION
AOAC   I-LOCATION
International   I-LOCATION
)   I-LOCATION
,   O
Pultneyville   B-LOCATION
.   O

Their   O
postal   O
zip   O
code   O
is   O
95757   B-LOCATION
for   O
mailing   O
.   O

This   O
is   O
necessary   O
to   O
process   O
any   O
payments   O
and   O
insurance   O
claims   O
towards   O
the   O
treatment   O
received   O
at   O
John   B-LOCATION
D.   I-LOCATION
Archbold   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Stevens   B-NAME
,   I-NAME
Wallace   I-NAME
Age   O
:   O
2   O
month   O
Record   O
Number   O
:   O
53715612   B-ID
Primary   O
Care   O
Provider   O
:   O
Giuliana   B-NAME
Hays   I-NAME
Initial   O
Report   O
:   O

The   O
patient   O
,   O
Trinity   B-NAME
Watson   I-NAME
,   O
was   O
admitted   O
to   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/26/2094   B-DATE
,   O
after   O
experiencing   O
severe   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
symptoms   O
started   O
while   O
Elise   B-NAME
Quinn   I-NAME
was   O
at   O
his   O
place   O
of   O
work   O
,   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Peru   I-LOCATION
.   O

Primary   O
Assessment   O
:   O
On   O
initial   O
assessment   O
,   O
Manuel   B-NAME
Nunez   I-NAME
exhibited   O
signs   O
of   O
acute   O
myocardial   O
infarction   O
,   O
with   O
radiating   O
pain   O
to   O
the   O
left   O
arm   O
.   O

Rick   B-NAME
January   I-NAME
's   O
blood   O
pressure   O
was   O
high   O
,   O
with   O
readings   O
recorded   O
at   O
160/100   O
.   O

Electrocardiogram   O
(   O
ECG   O
)   O
confirmed   O
that   O
Amnito   B-NAME
Homsey   I-NAME
had   O
indeed   O
suffered   O
a   O
heart   O
attack   O
.   O

On   O
referring   O
to   O
Ivan   B-NAME
Melendez   I-NAME
's   O
medical   O
history   O
(   O
ID   O
:   O
LZ158/1024   B-ID
)   O
,   O
it   O
was   O
uncovered   O
that   O
the   O
patient   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Lydia   B-NAME
Rivers   I-NAME
formulated   O
a   O
plan   O
consisting   O
of   O
immediate   O
hospital   O
admission   O
,   O
initiation   O
of   O
anticoagulants   O
,   O
maintaining   O
BP   O
control   O
,   O
and   O
scheduling   O
for   O
coronary   O
angiography   O
.   O

Follow   O
Up   O
:   O
Suzanne   B-NAME
,   I-NAME
Otto   I-NAME
is   O
expected   O
to   O
attend   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Bernville   B-LOCATION
on   O
1924   B-DATE
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
the   O
treatment   O
plan   O
,   O
Karmiti   B-NAME
or   O
his   O
family   O
members   O
can   O
reach   O
out   O
to   O
Saint   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
70866   B-CONTACT
.   O

In   O
case   O
of   O
emergencies   O
or   O
worsening   O
of   O
symptoms   O
,   O
Steinem   B-NAME
,   I-NAME
Gloria   I-NAME
was   O
advised   O
to   O
get   O
to   O
Oswego   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Oswego   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
's   O
Emergency   O
Department   O
immediately   O
and   O
provide   O
his   O
record   O
number   O
,   O
0157254   B-ID
,   O
for   O
quick   O
access   O
to   O
his   O
medical   O
profile   O
.   O

If   O
transportation   O
is   O
needed   O
,   O
services   O
from   O
Fair   B-LOCATION
Wear   I-LOCATION
Foundation   I-LOCATION
(   I-LOCATION
FWA   I-LOCATION
)   I-LOCATION
can   O
be   O
requested   O
.   O

Aaron   B-NAME
,   I-NAME
Hank   I-NAME
lives   O
in   O
Gibson   B-LOCATION
Flats   I-LOCATION
,   O
and   O
his   O
residence   O
’s   O
zip   O
code   O
is   O
96125   B-LOCATION
.   O

For   O
an   O
additional   O
layer   O
of   O
security   O
,   O
HEATHER   B-NAME
HERNANDEZ   I-NAME
's   O
online   O
portal   O
access   O
to   O
medical   O
records   O
is   O
secured   O
by   O
za833   B-NAME
.   O

This   O
record   O
was   O
last   O
updated   O
by   O
Dr.   O
Colten   B-NAME
Rice   I-NAME
on   O
25/12   B-DATE
.   O

Patient   O
Name   O
:   O
Janessa   B-NAME
Marguardt   I-NAME
Age   O
:   O
70   O
Residence   O
:   O
Centreville   B-LOCATION
Phone   O
:   O
73534   B-CONTACT
ID   O
:   O
JN:291057:106997   B-ID
Medical   O
Record   O
Number   O
:   O
4347402   B-ID
Username   O
:   O
pr877   B-NAME
The   O
patient   O
,   O
Quintus   B-NAME
Bachmeyer   I-NAME
,   O
made   O
a   O
visit   O
to   O
King   B-LOCATION
's   I-LOCATION
Daughter   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
on   O
08/10/1817   B-DATE
.   O

He   O
came   O
to   O
see   O
Dr.   O
Whitaker   B-NAME
.   O

Hopkins   B-NAME
presented   O
with   O
complaints   O
of   O
severe   O
headaches   O
as   O
well   O
as   O
intermittent   O
dizziness   O
over   O
the   O
past   O
two   O
weeks   O
.   O

In   O
addition   O
,   O
Gus   B-NAME
also   O
noted   O
associated   O
symptoms   O
such   O
as   O
nausea   O
and   O
sensitivity   O
to   O
light   O
and   O
sound   O
.   O

Rex   B-NAME
Richardson   I-NAME
,   O
working   O
as   O
a   O
Team   O
Assemblers   O
,   O
said   O
his   O
symptoms   O
have   O
affected   O
his   O
ability   O
to   O
function   O
at   O
work   O
.   O

The   O
doctor   O
at   O
Brooke   B-LOCATION
Glen   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
ordered   O
a   O
comprehensive   O
neurological   O
test   O
,   O
the   O
results   O
of   O
which   O
are   O
awaited   O
.   O

The   O
results   O
will   O
be   O
sent   O
to   O
Bo   B-NAME
Robles   I-NAME
's   O
home   O
address   O
in   O
White   B-LOCATION
Bluff   I-LOCATION
,   O
20593   B-LOCATION
,   O
and   O
the   O
payment   O
was   O
processed   O
through   O
The   B-LOCATION
Hartford   I-LOCATION
insurance   O
.   O

Ubo   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Dr.   O
Sellers   B-NAME
on   O
35/16   B-DATE
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
to   O
review   O
his   O
test   O
results   O
and   O
discuss   O
his   O
progress   O
.   O

Additional   O
communication   O
took   O
place   O
over   O
144   B-CONTACT
3163   I-CONTACT
,   O
where   O
Briley   B-NAME
Riggs   I-NAME
was   O
notified   O
for   O
regular   O
check   O
-   O
in   O
.   O

Zayne   B-NAME
Bell   I-NAME
's   O
medical   O
record   O
958   B-ID
-   I-ID
01   I-ID
-   I-ID
86   I-ID
was   O
updated   O
accordingly   O
in   O
anticipation   O
of   O
the   O
next   O
appointment   O
.   O

Since   O
Moran   B-NAME
,   I-NAME
Dylan   I-NAME
lives   O
alone   O
,   O
Dr.   O
Elliott   B-NAME
has   O
advised   O
him   O
to   O
alert   O
a   O
friend   O
or   O
family   O
member   O
about   O
his   O
condition   O
.   O

For   O
emergencies   O
,   O
contact   O
University   B-LOCATION
Hospitals   I-LOCATION
Bedford   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
851   B-CONTACT
-   I-CONTACT
3302   I-CONTACT
.   O

Patient   O
name   O
:   O
Kaylen   B-NAME
Ferguson   I-NAME
Age   O
:   O
6s   O
Sex   O
:   O
Male   O
MRN   O
:   O
23498427   B-ID
ID   O
:   O
XG   B-ID
:   I-ID
UL:4792   I-ID
Date   O
of   O
admission   O
:   O
6/6   B-DATE
Location   O
:   O
Hurtsboro   B-LOCATION
Hospital   O
:   O
Banner   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Tucson   I-LOCATION
Physician   O
:   O

Melton   B-NAME
Bea   B-NAME
Slocumb   I-NAME
,   O
a   O
carpenter   O
who   O
resides   O
at   O
Corpus   B-LOCATION
Christi   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
78412   I-LOCATION
was   O
brought   O
to   O
the   O
ER   O
at   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Panorama   I-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2256   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
.   O

The   O
patient   O
was   O
then   O
referred   O
to   O
Dr.   O
Sloane   B-NAME
Calderon   I-NAME
for   O
an   O
emergency   O
CT   O
scan   O
subsequently   O
revealing   O
an   O
inflamed   O
appendix   O
.   O

After   O
a   O
consultation   O
,   O
it   O
was   O
determined   O
the   O
Jerry   B-NAME
F.   I-NAME
Addison   I-NAME
needed   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

As   O
of   O
1/30   B-DATE
,   O
Almeda   B-NAME
Roye   I-NAME
has   O
undergone   O
the   O
procedure   O
and   O
is   O
under   O
observation   O
in   O
Northwest   B-LOCATION
Kansas   I-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Hays   I-LOCATION
.   O

His   O
family   O
from   O
Courtland   B-LOCATION
has   O
been   O
notified   O
by   O
calling   O
on   O
177   B-CONTACT
7879   I-CONTACT
and   O
are   O
expected   O
to   O
arrive   O
by   O
tomorrow   O
.   O

For   O
further   O
inquiries   O
related   O
to   O
the   O
health   O
status   O
of   O
Rachael   B-NAME
Obryan   I-NAME
,   O
refer   O
to   O
patient   O
ID   O
NL257/6974   B-ID
,   O
and   O
reach   O
out   O
to   O
the   O
admission   O
department   O
at   O
92904   B-CONTACT
.   O

The   O
details   O
of   O
the   O
treatment   O
can   O
also   O
be   O
viewed   O
online   O
using   O
NS423   B-NAME
and   O
password   O
on   O
our   O
HomeSense   B-LOCATION
healthcare   O
portal   O
.   O

Follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Bean   B-NAME
,   I-NAME
Roy   I-NAME
is   O
scheduled   O
for   O
2/8   B-DATE
at   O
the   O
outpatient   O
department   O
,   O
Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
Pensacola   I-LOCATION
,   O
located   O
at   O
Brooksville   B-LOCATION
,   I-LOCATION
Florida   I-LOCATION
,   I-LOCATION
Brooksville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
.   O

Prepared   O
by   O
:   O
Dr.   O
Rudy   B-NAME
Graham   I-NAME
14176   B-LOCATION
12/26   B-DATE

Patient   O
Information   O
:   O
Name   O
:   O
Kelly   B-NAME
Estes   I-NAME
Age   O
:   O
4   O
Medical   O
Record   O
:   O
241   B-ID
-   I-ID
26   I-ID
-   I-ID
98   I-ID
-   I-ID
5   I-ID
ID   O
:   O
FO926/9618   B-ID
Location   O
:   O
Canon   B-LOCATION
City   I-LOCATION
Phone   O
:   O
(   B-CONTACT
498   I-CONTACT
)   I-CONTACT
943   I-CONTACT
-   I-CONTACT
8397   I-CONTACT
Mr.   O
Schama   B-NAME
,   I-NAME
Simon   I-NAME
visited   O
my   O
office   O
on   O
April   B-DATE
2100   I-DATE
complaining   O
of   O
intermittent   O
chest   O
discomfort   O
and   O
palpitations   O
.   O

Mr.   O
William   B-NAME
Seth   I-NAME
Potter   I-NAME
,   O
previously   O
a   O
Funeral   O
Attendants   O
,   O
has   O
a   O
known   O
history   O
of   O
type   O
2   O
diabetes   O
and   O
was   O
diagnosed   O
with   O
high   O
cholesterol   O
level   O
in   O
a   O
check   O
-   O
up   O
at   O
Orange   B-LOCATION
County   I-LOCATION
Global   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
two   O
years   O
back   O
.   O

As   O
part   O
of   O
the   O
examination   O
,   O
an   O
EKG   O
was   O
performed   O
by   O
Dr.   O
Moriah   B-NAME
Wheeler   I-NAME
which   O
showed   O
occasional   O
premature   O
ventricular   O
contractions   O
.   O

Given   O
his   O
symptoms   O
and   O
medical   O
history   O
,   O
it   O
was   O
recommended   O
that   O
Mr.   O
Vixie   B-NAME
,   I-NAME
Paul   I-NAME
undergo   O
further   O
cardiac   O
evaluation   O
.   O

The   O
patient   O
's   O
next   O
appointment   O
at   O
BLAKE   B-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
is   O
scheduled   O
for   O
4/22   B-DATE
with   O
Dr.   O
Mira   B-NAME
Lloyd   I-NAME
.   O

An   O
echo   O
cardiogram   O
has   O
been   O
ordered   O
,   O
and   O
the   O
patient   O
has   O
been   O
referred   O
to   O
get   O
a   O
stress   O
test   O
at   O
Dilley   B-LOCATION
by   O
Pacheco   B-NAME
.   O

The   O
cardiology   O
department   O
can   O
be   O
contacted   O
at   O
663   B-CONTACT
-   I-CONTACT
2578   I-CONTACT
in   O
case   O
the   O
patient   O
needs   O
to   O
reschedule   O
his   O
appointment   O
.   O

Doctor   O
's   O
Name   O
:   O
Dr.   O
Justin   B-NAME
Adkins   I-NAME
Affiliation   O
:   O
Botswana   B-LOCATION
Power   I-LOCATION
Corporation   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Address   O
:   O
South   B-LOCATION
Webster   I-LOCATION
,   O
43143   B-LOCATION
Username   O
:   O

ut41   B-NAME

Patient   O
Report   O
Kilroy   B-NAME
-   I-NAME
Silk   I-NAME
,   I-NAME
Robert   I-NAME
,   O
a   O
30   O
-   O
year   O
old   O
male   O
reported   O
to   O
the   O
University   B-LOCATION
Hospitals   I-LOCATION
St.   I-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/45   B-DATE
.   O

Dr.   O
Ferguson   B-NAME
administered   O
an   O
initial   O
examination   O
.   O

The   O
patient   O
's   O
residence   O
is   O
at   O
Hyampom   B-LOCATION
.   O

He   O
is   O
working   O
as   O
a   O
Singers   O
in   O
a   O
local   O
Town   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
&   I-LOCATION
Trust   I-LOCATION
.   O

Medical   O
record   O
number   O
is   O
7381184   B-ID
.   O

Given   O
the   O
presented   O
symptoms   O
,   O
Dr.   O
Fisher   B-NAME
suggested   O
urgent   O
cardiac   O
catheterization   O
which   O
has   O
been   O
scheduled   O
for   O
2254   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
03   I-DATE
.   O

It   O
would   O
be   O
carried   O
out   O
in   O
the   O
Cath   O
Lab   O
on   O
floor   O
2   O
in   O
the   O
Park   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
's   O
ID   O
number   O
is   O
NK:64962:387980   B-ID

and   O
phone   O
number   O
is   O
501   B-CONTACT
3702   I-CONTACT
.   O

His   O
daughter   O
's   O
phone   O
number   O
is   O
82749   B-CONTACT
.   O

The   O
patient   O
moved   O
to   O
this   O
city   O
from   O
Hebbronville   B-LOCATION
around   O
15   O
-   O
years   O
ago   O
.   O

His   O
local   O
pharmacy   O
,   O
Botswana   B-LOCATION
Manufacturing   I-LOCATION
&   I-LOCATION
Packaging   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
of   O
Mayhill   B-LOCATION
,   O
zip   O
code   O
89739   B-LOCATION
,   O
can   O
be   O
reached   O
at   O
671   B-CONTACT
-   I-CONTACT
1740   I-CONTACT
for   O
coordination   O
of   O
prescription   O
medications   O
.   O

Dr.   O
Lexus   B-NAME
has   O
ordered   O
a   O
batch   O
of   O
medications   O
to   O
be   O
delivered   O
to   O
the   O
patient   O
's   O
address   O
.   O

For   O
any   O
online   O
medical   O
assistance   O
,   O
he   O
uses   O
the   O
username   O
nl245   B-NAME
.   O

His   O
primary   O
care   O
physician   O
,   O
Dr.   O
Isaac   B-NAME
Howell   I-NAME
can   O
also   O
be   O
contacted   O
for   O
the   O
notification   O
of   O
the   O
completion   O
of   O
the   O
procedure   O
and   O
post   O
-   O
procedure   O
care   O
.   O

Recommended   O
dietary   O
and   O
lifestyle   O
changes   O
have   O
been   O
discussed   O
with   O
Cameron   B-NAME
to   O
manage   O
his   O
condition   O
and   O
prevent   O
future   O
cardiac   O
events   O
.   O

Patient   O
Report   O
:   O
Patient   O
name   O
:   O
Estes   B-NAME
Date   O
of   O
Visit   O
:   O
2   B-DATE
-   I-DATE
38   I-DATE
Chief   O
Complaint   O
:   O
Smuts   B-NAME
,   I-NAME
Jan   I-NAME
Christiaan   I-NAME
,   O
aged   O
12   O
arrived   O
at   O
Presbyterian   B-LOCATION
-   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
severe   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

Mylee   B-NAME
Manning   I-NAME
further   O
emphasized   O
that   O
this   O
pain   O
started   O
suddenly   O
at   O
rest   O
and   O
has   O
persisted   O
for   O
more   O
than   O
15   O
minutes   O
.   O

On   O
evaluation   O
,   O
the   O
Neal   B-NAME
claimed   O
that   O
he   O
started   O
experiencing   O
these   O
symptoms   O
2   O
days   O
ago   O
.   O

Jennica   B-NAME
also   O
admitted   O
a   O
history   O
of   O
hypertension   O
and   O
has   O
been   O
smoking   O
for   O
20   O
years   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Harold   B-NAME
II   I-NAME
Godwinson   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
appeared   O
anxious   O
,   O
with   O
a   O
noticeable   O
diaphoresis   O
.   O

Vital   O
signs   O
showed   O
a   O
blood   O
pressure   O
of   O
145/95   O
mmHg   O
,   O
pulse   O
rate   O
of   O
105   O
beats   O
/   O
min   O
,   O
respirations   O
of   O
22   O
breaths   O
/   O
min   O
and   O
a   O
temperature   O
of   O
98.9   O
°   O
F   O
.   O
Investigations   O
/   O
Procedures   O
:   O
Dr.   O
Benton   B-NAME
ordered   O
an   O
urgent   O
ECG   O
and   O
blood   O
tests   O
,   O
including   O
cardiac   O
enzymes   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
investigations   O
,   O
Ernesto   B-NAME
Meyer   I-NAME
was   O
diagnosed   O
with   O
acute   O
myocardial   O
infarction   O
(   O
AMI   O
)   O
.   O

Braun   B-NAME
,   I-NAME
Wernher   I-NAME
von   I-NAME
was   O
then   O
referred   O
to   O
the   O
cardiology   O
department   O
of   O
Dale   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
.   O

Post   O
-   O
treatment   O
,   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Layla   B-NAME
Cox   I-NAME
is   O
scheduled   O
for   O
the   O
next   O
week   O
.   O

Hospital   O
ID   O
:   O
41755013   B-ID
Location   O
:   O
North   B-LOCATION
Plainfield   I-LOCATION
Contact   O
number   O
:   O
17287   B-CONTACT
Medical   O
Record   O
Number   O
:   O
40592656   B-ID
Zip   O
:   O
76214   B-LOCATION
Profession   O
:   O

Community   O
and   O
Social   O
Service   O
Specialists   O
,   O
All   O
Other   O
Username   O
:   O
go5210   B-NAME
Note   O
:   O

These   O
treatments   O
are   O
recommended   O
by   O
the   O
Nationwide   B-LOCATION
Mutual   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Carlee   B-NAME
Harmon   I-NAME
DOB   O
:   O
02/32   B-DATE
Address   O
:   O
Rochester   B-LOCATION
,   O
33669   B-LOCATION
Phone   O
:   O
41503   B-CONTACT
ID   O
:   O
XC898/4712   B-ID
Medical   O
Record   O
:   O
6814639   B-ID
Primary   O
Physician   O
:   O

Hartman   B-NAME
Hospital   O
Admitted   O
:   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Redwood   I-LOCATION
City   I-LOCATION
Date   O
Admitted   O
:   O
Thursday   B-DATE
Presenting   O
Symptom(s   O
):   O

Kaden   B-NAME
Bridges   I-NAME
was   O
admitted   O
to   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
on   O
10/30/1997   B-DATE
complaining   O
of   O
severe   O
and   O
progressive   O
dyspnea   O
,   O
fatigue   O
,   O
and   O
chest   O
discomfort   O
.   O

Insights   O
:   O
Buber   B-NAME
,   I-NAME
Martin   I-NAME
,   O
42   O
years   O
old   O
,   O
has   O
a   O
past   O
medical   O
history   O
of   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Based   O
on   O
the   O
symptoms   O
,   O
Reese   B-NAME
has   O
recommended   O
additional   O
tests   O
for   O
further   O
clarification   O
of   O
his   O
condition   O
.   O

Appointment   O
follow   O
-   O
up   O
:   O
Next   O
Review   O
to   O
be   O
done   O
on   O
12/12   B-DATE
at   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Belinda   B-NAME
Morrow   I-NAME
or   O
designated   O
Music   O
Composers   O
and   O
Arrangers   O
within   O
his   O
care   O
team   O
should   O
contact   O
Carina   B-NAME
Cross   I-NAME
via   O
14817   B-CONTACT
or   O
QU805   B-NAME
for   O
any   O
urgent   O
concerns   O
.   O

Insurance   O
details   O
:   O
Faziel   B-NAME
Paruta   I-NAME
is   O
currently   O
covered   O
under   O
Federation   B-LOCATION
of   I-LOCATION
Territories   I-LOCATION
.   O

Name   O
and   O
signature   O
of   O
attending   O
doctor   O
:   O
Dani   B-NAME
Mcneil   I-NAME
36/11/20   B-DATE
,   O
Delaware   B-LOCATION
,   O
Mid   B-LOCATION
-   I-LOCATION
Columbia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Report   O
:   O
Darrell   B-NAME
Roman   I-NAME
came   O
into   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Beaches   I-LOCATION
on   O
Sunday   B-DATE
presenting   O
with   O
persistent   O
abdominal   O
pain   O
and   O
discomfort   O
.   O

Primary   O
physician   O
Coleman   B-NAME
noted   O
increased   O
nausea   O
,   O
vomiting   O
,   O
and   O
blunt   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
reference   O
68188996   B-ID
for   O
this   O
patient   O
's   O
case   O
has   O
the   O
detailed   O
information   O
.   O

Gibbs   B-NAME
resides   O
in   O
Pleasanton   B-LOCATION
,   I-LOCATION
Pleasanton   I-LOCATION
Downtown   I-LOCATION
Association   I-LOCATION
and   O
works   O
as   O
a   O
Flight   O
Attendants   O
.   O

The   O
resident   O
Elyse   B-NAME
Penton   I-NAME
at   O
Anna   B-LOCATION
Jaques   I-LOCATION
Hospital   I-LOCATION
has   O
advised   O
further   O
tests   O
to   O
confirm   O
the   O
diagnosis   O
of   O
appendicitis   O
including   O
ultrasound   O
,   O
a   O
computerized   O
tomography   O
(   O
CT   O
)   O
scan   O
,   O
and/or   O
a   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
scan   O
.   O

The   O
scans   O
are   O
scheduled   O
for   O
29/02/2165   B-DATE
morning   O
and   O
the   O
results   O
will   O
be   O
sent   O
to   O
the   O
patient   O
's   O
email   O
with   O
username   O
SQ572   B-NAME
.   O

Kierra   B-NAME
Ayala   I-NAME
was   O
briefed   O
about   O
the   O
appendectomy   O
procedure   O
and   O
was   O
informed   O
that   O
if   O
necessary   O
,   O
the   O
surgery   O
will   O
be   O
scheduled   O
within   O
the   O
week   O
.   O

Odom   B-NAME
was   O
provided   O
with   O
a   O
reference   O
YY:1134:318304   B-ID
for   O
correspondence   O
at   O
AdventHealth   B-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
.   O

Norah   B-NAME
Mcneil   I-NAME
is   O
covered   O
by   O
the   O
Western   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
health   O
plan   O
and   O
his   O
plan   O
details   O
have   O
been   O
shared   O
with   O
the   O
hospital   O
administration   O
.   O

In   O
case   O
of   O
any   O
further   O
queries   O
,   O
the   O
patient   O
can   O
be   O
contacted   O
at   O
the   O
41287   B-CONTACT
number   O
and   O
the   O
postal   O
code   O
for   O
correspondence   O
is   O
19620   B-LOCATION
.   O

Important   O
note   O
for   O
Milo   B-NAME
Pittman   I-NAME
,   O
Bea   B-NAME
mentioned   O
a   O
penicillin   O
allergy   O
documented   O
in   O
his   O
past   O
medical   O
records   O
.   O

As   O
per   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Bethlehem   I-LOCATION
Campus   I-LOCATION
's   O
standard   O
policy   O
,   O
the   O
family   O
members   O
have   O
been   O
informed   O
of   O
the   O
situation   O
as   O
well   O
.   O

Patient   O
Name   O
:   O
Lawrence   B-NAME
Date   O
of   O
Birth   O
:   O
August   B-DATE
28   I-DATE
,   I-DATE
2081   I-DATE
Age   O
:   O
66   O
Address   O
:   O
Martin   B-LOCATION
Lake   I-LOCATION
Contact   O
Number   O
:   O
79841   B-CONTACT
Zip   O
Code   O
:   O
18736   B-LOCATION
Identification   O
Number   O
:   O
307908   B-ID
Medical   O
Record   O
Number   O
:   O
7949302   B-ID
Rojas   B-NAME
was   O
brought   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
,   I-LOCATION
formerly   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/08   B-DATE
.   O

Lucinda   B-NAME
Fillman   I-NAME
ordered   O
a   O
visual   O
field   O
test   O
for   O
confirmation   O
.   O

Thomson   B-NAME
,   I-NAME
William   I-NAME
-   I-NAME
a.k.a   I-NAME
.   I-NAME
Lord   B-NAME
Kelvin   I-NAME
underwent   O
visual   O
field   O
test   O
on   O
0   B-DATE
-   I-DATE
13   I-DATE
.   O

The   O
report   O
of   O
the   O
test   O
was   O
reviewed   O
by   O
Yadira   B-NAME
Rich   I-NAME
,   O
who   O
confirmed   O
the   O
diagnosis   O
of   O
open   O
-   O
angle   O
glaucoma   O
in   O
both   O
eyes   O
.   O

To   O
control   O
the   O
hypertension   O
,   O
Keon   B-NAME
Marquez   I-NAME
was   O
started   O
on   O
amlodipine   O
5   O
mg   O
daily   O
.   O

Next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
0/2/44   B-DATE
.   O

In   O
case   O
of   O
emergency   O
,   O
the   O
patient   O
is   O
advised   O
to   O
reach   O
out   O
to   O
San   B-LOCATION
Juan   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Prior   O
to   O
leaving   O
,   O
the   O
patient   O
signed   O
the   O
privacy   O
statement   O
prepared   O
by   O
USA   B-LOCATION
Bank   I-LOCATION
.   O

st49   B-NAME
handled   O
all   O
the   O
paperwork   O
related   O
to   O
insurance   O
coverage   O
and   O
appointments   O
.   O

Employment   O
support   O
documents   O
were   O
faxed   O
to   O
Desmond   B-NAME
Church   I-NAME
's   O
employer   O
,   O
a   O
local   O
Art   O
therapist   O
.   O

The   O
281   B-CONTACT
-   I-CONTACT
458   I-CONTACT
7601   I-CONTACT
number   O
was   O
provided   O
for   O
any   O
queries   O
.   O

Desmond   B-NAME
,   I-NAME
Paul   I-NAME
also   O
enrolled   O
in   O
a   O
support   O
group   O
,   O
'   O
Glaucoma   O
Fighters   O
'   O
,   O
coordinated   O
by   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Nigeria   I-LOCATION
(   I-LOCATION
CSN   I-LOCATION
)   I-LOCATION
.   O

Overall   O
,   O
Cardenas   B-NAME
seemed   O
concerned   O
but   O
optimistic   O
about   O
the   O
prognosis   O
.   O

The   O
patient   O
will   O
continue   O
to   O
be   O
under   O
the   O
care   O
of   O
Ellie   B-NAME
Payne   I-NAME
at   O
Northeast   B-LOCATION
Alabama   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Santa   B-LOCATION
Rita   I-LOCATION
.   O

Patient   O
Name   O
:   O
Freud   B-NAME
,   I-NAME
Sigmund   I-NAME
Age   O
:   O
9   O
month   O
Address   O
:   O
Cankton   B-LOCATION
Phone   O
:   O
378   B-CONTACT
5840   I-CONTACT
Medical   O
Record   O
:   O
308   B-ID
-   I-ID
97   I-ID
-   I-ID
07   I-ID
-   I-ID
3   I-ID
On   O
27/22/2212   B-DATE
,   O
Myah   B-NAME
Sherman   I-NAME
was   O
admitted   O
to   O
Erlanger   B-LOCATION
Baroness   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Selena   B-NAME
Malone   I-NAME
.   O

His   O
identification   O
details   O
,   O
including   O
ID   O
number   O
(   O
7862202   B-ID
)   O
were   O
recorded   O
.   O

He   O
mentioned   O
experiencing   O
an   O
episode   O
of   O
constipation   O
prior   O
to   O
the   O
onset   O
of   O
these   O
symptoms   O
,   O
but   O
his   O
bowel   O
movements   O
seem   O
to   O
have   O
returned   O
back   O
to   O
normal   O
as   O
of   O
33/28   B-DATE
.   O

His   O
travel   O
history   O
taken   O
included   O
recent   O
travels   O
to   O
Ashton   B-LOCATION
.   O

A   O
CT   O
scan   O
ordered   O
by   O
Eggman   B-NAME
revealed   O
inflammation   O
and   O
enlargement   O
of   O
the   O
appendix   O
indicative   O
of   O
appendicitis   O
.   O

The   O
appendicitis   O
was   O
confirmed   O
through   O
radiologic   O
diagnosis   O
by   O
Gulf   B-LOCATION
Power   I-LOCATION
Company   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
NextEra   I-LOCATION
Energy   I-LOCATION
.   O

It   O
was   O
decided   O
that   O
a   O
laparoscopic   O
appendectomy   O
would   O
be   O
performed   O
on   O
2322   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
with   O
appropriate   O
post   O
-   O
operative   O
and   O
wound   O
care   O
instructions   O
on   O
31   B-DATE
-   I-DATE
38   I-DATE
.   O

Should   O
there   O
be   O
any   O
issues   O
,   O
the   O
patient   O
was   O
asked   O
to   O
call   O
495   B-CONTACT
3551   I-CONTACT
.   O

His   O
medical   O
case   O
68230544   B-ID
and   O
all   O
related   O
documents   O
were   O
recorded   O
and   O
stored   O
for   O
future   O
reference   O
.   O

Follow   O
up   O
appointment   O
was   O
scheduled   O
with   O
Kasen   B-NAME
Merritt   I-NAME
on   O
12/23   B-DATE
.   O

His   O
address   O
,   O
Sylvania   B-LOCATION
and   O
zipcode   O
(   O
11593   B-LOCATION
)   O
was   O
updated   O
in   O
our   O
database   O
for   O
further   O
correspondence   O
.   O

His   O
electronic   O
access   O
to   O
the   O
hospital   O
database   O
is   O
now   O
accessible   O
via   O
username   O
zf526   B-NAME
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Estefan   B-NAME
,   I-NAME
Gloria   I-NAME
Age   O
:   O
99s   O
Gender   O
:   O
male   O
Identification   O
Number   O
:   O
OS:98514:597964   B-ID
Medical   O
Record   O
:   O
40761335   B-ID
Symptom   O
Details   O
:   O

The   O
patient   O
,   O
referred   O
to   O
as   O
Zehr   B-NAME
was   O
admitted   O
to   O
HealthAlliance   B-LOCATION
Hospital   I-LOCATION
:   I-LOCATION
Mary   I-LOCATION
’s   I-LOCATION
Avenue   I-LOCATION
Campus   I-LOCATION
on   O
2030   B-DATE
,   O
under   O
the   O
care   O
of   O
Dr.   O
Salinas   B-NAME
.   O

GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
presented   O
with   O
severe   O
epigastric   O
pain   O
and   O
nausea   O
.   O

Upon   O
examination   O
,   O
the   O
ELROD   B-NAME
,   I-NAME
RYLEY   I-NAME
appeared   O
diaphoretic   O
and   O
specifically   O
reported   O
onset   O
of   O
symptoms   O
within   O
the   O
past   O
24   O
hours   O
.   O

Naima   B-NAME
Zavaleta   I-NAME
has   O
a   O
substantial   O
history   O
of   O
heavy   O
alcohol   O
use   O
and   O
has   O
been   O
a   O
smoker   O
for   O
40   O
years   O
.   O

Grayson   B-NAME
Strickland   I-NAME
was   O
immediately   O
started   O
on   O
fluid   O
resuscitation   O
and   O
pain   O
management   O
.   O

Previous   O
Medical   O
History   O
:   O
Renee   B-NAME
Miranda   I-NAME
has   O
a   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
and   O
hypertension   O
.   O

He   O
has   O
been   O
recommended   O
lifestyle   O
changes   O
multiple   O
times   O
in   O
the   O
past   O
by   O
his   O
primary   O
physician   O
at   O
Plutocratic   B-LOCATION
Systems   I-LOCATION
.   O

Landin   B-NAME
Campos   I-NAME
takes   O
Metformin   O
(   O
for   O
diabetes   O
)   O
and   O
Lisinopril   O
(   O
for   O
hypertension   O
)   O
,   O
prescribed   O
by   O
his   O
local   O
doctor   O
in   O
Loch   B-LOCATION
Lloyd   I-LOCATION
.   O

Next   O
Steps   O
:   O
He   O
will   O
continue   O
his   O
gastronomical   O
treatment   O
at   O
West   B-LOCATION
Florida   I-LOCATION
Hospital   I-LOCATION
.   O

His   O
next   O
appointment   O
is   O
scheduled   O
for   O
09/08   B-DATE
at   O
specific   O
location   O
inside   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
East   I-LOCATION
,   O
which   O
falls   O
under   O
the   O
zip   O
code   O
94127   B-LOCATION
.   O

If   O
further   O
information   O
is   O
required   O
,   O
the   O
management   O
team   O
can   O
be   O
contacted   O
at   O
46100   B-CONTACT
.   O

The   O
patient   O
’s   O
emergency   O
contact   O
is   O
his   O
daughter   O
,   O
a   O
Electrotypers   O
and   O
Stereotypers   O
living   O
in   O
Rauchtown   B-LOCATION
.   O

Her   O
contact   O
number   O
is   O
(   B-CONTACT
721   I-CONTACT
)   I-CONTACT
323   I-CONTACT
-   I-CONTACT
7408   I-CONTACT
.   O

Online   O
Portal   O
Details   O
:   O
Concepcion   B-NAME
Duby   I-NAME
can   O
track   O
his   O
medical   O
records   O
and   O
communicate   O
with   O
the   O
team   O
through   O
the   O
hospital   O
online   O
portal   O
.   O

His   O
username   O
for   O
the   O
portal   O
is   O
zik445   B-NAME
.   O

This   O
report   O
was   O
compiled   O
by   O
Kylee   B-NAME
Mason   I-NAME
on   O
1756   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
19   I-DATE
.   O

If   O
there   O
are   O
any   O
inaccuracies   O
or   O
additions   O
required   O
,   O
please   O
report   O
to   O
Flowers   B-NAME
at   O
Ottumwa   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
:   O
Brendon   B-NAME
Dougherty   I-NAME
Walls   B-NAME
noticed   O
that   O
Myron   B-NAME
Berman   I-NAME
showed   O
up   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
complaining   O
about   O
severe   O
abdominal   O
pain   O
and   O
nausea   O
on   O
4   B-DATE
-   I-DATE
3   I-DATE
-   I-DATE
41   I-DATE
.   O

Upon   O
examination   O
,   O
Vincent   B-NAME
Alexander   I-NAME
displayed   O
tenderness   O
in   O
the   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Davenport   B-NAME
resides   O
in   O
Duenweg   B-LOCATION
,   O
87414   B-LOCATION
.   O

They   O
were   O
logged   O
into   O
the   O
system   O
with   O
a   O
medical   O
record   O
ID   O
of   O
8775741   B-ID
and   O
SSN   O
538031929   B-ID
.   O

Based   O
on   O
clinical   O
symptoms   O
and   O
preliminary   O
lab   O
results   O
,   O
Mccormick   B-NAME
concluded   O
that   O
Carlisle   B-NAME
Cullen   I-NAME
was   O
suffering   O
from   O
appendicitis   O
.   O

The   O
patient   O
was   O
then   O
admitted   O
to   O
Holy   B-LOCATION
Cross   I-LOCATION
Hospital   I-LOCATION
and   O
given   O
a   O
room   O
with   O
a   O
contact   O
820   B-CONTACT
-   I-CONTACT
344   I-CONTACT
-   I-CONTACT
3387   I-CONTACT
,   O
which   O
was   O
recorded   O
in   O
the   O
files   O
.   O

The   O
patient   O
's   O
healthcare   O
is   O
managed   O
by   O
GMB   B-LOCATION
,   O
who   O
will   O
be   O
notified   O
about   O
the   O
patient   O
's   O
condition   O
and   O
the   O
proposed   O
treatment   O
.   O

Before   O
undergoing   O
surgery   O
,   O
the   O
patient   O
was   O
asked   O
to   O
inform   O
their   O
employer   O
,   O
Authority   B-LOCATION
of   I-LOCATION
Planets   I-LOCATION
about   O
their   O
current   O
health   O
situation   O
.   O

The   O
patient   O
's   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
39/35/22   B-DATE
at   O
Northside   B-LOCATION
Hospital   I-LOCATION
Forsyth   I-LOCATION
under   O
the   O
care   O
of   O
consulting   O
physician   O
Martinez   B-NAME
.   O

The   O
patient   O
's   O
prescription   O
was   O
ordered   O
online   O
by   O
the   O
username   O
VT988   B-NAME
.   O

Skylar   B-NAME
Hale   I-NAME
has   O
advised   O
Li   B-NAME
to   O
perform   O
light   O
exercises   O
once   O
fully   O
recovered   O
.   O

A   O
dietitian   O
from   O
Backus   B-LOCATION
Hospital   I-LOCATION
will   O
also   O
reach   O
out   O
to   O
discuss   O
a   O
dietary   O
plan   O
to   O
follow   O
post   O
-   O
surgery   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Aleena   B-NAME
Carpenter   I-NAME
The   O
patient   O
was   O
admitted   O
to   O
Columbia   B-LOCATION
Basin   I-LOCATION
Hospital   I-LOCATION
on   O
5/21   B-DATE
.   O

Doyle   B-NAME
Dr.   O
Skylar   B-NAME
Mcfarland   I-NAME
examined   O
and   O
noted   O
bilateral   O
crackles   O
.   O

Further   O
differential   O
diagnosis   O
to   O
rule   O
out   O
pneumothorax   O
or   O
heart   O
failure   O
was   O
recommended   O
by   O
Rey   B-NAME
Roy   I-NAME
.   O

Rogers   B-NAME
,   O
the   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
was   O
reached   O
for   O
additional   O
input   O
and   O
more   O
comprehensive   O
medical   O
history   O
and   O
informed   O
us   O
that   O
the   O
patient   O
has   O
a   O
history   O
of   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
.   O

The   O
patient   O
also   O
has   O
diabetes   O
mellitus   O
for   O
which   O
the   O
patient   O
takes   O
metformin   O
prescribed   O
from   O
7014   B-LOCATION
Lakewood   I-LOCATION
Street   I-LOCATION
-   O
based   O
health   O
organization   O
,   O
Costco   B-LOCATION
,   O
since   O
10   O
years   O
ago   O
.   O

Lab   O
results   O
including   O
blood   O
and   O
sputum   O
samples   O
have   O
been   O
ordered   O
on   O
12/26   B-DATE
and   O
are   O
awaited   O
.   O

Phoebe   B-NAME
Abreu   I-NAME
's   O
medical   O
record   O
number   O
is   O
26565759   B-ID
and   O
the   O
health   O
insurance   O
ID   O
is   O
47898   B-ID
.   O

Patients   O
'   O
next   O
of   O
kin   O
,   O
a   O
Dentist   O
,   O
was   O
informed   O
and   O
has   O
provided   O
the   O
contact   O
number   O
of   O
62582   B-CONTACT
and   O
resides   O
at   O
Hollywood   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33029   I-LOCATION
with   O
zip   O
code   O
63183   B-LOCATION
.   O

The   O
care   O
team   O
handling   O
the   O
patient   O
's   O
case   O
includes   O
specialist   O
Descartes   B-NAME
,   I-NAME
René   I-NAME
,   O
nurse   O
qoi374   B-NAME
,   O
and   O
the   O
patient   O
's   O
case   O
is   O
being   O
documented   O
and   O
updated   O
by   O
medical   O
records   O
professional   O
,   O
IG664   B-NAME
.   O

Thank   O
You   O
,   O
Jacobson   B-NAME

Patient   O
Alysha   B-NAME
Hogenmiller   I-NAME
presented   O
to   O
Rio   B-LOCATION
Grande   I-LOCATION
Hospital   I-LOCATION
on   O
6/32/56   B-DATE
.   O

The   O
initial   O
examination   O
was   O
conducted   O
by   O
Fleming   B-NAME
.   O

3101201   B-ID
contains   O
the   O
detailed   O
examination   O
report   O
.   O

The   O
patient   O
resides   O
in   O
Mitchell   B-LOCATION
Heights   I-LOCATION
and   O
works   O
as   O
a   O
Tire   O
Repairers   O
and   O
Changers   O
,   O
which   O
can   O
be   O
quite   O
stressful   O
,   O
leading   O
to   O
inadequate   O
sleep   O
patterns   O
.   O

The   O
patient   O
's   O
identification   O
number   O
in   O
our   O
system   O
is   O
WX:1977:616170   B-ID
.   O

A   O
contact   O
number   O
has   O
been   O
provided   O
to   O
reach   O
the   O
patient   O
for   O
further   O
correspondence   O
(   O
(   B-CONTACT
710   I-CONTACT
)   I-CONTACT
200   I-CONTACT
4284   I-CONTACT
)   O
.   O

Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
in   O
two   O
weeks   O
from   O
11/00   B-DATE
with   O
Larry   B-NAME
Forbes   I-NAME
at   O
Presbyterian   B-LOCATION
Hospital   I-LOCATION
.   O

Further   O
correspondence   O
can   O
be   O
directed   O
at   O
po34   B-NAME
on   O
our   O
hospital   O
's   O
communication   O
system   O
.   O

Postal   O
communication   O
can   O
be   O
made   O
to   O
39124   B-LOCATION
if   O
needed   O
.   O

Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION
might   O
be   O
contacted   O
to   O
assist   O
in   O
this   O
patient   O
's   O
overall   O
healthcare   O
and   O
wellness   O
plan   O
if   O
deemed   O
necessary   O
following   O
the   O
next   O
consultation   O
.   O

Patient   O
report   O
:   O
Patient   O
Uriel   B-NAME
Patrick   I-NAME
Zapien   I-NAME
was   O
admitted   O
to   O
Northeast   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/29/2216   B-DATE
with   O
severe   O
epigastric   O
pain   O
,   O
fever   O
,   O
and   O
vomiting   O
.   O

This   O
50   O
-   O
year   O
-   O
old   O
Pipelayers   O
was   O
referred   O
by   O
Ganilau   B-NAME
,   I-NAME
Ratu   I-NAME
Epeli   I-NAME
.   O

The   O
patient   O
from   O
Bear   B-LOCATION
Dance   I-LOCATION
stated   O
that   O
the   O
symptom   O
onset   O
was   O
approximately   O
two   O
days   O
ago   O
and   O
has   O
been   O
progressive   O
since   O
.   O

Courtney   B-NAME
,   I-NAME
Margaret   I-NAME
's   O
medical   O
history   O
contains   O
episodes   O
of   O
peptic   O
ulcer   O
disease   O
.   O

[   O
HIS   O
/   O
HER   O
]   O
CI727/2151   B-ID
confirms   O
that   O
[   O
HIS   O
/   O
HER   O
]   O
primary   O
caretaker   O
is   O
fk956   B-NAME
.   O

The   O
Luka   B-NAME
Frederick   I-NAME
on   O
the   O
case   O
,   O
Dr.   O
Hebert   B-NAME
,   O
suggested   O
the   O
scenario   O
was   O
consistent   O
with   O
acute   O
cholecystitis   O
,   O
and   O
recommended   O
hospital   O
admission   O
for   O
parenteral   O
antibiotics   O
and   O
surgical   O
consultation   O
.   O

Mathews   B-NAME
has   O
been   O
scheduled   O
for   O
surgery   O
on   O
32   B-DATE
at   O
Legacy   B-LOCATION
Mount   I-LOCATION
Hood   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

[   O
HIS   O
/   O
HER   O
]   O
818   B-CONTACT
-   I-CONTACT
230   I-CONTACT
-   I-CONTACT
8200   I-CONTACT
number   O
was   O
collected   O
for   O
further   O
notification   O
purposes   O
.   O

423   B-ID
-   I-ID
64   I-ID
-   I-ID
16   I-ID
indicates   O
Alfredo   B-NAME
Bennett   I-NAME
was   O
a   O
regular   O
blood   O
donor   O
at   O
Statisticians   B-LOCATION
In   I-LOCATION
The   I-LOCATION
Pharmaceutical   I-LOCATION
Industry   I-LOCATION
(   I-LOCATION
PSI   I-LOCATION
)   I-LOCATION
.   O

Mcdowell   B-NAME
resides   O
in   O
88237   B-LOCATION
and   O
works   O
in   O
a   O
renowned   O
International   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Electrical   I-LOCATION
Workers   I-LOCATION
in   O
Orchidlands   B-LOCATION
Estates   I-LOCATION
.   O

Discharge   O
is   O
planned   O
for   O
21   B-DATE
-   I-DATE
Dec-2292   I-DATE
,   O
pending   O
surgical   O
intervention   O
results   O
.   O

The   O
case   O
will   O
be   O
reviewed   O
once   O
again   O
by   O
Dr.   O
Lewis   B-NAME
Hicks   I-NAME
in   O
the   O
following   O
weeks   O
.   O

Patient   O
Name   O
:   O
Colby   B-NAME
Mccormick   I-NAME
Age   O
:   O
42   O
ID   O
:   O
EB:51772:798954   B-ID
Contact   O
:   O
(   B-CONTACT
570   I-CONTACT
)   I-CONTACT
402   I-CONTACT
8704   I-CONTACT
78523503   B-ID
Date   O
of   O
Admission   O
:   O
2030   B-DATE
-   I-DATE
16   I-DATE
-   I-DATE
13   I-DATE
Attending   O
Physician   O
:   O
Krista   B-NAME
Cline   I-NAME
Hospital   O
:   O
Providence   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
London   B-NAME
Combs   I-NAME
presented   O
to   O
the   O
Physicians   B-LOCATION
Care   I-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
ER   O
with   O
symptoms   O
of   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
and   O
profuse   O
sweating   O
.   O

Luka   B-NAME
Baldwin   I-NAME
was   O
a   O
non   O
-   O
smoker   O
and   O
worked   O
as   O
a   O
Computer   O
,   O
Automated   O
Teller   O
,   O
and   O
Office   O
Machine   O
Repairers   O
in   O
Kalihiwai   B-LOCATION
.   O

The   O
symptoms   O
started   O
approximately   O
three   O
hours   O
before   O
the   O
arrival   O
to   O
the   O
ER   O
,   O
whilst   O
Byron   B-NAME
Pham   I-NAME
was   O
at   O
his   O
workplace   O
,   O
First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Winchester   I-LOCATION
.   O

Short   B-NAME
was   O
immediately   O
transferred   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
of   O
CaroMont   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Mount   I-LOCATION
Holly   I-LOCATION
for   O
initiation   O
of   O
thrombolytic   O
therapy   O
.   O

Watson   B-NAME
ordered   O
cardiac   O
biomarkers   O
which   O
were   O
significantly   O
elevated   O
.   O

Thomas   B-NAME
Flores   I-NAME
was   O
scheduled   O
for   O
a   O
coronary   O
angiography   O
on   O
6/33/22   B-DATE
considering   O
the   O
symptoms   O
and   O
findings   O
.   O

Family   O
history   O
was   O
significant   O
with   O
Madilynn   B-NAME
Nixon   I-NAME
's   O
father   O
having   O
had   O
a   O
heart   O
attack   O
at   O
1   O
.   O

Colleen   B-NAME
Polite   I-NAME
resides   O
in   O
HEMEL   B-LOCATION
HEMPSTEAD   I-LOCATION
with   O
zipcode   O
25747   B-LOCATION
and   O
confirmed   O
that   O
he   O
had   O
no   O
known   O
allergies   O
or   O
chronic   O
medical   O
conditions   O
.   O

The   O
on   O
-   O
call   O
cardiologist   O
,   O
Ponce   B-NAME
,   O
discussed   O
the   O
risks   O
and   O
benefits   O
of   O
coronary   O
angioplasty   O
with   O
the   O
patient   O
.   O

For   O
any   O
queries   O
,   O
contact   O
us   O
at   O
35323   B-CONTACT
or   O
via   O
our   O
online   O
portal   O
with   O
the   O
username   O
dl216   B-NAME
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Lucille   B-NAME
Jackson   I-NAME
Date   O
of   O
Birth   O
:   O
03/10   B-DATE
Age   O
:   O
69   O
Address   O
:   O
Crystal   B-LOCATION
Lake   I-LOCATION
,   I-LOCATION
MainStreet   I-LOCATION
Crystal   I-LOCATION
Lake   I-LOCATION
Phone   O
:   O
606   B-CONTACT
-   I-CONTACT
624   I-CONTACT
-   I-CONTACT
9700   I-CONTACT
Medical   O
Record   O
Number   O
:   O
139   B-ID
-   I-ID
92   I-ID
-   I-ID
21   I-ID
-   I-ID
5   I-ID
Patient   O
clearances   O
:   O
Rylee   B-NAME
Woods   I-NAME
presented   O
to   O
Redmond   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/01/2235   B-DATE
due   O
to   O
complains   O
of   O
constant   O
pain   O
in   O
the   O
central   O
abdomen   O
along   O
with   O
nausea   O
and   O
intermittent   O
episodes   O
of   O
vomiting   O
.   O

Upon   O
initial   O
examination   O
,   O
Billye   B-NAME
looked   O
alert   O
but   O
worn   O
out   O
due   O
to   O
persistent   O
abdominal   O
pain   O
.   O

Elliot   B-NAME
Axelrod   I-NAME
suggested   O
a   O
chest   O
radiograph   O
to   O
rule   O
out   O
possible   O
cardiovascular   O
causes   O
for   O
palpitations   O
alongside   O
other   O
laboratory   O
investigations   O
including   O
complete   O
blood   O
count   O
,   O
liver   O
function   O
tests   O
,   O
and   O
Helicobacter   O
Pylori   O
antibodies   O
.   O

Buckley   B-NAME
has   O
recommended   O
a   O
regimen   O
of   O
antibiotics   O
and   O
pain   O
management   O
drugs   O
and   O
scheduled   O
for   O
cholecystectomy   O
.   O

Blanc   B-NAME
,   I-NAME
Raymond   I-NAME
’s   O
office   O
has   O
been   O
notified   O
about   O
his   O
condition   O
and   O
he   O
has   O
been   O
recommended   O
to   O
take   O
leave   O
for   O
the   O
required   O
period   O
until   O
recovery   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
zl351   B-NAME
Address   O
:   O
Arundel   B-LOCATION
Relationship   O
to   O
the   O
patient   O
:   O
First   O
-   O
Line   O
Supervisors   O
of   O
Aquacultural   O
Workers   O
Phone   O
:   O
(   B-CONTACT
676   I-CONTACT
)   I-CONTACT
262   I-CONTACT
7841   I-CONTACT
ID   O
:   O
4   B-ID
-   I-ID
6049753   I-ID
Insurance   O
Company   O
:   O
Air   B-LOCATION
Line   I-LOCATION
Pilots   I-LOCATION
Association   I-LOCATION
,   I-LOCATION
International   I-LOCATION
Policy   O
Number   O
:   O
3915025   B-ID
Patient   O
's   O
ZIP   O
Code   O
:   O
78796   B-LOCATION

Patient   O
Name   O
:   O
Stephen   B-NAME
N   I-NAME
Mccullough   B-NAME
Age   O
:   O
33   O
Date   O
:   O
March   B-DATE
6   I-DATE
Medical   O
Record   O
Number   O
:   O
0610E89309   B-ID
Social   O
Security   O
Number   O
:   O
2   B-ID
-   I-ID
8113767   I-ID
Phone   O
Number   O
:   O
287   B-CONTACT
3646   I-CONTACT
Residence   O
:   O
Sheridan   B-LOCATION
Lake   I-LOCATION
Zip   O
Code   O
:   O
27337   B-LOCATION
Occupation   O
:   O

Broadcast   O
Technicians   O
Mccarthy   B-NAME
of   O
Bear   B-LOCATION
Lake   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
began   O
the   O
assessment   O
of   O
Tora   B-NAME
,   I-NAME
Apisai   I-NAME
.   O

Past   O
medical   O
history   O
is   O
significant   O
for   O
chronic   O
obstructive   O
pulmonary   O
disease   O
and   O
hypertension   O
which   O
are   O
managed   O
with   O
an   O
inhaler   O
and   O
lisinopril   O
respectively   O
by   O
their   O
PCP   O
Dr.   O
Jenna   B-NAME
Farmer   I-NAME
.   O

The   O
patient   O
's   O
SSN   O
is   O
MC   B-ID
:   I-ID
ER:2449   I-ID

and   O
they   O
live   O
in   O
Horn   B-LOCATION
Lake   I-LOCATION
,   O
zip   O
code   O
80134   B-LOCATION
.   O

The   O
follow   O
-   O
up   O
will   O
be   O
on   O
1804   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
30   I-DATE
.   O

The   O
patient   O
can   O
reach   O
out   O
to   O
the   O
hospital   O
at   O
64023   B-CONTACT
.   O

A   O
referral   O
to   O
a   O
physical   O
therapist   O
associated   O
with   O
In   B-LOCATION
Defense   I-LOCATION
of   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
IDA   I-LOCATION
)   I-LOCATION
has   O
been   O
made   O
.   O

Nurses   O
can   O
access   O
the   O
complete   O
case   O
file   O
under   O
username   O
coc4510   B-NAME
.   O

Patient   O
's   O
employer   O
,   O
Air   B-LOCATION
Force   I-LOCATION
Association   I-LOCATION
,   O
has   O
been   O
informed   O
of   O
the   O
patient   O
's   O
condition   O
and   O
may   O
be   O
required   O
to   O
modify   O
his   O
duties   O
or   O
work   O
area   O
depending   O
on   O
the   O
diagnosis   O
after   O
further   O
investigation   O
.   O

Alia   B-NAME
Huber   I-NAME
Age   O
:   O
6   O
week   O
Medical   O
Record   O
#   O
:   O
80804932   B-ID
I   O
,   O
Chelsea   B-NAME
Barry   I-NAME
,   O
evaluated   O
Martí   B-NAME
,   I-NAME
José   I-NAME
at   O
Portneuf   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2123   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
26   I-DATE
.   O

Ganilau   B-NAME
,   I-NAME
Ratu   I-NAME
Epeli   I-NAME
complained   O
of   O
persistent   O
,   O
dull   O
headache   O
occurring   O
daily   O
for   O
the   O
past   O
week   O
.   O

At   O
the   O
time   O
of   O
this   O
report   O
,   O
knox   B-NAME
's   O
occupation   O
is   O
Building   O
services   O
engineer   O
.   O

An   O
appointment   O
was   O
booked   O
for   O
21/01/92   B-DATE
.   O

The   O
reception   O
desk   O
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
should   O
contact   O
Braiden   B-NAME
Chaney   I-NAME
on   O
phone   O
number   O
73425   B-CONTACT
to   O
remind   O
about   O
the   O
appointment   O
.   O

The   O
medical   O
bill   O
receipt   O
with   O
99246   B-ID
will   O
be   O
sent   O
to   O
the   O
patient   O
's   O
address   O
at   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11212   I-LOCATION
,   O
50031   B-LOCATION
via   O
Civil   B-LOCATION
Air   I-LOCATION
Operations   I-LOCATION
Officers   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
.   O

Username   O
for   O
the   O
Electronic   O
Health   O
Records   O
(   O
EHR   O
)   O
system   O
for   O
Lainey   B-NAME
is   O
XH428   B-NAME
.   O

Best   O
regards   O
,   O
Rebbeca   B-NAME
Falco   I-NAME

Patient   O
Details   O
:   O
Vinnie   B-NAME
Biever   I-NAME
presented   O
to   O
ER   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Elmore   I-LOCATION
on   O
02/20/2122   B-DATE
.   O

Additionally   O
,   O
Faustina   B-NAME
Douglas   I-NAME
reported   O
that   O
his   O
pain   O
increased   O
with   O
physical   O
exertion   O
but   O
is   O
relieved   O
by   O
resting   O
.   O

Infant   B-NAME
Ledford   I-NAME
's   O
past   O
medical   O
history   O
was   O
obtained   O
from   O
his   O
1791953   B-ID
and   O
found   O
to   O
have   O
a   O
diagnosis   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
.   O

Ramon   B-NAME
Black   I-NAME
has   O
been   O
on   O
Atenolol   O
50   O
mg   O
once   O
daily   O
and   O
Metformin   O
500   O
mg   O
twice   O
a   O
day   O
for   O
2   O
years   O
and   O
he   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Initial   O
laboratory   O
investigations   O
,   O
including   O
troponin   O
I   O
,   O
CBC   O
,   O
CMP   O
,   O
lipid   O
profile   O
,   O
and   O
HbA1C   O
were   O
ordered   O
by   O
Ramsey   B-NAME
.   O

Further   O
,   O
the   O
patient   O
was   O
admitted   O
for   O
observation   O
and   O
further   O
evaluation   O
in   O
the   O
cardiac   O
unit   O
of   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Hospital   I-LOCATION
.   O

According   O
to   O
the   O
information   O
provided   O
by   O
his   O
Meter   O
Readers   O
,   O
Utilities   O
wife   O
,   O
they   O
have   O
been   O
living   O
in   O
Munnsville   B-LOCATION
since   O
last   O
3   O
years   O
.   O

His   O
contact   O
information   O
has   O
been   O
updated   O
with   O
his   O
latest   O
509   B-CONTACT
-   I-CONTACT
6006   I-CONTACT
number   O
on   O
file   O
.   O

His   O
social   O
insurance   O
0   B-ID
-   I-ID
9844109   I-ID
was   O
also   O
confirmed   O
for   O
the   O
records   O
.   O

Any   O
appointments   O
,   O
follow   O
-   O
ups   O
,   O
or   O
changes   O
to   O
his   O
treatment   O
plan   O
will   O
be   O
communicated   O
via   O
the   O
Steel   B-LOCATION
Plant   I-LOCATION
Employees   I-LOCATION
Union   I-LOCATION
's   O
official   O
portal   O
where   O
he   O
can   O
log   O
in   O
with   O
his   O
ut706   B-NAME
credentials   O
.   O

The   O
patient   O
is   O
currently   O
residing   O
at   O
WAKEFIELD   B-LOCATION
and   O
the   O
postal   O
code   O
is   O
noted   O
as   O
67749   B-LOCATION
.   O

The   O
arrangement   O
for   O
his   O
pickup   O
was   O
organized   O
by   O
notifying   O
his   O
wife   O
via   O
the   O
registered   O
(   B-CONTACT
520   I-CONTACT
)   I-CONTACT
663   I-CONTACT
-   I-CONTACT
2067   I-CONTACT
number   O
.   O

Cerra   B-NAME
Varus   I-NAME
Age   O
:   O
68   O
Medical   O
Record   O
number   O
:   O
799   B-ID
-   I-ID
02   I-ID
-   I-ID
71   I-ID
-   I-ID
3   I-ID
Residing   O
at   O
:   O
Jellico   B-LOCATION
Phone   O
:   O
22709   B-CONTACT
Zip   O
:   O
37275   B-LOCATION
Tuesday   B-DATE

Dear   O
Dr.   O
Speijk   B-NAME
,   I-NAME
Jan   I-NAME
van   I-NAME
,   O
I   O
am   O
writing   O
to   O
record   O
the   O
current   O
findings   O
for   O
Yesenia   B-NAME
Roy   I-NAME
.   O

Depending   O
on   O
these   O
results   O
,   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
a   O
gastroenterologist   O
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Waxahachie   I-LOCATION
might   O
be   O
necessary   O
.   O

The   O
patient   O
has   O
agreed   O
to   O
the   O
suggested   O
diagnostic   O
assessments   O
and   O
signed   O
consent   O
form   O
FL   B-ID
:   I-ID
PQ:5729   I-ID
.   O

She   O
also   O
provided   O
her   O
health   O
insurance   O
account   O
MU   B-ID
:   I-ID
XB:6669   I-ID
from   O
the   O
United   B-LOCATION
Auto   I-LOCATION
Workers   I-LOCATION
.   O

For   O
the   O
sake   O
of   O
record   O
,   O
her   O
username   O
on   O
our   O
online   O
portal   O
is   O
cbm589   B-NAME
.   O

Please   O
contact   O
me   O
if   O
further   O
discussion   O
about   O
the   O
Quentin   B-NAME
Carlson   I-NAME
's   O
case   O
is   O
needed   O
.   O

Kind   O
regards   O
,   O
Dr.   O
Makenna   B-NAME
Ramirez   I-NAME
Retail   O
manager   O
Tel   O
221   B-CONTACT
370   I-CONTACT
-   I-CONTACT
2346   I-CONTACT
Email   O
:   O
zy175   B-NAME

Patient   O
report   O
for   O
Gaye   B-NAME
,   I-NAME
Marvin   I-NAME
:   O
Initial   O
Presentation   O
:   O
Helen   B-NAME
Updike   I-NAME
is   O
a   O
37   O
-   O
year   O
-   O
old   O
man   O
who   O
presented   O
to   O
the   O
Sentara   B-LOCATION
Virginia   I-LOCATION
Beach   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
on   O
11/13/2149   B-DATE
with   O
complaints   O
of   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
few   O
episodes   O
of   O
vomiting   O
.   O

On   O
examination   O
,   O
Wilson   B-NAME
,   I-NAME
Flip   I-NAME
was   O
tachycardic   O
with   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
blood   O
pressure   O
was   O
132/78   O
mm   O

An   O
ultrasound   O
abdomen   O
was   O
suggested   O
by   O
Jones   B-NAME
which   O
reported   O
diffusely   O
enlarged   O
pancreas   O
with   O
no   O
evidence   O
of   O
gallstones   O
or   O
biliary   O
duct   O
dilatation   O
.   O

Management   O
:   O
Bonilla   B-NAME
was   O
admitted   O
to   O
Forest   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
for   O
management   O
.   O

Gastroenterology   O
,   O
registered   O
under   O
06005771   B-ID
,   O
was   O
consulted   O
.   O

Follow   O
Up   O
:   O
Hutton   B-NAME
,   I-NAME
James   I-NAME
was   O
reviewed   O
after   O
72   O
hours   O
.   O

If   O
any   O
other   O
concerns   O
arise   O
,   O
the   O
patient   O
or   O
family   O
can   O
contact   O
the   O
hospital   O
at   O
39124   B-CONTACT
.   O

Post   O
-   O
discharge   O
,   O
they   O
can   O
also   O
reach   O
out   O
to   O
the   O
Imperial   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
case   O
manager   O
at   O
80220   B-CONTACT
.   O

Please   O
be   O
sure   O
to   O
have   O
your   O
LO:7208:388724   B-ID
ready   O
for   O
faster   O
assistance   O
.   O

Residence   O
:   O
After   O
discharge   O
,   O
the   O
patient   O
will   O
return   O
to   O
his   O
residence   O
in   O
York   B-LOCATION
,   O
23644   B-LOCATION
and   O
continue   O
his   O
profession   O
as   O
a   O
Geoscientists   O
,   O
Except   O
Hydrologists   O
and   O
Geographers   O
.   O

Completed   O
by   O
:   O
jx681   B-NAME
on   O
34/20   B-DATE

Patient   O
Name   O
:   O
Hall   B-NAME
Doctor   O
Name   O
:   O
Dr.   O
Moss   B-NAME
Age   O
:   O
38   O
Date   O
:   O
18/08   B-DATE
Location   O
:   O
Watford   B-LOCATION
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Wayne   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
:   O
22187972   B-ID
Phone   O
:   O
818   B-CONTACT
605   I-CONTACT
-   I-CONTACT
1813   I-CONTACT
Profession   O
:   O
Licensed   O
conveyancer   O
Zip   O
code   O
:   O
93184   B-LOCATION
Check   O
-   O
in   O
01/23/51   B-DATE
report   O
for   O
patient   O
ostrowski   B-NAME
,   O
aged   O
51   O
,   O
revealed   O
severe   O
symptoms   O
consistent   O
with   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
.   O

Patient   O
works   O
as   O
a   O
Geographers   O
in   O
Logan   B-LOCATION
,   O
he   O
presented   O
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
heartburn   O
and   O
acid   O
regurgitation   O
,   O
intensifying   O
over   O
the   O
past   O
six   O
weeks   O
.   O

Dr.   O
Haas   B-NAME
of   O
Hoag   B-LOCATION
Hospital   I-LOCATION
Irvine   I-LOCATION
asserts   O
that   O
symptoms   O
occur   O
particularly   O
after   O
the   O
patient   O
's   O
meals   O
,   O
and   O
the   O
patient   O
also   O
mentioned   O
difficulties   O
swallowing   O
,   O
chronic   O
cough   O
,   O
and   O
epigastric   O
pain   O
.   O

Patient   O
Donte   B-NAME
Wong   I-NAME
was   O
previously   O
treated   O
for   O
GERD   O
2   O
years   O
ago   O
,   O
as   O
referenced   O
in   O
medical   O
record   O
number   O
82423353   B-ID
from   O
Anonymous   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Voiceless   I-LOCATION
.   O

Dr.   O
Cannon   B-NAME
also   O
suggested   O
lifestyle   O
modifications   O
including   O
weight   O
loss   O
,   O
abstaining   O
from   O
trigger   O
foods   O
,   O
and   O
elevating   O
the   O
head   O
of   O
the   O
bed   O
.   O

A   O
reminder   O
would   O
be   O
sent   O
to   O
his   O
phone   O
at   O
11014   B-CONTACT
and   O
a   O
personal   O
number   O
,   O
found   O
in   O
the   O
ID   O
clip   O
SB:63524:732455   B-ID
,   O
would   O
be   O
used   O
as   O
a   O
reference   O
for   O
any   O
future   O
communications   O
.   O

Updates   O
have   O
been   O
sent   O
to   O
the   O
patient   O
's   O
profile   O
under   O
username   O
chh137   B-NAME
for   O
easy   O
access   O
.   O

All   O
correspondence   O
would   O
be   O
sent   O
to   O
his   O
residence   O
at   O
Cassel   B-LOCATION
,   O
85366   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Dorie   B-NAME
ID   O
:   O
UU:74055:958966   B-ID
Medical   O
Record   O
:   O
100   B-ID
-   I-ID
47   I-ID
-   I-ID
24   I-ID
-   I-ID
1   I-ID
Griswold   B-NAME
,   I-NAME
Erwin   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Downriver   I-LOCATION
on   O
2327   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
28   I-DATE
with   O
symptoms   O
of   O
dyspnea   O
,   O
tachycardia   O
,   O
and   O
visible   O
cyanosis   O
.   O

Pappas   B-NAME
lives   O
in   O
Detroit   B-LOCATION
Beach   I-LOCATION
,   O
where   O
he   O
originally   O
began   O
treatment   O
for   O
the   O
cough   O
under   O
the   O
supervision   O
of   O
Dr.   O
Evan   B-NAME
Rehbein   I-NAME
.   O

Their   O
weight   O
has   O
plummeted   O
from   O
the   O
usual   O
healthy   O
range   O
,   O
indicating   O
the   O
presence   O
of   O
severe   O
,   O
unexplained   O
weight   O
loss   O
.   O
Previously   O
treated   O
by   O
International   B-LOCATION
Rehabilitation   I-LOCATION
Council   I-LOCATION
for   I-LOCATION
Torture   I-LOCATION
Victims   I-LOCATION
in   O
Morehead   B-LOCATION
,   O
the   O
patient   O
has   O
a   O
history   O
of   O
smoking   O
,   O
with   O
approximately   O
three   O
decades   O
of   O
exposure   O
.   O

James   B-NAME
Mortimer   I-NAME
is   O
employed   O
as   O
a   O
Video   O
game   O
developer   O
,   O
which   O
could   O
have   O
potentially   O
exposed   O
them   O
to   O
various   O
hazardous   O
substances   O
.   O

On   O
the   O
day   O
of   O
the   O
visit   O
,   O
31/22   B-DATE
,   O
diagnostic   O
testing   O
including   O
chest   O
X   O
-   O
ray   O
,   O
CT   O
Scan   O
,   O
and   O
pulmonary   O
function   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Gina   B-NAME
Maddox   I-NAME
at   O
Dell   B-LOCATION
Seton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
the   I-LOCATION
University   I-LOCATION
of   I-LOCATION
Texas   I-LOCATION
.   O

Patient   O
's   O
personal   O
details   O
:   O
Phone   O
number   O
:   O
163   B-CONTACT
9510   I-CONTACT
Residential   O
address   O
:   O
Las   B-LOCATION
Animas   I-LOCATION
,   O
67648   B-LOCATION
Contact   O
for   O
details   O
:   O
Dr.   O
Castro   B-NAME
-   O
available   O
at   O
39833   B-CONTACT
or   O
via   O
email   O
at   O
uf90   B-NAME
@   O
Fort   B-LOCATION
Pierce   I-LOCATION
Utilities   I-LOCATION
Authority   I-LOCATION
.com   O

Copies   O
of   O
report   O
will   O
be   O
made   O
available   O
to   O
the   O
patient   O
,   O
primary   O
care   O
doctor   O
,   O
and   O
medical   O
record   O
department   O
of   O
Central   B-LOCATION
Washington   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Information   O
:   O
Yuna   B-NAME
K.   I-NAME
Tripp   I-NAME
presented   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Rowan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/24   B-DATE
.   O

Mohawk   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
but   O
no   O
known   O
allergies   O
to   O
medications   O
.   O

Upon   O
physical   O
examination   O
by   O
Jaylon   B-NAME
Faulkner   I-NAME
,   O
the   O
patient   O
appeared   O
pale   O
and   O
was   O
mildly   O
tachypneic   O
.   O

Vernell   B-NAME
Fournier   I-NAME
was   O
admitted   O
to   O
the   O
Cardiology   O
Department   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Gross   B-NAME
underwent   O
cardiac   O
angiography   O
on   O
32/23/2111   B-DATE
,   O
which   O
revealed   O
significant   O
stenosis   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

A   O
successful   O
PCI   O
with   O
drug   O
-   O
eluting   O
stent   O
placement   O
was   O
performed   O
by   O
Key   B-NAME
.   O

The   O
patient   O
resides   O
in   O
Bromyard   B-LOCATION
with   O
contact   O
403   B-CONTACT
-   I-CONTACT
260   I-CONTACT
-   I-CONTACT
1222   I-CONTACT
.   O

As   O
per   O
occupation   O
,   O
Harrison   B-NAME
Blackwood   I-NAME
works   O
as   O
a   O
Registered   O
Nurses   O
.   O

Previous   O
health   O
records   O
were   O
requested   O
from   O
Trade   B-LOCATION
Union   I-LOCATION
Centre   I-LOCATION
of   I-LOCATION
India   I-LOCATION
with   O
the   O
patient   O
's   O
consent   O
.   O

The   O
corresponding   O
924556   B-ID
was   O
received   O
and   O
updated   O
to   O
our   O
database   O
with   O
su464   B-NAME
.   O

Our   O
system   O
generated   O
703614   B-ID
for   O
the   O
patient   O
for   O
the   O
future   O
reference   O
.   O

The   O
patient   O
was   O
discharged   O
home   O
in   O
a   O
stable   O
condition   O
on   O
2/21   B-DATE
.   O

Records   O
to   O
be   O
mailed   O
at   O
-   O
NEWCASTLE   B-LOCATION
UPON   I-LOCATION
TYNE   I-LOCATION
,   O
56588   B-LOCATION
.   O

For   O
any   O
additional   O
questions   O
,   O
contact   O
our   O
team   O
at   O
93093   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rylee   B-NAME
Rodriguez   I-NAME
Delilah   B-NAME
Hodge   I-NAME
is   O
a   O
15   O
year   O
old   O
who   O
was   O
admitted   O
to   O
INTEGRIS   B-LOCATION
Bass   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
2/0   B-DATE
.   O

On   O
the   O
day   O
of   O
admission   O
,   O
Bacon   B-NAME
,   I-NAME
Francis   I-NAME
presented   O
with   O
a   O
high   O
fever   O
,   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

After   O
the   O
consultation   O
,   O
Jonson   B-NAME
,   I-NAME
Ben   I-NAME
suspected   O
severe   O
pneumonia   O
and   O
ordered   O
further   O
tests   O
.   O

Marshall   B-NAME
noted   O
that   O
London   B-NAME
Freeman   I-NAME
's   O
temperature   O
was   O
39.2   O
degrees   O
Celsius   O
.   O

Kassandra   B-NAME
Casey   I-NAME
works   O
as   O
a   O
Reservation   O
and   O
Transportation   O
Ticket   O
Agents   O
and   O
Travel   O
Clerks   O
at   O
Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION
which   O
is   O
located   O
at   O
Big   B-LOCATION
Spring   I-LOCATION
.   O

Ferguson   B-NAME
,   I-NAME
Miriam   I-NAME
mentioned   O
getting   O
a   O
flu   O
shot   O
from   O
Chartered   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Physiotherapy   I-LOCATION
last   O
year   O
but   O
he   O
did   O
n't   O
get   O
one   O
this   O
year   O
.   O

His   O
ID   O
is   O
0   B-ID
-   I-ID
4519924   I-ID
and   O
his   O
contact   O
number   O
is   O
59896   B-CONTACT
.   O

His   O
primary   O
healthcare   O
provider   O
(   O
Jeffery   B-NAME
Jarvis   I-NAME
)   O
can   O
also   O
be   O
reached   O
at   O
(   B-CONTACT
215   I-CONTACT
)   I-CONTACT
811   I-CONTACT
9696   I-CONTACT
.   O

He   O
resides   O
at   O
Henrietta   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
75351   B-LOCATION
.   O

The   O
complete   O
medical   O
history   O
can   O
be   O
seen   O
in   O
the   O
medical   O
record   O
no   O
52266941   B-ID
The   O
billing   O
details   O
and   O
insurance   O
information   O
for   O
Osvaldo   B-NAME
Lawson   I-NAME
can   O
be   O
found   O
linked   O
with   O
WX215   B-NAME
.   O

In   O
conclusion   O
,   O
Lila   B-NAME
Stark   I-NAME
has   O
been   O
diagnosed   O
with   O
pneumonia   O
and   O
will   O
require   O
hospitalization   O
and   O
antibiotic   O
therapy   O
at   O
Larkin   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
up   O
is   O
recommended   O
after   O
discharge   O
and   O
the   O
contact   O
details   O
can   O
be   O
found   O
under   O
pk200   B-NAME
.   O

Sincerely   O
,   O
Cabrera   B-NAME

Patient   O
Name   O
:   O
Picasso   B-NAME
,   I-NAME
Pablo   I-NAME
Age   O
:   O
78   O
Medical   O
History   O
Record   O
:   O
159   B-ID
-   I-ID
34   I-ID
-   I-ID
09   I-ID
-   I-ID
5   I-ID
The   O
patient   O
,   O
who   O
's   O
a   O
Pipe   O
Fitters   O
and   O
Steamfitters   O
,   O
was   O
initially   O
admitted   O
to   O
Essentia   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
July   B-DATE
23   I-DATE
,   I-DATE
2237   I-DATE
.   O

Dr.   O
Krish   B-NAME
Pollard   I-NAME
performed   O
a   O
comprehensive   O
physical   O
examination   O
upon   O
admission   O
.   O

Further   O
investigations   O
were   O
carried   O
out   O
in   O
the   O
Imaging   O
department   O
of   O
Gulf   B-LOCATION
Coast   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
and   O
a   O
CT   O
of   O
the   O
abdomen   O
confirmed   O
a   O
swollen   O
,   O
edematous   O
appendix   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
had   O
his   O
surgery   O
on   O
32/2   B-DATE
by   O
Dr.   O
Lernoux   B-NAME
,   I-NAME
Penny   I-NAME
.   O

The   O
patient   O
was   O
discharged   O
on   O
2118   B-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
examination   O
after   O
two   O
weeks   O
,   O
to   O
be   O
performed   O
on   O
22/0/2042   B-DATE
at   O
Hawaiian   B-LOCATION
Beaches   I-LOCATION
,   O
and   O
he   O
was   O
given   O
the   O
153   B-CONTACT
-   I-CONTACT
226   I-CONTACT
7727   I-CONTACT
number   O
to   O
call   O
in   O
case   O
he   O
exhibited   O
any   O
symptoms   O
beforehand   O
.   O

After   O
recovery   O
,   O
the   O
patient   O
may   O
resume   O
his   O
work   O
as   O
a   O
Producers   O
and   O
Directors   O
under   O
the   O
advisory   O
of   O
Casey   B-NAME
Mejia   I-NAME
.   O

This   O
has   O
been   O
noted   O
under   O
the   O
patient   O
's   O
JV659/2773   B-ID
for   O
work   O
certificate   O
processing   O
.   O

For   O
future   O
contact   O
and   O
administration   O
purposes   O
,   O
Henriette   B-NAME
Leversee   I-NAME
's   O
address   O
has   O
been   O
updated   O
to   O
Affton   B-LOCATION
,   O
28664   B-LOCATION
.   O

Finally   O
,   O
the   O
transfer   O
of   O
patient   O
's   O
medical   O
reports   O
and   O
files   O
online   O
will   O
be   O
processed   O
under   O
the   O
username   O
:   O
kh456   B-NAME
in   O
our   O
L&O   B-LOCATION
Power   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
's   O
medical   O
management   O
system   O
.   O

It   O
is   O
advisable   O
for   O
Botha   B-NAME
,   I-NAME
Pik   I-NAME
to   O
keep   O
his   O
gt07   B-NAME
confidential   O
.   O

Signed   O
,   O
Peters   B-NAME
,   O
Located   B-LOCATION
within   I-LOCATION
Beaumont   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Taylor   I-LOCATION

Patient   O
Gustavo   B-NAME
Tyler   I-NAME
of   O
65   O
years   O
presented   O
to   O
Ellinwood   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Ellinwood   I-LOCATION
on   O
13/21   B-DATE
,   O
reporting   O
severe   O
lower   O
abdominal   O
pain   O
persisting   O
since   O
the   O
last   O
three   O
days   O
.   O

Registered   O
under   O
medical   O
record   O
3212S72155   B-ID
,   O
the   O
patient   O
was   O
previously   O
treated   O
by   O
Dr.   O
Humphrey   B-NAME
for   O
gastric   O
ulcers   O
.   O

Residing   O
at   O
Cool   B-LOCATION
with   O
the   O
postal   O
code   O
11187   B-LOCATION
,   O
he   O
works   O
as   O
a   O
Gas   O
Processing   O
Plant   O
Operators   O
.   O

A   O
comprehensive   O
metabolic   O
panel   O
,   O
complete   O
blood   O
count   O
,   O
and   O
urinalysis   O
were   O
ordered   O
for   O
further   O
assessment   O
,   O
the   O
results   O
of   O
which   O
will   O
be   O
made   O
available   O
on   O
the   O
patient   O
's   O
portal   O
,   O
accessed   O
by   O
the   O
username   O
ims2310   B-NAME
.   O

His   O
last   O
known   O
health   O
insurance   O
ID   O
was   O
OF:35150:973433   B-ID
,   O
provided   O
by   O
Reliance   B-LOCATION
Partners   I-LOCATION
.   O

Furthermore   O
,   O
if   O
any   O
additional   O
diagnostic   O
procedures   O
are   O
required   O
,   O
the   O
patient   O
or   O
his   O
immediate   O
family   O
may   O
be   O
reached   O
at   O
the   O
phone   O
number   O
819   B-CONTACT
5177   I-CONTACT
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Padilla   B-NAME
,   O
will   O
be   O
furnished   O
with   O
a   O
copy   O
of   O
his   O
medical   O
report   O
and   O
treatment   O
plan   O
.   O

No   O
changes   O
have   O
been   O
made   O
to   O
his   O
current   O
drug   O
regimen   O
until   O
confirmed   O
after   O
the   O
specialist   O
notes   O
are   O
reviewed   O
at   O
Norristown   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
is   O
due   O
for   O
reassessment   O
on   O
28/02   B-DATE
.   O

Patient   O
Information   O
:   O
Joetta   B-NAME
Lepe   I-NAME
came   O
to   O
Aurora   B-LOCATION
Sheboygan   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/31   B-DATE
.   O

He   O
is   O
a   O
42   O
year   O
old   O
male   O
from   O
Lockridge   B-LOCATION
.   O

He   O
is   O
employed   O
as   O
a   O
Preventive   O
Medicine   O
Physicians   O
with   O
a   O
local   O
Centre   B-LOCATION
on   I-LOCATION
Housing   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Evictions   I-LOCATION
(   I-LOCATION
COHRE   I-LOCATION
)   I-LOCATION
.   O

His   O
primary   O
care   O
doctor   O
is   O
Erin   B-NAME
Morrison   I-NAME
.   O

His   O
contact   O
number   O
is   O
401   B-CONTACT
6094   I-CONTACT
.   O

Past   O
medical   O
records   O
were   O
referred   O
using   O
his   O
515   B-ID
39   I-ID
25   I-ID
.   O

Nolan   B-NAME
Clayton   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
associated   O
with   O
sedentary   O
lifestyle   O
.   O

Diagnostic   O
Assessment   O
:   O
Wozniak   B-NAME
,   I-NAME
Steve   I-NAME
has   O
undergone   O
brain   O
imaging   O
tests   O
at   O
Penn   B-LOCATION
Highlands   I-LOCATION
Clearfield   I-LOCATION
,   O
which   O
have   O
come   O
back   O
negative   O
,   O
ruling   O
out   O
serious   O
conditions   O
such   O
as   O
tumors   O
or   O
intracranial   O
bleeding   O
.   O

A   O
physical   O
assessment   O
was   O
conducted   O
by   O
Mcpherson   B-NAME
,   O
indicating   O
a   O
heightened   O
blood   O
pressure   O
.   O

Instructions   O
:   O
Jennifer   B-NAME
Long   I-NAME
was   O
instructed   O
to   O
follow   O
up   O
after   O
two   O
weeks   O
or   O
earlier   O
if   O
any   O
unexpected   O
complications   O
or   O
worsening   O
of   O
symptoms   O
occur   O
.   O

Finally   O
,   O
the   O
receptionist   O
at   O
Odessa   B-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
Center   I-LOCATION
scheduled   O
the   O
next   O
appointment   O
and   O
his   O
health   O
LW:34831:879627   B-ID
was   O
noted   O
down   O
for   O
future   O
references   O
and   O
billing   O
procedures   O
.   O

All   O
the   O
further   O
correspondence   O
will   O
be   O
sent   O
to   O
his   O
home   O
at   O
38592   B-LOCATION
.   O

The   O
patient   O
left   O
Polk   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
after   O
his   O
appointment   O
was   O
confirmed   O
with   O
a   O
receipt   O
,   O
which   O
could   O
be   O
accessed   O
using   O
his   O
personal   O
XH428   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Bacevich   B-NAME
,   I-NAME
Andrew   I-NAME
Age   O
:   O
46   O
Medical   O
Record   O
Number   O
:   O

436   B-ID
-   I-ID
87   I-ID
-   I-ID
25   I-ID
-   I-ID
4   I-ID
The   O
patient   O
visited   O
the   O
clinic   O
on   O
12/10   B-DATE
and   O
was   O
seen   O
by   O
Dominik   B-NAME
Peck   I-NAME
.   O

The   O
patient   O
was   O
presented   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Erie   I-LOCATION
with   O
complaints   O
of   O
severe   O
headache   O
,   O
high   O
-   O
grade   O
fever   O
,   O
and   O
fatigue   O
.   O

The   O
patient   O
is   O
a   O
resident   O
of   O
Lower   B-LOCATION
Salem   I-LOCATION
and   O
works   O
as   O
a   O
Museum   O
/   O
gallery   O
exhibition   O
officer   O
.   O

Since   O
the   O
patient   O
's   O
health   O
is   O
currently   O
unstable   O
,   O
I   O
have   O
advised   O
the   O
patient   O
to   O
get   O
admitted   O
to   O
Sound   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Westchester   I-LOCATION
for   O
better   O
monitoring   O
and   O
further   O
treatment   O
.   O

Further   O
updates   O
will   O
be   O
certified   O
by   O
Manning   B-NAME
.   O

Please   O
contact   O
85396   B-CONTACT
for   O
any   O
immediate   O
queries   O
or   O
requirements   O
for   O
the   O
patient   O
.   O

Their   O
health   O
insurance   O
10   B-ID
-   I-ID
4730126   I-ID
with   O
Grand   B-LOCATION
Collective   I-LOCATION
will   O
provide   O
necessary   O
coverage   O
for   O
the   O
treatment   O
and   O
medication   O
costs   O
.   O

Any   O
further   O
medical   O
correspondence   O
should   O
refer   O
to   O
ID   O
vp696   B-NAME
for   O
convenience   O
.   O

Patients   O
communication   O
can   O
be   O
sent   O
to   O
their   O
house   O
address   O
which   O
is   O
in   O
53149   B-LOCATION
=   O
Canistota   B-LOCATION
.   O

This   O
report   O
is   O
created   O
on   O
09/56   B-DATE
.   O

Hull   B-NAME

Patient   O
Details   O
:   O
Name   O
:   O
Nikolas   B-NAME
Christian   I-NAME
Age   O
:   O
23   O
Medical   O
Record   O
Number   O
:   O
860   B-ID
-   I-ID
39   I-ID
-   I-ID
81   I-ID
-   I-ID
8   I-ID
Physician   O
's   O
Note   O
(   O
00/01   B-DATE
):   O
Veronica   B-NAME
Avila   I-NAME
presented   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
persistent   O
cough   O
,   O
unexplained   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

He   O
/   O
She   O
is   O
a   O
Woodworking   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Except   O
Sawing   O
living   O
in   O
Alexander   B-LOCATION
City   I-LOCATION
and   O
reported   O
having   O
no   O
known   O
allergies   O
.   O

During   O
our   O
initial   O
examination   O
on   O
2/5   B-DATE
,   O
Chambers   B-NAME
,   I-NAME
Oswald   I-NAME
reported   O
instances   O
of   O
dry   O
cough   O
that   O
had   O
been   O
occurring   O
intermittently   O
since   O
the   O
start   O
of   O
the   O
month   O
.   O

Despite   O
the   O
normal   O
body   O
temperature   O
of   O
around   O
37   O
°   O
C   O
,   O
Kiana   B-NAME
Fletcher   I-NAME
complained   O
of   O
feeling   O
cold   O
intermittently   O
.   O

Upon   O
further   O
examination   O
,   O
manifesting   O
symptoms   O
and   O
previous   O
tests   O
,   O
Kelsie   B-NAME
Carroll   I-NAME
was   O
suspected   O
to   O
have   O
pneumonia   O
.   O

This   O
is   O
largely   O
due   O
to   O
the   O
crackling   O
sounds   O
detected   O
from   O
the   O
lower   O
lobe   O
of   O
the   O
right   O
lung   O
during   O
auscultation   O
,   O
and   O
Aisha   B-NAME
Ferrell   I-NAME
's   O
history   O
of   O
similar   O
health   O
complications   O
dating   O
back   O
to   O
04/09   B-DATE
.   O

Drake   B-NAME
Chavez   I-NAME
was   O
referred   O
to   O
Cooley   B-NAME
at   O
Forks   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
awaiting   O
his   O
/   O
her   O
professional   O
advice   O
on   O
the   O
matter   O
.   O

Sebastian   B-NAME
Lloyd   I-NAME
ordered   O
a   O
chest   O
X   O
-   O
Ray   O
and   O
some   O
blood   O
tests   O
,   O
the   O
results   O
of   O
which   O
are   O
anticipated   O
by   O
June   B-DATE
24th   I-DATE
.   O

Consequentially   O
,   O
our   O
organization   O
at   O
Borough   B-LOCATION
of   I-LOCATION
Milltown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
will   O
provide   O
further   O
assistance   O
upon   O
receipt   O
of   O
the   O
results   O
.   O

We   O
have   O
explained   O
to   O
Baillie   B-NAME
,   I-NAME
Bruce   I-NAME
to   O
keep   O
his   O
/   O
her   O
ID   O
:   O
RL179/8877   B-ID
,   O
handy   O
for   O
all   O
communications   O
regarding   O
medical   O
treatments   O
,   O
and   O
to   O
promptly   O
contact   O
63681   B-CONTACT
for   O
further   O
inquiries   O
or   O
emergencies   O
.   O

Kindly   O
check   O
our   O
web   O
portal   O
using   O
va529   B-NAME
for   O
regular   O
updates   O
on   O
John   B-NAME
Dolittle   I-NAME
's   O
health   O
condition   O
.   O

We   O
have   O
sent   O
the   O
necessary   O
instructions   O
to   O
Umberto   B-NAME
Xuan   I-NAME
's   O
home   O
address   O
at   O
Nogal   B-LOCATION
,   O
34272   B-LOCATION
.   O

Warm   O
Regards   O
,   O
Palme   B-NAME
,   I-NAME
Olof   I-NAME
Consultant   O
Physician   O
,   O
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

Miya   B-NAME
Ford   I-NAME
:   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
Age   O
:   O
36s   O
Medical   O
Record   O
Number   O
:   O
880   B-ID
-   I-ID
17   I-ID
-   I-ID
02   I-ID
-   I-ID
2   I-ID
Physician   O
:   O
Kennedy   B-NAME
,   I-NAME
Edward   I-NAME
Hospital   O
:   O
McLaren   B-LOCATION
-   I-LOCATION
Bay   I-LOCATION
Region   I-LOCATION
Location   O
:   O
113   B-LOCATION
Arcadia   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

On   O
13/25/2162   B-DATE
,   O
Madden   B-NAME
Perez   I-NAME
was   O
brought   O
into   O
Edward   B-LOCATION
John   I-LOCATION
Noble   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
reporting   O
severe   O
abdominal   O
pain   O
,   O
rated   O
at   O
8   O
on   O
a   O
scale   O
of   O
10   O
.   O

Sha   B-NAME
also   O
has   O
a   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
and   O
hypertension   O
.   O

Eugene   B-NAME
Hanson   I-NAME
therefore   O
ordered   O
an   O
abdominal   O
ultrasound   O
which   O
confirmed   O
an   O
inflamed   O
and   O
swollen   O
pancreas   O
.   O

The   O
patient   O
's   O
personal   O
data   O
including   O
social   O
security   O
number   O
FF:80470:482252   B-ID

and   O
contact   O
766   B-CONTACT
4184   I-CONTACT
have   O
been   O
duly   O
recorded   O
.   O

The   O
information   O
was   O
noted   O
by   O
the   O
assigned   O
nurse   O
ZM856   B-NAME
for   O
our   O
records   O
.   O

The   O
results   O
of   O
the   O
diagnostic   O
tests   O
were   O
also   O
sent   O
to   O
the   O
patient   O
's   O
primary   O
physician   O
based   O
in   O
Windsor   B-LOCATION
Locks   I-LOCATION
through   O
their   O
user   O
account   O
QA697   B-NAME
.   O

Park   B-NAME
also   O
suggested   O
referral   O
for   O
dietary   O
consultation   O
.   O

The   O
patient   O
's   O
employer   O
,   O
a   O
renowned   O
Barnes   B-LOCATION
Banking   I-LOCATION
Company   I-LOCATION
situated   O
in   O
Chiniak   B-LOCATION
,   O
47465   B-LOCATION
was   O
also   O
informed   O
about   O
the   O
status   O
as   O
the   O
patient   O
holds   O
the   O
Logging   O
Equipment   O
Operators   O
position   O
in   O
their   O
company   O
.   O

Overall   O
,   O
the   O
patient   O
's   O
condition   O
is   O
currently   O
stable   O
and   O
under   O
close   O
monitoring   O
by   O
the   O
medical   O
staff   O
at   O
Grand   B-LOCATION
Strand   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
all   O
findings   O
have   O
been   O
logged   O
in   O
the   O
medical   O
record   O
number   O
01954567   B-ID
.   O

Patient   O
Name   O
:   O
Arely   B-NAME
Gonzalez   I-NAME
Patient   O
ID   O
:   O
JB:18982:929892   B-ID
Medical   O
Record   O
Number   O
:   O
58240045   B-ID
DOB   O
:   O
2/57   B-DATE
Age   O
:   O
5   O
week   O
Address   O
:   O
Sims   B-LOCATION
,   O
89271   B-LOCATION
Phone   O
:   O
467   B-CONTACT
-   I-CONTACT
4734   I-CONTACT
Date   O
of   O
Visit   O
:   O
18/32/19   B-DATE
Visit   O
was   O
referred   O
by   O
Dr.   O
Laila   B-NAME
Orozco   I-NAME
at   O
BronxCare   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

Presenting   O
Complaints   O
:   O
Xanders   B-NAME
presented   O
with   O
intermittent   O
chest   O
pain   O
and   O
dyspnea   O
over   O
the   O
past   O
week   O
.   O

Along   O
with   O
chest   O
pain   O
,   O
Hezekiah   B-NAME
Whitaker   I-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
excessive   O
sweating   O
.   O

Prater   B-NAME
is   O
known   O
to   O
have   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
and   O
hypertension   O
,   O
and   O
is   O
undergoing   O
treatment   O
from   O
Dr.   O
Blanc   B-NAME
,   I-NAME
Raymond   I-NAME
for   O
the   O
past   O
2   O
years   O
.   O

Investigations   O
:   O
A   O
complete   O
blood   O
count   O
,   O
ECR   O
,   O
chest   O
x   O
-   O
ray   O
,   O
and   O
electrocardiogram   O
were   O
advised   O
by   O
Dr.   O
Angelique   B-NAME
Rose   I-NAME
.   O

This   O
report   O
was   O
prepared   O
by   O
xi707   B-NAME
,   O
Medical   O
Officer   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Informed   O
to   O
attend   O
follow   O
-   O
up   O
after   O
one   O
week   O
on   O
2282   B-DATE
.   O

Note   O
to   O
Education   O
Administrators   O
,   O
Elementary   O
and   O
Secondary   O
School   O
:   O
Please   O
ask   O
Malachi   B-NAME
Morrison   I-NAME
to   O
contact   O
me   O
at   O
(   B-CONTACT
442   I-CONTACT
)   I-CONTACT
587   I-CONTACT
3153   I-CONTACT
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

cc   O
:   O
Dr.   O
Seamus   B-NAME
Perry   I-NAME
,   O
Dickinson   B-LOCATION
County   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
,   O
ILUG   B-LOCATION
-   I-LOCATION
Delhi   I-LOCATION

Patient   O
Report   O
Name   O
:   O
Kenyetta   B-NAME
Date   O
of   O
Consultation   O
:   O

6/32   B-DATE
Attending   O
Physician   O
:   O
Cooper   B-NAME
Patient   O
ID   O
:   O
GP369/1750   B-ID
Medical   O
Record   O
:   O
4488756   B-ID
Hospital   O
:   O
Timpanogos   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Minnesott   B-LOCATION
Beach   I-LOCATION
Age   O
:   O
5   O
week   O
Contact   O
Number   O
:   O
621   B-CONTACT
-   I-CONTACT
4085   I-CONTACT
Referred   O
by   O
Dr.   O
Montes   B-NAME
from   O
Sawnee   B-LOCATION
EMC   I-LOCATION
,   O
Tigurius   B-NAME
presented   O
at   O
Wildwood   B-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
chest   O
pain   O
radiating   O
towards   O
the   O
left   O
shoulder   O
.   O

The   O
symptoms   O
started   O
approximately   O
48   O
hours   O
ago   O
on   O
32/22/37   B-DATE
.   O
Jones   B-NAME
,   O
employed   O
as   O
a   O
Education   O
Administrators   O
,   O
Postsecondary   O
,   O
was   O
previously   O
diagnosed   O
with   O
hypertension   O
and   O
has   O
been   O
on   O
medication   O
.   O

Upon   O
physical   O
examination   O
by   O
Dr.   O
Mariana   B-NAME
Downs   I-NAME
,   O
Garrett   B-NAME
Albert   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
.   O

Dr.   O
Stephens   B-NAME
recommended   O
immediate   O
hospitalization   O
for   O
further   O
investigation   O
and   O
treatment   O
.   O

Patient   O
was   O
admitted   O
to   O
Room   O
306   O
,   O
Garden   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
on   O
the   O
same   O
day   O
.   O

Lenna   B-NAME
Dalbeck   I-NAME
lives   O
in   O
East   B-LOCATION
Garden   I-LOCATION
City   I-LOCATION
with   O
his   O
spouse   O
.   O

The   O
emergency   O
contact   O
number   O
for   O
his   O
spouse   O
is   O
18144   B-CONTACT
.   O

The   O
treatment   O
plan   O
was   O
discussed   O
with   O
the   O
Madelynn   B-NAME
Herman   I-NAME
and   O
his   O
spouse   O
.   O

The   O
Murray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
waiting   O
for   O
approval   O
from   O
their   O
insurance   O
company   O
,   O
Rochester   B-LOCATION
Public   I-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
under   O
policy   O
number   O
5863974   B-ID
,   O
to   O
proceed   O
with   O
the   O
angioplasty   O
.   O

Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
22/22   B-DATE
at   O
the   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Cypress   I-LOCATION
Hospital   I-LOCATION
with   O
Dr.   O
Trevin   B-NAME
Solomon   I-NAME
.   O

Prepared   O
by   O
CD646   B-NAME
Note   O
:   O
Please   O
reach   O
out   O
at   O
219   B-CONTACT
-   I-CONTACT
3276   I-CONTACT
or   O
dib762   B-NAME
@   O
East   B-LOCATION
Orange   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.com   O
for   O
further   O
inquiries   O
or   O
clarifications   O
.   O

The   O
postal   O
code   O
of   O
Sydney   B-NAME
Napur   I-NAME
's   O
last   O
known   O
residence   O
is   O
66766   B-LOCATION
.   O

Patient   O
Name   O
:   O
Moses   B-NAME
Report   O
:   O
2125   B-DATE
,   O
the   O
patient   O
was   O
referred   O
to   O
Emanate   B-LOCATION
Health   I-LOCATION
Queen   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
by   O
the   O
general   O
practitioner   O
Breanna   B-NAME
Castaneda   I-NAME
.   O

Address   O
:   O
Damascus   B-LOCATION
,   O
65227   B-LOCATION
Phone   O
:   O
62582   B-CONTACT
DOB   O
:   O
11/78   B-DATE
SSN   O
:   O
269200377   B-ID
Medical   O
Record   O
Number   O
:   O
7992706   B-ID

The   O
examination   O
was   O
carried   O
out   O
by   O
Barr   B-NAME
on   O
09/22/2021   B-DATE
.   O

Further   O
tests   O
were   O
suggested   O
by   O
Vaughn   B-NAME
to   O
confirm   O
the   O
suspicion   O
and   O
the   O
patient   O
was   O
scheduled   O
for   O
a   O
caloric   O
test   O
on   O
10/30   B-DATE
for   O
further   O
determination   O
.   O

The   O
patient   O
's   O
username   O
for   O
accessing   O
medical   O
records   O
online   O
on   O
the   O
Metromile   B-LOCATION
platform   O
is   O
aj391   B-NAME
.   O

The   O
patient   O
was   O
advised   O
to   O
monitor   O
symptoms   O
and   O
follow   O
prescribed   O
medications   O
until   O
the   O
next   O
visit   O
scheduled   O
on   O
03/05/1989   B-DATE
at   O
Maui   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
medical   O
emergency   O
,   O
the   O
patient   O
is   O
advised   O
to   O
contact   O
Tanner   B-NAME
at   O
419   B-CONTACT
903   I-CONTACT
-   I-CONTACT
5597   I-CONTACT
or   O
visit   O
the   O
nearest   O
healthcare   O
center   O
.   O

Patient   O
Antonia   B-NAME
Hage   I-NAME
should   O
continue   O
to   O
rest   O
,   O
stay   O
hydrated   O
,   O
and   O
avoid   O
any   O
sudden   O
movements   O
to   O
reduce   O
vertigo   O
.   O

The   O
data   O
in   O
this   O
report   O
is   O
shared   O
and   O
preserved   O
in   O
a   O
system   O
under   O
institutional   O
rules   O
and   O
are   O
accessed   O
using   O
rfw6010   B-NAME
.   O

The   O
patient   O
was   O
advised   O
to   O
bring   O
their   O
0   B-ID
-   I-ID
3044716   I-ID
during   O
their   O
next   O
visit   O
to   O
Via   B-LOCATION
Christi   I-LOCATION
Hospitals   I-LOCATION
Wichita   I-LOCATION
-   I-LOCATION
St   I-LOCATION
Francis   I-LOCATION
.   O

An   O
online   O
payment   O
link   O
was   O
sent   O
to   O
their   O
registered   O
phone   O
number   O
74056   B-CONTACT
for   O
the   O
payment   O
of   O
their   O
caloric   O
test   O
.   O

3947080   B-ID
:   O
4532   O
06/10/2210   B-DATE
:   O

The   O
patient   O
,   O
Jay   B-NAME
Sellers   I-NAME
,   O
came   O
into   O
the   O
ER   O
at   O
Metropolitan   B-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
sudden   O
,   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

On   O
26/20   B-DATE
,   O
a   O
CT   O
scan   O
was   O
conducted   O
,   O
confirming   O
signs   O
of   O
inflammation   O
surrounding   O
the   O
pancreas   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Townsend   B-NAME
made   O
a   O
diagnosis   O
of   O
acute   O
pancreatitis   O
.   O

Prior   O
to   O
this   O
current   O
episode   O
,   O
the   O
patient   O
had   O
a   O
series   O
of   O
medical   O
consultations   O
with   O
Hazlitt   B-NAME
,   I-NAME
William   I-NAME
late   O
in   O
0/08/69   B-DATE
due   O
to   O
recurring   O
abdominal   O
pain   O
.   O

The   O
patient   O
's   O
sister   O
,   O
a   O
Electronic   O
Equipment   O
Installers   O
and   O
Repairers   O
,   O
Motor   O
Vehicles   O
,   O
also   O
works   O
in   O
Old   B-LOCATION
Westbury   I-LOCATION
and   O
has   O
had   O
two   O
hospital   O
admissions   O
due   O
to   O
cholelithiasis   O
complications   O
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
remotely   O
via   O
Star   B-LOCATION
's   I-LOCATION
Collective   I-LOCATION
for   O
monitoring   O
the   O
patient   O
's   O
condition   O
.   O

Patient   O
's   O
emergency   O
contact   O
:   O
23679   B-CONTACT
,   O
who   O
resides   O
at   O
Pueblito   B-LOCATION
del   I-LOCATION
Carmen   I-LOCATION
with   O
zip   O
code   O
53319   B-LOCATION
.   O

For   O
further   O
information   O
,   O
reach   O
out   O
to   O
the   O
department   O
using   O
the   O
dedicated   O
line   O
650   B-CONTACT
5012   I-CONTACT
or   O
via   O
the   O
patient   O
portal   O
at   O
www.   O
cbp812   B-NAME
.com   O
.   O

Please   O
note   O
that   O
for   O
privacy   O
protection   O
,   O
all   O
communications   O
consist   O
of   O
PHI   O
-   O
compliant   O
language   O
,   O
in   O
accordance   O
with   O
the   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Austin   I-LOCATION
's   O
regulations   O
regarding   O
patient   O
OB:53836:765253   B-ID
disclosure   O
and   O
data   O
confidentiality   O
.   O

Patient   O
Name   O
:   O
Johns   B-NAME
Age   O
:   O
13   O
Medical   O
Record   O
Number   O
:   O
2717339   B-ID
Location   O
:   O
Red   B-LOCATION
Corral   I-LOCATION
Zip   O
:   O
58649   B-LOCATION
SSN   O
:   O
UA   B-ID
:   I-ID
QD:8019   I-ID
Clinician   O
:   O
Edward   B-NAME
George   I-NAME
Armstrong   I-NAME
Hospital   O
:   O
UCSF   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Moffitt   I-LOCATION
-   I-LOCATION
Long   I-LOCATION
Hospitals   I-LOCATION
Date   O
:   O
22/22   B-DATE
I   O
saw   O
Min   B-NAME
Ferracioli   I-NAME
today   O
in   O
Delray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
has   O
been   O
previously   O
treated   O
by   O
Julian   B-NAME
Blackburn   I-NAME
for   O
chololithiasis   O
,   O
which   O
raises   O
concerns   O
about   O
his   O
current   O
discomfort   O
.   O

Acie   B-NAME
experienced   O
bouts   O
of   O
chronic   O
fatigue   O
over   O
the   O
past   O
six   O
weeks   O
coupled   O
with   O
psychomotor   O
retardation   O
.   O

Kennedy   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
which   O
has   O
been   O
controlled   O
for   O
the   O
past   O
10   O
years   O
by   O
regular   O
antihypertensive   O
medications   O
.   O

His   O
last   O
recorded   O
blood   O
pressure   O
in   O
our   O
Canby   B-LOCATION
clinic   O
was   O
slightly   O
elevated   O
.   O

The   O
patient   O
operates   O
as   O
an   O
information   O
technology   O
professional   O
in   O
United   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
and   O
thus   O
,   O
spends   O
large   O
durations   O
of   O
his   O
day   O
sitting   O
.   O

He   O
lives   O
with   O
his   O
family   O
in   O
60042   B-LOCATION
and   O
is   O
unwilling   O
to   O
provide   O
his   O
846   B-CONTACT
5486   I-CONTACT
number   O
due   O
to   O
privacy   O
concerns   O
.   O

We   O
need   O
to   O
closely   O
monitor   O
Forever   B-NAME
's   O
condition   O
and   O
consider   O
changing   O
the   O
regimen   O
if   O
required   O
.   O

I   O
will   O
arrange   O
for   O
an   O
abdominal   O
scan   O
during   O
our   O
next   O
meeting   O
on   O
1800   B-DATE
.   O

The   O
appointment   O
confirmation   O
will   O
be   O
sent   O
to   O
his   O
username   O
fu585   B-NAME
in   O
the   O
patient   O
portal   O
.   O

Signed   O
,   O
Gordon   B-NAME

Patient   O
Report   O
:   O
25/22   B-DATE
Name   O
:   O
Roberts   B-NAME
Age   O
:   O
96   O
Medical   O
Record   O
Number   O
:   O
2252797   B-ID
Occupation   O
:   O
Educational   O
,   O
Guidance   O
,   O
School   O
,   O
and   O
Vocational   O
Counselors   O
Home   O
Address   O
:   O
Chain   B-LOCATION
O   I-LOCATION
'   I-LOCATION
Lakes   I-LOCATION
Contact   O
number   O
:   O
310   B-CONTACT
-   I-CONTACT
864   I-CONTACT
-   I-CONTACT
7680   I-CONTACT
Health   O
Insurance   O
ID   O
:   O
SH885/3232   B-ID
Physician   O
's   O
Name   O
:   O
Kurtz   B-NAME
,   I-NAME
Katherine   I-NAME
Chief   O
Complaints   O
:   O
The   O
Kolten   B-NAME
Garner   I-NAME
came   O
in   O
with   O
complaints   O
of   O
persistent   O
cough   O
and   O
fever   O
.   O

Condition   O
has   O
worsened   O
over   O
the   O
past   O
few   O
days   O
with   O
commencement   O
of   O
symptoms   O
a   O
week   O
ago   O
on   O
08/18/1916   B-DATE
.   O

The   O
Harris   B-NAME
,   I-NAME
William   I-NAME
Torrey   I-NAME
does   O
not   O
have   O
any   O
chest   O
pain   O
or   O
wheezing   O
but   O
is   O
experiencing   O
fatigue   O
and   O
mild   O
shortness   O
of   O
breath   O
.   O

Earlier   O
,   O
the   O
Lien   B-NAME
dismissed   O
these   O
symptoms   O
as   O
an   O
effect   O
of   O
the   O
change   O
in   O
weather   O
in   O
Clute   B-LOCATION
.   O

No   O
significant   O
past   O
medical   O
history   O
noted   O
from   O
the   O
records   O
ID   O
9736044   B-ID
.   O

Recent   O
Travel   O
History   O
:   O
The   O
ULLOA   B-NAME
,   I-NAME
MISTY   I-NAME
recently   O
travelled   O
to   O
La   B-LOCATION
Porte   I-LOCATION
for   O
work   O
associated   O
with   O
Grand   B-LOCATION
Collective   I-LOCATION
.   O

Diagnosis   O
:   O
Further   O
evaluation   O
and   O
consultation   O
with   O
Dr.   O
Max   B-NAME
Buck   I-NAME
at   O
Ellis   B-LOCATION
Fischel   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
is   O
needed   O
to   O
confirm   O
the   O
diagnosis   O
.   O

Follow   O
-   O
up   O
:   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
the   O
primary   O
care   O
provider   O
(   O
PCP   O
)   O
,   O
Dr.   O
Boyle   B-NAME
,   O
after   O
one   O
week   O
on   O
2/99   B-DATE
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
and   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Sunnyvale   I-LOCATION
.   O

For   O
any   O
immediate   O
concerns   O
,   O
the   O
Fish   B-NAME
is   O
advised   O
to   O
contact   O
the   O
Rockefeller   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
via   O
13678   B-CONTACT
.   O

Note   O
:   O
This   O
report   O
has   O
been   O
compiled   O
by   O
IZ187   B-NAME
at   O
the   O
clinic   O
situated   O
in   O
98716   B-LOCATION
zone   O
.   O

Patient   O
Name   O
:   O
Malone   B-NAME
Age   O
:   O
88   O
Medical   O
Record   O
:   O
7434337   B-ID
Date   O
of   O
Consultation   O
:   O
2285   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
32   I-DATE
Quinton   B-NAME
H.   I-NAME
Welch   I-NAME
was   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Parkview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
the   O
Wednesday   B-DATE
.   O

Neurological   O
examination   O
was   O
conducted   O
by   O
Dr.   O
Brooke   B-NAME
Mccarthy   I-NAME
and   O
revealed   O
neck   O
rigidity   O
and   O
positive   O
Kernig   O
's   O
sign   O
,   O
prompting   O
a   O
hypothesis   O
of   O
subarachnoid   O
hemorrhage   O
.   O

Alfred   B-NAME
Short   I-NAME
's   O
family   O
–   O
comprising   O
his   O
wife   O
(   O
age   O
2   O
)   O
and   O
daughter   O
(   O
age   O
35   O
)   O
-   O
reside   O
in   O
Mountain   B-LOCATION
Home   I-LOCATION
and   O
were   O
informed   O
over   O
75044   B-CONTACT
about   O
his   O
medical   O
condition   O
and   O
the   O
required   O
treatment   O
protocol   O
.   O

The   O
patient   O
will   O
be   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Ari   B-NAME
Mendoza   I-NAME
to   O
evaluate   O
his   O
progress   O
in   O
a   O
week   O
's   O
time   O
after   O
the   O
18/08   B-DATE
.   O

The   O
patient   O
's   O
employer   O
,   O
Pinnacle   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Oregon   I-LOCATION
,   O
has   O
also   O
been   O
informed   O
,   O
respecting   O
the   O
laws   O
and   O
regulations   O
regarding   O
absenteeism   O
due   O
to   O
health   O
conditions   O
.   O

The   O
patient   O
’s   O
insurance   O
details   O
have   O
been   O
secured   O
with   O
his   O
social   O
security   O
number   O
EK:95152:630614   B-ID

and   O
his   O
home   O
address   O
,   O
Rockham   B-LOCATION
,   O
51925   B-LOCATION
has   O
been   O
updated   O
in   O
our   O
hospital   O
records   O
with   O
contact   O
phone   O
number   O
as   O
11098   B-CONTACT
.   O

The   O
report   O
was   O
compiled   O
and   O
updated   O
by   O
tk981   B-NAME
for   O
further   O
reference   O
.   O

The   O
staff   O
at   O
Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Brunswick   I-LOCATION
Campus   I-LOCATION
remains   O
committed   O
to   O
providing   O
quality   O
care   O
and   O
effective   O
treatment   O
to   O
ensure   O
Etenia   B-NAME
's   O
health   O
improvements   O
.   O

The   O
patient   O
,   O
Merrick   B-NAME
,   O
came   O
to   O
the   O
Utah   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
33/14   B-DATE
.   O

He   O
is   O
a   O
Mental   O
Health   O
Counselors   O
of   O
35   O
years   O
,   O
and   O
resides   O
in   O
Ranger   B-LOCATION
.   O

Karly   B-NAME
Proctor   I-NAME
reported   O
suffering   O
from   O
dyspnoea   O
,   O
fatigability   O
,   O
and   O
frequent   O
episodes   O
of   O
syncope   O
for   O
around   O
a   O
month   O
.   O

His   O
medical   O
history   O
,   O
found   O
in   O
866   B-ID
-   I-ID
95   I-ID
-   I-ID
93   I-ID
-   I-ID
4   I-ID
,   O
revealed   O
a   O
previous   O
myocardial   O
infarction   O
two   O
years   O
prior   O
.   O

Mason   B-NAME
advised   O
advanced   O
cardiac   O
life   O
support   O
(   O
ACLS   O
)   O
protocol   O
along   O
with   O
a   O
battery   O
of   O
tests   O
,   O
including   O
2D   O
ECHO   O
,   O
EKG   O
,   O
and   O
blood   O
tests   O
.   O

The   O
Waverly   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
lab   O
found   O
elevated   O
levels   O
of   O
B   O
-   O
type   O
natriuretic   O
peptide   O
(   O
BNP   O
)   O
and   O
troponin   O
,   O
supporting   O
the   O
diagnosis   O
of   O
heart   O
failure   O
.   O

The   O
Brooks   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
management   O
team   O
recommended   O
hospitalization   O
and   O
the   O
patient   O
was   O
admitted   O
to   O
the   O
ICU   O
.   O

Family   O
members   O
were   O
informed   O
and   O
advised   O
to   O
call   O
16637   B-CONTACT
for   O
regular   O
updates   O
on   O
Jolie   B-NAME
Butler   I-NAME
's   O
condition   O
.   O

Shaylee   B-NAME
Macias   I-NAME
is   O
a   O
member   O
of   O
Sussex   B-LOCATION
Rural   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
with   O
health   O
plan   O
number   O
VM   B-ID
:   I-ID
LJ:5261   I-ID
.   O

During   O
the   O
admission   O
process   O
,   O
the   O
address   O
was   O
confirmed   O
from   O
his   O
license   O
as   O
Gilboa   B-LOCATION
,   O
77337   B-LOCATION
.   O

Next   O
of   O
kin   O
was   O
registered   O
as   O
his   O
son   O
,   O
contactable   O
at   O
49605   B-CONTACT
.   O

As   O
part   O
of   O
Bell   B-LOCATION
Hospital   I-LOCATION
's   O
protocol   O
,   O
patient   O
progress   O
will   O
be   O
regularly   O
updated   O
on   O
the   O
hospital   O
's   O
digital   O
health   O
system   O
with   O
access   O
available   O
to   O
healthcare   O
professionals   O
under   O
the   O
username   O
HD766   B-NAME
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Max   B-NAME
Gottlieb   I-NAME
Age   O
:   O
68   O
Date   O
of   O
Visit   O
:   O
Thursday   B-DATE
Medical   O
Record   O
:   O
Dr.   O
Jocelyn   B-NAME
Becker   I-NAME
reported   O
that   O
patient   O
came   O
in   O
with   O
various   O
symptoms   O
indicative   O
of   O
a   O
possible   O
sickness   O
.   O

After   O
obtaining   O
the   O
patient   O
's   O
31385012   B-ID
,   O
he   O
was   O
assigned   O
to   O
Room   O
001   O
at   O
St.   B-LOCATION
Francis   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
's   O
9828829   B-ID
indicates   O
a   O
previous   O
history   O
of   O
hypertension   O
and   O
type-2   O
diabetes   O
.   O

Address   O
:   O
The   O
patient   O
resides   O
at   O
Manchester   B-LOCATION
,   O
Zip   O
Code   O
69420   B-LOCATION
.   O

The   O
patient   O
is   O
a   O
Secondary   O
School   O
Teachers   O
,   O
Except   O
Special   O
and   O
Vocational   O
Education   O
at   O
Home   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

Further   O
contact   O
information   O
of   O
the   O
patient   O
includes   O
an   O
active   O
phone   O
number   O
951   B-CONTACT
891   I-CONTACT
-   I-CONTACT
7583   I-CONTACT
and   O
an   O
employee   O
ID   O
CM   B-ID
:   I-ID
VO:4827   I-ID
.   O

The   O
patient   O
's   O
username   O
on   O
the   O
hospital   O
's   O
online   O
platform   O
is   O
dyy816   B-NAME
.   O

Further   O
Comments   O
:   O
It   O
is   O
advised   O
for   O
Altessa   B-NAME
to   O
undergo   O
further   O
tests   O
to   O
pinpoint   O
the   O
exact   O
nature   O
and   O
cause   O
of   O
the   O
presented   O
sickness   O
.   O

Consultation   O
with   O
specialists   O
in   O
gastroenterology   O
and   O
endocrinology   O
from   O
Henderson   B-LOCATION
Hospital   I-LOCATION
could   O
provide   O
additional   O
insight   O
into   O
the   O
matter   O
.   O

Dr.   O
Ayla   B-NAME
Baldwin   I-NAME
will   O
continue   O
with   O
the   O
medication   O
and   O
diet   O
regulation   O
for   O
the   O
patient   O
's   O
hypertension   O
and   O
diabetes   O
condition   O
in   O
accordance   O
with   O
their   O
previous   O
medical   O
records   O
.   O

Note   O
:   O
This   O
report   O
will   O
remain   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
medical   O
team   O
at   O
Clear   B-LOCATION
View   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
.   O

Patient   O
Name   O
:   O
Goldberg   B-NAME
Age   O
:   O
63   O
Admission   O
Date   O
:   O
02/16   B-DATE
Release   O
Date   O
:   O
03/07/1792   B-DATE
Medical   O
ID   O
:   O
562   B-ID
-   I-ID
07   I-ID
-   I-ID
42   I-ID
Initial   O
Assessment   O
:   O
Isaiah   B-NAME
Rodriguez   I-NAME
presented   O
with   O
non   O
-   O
specific   O
symptoms   O
including   O
fatigue   O
,   O
myalgia   O
,   O
and   O
intermittent   O
fevers   O
for   O
the   O
past   O
week   O
.   O

On   O
physical   O
examination   O
,   O
ELROD   B-NAME
,   I-NAME
RYLEY   I-NAME
complains   O
of   O
tenderness   O
in   O
the   O
upper   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Medical   O
History   O
:   O
Abbott   B-NAME
suffers   O
from   O
hypertension   O
and   O
diabetes   O
,   O
and   O
has   O
been   O
under   O
the   O
care   O
of   O
Vincent   B-NAME
at   O
EHA   O
Diabetes   O
Center   O
,   O
where   O
records   O
(   O
requested   O
and   O
pending   O
)   O
indicate   O
consistent   O
blood   O
glucose   O
levels   O
.   O

Management   O
of   O
hypertension   O
is   O
ongoing   O
under   O
the   O
supervision   O
of   O
Burns   B-NAME
at   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

An   O
ultrasound   O
scan   O
of   O
abdomen   O
performed   O
on   O
00/20/2323   B-DATE
at   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Southwest   I-LOCATION
Hospital   I-LOCATION
revealed   O
mild   O
hepatomegaly   O
and   O
cholelithiasis   O
with   O
multiple   O
gallstones   O
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
return   O
to   O
Ackermanville   B-LOCATION
for   O
a   O
follow   O
-   O
up   O
within   O
two   O
weeks   O
.   O

During   O
this   O
period   O
,   O
Crane   B-NAME
has   O
been   O
prescribed   O
oral   O
corticosteroids   O
to   O
manage   O
the   O
inflammation   O
and   O
Ursodeoxycholic   O
acid   O
for   O
gallstones   O
.   O

The   O
patient   O
has   O
been   O
asked   O
to   O
contact   O
Mel   B-NAME
Buffkin   I-NAME
on   O
286   B-CONTACT
-   I-CONTACT
580   I-CONTACT
-   I-CONTACT
8381   I-CONTACT
for   O
any   O
issues   O
.   O

Release   O
Information   O
:   O
Stafford   B-NAME
was   O
released   O
on   O
30/01/2342   B-DATE
and   O
instructed   O
to   O
follow   O
strict   O
medication   O
guidelines   O
and   O
dietary   O
changes   O
as   O
advised   O
by   O
the   O
practitioner   O
.   O

Follow   O
up   O
scheduled   O
on   O
1653   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
01   I-DATE
at   O
the   O
Cocoa   B-LOCATION
West   I-LOCATION
branch   O
of   O
Eastside   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
report   O
was   O
last   O
updated   O
by   O
tvv879   B-NAME
at   O
Galaxies   B-LOCATION
'   I-LOCATION
Republic   I-LOCATION
on   O
2022   B-DATE
.   O

For   O
more   O
information   O
,   O
please   O
refer   O
to   O
the   O
medical   O
privacy   O
norm   O
ID:   O
8699679   B-ID
Branch   O
office   O
location   O
:   O
8631   B-LOCATION
St   B-LOCATION
Louis   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION

Postal   O
Address   O
:   O
PO   O
Box   O
87255   B-LOCATION
Contact   O
Number   O
:   O
254   B-CONTACT
-   I-CONTACT
843   I-CONTACT
9374   I-CONTACT

Patient   O
Report   O
:   O
Patient   O
's   O
name   O
:   O
Leah   B-NAME
Luna   I-NAME
Gender   O
:   O
Male   O
Date   O
of   O
Birth   O
:   O
3/29/67   B-DATE
The   O
patient   O
,   O
Carter   B-NAME
,   I-NAME
Howard   I-NAME
,   O
had   O
a   O
consultation   O
with   O
Maverick   B-NAME
Khan   I-NAME
at   O
Alhambra   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

He   O
is   O
a   O
Recreation   O
Workers   O
and   O
frequently   O
travels   O
to   O
Conisbrough   B-LOCATION
.   O

He   O
mentioned   O
that   O
his   O
symptoms   O
have   O
been   O
present   O
for   O
a   O
couple   O
of   O
weeks   O
since   O
returning   O
from   O
his   O
last   O
trip   O
to   O
Spooner   B-LOCATION
,   O
but   O
only   O
recently   O
began   O
to   O
intensify   O
.   O

In   O
the   O
previous   O
2242   B-DATE
,   O
Luz   B-NAME
Eddy   I-NAME
's   O
pain   O
had   O
increased   O
significantly   O
and   O
was   O
coupled   O
with   O
mild   O
fatigue   O
and   O
weight   O
loss   O
.   O

Hernandez   B-NAME
advised   O
imaging   O
tests   O
and   O
blood   O
work   O
based   O
on   O
his   O
evaluation   O
.   O

A   O
follow   O
up   O
appointment   O
is   O
scheduled   O
within   O
1611   B-DATE
at   O
FDR   B-LOCATION
Campus   I-LOCATION
Of   I-LOCATION
The   I-LOCATION
VA   I-LOCATION
Hudson   I-LOCATION
Valley   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
for   O
further   O
assessment   O
.   O

34996659   B-ID
of   O
the   O
patient   O
's   O
diagnostic   O
tests   O
were   O
sent   O
remotely   O
to   O
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
for   O
a   O
second   O
opinion   O
.   O

An   O
identity   O
verification   O
number   O
ST   B-ID
:   I-ID
SZ:3439   I-ID
was   O
used   O
for   O
secure   O
transfer   O
of   O
these   O
medical   O
records   O
.   O

Cecille   B-NAME
Lachermeier   I-NAME
contacted   O
the   O
medical   O
facility   O
directly   O
through   O
54116   B-CONTACT
to   O
query   O
about   O
the   O
suggested   O
treatment   O
plan   O
and   O
clarify   O
concerns   O
.   O

Follow   O
-   O
up   O
care   O
will   O
include   O
dietary   O
changes   O
and   O
regular   O
check   O
-   O
ins   O
with   O
Alyssa   B-NAME
Fitzgerald   I-NAME
and   O
the   O
patient   O
's   O
primary   O
care   O
provider   O
.   O

This   O
process   O
will   O
be   O
coordinated   O
by   O
CZ3110   B-NAME
.   O

For   O
the   O
next   O
appointment   O
,   O
Patient   O
Ace   B-NAME
,   I-NAME
Jane   I-NAME
should   O
come   O
to   O
our   O
medical   O
facility   O
located   O
at   O
Meadowlands   B-LOCATION
that   O
is   O
also   O
available   O
for   O
you   O
to   O
check   O
with   O
our   O
zip   O
code   O
37652   B-LOCATION
.   O

We   O
strongly   O
recommend   O
that   O
Malcolm   B-NAME
Mcpherson   I-NAME
follows   O
all   O
guidance   O
provided   O
by   O
Barr   B-NAME
for   O
a   O
complete   O
recovery   O
and   O
health   O
maintenance   O
.   O

Patient   O
Name   O
:   O
Chaz   B-NAME
Shepard   I-NAME
Age   O
:   O
50   O
The   O
patient   O
,   O
Sabrina   B-NAME
Benton   I-NAME
,   O
presented   O
to   O
our   O
clinic   O
on   O
Wednesday   B-DATE
,   I-DATE
March   I-DATE
.   O

Resident   O
physician   O
,   O
Galloway   B-NAME
,   O
oversaw   O
the   O
initial   O
assessment   O
.   O

According   O
to   O
the   O
patient   O
's   O
medical   O
record   O
number   O
2233795   B-ID
,   O
the   O
patient   O
is   O
30   O
years   O
old   O
and   O
resides   O
in   O
or   O
around   O
the   O
region   O
of   O
Schall   B-LOCATION
Circle   I-LOCATION
.   O

The   O
patient   O
is   O
currently   O
employed   O
as   O
a   O
Hazardous   O
Materials   O
Removal   O
Workers   O
at   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Beverly   I-LOCATION
Hills   I-LOCATION
.   O

Lennon   B-NAME
Deleon   I-NAME
complained   O
of   O
experiencing   O
dyspnea   O
for   O
a   O
while   O
,   O
with   O
the   O
situation   O
seeming   O
to   O
intensify   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Dr.   O
Anastasia   B-NAME
Ladner   I-NAME
has   O
previously   O
treated   O
him   O
for   O
similar   O
symptoms   O
at   O
Ellwood   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
had   O
ordered   O
a   O
set   O
of   O
differential   O
diagnosis   O
tests   O
,   O
the   O
reports   O
of   O
which   O
were   O
shared   O
with   O
us   O
via   O
the   O
patient   O
portal   O
(   O
yv102   B-NAME
)   O
.   O

Other   O
peripheral   O
symptoms   O
reported   O
by   O
Pagan   B-NAME
include   O
moderate   O
to   O
severe   O
leg   O
swelling   O
and   O
fatigue   O
after   O
minimal   O
exertion   O
.   O

To   O
affirm   O
this   O
,   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
and   O
echocardiogram   O
along   O
with   O
a   O
complete   O
blood   O
test   O
have   O
been   O
scheduled   O
for   O
the   O
7/23   B-DATE
.   O

James   B-NAME
Tyler   I-NAME
has   O
been   O
asked   O
to   O
return   O
to   O
the   O
clinic   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
13/22   B-DATE
with   O
Dr.   O
Jacoby   B-NAME
Bridges   I-NAME
at   O
the   O
Cardinal   B-LOCATION
Hill   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
.   O

Meanwhile   O
,   O
Whaley   B-NAME
has   O
been   O
advised   O
to   O
limit   O
his   O
salt   O
intake   O
,   O
monitor   O
his   O
weight   O
daily   O
and   O
promptly   O
contact   O
us   O
at   O
991   B-CONTACT
996   I-CONTACT
-   I-CONTACT
4850   I-CONTACT
if   O
the   O
symptoms   O
worsen   O
.   O

Furthermore   O
,   O
an   O
examination   O
of   O
the   O
patient   O
's   O
medical   O
history   O
number   O
32868471   B-ID
,   O
revealed   O
a   O
diagnosis   O
of   O
Type   O
II   O
Diabetes   O
,   O
a   O
risk   O
factor   O
for   O
CHF   O
.   O

Kenneth   B-NAME
X.   I-NAME
Sylvester   I-NAME
has   O
been   O
managing   O
his   O
diabetes   O
with   O
regular   O
insulin   O
injections   O
procured   O
through   O
Amalgamated   B-LOCATION
Transit   I-LOCATION
Union   I-LOCATION
located   O
in   O
Baxter   B-LOCATION
Estates   I-LOCATION
.   O

To   O
reach   O
Steven   B-NAME
James   I-NAME
,   O
please   O
contact   O
384   B-CONTACT
886   I-CONTACT
-   I-CONTACT
2827   I-CONTACT
and   O
if   O
any   O
identification   O
is   O
required   O
,   O
use   O
ID   O
5   B-ID
-   I-ID
6633647   I-ID
.   O

In   O
terms   O
of   O
medications   O
,   O
Gross   B-NAME
has   O
been   O
prescribed   O
Carvedilol   O
25   O
mg   O
twice   O
daily   O
,   O
along   O
with   O
Furosemide   O
40   O
mg   O
once   O
daily   O
,   O
in   O
addition   O
to   O
his   O
ongoing   O
insulin   O
therapy   O
.   O

A   O
home   O
health   O
care   O
service   O
has   O
been   O
arranged   O
to   O
assist   O
Ryder   B-NAME
Novak   I-NAME
in   O
managing   O
his   O
medications   O
and   O
checking   O
his   O
vitals   O
.   O

The   O
nurse   O
has   O
been   O
scheduled   O
to   O
visit   O
James   B-NAME
,   I-NAME
Henry   I-NAME
at   O
Tupelo   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Tupelo   I-LOCATION
on   O
06/62   B-DATE
.   O

Copies   O
of   O
the   O
patient   O
’s   O
bloodwork   O
results   O
will   O
be   O
sent   O
to   O
Dr.   O
Odom   B-NAME
's   O
office   O
located   O
within   O
Freeman   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

Lab   O
results   O
are   O
also   O
being   O
shared   O
with   O
Century   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
,   O
located   O
at   O
Mentone   B-LOCATION
,   O
13075   B-LOCATION
.   O

Patient   O
Report   O
32/00   B-DATE
:   O
Patient   O
Riya   B-NAME
Sheppard   I-NAME
,   O
a   O
34   O
-   O
year   O
-   O
old   O
individual   O
,   O
was   O
brought   O
to   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Brazosport   I-LOCATION
with   O
severe   O
chest   O
discomfort   O
,   O
difficulty   O
breathing   O
,   O
and   O
nausea   O
.   O

On   O
physical   O
examination   O
by   O
Dr.   O
Marlon   B-NAME
Ward   I-NAME
,   O
the   O
patient   O
's   O
blood   O
pressure   O
was   O
significantly   O
elevated   O
,   O
accompanied   O
by   O
tachycardia   O
.   O

The   O
patient   O
’s   O
medical   O
record   O
1304913   B-ID
shows   O
a   O
history   O
of   O
hypertension   O
and   O
high   O
cholesterol   O
.   O

The   O
patient   O
is   O
also   O
a   O
confirmed   O
smoker   O
and   O
has   O
a   O
stable   O
job   O
as   O
a   O
Insurance   O
Adjusters   O
,   O
Examiners   O
,   O
and   O
Investigators   O
at   O
Selective   B-LOCATION
Insurance   I-LOCATION
in   O
Beaver   B-LOCATION
Meadows   I-LOCATION
.   O

Dr.   O
Carola   B-NAME
Sessoms   I-NAME
consulted   O
with   O
the   O
cardiology   O
department   O
,   O
and   O
the   O
patient   O
was   O
scheduled   O
for   O
an   O
emergent   O
coronary   O
angiography   O
.   O

We   O
notified   O
the   O
patient   O
's   O
next   O
of   O
kin   O
via   O
their   O
contact   O
number   O
66739   B-CONTACT
about   O
the   O
condition   O
and   O
the   O
requirement   O
for   O
consent   O
.   O

Insurance   O
details   O
were   O
taken   O
and   O
the   O
patient   O
’s   O
health   O
insurance   O
FF392/4499   B-ID
was   O
used   O
to   O
cover   O
the   O
medical   O
expenses   O
.   O

The   O
patient   O
resides   O
at   O
Terramuggus   B-LOCATION
and   O
their   O
zip   O
code   O
is   O
21096   B-LOCATION
.   O

Following   O
the   O
angiography   O
,   O
the   O
patient   O
was   O
shifted   O
to   O
Intensive   O
Care   O
Unit   O
(   O
ICU   O
)   O
,   O
Adena   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
room   O
number   O
withheld   O
for   O
privacy   O
reasons   O
.   O

A   O
referral   O
has   O
been   O
sent   O
to   O
Virginia   B-NAME
Horne   I-NAME
,   O
the   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
in   O
Iredell   B-LOCATION
.   O

A   O
certified   O
dietitian   O
was   O
suggested   O
by   O
ng491   B-NAME
for   O
the   O
patient   O
at   O
the   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Barnesville   I-LOCATION
.   O

Further   O
follow   O
-   O
ups   O
and   O
management   O
plans   O
will   O
be   O
designed   O
by   O
the   O
team   O
based   O
on   O
the   O
health   O
progress   O
and   O
recovery   O
of   O
Dominick   B-NAME
Gomez   I-NAME
.   O

Patient   O
Report   O
:   O
Lacey   B-NAME
Frost   I-NAME
reported   O
to   O
Valley   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
on   O
0/21/2228   B-DATE
with   O
complaints   O
of   O
persistent   O
lethargy   O
and   O
recurring   O
palpitations   O
.   O

Huron   B-NAME
Hessman   I-NAME
,   O
who   O
is   O
a   O
Network   O
and   O
Computer   O
Systems   O
Administrators   O
at   O
Peabody   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Plant   I-LOCATION
aged   O
66   O
,   O
had   O
been   O
experiencing   O
these   O
symptoms   O
for   O
the   O
past   O
three   O
weeks   O
.   O

Residing   O
in   O
SeaTac   B-LOCATION
with   O
the   O
zip   O
code   O
43342   B-LOCATION
,   O
Kevlyn   B-NAME
was   O
extremely   O
worried   O
about   O
their   O
health   O
condition   O
.   O

Initial   O
examination   O
by   O
Santana   B-NAME
recorded   O
a   O
slightly   O
elevated   O
heart   O
rate   O
and   O
blood   O
pressure   O
.   O

Vernell   B-NAME
Fournier   I-NAME
's   O
medical   O
record   O
77409595   B-ID
showed   O
a   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
they   O
were   O
prescribed   O
a   O
mild   O
antihypertensive   O
by   O
Kymani   B-NAME
Blackburn   I-NAME
.   O

Upon   O
further   O
evaluation   O
,   O
Casey   B-NAME
Benitez   I-NAME
suggested   O
a   O
24   O
-   O
hour   O
Holter   O
monitor   O
test   O
to   O
gain   O
more   O
insight   O
into   O
the   O
patient   O
’s   O
cardiac   O
condition   O
.   O

The   O
patient   O
agreed   O
and   O
the   O
device   O
ID   O
WQ:3049:733659   B-ID
was   O
scheduled   O
to   O
be   O
fitted   O
on   O
21/22   B-DATE
.   O

A   O
follow   O
-   O
up   O
teleconsultation   O
was   O
fixed   O
on   O
1865   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
30   I-DATE
and   O
the   O
patient   O
’s   O
contact   O
details   O
were   O
recorded   O
as   O
67791   B-CONTACT
.   O

JE535   B-NAME
,   O
their   O
case   O
manager   O
,   O
has   O
been   O
notified   O
to   O
overlook   O
the   O
process   O
.   O

(   O
Signed   O
)   O
Ingram   B-NAME
Cardiologist   O
at   O
Community   B-LOCATION
Hospital   I-LOCATION

Patient   O
Name   O
:   O
Guy   B-NAME
Claiborne   I-NAME
Age   O
:   O
88   O
Medical   O
Record   O
Number   O
:   O
2711S14026   B-ID
May   B-DATE
,   O
Dr.   O
Aliza   B-NAME
Stanton   I-NAME
was   O
consulted   O
for   O
this   O
patient   O
at   O
Hamilton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Syracuse   I-LOCATION
.   O

Patient   O
resides   O
in   O
Tuscaloosa   B-LOCATION
.   O

Patient   O
's   O
phone   O
number   O
is   O
36378   B-CONTACT
and   O
works   O
as   O
a   O
Plastic   O
Molding   O
and   O
Casting   O
Machine   O
Operators   O
and   O
Tenders   O
.   O

The   O
patient   O
's   O
ID   O
is   O
IR:85394:446911   B-ID
,   O
Username   O
on   O
our   O
portal   O
is   O
py769   B-NAME
,   O
and   O
the   O
postal   O
23232   B-LOCATION
code   O
is   O
88868   B-LOCATION
.   O

The   O
patient   O
was   O
brought   O
into   O
Colquitt   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
room   O
with   O
symptoms   O
that   O
are   O
consistent   O
with   O
Acute   O
Coronary   O
Syndrome   O
(   O
ACS   O
)   O
.   O

Mejia   B-NAME
also   O
reported   O
experiencing   O
a   O
radiating   O
pain   O
extending   O
to   O
left   O
shoulder   O
and   O
down   O
the   O
arm   O
.   O

Care   O
under   O
Dr.   O
Ray   B-NAME
,   O
and   O
the   O
team   O
is   O
being   O
coordinated   O
.   O

Comments   O
have   O
been   O
sent   O
to   O
the   O
Broadway   B-LOCATION
Bank   I-LOCATION
that   O
handles   O
patient   O
's   O
insurance   O
details   O
.   O

This   O
report   O
is   O
prepared   O
by   O
Dr.   O
Rice   B-NAME
on   O
28th   B-DATE
.   O

Comments   O
and   O
suggestions   O
are   O
welcome   O
for   O
huw530   B-NAME
.   O

Patient   O
Name   O
:   O
Mark   B-NAME
Oconnell   I-NAME
Age   O
:   O
10   O
Date   O
:   O
12/4   B-DATE
Medical   O
Record   O
:   O
2185026   B-ID
Patient   O
Edith   B-NAME
Osborn   I-NAME
,   O
has   O
been   O
under   O
Carrillo   B-NAME
’s   O
care   O
at   O
Naval   B-LOCATION
Hospital   I-LOCATION
Jacksonville   I-LOCATION
since   O
31/23/31   B-DATE
.   O

The   O
patient   O
has   O
a   O
noteworthy   O
work   O
history   O
as   O
a   O
Occupational   O
Therapist   O
Assistants   O
at   O
Reliance   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
.   O

The   O
patient   O
's   O
residence   O
is   O
at   O
Kildeer   B-LOCATION
,   O
zip   O
code   O
76223   B-LOCATION
.   O

Please   O
reach   O
out   O
to   O
Leonel   B-NAME
Lin   I-NAME
at   O
82436   B-CONTACT
in   O
case   O
of   O
any   O
updates   O
.   O

Upon   O
examination   O
,   O
Liana   B-NAME
Cowan   I-NAME
presented   O
with   O
severe   O
cough   O
,   O
chest   O
pain   O
,   O
difficulty   O
breathing   O
,   O
and   O
wheezing   O
.   O

A   O
spirometry   O
test   O
was   O
ordered   O
by   O
Cyrus   B-NAME
Petersen   I-NAME
which   O
showed   O
constrained   O
airflow   O
,   O
affirming   O
the   O
diagnosis   O
.   O

Detailed   O
lab   O
results   O
pertaining   O
to   O
the   O
test   O
can   O
be   O
retrieved   O
using   O
the   O
patient   O
ID   O
9405709   B-ID
.   O

Radiography   O
carried   O
out   O
on   O
05/80   B-DATE
showed   O
hyperinflation   O
of   O
lungs   O
and   O
a   O
flattened   O
diaphragm   O
.   O

Information   O
related   O
to   O
this   O
can   O
be   O
accessed   O
with   O
the   O
username   O
mfj175   B-NAME
.   O

In   O
alignment   O
with   O
Duran   B-NAME
's   O
advice   O
,   O
Sage   B-NAME
Abbott   I-NAME
has   O
been   O
prescribed   O
a   O
course   O
of   O
bronchodilators   O
and   O
is   O
advised   O
to   O
reach   O
Long   B-LOCATION
Island   I-LOCATION
Jewish   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
regular   O
pulmonary   O
rehabilitation   O
sessions   O
.   O

Garza   B-NAME
presented   O
to   O
the   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Anne   I-LOCATION
Hospital   I-LOCATION
on   O
122   B-DATE
.   O

Medical   O
record   O
of   O
the   O
patient   O
as   O
per   O
our   O
database   O
is   O
755   B-ID
-   I-ID
19   I-ID
-   I-ID
98   I-ID
-   I-ID
9   I-ID
.   O

He   O
came   O
from   O
the   O
city   O
of   O
Williamstown   B-LOCATION
,   O
zip   O
code   O
12212   B-LOCATION
.   O

Soto   B-NAME
reported   O
experiencing   O
fatigue   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
sharp   O
pains   O
in   O
the   O
chest   O
area   O
for   O
nearly   O
two   O
weeks   O
.   O

Medical   O
Evaluation   O
:   O
Kasey   B-NAME
Cooke   I-NAME
's   O
assessment   O
showed   O
decreased   O
breath   O
sounds   O
in   O
the   O
lower   O
pulmonary   O
field   O
and   O
a   O
prominent   O
heart   O
murmur   O
.   O

Treatment   O
Plan   O
:   O
Harrison   B-NAME
Blackwood   I-NAME
was   O
admitted   O
under   O
Lailah   B-NAME
Ayala   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

An   O
X   O
-   O
Ray   O
and   O
cardiology   O
consult   O
are   O
planned   O
for   O
10/39   B-DATE
.   O

Upon   O
admission   O
,   O
Larsen   B-NAME
shared   O
his   O
emergency   O
contact   O
number   O
as   O
352   B-CONTACT
-   I-CONTACT
7849   I-CONTACT
and   O
his   O
identification   O
number   O
as   O
664458   B-ID
.   O

Communication   O
:   O
A   O
detailed   O
medical   O
update   O
was   O
mailed   O
to   O
GP   O
Bruce   B-NAME
at   O
the   O
clinic   O
Communications   B-LOCATION
Electrical   I-LOCATION
and   I-LOCATION
Plumbing   I-LOCATION
Union   I-LOCATION
on   O
'   B-DATE
38   I-DATE
.   O

A   O
tele   O
-   O
consultation   O
was   O
arranged   O
with   O
the   O
treating   O
doctor   O
at   O
username   O
sjg200   B-NAME
.   O

Follow   O
-   O
up   O
Visit   O
:   O
Urwin   B-NAME
Orosco   I-NAME
will   O
be   O
having   O
a   O
follow   O
-   O
up   O
visit   O
at   O
the   O
Roxbury   B-LOCATION
Treatment   I-LOCATION
Center   I-LOCATION
scheduled   O
for   O
02/19/1928   B-DATE
for   O
assessment   O
of   O
his   O
chest   O
pain   O
and   O
cardiac   O
function   O
.   O

Patient   O
Name   O
:   O
Charlize   B-NAME
Friedman   I-NAME
Age   O
:   O
1   O
Date   O
of   O
Report   O
:   O
03/16/22   B-DATE
Doctor   O
:   O
Weber   B-NAME
Hospital   O
:   O

Saint   B-LOCATION
Barnabas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
ID   O
:   O
JN505/4839   B-ID
Patient   O
Xavier   B-NAME
Uber   I-NAME
presented   O
to   O
the   O
office   O
on   O
34/17   B-DATE
,   O
reporting   O
profound   O
weakness   O
,   O
loss   O
of   O
balance   O
and   O
persistent   O
headache   O
for   O
two   O
weeks   O
.   O

The   O
patient   O
revealed   O
about   O
his   O
sister   O
who   O
is   O
41   O
and   O
was   O
diagnosed   O
with   O
hypertrophic   O
cardiomyopathy   O
in   O
Logan   B-LOCATION
.   O

The   O
patient   O
works   O
as   O
a   O
Appraisers   O
,   O
Real   O
Estate   O
at   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Cootie   I-LOCATION
in   O
Camden   B-LOCATION
Point   I-LOCATION
.   O

Medical   O
History   O
:   O
Known   O
case   O
of   O
hypertension   O
from   O
August   B-DATE
and   O
is   O
on   O
medications   O
.   O

Patient   O
underwent   O
a   O
total   O
knee   O
arthroplasty   O
in   O
9/20/22   B-DATE
due   O
to   O
osteoarthritis   O
at   O
McLeod   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Pee   I-LOCATION
Dee   I-LOCATION
under   O
care   O
of   O
Graves   B-NAME
.   O

Investigations   O
:   O
CT   O
scan   O
was   O
done   O
on   O
T   B-DATE
which   O
suggested   O
a   O
possible   O
intracranial   O
space   O
occupying   O
lesion   O
.   O

The   O
patient   O
was   O
referred   O
to   O
Thatcher   B-NAME
,   I-NAME
Margaret   I-NAME
at   O
Hackensack   B-LOCATION
Meridian   I-LOCATION
Health   I-LOCATION
Mountainside   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
MRI   O
scan   O
and   O
further   O
evaluation   O
.   O

Contact   O
Information   O
:   O
Phone   O
:   O
84556   B-CONTACT
Address   O
:   O
Kings   B-LOCATION
Mountain   I-LOCATION
Zip   O
:   O
55946   B-LOCATION
Medical   O
Record   O
Number   O
:   O
0290777   B-ID

We   O
notified   O
the   O
patient   O
's   O
sister   O
via   O
her   O
xhx133   B-NAME
account   O
and   O
also   O
provided   O
her   O
with   O
the   O
necessary   O
emergency   O
contact   O
numbers   O
.   O

Note   O
:   O
This   O
document   O
is   O
based   O
on   O
the   O
medical   O
chart   O
maintained   O
under   O
LG   B-ID
:   I-ID
JC:2759   I-ID
and   O
all   O
efforts   O
have   O
been   O
made   O
to   O
secure   O
patient   O
confidentiality   O
.   O

The   O
dissemination   O
of   O
this   O
information   O
outside   O
authorized   O
Protective   B-LOCATION
Life   I-LOCATION
personnel   O
is   O
strictly   O
prohibited   O
.   O

Patient   O
Name   O
:   O
BW   B-NAME
Age   O
:   O
87   O
Address   O
:   O
Glenvar   B-LOCATION
Heights   I-LOCATION
Phone   O
:   O
78543   B-CONTACT
Medical   O
Record   O
No   O
:   O
472   B-ID
-   I-ID
27   I-ID
-   I-ID
81   I-ID
-   I-ID
6   I-ID
ID   O
No   O
:   O
3   B-ID
-   I-ID
2644128   I-ID
Consulting   O
Doctor   O
:   O
Harrington   B-NAME
at   O
Our   B-LOCATION
Lady   I-LOCATION
Of   I-LOCATION
Mercy   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Zip   O
:   O
51047   B-LOCATION
Username   O
:   O
VU797   B-NAME
Date   O
of   O
consult   O
:   O
00/28   B-DATE
Presenting   O
Symptoms   O
:   O
Keven   B-NAME
Laughlin   I-NAME
reported   O
to   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
on   O
17/26   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
accompanied   O
by   O
fever   O
and   O
vomiting   O
.   O

Along   O
with   O
this   O
,   O
the   O
patient   O
also   O
reported   O
chills   O
and   O
appeared   O
diaphoretic   O
upon   O
physical   O
examination   O
by   O
Gauguin   B-NAME
,   I-NAME
Paul   I-NAME
.   O

It   O
was   O
found   O
that   O
Osborne   B-NAME
's   O
temperature   O
was   O
significantly   O
higher   O
than   O
the   O
average   O
,   O
and   O
there   O
was   O
an   O
abnormal   O
white   O
blood   O
cell   O
count   O
which   O
suggested   O
the   O
possibility   O
of   O
an   O
infection   O
.   O

Based   O
on   O
the   O
location   O
and   O
nature   O
of   O
abdominal   O
pain   O
,   O
along   O
with   O
the   O
elevated   O
white   O
blood   O
cell   O
count   O
and   O
other   O
symptoms   O
displayed   O
,   O
House   B-NAME
diagnosed   O
the   O
condition   O
as   O
appendicitis   O
.   O

Future   O
Plan   O
:   O
Lainey   B-NAME
Mccoy   I-NAME
was   O
advised   O
to   O
get   O
admitted   O
under   O
the   O
care   O
of   O
Kymani   B-NAME
Bird   I-NAME
at   O
South   B-LOCATION
Florida   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
to   O
undergo   O
appendectomy   O
as   O
soon   O
as   O
possible   O
.   O

A   O
team   O
from   O
Worlds   B-LOCATION
'   I-LOCATION
Cooperative   I-LOCATION
was   O
assigned   O
to   O
take   O
the   O
patient   O
's   O
health   O
history   O
,   O
insurance   O
information   O
,   O
and   O
emergency   O
contact   O
details   O
.   O

Goldwater   B-NAME
,   I-NAME
Barry   I-NAME
's   O
Endoscopy   O
Technicians   O
details   O
were   O
taken   O
,   O
and   O
a   O
notification   O
to   O
his   O
workplace   O
will   O
be   O
sent   O
by   O
the   O
admin   O
if   O
required   O
.   O

Informed   O
and   O
written   O
consent   O
has   O
been   O
collected   O
from   O
Molina   B-NAME
for   O
the   O
upcoming   O
procedure   O
.   O

Updates   O
of   O
the   O
condition   O
and   O
progress   O
of   O
the   O
patient   O
will   O
be   O
daily   O
posted   O
in   O
the   O
medical   O
record   O
94675799   B-ID
.   O

If   O
required   O
,   O
Brice   B-NAME
Huang   I-NAME
will   O
conduct   O
further   O
tests   O
or   O
recommend   O
consultation   O
to   O
a   O
specialised   O
doctor   O
.   O

The   O
patient   O
's   O
follow   O
-   O
up   O
appointment   O
is   O
fixed   O
for   O
the   O
Thursday   B-DATE
at   O
Central   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
,   O
Leonard   B-NAME
,   O
is   O
a   O
17   O
-   O
year   O
-   O
old   O
gentleman   O
who   O
came   O
to   O
Kalkaska   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
13/25/2095   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Ayers   B-NAME
due   O
to   O
concerns   O
of   O
experiencing   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Nguyen   B-NAME
has   O
a   O
medical   O
history   O
of   O
type   O
2   O
diabetes   O
and   O
hypertension   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
ACE   O
inhibitors   O
respectively   O
.   O

An   O
ultrasound   O
performed   O
at   O
Sentara   B-LOCATION
Virginia   I-LOCATION
Beach   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
revealed   O
the   O
presence   O
of   O
gallstones   O
without   O
signs   O
of   O
cholecystitis   O
.   O

The   O
medical   O
team   O
discussed   O
the   O
findings   O
with   O
Kyle   B-NAME
Morgan   I-NAME
and   O
recommended   O
laparoscopic   O
cholecystectomy   O
.   O

The   O
patient   O
's   O
information   O
was   O
noted   O
in   O
the   O
853   B-ID
-   I-ID
10   I-ID
-   I-ID
94   I-ID
-   I-ID
8   I-ID
and   O
he   O
consented   O
to   O
the   O
surgery   O
.   O

The   O
surgical   O
procedure   O
will   O
be   O
scheduled   O
for   O
15/22   B-DATE
.   O
Contact   O
Information   O
:   O

Diamond   B-NAME
resides   O
in   O
Webster   B-LOCATION
City   I-LOCATION
-   I-LOCATION
Hamilton   I-LOCATION
County   I-LOCATION
,   I-LOCATION
Hamilton   I-LOCATION
County   I-LOCATION
SEED   I-LOCATION
and   O
can   O
be   O
reached   O
via   O
(   B-CONTACT
700   I-CONTACT
)   I-CONTACT
326   I-CONTACT
1398   I-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
his   O
primary   O
healthcare   O
provider   O
,   O
Long   B-NAME
,   I-NAME
Earl   I-NAME
,   O
at   O
Plymouth   B-LOCATION
Rock   I-LOCATION
may   O
be   O
contacted   O
.   O

The   O
physician   O
's   O
medical   O
CU553/9152   B-ID
is   O
available   O
if   O
required   O
for   O
further   O
reference   O
.   O

This   O
report   O
was   O
compiled   O
by   O
yr823   B-NAME
,   O
a   O
medical   O
healthcare   O
professional   O
at   O
Abrazo   B-LOCATION
Scottsdale   I-LOCATION
Campus   I-LOCATION
,   O
on   O
1   B-DATE
-   I-DATE
24   I-DATE
.   O

Further   O
updates   O
on   O
Hopkins   B-NAME
's   O
medical   O
condition   O
will   O
be   O
provided   O
as   O
required   O
.   O

His   O
postal   O
code   O
is   O
14176   B-LOCATION
.   O

Patient   O
Name   O
:   O
Yeates   B-NAME
,   I-NAME
Patrick   I-NAME
I   I-NAME
Age   O
:   O
22s   O
Date   O
:   O
22/22/2072   B-DATE
The   O
patient   O
,   O
employed   O
as   O
a   O
Craft   O
Artists   O
,   O
presented   O
to   O
the   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Allen   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
12/35   B-DATE
.   O

The   O
Thomas   B-NAME
advised   O
hospitalization   O
for   O
intravenous   O
antibiotic   O
treatment   O
and   O
oxygen   O
supplementation   O
.   O

ID   O
Number   O
:   O
4   B-ID
-   I-ID
1645337   I-ID
Phone   O
Number   O
:   O
801   B-CONTACT
1149   I-CONTACT
Location   O
:   O
Nekoosa   B-LOCATION
Medical   O
Record   O
Number   O
:   O
82472360   B-ID

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
dec   B-DATE
2266   I-DATE
at   O
the   O
Physicians   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
to   O
reassess   O
the   O
patient   O
's   O
symptoms   O
.   O

The   O
patient   O
was   O
reminded   O
to   O
call   O
91568   B-CONTACT
if   O
symptoms   O
worsened   O
or   O
did   O
n’t   O
improve   O
within   O
the   O
next   O
72   O
hours   O
.   O

Referred   O
by   O
:   O
us010   B-NAME
ZIP   O
Code   O
:   O
83619   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kelvin   B-NAME
,   I-NAME
Lord   I-NAME
Date   O
of   O
Visit   O
:   O
2291   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
25   I-DATE
Patient   O
ID   O
:   O
GT746/8851   B-ID
Medical   O
Record   O

No   O
.   O
:   O
472   B-ID
-   I-ID
27   I-ID
-   I-ID
81   I-ID
-   I-ID
6   I-ID
Ida   B-NAME
Xayachack   I-NAME
,   O
a   O
54   O
years   O
old   O
programmer   O
(   O
Plastic   O
Molding   O
and   O
Casting   O
Machine   O
Operators   O
and   O
Tenders   O
)   O
,   O
checked   O
into   O
Searcy   B-LOCATION
Hospital   I-LOCATION
located   O
in   O
Glassport   B-LOCATION
,   O
due   O
to   O
a   O
week   O
-   O
long   O
persistent   O
high   O
-   O
grade   O
fever   O
.   O

Upon   O
examination   O
by   O
Dr.   O
Johan   B-NAME
Mcclure   I-NAME
,   O
the   O
patient   O
also   O
reported   O
fatigue   O
,   O
loss   O
of   O
appetite   O
,   O
and   O
occasional   O
bouts   O
of   O
dizziness   O
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Maurice   B-NAME
Diaz   I-NAME
,   O
based   O
at   O
Florida   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
in   O
South   B-LOCATION
Gate   I-LOCATION
,   O
71219   B-LOCATION
,   O
was   O
contacted   O
for   O
access   O
to   O
previous   O
medical   O
records   O
.   O

The   O
hospital   O
can   O
reach   O
out   O
to   O
the   O
doctor   O
’s   O
office   O
at   O
81998   B-CONTACT
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
gathered   O
from   O
ywu66   B-NAME
,   O
does   O
not   O
suggest   O
any   O
significant   O
predisposition   O
to   O
health   O
risks   O
,   O
thus   O
making   O
the   O
current   O
decipherment   O
crucial   O
in   O
guiding   O
future   O
treatment   O
decisions   O
.   O

The   O
patient   O
has   O
a   O
health   O
insurance   O
plan   O
number   O
HV:28350:946533   B-ID
which   O
has   O
been   O
forwarded   O
to   O
the   O
accounts   O
department   O
for   O
further   O
action   O
.   O

The   O
treatment   O
procedure   O
is   O
designed   O
by   O
Dr.   O
Jacquelyn   B-NAME
Johns   I-NAME
at   O
Ascension   B-LOCATION
Macomb   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Warren   I-LOCATION
Campus   I-LOCATION
.   O

The   O
primary   O
points   O
of   O
contact   O
for   O
the   O
patient   O
are   O
his   O
family   O
members   O
residing   O
at   O
Safety   B-LOCATION
Harbor   I-LOCATION
,   O
39246   B-LOCATION
and   O
are   O
reachable   O
at   O
470   B-CONTACT
7224   I-CONTACT
.   O

Dr.   O
Crygor   B-NAME
will   O
be   O
performing   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
04/99   B-DATE
to   O
assess   O
the   O
patient   O
's   O
response   O
to   O
treatment   O
.   O

Primary   O
Care   O
Provider   O
:   O
Ray   B-NAME
,   I-NAME
James   I-NAME
Arthur   I-NAME
Patient   O
Information   O
:   O
Name   O
:   O
Quarles   B-NAME
,   I-NAME
Francis   I-NAME
Age   O
:   O
65   O
Medical   O
Record   O
Number   O
:   O
9249554   B-ID
Location   O
:   O
Sugarland   B-LOCATION
Run   I-LOCATION
Zip   O
:   O
57540   B-LOCATION
Phone   O
:   O
11030   B-CONTACT
Profession   O
:   O
Creative   O
Writers   O

The   O
above   O
patient   O
presented   O
at   O
the   O
emergency   O
department   O
of   O
Northside   B-LOCATION
Hospital   I-LOCATION
Forsyth   I-LOCATION
on   O
2343   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
02   I-DATE
.   O

A   O
radiological   O
examination   O
conducted   O
on   O
02/36   B-DATE
confirmed   O
the   O
presence   O
of   O
multiple   O
gallstones   O
with   O
an   O
inflamed   O
gallbladder   O
wall   O
,   O
indicative   O
of   O
acute   O
cholecystitis   O
.   O

This   O
patient   O
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
was   O
previously   O
diagnosed   O
with   O
mild   O
non   O
-   O
alcoholic   O
fatty   O
liver   O
disease   O
at   O
Deckerville   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
April   B-DATE
.   O

The   O
Dailey   B-NAME
's   O
primary   O
care   O
provider   O
,   O
Kaitlynn   B-NAME
Barron   I-NAME
,   O
was   O
informed   O
and   O
recommended   O
a   O
cholecystectomy   O
through   O
the   O
Hiscox   B-LOCATION
Small   I-LOCATION
Business   I-LOCATION
Insurance   I-LOCATION
.   O

Surgical   O
intervention   O
is   O
scheduled   O
at   O
Wuesthoff   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
07/22/16   B-DATE
.   O

The   O
patient   O
's   O
family   O
,   O
resident   O
at   O
Roselle   B-LOCATION
Park   I-LOCATION
,   O
have   O
been   O
informed   O
and   O
have   O
agreed   O
with   O
the   O
treatment   O
plan   O
.   O

Please   O
use   O
HG147   B-NAME
and   O
II:33667:296777   B-ID
for   O
further   O
communications   O
or   O
references   O
to   O
this   O
case   O
.   O

Kindly   O
contact   O
the   O
patient   O
at   O
60446   B-CONTACT
for   O
any   O
clarification   O
required   O
.   O

The   O
patient   O
,   O
Rhodes   B-NAME
,   O
aged   O
32s   O
,   O
came   O
to   O
the   O
UCHealth   B-LOCATION
Grandview   I-LOCATION
Hospital   I-LOCATION
on   O
11/32   B-DATE
.   O

Initial   O
examination   O
by   O
Dr.   O
Pleione   B-NAME
Meley   I-NAME
revealed   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
,   O
coupled   O
with   O
fever   O
and   O
nausea   O
.   O

The   O
patient   O
resides   O
at   O
New   B-LOCATION
Baltimore   I-LOCATION
and   O
works   O
as   O
a   O
Patent   O
attorney   O
.   O

In   O
the   O
medical   O
history   O
provided   O
,   O
Remigio   B-NAME
L.   I-NAME
Allison   I-NAME
had   O
a   O
prior   O
appendectomy   O
at   O
the   O
age   O
of   O
57s   O
performed   O
at   O
the   O
Ocean   B-LOCATION
State   I-LOCATION
Job   I-LOCATION
Lot   I-LOCATION
.   O

The   O
patient   O
's   O
ID   O
is   O
91815737   B-ID
and   O
medical   O
record   O
number   O
is   O
081   B-ID
-   I-ID
09   I-ID
-   I-ID
90   I-ID
-   I-ID
4   I-ID
.   O

Further   O
examination   O
by   O
Dr.   O
Shawn   B-NAME
Dudley   I-NAME
revealed   O
a   O
possibility   O
of   O
diverticulitis   O
,   O
which   O
was   O
confirmed   O
after   O
a   O
colonoscopy   O
.   O

A   O
strategic   O
plan   O
of   O
antibiotics   O
coupled   O
with   O
a   O
liquid   O
diet   O
was   O
recommended   O
by   O
Dr.   O
Dalton   B-NAME
.   O

For   O
follow   O
-   O
up   O
,   O
his   O
next   O
appointment   O
is   O
scheduled   O
for   O
1/20/80   B-DATE
with   O
Dr.   O
Ira   B-NAME
Kane   I-NAME
at   O
the   O
same   O
University   B-LOCATION
Hospital   I-LOCATION
.   O

As   O
part   O
of   O
an   O
emergency   O
contact   O
protocol   O
,   O
we   O
've   O
the   O
patient   O
's   O
phone   O
number   O
on   O
file   O
,   O
documented   O
as   O
84577   B-CONTACT
.   O

The   O
report   O
has   O
been   O
saved   O
and   O
encrypted   O
by   O
nurse   O
wqf116   B-NAME
.   O

The   O
patient   O
's   O
residential   O
zip   O
code   O
,   O
86847   B-LOCATION
,   O
will   O
be   O
used   O
to   O
map   O
out   O
the   O
best   O
possible   O
ambulance   O
route   O
in   O
case   O
of   O
urgent   O
hospitalization   O
.   O

Dr.   O
Ella   B-NAME
Salazar   I-NAME
closed   O
the   O
case   O
for   O
the   O
(   O
current   O
)   O
day   O
with   O
expectations   O
of   O
gradual   O
recovery   O
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Jerrica   B-NAME
Age   O
:   O
97   O
Date   O
of   O
Birth   O
:   O
20/10/90   B-DATE
Location   O
:   O
Oakwood   B-LOCATION
Medical   O
Record   O
Number   O
:   O
455   B-ID
-   I-ID
99   I-ID
-   I-ID
82   I-ID
-   I-ID
0   I-ID
Primary   O
Care   O
Doctor   O
:   O

Alia   B-NAME
Moran   I-NAME
Hospital   O
:   O
Paradise   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
13054   B-CONTACT
ID   O
:   O
SU165/7475   B-ID
Organisation   O
name   O
:   O

Australian   B-LOCATION
and   I-LOCATION
International   I-LOCATION
Pilots   I-LOCATION
Association   I-LOCATION
Profession   O
:   O
Investment   O
Underwriters   O
Username   O
:   O
WV124   B-NAME
Zip   O
:   O
40863   B-LOCATION
Patient   O
Malcolm   B-NAME
Nicholson   I-NAME
,   O
55   O
old   O
,   O
complained   O
of   O
a   O
sudden   O
onset   O
of   O
sharp   O
,   O
stabbing   O
pain   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

The   O
pain   O
began   O
on   O
00/15   B-DATE
.   O

Patient   O
was   O
seen   O
in   O
the   O
Emergency   O
Room   O
of   O
HealthSouth   B-LOCATION
Lakeshore   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
in   O
Geyser   B-LOCATION
.   O

Two   O
days   O
prior   O
to   O
the   O
ER   O
visit   O
,   O
Sean   B-NAME
Collins   I-NAME
had   O
felt   O
general   O
discomfort   O
in   O
the   O
abdomen   O
,   O
accompanied   O
by   O
low   O
fever   O
and   O
nausea   O
.   O

An   O
Ultrasound   O
was   O
recommended   O
by   O
Monroe   B-NAME
,   I-NAME
Marilyn   I-NAME
and   O
it   O
showed   O
an   O
inflamed   O
appendix   O
with   O
a   O
possible   O
appendicolith   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Beth   B-LOCATION
Israel   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
for   O
an   O
emergency   O
appendectomy   O
.   O

I   O
,   O
jit632   B-NAME
of   O
Grange   B-LOCATION
Mutual   I-LOCATION
Casualty   I-LOCATION
Company   I-LOCATION
,   O
authorized   O
for   O
providing   O
medical   O
services   O
to   O
Fleming   B-NAME
have   O
compiled   O
this   O
report   O
as   O
per   O
the   O
treatment   O
and   O
diagnosis   O
made   O
.   O

Any   O
further   O
queries   O
can   O
be   O
addressed   O
at   O
990   B-CONTACT
1828   I-CONTACT
between   O
office   O
hours   O
.   O

Patient   O
's   O
discharge   O
papers   O
have   O
been   O
prepared   O
and   O
ID   O
EV   B-ID
:   I-ID
QD:7928   I-ID
can   O
be   O
used   O
for   O
all   O
necessary   O
paperwork   O
related   O
to   O
insurance   O
and   O
future   O
references   O
.   O

They   O
must   O
revisit   O
on   O
Tuesday   B-DATE
for   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

For   O
any   O
signs   O
of   O
infection   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
pus   O
from   O
the   O
wound   O
,   O
they   O
should   O
immediately   O
contact   O
Clement   B-NAME
Molloch   I-NAME
at   O
Lubbock   B-LOCATION
Heritage   I-LOCATION
Hospital   I-LOCATION
LLC   I-LOCATION
dba   I-LOCATION
Grace   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
medical   O
report   O
was   O
last   O
updated   O
on   O
October   B-DATE
.   O

Patient   O
Name   O
:   O
Danny   B-NAME
Castellano   I-NAME
DOB   O
/   O
AGE   O
:   O
21s   O
Home   O
Address   O
:   O
5   B-LOCATION
East   I-LOCATION
Brook   I-LOCATION
Street   I-LOCATION
Phone   O
:   O
448   B-CONTACT
611   I-CONTACT
1381   I-CONTACT
Medical   O
Record   O
:   O
CK262228   B-ID
Occupation   O
:   O
Psychologist   O
(   O
educational   O
)   O

Treating   O
Doctor   O
:   O
Carrillo   B-NAME
Location   O
of   O
Treatment   O
:   O
Jane   B-LOCATION
Todd   I-LOCATION
Crawford   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
LW:89852:761871   B-ID

Date   O
:   O
5/20   B-DATE
Patient   O
Cayden   B-NAME
Colon   I-NAME
,   O
aged   O
64   O
,   O
presented   O
with   O
symptoms   O
at   O
the   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
on   O
2/32/05   B-DATE
.   O

Frank   B-NAME
advised   O
the   O
patient   O
to   O
undergo   O
a   O
Coronary   O
Angiography   O
for   O
further   O
investigation   O
.   O

Addressing   O
his   O
occupational   O
history   O
,   O
Gillian   B-NAME
Chandler   I-NAME
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Landscaping   O
,   O
Lawn   O
Service   O
,   O
and   O
Groundskeeping   O
Workers   O
in   O
a   O
local   O
Statewide   B-LOCATION
Bank   I-LOCATION
at   O
Bethania   B-LOCATION
.   O

He   O
was   O
reached   O
out   O
on   O
his   O
personal   O
number   O
694   B-CONTACT
-   I-CONTACT
5665   I-CONTACT
and   O
encouraged   O
to   O
immediately   O
cease   O
his   O
smoking   O
habit   O
.   O

Latest   O
update   O
about   O
Marques   B-NAME
Drake   I-NAME
is   O
recorded   O
digitally   O
and   O
uploaded   O
online   O
with   O
the   O
username   O
rva527   B-NAME
.   O

The   O
registered   O
mail   O
of   O
Xitlali   B-NAME
Crane   I-NAME
located   O
in   O
10883   B-LOCATION
has   O
been   O
notified   O
about   O
his   O
medical   O
condition   O
and   O
prospective   O
recuperation   O
strategies   O
.   O

All   O
the   O
patient   O
's   O
information   O
is   O
meticulously   O
documented   O
with   O
the   O
illuminating   O
1634052   B-ID
for   O
continuous   O
reference   O
,   O
observational   O
purposes   O
,   O
and   O
for   O
maintaining   O
an   O
orderly   O
catalog   O
of   O
the   O
patient   O
's   O
clinical   O
history   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Torres   B-NAME
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
has   O
been   O
scheduled   O
for   O
next   O
21/26/85   B-DATE
.   O

Lastly   O
,   O
please   O
keep   O
the   O
patient   O
's   O
424097   B-ID
confidential   O
,   O
as   O
per   O
the   O
hospital   O
's   O
policy   O
and   O
federal   O
laws   O
regulating   O
our   O
obligations   O
towards   O
patient   O
privacy   O
and   O
security   O
.   O

Patient   O
Kevin   B-NAME
Collins   I-NAME
has   O
reported   O
to   O
Orlando   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/27   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
.   O

During   O
the   O
16/25   B-DATE
consultation   O
with   O
Duncan   B-NAME
,   O
the   O
patient   O
further   O
complained   O
of   O
dull   O
,   O
aching   O
pain   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
,   O
typically   O
aggravated   O
post   O
-   O
prandial   O
.   O

Brown   B-NAME
conducted   O
an   O
abdominal   O
examination   O
and   O
initiated   O
a   O
series   O
of   O
diagnostic   O
tests   O
.   O

The   O
patient   O
's   O
medical   O
record   O
,   O
numbered   O
90326488   B-ID
,   O
recorded   O
the   O
presence   O
of   O
mild   O
hepatomegaly   O
upon   O
physical   O
examination   O
.   O

The   O
tests   O
were   O
scheduled   O
at   O
Bryan   B-LOCATION
West   I-LOCATION
Campus   I-LOCATION
in   O
Scottsdale   B-LOCATION
for   O
09/02   B-DATE
.   O

During   O
the   O
aforementioned   O
medical   O
session   O
,   O
the   O
patient   O
Miller   B-NAME
,   I-NAME
Bode   I-NAME
also   O
mentioned   O
their   O
occupation   O
as   O
a   O
Respiratory   O
Therapy   O
Technicians   O
in   O
Imperial   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
.   O

Patient   O
's   O
contact   O
information   O
,   O
(   B-CONTACT
367   I-CONTACT
)   I-CONTACT
125   I-CONTACT
9624   I-CONTACT
,   O
and   O
the   O
744593985   B-ID
,   O
along   O
with   O
the   O
residential   O
69757   B-LOCATION
were   O
updated   O
in   O
the   O
hospital   O
database   O
for   O
scheduling   O
follow   O
-   O
up   O
appointments   O
and   O
further   O
communications   O
.   O

Varese   B-NAME
,   I-NAME
Edgard   I-NAME
was   O
strictly   O
advised   O
to   O
follow   O
the   O
dietary   O
modifications   O
and   O
prescribed   O
medication   O
to   O
get   O
relief   O
from   O
the   O
symptoms   O
until   O
the   O
diagnosis   O
is   O
confirmed   O
post   O
the   O
recommended   O
tests   O
.   O

Patient   O
Stephanie   B-NAME
Barnett   I-NAME
consultation   O
data   O
were   O
updated   O
on   O
the   O
EHR   O
by   O
the   O
nurse   O
igh206   B-NAME
as   O
a   O
part   O
of   O
hospital   O
protocol   O
adherence   O
.   O

All   O
patient   O
data   O
are   O
confidential   O
and   O
maintained   O
securely   O
as   O
per   O
the   O
Atrium   B-LOCATION
Health   I-LOCATION
Union   I-LOCATION
code   O
of   O
conduct   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Pittman   B-NAME
is   O
scheduled   O
as   O
soon   O
as   O
the   O
test   O
results   O
are   O
received   O
and   O
evaluated   O
.   O

Patient   O
:   O
Carola   B-NAME
Sessoms   I-NAME
Age   O
:   O
92   O
Date   O
:   O
3/01   B-DATE
Doctor   O
:   O
Jaden   B-NAME
Riddle   I-NAME
Hospital   O
:   O
Banner   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Tucson   I-LOCATION
ID   O
:   O
5635470   B-ID
Location   O
:   O
Barrington   B-LOCATION
Medical   O
Record   O
:   O
5824445   B-ID
The   O
Chad   B-NAME
Ashley   I-NAME
presented   O
on   O
1616   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
15   I-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
lasting   O
for   O
more   O
than   O
6   O
hours   O
.   O

The   O
Suzann   B-NAME
Nozick   I-NAME
reported   O
associated   O
symptoms   O
such   O
as   O
nausea   O
,   O
repeated   O
instances   O
of   O
non   O
-   O
bilious   O
vomiting   O
and   O
a   O
mild   O
grade   O
fever   O
.   O

Additionally   O
,   O
the   O
Cristina   B-NAME
Chung   I-NAME
mentioned   O
having   O
experienced   O
similar   O
,   O
but   O
less   O
severe   O
,   O
episodes   O
of   O
pain   O
in   O
the   O
past   O
.   O

The   O
Camp   B-NAME
has   O
no   O
known   O
history   O
of   O
Hepatitis   O
/   O
HIV   O
or   O
other   O
chronic   O
illnesses   O
.   O

The   O
Costa   B-NAME
is   O
currently   O
being   O
referred   O
to   O
Tiffany   B-NAME
Wang   I-NAME
at   O
Asante   B-LOCATION
Three   I-LOCATION
Rivers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
assessment   O
and   O
diagnosis   O
.   O

The   O
healthcare   O
plan   O
proposed   O
for   O
the   O
Grace   B-NAME
Knapp   I-NAME
would   O
be   O
initially   O
conservative   O
including   O
hydration   O
,   O
antibiotics   O
and   O
analgesics   O
followed   O
by   O
possible   O
Endoscopic   O
Retrograde   O
Cholangiopancreatography   O
(   O
ERCP   O
)   O
and   O
laparoscopic   O
cholecystectomy   O
depending   O
on   O
the   O
recovery   O
and   O
diagnosis   O
.   O

For   O
further   O
information   O
or   O
to   O
schedule   O
an   O
appointment   O
,   O
please   O
contact   O
the   O
Central   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
259   I-CONTACT
)   I-CONTACT
910   I-CONTACT
9421   I-CONTACT
.   O

The   O
address   O
is   O
Eden   B-LOCATION
Prairie   I-LOCATION
,   O
14732   B-LOCATION
.   O

Office   O
yt563   B-NAME
Organization   O
:   O

Sundance   B-LOCATION
Institute   I-LOCATION

Patient   O
Information   O
:   O
Name   O
:   O
Gaines   B-NAME
Age   O
:   O
45   O
ID   O
:   O
6   B-ID
-   I-ID
2054774   I-ID
Medical   O
record   O
:   O
CK191336   B-ID
Phone   O
number   O
:   O
(   B-CONTACT
561   I-CONTACT
)   I-CONTACT
913   I-CONTACT
9317   I-CONTACT
ZIP   O
:   O

66514   B-LOCATION
Location   O
:   O
North   B-LOCATION
Lakeville   I-LOCATION
Profession   O
:   O
Computer   O
scientist   O
The   O
patient   O
visited   O
Raritan   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/03   B-DATE
.   O

They   O
were   O
referred   O
to   O
Johanna   B-NAME
Blackburn   I-NAME
by   O
an   O
acquaintance   O
.   O

The   O
patient   O
works   O
as   O
a   O
Mine   O
Cutting   O
and   O
Channeling   O
Machine   O
Operators   O
in   O
a   O
reputable   O
Family   B-LOCATION
Dollar   I-LOCATION
in   O
Athol   B-LOCATION
.   O

Cheyanne   B-NAME
Pollard   I-NAME
came   O
in   O
complaining   O
of   O
a   O
severe   O
headache   O
that   O
he   O
described   O
as   O
a   O
"   O
squeezing   O
sensation   O
"   O
on   O
the   O
left   O
side   O
of   O
the   O
head   O
,   O
accompanied   O
by   O
sensitivity   O
to   O
light   O
and   O
sound   O
.   O

On   O
examination   O
,   O
Scott   B-NAME
Phipps   I-NAME
demonstrated   O
photophobia   O
and   O
phonophobia   O
.   O

Diagnostic   O
Approach   O
:   O
Brennen   B-NAME
Vance   I-NAME
recommended   O
a   O
complete   O
blood   O
count   O
,   O
MRI   O
,   O
and   O
an   O
EEG   O
test   O
.   O

The   O
test   O
was   O
scheduled   O
to   O
be   O
conducted   O
at   O
INTEGRIS   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
on   O
2/13/60   B-DATE
.   O

The   O
patient   O
was   O
given   O
an   O
identification   O
number   O
12749439   B-ID
for   O
all   O
his   O
medical   O
documents   O
.   O

Plan   O
of   O
Care   O
:   O
Pending   O
the   O
results   O
,   O
Stephen   B-NAME
Mccullough   I-NAME
was   O
advised   O
to   O
avoid   O
possible   O
trigger   O
factors   O
,   O
like   O
stress   O
,   O
irregular   O
sleep   O
patterns   O
,   O
and   O
certain   O
food   O
items   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Sunday   B-DATE
to   O
discuss   O
the   O
results   O
and   O
devise   O
the   O
medication   O
plan   O
.   O

In   O
case   O
of   O
any   O
further   O
queries   O
or   O
emergencies   O
,   O
Alisson   B-NAME
Conley   I-NAME
can   O
contact   O
Filiberto   B-NAME
Larmon   I-NAME
at   O
887   B-CONTACT
-   I-CONTACT
5262   I-CONTACT
or   O
connect   O
via   O
the   O
digital   O
portal   O
using   O
fax177   B-NAME
.   O

The   O
Robley   B-LOCATION
Rex   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
located   O
at   O
Forest   B-LOCATION
River   I-LOCATION
,   O
80673   B-LOCATION
.   O

Patient   O
Name   O
:   O
Landon   B-NAME
Cochran   I-NAME
Age   O
:   O
77   O
ID   O
:   O
NS   B-ID
:   I-ID
EL:6123   I-ID
Phone   O
number   O
:   O
951   B-CONTACT
-   I-CONTACT
9048   I-CONTACT
Medical   O
Record   O
Number   O
:   O
2668S08654   B-ID
Zip   O
Code   O
:   O
89041   B-LOCATION
Address   O
:   O
Trafalgar   B-LOCATION
Date   O
:   O
12/21/2152   B-DATE
Name   O
of   O
Doctor   O
:   O
Tania   B-NAME
Garcia   I-NAME
Hospital   O
When   O
Treated   O
:   O

Roosevelt   B-LOCATION
Warm   I-LOCATION
Springs   I-LOCATION
Institute   I-LOCATION
for   I-LOCATION
Rehabilitation   I-LOCATION
17/27/2389   B-DATE
,   O
James   B-NAME
Solomon   I-NAME
,   O
a   O
Cooks   O
,   O
Private   O
Household   O
residing   O
in   O
Moore   B-LOCATION
Station   I-LOCATION
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

However   O
,   O
upon   O
further   O
examination   O
by   O
Reeve   B-NAME
,   I-NAME
Christopher   I-NAME
and   O
review   O
of   O
Woodard   B-NAME
's   O
medical   O
history   O
with   O
168   B-ID
-   I-ID
34   I-ID
-   I-ID
37   I-ID
-   I-ID
8   I-ID
,   O
we   O
decided   O
to   O
conduct   O
further   O
tests   O
to   O
rule   O
out   O
other   O
possible   O
conditions   O
.   O

On   O
8/33   B-DATE
,   O
the   O
patient   O
was   O
admitted   O
to   O
New   B-LOCATION
Hampshire   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
observation   O
.   O

Known   O
smoker   O
with   O
a   O
history   O
of   O
working   O
in   O
a   O
mining   O
company   O
Southwest   B-LOCATION
Mississippi   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Association   I-LOCATION
clearly   O
led   O
us   O
to   O
think   O
about   O
the   O
possibility   O
of   O
silicosis   O
.   O

A   O
detailed   O
report   O
containing   O
patient   O
's   O
test   O
results   O
,   O
X   O
-   O
ray   O
and   O
CT   O
scan   O
findings   O
have   O
been   O
documented   O
in   O
the   O
secure   O
health   O
record   O
67986877   B-ID
.   O

We   O
will   O
be   O
contacting   O
Benjamin   B-NAME
Hobart   I-NAME
at   O
26753   B-CONTACT
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
Hazard   B-LOCATION
ARH   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
further   O
discussion   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
James   B-NAME
through   O
the   O
staff   O
username   O
gmh410   B-NAME
or   O
at   O
Forest   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Report   O
:   O
Name   O
:   O
BW   B-NAME
Age   O
:   O
70   O
Medical   O
Record   O
Number   O
:   O
5587293   B-ID
Date   O
Of   O
Birth   O
:   O
09/18   B-DATE
Location   O
:   O

South   B-LOCATION
Eliot   I-LOCATION
Doctor   O
's   O
Name   O
:   O
Meadow   B-NAME
Wade   I-NAME
M.D.   O
Holden   B-NAME
of   O
CarolinaEast   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
provided   O
an   O
examination   O
for   O
Lane   B-NAME
-   I-NAME
Porteus   I-NAME
,   O
who   O
has   O
been   O
experiencing   O
a   O
variety   O
of   O
worrisome   O
symptoms   O
and   O
discomfort   O
over   O
the   O
past   O
couple   O
of   O
weeks   O
.   O

Kenya   B-NAME
Dudley   I-NAME
first   O
noted   O
pain   O
in   O
the   O
lower   O
abdomen   O
area   O
around   O
1813   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
11   I-DATE
.   O

Gilmore   B-NAME
also   O
reported   O
experiencing   O
mild   O
to   O
moderate   O
nausea   O
after   O
eating   O
,   O
accompanied   O
by   O
instances   O
of   O
vomiting   O
.   O

Huynh   B-NAME
's   O
appetite   O
has   O
decreased   O
and   O
significant   O
weight   O
loss   O
over   O
a   O
short   O
period   O
of   O
time   O
was   O
noted   O
.   O

Frank   B-NAME
has   O
a   O
Orthotists   O
and   O
Prosthetists   O
which   O
does   O
not   O
involve   O
heavy   O
lifting   O
or   O
strenuous   O
physical   O
activity   O
,   O
thus   O
reducing   O
the   O
likelihood   O
that   O
the   O
abdominal   O
discomfort   O
is   O
due   O
to   O
muscle   O
strain   O
or   O
similar   O
conditions   O
.   O

Kaeden   B-NAME
Shannon   I-NAME
's   O
medical   O
history   O
,   O
retrieved   O
from   O
VV   B-ID
:   I-ID
NK:8451   I-ID
number   O
,   O
has   O
been   O
unremarkable   O
to   O
date   O
with   O
no   O
known   O
allergies   O
or   O
major   O
surgeries   O
.   O

Rupert   B-NAME
does   O
not   O
take   O
medication   O
on   O
a   O
regular   O
basis   O
.   O

Physical   O
examination   O
conducted   O
on   O
12/13   B-DATE
revealed   O
a   O
slight   O
enlargement   O
of   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
with   O
associated   O
tenderness   O
.   O

For   O
all   O
further   O
inquiries   O
,   O
contact   O
35941   B-CONTACT
.   O

The   O
patient   O
resides   O
in   O
the   O
32917   B-LOCATION
postal   O
area   O
and   O
will   O
be   O
receiving   O
treatment   O
from   O
Abrazo   B-LOCATION
West   I-LOCATION
Campus   I-LOCATION
moving   O
forward   O
.   O

The   O
medical   O
account   O
linked   O
with   O
RQ949   B-NAME
will   O
be   O
used   O
for   O
updates   O
regarding   O
the   O
patient   O
's   O
health   O
status   O
.   O

Please   O
send   O
all   O
billings   O
to   O
Dollar   B-LOCATION
General   I-LOCATION
.   O

Patient   O
Report   O
:   O
00/22/2030   B-DATE
Patient   O
Name   O
:   O
Leida   B-NAME
Perna   I-NAME
Maddison   B-NAME
Becker   I-NAME
greeted   O
Sonia   B-NAME
Chambers   I-NAME
at   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Richmond   I-LOCATION
complaining   O
of   O
experiencing   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

Information   O
:   O
Patient   O
's   O
ID   O
:   O
PX224/2752   B-ID
Phone   O
Number   O
:   O
63031   B-CONTACT
Address   O
:   O
Libby   B-LOCATION
,   O
93993   B-LOCATION
Profession   O
:   O
Helpers   O
--   O
Electricians   O
Medical   O
Record   O
Number   O
:   O
222   B-ID
-   I-ID
40   I-ID
-   I-ID
63   I-ID
-   I-ID
2   I-ID
Upon   O
examination   O
,   O
it   O
was   O
found   O
that   O
Ferraro   B-NAME
has   O
increased   O
heart   O
rate   O
and   O
increased   O
blood   O
pressure   O
.   O

The   O
Nicholas   B-NAME
Robbins   I-NAME
recommends   O
Desirae   B-NAME
Palmer   I-NAME
to   O
be   O
admitted   O
to   O
Peninsula   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
observation   O
.   O

Yacob   B-NAME
T.   I-NAME
Kane   I-NAME
will   O
stay   O
on   O
the   O
ward   O
for   O
monitoring   O
of   O
heart   O
rate   O
and   O
blood   O
pressure   O
.   O

If   O
required   O
,   O
a   O
consultation   O
with   O
a   O
cardiologist   O
at   O
Wakefield   B-LOCATION
Municipal   I-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
will   O
be   O
arranged   O
.   O

In   O
case   O
of   O
emergency   O
,   O
Trinity   B-NAME
Parker   I-NAME
or   O
the   O
family   O
is   O
advised   O
to   O
contact   O
the   O
Adventist   B-LOCATION
HealthCare   I-LOCATION
White   I-LOCATION
Oak   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
hotline   O
at   O
11291   B-CONTACT
.   O

Correpondences   O
will   O
be   O
handled   O
by   O
xzr831   B-NAME
,   O
the   O
assigned   O
nurse   O
for   O
Clementina   B-NAME
Catillo   I-NAME
.   O

Should   O
Karen   B-NAME
Bader   I-NAME
require   O
any   O
medicine   O
or   O
equipment   O
,   O
it   O
can   O
be   O
acquired   O
from   O
the   O
pharmacy   O
located   O
in   O
Madras   B-LOCATION
.   O

The   O
patient   O
also   O
suffered   O
from   O
diabetes   O
and   O
was   O
diagnosed   O
in   O
February   B-DATE
2276   I-DATE
.   O

This   O
report   O
will   O
be   O
documented   O
and   O
updated   O
accordingly   O
by   O
25768846   B-ID
.   O

Next   O
appointment   O
is   O
scheduled   O
on   O
35/38   B-DATE
.   O

Patient   O
's   O
Name   O
:   O
Overman   B-NAME
Physician   O
:   O

Richard   B-NAME
Hardin   I-NAME
Hospital   O
:   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Marysville   I-LOCATION
Location   O
of   O
the   O
hospital   O
:   O
Carl   B-LOCATION
Junction   I-LOCATION
Date   O
:   O
03/00/2290   B-DATE
Patient   O
’s   O
age   O
:   O
48   O
Medical   O
record   O
number   O
:   O
339   B-ID
-   I-ID
09   I-ID
-   I-ID
30   I-ID
-   I-ID
5   I-ID
ID   O
details   O
:   O
HG350/4644   B-ID
Phone   O
number   O
:   O
(   B-CONTACT
658   I-CONTACT
)   I-CONTACT
505   I-CONTACT
6029   I-CONTACT
Organization   O
:   O

Hiscox   B-LOCATION
Small   I-LOCATION
Business   I-LOCATION
Insurance   I-LOCATION
Patient   O
's   O
profession   O
:   O
Computer   O
Systems   O
Engineers   O
/   O
Architects   O
Username   O
:   O
zf526   B-NAME
ZIP   O
Code   O
:   O
20593   B-LOCATION
The   O
patient   O
,   O
Sienna   B-NAME
Riggs   I-NAME
,   O
came   O
in   O
on   O
33/16   B-DATE
and   O
reported   O
experiencing   O
severe   O
epigastric   O
pain   O
over   O
the   O
past   O
two   O
days   O
.   O

Wilson   B-NAME
Mcdaniel   I-NAME
's   O
discomfort   O
increased   O
substantially   O
after   O
meals   O
and   O
was   O
alleviated   O
slightly   O
with   O
the   O
consumption   O
of   O
antacids   O
.   O

Fish   B-NAME
also   O
complained   O
of   O
nausea   O
and   O
had   O
experienced   O
one   O
episode   O
of   O
vomiting   O
today   O
.   O

A   O
thorough   O
physical   O
examination   O
performed   O
by   O
Dr.   O
Hašek   B-NAME
,   I-NAME
Jaroslav   I-NAME
at   O
Saint   B-LOCATION
Luke   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Living   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Marion   I-LOCATION
identified   O
tenderness   O
in   O
the   O
upper   O
abdomen   O
.   O

K.   B-NAME
Ivan   I-NAME
Olszewski   I-NAME
was   O
treated   O
with   O
a   O
standard   O
course   O
of   O
antibiotics   O
and   O
proton   O
pump   O
inhibitors   O
.   O

Parker   B-NAME
Quinby   I-NAME
does   O
not   O
smoke   O
or   O
consume   O
alcohol   O
.   O

The   O
patient   O
is   O
now   O
scheduled   O
for   O
an   O
endoscopy   O
at   O
MacNeal   B-LOCATION
Hospital   I-LOCATION
on   O
04/24   B-DATE
.   O

For   O
any   O
questions   O
or   O
clarifications   O
related   O
to   O
his   O
treatment   O
,   O
Carolann   B-NAME
Vanwart   I-NAME
can   O
contact   O
Dr.   O
Klein   B-NAME
at   O
212   B-CONTACT
1979   I-CONTACT
during   O
office   O
hours   O
.   O

Patient   O
Name   O
:   O
Jordan   B-NAME
Roberts   I-NAME
Age   O
:   O
29   O
Medical   O
Record   O
Number   O
:   O
2252797   B-ID
Appointment   O
Date   O
:   O
20/22/2158   B-DATE
Physician   O
's   O
Name   O
:   O
Cabrera   B-NAME
Hospital   O
:   O

East   B-LOCATION
Orange   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Patient   O
Yael   B-NAME
Navarro   I-NAME
came   O
in   O
complaining   O
of   O
severe   O
chest   O
pain   O
that   O
started   O
at   O
approximately   O
1.30PM   O
on   O
13/07   B-DATE
.   O

The   O
ECG   O
report   O
obtained   O
from   O
the   O
Cardiology   O
Department   O
at   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Lancaster   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
showed   O
the   O
probable   O
occurrence   O
of   O
an   O
acute   O
transmural   O
myocardial   O
infarction   O
of   O
the   O
anterior   O
LAD   O
territory   O
.   O

Patient   O
was   O
administered   O
a   O
loading   O
dose   O
of   O
dual   O
antiplatelet   O
therapy   O
and   O
was   O
recommended   O
urgent   O
coronary   O
artery   O
bypass   O
grafting   O
(   O
CABG   O
)   O
after   O
consulting   O
with   O
Dwayne   B-NAME
Woodard   I-NAME
.   O

The   O
patient   O
's   O
family   O
from   O
Bourbon   B-LOCATION
was   O
contacted   O
via   O
phone   O
at   O
20174   B-CONTACT
to   O
apprise   O
them   O
of   O
the   O
situation   O
and   O
to   O
discuss   O
further   O
plans   O
of   O
action   O
.   O

The   O
patient   O
works   O
as   O
a   O
Political   O
researcher   O
for   O
an   O
Interamerican   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Environmental   I-LOCATION
Defense   I-LOCATION
,   O
and   O
their   O
employer   O
was   O
also   O
advised   O
to   O
provide   O
necessary   O
support   O
during   O
this   O
time   O
.   O

We   O
have   O
scheduled   O
an   O
appointment   O
on   O
2012   B-DATE
for   O
the   O
operation   O
.   O

Further   O
instructions   O
will   O
be   O
delivered   O
by   O
phone   O
and   O
via   O
a   O
message   O
to   O
hrq462   B-NAME
.   O

Please   O
bring   O
identification   O
number   O
583515   B-ID
for   O
verification   O
at   O
the   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Rockies   I-LOCATION
's   O
front   O
desk   O
upon   O
arrival   O
.   O

Postcode   O
of   O
the   O
hospital   O
:   O
54464   B-LOCATION
.   O

We   O
wish   O
Lucille   B-NAME
Short   I-NAME
an   O
expedited   O
and   O
successful   O
procedure   O
and   O
recovery   O
.   O

The   O
patient   O
,   O
Ibrahim   B-NAME
Farmer   I-NAME
,   O
is   O
a   O
Solar   O
Photovoltaic   O
Installers   O
of   O
37   O
years   O
old   O
.   O

He   O
resides   O
in   O
Oak   B-LOCATION
Hill   I-LOCATION
with   O
the   O
postal   O
code   O
79584   B-LOCATION
.   O

He   O
has   O
been   O
experiencing   O
frequent   O
throbbing   O
headaches   O
occurring   O
at   O
least   O
twice   O
a   O
week   O
for   O
the   O
past   O
20   B-DATE
March   I-DATE
2308   I-DATE
.   O

Patient   O
's   O
ID   O
number   O
is   O
RA525/7061   B-ID
and   O
his   O
contact   O
number   O
is   O
371   B-CONTACT
606   I-CONTACT
7207   I-CONTACT
.   O

Upon   O
consultation   O
with   O
Maynard   B-NAME
at   O
Mobile   B-LOCATION
Infirmary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Jerky   B-NAME
Boys   I-NAME
described   O
the   O
headache   O
pain   O
as   O
severe   O
and   O
often   O
accompanied   O
by   O
nausea   O
and   O
increased   O
sensitivity   O
to   O
light   O
and   O
sound   O
.   O

The   O
username   O
for   O
the   O
online   O
health   O
portal   O
to   O
view   O
the   O
test   O
results   O
is   O
mni35   B-NAME
.   O

The   O
patient   O
is   O
scheduled   O
for   O
follow   O
-   O
up   O
consultation   O
after   O
36/24   B-DATE
.   O

For   O
any   O
emergency   O
,   O
Earley   B-NAME
can   O
contact   O
Two   B-LOCATION
Rivers   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
through   O
739   B-CONTACT
-   I-CONTACT
1262   I-CONTACT
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
'   O
488   B-ID
-   I-ID
57   I-ID
-   I-ID
21   I-ID
'   O
.   O

Patient   O
Name   O
:   O
Maya   B-NAME
Marshall   I-NAME
Patient   O
kang   B-NAME
reported   O
to   O
Franciscan   B-LOCATION
Health   I-LOCATION
Crawfordsville   I-LOCATION
on   O
12/22/88   B-DATE
.   O

The   O
patient   O
,   O
aged   O
3   O
,   O
is   O
a   O
Software   O
developer   O
from   O
Tulare   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
93274   I-LOCATION
.   O

He   O
was   O
seen   O
by   O
Dr.   O
Coffey   B-NAME
and   O
complains   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
fatigue   O
.   O

Medical   O
Record   O
Number   O
:   O
7508723   B-ID
Patient   O
Hugh   B-NAME
Sullivan   I-NAME
describes   O
the   O
abdominal   O
pain   O
as   O
a   O
sharp   O
,   O
continuous   O
discomfort   O
located   O
mainly   O
in   O
the   O
right   O
upper   O
quadrant   O
.   O

After   O
a   O
thorough   O
examination   O
and   O
review   O
of   O
patient   O
Kerry   B-NAME
,   I-NAME
John   I-NAME
's   O
medical   O
history   O
,   O
Dr.   O
Modesta   B-NAME
Odem   I-NAME
has   O
suspected   O
a   O
case   O
of   O
cholecystitis   O
.   O

Patient   O
Liliana   B-NAME
Pierce   I-NAME
has   O
been   O
scheduled   O
for   O
an   O
abdominal   O
ultrasound   O
at   O
West   B-LOCATION
Boca   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
confirm   O
the   O
diagnosis   O
and   O
determine   O
the   O
severity   O
of   O
the   O
condition   O
.   O

Additional   O
Contact   O
details   O
:   O
Phone   O
Number   O
:   O
75225   B-CONTACT
Address   O
:   O
8181   B-LOCATION
Market   I-LOCATION
St.   I-LOCATION
,   O
45043   B-LOCATION
Patient   O
Kyler   B-NAME
Perkins   I-NAME
has   O
health   O
coverage   O
under   O
Lincoln   B-LOCATION
Park   I-LOCATION
Saving   I-LOCATION
Bank   I-LOCATION
with   O
a   O
health   O
plan   O
number   O
of   O
10   B-ID
-   I-ID
5710512   I-ID
.   O

The   O
appointment   O
for   O
the   O
ultrasound   O
scan   O
was   O
scheduled   O
by   O
IR183   B-NAME
.   O

Patient   O
Rommel   B-NAME
,   I-NAME
Erwin   I-NAME
has   O
been   O
advised   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
for   O
the   O
meantime   O
,   O
and   O
asked   O
to   O
report   O
back   O
to   O
Dr.   O
Nielsen   B-NAME
for   O
a   O
follow   O
-   O
up   O
visit   O
after   O
the   O
scans   O
on   O
1830   B-DATE
.   O

The   O
criticality   O
of   O
the   O
situation   O
was   O
explained   O
to   O
Rory   B-NAME
Hurst   I-NAME
including   O
the   O
potential   O
need   O
for   O
surgical   O
intervention   O
if   O
the   O
condition   O
is   O
severe   O
.   O

After   O
the   O
patient   O
's   O
visit   O
,   O
a   O
detailed   O
report   O
featuring   O
the   O
complete   O
findings   O
and   O
Doctor   O
Destiney   B-NAME
Murphy   I-NAME
's   O
assessment   O
was   O
updated   O
in   O
the   O
patient   O
's   O
e   O
-   O
chart   O
under   O
ID   O
:   O
6353210   B-ID
.   O

Patient   O
Name   O
:   O
Arianna   B-NAME
Ortiz   I-NAME
Age   O
:   O
73   O
Medical   O
Record   O
Number   O
:   O
3754816   B-ID
Dr.   O
Walker   B-NAME
attended   O
to   O
patient   O
Corrine   B-NAME
James   I-NAME
-   I-NAME
Wagner   I-NAME
presenting   O
to   O
KershawHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
33/32/2090   B-DATE
.   O

The   O
patient   O
was   O
promptly   O
transferred   O
from   O
Emily   B-LOCATION
to   O
the   O
Neurology   O
Department   O
in   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
West   I-LOCATION
for   O
a   O
CT   O
scan   O
.   O

As   O
per   O
the   O
recommendation   O
of   O
Dr.   O
Brown   B-NAME
,   O
the   O
patient   O
was   O
admitted   O
to   O
the   O
intensive   O
care   O
unit   O
(   O
ICU   O
)   O
at   O
Warren   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
on   O
June   B-DATE
.   O

The   O
patient   O
's   O
primary   O
contact   O
is   O
listed   O
as   O
(   B-CONTACT
136   I-CONTACT
)   I-CONTACT
923   I-CONTACT
-   I-CONTACT
4415   I-CONTACT
.   O

The   O
medical   O
procedures   O
were   O
carried   O
out   O
in   O
cooperation   O
with   O
an   O
expert   O
team   O
from   O
Security   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
FSB   I-LOCATION
.   O

The   O
patient   O
's   O
insurance   O
details   O
were   O
processed   O
;   O
the   O
patient   O
's   O
insurance   O
10   B-ID
-   I-ID
8413516   I-ID
is   O
under   O
Maritime   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
.   O

The   O
account   O
was   O
billed   O
on   O
13/42   B-DATE
and   O
sent   O
to   O
Barrville   B-LOCATION
with   O
25489   B-LOCATION
.   O

To   O
ensure   O
follow   O
-   O
up   O
,   O
an   O
appointment   O
was   O
scheduled   O
for   O
the   O
patient   O
with   O
Dr.   O
Mathews   B-NAME
at   O
Jewish   B-LOCATION
Hospital   I-LOCATION
on   O
5/32   B-DATE
.   O

A   O
text   O
reminder   O
will   O
be   O
sent   O
to   O
50358   B-CONTACT
a   O
day   O
before   O
the   O
appointment   O
.   O

For   O
any   O
changes   O
to   O
the   O
scheduled   O
appointment   O
,   O
the   O
patient   O
,   O
or   O
the   O
next   O
of   O
kin   O
,   O
can   O
contact   O
our   O
help   O
desk   O
at   O
62305   B-CONTACT
,   O
or   O
email   O
at   O
te892   B-NAME
@   O
General   B-LOCATION
Leonard   I-LOCATION
Wood   I-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.com   O
.   O

All   O
communications   O
should   O
refer   O
to   O
the   O
patient   O
's   O
unique   O
identifier   O
-   O
21700722   B-ID
for   O
easy   O
reference   O
and   O
swift   O
service   O
.   O

Patient   O
Report   O
:   O
Carson   B-NAME
presented   O
at   O
the   O
Eating   B-LOCATION
Recovery   I-LOCATION
Center   I-LOCATION
a   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
on   O
01/24   B-DATE
with   O
chief   O
complaints   O
of   O
persistent   O
headache   O
,   O
neck   O
stiffness   O
,   O
and   O
photophobia   O
.   O

Dr.   O
Paine   B-NAME
,   I-NAME
Thomas   I-NAME
was   O
in   O
charge   O
of   O
the   O
patient   O
.   O

Stevens   B-NAME
,   O
aged   O
59   O
was   O
in   O
significant   O
distress   O
due   O
to   O
the   O
nature   O
of   O
symptoms   O
.   O

Emery   B-NAME
Kennedy   I-NAME
has   O
a   O
history   O
of   O
a   O
similar   O
presentation   O
two   O
years   O
ago   O
.   O

Laboratory   O
ID   O
is   O
380   B-ID
-   I-ID
30   I-ID
-   I-ID
75   I-ID
-   I-ID
7   I-ID
.   O

Brenna   B-NAME
Acosta   I-NAME
also   O
mentioned   O
a   O
previous   O
visit   O
to   O
psychologist   O
Dr.   O
Shawcross   B-NAME
,   I-NAME
Hartley   I-NAME
located   O
at   O
Pickrell   B-LOCATION
,   O
for   O
stress   O
and   O
anxiety   O
concerns   O
related   O
to   O
his   O
Fine   O
Artists   O
,   O
Including   O
Painters   O
,   O
Sculptors   O
,   O
and   O
Illustrators   O
.   O

This   O
data   O
is   O
pursuant   O
to   O
10   B-ID
-   I-ID
5731654   I-ID
.   O

A   O
previous   O
record   O
of   O
health   O
plan   O
number   O
SY:5597:479526   B-ID
was   O
also   O
obtained   O
.   O

Upon   O
physical   O
examination   O
,   O
Phoebe   B-NAME
Woods   I-NAME
showed   O
signs   O
of   O
general   O
weakness   O
but   O
no   O
identifiable   O
fever   O
.   O

Contact   O
number   O
28752   B-CONTACT
was   O
recorded   O
for   O
follow   O
-   O
up   O
communications   O
.   O

Estes   B-NAME
was   O
scheduled   O
for   O
the   O
next   O
visit   O
on   O
03/22/2311   B-DATE
.   O

He   O
resides   O
at   O
Evadale   B-LOCATION
with   O
the   O
zip   O
code   O
of   O
38313   B-LOCATION
.   O

He   O
works   O
for   O
Washington   B-LOCATION
First   I-LOCATION
International   I-LOCATION
Bank   I-LOCATION
and   O
his   O
office   O
email   O
is   O
MW1000   B-NAME
.   O

However   O
,   O
if   O
his   O
condition   O
worsens   O
,   O
Penelope   B-NAME
Clements   I-NAME
has   O
been   O
advised   O
to   O
contact   O
McLeod   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Dillon   I-LOCATION
immediately   O
.   O

Starr   B-NAME
,   I-NAME
Ringo   I-NAME
seemed   O
to   O
understand   O
his   O
health   O
status   O
and   O
expressed   O
determination   O
to   O
follow   O
the   O
obtain   O
directives   O
.   O

Signed   O
,   O
Dr.   O
Anne   B-NAME
Hensley   I-NAME

Patient   O
Name   O
:   O
Porter   B-NAME
Benitez   I-NAME
Age   O
:   O
32   O
Physician   O
:   O

Cullen   B-NAME
Kirby   I-NAME
ID   O
:   O
3   B-ID
-   I-ID
4166641   I-ID
Medical   O
Record   O
Number   O
:   O
8519334   B-ID
Hospital   O
:   O
Great   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
visit   O
:   O
04/06/1636   B-DATE
Symptoms   O
and   O
observation   O
:   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
hospital   O
on   O
11/25   B-DATE
with   O
complaints   O
of   O
fever   O
and   O
consistent   O
cough   O
for   O
the   O
past   O
week   O
.   O

The   O
Mclaughlin   B-NAME
ordered   O
a   O
sputum   O
test   O
,   O
blood   O
cultures   O
,   O
and   O
a   O
pulse   O
oximetry   O
to   O
confirm   O
the   O
findings   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
preliminary   O
results   O
and   O
clinical   O
history   O
,   O
Miguel   B-NAME
Ornega   I-NAME
was   O
diagnosed   O
with   O
right   O
lobe   O
pneumonia   O
.   O

Treatment   O
:   O
Adelina   B-NAME
Letts   I-NAME
was   O
put   O
on   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
was   O
asked   O
to   O
rest   O
and   O
keep   O
hydrated   O
.   O

The   O
Spencer   B-NAME
Walter   I-NAME
planned   O
to   O
reassess   O
the   O
patient   O
’s   O
condition   O
after   O
48   O
hours   O
.   O

Contact   O
Information   O
:   O
Phone   O
:   O
570   B-CONTACT
2551   I-CONTACT
,   O
Location   O
:   O
113   B-LOCATION
undefined   I-LOCATION
,   O
Zip   O
:   O
72275   B-LOCATION
Employment   O
Details   O
:   O
Organization   O
:   O
Stop   B-LOCATION
Wickham   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SWAT   I-LOCATION
)   I-LOCATION
Profession   O
:   O
Precision   O
Pattern   O
and   O
Die   O
Casters   O
,   O
Nonferrous   O
Metals   O
Username   O
:   O
lcf1003   B-NAME

Patient   O
Report   O
:   O
Terrance   B-NAME
Love   I-NAME
is   O
a   O
7   O
week   O
years   O
old   O
individual   O
who   O
has   O
been   O
experiencing   O
symptoms   O
indicative   O
of   O
possible   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
.   O

The   O
initial   O
consultation   O
took   O
place   O
on   O
05/23   B-DATE
and   O
Ronan   B-NAME
Salas   I-NAME
presented   O
with   O
persistent   O
cough   O
,   O
exertional   O
dyspnea   O
,   O
and   O
a   O
history   O
of   O
heavy   O
smoking   O
.   O

Estrus   B-NAME
Himmelsbach   I-NAME
stated   O
that   O
symptoms   O
worsened   O
over   O
Wolfe   B-LOCATION
City   I-LOCATION
winters   O
.   O

Zoie   B-NAME
Galvan   I-NAME
underwent   O
Spirometry   O
testing   O
under   O
the   O
supervision   O
of   O
Julie   B-NAME
Morris   I-NAME
Devlin   I-NAME
Ramsey   I-NAME
at   O
Northwest   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Further   O
checks   O
on   O
15/25/2210   B-DATE
lead   O
to   O
a   O
computerized   O
tomography   O
(   O
CT   O
)   O
of   O
the   O
chest   O
which   O
revealed   O
emphysema   O
changes   O
.   O

Subsequently   O
,   O
Gabriel   B-NAME
Lal   I-NAME
was   O
prescribed   O
a   O
combination   O
of   O
medications   O
including   O
bronchodilators   O
and   O
inhaled   O
corticosteroids   O
.   O

Ben   B-NAME
Andrews   I-NAME
works   O
as   O
a   O
Veterinary   O
Technologists   O
and   O
Technicians   O
and   O
was   O
also   O
advised   O
occupational   O
therapy   O
to   O
manage   O
symptoms   O
at   O
workplace   O
.   O

The   O
therapy   O
and   O
medications   O
will   O
be   O
evaluated   O
on   O
3/2   B-DATE
.   O

There   O
are   O
follow   O
-   O
up   O
visits   O
planned   O
for   O
DeShannon   B-NAME
,   I-NAME
Jackie   I-NAME
and   O
an   O
action   O
plan   O
has   O
been   O
prepared   O
for   O
any   O
potentially   O
worsening   O
conditions   O
.   O

Madisyn   B-NAME
Mcgrath   I-NAME
can   O
reach   O
out   O
to   O
Rothman   B-LOCATION
Orthopaedic   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
through   O
180   B-CONTACT
-   I-CONTACT
4242   I-CONTACT
in   O
case   O
of   O
any   O
emergency   O
or   O
change   O
in   O
symptom   O
.   O

Litzy   B-NAME
Huffman   I-NAME
's   O
medical   O
record   O
106   B-ID
29   I-ID
62   I-ID
is   O
updated   O
with   O
the   O
detailed   O
list   O
of   O
symptoms   O
and   O
treatment   O
plan   O
.   O

The   O
Evergreen   B-LOCATION
USA   I-LOCATION
RRG   I-LOCATION
has   O
been   O
notified   O
to   O
send   O
around   O
home   O
-   O
care   O
nurses   O
for   O
monitoring   O
Yovani   B-NAME
Vergara   I-NAME
's   O
condition   O
.   O

aponte   B-NAME
's   O
ID   O
with   O
the   O
organization   O
for   O
reference   O
is   O
0   B-ID
-   I-ID
9534870   I-ID
.   O

Patient   O
's   O
residential   O
address   O
is   O
based   O
in   O
Milesburg   B-LOCATION
,   O
85788   B-LOCATION
.   O

Referrals   O
for   O
William   B-NAME
Seth   I-NAME
Potter   I-NAME
have   O
been   O
given   O
to   O
Gina   B-NAME
Garrett   I-NAME
based   O
on   O
RU593   B-NAME
,   O
which   O
can   O
be   O
used   O
for   O
appointments   O
and   O
communications   O
.   O

This   O
report   O
was   O
written   O
by   O
Aurora   B-NAME
Taylor   I-NAME
and   O
will   O
be   O
monitored   O
for   O
Crygor   B-NAME
's   O
progress   O
through   O
the   O
course   O
of   O
treatment   O
.   O

Note   O
:   O
This   O
report   O
contains   O
private   O
health   O
information   O
and   O
should   O
only   O
be   O
viewed   O
by   O
relevant   O
medical   O
professionals   O
involved   O
in   O
August   B-NAME
Asmus   I-NAME
's   O
care   O
.   O

Patient   O
Information   O
:   O
The   O
patient   O
,   O
Carrie   B-NAME
,   O
is   O
a   O
21   O
-   O
year   O
-   O
old   O
individual   O
who   O
was   O
initially   O
admitted   O
to   O
Charity   B-LOCATION
Hospital   I-LOCATION
,   O
located   O
in   O
Conisbrough   B-LOCATION
,   O
with   O
complaints   O
of   O
shortness   O
of   O
breath   O
,   O
chest   O
discomfort   O
,   O
and   O
sporadic   O
dry   O
cough   O
.   O

Incidences   O
have   O
been   O
observed   O
from   O
00/20   B-DATE
.   O

The   O
patient   O
was   O
examined   O
by   O
Skyler   B-NAME
Miles   I-NAME
.   O

Noe   B-NAME
Wade   I-NAME
's   O
medical   O
record   O
13443979   B-ID
revealed   O
no   O
former   O
history   O
of   O
any   O
respiratory   O
ailments   O
or   O
cardiac   O
disorders   O
.   O

Patient   O
's   O
1   B-ID
-   I-ID
5746747   I-ID
has   O
been   O
registered   O
in   O
the   O
hospital   O
system   O
for   O
future   O
references   O
.   O

The   O
patient   O
's   O
home   O
address   O
is   O
in   O
Lake   B-LOCATION
Davis   I-LOCATION
with   O
15786   B-LOCATION
.   O

The   O
patient   O
is   O
currently   O
under   O
observation   O
in   O
the   O
respiratory   O
unit   O
of   O
South   B-LOCATION
Haven   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
emergency   O
contact   O
number   O
is   O
929   B-CONTACT
7812   I-CONTACT
.   O

The   O
patient   O
's   O
condition   O
and   O
test   O
results   O
must   O
be   O
reviewed   O
by   O
Humphrey   B-NAME
after   O
three   O
days   O
from   O
23/17/2270   B-DATE
.   O

A   O
telephonic   O
conversation   O
has   O
been   O
scheduled   O
on   O
the   O
same   O
day   O
at   O
(   B-CONTACT
445   I-CONTACT
)   I-CONTACT
781   I-CONTACT
4831   I-CONTACT
.   O

All   O
this   O
information   O
was   O
entered   O
into   O
the   O
electronic   O
health   O
record   O
system   O
by   O
RA467   B-NAME
from   O
the   O
European   B-LOCATION
Beer   I-LOCATION
Consumers   I-LOCATION
Union   I-LOCATION
(   I-LOCATION
EBCU   I-LOCATION
)   I-LOCATION
.   O

The   O
doctor   O
's   O
reports   O
will   O
be   O
dispatched   O
to   O
the   O
patient   O
's   O
home   O
in   O
South   B-LOCATION
Solon   I-LOCATION
.   O

Patient   O
Report   O
for   O
Ezequiel   B-NAME
Herman   I-NAME
:   O
35   B-DATE
-   I-DATE
16   I-DATE
Patient   O
Age   O
:   O
36s   O
We   O
,   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Huntersville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
received   O
Cordell   B-NAME
Summers   I-NAME
who   O
showed   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
including   O
tenderness   O
and   O
rigidity   O
upon   O
palpation   O
.   O

Page   B-NAME
’s   O
pain   O
appeared   O
gradually   O
but   O
worsened   O
over   O
a   O
span   O
of   O
12   O
-   O
48   O
hours   O
,   O
with   O
accompanying   O
symptoms   O
of   O
loss   O
of   O
appetite   O
,   O
nausea   O
,   O
and   O
fever   O
.   O

"   O
Additionally   O
,   O
digital   O
rectal   O
exam   O
was   O
performed   O
by   O
Berger   B-NAME
,   O
which   O
revealed   O
right   O
-   O
sided   O
discomfort   O
,   O
another   O
diagnostic   O
factor   O
of   O
appendicitis   O
.   O

The   O
patient   O
's   O
heart   O
rate   O
was   O
elevated   O
and   O
lab   O
tests   O
conducted   O
by   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Lincoln   I-LOCATION
indicated   O
a   O
slightly   O
higher   O
than   O
normal   O
white   O
blood   O
cell   O
count   O
.   O

Patient   O
's   O
latest   O
medical   O
records   O
,   O
MRN   O
9658388   B-ID
,   O
documented   O
previous   O
instances   O
of   O
gastritis   O
,   O
which   O
initially   O
led   O
us   O
to   O
consider   O
differential   O
diagnoses   O
,   O
including   O
gastroenteritis   O
and   O
urinary   O
tract   O
infection   O
.   O

Patient   O
's   O
history   O
,   O
as   O
per   O
the   O
ID   O
-   O
4   B-ID
-   I-ID
9842659   I-ID
,   O
also   O
revealed   O
a   O
family   O
history   O
of   O
appendicitis   O
,   O
adding   O
to   O
the   O
likelihood   O
of   O
the   O
diagnosis   O
.   O

The   O
patient   O
resides   O
in   O
the   O
Bertrand   B-LOCATION
region   O
and   O
works   O
as   O
a   O
Interviewers   O
,   O
Except   O
Eligibility   O
and   O
Loan   O
at   O
Ocala   B-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
.   O

We   O
tried   O
contacting   O
the   O
emergency   O
number   O
listed   O
as   O
833   B-CONTACT
9545   I-CONTACT
for   O
immediate   O
family   O
.   O

Notifications   O
have   O
been   O
sent   O
to   O
the   O
personal   O
email   O
tied   O
to   O
username   O
TA4410   B-NAME
for   O
upcoming   O
appointments   O
and   O
instructions   O
post   O
-   O
release   O
from   O
Bethesda   B-LOCATION
Hospital   I-LOCATION
West   I-LOCATION
.   O

Patient   O
's   O
address   O
is   O
listed   O
as   O
Arbutus   B-LOCATION
,   O
44299   B-LOCATION
.   O

As   O
of   O
now   O
,   O
Jenell   B-NAME
Giraldo   I-NAME
is   O
under   O
observation   O
and   O
a   O
healthcare   O
team   O
led   O
by   O
Osvaldo   B-NAME
Holloway   I-NAME
is   O
scheduled   O
to   O
perform   O
an   O
appendectomy   O
,   O
following   O
which   O
patient   O
's   O
condition   O
is   O
anticipated   O
to   O
improve   O
.   O
Compiled   O
by   O
:   O
Oconnell   B-NAME
03/00/2020   B-DATE

Patient   O
:   O
Makaila   B-NAME
Briggs   I-NAME
Age   O
:   O
83   O
Medical   O
Record   O
Number   O
:   O
51534935   B-ID
Presented   O
to   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
(   O
ED   O
)   O
on   O
03/21/87   B-DATE
.   O

Imaging   O
conducted   O
by   O
Dr.   O
Simpson   B-NAME
confirmed   O
the   O
initial   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Once   O
diagnosis   O
was   O
confirmed   O
,   O
the   O
patient   O
was   O
admitted   O
to   O
Stillwater   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
on   O
12/09   B-DATE
by   O
Dr.   O
Odonnell   B-NAME
with   O
no   O
identified   O
stipulations   O
or   O
alternative   O
occurrences   O
.   O

Jaslyn   B-NAME
Bird   I-NAME
reported   O
a   O
significant   O
decline   O
in   O
pain   O
post   O
-   O
procedure   O
and   O
was   O
monitored   O
overnight   O
in   O
Mission   B-LOCATION
Hospital   I-LOCATION
Laguna   I-LOCATION
Beach   I-LOCATION
.   O

Discharge   O
was   O
planned   O
for   O
12/22   B-DATE
should   O
recovery   O
continue   O
positively   O
.   O

Following   O
discharge   O
,   O
a   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
36/10   B-DATE
with   O
Dr.   O
Lozano   B-NAME
at   O
French   B-LOCATION
Island   I-LOCATION
.   O

Medication   O
for   O
pain   O
management   O
and   O
detailed   O
instructions   O
for   O
care   O
at   O
home   O
were   O
provided   O
to   O
River   B-NAME
Pace   I-NAME
.   O

In   O
structured   O
follow   O
-   O
up   O
on   O
3/022235   B-DATE
,   O
Dotson   B-NAME
reported   O
no   O
functional   O
deficits   O
and   O
minimal   O
scar   O
tissue   O
formation   O
.   O

N   B-NAME
Leonard   I-NAME
's   O
personal   O
details   O
:   O
Occupation   O
:   O
Forest   O
Fire   O
Fighting   O
and   O
Prevention   O
Supervisors   O
SSN   O
:   O
92954   B-ID
Address   O
:   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11224   I-LOCATION
ZIP   O
code   O
:   O
53054   B-LOCATION
Emergency   O
Contact   O
:   O
cun705   B-NAME
Emergency   O
Contact   O
Phone   O
Number   O
:   O
299   B-CONTACT
348   I-CONTACT
3340   I-CONTACT
Health   O
Insurance   O
Company   O
:   O
Key   B-LOCATION
West   I-LOCATION
Bank   I-LOCATION
Policy   O
number   O
:   O
1985241   B-ID
Note   O
:   O
All   O
medical   O
data   O
is   O
stored   O
in   O
complete   O
adherence   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
:   O
Ayla   B-NAME
Rich   I-NAME
ID   O
:   O
VK881/5351   B-ID
Medical   O
Record   O
Number   O
:   O
8126541   B-ID
Date   O
:   O
1   B-DATE
-   I-DATE
27   I-DATE
Age   O
:   O
5   O
month   O
Doctor   O
:   O
Isaura   B-NAME
Cavin   I-NAME
Hospital   O
:   O
Logan   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
32   B-LOCATION
53rd   I-LOCATION
Avenue   I-LOCATION
Organization   O
:   O

Imperial   B-LOCATION
Spheres   I-LOCATION
Phone   O
:   O
67990   B-CONTACT
Profession   O
:   O
Electronic   O
Equipment   O
Installers   O
and   O
Repairers   O
,   O
Motor   O
Vehicles   O
Username   O
:   O
xkq523   B-NAME
Zip   O
:   O

66366   B-LOCATION
The   O
patient   O
,   O
HOFFMAN   B-NAME
,   I-NAME
VICTOR   I-NAME
,   O
aged   O
32s   O
visited   O
the   O
ER   O
at   O
Northside   B-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
headache   O
,   O
nausea   O
,   O
and   O
intermittent   O
visual   O
disturbances   O
.   O

The   O
patient   O
works   O
as   O
a   O
Pharmacists   O
for   O
the   O
organization   O
Bakers   B-LOCATION
,   I-LOCATION
Food   I-LOCATION
&   I-LOCATION
Allied   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
.   O

The   O
symptoms   O
started   O
almost   O
a   O
week   O
before   O
the   O
visit   O
,   O
around   O
0/9   B-DATE
.   O

Dr.   O
Rios   B-NAME
conducted   O
a   O
thorough   O
examination   O
.   O

The   O
patient   O
resides   O
at   O
Fennimore   B-LOCATION
and   O
could   O
be   O
reached   O
at   O
136   B-CONTACT
3567   I-CONTACT
.   O

He   O
is   O
registered   O
under   O
the   O
ID   O
IT:7391:735152   B-ID
.   O

The   O
medical   O
record   O
number   O
for   O
Providence   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
is   O
60123926   B-ID
.   O

To   O
follow   O
up   O
after   O
the   O
tests   O
,   O
an   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Roselyn   B-NAME
Villarreal   I-NAME
in   O
The   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
January   B-DATE
.   O

The   O
patient   O
expressed   O
concern   O
about   O
driving   O
due   O
to   O
visual   O
disturbances   O
,   O
hence   O
,   O
taxi   O
service   O
to   O
and   O
from   O
the   O
Pudsey   B-LOCATION
hospital   O
was   O
arranged   O
by   O
the   O
Ontario   B-LOCATION
English   I-LOCATION
Catholic   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
.   O

As   O
a   O
note   O
,   O
the   O
patient   O
's   O
online   O
portal   O
username   O
is   O
do886   B-NAME

and   O
he   O
lives   O
in   O
the   O
95498   B-LOCATION
postal   O
area   O
.   O

Patient   O
Name   O
:   O
Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
Age   O
:   O
61s   O
Date   O
:   O
2310   B-DATE

On   O
the   O
above   O
-   O
mentioned   O
date   O
,   O
I   O
,   O
Phillips   B-NAME
,   O
examined   O
Olszewski   B-NAME
at   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
in   O
Seneca   B-LOCATION
Falls   I-LOCATION
.   O

Tobias   B-NAME
Wiley   I-NAME
reports   O
recent   O
weight   O
loss   O
which   O
adds   O
an   O
element   O
of   O
concern   O
for   O
the   O
possibility   O
of   O
malignancy   O
.   O

The   O
blood   O
work   O
performed   O
on   O
1855   B-DATE
came   O
back   O
showing   O
elevated   O
levels   O
of   O
liver   O
enzymes   O
in   O
his   O
system   O
.   O

Given   O
the   O
patient   O
's   O
i   O
d   O
number   O
0055   B-ID
:   I-ID
Q83225   I-ID
,   O
an   O
appointment   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
on   O
Th   B-DATE
.   O

Contact   O
Information   O
:   O
Phone   O
:   O
35431   B-CONTACT
Address   O
:   O
881   B-LOCATION
Thatcher   I-LOCATION
Court   I-LOCATION
,   O
11542   B-LOCATION
Employed   O
at   O
:   O
Broadcasting   B-LOCATION
Entertainment   I-LOCATION
Cinematograph   I-LOCATION
and   I-LOCATION
Theatre   I-LOCATION
Union   I-LOCATION
Profession   O
:   O
Technical   O
sales   O
engineer   O
Entered   O
in   O
the   O
system   O
by   O
:   O
aap506   B-NAME
Coordinated   O
with   O
insurance   O
provider   O
American   B-LOCATION
Sterling   I-LOCATION
Bank   I-LOCATION
using   O
the   O
policy   O
4   B-ID
-   I-ID
2654379   I-ID
for   O
the   O
billing   O
and   O
other   O
financial   O
procedures   O
.   O

Patient   O
Name   O
:   O
Mcdowell   B-NAME
Age   O
:   O
2s   O

On   O
18/03/92   B-DATE
,   O
Colton   B-NAME
Livingston   I-NAME
was   O
admitted   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Manteca   I-LOCATION
under   O
the   O
care   O
of   O
Marilee   B-NAME
Demarest   I-NAME
.   O

Taryn   B-NAME
Winters   I-NAME
presented   O
with   O
an   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
that   O
had   O
persisted   O
for   O
approximately   O
12   O
hours   O
before   O
admission   O
.   O

On   O
examination   O
,   O
the   O
Marilyn   B-NAME
Cunningham   I-NAME
's   O
abdomen   O
was   O
distended   O
and   O
there   O
was   O
explicit   O
tenderness   O
on   O
palpation   O
in   O
the   O
periumbilical   O
region   O
.   O

A   O
surgery   O
consult   O
was   O
requested   O
for   O
the   O
Braylen   B-NAME
Horn   I-NAME
.   O

Eggers   B-NAME
,   I-NAME
Dave   I-NAME
,   O
a   O
highly   O
skilled   O
surgeon   O
,   O
advised   O
for   O
an   O
immediate   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
19/26   B-DATE
,   O
with   O
no   O
apparent   O
complications   O
.   O

The   O
medical   O
history   O
of   O
the   O
Eileen   B-NAME
Huffman   I-NAME
previously   O
included   O
hypertension   O
and   O
hyperlipidemia   O
,   O
which   O
were   O
well   O
-   O
managed   O
with   O
medications   O
.   O

Harvey   B-NAME
's   O
Social   O
Security   O
number   O
is   O
BL:72442:470191   B-ID

and   O
the   O
medical   O
record   O
number   O
is   O
2925116   B-ID
.   O

Gibson   B-NAME
resides   O
at   O
Cedar   B-LOCATION
Vale   I-LOCATION
,   O
ZIP   O
code   O
25810   B-LOCATION
.   O

The   O
patient   O
is   O
employed   O
as   O
a   O
Community   O
arts   O
worker   O
at   O
Westfield   B-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

Arthur   B-NAME
Harmon   I-NAME
can   O
be   O
contacted   O
at   O
361   B-CONTACT
4842   I-CONTACT
.   O

The   O
patient   O
was   O
discharged   O
on   O
0/2387   B-DATE
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2008   B-DATE
.   O

A   O
username   O
-   O
DA7010   B-NAME
-   O
and   O
password   O
,   O
were   O
also   O
assigned   O
for   O
the   O
patient   O
's   O
online   O
access   O
to   O
their   O
medical   O
records   O
at   O
Rose   B-LOCATION
Gardens   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

Overall   O
,   O
Jay   B-NAME
Mcdonald   I-NAME
's   O
recovery   O
is   O
going   O
well   O
with   O
adequate   O
management   O
of   O
pain   O
and   O
absence   O
of   O
any   O
post   O
-   O
operative   O
complications   O
.   O

Gilmore   B-NAME
will   O
continue   O
to   O
be   O
closely   O
monitored   O
in   O
the   O
following   O
weeks   O
under   O
the   O
supervision   O
of   O
Yasmine   B-NAME
Werner   I-NAME
.   O

Patient   O
Name   O
:   O
Landor   B-NAME
,   I-NAME
Walter   I-NAME
Savage   I-NAME
Age   O
:   O
97   O
Physician   O
:   O

Edison   B-NAME
Milford   I-NAME
III   I-NAME

The   O
patient   O
presented   O
at   O
SSM   B-LOCATION
Rehab   I-LOCATION
on   O
27/16/2188   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
recurring   O
bouts   O
of   O
diarrhea   O
.   O

The   O
patient   O
had   O
a   O
history   O
of   O
gallstones   O
and   O
was   O
treated   O
at   O
Hays   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Hays   I-LOCATION
in   O
past   O
.   O

The   O
past   O
medical   O
record   O
number   O
is   O
20809871   B-ID
.   O

Upon   O
consultation   O
with   O
Karma   B-NAME
Herman   I-NAME
,   O
a   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
laparoscopic   O
appendectomy   O
,   O
given   O
the   O
patient   O
's   O
history   O
and   O
current   O
symptoms   O
.   O

Consent   O
was   O
obtained   O
and   O
the   O
patient   O
was   O
scheduled   O
for   O
surgery   O
on   O
Friday   B-DATE
.   O

The   O
patient   O
’s   O
emergency   O
contact   O
Carroll   B-NAME
Nolan   I-NAME
's   O
spouse   O
was   O
notified   O
and   O
can   O
be   O
reached   O
at   O
692   B-CONTACT
-   I-CONTACT
1062   I-CONTACT
.   O

After   O
the   O
successful   O
removal   O
of   O
the   O
appendix   O
,   O
the   O
tissue   O
was   O
sent   O
to   O
Benchmark   B-LOCATION
Bank   I-LOCATION
for   O
histopathological   O
studies   O
.   O

The   O
patient   O
is   O
currently   O
stable   O
and   O
recovering   O
in   O
Room   O
BJ:46215:877980   B-ID

at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Concord   I-LOCATION
.   O

Appointments   O
have   O
been   O
organized   O
for   O
2/21   B-DATE
and   O
1644   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
24   I-DATE
with   O
Simon   B-NAME
Griffith   I-NAME
.   O

Discharge   O
instructions   O
and   O
relevant   O
medications   O
were   O
explained   O
to   O
the   O
patient   O
by   O
epx49   B-NAME
,   O
the   O
assigned   O
nurse   O
.   O

Aftercare   O
will   O
be   O
handled   O
by   O
a   O
professional   O
Rotary   O
Drill   O
Operators   O
,   O
Oil   O
and   O
Gas   O
at   O
Odessa   B-LOCATION
.   O

Post   O
-   O
surgery   O
,   O
the   O
patient   O
will   O
need   O
to   O
check   O
in   O
at   O
the   O
Barton   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
21/22   B-DATE
.   O

If   O
there   O
are   O
any   O
issues   O
in   O
the   O
meantime   O
,   O
please   O
contact   O
us   O
on   O
449   B-CONTACT
383   I-CONTACT
1386   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Chebrin   B-NAME
on   O
1774   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
18   I-DATE
,   O
for   O
patient   O
residing   O
at   O
Brandon   B-LOCATION
,   I-LOCATION
Brandon   I-LOCATION
Village   I-LOCATION
Partnership   I-LOCATION
,   O
40479   B-LOCATION
.   O

National   O
Provider   O
Identifier   O
(   O
NPI   O
)   O
number   O
:   O
QN:63149:432963   B-ID

Patient   O
Name   O
:   O
Sienna   B-NAME
Hodge   I-NAME
Date   O
of   O
Birth   O
:   O
23/20/2012   B-DATE
Age   O
:   O
7   O
Medical   O
Record   O
Number   O
:   O
23498427   B-ID
Address   O
:   O
3   B-LOCATION
Glenholme   I-LOCATION
Road   I-LOCATION
Phone   O
Number   O
:   O
773   B-CONTACT
7214   I-CONTACT
Social   O
Security   O
Number   O
:   O
JE368/9716   B-ID
Zip   O
code   O
:   O
48341   B-LOCATION
Occupation   O
:   O

Insurance   O
claims   O
inspector   O
Primary   O
Care   O
Provider   O
:   O
Dr.   O
George   B-NAME
Wiggins   I-NAME
Referring   O
Hospital   O
:   O
Tyler   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Insurance   O
Provider   O
:   O
Zurich   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
Patient   O
Portal   O
Username   O
:   O
aj9810   B-NAME
Patient   O
Summary   O
:   O

The   O
patient   O
,   O
KYLE   B-NAME
CONLEY   I-NAME
,   O
presented   O
with   O
persistent   O
abdominal   O
pain   O
that   O
is   O
intensifying   O
in   O
nature   O
.   O

He   O
states   O
that   O
the   O
current   O
symptoms   O
have   O
been   O
ongoing   O
for   O
roughly   O
5   O
-   O
7   O
days   O
but   O
were   O
initially   O
at   O
a   O
tolerable   O
level   O
before   O
progressively   O
getting   O
worse   O
.   O
69   O
year   O
old   O
Douglas   B-NAME
has   O
no   O
known   O
allergies   O
but   O
has   O
a   O
significant   O
family   O
history   O
of   O
gastrointestinal   O
diseases   O
.   O

A   O
comprehensive   O
examination   O
by   O
the   O
primary   O
doctor   O
,   O
Dr.   O
Cohen   B-NAME
,   O
at   O
our   O
hospital   O
Lincoln   B-LOCATION
Hospital   I-LOCATION
,   O
is   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Dr.   O
Smollett   B-NAME
,   I-NAME
Tobias   I-NAME
has   O
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

The   O
necessary   O
diagnostic   O
tests   O
have   O
been   O
arranged   O
to   O
confirm   O
the   O
diagnosis   O
,   O
and   O
James   B-NAME
,   I-NAME
C.   I-NAME
L.   I-NAME
R.   I-NAME
's   O
case   O
has   O
been   O
discussed   O
with   O
the   O
healthcare   O
team   O
at   O
Athens   B-LOCATION
-   I-LOCATION
Limestone   I-LOCATION
Hospital   I-LOCATION
.   O

His   O
insurance   O
details   O
from   O
Ambit   B-LOCATION
Energy   I-LOCATION
as   O
well   O
as   O
all   O
other   O
relevant   O
medical   O
records   O
936   B-ID
02   I-ID
72   I-ID
have   O
been   O
shared   O
with   O
the   O
consulting   O
team   O
for   O
reference   O
.   O

The   O
patient   O
was   O
indicated   O
to   O
stay   O
in   O
contact   O
via   O
the   O
provided   O
contact   O
number   O
685   B-CONTACT
-   I-CONTACT
8228   I-CONTACT
or   O
through   O
the   O
secure   O
patient   O
portal   O
using   O
username   O
LH1410   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Confucius   B-NAME
Date   O
of   O
Birth   O
:   O
27/10/42   B-DATE
Age   O
:   O
62   O
Chief   O
Complaint   O
:   O
Rockne   B-NAME
,   I-NAME
Knute   I-NAME
presented   O
to   O
the   O
Excela   B-LOCATION
Westmoreland   I-LOCATION
Hospital   I-LOCATION
on   O
6/32   B-DATE
complaining   O
of   O
persistent   O
cough   O
and   O
dyspnea   O
.   O

Over   O
the   O
last   O
6   O
-   O
8   O
weeks   O
,   O
Setsuko   B-NAME
Lovett   I-NAME
began   O
to   O
notice   O
increasing   O
shortness   O
of   O
breath   O
,   O
particularly   O
during   O
physical   O
activity   O
.   O

Upon   O
investigation   O
of   O
Pauling   B-NAME
,   I-NAME
Linus   I-NAME
's   O
medical   O
history   O
,   O
it   O
was   O
noted   O
that   O
they   O
have   O
previously   O
been   O
diagnosed   O
with   O
diabetes   O
and   O
hypertension   O
.   O

Dorsey   B-NAME
's   O
most   O
recent   O
blood   O
pressure   O
reading   O
,   O
taken   O
by   O
Dr.   O
Maxwell   B-NAME
on   O
0/22   B-DATE
,   O
was   O
found   O
to   O
be   O
within   O
acceptable   O
range   O
.   O

Current   O
Medications   O
:   O
Oliveira   B-NAME
,   I-NAME
Keith   I-NAME
has   O
been   O
prescribed   O
metformin   O
(   O
696   B-ID
-   I-ID
87   I-ID
-   I-ID
05   I-ID
)   O
for   O
diabetes   O
and   O
ramipril   O
(   O
252   B-ID
-   I-ID
63   I-ID
-   I-ID
81   I-ID
-   I-ID
6   I-ID
)   O
for   O
hypertension   O
.   O

Examination   O
:   O
Upon   O
physical   O
examination   O
by   O
Dr.   O
Remington   B-NAME
Wagner   I-NAME
,   O
Talia   B-NAME
Logan   I-NAME
appeared   O
nervous   O
and   O
was   O
experiencing   O
mild   O
respiratory   O
distress   O
.   O

Testing   O
and   O
Results   O
:   O
Dr.   O
Alexander   B-NAME
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
test   O
,   O
a   O
chest   O
X   O
-   O
ray   O
,   O
pulmonary   O
function   O
test   O
,   O
and   O
an   O
echocardiogram   O
.   O

However   O
,   O
the   O
chest   O
X   O
-   O
ray   O
result   O
(   O
550   B-ID
-   I-ID
55   I-ID
-   I-ID
74   I-ID
-   I-ID
3   I-ID
)   O
taken   O
on   O
0/01/21   B-DATE
indicated   O
a   O
patchy   O
shadow   O
over   O
the   O
right   O
lower   O
lobe   O
,   O
suggestive   O
of   O
pneumonia   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
findings   O
,   O
Dr.   O
Marvin   B-NAME
Hudson   I-NAME
recommended   O
antibiotic   O
therapy   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
17/25   B-DATE
.   O

Uriel   B-NAME
Zapien   I-NAME
was   O
advised   O
to   O
rest   O
and   O
refrain   O
from   O
their   O
occupation   O
as   O
a   O
Insulation   O
Workers   O
,   O
Mechanical   O
until   O
cleared   O
by   O
Dr.   O
Isabel   B-NAME
Garza   I-NAME
.   O

Contact   O
Information   O
:   O
Kallima   B-NAME
Address   O
:   O
93   B-LOCATION
Hillside   I-LOCATION
Street   I-LOCATION
Phone   O
:   O
345   B-CONTACT
-   I-CONTACT
4182   I-CONTACT
Email   O
:   O
bnz630   B-NAME
Identity   O
Verification   O
:   O
SSN   O
:   O
29970   B-ID
Driver   O
's   O
License   O
:   O
165886   B-ID
Zip   O
:   O
17052   B-LOCATION
Insurance   O
Provider   O
:   O
Chinese   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
Taipei   I-LOCATION
)   I-LOCATION
(   I-LOCATION
CSLT   I-LOCATION
)   I-LOCATION
Insurance   O
Plan   O
Number   O
:   O
742083596   B-ID
Treating   O
Physician   O
:   O
Dr.   O
Ray   B-NAME
Hospital   O
Affiliation   O
:   O
Louisville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Name   O
:   O
Kafka   B-NAME
,   I-NAME
Franz   I-NAME
Age   O
:   O
80   O
Date   O
:   O
30/23   B-DATE
Current   O
Complaint   O
:   O
The   O
patient   O
reports   O
experiencing   O
acute   O
cholecystitis   O
characterized   O
by   O
severe   O
pain   O
in   O
the   O
upper   O
right   O
abdomen   O
.   O

Doctor   O
Name   O
:   O
Tyler   B-NAME
Medical   O
History   O
:   O

Herman   B-NAME
Patton   I-NAME
has   O
had   O
a   O
history   O
of   O
gallstones   O
.   O

Furthermore   O
,   O
the   O
patient   O
had   O
a   O
laparoscopic   O
appendectomy   O
at   O
Baxter   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
approximately   O
four   O
years   O
ago   O
.   O

Hospital   O
Name   O
:   O
Bassett   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
:   O
37485074   B-ID
Phone   O
:   O
436   B-CONTACT
581   I-CONTACT
1976   I-CONTACT
Patient   O
ID   O
:   O
337923   B-ID
Location   O
:   O

Dell   B-LOCATION
Physical   O
Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
Han   B-NAME
Shan   I-NAME
displays   O
tenderness   O
in   O
the   O
right   O
upper   O
quadrant   O
with   O
palpation   O
.   O

Investigations   O
:   O
An   O
abdominal   O
ultrasound   O
scheduled   O
on   O
1833   B-DATE
at   O
FirstHealth   B-LOCATION
Moore   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Richmond   I-LOCATION
,   O
revealed   O
a   O
distended   O
gallbladder   O
with   O
a   O
thickened   O
wall   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
history   O
,   O
examination   O
,   O
and   O
investigation   O
results   O
,   O
Halme   B-NAME
,   I-NAME
Tony   I-NAME
is   O
diagnosed   O
with   O
acute   O
cholecystitis   O
secondary   O
to   O
gallstones   O
.   O

Kane   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
with   O
Colt   B-NAME
Kim   I-NAME
on   O
December   B-DATE
at   O
Ascension   B-LOCATION
Genesys   I-LOCATION
Hospital   I-LOCATION
.   O

Insurance   O
Provider   O
:   O
Refuge   B-LOCATION
Recovery   I-LOCATION
Profession   O
:   O
Engineering   O
geologist   O
Emergency   O
contact   O
:   O
Personal   O
contact   O
(   O
contact   O
number   O
-   O
209   B-CONTACT
663   I-CONTACT
7490   I-CONTACT
)   O
working   O
at   O
Botswana   B-LOCATION
Construction   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
and   O
lives   O
in   O
Atkinson   B-LOCATION
Mills   I-LOCATION
,   O
23163   B-LOCATION
.   O

Online   O
Portal   O
Username   O
:   O
my993   B-NAME
Plan   O
:   O
Luka   B-NAME
Mason   I-NAME
's   O
condition   O
will   O
be   O
continuously   O
monitored   O
.   O

If   O
conditions   O
worsen   O
,   O
contact   O
Leisha   B-NAME
Winston   I-NAME
immediately   O
.   O

Patient   O
Report   O
Alethea   B-NAME
Blazek   I-NAME
,   O
aged   O
21   O
presented   O
at   O
Loma   B-LOCATION
Linda   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
on   O
08/09/1677   B-DATE
.   O

At   O
the   O
time   O
of   O
admission   O
,   O
ostrowski   B-NAME
complained   O
of   O
increasingly   O
severe   O
substernal   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
which   O
was   O
also   O
associated   O
with   O
shortness   O
of   O
breath   O
.   O

Further   O
discussions   O
revealed   O
that   O
Lina   B-NAME
Hale   I-NAME
had   O
a   O
smoking   O
history   O
with   O
close   O
to   O
a   O
pack   O
of   O
cigarettes   O
smoked   O
daily   O
.   O

Dr.   O
Murray   B-NAME
Kaplan   I-NAME
confirmed   O
the   O
primary   O
suspicion   O
by   O
performing   O
an   O
electrocardiogram   O
,   O
which   O
showed   O
ST   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
AVF   O
,   O
consistent   O
with   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

As   O
the   O
risk   O
of   O
further   O
damage   O
to   O
cardiac   O
muscles   O
was   O
imminent   O
,   O
Ravensburg   B-NAME
Marsters   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
and   O
heparin   O
followed   O
by   O
thrombolysis   O
.   O

Interventional   O
cardiology   O
experts   O
at   O
Washington   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Washington   I-LOCATION
performed   O
a   O
coronary   O
angiography   O
on   O
October   B-DATE
which   O
revealed   O
a   O
significant   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

At   O
present   O
,   O
Ryder   B-NAME
Chang   I-NAME
's   O
vitals   O
are   O
stable   O
.   O

This   O
report   O
has   O
been   O
updated   O
on   O
09/24   B-DATE
for   O
748   B-ID
-   I-ID
95   I-ID
-   I-ID
26   I-ID
ID   O
#   O
UM403/7927   B-ID
.   O

For   O
further   O
information   O
,   O
please   O
connect   O
with   O
the   O
Case   O
manager   O
at   O
96451   B-CONTACT
or   O
email   O
at   O
XB298   B-NAME
@   O
Hudson   B-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
.com   O
.   O

Residential   O
Address   O
:   O
Ganado   B-LOCATION
,   O
42419   B-LOCATION
Note   O
:   O
This   O
report   O
contains   O
confidential   O
information   O
of   O
the   O
patient   O
.   O

Patient   O
Name   O
:   O
Livia   B-NAME
Spence   I-NAME
Age   O
:   O
71   O
ID   O
:   O
2   B-ID
-   I-ID
3830614   I-ID
Address   O
:   O
Cleghorn   B-LOCATION
Phone   O
:   O
82040   B-CONTACT
ZIP   O
:   O
26321   B-LOCATION
Username   O
:   O
HG34   B-NAME
Doctor   O
:   O
Amiyah   B-NAME
Golden   I-NAME
Hospital   O
:   O
Union   B-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
#   O
:   O
32599438   B-ID
Organization   O
:   O

Tyranical   B-LOCATION
Planets   I-LOCATION
Profession   O
:   O

Respiratory   O
Therapy   O
Technicians   O
The   O
patient   O
,   O
Anabella   B-NAME
Vang   I-NAME
,   O
presents   O
with   O
progressive   O
symptoms   O
indicative   O
of   O
returning   O
Rhinosinusitis   O
discomfort   O
.   O

Around   O
1797   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
13   I-DATE
,   O
he   O
observed   O
the   O
starts   O
of   O
a   O
slight   O
nasal   O
congestion   O
,   O
which   O
has   O
since   O
been   O
accompanied   O
by   O
posterior   O
nasal   O
drip   O
and   O
persistent   O
cough   O
.   O

Given   O
the   O
patient   O
's   O
history   O
,   O
and   O
the   O
presentation   O
of   O
these   O
increasingly   O
common   O
symptoms   O
,   O
my   O
recommendation   O
is   O
for   O
Jan   B-NAME
Snyder   I-NAME
to   O
begin   O
a   O
course   O
of   O
conservative   O
management   O
beginning   O
with   O
saline   O
nasal   O
irrigation   O
and   O
nasal   O
corticosteroids   O
.   O

In   O
addition   O
,   O
a   O
follow   O
-   O
up   O
with   O
an   O
Ear   O
Nose   O
and   O
Throat   O
(   O
ENT   O
)   O
specialist   O
at   O
Delta   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
under   O
supervision   O
of   O
Ashly   B-NAME
Mullins   I-NAME
would   O
likely   O
be   O
beneficial   O
.   O

It   O
has   O
been   O
scheduled   O
for   O
two   O
weeks   O
from   O
today   O
(   O
on   O
12/12   B-DATE
)   O
.   O

The   O
documentation   O
for   O
this   O
can   O
be   O
found   O
under   O
the   O
35604590   B-ID
number   O
.   O

For   O
any   O
queries   O
,   O
James   B-NAME
,   I-NAME
Alice   I-NAME
or   O
his   O
family   O
can   O
reach   O
me   O
at   O
133   B-CONTACT
5369   I-CONTACT
.   O

Patient   O
Name   O
:   O
Sharpton   B-NAME
,   I-NAME
Al   I-NAME
Age   O
:   O
69   O
ID   O
:   O
AG408/9672   B-ID
Phone   O
:   O
18373   B-CONTACT
Address   O
:   O
Keswick   B-LOCATION
,   O
43827   B-LOCATION
Dr.   O
Mckay   B-NAME
consulted   O
with   O
KEMPER   B-NAME
,   I-NAME
SYLVAN   I-NAME
at   O
Layton   B-LOCATION
Hospital   I-LOCATION
on   O
30/30/2384   B-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
4001264   B-ID
.   O

The   O
dates   O
and   O
details   O
of   O
these   O
tests   O
have   O
been   O
sent   O
to   O
the   O
patient   O
's   O
health   O
plan   O
Libera   B-LOCATION
!   I-LOCATION

under   O
his   O
username   O
AH941   B-NAME
.   O

Remarks   O
:   O
The   O
patient   O
has   O
been   O
instructed   O
to   O
limit   O
physical   O
exertion   O
and   O
to   O
call   O
29692   B-CONTACT
at   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
or   O
visit   O
the   O
emergency   O
room   O
located   O
at   O
Eyota   B-LOCATION
if   O
the   O
chest   O
pain   O
persists   O
or   O
worsens   O
.   O

Prepared   O
by   O
:   O
Robles   B-NAME
,   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
Brooklyn   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
06/65   B-DATE

Patient   O
Name   O
:   O
Adolph   B-NAME
Knowlton   I-NAME
Age   O
:   O
18   O
Medical   O
Record   O
Number   O
:   O
550   B-ID
-   I-ID
09   I-ID
-   I-ID
22   I-ID
-   I-ID
0   I-ID
Date   O
:   O
09/93   B-DATE
Hospital   O
:   O
UPMC   B-LOCATION
Passavant   I-LOCATION
Doctor   O
:   O
Aria   B-NAME
Garrett   I-NAME
Location   O
:   O
Pink   B-LOCATION
Hill   I-LOCATION
Organization   O
:   O

Marshall   B-LOCATION
Municipal   I-LOCATION
Utilities   I-LOCATION
Profession   O
:   O
Microbiologists   O
Phone   O
:   O
46190   B-CONTACT
Username   O
:   O
po34   B-NAME
Zip   O
code   O
:   O
23244   B-LOCATION
ID   O
:   O
10   B-ID
-   I-ID
4394665   I-ID
Patient   O
Virginia   B-NAME
Dixon   I-NAME
,   O
11s   O
,   O
presented   O
at   O
Baton   B-LOCATION
Rouge   I-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/21   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
dyspnea   O
,   O
characterized   O
by   O
shortness   O
of   O
breath   O
and   O
fatigue   O
on   O
exertion   O
over   O
the   O
past   O
2   O
weeks   O
.   O

Isabelle   B-NAME
Deleon   I-NAME
’s   O
symptoms   O
have   O
progressively   O
worsened   O
since   O
they   O
first   O
appeared   O
.   O

Jacob   B-NAME
Bautista   I-NAME
also   O
mentioned   O
episodes   O
of   O
nocturnal   O
orthopnea   O
disrupting   O
his   O
sleep   O
.   O

Charlie   B-NAME
Cooley   I-NAME
’s   O
medical   O
history   O
is   O
significant   O
for   O
ischemic   O
heart   O
disease   O
and   O
mild   O
hypertension   O
.   O

The   O
patient   O
was   O
referred   O
to   O
Dr.   O
Tiana   B-NAME
Clay   I-NAME
for   O
a   O
full   O
cardio   O
-   O
respiratory   O
examination   O
.   O

The   O
patient   O
works   O
as   O
a   O
Astronomers   O
in   O
Rye   B-LOCATION
Brook   I-LOCATION
and   O
mentioned   O
work   O
-   O
related   O
stress   O
.   O

As   O
the   O
primary   O
healthcare   O
provider   O
,   O
Dr.   O
Velasquez   B-NAME
suggested   O
a   O
comprehensive   O
management   O
plan   O
that   O
includes   O
medication   O
,   O
lifestyle   O
changes   O
,   O
and   O
regular   O
follow   O
-   O
ups   O
.   O

The   O
plan   O
and   O
emergency   O
contact   O
details   O
were   O
communicated   O
to   O
the   O
patient   O
over   O
774   B-CONTACT
-   I-CONTACT
8994   I-CONTACT
.   O

The   O
medical   O
record   O
(   O
826   B-ID
30   I-ID
88   I-ID
)   O
at   O
Euro   B-LOCATION
-   I-LOCATION
Mediterranean   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Monitor   I-LOCATION
was   O
updated   O
with   O
the   O
detailed   O
diagnostic   O
report   O
.   O

Dr.   O
Juarez   B-NAME
also   O
suggested   O
consulting   O
a   O
dietitian   O
and   O
a   O
physiotherapist   O
within   O
the   O
same   O
Prisma   B-LOCATION
Health   I-LOCATION
Greer   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
help   O
assist   O
with   O
dietary   O
and   O
physical   O
activity   O
planning   O
,   O
respectively   O
.   O

Ulises   B-NAME
Collier   I-NAME
lives   O
in   O
the   O
32914   B-LOCATION
of   O
Nicholson   B-LOCATION
.   O

The   O
next   O
appointment   O
has   O
been   O
scheduled   O
for   O
03/34/25   B-DATE
.   O
eaj9710   B-NAME
and   O
ID   O
IT359/3890   B-ID
will   O
be   O
required   O
for   O
his   O
next   O
login   O
to   O
our   O
patient   O
portal   O
for   O
follow   O
-   O
up   O
.   O

Oralee   B-NAME
Dunning   I-NAME
Medical   O
Record   O
Number   O
:   O
5196128   B-ID
Age   O
:   O
51   O
Address   O
:   O
Hollenberg   B-LOCATION
,   O
53368   B-LOCATION
Phone   O
Number   O
:   O

35642   B-CONTACT
The   O
patient   O
was   O
presented   O
to   O
Irwin   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
2223   B-DATE
.   O

Dr.   O
Chandler   B-NAME
was   O
the   O
attending   O
physician   O
.   O

Medical   O
staff   O
at   O
Conway   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
proceeded   O
with   O
necessary   O
diagnostic   O
tests   O
,   O
under   O
the   O
supervision   O
of   O
Dr.   O
Nielsen   B-NAME
.   O

The   O
patient   O
's   O
health   O
insurance   O
provider   O
,   O
CCJO   B-LOCATION
René   I-LOCATION
Cassin   I-LOCATION
,   O
was   O
contacted   O
and   O
necessary   O
health   O
insurance   O
ID   O
2   B-ID
-   I-ID
1746328   I-ID
was   O
provided   O
for   O
record   O
and   O
billing   O
purposes   O
.   O

He   O
was   O
reachable   O
via   O
the   O
emergency   O
contact   O
number   O
,   O
58511   B-CONTACT
.   O

The   O
patient   O
's   O
login   O
credentials   O
for   O
the   O
hospital   O
's   O
patient   O
portal   O
are   O
nhm253   B-NAME
for   O
further   O
reference   O
and   O
updates   O
regarding   O
the   O
treatment   O
plans   O
proposed   O
by   O
specialists   O
at   O
MercyOne   B-LOCATION
North   I-LOCATION
Iowa   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
case   O
will   O
remain   O
under   O
assessment   O
and   O
management   O
of   O
Dr.   O
Salome   B-NAME
Maedke   I-NAME
until   O
a   O
stable   O
condition   O
is   O
reached   O
,   O
and   O
would   O
be   O
reassessed   O
thereafter   O
.   O

Note   O
:   O
This   O
report   O
was   O
officially   O
recorded   O
on   O
17/23/87   B-DATE
and   O
will   O
be   O
kept   O
confidential   O
following   O
our   O
privacy   O
policy   O
guidelines   O
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Summer   B-NAME
Lucas   I-NAME
Age   O
:   O
40s   O
Unique   O
Patient   O
ID   O
:   O
EB   B-ID
:   I-ID
AZ:2455   I-ID
Address   O
:   O
5   B-LOCATION
Albany   I-LOCATION
Drive   I-LOCATION
Phone   O
Number   O
:   O
36266   B-CONTACT
Medical   O
Record   O
Number   O
:   O
8705268   B-ID
Current   O
Physician   O
:   O
D   B-NAME
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Keokuk   I-LOCATION
Admission   O
Date   O
:   O
31/31/2223   B-DATE
Last   O
Visited   O
:   O
2354   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
30   I-DATE
Presenting   O
Complaints   O
:   O
For   O
the   O
past   O
two   O
weeks   O
,   O
Peters   B-NAME
has   O
been   O
experiencing   O
a   O
recurring   O
bout   O
of   O
severe   O
headache   O
accompanied   O
by   O
nausea   O
,   O
dizziness   O
,   O
and   O
blurred   O
vision   O
.   O

Terrel   B-NAME
's   O
symptoms   O
started   O
approximately   O
14   O
days   O
before   O
the   O
admission   O
,   O
commencing   O
with   O
mild   O
headaches   O
.   O

The   O
frequency   O
and   O
intensity   O
of   O
the   O
pain   O
rapidly   O
increased   O
over   O
6/2161   B-DATE
.   O

Around   O
a   O
week   O
later   O
,   O
Toby   B-NAME
Lozano   I-NAME
started   O
experiencing   O
bouts   O
of   O
nausea   O
,   O
especially   O
in   O
the   O
mornings   O
.   O

Medical   O
History   O
:   O
Gabriel   B-NAME
Wade   I-NAME
reports   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
II   O
diabetes   O
managed   O
with   O
medication   O
.   O

Malik   B-NAME
Contreras   I-NAME
also   O
mentioned   O
having   O
similar   O
but   O
less   O
severe   O
headaches   O
occasionally   O
for   O
the   O
last   O
two   O
years   O
.   O

Social   O
and   O
Family   O
History   O
:   O
Madeleine   B-NAME
Stout   I-NAME
is   O
a   O
longtime   O
resident   O
and   O
retired   O
Stringed   O
Instrument   O
Repairers   O
and   O
Tuners   O
in   O
the   O
community   O
of   O
Haskins   B-LOCATION
and   O
lives   O
with   O
his   O
spouse   O
.   O

Neither   O
Miley   B-NAME
Herring   I-NAME
nor   O
his   O
close   O
relatives   O
have   O
a   O
significant   O
history   O
of   O
chronic   O
neurological   O
conditions   O
.   O

On   O
examination   O
conducted   O
by   O
Wu   B-NAME
in   O
Colorado   B-LOCATION
Canyons   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
NOLAN   B-NAME
,   I-NAME
N.   I-NAME
YANCY   I-NAME
appeared   O
anxious   O
.   O

Given   O
Zavala   B-NAME
's   O
symptoms   O
and   O
clinical   O
history   O
,   O
Guerra   B-NAME
ordered   O
an   O
MRI   O
to   O
rule   O
out   O
any   O
potential   O
intracranial   O
pathologies   O
.   O

The   O
results   O
are   O
expected   O
to   O
be   O
discussed   O
in   O
the   O
next   O
appointment   O
on   O
11/20   B-DATE
.   O

Emergency   O
Contact   O
Information   O
:   O
Contact   O
Person   O
:   O
HP640   B-NAME
Phone   O
number   O
:   O
971   B-CONTACT
-   I-CONTACT
8817   I-CONTACT
Relationship   O
:   O
spouse   O
Address   O
:   O
Mount   B-LOCATION
Pleasant   I-LOCATION
,   O
25741   B-LOCATION
Insurance   O
Information   O
:   O
Insurance   O
Company   O
:   O
CWA   B-LOCATION
-   I-LOCATION
Canadian   I-LOCATION
Media   I-LOCATION
Guild   I-LOCATION
Policy   O
Number   O
:   O
8   B-ID
-   I-ID
7326167   I-ID

Our   O
office   O
will   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
Thursday   B-DATE
to   O
review   O
test   O
results   O
.   O

If   O
Atwood   B-NAME
experiences   O
an   O
increase   O
in   O
symptom   O
severity   O
,   O
please   O
call   O
290   B-CONTACT
5169   I-CONTACT
or   O
visit   O
our   O
emergency   O
department   O
at   O
Little   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
.   O

Patient   O
"   O
Scott   B-NAME
"   O
of   O
70   O
years   O
,   O
was   O
admitted   O
to   O
the   O
Exeter   B-LOCATION
Hospital   I-LOCATION
hospital   O
on   O
2369   B-DATE
.   O

The   O
patient   O
's   O
history   O
obtained   O
from   O
Jordan   B-NAME
Rodriguez   I-NAME
shows   O
that   O
he   O
has   O
been   O
suffering   O
intermittent   O
frontal   O
headaches   O
for   O
the   O
past   O
two   O
months   O
,   O
which   O
have   O
gradually   O
increased   O
in   O
severity   O
.   O

Accompanied   O
by   O
visual   O
disturbances   O
,   O
these   O
symptoms   O
indicate   O
a   O
likelihood   O
of   O
the   O
presence   O
of   O
a   O
cerebellar   O
or   O
supratentorial   O
mass   O
.   O
MRI   O
investigations   O
were   O
conducted   O
under   O
the   O
case   O
32945255   B-ID
number   O
to   O
further   O
corroborate   O
our   O
presumptive   O
diagnosis   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
at   O
33/03   B-DATE
Columbia   B-LOCATION
Heights   I-LOCATION
.   O

The   O
patient   O
's   O
primary   O
healthcare   O
provider   O
is   O
Stokes   B-NAME
from   O
Littleton   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
healthcare   O
network   O
.   O

For   O
further   O
queries   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
80557   B-CONTACT
.   O

id372   B-NAME
was   O
the   O
healthcare   O
professional   O
who   O
initially   O
attended   O
the   O
patient   O
during   O
the   O
visit   O
to   O
hospital   O
.   O

The   O
patient   O
's   O
spouse   O
,   O
who   O
is   O
a   O
Criminal   O
Investigators   O
and   O
Special   O
Agents   O
by   O
trade   O
,   O
resides   O
at   O
Kulpmont   B-LOCATION
and   O
can   O
also   O
be   O
reached   O
at   O
816   B-CONTACT
3338   I-CONTACT
for   O
any   O
further   O
requirements   O
.   O

In   O
our   O
record   O
system   O
,   O
the   O
patient   O
has   O
been   O
assigned   O
the   O
KQ   B-ID
:   I-ID
YI:9094   I-ID
number   O
.   O

His   O
billing   O
address   O
is   O
in   O
Walthourville   B-LOCATION
,   O
49912   B-LOCATION
.   O

Patient   O
:   O
Gainell   B-NAME
Age   O
:   O
79   O
Physician   O
:   O
Heller   B-NAME
,   I-NAME
Joseph   I-NAME
Location   O
:   O
East   B-LOCATION
Side   I-LOCATION
Medical   O
Record   O
Number   O
:   O
144   B-ID
-   I-ID
37   I-ID
-   I-ID
48   I-ID
Date   O
of   O
Visit   O
:   O
30/35/92   B-DATE
Karter   B-NAME
Becker   I-NAME
of   O
Jeff   B-LOCATION
Davis   I-LOCATION
Hospital   I-LOCATION
evaluated   O
Mejia   B-NAME
on   O
Monday   B-DATE
due   O
to   O
a   O
worsening   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
few   O
days   O
.   O

Tycho   B-NAME
Pankiw   I-NAME
reported   O
difficulty   O
in   O
performing   O
regular   O
daily   O
activities   O
and   O
exacerbation   O
of   O
symptoms   O
with   O
mild   O
exertion   O
.   O

Victoria   B-NAME
Xing   I-NAME
denied   O
experiencing   O
chest   O
pain   O
,   O
however   O
was   O
noted   O
to   O
have   O
episodic   O
nocturnal   O
dyspnea   O
.   O

Upon   O
physical   O
examination   O
,   O
Popper   B-NAME
,   I-NAME
Karl   I-NAME
was   O
found   O
to   O
be   O
using   O
accessory   O
muscles   O
for   O
respiration   O
.   O

Hubbard   B-NAME
,   I-NAME
Kin   I-NAME
(   I-NAME
Frank   I-NAME
McKinney   I-NAME
Hubbard   I-NAME
)   I-NAME
recommended   O
a   O
complete   O
pulmonary   O
function   O
test   O
(   O
PFT   O
)   O
to   O
evaluate   O
Xzavior   B-NAME
's   O
respiratory   O
status   O
.   O

Ronald   B-NAME
Strickland   I-NAME
was   O
also   O
advised   O
to   O
follow   O
-   O
up   O
with   O
our   O
outpatient   O
pulmonology   O
department   O
at   O
the   O
Pelican   B-LOCATION
Bay   I-LOCATION
clinic   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
on   O
09/10   B-DATE
and   O
details   O
regarding   O
the   O
same   O
has   O
been   O
shared   O
with   O
Michener   B-NAME
,   I-NAME
James   I-NAME
via   O
91139   B-CONTACT
.   O

For   O
any   O
further   O
medical   O
assistance   O
,   O
Celia   B-NAME
Murillo   I-NAME
can   O
directly   O
contact   O
our   O
health   O
service   O
at   O
Youth   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
International   I-LOCATION
.   O

Kaiser   B-NAME
will   O
continue   O
to   O
monitor   O
STEPHEN   B-NAME
X.   I-NAME
PIKE   I-NAME
's   O
medical   O
condition   O
closely   O
.   O

Meanwhile   O
,   O
Kingston   B-NAME
Stevenson   I-NAME
's   O
annual   O
health   O
plan   O
coverage   O
sponsored   O
by   O
his   O
Parking   O
Enforcement   O
Workers   O
union   O
's   O
benefits   O
scheme   O
is   O
active   O
with   O
policy   O
number   O
7   B-ID
-   I-ID
2591370   I-ID
.   O

The   O
patient   O
's   O
home   O
address   O
is   O
recorded   O
as   O
Auburn   B-LOCATION
,   O
69774   B-LOCATION
.   O

The   O
case   O
will   O
continue   O
to   O
be   O
under   O
the   O
care   O
of   O
William   B-NAME
Golden   I-NAME
at   O
Elba   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
confidential   O
conversation   O
regarding   O
Malcolm   B-NAME
Holt   I-NAME
is   O
documented   O
and   O
saved   O
in   O
our   O
healthcare   O
system   O
under   O
rg865   B-NAME
.   O

Patient   O
Name   O
:   O
Hillary   B-NAME
Reilly   I-NAME
DOB   O
:   O
32/28/2362   B-DATE
SSN   O
:   O
9   B-ID
-   I-ID
7312188   I-ID
Mr.   O
Alicia   B-NAME
Mason   I-NAME
,   O
a   O
Compensation   O
,   O
Benefits   O
,   O
and   O
Job   O
Analysis   O
Specialists   O
currently   O
residing   O
at   O
Nebraska   B-LOCATION
City   I-LOCATION
,   I-LOCATION
Nebraska   I-LOCATION
City   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
17582   B-LOCATION
,   O
was   O
admitted   O
to   O
Ocala   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/27   B-DATE
.   O

He   O
was   O
referred   O
by   O
his   O
primary   O
care   O
physician   O
,   O
Dr.   O
Mccarty   B-NAME
.   O

Mr.   O
Sharon   B-NAME
Wilkinson   I-NAME
,   O
24   O
,   O
presented   O
with   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
his   O
back   O
.   O

On   O
physical   O
examination   O
,   O
Mr.   O
Demarcus   B-NAME
Woods   I-NAME
appeared   O
in   O
acute   O
distress   O
,   O
with   O
jaundiced   O
skin   O
and   O
sclera   O
.   O

His   O
primary   O
healthcare   O
provider   O
,   O
Dr.   O
Talon   B-NAME
Stanley   I-NAME
at   O
North   B-LOCATION
Colorado   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
surgery   O
was   O
recommended   O
.   O

Clinical   O
notes   O
were   O
updated   O
in   O
his   O
digital   O
medical   O
record   O
(   O
0610E89309   B-ID
)   O
by   O
health   O
care   O
professional   O
JT32   B-NAME
.   O

His   O
spouse   O
has   O
been   O
listed   O
as   O
the   O
emergency   O
contact   O
number   O
,   O
reachable   O
at   O
556   B-CONTACT
5437   I-CONTACT
.   O

Pending   O
the   O
family   O
's   O
decision   O
,   O
a   O
consultation   O
with   O
a   O
gastroenterologist   O
affiliated   O
with   O
Americans   B-LOCATION
For   I-LOCATION
Medical   I-LOCATION
Advancement   I-LOCATION
is   O
scheduled   O
for   O
02/27/87   B-DATE
.   O

For   O
further   O
information   O
regarding   O
Mr.   O
WCS   B-NAME
's   O
condition   O
,   O
appointments   O
can   O
be   O
scheduled   O
by   O
contacting   O
the   O
Orlando   B-LOCATION
Health   I-LOCATION
Dr.   I-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
reception   O
desk   O
at   O
11102   B-CONTACT
.   O

His   O
entire   O
medical   O
history   O
,   O
blood   O
reports   O
,   O
and   O
prescription   O
details   O
can   O
be   O
accessed   O
digitally   O
through   O
patient   O
ID   O
UF   B-ID
:   I-ID
TY:3791   I-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Zion   B-NAME
Matthews   I-NAME
presented   O
to   O
the   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Greater   I-LOCATION
Heights   I-LOCATION
Hospital   I-LOCATION
on   O
March   B-DATE
24th   I-DATE
.   O

Mr.   O
Hezekiah   B-NAME
Barrett   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
diaphoresis   O
and   O
dyspnea   O
.   O

Dr.   O
Karli   B-NAME
Shah   I-NAME
evaluated   O
the   O
patient   O
at   O
the   O
Crossroads   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

His   O
residential   O
address   O
is   O
listed   O
as   O
8494   B-LOCATION
Queen   I-LOCATION
Dr.   I-LOCATION
with   O
a   O
ZIP   O
code   O
of   O
18127   B-LOCATION
.   O

He   O
works   O
as   O
a   O
Command   O
and   O
Control   O
Center   O
Officers   O
for   O
COMMON   B-LOCATION
for   I-LOCATION
Power   I-LOCATION
Systems   I-LOCATION
located   O
in   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10473   I-LOCATION
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
coronary   O
care   O
unit   O
of   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Baton   I-LOCATION
Rouge   I-LOCATION
for   O
closer   O
monitoring   O
and   O
treatment   O
.   O

His   O
medical   O
record   O
reference   O
is   O
8423126   B-ID
.   O

Next   O
-   O
of   O
-   O
kin   O
contact   O
is   O
his   O
daughter   O
,   O
whose   O
contact   O
number   O
is   O
(   B-CONTACT
572   I-CONTACT
)   I-CONTACT
210   I-CONTACT
-   I-CONTACT
5660   I-CONTACT
.   O

Dr.   O
Shaffer   B-NAME
has   O
scheduled   O
a   O
meeting   O
with   O
the   O
family   O
for   O
discussing   O
the   O
treatment   O
options   O
after   O
the   O
results   O
from   O
the   O
blood   O
tests   O
.   O

The   O
healthcare   O
charges   O
are   O
dealt   O
handled   O
by   O
his   O
insurance   O
,   O
the   O
policy   O
ID   O
is   O
GU   B-ID
:   I-ID
UX:1490   I-ID
.   O

To   O
check   O
his   O
test   O
results   O
online   O
,   O
he   O
can   O
use   O
UO766   B-NAME
to   O
login   O
to   O
the   O
patient   O
portal   O
of   O
Reading   B-LOCATION
Hospital   I-LOCATION
.   O

Doctor   O
Hopkins   B-NAME
would   O
continue   O
to   O
monitor   O
his   O
progress   O
and   O
plan   O
for   O
further   O
interventions   O
if   O
required   O
.   O

The   O
patient   O
will   O
be   O
reassessed   O
tomorrow   O
on   O
1986   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
06   I-DATE
.   O

Patient   O
Jamarion   B-NAME
Tyler   I-NAME
presented   O
at   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Ontario   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1980   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
09   I-DATE
.   O

They   O
are   O
a   O
Licensing   O
Examiners   O
and   O
Inspectors   O
of   O
65   O
years   O
,   O
with   O
an   O
ID   O
of   O
KL   B-ID
:   I-ID
TP:5842   I-ID
.   O

Hašek   B-NAME
,   I-NAME
Jaroslav   I-NAME
complained   O
of   O
persistent   O
headaches   O
and   O
intermittent   O
dizziness   O
over   O
the   O
past   O
week   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
was   O
significant   O
for   O
hypertension   O
,   O
and   O
was   O
currently   O
under   O
medication   O
prescribed   O
by   O
Dr.   O
Love   B-NAME
.   O

Relevant   O
diagnostic   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Foley   B-NAME
to   O
confirm   O
the   O
diagnosis   O
.   O

The   O
patient   O
's   O
contact   O
number   O
is   O
922   B-CONTACT
-   I-CONTACT
3786   I-CONTACT
for   O
any   O
further   O
conversations   O
regarding   O
appointments   O
and   O
test   O
results   O
.   O

The   O
patient   O
resides   O
in   O
Cedar   B-LOCATION
Key   I-LOCATION
,   O
91641   B-LOCATION
.   O

Any   O
further   O
medical   O
information   O
can   O
be   O
used   O
through   O
the   O
username   O
hif601   B-NAME
by   O
authenticating   O
the   O
medical   O
record   O
number   O
23215926   B-ID
.   O

All   O
medical   O
procedures   O
and   O
interventions   O
are   O
disclosed   O
according   O
to   O
the   O
standards   O
set   O
by   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Pakistan   I-LOCATION
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Mercer   B-NAME
on   O
05/12/70   B-DATE
at   O
North   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Consulting   O
neurologist   O
,   O
Dr.   O
Michelle   B-NAME
Vega   I-NAME
,   O
has   O
recommended   O
a   O
thorough   O
neurological   O
assessment   O
to   O
rule   O
out   O
any   O
underlying   O
pathologies   O
,   O
including   O
neuroimaging   O
studies   O
like   O
MRI   O
,   O
CT   O
-   O
Scan   O
respectively   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Krish   B-NAME
Stevenson   I-NAME
Date   O
of   O
Birth   O
:   O
2293   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
22   I-DATE
Age   O
:   O
80   O
Medical   O
Record   O
Number   O
:   O
1024782   B-ID
Primary   O
Physician   O
:   O

Bartlett   B-NAME
The   O
patient   O
remains   O
under   O
the   O
care   O
of   O
Trujillo   B-NAME
and   O
his   O
team   O
at   O
the   O
Chestatee   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Madilynn   B-NAME
Hobbs   I-NAME
has   O
a   O
known   O
history   O
of   O
chronic   O
pancreatitis   O
and   O
was   O
last   O
admitted   O
to   O
Centennial   B-LOCATION
Peaks   I-LOCATION
Hospital   I-LOCATION
in   O
10/11   B-DATE
for   O
the   O
same   O
.   O

A   O
detailed   O
family   O
history   O
containing   O
cancer   O
and   O
heart   O
diseases   O
was   O
noted   O
from   O
a   O
previous   O
visit   O
to   O
9   B-ID
-   I-ID
4833467   I-ID
.   O

Angelo   B-NAME
Green   I-NAME
's   O
labs   O
were   O
significant   O
for   O
elevated   O
pancreatic   O
enzymes   O
(   O
Amylase   O
and   O
Lipase   O
)   O
,   O
indicative   O
of   O
a   O
possible   O
acute   O
pancreatitis   O
flare   O
.   O

The   O
patient   O
's   O
ID   O
#   O
NX   B-ID
:   I-ID
ZJ:1911   I-ID
was   O
marked   O
for   O
urgent   O
investigation   O
.   O

Given   O
the   O
symptomatology   O
and   O
the   O
lab   O
findings   O
,   O
Pittman   B-NAME
recommends   O
initiation   O
of   O
IV   O
fluids   O
,   O
analgesics   O
for   O
pain   O
management   O
,   O
and   O
pancreatic   O
enzymes   O
.   O

In   O
terms   O
of   O
psychosocial   O
history   O
,   O
the   O
patient   O
lives   O
alone   O
in   O
Whitakers   B-LOCATION
,   O
was   O
a   O
former   O
Higher   O
education   O
advice   O
worker   O
,   O
and   O
has   O
limited   O
social   O
support   O
.   O

The   O
home   O
phone   O
number   O
is   O
323   B-CONTACT
511   I-CONTACT
-   I-CONTACT
3739   I-CONTACT
.   O

The   O
patient   O
's   O
sole   O
emergency   O
contact   O
is   O
a   O
neighbor   O
,   O
with   O
contact   O
details   O
recorded   O
with   O
YZ409   B-NAME
.   O

Discharge   O
from   O
Greenbrier   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
planned   O
for   O
13/02/96   B-DATE
to   O
the   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Painters   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Trades   I-LOCATION
where   O
physical   O
therapies   O
and   O
nutritional   O
assessments   O
have   O
been   O
arranged   O
.   O

Brandi   B-NAME
is   O
advised   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
continue   O
the   O
prescribed   O
medication   O
without   O
interruption   O
,   O
and   O
follow   O
-   O
up   O
with   O
Adison   B-NAME
Serrano   I-NAME
in   O
two   O
weeks   O
.   O

Home   O
healthcare   O
from   O
New   B-LOCATION
England   I-LOCATION
Anti   I-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
NEAVS   I-LOCATION
)   I-LOCATION
has   O
been   O
organized   O
.   O

The   O
patient   O
was   O
advised   O
to   O
call   O
419   B-CONTACT
8349   I-CONTACT
for   O
any   O
issues   O
.   O

The   O
patient   O
's   O
ZIP   O
code   O
is   O
10867   B-LOCATION
.   O

Report   O
prepared   O
by   O
:   O
Hemingway   B-NAME
,   I-NAME
Ernest   I-NAME
Date   O
:   O
19/25/22   B-DATE

Patient   O
Report   O
:   O
Patient   O
Jong   B-NAME
,   I-NAME
Erica   I-NAME
was   O
referred   O
to   O
us   O
on   O
09/12/2232   B-DATE
by   O
her   O
primary   O
care   O
physician   O
Kelley   B-NAME
of   O
the   O
Excelsior   B-LOCATION
EMC   I-LOCATION
.   O

Upon   O
admission   O
to   O
the   O
facility   O
Union   B-LOCATION
Hospital   I-LOCATION
at   O
Staten   B-LOCATION
Island   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10312   I-LOCATION
,   O
the   O
patient   O
was   O
having   O
a   O
particularly   O
difficult   O
day   O
.   O

According   O
to   O
the   O
medical   O
profile   O
with   O
record   O
number   O
4297604   B-ID
,   O
Emerson   B-NAME
Moran   I-NAME
has   O
been   O
a   O
chronic   O
smoker   O
,   O
smoking   O
around   O
a   O
pack   O
a   O
day   O
for   O
over   O
40   O
years   O
.   O

Currently   O
68   O
years   O
old   O
,   O
she   O
was   O
previously   O
admitted   O
to   O
NEK   B-LOCATION
Center   I-LOCATION
for   I-LOCATION
Health   I-LOCATION
and   I-LOCATION
Wellness   I-LOCATION
–   I-LOCATION
Horton   I-LOCATION
a   O
month   O
ago   O
on   O
2/91   B-DATE
,   O
diagnosed   O
with   O
COPD   O
(   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
)   O
.   O

Biometric   O
ID   O
JG352/4128   B-ID
showed   O
that   O
her   O
vitals   O
were   O
off   O
;   O
blood   O
pressure   O
was   O
160/100   O
,   O
pulse   O
rate   O
was   O
98   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
was   O
25   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
was   O
88   O
%   O
on   O
room   O
air   O
.   O

Sierra   B-NAME
Costa   I-NAME
's   O
current   O
residential   O
address   O
is   O
Wagram   B-LOCATION
with   O
zip   O
code   O
41285   B-LOCATION
.   O

Contact   O
could   O
be   O
established   O
via   O
868   B-CONTACT
8057   I-CONTACT
for   O
further   O
telemedicine   O
consultation   O
or   O
emergency   O
contact   O
.   O

dk572   B-NAME
recommended   O
pulmonary   O
function   O
tests   O
and   O
chest   O
radiographs   O
.   O

Results   O
should   O
be   O
sent   O
directly   O
to   O
Murphy   B-NAME
for   O
further   O
assessment   O
and   O
advised   O
monitoring   O
as   O
a   O
case   O
of   O
special   O
interest   O
because   O
of   O
the   O
complexity   O
of   O
Quinton   B-NAME
Stone   I-NAME
's   O
symptoms   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
32/12/17   B-DATE
.   O

I   O
recommend   O
she   O
sees   O
a   O
cessation   O
counselor   O
with   O
contact   O
number   O
87148   B-CONTACT
in   O
the   O
meanwhile   O
to   O
discuss   O
options   O
for   O
quitting   O
smoking   O
.   O

Overall   O
,   O
Kailyn   B-NAME
Little   I-NAME
requires   O
a   O
comprehensive   O
and   O
meticulous   O
care   O
system   O
to   O
see   O
any   O
improvement   O
in   O
her   O
health   O
condition   O
.   O

The   O
complete   O
medical   O
file   O
along   O
with   O
the   O
measured   O
vitals   O
will   O
be   O
secured   O
and   O
stored   O
under   O
DY:8877:604534   B-ID
for   O
future   O
reference   O
and   O
consultation   O
.   O

Care   O
Team   O
,   O
Dr.   O
Howe   B-NAME
,   I-NAME
Julia   I-NAME
Ward   I-NAME
,   O
M.D.   O
,   O
Maui   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Name   O
:   O
Aryanna   B-NAME
Santana   I-NAME
Age   O
:   O
79   O
ID   O
:   O
0   B-ID
-   I-ID
2794494   I-ID
Contact   O
Number   O
:   O
(   B-CONTACT
691   I-CONTACT
)   I-CONTACT
305   I-CONTACT
2757   I-CONTACT
Mr.   O
Araceli   B-NAME
Parrish   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
on   O
32/07   B-DATE
for   O
symptoms   O
including   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
low   O
-   O
grade   O
fever   O
.   O

The   O
initial   O
assessment   O
was   O
performed   O
by   O
Dr.   O
Lowery   B-NAME
.   O

As   O
per   O
the   O
medical   O
history   O
taken   O
,   O
Mr.   O
Linette   B-NAME
works   O
as   O
a   O
Telecommunications   O
Engineering   O
Specialists   O
and   O
resides   O
in   O
the   O
Pocono   B-LOCATION
Ranch   I-LOCATION
Lands   I-LOCATION
area   O
,   O
which   O
has   O
recently   O
seen   O
a   O
surge   O
in   O
flu   O
cases   O
.   O

Mr.   O
Kenadia   B-NAME
's   O
temperature   O
was   O
observed   O
to   O
be   O
38.5   O
degrees   O
Celsius   O
,   O
Oxygen   O
saturation   O
level   O
at   O
90   O
%   O
on   O
room   O
air   O
,   O
and   O
heart   O
rate   O
clocked   O
at   O
100   O
bpm   O
.   O

His   O
residential   O
81288   B-LOCATION
code   O
was   O
noted   O
in   O
his   O
record   O
for   O
epidemiology   O
tracking   O
.   O

Moreover   O
,   O
Mr.   O
Lyric   B-NAME
Luna   I-NAME
's   O
medical   O
history   O
showed   O
treatment   O
for   O
mild   O
asthma   O
controlled   O
with   O
the   O
use   O
of   O
inhalers   O
.   O

Initial   O
blood   O
tests   O
and   O
chest   O
x   O
-   O
rays   O
were   O
ordered   O
and   O
his   O
medical   O
record   O
number   O
401   B-ID
-   I-ID
61   I-ID
-   I-ID
98   I-ID
-   I-ID
3   I-ID
has   O
been   O
tagged   O
with   O
these   O
investigations   O
.   O

The   O
results   O
are   O
awaited   O
and   O
will   O
be   O
reviewed   O
by   O
the   O
medical   O
team   O
including   O
Dr.   O
Martinez   B-NAME
and   O
discussed   O
with   O
Mr.   O
Jefferson   B-NAME
and   O
his   O
family   O
.   O

It   O
was   O
also   O
noted   O
that   O
Mr.   O
Jessica   B-NAME
Gates   I-NAME
is   O
an   O
employee   O
of   O
World   B-LOCATION
Future   I-LOCATION
Council   I-LOCATION
and   O
as   O
per   O
their   O
protocol   O
his   O
qn624   B-NAME
was   O
immediately   O
suspended   O
to   O
prevent   O
potential   O
spread   O
in   O
the   O
workspace   O
and   O
to   O
ensure   O
he   O
focuses   O
on   O
his   O
health   O
and   O
recovery   O
.   O

The   O
contact   O
number   O
provided   O
at   O
admission   O
was   O
his   O
personal   O
number   O
,   O
140   B-CONTACT
176   I-CONTACT
4386   I-CONTACT
.   O

This   O
detailed   O
report   O
summarises   O
Mr.   O
Feingold   B-NAME
,   I-NAME
Russ   I-NAME
's   O
current   O
health   O
status   O
,   O
underlying   O
conditions   O
,   O
and   O
planned   O
investigations   O
.   O

The   O
team   O
at   O
OCH   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
continue   O
to   O
monitor   O
the   O
patient   O
's   O
health   O
closely   O
.   O

Patient   O
Name   O
:   O
Crosby   B-NAME
Age   O
:   O
89   O
ID   O
:   O
39809145   B-ID
Profession   O
:   O
Home   O
Appliance   O
Repairers   O
Address   O
:   O
Westhampton   B-LOCATION
,   O
48518   B-LOCATION
Phone   O
number   O
:   O
511   B-CONTACT
9101   I-CONTACT
Username   O
:   O
soq2910   B-NAME
Provider   O
:   O
Dr.   O
Singleton   B-NAME
Dear   O
Dr.   O
Faulkner   B-NAME
,   O
The   O
patient   O
,   O
Issa   B-NAME
,   O
visited   O
our   O
health   O
center   O
on   O
7/01   B-DATE
.   O

The   O
patient   O
,   O
a   O
Aromatherapist   O
by   O
occupation   O
,   O
resides   O
in   O
Windermere   B-LOCATION
,   O
19249   B-LOCATION
.   O

Malik   B-NAME
Beard   I-NAME
presented   O
with   O
a   O
number   O
of   O
concerning   O
symptoms   O
.   O

Accompanying   O
this   O
cough   O
,   O
Buchanan   B-NAME
has   O
reported   O
experiencing   O
moderate   O
to   O
severe   O
dyspnea   O
during   O
routine   O
daily   O
activities   O
as   O
well   O
as   O
episodes   O
of   O
nocturnal   O
dyspnea   O
.   O

Kilian   B-NAME
Middleton   I-NAME
has   O
also   O
been   O
fatigued   O
recently   O
and   O
complained   O
of   O
generalized   O
weakness   O
.   O

Given   O
these   O
alarming   O
symptoms   O
and   O
the   O
unexpected   O
weight   O
loss   O
,   O
a   O
comprehensive   O
work   O
-   O
up   O
has   O
been   O
initiated   O
,   O
and   O
the   O
patient   O
was   O
referred   O
to   O
the   O
pulmonology   O
department   O
at   O
Formerly   B-LOCATION
Ingham   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Blood   O
samples   O
were   O
taken   O
and   O
sent   O
to   O
Association   B-LOCATION
of   I-LOCATION
Greek   I-LOCATION
Chemists   I-LOCATION
laboratory   O
for   O
comprehensive   O
metabolic   O
and   O
complete   O
blood   O
count   O
tests   O
.   O

We   O
contacted   O
the   O
patient   O
at   O
328   B-CONTACT
644   I-CONTACT
-   I-CONTACT
5700   I-CONTACT
and   O
provided   O
instructions   O
to   O
get   O
the   O
lab   O
results   O
through   O
our   O
patient   O
portal   O
with   O
the   O
username   O
ff520   B-NAME
.   O

The   O
patient   O
's   O
medical   O
history   O
and   O
results   O
will   O
be   O
kept   O
in   O
the   O
electronic   O
medical   O
record   O
,   O
no   O
.   O
5921000   B-ID
.   O

Sincerely   O
,   O
Dr.   O
Allen   B-NAME
Yale   B-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION

Report   O
:   O
Makenzie   B-NAME
Haas   I-NAME
is   O
a   O
97   O
year   O
old   O
individual   O
who   O
was   O
brought   O
to   O
the   O
emergency   O
department   O
of   O
Trident   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/16/25   B-DATE
.   O

The   O
patient   O
resides   O
at   O
Highgrove   B-LOCATION
and   O
works   O
as   O
a   O
Pediatricians   O
,   O
General   O
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
gathered   O
with   O
the   O
help   O
of   O
the   O
International   B-LOCATION
Partnership   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
(   I-LOCATION
IPHR   I-LOCATION
)   I-LOCATION
where   O
he   O
previously   O
received   O
treatment   O
.   O

His   O
47156445   B-ID
showed   O
that   O
the   O
patient   O
had   O
been   O
diagnosed   O
with   O
diabetes   O
mellitus   O
type   O
2   O
and   O
hypertension   O
.   O

The   O
next   O
of   O
kin   O
listed   O
on   O
the   O
form   O
is   O
Olympia   B-NAME
Jett   I-NAME
's   O
spouse   O
who   O
can   O
be   O
contacted   O
at   O
226   B-CONTACT
815   I-CONTACT
7371   I-CONTACT
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
Mireya   B-NAME
Norman   I-NAME
has   O
been   O
informed   O
of   O
the   O
condition   O
and   O
will   O
be   O
notified   O
of   O
further   O
updates   O
via   O
their   O
LU137   B-NAME
.   O

Hitler   B-NAME
,   I-NAME
Adolf   I-NAME
's   O
insurance   O
details   O
record   O
his   O
provider   O
as   O
National   B-LOCATION
Stores   I-LOCATION
with   O
policy   O
number   O
as   O
NW213/4153   B-ID
and   O
zip   O
code   O
as   O
82366   B-LOCATION
.   O

Patient   O
Name   O
:   O
Amy   B-NAME
Farrah   I-NAME
Fowler   I-NAME
Age   O
:   O
16   O
DOB   O
:   O
2348   B-DATE
MRN   O
:   O
62581015   B-ID
ID   O
:   O
SD:87629:315825   B-ID
Doctor   O
Referred   O
:   O
Carina   B-NAME
Obrien   I-NAME
Exam   O
Date   O
:   O
12/14/71   B-DATE
Report   O
:   O
Danny   B-NAME
Nyland   I-NAME
,   O
a   O
Midwife   O
by   O
profession   O
,   O
presented   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
persistent   O
cough   O
,   O
myalgia   O
,   O
and   O
pyrexia   O
.   O

On   O
the   O
night   O
of   O
1   B-DATE
-   I-DATE
9   I-DATE
-   I-DATE
91   I-DATE
,   O
the   O
patient   O
reported   O
high   O
fever   O
spikes   O
followed   O
by   O
bouts   O
of   O
drenching   O
nocturnal   O
sweat   O
.   O

The   O
patient   O
was   O
tested   O
for   O
SARS   O
-   O
CoV-2   O
via   O
RT   O
-   O
PCR   O
which   O
turned   O
out   O
positive   O
on   O
12/33   B-DATE
.   O

Velez   B-NAME
currently   O
resides   O
at   O
Costa   B-LOCATION
Mesa   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
92627   I-LOCATION
and   O
is   O
being   O
monitored   O
at   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Euclid   I-LOCATION
Hospital   I-LOCATION
.   O

All   O
close   O
contacts   O
within   O
his   O
workplace   O
,   O
Beer   B-LOCATION
Judge   I-LOCATION
Certification   I-LOCATION
Program   I-LOCATION
(   I-LOCATION
BJCP   I-LOCATION
)   I-LOCATION
,   O
have   O
been   O
alerted   O
and   O
suggested   O
to   O
self   O
-   O
quarantine   O
and   O
report   O
for   O
testing   O
if   O
symptoms   O
develop   O
.   O

His   O
cell   O
number   O
535   B-CONTACT
-   I-CONTACT
1020   I-CONTACT
and   O
email   O
i   O
d   O
ox792   B-NAME
are   O
registered   O
for   O
daily   O
health   O
follow   O
-   O
ups   O
.   O

Blood   O
samples   O
have   O
been   O
sent   O
to   O
the   O
laboratories   O
of   O
PeaceHealth   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
tests   O
including   O
the   O
full   O
blood   O
count   O
,   O
liver   O
function   O
tests   O
,   O
d   O
-   O
dimer   O
,   O
LDH   O
,   O
and   O
inflammatory   O
markers   O
.   O

The   O
patient   O
was   O
advised   O
to   O
isolate   O
at   O
home   O
and   O
an   O
appointment   O
was   O
scheduled   O
with   O
Angeline   B-NAME
Kline   I-NAME
after   O
two   O
weeks   O
on   O
19/22   B-DATE
.   O
Signed   O
off   O
by   O
Paxton   B-NAME
Acevedo   I-NAME
Contact   O
:   O
626   B-CONTACT
-   I-CONTACT
213   I-CONTACT
-   I-CONTACT
7989   I-CONTACT

Patient   O
Name   O
:   O
Ali   B-NAME
Melendez   I-NAME
DOB   O
:   O
21/02   B-DATE
Age   O
:   O
43s   O
Medical   O
Record   O
Number   O
:   O
10145577   B-ID
Health   O
plan   O
number   O
:   O
HS384/6872   B-ID
Report   O
Date   O
:   O
36/20   B-DATE
Location   O
:   O
Brookshire   B-LOCATION
Mailing   O
Address   O
:   O
9450   B-LOCATION
South   I-LOCATION
Winchester   I-LOCATION
Court   I-LOCATION
,   O
77894   B-LOCATION
Contact   O
Number   O
:   O
344   B-CONTACT
473   I-CONTACT
5662   I-CONTACT
Referred   O
by   O
:   O
Dr.   O
Sophie   B-NAME
Nolan   I-NAME
Patient   O
Frederick   B-NAME
,   I-NAME
Uriah   I-NAME
C.   I-NAME
,   O
38s   O
,   O
was   O
referred   O
by   O
Dr.   O
Nicholson   B-NAME
of   O
the   O
Unity   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
to   O
our   O
hospital   O
,   O
Carolinas   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Mercy   I-LOCATION
,   O
due   O
to   O
complaints   O
of   O
pain   O
in   O
the   O
abdominal   O
region   O
which   O
has   O
been   O
persistent   O
for   O
the   O
past   O
month   O
.   O

Patient   O
had   O
a   O
significant   O
weight   O
loss   O
of   O
5   O
kg   O
in   O
the   O
last   O
Nov   B-DATE
,   O
associated   O
with   O
diminished   O
appetite   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
on   O
2033   B-DATE
.   O

A   O
gastrointestinal   O
consultation   O
was   O
scheduled   O
,   O
and   O
Dr.   O
Ludwig   B-NAME
von   I-NAME
Saulsbourg   I-NAME
upon   O
examination   O
suggested   O
further   O
evaluation   O
with   O
a   O
colonoscopy   O
.   O

The   O
patient   O
is   O
set   O
to   O
be   O
admitted   O
to   O
Bon   B-LOCATION
Secours   I-LOCATION
Hospital   I-LOCATION
on   O
July   B-DATE
2234   I-DATE
for   O
further   O
tests   O
and   O
management   O
.   O

Patient   O
was   O
asked   O
to   O
return   O
to   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
West   I-LOCATION
Kendall   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
on   O
February   B-DATE
28   I-DATE
for   O
his   O
colonoscopy   O
and   O
abide   O
by   O
the   O
pre   O
-   O
procedure   O
instructions   O
.   O

We   O
also   O
advised   O
him   O
to   O
contact   O
us   O
at   O
27840   B-CONTACT
for   O
any   O
concerns   O
or   O
emergencies   O
.   O

His   O
information   O
has   O
been   O
documented   O
in   O
his   O
medical   O
record   O
851   B-ID
-   I-ID
12   I-ID
-   I-ID
23   I-ID
and   O
will   O
continue   O
to   O
be   O
updated   O
as   O
his   O
condition   O
progresses   O
.   O

Physician   O
Signature   O
:   O
Dr.   O
Hailey   B-NAME
Vazquez   I-NAME
,   O
ao840   B-NAME
34/32   B-DATE

Patient   O
name   O
:   O
Jorden   B-NAME
Mueller   I-NAME
Age   O
:   O
32   O
Resides   O
at   O
:   O
Russell   B-LOCATION
,   I-LOCATION
Russell   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Patient   O
Bernard   B-NAME
Feld   I-NAME
,   O
a   O
Cooks   O
,   O
Institution   O
and   O
Cafeteria   O
was   O
reported   O
to   O
the   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
Jacobi   I-LOCATION
Emergency   O
Department   O
on   O
12/26/2280   B-DATE
by   O
Dr.   O
Hamilton   B-NAME
.   O

Coupled   O
with   O
this   O
,   O
Mr   O
Juliet   B-NAME
Terrell   I-NAME
also   O
reported   O
to   O
have   O
a   O
mild   O
fever   O
of   O
about   O
100.5   O
°   O
F   O
,   O
which   O
onset   O
in   O
conjunction   O
with   O
the   O
abdominal   O
discomfort   O
.   O

Upon   O
physical   O
examination   O
performed   O
by   O
Dr.   O
Mila   B-NAME
Pacheco   I-NAME
,   O
the   O
patient   O
revealed   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicating   O
a   O
positive   O
Blumberg   O
's   O
sign   O
.   O

Dr.   O
Damarion   B-NAME
Phelps   I-NAME
recommended   O
an   O
abdominal   O
ultrasound   O
to   O
further   O
diagnose   O
his   O
condition   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
an   O
ultrasound   O
on   O
31/18   B-DATE
,   O
and   O
the   O
findings   O
have   O
been   O
documented   O
under   O
medical   O
record   O
number   O
CK878094   B-ID
on   O
our   O
John   B-LOCATION
Warner   I-LOCATION
Bank   I-LOCATION
online   O
portal   O
.   O

lm555   B-NAME
from   O
our   O
medical   O
team   O
will   O
keep   O
in   O
touch   O
with   O
the   O
patient   O
at   O
846   B-CONTACT
4879   I-CONTACT
to   O
check   O
in   O
on   O
his   O
health   O
until   O
his   O
next   O
appointment   O
on   O
2008   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
04   I-DATE
.   O

His   O
assigned   O
physician   O
,   O
Dr.   O
Roosevelt   B-NAME
,   I-NAME
Eleanor   I-NAME
will   O
be   O
available   O
for   O
contact   O
through   O
the   O
number   O
(   B-CONTACT
163   I-CONTACT
)   I-CONTACT
796   I-CONTACT
-   I-CONTACT
5073   I-CONTACT
during   O
weekdays   O
.   O

His   O
medical   O
report   O
,   O
ID   O
documents   O
MR   B-ID
:   I-ID
OG:2131   I-ID
have   O
been   O
stored   O
securely   O
and   O
can   O
be   O
collected   O
from   O
Bourbon   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
his   O
earliest   O
convenience   O
.   O

A   O
soft   O
copy   O
of   O
the   O
document   O
can   O
be   O
sent   O
to   O
the   O
patient   O
's   O
residential   O
address   O
,   O
Lancaster   B-LOCATION
,   O
44642   B-LOCATION
or   O
to   O
his   O
work   O
place   O
at   O
Republic   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
N.A.   I-LOCATION
based   O
on   O
his   O
preference   O
.   O

We   O
wish   O
Ayden   B-NAME
Oneal   I-NAME
a   O
speedy   O
recovery   O
from   O
the   O
health   O
setback   O
.   O

Patient   O
's   O
Name   O
:   O
Cecilia   B-NAME
Nelson   I-NAME
Age   O
:   O
7   O
week   O
Date   O
of   O
Visit   O
:   O
1/40   B-DATE
Visited   O
Doctor   O
:   O
Jenner   B-NAME
,   I-NAME
Henry   I-NAME
,   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Philadelphia   I-LOCATION
-   I-LOCATION
Havertown   I-LOCATION
Patient   O
Hadley   B-NAME
Luna   I-NAME
was   O
brought   O
into   O
the   O
Hutchinson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Hutchinson   I-LOCATION
emergency   O
room   O
on   O
32/21   B-DATE
.   O

The   O
patient   O
lives   O
in   O
Anderson   B-LOCATION
,   O
and   O
works   O
as   O
a   O
Helpers   O
--   O
Roofers   O
.   O

Medical   O
record   O
number   O
4776872   B-ID
was   O
assigned   O
.   O

Upon   O
examination   O
,   O
Davila   B-NAME
noted   O
an   O
increased   O
heart   O
rate   O
(   O
tachycardia   O
)   O
along   O
with   O
elevated   O
blood   O
pressure   O
(   O
hypertension   O
)   O
.   O

The   O
patient   O
's   O
previous   O
medical   O
history   O
was   O
collected   O
from   O
Principal   B-LOCATION
Financial   I-LOCATION
Group   I-LOCATION
with   O
the   O
help   O
of   O
IW   B-ID
:   I-ID
DT:8089   I-ID
,   O
which   O
revealed   O
a   O
history   O
of   O
hypertension   O
and   O
high   O
cholesterol   O
levels   O
.   O

Emergency   O
contact   O
,   O
listed   O
as   O
their   O
home   O
phone   O
number   O
,   O
is   O
46478   B-CONTACT
.   O

cd293   B-NAME
and   O
98494   B-LOCATION
are   O
also   O
documented   O
for   O
further   O
correspondence   O
.   O

Based   O
on   O
the   O
symptoms   O
,   O
past   O
medical   O
history   O
,   O
and   O
immediate   O
family   O
's   O
medical   O
history   O
,   O
Kaydence   B-NAME
Hull   I-NAME
diagnosed   O
the   O
patient   O
with   O
Acute   O
Myocardial   O
Infarction   O
(   O
AMI   O
)   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
in   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
for   O
close   O
monitoring   O
and   O
treatment   O
.   O

The   O
next   O
follow   O
-   O
up   O
is   O
scheduled   O
on   O
07/38/2247   B-DATE
,   O
with   O
required   O
tests   O
to   O
be   O
done   O
at   O
Illinois   B-LOCATION
.   O

Subject   O
:   O
Patient   O
Report   O
for   O
Jaylin   B-NAME
Gray   I-NAME
3/12/89   B-DATE
:   O
Patient   O
Name   O
:   O
Oakley   B-NAME
Date   O
of   O
Birth   O
:   O
1/22   B-DATE
Physician   O
's   O
Name   O
:   O
Haleigh   B-NAME
Simmons   I-NAME
Medical   O
Record   O
Number   O
:   O
502   B-ID
-   I-ID
12   I-ID
-   I-ID
92   I-ID
-   I-ID
0   I-ID
Hospital   O
Name   O
:   O
UPMC   B-LOCATION
Mercy   I-LOCATION
Patient   O
's   O
Address   O
:   O
Holmen   B-LOCATION
,   O
86663   B-LOCATION
Contact   O
Number   O
:   O
39249   B-CONTACT
Occupation   O
:   O
QA   O
analyst   O
Social   O
Security   O
Number   O
:   O
2   B-ID
-   I-ID
2386226   I-ID
Username   O
:   O
xx468   B-NAME
Current   O
Symptoms   O
:   O
Jaiden   B-NAME
Tate   I-NAME
presented   O
with   O
high   O
-   O
grade   O
fever   O
persisting   O
for   O
three   O
days   O
,   O
unalleviated   O
by   O
over   O
-   O
the   O
-   O
counter   O
medications   O
.   O

The   O
fever   O
accompanies   O
severe   O
muscle   O
aches   O
,   O
specifically   O
in   O
the   O
joints   O
,   O
and   O
Haiden   B-NAME
David   I-NAME
has   O
noted   O
a   O
significant   O
decrease   O
in   O
strength   O
and   O
stamina   O
.   O

Valeria   B-NAME
Logan   I-NAME
also   O
reported   O
experiencing   O
severe   O
malaise   O
and   O
fatigue   O
,   O
dominant   O
during   O
the   O
afternoon   O
and   O
evening   O
hours   O
.   O

Jorge   B-NAME
Francis   I-NAME
's   O
breathing   O
records   O
at   O
22   O
breaths   O
per   O
minute   O
,   O
slightly   O
above   O
the   O
normal   O
rate   O
.   O

The   O
patient   O
works   O
as   O
a   O
Water   O
Resource   O
Specialists   O
in   O
an   O
Global   B-LOCATION
Rights   I-LOCATION
located   O
in   O
Rodriguez   B-LOCATION
Hevia   I-LOCATION
.   O

Kaylana   B-NAME
's   O
age   O
is   O
9   O
week   O
and   O
does   O
not   O
have   O
a   O
history   O
of   O
severe   O
illnesses   O
.   O

Jeni   B-NAME
LaHain   I-NAME
reported   O
a   O
recent   O
trip   O
to   O
HG61   B-LOCATION
1KI   I-LOCATION
approximately   O
a   O
week   O
prior   O
to   O
the   O
onset   O
of   O
symptoms   O
.   O

Follow   O
-   O
up   O
:   O
Mariela   B-NAME
Atkinson   I-NAME
is   O
scheduled   O
to   O
revisit   O
Carina   B-NAME
Obrien   I-NAME
on   O
1930   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
21   I-DATE
at   O
SageWest   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
-   I-LOCATION
Lander   I-LOCATION
.   O

In   O
the   O
interim   O
,   O
Dailey   B-NAME
is   O
to   O
monitor   O
symptoms   O
and   O
contact   O
Centennial   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
via   O
69373   B-CONTACT
or   O
consult   O
LB44   B-NAME
on   O
our   O
online   O
platform   O
should   O
the   O
symptoms   O
worsen   O
or   O
show   O
no   O
improvement   O
.   O

Report   O
by   O
:   O
Howe   B-NAME
ID   O
:   O
OS837/4267   B-ID
Date   O
:   O

0/02/2363   B-DATE

Patient   O
Information   O
:   O
Mcmillan   B-NAME
arrived   O
at   O
the   O
Merit   B-LOCATION
Health   I-LOCATION
Wesley   I-LOCATION
on   O
S   B-DATE
presenting   O
with   O
severe   O
abdominal   O
pain   O
,   O
weakness   O
,   O
and   O
loss   O
of   O
appetite   O
.   O

Upon   O
initial   O
examination   O
,   O
Juarez   B-NAME
noted   O
a   O
distended   O
abdomen   O
and   O
suspected   O
gastrointestinal   O
distress   O
.   O

Blood   O
tests   O
were   O
ordered   O
and   O
Consuela   B-NAME
Kyrinov   I-NAME
was   O
given   O
pain   O
relief   O
medication   O
.   O

Medical   O
Record   O
:   O
Medical   O
Record   O
Number   O
:   O
830   B-ID
-   I-ID
23   I-ID
-   I-ID
40   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
SSN   O
:   O
91945993   B-ID
Address   O
:   O
Jefferson   B-LOCATION
City   I-LOCATION
Zip   O
Code   O
:   O
11228   B-LOCATION
Phone   O
:   O
(   B-CONTACT
298   I-CONTACT
)   I-CONTACT
530   I-CONTACT
-   I-CONTACT
7066   I-CONTACT
History   O
:   O

According   O
to   O
the   O
past   O
medical   O
records   O
,   O
Paul   B-NAME
Gardner   I-NAME
is   O
a   O
29   O
year   O
old   O
male   O
with   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
.   O

Surprisingly   O
,   O
despite   O
these   O
conditions   O
,   O
he   O
has   O
maintained   O
an   O
active   O
lifestyle   O
with   O
regular   O
check   O
-   O
ups   O
at   O
the   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Angels   I-LOCATION
Hospital   I-LOCATION
.   O
Treatment   O
and   O
Stay   O
:   O

Over   O
the   O
course   O
of   O
his   O
stay   O
from   O
32/79   B-DATE
to   O
21/3   B-DATE
at   O
St.   B-LOCATION
Clare   I-LOCATION
Hospital   I-LOCATION
,   O
Lisa   B-NAME
Carter   I-NAME
underwent   O
a   O
series   O
of   O
tests   O
including   O
an   O
ultrasound   O
scan   O
and   O
CT   O
scan   O
.   O

Varese   B-NAME
,   I-NAME
Edgard   I-NAME
findings   O
confirmed   O
Acute   O
appendicitis   O
.   O

Surgery   O
was   O
performed   O
and   O
NOE   B-NAME
,   I-NAME
NATALEY   I-NAME
KINSLEE   I-NAME
was   O
held   O
for   O
observation   O
over   O
10/13/1648   B-DATE
and   O
discharged   O
on   O
1669   B-DATE
with   O
prescribed   O
antibiotics   O
.   O

Follow   O
-   O
up   O
:   O
Abbott   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
on   O
July   B-DATE
2   I-DATE
with   O
Vance   B-NAME
Stone   I-NAME
at   O
Aspirus   B-LOCATION
Iron   I-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
.   O

In   O
the   O
event   O
of   O
any   O
concerning   O
symptoms   O
,   O
he   O
was   O
advised   O
to   O
get   O
in   O
touch   O
via   O
the   O
helpline   O
number   O
:   O
(   B-CONTACT
592   I-CONTACT
)   I-CONTACT
473   I-CONTACT
-   I-CONTACT
1735   I-CONTACT
.   O

The   O
necessary   O
release   O
forms   O
have   O
been   O
signed   O
and   O
will   O
be   O
processed   O
through   O
UNISON   B-LOCATION
.   O

For   O
further   O
information   O
,   O
Gwen   B-NAME
Pennington   I-NAME
can   O
contact   O
them   O
directly   O
at   O
712   B-CONTACT
-   I-CONTACT
7712   I-CONTACT
or   O
by   O
mail   O
at   O
Malta   B-LOCATION
,   O
82341   B-LOCATION
.   O

Username   O
for   O
accessing   O
the   O
digital   O
copy   O
of   O
medical   O
records   O
is   O
:   O
vgq363   B-NAME
.   O

Patient   O
Information   O
:   O
Hanna   B-NAME
Davies   I-NAME
is   O
a   O
9s   O
year   O
old   O
individual   O
who   O
presented   O
to   O
the   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Denville   I-LOCATION
on   O
5/30   B-DATE
.   O

Her   O
Social   O
Security   O
number   O
is   O
BU   B-ID
:   I-ID
JK:2039   I-ID
and   O
her   O
medical   O
record   O
number   O
is   O
508   B-ID
-   I-ID
83   I-ID
-   I-ID
95   I-ID
-   I-ID
6   I-ID
.   O

She   O
lives   O
in   O
Bebington   B-LOCATION
with   O
a   O
zip   O
code   O
39257   B-LOCATION
and   O
can   O
be   O
contacted   O
at   O
523   B-CONTACT
-   I-CONTACT
6438   I-CONTACT
.   O

In   O
her   O
medical   O
history   O
,   O
it   O
was   O
noted   O
that   O
she   O
had   O
been   O
previously   O
diagnosed   O
with   O
acute   O
migraines   O
by   O
her   O
previous   O
healthcare   O
provider   O
,   O
Dr.   O
Snow   B-NAME
.   O

The   O
patient   O
works   O
as   O
a   O
Pediatricians   O
,   O
General   O
at   O
Borough   B-LOCATION
of   I-LOCATION
Milltown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
and   O
she   O
mentioned   O
that   O
her   O
work   O
entails   O
long   O
hours   O
in   O
front   O
of   O
a   O
computer   O
screen   O
,   O
which   O
she   O
believed   O
may   O
have   O
exacerbated   O
her   O
condition   O
.   O

Diagnostic   O
Results   O
:   O
Upon   O
examination   O
by   O
Dr.   O
Emilia   B-NAME
Howard   I-NAME
at   O
the   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Grandview   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
the   O
patient   O
was   O
found   O
to   O
have   O
a   O
mildly   O
elevated   O
blood   O
pressure   O
.   O

The   O
patient   O
was   O
advised   O
to   O
continue   O
her   O
current   O
migraine   O
medication   O
,   O
prescribed   O
by   O
Dr.   O
Phillip   B-NAME
Garcia   I-NAME
,   O
and   O
to   O
follow   O
up   O
at   O
the   O
Saint   B-LOCATION
Joseph   I-LOCATION
Martin   I-LOCATION
outpatient   O
clinic   O
after   O
three   O
weeks   O
.   O

A   O
scheduled   O
follow   O
-   O
up   O
appointment   O
was   O
set   O
for   O
her   O
on   O
20th   B-DATE
.   O

She   O
was   O
instructed   O
to   O
immediately   O
report   O
any   O
worsening   O
of   O
her   O
symptoms   O
either   O
by   O
phone   O
on   O
441   B-CONTACT
6037   I-CONTACT
or   O
through   O
the   O
patient   O
portal   O
using   O
her   O
username   O
NS571   B-NAME
.   O

Further   O
,   O
it   O
was   O
recommended   O
that   O
Quiana   B-NAME
take   O
regular   O
breaks   O
at   O
her   O
Electronic   O
Masking   O
System   O
Operators   O
job   O
at   O
Veterans   B-LOCATION
for   I-LOCATION
Peace   I-LOCATION
,   O
to   O
manage   O
screen   O
time   O
,   O
and   O
to   O
use   O
screen   O
filters   O
and   O
to   O
maintain   O
a   O
consistent   O
sleep   O
cycle   O
.   O

She   O
was   O
also   O
given   O
specific   O
dietary   O
recommendations   O
along   O
with   O
stress   O
management   O
tips   O
by   O
the   O
resident   O
nutritionist   O
and   O
mental   O
health   O
counselor   O
in   O
Skokie   B-LOCATION
.   O

Patient   O
Report   O
Patient   O
's   O
Name   O
:   O
English   B-NAME
.   O

Doctor   O
:   O
Shania   B-NAME
Howard   I-NAME
.   O

Los   B-LOCATION
Padres   I-LOCATION
Bank   I-LOCATION
.   O

5801783   B-ID
:   O

The   O
patient   O
was   O
admitted   O
to   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
St.   I-LOCATION
Teresa   I-LOCATION
on   O
1907   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
31   I-DATE
.   O

Lugo   B-NAME
has   O
no   O
known   O
drug   O
allergies   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
MRI   O
scan   O
has   O
been   O
scheduled   O
for   O
2/2035   B-DATE
to   O
assess   O
for   O
any   O
significant   O
neural   O
abnormalities   O
.   O

Patient   O
QS849/3726   B-ID
:   O
88532   B-ID
.   O

Location   O
:   O
Cashiers   B-LOCATION
.   O

Contact   O
:   O
247   B-CONTACT
-   I-CONTACT
8362   I-CONTACT
.   O

Zip   O
Code   O
:   O
64545   B-LOCATION
.   O

Username   O
:   O
SV797   B-NAME
.   O

Patient   O
Report   O
:   O
Lainey   B-NAME
Howell   I-NAME
,   O
a   O
54   O
year   O
old   O
patient   O
,   O
was   O
referred   O
by   O
Valenzuela   B-NAME
and   O
admitted   O
to   O
Exeter   B-LOCATION
Hospital   I-LOCATION
on   O
01/22   B-DATE
.   O

The   O
patient   O
resides   O
in   O
Bijou   B-LOCATION
Hills   I-LOCATION
,   O
40086   B-LOCATION
,   O
and   O
his   O
contact   O
number   O
is   O
35306   B-CONTACT
.   O

All   O
results   O
are   O
properly   O
logged   O
under   O
MEDICALRECORD   O
number   O
366   B-ID
-   I-ID
05   I-ID
-   I-ID
60   I-ID
-   I-ID
8   I-ID
.   O

The   O
patient   O
has   O
been   O
introduced   O
to   O
a   O
regimen   O
of   O
antibiotics   O
,   O
anti   O
-   O
emetics   O
,   O
and   O
rehydration   O
therapy   O
,   O
following   O
the   O
protocol   O
established   O
by   O
Haney   B-NAME
.   O

Around   O
1788   B-DATE
,   O
the   O
patient   O
had   O
contacted   O
the   O
hospital   O
to   O
inform   O
them   O
that   O
his   O
lawyer   O
Obstetricians   O
and   O
Gynecologists   O
will   O
be   O
picking   O
up   O
a   O
copy   O
of   O
his   O
medical   O
records   O
.   O

The   O
ID   O
of   O
the   O
lawyer   O
picked   O
up   O
on   O
our   O
security   O
system   O
was   O
TK   B-ID
:   I-ID
AL:1288   I-ID
.   O

The   O
primary   O
care   O
doctor   O
for   O
our   O
patient   O
is   O
Arthur   B-NAME
Harmon   I-NAME
.   O

Hildred   B-NAME
Aguas   I-NAME
's   O
contact   O
details   O
are   O
kept   O
confidential   O
and   O
are   O
only   O
shared   O
in   O
emergency   O
situations   O
.   O

Consultations   O
can   O
be   O
booked   O
by   O
contacting   O
Hind   B-LOCATION
Mazdoor   I-LOCATION
Sabha   I-LOCATION
or   O
directly   O
via   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
through   O
user   O
portal   O
with   O
cyj479   B-NAME
and   O
LU:49420:897935   B-ID
.   O

By   O
considering   O
patient   O
's   O
history   O
of   O
symptoms   O
,   O
diagnostic   O
results   O
and   O
responses   O
to   O
the   O
initial   O
treatments   O
,   O
it   O
is   O
crucial   O
that   O
Barnes   B-NAME
adheres   O
to   O
the   O
proposed   O
regimen   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
W   B-DATE
at   O
Uvalde   B-LOCATION
.   O

Patient   O
Details   O
:   O
Patient   O
name   O
:   O
Frederick   B-NAME
Steele   I-NAME
Personal   O
ID   O
:   O
6   B-ID
-   I-ID
3281197   I-ID
Address   O
:   O
Stella   B-LOCATION
Phone   O
number   O
:   O
99643   B-CONTACT
Date   O
of   O
birth   O
:   O
02/20   B-DATE
Medical   O
Record   O
number   O
:   O
29172962   B-ID
Physician   O
Assigned   O
:   O
Dr.   O
Bray   B-NAME
Admission   O
Date   O
:   O
Sat   B-DATE
Discharge   O
Date   O
:   O
37/33   B-DATE
Hospital   O
:   O
Wyckoff   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
City   O
,   O
State   O
,   O
Zip   O
:   O
Rembrandt   B-LOCATION
,   O
85539   B-LOCATION
Bed   O
/   O
wing   O
:   O
MemorialCare   B-LOCATION
Saddleback   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Employee   O
profession   O
:   O
Online   O
Merchants   O
Username   O
:   O
xzr831   B-NAME
Age   O
:   O
4   O
Presenting   O
symptoms   O
:   O

Setting   O
:   O
The   O
patient   O
was   O
brought   O
into   O
our   O
Emergency   O
Department   O
at   O
the   O
UPMC   B-LOCATION
Mercy   I-LOCATION
stating   O
there   O
had   O
been   O
a   O
sudden   O
onset   O
of   O
sharp   O
,   O
stabbing   O
left   O
-   O
sided   O
chest   O
pain   O
starting   O
on   O
36/14   B-DATE
that   O
worsened   O
with   O
deep   O
breaths   O
despite   O
attempting   O
to   O
self   O
-   O
medicate   O
with   O
over   O
-   O
the   O
-   O
counter   O
ibuprofen   O
.   O

Respiratory   O
-   O
Dyspnea   O
and   O
Orthopnea   O
:   O
Exacerbated   O
breathlessness   O
was   O
reported   O
by   O
the   O
patient   O
when   O
assuming   O
supine   O
position   O
;   O
there   O
was   O
no   O
presence   O
of   O
medical   O
history   O
suggesting   O
paroxysmal   O
nocturnal   O
dyspnea   O
though   O
it   O
is   O
important   O
to   O
update   O
about   O
developments   O
on   O
2/2170   B-DATE
.   O

Vannessa   B-NAME
denied   O
any   O
loss   O
of   O
appetite   O
or   O
night   O
sweats   O
.   O

Current   O
Treatment   O
Plan   O
:   O
Current   O
plan   O
includes   O
performing   O
further   O
investigations   O
,   O
discussing   O
with   O
the   O
cardiology   O
team   O
under   O
Dr.   O
Amara   B-NAME
Costa   I-NAME
,   O
and   O
deciding   O
upon   O
a   O
future   O
plan   O
of   O
diagnostics   O
and   O
therapeutic   O
interventions   O
.   O

An   O
update   O
will   O
be   O
provided   O
post   O
discussion   O
with   O
the   O
team   O
on   O
09/11/2042   B-DATE
.   O

Please   O
notify   O
the   O
Dairyland   B-LOCATION
Power   I-LOCATION
Coop   I-LOCATION
with   O
any   O
changes   O
or   O
if   O
there   O
should   O
be   O
more   O
questions   O
related   O
to   O
patient   O
Domenic   B-NAME
Borge   I-NAME
's   O
admission   O
via   O
Contact   O
96272   B-CONTACT
.   O

Patient   O
Name   O
:   O
Litzy   B-NAME
Mcguire   I-NAME
Age   O
:   O
79   O
Date   O
of   O
Evaluation   O
:   O
32/24   B-DATE
Physician   O
Name   O
:   O
Wilkins   B-NAME
Hospital   O
:   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Bank   I-LOCATION
Medical   O
History   O
:   O

Patient   O
Uriah   B-NAME
Schwartz   I-NAME
presenting   O
with   O
acute   O
onset   O
of   O
left   O
-   O
sided   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
started   O
on   O
2269   B-DATE
.   O

Patient   O
reports   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
(   O
T2DM   O
)   O
and   O
hypertension   O
,   O
for   O
which   O
he   O
has   O
been   O
receiving   O
treatment   O
from   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Muscatine   I-LOCATION
under   O
Dr.   O
French   B-NAME
.   O

Cardiac   O
catheterization   O
lab   O
at   O
Binghamton   B-LOCATION
Psychiatric   I-LOCATION
Center   I-LOCATION
was   O
informed   O
of   O
the   O
case   O
.   O

Consent   O
was   O
taken   O
from   O
the   O
patient   O
and   O
the   O
procedure   O
performed   O
on   O
20/03   B-DATE
.   O

The   O
patient   O
is   O
asked   O
to   O
return   O
in   O
two   O
weeks   O
from   O
30/04/32   B-DATE
for   O
follow   O
-   O
up   O
with   O
Dr.   O
Shaw   B-NAME
.   O

The   O
follow   O
up   O
schedule   O
will   O
be   O
sent   O
to   O
her   O
residence   O
at   O
McCutchenville   B-LOCATION
and   O
her   O
email   O
,   O
registered   O
under   O
username   O
ls517   B-NAME
in   O
our   O
servers   O
.   O

Kindly   O
contact   O
us   O
on   O
this   O
88678   B-CONTACT
for   O
any   O
further   O
queries   O
regarding   O
patient   O
Seuss   B-NAME
,   I-NAME
Dr.   I-NAME
's   O
health   O
condition   O
.   O

Kind   O
Regards   O
,   O
Javon   B-NAME
Saunders   I-NAME
Provider   O
ID   O
:   O
462821   B-ID
Zip   O
:   O
17280   B-LOCATION
Note   O
:   O
This   O
report   O
was   O
dictated   O
by   O
Dr.   O
Sampson   B-NAME
and   O
transcribed   O
by   O
Centre   B-LOCATION
of   I-LOCATION
Indian   I-LOCATION
Trade   I-LOCATION
Unions   I-LOCATION
.   O

It   O
has   O
been   O
checked   O
and   O
signed   O
off   O
in   O
the   O
medical   O
record   O
of   O
patient   O
with   O
record   O
ID   O
1926299   B-ID
.   O

National   O
Provider   O
Identifier   O
of   O
Dr.   O
Gillespie   B-NAME
:   O
3   B-ID
-   I-ID
4556164   I-ID

Patient   O
Information   O
:   O
The   O
patient   O
,   O
referred   O
to   O
as   O
Nielsen   B-NAME
from   O
hereon   O
,   O
is   O
a   O
female   O
of   O
around   O
8   O
week   O
years   O
.   O

Medical   O
Report   O
:   O
On   O
the   O
morning   O
of   O
32   B-DATE
,   O
Fletcher   B-NAME
presented   O
herself   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Camp   I-LOCATION
Hill   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
that   O
was   O
ongoing   O
for   O
the   O
past   O
week   O
.   O

Primary   O
Evaluation   O
:   O
Dr.   O
Ashley   B-NAME
performed   O
a   O
physical   O
examination   O
where   O
tenderness   O
was   O
localized   O
in   O
the   O
right   O
upper   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
possible   O
gallstones   O
or   O
a   O
gallbladder   O
disorder   O
.   O

The   O
medical   O
history   O
,   O
obtained   O
from   O
82516437   B-ID
,   O
revealed   O
that   O
the   O
patient   O
is   O
allergic   O
to   O
penicillin   O
.   O

Assessment   O
:   O
Given   O
the   O
examination   O
findings   O
,   O
Swindoll   B-NAME
,   I-NAME
Charles   I-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
and   O
complete   O
blood   O
count   O
to   O
consolidate   O
the   O
diagnosis   O
.   O

Recommendations   O
:   O
Imaging   O
results   O
from   O
12   B-DATE
showed   O
the   O
presence   O
of   O
gallstones   O
in   O
the   O
gallbladder   O
with   O
a   O
thickness   O
of   O
the   O
gallbladder   O
wall   O
.   O

Patient   O
Giselle   B-NAME
Andersen   I-NAME
will   O
be   O
contacted   O
via   O
(   B-CONTACT
622   I-CONTACT
)   I-CONTACT
645   I-CONTACT
-   I-CONTACT
6727   I-CONTACT
to   O
discuss   O
further   O
treatment   O
options   O
including   O
possible   O
cholecystectomy   O
(   O
gallbladder   O
removal   O
)   O
.   O

Other   O
:   O
Please   O
note   O
-   O
the   O
attached   O
bill   O
does   O
not   O
include   O
charges   O
from   O
outside   O
labs   O
like   O
Innovative   B-LOCATION
Bank   I-LOCATION
.   O

Patient   O
's   O
insurance   O
58769   B-ID
details   O
have   O
been   O
filed   O
for   O
this   O
visit   O
.   O

This   O
report   O
prepared   O
in   O
Fresno   B-LOCATION
by   O
np205   B-NAME
on   O
behalf   O
of   O
Inspira   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Elmer   I-LOCATION
.   O

For   O
any   O
further   O
query   O
,   O
please   O
reach   O
out   O
to   O
our   O
administration   O
office   O
at   O
502   B-CONTACT
504   I-CONTACT
1483   I-CONTACT
or   O
mail   O
us   O
at   O
PO   O
Box   O
63997   B-LOCATION
.   O

Profession   O
Details   O
:   O
Paul   B-NAME
Lochner   I-NAME
is   O
employed   O
as   O
a   O
Wholesale   O
and   O
Retail   O
Buyers   O
,   O
Except   O
Farm   O
Products   O
at   O
an   O
esteemed   O
organization   O
named   O
Delmarva   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
situated   O
in   O
Southern   B-LOCATION
Pines   I-LOCATION
.   O

The   O
patient   O
,   O
Eric   B-NAME
Gablehauser   I-NAME
,   O
is   O
a   O
Glaziers   O
from   O
Kilkenny   B-LOCATION
presenting   O
with   O
severe   O
discomfort   O
on   O
the   O
right   O
side   O
of   O
the   O
abdomen   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
our   O
facility   O
,   O
William   B-LOCATION
P.   I-LOCATION
Clements   I-LOCATION
Jr.   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
,   O
with   O
onset   O
of   O
symptoms   O
on   O
13/22   B-DATE
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
as   O
per   O
medical   O
record   O
number   O
7918894   B-ID
,   O
revealed   O
a   O
tendency   O
for   O
frequent   O
constipation   O
and   O
mild   O
gastritis   O
.   O

Treatment   O
:   O
Dr.   O
Rogelio   B-NAME
Woodward   I-NAME
of   O
Vibra   B-LOCATION
Long   I-LOCATION
Term   I-LOCATION
Acute   I-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
assessed   O
the   O
patient   O
and   O
ordered   O
an   O
immediate   O
ultrasound   O
of   O
the   O
abdomen   O
.   O

Moyer   B-NAME
discussed   O
the   O
issue   O
with   O
Burns   B-NAME
and   O
scheduled   O
an   O
emergency   O
appendectomy   O
for   O
07/20/1856   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
will   O
be   O
scheduled   O
for   O
2/15   B-DATE
per   O
patient   O
and   O
doctor   O
availability   O
.   O

For   O
any   O
emergency   O
,   O
the   O
patient   O
can   O
contact   O
us   O
at   O
(   B-CONTACT
214   I-CONTACT
)   I-CONTACT
433   I-CONTACT
-   I-CONTACT
2758   I-CONTACT
.   O

Personal   O
Information   O
:   O
Holly   B-NAME
Clayton   I-NAME
resides   O
in   O
Garrochales   B-LOCATION
with   O
a   O
ZIP   O
code   O
of   O
77389   B-LOCATION
.   O

His   O
employer   O
is   O
Colquitt   B-LOCATION
EMC   I-LOCATION
and   O
his   O
profession   O
is   O
Pharmacy   O
Aides   O
.   O

For   O
billing   O
purposes   O
and   O
insurance   O
claims   O
,   O
patient   O
's   O
ID   O
is   O
-   O
YG:50850:246804   B-ID
(   O
please   O
note   O
the   O
ID   O
is   O
confidential   O
and   O
should   O
be   O
used   O
for   O
official   O
purposes   O
only   O
)   O
.   O

Discharge   O
summary   O
and   O
reports   O
will   O
be   O
uploaded   O
in   O
patient   O
's   O
unique   O
username   O
,   O
XJ925   B-NAME
,   O
on   O
our   O
hospital   O
's   O
patient   O
portal   O
.   O

Note   O
:   O
All   O
personal   O
health   O
information   O
of   O
Lynelle   B-NAME
provided   O
here   O
should   O
be   O
kept   O
confidential   O
according   O
to   O
the   O
Health   O
Insurance   O
Portability   O
and   O
Accountability   O
Act   O
(   O
HIPAA   O
)   O
.   O

Patient   O
Name   O
:   O
Espinoza   B-NAME
Age   O
:   O
4   O
ID   O
:   O
ZY662/8280   B-ID
Medical   O
Record   O
Number   O
:   O
9447033   B-ID
Location   O
:   O
Upper   B-LOCATION
St.   I-LOCATION
Clair   I-LOCATION
Zip   O
:   O
79784   B-LOCATION
Phone   O
:   O
874   B-CONTACT
6338   I-CONTACT
Username   O
:   O
IT665   B-NAME
Profession   O
:   O
Painting   O
,   O
Coating   O
,   O
and   O
Decorating   O
Workers   O
PCP   O
:   O
Dr.   O
Alvarado   B-NAME
Referring   O
Doctor   O
:   O
Dr.   O
Lucas   B-NAME
Organization   O
:   O
Bank   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
-   I-LOCATION
Southeast   I-LOCATION
Admission   O
Date   O
:   O
2096   B-DATE
Treatment   O
Hospital   O
:   O

John   B-LOCATION
Randolph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
INSTRUCTIONS   O
FOR   O
Terrence   B-NAME
Mcguire   I-NAME
:   O
On   O
1824   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
02   I-DATE
,   O
McCain   B-NAME
,   I-NAME
John   I-NAME
reported   O
a   O
progression   O
of   O
nonspecific   O
symptoms   O
that   O
have   O
been   O
present   O
for   O
several   O
weeks   O
.   O

Macrinus   B-NAME
Russ   I-NAME
was   O
admitted   O
to   O
Paul   B-LOCATION
B.   I-LOCATION
Hall   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2000   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
26   I-DATE
for   O
a   O
scheduled   O
magnetic   O
resonance   O
cholangiopancreatography   O
(   O
MRCP   O
)   O
under   O
Dr.   O
Rebekah   B-NAME
King   I-NAME
.   O

This   O
substantiates   O
the   O
observed   O
symptoms   O
and   O
laboratory   O
results   O
we   O
have   O
for   O
Moises   B-NAME
Brooks   I-NAME
.   O
Plan   O
moving   O
forward   O
includes   O
consultation   O
with   O
on   O
-   O
site   O
gastroenterologists   O
at   O
Methodist   B-LOCATION
Mansfield   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
potential   O
cholecystectomy   O
and   O
further   O
pathological   O
analysis   O
.   O

The   O
patient   O
has   O
been   O
made   O
aware   O
of   O
the   O
situation   O
and   O
family   O
members   O
have   O
been   O
notified   O
in   O
line   O
with   O
Kaufman   B-NAME
's   O
legal   O
consent   O
.   O

We   O
will   O
continue   O
to   O
monitor   O
Amira   B-NAME
Holden   I-NAME
's   O
condition   O
and   O
manage   O
symptoms   O
.   O

Dr.   O
Cooper   B-NAME
,   I-NAME
Diana   I-NAME
(   I-NAME
Lady   I-NAME
Diana   I-NAME
Manners   I-NAME
)   I-NAME
12/0   B-DATE

Patient   O
Name   O
:   O
Suellen   B-NAME
Byrdsong   I-NAME
Age   O
:   O
40   O
ID   O
:   O
XE:47011:575250   B-ID
Medical   O
Record   O
Number   O
:   O
710   B-ID
-   I-ID
79   I-ID
-   I-ID
34   I-ID
Location   O
:   O
Detroit   B-LOCATION
Zip   O
Code   O
:   O
11299   B-LOCATION
Date   O
of   O
Visit   O
:   O
32/09   B-DATE
Hospital   O
:   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
Attending   O
Physician   O
:   O

Jude   B-NAME
Sampson   I-NAME
Organization   O
:   O

Syndicracy   B-LOCATION
Spheres   I-LOCATION
Phone   O
:   O
(   B-CONTACT
974   I-CONTACT
)   I-CONTACT
622   I-CONTACT
-   I-CONTACT
5852   I-CONTACT
Referred   O
By   O
:   O
Page   B-NAME
Patient   O
's   O
Job   O
:   O
Insulation   O
Workers   O
,   O
Mechanical   O
Username   O
:   O
fb658   B-NAME
Patient   O
Rihanna   B-NAME
Nicholson   I-NAME
of   O
66   O
years   O
,   O
residing   O
in   O
Belleair   B-LOCATION
Beach   I-LOCATION
presented   O
to   O
our   O
Del   B-LOCATION
Sol   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1789   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
23   I-DATE
.   O

Patient   O
was   O
referred   O
to   O
Aria   B-NAME
Villa   I-NAME
by   O
HURIDOCS   B-LOCATION
.   O

The   O
patient   O
has   O
been   O
admitted   O
under   O
Cailyn   B-NAME
Smith   I-NAME
for   O
further   O
investigation   O
and   O
management   O
.   O

Please   O
contact   O
us   O
at   O
996   B-CONTACT
-   I-CONTACT
9841   I-CONTACT
for   O
any   O
further   O
queries   O
or   O
to   O
schedule   O
an   O
appointment   O
.   O

Patient   O
Details   O
:   O
Name   O
:   O
Oakley   B-NAME
Age   O
:   O
60   O
Physician   O
:   O
Andersen   B-NAME
,   I-NAME
Hans   I-NAME
Christian   I-NAME
Health   O
ID   O
:   O
1   B-ID
-   I-ID
9976507   I-ID
Hospital   O
:   O

Conemaugh   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Record   O
No   O
:   O
51834779   B-ID
Hodge   B-NAME
,   O
74   O
years   O
old   O
was   O
admitted   O
to   O
our   O
care   O
at   O
Hill   B-LOCATION
Country   I-LOCATION
Memorial   I-LOCATION
on   O
03/2121   B-DATE
.   O

Their   O
primary   O
healthcare   O
provider   O
,   O
Norman   B-NAME
had   O
shared   O
concerns   O
over   O
recurring   O
episodes   O
of   O
syncope   O
and   O
vertigo   O
.   O

The   O
patient   O
was   O
found   O
unconscious   O
at   O
their   O
place   O
of   O
work   O
,   O
a   O
Corus   B-LOCATION
Bank   I-LOCATION
,   O
and   O
was   O
brought   O
to   O
our   O
University   B-LOCATION
Hospital   I-LOCATION
by   O
their   O
colleagues   O
from   O
Harbor   B-LOCATION
Isle   I-LOCATION
.   O

Roy   B-NAME
Rivas   I-NAME
had   O
no   O
past   O
medical   O
history   O
of   O
cardiovascular   O
disease   O
or   O
similar   O
symptoms   O
.   O

Nevertheless   O
,   O
their   O
family   O
medical   O
history   O
revealed   O
that   O
Salvador   B-NAME
Zhang   I-NAME
's   O
father   O
had   O
been   O
diagnosed   O
with   O
dilated   O
cardiomyopathy   O
at   O
32   O
.   O

This   O
history   O
may   O
have   O
relevance   O
to   O
Marisa   B-NAME
Chaney   I-NAME
's   O
current   O
health   O
situation   O
.   O

The   O
medical   O
team   O
led   O
by   O
Edward   B-NAME
Reese   I-NAME
intends   O
to   O
implement   O
routine   O
investigations   O
,   O
including   O
ECG   O
,   O
complete   O
blood   O
count   O
,   O
and   O
Thyroid   O
Function   O
Test   O
.   O

The   O
results   O
will   O
be   O
compared   O
against   O
the   O
medical   O
record   O
11364279   B-ID
to   O
check   O
any   O
deviations   O
from   O
their   O
health   O
baseline   O
.   O

Floyd   B-NAME
Fong   I-NAME
lives   O
at   O
Limon   B-LOCATION
and   O
works   O
as   O
a   O
Detectives   O
and   O
Criminal   O
Investigators   O
.   O

According   O
to   O
Keith   B-NAME
Quant   I-NAME
,   O
they   O
have   O
noticed   O
an   O
elevation   O
in   O
work   O
-   O
related   O
stress   O
levels   O
due   O
to   O
an   O
increase   O
in   O
job   O
responsibilities   O
.   O

The   O
patient   O
's   O
contact   O
number   O
registered   O
with   O
us   O
is   O
90873   B-CONTACT
.   O

Their   O
unique   O
username   O
for   O
accessing   O
their   O
medical   O
records   O
online   O
is   O
be244   B-NAME
.   O

Their   O
home   O
address   O
is   O
registered   O
at   O
86092   B-LOCATION
.   O

The   O
patient   O
was   O
informed   O
,   O
counseled   O
about   O
their   O
symptoms   O
,   O
and   O
consented   O
to   O
investigations   O
planned   O
during   O
their   O
stay   O
at   O
Presbyterian   B-LOCATION
-   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
medical   O
team   O
at   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
keep   O
reviewing   O
Deleon   B-NAME
's   O
health   O
condition   O
closely   O
and   O
plan   O
interventions   O
accordingly   O
.   O

For   O
any   O
further   O
clarification   O
or   O
information   O
,   O
please   O
feel   O
free   O
to   O
contact   O
the   O
hospital   O
at   O
(   B-CONTACT
503   I-CONTACT
)   I-CONTACT
277   I-CONTACT
2990   I-CONTACT
.   O

We   O
will   O
keep   O
Felix   B-NAME
Gillespie   I-NAME
's   O
healthcare   O
provider   O
Hawthorne   B-NAME
,   I-NAME
Nathaniel   I-NAME
in   O
the   O
loop   O
regarding   O
any   O
significant   O
updates   O
in   O
the   O
patient   O
's   O
health   O
situation   O
.   O

Patient   O
Name   O
:   O
Zavier   B-NAME
Webb   I-NAME
Age   O
:   O
2   O
month   O
Date   O
of   O
Report   O
:   O
September   B-DATE
Attending   O
Physician   O
:   O

Bryce   B-NAME
Landry   I-NAME
Treatment   O
Facility   O
:   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
Location   O
:   O
Cuba   B-LOCATION
Medical   O
Record   O
Number   O
:   O
24221899   B-ID
Organization   O
:   O

Pacific   B-LOCATION
Life   I-LOCATION
Contact   O
Number   O
:   O
164   B-CONTACT
848   I-CONTACT
9559   I-CONTACT
Profession   O
:   O

First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors-   O
Construction   O
Trades   O
Workers   O
Rush   B-NAME
,   O
a   O
Geophysical   O
Data   O
Technicians   O
by   O
profession   O
,   O
was   O
admitted   O
to   O
Skagit   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
2372   B-DATE
under   O
the   O
care   O
of   O
Skylar   B-NAME
Jarvis   I-NAME
.   O

He   O
is   O
a   O
resident   O
of   O
Willapa   B-LOCATION
with   O
a   O
contact   O
number   O
of   O
296   B-CONTACT
8670   I-CONTACT
.   O

His   O
identification   O
number   O
is   O
JD   B-ID
:   I-ID
YI:7159   I-ID
.   O

Mays   B-NAME
was   O
provisionally   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
and   O
was   O
started   O
on   O
empirical   O
treatment   O
with   O
intravenous   O
ceftriaxone   O
and   O
azithromycin   O
,   O
pending   O
sputum   O
bacterial   O
culture   O
and   O
sensitivity   O
results   O
.   O

His   O
condition   O
is   O
currently   O
under   O
close   O
monitoring   O
by   O
the   O
team   O
at   O
Hollywood   B-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
further   O
details   O
,   O
please   O
refer   O
to   O
the   O
patient   O
's   O
medical   O
record   O
number   O
2258062   B-ID
.   O

If   O
required   O
,   O
please   O
use   O
wzt345   B-NAME
for   O
logging   O
into   O
the   O
system   O
and   O
accessing   O
the   O
full   O
data   O
set   O
on   O
the   O
patient   O
.   O

Permission   O
from   O
Principal   B-LOCATION
Financial   I-LOCATION
Group   I-LOCATION
is   O
needed   O
to   O
access   O
this   O
information   O
in   O
accordance   O
with   O
the   O
local   O
rules   O
and   O
regulations   O
.   O

In   O
case   O
of   O
emergency   O
,   O
contact   O
(   B-CONTACT
215   I-CONTACT
)   I-CONTACT
408   I-CONTACT
-   I-CONTACT
7397   I-CONTACT
for   O
immediate   O
assistance   O
.   O

The   O
patient   O
resides   O
at   O
South   B-LOCATION
Nyack   I-LOCATION
with   O
the   O
postal   O
code   O
71663   B-LOCATION
.   O

Patient   O
:   O
Laface   B-NAME
Nockai   I-NAME
Age   O
:   O
93   O
Medical   O
Record   O
Number   O
:   O
66045589   B-ID
Location   O
:   O
Kapolei   B-LOCATION
Zip   O
Code   O
:   O
72888   B-LOCATION
Occupation   O
:   O
Fire   O
-   O
Prevention   O
and   O
Protection   O
Engineers   O
Consulting   O
Physician   O
:   O

Theodore   B-NAME
Patterson   I-NAME
Hospital   O
:   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
22535   B-ID
Phone   O
:   O
234   B-CONTACT
9605   I-CONTACT
The   O
patient   O
,   O
Judge   B-NAME
,   O
was   O
brought   O
to   O
the   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Muscatine   I-LOCATION
emergency   O
by   O
the   O
EMS   O
from   O
Henlopen   B-LOCATION
Acres   I-LOCATION
on   O
06/28   B-DATE
.   O

Dr.   O
Moody   B-NAME
was   O
the   O
medic   O
on   O
duty   O
and   O
he   O
noticed   O
that   O
the   O
patient   O
was   O
experiencing   O
acute   O
shortness   O
of   O
breath   O
,   O
increased   O
heart   O
rate   O
,   O
and   O
profuse   O
sweating   O
.   O

Immediately   O
,   O
the   O
patient   O
was   O
rushed   O
to   O
the   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Anderson   I-LOCATION
Campus   I-LOCATION
catheterization   O
lab   O
for   O
Percutaneous   O
Coronary   O
Intervention   O
(   O
PCI   O
)   O
.   O

The   O
patient   O
's   O
identity   O
AA   B-ID
:   I-ID
BO:7281   I-ID
information   O
,   O
including   O
his   O
work   O
as   O
a   O
Equal   O
Opportunity   O
Representatives   O
and   O
Officers   O
and   O
contact   O
36242   B-CONTACT
,   O
was   O
found   O
in   O
his   O
wallet   O
.   O

Patient   O
's   O
family   O
from   O
Lemannville   B-LOCATION
was   O
informed   O
about   O
the   O
situation   O
.   O

The   O
patient   O
is   O
recuperating   O
and   O
will   O
be   O
discharged   O
to   O
home   O
isolation   O
in   O
Montrose   B-LOCATION
with   O
frequent   O
virtual   O
check   O
-   O
ups   O
until   O
a   O
clinical   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
31/20   B-DATE
.   O

Medical   O
bills   O
were   O
submitted   O
to   O
the   O
Slash   B-LOCATION
Pine   I-LOCATION
EMC   I-LOCATION
.   O

An   O
incident   O
report   O
was   O
filed   O
with   O
the   O
3141952   B-ID
number   O
mentioned   O
and   O
the   O
case   O
was   O
discussed   O
with   O
Dr.   O
Miles   B-NAME
for   O
future   O
reference   O
.   O

Note   O
:   O
This   O
case   O
summary   O
was   O
prepared   O
by   O
FU251   B-NAME
for   O
documentation   O
purpose   O
.   O

Patient   O
Name   O
:   O
ostrowski   B-NAME
Age   O
:   O
98   O
ID   O
:   O
6691925   B-ID
Date   O
:   O
February   B-DATE
Doctor   O
:   O
Viviana   B-NAME
Pruitt   I-NAME
Hospital   O
:   O

Campbell   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Medical   O
Record   O
:   O
16598618   B-ID
Location   O
:   O
Denham   B-LOCATION
Organization   O
:   O
Nevada   B-LOCATION
Phone   O
:   O
85408   B-CONTACT
Profession   O
:   O

Site   O
manager   O
Username   O
:   O
QD131   B-NAME
Zip   O
:   O
12210   B-LOCATION
Aiden   B-NAME
Contreras   I-NAME
presented   O
to   O
our   O
JFK   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
1624   B-DATE
complaining   O
of   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
for   O
the   O
past   O
two   O
weeks   O
.   O

The   O
patient   O
,   O
a   O
Surgeons   O
,   O
lives   O
in   O
Stockton   B-LOCATION
and   O
works   O
for   O
Municipal   B-LOCATION
Electric   I-LOCATION
Authority   I-LOCATION
of   I-LOCATION
Georgia   I-LOCATION
(   I-LOCATION
MEAG   I-LOCATION
Power   I-LOCATION
)   I-LOCATION
.   O

Contact   O
number   O
is   O
98826   B-CONTACT
.   O

Patient   O
has   O
reported   O
travelling   O
to   O
a   O
conference   O
at   O
a   O
different   O
Onton   B-LOCATION
.   O

Upon   O
physical   O
examination   O
by   O
Madalyn   B-NAME
Ortega   I-NAME
,   O
Page   B-NAME
presented   O
diminished   O
breath   O
sounds   O
and   O
crackles   O
on   O
the   O
lower   O
lobes   O
.   O

The   O
sample   O
was   O
tagged   O
with   O
474   B-ID
-   I-ID
00   I-ID
-   I-ID
79   I-ID
number   O
and   O
sent   O
to   O
our   O
affiliated   O
diagnostic   O
center   O
in   O
Wilkerson   B-LOCATION
.   O

Derrick   B-NAME
Ingram   I-NAME
was   O
prescribed   O
oral   O
corticosteroids   O
,   O
bronchodilators   O
and   O
was   O
urged   O
to   O
isolate   O
at   O
home   O
while   O
the   O
results   O
of   O
the   O
SARS   O
-   O
CoV-2   O
test   O
were   O
pending   O
.   O

A   O
follow   O
-   O
up   O
telemedicine   O
appointment   O
was   O
scheduled   O
for   O
12/23   B-DATE
under   O
the   O
username   O
hb662   B-NAME
via   O
our   O
hospital   O
's   O
telehealth   O
platform   O
.   O

Note   O
has   O
been   O
made   O
of   O
Franklin   B-NAME
Hensley   I-NAME
's   O
demographic   O
data   O
for   O
contact   O
tracing   O
,   O
if   O
required   O
.   O

System   O
ID   O
tagged   O
with   O
this   O
data   O
is   O
RH:72035:895168   B-ID
.   O

The   O
case   O
details   O
and   O
patient   O
's   O
regular   O
updates   O
are   O
to   O
be   O
mailed   O
to   O
88447   B-LOCATION
code   O
.   O

Overall   O
,   O
the   O
condition   O
of   O
Solomon   B-NAME
Cooper   I-NAME
is   O
being   O
closely   O
monitored   O
by   O
the   O
healthcare   O
system   O
at   O
Clarks   B-LOCATION
Summit   I-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Constantine   B-NAME
is   O
a   O
95   O
year   O
old   O
non   O
-   O
smoker   O
who   O
presented   O
with   O
progressive   O
dyspnea   O
and   O
fever   O
on   O
9   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
28   I-DATE
.   O

As   O
per   O
the   O
family   O
,   O
patient   O
started   O
developing   O
fever   O
which   O
was   O
observed   O
to   O
be   O
persistent   O
in   O
the   O
range   O
of   O
100   O
-   O
102   O
F.   O
Over   O
the   O
course   O
of   O
2   O
weeks   O
,   O
they   O
noticed   O
Ezekiel   B-NAME
Patton   I-NAME
becoming   O
increasingly   O
breathless   O
,   O
particularly   O
on   O
exertion   O
.   O

Domenic   B-NAME
Ponce   I-NAME
was   O
treated   O
by   O
Dobson   B-NAME
,   I-NAME
James   I-NAME
at   O
our   O
medical   O
center   O
,   O
Ascension   B-LOCATION
Via   I-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
,   O
based   O
in   O
Spring   B-LOCATION
Lake   I-LOCATION
Park   I-LOCATION
.   O

The   O
patient   O
's   O
healthcare   O
plan   O
UG   B-ID
:   I-ID
QB:2015   I-ID
was   O
utilized   O
for   O
all   O
the   O
proceedings   O
.   O

On   O
physical   O
examination   O
,   O
Eldridge   B-NAME
was   O
found   O
to   O
have   O
bilateral   O
crepitations   O
more   O
significant   O
on   O
the   O
right   O
side   O
,   O
suggestive   O
of   O
a   O
possible   O
infection   O
or   O
inflammation   O
.   O

Lab   O
reports   O
recorded   O
on   O
our   O
server   O
under   O
69614990   B-ID
indicated   O
elevated   O
levels   O
of   O
C   O
-   O
Reactive   O
Protein   O
and   O
decreased   O
lymphocyte   O
count   O
,   O
prompting   O
the   O
need   O
for   O
further   O
evaluation   O
.   O

On   O
the   O
2215   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
23   I-DATE
,   O
in   O
view   O
of   O
clinical   O
deterioration   O
,   O
a   O
CT   O
Chest   O
was   O
ordered   O
which   O
revealed   O
the   O
presence   O
of   O
bilateral   O
infiltrates   O
.   O

The   O
findings   O
were   O
discussed   O
with   O
the   O
patient   O
over   O
call   O
at   O
28738   B-CONTACT
.   O

A   O
consultant   O
from   O
the   O
Magnolia   B-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
was   O
also   O
involved   O
in   O
the   O
patient   O
's   O
care   O
providing   O
their   O
expertise   O
in   O
respiratory   O
conditions   O
.   O

The   O
details   O
of   O
this   O
discussion   O
were   O
documented   O
by   O
xpi243   B-NAME
.   O

The   O
patient   O
's   O
admission   O
was   O
planned   O
for   O
the   O
following   O
2199   B-DATE
at   O
Located   B-LOCATION
within   I-LOCATION
McLaren   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Fort   B-LOCATION
Yates   I-LOCATION
,   O
near   O
the   O
family   O
's   O
residence   O
(   O
69012   B-LOCATION
)   O
.   O

Pierre   B-NAME
Peters   I-NAME
's   O
admission   O
and   O
further   O
treatment   O
was   O
managed   O
under   O
Marsh   B-NAME
.   O

As   O
of   O
the   O
latest   O
evaluation   O
on   O
Tuesday   B-DATE
,   I-DATE
January   I-DATE
,   O
the   O
patient   O
's   O
condition   O
is   O
stable   O
and   O
improvement   O
in   O
symptoms   O
is   O
noted   O
.   O

This   O
summary   O
has   O
been   O
prepared   O
by   O
JV1016   B-NAME
on   O
03   B-DATE
.   O

Patient   O
Name   O
:   O
Beckie   B-NAME
Buttimer   I-NAME
Age   O
:   O
44   O
Medical   O
Record   O
number   O
:   O
57849536   B-ID
ID   O
Number   O
:   O
PY:4577:459491   B-ID
Living   O
Location   O
:   O
St.   B-LOCATION
Michaels   I-LOCATION
Phone   O
number   O
:   O
653   B-CONTACT
-   I-CONTACT
197   I-CONTACT
8045   I-CONTACT
Doctor   O
's   O
Name   O
:   O
Kaleigh   B-NAME
Rivera   I-NAME
Hospital   O
:   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
High   I-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Presenting   O
to   O
Medical   B-LOCATION
Center   I-LOCATION
Clinic   I-LOCATION
on   O
02/22   B-DATE
,   O
with   O
a   O
sharp   O
and   O
constant   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
his   O
abdomen   O
,   O
Wendell   B-NAME
Lepe   I-NAME
displayed   O
symptoms   O
such   O
as   O
the   O
onset   O
of   O
tenderness   O
,   O
rebound   O
pain   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Dunn   B-NAME
residence   O
,   O
Union   B-LOCATION
Level   I-LOCATION
,   O
is   O
not   O
particularly   O
known   O
for   O
prevalence   O
of   O
diseases   O
causing   O
similar   O
symptoms   O
.   O

On   O
physical   O
examination   O
,   O
Duncan   B-NAME
Nicolay   I-NAME
noted   O
localized   O
pain   O
around   O
the   O
McBurney   O
's   O
point   O
,   O
causing   O
suspicion   O
of   O
Appendicitis   O
.   O

Brielle   B-NAME
Strong   I-NAME
,   O
a   O
Sewing   O
Machine   O
Operators   O
,   O
Non   O
-   O
Garment   O
,   O
has   O
no   O
significant   O
past   O
medical   O
history   O
and   O
no   O
known   O
allergies   O
.   O

Lab   O
testing   O
,   O
completed   O
by   O
DJ762   B-NAME
,   O
revealed   O
a   O
mildly   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
particularly   O
neutrophils   O
which   O
might   O
be   O
an   O
indicator   O
of   O
an   O
ongoing   O
infection   O
.   O

Further   O
diagnostic   O
radiological   O
exams   O
,   O
a   O
Computed   O
Tomography   O
(   O
CT   O
)   O
scan   O
,   O
was   O
ordered   O
to   O
be   O
performed   O
at   O
CentraState   B-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
in   O
35832   B-LOCATION
to   O
confirm   O
the   O
diagnosis   O
.   O

Regarding   O
medical   O
payment   O
,   O
Tara   B-NAME
Phipps   I-NAME
's   O
insurance   O
coverage   O
,   O
provided   O
by   O
International   B-LOCATION
Longshoremen   I-LOCATION
's   I-LOCATION
Association   I-LOCATION
,   O
was   O
verified   O
and   O
the   O
health   O
plan   O
number   O
9   B-ID
-   I-ID
3456155   I-ID
was   O
noted   O
.   O

As   O
per   O
the   O
follow   O
up   O
,   O
Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
was   O
contacted   O
on   O
the   O
provided   O
12928   B-CONTACT
number   O
on   O
11/87   B-DATE
to   O
discuss   O
the   O
test   O
results   O
and   O
potential   O
treatment   O
plans   O
.   O

King   B-NAME
,   I-NAME
Coretta   I-NAME
Scott   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Kailee   B-NAME
Tanner   I-NAME
on   O
the   O
coming   O
32/32/98   B-DATE
at   O
Jeff   B-LOCATION
Davis   I-LOCATION
Hospital   I-LOCATION
.   O

Report   O
compiled   O
by   O
:   O
Acevedo   B-NAME

Patient   O
Name   O
:   O
Mica   B-NAME
Maheux   I-NAME
Medical   O
Record   O
Number   O
:   O
0886548   B-ID
Gender   O
:   O
Male   O
Age   O
:   O
60   O
Address   O
:   O
Toftrees   B-LOCATION
,   O
86526   B-LOCATION
Profession   O
:   O
Broadcast   O
News   O
Analysts   O
Primary   O
Healthcare   O
Provider   O
:   O
Frey   B-NAME
Hospital   O
:   O
Centerpoint   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Report   O
Date   O
:   O
02/12/2217   B-DATE

On   O
14/21   B-DATE
,   O
Beecher   B-NAME
,   I-NAME
Henry   I-NAME
Ward   I-NAME
visited   O
Phoebe   B-LOCATION
Worth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
intense   O
abdominal   O
pain   O
,   O
nausea   O
,   O
vomiting   O
and   O
a   O
fever   O
.   O

His   O
primary   O
healthcare   O
provider   O
,   O
Jayden   B-NAME
Rojas   I-NAME
,   O
conducted   O
a   O
thorough   O
examination   O
.   O

Following   O
the   O
clinical   O
examination   O
,   O
Kenley   B-NAME
Murphy   I-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
.   O

Nehemiah   B-NAME
Lamb   I-NAME
was   O
admitted   O
to   O
McAlester   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
for   O
further   O
observation   O
and   O
treatment   O
.   O

His   O
ID   O
at   O
admission   O
was   O
OJ   B-ID
:   I-ID
MP:5285   I-ID
.   O

Genevie   B-NAME
Latimer   I-NAME
recommended   O
an   O
appendectomy   O
,   O
which   O
took   O
place   O
on   O
32/8   B-DATE
.   O

Post   O
-   O
surgery   O
,   O
Willard   B-NAME
Rozzell   I-NAME
showed   O
significant   O
improvement   O
.   O

Jaylon   B-NAME
Mccoy   I-NAME
is   O
currently   O
employed   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Agricultural   O
Crop   O
and   O
Horticultural   O
Workers   O
.   O

Should   O
any   O
complications   O
arise   O
,   O
Wodehouse   B-NAME
,   I-NAME
P.   I-NAME
G.   I-NAME
's   O
emergency   O
contact   O
is   O
963   B-CONTACT
4406   I-CONTACT
.   O

The   O
health   O
insurance   O
provider   O
for   O
Shields   B-NAME
is   O
American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Mass   I-LOCATION
Spectrometry   I-LOCATION
.   O

This   O
case   O
was   O
recorded   O
under   O
the   O
unique   O
username   O
RJ796   B-NAME
for   O
future   O
reference   O
.   O

Approved   O
By   O
:   O
Huelskamp   B-NAME
,   I-NAME
Tim   I-NAME
,   O
21   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
63   I-DATE

Patient   O
Info   O
:   O
Zayden   B-NAME
Hampton   I-NAME
is   O
a   O
0   O
year   O
old   O
individual   O
who   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Barton   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
20/02/2018   B-DATE
for   O
evaluation   O
of   O
chest   O
pain   O
.   O

The   O
referring   O
doctor   O
was   O
Rowan   B-NAME
Anderson   I-NAME
.   O

The   O
patient   O
has   O
a   O
medical   O
record   O
number   O
7333559   B-ID
.   O

The   O
chest   O
pain   O
had   O
started   O
suddenly   O
while   O
the   O
patient   O
was   O
at   O
their   O
workplace   O
,   O
a   O
popular   O
restaurant   O
in   O
198   B-LOCATION
Cedar   I-LOCATION
Dr   I-LOCATION
.   I-LOCATION
.   O

Contact   O
info   O
:   O
On   O
initial   O
evaluation   O
,   O
the   O
patient   O
provided   O
their   O
phone   O
number   O
(   B-CONTACT
401   I-CONTACT
)   I-CONTACT
624   I-CONTACT
-   I-CONTACT
8883   I-CONTACT
and   O
557334   B-ID
for   O
further   O
contact   O
.   O

They   O
also   O
informed   O
their   O
address   O
was   O
44913   B-LOCATION
.   O

The   O
case   O
was   O
discussed   O
with   O
Bradshaw   B-NAME
,   O
and   O
the   O
patient   O
was   O
immediately   O
transferred   O
to   O
the   O
Cath   O
Lab   O
of   O
Mt.   B-LOCATION
Sinai   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
now   I-LOCATION
owned   I-LOCATION
by   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
for   O
emergency   O
coronary   O
angioplasty   O
.   O

The   O
patient   O
's   O
family   O
was   O
informed   O
,   O
who   O
were   O
reached   O
at   O
179   B-CONTACT
4617   I-CONTACT
.   O

Following   O
the   O
procedure   O
,   O
the   O
patient   O
was   O
shifted   O
to   O
the   O
CCU   O
under   O
the   O
care   O
of   O
Theodore   B-NAME
Patterson   I-NAME
.   O

The   O
patient   O
's   O
recovery   O
was   O
tracked   O
using   O
the   O
healthcare   O
system   O
's   O
application   O
,   O
logged   O
in   O
with   O
the   O
username   O
ah995   B-NAME
.   O

They   O
were   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Tyler   B-NAME
on   O
3/20/82   B-DATE
.   O

The   O
report   O
was   O
submitted   O
to   O
Australian   B-LOCATION
Salaried   I-LOCATION
Medical   I-LOCATION
Officers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
on   O
2291   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
31   I-DATE
for   O
insurance   O
claims   O
and   O
future   O
references   O
.   O

Patient   O
Name   O
:   O
Bullock   B-NAME
Consultation   O
Date   O
:   O
2112   B-DATE
Doctor   O
’s   O
Name   O
:   O
Ravi   B-NAME
Raja   I-NAME
Hospital   O
Name   O
:   O
Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
Patient   O
's   O
Age   O
:   O
22   O
Patient   O
's   O
Symptoms   O
:   O
Mr.   O
Robert   B-NAME
Villasenor   I-NAME
presents   O
today   O
with   O
complaints   O
of   O
chest   O
discomfort   O
occurring   O
over   O
the   O
last   O
48   O
hours   O
.   O

Personal   O
History   O
:   O
Mr.   O
Archer   B-NAME
is   O
a   O
Recreation   O
Workers   O
living   O
in   O
Anchor   B-LOCATION
.   O

All   O
Other   O
PHI   O
:   O
Patient   O
’s   O
Medical   O
Record   O
Number   O
:   O
06833182   B-ID
Social   O
Security   O
Number   O
:   O
GU   B-ID
:   I-ID
ID:9348   I-ID
Patient   O
’s   O
Contact   O
Phone   O
Number   O
:   O
600   B-CONTACT
897   I-CONTACT
9633   I-CONTACT
Doctor   O
's   O
Credentials   O
:   O
dyy816   B-NAME
Living   O
Zip   O
Code   O
:   O
74253   B-LOCATION
Treating   O
Organization   O
:   O
Scholars   B-LOCATION
at   I-LOCATION
Risk   I-LOCATION

Patient   O
Report   O
:   O
Sitwell   B-NAME
,   I-NAME
Edith   I-NAME
was   O
seen   O
at   O
Palo   B-LOCATION
Alto   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
2099   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
29   I-DATE
by   O
the   O
consulting   O
doctor   O
,   O
Cooke   B-NAME
.   O

Craik   B-NAME
,   I-NAME
Dinah   I-NAME
,   O
aged   O
30   O
,   O
presented   O
with   O
intermittent   O
periumbilical   O
abdominal   O
pain   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
calendar   O
month   O
.   O

Further   O
medical   O
history   O
was   O
gathered   O
and   O
indicated   O
that   O
Elaina   B-NAME
Rojas   I-NAME
had   O
presented   O
with   O
similar   O
but   O
less   O
intense   O
symptoms   O
several   O
years   O
prior   O
at   O
Santa   B-LOCATION
Rosa   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
as   O
per   O
9040U28645   B-ID
.   O

The   O
patient   O
's   O
home   O
address   O
is   O
listed   O
as   O
Taylorsville   B-LOCATION
,   O
28319   B-LOCATION
.   O

During   O
the   O
physical   O
examination   O
,   O
Kelvin   B-NAME
Bolton   I-NAME
exhibited   O
a   O
mild   O
fever   O
of   O
38.5   O
degrees   O
Celsius   O
,   O
and   O
the   O
abdomen   O
was   O
noted   O
to   O
be   O
soft   O
and   O
non   O
-   O
distended   O
but   O
elicited   O
tenderness   O
in   O
the   O
umbilical   O
region   O
upon   O
palpation   O
.   O

Emery   B-NAME
Kennedy   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Clinical   O
cytogeneticist   O
.   O

Contact   O
number   O
for   O
further   O
correspondence   O
is   O
395   B-CONTACT
263   I-CONTACT
-   I-CONTACT
8565   I-CONTACT
.   O

The   O
patient   O
's   O
insurance   O
details   O
from   O
provider   O
Ocala   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
policy   O
number   O
YM   B-ID
:   I-ID
DI:2226   I-ID
,   O
were   O
updated   O
in   O
the   O
record   O
on   O
2197   B-DATE
.   O

A   O
referral   O
has   O
been   O
made   O
to   O
gastroenterology   O
by   O
Kildare   B-NAME
for   O
an   O
urgent   O
colonoscopy   O
.   O

The   O
hospital   O
coordinator   O
(   O
qmq680   B-NAME
)   O
will   O
arrange   O
the   O
appointment   O
date   O
and   O
time   O
.   O

In   O
the   O
meantime   O
,   O
Sharolyn   B-NAME
Clear   I-NAME
has   O
been   O
advised   O
to   O
follow   O
a   O
high   O
-   O
fiber   O
diet   O
,   O
drink   O
plenty   O
of   O
water   O
,   O
and   O
to   O
seek   O
emergency   O
medical   O
care   O
should   O
symptoms   O
persist   O
or   O
worsen   O
.   O

All   O
patient   O
information   O
contained   O
in   O
this   O
document   O
has   O
been   O
securely   O
stored   O
in   O
Berkshire   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
confidential   O
electronic   O
health   O
record   O
system   O
,   O
accessible   O
only   O
by   O
relevant   O
medical   O
staff   O
.   O

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Karla   B-NAME
Madden   I-NAME
Age   O
:   O
17s   O
Medical   O
Record   O
Number   O
:   O
6736277   B-ID
Date   O
of   O
Submission   O
:   O
12/05   B-DATE
Consulting   O
Physician   O
:   O

Collett   B-NAME
,   I-NAME
Camilla   I-NAME
Hospital   O
:   O
Providence   B-LOCATION
Health   I-LOCATION
The   O
patient   O
,   O
Clementina   B-NAME
,   O
was   O
admitted   O
to   O
Dr.   B-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
on   O
29/35   B-DATE
with   O
complaints   O
of   O
intermittent   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fatigue   O
that   O
have   O
been   O
persisting   O
for   O
the   O
past   O
few   O
weeks   O
.   O

Former   O
medical   O
history   O
of   O
the   O
patient   O
,   O
66544396   B-ID
,   O
reveals   O
angina   O
pectoris   O
and   O
hypertension   O
,   O
for   O
which   O
Leon   B-NAME
F   I-NAME
Craft   I-NAME
has   O
been   O
on   O
Aspirin   O
and   O
Metoprolol   O
.   O

Family   O
history   O
reveals   O
father   O
suffered   O
from   O
a   O
myocardial   O
infarction   O
at   O
age   O
2   O
.   O
Anaya   B-NAME
's   O
cardiac   O
biomarkers   O
were   O
elevated   O
,   O
especially   O
troponins   O
.   O

The   O
consultation   O
with   O
Levine   B-NAME
was   O
held   O
over   O
the   O
phone   O
68386   B-CONTACT
due   O
to   O
the   O
severity   O
of   O
the   O
condition   O
.   O

The   O
patient   O
’s   O
residence   O
at   O
Lovington   B-LOCATION
was   O
identified   O
as   O
a   O
potential   O
contributing   O
factor   O
due   O
to   O
high   O
pollution   O
levels   O
contributing   O
to   O
poor   O
cardiovascular   O
health   O
.   O

A   O
follow   O
-   O
up   O
is   O
scheduled   O
on   O
5/22   B-DATE
.   O

The   O
appointment   O
has   O
been   O
scheduled   O
with   O
the   O
cardiology   O
department   O
at   O
East   B-LOCATION
Georgia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
consultation   O
was   O
concluded   O
,   O
and   O
the   O
report   O
was   O
submitted   O
through   O
our   O
encrypted   O
portal   O
using   O
ET713   B-NAME
credentials   O
.   O

Please   O
note   O
,   O
for   O
a   O
quicker   O
response   O
,   O
please   O
quote   O
either   O
the   O
patient   O
’s   O
name   O
Deanna   B-NAME
Wyatt   I-NAME
or   O
the   O
medical   O
record   O
number   O
8603794   B-ID
.   O

Charges   O
for   O
this   O
consultation   O
can   O
be   O
directly   O
billed   O
to   O
the   O
patient   O
's   O
insurance   O
OW108/6624   B-ID
at   O
National   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Commerce   I-LOCATION
.   O

For   O
any   O
further   O
queries   O
,   O
please   O
contact   O
our   O
helpline   O
number   O
at   O
(   B-CONTACT
637   I-CONTACT
)   I-CONTACT
976   I-CONTACT
-   I-CONTACT
5775   I-CONTACT
or   O
reach   O
out   O
to   O
our   O
Jackson   B-LOCATION
office   O
40863   B-LOCATION
.   O

Subject   O
:   O
Jenette   B-NAME
Aipopo   I-NAME
DOB   O
:   O
2252   B-DATE
MRN   O
#   O
:   O
7928882   B-ID
I   O
have   O
examined   O
Williamson   B-NAME
,   I-NAME
Henry   I-NAME
on   O
20/06/74   B-DATE
at   O
Illinois   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
following   O
his   O
complaints   O
of   O
persistent   O
fatigue   O
,   O
intermittent   O
chest   O
pain   O
,   O
and   O
unexplained   O
weight   O
loss   O
.   O

Felix   B-NAME
Horne   I-NAME
is   O
a   O
14   O
year   O
old   O
male   O
,   O
employed   O
as   O
a   O
Residential   O
Advisors   O
.   O

Due   O
to   O
his   O
chest   O
pain   O
,   O
an   O
EKG   O
was   O
recommended   O
by   O
Dr.   O
Litzy   B-NAME
Lopez   I-NAME
.   O

However   O
,   O
Huynh   B-NAME
deferred   O
stating   O
he   O
will   O
schedule   O
later   O
when   O
he   O
has   O
arranged   O
his   O
schedule   O
.   O

His   O
contact   O
number   O
is   O
770   B-CONTACT
2932   I-CONTACT
.   O

A   O
blood   O
test   O
was   O
also   O
conducted   O
at   O
7682   B-LOCATION
East   I-LOCATION
Mayflower   I-LOCATION
Street   I-LOCATION
,   O
revealing   O
slightly   O
elevated   O
white   O
blood   O
cell   O
counts   O
,   O
but   O
further   O
diagnostics   O
is   O
needed   O
to   O
pinpoint   O
any   O
potential   O
underlying   O
issue   O
.   O

William   B-NAME
Joslin   I-NAME
's   O
previous   O
medical   O
reports   O
under   O
Doctor   O
Emery   B-NAME
Rasmussen   I-NAME
from   O
Boulder   B-LOCATION
Community   I-LOCATION
Foothills   I-LOCATION
Hospital   I-LOCATION
were   O
also   O
reviewed   O
.   O

Given   O
his   O
residence   O
at   O
Turnersville   B-LOCATION
,   O
29095   B-LOCATION
,   O
he   O
's   O
been   O
referred   O
to   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Operating   I-LOCATION
Engineers   I-LOCATION
's   O
local   O
branch   O
for   O
further   O
care   O
and   O
diagnostics   O
.   O

Driver   O
's   O
License   O
EN:73280:660471   B-ID
and   O
Insurance   O
plan   O
291054950   B-ID
were   O
confirmed   O
for   O
record   O
.   O

Next   O
appointment   O
scheduled   O
with   O
Dr.   O
Nayeli   B-NAME
Houston   I-NAME
on   O
01/29/02   B-DATE
at   O
Providence   B-LOCATION
Centralia   I-LOCATION
Hospital   I-LOCATION
.   O

cc   O
:   O
Dr.   O
Delaney   B-NAME
Powell   I-NAME
Nurse   O
TR6810   B-NAME
Submitted   O
by   O
:   O
Haylie   B-NAME
Roach   I-NAME
Cardiology   O
Department   O
,   O
MercyOne   B-LOCATION
Oelwein   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Soren   B-NAME
Melendez   I-NAME
visited   O
Garden   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
2011   B-DATE
.   O

The   O
attending   O
physician   O
,   O
Vanessa   B-NAME
Buckley   I-NAME
,   O
conducted   O
the   O
preliminary   O
examination   O
.   O

Cameron   B-NAME
Walford   I-NAME
's   O
medical   O
record   O
,   O
797   B-ID
-   I-ID
69   I-ID
-   I-ID
62   I-ID
-   I-ID
5   I-ID
,   O
was   O
reviewed   O
by   O
Rivas   B-NAME
and   O
the   O
team   O
.   O

According   O
to   O
the   O
review   O
of   O
systems   O
,   O
Kenna   B-NAME
Davies   I-NAME
had   O
a   O
3   O
-   O
day   O
history   O
of   O
severe   O
,   O
stabbing   O
left   O
-   O
sided   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
associated   O
with   O
shortness   O
of   O
breath   O
and   O
palpitations   O
.   O

Upon   O
further   O
discussion   O
,   O
IANNONE   B-NAME
confirmed   O
there   O
was   O
no   O
history   O
of   O
fever   O
,   O
nausea   O
,   O
or   O
cough   O
.   O

Gibran   B-NAME
,   I-NAME
Khalil   I-NAME
also   O
denied   O
any   O
history   O
of   O
smoking   O
or   O
substance   O
use   O
.   O

Past   O
medical   O
history   O
revealed   O
Judah   B-NAME
Cole   I-NAME
was   O
diagnosed   O
in   O
his   O
63s   O
with   O
hypertension   O
and   O
diabetes   O
.   O

A   O
note   O
from   O
his   O
previous   O
cardiologist   O
,   O
Dr.   O
Giacometti   B-NAME
,   I-NAME
Alberto   I-NAME
,   O
indicated   O
that   O
these   O
conditions   O
were   O
well   O
-   O
controlled   O
with   O
medication   O
.   O

On   O
physical   O
examination   O
,   O
Watson   B-NAME
’s   O
blood   O
pressure   O
measured   O
140/90   O
mmHg   O
and   O
pulse   O
was   O
regular   O
at   O
82   O
bpm   O
.   O

Based   O
on   O
the   O
information   O
gathered   O
,   O
the   O
medical   O
team   O
decided   O
to   O
admit   O
Sarah   B-NAME
Cooper   I-NAME
to   O
Minneola   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Minneola   I-LOCATION
for   O
further   O
management   O
and   O
possible   O
intervention   O
.   O

His   O
social   O
security   O
UZ   B-ID
:   I-ID
VR:3242   I-ID
was   O
updated   O
on   O
hospital   O
records   O
along   O
with   O
his   O
current   O
contact   O
44273   B-CONTACT
and   O
address   O
Eureka   B-LOCATION
,   O
58451   B-LOCATION
.   O

The   O
medical   O
team   O
at   O
Marlborough   B-LOCATION
Hospital   I-LOCATION
after   O
an   O
extensive   O
discussion   O
with   O
Larry   B-NAME
Forbes   I-NAME
referred   O
the   O
case   O
to   O
CF   B-LOCATION
Bancorp   I-LOCATION
for   O
a   O
second   O
opinion   O
.   O

The   O
referral   O
record   O
was   O
sent   O
under   O
reference   O
037   B-ID
-   I-ID
51   I-ID
-   I-ID
38   I-ID
-   I-ID
9   I-ID
to   O
the   O
cardiology   O
department   O
located   O
at   O
Pena   B-LOCATION
.   O

I   O
have   O
updated   O
the   O
details   O
to   O
Theresa   B-NAME
Mcbride   I-NAME
's   O
profile   O
under   O
username   O
va529   B-NAME
in   O
our   O
hospital   O
's   O
secured   O
database   O
.   O

Any   O
further   O
queries   O
regarding   O
VOLLMER   B-NAME
,   I-NAME
NATHAN   I-NAME
's   O
case   O
can   O
be   O
addressed   O
to   O
me   O
via   O
my   O
staff   O
330   B-CONTACT
5094   I-CONTACT
.   O

As   O
Isabela   B-NAME
Randall   I-NAME
works   O
as   O
a   O
Hazardous   O
Materials   O
Removal   O
Workers   O
,   O
his   O
employer   O
has   O
assured   O
that   O
his   O
job   O
will   O
remain   O
secure   O
during   O
his   O
time   O
of   O
treatment   O
.   O

Patient   O
Chandler   B-NAME
visited   O
my   O
clinic   O
on   O
02/27   B-DATE
.   O

Aditya   B-NAME
Ballard   I-NAME
had   O
a   O
history   O
of   O
gastritis   O
and   O
was   O
under   O
medication   O
.   O

turpin   B-NAME
profile   O
details   O
,   O
as   O
per   O
the   O
record   O
number   O
59388034   B-ID
,   O
show   O
that   O
Karrack   B-NAME
Darrup   I-NAME
is   O
a   O
Rail   O
Yard   O
Engineers   O
,   O
Dinkey   O
Operators   O
,   O
and   O
Hostlers   O
and   O
has   O
been   O
working   O
overtime   O
consistently   O
.   O

Detailed   O
examination   O
revealed   O
that   O
the   O
discomfort   O
was   O
localized   O
in   O
the   O
periumbilical   O
region   O
and   O
Stacy   B-NAME
Benson   I-NAME
was   O
positive   O
for   O
McBurney   O
's   O
sign   O
.   O

Carried   O
out   O
lab   O
tests   O
,   O
have   O
faxed   O
the   O
details   O
to   O
Bronson   B-NAME
Esparza   I-NAME
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Orange   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Irvine   I-LOCATION
,   O
located   O
in   O
Seven   B-LOCATION
Springs   I-LOCATION
.   O

Bruce   B-NAME
D   I-NAME
Brian   I-NAME
’s   O
previous   O
scans   O
and   O
details   O
can   O
be   O
accessed   O
with   O
ID   O
QO883/4314   B-ID
.   O

Andre   B-NAME
Benjamin   I-NAME
's   O
contacts   O
(   B-CONTACT
688   I-CONTACT
)   I-CONTACT
510   I-CONTACT
1203   I-CONTACT
have   O
been   O
updated   O
in   O
the   O
system   O
for   O
any   O
emergencies   O
.   O

Waiting   O
for   O
the   O
input   O
from   O
House   B-NAME
,   O
will   O
review   O
again   O
on   O
02/19   B-DATE
at   O
my   O
clinic   O
in   O
Castine   B-LOCATION
.   O

If   O
the   O
pain   O
persists   O
or   O
increases   O
,   O
Camryn   B-NAME
Whitney   I-NAME
has   O
been   O
advised   O
to   O
visit   O
the   O
emergency   O
section   O
of   O
Jefferson   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Geriatric   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Winchester   I-LOCATION
immediately   O
.   O

The   O
billing   O
cycles   O
and   O
insurance   O
details   O
have   O
been   O
forwarded   O
to   O
the   O
Fair   B-LOCATION
Wear   I-LOCATION
Foundation   I-LOCATION
(   I-LOCATION
FWA   I-LOCATION
)   I-LOCATION
.   O

Please   O
find   O
the   O
attached   O
document   O
with   O
zip   O
12727   B-LOCATION
regarding   O
the   O
same   O
.   O

AP57   B-NAME
would   O
be   O
updating   O
the   O
patient   O
progress   O
and   O
monitoring   O
the   O
profile   O
,   O
based   O
on   O
Terrence   B-NAME
Stout   I-NAME
's   O
recommendations   O
.   O

During   O
our   O
last   O
conversation   O
,   O
Isabella   B-NAME
Fleming   I-NAME
mentioned   O
living   O
alone   O
,   O
hence   O
while   O
prescribing   O
drugs   O
,   O
their   O
potential   O
impact   O
on   O
Viho   B-NAME
's   O
daily   O
life   O
,   O
especially   O
the   O
work   O
life   O
,   O
has   O
been   O
taken   O
into   O
consideration   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Quan   B-NAME
,   I-NAME
J.   I-NAME
Age   O
:   O
96s   O
ID   O
Number   O
:   O
WS:55656:133596   B-ID

Presenting   O
Complaint   O
:   O
Angelo   B-NAME
Green   I-NAME
was   O
presented   O
on   O
Jan   B-DATE
'   I-DATE
72   I-DATE
with   O
severe   O
and   O
chronic   O
symptoms   O
suggestive   O
of   O
gastroenteritis   O
.   O

According   O
to   O
medical   O
record   O
number   O
53956463   B-ID
,   O
the   O
patient   O
has   O
a   O
history   O
of   O
chronic   O
gastritis   O
dating   O
back   O
two   O
years   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
symptoms   O
,   O
Ritter   B-NAME
at   O
Our   B-LOCATION
Lady   I-LOCATION
Of   I-LOCATION
Mercy   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
suspects   O
a   O
case   O
of   O
acute   O
gastroenteritis   O
.   O

Samples   O
have   O
been   O
sent   O
to   O
the   O
Advocate   B-LOCATION
Good   I-LOCATION
Shepherd   I-LOCATION
Hospital   I-LOCATION
laboratory   O
for   O
corroborative   O
tests   O
.   O

Grellet   B-NAME
,   I-NAME
Stephen   I-NAME
has   O
been   O
prescribed   O
a   O
restorative   O
hydration   O
solution   O
,   O
along   O
with   O
an   O
anti   O
-   O
emetic   O
to   O
manage   O
the   O
constant   O
vomiting   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
28/24   B-DATE
at   O
Stringfellow   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
regimen   O
.   O

Nogai   B-NAME
can   O
contact   O
Pratt   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Pratt   I-LOCATION
at   O
980   B-CONTACT
896   I-CONTACT
6445   I-CONTACT
for   O
any   O
emergencies   O
and   O
queries   O
.   O

The   O
billing   O
queries   O
can   O
be   O
directed   O
to   O
Standard   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
,   O
located   O
at   O
Tarboro   B-LOCATION
,   O
or   O
they   O
can   O
be   O
reached   O
at   O
826   B-CONTACT
-   I-CONTACT
2453   I-CONTACT
.   O

The   O
patient   O
identifies   O
as   O
a   O
Fundraisers   O
currently   O
residing   O
at   O
Munjor   B-LOCATION
,   O
with   O
the   O
postal   O
code   O
87437   B-LOCATION
.   O

An   O
email   O
has   O
been   O
sent   O
detailing   O
the   O
aforementioned   O
to   O
tl63   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
's   O
Name   O
:   O
Loree   B-NAME
Blonigan   I-NAME
Age   O
:   O
15   O
,   O
Medical   O
Record   O
Number   O
:   O
2055200   B-ID
Dear   O
Dr.   O
Lewis   B-NAME
,   O
On   O
02/11/20   B-DATE
,   O
Elianna   B-NAME
Nunez   I-NAME
was   O
admitted   O
to   O
the   O
Cobb   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
in   O
Aldershot   B-LOCATION
.   O

On   O
examination   O
,   O
Deion   B-NAME
presented   O
with   O
a   O
BP   O
of   O
170/110   O
mmHg   O
and   O
pitting   O
edema   O
in   O
the   O
lower   O
limbs   O
.   O

Frankie   B-NAME
Beck   I-NAME
has   O
been   O
scheduled   O
for   O
a   O
Coronary   O
Angiography   O
by   O
Dr.   O
Finley   B-NAME
Whitney   I-NAME
on   O
2623   B-DATE
in   O
our   O
Cardiothoracic   O
specialty   O
department   O
.   O

These   O
documents   O
were   O
processed   O
under   O
his   O
ID   O
TC:78686:268409   B-ID
.   O

During   O
the   O
patient   O
's   O
stay   O
at   O
the   O
hospital   O
,   O
only   O
Anarchic   B-LOCATION
Directorate   I-LOCATION
of   I-LOCATION
Constellations   I-LOCATION
approved   O
medical   O
professionals   O
are   O
permitted   O
for   O
visitation   O
.   O

You   O
may   O
contact   O
the   O
Hoag   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Presbyterian   I-LOCATION
at   O
544   B-CONTACT
4575   I-CONTACT
for   O
any   O
additional   O
details   O
.   O

For   O
online   O
correspondence   O
,   O
please   O
use   O
the   O
following   O
njo618   B-NAME
for   O
secure   O
patient   O
communication   O
.   O

Given   O
Cole   B-NAME
Santos   I-NAME
's   O
current   O
condition   O
,   O
complete   O
rest   O
and   O
reduction   O
of   O
stress   O
are   O
utmost   O
priorities   O
.   O

Please   O
provide   O
the   O
necessary   O
medical   O
certificates   O
to   O
help   O
Elaina   B-NAME
Guzman   I-NAME
get   O
the   O
sanctioned   O
leave   O
from   O
his   O
workplace   O
as   O
his   O
nurse   O
involves   O
high   O
-   O
stress   O
levels   O
during   O
this   O
recovery   O
period   O
.   O

In   O
case   O
of   O
any   O
home   O
visits   O
,   O
the   O
patient   O
's   O
residential   O
details   O
are   O
recorded   O
under   O
57257   B-LOCATION
.   O

Yours   O
sincerely   O
,   O
Flynn   B-NAME

Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Keeler   B-NAME
Age   O
:   O
8   O
Date   O
of   O
Birth   O
:   O
2051   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
22   I-DATE
Doctor   O
:   O
George   B-NAME
Marquez   I-NAME
Hospital   O
:   O
Petaluma   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
#   O
:   O
5905043   B-ID
Location   O
:   O
Sugarcreek   B-LOCATION
Phone   O
:   O
88605   B-CONTACT
Profession   O
:   O
Telecommunications   O
Equipment   O
Installers   O
and   O
Repairers   O
,   O
Except   O
Line   O
Installers   O
SSN   O
:   O
VO508/7023   B-ID
Username   O
:   O
ca707   B-NAME
Organization   O
:   O

Liberty   B-LOCATION
Utilities   I-LOCATION
(   I-LOCATION
including   I-LOCATION
Granite   I-LOCATION
State   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
Zip   O
:   O
12767   B-LOCATION
Initial   O
Patient   O
Complaint   O
:   O
Kelton   B-NAME
Hahn   I-NAME
presented   O
with   O
a   O
2   O
-   O
week   O
history   O
of   O
recurrent   O
,   O
severe   O
,   O
episodic   O
dyspnea   O
.   O

Ace   B-NAME
Franklin   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
atypical   O
chest   O
pain   O
and   O
infrequent   O
dry   O
cough   O
.   O

Physical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Desmond   B-NAME
,   I-NAME
Paul   I-NAME
's   O
vital   O
signs   O
are   O
all   O
within   O
normal   O
parameters   O
.   O

Cassara   B-NAME
demonstrated   O
decreased   O
breath   O
sounds   O
and   O
audible   O
,   O
tight   O
wheezing   O
bilaterally   O
,   O
indicating   O
possible   O
obstruction   O
in   O
the   O
airways   O
.   O

Cristal   B-NAME
Costa   I-NAME
recommended   O
a   O
pulmonary   O
function   O
test   O
and   O
a   O
chest   O
X   O
-   O
ray   O
for   O
further   O
investigation   O
.   O

All   O
are   O
scheduled   O
for   O
10/00/92   B-DATE
at   O
Norton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Norton   I-LOCATION
.   O

Jenni   B-NAME
Pettiford   I-NAME
discussed   O
potential   O
medication   O
adjustments   O
depending   O
on   O
test   O
results   O
.   O

Additionally   O
,   O
RONNIE   B-NAME
PALMER   I-NAME
was   O
prescribed   O
a   O
peak   O
flow   O
meter   O
to   O
measure   O
lung   O
capacity   O
and   O
instructed   O
on   O
how   O
to   O
use   O
it   O
.   O

Next   O
appointment   O
scheduled   O
for   O
1/02/2268   B-DATE
.   O

The   O
exam   O
was   O
transcribed   O
by   O
gem01   B-NAME
and   O
sent   O
to   O
the   O
North   B-LOCATION
Georgia   I-LOCATION
EMC   I-LOCATION
.   O

Emergency   O
Contact   O
:   O
Please   O
contact   O
the   O
on   O
-   O
call   O
physician   O
at   O
98683   B-CONTACT
for   O
any   O
urgent   O
concerns   O
.   O

If   O
symptoms   O
drastically   O
worsen   O
or   O
the   O
patient   O
experiences   O
sudden   O
chest   O
pain   O
or   O
difficulty   O
breathing   O
,   O
go   O
directly   O
to   O
the   O
ER   O
at   O
Salinas   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
.   O

Patient   O
Name   O
:   O
KEELER   B-NAME
,   I-NAME
ELIOT   I-NAME
Patient   O
ID   O
:   O
95196480   B-ID
Phone   O
Number   O
:   O
(   B-CONTACT
478   I-CONTACT
)   I-CONTACT
411   I-CONTACT
2931   I-CONTACT
Medical   O
Record   O
Number   O
:   O
4135703   B-ID
Location   O
:   O
Wadena   B-LOCATION
Zip   O
Code   O
:   O
29359   B-LOCATION
Date   O
of   O
Visit   O
:   O
07/22/2012   B-DATE
Family   O
Doctor   O
:   O
Buchanan   B-NAME
Organization   O
:   O

Tifton   B-LOCATION
Banking   I-LOCATION
Company   I-LOCATION
Age   O
:   O
28   O
Profession   O
:   O
Metallurgist   O
Referring   O
Physician   O
:   O

Milagros   B-NAME
Page   I-NAME
The   O
above   O
-   O
mentioned   O
patient   O
(   O
Ballard   B-NAME
)   O
presented   O
to   O
my   O
office   O
located   O
in   O
Olympia   B-LOCATION
on   O
00/2   B-DATE
.   O

He   O
is   O
a   O
9   O
month   O
year   O
old   O
Mine   O
Cutting   O
and   O
Channeling   O
Machine   O
Operators   O
and   O
was   O
referred   O
to   O
me   O
by   O
his   O
family   O
physician   O
Mohammad   B-NAME
Hopkins   I-NAME
from   O
the   O
The   B-LOCATION
Cowlitz   I-LOCATION
Bank   I-LOCATION
.   O

Upon   O
further   O
examination   O
,   O
Babette   B-NAME
Niau   I-NAME
reported   O
that   O
he   O
has   O
been   O
experiencing   O
constant   O
,   O
burning   O
pain   O
in   O
the   O
middle   O
of   O
the   O
chest   O
and   O
stomach   O
.   O

Janiece   B-NAME
Womac   I-NAME
was   O
prescribed   O
proton   O
pump   O
inhibitors   O
.   O

He   O
was   O
advised   O
to   O
return   O
to   O
the   O
JC   B-LOCATION
Blair   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
follow   O
-   O
up   O
visit   O
after   O
two   O
weeks   O
.   O

I   O
have   O
also   O
scheduled   O
an   O
appointment   O
for   O
esophago   O
-   O
gastro   O
-   O
duodenoscopy   O
(   O
EGD   O
)   O
to   O
be   O
carried   O
out   O
at   O
Barnes   B-LOCATION
-   I-LOCATION
Kasson   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
1757   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
01   I-DATE
under   O
my   O
supervision   O
(   O
Reagan   B-NAME
Murillo   I-NAME
)   O
.   O

I   O
am   O
appreciative   O
of   O
Aldiss   B-NAME
,   I-NAME
Brian   I-NAME
entrusting   O
his   O
care   O
to   O
our   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
the   I-LOCATION
South   I-LOCATION
.   O

Dr.   O
ew9810   B-NAME
,   O
M.D.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Koehler   B-NAME
Date   O
of   O
Birth   O
:   O
December   B-DATE
The   O
patient   O
,   O
Janet   B-NAME
Marquez   I-NAME
,   O
presented   O
to   O
CaroMont   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/11/2213   B-DATE
with   O
symptoms   O
of   O
persistent   O
abdominal   O
pain   O
,   O
vomiting   O
,   O
and   O
fatigue   O
.   O

Wesley   B-NAME
Williams   I-NAME
is   O
a   O
Library   O
Assistants   O
,   O
Clerical   O
by   O
profession   O
and   O
lives   O
in   O
Urbana   B-LOCATION
.   O

He   O
reported   O
noticing   O
symptoms   O
around   O
14/32   B-DATE
and   O
they   O
have   O
progressively   O
worsened   O
.   O

Upon   O
admission   O
,   O
he   O
was   O
registered   O
under   O
the   O
medical   O
record   O
number   O
54125248   B-ID
.   O

Dr.   O
Edgar   B-NAME
Houston   I-NAME
conducted   O
a   O
physical   O
examination   O
.   O

Jay   B-NAME
Mcdonald   I-NAME
was   O
then   O
moved   O
to   O
the   O
imaging   O
section   O
of   O
the   O
Queens   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

The   O
scan   O
was   O
performed   O
on   O
39/21/72   B-DATE
.   O

CT   O
scan   O
report   O
by   O
Dr.   O
Eliezer   B-NAME
Henry   I-NAME
suggested   O
an   O
inflamed   O
appendix   O
with   O
signs   O
of   O
perforation   O
.   O

The   O
surgeon   O
,   O
Dr.   O
Turner   B-NAME
,   O
recommended   O
urgent   O
appendectomy   O
considering   O
the   O
age   O
(   O
37   O
)   O
and   O
the   O
complication   O
of   O
the   O
condition   O
.   O

The   O
operation   O
took   O
place   O
in   O
the   O
surgical   O
theater   O
of   O
the   O
Wadley   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
and   O
Jordin   B-NAME
Berry   I-NAME
was   O
discharged   O
on   O
Wednesday   B-DATE
.   O

In   O
the   O
follow   O
-   O
up   O
visit   O
on   O
1/33/87   B-DATE
,   O
Sosa   B-NAME
reported   O
resolution   O
of   O
symptoms   O
.   O

We   O
advised   O
Infinity   B-NAME
to   O
continue   O
regular   O
checkups   O
with   O
Dr.   O
Alonzo   B-NAME
Moyer   I-NAME
for   O
at   O
least   O
next   O
six   O
months   O
.   O

Phone   O
number   O
:   O
67895   B-CONTACT
The   O
patient   O
was   O
sent   O
home   O
with   O
instructions   O
to   O
return   O
or   O
call   O
(   B-CONTACT
100   I-CONTACT
)   I-CONTACT
267   I-CONTACT
4601   I-CONTACT
if   O
any   O
issues   O
occurred   O
.   O

Identity   O
Verification   O
:   O
ID   O
:   O
8   B-ID
-   I-ID
1492740   I-ID
Username   O
:   O
ZP49   B-NAME
Zip   O
code   O
:   O
96723   B-LOCATION
Side   O
note   O
:   O
The   O
patient   O
's   O
employer   O
,   O
British   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
,   O
was   O
informed   O
about   O
the   O
Dougherty   B-NAME
's   O
condition   O
and   O
the   O
estimated   O
time   O
for   O
recovery   O
.   O

Patient   O
Report   O
:   O
Jensen   B-NAME
,   I-NAME
Derrick   I-NAME
,   O
reported   O
symptoms   O
consistent   O
with   O
upper   O
respiratory   O
tract   O
infection   O
on   O
1702   B-DATE
.   O

Patient   O
's   O
medical   O
record   O
number   O
was   O
DNSW7   B-ID
.   O

His   O
previous   O
medical   O
records   O
,   O
forwarded   O
by   O
Salk   B-NAME
,   I-NAME
Jonas   I-NAME
from   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Farmington   I-LOCATION
Hills   I-LOCATION
,   O
confirmed   O
recurrent   O
episodes   O
of   O
bronchial   O
infection   O
in   O
last   O
few   O
years   O
.   O

The   O
patient   O
's   O
ID   O
provided   O
at   O
the   O
time   O
of   O
admission   O
was   O
NK   B-ID
:   I-ID
UN:8288   I-ID
.   O

Patient   O
resides   O
at   O
Cleethorpes   B-LOCATION
,   O
a   O
densely   O
populated   O
area   O
with   O
poor   O
air   O
quality   O
which   O
might   O
pose   O
risk   O
to   O
patient   O
's   O
health   O
,   O
considering   O
his   O
recurrent   O
infections   O
.   O

Patient   O
's   O
primary   O
care   O
physician   O
,   O
Zhang   B-NAME
,   O
has   O
been   O
notified   O
.   O

We   O
have   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Huynh   B-NAME
on   O
'   B-DATE
54   I-DATE
at   O
Providence   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
was   O
instructed   O
to   O
call   O
560   B-CONTACT
9961   I-CONTACT
if   O
any   O
additional   O
symptoms   O
or   O
issues   O
arise   O
in   O
the   O
meantime   O
.   O

During   O
the   O
visit   O
,   O
the   O
patient   O
was   O
accompanied   O
by   O
his   O
son   O
,   O
who   O
works   O
as   O
Environmental   O
Compliance   O
Inspectors   O
at   O
Unifor   B-LOCATION
(   I-LOCATION
formerly   I-LOCATION
CAW   I-LOCATION
and   I-LOCATION
CEP   I-LOCATION
)   I-LOCATION
.   O

Upon   O
reviewing   O
the   O
patient   O
’s   O
previous   O
records   O
provided   O
,   O
it   O
was   O
found   O
that   O
Geta   B-NAME
Kvaternik   I-NAME
's   O
vitals   O
were   O
concernedly   O
high   O
during   O
his   O
last   O
visit   O
.   O

Yael   B-NAME
Navarro   I-NAME
has   O
been   O
advised   O
to   O
regularly   O
monitor   O
his   O
health   O
condition   O
and   O
have   O
routine   O
check   O
-   O
ups   O
.   O

For   O
the   O
current   O
medication   O
,   O
Kaylynn   B-NAME
Salazar   I-NAME
has   O
prescribed   O
an   O
antibiotic   O
course   O
for   O
5   O
days   O
and   O
asked   O
Frankie   B-NAME
Acosta   I-NAME
to   O
get   O
rest   O
for   O
early   O
recuperation   O
.   O

A   O
hotline   O
number   O
of   O
Nemaha   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Seneca   I-LOCATION
,   O
72547   B-CONTACT
,   O
has   O
been   O
shared   O
with   O
the   O
patient   O
for   O
any   O
urgent   O
medical   O
requirements   O
.   O

We   O
will   O
keep   O
track   O
of   O
patient   O
's   O
health   O
via   O
our   O
medical   O
portal   O
,   O
rli996   B-NAME
.   O

Moreover   O
,   O
the   O
healthcare   O
provider   O
Pure   B-LOCATION
Insurance   I-LOCATION
near   O
to   O
38618   B-LOCATION
has   O
been   O
alerted   O
regarding   O
Orellana   B-NAME
’s   O
health   O
condition   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Niemöller   B-NAME
,   I-NAME
Martin   I-NAME
On   O
1907   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
31   I-DATE
,   O
patient   O
Yogami   B-NAME
came   O
in   O
for   O
a   O
consultation   O
led   O
by   O
Kasen   B-NAME
Peters   I-NAME
at   O
the   O
West   B-LOCATION
Boca   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
.   O

Vetora   B-NAME
Almgren   I-NAME
,   O
a   O
Sales   O
Representatives   O
,   O
Mechanical   O
Equipment   O
and   O
Supplies   O
living   O
in   O
Kamiah   B-LOCATION
,   O
reported   O
severe   O
abdominal   O
discomfort   O
and   O
persistent   O
nausea   O
.   O

The   O
patient   O
’s   O
ID   O
is   O
1   B-ID
-   I-ID
6217850   I-ID
.   O

Detailed   O
Symptoms   O
:   O
Ryan   B-NAME
Ray   I-NAME
complained   O
of   O
having   O
a   O
constant   O
pain   O
in   O
the   O
upper   O
right   O
quadrant   O
of   O
the   O
abdomen   O
which   O
radiates   O
to   O
the   O
back   O
and   O
shoulder   O
.   O

Ayala   B-NAME
further   O
reported   O
episodes   O
of   O
nausea   O
and   O
recurrent   O
vomiting   O
of   O
partially   O
undigested   O
food   O
.   O

Garrett   B-NAME
Albert   I-NAME
also   O
complained   O
of   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
significant   O
unintentional   O
weight   O
loss   O
over   O
the   O
course   O
of   O
a   O
month   O
.   O

Chance   B-NAME
Kidd   I-NAME
’s   O
past   O
medical   O
history   O
revealed   O
that   O
they   O
have   O
been   O
dealing   O
with   O
Diabetes   O
Mellitus   O
(   O
Type   O
2   O
)   O
for   O
the   O
past   O
0   O
years   O
,   O
which   O
is   O
managed   O
by   O
oral   O
hypoglycemic   O
agents   O
.   O

The   O
medical   O
record   O
number   O
for   O
the   O
tests   O
is   O
63509438   B-ID
.   O

Imaging   O
reports   O
such   O
as   O
abdominal   O
ultrasound   O
and   O
MRCP   O
scan   O
scheduled   O
on   O
04/20   B-DATE
suggested   O
the   O
presence   O
of   O
gallstones   O
blocking   O
the   O
bile   O
duct   O
.   O

Treatment   O
and   O
Follow   O
-   O
up   O
:   O
Millard   B-NAME
Mcclary   I-NAME
was   O
admitted   O
to   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Woodland   I-LOCATION
Hills   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
immediate   O
pain   O
management   O
measures   O
were   O
implemented   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
after   O
2   O
weeks   O
on   O
29/12   B-DATE
to   O
assess   O
the   O
progress   O
of   O
the   O
symptoms   O
post   O
the   O
intervention   O
.   O

Prescribed   O
by   O
:   O
[   O
DOCTOR   O
}   O
Contact   O
Number   O
:   O
47647   B-CONTACT
Practice   O
Address   O
:   O
Cobb   B-LOCATION
Island   I-LOCATION
67411   B-LOCATION
Organisation   O
:   O
NJM   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
Username   O
:   O
sma295   B-NAME

Report   O
of   O
Saunders   B-NAME
,   O
Sedaris   B-NAME
,   I-NAME
David   I-NAME
is   O
a   O
34s   O
year   O
old   O
patient   O
presented   O
on   O
12/15   B-DATE
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
and   O
was   O
treated   O
at   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
in   I-LOCATION
Waycross   I-LOCATION
.   O

Physician   O
in   O
charge   O
was   O
Fatima   B-NAME
Pham   I-NAME
.   O

Kaitlynn   B-NAME
Garrett   I-NAME
presented   O
with   O
symptoms   O
consistent   O
with   O
an   O
exacerbation   O
of   O
COPD   O
,   O
including   O
increased   O
shortness   O
of   O
breath   O
,   O
increased   O
sputum   O
production   O
,   O
and   O
a   O
change   O
in   O
sputum   O
color   O
to   O
green   O
.   O

Contacted   O
the   O
patient   O
's   O
previous   O
healthcare   O
provider   O
,   O
Marine   B-LOCATION
Corps   I-LOCATION
League   I-LOCATION
,   O
to   O
gather   O
more   O
information   O
on   O
Mcpherson   B-NAME
's   O
detailed   O
medical   O
history   O
.   O

Records   O
indicate   O
that   O
Eileen   B-NAME
Merritt   I-NAME
was   O
diagnosed   O
with   O
COPD   O
approximately   O
5   O
years   O
prior   O
.   O

Reviewed   O
the   O
medical   O
reports   O
obtained   O
through   O
8144756   B-ID
number   O
from   O
the   O
Elizabeth   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
.   O

The   O
caregiver   O
reached   O
us   O
on   O
Monday   O
via   O
23376   B-CONTACT
.   O

Iyana   B-NAME
Finley   I-NAME
's   O
identification   O
verified   O
through   O
0   B-ID
-   I-ID
5259995   I-ID
.   O

Updated   O
home   O
care   O
organization   O
of   O
patient   O
's   O
move   O
to   O
Toone   B-LOCATION
.   O

Mailed   O
update   O
of   O
diagnosis   O
and   O
treatment   O
plan   O
to   O
Patricia   B-NAME
Nunn   I-NAME
at   O
new   O
address   O
in   O
25110   B-LOCATION
.   O

Updated   O
Gutierrez   B-NAME
's   O
online   O
account   O
with   O
the   O
new   O
appointment   O
details   O
.   O

The   O
account   O
user   O
name   O
is   O
ymb489   B-NAME
.   O

Report   O
compiled   O
by   O
:   O
Meyers   B-NAME
Report   O
end   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Norah   B-NAME
Mcneil   I-NAME
Age   O
:   O
77   O
Medical   O
Record   O
Number   O
:   O
9388B09325   B-ID
ID   O
Number   O
:   O
PO   B-ID
:   I-ID
YQ:6983   B-ID
Address   O
:   O
Sea   B-LOCATION
Breeze   I-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
837   I-CONTACT
)   I-CONTACT
686   I-CONTACT
-   I-CONTACT
3633   I-CONTACT
Job   O
:   O
Proofreaders   O
and   O
Copy   O
Markers   O
Zip   O
Code   O
:   O
17340   B-LOCATION
Date   O
of   O
Visit   O
:   O
01/36   B-DATE

Treating   O
Physician   O
:   O
Dr.   O
Patton   B-NAME
Hospital   O
:   O

WellStar   B-LOCATION
Spalding   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Notes   O
:   O
34/28/2336   B-DATE
-   O
On   O
this   O
date   O
,   O
Tess   B-NAME
Mcpherson   I-NAME
arrived   O
at   O
Redmond   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
severe   O
abdominal   O
pain   O
that   O
had   O
been   O
persisting   O
for   O
approximately   O
48   O
hours   O
.   O

At   O
the   O
time   O
of   O
admission   O
,   O
on   O
physical   O
examination   O
,   O
Donnelly   B-NAME
exhibited   O
guarding   O
and   O
rebound   O
tenderness   O
.   O

09/32/2271   B-DATE
-   O

Titus   B-NAME
Duffy   I-NAME
's   O
preliminary   O
blood   O
work   O
(   O
ordered   O
by   O
Dr.   O
Jina   B-NAME
Peterson   I-NAME
)   O
revealed   O
an   O
elevated   O
level   O
of   O
amylase   O
and   O
lipase   O
enzymes   O
,   O
which   O
suggested   O
a   O
diagnosis   O
of   O
acute   O
pancreatitis   O
.   O

On   O
the   O
following   O
29/26/32   B-DATE
,   O
a   O
CT   O
scan   O
was   O
performed   O
showing   O
inflammation   O
and   O
swelling   O
of   O
the   O
pancreas   O
.   O

21/39   B-DATE
-   O
Pugh   B-NAME
was   O
admitted   O
to   O
the   O
Ascension   B-LOCATION
Genesys   I-LOCATION
Hospital   I-LOCATION
Gastroenterology   O
Department   O
for   O
further   O
assessment   O
and   O
management   O
.   O

A   O
referral   O
was   O
made   O
to   O
an   O
addiction   O
counseling   O
Independent   B-LOCATION
Galaxies   I-LOCATION
considering   O
his   O
alcohol   O
and   O
smoking   O
habits   O
.   O

2/00   B-DATE
-   O
Dr.   O
Fulghum   B-NAME
,   I-NAME
Robert   I-NAME
and   O
his   O
team   O
have   O
begun   O
treatment   O
for   O
acute   O
pancreatitis   O
.   O

2022   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
21   I-DATE
-   O
Gracia   B-NAME
is   O
responding   O
positively   O
to   O
the   O
treatment   O
.   O

Nunes   B-NAME
's   O
username   O
for   O
the   O
Washington   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
portal   O
is   O
xfj493   B-NAME
for   O
communication   O
about   O
their   O
treatment   O
progress   O
and   O
next   O
appointment   O
schedules   O
.   O

Further   O
treatment   O
and   O
follow   O
-   O
up   O
appointments   O
will   O
continue   O
at   O
Hardin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
13/26   B-DATE
,   O
at   O
which   O
time   O
Dr.   O
Hooper   B-NAME
will   O
reassess   O
the   O
condition   O
of   O
the   O
patient   O
and   O
adjust   O
the   O
treatment   O
plan   O
if   O
necessary   O
.   O

Patient   O
Report   O
Karley   B-NAME
Ali   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Hackensack   B-LOCATION
Meridian   I-LOCATION
Health   I-LOCATION
Palisades   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/25/2194   B-DATE
with   O
primary   O
complaints   O
of   O
severe   O
headache   O
and   O
dizziness   O
.   O

A   O
resident   O
Bryant   B-NAME
,   I-NAME
William   I-NAME
Cullen   I-NAME
performed   O
a   O
physical   O
examination   O
,   O
and   O
the   O
initial   O
vitals   O
were   O
stable   O
.   O

Orwell   B-NAME
,   I-NAME
George   I-NAME
started   O
feeling   O
unwell   O
around   O
noon   O
on   O
11/2   B-DATE
.   O

Saniya   B-NAME
Livingston   I-NAME
's   O
6838183   B-ID
was   O
updated   O
with   O
the   O
results   O
,   O
and   O
the   O
scan   O
was   O
normal   O
,   O
ruling   O
out   O
hemorrhage   O
or   O
mass   O
effects   O
.   O

After   O
a   O
thorough   O
discussion   O
with   O
Tristin   B-NAME
Schmidt   I-NAME
about   O
the   O
benefits   O
and   O
possible   O
complications   O
,   O
Castro   B-NAME
Leversee   I-NAME
agreed   O
for   O
the   O
procedure   O
.   O

A   O
neurologist   O
from   O
Herrick   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
also   O
consulted   O
,   O
and   O
after   O
analyzing   O
the   O
results   O
,   O
the   O
provisional   O
diagnosis   O
was   O
given   O
as   O
"   O
cluster   O
headache   O
"   O
.   O

For   O
any   O
emergencies   O
,   O
the   O
patient   O
was   O
told   O
to   O
contact   O
the   O
department   O
on   O
344   B-CONTACT
-   I-CONTACT
4778   I-CONTACT
.   O

Finally   O
,   O
the   O
patient   O
was   O
discharged   O
late   O
evening   O
on   O
the   O
same   O
Saturday   B-DATE
,   O
and   O
a   O
copy   O
of   O
the   O
discharge   O
summary   O
was   O
sent   O
to   O
the   O
listed   O
address   O
i.e.   O
,   O
Cold   B-LOCATION
Springs   I-LOCATION
,   O
95862   B-LOCATION
.   O

The   O
handling   O
doctor   O
,   O
Mendez   B-NAME
,   O
was   O
satisfied   O
with   O
the   O
patient   O
's   O
response   O
to   O
the   O
treatment   O
and   O
has   O
the   O
patient   O
's   O
case   O
under   O
observation   O
.   O

A   O
weekly   O
follow   O
up   O
over   O
the   O
phone   O
calls   O
was   O
agreed   O
upon   O
by   O
Chesmu   B-NAME
and   O
Lee   B-NAME
.   O

Note   O
:   O
Patient   O
's   O
unique   O
ID   O
(   O
1   B-ID
-   I-ID
7678948   I-ID
)   O
and   O
medical   O
records   O
should   O
remain   O
confidential   O
as   O
per   O
the   O
Health   O
Insurance   O
Portability   O
and   O
Accountability   O
Act   O
(   O
HIPAA   O
)   O
regulated   O
by   O
the   O
Affinity   B-LOCATION
Bank   I-LOCATION
.   O

Any   O
changes   O
to   O
Tamara   B-NAME
Neal   I-NAME
’s   O
electronic   O
medical   O
record   O
should   O
only   O
be   O
done   O
by   O
authorized   O
personnel   O
using   O
provided   O
re980   B-NAME
.   O

Patient   O
Information   O
:   O
Adeline   B-NAME
Arellano   I-NAME
is   O
a   O
13s   O
year   O
old   O
individual   O
who   O
presented   O
to   O
the   O
SSM   B-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
with   O
complaints   O
of   O
severe   O
headache   O
,   O
nausea   O
and   O
photophobia   O
for   O
two   O
days   O
starting   O
on   O
33/28   B-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
1170282   B-ID
revealed   O
that   O
he   O
has   O
been   O
treated   O
for   O
hypertension   O
in   O
the   O
past   O
and   O
is   O
currently   O
taking   O
medication   O
.   O

The   O
assessment   O
conducted   O
by   O
Guerrero   B-NAME
unveiled   O
a   O
mild   O
fever   O
.   O

The   O
tests   O
were   O
completed   O
at   O
TF22   B-LOCATION
9TD   I-LOCATION
within   O
M.   B-LOCATION
D.   I-LOCATION
Anderson   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
Orlando   I-LOCATION
.   O

His   O
contact   O
number   O
98798   B-CONTACT
and   O
his   O
62222781   B-ID
were   O
noted   O
for   O
records   O
.   O

The   O
information   O
was   O
shared   O
with   O
his   O
insurance   O
Close   B-LOCATION
Highgate   I-LOCATION
Farm   I-LOCATION
for   O
billing   O
purposes   O
.   O

His   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
02/19   B-DATE
.   O

Instructions   O
were   O
provided   O
to   O
Conner   B-NAME
Serrano   I-NAME
to   O
avoid   O
any   O
heavy   O
lifting   O
and   O
excessive   O
exposure   O
to   O
sunlight   O
.   O

The   O
patient   O
resides   O
at   O
Schlusser   B-LOCATION
,   O
84175   B-LOCATION
.   O

His   O
yst804   B-NAME
has   O
been   O
created   O
for   O
online   O
follow   O
ups   O
and   O
access   O
to   O
test   O
reports   O
.   O

Patient   O
Name   O
:   O
Xavier   B-NAME
Clements   I-NAME
Sex   O
:   O
Male   O
Age   O
:   O
43   O
Geographical   O
Location   O
:   O
Mason   B-LOCATION
Neck   I-LOCATION
Report   O
of   O
Symptomatic   O
Expression   O
:   O

Lane   B-NAME
presented   O
at   O
McLaren   B-LOCATION
Bay   I-LOCATION
Special   I-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Maria   B-NAME
Morales   I-NAME
,   O
with   O
a   O
series   O
of   O
novel   O
symptoms   O
on   O
26/25   B-DATE
.   O

Koln   B-NAME
reported   O
acute   O
onset   O
of   O
symptoms   O
with   O
subjective   O
severity   O
rating   O
of   O
7   O
on   O
the   O
scale   O
of   O
10   O
,   O
alluding   O
to   O
acute   O
to   O
critical   O
nature   O
of   O
the   O
symptoms   O
.   O

Stimson   B-NAME
,   I-NAME
Henry   I-NAME
L.   I-NAME
also   O
presented   O
with   O
severe   O
nausea   O
and   O
vomiting   O
,   O
alongside   O
altered   O
bowel   O
habit   O
-   O
predominantly   O
diarrhea   O
,   O
indicating   O
gastrointestinal   O
involvement   O
.   O

No   O
significant   O
cardiac   O
abnormalities   O
were   O
noted   O
during   O
the   O
examination   O
from   O
India   B-NAME
Nunez   I-NAME
.   O

During   O
chart   O
review   O
,   O
it   O
was   O
discovered   O
that   O
Ayden   B-NAME
Oneal   I-NAME
had   O
visited   O
Spring   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
the   O
past   O
,   O
as   O
recorded   O
on   O
84157783   B-ID
.   O

This   O
includes   O
no   O
history   O
of   O
abdominal   O
surgeries   O
,   O
which   O
was   O
verified   O
by   O
contacting   O
Hialeah   B-LOCATION
Hospital   I-LOCATION
where   O
he   O
was   O
previously   O
treated   O
.   O

Marina   B-NAME
Collins   I-NAME
identifies   O
as   O
a   O
Etchers   O
,   O
Hand   O
employed   O
at   O
Freeborn   B-LOCATION
-   I-LOCATION
Mower   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Services   I-LOCATION
.   O

His   O
contact   O
details   O
:   O
865   B-CONTACT
108   I-CONTACT
9873   I-CONTACT
and   O
address   O
at   O
8824   B-LOCATION
Warren   I-LOCATION
Drive   I-LOCATION
-   O
63492   B-LOCATION
were   O
verified   O
.   O

Given   O
the   O
patient   O
's   O
severe   O
symptoms   O
,   O
consultation   O
has   O
been   O
recommended   O
with   O
a   O
specialist   O
in   O
Gastroenterology   O
at   O
Gila   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

His   O
appointment   O
has   O
been   O
scheduled   O
for   O
21/00/97   B-DATE
.   O

This   O
report   O
is   O
assessed   O
and   O
confirmed   O
by   O
ipj45   B-NAME
with   O
authority   O
from   O
Alberto   B-NAME
Liu   I-NAME
,   O
to   O
be   O
recorded   O
under   O
the   O
patient   O
ID   O
:   O
9045831   B-ID
in   O
our   O
medical   O
records   O
on   O
12/01   B-DATE
.   O

Patient   O
Name   O
:   O
Winn   B-NAME
ID   O
:   O
JR   B-ID
:   I-ID
OU:8045   I-ID
Doctor   O
:   O
Blackburn   B-NAME
Medical   O
Record   O
Number   O
:   O
237   B-ID
-   I-ID
38   I-ID
-   I-ID
55   I-ID
-   I-ID
6   I-ID
Username   O
:   O
HD914   B-NAME
Phone   O
:   O
784   B-CONTACT
680   I-CONTACT
-   I-CONTACT
7465   I-CONTACT
Contact   O
Address   O
:   O
Longview   B-LOCATION
,   O
97746   B-LOCATION
Location   O
of   O
Hospital   O
:   O
Spartanburg   B-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Restorative   I-LOCATION
Care   I-LOCATION
Profession   O
:   O

Systems   O
analyst   O
Date   O
of   O
Birth   O
:   O
22/10   B-DATE
,   O
Age   O
:   O
3   O
week   O
Reporting   O
Organization   O
:   O

Bank   B-LOCATION
of   I-LOCATION
Ellijay   I-LOCATION
On   O
1/27/66   B-DATE
,   O
Aaron   B-NAME
Boies   I-NAME
presented   O
to   O
the   O
Bronson   B-LOCATION
Battle   I-LOCATION
Creek   I-LOCATION
with   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
upper   O
quadrant   O
,   O
that   O
started   O
approximately   O
four   O
hours   O
prior   O
to   O
presentation   O
.   O

Physical   O
examination   O
by   O
Hudson   B-NAME
revealed   O
positive   O
Murphy   O
's   O
sign   O
and   O
absent   O
bowel   O
sounds   O
.   O

The   O
patient   O
was   O
started   O
on   O
intravenous   O
antibiotics   O
immediately   O
as   O
per   O
the   O
protocols   O
of   O
International   B-LOCATION
League   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
.   O

Surgical   O
consultation   O
for   O
potential   O
cholecystectomy   O
was   O
conducted   O
successfully   O
over   O
the   O
phone   O
using   O
number   O
(   B-CONTACT
901   I-CONTACT
)   I-CONTACT
215   I-CONTACT
7584   I-CONTACT
and   O
it   O
was   O
recommended   O
that   O
the   O
patient   O
should   O
undergo   O
surgery   O
within   O
the   O
next   O
48   O
hours   O
to   O
prevent   O
further   O
complications   O
.   O

The   O
patient   O
is   O
currently   O
being   O
monitored   O
closely   O
and   O
has   O
been   O
scheduled   O
for   O
surgery   O
on   O
04/30/1764   B-DATE
.   O

Given   O
Duante   B-NAME
's   O
profession   O
as   O
a   O
Packaging   O
and   O
Filling   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
they   O
have   O
been   O
advised   O
to   O
take   O
appropriate   O
time   O
off   O
work   O
postoperatively   O
to   O
aid   O
recovery   O
.   O

Kindly   O
contact   O
Eve   B-NAME
Fowler   I-NAME
at   O
65598   B-CONTACT
or   O
through   O
the   O
online   O
portal   O
using   O
username   O
IC812   B-NAME
for   O
further   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
.   O

We   O
appreciate   O
the   O
continued   O
support   O
from   O
the   O
organization   O
Satilla   B-LOCATION
REMC   I-LOCATION
.   O

Best   O
Regards   O
,   O
Cummings   B-NAME

Medical   O
Report   O
:   O
Patient   O
:   O
Anastasia   B-NAME
Ladner   I-NAME
Age   O
:   O
25s   O
Report   O
date   O
:   O
13/21   B-DATE
Dr.   O
Julien   B-NAME
Christensen   I-NAME
examined   O
Joslyn   B-NAME
Kent   I-NAME
today   O
at   O
Lakeland   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Niles   I-LOCATION
.   O
Symptoms   O
:   O

In   O
addition   O
,   O
Keating   B-NAME
,   I-NAME
Paul   I-NAME
reported   O
bilateral   O
tinnitus   O
and   O
a   O
feeling   O
of   O
fullness   O
in   O
the   O
ears   O
.   O

Noe   B-NAME
Howard   I-NAME
did   O
not   O
report   O
any   O
history   O
of   O
trauma   O
,   O
fever   O
,   O
loss   O
of   O
consciousness   O
,   O
or   O
neurological   O
symptoms   O
such   O
as   O
blurred   O
vision   O
,   O
seizures   O
,   O
slurred   O
speech   O
or   O
loss   O
of   O
coordination   O
.   O

Initial   O
physical   O
examination   O
:   O
Upon   O
examination   O
,   O
Dr.   O
James   B-NAME
noted   O
that   O
Buck   B-NAME
,   I-NAME
Pearl   I-NAME
appeared   O
to   O
be   O
in   O
good   O
form   O
and   O
was   O
cooperative   O
during   O
the   O
assessment   O
.   O

Further   O
Actions   O
:   O
Further   O
investigations   O
such   O
as   O
an   O
MRI   O
scan   O
and   O
a   O
CSF   O
(   O
Cerebrospinal   O
Fluid   O
)   O
study   O
were   O
organized   O
by   O
Dr.   O
Marty   B-NAME
Saybrooke   I-NAME
.   O

Instructions   O
were   O
given   O
to   O
Deborah   B-NAME
Lewis   I-NAME
about   O
the   O
preparation   O
for   O
the   O
tests   O
.   O

These   O
tests   O
will   O
be   O
done   O
in   O
the   O
morning   O
of   O
12/22   B-DATE
at   O
Capital   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
(   I-LOCATION
Mercer   I-LOCATION
Campus   I-LOCATION
)   I-LOCATION
.   O

Rodriguez   B-NAME
,   I-NAME
Alex   I-NAME
's   O
medical   O
record   O
number   O
at   O
Michigan   B-LOCATION
Medicine   I-LOCATION
is   O
458   B-ID
-   I-ID
20   I-ID
-   I-ID
53   I-ID
-   I-ID
8   I-ID
.   O

The   O
results   O
will   O
be   O
available   O
on   O
the   O
Australian   B-LOCATION
Council   I-LOCATION
of   I-LOCATION
Trade   I-LOCATION
Unions   I-LOCATION
portal   O
using   O
username   O
SK439   B-NAME
and   O
a   O
unique   O
7   B-ID
-   I-ID
2470458   I-ID
will   O
be   O
provided   O
to   O
the   O
patient   O
.   O

The   O
patient   O
was   O
instructed   O
to   O
call   O
Dr.   O
Riddle   B-NAME
at   O
28832   B-CONTACT
for   O
any   O
immediate   O
assistance   O
.   O

The   O
patient   O
's   O
residential   O
address   O
is   O
Payne   B-LOCATION
and   O
the   O
zip   O
code   O
is   O
16973   B-LOCATION
.   O

In   O
conclusion   O
,   O
the   O
results   O
of   O
these   O
investigations   O
will   O
guide   O
the   O
future   O
treatment   O
plan   O
for   O
Josue   B-NAME
Gallagher   I-NAME
and   O
the   O
medical   O
team   O
led   O
by   O
Dr.   O
Leilani   B-NAME
Jones   I-NAME
will   O
closely   O
monitor   O
Leticia   B-NAME
Wheeler   I-NAME
’s   O
symptoms   O
and   O
reactions   O
to   O
possible   O
medications   O
.   O

Report   O
prepared   O
by   O
:   O
Corinne   B-NAME
Gould   I-NAME
617   B-ID
-   I-ID
28   I-ID
-   I-ID
21   I-ID
-   I-ID
7   I-ID
02/39   B-DATE

Patient   O
Name   O
:   O
Edwards   B-NAME
,   I-NAME
John   I-NAME
Age   O
:   O
97   O
ID   O
:   O
474330688   B-ID
Location   O
:   O
Sugarloaf   B-LOCATION
Phone   O
:   O
(   B-CONTACT
360   I-CONTACT
)   I-CONTACT
764   I-CONTACT
-   I-CONTACT
8601   I-CONTACT
Medical   O
Record   O
:   O
8261966   B-ID
Zip   O
:   O
87831   B-LOCATION
UserName   O
:   O
SR417   B-NAME
Lamont   B-NAME
Romero   I-NAME
visited   O
Demarcus   B-NAME
Lee   I-NAME
on   O
08/36   B-DATE
.   O

The   O
doctor   O
is   O
in   O
charge   O
of   O
Internal   O
Medicine   O
at   O
Wood   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

He   O
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
,   O
Administrative   O
Support   O
in   O
a   O
factory   O
presented   O
by   O
the   O
Town   B-LOCATION
of   I-LOCATION
Smyrna   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

Frost   B-NAME
is   O
a   O
resident   O
of   O
Swisher   B-LOCATION
and   O
his   O
medical   O
history   O
is   O
filed   O
under   O
659   B-ID
-   I-ID
37   I-ID
-   I-ID
02   I-ID
at   O
HealthSouth   B-LOCATION
.   O

Any   O
further   O
correspondence   O
related   O
to   O
the   O
patient   O
's   O
health   O
status   O
can   O
be   O
forwarded   O
to   O
Pollard   B-NAME
's   O
office   O
directly   O
through   O
745   B-CONTACT
5008   I-CONTACT
or   O
mailed   O
to   O
13773   B-LOCATION
Visalia   B-LOCATION
.   O

Notes   O
taken   O
by   O
:   O
VC291   B-NAME

Report   O
:   O
On   O
1612   B-DATE
,   O
a   O
patient   O
,   O
Yosef   B-NAME
Salazar   I-NAME
,   O
was   O
admitted   O
to   O
the   O
emergency   O
department   O
at   O
Coral   B-LOCATION
Gables   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
came   O
from   O
Scotsdale   B-LOCATION
and   O
was   O
brought   O
in   O
by   O
a   O
co   O
-   O
worker   O
who   O
found   O
her   O
slumped   O
over   O
her   O
desk   O
.   O

During   O
the   O
initial   O
examination   O
by   O
Russo   B-NAME
,   O
the   O
patient   O
presented   O
with   O
expressive   O
aphasia   O
,   O
right   O
-   O
sided   O
facial   O
droop   O
and   O
right   O
upper   O
extremity   O
hemiparesis   O
.   O

The   O
patient   O
's   O
3297025   B-ID
indicates   O
a   O
previous   O
hospital   O
admission   O
for   O
chest   O
pain   O
approximately   O
one   O
year   O
ago   O
at   O
Progress   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
in   O
Waurika   B-LOCATION
.   O

Amina   B-NAME
Strickland   I-NAME
recommended   O
that   O
the   O
family   O
of   O
the   O
patient   O
should   O
be   O
contacted   O
.   O

The   O
patient   O
's   O
emergency   O
contact   O
number   O
is   O
174   B-CONTACT
4995   I-CONTACT
and   O
lives   O
in   O
96874   B-LOCATION
.   O

The   O
patient   O
's   O
healthcare   O
is   O
supported   O
by   O
Fire   B-LOCATION
Brigades   I-LOCATION
Union   I-LOCATION
with   O
the   O
i   O
d   O
number   O
of   O
LA781/9235   B-ID
.   O

For   O
further   O
updates   O
and   O
medical   O
records   O
,   O
please   O
login   O
using   O
the   O
mh00   B-NAME
.   O
Feedback   O
on   O
patient   O
's   O
condition   O
and   O
the   O
prescribed   O
course   O
of   O
treatment   O
will   O
be   O
updated   O
regularly   O
to   O
the   O
registered   O
83144   B-CONTACT
number   O
.   O

Please   O
note   O
that   O
this   O
report   O
should   O
remain   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
medical   O
personnel   O
involved   O
in   O
Max   B-NAME
Church   I-NAME
's   O
care   O
.   O

Patient   O
Name   O
:   O
Valerie   B-NAME
Flame   I-NAME
ID   O
:   O
UC:28890:415399   B-ID
Date   O
:   O
17/23/43   B-DATE
Age   O
:   O
38   O
Doctor   O
:   O
Malcolm   B-NAME
Nicholson   I-NAME
Location   O
:   O
Columbiana   B-LOCATION
Hospital   O
:   O
Sinai   B-LOCATION
-   I-LOCATION
Grace   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
:   O
148   B-ID
-   I-ID
32   I-ID
-   I-ID
95   I-ID
-   I-ID
0   I-ID
Profession   O
:   O
Cleaning   O
,   O
Washing   O
,   O
and   O
Metal   O
Pickling   O
Equipment   O
Operators   O
and   O
Tenders   O
Phone   O
:   O
673   B-CONTACT
5120   I-CONTACT
Organisation   O
:   O

Botswana   B-LOCATION
Central   I-LOCATION
Bank   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
Username   O
:   O
gu865   B-NAME
Zip   O
:   O
56834   B-LOCATION

The   O
patient   O
,   O
T.   B-NAME
Villagomez   I-NAME
,   O
presented   O
on   O
22/21/2292   B-DATE
,   O
complaining   O
of   O
severe   O
discomfort   O
in   O
the   O
epigastric   O
region   O
.   O

Anamnesis   O
revealed   O
that   O
Cage   B-NAME
,   I-NAME
John   I-NAME
has   O
been   O
experiencing   O
intermittent   O
,   O
sharp   O
abdominal   O
pains   O
for   O
the   O
last   O
few   O
days   O
.   O

A   O
professional   O
Dredge   O
Operators   O
,   O
Gerard   B-NAME
Bernard   I-NAME
admitted   O
experiencing   O
heightened   O
levels   O
of   O
stress   O
at   O
his   O
workplace   O
,   O
Suburban   B-LOCATION
FSB   I-LOCATION
.   O

Upon   O
physical   O
examination   O
conducted   O
by   O
Micah   B-NAME
Bird   I-NAME
at   O
Mineral   B-LOCATION
Area   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
the   O
patient   O
appeared   O
anxious   O
and   O
was   O
mildly   O
diaphoretic   O
.   O

The   O
laboratory   O
findings   O
are   O
recorded   O
in   O
medical   O
record   O
number   O
141   B-ID
-   I-ID
29   I-ID
-   I-ID
53   I-ID
-   I-ID
7   I-ID
.   O

A   O
follow   O
-   O
up   O
visit   O
has   O
been   O
scheduled   O
on   O
05/22/2193   B-DATE
at   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
Saint   I-LOCATION
Peters   I-LOCATION
Hospital   I-LOCATION
,   O
Essex   B-LOCATION
Junction   I-LOCATION
.   O

Detailed   O
advice   O
and   O
instructions   O
were   O
forwarded   O
to   O
the   O
patient   O
's   O
email   O
,   O
username   O
yu897   B-NAME
.   O

Carroll   B-NAME
was   O
contacted   O
at   O
75515   B-CONTACT
to   O
confirm   O
the   O
time   O
of   O
the   O
next   O
consultation   O
.   O

The   O
consultation   O
summary   O
,   O
along   O
with   O
the   O
prescription   O
,   O
was   O
forwarded   O
to   O
the   O
patient   O
's   O
address   O
at   O
46528   B-LOCATION
securely   O
.   O

The   O
electronic   O
health   O
record   O
system   O
386645   B-ID
at   O
Cary   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
updated   O
meticulously   O
with   O
the   O
patient   O
's   O
ongoing   O
medical   O
history   O
.   O

Please   O
refer   O
to   O
the   O
digitized   O
medical   O
records   O
with   O
Grundy   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
information   O
on   O
past   O
medical   O
and   O
surgical   O
history   O
,   O
if   O
necessary   O
.   O

Being   O
in   O
the   O
contact   O
list   O
of   O
Tahirih   B-LOCATION
Justice   I-LOCATION
Center   I-LOCATION
,   O
they   O
have   O
permission   O
to   O
access   O
Kasandra   B-NAME
Gordon   I-NAME
's   O
medical   O
history   O
if   O
it   O
's   O
needed   O
for   O
further   O
consultation   O
.   O

Any   O
additional   O
comments   O
or   O
observations   O
can   O
be   O
noted   O
during   O
the   O
follow   O
-   O
up   O
visit   O
on   O
Wednesday   B-DATE
.   O

Patient   O
:   O
Bishop   B-NAME
ID   O
:   O
DG:82575:748805   B-ID
Address   O
:   O
Saint   B-LOCATION
Petersburg   I-LOCATION
,   I-LOCATION
FL   I-LOCATION
33713   I-LOCATION
,   O
36929   B-LOCATION
Phone   O
number   O
:   O
188   B-CONTACT
9469   I-CONTACT
Date   O
:   O
12/12   B-DATE
Dear   O
Wagner   B-NAME
,   O
I   O
hope   O
this   O
message   O
finds   O
you   O
well   O
.   O

I   O
had   O
undergone   O
an   O
appendectomy   O
at   O
NorthBay   B-LOCATION
VacaValley   I-LOCATION
Hospital   I-LOCATION
during   O
my   O
early   O
twenties   O
,   O
and   O
from   O
my   O
medical   O
history   O
documented   O
in   O
the   O
3141952   B-ID
number   O
,   O
I   O
am   O
allergic   O
to   O
penicillin   O
.   O

I   O
am   O
presently   O
under   O
the   O
health   O
plan   O
of   O
Syndicate   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
and   O
my   O
policy   O
number   O
is   O
4   B-ID
-   I-ID
1821603   I-ID
.   O

My   O
username   O
for   O
the   O
online   O
patient   O
portal   O
is   O
cro573   B-NAME
.   O

Yours   O
Sincerely   O
,   O
Lucille   B-NAME
Jackson   I-NAME

Patient   O
Name   O
:   O
Ricky   B-NAME
Pineda   I-NAME
Date   O
of   O
Birth   O
:   O
1935   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
11   I-DATE
Age   O
:   O
97   O
Address   O
:   O
Kinston   B-LOCATION
Phone   O
Number   O
:   O
759   B-CONTACT
113   I-CONTACT
-   I-CONTACT
1256   I-CONTACT
Medical   O
Record   O
Number   O
:   O
516   B-ID
-   I-ID
43   I-ID
-   I-ID
64   I-ID
-   I-ID
1   I-ID
SSN   O
:   O
2602918   B-ID
Zip   O
Code   O
:   O
94069   B-LOCATION
Friedman   B-NAME
presented   O
on   O
13/24   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
that   O
has   O
been   O
persistent   O
for   O
approximately   O
two   O
days   O
.   O

Newton   B-NAME
described   O
the   O
pain   O
as   O
a   O
stabbing   O
sensation   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

The   O
patient   O
's   O
temperature   O
measured   O
2172   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
22   I-DATE
in   O
our   O
St.   B-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Tacoma   I-LOCATION
was   O
37.8   O
°   O
C   O
.   O

To   O
confirm   O
diagnosis   O
,   O
a   O
CT   O
Scan   O
of   O
the   O
abdomen   O
was   O
recommended   O
by   O
Krause   B-NAME
,   O
and   O
was   O
carried   O
out   O
at   O
MercyOne   B-LOCATION
Centerville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
33/33   B-DATE
.   O

Following   O
diagnosis   O
,   O
Jaylynn   B-NAME
Davila   I-NAME
from   O
Middleton   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
contacted   O
Suzuka   B-NAME
,   I-NAME
Shunryu   I-NAME
's   O
primary   O
care   O
physician   O
at   O
48921   B-CONTACT
and   O
a   O
consensus   O
was   O
made   O
to   O
proceed   O
with   O
an   O
emergency   O
appendectomy   O
to   O
prevent   O
potential   O
perforation   O
and   O
peritonitis   O
.   O

Surgical   O
procedure   O
was   O
successfully   O
performed   O
by   O
Nunez   B-NAME
on   O
23/25/94   B-DATE
at   O
Ten   B-LOCATION
Broeck   I-LOCATION
Hospital   I-LOCATION
.   O

Shoemaker   B-NAME
was   O
instructed   O
to   O
report   O
to   O
the   O
hospital   O
immediately   O
in   O
case   O
of   O
any   O
unexpected   O
postoperative   O
complications   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
signs   O
of   O
infection   O
.   O

For   O
the   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
0/2348   B-DATE
,   O
Kaelem   B-NAME
is   O
requested   O
not   O
to   O
eat   O
or   O
drink   O
12   O
hours   O
prior   O
to   O
the   O
appointment   O
,   O
and   O
to   O
bring   O
his   O
KG420/8132   B-ID
for   O
record   O
confirmation   O
.   O

Meghan   B-NAME
Hasegawa   I-NAME
holds   O
a   O
Legislators   O
position   O
at   O
Wheatland   B-LOCATION
Bank   I-LOCATION
in   O
Blue   B-LOCATION
Springs   I-LOCATION
and   O
it   O
was   O
discussed   O
that   O
YZ409   B-NAME
would   O
be   O
regarding   O
the   O
work   O
-   O
shift   O
adjustments   O
necessary   O
during   O
the   O
recovery   O
period   O
.   O

Signed   O
,   O
Ortiz   B-NAME

Patient   O
Report   O
Name   O
:   O
Urwin   B-NAME
Orosco   I-NAME
Gender   O
:   O
Male   O
Age   O
:   O
55   O
ID   O
:   O
QX   B-ID
:   I-ID
PU:9581   I-ID
Medical   O
Record   O
:   O
64913836   B-ID
Address   O
:   O
Abbeville   B-LOCATION
,   I-LOCATION
Abbeville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
51044   B-LOCATION
Phone   O
:   O
555   B-CONTACT
183   I-CONTACT
9758   I-CONTACT
Physician   O
:   O

Shania   B-NAME
Cooke   I-NAME
Hospital   O
:   O
MidState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

The   O
patient   O
presented   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Saginaw   I-LOCATION
on   O
2242   B-DATE
.   O

The   O
patient   O
reported   O
a   O
sudden   O
onset   O
of   O
the   O
headache   O
while   O
he   O
was   O
at   O
work   O
as   O
a   O
Herbalist   O
at   O
McIntosh   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
.   O

Therefore   O
,   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
head   O
without   O
contrast   O
was   O
ordered   O
,   O
and   O
he   O
was   O
referred   O
to   O
Priyanka   B-NAME
Maheswaran   I-NAME
for   O
further   O
evaluation   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Syringa   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
for   O
observation   O
,   O
where   O
he   O
was   O
administered   O
pain   O
management   O
control   O
.   O

The   O
patient   O
's   O
wife   O
(   O
DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
,   O
35   O
)   O
was   O
contacted   O
at   O
307   B-CONTACT
-   I-CONTACT
211   I-CONTACT
2306   I-CONTACT
and   O
she   O
confirmed   O
that   O
the   O
patient   O
had   O
no   O
history   O
of   O
severe   O
headaches   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Evidence   O
of   O
this   O
encounter   O
can   O
be   O
found   O
under   O
the   O
patient   O
's   O
username   O
xvq753   B-NAME
in   O
the   O
hospital   O
's   O
electronic   O
health   O
record   O
system   O
.   O

Patient   O
Initial   O
Consultation   O
Note   O
592   B-ID
-   I-ID
77   I-ID
-   I-ID
59   I-ID
Name   O
:   O
Gage   B-NAME
Pierce   I-NAME
DOB   O
:   O
2/15   B-DATE
Address   O
:   O
Madelia   B-LOCATION
,   O
73159   B-LOCATION
Phone   O
:   O
20580   B-CONTACT
Occupation   O
:   O

Plating   O
and   O
Coating   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
Primary   O
MD   O
:   O
Royce   B-NAME
Carey   I-NAME
Admitted   O
to   O
:   O
Hillsdale   B-LOCATION
Hospital   I-LOCATION
ID   O
:   O
817449548   B-ID
Username   O
:   O
QS405   B-NAME
Patient   O
Otto   B-NAME
Schmitt   I-NAME
,   O
aged   O
2   O
month   O
presented   O
with   O
a   O
7   O
-   O
day   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
unexplained   O
weight   O
loss   O
.   O

A   O
subsequent   O
high   O
-   O
resolution   O
computed   O
tomography   O
(   O
HRCT   O
)   O
scan   O
was   O
done   O
on   O
12/28   B-DATE
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
York   I-LOCATION
demonstrating   O
bilateral   O
patchy   O
ground   O
-   O
glass   O
opacities   O
.   O

The   O
prognosis   O
and   O
treatment   O
plan   O
were   O
discussed   O
with   O
Odin   B-NAME
Dorsey   I-NAME
who   O
consented   O
for   O
a   O
lung   O
biopsy   O
.   O

The   O
biopsy   O
was   O
scheduled   O
for   O
22   B-DATE
-   I-DATE
9   I-DATE
at   O
Christiana   B-LOCATION
Care   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Wilmington   I-LOCATION
Hospital   I-LOCATION
with   O
the   O
experts   O
in   O
the   O
field   O
,   O
Dr.   O
Mills   B-NAME
.   O

During   O
the   O
stay   O
at   O
Sexaholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
SA   I-LOCATION
)   I-LOCATION
,   O
the   O
patient   O
was   O
started   O
on   O
supplemental   O
oxygen   O
therapy   O
with   O
plans   O
to   O
start   O
on   O
a   O
regimen   O
of   O
corticosteroids   O
on   O
20/21   B-DATE
following   O
the   O
lung   O
biopsy   O
results   O
.   O

Instructions   O
were   O
given   O
to   O
contact   O
the   O
department   O
via   O
(   B-CONTACT
565   I-CONTACT
)   I-CONTACT
218   I-CONTACT
-   I-CONTACT
8287   I-CONTACT
in   O
case   O
of   O
significant   O
symptom   O
progression   O
or   O
any   O
form   O
of   O
discomfort   O
.   O

Note   O
:   O
This   O
report   O
was   O
generated   O
by   O
FM422   B-NAME
and   O
reviewed   O
and   O
confirmed   O
by   O
Max   B-NAME
Carson   I-NAME
.   O

Patient   O
Information   O
:   O
Velaz   B-NAME
Gicker   I-NAME
is   O
a   O
3   O
-   O
year   O
-   O
old   O
who   O
was   O
admitted   O
to   O
Nemaha   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Seneca   I-LOCATION
on   O
September   B-DATE
.   O

According   O
to   O
Zavala   B-NAME
,   O
the   O
pain   O
is   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
and   O
radiates   O
to   O
the   O
back   O
.   O

In   O
addition   O
,   O
Bierce   B-NAME
,   I-NAME
Ambrose   I-NAME
has   O
also   O
been   O
experiencing   O
unintentional   O
weight   O
loss   O
,   O
fatigue   O
and   O
night   O
sweats   O
.   O

Carleigh   B-NAME
Hicks   I-NAME
's   O
family   O
lives   O
in   O
the   O
Winnemucca   B-LOCATION
area   O
and   O
his   O
mother   O
had   O
similar   O
symptoms   O
at   O
22   O
.   O

As   O
of   O
2021   B-DATE
,   O
endoscopic   O
tests   O
were   O
performed   O
at   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Augusta   I-LOCATION
to   O
investigate   O
the   O
cause   O
of   O
the   O
abdominal   O
pain   O
.   O

kenny   B-NAME
's   O
electronic   O
health   O
record   O
38019910   B-ID
revealed   O
a   O
heterogeneous   O
mass   O
in   O
the   O
pancreas   O
leading   O
to   O
a   O
preliminary   O
diagnosis   O
of   O
suspected   O
pancreatic   O
cancer   O
.   O

Further   O
testing   O
was   O
arranged   O
with   O
the   O
consult   O
of   O
oncologist   O
Dickson   B-NAME
and   O
the   O
test   O
results   O
are   O
expected   O
by   O
15/00   B-DATE
.   O

For   O
any   O
queries   O
,   O
the   O
patient   O
can   O
reach   O
out   O
at   O
97370   B-CONTACT
or   O
through   O
his   O
personalized   O
portal   O
fj1001   B-NAME
.   O

Boylston   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
is   O
coordinating   O
with   O
Bethesda   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
North   I-LOCATION
Hornell   I-LOCATION
to   O
help   O
provide   O
financial   O
aid   O
to   O
the   O
patient   O
.   O

Genet   B-NAME
,   I-NAME
Jean   I-NAME
's   O
insurance   O
policy   O
OS   B-ID
:   I-ID
OL:5048   I-ID
is   O
in   O
process   O
for   O
claims   O
.   O

For   O
his   O
next   O
appointment   O
set   O
on   O
November   B-DATE
,   O
Sade   B-NAME
,   I-NAME
Donatien   I-NAME
de   I-NAME
will   O
come   O
to   O
the   O
clinic   O
situated   O
in   O
Chipping   B-LOCATION
Ongar   I-LOCATION
with   O
postal   O
code   O
19166   B-LOCATION
for   O
follow   O
-   O
up   O
with   O
the   O
medical   O
team   O
.   O

Patient   O
Report   O
:   O
Prajneep   B-NAME
presented   O
to   O
the   O
Kendall   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
on   O
7/21   B-DATE
with   O
complaints   O
of   O
unexplained   O
weight   O
loss   O
,   O
persistent   O
cough   O
,   O
and   O
chronic   O
fatigue   O
.   O

Browne   B-NAME
,   I-NAME
Sir   I-NAME
Thomas   I-NAME
is   O
a   O
well   O
-   O
built   O
56   O
years   O
old   O
individual   O
who   O
is   O
employed   O
as   O
a   O
Dredge   O
Operators   O
.   O

Pal   B-NAME
Meraktis   I-NAME
lives   O
in   O
Elm   B-LOCATION
City   I-LOCATION
and   O
his   O
contact   O
number   O
is   O
921   B-CONTACT
962   I-CONTACT
7746   I-CONTACT
.   O

Bridges   B-NAME
,   O
the   O
primary   O
care   O
physician   O
,   O
conducted   O
the   O
physical   O
examination   O
in   O
Room   O
56418   B-LOCATION
.   O

Angeline   B-NAME
Barajas   I-NAME
has   O
an   O
extensive   O
medical   O
history   O
under   O
record   O
number   O
909   B-ID
-   I-ID
58   I-ID
-   I-ID
72   I-ID
-   I-ID
6   I-ID
,   O
which   O
includes   O
past   O
diagnoses   O
of   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Lab   O
work   O
was   O
performed   O
by   O
jc542   B-NAME
at   O
Flaget   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
which   O
revealed   O
elevated   O
liver   O
enzymes   O
.   O

John   B-NAME
Sundstrom   I-NAME
ordered   O
further   O
testing   O
,   O
including   O
a   O
liver   O
biopsy   O
,   O
to   O
ascertain   O
if   O
the   O
weight   O
loss   O
is   O
due   O
to   O
liver   O
disease   O
.   O

The   O
biopsy   O
was   O
conducted   O
on   O
28/13   B-DATE
,   O
and   O
the   O
samples   O
were   O
sent   O
to   O
UNITED   B-LOCATION
for   I-LOCATION
Intercultural   I-LOCATION
Action   I-LOCATION
lab   O
for   O
pathological   O
evaluation   O
.   O

The   O
patient   O
's   O
health   O
insurance   O
coverage   O
,   O
ID   O
number   O
PO:34060:987982   B-ID
,   O
was   O
confirmed   O
to   O
include   O
the   O
cost   O
of   O
potential   O
diagnostic   O
imaging   O
procedures   O
.   O

In   O
light   O
of   O
his   O
symptoms   O
and   O
elevated   O
liver   O
enzymes   O
,   O
Arnold   B-NAME
recommended   O
a   O
more   O
comprehensive   O
evaluation   O
.   O

An   O
appointment   O
was   O
scheduled   O
for   O
12/02/2012   B-DATE
for   O
follow   O
-   O
up   O
discussions   O
about   O
the   O
liver   O
biopsy   O
result   O
and   O
to   O
conduct   O
any   O
necessary   O
further   O
tests   O
.   O

The   O
appointment   O
details   O
were   O
sent   O
to   O
the   O
patient   O
's   O
home   O
at   O
Leeper   B-LOCATION
.   O

Signed   O
:   O
Conley   B-NAME
at   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
St.   I-LOCATION
Peters   I-LOCATION
Hospital   I-LOCATION
on   O
31/01   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Dunlap   B-NAME
Patient   O
ID   O
:   O
XT:48189:121435   B-ID
Medical   O
Record   O
Number   O
:   O
923   B-ID
-   I-ID
25   I-ID
-   I-ID
03   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
32/21/2017   B-DATE
Age   O
:   O
64   O
Phone   O
Number   O
:   O
61004   B-CONTACT
Address   O
:   O
Valdese   B-LOCATION
,   O
39680   B-LOCATION
Employment   O
:   O
Commercial   O
/   O
residential   O
/   O
rural   O
surveyor   O
at   O
Cape   B-LOCATION
Fear   I-LOCATION
Bank   I-LOCATION
Attending   O
Physician   O
:   O

Susan   B-NAME
Wheeler   I-NAME
Hospital   O
:   O

Hialeah   B-LOCATION
Hospital   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
ingalls   B-NAME
,   O
a   O
33   O
-   O
year   O
-   O
old   O
Terrazzo   O
Workers   O
and   O
Finishers   O
employed   O
at   O
Last   B-LOCATION
Chance   I-LOCATION
for   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
LCA   I-LOCATION
)   I-LOCATION
,   O
presented   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
,   I-LOCATION
formerly   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/34   B-DATE
with   O
complaints   O
of   O
intermittent   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
lasting   O
for   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypothyroidism   O
,   O
diagnosed   O
in   O
Sunday   B-DATE
,   I-DATE
May   I-DATE
-   O
No   O
previous   O
surgical   O
history   O
Examination   O
:   O
Upon   O
examination   O
,   O
Giuliana   B-NAME
Massey   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Thompson   B-NAME
,   I-NAME
Dorothy   I-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Surgical   O
consent   O
was   O
obtained   O
from   O
Whitman   B-NAME
on   O
2214   B-DATE
,   O
and   O
the   O
procedure   O
was   O
successfully   O
performed   O
without   O
complications   O
at   O
Putnam   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Muller   B-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
preoperatively   O
and   O
continued   O
post   O
-   O
operatively   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Rikki   B-NAME
Jarman   I-NAME
was   O
discharged   O
on   O
2/31   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modifications   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
with   O
Saki   B-NAME
.   O

Follow   O
-   O
Up   O
:   O
Altman   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Audrina   B-NAME
Arellano   I-NAME
at   O
Spectrum   B-LOCATION
Health-   I-LOCATION
Mecosta   I-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/26/2019   B-DATE
to   O
evaluate   O
the   O
healing   O
process   O
and   O
to   O
discuss   O
any   O
further   O
care   O
if   O
needed   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
,   O
Joshua   B-NAME
Root   I-NAME
was   O
advised   O
to   O
contact   O
Providence   B-LOCATION
Little   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
San   I-LOCATION
Pedro   I-LOCATION
at   O
28051   B-CONTACT
.   O

This   O
report   O
was   O
created   O
by   O
io818   B-NAME
on   O
September   B-DATE
and   O
is   O
strictly   O
confidential   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kevin   B-NAME
Cummings   I-NAME
Patient   O
ID   O
:   O
37064   B-ID
Age   O
:   O
43   O
Date   O
of   O
Birth   O
:   O
00/26   B-DATE
Address   O
:   O
Tobin   B-LOCATION
,   O
57718   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
927   I-CONTACT
)   I-CONTACT
111   I-CONTACT
9727   I-CONTACT
Medical   O
Record   O
Number   O
:   O
2185026   B-ID
Employment   O
:   O
Fitness   O
Trainers   O
and   O
Aerobics   O
Instructors   O
Physician   O
:   O

Lyons   B-NAME
Hospital   O
Name   O
:   O

Cushing   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Leavenworth   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Godfrey   B-NAME
,   I-NAME
Kelley   I-NAME
presented   O
to   O
Palmetto   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
2   B-DATE
-   I-DATE
19   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Past   O
Medical   O
History   O
:   O
Andy   B-NAME
Petersen   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
two   O
years   O
ago   O
.   O

Examination   O
:   O
On   O
physical   O
examination   O
,   O
Felix   B-NAME
Horne   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
The   O
surgical   O
team   O
,   O
led   O
by   O
Hammond   B-NAME
,   O
was   O
consulted   O
,   O
and   O
Ezequiel   B-NAME
Newman   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
Hackley   I-LOCATION
Campus   I-LOCATION
on   O
26/02/83   B-DATE
.   O

Emily   B-NAME
Humes   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
was   O
discharged   O
on   O
2/23   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
.   O

In   O
Jeffers   B-NAME
,   I-NAME
Oswald   I-NAME
's   O
case   O
,   O
early   O
surgical   O
intervention   O
following   O
a   O
swift   O
diagnosis   O
was   O
key   O
in   O
ensuring   O
a   O
positive   O
outcome   O
.   O

Follow   O
-   O
Up   O
:   O
Dana   B-NAME
Stowe   I-NAME
is   O
advised   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
and   O
to   O
adhere   O
to   O
the   O
prescribed   O
antibiotic   O
regimen   O
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
with   O
Tanner   B-NAME
on   O
02   B-DATE
-   I-DATE
9   I-DATE
to   O
evaluate   O
recovery   O
progress   O
.   O

Prepared   O
by   O
:   O
ct989   B-NAME
Date   O
:   O
03/22/92   B-DATE
Contact   O
Information   O
:   O
196   B-CONTACT
-   I-CONTACT
264   I-CONTACT
2175   I-CONTACT

Addyson   B-NAME
Shelton   I-NAME
Patient   O
ID   O
:   O
840075603   B-ID
Medical   O
Record   O
Number   O
:   O
11119205   B-ID
Date   O
of   O
Birth   O
:   O
34   O
Date   O
of   O
Visit   O
:   O
2263   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
12   I-DATE
Contact   O
Phone   O
:   O
53547   B-CONTACT
Address   O
:   O
Stotts   B-LOCATION
City   I-LOCATION
,   O
47541   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Emiliano   B-NAME
Houston   I-NAME
,   O
a   O
Roofers   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
03/78   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
fever   O
of   O
101.5   O
°   O
F   O
.   O

Sari   B-NAME
Mojaro   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
7   O
days   O
prior   O
to   O
the   O
visit   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Isabelle   B-NAME
Deleon   I-NAME
describes   O
the   O
cough   O
as   O
dry   O
,   O
non   O
-   O
productive   O
,   O
and   O
worsening   O
at   O
night   O
,   O
leading   O
to   O
interrupted   O
sleep   O
.   O

Glover   B-NAME
also   O
reported   O
experiencing   O
chills   O
and   O
night   O
sweats   O
during   O
the   O
same   O
period   O
.   O

Edwin   B-NAME
Spindrift   I-NAME
has   O
a   O
history   O
of   O
asthma   O
but   O
notes   O
these   O
symptoms   O
feel   O
different   O
from   O
their   O
typical   O
asthma   O
exacerbations   O
.   O

Social   O
History   O
:   O
Alfven   B-NAME
,   I-NAME
Hannes   I-NAME
is   O
a   O
Stock   O
Clerks-   O
Stockroom   O
,   O
Warehouse   O
,   O
or   O
Storage   O
Yard   O
employed   O
at   O
Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
in   O
Meade   B-LOCATION
.   O

Freeda   B-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
use   O
.   O

Diagnostic   O
Testing   O
:   O
Rabin   B-NAME
,   I-NAME
Yitzhak   I-NAME
's   O
X   O
-   O
ray   O
performed   O
at   O
MultiCare   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
on   O
July   B-DATE
showed   O
bilateral   O
infiltrates   O
consistent   O
with   O
pneumonia   O
.   O

Maurice   B-NAME
Casey   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
address   O
bacterial   O
pneumonia   O
and   O
advised   O
to   O
continue   O
using   O
their   O
asthma   O
inhalers   O
as   O
per   O
their   O
regular   O
regimen   O
.   O

2   O
.   O
Lainey   B-NAME
Howell   I-NAME
was   O
instructed   O
to   O
self   O
-   O
isolate   O
at   O
home   O
,   O
monitor   O
their   O
temperature   O
and   O
symptoms   O
,   O
and   O
use   O
over   O
-   O
the   O
-   O
counter   O
fever   O
reducers   O
to   O
manage   O
fever   O
and   O
discomfort   O
.   O

3   O
.   O
Scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
4/56   B-DATE
to   O
reassess   O
Lacey   B-NAME
Sheridan   I-NAME
's   O
condition   O
.   O

4   O
.   O
Ganilau   B-NAME
,   I-NAME
Ratu   I-NAME
Sir   I-NAME
Penaia   I-NAME
was   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
worsening   O
symptoms   O
,   O
such   O
as   O
difficulty   O
breathing   O
or   O
an   O
inability   O
to   O
keep   O
fluids   O
down   O
.   O

Follow   O
-   O
Up   O
Instructions   O
:   O
Return   O
to   O
clinic   O
on   O
5/0   B-DATE
or   O
earlier   O
if   O
symptoms   O
worsen   O
.   O

Signed   O
,   O
Leroy   B-NAME
Bernard   I-NAME
Note   O
:   O
The   O
information   O
in   O
this   O
document   O
is   O
confidential   O
and   O
for   O
medical   O
use   O
only   O
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Medical   O
Evaluation   O
for   O
Quinn   B-NAME
Rutledge   I-NAME
1   O
.   O

Overview   O
:   O
Oliver   B-NAME
Oates   I-NAME
visited   O
the   O
outpatient   O
department   O
at   O
Crouse   B-LOCATION
Hospital   I-LOCATION
on   O
38/22/22   B-DATE
reporting   O
severe   O
abdominal   O
pain   O
persisting   O
for   O
the   O
past   O
19/11   B-DATE
.   O

Patient   O
's   O
History   O
:   O
Sullivan   B-NAME
Chase   I-NAME
is   O
97   O
years   O
old   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
peptic   O
ulcer   O
disease   O
diagnosed   O
in   O
10/26/1653   B-DATE
.   O

Israel   B-NAME
Blackwell   I-NAME
denies   O
any   O
history   O
of   O
alcohol   O
abuse   O
or   O
smoking   O
but   O
admits   O
to   O
NSAID   O
usage   O
for   O
chronic   O
back   O
pain   O
related   O
to   O
their   O
profession   O
.   O

Lainey   B-NAME
Hampton   I-NAME
reported   O
no   O
allergies   O
to   O
medications   O
.   O

Pal   B-NAME
Meraktis   I-NAME
also   O
reported   O
experiencing   O
bloating   O
and   O
a   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

4   O
.   O
Medical   O
Examination   O
:   O
Upon   O
examination   O
by   O
Schmidt   B-NAME
at   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Anne   I-LOCATION
Hospital   I-LOCATION
,   O
Soren   B-NAME
Harris   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
.   O

Laboratory   O
tests   O
from   O
2009   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
15   I-DATE
showed   O
elevated   O
white   O
blood   O
cells   O
,   O
indicating   O
a   O
potential   O
infection   O
.   O

An   O
endoscopy   O
conducted   O
on   O
January   B-DATE
35   I-DATE
,   I-DATE
2342   I-DATE
revealed   O
a   O
gastric   O
ulcer   O
in   O
the   O
proximal   O
stomach   O
.   O

061   B-ID
-   I-ID
00   I-ID
-   I-ID
74   I-ID
-   I-ID
4   I-ID
details   O
the   O
findings   O
and   O
the   O
prescribed   O
treatment   O
plan   O
.   O

Given   O
the   O
diagnosis   O
of   O
a   O
gastric   O
ulcer   O
,   O
Jim   B-NAME
Craig   I-NAME
recommended   O
initiating   O
a   O
proton   O
pump   O
inhibitor   O
protocol   O
to   O
reduce   O
stomach   O
acid   O
and   O
promote   O
healing   O
.   O

YERGER   B-NAME
,   I-NAME
DESEAN   I-NAME
was   O
advised   O
on   O
dietary   O
modification   O
to   O
avoid   O
further   O
irritation   O
of   O
the   O
ulcer   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2039   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
22   I-DATE
to   O
re   O
-   O
evaluate   O
the   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Additional   O
Recommendations   O
:   O
It   O
is   O
crucial   O
for   O
Princess   B-NAME
Glass   I-NAME
to   O
avoid   O
NSAIDs   O
moving   O
forward   O
and   O
to   O
consult   O
with   O
Gabriela   B-NAME
Moyer   I-NAME
before   O
taking   O
any   O
new   O
medication   O
.   O

Stress   O
management   O
techniques   O
were   O
recommended   O
to   O
Jacoby   B-NAME
Alexander   I-NAME
,   O
considering   O
the   O
potential   O
role   O
of   O
stress   O
in   O
exacerbating   O
gastric   O
symptoms   O
.   O

Contact   O
Information   O
:   O
Should   O
Kizo   B-NAME
experience   O
any   O
worsening   O
of   O
symptoms   O
or   O
have   O
concerns   O
about   O
the   O
treatment   O
plan   O
,   O
Steven   B-NAME
Dorsey   I-NAME
is   O
encouraged   O
to   O
contact   O
Syringa   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
337   B-CONTACT
-   I-CONTACT
494   I-CONTACT
9623   I-CONTACT
.   O

For   O
any   O
queries   O
related   O
to   O
this   O
report   O
,   O
please   O
contact   O
our   O
office   O
at   O
48845   B-CONTACT
.   O

All   O
personal   O
identifiers   O
have   O
been   O
removed   O
from   O
this   O
report   O
to   O
protect   O
Piper   B-NAME
,   I-NAME
Roddy   I-NAME
's   O
privacy   O
.   O

The   O
information   O
provided   O
in   O
this   O
document   O
should   O
not   O
be   O
disclosed   O
without   O
the   O
explicit   O
consent   O
of   O
Kayleigh   B-NAME
Ferguson   I-NAME
.   O

Document   O
ID   O
:   O
36953964   B-ID
Date   O
:   O
12/04   B-DATE
Prepared   O
by   O
:   O
Marks   B-NAME
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Dallas   I-LOCATION
Devers   B-LOCATION
,   O
94154   B-LOCATION

Patient   O
Name   O
:   O
Trent   B-NAME
Watson   I-NAME
ID   O
:   O
39319   B-ID
Medical   O
Record   O
Number   O
:   O
7070288   B-ID
Date   O
of   O
Birth   O
:   O
13/37   B-DATE
Age   O
:   O
82s   O
Address   O
:   O
Loon   B-LOCATION
Lake   I-LOCATION
,   O
24260   B-LOCATION
Phone   O
Number   O
:   O
461   B-CONTACT
-   I-CONTACT
4134   I-CONTACT
Primary   O
Care   O
Doctor   O
:   O

Charley   B-NAME
Michaels   I-NAME
Hospital   O
:   O
Englewood   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/02/54   B-DATE
Date   O
of   O
Discharge   O
:   O
0/23   B-DATE

Presenting   O
Complaint   O
:   O
Huxley   B-NAME
,   I-NAME
Aldous   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Greater   I-LOCATION
Heights   I-LOCATION
Hospital   I-LOCATION
on   O
2159   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
02   I-DATE
complaining   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
quadrant   O
.   O

Maribel   B-NAME
Newman   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
two   O
episodes   O
of   O
vomiting   O
prior   O
to   O
admission   O
.   O

Past   O
Medical   O
History   O
:   O
Haylie   B-NAME
Mullins   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
controlled   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
medication   O
.   O

Social   O
History   O
:   O
Rodrigo   B-NAME
Chang   I-NAME
is   O
a   O
Insurance   O
Adjusters   O
,   O
Examiners   O
,   O
and   O
Investigators   O
in   O
Kent   B-LOCATION
with   O
no   O
tobacco   O
or   O
illicit   O
drug   O
use   O
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
in   O
Marina   B-NAME
Mcpherson   I-NAME
's   O
father   O
who   O
was   O
diagnosed   O
at   O
70   O
and   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
on   O
the   O
maternal   O
side   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Brendan   B-NAME
Jervis   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Imaging   O
:   O
Computed   O
tomography   O
(   O
CT   O
)   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
performed   O
on   O
13/03/93   B-DATE
revealed   O
appendiceal   O
enlargement   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Todd   B-NAME
Riley   I-NAME
was   O
treated   O
with   O
intravenous   O
fluids   O
and   O
antibiotics   O
upon   O
admission   O
.   O

Consultation   O
with   O
Robles   B-NAME
from   O
general   O
surgery   O
was   O
requested   O
,   O
and   O
Paige   B-NAME
,   I-NAME
Satchel   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
2/22/32   B-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Sartak   B-NAME
Degunya   I-NAME
was   O
discharged   O
on   O
3/01   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Velasquez   B-NAME
in   O
one   O
week   O
.   O

Follow   O
-   O
Up   O
:   O
Kaylin   B-NAME
Sutton   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Demetrius   B-NAME
Ferrell   I-NAME
at   O
Geisinger   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
29/22   B-DATE
to   O
ensure   O
a   O
normal   O
post   O
-   O
operative   O
course   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Rikki   B-NAME
Rierson   I-NAME
was   O
advised   O
to   O
contact   O
the   O
surgery   O
department   O
at   O
(   B-CONTACT
779   I-CONTACT
)   I-CONTACT
700   I-CONTACT
5405   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
Greenwood   B-LOCATION
Leflore   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Kaiden   B-NAME
Stephenson   I-NAME
Medical   O
Record   O
Number   O
:   O
71534946   B-ID
Date   O
of   O
Birth   O
:   O
1963   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
24   I-DATE
Age   O
:   O
54   O
Phone   O
Number   O
:   O
902   B-CONTACT
-   I-CONTACT
934   I-CONTACT
6031   I-CONTACT
Address   O
:   O
Askov   B-LOCATION
,   O
71882   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Chaney   B-NAME
,   O
visited   O
the   O
clinic   O
on   O
13/04   B-DATE
,   O
reporting   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
week   O
.   O

Lisa   B-NAME
Torres   I-NAME
describes   O
the   O
pain   O
as   O
a   O
sharp   O
and   O
constant   O
ache   O
concentrated   O
around   O
the   O
lower   O
abdomen   O
.   O

Additionally   O
,   O
Diana   B-NAME
Van   I-NAME
Dine   I-NAME
,   O
a   O
Technical   O
Writers   O
,   O
mentioned   O
experiencing   O
bouts   O
of   O
nausea   O
and   O
vomiting   O
,   O
particularly   O
in   O
the   O
mornings   O
and   O
after   O
meals   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Dalton   B-NAME
Roberts   I-NAME
has   O
been   O
in   O
generally   O
good   O
health   O
until   O
approximately   O
32/22   B-DATE
,   O
when   O
they   O
first   O
noticed   O
mild   O
discomfort   O
in   O
their   O
abdomen   O
.   O

Ida   B-NAME
Xayachack   I-NAME
reports   O
no   O
recent   O
travel   O
outside   O
of   O
North   B-LOCATION
Robinson   I-LOCATION
or   O
any   O
significant   O
changes   O
in   O
diet   O
or   O
medication   O
.   O

There   O
have   O
been   O
no   O
fevers   O
,   O
but   O
Pagan   B-NAME
notes   O
an   O
increase   O
in   O
fatigue   O
.   O

Past   O
Medical   O
History   O
:   O
Avery   B-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
diagnosed   O
in   O
Friday   B-DATE
,   I-DATE
May   I-DATE
and   O
has   O
been   O
on   O
sporadic   O
treatment   O
with   O
antispasmodics   O
.   O

Alfredo   B-NAME
Shea   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
and   O
is   O
currently   O
not   O
on   O
any   O
other   O
medications   O
.   O

Family   O
History   O
:   O
Lourd   B-NAME
Muggley   I-NAME
's   O
family   O
history   O
is   O
notable   O
for   O
diabetes   O
mellitus   O
in   O
their   O
parent   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Villalpando   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
related   O
to   O
pain   O
.   O

Additional   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
abdominal   O
ultrasound   O
,   O
and   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
are   O
recommended   O
to   O
further   O
evaluate   O
the   O
cause   O
of   O
Magdalena   B-NAME
Bryant   I-NAME
's   O
symptoms   O
.   O

Referral   O
to   O
Dr.   O
Andrea   B-NAME
Kaufman   I-NAME
in   O
Wimborne   B-LOCATION
Minster   I-LOCATION
for   O
a   O
gastroenterology   O
consult   O
is   O
also   O
considered   O
.   O

Instructions   O
:   O
-   O
Hoffman   B-NAME
is   O
to   O
follow   O
a   O
bland   O
diet   O
,   O
avoiding   O
spicy   O
and   O
fatty   O
foods   O
to   O
prevent   O
aggravation   O
of   O
symptoms   O
.   O
-   O
Advised   O
Myrl   B-NAME
Dan   I-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
at   O
St.   B-LOCATION
Petersburg   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
in   O
case   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
signs   O
of   O
dehydration   O
.   O
-   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Stein   B-NAME
,   I-NAME
Gertrude   I-NAME
at   O
the   O
clinic   O
in   O
one   O
week   O
for   O
re   O
-   O
evaluation   O
,   O
or   O
earlier   O
if   O
symptoms   O
worsen   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Harold   B-NAME
II   I-NAME
Godwinson   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
's   O
Materials   O
Scientists   O
partner   O
Phone   O
:   O
215   B-CONTACT
-   I-CONTACT
957   I-CONTACT
3868   I-CONTACT
Doctor   O
's   O
Signature   O
:   O
Barr   B-NAME
Jul   B-DATE
22   I-DATE

Patient   O
Name   O
:   O
Julia   B-NAME
Gillis   I-NAME
Patient   O
ID   O
:   O
8   B-ID
-   I-ID
9812603   I-ID
Date   O
of   O
Birth   O
:   O
Sunday   B-DATE
Age   O
:   O
7   O
Address   O
:   O
7578   B-LOCATION
South   I-LOCATION
Beacon   I-LOCATION
St.   I-LOCATION
,   O
30959   B-LOCATION
Phone   O
Number   O
:   O
950   B-CONTACT
-   I-CONTACT
6188   I-CONTACT
Profession   O
:   O
Demonstrators   O
and   O
Product   O
Promoters   O
Primary   O
Care   O
Physician   O
:   O

Morton   B-NAME
Hospital   O
:   O
Clear   B-LOCATION
View   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Medical   O
Record   O
Number   O
:   O
7825314   B-ID
Date   O
of   O
Visit   O
:   O
35/35/65   B-DATE
Chief   O
Complaint   O
:   O
Edward   B-NAME
M.   I-NAME
Yao   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Castleview   B-LOCATION
Hospital   I-LOCATION
on   O
5/22   B-DATE
with   O
a   O
history   O
of   O
progressively   O
worsening   O
shortness   O
of   O
breath   O
,   O
dry   O
cough   O
,   O
and   O
a   O
reported   O
fever   O
for   O
the   O
past   O
17/21   B-DATE
.   O

The   O
patient   O
’s   O
symptoms   O
began   O
approximately   O
Thursday   B-DATE
ago   O
,   O
initially   O
with   O
a   O
mild   O
cough   O
and   O
perceived   O
fever   O
.   O

Hewitt   B-NAME
,   I-NAME
Hugh   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
contact   O
with   O
known   O
sick   O
individuals   O
.   O

Past   O
Medical   O
History   O
:   O
Skyler   B-NAME
Rich   I-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
managed   O
with   O
an   O
inhaler   O
as   O
needed   O
,   O
and   O
a   O
past   O
episode   O
of   O
pneumonia   O
approximately   O
02/10   B-DATE
ago   O
.   O

Upon   O
examination   O
,   O
Zander   B-NAME
Carrillo   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
effort   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
working   O
diagnosis   O
for   O
FRANK   B-NAME
J.   I-NAME
XI   I-NAME
is   O
community   O
-   O
acquired   O
pneumonia   O
,   O
likely   O
bacterial   O
,   O
given   O
the   O
radiological   O
findings   O
and   O
clinical   O
presentation   O
.   O

-   O
Admission   O
to   O
Intermountain   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
observation   O
and   O
treatment   O
.   O

Follow   O
-   O
up   O
with   O
Schneider   B-NAME
in   O
Allendale   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
or   O
earlier   O
if   O
symptoms   O
worsen   O
significantly   O
.   O

Patient   O
Report   O
for   O
Alaina   B-NAME
May   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
OS   B-ID
:   I-ID
PB:7659   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
1288513   B-ID
-   O
Date   O
of   O
Birth   O
:   O
22/23   B-DATE
-   O
Age   O
:   O
15s   O
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
804   I-CONTACT
)   I-CONTACT
278   I-CONTACT
8982   I-CONTACT
-   O
Address   O
:   O
Long   B-LOCATION
Grove   I-LOCATION
,   O
59529   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
a   O
Forestry   O
and   O
Conservation   O
Science   O
Teachers   O
,   O
Postsecondary   O
,   O
visited   O
our   O
facility   O
on   O
2382   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
difficulty   O
in   O
breathing   O
,   O
and   O
intermittent   O
episodes   O
of   O
high   O
fever   O
for   O
the   O
past   O
June   B-DATE
2019   I-DATE
.   O

Upon   O
examination   O
,   O
Dr.   O
Mason   B-NAME
noticed   O
that   O
the   O
patient   O
exhibited   O
labored   O
breathing   O
and   O
wheezing   O
.   O

Investigations   O
:   O
Chest   O
X   O
-   O
rays   O
ordered   O
by   O
Dr.   O
Stein   B-NAME
at   O
Novant   B-LOCATION
Health   I-LOCATION
Huntersville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/43   B-DATE
showed   O
signs   O
of   O
bilateral   O
infiltrates   O
,   O
which   O
may   O
suggest   O
pneumonia   O
.   O

Given   O
the   O
patient   O
's   O
history   O
of   O
asthma   O
,   O
pulmonary   O
function   O
tests   O
were   O
also   O
recommended   O
but   O
are   O
pending   O
as   O
of   O
03/01   B-DATE
.   O
Treatment   O
Plan   O
:   O

Dr.   O
Preston   B-NAME
stressed   O
the   O
importance   O
of   O
the   O
patient   O
using   O
their   O
inhaler   O
as   O
prescribed   O
.   O

Future   O
follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
for   O
2272   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
22   I-DATE
to   O
reassess   O
the   O
patient   O
's   O
condition   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

Educational   O
material   O
on   O
asthma   O
management   O
was   O
provided   O
to   O
the   O
patient   O
by   O
the   O
nursing   O
staff   O
at   O
Clearview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
listed   O
Nabokov   B-NAME
,   I-NAME
Vladimir   I-NAME
as   O
their   O
emergency   O
contact   O
,   O
with   O
a   O
relationship   O
of   O
Embalmers   O
.   O

Contact   O
number   O
provided   O
was   O
(   B-CONTACT
751   I-CONTACT
)   I-CONTACT
601   I-CONTACT
-   I-CONTACT
1519   I-CONTACT
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Dr.   O
Adison   B-NAME
Jensen   I-NAME
and   O
shared   O
with   O
the   O
patient   O
and   O
Planters   B-LOCATION
EMC   I-LOCATION
for   O
record   O
-   O
keeping   O
and   O
further   O
treatment   O
planning   O
.   O

All   O
PHI   O
has   O
been   O
appropriately   O
handled   O
as   O
per   O
the   O
confidentiality   O
agreement   O
of   O
Westchester   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
the   O
Health   O
Insurance   O
Portability   O
and   O
Accountability   O
Act   O
(   O
HIPAA   O
)   O
guidelines   O
.   O

End   O
of   O
Report   O
Prepared   O
on   O
:   O
22/35   B-DATE
Medical   O
Staff   O
Signature   O
:   O
Dr.   O
Maria   B-NAME
Andersen   I-NAME
Contact   O
Information   O
:   O
543   B-CONTACT
7266   I-CONTACT
,   O
West   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Lebanon   B-LOCATION
,   O
50472   B-LOCATION

Patient   O
Name   O
:   O
Jovan   B-NAME
Alexander   I-NAME
Age   O
:   O
7   O
Sex   O
:   O
Male   O
Date   O
of   O
Birth   O
:   O
16/13/23   B-DATE
Address   O
:   O
Leslie   B-LOCATION
,   O
15338   B-LOCATION
Phone   O
:   O
366   B-CONTACT
-   I-CONTACT
9576   I-CONTACT
Occupation   O
:   O
Ophthalmologists   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Jasper   B-NAME
Conley   I-NAME
Hospital   O
:   O
Harborview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
605   B-ID
-   I-ID
74   I-ID
-   I-ID
89   I-ID
-   I-ID
8   I-ID
Insurance   O
ID   O
:   O
1   B-ID
-   I-ID
1730895   I-ID
Date   O
of   O
Visit   O
:   O
04/14/1797   B-DATE
Chief   O
Complaint   O
:   O
Lainey   B-NAME
Hampton   I-NAME
presents   O
with   O
a   O
complaint   O
of   O
severe   O
,   O
persistent   O
headaches   O
predominantly   O
located   O
in   O
the   O
frontal   O
region   O
,   O
extending   O
to   O
the   O
occipital   O
region   O
.   O

Khloe   B-NAME
Raymond   I-NAME
also   O
reports   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Medical   O
History   O
:   O
Armstrong   B-NAME
,   B-NAME
Edwin   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
a   O
family   O
history   O
of   O
migraines   O
.   O

Carter   B-NAME
Benitez   I-NAME
denies   O
any   O
history   O
of   O
diabetes   O
,   O
cancer   O
,   O
or   O
cardiac   O
disease   O
.   O

Social   O
History   O
:   O
Erik   B-NAME
Iverson   I-NAME
works   O
as   O
a   O
Marine   O
scientist   O
at   O
L214   B-LOCATION
in   O
Tahlequah   B-LOCATION
.   O

On   O
examination   O
,   O
Cooper   B-NAME
,   I-NAME
Diana   I-NAME
(   I-NAME
Lady   I-NAME
Diana   I-NAME
Manners   I-NAME
)   I-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
no   O
acute   O
distress   O
.   O

Assessment   O
:   O
The   O
primary   O
differential   O
diagnosis   O
for   O
Isaias   B-NAME
Cobb   I-NAME
includes   O
migraine   O
without   O
aura   O
,   O
tension   O
-   O
type   O
headache   O
,   O
and   O
a   O
need   O
to   O
rule   O
out   O
secondary   O
causes   O
such   O
as   O
a   O
mass   O
lesion   O
or   O
vascular   O
abnormality   O
given   O
the   O
severity   O
and   O
persistence   O
of   O
symptoms   O
.   O

Advise   O
Hubbard   B-NAME
,   I-NAME
Kin   I-NAME
(   I-NAME
Frank   I-NAME
McKinney   I-NAME
Hubbard   I-NAME
)   I-NAME
to   O
maintain   O
a   O
headache   O
diary   O
,   O
recording   O
the   O
onset   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
or   O
triggers   O
.   O

4   O
.   O
Bethany   B-NAME
Glenn   I-NAME
was   O
advised   O
to   O
return   O
to   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Cherry   I-LOCATION
Hill   I-LOCATION
or   O
consult   O
Dr.   O
Eugene   B-NAME
Sands   I-NAME
immediately   O
if   O
symptoms   O
significantly   O
worsen   O
,   O
or   O
if   O
he   O
experiences   O
new   O
or   O
alarming   O
symptoms   O
such   O
as   O
severe   O
vision   O
changes   O
,   O
confusion   O
,   O
difficulty   O
speaking   O
,   O
or   O
weakness   O
.   O

The   O
appointment   O
for   O
a   O
follow   O
-   O
up   O
in   O
02   B-DATE
-   I-DATE
27   I-DATE
was   O
scheduled   O
,   O
and   O
instructions   O
on   O
how   O
to   O
reach   O
Geneva   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
or   O
Dr.   O
Fisher   B-NAME
after   O
hours   O
were   O
provided   O
.   O

Patient   O
Name   O
:   O
Johnathon   B-NAME
Randolph   I-NAME
Patient   O
ID   O
:   O
BS   B-ID
:   I-ID
BK:5198   I-ID
Medical   O
Record   O
Number   O
:   O
83745714   B-ID
Date   O
of   O
Birth   O
:   O
33/12   B-DATE
Age   O
:   O
36   O
Phone   O
Number   O
:   O
78672   B-CONTACT
Address   O
:   O
Brown   B-LOCATION
City   I-LOCATION
,   O
11226   B-LOCATION
Occupation   O
:   O
Food   O
and   O
Tobacco   O
Roasting   O
,   O
Baking   O
,   O
and   O
Drying   O
Machine   O
Operators   O
and   O
Tenders   O
Primary   O
Care   O
Physician   O
:   O
Romero   B-NAME
Admitting   O
Hospital   O
:   O
Piedmont   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
20/30   B-DATE
Date   O
of   O
Discharge   O
:   O
31/18   B-DATE
Username   O
for   O
Hospital   O
Portal   O
:   O
CF155   B-NAME
Clinical   O
Summary   O
:   O
William   B-NAME
K.   I-NAME
Joslin   I-NAME
,   O
a   O
65   O
-   O
year   O
-   O
old   O
QA   O
analyst   O
,   O
was   O
admitted   O
to   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Branch   I-LOCATION
on   O
06/10/98   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Past   O
medical   O
history   O
obtained   O
from   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Kingwood   I-LOCATION
's   O
records   O
5980829   B-ID
indicated   O
a   O
history   O
of   O
gallstones   O
and   O
chronic   O
pancreatitis   O
.   O

On   O
physical   O
examination   O
,   O
Anabella   B-NAME
Villegas   I-NAME
was   O
found   O
to   O
be   O
in   O
acute   O
distress   O
with   O
a   O
positive   O
Murphy   O
's   O
sign   O
.   O

Abdominal   O
ultrasonography   O
performed   O
on   O
Thursday   B-DATE
,   I-DATE
March   I-DATE
confirmed   O
the   O
presence   O
of   O
cholelithiasis   O
with   O
signs   O
suggestive   O
of   O
an   O
obstructive   O
process   O
.   O

Management   O
during   O
the   O
hospitalization   O
under   O
the   O
care   O
of   O
Werner   B-NAME
included   O
intravenous   O
fluid   O
hydration   O
,   O
bowel   O
rest   O
,   O
and   O
pain   O
control   O
.   O

Corinne   B-NAME
Pratt   I-NAME
's   O
condition   O
showed   O
gradual   O
improvement   O
with   O
conservative   O
management   O
,   O
and   O
they   O
were   O
deemed   O
stable   O
for   O
discharge   O
on   O
10/32   B-DATE
.   O
Follow   O
-   O
up   O
care   O
was   O
arranged   O
with   O
Princess   B-NAME
James   I-NAME
for   O
ongoing   O
management   O
of   O
gallstones   O
and   O
to   O
discuss   O
potential   O
cholecystectomy   O
in   O
the   O
future   O
.   O

Osvaldo   B-NAME
Wang   I-NAME
was   O
advised   O
to   O
avoid   O
alcohol   O
and   O
fatty   O
foods   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
recur   O
or   O
worsen   O
.   O

The   O
discharge   O
plan   O
and   O
medical   O
advice   O
were   O
communicated   O
to   O
Vivian   B-NAME
Gathers   I-NAME
and   O
documented   O
in   O
the   O
discharge   O
summary   O
,   O
which   O
is   O
available   O
in   O
the   O
hospital   O
portal   O
under   O
the   O
username   O
KP488   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
6/0   B-DATE
,   O
and   O
Barrett   B-NAME
Hartman   I-NAME
was   O
provided   O
with   O
contact   O
information   O
for   O
Novant   B-LOCATION
Health   I-LOCATION
Brunswick   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   O
247   B-CONTACT
-   I-CONTACT
6664   I-CONTACT
)   O

Patient   O
Name   O
:   O
Emory   B-NAME
Coleman   I-NAME
Age   O
:   O
7   O
week   O
Date   O
of   O
Birth   O
:   O
November   B-DATE
Address   O
:   O
Prospect   B-LOCATION
,   O
69746   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
572   I-CONTACT
)   I-CONTACT
210   I-CONTACT
-   I-CONTACT
5660   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Boone   B-NAME
Hospital   O
:   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Mechanicsburg   I-LOCATION
Medical   O
Record   O
Number   O
:   O
5033878   B-ID
Employee   O
ID   O
:   O
534816234   B-ID
Occupation   O
:   O
dietician   O
Date   O
of   O
Admission   O
:   O
12/23   B-DATE
Admitting   O
Doctor   O
:   O
Lawson   B-NAME
Clinical   O
Summary   O
:   O
Mutius   B-NAME
Doepner   I-NAME
,   O
a   O
42s   O
-   O
year   O
-   O
old   O
Personal   O
Care   O
Aides   O
residing   O
in   O
Chula   B-LOCATION
Vista   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
91910   I-LOCATION
,   O
17223   B-LOCATION
,   O
presented   O
to   O
Franklin   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
12/00/61   B-DATE
,   O
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fever   O
.   O

The   O
patient   O
reported   O
the   O
symptoms   O
onset   O
approximately   O
1736   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
30   I-DATE
,   O
initially   O
mild   O
but   O
progressively   O
worsening   O
.   O

Hosea   B-NAME
McCalvin   I-NAME
has   O
a   O
history   O
of   O
smoking   O
,   O
approximately   O
a   O
pack   O
a   O
day   O
for   O
the   O
past   O
54   O
years   O
,   O
and   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
.   O

On   O
examination   O
,   O
Bonner   B-NAME
,   I-NAME
Elena   I-NAME
's   O
temperature   O
was   O
noted   O
to   O
be   O
38.5   O
°   O
C   O
,   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
a   O
pulse   O
of   O
102   O
beats   O
per   O
minute   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
which   O
showed   O
a   O
raised   O
white   O
blood   O
cell   O
count   O
at   O
DI432/5457   B-ID
×   O
10   O
^   O
9   O
/   O
L   O
,   O
with   O
neutrophilia   O
.   O

Chest   O
X   O
-   O
ray   O
was   O
performed   O
on   O
January   B-DATE
,   O
indicating   O
bilateral   O
infiltrates   O
,   O
suggestive   O
of   O
a   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Miya   B-NAME
Rivas   I-NAME
was   O
advised   O
on   O
smoking   O
cessation   O
and   O
referred   O
to   O
a   O
cessation   O
program   O
associated   O
with   O
FirstEnergy   B-LOCATION
(   I-LOCATION
Potomac   I-LOCATION
Edison   I-LOCATION
)   I-LOCATION
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
for   O
2273   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
28   I-DATE
,   O
with   O
Stanley   B-NAME
,   O
to   O
evaluate   O
the   O
response   O
to   O
the   O
treatment   O
and   O
to   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Instructions   O
for   O
EQ   B-NAME
included   O
rest   O
,   O
increased   O
fluid   O
intake   O
,   O
adherence   O
to   O
the   O
antibiotic   O
course   O
as   O
prescribed   O
,   O
and   O
immediate   O
report   O
of   O
any   O
side   O
effects   O
experienced   O
from   O
the   O
medication   O
or   O
deterioration   O
in   O
symptoms   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
emergency   O
situations   O
,   O
William   B-NAME
Hayward   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
of   O
Sentara   B-LOCATION
Williamsburg   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   O
(   B-CONTACT
160   I-CONTACT
)   I-CONTACT
165   I-CONTACT
-   I-CONTACT
4680   I-CONTACT
)   O
and   O
was   O
reminded   O
of   O
the   O
24/7   O
availability   O
of   O
healthcare   O
services   O
at   O
our   O
facility   O
.   O

User   O
handling   O
the   O
report   O
:   O
jt592   B-NAME
Date   O
of   O
Report   O
Preparation   O
:   O

3/10/2142   B-DATE
This   O
document   O
contains   O
confidential   O
information   O
intended   O
only   O
for   O
the   O
use   O
within   O
the   O
medical   O
and   O
health   O
care   O
community   O
.   O

The   O
patient   O
,   O
Waltham   B-NAME
,   O
is   O
a   O
Dietitian   O
from   O
Johannesburg   B-LOCATION
,   O
possessing   O
the   O
563834569   B-ID
of   O
10856960   B-ID
.   O

On   O
2127   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
31   I-DATE
,   O
Mike   B-NAME
Perry   I-NAME
was   O
admitted   O
to   O
Novato   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
occipital   O
region   O
.   O

The   O
headache   O
was   O
described   O
as   O
having   O
started   O
suddenly   O
on   O
the   O
morning   O
of   O
22/09   B-DATE
.   O

Sexton   B-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
was   O
regularly   O
following   O
up   O
with   O
Thompson   B-NAME
,   I-NAME
Hunter   I-NAME
S.   I-NAME
,   O
a   O
specialist   O
in   O
neurology   O
based   O
in   O
California   B-LOCATION
,   O
while   O
taking   O
medication   O
for   O
blood   O
pressure   O
control   O
.   O

During   O
the   O
physical   O
examination   O
conducted   O
by   O
Angelique   B-NAME
Cantrell   I-NAME
at   O
Scripps   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Encinitas   I-LOCATION
on   O
12/61   B-DATE
,   O
Zaiden   B-NAME
Madden   I-NAME
displayed   O
a   O
Glasgow   O
Coma   O
Scale   O
(   O
GCS   O
)   O
score   O
of   O
15   O
,   O
indicating   O
full   O
orientation   O
and   O
no   O
immediate   O
signs   O
of   O
neurological   O
deficit   O
.   O

A   O
lumbar   O
puncture   O
was   O
recommended   O
by   O
Jacobson   B-NAME
for   O
further   O
evaluation   O
,   O
but   O
Damon   B-NAME
,   I-NAME
Johnny   I-NAME
declined   O
.   O

The   O
contact   O
information   O
on   O
file   O
for   O
Hoover   B-NAME
,   I-NAME
Herbert   I-NAME
is   O
367   B-CONTACT
5353   I-CONTACT
,   O
and   O
the   O
emergency   O
contact   O
was   O
listed   O
as   O
residing   O
in   O
67085   B-LOCATION
.   O

Porter   B-NAME
is   O
employed   O
as   O
a   O
plumber   O
at   O
Montana   B-LOCATION
,   O
a   O
role   O
requiring   O
significant   O
detail   O
orientation   O
and   O
cognitive   O
function   O
,   O
underscoring   O
the   O
importance   O
of   O
a   O
thorough   O
and   O
cautious   O
approach   O
to   O
diagnosis   O
and   O
management   O
.   O

Additionally   O
,   O
Stein   B-NAME
,   I-NAME
Ben   I-NAME
has   O
consented   O
to   O
be   O
contacted   O
for   O
follow   O
-   O
up   O
appointments   O
via   O
(   B-CONTACT
593   I-CONTACT
)   I-CONTACT
790   I-CONTACT
2381   I-CONTACT
,   O
with   O
the   O
initial   O
follow   O
-   O
up   O
scheduled   O
for   O
2177   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
06   I-DATE
with   O
Kamari   B-NAME
Baker   I-NAME
at   O
Laurel   B-LOCATION
Heights   I-LOCATION
Hospital   I-LOCATION
.   O

Documentation   O
and   O
future   O
communications   O
regarding   O
the   O
case   O
will   O
reference   O
0560292   B-ID
for   O
confidentiality   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Vallie   B-NAME
Alkins   I-NAME
Age   O
:   O
90   O
Date   O
of   O
Birth   O
:   O
37/21   B-DATE
ID   O
Number   O
:   O
QR:39173:581948   B-ID
Medical   O
Record   O
Number   O
:   O
6958524   B-ID
Address   O
:   O
La   B-LOCATION
Palma   I-LOCATION
,   O
92244   B-LOCATION
Phone   O
Number   O
:   O
80232   B-CONTACT

Treating   O
Doctor   O
:   O
Horn   B-NAME
Hospital   O
:   O
Regional   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Scranton   I-LOCATION
Employment   O
:   O
Textile   O
Bleaching   O
and   O
Dyeing   O
Machine   O
Operators   O
and   O
Tenders   O
at   O
Commonwealth   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Initiative   I-LOCATION
Username   O
:   O
FL473   B-NAME
Report   O
Date   O
:   O

March   B-DATE
Summary   O
:   O
Meredith   B-NAME
Reade   I-NAME
Bauer   I-NAME
,   O
a   O
Range   O
Managers   O
working   O
for   O
Delaware   B-LOCATION
Municipal   I-LOCATION
Electric   I-LOCATION
Corporation   I-LOCATION
,   O
presented   O
to   O
Henry   B-LOCATION
Mayo   I-LOCATION
Newhall   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
complaint   O
of   O
chronic   O
fatigue   O
,   O
persistent   O
cough   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Kaycee   B-NAME
also   O
reported   O
night   O
sweats   O
and   O
a   O
general   O
decline   O
in   O
appetite   O
.   O

A   O
non   O
-   O
smoker   O
with   O
no   O
significant   O
medical   O
history   O
,   O
Kendall   B-NAME
Andersen   I-NAME
lives   O
in   O
LERWICK   B-LOCATION
and   O
has   O
not   O
traveled   O
outside   O
12593   B-LOCATION
in   O
the   O
past   O
six   O
months   O
.   O

On   O
physical   O
examination   O
,   O
Bucky   B-NAME
DeVol   I-NAME
appeared   O
lethargic   O
but   O
was   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

Bridges   B-NAME
's   O
previous   O
medical   O
records   O
,   O
80562092   B-ID
,   O
do   O
not   O
indicate   O
any   O
previous   O
history   O
of   O
tuberculosis   O
or   O
significant   O
exposure   O
.   O

Plan   O
:   O
Yamaguchi   B-NAME
has   O
been   O
admitted   O
to   O
UPMC   B-LOCATION
Mercy   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

Danika   B-NAME
Davies   I-NAME
will   O
closely   O
monitor   O
the   O
response   O
to   O
the   O
treatment   O
and   O
adjust   O
the   O
regimen   O
accordingly   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Holloway   B-NAME
on   O
7/40   B-DATE
.   O

outlaw   B-NAME
has   O
been   O
advised   O
to   O
maintain   O
strict   O
bed   O
rest   O
and   O
increase   O
fluid   O
intake   O
.   O

For   O
any   O
urgent   O
issues   O
,   O
Kiersten   B-NAME
Benson   I-NAME
or   O
their   O
family   O
members   O
can   O
contact   O
Bayfront   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Petersburg   I-LOCATION
directly   O
at   O
29858   B-CONTACT
.   O

Note   O
:   O
All   O
patient   O
information   O
has   O
been   O
anonymized   O
to   O
protect   O
Stacee   B-NAME
Bedolla   I-NAME
's   O
privacy   O
as   O
per   O
HIPAA   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Constans   B-NAME
II   I-NAME
Bosowski   I-NAME
Patient   O
ID   O
:   O
IA   B-ID
:   I-ID
OZ:2666   I-ID
Medical   O
Record   O
Number   O
:   O
33780288   B-ID
Date   O
of   O
Birth   O
:   O
3   B-DATE
-   I-DATE
24   I-DATE
Age   O
:   O
46   O
Address   O
:   O
Truro   B-LOCATION
,   O
34577   B-LOCATION
Phone   O
Number   O
:   O
145   B-CONTACT
-   I-CONTACT
9645   I-CONTACT
Employment   O
:   O
Dental   O
Hygienists   O
Primary   O
Care   O
Physician   O
:   O

Burton   B-NAME
Hospital   O
:   O
McLaren   B-LOCATION
Oakland   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Janiyah   B-NAME
Dougherty   I-NAME
,   O
presented   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Monroe   I-LOCATION
Campus   I-LOCATION
on   O
03/12   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
quadrant   O
,   O
persistent   O
nausea   O
without   O
vomiting   O
,   O
and   O
an   O
elevated   O
temperature   O
recorded   O
at   O
home   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Alyson   B-NAME
Allen   I-NAME
initially   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
on   O
00/03   B-DATE
,   O
which   O
gradually   O
progressed   O
to   O
sharp   O
pain   O
.   O

By   O
12/33/2333   B-DATE
,   O
the   O
patient   O
reported   O
the   O
pain   O
had   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
prompting   O
concern   O
for   O
appendicitis   O
.   O

Perez   B-NAME
reports   O
a   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
beta   O
-   O
blockers   O
.   O

Surgical   O
history   O
includes   O
cholecystectomy   O
performed   O
at   O
California   B-LOCATION
Pacific   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Pacific   I-LOCATION
Campus   I-LOCATION
on   O
2243   B-DATE
.   O
Review   O
of   O
Systems   O
:   O
General   O
:   O
Reports   O
fever   O
and   O
chills   O
.   O

Treatment   O
Plan   O
:   O
JUSTUS   B-NAME
,   I-NAME
ELLIS   I-NAME
was   O
admitted   O
to   O
Scripps   B-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Chula   I-LOCATION
Vista   I-LOCATION
under   O
the   O
care   O
of   O
Margene   B-NAME
Ishida   I-NAME
for   O
IV   O
antibiotics   O
and   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
22/23   B-DATE
.   O

Post   O
-   O
operative   O
care   O
instructions   O
and   O
follow   O
-   O
up   O
with   O
Kelsie   B-NAME
Sherman   I-NAME
in   O
two   O
weeks   O
for   O
wound   O
check   O
and   O
to   O
reassess   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
Dexter   B-NAME
Krause   I-NAME
is   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
clinic   O
on   O
03/12/2191   B-DATE
for   O
evaluation   O
of   O
post   O
-   O
operative   O
recovery   O
.   O

Instructions   O
were   O
given   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
from   O
the   O
incision   O
site   O
,   O
and   O
to   O
report   O
any   O
recurrent   O
symptoms   O
of   O
abdominal   O
pain   O
or   O
fever   O
.   O
Instructions   O
for   O
Yeomans   B-NAME
,   I-NAME
Vertis   I-NAME
K.   I-NAME
:   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Cosby   B-NAME
,   I-NAME
Bill   I-NAME
on   O
2031   B-DATE
at   O
Adamcon   B-LOCATION
(   I-LOCATION
Coleco   I-LOCATION
Adam   I-LOCATION
user   I-LOCATION
group   I-LOCATION
)   I-LOCATION
.   O

Patient   O
Report   O
for   O
Bruce   B-NAME
D.   I-NAME
Brian   I-NAME
,   I-NAME
Jr.   I-NAME
Basic   O
Information   O
:   O
-   O
Age   O
:   O
0   O
-   O
Medical   O
Record   O
Number   O
:   O
6253H98730   B-ID
-   O
Date   O
of   O
Examination   O
:   O
0   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
66   I-DATE
-   O
Attending   O
Physician   O
:   O
Robles   B-NAME
-   O
Location   O
of   O
Examination   O
:   O
Conway   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
West   B-LOCATION
Hampton   I-LOCATION
Dunes   I-LOCATION
,   O
21034   B-LOCATION
-   O
Contact   O
Information   O
:   O
146   B-CONTACT
2834   I-CONTACT
Medical   O
History   O
:   O

Signe   B-NAME
,   O
a   O
Orthotists   O
and   O
Prosthetists   O
,   O
presented   O
with   O
complaints   O
of   O
shortness   O
of   O
breath   O
,   O
intermittent   O
chest   O
pain   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Paul   B-NAME
Gardner   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
discomfort   O
.   O

An   O
echocardiogram   O
is   O
scheduled   O
for   O
2289   B-DATE
to   O
further   O
evaluate   O
the   O
systolic   O
murmur   O
and   O
assess   O
left   O
ventricular   O
function   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
differential   O
diagnosis   O
for   O
Luisa   B-NAME
Malachi   I-NAME
includes   O
stable   O
angina   O
,   O
atypical   O
angina   O
,   O
and   O
possible   O
valvular   O
heart   O
disease   O
given   O
the   O
presence   O
of   O
the   O
systolic   O
murmur   O
.   O

We   O
are   O
prioritizing   O
an   O
echocardiogram   O
to   O
assess   O
the   O
structure   O
and   O
function   O
of   O
the   O
Layton   B-NAME
's   O
heart   O
.   O

Keagan   B-NAME
Watts   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
their   O
current   O
regimen   O
of   O
antihypertensive   O
and   O
diabetes   O
management   O
medications   O
.   O

Additionally   O
,   O
Princess   B-NAME
Lawson   I-NAME
has   O
been   O
counseled   O
on   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
,   O
including   O
dietary   O
changes   O
and   O
increasing   O
physical   O
activity   O
as   O
tolerated   O
.   O

Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
1953   B-DATE
for   O
post   O
-   O
echocardiogram   O
discussion   O
and   O
further   O
treatment   O
planning   O
.   O

All   O
information   O
herein   O
is   O
confidential   O
and   O
intended   O
solely   O
for   O
the   O
use   O
of   O
medical   O
personnel   O
involved   O
in   O
the   O
care   O
of   O
Frank   B-NAME
Oconnell   I-NAME
.   O

Prepared   O
by   O
:   O
Philip   B-NAME
Mckee   I-NAME
Medical   O
Provider   O
ID   O
:   O
2182096   B-ID
For   O
any   O
further   O
queries   O
or   O
clarifications   O
,   O
feel   O
free   O
to   O
contact   O
195   B-CONTACT
-   I-CONTACT
6135   I-CONTACT
or   O
email   O
rw972   B-NAME
@   O
Islamic   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Commission   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Santana   B-NAME
Faltz   I-NAME
Patient   O
ID   O
:   O
FD   B-ID
:   I-ID
JX:7148   I-ID
Medical   O
Record   O
Number   O
:   O
363   B-ID
-   I-ID
43   I-ID
-   I-ID
49   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Birth   O
:   O
31/63   B-DATE
Age   O
:   O
93   O
Phone   O
Number   O
:   O
15724   B-CONTACT
Address   O
:   O
New   B-LOCATION
York   I-LOCATION
,   O
25825   B-LOCATION
Profession   O
:   O
Highway   O
Maintenance   O
Workers   O
Attending   O
Doctor   O
:   O
Pessoa   B-NAME
,   I-NAME
Fernando   I-NAME
Hospital   O
:   O
Methodist   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Phillip   B-NAME
Watters   I-NAME
,   O
a   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Guisborough   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Cedars   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2226   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Bennett   B-NAME
,   I-NAME
William   I-NAME
Andrew   I-NAME
Cicil   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
that   O
began   O
on   O
the   O
evening   O
of   O
14/32   B-DATE
.   O

Ricardo   B-NAME
Jacob   I-NAME
Updyke   I-NAME
denied   O
any   O
recent   O
travels   O
or   O
consumption   O
of   O
unusual   O
food   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Krueger   B-NAME
,   O
who   O
is   O
0   O
week   O
years   O
old   O
,   O
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Imaging   O
:   O
Ariana   B-NAME
Hays   I-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
which   O
showed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Following   O
the   O
diagnosis   O
,   O
surgical   O
consultation   O
was   O
requested   O
and   O
Elsie   B-NAME
George   I-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
appendectomy   O
on   O
1928   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
24   I-DATE
.   O

The   O
procedure   O
,   O
performed   O
by   O
Isabella   B-NAME
Chaney   I-NAME
at   O
Delaware   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
was   O
successful   O
without   O
complications   O
.   O

Bullock   B-NAME
,   I-NAME
Sandra   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
06/72   B-DATE
with   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
.   O

Werner   B-NAME
is   O
advised   O
to   O
adhere   O
strictly   O
to   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

Activities   O
that   O
may   O
strain   O
the   O
abdominal   O
area   O
should   O
be   O
avoided   O
until   O
cleared   O
by   O
Kaylah   B-NAME
Salinas   I-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
6/00   B-DATE
with   O
Avery   B-NAME
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Cabarrus   I-LOCATION
to   O
assess   O
healing   O
and   O
recovery   O
progress   O
.   O

In   O
case   O
of   O
severe   O
pain   O
,   O
fever   O
,   O
or   O
any   O
signs   O
of   O
infection   O
,   O
Elsie   B-NAME
Owen   I-NAME
is   O
instructed   O
to   O
contact   O
Riverside   B-LOCATION
Walter   I-LOCATION
Reed   I-LOCATION
Hospital   I-LOCATION
at   O
91129   B-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
.   O

Prepared   O
by   O
:   O
yhz89   B-NAME
30/27/2026   B-DATE
Note   O
:   O
All   O
the   O
personal   O
and   O
identifying   O
information   O
is   O
appropriately   O
masked   O
to   O
maintain   O
confidentiality   O
according   O
to   O
the   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Preston   B-NAME
Haas   I-NAME
Patient   O
ID   O
:   O
EJ:90626:936610   B-ID
Date   O
of   O
Birth   O
:   O
February   B-DATE
Age   O
:   O
26   O
Address   O
:   O
Yacolt   B-LOCATION
,   O
93879   B-LOCATION
Phone   O
Number   O
:   O
342   B-CONTACT
-   I-CONTACT
259   I-CONTACT
9429   I-CONTACT
Occupation   O
:   O
Electric   O
Motor   O
and   O
Switch   O
Assemblers   O
and   O
Repairers   O
Primary   O
Care   O
Physician   O
:   O

Anderson   B-NAME
Hospital   O
:   O
Los   B-LOCATION
Alamitos   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
85236419   B-ID
Date   O
of   O
Admission   O
:   O
2382   B-DATE
Chief   O
Complaint   O
:   O
Jolie   B-NAME
Butler   I-NAME
presented   O
to   O
Rice   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
3/5   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Clara   B-NAME
D   I-NAME
Quilici   I-NAME
,   O
a   O
11   O
-   O
year   O
-   O
old   O
Veterinary   O
Assistants   O
and   O
Laboratory   O
Animal   O
Caretakers   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
began   O
experiencing   O
abdominal   O
discomfort   O
05/13/2179   B-DATE
,   O
which   O
progressively   O
worsened   O
to   O
sharp   O
,   O
localized   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Ferrell   B-NAME
is   O
a   O
Television   O
production   O
assistant   O
,   O
denies   O
tobacco   O
use   O
,   O
reports   O
moderate   O
alcohol   O
consumption   O
on   O
weekends   O
,   O
and   O
denies   O
recreational   O
drug   O
use   O
.   O

Laboratory   O
Tests   O
and   O
Imaging   O
:   O
-   O
White   O
blood   O
cell   O
count   O
elevated   O
at   O
5   B-ID
-   I-ID
5991160   I-ID
,   O
indicating   O
possible   O
infection   O
.   O

Reema   B-NAME
N.   I-NAME
Imler   I-NAME
was   O
referred   O
to   O
Molina   B-NAME
for   O
surgical   O
consultation   O
.   O

Risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
were   O
discussed   O
with   O
Charlie   B-NAME
Cooley   I-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Francis   B-NAME
will   O
be   O
scheduled   O
for   O
surgery   O
on   O
01/21   B-DATE
at   O
Las   B-LOCATION
Palmas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

-   O
Enrique   B-NAME
Reilly   I-NAME
will   O
be   O
advised   O
on   O
activity   O
restrictions   O
and   O
wound   O
care   O
post   O
-   O
operatively   O
.   O

-   O
Follow   O
-   O
up   O
appointment   O
will   O
be   O
scheduled   O
with   O
Clayton   B-NAME
post   O
-   O
surgery   O
to   O
assess   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
2133717   B-ID
Patient   O
Name   O
:   O
Shyla   B-NAME
Winters   I-NAME
Age   O
:   O
2s   O
Date   O
of   O
Visit   O
:   O
Tuesday   B-DATE
Hospital   O
:   O
Skagit   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Doctor   O
:   O
Friel   B-NAME
,   I-NAME
Todd   I-NAME
Contact   O
Number   O
:   O
45072   B-CONTACT
Location   O
:   O
Texarkana   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Texarkana   I-LOCATION
Zip   O
Code   O
:   O
39221   B-LOCATION
Employer   O
:   O
Helsinki   B-LOCATION
Committee   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Occupation   O
:   O
Locker   O
Room   O
,   O
Coatroom   O
,   O
and   O
Dressing   O
Room   O
Attendants   O
Identity   O
Number   O
:   O
JH:3125:705820   B-ID
Chief   O
Complaint   O
:   O
Abagail   B-NAME
Henson   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Prairie   B-LOCATION
View   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Newton   I-LOCATION
on   O
August   B-DATE
23st   I-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Makenzie   B-NAME
Boyd   I-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
Water   O
engineer   O
at   O
Retail   B-LOCATION
and   I-LOCATION
Fast   I-LOCATION
Food   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
in   O
Bourbon   B-LOCATION
,   O
started   O
experiencing   O
mild   O
,   O
nondescript   O
abdominal   O
discomfort   O
approximately   O
72   O
hours   O
prior   O
to   O
the   O
emergency   O
visit   O
which   O
then   O
escalated   O
rapidly   O
over   O
the   O
past   O
12   O
hours   O
to   O
severe   O
pain   O
.   O

Sarah   B-NAME
Glass   I-NAME
-   I-NAME
Camden   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
known   O
exposure   O
to   O
individuals   O
with   O
similar   O
symptoms   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
described   O
in   O
the   O
history   O
of   O
present   O
illness   O
,   O
Ho   B-NAME
reports   O
no   O
changes   O
in   O
bowel   O
or   O
bladder   O
function   O
,   O
no   O
fever   O
,   O
and   O
no   O
rashes   O
.   O

On   O
examination   O
,   O
Priscilla   B-NAME
Brennan   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
ultrasound   O
of   O
the   O
abdomen   O
was   O
ordered   O
by   O
Townsend   B-NAME
which   O
revealed   O
an   O
inflamed   O
appendix   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Plan   O
:   O
Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Yurem   B-NAME
Hebert   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
at   O
South   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Yon   B-NAME
Sandt   I-NAME
.   O

The   O
importance   O
of   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
was   O
discussed   O
with   O
Bridges   B-NAME
.   O

Prepared   O
by   O
:   O
Dennis   B-NAME
33/34   B-DATE
Please   O
ensure   O
Choi   B-NAME
follows   O
up   O
at   O
the   O
post   O
-   O
operative   O
clinic   O
in   O
Harper   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
2289   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
28   I-DATE
for   O
wound   O
check   O
and   O
review   O
of   O
pathology   O
results   O
.   O

Should   O
there   O
be   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
,   O
contact   O
the   O
surgery   O
department   O
at   O
384   B-CONTACT
-   I-CONTACT
5831   I-CONTACT
.   O

Patient   O
Name   O
:   O
Julius   B-NAME
Garza   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
10049922   I-ID
Medical   O
Record   O
Number   O
:   O
99770827   B-ID
Date   O
of   O
Birth   O
:   O
99   O
Date   O
of   O
Admission   O
:   O
33/22/2229   B-DATE
Admitting   O
Physician   O
:   O

Lezlie   B-NAME
Midkiff   I-NAME
Hospital   O
:   O
Shands   B-LOCATION
Live   I-LOCATION
Oak   I-LOCATION
Location   O
:   O
Uvalde   B-LOCATION
Phone   O
Number   O
:   O
32280   B-CONTACT
Employer   O
:   O
Knights   B-LOCATION
of   I-LOCATION
Columbus   I-LOCATION
Occupation   O
:   O
Product   O
Safety   O
Engineers   O
Username   O
:   O
dc1017   B-NAME
Zip   O
Code   O
:   O
72877   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Nicks   B-NAME
,   I-NAME
Stevie   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Central   B-LOCATION
Carolina   I-LOCATION
Hospital   I-LOCATION
on   O
24/18   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
persistent   O
headaches   O
primarily   O
localized   O
to   O
the   O
frontal   O
region   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Nathaniel   B-NAME
Ritter   I-NAME
,   O
a   O
48   O
-   O
year   O
-   O
old   O
Actuary   O
residing   O
in   O
Sadieville   B-LOCATION
,   O
56191   B-LOCATION
,   O
first   O
noticed   O
the   O
onset   O
of   O
mild   O
headaches   O
approximately   O
two   O
weeks   O
prior   O
to   O
admission   O
.   O

Davidson   B-NAME
also   O
reports   O
experiencing   O
blurred   O
vision   O
and   O
dizziness   O
,   O
especially   O
when   O
standing   O
up   O
from   O
a   O
seated   O
or   O
lying   O
position   O
.   O

Medical   O
History   O
:   O
Joseph   B-NAME
Prang   I-NAME
's   O
past   O
medical   O
history   O
reveals   O
a   O
diagnosis   O
of   O
hypertension   O
,   O
which   O
has   O
been   O
managed   O
with   O
medication   O
for   O
the   O
past   O
three   O
years   O
.   O

Family   O
history   O
is   O
significant   O
for   O
migraine   O
headaches   O
in   O
Susy   B-NAME
Babineau   I-NAME
's   O
mother   O
.   O

Examination   O
Highlights   O
:   O
Upon   O
physical   O
examination   O
,   O
Shirley   B-NAME
Tolley   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

An   O
MRI   O
of   O
the   O
brain   O
is   O
scheduled   O
for   O
2255   B-DATE
to   O
further   O
investigate   O
the   O
etiology   O
of   O
the   O
headaches   O
.   O

The   O
current   O
differential   O
diagnosis   O
for   O
Larsen   B-NAME
's   O
symptoms   O
includes   O
migraine   O
headaches   O
,   O
tension   O
-   O
type   O
headaches   O
,   O
and   O
secondary   O
causes   O
such   O
as   O
hypertension   O
.   O

Management   O
of   O
Mila   B-NAME
Thompson   I-NAME
's   O
symptoms   O
has   O
been   O
initiated   O
with   O
a   O
trial   O
of   O
oral   O
triptans   O
in   O
addition   O
to   O
maintaining   O
proper   O
hydration   O
and   O
rest   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Ivy   B-NAME
Jarvis   I-NAME
for   O
08/11   B-DATE
to   O
review   O
the   O
MRI   O
results   O
and   O
reassess   O
the   O
treatment   O
plan   O
.   O

511   B-CONTACT
9101   I-CONTACT
has   O
been   O
recorded   O
as   O
the   O
primary   O
contact   O
number   O
for   O
Carmen   B-NAME
Knight   I-NAME
.   O

Patient   O
Name   O
:   O
Aspen   B-NAME
Gallagher   I-NAME
Age   O
:   O
9   O
Medical   O
Record   O
Number   O
:   O
827   B-ID
-   I-ID
42   I-ID
-   I-ID
51   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Admission   O
:   O
32/10   B-DATE
Attending   O
Physician   O
:   O
Kurosawa   B-NAME
,   I-NAME
Akira   I-NAME
Location   O
of   O
Admission   O
:   O
Centra   B-LOCATION
Virginia   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
,   O
McCleary   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
504   I-CONTACT
)   I-CONTACT
876   I-CONTACT
9382   I-CONTACT
Profession   O
:   O
Designers   O
,   O
All   O
Other   O
Username   O
:   O
vnk585   B-NAME
Zip   O
Code   O
:   O
24479   B-LOCATION
ID   O
Number   O
:   O
XN:33149:547946   B-ID
Chief   O
Complaint   O
:   O
Jocelyn   B-NAME
Lam   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Sky   B-LOCATION
Ridge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/12/25   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Muller   B-NAME
also   O
noted   O
a   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
1946   B-DATE
and   O
a   O
significant   O
,   O
unintentional   O
weight   O
loss   O
over   O
the   O
past   O
two   O
months   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ryan   B-NAME
Espinoza   I-NAME
,   O
a   O
6   O
month   O
-   O
year   O
-   O
old   O
Religious   O
Workers   O
,   O
All   O
Other   O
,   O
reported   O
that   O
the   O
abdominal   O
pain   O
was   O
sudden   O
in   O
onset   O
,   O
located   O
in   O
the   O
upper   O
abdomen   O
,   O
and   O
rated   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Phoenix   B-NAME
Reynolds   I-NAME
denied   O
any   O
recent   O
travel   O
outside   O
Columbiana   B-LOCATION
or   O
any   O
ingestion   O
of   O
unusual   O
foods   O
.   O

Mollie   B-NAME
Schneider   I-NAME
mentioned   O
that   O
alcohol   O
consumption   O
has   O
been   O
moderate   O
over   O
the   O
years   O
but   O
denied   O
any   O
recent   O
excessive   O
use   O
.   O

Past   O
Medical   O
History   O
:   O
Adelaide   B-NAME
Ferrell   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lifestyle   O
modifications   O
and   O
medication   O
.   O

,   O
Watts   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
conducted   O
at   O
Havasu   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
March   B-DATE
,   O
revealed   O
inflammation   O
of   O
the   O
pancreas   O
without   O
any   O
evidence   O
of   O
gallstones   O
or   O
obstruction   O
.   O

Management   O
and   O
Outcome   O
:   O
Jackson   B-NAME
was   O
admitted   O
to   O
Piedmont   B-LOCATION
Fayette   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Callie   B-NAME
Stevenson   I-NAME
for   O
the   O
management   O
of   O
acute   O
pancreatitis   O
.   O

David   B-NAME
Malone   I-NAME
was   O
managed   O
with   O
intravenous   O
fluids   O
,   O
pain   O
control   O
,   O
and   O
fasting   O
to   O
rest   O
the   O
pancreas   O
.   O

Over   O
a   O
period   O
of   O
22/17   B-DATE
,   O
James   B-NAME
Kildare   I-NAME
's   O
symptoms   O
gradually   O
improved   O
.   O

Roy   B-NAME
Cantrell   I-NAME
was   O
educated   O
on   O
lifestyle   O
modifications   O
to   O
prevent   O
future   O
episodes   O
,   O
including   O
dietary   O
changes   O
and   O
limiting   O
alcohol   O
intake   O
.   O

Kody   B-NAME
Flores   I-NAME
was   O
discharged   O
on   O
10/16/25   B-DATE
with   O
follow   O
-   O
up   O
instructions   O
and   O
appointments   O
scheduled   O
with   O
Walsh   B-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

Dane   B-NAME
Hernandez   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
Headrick   B-LOCATION
with   O
Burton   B-NAME
on   O
32/30   B-DATE
to   O
evaluate   O
recovery   O
and   O
adjust   O
medications   O
for   O
diabetes   O
and   O
hypertension   O
as   O
needed   O
.   O

In   O
case   O
of   O
emergency   O
,   O
please   O
contact   O
Desiree   B-NAME
Cannon   I-NAME
's   O
next   O
of   O
kin   O
at   O
63534   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Wall   B-NAME
,   I-NAME
Larry   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
1335871   I-ID
Medical   O
Record   O
Number   O
:   O
13806156   B-ID
Age   O
:   O
6s   O
Date   O
of   O
Visit   O
:   O
16/18   B-DATE
Location   O
:   O
South   B-LOCATION
Bend   I-LOCATION
Hospital   O
:   O

Henry   B-LOCATION
Ford   I-LOCATION
Macomb   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O
Delacruz   B-NAME
Contact   O
Information   O
:   O
15537   B-CONTACT
Clinical   O
Summary   O
:   O
Quarles   B-NAME
,   I-NAME
Francis   I-NAME
,   O
a   O
Geographic   O
Information   O
Systems   O
Technicians   O
from   O
Moran   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
2342   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Nelson   B-NAME
,   I-NAME
Hailey   I-NAME
Anne   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
episodic   O
migraines   O
without   O
aura   O
,   O
which   O
typically   O
respond   O
to   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Upon   O
examination   O
,   O
Dougherty   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Given   O
Kaeden   B-NAME
Wiley   I-NAME
's   O
medical   O
history   O
and   O
the   O
clinical   O
presentation   O
,   O
the   O
initial   O
diagnosis   O
leans   O
towards   O
refractory   O
migraines   O
.   O

Quanterius   B-NAME
L.   I-NAME
Sorensen   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
02/63   B-DATE
to   O
review   O
the   O
results   O
of   O
the   O
investigations   O
and   O
assess   O
the   O
effectiveness   O
of   O
the   O
initiated   O
treatment   O
plan   O
.   O

In   O
case   O
of   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
side   O
effects   O
of   O
the   O
medications   O
,   O
Galvan   B-NAME
,   I-NAME
Floyd   I-NAME
is   O
advised   O
to   O
contact   O
the   O
clinic   O
immediately   O
.   O

Contacts   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
emergencies   O
,   O
Rukeyser   B-NAME
,   I-NAME
Louis   I-NAME
can   O
reach   O
the   O
clinic   O
at   O
63550   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
Interfaith   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
/   I-LOCATION
Jewish   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Of   I-LOCATION
Brooklyn   I-LOCATION
Div   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Fuller   B-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
4777358   I-ID
Medical   O
Record   O
Number   O
:   O
76467525   B-ID
Date   O
of   O
Birth   O
:   O
12/11   B-DATE
Age   O
:   O
4   O
Phone   O
Number   O
:   O
196   B-CONTACT
-   I-CONTACT
7229   I-CONTACT
Address   O
:   O
Tri   B-LOCATION
-   I-LOCATION
City   I-LOCATION
,   O
17582   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Barrister   O
from   O
Danville   B-LOCATION
,   I-LOCATION
Danville   I-LOCATION
Business   I-LOCATION
Alliance   I-LOCATION
,   O
presented   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Leandro   I-LOCATION
on   O
June   B-DATE
24th   I-DATE
with   O
chief   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

Past   O
Medical   O
History   O
:   O
Raptor   B-NAME
Hitchingham   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
remote   O
history   O
of   O
cholecystectomy   O
performed   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
in   O
24/22/82   B-DATE
.   O
Medications   O
:   O
-   O
Metformin   O
500   O
mg   O
BID   O
-   O
Multivitamin   O
daily   O
Allergies   O
:   O
No   O
known   O
drug   O
allergies   O
(   O
NKDA   O
)   O
.   O

Social   O
History   O
:   O
IZEYAH   B-NAME
SWEET   I-NAME
is   O
a   O
Food   O
technologist   O
and   O
reports   O
a   O
sedentary   O
lifestyle   O
with   O
no   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Treatment   O
Plan   O
:   O
Surgical   O
consultation   O
with   O
Kenny   B-NAME
Reilly   I-NAME
was   O
obtained   O
,   O
and   O
the   O
decision   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
was   O
made   O
.   O

Follow   O
-   O
Up   O
:   O
Baron   B-NAME
Walters   I-NAME
is   O
to   O
be   O
admitted   O
under   O
Drake   B-NAME
Byrd   I-NAME
in   O
California   B-LOCATION
Pacific   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Mission   I-LOCATION
Bernal   I-LOCATION
Campus   I-LOCATION
for   O
the   O
surgical   O
procedure   O
on   O
1/24   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
BANNER   B-LOCATION
BOSWELL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
at   O
28912   B-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
VS104   B-NAME
20/31/2049   B-DATE

Patient   O
Report   O
for   O
Amiya   B-NAME
Rocha   I-NAME
0/33/2322   B-DATE
,   O
Timpanogos   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
admitted   O
Kami   B-NAME
Simerly   I-NAME
with   O
a   O
variety   O
of   O
symptoms   O
that   O
presented   O
a   O
complex   O
clinical   O
picture   O
.   O

78   O
years   O
old   O
Buffy   B-NAME
also   O
reported   O
experiencing   O
photophobia   O
and   O
phonophobia   O
,   O
significantly   O
impacting   O
daily   O
activities   O
.   O

Upon   O
examination   O
,   O
Violet   B-NAME
Marks   I-NAME
's   O
blood   O
pressure   O
was   O
noted   O
to   O
be   O
elevated   O
at   O
140/90   O
mmHg   O
.   O

Ryan   B-NAME
Buntin   I-NAME
has   O
a   O
history   O
of   O
similar   O
episodes   O
in   O
the   O
past   O
,   O
suggesting   O
a   O
pattern   O
of   O
chronic   O
migraines   O
.   O

Further   O
inquiry   O
revealed   O
that   O
Charity   B-NAME
Wood   I-NAME
is   O
a   O
Special   O
Forces   O
Officers   O
in   O
Jessup   B-LOCATION
,   O
a   O
demanding   O
job   O
that   O
Fuller   B-NAME
,   I-NAME
Margaret   I-NAME
attributes   O
to   O
the   O
exacerbation   O
of   O
these   O
symptoms   O
due   O
to   O
stress   O
.   O

Lab   O
investigations   O
were   O
ordered   O
by   O
Dr.   O
Saniya   B-NAME
Maldonado   I-NAME
to   O
rule   O
out   O
secondary   O
causes   O
.   O

Marlena   B-NAME
Evans   I-NAME
's   O
medical   O
record   O
number   O
60087403   B-ID
contains   O
detailed   O
results   O
of   O
these   O
investigations   O
.   O

Sincere   B-NAME
Finley   I-NAME
was   O
also   O
prescribed   O
a   O
course   O
of   O
triptans   O
for   O
acute   O
migraine   O
attacks   O
and   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
identify   O
possible   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
9/93   B-DATE
to   O
assess   O
the   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Carlene   B-NAME
Samford   I-NAME
was   O
given   O
the   O
(   B-CONTACT
325   I-CONTACT
)   I-CONTACT
815   I-CONTACT
1588   I-CONTACT
number   O
of   O
the   O
headache   O
clinic   O
at   O
MercyOne   B-LOCATION
Newton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
any   O
urgent   O
concerns   O
.   O

Additionally   O
,   O
Kevin   B-NAME
Casey   I-NAME
consented   O
to   O
the   O
use   O
of   O
an   O
electronic   O
health   O
application   O
(   O
username   O
:   O
zde285   B-NAME
)   O
to   O
better   O
track   O
symptoms   O
and   O
medication   O
usage   O
.   O

Discussion   O
with   O
the   O
Cordell   B-NAME
Malone   I-NAME
's   O
family   O
,   O
who   O
reside   O
in   O
Fernandina   B-LOCATION
Beach   I-LOCATION
,   O
has   O
been   O
planned   O
to   O
explore   O
any   O
genetic   O
predisposition   O
to   O
migraines   O
and   O
to   O
educate   O
them   O
on   O
how   O
they   O
can   O
support   O
Brooklyn   B-NAME
Bartlett   I-NAME
in   O
managing   O
this   O
condition   O
effectively   O
.   O

The   O
unique   O
ID   O
3   B-ID
-   I-ID
6997205   I-ID
associated   O
with   O
this   O
case   O
ensures   O
that   O
all   O
data   O
handling   O
complies   O
with   O
HIPAA   O
regulations   O
.   O

Further   O
inquiries   O
can   O
be   O
directed   O
to   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Tradition   I-LOCATION
Hospital   I-LOCATION
,   O
70436   B-LOCATION
.   O

Walton   B-LOCATION
EMC   I-LOCATION
Contact   O
Information   O
:   O
Address   O
:   O
Wolbach   B-LOCATION
Phone   O
:   O
784   B-CONTACT
694   I-CONTACT
2302   I-CONTACT
Fax   O
:   O
21856   B-LOCATION

This   O
report   O
was   O
generated   O
on   O
September   B-DATE
23st   I-DATE
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Dr.   O
Yoder   B-NAME
and   O
the   O
care   O
team   O
at   O
Winchester   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Wright   B-NAME
Age   O
:   O
96   O
Date   O
of   O
Birth   O
:   O
10/16/25   B-DATE
Address   O
:   O
Hialeah   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33015   I-LOCATION
,   O
62856   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
321   I-CONTACT
)   I-CONTACT
781   I-CONTACT
2666   I-CONTACT
Occupation   O
:   O
Model   O
Makers   O
,   O
Wood   O
Physician   O
:   O

Dr.   O
Rubi   B-NAME
Rivas   I-NAME
Hospital   O
:   O

McKenzie   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
019   B-ID
-   I-ID
18   I-ID
-   I-ID
10   I-ID
Insurance   O
ID   O
:   O
8455567   B-ID
---   O
*   O
*   O
Clinical   O
History   O
:*   O
*   O
Branson   B-NAME
Roth   I-NAME
presented   O
to   O
Northwest   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
12/03/2391   B-DATE
complaining   O
of   O
acute   O
-   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Otis   B-NAME
Xayasane   I-NAME
's   O
past   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Upon   O
examination   O
,   O
Duke   B-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
rebound   O
tenderness   O
upon   O
palpation   O
,   O
suggesting   O
peritoneal   O
irritation   O
.   O

Abdominal   O
ultrasonography   O
,   O
conducted   O
on   O
21/24   B-DATE
,   O
indicated   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
an   O
appendicolith   O
,   O
supporting   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Dr.   O
Rowland   B-NAME
,   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
1719   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
20   I-DATE
without   O
complications   O
.   O

Skip   B-NAME
was   O
administered   O
intravenous   O
antibiotics   O
preoperatively   O
and   O
continued   O
on   O
a   O
course   O
of   O
oral   O
antibiotics   O
postoperatively   O
.   O

*   O
*   O
Follow   O
-   O
Up   O
and   O
Recommendations   O
:*   O
*   O
OAKLEY   B-NAME
,   I-NAME
ALBERT   I-NAME
was   O
discharged   O
on   O
4/13   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
08/22/52   B-DATE
at   O
Phoebe   B-LOCATION
Sumter   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Latoya   B-NAME
was   O
advised   O
to   O
resume   O
a   O
normal   O
diet   O
gradually   O
and   O
to   O
avoid   O
strenuous   O
activity   O
for   O
a   O
period   O
of   O
two   O
weeks   O
post   O
-   O
discharge   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Aaliyah   B-NAME
Ferguson   I-NAME
was   O
instructed   O
to   O
contact   O
Kings   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
at   O
685   B-CONTACT
-   I-CONTACT
6735   I-CONTACT
.   O

Patient   O
Name   O
:   O
Eddie   B-NAME
Jimenez   I-NAME
Medical   O
Record   O
Number   O
:   O
88123889   B-ID
Date   O
of   O
Consultation   O
:   O
05/27/2098   B-DATE
Location   O
of   O
Consult   O
:   O

Tristar   B-LOCATION
Horizon   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
NORWICH   B-LOCATION
,   O
88429   B-LOCATION

Valenzuela   B-NAME
Contact   O
Number   O
:   O
593   B-CONTACT
6455   I-CONTACT
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
84   O
-   O
year   O
-   O
old   O
Special   O
Education   O
Teacher   O
,   O
Secondary   O
School   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
02/44   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Sarita   B-NAME
Iadarola   I-NAME
stated   O
that   O
the   O
pain   O
was   O
exacerbated   O
by   O
movement   O
and   O
not   O
relieved   O
by   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Accompanied   O
symptoms   O
included   O
nausea   O
without   O
vomiting   O
,   O
fever   O
noted   O
since   O
the   O
early   O
hours   O
of   O
6   B-DATE
-   I-DATE
22   I-DATE
,   O
and   O
an   O
inability   O
to   O
pass   O
gas   O
since   O
last   O
night   O
.   O

Alexis   B-NAME
Melendez   I-NAME
denies   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
Frances   B-NAME
Sawyer   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
medication   O
and   O
hypertension   O
controlled   O
with   O
diet   O
and   O
exercise   O
.   O

Social   O
History   O
:   O
Sidney   B-NAME
Mercado   I-NAME
works   O
as   O
a   O
Mechanical   O
Door   O
Repairers   O
in   O
Forest   B-LOCATION
Oaks   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Management   O
Plan   O
:   O
Chloe   B-NAME
Henson   I-NAME
was   O
admitted   O
to   O
Sanford   B-LOCATION
Aberdeen   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
March   B-DATE
under   O
the   O
service   O
of   O
Kelsie   B-NAME
Sherman   I-NAME
for   O
the   O
management   O
of   O
acute   O
appendicitis   O
.   O

Morse   B-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
preoperatively   O
.   O

Follow   O
-   O
Up   O
and   O
Instructions   O
:   O
Post   O
-   O
operative   O
instructions   O
were   O
provided   O
to   O
Collier   B-NAME
,   O
including   O
wound   O
care   O
guidelines   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
dietary   O
recommendations   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
05/29   B-DATE
in   O
the   O
surgical   O
outpatient   O
clinic   O
.   O

For   O
any   O
questions   O
or   O
emergencies   O
,   O
Summer   B-NAME
Russo   I-NAME
was   O
advised   O
to   O
contact   O
386   B-CONTACT
-   I-CONTACT
373   I-CONTACT
-   I-CONTACT
7548   I-CONTACT
.   O

Prepared   O
by   O
:   O
JK122   B-NAME
Medical   O
Staff   O
Identification   O
:   O
PO:36689:423642   B-ID

Patient   O
Name   O
:   O
Cooper   B-NAME
,   I-NAME
Diana   I-NAME
(   I-NAME
Lady   I-NAME
Diana   I-NAME
Manners   I-NAME
)   I-NAME
Age   O
:   O
44   O
Date   O
of   O
Visit   O
:   O
16/26/56   B-DATE
Physician   O
:   O

Morris   B-NAME
Hospital   O
:   O

UPMC   B-LOCATION
Bedford   I-LOCATION
Memorial   I-LOCATION
Medical   O
Record   O
Number   O
:   O
375   B-ID
-   I-ID
58   I-ID
-   I-ID
21   I-ID
-   I-ID
4   I-ID
Location   O
:   O
Lakesite   B-LOCATION
Organization   O
:   O

Lakeside   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Patient   O
's   O
Phone   O
Number   O
:   O
87155   B-CONTACT
Patient   O
's   O
Profession   O
:   O
Camera   O
operator   O
Username   O
:   O
en440   B-NAME
Patient   O
's   O
Zip   O
Code   O
:   O
47954   B-LOCATION
Summary   O
of   O
Visit   O
:   O

Vonreuter   B-NAME
presented   O
to   O
the   O
emergency   O
room   O
at   O
National   B-LOCATION
Jewish   I-LOCATION
Health   I-LOCATION
on   O
Jul   B-DATE
25   I-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Briana   B-NAME
Acosta   I-NAME
denied   O
any   O
changes   O
in   O
bowel   O
movements   O
or   O
urinary   O
symptoms   O
.   O

Upon   O
examination   O
,   O
Thomson   B-NAME
exhibited   O
signs   O
of   O
tenderness   O
upon   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
a   O
positive   O
Rovsing   O
's   O
sign   O
,   O
suggesting   O
a   O
possible   O
appendicitis   O
.   O

Abdominal   O
ultrasonography   O
was   O
requested   O
by   O
Parker   B-NAME
Compton   I-NAME
and   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
the   O
presence   O
of   O
an   O
appendicolith   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
findings   O
and   O
results   O
from   O
the   O
ultrasonography   O
,   O
Edwards   B-NAME
recommended   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
.   O

Donovan   B-NAME
J.   I-NAME
Betty   I-NAME
Barber   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
,   O
and   O
after   O
understanding   O
the   O
risks   O
and   O
benefits   O
,   O
consent   O
was   O
obtained   O
.   O

The   O
procedure   O
was   O
scheduled   O
for   O
11/27   B-DATE
at   O
McDuffie   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Kody   B-NAME
Hicks   I-NAME
was   O
prepared   O
for   O
surgery   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Kalea   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
observed   O
in   O
the   O
post   O
-   O
anesthesia   O
care   O
unit   O
without   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
June   B-DATE
22   I-DATE
with   O
DeShannon   B-NAME
,   I-NAME
Jackie   I-NAME
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Instructions   O
upon   O
Discharge   O
:   O
Lacey   B-NAME
Odonnell   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
soft   O
diet   O
for   O
the   O
next   O
2360   B-DATE
,   O
gradually   O
increasing   O
to   O
normal   O
diet   O
as   O
tolerated   O
.   O

Instructions   O
on   O
wound   O
care   O
were   O
provided   O
,   O
and   O
Zavala   B-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unusual   O
symptoms   O
.   O

Should   O
any   O
complications   O
arise   O
,   O
Corinne   B-NAME
Garner   I-NAME
is   O
to   O
return   O
to   O
Monroe   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
or   O
contact   O
Zavier   B-NAME
Miller   I-NAME
's   O
office   O
at   O
61692   B-CONTACT
.   O

Conclusion   O
:   O
The   O
timely   O
presentation   O
to   O
Edward   B-LOCATION
John   I-LOCATION
Noble   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Gouverneur   I-LOCATION
and   O
appropriate   O
surgical   O
intervention   O
for   O
acute   O
appendicitis   O
are   O
anticipated   O
to   O
lead   O
to   O
a   O
full   O
recovery   O
for   O
Juliana   B-NAME
Hendrix   I-NAME
.   O

Patient   O
Name   O
:   O
Hurley   B-NAME
Patient   O
ID   O
:   O
8   B-ID
-   I-ID
8858678   I-ID
Medical   O
Record   O
Number   O
:   O
1514382   B-ID
Date   O
of   O
Report   O
:   O
03/22   B-DATE
Age   O
:   O
22   O
Location   O
:   O
Powderly   B-LOCATION
Physician   O
:   O

Malcolm   B-NAME
Crowe   I-NAME
Attending   O
Hospital   O
:   O
Kadlec   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Zip   O
Code   O
:   O
42419   B-LOCATION
Contact   O
Number   O
:   O
17481   B-CONTACT
Occupation   O
:   O

Special   O
Education   O
Teachers   O
,   O
Middle   O
School   O
Username   O
:   O
ekr251   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Patrick   B-NAME
Townsend   I-NAME
,   O
presented   O
to   O
California   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/12/2363   B-DATE
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

Alongside   O
the   O
abdominal   O
discomfort   O
,   O
Ronald   B-NAME
Moses   I-NAME
reported   O
experiencing   O
episodes   O
of   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
06/08   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Jenkins   B-NAME
reports   O
that   O
the   O
abdominal   O
pain   O
initially   O
began   O
as   O
a   O
mild   O
discomfort   O
00/28   B-DATE
but   O
has   O
gradually   O
increased   O
in   O
severity   O
.   O

Braydon   B-NAME
Burns   I-NAME
denies   O
any   O
relation   O
of   O
symptoms   O
to   O
food   O
intake   O
or   O
bowel   O
movements   O
.   O

Past   O
Medical   O
History   O
:   O
Austin   B-NAME
Bowman   I-NAME
has   O
a   O
history   O
of   O
intermittent   O
asthma   O
managed   O
with   O
albuterol   O
inhaler   O
as   O
needed   O
.   O

There   O
is   O
also   O
a   O
history   O
of   O
appendectomy   O
performed   O
at   O
UPMC   B-LOCATION
Hamot   I-LOCATION
on   O
1/30   B-DATE
.   O

Social   O
History   O
:   O
Emmett   B-NAME
Brady   I-NAME
is   O
a   O
Lodging   O
Managers   O
living   O
in   O
Jansen   B-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Lesly   B-NAME
Simmons   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Blood   O
tests   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
and   O
Comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
were   O
ordered   O
by   O
Phillip   B-NAME
Heckler   I-NAME
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
initial   O
diagnostic   O
workup   O
,   O
Beckham   B-NAME
Moreno   I-NAME
initiated   O
treatment   O
with   O
IV   O
fluids   O
and   O
ordered   O
a   O
surgical   O
consult   O
to   O
evaluate   O
for   O
possible   O
acute   O
appendicitis   O
.   O

Birdie   B-NAME
Crivello   I-NAME
was   O
advised   O
to   O
maintain   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
in   O
preparation   O
for   O
possible   O
surgical   O
intervention   O
.   O

Follow   O
-   O
up   O
:   O
Booker   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Johns   B-NAME
in   O
Lehigh   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/33/89   B-DATE
to   O
review   O
surgical   O
consult   O
findings   O
and   O
plan   O
further   O
treatment   O
if   O
necessary   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
NYU   B-LOCATION
Langone   I-LOCATION
Hospitals   I-LOCATION
at   O
776   B-CONTACT
3893   I-CONTACT
.   O

Prepared   O
by   O
:   O
Chapman   B-NAME
6   B-DATE
-   I-DATE
10   I-DATE

Patient   O
Name   O
:   O
Kingston   B-NAME
Rice   I-NAME
Patient   O
ID   O
:   O
71621260   B-ID
Medical   O
Record   O
Number   O
:   O
3282450   B-ID
Age   O
:   O
69   O
Date   O
of   O
Birth   O
:   O
2/29   B-DATE
Phone   O
Number   O
:   O
980   B-CONTACT
-   I-CONTACT
2367   I-CONTACT
Address   O
:   O
Josephville   B-LOCATION
,   O
62784   B-LOCATION
Employment   O
:   O

Farm   O
Labor   O
Contractors   O
Physician   O
:   O
Lozano   B-NAME
Hospital   O
:   O
Alaska   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
20/23   B-DATE
Date   O
of   O
Discharge   O
:   O
0522   B-DATE
Medical   O
Summary   O
:   O

Humphrey   B-NAME
presented   O
to   O
Westfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
on   O
03/37   B-DATE
with   O
a   O
complex   O
medical   O
history   O
including   O
episodes   O
of   O
syncope   O
,   O
persistent   O
tachycardia   O
,   O
and   O
intermittent   O
claudication   O
.   O

Deshawn   B-NAME
Good   I-NAME
reported   O
that   O
these   O
episodes   O
have   O
been   O
increasing   O
in   O
frequency   O
over   O
the   O
past   O
02/21   B-DATE
s   O
,   O
leading   O
to   O
significant   O
distress   O
and   O
impacting   O
daily   O
activities   O
.   O

In   O
addition   O
to   O
these   O
symptoms   O
,   O
Owen   B-NAME
Gregory   I-NAME
has   O
been   O
experiencing   O
persistent   O
tachycardia   O
with   O
heart   O
rates   O
consistently   O
over   O
100   O
bpm   O
even   O
during   O
periods   O
of   O
rest   O
.   O

Upon   O
assessment   O
,   O
Hans   B-NAME
Reinhardt   I-NAME
noted   O
the   O
presence   O
of   O
intermittent   O
claudication   O
,   O
describing   O
it   O
as   O
a   O
cramping   O
pain   O
in   O
the   O
Brandon   B-NAME
Neilson   I-NAME
's   O
legs   O
during   O
physical   O
exertion   O
which   O
was   O
relieved   O
by   O
rest   O
.   O

DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
's   O
past   O
medical   O
history   O
,   O
documented   O
under   O
6287116   B-ID
,   O
includes   O
controlled   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

River   B-NAME
Lloyd   I-NAME
is   O
currently   O
on   O
a   O
regimen   O
of   O
metformin   O
for   O
diabetes   O
and   O
lisinopril   O
for   O
hypertension   O
.   O

During   O
this   O
hospital   O
stay   O
initiated   O
on   O
4/4   B-DATE
,   O
DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
underwent   O
a   O
series   O
of   O
diagnostic   O
investigations   O
.   O

An   O
electrocardiogram   O
(   O
ECG   O
)   O
performed   O
on   O
October   B-DATE
revealed   O
sinus   O
tachycardia   O
without   O
evidence   O
of   O
ischemia   O
.   O

Dennis   B-NAME
advised   O
UMANA   B-NAME
,   I-NAME
BRUCE   I-NAME
on   O
lifestyle   O
modifications   O
aimed   O
at   O
PAD   O
management   O
,   O
including   O
smoking   O
cessation   O
,   O
engaging   O
in   O
regular   O
exercise   O
,   O
and   O
dietary   O
adjustments   O
to   O
lower   O
cholesterol   O
levels   O
.   O

Plans   O
were   O
made   O
for   O
Rose   B-NAME
Anaya   I-NAME
to   O
follow   O
up   O
with   O
a   O
cardiologist   O
and   O
a   O
vascular   O
specialist   O
post   O
-   O
discharge   O
for   O
ongoing   O
management   O
of   O
tachycardia   O
and   O
evaluation   O
of   O
PAD   O
,   O
respectively   O
.   O

Roach   B-NAME
was   O
discharged   O
on   O
22/23   B-DATE
with   O
these   O
follow   O
-   O
up   O
appointments   O
scheduled   O
and   O
instructions   O
to   O
monitor   O
for   O
any   O
further   O
episodes   O
of   O
syncope   O
or   O
changes   O
in   O
the   O
frequency   O
or   O
severity   O
of   O
leg   O
pain   O
.   O

Contact   O
Information   O
:   O
For   O
any   O
questions   O
or   O
further   O
information   O
,   O
please   O
contact   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Allentown   I-LOCATION
Campus   I-LOCATION
at   O
652   B-CONTACT
6591   I-CONTACT
.   O

This   O
medical   O
summary   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Nesbitt   B-NAME
's   O
healthcare   O
providers   O
.   O

Patient   O
Name   O
:   O
de   B-NAME
Bono   I-NAME
,   I-NAME
Edward   I-NAME
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
9480687   I-ID
Medical   O
Record   O
Number   O
:   O
551   B-ID
-   I-ID
89   I-ID
-   I-ID
84   I-ID
Age   O
:   O
1   O
month   O
Address   O
:   O
Turpin   B-LOCATION
,   O
58515   B-LOCATION
Phone   O
Number   O
:   O
403   B-CONTACT
-   I-CONTACT
684   I-CONTACT
-   I-CONTACT
1488   I-CONTACT
Employment   O
:   O
Physicians   O
and   O
Surgeons   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O

Rose   B-NAME
Hale   I-NAME
Hospital   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
12/23/2122   B-DATE
Subjective   O
:   O

The   O
patient   O
,   O
Rufus   B-NAME
Telesco   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
St.   I-LOCATION
Teresa   I-LOCATION
on   O
2324   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
8   O
hours   O
prior   O
to   O
admission   O
.   O

Marina   B-NAME
Mcpherson   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
lack   O
of   O
appetite   O
.   O

Macias   B-NAME
has   O
not   O
experienced   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

On   O
examination   O
,   O
LISA   B-NAME
NOYES   I-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Derrida   B-NAME
,   I-NAME
Jacques   I-NAME
,   O
was   O
consulted   O
and   O
recommended   O
an   O
urgent   O
appendectomy   O
.   O

George   B-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
surgery   O
on   O
5/21   B-DATE
at   O
Marshall   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Ramon   B-NAME
Ritter   I-NAME
is   O
to   O
be   O
closely   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
any   O
complications   O
.   O

A   O
post   O
-   O
operative   O
appointment   O
with   O
Annabella   B-NAME
Anthony   I-NAME
is   O
scheduled   O
for   O
27/28/02   B-DATE
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Independence   I-LOCATION
for   O
wound   O
check   O
and   O
assessment   O
of   O
recovery   O
progress   O
.   O

Instructions   O
were   O
given   O
to   O
Cullen   B-NAME
Booth   I-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
any   O
signs   O
of   O
infection   O
.   O

For   O
any   O
further   O
questions   O
or   O
immediate   O
concerns   O
,   O
NOLAN   B-NAME
,   I-NAME
N.   I-NAME
YANCY   I-NAME
or   O
their   O
family   O
can   O
contact   O
Cobb   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
108   B-CONTACT
8448   I-CONTACT
.   O

Patient   O
:   O
Keagan   B-NAME
Burch   I-NAME
Medical   O
Record   O
Number   O
:   O
7238L2513   B-ID
Date   O
of   O
Birth   O
:   O
5   O
week   O
Address   O
:   O
Encinitas   B-LOCATION
,   O
85197   B-LOCATION
Phone   O
:   O
38787   B-CONTACT
Occupation   O
:   O
Hydrologists   O
Primary   O
Care   O
Physician   O
:   O
Wolfe   B-NAME
Insurance   O
ID   O
:   O
43308345   B-ID
Admitting   O
Hospital   O
:   O
Orange   B-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
05/22/2018   B-DATE
Presentation   O
:   O
Vivian   B-NAME
Gathers   I-NAME
was   O
admitted   O
to   O
New   B-LOCATION
Milford   I-LOCATION
Hospital   I-LOCATION
on   O
Wednesday   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Leroy   B-NAME
X.   I-NAME
Oshea   I-NAME
also   O
reported   O
associated   O
symptoms   O
,   O
including   O
nausea   O
without   O
vomiting   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Vincent   B-NAME
Fournier   I-NAME
denies   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
previous   O
similar   O
episodes   O
.   O

Medical   O
History   O
:   O
Kyle   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
.   O

Family   O
history   O
is   O
notable   O
for   O
coronary   O
artery   O
disease   O
in   O
Kaila   B-NAME
Fisher   I-NAME
's   O
father   O
at   O
27   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Williams   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
investigations   O
,   O
McNinja   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
from   O
Holden   B-NAME
was   O
obtained   O
,   O
and   O
Quenton   B-NAME
Zacharie   I-NAME
Odell   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Harley   B-NAME
Gibson   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
Callum   B-NAME
Hanna   I-NAME
was   O
discharged   O
on   O
06/21   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
with   O
Dean   B-NAME
,   I-NAME
Howard   I-NAME
in   O
two   O
weeks   O
for   O
postoperative   O
evaluation   O
.   O

Conclusion   O
:   O
Hayden   B-NAME
Avery   I-NAME
,   O
a   O
68   O
-   O
year   O
-   O
old   O
Mobile   O
developer   O
,   O
presented   O
with   O
classical   O
symptoms   O
of   O
acute   O
appendicitis   O
,   O
confirmed   O
by   O
laboratory   O
and   O
imaging   O
studies   O
.   O

Koya   B-NAME
,   I-NAME
Sidiq   I-NAME
underwent   O
successful   O
surgical   O
intervention   O
with   O
no   O
postoperative   O
complications   O
.   O

Contact   O
:   O
Should   O
there   O
be   O
any   O
questions   O
or   O
further   O
information   O
needed   O
,   O
please   O
contact   O
Esmeralda   B-NAME
Small   I-NAME
at   O
944   B-CONTACT
-   I-CONTACT
5710   I-CONTACT
or   O
reach   O
out   O
to   O
the   O
primary   O
care   O
provider   O
,   O
Perez   B-NAME
,   O
through   O
the   O
contact   O
information   O
provided   O
in   O
our   O
system   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
755   B-ID
-   I-ID
19   I-ID
-   I-ID
98   I-ID
-   I-ID
9   I-ID
22/09   B-DATE
The   O
patient   O
,   O
Yareli   B-NAME
Kilgore   I-NAME
,   O
a   O
Probation   O
officer   O
from   O
Midwest   B-LOCATION
City   I-LOCATION
,   O
65945   B-LOCATION
,   O
was   O
admitted   O
to   O
San   B-LOCATION
Joaquin   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
following   O
several   O
episodes   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
excessive   O
sweating   O
that   O
began   O
earlier   O
on   O
2092   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
22   I-DATE
.   O

These   O
symptoms   O
led   O
the   O
attending   O
physician   O
,   O
Welch   B-NAME
,   O
to   O
suspect   O
an   O
acute   O
myocardial   O
infarction   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
provided   O
via   O
phone   O
by   O
(   B-CONTACT
943   I-CONTACT
)   I-CONTACT
468   I-CONTACT
3926   I-CONTACT
,   O
includes   O
controlled   O
hypertension   O
and   O
a   O
recent   O
diagnosis   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
.   O

Upon   O
examination   O
,   O
Taleb   B-NAME
,   I-NAME
Nassim   I-NAME
Nicholas   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
pressure   O
160/100   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
92   O
%   O
on   O
room   O
air   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
4835921   B-ID
.   O

Maximilian   B-NAME
Moyer   I-NAME
recommended   O
immediate   O
pharmacological   O
intervention   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
,   O
following   O
which   O
a   O
primary   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
procedure   O
was   O
scheduled   O
.   O

William   B-NAME
Dugan   I-NAME
was   O
transferred   O
to   O
the   O
Cardiac   O
Catheterization   O
Lab   O
for   O
the   O
PCI   O
procedure   O
.   O

The   O
PCI   O
procedure   O
,   O
performed   O
on   O
1/29   B-DATE
,   O
was   O
successful   O
,   O
with   O
the   O
placement   O
of   O
a   O
drug   O
-   O
eluting   O
stent   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Kylee   B-NAME
Hamilton   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
with   O
an   O
improvement   O
in   O
symptoms   O
and   O
stabilization   O
of   O
vital   O
signs   O
.   O

Dietary   O
and   O
lifestyle   O
modifications   O
were   O
also   O
discussed   O
extensively   O
with   O
Ishaan   B-NAME
Vargas   I-NAME
,   O
emphasizing   O
diabetes   O
control   O
,   O
weight   O
management   O
,   O
and   O
smoking   O
cessation   O
.   O

Tristan   B-NAME
Atkinson   I-NAME
was   O
discharged   O
on   O
May   B-DATE
04   I-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Villanueva   B-NAME
in   O
two   O
weeks   O
at   O
Highline   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Specialty   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lawrenceville   I-LOCATION
immediately   O
via   O
479   B-CONTACT
-   I-CONTACT
947   I-CONTACT
-   I-CONTACT
3251   I-CONTACT
should   O
any   O
concerning   O
symptoms   O
arise   O
.   O

The   O
patient   O
's   O
information   O
,   O
including   O
the   O
medical   O
record   O
number   O
6138494   B-ID
and   O
contact   O
details   O
,   O
have   O
been   O
securely   O
stored   O
in   O
accordance   O
with   O
Strategic   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
policies   O
,   O
ensuring   O
the   O
confidentiality   O
of   O
health   O
information   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Janssen   B-NAME
Patient   O
ID   O
:   O
JZ   B-ID
:   I-ID
NI:8330   I-ID
Date   O
of   O
Birth   O
:   O
October   B-DATE
07   I-DATE
Age   O
:   O
33   O
Medical   O
Record   O
Number   O
:   O
081   B-ID
-   I-ID
09   I-ID
-   I-ID
90   I-ID
-   I-ID
4   I-ID
Address   O
:   O
Great   B-LOCATION
Cacapon   I-LOCATION
,   O
21085   B-LOCATION
Phone   O
Number   O
:   O
29788   B-CONTACT
Occupation   O
:   O
Job   O
Printers   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Deven   B-NAME
Newman   I-NAME
Chief   O
Complaint   O
:   O
Sweetnam   B-NAME
,   I-NAME
Skye   I-NAME
presented   O
to   O
Samaritan   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Main   I-LOCATION
Campus   I-LOCATION
on   O
12/06/67   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fever   O
for   O
the   O
past   O
several   O
days   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Clara   B-NAME
Schneider   I-NAME
,   O
an   O
otherwise   O
healthy   O
41   O
years   O
old   O
Engravers   O
--   O
Carvers   O
,   O
started   O
experiencing   O
mild   O
cough   O
and   O
fatigue   O
approximately   O
12/20   B-DATE
.   O

Mckinley   B-NAME
Carroll   I-NAME
denies   O
recent   O
travel   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

However   O
,   O
Isai   B-NAME
Dunn   I-NAME
mentions   O
attending   O
a   O
large   O
gathering   O
at   O
an   O
indoor   O
venue   O
in   O
Golden   B-LOCATION
Triangle   I-LOCATION
approximately   O
03/13   B-DATE
prior   O
to   O
symptom   O
onset   O
.   O

Past   O
Medical   O
History   O
:   O
Mies   B-NAME
van   I-NAME
der   I-NAME
Rohe   I-NAME
,   I-NAME
Ludwig   I-NAME
has   O
a   O
history   O
of   O
seasonal   O
allergies   O
but   O
otherwise   O
reports   O
no   O
chronic   O
illnesses   O
,   O
surgeries   O
,   O
or   O
hospitalizations   O
.   O

Levi   B-NAME
Wall   I-NAME
denies   O
any   O
history   O
of   O
smoking   O
,   O
alcohol   O
abuse   O
,   O
or   O
recreational   O
drug   O
use   O
.   O

Social   O
History   O
:   O
Brock   B-NAME
works   O
as   O
a   O
New   O
Accounts   O
Clerks   O
in   O
Suamico   B-LOCATION
.   O

Felipe   B-NAME
Goulet   I-NAME
lives   O
with   O
family   O
and   O
has   O
no   O
pets   O
.   O

Norma   B-NAME
C.   I-NAME
Gonzalez   I-NAME
denies   O
using   O
tobacco   O
products   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Cohen   B-NAME
Gregory   I-NAME
was   O
febrile   O
with   O
a   O
temperature   O
of   O
38.7   O
°   O
C   O
(   O
101.7   O
°   O
F   O
)   O
,   O
heart   O
rate   O
was   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
was   O
95   O
%   O
on   O
room   O
air   O
.   O

Treatment   O
:   O
Given   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
investigations   O
,   O
Rory   B-NAME
Frazier   I-NAME
was   O
started   O
on   O
empiric   O
antibiotics   O
and   O
antipyretics   O
.   O

Ingrid   B-NAME
Phillips   I-NAME
was   O
admitted   O
to   O
Wyoming   B-LOCATION
County   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
and   O
supportive   O
care   O
including   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
.   O

Instructions   O
:   O
Edwards   B-NAME
is   O
advised   O
to   O
remain   O
hydrated   O
,   O
continue   O
with   O
the   O
prescribed   O
medications   O
,   O
and   O
avoid   O
contact   O
with   O
others   O
until   O
infection   O
status   O
is   O
confirmed   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Vasquez   B-NAME
on   O
39/33   B-DATE
for   O
reassessment   O
and   O
review   O
of   O
PCR   O
results   O
.   O

Prepared   O
by   O
:   O
Dr.   O
Clark   B-NAME
,   I-NAME
Ramsey   I-NAME
Date   O
:   O
3/03   B-DATE
Contact   O
Info   O
:   O
(   B-CONTACT
632   I-CONTACT
)   I-CONTACT
440   I-CONTACT
6105   I-CONTACT
Note   O
:   O
The   O
details   O
provided   O
in   O
this   O
report   O
are   O
synthesized   O
for   O
the   O
purpose   O
of   O
privacy   O
and   O
education   O
.   O

Patient   O
Name   O
:   O
Trevor   B-NAME
Olsen   I-NAME
Age   O
:   O
26   O
Date   O
of   O
Birth   O
:   O
02/29   B-DATE
ID   O
:   O
ZF   B-ID
:   I-ID
PT:2861   I-ID
Medical   O
Record   O
Number   O
:   O
5799362   B-ID
Address   O
:   O
Hibbing   B-LOCATION
,   O
96538   B-LOCATION
Phone   O
:   O
67398   B-CONTACT
Employment   O
:   O
Crushing   O
,   O
Grinding   O
,   O
and   O
Polishing   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
Primary   O
Care   O
Physician   O
:   O

Barnett   B-NAME
Hospital   O
:   O
Cornerstone   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
:   O
BC456   B-NAME
Date   O
of   O
Visit   O
:   O

1/21   B-DATE
Referring   O
Organization   O
:   O

Erie   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
Case   O
Summary   O
:   O
Merle   B-NAME
Jagger   I-NAME
,   O
a   O
Gaming   O
Supervisors   O
from   O
Beaver   B-LOCATION
,   O
was   O
admitted   O
to   O
UPMC   B-LOCATION
Pinnacle   I-LOCATION
Memorial   I-LOCATION
on   O
32/26   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
recurring   O
bouts   O
of   O
fever   O
over   O
the   O
past   O
1/25   B-DATE
.   O

Agnew   B-NAME
,   I-NAME
Spiro   I-NAME
has   O
a   O
history   O
of   O
similar   O
,   O
albeit   O
less   O
severe   O
,   O
incidents   O
over   O
the   O
past   O
year   O
.   O

During   O
the   O
initial   O
examination   O
,   O
Walls   B-NAME
noted   O
the   O
pain   O
to   O
be   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
raising   O
suspicions   O
of   O
appendicitis   O
.   O

However   O
,   O
Jina   B-NAME
Nothacker   I-NAME
also   O
reported   O
a   O
significant   O
loss   O
of   O
appetite   O
and   O
a   O
concerning   O
weight   O
loss   O
over   O
the   O
last   O
two   O
months   O
,   O
necessitating   O
a   O
broader   O
diagnostic   O
approach   O
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
admission   O
,   O
Heidy   B-NAME
Wong   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
at   O
102   O
beats   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
at   O
130/85   O
mmHg   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Based   O
on   O
the   O
diagnosis   O
,   O
Benjamin   B-NAME
recommended   O
an   O
immediate   O
surgical   O
intervention   O
to   O
remove   O
the   O
inflamed   O
appendix   O
.   O

Henry   B-NAME
Bradford   I-NAME
received   O
a   O
laparoscopic   O
appendectomy   O
on   O
09/10/2243   B-DATE
under   O
the   O
surgical   O
team   O
at   O
Fairfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
-   O
Operative   O
Care   O
:   O
Post   O
-   O
surgery   O
,   O
Brunilda   B-NAME
Kerst   I-NAME
was   O
closely   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
any   O
post   O
-   O
operative   O
complications   O
.   O

Deandre   B-NAME
Tapia   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
showed   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Elmer   B-NAME
Knott   I-NAME
was   O
advised   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Mathis   B-NAME
in   O
two   O
weeks   O
to   O
monitor   O
recovery   O
progress   O
and   O
to   O
discuss   O
further   O
dietary   O
and   O
lifestyle   O
modifications   O
to   O
prevent   O
future   O
health   O
issues   O
.   O

Sexy   B-NAME
was   O
discharged   O
on   O
18/00   B-DATE
with   O
prescriptions   O
for   O
oral   O
antibiotics   O
and   O
analgesics   O
.   O

(   B-CONTACT
957   I-CONTACT
)   I-CONTACT
250   I-CONTACT
-   I-CONTACT
5750   I-CONTACT
was   O
provided   O
as   O
a   O
24   O
-   O
hour   O
contact   O
line   O
for   O
any   O
post   O
-   O
discharge   O
queries   O
or   O
emergencies   O
.   O

Holly   B-NAME
Martinez   I-NAME
was   O
also   O
given   O
educational   O
material   O
on   O
wound   O
care   O
and   O
the   O
importance   O
of   O
gradual   O
reintroduction   O
to   O
regular   O
activities   O
.   O

Conclusion   O
:   O
Kole   B-NAME
Banks   I-NAME
's   O
case   O
highlights   O
the   O
importance   O
of   O
timely   O
intervention   O
in   O
appendicitis   O
cases   O
with   O
complications   O
such   O
as   O
abscess   O
formation   O
.   O

The   O
successful   O
outcome   O
in   O
this   O
case   O
is   O
a   O
testament   O
to   O
the   O
coordinated   O
care   O
and   O
expertise   O
at   O
Lafene   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Kansas   I-LOCATION
State   I-LOCATION
University   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Manhattan   I-LOCATION
.   O

Jakobe   B-NAME
Hobbs   I-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
with   O
adherence   O
to   O
post   O
-   O
operative   O
instructions   O
and   O
follow   O
-   O
up   O
care   O
recommendations   O
.   O

Patient   O
Report   O
for   O
Lyric   B-NAME
Serrano   I-NAME
Overview   O
:   O
July   B-DATE
,   O
Kaeden   B-NAME
Sawyer   I-NAME
,   O
a   O
Veterinary   O
Assistants   O
and   O
Laboratory   O
Animal   O
Caretakers   O
from   O
Parkville   B-LOCATION
,   O
with   O
Medical   O
Record   O
Number   O
1594367   B-ID
,   O
presented   O
to   O
Meadowlands   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Davin   B-NAME
Carrillo   I-NAME
also   O
reported   O
experiencing   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
marked   O
loss   O
of   O
appetite   O
since   O
February   B-DATE
03   I-DATE
.   O

According   O
to   O
Mitchell   B-NAME
's   O
records   O
,   O
there   O
is   O
no   O
significant   O
past   O
medical   O
history   O
apart   O
from   O
a   O
laparoscopic   O
cholecystectomy   O
performed   O
in   O
39/09/2200   B-DATE
.   O

Hosea   B-NAME
McCalvin   I-NAME
denoted   O
an   O
allergy   O
to   O
penicillin   O
,   O
resulting   O
in   O
urticaria   O
.   O

Valencia   B-NAME
is   O
on   O
no   O
regular   O
medication   O
and   O
denies   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Clinical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Duran   B-NAME
noted   O
Melva   B-NAME
Orth   I-NAME
's   O
temperature   O
was   O
elevated   O
at   O
53241   B-LOCATION
degrees   O
Fahrenheit   O
,   O
with   O
tachycardia   O
present   O
.   O

Abdominal   O
ultrasonography   O
,   O
overseen   O
by   O
Ellis   B-NAME
Grey   I-NAME
,   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
a   O
thickened   O
wall   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Molimo   B-NAME
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Princess   B-NAME
James   I-NAME
on   O
19/36/84   B-DATE
.   O

Nunzio   B-NAME
Kyle   I-NAME
Aragon   I-NAME
received   O
pre   O
-   O
operative   O
antibiotics   O
,   O
adhering   O
to   O
guidelines   O
for   O
penicillin   O
allergies   O
.   O

Beau   B-NAME
Woodard   I-NAME
reported   O
significant   O
pain   O
relief   O
post   O
-   O
operation   O
and   O
was   O
started   O
on   O
a   O
clear   O
liquid   O
diet   O
27/23   B-DATE
hours   O
post   O
-   O
surgery   O
,   O
gradually   O
advancing   O
to   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

Ana   B-NAME
Small   I-NAME
was   O
discharged   O
on   O
32/22   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
arrangement   O
with   O
Julianna   B-NAME
Knapp   I-NAME
at   O
Jackson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Morgan   B-NAME
Wright   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
care   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
chills   O
,   O
persistent   O
vomiting   O
,   O
or   O
wound   O
issues   O
arose   O
.   O

Instructions   O
for   O
Follow   O
-   O
Up   O
:   O
Pratt   B-NAME
scheduled   O
a   O
postoperative   O
follow   O
-   O
up   O
visit   O
for   O
Bruce   B-NAME
on   O
2180   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
33   I-DATE
at   O
Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Camden   I-LOCATION
Campus   I-LOCATION
to   O
assess   O
the   O
surgical   O
site   O
and   O
overall   O
recovery   O
.   O

Yong   B-NAME
was   O
encouraged   O
to   O
maintain   O
hydration   O
,   O
avoid   O
strenuous   O
activities   O
,   O
and   O
gradually   O
resume   O
regular   O
activities   O
as   O
comfort   O
allows   O
.   O

For   O
any   O
concerns   O
or   O
emergencies   O
,   O
Clayton   B-NAME
Forrester   I-NAME
was   O
advised   O
to   O
contact   O
the   O
surgical   O
department   O
at   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Grandview   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
directly   O
via   O
phone   O
number   O
429   B-CONTACT
-   I-CONTACT
136   I-CONTACT
-   I-CONTACT
8126   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

The   O
information   O
contained   O
in   O
this   O
document   O
,   O
including   O
but   O
not   O
limited   O
to   O
the   O
patient   O
's   O
medical   O
record   O
number   O
02589596   B-ID
,   O
personal   O
identification   O
60035086   B-ID
,   O
and   O
location   O
details   O
Scottsdale   B-LOCATION
,   O
is   O
confidential   O
and   O
protected   O
under   O
HIPAA   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Roderick   B-NAME
Barton   I-NAME
Age   O
:   O
42   O
Date   O
of   O
Birth   O
:   O
Jun   B-DATE
04   I-DATE
,   I-DATE
2220   I-DATE
Address   O
:   O
South   B-LOCATION
Greenfield   I-LOCATION
,   O
27640   B-LOCATION
Phone   O
Number   O
:   O
49774   B-CONTACT
Employment   O
:   O
Financial   O
Managers   O
,   O
Branch   O
or   O
Department   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Pierce   B-NAME
Medical   O
Record   O
Number   O
:   O
722   B-ID
-   I-ID
21   I-ID
-   I-ID
15   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Visit   O
:   O
0/23   B-DATE
Hospital   O
Name   O
:   O
Munson   B-LOCATION
Healthcare   I-LOCATION
Paul   I-LOCATION
Oliver   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Emerson   B-NAME
Robertson   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Gracie   B-LOCATION
Square   I-LOCATION
Hospital   I-LOCATION
on   O
2/32   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

Medical   O
History   O
:   O
Ashtyn   B-NAME
Walsh   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
a   O
smoking   O
history   O
of   O
20   O
pack   O
-   O
years   O
.   O

Spike   B-NAME
's   O
Surgical   O
History   O
includes   O
appendectomy   O
in   O
03/05/1989   B-DATE
.   O

Prince   B-NAME
Edwards   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
.   O

Social   O
History   O
:   O
Constance   B-NAME
Peterson   I-NAME
works   O
as   O
a   O
Data   O
Entry   O
Keyers   O
in   O
Dry   B-LOCATION
Tavern   I-LOCATION
.   O

Jorden   B-NAME
Hughes   I-NAME
admits   O
to   O
smoking   O
half   O
a   O
pack   O
of   O
cigarettes   O
daily   O
for   O
the   O
last   O
20   O
years   O
but   O
denies   O
alcohol   O
or   O
drug   O
abuse   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kelly   B-NAME
,   I-NAME
Walt   I-NAME
appeared   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Plan   O
:   O
David   B-NAME
Ravell   I-NAME
was   O
admitted   O
to   O
the   O
intensive   O
care   O
unit   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Campus   I-LOCATION
for   O
close   O
monitoring   O
and   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
14/21/2065   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Please   O
contact   O
Dr.   O
Booker   B-NAME
at   O
(   B-CONTACT
447   I-CONTACT
)   I-CONTACT
795   I-CONTACT
-   I-CONTACT
6000   I-CONTACT
for   O
any   O
urgent   O
concerns   O
or   O
if   O
there   O
is   O
any   O
change   O
in   O
Patrick   B-NAME
Campos   I-NAME
's   O
condition   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
at   O
410   B-CONTACT
7677   I-CONTACT
and   O
delete   O
the   O
original   O
message   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Reema   B-NAME
N.   I-NAME
Imler   I-NAME
Age   O
:   O
69   O
SSN   O
:   O
JU:27246:852261   B-ID
Medical   O
Record   O
Number   O
:   O
554   B-ID
-   I-ID
89   I-ID
-   I-ID
82   I-ID
-   I-ID
1   I-ID
Address   O
:   O
Tukwila   B-LOCATION
,   O
56185   B-LOCATION
Profession   O
:   O
Jewelers   O
and   O
Precious   O
Stone   O
and   O
Metal   O
Workers   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Isaias   B-NAME
Graham   I-NAME
Healthcare   O
Provider   O
:   O
Town   B-LOCATION
of   I-LOCATION
Clayton   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Hospital   O
:   O
NYU   B-LOCATION
Winthrop   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
15/22   B-DATE
Phone   O
Number   O
:   O
63553   B-CONTACT
Username   O
for   O
Patient   O
Portal   O
:   O
xl552   B-NAME

Aeorum   B-NAME
Mordino   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Northern   B-LOCATION
Montana   I-LOCATION
Hospital   I-LOCATION
on   O
October   B-DATE
with   O
a   O
severe   O
headache   O
and   O
photophobia   O
.   O

Goodfellow   B-NAME
describes   O
the   O
headache   O
as   O
a   O
pulsating   O
pain   O
localized   O
to   O
the   O
frontal   O
lobe   O
,   O
with   O
intensity   O
escalating   O
in   O
bright   O
light   O
conditions   O
.   O

Layne   B-NAME
Day   I-NAME
also   O
reports   O
experiencing   O
nausea   O
,   O
but   O
no   O
vomiting   O
.   O

Medical   O
History   O
:   O
Tzu   B-NAME
Hsi   I-NAME
has   O
a   O
documented   O
medical   O
history   O
of   O
hypertension   O
,   O
controlled   O
through   O
medication   O
prescribed   O
by   O
Dr.   O
Jacobson   B-NAME
.   O

John   B-NAME
Tyler   I-NAME
reports   O
no   O
known   O
allergies   O
to   O
medication   O
and   O
no   O
history   O
of   O
surgical   O
interventions   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Gandhi   B-NAME
,   I-NAME
Indira   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
78   O
bpm   O
,   O
respirations   O
16   O
per   O
minute   O
,   O
and   O
temperature   O
98.6   O
°   O
F   O
.   O

Pupillary   O
response   O
was   O
normal   O
,   O
but   O
Jaslyn   B-NAME
Vazquez   I-NAME
expressed   O
discomfort   O
when   O
exposed   O
to   O
bright   O
light   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Based   O
on   O
the   O
diagnostic   O
findings   O
and   O
the   O
clinical   O
presentation   O
,   O
Yan   B-NAME
was   O
diagnosed   O
with   O
a   O
migraine   O
without   O
aura   O
.   O

A   O
treatment   O
plan   O
consisting   O
of   O
oral   O
triptans   O
for   O
acute   O
management   O
and   O
a   O
prescription   O
for   O
a   O
preventative   O
medication   O
was   O
initiated   O
by   O
Dr.   O
Zaria   B-NAME
Larson   I-NAME
.   O

Abram   B-NAME
Blevins   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
triggers   O
,   O
particularly   O
bright   O
lights   O
,   O
and   O
follow   O
up   O
with   O
Dr.   O
Kathy   B-NAME
Madden   I-NAME
in   O
Cape   B-LOCATION
Coral   I-LOCATION
after   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Follow   O
-   O
Up   O
:   O
Nobles   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Shania   B-NAME
Cooke   I-NAME
on   O
01/29   B-DATE
.   O

Further   O
evaluation   O
and   O
adjustments   O
to   O
the   O
treatment   O
plan   O
may   O
be   O
necessary   O
depending   O
on   O
Nikolas   B-NAME
Buchanan   I-NAME
's   O
response   O
to   O
the   O
initial   O
treatment   O
.   O

Discharge   O
Instructions   O
:   O
OCASIO   B-NAME
,   I-NAME
GEORGE   I-NAME
OJAS   I-NAME
was   O
given   O
educational   O
materials   O
on   O
migraine   O
management   O
and   O
prevention   O
strategies   O
.   O

Happy   B-NAME
was   O
instructed   O
to   O
contact   O
Dr.   O
Perry   B-NAME
at   O
881   B-CONTACT
5894   I-CONTACT
or   O
through   O
the   O
patient   O
portal   O
,   O
username   O
ty238   B-NAME
,   O
for   O
any   O
concerns   O
or   O
if   O
experiencing   O
side   O
effects   O
from   O
the   O
medication   O
.   O

Report   O
Prepared   O
by   O
:   O
Dr.   O
Roger   B-NAME
Esparza   I-NAME
3/26/33   B-DATE
Note   O
:   O
This   O
is   O
a   O
synthetic   O
patient   O
report   O
created   O
for   O
illustrative   O
purposes   O
only   O
.   O

The   O
patient   O
,   O
Sanaa   B-NAME
Lin   I-NAME
,   O
a   O
32s   O
-   O
year   O
-   O
old   O
Operating   O
Engineers   O
from   O
Terre   B-LOCATION
Haute   I-LOCATION
,   O
presented   O
to   O
Twin   B-LOCATION
Cities   I-LOCATION
Hospital   I-LOCATION
on   O
2/00   B-DATE
with   O
complaints   O
of   O
continuous   O
,   O
severe   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
.   O

Mindy   B-NAME
Lahiri   I-NAME
described   O
the   O
pain   O
as   O
throbbing   O
,   O
with   O
episodes   O
peaking   O
within   O
hours   O
of   O
onset   O
.   O

Burroughs   B-NAME
,   I-NAME
William   I-NAME
S.   I-NAME
reviewed   O
Schmidt   B-NAME
's   O
medical   O
history   O
which   O
was   O
significant   O
for   O
episodic   O
migraines   O
without   O
aura   O
,   O
dating   O
back   O
to   O
21/22   B-DATE
,   O
for   O
which   O
Trent   B-NAME
Markham   I-NAME
had   O
been   O
receiving   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
partial   O
relief   O
.   O

Beyale   B-NAME
's   O
medication   O
list   O
included   O
only   O
a   O
multivitamin   O
and   O
the   O
aforementioned   O
analgesics   O
.   O

Upon   O
examination   O
,   O
North   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
neurological   O
examination   O
conducted   O
by   O
Julianna   B-NAME
Knapp   I-NAME
was   O
unremarkable   O
,   O
with   O
no   O
evidence   O
of   O
focal   O
neurological   O
deficits   O
.   O

Brown   B-NAME
,   I-NAME
Julie   I-NAME
's   O
635   B-ID
-   I-ID
01   I-ID
-   I-ID
07   I-ID
-   I-ID
5   I-ID
number   O
was   O
OU:921037:756232   B-ID
,   O
and   O
a   O
brain   O
MRI   O
,   O
along   O
with   O
blood   O
tests   O
,   O
was   O
ordered   O
.   O

The   O
tests   O
were   O
scheduled   O
for   O
33/17   B-DATE
,   O
and   O
the   O
patient   O
was   O
given   O
a   O
prescription   O
for   O
a   O
triptan   O
to   O
manage   O
the   O
migraine   O
episodes   O
until   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
were   O
available   O
.   O

Daniels   B-NAME
provided   O
Shrivastava   B-NAME
,   I-NAME
Mataji   I-NAME
Nirmala   I-NAME
with   O
909   B-CONTACT
-   I-CONTACT
1609   I-CONTACT
number   O
of   O
the   O
headache   O
clinic   O
at   O
RMC   B-LOCATION
Anniston   I-LOCATION
for   O
follow   O
-   O
up   O
after   O
the   O
diagnostic   O
tests   O
.   O

The   O
patient   O
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
until   O
the   O
follow   O
-   O
up   O
appointment   O
on   O
1633   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
17   I-DATE
.   O

For   O
further   O
assistance   O
,   O
Xuereb   B-NAME
was   O
given   O
the   O
contact   O
details   O
of   O
the   O
patient   O
services   O
at   O
Denver   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
with   O
a   O
direct   O
line   O
of   O
31322   B-CONTACT
.   O

Kaleigh   B-NAME
Fodor   I-NAME
expressed   O
understanding   O
of   O
the   O
management   O
plan   O
and   O
agreed   O
to   O
comply   O
with   O
the   O
scheduled   O
diagnostic   O
tests   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

Patient   O
Report   O
for   O
Cheyenne   B-NAME
Stout   I-NAME
8/27   B-DATE
-   O
Jazlyn   B-NAME
Yates   I-NAME
,   O
a   O
64   O
old   O
Forest   O
and   O
Conservation   O
Workers   O
,   O
presented   O
at   O
Jennersville   B-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
lasting   O
over   O
a   O
week   O
.   O

Baron   B-NAME
Walters   I-NAME
works   O
in   O
Memphis   B-LOCATION
and   O
has   O
no   O
recent   O
travel   O
or   O
contact   O
history   O
with   O
known   O
COVID-19   O
cases   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Grudin   B-NAME
,   I-NAME
Robert   I-NAME
included   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
elevated   O
white   O
blood   O
cells   O
,   O
and   O
a   O
PCR   O
test   O
for   O
COVID-19   O
.   O

34/13   B-DATE
-   O

Ewing   B-NAME
has   O
adjusted   O
the   O
treatment   O
plan   O
accordingly   O
,   O
incorporating   O
antiviral   O
therapy   O
with   O
Grupo   B-LOCATION
de   I-LOCATION
Usuarios   I-LOCATION
de   I-LOCATION
Linux   I-LOCATION
de   I-LOCATION
Costa   I-LOCATION
Rica   I-LOCATION
recommended   O
medications   O
.   O

19/05/13   B-DATE
-   O
Elbert   B-NAME
Fleet   I-NAME
has   O
shown   O
incremental   O
improvement   O
with   O
a   O
decline   O
in   O
fever   O
and   O
improvement   O
in   O
respiratory   O
symptoms   O
.   O

Oxygen   O
supplementation   O
has   O
been   O
tapered   O
as   O
Ferreira   B-NAME
's   O
oxygen   O
saturation   O
levels   O
stabilized   O
above   O
95   O
%   O
.   O

3/03   B-DATE
-   O
Horne   B-NAME
was   O
counselled   O
on   O
isolation   O
protocols   O
and   O
discharged   O
with   O
a   O
prescription   O
for   O
continued   O
oral   O
medication   O
and   O
instructions   O
to   O
monitor   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
telehealth   O
consultation   O
is   O
scheduled   O
for   O
18/20/2297   B-DATE
.   O

Instructions   O
for   O
follow   O
-   O
up   O
care   O
,   O
signs   O
to   O
watch   O
for   O
deteriorating   O
health   O
,   O
and   O
emergency   O
contact   O
numbers   O
,   O
including   O
(   B-CONTACT
504   I-CONTACT
)   I-CONTACT
591   I-CONTACT
-   I-CONTACT
7733   I-CONTACT
,   O
were   O
provided   O
upon   O
discharge   O
.   O

Rachell   B-NAME
Molineaux   I-NAME
was   O
advised   O
to   O
stay   O
hydrated   O
,   O
rest   O
,   O
and   O
eat   O
a   O
balanced   O
diet   O
to   O
support   O
recovery   O
.   O

Medical   O
Record   O
Number   O
:   O
209   B-ID
-   I-ID
45   I-ID
-   I-ID
70   I-ID
-   I-ID
9   I-ID
Patient   O
ID   O
:   O
AK:1066:513414   B-ID
Contact   O
Phone   O
:   O
874   B-CONTACT
-   I-CONTACT
601   I-CONTACT
-   I-CONTACT
3842   I-CONTACT
Discharge   O
Coordinator   O
:   O
cyi731   B-NAME
Location   O
of   O
Discharge   O
:   O
Casnovia   B-LOCATION
,   O
80733   B-LOCATION
This   O
report   O
was   O
prepared   O
by   O
Fuller   B-NAME
,   I-NAME
Buckminster   I-NAME
and   O
securely   O
stored   O
within   O
Hamilton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
electronic   O
health   O
record   O
system   O
on   O
2/35/52   B-DATE
.   O

Patient   O
Name   O
:   O
Buffy   B-NAME
Fegan   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
5460219   I-ID
Medical   O
Record   O
Number   O
:   O
3040068   B-ID
Date   O
of   O
Birth   O
:   O
02/21/25   B-DATE
Age   O
:   O
93   O
Phone   O
Number   O
:   O
49244   B-CONTACT
Address   O
:   O
Lynchburg   B-LOCATION
,   I-LOCATION
Lynch   I-LOCATION
's   I-LOCATION
Landing   I-LOCATION
,   O
63950   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Emil   B-NAME
Skoda   I-NAME
Referring   O
Organization   O
:   O

The   B-LOCATION
General   I-LOCATION
Admission   O
Date   O
:   O
2039   B-DATE
Discharge   O
Date   O
:   O
02/28/02   B-DATE
Hospital   O
:   O
Munson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Sean   B-NAME
Baldwin   I-NAME
,   O
a   O
Community   O
and   O
Social   O
Service   O
Specialists   O
,   O
All   O
Other   O
from   O
Lake   B-LOCATION
Santee   I-LOCATION
,   O
was   O
admitted   O
to   O
Golden   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
on   O
Nov.   B-DATE
00   I-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
palpitations   O
that   O
began   O
approximately   O
two   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Demosthenes   B-NAME
reported   O
a   O
recent   O
history   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
occurring   O
intermittently   O
over   O
the   O
past   O
month   O
.   O

On   O
examination   O
,   O
Ariel   B-NAME
Mata   I-NAME
presented   O
as   O
diaphoretic   O
with   O
a   O
noted   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
,   O
a   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Additional   O
diagnostic   O
imaging   O
,   O
specifically   O
a   O
coronary   O
angiography   O
,   O
was   O
recommended   O
by   O
Kierra   B-NAME
Ramsey   I-NAME
to   O
assess   O
for   O
coronary   O
artery   O
disease   O
and   O
to   O
guide   O
further   O
management   O
.   O

Given   O
the   O
severity   O
and   O
acute   O
nature   O
of   O
the   O
MI   O
,   O
Kareem   B-NAME
Phillips   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
an   O
urgent   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

The   O
post   O
-   O
procedure   O
period   O
was   O
uneventful   O
,   O
and   O
Emilio   B-NAME
Hayes   I-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Pena   B-NAME
was   O
scheduled   O
for   O
two   O
weeks   O
post   O
-   O
discharge   O
for   O
further   O
management   O
and   O
evaluation   O
.   O

In   O
summary   O
,   O
Mises   B-NAME
,   I-NAME
Ludwig   I-NAME
von   I-NAME
,   O
a   O
56   O
-   O
year   O
-   O
old   O
Administrative   O
Services   O
Managers   O
from   O
Illinois   B-LOCATION
,   O
was   O
diagnosed   O
with   O
an   O
anterior   O
wall   O
myocardial   O
infarction   O
,   O
underwent   O
successful   O
percutaneous   O
coronary   O
intervention   O
,   O
and   O
was   O
discharged   O
on   O
a   O
comprehensive   O
management   O
plan   O
including   O
medications   O
and   O
lifestyle   O
modifications   O
.   O

Please   O
remind   O
George   B-NAME
V   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
to   O
bring   O
their   O
medical   O
records   O
and   O
any   O
recent   O
test   O
results   O
to   O
their   O
follow   O
-   O
up   O
appointment   O
with   O
Litzy   B-NAME
Lopez   I-NAME
on   O
35/21   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Weeks   B-NAME
can   O
reach   O
the   O
office   O
at   O
802   B-CONTACT
-   I-CONTACT
2699   I-CONTACT
.   O

Patient   O
Report   O
:   O
710   B-ID
-   I-ID
79   I-ID
-   I-ID
34   I-ID
Patient   O
Information   O
:   O
Name   O
:   O
Palamon   B-NAME
Age   O
:   O
3   O
month   O
Phone   O
:   O
90276   B-CONTACT
Address   O
:   O
Perth   B-LOCATION
Amboy   I-LOCATION
,   O
21140   B-LOCATION
Provider   O
:   O
Dr.   O
Sherlyn   B-NAME
Beltran   I-NAME
Hospital   O
:   O
Sentara   B-LOCATION
Halifax   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
6   B-ID
-   I-ID
3670916   I-ID
Date   O
of   O
Visit   O
:   O
10/02   B-DATE
Symptoms   O
:   O

The   O
patient   O
,   O
Lindsey   B-NAME
Russell   I-NAME
,   O
presented   O
with   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Medical   O
History   O
:   O
Nicodemus   B-NAME
Paz   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Hamza   B-NAME
Pittman   I-NAME
was   O
admitted   O
to   O
Munson   B-LOCATION
Healthcare   I-LOCATION
Manistee   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Felton   B-NAME
Merisier   I-NAME
for   O
surgical   O
management   O
.   O

Post   O
-   O
operatively   O
,   O
Valery   B-NAME
Harding   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
to   O
prevent   O
secondary   O
infections   O
.   O

The   O
patient   O
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
observed   O
for   O
31/12   B-DATE
in   O
the   O
post   O
-   O
operative   O
unit   O
for   O
monitoring   O
.   O

Herzog   B-NAME
,   I-NAME
Werner   I-NAME
was   O
discharged   O
with   O
instructions   O
on   O
wound   O
care   O
and   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
23/29/00   B-DATE
with   O
Dr.   O
Genet   B-NAME
,   I-NAME
Jean   I-NAME
at   O
Ocean   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
to   O
evaluate   O
healing   O
and   O
discuss   O
the   O
pathology   O
report   O
.   O

Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Cory   B-NAME
Atkins   I-NAME
was   O
advised   O
to   O
limit   O
physical   O
activity   O
for   O
9   B-DATE
-   I-DATE
25   I-DATE
and   O
to   O
maintain   O
a   O
balanced   O
diet   O
to   O
support   O
healing   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Project   O
manager   O
at   O
Kansas   B-LOCATION
City   I-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
and   O
is   O
strictly   O
confidential   O
.   O

For   O
any   O
further   O
queries   O
,   O
please   O
contact   O
us   O
at   O
393   B-CONTACT
-   I-CONTACT
153   I-CONTACT
3370   I-CONTACT
.   O

Note   O
:   O
This   O
document   O
contains   O
Personal   O
Health   O
Information   O
(   O
PHI   O
)   O
and   O
is   O
intended   O
for   O
the   O
exclusive   O
use   O
of   O
the   O
patient   O
,   O
Bojaxhi   B-NAME
,   I-NAME
Agnes   I-NAME
Gonxha   I-NAME
(   I-NAME
Mother   I-NAME
Teresa   I-NAME
)   I-NAME
,   O
and   O
their   O
designated   O
healthcare   O
providers   O
.   O

The   O
patient   O
,   O
Armani   B-NAME
Wilkinson   I-NAME
,   O
a   O
Clinical   O
,   O
Counseling   O
,   O
and   O
School   O
Psychologists   O
from   O
Bardstown   B-LOCATION
,   I-LOCATION
Bardstown   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
,   O
53941   B-LOCATION
,   O
was   O
admitted   O
to   O
Ozarks   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/21/2079   B-DATE
following   O
a   O
referral   O
from   O
Trenton   B-NAME
Little   I-NAME
.   O

Jack   B-NAME
McNeil   I-NAME
's   O
medical   O
history   O
,   O
recorded   O
under   O
711   B-ID
-   I-ID
39   I-ID
-   I-ID
17   I-ID
,   O
revealed   O
a   O
previous   O
diagnosis   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
.   O

The   O
clinical   O
examination   O
conducted   O
by   O
Alexus   B-NAME
Byrd   I-NAME
on   O
33/21   B-DATE
illustrated   O
mild   O
epigastric   O
tenderness   O
upon   O
palpation   O
,   O
but   O
no   O
overt   O
signs   O
of   O
gastrointestinal   O
bleeding   O
were   O
observed   O
.   O

Laboratory   O
results   O
,   O
retrieved   O
using   O
3   B-ID
-   I-ID
3457151   I-ID
,   O
indicated   O
no   O
abnormalities   O
in   O
full   O
blood   O
count   O
or   O
liver   O
function   O
tests   O
.   O

However   O
,   O
Conway   B-NAME
's   O
fasting   O
serum   O
gastrin   O
level   O
was   O
notably   O
elevated   O
.   O

A   O
subsequent   O
endoscopy   O
performed   O
on   O
Monday   B-DATE
by   O
a   O
specialist   O
at   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Los   I-LOCATION
Angeles   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
revealed   O
multiple   O
small   O
peptic   O
ulcers   O
located   O
in   O
the   O
duodenal   O
bulb   O
.   O

A   O
treatment   O
plan   O
,   O
including   O
proton   O
pump   O
inhibitors   O
and   O
a   O
follow   O
-   O
up   O
schedule   O
,   O
has   O
been   O
suggested   O
and   O
documented   O
in   O
Joetta   B-NAME
Lepe   I-NAME
's   O
medical   O
record   O
(   O
856   B-ID
-   I-ID
35   I-ID
-   I-ID
54   I-ID
)   O
.   O

In   O
terms   O
of   O
lifestyle   O
,   O
Cook   B-NAME
reported   O
a   O
highly   O
stressful   O
job   O
as   O
a   O
Gaming   O
Supervisors   O
,   O
which   O
often   O
entails   O
irregular   O
meal   O
times   O
and   O
consumption   O
of   O
fast   O
foods   O
.   O

Oneida   B-NAME
Mazion   I-NAME
's   O
contact   O
information   O
,   O
193   B-CONTACT
2134   I-CONTACT
,   O
will   O
be   O
used   O
for   O
follow   O
-   O
up   O
communications   O
and   O
appointment   O
reminders   O
.   O

The   O
case   O
overview   O
and   O
patient   O
progress   O
will   O
be   O
discussed   O
at   O
the   O
upcoming   O
weekly   O
meeting   O
of   O
gastrointestinal   O
specialists   O
at   O
Holyoke   B-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Electric   I-LOCATION
as   O
a   O
part   O
of   O
a   O
broader   O
review   O
on   O
the   O
management   O
of   O
peptic   O
ulcer   O
disease   O
,   O
highlighting   O
the   O
importance   O
of   O
a   O
multidisciplinary   O
approach   O
for   O
diagnosis   O
and   O
therapy   O
.   O

Further   O
updates   O
on   O
Krieger   B-NAME
,   I-NAME
Lou   I-NAME
's   O
treatment   O
outcomes   O
will   O
be   O
documented   O
under   O
the   O
same   O
medical   O
record   O
number   O
,   O
8916531   B-ID
,   O
ensuring   O
a   O
cohesive   O
flow   O
of   O
information   O
for   O
ongoing   O
care   O
coordination   O
.   O

Patient   O
Report   O
for   O
Romelia   B-NAME
Perza   I-NAME
Medical   O
Record   O
Number   O
:   O
0258S53342   B-ID
Date   O
of   O
Admission   O
:   O
22/29   B-DATE
Date   O
of   O
Birth   O
:   O
November   B-DATE
Age   O
:   O
10   O
Address   O
:   O
Muddy   B-LOCATION
,   O
92816   B-LOCATION
Phone   O
Number   O
:   O

698   B-CONTACT
-   I-CONTACT
118   I-CONTACT
-   I-CONTACT
1154   I-CONTACT
Attending   O
Physician   O
:   O
Good   B-NAME
Hospital   O
:   O

Emory   B-LOCATION
Decatur   I-LOCATION
Hospital   I-LOCATION
Patient   O
Employer   O
and   O
Job   O
Title   O
:   O
Civil   B-LOCATION
Rights   I-LOCATION
Defenders   I-LOCATION
,   O
Compensation   O
,   O
Benefits   O
,   O
and   O
Job   O
Analysis   O
Specialists   O
Patient   O
's   O
Social   O
Security   O
Number   O
:   O
36277   B-ID
Clinical   O
Summary   O
:   O
Patient   O
Omar   B-NAME
Moody   I-NAME
,   O
a   O
91   O
-   O
year   O
-   O
old   O
Soldering   O
and   O
Brazing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
residing   O
in   O
Spillertown   B-LOCATION
,   O
was   O
admitted   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Elmore   I-LOCATION
on   O
2051   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
07   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
peaking   O
at   O
38.7   O
°   O
C   O
.   O

Cornell   B-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Ivers   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

OCASIO   B-NAME
,   I-NAME
GEORGE   I-NAME
OJAS   I-NAME
's   O
blood   O
glucose   O
was   O
slightly   O
elevated   O
at   O
180   O
mg   O
/   O
dL.   O
Management   O
and   O
Outcome   O
:   O

The   O
patient   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
2376   B-DATE
.   O

Bean   B-NAME
performed   O
the   O
surgery   O
without   O
any   O
complications   O
.   O

Friedman   B-NAME
received   O
intravenous   O
antibiotics   O
preoperatively   O
and   O
was   O
continued   O
on   O
a   O
course   O
of   O
oral   O
antibiotics   O
postoperatively   O
.   O

Brynn   B-NAME
Stephens   I-NAME
demonstrated   O
a   O
good   O
postoperative   O
recovery   O
and   O
was   O
discharged   O
on   O
Monday   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Krause   B-NAME
in   O
two   O
weeks   O
’   O
time   O
.   O

Fishers   O
and   O
Related   O
Fishing   O
Workers   O
Sahale   B-NAME
returned   O
to   O
MOVE   B-LOCATION
on   O
22/92   B-DATE
,   O
reporting   O
full   O
recovery   O
.   O

TextAlign   O
=   O
left;FontSize=12;   O
du297   B-NAME
was   O
instructed   O
to   O
monitor   O
blood   O
glucose   O
levels   O
more   O
closely   O
post   O
-   O
operatively   O
and   O
to   O
follow   O
up   O
with   O
primary   O
care   O
for   O
diabetes   O
management   O
.   O

A   O
follow   O
-   O
up   O
visit   O
with   O
Richmond   B-NAME
on   O
36/22   B-DATE
showed   O
that   O
the   O
surgical   O
site   O
was   O
healing   O
well   O
,   O
and   O
Braccio   B-NAME
Muddaththir   I-NAME
reported   O
no   O
further   O
complaints   O
.   O

It   O
was   O
recommended   O
that   O
Ysidro   B-NAME
Xia   I-NAME
continue   O
monitoring   O
for   O
signs   O
of   O
infection   O
and   O
to   O
maintain   O
a   O
balanced   O
diet   O
to   O
manage   O
diabetes   O
effectively   O
.   O

Further   O
follow   O
-   O
up   O
with   O
a   O
diabetes   O
specialist   O
in   O
Iowa   B-LOCATION
Park   I-LOCATION
was   O
also   O
suggested   O
.   O

Patient   O
Name   O
:   O
Eve   B-NAME
Friedman   I-NAME
Medical   O
Record   O
Number   O
:   O
4352083   B-ID
Date   O
of   O
Birth   O
:   O
10/3   B-DATE
Age   O
:   O
85   O
Address   O
:   O
Horseshoe   B-LOCATION
Lake   I-LOCATION
,   O
87189   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
328   I-CONTACT
)   I-CONTACT
487   I-CONTACT
-   I-CONTACT
6495   I-CONTACT
Primary   O
Physician   O
:   O
Vic   B-NAME
Schweiber   I-NAME
Hospital   O
:   O

Cumberland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Visit   O
Date   O
:   O
1/22   B-DATE
ID   O
:   O
HY   B-ID
:   I-ID
KY:7462   I-ID
Chief   O
Complaint   O
:   O
Chaz   B-NAME
Stanley   I-NAME
,   O
a   O
Industrial   O
-   O
Organizational   O
Psychologists   O
from   O
Torrance   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
University   B-LOCATION
Hospitals   I-LOCATION
Richmond   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/23   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
associated   O
with   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
nausea   O
.   O

Eaton   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
medications   O
are   O
taken   O
regularly   O
.   O

Social   O
History   O
:   O
Mercado   B-NAME
works   O
as   O
a   O
Construction   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
in   O
South   B-LOCATION
Whitley   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
electrocardiogram   O
(   O
ECG   O
)   O
performed   O
upon   O
arrival   O
at   O
NorthBay   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
indicated   O
signs   O
consistent   O
with   O
an   O
acute   O
anterior   O
wall   O
myocardial   O
infarction   O
.   O

The   O
emergency   O
department   O
team   O
at   O
Kings   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
,   O
led   O
by   O
Slade   B-NAME
Murillo   I-NAME
,   O
initiated   O
treatment   O
with   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
morphine   O
for   O
pain   O
management   O
.   O

Given   O
the   O
acute   O
presentation   O
and   O
confirmed   O
diagnosis   O
of   O
myocardial   O
infarction   O
,   O
Enrique   B-NAME
Luna   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
at   O
Richmond   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
under   O
the   O
care   O
of   O
Wu   B-NAME
.   O
Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
in   O
the   O
cardiology   O
clinic   O
for   O
32   B-DATE
-   I-DATE
2   I-DATE
.   O
Prepared   O
by   O
:   O
ET10   B-NAME
,   O
Medical   O
Staff   O
at   O
Carson   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
02/26/2262   B-DATE
(   O
Note   O
:   O
All   O
personal   O
identifiers   O
in   O
this   O
patient   O
report   O
have   O
been   O
replaced   O
with   O
PHI   O
labels   O
to   O
protect   O
patient   O
privacy   O
.   O
)   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Davion   B-NAME
Goodwin   I-NAME
Age   O
:   O
86   O
Date   O
of   O
Birth   O
:   O
2112   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
31   I-DATE
Medical   O
Record   O
Number   O
:   O
02998789   B-ID
ID   O
Number   O
:   O
46535   B-ID
Address   O
:   O
Kosciusko   B-LOCATION
,   O
41463   B-LOCATION
Phone   O
Number   O
:   O
352   B-CONTACT
5495   I-CONTACT
Employer   O
:   O

Wheatland   B-LOCATION
Bank   I-LOCATION
Profession   O
:   O
Pressers   O
,   O
Hand   O
Attending   O
Physician   O
:   O

Bronson   B-NAME
Kirby   I-NAME
Date   O
of   O
Admission   O
:   O
32/20   B-DATE
Hospital   O
:   O
Carle   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Richard   B-NAME
Salinas   I-NAME
,   O
a   O
Agricultural   O
Equipment   O
Operators   O
residing   O
in   O
Port   B-LOCATION
St.   I-LOCATION
Joe   I-LOCATION
,   O
was   O
admitted   O
to   O
Baptist   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Fort   I-LOCATION
Smith   I-LOCATION
on   O
October   B-DATE
31   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
episodes   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Tucker   B-NAME
Mueller   I-NAME
's   O
symptoms   O
have   O
been   O
progressively   O
worsening   O
over   O
the   O
course   O
of   O
2002   B-DATE
.   O

Upon   O
admission   O
,   O
a   O
series   O
of   O
diagnostic   O
tests   O
were   O
ordered   O
by   O
Barber   B-NAME
,   O
including   O
a   O
chest   O
X   O
-   O
ray   O
and   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
.   O

Initial   O
Assessment   O
:   O
Upon   O
initial   O
examination   O
,   O
Whitney   B-NAME
exhibited   O
respiratory   O
distress   O
characterized   O
by   O
an   O
elevated   O
respiratory   O
rate   O
.   O

Friedman   B-NAME
reported   O
a   O
history   O
of   O
smoking   O
,   O
approximately   O
one   O
pack   O
per   O
day   O
for   O
the   O
past   O
33s   O
years   O
.   O

A   O
follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
scheduled   O
for   O
2/26/01   B-DATE
showed   O
significant   O
improvement   O
in   O
the   O
area   O
of   O
consolidation   O
,   O
indicating   O
a   O
positive   O
response   O
to   O
the   O
treatment   O
regimen   O
.   O

Additionally   O
,   O
Franklin   B-NAME
Flynn   I-NAME
recommended   O
the   O
initiation   O
of   O
smoking   O
cessation   O
counseling   O
,   O
taking   O
into   O
account   O
Sophia   B-NAME
Beltran   I-NAME
's   O
prolonged   O
history   O
of   O
tobacco   O
use   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Upon   O
discharge   O
on   O
August   B-DATE
23   I-DATE
,   O
Donovan   B-NAME
Conrad   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
to   O
complete   O
at   O
home   O
.   O

Chaney   B-NAME
emphasized   O
the   O
importance   O
of   O
completing   O
the   O
antibiotic   O
course   O
,   O
adhering   O
to   O
a   O
smoking   O
cessation   O
program   O
,   O
and   O
arranging   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
within   O
two   O
weeks   O
of   O
discharge   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
will   O
be   O
crucial   O
in   O
monitoring   O
Kate   B-NAME
Austin   I-NAME
's   O
progress   O
and   O
ensuring   O
the   O
resolution   O
of   O
the   O
infection   O
.   O

For   O
any   O
emergencies   O
or   O
questions   O
related   O
to   O
the   O
prescribed   O
treatment   O
,   O
Zachary   B-NAME
King   I-NAME
is   O
advised   O
to   O
contact   O
Atrium   B-LOCATION
Health   I-LOCATION
Pineville   I-LOCATION
directly   O
at   O
56036   B-CONTACT
.   O

Note   O
:   O
Sulla   B-NAME
,   I-NAME
Lucius   I-NAME
Cornelius   I-NAME
's   O
medical   O
record   O
is   O
confidential   O
,   O
and   O
any   O
further   O
dissemination   O
of   O
information   O
requires   O
consent   O
.   O

For   O
medical   O
inquiries   O
,   O
please   O
reference   O
MRN   O
:   O
3845729   B-ID
.   O

Patient   O
Name   O
:   O
Ruby   B-NAME
Rangel   I-NAME
Age   O
:   O
17s   O
Date   O
of   O
Birth   O
:   O
0/1   B-DATE
Phone   O
Number   O
:   O
245   B-CONTACT
-   I-CONTACT
7043   I-CONTACT
Address   O
:   O
Rochester   B-LOCATION
Hills   I-LOCATION
,   O
39676   B-LOCATION
Occupation   O
:   O
Explosives   O
Workers   O
,   O
Ordnance   O
Handling   O
Experts   O
,   O
and   O
Blasters   O
Primary   O
Physician   O
:   O
Dr.   O
Hesiod   B-NAME
Hospital   O
:   O
Pella   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
CK262228   B-ID
Insurance   O
ID   O
:   O
QY:97482:125738   B-ID
Date   O
of   O
Initial   O
Consultation   O
:   O
Monday   B-DATE
Username   O
for   O
Patient   O
Portal   O
:   O
GH270   B-NAME
Clinical   O
Presentation   O
:   O

Florencio   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
Hudson   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
18/13/01   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
noted   O
to   O
begin   O
approximately   O
6   O
hours   O
prior   O
to   O
presentation   O
.   O

Knight   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
with   O
a   O
subjective   O
fever   O
noted   O
at   O
home   O
.   O

Further   O
questioning   O
revealed   O
a   O
decrease   O
in   O
appetite   O
over   O
the   O
last   O
day   O
and   O
an   O
absence   O
of   O
bowel   O
movement   O
since   O
the   O
morning   O
of   O
0   B-DATE
-   I-DATE
6   I-DATE
-   I-DATE
2057   I-DATE
.   O

Chapman   B-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
a   O
combination   O
of   O
ACE   O
inhibitors   O
and   O
beta   O
-   O
blockers   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Abdiel   B-NAME
Reeves   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Dr.   O
Booth   B-NAME
and   O
the   O
surgical   O
team   O
at   O
UF   B-LOCATION
Health   I-LOCATION
Jacksonville   I-LOCATION
recommended   O
an   O
appendectomy   O
.   O

Godfrey   B-NAME
received   O
pre   O
-   O
operative   O
antibiotics   O
,   O
considering   O
the   O
allergy   O
to   O
penicillin   O
,   O
a   O
non   O
-   O
penicillin   O
antibiotic   O
regimen   O
was   O
utilized   O
.   O

Surgery   O
was   O
scheduled   O
for   O
January   B-DATE
,   O
and   O
informed   O
consent   O
was   O
obtained   O
from   O
Horrible   B-NAME
.   O

Post   O
-   O
operative   O
Course   O
:   O
Ty   B-NAME
Stark   I-NAME
tolerated   O
the   O
procedure   O
well   O
,   O
with   O
no   O
immediate   O
complications   O
noted   O
.   O

Nation   B-NAME
McKinley   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
monitoring   O
blood   O
glucose   O
levels   O
closely   O
post   O
-   O
operatively   O
due   O
to   O
diabetes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Harmon   B-NAME
on   O
12/00/2157   B-DATE
to   O
assess   O
recovery   O
and   O
discuss   O
any   O
further   O
management   O
needed   O
.   O

The   O
inter   O
-   O
professional   O
collaboration   O
between   O
the   O
emergency   O
,   O
surgery   O
,   O
and   O
internal   O
medicine   O
teams   O
at   O
Cedar   B-LOCATION
Springs   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
ensured   O
timely   O
and   O
effective   O
care   O
for   O
V.   B-NAME
Hamilton   I-NAME
.   O

Patient   O
Name   O
:   O
Franco   B-NAME
Gardner   I-NAME
Age   O
:   O
14   O
Date   O
of   O
Birth   O
:   O
03/23   B-DATE
Address   O
:   O
Black   B-LOCATION
Creek   I-LOCATION
,   O
96481   B-LOCATION
Phone   O
:   O
246   B-CONTACT
9390   I-CONTACT
Occupation   O
:   O

Economists   O
Doctor   O
:   O
Shevardnadze   B-NAME
,   I-NAME
Eduard   I-NAME
Hospital   O
:   O
Kindred   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Denver   I-LOCATION
South   I-LOCATION
Medical   O
Record   O
Number   O
:   O
660   B-ID
-   I-ID
72   I-ID
-   I-ID
71   I-ID
Date   O
of   O
Visit   O
:   O
06/06/63   B-DATE
ID   O
Number   O
:   O
67382915   B-ID
Username   O
:   O
pf951   B-NAME
Chief   O
Complaint   O
:   O
Mattie   B-NAME
Richard   I-NAME
visited   O
the   O
clinic   O
on   O
32/03   B-DATE
,   O
complaining   O
of   O
acute   O
unilateral   O
lower   O
abdominal   O
pain   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
.   O

Rashad   B-NAME
English   I-NAME
also   O
reported   O
experiencing   O
fever   O
with   O
temperatures   O
recorded   O
at   O
home   O
peaking   O
at   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Linda   B-NAME
Urbanek   I-NAME
has   O
not   O
experienced   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Baudelaire   B-NAME
,   I-NAME
Charles   I-NAME
denied   O
any   O
recent   O
injuries   O
,   O
changes   O
in   O
diet   O
,   O
or   O
foreign   O
travel   O
.   O

Emilio   B-NAME
Hodges   I-NAME
has   O
a   O
known   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
with   O
oral   O
hypoglycemics   O
.   O

Review   O
of   O
Systems   O
:   O
Upon   O
further   O
questioning   O
,   O
Turk   B-NAME
denied   O
experiencing   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
dysuria   O
,   O
or   O
change   O
in   O
bowel   O
habits   O
,   O
other   O
than   O
the   O
previously   O
mentioned   O
constipation   O
.   O

Treatment   O
Plan   O
:   O
Kaydence   B-NAME
Bernard   I-NAME
was   O
advised   O
to   O
undergo   O
immediate   O
surgical   O
evaluation   O
and   O
was   O
referred   O
to   O
the   O
surgical   O
team   O
at   O
SummitRidge   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
12/32   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
wound   O
healing   O
.   O

Kaley   B-NAME
Dixon   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
complications   O
and   O
to   O
maintain   O
strict   O
glycemic   O
control   O
.   O

Mccullough   B-NAME
was   O
educated   O
regarding   O
the   O
signs   O
of   O
infection   O
,   O
the   O
importance   O
of   O
wound   O
care   O
,   O
and   O
dietary   O
recommendations   O
post   O
-   O
appendectomy   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Hitler   B-NAME
,   I-NAME
Adolf   I-NAME
was   O
provided   O
with   O
the   O
contact   O
49147   B-CONTACT
of   O
the   O
surgical   O
department   O
at   O
Presbyterian   B-LOCATION
Espanola   I-LOCATION
Hospital   I-LOCATION
.   O

By   O
signing   O
below   O
,   O
Maximo   B-NAME
Marquez   I-NAME
acknowledges   O
the   O
receipt   O
and   O
understanding   O
of   O
the   O
treatment   O
plan   O
and   O
postoperative   O
instructions   O
.   O

Signature   O
:   O
Daphne   B-NAME
Houtz   I-NAME
Date   O
:   O
0/12   B-DATE

Patient   O
Report   O
Patient   O
Name   O
:   O
Cook   B-NAME
Patient   O
ID   O
:   O
77543   B-ID
Medical   O
Record   O
Number   O
:   O
7167210   B-ID
Date   O
of   O
Birth   O
:   O
00/03/23   B-DATE
Age   O
:   O
55   O
Address   O
:   O
Jefferson   B-LOCATION
,   O
42460   B-LOCATION
Phone   O
Number   O
:   O
347   B-CONTACT
-   I-CONTACT
487   I-CONTACT
-   I-CONTACT
1884   I-CONTACT
Occupation   O
:   O

Structural   O
Iron   O
and   O
Steel   O
Workers   O
Treatment   O
Facility   O
:   O
Eagleville   B-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Zwiezic   B-NAME
Date   O
of   O
Admission   O
:   O
3/2/79   B-DATE
Date   O
of   O
Report   O
:   O
December   B-DATE
Clinical   O
Summary   O
:   O
Randall   B-NAME
Pollard   I-NAME
,   O
a   O
41   O
-   O
year   O
-   O
old   O
Charities   O
fundraiser   O
,   O
presented   O
to   O
Community   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Branch   I-LOCATION
County   I-LOCATION
dba   I-LOCATION
ProMedica   I-LOCATION
Coldwater   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
02/09   B-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
,   O
a   O
non   O
-   O
productive   O
cough   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Treatment   O
and   O
Progress   O
:   O
Conway   B-NAME
,   I-NAME
Anne   I-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
with   O
ceftriaxone   O
and   O
azithromycin   O
,   O
and   O
supplemental   O
oxygen   O
was   O
administered   O
through   O
a   O
nasal   O
cannula   O
.   O

The   O
patient   O
was   O
afebrile   O
by   O
2133   B-DATE
,   O
and   O
repeat   O
imaging   O
on   O
00/00   B-DATE
showed   O
resolving   O
infiltrates   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Guerra   B-NAME
at   O
Soldiers   B-LOCATION
And   I-LOCATION
Sailors   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Yates   I-LOCATION
County   I-LOCATION
Inc   I-LOCATION
for   O
33/22/2231   B-DATE
to   O
assess   O
progress   O
and   O
finalize   O
the   O
treatment   O
plan   O
.   O

Discharge   O
Instructions   O
:   O
-   O
Continue   O
with   O
prescribed   O
medications   O
as   O
directed   O
.   O
-   O
Follow   O
up   O
with   O
Fischer   B-NAME
on   O
00/46   B-DATE
.   O
-   O
Immediate   O
return   O
to   O
HealthAlliance   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Hudson   I-LOCATION
Valley   I-LOCATION
-   I-LOCATION
Broadway   I-LOCATION
Campus   I-LOCATION
if   O
experiencing   O
worsening   O
symptoms   O
such   O
as   O
difficulty   O
breathing   O
,   O
chest   O
pain   O
,   O
or   O
persistent   O
fever   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Atwood   B-NAME
can   O
contact   O
Mary   B-LOCATION
Greeley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
147   B-CONTACT
5234   I-CONTACT
.   O

This   O
report   O
prepared   O
by   O
:   O
tpf393   B-NAME
Report   O
Date   O
:   O
30/02   B-DATE
This   O
document   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
applicable   O
laws   O
.   O

Patient   O
Report   O
:   O
-----------------   O
Patient   O
Name   O
:   O
Yuliana   B-NAME
Madden   I-NAME
Patient   O
ID   O
:   O
230531   B-ID
Date   O
of   O
Birth   O
:   O
22/12   B-DATE
Patient   O
Age   O
:   O
75   O
Phone   O
Number   O
:   O
(   B-CONTACT
832   I-CONTACT
)   I-CONTACT
485   I-CONTACT
9006   I-CONTACT
Address   O
:   O
372   B-LOCATION
Central   I-LOCATION
Street   I-LOCATION
,   O
26321   B-LOCATION
Occupation   O
:   O
Production   O
,   O
Planning   O
,   O
and   O
Expediting   O
Clerks   O
Medical   O
Record   O
Number   O
:   O
584   B-ID
-   I-ID
35   I-ID
-   I-ID
18   I-ID
Primary   O
Physician   O
:   O
Colten   B-NAME
,   I-NAME
James   I-NAME
Primary   O
Care   O
Facility   O
:   O
OSF   B-LOCATION
Saint   I-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
2/22   B-DATE
Summary   O
of   O
Visit   O
:   O
-----------------   O
On   O
09/25   B-DATE
,   O
Hewitt   B-NAME
,   I-NAME
Hugh   I-NAME
,   O
a   O
Occupational   O
therapist   O
of   O
86   O
years   O
old   O
,   O
presented   O
to   O
the   O
Highlands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
recurrent   O
headaches   O
that   O
were   O
primarily   O
located   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

The   O
patient   O
was   O
provided   O
with   O
the   O
contact   O
details   O
(   O
(   B-CONTACT
158   I-CONTACT
)   I-CONTACT
373   I-CONTACT
7375   I-CONTACT
)   O
of   O
the   O
headache   O
clinic   O
for   O
any   O
immediate   O
concerns   O
.   O

This   O
report   O
was   O
compiled   O
by   O
Fletcher   B-NAME
of   O
Cancer   B-LOCATION
Treatment   I-LOCATION
Centers   I-LOCATION
of   I-LOCATION
America   I-LOCATION
,   O
and   O
all   O
patient   O
information   O
is   O
protected   O
under   O
HIPAA   O
regulations   O
.   O

For   O
inquiries   O
or   O
to   O
update   O
patient   O
records   O
,   O
please   O
contact   O
the   O
medical   O
records   O
department   O
at   O
341   B-CONTACT
-   I-CONTACT
820   I-CONTACT
7361   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
York   B-NAME
Date   O
of   O
Birth   O
:   O
2143   B-DATE
Age   O
:   O
57   O
Medical   O
Record   O
Number   O
:   O

1742864   B-ID
SSN   O
:   O
QL   B-ID
:   I-ID
FD:5019   I-ID
Address   O
:   O
Wisbech   B-LOCATION
,   O
50551   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
622   I-CONTACT
)   I-CONTACT
129   I-CONTACT
-   I-CONTACT
5676   I-CONTACT
Attending   O
Physician   O
:   O

Weber   B-NAME
Hospital   O
:   O
Gila   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
20/30   B-DATE
Date   O
of   O
Report   O
:   O
2376   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
N   B-NAME
Leonard   I-NAME
,   O
was   O
admitted   O
to   O
Riverside   B-LOCATION
Tappahannock   I-LOCATION
Hospital   I-LOCATION
on   O
2247   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Barton   B-NAME
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Mitchell   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medications   O
prescribed   O
by   O
Bernard   B-NAME
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Alani   B-NAME
Owen   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
showed   O
leukocytosis   O
with   O
a   O
left   O
shift   O
,   O
further   O
supporting   O
the   O
diagnosis   O
.   O
Management   O
and   O
Outcome   O
:   O
Suzanne   B-NAME
,   I-NAME
Otto   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Frye   B-NAME
on   O
32/25   B-DATE
.   O

The   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
Robinson   B-NAME
was   O
discharged   O
on   O
34/26/52   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Forsyth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Krishnamurti   B-NAME
,   I-NAME
Jiddu   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Trump   B-NAME
,   I-NAME
Donald   I-NAME
at   O
Mercy   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
21   B-DATE
-   I-DATE
07   I-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
manage   O
ongoing   O
hypertension   O
and   O
diabetes   O
.   O

Conclusion   O
:   O
Randall   B-NAME
Strong   I-NAME
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
with   O
timely   O
surgical   O
intervention   O
.   O

Continued   O
monitoring   O
of   O
Jaidyn   B-NAME
Mueller   I-NAME
's   O
chronic   O
conditions   O
remains   O
paramount   O
.   O

xc450   B-NAME
Role   O
:   O
Registered   O
Nurse   O
Contact   O
Information   O
:   O
(   B-CONTACT
600   I-CONTACT
)   I-CONTACT
867   I-CONTACT
2106   I-CONTACT
at   O
Frisbie   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION

Patient   O
Name   O
:   O
Clara   B-NAME
Ho   I-NAME
Patient   O
ID   O
:   O
RO127/2630   B-ID
Medical   O
Record   O
Number   O
:   O
18054034   B-ID
Date   O
of   O
Birth   O
:   O
29/26   B-DATE
Age   O
:   O
53   O
Doctor   O
:   O
Estrella   B-NAME
Gill   I-NAME
Phone   O
Number   O
:   O
758   B-CONTACT
-   I-CONTACT
603   I-CONTACT
1496   I-CONTACT
Address   O
:   O
Lima   B-LOCATION
,   O
53828   B-LOCATION
Employed   O
at   O
:   O
Wyandotte   B-LOCATION
Municipal   I-LOCATION
Services   I-LOCATION
Profession   O
:   O
Transit   O
and   O
Railroad   O
Police   O
Username   O
:   O
df200   B-NAME
Initial   O
Assessment   O
Date   O
:   O
06/02/51   B-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Colton   B-NAME
Randolph   I-NAME
,   O
presented   O
to   O
Valley   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/36   B-DATE
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Barr   B-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
slight   O
fever   O
was   O
noted   O
at   O
home   O
.   O

Penn   B-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
no   O
previous   O
surgeries   O
or   O
significant   O
family   O
medical   O
history   O
.   O

Lesha   B-NAME
Childress   I-NAME
denies   O
any   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Bruce   B-NAME
noted   O
Lutz   B-NAME
,   I-NAME
John   I-NAME
Gregory   I-NAME
's   O
temperature   O
to   O
be   O
38.5   O
°   O
C   O
(   O
32   O
-   O
appropriate   O
range   O
is   O
36.1   O
°   O
C   O
to   O
37.2   O
°   O
C   O
)   O
,   O
heart   O
rate   O
was   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
was   O
110/70   O
mmHg   O
.   O

Diagnostic   O
Tests   O
:   O
Reed   B-NAME
Richards   I-NAME
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
elevated   O
white   O
blood   O
cells   O
at   O
12,000   O
/   O
μL   O
,   O
indicating   O
a   O
potential   O
infection   O
or   O
inflammation   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Kingston   B-NAME
Rice   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
and   O
Management   O
:   O
Kati   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
at   O
The   B-LOCATION
Miriam   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
without   O
complications   O
on   O
22/23   B-DATE
.   O

Post   O
-   O
operatively   O
,   O
Mckenna   B-NAME
Dodson   I-NAME
was   O
commenced   O
on   O
intravenous   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

The   O
patient   O
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
home   O
on   O
22/22   B-DATE
with   O
oral   O
antibiotics   O
and   O
instructions   O
for   O
wound   O
care   O
.   O

Follow   O
-   O
up   O
:   O
Shaffer   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Cochranville   B-LOCATION
on   O
3/0/36   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
address   O
any   O
concerns   O
.   O

For   O
emergencies   O
or   O
further   O
information   O
,   O
Johnson   B-NAME
,   I-NAME
Lyndon   I-NAME
can   O
contact   O
John   B-LOCATION
Paul   I-LOCATION
Jones   I-LOCATION
Hospital   I-LOCATION
at   O
207   B-CONTACT
-   I-CONTACT
763   I-CONTACT
2419   I-CONTACT
.   O

*   O
*   O
Patient   O
Report   O
*   O
*   O
*   O
*   O
10/02   B-DATE
*   O
*   O
:   O
A   O
Family   O
and   O
General   O
Practitioners   O
of   O
3   O
years   O
presented   O
to   O
York   B-LOCATION
Hospital   I-LOCATION
with   O
chief   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Colette   B-NAME
reported   O
that   O
the   O
symptoms   O
have   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
24   O
hours   O
.   O

*   O
*   O
Medical   O
History   O
*   O
*   O
:   O
Vasquez   B-NAME
's   O
medical   O
history   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

*   O
*   O
Allergies   O
*   O
*   O
:   O
Postumus   B-NAME
Kyner   I-NAME
reports   O
an   O
allergy   O
to   O
penicillin   O
,   O
which   O
causes   O
a   O
rash   O
.   O

*   O
*   O
Family   O
History   O
*   O
*   O
:   O
Jocelyn   B-NAME
Lutz   I-NAME
's   O
family   O
history   O
is   O
notable   O
for   O
cardiovascular   O
disease   O
on   O
the   O
paternal   O
side   O
and   O
breast   O
cancer   O
on   O
the   O
maternal   O
side   O
.   O

*   O
*   O
Social   O
History   O
*   O
*   O
:   O
Dougherty   B-NAME
is   O
a   O
Hotel   O
manager   O
at   O
Plymouth   B-LOCATION
Rock   I-LOCATION
.   O

Maverick   B-NAME
Michael   I-NAME
reports   O
smoking   O
approximately   O
half   O
a   O
pack   O
of   O
cigarettes   O
per   O
day   O
for   O
the   O
past   O
20   O
years   O
and   O
denies   O
regular   O
alcohol   O
use   O
.   O

*   O
*   O
Review   O
of   O
Systems   O
*   O
*   O
:   O
Aside   O
from   O
the   O
symptoms   O
noted   O
above   O
,   O
Oneida   B-NAME
Norwood   I-NAME
denies   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
diarrhea   O
,   O
or   O
any   O
urinary   O
symptoms   O
.   O

*   O
*   O
Physical   O
Examination   O
*   O
*   O
:   O
On   O
examination   O
,   O
Robert   B-NAME
Villasenor   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

*   O
*   O
Diagnostic   O
Imaging   O
*   O
*   O
:   O
An   O
abdominal   O
CT   O
scan   O
performed   O
on   O
10/13/2106   B-DATE
revealed   O
the   O
presence   O
of   O
gallstones   O
and   O
signs   O
consistent   O
with   O
acute   O
cholecystitis   O
.   O

Liver   O
function   O
tests   O
were   O
mildly   O
elevated   O
with   O
an   O
AST   O
of   O
50   O
U   O
/   O
L   O
and   O
ALT   O
of   O
65   O
U   O
/   O
L.   O
*   O
*   O
Treatment   O
Plan   O
*   O
*   O
:   O
Upon   O
review   O
of   O
the   O
imaging   O
and   O
lab   O
results   O
,   O
Thornton   B-NAME
recommended   O
an   O
urgent   O
cholecystectomy   O
.   O

Friedman   B-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
recommended   O
surgical   O
procedure   O
.   O

After   O
obtaining   O
informed   O
consent   O
,   O
Martin   B-NAME
Ellingham   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
11/10/2125   B-DATE
.   O

*   O
*   O
Follow   O
-   O
Up   O
*   O
*   O
:   O
Post   O
-   O
operative   O
instructions   O
include   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
on   O
1860   B-DATE
for   O
wound   O
check   O
and   O
review   O
of   O
histopathology   O
report   O
.   O

Manuel   B-NAME
Bright   I-NAME
was   O
also   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
18731   B-CONTACT
in   O
case   O
of   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
any   O
concerns   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

*   O
*   O
Discharge   O
Summary   O
*   O
*   O
:   O
The   O
patient   O
was   O
successfully   O
discharged   O
on   O
2/30   B-DATE
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infections   O
.   O

*   O
*   O
Confidential   O
Information   O
*   O
*   O
:   O
-   O
Patient   O
ID   O
:   O
HQ:67372:169298   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
1582585   B-ID
-   O
Attending   O
Physician   O
:   O

Norris   B-NAME
-   O
Discharge   O
Destination   O
:   O
Residence   O
in   O
GU31   B-LOCATION
6VS   I-LOCATION
-   O
Contact   O
Number   O
on   O
File   O
:   O
984   B-CONTACT
-   I-CONTACT
4654   I-CONTACT
-   O
Emergency   O
Contact   O
:   O

-   O
Insurance   O
Provider   O
:   O
Anti   B-LOCATION
-   I-LOCATION
Slavery   I-LOCATION
International   I-LOCATION
*   O
*   O
Note   O
*   O
*   O
:   O
All   O
personal   O
identifiers   O
have   O
been   O
removed   O
or   O
anonymized   O
to   O
protect   O
patient   O
privacy   O
in   O
accordance   O
with   O
HIPAA   O
guidelines   O
.   O

Patient   O
Report   O
Patient   O
:   O
Brown   B-NAME
,   I-NAME
Julie   I-NAME
Age   O
:   O
49   O
Medical   O
Record   O
Number   O
:   O
21586715   B-ID
Date   O
of   O
Admission   O
:   O
25/01   B-DATE
Attending   O
Physician   O
:   O

Misti   B-NAME
Whetstone   I-NAME
Treatment   O
Facility   O
:   O
CAMC   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O

Easthampton   B-LOCATION
Town   I-LOCATION
ID   O
Number   O
:   O
JH:29392:916378   B-ID
Contact   O
Number   O
:   O
465   B-CONTACT
-   I-CONTACT
3760   I-CONTACT
Employment   O
:   O

Logging   O
Tractor   O
Operators   O
Username   O
:   O
hh826   B-NAME
Zip   O
Code   O
:   O
44866   B-LOCATION
Referring   O
Organization   O
:   O

State   B-LOCATION
Guard   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
Chief   O
Complaint   O
:   O
Robinson   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
1664   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Samuel   B-NAME
Vinson   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
mild   O
fever   O
was   O
noted   O
upon   O
assessment   O
.   O

The   O
abdominal   O
pain   O
was   O
sudden   O
in   O
onset   O
and   O
progressively   O
worsened   O
over   O
the   O
course   O
of   O
5/25   B-DATE
.   O

Lavonn   B-NAME
denied   O
any   O
recent   O
changes   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
or   O
past   O
medical   O
history   O
of   O
similar   O
episodes   O
.   O

Past   O
Medical   O
History   O
:   O
Brittany   B-NAME
Dean   I-NAME
has   O
a   O
history   O
of   O
hyperlipidemia   O
and   O
hypertension   O
,   O
for   O
which   O
they   O
have   O
been   O
on   O
medication   O
for   O
the   O
past   O
8   O
-   O
years   O
.   O

Latoria   B-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Danny   B-NAME
Collins   I-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Progress   O
:   O
Iesha   B-NAME
Newhook   I-NAME
was   O
admitted   O
to   O
Sullivan   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Donna   B-NAME
Terry   I-NAME
for   O
further   O
management   O
.   O

After   O
the   O
diagnosis   O
was   O
confirmed   O
,   O
Lainey   B-NAME
Mccoy   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Postoperative   O
recovery   O
has   O
been   O
smooth   O
,   O
with   O
Ho   B-NAME
reporting   O
significant   O
relief   O
from   O
the   O
initial   O
symptoms   O
.   O

Maritza   B-NAME
Vance   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
00/21   B-DATE
.   O

Discharge   O
Instructions   O
:   O
Upon   O
discharge   O
,   O
Ferreira   B-NAME
was   O
advised   O
to   O
follow   O
a   O
diet   O
low   O
in   O
fiber   O
for   O
the   O
first   O
few   O
weeks   O
to   O
allow   O
the   O
intestine   O
to   O
heal   O
properly   O
.   O

Mosley   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
postoperative   O
infection   O
and   O
advised   O
to   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activities   O
for   O
at   O
least   O
9   O
-   O
weeks   O
.   O

In   O
case   O
of   O
any   O
queries   O
or   O
complications   O
,   O
RDB   B-NAME
can   O
contact   O
45260   B-CONTACT
or   O
visit   O
the   O
nearest   O
healthcare   O
facility   O
.   O

For   O
follow   O
-   O
up   O
appointments   O
or   O
to   O
reschedule   O
,   O
please   O
contact   O
607   B-CONTACT
1531   I-CONTACT
.   O

Federated   B-LOCATION
Mutual   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
's   O
team   O
wishes   O
Probus   B-NAME
a   O
speedy   O
recovery   O
.   O

Patient   O
:   O
Regina   B-NAME
Reeves   I-NAME
ID   O
:   O
41712462   B-ID
Date   O
of   O
Birth   O
:   O
9/22   B-DATE
Age   O
:   O
83   O
Medical   O
Record   O
Number   O
:   O
70320588   B-ID
Address   O
:   O
Harvey   B-LOCATION
,   O
42432   B-LOCATION
Phone   O
:   O
(   B-CONTACT
526   I-CONTACT
)   I-CONTACT
786   I-CONTACT
9098   I-CONTACT
Occupation   O
:   O
Education   O
,   O
Training   O
,   O
and   O
Library   O
Workers   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O
Hammarskjöld   B-NAME
,   I-NAME
Dag   I-NAME
Summary   O
:   O
Nelson   B-NAME
Odom   I-NAME
presented   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Rowan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
4/2   B-DATE
complaining   O
of   O
a   O
persistent   O
dry   O
cough   O
,   O
dyspnea   O
on   O
exertion   O
,   O
and   O
intermittent   O
chest   O
pains   O
radiating   O
to   O
the   O
left   O
shoulder   O
.   O

Jessie   B-NAME
Robbins   I-NAME
,   O
a   O
Occupational   O
Health   O
and   O
Safety   O
Specialists   O
,   O
reports   O
a   O
significant   O
decrease   O
in   O
physical   O
activity   O
tolerance   O
,   O
noting   O
that   O
activities   O
that   O
were   O
previously   O
easy   O
to   O
perform   O
are   O
now   O
causing   O
undue   O
fatigue   O
and   O
breathlessness   O
.   O

Past   O
Medical   O
History   O
:   O
Isabela   B-NAME
Fields   I-NAME
has   O
a   O
history   O
of   O
controlled   O
hypertension   O
,   O
diagnosed   O
10   O
years   O
ago   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

There   O
is   O
no   O
history   O
of   O
tobacco   O
use   O
,   O
but   O
Morales   B-NAME
,   I-NAME
Evo   I-NAME
admits   O
to   O
occasional   O
alcohol   O
consumption   O
.   O

Family   O
history   O
is   O
significant   O
for   O
coronary   O
artery   O
disease   O
in   O
Dane   B-NAME
Jefferies   I-NAME
's   O
father   O
at   O
the   O
age   O
of   O
80   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
on   O
23/20   B-DATE
,   O
CARR   B-NAME
,   I-NAME
RACHEL   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slightly   O
elevated   O
blood   O
pressure   O
.   O

Given   O
these   O
findings   O
,   O
a   O
decision   O
was   O
made   O
to   O
further   O
evaluate   O
Amaya   B-NAME
Hardy   I-NAME
's   O
cardiac   O
function   O
with   O
an   O
echocardiogram   O
,   O
which   O
demonstrated   O
a   O
slightly   O
reduced   O
ejection   O
fraction   O
.   O

Wil   B-NAME
was   O
advised   O
to   O
start   O
on   O
a   O
beta   O
-   O
blocker   O
and   O
an   O
ACE   O
inhibitor   O
,   O
in   O
addition   O
to   O
the   O
existing   O
regimen   O
for   O
hypertension   O
and   O
diabetes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Burgess   B-NAME
in   O
two   O
weeks   O
'   O
time   O
to   O
reassess   O
symptoms   O
and   O
the   O
effectiveness   O
of   O
the   O
new   O
medication   O
.   O

ELROD   B-NAME
,   I-NAME
RYLEY   I-NAME
was   O
also   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
to   O
help   O
improve   O
cardiovascular   O
fitness   O
and   O
was   O
counseled   O
on   O
dietary   O
adjustments   O
to   O
lower   O
cardiac   O
risks   O
.   O

Instructions   O
were   O
given   O
to   O
Brycen   B-NAME
Giles   I-NAME
to   O
monitor   O
symptoms   O
and   O
to   O
return   O
to   O
Hunt   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
contact   O
34881   B-CONTACT
if   O
there   O
is   O
any   O
worsening   O
of   O
symptoms   O
,   O
such   O
as   O
increased   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
not   O
relieved   O
by   O
rest   O
,   O
or   O
if   O
they   O
experience   O
symptoms   O
suggestive   O
of   O
a   O
heart   O
attack   O
.   O

The   O
plan   O
is   O
to   O
review   O
Short   B-NAME
's   O
progress   O
continuously   O
and   O
adjust   O
treatment   O
as   O
necessary   O
,   O
with   O
further   O
diagnostic   O
testing   O
to   O
be   O
considered   O
based   O
on   O
symptomatology   O
and   O
response   O
to   O
initial   O
management   O
.   O

Prepared   O
by   O
:   O
Deandre   B-NAME
Galloway   I-NAME
Medical   O
Organization   O
:   O

Federated   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
Date   O
:   O
00/33/2390   B-DATE
Contact   O
Information   O
:   O
950   B-CONTACT
-   I-CONTACT
6188   I-CONTACT

Patient   O
Name   O
:   O
BRIANNA   B-NAME
WILKES   I-NAME
Age   O
:   O
32   O
Phone   O
Number   O
:   O
12498   B-CONTACT
Medical   O
Record   O
Number   O
:   O
2017464   B-ID
Date   O
of   O
Visit   O
:   O
20st   B-DATE
Attending   O
Doctor   O
:   O
Chaucer   B-NAME
,   I-NAME
Geoffrey   I-NAME
Hospital   O
:   O
North   B-LOCATION
Central   I-LOCATION
Bronx   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
California   B-LOCATION
Zip   O
Code   O
:   O
27467   B-LOCATION
ID   O
Number   O
:   O
GF   B-ID
:   I-ID
EX:9414   I-ID
Employer   O
:   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Cootie   I-LOCATION
Auxiliary   I-LOCATION
(   I-LOCATION
MOCA   I-LOCATION
)   I-LOCATION
Occupation   O
:   O
Aircraft   O
Launch   O
and   O
Recovery   O
Officers   O
Username   O
:   O
laf961   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Jaycee   B-NAME
Larsen   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Nicholas   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
2394   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
had   O
begun   O
approximately   O
6   O
hours   O
prior   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Tate   B-NAME
Zavala   I-NAME
reported   O
that   O
the   O
pain   O
started   O
suddenly   O
after   O
eating   O
a   O
large   O
meal   O
.   O

Past   O
Medical   O
History   O
:   O
Rosario   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
and   O
diet   O
modification   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Craig   B-NAME
Solis   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Initial   O
laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
basic   O
metabolic   O
panel   O
,   O
and   O
lipase   O
were   O
ordered   O
by   O
Ronan   B-NAME
Haney   I-NAME
.   O

Jazmyn   B-NAME
Horn   I-NAME
planned   O
for   O
Bruce   B-NAME
D   I-NAME
Brian   I-NAME
to   O
undergo   O
further   O
diagnostic   O
imaging   O
with   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
in   O
addition   O
to   O
the   O
ultrasound   O
,   O
to   O
confirm   O
the   O
diagnosis   O
.   O

Pending   O
diagnostic   O
results   O
,   O
the   O
plan   O
included   O
starting   O
Ito   B-NAME
on   O
IV   O
fluids   O
for   O
hydration   O
and   O
initiating   O
broad   O
-   O
spectrum   O
antibiotics   O
as   O
a   O
precautionary   O
measure   O
against   O
potential   O
infection   O
.   O

In   O
the   O
event   O
that   O
appendicitis   O
is   O
confirmed   O
,   O
Victoria   B-NAME
Xing   I-NAME
will   O
be   O
referred   O
for   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Consent   O
for   O
the   O
recommended   O
diagnostic   O
tests   O
and   O
treatments   O
was   O
obtained   O
from   O
Maxwell   B-NAME
after   O
explaining   O
the   O
potential   O
risks   O
and   O
benefits   O
.   O

For   O
further   O
inquiries   O
or   O
updates   O
on   O
Rhett   B-NAME
Johnston   I-NAME
’s   O
condition   O
,   O
please   O
contact   O
Rodriguez   B-NAME
at   O
51693   B-CONTACT
.   O

General   O
Examination   O
Patient   O
Name   O
:   O
Guillermo   B-NAME
Chapman   I-NAME
Age   O
:   O
28   O
Date   O
of   O
Examination   O
:   O
6/29   B-DATE
Primary   O
Physician   O
:   O

Odom   B-NAME
Hospital   O
:   O

Marshall   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
Medical   O
Record   O
Number   O
:   O
9376396   B-ID
Location   O
of   O
Consultation   O
:   O
Harbor   B-LOCATION
View   I-LOCATION
Contact   O
Number   O
:   O
116   B-CONTACT
-   I-CONTACT
4160   I-CONTACT
Occupation   O
:   O
Computer   O
Systems   O
Analysts   O
Zip   O
Code   O
:   O
69354   B-LOCATION
Clinical   O
Summary   O
:   O
Handy   B-NAME
,   I-NAME
W.   I-NAME
C.   I-NAME
visited   O
the   O
general   O
medicine   O
outpatient   O
department   O
at   O
Delta   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Clinton   B-LOCATION
,   O
on   O
34/22   B-DATE
,   O
reporting   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
,   O
intermittent   O
,   O
and   O
localized   O
abdominal   O
pain   O
,   O
predominantly   O
situated   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Tony   B-NAME
Wilkinson   I-NAME
,   O
a   O
Computer   O
,   O
Automated   O
Teller   O
,   O
and   O
Office   O
Machine   O
Repairers   O
by   O
occupation   O
,   O
mentions   O
that   O
the   O
pain   O
significantly   O
impairs   O
the   O
ability   O
to   O
perform   O
daily   O
tasks   O
effectively   O
.   O

Additionally   O
,   O
Blake   B-NAME
Sheppard   I-NAME
reports   O
experiencing   O
episodes   O
of   O
nausea   O
,   O
without   O
vomiting   O
,   O
especially   O
during   O
morning   O
hours   O
.   O

Bowel   O
habits   O
have   O
altered   O
,   O
with   O
Marcus   B-NAME
Aurelius   I-NAME
Frohock   I-NAME
experiencing   O
constipation   O
alternating   O
with   O
episodes   O
of   O
loose   O
stools   O
.   O

Duran   B-NAME
denies   O
any   O
fever   O
,   O
but   O
mentions   O
feeling   O
generally   O
unwell   O
.   O

Advise   O
GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
to   O
maintain   O
a   O
symptom   O
diary   O
,   O
noting   O
down   O
any   O
changes   O
in   O
symptoms   O
or   O
new   O
symptoms   O
that   O
emerge   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
32/30/21   B-DATE
at   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Boonton   I-LOCATION
Township   I-LOCATION
to   O
review   O
test   O
results   O
and   O
assess   O
symptom   O
progression   O
.   O

Aurelius   B-NAME
Hogue   I-NAME
is   O
advised   O
to   O
contact   O
56060   B-CONTACT
in   O
case   O
of   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
development   O
of   O
new   O
symptoms   O
.   O

Report   O
Prepared   O
By   O
:   O
Melissande   B-NAME
Bauer   I-NAME
Signature   O
:   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O

Date   O
:   O
2102   B-DATE

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Quinton   B-NAME
Lovett   I-NAME
,   O
a   O
71   O
-   O
year   O
-   O
old   O
Graders   O
and   O
Sorters   O
,   O
Agricultural   O
Products   O
presenting   O
to   O
the   O
emergency   O
department   O
of   O
Auburn   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
32/0   B-DATE
with   O
symptoms   O
that   O
began   O
approximately   O
48   O
hours   O
prior   O
.   O

Maci   B-NAME
Short   I-NAME
resides   O
in   O
Richardson   B-LOCATION
,   O
with   O
a   O
zip   O
code   O
of   O
82558   B-LOCATION
,   O
and   O
can   O
be   O
reached   O
at   O
294   B-CONTACT
4704   I-CONTACT
.   O

The   O
patient   O
’s   O
primary   O
care   O
physician   O
is   O
Vaughan   B-NAME
,   O
and   O
the   O
patient   O
’s   O
medical   O
record   O
number   O
is   O
920   B-ID
-   I-ID
13   I-ID
-   I-ID
01   I-ID
-   I-ID
8   I-ID
.   O

Past   O
medical   O
history   O
is   O
significant   O
for   O
hyperlipidemia   O
,   O
for   O
which   O
Pope   B-NAME
takes   O
medication   O
.   O

No   O
known   O
drug   O
allergies   O
are   O
noted   O
in   O
Colleen   B-NAME
Flaherty   I-NAME
Richards   I-NAME
's   O
medical   O
record   O
.   O

Management   O
included   O
immediate   O
surgical   O
consultation   O
,   O
and   O
Irwin   B-NAME
was   O
prepared   O
for   O
an   O
appendectomy   O
.   O

French   B-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
consented   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
the   O
morning   O
of   O
Thursday   B-DATE
.   O

Instructions   O
for   O
follow   O
-   O
up   O
include   O
an   O
appointment   O
with   O
Sedaris   B-NAME
,   I-NAME
David   I-NAME
at   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Taylor   I-LOCATION
approximately   O
two   O
weeks   O
post   O
-   O
discharge   O
for   O
wound   O
check   O
and   O
to   O
monitor   O
recovery   O
progress   O
.   O

Gassée   B-NAME
,   I-NAME
Jean   I-NAME
-   I-NAME
Louis   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
symptoms   O
indicative   O
of   O
infection   O
.   O

Meadow   B-NAME
Pratt   I-NAME
was   O
discharged   O
on   O
21/24/56   B-DATE
with   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
antibiotics   O
.   O

The   O
contact   O
number   O
for   O
the   O
surgical   O
department   O
is   O
40345   B-CONTACT
,   O
should   O
River   B-NAME
Leach   I-NAME
have   O
any   O
immediate   O
concerns   O
or   O
complications   O
.   O

In   O
conclusion   O
,   O
Giselle   B-NAME
Good   I-NAME
,   O
a   O
67   O
-   O
year   O
-   O
old   O
police   O
officer   O
presented   O
with   O
classic   O
symptoms   O
of   O
appendicitis   O
.   O

All   O
privacy   O
information   O
has   O
been   O
handled   O
per   O
HIPAA   O
guidelines   O
,   O
ensuring   O
Axel   B-NAME
Fitzgerald   I-NAME
's   O
information   O
remains   O
confidential   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Bruna   B-NAME
Oglesby   I-NAME
Age   O
:   O
5   O
DOB   O
:   O

23/21   B-DATE
Address   O
:   O
Okeechobee   B-LOCATION
,   O
95932   B-LOCATION
Phone   O
:   O
39834   B-CONTACT
Medical   O
Record   O
No   O
:   O
718   B-ID
-   I-ID
39   I-ID
-   I-ID
20   I-ID
-   I-ID
9   I-ID
ID   O
No   O
:   O
554054819   B-ID
Employment   O
:   O
Rotary   O
Drill   O
Operators   O
,   O
Oil   O
and   O
Gas   O
at   O
Broadcasting   B-LOCATION
Entertainment   I-LOCATION
Cinematograph   I-LOCATION
and   I-LOCATION
Theatre   I-LOCATION
Union   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Jaylin   B-NAME
Rhodes   I-NAME
,   O
presented   O
to   O
the   O
hospital   O
on   O
16/03   B-DATE
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Medical   O
History   O
:   O
William   B-NAME
K.   I-NAME
Joslin   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
UMANA   B-NAME
,   I-NAME
BRUCE   I-NAME
was   O
afebrile   O
with   O
a   O
temperature   O
of   O
37.5   O
°   O
C   O
,   O
heart   O
rate   O
was   O
98   O
bpm   O
,   O
and   O
blood   O
pressure   O
was   O
135/85   O
mmHg   O
.   O

Management   O
and   O
Outcomes   O
:   O
The   O
attending   O
physician   O
,   O
Dr.   O
Kianna   B-NAME
Mcclure   I-NAME
,   O
diagnosed   O
Yon   B-NAME
Sandt   I-NAME
with   O
acute   O
appendicitis   O
.   O

After   O
discussing   O
the   O
risks   O
and   O
benefits   O
of   O
surgery   O
with   O
Gael   B-NAME
Bates   I-NAME
,   O
a   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
3/2   B-DATE
without   O
complications   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Newport   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
post   O
-   O
operative   O
care   O
and   O
monitoring   O
.   O

Yesenia   B-NAME
Roy   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
Sunday   B-DATE
,   I-DATE
December   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
level   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
schedule   O
.   O

Follow   O
-   O
Up   O
:   O
Garrett   B-NAME
Perez   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Payton   B-NAME
Morrow   I-NAME
in   O
Earth   B-LOCATION
on   O
11/22/76   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
discuss   O
any   O
concerns   O
.   O

For   O
Any   O
Concerns   O
or   O
Emergencies   O
:   O
Contact   O
Dr.   O
Ayla   B-NAME
Fox   I-NAME
at   O
(   B-CONTACT
581   I-CONTACT
)   I-CONTACT
367   I-CONTACT
-   I-CONTACT
1430   I-CONTACT
or   O
visit   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
Kings   I-LOCATION
County   I-LOCATION
Emergency   O
Department   O
.   O

This   O
report   O
was   O
completed   O
by   O
zth933   B-NAME
on   O
May   B-DATE
23   I-DATE
.   O

Patient   O
Name   O
:   O
London   B-NAME
Santiago   I-NAME
Patient   O
ID   O
:   O
VB   B-ID
:   I-ID
FU:1262   I-ID
Medical   O
Record   O
Number   O
:   O
3463678   B-ID
Date   O
of   O
Birth   O
:   O
35/20   B-DATE
Age   O
:   O
88   O
Address   O
:   O
Sherburne   B-LOCATION
,   O
25315   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
307   I-CONTACT
)   I-CONTACT
942   I-CONTACT
4358   I-CONTACT
Attending   O
Physician   O
:   O

Acevedo   B-NAME
Hospital   O
:   O
Norton   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
&   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2002   B-DATE
Profession   O
:   O

Anesthesiologist   O
Assistants   O
Summary   O
:   O
Erna   B-NAME
Morris   I-NAME
,   O
a   O
74   O
-   O
year   O
-   O
old   O
Commercial   O
and   O
Industrial   O
Designers   O
from   O
New   B-LOCATION
Galilee   I-LOCATION
,   O
57435   B-LOCATION
,   O
presented   O
to   O
Two   B-LOCATION
Rivers   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
on   O
32/35/2260   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
persistent   O
headaches   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
episodes   O
of   O
photophobia   O
and   O
phonophobia   O
.   O

Jamie   B-NAME
Frazier   I-NAME
described   O
the   O
headaches   O
as   O
throbbing   O
in   O
nature   O
,   O
with   O
a   O
pain   O
severity   O
score   O
of   O
8   O
out   O
of   O
10   O
,   O
and   O
noted   O
that   O
the   O
episodes   O
have   O
been   O
increasing   O
in   O
frequency   O
over   O
the   O
past   O
2292   B-DATE
-   I-DATE
38   I-DATE
-   I-DATE
11   I-DATE
.   O
XAYSANA   B-NAME
,   I-NAME
YUSEF   I-NAME
was   O
referred   O
to   O
Cherry   B-NAME
for   O
further   O
evaluation   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Bokini   B-NAME
,   I-NAME
Ratu   I-NAME
Ovini   I-NAME
noted   O
that   O
Delora   B-NAME
Bricker   I-NAME
's   O
vitals   O
were   O
stable   O
.   O

However   O
,   O
Jac   B-NAME
reported   O
nausea   O
and   O
had   O
vomited   O
once   O
on   O
the   O
morning   O
of   O
8/9   B-DATE
.   O

Brennen   B-NAME
Horne   I-NAME
has   O
a   O
medical   O
history   O
of   O
episodic   O
migraines   O
but   O
described   O
the   O
current   O
episodes   O
as   O
more   O
severe   O
and   O
disruptive   O
than   O
usual   O
.   O
Investigations   O
:   O
A   O
comprehensive   O
blood   O
panel   O
was   O
ordered   O
,   O
and   O
the   O
results   O
were   O
within   O
normal   O
limits   O
.   O

Brain   O
MRI   O
performed   O
on   O
2114   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
21   I-DATE
showed   O
no   O
acute   O
abnormalities   O
.   O

A   O
lumbar   O
puncture   O
was   O
suggested   O
but   O
Carroll   B-NAME
declined   O
.   O

Oliver   B-NAME
Oates   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
onset   O
,   O
duration   O
,   O
severity   O
,   O
and   O
associated   O
symptoms   O
of   O
each   O
episode   O
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
June   B-DATE
8   I-DATE
to   O
assess   O
treatment   O
efficacy   O
and   O
to   O
consider   O
any   O
necessary   O
adjustments   O
to   O
the   O
management   O
plan   O
.   O

For   O
any   O
queries   O
or   O
urgent   O
concerns   O
,   O
Frantz   B-NAME
can   O
reach   O
out   O
to   O
Sumner   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wellington   I-LOCATION
's   O
General   O
Helpline   O
at   O
865   B-CONTACT
9777   I-CONTACT
.   O

Note   O
:   O
Please   O
ensure   O
to   O
keep   O
this   O
medical   O
record   O
in   O
a   O
secure   O
location   O
and   O
refer   O
to   O
the   O
privacy   O
guidelines   O
of   O
Elective   B-LOCATION
Confederacy   I-LOCATION
regarding   O
the   O
sharing   O
and   O
management   O
of   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
.   O

The   O
patient   O
,   O
Louis   B-NAME
Beasley   I-NAME
,   O
a   O
Radar   O
and   O
Sonar   O
Technicians   O
from   O
Preston   B-LOCATION
,   O
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
McAlester   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
3/23/81   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Blue   B-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Ali   B-NAME
Norman   I-NAME
has   O
been   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
last   O
24   O
hours   O
.   O

Upon   O
initial   O
assessment   O
,   O
Paul   B-NAME
Arteaga   I-NAME
,   O
19   O
years   O
old   O
,   O
displayed   O
signs   O
of   O
distress   O
characterized   O
by   O
restlessness   O
and   O
an   O
inability   O
to   O
find   O
a   O
comfortable   O
sitting   O
or   O
lying   O
position   O
.   O

Odis   B-NAME
's   O
past   O
medical   O
history   O
,   O
obtained   O
through   O
524   B-ID
-   I-ID
03   I-ID
-   I-ID
31   I-ID
-   I-ID
1   I-ID
and   O
verified   O
by   O
William   B-NAME
Chumley   I-NAME
,   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
metformin   O
and   O
a   O
history   O
of   O
cholecystectomy   O
2273   B-DATE
.   O

Physical   O
examination   O
conducted   O
by   O
Gloria   B-NAME
Bond   I-NAME
revealed   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
rebound   O
tenderness   O
noted   O
.   O

Jamie   B-NAME
Frazier   I-NAME
's   O
medical   O
record   O
number   O
571   B-ID
-   I-ID
52   I-ID
-   I-ID
80   I-ID
was   O
used   O
to   O
access   O
previous   O
health   O
records   O
,   O
which   O
indicated   O
no   O
prior   O
episodes   O
of   O
similar   O
symptoms   O
.   O

A   O
diagnostic   O
imaging   O
test   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
was   O
performed   O
on   O
00/22/2103   B-DATE
,   O
revealing   O
the   O
presence   O
of   O
what   O
appeared   O
to   O
be   O
a   O
large   O
appendix   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Lott   B-NAME
,   I-NAME
Trent   I-NAME
was   O
informed   O
of   O
the   O
findings   O
by   O
Benton   B-NAME
,   O
and   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
6/30   B-DATE
at   O
Lehigh   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Consent   O
for   O
the   O
procedure   O
was   O
obtained   O
from   O
Baillie   B-NAME
,   I-NAME
Bruce   I-NAME
after   O
a   O
detailed   O
explanation   O
of   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
operation   O
.   O

Post   O
-   O
operatively   O
,   O
Frantz   B-NAME
reported   O
significant   O
relief   O
from   O
the   O
initial   O
symptoms   O
.   O

The   O
surgery   O
site   O
appeared   O
clean   O
with   O
no   O
signs   O
of   O
infection   O
during   O
the   O
follow   O
-   O
up   O
visit   O
on   O
2/2   B-DATE
.   O

Kendrick   B-NAME
Duncan   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
2   O
weeks   O
or   O
to   O
return   O
earlier   O
if   O
there   O
were   O
any   O
concerning   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
increased   O
pain   O
.   O

Contact   O
information   O
given   O
to   O
Tyler   B-NAME
Wilson   I-NAME
included   O
the   O
45861   B-CONTACT
number   O
of   O
the   O
surgical   O
department   O
at   O
Lake   B-LOCATION
Cumberland   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
urgent   O
queries   O
.   O

In   O
summary   O
,   O
Dinorah   B-NAME
Ruoff   I-NAME
,   O
a   O
Designers   O
,   O
All   O
Other   O
from   O
Middle   B-LOCATION
Valley   I-LOCATION
,   O
presented   O
with   O
acute   O
appendicitis   O
.   O

Following   O
successful   O
surgical   O
intervention   O
at   O
The   B-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
Providence   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
,   O
Burl   B-NAME
Harty   I-NAME
demonstrated   O
remarkable   O
improvement   O
.   O

The   O
case   O
was   O
documented   O
under   O
the   O
medical   O
record   O
number   O
833   B-ID
-   I-ID
10   I-ID
-   I-ID
01   I-ID
-   I-ID
9   I-ID
and   O
will   O
be   O
followed   O
up   O
by   O
Perkins   B-NAME
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Plano   I-LOCATION
.   O

Further   O
instructions   O
were   O
provided   O
to   O
Lysander   B-NAME
Harlan   I-NAME
regarding   O
post   O
-   O
operative   O
care   O
,   O
and   O
emergency   O
contact   O
information   O
was   O
given   O
(   O
509   B-CONTACT
9415   I-CONTACT
)   O
for   O
any   O
immediate   O
concerns   O
.   O

Patient   O
:   O
Prince   B-NAME
Medical   O
Record   O
Number   O
:   O
2695880   B-ID
Date   O
of   O
Birth   O
:   O
7/9/2322   B-DATE
Age   O
:   O
32   O
Address   O
:   O
Sparland   B-LOCATION
,   O
61137   B-LOCATION
Phone   O
:   O
(   B-CONTACT
280   I-CONTACT
)   I-CONTACT
288   I-CONTACT
2798   I-CONTACT
Attending   O
Physician   O
:   O
Valenzuela   B-NAME
Hospital   O
:   O

Elliot   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2202   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
20   I-DATE
SSN   O
:   O
0   B-ID
-   I-ID
2071781   I-ID
Username   O
:   O

jsl607   B-NAME
Occupation   O
:   O
Armored   O
Assault   O
Vehicle   O
Officers   O
Medical   O
History   O
:   O
Edith   B-NAME
Becker   I-NAME
was   O
admitted   O
to   O
Newport   B-LOCATION
Hospital   I-LOCATION
on   O
25/22   B-DATE
with   O
complaints   O
of   O
persisting   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
multiple   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

Farrell   B-NAME
’s   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
which   O
are   O
currently   O
managed   O
with   O
medication   O
.   O

Clinical   O
Findings   O
:   O
During   O
the   O
physical   O
examination   O
upon   O
admission   O
,   O
Mila   B-NAME
Liu   I-NAME
presented   O
with   O
localized   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Imaging   O
studies   O
,   O
including   O
an   O
abdominal   O
ultrasound   O
,   O
were   O
ordered   O
by   O
Pater   B-NAME
,   I-NAME
Walter   I-NAME
,   O
which   O
showed   O
signs   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

The   O
procedure   O
was   O
performed   O
successfully   O
on   O
July   B-DATE
of   I-DATE
2292   I-DATE
.   O

Haley   B-NAME
Santiago   I-NAME
was   O
administered   O
antibiotics   O
post   O
-   O
operatively   O
to   O
prevent   O
infection   O
and   O
was   O
recommended   O
to   O
follow   O
a   O
specific   O
dietary   O
plan   O
during   O
the   O
recovery   O
period   O
.   O

Follow   O
-   O
Up   O
and   O
Discharge   O
Plans   O
:   O
Mantis   B-NAME
Toboggan   I-NAME
showed   O
significant   O
improvement   O
post   O
-   O
operation   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
Gasburg   B-LOCATION
with   O
Beckham   B-NAME
Rasmussen   I-NAME
on   O
01/29   B-DATE
.   O

Tomas   B-NAME
Joseph   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
two   O
weeks   O
post   O
-   O
discharge   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
Thursday   B-DATE
,   I-DATE
January   I-DATE
with   O
all   O
necessary   O
prescriptions   O
and   O
educational   O
material   O
regarding   O
post   O
-   O
operative   O
care   O
.   O

Emergency   O
Contact   O
:   O
X.   B-NAME
Hayes   I-NAME
listed   O
Rex   B-NAME
Hensley   I-NAME
’s   O
Geographic   O
Information   O
Systems   O
Technicians   O
as   O
the   O
emergency   O
contact   O
,   O
reachable   O
at   O
19344   B-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
contains   O
protected   O
health   O
information   O
meant   O
solely   O
for   O
the   O
use   O
of   O
Ocala   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
and   O
its   O
authorized   O
personnel   O
.   O

Patient   O
Report   O
---   O
*   O
*   O
Patient   O
Information   O
:*   O
*   O
Name   O
:   O
Mercury   B-NAME
,   I-NAME
Freddie   I-NAME
Age   O
:   O
15   O
ID   O
:   O
HS   B-ID
:   I-ID
ZC:4510   I-ID
Medical   O
Record   O
:   O
28904249   B-ID
Location   O
:   O
Sharpes   B-LOCATION
Phone   O
:   O
(   B-CONTACT
188   I-CONTACT
)   I-CONTACT
557   I-CONTACT
8166   I-CONTACT
Date   O
:   O
17/22   B-DATE
---   O
*   O
*   O
Referral   O
by   O
:*   O
*   O
Dr.   O
Johnathon   B-NAME
Cruz   I-NAME
Organization   O
:   O

Principality   B-LOCATION
of   I-LOCATION
Constellations   I-LOCATION
Hospital   O
:   O

Bolivar   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Doctor   O
's   O
Phone   O
:   O
641   B-CONTACT
-   I-CONTACT
3976   I-CONTACT
*   O
*   O
History   O
of   O
Present   O
Illness   O
:*   O
*   O
Kelsi   B-NAME
Rouleau   I-NAME
,   O
a   O
Tire   O
Builders   O
from   O
Waite   B-LOCATION
Park   I-LOCATION
,   O
presents   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
dry   O
cough   O
.   O

Kirsten   B-NAME
Fry   I-NAME
denies   O
any   O
recent   O
travels   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

HINES   B-NAME
,   I-NAME
ALEXANDER   I-NAME
SAMMY   I-NAME
also   O
reports   O
a   O
moderate   O
,   O
unexplained   O
weight   O
loss   O
over   O
the   O
last   O
month   O
,   O
which   O
was   O
not   O
intentional   O
.   O

*   O
*   O
Past   O
Medical   O
History   O
:*   O
*   O
Claudia   B-NAME
Villars   I-NAME
has   O
a   O
history   O
of   O
controlled   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

There   O
is   O
no   O
history   O
of   O
pulmonary   O
disease   O
,   O
and   O
Stewart   B-NAME
Barnes   I-NAME
is   O
a   O
nonsmoker   O
.   O

A   O
follow   O
-   O
up   O
HRCT   O
scan   O
is   O
scheduled   O
for   O
2262   B-DATE
to   O
reassess   O
pulmonary   O
findings   O
.   O

*   O
*   O
Follow   O
-   O
up   O
:*   O
*   O
Silva   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Jacobson   B-NAME
at   O
Washington   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/10/33   B-DATE
.   O

Daphne   B-NAME
Phelps   I-NAME
is   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
if   O
new   O
symptoms   O
develop   O
.   O

Patient   O
Report   O
for   O
YERGER   B-NAME
,   I-NAME
DESEAN   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
80   O
ID   O
:   O
JV979/5239   B-ID
Medical   O
Record   O
Number   O
:   O
2968469   B-ID
Treatment   O
Facility   O
:   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
West   I-LOCATION
Kendall   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Timberlake   B-LOCATION
ZIP   O
:   O
16234   B-LOCATION
Date   O
of   O
Report   O
:   O
January   B-DATE
2   I-DATE
Primary   O
Physician   O
:   O
Dr.   O
Abagnale   B-NAME
,   I-NAME
Frank   I-NAME
Contact   O
Phone   O
:   O
371   B-CONTACT
-   I-CONTACT
1990   I-CONTACT
Symptoms   O
and   O
Findings   O
:   O
Anthony   B-NAME
Everett   I-NAME
presented   O
to   O
Champlain   B-LOCATION
Valley   I-LOCATION
Physicians   I-LOCATION
Hospital   I-LOCATION
on   O
July   B-DATE
with   O
complaints   O
of   O
an   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
indicative   O
of   O
possible   O
appendicitis   O
.   O

Along   O
with   O
abdominal   O
discomfort   O
,   O
Geagea   B-NAME
,   I-NAME
Samir   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
suggestive   O
of   O
an   O
ongoing   O
infection   O
.   O

Upon   O
examination   O
,   O
Quentin   B-NAME
Carlson   I-NAME
's   O
abdomen   O
was   O
tender   O
to   O
palpation   O
,   O
particularly   O
in   O
the   O
McBurney   O
's   O
point   O
area   O
.   O

Jayden   B-NAME
Malone   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
7   B-DATE
-   I-DATE
9   I-DATE
under   O
the   O
care   O
of   O
Dr.   O
Lennon   B-NAME
,   I-NAME
John   I-NAME
.   O

The   O
procedure   O
was   O
explained   O
to   O
Buddha   B-NAME
,   I-NAME
Gautama   I-NAME
,   O
including   O
potential   O
risks   O
and   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

Consent   O
was   O
obtained   O
verbally   O
and   O
documented   O
in   O
Koen   B-NAME
Greer   I-NAME
's   O
medical   O
record   O
(   O
67190757   B-ID
)   O
.   O

Post   O
-   O
operative   O
Care   O
:   O
Steve   B-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
immediate   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
25/10   B-DATE
at   O
West   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Limbaugh   B-NAME
,   I-NAME
Rush   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
monitoring   O
for   O
signs   O
of   O
infection   O
or   O
unusual   O
discomfort   O
and   O
was   O
provided   O
with   O
635   B-CONTACT
-   I-CONTACT
851   I-CONTACT
-   I-CONTACT
8839   I-CONTACT
for   O
direct   O
communication   O
with   O
the   O
surgical   O
team   O
.   O

Instructions   O
for   O
activity   O
restriction   O
,   O
dietary   O
guidelines   O
,   O
and   O
pain   O
management   O
were   O
provided   O
to   O
support   O
Gayle   B-NAME
Arrant   I-NAME
's   O
recovery   O
at   O
home   O
.   O

Professional   O
involved   O
:   O
Surgical   O
care   O
was   O
led   O
by   O
Dr.   O
Cash   B-NAME
,   I-NAME
Johnny   I-NAME
,   O
with   O
support   O
from   O
the   O
surgical   O
nursing   O
team   O
at   O
Carle   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
.   O

Printing   O
Machine   O
Operators   O
at   O
World   B-LOCATION
Series   I-LOCATION
of   I-LOCATION
Beer   I-LOCATION
Pong   I-LOCATION
(   I-LOCATION
WSOBP   I-LOCATION
)   I-LOCATION
was   O
consulted   O
for   O
rehabilitation   O
advice   O
post   O
-   O
discharge   O
,   O
ensuring   O
a   O
comprehensive   O
approach   O
to   O
Ulises   B-NAME
Lopez   I-NAME
's   O
care   O
.   O

Conclusion   O
:   O
Channing   B-NAME
,   I-NAME
William   I-NAME
Ellery   I-NAME
's   O
early   O
presentation   O
and   O
prompt   O
surgical   O
intervention   O
for   O
suspected   O
appendicitis   O
likely   O
prevented   O
more   O
severe   O
complications   O
.   O

Further   O
updates   O
on   O
Eryn   B-NAME
Reach   I-NAME
's   O
condition   O
and   O
progress   O
will   O
be   O
documented   O
in   O
subsequent   O
reports   O
as   O
necessary   O
.   O

Report   O
Prepared   O
by   O
:   O
hvt48   B-NAME
End   O
of   O
Report   O

Patient   O
Report   O
for   O
Miles   B-NAME
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Matthias   B-NAME
Norris   I-NAME
-   O
Age   O
:   O
39s   O
-   O
Medical   O
Record   O
Number   O
:   O
67269503   B-ID
-   O
ID   O
:   O
XN:12433:214395   B-ID
-   O
Contact   O
Information   O
:   O
532   B-CONTACT
9203   I-CONTACT
-   O
Address   O
:   O
Rochester   B-LOCATION
,   I-LOCATION
Rochester   I-LOCATION
DDA   I-LOCATION
,   O
33844   B-LOCATION
Clinical   O
Information   O
:   O
-   O
Attending   O
Physician   O
:   O
Brontë   B-NAME
,   I-NAME
Emily   I-NAME
-   O
Date   O
of   O
Admission   O
:   O
22/10   B-DATE
-   O
Date   O
of   O
Report   O
:   O
6/72   B-DATE
-   O
Hospital   O
:   O
VA   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Feelgood   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
32/2023   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Myles   B-NAME
Schmitt   I-NAME
was   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
knox   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
13/12   B-DATE
at   O
Adventist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hanford   I-LOCATION
by   O
Reagan   B-NAME
Huerta   I-NAME
.   O

Follow   O
-   O
up   O
and   O
Prognosis   O
:   O
Kierra   B-NAME
Ayala   I-NAME
was   O
discharged   O
on   O
03/02/34   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Zain   B-NAME
Henry   I-NAME
in   O
two   O
weeks   O
.   O

Author   O
:   O
RT93   B-NAME
,   O
Nurse   O
at   O
Allegheny   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Note   O
:   O
This   O
report   O
is   O
confidential   O
and   O
contains   O
protected   O
health   O
information   O
.   O

The   O
patient   O
,   O
Colene   B-NAME
Lodi   I-NAME
,   O
a   O
82   O
-   O
year   O
-   O
old   O
Operations   O
Research   O
Analysts   O
from   O
Partridge   B-LOCATION
,   O
presented   O
to   O
Spring   B-LOCATION
Harbor   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/16/2102   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
which   O
has   O
been   O
persistent   O
for   O
the   O
past   O
3   O
days   O
.   O

Youngman   B-NAME
reports   O
the   O
onset   O
was   O
gradual   O
and   O
has   O
intensified   O
over   O
the   O
first   O
24   O
hours   O
.   O

Past   O
medical   O
history   O
obtained   O
from   O
56120670   B-ID
indicates   O
Eckhart   B-NAME
,   I-NAME
Meister   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
,   O
with   O
the   O
last   O
incident   O
documented   O
approximately   O
two   O
years   O
ago   O
.   O

Jaslene   B-NAME
Fuller   I-NAME
denies   O
recent   O
travel   O
history   O
or   O
any   O
sick   O
contacts   O
.   O

Family   O
history   O
is   O
significant   O
for   O
migraines   O
,   O
as   O
noted   O
in   O
the   O
health   O
records   O
of   O
XD   B-NAME
's   O
parents   O
.   O

Upon   O
examination   O
,   O
Kline   B-NAME
noted   O
that   O
Derek   B-NAME
Gaines   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
;   O
however   O
,   O
physical   O
examination   O
revealed   O
photophobia   O
and   O
phonophobia   O
.   O

Rodger   B-NAME
Durkin   I-NAME
's   O
blood   O
tests   O
,   O
ordered   O
under   O
reference   O
9   B-ID
-   I-ID
1744149   I-ID
,   O
came   O
back   O
normal   O
.   O

The   O
assumed   O
diagnosis   O
for   O
Daniella   B-NAME
Rangel   I-NAME
by   O
Alani   B-NAME
Gill   I-NAME
is   O
a   O
severe   O
migraine   O
without   O
aura   O
.   O

Godfrey   B-NAME
,   I-NAME
Kelley   I-NAME
was   O
provided   O
with   O
education   O
on   O
lifestyle   O
modifications   O
that   O
could   O
potentially   O
minimize   O
the   O
frequency   O
and   O
severity   O
of   O
future   O
migraine   O
episodes   O
and   O
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
.   O

Follow   O
-   O
up   O
care   O
was   O
arranged   O
,   O
with   O
Darren   B-NAME
scheduled   O
to   O
return   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
for   O
a   O
review   O
on   O
10/23/33   B-DATE
.   O

Latisha   B-NAME
was   O
also   O
provided   O
with   O
the   O
62783   B-CONTACT
number   O
of   O
the   O
headache   O
clinic   O
at   O
Meritus   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
should   O
there   O
be   O
no   O
improvement   O
,   O
or   O
if   O
symptoms   O
worsen   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

The   O
contact   O
details   O
of   O
a   O
local   O
pharmacy   O
in   O
Moorefield   B-LOCATION
,   O
with   O
37381   B-LOCATION
,   O
were   O
given   O
to   O
Stephane   B-NAME
so   O
the   O
prescriptions   O
could   O
be   O
filled   O
promptly   O
.   O

In   O
order   O
to   O
maintain   O
a   O
comprehensive   O
care   O
approach   O
,   O
Tessa   B-NAME
Wilkinson   I-NAME
also   O
recommended   O
that   O
Jarvis   B-NAME
consider   O
consultation   O
with   O
a   O
neurologist   O
specializing   O
in   O
headache   O
management   O
,   O
affiliated   O
with   O
Cochin   B-LOCATION
City   I-LOCATION
Motor   I-LOCATION
Thozhilali   I-LOCATION
Union   I-LOCATION
.   O

The   O
recommendation   O
was   O
documented   O
in   O
Urwin   B-NAME
Orosco   I-NAME
's   O
medical   O
record   O
,   O
229   B-ID
-   I-ID
43   I-ID
-   I-ID
86   I-ID
,   O
along   O
with   O
instructions   O
for   O
the   O
Johnson   B-NAME
,   I-NAME
Boris   I-NAME
to   O
contact   O
Genesis   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Davenport   I-LOCATION
's   O
referral   O
coordination   O
department   O
at   O
866   B-CONTACT
236   I-CONTACT
-   I-CONTACT
9789   I-CONTACT
for   O
an   O
appointment   O
.   O

Reese   B-NAME
stressed   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
treatment   O
plan   O
and   O
encouraged   O
Chung   B-NAME
to   O
reach   O
out   O
if   O
there   O
were   O
any   O
questions   O
or   O
concerns   O
,   O
providing   O
additional   O
contact   O
information   O
and   O
suggesting   O
the   O
use   O
of   O
Skagit   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
's   O
online   O
patient   O
portal   O
,   O
managed   O
by   O
nlr331   B-NAME
,   O
for   O
easier   O
access   O
to   O
health   O
records   O
and   O
communication   O
with   O
the   O
healthcare   O
team   O
.   O

Patient   O
Report   O
:   O
General   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Eddie   B-NAME
Zajac   I-NAME
-   O
Age   O
:   O
77   O
-   O
Medical   O
Record   O
Number   O
:   O
9597518   B-ID
-   O
ID   O
Number   O
:   O
94296   B-ID
-   O
Admission   O
Date   O
:   O
21/21   B-DATE
-   O
Discharge   O
Date   O
:   O
39/17   B-DATE
-   O
Attending   O
Physician   O
:   O

Gray   B-NAME
-   O
Location   O
of   O
Care   O
:   O
McKee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Goodwill   B-LOCATION
,   O
73836   B-LOCATION
-   O
Contact   O
Info   O
:   O
891   B-CONTACT
-   I-CONTACT
1798   I-CONTACT
Presenting   O
Problem   O
:   O
Levine   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Vassar   B-LOCATION
Brothers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/00/02   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bo   B-NAME
Ruiz   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
respiratory   O
rate   O
18   O
breaths   O
/   O
min   O
,   O
and   O
temperature   O
37.8   O
C.   O
Abdominal   O
examination   O
revealed   O
tenderness   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
with   O
rebound   O
tenderness   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
abdominal   O
ultrasound   O
performed   O
at   O
Inova   B-LOCATION
Alexandria   I-LOCATION
Hospital   I-LOCATION
on   O
3   B-DATE
-   I-DATE
26   I-DATE
revealed   O
the   O
presence   O
of   O
a   O
3   O
cm   O
cystic   O
mass   O
in   O
the   O
right   O
ovary   O
,   O
suggestive   O
of   O
a   O
ruptured   O
ovarian   O
cyst   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Coretta   B-NAME
Herwehe   I-NAME
was   O
admitted   O
to   O
Marshall   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
under   O
the   O
care   O
of   O
Morales   B-NAME
,   I-NAME
Evo   I-NAME
for   O
observation   O
and   O
pain   O
management   O
.   O

Recommendations   O
for   O
follow   O
-   O
up   O
included   O
an   O
outpatient   O
gynecologic   O
evaluation   O
within   O
one   O
week   O
of   O
discharge   O
and   O
a   O
repeat   O
ultrasound   O
in   O
22/38   B-DATE
to   O
assess   O
for   O
resolution   O
or   O
changes   O
in   O
the   O
ovarian   O
cyst   O
.   O

HANEY   B-NAME
,   I-NAME
ULYSSES   I-NAME
was   O
educated   O
on   O
the   O
signs   O
of   O
infection   O
,   O
instructed   O
to   O
maintain   O
adequate   O
hydration   O
,   O
and   O
advised   O
to   O
follow   O
a   O
low   O
-   O
residue   O
diet   O
temporarily   O
.   O

Deven   B-NAME
Gibbs   I-NAME
was   O
discharged   O
from   O
Methodist   B-LOCATION
Richardson   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/39   B-DATE
in   O
stable   O
condition   O
.   O

Follow   O
-   O
up   O
instructions   O
included   O
a   O
scheduled   O
appointment   O
with   O
a   O
gynecologist   O
at   O
Greenacres   B-LOCATION
on   O
1800   B-DATE
.   O

Professional   O
Contact   O
:   O
-   O
Telephone   O
Operators   O
:   O
vos627   B-NAME
-   O
Contact   O
Number   O
:   O
61102   B-CONTACT
-   O
Organization   O
:   O

Human   B-LOCATION
Rights   I-LOCATION
First   I-LOCATION
-   O
Location   O
:   O
Sri   B-LOCATION
Lanka   I-LOCATION
,   O
88844   B-LOCATION

The   O
above   O
report   O
is   O
a   O
comprehensive   O
summary   O
of   O
Ashtyn   B-NAME
Khan   I-NAME
's   O
presentation   O
,   O
evaluation   O
,   O
treatment   O
,   O
and   O
post   O
-   O
discharge   O
care   O
plan   O
related   O
to   O
the   O
incident   O
on   O
33/33   B-DATE
involving   O
a   O
ruptured   O
ovarian   O
cyst   O
.   O

Samson   B-NAME
Padilla   I-NAME
Medical   O
Record   O
Number   O
:   O
909   B-ID
-   I-ID
58   I-ID
-   I-ID
72   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
94   O
Date   O
of   O
Admission   O
:   O
02/22/2141   B-DATE
Attending   O
Physician   O
:   O

Hildred   B-NAME
Aguas   I-NAME
Hospital   O
:   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Denville   I-LOCATION
Location   O
of   O
Incident   O
:   O
Munising   B-LOCATION
Contact   O
Number   O
:   O
262   B-CONTACT
7147   I-CONTACT
Zip   O
Code   O
:   O
26284   B-LOCATION
Employer   O
:   O
Five   B-LOCATION
Below   I-LOCATION
Occupation   O
:   O
Production   O
,   O
Planning   O
,   O
and   O
Expediting   O
Clerks   O
UserID   O
:   O
ewt812   B-NAME
Patient   O
's   O
Identification   O
Number   O
:   O

BB329/1555   B-ID
Narrative   O
:   O

On   O
32/00   B-DATE
,   O
Deon   B-NAME
was   O
admitted   O
to   O
Navicent   B-LOCATION
Health   I-LOCATION
Baldwin   I-LOCATION
Emergency   O
Department   O
following   O
a   O
reported   O
incident   O
at   O
La   B-LOCATION
Vernia   I-LOCATION
.   O

The   O
initial   O
evaluation   O
was   O
conducted   O
by   O
Perry   B-NAME
,   O
who   O
noted   O
that   O
the   O
patient   O
presented   O
with   O
acute   O
dyspnea   O
,   O
notable   O
wheezing   O
,   O
and   O
a   O
persistent   O
cough   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

Eva   B-NAME
Henderson   I-NAME
's   O
vital   O
signs   O
upon   O
admission   O
were   O
recorded   O
as   O
follows   O
:   O

Further   O
assessment   O
revealed   O
that   O
Denzel   B-NAME
,   O
a   O
73   O
-   O
year   O
-   O
old   O
Nanoscientist   O
employed   O
at   O
John   B-LOCATION
Hancock   I-LOCATION
Insurance   I-LOCATION
,   O
experienced   O
exacerbation   O
of   O
symptoms   O
upon   O
physical   O
exertion   O
.   O

Chest   O
auscultation   O
by   O
Riggs   B-NAME
identified   O
bilateral   O
wheezes   O
and   O
diminished   O
breath   O
sounds   O
in   O
the   O
lower   O
lung   O
fields   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
investigations   O
,   O
Caleb   B-NAME
Walls   I-NAME
was   O
diagnosed   O
with   O
Community   O
-   O
Acquired   O
Pneumonia   O
(   O
CAP   O
)   O
.   O

Thompson   B-NAME
initiated   O
treatment   O
with   O
empirical   O
antimicrobial   O
therapy   O
,   O
following   O
which   O
Theodore   B-NAME
Rodriguez   I-NAME
's   O
condition   O
showed   O
gradual   O
improvement   O
.   O

Respiratory   O
support   O
and   O
fluid   O
management   O
were   O
optimized   O
as   O
per   O
the   O
standard   O
protocols   O
at   O
CaroMont   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Throughout   O
the   O
hospitalization   O
period   O
,   O
Krystal   B-NAME
Bernard   I-NAME
's   O
progress   O
was   O
meticulously   O
documented   O
in   O
their   O
medical   O
record   O
(   O
26529238   B-ID
)   O
.   O

In   O
alignment   O
with   O
Catawba   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
discharge   O
protocols   O
,   O
Ann   B-NAME
Vandenberg   I-NAME
received   O
comprehensive   O
education   O
on   O
medication   O
management   O
,   O
symptom   O
monitoring   O
,   O
and   O
the   O
importance   O
of   O
follow   O
-   O
up   O
appointments   O
.   O

Julie   B-NAME
Terry   I-NAME
scheduled   O
a   O
follow   O
-   O
up   O
visit   O
for   O
Monday   B-DATE
to   O
reassess   O
Lainey   B-NAME
Hampton   I-NAME
's   O
clinical   O
status   O
and   O
ensure   O
the   O
resolution   O
of   O
the   O
infection   O
.   O

Additionally   O
,   O
Nuvia   B-NAME
Nadeau   I-NAME
was   O
advised   O
to   O
avoid   O
exposure   O
to   O
known   O
respiratory   O
irritants   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
should   O
symptoms   O
recur   O
or   O
worsen   O
.   O

For   O
further   O
information   O
or   O
if   O
there   O
are   O
any   O
concerns   O
regarding   O
Bertram   B-NAME
Perrault   I-NAME
's   O
care   O
,   O
please   O
contact   O
Sanpete   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
at   O
53924   B-CONTACT
.   O

Please   O
refer   O
to   O
the   O
patient   O
's   O
ID   O
(   O
961458878   B-ID
)   O
when   O
inquiring   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Frankie   B-NAME
Dillon   I-NAME
Age   O
:   O
70   O
Medical   O
Record   O
Number   O
:   O
16997169   B-ID
Date   O
of   O
Admission   O
:   O
32/21   B-DATE
Location   O
of   O
Residence   O
:   O

HA33   B-LOCATION
2KW   I-LOCATION
Treating   O
Doctor   O
:   O
Todd   B-NAME
Hospital   O
:   O

Windham   B-LOCATION
Community   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Phone   O
Number   O
:   O
737   B-CONTACT
8514   I-CONTACT
Chief   O
Complaint   O
:   O

The   O
patient   O
presented   O
on   O
October   B-DATE
25   I-DATE
with   O
complaints   O
of   O
persistent   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Symptoms   O
have   O
been   O
occurring   O
episodically   O
over   O
the   O
past   O
03/78   B-DATE
,   O
increasingly   O
in   O
severity   O
.   O

The   O
patient   O
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
mellitus   O
in   O
10/12   B-DATE
.   O

Paul   B-NAME
,   I-NAME
Ron   I-NAME
is   O
currently   O
on   O
medication   O
for   O
blood   O
pressure   O
management   O
and   O
glucose   O
control   O
.   O

Upon   O
examination   O
,   O
Raleigh   B-NAME
Stewart   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
electrocardiogram   O
(   O
ECG   O
)   O
performed   O
on   O
S   B-DATE
showed   O
signs   O
of   O
myocardial   O
ischemia   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Catholic   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Anabel   B-NAME
Washington   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
of   O
suspected   O
acute   O
myocardial   O
infarction   O
.   O

Follow   O
-   O
Up   O
:   O
Gina   B-NAME
Kevin   I-NAME
Irons   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
clinic   O
on   O
30/20/2028   B-DATE
.   O

Additional   O
Information   O
:   O
Contact   O
Number   O
:   O
759   B-CONTACT
-   I-CONTACT
327   I-CONTACT
-   I-CONTACT
4317   I-CONTACT
Emergency   O
Contact   O
:   O
Order   O
Fillers   O
,   O
Wholesale   O
and   O
Retail   O
Sales   O
at   O
355   B-CONTACT
-   I-CONTACT
8965   I-CONTACT
Insurance   O
Provider   O
:   O
Lincoln   B-LOCATION
Electric   I-LOCATION
System   I-LOCATION
Policy   O
Number   O
:   O
HI982/4385   B-ID
Zip   O
Code   O
of   O
Residence   O
:   O
82171   B-LOCATION

This   O
report   O
was   O
compiled   O
by   O
:   O
ZJ1810   B-NAME
on   O
2250   B-DATE
.   O

Patient   O
:   O
Rana   B-NAME
Age   O
:   O
53   O
Date   O
:   O
9th   B-DATE
of   I-DATE
December   I-DATE
Doctor   O
:   O
Scott   B-NAME
Hospital   O
:   O

Saint   B-LOCATION
Elizabeth   I-LOCATION
Hebron   I-LOCATION
ID   O
:   O
80537   B-ID
Medical   O
Record   O
:   O
68611986   B-ID
Location   O
:   O
Mason   B-LOCATION
Organization   O
:   O

L&O   B-LOCATION
Power   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Phone   O
:   O
198   B-CONTACT
808   I-CONTACT
-   I-CONTACT
7320   I-CONTACT
Profession   O
:   O

Extruding   O
and   O
Forming   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Synthetic   O
or   O
Glass   O
Fibers   O
Username   O
:   O
AS229   B-NAME
ZIP   O
:   O

62550   B-LOCATION
Summary   O
of   O
Visit   O
:   O
Amir   B-NAME
Naranjo   I-NAME
,   O
a   O
Farmworkers   O
and   O
Laborers   O
,   O
Crop   O
,   O
Nursery   O
,   O
and   O
Greenhouse   O
from   O
Harrogate   B-LOCATION
,   O
presented   O
to   O
Crescent   B-LOCATION
Pines   I-LOCATION
Hospital   I-LOCATION
on   O
21   B-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Corrine   B-NAME
Gwinn   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Upon   O
examination   O
,   O
Zackary   B-NAME
Marquez   I-NAME
displayed   O
tenderness   O
in   O
the   O
McBurney   O
's   O
point   O
,   O
and   O
the   O
Rovsing   O
's   O
sign   O
was   O
positive   O
.   O

The   O
medical   O
team   O
led   O
by   O
Cherish   B-NAME
Fritz   I-NAME
initiated   O
further   O
diagnostic   O
tests   O
.   O

Abdominal   O
ultrasound   O
,   O
performed   O
at   O
United   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
revealed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
surrounding   O
fluid   O
collection   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
&   O
Recommendations   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Aleida   B-NAME
Clevenger   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

David   B-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Jenna   B-NAME
Gould   I-NAME
,   O
and   O
the   O
surgical   O
procedure   O
was   O
successfully   O
performed   O
on   O
19/22/2236   B-DATE
without   O
complications   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Velaz   B-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
signs   O
of   O
possible   O
infection   O
or   O
complications   O
to   O
monitor   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Shaffer   B-NAME
for   O
32/08   B-DATE
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
All   I-LOCATION
Saints   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
.   O

Grayson   B-NAME
Lyons   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
surgery   O
,   O
gradually   O
returning   O
to   O
solid   O
food   O
as   O
tolerated   O
.   O

For   O
any   O
concerns   O
or   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
issues   O
with   O
the   O
surgical   O
site   O
,   O
Rand   B-NAME
,   I-NAME
Ayn   I-NAME
was   O
instructed   O
to   O
contact   O
South   B-LOCATION
Fulton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
using   O
the   O
contact   O
number   O
403   B-CONTACT
-   I-CONTACT
260   I-CONTACT
-   I-CONTACT
1222   I-CONTACT
.   O

Documentation   O
Prepared   O
By   O
:   O
ct989   B-NAME
,   O
Medical   O
Staff   O
at   O
Nanticoke   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
September   B-DATE

Patient   O
:   O
Londyn   B-NAME
Wong   I-NAME
Medical   O
Record   O
Number   O
:   O
79490597   B-ID
Age   O
:   O
11   O
month   O
Date   O
of   O
Birth   O
:   O
5/2311   B-DATE
Address   O
:   O
Decaturville   B-LOCATION
,   O
49257   B-LOCATION
Phone   O
:   O
(   B-CONTACT
674   I-CONTACT
)   I-CONTACT
580   I-CONTACT
4066   I-CONTACT

Attending   O
Doctor   O
:   O
Casey   B-NAME
Middleton   I-NAME
Hospital   O
:   O

Emanuel   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
30/23   B-DATE
ID   O
:   O
NR:93098:127117   B-ID

Summary   O
:   O
The   O
patient   O
,   O
William   B-NAME
Aquino   I-NAME
,   O
a   O
Optical   O
Instrument   O
Assemblers   O
from   O
Atlanta   B-LOCATION
,   O
was   O
admitted   O
to   O
Summerfield   B-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
on   O
33/28   B-DATE
with   O
complaints   O
of   O
persistent   O
fever   O
,   O
sharp   O
,   O
intermittent   O
chest   O
pain   O
that   O
radiates   O
to   O
the   O
back   O
,   O
and   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
week   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Ben   B-NAME
Turner   I-NAME
noted   O
the   O
patient   O
exhibited   O
symptoms   O
indicative   O
of   O
a   O
possible   O
pneumothorax   O
.   O

Lab   O
results   O
showed   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
and   O
imaging   O
conducted   O
on   O
2333   B-DATE
confirmed   O
the   O
presence   O
of   O
a   O
small   O
pneumothorax   O
on   O
the   O
right   O
side   O
.   O

Kevin   B-NAME
Patterson   I-NAME
has   O
a   O
family   O
history   O
of   O
cardiovascular   O
diseases   O
,   O
as   O
reported   O
during   O
the   O
initial   O
assessment   O
.   O

The   O
team   O
led   O
by   O
Dr.   O
Nikhil   B-NAME
Caldwell   I-NAME
decided   O
against   O
invasive   O
procedures   O
at   O
this   O
stage   O
,   O
opting   O
for   O
a   O
conservative   O
management   O
approach   O
with   O
a   O
plan   O
to   O
reassess   O
the   O
pneumothorax   O
size   O
in   O
48   O
hours   O
.   O

The   O
patient   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
January   B-DATE
2392   I-DATE
to   O
monitor   O
progress   O
and   O
re   O
-   O
evaluate   O
the   O
treatment   O
plan   O
.   O

For   O
any   O
questions   O
or   O
further   O
information   O
,   O
the   O
patient   O
or   O
their   O
designated   O
contacts   O
can   O
reach   O
out   O
to   O
Baptist   B-LOCATION
Health   I-LOCATION
Richmond   I-LOCATION
at   O
37667   B-CONTACT
.   O

Note   O
:   O
The   O
contact   O
details   O
for   O
emergency   O
contacts   O
have   O
been   O
updated   O
as   O
per   O
the   O
patient   O
's   O
request   O
on   O
5/2322   B-DATE
.   O

The   O
patient   O
,   O
Browning   B-NAME
,   I-NAME
Elizabeth   I-NAME
Barrett   I-NAME
,   O
a   O
81   O
-   O
year   O
-   O
old   O
Clergy   O
from   O
73   B-LOCATION
South   I-LOCATION
Road   I-LOCATION
,   O
was   O
admitted   O
to   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
North   I-LOCATION
Central   I-LOCATION
Bronx   I-LOCATION
on   O
August   B-DATE
24   I-DATE
,   I-DATE
2220   I-DATE
with   O
symptoms   O
indicative   O
of   O
severe   O
acute   O
respiratory   O
syndrome   O
.   O

Sean   B-NAME
Vasques   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
a   O
week   O
prior   O
,   O
beginning   O
with   O
a   O
mild   O
cough   O
and   O
fever   O
,   O
escalating   O
to   O
high   O
-   O
grade   O
fevers   O
of   O
above   O
39   O
°   O
C   O
(   O
102.2   O
°   O
F   O
)   O
,   O
a   O
pronounced   O
dry   O
cough   O
,   O
and   O
significant   O
breathing   O
difficulties   O
.   O

During   O
the   O
initial   O
assessment   O
by   O
Medina   B-NAME
,   O
Milligan   B-NAME
,   I-NAME
Spike   I-NAME
's   O
oxygen   O
saturation   O
was   O
observed   O
to   O
be   O
at   O
88   O
%   O
on   O
room   O
air   O
,   O
necessitating   O
immediate   O
supplemental   O
oxygen   O
intervention   O
.   O

Martin   B-NAME
,   I-NAME
John   I-NAME
's   O
medical   O
history   O
,   O
documented   O
under   O
0522H43708   B-ID
,   O
reveals   O
no   O
significant   O
previous   O
illness   O
that   O
could   O
contribute   O
to   O
the   O
current   O
presentation   O
.   O

However   O
,   O
it   O
was   O
noted   O
that   O
Mead   B-NAME
,   I-NAME
Margaret   I-NAME
has   O
had   O
no   O
recent   O
travels   O
or   O
known   O
exposure   O
to   O
common   O
respiratory   O
pathogens   O
.   O

The   O
patient   O
's   O
contact   O
information   O
,   O
including   O
84649   B-CONTACT
and   O
email   O
BV313   B-NAME
,   O
was   O
registered   O
for   O
hospital   O
communication   O
purposes   O
.   O

Additionally   O
,   O
emergency   O
contact   O
was   O
established   O
as   O
per   O
The   B-LOCATION
Mount   I-LOCATION
Sinai   I-LOCATION
Hospital   I-LOCATION
's   O
protocol   O
for   O
patient   O
welfare   O
and   O
updates   O
.   O

Treatment   O
initiated   O
involved   O
antipyretics   O
for   O
fever   O
management   O
,   O
broad   O
-   O
spectrum   O
antibiotics   O
as   O
per   O
Heber   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
pneumonia   O
protocol   O
,   O
and   O
antiviral   O
therapy   O
tailored   O
to   O
the   O
presumptive   O
diagnosis   O
.   O

Healthcare   O
personnel   O
,   O
including   O
nurses   O
and   O
respiratory   O
therapists   O
,   O
were   O
assigned   O
to   O
Cecila   B-NAME
Mordino   I-NAME
's   O
care   O
,   O
ensuring   O
round   O
-   O
the   O
-   O
clock   O
monitoring   O
and   O
intervention   O
.   O

The   O
hospital   O
's   O
ethics   O
committee   O
,   O
an   O
entity   O
of   O
Sheet   B-LOCATION
Metal   I-LOCATION
Workers   I-LOCATION
International   I-LOCATION
Association   I-LOCATION
,   O
reviewed   O
and   O
approved   O
the   O
treatment   O
plan   O
in   O
compliance   O
with   O
standard   O
care   O
guidelines   O
for   O
patients   O
presenting   O
with   O
severe   O
respiratory   O
distress   O
of   O
uncertain   O
etiology   O
.   O

Follow   O
-   O
up   O
care   O
was   O
detailed   O
in   O
discharge   O
instructions   O
,   O
which   O
included   O
a   O
mandatory   O
isolation   O
period   O
until   O
full   O
recovery   O
was   O
confirmed   O
,   O
follow   O
-   O
up   O
telehealth   O
sessions   O
with   O
Sweeney   B-NAME
,   O
and   O
a   O
scheduled   O
in   O
-   O
person   O
visit   O
to   O
Peak   B-LOCATION
View   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
on   O
Friday   B-DATE
,   I-DATE
August   I-DATE
for   O
reevaluation   O
.   O

For   O
confidentiality   O
purposes   O
,   O
all   O
documentation   O
relevant   O
to   O
Watts   B-NAME
,   I-NAME
Alan   I-NAME
's   O
case   O
is   O
securely   O
stored   O
,   O
accessible   O
only   O
to   O
authorized   O
personnel   O
via   O
PT692/4510   B-ID
and   O
medical   O
staff   O
compliance   O
with   O
HIPAA   O
guidelines   O
.   O

The   O
patient   O
resides   O
in   O
46982   B-LOCATION
,   O
and   O
further   O
appointments   O
and   O
communications   O
will   O
adhere   O
to   O
HIPAA   O
rules   O
to   O
prevent   O
unauthorized   O
disclosure   O
of   O
PHI   O
.   O

In   O
summary   O
,   O
the   O
management   O
of   O
Jennifer   B-NAME
Long   I-NAME
's   O
case   O
highlights   O
the   O
importance   O
of   O
a   O
swift   O
multidisciplinary   O
approach   O
to   O
severe   O
respiratory   O
infections   O
,   O
underscoring   O
the   O
need   O
for   O
detailed   O
patient   O
history   O
,   O
comprehensive   O
assessment   O
,   O
and   O
adherence   O
to   O
updated   O
treatment   O
protocols   O
.   O

Patient   O
Name   O
:   O
Mayo   B-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
72100958   I-ID
Medical   O
Record   O
Number   O
:   O
79179993   B-ID
Date   O
of   O
Birth   O
:   O
9/15   B-DATE
Age   O
:   O
27   O
Phone   O
Number   O
:   O
720   B-CONTACT
-   I-CONTACT
975   I-CONTACT
8013   I-CONTACT
Address   O
:   O
Monroe   B-LOCATION
,   O
89098   B-LOCATION
Referring   O
Doctor   O
:   O
Athena   B-NAME
Haas   I-NAME
Primary   O
Care   O
Facility   O
:   O
Valley   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Harlingen   I-LOCATION
Date   O
of   O
Initial   O
Consultation   O
:   O
2/92   B-DATE
Occupation   O
:   O

Grinding   O
and   O
Polishing   O
Workers   O
,   O
Hand   O
Username   O
for   O
Patient   O
Portal   O
:   O
OX110   B-NAME
Chief   O
Complaint   O
:   O
Saniya   B-NAME
Foster   I-NAME
presented   O
on   O
6/20   B-DATE
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
headaches   O
,   O
described   O
as   O
a   O
throbbing   O
sensation   O
localized   O
primarily   O
on   O
the   O
right   O
side   O
of   O
the   O
forehead   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
38/22   B-DATE
,   O
with   O
no   O
known   O
triggers   O
identified   O
by   O
the   O
patient   O
.   O

Angel   B-NAME
Odom   I-NAME
also   O
reports   O
associated   O
symptoms   O
including   O
nausea   O
,   O
photosensitivity   O
,   O
and   O
episodes   O
of   O
blurred   O
vision   O
.   O

Past   O
Medical   O
History   O
:   O
Jason   B-NAME
Burdette   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
in   O
15   B-DATE
with   O
no   O
complications   O
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
noted   O
history   O
of   O
migraines   O
in   O
House   B-NAME
's   O
family   O
,   O
with   O
both   O
the   O
mother   O
and   O
a   O
sibling   O
experiencing   O
similar   O
episodes   O
.   O

Social   O
History   O
:   O
Rylee   B-NAME
Rodriguez   I-NAME
works   O
as   O
a   O
Financial   O
Examiners   O
in   O
Double   B-LOCATION
Springs   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2092   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
02   I-DATE
to   O
review   O
diagnostic   O
tests   O
and   O
assess   O
response   O
to   O
treatment   O
.   O

This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
healthcare   O
professionals   O
at   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
West   I-LOCATION
and   O
Stars   B-LOCATION
'   I-LOCATION
Oligarcy   I-LOCATION
.   O

Patient   O
Name   O
:   O
Walls   B-NAME
Age   O
:   O
66   O
Date   O
of   O
Birth   O
:   O
32/20   B-DATE
Address   O
:   O
Stacey   B-LOCATION
Street   I-LOCATION
,   O
21215   B-LOCATION
Phone   O
:   O
592   B-CONTACT
-   I-CONTACT
2484   I-CONTACT
Occupation   O
:   O
Environmental   O
Science   O
and   O
Protection   O
Technicians   O
,   O
Including   O
Health   O
Medical   O
Record   O
Number   O
:   O
739   B-ID
-   I-ID
86   I-ID
-   I-ID
90   I-ID
Admitting   O
Doctor   O
:   O
Edwards   B-NAME
,   I-NAME
John   I-NAME
Hospital   O
:   O

Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Fort   I-LOCATION
Hamilton   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2093   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
20   I-DATE
Primary   O
Care   O
Physician   O
:   O

Zachery   B-NAME
Olson   I-NAME
ID   O
:   O
4   B-ID
-   I-ID
9978905   I-ID
Case   O
Summary   O
:   O
Seigle   B-NAME
,   I-NAME
Lucy   I-NAME
,   O
a   O
Keyboard   O
Instrument   O
Repairers   O
and   O
Tuners   O
residing   O
in   O
Huntersville   B-LOCATION
,   O
and   O
of   O
age   O
12   O
,   O
was   O
admitted   O
to   O
Providence   B-LOCATION
Portland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/21/2057   B-DATE
.   O

Claudia   B-NAME
Villars   I-NAME
also   O
reported   O
experiencing   O
myalgia   O
,   O
headache   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Yadiel   B-NAME
Melendez   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
initial   O
diagnostic   O
work   O
-   O
up   O
,   O
Braylen   B-NAME
Horn   I-NAME
has   O
been   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Treatment   O
Plan   O
:   O
Hayley   B-NAME
Byrd   I-NAME
has   O
been   O
started   O
on   O
intravenous   O
antibiotic   O
therapy   O
as   O
per   O
the   O
current   O
guidelines   O
for   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Close   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
has   O
been   O
advised   O
due   O
to   O
Brian   B-NAME
's   O
history   O
of   O
diabetes   O
.   O

A   O
follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
is   O
planned   O
for   O
09/02/54   B-DATE
to   O
assess   O
the   O
response   O
to   O
treatment   O
.   O

Patterson   B-NAME
has   O
been   O
informed   O
of   O
the   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
the   O
importance   O
of   O
compliance   O
with   O
the   O
prescribed   O
therapy   O
.   O

Reid   B-NAME
was   O
also   O
educated   O
on   O
the   O
potential   O
risks   O
and   O
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
there   O
is   O
any   O
deterioration   O
in   O
the   O
clinical   O
condition   O
.   O

The   O
possibility   O
of   O
an   O
extended   O
hospital   O
stay   O
was   O
discussed   O
with   O
Yun   B-NAME
Freelon   I-NAME
,   O
depending   O
on   O
the   O
response   O
to   O
treatment   O
.   O

Prognosis   O
:   O
With   O
timely   O
and   O
appropriate   O
treatment   O
,   O
the   O
prognosis   O
for   O
community   O
-   O
acquired   O
pneumonia   O
is   O
generally   O
good   O
,   O
particularly   O
given   O
Luciano   B-NAME
Preston   I-NAME
's   O
previous   O
state   O
of   O
good   O
physical   O
health   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
David   B-NAME
,   O
will   O
continue   O
to   O
monitor   O
Katelynn   B-NAME
Sanford   I-NAME
's   O
progress   O
closely   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kason   B-NAME
Graves   I-NAME
Patient   O
ID   O
:   O
SR   B-ID
:   I-ID
ON:2069   I-ID
DOB   O
:   O
33/8   B-DATE
Medical   O
Record   O
Number   O
:   O
5915712   B-ID
Address   O
:   O
Switz   B-LOCATION
City   I-LOCATION
,   O
83517   B-LOCATION
Primary   O
Care   O
Physician   O
:   O
Gallagher   B-NAME
,   I-NAME
Fred   I-NAME
Contact   O
Number   O
:   O
63401   B-CONTACT
Employment   O
:   O
Gaming   O
and   O
Sports   O
Book   O
Writers   O
and   O
Runners   O
at   O
Protection   B-LOCATION
International   I-LOCATION
Admitted   O
to   O
:   O
Union   B-LOCATION
Hospital   I-LOCATION
on   O
12/12/03   B-DATE
Chief   O
Complaint   O
:   O
Goodfellow   B-NAME
,   O
a   O
91s   O
-   O
year   O
-   O
old   O
Legislators   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Ozarks   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
35/35/62   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
,   O
and   O
relentless   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
onset   O
of   O
the   O
pain   O
was   O
sudden   O
,   O
and   O
its   O
severity   O
increased   O
rapidly   O
,   O
leading   O
Glenn   B-NAME
Richie   I-NAME
to   O
seek   O
immediate   O
medical   O
care   O
.   O

Lyndon   B-NAME
Isabelle   I-NAME
reported   O
no   O
similar   O
previous   O
episodes   O
.   O

Past   O
Medical   O
History   O
:   O
Please   O
refer   O
to   O
medical   O
record   O
number   O
15750728   B-ID
for   O
detailed   O
past   O
medical   O
history   O
.   O

Kari   B-NAME
Marlene   I-NAME
Pryor   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
under   O
control   O
with   O
ACE   O
inhibitors   O
.   O

After   O
the   O
initial   O
assessment   O
,   O
Dr.   O
Dalton   B-NAME
Tate   I-NAME
recommended   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
,   O
which   O
revealed   O
appendicitis   O
with   O
signs   O
of   O
early   O
abscess   O
formation   O
.   O

The   O
surgical   O
team   O
at   O
UNM   B-LOCATION
Sandoval   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
proceeded   O
with   O
laparoscopic   O
appendectomy   O
on   O
2/2   B-DATE
.   O

RDB   B-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
pre   O
-   O
operatively   O
.   O

Disposition   O
:   O
Antwan   B-NAME
is   O
to   O
remain   O
admitted   O
under   O
the   O
care   O
of   O
Dr.   O
Myles   B-NAME
Garza   I-NAME
for   O
further   O
post   O
-   O
operative   O
monitoring   O
.   O

The   O
estimated   O
discharge   O
plan   O
is   O
for   O
March   B-DATE
06   I-DATE
,   I-DATE
2204   I-DATE
,   O
provided   O
there   O
are   O
no   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Donaldson   B-NAME
for   O
April   B-DATE
at   O
Mayfield   B-LOCATION
.   O

Additionally   O
,   O
a   O
diet   O
and   O
lifestyle   O
consultation   O
with   O
the   O
Society   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Preservation   I-LOCATION
of   I-LOCATION
Beers   I-LOCATION
from   I-LOCATION
the   I-LOCATION
Wood   I-LOCATION
(   I-LOCATION
SPBW   I-LOCATION
)   I-LOCATION
nutrition   O
service   O
is   O
arranged   O
to   O
manage   O
diabetes   O
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Parker   B-NAME
Xian   I-NAME
is   O
advised   O
to   O
restrict   O
physically   O
strenuous   O
activities   O
for   O
a   O
period   O
of   O
22/12   B-DATE
.   O

Signs   O
and   O
symptoms   O
of   O
infection   O
,   O
including   O
fever   O
,   O
redness   O
,   O
or   O
drainage   O
at   O
the   O
surgery   O
site   O
,   O
should   O
be   O
reported   O
immediately   O
to   O
Dr.   O
Maximillian   B-NAME
Lin   I-NAME
at   O
246   B-CONTACT
-   I-CONTACT
3289   I-CONTACT
.   O

This   O
report   O
was   O
compiled   O
by   O
wjg415   B-NAME
on   O
2282   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
31   I-DATE
.   O

All   O
personal   O
health   O
information   O
has   O
been   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
to   O
protect   O
the   O
privacy   O
and   O
security   O
of   O
Lehman   B-NAME
.   O

Patient   O
Name   O
:   O
Nevaeh   B-NAME
Mcneil   I-NAME
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
2965350   I-ID
Date   O
of   O
Birth   O
:   O
16/08/2384   B-DATE
Age   O
:   O
32   O
Phone   O
Number   O
:   O
894   B-CONTACT
1127   I-CONTACT
Address   O
:   O
201   B-LOCATION
Anderson   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
70146   B-LOCATION
Profession   O
:   O
Marketing   O
executive   O
Primary   O
Care   O
Physician   O
:   O

Rangel   B-NAME
Hospital   O
:   O

Bryn   B-LOCATION
Mawr   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
037   B-ID
-   I-ID
67   I-ID
-   I-ID
92   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Visit   O
:   O
23/20/44   B-DATE
Username   O
:   O
WE576   B-NAME
Presenting   O
Complaint   O
:   O

Frank   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
WellSpan   B-LOCATION
York   I-LOCATION
Hospital   I-LOCATION
on   O
22/25/2030   B-DATE
with   O
acute   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Nicole   B-NAME
Ostrowski   I-NAME
reported   O
nausea   O
without   O
vomiting   O
and   O
denied   O
any   O
bowel   O
changes   O
,   O
urinary   O
symptoms   O
,   O
or   O
fever   O
.   O

Past   O
Medical   O
History   O
:   O
Kristian   B-NAME
Day   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Maxwell   B-NAME
Ball   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Lana   B-NAME
Morrow   I-NAME
appeared   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Mcfarland   B-NAME
was   O
admitted   O
to   O
Thomas   B-LOCATION
Jefferson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Russo   B-NAME
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
successfully   O
on   O
1/92   B-DATE
,   O
without   O
any   O
complications   O
.   O

Leroy   B-NAME
Kelly   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
and   O
analgesia   O
post   O
-   O
operatively   O
.   O
Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Jankowski   B-NAME
made   O
a   O
good   O
post   O
-   O
operative   O
recovery   O
and   O
was   O
discharged   O
on   O
13/31   B-DATE
with   O
advice   O
for   O
wound   O
care   O
,   O
a   O
course   O
of   O
oral   O
antibiotics   O
,   O
and   O
analgesics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Krause   B-NAME
in   O
the   O
surgery   O
clinic   O
of   O
Jewell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Mankato   I-LOCATION
was   O
scheduled   O
for   O
13/23   B-DATE
to   O
assess   O
the   O
wound   O
and   O
overall   O
recovery   O
.   O

So   B-NAME
Splawn   I-NAME
Medical   O
Record   O
Number   O
:   O
02890154   B-ID
Age   O
:   O
17   O
Date   O
of   O
Visit   O
:   O
February   B-DATE
Attending   O
Physician   O
:   O
Tyesha   B-NAME
Mikulec   I-NAME
Hospital   O
:   O
Kansas   B-LOCATION
Spine   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
Location   O
:   O
Bishopville   B-LOCATION
Contact   O
Phone   O
:   O
221   B-CONTACT
-   I-CONTACT
7885   I-CONTACT
Occupation   O
:   O
Highway   O
Patrol   O
Pilots   O
Username   O
:   O
qkh474   B-NAME
Zip   O
Code   O
:   O
70832   B-LOCATION
Camron   B-NAME
Ochoa   I-NAME
,   O
a   O
Semiconductor   O
Processors   O
residing   O
in   O
Winter   B-LOCATION
Park   I-LOCATION
,   O
ZIP   O
code   O
16668   B-LOCATION
,   O
presented   O
to   O
Licking   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
intermittent   O
episodes   O
of   O
vomiting   O
.   O

Fatima   B-NAME
Logan   I-NAME
's   O
contact   O
number   O
is   O
860   B-CONTACT
-   I-CONTACT
477   I-CONTACT
-   I-CONTACT
6072   I-CONTACT
.   O

The   O
attending   O
physician   O
,   O
Ryan   B-NAME
Peterson   I-NAME
,   O
documented   O
the   O
symptoms   O
in   O
detail   O
and   O
initiated   O
a   O
diagnostic   O
assessment   O
.   O

Additionally   O
,   O
Linnie   B-NAME
Labombard   I-NAME
reported   O
experiencing   O
exacerbated   O
pain   O
during   O
movement   O
.   O

Given   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
test   O
results   O
,   O
Schmidt   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

The   O
surgical   O
team   O
at   O
UPMC   B-LOCATION
Passavant   I-LOCATION
was   O
alerted   O
,   O
and   O
preparations   O
for   O
surgery   O
were   O
initiated   O
promptly   O
.   O

In   O
terms   O
of   O
past   O
medical   O
history   O
,   O
Caligari   B-NAME
's   O
records   O
,   O
identified   O
by   O
medical   O
record   O
number   O
92857393   B-ID
,   O
did   O
not   O
indicate   O
any   O
significant   O
pre   O
-   O
existing   O
conditions   O
.   O

Krish   B-NAME
Frank   I-NAME
consented   O
to   O
the   O
surgical   O
procedure   O
after   O
the   O
potential   O
risks   O
and   O
benefits   O
were   O
thoroughly   O
explained   O
.   O

Post   O
-   O
operative   O
instructions   O
were   O
provided   O
to   O
Alexander   B-NAME
Babcock   I-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
follow   O
-   O
up   O
visits   O
and   O
adherence   O
to   O
the   O
prescribed   O
antibiotic   O
regimen   O
to   O
prevent   O
infection   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
for   O
19/39   B-DATE
,   O
where   O
Mike   B-NAME
Morton   I-NAME
will   O
assess   O
Luz   B-NAME
Ortega   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
and   O
address   O
any   O
concerns   O
.   O

Natalya   B-NAME
Orozco   I-NAME
’s   O
timely   O
presentation   O
to   O
the   O
healthcare   O
facility   O
,   O
combined   O
with   O
the   O
prompt   O
and   O
coordinated   O
care   O
by   O
the   O
medical   O
team   O
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
in   I-LOCATION
Cedar   I-LOCATION
Rapids   I-LOCATION
,   O
contributed   O
significantly   O
to   O
the   O
positive   O
outcome   O
.   O

kv1910   B-NAME
ID   O
:   O
8   B-ID
-   I-ID
8040893   I-ID

Patient   O
Report   O
:   O
Patient   O
:   O
Angel   B-NAME
Kane   I-NAME
Age   O
:   O
23   O
Gender   O
:   O
Male   O
Date   O
of   O
Admission   O
:   O
32/23   B-DATE
Referring   O
Doctor   O
:   O
Laney   B-NAME
Lindsey   I-NAME
Hospital   O
:   O
Minden   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
1402719   B-ID
Location   O
:   O
Flushing   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11355   I-LOCATION
Zip   O
Code   O
:   O
16972   B-LOCATION
Contact   O
Phone   O
:   O
51504   B-CONTACT
Occupation   O
:   O
Medical   O
Secretaries   O
Username   O
:   O
mfj175   B-NAME
Summary   O
:   O
Azalee   B-NAME
Jefferson   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Flagler   B-LOCATION
Hospital   I-LOCATION
on   O
02/32   B-DATE
,   O
complaining   O
of   O
acute   O
,   O
sharp   O
left   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Amar   B-NAME
Jacoby   I-NAME
has   O
a   O
medical   O
history   O
of   O
diverticulosis   O
and   O
was   O
concerned   O
about   O
a   O
potential   O
flare   O
-   O
up   O
or   O
complication   O
.   O

Upon   O
examination   O
,   O
Xavier   B-NAME
Embry   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
a   O
mild   O
elevation   O
in   O
heart   O
rate   O
at   O
100   O
bpm   O
.   O

A   O
CT   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
ordered   O
by   O
Wiggins   B-NAME
,   O
identified   O
signs   O
consistent   O
with   O
acute   O
diverticulitis   O
without   O
evidence   O
of   O
perforation   O
or   O
abscess   O
formation   O
.   O

The   O
decision   O
was   O
made   O
to   O
manage   O
the   O
condition   O
conservatively   O
,   O
with   O
the   O
patient   O
being   O
advised   O
to   O
stay   O
in   O
Southwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Liberal   I-LOCATION
for   O
observation   O
,   O
intravenous   O
antibiotics   O
,   O
and   O
pain   O
control   O
.   O

Treatment   O
and   O
Management   O
:   O
Easton   B-NAME
Lucas   I-NAME
was   O
admitted   O
to   O
Trego   B-LOCATION
County   I-LOCATION
-   I-LOCATION
Lemke   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
WaKeeney   I-LOCATION
under   O
the   O
service   O
of   O
West   B-NAME
for   O
conservative   O
management   O
of   O
acute   O
diverticulitis   O
.   O

Pain   O
was   O
successfully   O
managed   O
with   O
analgesics   O
,   O
and   O
Annika   B-NAME
Atkinson   I-NAME
was   O
able   O
to   O
tolerate   O
a   O
soft   O
diet   O
without   O
complications   O
.   O

Melua   B-NAME
,   I-NAME
Katie   I-NAME
was   O
discharged   O
on   O
0   B-DATE
-   I-DATE
13   I-DATE
with   O
oral   O
antibiotics   O
for   O
a   O
7   O
-   O
day   O
course   O
and   O
instructions   O
for   O
a   O
high   O
-   O
fiber   O
diet   O
upon   O
complete   O
resolution   O
of   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dwayne   B-NAME
Huerta   I-NAME
in   O
the   O
outpatient   O
clinic   O
of   O
Rockcastle   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
scheduled   O
for   O
09/19/1607   B-DATE
to   O
assess   O
recovery   O
progress   O
and   O
discuss   O
long   O
-   O
term   O
management   O
of   O
diverticulosis   O
to   O
prevent   O
future   O
episodes   O
of   O
diverticulitis   O
.   O

Derick   B-NAME
Moss   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
severe   O
abdominal   O
pain   O
,   O
or   O
any   O
signs   O
of   O
gastrointestinal   O
bleeding   O
.   O

Documentation   O
completed   O
by   O
:   O
Alberto   B-NAME
Phelps   I-NAME
January   B-DATE
1   I-DATE
Note   O
:   O
All   O
personally   O
identifiable   O
information   O
has   O
been   O
removed   O
or   O
replaced   O
with   O
placeholders   O
as   O
per   O
guidelines   O
to   O
ensure   O
patient   O
confidentiality   O
.   O

Patient   O
Report   O
:   O
09/32   B-DATE
,   O
Blake   B-NAME
Simmons   I-NAME
,   O
a   O
Quality   O
Control   O
Systems   O
Managers   O
from   O
Maxton   B-LOCATION
,   O
78036   B-LOCATION
,   O
was   O
admitted   O
to   O
Northeast   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
.   O

The   O
patient   O
is   O
56   O
years   O
old   O
and   O
has   O
a   O
medical   O
record   O
number   O
of   O
0270047   B-ID
.   O

Initial   O
consultation   O
was   O
provided   O
by   O
Stokes   B-NAME
,   O
who   O
noted   O
the   O
patient   O
's   O
symptoms   O
started   O
approximately   O
24   O
hours   O
before   O
admission   O
.   O

Laboratory   O
tests   O
ordered   O
on   O
24/32/23   B-DATE
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
serum   O
electrolytes   O
,   O
liver   O
function   O
tests   O
,   O
and   O
a   O
urinalysis   O
.   O

Imaging   O
studies   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
conducted   O
on   O
March   B-DATE
,   O
showed   O
swelling   O
of   O
the   O
appendix   O
with   O
the   O
presence   O
of   O
an   O
appendicolith   O
,   O
confirming   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
12/15   B-DATE
,   O
performed   O
by   O
Logan   B-NAME
.   O

The   O
surgery   O
was   O
completed   O
without   O
complications   O
,   O
and   O
the   O
patient   O
was   O
subsequently   O
moved   O
to   O
a   O
recovery   O
room   O
within   O
Connecticut   B-LOCATION
Hospice   I-LOCATION
.   O

For   O
privacy   O
,   O
all   O
communications   O
with   O
the   O
patient   O
's   O
family   O
were   O
conducted   O
via   O
10799   B-CONTACT
,   O
with   O
consent   O
documents   O
signed   O
electronically   O
to   O
minimize   O
unnecessary   O
visits   O
to   O
Swedish   B-LOCATION
American   I-LOCATION
Hospital   I-LOCATION
due   O
to   O
current   O
health   O
guidelines   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
the   O
care   O
team   O
diligently   O
noted   O
all   O
interactions   O
and   O
treatment   O
details   O
in   O
the   O
patient   O
's   O
electronic   O
health   O
record   O
,   O
2560578   B-ID
.   O

Discharge   O
planning   O
started   O
on   O
1751   B-DATE
,   O
focusing   O
on   O
pain   O
management   O
and   O
the   O
recovery   O
process   O
at   O
home   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Issac   B-NAME
Klein   I-NAME
for   O
8/2   B-DATE
to   O
monitor   O
the   O
healing   O
process   O
and   O
address   O
any   O
concerns   O
.   O

The   O
patient   O
,   O
Everett   B-NAME
Mcknight   I-NAME
,   O
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
from   O
the   O
medical   O
staff   O
at   O
Warm   B-LOCATION
Springs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
was   O
provided   O
with   O
educational   O
materials   O
on   O
managing   O
post   O
-   O
operative   O
symptoms   O
at   O
home   O
.   O

Contact   O
information   O
,   O
including   O
a   O
direct   O
line   O
186   B-CONTACT
7064   I-CONTACT
to   O
the   O
surgical   O
department   O
,   O
was   O
provided   O
in   O
case   O
of   O
any   O
emergent   O
issues   O
.   O

Patient   O
Name   O
:   O
Schopenhauer   B-NAME
,   I-NAME
Arthur   I-NAME
Age   O
:   O
33s   O
Medical   O
Record   O
Number   O
:   O
38244152   B-ID
Date   O
of   O
Visit   O
:   O
1608   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
09   I-DATE
Attending   O
Physician   O
:   O

Jennefer   B-NAME
Outten   I-NAME
Hospital   O
Name   O
:   O
Madison   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Burnt   B-LOCATION
Ranch   I-LOCATION
Phone   O
:   O
290   B-CONTACT
361   I-CONTACT
-   I-CONTACT
4753   I-CONTACT
ID   O
:   O
MF635/5540   B-ID
Organization   O
:   O

City   B-LOCATION
of   I-LOCATION
Blountstown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Profession   O
:   O
First   O
-   O
Line   O
Supervisors   O
of   O
Aquacultural   O
Workers   O
Username   O
:   O
znx377   B-NAME
Zip   O
Code   O
:   O
66945   B-LOCATION
Chief   O
Complaint   O
:   O
Buddha   B-NAME
,   I-NAME
Gautama   I-NAME
presents   O
with   O
a   O
3   O
-   O
day   O
history   O
of   O
acute   O
,   O
intermittent   O
abdominal   O
pain   O
.   O

David   B-NAME
Livesey   I-NAME
also   O
reports   O
episodes   O
of   O
nausea   O
without   O
emesis   O
and   O
denies   O
any   O
changes   O
in   O
bowel   O
habits   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
symptoms   O
began   O
approximately   O
2051   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
07   I-DATE
,   O
without   O
any   O
apparent   O
precipitating   O
factors   O
.   O

Aaliyah   B-NAME
Ferguson   I-NAME
,   O
who   O
works   O
as   O
a   O
Social   O
researcher   O
,   O
has   O
tried   O
taking   O
ibuprofen   O
and   O
acetaminophen   O
without   O
significant   O
relief   O
.   O

Social   O
History   O
:   O
Eve   B-NAME
Friedman   I-NAME
,   O
who   O
resides   O
in   O
Miltonsburg   B-LOCATION
,   O
denies   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

3   O
.   O
Recommend   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
20/22/2028   B-DATE
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

Walter   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
and   O
stay   O
hydrated   O
.   O

Londyn   B-NAME
Wong   I-NAME
provided   O
with   O
28178   B-CONTACT
for   O
any   O
concerns   O
before   O
the   O
next   O
visit   O
.   O

The   O
City   B-LOCATION
of   I-LOCATION
Seaford   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
will   O
review   O
Howard   B-NAME
G.   I-NAME
Xiong   I-NAME
's   O
progress   O
on   O
the   O
next   O
visit   O
.   O

Paulson   B-NAME
was   O
given   O
educational   O
materials   O
on   O
the   O
possible   O
causes   O
of   O
abdominal   O
pain   O
and   O
instructed   O
on   O
when   O
to   O
seek   O
immediate   O
care   O
should   O
symptoms   O
escalate   O
.   O

Patient   O
Name   O
:   O
Shevardnadze   B-NAME
,   I-NAME
Eduard   I-NAME
Age   O
:   O
87s   O
Date   O
of   O
Birth   O
:   O
November   B-DATE
Address   O
:   O
Qatar   B-LOCATION
,   O
13764   B-LOCATION
Phone   O
:   O
267   B-CONTACT
7247   I-CONTACT
Occupation   O
:   O
Philosophy   O
and   O
Religion   O
Teachers   O
,   O
Postsecondary   O
Physician   O
:   O

Roger   B-NAME
Cattan   I-NAME
Hospital   O
:   O
AMITA   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Aurora   I-LOCATION
Medical   O
Record   O
Number   O
:   O
14683195   B-ID
SSN   O
:   O
3   B-ID
-   I-ID
8493797   I-ID
Email   O
:   O
kb118   B-NAME
@   O
Ironshore   B-LOCATION
.com   O
Summary   O
of   O
Visit   O
:   O
34/23/2351   B-DATE
Jonathan   B-NAME
Sanders   I-NAME
was   O
admitted   O
to   O
Saint   B-LOCATION
Agnes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Thomas   B-NAME
Waugh   I-NAME
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
persisted   O
for   O
approximately   O
72   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
lives   O
in   O
Ilfracombe   B-LOCATION
and   O
works   O
as   O
a   O
Gas   O
Pumping   O
Station   O
Operators   O
,   O
which   O
involves   O
frequent   O
travel   O
to   O
different   O
cities   O
.   O

The   O
medical   O
history   O
obtained   O
revealed   O
no   O
significant   O
findings   O
,   O
and   O
al   B-NAME
-   I-NAME
Sadr   I-NAME
,   I-NAME
Muqtada   I-NAME
has   O
been   O
in   O
generally   O
good   O
health   O
until   O
the   O
current   O
episode   O
.   O

Lailah   B-NAME
Duke   I-NAME
reported   O
no   O
recent   O
dietary   O
changes   O
,   O
foreign   O
travel   O
,   O
or   O
consumption   O
of   O
potentially   O
contaminated   O
food   O
or   O
water   O
.   O

Upon   O
physical   O
examination   O
,   O
Jadon   B-NAME
Frank   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
with   O
observable   O
perspiration   O
and   O
pallor   O
.   O

Orozco   B-NAME
recommended   O
immediate   O
surgical   O
consultation   O
and   O
potential   O
intervention   O
for   O
suspected   O
acute   O
appendicitis   O
.   O

5   O
.   O
Notify   O
next   O
of   O
kin   O
using   O
the   O
contact   O
number   O
provided   O
:   O
209   B-CONTACT
663   I-CONTACT
7490   I-CONTACT
.   O

Yeates   B-NAME
consented   O
to   O
the   O
recommended   O
surgical   O
procedure   O
after   O
the   O
implications   O
,   O
risks   O
,   O
and   O
benefits   O
were   O
thoroughly   O
explained   O
by   O
Park   B-NAME
.   O

Pre   O
-   O
operative   O
preparations   O
were   O
initiated   O
,   O
and   O
Skyla   B-NAME
Houston   I-NAME
was   O
transferred   O
to   O
the   O
surgical   O
unit   O
of   O
Merit   B-LOCATION
Health   I-LOCATION
Rankin   I-LOCATION
for   O
further   O
management   O
.   O

Follow   O
-   O
up   O
instructions   O
include   O
post   O
-   O
operative   O
care   O
guidelines   O
and   O
an   O
appointment   O
scheduled   O
with   O
Flowers   B-NAME
for   O
24/08   B-DATE
to   O
assess   O
recovery   O
progress   O
and   O
review   O
surgical   O
outcomes   O
.   O

Additional   O
Notes   O
:   O
H.   B-NAME
U.   I-NAME
HEBERT   I-NAME
is   O
to   O
avoid   O
strenuous   O
activities   O
and   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
post   O
-   O
operative   O
complications   O
.   O

Should   O
there   O
be   O
any   O
concerns   O
,   O
Jordan   B-NAME
,   I-NAME
Sandra   I-NAME
is   O
advised   O
to   O
contact   O
the   O
office   O
of   O
Shaffer   B-NAME
immediately   O
or   O
visit   O
the   O
nearest   O
emergency   O
department   O
.   O

Patient   O
Name   O
:   O
Roger   B-NAME
Easterling   I-NAME
ID   O
:   O
UV:82576:366390   B-ID
Medical   O
Record   O
Number   O
:   O
7430247   B-ID
Date   O
of   O
Birth   O
:   O
11/29   B-DATE
Age   O
:   O
27   O
Phone   O
Number   O
:   O
99823   B-CONTACT
Address   O
:   O
Miramar   B-LOCATION
,   O
71387   B-LOCATION
Employer   O
:   O
People   B-LOCATION
's   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Tri   I-LOCATION
-   I-LOCATION
County   I-LOCATION
Electric   I-LOCATION
Occupation   O
:   O
Electric   O
Motor   O
and   O
Switch   O
Assemblers   O
and   O
Repairers   O
Primary   O
Care   O
Physician   O
:   O

Heath   B-NAME
Iliff   I-NAME
Date   O
of   O
Admission   O
:   O
6/09   B-DATE
Hospital   O
:   O
Clearview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Zoie   B-NAME
Jimenez   I-NAME
,   O
a   O
9   O
month   O
-   O
year   O
-   O
old   O
Agents   O
and   O
Business   O
Managers   O
of   O
Artists   O
,   O
Performers   O
,   O
and   O
Athletes   O
with   O
no   O
known   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Logan   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
Wednesday   B-DATE
,   I-DATE
September   I-DATE
with   O
a   O
30/24   B-DATE
-   O
day   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
intermittent   O
fevers   O
.   O

The   O
patient   O
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
33   B-DATE
after   O
returning   O
from   O
a   O
business   O
trip   O
to   O
Ingenio   B-LOCATION
.   O

Kaydence   B-NAME
stated   O
that   O
the   O
symptoms   O
were   O
initially   O
mild   O
but   O
have   O
gradually   O
worsened   O
,   O
leading   O
to   O
difficulty   O
performing   O
daily   O
tasks   O
.   O

Upon   O
examination   O
,   O
Ardias   B-NAME
Capaldo   I-NAME
appeared   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
recent   O
travel   O
history   O
,   O
infectious   O
disease   O
consultation   O
was   O
recommended   O
by   O
Makaila   B-NAME
Drake   I-NAME
,   O
and   O
Camron   B-NAME
Sullivan   I-NAME
was   O
started   O
empirically   O
on   O
antiviral   O
therapy   O
and   O
broad   O
-   O
spectrum   O
antibiotics   O
while   O
awaiting   O
further   O
testing   O
,   O
including   O
PCR   O
testing   O
for   O
specific   O
viral   O
pathogens   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Devyn   B-NAME
Ford   I-NAME
,   O
with   O
isolation   O
precautions   O
initiated   O
due   O
to   O
the   O
potential   O
infectious   O
nature   O
of   O
the   O
pulmonary   O
symptoms   O
.   O

Follow   O
-   O
up   O
testing   O
confirmed   O
the   O
presence   O
of   O
a   O
novel   O
viral   O
infection   O
,   O
and   O
treatment   O
was   O
adjusted   O
according   O
to   O
the   O
latest   O
guidelines   O
from   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
.   O

Throughout   O
the   O
hospitalization   O
,   O
Victoria   B-NAME
Xing   I-NAME
's   O
oxygen   O
requirements   O
fluctuated   O
,   O
requiring   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
,   O
but   O
fortunately   O
,   O
Mozell   B-NAME
Mcqueen   I-NAME
did   O
not   O
progress   O
to   O
requiring   O
mechanical   O
ventilation   O
.   O

The   O
patient   O
's   O
condition   O
gradually   O
improved   O
with   O
the   O
treatment   O
regimen   O
,   O
and   O
after   O
a   O
10/23/1925   B-DATE
-   O
day   O
admission   O
,   O
Geoffrey   B-NAME
Howell   I-NAME
,   I-NAME
DDS   I-NAME
was   O
deemed   O
stable   O
for   O
discharge   O
with   O
instructions   O
for   O
home   O
isolation   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Ibrahim   B-NAME
Ibarra   I-NAME
in   O
04/02   B-DATE
.   O

The   O
reported   O
phone   O
contact   O
for   O
any   O
follow   O
-   O
up   O
queries   O
or   O
complications   O
is   O
637   B-CONTACT
2339   I-CONTACT
.   O

The   O
discharge   O
paperwork   O
,   O
including   O
prescription   O
details   O
and   O
home   O
care   O
instructions   O
,   O
was   O
thoroughly   O
reviewed   O
with   O
Wise   B-NAME
and   O
electronically   O
sent   O
to   O
the   O
pharmacy   O
closest   O
to   O
the   O
patient   O
's   O
residence   O
in   O
Champaign   B-LOCATION
,   I-LOCATION
Champaign   I-LOCATION
Downtown   I-LOCATION
Association   I-LOCATION
.   O

The   O
case   O
was   O
documented   O
under   O
medical   O
record   O
number   O
27275817   B-ID
and   O
will   O
be   O
reviewed   O
for   O
quality   O
improvement   O
purposes   O
within   O
Prison   B-LOCATION
Officers   I-LOCATION
Association   I-LOCATION
.   O

Mary   B-NAME
Saunders   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
and   O
immediately   O
report   O
any   O
worsening   O
or   O
new   O
onset   O
symptoms   O
to   O
Indiana   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
Micah   B-NAME
Parsons   I-NAME
.   O

The   O
patient   O
,   O
Chance   B-NAME
Bright   I-NAME
,   O
a   O
93   O
-   O
year   O
-   O
old   O
Social   O
Scientists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
from   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10458   I-LOCATION
,   O
presented   O
to   O
Wolfson   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
Wednesday   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
located   O
predominantly   O
in   O
the   O
frontal   O
region   O
.   O

Upon   O
examination   O
,   O
Ryleigh   B-NAME
Ortiz   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O

Neurological   O
examination   O
,   O
conducted   O
by   O
Larsen   B-NAME
,   O
revealed   O
no   O
focal   O
deficits   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
381   B-ID
-   I-ID
23   I-ID
-   I-ID
85   I-ID
and   O
contact   O
information   O
,   O
413   B-CONTACT
546   I-CONTACT
-   I-CONTACT
1725   I-CONTACT
,   O
were   O
updated   O
in   O
the   O
system   O
upon   O
admission   O
.   O

Follow   O
-   O
up   O
instructions   O
were   O
given   O
,   O
and   O
the   O
patient   O
was   O
advised   O
to   O
schedule   O
an   O
appointment   O
with   O
Gibson   B-NAME
at   O
Bridgeport   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
of   O
migraines   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
39   B-DATE
with   O
instructions   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
maintain   O
a   O
headache   O
diary   O
.   O

The   O
discharge   O
instructions   O
and   O
follow   O
-   O
up   O
appointment   O
were   O
documented   O
under   O
medical   O
record   O
number   O
536   B-ID
-   I-ID
16   I-ID
-   I-ID
17   I-ID
-   I-ID
4   I-ID
for   O
continuity   O
of   O
care   O
.   O

Patient   O
:   O
Yair   B-NAME
Horn   I-NAME
ID   O
:   O
XA   B-ID
:   I-ID
ZL:1098   I-ID
Medical   O
Record   O
Number   O
:   O
9851909   B-ID
Date   O
of   O
Birth   O
:   O
14   O
Date   O
of   O
Report   O
:   O
32   B-DATE
Attending   O
Physician   O
:   O
Houston   B-NAME
Hospital   O
:   O

Hayes   B-LOCATION
Green   I-LOCATION
Beach   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Quinebaug   B-LOCATION
Phone   O
:   O
18373   B-CONTACT
Zip   O
:   O
76133   B-LOCATION
Profession   O
:   O
Dental   O
hygienist   O
Chief   O
Complaint   O
:   O
Gerald   B-NAME
Marx   I-NAME
,   O
a   O
65   O
-   O
year   O
-   O
old   O
Training   O
and   O
Development   O
Specialists   O
from   O
Lake   B-LOCATION
City   I-LOCATION
,   O
reports   O
experiencing   O
severe   O
,   O
persistent   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

The   O
headaches   O
began   O
approximately   O
3/2310   B-DATE
and   O
have   O
progressively   O
worsened   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lexie   B-NAME
Balis   I-NAME
states   O
that   O
these   O
headaches   O
occur   O
about   O
twice   O
a   O
week   O
and   O
have   O
led   O
to   O
multiple   O
absences   O
from   O
work   O
.   O

There   O
is   O
no   O
family   O
history   O
of   O
migraines   O
,   O
although   O
Trevor   B-NAME
West   I-NAME
mentions   O
that   O
a   O
"   O
distant   O
relative   O
"   O
had   O
been   O
diagnosed   O
with   O
cluster   O
headaches   O
.   O

Past   O
Medical   O
History   O
:   O
Bunsen   B-NAME
Honeydew   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
currently   O
taking   O
medication   O
.   O

The   O
specific   O
medication   O
and   O
dosages   O
are   O
indicated   O
in   O
their   O
record   O
,   O
maintained   O
by   O
St.   B-LOCATION
Clare   I-LOCATION
Hospital   I-LOCATION
.   O

Beau   B-NAME
Heiner   I-NAME
had   O
undergone   O
appendectomy   O
32   B-DATE
-   I-DATE
2   I-DATE
without   O
any   O
complications   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Social   O
History   O
:   O
Annabel   B-NAME
Hamburg   I-NAME
is   O
a   O
Pourers   O
and   O
Casters   O
,   O
Metal   O
,   O
does   O
not   O
use   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Lives   O
alone   O
in   O
Hiltonia   B-LOCATION
and   O
has   O
been   O
working   O
from   O
home   O
since   O
2/90   B-DATE
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Angel   B-NAME
Barron   I-NAME
appears   O
well   O
-   O
nourished   O
and   O
in   O
no   O
acute   O
distress   O
.   O

Contact   O
EvergreenHealth   B-LOCATION
Monroe   I-LOCATION
at   O
855   B-CONTACT
-   I-CONTACT
7494   I-CONTACT
for   O
any   O
questions   O
or   O
to   O
schedule   O
your   O
follow   O
-   O
up   O
appointment   O
.   O

Report   O
Prepared   O
By   O
:   O
Novak   B-NAME
,   O
M.D.   O
Date   O
:   O
April   B-DATE
Medical   O
Record   O
Number   O
:   O
2191265   B-ID

Siena   B-NAME
Shannon   I-NAME
Patient   O
Age   O
:   O
82   O
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
3716953   I-ID
Medical   O
Record   O
Number   O
:   O
37175455   B-ID
Date   O
of   O
Report   O
:   O
December   B-DATE
20   I-DATE
,   I-DATE
2142   I-DATE
Location   O
:   O
Barneveld   B-LOCATION
Hospital   O
:   O

Caro   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O
Holt   B-NAME
Chief   O
Complaint   O
:   O
Jaelyn   B-NAME
Case   I-NAME
,   O
a   O
designer   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Houston   B-LOCATION
Methodist   I-LOCATION
The   B-LOCATION
Woodlands   I-LOCATION
Hospital   I-LOCATION
on   O
2/26   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Jayden   B-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
.   O

Past   O
Medical   O
History   O
:   O
Tucker   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

On   O
examination   O
,   O
Jaimes   B-NAME
exhibited   O
signs   O
of   O
abdominal   O
distress   O
with   O
guarding   O
and   O
rebound   O
tenderness   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Abdominal   O
ultrasonography   O
,   O
conducted   O
on   O
09/01   B-DATE
,   O
revealed   O
appendicitis   O
with   O
no   O
complications   O
.   O

Management   O
and   O
Outcomes   O
:   O
After   O
conferral   O
with   O
Aliana   B-NAME
Colon   I-NAME
,   O
YONATHAN   B-NAME
OLIVER   I-NAME
TURK   I-NAME
underwent   O
an   O
uneventful   O
laparoscopic   O
appendectomy   O
on   O
11   B-DATE
-   I-DATE
Dec-2098   I-DATE
.   O

Robert   B-NAME
Huff   I-NAME
responded   O
well   O
to   O
the   O
surgery   O
and   O
postoperative   O
antibiotics   O
.   O

Boileau   B-NAME
-   I-NAME
Despreaux   I-NAME
,   I-NAME
Nicholas   I-NAME
was   O
discharged   O
on   O
2/91   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
with   O
Emilee   B-NAME
Downs   I-NAME
at   O
QBE   B-LOCATION
in   O
Hockingport   B-LOCATION
.   O
Instructions   O
upon   O
Discharge   O
:   O
Valerius   B-NAME
Valance   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
for   O
the   O
next   O
few   O
days   O
,   O
gradually   O
returning   O
to   O
a   O
normal   O
diet   O
as   O
tolerated   O
.   O

Alayna   B-NAME
Hooper   I-NAME
was   O
provided   O
with   O
contact   O
information   O
(   O
13546   B-CONTACT
)   O
for   O
the   O
surgery   O
department   O
should   O
any   O
complications   O
arise   O
.   O

Conclusion   O
:   O
Sebastian   B-NAME
Villarreal   I-NAME
,   O
a   O
55   O
-   O
year   O
-   O
old   O
Environmental   O
Compliance   O
Inspectors   O
with   O
a   O
history   O
of   O
hypertension   O
,   O
presented   O
with   O
acute   O
appendicitis   O
.   O

Follow   O
-   O
up   O
is   O
scheduled   O
with   O
Savanah   B-NAME
Foley   I-NAME
to   O
ensure   O
complete   O
recovery   O
.   O

Prepared   O
by   O
:   O
ojn154   B-NAME
Date   O
:   O
2134   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
14   I-DATE

The   O
patient   O
,   O
Simeon   B-NAME
Klein   I-NAME
,   O
a   O
Set   O
Designers   O
from   O
Barclay   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
CAMC   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
3/11   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
reaching   O
38.5   O
°   O
C   O
.   O

powell   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Upon   O
examination   O
,   O
Emanuel   B-NAME
Little   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
voluntary   O
guarding   O
consistent   O
with   O
peritonitis   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Turner   B-NAME
,   O
which   O
revealed   O
leukocytosis   O
.   O

The   O
medical   O
team   O
at   O
Kane   B-LOCATION
County   I-LOCATION
Human   I-LOCATION
Resource   I-LOCATION
SSD(Hospital   I-LOCATION
)   I-LOCATION
(   I-LOCATION
aka   I-LOCATION
Kane   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
discussed   O
the   O
findings   O
and   O
surgical   O
intervention   O
was   O
advised   O
.   O

Tucker   B-NAME
Holder   I-NAME
's   O
case   O
was   O
registered   O
under   O
the   O
medical   O
record   O
number   O
1319926   B-ID
,   O
and   O
surgery   O
was   O
scheduled   O
for   O
07/23/2275   B-DATE
.   O

Hope   B-NAME
Robbins   I-NAME
successfully   O
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
any   O
complications   O
.   O

The   O
patient   O
's   O
blood   O
glucose   O
levels   O
were   O
closely   O
monitored   O
throughout   O
the   O
stay   O
at   O
Delta   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
due   O
to   O
the   O
history   O
of   O
diabetes   O
.   O

Before   O
discharge   O
on   O
04/49   B-DATE
,   O
Oconnor   B-NAME
was   O
given   O
detailed   O
post   O
-   O
operative   O
care   O
instructions   O
by   O
the   O
attending   O
nurse   O
from   O
the   O
surgical   O
unit   O
.   O

Tam   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
two   O
weeks   O
and   O
to   O
follow   O
up   O
with   O
Mcconnell   B-NAME
in   O
the   O
outpatient   O
department   O
for   O
a   O
wound   O
check   O
and   O
removal   O
of   O
sutures   O
.   O

The   O
patient   O
was   O
provided   O
with   O
a   O
contact   O
number   O
,   O
(   B-CONTACT
759   I-CONTACT
)   I-CONTACT
808   I-CONTACT
3853   I-CONTACT
,   O
to   O
reach   O
the   O
hospital   O
in   O
case   O
of   O
any   O
emergencies   O
or   O
complications   O
.   O

Additionally   O
,   O
Elenora   B-NAME
Newball   I-NAME
was   O
informed   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
around   O
the   O
wound   O
site   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Ubaldo   B-NAME
R.   I-NAME
Daugherty   I-NAME
on   O
September   B-DATE
4   I-DATE
with   O
Tristen   B-NAME
Mack   I-NAME
at   O
Haven   B-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Eastern   I-LOCATION
Pennsylvania   I-LOCATION
.   O

All   O
patient   O
information   O
related   O
to   O
this   O
case   O
,   O
including   O
personal   O
identifiers   O
and   O
medical   O
records   O
,   O
has   O
been   O
securely   O
documented   O
in   O
the   O
KVC   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
's   O
electronic   O
health   O
record   O
system   O
for   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
.   O

The   O
case   O
was   O
assigned   O
an   O
ID   O
number   O
CW252/4654   B-ID
for   O
internal   O
tracking   O
and   O
billing   O
purposes   O
.   O

The   O
privacy   O
and   O
confidentiality   O
of   O
Javon   B-NAME
Cole   I-NAME
's   O
health   O
information   O
,   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
,   O
are   O
protected   O
by   O
Americans   B-LOCATION
For   I-LOCATION
Medical   I-LOCATION
Advancement   I-LOCATION
.   O

Patient   O
Name   O
:   O
Michael   B-NAME
John   I-NAME
Boyle   I-NAME
Medical   O
Record   O
Number   O
:   O
033   B-ID
-   I-ID
00   I-ID
-   I-ID
35   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
August   B-DATE
Age   O
:   O
91s   O
Phone   O
Number   O
:   O
169   B-CONTACT
9090   I-CONTACT
Address   O
:   O
Pagosa   B-LOCATION
Springs   I-LOCATION
,   O
55299   B-LOCATION

Jayden   B-NAME
Rojas   I-NAME
Admitting   O
Hospital   O
:   O

UPMC   B-LOCATION
East   I-LOCATION
Date   O
of   O
Admission   O
:   O
9   B-DATE
-   I-DATE
2   I-DATE
Occupation   O
:   O
Prepress   O
Technicians   O
and   O
Workers   O
Chief   O
Complaint   O
:   O
Kasey   B-NAME
Knapp   I-NAME
presented   O
with   O
acute   O
onset   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
which   O
commenced   O
early   O
morning   O
on   O
30/31   B-DATE
.   O

Paris   B-NAME
Herring   I-NAME
rated   O
the   O
headache   O
intensity   O
as   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

Foster   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
episodic   O
migraines   O
,   O
diagnosed   O
12/10/2302   B-DATE
.   O

There   O
is   O
also   O
a   O
documented   O
history   O
of   O
hypertension   O
,   O
under   O
management   O
with   O
medication   O
prescribed   O
by   O
Soto   B-NAME
.   O

Family   O
history   O
reveals   O
that   O
Barwich   B-NAME
,   I-NAME
Heinz   I-NAME
's   O
mother   O
had   O
similar   O
migraine   O
attacks   O
.   O

Examination   O
Findings   O
on   O
Admission   O
:   O
On   O
physical   O
examination   O
,   O
Benjamin   B-NAME
Earnest   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Moshe   B-NAME
Frazier   I-NAME
was   O
administered   O
intravenous   O
hydration   O
and   O
given   O
sumatriptan   O
along   O
with   O
metoclopramide   O
for   O
the   O
management   O
of   O
the   O
migraine   O
episode   O
.   O

Follow   O
-   O
Up   O
and   O
Plan   O
:   O
Newby   B-NAME
showed   O
a   O
significant   O
reduction   O
in   O
headache   O
intensity   O
to   O
2/10   O
on   O
the   O
pain   O
scale   O
within   O
2   O
hours   O
of   O
treatment   O
.   O

Lu   B-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
to   O
follow   O
up   O
with   O
Leanna   B-NAME
Mathis   I-NAME
,   O
a   O
specialist   O
in   O
neurology   O
,   O
for   O
further   O
evaluation   O
and   O
optimization   O
of   O
migraine   O
prophylaxis   O
.   O

A   O
prescription   O
for   O
Sumatriptan   O
PRN   O
(   O
as   O
needed   O
)   O
for   O
future   O
migraine   O
episodes   O
was   O
given   O
upon   O
discharge   O
on   O
1/01/13   B-DATE
.   O

Additional   O
Notes   O
:   O
It   O
is   O
recommended   O
that   O
Zander   B-NAME
Gardner   I-NAME
monitor   O
blood   O
pressure   O
regularly   O
due   O
to   O
the   O
history   O
of   O
hypertension   O
and   O
the   O
current   O
presentation   O
showing   O
elevated   O
readings   O
.   O

Eddie   B-NAME
Zajac   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
and   O
adherence   O
to   O
medication   O
regimens   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Lurline   B-NAME
Maxim   I-NAME
's   O
primary   O
care   O
physician   O
Poole   B-NAME
scheduled   O
for   O
08/29   B-DATE
for   O
hypertension   O
management   O
and   O
reassessment   O
.   O

Villarreal   B-NAME
received   O
detailed   O
explanations   O
regarding   O
the   O
treatments   O
provided   O
and   O
expressed   O
understanding   O
and   O
consent   O
for   O
the   O
management   O
plan   O
.   O

Overby   B-NAME
,   I-NAME
Fred   I-NAME
was   O
also   O
reminded   O
of   O
the   O
importance   O
of   O
maintaining   O
privacy   O
regarding   O
personal   O
health   O
information   O
and   O
was   O
provided   O
with   O
the   O
contact   O
number   O
(   O
499   B-CONTACT
-   I-CONTACT
7328   I-CONTACT
)   O
for   O
any   O
further   O
queries   O
or   O
concerns   O
.   O

Prepared   O
by   O
:   O
hki629   B-NAME
1/1   B-DATE

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Khan   B-NAME
,   I-NAME
Shahrukh   I-NAME
,   O
a   O
Extraction   O
Workers   O
,   O
All   O
Other   O
from   O
7   B-LOCATION
Glenridge   I-LOCATION
St.   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Magnolia   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
2/28   B-DATE
.   O

Rishi   B-NAME
Evans   I-NAME
is   O
7   O
years   O
old   O
and   O
has   O
been   O
experiencing   O
severe   O
chest   O
pain   O
,   O
described   O
as   O
a   O
constricting   O
sensation   O
around   O
the   O
mid   O
-   O
chest   O
area   O
,   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
down   O
the   O
arm   O
.   O

Nabor   B-NAME
Jacoby   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
coronary   O
artery   O
disease   O
.   O

Upon   O
physical   O
examination   O
,   O
Keon   B-NAME
Marquez   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
.   O

Jaylee   B-NAME
Nichols   I-NAME
ordered   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
,   O
which   O
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
.   O

Adelaide   B-NAME
Ramos   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
for   O
further   O
management   O
and   O
monitoring   O
.   O

Dunlap   B-NAME
discussed   O
the   O
potential   O
need   O
for   O
an   O
angiography   O
with   O
Zyan   B-NAME
Conrad   I-NAME
and   O
the   O
family   O
.   O

44339   B-CONTACT
and   O
email   O
dlr870   B-NAME
were   O
collected   O
for   O
hospital   O
records   O
and   O
further   O
communication   O
.   O

In   O
addition   O
,   O
the   O
medical   O
record   O
number   O
60911372   B-ID
and   O
the   O
patient   O
's   O
insurance   O
ID   O
YP478/5025   B-ID
were   O
documented   O
for   O
billing   O
purposes   O
.   O

The   O
patient   O
resides   O
in   O
the   O
zip   O
code   O
51044   B-LOCATION
,   O
and   O
this   O
information   O
was   O
also   O
recorded   O
to   O
ensure   O
appropriate   O
follow   O
-   O
up   O
care   O
and   O
community   O
services   O
if   O
needed   O
.   O

Patient   O
:   O
Kallie   B-NAME
Blankenship   I-NAME
ID   O
:   O
LP:90242:221965   B-ID
Medical   O
Record   O
:   O
13899106   B-ID
Date   O
of   O
Birth   O
:   O
12/37/07   B-DATE
Age   O
:   O
68   O
Profession   O
:   O
Employment   O
,   O
Recruitment   O
,   O
and   O
Placement   O
Specialists   O
Address   O
:   O
Saranap   B-LOCATION
,   O
27913   B-LOCATION
Phone   O
:   O
73830   B-CONTACT
Email   O
:   O
vzf977   B-NAME
Presenting   O
Complaint   O
:   O
Ferreira   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Novant   B-LOCATION
Health   I-LOCATION
Mint   I-LOCATION
Hill   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/25   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
,   O
centered   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

No   O
vomiting   O
,   O
but   O
the   O
patient   O
reported   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
early   O
in   O
the   O
morning   O
of   O
32/3   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
YERGER   B-NAME
,   I-NAME
DESEAN   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
diet   O
modifications   O
.   O

The   O
patient   O
was   O
diagnosed   O
with   O
hypertension   O
two   O
years   O
ago   O
,   O
currently   O
under   O
control   O
with   O
medication   O
prescribed   O
by   O
Lucas   B-NAME
at   O
Appalachian   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

Givens   B-NAME
is   O
a   O
Medical   O
Equipment   O
Preparers   O
living   O
in   O
Nunn   B-LOCATION
.   O

Mattie   B-NAME
Richard   I-NAME
denies   O
any   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Kirby   B-NAME
appeared   O
uncomfortable   O
and   O
in   O
distress   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Avera   B-LOCATION
McKennan   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
University   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Conner   B-NAME
for   O
further   O
management   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
resulting   O
in   O
Adina   B-NAME
Holly   I-NAME
undergoing   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
23   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Patrick   B-NAME
Yeates   I-NAME
was   O
discharged   O
on   O
11/09   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
antibiotic   O
therapy   O
completion   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Foley   B-NAME
at   O
City   B-LOCATION
Utilities   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
on   O
1/27/72   B-DATE
.   O

In   O
summary   O
,   O
Milosz   B-NAME
,   I-NAME
Ceslaw   I-NAME
's   O
acute   O
appendicitis   O
was   O
managed   O
effectively   O
with   O
surgical   O
intervention   O
,   O
and   O
the   O
patient   O
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
with   O
appropriate   O
postoperative   O
care   O
and   O
follow   O
-   O
up   O
.   O

Patient   O
Report   O
for   O
Liberty   B-NAME
Strong   I-NAME
Personal   O
Information   O
:   O
Identity   O
:   O
XE:48230:283766   B-ID
Medical   O
Record   O
No   O
.   O
:   O
973   B-ID
-   I-ID
64   I-ID
-   I-ID
60   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
21/37/00   B-DATE
Age   O
:   O
39s   O
Phone   O
Number   O
:   O
274   B-CONTACT
-   I-CONTACT
9625   I-CONTACT
Residence   O
:   O
Apple   B-LOCATION
Grove   I-LOCATION
,   O
47789   B-LOCATION
Date   O
of   O
Last   O
Visit   O
:   O
2032   B-DATE
Attending   O
Physician   O
:   O

Sharp   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
History   O
:   O
Joseph   B-NAME
Ortega   I-NAME
,   O
a   O
Coaches   O
and   O
Scouts   O
,   O
has   O
been   O
under   O
our   O
care   O
since   O
3/01/2295   B-DATE
.   O

Physical   O
Examination   O
:   O
During   O
the   O
physical   O
examination   O
on   O
23/20/2012   B-DATE
,   O
Kolton   B-NAME
Cisneros   I-NAME
was   O
found   O
to   O
have   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
which   O
is   O
higher   O
than   O
normal   O
,   O
indicating   O
respiratory   O
distress   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
3/21/80   B-DATE
showed   O
increased   O
opacity   O
in   O
both   O
lung   O
fields   O
,   O
consistent   O
with   O
an   O
infection   O
or   O
acute   O
flare   O
of   O
COPD   O
.   O

Additionally   O
,   O
Judge   B-NAME
was   O
advised   O
to   O
use   O
a   O
short   O
-   O
acting   O
bronchodilator   O
inhaler   O
as   O
needed   O
for   O
wheezing   O
and   O
difficulty   O
breathing   O
.   O

Follow   O
-   O
Up   O
:   O
Whitney   B-NAME
Keller   I-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
21/38   B-DATE
to   O
assess   O
the   O
response   O
to   O
the   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Please   O
feel   O
free   O
to   O
contact   O
my   O
office   O
at   O
47060   B-CONTACT
for   O
any   O
questions   O
or   O
to   O
report   O
changes   O
in   O
Harrell   B-NAME
's   O
condition   O
.   O

Signed   O
,   O
Beltran   B-NAME
Kearny   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lakin   I-LOCATION
02/16   B-DATE

The   O
patient   O
,   O
Lacey   B-NAME
,   O
a   O
Team   O
Assemblers   O
from   O
Fredericktown   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Chesapeake   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/20   B-DATE
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Leon   B-NAME
Mckay   I-NAME
's   O
medical   O
history   O
was   O
significant   O
for   O
type   O
2   O
diabetes   O
and   O
hypertension   O
,   O
managed   O
with   O
medication   O
.   O

Upon   O
arrival   O
,   O
Aedan   B-NAME
Conrad   I-NAME
reported   O
a   O
58   O
-   O
hour   O
history   O
of   O
progressively   O
worsening   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
.   O

Mcpherson   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Vital   O
signs   O
on   O
admission   O
were   O
as   O
follows   O
:   O
temperature   O
was   O
recorded   O
at   O
38.3   O
°   O
C   O
,   O
indicating   O
a   O
fever   O
;   O
heart   O
rate   O
was   O
elevated   O
at   O
102   O
beats   O
per   O
minute   O
;   O
respiratory   O
rate   O
was   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
was   O
within   O
normal   O
limits   O
for   O
Herrera   B-NAME
's   O
age   O
group   O
.   O

Physical   O
examination   O
conducted   O
by   O
Rovabokola   B-NAME
,   I-NAME
Ratu   I-NAME
Viliame   I-NAME
revealed   O
tenderness   O
and   O
rebound   O
tenderness   O
upon   O
palpation   O
of   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
the   O
McBurney   O
's   O
point   O
.   O

Additionally   O
,   O
Judah   B-NAME
Erickson   I-NAME
exhibited   O
a   O
positive   O
Rovsing   O
's   O
sign   O
.   O

The   O
907   B-ID
-   I-ID
99   I-ID
-   I-ID
50   I-ID
-   I-ID
2   I-ID
noted   O
that   O
Doug   B-NAME
Phillips   I-NAME
's   O
glucose   O
levels   O
were   O
slightly   O
elevated   O
at   O
the   O
time   O
of   O
admission   O
,   O
likely   O
a   O
result   O
of   O
Dan   B-NAME
Kauffman   I-NAME
's   O
underlying   O
diabetic   O
condition   O
.   O

The   O
imaging   O
studies   O
carried   O
out   O
on   O
Friday   B-DATE
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
evidence   O
of   O
perforation   O
.   O

Hancock   B-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Jong   B-NAME
Rinke   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
proposed   O
surgical   O
intervention   O
,   O
to   O
which   O
Isai   B-NAME
Dunn   I-NAME
provided   O
consent   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
35/02   B-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
care   O
included   O
antibiotic   O
therapy   O
to   O
prevent   O
infection   O
and   O
pain   O
management   O
tailored   O
to   O
Clinton   B-NAME
Solomon   I-NAME
's   O
needs   O
.   O

Braine   B-NAME
,   I-NAME
John   I-NAME
was   O
closely   O
monitored   O
for   O
signs   O
of   O
surgical   O
site   O
infection   O
or   O
complications   O
related   O
to   O
Gunner   B-NAME
Sherman   I-NAME
's   O
diabetes   O
.   O

Olson   B-NAME
,   I-NAME
Ken   I-NAME
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
Gayle   B-NAME
Oler   I-NAME
was   O
discharged   O
on   O
33/27/53   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
with   O
Chanel   B-NAME
Oberlin   I-NAME
in   O
two   O
weeks   O
or   O
immediately   O
if   O
Irmgard   B-NAME
Merlette   I-NAME
experienced   O
any   O
concerning   O
symptoms   O
.   O

Contact   O
information   O
provided   O
for   O
follow   O
-   O
up   O
care   O
included   O
the   O
main   O
number   O
for   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
at   O
335   B-CONTACT
-   I-CONTACT
4379   I-CONTACT
and   O
the   O
direct   O
line   O
to   O
Sexton   B-NAME
's   O
office   O
.   O

Additionally   O
,   O
Koln   B-NAME
was   O
provided   O
with   O
an   O
information   O
sheet   O
that   O
included   O
diabetes   O
management   O
post   O
-   O
surgery   O
and   O
signs   O
of   O
potential   O
complications   O
requiring   O
immediate   O
medical   O
attention   O
.   O

Feibig   B-NAME
,   I-NAME
Jim   I-NAME
was   O
also   O
instructed   O
to   O
monitor   O
their   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Foley   B-NAME
for   O
wound   O
evaluation   O
and   O
to   O
discuss   O
the   O
pathology   O
report   O
from   O
the   O
removed   O
appendix   O
.   O
Documentation   O
for   O
this   O
encounter   O
,   O
including   O
Ursula   B-NAME
Toth   I-NAME
's   O
medical   O
history   O
,   O
laboratory   O
results   O
,   O
imaging   O
studies   O
,   O
surgical   O
report   O
,   O
and   O
post   O
-   O
operative   O
care   O
notes   O
,   O
was   O
recorded   O
in   O
Christopher   B-NAME
Roberson   I-NAME
's   O
medical   O
record   O
,   O
6745B40931   B-ID
,   O
and   O
securely   O
stored   O
in   O
compliance   O
with   O
International   B-LOCATION
Red   I-LOCATION
Cross   I-LOCATION
and   I-LOCATION
Red   I-LOCATION
Crescent   I-LOCATION
Movement   I-LOCATION
policies   O
and   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Laylah   B-NAME
Haynes   I-NAME
Age   O
:   O
90   O
Date   O
of   O
Birth   O
:   O
1/03   B-DATE
ID   O
Number   O
:   O
AV835/7582   B-ID
Medical   O
Record   O
Number   O
:   O
8456166   B-ID
Address   O
:   O
West   B-LOCATION
Harrison   I-LOCATION
,   O
51235   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
942   I-CONTACT
)   I-CONTACT
785   I-CONTACT
3179   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Jane   B-NAME
Zavala   I-NAME
Admitting   O
Hospital   O
:   O

INTEGRIS   B-LOCATION
Southwest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/22   B-DATE
Profession   O
:   O

Motorboat   O
Operators   O
Username   O
:   O
uix253   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Chavez   B-NAME
,   I-NAME
Barbara   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Clark   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/16   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
and   O
nausea   O
.   O

The   O
patient   O
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
in   O
02/13/1842   B-DATE
.   O

Surgical   O
history   O
is   O
notable   O
for   O
a   O
cholecystectomy   O
in   O
Jun   B-DATE
20   I-DATE
.   O

On   O
physical   O
examination   O
,   O
Destinee   B-NAME
Stanley   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Dr.   O
Crawford   B-NAME
recommended   O
an   O
appendectomy   O
.   O

The   O
surgical   O
team   O
at   O
SSM   B-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
was   O
consulted   O
and   O
agreed   O
with   O
the   O
proposed   O
plan   O
.   O

Cosmo   B-NAME
McKinley   I-NAME
was   O
duly   O
informed   O
and   O
consented   O
to   O
surgery   O
.   O

The   O
patient   O
underwent   O
laparoscopic   O
appendectomy   O
on   O
1714   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
15   I-DATE
.   O

Postoperative   O
Course   O
:   O
Tamara   B-NAME
Cabrera   I-NAME
had   O
an   O
uneventful   O
recovery   O
and   O
was   O
discharged   O
on   O
33/21/38   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
English   B-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
telephone   O
call   O
is   O
scheduled   O
for   O
30/00   B-DATE
to   O
assess   O
recovery   O
progress   O
.   O

Further   O
appointments   O
can   O
be   O
arranged   O
if   O
necessary   O
via   O
the   O
office   O
number   O
:   O
44735   B-CONTACT
.   O

Summary   O
:   O
The   O
patient   O
,   O
Ayers   B-NAME
,   O
successfully   O
underwent   O
an   O
appendectomy   O
for   O
acute   O
appendicitis   O
at   O
The   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
.   O

Further   O
evaluation   O
and   O
continued   O
monitoring   O
by   O
Dr.   O
Nicolas   B-NAME
Yoder   I-NAME
are   O
essential   O
for   O
a   O
complete   O
recovery   O
.   O

Patient   O
Report   O
for   O
Barrie   B-NAME
,   I-NAME
J.   I-NAME
M.   I-NAME
Medical   O
Information   O
:   O
2311   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
28   I-DATE
,   O
Lozano   B-NAME
,   O
a   O
Septic   O
Tank   O
Servicers   O
and   O
Sewer   O
Pipe   O
Cleaners   O
of   O
11   O
years   O
,   O
presented   O
to   O
Opelousas   B-LOCATION
General   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
difficulty   O
breathing   O
,   O
and   O
episodes   O
of   O
high   O
fever   O
up   O
to   O
102   O
°   O
F   O
.   O

The   O
patient   O
noted   O
the   O
onset   O
of   O
symptoms   O
approximately   O
4/2222   B-DATE
,   O
which   O
gradually   O
worsened   O
over   O
the   O
course   O
of   O
a   O
week   O
.   O

Bo   B-NAME
Kirby   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
asthma   O
and   O
seasonal   O
allergies   O
.   O

The   O
patient   O
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
any   O
recent   O
travel   O
outside   O
Furnace   B-LOCATION
Creek   I-LOCATION
.   O

Diagnostic   O
Tests   O
:   O
A   O
series   O
of   O
diagnostic   O
tests   O
were   O
ordered   O
by   O
Torre   B-NAME
,   I-NAME
Joe   I-NAME
including   O
a   O
chest   O
X   O
-   O
ray   O
,   O
which   O
showed   O
no   O
acute   O
infiltrates   O
,   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
revealing   O
leukocytosis   O
,   O
and   O
a   O
RT   O
-   O
PCR   O
test   O
for   O
influenza   O
and   O
COVID-19   O
,   O
both   O
of   O
which   O
returned   O
negative   O
.   O

The   O
patient   O
's   O
507   B-ID
-   I-ID
96   I-ID
-   I-ID
94   I-ID
-   I-ID
4   I-ID
number   O
is   O
4616263   B-ID
.   O

The   O
patient   O
showed   O
marked   O
improvement   O
over   O
the   O
next   O
48   O
hours   O
and   O
was   O
discharged   O
on   O
00/08/69   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
corticosteroids   O
taper   O
and   O
inhalers   O
.   O

Follow   O
-   O
Up   O
:   O
Salinas   B-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Trenton   B-NAME
Sullivan   I-NAME
in   O
one   O
week   O
at   O
VA   B-LOCATION
New   I-LOCATION
Jersey   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
or   O
sooner   O
if   O
symptoms   O
of   O
breathlessness   O
,   O
fever   O
,   O
or   O
wheezing   O
recurred   O
.   O

Haley   B-NAME
was   O
given   O
educational   O
material   O
on   O
asthma   O
management   O
and   O
infection   O
prevention   O
measures   O
.   O

Contact   O
information   O
for   O
scheduling   O
follow   O
-   O
up   O
appointments   O
was   O
provided   O
(   O
208   B-CONTACT
9062   I-CONTACT
)   O
.   O

Furthermore   O
,   O
Morse   B-NAME
's   O
17795   B-LOCATION
code   O
was   O
noted   O
for   O
regional   O
health   O
monitoring   O
and   O
statistical   O
purposes   O
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
notify   O
the   O
sender   O
at   O
316   B-CONTACT
9506   I-CONTACT
immediately   O
and   O
destroy   O
any   O
copies   O
of   O
this   O
document   O
.   O

This   O
document   O
was   O
prepared   O
by   O
wy484   B-NAME
on   O
33/32   B-DATE
.   O

Any   O
questions   O
concerning   O
the   O
content   O
of   O
this   O
report   O
should   O
be   O
directed   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
patient   O
information   O
service   O
at   O
929   B-CONTACT
-   I-CONTACT
6410   I-CONTACT
.   O

Patient   O
ID   O
:   O
791   B-ID
-   I-ID
59   I-ID
-   I-ID
14   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Admission   O
:   O
2040s   B-DATE
Name   O
of   O
Patient   O
:   O
Youngman   B-NAME
Age   O
:   O
71   O
Location   O
:   O
Coqui   B-LOCATION
,   O
96138   B-LOCATION
Contact   O
Number   O
:   O

49588   B-CONTACT
Referred   O
by   O
:   O
Dr.   O
Punja   B-NAME
,   I-NAME
Hari   I-NAME
Hospital   O
:   O
Located   B-LOCATION
within   I-LOCATION
Saint   I-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
Kant   B-NAME
,   I-NAME
Immanuel   I-NAME
,   O
a   O
psychologist   O
from   O
Loma   B-LOCATION
Linda   I-LOCATION
,   O
was   O
admitted   O
to   O
Infirmary   B-LOCATION
LTAC   I-LOCATION
Hospital   I-LOCATION
on   O
2041   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
10   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
intermittent   O
episodes   O
of   O
vomiting   O
that   O
have   O
been   O
persisting   O
for   O
approximately   O
72   O
hours   O
prior   O
to   O
admission   O
.   O

Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
has   O
a   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
,   O
for   O
which   O
they   O
have   O
been   O
on   O
medication   O
for   O
the   O
past   O
26   O
years   O
.   O

On   O
physical   O
examination   O
,   O
Jason   B-NAME
Burdette   I-NAME
presented   O
with   O
diffuse   O
abdominal   O
tenderness   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Marlie   B-NAME
Lambert   I-NAME
has   O
started   O
the   O
patient   O
on   O
an   O
IV   O
fluid   O
regimen   O
,   O
pain   O
management   O
,   O
and   O
antibiotics   O
to   O
manage   O
potential   O
infectious   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Virginia   B-NAME
Roman   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Conner   B-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
monitor   O
recovery   O
progress   O
and   O
to   O
discuss   O
further   O
management   O
of   O
their   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
.   O

Patient   O
ID   O
:   O
8   B-ID
-   I-ID
6219500   I-ID
Username   O
for   O
Hospital   O
Portal   O
:   O
CF43   B-NAME
The   O
care   O
team   O
at   O
Northeast   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
is   O
committed   O
to   O
providing   O
Sanchez   B-NAME
with   O
comprehensive   O
care   O
and   O
support   O
throughout   O
their   O
treatment   O
and   O
recovery   O
process   O
.   O

Further   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
will   O
be   O
documented   O
in   O
the   O
patient   O
's   O
medical   O
records   O
under   O
ID   O
8303909   B-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Duncan   B-NAME
Kane   I-NAME
Age   O
:   O
41   O
ID   O
:   O
BC:32921:480525   B-ID
Medical   O
Record   O
Number   O
:   O
1382524   B-ID
Location   O
:   O
Heartwell   B-LOCATION
Phone   O
:   O
586   B-CONTACT
-   I-CONTACT
3167   I-CONTACT
ZIP   O
:   O
76399   B-LOCATION
Date   O
of   O
the   O
report   O
:   O
21/20/85   B-DATE
Presenting   O
Complaint   O
:   O
Johanna   B-NAME
Bell   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Caldwell   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
on   O
22/02/2070   B-DATE
complaining   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
that   O
radiates   O
to   O
the   O
left   O
arm   O
,   O
and   O
an   O
overwhelming   O
sense   O
of   O
anxiety   O
.   O

Medical   O
History   O
:   O
Jarrell   B-NAME
,   I-NAME
Randall   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
previously   O
diagnosed   O
with   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O

Family   O
history   O
reveals   O
that   O
John   B-NAME
Sundstrom   I-NAME
's   O
mother   O
had   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
10   O
week   O
.   O

On   O
examination   O
,   O
Isaac   B-NAME
Upson   I-NAME
's   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
180/95   O
mmHg   O
,   O
pulse   O
rate   O
was   O
110   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
.   O

Investigations   O
:   O
Dr.   O
Davis   B-NAME
ordered   O
an   O
Electrocardiogram   O
(   O
ECG   O
)   O
which   O
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
.   O

Brice   B-NAME
Short   I-NAME
was   O
also   O
subjected   O
to   O
a   O
chest   O
X   O
-   O
ray   O
which   O
indicated   O
pulmonary   O
edema   O
.   O

The   O
findings   O
suggest   O
that   O
the   O
Peter   B-NAME
Doyle   I-NAME
is   O
suffering   O
from   O
an   O
Acute   O
Myocardial   O
Infarction   O
with   O
secondary   O
pulmonary   O
edema   O
,   O
necessitating   O
immediate   O
intervention   O
.   O

Antony   B-NAME
Macias   I-NAME
was   O
also   O
given   O
intravenous   O
morphine   O
for   O
pain   O
relief   O
and   O
oxygen   O
therapy   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
95   O
%   O
.   O

carrie   B-NAME
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
of   O
Logan   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
.   O

A   O
referral   O
was   O
made   O
to   O
Dr.   O
Durham   B-NAME
,   O
a   O
cardiologist   O
affiliated   O
with   O
Ferry   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
for   O
a   O
possible   O
angioplasty   O
.   O

Follow   O
-   O
up   O
:   O
Lorelai   B-NAME
Santana   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Dalton   B-NAME
in   O
the   O
cardiology   O
clinic   O
of   O
UPMC   B-LOCATION
Magee   I-LOCATION
-   I-LOCATION
Womens   I-LOCATION
Hospital   I-LOCATION
on   O
June   B-DATE
.   O

Miyamoto   B-NAME
Musashi   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
low   O
sodium   O
diet   O
,   O
manage   O
stress   O
,   O
and   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O

Instructions   O
for   O
Robert   B-NAME
Yamamoto   I-NAME
:   O
-   O
Adhere   O
to   O
the   O
prescribed   O
medication   O
without   O
any   O
lapses   O
.   O

-   O
Contact   O
615   B-CONTACT
1090   I-CONTACT
if   O
there   O
are   O
any   O
signs   O
of   O
worsening   O
symptoms   O
or   O
in   O
case   O
of   O
any   O
emergency   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Model   O
Makers   O
,   O
Metal   O
and   O
Plastic   O
at   O
Okefenoke   B-LOCATION
Rural   I-LOCATION
Electric   I-LOCATION
Membership   I-LOCATION
Corporation   I-LOCATION
and   O
is   O
strictly   O
confidential   O
.   O

Patient   O
Name   O
:   O
Robert   B-NAME
I.   I-NAME
Harmon   I-NAME
Patient   O
ID   O
:   O
39074609   B-ID
Date   O
of   O
Birth   O
:   O
00/03/2034   B-DATE
Age   O
:   O
38   O
Medical   O
Record   O
Number   O
:   O
281   B-ID
-   I-ID
66   I-ID
-   I-ID
66   I-ID
Address   O
:   O
Strawn   B-LOCATION
,   O
83472   B-LOCATION
Phone   O
Number   O
:   O
97467   B-CONTACT
Attending   O
Physician   O
:   O

Londyn   B-NAME
Whitehead   I-NAME
Hospital   O
:   O

Prisma   B-LOCATION
Health   I-LOCATION
Greenville   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
34/00   B-DATE
Date   O
of   O
Discharge   O
:   O
11/28/42   B-DATE
Clinical   O
Summary   O
:   O
Mr.   O
V.   B-NAME
Hamilton   I-NAME
presented   O
to   O
Long   B-LOCATION
Island   I-LOCATION
Jewish   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
June   B-DATE
25   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
has   O
been   O
persisting   O
for   O
the   O
past   O
2/23/08   B-DATE
.   O

Additionally   O
,   O
Mr.   O
Destiny   B-NAME
Tran   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
that   O
developed   O
two   O
days   O
prior   O
to   O
admission   O
.   O

Upon   O
physical   O
examination   O
,   O
Mr.   O
Arthur   B-NAME
Arden   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
indicative   O
of   O
peritonitis   O
,   O
prompting   O
immediate   O
further   O
evaluation   O
.   O

A   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Dr.   O
Maximus   B-NAME
.   O

Surgical   O
intervention   O
was   O
deemed   O
necessary   O
and   O
Mr.   O
Park   B-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
09/09/2131   B-DATE
.   O

The   O
procedure   O
,   O
performed   O
by   O
Dr.   O
Shelby   B-NAME
Escobar   I-NAME
,   O
was   O
without   O
complications   O
.   O

Mr.   O
Rene   B-NAME
Mercado   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
notable   O
for   O
mild   O
,   O
self   O
-   O
limiting   O
pain   O
managed   O
effectively   O
with   O
oral   O
analgesics   O
.   O

He   O
was   O
advised   O
on   O
wound   O
care   O
and   O
activity   O
restrictions   O
prior   O
to   O
discharge   O
from   O
Park   B-LOCATION
Nicollet   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
on   O
01/05   B-DATE
.   O
Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Dr.   O
Wyatt   B-NAME
in   O
two   O
weeks   O
at   O
Harlingen   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78552   I-LOCATION
to   O
monitor   O
the   O
healing   O
process   O
and   O
address   O
any   O
potential   O
complications   O
.   O

Mr.   O
Wendell   B-NAME
Lepe   I-NAME
was   O
also   O
provided   O
with   O
educational   O
material   O
regarding   O
signs   O
of   O
infection   O
and   O
the   O
importance   O
of   O
gradual   O
return   O
to   O
daily   O
activities   O
.   O

For   O
further   O
information   O
or   O
to   O
reschedule   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
Mr.   O
Rimbaud   B-NAME
,   I-NAME
Arthur   I-NAME
or   O
his   O
family   O
can   O
contact   O
Louisville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
988   B-CONTACT
-   I-CONTACT
4163   I-CONTACT
.   O

No   O
additional   O
medications   O
were   O
prescribed   O
upon   O
discharge   O
,   O
but   O
Mr.   O
ostrowski   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
to   O
monitor   O
his   O
temperature   O
for   O
signs   O
of   O
infection   O
.   O

This   O
summary   O
has   O
been   O
prepared   O
for   O
Mr.   O
Lawson   B-NAME
by   O
the   O
medical   O
staff   O
at   O
Jersey   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
led   O
by   O
Dr.   O
Tomas   B-NAME
Kirk   I-NAME
.   O

For   O
any   O
discrepancies   O
,   O
or   O
to   O
access   O
detailed   O
medical   O
records   O
,   O
please   O
contact   O
our   O
records   O
department   O
at   O
346   B-CONTACT
9769   I-CONTACT
.   O

Patient   O
Name   O
:   O
Krause   B-NAME
Patient   O
ID   O
:   O
KG:60643:623316   B-ID
Medical   O
Record   O
Number   O
:   O
88922247   B-ID
Date   O
of   O
Birth   O
:   O
33/23   B-DATE
Age   O
:   O
69   O
Address   O
:   O
Las   B-LOCATION
Animas   I-LOCATION
,   O
44419   B-LOCATION
Phone   O
Number   O
:   O
14056   B-CONTACT
Occupation   O
:   O
Fence   O
Erectors   O
Primary   O
Physician   O
:   O

Dr.   O
Walter   B-NAME
Hospital   O
:   O
Florida   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Connerton   I-LOCATION
Long   I-LOCATION
Term   I-LOCATION
Acute   I-LOCATION
Care   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Marty   B-NAME
Saybrooke   I-NAME
,   O
a   O
3   O
month   O
-   O
year   O
-   O
old   O
Administrative   O
Services   O
Managers   O
from   O
Dobbs   B-LOCATION
Ferry   I-LOCATION
,   O
presented   O
to   O
Munson   B-LOCATION
Healthcare   I-LOCATION
Charlevoix   I-LOCATION
Hospital   I-LOCATION
on   O
0/11   B-DATE
with   O
a   O
three   O
-   O
day   O
history   O
of   O
progressive   O
,   O
bothersome   O
symptoms   O
.   O

Additionally   O
,   O
there   O
was   O
a   O
notable   O
stiff   O
neck   O
,   O
preventing   O
Sean   B-NAME
Miranda   I-NAME
from   O
touching   O
the   O
chin   O
to   O
the   O
chest   O
,   O
and   O
several   O
episodes   O
of   O
nausea   O
followed   O
by   O
non   O
-   O
bloody   O
,   O
non   O
-   O
bilious   O
vomiting   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
Zander   B-NAME
Guzman   I-NAME
appeared   O
acutely   O
ill   O
and   O
distressed   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Speciality   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Julio   B-NAME
Oneal   I-NAME
and   O
received   O
a   O
regimen   O
of   O
intravenous   O
antibiotics   O
and   O
supportive   O
therapies   O
.   O

The   O
patient   O
showed   O
marked   O
improvement   O
with   O
the   O
initiated   O
treatment   O
over   O
the   O
next   O
20/21   B-DATE
,   O
with   O
a   O
resolution   O
of   O
fever   O
,   O
headaches   O
,   O
and   O
photophobia   O
.   O

Fiske   B-NAME
,   I-NAME
Irving   I-NAME
was   O
discharged   O
on   O
12/07   B-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Villa   B-NAME
in   O
two   O
weeks   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Vinnie   B-NAME
Dalbeck   I-NAME
Age   O
:   O
61   O
Medical   O
Record   O
Number   O
:   O
00963449   B-ID
Date   O
of   O
Birth   O
:   O
22/22   B-DATE
Address   O
:   O
Orange   B-LOCATION
City   I-LOCATION
,   O
98534   B-LOCATION
Phone   O
Number   O
:   O
93425   B-CONTACT
Primary   O
Physician   O
:   O

Sanaa   B-NAME
Hayes   I-NAME
Hospital   O
:   O
New   B-LOCATION
Lifecare   I-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
PGH   I-LOCATION
-   I-LOCATION
Alle   I-LOCATION
-   I-LOCATION
Kiski   I-LOCATION
Summary   O
:   O
Brayan   B-NAME
Martinez   I-NAME
,   O
a   O
Logging   O
Tractor   O
Operators   O
residing   O
in   O
Branchdale   B-LOCATION
,   O
was   O
admitted   O
to   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Grosse   I-LOCATION
Pointe   I-LOCATION
on   O
17/28   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Susan   B-NAME
A.   I-NAME
Donaldson   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O
Examination   O
and   O
Findings   O
:   O

Upon   O
examination   O
,   O
Mcconnell   B-NAME
exhibited   O
signs   O
of   O
dehydration   O
and   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Bean   B-NAME
,   I-NAME
Roy   I-NAME
diagnosed   O
Kirk   B-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
immediate   O
surgical   O
consultation   O
.   O

Surgical   O
intervention   O
was   O
scheduled   O
for   O
22/21/46   B-DATE
,   O
and   O
Williams   B-NAME
,   I-NAME
Ted   I-NAME
was   O
informed   O
of   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
.   O

Follow   O
-   O
Up   O
:   O
Kathleen   B-NAME
Sampson   I-NAME
underwent   O
an   O
uneventful   O
laparoscopic   O
appendectomy   O
on   O
Tuesday   B-DATE
at   O
USMD   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Arlington   I-LOCATION
.   O

Postoperative   O
recovery   O
was   O
satisfactory   O
,   O
with   O
Yuri   B-NAME
Poole   I-NAME
being   O
discharged   O
on   O
20/23/2184   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Mercer   B-NAME
in   O
two   O
weeks   O
to   O
monitor   O
recovery   O
progress   O
and   O
to   O
discuss   O
wound   O
care   O
.   O

Evangeline   B-NAME
Hensley   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
,   O
high   O
-   O
fiber   O
diet   O
and   O
to   O
monitor   O
blood   O
sugar   O
levels   O
regularly   O
due   O
to   O
their   O
history   O
of   O
diabetes   O
.   O

Confidential   O
Information   O
:   O
Patient   O
ID   O
:   O
NI:49232:755430   B-ID
Insurance   O
Provider   O
:   O
Penn   B-LOCATION
Mutual   I-LOCATION
Account   O
Number   O
:   O
0   B-ID
-   I-ID
8223923   I-ID
For   O
further   O
information   O
or   O
clarification   O
,   O
please   O
contact   O
Richards   B-NAME
at   O
596   B-CONTACT
-   I-CONTACT
9067   I-CONTACT
or   O
visit   O
Saint   B-LOCATION
Joseph   I-LOCATION
Mount   I-LOCATION
Sterling   I-LOCATION
located   O
at   O
Winkler   B-LOCATION
,   I-LOCATION
MB   I-LOCATION
R6W   I-LOCATION
0N9   I-LOCATION
,   O
22914   B-LOCATION
.   O

Patient   O
Name   O
:   O
Narvaez   B-NAME
Patient   O
ID   O
:   O
RL   B-ID
:   I-ID
VJ:6334   I-ID
Medical   O
Record   O
Number   O
:   O
4831043   B-ID
Age   O
:   O
33   O
Location   O
:   O
Traer   B-LOCATION
Phone   O
Number   O
:   O
58052   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Stein   B-NAME
Admission   O
Date   O
:   O
1732   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
26   I-DATE
Hospital   O
:   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Davie   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ZIP   O
Code   O
:   O
48672   B-LOCATION
Employment   O
:   O
Stock   O
Clerks   O
and   O
Order   O
Fillers   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
KYLE   B-NAME
LEVINE   I-NAME
,   O
presented   O
to   O
Mountain   B-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
May   B-DATE
2248   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

The   O
headache   O
episodes   O
have   O
been   O
occurring   O
with   O
increasing   O
frequency   O
over   O
the   O
past   O
7/20/2122   B-DATE
,   O
peaking   O
in   O
intensity   O
approximately   O
2   O
hours   O
post   O
onset   O
.   O

"   O
Medical   O
History   O
:   O
Cowan   B-NAME
has   O
a   O
known   O
history   O
of   O
migraines   O
diagnosed   O
at   O
age   O
68   O
.   O

There   O
has   O
been   O
a   O
noted   O
increase   O
in   O
the   O
intensity   O
and   O
frequency   O
of   O
these   O
migraines   O
over   O
the   O
past   O
12/02   B-DATE
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Devona   B-NAME
Dishner   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
MRI   O
of   O
the   O
brain   O
,   O
ordered   O
by   O
Dr.   O
Ezequiel   B-NAME
Adams   I-NAME
,   O
showed   O
no   O
acute   O
abnormalities   O
.   O

Management   O
Plan   O
:   O
Given   O
the   O
patient   O
,   O
Denzel   B-NAME
Johns   I-NAME
's   O
,   O
history   O
of   O
migraines   O
and   O
the   O
presenting   O
symptoms   O
,   O
the   O
working   O
diagnosis   O
is   O
a   O
migraine   O
without   O
aura   O
.   O

Rocco   B-NAME
Berry   I-NAME
was   O
administered   O
Sumatriptan   O
,   O
100   O
mg   O
orally   O
,   O
in   O
the   O
emergency   O
department   O
with   O
significant   O
improvement   O
of   O
headache   O
symptoms   O
.   O

Alana   B-NAME
Fung   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
,   O
maintain   O
a   O
headache   O
diary   O
,   O
and   O
follow   O
up   O
with   O
their   O
primary   O
care   O
physician   O
,   O
Aimee   B-NAME
Rowe   I-NAME
,   O
in   O
CROYDON   B-LOCATION
within   O
the   O
next   O
2221   B-DATE
.   O

Notes   O
for   O
Follow   O
-   O
Up   O
:   O
Special   O
attention   O
should   O
be   O
paid   O
to   O
the   O
impact   O
of   O
Lashunda   B-NAME
Misluk   I-NAME
's   O
migraines   O
on   O
their   O
employment   O
as   O
a   O
Editors   O
.   O

Walter   B-NAME
P.   I-NAME
Carew   I-NAME
reported   O
that   O
headache   O
episodes   O
have   O
begun   O
to   O
affect   O
job   O
performance   O
.   O

For   O
any   O
immediate   O
concerns   O
or   O
changes   O
in   O
condition   O
,   O
Rachel   B-NAME
Hines   I-NAME
has   O
been   O
instructed   O
to   O
contact   O
Eisenhower   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
neurology   O
department   O
at   O
682   B-CONTACT
-   I-CONTACT
500   I-CONTACT
2739   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

Prepared   O
by   O
:   O
oav592   B-NAME
Date   O
:   O
2031   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
03   I-DATE

The   O
patient   O
,   O
Aimee   B-NAME
Barnett   I-NAME
,   O
a   O
11s   O
-   O
year   O
-   O
old   O
Brand   O
manager   O
,   O
presented   O
to   O
our   O
clinic   O
in   O
Compton   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
90221   I-LOCATION
on   O
2345   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
30   I-DATE
with   O
complaints   O
of   O
a   O
persistent   O
,   O
dry   O
cough   O
that   O
has   O
lasted   O
for   O
approximately   O
three   O
weeks   O
.   O

Roger   B-NAME
Easterling   I-NAME
also   O
reported   O
experiencing   O
bouts   O
of   O
shortness   O
of   O
breath   O
after   O
moderate   O
physical   O
activities   O
,   O
such   O
as   O
walking   O
up   O
stairs   O
or   O
brisk   O
walking   O
for   O
more   O
than   O
a   O
few   O
minutes   O
.   O

During   O
the   O
physical   O
examination   O
conducted   O
by   O
Anthony   B-NAME
,   O
Haley   B-NAME
exhibited   O
wheezing   O
upon   O
auscultation   O
,   O
predominantly   O
in   O
the   O
lower   O
lung   O
fields   O
.   O

A   O
detailed   O
medical   O
history   O
revealed   O
that   O
Jarman   B-NAME
has   O
a   O
history   O
of   O
atopic   O
dermatitis   O
and   O
allergic   O
rhinitis   O
.   O

However   O
,   O
Carolyn   B-NAME
Holloway   I-NAME
mentioned   O
an   O
ongoing   O
exposure   O
to   O
potential   O
allergens   O
at   O
their   O
workplace   O
in   O
Kelly   B-LOCATION
,   O
which   O
includes   O
dusty   O
conditions   O
and   O
occasional   O
smoke   O
from   O
nearby   O
industrial   O
activities   O
.   O

Given   O
these   O
findings   O
,   O
an   O
asthma   O
test   O
,   O
specifically   O
a   O
spirometry   O
,   O
was   O
scheduled   O
for   O
2283   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
01   I-DATE
at   O
Newberry   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
contact   O
information   O
has   O
been   O
filed   O
under   O
8728889   B-ID
and   O
6   B-ID
-   I-ID
8867651   I-ID
.   O

For   O
any   O
urgent   O
issues   O
,   O
Yuliana   B-NAME
Ray   I-NAME
can   O
be   O
reached   O
at   O
663   B-CONTACT
433   I-CONTACT
9433   I-CONTACT
.   O

The   O
primary   O
care   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
02/20/2068   B-DATE
to   O
review   O
the   O
spirometry   O
and   O
allergist   O
's   O
findings   O
and   O
to   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Instructions   O
were   O
provided   O
to   O
Travis   B-NAME
to   O
monitor   O
and   O
record   O
any   O
exacerbations   O
or   O
new   O
symptoms   O
in   O
a   O
diary   O
,   O
including   O
the   O
frequency   O
of   O
albuterol   O
rescue   O
inhaler   O
use   O
,   O
to   O
be   O
discussed   O
during   O
the   O
next   O
visit   O
.   O

This   O
report   O
will   O
be   O
uploaded   O
to   O
Morton   B-NAME
Chegley   I-NAME
's   O
electronic   O
health   O
records   O
maintained   O
by   O
Center   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Humanitarian   I-LOCATION
law   I-LOCATION
under   O
the   O
account   O
ale478   B-NAME
.   O

For   O
confidentiality   O
and   O
security   O
reasons   O
,   O
the   O
information   O
has   O
been   O
encrypted   O
and   O
can   O
only   O
be   O
accessed   O
using   O
the   O
patient   O
's   O
unique   O
XO   B-ID
:   I-ID
LT:3455   I-ID
number   O
.   O

The   O
medical   O
team   O
at   O
Sutter   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
is   O
committed   O
to   O
providing   O
Katlyn   B-NAME
Osorio   I-NAME
with   O
comprehensive   O
care   O
,   O
tailored   O
to   O
their   O
specific   O
needs   O
and   O
medical   O
history   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Angel   B-NAME
Vail   I-NAME
Age   O
:   O
15   O
Medical   O
Record   O
Number   O
:   O
6744557   B-ID
Date   O
of   O
Birth   O
:   O
02   B-DATE
-   I-DATE
14   I-DATE
Phone   O
Number   O
:   O
54555   B-CONTACT
Address   O
:   O
Sierra   B-LOCATION
City   I-LOCATION
,   O
23790   B-LOCATION
Treating   O
Physician   O
:   O

Duffy   B-NAME
Treatment   O
Facility   O
:   O
UPMC   B-LOCATION
Pinnacle   I-LOCATION
Hanover   I-LOCATION
Date   O
of   O
Visit   O
:   O
1/82   B-DATE
ID   O
:   O
FX893/7227   B-ID
Chief   O
Complaint   O
:   O
Rabuka   B-NAME
,   I-NAME
Sitiveni   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
03/16/2221   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
for   O
the   O
past   O
2142   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
22   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
noted   O
the   O
onset   O
of   O
symptoms   O
approximately   O
2/03   B-DATE
ago   O
with   O
no   O
identifiable   O
precipitating   O
factors   O
.   O

Aradiel   B-NAME
reports   O
an   O
increase   O
in   O
pain   O
intensity   O
over   O
the   O
last   O
Monday   B-DATE
,   I-DATE
August   I-DATE
,   O
prompting   O
the   O
visit   O
today   O
.   O

Past   O
Medical   O
History   O
:   O
Stuart   B-NAME
Hessler   I-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
diagnosed   O
in   O
September   B-DATE
.   O

Regular   O
medications   O
include   O
a   O
daily   O
probiotic   O
and   O
ibuprofen   O
as   O
needed   O
for   O
pain   O
,   O
which   O
Cash   B-NAME
,   I-NAME
Johnny   I-NAME
has   O
discontinued   O
due   O
to   O
ineffectiveness   O
for   O
current   O
symptoms   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
stated   O
above   O
,   O
Jeremy   B-NAME
Bradshaw   I-NAME
denies   O
experiencing   O
fever   O
,   O
vomiting   O
,   O
diarrhea   O
,   O
blood   O
in   O
stool   O
,   O
urinary   O
symptoms   O
,   O
or   O
notable   O
weight   O
loss   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Shayla   B-NAME
Shaffer   I-NAME
presented   O
in   O
no   O
acute   O
distress   O
.   O

Diagnostic   O
Tests   O
:   O
Based   O
on   O
the   O
presenting   O
symptoms   O
and   O
physical   O
examination   O
findings   O
,   O
Acosta   B-NAME
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
abdominal   O
ultrasound   O
,   O
and   O
urine   O
analysis   O
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
abdominal   O
pain   O
.   O

Pending   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
,   O
Davin   B-NAME
Nielsen   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
,   O
avoid   O
the   O
use   O
of   O
NSAIDs   O
,   O
and   O
to   O
monitor   O
symptoms   O
closely   O
.   O

Eveline   B-NAME
Bookamer   I-NAME
was   O
provided   O
with   O
a   O
prescription   O
for   O
a   O
pain   O
reliever   O
that   O
is   O
not   O
an   O
NSAID   O
and   O
an   O
anti   O
-   O
spasmodic   O
medication   O
to   O
manage   O
discomfort   O
.   O

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
01/24   B-DATE
to   O
review   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

In   O
Case   O
of   O
Emergency   O
:   O
Sweeney   B-NAME
was   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
of   O
UPMC   B-LOCATION
ST   I-LOCATION
MARGARET   I-LOCATION
or   O
call   O
87941   B-CONTACT
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
severe   O
pain   O
develop   O
.   O

Notifications   O
:   O
A   O
summary   O
of   O
today   O
's   O
visit   O
and   O
the   O
management   O
plan   O
was   O
sent   O
to   O
Brooks   B-NAME
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Blaine   B-NAME
Murray   I-NAME
,   O
at   O
International   B-LOCATION
Commission   I-LOCATION
of   I-LOCATION
Jurists   I-LOCATION
.   O

A   O
copy   O
of   O
this   O
report   O
was   O
also   O
sent   O
to   O
FRANK   B-NAME
EMMONS   I-NAME
's   O
record   O
at   O
Ottawa   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Minneapolis   I-LOCATION
for   O
continuity   O
of   O
care   O
via   O
fax   O
number   O
15009   B-CONTACT
.   O

Prepared   O
by   O
:   O
AS229   B-NAME
,   O
Financial   O
Specialists   O
,   O
All   O
Other   O
30/20   B-DATE

The   O
patient   O
,   O
Fiszer   B-NAME
,   I-NAME
Franciszek   I-NAME
,   O
a   O
Fallers   O
from   O
Longford   B-LOCATION
,   O
presented   O
at   O
Adventist   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Rideout   I-LOCATION
on   O
07/22   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
for   O
the   O
past   O
48   O
hours   O
.   O

Kristin   B-NAME
Harris   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
irritable   O
bowel   O
syndrome   O
but   O
denies   O
any   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Upon   O
examination   O
,   O
Curry   B-NAME
noted   O
that   O
Chaudhry   B-NAME
,   I-NAME
Mahendra   I-NAME
's   O
abdomen   O
was   O
tender   O
to   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
rebound   O
tenderness   O
suggestive   O
of   O
potential   O
appendicitis   O
.   O

Alfredo   B-NAME
Bennett   I-NAME
's   O
medical   O
record   O
number   O
,   O
8914015   B-ID
,   O
shows   O
no   O
known   O
drug   O
allergies   O
or   O
previous   O
surgeries   O
.   O

Contact   O
information   O
on   O
file   O
includes   O
a   O
primary   O
phone   O
number   O
,   O
980   B-CONTACT
-   I-CONTACT
2367   I-CONTACT
,   O
and   O
an   O
emergency   O
contact   O
who   O
is   O
a   O
Estate   O
agent   O
residing   O
at   O
Walls   B-LOCATION
.   O

Considering   O
the   O
diagnosis   O
,   O
Akinola   B-NAME
,   I-NAME
Peter   I-NAME
Jasper   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

The   O
consultation   O
was   O
scheduled   O
for   O
January   B-DATE
39   I-DATE
,   I-DATE
2033   I-DATE
,   O
and   O
Baha'u'llah   B-NAME
was   O
admitted   O
to   O
Cascade   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
in   O
the   O
interim   O
.   O

Pre   O
-   O
operative   O
instructions   O
were   O
provided   O
to   O
Nuvia   B-NAME
Nadeau   I-NAME
on   O
29/33/2152   B-DATE
,   O
including   O
fasting   O
from   O
midnight   O
the   O
day   O
before   O
the   O
surgery   O
.   O

Consent   O
forms   O
,   O
detailing   O
the   O
procedure   O
and   O
potential   O
risks   O
,   O
were   O
reviewed   O
and   O
signed   O
by   O
Samantha   B-NAME
Vance   I-NAME
on   O
00/73   B-DATE
.   O

Verification   O
of   O
the   O
patient   O
's   O
identity   O
was   O
conducted   O
using   O
the   O
ID   O
number   O
,   O
BW   B-ID
:   I-ID
YE:6291   I-ID
,   O
before   O
proceeding   O
with   O
the   O
pre   O
-   O
operative   O
preparations   O
.   O

Surgical   O
intervention   O
was   O
successfully   O
performed   O
on   O
June   B-DATE
23   I-DATE
,   O
with   O
Rodriguez   B-NAME
reporting   O
the   O
appendix   O
to   O
be   O
acutely   O
inflamed   O
but   O
without   O
rupture   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
01/16/1722   B-DATE
at   O
Methodist   B-LOCATION
Hospital   I-LOCATION
to   O
assess   O
recovery   O
progress   O
.   O

In   O
the   O
patient   O
's   O
discharge   O
summary   O
,   O
Webster   B-NAME
noted   O
that   O
Nogai   B-NAME
Fenger   I-NAME
should   O
expect   O
a   O
full   O
recovery   O
with   O
adherence   O
to   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

Recommendations   O
included   O
a   O
follow   O
-   O
up   O
with   O
Marlene   B-NAME
Padilla   I-NAME
's   O
primary   O
care   O
physician   O
in   O
Cave   B-LOCATION
Springs   I-LOCATION
for   O
continued   O
management   O
and   O
to   O
discuss   O
potential   O
dietary   O
modifications   O
to   O
manage   O
the   O
underlying   O
irritable   O
bowel   O
syndrome   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
23/19   B-DATE
,   O
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
antibiotic   O
therapy   O
provided   O
.   O

The   O
case   O
was   O
documented   O
under   O
34448665   B-ID
for   O
future   O
reference   O
,   O
and   O
a   O
summary   O
of   O
the   O
visit   O
was   O
shared   O
with   O
Elizabeth   B-NAME
Masterson   I-NAME
's   O
primary   O
care   O
physician   O
via   O
a   O
secure   O
electronic   O
health   O
record   O
system   O
,   O
username   O
rbt957   B-NAME
,   O
located   O
at   O
Lanka   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
in   O
49912   B-LOCATION
.   O

Patient   O
Report   O
for   O
Caitlin   B-NAME
Snow   I-NAME
Patient   O
ID   O
:   O
KG   B-ID
:   I-ID
IY:5274   I-ID
Medical   O
Record   O
Number   O
:   O
5228297   B-ID
Date   O
of   O
Birth   O
:   O
11/23   B-DATE
Age   O
:   O
88   O
Location   O
:   O
Homosassa   B-LOCATION
Springs   I-LOCATION
,   O
36911   B-LOCATION
Admitting   O
Physician   O
:   O

Isabel   B-NAME
Colon   I-NAME
Hospital   O
:   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Southeast   I-LOCATION
Date   O
of   O
Admission   O
:   O
09/22/2266   B-DATE
Date   O
of   O
Report   O
:   O
Sunday   B-DATE
Chief   O
Complaint   O
:   O
Carlyn   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
02/03   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
photophobia   O
,   O
and   O
nausea   O
.   O

Garnet   B-NAME
Christain   I-NAME
also   O
reported   O
experiencing   O
a   O
brief   O
episode   O
of   O
loss   O
of   O
consciousness   O
prior   O
to   O
arrival   O
at   O
the   O
hospital   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Alan   B-NAME
Xavier   I-NAME
,   O
a   O
Environmental   O
Science   O
and   O
Protection   O
Technicians   O
,   O
Including   O
Health   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
experienced   O
an   O
abrupt   O
onset   O
of   O
a   O
severe   O
headache   O
earlier   O
on   O
10/02   B-DATE
.   O

Following   O
an   O
episode   O
of   O
syncope   O
,   O
Postel   B-NAME
,   I-NAME
Jon   I-NAME
was   O
brought   O
to   O
Bullitt   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
by   O
emergency   O
services   O
.   O

Quiana   B-NAME
is   O
a   O
Directory   O
Assistance   O
Operators   O
living   O
in   O
Park   B-LOCATION
City   I-LOCATION
.   O

Martinez   B-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Ebony   B-NAME
was   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
but   O
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
Neurological   O
Intensive   O
Care   O
Unit   O
under   O
the   O
care   O
of   O
Rhys   B-NAME
Colon   I-NAME
.   O

A   O
cerebral   O
angiography   O
performed   O
on   O
02/28/2049   B-DATE
identified   O
a   O
small   O
anterior   O
communicating   O
artery   O
aneurysm   O
.   O

Neurosurgical   O
intervention   O
was   O
recommended   O
and   O
successfully   O
performed   O
on   O
9/26   B-DATE
.   O

Post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
12/22   B-DATE
to   O
continue   O
recovery   O
at   O
home   O
.   O

Follow   O
-   O
up   O
:   O
James   B-NAME
Guerra   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Medina   B-NAME
at   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
West   I-LOCATION
Kendall   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
on   O
06/33/2336   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
the   O
Neurology   O
Department   O
at   O
Winter   B-LOCATION
Park   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
via   O
203   B-CONTACT
-   I-CONTACT
6150   I-CONTACT
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Alysha   B-NAME
Mostoller   I-NAME
,   O
M.D.   O
on   O
1949   B-DATE
.   O

Patient   O
Name   O
:   O
Liliana   B-NAME
Henderson   I-NAME
Medical   O
Record   O
Number   O
:   O
32191547   B-ID
Age   O
:   O
78   O
Date   O
of   O
Birth   O
:   O
11/33   B-DATE
Address   O
:   O
Westwood   B-LOCATION
Shores   I-LOCATION
,   O
90542   B-LOCATION
Phone   O
Number   O
:   O
59420   B-CONTACT
Attending   O
Physician   O
:   O
Scott   B-NAME
Hospital   O
:   O
King   B-LOCATION
's   I-LOCATION
Daughters   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
37/22   B-DATE
Date   O
of   O
Discharge   O
:   O
5/22   B-DATE
ID   O
:   O
2   B-ID
-   I-ID
3321499   I-ID
Chief   O
Complaint   O
:   O
Lana   B-NAME
Greene   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Freeman   B-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
on   O
32   B-DATE
-   I-DATE
Dec-2233   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
101.8   O
°   O
F   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Boone   B-NAME
,   O
a   O
Social   O
Workers   O
,   O
All   O
Other   O
by   O
profession   O
,   O
first   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
on   O
the   O
evening   O
of   O
2292   B-DATE
.   O

During   O
this   O
time   O
,   O
Gaynell   B-NAME
also   O
experienced   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
.   O

By   O
the   O
early   O
hours   O
of   O
7   B-DATE
-   I-DATE
8   I-DATE
,   O
the   O
pain   O
had   O
intensified   O
,   O
prompting   O
a   O
visit   O
to   O
Cheyenne   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Saint   I-LOCATION
Francis   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Miley   B-NAME
Mayer   I-NAME
has   O
a   O
history   O
of   O
hypercholesterolemia   O
and   O
was   O
prescribed   O
statins   O
.   O

Social   O
History   O
:   O
kruse   B-NAME
works   O
as   O
a   O
Computer   O
-   O
Controlled   O
Machine   O
Tool   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
at   O
Zurich   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

On   O
examination   O
,   O
Richelieu   B-NAME
,   I-NAME
Cardinal   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Jocelynn   B-NAME
Bartlett   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Jack   B-NAME
MacKee   I-NAME
and   O
underwent   O
an   O
uneventful   O
laparoscopic   O
appendectomy   O
on   O
02/22/2061   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Franco   B-NAME
Larsen   I-NAME
demonstrated   O
good   O
recovery   O
during   O
the   O
post   O
-   O
operative   O
period   O
.   O

Anabel   B-NAME
Patton   I-NAME
was   O
discharged   O
on   O
9/33/05   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Johnny   B-NAME
Maynard   I-NAME
for   O
12/17/1650   B-DATE
.   O

For   O
any   O
concerns   O
or   O
emergencies   O
,   O
Georgiana   B-NAME
Miro   I-NAME
or   O
relatives   O
can   O
contact   O
Geisinger   B-LOCATION
Bloomsburg   I-LOCATION
Hospital   I-LOCATION
at   O
38342   B-CONTACT
.   O

Patient   O
Name   O
:   O
Rey   B-NAME
Meadows   I-NAME
Patient   O
ID   O
:   O
IR:85485:330864   B-ID
Medical   O
Record   O
Number   O
:   O
515   B-ID
39   I-ID
25   I-ID
Date   O
of   O
Visit   O
:   O
35/23   B-DATE
Age   O
:   O
1   O
Phone   O
Number   O
:   O
515   B-CONTACT
8209   I-CONTACT
Address   O
:   O
8906   B-LOCATION
Ramblewood   I-LOCATION
Dr.   I-LOCATION
,   O
51380   B-LOCATION
Attending   O
Physician   O
:   O
Obrien   B-NAME
Hospital   O
Name   O
:   O
Genesis   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
Silvis   I-LOCATION
Employer   O
:   O

First   B-LOCATION
Suburban   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Occupational   O
Therapy   O
Assistants   O
Subjective   O
:   O
Bianca   B-NAME
Coffey   I-NAME
,   O
a   O
75   O
-   O
year   O
-   O
old   O
Economics   O
Teachers   O
,   O
Postsecondary   O
at   O
Bakers   B-LOCATION
,   I-LOCATION
Food   I-LOCATION
&   I-LOCATION
Allied   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
,   O
residing   O
in   O
Twin   B-LOCATION
City   I-LOCATION
,   O
48518   B-LOCATION
,   O
contacted   O
our   O
office   O
via   O
937   B-CONTACT
9753   I-CONTACT
on   O
27/03/2265   B-DATE
complaining   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
,   O
and   O
a   O
fever   O
that   O
began   O
approximately   O
two   O
days   O
prior   O
.   O

Melody   B-NAME
Shurtz   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
contact   O
with   O
known   O
sick   O
individuals   O
but   O
mentioned   O
a   O
high   O
level   O
of   O
stress   O
at   O
work   O
at   O
Sexaholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
SA   I-LOCATION
)   I-LOCATION
.   O

Objective   O
:   O
Upon   O
examination   O
on   O
09/94   B-DATE
,   O
Roth   B-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

5   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
34/18   B-DATE
,   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

All   O
procedures   O
and   O
recommendations   O
have   O
been   O
discussed   O
with   O
Xenia   B-NAME
Rivas   I-NAME
,   O
who   O
expressed   O
understanding   O
and   O
consented   O
to   O
the   O
proposed   O
plan   O
.   O

Beecher   B-NAME
,   I-NAME
Henry   I-NAME
Ward   I-NAME
has   O
been   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
significant   O
worsening   O
of   O
symptoms   O
,   O
particularly   O
difficulty   O
breathing   O
.   O

Avery   B-NAME
Hospital   O
:   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
Wichita   I-LOCATION
,   I-LOCATION
St   I-LOCATION
Joseph   I-LOCATION
Medical   O
Record   O
Number   O
:   O
9299950   B-ID
Date   O
:   O
2/31/03   B-DATE

Patient   O
:   O
Moshe   B-NAME
Glenn   I-NAME
ID   O
:   O
PN505/3980   B-ID
Date   O
of   O
Birth   O
:   O
2002   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
21   I-DATE
Medical   O
Record   O
Number   O
:   O
3426205   B-ID
Phone   O
:   O
478   B-CONTACT
5333   I-CONTACT
Address   O
:   O
Bartelso   B-LOCATION
,   O
77689   B-LOCATION
Physician   O
:   O
Barnes   B-NAME
Hospital   O
:   O
Lutheran   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
History   O
and   O
Presenting   O
Complaint   O
:   O
Godfrey   B-NAME
,   O
a   O
Photographer   O
of   O
age   O
13   O
,   O
presented   O
on   O
10/24   B-DATE
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Julie   B-NAME
Farr   I-NAME
reported   O
accompanying   O
symptoms   O
of   O
nausea   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Gizhaum   B-NAME
Haddaway   I-NAME
displayed   O
signs   O
of   O
abdominal   O
tenderness   O
,   O
particularly   O
exacerbated   O
on   O
palpation   O
of   O
the   O
McBurney   O
's   O
point   O
.   O

Abdominal   O
ultrasound   O
performed   O
at   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
on   O
15/20/31   B-DATE
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
a   O
fecalith   O
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
,   O
308   B-ID
-   I-ID
33   I-ID
-   I-ID
40   I-ID
-   I-ID
2   I-ID
,   O
was   O
updated   O
to   O
include   O
these   O
diagnostic   O
findings   O
.   O

Management   O
:   O
After   O
discussing   O
the   O
findings   O
and   O
management   O
options   O
with   O
Joseph   B-NAME
,   O
Lawler   B-NAME
,   I-NAME
Jerry   I-NAME
consented   O
to   O
an   O
appendectomy   O
.   O

The   O
surgery   O
,   O
performed   O
on   O
01/22/51   B-DATE
at   O
Buffalo   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
was   O
uncomplicated   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Joshua   B-NAME
Garza   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
.   O

Lillianna   B-NAME
Little   I-NAME
received   O
post   O
-   O
operative   O
instructions   O
and   O
was   O
discharged   O
home   O
on   O
2335   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
15   I-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Madalyn   B-NAME
Zavala   I-NAME
for   O
00/20/59   B-DATE
at   O
Delta   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
(   B-CONTACT
759   I-CONTACT
)   I-CONTACT
531   I-CONTACT
6326   I-CONTACT
if   O
they   O
experienced   O
any   O
concerning   O
symptoms   O
or   O
complications   O
following   O
discharge   O
.   O

Conclusion   O
:   O
Randolph   B-NAME
’s   O
case   O
of   O
acute   O
appendicitis   O
was   O
successfully   O
managed   O
with   O
an   O
appendectomy   O
.   O

Adam   B-NAME
Mcclure   I-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
and   O
will   O
continue   O
to   O
be   O
monitored   O
during   O
follow   O
-   O
up   O
visits   O
as   O
necessary   O
.   O

Patient   O
Report   O
for   O
Overman   B-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
81   O
-   O
11/22   B-DATE
of   O
Birth   O
-   O
Resident   O
of   O
Union   B-LOCATION
City   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
94587   I-LOCATION
-   O
2162416   B-ID
-   O
Admitted   O
to   O
Multicare   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
on   O
02/28   B-DATE
-   O
Attending   O
Physician   O
:   O
Cobain   B-NAME
,   I-NAME
Kurt   I-NAME
Donald   I-NAME
-   O
Contact   O
Information   O
:   O
47850   B-CONTACT
-   O
Occupation   O
:   O
Chief   O
Executives   O
-   O
Identification   O
Number   O
:   O
KL   B-ID
:   I-ID
HD:9574   I-ID
-   O
Emergency   O
contact   O
:   O
QV240   B-NAME
Medical   O
History   O
:   O

The   O
patient   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
,   O
including   O
severe   O
abdominal   O
pain   O
located   O
on   O
the   O
lower   O
right   O
side   O
,   O
nausea   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
36/28/2162   B-DATE
.   O

The   O
patient   O
reported   O
the   O
pain   O
began   O
suddenly   O
on   O
10/23   B-DATE
and   O
has   O
progressively   O
worsened   O
.   O

Upon   O
admission   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Brunswick   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
a   O
physical   O
examination   O
revealed   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
at   O
134/86   O
mmHg   O
.   O

Under   O
the   O
supervision   O
of   O
Makayla   B-NAME
Townsend   I-NAME
,   O
surgical   O
intervention   O
was   O
recommended   O
.   O

The   O
patient   O
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
02/28/80   B-DATE
.   O

The   O
patient   O
showed   O
significant   O
improvement   O
post   O
-   O
surgery   O
,   O
with   O
a   O
decrease   O
in   O
abdominal   O
pain   O
and   O
normalization   O
of   O
temperature   O
and   O
heart   O
rate   O
by   O
Oct   B-DATE
4   I-DATE
,   I-DATE
2030   I-DATE
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Pierre   B-NAME
Hanna   I-NAME
for   O
wound   O
check   O
and   O
further   O
evaluation   O
.   O

The   O
patient   O
was   O
discharged   O
from   O
Atrium   B-LOCATION
Health   I-LOCATION
Harrisburg   I-LOCATION
on   O
October   B-DATE
with   O
instructions   O
to   O
return   O
immediately   O
should   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
increased   O
abdominal   O
pain   O
occur   O
.   O

Summary   O
:   O
This   O
report   O
summarizes   O
the   O
medical   O
intervention   O
for   O
Stokes   B-NAME
with   O
acute   O
appendicitis   O
at   O
WellStar   B-LOCATION
Douglas   I-LOCATION
Hospital   I-LOCATION
.   O

Report   O
Prepared   O
By   O
:   O
Music   O
Directors   O
and   O
Composers   O
at   O
Bi   B-LOCATION
-   I-LOCATION
Mart   I-LOCATION
December   B-DATE

For   O
any   O
further   O
inquiries   O
,   O
please   O
contact   O
NorthShore   B-LOCATION
University   I-LOCATION
HealthSystem   I-LOCATION
-   I-LOCATION
Highland   I-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
608   I-CONTACT
)   I-CONTACT
385   I-CONTACT
5923   I-CONTACT
.   O

Patient   O
Report   O
for   O
Trinity   B-NAME
Carey   I-NAME
Patient   O
ID   O
:   O
404   B-ID
-   I-ID
32   I-ID
-   I-ID
78   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Birth   O
:   O
73   O
Date   O
of   O
Visit   O
:   O
12/28   B-DATE
Contact   O
Number   O
:   O
384   B-CONTACT
886   I-CONTACT
-   I-CONTACT
2827   I-CONTACT
Chief   O
Complaint   O
:   O
Jonathan   B-NAME
Banks   I-NAME
presented   O
at   O
Russellville   B-LOCATION
Hospital   I-LOCATION
in   O
Mi   B-LOCATION
Ranchito   I-LOCATION
Estate   I-LOCATION
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
onset   O
approximately   O
48   O
hours   O
prior   O
to   O
the   O
visit   O
.   O

Miley   B-NAME
Friedman   I-NAME
has   O
attempted   O
to   O
use   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
no   O
significant   O
relief   O
.   O

Social   O
History   O
:   O
Colten   B-NAME
Morales   I-NAME
is   O
a   O
Weighers   O
,   O
Measurers   O
,   O
Checkers   O
,   O
and   O
Samplers   O
,   O
Recordkeeping   O
living   O
in   O
Doran   B-LOCATION
,   O
does   O
not   O
use   O
tobacco   O
,   O
drinks   O
alcohol   O
socially   O
,   O
and   O
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Uphoff   B-NAME
appears   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O
-   O
Vital   O
Signs   O
:   O
Temperature   O
is   O
slightly   O
elevated   O
.   O

Diagnostic   O
Evaluation   O
:   O
Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
basic   O
metabolic   O
panel   O
,   O
and   O
inflammatory   O
markers   O
were   O
ordered   O
by   O
Vetora   B-NAME
Almgren   I-NAME
.   O

Admit   O
Chaney   B-NAME
to   O
Upper   B-LOCATION
Connecticut   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
monitoring   O
and   O
diagnostic   O
evaluation   O
.   O

Surgical   O
consultation   O
with   O
Proctor   B-NAME
for   O
potential   O
appendectomy   O
.   O

Follow   O
-   O
Up   O
:   O
Roderick   B-NAME
Barton   I-NAME
is   O
to   O
be   O
closely   O
monitored   O
for   O
changes   O
in   O
symptoms   O
or   O
deterioration   O
of   O
condition   O
.   O

Regular   O
updates   O
will   O
be   O
provided   O
to   O
Markus   B-NAME
Hamilton   I-NAME
and   O
listed   O
emergency   O
contact   O
.   O

Report   O
Prepared   O
By   O
:   O
Dick   B-NAME
Hospital   O
ID   O
:   O
LG   B-ID
:   I-ID
QB:9890   I-ID
Hospital   O
Contact   O
:   O
560   B-CONTACT
320   I-CONTACT
-   I-CONTACT
2727   I-CONTACT
Location   O
:   O
Elmont   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11003   I-LOCATION
Date   O
:   O
19/21/2123   B-DATE
---   O
Note   O
:   O
All   O
identifiable   O
information   O
in   O
this   O
report   O
has   O
been   O
replaced   O
with   O
PHI   O
placeholders   O
as   O
per   O
HIPAA   O
guidelines   O
to   O
maintain   O
privacy   O
and   O
confidentiality   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rivas   B-NAME
Patient   O
ID   O
:   O
8   B-ID
-   I-ID
3777196   I-ID
Medical   O
Record   O
Number   O
:   O
936   B-ID
-   I-ID
44   I-ID
-   I-ID
29   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O

Friday   B-DATE
,   I-DATE
December   I-DATE
Age   O
:   O
10   O
month   O
Address   O
:   O
East   B-LOCATION
Jordan   I-LOCATION
,   O
71824   B-LOCATION
Phone   O
Number   O
:   O
584   B-CONTACT
-   I-CONTACT
656   I-CONTACT
4774   I-CONTACT
Occupation   O
:   O

Irene   B-NAME
Copeland   I-NAME
Admitting   O
Hospital   O
:   O
Fairview   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/27/28   B-DATE
Insurance   O
Provider   O
:   O
Hindu   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Martin   B-NAME
,   I-NAME
John   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Matheny   B-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Educational   I-LOCATION
Center   I-LOCATION
on   O
June   B-DATE
2362   I-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
nausea   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Alejandra   B-NAME
Torres   I-NAME
states   O
that   O
the   O
symptoms   O
began   O
abruptly   O
while   O
at   O
work   O
as   O
a   O
Economics   O
Teachers   O
,   O
Postsecondary   O
on   O
10/34   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
-   O
Hypercholesterolemia   O
-   O
Type   O
2   O
Diabetes   O
Mellitus   O
(   O
Diagnosed   O
3/20   B-DATE
)   O
Medications   O
:   O
-   O
Lisinopril   O
10   O
mg   O
daily   O
-   O
Atorvastatin   O
20   O
mg   O
daily   O
-   O
Metformin   O
500   O
mg   O
twice   O
a   O
day   O
Allergies   O
:   O
No   O
known   O
drug   O
allergies   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Crista   B-NAME
Epifano   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
Blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
98   O
bpm   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
temperature   O
98.6   O
°   O
F   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

Laboratory   O
Tests   O
and   O
Imaging   O
:   O
An   O
electrocardiogram   O
(   O
ECG   O
)   O
performed   O
on   O
5/23   B-DATE
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
,   O
suggestive   O
of   O
an   O
anterior   O
wall   O
myocardial   O
infarction   O
.   O

Management   O
and   O
Progress   O
:   O
Ruth   B-NAME
Elliott   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
a   O
statin   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
of   O
Medical   B-LOCATION
City   I-LOCATION
Alliance   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
management   O
.   O

Wales   B-NAME
,   I-NAME
Jimbo   I-NAME
recommended   O
an   O
urgent   O
cardiac   O
catheterization   O
,   O
which   O
was   O
scheduled   O
for   O
2327   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
23   I-DATE
.   O

Breanna   B-NAME
Cummings   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
,   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
compliance   O
with   O
medications   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Maleah   B-NAME
Phillips   I-NAME
in   O
two   O
weeks   O
to   O
reassess   O
the   O
patient   O
's   O
condition   O
and   O
medication   O
regimen   O
.   O

Conclusion   O
:   O
Patel   B-NAME
,   O
a   O
62   O
-   O
year   O
-   O
old   O
Hosts   O
and   O
Hostesses   O
,   O
Restaurant   O
,   O
Lounge   O
,   O
and   O
Coffee   O
Shop   O
,   O
was   O
admitted   O
on   O
25/23/21   B-DATE
with   O
an   O
anterior   O
wall   O
myocardial   O
infarction   O
.   O

Charlene   B-NAME
B.   I-NAME
Bates   I-NAME
has   O
been   O
counseled   O
on   O
the   O
importance   O
of   O
medication   O
adherence   O
and   O
lifestyle   O
changes   O
to   O
prevent   O
future   O
cardiac   O
events   O
.   O

Further   O
assessment   O
and   O
care   O
will   O
be   O
continued   O
by   O
Xavier   B-NAME
Macdonald   I-NAME
at   O
CoxHealth   B-LOCATION
.   O

Prepared   O
by   O
:   O
wlk619   B-NAME
Date   O
:   O
02/33/76   B-DATE

The   O
patient   O
,   O
Laila   B-NAME
Moses   I-NAME
,   O
a   O
9   O
week   O
-   O
year   O
-   O
old   O
Private   O
Sector   O
Executives   O
from   O
West   B-LOCATION
Samoset   I-LOCATION
,   O
presented   O
to   O
LDS   B-LOCATION
Hospital   I-LOCATION
on   O
2291   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
25   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

According   O
to   O
Reeve   B-NAME
,   I-NAME
Christopher   I-NAME
,   O
the   O
symptoms   O
started   O
approximately   O
12   O
hours   O
before   O
admission   O
.   O

Kryptman   B-NAME
Comparoni   I-NAME
reported   O
a   O
fever   O
at   O
home   O
,   O
measured   O
with   O
a   O
personal   O
thermometer   O
,   O
peaking   O
at   O
38.3   O
°   O
C   O
.   O

Dostoevsky   B-NAME
,   I-NAME
Fyodor   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
managed   O
with   O
metformin   O
and   O
lisinopril   O
respectively   O
.   O

Upon   O
physical   O
examination   O
,   O
Buchanan   B-NAME
noticed   O
Wilma   B-NAME
Field   I-NAME
's   O
pain   O
seemed   O
to   O
intensify   O
upon   O
palpation   O
of   O
the   O
McBurney   O
's   O
point   O
.   O

Milligan   B-NAME
,   I-NAME
Spike   I-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Marcos   B-NAME
,   I-NAME
Ferdinand   I-NAME
Edralin   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
,   O
the   O
need   O
for   O
surgery   O
,   O
and   O
the   O
associated   O
risks   O
.   O

Consent   O
was   O
obtained   O
,   O
and   O
Skylar   B-NAME
Sweeney   I-NAME
's   O
contact   O
,   O
281   B-CONTACT
-   I-CONTACT
3569   I-CONTACT
,   O
was   O
notified   O
of   O
the   O
situation   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
30/13   B-DATE
under   O
the   O
care   O
of   O
Vargas   B-NAME
at   O
Bluegrass   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
blood   O
glucose   O
levels   O
were   O
closely   O
monitored   O
considering   O
Giancarlo   B-NAME
Sanders   I-NAME
's   O
diabetic   O
status   O
.   O

The   O
surgery   O
was   O
completed   O
without   O
complications   O
,   O
and   O
TONYA   B-NAME
YOO   I-NAME
was   O
transferred   O
to   O
the   O
post   O
-   O
operative   O
care   O
unit   O
.   O

Post   O
-   O
operative   O
instructions   O
included   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
05/11   B-DATE
.   O

Laplace   B-NAME
,   I-NAME
Pierre   I-NAME
-   I-NAME
Simon   I-NAME
was   O
discharged   O
on   O
2150   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
22   I-DATE
with   O
a   O
prescription   O
for   O
analgesics   O
and   O
antibiotics   O
.   O

The   O
medical   O
record   O
number   O
924556   B-ID
was   O
updated   O
with   O
surgery   O
details   O
,   O
and   O
a   O
note   O
was   O
made   O
for   O
Gray   B-NAME
to   O
review   O
Powell   B-NAME
's   O
recovery   O
progress   O
during   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Oligarcy   B-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
processed   O
the   O
insurance   O
claim   O
associated   O
with   O
Alejandra   B-NAME
Howard   I-NAME
's   O
surgery   O
,   O
with   O
the   O
claim   O
ID   O
40905229   B-ID
attached   O
to   O
the   O
case   O
.   O

Rodriguez   B-NAME
,   I-NAME
Alex   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
was   O
advised   O
to   O
maintain   O
post   O
-   O
operative   O
visits   O
and   O
adhere   O
strictly   O
to   O
the   O
medication   O
regimen   O
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

The   O
follow   O
-   O
up   O
was   O
scheduled   O
with   O
Alonso   B-NAME
at   O
IU   B-LOCATION
Health   I-LOCATION
Arnett   I-LOCATION
Hospital   I-LOCATION
,   O
Pueblo   B-LOCATION
,   O
to   O
monitor   O
healing   O
and   O
manage   O
any   O
potential   O
post   O
-   O
operative   O
complications   O
.   O

The   O
patient   O
's   O
employer   O
,   O
International   B-LOCATION
Biometric   I-LOCATION
Society   I-LOCATION
,   O
was   O
informed   O
of   O
the   O
January   B-DATE
2123   I-DATE
of   O
expected   O
return   O
to   O
work   O
,   O
considering   O
Oglesby   B-NAME
's   O
current   O
health   O
status   O
.   O

All   O
communications   O
were   O
logged   O
under   O
26493710   B-ID
for   O
continuity   O
of   O
care   O
.   O

Patient   O
Name   O
:   O
Esparza   B-NAME
Patient   O
ID   O
:   O
VI385/3563   B-ID
Medical   O
Record   O
Number   O
:   O
807   B-ID
-   I-ID
78   I-ID
-   I-ID
76   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
January   B-DATE
Age   O
:   O
59   O
Address   O
:   O
Treasure   B-LOCATION
Island   I-LOCATION
,   O
53941   B-LOCATION
Phone   O
Number   O
:   O
40709   B-CONTACT
Attending   O
Doctor   O
:   O
Wang   B-NAME
Hospital   O
Name   O
:   O

Sentara   B-LOCATION
Virginia   I-LOCATION
Beach   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2115   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
22   I-DATE
Date   O
of   O
Report   O
:   O
thanksgiving   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Dania   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
2283   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
cephalgia   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

Ritter   B-NAME
,   I-NAME
Scott   I-NAME
is   O
a   O
Gas   O
Appliance   O
Repairers   O
by   O
profession   O
and   O
mentioned   O
that   O
the   O
symptoms   O
exacerbate   O
stress   O
and   O
lack   O
of   O
sleep   O
.   O

Medical   O
History   O
:   O
Keith   B-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
diagnosed   O
in   O
18/01   B-DATE
but   O
reports   O
that   O
the   O
frequency   O
and   O
severity   O
of   O
the   O
episodes   O
have   O
markedly   O
increased   O
.   O

Past   O
medical   O
records   O
from   O
Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
indicate   O
hypertension   O
controlled   O
with   O
medication   O
and   O
a   O
history   O
of   O
asthma   O
during   O
childhood   O
.   O

The   O
patient   O
's   O
family   O
history   O
is   O
significant   O
for   O
migraines   O
in   O
Quinn   B-NAME
's   O
mother   O
.   O

Diagnostic   O
Findings   O
:   O
Magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
performed   O
on   O
22/37/72   B-DATE
showed   O
no   O
evidence   O
of   O
acute   O
intracranial   O
pathology   O
.   O

A   O
thorough   O
neurological   O
examination   O
by   O
Dr.   O
Tacitus   B-NAME
on   O
2292   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
12   I-DATE
found   O
no   O
abnormalities   O
.   O

Schedule   O
follow   O
-   O
up   O
appointments   O
every   O
four   O
weeks   O
at   O
Ozarks   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
the   O
efficacy   O
of   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Instructions   O
for   O
Lorelai   B-NAME
Santana   I-NAME
:   O
-   O
Take   O
the   O
prescribed   O
medications   O
as   O
directed   O
by   O
Jenkins   B-NAME
.   O
-   O
Avoid   O
triggers   O
identified   O
in   O
the   O
headache   O
diary   O
.   O

-   O
Report   O
to   O
Helen   B-LOCATION
Keller   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
806   B-CONTACT
7809   I-CONTACT
immediately   O
if   O
experiencing   O
any   O
adverse   O
reactions   O
to   O
medications   O
or   O
if   O
symptoms   O
significantly   O
worsen   O
.   O

Employer   O
Information   O
:   O
Overeaters   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
OA   I-LOCATION
)   I-LOCATION
,   O
Tremonton   B-LOCATION
,   O
Contact   O
Number   O
:   O
897   B-CONTACT
-   I-CONTACT
5545   I-CONTACT

This   O
report   O
was   O
compiled   O
by   O
zvv762   B-NAME
on   O
00/28/2343   B-DATE
and   O
is   O
intended   O
for   O
the   O
sole   O
use   O
of   O
the   O
patient   O
Sadie   B-NAME
Conway   I-NAME
and   O
their   O
healthcare   O
provider   O
Franklin   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Aubree   B-NAME
Neal   I-NAME
ID   O
:   O
9   B-ID
-   I-ID
3135442   I-ID
Medical   O
Record   O
Number   O
:   O
7699878   B-ID
DOB   O
:   O
2153   B-DATE
Age   O
:   O
23   O
Phone   O
:   O
(   B-CONTACT
544   I-CONTACT
)   I-CONTACT
546   I-CONTACT
3005   I-CONTACT
Occupation   O
:   O
Dietitians   O
and   O
Nutritionists   O
Residence   O
:   O
Wood   B-LOCATION
,   O
25312   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Brandt   B-NAME
Hospital   O
:   O

MercyOne   B-LOCATION
New   I-LOCATION
Hampton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
09/23/1799   B-DATE
Username   O
:   O
lx820   B-NAME
Chief   O
Complaint   O
:   O
Moises   B-NAME
Gonzalez   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
USC   B-LOCATION
Verdugo   I-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
on   O
1891   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
complaining   O
of   O
severe   O
and   O
sudden   O
onset   O
of   O
epigastric   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
.   O

Medical   O
History   O
:   O
Diana   B-NAME
Elliott   I-NAME
has   O
a   O
documented   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
essential   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Cowan   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
150/90   O
mmHg   O
,   O
pulse   O
rate   O
98   O
bpm   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
was   O
normal   O
.   O

Asia   B-NAME
Leon   I-NAME
's   O
HbA1c   O
was   O
also   O
marginally   O
elevated   O
,   O
reflecting   O
suboptimal   O
glycemic   O
control   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Rolando   B-NAME
Gonzales   I-NAME
was   O
admitted   O
to   O
University   B-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Campus   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Topeka   B-LOCATION
under   O
the   O
care   O
of   O
Dangelo   B-NAME
Pena   I-NAME
for   O
acute   O
pancreatitis   O
management   O
.   O

Kitchen   B-NAME
,   I-NAME
Willie   I-NAME
's   O
diabetes   O
medications   O
were   O
reviewed   O
and   O
adjusted   O
accordingly   O
.   O

Floyd   B-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
alcohol   O
and   O
smoking   O
cessation   O
to   O
prevent   O
recurrent   O
episodes   O
.   O

Follow   O
-   O
Up   O
:   O
Julissa   B-NAME
Frye   I-NAME
demonstrated   O
significant   O
improvement   O
and   O
was   O
discharged   O
on   O
31/10   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Alonso   B-NAME
Winters   I-NAME
for   O
ongoing   O
management   O
of   O
diabetes   O
and   O
hypertension   O
.   O

Conclusion   O
:   O
Bush   B-NAME
,   I-NAME
Kate   I-NAME
’s   O
episode   O
of   O
acute   O
pancreatitis   O
required   O
prompt   O
medical   O
attention   O
and   O
a   O
multidisciplinary   O
approach   O
for   O
effective   O
management   O
.   O

The   O
contributing   O
risk   O
factors   O
,   O
including   O
echols   B-NAME
's   O
medical   O
history   O
of   O
diabetes   O
and   O
hypertension   O
,   O
were   O
addressed   O
to   O
prevent   O
recurrence   O
.   O

Continual   O
monitoring   O
and   O
lifestyle   O
modifications   O
play   O
a   O
critical   O
role   O
in   O
the   O
overall   O
health   O
and   O
well   O
-   O
being   O
of   O
de   B-NAME
la   I-NAME
Rocha   I-NAME
,   I-NAME
Zack   I-NAME
.   O

For   O
any   O
further   O
queries   O
or   O
follow   O
-   O
up   O
,   O
please   O
contact   O
New   B-LOCATION
Jersey   I-LOCATION
at   O
656   B-CONTACT
-   I-CONTACT
4941   I-CONTACT
.   O

Patient   O
:   O
Delphia   B-NAME
Beaver   I-NAME
Medical   O
Record   O
Number   O
:   O
8053104   B-ID
Date   O
of   O
Birth   O
:   O
2/5   B-DATE
Age   O
:   O
82   O
Address   O
:   O
Strathmere   B-LOCATION
,   O
34348   B-LOCATION
Employer   O
:   O
TIAA   B-LOCATION
-   I-LOCATION
CREF   I-LOCATION
Occupation   O
:   O
Insurance   O
Claims   O
and   O
Policy   O
Processing   O
Clerks   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Nasir   B-NAME
Holder   I-NAME
Phone   O
:   O
38081   B-CONTACT
ID   O
:   O
93941   B-ID
Chief   O
Complaint   O
:   O
Quentin   B-NAME
Maldonado   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
6/20/52   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
beginning   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
edwards   B-NAME
states   O
that   O
the   O
pain   O
initiated   O
suddenly   O
earlier   O
the   O
same   O
day   O
and   O
has   O
progressively   O
worsened   O
.   O

Satchel   B-NAME
denies   O
any   O
recent   O
travel   O
,   O
ingestion   O
of   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Social   O
History   O
:   O
Ronnie   B-NAME
Le   I-NAME
is   O
a   O
Counter   O
Attendants   O
,   O
Cafeteria   O
,   O
Food   O
Concession   O
,   O
and   O
Coffee   O
Shop   O
working   O
at   O
Ashburnham   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
in   O
Keys   B-LOCATION
.   O

Treatment   O
:   O
olivas   B-NAME
was   O
admitted   O
to   O
UPMC   B-LOCATION
Horizon   I-LOCATION
-   I-LOCATION
Greenville   I-LOCATION
Campus   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Allan   B-NAME
Taylor   I-NAME
for   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Disposition   O
:   O
Post   O
-   O
operatively   O
,   O
the   O
patient   O
was   O
transferred   O
to   O
a   O
recovery   O
unit   O
within   O
Washington   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Washington   I-LOCATION
.   O

Follow   O
-   O
up   O
in   O
the   O
surgical   O
clinic   O
was   O
arranged   O
for   O
11/17   B-DATE
.   O

DE152   B-NAME
entered   O
the   O
notes   O
into   O
the   O
system   O
on   O
1893   B-DATE
.   O

Patient   O
Name   O
:   O
Perlis   B-NAME
,   I-NAME
Alan   I-NAME
Age   O
:   O
78s   O
Date   O
of   O
Birth   O
:   O
27/30/42   B-DATE
Address   O
:   O
Clyde   B-LOCATION
,   O
13953   B-LOCATION
Phone   O
:   O
(   B-CONTACT
886   I-CONTACT
)   I-CONTACT
600   I-CONTACT
-   I-CONTACT
6029   I-CONTACT
Occupation   O
:   O

Editorial   O
assistant   O
Medical   O
Record   O
Number   O
:   O
9400592   B-ID

Adison   B-NAME
Castro   I-NAME
Admitting   O
Hospital   O
:   O

VCU   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Main   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
Saturday   B-DATE
,   I-DATE
April   I-DATE
Patient   O
ID   O
:   O
UR396/4254   B-ID
Chief   O
Complaint   O
:   O
Daniels   B-NAME
,   I-NAME
Anthony   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Novant   B-LOCATION
Health   I-LOCATION
Kernersville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2000   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
26   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Shaffer   B-NAME
reported   O
that   O
the   O
symptoms   O
had   O
gradually   O
escalated   O
over   O
a   O
24   O
-   O
hour   O
period   O
before   O
seeking   O
medical   O
attention   O
.   O

Denise   B-NAME
Waller   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
prior   O
episodes   O
of   O
similar   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Amaya   B-NAME
Singleton   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
managed   O
with   O
medication   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Social   O
History   O
:   O
Larry   B-NAME
Wolek   I-NAME
,   O
a   O
Furniture   O
Finishers   O
,   O
reports   O
an   O
occasional   O
alcohol   O
use   O
and   O
denies   O
any   O
tobacco   O
or   O
illegal   O
substance   O
use   O
.   O

Kingston   B-NAME
Rice   I-NAME
lives   O
with   O
family   O
in   O
Fort   B-LOCATION
Worth   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
76110   I-LOCATION
and   O
works   O
as   O
a   O
Skin   O
Care   O
Specialists   O
at   O
Military   B-LOCATION
Officers   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
America   I-LOCATION
.   O

Upon   O
physical   O
examination   O
,   O
Xander   B-NAME
Bradshaw   I-NAME
appeared   O
in   O
moderate   O
distress   O
with   O
vital   O
signs   O
within   O
normal   O
limits   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Izaiah   B-NAME
Vaughn   I-NAME
on   O
July   B-DATE
4   I-DATE
,   O
revealed   O
inflammation   O
of   O
the   O
appendix   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

After   O
discussion   O
with   O
Sandoval   B-NAME
and   O
considering   O
the   O
clinical   O
and   O
imaging   O
findings   O
,   O
surgical   O
intervention   O
was   O
recommended   O
.   O

Collier   B-NAME
,   I-NAME
Jeremy   I-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
4/29/2220   B-DATE
under   O
the   O
care   O
of   O
Bowman   B-NAME
.   O

Follow   O
-   O
Up   O
:   O
Hector   B-NAME
Townsend   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Fort   B-LOCATION
Duncan   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Bonilla   B-NAME
on   O
3/36   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Instructions   O
were   O
given   O
to   O
Ali   B-NAME
Christian   I-NAME
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
.   O

For   O
any   O
concerns   O
or   O
emergencies   O
,   O
Rebecca   B-NAME
Cochran   I-NAME
was   O
advised   O
to   O
contact   O
Danbury   B-LOCATION
Hospital   I-LOCATION
at   O
871   B-CONTACT
6409   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
immediately   O
.   O

Report   O
Prepared   O
by   O
:   O
xj924   B-NAME
,   O
June   B-DATE
0   I-DATE

Patient   O
Name   O
:   O
Pipt   B-NAME
Patient   O
ID   O
:   O
VB   B-ID
:   I-ID
GB:2774   I-ID
Medical   O
Record   O
Number   O
:   O
3112870   B-ID
Date   O
of   O
Birth   O
:   O
16/20/2131   B-DATE
Age   O
:   O
82   O
Address   O
:   O
Bicknell   B-LOCATION
,   O
28919   B-LOCATION
Employer   O
:   O

Norwegian   B-LOCATION
Refugee   I-LOCATION
Council   I-LOCATION
Occupation   O
:   O
Hazardous   O
Materials   O
Removal   O
Workers   O
Phone   O
Number   O
:   O
203   B-CONTACT
683   I-CONTACT
-   I-CONTACT
4111   I-CONTACT
Primary   O
Physician   O
:   O

Alaina   B-NAME
Blanchard   I-NAME
Admitting   O
Hospital   O
:   O
Wedowee   B-LOCATION
Hospital   I-LOCATION
22/12   B-DATE
-   O
Bryce   B-NAME
Becker   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Bethesda   B-LOCATION
Butler   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
was   O
rated   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Goldfoot   B-NAME
's   O
past   O
medical   O
history   O
includes   O
well   O
-   O
controlled   O
hypertension   O
and   O
a   O
cholecystectomy   O
performed   O
2001   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
03   I-DATE
.   O

Upon   O
physical   O
examination   O
,   O
Pranav   B-NAME
Simon   I-NAME
exhibited   O
tenderness   O
upon   O
palpation   O
of   O
the   O
right   O
lower   O
abdominal   O
quadrant   O
,   O
with   O
rebound   O
tenderness   O
noted   O
,   O
suggesting   O
peritoneal   O
irritation   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Richard   B-NAME
Hardin   I-NAME
diagnosed   O
Mila   B-NAME
Thompson   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
surgical   O
intervention   O
.   O

Haley   B-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
provided   O
informed   O
consent   O
.   O

Laparoscopic   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
32/51   B-DATE
by   O
June   B-NAME
Good   I-NAME
at   O
Vidant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Postoperative   O
course   O
:   O
Maximillian   B-NAME
Roivas   I-NAME
demonstrated   O
an   O
uneventful   O
recovery   O
post   O
-   O
surgery   O
.   O

Corgan   B-NAME
,   I-NAME
Billy   I-NAME
was   O
discharged   O
on   O
2359   B-DATE
with   O
prescriptions   O
for   O
oral   O
antibiotics   O
to   O
prevent   O
postoperative   O
infection   O
and   O
analgesics   O
for   O
pain   O
management   O
.   O

Instructions   O
for   O
wound   O
care   O
and   O
activity   O
restrictions   O
were   O
provided   O
,   O
along   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Lane   B-NAME
,   I-NAME
Nathan   I-NAME
for   O
11/20   B-DATE
at   O
National   B-LOCATION
.   O

Stuart   B-NAME
Hessler   I-NAME
was   O
advised   O
to   O
avoid   O
heavy   O
lifting   O
or   O
strenuous   O
exercise   O
until   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

This   O
report   O
has   O
been   O
saved   O
to   O
Stevens   B-NAME
's   O
medical   O
record   O
(   O
CK722755   B-ID
)   O
and   O
will   O
be   O
reviewed   O
during   O
the   O
next   O
scheduled   O
follow   O
-   O
up   O
to   O
assess   O
postoperative   O
recovery   O
and   O
to   O
address   O
any   O
ongoing   O
concerns   O
.   O

For   O
any   O
emergency   O
or   O
unexpected   O
symptoms   O
,   O
Oswaldo   B-NAME
Bridges   I-NAME
or   O
Licensed   O
conveyancer   O
was   O
advised   O
to   O
contact   O
Silver   B-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
psychiatric   I-LOCATION
)   I-LOCATION
immediately   O
or   O
dial   O
747   B-CONTACT
-   I-CONTACT
1724   I-CONTACT
.   O

Patient   O
Report   O
for   O
ostrowski   B-NAME
Overview   O
:   O
Lorelai   B-NAME
Cline   I-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Animal   O
Husbandry   O
and   O
Animal   O
Care   O
Workers   O
from   O
Landover   B-LOCATION
,   O
presented   O
to   O
South   B-LOCATION
Fulton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
6   B-DATE
-   I-DATE
04   I-DATE
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
accompanied   O
by   O
intermittent   O
episodes   O
of   O
diarrhea   O
and   O
vomiting   O
.   O

The   O
patient   O
is   O
14   O
years   O
old   O
and   O
has   O
no   O
significant   O
medical   O
history   O
noted   O
in   O
their   O
medical   O
record   O
(   O
09777158   B-ID
)   O
.   O

The   O
primary   O
physician   O
overseeing   O
the   O
case   O
is   O
Perry   B-NAME
.   O

Sawyer   B-NAME
reported   O
that   O
the   O
pain   O
exacerbates   O
post   O
meal   O
intake   O
,   O
particularly   O
after   O
consuming   O
dairy   O
products   O
.   O

Destiny   B-NAME
Guzman   I-NAME
also   O
reported   O
experiencing   O
unintentional   O
weight   O
loss   O
of   O
about   O
ML:3646:845778   B-ID
%   O
of   O
their   O
total   O
body   O
weight   O
over   O
the   O
past   O
1/12/94   B-DATE
.   O

Flores   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
ZL:7224:146199   B-ID
/   O
549167   B-ID
mmHg   O
,   O
heart   O
rate   O
IN294/7140   B-ID
beats   O
per   O
minute   O
,   O
respiration   O
rate   O
TN   B-ID
:   I-ID
KJ:4590   I-ID
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
594636   B-ID
°   O
C   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
initial   O
assessment   O
,   O
Obrien   B-NAME
was   O
advised   O
to   O
follow   O
a   O
strict   O
lactose   O
-   O
free   O
diet   O
and   O
was   O
prescribed   O
an   O
antispasmodic   O
medication   O
to   O
help   O
alleviate   O
the   O
abdominal   O
pain   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
24/26/82   B-DATE
to   O
reassess   O
symptoms   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

For   O
any   O
further   O
information   O
or   O
emergencies   O
,   O
Voltaire   B-NAME
or   O
their   O
designated   O
contact   O
can   O
reach   O
out   O
to   O
CHI   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Elizabeth   I-LOCATION
's   O
main   O
line   O
at   O
81965   B-CONTACT
or   O
Jeter   B-NAME
,   I-NAME
Derek   I-NAME
directly   O
through   O
their   O
office   O
number   O
644   B-CONTACT
411   I-CONTACT
6989   I-CONTACT
.   O

For   O
any   O
inquiries   O
regarding   O
the   O
handling   O
of   O
personal   O
information   O
,   O
please   O
contact   O
our   O
office   O
at   O
428   B-CONTACT
-   I-CONTACT
1161   I-CONTACT
.   O

This   O
patient   O
report   O
was   O
prepared   O
by   O
the   O
attending   O
physician   O
,   O
Martin   B-NAME
Cole   I-NAME
,   O
and   O
is   O
valid   O
as   O
of   O
8   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
89   I-DATE
.   O

For   O
any   O
correction   O
or   O
updates   O
to   O
Ellis   B-NAME
Ford   I-NAME
's   O
medical   O
record   O
(   O
58042409   B-ID
)   O
,   O
please   O
contact   O
the   O
medical   O
records   O
department   O
of   O
Berger   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ian   B-NAME
Short   I-NAME
Age   O
:   O
48   O
Date   O
of   O
Birth   O
:   O
05/26   B-DATE
Medical   O
Record   O
Number   O
:   O
96674260   B-ID
ID   O
Number   O
:   O
AA   B-ID
:   I-ID
GL:4969   I-ID
Address   O
:   O
San   B-LOCATION
Francisco   I-LOCATION
,   O
54267   B-LOCATION
Phone   O
Number   O
:   O
383   B-CONTACT
-   I-CONTACT
935   I-CONTACT
-   I-CONTACT
8367   I-CONTACT
Occupation   O
:   O

Dr.   O
Chaudhry   B-NAME
,   I-NAME
Mahendra   I-NAME
Treating   O
Hospital   O
:   O
Cape   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Initial   O
Consultation   O
:   O
02/22   B-DATE
Date   O
of   O
Last   O
Visit   O
:   O
2231   B-DATE
Clinical   O
Summary   O
:   O
Ulbrich   B-NAME
,   I-NAME
George   I-NAME
-   I-NAME
Brian   I-NAME
N.   I-NAME
presented   O
to   O
Northeast   B-LOCATION
Alabama   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
episodes   O
of   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
smoking   O
and   O
has   O
been   O
a   O
smoker   O
for   O
32   O
years   O
but   O
quit   O
smoking   O
as   O
of   O
13/13   B-DATE
.   O

Latosha   B-NAME
Manna   I-NAME
works   O
as   O
a   O
Insulation   O
Workers   O
,   O
Mechanical   O
in   O
Every   B-LOCATION
Human   I-LOCATION
Has   I-LOCATION
Rights   I-LOCATION
,   O
which   O
does   O
not   O
involve   O
exposure   O
to   O
known   O
respiratory   O
irritants   O
.   O

Diagnostic   O
Imaging   O
and   O
Lab   O
Tests   O
:   O
A   O
chest   O
X   O
-   O
ray   O
performed   O
on   O
00/12/2042   B-DATE
revealed   O
a   O
small   O
pleural   O
effusion   O
on   O
the   O
right   O
side   O
.   O

Pulmonary   O
function   O
tests   O
(   O
PFTs   O
)   O
indicated   O
a   O
mild   O
restrictive   O
pattern   O
,   O
and   O
the   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
bronchoscopy   O
procedure   O
on   O
21/00/97   B-DATE
at   O
Rancho   B-LOCATION
Springs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Hebert   B-NAME
on   O
13/02/2059   B-DATE
to   O
review   O
lab   O
and   O
test   O
results   O
and   O
to   O
assess   O
response   O
to   O
the   O
treatment   O
plan   O
.   O

Recommendations   O
for   O
Jermaine   B-NAME
Leonard   I-NAME
:   O
-   O
Avoid   O
exposure   O
to   O
known   O
respiratory   O
irritants   O
and   O
maintain   O
a   O
smoke   O
-   O
free   O
environment   O
.   O

-   O
Attend   O
all   O
scheduled   O
follow   O
-   O
up   O
visits   O
and   O
procedures   O
to   O
closely   O
monitor   O
condition   O
and   O
adjust   O
treatments   O
as   O
necessary   O
.   O
-   O
Report   O
any   O
worsening   O
of   O
symptoms   O
or   O
the   O
development   O
of   O
new   O
symptoms   O
immediately   O
to   O
Dr.   O
Ashley   B-NAME
Bright   I-NAME
or   O
present   O
to   O
Spalding   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
.   O

Physician   O
’s   O
Signature   O
:   O
Dr.   O
Todd   B-NAME
3/12/89   B-DATE
Emergency   O
Contact   O
:   O
Finnish   B-LOCATION
Film   I-LOCATION
Foundation   I-LOCATION
Emergency   O
Department   O
:   O
949   B-CONTACT
-   I-CONTACT
1155   I-CONTACT

Patient   O
Name   O
:   O
English   B-NAME
Age   O
:   O
11   O
Date   O
:   O
30/21/25   B-DATE
Doctor   O
:   O
Raiden   B-NAME
Burch   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Southside   I-LOCATION
ID   O
:   O
35682465   B-ID
Medical   O
Record   O
:   O
9994106   B-ID
Location   O
:   O
Marumsco   B-LOCATION
Organization   O
:   O

Fire   B-LOCATION
Brigades   I-LOCATION
Union   I-LOCATION
Phone   O
:   O
46848   B-CONTACT
Profession   O
:   O

Receptionists   O
and   O
Information   O
Clerks   O
Username   O
:   O
hvs144   B-NAME
ZIP   O
:   O

33073   B-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Chailyn   B-NAME
,   O
a   O
Coil   O
Winders   O
,   O
Tapers   O
,   O
and   O
Finishers   O
by   O
profession   O
,   O
reports   O
experiencing   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
02/23/00   B-DATE
.   O

Additionally   O
,   O
Leach   B-NAME
mentioned   O
a   O
visual   O
aura   O
consisting   O
of   O
flashing   O
lights   O
and   O
blind   O
spots   O
that   O
precede   O
the   O
headache   O
by   O
approximately   O
30   O
minutes   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Chamberlain   B-NAME
,   O
who   O
resides   O
in   O
Squamish   B-LOCATION
,   I-LOCATION
BC   I-LOCATION
V8B   I-LOCATION
7G9   I-LOCATION
with   O
a   O
ZIP   O
code   O
of   O
78679   B-LOCATION
,   O
stated   O
that   O
these   O
headaches   O
have   O
become   O
more   O
frequent   O
and   O
severe   O
over   O
the   O
last   O
1964   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
00   I-DATE
.   O

Lashunda   B-NAME
Kearns   I-NAME
mentioned   O
that   O
these   O
symptoms   O
significantly   O
affect   O
daily   O
activities   O
and   O
have   O
led   O
to   O
missed   O
days   O
at   O
Union   B-LOCATION
Network   I-LOCATION
International   I-LOCATION
where   O
Lawrence   B-NAME
Holland   I-NAME
is   O
employed   O
as   O
a   O
Tax   O
inspector   O
.   O

Marcus   B-NAME
Aurelius   I-NAME
Frohock   I-NAME
has   O
attempted   O
over   O
-   O
the   O
-   O
counter   O
pain   O
relief   O
without   O
significant   O
improvement   O
.   O

Past   O
Medical   O
History   O
:   O
Bennington   B-NAME
,   I-NAME
Chester   I-NAME
has   O
a   O
history   O
of   O
asthma   O
and   O
was   O
previously   O
treated   O
for   O
seasonal   O
allergies   O
.   O

Review   O
of   O
Systems   O
:   O
The   O
review   O
of   O
systems   O
was   O
significant   O
for   O
occasional   O
blurred   O
vision   O
during   O
the   O
headache   O
episodes   O
and   O
sensitivity   O
to   O
strong   O
smells   O
,   O
which   O
Latoya   B-NAME
notes   O
as   O
a   O
potential   O
trigger   O
for   O
the   O
headaches   O
.   O

Examination   O
:   O
Physical   O
examination   O
conducted   O
by   O
Flowers   B-NAME
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Floyd   I-LOCATION
on   O
30/10   B-DATE
was   O
largely   O
unremarkable   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
history   O
,   O
Sofia   B-NAME
Christensen   I-NAME
was   O
diagnosed   O
with   O
Migraine   O
with   O
Aura   O
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
11/01/06   B-DATE
to   O
evaluate   O
treatment   O
efficacy   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
needed   O
.   O

Further   O
instructions   O
were   O
provided   O
to   O
Paulina   B-NAME
Marshall   I-NAME
to   O
keep   O
a   O
headache   O
diary   O
and   O
contact   O
Advocate   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
at   O
620   B-CONTACT
701   I-CONTACT
-   I-CONTACT
3667   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
.   O

Brandon   B-NAME
Ho   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
930   B-CONTACT
-   I-CONTACT
5662   I-CONTACT
in   O
case   O
of   O
an   O
exacerbation   O
of   O
symptoms   O
or   O
the   O
development   O
of   O
new   O
,   O
concerning   O
symptoms   O
such   O
as   O
sudden   O
-   O
onset   O
headache   O
,   O
fever   O
,   O
or   O
neurological   O
changes   O
.   O

The   O
medical   O
record   O
of   O
Riley   B-NAME
has   O
been   O
documented   O
under   O
54710251   B-ID
for   O
continuity   O
of   O
care   O
,   O
and   O
all   O
personal   O
information   O
has   O
been   O
encrypted   O
and   O
stored   O
securely   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

This   O
care   O
plan   O
has   O
been   O
communicated   O
to   O
Mansfield   B-NAME
,   I-NAME
Katherine   I-NAME
,   O
and   O
consent   O
for   O
the   O
proposed   O
treatment   O
was   O
obtained   O
.   O

Patient   O
Report   O
for   O
Elliot   B-NAME
Sexton   I-NAME
The   O
patient   O
is   O
a   O
10   O
-   O
year   O
-   O
old   O
who   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Lakewood   B-LOCATION
Ranch   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2334   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
28   I-DATE
.   O

Georgiana   B-NAME
Miro   I-NAME
complained   O
of   O
acute   O
onset   O
of   O
severe   O
,   O
radiating   O
chest   O
pain   O
that   O
started   O
early   O
in   O
the   O
morning   O
.   O

Tania   B-NAME
Dennis   I-NAME
's   O
past   O
medical   O
history   O
,   O
as   O
obtained   O
from   O
11389706   B-ID
,   O
includes   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Upon   O
examination   O
,   O
Ace   B-NAME
Franklin   I-NAME
appeared   O
anxious   O
and   O
diaphoretic   O
.   O

The   O
Webb   B-NAME
has   O
advised   O
immediate   O
cardiac   O
catheterization   O
based   O
on   O
the   O
initial   O
diagnostic   O
findings   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
at   O
UT   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
Tyler   I-LOCATION
under   O
Immanuel   B-NAME
Hammond   I-NAME
's   O
care   O
on   O
01/22   B-DATE
.   O

Contact   O
information   O
for   O
Marie   B-NAME
Egli   I-NAME
has   O
been   O
updated   O
in   O
our   O
system   O
as   O
580   B-CONTACT
-   I-CONTACT
2358   I-CONTACT
.   O

Patricia   B-NAME
Quebedeaux   I-NAME
lives   O
in   O
Foreston   B-LOCATION
and   O
is   O
employed   O
as   O
a   O
Materials   O
specialist   O
.   O

In   O
the   O
event   O
of   O
any   O
inquiries   O
or   O
further   O
updates   O
,   O
please   O
contact   O
our   O
administrative   O
staff   O
at   O
649   B-CONTACT
7448   I-CONTACT
.   O

Due   O
to   O
XIN   B-NAME
Xi   I-NAME
's   O
consent   O
,   O
all   O
personal   O
information   O
,   O
including   O
5633925   B-ID
,   O
1622950   B-ID
,   O
and   O
background   O
info   O
on   O
health   O
insurance   O
through   O
Hagerty   B-LOCATION
Insurance   I-LOCATION
Agency   I-LOCATION
,   O
is   O
protected   O
and   O
strictly   O
confidential   O
as   O
per   O
HIPAA   O
regulations   O
.   O

Documentation   O
Prepared   O
by   O
:   O
QU284   B-NAME
22/22/91   B-DATE
For   O
any   O
correspondence   O
regarding   O
this   O
patient   O
report   O
,   O
please   O
reference   O
the   O
medical   O
record   O
number   O
:   O
098   B-ID
-   I-ID
36   I-ID
-   I-ID
90   I-ID
-   I-ID
0   I-ID
.   O

42590   B-LOCATION
has   O
been   O
recorded   O
for   O
Leland   B-NAME
Washington   I-NAME
's   O
residential   O
address   O
for   O
further   O
correspondence   O
and   O
billing   O
purposes   O
.   O

Meridith   B-NAME
Buttrey   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
9653998   I-ID
Date   O
of   O
Birth   O
:   O
2157   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
10   I-DATE
Age   O
:   O
41   O
Medical   O
Record   O
Number   O
:   O
83177482   B-ID
Address   O
:   O
Estelle   B-LOCATION
,   O
66973   B-LOCATION
Phone   O
Number   O
:   O
300   B-CONTACT
4805   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Milton   B-NAME
Chamberlain   I-NAME
Hospital   O
:   O
Pioneer   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Early   I-LOCATION
Visit   O
Date   O
:   O
32/19/38   B-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Rylie   B-NAME
Ryan   I-NAME
,   O
presents   O
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
24   O
hours   O
ago   O
.   O

The   O
patient   O
rates   O
the   O
pain   O
at   O
8   O
on   O
a   O
scale   O
of   O
1   O
-   O
10   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Manuel   B-NAME
Nunez   I-NAME
reports   O
the   O
onset   O
of   O
symptoms   O
started   O
yesterday   O
morning   O
after   O
eating   O
breakfast   O
.   O

Associated   O
symptoms   O
include   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
00/13   B-DATE
.   O

Sadie   B-NAME
Conway   I-NAME
is   O
a   O
Cleaning   O
,   O
Washing   O
,   O
and   O
Metal   O
Pickling   O
Equipment   O
Operators   O
and   O
Tenders   O
,   O
non   O
-   O
smoker   O
,   O
and   O
occasional   O
alcohol   O
use   O
on   O
weekends   O
,   O
denying   O
any   O
illegal   O
substance   O
use   O
.   O

The   O
working   O
diagnosis   O
for   O
Branden   B-NAME
Randall   I-NAME
is   O
acute   O
appendicitis   O
.   O

A   O
surgical   O
consult   O
has   O
been   O
placed   O
,   O
and   O
Spring   B-NAME
Geneseo   I-NAME
will   O
likely   O
be   O
admitted   O
to   O
North   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Karlee   B-NAME
Lindsey   I-NAME
is   O
to   O
receive   O
inpatient   O
evaluation   O
and   O
management   O
under   O
the   O
General   O
Surgery   O
team   O
.   O

Please   O
contact   O
the   O
primary   O
care   O
physician   O
,   O
Armstrong   B-NAME
,   I-NAME
Neil   I-NAME
,   O
at   O
52874   B-CONTACT
for   O
any   O
questions   O
or   O
further   O
information   O
regarding   O
the   O
patient   O
's   O
care   O
.   O

Patient   O
Name   O
:   O
Krista   B-NAME
Mcmahon   I-NAME
Patient   O
ID   O
:   O
VX   B-ID
:   I-ID
EJ:3673   I-ID
Medical   O
Record   O
Number   O
:   O
87522772   B-ID
Age   O
:   O
43   O
Date   O
of   O
Visit   O
:   O
22/01   B-DATE
Attending   O
Physician   O
:   O
Tomas   B-NAME
Bolton   I-NAME
Hospital   O
:   O

Einstein   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Philadelphia   I-LOCATION
Location   O
:   O
Pleasanton   B-LOCATION
Zip   O
Code   O
:   O
92863   B-LOCATION
Contact   O
Phone   O
:   O
(   B-CONTACT
219   I-CONTACT
)   I-CONTACT
236   I-CONTACT
-   I-CONTACT
7634   I-CONTACT
Occupation   O
:   O
Musical   O
Instrument   O
Repairers   O
and   O
Tuners   O
Username   O
:   O
sq688   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Ken   B-NAME
Martin   I-NAME
,   O
presented   O
to   O
Ocean   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/4   B-DATE
,   O
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
lower   O
abdominal   O
pain   O
that   O
has   O
been   O
escalating   O
over   O
the   O
past   O
week   O
.   O

Additionally   O
,   O
Carla   B-NAME
Evans   I-NAME
reports   O
experiencing   O
bouts   O
of   O
nausea   O
without   O
vomiting   O
and   O
has   O
noticed   O
a   O
significant   O
reduction   O
in   O
appetite   O
.   O

Medical   O
History   O
:   O
Oppenheimer   B-NAME
,   I-NAME
J.   I-NAME
Robert   I-NAME
has   O
a   O
history   O
of   O
mild   O
,   O
intermittent   O
asthma   O
,   O
managed   O
with   O
an   O
inhaler   O
as   O
needed   O
.   O

Buchanan   B-NAME
is   O
currently   O
not   O
on   O
any   O
prescription   O
medications   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Jimmy   B-NAME
Mather   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Ayanna   B-NAME
Mckenzie   I-NAME
has   O
been   O
advised   O
to   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
preparation   O
for   O
potential   O
surgical   O
intervention   O
,   O
pending   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
.   O

Jenna   B-NAME
Farmer   I-NAME
has   O
recommended   O
close   O
monitoring   O
of   O
the   O
patient   O
’s   O
symptoms   O
and   O
vital   O
signs   O
over   O
the   O
next   O
several   O
hours   O
.   O

Follow   O
-   O
Up   O
:   O
Libius   B-NAME
Severus   I-NAME
Molone   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
outpatient   O
department   O
on   O
September   B-DATE
2082   I-DATE
to   O
review   O
test   O
results   O
and   O
assess   O
recovery   O
progress   O
post   O
any   O
interventional   O
procedures   O
.   O

Instructions   O
were   O
given   O
to   O
contact   O
the   O
hospital   O
at   O
585   B-CONTACT
-   I-CONTACT
2244   I-CONTACT
if   O
there   O
is   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
emergence   O
of   O
new   O
concerns   O
.   O

Instructions   O
for   O
Patient   O
:   O
Julie   B-NAME
Fraser   I-NAME
has   O
been   O
instructed   O
to   O
avoid   O
any   O
food   O
or   O
drink   O
until   O
the   O
ongoing   O
evaluation   O
is   O
completed   O
.   O

Norah   B-NAME
Bakley   I-NAME
was   O
also   O
informed   O
about   O
the   O
signs   O
and   O
symptoms   O
that   O
would   O
necessitate   O
immediate   O
medical   O
attention   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
vomiting   O
.   O

Signature   O
:   O
Lawson   B-NAME
Shepard   I-NAME
,   O
M.D.   O
12   B-DATE
-   I-DATE
13   I-DATE

Patient   O
Name   O
:   O
Marcus   B-NAME
Patient   O
ID   O
:   O
CB614/8486   B-ID
Date   O
of   O
Birth   O
:   O
12/33   B-DATE
Date   O
of   O
Visit   O
:   O
Tuesday   B-DATE
,   I-DATE
April   I-DATE
Age   O
:   O
9s   O
Medical   O
Record   O
Number   O
:   O
517   B-ID
04   I-ID
98   I-ID
Phone   O
Number   O
:   O
(   B-CONTACT
515   I-CONTACT
)   I-CONTACT
609   I-CONTACT
-   I-CONTACT
3025   I-CONTACT
Address   O
:   O
Mildred   B-LOCATION
,   O
93879   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Kendall   B-NAME
Singh   I-NAME
Treating   O
Hospital   O
:   O
Terrebonne   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Symptoms   O
Summary   O
:   O

Bob   B-NAME
Sexton   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Maria   B-LOCATION
Fareri   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Westchester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/13   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Wright   B-NAME
's   O
medical   O
history   O
was   O
notable   O
for   O
similar   O
,   O
albeit   O
less   O
severe   O
,   O
episodes   O
in   O
the   O
past   O
.   O

Diagnostic   O
Assessment   O
:   O
Upon   O
examination   O
,   O
Jesus   B-NAME
Bradley   I-NAME
exhibited   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
abdomen   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Keagan   B-NAME
Sellers   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Gilbert   B-NAME
Rocha   I-NAME
,   O
performed   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Niebuhr   B-NAME
,   I-NAME
Reinhold   I-NAME
was   O
discharged   O
from   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
Jacobi   I-LOCATION
on   O
23/08   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
and   O
activity   O
restrictions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Mata   B-NAME
in   O
two   O
weeks   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Grosse   I-LOCATION
Pointe   I-LOCATION
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

Marie   B-NAME
Massey   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
at   O
the   O
incision   O
site   O
,   O
or   O
other   O
signs   O
of   O
infection   O
were   O
noted   O
.   O

The   O
prognosis   O
for   O
Cali   B-NAME
Tyler   I-NAME
post   O
-   O
appendectomy   O
is   O
excellent   O
,   O
with   O
expectations   O
for   O
a   O
full   O
recovery   O
.   O

-   O
Limit   O
physical   O
activity   O
,   O
avoiding   O
strenuous   O
exercise   O
for   O
23/20   B-DATE
weeks   O
post   O
-   O
operative   O
.   O
-   O
Schedule   O
and   O
attend   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Santos   B-NAME
Castaneda   I-NAME
on   O
00/08/2057   B-DATE
at   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Florida   I-LOCATION
.   O

-   O
Contact   O
896   B-CONTACT
8728   I-CONTACT
for   O
any   O
urgent   O
concerns   O
or   O
visit   O
the   O
nearest   O
emergency   O
department   O
.   O

Jace   B-NAME
Farley   I-NAME
Patient   O
ID   O
:   O
90429391   B-ID
Date   O
of   O
Birth   O
:   O
17/03   B-DATE
Age   O
:   O

90s   O
Address   O
:   O
Austin   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78745   I-LOCATION
,   O
48488   B-LOCATION
Phone   O
:   O
261   B-CONTACT
8530   I-CONTACT

Bonilla   B-NAME
Admission   O
Date   O
:   O
02/01   B-DATE
Hospital   O
:   O

Caro   B-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Shelley   B-NAME
,   I-NAME
Percy   I-NAME
Bysshe   I-NAME
,   O
a   O
Local   O
government   O
administrator   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Davis   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
9   B-DATE
-   I-DATE
0/22   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Troy   B-NAME
Wolf   I-NAME
reported   O
the   O
pain   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
and   O
has   O
progressively   O
worsened   O
,   O
becoming   O
sharp   O
and   O
constant   O
.   O

Notably   O
,   O
Nagle   B-NAME
has   O
had   O
a   O
reduced   O
appetite   O
since   O
the   O
onset   O
of   O
symptoms   O
but   O
denies   O
vomiting   O
.   O

A   O
surgical   O
consult   O
recommended   O
by   O
Kenley   B-NAME
Shepherd   I-NAME
recommended   O
was   O
obtained   O
,   O
and   O
the   O
decision   O
for   O
laparoscopic   O
appendectomy   O
was   O
made   O
after   O
discussing   O
the   O
risks   O
and   O
benefits   O
with   O
Tobias   B-NAME
Lara   I-NAME
.   O

The   O
informed   O
consent   O
process   O
for   O
surgery   O
was   O
documented   O
on   O
3   B-DATE
-   I-DATE
3   I-DATE
.   O

The   O
patient   O
was   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
postoperatively   O
and   O
remained   O
in   O
Saint   B-LOCATION
Louis   I-LOCATION
University   I-LOCATION
Health   I-LOCATION
Science   I-LOCATION
Center   I-LOCATION
for   O
a   O
period   O
of   O
observation   O
.   O

Vannessa   B-NAME
Grimm   I-NAME
's   O
condition   O
improved   O
steadily   O
,   O
and   O
he   O
was   O
subsequently   O
discharged   O
on   O
7/13   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Powell   B-NAME
in   O
2   O
weeks   O
'   O
time   O
.   O

In   O
addition   O
,   O
Kitchen   B-NAME
,   I-NAME
Willie   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activity   O
for   O
a   O
minimum   O
of   O
10   O
-   O
14   O
days   O
to   O
facilitate   O
healing   O
.   O

Please   O
call   O
833   B-CONTACT
911   I-CONTACT
8346   I-CONTACT
for   O
any   O
questions   O
,   O
concerns   O
,   O
or   O
to   O
report   O
any   O
symptoms   O
of   O
concern   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
.   O

In   O
case   O
of   O
emergency   O
or   O
if   O
signs   O
of   O
infection   O
,   O
such   O
as   O
increased   O
redness   O
,   O
swelling   O
at   O
the   O
surgical   O
site   O
,   O
fever   O
higher   O
than   O
101   O
°   O
F   O
,   O
or   O
vomiting   O
,   O
present   O
before   O
the   O
follow   O
-   O
up   O
,   O
Gibran   B-NAME
,   I-NAME
Khalil   I-NAME
is   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
or   O
return   O
to   O
Baraga   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Wong   B-NAME
Age   O
:   O
12   O
Date   O
of   O
Birth   O
:   O
10/56   B-DATE
Medical   O
Record   O
Number   O
:   O
8182164   B-ID
ID   O
:   O
DX   B-ID
:   I-ID
UW:7133   I-ID
Address   O
:   O
Delano   B-LOCATION
,   O
84787   B-LOCATION
Contact   O
Number   O
:   O
383   B-CONTACT
-   I-CONTACT
276   I-CONTACT
8618   I-CONTACT
Occupation   O
:   O
Buyers   O
and   O
Purchasing   O
Agents   O
,   O
Farm   O
Products   O

Attending   O
Doctor   O
:   O
Hye   B-NAME
Reno   I-NAME
Admitted   O
to   O
:   O
Baptist   B-LOCATION
Health   I-LOCATION
Lexington   I-LOCATION
on   O
00/94   B-DATE
Referring   O
Organization   O
:   O

Direct   B-LOCATION
Energy   I-LOCATION
Summary   O
:   O
URIEL   B-NAME
ERVIN   I-NAME
was   O
admitted   O
to   O
Westerly   B-LOCATION
Hospital   I-LOCATION
on   O
2   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
58   I-DATE
with   O
a   O
series   O
of   O
complaints   O
including   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
1   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
05   I-DATE
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Freeda   B-NAME
Fiorenzi   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.5   O
°   O
C   O
,   O
accompanied   O
by   O
a   O
resting   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
.   O

Diagnostic   O
Interventions   O
:   O
Considering   O
the   O
symptoms   O
and   O
initial   O
findings   O
,   O
Houston   B-NAME
Curtis   I-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
chest   O
X   O
-   O
ray   O
,   O
and   O
sputum   O
culture   O
to   O
identify   O
the   O
causative   O
agent   O
.   O

The   O
patient   O
's   O
Medical   O
Record   O
Number   O
,   O
3096039   B-ID
,   O
was   O
used   O
to   O
track   O
these   O
tests   O
'   O
results   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
preliminary   O
diagnosis   O
of   O
bacterial   O
pneumonia   O
,   O
Danna   B-NAME
Medina   I-NAME
was   O
started   O
on   O
a   O
regimen   O
of   O
antibiotics   O
.   O

Tristian   B-NAME
Dorsey   I-NAME
recommended   O
hospitalization   O
for   O
close   O
monitoring   O
due   O
to   O
the   O
patient   O
's   O
7   O
and   O
underlying   O
health   O
conditions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
12/30/2231   B-DATE
at   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
New   I-LOCATION
Orleans   I-LOCATION
to   O
review   O
Otho   B-NAME
Bohlman   I-NAME
's   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Abram   B-NAME
Villanueva   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
,   O
maintain   O
a   O
healthy   O
diet   O
,   O
and   O
ensure   O
adequate   O
hydration   O
.   O

Instructed   O
to   O
monitor   O
and   O
record   O
symptoms   O
,   O
Infant   B-NAME
Brewer   I-NAME
is   O
to   O
contact   O
BANNER   B-LOCATION
BOSWELL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
should   O
there   O
be   O
any   O
signs   O
of   O
exacerbation   O
or   O
if   O
new   O
symptoms   O
emerge   O
.   O

For   O
any   O
further   O
information   O
or   O
emergency   O
,   O
Sarah   B-NAME
Glass   I-NAME
-   I-NAME
Camden   I-NAME
or   O
their   O
family   O
can   O
contact   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Kettering   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
895   B-CONTACT
6324   I-CONTACT
or   O
reach   O
out   O
to   O
Ward   B-NAME
's   O
office   O
directly   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
DC971/2572   B-ID
Medical   O
Record   O
Number   O
:   O
67986877   B-ID
Name   O
:   O
Quintanar   B-NAME
Age   O
:   O
82   O
Phone   O
:   O
226   B-CONTACT
-   I-CONTACT
357   I-CONTACT
7571   I-CONTACT
Address   O
:   O
Russells   B-LOCATION
Point   I-LOCATION
,   O
63152   B-LOCATION
Attending   O
Physician   O
:   O

Cody   B-NAME
Davila   I-NAME
Hospital   O
:   O
F.F.   B-LOCATION
Thompson   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
01/17   B-DATE
Referring   O
Organization   O
:   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Nigeria   I-LOCATION
(   I-LOCATION
CSN   I-LOCATION
)   I-LOCATION
Clinical   O
History   O
:   O

Amayeta   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Carroll   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
31/32   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
a   O
series   O
of   O
episodes   O
of   O
non   O
-   O
bilious   O
vomiting   O
that   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Raiden   B-NAME
Bolton   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Flora   B-NAME
Cole   I-NAME
appeared   O
discomforted   O
but   O
with   O
stable   O
vital   O
signs   O
.   O

Abdominal   O
ultrasound   O
performed   O
at   O
McKay   B-LOCATION
-   I-LOCATION
Dee   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
4/23   B-DATE
revealed   O
an   O
enlarged   O
appendix   O
with   O
the   O
presence   O
of   O
a   O
fecalith   O
,   O
confirming   O
the   O
initial   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

In   O
consultation   O
with   O
Horn   B-NAME
,   O
it   O
was   O
decided   O
to   O
proceed   O
with   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
,   O
conducted   O
on   O
03/11/2123   B-DATE
in   O
Bibb   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
was   O
successful   O
without   O
complications   O
.   O

Nico   B-NAME
Haney   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
pre   O
-   O
operatively   O
and   O
continued   O
post   O
-   O
operatively   O
.   O

Cali   B-NAME
Dunn   I-NAME
was   O
discharged   O
on   O
2371   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
16   I-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
at   O
Munson   B-LOCATION
Healthcare   I-LOCATION
Cadillac   I-LOCATION
Hospital   I-LOCATION
.   O

Neil   B-NAME
Nguyen   I-NAME
works   O
as   O
a   O
Stock   O
Clerks   O
,   O
Sales   O
Floor   O
at   O
Stop   B-LOCATION
Wickham   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SWAT   I-LOCATION
)   I-LOCATION
and   O
was   O
advised   O
to   O
refrain   O
from   O
heavy   O
lifting   O
and   O
strenuous   O
activities   O
for   O
at   O
least   O
4   O
weeks   O
.   O

Banks   B-NAME
,   I-NAME
Ernie   I-NAME
was   O
informed   O
to   O
seek   O
immediate   O
medical   O
attention   O
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Marble   I-LOCATION
Falls   I-LOCATION
or   O
with   O
Henry   B-NAME
Dreyfoos   I-NAME
if   O
there   O
were   O
any   O
signs   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
other   O
complications   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
questions   O
or   O
need   O
for   O
further   O
assistance   O
,   O
Whitlock   B-NAME
or   O
their   O
designated   O
emergency   O
contact   O
can   O
reach   O
Woodland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
584   B-CONTACT
-   I-CONTACT
2480   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Winters   B-NAME
Patient   O
ID   O
:   O
TE430/5911   B-ID
Medical   O
Record   O
Number   O
:   O
2804036   B-ID
Date   O
of   O
Birth   O
:   O
32/22/42   B-DATE
Age   O
:   O
7   O
week   O
Address   O
:   O
Aspen   B-LOCATION
Hill   I-LOCATION
,   O
11613   B-LOCATION
Phone   O
Number   O
:   O
28734   B-CONTACT
Employer   O
:   O

First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Winchester   I-LOCATION
Occupation   O
:   O
Roofers   O
Treating   O
Physician   O
:   O
Mirakle   B-NAME
Hospital   O
Name   O
:   O
Atrium   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Report   O
Date   O
:   O
May   B-DATE
22th   I-DATE
Clinical   O
Summary   O
:   O
Da'nailed   B-NAME
Lyme   I-NAME
,   O
a   O
52s   O
-   O
year   O
-   O
old   O
Telecommunications   O
Facility   O
Examiners   O
employed   O
at   O
Guaranty   B-LOCATION
Bank   I-LOCATION
,   O
residing   O
in   O
Bull   B-LOCATION
Mountain   I-LOCATION
,   O
was   O
admitted   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Campus   I-LOCATION
on   O
00/25/2030   B-DATE
with   O
a   O
constellation   O
of   O
symptoms   O
indicative   O
of   O
severe   O
gastroenteritis   O
.   O

Furthermore   O
,   O
Macias   B-NAME
,   I-NAME
B.   I-NAME
described   O
associated   O
symptoms   O
of   O
fever   O
,   O
chills   O
,   O
and   O
myalgias   O
,   O
with   O
a   O
peak   O
recorded   O
temperature   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
.   O

No   O
recent   O
travel   O
history   O
was   O
noted   O
,   O
and   O
there   O
were   O
no   O
similar   O
symptoms   O
reported   O
among   O
co   O
-   O
workers   O
at   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Idaho   I-LOCATION
or   O
family   O
members   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Dallas   B-NAME
Whitaker   I-NAME
appeared   O
dehydrated   O
with   O
dry   O
mucous   O
membranes   O
and   O
decreased   O
skin   O
turgor   O
.   O

Management   O
and   O
Outcome   O
:   O
The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Love   B-NAME
for   O
symptomatic   O
treatment   O
and   O
monitoring   O
of   O
hydration   O
and   O
electrolyte   O
status   O
.   O

Over   O
the   O
course   O
of   O
the   O
next   O
48   O
hours   O
,   O
Steven   B-NAME
Dorsey   I-NAME
showed   O
marked   O
improvement   O
in   O
symptoms   O
with   O
resolution   O
of   O
diarrhea   O
and   O
vomiting   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Garnet   B-NAME
Christain   I-NAME
was   O
discharged   O
from   O
CHI   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Council   I-LOCATION
Bluffs   I-LOCATION
on   O
38/18/2360   B-DATE
with   O
instructions   O
for   O
oral   O
rehydration   O
,   O
dietary   O
management   O
,   O
and   O
strict   O
hand   O
hygiene   O
practices   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dougherty   B-NAME
in   O
2   O
weeks   O
at   O
the   O
hospital   O
to   O
assess   O
recovery   O
and   O
address   O
any   O
persisting   O
issues   O
.   O

Follow   O
-   O
up   O
contact   O
with   O
the   O
patient   O
on   O
2/22/2376   B-DATE
confirmed   O
full   O
recovery   O
with   O
no   O
further   O
complications   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Brice   B-NAME
Fry   I-NAME
Age   O
:   O
23   O
DOB   O
:   O

Wednesday   B-DATE
,   I-DATE
October   I-DATE
Address   O
:   O
Mackville   B-LOCATION
,   O
37027   B-LOCATION
Phone   O
:   O
(   B-CONTACT
652   I-CONTACT
)   I-CONTACT
412   I-CONTACT
-   I-CONTACT
9129   I-CONTACT
Employer   O
:   O
Mercy   B-LOCATION
For   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
MFA   I-LOCATION
)   I-LOCATION
Occupation   O
:   O
Percussion   O
Instrument   O
Repairers   O
and   O
Tuners   O
Doctor   O
:   O
Franco   B-NAME
Hospital   O
:   O
Dupont   B-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
44282974   B-ID
ID   O
Number   O
:   O
SD   B-ID
:   I-ID
LH:6930   I-ID
Summary   O
:   O
On   O
feb   B-DATE
,   O
Debra   B-NAME
A.   I-NAME
Rosenberg   I-NAME
was   O
admitted   O
to   O
Norton   B-LOCATION
Audubon   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
presenting   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
clinical   O
presentation   O
of   O
acute   O
appendicitis   O
.   O

Infant   B-NAME
Brewer   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
day   O
of   O
admission   O
.   O

There   O
was   O
no   O
reported   O
fever   O
,   O
but   O
Bohr   B-NAME
,   I-NAME
Niels   I-NAME
mentioned   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Upon   O
physical   O
examination   O
conducted   O
by   O
Mcbride   B-NAME
,   O
Alani   B-NAME
Whitney   I-NAME
exhibited   O
rebound   O
tenderness   O
at   O
the   O
McBurney   O
's   O
point   O
,   O
and   O
the   O
Rovsing   O
's   O
sign   O
was   O
positive   O
.   O

Hettie   B-NAME
Skipper   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
'   B-DATE
45   I-DATE
.   O

The   O
procedure   O
was   O
performed   O
by   O
Braun   B-NAME
and   O
was   O
completed   O
without   O
complications   O
.   O

Post   O
-   O
operatively   O
,   O
Wade   B-NAME
was   O
administered   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
was   O
advised   O
on   O
pain   O
management   O
strategies   O
.   O
Follow   O
-   O
Up   O
:   O
Martin   B-NAME
was   O
discharged   O
from   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Memorial   I-LOCATION
on   O
2029   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
30   I-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
dietary   O
recommendations   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Johnston   B-NAME
was   O
scheduled   O
for   O
2042   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
26   I-DATE
to   O
assess   O
recovery   O
progress   O
.   O

Ray   B-NAME
,   I-NAME
Gene   I-NAME
was   O
also   O
advised   O
to   O
contact   O
Westchester   B-LOCATION
Square   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
at   O
(   B-CONTACT
639   I-CONTACT
)   I-CONTACT
449   I-CONTACT
-   I-CONTACT
6145   I-CONTACT
in   O
case   O
of   O
any   O
emergency   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
wound   O
discharge   O
.   O

Conclusion   O
:   O
Faith   B-NAME
Gallegos   I-NAME
,   O
a   O
Helpers   O
--   O
Carpenters   O
by   O
profession   O
,   O
demonstrated   O
a   O
clinical   O
presentation   O
consistent   O
with   O
acute   O
appendicitis   O
,   O
which   O
was   O
confirmed   O
through   O
laboratory   O
tests   O
and   O
imaging   O
.   O

Surgical   O
intervention   O
was   O
successfully   O
performed   O
,   O
and   O
Galvan   B-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
with   O
appropriate   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
.   O

Patient   O
Name   O
:   O
Brylee   B-NAME
Pearson   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
2680768   I-ID
Date   O
of   O
Birth   O
:   O
07/16   B-DATE
Medical   O
Record   O
Number   O
:   O
755   B-ID
-   I-ID
12   I-ID
-   I-ID
97   I-ID
-   I-ID
3   I-ID
Address   O
:   O
Saltash   B-LOCATION
,   O
42539   B-LOCATION
Phone   O
Number   O
:   O
754   B-CONTACT
9360   I-CONTACT
Employment   O
:   O
Interpreters   O
and   O
Translators   O
at   O
SPEAK   B-LOCATION
Physician   O
:   O
Leno   B-NAME
,   I-NAME
Jay   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/23/43   B-DATE
Username   O
:   O
rk601   B-NAME
Subjective   O
:   O
Aliza   B-NAME
Richards   I-NAME
,   O
a   O
54   O
-   O
year   O
-   O
old   O
Hunters   O
and   O
Trappers   O
,   O
presented   O
to   O
California   B-LOCATION
Pacific   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
California   I-LOCATION
Campus   I-LOCATION
on   O
21/28   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
intermittent   O
chest   O
pain   O
that   O
has   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Min   B-NAME
Ferracioli   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
exposure   O
to   O
individuals   O
with   O
similar   O
symptoms   O
.   O

Bobby   B-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
MEDINA   B-NAME
,   I-NAME
LUTHER   I-NAME
is   O
on   O
medication   O
.   O

Objective   O
:   O
On   O
physical   O
examination   O
,   O
Peter   B-NAME
Blood   I-NAME
was   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
displayed   O
use   O
of   O
accessory   O
muscles   O
for   O
breathing   O
.   O

Arrange   O
follow   O
-   O
up   O
with   O
Duffy   B-NAME
in   O
MOVE   B-LOCATION
pulmonary   O
clinic   O
on   O
4/01/09   B-DATE
for   O
re   O
-   O
evaluation   O
.   O

Educate   O
Plimpton   B-NAME
,   I-NAME
Martha   I-NAME
on   O
the   O
importance   O
of   O
smoking   O
cessation   O
to   O
prevent   O
further   O
exacerbations   O
.   O

Follow   O
-   O
Up   O
:   O
Best   B-NAME
to   O
return   O
to   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Cincinnati   I-LOCATION
or   O
contact   O
64856   B-CONTACT
in   O
case   O
of   O
symptom   O
exacerbation   O
,   O
such   O
as   O
worsening   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
if   O
unable   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
92   O
%   O
on   O
room   O
air   O
.   O

Harper   B-NAME
Tracy   I-NAME
is   O
also   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
potential   O
side   O
effects   O
from   O
new   O
medications   O
,   O
including   O
oral   O
thrush   O
from   O
inhaled   O
steroids   O
and   O
tremors   O
or   O
palpitations   O
from   O
bronchodilators   O
.   O

Patient   O
Name   O
:   O
Lang   B-NAME
Date   O
of   O
Birth   O
:   O
22/18/2361   B-DATE
Age   O
:   O
23s   O
Phone   O
Number   O
:   O
50866   B-CONTACT
Address   O
:   O
Snellville   B-LOCATION
,   O
23150   B-LOCATION
Occupation   O
:   O
Dietitians   O
and   O
Nutritionists   O
ID   O
Number   O
:   O
UR:24436:225920   B-ID
Medical   O
Record   O
Number   O
:   O
623   B-ID
-   I-ID
05   I-ID
-   I-ID
78   I-ID
Attending   O
Physician   O
:   O

Geoff   B-NAME
Standish   I-NAME
Hospital   O
:   O
Clinch   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
29/27   B-DATE
Username   O
:   O
FM422   B-NAME
Chief   O
Complaint   O
:   O
Jamie   B-NAME
Love   I-NAME
presents   O
with   O
persistent   O
,   O
productive   O
cough   O
lasting   O
more   O
than   O
three   O
weeks   O
,   O
accompanied   O
by   O
significant   O
weight   O
loss   O
and   O
night   O
sweats   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Oakley   B-NAME
began   O
experiencing   O
mild   O
cough   O
symptoms   O
approximately   O
12/13/2107   B-DATE
,   O
which   O
have   O
progressively   O
worsened   O
.   O

Over   O
the   O
last   O
32/02/00   B-DATE
,   O
Turtledove   B-NAME
,   I-NAME
Harry   I-NAME
noticed   O
a   O
marked   O
increase   O
in   O
sputum   O
production   O
,   O
along   O
with   O
occasional   O
streaks   O
of   O
blood   O
.   O

Past   O
Medical   O
History   O
:   O
Filomena   B-NAME
Xia   I-NAME
has   O
a   O
history   O
of   O
smoking   O
,   O
approximately   O
a   O
pack   O
a   O
day   O
for   O
78   O
years   O
,   O
though   O
they   O
quit   O
smoking   O
on   O
16/20   B-DATE
.   O

Investigations   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
31/16   B-DATE
showed   O
a   O
right   O
upper   O
lobe   O
consolidation   O
with   O
cavitary   O
lesions   O
suggestive   O
of   O
an   O
infectious   O
process   O
.   O

Treatment   O
Plan   O
:   O
Reese   B-NAME
has   O
been   O
started   O
on   O
a   O
standard   O
four   O
-   O
drug   O
regimen   O
for   O
tuberculosis   O
,   O
including   O
isoniazid   O
,   O
rifampin   O
,   O
ethambutol   O
,   O
and   O
pyrazinamide   O
,   O
as   O
of   O
32/06   B-DATE
.   O

vann   B-NAME
has   O
been   O
advised   O
to   O
maintain   O
isolation   O
precautions   O
to   O
prevent   O
disease   O
transmission   O
until   O
further   O
notice   O
.   O

Close   O
contacts   O
of   O
Sidney   B-NAME
Crane   I-NAME
are   O
being   O
advised   O
to   O
undergo   O
screening   O
for   O
tuberculosis   O
.   O

Fisher   B-NAME
is   O
scheduled   O
to   O
follow   O
up   O
in   O
Centre   B-LOCATION
of   I-LOCATION
Indian   I-LOCATION
Trade   I-LOCATION
Unions   I-LOCATION
clinic   O
in   O
Budd   B-LOCATION
Lake   I-LOCATION
on   O
23/03/2176   B-DATE
.   O

[   O
PATIENT_RELATION   O
]   O
Phone   O
:   O
905   B-CONTACT
-   I-CONTACT
9744   I-CONTACT
Address   O
:   O
Mahtowa   B-LOCATION
,   O
90982   B-LOCATION

Dante   B-NAME
Dejoode   I-NAME
Medical   O
Record   O
:   O
92075506   B-ID
ID   O
:   O
59177059   B-ID
Date   O
of   O
Birth   O
:   O
02/13/2093   B-DATE
Age   O
:   O
93   O
Phone   O
:   O
747   B-CONTACT
-   I-CONTACT
6265   I-CONTACT
Address   O
:   O
Beaverdale   B-LOCATION
,   O
69623   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Macias   B-NAME
Date   O
of   O
Initial   O
Consultation   O
:   O
21/42   B-DATE
Hospital   O
:   O

Nash   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Employment   O
:   O
Environmental   O
health   O
officer   O
at   O
International   B-LOCATION
Centre   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Democratic   I-LOCATION
Development   I-LOCATION
Clinical   O
Presentation   O
:   O
Jaycee   B-NAME
Sutton   I-NAME
,   O
a   O
54   O
-   O
year   O
-   O
old   O
Doctor   O
(   O
hospital   O
)   O
employed   O
at   O
Ocala   B-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Logan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
00   B-DATE
-   I-DATE
28   I-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Wolf   B-NAME
,   O
indicating   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
14,000/µL   O
,   O
primarily   O
neutrophils   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
performed   O
on   O
1/12/40   B-DATE
,   O
showed   O
inflammation   O
of   O
the   O
appendix   O
with   O
early   O
signs   O
of   O
perforation   O
.   O
Diagnosis   O
and   O
Management   O
:   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Mayo   B-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
2132   B-DATE
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Braxton   B-NAME
Shah   I-NAME
was   O
discharged   O
on   O
2/30   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
at   O
the   O
surgical   O
outpatient   O
clinic   O
.   O

Follow   O
-   O
up   O
and   O
Prognosis   O
:   O
Tenzin   B-NAME
Gyatso   I-NAME
(   I-NAME
14th   I-NAME
Dalai   I-NAME
Lama   I-NAME
)   I-NAME
was   O
seen   O
for   O
follow   O
-   O
up   O
by   O
Dr.   O
Wells   B-NAME
at   O
Carlsbad   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
surgical   O
outpatient   O
clinic   O
on   O
0/22   B-DATE
.   O

Jazmin   B-NAME
Burch   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
was   O
scheduled   O
for   O
another   O
follow   O
-   O
up   O
visit   O
in   O
2   O
weeks   O
to   O
ensure   O
continued   O
recovery   O
.   O

Xitlali   B-NAME
Crane   I-NAME
's   O
rapid   O
recovery   O
post   O
-   O
surgery   O
underscores   O
the   O
efficacy   O
of   O
laparoscopic   O
appendectomy   O
as   O
a   O
treatment   O
modality   O
for   O
acute   O
appendicitis   O
.   O

Prepared   O
by   O
:   O
Dr.   O
Cynthia   B-NAME
Terry   I-NAME
2340   B-DATE
Contact   O
Information   O
:   O
61967   B-CONTACT
Ochsner   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION

Patient   O
:   O
Xie   B-NAME
Age   O
:   O
15   O
Date   O
of   O
Visit   O
:   O
05/13   B-DATE
Medical   O
Record   O
Number   O
:   O
808   B-ID
-   I-ID
55   I-ID
-   I-ID
62   I-ID
-   I-ID
0   I-ID

Breann   B-NAME
Vandever   I-NAME
Hospital   O
Name   O
:   O
OhioHealth   B-LOCATION
Grady   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Rosamond   B-LOCATION
Zip   O
Code   O
:   O
48322   B-LOCATION
Phone   O
Number   O
:   O
20173   B-CONTACT
Employer   O
:   O

Mansfield   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
Profession   O
:   O

Postal   O
Service   O
Mail   O
Sorters   O
,   O
Processors   O
,   O
and   O
Processing   O
Machine   O
Operators   O
SSN   O
:   O
RQ479/2747   B-ID
Subjective   O
:   O
Noor   B-NAME
Uyeda   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
22/32/72   B-DATE
with   O
complaints   O
of   O
a   O
persistent   O
dry   O
cough   O
,   O
severe   O
fatigue   O
,   O
and   O
sporadic   O
episodes   O
of   O
high   O
fever   O
over   O
the   O
last   O
two   O
weeks   O
.   O

Frantz   B-NAME
is   O
a   O
Video   O
game   O
designer   O
at   O
International   B-LOCATION
Partnership   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
(   I-LOCATION
IPHR   I-LOCATION
)   I-LOCATION
and   O
mentioned   O
that   O
a   O
few   O
colleagues   O
had   O
similar   O
symptoms   O
.   O

Despite   O
taking   O
over   O
-   O
the   O
-   O
counter   O
antipyretics   O
and   O
cough   O
suppressants   O
,   O
Jaqueline   B-NAME
Whitney   I-NAME
reports   O
minimal   O
relief   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
Ferne   B-NAME
Newhart   I-NAME
exhibited   O
physical   O
signs   O
of   O
dehydration   O
and   O
was   O
notably   O
lethargic   O
.   O

U.   B-NAME
L.   I-NAME
Dana   I-NAME
,   I-NAME
Jr.   I-NAME
's   O
oxygen   O
saturation   O
was   O
94   O
%   O
on   O
room   O
air   O
.   O

Ayesha   B-NAME
Darcangelo   I-NAME
was   O
advised   O
to   O
maintain   O
hydration   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
empirical   O
antibiotics   O
pending   O
lab   O
results   O
.   O

Plan   O
:   O
-   O
CBC   O
,   O
chest   O
X   O
-   O
ray   O
,   O
and   O
sputum   O
culture   O
tests   O
ordered   O
-   O
Prescribed   O
a   O
7   O
-   O
day   O
course   O
of   O
empirical   O
antibiotics   O
-   O
Advised   O
rest   O
,   O
hydration   O
,   O
and   O
isolation   O
to   O
prevent   O
potential   O
spread   O
of   O
infection   O
-   O
Scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Williamson   B-NAME
at   O
Kootenai   B-LOCATION
Health   I-LOCATION
on   O
25   B-DATE
-   I-DATE
01   I-DATE
-   O
Advised   O
to   O
call   O
the   O
clinic   O
at   O
47117   B-CONTACT
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
Instructions   O
have   O
been   O
sent   O
electronically   O
to   O
Lacie   B-NAME
Douglas   I-NAME
's   O
pharmacy   O
via   O
username   O
TG502   B-NAME
.   O

Tempie   B-NAME
Plewa   I-NAME
was   O
informed   O
of   O
possible   O
side   O
effects   O
of   O
the   O
medication   O
and   O
to   O
reach   O
out   O
to   O
their   O
healthcare   O
provider   O
at   O
Catskill   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
they   O
have   O
any   O
concerns   O
or   O
adverse   O
reactions   O
.   O

Marsh   B-NAME
emphasized   O
the   O
importance   O
of   O
contacting   O
the   O
clinic   O
immediately   O
if   O
Alfreda   B-NAME
Vandermark   I-NAME
experiences   O
difficulty   O
breathing   O
,   O
persistent   O
fever   O
,   O
or   O
if   O
symptoms   O
significantly   O
worsen   O
.   O

Additional   O
resources   O
and   O
support   O
from   O
Socialist   B-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
Centre   I-LOCATION
through   O
their   O
employee   O
health   O
program   O
were   O
also   O
recommended   O
for   O
Jensen   B-NAME
.   O

Patient   O
Name   O
:   O
Callum   B-NAME
Hanna   I-NAME
Date   O
of   O
Birth   O
:   O
33/01   B-DATE
Age   O
:   O
59s   O
Address   O
:   O
Baltimore   B-LOCATION
,   O
98534   B-LOCATION
Phone   O
:   O
67417   B-CONTACT
Occupation   O
:   O
Community   O
worker   O
Medical   O
Record   O
Number   O
:   O
8903946   B-ID
Social   O
Security   O
Number   O
:   O
KQ   B-ID
:   I-ID
HA:1127   I-ID
Username   O
:   O
ff520   B-NAME
Primary   O
Physician   O
:   O

Dr.   O
Farring   B-NAME
Hospital   O
Name   O
:   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Montgomery   I-LOCATION
Clinical   O
Visit   O
Summary   O
:   O
Mr.   O
Margaret   B-NAME
Santana   I-NAME
,   O
a   O
80   O
-   O
year   O
-   O
old   O
Sales   O
Representatives   O
,   O
Medical   O
residing   O
in   O
Grove   B-LOCATION
Hill   I-LOCATION
,   O
95932   B-LOCATION
,   O
presented   O
to   O
South   B-LOCATION
Florida   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
department   O
on   O
35th   B-DATE
of   I-DATE
February   I-DATE
with   O
complaints   O
of   O
persistent   O
and   O
intermittent   O
lower   O
abdominal   O
pain   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Mr.   O
Martin   B-NAME
Bamford   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
Irritable   O
Bowel   O
Syndrome   O
diagnosed   O
by   O
Dr.   O
Rick   B-NAME
Bauer   I-NAME
in   O
22/04   B-DATE
.   O

Allen   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
food   O
diary   O
and   O
follow   O
a   O
low   O
FODMAP   O
diet   O
in   O
the   O
interim   O
.   O

For   O
any   O
further   O
queries   O
or   O
if   O
symptoms   O
exacerbate   O
,   O
Alfredo   B-NAME
Shea   I-NAME
was   O
advised   O
to   O
contact   O
Santiam   B-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
996   I-CONTACT
)   I-CONTACT
701   I-CONTACT
-   I-CONTACT
8780   I-CONTACT
.   O

This   O
visit   O
was   O
meticulously   O
documented   O
in   O
David   B-NAME
Delgado   I-NAME
’s   O
electronic   O
health   O
record   O
(   O
42936371   B-ID
)   O
for   O
ongoing   O
care   O
coordination   O
and   O
was   O
reported   O
to   O
the   O
primary   O
care   O
provider   O
Dr.   O
Zane   B-NAME
Barry   I-NAME
via   O
secure   O
email   O
.   O

Summary   O
prepared   O
by   O
:   O
Dr.   O
Stokes   B-NAME
,   O
March   B-DATE
2343   I-DATE

Patient   O
Report   O
for   O
Laverne   B-NAME
Edelstein   I-NAME
Patient   O
Information   O
:   O
Age   O
:   O
10   O
month   O
Medical   O
Record   O
Number   O
:   O
4716364   B-ID
Date   O
of   O
Visit   O
:   O
11   B-DATE
-   I-DATE
20   I-DATE
Physician   O
:   O

Bailey   B-NAME
Hospital   O
:   O
Medical   B-LOCATION
City   I-LOCATION
Denton   I-LOCATION
Address   O
:   O
Luis   B-LOCATION
M.   I-LOCATION
Cintron   I-LOCATION
,   O
15830   B-LOCATION
Contact   O
Number   O
:   O
42067   B-CONTACT
Medical   O
History   O
:   O
Tamica   B-NAME
Haigh   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Lower   B-LOCATION
Keys   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
29/21   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

CODY   B-NAME
NEILSON   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Ulises   B-NAME
Y.   I-NAME
Hobbs   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Treatment   O
and   O
Prognosis   O
:   O
Ahmad   B-NAME
Cabrera   I-NAME
was   O
admitted   O
to   O
Bell   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Sanchez   B-NAME
for   O
further   O
management   O
.   O

The   O
procedure   O
was   O
performed   O
successfully   O
on   O
04/06/27   B-DATE
without   O
complications   O
.   O

Angelique   B-NAME
Knox   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
post   O
-   O
operatively   O
and   O
responded   O
well   O
to   O
the   O
treatment   O
.   O

Browning   B-NAME
was   O
discharged   O
on   O
22/25   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
a   O
course   O
of   O
oral   O
antibiotics   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
02   B-DATE
.   O

The   O
prognosis   O
for   O
Ashley   B-NAME
Muma   I-NAME
is   O
good   O
,   O
with   O
expectations   O
for   O
a   O
full   O
recovery   O
.   O

It   O
is   O
essential   O
for   O
Benjamin   B-NAME
to   O
follow   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
closely   O
and   O
attend   O
all   O
scheduled   O
follow   O
-   O
up   O
appointments   O
.   O

Healthcare   O
Professional   O
:   O
Rodriguez   B-NAME
Lauren   B-NAME
Fontenot   I-NAME
Consent   O
:   O
Katelyn   B-NAME
Blackwell   I-NAME
(   O
or   O
legal   O
guardian   O
)   O
has   O
provided   O
verbal   O
consent   O
for   O
the   O
treatment   O
provided   O
.   O

This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
and   O
is   O
for   O
use   O
only   O
by   O
Garner   B-NAME
,   O
Lynna   B-NAME
Herriott   I-NAME
's   O
healthcare   O
providers   O
,   O
and   O
authorized   O
personnel   O
.   O

Document   O
ID   O
:   O
ZZ:441060:629588   B-ID
Review   O
Date   O
:   O
3/03   B-DATE
Reviewed   O
by   O
:   O
Janessa   B-NAME
Contreras   I-NAME

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
ELLEN   B-NAME
HUNTER   I-NAME
-   O
Age   O
:   O
43   O
-   O
DOB   O
:   O

March   B-DATE
-   O
Address   O
:   O
Norton   B-LOCATION
,   I-LOCATION
NB   I-LOCATION
E5   I-LOCATION
T   I-LOCATION
2J2   I-LOCATION
,   O
94277   B-LOCATION
-   O
Phone   O
:   O
91507   B-CONTACT
-   O
Occupation   O
:   O
Architectural   O
technologist   O
-   O
Patient   O
ID   O
:   O
UZ:41181:140959   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
69008693   B-ID
-   O
Treating   O
Doctor   O
:   O
Arturo   B-NAME
Crawford   I-NAME
-   O
Hospital   O
:   O

Iredell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
On   O
32/25   B-DATE
,   O
Peter   B-NAME
Goldstone   I-NAME
was   O
admitted   O
to   O
Heber   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
following   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
profuse   O
sweating   O
,   O
and   O
a   O
feeling   O
of   O
impending   O
doom   O
.   O

Clinical   O
Findings   O
:   O
-   O
Physical   O
examination   O
conducted   O
by   O
Wang   B-NAME
revealed   O
diaphoresis   O
,   O
pallor   O
,   O
and   O
an   O
elevated   O
jugular   O
venous   O
pressure   O
.   O

Given   O
the   O
presentation   O
and   O
findings   O
,   O
a   O
decision   O
was   O
made   O
by   O
Thomas   B-NAME
to   O
proceed   O
with   O
cardiac   O
catheterization   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
02/11/1725   B-DATE
at   O
LECOM   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Millcreek   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
revealed   O
significant   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
occlusion   O
.   O

Post   O
-   O
procedure   O
,   O
Marina   B-NAME
Houston   I-NAME
was   O
transferred   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
for   O
close   O
monitoring   O
.   O

Julien   B-NAME
Gilmore   I-NAME
received   O
instructions   O
on   O
lifestyle   O
modifications   O
,   O
including   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
strict   O
adherence   O
to   O
medications   O
such   O
as   O
statins   O
,   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
ACE   O
inhibitors   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Soren   B-NAME
Harris   I-NAME
was   O
discharged   O
on   O
2102/13/28   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Cameron   B-NAME
Shelton   I-NAME
at   O
Northside   B-LOCATION
Hospital   I-LOCATION
Atlanta   I-LOCATION
in   O
2   O
weeks   O
for   O
re   O
-   O
evaluation   O
and   O
to   O
discuss   O
cardiac   O
rehabilitation   O
.   O

It   O
's   O
imperative   O
for   O
OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
to   O
monitor   O
signs   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
palpitations   O
and   O
to   O
avoid   O
Advice   O
worker   O
-   O
related   O
stress   O
triggers   O
.   O

Smoking   O
cessation   O
was   O
strongly   O
advised   O
given   O
Malika   B-NAME
Ebbesen   I-NAME
's   O
cardiovascular   O
risk   O
.   O

Ray   B-NAME
Palmer   I-NAME
was   O
recommended   O
to   O
join   O
a   O
support   O
group   O
for   O
individuals   O
recovering   O
from   O
heart   O
attacks   O
,   O
organized   O
by   O
Ontario   B-LOCATION
English   I-LOCATION
Catholic   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
.   O

In   O
case   O
of   O
any   O
symptoms   O
suggestive   O
of   O
cardiac   O
distress   O
,   O
Jamal   B-NAME
Holloway   I-NAME
was   O
advised   O
to   O
immediately   O
call   O
865   B-CONTACT
-   I-CONTACT
628   I-CONTACT
7902   I-CONTACT
or   O
visit   O
Bayfront   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Petersburg   I-LOCATION
ER   O
located   O
at   O
9263   B-LOCATION
undefined   I-LOCATION
,   O
43342   B-LOCATION
.   O

Conclusion   O
:   O
The   O
presented   O
case   O
of   O
Amirah   B-NAME
Frederick   I-NAME
involves   O
a   O
critical   O
cardiac   O
event   O
successfully   O
managed   O
through   O
timely   O
intervention   O
.   O

Continuous   O
follow   O
-   O
ups   O
,   O
adherence   O
to   O
prescribed   O
medical   O
regimens   O
,   O
and   O
lifestyle   O
modifications   O
are   O
critical   O
to   O
improving   O
Aliza   B-NAME
Riggs   I-NAME
's   O
long   O
-   O
term   O
cardiovascular   O
health   O
.   O

Prepared   O
by   O
:   O
GN173   B-NAME
11/26   B-DATE

Patient   O
Report   O
:   O
37465502   B-ID
Patient   O
:   O
Marianna   B-NAME
Hinton   I-NAME
Age   O
:   O
0   O
Contact   O
Number   O
:   O
910   B-CONTACT
-   I-CONTACT
3561   I-CONTACT
Patient   O
resides   O
in   O
:   O
Pawling   B-LOCATION
,   O
96296   B-LOCATION
Admission   O
Date   O
:   O
June   B-DATE
37   I-DATE
,   I-DATE
2296   I-DATE
Referring   O
Doctor   O
:   O
Schopenhauer   B-NAME
,   I-NAME
Arthur   I-NAME
Treating   O
Hospital   O
:   O
Glendale   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
ID   O
Number   O
:   O
TA:361094:403151   B-ID
Employment   O
:   O
Grinding   O
,   O
Lapping   O
,   O
Polishing   O
,   O
and   O
Buffing   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
at   O
Otter   B-LOCATION
Tail   I-LOCATION
Power   I-LOCATION
Company   I-LOCATION
Username   O
reported   O
for   O
patient   O
portal   O
login   O
issues   O
:   O
tvv879   B-NAME
Clinical   O
Summary   O
:   O
The   O
patient   O
,   O
Alfredo   B-NAME
Bennett   I-NAME
,   O
presented   O
to   O
Jersey   B-LOCATION
Shore   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ER   O
on   O
23/23   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Roy   B-NAME
exhibited   O
tenderness   O
and   O
rebound   O
pain   O
upon   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
possible   O
appendiceal   O
inflammation   O
.   O

After   O
consultation   O
with   O
the   O
attending   O
surgeon   O
,   O
Alvarez   B-NAME
,   O
it   O
was   O
decided   O
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
conducted   O
on   O
3/33/2322   B-DATE
,   O
without   O
complications   O
.   O

Heller   B-NAME
,   I-NAME
Joseph   I-NAME
was   O
given   O
IV   O
antibiotics   O
preoperatively   O
and   O
continued   O
on   O
a   O
course   O
of   O
oral   O
antibiotics   O
post   O
-   O
surgery   O
.   O

Follow   O
-   O
up   O
:   O
Maximilian   B-NAME
Schaefer   I-NAME
exhibited   O
a   O
commendable   O
recovery   O
post   O
-   O
operation   O
with   O
no   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Discharged   O
on   O
4/91   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
at   O
Flagler   B-LOCATION
Hospital   I-LOCATION
.   O

Conclusion   O
:   O
Eastman   B-NAME
's   O
presentation   O
of   O
acute   O
appendicitis   O
was   O
timely   O
addressed   O
through   O
surgical   O
intervention   O
,   O
avoiding   O
any   O
further   O
complications   O
such   O
as   O
rupture   O
or   O
infection   O
spread   O
.   O

The   O
multidisciplinary   O
approach   O
from   O
the   O
emergency   O
,   O
surgical   O
,   O
and   O
nursing   O
teams   O
at   O
Two   B-LOCATION
Rivers   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
ensured   O
optimal   O
patient   O
care   O
and   O
outcome   O
.   O

Prepared   O
by   O
:   O
Chase   B-NAME
January   B-DATE
27   I-DATE
,   I-DATE
2284   I-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Spencer   B-NAME
,   I-NAME
Herbert   I-NAME
Patient   O
ID   O
:   O
666763926   B-ID
Medical   O
Record   O
Number   O
:   O
28490605   B-ID
Date   O
of   O
Birth   O
:   O
March   B-DATE
Age   O
:   O
51   O
Phone   O
Number   O
:   O
681   B-CONTACT
7802   I-CONTACT
Address   O
:   O
Evergreen   B-LOCATION
Park   I-LOCATION
,   O
60451   B-LOCATION
Profession   O
:   O

Dr.   O
Dominique   B-NAME
Ewing   I-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Abby   B-NAME
Gray   I-NAME
,   O
presented   O
to   O
Lehigh   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/01   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
an   O
unexplained   O
sense   O
of   O
impending   O
doom   O
.   O

Ashley   B-NAME
was   O
at   O
work   O
as   O
a   O
Speech   O
-   O
Language   O
Pathology   O
Assistants   O
at   O
Five   B-LOCATION
Below   I-LOCATION
when   O
the   O
symptoms   O
initiated   O
.   O

The   O
patient   O
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Dr.   O
Ferguson   B-NAME
.   O

The   O
cardiology   O
team   O
led   O
by   O
Dr.   O
Piaget   B-NAME
,   I-NAME
Jean   I-NAME
was   O
consulted   O
and   O
recommended   O
immediate   O
cardiac   O
catheterization   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2250   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
10   I-DATE
with   O
Dr.   O
Carlee   B-NAME
Mitchell   I-NAME
at   O
Fulton   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
The   I-LOCATION
to   O
review   O
the   O
outcomes   O
of   O
the   O
procedure   O
and   O
to   O
discuss   O
further   O
management   O
plans   O
including   O
lifestyle   O
modifications   O
,   O
diet   O
,   O
and   O
pharmacological   O
treatment   O
.   O

Prepared   O
by   O
:   O
Dr.   O
Clark   B-NAME
01/22/1628   B-DATE
For   O
any   O
inquiries   O
or   O
further   O
information   O
,   O
please   O
contact   O
the   O
Cardiology   O
Department   O
at   O
Boone   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
via   O
10350   B-CONTACT
.   O

Patient   O
Name   O
:   O
Norma   B-NAME
Umali   I-NAME
Medical   O
Record   O
Number   O
:   O
2560578   B-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
23th   I-DATE
Age   O
:   O
15   O
Address   O
:   O
Villa   B-LOCATION
Rica   I-LOCATION
,   I-LOCATION
Villa   I-LOCATION
Rica   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
15234   B-LOCATION
Phone   O
Number   O
:   O
47388   B-CONTACT

Attending   O
Physician   O
:   O
Dr.   O
Paul   B-NAME
Hospital   O
:   O
Northwestern   B-LOCATION
Medicine   I-LOCATION
Kishwaukee   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
12/39/2131   B-DATE
Occupation   O
:   O
Massage   O
Therapists   O
Username   O
for   O
Hospital   O
Portal   O
:   O
iz404   B-NAME
Chief   O
Complaint   O
:   O
YERGER   B-NAME
,   I-NAME
DESEAN   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
MetroSouth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
09/12   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Caesar   B-NAME
,   I-NAME
Irving   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
rating   O
it   O
an   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Additionally   O
,   O
Brycen   B-NAME
Patton   I-NAME
reported   O
experiencing   O
nausea   O
and   O
had   O
vomited   O
twice   O
before   O
coming   O
to   O
the   O
hospital   O
.   O

According   O
to   O
Leonard   B-NAME
Uranga   I-NAME
,   O
the   O
abdominal   O
pain   O
was   O
sudden   O
in   O
onset   O
,   O
initially   O
mild   O
,   O
and   O
gradually   O
increased   O
in   O
severity   O
.   O

Jaylan   B-NAME
Barber   I-NAME
denied   O
experiencing   O
any   O
similar   O
pain   O
in   O
the   O
past   O
.   O

No   O
recent   O
travel   O
history   O
to   O
Weinert   B-LOCATION
or   O
consumption   O
of   O
any   O
unusual   O
foods   O
.   O

Ty   B-NAME
Reeves   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
that   O
started   O
a   O
few   O
hours   O
after   O
the   O
onset   O
of   O
the   O
abdominal   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
Ella   B-NAME
Donovan   I-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
managed   O
with   O
inhalers   O
,   O
and   O
no   O
known   O
allergies   O
to   O
medications   O
.   O

Family   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
in   O
XI   B-NAME
,   I-NAME
KATHERINE   I-NAME
I   I-NAME
's   O
mother   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Marley   B-NAME
,   I-NAME
Bob   I-NAME
's   O
temperature   O
was   O
100.4   O
°   O
F   O
,   O
heart   O
rate   O
was   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
with   O
contrast   O
was   O
ordered   O
by   O
Dr.   O
Brady   B-NAME
and   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
surrounding   O
fat   O
stranding   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

After   O
discussing   O
the   O
diagnosis   O
and   O
treatment   O
options   O
with   O
Cassius   B-NAME
Carrillo   I-NAME
,   O
Dr.   O
Clark   B-NAME
advised   O
for   O
surgical   O
intervention   O
.   O

Axel   B-NAME
Fitzgerald   I-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
2144   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
01   I-DATE
.   O

Macha   B-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Disposition   O
:   O
Post   O
-   O
operatively   O
,   O
Kacy   B-NAME
was   O
transferred   O
to   O
a   O
general   O
surgical   O
ward   O
for   O
further   O
monitoring   O
.   O

Amaro   B-NAME
,   I-NAME
Rolim   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
any   O
immediate   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Richard   B-NAME
Fletcher   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Julian   B-NAME
Mercer   I-NAME
in   O
two   O
weeks   O
from   O
the   O
date   O
of   O
discharge   O
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Additionally   O
,   O
Lark   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
fever   O
,   O
increased   O
pain   O
,   O
redness   O
around   O
the   O
incision   O
site   O
,   O
or   O
any   O
other   O
concerns   O
arise   O
.   O

For   O
any   O
further   O
questions   O
or   O
concerns   O
,   O
Dahlia   B-NAME
Arildsen   I-NAME
can   O
contact   O
Dr.   O
Ascham   B-NAME
,   I-NAME
Roger   I-NAME
's   O
office   O
at   O
378   B-CONTACT
866   I-CONTACT
-   I-CONTACT
8615   I-CONTACT
during   O
business   O
hours   O
or   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Magic   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
after   O
hours   O
.   O

Patient   O
Name   O
:   O
Dillon   B-NAME
Age   O
:   O
99   O
Date   O
of   O
Birth   O
:   O
07/19   B-DATE
Address   O
:   O
Blue   B-LOCATION
Ridge   I-LOCATION
,   O
32342   B-LOCATION
Occupation   O
:   O
Tellers   O
Phone   O
Number   O
:   O
31664   B-CONTACT
Medical   O
Record   O
Number   O
:   O
856   B-ID
-   I-ID
88   I-ID
-   I-ID
23   I-ID
ID   O
Number   O
:   O
LV   B-ID
:   I-ID
ND:6644   I-ID
Primary   O
Care   O
Physician   O
:   O

Downs   B-NAME
Admitting   O
Hospital   O
:   O

Piedmont   B-LOCATION
Columbus   I-LOCATION
Regional   I-LOCATION
Northside   I-LOCATION
Date   O
of   O
Admission   O
:   O
23/03   B-DATE
Username   O
:   O
dr4110   B-NAME
Summary   O
of   O
Presentation   O
:   O
Keats   B-NAME
,   I-NAME
John   I-NAME
,   O
a   O
22   O
-   O
year   O
-   O
old   O
Grinding   O
and   O
Polishing   O
Workers   O
,   O
Hand   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Poplar   B-LOCATION
Bluff   I-LOCATION
RMC   I-LOCATION
-   I-LOCATION
Oak   I-LOCATION
Grove   I-LOCATION
on   O
02/14   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
onset   O
severe   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Marquez   B-NAME
denied   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
any   O
known   O
exposure   O
to   O
infectious   O
agents   O
.   O

There   O
were   O
no   O
recent   O
changes   O
in   O
bowel   O
habits   O
,   O
and   O
Piraten   B-NAME
,   I-NAME
Fritiof   I-NAME
Nilsson   I-NAME
had   O
no   O
history   O
of   O
similar   O
episodes   O
.   O

On   O
physical   O
examination   O
,   O
Ciqala   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Treatment   O
and   O
Outcome   O
:   O
After   O
discussing   O
the   O
findings   O
and   O
treatment   O
options   O
with   O
Dr.   O
Clayton   B-NAME
,   O
Adams   B-NAME
,   I-NAME
John   I-NAME
Quincy   I-NAME
consented   O
to   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
performed   O
on   O
01/22   B-DATE
without   O
complications   O
.   O

Singleton   B-NAME
was   O
discharged   O
from   O
Saint   B-LOCATION
Anne   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
02/11/2271   B-DATE
with   O
instructions   O
for   O
postoperative   O
care   O
and   O
follow   O
-   O
up   O
appointment   O
scheduling   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Jon   B-NAME
Fowler   I-NAME
in   O
two   O
weeks   O
to   O
ensure   O
complete   O
recovery   O
.   O

For   O
any   O
further   O
questions   O
or   O
to   O
provide   O
additional   O
information   O
,   O
please   O
contact   O
the   O
medical   O
staff   O
at   O
590   B-CONTACT
-   I-CONTACT
1213   I-CONTACT
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Turner   B-NAME
-   O
Age   O
:   O
84   O
-   O
ID   O
:   O
JL866/9047   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
77425574   B-ID
-   O
Date   O
of   O
Birth   O
:   O
7/23/16   B-DATE
-   O
Address   O
:   O
Covington   B-LOCATION
,   O
94491   B-LOCATION
-   O
Phone   O
Number   O
:   O
20710   B-CONTACT
-   O
Occupation   O
:   O
Models   O
-   O
Date   O
of   O
Admission   O
:   O
2187   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
26   I-DATE
-   O
Attending   O
Doctor   O
:   O
Vazquez   B-NAME
-   O
Hospital   O
Name   O
:   O
Overlook   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Florene   B-NAME
Kim   I-NAME
,   O
a   O
Infantry   O
of   O
11   O
month   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Presbyterian   B-LOCATION
Espanola   I-LOCATION
Hospital   I-LOCATION
on   O
M   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Previous   O
surgeries   O
include   O
an   O
appendectomy   O
at   O
42   O
and   O
a   O
cholecystectomy   O
16   B-DATE
-   I-DATE
Jun-2333   I-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bowerman   B-NAME
,   I-NAME
Bill   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Follow   O
-   O
Up   O
:   O
Rachel   B-NAME
Hines   I-NAME
showed   O
significant   O
improvement   O
post   O
-   O
operation   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
9/05   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Marsh   B-NAME
in   O
two   O
weeks   O
at   O
9591   B-LOCATION
Hawthorne   I-LOCATION
St   I-LOCATION
.   I-LOCATION
.   O
Prescription   O
for   O
oral   O
antibiotics   O
and   O
pain   O
medication   O
were   O
given   O
upon   O
discharge   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Baystate   B-LOCATION
Noble   I-LOCATION
Hospital   I-LOCATION
at   O
992   B-CONTACT
-   I-CONTACT
3535   I-CONTACT
.   O

To   O
reach   O
the   O
patient   O
's   O
primary   O
care   O
provider   O
,   O
Dr.   O
Bush   B-NAME
,   O
call   O
777   B-CONTACT
232   I-CONTACT
5144   I-CONTACT
.   O

Next   O
appointment   O
with   O
Bryan   B-NAME
scheduled   O
for   O
02/11   B-DATE
.   O
-   O
Bourdages   B-NAME
Bolfa   I-NAME
consented   O
to   O
participate   O
in   O
a   O
post   O
-   O
operative   O
care   O
survey   O
.   O

Results   O
will   O
be   O
sent   O
to   O
dob319   B-NAME
@   O
Flint   B-LOCATION
Energies   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Elianna   B-NAME
Harper   I-NAME
Patient   O
ID   O
:   O
RE702/5822   B-ID
Date   O
of   O
Birth   O
:   O
December   B-DATE
Age   O
:   O
68   O
Phone   O
Number   O
:   O
56884   B-CONTACT
Address   O
:   O
Clear   B-LOCATION
Spring   I-LOCATION
,   O
17241   B-LOCATION
Employment   O
:   O
Mechanical   O
Drafters   O
Medical   O
Record   O
Number   O
:   O
365   B-ID
-   I-ID
79   I-ID
-   I-ID
53   I-ID
-   I-ID
2   I-ID
Admitting   O
Physician   O
:   O

Justin   B-NAME
Adkins   I-NAME
Hospital   O
Name   O
:   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Hazelton   I-LOCATION
Admission   O
Date   O
:   O
11/76   B-DATE
Username   O
:   O
jw775   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Kasen   B-NAME
George   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Guthrie   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
0/0/00   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Edwards   B-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
earlier   O
on   O
the   O
day   O
of   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Sweeney   B-NAME
has   O
been   O
generally   O
healthy   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
metformin   O
and   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

HR   B-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
unusual   O
dietary   O
intake   O
.   O

On   O
examination   O
,   O
IKECHUKWU   B-NAME
SPEARS   I-NAME
was   O
found   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Outcome   O
:   O
The   O
surgical   O
team   O
led   O
by   O
Rush   B-NAME
at   O
Novant   B-LOCATION
Health   I-LOCATION
Rowan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
performed   O
an   O
appendectomy   O
on   O
31/27   B-DATE
.   O

Leonard   B-NAME
Green   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
complications   O
.   O

Eli   B-NAME
Mathis   I-NAME
received   O
discharge   O
instructions   O
on   O
02/00/23   B-DATE
with   O
guidance   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
activity   O
limitations   O
,   O
and   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
pain   O
medication   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Turner   B-NAME
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
for   O
spring   B-DATE
2090   I-DATE
.   O

Casandra   B-NAME
Goldman   I-NAME
was   O
advised   O
to   O
follow   O
a   O
soft   O
diet   O
for   O
the   O
next   O
few   O
days   O
and   O
gradually   O
return   O
to   O
regular   O
diet   O
as   O
tolerated   O
.   O

For   O
further   O
information   O
or   O
questions   O
regarding   O
this   O
visit   O
,   O
Richard   B-NAME
A.   I-NAME
Verlin   I-NAME
-   I-NAME
Urbina   I-NAME
can   O
contact   O
the   O
surgery   O
department   O
at   O
492   B-CONTACT
-   I-CONTACT
7696   I-CONTACT
.   O

This   O
document   O
was   O
processed   O
by   O
the   O
medical   O
records   O
department   O
of   O
Pomona   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
is   O
compliant   O
with   O
privacy   O
regulations   O
.   O

Any   O
concerns   O
about   O
the   O
handling   O
of   O
medical   O
information   O
can   O
be   O
directed   O
to   O
604   B-CONTACT
-   I-CONTACT
918   I-CONTACT
-   I-CONTACT
6460   I-CONTACT
.   O

Document   O
Preparer   O
Username   O
:   O
WP611   B-NAME
Date   O
:   O
04/42   B-DATE

Patient   O
Name   O
:   O
Kendrick   B-NAME
Reed   I-NAME
Date   O
of   O
Birth   O
:   O
31/02/10   B-DATE
Age   O
:   O
2   O
week   O
Phone   O
:   O
629   B-CONTACT
-   I-CONTACT
8919   I-CONTACT
Health   O
Plan   O
ID   O
:   O
FM452/9013   B-ID
Medical   O
Record   O
Number   O
:   O
2863337   B-ID
Address   O
:   O
Loveland   B-LOCATION
Park   I-LOCATION
,   O
64545   B-LOCATION
Employer   O
:   O
Colonial   B-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Lifeguards   O
,   O
Ski   O
Patrol   O
,   O
and   O
Other   O
Recreational   O
Protective   O
Service   O
Workers   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Alejandro   B-NAME
Daniels   I-NAME
Hospital   O
:   O
Lee   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O

The   O
patient   O
,   O
Thu   B-NAME
Civatte   I-NAME
,   O
a   O
Orthodontists   O
from   O
Beach   B-LOCATION
First   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
in   O
Rushford   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
32/20/64   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Nietzsche   B-NAME
,   I-NAME
Friedrich   I-NAME
's   O
temperature   O
was   O
slightly   O
elevated   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
performed   O
at   O
East   B-LOCATION
Orange   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
7/24   B-DATE
,   O
which   O
indicated   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
a   O
fecalith   O
,   O
confirming   O
the   O
suspicion   O
of   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
and   O
ultrasound   O
findings   O
,   O
Dr.   O
Rasmussen   B-NAME
at   O
The   B-LOCATION
Brooklyn   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

The   O
patient   O
agreed   O
to   O
proceed   O
and   O
was   O
scheduled   O
for   O
surgery   O
on   O
16/21   B-DATE
.   O
Follow   O
-   O
Up   O
:   O
33/02   B-DATE
was   O
set   O
for   O
a   O
postoperative   O
follow   O
-   O
up   O
visit   O
to   O
check   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
and   O
assess   O
recovery   O
progression   O
.   O

Contact   O
Information   O
:   O
Lucia   B-NAME
Ramos   I-NAME
can   O
be   O
reached   O
at   O
733   B-CONTACT
7656   I-CONTACT
.   O

In   O
case   O
of   O
any   O
emergency   O
or   O
unexpected   O
symptoms   O
,   O
O'Brien   B-NAME
,   I-NAME
Conan   I-NAME
is   O
advised   O
to   O
contact   O
Dr.   O
Jaydin   B-NAME
Mckee   I-NAME
’s   O
office   O
at   O
Upstate   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
or   O
visit   O
the   O
emergency   O
department   O
immediately   O
.   O

Patient   O
Name   O
:   O
Paul   B-NAME
Novotny   I-NAME
Age   O
:   O
0   O
week   O
Medical   O
Record   O
Number   O
:   O
6018153   B-ID
Date   O
of   O
Visit   O
:   O
2/2   B-DATE
Phone   O
Number   O
:   O
98634   B-CONTACT
Address   O
:   O
Woodbranch   B-LOCATION
,   O
70295   B-LOCATION

Attending   O
Physician   O
:   O
Mooney   B-NAME
Hospital   O
:   O
Alamance   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Profession   O
:   O
chef   O
Username   O
:   O
SE582   B-NAME
Summary   O
:   O
Cyrus   B-NAME
Mcintyre   I-NAME
,   O
a   O
Log   O
Graders   O
and   O
Scalers   O
from   O
Sussex   B-LOCATION
,   O
presented   O
to   O
Wichita   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Leoti   I-LOCATION
on   O
32/02   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
which   O
began   O
approximately   O
10   O
hours   O
prior   O
to   O
admission   O
.   O

Trevon   B-NAME
Lindsey   I-NAME
reported   O
no   O
significant   O
past   O
medical   O
history   O
aside   O
from   O
episodic   O
migraines   O
without   O
aura   O
,   O
for   O
which   O
no   O
formal   O
treatment   O
was   O
sought   O
.   O

On   O
examination   O
,   O
Hugh   B-NAME
Gibbs   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
,   O
with   O
a   O
temperature   O
of   O
98.6   O
°   O
F   O
,   O
blood   O
pressure   O
of   O
120/80   O
mmHg   O
,   O
heart   O
rate   O
of   O
72   O
bpm   O
,   O
and   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
.   O

Bobby   B-NAME
Peters   I-NAME
recommended   O
the   O
administration   O
of   O
intravenous   O
fluids   O
,   O
sumatriptan   O
,   O
and   O
metoclopramide   O
for   O
symptomatic   O
relief   O
.   O

Miranda   B-NAME
was   O
advised   O
to   O
avoid   O
migraine   O
triggers   O
and   O
follow   O
up   O
with   O
April   B-NAME
Aguilar   I-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
worsened   O
.   O

1/2038   B-DATE
follow   O
-   O
up   O
call   O
was   O
made   O
to   O
57639   B-CONTACT
to   O
assess   O
the   O
patient   O
's   O
condition   O
.   O

Forster   B-NAME
,   I-NAME
E.   I-NAME
M.   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
with   O
the   O
prescribed   O
management   O
plan   O
.   O

It   O
was   O
recommended   O
that   O
Iris   B-NAME
Allison   I-NAME
maintains   O
a   O
headache   O
diary   O
and   O
follow   O
up   O
with   O
neurology   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

For   O
future   O
reference   O
,   O
patient   O
's   O
case   O
number   O
830358   B-ID
and   O
the   O
care   O
provided   O
at   O
Surgical   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Reading   I-LOCATION
on   O
12/30/1968   B-DATE
should   O
be   O
documented   O
for   O
continuity   O
of   O
care   O
.   O

Any   O
further   O
communication   O
regarding   O
this   O
case   O
should   O
reference   O
10817039   B-ID
and   O
contact   O
via   O
(   B-CONTACT
266   I-CONTACT
)   I-CONTACT
130   I-CONTACT
9213   I-CONTACT
.   O

This   O
patient   O
report   O
has   O
been   O
prepared   O
by   O
Bobby   B-NAME
Alvarado   I-NAME
and   O
securely   O
filed   O
in   O
Florida   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
electronic   O
medical   O
records   O
system   O
on   O
11/08   B-DATE
.   O

Please   O
refer   O
to   O
the   O
patient   O
’s   O
digital   O
health   O
record   O
for   O
any   O
future   O
inquiries   O
or   O
treatment   O
considerations   O
regarding   O
Aleshanee   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Malaki   B-NAME
Saunders   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
9943883   I-ID
Medical   O
Record   O
Number   O
:   O
78312282   B-ID
Date   O
of   O
Birth   O
:   O
2/0   B-DATE
Age   O
:   O
94   O
Address   O
:   O
Mertzon   B-LOCATION
,   O
50282   B-LOCATION
Phone   O
Number   O
:   O
184   B-CONTACT
-   I-CONTACT
5379   I-CONTACT
Occupation   O
:   O
Correspondence   O
Clerks   O
Presenting   O
Complaint   O
:   O
Mr.   O
GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
Hamilton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/12   B-DATE
with   O
complaints   O
of   O
acute   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
,   O
which   O
he   O
rated   O
as   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

Past   O
Medical   O
History   O
:   O
Mr.   O
Aldo   B-NAME
Hammond   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
6/08   B-DATE
.   O
Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
Mr.   O
UMANA   B-NAME
,   I-NAME
BRUCE   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

After   O
consultation   O
with   O
Dr.   O
Stanton   B-NAME
,   O
a   O
decision   O
was   O
made   O
for   O
Mr.   O
Reynaldo   B-NAME
Forbes   I-NAME
to   O
undergo   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
32/5   B-DATE
at   O
INTEGRIS   B-LOCATION
Southwest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Postoperative   O
instructions   O
included   O
wound   O
care   O
,   O
monitoring   O
for   O
signs   O
of   O
infection   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
with   O
Dr.   O
Rocha   B-NAME
.   O

Mr.   O
Na   B-NAME
has   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Jane   B-NAME
Banks   I-NAME
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
19/15/2017   B-DATE
for   O
surgical   O
wound   O
assessment   O
and   O
to   O
discuss   O
the   O
pathology   O
report   O
of   O
the   O
removed   O
appendix   O
.   O

The   O
patient   O
was   O
also   O
given   O
the   O
904   B-CONTACT
8775   I-CONTACT
number   O
of   O
the   O
surgical   O
department   O
in   O
case   O
of   O
emergency   O
or   O
concerns   O
related   O
to   O
his   O
recovery   O
phase   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Rebekah   B-NAME
Bullock   I-NAME
Age   O
:   O
70   O
Phone   O
Number   O
:   O
236   B-CONTACT
9848   I-CONTACT
Address   O
:   O
Lake   B-LOCATION
Madison   I-LOCATION
,   O
96990   B-LOCATION
Profession   O
:   O
Environmental   O
education   O
officer   O
Medical   O
Record   O
Number   O
:   O
055   B-ID
-   I-ID
46   I-ID
-   I-ID
34   I-ID
-   I-ID
4   I-ID
ID   O
Number   O
:   O
ZI231/3555   B-ID
Treating   O
Doctor   O
:   O
Leonard   B-NAME
Hospital   O
:   O

Wayne   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
21/23   B-DATE
Summary   O
:   O

Frey   B-NAME
was   O
admitted   O
to   O
Ascension   B-LOCATION
Via   I-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
on   O
24/20   B-DATE
presenting   O
with   O
acute   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
clinical   O
presentation   O
of   O
acute   O
appendicitis   O
.   O

Ursula   B-NAME
Toth   I-NAME
,   O
a   O
Building   O
services   O
engineer   O
,   O
denied   O
any   O
previous   O
similar   O
episodes   O
but   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
nausea   O
without   O
vomiting   O
.   O

Kineks   B-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
(   O
NKA   O
)   O
.   O

Treatment   O
Plan   O
:   O
The   O
admitting   O
physician   O
,   O
Channing   B-NAME
,   I-NAME
William   I-NAME
Ellery   I-NAME
,   O
recommended   O
an   O
appendectomy   O
after   O
discussing   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
with   O
Kael   B-NAME
Lucero   I-NAME
.   O

Surgical   O
consent   O
was   O
obtained   O
on   O
2056   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
without   O
any   O
complications   O
,   O
and   O
Guderian   B-NAME
,   I-NAME
Heinz   I-NAME
was   O
transferred   O
to   O
the   O
post   O
-   O
operative   O
unit   O
for   O
recovery   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Zaria   B-NAME
Cisneros   I-NAME
had   O
an   O
uneventful   O
post   O
-   O
operative   O
recovery   O
.   O

Winters   B-NAME
was   O
encouraged   O
to   O
ambulate   O
with   O
assistance   O
on   O
the   O
day   O
following   O
surgery   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Elaina   B-NAME
Guzman   I-NAME
was   O
discharged   O
on   O
04/21   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
prescription   O
for   O
an   O
oral   O
antibiotic   O
as   O
a   O
precautionary   O
measure   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Anya   B-NAME
Bodelson   I-NAME
at   O
Penn   B-LOCATION
Highlands   I-LOCATION
DuBois   I-LOCATION
has   O
been   O
scheduled   O
for   O
31/31/2223   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

372   B-CONTACT
-   I-CONTACT
186   I-CONTACT
-   I-CONTACT
7207   I-CONTACT
was   O
provided   O
to   O
Miranda   B-NAME
for   O
any   O
immediate   O
concerns   O
or   O
questions   O
related   O
to   O
the   O
recovery   O
process   O
.   O

Notes   O
:   O
Throughout   O
the   O
hospital   O
stay   O
,   O
Dennise   B-NAME
's   O
confidentiality   O
and   O
privacy   O
were   O
maintained   O
,   O
in   O
accordance   O
with   O
International   B-LOCATION
Federation   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
policies   O
.   O

The   O
details   O
of   O
this   O
case   O
will   O
be   O
stored   O
securely   O
in   O
Cao   B-NAME
,   I-NAME
Cao   I-NAME
's   O
medical   O
record   O
(   O
52107209   B-ID
)   O
and   O
used   O
for   O
quality   O
improvement   O
purposes   O
within   O
Memorial   B-LOCATION
Healthcare   I-LOCATION
.   O

For   O
further   O
reference   O
or   O
inquiries   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
the   O
hospital   O
using   O
the   O
general   O
inquiry   O
number   O
:   O
502   B-CONTACT
504   I-CONTACT
1483   I-CONTACT
,   O
or   O
refer   O
to   O
the   O
patient   O
’s   O
unique   O
medical   O
record   O
number   O
:   O
6477866   B-ID
.   O

Patient   O
Report   O
for   O
Jefferey   B-NAME
I.   O
Patient   O
Information   O
-   O
68   O
years   O
old   O
-   O
ID   O
:   O
LQ   B-ID
:   I-ID
KJ:9276   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
241   B-ID
-   I-ID
43   I-ID
-   I-ID
97   I-ID
-   I-ID
8   I-ID
-   O
Location   O
:   O
Hoyleton   B-LOCATION
,   O
40192   B-LOCATION
-   O
Contact   O
Number   O
:   O
(   B-CONTACT
214   I-CONTACT
)   I-CONTACT
522   I-CONTACT
-   I-CONTACT
1563   I-CONTACT
II   O
.   O

Medical   O
History   O
-   O
Patient   O
quang   B-NAME
was   O
seen   O
by   O
Hickman   B-NAME
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Apopka   I-LOCATION
for   O
a   O
comprehensive   O
medical   O
evaluation   O
on   O
21/25   B-DATE
.   O

In   O
addition   O
,   O
Estes   B-NAME
described   O
bouts   O
of   O
shortness   O
of   O
breath   O
,   O
especially   O
when   O
engaging   O
in   O
minimal   O
physical   O
activity   O
,   O
which   O
was   O
a   O
new   O
development   O
within   O
the   O
last   O
week   O
.   O

Examination   O
Findings   O
Upon   O
physical   O
examination   O
,   O
McClung   B-NAME
,   I-NAME
Nellie   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
related   O
to   O
their   O
respiratory   O
symptoms   O
.   O

Treatment   O
and   O
Recommendations   O
The   O
treatment   O
plan   O
initiated   O
for   O
Roy   B-NAME
Swanson   I-NAME
includes   O
broad   O
-   O
spectrum   O
antibiotics   O
pending   O
further   O
microbiological   O
results   O
,   O
antipyretics   O
for   O
fever   O
management   O
,   O
and   O
supportive   O
care   O
with   O
fluids   O
and   O
rest   O
.   O

Usha   B-NAME
was   O
advised   O
to   O
maintain   O
isolation   O
to   O
prevent   O
the   O
potential   O
spread   O
of   O
infection   O
until   O
a   O
definitive   O
diagnosis   O
is   O
established   O
.   O

Cameron   B-NAME
will   O
be   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Eaton   B-NAME
at   O
Laredo   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/23   B-DATE
to   O
review   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

In   O
the   O
interim   O
,   O
Huckabee   B-NAME
,   I-NAME
Mike   I-NAME
was   O
instructed   O
to   O
monitor   O
their   O
symptoms   O
closely   O
and   O
return   O
to   O
the   O
hospital   O
or   O
contact   O
55678   B-CONTACT
if   O
their   O
condition   O
deteriorates   O
.   O

Summary   O
This   O
patient   O
report   O
for   O
Buber   B-NAME
,   I-NAME
Martin   I-NAME
encompasses   O
the   O
comprehensive   O
clinical   O
assessment   O
and   O
initial   O
management   O
plan   O
for   O
symptoms   O
indicative   O
of   O
a   O
severe   O
respiratory   O
infection   O
,   O
potentially   O
pneumonia   O
.   O

The   O
report   O
is   O
based   O
on   O
the   O
initial   O
evaluation   O
on   O
3/2   B-DATE
by   O
Gilbert   B-NAME
at   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Abril   B-NAME
Warren   I-NAME
Patient   O
Age   O
:   O
64   O
Patient   O
ID   O
:   O
JS   B-ID
:   I-ID
IO:6055   I-ID
Medical   O
Record   O
Number   O
:   O
3340210   B-ID
Date   O
of   O
Birth   O
:   O
20/21/2322   B-DATE
Address   O
:   O
Dagsboro   B-LOCATION
,   O
40918   B-LOCATION
Phone   O
Number   O
:   O
71548   B-CONTACT
Occupation   O
:   O
Industrial   O
Safety   O
and   O
Health   O
Engineers   O
Date   O
of   O
Visit   O
:   O
20/21   B-DATE
Attending   O
Physician   O
:   O

Leach   B-NAME
Hospital   O
:   O
Colorado   B-LOCATION
Plains   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Bookkeeping   O
,   O
Accounting   O
,   O
and   O
Auditing   O
Clerks   O
from   O
Whalan   B-LOCATION
,   O
presented   O
to   O
Montefiore   B-LOCATION
Nyack   I-LOCATION
Hospital   I-LOCATION
on   O
31/17   B-DATE
with   O
complaints   O
of   O
persistent   O
headache   O
,   O
photophobia   O
,   O
and   O
nausea   O
for   O
the   O
past   O
20/16/2335   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kyle   B-NAME
Morgan   I-NAME
has   O
been   O
experiencing   O
these   O
headaches   O
intermittently   O
over   O
the   O
past   O
month   O
but   O
notes   O
that   O
the   O
headaches   O
have   O
become   O
more   O
frequent   O
and   O
severe   O
in   O
nature   O
.   O

There   O
has   O
been   O
no   O
noted   O
pattern   O
regarding   O
time   O
of   O
day   O
when   O
the   O
headaches   O
occur   O
,   O
but   O
Cedrick   B-NAME
Kasky   I-NAME
mentioned   O
that   O
exposure   O
to   O
bright   O
lights   O
significantly   O
exacerbates   O
the   O
pain   O
,   O
leading   O
to   O
episodes   O
of   O
photophobia   O
.   O

Braxton   B-NAME
May   I-NAME
has   O
attempted   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
minimal   O
relief   O
.   O

Jerica   B-NAME
's   O
past   O
medical   O
history   O
includes   O
episodic   O
migraines   O
diagnosed   O
in   O
2/15   B-DATE
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
primary   O
complaint   O
,   O
Sophia   B-NAME
Hendrix   I-NAME
reports   O
occasional   O
blurred   O
vision   O
during   O
headache   O
episodes   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jamari   B-NAME
Estrada   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2/04   B-DATE
to   O
review   O
the   O
MRI   O
results   O
and   O
discuss   O
further   O
treatment   O
options   O
.   O

Signature   O
:   O
Malik   B-NAME
Okorududu   I-NAME
0/30/21   B-DATE
Contact   O
Information   O
:   O

Cheshire   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Phone   O
:   O
48524   B-CONTACT

Patient   O
Report   O
for   O
Jones   B-NAME
I.   O
Patient   O
Information   O
a.   O
Age   O
:   O
43   O
b.   O
Medical   O
Record   O
Number   O
:   O
3602559   B-ID
c.   O
Contact   O
Number   O
:   O
95193   B-CONTACT
d.   O
Address   O
:   O
Belleplain   B-LOCATION
,   O
71580   B-LOCATION
II   O
.   O

Ball   B-NAME
b.   O

Overlook   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
c.   O
Date   O
of   O
Admission   O
:   O
00/02   B-DATE
d.   O
Reason   O
for   O
Admission   O
:   O
The   O
patient   O
was   O
admitted   O
following   O
complaints   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
along   O
with   O
nausea   O
and   O
vomiting   O
.   O

Medical   O
History   O
Kreeli   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
ACE   O
inhibitors   O
.   O

In   O
the   O
past   O
,   O
Brenden   B-NAME
Esparza   I-NAME
has   O
been   O
admitted   O
for   O
similar   O
complaints   O
but   O
without   O
a   O
definitive   O
diagnosis   O
established   O
.   O

,   O
Luis   B-NAME
Salas   I-NAME
exhibited   O
signs   O
of   O
jaundice   O
,   O
with   O
scleral   O
icterus   O
,   O
and   O
the   O
abdomen   O
was   O
tender   O
upon   O
palpation   O
,   O
notably   O
in   O
the   O
epigastric   O
region   O
.   O

Ted   B-NAME
Stuart   I-NAME
also   O
recommended   O
consultation   O
with   O
a   O
gastroenterologist   O
for   O
possible   O
ERCP   O
(   O
Endoscopic   O
Retrograde   O
Cholangiopancreatography   O
)   O
to   O
remove   O
the   O
obstructing   O
gallstone   O
.   O
VII   O
.   O

Progress   O
Notes   O
2/25/2286   B-DATE
:   O

Trajan   B-NAME
Balsis   I-NAME
's   O
condition   O
showed   O
improvement   O
with   O
conservative   O
management   O
.   O

June   B-DATE
0   I-DATE
:   O
Consultation   O
with   O
Gastroenterology   O
performed   O
.   O

ERCP   O
scheduled   O
for   O
20/11/2250   B-DATE
to   O
address   O
choledocholithiasis   O
and   O
potential   O
cholecystectomy   O
discussed   O
for   O
gallstone   O
disease   O
management   O
.   O
VIII   O
.   O

Discharge   O
Plan   O
Upon   O
stabilization   O
and   O
successful   O
completion   O
of   O
ERCP   O
,   O
Armando   B-NAME
Henderson   I-NAME
will   O
be   O
discharged   O
with   O
instructions   O
for   O
a   O
low   O
-   O
fat   O
diet   O
,   O
follow   O
-   O
up   O
with   O
Gastroenterology   O
within   O
one   O
week   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
NYU   B-LOCATION
Langone   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Brooklyn   I-LOCATION
's   O
Outpatient   O
Department   O
.   O

Contact   O
Information   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
complications   O
,   O
Xzavier   B-NAME
Lujan   I-NAME
is   O
instructed   O
to   O
contact   O
the   O
hospital   O
at   O
(   B-CONTACT
805   I-CONTACT
)   I-CONTACT
299   I-CONTACT
9719   I-CONTACT
or   O
visit   O
the   O
Emergency   O
Department   O
of   O
West   B-LOCATION
Suburban   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Jasper   B-NAME
Perkins   I-NAME
,   O
2371   B-DATE
,   O
and   O
is   O
based   O
on   O
the   O
information   O
and   O
medical   O
records   O
provided   O
by   O
Mia   B-NAME
Tapia   I-NAME
and   O
recorded   O
under   O
797   B-ID
-   I-ID
69   I-ID
-   I-ID
62   I-ID
-   I-ID
5   I-ID
.   O

Patient   O
Name   O
:   O
Laertes   B-NAME
Age   O
:   O
6   O
week   O
Date   O
of   O
Birth   O
:   O
03/92   B-DATE
Address   O
:   O
Island   B-LOCATION
City   I-LOCATION
,   O
61713   B-LOCATION
Occupation   O
:   O

Patent   O
examiner   O
Phone   O
Number   O
:   O
63366   B-CONTACT
Doctor   O
:   O
Nyla   B-NAME
Deleon   I-NAME
Hospital   O
Name   O
:   O

Lourdes   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
38/31   B-DATE
Medical   O
Record   O
Number   O
:   O
3096039   B-ID
Insurance   O
ID   O
:   O
EK   B-ID
:   I-ID
OF:8263   I-ID
Clinical   O
Notes   O
:   O
Ankti   B-NAME
,   O
a   O
8   O
-   O
year   O
-   O
old   O
Customer   O
Service   O
Representatives   O
from   O
Pinetops   B-LOCATION
,   O
presented   O
to   O
the   O
outpatient   O
department   O
at   O
Nicklaus   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/10/33   B-DATE
with   O
complaints   O
of   O
intermittent   O
,   O
severe   O
abdominal   O
pain   O
centered   O
in   O
the   O
epigastric   O
region   O
,   O
that   O
has   O
been   O
occurring   O
for   O
the   O
last   O
two   O
weeks   O
.   O

Isiah   B-NAME
Mendoza   I-NAME
reports   O
a   O
subjective   O
fever   O
and   O
a   O
loss   O
of   O
appetite   O
,   O
which   O
has   O
led   O
to   O
a   O
weight   O
loss   O
of   O
approximately   O
5   O
kg   O
over   O
the   O
same   O
period   O
.   O

Cynthia   B-NAME
Moore   I-NAME
denies   O
any   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

On   O
physical   O
examination   O
,   O
Darrell   B-NAME
Kent   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Krista   B-NAME
Mcmahon   I-NAME
has   O
been   O
advised   O
to   O
follow   O
a   O
bland   O
diet   O
,   O
avoiding   O
spicy   O
and   O
fatty   O
foods   O
,   O
and   O
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
or   O
earlier   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Follow   O
-   O
up   O
arrangements   O
have   O
been   O
scheduled   O
,   O
and   O
Cohen   B-NAME
,   I-NAME
Richard   I-NAME
has   O
been   O
given   O
contact   O
details   O
for   O
the   O
GI   O
clinic   O
with   O
instructions   O
to   O
call   O
if   O
they   O
have   O
any   O
concerns   O
or   O
if   O
their   O
symptoms   O
significantly   O
change   O
before   O
their   O
next   O
appointment   O
.   O

Ron   B-NAME
McCready   I-NAME
verbalized   O
understanding   O
of   O
the   O
instructions   O
given   O
.   O

Planned   O
follow   O
-   O
up   O
in   O
the   O
clinic   O
with   O
Lutz   B-NAME
at   O
Children   B-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
of   I-LOCATION
Atlanta   I-LOCATION
at   I-LOCATION
Scottish   I-LOCATION
Rite   I-LOCATION
is   O
on   O
0/30   B-DATE
to   O
review   O
test   O
results   O
and   O
adjust   O
treatment   O
plans   O
accordingly   O
.   O

Patient   O
Name   O
:   O
Bauer   B-NAME
Patient   O
ID   O
:   O
RF   B-ID
:   I-ID
GB:3011   I-ID
Medical   O
Record   O
Number   O
:   O
2530204   B-ID
Date   O
of   O
Birth   O
:   O
02/22   B-DATE
Age   O
:   O
86   O
Address   O
:   O
Mariposa   B-LOCATION
,   O
46528   B-LOCATION
Phone   O
:   O
762   B-CONTACT
-   I-CONTACT
7362   I-CONTACT
Occupation   O
:   O
Crown   O
Prosecution   O
Service   O
lawyer   O
Physician   O
:   O

Albert   B-NAME
Bender   I-NAME
Admitting   O
Hospital   O
:   O
Providence   B-LOCATION
Alaska   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O

2383   B-DATE
Username   O
:   O
koo198   B-NAME
Clinical   O
Summary   O
:   O
Luke   B-NAME
Montes   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Providence   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
16/21   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
difficulty   O
breathing   O
,   O
and   O
palpitations   O
.   O

Rohan   B-NAME
Roy   I-NAME
,   O
a   O
Fallers   O
by   O
profession   O
,   O
noticed   O
the   O
symptoms   O
while   O
at   O
work   O
in   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73122   I-LOCATION
.   O

Sienna   B-NAME
Leonard   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
unusual   O
dietary   O
intake   O
.   O

Initial   O
diagnostic   O
tests   O
ordered   O
by   O
Riya   B-NAME
Cameron   I-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
troponin   O
levels   O
,   O
and   O
a   O
chest   O
X   O
-   O
ray   O
.   O

Following   O
the   O
preliminary   O
assessments   O
,   O
Tavarius   B-NAME
was   O
immediately   O
started   O
on   O
intravenous   O
beta   O
-   O
blockers   O
to   O
lower   O
heart   O
rate   O
and   O
blood   O
pressure   O
.   O

The   O
findings   O
were   O
discussed   O
with   O
Fabian   B-NAME
George   I-NAME
,   O
and   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
medical   O
management   O
initially   O
,   O
consisting   O
of   O
strict   O
blood   O
pressure   O
control   O
and   O
close   O
monitoring   O
of   O
heart   O
rate   O
and   O
symptoms   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
of   O
Kalamazoo   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
for   O
continuous   O
monitoring   O
.   O

Over   O
the   O
next   O
few   O
days   O
,   O
Mariela   B-NAME
Atkinson   I-NAME
's   O
condition   O
stabilized   O
,   O
and   O
symptoms   O
gradually   O
improved   O
with   O
medical   O
therapy   O
.   O

A   O
follow   O
-   O
up   O
CT   O
scan   O
on   O
00/25   B-DATE
showed   O
no   O
progression   O
of   O
the   O
dissection   O
,   O
and   O
Kylee   B-NAME
Compton   I-NAME
was   O
deemed   O
stable   O
enough   O
for   O
discharge   O
with   O
a   O
detailed   O
outpatient   O
follow   O
-   O
up   O
plan   O
with   O
Gilmore   B-NAME
.   O

Bräutigam   B-NAME
,   I-NAME
Deborah   I-NAME
was   O
instructed   O
on   O
the   O
importance   O
of   O
medication   O
adherence   O
,   O
maintaining   O
a   O
low   O
-   O
sodium   O
diet   O
,   O
and   O
monitoring   O
blood   O
pressure   O
at   O
home   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
The   B-NAME
Rock   I-NAME
in   O
two   O
weeks   O
to   O
reassess   O
the   O
condition   O
and   O
adjust   O
medications   O
as   O
needed   O
.   O

Russell   B-NAME
was   O
also   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
chest   O
pain   O
,   O
difficulty   O
breathing   O
,   O
or   O
any   O
new   O
or   O
worsening   O
symptoms   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Unspecified   O
to   O
protect   O
patient   O
privacy   O
Relation   O
:   O
Unspecified   O
Phone   O
:   O
85575   B-CONTACT

Any   O
further   O
inquiries   O
regarding   O
this   O
case   O
should   O
be   O
directed   O
to   O
Gadsden   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
through   O
the   O
provided   O
contact   O
channels   O
,   O
using   O
the   O
patient   O
's   O
ID   O
:   O
PD   B-ID
:   I-ID
PL:4830   I-ID
for   O
reference   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Younce   B-NAME
Age   O
:   O
1s   O
Medical   O
Record   O
Number   O
:   O
3398107   B-ID
Date   O
of   O
Visit   O
:   O
10/30/1924   B-DATE
Location   O
:   O
Allenton   B-LOCATION
Phone   O
Number   O
:   O
40429   B-CONTACT
Physician   O
:   O

Eden   B-NAME
Santana   I-NAME
Hospital   O
:   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Rockies   I-LOCATION
Summary   O
:   O
Henson   B-NAME
,   O
a   O
cashier   O
residing   O
in   O
Tuvalu   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
90850   B-LOCATION
,   O
visited   O
Saint   B-LOCATION
Thomas   I-LOCATION
Rutherford   I-LOCATION
Hospital   I-LOCATION
on   O
08/01   B-DATE
complaining   O
of   O
persistent   O
headache   O
,   O
photophobia   O
,   O
and   O
nausea   O
.   O

The   O
headache   O
was   O
described   O
as   O
throbbing   O
,   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
and   O
has   O
been   O
worsening   O
over   O
the   O
past   O
00   B-DATE
-   I-DATE
27   I-DATE
.   O

The   O
onset   O
of   O
photophobia   O
and   O
nausea   O
was   O
noted   O
approximately   O
August   B-DATE
,   O
which   O
significantly   O
impaired   O
Hall   B-NAME
's   O
daily   O
functioning   O
.   O

Medical   O
History   O
:   O
McKay   B-NAME
,   B-NAME
Charles   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
migraine   O
without   O
aura   O
in   O
2/92   B-DATE
.   O

Jaclyn   B-NAME
Jordon   I-NAME
denies   O
any   O
recent   O
trauma   O
or   O
use   O
of   O
new   O
medications   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Bonilla   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

The   O
patient   O
's   O
visual   O
acuity   O
was   O
normal   O
,   O
but   O
Veronica   B-NAME
Hall   I-NAME
reported   O
increased   O
sensitivity   O
to   O
the   O
examination   O
room   O
's   O
lights   O
.   O

It   O
was   O
decided   O
to   O
manage   O
Gage   B-NAME
Robles   I-NAME
's   O
symptoms   O
conservatively   O
with   O
analgesics   O
and   O
antiemetics   O
for   O
symptomatic   O
relief   O
.   O

Perlis   B-NAME
,   I-NAME
Alan   I-NAME
was   O
advised   O
to   O
minimize   O
screen   O
time   O
and   O
follow   O
up   O
in   O
33/39   B-DATE
or   O
contact   O
Houston   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
403   B-CONTACT
3098   I-CONTACT
for   O
any   O
worsening   O
of   O
symptoms   O
.   O

Adams   B-NAME
also   O
recommended   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
2021   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
29   I-DATE
to   O
reassess   O
Gage   B-NAME
Yingling   I-NAME
's   O
symptoms   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Bennett   B-NAME
Jimenez   I-NAME
was   O
encouraged   O
to   O
monitor   O
blood   O
pressure   O
at   O
home   O
and   O
report   O
any   O
readings   O
higher   O
than   O
the   O
threshold   O
provided   O
.   O

Given   O
Vicki   B-NAME
Klein   I-NAME
's   O
profession   O
as   O
a   O
Pension   O
scheme   O
manager   O
,   O
ergonomic   O
adjustments   O
to   O
the   O
workstation   O
were   O
suggested   O
to   O
reduce   O
the   O
risk   O
of   O
eye   O
strain   O
.   O

For   O
any   O
urgent   O
queries   O
or   O
symptom   O
exacerbation   O
,   O
Darren   B-NAME
Haas   I-NAME
can   O
reach   O
the   O
clinic   O
at   O
860   B-CONTACT
-   I-CONTACT
8361   I-CONTACT
.   O

Please   O
quote   O
your   O
Medical   O
Record   O
Number   O
:   O
1991115   B-ID
for   O
reference   O
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
only   O
for   O
the   O
use   O
of   O
Jovani   B-NAME
Patterson   I-NAME
,   O
Matthews   B-NAME
,   O
and   O
authorized   O
personnel   O
at   O
Porter   B-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Newman   B-NAME
Age   O
:   O
15   O
Date   O
of   O
Birth   O
:   O
22/27/12   B-DATE
Medical   O
Record   O
Number   O
:   O
6538766   B-ID
Date   O
of   O
Visit   O
:   O
03/07/1619   B-DATE
Location   O
:   O
Coburn   B-LOCATION
Doctor   O
:   O
Elsie   B-NAME
Jones   I-NAME
Hospital   O
:   O
Baypointe   B-LOCATION
Hospital   I-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
296   I-CONTACT
)   I-CONTACT
670   I-CONTACT
3229   I-CONTACT
Occupation   O
:   O
Helpers   O
,   O
Construction   O
Trades   O
,   O
All   O
Other   O
User   O
ID   O
:   O
rth7710   B-NAME
Zip   O
Code   O
:   O
21587   B-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
ostrowski   B-NAME
,   O
presented   O
to   O
the   O
clinic   O
on   O
02/23/2031   B-DATE
,   O
complaining   O
of   O
persistent   O
,   O
sharp   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
started   O
approximately   O
08/81   B-DATE
.   O

Tia   B-NAME
Nichols   I-NAME
also   O
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Cohen   B-NAME
,   I-NAME
Catman   I-NAME
,   O
a   O
Cleaning   O
,   O
Washing   O
,   O
and   O
Metal   O
Pickling   O
Equipment   O
Operators   O
and   O
Tenders   O
from   O
El   B-LOCATION
Paso   I-LOCATION
,   O
noticed   O
the   O
onset   O
of   O
abdominal   O
discomfort   O
2260   B-DATE
-   I-DATE
28   I-DATE
-   I-DATE
01   I-DATE
before   O
it   O
escalated   O
into   O
pronounced   O
pain   O
early   O
morning   O
on   O
2122   B-DATE
.   O

Accompanying   O
symptoms   O
include   O
a   O
low   O
-   O
grade   O
fever   O
that   O
began   O
15/23/33   B-DATE
and   O
intermittent   O
bouts   O
of   O
nausea   O
.   O

Past   O
Medical   O
History   O
:   O
Bob   B-NAME
Sexton   I-NAME
has   O
a   O
background   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
medication   O
and   O
a   O
cholecystectomy   O
performed   O
02/49   B-DATE
.   O

Bean   B-NAME
,   I-NAME
Roy   I-NAME
does   O
not   O
smoke   O
and   O
drinks   O
alcohol   O
socially   O
.   O

Review   O
of   O
Systems   O
:   O
General   O
:   O
Weight   O
loss   O
of   O
84   O
pounds   O
over   O
the   O
last   O
1741   B-DATE
,   O
attributed   O
to   O
decreased   O
appetite   O
.   O

Pending   O
CT   O
results   O
,   O
admission   O
to   O
St.   B-LOCATION
Vincent   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Los   I-LOCATION
Angeles   I-LOCATION
under   O
the   O
care   O
of   O
Luke   B-NAME
Gross   I-NAME
is   O
advised   O
for   O
further   O
evaluation   O
and   O
possible   O
surgical   O
intervention   O
.   O

All   O
encounters   O
and   O
treatments   O
will   O
be   O
documented   O
in   O
Sahale   B-NAME
's   O
medical   O
record   O
number   O
6215960   B-ID
for   O
further   O
reference   O
and   O
billing   O
processes   O
to   O
Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
through   O
contact   O
number   O
397   B-CONTACT
-   I-CONTACT
472   I-CONTACT
8116   I-CONTACT
and   O
address   O
in   O
White   B-LOCATION
Pine   I-LOCATION
,   O
55329   B-LOCATION
.   O

Should   O
there   O
be   O
any   O
inquiries   O
or   O
updates   O
needed   O
,   O
please   O
use   O
user   O
ID   O
ykv807   B-NAME
for   O
secure   O
communication   O
.   O

This   O
patient   O
report   O
was   O
generated   O
on   O
1/38/2256   B-DATE
and   O
is   O
confidential   O
.   O

It   O
is   O
intended   O
for   O
the   O
use   O
by   O
the   O
medical   O
team   O
at   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Muhlenberg   I-LOCATION
and   O
the   O
patient   O
's   O
insurance   O
provider   O
,   O
City   B-LOCATION
Utilities   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
.   O

For   O
any   O
follow   O
-   O
up   O
appointments   O
or   O
questions   O
,   O
Umali   B-NAME
or   O
their   O
designated   O
representative   O
can   O
reach   O
out   O
to   O
Mercury   B-NAME
,   I-NAME
Freddie   I-NAME
’s   O
office   O
via   O
phone   O
number   O
327   B-CONTACT
-   I-CONTACT
7823   I-CONTACT
.   O

Patient   O
:   O
Sharon   B-NAME
Wilkinson   I-NAME
Medical   O
Record   O
Number   O
:   O
4011032   B-ID
Date   O
of   O
Birth   O
:   O
9   O
Date   O
of   O
Admission   O
:   O
32   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
94   I-DATE
Attending   O
Physician   O
:   O

Cristofer   B-NAME
Mccoy   I-NAME
Hospital   O
Name   O
:   O
Orlando   B-LOCATION
Health   I-LOCATION
Dr.   I-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
Location   O
of   O
Event   O
:   O

Alta   B-LOCATION
Vista   I-LOCATION
Zip   O
Code   O
:   O
63082   B-LOCATION
Patient   O
ID   O
:   O
PV659/9325   B-ID
Employer   O
:   O

City   B-LOCATION
of   I-LOCATION
Seaford   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O
Criminal   O
Investigators   O
and   O
Special   O
Agents   O
Contact   O
Number   O
:   O
78055   B-CONTACT
Username   O
:   O
bh277   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Lavada   B-NAME
,   O
a   O
Pharmacovigilance   O
officer   O
from   O
Dallas   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
75240   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
Mercy   I-LOCATION
Livonia   I-LOCATION
on   O
05/22   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
sharp   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
an   O
overwhelming   O
sense   O
of   O
impending   O
doom   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
BRIAN   B-NAME
YOCKEY   I-NAME
stated   O
that   O
the   O
pain   O
was   O
sudden   O
in   O
onset   O
while   O
at   O
work   O
(   O
Direct   B-LOCATION
Energy   I-LOCATION
)   O
and   O
did   O
not   O
alleviate   O
with   O
rest   O
or   O
by   O
taking   O
aspirin   O
.   O

Waller   B-NAME
also   O
mentioned   O
experiencing   O
mild   O
episodes   O
of   O
similar   O
,   O
but   O
less   O
severe   O
,   O
pain   O
over   O
the   O
past   O
week   O
,   O
which   O
were   O
initially   O
dismissed   O
as   O
indigestion   O
.   O

Additionally   O
,   O
Luke   B-NAME
Obrien   I-NAME
reported   O
a   O
recent   O
episode   O
of   O
cold   O
sweat   O
and   O
nausea   O
just   O
before   O
deciding   O
to   O
seek   O
medical   O
care   O
.   O

Past   O
Medical   O
History   O
:   O
Paulson   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
Type   O
II   O
diabetes   O
mellitus   O
.   O

Ashlynn   B-NAME
Gardner   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
the   O
use   O
of   O
illicit   O
substances   O
but   O
admits   O
to   O
occasional   O
alcohol   O
consumption   O
.   O

Allergies   O
:   O
Kiana   B-NAME
Fletcher   I-NAME
reported   O
no   O
known   O
drug   O
allergies   O
.   O

Upon   O
examination   O
,   O
Mose   B-NAME
appeared   O
anxious   O
and   O
was   O
diaphoretic   O
.   O

Landen   B-NAME
Gould   I-NAME
was   O
referred   O
to   O
Bender   B-NAME
for   O
an   O
urgent   O
coronary   O
angiography   O
,   O
planned   O
for   O
00/11/1964   B-DATE
at   O
Bridgeport   B-LOCATION
Hospital   I-LOCATION
.   O

Summers   B-NAME
is   O
currently   O
stable   O
but   O
remains   O
in   O
the   O
high   O
-   O
risk   O
category   O
due   O
to   O
the   O
acute   O
presentation   O
and   O
underlying   O
health   O
conditions   O
.   O

The   O
plan   O
includes   O
careful   O
monitoring   O
,   O
completion   O
of   O
diagnostic   O
tests   O
including   O
the   O
coronary   O
angiography   O
by   O
Keith   B-NAME
,   O
and   O
possible   O
PCI   O
depending   O
on   O
the   O
angiographic   O
findings   O
.   O

Management   O
will   O
also   O
focus   O
on   O
optimizing   O
Melville   B-NAME
,   I-NAME
Herman   I-NAME
's   O
comorbid   O
conditions   O
,   O
including   O
stricter   O
control   O
of   O
hypertension   O
and   O
diabetes   O
.   O

In   O
case   O
of   O
any   O
inquiries   O
or   O
further   O
updates   O
,   O
please   O
contact   O
Sierra   B-LOCATION
View   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
696   I-CONTACT
)   I-CONTACT
249   I-CONTACT
-   I-CONTACT
6216   I-CONTACT
.   O

Patient   O
Report   O
:   O
Report   O
for   O
patient   O
:   O
Xayachack   B-NAME
,   I-NAME
Ida   I-NAME
Patient   O
ID   O
:   O
HD:45932:678886   B-ID

Medical   O
Record   O
Number   O
:   O
4302959   B-ID
Date   O
of   O
Report   O
:   O
12   B-DATE
-   I-DATE
25   I-DATE
Date   O
of   O
Birth   O
:   O

Jan   B-DATE
14   I-DATE
,   I-DATE
2102   I-DATE
Age   O
:   O
47   O
Location   O
:   O
Belville   B-LOCATION
,   O
46885   B-LOCATION
Contact   O
number   O
:   O
40699   B-CONTACT
Referring   O
physician   O
:   O
Hodge   B-NAME
Beliasus   B-NAME
Allanson   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/25   B-DATE
due   O
to   O
complaints   O
of   O
persistent   O
headache   O
,   O
dizziness   O
,   O
and   O
episodes   O
of   O
nausea   O
over   O
the   O
past   O
two   O
weeks   O
.   O

On   O
further   O
questioning   O
,   O
Wordsworth   B-NAME
,   I-NAME
William   I-NAME
mentioned   O
that   O
the   O
headaches   O
are   O
primarily   O
located   O
in   O
the   O
frontal   O
lobe   O
region   O
and   O
sometimes   O
radiate   O
towards   O
the   O
occipital   O
region   O
.   O

Charleigh   B-NAME
described   O
the   O
headaches   O
as   O
throbbing   O
in   O
nature   O
,   O
with   O
episodes   O
often   O
occurring   O
in   O
the   O
late   O
afternoon   O
and   O
persisting   O
for   O
several   O
hours   O
.   O

Upon   O
examination   O
,   O
Graham   B-NAME
,   I-NAME
Paul   I-NAME
's   O
blood   O
pressure   O
was   O
noted   O
to   O
be   O
slightly   O
elevated   O
above   O
the   O
norm   O
.   O

Preliminary   O
results   O
have   O
not   O
indicated   O
any   O
significant   O
abnormalities   O
,   O
but   O
further   O
evaluation   O
by   O
a   O
neurology   O
specialist   O
,   O
Dr.   O
Kramer   B-NAME
,   O
is   O
scheduled   O
for   O
10/9   B-DATE
to   O
explore   O
the   O
possibility   O
of   O
migraines   O
or   O
other   O
neurological   O
conditions   O
as   O
a   O
cause   O
of   O
the   O
symptoms   O
.   O

Occupational   O
History   O
:   O
Compensation   O
and   O
Benefits   O
Managers   O
:   O
Mortimer   B-NAME
,   I-NAME
John   I-NAME
is   O
employed   O
as   O
a   O
Local   O
government   O
lawyer   O
and   O
mentioned   O
working   O
extended   O
hours   O
on   O
a   O
computer   O
.   O

Social   O
History   O
:   O
Breanna   B-NAME
Rocha   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

There   O
is   O
no   O
significant   O
travel   O
history   O
outside   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10460   I-LOCATION
in   O
the   O
three   O
months   O
preceding   O
the   O
onset   O
of   O
symptoms   O
.   O

Family   O
History   O
:   O
Darin   B-NAME
reports   O
that   O
a   O
family   O
member   O
had   O
a   O
history   O
of   O
migraines   O
,   O
but   O
there   O
are   O
no   O
known   O
genetic   O
disorders   O
in   O
the   O
family   O
history   O
.   O

Ben   B-NAME
Galvant   I-NAME
is   O
advised   O
to   O
minimize   O
screen   O
time   O
and   O
take   O
regular   O
breaks   O
during   O
work   O
hours   O
to   O
reduce   O
eye   O
strain   O
and   O
monitor   O
if   O
this   O
change   O
results   O
in   O
a   O
decrease   O
in   O
headache   O
frequency   O
or   O
intensity   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Kali   B-NAME
Lynn   I-NAME
at   O
Phoebe   B-LOCATION
Putney   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
neurological   O
examination   O
.   O

4   O
.   O
Ellis   B-NAME
Vang   I-NAME
is   O
encouraged   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
documenting   O
the   O
onset   O
,   O
duration   O
,   O
and   O
characteristics   O
of   O
the   O
headache   O
episodes   O
along   O
with   O
any   O
associated   O
symptoms   O
or   O
triggering   O
factors   O
.   O

All   O
investigations   O
and   O
referrals   O
are   O
being   O
coordinated   O
by   O
the   O
patient   O
care   O
team   O
at   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Burlington   I-LOCATION
,   O
and   O
further   O
updates   O
on   O
Frey   B-NAME
's   O
condition   O
will   O
be   O
provided   O
following   O
the   O
scheduled   O
specialist   O
consultations   O
.   O

Report   O
prepared   O
by   O
:   O
IY24   B-NAME
Rochester   B-LOCATION
Public   I-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
Contact   O
:   O
(   B-CONTACT
178   I-CONTACT
)   I-CONTACT
568   I-CONTACT
6421   I-CONTACT
31/05   B-DATE

Patient   O
Report   O
:   O
Name   O
:   O
de   B-NAME
Raadt   I-NAME
,   I-NAME
Theo   I-NAME
Age   O
:   O
52   O
Date   O
of   O
Birth   O
:   O
1667   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
19   I-DATE
Address   O
:   O
Mason   B-LOCATION
City   I-LOCATION
,   O
14851   B-LOCATION
Phone   O
Number   O
:   O
58304   B-CONTACT
Occupation   O
:   O

Political   O
Scientists   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
June   B-NAME
Ayala   I-NAME
Hospital   O
:   O
MidState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
8153960   B-ID
Admission   O
Date   O
:   O
02/14   B-DATE
Social   O
Security   O
Number   O
:   O
OQ   B-ID
:   I-ID
QF:4469   I-ID
Chief   O
Complaint   O
:   O
Khan   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Whittier   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
4   B-DATE
-   I-DATE
16   I-DATE
-   I-DATE
39   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Upshur   B-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
recurrent   O
urinary   O
tract   O
infections   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
V   B-NAME
Uselton   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
December   B-DATE
revealed   O
the   O
presence   O
of   O
a   O
5   O
mm   O
calculus   O
in   O
the   O
right   O
ureter   O
,   O
consistent   O
with   O
the   O
diagnosis   O
of   O
nephrolithiasis   O
.   O

Marley   B-NAME
Shaw   I-NAME
was   O
admitted   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
Pinellas   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
Helen   I-LOCATION
Ellis   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
for   O
pain   O
management   O
and   O
hydration   O
.   O

Consultation   O
with   O
Dr.   O
Hayden   B-NAME
Fitzpatrick   I-NAME
,   O
a   O
urologist   O
,   O
was   O
requested   O
.   O

June   B-NAME
Francis   I-NAME
was   O
advised   O
to   O
increase   O
water   O
intake   O
to   O
at   O
least   O
2.5   O
liters   O
per   O
day   O
,   O
avoid   O
foods   O
high   O
in   O
oxalates   O
,   O
and   O
to   O
follow   O
up   O
with   O
Dr.   O
Gentry   B-NAME
in   O
one   O
week   O
or   O
sooner   O
if   O
symptoms   O
worsened   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
fu127   B-NAME
Relationship   O
:   O

Photographic   O
Process   O
Workers   O
Phone   O
Number   O
:   O
532   B-CONTACT
5284   I-CONTACT

Please   O
contact   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Gadsden   I-LOCATION
immediately   O
at   O
381   B-CONTACT
6620   I-CONTACT
if   O
you   O
believe   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
.   O

Patient   O
Name   O
:   O
Demarion   B-NAME
Hobbs   I-NAME
Patient   O
ID   O
:   O
17851   B-ID
Medical   O
Record   O
Number   O
:   O
57152518   B-ID
Date   O
of   O
Birth   O
:   O
22/11   B-DATE
Age   O
:   O
93   O
Address   O
:   O
North   B-LOCATION
Crossett   I-LOCATION
,   O
78488   B-LOCATION
Phone   O
Number   O
:   O
82508   B-CONTACT
Employment   O
:   O
Dietetic   O
Technicians   O
at   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Idaho   I-LOCATION
Presenting   O
Complaint   O
:   O
Zoie   B-NAME
Jimenez   I-NAME
presented   O
to   O
Desert   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2189   B-DATE
with   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
and   O
non   O
-   O
productive   O
cough   O
.   O

There   O
was   O
no   O
preceding   O
history   O
of   O
similar   O
symptoms   O
,   O
and   O
Kendal   B-NAME
Lester   I-NAME
denied   O
any   O
known   O
allergies   O
or   O
recent   O
travel   O
.   O

Medical   O
History   O
:   O
Ellie   B-NAME
Oconnell   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
the   O
patient   O
is   O
on   O
metformin   O
and   O
lisinopril   O
prescribed   O
by   O
Fox   B-NAME
,   I-NAME
Virgil   I-NAME
.   O

Denisse   B-NAME
Reyes   I-NAME
denied   O
any   O
history   O
of   O
pulmonary   O
diseases   O
,   O
smoking   O
,   O
or   O
drug   O
use   O
.   O
Examination   O
:   O

On   O
examination   O
,   O
Donaldson   B-NAME
,   I-NAME
Stephen   I-NAME
R.   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
94   O
%   O
on   O
room   O
air   O
.   O

Gaven   B-NAME
Lester   I-NAME
was   O
admitted   O
to   O
Danville   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
and   O
placed   O
on   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
.   O

Abram   B-NAME
Villanueva   I-NAME
was   O
advised   O
to   O
maintain   O
isolation   O
precautions   O
,   O
and   O
a   O
follow   O
-   O
up   O
with   O
Markus   B-NAME
Allison   I-NAME
in   O
the   O
outpatient   O
clinic   O
was   O
scheduled   O
for   O
2130   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
27   I-DATE
.   O

On   O
12/10   B-DATE
,   O
Krause   B-NAME
was   O
seen   O
in   O
the   O
outpatient   O
department   O
.   O

Gerardo   B-NAME
Manning   I-NAME
was   O
reminded   O
to   O
monitor   O
blood   O
glucose   O
levels   O
closely   O
due   O
to   O
the   O
steroid   O
therapy   O
and   O
to   O
follow   O
up   O
if   O
symptoms   O
recur   O
or   O
worsen   O
.   O

-   O
All   O
prescriptions   O
have   O
been   O
sent   O
to   O
the   O
pharmacy   O
corresponding   O
to   O
the   O
address   O
at   O
Indio   B-LOCATION
,   O
65879   B-LOCATION
.   O

-   O
Glennis   B-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
regular   O
medication   O
adherence   O
,   O
and   O
possible   O
side   O
effects   O
were   O
discussed   O
.   O

Future   O
Appointments   O
:   O
Sidney   B-NAME
Barrett   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
31/27   B-DATE
with   O
Carney   B-NAME
at   O
Cottage   B-LOCATION
Hospital   I-LOCATION
.   O

Consent   O
forms   O
for   O
the   O
management   O
plan   O
were   O
signed   O
by   O
Mendez   B-NAME
on   O
24/27/13   B-DATE
.   O

Patient   O
:   O
Furion   B-NAME
Lemans   I-NAME
Medical   O
Record   O
Number   O
:   O
722   B-ID
-   I-ID
29   I-ID
-   I-ID
19   I-ID
-   I-ID
5   I-ID
Date   O
of   O
birth   O
:   O
02/27   B-DATE
Age   O
:   O
100s   O
Address   O
:   O
Helena   B-LOCATION
West   I-LOCATION
Side   I-LOCATION
,   O
24310   B-LOCATION
Phone   O
Number   O
:   O
84469   B-CONTACT
Primary   O
Physician   O
:   O

Ellis   B-NAME
Carter   I-NAME
Admitting   O
Hospital   O
:   O
McKenzie   B-LOCATION
-   I-LOCATION
Willamette   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/33/82   B-DATE
Identity   O
Number   O
:   O
AK:4911:754279   B-ID
Clinical   O
Summary   O
:   O
Aristotle   B-NAME
,   O
a   O
Social   O
Scientists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
from   O
East   B-LOCATION
Dublin   I-LOCATION
,   O
presented   O
to   O
John   B-LOCATION
Heinz   I-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Rehab   I-LOCATION
Medicine   I-LOCATION
on   O
2263   B-DATE
-   I-DATE
19   I-DATE
-   I-DATE
22   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
located   O
primarily   O
in   O
the   O
occipital   O
region   O
.   O

Henry   B-NAME
Hayes   I-NAME
reported   O
that   O
the   O
headache   O
significantly   O
worsened   O
with   O
any   O
attempt   O
at   O
movement   O
.   O

Additionally   O
,   O
Heindel   B-NAME
,   I-NAME
Max   I-NAME
experienced   O
right   O
-   O
sided   O
weakness   O
and   O
a   O
transient   O
episode   O
of   O
aphasia   O
lasting   O
approximately   O
20   O
minutes   O
,   O
which   O
had   O
resolved   O
by   O
the   O
time   O
of   O
presentation   O
to   O
the   O
emergency   O
department   O
.   O

Past   O
medical   O
history   O
includes   O
hypertension   O
and   O
diabetes   O
mellitus   O
,   O
both   O
of   O
which   O
have   O
been   O
managed   O
with   O
medication   O
prescribed   O
by   O
Williams   B-NAME
.   O

Wai   B-NAME
Cosano   I-NAME
also   O
mentioned   O
a   O
family   O
history   O
of   O
cerebrovascular   O
accidents   O
.   O

Examination   O
on   O
arrival   O
at   O
Carilion   B-LOCATION
Clinic   I-LOCATION
St.   I-LOCATION
Albans   I-LOCATION
Hospital   I-LOCATION
revealed   O
that   O
Ventura   B-NAME
was   O
alert   O
and   O
oriented   O
,   O
with   O
a   O
blood   O
pressure   O
of   O
170/95   O
mmHg   O
,   O
heart   O
rate   O
of   O
88   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
98   O
%   O
on   O
room   O
air   O
.   O

The   O
patient   O
's   O
stroke   O
was   O
categorized   O
as   O
an   O
ischemic   O
stroke   O
,   O
and   O
a   O
clinical   O
decision   O
was   O
made   O
by   O
Marsh   B-NAME
to   O
administer   O
intravenous   O
tissue   O
plasminogen   O
activator   O
(   O
tPA   O
)   O
within   O
the   O
therapeutic   O
time   O
window   O
.   O

Bill   B-NAME
X.   I-NAME
Stafford   I-NAME
was   O
closely   O
monitored   O
for   O
signs   O
of   O
bleeding   O
and   O
neurological   O
improvement   O
in   O
an   O
acute   O
stroke   O
unit   O
at   O
WellSpan   B-LOCATION
Gettysburg   I-LOCATION
Hospital   I-LOCATION
.   O

Discussion   O
at   O
the   O
multidisciplinary   O
team   O
meeting   O
on   O
12/22   B-DATE
involving   O
neurology   O
,   O
physical   O
therapy   O
,   O
and   O
nursing   O
staff   O
emphasized   O
the   O
importance   O
of   O
secondary   O
stroke   O
prevention   O
measures   O
.   O

Recommendations   O
included   O
optimization   O
of   O
Gabriella   B-NAME
Yockey   I-NAME
's   O
antihypertensive   O
therapy   O
,   O
initiation   O
of   O
a   O
statin   O
,   O
assessment   O
for   O
outpatient   O
rehabilitation   O
services   O
,   O
and   O
patient   O
education   O
on   O
lifestyle   O
modifications   O
.   O

Anya   B-NAME
Campos   I-NAME
made   O
a   O
notable   O
recovery   O
and   O
was   O
discharged   O
on   O
5/12   B-DATE
with   O
outpatient   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
neurology   O
and   O
primary   O
care   O
.   O

Waller   B-NAME
was   O
advised   O
to   O
monitor   O
blood   O
pressure   O
at   O
home   O
,   O
adhere   O
to   O
prescribed   O
medication   O
,   O
and   O
attend   O
all   O
follow   O
-   O
up   O
appointments   O
.   O

Emergency   O
contact   O
:   O
Name   O
:   O
muo44   B-NAME
Relationship   O
:   O

Gaming   O
Surveillance   O
Officers   O
and   O
Gaming   O
Investigators   O
Phone   O
Number   O
:   O
17783   B-CONTACT
Address   O
:   O
Montcalm   B-LOCATION
,   O
16681   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Barton   B-NAME
Age   O
:   O
64   O
Date   O
of   O
Birth   O
:   O
2256   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
15   I-DATE
Medical   O
Record   O
Number   O
:   O
711   B-ID
-   I-ID
39   I-ID
-   I-ID
17   I-ID
ID   O
Number   O
:   O
62667643   B-ID
Address   O
:   O
Rockland   B-LOCATION
,   I-LOCATION
Rockland   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
77674   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
302   I-CONTACT
)   I-CONTACT
702   I-CONTACT
6050   I-CONTACT
Employment   O
:   O
Hydrologists   O
Attending   O
Physician   O
:   O

Dr.   O
Mark   B-NAME
Sloan   I-NAME
Hospital   O
:   O
Pen   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
Brody   B-NAME
Wood   I-NAME
,   O
a   O
surgeon   O
of   O
80   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Bay   B-LOCATION
Pines   I-LOCATION
VA   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
on   O
00/73   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
consistent   O
with   O
McBurney   O
's   O
sign   O
.   O

Massey   B-NAME
's   O
medical   O
history   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Kingston   B-NAME
Johnson   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
with   O
notable   O
tenderness   O
and   O
guarding   O
upon   O
palpation   O
of   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Abdominal   O
ultrasonography   O
revealed   O
a   O
swollen   O
appendix   O
with   O
evidence   O
of   O
a   O
small   O
appendicolith   O
,   O
confirming   O
the   O
clinical   O
suspicion   O
of   O
acute   O
appendicitis   O
.   O
Management   O
and   O
Outcome   O
:   O
Dr.   O
Alberti   B-NAME
,   I-NAME
Leone   I-NAME
Battista   I-NAME
advised   O
the   O
patient   O
and   O
family   O
on   O
the   O
diagnosis   O
and   O
recommended   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Christa   B-NAME
Dantin   I-NAME
consented   O
to   O
a   O
laparoscopic   O
appendectomy   O
,   O
which   O
was   O
performed   O
successfully   O
on   O
38/32/2094   B-DATE
.   O

The   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
Lana   B-NAME
Woodard   I-NAME
was   O
discharged   O
on   O
00/82   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
a   O
course   O
of   O
oral   O
antibiotics   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
the   O
surgical   O
team   O
in   O
two   O
weeks   O
.   O

Oliver   B-NAME
,   I-NAME
Robert   I-NAME
T.   I-NAME
's   O
presentation   O
was   O
typical   O
for   O
appendicitis   O
,   O
and   O
the   O
clinical   O
,   O
laboratory   O
,   O
and   O
imaging   O
findings   O
provided   O
sufficient   O
evidence   O
to   O
proceed   O
with   O
surgery   O
.   O

The   O
successful   O
postoperative   O
outcome   O
for   O
Cameron   B-NAME
underscores   O
the   O
importance   O
of   O
timely   O
intervention   O
.   O

Follow   O
-   O
up   O
:   O
Lazarus   B-NAME
Nothacker   I-NAME
is   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
,   O
adhere   O
to   O
the   O
prescribed   O
antibiotic   O
regimen   O
,   O
and   O
manage   O
pain   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
as   O
needed   O
.   O

A   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Javon   B-NAME
Saunders   I-NAME
at   O
Northeast   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
scheduled   O
for   O
8   B-DATE
-   I-DATE
20   I-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
removal   O
of   O
sutures   O
.   O

Prepared   O
by   O
:   O
tt681   B-NAME
2033   B-DATE
For   O
queries   O
,   O
contact   O
the   O
surgical   O
department   O
at   O
25268   B-CONTACT
.   O

Patient   O
Report   O
for   O
Patrick   B-NAME
Identification   O
Number   O
:   O
13814206   B-ID
Date   O
of   O
Visit   O
:   O
19/20   B-DATE
Age   O
:   O
7   O
Location   O
:   O
LaBelle   B-LOCATION
On   O
1/3/2253   B-DATE
,   O
Gad   B-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Weapons   O
Specialists   O
--   O
Crew   O
Members   O
from   O
Country   B-LOCATION
Lake   I-LOCATION
Estates   I-LOCATION
,   O
presented   O
at   O
Memorial   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
and   O
associated   O
with   O
nausea   O
and   O
vomiting   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Windham   B-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
and   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Over   O
the   O
course   O
of   O
the   O
next   O
02   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
82   I-DATE
,   O
the   O
patient   O
's   O
symptoms   O
gradually   O
improved   O
.   O

Holden   B-NAME
Vance   I-NAME
was   O
discharged   O
home   O
on   O
1706   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
17   I-DATE
with   O
instructions   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
abstain   O
from   O
alcohol   O
consumption   O
,   O
and   O
to   O
follow   O
up   O
with   O
Walker   B-NAME
in   O
one   O
week   O
’s   O
time   O
or   O
sooner   O
if   O
symptoms   O
recur   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
questions   O
or   O
if   O
immediate   O
attention   O
is   O
required   O
,   O
Ximena   B-NAME
A   I-NAME
Mays   I-NAME
or   O
the   O
primary   O
care   O
provider   O
can   O
contact   O
Capital   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
(   I-LOCATION
Mercer   I-LOCATION
Campus   I-LOCATION
)   I-LOCATION
at   O
491   B-CONTACT
599   I-CONTACT
-   I-CONTACT
3951   I-CONTACT
.   O

Prepared   O
by   O
:   O
ms840   B-NAME
02/3   B-DATE

Patient   O
's   O
Name   O
:   O
Lesly   B-NAME
Mora   I-NAME
Patient   O
's   O
Age   O
:   O
73   O
Patient   O
's   O
Location   O
:   O
Wallsburg   B-LOCATION
Medical   O
Record   O
Number   O
:   O
73637330   B-ID
ID   O
Number   O
:   O
BI191/8540   B-ID
Admission   O
Date   O
:   O
2290   B-DATE
Contact   O
Number   O
:   O
83307   B-CONTACT
Attending   O
Physician   O
:   O
Rivers   B-NAME
Hospital   O
Name   O
:   O
John   B-LOCATION
H.   I-LOCATION
Stroger   I-LOCATION
Jr.   I-LOCATION
Hospital   I-LOCATION
Organization   O
:   O

American   B-LOCATION
Ex   I-LOCATION
-   I-LOCATION
Prisoners   I-LOCATION
of   I-LOCATION
War   I-LOCATION
Profession   O
:   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors-   O
Extractive   O
Workers   O
Username   O
:   O
GW19   B-NAME
Zip   O
Code   O
:   O
77337   B-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Kineks   B-NAME
,   O
a   O
Social   O
and   O
Human   O
Service   O
Assistants   O
,   O
presents   O
with   O
a   O
3   O
-   O
day   O
history   O
of   O
progressively   O
worsening   O
shortness   O
of   O
breath   O
,   O
productive   O
cough   O
with   O
yellowish   O
sputum   O
,   O
and   O
chest   O
pain   O
.   O

No   O
recent   O
travels   O
to   O
Halls   B-LOCATION
Crossing   I-LOCATION
or   O
known   O
exposures   O
to   O
infectious   O
diseases   O
were   O
reported   O
.   O

Lakiesha   B-NAME
Nethery   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
Hypertension   O
,   O
for   O
which   O
ACE   O
inhibitors   O
are   O
prescribed   O
.   O

Vina   B-NAME
Sledge   I-NAME
works   O
as   O
a   O
Mixing   O
and   O
Blending   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
at   O
American   B-LOCATION
Marine   I-LOCATION
Bank   I-LOCATION
,   O
which   O
involves   O
minimal   O
physical   O
exertion   O
.   O

Osuna   B-NAME
lives   O
in   O
Huslia   B-LOCATION
and   O
mentions   O
no   O
recent   O
outdoor   O
activities   O
.   O

Glycemic   O
control   O
will   O
be   O
closely   O
monitored   O
,   O
and   O
adjustments   O
to   O
the   O
hypoglycemic   O
regimen   O
may   O
be   O
necessary   O
during   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
at   O
Three   B-LOCATION
Rivers   I-LOCATION
Healthcare   I-LOCATION
.   O

Howard   B-NAME
's   O
Note   O
:   O
Lien   B-NAME
Kokubun   I-NAME
will   O
require   O
close   O
monitoring   O
of   O
respiratory   O
status   O
and   O
response   O
to   O
antibiotics   O
.   O

The   O
multidisciplinary   O
team   O
,   O
including   O
nursing   O
,   O
diabetology   O
,   O
and   O
physical   O
therapy   O
,   O
will   O
be   O
involved   O
in   O
managing   O
Natalya   B-NAME
Molina   I-NAME
's   O
care   O
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
10/06   B-DATE
,   O
after   O
discharge   O
,   O
to   O
assess   O
progress   O
and   O
plan   O
further   O
treatment   O
if   O
necessary   O
.   O

For   O
any   O
queries   O
or   O
further   O
information   O
,   O
please   O
contact   O
446   B-CONTACT
-   I-CONTACT
4015   I-CONTACT
or   O
reach   O
out   O
via   O
the   O
patient   O
portal   O
with   O
the   O
username   O
gc309   B-NAME
.   O

Patient   O
:   O
Richard   B-NAME
Kimble   I-NAME
Age   O
:   O
55s   O
Medical   O
Record   O
Number   O
:   O
428   B-ID
-   I-ID
77   I-ID
-   I-ID
22   I-ID
Date   O
of   O
Birth   O
:   O
2/27/20   B-DATE
Date   O
of   O
First   O
Visit   O
:   O
03/27   B-DATE
Phone   O
Number   O
:   O
603   B-CONTACT
-   I-CONTACT
4282   I-CONTACT
Address   O
:   O
Pickens   B-LOCATION
,   O
54043   B-LOCATION
Occupation   O
:   O
Data   O
Entry   O
Keyers   O
Treating   O
Physician   O
:   O

Corinne   B-NAME
Miller   I-NAME
Hospital   O
:   O
Barton   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Identification   O
Number   O
:   O
HP:3431:982706   B-ID

Clinical   O
Report   O
:   O
History   O
of   O
Present   O
Illness   O
:   O
Delacroix   B-NAME
,   I-NAME
Eugène   I-NAME
presented   O
to   O
Ivinson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
Sunday   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
and   O
worsening   O
dyspnea   O
over   O
the   O
past   O
2/14   B-DATE
,   O
accompanied   O
by   O
episodic   O
chest   O
tightness   O
.   O

Dominic   B-NAME
Issa   I-NAME
reported   O
an   O
associated   O
dry   O
cough   O
,   O
but   O
denied   O
experiencing   O
hemoptysis   O
or   O
febrile   O
episodes   O
.   O

Previous   O
medical   O
consultations   O
at   O
Polish   B-LOCATION
Legion   I-LOCATION
of   I-LOCATION
American   I-LOCATION
Veterans   I-LOCATION
did   O
not   O
yield   O
a   O
significant   O
improvement   O
in   O
symptoms   O
despite   O
treatment   O
with   O
standard   O
bronchodilators   O
and   O
corticosteroid   O
therapy   O
.   O

Malcolm   B-NAME
Nicholson   I-NAME
has   O
a   O
known   O
history   O
of   O
controlled   O
hypertension   O
and   O
hyperlipidemia   O
,   O
managed   O
with   O
pharmacotherapy   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
Hesston   B-LOCATION
in   O
31/23/50   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
on   O
Dec   B-DATE
2106   I-DATE
,   O
Celeste   B-NAME
Macias   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Merri   B-NAME
Kerst   I-NAME
was   O
referred   O
to   O
oncology   O
for   O
further   O
evaluation   O
,   O
including   O
a   O
biopsy   O
of   O
the   O
mass   O
to   O
determine   O
its   O
nature   O
.   O

Crick   B-NAME
,   I-NAME
Francis   I-NAME
was   O
also   O
informed   O
about   O
the   O
importance   O
of   O
smoking   O
cessation   O
,   O
as   O
Kody   B-NAME
Robinson   I-NAME
disclosed   O
a   O
history   O
of   O
smoking   O
one   O
pack   O
of   O
cigarettes   O
daily   O
for   O
the   O
past   O
23   O
years   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
at   O
Day   B-LOCATION
Kimball   I-LOCATION
Hospital   I-LOCATION
for   O
October   B-DATE
24   I-DATE
to   O
review   O
the   O
biopsy   O
results   O
and   O
plan   O
the   O
next   O
steps   O
in   O
management   O
.   O

This   O
summary   O
provides   O
a   O
comprehensive   O
overview   O
of   O
Steve   B-NAME
Flint   I-NAME
's   O
visits   O
,   O
including   O
detailed   O
history   O
,   O
physical   O
examination   O
findings   O
,   O
diagnostic   O
tests   O
,   O
and   O
a   O
preliminary   O
management   O
plan   O
.   O

Atticus   B-NAME
Bennett   I-NAME
Medical   O
Record   O
Number   O
:   O
4450080   B-ID
Date   O
of   O
Visit   O
:   O
2223   B-DATE
Physician   O
:   O

Christian   B-NAME
Lane   I-NAME
Hospital   O
:   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Georgia   I-LOCATION
Age   O
:   O
82   O
Location   O
:   O
Dimmitt   B-LOCATION
Zip   O
Code   O
:   O
28846   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
296   I-CONTACT
)   I-CONTACT
152   I-CONTACT
9811   I-CONTACT
Employment   O
:   O
Podiatrists   O
Patient   O
Berger   B-NAME
visited   O
on   O
13/25/2152   B-DATE
complaining   O
of   O
persistent   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
started   O
approximately   O
48   O
hours   O
before   O
presentation   O
.   O

Boyle   B-NAME
performed   O
the   O
surgery   O
on   O
1/26/92   B-DATE
at   O
Jennersville   B-LOCATION
Hospital   I-LOCATION
without   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
13/26/2227   B-DATE
to   O
assess   O
recovery   O
and   O
address   O
any   O
concerns   O
.   O

Additionally   O
,   O
Xenakis   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infections   O
and   O
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
other   O
symptoms   O
of   O
concern   O
.   O

This   O
report   O
complies   O
with   O
privacy   O
regulations   O
and   O
uses   O
PHI   O
labels   O
including   O
but   O
not   O
limited   O
to   O
Ben   B-NAME
Gideon   I-NAME
,   O
356   B-ID
-   I-ID
05   I-ID
-   I-ID
12   I-ID
,   O
3/2313   B-DATE
,   O
Jadiel   B-NAME
Espinoza   I-NAME
,   O
Sauk   B-LOCATION
Prarie   I-LOCATION
Hospital   I-LOCATION
,   O
34   O
,   O
Reeltown   B-LOCATION
,   O
61627   B-LOCATION
,   O
438   B-CONTACT
-   I-CONTACT
854   I-CONTACT
-   I-CONTACT
2607   I-CONTACT
,   O
Cutters   O
and   O
Trimmers   O
,   O
Hand   O
,   O
and   O
szv813   B-NAME
to   O
ensure   O
the   O
confidentiality   O
of   O
protected   O
health   O
information   O
.   O

For   O
questions   O
or   O
concerns   O
regarding   O
this   O
report   O
or   O
patient   O
care   O
,   O
please   O
contact   O
the   O
healthcare   O
provider   O
at   O
54256   B-CONTACT
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Sullivan   B-NAME
Mcintosh   I-NAME
Patient   O
ID   O
:   O
BQ:35748:674620   B-ID
Medical   O
Record   O
Number   O
:   O
279   B-ID
-   I-ID
52   I-ID
-   I-ID
14   I-ID
-   I-ID
4   I-ID
Age   O
:   O
92   O
Date   O
of   O
Birth   O
:   O
03/21   B-DATE
Phone   O
Number   O
:   O
641   B-CONTACT
-   I-CONTACT
5221   I-CONTACT
Address   O
:   O
Medical   B-LOCATION
Lake   I-LOCATION
,   O
90723   B-LOCATION

Attending   O
Physician   O
:   O
Compton   B-NAME
Hospital   O
Name   O
:   O
Sentara   B-LOCATION
Martha   I-LOCATION
Jefferson   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
19/07/2023   B-DATE
Date   O
of   O
Discharge   O
:   O
08/04/1733   B-DATE
Presenting   O
Complaints   O
:   O
The   O
patient   O
,   O
a   O
Transportation   O
Managers   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Beebe   B-LOCATION
Healthcare   I-LOCATION
on   O
5/39   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

The   O
symptoms   O
were   O
first   O
noticed   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
the   O
patient   O
was   O
at   O
work   O
in   O
De   B-LOCATION
Motte   I-LOCATION
.   O

Previous   O
medical   O
history   O
includes   O
a   O
laparoscopic   O
cholecystectomy   O
performed   O
in   O
2/2010   B-DATE
at   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
Lawrence   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
is   O
currently   O
on   O
medication   O
for   O
hypertension   O
and   O
hyperlipidemia   O
,   O
prescribed   O
by   O
Payne   B-NAME
.   O

Due   O
to   O
the   O
findings   O
suggestive   O
of   O
a   O
myocardial   O
infarction   O
,   O
Maldonado   B-NAME
recommended   O
immediate   O
cardiac   O
catheterization   O
.   O

The   O
patient   O
was   O
transferred   O
to   O
the   O
cardiology   O
department   O
of   O
Sharon   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
on   O
03/21   B-DATE
.   O
Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dean   B-NAME
at   O
Southeast   B-LOCATION
Michigan   I-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
on   O
38/14   B-DATE
.   O

For   O
any   O
queries   O
or   O
further   O
updates   O
regarding   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
the   O
cardiology   O
department   O
at   O
629   B-CONTACT
4985   I-CONTACT
.   O

yt563   B-NAME

Patient   O
Report   O
for   O
ostrowski   B-NAME
Date   O
of   O
Consultation   O
:   O
8   B-DATE
-   I-DATE
2   I-DATE
Medical   O
Record   O
Number   O
:   O
388   B-ID
-   I-ID
57   I-ID
-   I-ID
18   I-ID
-   I-ID
6   I-ID
Consulting   O
Physician   O
:   O

Alfreda   B-NAME
Vandermark   I-NAME
Location   O
of   O
Consultation   O
:   O
SSM   B-LOCATION
Health   I-LOCATION
DePaul   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
,   O
North   B-LOCATION
Riverside   I-LOCATION
Contact   O
Number   O
:   O
840   B-CONTACT
7272   I-CONTACT
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
1439781   I-ID
Age   O
:   O
19   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Morrison   B-NAME
,   I-NAME
Robert   I-NAME
,   O
presented   O
with   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
classically   O
described   O
as   O
a   O
pressure   O
-   O
like   O
discomfort   O
located   O
in   O
the   O
central   O
chest   O
.   O

The   O
symptoms   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
presentation   O
while   O
the   O
patient   O
was   O
at   O
work   O
as   O
a   O
Pipelayers   O
in   O
Rochester   B-LOCATION
Public   I-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kimball   B-NAME
Lukas   I-NAME
Abraham   I-NAME
described   O
the   O
pain   O
as   O
severe   O
and   O
unrelenting   O
,   O
with   O
a   O
severity   O
of   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

No   O
recent   O
travel   O
history   O
to   O
San   B-LOCATION
Pasqual   I-LOCATION
or   O
contact   O
with   O
sick   O
individuals   O
was   O
reported   O
.   O

Jaylin   B-NAME
Mcneil   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
but   O
is   O
non   O
-   O
compliant   O
with   O
medication   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
initial   O
EKG   O
performed   O
in   O
the   O
emergency   O
department   O
at   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Duluth   I-LOCATION
showed   O
ST   O
segment   O
elevations   O
in   O
the   O
anterior   O
leads   O
.   O

Alejandra   B-NAME
Torres   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
at   O
Flowers   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
intervention   O
.   O

Disposition   O
:   O
Post   O
-   O
PCI   O
,   O
Amber   B-NAME
Kerwin   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
cardiologist   O
Dillan   B-NAME
Koch   I-NAME
was   O
scheduled   O
for   O
2126   B-DATE
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
(   B-CONTACT
206   I-CONTACT
)   I-CONTACT
604   I-CONTACT
6604   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Username   O
of   O
Report   O
Author   O
:   O
hw337   B-NAME
Report   O
Entry   O
Date   O
:   O
2222   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
20   I-DATE
Location   O
:   O
Zuckerberg   B-LOCATION
San   I-LOCATION
Francisco   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Trauma   I-LOCATION
Center   I-LOCATION
,   O
Hiwasse   B-LOCATION
Zip   O
Code   O
:   O
92238   B-LOCATION

Patient   O
Name   O
:   O
Clare   B-NAME
Garner   I-NAME
Patient   O
ID   O
:   O
985645491   B-ID
Medical   O
Record   O
Number   O
:   O
808   B-ID
-   I-ID
55   I-ID
-   I-ID
62   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
06/77   B-DATE
Age   O
:   O
77   O
Phone   O
Number   O
:   O
52050   B-CONTACT
Address   O
:   O
Archbald   B-LOCATION
,   O
15511   B-LOCATION
Employment   O
:   O
Gaming   O
Managers   O
Physician   O
:   O
Barr   B-NAME
Admitting   O
Hospital   O
:   O
Pemiscot   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
Date   O
of   O
Admission   O
:   O

June   B-DATE
2128   I-DATE
Date   O
of   O
Discharge   O
:   O
2291   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
11   I-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Jayvon   B-NAME
Jacobson   I-NAME
,   O
presented   O
to   O
WellStar   B-LOCATION
Paulding   I-LOCATION
Hospital   I-LOCATION
on   O
33/34/2026   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fever   O
peaking   O
at   O
38.5   O
°   O
C   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Velazquez   B-NAME
,   O
a   O
Loading   O
Machine   O
Operators   O
,   O
Underground   O
Mining   O
from   O
Leakesville   B-LOCATION
,   O
started   O
experiencing   O
a   O
dry   O
cough   O
that   O
progressively   O
worsened   O
,   O
accompanied   O
by   O
increasing   O
difficulty   O
in   O
breathing   O
.   O

61   O
-   O
year   O
-   O
old   O
Russell   B-NAME
,   I-NAME
Rosaland   I-NAME
also   O
noted   O
a   O
measured   O
fever   O
at   O
home   O
,   O
reaching   O
up   O
to   O
38.5   O
°   O
C   O
.   O

Due   O
to   O
the   O
persistent   O
nature   O
of   O
the   O
symptoms   O
and   O
the   O
onset   O
of   O
sharp   O
,   O
localized   O
chest   O
pains   O
,   O
Craig   B-NAME
Adams   I-NAME
sought   O
medical   O
attention   O
.   O

Williamson   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
diet   O
and   O
metformin   O
.   O

On   O
physical   O
examination   O
,   O
Gregg   B-NAME
Grassi   I-NAME
was   O
febrile   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
pulse   O
oximetry   O
showing   O
92   O
%   O
on   O
room   O
air   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Brewer   B-NAME
and   O
started   O
on   O
intravenous   O
antibiotics   O
.   O

Fluid   O
resuscitation   O
and   O
antipyretics   O
were   O
administered   O
,   O
and   O
Hayes   B-NAME
was   O
placed   O
on   O
supplemental   O
oxygen   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
94   O
%   O
.   O

Chelsea   B-NAME
Washington   I-NAME
showed   O
improvement   O
in   O
symptoms   O
with   O
resolution   O
of   O
fever   O
after   O
48   O
hours   O
of   O
antibiotic   O
therapy   O
.   O

Repeat   O
chest   O
X   O
-   O
ray   O
on   O
9/01/40   B-DATE
showed   O
decreasing   O
opacity   O
in   O
the   O
right   O
lower   O
lobe   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
July   B-DATE
with   O
instructions   O
for   O
oral   O
antibiotics   O
,   O
follow   O
-   O
up   O
with   O
Cristina   B-NAME
Esparza   I-NAME
,   O
and   O
strict   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
13/25/2061   B-DATE
at   O
Southwood   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
to   O
review   O
progress   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

Patient   O
Name   O
:   O
Lionus   B-NAME
McAnaw   I-NAME
DOB   O
:   O

05/23/16   B-DATE
SSN   O
:   O
MD   B-ID
:   I-ID
EH:8843   I-ID
Medical   O
Record   O
Number   O
:   O
63711359   B-ID
Address   O
:   O
Fire   B-LOCATION
Island   I-LOCATION
,   O
34520   B-LOCATION
Phone   O
Number   O
:   O
947   B-CONTACT
1408   I-CONTACT
Occupation   O
:   O

Vocational   O
Education   O
Teachers   O
Postsecondary   O
Physician   O
:   O
Haynes   B-NAME
Hospital   O
:   O

Pottstown   B-LOCATION
Hospital   I-LOCATION
Username   O
:   O
TJ278   B-NAME
Serena   B-NAME
Dominguez   I-NAME
,   O
a   O
30   O
-   O
year   O
-   O
old   O
Philosophy   O
and   O
Religion   O
Teachers   O
,   O
Postsecondary   O
,   O
presented   O
to   O
Crozer   B-LOCATION
-   I-LOCATION
Chester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/51   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
persistent   O
vomiting   O
.   O

On   O
physical   O
examination   O
,   O
Uphoff   B-NAME
exhibited   O
signs   O
of   O
dehydration   O
and   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

A   O
detailed   O
medical   O
history   O
was   O
taken   O
,   O
where   O
Lucille   B-NAME
Ponce   I-NAME
disclosed   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

However   O
,   O
Heraclitus   B-NAME
mentioned   O
a   O
family   O
history   O
of   O
gastrointestinal   O
disorders   O
.   O

Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
were   O
ordered   O
by   O
Isis   B-NAME
Henry   I-NAME
.   O

Washington   B-NAME
,   I-NAME
George   I-NAME
's   O
CBC   O
results   O
indicated   O
leukocytosis   O
,   O
while   O
the   O
ultrasound   O
revealed   O
an   O
inflamed   O
appendix   O
.   O

The   O
surgical   O
consent   O
form   O
was   O
explained   O
to   O
and   O
duly   O
signed   O
by   O
Sandra   B-NAME
Woody   I-NAME
.   O

The   O
procedure   O
was   O
carried   O
out   O
successfully   O
on   O
May   B-DATE
with   O
no   O
immediate   O
complications   O
.   O

Gracie   B-NAME
Aguilar   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
post   O
-   O
operatively   O
and   O
was   O
advised   O
on   O
wound   O
care   O
and   O
dietary   O
modifications   O
.   O

Kenyetta   B-NAME
was   O
discharged   O
from   O
Highlands   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
2085   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
10   I-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
with   O
Hazel   B-NAME
Webster   I-NAME
to   O
monitor   O
recovery   O
progress   O
.   O

Judah   B-NAME
Erickson   I-NAME
was   O
also   O
provided   O
with   O
a   O
contact   O
number   O
83320   B-CONTACT
at   O
Cumberland   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
to   O
call   O
in   O
case   O
of   O
any   O
concerns   O
or   O
emergencies   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Amaro   B-NAME
,   I-NAME
Rolim   I-NAME
Patient   O
ID   O
:   O
DX:68798:457798   B-ID

Medical   O
Record   O
Number   O
:   O
365   B-ID
-   I-ID
34   I-ID
-   I-ID
06   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Birth   O
:   O
2099   B-DATE
Age   O
:   O
34   O
Phone   O
Number   O
:   O
(   B-CONTACT
465   I-CONTACT
)   I-CONTACT
630   I-CONTACT
-   I-CONTACT
5204   I-CONTACT
Address   O
:   O
Pecan   B-LOCATION
Hill   I-LOCATION
,   O
88865   B-LOCATION
Occupation   O
:   O
Helpers   O
--   O
Production   O
Workers   O
Primary   O
Care   O
Physician   O
:   O

Hayden   B-NAME
Hospital   O
:   O
Upper   B-LOCATION
Connecticut   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
06/20   B-DATE
Date   O
of   O
Discharge   O
:   O
2342   B-DATE
Chief   O
Complaint   O
:   O
Jenna   B-NAME
Corona   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Gadsden   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
4/02   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
.   O
History   O
of   O
Present   O
Illness   O
:   O

Ehlers   B-NAME
also   O
reports   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
yesterday   O
.   O

Past   O
Medical   O
History   O
:   O
Abagail   B-NAME
Welch   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
diet   O
control   O
.   O

The   O
patient   O
underwent   O
cholecystectomy   O
approximately   O
three   O
years   O
ago   O
at   O
Guadalupe   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Hillary   B-NAME
Reilly   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Plan   O
:   O
MF   B-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Page   B-NAME
for   O
immediate   O
surgical   O
intervention   O
.   O

An   O
open   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
April   B-DATE
2nd   I-DATE
without   O
complications   O
.   O

U.   B-NAME
L.   I-NAME
Dana   I-NAME
exhibited   O
a   O
good   O
recovery   O
and   O
was   O
discharged   O
on   O
2028   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
22   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Zuniga   B-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
up   O
:   O
HANEY   B-NAME
,   I-NAME
ULYSSES   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
25/23/2000   B-DATE
at   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
appendectomy   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rikki   B-NAME
Rierson   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
6032733   I-ID
Medical   O
Record   O
Number   O
:   O
99693103   B-ID
Date   O
of   O
Birth   O
:   O
22/2302   B-DATE
Age   O
:   O
53   O
Address   O
:   O
92   B-LOCATION
Leatherwood   I-LOCATION
Street   I-LOCATION
,   O
37354   B-LOCATION
Phone   O
Number   O
:   O
33617   B-CONTACT
Primary   O
Physician   O
:   O
Dr.   O
Webb   B-NAME
Admitting   O
Hospital   O
:   O
White   B-LOCATION
Wing   I-LOCATION
Clinic   I-LOCATION
Date   O
of   O
Admission   O
:   O
3/39   B-DATE
Date   O
of   O
Report   O
:   O
00/02   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Lec   B-NAME
,   I-NAME
Stanislaw   I-NAME
Jerzy   I-NAME
,   O
a   O
Picture   O
researcher   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
21   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Lavigne   B-NAME
,   I-NAME
Avril   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
decreased   O
appetite   O
over   O
the   O
past   O
August   B-DATE
23   I-DATE
.   O

Aliza   B-NAME
Riggs   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
previous   O
episodes   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Ankti   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Upon   O
diagnosis   O
,   O
Enrique   B-NAME
Reilly   I-NAME
was   O
immediately   O
scheduled   O
for   O
an   O
appendectomy   O
by   O
Dr.   O
Sims   B-NAME
at   O
Saint   B-LOCATION
Joseph   I-LOCATION
Mount   I-LOCATION
Sterling   I-LOCATION
on   O
02/11/82   B-DATE
.   O

The   O
surgical   O
procedure   O
was   O
uncomplicated   O
,   O
and   O
Tom   B-NAME
Callaghan   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
.   O

Courtney   B-NAME
Ellis   I-NAME
was   O
discharged   O
on   O
9/33   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Cathy   B-NAME
Martin   I-NAME
at   O
Satanta   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Satanta   I-LOCATION
for   O
1821   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Phillip   B-NAME
Watters   I-NAME
presented   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
1/27/85   B-DATE
.   O

Danica   B-NAME
Hampton   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
and   O
has   O
resumed   O
normal   O
activities   O
without   O
restrictions   O
.   O

Conclusion   O
:   O
Ari   B-NAME
Williams   I-NAME
,   O
a   O
94   O
-   O
year   O
-   O
old   O
Continuous   O
Mining   O
Machine   O
Operators   O
,   O
successfully   O
underwent   O
an   O
appendectomy   O
for   O
acute   O
appendicitis   O
.   O

Physician   O
Signature   O
:   O
Dr.   O
Bird   B-NAME
19/12   B-DATE

Patient   O
Report   O
for   O
Pal   B-NAME
Meraktis   I-NAME
General   O
Information   O
:   O
Patient   O
ID   O
:   O
0343616   B-ID
Age   O
:   O
8   O
week   O
Date   O
of   O
Report   O
:   O
12/18   B-DATE
Physician   O
:   O
Horn   B-NAME
Contact   O
Number   O
:   O
(   B-CONTACT
352   I-CONTACT
)   I-CONTACT
196   I-CONTACT
4425   I-CONTACT
Address   O
:   O
Falconaire   B-LOCATION
,   O
74169   B-LOCATION
Clinical   O
History   O
:   O
Irish   B-LOCATION
National   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Organisation   I-LOCATION
received   O
Rothschild   B-NAME
,   I-NAME
Baron   I-NAME
on   O
12/39   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
two   O
days   O
.   O

Hailey   B-NAME
Travis   I-NAME
's   O
medical   O
history   O
includes   O
Type   O
2   O
Diabetes   O
Mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
a   O
history   O
of   O
hypertension   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Roger   B-NAME
Hayes   I-NAME
exhibited   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicating   O
potential   O
appendicitis   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
performed   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Brunswick   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/03   B-DATE
,   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
surrounding   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Haas   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Tynan   B-NAME
,   I-NAME
Kenneth   I-NAME
was   O
instructed   O
on   O
the   O
importance   O
of   O
fasting   O
until   O
the   O
surgical   O
assessment   O
could   O
take   O
place   O
.   O

Disposition   O
:   O
January   B-DATE
6   I-DATE
-   O
Steinmuller   B-NAME
Hennard   I-NAME
was   O
admitted   O
to   O
AdventHealth   B-LOCATION
North   I-LOCATION
Pinellas   I-LOCATION
for   O
observation   O
and   O
surgical   O
evaluation   O
.   O

The   O
surgery   O
team   O
,   O
led   O
by   O
Nash   B-NAME
,   O
scheduled   O
an   O
appendectomy   O
for   O
02/03/1989   B-DATE
.   O

Keyla   B-NAME
Choi   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
potential   O
risks   O
,   O
and   O
post   O
-   O
operative   O
care   O
.   O

Follow   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
34/29   B-DATE
at   O
Dilworth   B-LOCATION
to   O
assess   O
wound   O
healing   O
and   O
discuss   O
further   O
management   O
of   O
Genevie   B-NAME
Latimer   I-NAME
's   O
diabetes   O
and   O
hypertension   O
.   O

Conclusion   O
:   O
The   O
timely   O
diagnosis   O
and   O
intervention   O
plan   O
for   O
John   B-NAME
Becker   I-NAME
with   O
suspected   O
appendicitis   O
are   O
crucial   O
to   O
prevent   O
complications   O
such   O
as   O
rupture   O
and   O
peritonitis   O
.   O

Report   O
Prepared   O
by   O
:   O
Giovani   B-NAME
Barron   I-NAME
Contact   O
Information   O
:   O
987   B-CONTACT
1732   I-CONTACT
Report   O
ID   O
:   O
QA:0372:363713   B-ID

Mar   B-DATE
10   I-DATE

Patient   O
Report   O
Patient   O
ID   O
:   O
34605   B-ID
Name   O
:   O
Karlee   B-NAME
Castaneda   I-NAME
Age   O
:   O
60   O
DOB   O
:   O
2/32/95   B-DATE
Address   O
:   O
High   B-LOCATION
Wycombe   I-LOCATION
,   O
77932   B-LOCATION
Phone   O
:   O
48127   B-CONTACT
Primary   O
Care   O
Physician   O
:   O
Radner   B-NAME
,   I-NAME
Gilda   I-NAME
Primary   O
Care   O
Organization   O
:   O

Ben   B-LOCATION
Franklin   I-LOCATION
Admission   O
Date   O
:   O
09/23/1796   B-DATE
Hospital   O
:   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Oshkosh   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Jacob   B-NAME
Bautista   I-NAME
,   O
a   O
Chief   O
Executives   O
,   O
presented   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Fort   I-LOCATION
Scott   I-LOCATION
on   O
21/38/2196   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
recurrent   O
abdominal   O
pain   O
localizing   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

Puttnam   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
gallstones   O
and   O
irritable   O
bowel   O
syndrome   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bridget   B-NAME
Jamieson   I-NAME
was   O
febrile   O
with   O
a   O
temperature   O
of   O
42   O
degrees   O
Fahrenheit   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Woods   B-NAME
,   O
was   O
consulted   O
and   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Buck   B-NAME
Tierney   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
,   O
the   O
nature   O
of   O
the   O
proposed   O
surgery   O
,   O
and   O
potential   O
risks   O
.   O

Veronica   B-NAME
Olenski   I-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
33/28/2281   B-DATE
.   O

Nicholas   B-NAME
Lange   I-NAME
was   O
started   O
on   O
a   O
clear   O
liquid   O
diet   O
12   O
hours   O
post   O
-   O
op   O
and   O
advanced   O
as   O
tolerated   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
3/0   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Garcia   B-NAME
in   O
1   O
-   O
2   O
weeks   O
for   O
a   O
post   O
-   O
operative   O
visit   O
.   O

Follow   O
-   O
Up   O
Instructions   O
:   O
Jodee   B-NAME
was   O
advised   O
to   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activity   O
for   O
2   O
weeks   O
.   O

Lakeesha   B-NAME
Murillo   I-NAME
was   O
informed   O
to   O
report   O
any   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
pain   O
,   O
redness   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
,   O
as   O
well   O
as   O
any   O
fever   O
,   O
nausea   O
,   O
or   O
vomiting   O
.   O

Reported   O
by   O
:   O
Food   O
Cooking   O
Machine   O
Operators   O
and   O
Tenders   O
at   O
Transport   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
Date   O
:   O
12/21   B-DATE
Contact   O
Information   O
:   O
203   B-CONTACT
1359   I-CONTACT

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Christina   B-NAME
Murillo   I-NAME
Age   O
:   O
71   O
ID   O
:   O
2   B-ID
-   I-ID
9241700   I-ID
Medical   O
Record   O
Number   O
:   O
14015549   B-ID
Location   O
:   O
Cuyahoga   B-LOCATION
Heights   I-LOCATION
ZIP   O
:   O
85788   B-LOCATION
Phone   O
:   O
814   B-CONTACT
744   I-CONTACT
3401   I-CONTACT

Atkins   B-NAME
Hospital   O
:   O
Graham   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Hill   I-LOCATION
City   I-LOCATION
Description   O
of   O
Symptoms   O
:   O

On   O
32/20   B-DATE
,   O
Antonius   B-NAME
presented   O
at   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Southeast   I-LOCATION
Texas   I-LOCATION
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
have   O
been   O
persisting   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Furthermore   O
,   O
Delora   B-NAME
Orvis   I-NAME
reported   O
experiencing   O
bouts   O
of   O
nausea   O
,   O
without   O
emesis   O
,   O
and   O
marked   O
decrease   O
in   O
appetite   O
leading   O
to   O
an   O
unintended   O
weight   O
loss   O
.   O

Notably   O
,   O
Lebowitz   B-NAME
,   I-NAME
Fran   I-NAME
also   O
mentioned   O
a   O
feeling   O
of   O
malaise   O
and   O
intermittent   O
fever   O
,   O
with   O
the   O
highest   O
recorded   O
temperature   O
being   O
101.3   O
°   O
F   O
.   O

No   O
recent   O
travels   O
outside   O
South   B-LOCATION
Portland   I-LOCATION
were   O
reported   O
.   O

Medical   O
History   O
:   O
Jack   B-NAME
Stewart   I-NAME
has   O
a   O
documented   O
medical   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Diagnostic   O
Evaluation   O
:   O
Upon   O
examination   O
,   O
Shyanne   B-NAME
Wiggins   I-NAME
’s   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
pressure   O
132/86   O
mmHg   O
,   O
pulse   O
rate   O
88   O
beats   O
per   O
minute   O
,   O
temperature   O
99.8   O
°   O
F   O
,   O
and   O
respiratory   O
rate   O
16   O
breaths   O
per   O
minute   O
.   O

Initial   O
laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
,   O
comprehensive   O
metabolic   O
panel   O
,   O
and   O
liver   O
function   O
tests   O
were   O
ordered   O
by   O
Edward   B-NAME
Reese   I-NAME
on   O
12/28   B-DATE
.   O

Ultrasound   O
of   O
the   O
abdomen   O
scheduled   O
for   O
33/32/64   B-DATE
aims   O
to   O
further   O
assess   O
the   O
hepatic   O
and   O
biliary   O
structures   O
.   O

Jaime   B-NAME
Salazar   I-NAME
recommended   O
close   O
follow   O
-   O
up   O
after   O
the   O
diagnostic   O
tests   O
results   O
are   O
available   O
,   O
scheduled   O
for   O
22/30/56   B-DATE
.   O

In   O
the   O
interim   O
,   O
Sallie   B-NAME
Coggins   I-NAME
was   O
instructed   O
to   O
monitor   O
symptoms   O
and   O
advised   O
to   O
return   O
to   O
Providence   B-LOCATION
Hospital   I-LOCATION
or   O
call   O
83141   B-CONTACT
should   O
symptoms   O
significantly   O
worsen   O
or   O
new   O
symptoms   O
arise   O
.   O

Iyer   B-NAME
has   O
been   O
informed   O
of   O
their   O
privacy   O
rights   O
,   O
and   O
all   O
electronic   O
records   O
are   O
secured   O
under   O
username   O
so475   B-NAME
.   O

Report   O
Prepared   O
By   O
:   O
Savage   B-NAME
3/01   B-DATE
Note   O
:   O
This   O
report   O
is   O
a   O
synthetic   O
presentation   O
and   O
all   O
personal   O
identifiers   O
have   O
been   O
replaced   O
with   O
PHI   O
labels   O
to   O
ensure   O
patient   O
confidentiality   O
and   O
compliance   O
with   O
privacy   O
laws   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
276755478   B-ID
3/5/50   B-DATE
,   O
the   O
patient   O
,   O
BRIANNA   B-NAME
WILKES   I-NAME
,   O
a   O
22   O
-   O
year   O
-   O
old   O
Religious   O
Workers   O
,   O
All   O
Other   O
,   O
presented   O
at   O
the   O
emergency   O
department   O
of   O
Raulerson   B-LOCATION
Hospital   I-LOCATION
,   O
located   O
in   O
Vacaville   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
95687   I-LOCATION
,   O
41840   B-LOCATION
.   O

Katelynn   B-NAME
Washington   I-NAME
was   O
accompanied   O
by   O
a   O
family   O
member   O
who   O
provided   O
28506   B-CONTACT
as   O
a   O
contact   O
number   O
.   O

Marielle   B-NAME
Luter   I-NAME
complained   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
they   O
rated   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Additionally   O
,   O
Poop   B-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
lack   O
of   O
appetite   O
for   O
the   O
last   O
24   O
hours   O
.   O

Josue   B-NAME
Gallagher   I-NAME
denied   O
any   O
changes   O
in   O
bowel   O
habits   O
or   O
urinary   O
symptoms   O
.   O

Jeana   B-NAME
's   O
past   O
medical   O
history   O
,   O
as   O
noted   O
in   O
medical   O
record   O
number   O
7928882   B-ID
,   O
includes   O
Type   O
II   O
Diabetes   O
Mellitus   O
and   O
hypertension   O
,   O
for   O
which   O
Ahmad   B-NAME
Terry   I-NAME
is   O
on   O
medication   O
.   O

Upon   O
examination   O
,   O
Robert   B-NAME
Campbell   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
pressure   O
140/85   O
mmHg   O
,   O
heart   O
rate   O
98   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
38.2   O
°   O
C   O
indicating   O
fever   O
.   O

Physical   O
examination   O
conducted   O
by   O
Dickerson   B-NAME
,   O
revealed   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Maverick   B-NAME
Michael   I-NAME
was   O
admitted   O
to   O
Virtua   B-LOCATION
Our   I-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Lourdes   I-LOCATION
Hospital   I-LOCATION
for   O
an   O
appendectomy   O
,   O
which   O
was   O
performed   O
on   O
5/2308   B-DATE
by   O
Leon   B-NAME
.   O

Camp   B-NAME
was   O
advised   O
post   O
-   O
operative   O
care   O
instructions   O
and   O
was   O
discharged   O
on   O
3   B-DATE
-   I-DATE
26   I-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
with   O
Meyers   B-NAME
at   O
Auburn   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
department   O
.   O

Zavala   B-NAME
was   O
informed   O
about   O
the   O
symptoms   O
of   O
possible   O
complications   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
wound   O
issues   O
,   O
and   O
was   O
advised   O
to   O
return   O
to   O
the   O
hospital   O
or   O
call   O
423   B-CONTACT
-   I-CONTACT
1786   I-CONTACT
immediately   O
if   O
any   O
of   O
these   O
symptoms   O
were   O
experienced   O
.   O

The   O
above   O
information   O
will   O
be   O
encrypted   O
and   O
stored   O
securely   O
in   O
Rukeyser   B-NAME
,   I-NAME
Louis   I-NAME
's   O
medical   O
record   O
(   O
120   B-ID
20   I-ID
82   I-ID
)   O
at   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Hamilton   I-LOCATION
as   O
per   O
HIPAA   O
regulations   O
.   O

Any   O
questions   O
or   O
concerns   O
regarding   O
this   O
treatment   O
or   O
follow   O
-   O
up   O
care   O
can   O
be   O
directed   O
to   O
the   O
patient   O
care   O
team   O
at   O
34370   B-CONTACT
.   O

This   O
patient   O
report   O
ensures   O
the   O
confidentiality   O
and   O
privacy   O
of   O
Shaffer   B-NAME
under   O
the   O
guidelines   O
set   O
by   O
HIPAA   O
and   O
our   O
institution   O
's   O
patient   O
privacy   O
policy   O
.   O

Further   O
correspondence   O
regarding   O
Makenzie   B-NAME
Barry   I-NAME
's   O
care   O
must   O
maintain   O
this   O
confidentiality   O
.   O

Patient   O
Report   O
for   O
Briley   B-NAME
Riggs   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
85   O
Date   O
of   O
Birth   O
:   O
12/24   B-DATE
Address   O
:   O
Ohioville   B-LOCATION
,   O
53149   B-LOCATION
Phone   O
:   O
290   B-CONTACT
4348   I-CONTACT
Medical   O
Record   O
Number   O
:   O
897   B-ID
-   I-ID
61   I-ID
-   I-ID
06   I-ID
-   I-ID
9   I-ID
ID   O
Number   O
:   O
0   B-ID
-   I-ID
7154199   I-ID
Healthcare   O
Providers   O
:   O
Primary   O
Care   O
Physician   O
:   O
Johns   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
Hospital   I-LOCATION
Referred   O
By   O
:   O
Milosz   B-NAME
,   I-NAME
Ceslaw   I-NAME
Summary   O
:   O

Myla   B-NAME
Potts   I-NAME
,   O
a   O
Medical   O
and   O
Health   O
Services   O
Managers   O
from   O
Jefferson   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
00/05   B-DATE
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
lower   O
abdominal   O
pain   O
,   O
which   O
they   O
rated   O
as   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Quinn   B-NAME
Rutledge   I-NAME
reported   O
that   O
symptoms   O
escalated   O
over   O
the   O
last   O
1/20/32   B-DATE
,   O
prompting   O
an   O
emergency   O
visit   O
.   O

The   O
patient   O
has   O
a   O
past   O
medical   O
history   O
of   O
gastritis   O
,   O
with   O
a   O
recent   O
episode   O
occurring   O
approximately   O
3/3   B-DATE
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
examination   O
,   O
Castaneda   B-NAME
demonstrated   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
lower   O
abdominal   O
region   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Micah   B-NAME
Parsons   I-NAME
,   O
revealing   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
indicating   O
a   O
possible   O
infection   O
.   O

An   O
ultrasound   O
of   O
the   O
abdomen   O
,   O
conducted   O
on   O
26/02   B-DATE
,   O
showed   O
evidence   O
of   O
appendicitis   O
without   O
rupture   O
.   O

Following   O
the   O
diagnostic   O
findings   O
,   O
Destiny   B-NAME
Fitzpatrick   I-NAME
from   O
Hardin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
W   B-DATE
,   O
without   O
any   O
complications   O
.   O

Rashid   B-NAME
was   O
advised   O
to   O
remain   O
in   O
the   O
hospital   O
for   O
a   O
duration   O
of   O
24/16/2274   B-DATE
to   O
ensure   O
appropriate   O
post   O
-   O
operative   O
recovery   O
and   O
to   O
undergo   O
antibiotic   O
therapy   O
to   O
prevent   O
infection   O
.   O

Post   O
-   O
Operative   O
Care   O
:   O
Post   O
-   O
surgery   O
,   O
Arnold   B-NAME
was   O
started   O
on   O
a   O
course   O
of   O
antibiotics   O
along   O
with   O
pain   O
management   O
strategies   O
.   O

The   O
patient   O
was   O
advised   O
to   O
adhere   O
to   O
a   O
liquid   O
diet   O
for   O
13/43   B-DATE
,   O
gradually   O
transitioning   O
to   O
solid   O
foods   O
as   O
tolerated   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Acevedo   B-NAME
for   O
12/22/10   B-DATE
to   O
monitor   O
recovery   O
and   O
address   O
any   O
complications   O
.   O

Instructions   O
for   O
Patient   O
:   O
NOE   B-NAME
,   I-NAME
NATALEY   I-NAME
KINSLEE   I-NAME
has   O
been   O
instructed   O
to   O
avoid   O
strenuous   O
activities   O
including   O
lifting   O
heavy   O
objects   O
and   O
performing   O
any   O
vigorous   O
exercise   O
for   O
at   O
least   O
2037   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
34   I-DATE
post   O
-   O
surgery   O
.   O

In   O
case   O
of   O
any   O
such   O
symptoms   O
or   O
if   O
experiencing   O
severe   O
pain   O
,   O
Rogers   B-NAME
is   O
to   O
contact   O
Salt   B-LOCATION
Lake   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
immediately   O
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
Hassie   B-NAME
Gallager   I-NAME
can   O
contact   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Edmonds   I-LOCATION
at   O
487   B-CONTACT
-   I-CONTACT
4062   I-CONTACT
.   O
Counseling   O
:   O
Psychological   O
counseling   O
sessions   O
have   O
been   O
recommended   O
considering   O
the   O
sudden   O
onset   O
of   O
the   O
condition   O
and   O
subsequent   O
surgery   O
to   O
help   O
Judith   B-NAME
Bergstrom   I-NAME
cope   O
with   O
post   O
-   O
surgical   O
stress   O
and   O
anxiety   O
.   O

Confidentiality   O
Statement   O
:   O
This   O
report   O
contains   O
sensitive   O
health   O
information   O
pertaining   O
to   O
Judah   B-NAME
Robbins   I-NAME
and   O
is   O
protected   O
under   O
healthcare   O
regulations   O
.   O

Note   O
:   O
This   O
document   O
was   O
prepared   O
by   O
iqt2910   B-NAME
,   O
a   O
healthcare   O
professional   O
at   O
Sentry   B-LOCATION
Insurance   I-LOCATION
,   O
on   O
03/15   B-DATE
.   O

It   O
is   O
intended   O
solely   O
for   O
the   O
purpose   O
of   O
medical   O
consultation   O
and   O
care   O
coordination   O
for   O
SHEEHAN   B-NAME
,   I-NAME
XIMENA   I-NAME
.   O

Patient   O
Name   O
:   O
Elias   B-NAME
Q.   I-NAME
Mercado   I-NAME
Medical   O
Record   O
Number   O
:   O
LLGKRS   B-ID
Date   O
of   O
Birth   O
:   O
01/21/2223   B-DATE
Age   O
:   O
43   O
Address   O
:   O
Tarkio   B-LOCATION
,   O
26773   B-LOCATION

Phone   O
number   O
:   O
(   B-CONTACT
478   I-CONTACT
)   I-CONTACT
358   I-CONTACT
-   I-CONTACT
2307   I-CONTACT
Patient   O
's   O
Employer   O
:   O
ProSight   B-LOCATION
Specialty   I-LOCATION
Insurance   I-LOCATION
Occupation   O
:   O
Fish   O
and   O
Game   O
Wardens   O
Date   O
of   O
Visit   O
:   O
00/3   B-DATE
Referring   O
Physician   O
:   O
Dr.   O
Mcdaniel   B-NAME
Hospital   O
:   O

Meadowlands   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Ferreira   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
2051   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
27   I-DATE
with   O
acute   O
onset   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Quinton   B-NAME
Lee   I-NAME
reported   O
that   O
the   O
headache   O
began   O
suddenly   O
approximately   O
four   O
hours   O
prior   O
to   O
arrival   O
at   O
the   O
hospital   O
.   O

Bush   B-NAME
,   I-NAME
Vannevar   I-NAME
rated   O
the   O
pain   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Past   O
Medical   O
History   O
:   O
Harry   B-NAME
Carrillo   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
diagnosed   O
two   O
years   O
ago   O
but   O
reports   O
that   O
the   O
current   O
episode   O
is   O
much   O
more   O
severe   O
than   O
previous   O
episodes   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
severity   O
of   O
symptoms   O
and   O
the   O
patient   O
’s   O
report   O
of   O
this   O
being   O
the   O
most   O
severe   O
headache   O
of   O
their   O
life   O
,   O
admission   O
to   O
Sutter   B-LOCATION
Tracy   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
observation   O
and   O
further   O
management   O
was   O
recommended   O
.   O

Intravenous   O
fluids   O
,   O
antiemetics   O
,   O
and   O
analgesics   O
were   O
administered   O
in   O
the   O
emergency   O
department   O
with   O
some   O
relief   O
of   O
symptoms   O
noted   O
by   O
Essence   B-NAME
Gregory   I-NAME
.   O

Dr.   O
Eve   B-NAME
Clark   I-NAME
ID   O
Badge   O
Number   O
:   O
WM   B-ID
:   I-ID
PT:5197   I-ID

Patient   O
Report   O
for   O
Peace   B-NAME
General   O
Information   O
:   O
-   O
Name   O
:   O
Clement   B-NAME
Molloch   I-NAME
-   O
Age   O
:   O
10   O
week   O
-   O
ID   O
:   O
KM:36713:535301   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
365   B-ID
33   I-ID
56   I-ID
-   O
Date   O
of   O
Report   O
:   O
05/33/2113   B-DATE
-   O
Phone   O
:   O
331   B-CONTACT
-   I-CONTACT
6099   I-CONTACT
-   O
Address   O
:   O
Los   B-LOCATION
Prados   I-LOCATION
,   O
68096   B-LOCATION
Presenting   O
Complaint   O
:   O

The   O
patient   O
,   O
Alivia   B-NAME
Wilson   I-NAME
,   O
presented   O
to   O
Guthrie   B-LOCATION
Corning   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
began   O
earlier   O
the   O
same   O
day   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
diagnosed   O
in   O
20/32/39   B-DATE
-   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
in   O
Thursday   B-DATE
-   O
No   O
known   O
drug   O
allergies   O
-   O
No   O
previous   O
hospitalizations   O
or   O
surgeries   O
reported   O
Medications   O
on   O
Admission   O
:   O
-   O
Metformin   O
,   O
500   O
mg   O
twice   O
daily   O
-   O
Lisinopril   O
,   O
10   O
mg   O
once   O
daily   O
Diagnostic   O
Evaluation   O
:   O
Upon   O
arrival   O
to   O
the   O
Emergency   O
Department   O
of   O
Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Darius   B-NAME
Hahn   I-NAME
was   O
immediately   O
triaged   O
and   O
underwent   O
a   O
series   O
of   O
diagnostic   O
tests   O
.   O

Management   O
:   O
Riley   B-NAME
Mccarty   I-NAME
initiated   O
treatment   O
with   O
dual   O
antiplatelet   O
therapy   O
(   O
Aspirin   O
and   O
Clopidogrel   O
)   O
and   O
a   O
statin   O
(   O
Atorvastatin   O
)   O
.   O

Given   O
the   O
ECG   O
findings   O
and   O
elevated   O
cardiac   O
markers   O
,   O
Klukken   B-NAME
recommended   O
urgent   O
cardiac   O
catheterization   O
.   O

The   O
procedure   O
,   O
conducted   O
on   O
02/06   B-DATE
,   O
revealed   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
left   O
anterior   O
descending   O
artery   O
,   O
for   O
which   O
a   O
drug   O
-   O
eluting   O
stent   O
was   O
successfully   O
placed   O
.   O

Outcome   O
:   O
7/22/62   B-DATE
of   O
the   O
procedure   O
,   O
the   O
patient   O
's   O
chest   O
pain   O
resolved   O
,   O
and   O
repeat   O
ECG   O
showed   O
resolution   O
of   O
the   O
ST   O
-   O
segment   O
elevation   O
.   O

Tokala   B-NAME
was   O
monitored   O
in   O
the   O
Cardiac   O
Care   O
Unit   O
of   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
High   I-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
94   O
days   O
,   O
during   O
which   O
no   O
complications   O
were   O
noted   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
2   B-DATE
-   I-DATE
20   I-DATE
,   O
Eddie   B-NAME
Sauer   I-NAME
was   O
discharged   O
from   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Soldiers   I-LOCATION
+   I-LOCATION
Sailors   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Livingston   B-NAME
in   O
OL81   B-LOCATION
2CG   I-LOCATION
for   O
post   O
-   O
myocardial   O
infarction   O
management   O
and   O
with   O
an   O
endocrinologist   O
for   O
diabetes   O
control   O
.   O

845   B-CONTACT
231   I-CONTACT
-   I-CONTACT
6828   I-CONTACT
and   O
53087512   B-ID
were   O
provided   O
for   O
direct   O
communication   O
and   O
coordination   O
of   O
care   O
.   O

The   O
patient   O
was   O
advised   O
to   O
immediately   O
report   O
any   O
recurrence   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
other   O
concerning   O
symptoms   O
to   O
Raulerson   B-LOCATION
Hospital   I-LOCATION
or   O
their   O
primary   O
care   O
provider   O
.   O

Patient   O
Name   O
:   O
Knapp   B-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
7534886   I-ID
Date   O
of   O
Birth   O
:   O
2361   B-DATE
Age   O
:   O
1   O
month   O
Address   O
:   O
Jarratt   B-LOCATION
,   O
98791   B-LOCATION
Phone   O
Number   O
:   O
486   B-CONTACT
-   I-CONTACT
1909   I-CONTACT
Occupation   O
:   O
Sound   O
Engineering   O
Technicians   O
Primary   O
Care   O
Physician   O
:   O

McCartney   B-NAME
,   I-NAME
Paul   I-NAME
Medical   O
Record   O
Number   O
:   O
98779397   B-ID
Hospital   O
Name   O
:   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Richmond   I-LOCATION
Date   O
of   O
Visit   O
:   O
21/20   B-DATE
Username   O
:   O
ZF38   B-NAME
Chief   O
Complaint   O
:   O
Barnett   B-NAME
presented   O
to   O
Jefferson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
02/77   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
24   O
hours   O
prior   O
.   O

Jagger   B-NAME
Price   I-NAME
denies   O
any   O
diarrhea   O
,   O
vomiting   O
,   O
or   O
blood   O
in   O
stools   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ione   B-NAME
Jean   I-NAME
,   O
a   O
99s   O
-   O
year   O
-   O
old   O
Musicians   O
,   O
Instrumental   O
,   O
reports   O
that   O
the   O
pain   O
initially   O
started   O
as   O
a   O
generalized   O
dull   O
ache   O
around   O
the   O
mid   O
-   O
abdomen   O
but   O
then   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
about   O
12   O
hours   O
after   O
onset   O
.   O

Krueger   B-NAME
has   O
tried   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medication   O
,   O
without   O
significant   O
relief   O
.   O

Betty   B-NAME
Director   I-NAME
also   O
noted   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
pain   O
started   O
.   O

Past   O
Medical   O
History   O
:   O
Sexton   B-NAME
has   O
a   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
medication   O
.   O

Kiona   B-NAME
denies   O
any   O
surgical   O
history   O
or   O
known   O
allergies   O
.   O

Klukken   B-NAME
denies   O
any   O
chest   O
pain   O
,   O
dyspnea   O
,   O
urinary   O
symptoms   O
,   O
or   O
skin   O
rashes   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Abbott   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Sawyer   B-NAME
after   O
explaining   O
the   O
procedure   O
,   O
possible   O
risks   O
,   O
and   O
complications   O
.   O

Jewell   B-NAME
-   I-NAME
Wilson   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
and   O
was   O
scheduled   O
for   O
surgery   O
on   O
32   B-DATE
-   I-DATE
26   I-DATE
.   O

Post   O
-   O
operative   O
care   O
and   O
instructions   O
were   O
discussed   O
with   O
James   B-NAME
Fraser   I-NAME
and   O
Travis   B-NAME
's   O
next   O
of   O
kin   O
.   O

Follow   O
-   O
Up   O
:   O
Michael   B-NAME
Ridley   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
surgical   O
clinic   O
2   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Long   B-NAME
,   I-NAME
Earl   I-NAME
Medical   O
Record   O
Number   O
:   O
3393824   B-ID
Date   O
of   O
Birth   O
:   O
23   O
Date   O
of   O
Visit   O
:   O
01/13   B-DATE
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Kinley   B-NAME
Maynard   I-NAME
Hospital   O
:   O
Cooley   B-LOCATION
Dickinson   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
East   B-LOCATION
Prospect   I-LOCATION
,   O
89475   B-LOCATION
Phone   O
:   O
497   B-CONTACT
-   I-CONTACT
594   I-CONTACT
3505   I-CONTACT
Occupation   O
:   O
Upholsterers   O
Insurance   O
ID   O
:   O
KL:58485:159577   B-ID
Chief   O
Complaint   O
:   O
William   B-NAME
K.   I-NAME
Joslin   I-NAME
,   O
a   O
Gaming   O
Surveillance   O
Officers   O
and   O
Gaming   O
Investigators   O
from   O
7959   B-LOCATION
Rockland   I-LOCATION
Street   I-LOCATION
,   O
presented   O
to   O
North   B-LOCATION
Oaks   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2313   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
worsening   O
over   O
the   O
past   O
week   O
.   O

Xavier   B-NAME
Otero   I-NAME
also   O
reports   O
nausea   O
without   O
vomiting   O
and   O
a   O
decreased   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Natalia   B-NAME
Guzman   I-NAME
has   O
been   O
experiencing   O
dull   O
,   O
aching   O
pain   O
in   O
the   O
lower   O
abdomen   O
for   O
approximately   O
two   O
weeks   O
.   O

Initially   O
,   O
the   O
pain   O
was   O
mild   O
and   O
intermittent   O
,   O
but   O
it   O
has   O
progressively   O
worsened   O
to   O
become   O
more   O
constant   O
and   O
severe   O
since   O
02/19/1705   B-DATE
.   O

Edward   B-NAME
Patterson   I-NAME
rated   O
the   O
pain   O
as   O
7/10   O
on   O
the   O
pain   O
scale   O
.   O

Over   O
the   O
last   O
48   O
hours   O
,   O
Vonda   B-NAME
T.   I-NAME
Ulloa   I-NAME
notes   O
the   O
presence   O
of   O
nausea   O
and   O
a   O
significant   O
decrease   O
in   O
appetite   O
,   O
which   O
prompted   O
a   O
visit   O
to   O
T.J.   B-LOCATION
Samson   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

According   O
to   O
our   O
records   O
,   O
Taran   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Allergies   O
:   O
Vonda   B-NAME
T.   I-NAME
Ulloa   I-NAME
reports   O
no   O
known   O
drug   O
allergies   O
.   O

Medications   O
:   O
Tripp   B-NAME
Carpenter   I-NAME
is   O
currently   O
taking   O
metformin   O
for   O
type   O
2   O
diabetes   O
and   O
lisinopril   O
for   O
hypertension   O
.   O

Family   O
History   O
:   O
Tobias   B-NAME
Lara   I-NAME
states   O
that   O
their   O
parent   O
,   O
aged   O
26   O
,   O
has   O
a   O
history   O
of   O
colon   O
cancer   O
.   O

Social   O
History   O
:   O
Rayan   B-NAME
Daniel   I-NAME
,   O
a   O
Transportation   O
Planners   O
,   O
denies   O
smoking   O
,   O
alcohol   O
use   O
,   O
or   O
recreational   O
drug   O
use   O
.   O

Kymani   B-NAME
Santos   I-NAME
lives   O
with   O
a   O
spouse   O
and   O
two   O
children   O
in   O
Gastonville   B-LOCATION
.   O

On   O
examination   O
,   O
Bunsen   B-NAME
Honeydew   I-NAME
was   O
afebrile   O
with   O
stable   O
vitals   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
abdominal   O
ultrasound   O
ordered   O
on   O
04/63   B-DATE
indicated   O
the   O
presence   O
of   O
a   O
large   O
,   O
complex   O
right   O
ovarian   O
cyst   O
measuring   O
approximately   O
5   O
cm   O
in   O
diameter   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
likely   O
diagnosis   O
for   O
TOMLIN   B-NAME
,   I-NAME
THEODORE   I-NAME
is   O
a   O
symptomatic   O
ovarian   O
cyst   O
.   O

Kert   B-NAME
has   O
been   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
acute   O
abdominal   O
pain   O
or   O
symptoms   O
indicative   O
of   O
cyst   O
rupture   O
.   O

Follow   O
-   O
up   O
is   O
scheduled   O
for   O
3/22   B-DATE
,   O
post   O
-   O
consultation   O
.   O

Signature   O
:   O
Dr.   O
Elsie   B-NAME
Barber   I-NAME
7/28   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Knapp   B-NAME
Patient   O
ID   O
:   O
RE702/5822   B-ID
Medical   O
Record   O
Number   O
:   O
23459081   B-ID
Age   O
:   O
78   O
Date   O
of   O
Admission   O
:   O
2006   B-DATE
Date   O
of   O
Discharge   O
:   O
2/21/16   B-DATE
Attending   O
Physician   O
:   O

Raegan   B-NAME
Acosta   I-NAME
Hospital   O
:   O

Hialeah   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Santa   B-LOCATION
Teresa   I-LOCATION
Zip   O
Code   O
:   O
57951   B-LOCATION
Emergency   O
Contact   O
Phone   O
:   O
770   B-CONTACT
7658   I-CONTACT
Employer   O
:   O

Wakefield   B-LOCATION
Municipal   I-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O
Nuclear   O
Monitoring   O
Technicians   O
Username   O
for   O
Patient   O
Portal   O
:   O
fq821   B-NAME
Chief   O
Complaint   O
:   O

Ban   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Enloe   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2   B-DATE
-   I-DATE
22   I-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
early   O
morning   O
on   O
the   O
same   O
day   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Troyer   B-NAME
,   I-NAME
Timothy   I-NAME
,   O
a   O
55   O
-   O
year   O
-   O
old   O
Teacher   O
(   O
special   O
educational   O
needs   O
)   O
from   O
Washington   B-LOCATION
,   O
has   O
had   O
a   O
past   O
medical   O
history   O
of   O
intermittent   O
abdominal   O
discomfort   O
but   O
nothing   O
of   O
this   O
severity   O
or   O
duration   O
.   O

Past   O
Medical   O
History   O
:   O
Oppliger   B-NAME
Demetris   I-NAME
has   O
a   O
history   O
of   O
mild   O
hypertension   O
managed   O
with   O
medication   O
and   O
no   O
surgical   O
history   O
.   O

SHEEHAN   B-NAME
,   I-NAME
XIMENA   I-NAME
does   O
not   O
smoke   O
or   O
consume   O
alcohol   O
regularly   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Li   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
to   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Durrell   B-NAME
,   I-NAME
Gerald   I-NAME
underwent   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Landry   B-NAME
on   O
12/07/2331   B-DATE
.   O

Postoperative   O
Course   O
:   O
Postoperatively   O
,   O
Will   B-NAME
Russell   I-NAME
received   O
IV   O
antibiotics   O
to   O
manage   O
and   O
prevent   O
any   O
post   O
-   O
surgical   O
infections   O
.   O

The   O
patient   O
responded   O
well   O
to   O
the   O
treatment   O
and   O
was   O
observed   O
for   O
31/22   B-DATE
day(s   O
)   O
under   O
the   O
care   O
of   O
Carolina   B-LOCATION
Pines   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
surgical   O
team   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Zack   B-NAME
Cocking   I-NAME
was   O
discharged   O
on   O
6/00   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
limitation   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
with   O
Gutierrez   B-NAME
.   O

This   O
case   O
of   O
Robin   B-NAME
highlights   O
the   O
importance   O
of   O
prompt   O
medical   O
evaluation   O
for   O
acute   O
abdominal   O
pain   O
,   O
leading   O
to   O
a   O
timely   O
diagnosis   O
and   O
surgical   O
intervention   O
for   O
appendicitis   O
.   O

Patient   O
Name   O
:   O
Rees   B-NAME
,   I-NAME
Nigel   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
6746613   I-ID
Medical   O
Record   O
Number   O
:   O
204   B-ID
-   I-ID
76   I-ID
-   I-ID
28   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
2198   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
02   I-DATE
Age   O
:   O
42   O
Address   O
:   O
Quantico   B-LOCATION
,   O
13151   B-LOCATION
Phone   O
:   O
(   B-CONTACT
962   I-CONTACT
)   I-CONTACT
571   I-CONTACT
1079   I-CONTACT
Attending   O
Physician   O
:   O
Bullock   B-NAME
Hospital   O
Name   O
:   O
West   B-LOCATION
Side   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/2   B-DATE
Date   O
of   O
Report   O
:   O
17/12   B-DATE
Medical   O
History   O
:   O

The   O
patient   O
,   O
a   O
Sawing   O
Machine   O
Tool   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
,   O
presented   O
to   O
Jackson   B-LOCATION
Purchase   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/17   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

The   O
patient   O
denies   O
any   O
significant   O
recent   O
travel   O
history   O
outside   O
Bromide   B-LOCATION
or   O
any   O
exposure   O
to   O
known   O
allergens   O
or   O
toxins   O
.   O

A   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
scan   O
of   O
the   O
brain   O
,   O
ordered   O
on   O
2232   B-DATE
,   O
did   O
not   O
show   O
any   O
acute   O
abnormalities   O
.   O

Follow   O
-   O
up   O
in   O
the   O
outpatient   O
clinic   O
with   O
Bianca   B-NAME
Perry   I-NAME
is   O
scheduled   O
for   O
6/20/52   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O
Authorization   O
for   O
Release   O
of   O
Information   O
:   O

The   O
patient   O
has   O
consented   O
to   O
the   O
release   O
of   O
medical   O
information   O
to   O
Media   B-LOCATION
Entertainment   I-LOCATION
and   I-LOCATION
Arts   I-LOCATION
Alliance   I-LOCATION
for   O
insurance   O
claims   O
processing   O
.   O

Additionally   O
,   O
the   O
patient   O
agreed   O
to   O
participate   O
in   O
migraine   O
management   O
workshops   O
organized   O
by   O
Conway   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
scheduled   O
for   O
1/23   B-DATE
.   O
Prepared   O
by   O
:   O
dy333   B-NAME
,   O
Reporting   O
Officer   O
91453   B-CONTACT
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Divine   I-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
December   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Finley   B-NAME
Whitehead   I-NAME
Patient   O
ID   O
:   O
CC:9805:124891   B-ID
Medical   O
Record   O
Number   O
:   O
567   B-ID
-   I-ID
89   I-ID
-   I-ID
33   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
11/26   B-DATE
Age   O
:   O
87   O
Address   O
:   O
Broomfield   B-LOCATION
,   O
10188   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
280   I-CONTACT
)   I-CONTACT
700   I-CONTACT
4586   I-CONTACT
Employment   O
:   O

Homeless   O
support   O
worker   O
at   O
Delmarva   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Yadira   B-NAME
Harding   I-NAME
Summary   O
:   O
Patient   O
Anna   B-NAME
Mccann   I-NAME
,   O
a   O
62   O
-   O
year   O
-   O
old   O
Purchasing   O
Agents   O
,   O
Except   O
Wholesale   O
,   O
Retail   O
,   O
and   O
Farm   O
Products   O
employed   O
at   O
Peninsula   B-LOCATION
Bank   I-LOCATION
,   O
presented   O
to   O
Lockport   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
30   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
,   O
fever   O
,   O
and   O
photophobia   O
.   O

Julian   B-NAME
Sierson   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
following   O
a   O
recent   O
return   O
from   O
a   O
trip   O
to   O
Harlingen   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78550   I-LOCATION
around   O
11/31   B-DATE
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Samson   B-NAME
May   I-NAME
exhibited   O
signs   O
of   O
nuchal   O
rigidity   O
and   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
.   O

Management   O
and   O
Recommendations   O
:   O
Dr.   O
Foley   B-NAME
,   I-NAME
Mick   I-NAME
recommended   O
initiating   O
antiviral   O
therapy   O
immediately   O
along   O
with   O
analgesics   O
for   O
headache   O
management   O
.   O

Hospitalization   O
at   O
CHRISTUS   B-LOCATION
Mother   I-LOCATION
Frances   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Sulphur   I-LOCATION
Springs   I-LOCATION
was   O
advised   O
for   O
close   O
monitoring   O
and   O
supportive   O
care   O
,   O
including   O
hydration   O
and   O
fever   O
management   O
.   O

A   O
follow   O
-   O
up   O
MRI   O
was   O
scheduled   O
for   O
1923   B-DATE
to   O
rule   O
out   O
any   O
complications   O
,   O
such   O
as   O
encephalitis   O
.   O

Notes   O
:   O
-   O
Kay   B-NAME
has   O
been   O
advised   O
to   O
take   O
a   O
temporary   O
leave   O
from   O
their   O
position   O
as   O
a   O
Mine   O
Cutting   O
and   O
Channeling   O
Machine   O
Operators   O
at   O
Florida   B-LOCATION
Power   I-LOCATION
&   I-LOCATION
Light   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
NextEra   I-LOCATION
Energy   I-LOCATION
to   O
facilitate   O
recovery   O
.   O
-   O
Hendrickson   B-NAME
,   I-NAME
D.   I-NAME
and   O
their   O
emergency   O
contact   O
(   O
77358   B-CONTACT
)   O
were   O
instructed   O
on   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
treatment   O
plan   O
and   O
were   O
provided   O
with   O
precautionary   O
measures   O
to   O
prevent   O
the   O
spread   O
of   O
infection   O
to   O
close   O
contacts   O
.   O
-   O

The   O
consent   O
forms   O
for   O
treatment   O
were   O
signed   O
by   O
Liebling   B-NAME
,   I-NAME
A.   I-NAME
J.   I-NAME
on   O
7/12   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2/76   B-DATE
at   O
Harper   B-LOCATION
Hospital   I-LOCATION
District   I-LOCATION
No   I-LOCATION
.   I-LOCATION
5   I-LOCATION
–   I-LOCATION
Harper   I-LOCATION
's   O
neurology   O
department   O
with   O
Dr.   O
Fletcher   B-NAME
to   O
assess   O
response   O
to   O
treatment   O
and   O
discuss   O
further   O
management   O
if   O
necessary   O
.   O

This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
individual   O
named   O
above   O
and   O
the   O
medical   O
staff   O
at   O
Bath   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
inquiries   O
or   O
to   O
update   O
patient   O
information   O
,   O
please   O
contact   O
West   B-LOCATION
Boca   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
930   B-CONTACT
-   I-CONTACT
3989   I-CONTACT
.   O

Patient   O
Name   O
:   O
Carolann   B-NAME
Vanwart   I-NAME
Medical   O
Record   O
Number   O
:   O
139   B-ID
-   I-ID
92   I-ID
-   I-ID
21   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Birth   O
:   O
2/21/37   B-DATE
Age   O
:   O
91   O
Address   O
:   O
Floral   B-LOCATION
City   I-LOCATION
,   O
76115   B-LOCATION
Phone   O
Number   O
:   O
266   B-CONTACT
-   I-CONTACT
768   I-CONTACT
-   I-CONTACT
1430   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Sean   B-NAME
Vasques   I-NAME
Hospital   O
:   O
Emory   B-LOCATION
Decatur   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2165/19/03   B-DATE
ID   O
Number   O
:   O
4   B-ID
-   I-ID
8890685   I-ID
Clinical   O
Summary   O
:   O
Beckham   B-NAME
Buchanan   I-NAME
,   O
a   O
Nuclear   O
Technicians   O
residing   O
in   O
West   B-LOCATION
Brattleboro   I-LOCATION
,   O
presented   O
to   O
Trego   B-LOCATION
County   I-LOCATION
-   I-LOCATION
Lemke   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
WaKeeney   I-LOCATION
on   O
Sunday   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
chest   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
localized   O
to   O
the   O
left   O
sternal   O
border   O
.   O

alvarado   B-NAME
reports   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Collins   B-NAME
denies   O
any   O
recent   O
upper   O
respiratory   O
infections   O
,   O
cough   O
,   O
or   O
fever   O
.   O

Ware   B-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
,   O
managed   O
by   O
Fatima   B-NAME
Chan   I-NAME
with   O
medication   O
.   O

Examination   O
and   O
Diagnostic   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Mitchell   B-NAME
,   I-NAME
John   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Electrocardiogram   O
(   O
ECG   O
)   O
performed   O
in   O
the   O
emergency   O
department   O
at   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Jefferson   I-LOCATION
City   I-LOCATION
indicated   O
ST   O
segment   O
elevations   O
in   O
the   O
anterior   O
leads   O
.   O

Sharron   B-NAME
Eisele   I-NAME
was   O
immediately   O
administered   O
aspirin   O
,   O
a   O
loading   O
dose   O
of   O
ticagrelor   O
,   O
and   O
intravenous   O
heparin   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

yanez   B-NAME
was   O
urgently   O
referred   O
to   O
the   O
cardiology   O
team   O
for   O
cardiac   O
catheterization   O
,   O
which   O
revealed   O
a   O
significant   O
obstruction   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
that   O
was   O
successfully   O
managed   O
with   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
and   O
stent   O
placement   O
.   O

Post   O
-   O
procedure   O
,   O
Mcfarland   B-NAME
's   O
condition   O
stabilized   O
,   O
and   O
symptoms   O
resolved   O
.   O

Theodore   B-NAME
Contreras   I-NAME
was   O
discharged   O
on   O
9/01   B-DATE
with   O
prescriptions   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
statin   O
,   O
beta   O
-   O
blocker   O
,   O
and   O
ACE   O
inhibitor   O
.   O

Follow   O
-   O
up   O
with   O
Zoie   B-NAME
Bird   I-NAME
at   O
Spencer   B-LOCATION
,   I-LOCATION
OK   I-LOCATION
73084   I-LOCATION
was   O
arranged   O
for   O
ongoing   O
management   O
and   O
secondary   O
prevention   O
of   O
coronary   O
artery   O
disease   O
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Dominick   B-NAME
Hardy   I-NAME
was   O
advised   O
to   O
engage   O
in   O
lifestyle   O
modifications   O
including   O
a   O
low   O
-   O
saturated   O
fat   O
,   O
low   O
-   O
cholesterol   O
diet   O
,   O
regular   O
physical   O
activity   O
after   O
clearance   O
from   O
Mathis   B-NAME
,   O
and   O
strict   O
adherence   O
to   O
prescribed   O
medications   O
.   O

Nehemiah   B-NAME
Jimenez   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
cardiac   O
rehabilitation   O
and   O
was   O
referred   O
to   O
a   O
program   O
in   O
Azusa   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
91702   I-LOCATION
.   O

Lucero   B-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Arnold   B-NAME
for   O
22/24   B-DATE
to   O
assess   O
medication   O
efficacy   O
and   O
side   O
effects   O
,   O
and   O
to   O
discuss   O
the   O
progress   O
in   O
cardiac   O
rehabilitation   O
.   O

For   O
further   O
assistance   O
or   O
to   O
report   O
any   O
side   O
effects   O
from   O
the   O
medication   O
,   O
Woolf   B-NAME
,   I-NAME
Virginia   I-NAME
is   O
encouraged   O
to   O
contact   O
Velez   B-NAME
at   O
57388   B-CONTACT
or   O
visit   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Boise   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
experiencing   O
emergency   O
symptoms   O
.   O

Polish   B-LOCATION
Legion   I-LOCATION
of   I-LOCATION
American   I-LOCATION
Veterans   I-LOCATION
and   O
health   O
personnel   O
remain   O
committed   O
to   O
providing   O
exceptional   O
care   O
to   O
our   O
patients   O
and   O
advancing   O
their   O
well   O
-   O
being   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
4182299   B-ID
Personal   O
Information   O
:   O
-   O
Name   O
:   O
Pipt   B-NAME
-   O
Date   O
of   O
Birth   O
:   O
1/21/2150   B-DATE
-   O
Address   O
:   O
Heil   B-LOCATION
,   O
74315   B-LOCATION
-   O
Phone   O
:   O
83296   B-CONTACT
-   O
Occupation   O
:   O
Transportation   O
Managers   O
Referring   O
Physician   O
:   O
Mullins   B-NAME
Hospital   O
:   O
Freeman   B-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
Medical   O
History   O
Number   O
:   O
VL:28368:936921   B-ID
Clinical   O
Summary   O
:   O
On   O
22/23   B-DATE
,   O
Milagros   B-NAME
Irwin   I-NAME
was   O
admitted   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Gulfport   I-LOCATION
following   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

Dangelo   B-NAME
Oneill   I-NAME
mentioned   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
morning   O
of   O
March   B-DATE
22   I-DATE
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Bowers   B-NAME
,   O
performed   O
a   O
physical   O
examination   O
revealing   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
abdomen   O
,   O
indicative   O
of   O
peritonitis   O
.   O

Further   O
diagnostic   O
imaging   O
,   O
including   O
an   O
abdominal   O
ultrasound   O
performed   O
on   O
0/13   B-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Given   O
the   O
findings   O
,   O
surgical   O
consultation   O
was   O
recommended   O
,   O
and   O
appendectomy   O
was   O
performed   O
without   O
complications   O
on   O
2076   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
34   I-DATE
.   O

Postoperatively   O
,   O
Carus   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

The   O
medical   O
team   O
monitored   O
Schaar   B-NAME
,   I-NAME
John   I-NAME
's   O
recovery   O
closely   O
,   O
assessing   O
pain   O
management   O
and   O
wound   O
healing   O
.   O

Xavier   B-NAME
Morse   I-NAME
exhibited   O
good   O
postoperative   O
recovery   O
,   O
with   O
reduced   O
abdominal   O
tenderness   O
and   O
no   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
03/17   B-DATE
with   O
Bryce   B-NAME
Landry   I-NAME
at   O
Ascension   B-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Southfield   I-LOCATION
Campus   I-LOCATION
to   O
ensure   O
continued   O
recovery   O
and   O
address   O
any   O
concerns   O
Deja   B-NAME
Carroll   I-NAME
might   O
have   O
.   O

Additionally   O
,   O
Aira   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
increased   O
abdominal   O
pain   O
.   O

Recommendations   O
for   O
Discharge   O
:   O
-   O
Continue   O
antibiotic   O
medication   O
as   O
prescribed   O
.   O
-   O
Resume   O
normal   O
activities   O
gradually   O
,   O
avoiding   O
strenuous   O
exercise   O
for   O
02/22   B-DATE
weeks   O
.   O

-   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
on   O
July   B-DATE
24   I-DATE
.   O
Authorization   O
:   O
This   O
report   O
has   O
been   O
examined   O
and   O
authorized   O
by   O
Brady   B-NAME
Robertson   I-NAME
,   O
22/08   B-DATE
.   O

Any   O
disclosure   O
,   O
copying   O
,   O
or   O
distribution   O
without   O
express   O
consent   O
from   O
Caroline   B-NAME
Moore   I-NAME
is   O
prohibited   O
.   O

For   O
further   O
inquiries   O
,   O
please   O
contact   O
UPMC   B-LOCATION
Community   I-LOCATION
at   O
746   B-CONTACT
-   I-CONTACT
460   I-CONTACT
-   I-CONTACT
8415   I-CONTACT
.   O

Patient   O
Name   O
:   O
Antunes   B-NAME
,   I-NAME
António   I-NAME
Lobo   I-NAME
ID   O
:   O
OH:8947:856550   B-ID

Medical   O
Record   O
Number   O
:   O
6022665   B-ID
Age   O
:   O
74   O
Date   O
of   O
Visit   O
:   O
09/32   B-DATE
Attending   O
Doctor   O
:   O
Barrett   B-NAME
Hospital   O
:   O
Little   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Kit   B-LOCATION
Carson   I-LOCATION
Phone   O
:   O
83296   B-CONTACT
Occupation   O
:   O

Molecular   O
and   O
Cellular   O
Biologists   O
Username   O
:   O
cdn44   B-NAME
Zip   O
Code   O
:   O
20771   B-LOCATION
Report   O
:   O
Lillie   B-NAME
Hampton   I-NAME
,   O
a   O
Freight   O
forwarder   O
residing   O
in   O
Hunterstown   B-LOCATION
,   O
with   O
Zip   O
Code   O
79426   B-LOCATION
,   O
presented   O
to   O
North   B-LOCATION
Baldwin   I-LOCATION
Infirmary   I-LOCATION
on   O
23/23/2302   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
intermittent   O
chest   O
pain   O
,   O
and   O
palpitations   O
that   O
have   O
been   O
ongoing   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Larissa   B-NAME
Aberle   I-NAME
reports   O
the   O
chest   O
pain   O
is   O
typically   O
sharp   O
and   O
localized   O
to   O
the   O
mid   O
-   O
sternal   O
region   O
,   O
exacerbated   O
by   O
deep   O
breaths   O
and   O
certain   O
movements   O
.   O

Todd   B-NAME
Riley   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
but   O
mentions   O
a   O
high   O
level   O
of   O
stress   O
at   O
work   O
as   O
a   O
Infantry   O
in   O
recent   O
months   O
.   O

Initial   O
laboratory   O
tests   O
were   O
ordered   O
by   O
Clement   B-NAME
Molloch   I-NAME
,   O
including   O
complete   O
blood   O
count   O
,   O
comprehensive   O
metabolic   O
panel   O
,   O
and   O
thyroid   O
function   O
tests   O
,   O
all   O
of   O
which   O
returned   O
within   O
normal   O
limits   O
.   O

However   O
,   O
Oliver   B-NAME
Crane   I-NAME
's   O
electrocardiogram   O
(   O
ECG   O
)   O
showed   O
nonspecific   O
T   O
-   O
wave   O
abnormalities   O
.   O

Given   O
the   O
symptoms   O
and   O
ECG   O
findings   O
,   O
Short   B-NAME
further   O
recommended   O
an   O
echocardiogram   O
to   O
assess   O
Gina   B-NAME
Murillo   I-NAME
's   O
cardiac   O
structure   O
and   O
function   O
,   O
which   O
was   O
conducted   O
on   O
03/10/2022   B-DATE
.   O

Rivera   B-NAME
has   O
planned   O
a   O
follow   O
-   O
up   O
stress   O
test   O
to   O
rule   O
out   O
ischemic   O
heart   O
disease   O
as   O
the   O
underlying   O
cause   O
of   O
Eleanora   B-NAME
Durfey   I-NAME
's   O
chest   O
pain   O
and   O
palpitations   O
.   O

Furion   B-NAME
Lemans   I-NAME
discussed   O
the   O
importance   O
of   O
lifestyle   O
modification   O
and   O
stress   O
management   O
techniques   O
with   O
Hatshepsut   B-NAME
to   O
address   O
the   O
potential   O
psychosomatic   O
contributors   O
to   O
their   O
symptoms   O
.   O

A   O
referral   O
to   O
a   O
psychiatrist   O
within   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
North   I-LOCATION
Metro   I-LOCATION
will   O
be   O
made   O
to   O
explore   O
the   O
possibility   O
of   O
anxiety   O
or   O
stress   O
-   O
related   O
disorders   O
further   O
.   O

Prescriptions   O
for   O
a   O
beta   O
-   O
blocker   O
and   O
an   O
as   O
-   O
needed   O
anxiolytic   O
were   O
given   O
to   O
Ruth   B-NAME
Mcguire   I-NAME
,   O
with   O
a   O
scheduled   O
follow   O
-   O
up   O
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
worsened   O
.   O

Quintillus   B-NAME
Hinely   I-NAME
was   O
advised   O
to   O
monitor   O
their   O
symptoms   O
closely   O
and   O
contact   O
Kanakanak   B-LOCATION
Hospital   I-LOCATION
at   O
98792   B-CONTACT
if   O
they   O
experience   O
any   O
new   O
or   O
troubling   O
symptoms   O
.   O

For   O
any   O
questions   O
regarding   O
this   O
report   O
,   O
please   O
contact   O
our   O
office   O
at   O
90316   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
ostrowski   B-NAME
Age   O
:   O
7   O
week   O
Date   O
of   O
Birth   O
:   O
1/29   B-DATE
Medical   O
Record   O
Number   O
:   O
57471725   B-ID
ID   O
Number   O
:   O
JB:95050:636203   B-ID
Phone   O
Number   O
:   O
884   B-CONTACT
-   I-CONTACT
5050   I-CONTACT
Address   O
:   O
Swanley   B-LOCATION
,   O
57951   B-LOCATION
Profession   O
:   O
Psychologists   O
,   O
All   O
Other   O
Presenting   O
Problem   O
:   O
Webb   B-NAME
was   O
admitted   O
to   O
University   B-LOCATION
of   I-LOCATION
Miami   I-LOCATION
Hospital   I-LOCATION
on   O
March   B-DATE
'   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Colten   B-NAME
Potter   I-NAME
,   O
a   O
6   O
-   O
year   O
-   O
old   O
Data   O
analyst   O
,   O
reported   O
the   O
onset   O
of   O
abdominal   O
pain   O
after   O
consuming   O
a   O
large   O
,   O
fatty   O
meal   O
.   O

Past   O
Medical   O
History   O
:   O
Gay   B-NAME
,   I-NAME
John   I-NAME
has   O
a   O
history   O
of   O
hyperlipidemia   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
two   O
years   O
ago   O
.   O

Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
Vaughn   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
An   O
abdominal   O
ultrasound   O
performed   O
on   O
February   B-DATE
showed   O
signs   O
consistent   O
with   O
acute   O
pancreatitis   O
,   O
including   O
an   O
enlarged   O
pancreas   O
and   O
peripancreatic   O
fluid   O
collection   O
.   O

Treatment   O
:   O
Yechiel   B-NAME
Kidd   I-NAME
was   O
managed   O
with   O
intravenous   O
hydration   O
,   O
pain   O
control   O
,   O
and   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
.   O

Follow   O
-   O
Up   O
:   O
Evan   B-NAME
Rendell   I-NAME
showed   O
significant   O
improvement   O
over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
and   O
was   O
discharged   O
on   O
01/04/2273   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Hamilton   B-NAME
,   I-NAME
Alexander   I-NAME
at   O
Mountain   B-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
scheduled   O
for   O
03/07/50   B-DATE
.   O

Emergency   O
Contact   O
:   O
Alexis   B-NAME
Melendez   I-NAME
listed   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
,   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
(   O
478   B-CONTACT
2086   I-CONTACT
)   O
as   O
the   O
emergency   O
contact   O
.   O

Cook   B-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
persistent   O
vomiting   O
,   O
severe   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
hyperglycemia   O
are   O
observed   O
.   O

Dr.   O
Pace   B-NAME
Location   O
of   O
Consultation   O
:   O
Paul   B-LOCATION
Smiths   I-LOCATION
Insurance   O
Information   O
:   O
Suellen   B-NAME
is   O
covered   O
under   O
Maharashtra   B-LOCATION
General   I-LOCATION
Kamgar   I-LOCATION
Union   I-LOCATION
health   O
plan   O
,   O
policy   O
number   O
9   B-ID
-   I-ID
1272699   I-ID
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Madalynn   B-NAME
Daugherty   I-NAME
Age   O
:   O
17   O
Medical   O
Record   O
Number   O
:   O
60810458   B-ID
ID   O
Number   O
:   O
HJ   B-ID
:   I-ID
BN:3668   I-ID
Phone   O
:   O
(   B-CONTACT
228   I-CONTACT
)   I-CONTACT
170   I-CONTACT
2107   I-CONTACT
Address   O
:   O
Rennert   B-LOCATION
,   O
86068   B-LOCATION
Employment   O
:   O
Sheet   B-LOCATION
Metal   I-LOCATION
Workers   I-LOCATION
International   I-LOCATION
Association   I-LOCATION
,   O
Funeral   O
Attendants   O
Date   O
of   O
Visit   O
:   O
05/20   B-DATE
Referred   O
by   O
:   O
Charles   B-NAME
,   I-NAME
Ray   I-NAME
Treating   O
Hospital   O
:   O
Summit   B-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Amiah   B-NAME
Joseph   I-NAME
presented   O
on   O
22   B-DATE
's   I-DATE
with   O
a   O
detailed   O
history   O
of   O
episodic   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
exacerbated   O
by   O
physical   O
exertion   O
and   O
relieved   O
upon   O
resting   O
.   O

Additionally   O
,   O
Sanai   B-NAME
Ball   I-NAME
reported   O
shortness   O
of   O
breath   O
,   O
episodes   O
of   O
dizziness   O
,   O
and   O
an   O
episode   O
of   O
syncope   O
that   O
occured   O
approximately   O
one   O
week   O
prior   O
to   O
the   O
current   O
visit   O
.   O

On   O
physical   O
examination   O
,   O
Truman   B-NAME
,   I-NAME
Harry   I-NAME
S.   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
with   O
a   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
,   O
a   O
heart   O
rate   O
of   O
78   O
beats   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
96   O
%   O
on   O
room   O
air   O
.   O

Diagnostic   O
tests   O
including   O
an   O
electrocardiogram   O
(   O
EKG   O
)   O
performed   O
on   O
33/07/98   B-DATE
was   O
indicative   O
of   O
left   O
ventricular   O
hypertrophy   O
.   O

Arthur   B-NAME
Harmon   I-NAME
was   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
and   O
statin   O
therapy   O
to   O
manage   O
chest   O
pain   O
and   O
regulate   O
cholesterol   O
levels   O
.   O

A   O
referral   O
to   O
a   O
cardiologist   O
at   O
Grove   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
made   O
for   O
further   O
assessment   O
of   O
aortic   O
valve   O
stenosis   O
and   O
consideration   O
for   O
surgical   O
intervention   O
.   O

Elsu   B-NAME
was   O
advised   O
to   O
modify   O
lifestyle   O
factors   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
cessation   O
of   O
smoking   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2/24/83   B-DATE
to   O
reassess   O
symptoms   O
and   O
evaluate   O
the   O
response   O
to   O
medication   O
.   O

Erick   B-NAME
Santana   I-NAME
was   O
educated   O
on   O
recognizing   O
signs   O
of   O
cardiac   O
distress   O
and   O
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
until   O
further   O
assessment   O
.   O

Peace   B-NAME
was   O
provided   O
with   O
556   B-CONTACT
-   I-CONTACT
585   I-CONTACT
-   I-CONTACT
6486   I-CONTACT
to   O
contact   O
emergency   O
services   O
should   O
symptoms   O
of   O
chest   O
pain   O
,   O
severe   O
shortness   O
of   O
breath   O
,   O
or   O
syncope   O
recur   O
.   O

A   O
repeat   O
consultation   O
with   O
Konner   B-NAME
Le   I-NAME
at   O
Aurora   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
is   O
scheduled   O
for   O
December   B-DATE
to   O
evaluate   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Continuous   O
communication   O
between   O
Sean   B-NAME
Collins   I-NAME
and   O
the   O
healthcare   O
team   O
is   O
essential   O
for   O
successful   O
management   O
of   O
the   O
condition   O
.   O

Patient   O
Report   O
for   O
Xian   B-NAME
Demographics   O
:   O
Age   O
:   O
54   O
Medical   O
Record   O
Number   O
:   O
41383820   B-ID
Date   O
of   O
Report   O
:   O
12/42   B-DATE
Address   O
:   O
Kealakekua   B-LOCATION
,   O
11349   B-LOCATION
Phone   O
Number   O
:   O
34491   B-CONTACT
Physician   O
:   O

Mariam   B-NAME
Zamora   I-NAME
Hospital   O
:   O
Prisma   B-LOCATION
Health   I-LOCATION
Oconee   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O
Heating   O
and   O
Air   O
Conditioning   O
Mechanics   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Computer   O
and   O
Information   O
Systems   O
Managers   O
by   O
profession   O
,   O
presented   O
to   O
the   O
outpatient   O
department   O
at   O
Bassett   B-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Schoharie   I-LOCATION
County   I-LOCATION
on   O
8/05   B-DATE
complaining   O
of   O
persistent   O
,   O
severe   O
headaches   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Aubrey   B-NAME
Hattaway   I-NAME
notes   O
the   O
onset   O
of   O
symptoms   O
approximately   O
Jan   B-DATE
81   I-DATE
,   O
with   O
headaches   O
initially   O
occuring   O
bi   O
-   O
weekly   O
.   O

The   O
intensity   O
of   O
the   O
headaches   O
escalated   O
significantly   O
over   O
the   O
past   O
2057   B-DATE
,   O
leading   O
to   O
decreased   O
work   O
productivity   O
as   O
a   O
Helpers   O
--   O
Carpenters   O
.   O

Bryce   B-NAME
Rasmussen   I-NAME
denies   O
any   O
chronic   O
health   O
conditions   O
and   O
states   O
being   O
generally   O
healthy   O
before   O
the   O
onset   O
of   O
the   O
current   O
symptoms   O
.   O

Social   O
History   O
:   O
Duffy   B-NAME
,   O
a   O
Media   O
analyst   O
,   O
reports   O
a   O
stressful   O
work   O
environment   O
over   O
the   O
past   O
35/10/22   B-DATE
,   O
which   O
may   O
be   O
contributing   O
to   O
the   O
symptoms   O
.   O

The   O
patient   O
was   O
advised   O
to   O
return   O
to   O
Madera   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
26850   B-CONTACT
for   O
any   O
worsening   O
of   O
symptoms   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Wallace   B-NAME
on   O
2/3/34   B-DATE
,   O
and   O
it   O
is   O
stored   O
under   O
the   O
patient   O
's   O
medical   O
record   O
number   O
7046292   B-ID
for   O
Evans   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
further   O
information   O
,   O
please   O
contact   O
Memorial   B-LOCATION
Sloan   I-LOCATION
-   I-LOCATION
Kettering   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
at   O
94261   B-CONTACT
.   O

The   O
patient   O
,   O
Jaylin   B-NAME
Lindsey   I-NAME
,   O
a   O
Mail   O
Clerks   O
and   O
Mail   O
Machine   O
Operators   O
,   O
Except   O
Postal   O
Service   O
from   O
Chicago   B-LOCATION
-   I-LOCATION
Portage   I-LOCATION
Park   I-LOCATION
,   I-LOCATION
Six   I-LOCATION
Corners   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
presented   O
to   O
Taylor   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
August   B-DATE
21   I-DATE
with   O
complaints   O
of   O
intermittent   O
,   O
severe   O
headaches   O
predominantly   O
in   O
the   O
frontal   O
region   O
.   O

The   O
onset   O
of   O
these   O
symptoms   O
was   O
approximately   O
9   B-DATE
-   I-DATE
2   I-DATE
,   O
with   O
increasing   O
frequency   O
and   O
intensity   O
noted   O
over   O
the   O
past   O
few   O
weeks   O
.   O

Holly   B-NAME
Martinez   I-NAME
also   O
reported   O
associated   O
nausea   O
and   O
one   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
admission   O
.   O

Upon   O
further   O
inquiry   O
,   O
QUAGLIA   B-NAME
,   I-NAME
BRONSON   I-NAME
mentioned   O
a   O
recent   O
history   O
of   O
visual   O
disturbances   O
,   O
characterized   O
as   O
transient   O
flashes   O
of   O
light   O
,   O
and   O
a   O
"   O
curtain   O
coming   O
down   O
"   O
over   O
the   O
field   O
of   O
vision   O
in   O
the   O
right   O
eye   O
.   O

Fleming   B-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
a   O
family   O
history   O
of   O
glaucoma   O
.   O

Christopher   B-NAME
Gibbs   I-NAME
's   O
occupational   O
history   O
,   O
being   O
a   O
Extraction   O
Workers   O
,   O
All   O
Other   O
,   O
involves   O
significant   O
computer   O
usage   O
,   O
which   O
Alec   B-NAME
Rivera   I-NAME
noted   O
sometimes   O
exacerbates   O
the   O
headache   O
severity   O
.   O

A   O
neurological   O
examination   O
performed   O
by   O
George   B-NAME
Cole   I-NAME
revealed   O
no   O
focal   O
neurological   O
deficits   O
,   O
and   O
fundoscopic   O
examination   O
was   O
unremarkable   O
.   O

Additionally   O
,   O
management   O
of   O
Waller   B-NAME
's   O
blood   O
pressure   O
was   O
addressed   O
to   O
mitigate   O
any   O
risk   O
factors   O
for   O
further   O
complications   O
.   O

As   O
of   O
May   B-DATE
2311   I-DATE
,   O
preliminary   O
findings   O
from   O
the   O
MRI   O
and   O
specialist   O
evaluations   O
are   O
pending   O
.   O

Sims   B-NAME
has   O
been   O
prescribed   O
a   O
migraine   O
-   O
specific   O
medication   O
for   O
symptomatic   O
relief   O
and   O
has   O
been   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
better   O
characterize   O
the   O
headaches   O
’   O
frequency   O
,   O
duration   O
,   O
and   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
March   B-DATE
with   O
Manuel   B-NAME
Gonzalez   I-NAME
at   O
Crestwood   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
review   O
the   O
investigative   O
results   O
and   O
adapt   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

The   O
patient   O
's   O
contact   O
information   O
has   O
been   O
recorded   O
as   O
49153   B-CONTACT
,   O
with   O
an   O
emergency   O
contact   O
listed   O
under   O
the   O
same   O
phone   O
number   O
.   O

The   O
medical   O
record   O
number   O
for   O
Richard   B-NAME
Vallon   I-NAME
is   O
noted   O
as   O
6905649   B-ID
.   O

Any   O
further   O
correspondence   O
and   O
updates   O
regarding   O
Dijkstra   B-NAME
,   I-NAME
Edsger   I-NAME
's   O
condition   O
will   O
be   O
communicated   O
through   O
the   O
healthcare   O
portal   O
,   O
username   O
DI169   B-NAME
,   O
and   O
notifications   O
will   O
be   O
sent   O
to   O
the   O
provided   O
contact   O
information   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
2985956   B-ID
December   B-DATE
29   I-DATE
,   O
Frankie   B-NAME
Farmer   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
Wuesthoff   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
noting   O
the   O
pain   O
's   O
onset   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Leyva   B-NAME
's   O
vitals   O
upon   O
admission   O
were   O
recorded   O
as   O
follows   O
:   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
at   O
130/85   O
mmHg   O
.   O

Upon   O
further   O
examination   O
,   O
Theodore   B-NAME
Chan   I-NAME
observed   O
rebound   O
tenderness   O
during   O
the   O
physical   O
examination   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
possible   O
appendicitis   O
.   O

The   O
patient   O
also   O
reported   O
nausea   O
without   O
vomiting   O
and   O
a   O
lack   O
of   O
appetite   O
since   O
the   O
morning   O
of   O
22/29   B-DATE
.   O
Laboratory   O
tests   O
ordered   O
by   O
Desiree   B-NAME
Cooper   I-NAME
include   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
a   O
leukocytosis   O
with   O
a   O
left   O
shift   O
.   O

Ford   B-NAME
decided   O
on   O
a   O
surgical   O
intervention   O
,   O
specifically   O
a   O
laparoscopic   O
appendectomy   O
,   O
scheduled   O
for   O
7   B-DATE
-   I-DATE
25   I-DATE
.   O

Post   O
-   O
Operative   O
Care   O
:   O
Post   O
-   O
surgery   O
,   O
Dawson   B-NAME
's   O
recovery   O
was   O
monitored   O
in   O
the   O
surgical   O
unit   O
of   O
Lake   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Paul   B-NAME
Reilly   I-NAME
demonstrated   O
no   O
post   O
-   O
operative   O
complications   O
,   O
and   O
was   O
discharged   O
on   O
February   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Rios   B-NAME
in   O
two   O
weeks   O
'   O
time   O
.   O

For   O
any   O
queries   O
or   O
concerns   O
,   O
the   O
patient   O
was   O
advised   O
to   O
contact   O
Scripps   B-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
San   I-LOCATION
Diego   I-LOCATION
's   O
surgical   O
department   O
at   O
829   B-CONTACT
-   I-CONTACT
5971   I-CONTACT
,   O
or   O
to   O
reach   O
out   O
to   O
Mcpherson   B-NAME
's   O
office   O
directly   O
.   O

Follow   O
-   O
Up   O
:   O
Vaughan   B-NAME
advised   O
Irvin   B-NAME
Joshua   I-NAME
Morgan   I-NAME
to   O
monitor   O
the   O
wound   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
,   O
and   O
to   O
report   O
any   O
such   O
findings   O
immediately   O
.   O

Additionally   O
,   O
Kailyn   B-NAME
Curtis   I-NAME
was   O
instructed   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
04/04/2231   B-DATE
weeks   O
to   O
facilitate   O
healing   O
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
(   O
qkh474   B-NAME
)   O
at   O
(   B-CONTACT
118   I-CONTACT
)   I-CONTACT
200   I-CONTACT
-   I-CONTACT
3839   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Fort   B-LOCATION
Pierce   I-LOCATION
Utilities   I-LOCATION
Authority   I-LOCATION
remains   O
committed   O
to   O
ensuring   O
the   O
privacy   O
and   O
security   O
of   O
our   O
patients   O
'   O
information   O
.   O

Please   O
direct   O
any   O
compliance   O
concerns   O
or   O
questions   O
to   O
our   O
privacy   O
office   O
at   O
461   B-CONTACT
3762   I-CONTACT
.   O

Spicer   B-LOCATION
,   O
14969   B-LOCATION

Patient   O
Report   O
for   O
Kennita   B-NAME
Summary   O
:   O
Erica   B-NAME
Harrell   I-NAME
,   O
a   O
Fraud   O
Examiners   O
,   O
Investigators   O
and   O
Analysts   O
from   O
Nicolaus   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Presbyterian   B-LOCATION
Espanola   I-LOCATION
Hospital   I-LOCATION
on   O
2/19/82   B-DATE
with   O
several   O
systemic   O
symptoms   O
that   O
required   O
immediate   O
attention   O
.   O

Medical   O
History   O
:   O
Umberto   B-NAME
Gibbons   I-NAME
has   O
a   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Newman   B-NAME
exhibited   O
signs   O
of   O
dehydration   O
and   O
was   O
noticeably   O
in   O
distress   O
.   O

Treatment   O
:   O
Given   O
the   O
findings   O
,   O
Brooks   B-NAME
recommended   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
.   O

Frank   B-NAME
Oden   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
and   O
consent   O
was   O
obtained   O
on   O
27/25   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Thomson   B-NAME
was   O
discharged   O
from   O
Merit   B-LOCATION
Health   I-LOCATION
Wesley   I-LOCATION
on   O
07/27/2245   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
after   O
one   O
week   O
.   O

During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
2/3   B-DATE
,   O
Alexzander   B-NAME
Cameron   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Orlando   B-NAME
Hamilton   I-NAME
was   O
advised   O
to   O
continue   O
the   O
antibiotics   O
course   O
to   O
completion   O
and   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O

Conclusion   O
:   O
Shane   B-NAME
Marshall   I-NAME
's   O
prompt   O
presentation   O
to   O
the   O
healthcare   O
facility   O
and   O
the   O
timely   O
intervention   O
by   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
's   O
medical   O
team   O
facilitated   O
a   O
swift   O
recovery   O
.   O

Medical   O
Record   O
:   O
26529238   B-ID
Patient   O
's   O
ID   O
:   O
4404719   B-ID
Physician   O
:   O
Leblanc   B-NAME
Hospital   O
Contact   O
:   O
86550   B-CONTACT
Date   O
of   O
Admission   O
:   O
1992   B-DATE
Date   O
of   O
Discharge   O
:   O
11/05/1904   B-DATE
Patient   O
's   O
Zip   O
Code   O
:   O
70415   B-LOCATION
Patient   O
's   O
Occupation   O
:   O
Electrical   O
Drafters   O

Patient   O
Name   O
:   O
Bob   B-NAME
Merrick   I-NAME
Patient   O
ID   O
:   O
SX685/2691   B-ID
Date   O
of   O
Birth   O
:   O
00/33/51   B-DATE
Medical   O
Record   O
No   O
:   O
6281803   B-ID
Age   O
:   O
3   O
month   O
Phone   O
Number   O
:   O
31801   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Wyatt   B-NAME
Address   O
:   O
Breinigsville   B-LOCATION
,   O
84612   B-LOCATION
Date   O
of   O
Visit   O
:   O
2032   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
22   I-DATE
Hospital   O
:   O
PeaceHealth   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Findings   O
:   O
Stephen   B-NAME
Kildare   I-NAME
,   O
a   O
Pressers   O
,   O
Hand   O
,   O
presented   O
to   O
our   O
facility   O
on   O
22th   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
-   O
grade   O
fever   O
lasting   O
for   O
more   O
than   O
7   O
days   O
.   O

On   O
physical   O
examination   O
,   O
Simon   B-NAME
,   I-NAME
Willie   I-NAME
had   O
a   O
temperature   O
of   O
38.6   O
°   O
C   O
(   O
101.5   O
°   O
F   O
)   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
92   O
%   O
on   O
room   O
air   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
2019   B-DATE
-   I-DATE
15   I-DATE
-   I-DATE
28   I-DATE
showed   O
bilateral   O
infiltrates   O
,   O
suggestive   O
of   O
pneumonia   O
.   O

Treatment   O
Plan   O
:   O
Sid   B-NAME
Handleman   I-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/02   B-DATE
for   O
management   O
of   O
COVID-19   O
pneumonia   O
.   O

Friedman   B-NAME
was   O
also   O
given   O
a   O
course   O
of   O
dexamethasone   O
to   O
reduce   O
inflammation   O
.   O

Due   O
to   O
the   O
severity   O
of   O
symptoms   O
,   O
Estrada   B-NAME
was   O
closely   O
monitored   O
in   O
a   O
dedicated   O
COVID-19   O
unit   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Villalpando   B-NAME
showed   O
gradual   O
improvement   O
and   O
was   O
discharged   O
on   O
21/22   B-DATE
with   O
instructions   O
for   O
self   O
-   O
isolation   O
and   O
home   O
care   O
.   O

A   O
follow   O
-   O
up   O
telehealth   O
consultation   O
is   O
scheduled   O
for   O
20/19   B-DATE
with   O
Dr.   O
Sapphon   B-NAME
Hollarn   I-NAME
.   O

Atkinson   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
if   O
there   O
is   O
difficulty   O
breathing   O
.   O

Healthcare   O
Provider   O
:   O
Orozco   B-NAME
376   B-CONTACT
7738   I-CONTACT
Cleveland   B-LOCATION
Clinic   I-LOCATION
Avon   I-LOCATION
Hospital   I-LOCATION
Privacy   O
Note   O
:   O
All   O
personal   O
health   O
information   O
has   O
been   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
compliance   O
standards   O
to   O
protect   O
the   O
patient   O
's   O
privacy   O
and   O
security   O
.   O

For   O
any   O
concerns   O
about   O
your   O
information   O
,   O
please   O
contact   O
our   O
Privacy   O
Officer   O
at   O
608   B-CONTACT
-   I-CONTACT
2853   I-CONTACT
.   O

Patient   O
Report   O
:   O
907   B-ID
-   I-ID
62   I-ID
-   I-ID
36   I-ID
-   I-ID
6   I-ID
Patient   O
Information   O
:   O
Name   O
:   O
Abbey   B-NAME
,   I-NAME
Edward   I-NAME
Age   O
:   O
9   O
Phone   O
:   O
912   B-CONTACT
4144   I-CONTACT
Address   O
:   O
Parmelee   B-LOCATION
,   O
29196   B-LOCATION
Medical   O
Provider   O
:   O
Dr.   O
Karley   B-NAME
Daniel   I-NAME
Hospital   O
:   O
CHRISTUS   B-LOCATION
Ochsner   I-LOCATION
St.   I-LOCATION
Patrick   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Lake   I-LOCATION
Charles   I-LOCATION
Date   O
of   O
Consultation   O
:   O
13   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
01   I-DATE
Summary   O
:   O
Isaias   B-NAME
Smelcer   I-NAME
,   O
a   O
Correctional   O
Officers   O
and   O
Jailers   O
by   O
profession   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
11/29   B-DATE
complaining   O
of   O
persistent   O
headaches   O
,   O
dizziness   O
,   O
and   O
occasional   O
blurred   O
vision   O
.   O

Medical   O
History   O
:   O
Ibrahim   B-NAME
Farmer   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
for   O
the   O
past   O
100   O
years   O
.   O

Upon   O
examination   O
,   O
Londa   B-NAME
Rosenbalm   I-NAME
's   O
blood   O
pressure   O
was   O
slightly   O
elevated   O
at   O
145/95   O
mmHg   O
.   O

A   O
CT   O
scan   O
of   O
the   O
head   O
was   O
performed   O
at   O
Coliseum   B-LOCATION
Medical   I-LOCATION
Centers   I-LOCATION
on   O
02   B-DATE
-   I-DATE
01   I-DATE
,   O
showing   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

Given   O
the   O
normal   O
diagnostic   O
workup   O
and   O
considering   O
the   O
history   O
of   O
hypertension   O
,   O
it   O
was   O
discussed   O
with   O
Richmond   B-NAME
that   O
the   O
headaches   O
could   O
be   O
related   O
to   O
poorly   O
controlled   O
blood   O
pressure   O
.   O

Dr.   O
Rene   B-NAME
Wilkinson   I-NAME
recommended   O
an   O
adjustment   O
in   O
the   O
current   O
hypertension   O
management   O
plan   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
9/26   B-DATE
to   O
reassess   O
blood   O
pressure   O
control   O
and   O
headache   O
symptoms   O
.   O

Instructions   O
were   O
given   O
to   O
Brooklyn   B-NAME
Mcconnell   I-NAME
to   O
monitor   O
their   O
blood   O
pressure   O
at   O
home   O
twice   O
daily   O
and   O
to   O
keep   O
a   O
headache   O
diary   O
noting   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
headaches   O
.   O

In   O
case   O
of   O
any   O
aggravation   O
of   O
symptoms   O
,   O
such   O
as   O
the   O
onset   O
of   O
a   O
severe   O
headache   O
,   O
visual   O
loss   O
,   O
or   O
any   O
new   O
neurological   O
symptoms   O
,   O
Jeffrey   B-NAME
Buchanan   I-NAME
was   O
advised   O
to   O
immediately   O
contact   O
North   B-LOCATION
Okaloosa   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
at   O
71004   B-CONTACT
or   O
return   O
to   O
the   O
clinic   O
.   O

This   O
medical   O
summary   O
is   O
confidential   O
,   O
intended   O
for   O
the   O
use   O
of   O
Mathias   B-NAME
Brooks   I-NAME
,   O
Haynes   B-NAME
,   O
and   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Greene   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Prepared   O
by   O
:   O
Dr.   O
Landers   B-NAME
,   I-NAME
Ann   I-NAME
Date   O
:   O
3/310   B-DATE
Contact   O
Information   O
:   O
953   B-CONTACT
912   I-CONTACT
7260   I-CONTACT

Patient   O
Name   O
:   O
Gauguin   B-NAME
,   I-NAME
Paul   I-NAME
Patient   O
ID   O
:   O
JR   B-ID
:   I-ID
BS:3787   I-ID
Medical   O
Record   O
Number   O
:   O
551   B-ID
-   I-ID
25   I-ID
-   I-ID
78   I-ID
Date   O
of   O
Birth   O
:   O
2266   B-DATE
Age   O
:   O
99   O
Phone   O
Number   O
:   O
52335   B-CONTACT
Address   O
:   O
The   B-LOCATION
Rock   I-LOCATION
,   O
87830   B-LOCATION
Occupation   O
:   O
Rehabilitation   O
Counselors   O
Attending   O
Physician   O
:   O

Page   B-NAME
Hospital   O
:   O
Jackson   B-LOCATION
South   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
January   B-DATE
Date   O
of   O
Report   O
:   O
32/02   B-DATE
Subjective   O
:   O

The   O
patient   O
,   O
a   O
65   O
-   O
year   O
-   O
old   O
Infantry   O
from   O
Senecaville   B-LOCATION
,   O
presented   O
to   O
Macon   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
November   B-DATE
30   I-DATE
,   I-DATE
2189   I-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
over   O
the   O
past   O
week   O
.   O

Bernardo   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
diabetes   O
mellitus   O
type   O
II   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Jerimiah   B-NAME
Wade   I-NAME
and   O
reports   O
being   O
a   O
non   O
-   O
smoker   O
with   O
occasional   O
alcohol   O
use   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
,   O
afd456   B-NAME
,   O
was   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
,   O
proposed   O
plan   O
,   O
and   O
was   O
provided   O
with   O
433   B-CONTACT
-   I-CONTACT
9603   I-CONTACT
for   O
emergency   O
contact   O
.   O

Consent   O
for   O
the   O
procedures   O
was   O
obtained   O
from   O
Reyna   B-NAME
Lindsey   I-NAME
and   O
ezz307   B-NAME
.   O

Follow   O
-   O
up   O
appointments   O
are   O
scheduled   O
with   O
Cox   B-NAME
for   O
3/28/20   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

All   O
medical   O
interventions   O
and   O
responses   O
will   O
be   O
closely   O
monitored   O
and   O
documented   O
in   O
Meredith   B-NAME
Wu   I-NAME
's   O
medical   O
record   O
(   O
3560915   B-ID
)   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
0108585   B-ID
Name   O
:   O
Simon   B-NAME
August   I-NAME
Age   O
:   O
32   O
Phone   O
Number   O
:   O
429   B-CONTACT
984   I-CONTACT
2338   I-CONTACT
Residence   O
:   O
Kingstree   B-LOCATION
,   O
50031   B-LOCATION
Employment   O
:   O

Mercado   B-NAME
Date   O
of   O
Admission   O
:   O
July   B-DATE
Hospital   O
:   O
Baptist   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Conway   I-LOCATION
Medical   O
Record   O
ID   O
:   O
48419654   B-ID
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Spencer   B-NAME
Hester   I-NAME
,   O
a   O
Physiotherapist   O
from   O
9731   B-LOCATION
Goldfield   I-LOCATION
Street   I-LOCATION
,   O
presented   O
to   O
Medical   B-LOCATION
City   I-LOCATION
Dallas   I-LOCATION
on   O
4/12/19   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
with   O
a   O
severity   O
score   O
of   O
8   O
out   O
of   O
10   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
River   B-NAME
Leach   I-NAME
's   O
temperature   O
was   O
37.5   O
°   O
C   O
,   O
heart   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
140/90   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
.   O

Benita   B-NAME
Tynan   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
CT   O
scan   O
to   O
further   O
investigate   O
the   O
findings   O
and   O
to   O
rule   O
out   O
any   O
complications   O
such   O
as   O
cyst   O
rupture   O
or   O
torsion   O
.   O

Upon   O
confirmation   O
of   O
the   O
diagnosis   O
of   O
a   O
ruptured   O
ovarian   O
cyst   O
by   O
CT   O
scan   O
,   O
a   O
surgical   O
consult   O
with   O
Sydney   B-NAME
Mccall   I-NAME
was   O
arranged   O
.   O

Bethany   B-NAME
Kerr   I-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
cystectomy   O
on   O
2342   B-DATE
.   O

Eve   B-NAME
Guthrie   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
of   O
Sharon   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Hartman   B-NAME
on   O
Thursday   B-DATE
,   I-DATE
June   I-DATE
,   O
for   O
wound   O
assessment   O
and   O
to   O
discuss   O
the   O
pathology   O
report   O
of   O
the   O
removed   O
cyst   O
.   O

Discharge   O
Summary   O
:   O
Ethan   B-NAME
Carter   I-NAME
was   O
discharged   O
on   O
32/23   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
pain   O
management   O
.   O

Contact   O
information   O
for   O
Sentara   B-LOCATION
CarePlex   I-LOCATION
Hospital   I-LOCATION
was   O
provided   O
,   O
including   O
the   O
direct   O
line   O
721   B-CONTACT
-   I-CONTACT
7858   I-CONTACT
should   O
any   O
complications   O
or   O
questions   O
arise   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Note   O
:   O
All   O
personal   O
identifiers   O
such   O
as   O
Skylar   B-NAME
Mendoza   I-NAME
name   O
,   O
ID   O
number   O
72955092   B-ID
,   O
and   O
specific   O
locations   O
Lake   B-LOCATION
Dallas   I-LOCATION
have   O
been   O
anonymized   O
to   O
protect   O
patient   O
privacy   O
.   O

Patient   O
Name   O
:   O
Youssef   B-NAME
M.   I-NAME
Noe   I-NAME
Patient   O
ID   O
:   O
914149073   B-ID
Date   O
of   O
Birth   O
:   O
9/42   B-DATE
Age   O
:   O
94   O
Address   O
:   O
Fort   B-LOCATION
Bragg   I-LOCATION
,   O
50081   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
407   I-CONTACT
)   I-CONTACT
455   I-CONTACT
9730   I-CONTACT
Medical   O
Record   O
Number   O
:   O
6023163   B-ID
Employer   O
:   O

Westfield   B-LOCATION
Insurance   I-LOCATION
Occupation   O
:   O

Landry   B-NAME
Hospital   O
:   O
Crenshaw   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Aurelius   B-NAME
Hogue   I-NAME
,   O
presented   O
to   O
the   O
clinic   O
on   O
April   B-DATE
30   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
wheezing   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
began   O
approximately   O
two   O
weeks   O
ago   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Daisy   B-NAME
Melton   I-NAME
,   O
a   O
7   O
week   O
-   O
year   O
-   O
old   O
Highway   O
Maintenance   O
Workers   O
living   O
in   O
Fort   B-LOCATION
Myers   I-LOCATION
Beach   I-LOCATION
,   O
has   O
been   O
experiencing   O
an   O
increasing   O
difficulty   O
in   O
breathing   O
,   O
characterized   O
by   O
episodes   O
of   O
tightness   O
in   O
the   O
chest   O
and   O
periodic   O
wheezing   O
.   O

Social   O
History   O
:   O
Jenna   B-NAME
Corona   I-NAME
works   O
as   O
a   O
IT   O
support   O
analyst   O
at   O
Bank   B-LOCATION
of   I-LOCATION
Illinois   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
products   O
.   O

Esposito   B-NAME
,   I-NAME
Phil   I-NAME
has   O
a   O
pet   O
cat   O
at   O
home   O
.   O

On   O
examination   O
,   O
Keillor   B-NAME
,   I-NAME
Garrison   I-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
no   O
acute   O
distress   O
.   O

Instructions   O
were   O
given   O
to   O
Choi   B-NAME
to   O
monitor   O
symptoms   O
closely   O
,   O
specifically   O
watching   O
for   O
signs   O
of   O
respiratory   O
distress   O
that   O
would   O
necessitate   O
immediate   O
medical   O
attention   O
.   O

Kailey   B-NAME
was   O
advised   O
to   O
avoid   O
known   O
triggers   O
,   O
including   O
cold   O
air   O
and   O
physical   O
overexertion   O
,   O
until   O
the   O
follow   O
-   O
up   O
visit   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Deeann   B-NAME
can   O
contact   O
Kent   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
Pulmonary   O
Department   O
at   O
(   B-CONTACT
801   I-CONTACT
)   I-CONTACT
809   I-CONTACT
7526   I-CONTACT
.   O

Prepared   O
by   O
:   O
Freeman   B-NAME
Date   O
:   O
27/30   B-DATE
Signature   O
:   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O

Patient   O
Report   O
for   O
:   O
Maia   B-NAME
Shepard   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
62   O
-   O
Date   O
of   O
Admission   O
:   O
Friday   B-DATE
-   O
Primary   O
Doctor   O
:   O
Arianna   B-NAME
Berry   I-NAME
-   O
Hospital   O
Name   O
:   O
Norton   B-LOCATION
Suburban   I-LOCATION
Hospital   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
0595858   B-ID
-   O
ID   O
:   O
ED806/2985   B-ID
-   O
Phone   O
Number   O
:   O
294   B-CONTACT
251   I-CONTACT
5571   I-CONTACT
-   O
Residence   O
:   O
Woodbranch   B-LOCATION
,   O
13986   B-LOCATION
-   O
Profession   O
:   O

Welfare   O
rights   O
adviser   O
-   O
Username   O
for   O
Hospital   O
Portal   O
:   O
nbp110   B-NAME
Medical   O
History   O
:   O
Downs   B-NAME
,   O
a   O
Patent   O
attorney   O
from   O
North   B-LOCATION
Lynnwood   I-LOCATION
,   O
was   O
admitted   O
to   O
Monmouth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/75   B-DATE
with   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
confirmed   O
by   O
an   O
abdominal   O
ultrasound   O
.   O

Davis   B-NAME
,   I-NAME
Bette   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

Treatment   O
:   O
-   O
Kripke   B-NAME
,   I-NAME
Saul   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
upon   O
admission   O
.   O

-   O
Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
appendectomy   O
was   O
performed   O
on   O
23/2121   B-DATE
.   O
-   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
and   O
Mortimer   B-NAME
,   I-NAME
John   I-NAME
showed   O
good   O
recovery   O
with   O
resolution   O
of   O
symptoms   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
-   O
Perry   B-NAME
,   I-NAME
Oliver   I-NAME
Hazard   I-NAME
was   O
discharged   O
on   O
03/21/51   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
in   O
2   O
weeks   O
.   O
-   O

For   O
any   O
questions   O
or   O
further   O
information   O
,   O
please   O
contact   O
Camryn   B-NAME
Reyes   I-NAME
at   O
35410   B-CONTACT
or   O
reach   O
out   O
to   O
the   O
patient   O
care   O
team   O
via   O
the   O
hospital   O
portal   O
using   O
the   O
username   O
cd293   B-NAME
.   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
Jayce   B-NAME
Espinoza   I-NAME
and   O
is   O
intended   O
for   O
use   O
only   O
by   O
the   O
individual   O
or   O
entity   O
to   O
which   O
it   O
is   O
addressed   O
.   O

Patient   O
:   O
Pilar   B-NAME
Piersall   I-NAME
Age   O
:   O
3   O
week   O
Date   O
of   O
Admission   O
:   O
2/'80   B-DATE
Hospital   O
:   O

Watauga   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
52655169   B-ID
Doctor   O
:   O
Sandoval   B-NAME
ID   O
:   O
EE   B-ID
:   I-ID
SM:7241   I-ID
Location   O
of   O
Incident   O
:   O
McClusky   B-LOCATION
Organization   O
:   O

Flight   B-LOCATION
Attendants   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
Phone   O
:   O
56617   B-CONTACT
Profession   O
:   O
Weighers   O
,   O
Measurers   O
,   O
Checkers   O
,   O
and   O
Samplers   O
,   O
Recordkeeping   O
Username   O
:   O
to196   B-NAME
ZIP   O
:   O
35389   B-LOCATION
2168   B-DATE
,   O
Stephen   B-NAME
Kildare   I-NAME
,   O
a   O
Excavating   O
and   O
Loading   O
Machine   O
Operators   O
,   O
was   O
admitted   O
to   O
Platte   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
presenting   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

On   O
examination   O
,   O
Krish   B-NAME
Spencer   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
a   O
pulse   O
rate   O
of   O
98   O
beats   O
per   O
minute   O
,   O
and   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
.   O

Laboratory   O
tests   O
were   O
promptly   O
ordered   O
by   O
Jax   B-NAME
Benjamin   I-NAME
,   O
revealing   O
elevated   O
levels   O
of   O
amylase   O
and   O
lipase   O
,   O
indicating   O
acute   O
pancreatitis   O
.   O

An   O
abdominal   O
ultrasound   O
,   O
conducted   O
on   O
7/30   B-DATE
,   O
showed   O
gallstones   O
present   O
within   O
the   O
gallbladder   O
,   O
with   O
no   O
clear   O
signs   O
of   O
cholecystitis   O
.   O

Pineda   B-NAME
and   O
the   O
team   O
initiated   O
treatment   O
with   O
intravenous   O
fluids   O
,   O
pain   O
management   O
,   O
and   O
fasting   O
to   O
rest   O
the   O
pancreas   O
.   O

Kayleigh   B-NAME
Bulnes   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
possibly   O
undergoing   O
an   O
endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
to   O
remove   O
any   O
bile   O
duct   O
stones   O
if   O
present   O
,   O
which   O
was   O
scheduled   O
for   O
22/10   B-DATE
.   O

During   O
the   O
hospital   O
stay   O
,   O
Valladares   B-NAME
was   O
closely   O
monitored   O
for   O
complications   O
such   O
as   O
pancreatic   O
necrosis   O
,   O
infection   O
,   O
or   O
organ   O
failure   O
.   O

Dietary   O
advice   O
was   O
provided   O
by   O
the   O
nutritionist   O
at   O
West   B-LOCATION
Suburban   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
focusing   O
on   O
a   O
low   O
-   O
fat   O
diet   O
to   O
manage   O
and   O
prevent   O
future   O
episodes   O
.   O

Roderick   B-NAME
Galloway   I-NAME
was   O
advised   O
to   O
avoid   O
alcohol   O
and   O
smoking   O
cessation   O
was   O
strongly   O
recommended   O
given   O
the   O
history   O
of   O
chronic   O
pancreatitis   O
.   O

12/20/60   B-DATE
marked   O
the   O
discharge   O
day   O
for   O
Cierra   B-NAME
Smith   I-NAME
,   O
with   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Discharge   O
instructions   O
included   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Brennen   B-NAME
Meyers   I-NAME
in   O
two   O
weeks   O
,   O
the   O
prescribed   O
medications   O
to   O
manage   O
pain   O
,   O
and   O
guidelines   O
for   O
a   O
gradual   O
reintroduction   O
of   O
solid   O
food   O
.   O

For   O
any   O
further   O
concerns   O
or   O
exacerbation   O
of   O
symptoms   O
,   O
quiggle   B-NAME
was   O
advised   O
to   O
contact   O
Comanche   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Coldwater   I-LOCATION
at   O
87203   B-CONTACT
.   O

The   O
patient   O
was   O
also   O
provided   O
with   O
educational   O
materials   O
on   O
managing   O
pancreatitis   O
and   O
was   O
encouraged   O
to   O
join   O
a   O
support   O
group   O
for   O
individuals   O
with   O
chronic   O
pancreatic   O
conditions   O
organized   O
by   O
City   B-LOCATION
of   I-LOCATION
Moore   I-LOCATION
Haven   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
.   O

Summary   O
prepared   O
by   O
:   O
ucd234   B-NAME
,   O
16   B-DATE
-   I-DATE
21   I-DATE

Patient   O
Report   O
for   O
Vincent   B-NAME
Gregory   I-NAME
General   O
Information   O
:   O
Date   O
of   O
Admission   O
:   O
30/00   B-DATE
Hospital   O
:   O
Memorial   B-LOCATION
Sloan   I-LOCATION
-   I-LOCATION
Kettering   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
Primary   O
Physician   O
:   O

Lilyana   B-NAME
Downs   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
4539304   I-ID
Medical   O
Record   O
Number   O
:   O
0598007   B-ID
Location   O
of   O
Incident   O
:   O
Collingdale   B-LOCATION
Patient   O
's   O
Age   O
:   O
2   O
week   O
Patient   O
's   O
Profession   O
:   O
Sales   O
Managers   O
Contact   O
Number   O
:   O
902   B-CONTACT
-   I-CONTACT
934   I-CONTACT
6031   I-CONTACT
Medical   O
History   O
:   O
Ty   B-NAME
Reeves   I-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
Combination   O
Machine   O
Tool   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Mission   B-LOCATION
Bend   I-LOCATION
,   O
was   O
admitted   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Manteca   I-LOCATION
on   O
2066   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
15   I-DATE
following   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
has   O
a   O
documented   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
hypertension   O
,   O
both   O
managed   O
through   O
medication   O
prescribed   O
by   O
Ball   B-NAME
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Annabel   B-NAME
Bonilla   I-NAME
presented   O
with   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
decision   O
was   O
made   O
by   O
Andrade   B-NAME
to   O
proceed   O
with   O
an   O
urgent   O
surgical   O
consultation   O
for   O
a   O
suspected   O
acute   O
appendicitis   O
.   O

Jimmy   B-NAME
Ray   I-NAME
was   O
informed   O
of   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
was   O
discussed   O
.   O

Post   O
-   O
operatively   O
,   O
Baby   B-NAME
Le   I-NAME
was   O
given   O
antibiotics   O
and   O
pain   O
management   O
was   O
continued   O
.   O

Post   O
-   O
Operative   O
Care   O
:   O
Kimberly   B-NAME
Noonkester   I-NAME
was   O
monitored   O
closely   O
in   O
the   O
post   O
-   O
operative   O
period   O
.   O

ferreira   B-NAME
was   O
instructed   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
,   O
activity   O
level   O
,   O
and   O
signs   O
of   O
potential   O
complications   O
to   O
monitor   O
for   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Carlee   B-NAME
Rivers   I-NAME
prior   O
to   O
discharge   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Shiloh   B-NAME
Norman   I-NAME
was   O
discharged   O
on   O
2158   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
26   I-DATE
with   O
instructions   O
to   O
continue   O
medications   O
for   O
diabetes   O
and   O
hypertension   O
,   O
as   O
well   O
as   O
a   O
course   O
of   O
antibiotics   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
WK875   B-NAME
Relationship   O
:   O
Saul   B-NAME
,   I-NAME
John   I-NAME
Ralston   I-NAME
’s   O
Emergency   O
Contact   O
Phone   O
:   O
653   B-CONTACT
5088   I-CONTACT

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Aira   B-NAME
-   O
Age   O
:   O
48   O
-   O
ID   O
:   O
750128   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
574   B-ID
-   I-ID
56   I-ID
-   I-ID
49   I-ID
-   I-ID
0   I-ID
-   O
Address   O
:   O
Safety   B-LOCATION
Harbor   I-LOCATION
,   O
42189   B-LOCATION
-   O
Phone   O
:   O
624   B-CONTACT
8301   I-CONTACT
-   O
Occupation   O
:   O
Art   O
therapist   O
-   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Peterson   B-NAME
-   O
Treatment   O
Facility   O
:   O
Parkridge   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Symptoms   O
and   O
Medical   O
History   O
:   O

Jay   B-NAME
presented   O
to   O
Annie   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
on   O
2037   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Additionally   O
,   O
Villasenor   B-NAME
noted   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
over   O
the   O
past   O
24   O
hours   O
.   O

Aiden   B-NAME
Zamora   I-NAME
has   O
a   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
and   O
hypertension   O
,   O
for   O
which   O
medications   O
are   O
prescribed   O
by   O
Dr.   O
Richard   B-NAME
Hardin   I-NAME
.   O

Physical   O
Examination   O
and   O
Diagnostics   O
:   O
Upon   O
examination   O
,   O
Melva   B-NAME
Orth   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
pressure   O
140/90   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
and   O
temperature   O
of   O
38.2   O
°   O
C   O
.   O

The   O
management   O
plan   O
initiated   O
for   O
Ethan   B-NAME
Perry   I-NAME
on   O
March   B-DATE
,   I-DATE
2200   I-DATE
included   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
to   O
rest   O
the   O
pancreas   O
,   O
aggressive   O
intravenous   O
hydration   O
,   O
and   O
pain   O
management   O
with   O
IV   O
administration   O
of   O
analgesics   O
under   O
the   O
supervision   O
of   O
Dr.   O
Hale   B-NAME
at   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Insulin   O
therapy   O
was   O
adjusted   O
to   O
manage   O
Raven   B-NAME
Mcgee   I-NAME
's   O
pre   O
-   O
existing   O
diabetes   O
in   O
the   O
context   O
of   O
acute   O
illness   O
.   O

Lucy   B-NAME
Best   I-NAME
was   O
also   O
closely   O
monitored   O
for   O
any   O
signs   O
of   O
complications   O
such   O
as   O
infection   O
or   O
organ   O
failure   O
.   O

Follow   O
-   O
up   O
and   O
Prognosis   O
:   O
ANDRE   B-NAME
-   I-NAME
ISRAEL   I-NAME
SANTIAGO   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Osborne   B-NAME
in   O
two   O
weeks   O
’   O
time   O
on   O
22/30   B-DATE
to   O
evaluate   O
recovery   O
progress   O
and   O
pancreatic   O
function   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Baxter   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
368   B-CONTACT
2671   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
QU284   B-NAME
10/12/90   B-DATE

Patient   O
Name   O
:   O
Nicholson   B-NAME
Patient   O
ID   O
:   O
MO778/2367   B-ID
Medical   O
Record   O
Number   O
:   O
6440641   B-ID
Date   O
of   O
Birth   O
:   O
April   B-DATE
24   I-DATE
Age   O
:   O
38   O
Phone   O
Number   O
:   O
642   B-CONTACT
-   I-CONTACT
1012   I-CONTACT
Address   O
:   O
Adams   B-LOCATION
,   O
45081   B-LOCATION

Karma   B-NAME
Wong   I-NAME
Hospital   O
:   O
Corpus   B-LOCATION
Christi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Bay   I-LOCATION
Area   I-LOCATION
-   I-LOCATION
Heart   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/13/55   B-DATE
Date   O
of   O
Discharge   O
:   O
2070   B-DATE
Occupation   O
:   O
Physical   O
Therapist   O
Aides   O
#   O
#   O
Chief   O
Complaint   O
:   O

Ferraro   B-NAME
was   O
admitted   O
to   O
Floyd   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/31/2223   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
recurrent   O
headaches   O
and   O
episodes   O
of   O
visual   O
disturbances   O
described   O
as   O
"   O
flashing   O
lights   O
"   O
in   O
the   O
peripheral   O
vision   O
.   O

#   O
#   O
History   O
of   O
Present   O
Illness   O
:   O
Hughes   B-NAME
,   O
a   O
6s   O
-   O
year   O
-   O
old   O
Ophthalmologists   O
,   O
began   O
experiencing   O
symptoms   O
approximately   O
two   O
weeks   O
prior   O
to   O
admission   O
.   O

Patrick   B-NAME
Fuentes   I-NAME
noted   O
the   O
headaches   O
often   O
occurred   O
during   O
the   O
late   O
afternoon   O
and   O
would   O
last   O
for   O
several   O
hours   O
.   O

Alexis   B-NAME
Mcgrath   I-NAME
denied   O
any   O
previous   O
history   O
of   O
similar   O
symptoms   O
.   O

On   O
examination   O
,   O
Marcelo   B-NAME
Schneider   I-NAME
was   O
alert   O
and   O
oriented   O
.   O

Both   O
studies   O
were   O
reported   O
as   O
normal   O
by   O
Rayne   B-NAME
Krueger   I-NAME
.   O

Otto   B-NAME
Suzanne   I-NAME
was   O
advised   O
to   O
keep   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
and   O
severity   O
of   O
episodes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
39/31   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

Sherril   B-NAME
Filippelli   I-NAME
was   O
discharged   O
from   O
Havasu   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1824   B-DATE
with   O
prescriptions   O
for   O
triptan   O
and   O
a   O
daily   O
preventive   O
medication   O
.   O

Presley   B-NAME
Dawson   I-NAME
was   O
instructed   O
on   O
the   O
proper   O
use   O
of   O
medications   O
,   O
including   O
potential   O
side   O
effects   O
.   O

Kaila   B-NAME
Seiter   I-NAME
was   O
encouraged   O
to   O
follow   O
up   O
with   O
Hardin   B-NAME
at   O
North   B-LOCATION
Berwick   I-LOCATION
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

For   O
further   O
questions   O
or   O
concerns   O
,   O
Lillian   B-NAME
Lucas   I-NAME
was   O
advised   O
to   O
contact   O
Gulf   B-LOCATION
Breeze   I-LOCATION
Hospital   I-LOCATION
's   O
Neurology   O
Department   O
at   O
851   B-CONTACT
465   I-CONTACT
5751   I-CONTACT
.   O

Peoples   B-LOCATION
First   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
and   O
lp128   B-NAME
were   O
not   O
directly   O
applicable   O
to   O
this   O
patient   O
's   O
care   O
and   O
therefore   O
are   O
not   O
included   O
in   O
this   O
report   O
.   O

Patient   O
Name   O
:   O
Julius   B-NAME
Mckenzie   I-NAME
Medical   O
Record   O
Number   O
:   O
715   B-ID
-   I-ID
83   I-ID
-   I-ID
62   I-ID
-   I-ID
0   I-ID
ID   O
Number   O
:   O
HX   B-ID
:   I-ID
NT:8685   I-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
2392   I-DATE
Age   O
:   O
54   O
Address   O
:   O
Georgetown   B-LOCATION
,   O
97762   B-LOCATION
Phone   O
Number   O
:   O
94227   B-CONTACT
Employer   O
:   O

Equality   B-LOCATION
Now   I-LOCATION
Occupation   O
:   O
Religious   O
Workers   O
,   O
All   O
Other   O
Attending   O
Physician   O
:   O
Lesha   B-NAME
Childress   I-NAME
Hospital   O
:   O
Deborah   B-LOCATION
Heart   I-LOCATION
and   I-LOCATION
Lung   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
14/00   B-DATE
Date   O
of   O
Report   O
:   O
10/36/61   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Abel   B-NAME
,   I-NAME
Reuben   I-NAME
,   O
a   O
82   O
-   O
year   O
-   O
old   O
Forest   O
and   O
Conservation   O
Workers   O
at   O
Gerber   B-LOCATION
Life   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
,   O
presented   O
to   O
Peconic   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/32   B-DATE
with   O
a   O
three   O
-   O
day   O
history   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photosensitivity   O
and   O
phonophobia   O
.   O

Additionally   O
,   O
Dunn   B-NAME
reported   O
experiencing   O
nausea   O
and   O
one   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
34/21/13   B-DATE
.   O

Eulah   B-NAME
Abdullah   I-NAME
mentioned   O
that   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
only   O
provided   O
minimal   O
relief   O
and   O
that   O
this   O
was   O
the   O
first   O
occurrence   O
of   O
such   O
intense   O
headaches   O
.   O

Past   O
medical   O
history   O
,   O
as   O
per   O
Desmond   B-NAME
,   I-NAME
Paul   I-NAME
,   O
included   O
episodic   O
tension   O
-   O
type   O
headaches   O
,   O
but   O
they   O
were   O
described   O
as   O
mild   O
and   O
relieved   O
with   O
ibuprofen   O
.   O

No   O
recent   O
travels   O
outside   O
Topton   B-LOCATION
were   O
reported   O
,   O
and   O
Carl   B-NAME
Vucelich   I-NAME
denied   O
any   O
recent   O
tick   O
bites   O
,   O
animal   O
exposures   O
,   O
or   O
sick   O
contacts   O
.   O

Upon   O
examination   O
,   O
Mabuse   B-NAME
Bullert   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Given   O
the   O
severity   O
and   O
acute   O
onset   O
of   O
symptoms   O
,   O
a   O
non   O
-   O
contrast   O
head   O
CT   O
was   O
ordered   O
by   O
Faulkner   B-NAME
,   I-NAME
William   I-NAME
,   O
which   O
showed   O
no   O
evidence   O
of   O
hemorrhage   O
,   O
mass   O
effect   O
,   O
or   O
acute   O
ischemic   O
changes   O
.   O

Anthony   B-NAME
Ludgate   I-NAME
Druid   I-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Northwest   I-LOCATION
Arkansas   I-LOCATION
for   O
pain   O
management   O
and   O
observation   O
on   O
8/06/41   B-DATE
.   O

Follow   O
-   O
up   O
appointment   O
in   O
the   O
neurology   O
clinic   O
was   O
scheduled   O
for   O
2391   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
13   I-DATE
.   O

This   O
report   O
was   O
prepared   O
by   O
:   O
vpo79   B-NAME
Contact   O
Information   O
for   O
Follow   O
-   O
Up   O
:   O
(   B-CONTACT
979   I-CONTACT
)   I-CONTACT
600   I-CONTACT
3271   I-CONTACT

Aria   B-NAME
Burns   I-NAME
Patient   O
ID   O
:   O
797603933   B-ID
Medical   O
Record   O
Number   O
:   O
6506L5151   B-ID
Date   O
of   O
Birth   O
:   O
48   O
Address   O
:   O
8073   B-LOCATION
Magnolia   I-LOCATION
Dr.   I-LOCATION
,   O
79580   B-LOCATION
Phone   O
Number   O
:   O
901   B-CONTACT
-   I-CONTACT
3617   I-CONTACT
Employment   O
:   O
Homeless   O
support   O
worker   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Kenny   B-NAME
Reilly   I-NAME
Hospital   O
:   O
Westmoreland   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
12/27   B-DATE
Chief   O
Complaint   O
:   O
Branden   B-NAME
Randall   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
South   B-LOCATION
Seminole   I-LOCATION
Hospital   I-LOCATION
on   O
0/12/2271   B-DATE
complaining   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Desiree   B-NAME
Werner   I-NAME
,   O
a   O
8   O
-   O
year   O
-   O
old   O
Special   O
Education   O
Teachers   O
,   O
Middle   O
School   O
,   O
reports   O
that   O
while   O
at   O
work   O
in   O
Huron   B-LOCATION
,   O
they   O
began   O
experiencing   O
sudden   O
onset   O
of   O
severe   O
chest   O
pain   O
described   O
as   O
"   O
crushing   O
"   O
in   O
nature   O
,   O
along   O
with   O
difficulty   O
breathing   O
.   O

Medical   O
History   O
:   O
-   O
Hypertension   O
,   O
diagnosed   O
00/91   B-DATE
-   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
22/26   B-DATE
-   O
No   O
known   O
drug   O
allergies   O
-   O
Current   O
medications   O
include   O
Metformin   O
,   O
Lisinopril   O
,   O
and   O
Aspirin   O
Review   O
of   O
Systems   O
:   O

Diagnostic   O
Testing   O
:   O
An   O
electrocardiogram   O
(   O
ECG   O
)   O
performed   O
upon   O
arrival   O
at   O
Jupiter   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
suggestive   O
of   O
an   O
inferior   O
myocardial   O
infarction   O
.   O

Management   O
:   O
ostrowski   B-NAME
was   O
immediately   O
started   O
on   O
a   O
regimen   O
of   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
upon   O
the   O
diagnosis   O
of   O
myocardial   O
infarction   O
.   O

A   O
consultation   O
with   O
cardiologist   O
Dr.   O
Melendez   B-NAME
was   O
made   O
,   O
and   O
emergent   O
cardiac   O
catheterization   O
was   O
recommended   O
.   O

Roderick   B-NAME
Galloway   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
cath   O
lab   O
for   O
further   O
intervention   O
on   O
1/39   B-DATE
.   O

Disposition   O
:   O
Following   O
the   O
cardiac   O
catheterization   O
,   O
which   O
revealed   O
significant   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
necessitating   O
stenting   O
,   O
Kaylee   B-NAME
Gordon   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

The   O
hospital   O
course   O
was   O
uneventful   O
,   O
and   O
Guy   B-NAME
Claiborne   I-NAME
was   O
discharged   O
on   O
32/20/2188   B-DATE
with   O
prescriptions   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
an   O
ACE   O
inhibitor   O
,   O
and   O
a   O
statin   O
.   O

Instructions   O
were   O
given   O
to   O
Holland   B-NAME
regarding   O
lifestyle   O
modifications   O
,   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
follow   O
-   O
up   O
needs   O
,   O
Kenneth   B-NAME
X.   I-NAME
Sylvester   I-NAME
can   O
be   O
reached   O
at   O
(   B-CONTACT
275   I-CONTACT
)   I-CONTACT
424   I-CONTACT
9193   I-CONTACT
or   O
by   O
contacting   O
Poplar   B-LOCATION
Bluff   I-LOCATION
RMC   I-LOCATION
-   I-LOCATION
Oak   I-LOCATION
Grove   I-LOCATION
at   O
831   B-CONTACT
-   I-CONTACT
2136   I-CONTACT
.   O

Prepared   O
by   O
:   O
sa897   B-NAME
,   O
2362   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
21   I-DATE
Gabe   B-LOCATION
's   I-LOCATION

Patient   O
Name   O
:   O
Thurman   B-NAME
Flicker   I-NAME
Age   O
:   O
3   O
Date   O
of   O
Birth   O
:   O
Wednesday   B-DATE
,   I-DATE
March   I-DATE
Address   O
:   O
Agua   B-LOCATION
Fria   I-LOCATION
,   O
87965   B-LOCATION
Phone   O
Number   O
:   O
725   B-CONTACT
576   I-CONTACT
6066   I-CONTACT
Employment   O
:   O
Biologists   O
at   O
Institute   B-LOCATION
for   I-LOCATION
War   I-LOCATION
and   I-LOCATION
Peace   I-LOCATION
Reporting   I-LOCATION
Primary   O
Care   O
Doctor   O
:   O
Dr.   O
Horace   B-NAME
Medical   O
Record   O
Number   O
:   O
7585136   B-ID
Hospital   O
:   O

Sheehan   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
December   B-DATE
SSN   O
:   O
YI:83728:693767   B-ID
Chief   O
Complaint   O
:   O

Dewyer   B-NAME
Newbell   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
CentraState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0   B-DATE
-   I-DATE
22   I-DATE
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
concentrated   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Additionally   O
,   O
Robert   B-NAME
Lincoln   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
was   O
noted   O
upon   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Bush   B-NAME
stated   O
that   O
the   O
pain   O
began   O
approximately   O
2/82   B-DATE
,   O
initially   O
mild   O
and   O
diffuse   O
but   O
gradually   O
localized   O
to   O
the   O
right   O
lower   O
abdomen   O
.   O

Past   O
Medical   O
History   O
:   O
Paul   B-NAME
Mercy   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
controlled   O
with   O
medication   O
prescribed   O
by   O
Dr.   O
Joseph   B-NAME
.   O

Social   O
History   O
:   O
Taleb   B-NAME
,   I-NAME
Nassim   I-NAME
Nicholas   I-NAME
is   O
a   O
Offset   O
Lithographic   O
Press   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
at   O
First   B-LOCATION
Suburban   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
living   O
in   O
McConnellsburg   B-LOCATION
with   O
no   O
history   O
of   O
smoking   O
,   O
moderate   O
alcohol   O
use   O
,   O
and   O
denies   O
recreational   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Savitri   B-NAME
Devi   I-NAME
exhibited   O
signs   O
of   O
distress   O
with   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Management   O
and   O
Outcome   O
:   O
Under   O
the   O
care   O
of   O
Dr.   O
Camron   B-NAME
Baldwin   I-NAME
and   O
surgical   O
team   O
at   O
Norton   B-LOCATION
Suburban   I-LOCATION
Hospital   I-LOCATION
,   O
Zayden   B-NAME
Esparza   I-NAME
underwent   O
an   O
urgent   O
appendectomy   O
on   O
02/28/2151   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Luigi   B-NAME
tolerated   O
it   O
well   O
.   O

Follow   O
-   O
Up   O
:   O
Malory   B-NAME
,   I-NAME
Thomas   I-NAME
was   O
discharged   O
on   O
2/29   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Gentry   B-NAME
in   O
two   O
weeks   O
.   O

Instructions   O
were   O
given   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
74040   B-CONTACT
if   O
experiencing   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
signs   O
of   O
infection   O
.   O

Username   O
:   O
GF975   B-NAME

Patient   O
:   O
Moses   B-NAME
Woodward   I-NAME
Medical   O
Record   O
Number   O
:   O
9388B09325   B-ID
Date   O
of   O
Birth   O
:   O
11/30   B-DATE
Age   O
:   O
12   O
month   O
Location   O
:   O
Portales   B-LOCATION
,   I-LOCATION
Portales   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
Zip   O
Code   O
:   O
41165   B-LOCATION
Phone   O
:   O
30182   B-CONTACT
ID   O
:   O
WE:97657:981629   B-ID

Ben   B-NAME
Morales   I-NAME
Hospital   O
:   O
Henry   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/00/00   B-DATE
Profession   O
:   O
Locker   O
Room   O
,   O
Coatroom   O
,   O
and   O
Dressing   O
Room   O
Attendants   O
Username   O
:   O
mvs293   B-NAME
Chief   O
Complaint   O
:   O
Patience   B-NAME
Dickson   I-NAME
was   O
admitted   O
to   O
Duke   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
12/27   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Antione   B-NAME
Thibodeau   I-NAME
rated   O
the   O
pain   O
as   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Colleen   B-NAME
Polite   I-NAME
,   O
a   O
62   O
-   O
year   O
-   O
old   O
Managers   O
,   O
All   O
Other   O
,   O
reported   O
the   O
onset   O
of   O
symptoms   O
after   O
consuming   O
a   O
heavy   O
meal   O
.   O

There   O
was   O
no   O
reported   O
fever   O
,   O
but   O
Serrano   B-NAME
,   I-NAME
Miguel   I-NAME
mentioned   O
a   O
history   O
of   O
similar   O
,   O
albeit   O
less   O
severe   O
,   O
episodes   O
in   O
the   O
past   O
year   O
.   O

Carina   B-NAME
Wallace   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemic   O
agents   O
.   O

Review   O
of   O
Systems   O
:   O
Beside   O
the   O
chief   O
complaint   O
,   O
Bullock   B-NAME
,   I-NAME
Sandra   I-NAME
denies   O
any   O
other   O
symptoms   O
,   O
including   O
but   O
not   O
limited   O
to   O
headache   O
,   O
dizziness   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
changes   O
in   O
bowel   O
habits   O
.   O

On   O
examination   O
,   O
Lilia   B-NAME
Nichols   I-NAME
was   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Plan   O
:   O
Ishaan   B-NAME
Vargas   I-NAME
was   O
admitted   O
to   O
Haymarket   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Jean   B-NAME
Figueroa   I-NAME
will   O
be   O
closely   O
monitored   O
for   O
any   O
changes   O
in   O
clinical   O
status   O
.   O

Repeat   O
laboratory   O
tests   O
will   O
be   O
performed   O
in   O
22/13   B-DATE
hours   O
to   O
assess   O
the   O
progression   O
of   O
the   O
disease   O
.   O

Signature   O
:   O
Powell   B-NAME
01/11/2250   B-DATE

Patient   O
Report   O
for   O
camp   B-NAME
General   O
Information   O
:   O
7/5   B-DATE
-   O
Swindoll   B-NAME
,   I-NAME
Charles   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
Dearborn   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
DBA   I-LOCATION
Highpoint   I-LOCATION
Health   I-LOCATION
located   O
in   O
Utopia   B-LOCATION
,   O
47253   B-LOCATION
.   O

Lucie   B-NAME
Boone   I-NAME
was   O
brought   O
in   O
by   O
a   O
relative   O
following   O
an   O
episode   O
of   O
acute   O
confusion   O
and   O
disorientation   O
that   O
occurred   O
earlier   O
on   O
the   O
same   O
day   O
.   O

Personal   O
Information   O
:   O
Age   O
:   O
85   O
Phone   O
:   O
512   B-CONTACT
-   I-CONTACT
4432   I-CONTACT
Medical   O
Record   O
Number   O
:   O
670   B-ID
-   I-ID
73   I-ID
-   I-ID
32   I-ID
-   I-ID
7   I-ID
Patient   O
ID   O
:   O
IQ989/7792   B-ID
Presenting   O
Complaint   O
:   O
Norton   B-NAME
,   O
a   O
Physicists   O
by   O
profession   O
,   O
was   O
observed   O
to   O
be   O
suddenly   O
confused   O
,   O
disoriented   O
,   O
and   O
unable   O
to   O
recall   O
recent   O
events   O
.   O

Love   B-NAME
also   O
complained   O
of   O
a   O
headache   O
and   O
nausea   O
.   O

Williams   B-NAME
,   I-NAME
Ted   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
diabetes   O
mellitus   O
,   O
both   O
of   O
which   O
are   O
managed   O
with   O
medication   O
prescribed   O
by   O
Fry   B-NAME
.   O

On   O
examination   O
,   O
Summers   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Madisyn   B-NAME
Mcgrath   I-NAME
's   O
speech   O
was   O
coherent   O
,   O
but   O
Millard   B-NAME
Mcclary   I-NAME
appeared   O
to   O
be   O
slightly   O
confused   O
about   O
recent   O
events   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
CT   O
scan   O
of   O
Gibbon   B-NAME
,   I-NAME
Edward   I-NAME
's   O
head   O
,   O
ordered   O
by   O
Tora   B-NAME
,   I-NAME
Apisai   I-NAME
on   O
2003   B-DATE
,   O
did   O
not   O
show   O
any   O
signs   O
of   O
acute   O
infarction   O
,   O
hemorrhage   O
,   O
or   O
mass   O
effect   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Johnson   B-NAME
,   I-NAME
Boris   I-NAME
was   O
admitted   O
to   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Hazelton   I-LOCATION
for   O
observation   O
on   O
1/13/31   B-DATE
.   O

Jaylynn   B-NAME
Davila   I-NAME
recommended   O
close   O
monitoring   O
of   O
Jovany   B-NAME
Crawford   I-NAME
's   O
glucose   O
levels   O
and   O
adjustment   O
of   O
diabetes   O
medications   O
accordingly   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Preston   B-NAME
at   O
Animal   B-LOCATION
Protection   I-LOCATION
and   I-LOCATION
Rescue   I-LOCATION
League   I-LOCATION
in   O
Loyola   B-LOCATION
has   O
been   O
scheduled   O
for   O
09/24/2076   B-DATE
to   O
reassess   O
Quatisha   B-NAME
Long   I-NAME
's   O
condition   O
and   O
to   O
discuss   O
the   O
results   O
of   O
Sharon   B-NAME
Lester   I-NAME
's   O
diagnostic   O
tests   O
in   O
detail   O
.   O

For   O
any   O
further   O
questions   O
or   O
concerns   O
,   O
Vuong   B-NAME
or   O
relatives   O
may   O
contact   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Orange   I-LOCATION
at   O
88098   B-CONTACT
.   O
Notes   O
:   O

The   O
patient   O
,   O
Cricket   B-NAME
,   O
a   O
57   O
-   O
year   O
-   O
old   O
Anesthesiologist   O
Assistants   O
,   O
presented   O
to   O
Abrazo   B-LOCATION
Arrowhead   I-LOCATION
Campus   I-LOCATION
on   O
Jan   B-DATE
2281   I-DATE
with   O
complaints   O
of   O
acute   O
-   O
onset   O
,   O
right   O
-   O
sided   O
chest   O
pain   O
that   O
began   O
earlier   O
that   O
day   O
.   O

Additionally   O
,   O
Owen   B-NAME
Maestro   I-NAME
reported   O
experiencing   O
dyspnea   O
on   O
exertion   O
for   O
the   O
past   O
two   O
days   O
.   O

Upon   O
physical   O
examination   O
,   O
Gloria   B-NAME
Bond   I-NAME
observed   O
diminished   O
breath   O
sounds   O
in   O
the   O
right   O
lower   O
lung   O
zone   O
,   O
without   O
wheezes   O
,   O
rhonchi   O
,   O
or   O
crackles   O
.   O

Jaylen   B-NAME
Medina   I-NAME
's   O
past   O
medical   O
history   O
,   O
documented   O
under   O
379   B-ID
-   I-ID
91   I-ID
-   I-ID
63   I-ID
-   I-ID
1   I-ID
,   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
both   O
managed   O
with   O
medications   O
.   O

Diagnostic   O
imaging   O
,   O
specifically   O
a   O
chest   O
X   O
-   O
ray   O
,   O
was   O
ordered   O
and   O
performed   O
at   O
Our   B-LOCATION
Lady   I-LOCATION
Of   I-LOCATION
Mercy   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
which   O
revealed   O
a   O
moderate   O
right   O
-   O
sided   O
pleural   O
effusion   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Karson   B-NAME
Schroeder   I-NAME
initiated   O
treatment   O
for   O
suspected   O
bacterial   O
pneumonia   O
and   O
a   O
potential   O
pulmonary   O
embolism   O
.   O

Empirical   O
antibiotic   O
therapy   O
was   O
started   O
,   O
and   O
arrangements   O
were   O
made   O
for   O
Annika   B-NAME
Mcmillan   I-NAME
to   O
undergo   O
a   O
ventilation   O
-   O
perfusion   O
scan   O
.   O

Crane   B-NAME
,   I-NAME
Stephen   I-NAME
discussed   O
the   O
findings   O
and   O
the   O
treatment   O
plan   O
with   O
Jacoby   B-NAME
Gross   I-NAME
and   O
advised   O
a   O
follow   O
-   O
up   O
appointment   O
to   O
review   O
the   O
scan   O
results   O
and   O
assess   O
symptom   O
progression   O
.   O

Additionally   O
,   O
the   O
importance   O
of   O
monitoring   O
blood   O
glucose   O
levels   O
was   O
emphasized   O
,   O
given   O
Victoria   B-NAME
Xing   I-NAME
's   O
history   O
of   O
type   O
2   O
diabetes   O
.   O

Paterson   B-NAME
,   I-NAME
Isabel   I-NAME
was   O
provided   O
with   O
the   O
547   B-CONTACT
692   I-CONTACT
7370   I-CONTACT
number   O
for   O
the   O
pulmonology   O
department   O
at   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
for   O
any   O
emergent   O
concerns   O
.   O

Botkins   B-LOCATION
public   O
health   O
resources   O
and   O
Vietnamese   B-LOCATION
American   I-LOCATION
Armed   I-LOCATION
Forces   I-LOCATION
Association   I-LOCATION
support   O
services   O
were   O
suggested   O
to   O
Miguel   B-NAME
Cervantes   I-NAME
to   O
assist   O
in   O
disease   O
management   O
and   O
recovery   O
during   O
the   O
follow   O
-   O
up   O
discussion   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
07/04/1810   B-DATE
,   O
and   O
was   O
advised   O
to   O
maintain   O
a   O
record   O
of   O
any   O
new   O
or   O
worsening   O
symptoms   O
in   O
the   O
interim   O
.   O

A   O
notation   O
was   O
made   O
in   O
the   O
medical   O
record   O
0936762   B-ID
under   O
XE761/5689   B-ID
for   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
.   O

Patient   O
Name   O
:   O
Vicente   B-NAME
Patient   O
ID   O
:   O
HQ   B-ID
:   I-ID
GC:1129   I-ID
Medical   O
Record   O
Number   O
:   O
097   B-ID
-   I-ID
39   I-ID
-   I-ID
77   I-ID
-   I-ID
0   I-ID
Age   O
:   O
66   O
Address   O
:   O
Lowell   B-LOCATION
,   O
14169   B-LOCATION
Phone   O
:   O
242   B-CONTACT
144   I-CONTACT
4258   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Sanford   B-NAME
Date   O
of   O
Visit   O
:   O
2015   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
05   I-DATE
Employer   O
:   O
Bank   B-LOCATION
of   I-LOCATION
Leeton   I-LOCATION
Profession   O
:   O

The   O
patient   O
,   O
Bennett   B-NAME
Ward   I-NAME
,   O
presents   O
with   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

The   O
pain   O
onset   O
was   O
approximately   O
24   O
hours   O
prior   O
to   O
the   O
visit   O
on   O
2125   B-DATE
.   O

Carleigh   B-NAME
Hicks   I-NAME
also   O
reports   O
nausea   O
without   O
vomiting   O
and   O
a   O
slight   O
elevation   O
in   O
temperature   O
recorded   O
at   O
home   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Hall   B-NAME
,   O
a   O
Heating   O
and   O
Air   O
Conditioning   O
Mechanics   O
at   O
Great   B-LOCATION
Basin   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Nevada   I-LOCATION
,   O
began   O
experiencing   O
discomfort   O
around   O
midday   O
on   O
31/28/2141   B-DATE
.   O

According   O
to   O
Maye   B-NAME
Ludlow   I-NAME
's   O
medical   O
records   O
(   O
0774567   B-ID
)   O
,   O
there   O
is   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

On   O
examination   O
,   O
Klukken   B-NAME
appeared   O
in   O
mild   O
distress   O
related   O
to   O
pain   O
.   O

Given   O
the   O
findings   O
and   O
clinical   O
presentation   O
of   O
Friedman   B-NAME
,   O
Aleena   B-NAME
Park   I-NAME
at   O
North   B-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
diagnosed   O
acute   O
uncomplicated   O
appendicitis   O
.   O

The   O
surgical   O
procedure   O
is   O
planned   O
for   O
10/2221   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Vincent   B-NAME
Maxwell   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Hildred   B-NAME
Aguas   I-NAME
at   O
Halifax   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Wednesday   B-DATE
for   O
post   O
-   O
operative   O
assessment   O
and   O
to   O
review   O
the   O
recovery   O
process   O
.   O

Consent   O
:   O
Buena   B-NAME
has   O
provided   O
informed   O
consent   O
for   O
the   O
surgical   O
procedure   O
after   O
discussing   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
with   O
Michael   B-NAME
Burke   I-NAME
.   O

The   O
consent   O
form   O
was   O
signed   O
and   O
dated   O
on   O
11/21/2017   B-DATE
.   O

In   O
case   O
of   O
any   O
immediate   O
post   O
-   O
operative   O
complications   O
,   O
Spence   B-NAME
,   I-NAME
Gerry   I-NAME
or   O
family   O
members   O
can   O
contact   O
Baptist   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Little   I-LOCATION
Rock   I-LOCATION
at   O
855   B-CONTACT
9677   I-CONTACT
.   O

This   O
medical   O
summary   O
provides   O
a   O
comprehensive   O
overview   O
of   O
Robert   B-NAME
Yeates   I-NAME
's   O
current   O
condition   O
,   O
diagnostic   O
results   O
,   O
and   O
planned   O
management   O
,   O
while   O
ensuring   O
all   O
personally   O
identifiable   O
information   O
is   O
protected   O
as   O
per   O
privacy   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Valorie   B-NAME
Mcnair   I-NAME
Patient   O
ID   O
:   O
4134544   B-ID
Medical   O
Record   O
Number   O
:   O
388   B-ID
-   I-ID
57   I-ID
-   I-ID
18   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Visit   O
:   O
10/25   B-DATE
Date   O
of   O
Birth   O
:   O
04/21   B-DATE
Age   O
:   O
37   O
Address   O
:   O
Ilford   B-LOCATION
,   O
27748   B-LOCATION
Phone   O
Number   O
:   O
489   B-CONTACT
-   I-CONTACT
698   I-CONTACT
3472   I-CONTACT
Employment   O
:   O
Social   O
Sciences   O
Teachers   O
,   O
Postsecondary   O
,   O
All   O
Other   O
at   O
The   B-LOCATION
Cowlitz   I-LOCATION
Bank   I-LOCATION
Doctor   O
:   O
Nigel   B-NAME
Perkins   I-NAME
Hospital   O
:   O
Bay   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Adriana   B-NAME
Buckley   I-NAME
,   O
a   O
26   O
-   O
year   O
-   O
old   O
Farmworkers   O
,   O
Farm   O
and   O
Ranch   O
Animals   O
employed   O
at   O
SEUL   B-LOCATION
,   O
presents   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
,   O
bilateral   O
,   O
lower   O
extremity   O
weakness   O
and   O
numbness   O
.   O

Rothschild   B-NAME
,   I-NAME
Baron   I-NAME
also   O
reports   O
a   O
notable   O
decrease   O
in   O
grip   O
strength   O
in   O
both   O
hands   O
,   O
difficulty   O
walking   O
up   O
stairs   O
,   O
and   O
tripping   O
over   O
small   O
objects   O
,   O
which   O
is   O
uncharacteristic   O
.   O

Mireya   B-NAME
Patrick   I-NAME
denies   O
any   O
history   O
of   O
trauma   O
or   O
injury   O
to   O
the   O
affected   O
areas   O
.   O

Cerra   B-NAME
Varus   I-NAME
mentions   O
that   O
the   O
symptoms   O
are   O
worse   O
in   O
the   O
morning   O
and   O
after   O
periods   O
of   O
rest   O
.   O

Copeland   B-NAME
also   O
reports   O
experiencing   O
mild   O
,   O
diffuse   O
abdominal   O
pain   O
and   O
diarrhea   O
about   O
a   O
week   O
prior   O
to   O
the   O
onset   O
of   O
neurological   O
symptoms   O
,   O
which   O
have   O
since   O
resolved   O
.   O

Knox   B-NAME
has   O
been   O
previously   O
healthy   O
with   O
no   O
significant   O
medical   O
history   O
.   O

Heilbrun   B-NAME
,   I-NAME
Carolyn   I-NAME
is   O
not   O
currently   O
on   O
any   O
prescription   O
medications   O
.   O

Social   O
History   O
:   O
McNamara   B-NAME
,   I-NAME
Robert   I-NAME
does   O
not   O
use   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Jean   B-NAME
Figueroa   I-NAME
lives   O
alone   O
in   O
Selbyville   B-LOCATION
and   O
is   O
currently   O
employed   O
as   O
a   O
Exhibit   O
Designers   O
at   O
Physicians   B-LOCATION
Mutual   I-LOCATION
.   O

Given   O
the   O
clinical   O
presentation   O
,   O
potential   O
differential   O
diagnoses   O
include   O
Guillain   O
-   O
Barré   O
syndrome   O
(   O
GBS   O
)   O
,   O
multiple   O
sclerosis   O
(   O
MS   O
)   O
,   O
peripheral   O
neuropathy   O
(   O
e.g.   O
,   O
diabetic   O
neuropathy   O
though   O
less   O
likely   O
given   O
Juarez   B-NAME
's   O
medical   O
history   O
)   O
,   O
and   O
vitamin   O
B12   O
deficiency   O
.   O

Frantz   B-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Southview   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
any   O
new   O
or   O
worsening   O
symptoms   O
,   O
particularly   O
respiratory   O
distress   O
or   O
significant   O
increases   O
in   O
weakness   O
.   O

6   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
2030   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
28   I-DATE
to   O
review   O
test   O
results   O
and   O
discuss   O
the   O
treatment   O
plan   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Kierra   B-NAME
Bass   I-NAME
at   O
247   B-CONTACT
8022   I-CONTACT
.   O

The   O
patient   O
has   O
consented   O
to   O
the   O
discussed   O
plan   O
and   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
on   O
25/25   B-DATE
.   O

The   O
patient   O
,   O
Mariana   B-NAME
Grant   I-NAME
,   O
a   O
63   O
year   O
old   O
Sewing   O
Machine   O
Operators   O
,   O
Non   O
-   O
Garment   O
from   O
White   B-LOCATION
Springs   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Virginia   B-LOCATION
Mason   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/04   B-DATE
complaining   O
of   O
acute   O
,   O
severe   O
chest   O
pain   O
that   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
physical   O
examination   O
conducted   O
by   O
Farley   B-NAME
was   O
notable   O
for   O
diaphoresis   O
and   O
pallor   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
as   O
provided   O
by   O
Riggs   B-NAME
and   O
recorded   O
under   O
913   B-ID
-   I-ID
09   I-ID
-   I-ID
68   I-ID
-   I-ID
5   I-ID
,   O
included   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Given   O
the   O
presentation   O
and   O
ECG   O
findings   O
,   O
the   O
decision   O
was   O
made   O
by   O
Camacho   B-NAME
to   O
proceed   O
with   O
urgent   O
cardiac   O
catheterization   O
.   O

Consent   O
was   O
obtained   O
,   O
and   O
Lincoln   B-NAME
Stein   I-NAME
was   O
transferred   O
to   O
the   O
catheterization   O
lab   O
of   O
Meadowlands   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
intervention   O
.   O

Discharge   O
instructions   O
,   O
prepared   O
on   O
2300   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
15   I-DATE
,   O
emphasized   O
the   O
importance   O
of   O
lifestyle   O
modification   O
,   O
adherence   O
to   O
prescribed   O
medications   O
,   O
and   O
follow   O
-   O
up   O
appointments   O
with   O
Brendan   B-NAME
Dougherty   I-NAME
at   O
Fairmount   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

The   O
patient   O
was   O
provided   O
with   O
emergency   O
contact   O
numbers   O
,   O
including   O
the   O
hospital   O
's   O
main   O
line   O
(   O
170   B-CONTACT
-   I-CONTACT
2743   I-CONTACT
)   O
and   O
a   O
direct   O
line   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
.   O

The   O
patient   O
's   O
personal   O
information   O
including   O
name   O
,   O
2   B-ID
-   I-ID
10029852   I-ID
,   O
and   O
address   O
,   O
along   O
with   O
medical   O
record   O
number   O
95088548   B-ID
,   O
was   O
documented   O
securely   O
in   O
accordance   O
with   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
Round   I-LOCATION
Rock   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
privacy   O
policy   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2256   B-DATE
,   O
and   O
the   O
patient   O
was   O
advised   O
to   O
report   O
immediately   O
if   O
experiencing   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
difficulty   O
breathing   O
,   O
or   O
palpitations   O
.   O

This   O
case   O
was   O
reported   O
to   O
the   O
Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION
database   O
for   O
quality   O
improvement   O
and   O
research   O
purposes   O
under   O
the   O
identifier   O
ZJ22   B-NAME
.   O

The   O
report   O
will   O
contribute   O
to   O
ongoing   O
efforts   O
to   O
improve   O
the   O
management   O
and   O
outcomes   O
of   O
patients   O
with   O
acute   O
myocardial   O
infarction   O
in   O
Clarkston   B-LOCATION
with   O
the   O
zip   O
code   O
81356   B-LOCATION
.   O

Patient   O
Name   O
:   O
Miriam   B-NAME
Khan   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
4127821   I-ID
Date   O
of   O
Birth   O
:   O
0/22   B-DATE
Age   O
:   O
99   O
Address   O
:   O
Becker   B-LOCATION
,   O
82593   B-LOCATION
Phone   O
Number   O
:   O
164   B-CONTACT
-   I-CONTACT
6179   I-CONTACT
Medical   O
Record   O
Number   O
:   O
8722235   B-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Li   B-NAME
Hospital   O
Name   O
:   O
Sparrow   B-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Report   O
Date   O
:   O
4/9   B-DATE
Summary   O
:   O
Patient   O
Forbin   B-NAME
Noctula   I-NAME
,   O
a   O
Structural   O
Iron   O
and   O
Steel   O
Workers   O
,   O
presented   O
to   O
Jackson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
32/31/2007   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
given   O
its   O
sudden   O
onset   O
and   O
progressive   O
worsening   O
over   O
the   O
past   O
24   O
hours   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
the   O
results   O
of   O
the   O
investigations   O
,   O
the   O
patient   O
was   O
admitted   O
to   O
Spanish   B-LOCATION
Peaks   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
for   O
an   O
emergency   O
appendectomy   O
on   O
2/31   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
by   O
Dr.   O
Jillette   B-NAME
,   I-NAME
Penn   I-NAME
.   O

The   O
patient   O
Diana   B-NAME
Cruz   I-NAME
was   O
advised   O
to   O
attend   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgical   O
outpatient   O
department   O
after   O
2   O
weeks   O
,   O
on   O
12/34/89   B-DATE
,   O
for   O
wound   O
assessment   O
and   O
to   O
discuss   O
the   O
histopathology   O
report   O
.   O

The   O
patient   O
was   O
also   O
reminded   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
unexpected   O
symptoms   O
and   O
to   O
contact   O
Cape   B-LOCATION
Coral   I-LOCATION
Hospital   I-LOCATION
at   O
241   B-CONTACT
-   I-CONTACT
5923   I-CONTACT
if   O
any   O
such   O
symptoms   O
arise   O
.   O

Prepared   O
by   O
:   O
Social   O
Scientists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
North   B-LOCATION
Houston   I-LOCATION
Bank   I-LOCATION
,   O
on   O
02/29   B-DATE
For   O
queries   O
,   O
contact   O
(   B-CONTACT
550   I-CONTACT
)   I-CONTACT
132   I-CONTACT
-   I-CONTACT
1347   I-CONTACT

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Batch   B-NAME
,   I-NAME
Charlie   I-NAME
Patient   O
ID   O
:   O
NZ   B-ID
:   I-ID
VK:5390   I-ID
Medical   O
Record   O
Number   O
:   O
662   B-ID
-   I-ID
43   I-ID
-   I-ID
01   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
05/32/2048   B-DATE
Age   O
:   O
76   O
Phone   O
Number   O
:   O
59063   B-CONTACT
Address   O
:   O
NR70   B-LOCATION
5HI   I-LOCATION
,   O
14579   B-LOCATION
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
of   O
Weapons   O
Specialists   O
/   O
Crew   O
Members   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Waitley   B-NAME
,   I-NAME
Denis   I-NAME
Hospital   O
Name   O
:   O
Wildwood   B-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Nero   B-NAME
Crissinger   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Denver   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/21   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Null   B-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
potential   O
appendicitis   O
.   O

Abdominal   O
ultrasound   O
and   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
with   O
no   O
signs   O
of   O
perforation   O
or   O
abscess   O
formation   O
.   O
Treatment   O
and   O
Management   O
:   O
Dr.   O
Christensen   B-NAME
recommended   O
immediate   O
surgical   O
intervention   O
to   O
prevent   O
complications   O
such   O
as   O
a   O
ruptured   O
appendix   O
.   O

Ayaan   B-NAME
Barker   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
0/16/2329   B-DATE
at   O
Forest   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Regan   B-NAME
Potter   I-NAME
was   O
discharged   O
from   O
Piedmont   B-LOCATION
Newnan   I-LOCATION
Hospital   I-LOCATION
on   O
1/33   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
and   O
activity   O
limitations   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Alejandro   B-NAME
Church   I-NAME
was   O
scheduled   O
for   O
0/9   B-DATE
to   O
monitor   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
's   O
recovery   O
process   O
and   O
manage   O
any   O
post   O
-   O
surgical   O
concerns   O
.   O

Rose   B-NAME
Duke   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
for   O
symptoms   O
of   O
infection   O
,   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
redness   O
around   O
the   O
surgical   O
site   O
.   O

Conclusion   O
:   O
The   O
prompt   O
diagnosis   O
and   O
management   O
of   O
acute   O
appendicitis   O
in   O
Leo   B-NAME
Krutz   I-NAME
led   O
to   O
a   O
successful   O
outcome   O
without   O
complications   O
.   O

Prepared   O
by   O
:   O
SZ233   B-NAME
Date   O
:   O

Aug   B-DATE
32   I-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Lacey   B-NAME
Age   O
:   O
60   O
Date   O
of   O
Birth   O
:   O
Wednesday   B-DATE
,   I-DATE
April   I-DATE
Medical   O
Record   O
Number   O
:   O
99291490   B-ID
ID   O
Number   O
:   O
10   B-ID
-   I-ID
3515897   I-ID
Address   O
:   O
Mauston   B-LOCATION
,   O
46497   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
720   I-CONTACT
)   I-CONTACT
114   I-CONTACT
6794   I-CONTACT
Employer   O
:   O
Mercantile   B-LOCATION
Stars   I-LOCATION
Occupation   O
:   O

Mccall   B-NAME
Hospital   O
:   O
Norton   B-LOCATION
Audubon   I-LOCATION
Hospital   I-LOCATION
Summary   O
of   O
Visit   O
:   O
Kimbra   B-NAME
Cogar   I-NAME
presented   O
to   O
the   O
hospital   O
on   O
35   B-DATE
-   I-DATE
23   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
which   O
they   O
rated   O
as   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Medical   O
History   O
:   O
camp   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Their   O
surgical   O
history   O
is   O
significant   O
for   O
an   O
appendectomy   O
performed   O
at   O
Flagler   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Jacob   B-NAME
Christmas   I-NAME
in   O
Thursday   B-DATE
.   O

On   O
examination   O
,   O
Wesley   B-NAME
Kramer   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
results   O
are   O
pending   O
review   O
by   O
Haney   B-NAME
.   O

Admit   O
to   O
Monmouth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
and   O
pain   O
management   O
.   O

Follow   O
-   O
up   O
Contact   O
Information   O
:   O
Please   O
contact   O
Kirk   B-NAME
at   O
880   B-CONTACT
897   I-CONTACT
4406   I-CONTACT
for   O
any   O
urgent   O
inquiries   O
related   O
to   O
Gisselle   B-NAME
Donovan   I-NAME
's   O
care   O
.   O

For   O
non   O
-   O
urgent   O
matters   O
,   O
appointments   O
can   O
be   O
arranged   O
through   O
the   O
hospital   O
's   O
main   O
line   O
or   O
directly   O
with   O
Aydan   B-NAME
Hurley   I-NAME
's   O
office   O
.   O

Prepared   O
by   O
:   O
EC986   B-NAME
27/32/2119   B-DATE

Patient   O
Name   O
:   O
Horrible   B-NAME
Age   O
:   O
12   O
month   O
Date   O
of   O
Birth   O
:   O
11/10   B-DATE
Address   O
:   O
Mustang   B-LOCATION
Ridge   I-LOCATION
,   O
87390   B-LOCATION
Phone   O
Number   O
:   O
624   B-CONTACT
8301   I-CONTACT
ID   O
:   O
DY   B-ID
:   I-ID
ED:7292   I-ID
Medical   O
Record   O
Number   O
:   O
788   B-ID
-   I-ID
52   I-ID
-   I-ID
31   I-ID
-   I-ID
5   I-ID
Primary   O
Care   O
Physician   O
:   O
Cooper   B-NAME
Hospital   O
:   O
Davis   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
Occupation   O
:   O
editor   O
Admission   O
Date   O
:   O
3/5/50   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Selena   B-NAME
Lopez   I-NAME
,   O
a   O
Welding   O
Machine   O
Operators   O
and   O
Tenders   O
from   O
Newquay   B-LOCATION
,   O
presented   O
to   O
Saint   B-LOCATION
Barnabas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/17   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
started   O
approximately   O
two   O
hours   O
prior   O
to   O
admission   O
.   O

Alphonse   B-NAME
reported   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
was   O
under   O
medication   O
prescribed   O
by   O
Yasmin   B-NAME
Herman   I-NAME
.   O

Gramsci   B-NAME
,   I-NAME
Antonio   I-NAME
was   O
started   O
on   O
a   O
heparin   O
drip   O
for   O
anticoagulation   O
and   O
was   O
scheduled   O
for   O
an   O
emergency   O
cardiac   O
catheterization   O
by   O
Holder   B-NAME
on   O
05/24/1639   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Ralph   B-NAME
Delgado   I-NAME
responded   O
well   O
to   O
the   O
initial   O
management   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
chest   O
pain   O
and   O
improvement   O
in   O
vital   O
signs   O
.   O

The   O
cardiac   O
catheterization   O
performed   O
on   O
30/24/2082   B-DATE
revealed   O
two   O
blocked   O
coronary   O
arteries   O
,   O
for   O
which   O
Kwanita   B-NAME
subsequently   O
underwent   O
CABG   O
by   O
the   O
cardiac   O
surgery   O
team   O
at   O
Cancer   B-LOCATION
Treatment   I-LOCATION
Centers   I-LOCATION
of   I-LOCATION
America   I-LOCATION
,   I-LOCATION
Atlanta   I-LOCATION
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Anabel   B-NAME
Greene   I-NAME
was   O
scheduled   O
for   O
cardiac   O
rehabilitation   O
starting   O
11/22   B-DATE
.   O

Outpatient   O
follow   O
-   O
up   O
with   O
Ramirez   B-NAME
was   O
arranged   O
for   O
1788   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
04   I-DATE
to   O
monitor   O
Delta   B-NAME
's   O
progress   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
Schulberg   B-NAME
,   I-NAME
Budd   I-NAME
's   O
case   O
,   O
please   O
contact   O
Crawford   B-NAME
at   O
(   B-CONTACT
155   I-CONTACT
)   I-CONTACT
561   I-CONTACT
6455   I-CONTACT
.   O

All   O
inquiries   O
must   O
reference   O
the   O
medical   O
record   O
number   O
28539590   B-ID
.   O

Patient   O
Name   O
:   O
Earnest   B-NAME
Medical   O
Record   O
Number   O
:   O
298   B-ID
-   I-ID
09   I-ID
-   I-ID
68   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
03   B-DATE
-   I-DATE
Oct-2012   I-DATE
Age   O
:   O
57s   O
ID   O
:   O
3   B-ID
-   I-ID
6443389   I-ID
Address   O
:   O
Huntsville   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77320   I-LOCATION
,   O
32477   B-LOCATION
Phone   O
:   O
(   B-CONTACT
605   I-CONTACT
)   I-CONTACT
308   I-CONTACT
-   I-CONTACT
4012   I-CONTACT

Attending   O
Physician   O
:   O
Smith   B-NAME
,   I-NAME
Logan   I-NAME
Pearsall   I-NAME
Hospital   O
Name   O
:   O
Medical   B-LOCATION
City   I-LOCATION
Weatherford   I-LOCATION
Date   O
of   O
Admission   O
:   O

Friday   B-DATE
,   I-DATE
April   I-DATE
Date   O
of   O
Discharge   O
:   O
06/06   B-DATE
Profession   O
:   O
Tool   O
Grinders   O
,   O
Filers   O
,   O
and   O
Sharpeners   O
Username   O
:   O
IT681   B-NAME
Clinical   O
Summary   O
:   O
Kayleigh   B-NAME
Short   I-NAME
,   O
a   O
Public   O
Address   O
System   O
and   O
Other   O
Announcers   O
from   O
Forest   B-LOCATION
Hill   I-LOCATION
,   O
72667   B-LOCATION
,   O
presented   O
to   O
OSF   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1611   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
had   O
persisted   O
for   O
approximately   O
6   O
hours   O
before   O
admission   O
.   O

Amirah   B-NAME
Frederick   I-NAME
reported   O
the   O
pain   O
as   O
cramping   O
in   O
nature   O
,   O
localized   O
primarily   O
in   O
the   O
left   O
lower   O
quadrant   O
,   O
with   O
occasional   O
radiation   O
to   O
the   O
back   O
.   O

Bono   B-NAME
denied   O
any   O
previous   O
similar   O
episodes   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
or   O
recent   O
travels   O
.   O

On   O
physical   O
examination   O
,   O
Querry   B-NAME
,   I-NAME
Lucas   I-NAME
Edwin   I-NAME
exhibited   O
signs   O
of   O
distress   O
secondary   O
to   O
pain   O
.   O

Vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slight   O
elevation   O
in   O
temperature   O
at   O
2322   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
02   I-DATE
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Tanner   B-NAME
including   O
a   O
complete   O
blood   O
count   O
,   O
electrolytes   O
,   O
and   O
inflammatory   O
markers   O
.   O

Additionally   O
,   O
Dallas   B-NAME
Mercer   I-NAME
's   O
urine   O
analysis   O
was   O
unremarkable   O
.   O

Imaging   O
in   O
the   O
form   O
of   O
an   O
abdominal   O
Ultrasound   O
was   O
performed   O
on   O
2041   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
19   I-DATE
,   O
revealing   O
a   O
thickened   O
sigmoid   O
colon   O
with   O
inflamed   O
diverticula   O
,   O
indicative   O
of   O
acute   O
diverticulitis   O
.   O

Given   O
Adelyn   B-NAME
Donovan   I-NAME
's   O
age   O
,   O
33   O
,   O
and   O
the   O
absence   O
of   O
concerning   O
features   O
such   O
as   O
perforation   O
or   O
abscess   O
formation   O
,   O
a   O
decision   O
was   O
made   O
by   O
Sydnee   B-NAME
Braun   I-NAME
for   O
conservative   O
management   O
with   O
antibiotics   O
.   O

Bruno   B-NAME
Wall   I-NAME
was   O
admitted   O
to   O
Baptist   B-LOCATION
Saint   I-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Reed   B-NAME
Stephenson   I-NAME
for   O
intravenous   O
antibiotics   O
and   O
pain   O
management   O
.   O

Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Tokala   B-NAME
showed   O
remarkable   O
improvement   O
with   O
resolution   O
of   O
pain   O
and   O
normalization   O
of   O
laboratory   O
parameters   O
.   O

Upon   O
discharge   O
on   O
20   B-DATE
March   I-DATE
2308   I-DATE
,   O
U.   B-NAME
L.   I-NAME
Dana   I-NAME
,   I-NAME
Jr.   I-NAME
was   O
instructed   O
on   O
a   O
high   O
fiber   O
diet   O
,   O
adequate   O
hydration   O
,   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Russell   B-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
reassess   O
the   O
condition   O
and   O
discuss   O
further   O
management   O
strategies   O
.   O

ostrowski   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
bloody   O
stools   O
,   O
or   O
severe   O
abdominal   O
pain   O
recurred   O
.   O

The   O
given   O
contact   O
number   O
for   O
emergencies   O
is   O
61621   B-CONTACT
.   O

For   O
any   O
further   O
inquiries   O
or   O
required   O
medical   O
records   O
,   O
please   O
contact   O
Capital   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
30284   B-CONTACT
referencing   O
Kassandra   B-NAME
Casey   I-NAME
's   O
medIcal   O
record   O
number   O
1529868   B-ID
or   O
contact   O
the   O
patient   O
directly   O
at   O
415   B-CONTACT
-   I-CONTACT
771   I-CONTACT
-   I-CONTACT
8248   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Susann   B-NAME
Fritzler   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
6218606   I-ID
Age   O
:   O
1   O
month   O
Date   O
of   O
Birth   O
:   O
00/25   B-DATE
Medical   O
Record   O
Number   O
:   O
14199542   B-ID
Address   O
:   O
Poultney   B-LOCATION
,   I-LOCATION
Poultney   I-LOCATION
Downtown   I-LOCATION
Revitalization   I-LOCATION
,   O
54043   B-LOCATION
Phone   O
Number   O
:   O
86830   B-CONTACT
Employment   O
:   O
Hand   O
Compositors   O
and   O
Typesetters   O
at   O
Kansas   B-LOCATION
City   I-LOCATION
Life   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Layton   B-NAME
Norris   I-NAME
Hospital   O
Name   O
:   O
Piedmont   B-LOCATION
Newton   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Jasmin   B-NAME
Barnett   I-NAME
presented   O
to   O
the   O
hospital   O
on   O
38/22   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
continuous   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

X.   B-NAME
Hayes   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Floyd   B-NAME
has   O
not   O
experienced   O
similar   O
symptoms   O
prior   O
to   O
this   O
event   O
.   O

Over   O
the   O
course   O
of   O
the   O
day   O
,   O
the   O
pain   O
intensified   O
,   O
prompting   O
Vincent   B-NAME
Fournier   I-NAME
to   O
seek   O
medical   O
evaluation   O
.   O

Past   O
medical   O
history   O
is   O
notable   O
for   O
occasional   O
episodes   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
,   O
but   O
Gallup   B-NAME
,   I-NAME
George   I-NAME
is   O
not   O
on   O
regular   O
medication   O
.   O

Social   O
History   O
:   O
Mckinley   B-NAME
Elliott   I-NAME
is   O
a   O
Clergy   O
at   O
Veterans   B-LOCATION
for   I-LOCATION
Common   I-LOCATION
Sense   I-LOCATION
(   I-LOCATION
VCS   I-LOCATION
)   I-LOCATION
,   O
resides   O
in   O
Goffstown   B-LOCATION
,   O
and   O
denies   O
any   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O
Review   O
of   O
Systems   O
:   O
Other   O
than   O
the   O
symptoms   O
mentioned   O
,   O
review   O
of   O
systems   O
was   O
negative   O
for   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
headache   O
,   O
dizziness   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
urinary   O
habits   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Humboldt   B-NAME
,   I-NAME
Wilhelm   I-NAME
von   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
also   O
performed   O
to   O
further   O
evaluate   O
the   O
cause   O
of   O
Arthur   B-NAME
Arden   I-NAME
's   O
symptoms   O
.   O

Admit   O
to   O
Northern   B-LOCATION
Light   I-LOCATION
Eastern   I-LOCATION
Maine   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
and   O
further   O
management   O
.   O

NPO   O
(   O
nil   O
per   O
os   O
)   O
status   O
for   O
Frost   B-NAME
,   I-NAME
Robert   I-NAME
in   O
anticipation   O
of   O
possible   O
surgery   O
.   O

Username   O
of   O
Healthcare   O
Provider   O
documenting   O
the   O
report   O
:   O
to795   B-NAME
Date   O
of   O
Report   O
:   O
2   B-DATE
-   I-DATE
2   I-DATE
-   I-DATE
54   I-DATE

Patient   O
Report   O
for   O
Chynna   B-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
11   O
month   O
-   O
ID   O
:   O
55376145   B-ID
-   O
Medical   O
Record   O
:   O
97636907   B-ID
-   O
Phone   O
:   O
64086   B-CONTACT
-   O
Address   O
:   O
Peralta   B-LOCATION
,   O
59124   B-LOCATION
Medical   O
History   O
:   O
See   B-NAME
Atkin   I-NAME
,   O
a   O
Estate   O
agent   O
,   O
presented   O
at   O
Reynolds   B-LOCATION
County   I-LOCATION
General   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
August   B-DATE
9   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
week   O
.   O

Symptoms   O
:   O
-   O
Persistent   O
dry   O
cough   O
-   O
Fever   O
peaking   O
at   O
38.5   O
°   O
C   O
-   O
Shortness   O
of   O
breath   O
,   O
particularly   O
worsened   O
on   O
exertion   O
-   O
Generalized   O
fatigability   O
Examination   O
:   O
On   O
physical   O
examination   O
,   O
Kaylee   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
discomfort   O
.   O

Investigations   O
:   O
-   O
Chest   O
X   O
-   O
ray   O
was   O
ordered   O
by   O
Bowen   B-NAME
,   O
showing   O
bilateral   O
infiltrates   O
suggestive   O
of   O
pneumonia   O
.   O
-   O
Nasopharyngeal   O
swab   O
for   O
RT   O
-   O
PCR   O
COVID-19   O
test   O
was   O
performed   O
.   O
-   O
Complete   O
blood   O
count   O
(   O
CBC   O
)   O
showed   O
elevated   O
WBC   O
count   O
,   O
indicative   O
of   O
infection   O
.   O

Treatment   O
:   O
Upon   O
initial   O
assessment   O
and   O
review   O
by   O
Hodges   B-NAME
at   O
Sac   B-LOCATION
-   I-LOCATION
Osage   I-LOCATION
Hospital   I-LOCATION
,   O
Beckie   B-NAME
Nacisse   I-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
considering   O
the   O
community   O
-   O
acquired   O
pneumonia   O
protocol   O
.   O

Follow   O
-   O
up   O
:   O
bishop   B-NAME
was   O
advised   O
to   O
remain   O
in   O
hospital   O
under   O
observation   O
due   O
to   O
the   O
risk   O
factors   O
of   O
age   O
and   O
comorbid   O
conditions   O
.   O

A   O
multidisciplinary   O
team   O
including   O
Paris   B-NAME
Fitzgerald   I-NAME
,   O
a   O
respiratory   O
therapist   O
,   O
and   O
a   O
dietitian   O
were   O
involved   O
in   O
the   O
care   O
plan   O
.   O

Follow   O
-   O
up   O
laboratory   O
tests   O
and   O
a   O
repeat   O
chest   O
X   O
-   O
ray   O
are   O
scheduled   O
for   O
2079   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
08   I-DATE
to   O
evaluate   O
the   O
treatment   O
response   O
.   O

The   O
patient   O
and   O
the   O
family   O
(   O
contact   O
number   O
:   O
44304   B-CONTACT
)   O
were   O
educated   O
on   O
the   O
importance   O
of   O
strict   O
isolation   O
procedures   O
,   O
signs   O
of   O
symptom   O
progression   O
requiring   O
immediate   O
medical   O
attention   O
,   O
and   O
the   O
potential   O
need   O
for   O
escalation   O
of   O
care   O
including   O
admission   O
to   O
the   O
intensive   O
care   O
unit   O
if   O
respiratory   O
status   O
worsens   O
.   O

For   O
further   O
information   O
or   O
changes   O
in   O
Lydia   B-NAME
Barnes   I-NAME
's   O
condition   O
,   O
please   O
contact   O
Chilton   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
548   I-CONTACT
)   I-CONTACT
537   I-CONTACT
-   I-CONTACT
2683   I-CONTACT
.   O

Patient   O
Report   O
for   O
John   B-NAME
Gideon   I-NAME
General   O
Information   O
:   O
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
8691860   I-ID
Medical   O
Record   O
Number   O
:   O
7064611   B-ID
Date   O
of   O
Birth   O
:   O
88   O
Date   O
of   O
Admission   O
:   O
0/12/98   B-DATE
Attending   O
Physician   O
:   O
Bradford   B-NAME
Location   O
of   O
Admission   O
:   O
Parkview   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Hales   B-LOCATION
Corners   I-LOCATION
Contact   O
Information   O
:   O
848   B-CONTACT
236   I-CONTACT
-   I-CONTACT
9470   I-CONTACT
Case   O
Summary   O
:   O

The   O
patient   O
,   O
Rivas   B-NAME
,   O
a   O
Mapping   O
Technicians   O
,   O
initially   O
presented   O
to   O
the   O
South   B-LOCATION
Jersey   I-LOCATION
Industries   I-LOCATION
's   O
emergency   O
department   O
in   O
Point   B-LOCATION
Pleasant   I-LOCATION
on   O
22/25   B-DATE
with   O
symptoms   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Rick   B-NAME
Bauer   I-NAME
,   O
with   O
a   O
diagnosis   O
of   O
acute   O
pancreatitis   O
secondary   O
to   O
gallstone   O
obstruction   O
.   O

After   O
stabilization   O
,   O
an   O
endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
was   O
performed   O
on   O
03/61   B-DATE
by   O
Marcel   B-NAME
Sullivan   I-NAME
,   O
successfully   O
removing   O
the   O
obstructive   O
gallstones   O
without   O
complications   O
.   O

The   O
patient   O
was   O
gradually   O
reintroduced   O
to   O
oral   O
intake   O
without   O
incident   O
and   O
was   O
subsequently   O
discharged   O
on   O
14/37/2265   B-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
gastroenterology   O
clinic   O
at   O
Portneuf   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
's   O
contact   O
information   O
for   O
follow   O
-   O
up   O
purposes   O
is   O
50502   B-CONTACT
,   O
and   O
they   O
reside   O
in   O
the   O
90534   B-LOCATION
area   O
of   O
Rockville   B-LOCATION
.   O

A   O
follow   O
-   O
up   O
call   O
is   O
scheduled   O
for   O
37/20   B-DATE
to   O
check   O
on   O
the   O
patient   O
’s   O
recovery   O
progress   O
and   O
adherence   O
to   O
the   O
discharge   O
plan   O
.   O

This   O
case   O
will   O
continue   O
to   O
be   O
monitored   O
by   O
Cooper   B-NAME
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Northwest   I-LOCATION
Arkansas   I-LOCATION
,   O
and   O
additional   O
updates   O
will   O
be   O
provided   O
as   O
necessary   O
.   O

End   O
of   O
Report   O
Report   O
Prepared   O
By   O
:   O
fro184   B-NAME
Report   O
Date   O
:   O
27/03/70   B-DATE

Patient   O
Name   O
:   O
Lakiesha   B-NAME
Nethery   I-NAME
Patient   O
ID   O
:   O
EO   B-ID
:   I-ID
QI:7945   I-ID
Medical   O
Record   O
Number   O
:   O
2827253   B-ID
Date   O
of   O
Birth   O
:   O
02/26   B-DATE
Age   O
:   O
1   O
Address   O
:   O
Kingsclear   B-LOCATION
,   I-LOCATION
NB   I-LOCATION
E3E   I-LOCATION
4L6   I-LOCATION
,   O
11283   B-LOCATION
Phone   O
Number   O
:   O
875   B-CONTACT
340   I-CONTACT
1320   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Whitney   B-NAME
Referred   O
by   O
:   O
Dr.   O
Huynh   B-NAME
Date   O
of   O
Visit   O
:   O
1/2   B-DATE
Location   O
of   O
Visit   O
:   O
Hampstead   B-LOCATION
Hospital   I-LOCATION
,   O
Ganado   B-LOCATION
Chief   O
Complaint   O
:   O
Nicholas   B-NAME
A.   I-NAME
Gomes   I-NAME
presents   O
with   O
persistent   O
,   O
diffuse   O
,   O
abdominal   O
pain   O
,   O
accompanied   O
by   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
over   O
the   O
past   O
1/24   B-DATE
.   O

The   O
patient   O
reports   O
that   O
the   O
symptoms   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
5/23   B-DATE
.   O

Accompanying   O
the   O
abdominal   O
pain   O
,   O
Person   B-NAME
has   O
experienced   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
subsequent   O
weight   O
loss   O
of   O
77   O
pounds   O
over   O
the   O
same   O
time   O
frame   O
.   O

Past   O
Medical   O
History   O
:   O
Catina   B-NAME
Bundren   I-NAME
has   O
a   O
known   O
history   O
of   O
Type   O
2   O
diabetes   O
and   O
hypertension   O
,   O
both   O
managed   O
with   O
medication   O
prescribed   O
by   O
Dr.   O
Dixon   B-NAME
.   O
Review   O
of   O
Symptoms   O
:   O

In   O
addition   O
to   O
the   O
primary   O
complaint   O
,   O
Laughlin   B-NAME
reports   O
occasional   O
shortness   O
of   O
breath   O
and   O
dizziness   O
.   O

Lisinopril   O
10   O
mg   O
once   O
daily   O
Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Keagan   B-NAME
Sellers   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

A   O
referral   O
to   O
a   O
gastroenterologist   O
,   O
Dr.   O
Joyce   B-NAME
,   O
for   O
further   O
evaluation   O
including   O
an   O
upper   O
GI   O
endoscopy   O
,   O
has   O
been   O
made   O
.   O

Follow   O
-   O
up   O
after   O
the   O
consultation   O
and   O
any   O
subsequent   O
testing   O
is   O
scheduled   O
for   O
2363   B-DATE
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Saint   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
,   I-LOCATION
Sioux   I-LOCATION
City   I-LOCATION
,   O
Alvord   B-LOCATION
.   O

The   O
patient   O
is   O
also   O
advised   O
to   O
monitor   O
their   O
symptoms   O
and   O
to   O
return   O
to   O
the   O
emergency   O
department   O
at   O
California   B-LOCATION
Pacific   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Pacific   I-LOCATION
Campus   I-LOCATION
or   O
call   O
89829   B-CONTACT
if   O
they   O
experience   O
any   O
worsening   O
of   O
symptoms   O
,   O
such   O
as   O
sudden   O
sharp   O
abdominal   O
pain   O
,   O
blood   O
in   O
vomit   O
,   O
or   O
black   O
,   O
tarry   O
stools   O
.   O

The   O
consent   O
form   O
for   O
the   O
referral   O
and   O
procedures   O
was   O
signed   O
by   O
Arce   B-NAME
on   O
1929   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
23   I-DATE
.   O

Notes   O
on   O
patient   O
education   O
regarding   O
the   O
suspected   O
condition   O
,   O
potential   O
complications   O
,   O
and   O
the   O
importance   O
of   O
follow   O
-   O
up   O
care   O
were   O
documented   O
by   O
nurse   O
Surgical   O
Technologists   O
on   O
20/25/77   B-DATE
.   O

The   O
social   O
work   O
team   O
at   O
Cascade   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
engaged   O
to   O
ensure   O
Jayla   B-NAME
Friedman   I-NAME
has   O
access   O
to   O
reliable   O
transportation   O
for   O
the   O
upcoming   O
appointments   O
.   O

Railroad   O
Yard   O
Workers   O
at   O
Homestead   B-LOCATION
Public   I-LOCATION
Services   I-LOCATION
is   O
also   O
involved   O
to   O
provide   O
support   O
with   O
dietary   O
modifications   O
and   O
lifestyle   O
changes   O
necessary   O
for   O
long   O
-   O
term   O
management   O
of   O
the   O
identified   O
health   O
concerns   O
.   O

For   O
any   O
further   O
information   O
or   O
to   O
report   O
changes   O
in   O
condition   O
,   O
Adolph   B-NAME
Knowlton   I-NAME
or   O
their   O
family   O
may   O
contact   O
Saint   B-LOCATION
Joseph   I-LOCATION
Health   I-LOCATION
Plymouth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
GI   O
department   O
directly   O
at   O
492   B-CONTACT
-   I-CONTACT
253   I-CONTACT
-   I-CONTACT
1689   I-CONTACT
.   O

Patient   O
Report   O
--------------   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Marc   B-NAME
Pratt   I-NAME
-   O
Age   O
:   O
62   O
-   O
ID   O
:   O
1682011   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
00963449   B-ID
-   O
Date   O
of   O
Visit   O
:   O
12/32   B-DATE
-   O
Address   O
:   O
Cardwell   B-LOCATION
,   O
36759   B-LOCATION
-   O
Phone   O
:   O
(   B-CONTACT
863   I-CONTACT
)   I-CONTACT
364   I-CONTACT
6436   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Amina   B-NAME
Strickland   I-NAME
-   O
Hospital   O
:   O
Mitchell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
-   O
Occupation   O
:   O
Production   O
Laborers   O
-   O
Report   O
By   O
:   O
ty238   B-NAME
Summary   O
:   O

Tamia   B-NAME
Ochoa   I-NAME
,   O
a   O
42   O
-   O
year   O
-   O
old   O
Curator   O
,   O
presented   O
to   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Aurora   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
constant   O
,   O
significantly   O
worsening   O
over   O
the   O
last   O
3/22   B-DATE
.   O

Additionally   O
,   O
Potter   B-NAME
's   I-NAME
reported   O
experiencing   O
nausea   O
and   O
vomiting   O
,   O
which   O
did   O
not   O
provide   O
relief   O
from   O
the   O
abdominal   O
discomfort   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Velazquez   B-NAME
noted   O
that   O
Deja   B-NAME
Richard   I-NAME
's   O
abdomen   O
was   O
tender   O
to   O
palpation   O
,   O
especially   O
in   O
the   O
epigastric   O
region   O
.   O

Vital   O
signs   O
recorded   O
on   O
22/21/35   B-DATE
showed   O
a   O
temperature   O
of   O
38.2   O
°   O
C   O
(   O
100.8   O
°   O
F   O
)   O
,   O
a   O
pulse   O
of   O
102   O
beats   O
per   O
minute   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Tests   O
:   O
Amanda   B-NAME
Hancock   I-NAME
underwent   O
a   O
comprehensive   O
set   O
of   O
laboratory   O
tests   O
and   O
imaging   O
studies   O
.   O

An   O
abdominal   O
ultrasound   O
conducted   O
on   O
32/03/2143   B-DATE
displayed   O
signs   O
consistent   O
with   O
acute   O
pancreatitis   O
,   O
including   O
swelling   O
of   O
the   O
pancreas   O
and   O
peripancreatic   O
fluid   O
collection   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Estefan   B-NAME
,   I-NAME
Gloria   I-NAME
diagnosed   O
Felipe   B-NAME
Ortega   I-NAME
with   O
acute   O
pancreatitis   O
.   O

A   O
dietitian   O
from   O
Stamford   B-LOCATION
Hospital   I-LOCATION
provided   O
nutritional   O
guidance   O
to   O
help   O
with   O
recovery   O
and   O
long   O
-   O
term   O
pancreas   O
health   O
.   O

Follow   O
-   O
Up   O
:   O
Clarke   B-NAME
,   I-NAME
Arthur   I-NAME
C.   I-NAME
was   O
advised   O
to   O
have   O
a   O
follow   O
-   O
up   O
visit   O
in   O
Cardinal   B-LOCATION
Hill   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
in   O
12/23   B-DATE
for   O
reevaluation   O
and   O
to   O
monitor   O
the   O
progress   O
of   O
the   O
pancreatic   O
inflammation   O
.   O

Ayana   B-NAME
Hendricks   I-NAME
was   O
also   O
recommended   O
to   O
abstain   O
from   O
alcohol   O
and   O
to   O
avoid   O
fatty   O
foods   O
to   O
minimize   O
stress   O
on   O
the   O
pancreas   O
.   O

Discharge   O
Instructions   O
:   O
Henderson   B-NAME
Xin   I-NAME
received   O
discharge   O
instructions   O
emphasizing   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
plan   O
,   O
including   O
medication   O
,   O
diet   O
,   O
and   O
hydration   O
.   O

Emergency   O
contact   O
numbers   O
,   O
including   O
the   O
hospital   O
's   O
main   O
line   O
64060   B-CONTACT
,   O
were   O
provided   O
in   O
case   O
of   O
worsening   O
symptoms   O
or   O
concerns   O
.   O

Brendan   B-NAME
Wang   I-NAME
-   O
Hospital   O
:   O
Runnells   B-LOCATION
Specialized   I-LOCATION
Hospital   I-LOCATION
,   O
Clear   B-LOCATION
Lake   I-LOCATION
,   O
72345   B-LOCATION
-   O
Medical   O
Records   O
:   O
16466658   B-ID
-   O
Patient   O
Information   O
Contact   O
:   O
284   B-CONTACT
-   I-CONTACT
832   I-CONTACT
-   I-CONTACT
6118   I-CONTACT

This   O
report   O
was   O
meticulously   O
prepared   O
by   O
FF662   B-NAME
on   O
32/23/73   B-DATE
.   O

Patient   O
Name   O
:   O
Y.   B-NAME
Quinton   I-NAME
Xanders   I-NAME
Age   O
:   O
9   O
Address   O
:   O
Moore   B-LOCATION
Station   I-LOCATION
,   O
23146   B-LOCATION
Phone   O
Number   O
:   O
181   B-CONTACT
-   I-CONTACT
5163   I-CONTACT
Occupation   O
:   O

Parking   O
Enforcement   O
Workers   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Orozco   B-NAME
Hospital   O
:   O
Orlando   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
2182697   B-ID
Social   O
Security   O
ID   O
:   O
899270   B-ID
Date   O
of   O
Visit   O
:   O
00/14   B-DATE
Username   O
:   O
wvo792   B-NAME
The   O
patient   O
,   O
Giovanny   B-NAME
Alvarez   I-NAME
,   O
presented   O
to   O
Dixie   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
33   B-DATE
-   I-DATE
32   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
that   O
was   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Pete   B-NAME
Quintanar   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
cramp   O
-   O
like   O
,   O
worsening   O
over   O
the   O
last   O
48   O
hours   O
.   O

Along   O
with   O
the   O
pain   O
,   O
Tia   B-NAME
Lamb   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
after   O
conducting   O
a   O
thorough   O
medical   O
evaluation   O
,   O
Cael   B-NAME
Morrow   I-NAME
was   O
suspected   O
to   O
have   O
acute   O
appendicitis   O
.   O

A   O
decision   O
was   O
made   O
by   O
Dr.   O
Ilona   B-NAME
Swift   I-NAME
to   O
proceed   O
with   O
an   O
abdominal   O
ultrasound   O
to   O
confirm   O
the   O
diagnosis   O
,   O
which   O
indeed   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O

Bell   B-NAME
,   I-NAME
Alexander   I-NAME
Graham   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
12/6   B-DATE
.   O

Cash   B-NAME
Rush   I-NAME
showed   O
remarkable   O
signs   O
of   O
improvement   O
post   O
-   O
operation   O
.   O

The   O
postoperative   O
pain   O
was   O
effectively   O
managed   O
,   O
and   O
Handy   B-NAME
,   I-NAME
Charles   I-NAME
was   O
afebrile   O
with   O
stabilized   O
vital   O
signs   O
by   O
21/10/2152   B-DATE
.   O

After   O
ensuring   O
there   O
were   O
no   O
signs   O
of   O
infection   O
or   O
complications   O
,   O
Walter   B-NAME
was   O
discharged   O
from   O
Aleda   B-LOCATION
E.   I-LOCATION
Lutz   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Woods   B-NAME
with   O
instructions   O
for   O
home   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
scheduled   O
for   O
2070   B-DATE
.   O

Kennedi   B-NAME
Castaneda   I-NAME
is   O
advised   O
to   O
follow   O
the   O
postoperative   O
care   O
instructions   O
closely   O
and   O
contact   O
Community   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
or   O
(   B-CONTACT
192   I-CONTACT
)   I-CONTACT
884   I-CONTACT
6691   I-CONTACT
for   O
any   O
concerns   O
or   O
symptoms   O
of   O
postoperative   O
complications   O
.   O

Patient   O
Name   O
:   O
Gauss   B-NAME
,   I-NAME
Carl   I-NAME
Friedrich   I-NAME
Patient   O
Age   O
:   O
48   O
Medical   O
record   O
number   O
:   O
788   B-ID
-   I-ID
57   I-ID
-   I-ID
30   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
2/12/10   B-DATE
Phone   O
Number   O
:   O
293   B-CONTACT
-   I-CONTACT
1259   I-CONTACT
Address   O
:   O
Pennsbury   B-LOCATION
Village   I-LOCATION
,   O
38698   B-LOCATION
Occupation   O
:   O

John   B-NAME
Spivey   I-NAME
Treating   O
Hospital   O
:   O
Boone   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
History   O
of   O
Presentation   O
:   O

Millard   B-NAME
Mcclary   I-NAME
presented   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Atlanta   I-LOCATION
on   O
00/17/68   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
localized   O
to   O
the   O
frontal   O
region   O
.   O

Douglass   B-NAME
,   I-NAME
David   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
photophobia   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
transient   O
visual   O
disturbances   O
described   O
as   O
"   O
flashing   O
lights   O
.   O

"   O
Medical   O
History   O
:   O
Marry   B-NAME
Bruno   I-NAME
has   O
a   O
documented   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
[   O
HE   O
/   O
SHE   O
]   O
is   O
currently   O
being   O
treated   O
with   O
medication   O
.   O

Past   O
surgical   O
history   O
includes   O
a   O
laparoscopic   O
cholecystectomy   O
in   O
Thursday   B-DATE
.   O

There   O
is   O
no   O
reported   O
history   O
of   O
similar   O
headaches   O
or   O
neurologic   O
conditions   O
in   O
Ellen   B-NAME
Burgess   I-NAME
's   O
family   O
.   O

Clinical   O
Examination   O
:   O
Upon   O
examination   O
,   O
SP   B-NAME
was   O
found   O
to   O
be   O
alert   O
and   O
oriented   O
,   O
but   O
visibly   O
distressed   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Assessment   O
:   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
ordered   O
by   O
Hebert   B-NAME
and   O
performed   O
on   O
1877   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
30   I-DATE
,   O
did   O
not   O
show   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

Assessment   O
and   O
Plan   O
:   O
The   O
differential   O
diagnosis   O
for   O
Knox   B-NAME
's   O
presentation   O
includes   O
migraine   O
with   O
aura   O
,   O
tension   O
-   O
type   O
headache   O
,   O
and   O
secondary   O
headache   O
due   O
to   O
systemic   O
illness   O
.   O

Given   O
Victoria   B-NAME
Xing   I-NAME
's   O
existing   O
comorbid   O
conditions   O
,   O
a   O
cautious   O
approach   O
is   O
advised   O
.   O

Small   B-NAME
has   O
recommended   O
initiating   O
a   O
treatment   O
regimen   O
consisting   O
of   O
oral   O
triptans   O
for   O
migraine   O
management   O
,   O
along   O
with   O
hydration   O
and   O
rest   O
.   O

Hess   B-NAME
also   O
recommended   O
follow   O
-   O
up   O
in   O
the   O
headache   O
clinic   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Otho   B-NAME
Bookmiller   I-NAME
indicated   O
the   O
importance   O
of   O
monitoring   O
Kaylana   B-NAME
's   O
blood   O
pressure   O
closely   O
,   O
given   O
the   O
hypertension   O
history   O
and   O
the   O
potential   O
for   O
exacerbation   O
of   O
headache   O
symptoms   O
.   O

Hernandez   B-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
and   O
report   O
any   O
changes   O
in   O
the   O
pattern   O
,   O
frequency   O
,   O
or   O
intensity   O
of   O
headaches   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Chilton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
25th   B-DATE
of   I-DATE
February   I-DATE
.   O

For   O
further   O
information   O
or   O
to   O
report   O
any   O
changes   O
in   O
condition   O
,   O
Godfrey   B-NAME
or   O
Toby   B-NAME
Gamble   I-NAME
's   O
primary   O
caregiver   O
is   O
advised   O
to   O
contact   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Prince   I-LOCATION
George   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
at   O
255   B-CONTACT
-   I-CONTACT
6467   I-CONTACT
.   O

Buñuel   B-NAME
,   I-NAME
Luis   I-NAME
Signature   O
:   O
32/25   B-DATE

Quy   B-NAME
Cherry   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
8449716   I-ID
Medical   O
Record   O
Number   O
:   O
5297321   B-ID
Age   O
:   O
12   O
month   O
Address   O
:   O
Moreno   B-LOCATION
Valley   I-LOCATION
,   O
23423   B-LOCATION
Phone   O
Number   O
:   O
404   B-CONTACT
-   I-CONTACT
886   I-CONTACT
-   I-CONTACT
6009   I-CONTACT
Primary   O
Care   O
Doctor   O
:   O
Osborne   B-NAME
Treatment   O
Facility   O
:   O

TriStar   B-LOCATION
Greenview   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2212   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
20   I-DATE
Presenting   O
Problem   O
:   O
The   O
patient   O
,   O
a   O
Family   O
and   O
General   O
Practitioners   O
by   O
profession   O
,   O
reports   O
a   O
two   O
-   O
week   O
history   O
of   O
persistent   O
,   O
dry   O
cough   O
exacerbated   O
by   O
deep   O
breathing   O
and   O
a   O
recent   O
history   O
of   O
fever   O
peaking   O
at   O
38.5   O
°   O
C   O
.   O

Noteworthy   O
is   O
a   O
pronounced   O
dyspnea   O
on   O
exertion   O
,   O
which   O
has   O
progressively   O
worsened   O
over   O
the   O
last   O
Veterans   B-DATE
Day   I-DATE
.   O

James   B-NAME
I   I-NAME
of   I-NAME
England   I-NAME
has   O
a   O
noted   O
history   O
of   O
Type   O
II   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
a   O
beta   O
-   O
blocker   O
.   O

Previous   O
hospitalizations   O
include   O
a   O
cholecystectomy   O
at   O
UNC   B-LOCATION
REX   I-LOCATION
Healthcare   I-LOCATION
on   O
12/29/92   B-DATE
and   O
an   O
appendectomy   O
during   O
childhood   O
at   O
an   O
unspecified   O
location   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Schmitt   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
effort   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
diagnostic   O
findings   O
,   O
Emelia   B-NAME
Long   I-NAME
was   O
initiated   O
on   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
as   O
well   O
as   O
a   O
course   O
of   O
oral   O
corticosteroids   O
.   O

In   O
addition   O
,   O
Derek   B-NAME
Hubert   I-NAME
recommended   O
close   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
due   O
to   O
the   O
patient   O
's   O
history   O
of   O
diabetes   O
.   O

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
November   B-DATE
to   O
reassess   O
symptoms   O
and   O
potential   O
adjustment   O
of   O
therapy   O
.   O

Rousseau   B-NAME
,   I-NAME
Jean   I-NAME
-   I-NAME
Jacques   I-NAME
was   O
advised   O
to   O
maintain   O
hydration   O
,   O
rest   O
,   O
and   O
monitor   O
temperature   O
and   O
oxygen   O
levels   O
using   O
a   O
home   O
oximeter   O
provided   O
by   O
National   B-LOCATION
Anti   I-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
NAVS   I-LOCATION
)   I-LOCATION
.   O

Further   O
Recommendations   O
:   O
Should   O
symptoms   O
persist   O
or   O
worsen   O
,   O
Kiersten   B-NAME
Mills   I-NAME
was   O
instructed   O
to   O
contact   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Lake   I-LOCATION
Ascension   I-LOCATION
immediately   O
or   O
visit   O
the   O
emergency   O
department   O
.   O

Additionally   O
,   O
a   O
referral   O
to   O
a   O
pulmonary   O
specialist   O
within   O
the   O
InBank   B-LOCATION
network   O
for   O
further   O
evaluation   O
was   O
made   O
,   O
with   O
an   O
appointment   O
scheduled   O
for   O
Aug   B-DATE
26   I-DATE
,   I-DATE
2091   I-DATE
.   O

Notice   O
:   O
All   O
communication   O
regarding   O
Barbara   B-NAME
Hickman   I-NAME
's   O
condition   O
and   O
treatment   O
should   O
be   O
directed   O
to   O
73575   B-CONTACT
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
please   O
contact   O
Okefenoke   B-LOCATION
Rural   I-LOCATION
Electric   I-LOCATION
Membership   I-LOCATION
Corporation   I-LOCATION
's   O
helpline   O
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
.   O

This   O
document   O
contains   O
sensitive   O
health   O
information   O
about   O
Alani   B-NAME
Owen   I-NAME
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
749   B-CONTACT
7173   I-CONTACT
immediately   O
and   O
delete   O
the   O
original   O
.   O

Lisa   B-NAME
Mccullough   I-NAME
Patient   O
ID   O
:   O
IT202/7329   B-ID
Date   O
of   O
Birth   O
:   O
2/22/22   B-DATE
Age   O
:   O
79   O
Phone   O
Number   O
:   O
(   B-CONTACT
608   I-CONTACT
)   I-CONTACT
100   I-CONTACT
6953   I-CONTACT
Address   O
:   O
Bone   B-LOCATION
Gap   I-LOCATION
,   O
90542   B-LOCATION
Occupation   O
:   O
Software   O
Quality   O
Assurance   O
Engineers   O
and   O
Testers   O
Primary   O
Care   O
Physician   O
:   O

Dillan   B-NAME
Edwards   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
36140379   B-ID
Date   O
of   O
Visit   O
:   O
November   B-DATE
00   I-DATE
Chief   O
Complaint   O
:   O
Moore   B-NAME
,   I-NAME
Alan   I-NAME
presented   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Boise   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2393   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
07   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

James   B-NAME
Hamilton   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
decrease   O
in   O
appetite   O
,   O
and   O
a   O
mild   O
fever   O
.   O

Medical   O
History   O
:   O
Jamari   B-NAME
Estrada   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
,   O
and   O
hypertension   O
.   O

Duartes   B-NAME
denies   O
any   O
surgeries   O
or   O
other   O
significant   O
medical   O
issues   O
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
in   O
Sha   B-NAME
Gaseoma   I-NAME
's   O
father   O
who   O
passed   O
away   O
at   O
the   O
age   O
of   O
66   O
.   O

Raymond   B-NAME
works   O
as   O
a   O
Employment   O
Interviewers   O
,   O
Private   O
or   O
Public   O
Employment   O
Service   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Ben   B-NAME
Mcdonald   I-NAME
lives   O
with   O
family   O
in   O
Meadow   B-LOCATION
Woods   I-LOCATION
.   O
Review   O
of   O
Systems   O
:   O
Positive   O
for   O
mild   O
,   O
intermittent   O
diarrhea   O
without   O
the   O
presence   O
of   O
blood   O
or   O
mucus   O
.   O

Alexis   B-NAME
Garrett   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
possible   O
surgery   O
.   O

Amiyah   B-NAME
Bauer   I-NAME
will   O
closely   O
monitor   O
Infant   B-NAME
Brewer   I-NAME
's   O
condition   O
and   O
coordinate   O
with   O
the   O
surgical   O
team   O
at   O
Kansas   B-LOCATION
Neurological   I-LOCATION
Institute   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
for   O
the   O
next   O
steps   O
in   O
management   O
.   O

The   O
patient   O
and   O
family   O
were   O
advised   O
to   O
call   O
(   B-CONTACT
635   I-CONTACT
)   I-CONTACT
197   I-CONTACT
-   I-CONTACT
9946   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
.   O

Note   O
:   O
Stanley   B-NAME
Keyworth   I-NAME
's   O
personal   O
health   O
information   O
is   O
strictly   O
confidential   O
.   O

Refer   O
to   O
medical   O
record   O
93856766   B-ID
for   O
more   O
details   O
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Randolph   B-NAME
Age   O
:   O
32   O
Medical   O
Record   O
Number   O
:   O
8611102   B-ID
Date   O
:   O
22/12/12   B-DATE
Location   O
:   O
Macclesfield   B-LOCATION
Doctor   O
:   O
Charles   B-NAME
Kroger   I-NAME
Hospital   O
:   O

Brooks   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
The   O
patient   O
,   O
Dyani   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Jefferson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/24   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
clinical   O
presentation   O
of   O
appendicitis   O
.   O

Berger   B-NAME
described   O
the   O
pain   O
as   O
a   O
sharp   O
and   O
persistent   O
sensation   O
that   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Tova   B-NAME
,   O
with   O
an   O
age   O
of   O
5   O
,   O
exhibited   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Lincoln   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lincoln   I-LOCATION
under   O
the   O
care   O
of   O
Andy   B-NAME
Hester   I-NAME
for   O
further   O
management   O
of   O
suspected   O
acute   O
appendicitis   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
for   O
22/02/2050   B-DATE
for   O
wound   O
assessment   O
and   O
to   O
evaluate   O
recovery   O
progress   O
.   O

Contact   O
information   O
for   O
any   O
questions   O
or   O
emergencies   O
was   O
provided   O
,   O
including   O
the   O
direct   O
line   O
to   O
the   O
surgical   O
department   O
at   O
489   B-CONTACT
6496   I-CONTACT
and   O
instructions   O
to   O
return   O
to   O
Lewis   B-LOCATION
County   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
if   O
necessary   O
.   O

This   O
comprehensive   O
care   O
plan   O
was   O
devised   O
in   O
consensus   O
with   O
Jeter   B-NAME
,   I-NAME
Derek   I-NAME
,   O
taking   O
into   O
account   O
Police   O
Patrol   O
Officers   O
demands   O
and   O
personal   O
preferences   O
regarding   O
recovery   O
and   O
follow   O
-   O
up   O
care   O
.   O

Please   O
note   O
that   O
all   O
patient   O
data   O
,   O
including   O
Wendy   B-NAME
White   I-NAME
,   O
July   B-DATE
,   O
876   B-ID
-   I-ID
82   I-ID
-   I-ID
58   I-ID
-   I-ID
6   I-ID
,   O
West   B-LOCATION
Wildwood   I-LOCATION
,   O
Cannon   B-NAME
Haley   I-NAME
,   O
Overland   B-LOCATION
Park   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
,   O
and   O
40927   B-CONTACT
number   O
,   O
have   O
been   O
altered   O
or   O
omitted   O
to   O
maintain   O
confidentiality   O
as   O
per   O
HIPAA   O
regulations   O
.   O

Report   O
Prepared   O
by   O
:   O
yje656   B-NAME
18656   B-LOCATION

Patient   O
:   O
Anthony   B-NAME
,   I-NAME
Piers   I-NAME
Medical   O
Record   O
Number   O
:   O
293   B-ID
-   I-ID
74   I-ID
-   I-ID
84   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
0/3   B-DATE
Age   O
:   O
8   O
week   O
Address   O
:   O
Grand   B-LOCATION
Canyon   I-LOCATION
Village   I-LOCATION
,   O
33186   B-LOCATION
Phone   O
:   O
672   B-CONTACT
-   I-CONTACT
872   I-CONTACT
-   I-CONTACT
3239   I-CONTACT
Primary   O
Physician   O
:   O
Dr.   O
Niemöller   B-NAME
,   I-NAME
Martin   I-NAME
Admitting   O
Hospital   O
:   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marion   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
3/3   B-DATE
ID   O
:   O
8   B-ID
-   I-ID
4912901   I-ID
Chief   O
Complaint   O
:   O

History   O
of   O
Present   O
Illness   O
:   O
Keaton   B-NAME
Reid   I-NAME
has   O
experienced   O
intermittent   O
abdominal   O
discomfort   O
over   O
the   O
last   O
six   O
months   O
,   O
which   O
has   O
significantly   O
worsened   O
in   O
severity   O
over   O
the   O
past   O
seven   O
days   O
.   O

Lowe   B-NAME
is   O
a   O
Highway   O
Maintenance   O
Workers   O
with   O
a   O
20   O
-   O
year   O
history   O
of   O
smoking   O
,   O
averaging   O
half   O
a   O
pack   O
of   O
cigarettes   O
per   O
day   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Buber   B-NAME
,   I-NAME
Martin   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
to   O
moderate   O
distress   O
due   O
to   O
abdominal   O
pain   O
.   O

Admit   O
George   B-NAME
to   O
Baystate   B-LOCATION
Franklin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
observation   O
and   O
further   O
diagnostic   O
evaluation   O
.   O

The   O
patient   O
and   O
their   O
family   O
(   O
contact   O
information   O
:   O
84929   B-CONTACT
)   O
have   O
been   O
informed   O
of   O
the   O
possible   O
diagnoses   O
and   O
the   O
planned   O
diagnostic   O
and   O
therapeutic   O
procedures   O
.   O

The   O
information   O
in   O
this   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
only   O
for   O
use   O
by   O
the   O
attending   O
physician   O
Dr.   O
Cailyn   B-NAME
Rollins   I-NAME
and   O
the   O
medical   O
team   O
at   O
Talbott   B-LOCATION
Recovery   I-LOCATION
Atlanta   I-LOCATION
.   O

For   O
further   O
inquiries   O
or   O
updates   O
,   O
please   O
contact   O
the   O
medical   O
team   O
at   O
57478   B-CONTACT
.   O

Patient   O
Name   O
:   O
Curtis   B-NAME
Shelton   I-NAME
Age   O
:   O
22   O
Date   O
of   O
Birth   O
:   O
2/19   B-DATE
Address   O
:   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11233   I-LOCATION
,   O
19535   B-LOCATION
Telephone   O
:   O
84721   B-CONTACT
Occupation   O
:   O
Pharmacy   O
Technicians   O
Primary   O
Care   O
Physician   O
:   O

Chaim   B-NAME
Lutz   I-NAME
Hospital   O
:   O
Sanford   B-LOCATION
USD   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
69008693   B-ID
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
8729488   I-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Terrell   B-NAME
Cavanaugh   I-NAME
,   O
presented   O
to   O
HealthSouth   B-LOCATION
on   O
3322   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
has   O
progressively   O
worsened   O
over   O
the   O
past   O
48   O
hours   O
.   O

Wright   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lesly   B-NAME
Mora   I-NAME
,   O
a   O
Lodging   O
Managers   O
from   O
Three   B-LOCATION
Points   I-LOCATION
,   O
began   O
experiencing   O
mild   O
discomfort   O
in   O
the   O
abdominal   O
area   O
approximately   O
three   O
days   O
ago   O
.   O

The   O
discomfort   O
gradually   O
intensified   O
to   O
a   O
sharp   O
pain   O
,   O
prompting   O
a   O
visit   O
to   O
Taylor   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

According   O
to   O
Dye   B-NAME
,   O
they   O
are   O
generally   O
in   O
good   O
health   O
with   O
no   O
significant   O
past   O
medical   O
history   O
.   O

Kason   B-NAME
Prince   I-NAME
mentioned   O
a   O
remote   O
history   O
of   O
a   O
broken   O
arm   O
at   O
the   O
age   O
of   O
5   O
week   O
,   O
with   O
no   O
complications   O
during   O
healing   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Wang   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Follow   O
-   O
Up   O
:   O
Archer   B-NAME
will   O
remain   O
under   O
observation   O
in   O
University   B-LOCATION
Health   I-LOCATION
Conway   I-LOCATION
pending   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
and   O
surgical   O
evaluation   O
.   O

Tamia   B-NAME
Ochoa   I-NAME
has   O
been   O
advised   O
to   O
inform   O
the   O
medical   O
team   O
immediately   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

Next   O
of   O
Kin   O
:   O
Contact   O
information   O
for   O
Monica   B-NAME
Broome   I-NAME
's   O
next   O
of   O
kin   O
has   O
been   O
recorded   O
and   O
will   O
be   O
kept   O
on   O
file   O
as   O
per   O
Greenville   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
policy   O
.   O

Prepared   O
by   O
:   O
Harrell   B-NAME
,   O
M.D.   O
Date   O
:   O
31/25/65   B-DATE
Contact   O
Information   O
:   O
157   B-CONTACT
3959   I-CONTACT
,   O
[   O
EMAIL   O
:   O
not   O
applicable   O
]   O
All   O
further   O
inquiries   O
regarding   O
Xan   B-NAME
Dunn   I-NAME
's   O
care   O
should   O
be   O
directed   O
to   O
the   O
attending   O
physician   O
,   O
Jones   B-NAME
,   I-NAME
John   I-NAME
Paul   I-NAME
,   O
or   O
the   O
primary   O
care   O
team   O
at   O
Asante   B-LOCATION
Ashland   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Concepcion   B-NAME
Duby   I-NAME
Age   O
:   O
38   O
Date   O
of   O
Birth   O
:   O
May   B-DATE
3   I-DATE
Contact   O
Number   O
:   O
16019   B-CONTACT
Address   O
:   O
Dumfries   B-LOCATION
,   O
53032   B-LOCATION
Occupation   O
:   O
Electricians   O
Primary   O
Care   O
Physician   O
:   O
Khayyam   B-NAME
,   I-NAME
Omar   I-NAME
Hospital   O
:   O

Garfield   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
6644557   B-ID
Social   O
Security   O
Number   O
:   O
CG699/3383   B-ID
Username   O
for   O
Hospital   O
Portal   O
:   O
RG549   B-NAME
Clinical   O
Summary   O
:   O

On   O
37/11   B-DATE
,   O
Oscar   B-NAME
Nall   I-NAME
was   O
admitted   O
to   O
Providence   B-LOCATION
Hospital   I-LOCATION
Northeast   I-LOCATION
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
headaches   O
and   O
episodes   O
of   O
vertigo   O
.   O

Past   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Gill   B-NAME
.   O

Family   O
history   O
is   O
significant   O
for   O
cardiovascular   O
diseases   O
and   O
migraine   O
in   O
Claire   B-NAME
's   O
mother   O
.   O

The   O
patient   O
works   O
as   O
a   O
photographer   O
at   O
1st   B-LOCATION
American   I-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Minnesota   I-LOCATION
,   O
which   O
involves   O
prolonged   O
periods   O
in   O
front   O
of   O
computer   O
screens   O
.   O

Willard   B-NAME
Frisby   I-NAME
's   O
BMI   O
was   O
calculated   O
to   O
be   O
in   O
the   O
overweight   O
range   O
.   O

MRI   O
of   O
the   O
brain   O
,   O
ordered   O
on   O
07/24/63   B-DATE
and   O
performed   O
at   O
PORTSMOUTH   B-LOCATION
,   O
did   O
not   O
show   O
any   O
acute   O
abnormalities   O
.   O

Miley   B-NAME
Herring   I-NAME
was   O
advised   O
to   O
follow   O
a   O
low   O
-   O
sodium   O
diet   O
,   O
engage   O
in   O
regular   O
physical   O
exercise   O
,   O
and   O
perform   O
relaxation   O
techniques   O
to   O
reduce   O
stress   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Farley   B-NAME
at   O
Lourdes   B-LOCATION
Hospital   I-LOCATION
for   O
8   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
09   I-DATE
to   O
reassess   O
symptoms   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Adler   B-NAME
,   I-NAME
Alfred   I-NAME
also   O
suggested   O
ergonomic   O
adjustments   O
at   O
the   O
workplace   O
,   O
considering   O
Harmon   B-NAME
's   O
description   O
of   O
prolonged   O
computer   O
use   O
,   O
and   O
recommended   O
periodic   O
breaks   O
to   O
reduce   O
eye   O
strain   O
and   O
posture   O
-   O
related   O
issues   O
.   O

New   B-DATE
Years   I-DATE
Eve   I-DATE
:   O

Jenna   B-NAME
Q.   I-NAME
Corona   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
headache   O
frequency   O
and   O
intensity   O
but   O
experienced   O
mild   O
dizziness   O
occasionally   O
.   O

Further   O
follow   O
-   O
up   O
was   O
planned   O
for   O
1764   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
22   I-DATE
to   O
monitor   O
progress   O
and   O
reassess   O
the   O
treatment   O
plan   O
.   O

Confidential   O
Phone   O
:   O
(   B-CONTACT
668   I-CONTACT
)   I-CONTACT
597   I-CONTACT
-   I-CONTACT
6120   I-CONTACT

This   O
report   O
confirms   O
that   O
it   O
has   O
been   O
thoroughly   O
examined   O
and   O
all   O
PHI   O
has   O
been   O
appropriately   O
handled   O
according   O
to   O
the   O
guidelines   O
provided   O
,   O
ensuring   O
Anastasia   B-NAME
Ladner   I-NAME
's   O
privacy   O
and   O
confidentiality   O
are   O
maintained   O
.   O

Patient   O
Report   O
for   O
Fatima   B-NAME
Logan   I-NAME
Patient   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
27275817   B-ID
-   O
Age   O
:   O
35   O
-   O
Address   O
:   O
Pottersville   B-LOCATION
,   O
33785   B-LOCATION
-   O
Phone   O
:   O
144   B-CONTACT
-   I-CONTACT
2081   I-CONTACT
-   O
Occupation   O
:   O
Fire   O
Inspectors   O
-   O
Date   O
of   O
Admission   O
:   O
8/2   B-DATE
-   O
Attending   O
Physician   O
:   O

Landry   B-NAME
-   O
Hospital   O
:   O
St.   B-LOCATION
Bernards   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Symptoms   O
:   O

The   O
pain   O
began   O
earlier   O
on   O
33/03   B-DATE
and   O
has   O
progressively   O
worsened   O
.   O

Medical   O
History   O
:   O
-   O
ID   O
:   O
TU   B-ID
:   I-ID
DK:7844   I-ID
-   O
Primary   O
Care   O
Provider   O
:   O
Lane   B-NAME
at   O
Community   B-LOCATION
and   I-LOCATION
Public   I-LOCATION
Sector   I-LOCATION
Union   I-LOCATION
-   O
Previous   O
hospitalizations   O
:   O
None   O
-   O
Known   O
allergies   O
:   O
None   O
Diagnostic   O
Evaluation   O
:   O

Cardiac   O
enzymes   O
were   O
drawn   O
,   O
with   O
Troponin   O
I   O
levels   O
significantly   O
elevated   O
at   O
2330   B-DATE
,   O
indicating   O
cardiac   O
injury   O
.   O

The   O
patient   O
was   O
then   O
referred   O
for   O
an   O
urgent   O
coronary   O
angiography   O
scheduled   O
for   O
2/39   B-DATE
,   O
which   O
revealed   O
a   O
significant   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Roderick   B-NAME
Benjamin   I-NAME
at   O
Truman   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hospital   I-LOCATION
Hill   I-LOCATION
on   O
12/07/1782   B-DATE
.   O

Emergency   O
Contact   O
:   O
-   O
Name   O
:   O
Madilyn   B-NAME
Fields   I-NAME
-   O
Relationship   O
:   O

Family   O
member   O
-   O
Phone   O
:   O
(   B-CONTACT
287   I-CONTACT
)   I-CONTACT
292   I-CONTACT
2391   I-CONTACT
Confidentiality   O
Notice   O
:   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
a   O
patient   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Lima   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
and   O
authorized   O
entities   O
only   O
.   O

Report   O
prepared   O
by   O
:   O
ewd155   B-NAME
,   O
PTI   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
6   B-DATE
-   I-DATE
3   I-DATE

Patient   O
Name   O
:   O
William   B-NAME
Chumley   I-NAME
Age   O
:   O
57   O
Date   O
of   O
Report   O
:   O
4/29   B-DATE
Medical   O
Record   O
Number   O
:   O
53478738   B-ID
Attending   O
Physician   O
:   O

Ortiz   B-NAME
Hospital   O
:   O
Heritage   B-LOCATION
Valley   I-LOCATION
Beaver   I-LOCATION
Location   O
:   O
Algonquin   B-LOCATION
Zip   O
Code   O
:   O
41136   B-LOCATION
Patient   O
's   O
Profession   O
:   O
Obstetricians   O
and   O
Gynecologists   O
Contact   O
Number   O
:   O
(   B-CONTACT
741   I-CONTACT
)   I-CONTACT
551   I-CONTACT
2149   I-CONTACT
ID   O
Number   O
:   O
PP   B-ID
:   I-ID
HA:2232   I-ID
Patient   O
Kane   B-NAME
Brock   I-NAME
,   O
a   O
Library   O
Technicians   O
residing   O
in   O
Colonia   B-LOCATION
,   O
70960   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Starr   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/60   B-DATE
,   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Paul   B-NAME
Leotard   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

On   O
physical   O
examination   O
,   O
Santana   B-NAME
was   O
noted   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Titus   B-NAME
Bourdages   I-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
suggested   O
appendicitis   O
as   O
a   O
probable   O
diagnosis   O
.   O

Given   O
the   O
patient   O
's   O
symptoms   O
and   O
diagnostic   O
findings   O
,   O
Chang   B-NAME
recommended   O
immediate   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Mcdonald   B-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
recommended   O
surgical   O
intervention   O
.   O

Consent   O
for   O
the   O
procedure   O
was   O
obtained   O
on   O
00/15/1814   B-DATE
.   O

The   O
patient   O
was   O
successfully   O
operated   O
on   O
22   B-DATE
at   O
Jackson   B-LOCATION
Hospital   I-LOCATION
,   O
and   O
the   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Enrique   B-NAME
Spence   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
on   O
Wednesday   B-DATE
,   I-DATE
March   I-DATE
.   O

Jaiden   B-NAME
Castaneda   I-NAME
was   O
also   O
provided   O
with   O
a   O
contact   O
number   O
950   B-CONTACT
-   I-CONTACT
793   I-CONTACT
-   I-CONTACT
1548   I-CONTACT
to   O
reach   O
the   O
healthcare   O
team   O
for   O
any   O
concerns   O
or   O
complications   O
post   O
-   O
discharge   O
.   O

This   O
report   O
will   O
be   O
securely   O
stored   O
in   O
XCW   B-NAME
's   O
medical   O
record   O
(   O
89352509   B-ID
)   O
and   O
is   O
subject   O
to   O
the   O
privacy   O
and   O
confidentiality   O
protocols   O
of   O
Kiowa   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Greensburg   I-LOCATION
,   O
as   O
per   O
the   O
Health   O
Insurance   O
Portability   O
and   O
Accountability   O
Act   O
(   O
HIPAA   O
)   O
.   O

coc4510   B-NAME
October   B-DATE
31   I-DATE
,   I-DATE
2176   I-DATE
Note   O
:   O
The   O
information   O
contained   O
in   O
this   O
report   O
is   O
strictly   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
the   O
individual   O
Vaughn   B-NAME
Burke   I-NAME
and   O
the   O
medical   O
personnel   O
involved   O
in   O
their   O
care   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Harry   B-NAME
Sullivan   I-NAME
Age   O
:   O
80   O
ID   O
:   O
88514   B-ID
Medical   O
Record   O
Number   O
:   O
4318429   B-ID
Address   O
:   O
Carrollwood   B-LOCATION
,   O
29356   B-LOCATION
Phone   O
Number   O
:   O
80610   B-CONTACT
Employment   O
:   O
Signal   O
and   O
Track   O
Switch   O
Repairers   O
at   O
Provincial   B-LOCATION
Collective   I-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
Primary   O
Physician   O
:   O

Dr.   O
Max   B-NAME
Baker   I-NAME
Admission   O
Date   O
:   O
32/02/22   B-DATE
Hospital   O
:   O
Northside   B-LOCATION
Hospital   I-LOCATION
Forsyth   I-LOCATION
Chief   O
Complaint   O
:   O
Abby   B-NAME
Keaton   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
09/13   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
multiple   O
episodes   O
of   O
vomiting   O
since   O
earlier   O
that   O
day   O
.   O

Dunham   B-NAME
denied   O
any   O
recent   O
trauma   O
to   O
the   O
area   O
.   O

Jack   B-NAME
McGuire   I-NAME
also   O
noted   O
a   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
0/53   B-DATE
and   O
mild   O
fever   O
.   O

Watts   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
,   O
and   O
Hypertension   O
.   O

Previous   O
surgical   O
history   O
includes   O
a   O
laparoscopic   O
cholecystectomy   O
performed   O
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
East   I-LOCATION
on   O
March   B-DATE
.   O

Social   O
History   O
:   O
Adonis   B-NAME
Shea   I-NAME
is   O
a   O
Nuclear   O
Equipment   O
Operation   O
Technicians   O
at   O
Association   B-LOCATION
of   I-LOCATION
Motion   I-LOCATION
Pictures   I-LOCATION
&   I-LOCATION
TV   I-LOCATION
Programme   I-LOCATION
Producer   I-LOCATION
of   I-LOCATION
India   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
illicit   O
drugs   O
,   O
or   O
excessive   O
alcohol   O
consumption   O
.   O

Lives   O
with   O
family   O
in   O
Walnut   B-LOCATION
Cove   I-LOCATION
.   O
Review   O
of   O
Systems   O
:   O
The   O
patient   O
complained   O
of   O
escalating   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Easton   B-NAME
Lucas   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Management   O
and   O
Outcome   O
:   O
Betty   B-NAME
G.   I-NAME
Pierce   I-NAME
was   O
admitted   O
to   O
Northern   B-LOCATION
Dutchess   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Gallegos   B-NAME
for   O
acute   O
pancreatitis   O
.   O

Kierkegaard   B-NAME
,   I-NAME
Søren   I-NAME
Aabye   I-NAME
was   O
educated   O
on   O
diet   O
and   O
lifestyle   O
adjustments   O
to   O
manage   O
pancreatitis   O
and   O
diabetes   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Dr.   O
Salas   B-NAME
and   O
a   O
dietitian   O
.   O

Discharge   O
Date   O
:   O
01/18   B-DATE
Follow   O
-   O
Up   O
:   O
Frye   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
with   O
Dr.   O
Berry   B-NAME
to   O
monitor   O
recovery   O
progress   O
and   O
adjust   O
treatment   O
plans   O
if   O
necessary   O
.   O

-   O
Report   O
any   O
recurrent   O
symptoms   O
or   O
concerns   O
to   O
Dr.   O
Castillo   B-NAME
immediately   O
.   O

For   O
any   O
emergency   O
,   O
contact   O
Hugh   B-LOCATION
Chatham   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
75713   B-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Quilici   B-NAME
and   O
authorized   O
healthcare   O
providers   O
only   O
.   O

Patient   O
Name   O
:   O
Kanga   B-NAME
Patient   O
ID   O
:   O
QT:52969:388823   B-ID
Date   O
of   O
Birth   O
:   O
8/23/2221   B-DATE
Age   O
:   O
1   O
Address   O
:   O
Trail   B-LOCATION
,   I-LOCATION
BC   I-LOCATION
V1R   I-LOCATION
1T6   I-LOCATION
,   O
19543   B-LOCATION
Phone   O
Number   O
:   O
73899   B-CONTACT
Occupation   O
:   O
Lathe   O
and   O
Turning   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
Primary   O
Care   O
Physician   O
:   O

Alivia   B-NAME
Weber   I-NAME
Admission   O
Date   O
:   O
2037   B-DATE
Hospital   O
:   O
Jackson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
74422787   B-ID
Chief   O
Complaint   O
:   O

Hampton   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
2292   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
jaw   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

On   O
the   O
morning   O
of   O
32/08   B-DATE
,   O
Denisse   B-NAME
Park   I-NAME
experienced   O
a   O
sudden   O
onset   O
of   O
the   O
aforementioned   O
symptoms   O
while   O
at   O
work   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
in   O
Brant   B-LOCATION
Rock   I-LOCATION
.   O

Despite   O
resting   O
and   O
attempting   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
,   O
there   O
was   O
no   O
relief   O
of   O
symptoms   O
,   O
prompting   O
the   O
visit   O
to   O
Sparrow   B-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Richmond   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
for   O
the   O
past   O
10   O
years   O
.   O

Matias   B-NAME
Leblanc   I-NAME
denies   O
any   O
history   O
of   O
smoking   O
or   O
illicit   O
drug   O
use   O
,   O
with   O
moderate   O
alcohol   O
consumption   O
reported   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Mollie   B-NAME
Perkins   I-NAME
appeared   O
anxious   O
and   O
diaphoretic   O
.   O

Treatment   O
:   O
Ackerley   B-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
as   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Given   O
the   O
findings   O
and   O
severe   O
ongoing   O
chest   O
pain   O
,   O
Franck   B-NAME
,   I-NAME
Richard   I-NAME
was   O
referred   O
for   O
urgent   O
cardiac   O
catheterization   O
,   O
revealing   O
significant   O
coronary   O
artery   O
disease   O
necessitating   O
angioplasty   O
and   O
stent   O
placement   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
at   O
Mercy   B-LOCATION
San   I-LOCATION
Juan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
post   O
-   O
procedural   O
monitoring   O
.   O

Nicodemus   B-NAME
Paz   I-NAME
was   O
educated   O
on   O
lifestyle   O
modifications   O
alongside   O
the   O
importance   O
of   O
adherence   O
to   O
prescribed   O
medications   O
including   O
aspirin   O
,   O
clopidogrel   O
,   O
a   O
statin   O
,   O
and   O
antihypertensive   O
drugs   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Davin   B-NAME
Clayton   I-NAME
for   O
2216   B-DATE
.   O

Username   O
for   O
Hospital   O
Portal   O
Access   O
:   O
eo93   B-NAME
Summary   O
:   O

This   O
detailed   O
report   O
highlights   O
Reed   B-NAME
's   O
presentation   O
,   O
clinical   O
findings   O
,   O
diagnostic   O
evaluation   O
,   O
and   O
management   O
for   O
an   O
acute   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

Guadalupe   B-NAME
Day   I-NAME
is   O
advised   O
strict   O
monitoring   O
,   O
medication   O
compliance   O
,   O
and   O
lifestyle   O
changes   O
to   O
mitigate   O
further   O
cardiovascular   O
risks   O
.   O

Patient   O
Report   O
:   O
23/02   B-DATE
,   O
Reese   B-NAME
Kaufman   I-NAME
presented   O
to   O
San   B-LOCATION
Gabriel   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ER   O
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Ishaan   B-NAME
Vargas   I-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
October   B-DATE
2   I-DATE
.   O
Medical   O
History   O
:   O
14   O
-   O
year   O
-   O
old   O
Precision   O
Mold   O
and   O
Pattern   O
Casters   O
,   O
except   O
Nonferrous   O
Metals   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
and   O
a   O
family   O
history   O
of   O
appendicitis   O
.   O

Rolando   B-NAME
Bentley   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
the   O
use   O
of   O
alcohol   O
or   O
illicit   O
drugs   O
.   O

On   O
examination   O
,   O
Glendora   B-NAME
Bolfa   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Sullivan   B-NAME
diagnosed   O
Alex   B-NAME
Norton   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Shyla   B-NAME
Whitaker   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
,   O
to   O
which   O
they   O
consented   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
27/26/39   B-DATE
without   O
any   O
complications   O
.   O

Navakasuasua   B-NAME
,   I-NAME
Maciu   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
2226   B-DATE
-   I-DATE
36   I-DATE
-   I-DATE
28   I-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgery   O
clinic   O
.   O

Follow   O
-   O
up   O
:   O
4/22/2271   B-DATE
,   O
Max   B-NAME
Cabranes   I-NAME
was   O
seen   O
in   O
the   O
outpatient   O
department   O
for   O
a   O
follow   O
-   O
up   O
visit   O
.   O

Richard   B-NAME
A.   I-NAME
Verlin   I-NAME
-   I-NAME
Urbina   I-NAME
reported   O
complete   O
resolution   O
of   O
symptoms   O
and   O
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Bronx   B-LOCATION
-   I-LOCATION
Lebanon   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
807   I-CONTACT
)   I-CONTACT
882   I-CONTACT
-   I-CONTACT
1527   I-CONTACT
.   O

Personal   O
Information   O
:   O
Patient   O
ID   O
:   O
3455961   B-ID
Insurance   O
:   O
FM   B-LOCATION
Global   I-LOCATION
Social   O
Security   O
Number   O
:   O
GI   B-ID
:   I-ID
DF:3653   I-ID
Residence   O
:   O
Ricardo   B-LOCATION
,   O
23428   B-LOCATION
Contact   O
Phone   O
:   O
912   B-CONTACT
969   I-CONTACT
8107   I-CONTACT
Emergency   O
Contact   O
:   O
wgc58   B-NAME
This   O
report   O
is   O
confidential   O
and   O
contains   O
protected   O
health   O
information   O
.   O

The   O
patient   O
,   O
referred   O
to   O
as   O
Bobby   B-NAME
Elston   I-NAME
Braun   I-NAME
,   O
a   O
Shoe   O
and   O
Leather   O
Workers   O
and   O
Repairers   O
from   O
Lecompte   B-LOCATION
,   O
presented   O
to   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Michigan   I-LOCATION
on   O
3   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
52   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
chest   O
tightness   O
,   O
and   O
intermittent   O
episodes   O
of   O
palpitations   O
.   O

ostrowski   B-NAME
is   O
49   O
years   O
old   O
and   O
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Upon   O
initial   O
evaluation   O
by   O
Cline   B-NAME
,   O
Katie   B-NAME
Lyons   I-NAME
's   O
vitals   O
were   O
noted   O
to   O
be   O
as   O
follows   O
:   O
blood   O
pressure   O
150/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
/   O
min   O
,   O
and   O
oxygen   O
saturation   O
92   O
%   O
on   O
room   O
air   O
.   O

Reed   B-NAME
Mccullough   I-NAME
reported   O
that   O
the   O
symptoms   O
have   O
been   O
progressively   O
worsening   O
over   O
the   O
last   O
10/7   B-DATE
.   O

The   O
results   O
,   O
handed   O
out   O
on   O
06/29/82   B-DATE
,   O
indicated   O
elevated   O
B   O
-   O
type   O
natriuretic   O
peptide   O
(   O
BNP   O
)   O
levels   O
and   O
abnormal   O
glucose   O
levels   O
.   O

Kami   B-NAME
Simerly   I-NAME
discussed   O
the   O
findings   O
with   O
Analph   B-NAME
,   O
emphasizing   O
the   O
need   O
for   O
further   O
diagnostic   O
evaluation   O
,   O
including   O
echocardiography   O
,   O
to   O
evaluate   O
for   O
potential   O
heart   O
failure   O
.   O

The   O
echocardiogram   O
,   O
performed   O
on   O
01/36   B-DATE
,   O
revealed   O
reduced   O
ejection   O
fraction   O
indicative   O
of   O
systolic   O
dysfunction   O
.   O

A   O
treatment   O
plan   O
was   O
formulated   O
,   O
including   O
optimization   O
of   O
Jerry   B-NAME
Holden   I-NAME
's   O
current   O
antihypertensive   O
and   O
diabetic   O
medications   O
,   O
initiation   O
of   O
a   O
beta   O
-   O
blocker   O
,   O
and   O
consideration   O
for   O
diuretic   O
therapy   O
to   O
manage   O
fluid   O
overload   O
.   O

Dax   B-NAME
Russo   I-NAME
was   O
counseled   O
on   O
dietary   O
and   O
lifestyle   O
modifications   O
aimed   O
at   O
weight   O
loss   O
and   O
glycemic   O
control   O
.   O

Elisa   B-NAME
Peters   I-NAME
also   O
referred   O
Mastrianni   B-NAME
Berrocal   I-NAME
to   O
a   O
cardiology   O
specialist   O
for   O
ongoing   O
management   O
of   O
heart   O
failure   O
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
at   O
Stephens   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
2234   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
21   I-DATE
.   O

Pompey   B-NAME
the   I-NAME
Great   I-NAME
was   O
provided   O
with   O
an   O
emergency   O
contact   O
number   O
,   O
132   B-CONTACT
-   I-CONTACT
573   I-CONTACT
2189   I-CONTACT
,   O
to   O
use   O
in   O
case   O
of   O
any   O
significant   O
changes   O
in   O
symptoms   O
or   O
health   O
status   O
.   O

Documentation   O
related   O
to   O
Goodwin   B-NAME
's   O
care   O
,   O
including   O
identification   O
number   O
DR   B-ID
:   I-ID
YJ:9693   I-ID
and   O
medical   O
record   O
number   O
80258237   B-ID
,   O
was   O
securely   O
filed   O
in   O
the   O
electronic   O
health   O
record   O
system   O
of   O
Gulf   B-LOCATION
Coast   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
.   O

Further   O
communication   O
with   O
Willena   B-NAME
Dameron   I-NAME
's   O
primary   O
care   O
provider   O
in   O
Larrabee   B-LOCATION
will   O
be   O
facilitated   O
through   O
the   O
secured   O
messaging   O
system   O
,   O
ensuring   O
compliance   O
with   O
privacy   O
regulations   O
.   O

Virginia   B-NAME
Horne   I-NAME
also   O
noted   O
the   O
importance   O
of   O
Skyler   B-NAME
Lynn   I-NAME
maintaining   O
regular   O
follow   O
-   O
up   O
appointments   O
and   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
plan   O
to   O
optimize   O
health   O
outcomes   O
and   O
prevent   O
potential   O
complications   O
associated   O
with   O
heart   O
failure   O
.   O

The   O
patient   O
,   O
Linda   B-NAME
Urbanek   I-NAME
,   O
a   O
66   O
-   O
year   O
-   O
old   O
Marine   O
scientist   O
residing   O
in   O
Claremore   B-LOCATION
,   I-LOCATION
Claremore   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
49247   B-LOCATION
,   O
presented   O
to   O
Union   B-LOCATION
Hospital   I-LOCATION
on   O
21/4/23   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
-   O
grade   O
fever   O
over   O
the   O
last   O
week   O
.   O

Moses   B-NAME
mentioned   O
that   O
the   O
symptoms   O
progressively   O
worsened   O
,   O
prompting   O
the   O
visit   O
.   O

The   O
medical   O
history   O
provided   O
by   O
Anya   B-NAME
Campos   I-NAME
indicates   O
a   O
diagnosis   O
of   O
asthma   O
during   O
childhood   O
,   O
with   O
occasional   O
flare   O
-   O
ups   O
requiring   O
short   O
-   O
term   O
corticosteroid   O
treatment   O
.   O

Upon   O
initial   O
assessment   O
by   O
Arturo   B-NAME
Suarez   I-NAME
,   O
Edward   B-NAME
Qu   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.9   O
°   O
C   O
.   O

Given   O
Angie   B-NAME
Romero   I-NAME
's   O
asthma   O
history   O
and   O
the   O
presentation   O
of   O
symptoms   O
,   O
Lam   B-NAME
commenced   O
treatment   O
with   O
intravenous   O
antibiotics   O
and   O
a   O
course   O
of   O
oral   O
corticosteroids   O
to   O
manage   O
the   O
underlying   O
asthma   O
and   O
the   O
bacterial   O
pneumonia   O
.   O

Norm   B-NAME
was   O
admitted   O
to   O
T.   B-LOCATION
J.   I-LOCATION
Samson   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Spencer   B-NAME
Humphrey   I-NAME
,   O
with   O
the   O
hospital   O
admission   O
number   O
640   B-ID
48   I-ID
77   I-ID
dated   O
2/43   B-DATE
.   O

Throughout   O
the   O
hospitalization   O
period   O
,   O
Oakley   B-NAME
's   O
condition   O
was   O
closely   O
monitored   O
.   O

Oxygen   O
therapy   O
was   O
administered   O
initially   O
,   O
and   O
within   O
48   O
hours   O
,   O
a   O
notable   O
improvement   O
in   O
Jaelynn   B-NAME
Burke   I-NAME
's   O
oxygen   O
saturation   O
and   O
breathing   O
difficulty   O
was   O
observed   O
.   O

Merrill   B-NAME
reported   O
alleviation   O
of   O
the   O
fever   O
after   O
72   O
hours   O
of   O
antibiotic   O
therapy   O
.   O

Nicole   B-NAME
Bender   I-NAME
was   O
discharged   O
on   O
8/16   B-DATE
with   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
steroids   O
to   O
complete   O
at   O
home   O
,   O
along   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Yesenia   B-NAME
Fernandez   I-NAME
at   O
Aurora   B-LOCATION
Sheboygan   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Discharge   O
instructions   O
were   O
provided   O
,   O
including   O
the   O
importance   O
of   O
medication   O
adherence   O
,   O
monitoring   O
of   O
symptoms   O
,   O
and   O
a   O
scheduled   O
return   O
to   O
Asante   B-LOCATION
Ashland   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
follow   O
-   O
up   O
X   O
-   O
ray   O
after   O
two   O
weeks   O
to   O
ensure   O
resolution   O
of   O
the   O
pneumonia   O
.   O

Glennis   B-NAME
was   O
advised   O
to   O
call   O
546   B-CONTACT
-   I-CONTACT
334   I-CONTACT
7486   I-CONTACT
immediately   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
cough   O
,   O
or   O
shortness   O
of   O
breath   O
recurred   O
or   O
worsened   O
.   O

In   O
summary   O
,   O
the   O
prompt   O
management   O
of   O
bacterial   O
pneumonia   O
,   O
coupled   O
with   O
treatment   O
for   O
underlying   O
asthma   O
,   O
resulted   O
in   O
a   O
positive   O
health   O
outcome   O
for   O
Huron   B-NAME
Hessman   I-NAME
.   O

Education   O
on   O
recognizing   O
early   O
signs   O
of   O
asthma   O
exacerbation   O
and   O
pneumonia   O
was   O
emphasized   O
during   O
discharge   O
to   O
empower   O
Quinton   B-NAME
H.   I-NAME
Welch   I-NAME
in   O
future   O
self   O
-   O
management   O
.   O

Patient   O
Name   O
:   O
Shu   B-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
9341381   I-ID
Medical   O
Record   O
Number   O
:   O
359   B-ID
-   I-ID
17   I-ID
-   I-ID
41   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
5   O
week   O
Date   O
of   O
Visit   O
:   O
06/08/2175   B-DATE
Address   O
:   O
Taneyville   B-LOCATION
,   O
13532   B-LOCATION
Phone   O
Number   O
:   O
14672   B-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Gross   B-NAME
Referring   O
Organization   O
:   O
Bank   B-LOCATION
of   I-LOCATION
Clark   I-LOCATION
County   I-LOCATION
Occupation   O
:   O
Magazine   O
features   O
editor   O
Clinical   O
Summary   O
:   O
Dahood   B-NAME
Loiacona   I-NAME
,   O
a   O
11   O
-   O
year   O
-   O
old   O
Percussion   O
Instrument   O
Repairers   O
and   O
Tuners   O
,   O
presented   O
to   O
our   O
facility   O
at   O
Caribou   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2/3   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
prior   O
to   O
the   O
visit   O
.   O

Objective   O
Findings   O
:   O
Upon   O
examination   O
,   O
Brennen   B-NAME
Mcgee   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Kirsten   B-NAME
Dalton   I-NAME
was   O
started   O
on   O
empiric   O
antibiotic   O
therapy   O
with   O
Azithromycin   O
and   O
Ceftriaxone   O
in   O
addition   O
to   O
supportive   O
measures   O
,   O
including   O
hydration   O
and   O
acetaminophen   O
for   O
fever   O
control   O
.   O

The   O
patient   O
was   O
advised   O
to   O
stay   O
at   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Saint   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
for   O
observation   O
due   O
to   O
the   O
risk   O
factors   O
associated   O
with   O
their   O
comorbid   O
conditions   O
.   O

A   O
follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
and   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
are   O
scheduled   O
for   O
28/12/64   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
.   O

Future   O
Appointments   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Fleta   B-NAME
Scholes   I-NAME
at   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Episcopal   I-LOCATION
Hospital   I-LOCATION
At   I-LOCATION
/   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Smithtown   I-LOCATION
has   O
been   O
scheduled   O
for   O
16/33   B-DATE
to   O
review   O
progress   O
and   O
adjust   O
management   O
plans   O
as   O
necessary   O
.   O

Areli   B-NAME
Huff   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
regarding   O
pneumonia   O
,   O
its   O
potential   O
complications   O
,   O
and   O
preventive   O
measures   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Miya   B-NAME
Townsend   I-NAME
or   O
family   O
members   O
can   O
reach   O
out   O
to   O
the   O
medical   O
team   O
at   O
(   B-CONTACT
943   I-CONTACT
)   I-CONTACT
207   I-CONTACT
4185   I-CONTACT
during   O
regular   O
working   O
hours   O
.   O

Conclusion   O
:   O
Diamond   B-NAME
's   O
case   O
of   O
community   O
-   O
acquired   O
pneumonia   O
is   O
being   O
actively   O
managed   O
with   O
appropriate   O
antibiotic   O
therapy   O
and   O
supportive   O
care   O
.   O

The   O
healthcare   O
team   O
remains   O
available   O
for   O
support   O
and   O
guidance   O
throughout   O
Jim   B-NAME
Hansen   I-NAME
's   O
treatment   O
and   O
recovery   O
period   O
.   O

Patient   O
Name   O
:   O
Sarah   B-NAME
Spencer   I-NAME
ID   O
:   O
JO325/6325   B-ID
Date   O
of   O
Birth   O
:   O
11/20   B-DATE
Age   O
:   O
21   O
Medical   O
Record   O
Number   O
:   O
3183364   B-ID
Address   O
:   O
Lastrup   B-LOCATION
,   O
77899   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
630   I-CONTACT
)   I-CONTACT
245   I-CONTACT
9209   I-CONTACT
Employment   O
:   O
Construction   O
Laborers   O
Primary   O
Care   O
Physician   O
:   O

Simmons   B-NAME
Referring   O
Physician   O
:   O
Randolph   B-NAME
Hospital   O
:   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sewickley   I-LOCATION
Date   O
of   O
Visit   O
:   O
19/02   B-DATE
Date   O
of   O
Report   O
:   O
21/23   B-DATE
Chief   O
Complaint   O
:   O
Potts   B-NAME
presented   O
with   O
persistent   O
chest   O
pain   O
,   O
described   O
as   O
a   O
constricting   O
sensation   O
around   O
the   O
chest   O
area   O
that   O
has   O
been   O
intermittently   O
occurring   O
over   O
the   O
past   O
2112   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
32   I-DATE
.   O

Ochs   B-NAME
,   I-NAME
Phil   I-NAME
also   O
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
during   O
these   O
episodes   O
.   O

The   O
most   O
severe   O
episode   O
occurred   O
on   O
10   B-DATE
-   I-DATE
Dec-2260   I-DATE
,   O
prompting   O
the   O
visit   O
.   O

Mitchell   B-NAME
,   I-NAME
Joni   I-NAME
denies   O
any   O
recent   O
injury   O
or   O
trauma   O
to   O
the   O
chest   O
area   O
but   O
mentions   O
that   O
the   O
episodes   O
of   O
chest   O
pain   O
seem   O
to   O
be   O
triggered   O
by   O
physical   O
exertion   O
and   O
are   O
somewhat   O
relieved   O
by   O
rest   O
.   O

Proctor   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
they   O
are   O
currently   O
on   O
medication   O
.   O

Brown   B-NAME
,   I-NAME
Julie   I-NAME
also   O
mentions   O
a   O
past   O
surgical   O
history   O
of   O
cholecystectomy   O
dated   O
back   O
to   O
32/01   B-DATE
.   O

On   O
examination   O
,   O
Wall   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Vital   O
signs   O
included   O
a   O
blood   O
pressure   O
of   O
WE   B-ID
:   I-ID
ZM:7410   I-ID
mmHg   O
,   O
heart   O
rate   O
of   O
SD   B-ID
:   I-ID
RM:2225   I-ID
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
KG:13658:975728   B-ID
breaths   O
per   O
minute   O
,   O
and   O
an   O
O2   O
saturation   O
of   O
GD   B-ID
:   I-ID
JD:4652   I-ID
%   O
on   O
room   O
air   O
.   O

It   O
was   O
recommended   O
that   O
hoover   B-NAME
be   O
admitted   O
to   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Trenton   I-LOCATION
for   O
further   O
monitoring   O
and   O
evaluation   O
which   O
may   O
include   O
a   O
stress   O
test   O
and/or   O
cardiac   O
catheterization   O
to   O
assess   O
for   O
coronary   O
artery   O
disease   O
.   O

Follow   O
-   O
up   O
:   O
Frey   B-NAME
is   O
advised   O
to   O
follow   O
up   O
with   O
Johns   B-NAME
in   O
NV   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
Nevada   I-LOCATION
Power   I-LOCATION
)   I-LOCATION
after   O
discharge   O
for   O
ongoing   O
management   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
and   O
possibly   O
with   O
a   O
cardiologist   O
for   O
further   O
assessment   O
of   O
coronary   O
artery   O
disease   O
.   O

A   O
follow   O
-   O
up   O
phone   O
number   O
20173   B-CONTACT
is   O
provided   O
for   O
any   O
immediate   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Katz   B-NAME
,   I-NAME
Jonathan   I-NAME
Age   O
:   O
58   O
Medical   O
Record   O
Number   O
:   O
0490518   B-ID
Date   O
of   O
Report   O
:   O
1628   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
02   I-DATE
Hospital   O
:   O
Parkridge   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Physician   O
:   O

Johnson   B-NAME
,   I-NAME
Zach   I-NAME
Contact   O
Information   O
:   O
614   B-CONTACT
9749   I-CONTACT
Summary   O
:   O
Cory   B-NAME
Kerr   I-NAME
,   O
a   O
Pediatricians   O
,   O
General   O
from   O
6   B-LOCATION
6th   I-LOCATION
St.   I-LOCATION
with   O
no   O
known   O
history   O
of   O
chronic   O
illnesses   O
,   O
presented   O
to   O
The   B-LOCATION
Villages   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
39   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
persistent   O
over   O
the   O
past   O
24   O
hours   O
.   O

Upon   O
evaluation   O
,   O
Paulson   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
apart   O
from   O
a   O
mild   O
elevation   O
in   O
temperature   O
.   O

The   O
patient   O
's   O
medical   O
ID   O
XQ615/1064   B-ID
and   O
tests   O
results   O
were   O
documented   O
in   O
their   O
file   O
under   O
medical   O
record   O
number   O
2827253   B-ID
.   O

Treatment   O
:   O
Based   O
on   O
the   O
diagnostic   O
findings   O
,   O
Wendy   B-NAME
Foley   I-NAME
recommended   O
an   O
appendectomy   O
.   O

Mikayla   B-NAME
Mathews   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
consented   O
.   O

The   O
surgery   O
was   O
scheduled   O
and   O
successfully   O
performed   O
on   O
10/29   B-DATE
at   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Madison   I-LOCATION
.   O

Postoperative   O
Care   O
:   O
Tony   B-NAME
Wilkinson   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
any   O
postoperative   O
infections   O
and   O
advised   O
on   O
wound   O
care   O
.   O

Makenna   B-NAME
Hendricks   I-NAME
was   O
discharged   O
on   O
3/03   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Glennis   B-NAME
Hansteen   I-NAME
in   O
Kratzerville   B-LOCATION
for   O
removal   O
of   O
stitches   O
and   O
further   O
evaluation   O
of   O
postoperative   O
recovery   O
.   O

Instructions   O
for   O
Follow   O
-   O
Up   O
:   O
Kimberly   B-NAME
Fox   I-NAME
is   O
advised   O
to   O
monitor   O
the   O
wound   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
07/12   B-DATE
at   O
Bryant   B-NAME
Barker   I-NAME
's   O
office   O
in   O
Gerber   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
.   O

For   O
any   O
concerns   O
or   O
emergencies   O
,   O
Pranav   B-NAME
Simon   I-NAME
was   O
instructed   O
to   O
contact   O
the   O
hospital   O
at   O
956   B-CONTACT
-   I-CONTACT
191   I-CONTACT
-   I-CONTACT
1636   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

The   O
successful   O
outcome   O
for   O
Bena   B-NAME
is   O
attributed   O
to   O
the   O
early   O
diagnosis   O
and   O
intervention   O
.   O

Xavier   B-NAME
Israel   I-NAME
kenneth   I-NAME
Xenos   I-NAME
Patient   O
ID   O
:   O
MX199/7669   B-ID
Medical   O
Record   O
Number   O
:   O
085   B-ID
-   I-ID
18   I-ID
-   I-ID
31   I-ID
Date   O
of   O
Birth   O
:   O
33/34/2094   B-DATE
Age   O
:   O
5   O
month   O
Address   O
:   O
Newland   B-LOCATION
,   O
63360   B-LOCATION
Phone   O
Number   O
:   O
46398   B-CONTACT
Primary   O
Care   O
Physician   O
:   O
Reisman   B-NAME
,   I-NAME
George   I-NAME
Hospital   O
:   O
Hillcrest   B-LOCATION
Hospital   I-LOCATION
Claremore   I-LOCATION
Date   O
of   O
Visit   O
:   O
8/01/35   B-DATE
Chief   O
Complaint   O
:   O
Jaslyn   B-NAME
Santana   I-NAME
presents   O
with   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
that   O
has   O
progressively   O
worsened   O
over   O
the   O
past   O
2204   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
16   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
reports   O
the   O
onset   O
of   O
mild   O
discomfort   O
began   O
approximately   O
February   B-DATE
34   I-DATE
,   I-DATE
2221   I-DATE
with   O
symptoms   O
noticeably   O
intensifying   O
in   O
the   O
last   O
24   O
hours   O
.   O

Leslie   B-NAME
Gates   I-NAME
denies   O
any   O
recent   O
trauma   O
to   O
the   O
abdomen   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
or   O
urinary   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Cristal   B-NAME
Greene   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
which   O
are   O
managed   O
with   O
medications   O
prescribed   O
by   O
Buck   B-NAME
.   O

On   O
examination   O
,   O
YERGER   B-NAME
,   I-NAME
DESEAN   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Laboratory   O
tests   O
including   O
a   O
Complete   O
Blood   O
Count   O
and   O
Basic   O
Metabolic   O
Panel   O
were   O
ordered   O
by   O
Haiden   B-NAME
Swanson   I-NAME
,   O
revealing   O
a   O
slight   O
leukocytosis   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
at   O
CHA   B-LOCATION
Everett   I-LOCATION
Hospital   I-LOCATION
on   O
13/23/2372   B-DATE
indicated   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fluid   O
collection   O
,   O
suggesting   O
acute   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
and   O
diagnostic   O
findings   O
,   O
Kaiya   B-NAME
Marsh   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
consideration   O
of   O
laparoscopic   O
appendectomy   O
.   O

Cameron   B-NAME
Walford   I-NAME
was   O
advised   O
on   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
provided   O
informed   O
consent   O
.   O

Disposition   O
:   O
Adler   B-NAME
,   I-NAME
Alfred   I-NAME
was   O
admitted   O
to   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
the   O
General   O
Surgery   O
team   O
for   O
further   O
management   O
.   O

The   O
surgery   O
is   O
scheduled   O
for   O
22/27   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Lucy   B-NAME
Best   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Bennington   B-NAME
,   I-NAME
Chester   I-NAME
at   O
Maricopa   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
May   B-DATE
to   O
review   O
postoperative   O
recovery   O
and   O
address   O
any   O
ongoing   O
medical   O
needs   O
.   O

Additional   O
Instructions   O
:   O
Nixon   B-NAME
was   O
advised   O
to   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activity   O
until   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

The   O
patient   O
,   O
McGill   B-NAME
,   I-NAME
Bryant   I-NAME
,   O
a   O
Warehouse   O
manager   O
from   O
49   B-LOCATION
undefined   I-LOCATION
,   O
presented   O
to   O
Plantation   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
00   B-DATE
-   I-DATE
04   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
.   O

Aaron   B-NAME
Shutt   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
.   O

Madeleine   B-NAME
Salazar   I-NAME
denied   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
bloody   O
stools   O
.   O

Past   O
medical   O
history   O
was   O
notable   O
for   O
a   O
previous   O
appendectomy   O
performed   O
at   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
   I-LOCATION
Bradley   I-LOCATION
Memorial   I-LOCATION
Campus   I-LOCATION
on   O
22/26   B-DATE
.   O
Upon   O
physical   O
examination   O
,   O
Copeland   B-NAME
exhibited   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
guarding   O
,   O
suggesting   O
potential   O
peritonitis   O
.   O

A   O
diagnostic   O
imaging   O
study   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
was   O
ordered   O
by   O
Genevieve   B-NAME
Jefferson   I-NAME
,   O
which   O
showed   O
evidence   O
consistent   O
with   O
acute   O
appendicitis   O
,   O
notwithstanding   O
Zaiden   B-NAME
York   I-NAME
's   O
prior   O
appendectomy   O
.   O

Given   O
the   O
findings   O
,   O
Darren   B-NAME
Haas   I-NAME
was   O
admitted   O
to   O
Vassar   B-LOCATION
Brothers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
08372851   B-ID
and   O
scheduled   O
for   O
an   O
emergent   O
diagnostic   O
laparoscopy   O
on   O
June   B-DATE
2381   I-DATE
.   O

The   O
contact   O
number   O
provided   O
for   O
emergency   O
contact   O
was   O
25661   B-CONTACT
.   O

The   O
surgery   O
,   O
conducted   O
on   O
5/25/2053   B-DATE
,   O
revealed   O
a   O
small   O
abscess   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
without   O
clear   O
evidence   O
of   O
a   O
recurrent   O
appendicitis   O
,   O
possibly   O
indicating   O
a   O
stump   O
appendicitis   O
or   O
another   O
inflammatory   O
process   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Alexis   B-NAME
Melendez   I-NAME
was   O
discharged   O
on   O
06/04/1873   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
visits   O
to   O
Madyson   B-NAME
Mooney   I-NAME
at   O
the   O
outpatient   O
clinic   O
of   O
Presbyterian   B-LOCATION
Espanola   I-LOCATION
Hospital   I-LOCATION
.   O

United   B-LOCATION
Spanish   I-LOCATION
War   I-LOCATION
Veterans   I-LOCATION
processed   O
the   O
insurance   O
claim   O
related   O
to   O
Schopenhauer   B-NAME
,   I-NAME
Arthur   I-NAME
's   O
hospital   O
stay   O
,   O
with   O
claim   O
number   O
BJ722/2242   B-ID
registered   O
on   O
21   B-DATE
.   O

Further   O
follow   O
-   O
up   O
and   O
evaluation   O
were   O
recommended   O
to   O
Carrieann   B-NAME
to   O
ensure   O
complete   O
recovery   O
and   O
address   O
any   O
possible   O
underlying   O
conditions   O
that   O
may   O
have   O
contributed   O
to   O
the   O
clinical   O
presentation   O
.   O

Judith   B-NAME
Frank   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
confirmed   O
a   O
follow   O
-   O
up   O
appointment   O
by   O
calling   O
46731   B-CONTACT
on   O
12/29   B-DATE
.   O

Throughout   O
the   O
care   O
process   O
,   O
strict   O
adherence   O
to   O
confidentiality   O
was   O
maintained   O
to   O
protect   O
Oswaldo   B-NAME
Hayden   I-NAME
's   O
personal   O
health   O
information   O
,   O
including   O
3   O
,   O
93457   B-LOCATION
,   O
and   O
10   B-ID
-   I-ID
5166123   I-ID
.   O

Feedback   O
from   O
Martin   B-NAME
Livingston   I-NAME
about   O
the   O
services   O
provided   O
by   O
LewisGale   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
Public   B-LOCATION
and   I-LOCATION
Commercial   I-LOCATION
Services   I-LOCATION
Union   I-LOCATION
will   O
be   O
collected   O
through   O
a   O
secure   O
portal   O
,   O
username   O
mpx463   B-NAME
,   O
to   O
ensure   O
continuous   O
improvement   O
in   O
patient   O
care   O
and   O
service   O
delivery   O
.   O

Patient   O
Name   O
:   O
Darryl   B-NAME
Keith   I-NAME
Patient   O
ID   O
:   O
QE   B-ID
:   I-ID
PI:5562   I-ID
Medical   O
Record   O
Number   O
:   O
12856323   B-ID
Date   O
of   O
Birth   O
:   O
7/30   B-DATE
Age   O
:   O
82   O
Address   O
:   O
Dimmitt   B-LOCATION
,   O
97750   B-LOCATION
Phone   O
Number   O
:   O
42067   B-CONTACT
Occupation   O
:   O
Veterinarians   O
Primary   O
Care   O
Physician   O
:   O
Boyle   B-NAME
Admitting   O
Hospital   O
:   O

MercyOne   B-LOCATION
Dubuque   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
06/75   B-DATE
Date   O
of   O
Report   O
:   O
02/20/2031   B-DATE
Clinical   O
Summary   O
:   O
Patient   O
Dunlap   B-NAME
,   O
with   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
presented   O
to   O
Lifecare   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Pittsburgh   I-LOCATION
on   O
2161   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
17   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

Jazlene   B-NAME
Lynch   I-NAME
has   O
a   O
smoking   O
history   O
of   O
20   O
-   O
pack   O
years   O
.   O

Gilmore   B-NAME
,   I-NAME
John   I-NAME
's   O
vital   O
signs   O
upon   O
admission   O
were   O
blood   O
pressure   O
160/100   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
of   O
36.8   O
°   O
C   O
.   O

Management   O
and   O
Actions   O
Taken   O
:   O
Upon   O
confirming   O
the   O
diagnosis   O
of   O
MI   O
,   O
Gabriel   B-NAME
Michael   I-NAME
was   O
administered   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
sublingual   O
nitroglycerin   O
,   O
and   O
was   O
started   O
on   O
a   O
heparin   O
drip   O
as   O
per   O
acute   O
coronary   O
syndrome   O
(   O
ACS   O
)   O
protocol   O
.   O

Aria   B-NAME
Villa   I-NAME
initiated   O
consultation   O
with   O
the   O
cardiology   O
team   O
,   O
and   O
it   O
was   O
decided   O
to   O
proceed   O
with   O
emergency   O
coronary   O
angiography   O
.   O

The   O
procedure   O
,   O
conducted   O
on   O
Sunday   B-DATE
,   I-DATE
July   I-DATE
,   O
revealed   O
a   O
significant   O
blockage   O
in   O
the   O
proximal   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

Post   O
-   O
procedure   O
,   O
Branden   B-NAME
,   I-NAME
Nathaniel   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
and   O
management   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Gretchen   B-NAME
Gonzales   I-NAME
demonstrated   O
marked   O
clinical   O
improvement   O
with   O
resolution   O
of   O
chest   O
pain   O
and   O
was   O
monitored   O
for   O
72   O
hours   O
in   O
the   O
cardiac   O
care   O
unit   O
.   O

Edith   B-NAME
Osborn   I-NAME
was   O
counselled   O
on   O
lifestyle   O
modifications   O
including   O
smoking   O
cessation   O
,   O
diet   O
,   O
and   O
exercise   O
.   O

Follow   O
-   O
up   O
with   O
Dr.   O
Loo   B-NAME
,   I-NAME
Tristan   I-NAME
J.   I-NAME
and   O
a   O
cardiology   O
specialist   O
in   O
Hendersonville   B-LOCATION
is   O
scheduled   O
for   O
June   B-DATE
9   I-DATE
.   O

It   O
was   O
emphasized   O
to   O
Chaim   B-NAME
Stevens   I-NAME
the   O
importance   O
of   O
compliance   O
with   O
medications   O
,   O
immediate   O
reporting   O
of   O
any   O
recurrent   O
symptoms   O
,   O
and   O
engagement   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

Killian   B-NAME
White   I-NAME
's   O
prognosis   O
is   O
cautiously   O
optimistic   O
with   O
adherence   O
to   O
medical   O
advice   O
and   O
changes   O
in   O
lifestyle   O
.   O

Amiya   B-NAME
Patton   I-NAME
was   O
discharged   O
on   O
0/49   B-DATE
,   O
with   O
all   O
discharge   O
summaries   O
and   O
prescriptions   O
forwarded   O
to   O
their   O
primary   O
care   O
provider   O
,   O
Coleman   B-NAME
,   O
via   O
secure   O
email   O
.   O

Beyonce   B-NAME
was   O
provided   O
with   O
emergency   O
contact   O
numbers   O
,   O
including   O
the   O
hospital   O
's   O
main   O
line   O
905   B-CONTACT
431   I-CONTACT
2518   I-CONTACT
,   O
should   O
they   O
require   O
immediate   O
medical   O
assistance   O
.   O

This   O
clinical   O
report   O
was   O
compiled   O
and   O
checked   O
for   O
accuracy   O
by   O
YZ788   B-NAME
on   O
May   B-DATE
20   I-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rylee   B-NAME
Hopkins   I-NAME
Patient   O
Age   O
:   O
25   O
Patient   O
ID   O
:   O
77449039   B-ID
Medical   O
Record   O
Number   O
:   O
379   B-ID
-   I-ID
91   I-ID
-   I-ID
63   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Report   O
:   O
32/30   B-DATE
Phone   O
Number   O
:   O
164   B-CONTACT
9790   I-CONTACT
Location   O
:   O
Keenes   B-LOCATION
Zip   O
Code   O
:   O
25816   B-LOCATION
Organization   O
:   O

Eversource   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
New   I-LOCATION
Hampshire   I-LOCATION
)   I-LOCATION

Doctor   O
:   O
Phoenix   B-NAME
Farrell   I-NAME
Hospital   O
:   O
Henry   B-LOCATION
Ford   I-LOCATION
Cottage   I-LOCATION
Hospital   I-LOCATION
Profession   O
:   O
Food   O
technologist   O
Username   O
:   O
AV710   B-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
Private   O
Sector   O
Executives   O
by   O
profession   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Bellin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
8   B-DATE
-   I-DATE
2   I-DATE
with   O
chief   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
notably   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

Skip   B-NAME
reports   O
that   O
the   O
abdominal   O
discomfort   O
started   O
mildly   O
about   O
3   O
days   O
ago   O
and   O
has   O
progressively   O
worsened   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Bay   I-LOCATION
Area   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Petersburg   I-LOCATION
approximately   O
10   O
years   O
ago   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Dunn   B-NAME
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Studies   O
:   O
Laboratory   O
tests   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
Liver   O
Function   O
Tests   O
(   O
LFTs   O
)   O
,   O
and   O
serum   O
amylase   O
were   O
ordered   O
by   O
Kennan   B-NAME
,   I-NAME
George   I-NAME
F   I-NAME
.   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
Sloane   B-NAME
Woodard   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
outpatient   O
department   O
of   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
East   I-LOCATION
on   O
03/28   B-DATE
.   O

Emergency   O
Contact   O
:   O
Albert   B-NAME
Ingram   I-NAME
's   O
emergency   O
contact   O
is   O
on   O
file   O
,   O
and   O
the   O
phone   O
number   O
is   O
61818   B-CONTACT
.   O

This   O
patient   O
report   O
has   O
been   O
prepared   O
by   O
Wilkinson   B-NAME
,   O
and   O
all   O
inquiries   O
regarding   O
the   O
patient   O
's   O
care   O
should   O
be   O
directed   O
to   O
the   O
contact   O
number   O
provided   O
for   O
Harborview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
V.   B-NAME
Ulloa   I-NAME
Medical   O
Record   O
Number   O
:   O
1   B-ID
-   I-ID
594068   I-ID
Date   O
of   O
Birth   O
:   O
08/88   B-DATE
Age   O
:   O
31   O
Address   O
:   O
Deferiet   B-LOCATION
,   O
34337   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dedra   B-NAME
Erikson   I-NAME
Phone   O
:   O
(   B-CONTACT
937   I-CONTACT
)   I-CONTACT
955   I-CONTACT
-   I-CONTACT
8320   I-CONTACT
Employer   O
:   O
Nebraska   B-LOCATION
Occupation   O
:   O
Mail   O
Clerks   O
,   O
Except   O
Mail   O
Machine   O
Operators   O
and   O
Postal   O
Service   O
Admission   O
Date   O
:   O
02/20/2262   B-DATE
Hospital   O
:   O
Jackson   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Hinto   B-NAME
,   O
a   O
95   O
-   O
year   O
-   O
old   O
Investment   O
Fund   O
Managers   O
employed   O
by   O
International   B-LOCATION
Longshore   I-LOCATION
and   I-LOCATION
Warehouse   I-LOCATION
Union   I-LOCATION
,   O
presented   O
to   O
Dartmouth   B-LOCATION
-   I-LOCATION
Hitchcock   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
33/0   B-DATE
after   O
experiencing   O
a   O
series   O
of   O
concerning   O
symptoms   O
.   O

According   O
to   O
Harrington   B-NAME
,   O
Catherine   B-NAME
L   I-NAME
Uresti   I-NAME
had   O
been   O
complaining   O
of   O
persistent   O
,   O
severe   O
headaches   O
localized   O
primarily   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
episodes   O
of   O
photophobia   O
and   O
phonophobia   O
.   O

Additionally   O
,   O
Jerky   B-NAME
Boys   I-NAME
reported   O
experiencing   O
intermittent   O
episodes   O
of   O
dizziness   O
and   O
nausea   O
,   O
without   O
any   O
vomiting   O
.   O

Over   O
the   O
past   O
week   O
,   O
prior   O
to   O
admission   O
,   O
Berlin   B-NAME
,   I-NAME
Irving   I-NAME
noted   O
an   O
escalation   O
in   O
symptom   O
severity   O
,   O
prompting   O
concern   O
.   O

Diagnostic   O
tests   O
,   O
including   O
cranial   O
MRI   O
and   O
blood   O
work   O
,   O
were   O
ordered   O
on   O
06/16   B-DATE
and   O
revealed   O
no   O
immediate   O
abnormalities   O
that   O
could   O
account   O
for   O
Landry   B-NAME
's   O
symptoms   O
.   O

However   O
,   O
further   O
examination   O
and   O
history   O
taking   O
revealed   O
no   O
significant   O
exposure   O
or   O
incidents   O
at   O
Constellation   B-LOCATION
's   I-LOCATION
Collective   I-LOCATION
that   O
could   O
explain   O
the   O
symptoms   O
.   O

Neurological   O
examination   O
by   O
Vaughn   B-NAME
demonstrated   O
no   O
focal   O
neurological   O
deficits   O
,   O
and   O
cognitive   O
testing   O
showed   O
no   O
signs   O
of   O
deterioration   O
or   O
acute   O
distress   O
.   O

A   O
comprehensive   O
review   O
of   O
Willie   B-NAME
Maynard   I-NAME
's   O
medical   O
history   O
,   O
stored   O
under   O
931   B-ID
18   I-ID
64   I-ID
,   O
unveiled   O
no   O
prior   O
incidents   O
or   O
genetic   O
predispositions   O
that   O
may   O
correlate   O
with   O
the   O
present   O
condition   O
.   O

The   O
possibility   O
of   O
a   O
migrainous   O
disorder   O
was   O
discussed   O
with   O
Calvin   B-NAME
,   I-NAME
John   I-NAME
,   O
and   O
a   O
treatment   O
plan   O
involving   O
medication   O
management   O
and   O
lifestyle   O
adjustments   O
was   O
initiated   O
.   O

Dwayne   B-NAME
Figueroa   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
potential   O
triggers   O
and   O
symptom   O
patterns   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Moses   B-NAME
Atkinson   I-NAME
for   O
2030   B-DATE
at   O
Caldwell   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

Contact   O
was   O
made   O
with   O
Abbey   B-NAME
Oneill   I-NAME
on   O
30/31/30   B-DATE
via   O
telephone   O
number   O
80604   B-CONTACT
to   O
confirm   O
the   O
upcoming   O
appointment   O
and   O
to   O
inquire   O
about   O
any   O
changes   O
in   O
symptoms   O
.   O

Lawrence   B-NAME
K.   I-NAME
Townsend   I-NAME
reported   O
a   O
mild   O
reduction   O
in   O
headache   O
intensity   O
but   O
no   O
significant   O
overall   O
improvement   O
.   O

Peggy   B-NAME
Ellis   I-NAME
was   O
living   O
at   O
Lambertville   B-LOCATION
with   O
a   O
ZIP   O
code   O
of   O
42278   B-LOCATION
and   O
had   O
secured   O
transportation   O
to   O
Northeast   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
the   O
next   O
visit   O
.   O

The   O
case   O
is   O
ongoing   O
,   O
and   O
updates   O
will   O
be   O
documented   O
in   O
Rose   B-NAME
Anaya   I-NAME
's   O
medical   O
record   O
under   O
843   B-ID
-   I-ID
62   I-ID
-   I-ID
73   I-ID
-   I-ID
3   I-ID
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Edith   B-NAME
Osborn   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
2179570   I-ID
Date   O
of   O
Birth   O
:   O
7   B-DATE
-   I-DATE
22   I-DATE
Age   O
:   O
4   O
Address   O
:   O
Guilford   B-LOCATION
Center   I-LOCATION
,   O
76810   B-LOCATION
Phone   O
Number   O
:   O
869   B-CONTACT
-   I-CONTACT
929   I-CONTACT
-   I-CONTACT
4923   I-CONTACT
Medical   O
Record   O
Number   O
:   O
038   B-ID
-   I-ID
95   I-ID
-   I-ID
26   I-ID
Attending   O
Physician   O
:   O

Flynn   B-NAME
Organization   O
:   O

Safeco   B-LOCATION
Hospital   O
:   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Avista   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Easterling   B-NAME
,   O
a   O
Food   O
Cooking   O
Machine   O
Operators   O
and   O
Tenders   O
from   O
Cow   B-LOCATION
Creek   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Upson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/07   B-DATE
with   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Charlee   B-NAME
reported   O
the   O
pain   O
worsening   O
with   O
movement   O
and   O
noted   O
a   O
decreased   O
appetite   O
over   O
the   O
same   O
period   O
.   O

Magdalena   B-NAME
Haney   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Past   O
Medical   O
History   O
:   O
Liberty   B-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O
Medications   O
at   O
Admission   O
:   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Mabuse   B-NAME
,   I-NAME
der   I-NAME
Spieler   I-NAME
,   O
a   O
89   O
-   O
year   O
-   O
old   O
Film   O
Laboratory   O
Technicians   O
,   O
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Based   O
on   O
clinical   O
findings   O
and   O
diagnostic   O
tests   O
,   O
Graves   B-NAME
diagnosed   O
Jackson   B-NAME
X.   I-NAME
Triplett   I-NAME
with   O
acute   O
appendicitis   O
.   O

Deeann   B-NAME
Contino   I-NAME
was   O
advised   O
immediate   O
surgical   O
intervention   O
in   O
the   O
form   O
of   O
an   O
appendectomy   O
.   O

Surgical   O
consent   O
was   O
obtained   O
,   O
and   O
Damon   B-NAME
was   O
prepared   O
for   O
surgery   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
36/22/52   B-DATE
,   O
with   O
no   O
complications   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
nation   B-NAME
was   O
monitored   O
in   O
the   O
post   O
-   O
operative   O
unit   O
of   O
Melbourne   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
given   O
IV   O
antibiotics   O
as   O
a   O
preventive   O
measure   O
against   O
infection   O
.   O

Madelyn   B-NAME
Lucero   I-NAME
's   O
recovery   O
was   O
uncomplicated   O
,   O
with   O
an   O
improvement   O
in   O
symptoms   O
and   O
gradual   O
return   O
of   O
appetite   O
.   O

Terry   B-NAME
W.   I-NAME
Neel   I-NAME
was   O
discharged   O
on   O
22/34/36   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Richmond   B-NAME
in   O
two   O
weeks   O
'   O
time   O
.   O

Follow   O
-   O
Up   O
:   O
Jenaya   B-NAME
attended   O
the   O
follow   O
-   O
up   O
appointment   O
on   O
2/04   B-DATE
,   O
reporting   O
a   O
complete   O
resolution   O
of   O
symptoms   O
.   O

Walters   B-NAME
was   O
satisfied   O
with   O
Irineo   B-NAME
Tovar   I-NAME
's   O
progress   O
and   O
advised   O
to   O
resume   O
normal   O
activities   O
gradually   O
.   O

Conclusion   O
:   O
Zack   B-NAME
Carroll   I-NAME
's   O
case   O
of   O
acute   O
appendicitis   O
was   O
managed   O
effectively   O
with   O
timely   O
surgical   O
intervention   O
,   O
showcasing   O
the   O
importance   O
of   O
swift   O
diagnosis   O
and   O
treatment   O
in   O
acute   O
surgical   O
conditions   O
.   O

Further   O
reviews   O
are   O
scheduled   O
to   O
monitor   O
complete   O
recovery   O
and   O
to   O
manage   O
Robert   B-NAME
Richardson   I-NAME
's   O
underlying   O
chronic   O
conditions   O
.   O

End   O
of   O
Report   O
Prepared   O
by   O
:   O
qn90   B-NAME
Contact   O
Information   O
:   O
153   B-CONTACT
-   I-CONTACT
2031   I-CONTACT

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Judah   B-NAME
George   I-NAME
Age   O
:   O
82   O
DOB   O
:   O

August   B-DATE
Gender   O
:   O

[   O
PATIENT   O
's   O
Gender   O
]   O
Medical   O
Record   O
Number   O
:   O
700   B-ID
-   I-ID
35   I-ID
-   I-ID
13   I-ID
ID   O
Number   O
:   O
PE797/6684   B-ID
Address   O
:   O
Ramona   B-LOCATION
,   O
81823   B-LOCATION
Phone   O
Number   O
:   O
71400   B-CONTACT
Employment   O
:   O
Shipping   O
,   O
Receiving   O
,   O
and   O
Traffic   O
Clerks   O
Admitting   O
Physician   O
:   O

Kendra   B-NAME
Boone   I-NAME
Location   O
of   O
Care   O
:   O
Erlanger   B-LOCATION
East   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
0/22   B-DATE
Admission   O
Details   O
:   O
Erasmus   B-NAME
was   O
admitted   O
to   O
Conway   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
16/21   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

Dexter   B-NAME
Krause   I-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
.   O

Medical   O
History   O
:   O
Howard   B-NAME
Rosser   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
was   O
previously   O
diagnosed   O
with   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
approximately   O
32/20   B-DATE
.   O

Naomi   B-NAME
Goodman   I-NAME
denies   O
any   O
surgical   O
history   O
.   O

Chun   B-NAME
Schiff   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
the   O
use   O
of   O
illicit   O
drugs   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
Aidan   B-NAME
Blevins   I-NAME
's   O
vital   O
signs   O
showed   O
a   O
mild   O
elevation   O
in   O
temperature   O
(   O
2   O
month   O
-   O
specific   O
range   O
not   O
applicable   O
)   O
,   O
a   O
heart   O
rate   O
within   O
normal   O
limits   O
for   O
21   O
,   O
and   O
a   O
slightly   O
elevated   O
blood   O
pressure   O
.   O

Treatment   O
:   O
The   O
surgical   O
team   O
,   O
led   O
by   O
Meza   B-NAME
,   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
15/20   B-DATE
.   O

Johanna   B-NAME
Reed   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
post   O
-   O
operatively   O
.   O

Recovery   O
:   O
Luis   B-NAME
House   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Tobias   B-NAME
Rangel   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
showed   O
significant   O
improvement   O
.   O

The   O
pain   O
and   O
nausea   O
were   O
adequately   O
managed   O
,   O
and   O
Frances   B-NAME
York   I-NAME
was   O
able   O
to   O
tolerate   O
a   O
liquid   O
diet   O
by   O
04/17/2023   B-DATE
.   O

Rosemary   B-NAME
Silva   I-NAME
was   O
discharged   O
on   O
03/07   B-DATE
with   O
instructions   O
for   O
care   O
at   O
home   O
,   O
including   O
a   O
course   O
of   O
oral   O
antibiotics   O
,   O
pain   O
management   O
advice   O
,   O
and   O
recommendations   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Prince   B-NAME
in   O
09/05/1911   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Adyson   B-NAME
Galvan   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Regional   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Scranton   I-LOCATION
on   O
'   B-DATE
02   I-DATE
to   O
monitor   O
recovery   O
progress   O
and   O
address   O
any   O
ongoing   O
concerns   O
.   O

The   O
patient   O
consented   O
to   O
participate   O
in   O
a   O
postoperative   O
care   O
survey   O
conducted   O
by   O
Platinum   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
in   O
10/04   B-DATE
.   O
2   O
.   O

The   O
patient   O
's   O
emergency   O
contact   O
is   O
Electronic   O
Masking   O
System   O
Operators   O
,   O
available   O
at   O
424   B-CONTACT
543   I-CONTACT
8250   I-CONTACT
.   O

For   O
any   O
further   O
information   O
or   O
emergency   O
,   O
Schiller   B-NAME
,   I-NAME
Friedrich   I-NAME
von   I-NAME
or   O
relatives   O
can   O
contact   O
Orlando   B-LOCATION
Health   I-LOCATION
Dr.   I-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
's   O
help   O
desk   O
at   O
81903   B-CONTACT
.   O

Prepared   O
by   O
:   O
kzs277   B-NAME
March   B-DATE

Patient   O
Name   O
:   O
Kaleb   B-NAME
Meadows   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
7386378   I-ID
Date   O
of   O
Birth   O
:   O
22/34/2081   B-DATE
Age   O
:   O
85   O
Medical   O
Record   O
Number   O
:   O
5367439   B-ID
Address   O
:   O
Dunes   B-LOCATION
City   I-LOCATION
,   O
27937   B-LOCATION
Phone   O
Number   O
:   O
384   B-CONTACT
240   I-CONTACT
6472   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Lucero   B-NAME
Hospital   O
:   O
Southern   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
4/35/78   B-DATE
Occupation   O
:   O

Meter   O
Mechanics   O
Chief   O
Complaint   O
:   O
Kinsley   B-NAME
Solomon   I-NAME
presents   O
with   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
started   O
approximately   O
0/23   B-DATE
.   O

Hayden   B-NAME
Lawrence   I-NAME
also   O
reports   O
experiencing   O
nausea   O
and   O
vomiting   O
since   O
the   O
onset   O
of   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
experienced   O
the   O
onset   O
of   O
symptoms   O
early   O
in   O
the   O
morning   O
on   O
32/22   B-DATE
.   O

Associated   O
symptoms   O
include   O
fever   O
,   O
which   O
Ricardo   B-NAME
Lopez   I-NAME
states   O
began   O
later   O
in   O
the   O
day   O
,   O
approximately   O
around   O
2270   B-DATE
.   O

Mina   B-NAME
Hopkins   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

Past   O
Medical   O
History   O
:   O
Stein   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

Social   O
History   O
:   O
Miguel   B-NAME
Cervantes   I-NAME
is   O
a   O
Aircraft   O
Launch   O
and   O
Recovery   O
Specialists   O
,   O
does   O
not   O
smoke   O
cigarettes   O
,   O
and   O
occasionally   O
consumes   O
alcohol   O
,   O
with   O
the   O
last   O
incidence   O
of   O
drinking   O
reported   O
12/12   B-DATE
.   O

No   O
palpitations   O
.   O
-   O
Respiratory   O
:   O
Denies   O
any   O
shortness   O
of   O
breath   O
or   O
cough   O
.   O
-   O
Gastrointestinal   O
:   O
Severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
vomiting   O
,   O
and   O
absence   O
of   O
bowel   O
movements   O
since   O
3   B-DATE
-   I-DATE
32   I-DATE
.   O
-   O
Neurological   O
:   O
No   O
headaches   O
,   O
dizziness   O
,   O
or   O
syncope   O
.   O

On   O
examination   O
,   O
Darell   B-NAME
Corbec   I-NAME
's   O
temperature   O
was   O
elevated   O
.   O

Villalobos   B-NAME
has   O
been   O
advised   O
to   O
maintain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
in   O
preparation   O
for   O
possible   O
surgery   O
.   O

Follow   O
-   O
up   O
information   O
and   O
post   O
-   O
evaluation   O
findings   O
will   O
be   O
documented   O
in   O
Sampson   B-NAME
's   O
medical   O
record   O
,   O
1308164   B-ID
.   O

Signed   O
,   O
Dr.   O
Hays   B-NAME
0/1/2270   B-DATE

Patient   O
Name   O
:   O
Jolie   B-NAME
Butler   I-NAME
Age   O
:   O
29   O
Date   O
of   O
Birth   O
:   O
February   B-DATE
Address   O
:   O
Uzbekistan   B-LOCATION
,   O
99764   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
122   I-CONTACT
)   I-CONTACT
652   I-CONTACT
-   I-CONTACT
1371   I-CONTACT
Occupation   O
:   O

Fine   O
Artists   O
,   O
Including   O
Painters   O
,   O
Sculptors   O
,   O
and   O
Illustrators   O
Medical   O
Record   O
Number   O
:   O
0597X24912   B-ID
Patient   O
ID   O
:   O
841358   B-ID

Dr.   O
Murray   B-NAME
Kaplan   I-NAME
Hospital   O
:   O
Grandview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2290   B-DATE
Date   O
of   O
Discharge   O
:   O
2072   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
23   I-DATE
Referring   O
Organization   O
:   O

Amcore   B-LOCATION
Bank   I-LOCATION
Clinical   O
Summary   O
:   O
Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
,   O
a   O
Stock   O
Clerks   O
,   O
Sales   O
Floor   O
,   O
residing   O
at   O
Pittsburgh   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
84485   B-LOCATION
,   O
was   O
admitted   O
to   O
Caldwell   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
June   B-DATE
2207   I-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Imperial   B-LOCATION
Spheres   I-LOCATION
and   O
was   O
under   O
the   O
care   O
of   O
Dr.   O
Boccardo   B-NAME
.   O

Upon   O
admission   O
,   O
Jac   B-NAME
presented   O
with   O
acute   O
abdominal   O
pain   O
,   O
characterized   O
by   O
a   O
sudden   O
onset   O
of   O
severe   O
cramping   O
located   O
in   O
the   O
lower   O
quadrant   O
.   O

In   O
addition   O
to   O
the   O
gastrointestinal   O
symptoms   O
,   O
Kaleb   B-NAME
Petersen   I-NAME
exhibited   O
signs   O
of   O
dehydration   O
,   O
including   O
dry   O
mucous   O
membranes   O
and   O
decreased   O
skin   O
turgor   O
.   O

Diagnostic   O
imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
was   O
conducted   O
on   O
1891   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
,   O
revealing   O
the   O
presence   O
of   O
gallstones   O
,   O
which   O
led   O
to   O
a   O
diagnosis   O
of   O
acute   O
cholecystitis   O
.   O

Due   O
to   O
the   O
severity   O
of   O
symptoms   O
and   O
the   O
presence   O
of   O
gallstones   O
,   O
a   O
laparoscopic   O
cholecystectomy   O
was   O
performed   O
by   O
Dr.   O
Kaden   B-NAME
Hodge   I-NAME
on   O
1783   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
13   I-DATE
without   O
complications   O
.   O

Kelsey   B-NAME
Carlucci   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
abdominal   O
pain   O
and   O
resolution   O
of   O
nausea   O
and   O
vomiting   O
.   O

Marc   B-NAME
Leblanc   I-NAME
was   O
advised   O
on   O
dietary   O
modifications   O
to   O
prevent   O
recurrence   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2332   B-DATE
to   O
monitor   O
recovery   O
progress   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
12/29   B-DATE
with   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
instructions   O
for   O
postoperative   O
care   O
,   O
including   O
activity   O
levels   O
and   O
wound   O
care   O
.   O

For   O
any   O
questions   O
regarding   O
post   O
-   O
discharge   O
care   O
,   O
Duvall   B-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
of   O
the   O
surgical   O
department   O
at   O
20155   B-CONTACT
.   O

The   O
dedicated   O
patient   O
ID   O
for   O
any   O
further   O
inquiries   O
is   O
TH:66892:310459   B-ID
,   O
and   O
the   O
medical   O
record   O
can   O
be   O
accessed   O
with   O
the   O
number   O
40482313   B-ID
for   O
reference   O
.   O

This   O
clinical   O
summary   O
documents   O
the   O
care   O
and   O
treatment   O
provided   O
to   O
Jayda   B-NAME
Una   I-NAME
Xiang   I-NAME
during   O
their   O
stay   O
at   O
Coffee   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
from   O
2310   B-DATE
to   O
2017   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
24   I-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Bradford   B-NAME
Gensler   I-NAME
-   O
Age   O
:   O
7   O
-   O
Medical   O
Record   O
Number   O
:   O
4001264   B-ID
-   O
Address   O
:   O
McCall   B-LOCATION
,   O
22763   B-LOCATION
-   O
Contact   O
Number   O
:   O
(   B-CONTACT
800   I-CONTACT
)   I-CONTACT
948   I-CONTACT
1160   I-CONTACT
-   O
Occupation   O
:   O
Planning   O
technician   O
-   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Jayson   B-NAME
Acevedo   I-NAME
-   O
Date   O
of   O
Admission   O
:   O
10/83   B-DATE
-   O
Hospital   O
Name   O
:   O
Scotland   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
SORENSEN   B-NAME
,   I-NAME
SAUL   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Boca   B-LOCATION
Raton   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
January   B-DATE
2   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Jadyn   B-NAME
Glass   I-NAME
reported   O
accompanying   O
nausea   O
without   O
vomiting   O
and   O
an   O
inability   O
to   O
find   O
a   O
comfortable   O
position   O
that   O
alleviated   O
the   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
abdominal   O
pain   O
onset   O
was   O
sudden   O
,   O
occurring   O
approximately   O
13/18/2341   B-DATE
,   O
and   O
has   O
progressively   O
worsened   O
leading   O
to   O
the   O
ER   O
visit   O
.   O

Douglass   B-NAME
,   I-NAME
David   I-NAME
denies   O
any   O
recent   O
injuries   O
,   O
dietary   O
changes   O
,   O
or   O
foreign   O
travel   O
.   O

Camila   B-NAME
Carney   I-NAME
mentions   O
experiencing   O
slight   O
chills   O
but   O
denies   O
fever   O
,   O
diarrhea   O
,   O
or   O
bloody   O
stools   O
.   O

Past   O
Medical   O
History   O
:   O
Jesse   B-NAME
Lozano   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
medication   O
.   O

Tesla   B-NAME
,   I-NAME
Nikola   I-NAME
underwent   O
a   O
cholecystectomy   O
Friday   B-DATE
,   I-DATE
July   I-DATE
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
performed   O
on   O
Friday   B-DATE
,   I-DATE
August   I-DATE
,   O
suggested   O
the   O
presence   O
of   O
acute   O
pancreatitis   O
without   O
complications   O
.   O

A   O
gastroenterology   O
consultation   O
was   O
requested   O
,   O
and   O
Dr.   O
Lilian   B-NAME
Moon   I-NAME
recommended   O
admission   O
to   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Cherry   I-LOCATION
Hill   I-LOCATION
for   O
close   O
monitoring   O
.   O

Elisha   B-NAME
Meyer   I-NAME
's   O
blood   O
glucose   O
levels   O
were   O
closely   O
managed   O
by   O
the   O
endocrinology   O
team   O
due   O
to   O
the   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O

Follow   O
-   O
Up   O
and   O
Discharge   O
Plans   O
:   O
kruse   B-NAME
showed   O
improvement   O
with   O
the   O
initial   O
management   O
plan   O
.   O

A   O
diet   O
gradually   O
advancing   O
from   O
liquids   O
to   O
low   O
-   O
fat   O
solid   O
foods   O
was   O
initiated   O
as   O
Giancarlo   B-NAME
Frederick   I-NAME
's   O
condition   O
improved   O
.   O

Discharge   O
instructions   O
included   O
dietary   O
restrictions   O
,   O
signs   O
of   O
possible   O
complications   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Ross   B-NAME
on   O
01/21   B-DATE
.   O

Contact   O
information   O
for   O
Naval   B-LOCATION
Hospital   I-LOCATION
Bremerton   I-LOCATION
's   O
gastroenterology   O
department   O
was   O
also   O
provided   O
:   O
(   B-CONTACT
924   I-CONTACT
)   I-CONTACT
727   I-CONTACT
6915   I-CONTACT
.   O

Note   O
:   O
Please   O
remind   O
Benchley   B-NAME
,   I-NAME
Robert   I-NAME
to   O
call   O
the   O
office   O
at   O
96537   B-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
date   O
or   O
if   O
any   O
complications   O
arise   O
.   O

Prepared   O
by   O
:   O
xt446   B-NAME
,   O
Medical   O
Records   O
Department   O
Forest   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
3935   B-DATE

The   O
patient   O
,   O
Austin   B-NAME
Bowman   I-NAME
,   O
a   O
Radiologic   O
Technicians   O
from   O
Altavista   B-LOCATION
,   I-LOCATION
Altavista   I-LOCATION
On   I-LOCATION
Track   I-LOCATION
,   O
presented   O
to   O
Bibb   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/15/23   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
lower   O
quadrants   O
,   O
for   O
the   O
past   O
3   O
days   O
.   O

Additionally   O
,   O
Harrington   B-NAME
has   O
experienced   O
a   O
weight   O
loss   O
of   O
approximately   O
49   O
kgs   O
over   O
the   O
last   O
month   O
,   O
which   O
has   O
not   O
been   O
intentional   O
.   O

Upon   O
examination   O
,   O
Maria   B-NAME
Andersen   I-NAME
noted   O
a   O
mild   O
tenderness   O
in   O
the   O
lower   O
abdominal   O
quadrants   O
without   O
any   O
guarding   O
or   O
rebound   O
tenderness   O
.   O

The   O
abdominal   O
ultrasound   O
,   O
conducted   O
on   O
22/29   B-DATE
,   O
revealed   O
a   O
slight   O
thickness   O
in   O
the   O
bowel   O
walls   O
,   O
particularly   O
in   O
the   O
ileocecal   O
region   O
,   O
suggesting   O
a   O
possible   O
diagnosis   O
of   O
Crohn   O
’s   O
disease   O
.   O

Based   O
on   O
the   O
preliminary   O
investigations   O
,   O
Grant   B-NAME
referred   O
Abby   B-NAME
Pham   I-NAME
to   O
a   O
gastroenterology   O
specialist   O
at   O
Ochsner   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
for   O
further   O
evaluation   O
.   O

Medical   O
record   O
number   O
310   B-ID
-   I-ID
88   I-ID
-   I-ID
44   I-ID
and   O
contact   O
information   O
,   O
including   O
(   B-CONTACT
992   I-CONTACT
)   I-CONTACT
268   I-CONTACT
-   I-CONTACT
9829   I-CONTACT
and   O
address   O
in   O
Ninety   B-LOCATION
Six   I-LOCATION
with   O
the   O
ZIP   O
code   O
37892   B-LOCATION
,   O
were   O
updated   O
in   O
the   O
patient   O
’s   O
file   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
10/07/96   B-DATE
,   O
with   O
instructions   O
for   O
the   O
patient   O
to   O
immediately   O
contact   O
Bethesda   B-LOCATION
Butler   I-LOCATION
Hospital   I-LOCATION
or   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
aggressively   O
worsen   O
or   O
if   O
new   O
symptoms   O
develop   O
.   O

Finally   O
,   O
arrangements   O
were   O
made   O
for   O
the   O
patient   O
to   O
receive   O
a   O
call   O
from   O
Linux   B-LOCATION
Users   I-LOCATION
'   I-LOCATION
Group   I-LOCATION
of   I-LOCATION
Davis   I-LOCATION
for   O
psychological   O
support   O
,   O
given   O
the   O
impact   O
of   O
the   O
symptoms   O
on   O
Jackson   B-NAME
Nunez   I-NAME
's   O
daily   O
activities   O
and   O
mental   O
health   O
.   O

Whitney   B-NAME
Gibbs   I-NAME
Age   O
:   O
10   O
Date   O
of   O
Birth   O
:   O
24/02/08   B-DATE
Address   O
:   O
Wilbur   B-LOCATION
Park   I-LOCATION
,   O
29196   B-LOCATION
Phone   O
:   O
776   B-CONTACT
-   I-CONTACT
5076   I-CONTACT
Occupation   O
:   O

Funeral   O
Service   O
Managers   O
Primary   O
Physician   O
:   O
Dr.   O
Vang   B-NAME
Attending   O
Hospital   O
:   O
Yale   B-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
a   I-LOCATION
division   I-LOCATION
of   I-LOCATION
Yale   I-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION

Date   O
of   O
Admission   O
:   O
2/13   B-DATE
Medical   O
Record   O
Number   O
:   O
11340389   B-ID
Patient   O
ID   O
:   O
TH:3888:455436   B-ID

Presenting   O
Complaints   O
:   O
Patient   O
Damari   B-NAME
Hall   I-NAME
was   O
admitted   O
to   O
St   B-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/22   B-DATE
with   O
a   O
presenting   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

Berra   B-NAME
,   I-NAME
Yogi   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
loss   O
of   O
appetite   O
.   O

Medical   O
History   O
:   O
Jacoby   B-NAME
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
hypertension   O
and   O
hyperlipidemia   O
,   O
well   O
controlled   O
with   O
medication   O
.   O

Uriel   B-NAME
Hendricks   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
consumption   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Douglas   B-NAME
Birely   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
The   O
surgical   O
team   O
led   O
by   O
Dr.   O
Rodriguez   B-NAME
was   O
consulted   O
and   O
Zaid   B-NAME
Gordon   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
00/22/51   B-DATE
.   O

The   O
procedure   O
was   O
explained   O
to   O
Helen   B-NAME
T.   I-NAME
Hattie   I-NAME
Simms   I-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Post   O
-   O
operatively   O
,   O
Kudlow   B-NAME
,   I-NAME
Lawrence   I-NAME
's   O
recovery   O
was   O
uneventful   O
.   O

Follow   O
-   O
Up   O
:   O
Jerome   B-NAME
Ewing   I-NAME
was   O
discharged   O
on   O
12/31   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Rubi   B-NAME
Bowers   I-NAME
in   O
two   O
weeks   O
.   O

Conclusion   O
:   O
This   O
case   O
details   O
the   O
presentation   O
,   O
diagnosis   O
,   O
and   O
successful   O
surgical   O
management   O
of   O
acute   O
appendicitis   O
in   O
a   O
patient   O
with   O
timely   O
presentation   O
to   O
Rangely   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
.   O

Prescriber   O
Information   O
:   O
Prescriber   O
:   O
Dr.   O
Escobar   B-NAME
,   O
MD   O
Contact   O
:   O
(   B-CONTACT
930   I-CONTACT
)   I-CONTACT
771   I-CONTACT
-   I-CONTACT
2658   I-CONTACT
Hospital   O
:   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
Notes   O
/   O
Comments   O
:   O

For   O
any   O
concerns   O
or   O
complications   O
,   O
Norman   B-NAME
is   O
advised   O
to   O
contact   O
St.   B-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
-   I-LOCATION
Chelsea   I-LOCATION
Emergency   O
Department   O
or   O
Dr.   O
Adonis   B-NAME
Lyons   I-NAME
's   O
office   O
immediately   O
.   O

Further   O
,   O
Denzel   B-NAME
Johns   I-NAME
is   O
encouraged   O
to   O
maintain   O
a   O
balanced   O
diet   O
and   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
32/25   B-DATE
weeks   O
post   O
-   O
discharge   O
.   O
Depression   B-LOCATION
and   I-LOCATION
Bipolar   I-LOCATION
Support   I-LOCATION
Alliance   I-LOCATION
-   I-LOCATION
DBSA   I-LOCATION
Confidentiality   O
Notice   O
:   O
This   O
document   O
,   O
including   O
attachments   O
,   O
is   O
for   O
the   O
exclusive   O
and   O
confidential   O
use   O
of   O
the   O
intended   O
recipient(s   O
)   O
.   O

Patient   O
:   O
Mcgee   B-NAME
Medical   O
Record   O
Number   O
:   O
13107931   B-ID
Date   O
of   O
Birth   O
:   O
22/8   B-DATE
Age   O
:   O
8s   O
Address   O
:   O
Yarmouth   B-LOCATION
,   O
82716   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Hickman   B-NAME
Hospital   O
:   O
Landmark   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
33/30   B-DATE
Social   O
Security   O
Number   O
:   O
XC875/8239   B-ID
Contact   O
Number   O
:   O
816   B-CONTACT
523   I-CONTACT
1505   I-CONTACT
Occupation   O
:   O

Pesticide   O
Handlers   O
,   O
Sprayers   O
,   O
and   O
Applicators   O
,   O
Vegetation   O
Clinical   O
Summary   O
:   O
YUTAKA   B-NAME
PRITCHARD   I-NAME
was   O
admitted   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Fremont   I-LOCATION
on   O
0/32   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

These   O
symptoms   O
were   O
first   O
noticed   O
2122   B-DATE
and   O
have   O
progressively   O
worsened   O
.   O

Jeffrey   B-NAME
Koehler   I-NAME
denies   O
any   O
recent   O
history   O
of   O
physical   O
trauma   O
or   O
injuries   O
.   O

Debra   B-NAME
Y   I-NAME
Xin   I-NAME
has   O
been   O
a   O
smoker   O
for   O
the   O
past   O
33   O
years   O
and   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
which   O
are   O
currently   O
being   O
managed   O
with   O
medication   O
prescribed   O
by   O
Tacitus   B-NAME
.   O

Upon   O
examination   O
,   O
Ayanna   B-NAME
Mckenzie   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
.   O

Treatment   O
:   O
Geovanni   B-NAME
Guzman   I-NAME
was   O
immediately   O
started   O
on   O
anticoagulant   O
therapy   O
and   O
underwent   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
to   O
address   O
the   O
blockage   O
in   O
the   O
LAD   O
artery   O
.   O

Post   O
-   O
procedure   O
,   O
Aden   B-NAME
Patterson   I-NAME
was   O
moved   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

Follow   O
-   O
Up   O
:   O
Marech   B-NAME
Marnett   I-NAME
demonstrated   O
marked   O
improvement   O
after   O
the   O
intervention   O
,   O
with   O
relief   O
from   O
chest   O
pain   O
and   O
normalization   O
of   O
vital   O
signs   O
.   O

Olive   B-NAME
Randall   I-NAME
was   O
discharged   O
on   O
12/24/71   B-DATE
with   O
prescriptions   O
for   O
a   O
beta   O
-   O
blocker   O
,   O
statin   O
,   O
and   O
aspirin   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Hesiod   B-NAME
at   O
the   O
cardiology   O
clinic   O
of   O
Trinitas   B-LOCATION
Hospital   I-LOCATION
.   O

Notes   O
:   O
-   O
Gina   B-NAME
Kevin   I-NAME
Irons   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
adherence   O
to   O
medication   O
and   O
lifestyle   O
changes   O
to   O
manage   O
the   O
risk   O
of   O
future   O
cardiac   O
events   O
.   O
-   O
Swindoll   B-NAME
,   I-NAME
Charles   I-NAME
was   O
provided   O
with   O
resources   O
for   O
smoking   O
cessation   O
support   O
and   O
was   O
advised   O
to   O
monitor   O
blood   O
pressure   O
and   O
cholesterol   O
levels   O
regularly   O
.   O

-   O
Everett   B-NAME
Dunlap   I-NAME
expressed   O
understanding   O
and   O
willingness   O
to   O
comply   O
with   O
the   O
recommended   O
treatment   O
plan   O
.   O

Contact   O
Information   O
for   O
Follow   O
-   O
up   O
:   O
Zane   B-NAME
Lindsey   I-NAME
at   O
579   B-CONTACT
576   I-CONTACT
-   I-CONTACT
7862   I-CONTACT
Cardiology   O
Clinic   O
,   O
Sentara   B-LOCATION
Martha   I-LOCATION
Jefferson   I-LOCATION
Hospital   I-LOCATION
Confidentiality   O
Statement   O
:   O

This   O
medical   O
record   O
contains   O
confidential   O
health   O
information   O
concerning   O
Lu   B-NAME
and   O
is   O
legally   O
protected   O
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Medical   O
Examination   O
and   O
Assessment   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Mitchell   B-NAME
-   O
Age   O
:   O
57   O
-   O
Medical   O
Record   O
Number   O
:   O
5956470   B-ID
-   O
ID   O
Number   O
:   O
8   B-ID
-   I-ID
3821978   I-ID
-   O
Contact   O
Information   O
:   O
782   B-CONTACT
3659   I-CONTACT
-   O
Address   O
:   O
Downsville   B-LOCATION
,   O
96840   B-LOCATION
Consultation   O
Date   O
:   O
4/20/2222   B-DATE
Attending   O
Physician   O
:   O

Dauten   B-NAME
,   I-NAME
Dale   I-NAME
Hospital   O
Information   O
:   O
Memorial   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Macedon   B-LOCATION
Summary   O
:   O
Ben   B-NAME
Barnes   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
-   I-LOCATION
Williamsport   I-LOCATION
on   O
37/29   B-DATE
with   O
a   O
constellation   O
of   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Steve   B-NAME
demonstrated   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
notably   O
at   O
the   O
McBurney   O
's   O
point   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
assessment   O
and   O
supportive   O
diagnostic   O
findings   O
,   O
Kendall   B-NAME
Huff   I-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Discharge   O
Summary   O
:   O
Post   O
-   O
operatively   O
,   O
Haley   B-NAME
showed   O
marked   O
improvement   O
in   O
symptoms   O
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
at   O
John   B-LOCATION
H.   I-LOCATION
Stroger   I-LOCATION
Jr.   I-LOCATION
Hospital   I-LOCATION
for   O
wound   O
check   O
and   O
removal   O
of   O
sutures   O
in   O
7   O
-   O
10   O
days   O
.   O

Instructions   O
were   O
given   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unusual   O
symptoms   O
and   O
to   O
contact   O
St.   B-LOCATION
Charles   I-LOCATION
Hospital   I-LOCATION
or   O
Alexia   B-NAME
Moore   I-NAME
immediately   O
should   O
any   O
concerns   O
arise   O
.   O

Medical   O
Advice   O
for   O
Patient   O
:   O
-   O
Monitor   O
the   O
surgical   O
incision   O
for   O
signs   O
of   O
infection   O
(   O
e.g.   O
,   O
redness   O
,   O
swelling   O
,   O
discharge   O
)   O
-   O
Adhere   O
to   O
prescribed   O
antibiotic   O
regimen   O
until   O
completion   O
-   O
Gradual   O
increase   O
in   O
physical   O
activity   O
as   O
tolerated   O
-   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
22/32/00   B-DATE
with   O
Maleah   B-NAME
Harper   I-NAME
at   O
Ambler   B-LOCATION
Confidentiality   O
Notice   O
:   O
All   O
patient   O
information   O
contained   O
in   O
this   O
report   O
is   O
confidential   O
and   O
protected   O
health   O
information   O
.   O

For   O
any   O
further   O
inquiries   O
,   O
please   O
contact   O
(   B-CONTACT
342   I-CONTACT
)   I-CONTACT
994   I-CONTACT
-   I-CONTACT
5727   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Andres   B-NAME
Kraker   I-NAME
Patient   O
ID   O
:   O
452   B-ID
-   I-ID
97   I-ID
-   I-ID
75   I-ID
-   I-ID
1   I-ID
Age   O
:   O
61   O
Address   O
:   O
Monroeville   B-LOCATION
,   I-LOCATION
Monroeville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
56156   B-LOCATION
Phone   O
Number   O
:   O
485   B-CONTACT
4880   I-CONTACT
Date   O
of   O
Admission   O
:   O
17   B-DATE
Admitting   O
Hospital   O
:   O
Inova   B-LOCATION
Fair   I-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Fowler   B-NAME
Referring   O
Organization   O
:   O

First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Barnesville   I-LOCATION
Summary   O
:   O
Franklyn   B-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
West   I-LOCATION
on   O
2   B-DATE
-   I-DATE
00   I-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
particularly   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Leo   B-NAME
Pace   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
slight   O
fever   O
,   O
and   O
noticeable   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Past   O
medical   O
history   O
was   O
significant   O
for   O
type   O
2   O
diabetes   O
and   O
hypertension   O
,   O
with   O
medications   O
managed   O
by   O
Rollins   B-NAME
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Kailee   B-NAME
Abbott   I-NAME
exhibited   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
possible   O
appendicitis   O
.   O

After   O
consultation   O
with   O
Waters   B-NAME
,   O
Wesley   B-NAME
Williams   I-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
10/12   B-DATE
.   O

Baylee   B-NAME
Navarro   I-NAME
was   O
administered   O
IV   O
antibiotics   O
pre   O
-   O
operatively   O
and   O
continued   O
post   O
-   O
operatively   O
to   O
prevent   O
infection   O
.   O

Pain   O
management   O
was   O
addressed   O
with   O
a   O
PCA   O
(   O
patient   O
-   O
controlled   O
analgesia   O
)   O
pump   O
allowing   O
Ted   B-NAME
Stuart   I-NAME
to   O
manage   O
pain   O
relief   O
effectively   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Brycen   B-NAME
Flynn   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
with   O
gradual   O
improvement   O
in   O
symptoms   O
.   O

Hurley   B-NAME
was   O
encouraged   O
to   O
ambulate   O
on   O
post   O
-   O
op   O
day   O
1   O
to   O
prevent   O
DVT   O
(   O
Deep   O
Vein   O
Thrombosis   O
)   O
.   O

Teagan   B-NAME
Ware   I-NAME
was   O
discharged   O
on   O
00/22   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
to   O
complete   O
a   O
7   O
-   O
day   O
course   O
and   O
pain   O
management   O
instructions   O
.   O

Follow   O
-   O
Up   O
:   O
Johanna   B-NAME
Cannon   I-NAME
has   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
Santana   B-NAME
at   O
Summit   B-LOCATION
Healthcare   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1676   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
08   I-DATE
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Victor   B-NAME
von   I-NAME
Doom   I-NAME
was   O
advised   O
to   O
contact   O
the   O
Surgical   O
Unit   O
at   O
Wiregrass   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
directly   O
at   O
70520   B-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
.   O

Note   O
:   O
All   O
personal   O
and   O
sensitive   O
information   O
is   O
protected   O
in   O
compliance   O
with   O
privacy   O
regulations   O
,   O
and   O
this   O
document   O
is   O
secured   O
within   O
the   O
patient   O
's   O
health   O
record   O
(   O
9560157   B-ID
)   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Chavez   B-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
8052935   I-ID
Medical   O
Record   O
Number   O
:   O
48636661   B-ID
Date   O
of   O
Birth   O
:   O
12/84   B-DATE
Age   O
:   O
29   O
Phone   O
Number   O
:   O
63464   B-CONTACT
Address   O
:   O
Hampton   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Hampton   I-LOCATION
,   O
59275   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Nancy   B-NAME
Durham   I-NAME
Hospital   O
Name   O
:   O
George   B-LOCATION
C.   I-LOCATION
Grape   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
11/25   B-DATE
Occupation   O
:   O
Occupational   O
Health   O
and   O
Safety   O
Specialists   O
Chief   O
Complain   O
:   O
Ben   B-NAME
Mcdonald   I-NAME
presented   O
to   O
Holy   B-LOCATION
Name   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/12/2060   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
dry   O
cough   O
and   O
difficulty   O
breathing   O
that   O
has   O
progressively   O
worsened   O
over   O
the   O
past   O
week   O
.   O

Veritas   B-NAME
Faltz   I-NAME
also   O
reported   O
experiencing   O
sharp   O
,   O
stabbing   O
chest   O
pain   O
that   O
intensifies   O
with   O
deep   O
breaths   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Approximately   O
one   O
week   O
prior   O
to   O
presentation   O
,   O
Null   B-NAME
noticed   O
the   O
onset   O
of   O
a   O
mild   O
cough   O
and   O
attributed   O
it   O
to   O
seasonal   O
allergies   O
.   O

Jake   B-NAME
Mcgrath   I-NAME
,   O
a   O
European   O
Commission   O
administrators   O
,   O
mentioned   O
a   O
recent   O
increase   O
in   O
exposure   O
to   O
environmental   O
irritants   O
due   O
to   O
a   O
new   O
project   O
at   O
work   O
.   O

There   O
has   O
been   O
no   O
noted   O
fever   O
,   O
but   O
Adele   B-NAME
Nuckols   I-NAME
described   O
episodes   O
of   O
night   O
sweats   O
.   O

Past   O
Medical   O
History   O
:   O
Destinee   B-NAME
Hebert   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
seasonal   O
allergies   O
.   O

Social   O
History   O
:   O
Ethan   B-NAME
Carter   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
products   O
,   O
moderate   O
alcohol   O
use   O
,   O
and   O
no   O
recreational   O
drug   O
use   O
.   O

Works   O
as   O
a   O
Heritage   O
manager   O
at   O
Political   B-LOCATION
international   I-LOCATION
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Clemenceau   B-NAME
,   I-NAME
Georges   I-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Diagnostic   O
Studies   O
:   O
Chest   O
X   O
-   O
Ray   O
:   O
Performed   O
on   O
02/25   B-DATE
,   O
indicating   O
a   O
possible   O
right   O
lower   O
lobe   O
pneumonia   O
.   O

The   O
working   O
diagnosis   O
for   O
Brian   B-NAME
is   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Recommended   O
starting   O
a   O
course   O
of   O
antibiotics   O
and   O
a   O
follow   O
-   O
up   O
visit   O
in   O
02/28/60   B-DATE
to   O
reassess   O
symptoms   O
and   O
potential   O
need   O
for   O
further   O
diagnostic   O
testing   O
.   O

Written   O
work   O
excuse   O
provided   O
for   O
Orlando   B-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
instructing   O
avoidance   O
of   O
environmental   O
irritants   O
.   O

Emergency   O
contact   O
listed   O
under   O
name   O
Trenton   B-NAME
Pena   I-NAME
with   O
phone   O
number   O
24558   B-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Antoine   B-NAME
Heath   I-NAME
's   O
healthcare   O
providers   O
at   O
St.   B-LOCATION
Alexius   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Broadway   I-LOCATION
Campus   I-LOCATION
for   O
ongoing   O
treatment   O
and   O
care   O
planning   O
.   O

Patient   O
ID   O
:   O
48666175   B-ID
Mr.   O
Myrtie   B-NAME
Mordino   I-NAME
was   O
admitted   O
to   O
Emory   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
March   B-DATE
12   I-DATE
following   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
he   O
reported   O
started   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Gertude   B-NAME
Schreiner   I-NAME
is   O
a   O
17   O
-   O
year   O
-   O
old   O
Entertainers   O
and   O
Performers   O
,   O
Sports   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
residing   O
in   O
Medulla   B-LOCATION
,   O
24273   B-LOCATION
.   O

Upon   O
examination   O
,   O
Dr.   O
Dunn   B-NAME
noted   O
that   O
Francina   B-NAME
Zawislak   I-NAME
's   O
temperature   O
was   O
elevated   O
at   O
38.5   O
°   O
C   O
,   O
and   O
there   O
was   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
potential   O
appendicitis   O
.   O

Elias   B-NAME
Lamb   I-NAME
was   O
also   O
subjected   O
to   O
an   O
abdominal   O
ultrasound   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Mr.   O
Robert   B-NAME
D.   I-NAME
Briggs   I-NAME
's   O
medical   O
history   O
,   O
obtained   O
from   O
patient   O
records   O
with   O
ID   O
123   B-ID
-   I-ID
23   I-ID
-   I-ID
87   I-ID
-   I-ID
2   I-ID
,   O
shows   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
August   B-DATE
6   I-DATE
by   O
Dr.   O
Silva   B-NAME
,   O
and   O
Liddy   B-NAME
,   I-NAME
G.   I-NAME
Gordon   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
any   O
immediate   O
complications   O
.   O

He   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
and   O
advised   O
on   O
post   O
-   O
operative   O
care   O
before   O
being   O
discharged   O
from   O
Madison   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
14   B-DATE
-   I-DATE
Aug-2191   I-DATE
.   O

Mr.   O
Beyale   B-NAME
was   O
instructed   O
to   O
follow   O
up   O
with   O
Dr.   O
Simon   B-NAME
at   O
Scotland   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
after   O
one   O
week   O
for   O
a   O
wound   O
check   O
and   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

He   O
was   O
given   O
the   O
contact   O
number   O
(   B-CONTACT
356   I-CONTACT
)   I-CONTACT
769   I-CONTACT
6715   I-CONTACT
to   O
reach   O
out   O
in   O
case   O
of   O
any   O
emergency   O
or   O
concerns   O
regarding   O
his   O
recovery   O
.   O

The   O
administrative   O
office   O
of   O
Grand   B-LOCATION
Willow   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
has   O
documented   O
the   O
details   O
of   O
Mr.   O
Karma   B-NAME
Wong   I-NAME
's   O
admission   O
,   O
surgery   O
,   O
and   O
discharge   O
in   O
his   O
medical   O
record   O
(   O
4429237   B-ID
)   O
for   O
future   O
reference   O
.   O

The   O
billing   O
information   O
was   O
processed   O
under   O
his   O
health   O
plan   O
number   O
FU:52321:774883   B-ID
,   O
and   O
a   O
summary   O
of   O
the   O
hospital   O
stay   O
was   O
submitted   O
to   O
his   O
insurance   O
provider   O
,   O
Coastal   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
,   O
for   O
coverage   O
.   O

Mr.   O
Turner   B-NAME
expressed   O
his   O
appreciation   O
for   O
the   O
care   O
received   O
from   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
South   I-LOCATION
&   I-LOCATION
the   I-LOCATION
Center   I-LOCATION
for   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
's   O
medical   O
staff   O
and   O
specifically   O
mentioned   O
Dr.   O
Jocelynn   B-NAME
Kramer   I-NAME
for   O
his   O
professionalism   O
and   O
support   O
.   O

He   O
confirmed   O
he   O
would   O
attend   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
and   O
reach   O
out   O
via   O
904   B-CONTACT
7635   I-CONTACT
if   O
he   O
experienced   O
any   O
issues   O
before   O
the   O
scheduled   O
visit   O
.   O

Patient   O
Name   O
:   O
Miranda   B-NAME
Age   O
:   O
2   O
month   O
Date   O
of   O
Birth   O
:   O
31/30/62   B-DATE
Address   O
:   O
Prairie   B-LOCATION
View   I-LOCATION
,   O
55179   B-LOCATION
Phone   O
Number   O
:   O
91875   B-CONTACT
Occupation   O
:   O

Cutters   O
and   O
Trimmers   O
,   O
Hand   O
Primary   O
Physician   O
:   O
Dr.   O
Jordan   B-NAME
Foley   I-NAME
Hospital   O
:   O
St.   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Oxnard   I-LOCATION
Medical   O
Record   O
Number   O
:   O
43062274   B-ID
Date   O
of   O
Consultation   O
:   O
18/24   B-DATE
Insurance   O
ID   O
:   O
1   B-ID
-   I-ID
2997997   I-ID
Medical   O
History   O
:   O
Wendy   B-NAME
White   I-NAME
,   O
a   O
48   O
-   O
year   O
-   O
old   O
individual   O
with   O
a   O
background   O
as   O
a   O
Skincare   O
Specialists   O
,   O
presented   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
18/12   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
and   O
episodes   O
of   O
nocturnal   O
dyspnea   O
.   O

Previous   O
medical   O
records   O
,   O
identified   O
under   O
9285S39459   B-ID
,   O
showed   O
a   O
history   O
of   O
controlled   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Upon   O
review   O
,   O
Dr.   O
Mann   B-NAME
noted   O
crane   B-NAME
's   O
family   O
history   O
of   O
heart   O
disease   O
;   O
however   O
,   O
Cordell   B-NAME
Malone   I-NAME
denies   O
any   O
smoking   O
history   O
or   O
drug   O
use   O
.   O

The   O
dyspnea   O
,   O
initially   O
only   O
present   O
during   O
significant   O
physical   O
activity   O
,   O
has   O
progressively   O
worsened   O
over   O
the   O
past   O
21/24/2140   B-DATE
,   O
now   O
occurring   O
with   O
minimal   O
exertion   O
such   O
as   O
walking   O
short   O
distances   O
.   O

Reagan   B-NAME
,   I-NAME
Ron   I-NAME
also   O
reported   O
swelling   O
in   O
the   O
lower   O
extremities   O
,   O
particularly   O
noticeable   O
towards   O
the   O
end   O
of   O
the   O
day   O
and   O
reducing   O
slightly   O
overnight   O
.   O

Examination   O
Findings   O
:   O
Dr.   O
Ross   B-NAME
observed   O
slight   O
peripheral   O
edema   O
in   O
the   O
lower   O
limbs   O
.   O

Flores   B-NAME
's   O
blood   O
pressure   O
was   O
recorded   O
at   O
145/90   O
mmHg   O
,   O
with   O
a   O
resting   O
heart   O
rate   O
of   O
98   O
bpm   O
.   O

Further   O
laboratory   O
tests   O
were   O
conducted   O
to   O
assess   O
Quintanar   B-NAME
's   O
kidney   O
function   O
,   O
electrolytes   O
,   O
and   O
complete   O
blood   O
count   O
,   O
the   O
results   O
of   O
which   O
were   O
pending   O
at   O
the   O
time   O
of   O
this   O
report   O
.   O

Plan   O
:   O
Dr.   O
Evan   B-NAME
Elliott   I-NAME
initiated   O
management   O
with   O
a   O
beta   O
-   O
blocker   O
and   O
an   O
ACE   O
inhibitor   O
,   O
emphasizing   O
the   O
importance   O
of   O
fluid   O
restriction   O
and   O
salt   O
intake   O
minimization   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
01/29/2252   B-DATE
to   O
review   O
laboratory   O
results   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

Woodward   B-NAME
was   O
also   O
referred   O
to   O
a   O
dietitian   O
affiliated   O
with   O
The   B-LOCATION
Hartford   I-LOCATION
to   O
assist   O
in   O
dietary   O
modifications   O
and   O
weight   O
management   O
strategies   O
.   O

In   O
addition   O
,   O
a   O
telehealth   O
consultation   O
number   O
,   O
98816   B-CONTACT
,   O
was   O
provided   O
for   O
Bianca   B-NAME
Contreras   I-NAME
to   O
contact   O
Virginia   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
's   O
cardiology   O
department   O
should   O
symptoms   O
significantly   O
worsen   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Rockne   B-NAME
,   I-NAME
Knute   I-NAME
was   O
advised   O
to   O
elevate   O
the   O
legs   O
when   O
resting   O
and   O
to   O
avoid   O
prolonged   O
periods   O
of   O
sitting   O
or   O
standing   O
.   O

The   O
heart   O
failure   O
nurse   O
specialist   O
,   O
affiliated   O
with   O
L214   B-LOCATION
,   O
was   O
assigned   O
to   O
Rosemary   B-NAME
Silva   I-NAME
's   O
case   O
to   O
provide   O
additional   O
support   O
and   O
education   O
on   O
managing   O
heart   O
failure   O
symptoms   O
and   O
improving   O
quality   O
of   O
life   O
.   O

Encounters   O
regarding   O
Oconnell   B-NAME
,   I-NAME
Philip   I-NAME
D   I-NAME
's   O
progress   O
will   O
be   O
updated   O
in   O
medical   O
record   O
number   O
23459081   B-ID
,   O
with   O
communication   O
facilitated   O
through   O
either   O
(   B-CONTACT
992   I-CONTACT
)   I-CONTACT
561   I-CONTACT
5473   I-CONTACT
or   O
the   O
patient   O
portal   O
username   O
nyy967   B-NAME
.   O

Chad   B-NAME
Mitchell   I-NAME
Patient   O
Age   O
:   O
98   O
Date   O
of   O
Visit   O
:   O
2221   B-DATE
Contact   O
Number   O
:   O
(   B-CONTACT
630   I-CONTACT
)   I-CONTACT
472   I-CONTACT
2036   I-CONTACT
Patient   O
ID   O
:   O
XP   B-ID
:   I-ID
OH:2621   I-ID
Medical   O
Record   O
Number   O
:   O
1585773   B-ID

Brandon   B-NAME
Kelley   I-NAME
Hospital   O
Name   O
:   O
Titus   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
District   I-LOCATION
dba   I-LOCATION
Titus   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
of   O
Visit   O
:   O
Fleetwood   B-LOCATION
Zip   O
Code   O
:   O
92087   B-LOCATION
Occupation   O
:   O
Commercial   O
/   O
residential   O
/   O
rural   O
surveyor   O
Referred   O
by   O
:   O
Atlantic   B-LOCATION
City   I-LOCATION
Electric   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
Username   O
:   O
LF15   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
Tyrell   B-NAME
,   O
a   O
Human   O
Resources   O
,   O
Training   O
,   O
and   O
Labor   O
Relations   O
Specialists   O
,   O
All   O
Other   O
from   O
San   B-LOCATION
Saba   I-LOCATION
,   O
has   O
presented   O
with   O
a   O
one   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
,   O
bilateral   O
lower   O
extremity   O
edema   O
,   O
and   O
orthopnea   O
.   O

The   O
symptoms   O
have   O
markedly   O
increased   O
over   O
the   O
last   O
48   O
hours   O
,   O
prompting   O
the   O
visit   O
on   O
34/22   B-DATE
.   O

Valentine   B-NAME
Kleine   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Adams   B-NAME
,   I-NAME
Samuel   I-NAME
also   O
reports   O
experiencing   O
paroxysmal   O
nocturnal   O
dyspnea   O
that   O
required   O
them   O
to   O
sleep   O
in   O
a   O
propped   O
-   O
up   O
position   O
for   O
the   O
past   O
three   O
nights   O
.   O

Medical   O
History   O
:   O
Barbauld   B-NAME
,   I-NAME
Anna   I-NAME
Letitia   I-NAME
has   O
a   O
documented   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
prescribed   O
by   O
Janiah   B-NAME
Howe   I-NAME
at   O
Peachford   B-LOCATION
Hospital   I-LOCATION
.   O

Stewart   B-NAME
's   O
vaccination   O
status   O
is   O
up   O
to   O
date   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Bernard   B-NAME
Feld   I-NAME
appeared   O
in   O
moderate   O
distress   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
02/21/92   B-DATE
at   O
Holy   B-LOCATION
Name   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
showed   O
evidence   O
of   O
pulmonary   O
congestion   O
and   O
cardiomegaly   O
.   O

Educate   O
Donavan   B-NAME
Mclaughlin   I-NAME
regarding   O
diet   O
modifications   O
,   O
particularly   O
salt   O
and   O
fluid   O
restriction   O
.   O

5   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
one   O
week   O
with   O
Shepard   B-NAME
at   O
Greeley   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Tribune   I-LOCATION
for   O
re   O
-   O
evaluation   O
.   O

Cherry   B-NAME
to   O
monitor   O
daily   O
weights   O
and   O
report   O
any   O
significant   O
changes   O
to   O
38164   B-CONTACT
.   O

Discharge   O
Information   O
:   O
Tomas   B-NAME
Joseph   I-NAME
has   O
been   O
briefed   O
on   O
recognizing   O
symptoms   O
of   O
worsening   O
heart   O
failure   O
and   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
at   O
Tampa   B-LOCATION
Shriners   I-LOCATION
Hospital   I-LOCATION
if   O
symptoms   O
such   O
as   O
acute   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
syncope   O
develop   O
.   O

A   O
summary   O
of   O
the   O
visit   O
and   O
planned   O
treatment   O
protocol   O
has   O
been   O
sent   O
to   O
Alvaro   B-NAME
Wagner   I-NAME
's   O
primary   O
care   O
provider   O
at   O
City   B-LOCATION
of   I-LOCATION
Moore   I-LOCATION
Haven   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
for   O
continuity   O
of   O
care   O
.   O

Na   B-NAME
Justiniano   I-NAME
Age   O
:   O
42s   O
Medical   O
Record   O
Number   O
:   O
8030100   B-ID
Date   O
of   O
Birth   O
:   O
5/18   B-DATE
Date   O
of   O
Admission   O
:   O
September   B-DATE
2102   I-DATE
Attending   O
Physician   O
:   O

Tate   B-NAME
Treating   O
Hospital   O
:   O

Centinela   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Address   O
:   O
Luxemburg   B-LOCATION
,   O
53986   B-LOCATION
Contact   O
Phone   O
:   O
169   B-CONTACT
-   I-CONTACT
2205   I-CONTACT
Occupation   O
:   O
Job   O
Printers   O
Referring   O
Physician   O
:   O
Plath   B-NAME
,   I-NAME
Sylvia   I-NAME
Social   O
Security   O
Number   O
:   O
719683375   B-ID
Chief   O
Complaint   O
:   O
Andersen   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Methodist   I-LOCATION
on   O
3/12/48   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
101   O
°   O
F   O
.   O

Duncan   B-NAME
Kane   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ramiro   B-NAME
Hatfield   I-NAME
,   O
a   O
44   O
-   O
year   O
-   O
old   O
Distance   O
Learning   O
Coordinators   O
,   O
has   O
been   O
experiencing   O
gradually   O
worsening   O
symptoms   O
that   O
began   O
as   O
mild   O
discomfort   O
in   O
the   O
abdominal   O
region   O
early   O
on   O
32/22/32   B-DATE
.   O

Accompanied   O
by   O
nausea   O
and   O
vomiting   O
,   O
Alaistar   B-NAME
Wright   I-NAME
also   O
noted   O
a   O
loss   O
of   O
appetite   O
.   O

Barbara   B-NAME
Chavez   I-NAME
has   O
had   O
no   O
bowel   O
movements   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
Ryker   B-NAME
Mcdaniel   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
Type   O
II   O
diabetes   O
mellitus   O
,   O
managed   O
by   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Smith   B-NAME
,   I-NAME
Sydney   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Stanly   B-NAME
Lang   I-NAME
was   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
decision   O
was   O
made   O
by   O
Hancock   B-NAME
to   O
proceed   O
with   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
July   B-DATE
2   I-DATE
without   O
complications   O
.   O

Nathalie   B-NAME
Keller   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
pre   O
-   O
operatively   O
,   O
which   O
are   O
to   O
be   O
continued   O
post   O
-   O
operatively   O
for   O
02/23   B-DATE
.   O
Post   O
-   O
operative   O
Course   O
:   O
Cynthia   B-NAME
Moore   I-NAME
’s   O
post   O
-   O
operative   O
course   O
was   O
unremarkable   O
.   O

Oconnell   B-NAME
,   I-NAME
Philip   I-NAME
D   I-NAME
tolerated   O
a   O
liquid   O
diet   O
post   O
-   O
operatively   O
and   O
was   O
advanced   O
to   O
a   O
regular   O
diet   O
as   O
tolerated   O
by   O
Oct   B-DATE
07   I-DATE
.   O

Cadence   B-NAME
Pacheco   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Raajan   B-NAME
,   I-NAME
Amitrajit   I-NAME
in   O
Georgia   B-LOCATION
on   O
1846   B-DATE
.   O

Discharge   O
Instructions   O
:   O
Rey   B-NAME
Diaz   I-NAME
was   O
discharged   O
on   O
01/15/2097   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
to   O
complete   O
a   O
7   O
-   O
day   O
course   O
.   O

Simmons   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activity   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Petty   B-NAME
on   O
10   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
82   I-DATE
at   O
Prisma   B-LOCATION
Health   I-LOCATION
Hillcrest   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
the   O
healing   O
process   O
and   O
address   O
any   O
concerns   O
Mariel   B-NAME
may   O
have   O
.   O

Spears   B-NAME
,   I-NAME
Britney   I-NAME
has   O
been   O
provided   O
with   O
the   O
contact   O
number   O
615   B-CONTACT
-   I-CONTACT
3199   I-CONTACT
should   O
there   O
be   O
any   O
questions   O
or   O
immediate   O
concerns   O
regarding   O
their   O
recovery   O
.   O

Prepared   O
by   O
:   O
gpq08   B-NAME
,   O
Medical   O
Staff   O
at   O
Flagship   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Date   O
:   O
10/12/2021   B-DATE

Patient   O
Report   O
for   O
Yael   B-NAME
Valencia   I-NAME
The   O
patient   O
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Administrative   O
Services   O
Managers   O
residing   O
at   O
Slaughters   B-LOCATION
,   O
presented   O
to   O
Grove   B-LOCATION
Hill   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
1/70   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
sudden   O
onset   O
shortness   O
of   O
breath   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
episodes   O
of   O
syncope   O
.   O

The   O
patient   O
was   O
immediately   O
admitted   O
under   O
the   O
care   O
of   O
Dixon   B-NAME
,   O
specializing   O
in   O
Cardiology   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Anastasia   B-NAME
Gomez   I-NAME
,   O
initiated   O
immediate   O
treatment   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
,   O
and   O
the   O
patient   O
was   O
scheduled   O
for   O
an   O
urgent   O
coronary   O
angiography   O
.   O

Post   O
-   O
procedure   O
,   O
the   O
patient   O
was   O
transferred   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
at   O
Heart   B-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
for   O
monitoring   O
.   O

The   O
patient   O
showed   O
significant   O
signs   O
of   O
recovery   O
with   O
no   O
recurrent   O
symptoms   O
and   O
was   O
discharged   O
on   O
W   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Sweeney   B-NAME
.   O

Contact   O
information   O
for   O
subsequent   O
follow   O
-   O
up   O
was   O
provided   O
,   O
with   O
the   O
medical   O
office   O
reachable   O
at   O
281   B-CONTACT
-   I-CONTACT
404   I-CONTACT
6667   I-CONTACT
.   O

Medical   O
Record   O
Details   O
:   O
-   O
83600797   B-ID
-   O
ID   O
:   O
4349188   B-ID
Billing   O
information   O
was   O
processed   O
without   O
issue   O
,   O
and   O
all   O
pertinent   O
data   O
,   O
including   O
the   O
patient   O
's   O
health   O
plan   O
number   O
,   O
were   O
securely   O
forwarded   O
to   O
Human   B-LOCATION
Rights   I-LOCATION
First   I-LOCATION
for   O
the   O
purpose   O
of   O
claims   O
processing   O
and   O
coverage   O
verification   O
.   O

In   O
summary   O
,   O
Katherin   B-NAME
,   O
a   O
1   O
-   O
year   O
-   O
old   O
Shampooers   O
from   O
Orefield   B-LOCATION
,   O
was   O
treated   O
for   O
an   O
acute   O
myocardial   O
infarction   O
with   O
successful   O
PCI   O
and   O
is   O
currently   O
on   O
a   O
path   O
to   O
recovery   O
with   O
a   O
comprehensive   O
post   O
-   O
discharge   O
plan   O
.   O

39618   B-LOCATION
,   O
HJ573   B-NAME

Patient   O
:   O
Turtledove   B-NAME
,   I-NAME
Harry   I-NAME
Age   O
:   O
6s   O
Medical   O
Record   O
Number   O
:   O
7331985   B-ID
Date   O
of   O
Visit   O
:   O
01/10   B-DATE
Location   O
:   O
Ullin   B-LOCATION
Hospital   O
:   O

UPMC   B-LOCATION
Hamot   I-LOCATION
Attending   O
Physician   O
:   O

Clay   B-NAME
Contact   O
Number   O
:   O
696   B-CONTACT
471   I-CONTACT
2879   I-CONTACT
Occupation   O
:   O
Special   O
Forces   O
Officers   O
ID   O
:   O
OV:56498:492929   B-ID
Username   O
:   O

qk336   B-NAME
Zip   O
Code   O
:   O
65879   B-LOCATION
Chief   O
Complaint   O
:   O
Russell   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Mount   B-LOCATION
Carmel   I-LOCATION
Grove   I-LOCATION
City   I-LOCATION
,   O
Cape   B-LOCATION
Coral   I-LOCATION
,   O
on   O
1929   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Mckay   B-NAME
reported   O
the   O
pain   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
arrival   O
and   O
has   O
progressively   O
worsened   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Taahammie   B-NAME
Pemelton   I-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Surgeons   O
,   O
reports   O
that   O
the   O
pain   O
was   O
initially   O
mild   O
but   O
has   O
become   O
unbearable   O
,   O
prompting   O
the   O
visit   O
to   O
the   O
hospital   O
.   O

However   O
,   O
Kimberly   B-NAME
Burns   I-NAME
has   O
experienced   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Upon   O
examination   O
,   O
Maritza   B-NAME
Vance   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Navarro   B-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
suspected   O
acute   O
appendicitis   O
.   O

Diagnosis   O
:   O
The   O
tentative   O
diagnosis   O
for   O
Camryn   B-NAME
Winters   I-NAME
is   O
acute   O
appendicitis   O
based   O
on   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
diagnostic   O
tests   O
.   O

Plan   O
:   O
-   O
Admission   O
to   O
Allied   B-LOCATION
Services   I-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Rehab   I-LOCATION
Medicine   I-LOCATION
for   O
further   O
evaluation   O
and   O
surgical   O
intervention   O
.   O

-   O
Surgical   O
consultation   O
with   O
Shaylee   B-NAME
Levine   I-NAME
,   O
General   O
Surgery   O
,   O
for   O
potential   O
appendectomy   O
.   O

Follow   O
-   O
Up   O
:   O
Mariel   B-NAME
is   O
advised   O
to   O
follow   O
up   O
immediately   O
post   O
-   O
operation   O
with   O
the   O
general   O
surgery   O
team   O
at   O
Research   B-LOCATION
Psychiatric   I-LOCATION
Center   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
13/12   B-DATE
to   O
assess   O
postoperative   O
recovery   O
.   O

Summary   O
:   O
Trudi   B-NAME
Brieger   I-NAME
,   O
a   O
55   O
-   O
year   O
-   O
old   O
Occupational   O
Therapy   O
Aides   O
,   O
presented   O
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

FLC   B-NAME
has   O
been   O
admitted   O
to   O
DOCTORS   B-LOCATION
HOSPITAL   I-LOCATION
OF   I-LOCATION
SARASOTA   I-LOCATION
,   O
Washington   B-LOCATION
,   I-LOCATION
City   I-LOCATION
of   I-LOCATION
Washington   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Curtis   B-NAME
for   O
surgical   O
intervention   O
.   O

Patient   O
Name   O
:   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
Date   O
of   O
Birth   O
:   O
0/30/21   B-DATE
Age   O
:   O
12   O
month   O
Medical   O
Record   O
Number   O
:   O
4888E2862   B-ID
Address   O
:   O
Dolgeville   B-LOCATION
,   O
78269   B-LOCATION
Phone   O
Number   O
:   O
42466   B-CONTACT

Dr.   O
Warren   B-NAME
Mccarthy   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
September   B-DATE
22   I-DATE
Date   O
of   O
Report   O
:   O
2/90   B-DATE
Occupation   O
:   O
Telecommunications   O
Facility   O
Examiners   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Zariah   B-NAME
Kaiser   I-NAME
,   O
presented   O
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
non   O
-   O
bilious   O
vomiting   O
starting   O
early   O
on   O
Independence   B-DATE
Day   I-DATE
.   O

Ball   B-NAME
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Whitney   B-NAME
Keller   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
.   O

Brittany   B-NAME
Rasmussen   I-NAME
is   O
a   O
Multiple   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
residing   O
in   O
Choctaw   B-LOCATION
,   I-LOCATION
OK   I-LOCATION
73020   I-LOCATION
.   O

It   O
was   O
recommended   O
that   O
Valentinian   B-NAME
Jabbie   I-NAME
undergoes   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
was   O
discussed   O
with   O
Barker   B-NAME
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
the   O
patient   O
was   O
scheduled   O
for   O
surgery   O
on   O
20/28/2267   B-DATE
with   O
Dr.   O
Short   B-NAME
.   O

Berna   B-NAME
Nicola   I-NAME
is   O
scheduled   O
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
clinic   O
on   O
Th   B-DATE
.   O
Instructions   O
were   O
given   O
for   O
wound   O
care   O
and   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Dr.   O
Lernoux   B-NAME
,   I-NAME
Penny   I-NAME
at   O
21564   B-CONTACT
.   O

Patient   O
Report   O
for   O
Haas   B-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
10   O
month   O
-   O
Sex   O
:   O
Male   O
-   O
Date   O
of   O
Admission   O
:   O
10/75   B-DATE
-   O
Hospital   O
:   O

MedStar   B-LOCATION
Georgetown   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
-   O
Physician   O
in   O
charge   O
:   O
Kyleigh   B-NAME
Wyatt   I-NAME
-   O
Medical   O
Record   O
Number   O
:   O
19024299   B-ID
-   O
Patient   O
ID   O
:   O
ND217/6499   B-ID
-   O
Contact   O
Information   O
:   O
948   B-CONTACT
-   I-CONTACT
9336   I-CONTACT
-   O
Place   O
of   O
Residence   O
:   O
Nags   B-LOCATION
Head   I-LOCATION
,   O
71834   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
a   O
Managers   O
,   O
All   O
Other   O
by   O
profession   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Poplar   B-LOCATION
Bluff   I-LOCATION
RMC   I-LOCATION
-   I-LOCATION
Oak   I-LOCATION
Grove   I-LOCATION
on   O
06/21   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

The   O
patient   O
consented   O
to   O
an   O
appendectomy   O
after   O
a   O
detailed   O
discussion   O
of   O
the   O
risks   O
and   O
benefits   O
with   O
Dallas   B-NAME
Stanton   I-NAME
.   O

The   O
procedure   O
was   O
successfully   O
performed   O
on   O
Friday   B-DATE
,   O
without   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
08/03   B-DATE
with   O
Roland   B-NAME
Baker   I-NAME
to   O
assess   O
wound   O
healing   O
and   O
recovery   O
progress   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
March   B-DATE
'   I-DATE
22   I-DATE
with   O
instructions   O
for   O
activity   O
modification   O
and   O
a   O
prescription   O
for   O
an   O
oral   O
antibiotic   O
to   O
complete   O
a   O
7   O
-   O
day   O
course   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
signs   O
of   O
complications   O
,   O
the   O
patient   O
is   O
advised   O
to   O
contact   O
Inova   B-LOCATION
Alexandria   I-LOCATION
Hospital   I-LOCATION
at   O
371   B-CONTACT
640   I-CONTACT
-   I-CONTACT
1029   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
immediately   O
.   O

Prepared   O
by   O
:   O
eat942   B-NAME
Date   O
:   O
03/11/00   B-DATE

Lisa   B-NAME
Mccullough   I-NAME
Patient   O
ID   O
:   O
BS   B-ID
:   I-ID
NH:6285   I-ID
Medical   O
Record   O
Number   O
:   O
91091745   B-ID
Age   O
:   O
3   O
Date   O
of   O
Birth   O
:   O
3703   B-DATE
Address   O
:   O
Mound   B-LOCATION
Bayou   I-LOCATION
,   O
54221   B-LOCATION
Phone   O
Number   O
:   O
84512   B-CONTACT
Primary   O
Care   O
Physician   O
:   O
Looney   B-NAME
,   I-NAME
General   I-NAME
William   I-NAME
Summary   O
:   O
Kelvin   B-NAME
Graham   I-NAME
,   O
a   O
Paralegals   O
and   O
Legal   O
Assistants   O
,   O
presented   O
to   O
Cheyenne   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Saint   I-LOCATION
Francis   I-LOCATION
on   O
12/04/83   B-DATE
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Additionally   O
,   O
Mata   B-NAME
reported   O
experiencing   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
which   O
started   O
approximately   O
24   O
hours   O
before   O
admission   O
.   O

Past   O
medical   O
history   O
is   O
noteworthy   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
for   O
which   O
Driscoll   B-NAME
is   O
on   O
medication   O
.   O

Kianna   B-NAME
Mata   I-NAME
denies   O
any   O
allergies   O
.   O

On   O
physical   O
examination   O
,   O
uhl   B-NAME
appeared   O
in   O
moderate   O
distress   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
supporting   O
diagnostics   O
,   O
Darrell   B-NAME
Roman   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
by   O
Horn   B-NAME
recommended   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

Written   O
informed   O
consent   O
was   O
obtained   O
from   O
Jensen   B-NAME
,   I-NAME
Hayley   I-NAME
after   O
discussing   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
.   O

HINES   B-NAME
,   B-NAME
ALEXANDER   I-NAME
SAMMY   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
on   O
22/21/91   B-DATE
without   O
complications   O
.   O

Sloane   B-NAME
Woodard   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
preoperatively   O
,   O
which   O
were   O
continued   O
postoperatively   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Jerimiah   B-NAME
Chavez   I-NAME
was   O
discharged   O
on   O
July   B-DATE
04th   I-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activities   O
,   O
diet   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
details   O
.   O

Early   B-NAME
's   O
contact   O
for   O
follow   O
-   O
up   O
was   O
listed   O
as   O
10473   B-CONTACT
.   O

Conclusion   O
:   O
The   O
prompt   O
diagnosis   O
and   O
management   O
of   O
acute   O
appendicitis   O
in   O
Berlin   B-NAME
,   I-NAME
Irving   I-NAME
,   O
a   O
25   O
-   O
year   O
-   O
old   O
Environmental   O
scientist   O
,   O
led   O
to   O
a   O
successful   O
outcome   O
without   O
complications   O
.   O

Carey   B-NAME
,   I-NAME
Sandra   I-NAME
is   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgery   O
clinic   O
in   O
2   O
weeks   O
for   O
wound   O
check   O
and   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O

Further   O
,   O
Micaela   B-NAME
Gamble   I-NAME
should   O
continue   O
managing   O
chronic   O
conditions   O
with   O
primary   O
care   O
physician   O
,   O
Stevenson   B-NAME
,   O
and   O
report   O
any   O
new   O
symptoms   O
immediately   O
.   O
WestBridge   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
Reference   O
:   O
59580974   B-ID
Prepared   O
by   O
:   O
OI561   B-NAME
Date   O
:   O
32/10/2211   B-DATE

Patient   O
Name   O
:   O
Maud   B-NAME
Carron   I-NAME
ID   O
:   O
0   B-ID
-   I-ID
2550847   I-ID
Medical   O
Record   O
Number   O
:   O
29640110   B-ID
Date   O
of   O
Birth   O
:   O
7/40   B-DATE
Age   O
:   O
17   O
Phone   O
Number   O
:   O
30771   B-CONTACT
Address   O
:   O
Earlham   B-LOCATION
,   O
10715   B-LOCATION
Occupation   O
:   O
Cooling   O
and   O
Freezing   O
Equipment   O
Operators   O
and   O
Tenders   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Khan   B-NAME
Hospital   O
:   O
Deer   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
May   B-DATE
Username   O
:   O
iyr681   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
Noel   B-NAME
Powell   I-NAME
,   O
a   O
34   O
-   O
year   O
-   O
old   O
Health   O
Diagnosing   O
and   O
Treating   O
Practitioners   O
,   O
All   O
Other   O
with   O
no   O
known   O
prior   O
medical   O
history   O
,   O
presented   O
to   O
T.J.   B-LOCATION
Samson   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
39/02   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
,   O
sharp   O
,   O
right   O
-   O
sided   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

Evans   B-NAME
also   O
reported   O
experiencing   O
palpitations   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
single   O
episode   O
of   O
lightheadedness   O
approximately   O
one   O
hour   O
preceding   O
hospital   O
admission   O
.   O

Patton   B-NAME
denied   O
any   O
history   O
of   O
similar   O
symptoms   O
,   O
smoking   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Review   O
of   O
Systems   O
:   O
Upon   O
examination   O
,   O
Maribel   B-NAME
Newman   I-NAME
was   O
found   O
to   O
be   O
tachycardic   O
with   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
and   O
temperature   O
of   O
98.6   O
°   O
F   O
.   O

Treatment   O
:   O
Nehemiah   B-NAME
Pope   I-NAME
was   O
initiated   O
on   O
high   O
-   O
dose   O
aspirin   O
and   O
colchicine   O
for   O
acute   O
pericarditis   O
after   O
consultation   O
with   O
cardiology   O
.   O

Intravenous   O
fluids   O
were   O
administered   O
for   O
hydration   O
,   O
and   O
Hailee   B-NAME
Golden   I-NAME
was   O
monitored   O
for   O
signs   O
of   O
pericardial   O
effusion   O
or   O
tamponade   O
.   O

Follow   O
-   O
up   O
:   O
ostrowski   B-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Dr.   O
Hailee   B-NAME
Black   I-NAME
in   O
Corus   B-LOCATION
Bank   I-LOCATION
for   O
repeat   O
evaluation   O
in   O
one   O
week   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

Instructions   O
were   O
given   O
to   O
call   O
Dr.   O
Lila   B-NAME
Snow   I-NAME
at   O
953   B-CONTACT
5948   I-CONTACT
for   O
any   O
concerns   O
or   O
visit   O
Lowell   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Saints   I-LOCATION
Campus   I-LOCATION
emergency   O
department   O
for   O
urgent   O
issues   O
.   O

Broderick   B-NAME
Dixon   I-NAME
was   O
provided   O
with   O
educational   O
material   O
about   O
pericarditis   O
and   O
its   O
potential   O
complications   O
.   O

Patient   O
Name   O
:   O
Genesis   B-NAME
Frederick   I-NAME
Age   O
:   O
54   O
Date   O
of   O
Birth   O
:   O
04/22/1879   B-DATE
Address   O
:   O
Copalis   B-LOCATION
Beach   I-LOCATION
,   O
34098   B-LOCATION
Phone   O
Number   O
:   O
185   B-CONTACT
172   I-CONTACT
9998   I-CONTACT
Occupation   O
:   O
Landscape   O
Architects   O
Doctor   O
's   O
Name   O
:   O
Carlee   B-NAME
Stevenson   I-NAME
Hospital   O
Name   O
:   O
Shenandoah   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
59273512   B-ID
Patient   O
ID   O
:   O
KU555/5726   B-ID
Clinical   O
Summary   O
:   O
Sara   B-NAME
Ray   I-NAME
presented   O
to   O
Bourbon   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
32/22/30   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
they   O
rated   O
as   O
an   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Javion   B-NAME
Wells   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Upon   O
examination   O
,   O
Beatus   B-NAME
Digrazia   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Graham   B-NAME
Black   I-NAME
reviewed   O
Carmelo   B-NAME
Mohammad   I-NAME
's   O
case   O
on   O
22/22/86   B-DATE
.   O

After   O
discussing   O
the   O
findings   O
with   O
Steve   B-NAME
Ferriera   I-NAME
,   O
an   O
informed   O
consent   O
for   O
an   O
appendectomy   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complication   O
on   O
08/06/38   B-DATE
,   O
and   O
the   O
histopathological   O
examination   O
confirmed   O
acute   O
appendicitis   O
.   O

Oneill   B-NAME
was   O
advised   O
on   O
postoperative   O
care   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Zavier   B-NAME
Schneider   I-NAME
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
2020   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
26   I-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Fritz   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Kale   B-NAME
Moore   I-NAME
at   O
A.O.   B-LOCATION
Fox   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
23/22/09   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
wound   O
healing   O
.   O

In   O
summary   O
,   O
Levon   B-NAME
Nichols   I-NAME
,   O
a   O
40   O
-   O
year   O
-   O
old   O
Embalmers   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
with   O
acute   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
.   O

Kendrick   B-NAME
Gonzalez   I-NAME
underwent   O
successful   O
appendectomy   O
and   O
is   O
currently   O
recovering   O
with   O
expected   O
postoperative   O
care   O
instructions   O
.   O

-   O
Attend   O
scheduled   O
follow   O
-   O
up   O
appointment   O
on   O
22/28   B-DATE
.   O

Patient   O
Report   O
for   O
Beckham   B-NAME
Buchanan   I-NAME
12/04   B-DATE
-   O
The   O
patient   O
,   O
aged   O
19   O
,   O
presented   O
to   O
CalvertHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

The   O
medical   O
record   O
6539120   B-ID
indicates   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jair   B-NAME
Brock   I-NAME
exhibited   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Diagnosis   O
and   O
Treatment   O
:   O
Based   O
on   O
clinical   O
and   O
laboratory   O
findings   O
,   O
Saniya   B-NAME
Allen   I-NAME
diagnosed   O
Xavier   B-NAME
Clements   I-NAME
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
from   O
the   O
general   O
surgery   O
team   O
at   O
Summa   B-LOCATION
Health   I-LOCATION
,   I-LOCATION
Barberton   I-LOCATION
Campus   I-LOCATION
was   O
requested   O
on   O
0/24   B-DATE
.   O

Postoperative   O
Course   O
:   O
Natalia   B-NAME
Guzman   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Fonteyn   B-NAME
,   I-NAME
Margot   I-NAME
was   O
discharged   O
on   O
9/22   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
in   O
one   O
week   O
with   O
Mercer   B-NAME
for   O
staple   O
removal   O
and   O
wound   O
inspection   O
.   O

Auryon   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
for   O
the   O
next   O
48   O
hours   O
,   O
gradually   O
returning   O
to   O
a   O
normal   O
diet   O
as   O
tolerated   O
.   O

Importance   O
was   O
placed   O
on   O
wound   O
care   O
,   O
monitoring   O
for   O
signs   O
of   O
infection   O
,   O
and   O
managing   O
diabetes   O
and   O
hypertension   O
as   O
guided   O
by   O
Lozano   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
March   B-DATE
4   I-DATE
,   O
and   O
Mila   B-NAME
Grinman   I-NAME
was   O
provided   O
with   O
a   O
contact   O
number   O
937   B-CONTACT
7795   I-CONTACT
for   O
any   O
queries   O
or   O
emergencies   O
.   O

Acknowledgment   O
:   O
This   O
report   O
is   O
prepared   O
by   O
the   O
attending   O
physician   O
,   O
Myla   B-NAME
Burch   I-NAME
,   O
and   O
the   O
medical   O
team   O
at   O
CHI   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Health   I-LOCATION
College   I-LOCATION
Station   I-LOCATION
Hospital   I-LOCATION
.   O

Note   O
:   O
For   O
any   O
further   O
information   O
or   O
clarification   O
,   O
please   O
contact   O
Sentara   B-LOCATION
Northern   I-LOCATION
Virginia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
156   B-CONTACT
-   I-CONTACT
1661   I-CONTACT
.   O

This   O
report   O
is   O
filed   O
under   O
medical   O
record   O
number   O
03589674   B-ID
and   O
is   O
subject   O
to   O
the   O
terms   O
of   O
confidentiality   O
and   O
privacy   O
as   O
per   O
the   O
healthcare   O
guidelines   O
of   O
Clarkson   B-LOCATION
Valley   I-LOCATION
(   O
82393   B-LOCATION
)   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Nathalia   B-NAME
Mcdaniel   I-NAME
Patient   O
ID   O
:   O
OY929/4286   B-ID
Medical   O
Record   O
Number   O
:   O
38244152   B-ID
Date   O
of   O
Birth   O
:   O
21/23   B-DATE
Age   O
:   O
73s   O

The   O
patient   O
was   O
brought   O
to   O
the   O
emergency   O
department   O
of   O
Maimonides   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3   B-DATE
-   I-DATE
21   I-DATE
.   O

The   O
patient   O
,   O
a   O
Animal   O
Breeders   O
from   O
298   B-LOCATION
Oxford   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
reported   O
the   O
symptoms   O
started   O
mildly   O
a   O
few   O
days   O
back   O
on   O
10/21   B-DATE
and   O
progressively   O
worsened   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Jada   B-NAME
Livingston   I-NAME
noted   O
the   O
patient   O
's   O
temperature   O
was   O
38.5   O
°   O
C   O
,   O
accompanied   O
by   O
pronounced   O
nuchal   O
rigidity   O
.   O

The   O
contact   O
number   O
given   O
for   O
emergency   O
communication   O
was   O
611   B-CONTACT
7288   I-CONTACT
.   O

The   O
patient   O
provided   O
consent   O
for   O
treatment   O
and   O
discussed   O
the   O
potential   O
need   O
for   O
a   O
stay   O
at   O
Pine   B-LOCATION
Rest   I-LOCATION
Christian   I-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
for   O
intravenous   O
antibiotics   O
,   O
pending   O
further   O
lab   O
results   O
.   O

The   O
patient   O
has   O
a   O
known   O
history   O
of   O
diabetes   O
,   O
as   O
per   O
the   O
medical   O
records   O
provided   O
by   O
Northwestern   B-LOCATION
Energy   I-LOCATION
.   O

An   O
MRI   O
of   O
the   O
head   O
was   O
performed   O
on   O
0/24   B-DATE
,   O
which   O
showed   O
no   O
signs   O
of   O
encephalitis   O
.   O

The   O
patient   O
resides   O
at   O
Davey   B-LOCATION
and   O
had   O
recently   O
traveled   O
to   O
a   O
region   O
known   O
for   O
high   O
rates   O
of   O
meningococcal   O
disease   O
,   O
which   O
was   O
documented   O
on   O
18/21/2041   B-DATE
.   O

The   O
patient   O
's   O
zip   O
code   O
is   O
93430   B-LOCATION
,   O
which   O
falls   O
into   O
a   O
high   O
-   O
risk   O
category   O
area   O
for   O
various   O
communicable   O
diseases   O
.   O

Steele   B-NAME
has   O
recommended   O
isolation   O
precautions   O
to   O
mitigate   O
the   O
risk   O
of   O
spreading   O
potential   O
infections   O
to   O
others   O
in   O
the   O
Providence   B-LOCATION
Little   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Torrance   I-LOCATION
.   O

Next   O
of   O
kin   O
listed   O
was   O
Shyla   B-NAME
Winters   I-NAME
’s   O
sibling   O
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Weapons   O
Specialists   O
/   O
Crew   O
Members   O
by   O
occupation   O
,   O
reachable   O
at   O
957   B-CONTACT
-   I-CONTACT
1575   I-CONTACT
.   O

The   O
patient   O
's   O
case   O
is   O
being   O
closely   O
monitored   O
by   O
the   O
infectious   O
disease   O
team   O
at   O
East   B-LOCATION
Adams   I-LOCATION
Rural   I-LOCATION
Healthcare   I-LOCATION
,   O
with   O
consults   O
scheduled   O
with   O
Dr.   O
James   B-NAME
,   I-NAME
Henry   I-NAME
on   O
07   B-DATE
for   O
reevaluation   O
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
the   O
medical   O
team   O
at   O
Bothwell   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
and   O
authorized   O
family   O
members   O
.   O

For   O
further   O
details   O
or   O
to   O
discuss   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Dr.   O
Jim   B-NAME
Parsons   I-NAME
at   O
37668   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Identification   O
:   O
Gerald   B-NAME
Henderson   I-NAME
was   O
first   O
seen   O
at   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Easton   I-LOCATION
on   O
2/37   B-DATE
.   O

Phillip   B-NAME
Mcclain   I-NAME
's   O
date   O
of   O
birth   O
is   O
06/05/2250   B-DATE
,   O
making   O
their   O
current   O
age   O
6   O
.   O

The   O
patient   O
resides   O
in   O
Babcock   B-LOCATION
,   O
99730   B-LOCATION
.   O

Travis   B-NAME
X.   I-NAME
Vogel   I-NAME
was   O
referred   O
to   O
Dr.   O
Lloyd   B-NAME
by   O
Authority   B-LOCATION
of   I-LOCATION
Planets   I-LOCATION
for   O
evaluation   O
of   O
persistent   O
symptoms   O
.   O

Contact   O
Information   O
:   O
The   O
best   O
contact   O
number   O
for   O
Morgan   B-NAME
is   O
(   B-CONTACT
826   I-CONTACT
)   I-CONTACT
234   I-CONTACT
-   I-CONTACT
5913   I-CONTACT
,   O
and   O
their   O
emergency   O
contact   O
can   O
be   O
reached   O
at   O
236   B-CONTACT
222   I-CONTACT
-   I-CONTACT
9584   I-CONTACT
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
15749933   B-ID
,   O
and   O
their   O
insurance   O
ID   O
is   O
5116958   B-ID
.   O

Mollie   B-NAME
Schneider   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
two   O
years   O
ago   O
.   O

Presenting   O
Symptoms   O
:   O
During   O
the   O
consultation   O
on   O
Nov   B-DATE
,   I-DATE
2111   I-DATE
,   O
Cather   B-NAME
,   I-NAME
Willa   I-NAME
complained   O
of   O
a   O
two   O
-   O
week   O
history   O
of   O
severe   O
,   O
throbbing   O
headaches   O
primarily   O
in   O
the   O
frontal   O
region   O
,   O
which   O
sometimes   O
radiate   O
to   O
the   O
occipital   O
region   O
.   O

Damarion   B-NAME
Escobar   I-NAME
also   O
reported   O
experiencing   O
photophobia   O
,   O
nausea   O
,   O
and   O
occasional   O
episodes   O
of   O
vomiting   O
.   O

ostrowski   B-NAME
mentioned   O
that   O
the   O
headaches   O
are   O
usually   O
accompanied   O
by   O
blurred   O
vision   O
and   O
a   O
ringing   O
sensation   O
in   O
the   O
ears   O
.   O

Viviana   B-NAME
Pruitt   I-NAME
suggested   O
initiating   O
a   O
course   O
of   O
medication   O
to   O
manage   O
the   O
hypertension   O
and   O
the   O
headaches   O
,   O
and   O
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
an   O
MRI   O
of   O
the   O
brain   O
to   O
rule   O
out   O
any   O
neurological   O
causes   O
for   O
the   O
headaches   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
0/21   B-DATE
at   O
Indian   B-LOCATION
Path   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
to   O
discuss   O
the   O
test   O
results   O
and   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
prescribed   O
treatment   O
.   O

Prescriptions   O
:   O
Sturgeon   B-NAME
,   I-NAME
Theodore   I-NAME
was   O
prescribed   O
a   O
beta   O
-   O
blocker   O
for   O
hypertension   O
and   O
a   O
specific   O
medication   O
for   O
migraine   O
prophylaxis   O
.   O

Garrett   B-NAME
was   O
advised   O
to   O
monitor   O
their   O
blood   O
pressure   O
at   O
home   O
and   O
to   O
maintain   O
a   O
headache   O
diary   O
.   O

Recommendations   O
:   O
Edward   B-NAME
Weeks   I-NAME
recommended   O
lifestyle   O
modifications   O
including   O
a   O
low   O
-   O
sodium   O
diet   O
and   O
regular   O
exercise   O
.   O

Asher   B-NAME
was   O
also   O
advised   O
to   O
avoid   O
known   O
headache   O
triggers   O
such   O
as   O
strong   O
scents   O
and   O
excessive   O
screen   O
time   O
.   O

Zuniga   B-NAME
is   O
employed   O
as   O
a   O
Accountant   O
at   O
John   B-LOCATION
Hancock   I-LOCATION
Insurance   I-LOCATION
and   O
expressed   O
concerns   O
about   O
the   O
impact   O
of   O
their   O
symptoms   O
on   O
their   O
work   O
.   O

Matilda   B-NAME
Pace   I-NAME
was   O
provided   O
with   O
a   O
letter   O
explaining   O
their   O
medical   O
condition   O
for   O
their   O
employer   O
.   O

Follow   O
-   O
Up   O
:   O
Jobs   B-NAME
,   I-NAME
Steve   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Grant   B-NAME
on   O
15/30/2029   B-DATE
at   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Philadelphia   I-LOCATION
.   O

End   O
of   O
Report   O
Username   O
of   O
Recorder   O
:   O
gx599   B-NAME
Report   O
Date   O
:   O
18/25   B-DATE

Patient   O
Report   O
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
9182816   I-ID
Medical   O
Record   O
Number   O
:   O
58475894   B-ID
Name   O
:   O
Sherman   B-NAME
,   I-NAME
William   I-NAME
Tecumseh   I-NAME
Age   O
:   O
37   O
Phone   O
Number   O
:   O
658   B-CONTACT
1363   I-CONTACT
Address   O
:   O
42   B-LOCATION
Jackson   I-LOCATION
Street   I-LOCATION
,   O
67833   B-LOCATION
Employment   O
:   O
Nature   O
conservation   O
officer   O
at   O
Grand   B-LOCATION
Army   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Republic   I-LOCATION
(   I-LOCATION
dissolved   I-LOCATION
1956   I-LOCATION
)   I-LOCATION
Physician   O
:   O
Sherlyn   B-NAME
Beltran   I-NAME
Hospital   O
:   O

MercyOne   B-LOCATION
Elkader   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
The   O
patient   O
,   O
Brice   B-NAME
Kirk   I-NAME
,   O
presented   O
on   O
34/20   B-DATE
with   O
a   O
history   O
of   O
progressive   O
,   O
severe   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
associated   O
with   O
photophobia   O
and   O
nausea   O
.   O

A   O
non   O
-   O
contrast   O
CT   O
head   O
scan   O
was   O
performed   O
on   O
May   B-DATE
19   I-DATE
,   O
showing   O
no   O
evidence   O
of   O
intracranial   O
hemorrhage   O
,   O
mass   O
effect   O
,   O
or   O
acute   O
ischemic   O
changes   O
.   O

Lumbar   O
puncture   O
was   O
conducted   O
on   O
2293   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
21   I-DATE
,   O
revealing   O
clear   O
cerebrospinal   O
fluid   O
(   O
CSF   O
)   O
with   O
normal   O
opening   O
pressure   O
and   O
no   O
abnormal   O
cells   O
or   O
organisms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Courtney   B-NAME
Floyd   I-NAME
is   O
scheduled   O
for   O
06/09   B-DATE
to   O
reassess   O
symptoms   O
and   O
discuss   O
a   O
comprehensive   O
migraine   O
management   O
plan   O
,   O
including   O
potential   O
lifestyle   O
modifications   O
and   O
preventive   O
medication   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
or   O
in   O
case   O
of   O
an   O
emergency   O
,   O
the   O
patient   O
was   O
advised   O
to   O
contact   O
Lyndon   B-LOCATION
Baines   I-LOCATION
Johnson   I-LOCATION
Hospital   I-LOCATION
at   O
805   B-CONTACT
4614   I-CONTACT
.   O

Prepared   O
by   O
:   O
Medical   O
Equipment   O
Repairers   O
,   O
Kmart   B-LOCATION
Username   O
:   O

na61   B-NAME
Report   O
date   O
:   O
April   B-DATE
4   I-DATE

On   O
December   B-DATE
,   O
Alvarado   B-NAME
was   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
LECOM   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Millcreek   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Ratcliff   B-LOCATION
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
mainly   O
in   O
the   O
occipital   O
region   O
,   O
which   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Espinoza   B-NAME
has   O
no   O
prior   O
history   O
of   O
migraine   O
or   O
similar   O
headaches   O
.   O

Past   O
medical   O
history   O
,   O
obtained   O
from   O
Jamarion   B-NAME
Graham   I-NAME
,   O
indicates   O
well   O
-   O
controlled   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
by   O
diet   O
and   O
oral   O
hypoglycemics   O
prescribed   O
by   O
Hammond   B-NAME
.   O

As   O
per   O
Layla   B-NAME
Smith   I-NAME
,   O
no   O
new   O
medications   O
were   O
started   O
recently   O
,   O
and   O
there   O
was   O
no   O
known   O
history   O
of   O
drug   O
allergy   O
.   O

A   O
review   O
of   O
Riddle   B-NAME
's   O
medical   O
record   O
9518559   B-ID
did   O
not   O
reveal   O
any   O
significant   O
findings   O
or   O
hospital   O
admissions   O
.   O

Considering   O
the   O
symptoms   O
and   O
examination   O
findings   O
,   O
a   O
lumbar   O
puncture   O
was   O
recommended   O
by   O
Sawyer   B-NAME
to   O
exclude   O
subarachnoid   O
hemorrhage   O
or   O
infectious   O
meningitis   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Khan   B-NAME
,   I-NAME
Shahrukh   I-NAME
after   O
explaining   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
benefits   O
.   O

Randall   B-NAME
Strong   I-NAME
was   O
monitored   O
closely   O
in   O
the   O
neurology   O
ward   O
at   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Philadelphia   I-LOCATION
for   O
24   O
hours   O
,   O
during   O
which   O
Dexter   B-NAME
Navarro   I-NAME
's   O
headache   O
gradually   O
subsided   O
.   O

Hanna   B-NAME
Oconnell   I-NAME
was   O
educated   O
about   O
the   O
condition   O
and   O
advised   O
to   O
avoid   O
triggers   O
and   O
to   O
follow   O
up   O
with   O
Leonard   B-NAME
Green   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
if   O
symptoms   O
recur   O
.   O

Greene   B-NAME
was   O
discharged   O
home   O
in   O
stable   O
condition   O
on   O
22/21/62   B-DATE
.   O

For   O
any   O
additional   O
information   O
or   O
follow   O
-   O
up   O
,   O
Matilda   B-NAME
Pace   I-NAME
was   O
provided   O
with   O
contact   O
information   O
for   O
the   O
neurology   O
department   O
at   O
Formerly   B-LOCATION
Oakwood   I-LOCATION
Heritage   I-LOCATION
Hospital   I-LOCATION
with   O
the   O
phone   O
number   O
381   B-CONTACT
8998   I-CONTACT
.   O

Callum   B-NAME
Clayton   I-NAME
was   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
(   B-CONTACT
842   I-CONTACT
)   I-CONTACT
196   I-CONTACT
4310   I-CONTACT
in   O
case   O
of   O
headache   O
recurrence   O
or   O
development   O
of   O
new   O
symptoms   O
.   O

Tri   B-LOCATION
-   I-LOCATION
County   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
ensured   O
privacy   O
and   O
confidentiality   O
of   O
Orion   B-NAME
Dunn   I-NAME
's   O
health   O
information   O
.   O

The   O
personal   O
health   O
information   O
was   O
protected   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
,   O
ensuring   O
no   O
unauthorized   O
access   O
to   O
Chara   B-NAME
's   O
medical   O
record   O
51445384   B-ID
.   O

Patient   O
Name   O
:   O
Yahir   B-NAME
Malone   I-NAME
Patient   O
ID   O
:   O
IR   B-ID
:   I-ID
JT:9416   I-ID
Medical   O
Record   O
Number   O
:   O
913   B-ID
-   I-ID
09   I-ID
-   I-ID
29   I-ID
-   I-ID
9   I-ID
DOB   O
:   O
8   O
Date   O
of   O
Visit   O
:   O
2/10/2022   B-DATE
Contact   O
Number   O
:   O
(   B-CONTACT
219   I-CONTACT
)   I-CONTACT
528   I-CONTACT
4797   I-CONTACT
Address   O
:   O
Mahnomen   B-LOCATION
,   O
52526   B-LOCATION

Dr.   O
Alicia   B-NAME
Duffy   I-NAME
Hospital   O
:   O
Clearwater   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaints   O
:   O
Abbie   B-NAME
Daniels   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
25/16   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Medical   O
History   O
:   O
Nachman   B-NAME
,   I-NAME
Rabbi   I-NAME
,   I-NAME
of   I-NAME
Bratzlav   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
and   O
gastroesophageal   O
reflux   O
disease   O
.   O

There   O
is   O
also   O
a   O
documented   O
history   O
of   O
a   O
cholecystectomy   O
performed   O
at   O
Riverside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/35/2242   B-DATE
.   O

Leyla   B-NAME
Hutchinson   I-NAME
denies   O
any   O
allergies   O
,   O
smoking   O
,   O
or   O
use   O
of   O
recreational   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Eleanor   B-NAME
Bramwell   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Discussions   O
with   O
Dr.   O
Ayers   B-NAME
from   O
the   O
surgery   O
team   O
were   O
initiated   O
for   O
surgical   O
management   O
.   O

Following   O
the   O
diagnostic   O
workup   O
,   O
Nagle   B-NAME
was   O
admitted   O
to   O
WellSpan   B-LOCATION
Gettysburg   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Ezequiel   B-NAME
Pearson   I-NAME
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Nadia   B-NAME
Lynn   I-NAME
was   O
informed   O
of   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
.   O

The   O
consent   O
form   O
was   O
signed   O
by   O
Vogel   B-NAME
.   O

Amya   B-NAME
Sandoval   I-NAME
's   O
symptoms   O
improved   O
significantly   O
following   O
the   O
surgical   O
intervention   O
.   O

Damarion   B-NAME
Escobar   I-NAME
was   O
able   O
to   O
tolerate   O
a   O
liquid   O
diet   O
by   O
the   O
next   O
day   O
and   O
was   O
discharged   O
on   O
Wednesday   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgical   O
clinic   O
in   O
two   O
weeks   O
.   O

Follow   O
-   O
up   O
:   O
Kristin   B-NAME
Larsen   I-NAME
is   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
around   O
the   O
surgical   O
site   O
,   O
fever   O
,   O
or   O
any   O
other   O
concerning   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
phone   O
call   O
by   O
the   O
surgical   O
team   O
to   O
365   B-CONTACT
5962   I-CONTACT
is   O
planned   O
for   O
02/32/06   B-DATE
to   O
assess   O
recovery   O
progress   O
.   O

Additional   O
appointments   O
are   O
scheduled   O
with   O
Dr.   O
Rodrigo   B-NAME
Montoya   I-NAME
for   O
ongoing   O
evaluation   O
and   O
management   O
.   O

Briana   B-NAME
Acosta   I-NAME
's   O
timely   O
presentation   O
to   O
the   O
emergency   O
department   O
and   O
the   O
coordinated   O
care   O
provided   O
by   O
the   O
healthcare   O
team   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Topeka   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
resulted   O
in   O
a   O
positive   O
outcome   O
with   O
minimal   O
complications   O
.   O

Notes   O
:   O
-   O
Cato   B-NAME
the   I-NAME
Elder   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
was   O
encouraged   O
to   O
contact   O
the   O
hospital   O
at   O
894   B-CONTACT
-   I-CONTACT
7065   I-CONTACT
with   O
any   O
concerns   O
during   O
the   O
recovery   O
period   O
.   O

-   O
Documentation   O
of   O
the   O
case   O
was   O
submitted   O
to   O
First   B-LOCATION
Vietnamese   I-LOCATION
American   I-LOCATION
Bank   I-LOCATION
for   O
quality   O
review   O
and   O
educational   O
purposes   O
.   O

The   O
patient   O
,   O
Deandre   B-NAME
Tapia   I-NAME
,   O
a   O
Psychologists   O
,   O
All   O
Other   O
from   O
Goessel   B-LOCATION
,   O
was   O
admitted   O
to   O
Garden   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/24   B-DATE
due   O
to   O
severe   O
abdominal   O
pain   O
and   O
persistent   O
vomiting   O
.   O

The   O
patient   O
also   O
reported   O
a   O
loss   O
of   O
appetite   O
and   O
mild   O
fever   O
over   O
the   O
past   O
August   B-DATE
21   I-DATE
.   O

A   O
detailed   O
medical   O
history   O
for   O
Roy   B-NAME
was   O
provided   O
,   O
indicating   O
a   O
past   O
surgical   O
history   O
of   O
appendectomy   O
performed   O
at   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Troy   I-LOCATION
and   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
,   O
249   B-ID
-   I-ID
01   I-ID
-   I-ID
26   I-ID
-   I-ID
6   I-ID
,   O
includes   O
notes   O
on   O
a   O
previous   O
consultation   O
with   O
Lisa   B-NAME
Cox   I-NAME
about   O
potential   O
food   O
intolerances   O
dated   O
23/03   B-DATE
,   O
alongside   O
a   O
prescribed   O
proton   O
pump   O
inhibitor   O
regimen   O
.   O

The   O
ultrasound   O
report   O
,   O
logged   O
under   O
RH707/2063   B-ID
,   O
revealed   O
no   O
abnormalities   O
in   O
liver   O
,   O
gallbladder   O
,   O
pancreas   O
,   O
or   O
kidneys   O
but   O
suggested   O
further   O
evaluation   O
with   O
an   O
abdominal   O
CT   O
scan   O
to   O
rule   O
out   O
any   O
potential   O
obstructions   O
or   O
neoplasms   O
.   O

The   O
nursing   O
staff   O
,   O
under   O
the   O
supervision   O
of   O
Ann   B-NAME
Mcbride   I-NAME
,   O
has   O
been   O
monitoring   O
the   O
patient   O
's   O
fluid   O
intake   O
and   O
output   O
,   O
ensuring   O
that   O
the   O
patient   O
stays   O
hydrated   O
.   O

The   O
patient   O
's   O
contact   O
information   O
is   O
filed   O
under   O
65212   B-CONTACT
in   O
case   O
of   O
emergency   O
or   O
significant   O
changes   O
in   O
health   O
status   O
.   O

In   O
addition   O
to   O
the   O
clinical   O
management   O
,   O
the   O
dietary   O
department   O
at   O
OhioHealth   B-LOCATION
Grant   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
to   O
provide   O
suitable   O
meal   O
options   O
during   O
the   O
hospital   O
stay   O
,   O
ensuring   O
the   O
avoidance   O
of   O
any   O
foods   O
that   O
could   O
exacerbate   O
the   O
patient   O
's   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
13/37   B-DATE
with   O
Jerry   B-NAME
Cole   I-NAME
to   O
discuss   O
the   O
CT   O
scan   O
results   O
and   O
any   O
adjustments   O
to   O
the   O
treatment   O
plan   O
.   O

The   O
healthcare   O
team   O
remains   O
in   O
close   O
contact   O
with   O
Kennedy   B-NAME
,   O
ensuring   O
that   O
their   O
treatment   O
is   O
progressing   O
as   O
planned   O
and   O
adjusting   O
care   O
as   O
necessary   O
.   O

The   O
patient   O
and   O
their   O
family   O
,   O
residing   O
at   O
41678   B-LOCATION
,   O
have   O
been   O
updated   O
regularly   O
about   O
the   O
condition   O
and   O
potential   O
next   O
steps   O
.   O

This   O
case   O
,   O
documented   O
under   O
MF:661056:352434   B-ID
and   O
NXO   B-ID
2   I-ID
-   I-ID
933   I-ID
,   O
will   O
be   O
reviewed   O
in   O
the   O
upcoming   O
multidisciplinary   O
team   O
meeting   O
at   O
Loco   B-LOCATION
team   I-LOCATION
to   O
determine   O
if   O
any   O
additional   O
interventions   O
are   O
necessary   O
.   O

The   O
patient   O
expressed   O
gratitude   O
for   O
the   O
attentive   O
care   O
received   O
at   O
HCA   B-LOCATION
Houston   I-LOCATION
Tomball   I-LOCATION
and   O
the   O
clear   O
communication   O
from   O
the   O
medical   O
staff   O
,   O
highlighting   O
the   O
importance   O
of   O
maintaining   O
high   O
-   O
quality   O
patient   O
care   O
standards   O
.   O

The   O
patient   O
,   O
Martin   B-NAME
Bamford   I-NAME
,   O
a   O
27   O
-   O
year   O
-   O
old   O
Patternmakers   O
,   O
Wood   O
from   O
Copper   B-LOCATION
Center   I-LOCATION
,   O
93221   B-LOCATION
,   O
presented   O
to   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Marysville   I-LOCATION
on   O
February   B-DATE
2051   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
accompanied   O
by   O
nausea   O
and   O
sensitivity   O
to   O
light   O
and   O
sound   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
noted   O
approximately   O
21   B-DATE
-   I-DATE
17   I-DATE
prior   O
to   O
hospital   O
admission   O
,   O
increasing   O
in   O
severity   O
over   O
time   O
.   O

Elvis   B-NAME
Stout   I-NAME
's   O
medical   O
history   O
,   O
as   O
per   O
96093941   B-ID
,   O
includes   O
a   O
diagnosis   O
of   O
migraine   O
without   O
aura   O
,   O
managed   O
episodically   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
and   O
rest   O
.   O

Upon   O
examination   O
,   O
Guerrero   B-NAME
noted   O
that   O
Urzua   B-NAME
exhibited   O
photophobia   O
and   O
phonophobia   O
,   O
reporting   O
a   O
pain   O
score   O
of   O
8   O
out   O
of   O
10   O
.   O

Ranke   B-NAME
,   I-NAME
Leopold   I-NAME
von   I-NAME
denied   O
any   O
past   O
medical   O
history   O
of   O
head   O
trauma   O
,   O
seizures   O
,   O
or   O
family   O
history   O
of   O
cerebrovascular   O
diseases   O
.   O

The   O
differential   O
diagnosis   O
considered   O
by   O
Alden   B-NAME
Navarro   I-NAME
included   O
migraine   O
headache   O
(   O
with   O
a   O
severe   O
atypical   O
presentation   O
)   O
,   O
cluster   O
headache   O
,   O
and   O
tension   O
headache   O
as   O
primary   O
concerns   O
,   O
with   O
secondary   O
headaches   O
causes   O
such   O
as   O
subarachnoid   O
hemorrhage   O
and   O
meningitis   O
being   O
less   O
likely   O
given   O
the   O
absence   O
of   O
neurological   O
deficits   O
,   O
fever   O
,   O
and   O
nuchal   O
rigidity   O
.   O

Padilla   B-NAME
was   O
further   O
referred   O
for   O
a   O
brain   O
MRI   O
on   O
33/02   B-DATE
,   O
which   O
did   O
not   O
show   O
any   O
acute   O
intracranial   O
abnormalities   O
,   O
masses   O
,   O
or   O
evidence   O
of   O
acute   O
ischemic   O
changes   O
.   O

The   O
management   O
plan   O
,   O
as   O
discussed   O
by   O
Bowen   B-NAME
with   O
RL   B-NAME
,   O
included   O
inpatient   O
observation   O
,   O
intravenous   O
hydration   O
,   O
and   O
administration   O
of   O
a   O
combination   O
of   O
analgesics   O
and   O
antiemetics   O
.   O

Didius   B-NAME
Julianus   I-NAME
Litmanowicz   I-NAME
's   O
headache   O
and   O
associated   O
symptoms   O
showed   O
significant   O
improvement   O
over   O
a   O
32/29   B-DATE
period   O
with   O
the   O
aforementioned   O
management   O
.   O

Ingram   B-NAME
was   O
instructed   O
to   O
avoid   O
recognized   O
migraine   O
triggers   O
and   O
was   O
prescribed   O
an   O
oral   O
triptan   O
for   O
abortive   O
therapy   O
to   O
manage   O
future   O
migraine   O
episodes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Terrell   B-NAME
in   O
Specialty   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Mid   I-LOCATION
-   I-LOCATION
America   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
's   O
outpatient   O
clinic   O
.   O

Documentation   O
was   O
updated   O
in   O
Larissa   B-NAME
Johns   I-NAME
's   O
electronic   O
health   O
record   O
(   O
589   B-ID
-   I-ID
36   I-ID
-   I-ID
94   I-ID
-   I-ID
3   I-ID
)   O
.   O

The   O
(   B-CONTACT
656   I-CONTACT
)   I-CONTACT
387   I-CONTACT
-   I-CONTACT
5600   I-CONTACT
number   O
16802   B-CONTACT
was   O
verified   O
for   O
follow   O
-   O
up   O
communications   O
.   O

The   O
patient   O
was   O
encouraged   O
to   O
join   O
a   O
headache   O
support   O
group   O
through   O
an   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Painters   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Trades   I-LOCATION
specializing   O
in   O
headache   O
management   O
and   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
detailing   O
the   O
frequency   O
,   O
duration   O
,   O
severity   O
,   O
and   O
trigger   O
factors   O
of   O
future   O
episodes   O
.   O

Jessie   B-NAME
Adam   I-NAME
expressed   O
understanding   O
and   O
satisfaction   O
with   O
the   O
treatment   O
and   O
follow   O
-   O
up   O
plan   O
.   O

Consent   O
for   O
all   O
procedures   O
and   O
management   O
strategies   O
was   O
obtained   O
,   O
documented   O
in   O
Hugo   B-NAME
Hollingshead   I-NAME
's   O
medical   O
records   O
(   O
57633432   B-ID
)   O
,   O
and   O
filed   O
under   O
NT385/6761   B-ID
.   O

The   O
Covington   B-NAME
,   I-NAME
Stephen   I-NAME
was   O
discharged   O
on   O
02   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
71   I-DATE
with   O
precautions   O
and   O
advised   O
to   O
immediately   O
seek   O
medical   O
attention   O
if   O
symptoms   O
reoccur   O
or   O
worsen   O
.   O

Patient   O
Name   O
:   O
Evan   B-NAME
Robinson   I-NAME
Age   O
:   O
54   O
Date   O
of   O
Birth   O
:   O
03/21   B-DATE
Medical   O
Record   O
Number   O
:   O
73400528   B-ID
Contact   O
Number   O
:   O
653   B-CONTACT
778   I-CONTACT
-   I-CONTACT
7174   I-CONTACT
Address   O
:   O
Decker   B-LOCATION
,   O
51991   B-LOCATION
Physician   O
:   O

Julien   B-NAME
Carter   I-NAME
Treatment   O
Facility   O
:   O
Bassett   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O
Botswana   B-LOCATION
Commercial   I-LOCATION
&   I-LOCATION
General   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Occupation   O
:   O
psychologist   O
Username   O
for   O
Hospital   O
Portal   O
:   O
np458   B-NAME
Date   O
of   O
Visit   O
:   O
3   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
88   I-DATE
ID   O
Number   O
:   O
36476   B-ID
Summary   O
of   O
Visit   O
:   O
Avery   B-NAME
Blackwell   I-NAME
was   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
on   O
15/21   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
clinical   O
presentation   O
of   O
acute   O
appendicitis   O
.   O

Fred   B-NAME
Allen   I-NAME
's   O
pain   O
was   O
described   O
as   O
a   O
sharp   O
and   O
persistent   O
sensation   O
,   O
escalating   O
over   O
a   O
24   O
-   O
hour   O
period   O
before   O
admission   O
.   O

Upon   O
physical   O
examination   O
,   O
Sidney   B-NAME
Hopkins   I-NAME
exhibited   O
tenderness   O
on   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
specifically   O
at   O
McBurney   O
's   O
point   O
.   O

IX   B-NAME
's   O
vital   O
signs   O
showed   O
a   O
slight   O
elevation   O
in   O
temperature   O
to   O
38.2   O
°   O
C   O
,   O
with   O
other   O
parameters   O
within   O
normal   O
limits   O
.   O

Under   O
the   O
care   O
of   O
Ponce   B-NAME
,   O
Kiley   B-NAME
Barton   I-NAME
was   O
admitted   O
to   O
Fairview   B-LOCATION
Range   I-LOCATION
and   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Tara   B-NAME
Phipps   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
to   O
prevent   O
postoperative   O
infection   O
.   O

Kymani   B-NAME
Barajas   I-NAME
demonstrated   O
a   O
favorable   O
postoperative   O
course   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
pain   O
and   O
resolution   O
of   O
nausea   O
.   O

Discharge   O
planning   O
included   O
instructions   O
on   O
incision   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
the   O
importance   O
of   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Frazier   B-NAME
at   O
the   O
outpatient   O
clinic   O
of   O
Seton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Monday   B-DATE
,   I-DATE
March   I-DATE
.   O

TALLEY   B-NAME
,   I-NAME
KEITH   I-NAME
W   I-NAME
was   O
also   O
advised   O
to   O
abstain   O
from   O
heavy   O
lifting   O
and   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

The   O
contact   O
information   O
given   O
for   O
follow   O
-   O
up   O
questions   O
and   O
concerns   O
was   O
308   B-CONTACT
-   I-CONTACT
3362   I-CONTACT
,   O
with   O
additional   O
resources   O
available   O
through   O
the   O
patient   O
portal   O
,   O
username   O
qv526   B-NAME
.   O

Mann   B-NAME
's   O
outcome   O
was   O
favorable   O
due   O
to   O
the   O
quick   O
diagnostic   O
and   O
surgical   O
intervention   O
teams   O
at   O
Edward   B-LOCATION
John   I-LOCATION
Noble   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Allison   B-NAME
Age   O
:   O
31   O
Date   O
of   O
Birth   O
:   O
2133   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
20   I-DATE
Medical   O
Record   O
Number   O
:   O
3778373   B-ID
ID   O
:   O
29257   B-ID
Address   O
:   O
Watonga   B-LOCATION
,   O
78691   B-LOCATION
Phone   O
Number   O
:   O
491   B-CONTACT
608   I-CONTACT
-   I-CONTACT
6266   I-CONTACT
Employment   O
:   O
Insurance   O
underwriter   O
at   O
Hellenic   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Hannah   B-NAME
Hayes   I-NAME
Encounter   O
Date   O
:   O
1/23   B-DATE
Location   O
of   O
Visit   O
:   O
Forest   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
,   O
Troy   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Pamelia   B-NAME
Housman   I-NAME
,   O
presents   O
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
centralized   O
in   O
the   O
epigastric   O
region   O
.   O

Accompanying   O
symptoms   O
include   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
marked   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
07/00   B-DATE
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
in   O
08/18   B-DATE
.   O

Social   O
History   O
:   O
Alethea   B-NAME
Blazek   I-NAME
states   O
they   O
are   O
a   O
non   O
-   O
smoker   O
and   O
drinks   O
alcohol   O
socially   O
,   O
not   O
exceeding   O
two   O
drinks   O
per   O
occasion   O
.   O

The   O
patient   O
is   O
employed   O
as   O
a   O
Mine   O
Cutting   O
and   O
Channeling   O
Machine   O
Operators   O
at   O
Westfield   B-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
and   O
denies   O
any   O
recent   O
travel   O
outside   O
of   O
Paducah   B-LOCATION
.   O

The   O
acute   O
onset   O
of   O
epigastric   O
pain   O
in   O
the   O
patient   O
,   O
Juanita   B-NAME
Lewandowski   I-NAME
,   O
is   O
concerning   O
for   O
possible   O
acute   O
pancreatitis   O
or   O
an   O
exacerbation   O
of   O
peptic   O
ulcer   O
disease   O
.   O

The   O
patient   O
is   O
to   O
follow   O
up   O
with   O
Dr.   O
Norah   B-NAME
Hurst   I-NAME
for   O
test   O
results   O
and   O
further   O
management   O
.   O

Encounter   O
Conclusion   O
:   O
The   O
patient   O
Deshawn   B-NAME
Stephens   I-NAME
was   O
educated   O
about   O
the   O
importance   O
of   O
hydration   O
and   O
avoiding   O
NSAIDs   O
and   O
alcohol   O
to   O
potentially   O
mitigate   O
gastrointestinal   O
symptoms   O
.   O

Twain   B-NAME
,   I-NAME
Mark   I-NAME
appeared   O
to   O
understand   O
and   O
agree   O
with   O
the   O
proposed   O
plan   O
.   O

Follow   O
-   O
up   O
:   O
Kailyn   B-NAME
Bartlett   I-NAME
is   O
scheduled   O
to   O
return   O
to   O
Scott   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Scott   I-LOCATION
City   I-LOCATION
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2/25   B-DATE
,   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

The   O
patient   O
,   O
Crowley   B-NAME
,   O
a   O
47   O
-   O
year   O
-   O
old   O
Marketing   O
Managers   O
from   O
Severn   B-LOCATION
,   O
presented   O
to   O
UM   B-LOCATION
Harford   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
37/25   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
lower   O
abdominal   O
pain   O
which   O
has   O
been   O
gradually   O
worsening   O
over   O
the   O
past   O
32/33   B-DATE
.   O

Bryce   B-NAME
Maner   I-NAME
described   O
the   O
pain   O
as   O
crampy   O
in   O
nature   O
,   O
localized   O
mainly   O
to   O
the   O
left   O
lower   O
quadrant   O
,   O
and   O
rated   O
it   O
7/10   O
on   O
the   O
pain   O
scale   O
.   O

Calhoun   B-NAME
also   O
reported   O
an   O
associated   O
decrease   O
in   O
appetite   O
,   O
mild   O
nausea   O
without   O
vomiting   O
,   O
and   O
one   O
episode   O
of   O
diarrhea   O
on   O
the   O
morning   O
of   O
00/26/1662   B-DATE
.   O

Upon   O
examination   O
,   O
Kayden   B-NAME
Hall   I-NAME
noted   O
tenderness   O
in   O
the   O
left   O
lower   O
quadrant   O
with   O
no   O
rebound   O
tenderness   O
or   O
guarding   O
.   O

Byron   B-NAME
Pham   I-NAME
’s   O
medical   O
history   O
,   O
obtained   O
from   O
medical   O
record   O
number   O
467   B-ID
-   I-ID
70   I-ID
-   I-ID
81   I-ID
-   I-ID
2   I-ID
,   O
was   O
notable   O
for   O
a   O
similar   O
episode   O
22/32   B-DATE
previously   O
which   O
resolved   O
spontaneously   O
.   O

Braun   B-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
showed   O
a   O
thickened   O
,   O
edematous   O
wall   O
of   O
the   O
sigmoid   O
colon   O
suggestive   O
of   O
diverticulitis   O
.   O

Benjamin   B-NAME
was   O
admitted   O
to   O
Covenant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
management   O
,   O
which   O
included   O
IV   O
antibiotics   O
and   O
fluid   O
resuscitation   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Tristen   B-NAME
Maynard   I-NAME
was   O
closely   O
monitored   O
for   O
signs   O
of   O
complications   O
such   O
as   O
perforation   O
or   O
abscess   O
formation   O
.   O

A   O
follow   O
-   O
up   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
scheduled   O
for   O
8   B-DATE
-   I-DATE
27   I-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
plan   O
further   O
management   O
.   O

The   O
patient   O
’s   O
emergency   O
contact   O
,   O
listed   O
as   O
(   B-CONTACT
276   I-CONTACT
)   I-CONTACT
805   I-CONTACT
5206   I-CONTACT
,   O
was   O
notified   O
upon   O
admission   O
.   O

Dahlia   B-NAME
Stevenson   I-NAME
’s   O
employer   O
,   O
Community   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Nevada   I-LOCATION
,   O
was   O
also   O
informed   O
of   O
the   O
medical   O
leave   O
of   O
absence   O
via   O
contact   O
information   O
704   B-CONTACT
571   I-CONTACT
1637   I-CONTACT
,   O
as   O
per   O
Aubree   B-NAME
Cabrera   I-NAME
’s   O
request   O
.   O

Gloria   B-NAME
Cochran   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
increased   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
signs   O
of   O
GI   O
bleeding   O
.   O

For   O
further   O
queries   O
or   O
follow   O
-   O
up   O
appointments   O
,   O
Mariah   B-NAME
Deleon   I-NAME
was   O
given   O
the   O
contact   O
number   O
720   B-CONTACT
8356   I-CONTACT
of   O
Poplar   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
’s   O
GI   O
unit   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Todd   B-NAME
Andrews   I-NAME
was   O
scheduled   O
for   O
2024   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
21   I-DATE
.   O

This   O
medical   O
encounter   O
was   O
documented   O
under   O
Walter   B-NAME
’s   O
medical   O
record   O
number   O
771   B-ID
-   I-ID
66   I-ID
-   I-ID
02   I-ID
-   I-ID
4   I-ID
for   O
future   O
reference   O
.   O

The   O
billing   O
department   O
processed   O
the   O
insurance   O
claim   O
with   O
details   O
:   O
policy   O
number   O
XF:1697:878162   B-ID
,   O
and   O
the   O
account   O
was   O
to   O
be   O
settled   O
with   O
Sosa   B-NAME
’s   O
health   O
insurance   O
provider   O
,   O
PTI   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

The   O
patient   O
resides   O
at   O
Farley   B-LOCATION
,   O
working   O
as   O
a   O
Insulation   O
Workers   O
,   O
Floor   O
,   O
Ceiling   O
,   O
and   O
Wall   O
and   O
can   O
be   O
reached   O
at   O
46478   B-CONTACT
for   O
any   O
necessary   O
follow   O
-   O
up   O
or   O
clarification   O
related   O
to   O
this   O
hospital   O
stay   O
.   O

All   O
personal   O
identifiers   O
such   O
as   O
Ashley   B-NAME
Muma   I-NAME
’s   O
full   O
name   O
,   O
specific   O
contact   O
number   O
,   O
and   O
employment   O
information   O
have   O
been   O
secured   O
according   O
to   O
HIPAA   O
regulations   O
throughout   O
the   O
treatment   O
process   O
.   O

The   O
patient   O
,   O
Blake   B-NAME
Gonzales   I-NAME
,   O
a   O
Locomotive   O
Engineers   O
by   O
profession   O
,   O
residing   O
at   O
Lucerne   B-LOCATION
,   O
23811   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
MercyOne   B-LOCATION
Newton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/03   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
that   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

On   O
examination   O
,   O
Jordan   B-NAME
Stewart   I-NAME
was   O
noted   O
to   O
be   O
tachycardic   O
with   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
hypertensive   O
with   O
a   O
blood   O
pressure   O
reading   O
of   O
150/90   O
mmHg   O
,   O
and   O
had   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Medical   O
history   O
obtained   O
from   O
Patañjali   B-NAME
's   O
electronic   O
health   O
records   O
(   O
50726752   B-ID
)   O
revealed   O
a   O
history   O
of   O
hypertension   O
and   O
hypercholesterolemia   O
.   O

Jamarion   B-NAME
Graham   I-NAME
is   O
a   O
smoker   O
,   O
with   O
a   O
smoking   O
history   O
of   O
15   O
packs   O
per   O
year   O
.   O

Flynn   B-NAME
,   O
the   O
attending   O
cardiologist   O
,   O
was   O
consulted   O
and   O
recommended   O
immediate   O
cardiac   O
catheterization   O
.   O

Aydan   B-NAME
Mcdaniel   I-NAME
provided   O
discharge   O
instructions   O
on   O
15/04   B-DATE
,   O
which   O
included   O
lifestyle   O
modifications   O
,   O
adherence   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
2390   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
25   I-DATE
.   O

Gomes   B-NAME
was   O
also   O
advised   O
to   O
continue   O
with   O
prescribed   O
medications   O
,   O
including   O
the   O
addition   O
of   O
a   O
beta   O
-   O
blocker   O
and   O
aspirin   O
for   O
secondary   O
prevention   O
.   O

For   O
further   O
inquiries   O
or   O
to   O
modify   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
Max   B-NAME
Von   I-NAME
Sydow   I-NAME
was   O
given   O
the   O
contact   O
number   O
350   B-CONTACT
-   I-CONTACT
349   I-CONTACT
-   I-CONTACT
8244   I-CONTACT
of   O
AdventHealth   B-LOCATION
Ottawa   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
Ransom   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Ottawa   I-LOCATION
's   O
Cardiology   O
Department   O
.   O

Additionally   O
,   O
Porter   B-NAME
Choi   I-NAME
was   O
encouraged   O
to   O
contact   O
Kamron   B-NAME
Hoffman   I-NAME
immediately   O
in   O
case   O
of   O
any   O
signs   O
of   O
chest   O
pain   O
,   O
difficulty   O
breathing   O
,   O
or   O
any   O
other   O
concerning   O
symptoms   O
.   O

A   O
secure   O
message   O
system   O
is   O
available   O
for   O
non   O
-   O
urgent   O
communication   O
,   O
accessible   O
with   O
DeMilla   B-NAME
's   O
unique   O
ID   O
,   O
MG5210   B-NAME
.   O

Goldberg   B-NAME
,   I-NAME
Jonah   I-NAME
emphasized   O
the   O
importance   O
of   O
maintaining   O
a   O
healthy   O
diet   O
,   O
regular   O
physical   O
activity   O
,   O
smoking   O
cessation   O
,   O
and   O
complying   O
with   O
all   O
prescribed   O
medications   O
to   O
prevent   O
recurrence   O
and   O
improve   O
cardiovascular   O
health   O
.   O

Jac   B-NAME
acknowledged   O
understanding   O
the   O
instructions   O
and   O
expressed   O
commitment   O
to   O
following   O
the   O
recommended   O
management   O
plan   O
.   O

Patient   O
Name   O
:   O
Robles   B-NAME
Age   O
:   O
11   O
Medical   O
Record   O
Number   O
:   O
84833936   B-ID
Date   O
:   O
2/'03   B-DATE
Location   O
:   O
Danbury   B-LOCATION
Doctor   O
:   O
Callahan   B-NAME
Phone   O
:   O
43554   B-CONTACT
Hospital   O
:   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lawrenceville   I-LOCATION
ID   O
:   O
58708   B-ID
Organization   O
:   O

Humane   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
(   I-LOCATION
HSUS   I-LOCATION
)   I-LOCATION
Profession   O
:   O

Police   O
and   O
Sheriff   O
's   O
Patrol   O
Officers   O
Username   O
:   O
pq871   B-NAME
ZIP   O
:   O

58770   B-LOCATION
Subjective   O
:   O

Urie   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
2333   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
02   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
cramps   O
localized   O
primarily   O
to   O
the   O
lower   O
right   O
quadrant   O
over   O
the   O
past   O
48   O
hours   O
.   O

Capote   B-NAME
,   I-NAME
Truman   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
loss   O
of   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Simon   B-NAME
,   I-NAME
Willie   I-NAME
,   O
a   O
Soil   O
and   O
Water   O
Conservationists   O
,   O
mentioned   O
that   O
there   O
was   O
nothing   O
unusual   O
in   O
their   O
diet   O
or   O
activity   O
level   O
prior   O
to   O
the   O
onset   O
of   O
symptoms   O
.   O

No   O
recent   O
travel   O
history   O
out   O
of   O
Sun   B-LOCATION
Lakes   I-LOCATION
was   O
reported   O
.   O

On   O
examination   O
,   O
Jenna   B-NAME
Simmons   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
,   O
with   O
vital   O
signs   O
showing   O
a   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
of   O
90   O
bpm   O
,   O
blood   O
pressure   O
at   O
130/85   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
.   O

Initial   O
laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
test   O
(   O
LFT   O
)   O
,   O
and   O
electrolytes   O
were   O
ordered   O
by   O
Jazmyn   B-NAME
Spencer   I-NAME
.   O

Fuller   B-NAME
,   I-NAME
Margaret   I-NAME
has   O
been   O
advised   O
to   O
abstain   O
from   O
food   O
and   O
drink   O
in   O
anticipation   O
of   O
possible   O
surgery   O
.   O

2   O
.   O
Pain   O
management   O
has   O
been   O
initiated   O
with   O
IV   O
analgesics   O
as   O
per   O
West   B-LOCATION
Calcasieu   I-LOCATION
Cameron   I-LOCATION
Hospital   I-LOCATION
pain   O
management   O
protocols   O
.   O

4   O
.   O
Summer   B-NAME
Shaffer   I-NAME
has   O
been   O
informed   O
of   O
the   O
diagnosis   O
,   O
the   O
need   O
for   O
possible   O
surgery   O
,   O
and   O
the   O
treatment   O
plan   O
.   O

Consent   O
for   O
treatment   O
was   O
obtained   O
and   O
documented   O
in   O
Richard   B-NAME
Hester   I-NAME
's   O
medical   O
record   O
(   O
86588252   B-ID
)   O
.   O

Follow   O
-   O
up   O
:   O
Nga   B-NAME
Olney   I-NAME
is   O
to   O
remain   O
in   O
Twin   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
under   O
observation   O
pending   O
surgical   O
evaluation   O
.   O

Post   O
-   O
surgery   O
,   O
Usha   B-NAME
will   O
be   O
assessed   O
for   O
any   O
signs   O
of   O
complications   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
will   O
be   O
scheduled   O
prior   O
to   O
discharge   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Robert   B-NAME
Astin   I-NAME
Age   O
:   O
7   O
ID   O
:   O
29508   B-ID
Medical   O
Record   O
Number   O
:   O
7399B17260   B-ID
Address   O
:   O
Calpine   B-LOCATION
,   O
96188   B-LOCATION
Phone   O
Number   O
:   O
50015   B-CONTACT
Profession   O
:   O
Curator   O
Admission   O
Date   O
:   O
2190   B-DATE
Referring   O
Physician   O
:   O
Dr.   O
Davidson   B-NAME
Treating   O
Facility   O
:   O
Unity   B-LOCATION
Health   I-LOCATION
White   I-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O

O'Reilly   B-NAME
,   I-NAME
Bill   I-NAME
,   O
a   O
accountant   O
from   O
New   B-LOCATION
Jersey   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Sisters   B-LOCATION
Of   I-LOCATION
Charity   I-LOCATION
Hospital   I-LOCATION
on   O
2351   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
11   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Altsoba   B-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

Medical   O
History   O
:   O
Gage   B-NAME
Hendricks   I-NAME
mentioned   O
a   O
prior   O
history   O
of   O
similar   O
symptoms   O
about   O
a   O
year   O
ago   O
,   O
for   O
which   O
they   O
consulted   O
Dr.   O
Trey   B-NAME
Cole   I-NAME
at   O
Centre   B-LOCATION
of   I-LOCATION
Indian   I-LOCATION
Trade   I-LOCATION
Unions   I-LOCATION
in   O
Loveland   B-LOCATION
Park   I-LOCATION
.   O

Asa   B-NAME
Russo   I-NAME
has   O
been   O
on   O
medication   O
for   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Diagnostic   O
Evaluation   O
:   O
Upon   O
initial   O
examination   O
,   O
Pessoa   B-NAME
,   I-NAME
Fernando   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
followed   O
by   O
a   O
CT   O
scan   O
was   O
recommended   O
by   O
Dr.   O
Krieger   B-NAME
,   I-NAME
Lou   I-NAME
to   O
further   O
assess   O
the   O
abdominal   O
pain   O
's   O
etiology   O
.   O

Treatment   O
and   O
Outcome   O
:   O
After   O
discussing   O
the   O
findings   O
and   O
treatment   O
options   O
with   O
Jimmy   B-NAME
Mather   I-NAME
,   O
surgical   O
intervention   O
was   O
decided   O
upon   O
.   O

With   O
consent   O
,   O
Krause   B-NAME
was   O
scheduled   O
for   O
laparoscopic   O
appendectomy   O
on   O
July   B-DATE
11   I-DATE
.   O

The   O
procedure   O
,   O
performed   O
by   O
Dr.   O
Holt   B-NAME
,   O
was   O
completed   O
without   O
complications   O
.   O

Crosby   B-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
reported   O
significant   O
pain   O
relief   O
.   O

Jakayla   B-NAME
Valdez   I-NAME
was   O
discharged   O
on   O
31/32   B-DATE
with   O
instructions   O
for   O
postoperative   O
care   O
and   O
follow   O
-   O
up   O
appointment   O
details   O
.   O

Follow   O
-   O
up   O
:   O
Kendall   B-NAME
Roth   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Julissa   B-NAME
Mercado   I-NAME
at   O
Huntsville   B-LOCATION
Hospital   I-LOCATION
on   O
04/31   B-DATE
.   O

Signature   O
:   O
Coleman   B-NAME
12/29/2150   B-DATE
Note   O
:   O
All   O
personal   O
information   O
in   O
this   O
document   O
has   O
been   O
redacted   O
to   O
ensure   O
the   O
individual   O
's   O
privacy   O
according   O
to   O
the   O
guidelines   O
for   O
the   O
protection   O
of   O
personal   O
health   O
information   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Stephenson   B-NAME
Age   O
:   O
69   O
Date   O
of   O
Birth   O
:   O
04/11/1906   B-DATE
Address   O
:   O
Galena   B-LOCATION
Park   I-LOCATION
,   O
80687   B-LOCATION
Phone   O
Number   O
:   O
431   B-CONTACT
-   I-CONTACT
5172   I-CONTACT
Medical   O
Record   O
Number   O
:   O
8676L14807   B-ID
Patient   O
ID   O
:   O
2692349   B-ID
Healthcare   O
Provider   O
:   O
Doctor   O
:   O
Truman   B-NAME
,   I-NAME
Harry   I-NAME
S.   I-NAME
Hospital   O
:   O
Henrico   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
HospitalHenrico   I-LOCATION
Campus   I-LOCATION
Location   O
:   O
Sigourney   B-LOCATION
Phone   O
Number   O
:   O
608   B-CONTACT
400   I-CONTACT
5476   I-CONTACT
Employment   O
Information   O
:   O
Occupation   O
:   O
Retail   O
buyer   O
Employer   O
:   O

John   B-LOCATION
Warner   I-LOCATION
Bank   I-LOCATION
Location   O
:   O
Roanoke   B-LOCATION
Rapids   I-LOCATION
Admission   O
Date   O
:   O
33/24/2332   B-DATE
Discharge   O
Date   O
:   O
03/21   B-DATE
Clinical   O
Summary   O
:   O
Beyonce   B-NAME
presented   O
to   O
Surgical   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Coordinated   I-LOCATION
Hlth   I-LOCATION
on   O
12/23   B-DATE
with   O
symptoms   O
consistent   O
with   O
acute   O
cholecystitis   O
,   O
including   O
severe   O
right   O
upper   O
quadrant   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
fever   O
,   O
and   O
nausea   O
.   O

Ronald   B-NAME
Bernard   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
similar   O
,   O
but   O
less   O
severe   O
,   O
pain   O
over   O
the   O
past   O
15/20/2052   B-DATE
.   O

Huckabee   B-NAME
,   I-NAME
Mike   I-NAME
recommended   O
a   O
laparoscopic   O
cholecystectomy   O
given   O
Wendy   B-NAME
Tapia   I-NAME
's   O
symptoms   O
and   O
ultrasound   O
findings   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
9/20   B-DATE
without   O
complications   O
.   O

Alicia   B-NAME
Hinton   I-NAME
’s   O
postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
32   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
possible   O
complications   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
at   O
Highlands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Jaron   B-NAME
Wilkins   I-NAME
on   O
March   B-DATE
.   O

Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Valeria   B-NAME
Logan   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
to   O
avoid   O
aggravating   O
the   O
gastrointestinal   O
tract   O
.   O

Activities   O
should   O
be   O
limited   O
to   O
light   O
tasks   O
for   O
a   O
June   B-DATE
weeks   O
post   O
-   O
operation   O
,   O
and   O
lifting   O
heavy   O
objects   O
is   O
strongly   O
discouraged   O
until   O
the   O
postoperative   O
check   O
-   O
up   O
.   O

Nikolas   B-NAME
Van   I-NAME
Helsing   I-NAME
should   O
observe   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
,   O
and   O
report   O
any   O
concerns   O
to   O
Kit   B-LOCATION
Carson   I-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
487   B-CONTACT
2769   I-CONTACT
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
33/23   B-DATE
with   O
Mooney   B-NAME
at   O
Lee   B-LOCATION
's   I-LOCATION
Summit   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
immediate   O
concerns   O
or   O
signs   O
of   O
complications   O
,   O
Marsh   B-NAME
is   O
instructed   O
to   O
contact   O
Triumph   B-LOCATION
the   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Rome   I-LOCATION
at   O
92587   B-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
at   O
Bushong   B-LOCATION
.   O

Prepared   O
by   O
:   O
EN938   B-NAME

Patient   O
Name   O
:   O
Altessa   B-NAME
Patient   O
ID   O
:   O
838339208   B-ID
Medical   O
Record   O
Number   O
:   O
7515673   B-ID
Age   O
:   O
86   O
Date   O
of   O
Visit   O
:   O
17/22   B-DATE
Attending   O
Physician   O
:   O

Dickson   B-NAME
Hospital   O
:   O
Southwest   B-LOCATION
Georgia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
/   I-LOCATION
Patterson   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Apison   B-LOCATION
Zip   O
Code   O
:   O
Contact   O
Number   O
:   O
10491   B-CONTACT
Employment   O
:   O
Orthodontists   O
Username   O
for   O
Patient   O
Portal   O
:   O
key931   B-NAME
Subjective   O
:   O

The   O
patient   O
,   O
Dawson   B-NAME
,   O
presented   O
to   O
Iowa   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Belmond   I-LOCATION
on   O
24/22   B-DATE
complaining   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fevers   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Marisa   B-NAME
Rodriguez   I-NAME
notes   O
that   O
the   O
symptoms   O
have   O
progressively   O
worsened   O
,   O
despite   O
over   O
-   O
the   O
-   O
counter   O
treatments   O
.   O

Upshur   B-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
controlled   O
with   O
inhalers   O
,   O
and   O
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Trevor   B-NAME
West   I-NAME
is   O
a   O
Claims   O
Takers   O
,   O
Unemployment   O
Benefits   O
and   O
has   O
not   O
missed   O
any   O
work   O
until   O
today   O
.   O

Warda   B-NAME
Graham   I-NAME
was   O
started   O
on   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
pending   O
further   O
test   O
results   O
.   O

An   O
inhaled   O
corticosteroid   O
was   O
added   O
to   O
Jaylan   B-NAME
Bray   I-NAME
's   O
asthma   O
management   O
plan   O
,   O
with   O
instructions   O
for   O
Šustauskas   B-NAME
,   I-NAME
Vytautas   I-NAME
to   O
use   O
a   O
rescue   O
inhaler   O
as   O
needed   O
for   O
wheezing   O
or   O
shortness   O
of   O
breath   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Patrick   B-NAME
in   O
one   O
week   O
to   O
reassess   O
condition   O
and   O
review   O
test   O
results   O
.   O

Terrell   B-NAME
Tuft   I-NAME
was   O
advised   O
to   O
stay   O
home   O
from   O
work   O
(   O
Freight   O
,   O
Stock   O
,   O
and   O
Material   O
Movers   O
,   O
Hand   O
)   O
and   O
rest   O
,   O
with   O
plenty   O
of   O
fluids   O
and   O
a   O
symptom   O
diary   O
.   O

In   O
case   O
of   O
any   O
questions   O
or   O
if   O
symptoms   O
worsen   O
,   O
Buckley   B-NAME
was   O
instructed   O
to   O
call   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
at   O
77544   B-CONTACT
or   O
use   O
the   O
patient   O
portal   O
(   O
Username   O
:   O
qct239   B-NAME
)   O
for   O
non   O
-   O
emergency   O
queries   O
.   O

Marisol   B-NAME
Kline   I-NAME
Age   O
:   O
99   O
Phone   O
Number   O
:   O
192   B-CONTACT
118   I-CONTACT
1463   I-CONTACT
Address   O
:   O
Olney   B-LOCATION
,   O
95168   B-LOCATION
Occupation   O
:   O
Plasterers   O
and   O
Stucco   O
Masons   O
Medical   O
Record   O
Number   O
:   O
44573322   B-ID
ID   O
Number   O
:   O
9   B-ID
-   I-ID
9646406   I-ID
Admitting   O
Physician   O
:   O
Taylor   B-NAME
Hospital   O
:   O
Snoqualmie   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
05/65   B-DATE
Date   O
of   O
Discharge   O
:   O
2315   B-DATE
Clinical   O
Summary   O
:   O
January   B-DATE
,   O
Victor   B-NAME
Frankenstein   I-NAME
,   O
a   O
10   O
month   O
-   O
year   O
-   O
old   O
Earth   O
Drillers   O
,   O
Except   O
Oil   O
and   O
Gas   O
residing   O
in   O
Naselle   B-LOCATION
,   O
was   O
admitted   O
to   O
Helen   B-LOCATION
Keller   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
fever   O
.   O

On   O
physical   O
examination   O
,   O
YVONNE   B-NAME
WELCH   I-NAME
exhibited   O
signs   O
of   O
abdominal   O
tenderness   O
and   O
guarding   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Abdominal   O
ultrasonography   O
,   O
performed   O
on   O
36/28   B-DATE
,   O
revealed   O
the   O
presence   O
of   O
a   O
6   O
mm   O
calculi   O
in   O
the   O
distal   O
right   O
ureter   O
,   O
accompanied   O
by   O
mild   O
hydronephrosis   O
.   O

Management   O
:   O
Under   O
the   O
care   O
of   O
Colton   B-NAME
Moon   I-NAME
,   O
Dyer   B-NAME
was   O
initially   O
managed   O
with   O
intravenous   O
hydration   O
,   O
analgesics   O
to   O
control   O
pain   O
,   O
and   O
antiemetics   O
for   O
nausea   O
.   O

Observation   O
continued   O
over   O
the   O
next   O
24   O
hours   O
,   O
during   O
which   O
Xaysana   B-NAME
reported   O
a   O
decrease   O
in   O
pain   O
intensity   O
.   O

Repeat   O
imaging   O
on   O
May   B-DATE
indicated   O
passage   O
of   O
the   O
renal   O
calculus   O
.   O

Upon   O
discharge   O
on   O
2013   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
36   I-DATE
,   O
Betty   B-NAME
Director   I-NAME
was   O
advised   O
to   O
increase   O
fluid   O
intake   O
,   O
adhere   O
to   O
a   O
low   O
-   O
sodium   O
diet   O
,   O
and   O
avoid   O
foods   O
high   O
in   O
oxalates   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Fritz   B-NAME
at   O
Jackson   B-LOCATION
South   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
scheduled   O
for   O
2132   B-DATE
to   O
assess   O
recovery   O
and   O
discuss   O
preventive   O
strategies   O
against   O
recurrent   O
urinary   O
calculi   O
.   O

Susan   B-NAME
Noyes   I-NAME
was   O
also   O
provided   O
with   O
a   O
prescription   O
for   O
a   O
pain   O
reliever   O
and   O
instructions   O
on   O
how   O
to   O
recognize   O
signs   O
of   O
potential   O
complications   O
requiring   O
immediate   O
attention   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Not   O
Disclosed   O
Relation   O
:   O
Not   O
Disclosed   O
Phone   O
Number   O
:   O
587   B-CONTACT
-   I-CONTACT
1512   I-CONTACT
By   O
signing   O
below   O
,   O
I   O
,   O
Disraeli   B-NAME
,   I-NAME
Benjamin   I-NAME
,   O
acknowledge   O
that   O
I   O
have   O
reviewed   O
and   O
understood   O
my   O
discharge   O
instructions   O
.   O

Date   O
:   O
06/03   B-DATE
Document   O
Prepared   O
By   O
:   O
TJ152   B-NAME

For   O
queries   O
regarding   O
this   O
report   O
,   O
please   O
contact   O
75473   B-CONTACT
or   O
visit   O
us   O
at   O
Alaska   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
in   O
SL61   B-LOCATION
3AG   I-LOCATION
.   O

Patient   O
Report   O
for   O
Marisa   B-NAME
Krause   I-NAME
Personal   O
Data   O
:   O
-   O
Age   O
:   O
100   O
-   O
Medical   O
Record   O
Number   O
:   O
070   B-ID
-   I-ID
99   I-ID
-   I-ID
00   I-ID
-   I-ID
5   I-ID
-   O
Residence   O
:   O
Zearing   B-LOCATION
,   O
67313   B-LOCATION
-   O
Contact   O
Information   O
:   O
(   B-CONTACT
459   I-CONTACT
)   I-CONTACT
720   I-CONTACT
2851   I-CONTACT
Date   O
of   O
Initial   O
Consultation   O
:   O
08/00/1796   B-DATE
Referring   O
Physician   O
:   O
Dr.   O
Alysha   B-NAME
Pankiw   I-NAME
Chief   O
Complaint   O
:   O
Miles   B-NAME
Echeverria   I-NAME
presented   O
to   O
Parkway   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
severe   O
,   O
recurrent   O
headaches   O
,   O
primarily   O
located   O
in   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

Medical   O
History   O
:   O
Josephine   B-NAME
Little   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
without   O
aura   O
,   O
initially   O
diagnosed   O
in   O
their   O
late   O
teens   O
.   O

Diagnostic   O
Assessment   O
:   O
Clinical   O
examination   O
and   O
a   O
detailed   O
neurological   O
assessment   O
were   O
conducted   O
in   O
Geary   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Junction   I-LOCATION
City   I-LOCATION
under   O
the   O
guidance   O
of   O
Dr.   O
Wiggins   B-NAME
.   O

The   O
MRI   O
,   O
performed   O
on   O
6/9   B-DATE
,   O
showed   O
no   O
abnormalities   O
.   O

The   O
management   O
strategy   O
discussed   O
with   O
Yael   B-NAME
Mcdaniel   I-NAME
focuses   O
on   O
migraine   O
prophylaxis   O
and   O
acute   O
symptom   O
control   O
.   O

Joe   B-NAME
Ramos   I-NAME
,   O
a   O
Heat   O
Treating   O
Equipment   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
,   O
was   O
advised   O
to   O
regularize   O
their   O
sleep   O
patterns   O
and   O
take   O
short   O
breaks   O
during   O
work   O
hours   O
to   O
mitigate   O
stress   O
.   O

Follow   O
-   O
Up   O
:   O
Jaelyn   B-NAME
Case   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
August   B-DATE
,   O
with   O
Dr.   O
Reid   B-NAME
at   O
Freeman   B-LOCATION
Orthopaedics   I-LOCATION
&   I-LOCATION
Sports   I-LOCATION
Medicine   I-LOCATION
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
Capital   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
(   I-LOCATION
Fuld   I-LOCATION
Campus   I-LOCATION
)   I-LOCATION
at   O
(   B-CONTACT
834   I-CONTACT
)   I-CONTACT
803   I-CONTACT
8135   I-CONTACT
.   O

Report   O
compiled   O
by   O
:   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Idaho   I-LOCATION
22/30   B-DATE

Olen   B-NAME
X.   I-NAME
Laughlin   I-NAME
Patient   O
Age   O
:   O
84   O
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
5153784   I-ID
Medical   O
Record   O
Number   O
:   O
9264966   B-ID
Address   O
:   O
8898   B-LOCATION
Fairfield   I-LOCATION
Court   I-LOCATION
,   O
27358   B-LOCATION
Phone   O
Number   O
:   O
84844   B-CONTACT
Employment   O
:   O
Music   O
therapist   O
Username   O
:   O
FM422   B-NAME
Date   O
of   O
Admission   O
:   O
02/31   B-DATE
Hospital   O
Name   O
:   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
West   I-LOCATION
Clinical   O
Summary   O
:   O
Selina   B-NAME
Mercado   I-NAME
was   O
admitted   O
to   O
Freeman   B-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
on   O
0   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
75   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Cocheta   B-NAME
's   O
temperature   O
was   O
noted   O
to   O
be   O
38.5   O
°   O
C   O
,   O
indicating   O
a   O
fever   O
.   O

Considering   O
these   O
findings   O
,   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Dr.   O
Yasmin   B-NAME
Alvarado   I-NAME
.   O

Alexie   B-NAME
,   I-NAME
Sherman   I-NAME
was   O
prepped   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
carried   O
out   O
successfully   O
on   O
12/02/2184   B-DATE
by   O
Dr.   O
Stevens   B-NAME
and   O
the   O
surgical   O
team   O
.   O

Postoperative   O
Course   O
:   O
Foxworthy   B-NAME
,   I-NAME
Jeff   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Presley   B-NAME
Tapia   I-NAME
was   O
discharged   O
on   O
12/19/1786   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
7/72   B-DATE
with   O
Dr.   O
Mitchell   B-NAME
at   O
Mt.   B-LOCATION
Edgecumbe   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Luciana   B-NAME
Willis   I-NAME
presented   O
for   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
on   O
Tuesday   B-DATE
.   O

The   O
surgical   O
site   O
was   O
healing   O
as   O
expected   O
,   O
and   O
Wendy   B-NAME
Bernard   I-NAME
reported   O
a   O
resolution   O
of   O
symptoms   O
.   O

Ardite   B-NAME
was   O
advised   O
to   O
resume   O
normal   O
activities   O
gradually   O
and   O
to   O
return   O
to   O
the   O
hospital   O
if   O
experiencing   O
fever   O
,   O
vomiting   O
,   O
or   O
any   O
signs   O
of   O
wound   O
infection   O
.   O

Conclusion   O
:   O
Gundmundsdottir   B-NAME
,   I-NAME
Bjork   I-NAME
,   O
a   O
9   O
-   O
year   O
-   O
old   O
Detectives   O
and   O
Criminal   O
Investigators   O
,   O
underwent   O
successful   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
at   O
Minden   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Dakota   B-NAME
Mcmahon   I-NAME
.   O

Adequate   O
follow   O
-   O
up   O
care   O
has   O
been   O
provided   O
,   O
and   O
Kanga   B-NAME
has   O
been   O
advised   O
on   O
signs   O
and   O
symptoms   O
that   O
require   O
immediate   O
medical   O
attention   O
.   O

Documentation   O
Prepared   O
by   O
:   O
HL3010   B-NAME
00/28   B-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Bridges   B-NAME
-   O
Age   O
:   O
78   O
-   O
Date   O
of   O
Birth   O
:   O
31   B-DATE
-   I-DATE
22   I-DATE
-   O
Phone   O
Number   O
:   O
795   B-CONTACT
-   I-CONTACT
6849   I-CONTACT
-   O
Address   O
:   O
Plainwell   B-LOCATION
,   O
57732   B-LOCATION
-   O
Occupation   O
:   O
Soil   O
and   O
Plant   O
Scientists   O
-   O
Medical   O
Record   O
Number   O
:   O
2194105   B-ID
-   O
Patient   O
ID   O
:   O
TV688/8125   B-ID
Consultation   O
Details   O
:   O
-   O
Date   O
of   O
Visit   O
:   O
3/01/08   B-DATE
-   O
Attending   O
Physician   O
:   O

Gonzalez   B-NAME
-   O
Hospital   O
Name   O
:   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
-   O
Doctors   O
’   O
organization   O
:   O
Peotone   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
Clinical   O
Findings   O
:   O

The   O
patient   O
,   O
Georgia   B-NAME
Gardner   I-NAME
,   O
a   O
Middle   O
School   O
Teachers   O
,   O
Except   O
Special   O
and   O
Vocational   O
Education   O
from   O
Gumbranch   B-LOCATION
,   O
presented   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
worsening   O
lethargy   O
,   O
and   O
intermittent   O
chest   O
pain   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
sudden   O
,   O
occurring   O
approximately   O
September   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Stefanie   B-NAME
Follette   I-NAME
appeared   O
cachectic   O
.   O

4   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
for   O
13/27   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
.   O

Conclusion   O
:   O
ostrowski   B-NAME
's   O
case   O
highlights   O
the   O
intricacies   O
of   O
managing   O
acute   O
exacerbations   O
of   O
chronic   O
conditions   O
in   O
patients   O
with   O
multiple   O
comorbidities   O
.   O

For   O
any   O
queries   O
regarding   O
this   O
report   O
or   O
the   O
patient   O
’s   O
management   O
plan   O
,   O
please   O
contact   O
Beard   B-NAME
at   O
19273   B-CONTACT
.   O
-   O

This   O
report   O
was   O
compiled   O
by   O
ry120   B-NAME
and   O
reviewed   O
on   O
2005   B-DATE
-   I-DATE
28   I-DATE
-   I-DATE
22   I-DATE
.   O

Patient   O
Name   O
:   O
Varl   B-NAME
Gone   I-NAME
Age   O
:   O
8   O
week   O
Date   O
of   O
Birth   O
:   O
30/34   B-DATE
Address   O
:   O
Little   B-LOCATION
Rock   I-LOCATION
,   O
85584   B-LOCATION
Phone   O
Number   O
:   O
76406   B-CONTACT
Occupation   O
:   O
Frame   O
Wirers   O
,   O
Central   O
Office   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Grant   B-NAME
Medical   O
Record   O
Number   O
:   O
7045291   B-ID
ID   O
Number   O
:   O
UR200/3592   B-ID
Admission   O
Date   O
:   O
October   B-DATE
Hospital   O
:   O
Utah   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Username   O
:   O
ujp952   B-NAME
Medical   O
History   O
:   O

Aviles   B-NAME
is   O
a   O
42   O
-   O
year   O
-   O
old   O
Advocate   O
(   O
Scotland   O
)   O
who   O
resides   O
in   O
London   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
57915   B-LOCATION
.   O

Maynard   B-NAME
presented   O
to   O
UPMC   B-LOCATION
Chautauqua   I-LOCATION
WCA   I-LOCATION
on   O
April   B-DATE
2200   I-DATE
with   O
complaints   O
of   O
persistent   O
migraine   O
,   O
photophobia   O
,   O
and   O
nausea   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Delora   B-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
hypertension   O
and   O
a   O
known   O
allergy   O
to   O
penicillin   O
.   O

Alivia   B-NAME
Santos   I-NAME
rates   O
the   O
pain   O
as   O
7   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Associated   O
symptoms   O
include   O
nausea   O
,   O
with   O
two   O
episodes   O
of   O
non   O
-   O
bilious   O
vomiting   O
on   O
the   O
morning   O
of   O
34/22   B-DATE
.   O

Elizabeth   B-NAME
,   I-NAME
the   I-NAME
Queen   I-NAME
Mother   I-NAME
also   O
reported   O
difficulty   O
concentrating   O
at   O
work   O
and   O
has   O
been   O
using   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
minimal   O
relief   O
.   O

The   O
neurological   O
examination   O
conducted   O
by   O
Dr.   O
Wilcox   B-NAME
revealed   O
no   O
focal   O
neurological   O
deficits   O
.   O

Given   O
the   O
persistent   O
nature   O
of   O
the   O
headaches   O
and   O
the   O
ineffectiveness   O
of   O
over   O
-   O
the   O
-   O
counter   O
medication   O
,   O
Dr.   O
Alan   B-NAME
Poe   I-NAME
prescribed   O
a   O
course   O
of   O
triptans   O
for   O
migraine   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Uzziel   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
the   O
neurology   O
department   O
at   O
Munson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
26/30/2385   B-DATE
.   O

Brynlee   B-NAME
Hardy   I-NAME
was   O
advised   O
to   O
keep   O
a   O
headache   O
diary   O
and   O
to   O
return   O
to   O
the   O
ER   O
should   O
symptoms   O
significantly   O
worsen   O
before   O
the   O
scheduled   O
visit   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Enzo   B-NAME
Cooley   I-NAME
can   O
be   O
reached   O
at   O
567   B-CONTACT
159   I-CONTACT
-   I-CONTACT
4336   I-CONTACT
or   O
through   O
their   O
username   O
VW6310   B-NAME
.   O

This   O
report   O
was   O
compiled   O
by   O
Dr.   O
Aarav   B-NAME
Cummings   I-NAME
on   O
36/22   B-DATE
and   O
contains   O
all   O
current   O
information   O
relating   O
to   O
Ventura   B-NAME
's   O
medical   O
condition   O
and   O
treatment   O
plan   O
.   O

Any   O
future   O
updates   O
or   O
changes   O
to   O
Blake   B-NAME
Simmons   I-NAME
's   O
health   O
status   O
will   O
be   O
documented   O
in   O
subsequent   O
reports   O
.   O

Peoples   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Medical   O
Record   O
Number   O
:   O
915   B-ID
-   I-ID
80   I-ID
-   I-ID
24   I-ID
-   I-ID
4   I-ID
ID   O
Number   O
:   O
8   B-ID
-   I-ID
9089396   I-ID

Patient   O
Report   O
:   O
The   O
patient   O
,   O
referred   O
to   O
as   O
Reynolds   B-NAME
,   O
presented   O
to   O
Presbyterian   B-LOCATION
-   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11   B-DATE
-   I-DATE
Aug-2290   I-DATE
with   O
a   O
detailed   O
history   O
of   O
persistent   O
headaches   O
,   O
described   O
as   O
unilateral   O
,   O
pulsating   O
,   O
and   O
of   O
moderate   O
to   O
severe   O
intensity   O
.   O

Garrett   B-NAME
Albert   I-NAME
is   O
65   O
years   O
old   O
and   O
resides   O
in   O
Fayetteville   B-LOCATION
,   O
67068   B-LOCATION
.   O

The   O
headaches   O
were   O
reported   O
to   O
have   O
been   O
occurring   O
for   O
the   O
past   O
09/28   B-DATE
weeks   O
,   O
with   O
episodes   O
lasting   O
between   O
4   O
to   O
72   O
hours   O
when   O
untreated   O
.   O

August   B-NAME
Beard   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
episodic   O
migraine   O
without   O
aura   O
,   O
diagnosed   O
by   O
Vaughan   B-NAME
in   O
2/22   B-DATE
.   O

Occupationally   O
,   O
Kourtney   B-NAME
is   O
a   O
Cleaning   O
,   O
Washing   O
,   O
and   O
Metal   O
Pickling   O
Equipment   O
Operators   O
and   O
Tenders   O
and   O
mentioned   O
experiencing   O
increased   O
stress   O
at   O
work   O
over   O
the   O
past   O
months   O
,   O
which   O
is   O
believed   O
to   O
be   O
a   O
contributing   O
factor   O
to   O
the   O
frequency   O
of   O
migraine   O
episodes   O
.   O

Contact   O
information   O
for   O
Spencer   B-NAME
O.   I-NAME
Wilhelm   I-NAME
includes   O
a   O
phone   O
number   O
:   O
404   B-CONTACT
253   I-CONTACT
3719   I-CONTACT
.   O

During   O
the   O
initial   O
evaluation   O
,   O
Sau   B-NAME
Swint   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
:   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
within   O
normal   O
limits   O
,   O
and   O
there   O
were   O
no   O
abnormalities   O
in   O
heart   O
rate   O
,   O
respiratory   O
rate   O
,   O
or   O
temperature   O
.   O

A   O
neurological   O
examination   O
performed   O
by   O
Pretorius   B-NAME
at   O
Plains   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
revealed   O
no   O
focal   O
neurological   O
deficits   O
.   O

The   O
MRI   O
results   O
,   O
reviewed   O
on   O
January   B-DATE
0   I-DATE
by   O
Roselyn   B-NAME
Villarreal   I-NAME
,   O
showed   O
no   O
abnormalities   O
.   O

Management   O
of   O
Khloe   B-NAME
Woodard   I-NAME
's   O
migraine   O
episodes   O
has   O
included   O
pharmacological   O
treatment   O
with   O
triptans   O
,   O
recommended   O
by   O
Rylie   B-NAME
Oneill   I-NAME
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
November   B-DATE
20   I-DATE
to   O
review   O
Zayden   B-NAME
Marsh   I-NAME
's   O
response   O
to   O
the   O
treatment   O
plan   O
.   O

The   O
medical   O
record   O
number   O
for   O
Runnels   B-NAME
,   I-NAME
Dustin   I-NAME
is   O
17526256   B-ID
,   O
and   O
all   O
diagnostic   O
findings   O
and   O
treatment   O
recommendations   O
have   O
been   O
sent   O
securely   O
to   O
Quale   B-NAME
,   I-NAME
Anthony   I-NAME
's   O
registered   O
email   O
:   O

uy239   B-NAME
@   O
Seminole   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
.com   O
.   O

Any   O
further   O
inquiries   O
regarding   O
Cale   B-NAME
Munoz   I-NAME
's   O
care   O
should   O
be   O
directed   O
to   O
the   O
medical   O
office   O
at   O
228   B-CONTACT
4766   I-CONTACT
.   O

Walter   B-NAME
and   O
the   O
team   O
at   O
UHS   B-LOCATION
Chenango   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
will   O
continue   O
to   O
monitor   O
Albert   B-NAME
Merritt   I-NAME
's   O
condition   O
closely   O
and   O
update   O
the   O
treatment   O
plan   O
as   O
necessary   O
based   O
on   O
the   O
progression   O
of   O
symptoms   O
and   O
response   O
to   O
management   O
strategies   O
implemented   O
.   O

This   O
patient   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
solely   O
for   O
the   O
use   O
of   O
Fulghum   B-NAME
,   I-NAME
Robert   I-NAME
and   O
their   O
care   O
team   O
.   O

Any   O
dissemination   O
,   O
distribution   O
,   O
or   O
copying   O
of   O
this   O
document   O
without   O
the   O
explicit   O
permission   O
of   O
Regional   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
of   I-LOCATION
Howard   I-LOCATION
County   I-LOCATION
and   O
Brown   B-NAME
is   O
strictly   O
prohibited   O
.   O

Patient   O
Name   O
:   O
Ean   B-NAME
Jackson   I-NAME
Patient   O
ID   O
:   O
389562083   B-ID
Date   O
of   O
Birth   O
:   O
02/30   B-DATE
Age   O
:   O
87   O
Phone   O
Number   O
:   O
77509   B-CONTACT
Address   O
:   O
Diller   B-LOCATION
,   O
34960   B-LOCATION
Employment   O
:   O
Prepress   O
Technicians   O
and   O
Workers   O
Medical   O
Record   O
Number   O
:   O
5792775   B-ID
Admitting   O
Physician   O
:   O

Kendall   B-NAME
Singh   I-NAME
Admission   O
Date   O
:   O
23/12/2179   B-DATE
Hospital   O
Name   O
:   O
Clinch   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O

Roberson   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
on   O
08/07/2083   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Chip   B-NAME
Walters   I-NAME
,   O
a   O
0   O
month   O
-   O
year   O
-   O
old   O
Nuclear   O
Monitoring   O
Technicians   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
began   O
experiencing   O
mild   O
abdominal   O
discomfort   O
early   O
in   O
the   O
morning   O
on   O
12/38/66   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Kasen   B-NAME
Krueger   I-NAME
denies   O
any   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

Social   O
History   O
:   O
Carus   B-NAME
works   O
as   O
a   O
receptionist   O
in   O
Corpus   B-LOCATION
Christi   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
78412   I-LOCATION
.   O

The   O
patient   O
lives   O
with   O
Robinson   B-NAME
's   O
spouse   O
and   O
two   O
children   O
.   O

General   O
Appearance   O
:   O
Bethea   B-NAME
,   I-NAME
Erin   I-NAME
appears   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
diagnosis   O
for   O
Patience   B-NAME
Miller   I-NAME
is   O
acute   O
appendicitis   O
.   O

After   O
discussion   O
with   O
Kennan   B-NAME
,   I-NAME
George   I-NAME
F.   I-NAME
regarding   O
the   O
risks   O
and   O
benefits   O
of   O
surgical   O
intervention   O
,   O
More   B-NAME
,   I-NAME
St.   I-NAME
Thomas   I-NAME
consented   O
to   O
an   O
appendectomy   O
.   O

The   O
surgery   O
is   O
scheduled   O
for   O
00/02   B-DATE
at   O
Grandview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Vernon   B-NAME
has   O
been   O
informed   O
about   O
the   O
need   O
for   O
post   O
-   O
surgical   O
follow   O
-   O
up   O
and   O
possible   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Duvall   B-NAME
is   O
to   O
return   O
to   O
the   O
clinic   O
on   O
2052   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
18   I-DATE
for   O
a   O
post   O
-   O
operative   O
evaluation   O
and   O
wound   O
check   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
,   O
Celeste   B-NAME
Beer   I-NAME
can   O
contact   O
Frederick   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
at   O
84375   B-CONTACT
.   O

Signature   O
:   O
Bergman   B-NAME
,   I-NAME
George   I-NAME
E.   I-NAME
02/08/1891   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Trevor   B-NAME
Olsen   I-NAME
Patient   O
ID   O
:   O
ME:19614:172632   B-ID
Date   O
of   O
Birth   O
:   O
2092   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
31   I-DATE
Date   O
of   O
Admission   O
:   O
Thursday   B-DATE
Medical   O
Record   O
Number   O
:   O
871   B-ID
-   I-ID
50   I-ID
-   I-ID
64   I-ID
-   I-ID
9   I-ID
Attending   O
Physician   O
:   O

Adriana   B-NAME
Cherry   I-NAME
Hospital   O
:   O

AdventHealth   B-LOCATION
Kissimmee   I-LOCATION
Presenting   O
Complaint   O
:   O
Rowan   B-NAME
Mcmahon   I-NAME
,   O
a   O
17s   O
-   O
year   O
-   O
old   O
Higher   O
education   O
administrator   O
from   O
Wounded   B-LOCATION
Knee   I-LOCATION
,   O
was   O
admitted   O
to   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
York   I-LOCATION
on   O
01/30/2320   B-DATE
with   O
symptoms   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
sudden   O
,   O
beginning   O
approximately   O
32/02/03   B-DATE
,   O
and   O
has   O
progressively   O
worsened   O
.   O

April   B-NAME
Dominguez   I-NAME
reported   O
the   O
pain   O
as   O
being   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
describing   O
it   O
as   O
a   O
sharp   O
and   O
persistent   O
pain   O
rated   O
at   O
8   O
on   O
the   O
pain   O
scale   O
.   O

Medical   O
History   O
:   O
Violette   B-NAME
Derubeis   I-NAME
has   O
a   O
documented   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
through   O
oral   O
hypoglycemics   O
prescribed   O
by   O
Fox   B-NAME
.   O

Jasmin   B-NAME
Barnett   I-NAME
's   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
in   O
33/32   B-DATE
.   O
Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
Adison   B-NAME
Best   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Management   O
Plan   O
:   O
Based   O
on   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
surgical   O
consultation   O
with   O
Tyger   B-NAME
,   I-NAME
Frank   I-NAME
was   O
recommended   O
.   O

Gage   B-NAME
Pierce   I-NAME
was   O
started   O
on   O
intravenous   O
fluids   O
and   O
antibiotics   O
as   O
part   O
of   O
the   O
preoperative   O
management   O
.   O

Braylen   B-NAME
Dougherty   I-NAME
and   O
Umberto   B-NAME
Xuan   I-NAME
's   O
family   O
(   O
Motion   O
Picture   O
Projectionists   O
)   O
were   O
informed   O
about   O
the   O
condition   O
,   O
treatment   O
plan   O
,   O
and   O
possible   O
outcomes   O
.   O

Surgical   O
removal   O
of   O
the   O
appendix   O
is   O
scheduled   O
for   O
01/32/83   B-DATE
.   O

Contact   O
Information   O
:   O
Primary   O
Contact   O
:   O
73356   B-CONTACT
Emergency   O
Contact   O
:   O
66188   B-CONTACT
Confidentiality   O
Notice   O
:   O

For   O
any   O
inquiries   O
or   O
to   O
report   O
a   O
discrepancy   O
,   O
please   O
contact   O
Holy   B-LOCATION
Cross   I-LOCATION
Hospital   I-LOCATION
compliance   O
office   O
at   O
(   B-CONTACT
576   I-CONTACT
)   I-CONTACT
408   I-CONTACT
-   I-CONTACT
5596   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
hh826   B-NAME
32/12/18   B-DATE
Lincoln   B-LOCATION
National   I-LOCATION
Corporation   I-LOCATION
Naperville   B-LOCATION
,   O
49983   B-LOCATION

Patient   O
Name   O
:   O
Peter   B-NAME
Starr   I-NAME
Medical   O
Record   O
Number   O
:   O
7163729   B-ID
Date   O
of   O
Birth   O
:   O
4/23   B-DATE
Age   O
:   O
1   O
month   O
Address   O
:   O
Fountain   B-LOCATION
Springs   I-LOCATION
,   O
35088   B-LOCATION
Phone   O
Number   O
:   O
19422   B-CONTACT
Primary   O
Physician   O
:   O

Mylie   B-NAME
Parker   I-NAME
Hospital   O
:   O
South   B-LOCATION
Nassau   I-LOCATION
Communities   I-LOCATION
Hospital   I-LOCATION
Employment   O
:   O
Benchmark   B-LOCATION
Bank   I-LOCATION
,   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Personal   O
Service   O
Workers   O
Date   O
of   O
Initial   O
Consultation   O
:   O
17/12   B-DATE
Chief   O
Complaint   O
:   O
Phillip   B-NAME
Watters   I-NAME
presented   O
at   O
Christian   B-LOCATION
Hospital   I-LOCATION
with   O
a   O
primary   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
9/20   B-DATE
.   O

Additionally   O
,   O
Denny   B-NAME
reports   O
experiencing   O
episodes   O
of   O
nausea   O
and   O
occasional   O
vomiting   O
over   O
the   O
same   O
period   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Dalton   B-NAME
,   O
a   O
Geologists   O
at   O
Chester   B-LOCATION
Municipal   I-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
,   O
began   O
experiencing   O
mild   O
abdominal   O
discomfort   O
approximately   O
0/6/40   B-DATE
.   O

Over   O
the   O
following   O
March   B-DATE
,   O
the   O
pain   O
intensified   O
and   O
became   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Buchanan   B-NAME
denied   O
any   O
recent   O
travel   O
outside   O
of   O
Richford   B-LOCATION
or   O
any   O
changes   O
in   O
dietary   O
habits   O
.   O

Past   O
Medical   O
History   O
:   O
Greene   B-NAME
,   I-NAME
Graham   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
managed   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
on   O
May   B-DATE
37   I-DATE
,   O
Nicholas   B-NAME
Lange   I-NAME
was   O
afebrile   O
with   O
a   O
temperature   O
of   O
98.7   O
°   O
F   O
.   O

Abdominal   O
ultrasonography   O
,   O
performed   O
on   O
6   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
72   I-DATE
,   O
suggested   O
appendicitis   O
without   O
evidence   O
of   O
perforation   O
.   O

Deacis   B-NAME
's   O
past   O
medical   O
records   O
,   O
including   O
ID   O
number   O
33079613   B-ID
,   O
were   O
reviewed   O
for   O
any   O
previous   O
similar   O
incidents   O
or   O
diagnostic   O
tests   O
relevant   O
to   O
the   O
current   O
presentation   O
.   O

Surgical   O
consultation   O
with   O
English   B-NAME
was   O
obtained   O
,   O
and   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

Galbraith   B-NAME
,   I-NAME
John   I-NAME
Kenneth   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
suggested   O
surgical   O
intervention   O
.   O

Consent   O
for   O
the   O
procedure   O
was   O
obtained   O
on   O
37/12/00   B-DATE
.   O

Postoperative   O
instructions   O
included   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
11/01   B-DATE
at   O
Yampa   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Spring   B-NAME
Geneseo   I-NAME
was   O
also   O
advised   O
on   O
activity   O
restrictions   O
and   O
dietary   O
modifications   O
to   O
aid   O
in   O
recovery   O
.   O
Instructions   O
for   O
Follow   O
-   O
up   O
:   O
Moreau   B-NAME
is   O
to   O
return   O
to   O
the   O
clinic   O
on   O
1/24   B-DATE
for   O
a   O
postoperative   O
evaluation   O
and   O
wound   O
check   O
.   O

Should   O
Ximena   B-NAME
Webber   I-NAME
experience   O
any   O
of   O
the   O
following   O
symptoms   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
:   O
increased   O
pain   O
,   O
fever   O
,   O
vomiting   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
immediate   O
contact   O
with   O
the   O
healthcare   O
provider   O
is   O
advised   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
xayasane   B-NAME
is   O
advised   O
to   O
contact   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Kirkwood   I-LOCATION
at   O
265   B-CONTACT
-   I-CONTACT
794   I-CONTACT
-   I-CONTACT
4144   I-CONTACT
or   O
present   O
to   O
the   O
emergency   O
department   O
.   O

This   O
report   O
has   O
been   O
filed   O
under   O
medical   O
record   O
number   O
16207363   B-ID
and   O
will   O
be   O
stored   O
in   O
the   O
Charter   B-LOCATION
Bank   I-LOCATION
's   O
electronic   O
health   O
records   O
system   O
for   O
future   O
reference   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
QUINTON   B-NAME
COLON   I-NAME
Age   O
:   O
96s   O
ID   O
:   O
ZP   B-ID
:   I-ID
TT:8964   B-ID
Medical   O
Record   O
Number   O
:   O
1330Y10561   B-ID
Phone   O
:   O
(   B-CONTACT
563   I-CONTACT
)   I-CONTACT
678   I-CONTACT
1330   I-CONTACT
Address   O
:   O
North   B-LOCATION
Creek   I-LOCATION
,   O
60523   B-LOCATION
Date   O
of   O
Visit   O
:   O
23/35   B-DATE
Treating   O
Doctor   O
:   O
Maeve   B-NAME
Foster   I-NAME
Hospital   O
:   O
Regional   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
of   I-LOCATION
Howard   I-LOCATION
County   I-LOCATION
Summary   O
:   O
Walker   B-NAME
Mccarty   I-NAME
,   O
a   O
Grinding   O
and   O
Polishing   O
Workers   O
,   O
Hand   O
by   O
profession   O
,   O
reported   O
a   O
series   O
of   O
concerning   O
symptoms   O
that   O
prompted   O
an   O
immediate   O
consultation   O
at   O
our   O
facility   O
in   O
West   B-LOCATION
Brookfield   I-LOCATION
on   O
23/10   B-DATE
.   O

No   O
prior   O
history   O
of   O
such   O
symptoms   O
was   O
noted   O
in   O
Uselton   B-NAME
's   O
medical   O
record   O
(   O
9537824   B-ID
)   O
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
examination   O
,   O
Madilynn   B-NAME
Shelton   I-NAME
presented   O
with   O
elevated   O
blood   O
pressure   O
and   O
an   O
irregular   O
heartbeat   O
.   O

An   O
immediate   O
referral   O
to   O
Lopez   B-NAME
at   O
Chestnut   B-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
's   O
cardiology   O
department   O
was   O
made   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Management   O
and   O
Recommendations   O
:   O
Buñuel   B-NAME
,   I-NAME
Luis   I-NAME
was   O
admitted   O
to   O
Cox   B-LOCATION
South   I-LOCATION
under   O
the   O
care   O
of   O
Tucker   B-NAME
for   O
acute   O
management   O
of   O
suspected   O
myocardial   O
infarction   O
.   O

Nathanial   B-NAME
Gaines   I-NAME
was   O
scheduled   O
for   O
a   O
coronary   O
angiography   O
on   O
Wednesday   B-DATE
,   I-DATE
November   I-DATE
to   O
assess   O
the   O
extent   O
of   O
coronary   O
artery   O
disease   O
and   O
to   O
determine   O
the   O
necessity   O
of   O
further   O
interventions   O
such   O
as   O
angioplasty   O
or   O
coronary   O
artery   O
bypass   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Beatus   B-NAME
Ahaus   I-NAME
with   O
Ochoa   B-NAME
at   O
Ottawa   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Healthcare   I-LOCATION
Center   I-LOCATION
dba   I-LOCATION
OSF   I-LOCATION
Saint   I-LOCATION
Elizabeth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
7/2   B-DATE
.   O

It   O
is   O
advised   O
that   O
Derex   B-NAME
monitors   O
their   O
symptoms   O
closely   O
and   O
adheres   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O

Cassidy   B-NAME
Gibbs   I-NAME
has   O
been   O
provided   O
with   O
educational   O
materials   O
on   O
recognizing   O
the   O
signs   O
of   O
a   O
myocardial   O
infarction   O
and   O
the   O
importance   O
of   O
prompt   O
medical   O
attention   O
.   O

Emergency   O
contact   O
numbers   O
,   O
including   O
329   B-CONTACT
866   I-CONTACT
-   I-CONTACT
3066   I-CONTACT
,   O
have   O
been   O
given   O
to   O
Herbert   B-NAME
,   I-NAME
George   I-NAME
for   O
immediate   O
assistance   O
if   O
similar   O
symptoms   O
recur   O
.   O

Patient   O
's   O
Status   O
:   O
As   O
of   O
23/10   B-DATE
,   O
Lauren   B-NAME
Lewis   I-NAME
remains   O
under   O
observation   O
in   O
University   B-LOCATION
of   I-LOCATION
Vermont   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Further   O
updates   O
on   O
Chastity   B-NAME
Petrus   I-NAME
's   O
condition   O
and   O
treatment   O
outcomes   O
will   O
be   O
documented   O
in   O
subsequent   O
medical   O
records   O
.   O

Comments   O
:   O
It   O
is   O
imperative   O
for   O
Nicodemus   B-NAME
Paz   I-NAME
to   O
follow   O
all   O
discharge   O
instructions   O
and   O
attend   O
all   O
scheduled   O
follow   O
-   O
up   O
appointments   O
.   O

Regular   O
monitoring   O
of   O
cardiovascular   O
health   O
is   O
crucial   O
for   O
Florence   B-NAME
Heather   I-NAME
Gil   I-NAME
,   O
given   O
the   O
acute   O
nature   O
of   O
the   O
presented   O
symptoms   O
and   O
the   O
ongoing   O
risk   O
of   O
subsequent   O
cardiac   O
events   O
.   O

For   O
any   O
queries   O
regarding   O
Shannon   B-NAME
Cummings   I-NAME
's   O
treatment   O
or   O
health   O
status   O
,   O
please   O
contact   O
Soldiers   B-LOCATION
And   I-LOCATION
Sailors   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Yates   I-LOCATION
County   I-LOCATION
Inc   I-LOCATION
at   O
88207   B-CONTACT
.   O

Habib   B-NAME
Valenzuela   I-NAME
Medical   O
Record   O
Number   O
:   O
75689437   B-ID
Age   O
:   O
22   O
Date   O
of   O
Birth   O
:   O
2280   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
25   I-DATE
Address   O
:   O
Lincoln   B-LOCATION
,   O
90722   B-LOCATION
Phone   O
Number   O
:   O
498   B-CONTACT
7883   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Efrain   B-NAME
Duarte   I-NAME
Admitting   O
Hospital   O
:   O
Logan   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
:   O
XH:221015:491519   B-ID

Date   O
of   O
Admission   O
:   O
2249   B-DATE
-   I-DATE
24   I-DATE
-   I-DATE
27   I-DATE
Employer   O
:   O
Rural   B-LOCATION
Industry   I-LOCATION
Promotions   I-LOCATION
Company   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Occupation   O
:   O

Energy   O
conservation   O
officer   O
Clinical   O
Summary   O
:   O
Chapin   B-NAME
,   I-NAME
Harry   I-NAME
presented   O
to   O
Southside   B-LOCATION
Hospital   I-LOCATION
on   O
5   B-DATE
-   I-DATE
36   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Beyonce   B-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
,   O
with   O
an   O
inability   O
to   O
keep   O
down   O
liquids   O
.   O

There   O
was   O
no   O
reported   O
fever   O
,   O
but   O
Huynh   B-NAME
noted   O
a   O
loss   O
of   O
appetite   O
over   O
the   O
last   O
24   O
hours   O
.   O

On   O
physical   O
examination   O
,   O
Yeates   B-NAME
,   I-NAME
Patrick   I-NAME
I   I-NAME
was   O
tachycardic   O
with   O
a   O
pulse   O
of   O
102   O
bpm   O
,   O
normal   O
respiratory   O
rate   O
,   O
and   O
normotensive   O
.   O

Imaging   O
in   O
the   O
form   O
of   O
an   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Royce   B-NAME
Hammond   I-NAME
,   O
which   O
indicated   O
swelling   O
and   O
inflammation   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Management   O
included   O
surgical   O
consultation   O
provided   O
by   O
the   O
general   O
surgery   O
team   O
at   O
Eastern   B-LOCATION
Niagara   I-LOCATION
Hospital   I-LOCATION
Lockport   I-LOCATION
,   O
and   O
antibiotic   O
therapy   O
was   O
initiated   O
per   O
the   O
infectious   O
disease   O
guidelines   O
.   O

kr   B-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
2293   B-DATE
,   O
with   O
findings   O
of   O
an   O
inflamed   O
appendix   O
.   O

Marcelene   B-NAME
Kaminsky   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
2033   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
with   O
Aileen   B-NAME
Patterson   I-NAME
in   O
2   O
weeks   O
.   O

Contact   O
information   O
for   O
Terrebonne   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
provided   O
,   O
with   O
a   O
reminder   O
to   O
call   O
if   O
there   O
were   O
any   O
concerns   O
or   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
issues   O
with   O
the   O
surgical   O
site   O
.   O

The   O
surgery   O
team   O
and   O
Kapell   B-NAME
,   I-NAME
William   I-NAME
discussed   O
the   O
importance   O
of   O
a   O
follow   O
-   O
up   O
appointment   O
to   O
ensure   O
proper   O
healing   O
and   O
to   O
address   O
any   O
postoperative   O
complications   O
.   O

Mid   B-NAME
-   I-NAME
Nite   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
balanced   O
diet   O
,   O
stay   O
hydrated   O
,   O
and   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
22/23/23   B-DATE
weeks   O
post   O
-   O
surgery   O
to   O
facilitate   O
recovery   O
.   O

Ivan   B-NAME
Melendez   I-NAME
was   O
informed   O
of   O
potential   O
side   O
effects   O
of   O
the   O
medications   O
and   O
was   O
advised   O
to   O
call   O
783   B-CONTACT
349   I-CONTACT
9462   I-CONTACT
for   O
any   O
adverse   O
reactions   O
or   O
if   O
the   O
pain   O
was   O
not   O
adequately   O
controlled   O
.   O

Patient   O
Name   O
:   O
Kaarel   B-NAME
Edleston   I-NAME
Patient   O
ID   O
:   O
EQ   B-ID
:   I-ID
JT:9687   I-ID
Medical   O
Record   O
Number   O
:   O
207   B-ID
-   I-ID
85   I-ID
-   I-ID
28   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
2111   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
05   I-DATE
Age   O
:   O
53   O
Phone   O
Number   O
:   O
30207   B-CONTACT
Address   O
:   O
Finley   B-LOCATION
,   O
67411   B-LOCATION
Profession   O
:   O
Detectives   O
and   O
Criminal   O
Investigators   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Camryn   B-NAME
Cervantes   I-NAME
Hospital   O
:   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Clairemont   I-LOCATION
Date   O
of   O
Admission   O
:   O
M   B-DATE
Date   O
of   O
Report   O
:   O
8/27/57   B-DATE
Chief   O
Complaint   O
:   O
Dawne   B-NAME
Mcmains   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
00/22/1728   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Gibson   B-NAME
mentioned   O
that   O
the   O
pain   O
had   O
been   O
present   O
for   O
approximately   O
24   O
hours   O
before   O
admission   O
and   O
had   O
progressively   O
worsened   O
,   O
radiating   O
to   O
the   O
back   O
and   O
right   O
shoulder   O
blade   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
reported   O
the   O
onset   O
of   O
nausea   O
and   O
vomiting   O
early   O
in   O
the   O
morning   O
on   O
39/21   B-DATE
.   O

Additionally   O
,   O
McLuhan   B-NAME
,   I-NAME
Marshall   I-NAME
complained   O
of   O
experiencing   O
chills   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Oliver   B-NAME
Napier   I-NAME
denied   O
any   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Albert   B-NAME
Michaels   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
hypertension   O
,   O
and   O
hyperlipidemia   O
.   O

Margaret   B-NAME
Aria   I-NAME
reported   O
no   O
known   O
drug   O
allergies   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
TOMLIN   B-NAME
,   I-NAME
THEODORE   I-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
diagnosis   O
of   O
acute   O
cholecystitis   O
,   O
surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Glendora   B-NAME
Bolfa   I-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
cholecystectomy   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
August   B-DATE
3   I-DATE
,   I-DATE
2124   I-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
with   O
Dr.   O
Premchand   B-NAME
,   I-NAME
Munshi   I-NAME
in   O
two   O
weeks   O
.   O

Conclusion   O
:   O
Lashunda   B-NAME
Misluk   I-NAME
,   O
a   O
65   O
-   O
year   O
-   O
old   O
physician   O
's   O
assistant   O
,   O
presented   O
to   O
Centra   B-LOCATION
Southside   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
with   O
acute   O
cholecystitis   O
.   O

Lorelai   B-NAME
Rios   I-NAME
is   O
advised   O
to   O
maintain   O
regular   O
follow   O
-   O
ups   O
and   O
adhere   O
to   O
post   O
-   O
operative   O
instructions   O
strictly   O
.   O

Signature   O
:   O
Dr.   O
Mora   B-NAME
Carilion   B-LOCATION
Franklin   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
3   B-DATE
-   I-DATE
22   I-DATE

Patient   O
Name   O
:   O
Jordan   B-NAME
Vaughan   I-NAME
Medical   O
Record   O
Number   O
:   O
5367439   B-ID
Date   O
of   O
Birth   O
:   O
71   O
Date   O
of   O
Visit   O
:   O
26/12   B-DATE
Physician   O
:   O

Kelsi   B-NAME
Rouleau   I-NAME
Hospital   O
Name   O
:   O
Allegheny   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Bunnell   B-LOCATION
Phone   O
Number   O
:   O
960   B-CONTACT
393   I-CONTACT
-   I-CONTACT
6330   I-CONTACT
Zip   O
Code   O
:   O
70038   B-LOCATION
Employment   O
:   O
Directors-   O
Stage   O
,   O
Motion   O
Pictures   O
,   O
Television   O
,   O
and   O
Radio   O
Username   O
:   O
lsx3110   B-NAME
ID   O
:   O
1   B-ID
-   I-ID
6916292   I-ID
Subjective   O
:   O

The   O
patient   O
,   O
Aeschylus   B-NAME
,   O
a   O
Political   O
Scientists   O
aged   O
5   O
from   O
Rockville   B-LOCATION
Centre   I-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
South   I-LOCATION
on   O
2291   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
14   I-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
intermittent   O
chest   O
pains   O
over   O
the   O
course   O
of   O
the   O
last   O
two   O
weeks   O
.   O

Pierce   B-NAME
reported   O
no   O
recent   O
travel   O
history   O
or   O
known   O
exposure   O
to   O
COVID-19   O
but   O
mentioned   O
frequent   O
contact   O
with   O
large   O
groups   O
of   O
people   O
due   O
to   O
their   O
job   O
.   O

Ike   B-NAME
Grygiel   I-NAME
denies   O
smoking   O
but   O
has   O
a   O
medical   O
history   O
of   O
asthma   O
in   O
childhood   O
.   O

Upon   O
examination   O
,   O
Madilyn   B-NAME
Roman   I-NAME
appeared   O
to   O
be   O
in   O
a   O
moderate   O
amount   O
of   O
distress   O
related   O
to   O
their   O
breathing   O
difficulties   O
.   O

5   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
in   O
03/02   B-DATE
to   O
reassess   O
symptom   O
progression   O
and   O
treatment   O
effectiveness   O
.   O

Advise   O
Cale   B-NAME
Finley   I-NAME
to   O
maintain   O
social   O
distancing   O
and   O
use   O
personal   O
protective   O
equipment   O
(   O
PPE   O
)   O
as   O
a   O
precautionary   O
measure   O
until   O
COVID-19   O
is   O
ruled   O
out   O
.   O

Additional   O
Notes   O
:   O
Terrell   B-NAME
instructed   O
Rocky   B-NAME
to   O
monitor   O
their   O
symptoms   O
closely   O
and   O
to   O
return   O
to   O
Myrtue   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
contact   O
(   B-CONTACT
864   I-CONTACT
)   I-CONTACT
303   I-CONTACT
-   I-CONTACT
6157   I-CONTACT
if   O
they   O
experience   O
a   O
significant   O
increase   O
in   O
the   O
severity   O
of   O
symptoms   O
or   O
develop   O
new   O
symptoms   O
such   O
as   O
fever   O
,   O
chills   O
,   O
or   O
severe   O
dyspnea   O
.   O

Follow   O
-   O
Up   O
:   O
Follow   O
-   O
up   O
after   O
the   O
initial   O
treatment   O
has   O
been   O
scheduled   O
for   O
01/98   B-DATE
to   O
monitor   O
Kennedi   B-NAME
Castaneda   I-NAME
's   O
condition   O
and   O
modify   O
the   O
treatment   O
plan   O
as   O
needed   O
.   O

Chance   B-NAME
Harrell   I-NAME
emphasized   O
the   O
importance   O
of   O
Meyers   B-NAME
contacting   O
the   O
clinic   O
at   O
531   B-CONTACT
9369   I-CONTACT
in   O
Garden   B-LOCATION
Acres   I-LOCATION
for   O
any   O
queries   O
or   O
further   O
symptoms   O
before   O
the   O
scheduled   O
appointment   O
.   O

Patient   O
Name   O
:   O
Vitale   B-NAME
Date   O
of   O
Birth   O
:   O
12/12   B-DATE
Medical   O
Record   O
Number   O
:   O
56685431   B-ID
Address   O
:   O
Mount   B-LOCATION
Summit   I-LOCATION
,   O
67481   B-LOCATION
Phone   O
Number   O
:   O
95621   B-CONTACT

Kylie   B-NAME
Preece   I-NAME
Hospital   O
:   O

Allegheny   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
6112744   I-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
reports   O
that   O
these   O
symptoms   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
11/16   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Miles   B-NAME
McCabe   I-NAME
states   O
that   O
the   O
headache   O
began   O
suddenly   O
while   O
at   O
work   O
at   O
Human   B-LOCATION
Rights   I-LOCATION
Without   I-LOCATION
Frontiers   I-LOCATION
on   O
22/26   B-DATE
.   O

The   O
occurrence   O
of   O
vomiting   O
has   O
further   O
debilitated   O
the   O
patient   O
,   O
causing   O
them   O
to   O
seek   O
emergency   O
care   O
at   O
Griffin   B-LOCATION
Hospital   I-LOCATION
.   O

Social   O
History   O
:   O
Destiny   B-NAME
Hill   I-NAME
,   O
a   O
Education   O
Administrators   O
,   O
All   O
Other   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
illicit   O
drugs   O
,   O
or   O
significant   O
alcohol   O
intake   O
.   O

The   O
patient   O
is   O
currently   O
employed   O
at   O
Pierce   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
and   O
lives   O
with   O
their   O
spouse   O
in   O
Padroni   B-LOCATION
.   O
Review   O
of   O
Systems   O
:   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
set   O
with   O
Burton   B-NAME
in   O
two   O
weeks   O
to   O
reassess   O
the   O
condition   O
.   O

The   O
patient   O
was   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sarasota   I-LOCATION
or   O
contact   O
75106   B-CONTACT
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
arise   O
.   O

Documentation   O
by   O
:   O
wn704   B-NAME
Date   O
:   O
02/20/1753   B-DATE

*   O
*   O
Patient   O
Report   O
:*   O
*   O
*   O
*   O
General   O
Information   O
:*   O
*   O
-   O
*   O
*   O
Patient   O
Name   O
:*   O
*   O
Julien   B-NAME
Gilmore   I-NAME
-   O
*   O
*   O
Age   O
:*   O
*   O
3   O
-   O
*   O
*   O
Medical   O
Record   O
Number   O
:*   O
*   O
3751672   B-ID
-   O
*   O
*   O
Date   O
of   O
Evaluation   O
:*   O
*   O
12/06/2348   B-DATE
-   O
*   O
*   O
Primary   O
Care   O
Physician   O
:*   O
*   O
Robinson   B-NAME
,   I-NAME
Jackie   I-NAME
-   O
*   O
*   O
Hospital   O
:*   O
*   O

King   B-LOCATION
's   I-LOCATION
Daughter   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
-   O
*   O
*   O
Location   O
:*   O
*   O

Legend   B-LOCATION
Lake   I-LOCATION
-   O
*   O
*   O
Contact   O
Phone   O
:*   O
*   O
29580   B-CONTACT
*   O
*   O
Symptoms   O
Summary   O
:*   O
*   O
Peyton   B-NAME
Schneider   I-NAME
presented   O
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
initially   O
appeared   O
approximately   O
thanksgiving   B-DATE
.   O

*   O
*   O
Medical   O
and   O
Social   O
History   O
:*   O
*   O
Brent   B-NAME
Monroe   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
well   O
-   O
controlled   O
on   O
medication   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

DAR   B-NAME
’s   O
family   O
medical   O
history   O
is   O
non   O
-   O
contributory   O
.   O

Erickson   B-NAME
is   O
a   O
nonsmoker   O
and   O
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Dax   B-NAME
Carlson   I-NAME
was   O
also   O
referred   O
for   O
an   O
excisional   O
lymph   O
node   O
biopsy   O
to   O
facilitate   O
a   O
more   O
definitive   O
diagnosis   O
.   O

An   O
immediate   O
referral   O
was   O
made   O
to   O
Jeri   B-NAME
Clingan   I-NAME
in   O
the   O
Hematology   O
/   O
Oncology   O
department   O
at   O
AMITA   B-LOCATION
Health   I-LOCATION
Adventist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
La   I-LOCATION
Grange   I-LOCATION
,   O
located   O
in   O
Blackey   B-LOCATION
,   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Lavigne   B-NAME
,   I-NAME
Avril   I-NAME
and   O
their   O
family   O
were   O
provided   O
with   O
informational   O
resources   O
about   O
potential   O
diagnostic   O
outcomes   O
and   O
were   O
encouraged   O
to   O
reach   O
out   O
via   O
212   B-CONTACT
3509   I-CONTACT
for   O
any   O
immediate   O
concerns   O
or   O
clarification   O
needs   O
.   O

All   O
information   O
pertaining   O
to   O
Romelia   B-NAME
Garced   I-NAME
's   O
health   O
and   O
personal   O
details   O
,   O
including   O
contact   O
404   B-CONTACT
9954   I-CONTACT
,   O
residing   O
at   O
Clam   B-LOCATION
Gulch   I-LOCATION
with   O
ZIP   O
code   O
79578   B-LOCATION
,   O
and   O
employment   O
as   O
Metal   O
Molding   O
,   O
Coremaking   O
,   O
and   O
Casting   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
remains   O
strictly   O
confidential   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Unauthorized   O
disclosure   O
of   O
this   O
information   O
,   O
including   O
83231663   B-ID
and   O
ID   O
XO580/7726   B-ID
,   O
without   O
explicit   O
consent   O
is   O
prohibited   O
.   O

*   O
*   O
Follow   O
-   O
Up   O
:*   O
*   O
A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
9   B-DATE
-   I-DATE
22   I-DATE
to   O
review   O
biopsy   O
results   O
and   O
formulate   O
a   O
comprehensive   O
treatment   O
plan   O
based   O
on   O
the   O
diagnosis   O
.   O

Rolf   B-NAME
Caughran   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
symptom   O
diary   O
and   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
emergence   O
of   O
new   O
symptoms   O
immediately   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Bernard   B-NAME
Rieux   I-NAME
Age   O
:   O
95   O
ID   O
:   O
369717   B-ID
Medical   O
Record   O
Number   O
:   O
5511A66578   B-ID
Location   O
:   O
669   B-LOCATION
El   I-LOCATION
Dorado   I-LOCATION
Drive   I-LOCATION
Phone   O
:   O
51274   B-CONTACT
Profession   O
:   O
Network   O
and   O
Computer   O
Systems   O
Administrators   O

Admitting   O
Doctor   O
:   O
Zion   B-NAME
Luna   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Livingston   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
1965   B-DATE
Zip   O
Code   O
:   O
34749   B-LOCATION
Symptoms   O
:   O
The   O
patient   O
,   O
Booth   B-NAME
,   O
presented   O
with   O
an   O
acute   O
onset   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
dyspnea   O
,   O
and   O
diaphoresis   O
.   O

These   O
symptoms   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
on   O
18/10/62   B-DATE
.   O

Leah   B-NAME
Orozco   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
smoking   O
,   O
which   O
increases   O
their   O
risk   O
for   O
cardiovascular   O
diseases   O
.   O

Treatment   O
Administered   O
:   O
Upon   O
admission   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
by   O
Mylie   B-NAME
Valentine   I-NAME
,   O
Lanny   B-NAME
Panek   I-NAME
underwent   O
an   O
immediate   O
EKG   O
which   O
showed   O
ST   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
,   O
indicative   O
of   O
a   O
myocardial   O
infarction   O
.   O

Jensen   B-NAME
Love   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
and   O
a   O
statin   O
as   O
part   O
of   O
the   O
acute   O
coronary   O
syndrome   O
management   O
protocol   O
.   O

Follow   O
-   O
up   O
:   O
Damian   B-NAME
Sparks   I-NAME
is   O
scheduled   O
for   O
cardiac   O
rehabilitation   O
following   O
their   O
discharge   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Roxanne   B-NAME
Turner   I-NAME
at   O
Providence   B-LOCATION
Holy   I-LOCATION
Family   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
made   O
for   O
21/16   B-DATE
.   O

Prescriptions   O
for   O
medications   O
including   O
a   O
beta   O
-   O
blocker   O
,   O
aspirin   O
,   O
and   O
a   O
statin   O
have   O
been   O
given   O
,   O
along   O
with   O
lifestyle   O
modification   O
recommendations   O
to   O
address   O
Isabela   B-NAME
Ruiz   I-NAME
's   O
risk   O
factors   O
.   O

Username   O
:   O
id372   B-NAME
Organization   O
:   O
Jewish   B-LOCATION
War   I-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
the   I-LOCATION
USA   I-LOCATION
Location   O
:   O
Laupahoehoe   B-LOCATION
Note   O
:   O
All   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
has   O
been   O
anonymized   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

For   O
any   O
medical   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Parkridge   B-LOCATION
East   I-LOCATION
Hospital   I-LOCATION
's   O
patient   O
information   O
at   O
32239   B-CONTACT
or   O
visit   O
us   O
at   O
Ohiopyle   B-LOCATION
,   O
27467   B-LOCATION
.   O

Patient   O
Name   O
:   O
KYLE   B-NAME
CONLEY   I-NAME
Patient   O
ID   O
:   O
48345442   B-ID
Medical   O
Record   O
Number   O
:   O
7331985   B-ID
Date   O
of   O
Birth   O
:   O
02/22/2006   B-DATE
Age   O
:   O
2   O
month   O
Address   O
:   O
Tonsina   B-LOCATION
,   O
58874   B-LOCATION
Phone   O
Number   O
:   O
844   B-CONTACT
-   I-CONTACT
9150   I-CONTACT
Referred   O
by   O
:   O
Augustus   B-NAME
Hetjonk   I-NAME
Attending   O
Physician   O
:   O
Huynh   B-NAME
Hospital   O
:   O
AMITA   B-LOCATION
Health   I-LOCATION
Resurrection   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chicago   I-LOCATION
Date   O
of   O
Admission   O
:   O

June   B-DATE
19   I-DATE
,   I-DATE
2130   I-DATE
Date   O
of   O
Discharge   O
:   O
35/06   B-DATE
Patient   O
's   O
Employer   O
:   O

Animal   B-LOCATION
Defense   I-LOCATION
League   I-LOCATION
Occupation   O
:   O
Network   O
and   O
Computer   O
Systems   O
Administrators   O
Username   O
:   O
kim165   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Hester   B-NAME
,   O
presented   O
to   O
Florida   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
on   O
2384   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
23   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
has   O
been   O
persistent   O
for   O
approximately   O
48   O
hours   O
.   O

Additionally   O
,   O
Quintilian   B-NAME
,   I-NAME
Marcus   I-NAME
Fabius   I-NAME
reported   O
episodes   O
of   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Whitney   B-NAME
Gibbs   I-NAME
has   O
not   O
experienced   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

The   O
onset   O
was   O
sudden   O
,   O
initiating   O
late   O
at   O
night   O
on   O
August   B-DATE
19   I-DATE
,   I-DATE
2332   I-DATE
.   O

No   O
prior   O
medical   O
consultation   O
was   O
sought   O
before   O
presenting   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Springfield   I-LOCATION
.   O

Examination   O
Finding   O
:   O
Upon   O
examination   O
,   O
Batung   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Amya   B-NAME
Stewart   I-NAME
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
36/32   B-DATE
without   O
complications   O
.   O

Cordell   B-NAME
was   O
advised   O
post   O
-   O
operative   O
care   O
instructions   O
,   O
including   O
activity   O
level   O
,   O
wound   O
care   O
,   O
and   O
signs   O
of   O
infection   O
to   O
monitor   O
.   O

Disposition   O
:   O
kuntz   B-NAME
was   O
discharged   O
in   O
stable   O
condition   O
on   O
2/33   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Grimes   B-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
any   O
complications   O
arise   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
DeTar   B-LOCATION
Hospital   I-LOCATION
Navarro   I-LOCATION
with   O
McGill   B-NAME
,   I-NAME
Bryant   I-NAME
on   O
02/22/02   B-DATE
to   O
ensure   O
proper   O
recovery   O
and   O
manage   O
any   O
potential   O
complications   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Marsh   B-NAME
-   O
Age   O
:   O
83   O
-   O
Date   O
of   O
Birth   O
:   O
17/02/63   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
47747787   B-ID
-   O
Address   O
:   O
Corona   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
92882   I-LOCATION
,   O
72667   B-LOCATION
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
368   I-CONTACT
)   I-CONTACT
382   I-CONTACT
4016   I-CONTACT
-   O
Physician   O
:   O

Whitney   B-NAME
Hampton   I-NAME
-   O
Treating   O
Organization   O
:   O

Carilion   B-LOCATION
Giles   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
-   O
Occupation   O
:   O
Fire   O
Inspectors   O
and   O
Investigators   O
-   O
Date   O
of   O
Admission   O
:   O
1/5   B-DATE
-   O
Date   O
of   O
Discharge   O
:   O
31/31/2101   B-DATE
Summary   O
:   O
Arthur   B-NAME
Light   I-NAME
,   O
a   O
Nuclear   O
Technicians   O
from   O
Lannon   B-LOCATION
,   O
presented   O
to   O
South   B-LOCATION
Fulton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Thursday   B-DATE
,   I-DATE
October   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
body   O
temperature   O
of   O
38.7   O
°   O
C   O
.   O

Brynn   B-NAME
Stephens   I-NAME
's   O
primary   O
contact   O
number   O
is   O
(   B-CONTACT
472   I-CONTACT
)   I-CONTACT
571   I-CONTACT
2261   I-CONTACT
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Camie   B-NAME
Lim   I-NAME
demonstrated   O
rebound   O
tenderness   O
and   O
rigidity   O
indicative   O
of   O
peritonitis   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Fritz   B-NAME
,   O
Arjun   B-NAME
Moss   I-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
Wednesday   B-DATE
,   I-DATE
March   I-DATE
.   O

Setsuko   B-NAME
Lovett   I-NAME
's   O
recovery   O
has   O
been   O
progressive   O
.   O

Nathalie   B-NAME
Wood   I-NAME
was   O
discharged   O
on   O
01/23   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Kelly   B-NAME
Watson   I-NAME
in   O
two   O
weeks   O
.   O

Instructions   O
for   O
Follow   O
-   O
up   O
:   O
Ronald   B-NAME
Bartlett   I-NAME
is   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
10   O
days   O
post   O
-   O
discharge   O
.   O

Any   O
signs   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
redness   O
,   O
or   O
drainage   O
from   O
the   O
incision   O
site   O
should   O
prompt   O
immediate   O
consultation   O
with   O
Lillianna   B-NAME
Booker   I-NAME
.   O

Please   O
contact   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Macomb   I-LOCATION
County   I-LOCATION
at   O
743   B-CONTACT
1644   I-CONTACT
for   O
any   O
urgent   O
concerns   O
.   O

Document   O
Prepared   O
By   O
:   O
ar3410   B-NAME
,   O
Medical   O
Secretary   O
06/46   B-DATE
Confidentiality   O
Notice   O
:   O

Zaiden   B-NAME
Green   I-NAME
Date   O
of   O
Birth   O
:   O
31/21/63   B-DATE
Age   O
:   O
90   O
Address   O
:   O
Tucker   B-LOCATION
,   O
90759   B-LOCATION
Phone   O
:   O
118   B-CONTACT
6644   I-CONTACT
Occupation   O
:   O
Ushers   O
,   O
Lobby   O
Attendants   O
,   O
and   O
Ticket   O
Takers   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Tenzin   B-NAME
Gyatso   I-NAME
(   I-NAME
14th   I-NAME
Dalai   I-NAME
Lama   I-NAME
)   I-NAME
Hospital   O
:   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
5524279   B-ID
Identification   O
Number   O
:   O
GP392/6997   B-ID
Chief   O
Complaint   O
:   O
turpin   B-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
Cherokee   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Nov-'03   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Noel   B-NAME
Patterson   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jones   B-NAME
,   I-NAME
John   I-NAME
Paul   I-NAME
,   O
a   O
89   O
-   O
year   O
-   O
old   O
Crystallographer   O
,   O
stated   O
that   O
the   O
pain   O
initiated   O
suddenly   O
in   O
the   O
afternoon   O
of   O
02/10/1982   B-DATE
while   O
at   O
work   O
in   O
Kettle   B-LOCATION
Falls   I-LOCATION
.   O

The   O
pain   O
has   O
progressively   O
worsened   O
over   O
a   O
period   O
of   O
several   O
hours   O
,   O
leading   O
Thad   B-NAME
to   O
seek   O
medical   O
attention   O
.   O

Damari   B-NAME
Huff   I-NAME
denies   O
any   O
bowel   O
changes   O
or   O
urinary   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Angelika   B-NAME
Venson   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Previous   O
surgeries   O
include   O
a   O
laparoscopic   O
cholecystectomy   O
December   B-DATE
25   I-DATE
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
mentioned   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
the   O
present   O
illness   O
,   O
Maarie   B-NAME
denies   O
any   O
further   O
systemic   O
symptoms   O
,   O
including   O
but   O
not   O
limited   O
to   O
,   O
fevers   O
,   O
chills   O
,   O
cough   O
,   O
dysuria   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
urinary   O
habits   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Rachel   B-NAME
Hughes   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
were   O
ordered   O
by   O
Dr.   O
Shiela   B-NAME
Flomm   I-NAME
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
35/22   B-DATE
showed   O
indications   O
of   O
an   O
inflamed   O
appendix   O
with   O
no   O
signs   O
of   O
perforation   O
.   O

The   O
presentation   O
of   O
clinical   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
led   O
Dr.   O
Angelique   B-NAME
Ho   I-NAME
to   O
recommend   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Nicholas   B-NAME
Martinez   I-NAME
was   O
informed   O
of   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
was   O
discussed   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Snuggles   B-NAME
for   O
the   O
planned   O
surgical   O
procedure   O
,   O
scheduled   O
to   O
occur   O
on   O
1984   B-DATE
at   O
Methodist   B-LOCATION
Richardson   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Roy   B-NAME
was   O
admitted   O
to   O
the   O
surgical   O
floor   O
for   O
monitoring   O
and   O
further   O
management   O
.   O

Follow   O
-   O
up   O
care   O
and   O
post   O
-   O
operative   O
instructions   O
were   O
discussed   O
,   O
including   O
a   O
scheduled   O
post   O
-   O
operative   O
check   O
-   O
up   O
with   O
Dr.   O
Adams   B-NAME
on   O
4/0   B-DATE
.   O

Patient   O
Name   O
:   O
Al   B-NAME
S.   I-NAME
Everhart   I-NAME
Patient   O
ID   O
:   O
DZ   B-ID
:   I-ID
VJ:9180   I-ID
Date   O
of   O
Birth   O
:   O
2/22/91   B-DATE
Age   O
:   O
92   O
Phone   O
Number   O
:   O
462   B-CONTACT
-   I-CONTACT
605   I-CONTACT
-   I-CONTACT
6715   I-CONTACT
Address   O
:   O
Milpitas   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
95035   I-LOCATION
,   O
55432   B-LOCATION
Primary   O
Care   O
Physician   O
:   O
Joseph   B-NAME
Presenting   O
Problem   O
:   O
The   O
patient   O
,   O
Roland   B-NAME
Barajas   I-NAME
,   O
presented   O
to   O
the   O
clinic   O
on   O
21/01   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
difficulty   O
breathing   O
,   O
and   O
occasional   O
chest   O
pain   O
over   O
the   O
last   O
two   O
weeks   O
.   O

Juan   B-NAME
Yun   I-NAME
has   O
a   O
history   O
of   O
asthma   O
and   O
seasonal   O
allergies   O
,   O
which   O
are   O
typically   O
managed   O
with   O
an   O
inhaler   O
and   O
over   O
-   O
the   O
-   O
counter   O
antihistamines   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
BEVERLY   B-NAME
B.   I-NAME
MARTINEZ   I-NAME
presented   O
with   O
mild   O
tachypnea   O
and   O
wheezing   O
audible   O
bilaterally   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
6493O94697   B-ID
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
was   O
conducted   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Montgomery   I-LOCATION
on   O
3/11   B-DATE
,   O
revealing   O
no   O
acute   O
infiltrates   O
,   O
suggesting   O
no   O
presence   O
of   O
pneumonia   O
.   O

Nicole   B-NAME
Ostrowski   I-NAME
was   O
prescribed   O
a   O
corticosteroid   O
inhaler   O
to   O
manage   O
inflammation   O
and   O
a   O
short   O
course   O
of   O
antibiotics   O
as   O
a   O
precautionary   O
measure   O
against   O
possible   O
secondary   O
bacterial   O
infections   O
.   O

Jamya   B-NAME
Watkins   I-NAME
was   O
advised   O
to   O
monitor   O
their   O
temperature   O
and   O
symptoms   O
closely   O
and   O
to   O
follow   O
up   O
in   O
one   O
week   O
or   O
sooner   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
WOODRUFF   B-NAME
,   I-NAME
FERNE   I-NAME
with   O
Clara   B-NAME
Bryant   I-NAME
on   O
35   B-DATE
-   I-DATE
21   I-DATE
at   O
CenterPointe   B-LOCATION
Hospital   I-LOCATION
.   O

Instructions   O
for   O
Patient   O
:   O
Gould   B-NAME
has   O
been   O
advised   O
to   O
rest   O
,   O
stay   O
hydrated   O
,   O
and   O
avoid   O
known   O
allergens   O
.   O

Shiloh   B-NAME
Mullen   I-NAME
has   O
been   O
given   O
the   O
contact   O
information   O
of   O
Forest   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
(   O
25389   B-CONTACT
)   O
to   O
report   O
any   O
severe   O
symptoms   O
or   O
adverse   O
reactions   O
to   O
medications   O
prescribed   O
.   O

This   O
report   O
contains   O
confidential   O
health   O
information   O
of   O
Tom   B-NAME
Tejeda   I-NAME
and   O
is   O
meant   O
solely   O
for   O
the   O
use   O
of   O
the   O
individual   O
named   O
above   O
and   O
the   O
medical   O
personnel   O
involved   O
in   O
their   O
care   O
.   O

Date   O
:   O
05/27/2098   B-DATE

Allan   B-NAME
Cabrera   I-NAME
Patient   O
ID   O
:   O
AS490/8795   B-ID
DOB   O
:   O
2152   B-DATE
-   I-DATE
28   I-DATE
-   I-DATE
21   I-DATE
Phone   O
Number   O
:   O
373   B-CONTACT
6135   I-CONTACT
Address   O
:   O
O'Fallon   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
O`Fallon   I-LOCATION
,   O
12512   B-LOCATION
Employment   O
:   O
Farmworkers   O
and   O
Laborers   O
,   O
Crop   O
,   O
Nursery   O
,   O
and   O
Greenhouse   O
Primary   O
Care   O
Physician   O
:   O

Sexton   B-NAME
Medical   O
Record   O
Number   O
:   O
7946046   B-ID
Hospital   O
Admitted   O
:   O
Evangelical   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
Thursday   B-DATE
Username   O
for   O
Hospital   O
Portal   O
:   O
IC812   B-NAME
Chief   O
Complaint   O
:   O
Frank   B-NAME
Oconnell   I-NAME
,   O
a   O
80s   O
-   O
year   O
-   O
old   O
surgeon   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Redlands   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
13/11/2309   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
excessive   O
sweating   O
.   O

These   O
symptoms   O
commenced   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
Krieger   B-NAME
was   O
at   O
work   O
at   O
Marriott   B-LOCATION
.   O
History   O
of   O
Present   O
Illness   O
:   O

Boone   B-NAME
,   I-NAME
Louis   I-NAME
E.   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
cardiovascular   O
diseases   O
.   O

Medical   O
History   O
:   O
Anthemius   B-NAME
Custa   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
for   O
which   O
Juanita   B-NAME
Lewandowski   I-NAME
is   O
on   O
medication   O
,   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
diet   O
and   O
oral   O
hypoglycemics   O
,   O
and   O
hyperlipidemia   O
.   O

Carolee   B-NAME
Graff   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Carsen   B-NAME
Sutton   I-NAME
appeared   O
in   O
acute   O
distress   O
with   O
noticeable   O
labored   O
breathing   O
.   O

Tyger   B-NAME
,   I-NAME
Frank   I-NAME
was   O
referred   O
to   O
Lucas   B-NAME
for   O
emergency   O
cardiac   O
catheterization   O
.   O

Hospital   O
Course   O
:   O
Jazmyn   B-NAME
Hayes   I-NAME
’s   O
hospital   O
stay   O
at   O
North   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
complicated   O
by   O
a   O
brief   O
episode   O
of   O
atrial   O
fibrillation   O
,   O
which   O
was   O
managed   O
with   O
beta   O
-   O
blockers   O
and   O
subsequently   O
resolved   O
.   O

Dietary   O
and   O
activity   O
modifications   O
were   O
advised   O
,   O
and   O
Frost   B-NAME
,   I-NAME
Robert   I-NAME
was   O
referred   O
to   O
cardiac   O
rehabilitation   O
.   O

Disposition   O
:   O
Belen   B-NAME
Suarez   I-NAME
was   O
discharged   O
on   O
February   B-DATE
in   O
stable   O
condition   O
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Corinne   B-NAME
Gould   I-NAME
and   O
the   O
cardiac   O
rehabilitation   O
unit   O
of   O
Mercy   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Manhattan   I-LOCATION
.   O

Fiona   B-NAME
Montes   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
new   O
medication   O
regime   O
,   O
monitoring   O
of   O
blood   O
pressure   O
and   O
blood   O
sugar   O
levels   O
,   O
and   O
lifestyle   O
modifications   O
including   O
diet   O
and   O
exercise   O
.   O

Follow   O
-   O
up   O
:   O
Castaneda   B-NAME
,   I-NAME
Carlos   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Bell   B-NAME
in   O
Abram   B-LOCATION
on   O
9/1/2078   B-DATE
to   O
assess   O
recovery   O
progress   O
and   O
adjust   O
medications   O
if   O
necessary   O
.   O

Patient   O
Name   O
:   O
Inglis   B-NAME
Medical   O
Record   O
Number   O
:   O
43134251   B-ID
Date   O
of   O
Birth   O
:   O
1/2   B-DATE
Age   O
:   O
37   O
Address   O
:   O
Drakes   B-LOCATION
Branch   I-LOCATION
,   O
55266   B-LOCATION
Phone   O
Number   O
:   O
955   B-CONTACT
6490   I-CONTACT
Occupation   O
:   O

Sawing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
Referring   O
Doctor   O
:   O
Armani   B-NAME
Compton   I-NAME
Hospital   O
:   O
Mather   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
1886   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
07   I-DATE
Social   O
Security   O
Number   O
:   O
PV477/3932   B-ID
Clinical   O
History   O
:   O

The   O
patient   O
,   O
Elise   B-NAME
Patel   I-NAME
,   O
a   O
69   O
-   O
year   O
-   O
old   O
Energy   O
Auditors   O
from   O
Fort   B-LOCATION
Pierce   I-LOCATION
South   I-LOCATION
,   O
presented   O
to   O
Rehabilitation   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Michigan   I-LOCATION
on   O
Thursday   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
sudden   O
onset   O
,   O
severe   O
abdominal   O
pain   O
concentrated   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Alongside   O
,   O
Bennington   B-NAME
,   I-NAME
Chester   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
has   O
had   O
a   O
noticeable   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
1/15/03   B-DATE
.   O

Upon   O
physical   O
examination   O
,   O
Wilcox   B-NAME
,   I-NAME
Ella   I-NAME
Wheeler   I-NAME
exhibited   O
signs   O
of   O
abdominal   O
distension   O
with   O
marked   O
tenderness   O
upon   O
palpation   O
of   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
patient   O
's   O
medical   O
ID   O
RC820/6387   B-ID
was   O
noted   O
for   O
the   O
laboratory   O
submissions   O
.   O

Freddy   B-NAME
Barrera   I-NAME
recommends   O
an   O
immediate   O
surgical   O
consultation   O
for   O
suspected   O
acute   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Lu   B-NAME
Xun   I-NAME
has   O
advised   O
that   O
Oliver   B-NAME
,   I-NAME
Jamie   I-NAME
undergo   O
laparoscopic   O
appendectomy   O
as   O
soon   O
as   O
possible   O
.   O

Pain   O
management   O
was   O
provided   O
to   O
ensure   O
Cathy   B-NAME
T.   I-NAME
Turk   I-NAME
's   O
comfort   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Wade   B-NAME
on   O
08/32   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
09/24/2076   B-DATE
at   O
Mountain   B-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
evaluate   O
post   O
-   O
operative   O
recovery   O
and   O
to   O
review   O
the   O
histopathology   O
report   O
.   O

For   O
any   O
inquiries   O
or   O
immediate   O
concerns   O
,   O
please   O
contact   O
Johnston   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
main   O
line   O
at   O
615   B-CONTACT
-   I-CONTACT
3199   I-CONTACT
.   O

Youngman   B-NAME
's   O
emergency   O
contact   O
has   O
been   O
listed   O
as   O
DM313   B-NAME
,   O
reachable   O
at   O
945   B-CONTACT
6354   I-CONTACT
.   O

Privacy   O
Notice   O
:   O
All   O
personal   O
information   O
,   O
including   O
medical   O
records   O
10102899   B-ID
,   O
identification   O
numbers   O
10   B-ID
-   I-ID
3549741   I-ID
,   O
and   O
contact   O
details   O
,   O
are   O
confidential   O
and   O
protected   O
under   O
patient   O
privacy   O
laws   O
.   O

Disclosure   O
without   O
explicit   O
consent   O
from   O
Grace   B-NAME
C.   I-NAME
Valerie   I-NAME
-   I-NAME
Yun   I-NAME
is   O
prohibited   O
.   O

This   O
document   O
is   O
prepared   O
and   O
verified   O
by   O
Little   B-NAME
,   O
3/2014   B-DATE
.   O

Browning   B-NAME
Patient   O
ID   O
:   O
93006977   B-ID
Medical   O
Record   O
Number   O
:   O
9454337   B-ID
Age   O
:   O
14   O
Date   O
of   O
Birth   O
:   O
5/41   B-DATE
Address   O
:   O
Minier   B-LOCATION
,   O
70212   B-LOCATION
Phone   O
Number   O
:   O
66345   B-CONTACT
Employment   O
:   O
Nannies   O
at   O
Rebel   B-LOCATION
Principality   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Remington   B-NAME
Wagner   I-NAME
Hospital   O
:   O
Charity   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
'   B-DATE
51   I-DATE
Username   O
for   O
Patient   O
Portal   O
:   O
dfz578   B-NAME
Chief   O
Complaint   O
:   O

Aliza   B-NAME
Malone   I-NAME
presented   O
to   O
Putnam   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
1644   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
headaches   O
predominantly   O
in   O
the   O
temporal   O
region   O
.   O

Vonreuter   B-NAME
reported   O
that   O
the   O
onset   O
of   O
these   O
headaches   O
occurred   O
approximately   O
two   O
weeks   O
prior   O
and   O
has   O
progressively   O
worsened   O
.   O

Medical   O
History   O
:   O
Vasquez   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
diabetes   O
mellitus   O
type   O
2   O
,   O
for   O
which   O
[   O
HE   O
/   O
SHE   O
/   O
THEY   O
]   O
take   O
metformin   O
and   O
lisinopril   O
.   O

Rihanna   B-NAME
Nicholson   I-NAME
denies   O
any   O
recent   O
head   O
trauma   O
,   O
loss   O
of   O
consciousness   O
,   O
or   O
seizure   O
activity   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Skylar   B-NAME
Rivera   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
differential   O
diagnosis   O
for   O
Terry   B-NAME
Leblanc   I-NAME
's   O
symptoms   O
includes   O
tension   O
headache   O
,   O
migraine   O
without   O
aura   O
,   O
and   O
cluster   O
headache   O
.   O

Alana   B-NAME
Sherman   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
track   O
the   O
severity   O
and   O
frequency   O
of   O
the   O
migraines   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Dr.   O
Krysten   B-NAME
Amor   I-NAME
in   O
two   O
weeks   O
to   O
reassess   O
symptoms   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Alexus   B-NAME
Ferguson   I-NAME
was   O
educated   O
on   O
the   O
warning   O
signs   O
of   O
more   O
serious   O
conditions   O
such   O
as   O
stroke   O
and   O
instructed   O
to   O
return   O
to   O
the   O
hospital   O
or   O
contact   O
108   B-CONTACT
4465   I-CONTACT
if   O
symptoms   O
significantly   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

4   O
.   O
Attend   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
on   O
20/23   B-DATE
.   O
Acknowledgment   O
:   O
Signed   O
by   O
Dr.   O
Thompson   B-NAME
,   I-NAME
Hunter   I-NAME
S.   I-NAME
,   O
M.D.   O
,   O
04/14   B-DATE
Please   O
note   O
,   O
all   O
personal   O
identifying   O
information   O
in   O
this   O
report   O
has   O
been   O
removed   O
or   O
replaced   O
with   O
generic   O
placeholders   O
to   O
protect   O
the   O
patient   O
's   O
privacy   O
in   O
accordance   O
with   O
HIPAA   O
guidelines   O
.   O

Patient   O
Report   O
for   O
Mackenzie   B-NAME
Gibbs   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
92   O
Date   O
of   O
Birth   O
:   O
26/20   B-DATE
Phone   O
Number   O
:   O
226   B-CONTACT
518   I-CONTACT
1723   I-CONTACT
Address   O
:   O
Canadohta   B-LOCATION
Lake   I-LOCATION
,   O
20593   B-LOCATION
Occupation   O
:   O

Diagnostic   O
Medical   O
Sonographers   O
Medical   O
Record   O
Number   O
:   O
743   B-ID
-   I-ID
44   I-ID
-   I-ID
83   I-ID
-   I-ID
5   I-ID
Patient   O
ID   O
:   O
NR974/2323   B-ID
Medical   O
History   O
:   O

The   O
patient   O
,   O
Olszewski   B-NAME
,   O
presented   O
to   O
Amcore   B-LOCATION
Bank   I-LOCATION
on   O
04/14   B-DATE
with   O
complaints   O
of   O
chronic   O
fatigue   O
,   O
intermittent   O
fever   O
,   O
and   O
unexplained   O
weight   O
loss   O
over   O
the   O
past   O
two   O
months   O
.   O

The   O
patient   O
,   O
who   O
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Office   O
and   O
Administrative   O
Support   O
Workers   O
in   O
Cottage   B-LOCATION
Grove   I-LOCATION
,   O
denied   O
any   O
recent   O
travel   O
outside   O
Massachusetts   B-LOCATION
or   O
any   O
known   O
exposure   O
to   O
contagious   O
diseases   O
.   O

Upon   O
examination   O
,   O
Jeffers   B-NAME
,   I-NAME
Oswald   I-NAME
exhibited   O
pallor   O
and   O
mild   O
jaundice   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Henderson   I-LOCATION
under   O
the   O
care   O
of   O
Valrie   B-NAME
Berkley   I-NAME
for   O
further   O
observation   O
and   O
treatment   O
.   O

Barclay   B-NAME
,   I-NAME
William   I-NAME
,   O
(   B-CONTACT
437   I-CONTACT
)   I-CONTACT
995   I-CONTACT
4586   I-CONTACT
Emergency   O
Contact   O
:   O
gx939   B-NAME
,   O
Phone   O
:   O
916   B-CONTACT
-   I-CONTACT
210   I-CONTACT
3461   I-CONTACT
Follow   O
-   O
Up   O
:   O
39/22   B-DATE
for   O
review   O
of   O
biopsy   O
results   O
and   O
adjustment   O
of   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Additional   O
appointments   O
may   O
be   O
scheduled   O
based   O
on   O
the   O
recommendations   O
of   O
Chapman   B-NAME
and   O
specialist   O
consultations   O
.   O

Please   O
contact   O
Daugherty   B-NAME
or   O
the   O
office   O
of   O
Turner   B-NAME
Grey   I-NAME
at   O
43973   B-CONTACT
for   O
any   O
necessary   O
clarification   O
or   O
to   O
report   O
any   O
potential   O
confidentiality   O
concerns   O
.   O

This   O
document   O
was   O
created   O
by   O
the   O
health   O
information   O
system   O
of   O
Australasian   B-LOCATION
Meat   I-LOCATION
Industry   I-LOCATION
Employees   I-LOCATION
Union   I-LOCATION
,   O
Blacklick   B-LOCATION
Estates   I-LOCATION
,   O
91329   B-LOCATION
,   O
on   O
6/82   B-DATE
.   O

Mindi   B-NAME
Wilmer   I-NAME
Patient   O
ID   O
:   O
GA:691055:170341   B-ID
Date   O
of   O
Birth   O
:   O
2318   B-DATE
Age   O
:   O
32   O
Address   O
:   O
Camberley   B-LOCATION
,   O
75147   B-LOCATION
Phone   O
Number   O
:   O
22446   B-CONTACT
Occupation   O
:   O
Appraisers   O
and   O
Assessors   O
of   O
Real   O
Estate   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Reagan   B-NAME
Trujillo   I-NAME
Medical   O
Record   O
Number   O
:   O
529   B-ID
-   I-ID
64   I-ID
-   I-ID
22   I-ID
-   I-ID
6   I-ID
Hospital   O
:   O
Methodist   B-LOCATION
Texsan   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaint   O
:   O
Erik   B-NAME
Iverson   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Portneuf   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13   B-DATE
-   I-DATE
25   I-DATE
with   O
acute   O
onset   O
of   O
severe   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
.   O

Dickson   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
shortness   O
of   O
breath   O
.   O

Past   O
Medical   O
History   O
:   O
Morrison   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
managed   O
with   O
medication   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jayden   B-NAME
Richardson   I-NAME
's   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
145/90   O
mmHg   O
,   O
with   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
.   O

Larry   B-NAME
Frantz   I-NAME
was   O
admitted   O
to   O
Guthrie   B-LOCATION
Towanda   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Berg   B-NAME
for   O
further   O
management   O
.   O

A   O
follow   O
-   O
up   O
echocardiogram   O
and   O
ECG   O
are   O
scheduled   O
for   O
00/01/2135   B-DATE
to   O
assess   O
the   O
response   O
to   O
treatment   O
and   O
resolution   O
of   O
the   O
pericardial   O
effusion   O
.   O

Zayden   B-NAME
Bowen   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
to   O
follow   O
up   O
with   O
Dr.   O
Joe   B-NAME
Einhorn   I-NAME
in   O
the   O
cardiology   O
clinic   O
at   O
Candler   B-LOCATION
Hospital   I-LOCATION
on   O
32/24/51   B-DATE
.   O

Emergency   O
Contact   O
:   O
Program   O
Directors   O
ly86   B-NAME
at   O
28042   B-CONTACT
Insurance   O
Information   O
:   O
Provider   O
:   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Jewish   I-LOCATION
Lawyers   I-LOCATION
and   I-LOCATION
Jurists   I-LOCATION
Member   O
ID   O
:   O
OW:1116:828784   B-ID

This   O
patient   O
report   O
was   O
prepared   O
by   O
the   O
medical   O
staff   O
at   O
Merit   B-LOCATION
Health   I-LOCATION
River   I-LOCATION
Oaks   I-LOCATION
on   O
0/3   B-DATE
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Report   O
on   O
the   O
condition   O
of   O
Coretta   B-NAME
Party   I-NAME
2189   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
30   I-DATE
1   O
.   O

Patient   O
Information   O
:   O
-   O
Age   O
:   O
53   O
-   O
26478933   B-ID
:   O
GQ668/2058   B-ID
-   O
Address   O
:   O
Bradford   B-LOCATION
,   O
30459   B-LOCATION
-   O
Phone   O
number   O
:   O
814   B-CONTACT
432   I-CONTACT
-   I-CONTACT
4106   I-CONTACT
2   O
.   O

Referring   O
Doctor   O
:   O
-   O
Name   O
:   O
Villa   B-NAME
-   O
Contact   O
:   O
(   B-CONTACT
573   I-CONTACT
)   I-CONTACT
659   I-CONTACT
9692   I-CONTACT
3   O
.   O

Admission   O
Summary   O
:   O
The   O
patient   O
,   O
Bradyn   B-NAME
Salas   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
AdventHealth   B-LOCATION
Apopka   I-LOCATION
on   O
2/6   B-DATE
with   O
severe   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
accompanied   O
by   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
profuse   O
sweating   O
.   O

Upon   O
admission   O
,   O
Jeffrey   B-NAME
Koehler   I-NAME
's   O
vital   O
signs   O
were   O
closely   O
monitored   O
,   O
revealing   O
elevated   O
blood   O
pressure   O
and   O
an   O
irregular   O
heartbeat   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Maya   B-NAME
Serrano   I-NAME
initiated   O
a   O
treatment   O
plan   O
that   O
included   O
the   O
administration   O
of   O
thrombolytic   O
agents   O
to   O
dissolve   O
blood   O
clots   O
in   O
the   O
coronary   O
arteries   O
.   O

4   O
.   O
Medical   O
History   O
:   O
Elizabeth   B-NAME
Fernandez   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
and   O
hypertension   O
.   O

There   O
are   O
no   O
records   O
of   O
prior   O
myocardial   O
infarction   O
but   O
Ralph   B-NAME
Delgado   I-NAME
has   O
been   O
under   O
the   O
care   O
of   O
Wilkins   B-NAME
for   O
the   O
management   O
of   O
these   O
chronic   O
conditions   O
.   O

Neil   B-NAME
Nguyen   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
cardiovascular   O
diseases   O
,   O
which   O
increases   O
the   O
risk   O
factors   O
for   O
such   O
conditions   O
.   O

During   O
Raymond   B-NAME
Castaneda   I-NAME
's   O
stay   O
in   O
MUSC   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Maci   B-NAME
Thornton   I-NAME
was   O
closely   O
monitored   O
in   O
the   O
intensive   O
care   O
unit   O
(   O
ICU   O
)   O
.   O

The   O
therapeutic   O
strategy   O
included   O
pharmacological   O
treatment   O
to   O
stabilize   O
Quant   B-NAME
's   O
condition   O
,   O
followed   O
by   O
lifestyle   O
recommendations   O
to   O
manage   O
Bobby   B-NAME
Forbes   I-NAME
's   O
diabetes   O
and   O
hypertension   O
.   O

Julien   B-NAME
Young   I-NAME
emphasized   O
the   O
importance   O
of   O
a   O
balanced   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
strict   O
adherence   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O

6   O
.   O
Follow   O
-   O
Up   O
:   O
Bailey   B-NAME
was   O
scheduled   O
for   O
follow   O
-   O
up   O
appointments   O
at   O
Piedmont   B-LOCATION
Walton   I-LOCATION
with   O
Frederick   B-NAME
Frankenstein   I-NAME
for   O
ongoing   O
management   O
of   O
yamamoto   B-NAME
's   O
condition   O
.   O

Further   O
evaluations   O
and   O
adjustments   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
based   O
on   O
Nathan   B-NAME
O.   I-NAME
Duncan   I-NAME
's   O
recovery   O
progress   O
and   O
response   O
to   O
the   O
initial   O
treatment   O
.   O

In   O
conclusion   O
,   O
Nathan   B-NAME
Daniel   I-NAME
's   O
acute   O
medical   O
condition   O
was   O
promptly   O
addressed   O
,   O
and   O
through   O
the   O
coordinated   O
efforts   O
of   O
the   O
healthcare   O
team   O
at   O
Piedmont   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Simmons   B-NAME
is   O
on   O
a   O
path   O
to   O
recovery   O
.   O

Continuous   O
management   O
of   O
Giovani   B-NAME
Montes   I-NAME
's   O
chronic   O
conditions   O
and   O
adherence   O
to   O
the   O
recommended   O
lifestyle   O
changes   O
are   O
crucial   O
for   O
preventing   O
future   O
cardiac   O
events   O
.   O

Aedan   B-NAME
Velez   I-NAME
33/20/2212   B-DATE
End   O
of   O
Report   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Terry   B-NAME
Elliott   I-NAME
-   O
Age   O
:   O
21   O
years   O
-   O
Sex   O
:   O
Male   O
-   O
Date   O
of   O
Birth   O
:   O
33/22/67   B-DATE
-   O
Patient   O
ID   O
:   O
UT131/3558   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
21619720   B-ID
-   O
Address   O
:   O
Houserville   B-LOCATION
,   O
30229   B-LOCATION
-   O
Phone   O
Number   O
:   O
900   B-CONTACT
668   I-CONTACT
-   I-CONTACT
9144   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Park   B-NAME
-   O
Hospital   O
:   O
(   B-LOCATION
under   I-LOCATION
construction   I-LOCATION
)   I-LOCATION
-   O
Occupation   O
:   O

Homeless   O
support   O
worker   O
Medical   O
History   O
:   O
Patient   O
Dylan   B-NAME
Jones   I-NAME
,   O
a   O
Medical   O
Scientists   O
,   O
Except   O
Epidemiologists   O
from   O
Mila   B-LOCATION
Doce   I-LOCATION
,   O
presented   O
to   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Troy   I-LOCATION
on   O
2261   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
31   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

Teagan   B-NAME
Harrington   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
,   O
managed   O
with   O
metformin   O
and   O
lisinopril   O
,   O
respectively   O
.   O

Morton   B-NAME
Detrick   I-NAME
has   O
not   O
undergone   O
any   O
significant   O
surgical   O
procedures   O
in   O
the   O
past   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Upon   O
presentation   O
,   O
Saint   B-NAME
-   I-NAME
Just   I-NAME
,   I-NAME
Louis   I-NAME
de   I-NAME
was   O
febrile   O
with   O
a   O
temperature   O
of   O
38.6   O
°   O
C   O
(   O
101.5   O
°   O
F   O
)   O
,   O
blood   O
pressure   O
was   O
maintained   O
at   O
130/85   O
mmHg   O
,   O
and   O
heart   O
rate   O
was   O
elevated   O
at   O
102   O
bpm   O
.   O

Treatment   O
:   O
Rory   B-NAME
Nielsen   I-NAME
initiated   O
treatment   O
with   O
oseltamivir   O
for   O
the   O
influenza   O
infection   O
and   O
broad   O
-   O
spectrum   O
antibiotics   O
pending   O
the   O
blood   O
culture   O
results   O
.   O

Carl   B-NAME
Washington   I-NAME
was   O
advised   O
to   O
remain   O
isolated   O
to   O
prevent   O
the   O
spread   O
of   O
infection   O
.   O

Progress   O
:   O
Helveticus   B-NAME
,   I-NAME
Pagni   I-NAME
's   O
clinical   O
status   O
improved   O
significantly   O
with   O
the   O
treatment   O
.   O

Fever   O
resolved   O
by   O
02/12/19   B-DATE
,   O
and   O
oxygen   O
saturation   O
levels   O
stabilized   O
on   O
room   O
air   O
.   O

Robert   B-NAME
Caldwell   I-NAME
was   O
discharged   O
on   O
17/21   B-DATE
with   O
instructions   O
to   O
complete   O
a   O
course   O
of   O
oseltamivir   O
and   O
to   O
follow   O
up   O
with   O
Collison   B-NAME
,   I-NAME
Chris   I-NAME
in   O
Macungie   B-LOCATION
for   O
further   O
assessment   O
and   O
management   O
.   O

Terrell   B-NAME
Conway   I-NAME
has   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
Hayden   B-NAME
Macias   I-NAME
at   O
Torrance   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
on   O
33/11/02   B-DATE
for   O
re   O
-   O
evaluation   O
of   O
his   O
condition   O
and   O
to   O
discuss   O
the   O
efficacy   O
of   O
the   O
current   O
treatment   O
regimen   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
24799   B-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Prepared   O
by   O
:   O
ua324   B-NAME
22/02/2092   B-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
OCASIO   B-NAME
,   I-NAME
WANDA   I-NAME
Age   O
:   O
76s   O
ID   O
:   O
GW650/9651   B-ID
Medical   O
Record   O
Number   O
:   O
39673423   B-ID
Phone   O
Number   O
:   O
54116   B-CONTACT
Address   O
:   O
Brices   B-LOCATION
Creek   I-LOCATION
,   O
25732   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
Louvenia   B-NAME
Corbec   I-NAME
,   O
presented   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
on   O
02/28   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Mckenzie   B-NAME
Gibbs   I-NAME
has   O
a   O
history   O
of   O
chronic   O
pancreatitis   O
,   O
diagnosed   O
two   O
years   O
ago   O
.   O

Deangelo   B-NAME
Parker   I-NAME
also   O
reported   O
a   O
recent   O
onset   O
of   O
jaundice   O
and   O
weight   O
loss   O
.   O

Roger   B-NAME
Deleon   I-NAME
works   O
as   O
a   O
Food   O
Science   O
Technicians   O
and   O
mentioned   O
a   O
history   O
of   O
alcohol   O
use   O
but   O
has   O
been   O
abstinent   O
for   O
the   O
past   O
six   O
months   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
conley   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
with   O
notable   O
pallor   O
and   O
jaundice   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Andrea   B-NAME
Wu   I-NAME
and   O
the   O
medical   O
team   O
at   O
Betsy   B-LOCATION
Johnson   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
Ainsley   B-NAME
Simon   I-NAME
was   O
administered   O
intravenous   O
fluids   O
for   O
hydration   O
,   O
pain   O
management   O
with   O
analgesics   O
,   O
and   O
started   O
on   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
any   O
infectious   O
complications   O
.   O

Outcome   O
:   O
The   O
ERCP   O
was   O
performed   O
on   O
Saturday   B-DATE
by   O
Diya   B-NAME
Oneal   I-NAME
,   O
revealing   O
a   O
stricture   O
in   O
the   O
common   O
bile   O
duct   O
,   O
which   O
was   O
successfully   O
dilated   O
and   O
stented   O
.   O

Dalila   B-NAME
's   O
post   O
-   O
procedure   O
course   O
was   O
uneventful   O
.   O

Sterling   B-NAME
Ewing   I-NAME
was   O
discharged   O
on   O
36/11   B-DATE
with   O
follow   O
-   O
ups   O
scheduled   O
in   O
the   O
outpatient   O
clinic   O
of   O
Ascension   B-LOCATION
Genesys   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Marv   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Tiana   B-NAME
Clay   I-NAME
in   O
the   O
outpatient   O
clinic   O
of   O
Cape   B-LOCATION
Canaveral   I-LOCATION
Hospital   I-LOCATION
on   O
12/34   B-DATE
to   O
monitor   O
the   O
progress   O
and   O
plan   O
the   O
removal   O
of   O
the   O
stent   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
CZ282   B-NAME
Relationship   O
:   O

Vocational   O
Education   O
Teachers   O
,   O
Middle   O
School   O
Phone   O
Number   O
:   O
52118   B-CONTACT

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Littleton   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
and   O
its   O
authorized   O
personnel   O
only   O
.   O

Prepared   O
by   O
:   O
Gregory   B-NAME
George   I-NAME
MercyOne   B-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Jul   B-DATE
22   I-DATE

Patient   O
Name   O
:   O
Ronald   B-NAME
Bartlett   I-NAME
Patient   O
ID   O
:   O
PD:80675:107983   B-ID
Age   O
:   O
84   O
Medical   O
Record   O
Number   O
:   O
741   B-ID
92   I-ID
69   I-ID
Date   O
of   O
Birth   O
:   O
January   B-DATE
24   I-DATE
Date   O
of   O
Visit   O
:   O
31/22   B-DATE
Address   O
:   O
Islamorada   B-LOCATION
,   O
28995   B-LOCATION
Primary   O
Physician   O
:   O
Damon   B-NAME
Odonnell   I-NAME
Hospital   O
:   O
FirstHealth   B-LOCATION
Moore   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Richmond   I-LOCATION
Phone   O
:   O
81355   B-CONTACT
Chief   O
Complaint   O
:   O
Abraham   B-NAME
Butterfield   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
April   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Mario   B-NAME
Huynh   I-NAME
describes   O
the   O
pain   O
as   O
a   O
sharp   O
and   O
constant   O
ache   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Bergerac   B-NAME
,   I-NAME
Cyrano   I-NAME
de   I-NAME
reports   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
but   O
has   O
gradually   O
intensified   O
over   O
the   O
past   O
two   O
days   O
.   O

Shannon   B-NAME
Hale   I-NAME
also   O
notes   O
the   O
presence   O
of   O
nausea   O
which   O
has   O
progressed   O
to   O
vomiting   O
as   O
of   O
this   O
morning   O
.   O

Past   O
Medical   O
History   O
:   O
Everett   B-NAME
Mcknight   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

Review   O
of   O
Systems   O
:   O
Keon   B-NAME
Mcneil   I-NAME
denies   O
any   O
respiratory   O
,   O
cardiovascular   O
,   O
genitourinary   O
,   O
or   O
neurological   O
symptoms   O
.   O

Upon   O
examination   O
,   O
Graham   B-NAME
,   I-NAME
Paul   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Assessment   O
and   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Ullrich   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Madilynn   B-NAME
Esparza   I-NAME
discussed   O
the   O
diagnosis   O
and   O
management   O
plan   O
with   O
Ahmad   B-NAME
,   O
recommending   O
an   O
urgent   O
appendectomy   O
.   O

Angel   B-NAME
Glover   I-NAME
provided   O
informed   O
consent   O
for   O
the   O
procedure   O
.   O

Olive   B-NAME
Waller   I-NAME
was   O
admitted   O
to   O
Kirkbride   B-LOCATION
Center   I-LOCATION
for   O
surgical   O
intervention   O
.   O

The   O
surgery   O
team   O
was   O
notified   O
,   O
and   O
the   O
operation   O
was   O
scheduled   O
for   O
12/25   B-DATE
.   O

James   B-NAME
Colton   I-NAME
Yancey   I-NAME
was   O
advised   O
to   O
contact   O
the   O
emergency   O
department   O
at   O
(   B-CONTACT
504   I-CONTACT
)   I-CONTACT
737   I-CONTACT
9019   I-CONTACT
if   O
any   O
complications   O
,   O
such   O
as   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
occurred   O
before   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

Signature   O
:   O
Hardy   B-NAME
11/17/25   B-DATE

Patient   O
Report   O
for   O
Jaeden   B-NAME
Berger   I-NAME
2059   B-DATE
,   O
Jay   B-NAME
Wallace   I-NAME
visited   O
Bank   B-LOCATION
of   I-LOCATION
Elmwood   I-LOCATION
's   O
outpatient   O
department   O
with   O
complaints   O
of   O
intermittent   O
,   O
severe   O
headaches   O
primarily   O
localized   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

According   O
to   O
Goldberg   B-NAME
,   O
these   O
symptoms   O
have   O
been   O
recurring   O
over   O
the   O
past   O
0/3   B-DATE
,   O
significantly   O
impacting   O
their   O
daily   O
functioning   O
.   O

A   O
detailed   O
medical   O
history   O
revealed   O
that   O
Edward   B-NAME
L   I-NAME
Echevarria   I-NAME
has   O
a   O
known   O
diagnosis   O
of   O
migraines   O
without   O
aura   O
,   O
which   O
has   O
been   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
until   O
recently   O
.   O

Cannon   B-NAME
works   O
as   O
a   O
Payroll   O
and   O
Timekeeping   O
Clerks   O
at   O
Mercy   B-LOCATION
For   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
MFA   I-LOCATION
)   I-LOCATION
,   O
indicating   O
a   O
high   O
-   O
stress   O
environment   O
which   O
they   O
believe   O
might   O
be   O
contributing   O
to   O
the   O
frequency   O
and   O
severity   O
of   O
their   O
migraine   O
episodes   O
.   O

During   O
the   O
initial   O
consultation   O
on   O
35/25   B-DATE
,   O
Lang   B-NAME
performed   O
a   O
comprehensive   O
neurological   O
examination   O
,   O
which   O
did   O
not   O
reveal   O
any   O
focal   O
neurological   O
deficits   O
.   O

Additionally   O
,   O
Ronnie   B-NAME
Caldwell   I-NAME
was   O
advised   O
to   O
undergo   O
a   O
series   O
of   O
blood   O
tests   O
and   O
a   O
brain   O
MRI   O
to   O
rule   O
out   O
secondary   O
causes   O
of   O
headaches   O
.   O

The   O
tests   O
were   O
scheduled   O
to   O
be   O
conducted   O
at   O
Fulton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Oswego   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
on   O
8/21   B-DATE
.   O

Dalia   B-NAME
Raymond   I-NAME
was   O
requested   O
to   O
return   O
to   O
the   O
clinic   O
with   O
the   O
results   O
on   O
27/12   B-DATE
.   O

Contact   O
information   O
:   O
893   B-CONTACT
-   I-CONTACT
248   I-CONTACT
4652   I-CONTACT

[   O
EMAIL   O
:   O
TS221   B-NAME
@   O
Tri   B-LOCATION
-   I-LOCATION
County   I-LOCATION
EMC   I-LOCATION
.com   O
]   O
On   O
09/19   B-DATE
,   O
follow   O
-   O
up   O
consultation   O
was   O
conducted   O
where   O
Singh   B-NAME
presented   O
the   O
results   O
from   O
the   O
diagnostic   O
tests   O
.   O

Based   O
on   O
the   O
findings   O
and   O
the   O
characteristic   O
presentation   O
of   O
the   O
symptoms   O
,   O
Case   B-NAME
diagnosed   O
Choi   B-NAME
with   O
chronic   O
migraines   O
.   O

Kennedy   B-NAME
Lisa   I-NAME
was   O
also   O
referred   O
to   O
a   O
headache   O
specialist   O
associated   O
with   O
Western   B-LOCATION
Missouri   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
and   O
was   O
provided   O
with   O
lifestyle   O
modification   O
advice   O
to   O
help   O
manage   O
stress   O
and   O
potential   O
migraine   O
triggers   O
.   O

To   O
ensure   O
continuity   O
of   O
care   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
32/22   B-DATE
at   O
Prudential   B-LOCATION
Financial   I-LOCATION
's   O
neurology   O
clinic   O
.   O

Eve   B-NAME
Gutierrez   I-NAME
was   O
encouraged   O
to   O
contact   O
Reece   B-NAME
Benson   I-NAME
's   O
office   O
at   O
772   B-CONTACT
7842   I-CONTACT
for   O
any   O
questions   O
or   O
if   O
there   O
was   O
an   O
exacerbation   O
of   O
symptoms   O
before   O
the   O
next   O
scheduled   O
appointment   O
.   O

Medical   O
Record   O
:   O
1319926   B-ID
Identifier   O
:   O
YK433/9895   B-ID
Chanute   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Chanute   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
:   O

50563   B-LOCATION
This   O
report   O
is   O
strictly   O
confidential   O
and   O
is   O
intended   O
only   O
for   O
the   O
use   O
of   O
the   O
individual   O
named   O
above   O
.   O

Patient   O
Name   O
:   O
Reed   B-NAME
Patient   O
ID   O
:   O
562582   B-ID
Date   O
of   O
Birth   O
:   O
11/38   B-DATE
Age   O
:   O
39s   O
Medical   O
Record   O
Number   O
:   O
282   B-ID
-   I-ID
34   I-ID
-   I-ID
38   I-ID
Address   O
:   O
Kimberly   B-LOCATION
,   O
23644   B-LOCATION
Phone   O
Number   O
:   O
62959   B-CONTACT
Attending   O
Physician   O
:   O

Jocelynn   B-NAME
Bradshaw   I-NAME
Hospital   O
:   O
Kirkbride   B-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
33/07   B-DATE
Date   O
of   O
Report   O
:   O
2316   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Edward   B-NAME
George   I-NAME
Armstrong   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
West   B-LOCATION
Suburban   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/20/2378   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
OTTO   B-NAME
,   I-NAME
SUZANNE   I-NAME
,   O
a   O
Radiation   O
Therapists   O
by   O
trade   O
,   O
reported   O
that   O
the   O
symptoms   O
started   O
suddenly   O
while   O
at   O
work   O
at   O
City   B-LOCATION
of   I-LOCATION
Williston   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
on   O
22/10/2012   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Gary   B-NAME
Kane   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Abdominal   O
ultrasonography   O
performed   O
on   O
March   B-DATE
suggested   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fluid   O
collection   O
,   O
supportive   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Colorado   I-LOCATION
under   O
the   O
care   O
of   O
Sandoval   B-NAME
for   O
further   O
management   O
.   O

Doyle   B-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
to   O
manage   O
the   O
infection   O
and   O
scheduled   O
for   O
surgery   O
on   O
31/28   B-DATE
.   O

Conclusion   O
:   O
Management   O
plan   O
for   O
Vernetta   B-NAME
involves   O
surgical   O
intervention   O
to   O
address   O
acute   O
appendicitis   O
,   O
as   O
evidenced   O
by   O
clinical   O
presentation   O
and   O
imaging   O
findings   O
.   O

Prepared   O
by   O
:   O
JK122   B-NAME
02/05   B-DATE

Patient   O
's   O
Name   O
:   O
William   B-NAME
Hayward   I-NAME
Medical   O
Record   O
Number   O
:   O
57471725   B-ID
Date   O
of   O
Birth   O
:   O
47   O
Date   O
of   O
Visit   O
:   O
11/28   B-DATE
Attending   O
Physician   O
:   O

Proctor   B-NAME
Hospital   O
Name   O
:   O
Metro   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
University   I-LOCATION
of   I-LOCATION
MI   I-LOCATION
Health   I-LOCATION
Contact   O
Phone   O
Number   O
:   O
26397   B-CONTACT
Address   O
:   O
8736   B-LOCATION
High   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
70866   B-LOCATION
Occupation   O
:   O
Transportation   O
Inspectors   O
Username   O
for   O
Health   O
Portal   O
:   O
IM506   B-NAME
Chief   O
Complaint   O
:   O
Ben   B-NAME
Barnes   I-NAME
presents   O
with   O
a   O
48   O
-   O
hour   O
history   O
of   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
has   O
progressively   O
worsened   O
.   O

Associated   O
symptoms   O
include   O
nausea   O
without   O
vomiting   O
,   O
anorexia   O
,   O
and   O
a   O
fever   O
noticed   O
since   O
the   O
early   O
hours   O
of   O
08/10/2154   B-DATE
.   O

Winston   B-NAME
denies   O
any   O
diarrhea   O
or   O
constipation   O
.   O

Medical   O
History   O
:   O
Valentinian   B-NAME
Gelineau   I-NAME
reports   O
no   O
significant   O
past   O
medical   O
history   O
.   O

Ean   B-NAME
Jackson   I-NAME
does   O
not   O
take   O
any   O
prescription   O
medications   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
MEDINA   B-NAME
,   I-NAME
LUTHER   I-NAME
exhibits   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
imaging   O
findings   O
,   O
Paul   B-NAME
N.   I-NAME
Tam   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Milosz   B-NAME
,   I-NAME
Ceslaw   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
.   O

Jacoby   B-NAME
Howell   I-NAME
provided   O
informed   O
consent   O
for   O
the   O
procedure   O
.   O

The   O
surgery   O
team   O
at   O
Moses   B-LOCATION
Taylor   I-LOCATION
Hospital   I-LOCATION
was   O
notified   O
,   O
and   O
Thalia   B-NAME
Alvarado   I-NAME
was   O
prepped   O
for   O
surgery   O
.   O

Velaz   B-NAME
Gicker   I-NAME
is   O
to   O
have   O
a   O
follow   O
-   O
up   O
visit   O
in   O
one   O
week   O
with   O
Gross   B-NAME
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

Oakley   B-NAME
was   O
also   O
advised   O
to   O
resume   O
a   O
normal   O
diet   O
gradually   O
and   O
to   O
abstain   O
from   O
strenuous   O
activities   O
for   O
2   O
-   O
3   O
weeks   O
.   O

Contact   O
Information   O
:   O
Should   O
Edmundo   B-NAME
have   O
any   O
concerns   O
or   O
exhibit   O
signs   O
of   O
infection   O
,   O
they   O
were   O
instructed   O
to   O
contact   O
Jaquan   B-NAME
Adams   I-NAME
immediately   O
at   O
669   B-CONTACT
-   I-CONTACT
307   I-CONTACT
-   I-CONTACT
1235   I-CONTACT
.   O

For   O
any   O
complications   O
or   O
emergencies   O
,   O
Le   B-NAME
Corbusier   I-NAME
was   O
advised   O
to   O
return   O
to   O
Northern   B-LOCATION
Michigan   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
or   O
the   O
nearest   O
emergency   O
room   O
.   O

Prescriptions   O
:   O
A   O
prescription   O
for   O
pain   O
management   O
and   O
an   O
antibiotic   O
was   O
written   O
and   O
sent   O
to   O
Annika   B-NAME
Primeaux   I-NAME
's   O
pharmacy   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Dominique   B-NAME
Clark   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
10052181   I-ID
Medical   O
Record   O
Number   O
:   O
7073366   B-ID
DOB   O
:   O
81   O
Date   O
of   O
Visit   O
:   O
March   B-DATE
Attending   O
Physician   O
:   O

Brice   B-NAME
Mcdonald   I-NAME
Primary   O
Care   O
Provider   O
:   O
Forbes   B-NAME
Hospital   O
:   O
Northeast   B-LOCATION
Kansas   I-LOCATION
Center   I-LOCATION
for   I-LOCATION
Health   I-LOCATION
and   I-LOCATION
Wellness   I-LOCATION
–   I-LOCATION
Horton   I-LOCATION
Location   O
:   O
Baldwinville   B-LOCATION
,   O
90798   B-LOCATION
Contact   O
Number   O
:   O
174   B-CONTACT
4995   I-CONTACT
Chief   O
Complaint   O
:   O
Dayana   B-NAME
Goodwin   I-NAME
,   O
a   O
Clothing   O
and   O
textile   O
technologist   O
from   O
Missouri   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Hendricks   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
on   O
Wednesday   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
constant   O
,   O
worsening   O
over   O
the   O
last   O
00/10/1771   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Wanda   B-NAME
Citizen   I-NAME
reported   O
that   O
the   O
symptoms   O
started   O
approximately   O
02/22   B-DATE
prior   O
to   O
admission   O
.   O

Valencia   B-NAME
has   O
taken   O
over   O
-   O
the   O
-   O
counter   O
acetaminophen   O
without   O
significant   O
relief   O
.   O

Qu   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
II   O
diabetes   O
mellitus   O
,   O
both   O
well   O
-   O
controlled   O
through   O
medication   O
prescribed   O
by   O
Stephenson   B-NAME
.   O

Surgical   O
History   O
:   O
Appendectomy   O
in   O
2032   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
32   I-DATE
.   O

Social   O
History   O
:   O
Parker   B-NAME
Quinby   I-NAME
is   O
a   O
Power   O
Generating   O
Plant   O
Operators   O
,   O
Except   O
Auxiliary   O
Equipment   O
Operators   O
residing   O
in   O
Chad   B-LOCATION
.   O

Kelvin   B-NAME
Yang   I-NAME
is   O
alert   O
and   O
oriented   O
x3   O
,   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

5   O
.   O
Start   O
IV   O
antibiotics   O
as   O
per   O
Revolutionary   B-LOCATION
Cells   I-LOCATION
-   I-LOCATION
Animal   I-LOCATION
Liberation   I-LOCATION
Brigade   I-LOCATION
(   I-LOCATION
RCALB   I-LOCATION
)   I-LOCATION
guidelines   O
.   O

Further   O
Recommendations   O
:   O
Arcanus   B-NAME
Emperor   I-NAME
is   O
advised   O
for   O
immediate   O
surgical   O
evaluation   O
and   O
likely   O
surgical   O
intervention   O
.   O

Khan   B-NAME
,   I-NAME
Nusrat   I-NAME
Fateh   I-NAME
Ali   I-NAME
's   O
next   O
of   O
kin   O
,   O
dir163   B-NAME
,   O
has   O
been   O
notified   O
and   O
provided   O
consent   O
for   O
surgery   O
on   O
behalf   O
of   O
Arjun   B-NAME
Gill   I-NAME
.   O

Case   O
Manager   O
:   O
Gwendolyn   B-NAME
Deleon   I-NAME
Date   O
:   O
10/25/00   B-DATE
Time   O
:   O
25/22/2273   B-DATE
Note   O
:   O

Patient   O
Name   O
:   O
Bennie   B-NAME
Motter   I-NAME
ID   O
:   O
NP:92982:381703   B-ID
Medical   O
Record   O
Number   O
:   O
241   B-ID
-   I-ID
26   I-ID
-   I-ID
98   I-ID
-   I-ID
5   I-ID
Age   O
:   O
43   O
Date   O
of   O
Birth   O
:   O
6/03   B-DATE
Address   O
:   O
Paoli   B-LOCATION
,   O
39665   B-LOCATION
Phone   O
Number   O
:   O
737   B-CONTACT
4973   I-CONTACT
Occupation   O
:   O
Environmental   O
health   O
officer   O
Primary   O
Care   O
Physician   O
:   O

Lilyana   B-NAME
Downs   I-NAME
Hospital   O
:   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Brazosport   I-LOCATION
Date   O
of   O
Visit   O
:   O
32/10   B-DATE
Clinical   O
Narration   O
:   O
Dean   B-NAME
Walters   I-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
Plant   O
and   O
System   O
Operators   O
,   O
All   O
Other   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
ORBIS   B-LOCATION
International   I-LOCATION
on   O
9/06   B-DATE
with   O
a   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
.   O

The   O
headache   O
was   O
reported   O
to   O
have   O
a   O
sudden   O
onset   O
earlier   O
on   O
0/29   B-DATE
,   O
reaching   O
peak   O
intensity   O
within   O
an   O
hour   O
.   O

On   O
physical   O
examination   O
,   O
O'Donnell   B-NAME
,   I-NAME
Rosie   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
pulse   O
78   O
beats   O
/   O
min   O
,   O
temperature   O
98.6   O
°   O
F   O
,   O
and   O
respiratory   O
rate   O
16   O
breaths   O
/   O
min   O
.   O
Neurological   O
examination   O
was   O
unremarkable   O
with   O
no   O
focal   O
deficits   O
,   O
and   O
the   O
patient   O
was   O
alert   O
and   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

Past   O
medical   O
history   O
,   O
obtained   O
via   O
electronic   O
health   O
records   O
(   O
AnimaNaturalis   B-LOCATION
(   I-LOCATION
Spain   I-LOCATION
and   I-LOCATION
Latin   I-LOCATION
America   I-LOCATION
)   I-LOCATION
)   O
,   O
included   O
hypertension   O
well   O
-   O
controlled   O
on   O
medication   O
and   O
no   O
previous   O
history   O
of   O
migraines   O
or   O
cluster   O
headaches   O
.   O

Follow   O
-   O
up   O
is   O
scheduled   O
with   O
Gaines   B-NAME
at   O
Lourdes   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
for   O
February   B-DATE
to   O
review   O
the   O
diagnostic   O
findings   O
and   O
tailor   O
a   O
management   O
plan   O
accordingly   O
.   O

In   O
the   O
event   O
of   O
any   O
concerns   O
or   O
worsening   O
symptoms   O
,   O
Isai   B-NAME
Martinez   I-NAME
was   O
advised   O
to   O
contact   O
Logan   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
850   B-CONTACT
-   I-CONTACT
102   I-CONTACT
4768   I-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
.   O

Username   O
for   O
health   O
portal   O
access   O
:   O
vku1002   B-NAME
Emergency   O
contact   O
:   O
398   B-CONTACT
466   I-CONTACT
-   I-CONTACT
4663   I-CONTACT
Documentation   O
by   O
:   O
Murray   B-NAME
,   O
22/32   B-DATE

The   O
patient   O
,   O
Bethany   B-NAME
Daniel   I-NAME
,   O
a   O
Museum   O
education   O
officer   O
from   O
Paragould   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Paragould   I-LOCATION
,   O
presented   O
to   O
Conway   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
20/19/2241   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
difficulty   O
breathing   O
,   O
and   O
chest   O
tightness   O
that   O
started   O
approximately   O
two   O
weeks   O
prior   O
.   O

Upon   O
initial   O
examination   O
,   O
Dale   B-NAME
Kim   I-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
.   O

Clay   B-NAME
reported   O
a   O
gradual   O
onset   O
of   O
symptoms   O
,   O
initially   O
attributing   O
them   O
to   O
seasonal   O
allergies   O
.   O

However   O
,   O
the   O
persistence   O
and   O
escalation   O
of   O
symptoms   O
,   O
accompanied   O
by   O
an   O
unintentional   O
weight   O
loss   O
of   O
5   O
kg   O
over   O
the   O
past   O
month   O
,   O
prompted   O
the   O
visit   O
to   O
Bowerman   B-NAME
,   I-NAME
Bill   I-NAME
at   O
Putnam   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

EVANS   B-NAME
,   I-NAME
NELSON   I-NAME
MAC   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

The   O
patient   O
's   O
unique   O
identifiers   O
such   O
as   O
4823647   B-ID
and   O
MH686/9888   B-ID
were   O
recorded   O
for   O
proper   O
documentation   O
and   O
follow   O
-   O
up   O
.   O

Management   O
was   O
initiated   O
with   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
supplemental   O
oxygen   O
,   O
and   O
fluids   O
as   O
Noel   B-NAME
Patterson   I-NAME
was   O
admitted   O
to   O
MultiCare   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Faith   B-NAME
Contreras   I-NAME
.   O

Instructions   O
were   O
given   O
to   O
contact   O
the   O
medical   O
team   O
at   O
176   B-CONTACT
-   I-CONTACT
5906   I-CONTACT
for   O
any   O
drastic   O
changes   O
in   O
symptoms   O
or   O
concerns   O
.   O

The   O
care   O
team   O
emphasized   O
the   O
importance   O
of   O
adherence   O
to   O
treatment   O
and   O
follow   O
-   O
up   O
appointments   O
scheduled   O
for   O
2000   B-DATE
.   O

Throughout   O
the   O
course   O
of   O
treatment   O
,   O
Norma   B-NAME
Umali   I-NAME
's   O
confidential   O
information   O
,   O
including   O
their   O
contact   O
number   O
(   O
346   B-CONTACT
938   I-CONTACT
-   I-CONTACT
6877   I-CONTACT
)   O
and   O
address   O
in   O
Iowa   B-LOCATION
Falls   I-LOCATION
,   O
39081   B-LOCATION
,   O
was   O
securely   O
stored   O
in   O
compliance   O
with   O
privacy   O
regulations   O
.   O

The   O
healthcare   O
team   O
,   O
including   O
Mason   B-NAME
Leanos   I-NAME
and   O
the   O
nursing   O
staff   O
at   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Saint   I-LOCATION
Marys   I-LOCATION
Campus   I-LOCATION
,   O
maintained   O
regular   O
communication   O
with   O
Aliza   B-NAME
Richards   I-NAME
,   O
ensuring   O
personalized   O
and   O
comprehensive   O
care   O
.   O

Progress   O
notes   O
and   O
updates   O
were   O
securely   O
documented   O
in   O
Melanie   B-NAME
Porter   I-NAME
's   O
medical   O
record   O
(   O
30192212   B-ID
)   O
,   O
accessible   O
only   O
to   O
authorized   O
personnel   O
within   O
GMB   B-LOCATION
.   O

The   O
multidisciplinary   O
approach   O
,   O
incorporating   O
expertise   O
from   O
pulmonology   O
,   O
infectious   O
diseases   O
,   O
and   O
general   O
medicine   O
,   O
was   O
pivotal   O
in   O
addressing   O
the   O
acute   O
concerns   O
and   O
planning   O
for   O
FLC   B-NAME
's   O
long   O
-   O
term   O
health   O
management   O
.   O

Patient   O
Report   O
for   O
Norma   B-NAME
Gonzalez   I-NAME
Date   O
of   O
Report   O
:   O
12/29/2020   B-DATE
Patient   O
ID   O
:   O
88831210   B-ID
Medical   O
Record   O
Number   O
:   O
8194498   B-ID
Treating   O
Physician   O
:   O

Fletcher   B-NAME
Lam   I-NAME
Hospital   O
:   O
AHS   B-LOCATION
Southcrest   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
dba   I-LOCATION
Hillcrest   I-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
Location   O
of   O
Consultation   O
:   O
Philadelphia   B-LOCATION
Contact   O
Number   O
:   O
579   B-CONTACT
-   I-CONTACT
272   I-CONTACT
-   I-CONTACT
5413   I-CONTACT
Zip   O
Code   O
:   O
64173   B-LOCATION
Presenting   O
Complaints   O
:   O
Sarina   B-NAME
Levers   I-NAME
,   O
a   O
Air   O
Crew   O
Members   O
from   O
Larimer   B-LOCATION
,   O
aged   O
30   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
North   B-LOCATION
Ridge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
07/30/2283   B-DATE
with   O
a   O
history   O
of   O
sudden   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

,   O
Chloe   B-NAME
Artis   I-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Recommendations   O
:   O
Following   O
the   O
diagnosis   O
,   O
Maren   B-NAME
Capaldo   I-NAME
was   O
immediately   O
started   O
on   O
IV   O
antibiotics   O
and   O
fluids   O
.   O

Follow   O
-   O
Up   O
:   O
Lenard   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Malthus   B-NAME
,   I-NAME
Thomas   I-NAME
at   O
Three   B-LOCATION
Rivers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
5/5   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
manage   O
ongoing   O
diabetes   O
and   O
hypertension   O
.   O

Summary   O
:   O
This   O
report   O
details   O
the   O
presentation   O
,   O
examination   O
findings   O
,   O
diagnostic   O
process   O
,   O
and   O
management   O
plan   O
for   O
Martin   B-NAME
Bamford   I-NAME
,   O
who   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Immediate   O
interventions   O
were   O
taken   O
to   O
address   O
the   O
patient   O
's   O
condition   O
,   O
emphasizing   O
the   O
efficiency   O
and   O
responsiveness   O
of   O
the   O
healthcare   O
team   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
patient   O
report   O
is   O
confidential   O
and   O
contains   O
Protected   O
Health   O
Information   O
(   O
PHI   O
)   O
relevant   O
to   O
Brylee   B-NAME
Pearson   I-NAME
.   O

Please   O
contact   O
547   B-CONTACT
-   I-CONTACT
844   I-CONTACT
7471   I-CONTACT
at   O
New   B-LOCATION
Hampshire   I-LOCATION
with   O
any   O
questions   O
or   O
concerns   O
regarding   O
this   O
report   O
.   O

Patient   O
Name   O
:   O
Ahern   B-NAME
,   I-NAME
Bertie   I-NAME
Medical   O
Record   O
Number   O
:   O
4393754   B-ID
Date   O
of   O
Birth   O
:   O
29/32/71   B-DATE
Age   O
:   O
6   O
month   O
Address   O
:   O
Fort   B-LOCATION
Clark   I-LOCATION
Springs   I-LOCATION
,   O
81447   B-LOCATION
Phone   O
Number   O
:   O
164   B-CONTACT
902   I-CONTACT
-   I-CONTACT
2558   I-CONTACT

Attending   O
Physician   O
:   O
James   B-NAME
,   I-NAME
C.   I-NAME
L.   I-NAME
R.   I-NAME
Hospital   O
:   O
Suburban   B-LOCATION
Hospital   I-LOCATION
Patient   O
ID   O
:   O
DM725/1643   B-ID
Date   O
of   O
Admission   O
:   O
2105   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
08   I-DATE
Username   O
:   O
zz857   B-NAME
Occupation   O
:   O
Elevator   O
Installers   O
and   O
Repairers   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Hahn   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Bluegrass   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
21   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
48   I-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Gilbert   B-NAME
,   O
a   O
26   O
-   O
year   O
-   O
old   O
Tour   O
operator   O
,   O
has   O
been   O
experiencing   O
a   O
sharp   O
,   O
piercing   O
pain   O
in   O
the   O
upper   O
abdomen   O
that   O
gradually   O
intensified   O
.   O

Vena   B-NAME
Gicker   I-NAME
denied   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
recent   O
travel   O
.   O

The   O
patient   O
’s   O
medical   O
record   O
(   O
1353931   B-ID
)   O
indicates   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Upon   O
examination   O
,   O
Zenaida   B-NAME
Solley   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
management   O
plan   O
includes   O
admission   O
to   O
Vidant   B-LOCATION
Edgecombe   I-LOCATION
Hospital   I-LOCATION
for   O
bowel   O
rest   O
,   O
intravenous   O
hydration   O
,   O
and   O
pain   O
management   O
.   O

Dalia   B-NAME
Soto   I-NAME
will   O
be   O
kept   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
to   O
rest   O
the   O
pancreas   O
and   O
observed   O
closely   O
for   O
any   O
complications   O
.   O

A   O
consult   O
to   O
gastroenterology   O
for   O
further   O
evaluation   O
and   O
management   O
has   O
been   O
requested   O
by   O
Natasha   B-NAME
Dickson   I-NAME
.   O

Dietary   O
and   O
lifestyle   O
modifications   O
will   O
be   O
addressed   O
as   O
part   O
of   O
the   O
discharge   O
planning   O
to   O
manage   O
Villasenor   B-NAME
's   O
type   O
2   O
diabetes   O
and   O
reduce   O
the   O
risk   O
of   O
exacerbations   O
.   O

Coy   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
gastroenterology   O
clinic   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
progress   O
and   O
review   O
dietary   O
and   O
lifestyle   O
adjustments   O
.   O

Further   O
follow   O
-   O
up   O
with   O
Phoenix   B-NAME
Farrell   I-NAME
in   O
the   O
general   O
medicine   O
outpatient   O
clinic   O
will   O
monitor   O
Quinton   B-NAME
Hansen   I-NAME
's   O
chronic   O
conditions   O
and   O
overall   O
health   O
.   O
Instructions   O
for   O
Patient   O
upon   O
Discharge   O
:   O

4   O
.   O
Report   O
immediately   O
to   O
Sumner   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
experiencing   O
increased   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
any   O
new   O
symptoms   O
.   O

This   O
plan   O
was   O
discussed   O
and   O
agreed   O
upon   O
with   O
Darien   B-NAME
Duncan   I-NAME
on   O
23/21/69   B-DATE
,   O
ensuring   O
understanding   O
and   O
consent   O
for   O
the   O
proposed   O
management   O
steps   O
.   O

Patient   O
Report   O
for   O
Makayla   B-NAME
Nichols   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
62   O
Patient   O
ID   O
:   O
VN:61056:233262   B-ID
Medical   O
Record   O
Number   O
:   O
682   B-ID
-   I-ID
13   I-ID
-   I-ID
93   I-ID
-   I-ID
3   I-ID
Phone   O
Number   O
:   O
86807   B-CONTACT
Residence   O
:   O
Beckwourth   B-LOCATION
,   O
87620   B-LOCATION
Medical   O
Encounter   O
:   O
Date   O
of   O
Visit   O
:   O
0/01   B-DATE
Hospital   O
:   O
CHRISTUS   B-LOCATION
Ochsner   I-LOCATION
Lake   I-LOCATION
Area   I-LOCATION
Attending   O
Physician   O
:   O
Salk   B-NAME
,   I-NAME
Jonas   I-NAME
Clinical   O
Summary   O
:   O
Conner   B-NAME
Cline   I-NAME
,   O
a   O
doctor   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Corpus   B-LOCATION
Christi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Bay   I-LOCATION
Area   I-LOCATION
-   I-LOCATION
Heart   I-LOCATION
on   O
2/15   B-DATE
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
included   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
persistent   O
nausea   O
without   O
vomiting   O
.   O

Upon   O
examination   O
,   O
Cantu   B-NAME
exhibited   O
tenderness   O
in   O
the   O
epigastric   O
region   O
,   O
and   O
laboratory   O
tests   O
indicated   O
elevated   O
amylase   O
and   O
lipase   O
levels   O
,   O
suggesting   O
acute   O
pancreatitis   O
.   O

An   O
abdominal   O
ultrasound   O
conducted   O
on   O
10/32/12   B-DATE
revealed   O
no   O
gallstones   O
,   O
and   O
the   O
pancreatic   O
duct   O
appeared   O
normal   O
in   O
size   O
.   O

Management   O
and   O
Treatment   O
:   O
Under   O
the   O
care   O
of   O
Goodman   B-NAME
,   I-NAME
Ellen   I-NAME
and   O
the   O
multidisciplinary   O
team   O
at   O
Wedowee   B-LOCATION
Hospital   I-LOCATION
,   O
Sebastian   B-NAME
Villarreal   I-NAME
's   O
management   O
plan   O
included   O
intravenous   O
hydration   O
,   O
fasting   O
to   O
rest   O
the   O
pancreas   O
,   O
and   O
analgesia   O
for   O
pain   O
control   O
.   O

Nutritional   O
support   O
was   O
initiated   O
on   O
03/12   B-DATE
with   O
a   O
plan   O
to   O
slowly   O
reintroduce   O
oral   O
feeding   O
as   O
tolerated   O
.   O

Discussion   O
and   O
Follow   O
-   O
up   O
:   O
Alia   B-NAME
Brachle   I-NAME
responded   O
well   O
to   O
the   O
initial   O
treatment   O
,   O
reporting   O
a   O
significant   O
decrease   O
in   O
abdominal   O
pain   O
and   O
an   O
improved   O
general   O
condition   O
by   O
06/31   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
32/00   B-DATE
with   O
Eugene   B-NAME
Buchanan   I-NAME
to   O
evaluate   O
the   O
progress   O
and   O
to   O
discuss   O
the   O
potential   O
need   O
for   O
lifestyle   O
modifications   O
to   O
prevent   O
recurrence   O
.   O

Safety   O
Measures   O
:   O
To   O
protect   O
Marcelle   B-NAME
Zarrella   I-NAME
's   O
privacy   O
and   O
health   O
data   O
,   O
all   O
communication   O
with   O
the   O
patient   O
,   O
including   O
appointment   O
reminders   O
and   O
follow   O
-   O
up   O
care   O
instructions   O
,   O
will   O
be   O
securely   O
conveyed   O
via   O
255   B-CONTACT
-   I-CONTACT
7872   I-CONTACT
and   O
the   O
patient   O
portal   O
,   O
username   O
xx530   B-NAME
.   O

For   O
any   O
further   O
inquiries   O
or   O
clarification   O
,   O
contact   O
Wounded   B-LOCATION
Warrior   I-LOCATION
Project   I-LOCATION
at   O
694   B-CONTACT
-   I-CONTACT
290   I-CONTACT
8421   I-CONTACT
.   O

Patient   O
Report   O
for   O
Johnson   B-NAME
,   I-NAME
Lyndon   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
62   O
Location   O
:   O
Macy   B-LOCATION
Phone   O
Number   O
:   O
229   B-CONTACT
7430   I-CONTACT
Medical   O
Record   O
Number   O
:   O
574   B-ID
-   I-ID
34   I-ID
-   I-ID
40   I-ID
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
3094693   I-ID
Zip   O
Code   O
:   O
68676   B-LOCATION
Medical   O
History   O
:   O
Melany   B-NAME
Mckenzie   I-NAME
was   O
first   O
admitted   O
to   O
Lakes   B-LOCATION
Region   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
2021   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
18   I-DATE
after   O
reporting   O
persistent   O
symptoms   O
that   O
had   O
gradually   O
worsened   O
over   O
the   O
past   O
month   O
.   O

Upon   O
consultation   O
,   O
Lawson   B-NAME
described   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
was   O
described   O
as   O
sharp   O
,   O
constant   O
,   O
and   O
significantly   O
worsened   O
by   O
movement   O
.   O

Additionally   O
,   O
Heschel   B-NAME
,   I-NAME
Abraham   I-NAME
Joshua   I-NAME
has   O
noted   O
a   O
decrease   O
in   O
appetite   O
over   O
the   O
last   O
August   B-DATE
28   I-DATE
,   I-DATE
2081   I-DATE
and   O
several   O
episodes   O
of   O
low   O
-   O
grade   O
fever   O
and   O
chills   O
.   O

Examination   O
and   O
Tests   O
Conducted   O
:   O
Physical   O
examination   O
conducted   O
by   O
Aaden   B-NAME
Weiss   I-NAME
revealed   O
tenderness   O
and   O
rigidity   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
possible   O
appendicitis   O
.   O

Willow   B-NAME
Walls   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.5   O
°   O
C   O
.   O

Abdominal   O
ultrasonography   O
,   O
performed   O
on   O
October   B-DATE
12   I-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
inflammation   O
.   O

Treatment   O
Course   O
:   O
Upon   O
diagnosis   O
,   O
surgical   O
consultation   O
was   O
recommended   O
,   O
and   O
Probus   B-NAME
Marbray   I-NAME
underwent   O
an   O
appendectomy   O
on   O
02/03   B-DATE
without   O
complications   O
.   O

Blinky   B-NAME
’s   O
recovery   O
has   O
been   O
monitored   O
closely   O
with   O
follow   O
-   O
up   O
visits   O
scheduled   O
with   O
Silas   B-NAME
Ramirez   I-NAME
at   O
University   B-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Bancroft   B-NAME
,   I-NAME
Anne   I-NAME
has   O
been   O
advised   O
to   O
rest   O
and   O
follow   O
a   O
specific   O
diet   O
plan   O
during   O
the   O
recovery   O
period   O
.   O

The   O
most   O
recent   O
follow   O
-   O
up   O
on   O
21/13/2153   B-DATE
showed   O
that   O
Ann   B-NAME
Cuthbert   I-NAME
is   O
recovering   O
well   O
with   O
a   O
significant   O
reduction   O
in   O
symptoms   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
22/13   B-DATE
to   O
ensure   O
complete   O
recovery   O
.   O

Conclusion   O
:   O
Holder   B-NAME
's   O
case   O
illustrates   O
the   O
importance   O
of   O
prompt   O
medical   O
attention   O
and   O
treatment   O
for   O
acute   O
appendicitis   O
.   O

The   O
timely   O
surgical   O
intervention   O
and   O
appropriate   O
post   O
-   O
operative   O
care   O
have   O
contributed   O
to   O
a   O
positive   O
outcome   O
for   O
Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
.   O

Notes   O
:   O
For   O
any   O
further   O
information   O
or   O
changes   O
in   O
the   O
condition   O
of   O
Mitsuko   B-NAME
Nerney   I-NAME
,   O
please   O
contact   O
Margaret   B-LOCATION
R.   I-LOCATION
Pardee   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
478   I-CONTACT
)   I-CONTACT
448   I-CONTACT
-   I-CONTACT
2899   I-CONTACT
.   O

Report   O
prepared   O
by   O
:   O
Moody   B-NAME
Date   O
:   O
11/30/10   B-DATE
Riverside   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Gulf   I-LOCATION
Coast   I-LOCATION
Information   O
Security   O
and   O
Privacy   O
Office   O
Note   O
:   O
This   O
report   O
has   O
been   O
anonymized   O
in   O
accordance   O
with   O
HIPAA   O
guidelines   O
and   O
patient   O
privacy   O
protocols   O
.   O

Patient   O
Report   O
for   O
Kyson   B-NAME
Cuevas   I-NAME
23   O
-   O
year   O
-   O
old   O
secretary   O
residing   O
in   O
Prestonville   B-LOCATION
,   O
94986   B-LOCATION
reported   O
to   O
Ottawa   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Healthcare   I-LOCATION
Center   I-LOCATION
dba   I-LOCATION
OSF   I-LOCATION
Saint   I-LOCATION
Elizabeth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
7/29   B-DATE
with   O
a   O
presenting   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Habib   B-NAME
Valenzuela   I-NAME
also   O
noted   O
associated   O
symptoms   O
including   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

Upon   O
examination   O
,   O
Whitney   B-NAME
Bullock   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
temperature   O
of   O
37.8   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
at   O
130/85   O
mmHg   O
.   O

Laboratory   O
results   O
indicated   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
uL.   O
Abdominal   O
ultrasound   O
conducted   O
on   O
2092   B-DATE
showed   O
evidence   O
of   O
an   O
enlarged   O
appendix   O
with   O
a   O
diameter   O
of   O
1.1   O
cm   O
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

David   B-NAME
recommended   O
immediate   O
surgical   O
intervention   O
to   O
prevent   O
possible   O
complications   O
.   O

Angie   B-NAME
Bailey   I-NAME
consented   O
to   O
an   O
open   O
appendectomy   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
12/08/33   B-DATE
.   O

Post   O
-   O
operatively   O
,   O
Bombay   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

The   O
surgical   O
site   O
showed   O
no   O
signs   O
of   O
infection   O
during   O
follow   O
-   O
up   O
visits   O
,   O
and   O
Gaudi   B-NAME
,   I-NAME
Antonio   I-NAME
's   O
recovery   O
was   O
uneventful   O
.   O

Kendal   B-NAME
Mendoza   I-NAME
was   O
discharged   O
on   O
09/02/2072   B-DATE
with   O
instructions   O
to   O
avoid   O
strenuous   O
activities   O
for   O
44   O
weeks   O
and   O
to   O
monitor   O
the   O
incision   O
site   O
for   O
signs   O
of   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Jenner   B-NAME
,   I-NAME
Henry   I-NAME
at   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Peace   I-LOCATION
Hospital   I-LOCATION
on   O
31/23/74   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

For   O
further   O
information   O
or   O
concerns   O
,   O
Fromm   B-NAME
,   I-NAME
Erich   I-NAME
was   O
advised   O
to   O
contact   O
Scripps   B-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
San   I-LOCATION
Diego   I-LOCATION
at   O
86595   B-CONTACT
or   O
through   O
the   O
patient   O
portal   O
using   O
the   O
username   O
OQ118   B-NAME
.   O

Patient   O
Identifier   O
:   O
02634052   B-ID
ID   O
:   O
41663   B-ID
Date   O
of   O
Birth   O
:   O
2013   B-DATE
Contact   O
Phone   O
:   O
210   B-CONTACT
-   I-CONTACT
2035   I-CONTACT

Patient   O
Name   O
:   O
Infant   B-NAME
Brewer   I-NAME
Age   O
:   O
61   O
Date   O
of   O
Birth   O
:   O
July   B-DATE
1   I-DATE
Address   O
:   O
Bicester   B-LOCATION
,   O
31396   B-LOCATION
Phone   O
Number   O
:   O
54651   B-CONTACT
Occupation   O
:   O

Fine   O
Artists   O
,   O
Including   O
Painters   O
,   O
Sculptors   O
,   O
and   O
Illustrators   O
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
6071670   I-ID
Medical   O
Record   O
Number   O
:   O
3754816   B-ID
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Mill   B-NAME
,   I-NAME
John   I-NAME
Stuart   I-NAME
Treatment   O
Facility   O
:   O
Mizell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
10/30/50   B-DATE
Initial   O
Consultation   O
Date   O
:   O
00/80   B-DATE
Symptoms   O
and   O
Observations   O
:   O
The   O
patient   O
,   O
Charlotte   B-NAME
Adams   I-NAME
,   O
presented   O
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
were   O
first   O
noticed   O
approximately   O
1694   B-DATE
.   O

The   O
initial   O
symptom   O
was   O
a   O
pronounced   O
lethargy   O
,   O
progressing   O
over   O
11/02   B-DATE
to   O
include   O
severe   O
,   O
intermittent   O
headaches   O
localized   O
primarily   O
to   O
the   O
frontal   O
lobe   O
area   O
.   O

Around   O
2252   B-DATE
-   I-DATE
15   I-DATE
-   I-DATE
20   I-DATE
,   O
Freddie   B-NAME
V.   I-NAME
Hickman   I-NAME
began   O
to   O
experience   O
dizziness   O
,   O
which   O
was   O
described   O
as   O
a   O
sensation   O
of   O
spinning   O
or   O
loss   O
of   O
balance   O
,   O
exacerbated   O
by   O
sudden   O
movements   O
or   O
changes   O
in   O
position   O
.   O

Furthermore   O
,   O
BRANDON   B-NAME
VICENTE   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
starting   O
around   O
Sunday   B-DATE
,   O
accompanied   O
by   O
a   O
noticeable   O
weight   O
loss   O
over   O
the   O
ensuring   O
weeks   O
.   O

Additionally   O
,   O
on   O
26/23   B-DATE
,   O
Lesly   B-NAME
Simmons   I-NAME
described   O
experiencing   O
blurred   O
vision   O
,   O
particularly   O
when   O
attempting   O
to   O
focus   O
on   O
objects   O
at   O
a   O
distance   O
.   O

Diagnostic   O
Testing   O
:   O
Diagnostic   O
testing   O
was   O
arranged   O
promptly   O
,   O
beginning   O
on   O
2/13   B-DATE
.   O

Imaging   O
studies   O
,   O
including   O
an   O
MRI   O
conducted   O
on   O
22/20   B-DATE
,   O
revealed   O
no   O
significant   O
abnormalities   O
of   O
the   O
brain   O
that   O
could   O
account   O
for   O
the   O
dizziness   O
or   O
the   O
headaches   O
.   O

Given   O
the   O
persistence   O
and   O
severity   O
of   O
the   O
respiratory   O
symptoms   O
,   O
a   O
chest   O
X   O
-   O
ray   O
was   O
performed   O
on   O
11/08   B-DATE
,   O
which   O
demonstrated   O
clear   O
indications   O
of   O
a   O
mild   O
,   O
diffuse   O
interstitial   O
lung   O
pattern   O
,   O
hinting   O
at   O
a   O
possible   O
early   O
stage   O
of   O
an   O
infectious   O
process   O
.   O

Upon   O
consultation   O
with   O
Dr.   O
Livingston   B-NAME
,   O
a   O
multifaceted   O
treatment   O
plan   O
was   O
devised   O
for   O
Roy   B-NAME
Cantrell   I-NAME
.   O

Starting   O
30/20   B-DATE
,   O
Uriah   B-NAME
Judge   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
aimed   O
at   O
addressing   O
any   O
underlying   O
bacterial   O
infection   O
that   O
the   O
diagnostic   O
tests   O
may   O
have   O
missed   O
.   O

For   O
the   O
dizziness   O
,   O
Donovan   B-NAME
Porter   I-NAME
was   O
advised   O
to   O
avoid   O
sudden   O
movements   O
that   O
could   O
trigger   O
episodes   O
and   O
to   O
sit   O
or   O
lie   O
down   O
when   O
feeling   O
unsteady   O
.   O

Follow   O
-   O
up   O
and   O
Monitoring   O
:   O
January   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
Wednesday   B-DATE
at   O
Harrison   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
where   O
the   O
effectiveness   O
of   O
the   O
treatment   O
will   O
be   O
assessed   O
by   O
Dr.   O
Brewer   B-NAME
.   O

In   O
the   O
interim   O
,   O
Micheal   B-NAME
Leyva   I-NAME
was   O
encouraged   O
to   O
maintain   O
open   O
communication   O
with   O
the   O
healthcare   O
team   O
,   O
reporting   O
any   O
new   O
symptoms   O
or   O
concerns   O
promptly   O
via   O
contact   O
number   O
894   B-CONTACT
-   I-CONTACT
2463   I-CONTACT
.   O

Conclusion   O
:   O
The   O
medical   O
management   O
of   O
Dominique   B-NAME
Sanchez   I-NAME
's   O
symptoms   O
is   O
currently   O
underway   O
,   O
with   O
a   O
focus   O
on   O
symptom   O
relief   O
and   O
identification   O
of   O
the   O
underlying   O
cause   O
.   O

Continuous   O
evaluation   O
and   O
adaptation   O
of   O
the   O
treatment   O
plan   O
will   O
be   O
critical   O
to   O
Darin   B-NAME
's   O
recovery   O
and   O
overall   O
health   O
outcome   O
.   O

Patient   O
Name   O
:   O
Jerome   B-NAME
Date   O
of   O
Birth   O
:   O
00/69   B-DATE
Age   O
:   O
98   O
Phone   O
:   O
56710   B-CONTACT
Address   O
:   O
Big   B-LOCATION
Beaver   I-LOCATION
,   O
31664   B-LOCATION
Occupation   O
:   O
Fundraisers   O
Physician   O
:   O

Kendal   B-NAME
Dodson   I-NAME
Hospital   O
:   O
Mercy   B-LOCATION
Philadelphia   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
13899106   B-ID
Date   O
of   O
Visit   O
:   O
1607   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
30   I-DATE
Social   O
Security   O
Number   O
:   O
JA674/6263   B-ID
Clinical   O
Summary   O
:   O
Page   B-NAME
,   O
a   O
69   O
-   O
year   O
-   O
old   O
Umpires   O
,   O
Referees   O
,   O
and   O
Other   O
Sports   O
Officials   O
from   O
67   B-LOCATION
Hudson   I-LOCATION
St.   I-LOCATION
,   O
presented   O
to   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
Hudson   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
2289   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
28   I-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Harris   B-NAME
reported   O
experiencing   O
nausea   O
accompanied   O
by   O
two   O
episodes   O
of   O
vomiting   O
on   O
the   O
day   O
of   O
admission   O
.   O

On   O
physical   O
examination   O
,   O
Yeates   B-NAME
exhibited   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Abdominal   O
ultrasonography   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
surrounding   O
fluid   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O
Management   O
and   O
Outcome   O
:   O
Under   O
the   O
care   O
of   O
Elisabeth   B-NAME
Knight   I-NAME
,   O
Bennington   B-NAME
,   I-NAME
Chester   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
at   O
Citizens   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
25/06   B-DATE
.   O

The   O
procedure   O
was   O
uneventful   O
,   O
and   O
Shane   B-NAME
Richardson   I-NAME
demonstrated   O
good   O
post   O
-   O
operative   O
recovery   O
without   O
complications   O
.   O

Filiberto   B-NAME
Larmon   I-NAME
was   O
discharged   O
on   O
02/25/2022   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
two   O
weeks   O
post   O
-   O
discharge   O
.   O

Prescriptions   O
for   O
pain   O
management   O
and   O
oral   O
antibiotics   O
were   O
given   O
to   O
Hoover   B-NAME
to   O
prevent   O
postoperative   O
infections   O
.   O

Makenzie   B-NAME
Haas   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
and   O
gradually   O
resume   O
regular   O
activities   O
.   O

The   O
follow   O
-   O
up   O
on   O
2/06   B-DATE
showed   O
satisfactory   O
wound   O
healing   O
with   O
no   O
signs   O
of   O
infection   O
.   O

Gilbert   B-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
and   O
was   O
able   O
to   O
return   O
to   O
Actuary   O
work   O
without   O
restrictions   O
.   O

This   O
clinical   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
solely   O
for   O
the   O
use   O
of   O
healthcare   O
professionals   O
involved   O
in   O
the   O
care   O
of   O
Yehuda   B-NAME
Quijas   I-NAME
.   O

For   O
further   O
details   O
or   O
inquiries   O
,   O
please   O
contact   O
Leblanc   B-NAME
at   O
(   B-CONTACT
176   I-CONTACT
)   I-CONTACT
264   I-CONTACT
-   I-CONTACT
5330   I-CONTACT
at   O
Natividad   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
:   O
Max   B-NAME
Huerta   I-NAME
ID   O
:   O
VA:93142:158862   B-ID
Medical   O
Record   O
Number   O
:   O
66786322   B-ID
Age   O
:   O
92   O
Profession   O
:   O
Picture   O
researcher   O
Address   O
:   O
Koloa   B-LOCATION
,   O
52266   B-LOCATION
Phone   O
:   O
(   B-CONTACT
960   I-CONTACT
)   I-CONTACT
503   I-CONTACT
2276   I-CONTACT
Username   O
:   O
SC511   B-NAME
Attending   O
Physician   O
:   O

Odom   B-NAME
Hospital   O
:   O
NYU   B-LOCATION
Winthrop   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
February   B-DATE
Date   O
of   O
Report   O
:   O
1954   B-DATE
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
URIBE   B-NAME
,   I-NAME
HAROLD   I-NAME
,   O
a   O
pharmacist   O
residing   O
in   O
Mauldin   B-LOCATION
,   O
was   O
admitted   O
to   O
Frazier   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
on   O
7/28   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
sporadic   O
episodes   O
of   O
vomiting   O
over   O
the   O
preceding   O
September   B-DATE
32   I-DATE
.   O

Physical   O
examination   O
by   O
Paula   B-NAME
Boyle   I-NAME
revealed   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
same   O
area   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
performed   O
on   O
3/3   B-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
an   O
inflamed   O
appendix   O
without   O
signs   O
of   O
rupture   O
.   O

Family   O
history   O
noted   O
by   O
Wilson   B-NAME
,   I-NAME
Robert   I-NAME
Anton   I-NAME
highlights   O
a   O
paternal   O
history   O
of   O
colorectal   O
cancer   O
,   O
but   O
no   O
immediate   O
relatives   O
have   O
had   O
appendicitis   O
.   O

Management   O
and   O
Outcome   O
:   O
The   O
surgical   O
team   O
,   O
led   O
by   O
Dudley   B-NAME
,   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
2322   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
37   I-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
noted   O
to   O
be   O
within   O
normal   O
limits   O
,   O
with   O
Brynlee   B-NAME
Gentry   I-NAME
being   O
discharged   O
on   O
20/20   B-DATE
.   O
Instructions   O
for   O
home   O
care   O
,   O
including   O
wound   O
care   O
and   O
activity   O
restrictions   O
,   O
were   O
provided   O
upon   O
discharge   O
,   O
along   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Murillo   B-NAME
in   O
two   O
weeks   O
'   O
time   O
.   O

Christal   B-NAME
was   O
also   O
advised   O
to   O
maintain   O
their   O
current   O
diabetic   O
and   O
hypertension   O
medications   O
without   O
adjustment   O
.   O

For   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
new   O
concerns   O
,   O
Urie   B-NAME
is   O
instructed   O
to   O
contact   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Boise   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
.   O

This   O
clinical   O
summary   O
serves   O
to   O
document   O
the   O
events   O
,   O
management   O
,   O
and   O
outcomes   O
of   O
Marshall   B-NAME
,   I-NAME
Thomas   I-NAME
R.   I-NAME
's   O
recent   O
admission   O
to   O
Middlesex   B-LOCATION
Hospital   I-LOCATION
for   O
acute   O
appendicitis   O
.   O

Patient   O
Report   O
for   O
Kayden   B-NAME
Chandler   I-NAME
Initial   O
Consultation   O
:   O
2/32/14   B-DATE
Martinez   B-NAME
at   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Nampa   I-LOCATION
,   O
Weimar   B-LOCATION
received   O
Mariela   B-NAME
Wells   I-NAME
for   O
evaluation   O
.   O

Farring   B-NAME
also   O
noted   O
an   O
increase   O
in   O
frequency   O
of   O
urination   O
and   O
a   O
burning   O
sensation   O
during   O
the   O
process   O
.   O

Medical   O
Record   O
Number   O
:   O
395   B-ID
-   I-ID
50   I-ID
-   I-ID
29   I-ID
-   I-ID
9   I-ID
ID   O
Number   O
:   O
CW   B-ID
:   I-ID
HY:8524   I-ID
Plan   O
of   O
Care   O
:   O

Pending   O
the   O
urine   O
culture   O
results   O
,   O
Gregory   B-NAME
Rosas   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
and   O
advised   O
to   O
increase   O
fluid   O
intake   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
1847   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
24   I-DATE
to   O
reassess   O
symptoms   O
and   O
review   O
the   O
urine   O
culture   O
results   O
.   O

In   O
case   O
of   O
any   O
worsening   O
of   O
symptoms   O
or   O
concerns   O
,   O
Nathan   B-NAME
Whaley   I-NAME
was   O
instructed   O
to   O
contact   O
Holy   B-LOCATION
Cross   I-LOCATION
Germantown   I-LOCATION
Hospital   I-LOCATION
at   O
528   B-CONTACT
573   I-CONTACT
4458   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
at   O
North   B-LOCATION
Miami   I-LOCATION
,   O
70648   B-LOCATION
.   O

Prescribing   O
Doctor   O
:   O
Mclean   B-NAME
Assigned   O
Nurse   O
:   O
hu521   B-NAME
Referrals   O
and   O
Additional   O
Notes   O
:   O
Reference   O
was   O
made   O
to   O
a   O
specialist   O
in   O
urology   O
for   O
further   O
evaluation   O
,   O
considering   O
the   O
persistent   O
nature   O
of   O
the   O
symptoms   O
and   O
to   O
exclude   O
any   O
potential   O
complications   O
.   O

A   O
referral   O
letter   O
was   O
sent   O
to   O
Blankenship   B-NAME
at   O
Unite   B-LOCATION
-   I-LOCATION
the   I-LOCATION
Union   I-LOCATION
in   O
Hartsville   B-LOCATION
.   O

Prescription   O
Details   O
:   O
Medication   O
was   O
prescribed   O
to   O
address   O
the   O
suspected   O
UTI   O
with   O
instructions   O
on   O
dosage   O
and   O
potential   O
side   O
effects   O
discussed   O
with   O
Haylie   B-NAME
Dennis   I-NAME
.   O

Pharmacy   O
instructions   O
were   O
sent   O
electronically   O
to   O
Professional   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
,   O
70223   B-LOCATION
.   O

Consent   O
and   O
Privacy   O
:   O
02/22   B-DATE
was   O
annotated   O
as   O
the   O
date   O
when   O
Ritter   B-NAME
provided   O
informed   O
consent   O
for   O
treatment   O
and   O
for   O
sharing   O
necessary   O
medical   O
information   O
with   O
referred   O
healthcare   O
professionals   O
and   O
pharmacies   O
as   O
per   O
HIPAA   O
regulations   O
.   O

This   O
report   O
encapsulates   O
the   O
initial   O
consultation   O
,   O
examination   O
findings   O
,   O
and   O
proposed   O
plan   O
of   O
care   O
for   O
Quincy   B-NAME
T.   I-NAME
Uselton   I-NAME
and   O
adheres   O
to   O
privacy   O
standards   O
by   O
withholding   O
all   O
personal   O
health   O
information   O
in   O
accordance   O
with   O
HIPAA   O
.   O

Ivan   B-NAME
Chandler   I-NAME
Medical   O
Record   O
Number   O
:   O
121   B-ID
-   I-ID
35   I-ID
-   I-ID
39   I-ID
Date   O
of   O
Birth   O
:   O
82   O
Date   O
of   O
Visit   O
:   O
22   B-DATE
-   I-DATE
2   I-DATE
Doctor   O
:   O
Robinson   B-NAME
Hospital   O
:   O

Baptist   B-LOCATION
Health   I-LOCATION
Floyd   I-LOCATION
Location   O
:   O
Upland   B-LOCATION
,   I-LOCATION
Our   I-LOCATION
Town   I-LOCATION
Upland   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
Phone   O
:   O
974   B-CONTACT
219   I-CONTACT
-   I-CONTACT
9783   I-CONTACT
Profession   O
:   O

Surgical   O
Assistants   O
Username   O
:   O
jdy394   B-NAME
ZIP   O
:   O

66514   B-LOCATION
---   O
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Chan   B-NAME
,   O
a   O
82s   O
-   O
year   O
-   O
old   O
Pediatricians   O
,   O
General   O
,   O
presents   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Matthews   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2292   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mckenna   B-NAME
Wheeler   I-NAME
initially   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
2123/00/33   B-DATE
,   O
which   O
they   O
attributed   O
to   O
indigestion   O
.   O

However   O
,   O
the   O
pain   O
progressively   O
intensified   O
,   O
prompting   O
Ryker   B-NAME
Lawrence   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

Surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
at   O
Tucson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/36   B-DATE
.   O
Review   O
of   O
Systems   O
:   O
-   O
Gastrointestinal   O
:   O
As   O
detailed   O
above   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Nicholas   B-NAME
Gomes   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
was   O
scheduled   O
to   O
further   O
evaluate   O
Cherish   B-NAME
Freeman   I-NAME
's   O
condition   O
.   O

Admit   O
patient   O
to   O
Norman   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Porter   I-LOCATION
Campus   I-LOCATION
under   O
the   O
care   O
of   O
Chace   B-NAME
Gould   I-NAME
.   O

Prepare   O
Emilia   B-NAME
Glover   I-NAME
for   O
possible   O
appendectomy   O
pending   O
radiologic   O
confirmation   O
.   O

Patient   O
and   O
family   O
(   O
contact   O
number   O
:   O
811   B-CONTACT
5823   I-CONTACT
)   O
have   O
been   O
informed   O
about   O
the   O
condition   O
and   O
the   O
proposed   O
course   O
of   O
action   O
.   O

Follow   O
-   O
Up   O
:   O
Naima   B-NAME
Kirby   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgical   O
outpatient   O
department   O
on   O
06/30/96   B-DATE
post   O
-   O
discharge   O
for   O
wound   O
inspection   O
and   O
further   O
management   O
as   O
required   O
.   O

The   O
patient   O
,   O
Bucky   B-NAME
DeVol   I-NAME
,   O
a   O
Roof   O
Bolters   O
,   O
Mining   O
from   O
Cedar   B-LOCATION
Springs   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Norton   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
&   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
04/10/1762   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Athena   B-NAME
Hardin   I-NAME
mentioned   O
a   O
previous   O
episode   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
symptoms   O
approximately   O
one   O
month   O
ago   O
,   O
which   O
resolved   O
without   O
medical   O
intervention   O
.   O

Upon   O
examination   O
,   O
Keenan   B-NAME
Sanchez   I-NAME
was   O
noted   O
to   O
be   O
in   O
distress   O
,   O
with   O
a   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

William   B-NAME
Dugan   I-NAME
's   O
detailed   O
medical   O
history   O
and   O
current   O
medications   O
were   O
reviewed   O
,   O
revealing   O
no   O
known   O
drug   O
allergies   O
or   O
significant   O
past   O
medical   O
history   O
.   O

Holmes   B-NAME
's   O
741   B-ID
-   I-ID
56   I-ID
-   I-ID
35   I-ID
-   I-ID
6   I-ID
and   O
RQ465/2049   B-ID
were   O
verified   O
for   O
accuracy   O
and   O
completeness   O
of   O
medical   O
documentation   O
.   O

Diagnostic   O
imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
was   O
ordered   O
by   O
Casey   B-NAME
Benitez   I-NAME
and   O
performed   O
on   O
2320   B-DATE
.   O

Based   O
on   O
these   O
findings   O
,   O
Swanson   B-NAME
recommended   O
immediate   O
surgical   O
intervention   O
.   O

Makenna   B-NAME
Prince   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
,   O
treatment   O
options   O
,   O
potential   O
risks   O
,   O
and   O
the   O
urgent   O
need   O
for   O
an   O
appendectomy   O
.   O

The   O
consent   O
for   O
surgery   O
was   O
obtained   O
from   O
Mollie   B-NAME
Atkins   I-NAME
after   O
a   O
thorough   O
discussion   O
.   O

Surgery   O
was   O
successfully   O
performed   O
on   O
1/2   B-DATE
without   O
complication   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Garfield   B-NAME
was   O
discharged   O
on   O
29/35   B-DATE
with   O
instructions   O
for   O
care   O
,   O
signs   O
of   O
possible   O
complications   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
with   O
Strong   B-NAME
at   O
South   B-LOCATION
Bay   I-LOCATION
Hospital   I-LOCATION
.   O

Contact   O
information   O
,   O
including   O
33548   B-CONTACT
,   O
was   O
verified   O
with   O
Edwin   B-NAME
Lindsey   I-NAME
for   O
follow   O
-   O
up   O
communication   O
.   O

During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
00/05   B-DATE
,   O
Sharri   B-NAME
Adolphson   I-NAME
reported   O
significant   O
improvement   O
,   O
with   O
resolution   O
of   O
all   O
symptoms   O
.   O

Ford   B-NAME
,   I-NAME
Henry   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
and   O
was   O
provided   O
with   O
dietary   O
recommendations   O
and   O
wound   O
care   O
instructions   O
.   O

Further   O
follow   O
-   O
up   O
was   O
deemed   O
unnecessary   O
,   O
and   O
Yen   B-NAME
Cabeza   I-NAME
was   O
cleared   O
to   O
return   O
to   O
work   O
as   O
a   O
Sewers   O
,   O
Hand   O
.   O

The   O
multidisciplinary   O
approach   O
,   O
including   O
emergency   O
department   O
staff   O
,   O
surgeons   O
,   O
and   O
nursing   O
staff   O
at   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
in   I-LOCATION
Eau   I-LOCATION
Claire   I-LOCATION
,   O
facilitated   O
a   O
favorable   O
outcome   O
for   O
Petty   B-NAME
.   O

Nixon   B-NAME
's   O
case   O
has   O
been   O
documented   O
in   O
our   O
medical   O
records   O
under   O
567   B-ID
-   I-ID
89   I-ID
-   I-ID
33   I-ID
-   I-ID
4   I-ID
for   O
future   O
reference   O
and   O
continuous   O
quality   O
improvement   O
.   O

Patient   O
Name   O
:   O
Walter   B-NAME
Medical   O
Record   O
Number   O
:   O
3383021   B-ID
Date   O
of   O
Birth   O
:   O
07/08   B-DATE
Address   O
:   O
9468   B-LOCATION
Van   I-LOCATION
Dyke   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION
,   O
69874   B-LOCATION
Phone   O
Number   O
:   O
897   B-CONTACT
-   I-CONTACT
6472   I-CONTACT
Attending   O
Physician   O
:   O
Nikolai   B-NAME
Morales   I-NAME
Employer   O
:   O
Town   B-LOCATION
of   I-LOCATION
Middletown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O

Art   O
therapist   O
Social   O
Security   O
Number   O
:   O
JW907/1966   B-ID
Admission   O
Date   O
:   O
19/30/32   B-DATE
Hospital   O
:   O

Bothwell   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Hermine   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
10/12   B-DATE
with   O
a   O
report   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Billy   B-NAME
Roy   I-NAME
described   O
the   O
pain   O
as   O
crampy   O
in   O
nature   O
,   O
worsening   O
over   O
a   O
period   O
of   O
several   O
hours   O
,   O
accompanied   O
by   O
nausea   O
without   O
vomiting   O
.   O

Medical   O
History   O
:   O
Genevieve   B-NAME
Lloyd   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hyperlipidemia   O
and   O
Type   O
2   O
Diabetes   O
,   O
managed   O
through   O
medication   O
prescribed   O
by   O
Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
F   I-NAME
.   I-NAME
.   O
Edgar   B-NAME
Trujillo   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Alessandra   B-NAME
Mason   I-NAME
's   O
family   O
history   O
is   O
pertinent   O
for   O
colorectal   O
cancer   O
in   O
a   O
first   O
-   O
degree   O
relative   O
.   O

Precious   B-NAME
Rivera   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
.   O

On   O
physical   O
examination   O
,   O
Peyton   B-NAME
Winters   I-NAME
was   O
afebrile   O
with   O
vital   O
signs   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slightly   O
elevated   O
heart   O
rate   O
.   O

A   O
diagnostic   O
laparoscopy   O
performed   O
by   O
Dennise   B-NAME
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Xie   B-NAME
underwent   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
on   O
13/16   B-DATE
.   O

The   O
procedure   O
was   O
completed   O
without   O
complications   O
,   O
as   O
noted   O
by   O
Elian   B-NAME
Finley   I-NAME
.   O

Jeffrey   B-NAME
Geiger   I-NAME
received   O
intravenous   O
antibiotics   O
preoperatively   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Patrick   B-NAME
Fuentes   I-NAME
was   O
discharged   O
on   O
2142   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
East   B-LOCATION
Liverpool   I-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
in   O
2027   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Miranda   B-NAME
Harrington   I-NAME
's   O
postoperative   O
follow   O
-   O
up   O
on   O
23   B-DATE
-   I-DATE
24   I-DATE
with   O
Mireya   B-NAME
Cameron   I-NAME
at   O
Heart   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
demonstrated   O
a   O
well   O
-   O
healed   O
surgical   O
site   O
.   O

Gemayel   B-NAME
,   I-NAME
Solange   I-NAME
reported   O
complete   O
resolution   O
of   O
symptoms   O
.   O

Instructions   O
provided   O
to   O
James   B-NAME
Kildare   I-NAME
included   O
signs   O
of   O
infection   O
,   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
prescribed   O
dietary   O
recommendations   O
,   O
and   O
follow   O
-   O
up   O
blood   O
work   O
to   O
monitor   O
for   O
any   O
potential   O
postoperative   O
complications   O
.   O

Contact   O
Information   O
for   O
Follow   O
-   O
up   O
:   O
Caprice   B-NAME
Kofoot   I-NAME
was   O
advised   O
to   O
contact   O
Prisma   B-LOCATION
Health   I-LOCATION
Greenville   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
general   O
inquiry   O
line   O
at   O
(   B-CONTACT
816   I-CONTACT
)   I-CONTACT
567   I-CONTACT
-   I-CONTACT
4641   I-CONTACT
for   O
any   O
urgent   O
concerns   O
,   O
or   O
to   O
reach   O
out   O
to   O
Willie   B-NAME
Miranda   I-NAME
's   O
office   O
directly   O
for   O
non   O
-   O
urgent   O
matters   O
.   O

Patient   O
Report   O
for   O
MEDINA   B-NAME
,   I-NAME
LUTHER   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
67s   O
Phone   O
Number   O
:   O
(   B-CONTACT
716   I-CONTACT
)   I-CONTACT
846   I-CONTACT
3570   I-CONTACT
Location   O
:   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10472   I-LOCATION
Zip   O
code   O
:   O
96840   B-LOCATION
Medical   O
Record   O
Number   O
:   O
881   B-ID
-   I-ID
90   I-ID
-   I-ID
91   I-ID
-   I-ID
3   I-ID
ID   O
Number   O
:   O
0   B-ID
-   I-ID
7231223   I-ID
Medical   O
History   O
:   O

The   O
patient   O
,   O
a   O
Bailiffs   O
,   O
presented   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Tuomey   I-LOCATION
Hospital   I-LOCATION
on   O
02/03   B-DATE
with   O
complaints   O
of   O
ongoing   O
,   O
episodic   O
shortness   O
of   O
breath   O
,   O
chest   O
tightness   O
,   O
and   O
wheezing   O
.   O

The   O
symptoms   O
were   O
first   O
noticed   O
approximately   O
December   B-DATE
01   I-DATE
,   I-DATE
2121   I-DATE
ago   O
and   O
have   O
progressively   O
worsened   O
.   O

Carinus   B-NAME
Kletschka   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
mild   O
asthma   O
and   O
allergies   O
to   O
pollen   O
and   O
dust   O
,   O
as   O
documented   O
by   O
Cade   B-NAME
Huynh   I-NAME
during   O
the   O
last   O
visit   O
on   O
18/21/82   B-DATE
.   O
Examination   O
and   O
Diagnosis   O
:   O

Upon   O
examination   O
,   O
Day   B-NAME
noted   O
that   O
Mauricio   B-NAME
Whitaker   I-NAME
exhibited   O
audible   O
wheezing   O
bilaterally   O
,   O
reduced   O
expiratory   O
flow   O
rates   O
,   O
and   O
use   O
of   O
accessory   O
muscles   O
for   O
breathing   O
.   O

Spirometry   O
conducted   O
on   O
2339   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
01   I-DATE
showed   O
a   O
decreased   O
forced   O
expiratory   O
volume   O
in   O
one   O
second   O
(   O
FEV1   O
)   O
and   O
a   O
reduced   O
FEV1   O
/   O
FVC   O
ratio   O
,   O
indicating   O
obstructive   O
airway   O
disease   O
.   O

Lawson   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
inhaled   O
corticosteroids   O
and   O
a   O
long   O
-   O
acting   O
beta   O
-   O
agonist   O
to   O
manage   O
inflammation   O
and   O
improve   O
airflow   O
.   O

Jovanni   B-NAME
Sampson   I-NAME
advised   O
Mateo   B-NAME
Rosario   I-NAME
on   O
the   O
importance   O
of   O
avoiding   O
known   O
allergens   O
and   O
recommended   O
regular   O
follow   O
-   O
up   O
appointments   O
for   O
monitoring   O
the   O
condition   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
01/31   B-DATE
at   O
Community   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

Uriel   B-NAME
A.   I-NAME
Xavier   I-NAME
was   O
also   O
advised   O
to   O
monitor   O
peak   O
flow   O
readings   O
at   O
home   O
and   O
report   O
any   O
significant   O
changes   O
in   O
symptoms   O
.   O

Priestley   B-NAME
,   I-NAME
Joseph   I-NAME
has   O
been   O
educated   O
on   O
these   O
aspects   O
and   O
is   O
expected   O
to   O
closely   O
follow   O
the   O
treatment   O
plan   O
and   O
recommendations   O
to   O
manage   O
the   O
condition   O
effectively   O
.   O

For   O
further   O
information   O
or   O
to   O
report   O
any   O
concerns   O
,   O
please   O
contact   O
Straub   B-LOCATION
Clinic   I-LOCATION
&   I-LOCATION
Hospital   I-LOCATION
at   O
740   B-CONTACT
5242   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
6495893   I-ID
Medical   O
Record   O
Number   O
:   O
2538683   B-ID
Name   O
:   O
Raul   B-NAME
Quilici   I-NAME
Age   O
:   O
21   O
Profession   O
:   O
Neurologists   O
Location   O
:   O
Mayetta   B-LOCATION
Hospital   O
:   O
Jackson   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Carter   B-NAME
,   I-NAME
Jimmy   I-NAME
Date   O
of   O
Admission   O
:   O
33/22   B-DATE
Zip   O
Code   O
:   O
29019   B-LOCATION
Organization   O
:   O

Comunidad   B-LOCATION
Inti   I-LOCATION
Wara   I-LOCATION
Yassi   I-LOCATION
Phone   O
:   O
79466   B-CONTACT
Username   O
:   O
bj816   B-NAME
Chief   O
Complaint   O
:   O

Dillon   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Good   B-LOCATION
Shepherd   I-LOCATION
Rehabilitation   I-LOCATION
Network   I-LOCATION
on   O
3   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
ongoing   O
for   O
approximately   O
72   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Keaton   B-NAME
Richardson   I-NAME
,   O
a   O
Ophthalmologists   O
from   O
Little   B-LOCATION
Rock   I-LOCATION
,   O
has   O
been   O
in   O
their   O
usual   O
state   O
of   O
health   O
until   O
approximately   O
3   O
days   O
ago   O
(   O
01/13   B-DATE
)   O
,   O
when   O
they   O
began   O
experiencing   O
abdominal   O
pain   O
.   O

Harland   B-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
previous   O
episodes   O
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
symptoms   O
mentioned   O
,   O
Lyla   B-NAME
Myers   I-NAME
denies   O
any   O
respiratory   O
symptoms   O
,   O
changes   O
in   O
bowel   O
or   O
bladder   O
function   O
,   O
or   O
other   O
systemic   O
symptoms   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Amber   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
basic   O
metabolic   O
panel   O
(   O
BMP   O
)   O
were   O
ordered   O
by   O
Trace   B-NAME
Todd   I-NAME
.   O

Imaging   O
,   O
specifically   O
an   O
ultrasound   O
of   O
the   O
abdomen   O
,   O
was   O
also   O
performed   O
to   O
further   O
evaluate   O
the   O
source   O
of   O
Duke   B-NAME
's   O
symptoms   O
.   O

Treatment   O
and   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
diagnostic   O
findings   O
,   O
Philip   B-NAME
,   I-NAME
Duke   I-NAME
of   I-NAME
Edinburgh   I-NAME
was   O
admitted   O
to   O
Saint   B-LOCATION
Elizabeth   I-LOCATION
Florence   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

Eleanor   B-NAME
Potts   I-NAME
outlined   O
a   O
plan   O
for   O
intravenous   O
hydration   O
,   O
antibiotics   O
,   O
and   O
pain   O
management   O
pending   O
surgical   O
evaluation   O
.   O

Follow   O
-   O
Up   O
:   O
Kenley   B-NAME
Myers   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
outpatient   O
clinic   O
approximately   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
postoperative   O
recovery   O
and   O
address   O
any   O
ongoing   O
issues   O
.   O

For   O
any   O
queries   O
regarding   O
Justice   B-NAME
Finley   I-NAME
's   O
care   O
,   O
please   O
contact   O
the   O
primary   O
care   O
physician   O
directly   O
at   O
755   B-CONTACT
-   I-CONTACT
5212   I-CONTACT
or   O
refer   O
to   O
the   O
patient   O
's   O
medical   O
record   O
accessible   O
via   O
our   O
secure   O
system   O
with   O
hof1017   B-NAME
.   O

Report   O
Prepared   O
By   O
:   O
Matthew   B-NAME
Randolph   I-NAME
,   O
M.D.   O
00/28/2002   B-DATE

Patient   O
Report   O
for   O
Leia   B-NAME
Allison   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
35   O
Address   O
:   O
Higgins   B-LOCATION
,   O
80452   B-LOCATION
Phone   O
Number   O
:   O
41632   B-CONTACT
Occupation   O
:   O
Diagnostic   O
Medical   O
Sonographers   O
Medical   O
Record   O
Number   O
:   O
9718591   B-ID
ID   O
Number   O
:   O
LC   B-ID
:   I-ID
CJ:7714   I-ID
Summary   O
:   O
2/22   B-DATE
,   O
Zachary   B-NAME
Cabrera   I-NAME
was   O
admitted   O
to   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Downey   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Branson   B-NAME
Patel   I-NAME
also   O
reported   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Dr.   O
Martinez   B-NAME
noted   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
Krisalyn   B-NAME
's   O
abdomen   O
,   O
suggesting   O
irritation   O
peritoneum   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
2/28/30   B-DATE
showed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
a   O
fecalith   O
,   O
confirming   O
the   O
suspicion   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
After   O
the   O
diagnosis   O
,   O
Devin   B-NAME
May   I-NAME
was   O
scheduled   O
for   O
an   O
emergent   O
appendectomy   O
on   O
35/22   B-DATE
.   O

The   O
surgery   O
,   O
performed   O
by   O
Dr.   O
Guzman   B-NAME
at   O
Johnson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
was   O
successful   O
without   O
complications   O
.   O

Erica   B-NAME
Simpson   I-NAME
received   O
intravenous   O
antibiotics   O
to   O
treat   O
and   O
prevent   O
any   O
potential   O
peritonitis   O
or   O
systemic   O
infection   O
.   O

Postoperative   O
Care   O
:   O
Post   O
-   O
surgery   O
,   O
Snyder   B-NAME
was   O
advised   O
to   O
stay   O
in   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
for   O
monitoring   O
until   O
10/21   B-DATE
.   O

Addisyn   B-NAME
Benson   I-NAME
showed   O
signs   O
of   O
good   O
recovery   O
,   O
with   O
no   O
fever   O
or   O
abdominal   O
pain   O
reported   O
after   O
02/9   B-DATE
.   O
Follow   O
-   O
up   O
and   O
Instructions   O
:   O
0/38   B-DATE
,   O
Cordell   B-NAME
Summers   I-NAME
was   O
discharged   O
from   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Clairemont   I-LOCATION
and   O
was   O
instructed   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
look   O
out   O
for   O
,   O
and   O
activity   O
levels   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Harrington   B-NAME
in   O
two   O
weeks   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Kailey   B-NAME
Sellers   I-NAME
was   O
also   O
advised   O
to   O
monitor   O
blood   O
sugar   O
levels   O
regularly   O
due   O
to   O
diabetes   O
.   O

In   O
case   O
of   O
any   O
signs   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
other   O
concerns   O
,   O
Lawson   B-NAME
was   O
instructed   O
to   O
contact   O
Scotland   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
at   O
307   B-CONTACT
8410   I-CONTACT
immediately   O
or   O
visit   O
the   O
emergency   O
department   O
.   O

Any   O
queries   O
regarding   O
medical   O
records   O
or   O
personal   O
data   O
should   O
be   O
addressed   O
to   O
the   O
Medical   O
Records   O
Department   O
of   O
Sentara   B-LOCATION
Halifax   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
with   O
the   O
Medical   O
Record   O
Number   O
:   O
337   B-ID
-   I-ID
29   I-ID
-   I-ID
52   I-ID
-   I-ID
7   I-ID
.   O
End   O
of   O
Report   O
Prepared   O
by   O
:   O
WK875   B-NAME
Date   O
:   O
2031   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
11   I-DATE

Patient   O
Name   O
:   O
Hayden   B-NAME
Richard   I-NAME
Age   O
:   O
42   O
Date   O
of   O
Birth   O
:   O
05/12   B-DATE
Address   O
:   O
Chappaqua   B-LOCATION
,   O
51741   B-LOCATION
Phone   O
:   O
(   B-CONTACT
836   I-CONTACT
)   I-CONTACT
487   I-CONTACT
-   I-CONTACT
8058   I-CONTACT
Employer   O
:   O

Linux   B-LOCATION
Australia   I-LOCATION
Occupation   O
:   O
Music   O
Therapists   O
Doctor   O
:   O
Prince   B-NAME
Medical   O
Record   O
Number   O
:   O
861   B-ID
-   I-ID
51   I-ID
-   I-ID
78   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Visit   O
:   O
2/22/58   B-DATE
Hospital   O
:   O

East   B-LOCATION
Morgan   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Subjective   O
:   O
Charlie   B-NAME
Gallegos   I-NAME
,   O
a   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
from   O
Jenkinsville   B-LOCATION
,   O
presented   O
to   O
Bassett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2368   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
00   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
started   O
approximately   O
Tuesday   B-DATE
,   I-DATE
August   I-DATE
.   O

Kari   B-NAME
Marlene   I-NAME
Pryor   I-NAME
reported   O
no   O
significant   O
past   O
medical   O
history   O
aside   O
from   O
mild   O
hypertension   O
,   O
for   O
which   O
they   O
have   O
been   O
on   O
medication   O
prescribed   O
by   O
Johnston   B-NAME
.   O

Randolph   B-NAME
was   O
advised   O
on   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
during   O
the   O
consultation   O
on   O
04/03   B-DATE
.   O

The   O
case   O
was   O
discussed   O
with   O
Martin   B-NAME
,   O
who   O
agreed   O
with   O
the   O
treatment   O
plan   O
.   O

Follow   O
-   O
Up   O
:   O
Elizabeth   B-NAME
II   I-NAME
of   I-NAME
England   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2019   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
12   I-DATE
post   O
-   O
surgery   O
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

Instructions   O
were   O
given   O
to   O
call   O
the   O
office   O
at   O
(   B-CONTACT
358   I-CONTACT
)   I-CONTACT
621   I-CONTACT
-   I-CONTACT
4665   I-CONTACT
or   O
present   O
to   O
the   O
emergency   O
department   O
if   O
there   O
is   O
an   O
increase   O
in   O
pain   O
,   O
fever   O
,   O
or   O
any   O
signs   O
of   O
infection   O
before   O
the   O
follow   O
-   O
up   O
date   O
.   O

Consent   O
:   O
Informed   O
consent   O
was   O
obtained   O
from   O
Gideon   B-NAME
Fox   I-NAME
after   O
explaining   O
the   O
condition   O
,   O
the   O
proposed   O
treatment   O
,   O
and   O
potential   O
complications   O
.   O

The   O
consent   O
form   O
was   O
signed   O
on   O
05/79   B-DATE
.   O

Patient   O
Report   O
for   O
Nicholas   B-NAME
New   I-NAME
-------------------------------------   O
General   O
Information   O
:   O
-   O
Age   O
:   O
13   O
-   O
Medical   O
Record   O
Number   O
:   O
4716364   B-ID
-   O
Date   O
of   O
Visit   O
:   O
13/20   B-DATE
-   O
Contact   O
Number   O
:   O
361   B-CONTACT
-   I-CONTACT
7004   I-CONTACT
Symptoms   O
Presentation   O
:   O
Rawan   B-NAME
Pineda   I-NAME
presented   O
to   O
Tristar   B-LOCATION
Hendersonville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/39   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
mainly   O
concentrated   O
on   O
the   O
frontal   O
region   O
.   O

The   O
intensity   O
of   O
the   O
headaches   O
has   O
been   O
progressively   O
increasing   O
over   O
the   O
past   O
31/09   B-DATE
,   O
described   O
as   O
throbbing   O
and   O
occasionally   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Additionally   O
,   O
Summer   B-NAME
Allen   I-NAME
reported   O
experiencing   O
episodes   O
of   O
visual   O
disturbances   O
,   O
specifically   O
blurriness   O
and   O
seeing   O
aura   O
,   O
preceding   O
the   O
onset   O
of   O
the   O
headaches   O
.   O

Past   O
Medical   O
History   O
:   O
Kelsie   B-NAME
Barnett   I-NAME
has   O
a   O
documented   O
history   O
of   O
episodic   O
migraines   O
without   O
aura   O
since   O
8   O
week   O
.   O

There   O
is   O
also   O
a   O
noted   O
history   O
of   O
hypertension   O
for   O
which   O
Channing   B-NAME
,   I-NAME
William   I-NAME
Ellery   I-NAME
is   O
currently   O
on   O
medication   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Patti   B-NAME
Henery   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
,   O
except   O
for   O
a   O
slightly   O
elevated   O
blood   O
pressure   O
.   O

The   O
imaging   O
,   O
conducted   O
on   O
0/21/47   B-DATE
,   O
did   O
not   O
reveal   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

The   O
management   O
plan   O
for   O
Dangelo   B-NAME
Oneill   I-NAME
has   O
been   O
centered   O
on   O
the   O
acute   O
treatment   O
of   O
migraine   O
episodes   O
as   O
well   O
as   O
preventive   O
strategies   O
.   O

Follow   O
-   O
up   O
and   O
Prognosis   O
:   O
Levi   B-NAME
Poole   I-NAME
was   O
advised   O
to   O
monitor   O
headache   O
patterns   O
and   O
any   O
potential   O
side   O
effects   O
of   O
the   O
medications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
13/02/2049   B-DATE
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Nassau   I-LOCATION
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

Conclusion   O
:   O
Isabella   B-NAME
Fleming   I-NAME
,   O
a   O
21   O
-   O
year   O
-   O
old   O
with   O
a   O
history   O
of   O
migraines   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
their   O
known   O
condition   O
,   O
complicated   O
by   O
increasing   O
severity   O
and   O
frequency   O
.   O

Continuous   O
monitoring   O
and   O
follow   O
-   O
up   O
will   O
be   O
essential   O
in   O
managing   O
Salinger   B-NAME
,   I-NAME
J.   I-NAME
D.   I-NAME
's   O
condition   O
effectively   O
.   O

For   O
any   O
correspondence   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
Dr.   O
Pynchon   B-NAME
,   I-NAME
Thomas   I-NAME
at   O
746   B-CONTACT
-   I-CONTACT
205   I-CONTACT
5091   I-CONTACT
or   O
visit   O
us   O
at   O
Los   B-LOCATION
Angeles   I-LOCATION
County   I-LOCATION
University   I-LOCATION
of   I-LOCATION
Southern   I-LOCATION
California   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Waikoloa   B-LOCATION
Village   I-LOCATION
,   O
64686   B-LOCATION
.   O

Patient   O
:   O
Yandel   B-NAME
Escobar   I-NAME
ID   O
:   O
BF:51958:445711   B-ID
Medical   O
Record   O
Number   O
:   O
741   B-ID
-   I-ID
82   I-ID
-   I-ID
57   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
8/0   B-DATE
Age   O
:   O
4   O
Phone   O
:   O
(   B-CONTACT
807   I-CONTACT
)   I-CONTACT
882   I-CONTACT
7254   I-CONTACT
Profession   O
:   O
Dining   O
Room   O
and   O
Cafeteria   O
Attendants   O
and   O
Bartender   O
Helpers   O
Address   O
:   O
El   B-LOCATION
Cajon   I-LOCATION
,   O
20986   B-LOCATION
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Michael   B-NAME
Goldberg   I-NAME
,   O
presented   O
to   O
Putnam   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
02/13   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
that   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Associated   O
symptoms   O
included   O
nausea   O
without   O
vomiting   O
,   O
fever   O
documented   O
at   O
home   O
as   O
38.5   O
°   O
C   O
,   O
and   O
decreased   O
appetite   O
since   O
05/01/1945   B-DATE
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
hyperlipidemia   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
by   O
medication   O
prescribed   O
by   O
Rich   B-NAME
.   O

A   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Tucker   B-NAME
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Jensen   B-NAME
to   O
CGH   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
management   O
of   O
acute   O
appendicitis   O
.   O

After   O
receiving   O
initial   O
resuscitation   O
with   O
intravenous   O
fluids   O
and   O
antibiotics   O
,   O
he   O
underwent   O
laparoscopic   O
appendectomy   O
on   O
21/23   B-DATE
without   O
any   O
complications   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
11/33   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
on   O
August   B-DATE
.   O

The   O
contact   O
information   O
for   O
follow   O
-   O
up   O
includes   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Northwest   I-LOCATION
Arkansas   I-LOCATION
at   O
264   B-CONTACT
-   I-CONTACT
3823   I-CONTACT
for   O
any   O
concerns   O
or   O
complications   O
.   O

The   O
patient   O
was   O
advised   O
to   O
maintain   O
a   O
follow   O
-   O
up   O
with   O
Hull   B-NAME
,   I-NAME
Bobby   I-NAME
for   O
wound   O
inspection   O
and   O
management   O
of   O
his   O
chronic   O
conditions   O
.   O

Document   O
Prepared   O
By   O
:   O
ltc593   B-NAME
2242   B-DATE

Patient   O
Name   O
:   O
Esteban   B-NAME
Kidd   I-NAME
Age   O
:   O
2   O
week   O
Date   O
of   O
Birth   O
:   O
December   B-DATE
Address   O
:   O
Port   B-LOCATION
Washington   I-LOCATION
,   O
34474   B-LOCATION
Phone   O
:   O
361   B-CONTACT
6629   I-CONTACT
Social   O
Security   O
Number   O
:   O
5   B-ID
-   I-ID
5366105   I-ID
Medical   O
Record   O
Number   O
:   O
89375   B-ID
Employment   O
:   O
nurse   O
at   O
The   B-LOCATION
La   I-LOCATION
Coste   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Primary   O
Physician   O
:   O

Dr.   O
Myers   B-NAME
Hospital   O
:   O
Decatur   B-LOCATION
General   I-LOCATION
West   I-LOCATION
Behavioral   I-LOCATION
Medicine   I-LOCATION
Center   I-LOCATION
Presenting   O
Complaint   O
:   O

Jonell   B-NAME
Crissinger   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Riverside   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
ParkCare   I-LOCATION
Pavilion   I-LOCATION
on   O
1919   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
15   I-DATE
,   O
with   O
complaints   O
of   O
acute   O
onset   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
beginning   O
approximately   O
two   O
hours   O
prior   O
to   O
admission   O
.   O

Andonuts   B-NAME
also   O
mentioned   O
a   O
recent   O
increase   O
in   O
exertional   O
dyspnea   O
and   O
an   O
episode   O
of   O
syncope   O
that   O
occurred   O
2125   B-DATE
.   O

The   O
patient   O
,   O
a   O
Geophysical   O
Data   O
Technicians   O
at   O
American   B-LOCATION
G.I.   I-LOCATION
Forum   I-LOCATION
,   O
has   O
noticed   O
these   O
symptoms   O
interfering   O
with   O
their   O
daily   O
activities   O
,   O
prompting   O
them   O
to   O
seek   O
medical   O
attention   O
.   O

Past   O
Medical   O
History   O
:   O
Laurer   B-NAME
,   I-NAME
Joanie   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
diagnosed   O
19   O
and   O
3   O
years   O
ago   O
,   O
respectively   O
.   O

Zechariah   B-NAME
Braun   I-NAME
is   O
currently   O
on   O
Lisinopril   O
20   O
mg   O
daily   O
and   O
Metformin   O
500   O
mg   O
twice   O
a   O
day   O
.   O

Social   O
History   O
:   O
Atticus   B-NAME
Bennett   I-NAME
reports   O
being   O
a   O
former   O
smoker   O
,   O
having   O
quit   O
5   O
years   O
ago   O
,   O
and   O
denies   O
any   O
alcohol   O
or   O
recreational   O
drug   O
use   O
.   O

Review   O
of   O
Systems   O
:   O
Upon   O
review   O
,   O
Zaiden   B-NAME
York   I-NAME
complained   O
of   O
occasional   O
palpitations   O
over   O
the   O
last   O
few   O
months   O
,   O
with   O
no   O
reported   O
fever   O
,   O
cough   O
,   O
or   O
recent   O
travel   O
history   O
to   O
Vallejo   B-LOCATION
.   O

Physical   O
examination   O
showed   O
Norris   B-NAME
Jahns   I-NAME
in   O
distress   O
due   O
to   O
pain   O
,   O
with   O
diaphoresis   O
.   O

Management   O
:   O
Beulah   B-NAME
Rana   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
and   O
was   O
administered   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Morton   B-NAME
was   O
urgently   O
referred   O
for   O
a   O
coronary   O
angiography   O
,   O
performed   O
by   O
Dr.   O
Vazquez   B-NAME
at   O
Tufts   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2018   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Benjamin   B-NAME
Hobart   I-NAME
will   O
require   O
close   O
follow   O
-   O
up   O
with   O
cardiology   O
and   O
primary   O
care   O
services   O
post   O
-   O
discharge   O
to   O
manage   O
cardiovascular   O
risk   O
factors   O
and   O
monitor   O
for   O
post   O
-   O
myocardial   O
infarction   O
complications   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Shore   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
992   B-CONTACT
-   I-CONTACT
2410   I-CONTACT
.   O

Patient   O
Name   O
:   O
Briana   B-NAME
Acosta   I-NAME
Date   O
of   O
Birth   O
:   O
Saturday   B-DATE
,   I-DATE
September   I-DATE
Date   O
of   O
Admission   O
:   O
32/32/2140   B-DATE
Hospital   O
:   O
Asante   B-LOCATION
Rogue   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Doctor   O
:   O
Skyla   B-NAME
Wall   I-NAME
Medical   O
Record   O
Number   O
:   O
7422349   B-ID
ID   O
Number   O
:   O
VU:88448:688330   B-ID

Address   O
:   O
Halls   B-LOCATION
,   O
67366   B-LOCATION
Phone   O
:   O
982   B-CONTACT
570   I-CONTACT
-   I-CONTACT
8265   I-CONTACT
Employer   O
:   O
Constitutional   B-LOCATION
Worlds   I-LOCATION
Profession   O
:   O

Correspondence   O
Clerks   O
Username   O
:   O
nhx578   B-NAME
Presenting   O
Complaint   O
:   O
Bennett   B-NAME
Ward   I-NAME
,   O
a   O
61   O
-   O
year   O
-   O
old   O
Gaming   O
Cage   O
Workers   O
employed   O
by   O
Liberty   B-LOCATION
Utilities   I-LOCATION
(   I-LOCATION
including   I-LOCATION
Granite   I-LOCATION
State   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
at   O
5   B-LOCATION
Newbridge   I-LOCATION
Court   I-LOCATION
,   O
was   O
admitted   O
to   O
Iowa   B-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
on   O
25/12/2202   B-DATE
,   O
under   O
the   O
care   O
of   O
Dr.   O
Mayo   B-NAME
.   O

Edmundo   B-NAME
described   O
the   O
headaches   O
as   O
having   O
a   O
pulsating   O
quality   O
,   O
with   O
episodes   O
lasting   O
from   O
4   O
to   O
72   O
hours   O
if   O
untreated   O
.   O

Additionally   O
,   O
Jazlynn   B-NAME
Owen   I-NAME
has   O
noted   O
nausea   O
and   O
,   O
in   O
some   O
instances   O
,   O
vomiting   O
during   O
these   O
headache   O
episodes   O
.   O

Past   O
Medical   O
History   O
:   O
Buck   B-NAME
Leonidas   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
diagnosed   O
migraines   O
without   O
aura   O
,   O
managed   O
intermittently   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

The   O
latest   O
annual   O
check   O
-   O
up   O
records   O
at   O
McAllen   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
dated   O
Sunday   B-DATE
,   I-DATE
January   I-DATE
revealed   O
no   O
abnormalities   O
in   O
complete   O
blood   O
count   O
,   O
blood   O
pressure   O
,   O
and   O
cholesterol   O
levels   O
.   O

Keys   B-NAME
has   O
no   O
known   O
drug   O
allergies   O
and   O
does   O
not   O
use   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Gene   B-NAME
Quadri   I-NAME
has   O
been   O
experiencing   O
increased   O
stress   O
at   O
work   O
,   O
as   O
mentioned   O
above   O
with   O
their   O
position   O
at   O
Tyranical   B-LOCATION
Planets   I-LOCATION
.   O

On   O
examination   O
,   O
Quentin   B-NAME
Lacey   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
a   O
headache   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
Gabriella   B-NAME
Gonzalez   I-NAME
's   O
medical   O
history   O
,   O
the   O
diagnosis   O
of   O
migraines   O
with   O
typical   O
aura   O
was   O
considered   O
.   O

A   O
management   O
plan   O
involving   O
both   O
pharmacologic   O
and   O
non   O
-   O
pharmacologic   O
strategies   O
was   O
discussed   O
with   O
Oswald   B-NAME
M   I-NAME
Jeffers   I-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
16/33   B-DATE
to   O
review   O
Bender   B-NAME
's   O
response   O
to   O
the   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Palme   B-NAME
,   I-NAME
Olof   I-NAME
provided   O
Tyger   B-NAME
,   I-NAME
Frank   I-NAME
with   O
detailed   O
instructions   O
regarding   O
medication   O
use   O
,   O
potential   O
side   O
effects   O
,   O
and   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
prescribed   O
treatment   O
plan   O
.   O

Spencer   B-NAME
Hester   I-NAME
was   O
encouraged   O
to   O
keep   O
a   O
headache   O
diary   O
to   O
document   O
the   O
frequency   O
,   O
duration   O
,   O
severity   O
of   O
the   O
migraines   O
,   O
and   O
any   O
potential   O
triggers   O
or   O
relieving   O
factors   O
.   O

Additionally   O
,   O
Wolfe   B-NAME
was   O
given   O
the   O
contact   O
information   O
for   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
's   O
headache   O
clinic   O
for   O
further   O
support   O
and   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
experiencing   O
any   O
signs   O
of   O
an   O
acute   O
neurologic   O
deficit   O
or   O
other   O
alarming   O
symptoms   O
.   O

Subject   O
:   O
Patient   O
Report   O
Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Florentina   B-NAME
Age   O
:   O
9   O
week   O
Medical   O
Record   O
Number   O
:   O
78711910   B-ID
ID   O
Number   O
:   O
EY:821032:797623   B-ID
Address   O
:   O
Beaumont   B-LOCATION
,   O
53519   B-LOCATION
Phone   O
Number   O
:   O
77211   B-CONTACT
Occupation   O
:   O
Dental   O
Assistants   O
Primary   O
Physician   O
:   O
Dr.   O
Gordon   B-NAME
Conley   I-NAME
Treating   O
Facility   O
:   O
Auburn   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Report   O
Date   O
:   O
2164   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
23   I-DATE
Summary   O
of   O
Presenting   O
Symptoms   O
:   O

The   O
patient   O
,   O
Geoff   B-NAME
Standish   I-NAME
,   O
presented   O
to   O
Emanate   B-LOCATION
Health   I-LOCATION
Foothill   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
on   O
2031   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
11   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
onset   O
was   O
approximately   O
01/13/00   B-DATE
,   O
with   O
episodes   O
of   O
increasing   O
intensity   O
occurring   O
over   O
the   O
last   O
14/26   B-DATE
.   O

Peterson   B-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
bowel   O
movements   O
.   O

Pena   B-NAME
denied   O
any   O
use   O
of   O
new   O
medications   O
or   O
known   O
allergens   O
prior   O
to   O
symptom   O
onset   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Lourd   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
with   O
vital   O
signs   O
within   O
normal   O
limits   O
except   O
for   O
a   O
mild   O
tachycardia   O
.   O

Abdominal   O
imaging   O
,   O
conducted   O
on   O
12/23/2009   B-DATE
,   O
suggested   O
appendicitis   O
without   O
evidence   O
of   O
perforation   O
.   O

Diagnosis   O
:   O
The   O
primary   O
working   O
diagnosis   O
for   O
Pal   B-NAME
Meraktis   I-NAME
is   O
acute   O
appendicitis   O
,   O
based   O
on   O
clinical   O
presentation   O
and   O
supported   O
by   O
laboratory   O
and   O
imaging   O
findings   O
.   O

Treatment   O
Plan   O
:   O
Surgical   O
consultation   O
with   O
Dr.   O
Ashanti   B-NAME
Bauer   I-NAME
was   O
obtained   O
on   O
Sunday   B-DATE
,   I-DATE
May   I-DATE
,   O
and   O
Caryl   B-NAME
Eisenman   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
initiated   O
,   O
and   O
Robin   B-NAME
was   O
informed   O
of   O
the   O
intended   O
procedure   O
,   O
including   O
potential   O
risks   O
and   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

Consent   O
was   O
obtained   O
from   O
Makenna   B-NAME
Hendricks   I-NAME
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
XAYSANA   B-NAME
,   I-NAME
YUSEF   I-NAME
will   O
require   O
close   O
post   O
-   O
operative   O
monitoring   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
related   O
to   O
the   O
procedure   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Tabitha   B-NAME
Carey   I-NAME
at   O
CHI   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Hot   I-LOCATION
Springs   I-LOCATION
for   O
2110   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
25   I-DATE
to   O
assess   O
wound   O
healing   O
and   O
to   O
discuss   O
the   O
histopathology   O
results   O
of   O
the   O
removed   O
appendix   O
.   O

Gabriele   B-NAME
Gobrecht   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
liquid   O
diet   O
progressing   O
to   O
soft   O
foods   O
as   O
tolerated   O
and   O
to   O
avoid   O
strenuous   O
activities   O
for   O
a   O
minimum   O
period   O
of   O
22/21   B-DATE
.   O

This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
medical   O
staff   O
involved   O
in   O
the   O
care   O
of   O
F.   B-NAME
Mcfarland   I-NAME
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
Highlands   B-LOCATION
Hospital   I-LOCATION
at   O
118   B-CONTACT
5364   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
ge942   B-NAME
Medical   O
Reporting   O
Department   O
Northside   B-LOCATION
Hospital   I-LOCATION
Forsyth   I-LOCATION
Friday   B-DATE
,   I-DATE
November   I-DATE
2242   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
11   I-DATE
,   O
Bond   B-NAME
was   O
admitted   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Saint   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
that   O
started   O
early   O
in   O
the   O
morning   O
.   O

Sade   B-NAME
,   I-NAME
Donatien   I-NAME
de   I-NAME
is   O
a   O
1   O
-   O
year   O
-   O
old   O
Equality   O
and   O
diversity   O
officer   O
residing   O
in   O
832   B-LOCATION
Selby   I-LOCATION
Dr.   I-LOCATION
,   O
90438   B-LOCATION
.   O

A   O
previous   O
medical   O
history   O
obtained   O
from   O
995   B-ID
-   I-ID
15   I-ID
-   I-ID
28   I-ID
-   I-ID
3   I-ID
shows   O
no   O
significant   O
findings   O
,   O
and   O
there   O
are   O
no   O
known   O
allergies   O
.   O

Quentin   B-NAME
Lacey   I-NAME
was   O
immediately   O
assessed   O
by   O
Mccoy   B-NAME
,   O
who   O
ordered   O
a   O
comprehensive   O
set   O
of   O
laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
test   O
(   O
LFT   O
)   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
.   O

The   O
blood   O
tests   O
,   O
completed   O
on   O
21/26   B-DATE
,   O
revealed   O
a   O
slight   O
elevation   O
in   O
the   O
white   O
blood   O
cell   O
count   O
,   O
indicating   O
a   O
possible   O
infection   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
the   O
diagnostic   O
findings   O
,   O
Gibson   B-NAME
,   I-NAME
William   I-NAME
Ford   I-NAME
recommended   O
an   O
immediate   O
surgical   O
intervention   O
to   O
remove   O
the   O
inflamed   O
appendix   O
.   O

Lugo   B-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
consent   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
successfully   O
carried   O
out   O
on   O
2/2092   B-DATE
without   O
any   O
complications   O
.   O

Kiera   B-NAME
's   O
recovery   O
was   O
monitored   O
closely   O
,   O
with   O
vital   O
signs   O
and   O
pain   O
levels   O
regularly   O
checked   O
by   O
the   O
nursing   O
staff   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Marilyn   B-NAME
Cunningham   I-NAME
voiced   O
concerns   O
about   O
the   O
recovery   O
process   O
and   O
the   O
ability   O
to   O
return   O
to   O
work   O
as   O
a   O
Human   O
Resources   O
Assistants   O
,   O
Except   O
Payroll   O
and   O
Timekeeping   O
.   O

These   O
concerns   O
were   O
addressed   O
in   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Huber   B-NAME
,   O
who   O
provided   O
detailed   O
postoperative   O
care   O
instructions   O
and   O
recommended   O
a   O
gradual   O
return   O
to   O
physical   O
activities   O
.   O

Baha'u'llah   B-NAME
was   O
discharged   O
on   O
22/11   B-DATE
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
to   O
assess   O
healing   O
and   O
postoperative   O
recovery   O
.   O

Contact   O
details   O
provided   O
for   O
follow   O
-   O
up   O
communication   O
included   O
a   O
home   O
88430   B-CONTACT
and   O
an   O
emergency   O
contact   O
number   O
.   O

All   O
correspondence   O
regarding   O
the   O
medical   O
care   O
,   O
including   O
the   O
surgical   O
consent   O
,   O
discharge   O
summary   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
details   O
,   O
were   O
documented   O
under   O
067   B-ID
-   I-ID
50   I-ID
-   I-ID
45   I-ID
-   I-ID
8   I-ID
and   O
are   O
confidential   O
.   O

Any   O
further   O
inquiries   O
regarding   O
the   O
case   O
should   O
be   O
directed   O
to   O
Lake   B-LOCATION
Chelan   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
with   O
the   O
specific   O
reference   O
to   O
4   B-ID
-   I-ID
4938867   I-ID
to   O
ensure   O
compliance   O
with   O
patient   O
confidentiality   O
guidelines   O
.   O

In   O
summary   O
,   O
Skyla   B-NAME
Banks   I-NAME
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
,   O
underwent   O
successful   O
surgical   O
removal   O
of   O
the   O
appendix   O
,   O
and   O
is   O
currently   O
in   O
the   O
recovery   O
phase   O
with   O
positive   O
prognosis   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Zion   B-NAME
Massey   I-NAME
-   O
Age   O
:   O
81   O
-   O
Address   O
:   O
La   B-LOCATION
Coste   I-LOCATION
,   O
61853   B-LOCATION
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
246   I-CONTACT
)   I-CONTACT
403   I-CONTACT
2198   I-CONTACT
-   O
Medical   O
Record   O
Number   O
:   O
691   B-ID
-   I-ID
53   I-ID
-   I-ID
86   I-ID
-   I-ID
3   I-ID
-   O
Date   O
of   O
Visit   O
:   O
20/24   B-DATE
-   O
Attending   O
Physician   O
:   O

Wilfred   B-NAME
Glendon   I-NAME
-   O
Hospital   O
:   O
Piedmont   B-LOCATION
Newnan   I-LOCATION
Hospital   I-LOCATION
-   O
Occupation   O
:   O
Computer   O
,   O
Automated   O
Teller   O
,   O
and   O
Office   O
Machine   O
Repairers   O
Chief   O
Complaint   O
:   O

Hunt   B-NAME
presents   O
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
on   O
1/10/60   B-DATE
.   O

Ethan   B-NAME
Green   I-NAME
also   O
reports   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
earlier   O
on   O
the   O
day   O
of   O
admission   O
.   O

Quintin   B-NAME
Costa   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Tibor   B-NAME
Oquinn   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
surgical   O
consultation   O
with   O
Huerta   B-NAME
was   O
obtained   O
.   O

Corbin   B-NAME
Poole   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Colby   B-NAME
Brown   I-NAME
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
21/31   B-DATE
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
Tianna   B-NAME
Rowland   I-NAME
was   O
discharged   O
home   O
in   O
stable   O
condition   O
on   O
postoperative   O
day   O
2   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Salvador   B-NAME
Barboza   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Malone   B-NAME
on   O
2/22/20   B-DATE
at   O
Covenant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

Additionally   O
,   O
J.   B-NAME
Joseph   I-NAME
Moreno   I-NAME
is   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
and   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
to   O
facilitate   O
recovery   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
related   O
to   O
the   O
postoperative   O
care   O
,   O
Douglas   B-NAME
can   O
contact   O
the   O
surgical   O
team   O
at   O
219   B-CONTACT
9351   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
yj2410   B-NAME
on   O
10/31   B-DATE
.   O

Patient   O
Report   O
for   O
Abram   B-NAME
Lamer   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
84275329   B-ID
-   O
Patient   O
Age   O
:   O
10   O
month   O
-   O
Phone   O
Number   O
:   O
13656   B-CONTACT
-   O
Address   O
:   O
Elk   B-LOCATION
Mound   I-LOCATION
,   O
10544   B-LOCATION
-   O
Primary   O
Physician   O
:   O
Dr.   O
Wayne   B-NAME
Ellison   I-NAME
-   O
Hospital   O
:   O
Summerlin   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
0023574   B-ID
-   O
Date   O
of   O
Visit   O
:   O
2348/02/33   B-DATE
-   O
Occupation   O
:   O
Nursing   O
Assistants   O
Medical   O
History   O
:   O
Simpson   B-NAME
,   I-NAME
Jack   I-NAME
presented   O
to   O
the   O
clinic   O
with   O
a   O
detailed   O
history   O
of   O
persistent   O
symptoms   O
that   O
escalated   O
over   O
the   O
past   O
few   O
weeks   O
.   O

The   O
initial   O
onset   O
was   O
noted   O
approximately   O
30   B-DATE
-   I-DATE
31   I-DATE
,   O
with   O
Miller   B-NAME
,   I-NAME
Ron   I-NAME
experiencing   O
intermittent   O
episodes   O
of   O
severe   O
,   O
throbbing   O
cephalgia   O
,   O
primarily   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
and   O
which   O
Frank   B-NAME
Ito   I-NAME
described   O
as   O
"   O
pounding   O
"   O
in   O
nature   O
.   O

These   O
headache   O
episodes   O
have   O
been   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
,   O
significantly   O
impairing   O
Theron   B-NAME
,   I-NAME
Charlize   I-NAME
's   O
daily   O
activities   O
,   O
including   O
Mates-   O
Ship   O
,   O
Boat   O
,   O
and   O
Barge   O
duties   O
at   O
Center   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Humanitarian   I-LOCATION
law   I-LOCATION
.   O

Dalton   B-NAME
has   O
also   O
observed   O
an   O
unusual   O
increase   O
in   O
nocturnal   O
diuresis   O
,   O
leading   O
to   O
disrupted   O
sleep   O
patterns   O
and   O
increased   O
fatigue   O
during   O
daytime   O
hours   O
.   O

Clinical   O
Assessment   O
:   O
Upon   O
clinical   O
examination   O
,   O
Sanai   B-NAME
Collins   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
,   O
showing   O
an   O
elevated   O
blood   O
pressure   O
reading   O
of   O
150/90   O
mmHg   O
.   O

Results   O
are   O
pending   O
as   O
of   O
the   O
last   O
update   O
on   O
0/32   B-DATE
.   O

Given   O
the   O
symptomatology   O
,   O
including   O
the   O
increased   O
frequency   O
of   O
headaches   O
and   O
the   O
recent   O
onset   O
of   O
gastrointestinal   O
symptoms   O
,   O
an   O
MRI   O
of   O
the   O
brain   O
and   O
an   O
abdominal   O
ultrasound   O
have   O
been   O
scheduled   O
for   O
2042   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
25   I-DATE
to   O
rule   O
out   O
structural   O
causes   O
.   O

Jordin   B-NAME
Robinson   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
documenting   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
,   O
and   O
any   O
associated   O
symptoms   O
or   O
triggers   O
.   O

The   O
patient   O
has   O
been   O
informed   O
about   O
the   O
importance   O
of   O
regular   O
monitoring   O
and   O
was   O
given   O
emergency   O
contact   O
numbers   O
,   O
including   O
the   O
hospital   O
’s   O
main   O
line   O
(   O
889   B-CONTACT
9288   I-CONTACT
)   O
in   O
case   O
of   O
acute   O
exacerbation   O
of   O
symptoms   O
.   O

The   O
follow   O
-   O
up   O
visit   O
has   O
been   O
scheduled   O
for   O
14/21/22   B-DATE
,   O
and   O
Pierre   B-NAME
Peters   I-NAME
was   O
encouraged   O
to   O
reach   O
out   O
to   O
Dr.   O
Chance   B-NAME
Lawrence   I-NAME
through   O
the   O
patient   O
portal   O
(   O
XX296   B-NAME
)   O
for   O
any   O
concerns   O
prior   O
to   O
the   O
scheduled   O
appointment   O
.   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
Meryn   B-NAME
Degrandpre   I-NAME
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
674   B-CONTACT
-   I-CONTACT
826   I-CONTACT
-   I-CONTACT
6351   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
document   O
.   O

Harley   B-NAME
Nguyen   I-NAME
Age   O
:   O
49   O
Gender   O
:   O
Male   O
Date   O
of   O
Birth   O
:   O
0/39   B-DATE
Address   O
:   O
Vaughnsville   B-LOCATION
,   O
79967   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
742   I-CONTACT
)   I-CONTACT
746   I-CONTACT
-   I-CONTACT
6712   I-CONTACT
Occupation   O
:   O

Embalmers   O
Medical   O
Record   O
Number   O
:   O
34605   B-ID
Date   O
of   O
Visit   O
:   O

35/34/14   B-DATE
Referring   O
Physician   O
:   O
Dr.   O
Curry   B-NAME
Hospital   O
:   O
Flushing   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
Number   O
:   O
SJ   B-ID
:   I-ID
BF:6399   I-ID

Presenting   O
Complaints   O
:   O
Dijkstra   B-NAME
,   I-NAME
Edsger   I-NAME
presents   O
with   O
a   O
history   O
of   O
acute   O
onset   O
dyspnea   O
and   O
productive   O
cough   O
over   O
the   O
past   O
27/28/2332   B-DATE
.   O

Additionally   O
,   O
Clements   B-NAME
has   O
experienced   O
intermittent   O
episodes   O
of   O
chest   O
tightness   O
,   O
described   O
as   O
a   O
constricting   O
feeling   O
around   O
the   O
thorax   O
,   O
without   O
radiation   O
to   O
other   O
areas   O
.   O

Past   O
Medical   O
History   O
:   O
Franzen   B-NAME
,   I-NAME
Jonathan   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
in   O
April   B-DATE
.   O

On   O
examination   O
,   O
Leandro   B-NAME
Biscari   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
effort   O
.   O

Given   O
the   O
findings   O
,   O
Kerr   B-NAME
was   O
diagnosed   O
with   O
acute   O
bronchitis   O
superimposed   O
on   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
exacerbation   O
.   O

A   O
management   O
plan   O
was   O
outlined   O
by   O
Dr.   O
Hans   B-NAME
Reinhardt   I-NAME
,   O
including   O
the   O
initiation   O
of   O
a   O
short   O
course   O
of   O
oral   O
corticosteroids   O
and   O
antibiotics   O
.   O

Irvin   B-NAME
S.   I-NAME
Joshua   I-NAME
Morgan   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
smoking   O
cessation   O
,   O
given   O
his   O
history   O
of   O
heavy   O
tobacco   O
use   O
.   O

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
32/23   B-DATE
to   O
reassess   O
his   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
needed   O
.   O

Brady   B-NAME
was   O
discharged   O
with   O
prescriptions   O
and   O
detailed   O
management   O
instructions   O
.   O

Contact   O
information   O
for   O
Baptist   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Union   I-LOCATION
City   I-LOCATION
Emergency   O
Department   O
(   O
414   B-CONTACT
590   I-CONTACT
-   I-CONTACT
7615   I-CONTACT
)   O
was   O
provided   O
for   O
any   O
urgent   O
concerns   O
.   O

Signature   O
:   O
Richard   B-NAME
Bentley   I-NAME
2289   B-DATE

Patient   O
Name   O
:   O
Frank   B-NAME
Ito   I-NAME
Patient   O
ID   O
:   O
NE673/9574   B-ID
Medical   O
Record   O
Number   O
:   O
19227994   B-ID
Date   O
of   O
Birth   O
:   O
70   O
Date   O
of   O
Visit   O
:   O
September   B-DATE
02   I-DATE
,   I-DATE
2132   I-DATE

Attending   O
Physician   O
:   O
Mclaughlin   B-NAME
Hospital   O
:   O
Lincoln   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Bonita   B-LOCATION
Springs   I-LOCATION
Contact   O
Phone   O
:   O
34794   B-CONTACT
Occupation   O
:   O

Commercial   O
and   O
Industrial   O
Designers   O
Username   O
:   O
fz544   B-NAME
Zip   O
Code   O
:   O
13075   B-LOCATION
Chief   O
Complaint   O
:   O
Amiyah   B-NAME
Todd   I-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
coach   O
from   O
46   B-LOCATION
La   I-LOCATION
Sierra   I-LOCATION
Street   I-LOCATION
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Cary   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/15/28   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
vertigo   O
and   O
persistent   O
,   O
throbbing   O
headache   O
for   O
the   O
past   O
three   O
days   O
.   O

Freddy   B-NAME
Terry   I-NAME
reports   O
the   O
vertigo   O
being   O
exacerbated   O
by   O
head   O
movements   O
and   O
associated   O
with   O
a   O
sensation   O
of   O
the   O
room   O
spinning   O
.   O

Additionally   O
,   O
Beckie   B-NAME
Nacisse   I-NAME
has   O
experienced   O
bouts   O
of   O
nausea   O
,   O
lack   O
of   O
appetite   O
,   O
and   O
an   O
episode   O
of   O
emesis   O
this   O
morning   O
before   O
coming   O
to   O
the   O
hospital   O
.   O
History   O
of   O
Present   O
Illness   O
:   O

The   O
vertigo   O
was   O
first   O
noticed   O
two   O
days   O
ago   O
and   O
has   O
progressively   O
worsened   O
,   O
impacting   O
Da'nailed   B-NAME
Persyn   I-NAME
's   O
ability   O
to   O
perform   O
daily   O
activities   O
.   O

Urijah   B-NAME
Maynard   I-NAME
's   O
attempts   O
to   O
manage   O
symptoms   O
with   O
over   O
-   O
the   O
-   O
counter   O
pain   O
relief   O
medications   O
and   O
bed   O
rest   O
were   O
unsuccessful   O
.   O

Past   O
Medical   O
History   O
:   O
Bekonnen   B-NAME
Lopata   I-NAME
denies   O
any   O
previous   O
episodes   O
of   O
similar   O
symptoms   O
,   O
any   O
known   O
allergies   O
,   O
surgeries   O
,   O
or   O
chronic   O
conditions   O
.   O

Social   O
History   O
:   O
MF   B-NAME
,   O
a   O
Lodging   O
Managers   O
,   O
reports   O
occasional   O
alcohol   O
use   O
on   O
weekends   O
and   O
denies   O
tobacco   O
or   O
illicit   O
drug   O
use   O
.   O

Lives   O
alone   O
in   O
Lydia   B-LOCATION
and   O
works   O
at   O
WAPDA   B-LOCATION
.   O

Review   O
of   O
Systems   O
:   O
Lexie   B-NAME
Carver   I-NAME
denies   O
fever   O
,   O
chills   O
,   O
weight   O
loss   O
,   O
ear   O
pain   O
,   O
hearing   O
loss   O
,   O
tinnitus   O
,   O
diplopia   O
,   O
facial   O
numbness   O
or   O
weakness   O
,   O
dysphagia   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
abdominal   O
pain   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
bladder   O
function   O
.   O

Plan   O
to   O
order   O
an   O
MRI   O
of   O
the   O
brain   O
to   O
rule   O
out   O
central   O
causes   O
and   O
considering   O
a   O
referral   O
to   O
Jensen   B-NAME
,   I-NAME
Derrick   I-NAME
in   O
otolaryngology   O
for   O
further   O
evaluation   O
.   O

-   O
Avoid   O
sudden   O
head   O
movements   O
that   O
may   O
aggravate   O
vertigo   O
.   O
-   O
Return   O
to   O
Sentara   B-LOCATION
Northern   I-LOCATION
Virginia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
contact   O
745   B-CONTACT
777   I-CONTACT
9868   I-CONTACT
if   O
experiencing   O
increased   O
symptoms   O
,   O
new   O
symptoms   O
such   O
as   O
double   O
vision   O
,   O
weakness   O
,   O
or   O
inability   O
to   O
walk   O
.   O

Consent   O
:   O
Verbal   O
and   O
written   O
informed   O
consent   O
was   O
obtained   O
from   O
Zavier   B-NAME
Schneider   I-NAME
to   O
proceed   O
with   O
the   O
recommended   O
diagnostic   O
and   O
therapeutic   O
plan   O
.   O

The   O
patient   O
wishes   O
to   O
be   O
contacted   O
with   O
test   O
results   O
and   O
follow   O
-   O
up   O
instructions   O
at   O
(   B-CONTACT
271   I-CONTACT
)   I-CONTACT
318   I-CONTACT
-   I-CONTACT
1163   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Kael   B-NAME
Griffin   I-NAME
,   O
October   B-DATE
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Patient   O
Nall   B-NAME
3/26/29   B-DATE
,   O
Jerseyville   B-LOCATION
The   O
patient   O
,   O
a   O
3   O
week   O
-   O
year   O
-   O
old   O
attorney   O
,   O
presented   O
to   O
SCI   B-LOCATION
-   I-LOCATION
Waymart   I-LOCATION
Forensic   I-LOCATION
Treatment   I-LOCATION
Center   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
quadrant   O
.   O

The   O
pain   O
started   O
approximately   O
2281   B-DATE
and   O
has   O
progressively   O
worsened   O
.   O

Guy   B-NAME
Claiborne   I-NAME
also   O
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

History   O
:   O
Ali   B-NAME
Crichton   I-NAME
has   O
a   O
medical   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
but   O
denies   O
any   O
similar   O
episodes   O
with   O
this   O
level   O
of   O
severity   O
.   O

Hana   B-NAME
Mielkie   I-NAME
does   O
not   O
smoke   O
,   O
consume   O
alcohol   O
,   O
or   O
use   O
recreational   O
drugs   O
.   O

The   O
last   O
complete   O
physical   O
examination   O
was   O
conducted   O
on   O
11/24   B-DATE
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Noam   B-NAME
,   I-NAME
Eli   I-NAME
's   O
temperature   O
was   O
noted   O
to   O
be   O
38.6   O
°   O
C   O
,   O
indicative   O
of   O
fever   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Based   O
on   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
Donna   B-NAME
Pope   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Sanaa   B-NAME
Lin   I-NAME
was   O
advised   O
to   O
maintain   O
NPO   O
(   O
nil   O
per   O
os   O
,   O
nothing   O
by   O
mouth   O
)   O
status   O
in   O
preparation   O
for   O
potential   O
surgical   O
intervention   O
.   O

Eddington   B-NAME
,   I-NAME
Arthur   I-NAME
Stanley   I-NAME
was   O
informed   O
about   O
the   O
symptoms   O
of   O
appendiceal   O
rupture   O
,   O
such   O
as   O
escalating   O
abdominal   O
pain   O
,   O
and   O
was   O
advised   O
to   O
report   O
any   O
worsening   O
symptoms   O
immediately   O
.   O

Follow   O
-   O
Up   O
:   O
Lore   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
22/30   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
ensure   O
resolution   O
of   O
symptoms   O
.   O

In   O
case   O
of   O
any   O
medical   O
emergencies   O
,   O
Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
should   O
contact   O
Bryan   B-LOCATION
West   I-LOCATION
Campus   I-LOCATION
at   O
34230   B-CONTACT
.   O

Additional   O
instructions   O
include   O
contacting   O
Garza   B-NAME
for   O
non   O
-   O
urgent   O
matters   O
regarding   O
the   O
recovery   O
process   O
.   O

This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
pertaining   O
to   O
Mariah   B-NAME
David   I-NAME
.   O

Identification   O
Information   O
:   O
National   B-LOCATION
Guard   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
Medical   O
Record   O
Number   O
:   O
63711359   B-ID
Patient   O
ID   O
:   O
BH   B-ID
:   I-ID
SY:3411   I-ID
Date   O
of   O
Report   O
:   O
1983   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
07   I-DATE
Prepared   O
by   O
:   O
Roman   B-NAME
Herring   I-NAME
Contact   O
Number   O
:   O
72144   B-CONTACT
Location   O
:   O
Chili   B-LOCATION
84175   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Mccarthy   B-NAME
MRN   O
:   O
474   B-ID
-   I-ID
00   I-ID
-   I-ID
79   I-ID
Date   O
of   O
Birth   O
:   O
2/0   B-DATE
Age   O
:   O
25   O
Address   O
:   O
California   B-LOCATION
,   O
58373   B-LOCATION
Phone   O
Number   O
:   O
137   B-CONTACT
-   I-CONTACT
360   I-CONTACT
-   I-CONTACT
6680   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Manuel   B-NAME
Gonzalez   I-NAME
Admitting   O
Hospital   O
:   O
Valley   B-LOCATION
View   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/33   B-DATE
ID   O
Number   O
:   O
2006591   B-ID
Summary   O
:   O
Chandler   B-NAME
Nguyen   I-NAME
,   O
a   O
Software   O
developer   O
from   O
Casper   B-LOCATION
Mountain   I-LOCATION
,   O
presented   O
to   O
Jackson   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
on   O
7/12/52   B-DATE
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
frequent   O
urination   O
,   O
extreme   O
thirst   O
,   O
and   O
unexplained   O
weight   O
loss   O
over   O
the   O
past   O
33/28   B-DATE
.   O

Findings   O
:   O
Upon   O
examination   O
,   O
lowery   B-NAME
displayed   O
classic   O
symptoms   O
of   O
polyuria   O
,   O
polydipsia   O
,   O
and   O
polyphagia   O
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
outside   O
Nabesna   B-LOCATION
or   O
any   O
recent   O
infections   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
Sincere   B-NAME
Finley   I-NAME
was   O
diagnosed   O
with   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O

Dalia   B-NAME
Hardin   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
a   O
balanced   O
diet   O
and   O
regular   O
physical   O
activity   O
.   O

Further   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Clarence   B-NAME
Lang   I-NAME
in   O
two   O
weeks   O
to   O
reassess   O
glycemic   O
control   O
and   O
adjust   O
the   O
medication   O
regimen   O
as   O
needed   O
.   O

Contact   O
information   O
for   O
the   O
Diabetes   O
Education   O
Center   O
was   O
provided   O
,   O
and   O
Neven   B-NAME
Bell   I-NAME
was   O
encouraged   O
to   O
join   O
a   O
support   O
group   O
for   O
individuals   O
with   O
diabetes   O
.   O

Note   O
:   O
Umberto   B-NAME
Xuan   I-NAME
consented   O
to   O
all   O
the   O
proposed   O
treatments   O
and   O
expressed   O
understanding   O
of   O
the   O
importance   O
of   O
managing   O
their   O
condition   O
.   O

A   O
follow   O
-   O
up   O
call   O
was   O
scheduled   O
for   O
31/23/2117   B-DATE
to   O
check   O
on   O
IKECHUKWU   B-NAME
SPEARS   I-NAME
's   O
progress   O
and   O
discuss   O
any   O
concerns   O
or   O
difficulties   O
encountered   O
with   O
the   O
management   O
plan   O
.   O

The   O
prescription   O
was   O
electronically   O
sent   O
to   O
City   B-LOCATION
of   I-LOCATION
Alachua   I-LOCATION
Public   I-LOCATION
Services   I-LOCATION
Department   I-LOCATION
Pharmacy   O
at   O
(   B-CONTACT
836   I-CONTACT
)   I-CONTACT
487   I-CONTACT
-   I-CONTACT
8058   I-CONTACT
.   O

In   O
case   O
of   O
any   O
emergency   O
or   O
adverse   O
reactions   O
to   O
medication   O
,   O
Jenni   B-NAME
Pettiford   I-NAME
was   O
advised   O
to   O
contact   O
CHRISTUS   B-LOCATION
Ochsner   I-LOCATION
St.   I-LOCATION
Patrick   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Lake   I-LOCATION
Charles   I-LOCATION
through   O
(   B-CONTACT
749   I-CONTACT
)   I-CONTACT
432   I-CONTACT
-   I-CONTACT
6554   I-CONTACT
or   O
visit   O
the   O
Emergency   O
Department   O
immediately   O
.   O

Future   O
Consultations   O
:   O
Matilda   B-NAME
Conrad   I-NAME
was   O
referred   O
to   O
Endocrinology   O
for   O
further   O
management   O
and   O
was   O
scheduled   O
for   O
an   O
appointment   O
with   O
Corea   B-NAME
,   I-NAME
Vernon   I-NAME
on   O
09   B-DATE
.   O

Authorization   O
:   O
This   O
report   O
was   O
prepared   O
by   O
QM06   B-NAME
on   O
November   B-DATE
30   I-DATE
,   I-DATE
2227   I-DATE
and   O
reviewed   O
by   O
Marlie   B-NAME
Duarte   I-NAME
for   O
accuracy   O
.   O

On   O
2145   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
21   I-DATE
,   O
Valerian   B-NAME
Ahaus   I-NAME
presented   O
to   O
Ashley   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Market   B-LOCATION
Harborough   I-LOCATION
with   O
a   O
constellation   O
of   O
symptoms   O
including   O
acute   O
onset   O
of   O
high   O
fever   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
notable   O
difficulty   O
breathing   O
.   O

Alina   B-NAME
Irwin   I-NAME
,   O
a   O
Emergency   O
Management   O
Directors   O
,   O
94   O
years   O
old   O
,   O
reported   O
that   O
the   O
symptoms   O
had   O
begun   O
suddenly   O
approximately   O
72   O
hours   O
prior   O
to   O
admission   O
.   O

Grayson   B-NAME
Tucker   I-NAME
also   O
noted   O
a   O
significant   O
loss   O
of   O
taste   O
and   O
smell   O
,   O
severe   O
myalgia   O
,   O
and   O
fatigue   O
which   O
had   O
progressively   O
worsened   O
.   O

Upon   O
examination   O
,   O
Foster   B-NAME
noted   O
that   O
Kaya   B-NAME
's   O
temperature   O
was   O
38.9   O
°   O
C   O
,   O
heart   O
rate   O
was   O
elevated   O
at   O
102   O
beats   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
was   O
measured   O
at   O
92   O
%   O
on   O
room   O
air   O
,   O
indicative   O
of   O
potential   O
hypoxemia   O
.   O

The   O
test   O
returned   O
positive   O
on   O
0/30   B-DATE
.   O

Elmer   B-NAME
Hartman   I-NAME
was   O
subsequently   O
admitted   O
under   O
the   O
care   O
of   O
Bauer   B-NAME
for   O
management   O
of   O
COVID-19   O
pneumonia   O
.   O

Joyce   B-NAME
was   O
also   O
enrolled   O
in   O
a   O
clinical   O
trial   O
for   O
an   O
experimental   O
antiviral   O
drug   O
at   O
Mineral   B-LOCATION
Area   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
as   O
per   O
the   O
protocol   O
IR-   O
355   B-ID
-   I-ID
80   I-ID
-   I-ID
10   I-ID
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Jessica   B-NAME
Ewing   I-NAME
after   O
explaining   O
the   O
potential   O
risks   O
and   O
benefits   O
of   O
the   O
investigational   O
therapy   O
.   O

On   O
36/01/2053   B-DATE
,   O
Xanthos   B-NAME
's   O
condition   O
began   O
to   O
show   O
signs   O
of   O
improvement   O
;   O
oxygen   O
supplementation   O
was   O
gradually   O
reduced   O
,   O
and   O
Cerra   B-NAME
Skult   I-NAME
was   O
able   O
to   O
maintain   O
saturation   O
levels   O
on   O
room   O
air   O
.   O

Levine   B-NAME
was   O
discharged   O
on   O
30/33   B-DATE
with   O
instructions   O
for   O
strict   O
home   O
isolation   O
and   O
follow   O
-   O
up   O
via   O
telemedicine   O
,   O
facilitated   O
by   O
255   B-CONTACT
1574   I-CONTACT
and   O
digital   O
health   O
platforms   O
of   O
Divine   B-LOCATION
Confederacy   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Šustauskas   B-NAME
,   I-NAME
Vytautas   I-NAME
in   O
two   O
weeks   O
to   O
reassess   O
Hood   B-NAME
's   O
condition   O
and   O
recovery   O
progress   O
.   O

Tchaikovsky   B-NAME
,   I-NAME
Pyotr   I-NAME
Ilyich   I-NAME
was   O
also   O
advised   O
to   O
contact   O
the   O
hospital   O
immediately   O
in   O
case   O
of   O
any   O
deterioration   O
in   O
health   O
status   O
.   O

Patient   O
:   O
Jensen   B-NAME
,   I-NAME
Hayley   I-NAME
Date   O
of   O
Birth   O
:   O
5/22   B-DATE
Age   O
:   O
59   O
Medical   O
Record   O
Number   O
:   O
145   B-ID
-   I-ID
78   I-ID
-   I-ID
75   I-ID
ID   O
:   O
7   B-ID
-   I-ID
5299353   I-ID
Address   O
:   O
Hamberg   B-LOCATION
,   O
19894   B-LOCATION
Phone   O
:   O
375   B-CONTACT
5565   I-CONTACT
Employment   O
:   O
Spa   O
Managers   O
at   O
Tri   B-LOCATION
-   I-LOCATION
State   I-LOCATION
EMC   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Jacob   B-NAME
Mcmahon   I-NAME
Hospital   O
:   O

PeaceHealth   B-LOCATION
United   I-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
11/11/2263   B-DATE
-   O
Talon   B-NAME
Allen   I-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
Community   O
and   O
Social   O
Service   O
Specialists   O
,   O
All   O
Other   O
employed   O
at   O
European   B-LOCATION
Beer   I-LOCATION
Consumers   I-LOCATION
Union   I-LOCATION
(   I-LOCATION
EBCU   I-LOCATION
)   I-LOCATION
,   O
presented   O
to   O
Elba   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
with   O
acute   O
onset   O
chest   O
pain   O
described   O
as   O
a   O
constricting   O
sensation   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

On   O
examination   O
,   O
Munshi   B-NAME
Premchand   I-NAME
appeared   O
distressed   O
and   O
diaphoretic   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Sierra   B-NAME
Dillon   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

A   O
consultation   O
with   O
Dr.   O
Chiariglione   B-NAME
,   I-NAME
Leonardo   I-NAME
,   O
the   O
attending   O
cardiologist   O
,   O
was   O
made   O
for   O
emergent   O
cardiac   O
catheterization   O
.   O

32/20/10   B-DATE
-   O
Giada   B-NAME
Kane   I-NAME
was   O
admitted   O
to   O
the   O
Cardiology   O
service   O
for   O
further   O
management   O
.   O

During   O
hospitalization   O
,   O
YOEL   B-NAME
NEWCOMB   I-NAME
participated   O
in   O
a   O
guided   O
educational   O
session   O
on   O
lifestyle   O
changes   O
and   O
medications   O
for   O
secondary   O
prevention   O
of   O
myocardial   O
infarction   O
.   O

Bolano   B-NAME
,   I-NAME
Roberto   I-NAME
was   O
prescribed   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
statin   O
,   O
and   O
antiplatelet   O
therapy   O
at   O
discharge   O
.   O

1619   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
10   I-DATE
-   O
On   O
follow   O
-   O
up   O
at   O
the   O
outpatient   O
clinic   O
,   O
Keyla   B-NAME
Choi   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
and   O
adherence   O
to   O
the   O
prescribed   O
pharmacological   O
regimen   O
.   O

Recommendations   O
for   O
Jakayla   B-NAME
Huang   I-NAME
include   O
continued   O
adherence   O
to   O
medications   O
,   O
participation   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
,   O
and   O
regular   O
follow   O
-   O
up   O
with   O
Dr.   O
Misti   B-NAME
Telles   I-NAME
.   O

Report   O
provided   O
by   O
:   O
Veterans   B-LOCATION
of   I-LOCATION
Foreign   I-LOCATION
Wars   I-LOCATION
Auxiliary   I-LOCATION
VFWA   I-LOCATION
Pawnee   B-LOCATION
Rock   I-LOCATION
,   O
40790   B-LOCATION
Phone   O
:   O
163   B-CONTACT
8134   I-CONTACT

Patient   O
Name   O
:   O
Issa   B-NAME
Medical   O
Record   O
Number   O
:   O
65107376   B-ID
DOB   O
:   O
11/24   B-DATE
Address   O
:   O
Northwest   B-LOCATION
Harwich   I-LOCATION
,   O
35969   B-LOCATION
Physician   O
:   O

Tamia   B-NAME
Zuniga   I-NAME
Facility   O
:   O
Baptist   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Little   I-LOCATION
Rock   I-LOCATION
Chief   O
Complaint   O
:   O
Keiichi   B-NAME
Wakaoji   I-NAME
,   O
a   O
72   O
-   O
year   O
-   O
old   O
Teacher   O
(   O
primary   O
)   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
2/2   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sudden   O
-   O
onset   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Christmas   B-NAME
Jones   I-NAME
reported   O
nausea   O
and   O
vomiting   O
,   O
with   O
two   O
episodes   O
occurring   O
in   O
the   O
hours   O
preceding   O
hospital   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Manuel   B-NAME
Blankenship   I-NAME
mentioned   O
that   O
the   O
pain   O
was   O
localized   O
in   O
the   O
epigastric   O
region   O
,   O
scoring   O
an   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

The   O
pain   O
began   O
approximately   O
1953   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
20   I-DATE
while   O
at   O
1   B-LOCATION
undefined   I-LOCATION
.   O

Kay   B-NAME
K.   I-NAME
Edge   I-NAME
had   O
attempted   O
to   O
relieve   O
the   O
pain   O
with   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
with   O
no   O
noticeable   O
improvement   O
.   O

Briana   B-NAME
Roy   I-NAME
denied   O
any   O
previous   O
history   O
of   O
similar   O
symptoms   O
.   O

Wade   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Overby   B-NAME
,   I-NAME
Fred   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
distress   O
.   O

Ayana   B-NAME
Patel   I-NAME
was   O
advised   O
on   O
the   O
necessity   O
of   O
avoiding   O
fatty   O
foods   O
and   O
alcohol   O
.   O

Disposition   O
:   O
Norah   B-NAME
Purcell   I-NAME
was   O
admitted   O
to   O
Chatham   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
under   O
the   O
care   O
of   O
Manning   B-NAME
for   O
close   O
monitoring   O
and   O
treatment   O
.   O

Education   O
on   O
diet   O
modifications   O
and   O
lifestyle   O
changes   O
was   O
provided   O
to   O
help   O
manage   O
Dean   B-NAME
,   I-NAME
John   I-NAME
's   O
conditions   O
and   O
reduce   O
the   O
risk   O
of   O
recurrence   O
.   O

Contact   O
Information   O
:   O
(   B-CONTACT
438   I-CONTACT
)   I-CONTACT
884   I-CONTACT
1115   I-CONTACT
Confidentiality   O
Statement   O
:   O

Document   O
Prepared   O
by   O
:   O
cw98   B-NAME
01/69   B-DATE

Patient   O
Name   O
:   O
Deja   B-NAME
Bernard   I-NAME
Medical   O
Record   O
Number   O
:   O
9295573   B-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
29   I-DATE
,   I-DATE
2333   I-DATE
Age   O
:   O
81   O
Address   O
:   O
Eldorado   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Eldorado   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
79089   B-LOCATION
Phone   O
Number   O
:   O
53929   B-CONTACT

Attending   O
Physician   O
:   O
Feldman   B-NAME
,   I-NAME
Morton   I-NAME
Place   O
of   O
Treatment   O
:   O
Providence   B-LOCATION
St.   I-LOCATION
Peter   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O

Independent   B-LOCATION
Family   I-LOCATION
Brewers   I-LOCATION
of   I-LOCATION
Britain   I-LOCATION
(   I-LOCATION
IFBB   I-LOCATION
)   I-LOCATION

Occupation   O
:   O
Occupational   O
Therapists   O
Date   O
of   O
Admission   O
:   O
2012   B-DATE
Social   O
Security   O
Number   O
:   O
10   B-ID
-   I-ID
69681000   I-ID
Clinical   O
Summary   O
:   O
Lisa   B-NAME
Torres   I-NAME
,   O
a   O
Psychiatric   O
Aides   O
at   O
North   B-LOCATION
Attleboro   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
residing   O
in   O
Irondale   B-LOCATION
,   O
35076   B-LOCATION
,   O
presented   O
to   O
Memorial   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/05/1904   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
predominantly   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
associated   O
with   O
photophobia   O
and   O
phonophobia   O
.   O

Aditya   B-NAME
Lee   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
emesis   O
and   O
a   O
single   O
episode   O
of   O
aura   O
characterized   O
by   O
visual   O
disturbances   O
prior   O
to   O
the   O
onset   O
of   O
the   O
headache   O
.   O

Medical   O
History   O
:   O
ostrowski   B-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
episodic   O
migraines   O
diagnosed   O
at   O
age   O
5   O
,   O
with   O
infrequent   O
but   O
similar   O
episodes   O
occurring   O
bi   O
-   O
monthly   O
.   O

Family   O
medical   O
history   O
is   O
significant   O
for   O
migraines   O
in   O
Robin   B-NAME
Van   I-NAME
Dorn   I-NAME
's   O
mother   O
.   O

On   O
physical   O
examination   O
,   O
Samantha   B-NAME
Snow   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
non   O
-   O
contrast   O
head   O
CT   O
scan   O
was   O
performed   O
to   O
rule   O
out   O
other   O
potential   O
causes   O
of   O
Barwich   B-NAME
,   I-NAME
Heinz   I-NAME
's   O
symptoms   O
,   O
yielding   O
normal   O
results   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Nancy   B-NAME
Gipson   I-NAME
was   O
administered   O
a   O
combination   O
of   O
sumatriptan   O
and   O
naproxen   O
sodium   O
in   O
the   O
emergency   O
department   O
,   O
which   O
resulted   O
in   O
significant   O
pain   O
relief   O
within   O
two   O
hours   O
post   O
-   O
administration   O
.   O

Given   O
the   O
episodic   O
nature   O
of   O
Thomas   B-NAME
Yockey   I-NAME
's   O
migraines   O
and   O
their   O
impact   O
on   O
quality   O
of   O
life   O
,   O
Yacob   B-NAME
T.   I-NAME
Kane   I-NAME
was   O
referred   O
to   O
neurology   O
for   O
outpatient   O
follow   O
-   O
up   O
with   O
Killian   B-NAME
Gallegos   I-NAME
.   O

Disposition   O
:   O
Anya   B-NAME
Campos   I-NAME
was   O
discharged   O
home   O
in   O
stable   O
condition   O
with   O
instructions   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
to   O
follow   O
up   O
with   O
neurology   O
within   O
two   O
weeks   O
.   O

Chavez   B-NAME
,   I-NAME
Barbara   I-NAME
was   O
also   O
provided   O
with   O
a   O
prescription   O
for   O
sumatriptan   O
to   O
use   O
as   O
needed   O
for   O
migraine   O
attacks   O
and   O
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
for   O
any   O
headache   O
accompanied   O
by   O
fever   O
,   O
neck   O
stiffness   O
,   O
or   O
a   O
change   O
in   O
consciousness   O
.   O

Signed   O
,   O
Chance   B-NAME
Lawrence   I-NAME
8   B-DATE
-   I-DATE
33   I-DATE

Zachery   B-NAME
Wagner   I-NAME
Patient   O
ID   O
:   O
QV:75020:611283   B-ID
Medical   O
Record   O
Number   O
:   O
7552067   B-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
05   I-DATE
,   I-DATE
2094   I-DATE
Age   O
:   O
8   O
month   O
Address   O
:   O
Hunters   B-LOCATION
Creek   I-LOCATION
Village   I-LOCATION
,   O
71192   B-LOCATION
Phone   O
Number   O
:   O
672   B-CONTACT
-   I-CONTACT
172   I-CONTACT
3521   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Murray   B-NAME
Presenting   O
to   O
Lake   B-LOCATION
Region   I-LOCATION
Healthcare   I-LOCATION
on   O
01/20   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Lien   B-NAME
Jastremski   I-NAME
noted   O
the   O
pain   O
to   O
be   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
describing   O
it   O
as   O
a   O
sharp   O
and   O
constant   O
ache   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Samantha   B-NAME
Michael   I-NAME
also   O
described   O
a   O
loss   O
of   O
appetite   O
and   O
had   O
experienced   O
three   O
episodes   O
of   O
vomiting   O
by   O
the   O
time   O
of   O
examination   O
.   O

Selena   B-NAME
Rivas   I-NAME
's   O
past   O
medical   O
history   O
includes   O
hypertension   O
,   O
managed   O
through   O
medication   O
,   O
and   O
a   O
previous   O
appendectomy   O
conducted   O
at   O
Atlantic   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
32/03/42   B-DATE
.   O

Family   O
history   O
indicates   O
a   O
predisposition   O
to   O
gastrointestinal   O
issues   O
on   O
the   O
maternal   O
side   O
,   O
though   O
Jaeden   B-NAME
Castillo   I-NAME
has   O
had   O
no   O
prior   O
incidents   O
similar   O
to   O
the   O
current   O
presentation   O
.   O

Upon   O
physical   O
examination   O
,   O
Mose   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Kelsie   B-NAME
Crowner   I-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
.   O

Ultrasound   O
imaging   O
suggested   O
the   O
presence   O
of   O
an   O
inflamed   O
ileum   O
,   O
raising   O
suspicion   O
for   O
ileitis   O
or   O
a   O
possible   O
early   O
presentation   O
of   O
appendicitis   O
given   O
Wanda   B-NAME
Citizen   I-NAME
's   O
surgical   O
history   O
.   O

Mccarthy   B-NAME
has   O
recommended   O
an   O
immediate   O
surgical   O
consult   O
to   O
evaluate   O
the   O
necessity   O
of   O
intervention   O
given   O
Alondra   B-NAME
White   I-NAME
's   O
previous   O
appendectomy   O
.   O

Michael   B-NAME
Reynolds   I-NAME
has   O
been   O
advised   O
to   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
anticipation   O
of   O
potential   O
surgical   O
procedures   O
.   O

The   O
nursing   O
team   O
at   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Dover   I-LOCATION
,   O
lead   O
by   O
Nurse   O
ef185   B-NAME
,   O
has   O
implemented   O
ongoing   O
monitoring   O
protocols   O
to   O
assess   O
Wood   B-NAME
's   O
vital   O
signs   O
and   O
symptom   O
progression   O
every   O
2   O
hours   O
.   O

The   O
patient   O
and   O
family   O
,   O
who   O
were   O
contacted   O
via   O
77509   B-CONTACT
,   O
have   O
been   O
updated   O
about   O
the   O
situation   O
.   O

TERESA   B-NAME
LAMB   I-NAME
has   O
expressed   O
understanding   O
and   O
consent   O
for   O
the   O
proposed   O
management   O
plan   O
.   O

This   O
case   O
is   O
being   O
documented   O
for   O
further   O
review   O
and   O
will   O
be   O
followed   O
up   O
with   O
additional   O
diagnostic   O
tests   O
and   O
interdisciplinary   O
consultations   O
as   O
deemed   O
necessary   O
by   O
Bird   B-NAME
and   O
the   O
medical   O
team   O
at   O
Providence   B-LOCATION
Hospital   I-LOCATION
.   O

Deutscher   B-LOCATION
Brauer   I-LOCATION
-   I-LOCATION
Bund   I-LOCATION
(   I-LOCATION
DBB   I-LOCATION
)   I-LOCATION
Occupation   O
:   O
Health   O
service   O
manager   O
Report   O
prepared   O
by   O
:   O
Willis   B-NAME
Date   O
:   O
02/26/2228   B-DATE
Contact   O
at   O
Arrowhead   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
information   O
:   O
507   B-CONTACT
-   I-CONTACT
9131   I-CONTACT

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Laylah   B-NAME
Grant   I-NAME
Patient   O
ID   O
:   O
65472088   B-ID
Medical   O
Record   O
Number   O
:   O
5860165   B-ID
Age   O
:   O
6   O
month   O
Address   O
:   O
Convoy   B-LOCATION
,   O
94127   B-LOCATION
Phone   O
Number   O
:   O
752   B-CONTACT
-   I-CONTACT
347   I-CONTACT
-   I-CONTACT
3900   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Jeffery   B-NAME
Brennan   I-NAME
Date   O
of   O
Admission   O
:   O
2252   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
38   I-DATE
Date   O
of   O
Report   O
:   O
3/38   B-DATE
Hospital   O
:   O

Denver   B-LOCATION
Springs   I-LOCATION
Employment   O
:   O
Records   O
manager   O
at   O
Northern   B-LOCATION
States   I-LOCATION
Power   I-LOCATION
Company   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Xcel   I-LOCATION
Energy   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Yao   B-NAME
's   I-NAME
,   O
was   O
admitted   O
to   O
Beraja   B-LOCATION
Medical   I-LOCATION
Institute   I-LOCATION
,   O
on   O
2121   B-DATE
,   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Rob   B-NAME
Lake   I-NAME
reported   O
that   O
the   O
symptoms   O
appeared   O
suddenly   O
on   O
0/21   B-DATE
,   O
initially   O
presenting   O
as   O
a   O
mild   O
discomfort   O
around   O
the   O
navel   O
area   O
,   O
which   O
progressively   O
worsened   O
and   O
localized   O
to   O
the   O
right   O
lower   O
abdomen   O
within   O
a   O
few   O
hours   O
.   O

Accompanying   O
the   O
abdominal   O
pain   O
,   O
Elaine   B-NAME
Barber   I-NAME
experienced   O
nausea   O
and   O
vomited   O
multiple   O
times   O
,   O
unable   O
to   O
retain   O
liquids   O
or   O
food   O
.   O

Regan   B-NAME
Alvarez   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
the   O
patient   O
has   O
been   O
on   O
medication   O
for   O
the   O
past   O
54   O
years   O
.   O

Medications   O
:   O
-   O
Metformin   O
500   O
mg   O
twice   O
daily   O
-   O
Lisinopril   O
10   O
mg   O
once   O
daily   O
Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Huynh   B-NAME
appeared   O
in   O
moderate   O
distress   O
.   O

Plan   O
:   O
Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Misti   B-NAME
Whetstone   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
00/25   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Eulah   B-NAME
Verner   I-NAME
is   O
to   O
be   O
re   O
-   O
evaluated   O
post   O
-   O
operatively   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
02/02   B-DATE
with   O
Kane   B-NAME
Blevins   I-NAME
at   O
Effingham   B-LOCATION
Hospital   I-LOCATION
.   O

Contact   O
:   O
For   O
any   O
queries   O
or   O
further   O
information   O
,   O
please   O
contact   O
Davis   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
at   O
16487   B-CONTACT
.   O

The   O
patient   O
,   O
Isaiah   B-NAME
Shaffer   I-NAME
,   O
a   O
Hand   O
Compositors   O
and   O
Typesetters   O
from   O
Longview   B-LOCATION
,   O
presented   O
to   O
DeKalb   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
02/28/47   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
which   O
he   O
described   O
as   O
a   O
sharp   O
and   O
constant   O
ache   O
localized   O
primarily   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
his   O
abdomen   O
.   O

Elmira   B-NAME
Aucoin   I-NAME
reported   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
,   O
measured   O
at   O
home   O
.   O

A   O
comprehensive   O
medical   O
history   O
obtained   O
by   O
Juarez   B-NAME
revealed   O
that   O
Mollie   B-NAME
Schneider   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
a   O
combination   O
of   O
medications   O
.   O

Clyde   B-NAME
Roe   I-NAME
does   O
not   O
smoke   O
tobacco   O
products   O
and   O
only   O
consumes   O
alcohol   O
socially   O
.   O

Upon   O
physical   O
examination   O
,   O
Kantor   B-NAME
Cosano   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Marquez   B-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
associated   O
periappendiceal   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Kathy   B-NAME
Phillips   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
30/26/87   B-DATE
.   O

Post   O
-   O
operatively   O
,   O
Desmond   B-NAME
Miranda   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Antibiotics   O
were   O
administered   O
intravenously   O
during   O
his   O
hospital   O
stay   O
and   O
were   O
transitioned   O
to   O
oral   O
administration   O
upon   O
discharge   O
on   O
00/05/2052   B-DATE
.   O
26856   B-CONTACT
,   O
37354   B-LOCATION
,   O
and   O
641   B-ID
-   I-ID
27   I-ID
-   I-ID
92   I-ID
-   I-ID
6   I-ID
data   O
related   O
to   O
Suzann   B-NAME
Nozick   I-NAME
were   O
reviewed   O
to   O
ensure   O
post   O
-   O
operative   O
follow   O
-   O
up   O
appointments   O
and   O
consultations   O
were   O
appropriately   O
scheduled   O
.   O

The   O
4467381   B-ID
and   O
sks8510   B-NAME
used   O
for   O
the   O
electronic   O
medical   O
records   O
were   O
checked   O
for   O
accuracy   O
to   O
preserve   O
the   O
integrity   O
of   O
Hayden   B-NAME
's   O
medical   O
history   O
and   O
future   O
care   O
coordination   O
.   O

Town   B-LOCATION
of   I-LOCATION
Smyrna   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
involved   O
in   O
Carr   B-NAME
's   O
care   O
was   O
notified   O
of   O
his   O
discharge   O
status   O
and   O
provided   O
with   O
a   O
summary   O
of   O
the   O
hospitalization   O
,   O
operative   O
report   O
,   O
and   O
post   O
-   O
operative   O
care   O
instructions   O
to   O
ensure   O
continuity   O
of   O
care   O
.   O

In   O
conclusion   O
,   O
Vicente   B-NAME
Noel   I-NAME
's   O
timely   O
presentation   O
to   O
Fairmont   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
and   O
the   O
swift   O
interdisciplinary   O
approach   O
to   O
his   O
care   O
resulted   O
in   O
a   O
successful   O
outcome   O
.   O

He   O
was   O
advised   O
on   O
the   O
importance   O
of   O
monitoring   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
and   O
the   O
necessity   O
of   O
follow   O
-   O
up   O
with   O
Lithonius   B-NAME
Niau   I-NAME
on   O
23/09   B-DATE
for   O
a   O
post   O
-   O
operative   O
check   O
.   O

Patient   O
Name   O
:   O
Yael   B-NAME
Navarro   I-NAME
Patient   O
ID   O
:   O
BU   B-ID
:   I-ID
KM:2844   I-ID
Medical   O
Record   O
Number   O
:   O
0837619   B-ID
Date   O
of   O
Birth   O
:   O
33/32   B-DATE
Age   O
:   O
6s   O
Address   O
:   O
Sugar   B-LOCATION
Hill   I-LOCATION
,   O
54543   B-LOCATION
Phone   O
:   O
(   B-CONTACT
388   I-CONTACT
)   I-CONTACT
232   I-CONTACT
-   I-CONTACT
4829   I-CONTACT

Mercado   B-NAME
Admitting   O
Hospital   O
:   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/13   B-DATE
Employer   O
:   O
City   B-LOCATION
of   I-LOCATION
Milford   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O
Sailors   O
and   O
Marine   O
Oilers   O
Username   O
:   O
ZP134   B-NAME
Chief   O
Complaint   O
:   O

Computer   O
Hardware   O
Engineers   O
Montaigne   B-NAME
,   I-NAME
Michel   I-NAME
de   I-NAME
presents   O
with   O
a   O
persistent   O
cough   O
,   O
dyspnea   O
(   O
shortness   O
of   O
breath   O
)   O
,   O
and   O
intermittent   O
fever   O
peaking   O
at   O
38.5   O
°   O
C   O
(   O
Jul   B-DATE
22   I-DATE
)   O
.   O

Yousef   B-NAME
Pugh   I-NAME
has   O
a   O
known   O
history   O
of   O
smoking   O
but   O
quit   O
approximately   O
32   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
89   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Tyrell   B-NAME
Morales   I-NAME
's   O
symptoms   O
started   O
approximately   O
2193   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
30   I-DATE
,   O
with   O
a   O
mild   O
cough   O
that   O
has   O
since   O
progressed   O
in   O
severity   O
.   O

The   O
dyspnea   O
is   O
particularly   O
noticeable   O
during   O
physical   O
exertion   O
,   O
though   O
Deanna   B-NAME
Morrison   I-NAME
remarks   O
that   O
it   O
has   O
begun   O
to   O
occur   O
even   O
during   O
periods   O
of   O
rest   O
.   O

Over   O
the   O
last   O
24/12   B-DATE
,   O
Alexus   B-NAME
Roach   I-NAME
has   O
experienced   O
nightly   O
fevers   O
and   O
sweats   O
.   O

Bonilla   B-NAME
has   O
self   O
-   O
administered   O
over   O
-   O
the   O
-   O
counter   O
antipyretics   O
with   O
minimal   O
relief   O
.   O

There   O
is   O
no   O
reported   O
chest   O
pain   O
,   O
but   O
Nicodemus   B-NAME
Paz   I-NAME
describes   O
a   O
'   O
tightness   O
'   O
in   O
the   O
chest   O
.   O

Past   O
Medical   O
History   O
:   O
Lucian   B-NAME
Copeland   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Review   O
of   O
Systems   O
:   O
Loan   O
Interviewers   O
and   O
Clerks   O
Echeverria   B-NAME
denies   O
any   O
headaches   O
,   O
dizziness   O
,   O
or   O
loss   O
of   O
consciousness   O
.   O

Social   O
History   O
:   O
Metal   O
Fabricators   O
,   O
Structural   O
Metal   O
Products   O
Devin   B-NAME
May   I-NAME
reports   O
quitting   O
smoking   O
approximately   O
8/52   B-DATE
after   O
a   O
20   O
-   O
year   O
pack   O
-   O
a   O
-   O
day   O
habit   O
.   O

Leonard   B-NAME
Murphy   I-NAME
lives   O
alone   O
in   O
Fort   B-LOCATION
Myers   I-LOCATION
and   O
is   O
employed   O
as   O
a   O
Electricians   O
by   O
Slash   B-LOCATION
Pine   I-LOCATION
EMC   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Case   B-NAME
is   O
alert   O
and   O
oriented   O
but   O
appears   O
fatigued   O
.   O

Diagnostic   O
Imaging   O
:   O
Chest   O
X   O
-   O
Ray   O
performed   O
on   O
2075   B-DATE
-   I-DATE
15   I-DATE
-   I-DATE
34   I-DATE
shows   O
bilateral   O
infiltrates   O
consistent   O
with   O
pneumonia   O
.   O

Datherine   B-NAME
is   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
,   O
with   O
recommendations   O
for   O
hospital   O
admission   O
for   O
intravenous   O
antibiotics   O
and   O
close   O
monitoring   O
of   O
respiratory   O
and   O
cardiac   O
status   O
.   O

Smoking   O
cessation   O
counseling   O
is   O
also   O
advised   O
,   O
considering   O
Graham   B-NAME
Francis   I-NAME
's   O
previous   O
history   O
.   O

Follow   O
-   O
up   O
with   O
Wilkinson   B-NAME
is   O
scheduled   O
for   O
12/22/2394   B-DATE
to   O
reassess   O
Julius   B-NAME
Strickland   I-NAME
's   O
condition   O
and   O
make   O
any   O
necessary   O
adjustments   O
to   O
treatment   O
.   O

Patient   O
Name   O
:   O
Ligia   B-NAME
Nacisse   I-NAME
Medical   O
Record   O
Number   O
:   O
5548932   B-ID
Date   O
of   O
Birth   O
:   O
32/00   B-DATE
Age   O
:   O
49   O
Address   O
:   O
Chinchilla   B-LOCATION
,   O
56176   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
657   I-CONTACT
)   I-CONTACT
987   I-CONTACT
-   I-CONTACT
1230   I-CONTACT
Doctor   O
:   O
Yosef   B-NAME
Williams   I-NAME
Hospital   O
:   O

Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
Date   O
of   O
Visit   O
:   O
16   B-DATE
-   I-DATE
Jun-2333   I-DATE
ID   O
Number   O
:   O
478605   B-ID
Summary   O
:   O

Carson   B-NAME
visited   O
our   O
clinic   O
on   O
March   B-DATE
complaining   O
of   O
persistent   O
dyspnea   O
and   O
bouts   O
of   O
dry   O
cough   O
that   O
have   O
been   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
conducting   O
a   O
thorough   O
physical   O
examination   O
and   O
reviewing   O
Mark   B-NAME
Bellows   I-NAME
's   O
medical   O
history   O
,   O
which   O
includes   O
a   O
diagnosis   O
of   O
asthma   O
in   O
37/07   B-DATE
,   O
Cuevas   B-NAME
noted   O
wheezing   O
upon   O
auscultation   O
accompanied   O
by   O
a   O
prolonged   O
expiratory   O
phase   O
.   O

Josue   B-NAME
Combs   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Whitehead   B-NAME
recommended   O
a   O
review   O
of   O
Marcus   B-NAME
Aurelius   I-NAME
Frohock   I-NAME
's   O
current   O
asthma   O
management   O
plan   O
,   O
with   O
specific   O
attention   O
to   O
the   O
correct   O
use   O
of   O
inhalers   O
.   O

3   O
.   O
Follow   O
-   O
up   O
visit   O
scheduled   O
for   O
03/25   B-DATE
to   O
reassess   O
symptoms   O
and   O
lung   O
function   O
after   O
the   O
intervention   O
.   O

2   O
.   O
Maintain   O
an   O
updated   O
asthma   O
action   O
plan   O
and   O
ensure   O
that   O
Francis   B-NAME
Whitaker   I-NAME
and   O
their   O
family   O
members   O
are   O
familiar   O
with   O
the   O
steps   O
to   O
take   O
in   O
case   O
of   O
an   O
asthma   O
attack   O
.   O
Instructions   O
for   O
Patient   O
:   O
1   O
.   O

2   O
.   O
Contact   O
Covenant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
821   B-CONTACT
445   I-CONTACT
4154   I-CONTACT
if   O
there   O
is   O
no   O
improvement   O
or   O
if   O
symptoms   O
significantly   O
worsen   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
.   O

This   O
plan   O
was   O
discussed   O
in   O
detail   O
with   O
Nehemiah   B-NAME
Lamb   I-NAME
,   O
who   O
expressed   O
understanding   O
of   O
the   O
steps   O
and   O
agreed   O
to   O
the   O
proposed   O
treatment   O
and   O
follow   O
-   O
up   O
.   O

Araya   B-NAME
,   I-NAME
Tom   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
on   O
asthma   O
management   O
and   O
was   O
encouraged   O
to   O
reach   O
out   O
to   O
Kathy   B-NAME
Kaiser   I-NAME
's   O
office   O
via   O
22229   B-CONTACT
with   O
any   O
questions   O
or   O
concerns   O
that   O
might   O
arise   O
.   O

Doctor   O
's   O
Signature   O
:   O
Vosanibola   B-NAME
,   I-NAME
Josefa   I-NAME
Date   O
:   O
35/08   B-DATE

Patient   O
Name   O
:   O
Mike   B-NAME
Barry   I-NAME
Medical   O
Record   O
Number   O
:   O
6129130   B-ID
Age   O
:   O
13   O
Date   O
of   O
Birth   O
:   O
21/32   B-DATE
Address   O
:   O
Watsontown   B-LOCATION
,   O
20045   B-LOCATION
Occupation   O
:   O

Journalist   O
Primary   O
Care   O
Doctor   O
:   O
Beatrice   B-NAME
Cabrera   I-NAME
Phone   O
Number   O
:   O
15537   B-CONTACT
Hospital   O
Name   O
:   O
Lancaster   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
32   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
92   I-DATE
ID   O
Number   O
:   O
FG   B-ID
:   I-ID
OU:8751   I-ID
Chief   O
Complaint   O
:   O
Denisse   B-NAME
Kelley   I-NAME
presented   O
to   O
Warm   B-LOCATION
Springs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/01   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Nicole   B-NAME
Arndt   I-NAME
reported   O
that   O
the   O
symptoms   O
had   O
started   O
approximately   O
6   O
hours   O
before   O
admission   O
to   O
the   O
hospital   O
.   O

Adonica   B-NAME
mentioned   O
that   O
the   O
onset   O
of   O
the   O
symptoms   O
was   O
sudden   O
,   O
noting   O
that   O
they   O
had   O
been   O
in   O
their   O
usual   O
state   O
of   O
health   O
earlier   O
in   O
the   O
day   O
.   O

Atwood   B-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
nausea   O
followed   O
by   O
vomiting   O
,   O
with   O
the   O
vomitus   O
being   O
clear   O
to   O
bilious   O
without   O
blood   O
or   O
coffee   O
-   O
ground   O
appearance   O
.   O

Past   O
Medical   O
History   O
:   O
There   O
was   O
a   O
notable   O
history   O
of   O
gallstones   O
diagnosed   O
approximately   O
two   O
years   O
ago   O
,   O
for   O
which   O
Knowles   B-NAME
had   O
declined   O
surgical   O
intervention   O
at   O
that   O
time   O
.   O

Social   O
History   O
:   O
Kirby   B-NAME
is   O
a   O
Business   O
Operations   O
Specialists   O
,   O
All   O
Other   O
residing   O
in   O
Gages   B-LOCATION
Lake   I-LOCATION
with   O
no   O
significant   O
travel   O
history   O
in   O
the   O
last   O
3/21   B-DATE
.   O

Adonica   B-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
in   O
Ashlyn   B-NAME
Leach   I-NAME
's   O
father   O
,   O
diagnosed   O
at   O
2   O
.   O
Physical   O
Examination   O
:   O
On   O
physical   O
examination   O
,   O
Sonia   B-NAME
Stevens   I-NAME
demonstrated   O
signs   O
of   O
distress   O
with   O
vital   O
signs   O
revealing   O
a   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
/   O
minute   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Corey   B-NAME
Holland   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
.   O

Michaela   B-NAME
Osborn   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
1964   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
00   I-DATE
by   O
Gallagher   B-NAME
at   O
Mobile   B-LOCATION
Infirmary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Post   O
-   O
operative   O
instructions   O
and   O
follow   O
-   O
up   O
care   O
were   O
discussed   O
with   O
Quan   B-NAME
,   I-NAME
J.   I-NAME
and   O
documented   O
in   O
the   O
medical   O
record   O
9943X20009   B-ID
.   O

Travis   B-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
seeking   O
immediate   O
medical   O
care   O
for   O
abdominal   O
pain   O
,   O
signs   O
of   O
infection   O
post   O
-   O
surgery   O
,   O
and   O
the   O
necessity   O
of   O
adhering   O
to   O
the   O
prescribed   O
post   O
-   O
operative   O
care   O
plan   O
.   O

Follow   O
-   O
Up   O
:   O
Quinten   B-NAME
B.   I-NAME
Prado   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Stevenson   B-NAME
,   I-NAME
Adlai   I-NAME
at   O
Vaughan   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/22   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Patient   O
Report   O
for   O
Aragon   B-NAME
22/22/30   B-DATE
-   O
Hialeah   B-LOCATION
Gardens   I-LOCATION
Patient   O
ID   O
:   O
7499B91602   B-ID
The   O
patient   O
,   O
Julia   B-NAME
Ogden   I-NAME
,   O
a   O
1   O
-   O
year   O
-   O
old   O
Residential   O
Advisors   O
presented   O
to   O
Phelps   B-LOCATION
Health   I-LOCATION
on   O
Monday   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
cough   O
,   O
high   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
5   O
days   O
.   O

George   B-NAME
Coleman   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
starting   O
mildly   O
on   O
23/27   B-DATE
and   O
progressively   O
worsening   O
.   O

Medical   O
History   O
:   O
Xavier   B-NAME
Israel   I-NAME
kenneth   I-NAME
Xenos   I-NAME
has   O
a   O
history   O
of   O
asthma   O
and   O
allergies   O
to   O
penicillin   O
.   O

The   O
patient   O
mentioned   O
a   O
recent   O
travel   O
history   O
to   O
Renville   B-LOCATION
approximately   O
two   O
weeks   O
ago   O
.   O

On   O
examination   O
by   O
Gomez   B-NAME
,   O
Keon   B-NAME
Mcneil   I-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
38.6   O
°   O
C   O
,   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
24   O
breaths   O
per   O
minute   O
,   O
and   O
normotensive   O
.   O

A   O
PCR   O
test   O
for   O
SARS   O
-   O
CoV-2   O
returned   O
positive   O
on   O
00/42   B-DATE
.   O

Treatment   O
Plan   O
:   O
Michael   B-NAME
Ridley   I-NAME
was   O
admitted   O
to   O
Quincy   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
management   O
of   O
COVID-19   O
pneumonia   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
12/11   B-DATE
with   O
Hicks   B-NAME
to   O
assess   O
progress   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

Xenia   B-NAME
Bridges   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
824   B-CONTACT
-   I-CONTACT
1289   I-CONTACT
for   O
the   O
COVID-19   O
care   O
team   O
at   O
Ascension   B-LOCATION
SE   I-LOCATION
Wisconsin   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Elmbrook   I-LOCATION
Campus   I-LOCATION
for   O
any   O
queries   O
or   O
concerns   O
.   O

Discharge   O
Information   O
:   O
HARRIET   B-NAME
XIA   I-NAME
was   O
discharged   O
on   O
8/36/73   B-DATE
.   O

Emergency   O
Contact   O
:   O
Karen   B-NAME
Nixon   I-NAME
's   O
emergency   O
contact   O
is   O
Kimberly   B-NAME
Underwood   I-NAME
's   O
sibling   O
,   O
Mining   O
engineer   O
,   O
reachable   O
at   O
65348   B-CONTACT
.   O

Report   O
prepared   O
by   O
:   O
Eleanor   B-NAME
Bramwell   I-NAME
-   O
Helen   B-LOCATION
DeVos   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
T   B-DATE

Patient   O
Name   O
:   O
Lyric   B-NAME
Hale   I-NAME
ID   O
:   O
2   B-ID
-   I-ID
8477604   I-ID
Medical   O
Record   O
Number   O
:   O
48688468   B-ID
Date   O
of   O
Birth   O
:   O
13/12   B-DATE
Age   O
:   O
10   O
week   O
Phone   O
Number   O
:   O
(   B-CONTACT
741   I-CONTACT
)   I-CONTACT
562   I-CONTACT
9412   I-CONTACT
Address   O
:   O
Marks   B-LOCATION
,   O
48795   B-LOCATION
Occupation   O
:   O
Bailiffs   O
Primary   O
Care   O
Physician   O
:   O

Foster   B-NAME
Hospital   O
:   O
Bryan   B-LOCATION
East   I-LOCATION
Campus   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/32/96   B-DATE
Date   O
of   O
Discharge   O
:   O
2/22   B-DATE
Summary   O
:   O
Donavan   B-NAME
Harrison   I-NAME
was   O
admitted   O
to   O
Tri   B-LOCATION
-   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Williston   I-LOCATION
on   O
March   B-DATE
20   I-DATE
,   I-DATE
2263   I-DATE
,   O
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

The   O
patient   O
is   O
a   O
Foresters   O
from   O
Columbus   B-LOCATION
and   O
mentioned   O
experiencing   O
these   O
symptoms   O
sporadically   O
over   O
the   O
past   O
month   O
,   O
but   O
noted   O
a   O
significant   O
increase   O
in   O
frequency   O
and   O
intensity   O
in   O
the   O
days   O
leading   O
up   O
to   O
admission   O
.   O

Additionally   O
,   O
Biondo   B-NAME
,   I-NAME
Frank   I-NAME
reported   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
,   O
which   O
have   O
been   O
increasingly   O
debilitating   O
.   O

The   O
medical   O
team   O
led   O
by   O
Liana   B-NAME
Winters   I-NAME
,   O
noted   O
that   O
Lottie   B-NAME
Deschenes   I-NAME
had   O
been   O
previously   O
healthy   O
,   O
with   O
no   O
significant   O
medical   O
history   O
.   O

Diagnostic   O
testing   O
,   O
including   O
an   O
MRI   O
of   O
the   O
brain   O
,   O
was   O
performed   O
on   O
Friday   B-DATE
,   I-DATE
February   I-DATE
,   O
which   O
did   O
not   O
reveal   O
any   O
acute   O
abnormal   O
findings   O
.   O

The   O
lack   O
of   O
significant   O
findings   O
suggested   O
that   O
Zira   B-NAME
's   O
symptoms   O
could   O
be   O
migrainous   O
in   O
nature   O
,   O
albeit   O
unusual   O
in   O
their   O
severity   O
for   O
a   O
first   O
presentation   O
at   O
the   O
age   O
of   O
32   O
.   O

Throughout   O
the   O
course   O
of   O
treatment   O
,   O
Lewis   B-NAME
Ford   I-NAME
's   O
condition   O
showed   O
gradual   O
improvement   O
.   O

A   O
combination   O
of   O
pharmacological   O
therapy   O
tailored   O
to   O
Amber   B-NAME
Kerwin   I-NAME
,   O
including   O
the   O
prescription   O
of   O
triptans   O
and   O
anti   O
-   O
nausea   O
medication   O
,   O
as   O
well   O
as   O
lifestyle   O
modifications   O
advised   O
by   O
Jones   B-NAME
,   O
appeared   O
effective   O
.   O

Anthony   B-NAME
Ludgate   I-NAME
Druid   I-NAME
was   O
discharged   O
on   O
02/26/2221   B-DATE
with   O
a   O
detailed   O
management   O
plan   O
to   O
address   O
the   O
migraines   O
.   O

Outpatient   O
follow   O
-   O
up   O
appointments   O
were   O
arranged   O
with   O
Davila   B-NAME
at   O
Sturgis   B-LOCATION
Hospital   I-LOCATION
,   O
and   O
Drake   B-NAME
was   O
also   O
referred   O
to   O
a   O
neurologist   O
specialized   O
in   O
headache   O
management   O
,   O
located   O
in   O
Seattle   B-LOCATION
.   O

Instructions   O
were   O
provided   O
to   O
Ta   B-NAME
to   O
monitor   O
headache   O
frequency   O
and   O
intensity   O
closely   O
,   O
and   O
to   O
avoid   O
known   O
personal   O
migraine   O
triggers   O
.   O

Julianne   B-NAME
Costa   I-NAME
was   O
also   O
encouraged   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
capturing   O
detailed   O
information   O
concerning   O
each   O
headache   O
episode   O
,   O
to   O
be   O
reviewed   O
during   O
subsequent   O
medical   O
appointments   O
.   O

Emergency   O
Department   O
Contact   O
:   O
Should   O
symptoms   O
significantly   O
worsen   O
,   O
or   O
if   O
there   O
is   O
the   O
development   O
of   O
new   O
,   O
concerning   O
symptoms   O
such   O
as   O
sudden   O
onset   O
of   O
severe   O
headache   O
,   O
fever   O
,   O
stiff   O
neck   O
,   O
or   O
seizures   O
,   O
Terry   B-NAME
Middleton   I-NAME
was   O
advised   O
to   O
contact   O
emergency   O
services   O
immediately   O
or   O
return   O
to   O
the   O
ED   O
at   O
Lakeview   B-LOCATION
Hospital   I-LOCATION
.   O

Additionally   O
,   O
Castor   B-NAME
Hallerman   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
28813   B-CONTACT
for   O
the   O
ED   O
,   O
accessible   O
24/7   O
.   O

Patient   O
:   O
Helveticus   B-NAME
,   I-NAME
Date   O
of   O
Birth   O
:   O
10/02   B-DATE
Age   O
:   O
25   O
ID   O
:   O
6   B-ID
-   I-ID
5090565   I-ID
Medical   O
Record   O
Number   O
:   O
21065930   B-ID
Address   O
:   O
Hat   B-LOCATION
Island   I-LOCATION
,   O
82276   B-LOCATION
Phone   O
:   O
820   B-CONTACT
752   I-CONTACT
1788   I-CONTACT
Occupation   O
:   O
Acupuncturists   O
Primary   O
Physician   O
:   O
Tran   B-NAME
Hospital   O
:   O
Regional   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Orangeburg   I-LOCATION
and   I-LOCATION
Calhoun   I-LOCATION
Counties   I-LOCATION
Username   O
:   O
mx102   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Octavio   B-NAME
Cummings   I-NAME
,   O
presents   O
with   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

The   O
pain   O
onset   O
was   O
Sunday   B-DATE
,   O
described   O
as   O
sharp   O
and   O
continuous   O
.   O

Additionally   O
,   O
Dillon   B-NAME
Rowland   I-NAME
reports   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
21/39   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Kelsi   B-NAME
Rouleau   I-NAME
reports   O
that   O
the   O
pain   O
began   O
approximately   O
24   O
hours   O
ago   O
and   O
has   O
progressively   O
worsened   O
.   O

Augustine   B-NAME
denies   O
experiencing   O
similar   O
pain   O
in   O
the   O
past   O
.   O

However   O
,   O
Alhaus   B-NAME
Briehl   I-NAME
mentions   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
in   O
the   O
evening   O
of   O
0/22   B-DATE
.   O

Limbaugh   B-NAME
,   I-NAME
Rush   I-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
controlled   O
with   O
an   O
inhaled   O
corticosteroid   O
,   O
and   O
seasonal   O
allergies   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
mentioned   O
above   O
,   O
Malone   B-NAME
denies   O
any   O
changes   O
in   O
bowel   O
or   O
bladder   O
function   O
,   O
no   O
urinary   O
symptoms   O
,   O
denies   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
dizziness   O
.   O

Upon   O
examination   O
,   O
Albertina   B-NAME
Deguise   I-NAME
appears   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Laboratory   O
Tests   O
and   O
Imaging   O
:   O
Roger   B-NAME
Easterling   I-NAME
underwent   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
chemistry   O
panel   O
,   O
and   O
urinalysis   O
.   O

Abdominal   O
ultrasound   O
was   O
conducted   O
in   O
Westfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
on   O
11/40   B-DATE
,   O
suggesting   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Surgical   O
consultation   O
with   O
Andersen   B-NAME
has   O
been   O
scheduled   O
for   O
possible   O
appendectomy   O
.   O

Diana   B-NAME
Elliott   I-NAME
has   O
been   O
advised   O
to   O
avoid   O
any   O
food   O
or   O
drink   O
until   O
evaluation   O
.   O

Pain   O
management   O
with   O
IV   O
fluids   O
and   O
antibiotics   O
has   O
been   O
initiated   O
in   O
Our   B-LOCATION
Lady   I-LOCATION
Of   I-LOCATION
Lourdes   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
.   O
Follow   O
-   O
Up   O
:   O
Justis   B-NAME
is   O
advised   O
to   O
follow   O
up   O
immediately   O
post   O
-   O
operation   O
or   O
if   O
symptoms   O
worsen   O
before   O
the   O
scheduled   O
procedure   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
07/77   B-DATE
to   O
monitor   O
recovery   O
.   O

Instructions   O
:   O
Brisa   B-NAME
Donaldson   I-NAME
is   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
,   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
changes   O
in   O
symptoms   O
and   O
to   O
report   O
to   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
New   I-LOCATION
Orleans   I-LOCATION
immediately   O
if   O
any   O
arise   O
.   O

For   O
any   O
queries   O
or   O
immediate   O
assistance   O
,   O
Sean   B-NAME
Sullivan   I-NAME
can   O
contact   O
Skyline   B-LOCATION
Hospital   I-LOCATION
at   O
624   B-CONTACT
-   I-CONTACT
4494   I-CONTACT
.   O

Patient   O
:   O
Molly   B-NAME
Simon   I-NAME
Age   O
:   O
57   O
ID   O
:   O
IX243/9523   B-ID
Medical   O
Record   O
Number   O
:   O
082   B-ID
-   I-ID
71   I-ID
-   I-ID
15   I-ID
-   I-ID
4   I-ID
Phone   O
:   O
45132   B-CONTACT
Profession   O
:   O
Helpers   O
--   O
Pipelayers   O
,   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
Location   O
:   O
Maywood   B-LOCATION
Zip   O
:   O
61112   B-LOCATION
Organization   O
:   O

Tamalpais   B-LOCATION
Bank   I-LOCATION
Hospital   O
:   O

Sentara   B-LOCATION
Albemarle   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
:   O
7/28   B-DATE
Doctor   O
:   O
Corelli   B-NAME
Report   O
Summary   O
:   O

Patient   O
Fred   B-NAME
Richmond   I-NAME
,   O
a   O
54   O
-   O
year   O
-   O
old   O
Inspectors   O
,   O
Testers   O
,   O
Sorters   O
,   O
Samplers   O
,   O
and   O
Weighers   O
residing   O
in   O
Solvang   B-LOCATION
,   O
93155   B-LOCATION
,   O
presented   O
to   O
Edgefield   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
2241   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Best   B-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
a   O
decreased   O
appetite   O
over   O
the   O
last   O
24   O
hours   O
.   O

Upon   O
examination   O
,   O
Chelsea   B-NAME
Mullen   I-NAME
noted   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

An   O
abdominal   O
ultrasound   O
conducted   O
on   O
2396   B-DATE
confirmed   O
the   O
presence   O
of   O
a   O
swollen   O
appendix   O
with   O
no   O
sign   O
of   O
rupture   O
.   O

Given   O
the   O
findings   O
,   O
Winner   B-NAME
,   I-NAME
Michael   I-NAME
recommended   O
an   O
urgent   O
appendectomy   O
.   O

Reilly   B-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
post   O
-   O
operative   O
care   O
by   O
the   O
medical   O
staff   O
at   O
UCSF   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Moffitt   I-LOCATION
-   I-LOCATION
Long   I-LOCATION
Hospitals   I-LOCATION
.   O

The   O
patient   O
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
1987   B-DATE
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
unremarkable   O
,   O
and   O
Content   B-NAME
responded   O
well   O
to   O
the   O
treatment   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
the   O
patient   O
's   O
medical   O
record   O
number   O
,   O
90301518   B-ID
,   O
was   O
updated   O
with   O
all   O
procedural   O
and   O
diagnostic   O
details   O
.   O

The   O
Statisticians   B-LOCATION
In   I-LOCATION
The   I-LOCATION
Pharmaceutical   I-LOCATION
Industry   I-LOCATION
(   I-LOCATION
PSI   I-LOCATION
)   I-LOCATION
's   O
privacy   O
officer   O
ensured   O
all   O
PHI   O
,   O
including   O
13555   B-CONTACT
and   O
5   B-ID
-   I-ID
3018890   I-ID
,   O
was   O
securely   O
managed   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Channing   B-NAME
,   I-NAME
William   I-NAME
Ellery   I-NAME
was   O
discharged   O
on   O
39   B-DATE
-   I-DATE
28   I-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
a   O
prescription   O
for   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Mccullough   B-NAME
was   O
scheduled   O
for   O
12/30/40   B-DATE
to   O
review   O
the   O
recovery   O
process   O
and   O
address   O
any   O
complications   O
,   O
should   O
they   O
arise   O
.   O

For   O
further   O
inquiries   O
,   O
Odin   B-NAME
Dorsey   I-NAME
or   O
an   O
authorized   O
representative   O
can   O
contact   O
the   O
health   O
information   O
department   O
at   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
San   I-LOCATION
Jose   I-LOCATION
through   O
120   B-CONTACT
292   I-CONTACT
-   I-CONTACT
8744   I-CONTACT
.   O

Report   O
prepared   O
by   O
:   O
DV676   B-NAME

Patient   O
Name   O
:   O
Kian   B-NAME
Singh   I-NAME
Age   O
:   O
71s   O
Medical   O
Record   O
Number   O
:   O
93170576   B-ID
Date   O
of   O
Report   O
:   O
05/12   B-DATE
Location   O
:   O
Kelayres   B-LOCATION
Consulting   O
Doctor   O
:   O
Adison   B-NAME
Serrano   I-NAME
Hospital   O
:   O
Broward   B-LOCATION
Health   I-LOCATION
Coral   I-LOCATION
Springs   I-LOCATION
Contact   O
Info   O
:   O
(   B-CONTACT
135   I-CONTACT
)   I-CONTACT
282   I-CONTACT
-   I-CONTACT
5933   I-CONTACT
ID   O
Number   O
:   O
7   B-ID
-   I-ID
3596524   I-ID
Employment   O
:   O
Employment   O
advice   O
worker   O
Username   O
for   O
Patient   O
Portal   O
:   O
VR826   B-NAME
Zip   O
Code   O
:   O
16236   B-LOCATION
Summary   O
:   O
The   O
patient   O
,   O
Alexia   B-NAME
Dunlap   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Washington   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
Greene   I-LOCATION
on   O
22/17   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
predominantly   O
on   O
the   O
right   O
side   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
which   O
started   O
approximately   O
6   O
hours   O
before   O
admission   O
.   O

Matthews   B-NAME
denies   O
any   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Upon   O
examination   O
,   O
Nicholas   B-NAME
A.   I-NAME
Gomes   I-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
guarding   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Imaging   O
studies   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
followed   O
by   O
a   O
CT   O
scan   O
,   O
were   O
recommended   O
by   O
Cobb   B-NAME
to   O
further   O
evaluate   O
the   O
cause   O
of   O
Emmy   B-NAME
Payna   I-NAME
's   O
symptoms   O
.   O

Surgical   O
intervention   O
was   O
deemed   O
necessary   O
,   O
and   O
Valencia   B-NAME
was   O
prepared   O
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
successfully   O
without   O
any   O
complications   O
,   O
and   O
Richardson   B-NAME
was   O
admitted   O
to   O
post   O
-   O
surgical   O
care   O
at   O
Vidant   B-LOCATION
Edgecombe   I-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
and   O
recovery   O
.   O

Hunter   B-NAME
provided   O
post   O
-   O
operative   O
care   O
instructions   O
,   O
emphasizing   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
the   O
importance   O
of   O
follow   O
-   O
up   O
appointments   O
for   O
post   O
-   O
operative   O
assessment   O
.   O

frances   B-NAME
cramer   I-NAME
's   O
estimated   O
discharge   O
date   O
is   O
20/00/2107   B-DATE
,   O
depending   O
on   O
pain   O
management   O
and   O
recovery   O
progress   O
.   O

In   O
summary   O
,   O
Vladimir   B-NAME
Aguilar   I-NAME
,   O
a   O
27   O
-   O
year   O
-   O
old   O
Demonstrators   O
and   O
Product   O
Promoters   O
from   O
Baltimore   B-LOCATION
-   I-LOCATION
Hamilton   I-LOCATION
-   I-LOCATION
Lauraville   I-LOCATION
,   I-LOCATION
Hamilton   I-LOCATION
-   I-LOCATION
Lauraville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
with   O
a   O
medical   O
record   O
number   O
5096187   B-ID
and   O
ID   O
NN:21641:531782   B-ID
,   O
presented   O
with   O
signs   O
and   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

For   O
any   O
further   O
information   O
or   O
emergencies   O
,   O
Tiffany   B-NAME
Burgess   I-NAME
or   O
their   O
family   O
can   O
contact   O
Stanford   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
-   I-LOCATION
ValleyCare   I-LOCATION
at   O
15357   B-CONTACT
.   O

Additional   O
information   O
and   O
updates   O
will   O
be   O
available   O
through   O
the   O
patient   O
portal   O
,   O
username   O
nf82   B-NAME
,   O
and   O
communications   O
will   O
be   O
sent   O
to   O
86565   B-LOCATION
as   O
needed   O
or   O
requested   O
.   O

Patient   O
Report   O
for   O
Darren   B-NAME
Wiley   I-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
12   O
-   O
Medical   O
Record   O
Number   O
:   O
10856608   B-ID
-   O
ID   O
:   O
YV399/5560   B-ID
Contact   O
Information   O
:   O
-   O
Phone   O
Number   O
:   O
913   B-CONTACT
8569   I-CONTACT
-   O
Address   O
:   O
Dubberly   B-LOCATION
,   O
19085   B-LOCATION
Medical   O
Encounter   O
:   O
On   O
10/26   B-DATE
,   O
Sean   B-NAME
Everleigh   I-NAME
,   O
a   O
History   O
Teachers   O
,   O
Postsecondary   O
from   O
Stickney   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Parkland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
accompanied   O
by   O
shortness   O
of   O
breath   O
.   O

Additionally   O
,   O
Noor   B-NAME
Uyeda   I-NAME
reported   O
experiencing   O
episodes   O
of   O
dizziness   O
and   O
nausea   O
just   O
prior   O
to   O
arrival   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Miles   B-NAME
J.   I-NAME
Bennell   I-NAME
noted   O
that   O
the   O
patient   O
exhibited   O
signs   O
of   O
diaphoresis   O
and   O
appeared   O
pale   O
.   O

The   O
patient   O
was   O
also   O
started   O
on   O
a   O
heparin   O
drip   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
of   O
Regional   B-LOCATION
One   I-LOCATION
Health   I-LOCATION
.   O

Given   O
the   O
ECG   O
findings   O
and   O
clinical   O
presentation   O
,   O
Anastasia   B-NAME
Gomez   I-NAME
consulted   O
interventional   O
cardiology   O
for   O
an   O
urgent   O
cardiac   O
catheterization   O
.   O

The   O
procedure   O
was   O
conducted   O
on   O
36/20/2131   B-DATE
,   O
revealing   O
a   O
90   O
%   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
,   O
which   O
was   O
successfully   O
revascularized   O
with   O
stenting   O
.   O

Mccarty   B-NAME
emphasized   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
and   O
medication   O
adherence   O
post   O
-   O
discharge   O
.   O

Collins   B-NAME
,   I-NAME
Tim   I-NAME
was   O
prescribed   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
statin   O
,   O
and   O
dual   O
antiplatelet   O
therapy   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Trujillo   B-NAME
in   O
the   O
cardiology   O
clinic   O
at   O
Lahey   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
06/02   B-DATE
.   O

Confidentiality   O
Statement   O
:   O
This   O
patient   O
report   O
for   O
Will   B-NAME
Kidd   I-NAME
is   O
confidential   O
and   O
intended   O
for   O
authorized   O
medical   O
personnel   O
only   O
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
the   O
treatment   O
plan   O
,   O
please   O
contact   O
Lester   B-NAME
at   O
(   B-CONTACT
372   I-CONTACT
)   I-CONTACT
289   I-CONTACT
-   I-CONTACT
5404   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Joan   B-NAME
of   I-NAME
Arc   I-NAME
Age   O
:   O
75   O
DOB   O
:   O
10/23   B-DATE
Address   O
:   O
Lakemore   B-LOCATION
,   O
45989   B-LOCATION
Phone   O
Number   O
:   O
926   B-CONTACT
621   I-CONTACT
3515   I-CONTACT
Physician   O
:   O
Shelby   B-NAME
Yoder   I-NAME
Hospital   O
:   O

McDonough   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
1319926   B-ID
Patient   O
ID   O
:   O
UV694/4597   B-ID
Employer   O
:   O

The   B-LOCATION
La   I-LOCATION
Coste   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Meat   O
,   O
Poultry   O
,   O
and   O
Fish   O
Cutters   O
and   O
Trimmers   O
Username   O
:   O
aj309   B-NAME
Summary   O
:   O
The   O
patient   O
,   O
Memoria   B-NAME
Nasers   I-NAME
,   O
recently   O
presented   O
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
have   O
progressively   O
worsened   O
over   O
a   O
period   O
commencing   O
approximately   O
two   O
weeks   O
prior   O
to   O
the   O
consultation   O
date   O
,   O
01/12   B-DATE
.   O

Additionally   O
,   O
TERESA   B-NAME
LAMB   I-NAME
has   O
reported   O
experiencing   O
a   O
low   O
-   O
grade   O
fever   O
fluctuating   O
around   O
100.4   O
°   O
F   O
.   O

Diagnostic   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
urinalysis   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
were   O
ordered   O
on   O
0/20/2320   B-DATE
to   O
further   O
investigate   O
the   O
cause   O
of   O
Arturo   B-NAME
West   I-NAME
's   O
symptoms   O
.   O

The   O
abdominal   O
ultrasound   O
was   O
performed   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Boise   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
revealing   O
a   O
swollen   O
appendix   O
,   O
thereby   O
confirming   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Following   O
the   O
diagnosis   O
,   O
Issac   B-NAME
Martinez   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
appendectomy   O
.   O

Josie   B-NAME
Cooke   I-NAME
performed   O
the   O
surgical   O
procedure   O
on   O
2129   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
29   I-DATE
at   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lawrenceville   I-LOCATION
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
for   O
21/02   B-DATE
to   O
monitor   O
Chang   B-NAME
's   O
recovery   O
progress   O
and   O
address   O
any   O
potential   O
post   O
-   O
surgery   O
complications   O
.   O

Additionally   O
,   O
Deandre   B-NAME
Remick   I-NAME
has   O
been   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
any   O
postoperative   O
infections   O
and   O
is   O
recommended   O
to   O
maintain   O
adequate   O
hydration   O
and   O
rest   O
to   O
facilitate   O
a   O
smooth   O
recovery   O
.   O

In   O
conclusion   O
,   O
the   O
early   O
diagnosis   O
and   O
prompt   O
surgical   O
intervention   O
for   O
Stark   B-NAME
's   O
appendicitis   O
have   O
significantly   O
minimized   O
the   O
risk   O
of   O
further   O
complications   O
,   O
such   O
as   O
rupture   O
or   O
abscess   O
formation   O
.   O

Ensuring   O
thorough   O
follow   O
-   O
up   O
care   O
is   O
crucial   O
for   O
Yelton   B-NAME
's   O
full   O
recovery   O
and   O
return   O
to   O
their   O
normal   O
activities   O
,   O
including   O
work   O
as   O
a   O
Psychiatric   O
Technicians   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
questions   O
regarding   O
the   O
post   O
-   O
operative   O
care   O
,   O
Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
or   O
Petronius   B-NAME
's   O
family   O
members   O
can   O
reach   O
out   O
via   O
the   O
direct   O
line   O
744   B-CONTACT
-   I-CONTACT
2834   I-CONTACT
provided   O
by   O
Clinton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
's   O
surgical   O
department   O
.   O

This   O
report   O
has   O
been   O
compiled   O
by   O
Ronnie   B-NAME
Callahan   I-NAME
and   O
is   O
confidential   O
,   O
intended   O
solely   O
for   O
the   O
use   O
of   O
Mathews   B-NAME
and   O
Kay   B-NAME
K.   I-NAME
Edge   I-NAME
's   O
designated   O
healthcare   O
providers   O
.   O

Fletcher   B-NAME
Owens   I-NAME
Patient   O
ID   O
:   O
TA:48193:348297   B-ID
Medical   O
Record   O
Number   O
:   O
805   B-ID
-   I-ID
21   I-ID
-   I-ID
63   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Report   O
:   O
3/3   B-DATE
The   O
patient   O
,   O
a   O
97   O
-   O
year   O
-   O
old   O
individual   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Christian   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Center   I-LOCATION
on   O
03/09/1609   B-DATE
.   O

The   O
individual   O
,   O
a   O
Nurse   O
Anesthetists   O
,   O
resides   O
in   O
New   B-LOCATION
Bern   I-LOCATION
with   O
a   O
postal   O
code   O
of   O
44568   B-LOCATION
.   O

Izayah   B-NAME
Castillo   I-NAME
was   O
experiencing   O
severe   O
,   O
acute   O
,   O
onset   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
their   O
arrival   O
at   O
the   O
emergency   O
department   O
.   O

Upon   O
physical   O
examination   O
,   O
uphoff   B-NAME
exhibited   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggesting   O
signs   O
of   O
peritonitis   O
.   O

Based   O
on   O
the   O
presentation   O
and   O
clinical   O
findings   O
,   O
Santana   B-NAME
at   O
Southern   B-LOCATION
Ocean   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
suspected   O
acute   O
appendicitis   O
.   O

Shania   B-NAME
Combs   I-NAME
was   O
immediately   O
referred   O
to   O
general   O
surgery   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Floyd   B-NAME
J.   I-NAME
Floyd   I-NAME
Jr.   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Hugo   B-NAME
,   I-NAME
Victor   I-NAME
in   O
the   O
general   O
surgery   O
outpatient   O
clinic   O
after   O
discharge   O
for   O
wound   O
review   O
and   O
further   O
evaluation   O
.   O

For   O
further   O
queries   O
or   O
assistance   O
,   O
please   O
contact   O
the   O
general   O
surgery   O
department   O
at   O
248   B-CONTACT
439   I-CONTACT
-   I-CONTACT
7974   I-CONTACT
.   O

The   O
surgical   O
team   O
at   O
South   B-LOCATION
Nassau   I-LOCATION
Communities   I-LOCATION
Hospital   I-LOCATION
,   O
led   O
by   O
Brice   B-NAME
Mcdonald   I-NAME
,   O
is   O
committed   O
to   O
providing   O
the   O
highest   O
level   O
of   O
care   O
to   O
our   O
patients   O
.   O

Please   O
ensure   O
that   O
all   O
patient   O
information   O
,   O
including   O
contact   O
details   O
and   O
medical   O
records   O
,   O
is   O
handled   O
in   O
accordance   O
with   O
the   O
privacy   O
policy   O
of   O
Altamaha   B-LOCATION
EMC   I-LOCATION
.   O

For   O
updates   O
on   O
the   O
discharge   O
process   O
or   O
to   O
access   O
the   O
patient   O
's   O
medical   O
record   O
,   O
use   O
the   O
portal   O
with   O
username   O
bps709   B-NAME
.   O
Leaflet   O
on   O
post   O
-   O
appendectomy   O
care   O
and   O
dietary   O
recommendations   O
was   O
provided   O
to   O
the   O
patient   O
upon   O
discharge   O
.   O

It   O
's   O
crucial   O
that   O
Mills   B-NAME
,   I-NAME
C.   I-NAME
Wright   I-NAME
adhere   O
to   O
the   O
guidelines   O
and   O
promptly   O
report   O
any   O
signs   O
of   O
infection   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
redness   O
at   O
the   O
surgery   O
site   O
to   O
Pasco   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
synthetic   O
report   O
was   O
generated   O
on   O
2033   B-DATE
-   I-DATE
14   I-DATE
-   I-DATE
23   I-DATE
and   O
is   O
a   O
confidential   O
document   O
containing   O
protected   O
health   O
information   O
relevant   O
to   O
patient   O
care   O
and   O
treatment   O
at   O
Methodist   B-LOCATION
Charlton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
discrepancies   O
or   O
corrections   O
to   O
the   O
medical   O
record   O
,   O
please   O
reach   O
out   O
to   O
the   O
medical   O
records   O
department   O
reference   O
ID   O
61797269   B-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Vivian   B-NAME
Ritter   I-NAME
Age   O
:   O
20s   O
Date   O
of   O
Birth   O
:   O
22/11   B-DATE
Address   O
:   O
Renton   B-LOCATION
,   O
96832   B-LOCATION
Phone   O
Number   O
:   O
448   B-CONTACT
611   I-CONTACT
1381   I-CONTACT
Medical   O
Record   O
Number   O
:   O
8756309   B-ID
Physician   O
:   O

Dr.   O
Choi   B-NAME
Oh   I-NAME
-   I-NAME
sung   I-NAME
Admitting   O
Facility   O
:   O
Aleda   B-LOCATION
E.   I-LOCATION
Lutz   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
2211   B-DATE
-   I-DATE
15   I-DATE
-   I-DATE
27   I-DATE
Referring   O
Physician   O
:   O
Dr.   O
Hunter   B-NAME
Mccullough   I-NAME
Employment   O
:   O
police   O
officer   O
at   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Idaho   I-LOCATION
Presenting   O
Complaints   O
:   O

The   O
patient   O
,   O
Karey   B-NAME
Myslin   I-NAME
,   O
presented   O
to   O
Wiregrass   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/27/33   B-DATE
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
persistent   O
over   O
the   O
last   O
81   O
-   O
hours   O
.   O

Jordan   B-NAME
Roberts   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Lakemont   B-LOCATION
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Mcconnell   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
98   O
years   O
ago   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Amir   B-NAME
Naranjo   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Dr.   O
Jadiel   B-NAME
Allison   I-NAME
,   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Bastor   B-NAME
was   O
informed   O
about   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Surgical   O
consent   O
was   O
obtained   O
,   O
and   O
Skip   B-NAME
was   O
scheduled   O
for   O
laparoscopic   O
appendectomy   O
on   O
18/00   B-DATE
.   O

The   O
operation   O
was   O
performed   O
by   O
Dr.   O
Ware   B-NAME
at   O
Brighton   B-LOCATION
Hospital   I-LOCATION
without   O
any   O
complications   O
.   O

Charles   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
postoperatively   O
.   O

Follow   O
-   O
up   O
:   O
John   B-NAME
Hudson   I-NAME
was   O
discharged   O
on   O
Sunday   B-DATE
with   O
instructions   O
for   O
postoperative   O
care   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Keiichi   B-NAME
Wakaoji   I-NAME
in   O
8   O
week   O
weeks   O
to   O
monitor   O
recovery   O
and   O
manage   O
Frantz   B-NAME
's   O
ongoing   O
diabetes   O
and   O
hypertension   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
txs650   B-NAME
Relation   O
:   O

Special   O
Forces   O
Officers   O
Phone   O
:   O
72800   B-CONTACT

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Gilmore   B-NAME
-   O
Age   O
:   O
19   O
-   O
Date   O
of   O
Birth   O
:   O
4   B-DATE
-   I-DATE
2   I-DATE
-   O
Phone   O
Number   O
:   O
934   B-CONTACT
-   I-CONTACT
2898   I-CONTACT
-   O
Medical   O
Record   O
Number   O
:   O
3868648   B-ID
-   O
Social   O
Security   O
Number   O
:   O
PR:080:488443   B-ID
-   O
Address   O
:   O
Belmar   B-LOCATION
,   O
15948   B-LOCATION
Medical   O
Encounter   O
Date   O
:   O
13/02/96   B-DATE
Presenting   O
Complaint   O
:   O
Jacqueline   B-NAME
Contreras   I-NAME
presented   O
to   O
Exeter   B-LOCATION
Hospital   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
which   O
they   O
rated   O
as   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Jaxon   B-NAME
Berry   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
ingestion   O
of   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Jayla   B-NAME
Villanueva   I-NAME
,   O
a   O
Proofreaders   O
and   O
Copy   O
Markers   O
,   O
notes   O
that   O
their   O
job   O
involves   O
significant   O
physical   O
activity   O
but   O
denies   O
any   O
recent   O
trauma   O
or   O
injury   O
.   O

Xuereb   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
surgical   O
history   O
.   O

Social   O
History   O
:   O
Morrie   B-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
drinks   O
alcohol   O
socially   O
,   O
with   O
no   O
history   O
of   O
drug   O
use   O
.   O

Roosevelt   B-NAME
,   I-NAME
Eleanor   I-NAME
lives   O
in   O
Wantagh   B-LOCATION
and   O
works   O
as   O
a   O
Water   O
and   O
Liquid   O
Waste   O
Treatment   O
Plant   O
and   O
System   O
Operators   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Lao   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
,   O
basic   O
metabolic   O
panel   O
,   O
and   O
urinalysis   O
were   O
ordered   O
by   O
Jacoby   B-NAME
Baldwin   I-NAME
.   O

Hood   B-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
for   O
observation   O
under   O
the   O
care   O
of   O
Hale   B-NAME
,   O
with   O
a   O
surgical   O
consult   O
requested   O
.   O

Follow   O
-   O
Up   O
:   O
Clint   B-NAME
Cassidy   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
January   B-DATE
post   O
-   O
discharge   O
for   O
evaluation   O
of   O
recovery   O
progress   O
and   O
discussion   O
of   O
further   O
intervention   O
if   O
necessary   O
.   O

Patient   O
Name   O
:   O
Carmen   B-NAME
Lynch   I-NAME
Patient   O
ID   O
:   O
85420078   B-ID
Medical   O
Record   O
Number   O
:   O
975   B-ID
-   I-ID
99   I-ID
-   I-ID
69   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
23/27/2260   B-DATE
Age   O
:   O
98   O
Address   O
:   O
Waurika   B-LOCATION
,   O
57598   B-LOCATION
Phone   O
Number   O
:   O
817   B-CONTACT
7775   I-CONTACT
Primary   O
Physician   O
:   O
Hikmet   B-NAME
,   I-NAME
Nazim   I-NAME
Hospital   O
:   O
Buffalo   B-LOCATION
Niagara   I-LOCATION
Medical   I-LOCATION
Campus   I-LOCATION
Date   O
of   O
Visit   O
:   O
2256   B-DATE
-   I-DATE
36   I-DATE
-   I-DATE
23   I-DATE
Occupation   O
:   O

Custom   O
Tailors   O
Username   O
Reported   O
:   O
IW379   B-NAME
Summary   O
of   O
Visit   O
:   O
The   O
patient   O
,   O
Hess   B-NAME
,   O
presented   O
to   O
Raulerson   B-LOCATION
Hospital   I-LOCATION
on   O
21/39   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
,   O
predominantly   O
located   O
in   O
the   O
frontal   O
region   O
.   O

Harrell   B-NAME
also   O
reports   O
episodes   O
of   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Taliyah   B-NAME
Hoffman   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Seaford   B-LOCATION
or   O
any   O
known   O
tick   O
bites   O
.   O

Medical   O
History   O
:   O
Skye   B-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
without   O
aura   O
,   O
diagnosed   O
at   O
the   O
age   O
of   O
14   O
.   O

There   O
is   O
also   O
a   O
documented   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
Vegas   B-NAME
is   O
on   O
medication   O
.   O

Previously   O
,   O
Curtis   B-NAME
was   O
seen   O
by   O
Tuibua   B-NAME
,   I-NAME
Esala   I-NAME
for   O
routine   O
checks   O
and   O
the   O
management   O
of   O
migraine   O
episodes   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
Davian   B-NAME
Hahn   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Villa   B-NAME
was   O
counseled   O
on   O
lifestyle   O
modifications   O
and   O
trigger   O
identification   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
in   O
2   O
weeks   O
with   O
Clinton   B-NAME
Trevino   I-NAME
at   O
Blythedale   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Instructions   O
were   O
provided   O
to   O
return   O
to   O
the   O
ER   O
or   O
contact   O
675   B-CONTACT
754   I-CONTACT
-   I-CONTACT
6558   I-CONTACT
if   O
symptoms   O
significantly   O
worsen   O
,   O
or   O
if   O
Hallie   B-NAME
Hill   I-NAME
experiences   O
signs   O
of   O
neurological   O
deficits   O
.   O

Propranolol   O
40   O
mg   O
daily   O
for   O
migraine   O
prophylaxis   O
Recommendations   O
for   O
Follow   O
-   O
up   O
:   O
Santana   B-NAME
Faltz   I-NAME
is   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
down   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
.   O

Contact   O
was   O
made   O
with   O
Collett   B-NAME
,   I-NAME
Camilla   I-NAME
's   O
pharmacy   O
in   O
Munfordville   B-LOCATION
to   O
ensure   O
availability   O
of   O
the   O
prescribed   O
medications   O
.   O

The   O
patient   O
was   O
provided   O
with   O
the   O
contact   O
information   O
of   O
Mercy   B-LOCATION
Hospital   I-LOCATION
and   O
encouraged   O
to   O
reach   O
out   O
if   O
there   O
were   O
any   O
questions   O
or   O
concerns   O
regarding   O
their   O
management   O
plan   O
.   O

Patient   O
Name   O
:   O
Krystal   B-NAME
Bernard   I-NAME
Age   O
:   O
3   O
Medical   O
Record   O
Number   O
:   O
32846437   B-ID
ID   O
:   O
6657609   B-ID
Date   O
of   O
Consultation   O
:   O
13/12   B-DATE
Attending   O
Physician   O
:   O

Blake   B-NAME
Hospital   O
:   O
Abrazo   B-LOCATION
West   I-LOCATION
Campus   I-LOCATION
Location   O
:   O
La   B-LOCATION
Esperanza   I-LOCATION
Phone   O
:   O
489   B-CONTACT
7359   I-CONTACT
Zip   O
:   O
13745   B-LOCATION
Organization   O
:   O

Entergy   B-LOCATION
Mississippi   I-LOCATION
Username   O
:   O

LE816   B-NAME
Profession   O
:   O
Word   O
Processors   O
and   O
Typists   O
Summary   O
:   O
T.J.   B-NAME
Eckleburg   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
River   B-LOCATION
Place   I-LOCATION
Braselton   I-LOCATION
on   O
3/2/79   B-DATE
with   O
chief   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
unrelenting   O
vomiting   O
for   O
the   O
past   O
48   O
hours   O
.   O

Dania   B-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
lower   O
right   O
abdomen   O
,   O
worsening   O
upon   O
movement   O
.   O

Further   O
,   O
Khan   B-NAME
reports   O
having   O
experienced   O
a   O
loss   O
of   O
appetite   O
and   O
slight   O
fever   O
during   O
the   O
same   O
time   O
frame   O
.   O

ostrowski   B-NAME
,   O
who   O
works   O
as   O
a   O
Nuclear   O
Engineers   O
in   O
Jacksonville   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
32205   I-LOCATION
,   O
could   O
not   O
recall   O
any   O
recent   O
unusual   O
dietary   O
intake   O
or   O
travel   O
history   O
that   O
could   O
be   O
linked   O
to   O
the   O
symptoms   O
.   O

The   O
initial   O
assessment   O
by   O
Dr.   O
Meade   B-NAME
suggested   O
a   O
possible   O
appendicitis   O
,   O
warranting   O
further   O
diagnostic   O
evaluation   O
.   O

2   O
.   O
Abdominal   O
Ultrasound   O
performed   O
at   O
TriStar   B-LOCATION
Southern   I-LOCATION
Hills   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Imaging   O
Department   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
inflammation   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Angel   B-NAME
Costa   I-NAME
,   O
Lugo   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
advised   O
immediate   O
surgical   O
intervention   O
.   O

Bennett   B-NAME
Daugherty   I-NAME
successfully   O
underwent   O
an   O
appendectomy   O
on   O
00/12/2042   B-DATE
at   O
Merit   B-LOCATION
Health   I-LOCATION
River   I-LOCATION
Oaks   I-LOCATION
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Florinda   B-NAME
Hannegan   I-NAME
was   O
discharged   O
on   O
02/27/22   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
and   O
activity   O
modifications   O
for   O
the   O
upcoming   O
weeks   O
.   O

Follow   O
-   O
up   O
:   O
Karla   B-NAME
Lewis   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Arabella   B-NAME
Rowe   I-NAME
at   O
Myrtue   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
04/25/1743   B-DATE
.   O

Further   O
instructions   O
were   O
given   O
to   O
Eleanor   B-NAME
Bramwell   I-NAME
to   O
minimize   O
physical   O
activity   O
and   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
around   O
the   O
surgical   O
site   O
or   O
general   O
deterioration   O
in   O
health   O
.   O

Recommendations   O
:   O
Jocelyn   B-NAME
T   I-NAME
Issa   I-NAME
is   O
advised   O
to   O
maintain   O
a   O
balanced   O
diet   O
,   O
ensure   O
adequate   O
fluid   O
intake   O
,   O
and   O
gradually   O
return   O
to   O
normal   O
activities   O
as   O
tolerated   O
.   O

Mcpherson   B-NAME
was   O
also   O
informed   O
to   O
contact   O
Catskill   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Harris   I-LOCATION
at   O
76396   B-CONTACT
for   O
any   O
concerns   O
or   O
emergency   O
symptoms   O
.   O

Conclusion   O
:   O
The   O
successful   O
resolution   O
of   O
Kasparov   B-NAME
,   I-NAME
Garry   I-NAME
's   O
acute   O
appendicitis   O
through   O
surgical   O
intervention   O
highlights   O
the   O
importance   O
of   O
prompt   O
medical   O
evaluation   O
and   O
treatment   O
of   O
similar   O
symptomatic   O
presentations   O
.   O

Future   O
health   O
maintenance   O
and   O
close   O
observation   O
in   O
the   O
post   O
-   O
operative   O
period   O
are   O
crucial   O
for   O
Barbara   B-NAME
Chavez   I-NAME
's   O
full   O
recovery   O
and   O
return   O
to   O
daily   O
activities   O
as   O
a   O
Animal   O
Scientists   O
in   O
Oroville   B-LOCATION
.   O

Patient   O
Name   O
:   O
Frank   B-NAME
Griffin   I-NAME
Patient   O
ID   O
:   O
JE:90594:735367   B-ID
Age   O
:   O
1s   O
Date   O
of   O
Birth   O
:   O
35/25/2021   B-DATE
Phone   O
Number   O
:   O
92562   B-CONTACT
Address   O
:   O
Geronimo   B-LOCATION
,   O
42059   B-LOCATION
Profession   O
:   O

Lizbeth   B-NAME
Nielsen   I-NAME
Hospital   O
:   O
Monroe   B-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
856   B-ID
-   I-ID
58   I-ID
-   I-ID
79   I-ID
Admission   O
Date   O
:   O
03/16   B-DATE
Username   O
:   O
he151   B-NAME
Clinical   O
Presentation   O
:   O

Luther   B-NAME
Strab   I-NAME
presented   O
to   O
Arnold   B-LOCATION
Palmer   I-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
on   O
32/22/49   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headache   O
that   O
was   O
described   O
as   O
throbbing   O
and   O
localized   O
mainly   O
to   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

The   O
headache   O
has   O
been   O
increasing   O
in   O
intensity   O
over   O
the   O
past   O
23/20/16   B-DATE
,   O
with   O
episodes   O
lasting   O
from   O
a   O
few   O
hours   O
to   O
full   O
days   O
.   O

Christian   B-NAME
Curry   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
episodic   O
migraines   O
without   O
aura   O
for   O
which   O
Sherri   B-NAME
Dattilo   I-NAME
had   O
been   O
prescribed   O
medication   O
by   O
Fishback   B-NAME
,   I-NAME
Margaret   I-NAME
.   O

Additional   O
medical   O
history   O
includes   O
asthma   O
,   O
well   O
-   O
controlled   O
with   O
inhalers   O
,   O
and   O
a   O
previous   O
episode   O
of   O
deep   O
vein   O
thrombosis   O
(   O
DVT   O
)   O
1   B-DATE
-   I-DATE
22   I-DATE
.   O
Examination   O
and   O
Diagnostic   O
Testing   O
:   O
Upon   O
examination   O
,   O
Esteban   B-NAME
Kidd   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Fields   B-NAME
conducted   O
a   O
detailed   O
neurological   O
examination   O
,   O
which   O
did   O
not   O
reveal   O
any   O
focal   O
deficits   O
.   O

Given   O
the   O
severity   O
and   O
persistence   O
of   O
symptoms   O
,   O
Gaines   B-NAME
ordered   O
a   O
brain   O
MRI   O
,   O
which   O
did   O
not   O
show   O
any   O
acute   O
abnormalities   O
,   O
and   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
to   O
exclude   O
secondary   O
causes   O
of   O
headaches   O
.   O

Tests   O
were   O
conducted   O
on   O
2234   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
37   I-DATE
,   O
and   O
results   O
were   O
within   O
normal   O
range   O
.   O

Stokes   B-NAME
advised   O
initiating   O
a   O
preventive   O
medication   O
regime   O
along   O
with   O
the   O
current   O
abortive   O
treatment   O
.   O

Ben   B-NAME
Sobel   I-NAME
was   O
educated   O
about   O
lifestyle   O
modifications   O
,   O
including   O
maintaining   O
a   O
regular   O
sleep   O
schedule   O
,   O
hydration   O
,   O
stress   O
management   O
techniques   O
,   O
and   O
avoiding   O
known   O
migraine   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
in   O
2/00   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
adjust   O
it   O
as   O
necessary   O
.   O

Next   O
Steps   O
:   O
Quinton   B-NAME
Lovett   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
documenting   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
.   O

Lowe   B-NAME
was   O
also   O
provided   O
with   O
(   B-CONTACT
303   I-CONTACT
)   I-CONTACT
112   I-CONTACT
2303   I-CONTACT
for   O
Southeastern   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
nurse   O
hotline   O
in   O
case   O
of   O
severe   O
episodes   O
or   O
concerns   O
related   O
to   O
medication   O
side   O
effects   O
.   O

Emergency   O
Plan   O
:   O
Babette   B-NAME
Niau   I-NAME
was   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
at   O
Heartland   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
if   O
experiencing   O
symptoms   O
indicative   O
of   O
stroke   O
,   O
such   O
as   O
sudden   O
onset   O
of   O
weakness   O
,   O
difficulty   O
speaking   O
,   O
vision   O
changes   O
,   O
or   O
if   O
headaches   O
significantly   O
worsen   O
,   O
become   O
continuous   O
,   O
or   O
are   O
accompanied   O
by   O
fever   O
,   O
stiff   O
neck   O
,   O
or   O
confusion   O
.   O

Consent   O
and   O
Acknowledgement   O
:   O
Vivian   B-NAME
Francis   I-NAME
Porter   I-NAME
provided   O
verbal   O
consent   O
for   O
the   O
proposed   O
treatment   O
plan   O
on   O
Friday   B-DATE
.   O

Eddie   B-NAME
Craig   I-NAME
expressed   O
understanding   O
of   O
the   O
treatment   O
approach   O
,   O
including   O
potential   O
side   O
effects   O
and   O
the   O
importance   O
of   O
follow   O
-   O
up   O
appointments   O
for   O
optimal   O
management   O
of   O
symptoms   O
.   O

Prepared   O
by   O
:   O
Giovanny   B-NAME
Stark   I-NAME
Collective   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
Sunday   B-DATE

Patient   O
Name   O
:   O
Vincent   B-NAME
Brill   I-NAME
Age   O
:   O
1   O
week   O
Phone   O
:   O
62089   B-CONTACT
Date   O
of   O
Birth   O
:   O
1703   B-DATE
Medical   O
Record   O
Number   O
:   O
789   B-ID
-   I-ID
05   I-ID
-   I-ID
08   I-ID
-   I-ID
1   I-ID
Address   O
:   O
Gratiot   B-LOCATION
,   O
24273   B-LOCATION

Attending   O
Doctor   O
:   O
Bender   B-NAME
Hospital   O
:   O

South   B-LOCATION
Baldwin   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
:   O
4604898   B-ID
The   O
patient   O
,   O
a   O
Crown   O
Prosecution   O
Service   O
lawyer   O
from   O
Guntersville   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Lakeside   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
32/21   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
had   O
been   O
progressing   O
over   O
the   O
past   O
48   O
hours   O
.   O

The   O
patient   O
reported   O
no   O
significant   O
medical   O
history   O
except   O
for   O
a   O
past   O
appendectomy   O
operation   O
performed   O
by   O
Jenny   B-NAME
Carroll   I-NAME
at   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Oklahoma   I-LOCATION
City   I-LOCATION
.   O

Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
,   O
electrolytes   O
,   O
and   O
C   O
-   O
reactive   O
protein   O
were   O
ordered   O
by   O
Pratt   B-NAME
,   O
revealing   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
15,000/µL   O
,   O
suggesting   O
an   O
infection   O
or   O
inflammation   O
.   O

Based   O
on   O
these   O
findings   O
,   O
a   O
diagnosis   O
of   O
Meckel   O
's   O
diverticulitis   O
was   O
made   O
by   O
Wolfowitz   B-NAME
,   I-NAME
Paul   I-NAME
.   O

The   O
plan   O
of   O
care   O
discussed   O
with   O
the   O
patient   O
involved   O
admission   O
to   O
Platte   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
intravenous   O
antibiotics   O
and   O
observation   O
.   O

The   O
surgical   O
team   O
was   O
consulted   O
,   O
and   O
Padilla   B-NAME
,   O
a   O
noted   O
surgeon   O
at   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Royal   I-LOCATION
Oak   I-LOCATION
,   O
was   O
assigned   O
to   O
the   O
case   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
22/36/96   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
,   O
pain   O
management   O
advice   O
,   O
and   O
instructions   O
for   O
strict   O
follow   O
-   O
up   O
with   O
their   O
primary   O
care   O
doctor   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
Rush   B-NAME
at   O
Gundersen   B-LOCATION
Palmer   I-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
.   O

Contact   O
details   O
provided   O
for   O
the   O
patient   O
's   O
discharge   O
instructions   O
included   O
their   O
phone   O
number   O
,   O
23253   B-CONTACT
,   O
and   O
instructions   O
to   O
call   O
Magee   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
's   O
main   O
line   O
should   O
they   O
experience   O
any   O
worsening   O
symptoms   O
or   O
complications   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Qarase   B-NAME
,   I-NAME
Laisenia   I-NAME
Patient   O
Age   O
:   O
7   O
week   O
Patient   O
ID   O
:   O
WM804/6068   B-ID
Medical   O
Record   O
Number   O
:   O
8638Y32608   B-ID
Date   O
of   O
Visit   O
:   O
2   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
53   I-DATE
Phone   O
Number   O
:   O
31664   B-CONTACT
Address   O
:   O
Boley   B-LOCATION
,   O
39827   B-LOCATION
Attending   O
Physician   O
:   O

Lindsay   B-NAME
Campbell   I-NAME
Hospital   O
Name   O
:   O
Noble   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Occupation   O
:   O
Precision   O
Agriculture   O
Technicians   O
Username   O
for   O
Hospital   O
Portal   O
:   O
WN973   B-NAME
Clinical   O
Summary   O
:   O
Aisha   B-NAME
Luna   I-NAME
presented   O
to   O
Helen   B-LOCATION
Hayes   I-LOCATION
Hospital   I-LOCATION
on   O
2067   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
37   I-DATE
complaining   O
of   O
persistent   O
headaches   O
,   O
dizziness   O
,   O
and   O
episodes   O
of   O
blurred   O
vision   O
.   O

The   O
patient   O
reported   O
that   O
these   O
symptoms   O
had   O
been   O
occurring   O
sporadically   O
over   O
the   O
past   O
33/23/49   B-DATE
but   O
had   O
increased   O
in   O
intensity   O
and   O
frequency   O
over   O
the   O
last   O
21/20/99   B-DATE
.   O

Collins   B-NAME
,   I-NAME
Tim   I-NAME
also   O
noted   O
an   O
occasional   O
ringing   O
in   O
the   O
ears   O
,   O
also   O
known   O
as   O
tinnitus   O
,   O
alongside   O
these   O
symptoms   O
.   O

Victor   B-NAME
Webb   I-NAME
,   O
who   O
works   O
as   O
a   O
Soil   O
and   O
Plant   O
Scientists   O
,   O
mentioned   O
that   O
these   O
symptoms   O
occasionally   O
interfered   O
with   O
their   O
job   O
performance   O
,   O
particularly   O
when   O
using   O
a   O
computer   O
or   O
focusing   O
on   O
small   O
details   O
.   O

Blood   O
pressure   O
was   O
noted   O
to   O
be   O
within   O
normal   O
limits   O
for   O
Vernon   B-NAME
Voorhees   I-NAME
's   O
age   O
group   O
.   O

Given   O
the   O
reported   O
symptoms   O
and   O
the   O
lack   O
of   O
immediate   O
findings   O
from   O
a   O
physical   O
exam   O
,   O
Popper   B-NAME
,   I-NAME
Karl   I-NAME
recommended   O
further   O
diagnostic   O
testing   O
to   O
rule   O
out   O
possible   O
underlying   O
causes   O
such   O
as   O
a   O
vestibular   O
disorder   O
,   O
migraine   O
,   O
or   O
even   O
early   O
signs   O
of   O
a   O
more   O
systemic   O
condition   O
.   O

Tessa   B-NAME
Ewing   I-NAME
was   O
also   O
advised   O
to   O
keep   O
a   O
symptom   O
diary   O
,   O
noting   O
any   O
activities   O
or   O
specific   O
circumstances   O
that   O
might   O
trigger   O
these   O
episodes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Luella   B-NAME
with   O
Lamont   B-NAME
Pineda   I-NAME
at   O
St.   B-LOCATION
Christopher   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
on   O
March   B-DATE
.   O

The   O
purpose   O
of   O
this   O
visit   O
is   O
to   O
review   O
the   O
results   O
from   O
the   O
MRI   O
scan   O
and   O
to   O
discuss   O
the   O
findings   O
and   O
plan   O
the   O
next   O
steps   O
in   O
the   O
management   O
of   O
Basilia   B-NAME
Ganser   I-NAME
's   O
symptoms   O
.   O

Additionally   O
,   O
consideration   O
will   O
be   O
given   O
to   O
refer   O
Garza   B-NAME
to   O
a   O
specialist   O
if   O
required   O
,   O
based   O
on   O
the   O
outcomes   O
of   O
these   O
initial   O
investigations   O
.   O

In   O
the   O
meantime   O
,   O
Antony   B-NAME
Macias   I-NAME
has   O
been   O
advised   O
to   O
avoid   O
any   O
known   O
triggers   O
,   O
if   O
identified   O
,   O
and   O
to   O
maintain   O
a   O
healthy   O
lifestyle   O
,   O
including   O
adequate   O
hydration   O
,   O
regular   O
exercise   O
,   O
and   O
proper   O
sleep   O
hygiene   O
.   O

Marcelo   B-NAME
Hoskins   I-NAME
was   O
also   O
provided   O
with   O
the   O
contact   O
number   O
770   B-CONTACT
-   I-CONTACT
208   I-CONTACT
-   I-CONTACT
9862   I-CONTACT
for   O
the   O
Public   B-LOCATION
and   I-LOCATION
Commercial   I-LOCATION
Services   I-LOCATION
Union   I-LOCATION
’s   O
patient   O
support   O
service   O
in   O
case   O
of   O
any   O
questions   O
or   O
if   O
there   O
was   O
a   O
significant   O
worsening   O
of   O
symptoms   O
before   O
the   O
next   O
scheduled   O
appointment   O
.   O

Stephen   B-NAME
Mccullough   I-NAME
Medical   O
Record   O
Number   O
:   O
56685431   B-ID
Age   O
:   O
1   O
week   O
Date   O
of   O
Visit   O
:   O
1951   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
16   I-DATE
Physician   O
:   O

Evie   B-NAME
James   I-NAME
Hospital   O
:   O
UT   B-LOCATION
Health   I-LOCATION
Tyler   I-LOCATION
Address   O
:   O
Fuller   B-LOCATION
Heights   I-LOCATION
,   O
96769   B-LOCATION
Contact   O
Number   O
:   O
297   B-CONTACT
928   I-CONTACT
6517   I-CONTACT
Chief   O
Complaints   O
:   O

Salena   B-NAME
presented   O
with   O
a   O
sudden   O
onset   O
of   O
sharp   O
,   O
stabbing   O
chest   O
pain   O
located   O
primarily   O
in   O
the   O
substernal   O
region   O
.   O

Medical   O
History   O
:   O
-   O
Hypertension   O
,   O
managed   O
with   O
medication   O
for   O
the   O
past   O
Thursday   B-DATE
.   O
-   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
in   O
28   B-DATE
.   O
-   O
No   O
known   O
drug   O
allergies   O
.   O
-   O
Non   O
-   O
smoker   O
.   O

Segmental   O
Pavers   O
-   O
Lives   O
alone   O
in   O
Star   B-LOCATION
Lake   I-LOCATION
.   O
-   O
Denies   O
the   O
use   O
of   O
alcohol   O
,   O
tobacco   O
,   O
or   O
recreational   O
drugs   O
.   O

Physical   O
Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Jaiden   B-NAME
Richards   I-NAME
appeared   O
in   O
acute   O
distress   O
with   O
pale   O
skin   O
and   O
diaphoresis   O
.   O

Management   O
Plan   O
:   O
-   O
Redemptor   B-NAME
was   O
immediately   O
administered   O
aspirin   O
325   O
mg   O
by   O
mouth   O
and   O
sublingual   O
nitroglycerin   O
.   O
-   O
IV   O
access   O
was   O
established   O
,   O
and   O
Oxygen   O
therapy   O
initiated   O
at   O
2   O
L   O
/   O
min   O
via   O
nasal   O
cannula   O
.   O

-   O
Marshall   B-NAME
was   O
prepped   O
for   O
emergency   O
cardiac   O
catheterization   O
to   O
evaluate   O
coronary   O
anatomy   O
and   O
for   O
possible   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

-   O
Lennon   B-NAME
,   I-NAME
John   I-NAME
consulted   O
Cardiology   O
for   O
further   O
management   O
and   O
recommendations   O
.   O
-   O
Content   B-NAME
was   O
admitted   O
to   O
CareLink   B-LOCATION
of   I-LOCATION
Jackson   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
treatment   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
31/23/50   B-DATE
after   O
discharge   O
to   O
assess   O
recovery   O
and   O
discuss   O
long   O
-   O
term   O
management   O
of   O
cardiovascular   O
risk   O
factors   O
.   O

Authorization   O
:   O
This   O
report   O
was   O
completed   O
by   O
Mccullough   B-NAME
,   O
and   O
the   O
information   O
herein   O
is   O
confidential   O
,   O
intended   O
solely   O
for   O
medical   O
purposes   O
,   O
and   O
the   O
direct   O
care   O
of   O
Elliot   B-NAME
Sexton   I-NAME
.   O

Patient   O
Name   O
:   O
Bodnari   B-NAME
ID   O
:   O
ZZ117/1161   B-ID
Medical   O
Record   O
Number   O
:   O
94134897   B-ID
Age   O
:   O
34   O
Phone   O
Number   O
:   O
749   B-CONTACT
9760   I-CONTACT
Date   O
of   O
Visit   O
:   O
2352   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
10   I-DATE
Address   O
:   O
Indian   B-LOCATION
Rocks   I-LOCATION
Beach   I-LOCATION
,   O
42278   B-LOCATION
Referring   O
Doctor   O
:   O
Monheit   B-NAME
,   I-NAME
Jane   I-NAME
Hospital   O
:   O
PeaceHealth   B-LOCATION
Southwest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Profession   O
:   O
Stock   O
Clerks   O
,   O
Sales   O
Floor   O
Username   O
:   O
QU284   B-NAME
Summary   O
:   O
Jerry   B-NAME
Noland   I-NAME
presented   O
to   O
Honor   B-LOCATION
Grave   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
31/24   B-DATE
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
which   O
have   O
been   O
ongoing   O
for   O
approximately   O
one   O
week   O
.   O

Luigi   B-NAME
,   O
a   O
51   O
-   O
year   O
-   O
old   O
Medical   O
Records   O
and   O
Health   O
Information   O
Technicians   O
,   O
reported   O
that   O
the   O
abdominal   O
discomfort   O
is   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
and   O
described   O
the   O
pain   O
as   O
sharp   O
and   O
intermittent   O
,   O
worsening   O
after   O
meals   O
.   O

Jeffrey   B-NAME
Garth   I-NAME
also   O
noted   O
an   O
unintentional   O
weight   O
loss   O
of   O
5   O
kilograms   O
over   O
the   O
past   O
month   O
,   O
associated   O
with   O
a   O
decreased   O
appetite   O
.   O

Upon   O
examination   O
,   O
Gallegos   B-NAME
appeared   O
mildly   O
dehydrated   O
and   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Initial   O
laboratory   O
tests   O
were   O
ordered   O
by   O
Brice   B-NAME
Mcdonald   I-NAME
,   O
showing   O
a   O
mildly   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
indicative   O
of   O
a   O
possible   O
infectious   O
process   O
.   O

Management   O
involved   O
consultation   O
with   O
the   O
surgical   O
team   O
at   O
Kresge   B-LOCATION
Eye   I-LOCATION
Institute   I-LOCATION
,   O
and   O
it   O
was   O
recommended   O
that   O
Beatus   B-NAME
Kokenge   I-NAME
undergo   O
an   O
urgent   O
appendectomy   O
.   O

The   O
procedure   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Lucian   B-NAME
Floyd   I-NAME
was   O
advised   O
to   O
remain   O
in   O
the   O
hospital   O
for   O
post   O
-   O
operative   O
monitoring   O
.   O

Nevaeh   B-NAME
Lowe   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infection   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
0420   B-DATE
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Monroe   I-LOCATION
Campus   I-LOCATION
's   O
outpatient   O
surgery   O
clinic   O
for   O
wound   O
assessment   O
and   O
to   O
discuss   O
the   O
pathology   O
report   O
,   O
which   O
is   O
pending   O
.   O

Mia   B-NAME
E.   I-NAME
Tapia   I-NAME
was   O
informed   O
about   O
the   O
signs   O
of   O
infection   O
post   O
-   O
surgery   O
,   O
including   O
fever   O
,   O
increased   O
pain   O
,   O
redness   O
,   O
swelling   O
at   O
the   O
incision   O
site   O
,   O
and   O
was   O
advised   O
to   O
contact   O
Sentara   B-LOCATION
Albemarle   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
if   O
any   O
of   O
these   O
symptoms   O
occurred   O
.   O

Instructions   O
for   O
post   O
-   O
operative   O
care   O
and   O
dietary   O
recommendations   O
were   O
provided   O
to   O
Foust   B-NAME
upon   O
discharge   O
.   O

Karson   B-NAME
Vance   I-NAME
was   O
also   O
educated   O
on   O
the   O
importance   O
of   O
gradual   O
return   O
to   O
daily   O
activities   O
and   O
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
or   O
sooner   O
if   O
concerns   O
arise   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Louis   B-NAME
,   I-NAME
Joe   I-NAME
-   O
Age   O
:   O
6   O
-   O
Address   O
:   O
Ozan   B-LOCATION
,   O
90567   B-LOCATION
-   O
Phone   O
Number   O
:   O
61605   B-CONTACT
-   O
Patient   O
ID   O
:   O
RL   B-ID
:   I-ID
GC:7339   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
6904181   B-ID
Medical   O
Encounter   O
:   O
-   O
Date   O
of   O
Visit   O
:   O
07/26/2011   B-DATE
-   O
Location   O
of   O
Visit   O
:   O
Heart   B-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
,   O
919   B-LOCATION
West   I-LOCATION
Westport   I-LOCATION
Street   I-LOCATION
-   O
Attending   O
Physician   O
:   O
Herbeau   B-NAME
Summary   O
of   O
Encounter   O
:   O
Tess   B-NAME
Mcpherson   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
36/29/52   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
presentation   O
of   O
appendicitis   O
.   O

Varl   B-NAME
Blonigan   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
,   O
rating   O
it   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Yee   B-NAME
denied   O
any   O
diarrhea   O
,   O
constipation   O
,   O
or   O
urinary   O
symptoms   O
.   O

On   O
physical   O
examination   O
,   O
Crystal   B-NAME
Allison   I-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
12   O
-   O
degrees   O
Fahrenheit   O
,   O
blood   O
pressure   O
of   O
120/80   O
mmHg   O
,   O
pulse   O
rate   O
of   O
100   O
beats   O
per   O
minute   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

Management   O
and   O
Outcome   O
:   O
Todd   B-NAME
Riley   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
was   O
taken   O
to   O
the   O
operating   O
room   O
for   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Sawyer   B-NAME
.   O

Andersen   B-NAME
was   O
monitored   O
in   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
South   I-LOCATION
Miami   I-LOCATION
Hospital   I-LOCATION
post   O
-   O
surgery   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Cecilia   B-NAME
Reyes   I-NAME
was   O
advised   O
on   O
postoperative   O
care   O
,   O
including   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
activity   O
restrictions   O
.   O

Paytah   B-NAME
was   O
discharged   O
on   O
Dec   B-DATE
26   I-DATE
with   O
prescriptions   O
for   O
oral   O
antibiotics   O
and   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Frederick   B-NAME
Castillo   I-NAME
in   O
two   O
weeks   O
to   O
assess   O
the   O
recovery   O
progress   O
.   O

Conclusion   O
:   O
The   O
timely   O
diagnosis   O
and   O
management   O
of   O
acute   O
appendicitis   O
in   O
kr   B-NAME
resulted   O
in   O
a   O
successful   O
outcome   O
without   O
complications   O
.   O

Zavier   B-NAME
Elliott   I-NAME
has   O
been   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
there   O
are   O
any   O
signs   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
if   O
they   O
experience   O
any   O
other   O
concerns   O
during   O
their   O
recovery   O
period   O
.   O

For   O
further   O
information   O
or   O
emergency   O
,   O
Sterling   B-NAME
,   I-NAME
Bruce   I-NAME
or   O
their   O
representative   O
can   O
contact   O
UT   B-LOCATION
Southwestern   I-LOCATION
Zale   I-LOCATION
Lipshy   I-LOCATION
Pavilion   I-LOCATION
at   I-LOCATION
William   I-LOCATION
P.   I-LOCATION
Clements   I-LOCATION
Jr.   I-LOCATION
University   B-LOCATION
Hospital   I-LOCATION
at   O
23644   B-CONTACT
.   O

Document   O
Prepared   O
by   O
:   O
Adult   O
nurse   O
,   O
Peace   B-LOCATION
Brigades   I-LOCATION
International   I-LOCATION
Document   O
ID   O
:   O
114   B-ID
-   I-ID
93   I-ID
-   I-ID
51   I-ID
-   I-ID
5   I-ID

Patient   O
Report   O
:   O
Patient   O
:   O
Welch   B-NAME
,   I-NAME
Xzavior   I-NAME
Charles   I-NAME
Age   O
:   O
20   O
Medical   O
Record   O
Number   O
:   O
2060207   B-ID
Date   O
of   O
Visit   O
:   O
1/7   B-DATE
Physician   O
:   O

Ashanti   B-NAME
Bolton   I-NAME
Hospital   O
:   O

Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Camden   I-LOCATION
Campus   I-LOCATION
Location   O
:   O
Fife   B-LOCATION
Heights   I-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
521   I-CONTACT
)   I-CONTACT
945   I-CONTACT
-   I-CONTACT
9683   I-CONTACT
Zip   O
Code   O
:   O
68894   B-LOCATION
Occupation   O
:   O

Printing   O
Press   O
Machine   O
Operators   O
and   O
Tenders   O
Referencing   O
User   O
:   O
apw01   B-NAME
Identity   O
Number   O
:   O
6   B-ID
-   I-ID
3988466   I-ID
Chief   O
Complaint   O
:   O

Patient   O
Darell   B-NAME
McTarnaghan   I-NAME
,   O
a   O
Plasterers   O
and   O
Stucco   O
Masons   O
from   O
Streator   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
2334   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
,   O
dry   O
cough   O
that   O
has   O
lasted   O
for   O
approximately   O
two   O
weeks   O
.   O

Lacey   B-NAME
Odonnell   I-NAME
also   O
mentions   O
experiencing   O
occasional   O
chest   O
tightness   O
but   O
denies   O
any   O
chest   O
pain   O
.   O

The   O
patient   O
denies   O
smoking   O
history   O
or   O
any   O
exposure   O
to   O
known   O
allergens   O
or   O
environmental   O
toxins   O
in   O
Massanutten   B-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Regina   B-NAME
Reeves   I-NAME
has   O
a   O
history   O
of   O
well   O
-   O
controlled   O
hypertension   O
and   O
seasonal   O
allergies   O
.   O

Social   O
History   O
:   O
CONNER   B-NAME
,   I-NAME
VICKIE   I-NAME
is   O
a   O
Actors   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
but   O
admits   O
to   O
occasional   O
alcohol   O
consumption   O
.   O

The   O
patient   O
lives   O
alone   O
in   O
Northam   B-LOCATION
and   O
leads   O
a   O
moderately   O
active   O
lifestyle   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Alanna   B-NAME
Sheppard   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
effort   O
.   O

The   O
continuity   O
of   O
care   O
will   O
be   O
ensured   O
through   O
timely   O
follow   O
-   O
ups   O
,   O
and   O
any   O
changes   O
in   O
the   O
treatment   O
plan   O
will   O
be   O
communicated   O
to   O
Mauricio   B-NAME
Fox   I-NAME
directly   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Trinity   B-NAME
Parker   I-NAME
Patient   O
ID   O
:   O
RQ   B-ID
:   I-ID
PS:2216   I-ID
Medical   O
Record   O
Number   O
:   O
53976912   B-ID
Date   O
of   O
Birth   O
:   O
21/32   B-DATE
Age   O
:   O
79   O
Phone   O
Number   O
:   O
533   B-CONTACT
7914   I-CONTACT
Address   O
:   O
DG9   B-LOCATION
2LH   I-LOCATION
,   O
79260   B-LOCATION

Lozano   B-NAME
Admitting   O
Hospital   O
:   O
Benewah   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
F   B-DATE
Occupation   O
:   O
Pharmacy   O
Technicians   O
Summary   O
:   O

Dorsey   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Sentara   B-LOCATION
Williamsburg   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/02   B-DATE
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Kelvin   B-NAME
Cantu   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
earlier   O
on   O
3   B-DATE
-   I-DATE
2   I-DATE
.   O

Choi   B-NAME
is   O
a   O
Helpers   O
--   O
Installation   O
,   O
Maintenance   O
,   O
and   O
Repair   O
Workers   O
by   O
trade   O
,   O
which   O
typically   O
does   O
not   O
involve   O
heavy   O
physical   O
activity   O
,   O
ruling   O
out   O
muscle   O
strain   O
as   O
a   O
potential   O
cause   O
of   O
the   O
symptoms   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
tenderness   O
was   O
noted   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
Salgado   B-NAME
's   O
abdomen   O
,   O
along   O
with   O
signs   O
of   O
rebound   O
tenderness   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Bryant   B-NAME
,   O
Alison   B-NAME
Randall   I-NAME
underwent   O
an   O
appendectomy   O
on   O
15/12/04   B-DATE
at   O
Poinciana   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Postoperative   O
care   O
included   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
pain   O
management   O
to   O
ensure   O
Grey   B-NAME
,   I-NAME
Zane   I-NAME
's   O
comfort   O
.   O

Recovery   O
:   O
Schulberg   B-NAME
,   I-NAME
Budd   I-NAME
's   O
recovery   O
has   O
been   O
progressing   O
well   O
,   O
with   O
significant   O
reduction   O
in   O
abdominal   O
pain   O
and   O
normalization   O
of   O
white   O
blood   O
cell   O
count   O
.   O

As   O
of   O
2030   B-DATE
,   O
Jonathan   B-NAME
Faivre   I-NAME
was   O
discharged   O
from   O
OhioHealth   B-LOCATION
Mansfield   I-LOCATION
Hospital   I-LOCATION
with   O
instructions   O
to   O
follow   O
up   O
with   O
Lee   B-NAME
for   O
postoperative   O
care   O
and   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Conclusion   O
:   O
Drake   B-NAME
received   O
timely   O
and   O
effective   O
treatment   O
for   O
acute   O
appendicitis   O
.   O

The   O
multidisciplinary   O
team   O
at   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
Manhattan   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
provided   O
comprehensive   O
care   O
,   O
ensuring   O
a   O
positive   O
outcome   O
.   O

Xavier   B-NAME
Dotson   I-NAME
is   O
advised   O
to   O
avoid   O
strenuous   O
activity   O
for   O
several   O
weeks   O
and   O
to   O
follow   O
all   O
postoperative   O
instructions   O
provided   O
by   O
Alvarez   B-NAME
.   O

For   O
any   O
further   O
information   O
or   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
,   O
please   O
contact   O
St.   B-LOCATION
Rita   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
main   O
line   O
at   O
705   B-CONTACT
2878   I-CONTACT
.   O

Patient   O
Name   O
:   O
Turner   B-NAME
Patient   O
ID   O
:   O
677786349   B-ID
Date   O
of   O
Birth   O
:   O
7/71   B-DATE
Age   O
:   O
85   O
Address   O
:   O
Lemay   B-LOCATION
,   O
92572   B-LOCATION
Phone   O
Number   O
:   O
585   B-CONTACT
5181   I-CONTACT
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
of   O
Farming   O
,   O
Fishing   O
,   O
and   O
Forestry   O
Workers   O
Primary   O
Care   O
Physician   O
:   O
Guerra   B-NAME
Medical   O
Record   O
Number   O
:   O
7467L8960   B-ID
Date   O
of   O
Visit   O
:   O
2147   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
16   I-DATE
Hospital   O
:   O

Barnwell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Symptoms   O
:   O
Jon   B-NAME
Li   I-NAME
presented   O
to   O
Barton   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
04/03   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
over   O
the   O
right   O
temporal   O
area   O
.   O

The   O
headache   O
initiated   O
approximately   O
30/21   B-DATE
,   O
reaching   O
peak   O
intensity   O
within   O
an   O
hour   O
.   O

ostrowski   B-NAME
also   O
reported   O
visual   O
disturbances   O
described   O
as   O
flashing   O
lights   O
prior   O
to   O
headache   O
onset   O
.   O

Robby   B-NAME
's   O
family   O
denies   O
any   O
significant   O
medical   O
history   O
of   O
migraines   O
or   O
other   O
neurological   O
disorders   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Matilda   B-NAME
Pace   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
provisional   O
diagnosis   O
for   O
Laurence   B-NAME
Shoup   I-NAME
is   O
migraine   O
with   O
aura   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Mullen   B-NAME
from   O
neurology   O
is   O
scheduled   O
for   O
December   B-DATE
23   I-DATE
,   I-DATE
2293   I-DATE
for   O
further   O
evaluation   O
and   O
management   O
.   O

Instructions   O
were   O
given   O
to   O
Spencer   B-NAME
Truman   I-NAME
to   O
return   O
to   O
Baptist   B-LOCATION
Beaumont   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southeast   I-LOCATION
Texas   I-LOCATION
or   O
the   O
nearest   O
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsen   O
,   O
or   O
if   O
Emerson   B-NAME
Pineda   I-NAME
experiences   O
symptoms   O
suggestive   O
of   O
increased   O
intracranial   O
pressure   O
or   O
stroke   O
.   O

The   O
contact   O
number   O
for   O
Atrium   B-LOCATION
Health   I-LOCATION
Cleveland   I-LOCATION
's   O
Neurology   O
Department   O
is   O
297   B-CONTACT
7278   I-CONTACT
for   O
any   O
questions   O
or   O
to   O
report   O
changes   O
in   O
condition   O
.   O

Prepared   O
by   O
:   O
po457   B-NAME
Registered   O
Nurse   O
,   O
DeKalb   B-LOCATION
Medical   I-LOCATION
Long   I-LOCATION
Term   I-LOCATION
Acute   I-LOCATION
Care   I-LOCATION
17/27   B-DATE

Patient   O
Report   O
Patient   O
Name   O
:   O
Glenn   B-NAME
V   I-NAME
Baxter   I-NAME
Patient   O
ID   O
:   O
55460046   B-ID
Date   O
of   O
Birth   O
:   O
2318   B-DATE
Age   O
:   O
10   O
month   O
Phone   O
Number   O
:   O
62362   B-CONTACT
Address   O
:   O
Channahon   B-LOCATION
,   O
Iuka   B-LOCATION
,   O
98276   B-LOCATION
Medical   O
Record   O
Number   O
:   O
CK890849   B-ID
Primary   O
Care   O
Physician   O
:   O

Landin   B-NAME
Harvey   I-NAME
Hospital   O
:   O
SCL   B-LOCATION
Health   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Northglenn   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Finley   B-NAME
Whitehead   I-NAME
,   O
a   O
Investment   O
Underwriters   O
from   O
Bridge   B-LOCATION
City   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Madison   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
1   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
12   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
.   O

Karter   B-NAME
Newton   I-NAME
rates   O
the   O
pain   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Harran   B-NAME
Contino   I-NAME
denies   O
experiencing   O
fever   O
,   O
diarrhea   O
,   O
or   O
any   O
urinary   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Delora   B-NAME
Bricker   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
and   O
no   O
known   O
allergies   O
.   O

Social   O
History   O
:   O
bradford   B-NAME
is   O
a   O
Labor   O
Relations   O
Specialists   O
,   O
lives   O
in   O
16   B-LOCATION
Sunnyslope   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

Physical   O
Examination   O
:   O
Vital   O
signs   O
on   O
presentation   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
6   B-ID
-   I-ID
8383340   I-ID
,   O
heart   O
rate   O
0   B-ID
-   I-ID
1511822   I-ID
,   O
respiratory   O
rate   O
PK   B-ID
:   I-ID
EF:5067   I-ID
,   O
temperature   O
XO   B-ID
:   I-ID
TX:3187   I-ID
.   O

Herodotus   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Spring   B-NAME
Lombardino   I-NAME
was   O
admitted   O
to   O
West   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Doyle   B-NAME
,   I-NAME
Arthur   I-NAME
Conan   I-NAME
for   O
surgical   O
evaluation   O
.   O

Kiersten   B-NAME
Mills   I-NAME
's   O
condition   O
will   O
be   O
closely   O
monitored   O
,   O
and   O
further   O
intervention   O
will   O
be   O
undertaken   O
as   O
necessary   O
.   O

Follow   O
-   O
Up   O
:   O
Victor   B-NAME
Frankenstein   I-NAME
will   O
remain   O
in   O
CHI   B-LOCATION
Health   I-LOCATION
St   I-LOCATION
Francis   I-LOCATION
post   O
-   O
operatively   O
for   O
monitoring   O
and   O
management   O
of   O
pain   O
.   O

A   O
post   O
-   O
operative   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Carrillo   B-NAME
on   O
28/09   B-DATE
.   O

Further   O
recommendations   O
for   O
care   O
will   O
be   O
based   O
on   O
Quinton   B-NAME
Lee   I-NAME
's   O
recovery   O
progress   O
.   O

AI373   B-NAME
's   O
Note   O
:   O
All   O
personal   O
identifiers   O
have   O
been   O
removed   O
or   O
altered   O
to   O
protect   O
patient   O
confidentiality   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
2978569   B-ID
DOB   O
:   O
2333   B-DATE
Frost   B-NAME
at   O
Munson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
assessed   O
Nico   B-NAME
Haney   I-NAME
after   O
presenting   O
with   O
acute   O
symptoms   O
.   O

Resident   O
from   O
Jefferson   B-LOCATION
City   I-LOCATION
,   O
postal   O
code   O
21691   B-LOCATION
,   O
and   O
an   O
occupational   O
background   O
as   O
a   O
Woodworking   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Except   O
Sawing   O
,   O
Ezekiel   B-NAME
Cross   I-NAME
has   O
reported   O
a   O
sudden   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

On   O
examination   O
,   O
OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
appeared   O
to   O
be   O
in   O
considerable   O
distress   O
,   O
displaying   O
signs   O
of   O
pallor   O
and   O
sweating   O
.   O

The   O
etiology   O
of   O
the   O
pancreatitis   O
is   O
suspected   O
to   O
be   O
gallstones   O
,   O
although   O
further   O
imaging   O
studies   O
,   O
such   O
as   O
an   O
abdominal   O
ultrasound   O
,   O
have   O
been   O
recommended   O
by   O
Jovany   B-NAME
Osborn   I-NAME
to   O
confirm   O
this   O
hypothesis   O
.   O

A   O
referral   O
to   O
a   O
gastroenterologist   O
associated   O
with   O
Mirae   B-LOCATION
Bank   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
was   O
also   O
made   O
.   O

Follow   O
-   O
up   O
appointments   O
are   O
scheduled   O
for   O
18/20/12   B-DATE
,   O
and   O
Eneida   B-NAME
Hankey   I-NAME
has   O
been   O
advised   O
of   O
potential   O
complications   O
and   O
the   O
importance   O
of   O
avoiding   O
alcohol   O
and   O
fatty   O
meals   O
.   O

Contact   O
information   O
logged   O
for   O
emergency   O
purposes   O
includes   O
759   B-CONTACT
3398   I-CONTACT
.   O

The   O
confidentiality   O
of   O
Xanthos   B-NAME
,   I-NAME
Priscilla   I-NAME
's   O
information   O
,   O
including   O
name   O
and   O
specific   O
medical   O
records   O
(   O
2347382   B-ID
and   O
RG   B-ID
:   I-ID
CM:9982   I-ID
)   O
is   O
maintained   O
in   O
accordance   O
with   O
BANNER   B-LOCATION
BOSWELL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
’s   O
privacy   O
policy   O
and   O
applicable   O
laws   O
related   O
to   O
patient   O
information   O
security   O
.   O

This   O
report   O
is   O
prepared   O
by   O
Cisneros   B-NAME
,   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
for   O
the   O
patient   O
file   O
on   O
04/14/2085   B-DATE
.   O

Reminder   O
:   O
Finley   B-NAME
Rasmussen   I-NAME
or   O
authorized   O
individuals   O
can   O
request   O
access   O
to   O
the   O
full   O
medical   O
record   O
by   O
contacting   O
the   O
hospital   O
's   O
records   O
department   O
at   O
26423   B-CONTACT
.   O

Kindly   O
note   O
that   O
the   O
information   O
presented   O
in   O
this   O
report   O
is   O
limited   O
to   O
conditions   O
identified   O
and   O
managed   O
as   O
of   O
20/01   B-DATE
and   O
is   O
subject   O
to   O
change   O
based   O
on   O
future   O
evaluations   O
and   O
findings   O
.   O

The   O
patient   O
,   O
Virgie   B-NAME
Giuliana   I-NAME
Quintanar   I-NAME
,   O
a   O
4   O
month   O
-   O
year   O
-   O
old   O
Hosts   O
and   O
Hostesses   O
,   O
Restaurant   O
,   O
Lounge   O
,   O
and   O
Coffee   O
Shop   O
from   O
Halchita   B-LOCATION
,   O
presented   O
to   O
Yale   B-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
on   O
1800   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Feldman   B-NAME
also   O
reported   O
a   O
lack   O
of   O
appetite   O
and   O
a   O
slight   O
fever   O
.   O

These   O
symptoms   O
prompted   O
Phillip   B-NAME
Boone   I-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

The   O
initial   O
evaluation   O
by   O
Cook   B-NAME
included   O
a   O
comprehensive   O
physical   O
examination   O
and   O
review   O
of   O
Sanford   B-NAME
's   O
medical   O
history   O
.   O

The   O
medical   O
record   O
number   O
assigned   O
to   O
this   O
case   O
is   O
97295213   B-ID
.   O

Sedaris   B-NAME
,   I-NAME
David   I-NAME
's   O
vitals   O
were   O
recorded   O
as   O
follows   O
:   O
temperature   O
of   O
38.3   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

The   O
treatment   O
plan   O
,   O
as   O
discussed   O
by   O
Fowler   B-NAME
,   O
involves   O
initial   O
management   O
with   O
intravenous   O
fluids   O
,   O
pain   O
management   O
,   O
and   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
.   O

Contact   O
information   O
for   O
follow   O
-   O
up   O
was   O
provided   O
to   O
Quinton   B-NAME
Snow   I-NAME
,   O
and   O
Mariah   B-NAME
Deleon   I-NAME
was   O
informed   O
to   O
reach   O
out   O
if   O
symptoms   O
worsened   O
or   O
new   O
symptoms   O
developed   O
.   O

The   O
contact   O
number   O
given   O
was   O
48378   B-CONTACT
.   O

Discharge   O
instructions   O
included   O
a   O
diet   O
plan   O
to   O
follow   O
for   O
the   O
next   O
few   O
weeks   O
until   O
full   O
recovery   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
George   B-NAME
Waggner   I-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
evaluate   O
progress   O
and   O
plan   O
further   O
treatment   O
if   O
necessary   O
.   O

This   O
case   O
was   O
reported   O
by   O
KH193   B-NAME
to   O
the   O
National   B-LOCATION
Grid   I-LOCATION
for   O
quality   O
improvement   O
purposes   O
.   O

Data   O
collected   O
from   O
such   O
cases   O
is   O
crucial   O
for   O
understanding   O
the   O
prevalence   O
and   O
outcomes   O
of   O
gallstone   O
pancreatitis   O
within   O
different   O
demographics   O
,   O
such   O
as   O
19036   B-LOCATION
region   O
.   O

The   O
identity   O
of   O
the   O
patient   O
has   O
been   O
safely   O
guarded   O
,   O
with   O
all   O
personal   O
information   O
,   O
such   O
as   O
2   B-ID
-   I-ID
2927959   I-ID
,   O
being   O
securely   O
stored   O
in   O
compliance   O
with   O
health   O
information   O
privacy   O
regulations   O
.   O

The   O
patient   O
,   O
Dodge   B-NAME
,   O
a   O
Energy   O
conservation   O
officer   O
from   O
Panora   B-LOCATION
,   O
22s   O
years   O
old   O
,   O
presented   O
to   O
Conway   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12   B-DATE
-   I-DATE
Nov-2333   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
focused   O
on   O
the   O
lower   O
quadrant   O
,   O
persistent   O
fever   O
reaching   O
102   O
°   O
F   O
,   O
and   O
noticeable   O
weight   O
loss   O
over   O
the   O
past   O
month   O
.   O

Amiya   B-NAME
Bowen   I-NAME
's   O
contact   O
number   O
is   O
listed   O
as   O
19489   B-CONTACT
.   O

London   B-NAME
Chandler   I-NAME
had   O
previously   O
visited   O
Jabari   B-NAME
Wall   I-NAME
's   O
office   O
,   O
where   O
initial   O
tests   O
were   O
inconclusive   O
;   O
hence   O
,   O
the   O
decision   O
for   O
hospitalization   O
was   O
made   O
for   O
further   O
evaluation   O
.   O

Upon   O
admission   O
,   O
Rock   B-NAME
's   O
7190L3518   B-ID
was   O
updated   O
,   O
and   O
an   O
immediate   O
comprehensive   O
battery   O
of   O
tests   O
was   O
ordered   O
to   O
pinpoint   O
the   O
underlying   O
cause   O
of   O
the   O
symptoms   O
.   O

The   O
5615293   B-ID
number   O
for   O
the   O
medical   O
equipment   O
used   O
during   O
the   O
diagnostic   O
procedures   O
is   O
noted   O
for   O
tracking   O
and   O
maintenance   O
purposes   O
.   O

Given   O
Aryan   B-NAME
Hatfield   I-NAME
's   O
acute   O
condition   O
,   O
surgical   O
intervention   O
was   O
recommended   O
.   O

Royce   B-NAME
West   I-NAME
was   O
prepped   O
for   O
an   O
appendectomy   O
on   O
09/55   B-DATE
under   O
the   O
care   O
of   O
Erickson   B-NAME
,   O
a   O
renowned   O
surgeon   O
affiliated   O
with   O
Genesis   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
procedure   O
was   O
completed   O
without   O
complications   O
,   O
and   O
the   O
removed   O
appendix   O
was   O
sent   O
to   O
the   O
pathology   O
department   O
of   O
Turnberry   B-LOCATION
Bank   I-LOCATION
located   O
in   O
85884   B-LOCATION
for   O
further   O
analysis   O
to   O
rule   O
out   O
any   O
underlying   O
malignancy   O
.   O

Post   O
-   O
operatively   O
,   O
Davidson   B-NAME
was   O
monitored   O
closely   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
.   O

Osborn   B-NAME
's   O
recovery   O
was   O
noted   O
in   O
their   O
electronic   O
medical   O
record   O
,   O
787   B-ID
-   I-ID
27   I-ID
-   I-ID
73   I-ID
-   I-ID
1   I-ID
,   O
and   O
was   O
uneventful   O
.   O

Cole   B-NAME
Morgan   I-NAME
was   O
discharged   O
on   O
06/08   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
and   O
a   O
prescription   O
for   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
surgical   O
infection   O
.   O

Subsequent   O
follow   O
-   O
up   O
visits   O
took   O
place   O
at   O
Alia   B-NAME
Carlson   I-NAME
's   O
office   O
,   O
where   O
Nabokov   B-NAME
,   I-NAME
Vladimir   I-NAME
exhibited   O
excellent   O
recovery   O
without   O
any   O
signs   O
of   O
complications   O
.   O

Maria   B-NAME
Casey   I-NAME
's   O
resilience   O
and   O
adherence   O
to   O
the   O
post   O
-   O
operative   O
instructions   O
contributed   O
significantly   O
to   O
the   O
recovery   O
process   O
.   O

This   O
case   O
demonstrates   O
the   O
importance   O
of   O
timely   O
medical   O
intervention   O
and   O
the   O
effective   O
coordination   O
of   O
a   O
multidisciplinary   O
healthcare   O
team   O
,   O
including   O
the   O
seamless   O
collaboration   O
between   O
Beaches   B-LOCATION
Energy   I-LOCATION
Services   I-LOCATION
's   O
pathology   O
department   O
and   O
the   O
surgical   O
team   O
at   O
Jewish   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
WP:67129:419784   B-ID
and   O
24770940   B-ID
systems   O
proved   O
instrumental   O
in   O
ensuring   O
that   O
all   O
patient   O
information   O
and   O
treatment   O
modalities   O
were   O
meticulously   O
documented   O
and   O
tracked   O
for   O
future   O
reference   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Faziel   B-NAME
Jingst   I-NAME
Patient   O
ID   O
:   O
953944982   B-ID
Medical   O
Record   O
:   O
38342047   B-ID
Age   O
:   O
75   O
Date   O
of   O
Birth   O
:   O
2395   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
39   I-DATE
Phone   O
:   O
919   B-CONTACT
-   I-CONTACT
7143   I-CONTACT
Address   O
:   O
Marcus   B-LOCATION
,   O
35980   B-LOCATION
Employer   O
:   O

Hindu   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Profession   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
,   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Ortega   B-NAME
Hospital   O
:   O
Munson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Symptoms   O
:   O

The   O
patient   O
,   O
a   O
Human   O
Resources   O
Assistants   O
,   O
Except   O
Payroll   O
and   O
Timekeeping   O
at   O
Authority   B-LOCATION
of   I-LOCATION
Planets   I-LOCATION
,   O
reported   O
to   O
CHI   B-LOCATION
Mercy   I-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/00/11   B-DATE
with   O
a   O
detailed   O
history   O
of   O
persistently   O
high   O
fever   O
reaching   O
up   O
to   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
,   O
chills   O
,   O
severe   O
headaches   O
,   O
and   O
muscle   O
aches   O
.   O

Follow   O
-   O
up   O
:   O
Dr.   O
Nixon   B-NAME
has   O
scheduled   O
a   O
follow   O
-   O
up   O
visit   O
for   O
03/06   B-DATE
to   O
review   O
the   O
results   O
of   O
the   O
pending   O
diagnostic   O
tests   O
and   O
to   O
reassess   O
the   O
patient   O
's   O
clinical   O
status   O
.   O

Any   O
changes   O
in   O
symptoms   O
or   O
new   O
developments   O
should   O
be   O
immediately   O
reported   O
to   O
Medical   B-LOCATION
City   I-LOCATION
Denton   I-LOCATION
via   O
24016   B-CONTACT
.   O

Any   O
inquiries   O
regarding   O
the   O
patient   O
's   O
care   O
should   O
be   O
directed   O
to   O
Dr.   O
Kirk   B-NAME
Langström   I-NAME
,   O
with   O
reference   O
to   O
the   O
patient   O
’s   O
ID   O
QY:73673:459541   B-ID
and   O
Medical   O
Record   O
320   B-ID
-   I-ID
29   I-ID
-   I-ID
33   I-ID
-   I-ID
7   I-ID
.   O

The   O
patient   O
,   O
Bombay   B-NAME
,   O
a   O
Reservation   O
and   O
Transportation   O
Ticket   O
Agents   O
from   O
Aiken   B-LOCATION
,   O
presented   O
to   O
Citrus   B-LOCATION
Clinic   I-LOCATION
on   O
06/06/1749   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
and   O
a   O
productive   O
cough   O
over   O
the   O
past   O
two   O
weeks   O
.   O

61   O
years   O
old   O
,   O
Smith   B-NAME
has   O
been   O
previously   O
healthy   O
,   O
with   O
no   O
significant   O
medical   O
history   O
,   O
noted   O
in   O
EO84517117   B-ID
.   O

Upon   O
examination   O
,   O
Hoffer   B-NAME
,   I-NAME
Eric   I-NAME
noticed   O
bilateral   O
wheezing   O
and   O
crackles   O
over   O
the   O
lower   O
lung   O
fields   O
.   O

Jade   B-NAME
Compton   I-NAME
's   O
vital   O
signs   O
upon   O
admission   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
.   O

Cardenas   B-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
hydration   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
August   B-DATE
21   I-DATE
.   O

Dexter   B-NAME
Foley   I-NAME
's   O
emergency   O
contact   O
,   O
listed   O
under   O
555   B-CONTACT
-   I-CONTACT
630   I-CONTACT
-   I-CONTACT
1110   I-CONTACT
,   O
was   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
and   O
treatment   O
plan   O
.   O

Further   O
,   O
Rex   B-NAME
Ward   I-NAME
's   O
workplace   O
at   O
Tahirih   B-LOCATION
Justice   I-LOCATION
Center   I-LOCATION
was   O
notified   O
about   O
the   O
expected   O
duration   O
of   O
recovery   O
,   O
and   O
it   O
was   O
recommended   O
that   O
Arcanus   B-NAME
Bonsell   I-NAME
refrain   O
from   O
returning   O
to   O
work   O
until   O
a   O
full   O
recovery   O
was   O
confirmed   O
.   O

Discussions   O
regarding   O
the   O
potential   O
sources   O
of   O
exposure   O
are   O
ongoing   O
,   O
given   O
Armadeus   B-NAME
Hollarn   I-NAME
's   O
occupation   O
and   O
recent   O
travel   O
history   O
to   O
Drain   B-LOCATION
as   O
noted   O
in   O
the   O
initial   O
intake   O
form   O
.   O

Gamble   B-NAME
documented   O
the   O
case   O
under   O
371   B-ID
-   I-ID
09   I-ID
-   I-ID
13   I-ID
for   O
future   O
reference   O
and   O
potential   O
study   O
,   O
emphasizing   O
the   O
rapid   O
progression   O
and   O
response   O
to   O
treatment   O
observed   O
in   O
this   O
case   O
.   O

A   O
referral   O
to   O
a   O
pulmonologist   O
associated   O
with   O
Elliot   B-LOCATION
Hospital   I-LOCATION
was   O
made   O
to   O
ensure   O
comprehensive   O
follow   O
-   O
up   O
care   O
.   O

Given   O
Arthur   B-NAME
Qin   I-NAME
's   O
improvement   O
over   O
the   O
initial   O
48   O
hours   O
of   O
treatment   O
,   O
discharge   O
plans   O
were   O
being   O
discussed   O
,   O
contingent   O
on   O
the   O
next   O
set   O
of   O
lab   O
results   O
and   O
overall   O
clinical   O
assessment   O
scheduled   O
for   O
10/31   B-DATE
.   O

Patient   O
Name   O
:   O
Devin   B-NAME
Giles   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
9125805   I-ID
Date   O
of   O
Birth   O
:   O
36/28/62   B-DATE
Age   O
:   O
38   O
Medical   O
Record   O
Number   O
:   O
154   B-ID
-   I-ID
54   I-ID
-   I-ID
96   I-ID
-   I-ID
1   I-ID
Address   O
:   O
EAST   B-LOCATION
CENTRAL   I-LOCATION
LONDON   I-LOCATION
,   O
54892   B-LOCATION
Phone   O
Number   O
:   O
81022   B-CONTACT
Attending   O
Physician   O
:   O

Steven   B-NAME
Meadows   I-NAME
Hospital   O
Name   O
:   O
Cancer   B-LOCATION
Treatment   I-LOCATION
Centers   I-LOCATION
of   I-LOCATION
America   I-LOCATION
Date   O
of   O
Visit   O
:   O
22   B-DATE
-   I-DATE
28   I-DATE
Profession   O
:   O

Veterinary   O
surgeon   O
Clinical   O
Note   O
:   O
The   O
patient   O
,   O
Kinley   B-NAME
Payne   I-NAME
,   O
a   O
33   O
-   O
year   O
-   O
old   O
Creative   O
Writers   O
from   O
Dennard   B-LOCATION
,   O
presented   O
to   O
Lima   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
20/20/52   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
onset   O
of   O
intense   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
noted   O
to   O
begin   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Kelly   B-NAME
Brackett   I-NAME
denies   O
any   O
recent   O
trauma   O
to   O
the   O
abdomen   O
,   O
changes   O
in   O
diet   O
,   O
or   O
similar   O
past   O
episodes   O
.   O

Carinus   B-NAME
Kletschka   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hyperlipidemia   O
and   O
is   O
currently   O
on   O
statin   O
therapy   O
.   O

Family   O
history   O
is   O
significant   O
for   O
diabetes   O
mellitus   O
type   O
2   O
in   O
Cassidy   B-NAME
Roy   I-NAME
's   O
85   O
-   O
year   O
-   O
old   O
parent   O
.   O

Diagnostic   O
imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
conducted   O
on   O
1770   B-DATE
,   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
inflammation   O
,   O
supportive   O
of   O
acute   O
appendicitis   O
.   O

The   O
treating   O
physician   O
,   O
Mcintosh   B-NAME
,   O
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
given   O
the   O
diagnosis   O
and   O
acute   O
presentation   O
.   O

Manual   B-NAME
Bergami   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
,   O
the   O
need   O
for   O
surgery   O
,   O
and   O
the   O
associated   O
risks   O
and   O
benefits   O
.   O

Informed   O
consent   O
was   O
obtained   O
on   O
14/03   B-DATE
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
successfully   O
without   O
complications   O
on   O
2390   B-DATE
at   O
Mercy   B-LOCATION
Fitzgerald   I-LOCATION
Hospital   I-LOCATION
.   O

Xenakis   B-NAME
showed   O
favorable   O
progress   O
during   O
the   O
hospital   O
stay   O
with   O
improvement   O
in   O
symptoms   O
and   O
was   O
discharged   O
on   O
5/12   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgery   O
clinic   O
in   O
two   O
weeks   O
.   O

Follow   O
-   O
up   O
contact   O
number   O
:   O
770   B-CONTACT
7658   I-CONTACT

This   O
case   O
will   O
be   O
reviewed   O
during   O
the   O
hospital   O
's   O
weekly   O
clinical   O
meeting   O
on   O
33/23   B-DATE
to   O
discuss   O
learning   O
points   O
and   O
any   O
potential   O
areas   O
for   O
improvement   O
in   O
the   O
management   O
of   O
acute   O
appendicitis   O
cases   O
.   O

Prepared   O
by   O
:   O
KU802   B-NAME
Reviewed   O
by   O
:   O

Tessa   B-NAME
Wilkinson   I-NAME
Note   O
:   O
All   O
personal   O
identifiers   O
have   O
been   O
removed   O
or   O
modified   O
to   O
protect   O
patient   O
confidentiality   O
.   O

The   O
patient   O
,   O
Rosa   B-NAME
Molina   I-NAME
,   O
a   O
Advertising   O
and   O
Promotions   O
Managers   O
from   O
Ellettsville   B-LOCATION
,   O
presented   O
to   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
South   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
on   O
31/31   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
stabbing   O
in   O
nature   O
,   O
worsening   O
over   O
the   O
last   O
16/22/61   B-DATE
.   O

Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
a   O
decreased   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Upon   O
examination   O
,   O
Rachell   B-NAME
Molineaux   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
temperature   O
of   O
100.4   O
°   O
F   O
,   O
heart   O
rate   O
of   O
90   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Joe   B-NAME
Olsen   I-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
Collier   B-NAME
suspected   O
acute   O
appendicitis   O
.   O

Snyder   B-NAME
discussed   O
the   O
findings   O
and   O
treatment   O
options   O
with   O
irons   B-NAME
,   O
recommending   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Oconnell   B-NAME
,   I-NAME
Philip   I-NAME
D   I-NAME
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
scheduled   O
for   O
the   O
morning   O
of   O
03/01   B-DATE
.   O

The   O
surgery   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Jaylee   B-NAME
Mcguire   I-NAME
was   O
advised   O
to   O
remain   O
in   O
Valley   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
post   O
-   O
operatively   O
.   O

30/36   B-DATE
post   O
-   O
operation   O
,   O
Ty   B-NAME
Reeves   I-NAME
's   O
condition   O
improved   O
significantly   O
.   O

Pain   O
and   O
symptoms   O
were   O
largely   O
resolved   O
,   O
and   O
Leana   B-NAME
was   O
discharged   O
with   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
activity   O
restrictions   O
,   O
wound   O
care   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Trenton   B-NAME
Proctor   I-NAME
in   O
two   O
weeks   O
.   O

For   O
follow   O
-   O
up   O
care   O
,   O
Cristal   B-NAME
Peters   I-NAME
was   O
asked   O
to   O
contact   O
Nelson   B-NAME
Matthews   I-NAME
's   O
office   O
at   O
141   B-CONTACT
8127   I-CONTACT
.   O

Should   O
any   O
complications   O
arise   O
,   O
such   O
as   O
significant   O
wound   O
issues   O
,   O
fever   O
,   O
or   O
persistent   O
pain   O
,   O
Wai   B-NAME
Cosano   I-NAME
was   O
instructed   O
to   O
either   O
call   O
the   O
office   O
directly   O
or   O
to   O
return   O
to   O
the   O
emergency   O
department   O
of   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Bellville   I-LOCATION
.   O

Rayna   B-NAME
Jennings   I-NAME
also   O
provided   O
Edward   B-NAME
Steam   I-NAME
with   O
a   O
medical   O
record   O
number   O
,   O
244   B-ID
-   I-ID
43   I-ID
-   I-ID
19   I-ID
-   I-ID
0   I-ID
,   O
for   O
future   O
reference   O
,   O
and   O
all   O
details   O
of   O
the   O
visit   O
and   O
procedure   O
were   O
logged   O
into   O
the   O
hospital   O
’s   O
secure   O
system   O
,   O
ID   O
FJ814/1587   B-ID
,   O
for   O
confidentiality   O
and   O
easy   O
access   O
in   O
Sheyenne   B-LOCATION
,   O
61224   B-LOCATION
.   O

Patient   O
Name   O
:   O
Hahn   B-NAME
Patient   O
ID   O
:   O
83781   B-ID
Medical   O
Record   O
Number   O
:   O
2614L5650   B-ID
Date   O
of   O
Birth   O
:   O
2/81   B-DATE
Age   O
:   O
99   O
Phone   O
Number   O
:   O
35253   B-CONTACT
Residence   O
:   O
Argenta   B-LOCATION
,   O
34462   B-LOCATION
Employment   O
:   O
Web   O
designer   O
at   O
Chicopee   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
Consulting   O
Doctor   O
:   O
Jimenez   B-NAME
Hospital   O
:   O

Exeter   B-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
22/08   B-DATE
Clinical   O
Narrative   O
:   O
Anakin   B-NAME
presented   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Moundridge   I-LOCATION
on   O
2015   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
rated   O
8   O
out   O
of   O
10   O
in   O
intensity   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
sudden   O
,   O
occurring   O
approximately   O
8/09/53   B-DATE
.   O

Jamya   B-NAME
Weaver   I-NAME
reported   O
associated   O
symptoms   O
including   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Turner   B-NAME
Hughes   I-NAME
mentioned   O
a   O
personal   O
history   O
of   O
episodic   O
migraines   O
,   O
typically   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
,   O
but   O
noted   O
that   O
the   O
current   O
episode   O
was   O
significantly   O
more   O
severe   O
than   O
typical   O
episodes   O
.   O

Upon   O
examination   O
,   O
Jerica   B-NAME
Holman   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Treatment   O
:   O
Under   O
the   O
direction   O
of   O
Cordova   B-NAME
,   O
a   O
management   O
plan   O
was   O
initiated   O
that   O
included   O
hydration   O
,   O
a   O
course   O
of   O
intravenous   O
antemigraine   O
medications   O
,   O
and   O
antiemetics   O
for   O
nausea   O
.   O

A   O
head   O
MRI   O
was   O
ordered   O
to   O
rule   O
out   O
other   O
causes   O
of   O
acute   O
headache   O
and   O
was   O
performed   O
on   O
0/14   B-DATE
.   O

The   O
imaging   O
studies   O
,   O
interpreted   O
by   O
the   O
radiology   O
department   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
,   O
showed   O
no   O
evidence   O
of   O
acute   O
intracranial   O
pathology   O
.   O

Following   O
treatment   O
,   O
Shay   B-NAME
Calvin   I-NAME
's   O
headache   O
significantly   O
improved   O
to   O
a   O
severity   O
of   O
2   O
out   O
of   O
10   O
within   O
a   O
few   O
hours   O
.   O

Aedan   B-NAME
Benton   I-NAME
was   O
observed   O
in   O
the   O
emergency   O
department   O
for   O
2022   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
14   I-DATE
hours   O
to   O
ensure   O
stability   O
and   O
was   O
subsequently   O
discharged   O
with   O
instructions   O
to   O
follow   O
up   O
with   O
neurology   O
outpatient   O
services   O
at   O
Salt   B-LOCATION
Lake   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Rayna   B-NAME
Deley   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Hardy   B-NAME
in   O
Oatfield   B-LOCATION
on   O
2151   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
28   I-DATE
to   O
reassess   O
headache   O
management   O
and   O
discuss   O
preventative   O
strategies   O
.   O

Instructions   O
for   O
Jazlene   B-NAME
Davila   I-NAME
:   O
-   O
Jesus   B-NAME
Bradley   I-NAME
is   O
advised   O
to   O
monitor   O
headache   O
patterns   O
and   O
triggers   O
.   O
-   O
Karenga   B-NAME
,   I-NAME
Ron   I-NAME
should   O
avoid   O
known   O
migraine   O
triggers   O
such   O
as   O
certain   O
foods   O
,   O
dehydration   O
,   O
and   O
stress   O
.   O

-   O
Hendrix   B-NAME
is   O
encouraged   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
capture   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
,   O
and   O
associated   O
symptoms   O
of   O
migraines   O
for   O
discussion   O
during   O
the   O
next   O
visit   O
.   O

-   O
Should   O
Kettering   B-NAME
experience   O
a   O
headache   O
of   O
similar   O
or   O
greater   O
severity   O
before   O
the   O
follow   O
-   O
up   O
,   O
McCain   B-NAME
,   I-NAME
John   I-NAME
is   O
advised   O
to   O
return   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
Mercy   I-LOCATION
Livonia   I-LOCATION
or   O
contact   O
63281   B-CONTACT
for   O
guidance   O
.   O

Patient   O
Name   O
:   O
Karley   B-NAME
Ali   I-NAME
Age   O
:   O
36   O
Gender   O
:   O
Male   O
Date   O
of   O
Birth   O
:   O
01/24   B-DATE
Medical   O
Record   O
Number   O
:   O
623   B-ID
-   I-ID
99   I-ID
-   I-ID
19   I-ID
-   I-ID
6   I-ID
ID   O
:   O
8   B-ID
-   I-ID
6880652   I-ID
Address   O
:   O
Rehoboth   B-LOCATION
Beach   I-LOCATION
,   O
65346   B-LOCATION
Phone   O
Number   O
:   O
593   B-CONTACT
-   I-CONTACT
795   I-CONTACT
-   I-CONTACT
9528   I-CONTACT
Occupation   O
:   O
Oral   O
and   O
Maxillofacial   O
Surgeons   O
Attending   O
Physician   O
:   O

Angelo   B-NAME
Downs   I-NAME
Admitting   O
Hospital   O
:   O
Novant   B-LOCATION
Health   I-LOCATION
UVA   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Haymarket   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/23/23   B-DATE
Date   O
of   O
Report   O
:   O
27/23   B-DATE
Patient   O
Maria   B-NAME
Casey   I-NAME
presented   O
to   O
Southeast   B-LOCATION
Colorado   I-LOCATION
Hospital   I-LOCATION
on   O
21/12/82   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
localized   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
symptoms   O
of   O
appendicitis   O
.   O

Alongside   O
,   O
Elise   B-NAME
Patel   I-NAME
reported   O
experiencing   O
nausea   O
,   O
a   O
low   O
-   O
grade   O
fever   O
recorded   O
at   O
37.8   O
°   O
C   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

On   O
physical   O
examination   O
,   O
Hepburn   B-NAME
,   I-NAME
Katherine   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
over   O
the   O
said   O
area   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Given   O
the   O
present   O
symptoms   O
and   O
clinical   O
findings   O
,   O
a   O
diagnostic   O
imaging   O
workup   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
was   O
ordered   O
by   O
Peterson   B-NAME
which   O
showed   O
swelling   O
of   O
the   O
appendix   O
with   O
evidence   O
of   O
an   O
appendicolith   O
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

A   O
surgical   O
consultation   O
was   O
recommended   O
,   O
and   O
Blankenship   B-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
without   O
any   O
intraoperative   O
complications   O
.   O

Post   O
-   O
operative   O
care   O
was   O
supervised   O
in   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Blank   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
surgical   O
team   O
,   O
led   O
by   O
Lilly   B-NAME
Logan   I-NAME
.   O

Page   B-NAME
,   I-NAME
michael   I-NAME
's   O
postoperative   O
recovery   O
was   O
unremarkable   O
,   O
with   O
an   O
improvement   O
in   O
symptoms   O
noted   O
soon   O
after   O
the   O
procedure   O
.   O

Galvan   B-NAME
was   O
discharged   O
on   O
11/78   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
possible   O
complications   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Carter   B-NAME
at   O
West   B-LOCATION
Chester   I-LOCATION
Hospital   I-LOCATION
in   O
2   O
weeks   O
'   O
time   O
.   O

Additionally   O
,   O
Latrisha   B-NAME
Truesdell   I-NAME
was   O
advised   O
on   O
a   O
gradual   O
return   O
to   O
normal   O
activities   O
and   O
was   O
provided   O
with   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
a   O
course   O
of   O
oral   O
antibiotics   O
.   O

In   O
terms   O
of   O
preventive   O
care   O
,   O
Annika   B-NAME
Atkinson   I-NAME
was   O
educated   O
on   O
recognizing   O
early   O
signs   O
of   O
potential   O
abdominal   O
issues   O
and   O
the   O
importance   O
of   O
seeking   O
immediate   O
medical   O
attention   O
in   O
such   O
instances   O
.   O

Further   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
setting   O
will   O
assess   O
Michaela   B-NAME
Osborn   I-NAME
's   O
recovery   O
and   O
monitor   O
for   O
any   O
post   O
-   O
operative   O
complications   O
.   O

Report   O
Prepared   O
By   O
:   O
nzb774   B-NAME
Contact   O
Information   O
:   O
436   B-CONTACT
-   I-CONTACT
6494   I-CONTACT
Report   O
Date   O
:   O
12/20   B-DATE

Patient   O
Name   O
:   O
Felton   B-NAME
DOB   O
:   O
12   B-DATE
-   I-DATE
2   I-DATE
Age   O
:   O
2   O
week   O
Address   O
:   O
Ellsinore   B-LOCATION
,   O
87078   B-LOCATION
Phone   O
Number   O
:   O
301   B-CONTACT
7257   I-CONTACT
Occupation   O
:   O

Database   O
Administrators   O
Medical   O
Record   O
Number   O
:   O
51503937   B-ID
Doctor   O
:   O
Dixon   B-NAME
Hospital   O
:   O
Scotland   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
YY   B-ID
:   I-ID
RW:7864   I-ID
Chief   O
Complaint   O
:   O

Figueroa   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
01/29   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Yadiel   B-NAME
Melendez   I-NAME
reports   O
a   O
fever   O
with   O
a   O
maximum   O
temperature   O
of   O
101   O
°   O
F   O
measured   O
at   O
home   O
on   O
13/22   B-DATE
.   O

Medical   O
History   O
:   O
Caylee   B-NAME
Herman   I-NAME
has   O
a   O
medical   O
history   O
of   O
asthma   O
diagnosed   O
at   O
30   O
,   O
currently   O
on   O
inhaled   O
corticosteroids   O
and   O
beta   O
-   O
agonists   O
as   O
needed   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Probus   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
temperature   O
of   O
100.4   O
°   O
F   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
min   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Larry   B-NAME
Castaneda   I-NAME
was   O
advised   O
hospital   O
admission   O
for   O
further   O
management   O
and   O
was   O
transferred   O
to   O
Centra   B-LOCATION
Southside   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
9/2012   B-DATE
.   O

Asthma   O
management   O
was   O
reviewed   O
,   O
and   O
Arcanus   B-NAME
Emperor   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
avoiding   O
triggers   O
and   O
adhering   O
to   O
medication   O
schedules   O
.   O

Follow   O
-   O
up   O
Plan   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Ryleigh   B-NAME
Russell   I-NAME
,   O
and   O
Suzann   B-NAME
Bourdages   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
close   O
monitoring   O
of   O
symptoms   O
.   O

Blood   O
cultures   O
and   O
a   O
repeat   O
chest   O
X   O
-   O
ray   O
were   O
planned   O
for   O
2180   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
33   I-DATE
to   O
assess   O
the   O
response   O
to   O
treatment   O
.   O

Documentation   O
by   O
:   O
xfj493   B-NAME
Date   O
:   O
05/19   B-DATE
Contact   O
Information   O
:   O
767   B-CONTACT
4645   I-CONTACT

Patient   O
Name   O
:   O
Barry   B-NAME
Medical   O
Record   O
Number   O
:   O
0793053   B-ID
Date   O
of   O
Birth   O
:   O
15/22/2012   B-DATE
Age   O
:   O
46   O
Address   O
:   O
Short   B-LOCATION
Pump   I-LOCATION
,   O
38653   B-LOCATION
Phone   O
:   O
161   B-CONTACT
351   I-CONTACT
6618   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Capone   B-NAME
,   I-NAME
Al   I-NAME
Referring   O
Physician   O
:   O

Ira   B-NAME
Kane   I-NAME
Hospital   O
:   O
Sycamore   B-LOCATION
Shoals   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
00/20   B-DATE
ID   O
:   O
1   B-ID
-   I-ID
9942211   I-ID

The   O
patient   O
,   O
a   O
Computer   O
Systems   O
Analysts   O
,   O
presented   O
to   O
the   O
clinic   O
with   O
complaints   O
of   O
chronic   O
fatigue   O
,   O
weight   O
loss   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
2383   B-DATE
.   O

There   O
has   O
been   O
no   O
recent   O
travel   O
outside   O
of   O
990   B-LOCATION
Windsor   I-LOCATION
St.   I-LOCATION
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

In   O
the   O
light   O
of   O
these   O
findings   O
,   O
an   O
infectious   O
disease   O
consultation   O
with   O
Byrd   B-NAME
was   O
recommended   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
09/12   B-DATE
weeks   O
at   O
Wesley   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
to   O
review   O
the   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
based   O
on   O
the   O
results   O
of   O
ongoing   O
tests   O
and   O
the   O
patient   O
’s   O
clinical   O
response   O
.   O

For   O
any   O
queries   O
or   O
concerns   O
,   O
please   O
contact   O
Chance   B-NAME
Walker   I-NAME
at   O
80214   B-CONTACT
.   O

Olive   B-NAME
Randall   I-NAME
Medical   O
Record   O
No   O
:   O
366   B-ID
-   I-ID
05   I-ID
-   I-ID
60   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
03/11/25   B-DATE
Age   O
:   O
31   O
Address   O
:   O
Taylor   B-LOCATION
Springs   I-LOCATION
,   O
94041   B-LOCATION
Phone   O
:   O
47585   B-CONTACT
Employer   O
:   O
Pacific   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
Profession   O
:   O

Police   O
and   O
Sheriff   O
's   O
Patrol   O
Officers   O
Attending   O
Physician   O
:   O
Stout   B-NAME
Hospital   O
:   O
Northside   B-LOCATION
Hospital   I-LOCATION
Forsyth   I-LOCATION
Date   O
of   O
Visit   O
:   O
7/29   B-DATE
ID   O
:   O
4980826   B-ID
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Cali   B-NAME
Mccarthy   I-NAME
,   O
presented   O
to   O
the   O
Torrance   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
nausea   O
.   O

These   O
symptoms   O
have   O
been   O
persistently   O
recurring   O
over   O
the   O
past   O
2/2333   B-DATE
,   O
with   O
each   O
episode   O
lasting   O
approximately   O
4   O
-   O
6   O
hours   O
.   O

Linda   B-NAME
Faulkner   I-NAME
reported   O
an   O
increase   O
in   O
frequency   O
over   O
the   O
last   O
2/22/91   B-DATE
,   O
with   O
episodes   O
occurring   O
3   O
-   O
4   O
times   O
a   O
week   O
.   O

Medical   O
History   O
:   O
Michael   B-NAME
Burke   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
diagnosed   O
in   O
18/22   B-DATE
and   O
has   O
been   O
under   O
the   O
care   O
of   O
Arabella   B-NAME
Graham   I-NAME
.   O

The   O
patient   O
is   O
also   O
known   O
to   O
have   O
hypertension   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Lam   B-NAME
.   O

Upon   O
examination   O
on   O
16/08/2384   B-DATE
,   O
Warren   B-NAME
Greene   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
Blood   O
Pressure   O
130/85   O
mmHg   O
,   O
Heart   O
Rate   O
78   O
bpm   O
,   O
Respiratory   O
Rate   O
16   O
breaths   O
per   O
minute   O
,   O
and   O
Temperature   O
98.6   O
°   O
F   O
.   O

Tressa   B-NAME
Hoang   I-NAME
's   O
MRI   O
scan   O
conducted   O
on   O
21th   B-DATE
of   I-DATE
June   I-DATE
at   O
Milford   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
showed   O
no   O
abnormal   O
findings   O
.   O

The   O
headache   O
inventory   O
score   O
was   O
categorized   O
as   O
severe   O
based   O
on   O
the   O
questionnaire   O
completed   O
on   O
2/57   B-DATE
.   O
Management   O
Plan   O
:   O

The   O
management   O
approach   O
for   O
Deangelo   B-NAME
Reid   I-NAME
involved   O
a   O
multidisciplinary   O
team   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Horton   B-NAME
suggested   O
initiating   O
a   O
prophylactic   O
migraine   O
regimen   O
,   O
detailed   O
as   O
follows   O
:   O
1   O
.   O

4   O
.   O
Schedule   O
follow   O
-   O
up   O
appointments   O
every   O
07/00   B-DATE
for   O
the   O
next   O
three   O
months   O
to   O
monitor   O
progress   O
and   O
medication   O
adjustment   O
.   O

Oliver   B-NAME
also   O
advised   O
Denita   B-NAME
Grinman   I-NAME
to   O
maintain   O
a   O
headache   O
diary   O
,   O
documenting   O
the   O
onset   O
,   O
duration   O
,   O
associated   O
symptoms   O
,   O
and   O
any   O
potential   O
triggers   O
of   O
the   O
migraine   O
episodes   O
.   O

Further   O
,   O
Andersen   B-NAME
was   O
referred   O
to   O
a   O
nutritionist   O
at   O
Bronson   B-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
to   O
discuss   O
dietary   O
considerations   O
that   O
might   O
benefit   O
their   O
condition   O
.   O

Conclusion   O
:   O
Given   O
the   O
recurrent   O
nature   O
of   O
Sheldon   B-NAME
Krause   I-NAME
's   O
migraine   O
episodes   O
and   O
their   O
impact   O
on   O
Refuse   O
and   O
Recyclable   O
Material   O
Collectors   O
's   O
daily   O
functioning   O
,   O
a   O
comprehensive   O
approach   O
combining   O
pharmaceutical   O
and   O
lifestyle   O
interventions   O
was   O
recommended   O
.   O

Continuous   O
monitoring   O
of   O
Amal   B-NAME
Mazzarella   I-NAME
's   O
condition   O
was   O
deemed   O
essential   O
for   O
effective   O
management   O
of   O
symptoms   O
and   O
to   O
improve   O
the   O
quality   O
of   O
life   O
.   O

For   O
inquiries   O
or   O
follow   O
-   O
up   O
appointments   O
,   O
please   O
contact   O
Orlando   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Lake   I-LOCATION
Hospital   I-LOCATION
at   O
49322   B-CONTACT
.   O

Patient   O
Report   O
for   O
83499264   B-ID
Date   O
of   O
Visit   O
:   O
02   B-DATE
Attending   O
Physician   O
:   O
Rivera   B-NAME
Hospital   O
:   O
CHRISTUS   B-LOCATION
St.   I-LOCATION
Michael   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Patient   O
Name   O
:   O
Karren   B-NAME
Ertelt   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
8267535   I-ID
Age   O
:   O
73s   O
Contact   O
Number   O
:   O
161   B-CONTACT
855   I-CONTACT
-   I-CONTACT
5188   I-CONTACT
Address   O
:   O
Whittingham   B-LOCATION
,   O
33690   B-LOCATION
Occupation   O
:   O
Health   O
and   O
safety   O
adviser   O
Username   O
:   O
kz377   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Merri   B-NAME
Bilchak   I-NAME
,   O
presents   O
today   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
onset   O
of   O
pain   O
was   O
approximately   O
24   O
hours   O
prior   O
to   O
visiting   O
Wagoner   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
described   O
as   O
a   O
sudden   O
sharp   O
sensation   O
,   O
progressively   O
worsening   O
.   O

Associated   O
symptoms   O
include   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
noted   O
since   O
the   O
morning   O
of   O
March   B-DATE
23th   I-DATE
.   O

Medical   O
History   O
:   O
Teagan   B-NAME
Briggs   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
managed   O
with   O
medication   O
and   O
hypertension   O
controlled   O
with   O
lifestyle   O
modifications   O
and   O
medication   O
.   O

On   O
physical   O
examination   O
,   O
Quayle   B-NAME
,   I-NAME
Dan   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Queen   B-NAME
Pickett   I-NAME
was   O
advised   O
immediate   O
surgical   O
consultation   O
with   O
Sienna   B-NAME
Webb   I-NAME
for   O
consideration   O
of   O
appendectomy   O
.   O

Lebowitz   B-NAME
,   I-NAME
Fran   I-NAME
was   O
instructed   O
to   O
maintain   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
status   O
in   O
preparation   O
for   O
possible   O
surgery   O
.   O

Follow   O
-   O
up   O
:   O
Post   O
-   O
operative   O
follow   O
-   O
up   O
will   O
be   O
scheduled   O
for   O
07/19   B-DATE
in   O
Myers   B-NAME
's   O
office   O
.   O

Cavell   B-NAME
,   I-NAME
Edith   I-NAME
is   O
advised   O
to   O
watch   O
for   O
signs   O
of   O
infection   O
or   O
any   O
complications   O
related   O
to   O
the   O
surgery   O
.   O

Latoya   B-NAME
expressed   O
understanding   O
and   O
agreed   O
to   O
proceed   O
with   O
recommended   O
treatment   O
plan   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
if   O
the   O
condition   O
worsens   O
,   O
Jaffe   B-NAME
,   I-NAME
Bob   I-NAME
or   O
a   O
family   O
member   O
is   O
advised   O
to   O
contact   O
Decatur   B-LOCATION
General   I-LOCATION
West   I-LOCATION
Behavioral   I-LOCATION
Medicine   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
334   I-CONTACT
)   I-CONTACT
112   I-CONTACT
8280   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
immediately   O
.   O

Documentation   O
completed   O
by   O
:   O
Braun   B-NAME
Date   O
:   O
November   B-DATE
02   I-DATE
,   I-DATE
2380   I-DATE

The   O
patient   O
,   O
Conor   B-NAME
Hunt   I-NAME
,   O
a   O
7   O
week   O
year   O
-   O
old   O
Nurse   O
from   O
Fort   B-LOCATION
Myers   I-LOCATION
,   I-LOCATION
FL   I-LOCATION
33912   I-LOCATION
,   O
56642   B-LOCATION
,   O
presented   O
to   O
Lehigh   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
8/00/12   B-DATE
,   O
with   O
complaints   O
of   O
palpitations   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
episodes   O
of   O
dizziness   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
initial   O
assessment   O
by   O
Lorelei   B-NAME
Griffin   I-NAME
revealed   O
a   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
and   O
blood   O
pressure   O
at   O
140/90   O
mmHg   O
.   O

An   O
electrocardiogram   O
(   O
ECG   O
)   O
performed   O
on   O
00/31   B-DATE
showed   O
intermittent   O
atrial   O
fibrillation   O
,   O
prompting   O
further   O
investigation   O
into   O
potential   O
underlying   O
causes   O
.   O

Iris   B-NAME
Small   I-NAME
then   O
referred   O
Cayden   B-NAME
Colon   I-NAME
to   O
Dickerson   B-NAME
's   O
colleague   O
,   O
a   O
specialist   O
in   O
endocrinology   O
at   O
St.   B-LOCATION
James   I-LOCATION
Healthcare   I-LOCATION
,   O
for   O
further   O
evaluation   O
and   O
management   O
of   O
suspected   O
hyperthyroidism   O
.   O

Additionally   O
,   O
Ed   B-NAME
Helms   I-NAME
's   O
medical   O
record   O
number   O
4   B-ID
-   I-ID
914560   I-ID
was   O
updated   O
with   O
the   O
new   O
findings   O
for   O
continuity   O
of   O
care   O
.   O

The   O
endocrinology   O
department   O
scheduled   O
an   O
appointment   O
for   O
Spock   B-NAME
,   I-NAME
Benjamin   I-NAME
on   O
22/2302   B-DATE
,   O
and   O
a   O
reminder   O
was   O
sent   O
out   O
to   O
Morgan   B-NAME
Abbott   I-NAME
's   O
contact   O
number   O
955   B-CONTACT
7597   I-CONTACT
.   O

In   O
light   O
of   O
the   O
diagnosis   O
,   O
Dickinson   B-NAME
,   I-NAME
Emily   I-NAME
recommended   O
starting   O
Lailah   B-NAME
Duke   I-NAME
on   O
beta   O
-   O
blockers   O
to   O
manage   O
the   O
cardiovascular   O
symptoms   O
associated   O
with   O
hyperthyroidism   O
and   O
atrial   O
fibrillation   O
.   O

During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
3/12   B-DATE
,   O
Daly   B-NAME
,   I-NAME
Carson   I-NAME
reported   O
a   O
marked   O
improvement   O
in   O
palpitations   O
and   O
dizziness   O
.   O

Therefore   O
,   O
Nadia   B-NAME
Mcdonald   I-NAME
advised   O
a   O
follow   O
-   O
up   O
echocardiogram   O
to   O
assess   O
cardiac   O
function   O
and   O
rule   O
out   O
any   O
structural   O
heart   O
disease   O
.   O

The   O
assessment   O
was   O
scheduled   O
at   O
Prattville   B-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
for   O
31/28/2141   B-DATE
.   O

For   O
privacy   O
and   O
security   O
,   O
all   O
communications   O
regarding   O
Jairo   B-NAME
Salazar   I-NAME
's   O
appointments   O
,   O
treatment   O
updates   O
,   O
and   O
follow   O
-   O
up   O
care   O
were   O
encrypted   O
and   O
documented   O
under   O
their   O
unique   O
patient   O
identifier   O
KM763/8575   B-ID
.   O

Rashtriya   B-LOCATION
Mill   I-LOCATION
Mazdoor   I-LOCATION
Sangh   I-LOCATION
’s   O
privacy   O
officer   O
,   O
BD643   B-NAME
,   O
ensured   O
that   O
F.   B-NAME
JORDAN   I-NAME
FUCHS   I-NAME
's   O
PHI   O
was   O
adequately   O
protected   O
throughout   O
their   O
care   O
journey   O
according   O
to   O
healthcare   O
regulations   O
.   O

Patient   O
Report   O
2326   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
38   I-DATE
LifeRing   B-LOCATION
Secular   I-LOCATION
Recovery   I-LOCATION
To   O
whom   O
it   O
may   O
concern   O
,   O
This   O
report   O
details   O
the   O
condition   O
of   O
Egnar   B-NAME
Bernotas   I-NAME
,   O
a   O
39   O
-   O
year   O
-   O
old   O
Anesthesiologist   O
Assistants   O
residing   O
in   O
Pilot   B-LOCATION
Point   I-LOCATION
,   I-LOCATION
Pilot   I-LOCATION
Point   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
56568   B-LOCATION
.   O

Kiana   B-NAME
Kramer   I-NAME
was   O
admitted   O
to   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Mount   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
2/02/40   B-DATE
after   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
an   O
episode   O
of   O
syncope   O
.   O

Upon   O
examination   O
,   O
Mindi   B-NAME
Wilmer   I-NAME
's   O
vitals   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
110/75   O
mmHg   O
,   O
heart   O
rate   O
98   O
bpm   O
,   O
and   O
temperature   O
37.8   O
°   O
C   O
.   O

THORNE   B-NAME
,   I-NAME
OLIVER   I-NAME
reported   O
the   O
pain   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
with   O
a   O
pain   O
score   O
of   O
8/10   O
.   O

Lab   O
tests   O
including   O
a   O
CBC   O
(   O
Complete   O
Blood   O
Count   O
)   O
revealed   O
leukocytosis   O
,   O
a   O
common   O
indicator   O
of   O
infection   O
or   O
inflammation   O
,   O
and   O
the   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
ordered   O
by   O
Barton   B-NAME
,   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Xion   B-NAME
Eubanks   I-NAME
's   O
medical   O
record   O
,   O
4760700   B-ID
,   O
indicates   O
no   O
known   O
drug   O
allergies   O
(   O
NKDA   O
)   O
and   O
no   O
significant   O
past   O
medical   O
history   O
that   O
would   O
complicate   O
the   O
recommended   O
surgical   O
intervention   O
–   O
an   O
appendectomy   O
.   O

Given   O
the   O
urgency   O
of   O
the   O
situation   O
,   O
consent   O
for   O
surgery   O
was   O
obtained   O
on   O
02/3   B-DATE
,   O
and   O
the   O
procedure   O
was   O
successfully   O
performed   O
without   O
complications   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Dayton   B-NAME
Miles   I-NAME
's   O
condition   O
was   O
monitored   O
through   O
regular   O
check   O
-   O
ups   O
by   O
Jameson   B-NAME
Sloan   I-NAME
and   O
the   O
nursing   O
staff   O
.   O

Valerie   B-NAME
Castaneda   I-NAME
was   O
administered   O
IV   O
antibiotics   O
to   O
prevent   O
postoperative   O
infection   O
and   O
was   O
advised   O
on   O
postoperative   O
care   O
before   O
discharge   O
on   O
11/25/42   B-DATE
.   O
23712   B-CONTACT
is   O
listed   O
as   O
the   O
primary   O
contact   O
number   O
for   O
Brandi   B-NAME
Xayasane   I-NAME
,   O
and   O
follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

Please   O
direct   O
any   O
further   O
inquiries   O
regarding   O
Essence   B-NAME
Payne   I-NAME
's   O
care   O
to   O
Cunningham   B-NAME
at   O
Wayne   B-LOCATION
HealthCare   I-LOCATION
.   O

Our   O
team   O
remains   O
committed   O
to   O
providing   O
Ho   B-NAME
with   O
the   O
highest   O
standard   O
of   O
medical   O
care   O
.   O

Thank   O
you   O
,   O
Merritt   B-NAME
Freeborn   B-LOCATION
-   I-LOCATION
Mower   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Services   I-LOCATION

Patient   O
Name   O
:   O
Franck   B-NAME
,   I-NAME
Richard   I-NAME
Patient   O
ID   O
:   O
JJ979/9361   B-ID
Medical   O
Record   O
Number   O
:   O
5357C12123   B-ID
Date   O
of   O
Birth   O
:   O
20/28/2333   B-DATE
Age   O
:   O
5   O
month   O
Address   O
:   O
9705   B-LOCATION
Theatre   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
62984   B-LOCATION
Phone   O
Number   O
:   O
281   B-CONTACT
8186   I-CONTACT
Attending   O
Physician   O
:   O
Mcbride   B-NAME
Employer   O
:   O

Media   B-LOCATION
Entertainment   I-LOCATION
and   I-LOCATION
Arts   I-LOCATION
Alliance   I-LOCATION
Occupation   O
:   O
Forest   O
and   O
Conservation   O
Workers   O
Username   O
:   O

VC305   B-NAME
Admitting   O
Hospital   O
:   O
Surgical   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Coordinated   I-LOCATION
Hlth   I-LOCATION
Admission   O
Date   O
:   O
5/35/2320   B-DATE
Diagnosis   O
:   O
Acute   O
Exacerbation   O
of   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
Clinical   O
Findings   O
:   O

The   O
patient   O
,   O
Myah   B-NAME
Schneider   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Island   B-LOCATION
Hospital   I-LOCATION
on   O
Jun   B-DATE
23   I-DATE
with   O
symptoms   O
of   O
increased   O
shortness   O
of   O
breath   O
,   O
wheezing   O
,   O
and   O
a   O
productive   O
cough   O
with   O
greenish   O
sputum   O
,   O
which   O
they   O
noted   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
2177   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
23   I-DATE
.   O

Flynn   B-NAME
described   O
experiencing   O
heightened   O
difficulty   O
performing   O
daily   O
activities   O
,   O
which   O
they   O
reported   O
had   O
significantly   O
impacted   O
their   O
role   O
as   O
a   O
Medical   O
and   O
Public   O
Health   O
Social   O
Workers   O
at   O
American   B-LOCATION
Crystallographic   I-LOCATION
Association   I-LOCATION
.   O

Past   O
medical   O
history   O
is   O
notable   O
for   O
diagnosed   O
COPD   O
,   O
chronic   O
bronchitis   O
,   O
and   O
a   O
30   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
,   O
although   O
Henry   B-NAME
,   I-NAME
Matthew   I-NAME
claimed   O
to   O
have   O
ceased   O
smoking   O
as   O
of   O
32/21   B-DATE
.   O

A   O
physical   O
examination   O
conducted   O
by   O
Zackary   B-NAME
Jimenez   I-NAME
revealed   O
bilateral   O
wheezing   O
upon   O
auscultation   O
,   O
prolonged   O
expiratory   O
phase   O
,   O
and   O
the   O
use   O
of   O
accessory   O
muscles   O
during   O
respiration   O
.   O

Monroe   B-NAME
advised   O
Gretchen   B-NAME
Trevino   I-NAME
on   O
the   O
importance   O
of   O
avoiding   O
COPD   O
triggers   O
,   O
including   O
tobacco   O
smoke   O
and   O
environmental   O
pollutants   O
.   O

Zion   B-NAME
Buckley   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Ronan   B-NAME
Haney   I-NAME
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Little   I-LOCATION
Rock   I-LOCATION
on   O
4/22   B-DATE
for   O
further   O
evaluation   O
and   O
to   O
discuss   O
a   O
long   O
-   O
term   O
management   O
plan   O
for   O
COPD   O
.   O

Hoover   B-NAME
demonstrated   O
a   O
marked   O
improvement   O
in   O
respiratory   O
symptoms   O
following   O
the   O
treatment   O
regime   O
and   O
was   O
discharged   O
on   O
04/00   B-DATE
.   O

Isabel   B-NAME
Spence   I-NAME
was   O
educated   O
on   O
the   O
correct   O
use   O
of   O
inhalers   O
and   O
the   O
importance   O
of   O
adherence   O
to   O
medication   O
.   O

693   B-CONTACT
5026   I-CONTACT
was   O
provided   O
to   O
reach   O
for   O
any   O
questions   O
or   O
concerns   O
post   O
-   O
discharge   O
.   O

Instructions   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Ben   B-NAME
Turner   I-NAME
at   O
Berkshire   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/00/2270   B-DATE
,   O
along   O
with   O
contact   O
information   O
(   B-CONTACT
866   I-CONTACT
)   I-CONTACT
705   I-CONTACT
6078   I-CONTACT
,   O
were   O
provided   O
upon   O
discharge   O
to   O
ensure   O
continuity   O
of   O
care   O
and   O
to   O
address   O
any   O
complications   O
that   O
may   O
arise   O
in   O
the   O
management   O
of   O
Valery   B-NAME
Harding   I-NAME
's   O
COPD   O
.   O

Patient   O
Name   O
:   O
Vena   B-NAME
Kuti   I-NAME
Date   O
of   O
Birth   O
:   O
28/32   B-DATE
Address   O
:   O
Buffalo   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
14221   I-LOCATION
,   O
60965   B-LOCATION
Phone   O
Number   O
:   O
94222   B-CONTACT
Employer   O
:   O

North   B-LOCATION
Houston   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Weapons   O
Specialists   O
--   O
Crew   O
Members   O
Medical   O
Record   O
Number   O
:   O
332   B-ID
-   I-ID
39   I-ID
-   I-ID
84   I-ID
-   I-ID
4   I-ID
Patient   O
ID   O
:   O
AR   B-ID
:   I-ID
ZF:8283   I-ID
Chief   O
Complaint   O
:   O
Trevor   B-NAME
H.   I-NAME
Vaughan   I-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
Interpreter   O
from   O
Platteville   B-LOCATION
,   O
presented   O
to   O
Overlake   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/23/2360   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Jase   B-NAME
Wong   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
fever   O
noted   O
since   O
3/26/52   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Jazmin   B-NAME
Burch   I-NAME
has   O
experienced   O
similar   O
,   O
but   O
less   O
severe   O
,   O
episodes   O
of   O
abdominal   O
pain   O
in   O
the   O
past   O
,   O
which   O
self   O
-   O
resolved   O
without   O
medical   O
intervention   O
.   O

However   O
,   O
the   O
intensity   O
of   O
the   O
current   O
episode   O
prompted   O
a   O
visit   O
to   O
Dr.   O
Caligari   B-NAME
at   O
Jackson   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

U.   B-NAME
L.   I-NAME
Dana   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
any   O
known   O
exposures   O
to   O
sick   O
contacts   O
.   O

Past   O
Medical   O
History   O
:   O
Roderick   B-NAME
Becerril   I-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
and   O
was   O
previously   O
seen   O
by   O
Anahi   B-NAME
Gill   I-NAME
for   O
similar   O
,   O
though   O
less   O
acute   O
,   O
symptoms   O
.   O

R.   B-NAME
Quincy   I-NAME
is   O
currently   O
on   O
a   O
regimen   O
of   O
over   O
-   O
the   O
-   O
counter   O
ibuprofen   O
as   O
needed   O
for   O
pain   O
and   O
fiber   O
supplements   O
for   O
bowel   O
regulation   O
.   O

Review   O
of   O
Systems   O
:   O
Janet   B-NAME
Coburn   I-NAME
reports   O
a   O
lack   O
of   O
appetite   O
since   O
07/16/1620   B-DATE
and   O
has   O
experienced   O
a   O
weight   O
loss   O
of   O
approximately   O
5   O
pounds   O
.   O

Additionally   O
,   O
Bernard   B-NAME
Jennings   I-NAME
described   O
experiencing   O
fatigue   O
and   O
a   O
decreased   O
ability   O
to   O
perform   O
daily   O
tasks   O
due   O
to   O
pain   O
and   O
discomfort   O
.   O

On   O
examination   O
,   O
Charlie   B-NAME
Welch   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
supporting   O
diagnostics   O
,   O
Cowan   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
20/29   B-DATE
.   O

Madalyn   B-NAME
Hinton   I-NAME
received   O
preoperative   O
antibiotics   O
.   O

The   O
surgical   O
intervention   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Shay   B-NAME
Vandemark   I-NAME
was   O
closely   O
monitored   O
postoperatively   O
in   O
Huron   B-LOCATION
Valley   I-LOCATION
-   I-LOCATION
Sinai   I-LOCATION
Hospital   I-LOCATION
for   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O

Disposition   O
:   O
Corinne   B-NAME
Bonilla   I-NAME
demonstrated   O
a   O
good   O
clinical   O
response   O
post   O
-   O
operatively   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
pain   O
and   O
resolution   O
of   O
fever   O
by   O
May   B-DATE
.   O

Allen   B-NAME
Rhodes   I-NAME
was   O
discharged   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
and   O
symptoms   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Gross   B-NAME
in   O
2   O
weeks   O
.   O

Jacob   B-NAME
V   I-NAME
Ure   I-NAME
was   O
advised   O
to   O
limit   O
physical   O
activity   O
and   O
avoid   O
lifting   O
heavy   O
objects   O
for   O
a   O
minimum   O
of   O
4   O
weeks   O
to   O
allow   O
for   O
proper   O
healing   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
Friday   B-DATE
with   O
Randall   B-NAME
to   O
assess   O
wound   O
healing   O
and   O
to   O
discuss   O
the   O
histopathology   O
report   O
of   O
the   O
removed   O
appendix   O
,   O
ensuring   O
no   O
underlying   O
conditions   O
were   O
present   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
Leatrix   B-NAME
was   O
instructed   O
to   O
contact   O
Harrison   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
44286   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Desmond   B-NAME
Miranda   I-NAME
Medical   O
Record   O
Number   O
:   O
5028527   B-ID
Date   O
of   O
Birth   O
:   O
35   O
Date   O
of   O
Consultation   O
:   O
17/07   B-DATE
Consulting   O
Physician   O
:   O

Acosta   B-NAME
Hospital   O
:   O
Atrium   B-LOCATION
Health   I-LOCATION
Harrisburg   I-LOCATION
Location   O
:   O
Burbank   B-LOCATION
Contact   O
Number   O
:   O
33299   B-CONTACT
Patient   O
Occupation   O
:   O
Healthcare   O
Support   O
Workers   O
,   O
All   O
Other   O
Zip   O
Code   O
:   O
35275   B-LOCATION
Symptoms   O
Description   O
:   O

The   O
patient   O
,   O
Ahmad   B-NAME
Burch   I-NAME
,   O
was   O
presented   O
to   O
the   O
clinic   O
on   O
Sunday   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
which   O
have   O
been   O
occurring   O
intermittently   O
over   O
the   O
past   O
84   O
weeks   O
.   O

Cindy   B-NAME
Flores   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
blurred   O
vision   O
,   O
particularly   O
when   O
reading   O
or   O
using   O
electronic   O
devices   O
.   O

Additionally   O
,   O
Salvador   B-NAME
Barboza   I-NAME
mentioned   O
a   O
recent   O
onset   O
of   O
nocturnal   O
leg   O
cramps   O
that   O
disrupt   O
sleep   O
,   O
and   O
a   O
persistent   O
feeling   O
of   O
fatigue   O
throughout   O
the   O
day   O
,   O
which   O
has   O
been   O
affecting   O
work   O
performance   O
as   O
a   O
Medical   O
Secretaries   O
at   O
Irish   B-LOCATION
National   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Organisation   I-LOCATION
.   O

Lauren   B-NAME
Lopes   I-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
,   O
which   O
is   O
currently   O
managed   O
with   O
medication   O
prescribed   O
by   O
Melanie   B-NAME
Flynn   I-NAME
from   O
Saint   B-LOCATION
Elizabeth   I-LOCATION
Florence   I-LOCATION
.   O

Diagnostic   O
Tests   O
:   O
During   O
the   O
initial   O
examination   O
,   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
elevated   O
,   O
measuring   O
at   O
10   B-ID
-   I-ID
1174829   I-ID
mmHg   O
systolic   O
and   O
UM   B-ID
:   I-ID
AA:3072   I-ID
mmHg   O
diastolic   O
.   O

The   O
patient   O
's   O
4346601   B-ID
number   O
was   O
used   O
to   O
order   O
these   O
tests   O
,   O
and   O
results   O
are   O
pending   O
as   O
of   O
spring   B-DATE
2004   I-DATE
.   O

Plan   O
:   O
The   O
patient   O
,   O
Roderick   B-NAME
Schmitt   I-NAME
,   O
has   O
been   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
recording   O
the   O
time   O
of   O
day   O
the   O
headaches   O
occur   O
,   O
their   O
duration   O
,   O
intensity   O
,   O
and   O
any   O
associated   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
6/64   B-DATE
at   O
Prosser   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
Gorky   B-NAME
,   I-NAME
Maxim   I-NAME
to   O
review   O
the   O
test   O
results   O
and   O
formulate   O
a   O
comprehensive   O
treatment   O
plan   O
.   O

Joshua   B-NAME
Garza   I-NAME
has   O
been   O
encouraged   O
to   O
reach   O
out   O
to   O
576   B-CONTACT
-   I-CONTACT
2394   I-CONTACT
for   O
any   O
urgent   O
concerns   O
or   O
if   O
there   O
is   O
a   O
significant   O
change   O
in   O
symptoms   O
.   O

Signature   O
:   O
Julianna   B-NAME
Morrison   I-NAME
14/27   B-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Ronald   B-NAME
Hubbard   I-NAME
Age   O
:   O
57   O
Date   O
of   O
Birth   O
:   O
4/22/40   B-DATE
Medical   O
Record   O
Number   O
:   O
940   B-ID
-   I-ID
60   I-ID
-   I-ID
39   I-ID
-   I-ID
5   I-ID
ID   O
Number   O
:   O
835697603   B-ID
Address   O
:   O
Priest   B-LOCATION
River   I-LOCATION
,   O
25110   B-LOCATION
Phone   O
Number   O
:   O
11539   B-CONTACT
Occupation   O
:   O

Photoengraving   O
and   O
Lithographing   O
Machine   O
Operators   O
and   O
Tenders   O
Username   O
:   O
IO981   B-NAME
Physician   O
Information   O
:   O
Primary   O
Care   O
Physician   O
:   O

Imani   B-NAME
Sharp   I-NAME
Hospital   O
:   O
Raritan   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Perth   I-LOCATION
Amboy   I-LOCATION
Location   O
:   O
Fort   B-LOCATION
Pierce   I-LOCATION
-   I-LOCATION
Lincoln   I-LOCATION
Park   I-LOCATION
,   I-LOCATION
Lincoln   I-LOCATION
Park   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Report   O
Date   O
:   O
22/39/92   B-DATE
Chief   O
Complaint   O
:   O
Dornfest   B-NAME
,   I-NAME
Rael   I-NAME
visited   O
the   O
clinic   O
on   O
1912   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
15   I-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
occasional   O
vomiting   O
that   O
started   O
approximately   O
12   O
hours   O
before   O
the   O
office   O
visit   O
.   O

Alford   B-NAME
also   O
reported   O
a   O
fever   O
that   O
began   O
the   O
night   O
before   O
the   O
visit   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Clara   B-NAME
D   I-NAME
Quilici   I-NAME
,   O
a   O
26   O
-   O
year   O
-   O
old   O
Insurance   O
claims   O
inspector   O
,   O
reported   O
the   O
sudden   O
onset   O
of   O
sharp   O
,   O
piercing   O
abdominal   O
pain   O
centered   O
around   O
the   O
lower   O
right   O
quadrant   O
.   O

Accompanying   O
symptoms   O
include   O
nausea   O
,   O
with   O
three   O
episodes   O
of   O
vomiting   O
since   O
the   O
onset   O
of   O
pain   O
,   O
and   O
a   O
fever   O
measured   O
at   O
home   O
with   O
a   O
peak   O
of   O
38.5   O
°   O
C   O
(   O
09/36/82   B-DATE
)   O
.   O

Jaslyn   B-NAME
Collins   I-NAME
denies   O
any   O
recent   O
history   O
of   O
similar   O
symptoms   O
,   O
travel   O
outside   O
Lopatcong   B-LOCATION
Overlook   I-LOCATION
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
Leo   B-NAME
Spaceman   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
.   O

Review   O
of   O
Systems   O
:   O
Jesus   B-NAME
Christ   I-NAME
reports   O
no   O
changes   O
in   O
bowel   O
habits   O
,   O
no   O
recent   O
weight   O
loss   O
,   O
and   O
denies   O
any   O
urinary   O
symptoms   O
or   O
past   O
surgical   O
history   O
.   O

Physical   O
Examination   O
:   O
During   O
the   O
physical   O
examination   O
,   O
Gomes   B-NAME
appeared   O
uncomfortable   O
and   O
in   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
at   O
Sibley   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
23/25   B-DATE
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Oberst   B-NAME
,   I-NAME
Conor   I-NAME
was   O
advised   O
to   O
undergo   O
immediate   O
surgical   O
intervention   O
for   O
appendectomy   O
.   O

The   O
surgery   O
was   O
scheduled   O
to   O
take   O
place   O
at   O
Camden   B-LOCATION
Clark   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
05/10   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Hodge   B-NAME
is   O
scheduled   O
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
visit   O
on   O
2357   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
35   I-DATE
to   O
monitor   O
recovery   O
progress   O
and   O
wound   O
healing   O
.   O

Instructions   O
were   O
given   O
on   O
signs   O
of   O
infection   O
or   O
complications   O
to   O
watch   O
for   O
and   O
to   O
contact   O
the   O
office   O
at   O
233   B-CONTACT
-   I-CONTACT
6009   I-CONTACT
in   O
case   O
of   O
any   O
concerns   O
.   O

Physician   O
's   O
Signature   O
:   O
Best   B-NAME
04/21/2054   B-DATE

Patient   O
Report   O
for   O
Price   B-NAME
Trainor   I-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
58   O
-   O
Date   O
of   O
Birth   O
:   O
2183   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
21   I-DATE
-   O
Social   O
Security   O
Number   O
:   O
2   B-ID
-   I-ID
9615912   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
08816089   B-ID
-   O
Address   O
:   O
Montalvin   B-LOCATION
Manor   I-LOCATION
,   O
29481   B-LOCATION
-   O
Phone   O
Number   O
:   O
20126   B-CONTACT
-   O
Primary   O
Care   O
Physician   O
:   O

Morrissey   B-NAME
-   O
Employer   O
:   O
Lakeland   B-LOCATION
Electric   I-LOCATION
-   O
Profession   O
:   O
Transit   O
and   O
Railroad   O
Police   O
-   O
Username   O
for   O
Hospital   O
Portal   O
:   O
yb186   B-NAME
Medical   O
History   O
:   O

Tyrone   B-NAME
Jenkins   I-NAME
was   O
admitted   O
to   O
Osawatomie   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Osawatomie   I-LOCATION
on   O
22/15/2271   B-DATE
with   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
Hypertension   O
,   O
and   O
Hyperlipidemia   O
.   O

Previous   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
in   O
00/27   B-DATE
.   O

Presenting   O
Complaint   O
:   O
Mero   B-NAME
,   I-NAME
Rena   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Acadia   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
American   I-LOCATION
Legion   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
on   O
2252   B-DATE
complaining   O
of   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
associated   O
with   O
nausea   O
and   O
shortness   O
of   O
breath   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Clara   B-NAME
Ho   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Management   O
:   O
Vanem   B-NAME
Bonsell   I-NAME
was   O
diagnosed   O
with   O
an   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
and   O
immediately   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
with   O
aspirin   O
and   O
clopidogrel   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
statins   O
,   O
and   O
an   O
angiotensin   O
-   O
converting   O
enzyme   O
inhibitor   O
.   O

Wilson   B-NAME
,   I-NAME
Robert   I-NAME
Anton   I-NAME
was   O
transferred   O
to   O
the   O
Cardiac   O
Catheterization   O
Lab   O
for   O
an   O
emergency   O
coronary   O
angiography   O
,   O
which   O
revealed   O
significant   O
coronary   O
artery   O
disease   O
requiring   O
the   O
placement   O
of   O
two   O
stents   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Outcome   O
:   O
Following   O
the   O
procedure   O
,   O
Aditya   B-NAME
Ballard   I-NAME
's   O
symptoms   O
significantly   O
improved   O
.   O

Steven   B-NAME
James   I-NAME
was   O
subsequently   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
.   O

After   O
a   O
stay   O
of   O
1644   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
07   I-DATE
days   O
,   O
BW   B-NAME
was   O
discharged   O
on   O
2/2333   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Eluard   B-NAME
,   I-NAME
Paul   I-NAME
in   O
two   O
weeks   O
at   O
Charlotte   B-LOCATION
Harbor   I-LOCATION
.   O

Additionally   O
,   O
Kidd   B-NAME
was   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
at   O
UHS   B-LOCATION
-   I-LOCATION
Binghamton   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Education   O
:   O
Before   O
discharge   O
,   O
Trevor   B-NAME
H.   I-NAME
Vaughan   I-NAME
received   O
education   O
on   O
lifestyle   O
modifications   O
,   O
including   O
dietary   O
changes   O
,   O
physical   O
activity   O
level   O
,   O
and   O
smoking   O
cessation   O
,   O
if   O
applicable   O
.   O

Giancarlo   B-NAME
Burton   I-NAME
was   O
advised   O
to   O
closely   O
monitor   O
blood   O
pressure   O
,   O
glucose   O
levels   O
,   O
and   O
cholesterol   O
.   O

Follow   O
-   O
Up   O
:   O
Matteo   B-NAME
Cannon   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Ally   B-NAME
Howe   I-NAME
on   O
12/23/22   B-DATE
to   O
assess   O
medical   O
regimen   O
efficacy   O
,   O
symptomatology   O
,   O
and   O
overall   O
progress   O
post   O
-   O
discharge   O
.   O

The   O
patient   O
,   O
Alden   B-NAME
Patterson   I-NAME
,   O
a   O
Computer   O
Network   O
Support   O
Specialists   O
from   O
Osage   B-LOCATION
,   O
19120   B-LOCATION
,   O
presented   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
Partners   I-LOCATION
,   I-LOCATION
Muskegon   I-LOCATION
General   I-LOCATION
Campus   I-LOCATION
on   O
Sat   B-DATE
with   O
a   O
series   O
of   O
concerning   O
symptoms   O
.   O

Gustavo   B-NAME
Wallace   I-NAME
is   O
53   O
years   O
old   O
and   O
has   O
no   O
prior   O
history   O
of   O
major   O
illnesses   O
.   O

Their   O
medical   O
record   O
number   O
,   O
694   B-ID
-   I-ID
00   I-ID
-   I-ID
73   I-ID
-   I-ID
6   I-ID
,   O
and   O
contact   O
number   O
,   O
99908   B-CONTACT
,   O
were   O
recorded   O
upon   O
admission   O
.   O

Brayan   B-NAME
Finley   I-NAME
was   O
referred   O
by   O
Lhari   B-NAME
,   O
who   O
noted   O
the   O
initial   O
symptoms   O
during   O
a   O
routine   O
consultation   O
.   O

Upon   O
examination   O
,   O
Angelo   B-NAME
Fleming   I-NAME
exhibited   O
several   O
symptoms   O
indicative   O
of   O
complex   O
medical   O
conditions   O
.   O

Accompanying   O
these   O
headaches   O
,   O
Ron   B-NAME
Danvers   I-NAME
also   O
reported   O
experiencing   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
occasional   O
episodes   O
of   O
nausea   O
.   O

Further   O
,   O
Dante   B-NAME
Barron   I-NAME
described   O
instances   O
of   O
shortness   O
of   O
breath   O
and   O
palpitations   O
,   O
which   O
seem   O
to   O
occur   O
sporadically   O
without   O
any   O
obvious   O
triggers   O
.   O

These   O
symptoms   O
have   O
been   O
occurring   O
for   O
approximately   O
21/22/12   B-DATE
,   O
progressively   O
worsening   O
over   O
this   O
period   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Bird   B-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
thyroid   O
function   O
tests   O
,   O
and   O
a   O
lipid   O
profile   O
,   O
all   O
of   O
which   O
returned   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slightly   O
elevated   O
low   O
-   O
density   O
lipoprotein   O
(   O
LDL   O
)   O
cholesterol   O
level   O
.   O

Given   O
the   O
complexity   O
and   O
variability   O
of   O
symptoms   O
,   O
Destiney   B-NAME
Duncan   I-NAME
has   O
proposed   O
a   O
multi   O
-   O
disciplinary   O
approach   O
to   O
Adsila   B-NAME
's   O
care   O
,   O
involving   O
consultations   O
with   O
a   O
cardiologist   O
and   O
neurologist   O
.   O

Additional   O
diagnostic   O
tests   O
,   O
including   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
and   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
have   O
been   O
scheduled   O
for   O
2152   B-DATE
-   I-DATE
28   I-DATE
-   I-DATE
21   I-DATE
.   O

Spencer   B-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
log   O
of   O
their   O
symptoms   O
,   O
noting   O
their   O
severity   O
,   O
duration   O
,   O
and   O
any   O
potential   O
triggers   O
.   O

Arturo   B-NAME
Velazquez   I-NAME
's   O
case   O
underscores   O
the   O
importance   O
of   O
a   O
thorough   O
and   O
multidisciplinary   O
approach   O
to   O
complex   O
medical   O
diagnoses   O
.   O

Continuous   O
monitoring   O
and   O
follow   O
-   O
up   O
on   O
7   B-DATE
-   I-DATE
2   I-DATE
at   O
Blue   B-LOCATION
Ridge   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
have   O
been   O
recommended   O
to   O
assess   O
the   O
efficacy   O
of   O
the   O
treatment   O
plan   O
once   O
more   O
information   O
is   O
available   O
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
Cohen   B-NAME
Gregory   I-NAME
's   O
case   O
,   O
please   O
contact   O
Roger   B-NAME
Bailey   I-NAME
at   O
919   B-CONTACT
-   I-CONTACT
977   I-CONTACT
-   I-CONTACT
4656   I-CONTACT
or   O
via   O
email   O
at   O
YX423   B-NAME
@   O
Central   B-LOCATION
Florida   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
.   O

*   O
*   O
Patient   O
Report   O
*   O
*   O
*   O
*   O
Patient   O
Name   O
*   O
*   O
:   O
Baudelaire   B-NAME
,   I-NAME
Charles   I-NAME
*   O
*   O
Age   O
*   O
*   O
:   O
93   O
*   O
*   O
Medical   O
Record   O
Number   O
*   O
*   O
:   O
20169529   B-ID
*   O
*   O
Date   O
of   O
Visit   O
*   O
*   O
:   O
2034   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
00   I-DATE
*   O
*   O
Contact   O
Phone   O
*   O
*   O
:   O
523   B-CONTACT
-   I-CONTACT
6438   I-CONTACT
*   O
*   O
Attending   O
Physician   O
*   O
*   O
:   O
Morgenstern   B-NAME
,   I-NAME
Christian   I-NAME
*   O
*   O
Hospital   O
of   O
Treatment   O
*   O
*   O
:   O
Millard   B-LOCATION
Fillmore   I-LOCATION
Suburban   I-LOCATION
Hospital   I-LOCATION
*   O
*   O
Residence   O
*   O
*   O
:   O
Rafael   B-LOCATION
Pena   I-LOCATION
,   O
70214   B-LOCATION
*   O
*   O
Occupation   O
*   O
*   O
:   O
Sales   O
Representatives   O
,   O
Agricultural   O
*   O
*   O
Insurance   O
ID   O
*   O
*   O
:   O
7   B-ID
-   I-ID
4847489   I-ID
*   O
*   O
Summary   O
of   O
Visit   O
*   O
*   O
:   O
Peres   B-NAME
,   I-NAME
Shimon   I-NAME
was   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Goldriver   B-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
on   O
December   B-DATE
04   I-DATE
,   I-DATE
2278   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

*   O
*   O
Medical   O
History   O
*   O
*   O
:   O
Luz   B-NAME
Cordova   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

*   O
*   O
Examination   O
Findings   O
*   O
*   O
:   O
Upon   O
examination   O
,   O
Ruba   B-NAME
Neil   I-NAME
displayed   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

Ivan   B-NAME
Tomlinson   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Townsend   B-NAME
for   O
further   O
management   O
of   O
acute   O
appendicitis   O
.   O

After   O
initial   O
stabilization   O
,   O
McMahon   B-NAME
,   I-NAME
Vince   I-NAME
was   O
taken   O
to   O
the   O
operating   O
room   O
for   O
an   O
appendectomy   O
.   O

Kathleen   B-NAME
Parsons   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgery   O
clinic   O
in   O
1   O
-   O
2   O
weeks   O
for   O
postoperative   O
evaluation   O
.   O

*   O
*   O
Instructions   O
for   O
Care   O
at   O
Home   O
*   O
*   O
:   O
Kovacs   B-NAME
,   I-NAME
Ernie   I-NAME
was   O
instructed   O
to   O
avoid   O
strenuous   O
activity   O
for   O
at   O
least   O
2   O
weeks   O
,   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
and   O
maintain   O
a   O
balanced   O
diet   O
to   O
support   O
healing   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Briggs   B-NAME
,   I-NAME
Joe   I-NAME
Bob   I-NAME
at   O
Highline   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Specialty   I-LOCATION
Center   I-LOCATION
for   O
September   B-DATE
.   O

Gracelyn   B-NAME
Mullins   I-NAME
was   O
provided   O
with   O
a   O
contact   O
number   O
89961   B-CONTACT
for   O
any   O
concerns   O
or   O
complications   O
prior   O
to   O
the   O
scheduled   O
appointment   O
.   O

David   B-NAME
,   O
M.D.   O
August   B-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Tamica   B-NAME
Haigh   I-NAME
Age   O
:   O
57   O
Phone   O
:   O
(   B-CONTACT
978   I-CONTACT
)   I-CONTACT
756   I-CONTACT
-   I-CONTACT
5283   I-CONTACT
Medical   O
Record   O
Number   O
:   O
3928612   B-ID
ID   O
Number   O
:   O
JJ:10749:453227   B-ID
Address   O
:   O
Lehi   B-LOCATION
,   O
77674   B-LOCATION
Occupation   O
:   O
Opticians   O
,   O
Dispensing   O
Date   O
of   O
Visit   O
:   O
5/8/64   B-DATE
Referring   O
Doctor   O
:   O
Nelson   B-NAME
,   I-NAME
Horatio   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Rose   I-LOCATION
Dominican   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Siena   I-LOCATION
Campus   I-LOCATION
Organizations   O
:   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Jones   I-LOCATION
County   I-LOCATION
Chief   O
Complaint   O
:   O
Thaddeus   B-NAME
Reilly   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Jefferson   B-LOCATION
Healthcare   I-LOCATION
Hospital   I-LOCATION
on   O
12/17   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Gage   B-NAME
Gordon   I-NAME
also   O
reported   O
a   O
slight   O
fever   O
and   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kerry   B-NAME
,   I-NAME
John   I-NAME
,   O
a   O
75   O
-   O
year   O
-   O
old   O
Switchboard   O
Operators   O
,   O
Including   O
Answering   O
Service   O
at   O
Ontario   B-LOCATION
English   I-LOCATION
Catholic   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
,   O
started   O
experiencing   O
mild   O
abdominal   O
discomfort   O
early   O
in   O
the   O
morning   O
of   O
00/01   B-DATE
which   O
gradually   O
escalated   O
to   O
severe   O
pain   O
by   O
noon   O
.   O

Alex   B-NAME
Durant   I-NAME
has   O
not   O
been   O
able   O
to   O
keep   O
down   O
any   O
fluids   O
or   O
food   O
since   O
the   O
morning   O
and   O
has   O
experienced   O
nausea   O
without   O
relief   O
from   O
over   O
-   O
the   O
-   O
counter   O
medications   O
.   O

Past   O
Medical   O
History   O
:   O
Cantrell   B-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
,   O
managed   O
with   O
medication   O
for   O
the   O
past   O
5   O
week   O
years   O
.   O

The   O
patient   O
's   O
last   O
physical   O
examination   O
was   O
performed   O
on   O
22/22/30   B-DATE
by   O
Trace   B-NAME
Todd   I-NAME
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Cottage   I-LOCATION
Hospital   I-LOCATION
,   O
during   O
which   O
routine   O
labs   O
and   O
health   O
screenings   O
were   O
reported   O
to   O
be   O
within   O
normal   O
limits   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Nola   B-NAME
Gallagher   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Clinton   B-NAME
Solomon   I-NAME
was   O
admitted   O
to   O
Saint   B-LOCATION
Thomas   I-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Prince   B-NAME
,   O
where   O
an   O
appendectomy   O
was   O
successfully   O
performed   O
without   O
complications   O
on   O
1/29   B-DATE
.   O

Welch   B-NAME
,   I-NAME
Xzavior   I-NAME
Charles   I-NAME
was   O
advised   O
to   O
remain   O
in   O
the   O
hospital   O
for   O
post   O
-   O
operative   O
monitoring   O
and   O
was   O
prescribed   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Follow   O
-   O
Up   O
:   O
Tolkien   B-NAME
,   I-NAME
J.   I-NAME
R.   I-NAME
R.   I-NAME
was   O
discharged   O
from   O
University   B-LOCATION
of   I-LOCATION
California   I-LOCATION
Irvine   I-LOCATION
Health   I-LOCATION
on   O
16/22   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
on   O
32/22   B-DATE
with   O
Jackson   B-NAME
for   O
staple   O
removal   O
and   O
a   O
post   O
-   O
operative   O
checkup   O
.   O

Yelton   B-NAME
was   O
provided   O
with   O
756   B-CONTACT
-   I-CONTACT
7792   I-CONTACT
of   O
Boca   B-LOCATION
Raton   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
's   O
post   O
-   O
operative   O
care   O
line   O
for   O
any   O
immediate   O
questions   O
or   O
concerns   O
.   O

Coding   O
Information   O
:   O
Diagnostic   O
code   O
:   O
503604541   B-ID
Procedure   O
code   O
:   O
7   B-ID
-   I-ID
9263803   I-ID

Patient   O
Name   O
:   O
Tibor   B-NAME
Oquinn   I-NAME
Patient   O
ID   O
:   O
LM:21587:358429   B-ID
Medical   O
Record   O
Number   O
:   O
356   B-ID
-   I-ID
05   I-ID
-   I-ID
12   I-ID
Date   O
of   O
Birth   O
:   O
1/9/2220   B-DATE
Age   O
:   O
9   O
week   O
Phone   O
Number   O
:   O
325   B-CONTACT
-   I-CONTACT
870   I-CONTACT
5428   I-CONTACT
Address   O
:   O
Brasher   B-LOCATION
Falls   I-LOCATION
,   O
94926   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Briggs   B-NAME
Referring   O
Physician   O
:   O
Mcfarland   B-NAME
Admitting   O
Hospital   O
:   O
Shannon   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Employer   O
:   O

AmericanFirst   B-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Podiatrists   O
Emergency   O
Contact   O
:   O
fi643   B-NAME
Chief   O
Complaint   O
:   O
James   B-NAME
Colton   I-NAME
Yancey   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Canton   B-LOCATION
-   I-LOCATION
Potsdam   I-LOCATION
Hospital   I-LOCATION
on   O
29/32   B-DATE
with   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
jaw   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

Associated   O
symptoms   O
included   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
nausea   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Abbie   B-NAME
Mcmillan   I-NAME
,   O
a   O
79   O
-   O
year   O
-   O
old   O
Postal   O
Service   O
Mail   O
Sorters   O
,   O
Processors   O
,   O
and   O
Processing   O
Machine   O
Operators   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
,   O
reports   O
that   O
symptoms   O
began   O
suddenly   O
while   O
at   O
work   O
at   O
Waterfield   B-LOCATION
Bank   I-LOCATION
in   O
Thornhill   B-LOCATION
.   O

Dario   B-NAME
Hoffman   I-NAME
denies   O
any   O
prior   O
episodes   O
of   O
similar   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
,   O
diagnosed   O
2/2012   B-DATE
-   O
Hyperlipidemia   O
,   O
diagnosed   O
16/12/2217   B-DATE
-   O
No   O
previous   O
surgeries   O
-   O
No   O
known   O
allergies   O
Medications   O
:   O
1   O
.   O

Carol   B-NAME
Novino   I-NAME
reports   O
working   O
as   O
a   O
Storage   O
and   O
Distribution   O
Managers   O
for   O
Philadelphia   B-LOCATION
Insurance   I-LOCATION
Companies   I-LOCATION
.   O

Reports   O
occasional   O
stress   O
related   O
to   O
work   O
at   O
Slash   B-LOCATION
Pine   I-LOCATION
EMC   I-LOCATION
in   O
Grant   B-LOCATION
Town   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Farring   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Initial   O
Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Barbara   B-NAME
Chavez   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
inferior   O
wall   O
myocardial   O
infarction   O
(   O
MI   O
)   O
.   O

Bea   B-NAME
Slocumb   I-NAME
was   O
admitted   O
to   O
Murray   B-LOCATION
-   I-LOCATION
Calloway   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Stephany   B-NAME
Fitzgerald   I-NAME
for   O
immediate   O
management   O
of   O
acute   O
MI   O
.   O

Steven   B-NAME
James   I-NAME
was   O
scheduled   O
for   O
urgent   O
cardiac   O
catheterization   O
on   O
32/01   B-DATE
.   O
Follow   O
-   O
Up   O
:   O
Claudia   B-NAME
Vang   I-NAME
will   O
be   O
monitored   O
closely   O
in   O
the   O
cardiac   O
care   O
unit   O
at   O
NewYork   B-LOCATION
–   I-LOCATION
Presbyterian   I-LOCATION
Queens   I-LOCATION
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Hendrix   B-NAME
and   O
a   O
cardiologist   O
were   O
scheduled   O
for   O
02/01/12   B-DATE
to   O
assess   O
recovery   O
and   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
,   O
including   O
lifestyle   O
modifications   O
and   O
medication   O
adherence   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Phelps   B-NAME
can   O
be   O
reached   O
at   O
84577   B-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
contact   O
Venice   B-LOCATION
Regional   I-LOCATION
Bayfront   I-LOCATION
Health   I-LOCATION
emergency   O
department   O
.   O

The   O
patient   O
,   O
King   B-NAME
,   I-NAME
William   I-NAME
,   O
aged   O
39   O
,   O
presented   O
to   O
Missouri   B-LOCATION
Delta   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
December   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Devin   B-NAME
Pugh   I-NAME
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Farming   O
,   O
Fishing   O
,   O
and   O
Forestry   O
Workers   O
and   O
resides   O
in   O
Earlington   B-LOCATION
,   O
60981   B-LOCATION
.   O

Mikaela   B-NAME
Pollard   I-NAME
described   O
a   O
constricting   O
sensation   O
around   O
the   O
chest   O
,   O
difficulty   O
breathing   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
91009626   B-ID
was   O
noted   O
,   O
and   O
an   O
immediate   O
ECG   O
and   O
blood   O
tests   O
were   O
ordered   O
by   O
Henson   B-NAME
.   O

Upon   O
examination   O
,   O
Suzanne   B-NAME
,   I-NAME
Otto   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
,   O
and   O
the   O
heart   O
rate   O
was   O
irregular   O
.   O

Parker   B-NAME
Barajas   I-NAME
was   O
administered   O
a   O
loading   O
dose   O
of   O
aspirin   O
and   O
was   O
started   O
on   O
a   O
statin   O
regimen   O
.   O

The   O
results   O
,   O
noted   O
in   O
the   O
patient   O
's   O
file   O
1884   B-ID
:   I-ID
F33477   I-ID
,   O
showed   O
elevated   O
troponin   O
levels   O
consistent   O
with   O
an   O
acute   O
cardiac   O
event   O
.   O

Snow   B-NAME
recommended   O
an   O
immediate   O
coronary   O
angiography   O
to   O
determine   O
the   O
extent   O
of   O
coronary   O
artery   O
disease   O
.   O

Miller   B-NAME
,   I-NAME
Ron   I-NAME
was   O
informed   O
of   O
the   O
findings   O
and   O
the   O
proposed   O
treatment   O
plan   O
.   O

Consent   O
was   O
obtained   O
,   O
and   O
the   O
procedure   O
was   O
scheduled   O
for   O
37/34   B-DATE
.   O

During   O
the   O
patient   O
’s   O
stay   O
at   O
Southern   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Jaiden   B-NAME
Tate   I-NAME
's   O
condition   O
was   O
closely   O
monitored   O
.   O

Post   O
-   O
procedure   O
,   O
Emilee   B-NAME
Bauer   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
symptoms   O
and   O
was   O
put   O
on   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

Frey   B-NAME
was   O
instructed   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
outpatient   O
department   O
of   O
Florida   B-LOCATION
Hospital   I-LOCATION
Oceanside   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
on   O
03/29   B-DATE
.   O

Follow   O
-   O
up   O
contact   O
information   O
was   O
updated   O
as   O
75387   B-CONTACT
.   O

Kimimela   B-NAME
was   O
reminded   O
to   O
report   O
immediately   O
if   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
breathlessness   O
,   O
or   O
dizziness   O
recurred   O
.   O

Danvers   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
was   O
noted   O
as   O
the   O
payer   O
,   O
and   O
authorization   O
for   O
the   O
prescribed   O
treatments   O
and   O
follow   O
-   O
up   O
care   O
was   O
obtained   O
.   O

The   O
patient   O
's   O
identification   O
number   O
with   O
the   O
payer   O
is   O
MX:21421:591948   B-ID
.   O

This   O
report   O
was   O
compiled   O
and   O
entered   O
into   O
the   O
healthcare   O
system   O
by   O
JW545   B-NAME
on   O
Wednesday   B-DATE
,   I-DATE
February   I-DATE
,   O
ensuring   O
all   O
PHI   O
data   O
is   O
secured   O
and   O
adhering   O
to   O
patient   O
confidentiality   O
guidelines   O
.   O

Patient   O
Report   O
for   O
Mia   B-NAME
Rivers   I-NAME
23/07   B-DATE
Coahoma   B-LOCATION
Cape   B-LOCATION
Fear   I-LOCATION
Bank   I-LOCATION
Patient   O
Cali   B-NAME
Mckenzie   I-NAME
,   O
a   O
5   O
week   O
-   O
year   O
-   O
old   O
Materials   O
Engineers   O
,   O
presented   O
to   O
Poplar   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
intermittent   O
episodes   O
of   O
diarrhea   O
,   O
and   O
constipation   O
for   O
the   O
past   O
1791   B-DATE
.   O

Drew   B-NAME
Ellison   I-NAME
conducted   O
a   O
comprehensive   O
physical   O
examination   O
and   O
reviewed   O
the   O
patient   O
’s   O
past   O
medical   O
and   O
surgical   O
history   O
.   O

Important   O
to   O
note   O
,   O
Daniel   B-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
dietary   O
changes   O
.   O

Shannon   B-NAME
ordered   O
lab   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
,   O
and   O
stool   O
culture   O
.   O

Baby   B-NAME
Le   I-NAME
also   O
underwent   O
an   O
abdominal   O
ultrasound   O
to   O
rule   O
out   O
other   O
potential   O
causes   O
of   O
the   O
symptoms   O
.   O

As   O
of   O
30/02   B-DATE
,   O
preliminary   O
lab   O
results   O
indicated   O
no   O
significant   O
abnormalities   O
.   O

Philip   B-NAME
Mora   I-NAME
's   O
medical   O
record   O
number   O
24785752   B-ID
does   O
not   O
exhibit   O
a   O
history   O
of   O
similar   O
symptoms   O
or   O
any   O
chronic   O
gastrointestinal   O
conditions   O
.   O

456   B-CONTACT
758   I-CONTACT
-   I-CONTACT
5812   I-CONTACT
was   O
listed   O
as   O
the   O
primary   O
contact   O
number   O
,   O
and   O
any   O
updates   O
regarding   O
Alexander   B-NAME
Hines   I-NAME
's   O
condition   O
are   O
to   O
be   O
directed   O
there   O
.   O

Charlie   B-NAME
Nichols   I-NAME
has   O
provisionally   O
diagnosed   O
Avitus   B-NAME
with   O
Irritable   O
Bowel   O
Syndrome   O
(   O
IBS   O
)   O
based   O
on   O
the   O
Rome   O
IV   O
criteria   O
and   O
planned   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
12/20   B-DATE
.   O

Psychological   O
support   O
was   O
also   O
suggested   O
considering   O
Tempie   B-NAME
Plewa   I-NAME
's   O
recent   O
stress   O
at   O
work   O
.   O

Dominik   B-NAME
Francis   I-NAME
advised   O
Sammy   B-NAME
Brewer   I-NAME
to   O
monitor   O
symptoms   O
closely   O
and   O
report   O
any   O
new   O
or   O
worsening   O
symptoms   O
immediately   O
.   O

donovan   B-NAME
was   O
educated   O
about   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
dietary   O
modifications   O
and   O
the   O
medication   O
regimen   O
.   O

UI598/2657   B-ID
and   O
MB6510   B-NAME
were   O
verified   O
for   O
hospital   O
and   O
online   O
patient   O
portal   O
records   O
,   O
respectively   O
.   O

Follow   O
-   O
up   O
appointments   O
are   O
scheduled   O
for   O
January   B-DATE
to   O
assess   O
Clara   B-NAME
D   I-NAME
Quilici   I-NAME
's   O
response   O
to   O
the   O
treatment   O
and   O
discuss   O
further   O
diagnostic   O
or   O
therapeutic   O
measures   O
,   O
if   O
necessary   O
.   O

In   O
case   O
of   O
any   O
emergencies   O
,   O
Jamarion   B-NAME
Oneill   I-NAME
is   O
advised   O
to   O
contact   O
McLeod   B-LOCATION
Loris   I-LOCATION
's   O
emergency   O
department   O
immediately   O
or   O
dial   O
29189   B-CONTACT
.   O

This   O
case   O
will   O
be   O
documented   O
under   O
medical   O
record   O
number   O
54534493   B-ID
in   O
the   O
records   O
of   O
Southwestern   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Goodell   B-LOCATION
,   O
26372   B-LOCATION
.   O

Patient   O
Name   O
:   O
Greta   B-NAME
Ingstrom   I-NAME
Medical   O
Record   O
Number   O
:   O
16136889   B-ID
Date   O
of   O
Birth   O
:   O
2/75   B-DATE
Age   O
:   O
27   O
Address   O
:   O
Stratmoor   B-LOCATION
,   O
79340   B-LOCATION
Phone   O
Number   O
:   O
791   B-CONTACT
-   I-CONTACT
2130   I-CONTACT

Laverne   B-NAME
Edelstein   I-NAME
Date   O
of   O
Visit   O
:   O
10th   B-DATE
of   I-DATE
April   I-DATE
Hospital   O
Name   O
:   O
Millard   B-LOCATION
Fillmore   I-LOCATION
Suburban   I-LOCATION
Hospital   I-LOCATION
Summary   O
of   O
Visit   O
:   O
Geno   B-NAME
Guidry   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Reston   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
12/12   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
classic   O
presentation   O
of   O
appendicitis   O
.   O

Additionally   O
,   O
Herzler   B-NAME
,   I-NAME
Roger   I-NAME
D   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
lack   O
of   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Upon   O
examination   O
,   O
Fisher   B-NAME
,   I-NAME
Carrie   I-NAME
displayed   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
peritonitis   O
.   O

Hardin   B-NAME
was   O
admitted   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
Florida   I-LOCATION
under   O
the   O
care   O
of   O
Bailey   B-NAME
,   O
and   O
an   O
appendectomy   O
was   O
recommended   O
as   O
the   O
appropriate   O
course   O
of   O
action   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
the   O
following   O
morning   O
,   O
11/29/2124   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Gordon   B-NAME
Robertson   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Cline   B-NAME
in   O
the   O
outpatient   O
surgery   O
clinic   O
at   O
Piedmont   B-LOCATION
Fayette   I-LOCATION
Hospital   I-LOCATION
on   O
03/20   B-DATE
to   O
assess   O
the   O
post   O
-   O
operative   O
wound   O
and   O
overall   O
recovery   O
.   O

Instructions   O
were   O
provided   O
to   O
Keyon   B-NAME
Mcpherson   I-NAME
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
,   O
and   O
to   O
report   O
any   O
symptoms   O
of   O
fever   O
or   O
worsening   O
abdominal   O
pain   O
.   O

Privacy   O
Information   O
:   O
-   O
Patient   O
Identifier   O
:   O
QR:2677:503834   B-ID
-   O
Health   O
Care   O
Provider   O
:   O
International   B-LOCATION
Longshoremen   I-LOCATION
's   I-LOCATION
Association   I-LOCATION
-   O
Patient   O
's   O
Employer   O
:   O
Environmental   O
Engineers   O
-   O
Submitted   O
by   O
:   O
zo494   B-NAME

Patient   O
Report   O
for   O
Orth   B-NAME
Patient   O
ID   O
:   O
060   B-ID
-   I-ID
67   I-ID
-   I-ID
61   I-ID
Age   O
:   O
87   O
Date   O
of   O
Examination   O
:   O
0   B-DATE
-   I-DATE
22   I-DATE
Primary   O
Doctor   O
:   O
Judith   B-NAME
Cummings   I-NAME
Hospital   O
:   O
Mercy   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Baytown   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77520   I-LOCATION
,   O
39098   B-LOCATION
Phone   O
:   O
501   B-CONTACT
-   I-CONTACT
871   I-CONTACT
8885   I-CONTACT

Presenting   O
Complaints   O
:   O
Jackson   B-NAME
Watson   I-NAME
presented   O
with   O
a   O
history   O
of   O
intermittent   O
,   O
sharp   O
,   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
1   B-DATE
-   I-DATE
9   I-DATE
-   I-DATE
91   I-DATE
.   O

Baudelaire   B-NAME
,   I-NAME
Charles   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
consuming   O
uncooked   O
foods   O
.   O

Medical   O
History   O
:   O
Bertram   B-NAME
Pincus   I-NAME
has   O
a   O
medical   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
lisinopril   O
.   O

On   O
examination   O
,   O
Tyesha   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
recommended   O
by   O
Hunter   B-NAME
and   O
subsequently   O
performed   O
at   O
Williamson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2015   B-DATE
,   O
revealing   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
with   O
no   O
evidence   O
of   O
perforation   O
.   O

Diagnosis   O
:   O
Querry   B-NAME
,   I-NAME
Lucas   I-NAME
Edwin   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
without   O
perforation   O
.   O

Tianna   B-NAME
Blankenship   I-NAME
was   O
admitted   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Temple   I-LOCATION
and   O
successfully   O
underwent   O
the   O
procedure   O
on   O
Friday   B-DATE
without   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Moon   B-NAME
at   O
Lake   B-LOCATION
Norman   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
12/72   B-DATE
to   O
monitor   O
healing   O
and   O
recovery   O
progress   O
.   O

Gerardo   B-NAME
Manning   I-NAME
was   O
advised   O
to   O
monitor   O
their   O
temperature   O
and   O
report   O
any   O
symptoms   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
redness   O
around   O
the   O
incision   O
site   O
.   O

Prepared   O
by   O
:   O
Briley   B-NAME
Odom   I-NAME
PEMCO   B-LOCATION
07/02/1783   B-DATE
For   O
further   O
information   O
or   O
inquiries   O
,   O
please   O
contact   O
the   O
medical   O
records   O
department   O
at   O
(   B-CONTACT
323   I-CONTACT
)   I-CONTACT
825   I-CONTACT
-   I-CONTACT
4851   I-CONTACT
.   O

Patient   O
Name   O
:   O
Galvan   B-NAME
Age   O
:   O
2   O
week   O
DOB   O
:   O
7/27   B-DATE
Patient   O
ID   O
:   O
GS:74690:564622   B-ID
Medical   O
Record   O
Number   O
:   O
68160074   B-ID
Address   O
:   O
Dalton   B-LOCATION
,   O
24464   B-LOCATION
Phone   O
Number   O
:   O
40699   B-CONTACT

Eleanor   B-NAME
Bramwell   I-NAME
Hospital   O
:   O
University   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
06/36   B-DATE
Date   O
of   O
Report   O
:   O
31/28   B-DATE
Clinical   O
Summary   O
:   O
DUNN   B-NAME
,   I-NAME
VINCENT   I-NAME
,   O
a   O
Paving   O
,   O
Surfacing   O
,   O
and   O
Tamping   O
Equipment   O
Operators   O
from   O
46A   B-LOCATION
Ridge   I-LOCATION
Court   I-LOCATION
,   O
presented   O
to   O
DeKalb   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
1724   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
29   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
on   O
exertion   O
,   O
and   O
a   O
fever   O
measuring   O
38.5   O
°   O
C   O
.   O

Kelly   B-NAME
Watson   I-NAME
also   O
reported   O
a   O
recent   O
exposure   O
to   O
an   O
individual   O
diagnosed   O
with   O
influenza   O
.   O

Upon   O
examination   O
,   O
Jac   B-NAME
exhibited   O
bibasilar   O
crackles   O
,   O
and   O
an   O
initial   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
,   O
which   O
improved   O
to   O
95   O
%   O
with   O
supplemental   O
oxygen   O
.   O

Management   O
initiated   O
for   O
Salgado   B-NAME
included   O
empiric   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
antiviral   O
therapy   O
,   O
given   O
the   O
symptoms   O
and   O
exposure   O
history   O
.   O

Despite   O
initial   O
treatment   O
,   O
Carroll   B-NAME
's   O
condition   O
required   O
escalation   O
,   O
including   O
respiratory   O
support   O
in   O
the   O
form   O
of   O
non   O
-   O
invasive   O
ventilation   O
.   O

Cross   B-NAME
's   O
stay   O
at   O
Hot   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
was   O
complicated   O
by   O
the   O
development   O
of   O
acute   O
respiratory   O
distress   O
syndrome   O
(   O
ARDS   O
)   O
,   O
necessitating   O
transfer   O
to   O
the   O
Intensive   O
Care   O
Unit   O
(   O
ICU   O
)   O
on   O
00/32   B-DATE
.   O

Discussion   O
:   O
The   O
management   O
of   O
Perry   B-NAME
,   I-NAME
Michael   I-NAME
D.   I-NAME
's   O
condition   O
followed   O
clinical   O
guidelines   O
for   O
community   O
-   O
acquired   O
pneumonia   O
with   O
considerations   O
for   O
underlying   O
asthma   O
and   O
the   O
potential   O
for   O
viral   O
etiology   O
.   O

The   O
progression   O
to   O
ARDS   O
underscored   O
the   O
severity   O
of   O
WX   B-NAME
's   O
condition   O
,   O
highlighting   O
the   O
importance   O
of   O
timely   O
empirical   O
therapy   O
and   O
close   O
monitoring   O
.   O

As   O
of   O
12/74   B-DATE
,   O
Ryland   B-NAME
Crosby   I-NAME
demonstrated   O
gradual   O
improvement   O
,   O
showing   O
signs   O
of   O
reduced   O
infiltrates   O
on   O
subsequent   O
chest   O
X   O
-   O
rays   O
and   O
an   O
improvement   O
in   O
oxygenation   O
levels   O
.   O

Waitley   B-NAME
,   I-NAME
Denis   I-NAME
was   O
successfully   O
weaned   O
off   O
respiratory   O
support   O
and   O
transferred   O
back   O
to   O
a   O
general   O
medical   O
floor   O
.   O

Recommendations   O
for   O
Amya   B-NAME
Cummings   I-NAME
upon   O
discharge   O
include   O
cessation   O
of   O
smoking   O
,   O
follow   O
-   O
up   O
pulmonary   O
function   O
testing   O
,   O
and   O
influenza   O
vaccination   O
.   O

A   O
reevaluation   O
with   O
Sadie   B-NAME
Jackson   I-NAME
in   O
Nimrod   B-LOCATION
is   O
scheduled   O
for   O
8/1   B-DATE
to   O
monitor   O
recovery   O
progress   O
and   O
adjust   O
treatment   O
strategies   O
as   O
needed   O
.   O

Summary   O
prepared   O
by   O
:   O
fnp638   B-NAME

The   O
patient   O
,   O
Marvel   B-NAME
Glidewell   I-NAME
,   O
a   O
Broadcast   O
News   O
Analysts   O
from   O
North   B-LOCATION
Plymouth   I-LOCATION
,   O
presented   O
to   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Cincinnati   I-LOCATION
on   O
27/22/07   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
which   O
had   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

Aubrie   B-NAME
Baldwin   I-NAME
denies   O
any   O
recent   O
changes   O
in   O
bowel   O
habits   O
or   O
urinary   O
symptoms   O
.   O

Upon   O
examination   O
,   O
Lynch   B-NAME
,   O
who   O
is   O
36   O
years   O
old   O
,   O
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Lab   O
tests   O
were   O
ordered   O
by   O
Ronald   B-NAME
Casey   I-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
an   O
inflammatory   O
marker   O
panel   O
,   O
which   O
included   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
and   O
erythrocyte   O
sedimentation   O
rate   O
(   O
ESR   O
)   O
.   O

Considering   O
the   O
findings   O
,   O
a   O
conservative   O
management   O
approach   O
was   O
advised   O
,   O
including   O
analgesic   O
medication   O
for   O
pain   O
management   O
and   O
a   O
follow   O
-   O
up   O
ultrasound   O
in   O
2/2082   B-DATE
for   O
re   O
-   O
evaluation   O
of   O
the   O
cyst   O
.   O

J   B-NAME
Gaines   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
about   O
ovarian   O
cysts   O
,   O
including   O
symptoms   O
to   O
monitor   O
that   O
may   O
indicate   O
complications   O
,   O
such   O
as   O
sudden   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
vomiting   O
.   O

Welsh   B-NAME
's   O
contact   O
information   O
was   O
recorded   O
as   O
820   B-CONTACT
406   I-CONTACT
7576   I-CONTACT
and   O
4   B-ID
-   I-ID
4939529   I-ID
.   O

All   O
the   O
medical   O
information   O
was   O
documented   O
under   O
787   B-ID
-   I-ID
27   I-ID
-   I-ID
73   I-ID
-   I-ID
1   I-ID
for   O
future   O
references   O
,   O
ensuring   O
continuous   O
care   O
and   O
monitoring   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Vidant   B-LOCATION
Edgecombe   I-LOCATION
Hospital   I-LOCATION
or   O
return   O
to   O
the   O
Emergency   O
Department   O
should   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Lennon   B-NAME
Collins   I-NAME
with   O
Dayami   B-NAME
Ingram   I-NAME
at   O
Sutter   B-LOCATION
Delta   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Sunday   B-DATE
,   I-DATE
May   I-DATE
,   O
to   O
reassess   O
symptoms   O
and   O
review   O
the   O
progress   O
of   O
conservative   O
management   O
.   O

All   O
interactions   O
and   O
care   O
provided   O
were   O
within   O
the   O
ethical   O
and   O
professional   O
standards   O
set   O
forth   O
by   O
Australian   B-LOCATION
Maritime   I-LOCATION
Officers   I-LOCATION
Union   I-LOCATION
guidelines   O
,   O
ensuring   O
patient   O
privacy   O
and   O
confidentiality   O
as   O
mandated   O
by   O
25368   B-LOCATION
regulations   O
.   O

Patient   O
Name   O
:   O
Smuts   B-NAME
,   I-NAME
Jan   I-NAME
Christiaan   I-NAME
Medical   O
Record   O
Number   O
:   O
797   B-ID
-   I-ID
69   I-ID
-   I-ID
62   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Birth   O
:   O
31/20   B-DATE
Age   O
:   O
63   O
Address   O
:   O
Bernardsville   B-LOCATION
,   O
75918   B-LOCATION
Phone   O
Number   O
:   O
499   B-CONTACT
-   I-CONTACT
536   I-CONTACT
-   I-CONTACT
7043   I-CONTACT
Attending   O
Physician   O
:   O

Glass   B-NAME
Referring   O
Physician   O
:   O

Irwin   B-NAME
Employer   O
:   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Bibb   I-LOCATION
County   I-LOCATION
Occupation   O
:   O
Private   O
music   O
teacher   O
Hospital   O
:   O

Pottstown   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
February   B-DATE
13   I-DATE
Insurance   O
ID   O
:   O
MR   B-ID
:   I-ID
DY:1830   I-ID
Chief   O
Complaint   O
:   O
Brian   B-NAME
Garner   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Northern   B-LOCATION
Dutchess   I-LOCATION
Hospital   I-LOCATION
on   O
1/33/2064   B-DATE
,   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
fever   O
and   O
nausea   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jack   B-NAME
Parker   I-NAME
has   O
experienced   O
mild   O
intermittent   O
abdominal   O
discomfort   O
over   O
the   O
past   O
week   O
but   O
noticed   O
a   O
significant   O
escalation   O
in   O
the   O
severity   O
of   O
the   O
pain   O
along   O
with   O
the   O
onset   O
of   O
fever   O
on   O
the   O
evening   O
of   O
August   B-DATE
30   I-DATE
.   O

Past   O
Medical   O
History   O
:   O
Strickland   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Lydia   B-NAME
Barnes   I-NAME
is   O
a   O
File   O
Clerks   O
by   O
profession   O
and   O
denies   O
tobacco   O
use   O
,   O
stating   O
a   O
moderate   O
alcohol   O
intake   O
.   O

The   O
patient   O
is   O
married   O
with   O
two   O
children   O
and   O
lives   O
in   O
Gargatha   B-LOCATION
.   O

On   O
physical   O
examination   O
,   O
Trenton   B-NAME
Pena   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
Plan   O
:   O
Babette   B-NAME
Patrias   I-NAME
was   O
admitted   O
to   O
AdventHealth   B-LOCATION
Ottawa   I-LOCATION
for   O
further   O
observation   O
and   O
management   O
on   O
Halloween   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Cameron   B-NAME
's   O
condition   O
will   O
be   O
closely   O
monitored   O
,   O
and   O
further   O
assessments   O
will   O
be   O
conducted   O
based   O
on   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
and   O
surgical   O
evaluation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
03/06   B-DATE
to   O
review   O
progress   O
post   O
-   O
discharge   O
.   O

Signed   O
,   O
Steele   B-NAME

Patient   O
Name   O
:   O
Giuliana   B-NAME
Rios   I-NAME
Patient   O
60486520   B-ID
:   O
QZ:13416:264458   B-ID
Age   O
:   O
2   O
Phone   O
:   O
90514   B-CONTACT
Address   O
:   O
Seven   B-LOCATION
Lakes   I-LOCATION
,   O
52225   B-LOCATION
Physician   O
:   O
Frey   B-NAME
Hospital   O
:   O
Advocate   B-LOCATION
Christ   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
report   O
:   O
2133   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
22   I-DATE
Chief   O
Complaint   O
:   O
Myles   B-NAME
Schmitt   I-NAME
presented   O
to   O
Mount   B-LOCATION
Sinai   I-LOCATION
West   I-LOCATION
on   O
09/22   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
episodes   O
of   O
blurred   O
vision   O
and   O
nausea   O
.   O

Hanna   B-NAME
described   O
the   O
pain   O
as   O
throbbing   O
and   O
unbearable   O
at   O
times   O
,   O
predominantly   O
in   O
the   O
morning   O
.   O

Herb   B-NAME
Melnick   I-NAME
mentioned   O
the   O
use   O
of   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
,   O
which   O
provided   O
minimal   O
relief   O
.   O

Continue   O
monitoring   O
Ariana   B-NAME
Wheeler   I-NAME
's   O
vital   O
signs   O
and   O
symptom   O
progression   O
closely   O
.   O

4   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
a   O
neurologist   O
,   O
Terry   B-NAME
Bates   I-NAME
,   O
on   O
Monday   B-DATE
for   O
a   O
comprehensive   O
evaluation   O
and   O
tailored   O
treatment   O
plan   O
.   O

Instructions   O
for   O
Harold   B-NAME
Nutter   I-NAME
:   O
1   O
.   O

Contacts   O
:   O
For   O
any   O
urgent   O
concerns   O
or   O
symptoms   O
exacerbation   O
,   O
Simpson   B-NAME
,   I-NAME
Jessica   I-NAME
is   O
advised   O
to   O
contact   O
Infirmary   B-LOCATION
West   I-LOCATION
's   O
Neurology   O
Department   O
directly   O
at   O
312   B-CONTACT
-   I-CONTACT
822   I-CONTACT
-   I-CONTACT
6070   I-CONTACT
.   O

Patient   O
Name   O
:   O
Candida   B-NAME
Jarman   I-NAME
Medical   O
Record   O
Number   O
:   O
474   B-ID
88   I-ID
78   I-ID
Date   O
of   O
Birth   O
:   O
02/22   B-DATE
Age   O
:   O
16   O
Address   O
:   O
Highland   B-LOCATION
Beach   I-LOCATION
,   O
28017   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
282   I-CONTACT
)   I-CONTACT
722   I-CONTACT
6305   I-CONTACT
Primary   O
Physician   O
:   O

Ashley   B-NAME
Treatment   O
Facility   O
:   O
VA   B-LOCATION
New   I-LOCATION
Jersey   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Carter   B-NAME
,   I-NAME
Jimmy   I-NAME
,   O
presented   O
on   O
Friday   B-DATE
,   I-DATE
August   I-DATE
with   O
complaints   O
of   O
persistent   O
,   O
dry   O
cough   O
,   O
and   O
increasing   O
dyspnea   O
on   O
exertion   O
over   O
the   O
past   O
01/26/20   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Trinity   B-NAME
Reyes   I-NAME
,   O
a   O
Financial   O
Specialists   O
,   O
All   O
Other   O
,   O
reports   O
that   O
the   O
symptoms   O
have   O
gradually   O
intensified   O
over   O
the   O
past   O
5/08/25   B-DATE
,   O
initially   O
dismissing   O
them   O
as   O
a   O
common   O
cold   O
.   O

However   O
,   O
the   O
persistent   O
cough   O
,   O
which   O
does   O
not   O
produce   O
sputum   O
,   O
alongside   O
noticeable   O
weight   O
loss   O
of   O
approximately   O
11   O
pounds   O
in   O
the   O
last   O
2098   B-DATE
,   O
prompted   O
the   O
consultation   O
.   O

Ulysses   B-NAME
Jurado   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Wainwright   B-LOCATION
or   O
contact   O
with   O
sick   O
individuals   O
.   O

The   O
patient   O
’s   O
medical   O
history   O
is   O
notable   O
for   O
Type   O
2   O
diabetes   O
diagnosed   O
in   O
12/21   B-DATE
and   O
well   O
-   O
controlled   O
hypertension   O
.   O

Taahammie   B-NAME
has   O
no   O
history   O
of   O
smoking   O
or   O
illicit   O
drug   O
use   O
.   O

Medications   O
:   O
Nelia   B-NAME
Klabunde   I-NAME
is   O
currently   O
taking   O
Metformin   O
,   O
Lisinopril   O
,   O
and   O
a   O
daily   O
multivitamin   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
described   O
in   O
the   O
chief   O
complaint   O
,   O
Buckley   B-NAME
denies   O
any   O
chest   O
pain   O
,   O
palpitations   O
,   O
fever   O
,   O
gastrointestinal   O
symptoms   O
,   O
or   O
urinary   O
complaints   O
.   O

Diagnostic   O
Testing   O
:   O
Chest   O
X   O
-   O
ray   O
conducted   O
on   O
22/07   B-DATE
reveals   O
a   O
mass   O
in   O
the   O
right   O
lower   O
lobe   O
.   O

Refer   O
GUEVARA   B-NAME
,   I-NAME
ELIZABETH   I-NAME
to   O
an   O
oncologist   O
at   O
Goldriver   B-LOCATION
Clinic   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

2   O
.   O
Schedule   O
a   O
CT   O
scan   O
of   O
the   O
chest   O
on   O
Sunday   B-DATE
.   O

4   O
.   O
Encourage   O
Gabrielle   B-NAME
Clay   I-NAME
to   O
maintain   O
a   O
healthy   O
diet   O
and   O
stay   O
hydrated   O
.   O

5   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
11   B-DATE
to   O
review   O
results   O
and   O
next   O
steps   O
in   O
management   O
.   O

Please   O
contact   O
Glover   B-NAME
at   O
(   B-CONTACT
891   I-CONTACT
)   I-CONTACT
627   I-CONTACT
-   I-CONTACT
2006   I-CONTACT
with   O
any   O
questions   O
regarding   O
Ben   B-NAME
Mcdonald   I-NAME
's   O
care   O
or   O
if   O
additional   O
information   O
is   O
needed   O
.   O

Patient   O
Name   O
:   O
Margaret   B-NAME
Cole   I-NAME
Age   O
:   O
57   O
Medical   O
Record   O
Number   O
:   O
9042L06018   B-ID
Date   O
of   O
Visit   O
:   O
0/0   B-DATE
Physician   O
:   O

Mcintyre   B-NAME
Location   O
:   O
527   B-LOCATION
Saxton   I-LOCATION
Dr.   I-LOCATION
Hospital   O
:   O
Ascension   B-LOCATION
NE   I-LOCATION
Wisconsin   I-LOCATION
-   I-LOCATION
St   I-LOCATION
Elizabeth   I-LOCATION
Campus   I-LOCATION
Phone   O
:   O
613   B-CONTACT
468   I-CONTACT
-   I-CONTACT
8471   I-CONTACT
Profession   O
:   O

Psychiatric   O
Aides   O
Username   O
:   O
so787   B-NAME
ZIP   O
:   O
63515   B-LOCATION
Chief   O
Complaint   O
:   O
Eliza   B-NAME
Escobar   I-NAME
presents   O
with   O
acute   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
02/11/1725   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Katelyn   B-NAME
Booker   I-NAME
,   O
a   O
Orderlies   O
,   O
reports   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
intermittent   O
but   O
has   O
significantly   O
increased   O
in   O
severity   O
,   O
prompting   O
the   O
visit   O
on   O
1/9   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Kronrod   B-NAME
,   I-NAME
Alexander   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
lisinopril   O
.   O

Herring   B-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Works   O
as   O
a   O
Helpers   O
--   O
Production   O
Workers   O
at   O
Ocala   B-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
.   O

The   O
patient   O
was   O
admitted   O
to   O
Norton   B-LOCATION
Brownsboro   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Aurora   B-NAME
Morris   I-NAME
for   O
further   O
management   O
of   O
suspected   O
appendicitis   O
.   O

Lisinopril   O
20   O
mg   O
once   O
daily   O
Discussion   O
:   O
Carina   B-NAME
Schwartz   I-NAME
’s   O
presentation   O
is   O
consistent   O
with   O
acute   O
appendicitis   O
given   O
the   O
localized   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
fever   O
,   O
elevated   O
white   O
cell   O
count   O
,   O
and   O
findings   O
on   O
ultrasound   O
.   O

Follow   O
-   O
up   O
:   O
Vincent   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
8/88   B-DATE
after   O
discharge   O
to   O
monitor   O
post   O
-   O
operative   O
recovery   O
and   O
manage   O
ongoing   O
diabetes   O
and   O
hypertension   O
.   O

For   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
199   B-CONTACT
448   I-CONTACT
4928   I-CONTACT
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Concord   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ireland   B-NAME
Levine   I-NAME
Patient   O
Age   O
:   O
58s   O
Date   O
of   O
Birth   O
:   O
12   B-DATE
Address   O
:   O
Tifton   B-LOCATION
,   O
52371   B-LOCATION
Phone   O
Number   O
:   O
549   B-CONTACT
-   I-CONTACT
3926   I-CONTACT
Occupation   O
:   O
Quality   O
assurance   O
manager   O
Medical   O
Record   O
Number   O
:   O
826   B-ID
30   I-ID
88   I-ID
Treating   O
Physician   O
:   O

Strong   B-NAME
Admission   O
Date   O
:   O
2315   B-DATE
Hospital   O
:   O
Bon   B-LOCATION
Secours   I-LOCATION
Memorial   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
Number   O
:   O
SO268/5269   B-ID
Summary   O
:   O
Angel   B-NAME
Petersen   I-NAME
,   O
a   O
Farm   O
,   O
Ranch   O
,   O
and   O
Other   O
Agricultural   O
Managers   O
from   O
Tennille   B-LOCATION
,   O
presented   O
to   O
Four   B-LOCATION
Winds   I-LOCATION
Hospital   I-LOCATION
on   O
22/22   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
decreased   O
appetite   O
over   O
the   O
past   O
48   O
hours   O
.   O

Upon   O
examination   O
,   O
Lacey   B-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
abdominal   O
rigidity   O
.   O

The   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
led   O
John   B-NAME
Wade   I-NAME
Prentice   I-NAME
to   O
diagnose   O
Lola   B-NAME
Spratt   I-NAME
with   O
acute   O
appendicitis   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Person   B-NAME
on   O
0/22   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
successfully   O
without   O
complications   O
,   O
and   O
Maribel   B-NAME
Mason   I-NAME
tolerated   O
the   O
procedure   O
well   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Keyon   B-NAME
Nguyen   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
unremarkable   O
.   O

Banks   B-NAME
,   I-NAME
Ernie   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
signs   O
of   O
infection   O
to   O
monitor   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Frazier   B-NAME
for   O
39/25   B-DATE
at   O
University   B-LOCATION
of   I-LOCATION
South   I-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
the   O
healing   O
process   O
and   O
overall   O
recovery   O
.   O

Discharge   O
Instructions   O
:   O
Popper   B-NAME
,   B-NAME
Karl   I-NAME
was   O
discharged   O
on   O
32/22   B-DATE
with   O
instructions   O
for   O
rest   O
,   O
hydration   O
,   O
and   O
gradual   O
return   O
to   O
normal   O
activities   O
as   O
tolerated   O
.   O

Turner   B-NAME
Hughes   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
medication   O
schedule   O
and   O
was   O
advised   O
to   O
seek   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
symptoms   O
of   O
infection   O
.   O

Contact   O
information   O
for   O
Abington   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   O
a   O
24   O
-   O
hour   O
emergency   O
number   O
were   O
provided   O
in   O
case   O
of   O
urgent   O
concerns   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
phone   O
call   O
by   O
Mercy   B-LOCATION
Gilbert   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
staff   O
to   O
65314   B-CONTACT
on   O
03/15   B-DATE
confirmed   O
that   O
Desmond   B-NAME
Miranda   I-NAME
is   O
recuperating   O
well   O
at   O
home   O
with   O
no   O
signs   O
of   O
complications   O
.   O

Further   O
follow   O
-   O
up   O
in   O
the   O
clinic   O
with   O
Malone   B-NAME
is   O
anticipated   O
to   O
ensure   O
complete   O
recovery   O
.   O

The   O
healthcare   O
team   O
at   O
Grisell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Ransom   I-LOCATION
remains   O
committed   O
to   O
providing   O
comprehensive   O
care   O
to   O
our   O
patients   O
.   O

Should   O
Braccio   B-NAME
Legall   I-NAME
or   O
their   O
family   O
have   O
any   O
questions   O
or   O
concerns   O
,   O
they   O
are   O
encouraged   O
to   O
contact   O
our   O
office   O
at   O
25618   B-CONTACT
.   O

Prepared   O
by   O
:   O
TI888   B-NAME
Medical   O
Staff   O
Bank   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
-   I-LOCATION
Southeast   I-LOCATION
03/21   B-DATE

Patient   O
Name   O
:   O
Jessica   B-NAME
Ewing   I-NAME
Patient   O
ID   O
:   O
74067   B-ID
Date   O
of   O
Birth   O
:   O

Friday   B-DATE
,   I-DATE
March   I-DATE
Date   O
of   O
Visit   O
:   O
26/16   B-DATE
Phone   O
Number   O
:   O
(   B-CONTACT
466   I-CONTACT
)   I-CONTACT
846   I-CONTACT
7160   I-CONTACT
Medical   O
Record   O
Number   O
:   O
7563269   B-ID
Address   O
:   O
Fairless   B-LOCATION
Hills   I-LOCATION
,   O
86246   B-LOCATION
Occupation   O
:   O
Helpers   O
--   O
Pipelayers   O
,   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Zhang   B-NAME
Hospital   O
:   O
Providence   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Referring   O
Organization   O
:   O

Calf   B-LOCATION
269   I-LOCATION
(   I-LOCATION
269   I-LOCATION
)   I-LOCATION
Chief   O
Complaint   O
:   O
Alexzander   B-NAME
Cameron   I-NAME
,   O
a   O
91s   O
-   O
year   O
-   O
old   O
Radiologic   O
Technologists   O
and   O
Technicians   O
,   O
presented   O
to   O
Lourdes   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
2133   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
symptoms   O
commenced   O
suddenly   O
on   O
8/24   B-DATE
without   O
any   O
precipitating   O
factors   O
.   O

Anthony   B-NAME
,   I-NAME
Piers   I-NAME
reported   O
a   O
temperature   O
spike   O
to   O
101   O
°   O
F   O
measured   O
at   O
home   O
on   O
2397   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
32   I-DATE
.   O

Lila   B-NAME
Stark   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
roberson   B-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
for   O
the   O
past   O
91   O
years   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Castro   B-NAME
appeared   O
uncomfortable   O
and   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Mike   B-NAME
Barry   I-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
on   O
Jul   B-DATE
26   I-DATE
without   O
any   O
complications   O
.   O

Hunter   B-NAME
showed   O
significant   O
improvement   O
post   O
-   O
operatively   O
with   O
resolution   O
of   O
fever   O
,   O
pain   O
,   O
and   O
normalization   O
of   O
leukocyte   O
count   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Robertson   B-NAME
was   O
discharged   O
on   O
03/17   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
antibiotic   O
course   O
completion   O
,   O
and   O
activity   O
modification   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Odonnell   B-NAME
at   O
Ozarks   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
1   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
64   I-DATE
.   O

Jorryn   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
wound   O
redness   O
or   O
drainage   O
,   O
or   O
severe   O
abdominal   O
pain   O
were   O
experienced   O
.   O

Note   O
:   O
For   O
further   O
information   O
or   O
to   O
reschedule   O
an   O
appointment   O
,   O
please   O
contact   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Hamilton   I-LOCATION
at   O
697   B-CONTACT
5031   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Josue   B-NAME
Gallagher   I-NAME
Age   O
:   O
57   O
Medical   O
Record   O
Number   O
:   O
754   B-ID
-   I-ID
30   I-ID
-   I-ID
93   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Visit   O
:   O
6/2   B-DATE
Primary   O
Care   O
Provider   O
:   O
Alayna   B-NAME
Bishop   I-NAME
Hospital   O
:   O

Cox   B-LOCATION
South   I-LOCATION
Location   O
:   O
Broad   B-LOCATION
Brook   I-LOCATION
Phone   O
:   O
91692   B-CONTACT
Profession   O
:   O
Directors   O
,   O
Religious   O
Activities   O
and   O
Education   O
ID   O
:   O
PY:14100:435740   B-ID
Zip   O
:   O
12913   B-LOCATION
Username   O
:   O
sok12   B-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Elise   B-NAME
Patel   I-NAME
,   O
visited   O
the   O
clinic   O
on   O
02/25   B-DATE
,   O
presenting   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
that   O
was   O
both   O
sharp   O
and   O
cramping   O
in   O
nature   O
.   O

The   O
patient   O
also   O
reported   O
experiencing   O
nausea   O
and   O
a   O
fever   O
since   O
the   O
early   O
hours   O
of   O
30/26/2363   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mitch   B-NAME
mentioned   O
that   O
the   O
abdominal   O
pain   O
had   O
started   O
approximately   O
48   O
hours   O
before   O
the   O
clinic   O
visit   O
and   O
had   O
progressively   O
worsened   O
.   O

Review   O
of   O
Systems   O
:   O
Besides   O
the   O
abdominal   O
pain   O
and   O
nausea   O
,   O
Aristotle   B-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
and   O
slight   O
dizziness   O
when   O
standing   O
.   O

The   O
patient   O
,   O
Frank   B-NAME
,   I-NAME
Anne   I-NAME
,   O
has   O
been   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
with   O
Joshua   B-NAME
Campbell   I-NAME
at   O
Garrett   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
arranged   O
on   O
9/32   B-DATE
.   O

Keaton   B-NAME
,   I-NAME
Buster   I-NAME
was   O
advised   O
to   O
maintain   O
nil   O
by   O
mouth   O
status   O
in   O
anticipation   O
of   O
possible   O
surgical   O
intervention   O
.   O

The   O
patient   O
was   O
informed   O
about   O
the   O
signs   O
of   O
complications   O
to   O
watch   O
for   O
,   O
including   O
increased   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
vomiting   O
,   O
and   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
at   O
D.   B-LOCATION
W.   I-LOCATION
McMillan   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
or   O
call   O
494   B-CONTACT
-   I-CONTACT
8753   I-CONTACT
if   O
symptoms   O
worsen   O
.   O

Follow   O
-   O
Up   O
:   O
Wall   B-NAME
is   O
scheduled   O
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
visit   O
with   O
Moreno   B-NAME
in   O
Mahaska   B-LOCATION
on   O
Wednesday   B-DATE
,   O
to   O
assess   O
recovery   O
and   O
manage   O
any   O
ongoing   O
needs   O
.   O

Patient   O
Education   O
:   O
Charles   B-NAME
Uher   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
on   O
appendicitis   O
and   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
only   O
for   O
the   O
use   O
within   O
the   O
treating   O
medical   O
team   O
at   O
General   B-LOCATION
Leonard   I-LOCATION
Wood   I-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
and   O
Washington   B-LOCATION
First   I-LOCATION
International   I-LOCATION
Bank   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
46598516   B-ID
Name   O
:   O
JABLONSKI   B-NAME
,   I-NAME
SHIRLEY   I-NAME
Age   O
:   O
82   O
Location   O
:   O
El   B-LOCATION
Paso   I-LOCATION
Zip   O
Code   O
:   O
38212   B-LOCATION
Phone   O
Number   O
:   O
796   B-CONTACT
-   I-CONTACT
2440   I-CONTACT
Date   O
of   O
Visit   O
:   O
03/24/99   B-DATE
Referring   O
Doctor   O
:   O
Hopkins   B-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Iowa   I-LOCATION
Hospitals   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
Presenting   O
Symptoms   O
:   O
Nixon   B-NAME
,   I-NAME
Richard   I-NAME
presented   O
at   O
the   O
clinic   O
on   O
23/12   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
pain   O
was   O
described   O
as   O
a   O
sharp   O
,   O
constant   O
ache   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
0/22   B-DATE
.   O

Additionally   O
,   O
Justine   B-NAME
Mcmillan   I-NAME
reported   O
experiencing   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
significant   O
loss   O
of   O
appetite   O
leading   O
to   O
unintended   O
weight   O
loss   O
over   O
the   O
past   O
month   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Samir   B-NAME
Combs   I-NAME
,   O
a   O
receptionist   O
,   O
noted   O
the   O
onset   O
of   O
mild   O
,   O
intermittent   O
abdominal   O
pain   O
approximately   O
2/21/96   B-DATE
ago   O
which   O
has   O
since   O
intensified   O
.   O

The   O
lack   O
of   O
relief   O
from   O
over   O
-   O
the   O
-   O
counter   O
medications   O
prompted   O
the   O
visit   O
to   O
Madison   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
on   O
22/22   B-DATE
.   O

Shoemaker   B-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
.   O

There   O
is   O
no   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
,   O
and   O
Whitney   B-NAME
Keller   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

The   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
were   O
discussed   O
with   O
Lorri   B-NAME
Whitmore   I-NAME
on   O
03/22   B-DATE
.   O

The   O
recommended   O
course   O
of   O
action   O
includes   O
admission   O
to   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Rahway   I-LOCATION
for   O
possible   O
surgical   O
intervention   O
.   O

Duffy   B-NAME
from   O
the   O
surgical   O
team   O
was   O
consulted   O
and   O
agreed   O
with   O
the   O
plan   O
for   O
cholecystectomy   O
.   O

Alfreda   B-NAME
Vandermark   I-NAME
was   O
advised   O
on   O
the   O
necessity   O
of   O
fasting   O
,   O
pre   O
-   O
operative   O
tests   O
,   O
and   O
the   O
anticipated   O
post   O
-   O
operative   O
care   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Thomas   B-NAME
Hoffman   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
12/22/88   B-DATE
post   O
-   O
operation   O
.   O

Edith   B-NAME
Osborn   I-NAME
will   O
also   O
be   O
referred   O
to   O
a   O
dietitian   O
for   O
nutritional   O
counseling   O
post   O
-   O
surgery   O
.   O

The   O
importance   O
of   O
managing   O
underlying   O
conditions   O
such   O
as   O
diabetes   O
and   O
hypertension   O
was   O
emphasized   O
to   O
Vernon   B-NAME
A   I-NAME
Lozano   I-NAME
,   O
with   O
adjustments   O
to   O
the   O
current   O
medication   O
regimen   O
to   O
be   O
evaluated   O
during   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Confidential   O
Information   O
:   O
For   O
any   O
further   O
inquiries   O
or   O
concerns   O
,   O
please   O
contact   O
Putnam   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
546   B-CONTACT
1829   I-CONTACT
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
30286629   B-ID
should   O
be   O
referenced   O
for   O
all   O
communications   O
.   O

Fletcher   B-NAME
Medical   O
Record   O
Number   O
:   O
0588949   B-ID
Date   O
of   O
Birth   O
:   O
61   O
Date   O
of   O
Visit   O
:   O
6/21   B-DATE
Physician   O
Name   O
:   O
Brackish   B-NAME
Okun   I-NAME
Phone   O
Number   O
:   O
379   B-CONTACT
677   I-CONTACT
8977   I-CONTACT
Hospital   O
:   O

Forbes   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
La   B-LOCATION
Bolt   I-LOCATION
Profession   O
:   O
Fitness   O
centre   O
manager   O
ID   O
Number   O
:   O
10   B-ID
-   I-ID
7272237   I-ID
Username   O
:   O
WI191   B-NAME
ZIP   O
Code   O
:   O
90424   B-LOCATION
Chief   O
Complaint   O
:   O

Malthus   B-NAME
,   I-NAME
Thomas   I-NAME
,   O
a   O
4   O
week   O
-   O
year   O
-   O
old   O
Traffic   O
Technicians   O
,   O
presented   O
to   O
Charity   B-LOCATION
Hospital   I-LOCATION
on   O
05/10   B-DATE
with   O
complaints   O
of   O
an   O
abrupt   O
onset   O
of   O
high   O
fever   O
,   O
severe   O
headache   O
,   O
and   O
muscle   O
pain   O
.   O

Furthermore   O
,   O
Boyer   B-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
earlier   O
in   O
the   O
day   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Helen   B-NAME
Uren   I-NAME
states   O
that   O
the   O
fever   O
reached   O
a   O
peak   O
of   O
102   O
°   O
F   O
,   O
measured   O
at   O
home   O
.   O

Harold   B-NAME
K.   I-NAME
Crosby   I-NAME
also   O
complains   O
of   O
photophobia   O
and   O
has   O
a   O
decreased   O
appetite   O
.   O

There   O
is   O
no   O
report   O
of   O
any   O
recent   O
travels   O
outside   O
Landa   B-LOCATION
or   O
any   O
known   O
sick   O
contact   O
.   O

Jacqueline   B-NAME
Contreras   I-NAME
denies   O
any   O
past   O
similar   O
episodes   O
and   O
states   O
that   O
they   O
have   O
not   O
taken   O
any   O
medications   O
for   O
the   O
current   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Margaret   B-NAME
Norris   I-NAME
reports   O
being   O
generally   O
healthy   O
with   O
no   O
significant   O
medical   O
history   O
.   O

Walken   B-NAME
,   I-NAME
Christopher   I-NAME
denies   O
any   O
known   O
drug   O
allergies   O
.   O

Social   O
History   O
:   O
Anthony   B-NAME
Edwardes   I-NAME
,   O
a   O
Fire   O
Inspectors   O
,   O
reports   O
a   O
non   O
-   O
smoker   O
status   O
and   O
occasional   O
alcohol   O
consumption   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
on   O
06/00   B-DATE
,   O
PHILLIPS   B-NAME
,   I-NAME
URHO   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
temperature   O
101.8   O
°   O
F   O
,   O
heart   O
rate   O
108   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
blood   O
pressure   O
120/80   O
mmHg   O
.   O

Given   O
the   O
symptoms   O
,   O
Lucia   B-NAME
Mills   I-NAME
suggested   O
symptomatic   O
treatment   O
including   O
antipyretics   O
for   O
fever   O
and   O
hydration   O
.   O

The   O
patient   O
was   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
return   O
to   O
UPMC   B-LOCATION
Kane   I-LOCATION
if   O
there   O
is   O
any   O
deterioration   O
in   O
their   O
condition   O
such   O
as   O
difficulty   O
breathing   O
,   O
or   O
inability   O
to   O
keep   O
liquids   O
down   O
.   O

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
25/00/79   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
condition   O
.   O

Patient   O
Instructions   O
:   O
Larry   B-NAME
Frantz   I-NAME
was   O
advised   O
to   O
rest   O
,   O
maintain   O
proper   O
hydration   O
,   O
and   O
avoid   O
contact   O
with   O
others   O
to   O
prevent   O
possible   O
transmission   O
of   O
an   O
infectious   O
agent   O
.   O

Deandre   B-NAME
Nielsen   I-NAME
provided   O
452   B-CONTACT
287   I-CONTACT
7609   I-CONTACT
for   O
Jaxon   B-NAME
to   O
call   O
in   O
case   O
of   O
any   O
questions   O
or   O
worsening   O
symptoms   O
.   O

Mathew   B-NAME
Thronson   I-NAME
was   O
reminded   O
of   O
the   O
follow   O
-   O
up   O
appointment   O
on   O
03/30/2253   B-DATE
at   O
Carilion   B-LOCATION
Clinic   I-LOCATION
St.   I-LOCATION
Albans   I-LOCATION
Hospital   I-LOCATION
,   O
Silver   B-LOCATION
Lakes   I-LOCATION
.   O

Prepared   O
by   O
:   O
VN488   B-NAME
09/58   B-DATE

Patient   O
Name   O
:   O
Lucian   B-NAME
Skinner   I-NAME
Gender   O
:   O
Female   O
Age   O
:   O
17   O
Date   O
of   O
Birth   O
:   O
1768   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
02   I-DATE
Address   O
:   O
Pymatuning   B-LOCATION
Central   I-LOCATION
,   O
52529   B-LOCATION
Phone   O
:   O
32343   B-CONTACT
Patient   O
ID   O
:   O
949373591   B-ID
Medical   O
Record   O
Number   O
:   O
45779923   B-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Kiersten   B-NAME
Herrera   I-NAME
Hospital   O
:   O

Sky   B-LOCATION
Lakes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Insurance   O
Provider   O
:   O
International   B-LOCATION
Coalition   I-LOCATION
against   I-LOCATION
Enforced   I-LOCATION
Disappearances   I-LOCATION
Employment   O
:   O
carpenter   O
at   O
Anti   B-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Coalition   I-LOCATION
(   I-LOCATION
AVC   I-LOCATION
)   I-LOCATION
Username   O
:   O
RU481   B-NAME
Date   O
of   O
Initial   O
Visit   O
:   O
2329   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
22   I-DATE
Follow   O
-   O
up   O
Visit   O
:   O
02/25/2263   B-DATE
Chief   O
Complaints   O
:   O
Randall   B-NAME
Pollard   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
2241   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
predominantly   O
in   O
the   O
lower   O
quadrants   O
,   O
intermittent   O
episodes   O
of   O
diarrhoea   O
and   O
occasional   O
mucous   O
in   O
stools   O
over   O
the   O
past   O
20/02   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Allee   B-NAME
,   I-NAME
W.   I-NAME
C.   I-NAME
has   O
been   O
experiencing   O
the   O
aforementioned   O
symptoms   O
for   O
approximately   O
00/25/1981   B-DATE
,   O
which   O
initially   O
began   O
as   O
mild   O
,   O
infrequent   O
abdominal   O
discomfort   O
and   O
diarrhoea   O
but   O
has   O
progressively   O
worsened   O
.   O

There   O
has   O
been   O
a   O
recorded   O
weight   O
loss   O
of   O
63   O
lbs   O
over   O
the   O
last   O
21/33/2348   B-DATE
months   O
without   O
any   O
changes   O
in   O
diet   O
or   O
exercise   O
regimen   O
.   O

Past   O
Medical   O
History   O
:   O
Wiggins   B-NAME
's   O
medical   O
history   O
includes   O
hypothyroidism   O
managed   O
with   O
medication   O
and   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
diagnosed   O
at   O
the   O
age   O
of   O
47   O
.   O

Social   O
History   O
:   O
Hanna   B-NAME
Davies   I-NAME
,   O
a   O
Mine   O
Cutting   O
and   O
Channeling   O
Machine   O
Operators   O
,   O
reports   O
a   O
moderate   O
intake   O
of   O
alcohol   O
but   O
denies   O
the   O
use   O
of   O
tobacco   O
or   O
recreational   O
drugs   O
.   O

Patient   O
lives   O
in   O
Lincolnwood   B-LOCATION
and   O
is   O
currently   O
employed   O
at   O
British   B-LOCATION
Columbia   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
on   O
11   B-DATE
-   I-DATE
39   I-DATE
,   O
Cristine   B-NAME
Solberg   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
abdominal   O
pain   O
.   O

Diagnostic   O
Evaluation   O
:   O
Colonoscopy   O
was   O
performed   O
by   O
Dr.   O
Nia   B-NAME
Campos   I-NAME
on   O
21/25   B-DATE
,   O
revealing   O
inflamed   O
and   O
ulcerated   O
mucosa   O
in   O
the   O
sigmoid   O
colon   O
and   O
rectum   O
.   O

Dietary   O
modifications   O
were   O
recommended   O
,   O
and   O
Vincenza   B-NAME
Lauer   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
8/21   B-DATE
or   O
return   O
earlier   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
arise   O
.   O

Further   O
,   O
Raymond   B-NAME
was   O
referred   O
to   O
a   O
gastroenterologist   O
at   O
UPMC   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Pittsburgh   I-LOCATION
for   O
ongoing   O
management   O
and   O
secondary   O
evaluation   O
.   O

Note   O
:   O
It   O
is   O
crucial   O
that   O
Gill   B-NAME
adheres   O
to   O
the   O
treatment   O
plan   O
and   O
promptly   O
reports   O
any   O
adverse   O
effects   O
of   O
the   O
medication   O
or   O
significant   O
changes   O
in   O
her   O
condition   O
.   O

Next   O
Appointment   O
:   O
33/02/2336   B-DATE
with   O
Dr.   O
Valentine   B-NAME
for   O
follow   O
-   O
up   O
and   O
review   O
of   O
treatment   O
efficacy   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Hernandez   B-NAME
Age   O
:   O
94   O
Date   O
of   O
Birth   O
:   O
04/11   B-DATE
Doctor   O
:   O
Simmons   B-NAME
Medical   O
Record   O
Number   O
:   O
80804932   B-ID
ID   O
:   O
84920   B-ID
Address   O
:   O
Grand   B-LOCATION
Junction   I-LOCATION
,   O
11677   B-LOCATION
Phone   O
:   O
508   B-CONTACT
-   I-CONTACT
1773   I-CONTACT
Occupation   O
:   O
Financial   O
Managers   O
Username   O
:   O

GW19   B-NAME
Hospital   O
:   O

MedStar   B-LOCATION
Franklin   I-LOCATION
Square   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/22   B-DATE
Date   O
of   O
Discharge   O
:   O
332   B-DATE
Clinical   O
Summary   O
:   O
Cooper   B-NAME
,   I-NAME
Diana   I-NAME
(   I-NAME
Lady   I-NAME
Diana   I-NAME
Manners   I-NAME
)   I-NAME
,   O
a   O
Railroad   O
Inspectors   O
residing   O
in   O
Kirkersville   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Florida   I-LOCATION
on   O
May   B-DATE
3   I-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Lindsey   B-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
similar   O
albeit   O
milder   O
episodes   O
in   O
the   O
past   O
,   O
but   O
none   O
in   O
recent   O
33/22/60   B-DATE
.   O

martin   B-NAME
denies   O
any   O
recent   O
travel   O
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

Laboratory   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
were   O
ordered   O
by   O
Stafford   B-NAME
White   I-NAME
,   O
showing   O
a   O
raised   O
white   O
cell   O
count   O
,   O
further   O
supporting   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

Under   O
the   O
care   O
of   O
Liam   B-NAME
Mills   I-NAME
,   O
Pamela   B-NAME
Lyons   I-NAME
was   O
promptly   O
administered   O
IV   O
fluids   O
and   O
antibiotics   O
to   O
manage   O
infection   O
and   O
hydration   O
.   O

Surgical   O
consultation   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
December   B-DATE
without   O
complications   O
.   O

The   O
postoperative   O
period   O
was   O
unremarkable   O
,   O
with   O
ostrowski   B-NAME
responding   O
well   O
to   O
the   O
treatment   O
.   O

Lawson   B-NAME
received   O
comprehensive   O
postoperative   O
instructions   O
and   O
was   O
discharged   O
on   O
16/12/2205   B-DATE
under   O
the   O
advice   O
to   O
follow   O
up   O
with   O
Quentin   B-NAME
Trujillo   I-NAME
within   O
a   O
week   O
for   O
a   O
wound   O
check   O
and   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Conclusion   O
:   O
Ione   B-NAME
Kerr   I-NAME
experienced   O
an   O
acute   O
episode   O
of   O
appendicitis   O
requiring   O
surgical   O
intervention   O
.   O

The   O
prompt   O
diagnosis   O
and   O
treatment   O
by   O
the   O
team   O
at   O
University   B-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
led   O
to   O
a   O
positive   O
outcome   O
without   O
any   O
complications   O
.   O

ostrowski   B-NAME
is   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
there   O
are   O
any   O
signs   O
of   O
infection   O
,   O
fever   O
,   O
or   O
unexpected   O
symptoms   O
.   O

Patient   O
Report   O
for   O
Nga   B-NAME
21   B-DATE
-   I-DATE
Aug-2313   I-DATE
,   O
Fuig   B-LOCATION
The   O
patient   O
,   O
Dale   B-NAME
Kim   I-NAME
,   O
a   O
Bill   O
and   O
Account   O
Collectors   O
,   O
presented   O
at   O
Fillmore   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

Patton   B-NAME
reports   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hyperlipidemia   O
managed   O
with   O
statins   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Alyson   B-NAME
Scott   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

An   O
appendectomy   O
was   O
suggested   O
by   O
Huff   B-NAME
considering   O
the   O
clinical   O
presentation   O
and   O
ultrasound   O
findings   O
.   O

Treatment   O
:   O
Heidi   B-NAME
Gunn   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
2362   B-DATE
without   O
any   O
complications   O
.   O

Xavier   B-NAME
Ware   I-NAME
was   O
advised   O
to   O
remain   O
in   O
Alaska   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
until   O
30/10/92   B-DATE
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
and   O
Frist   B-NAME
,   I-NAME
Bill   I-NAME
’s   O
symptoms   O
resolved   O
completely   O
.   O

Follow   O
-   O
up   O
:   O
Twain   B-NAME
,   I-NAME
Mark   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
02/03/2210   B-DATE
with   O
Clark   B-NAME
,   I-NAME
Frank   I-NAME
A.   I-NAME
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

-   O
Contact   O
HSHS   B-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
181   B-CONTACT
3366   I-CONTACT
immediately   O
in   O
case   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
other   O
concerns   O
.   O

Patient   O
ID   O
:   O
588716   B-ID
Medical   O
Record   O
Number   O
:   O
90508369   B-ID
Contact   O
:   O

21141   B-CONTACT
Note   O
:   O
It   O
is   O
crucial   O
for   O
Josh   B-NAME
Dalton   I-NAME
to   O
adhere   O
to   O
the   O
follow   O
-   O
up   O
appointments   O
and   O
care   O
at   O
home   O
instructions   O
to   O
ensure   O
a   O
smooth   O
recovery   O
and   O
to   O
prevent   O
potential   O
complications   O
.   O

Stop   B-LOCATION
Wickham   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SWAT   I-LOCATION
)   I-LOCATION
ensures   O
the   O
confidentiality   O
of   O
Ferreira   B-NAME
’s   O
personal   O
health   O
information   O
and   O
remains   O
committed   O
to   O
providing   O
high   O
-   O
quality   O
care   O
.   O

This   O
report   O
was   O
prepared   O
by   O
the   O
attending   O
physician   O
,   O
Bailey   B-NAME
Jensen   I-NAME
,   O
at   O
Hillcrest   B-LOCATION
Hospital   I-LOCATION
Claremore   I-LOCATION
,   O
Fairport   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
14450   I-LOCATION
,   O
on   O
10/17   B-DATE
.   O

For   O
further   O
information   O
or   O
inquiries   O
,   O
Saint   B-NAME
-   I-NAME
Exupéry   I-NAME
,   I-NAME
Antoine   I-NAME
de   I-NAME
or   O
relatives   O
may   O
contact   O
Peterson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
353   B-CONTACT
-   I-CONTACT
418   I-CONTACT
-   I-CONTACT
9617   I-CONTACT
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Christopher   B-NAME
Syn   I-NAME
Age   O
:   O
85   O
Medical   O
Record   O
Number   O
:   O
6115411   B-ID
Date   O
of   O
Birth   O
:   O
14/21   B-DATE
Contact   O
Number   O
:   O
268   B-CONTACT
-   I-CONTACT
468   I-CONTACT
-   I-CONTACT
3086   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dirac   B-NAME
,   I-NAME
Paul   I-NAME
Residential   O
Address   O
:   O
960   B-LOCATION
John   I-LOCATION
Street   I-LOCATION
,   O
76435   B-LOCATION
Admission   O
Date   O
:   O
00   B-DATE
-   I-DATE
07   I-DATE
Admission   O
Location   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
East   I-LOCATION
Presenting   O
Complaint   O
:   O
Lorelai   B-NAME
Rios   I-NAME
presents   O
with   O
a   O
complex   O
medical   O
history   O
including   O
chronic   O
hypertension   O
and   O
diabetes   O
managed   O
with   O
medication   O
.   O

Over   O
the   O
past   O
33   B-DATE
-   I-DATE
5   I-DATE
,   O
GUEVARA   B-NAME
,   I-NAME
ELIZABETH   I-NAME
has   O
reported   O
severe   O
,   O
intermittent   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
,   O
associated   O
with   O
photophobia   O
and   O
nausea   O
.   O

The   O
episodes   O
last   O
approximately   O
22   O
hours   O
and   O
have   O
increased   O
in   O
frequency   O
over   O
the   O
past   O
1884   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
18   I-DATE
.   O

Antunes   B-NAME
,   I-NAME
António   I-NAME
Lobo   I-NAME
denies   O
any   O
recent   O
trauma   O
or   O
falls   O
.   O

Clinical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Aryanna   B-NAME
Santana   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
was   O
ordered   O
and   O
performed   O
on   O
2080   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
25   I-DATE
did   O
not   O
show   O
any   O
acute   O
abnormalities   O
.   O

A   O
comprehensive   O
metabolic   O
panel   O
and   O
complete   O
blood   O
count   O
were   O
within   O
normal   O
limits   O
except   O
for   O
elevated   O
blood   O
glucose   O
levels   O
consistent   O
with   O
Chad   B-NAME
Crawford   I-NAME
's   O
ongoing   O
management   O
of   O
diabetes   O
.   O

Given   O
the   O
severity   O
and   O
impact   O
of   O
the   O
headache   O
symptoms   O
described   O
by   O
Flaminius   B-NAME
Blochberger   I-NAME
,   O
a   O
referral   O
to   O
neurology   O
for   O
further   O
evaluation   O
was   O
recommended   O
.   O

In   O
the   O
interim   O
,   O
Patricia   B-NAME
Nunn   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
onset   O
,   O
duration   O
,   O
associated   O
symptoms   O
,   O
and   O
alleviating   O
/   O
aggravating   O
factors   O
for   O
each   O
episode   O
.   O

Follow   O
-   O
up   O
with   O
primary   O
care   O
physician   O
,   O
Joaquin   B-NAME
Kemp   I-NAME
,   O
in   O
30/22   B-DATE
for   O
continuity   O
of   O
care   O
and   O
reassessment   O
.   O

Additional   O
Instructions   O
:   O
Yael   B-NAME
Massey   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
to   O
help   O
manage   O
their   O
existing   O
conditions   O
and   O
potentially   O
mitigate   O
the   O
frequency   O
of   O
headache   O
episodes   O
.   O

Bender   B-NAME
was   O
also   O
advised   O
to   O
avoid   O
known   O
headache   O
triggers   O
.   O

Follow   O
-   O
Up   O
:   O
Dustin   B-NAME
Duran   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Franco   B-NAME
on   O
2   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
32   I-DATE
at   O
Faxton   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
.   O

Additionally   O
,   O
an   O
appointment   O
with   O
the   O
neurology   O
department   O
was   O
secured   O
for   O
8   B-DATE
-   I-DATE
22   I-DATE
to   O
delve   O
further   O
into   O
potential   O
underlying   O
causes   O
and   O
to   O
optimize   O
headache   O
management   O
strategy   O
.   O

For   O
any   O
queries   O
or   O
immediate   O
concerns   O
,   O
Erica   B-NAME
Fox   I-NAME
can   O
contact   O
Barber   B-NAME
's   O
office   O
at   O
62142   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
UC   B-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Health   I-LOCATION
Hillcrest   I-LOCATION
-   I-LOCATION
Hillcrest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Prepared   O
by   O
:   O
WQ9210   B-NAME
,   O
Merchandise   O
Displayers   O
and   O
Window   O
Trimmers   O
23/20/52   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ayesha   B-NAME
Darcangelo   I-NAME
Patient   O
Age   O
:   O
42s   O
Patient   O
ID   O
:   O
MJ:10038:380211   B-ID
Medical   O
Record   O
Number   O
:   O
1347409   B-ID
Date   O
of   O
Visit   O
:   O
November   B-DATE
03   I-DATE
Location   O
:   O
Vevay   B-LOCATION
,   I-LOCATION
Vevay   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
Phone   O
:   O
931   B-CONTACT
-   I-CONTACT
622   I-CONTACT
8253   I-CONTACT
Zip   O
Code   O
:   O
27055   B-LOCATION

Rice   B-NAME
Hospital   O
Name   O
:   O
Mount   B-LOCATION
Sinai   I-LOCATION
Brooklyn   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Gretchen   B-NAME
Trevino   I-NAME
,   O
a   O
Gaming   O
Managers   O
from   O
Lexa   B-LOCATION
,   O
presented   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Folsom   I-LOCATION
on   O
2153   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
,   O
dry   O
cough   O
and   O
shortness   O
of   O
breath   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

Michiko   B-NAME
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Paulson   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Diagnostic   O
Studies   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
00/19   B-DATE
identified   O
bilateral   O
lower   O
lobe   O
infiltrates   O
,   O
suggestive   O
of   O
pneumonia   O
.   O

-   O
Supplemental   O
oxygen   O
to   O
be   O
administered   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
94   O
%   O
.   O
-   O
Repeat   O
chest   O
X   O
-   O
ray   O
in   O
2177   B-DATE
to   O
evaluate   O
the   O
response   O
to   O
therapy   O
.   O

-   O
Kevin   B-NAME
Solomon   I-NAME
is   O
advised   O
to   O
maintain   O
adequate   O
hydration   O
and   O
follow   O
a   O
balanced   O
diet   O
to   O
support   O
recovery   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
8/52   B-DATE
with   O
Pham   B-NAME
to   O
re   O
-   O
evaluate   O
the   O
patient   O
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
needed   O
.   O

For   O
any   O
concerns   O
or   O
deterioration   O
in   O
condition   O
,   O
Xavier   B-NAME
is   O
instructed   O
to   O
contact   O
Methodist   B-LOCATION
Mansfield   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
31840   B-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
.   O

The   O
patient   O
,   O
Morales   B-NAME
,   I-NAME
Evo   I-NAME
,   O
a   O
Wellhead   O
Pumpers   O
from   O
Autryville   B-LOCATION
,   O
presented   O
to   O
Formerly   B-LOCATION
Oakwood   I-LOCATION
Heritage   I-LOCATION
Hospital   I-LOCATION
on   O
2032   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
22   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
,   O
worsening   O
abdominal   O
pain   O
over   O
the   O
past   O
72   O
hours   O
.   O

Twana   B-NAME
Florestal   I-NAME
also   O
noted   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
decrease   O
in   O
appetite   O
.   O

There   O
was   O
no   O
fever   O
,   O
but   O
Wen   B-NAME
described   O
feeling   O
"   O
generally   O
unwell   O
.   O

"   O
Upon   O
examination   O
,   O
the   O
attending   O
physician   O
,   O
Maddox   B-NAME
,   O
observed   O
Sierra   B-NAME
Costa   I-NAME
's   O
vital   O
signs   O
to   O
be   O
within   O
normal   O
parameters   O
except   O
for   O
a   O
slightly   O
elevated   O
heart   O
rate   O
.   O

Given   O
the   O
clinical   O
findings   O
,   O
Mitsuko   B-NAME
Nerney   I-NAME
hypothesized   O
acute   O
appendicitis   O
as   O
a   O
preliminary   O
diagnosis   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
performed   O
on   O
01/12   B-DATE
,   O
indicating   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
periappendiceal   O
fluid   O
collection   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Ayla   B-NAME
Hull   I-NAME
's   O
97416435   B-ID
indicated   O
no   O
significant   O
past   O
medical   O
history   O
,   O
surgical   O
history   O
,   O
or   O
known   O
drug   O
allergies   O
.   O

Consent   O
for   O
surgical   O
intervention   O
was   O
obtained   O
after   O
explaining   O
the   O
risks   O
and   O
benefits   O
to   O
Kalam   B-NAME
,   I-NAME
APJ   I-NAME
Abdul   I-NAME
.   O

Laparoscopic   O
appendectomy   O
was   O
subsequently   O
performed   O
on   O
May   B-DATE
of   I-DATE
2240   I-DATE
,   O
without   O
complication   O
.   O

Postoperatively   O
,   O
Dalton   B-NAME
Edwards   I-NAME
was   O
managed   O
with   O
routine   O
postoperative   O
care   O
and   O
initiated   O
on   O
a   O
course   O
of   O
antibiotics   O
as   O
per   O
the   O
infectious   O
disease   O
guidelines   O
.   O

Madden   B-NAME
Kaufman   I-NAME
demonstrated   O
good   O
recovery   O
,   O
and   O
symptoms   O
significantly   O
improved   O
.   O

Brent   B-NAME
Cameron   I-NAME
was   O
discharged   O
from   O
UCHealth   B-LOCATION
Broomfield   I-LOCATION
Hospital   I-LOCATION
on   O
2/21/2322   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
on   O
09/28   B-DATE
.   O

Wheeler   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activity   O
and   O
to   O
gradually   O
increase   O
physical   O
activities   O
as   O
tolerated   O
.   O

For   O
any   O
queries   O
or   O
concerns   O
,   O
Park   B-NAME
was   O
given   O
the   O
contact   O
number   O
61238   B-CONTACT
to   O
reach   O
the   O
surgical   O
department   O
directly   O
.   O

The   O
office   O
of   O
Corea   B-NAME
,   I-NAME
Vernon   I-NAME
would   O
be   O
available   O
for   O
follow   O
-   O
up   O
appointments   O
or   O
any   O
necessary   O
consultations   O
post   O
-   O
discharge   O
.   O

Record   O
number   O
682   B-ID
-   I-ID
29   I-ID
-   I-ID
31   I-ID
-   I-ID
7   I-ID
and   O
patient   O
ID   O
76818   B-ID
were   O
referenced   O
for   O
all   O
documentation   O
and   O
communication   O
purposes   O
.   O

As   O
Lesha   B-NAME
Childress   I-NAME
continues   O
recovery   O
,   O
adherence   O
to   O
prescribed   O
medication   O
and   O
follow   O
-   O
up   O
care   O
is   O
essential   O
for   O
complete   O
resolution   O
and   O
return   O
to   O
normal   O
activities   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Judah   B-NAME
Horne   I-NAME
Patient   O
ID   O
:   O
307006826   B-ID
Medical   O
Record   O
Number   O
:   O
868   B-ID
-   I-ID
73   I-ID
-   I-ID
31   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
01   B-DATE
-   I-DATE
01   I-DATE
Age   O
:   O
94   O
Address   O
:   O
Luna   B-LOCATION
Pier   I-LOCATION
,   O
21712   B-LOCATION
Contact   O
Number   O
:   O
318   B-CONTACT
-   I-CONTACT
387   I-CONTACT
8039   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Darwin   B-NAME
Mejia   I-NAME
Hospital   O
:   O
Coatesville   B-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Ashley   B-NAME
Muma   I-NAME
,   O
a   O
Locomotive   O
Firers   O
residing   O
in   O
Vero   B-LOCATION
Beach   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Palestine   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
East   I-LOCATION
on   O
13/00   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
mainly   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
started   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Godwin   B-NAME
,   I-NAME
Mike   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
low   O
-   O
grade   O
fever   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
7/23/75   B-DATE
.   O
Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kalin   B-NAME
,   O
aged   O
8   O
,   O
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
,   O
provided   O
by   O
Gustavo   B-NAME
Frost   I-NAME
,   O
and   O
maintained   O
in   O
medical   O
records   O
931   B-ID
18   I-ID
64   I-ID
,   O
was   O
reviewed   O
for   O
any   O
contraindications   O
to   O
surgical   O
intervention   O
.   O

Following   O
the   O
diagnosis   O
,   O
Frances   B-NAME
York   I-NAME
was   O
admitted   O
to   O
Dearborn   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
DBA   I-LOCATION
Highpoint   I-LOCATION
Health   I-LOCATION
under   O
the   O
care   O
of   O
Compton   B-NAME
.   O

Laparoscopic   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
05/03/2195   B-DATE
without   O
any   O
complications   O
.   O

Post   O
-   O
operatively   O
,   O
Pamela   B-NAME
Falk   I-NAME
demonstrated   O
good   O
pain   O
control   O
,   O
with   O
resumption   O
of   O
oral   O
intake   O
and   O
ambulation   O
on   O
the   O
first   O
day   O
following   O
the   O
surgery   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
2016   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Frey   B-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Jessie   B-NAME
Adam   I-NAME
is   O
advised   O
to   O
monitor   O
the   O
incision   O
site   O
for   O
any   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
,   O
and   O
to   O
report   O
any   O
fever   O
or   O
persistent   O
pain   O
to   O
31091   B-CONTACT
.   O

A   O
post   O
-   O
operative   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
27/23   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
recovery   O
progress   O
.   O

*   O
*   O
Patient   O
Report   O
*   O
*   O
*   O
*   O
Patient   O
Information   O
:*   O
*   O
-   O
Name   O
:   O
Duvall   B-NAME
-   O
Age   O
:   O
70   O
-   O
ID   O
:   O
4   B-ID
-   I-ID
5485525   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
841   B-ID
-   I-ID
93   I-ID
-   I-ID
97   I-ID
-   O
Phone   O
Number   O
:   O
322   B-CONTACT
3621   I-CONTACT
-   O
Occupation   O
:   O
Criminal   O
Justice   O
and   O
Law   O
Enforcement   O
Teachers   O
,   O
Postsecondary   O
-   O
Address   O
:   O
Egan   B-LOCATION
,   O
96874   B-LOCATION
*   O
*   O
Encounter   O
Information   O
:*   O
*   O
-   O
Encounter   O
Date   O
:   O
06/33/2300   B-DATE
-   O
Attending   O
Physician   O
:   O
Baker   B-NAME
-   O
Hospital   O
Name   O
:   O
Turkey   B-LOCATION
Creek   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Organization   O
:   O
Interamerican   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Environmental   I-LOCATION
Defense   I-LOCATION
*   O
*   O
Chief   O
Complaint   O
:*   O
*   O

The   O
patient   O
,   O
Flynn   B-NAME
Saunders   I-NAME
,   O
presented   O
with   O
a   O
complaint   O
of   O
severe   O
,   O
continuous   O
throbbing   O
headache   O
primarily   O
localized   O
to   O
the   O
frontal   O
region   O
.   O

The   O
onset   O
of   O
these   O
symptoms   O
was   O
first   O
noted   O
approximately   O
02   B-DATE
-   I-DATE
00   I-DATE
,   O
with   O
episodes   O
lasting   O
from   O
a   O
few   O
hours   O
to   O
potentially   O
the   O
whole   O
day   O
.   O

Fiske   B-NAME
,   I-NAME
Irving   I-NAME
rates   O
the   O
pain   O
at   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Accompanying   O
symptoms   O
included   O
photophobia   O
and   O
phonophobia   O
,   O
leading   O
to   O
significant   O
disruption   O
in   O
Logan   B-NAME
Mejia   I-NAME
's   O
daily   O
life   O
as   O
a   O
Production   O
Laborers   O
.   O

*   O
*   O
Examination   O
Findings   O
:*   O
*   O
Physical   O
examination   O
,   O
performed   O
by   O
Conway   B-NAME
on   O
02/06   B-DATE
,   O
was   O
largely   O
unremarkable   O
,   O
with   O
no   O
signs   O
of   O
nuchal   O
rigidity   O
,   O
focal   O
neurological   O
deficits   O
,   O
or   O
altered   O
mental   O
status   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
13/12/26   B-DATE
,   O
and   O
Florentina   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
and   O
triggers   O
of   O
the   O
migraines   O
.   O

*   O
*   O
Follow   O
-   O
Up   O
Instructions   O
:*   O
*   O
Paulina   B-NAME
Marshall   I-NAME
is   O
advised   O
to   O
avoid   O
known   O
triggers   O
,   O
if   O
any   O
,   O
and   O
to   O
follow   O
a   O
regular   O
sleep   O
schedule   O
.   O

Additionally   O
,   O
Ballard   B-NAME
was   O
provided   O
with   O
education   O
on   O
lifestyle   O
and   O
dietary   O
modifications   O
that   O
may   O
help   O
in   O
reducing   O
the   O
frequency   O
of   O
migraine   O
episodes   O
.   O

*   O
*   O
Contact   O
Information   O
:*   O
*   O
For   O
any   O
urgent   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
,   O
Carmelo   B-NAME
Combs   I-NAME
is   O
instructed   O
to   O
contact   O
Valley   B-LOCATION
Forge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Hospital   I-LOCATION
at   O
325   B-CONTACT
3992   I-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
department   O
.   O

Patient   O
Name   O
:   O
Payack   B-NAME
,   I-NAME
Paul   I-NAME
JJ   I-NAME
Age   O
:   O
22   O
Date   O
of   O
Birth   O
:   O
6/20/52   B-DATE
Address   O
:   O
Halesite   B-LOCATION
,   O
95781   B-LOCATION
Phone   O
Number   O
:   O
89543   B-CONTACT
Occupation   O
:   O

Orthodontists   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Tynan   B-NAME
,   I-NAME
Kenneth   I-NAME
Medical   O
Record   O
Number   O
:   O
784   B-ID
-   I-ID
94   I-ID
-   I-ID
57   I-ID
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
8525700   I-ID
Admission   O
Date   O
:   O
22/22/13   B-DATE
Hospital   O
Name   O
:   O
PeaceHealth   B-LOCATION
Southwest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Snyder   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
32/13   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
before   O
admission   O
.   O

Frederick   B-NAME
Steele   I-NAME
denied   O
any   O
recent   O
changes   O
in   O
diet   O
or   O
any   O
foreign   O
travel   O
.   O

Past   O
Medical   O
History   O
:   O
Goodman   B-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
diagnosed   O
in   O
12/23   B-DATE
and   O
hypertension   O
.   O

Elmer   B-NAME
Hartman   I-NAME
is   O
currently   O
taking   O
Metformin   O
and   O
Lisinopril   O
.   O

Social   O
History   O
:   O
Herzog   B-NAME
,   I-NAME
Werner   I-NAME
is   O
a   O
Home   O
Health   O
Aides   O
at   O
Veterans   B-LOCATION
for   I-LOCATION
Common   I-LOCATION
Sense   I-LOCATION
(   I-LOCATION
VCS   I-LOCATION
)   I-LOCATION
and   O
denies   O
any   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Lives   O
in   O
East   B-LOCATION
Massapequa   I-LOCATION
with   O
spouse   O
and   O
two   O
children   O
.   O

Upon   O
examination   O
,   O
Clement   B-NAME
Molloch   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
to   O
be   O
stable   O
,   O
but   O
mild   O
tachycardia   O
was   O
present   O
.   O

Dr.   O
Romeo   B-NAME
Fuller   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
laparoscopic   O
appendectomy   O
.   O

Scarlett   B-NAME
Therrien   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
surgery   O
.   O

Informed   O
consent   O
was   O
obtained   O
on   O
34/22   B-DATE
.   O

Surgery   O
was   O
successfully   O
performed   O
on   O
28/08/2123   B-DATE
at   O
Porter   B-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
without   O
any   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Goodfellow   B-NAME
was   O
discharged   O
on   O
Monday   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Dr.   O
Heath   B-NAME
within   O
two   O
weeks   O
for   O
wound   O
inspection   O
and   O
management   O
of   O
diabetes   O
and   O
hypertension   O
.   O

he876   B-NAME

Patient   O
Report   O
for   O
David   B-NAME
Hayward   I-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
0   O
month   O
-   O
ID   O
:   O
ON337/9596   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
0560292   B-ID
-   O
Date   O
of   O
Admission   O
:   O
12/21   B-DATE
-   O
Location   O
of   O
Admission   O
:   O
Mon   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Maury   B-LOCATION
,   O
44727   B-LOCATION
-   O
Attending   O
Physician   O
:   O
Hatfield   B-NAME
-   O
Contact   O
Number   O
:   O
53647   B-CONTACT
Clinical   O
Summary   O
:   O
Ulises   B-NAME
Lopez   I-NAME
,   O
a   O
Nature   O
conservation   O
officer   O
from   O
Dendron   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
09/15   B-DATE
with   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
possible   O
appendicitis   O
.   O

Salome   B-NAME
Maedke   I-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
earlier   O
on   O
the   O
day   O
of   O
admission   O
.   O

Upon   O
examination   O
,   O
Reyes   B-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
rebound   O
tenderness   O
suggesting   O
peritoneal   O
irritation   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
ordered   O
by   O
Cross   B-NAME
,   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
periappendiceal   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Following   O
diagnosis   O
,   O
Jordin   B-NAME
Robinson   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
successfully   O
on   O
32/21   B-DATE
without   O
any   O
complications   O
.   O

Post   O
-   O
operatively   O
,   O
Spring   B-NAME
Lampton   I-NAME
was   O
administered   O
intravenous   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

The   O
patient   O
demonstrated   O
significant   O
improvement   O
post   O
-   O
operation   O
and   O
was   O
discharged   O
on   O
9/04/25   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
with   O
Amiyah   B-NAME
Logan   I-NAME
at   O
Lacona   B-LOCATION
's   O
outpatient   O
department   O
.   O

OCASIO   B-NAME
,   I-NAME
GEORGE   I-NAME
OJAS   I-NAME
was   O
also   O
provided   O
with   O
guidance   O
on   O
wound   O
care   O
and   O
signs   O
of   O
possible   O
complication   O
to   O
monitor   O
for   O
,   O
including   O
fever   O
,   O
increased   O
pain   O
,   O
and   O
symptoms   O
of   O
infection   O
.   O

Conclusion   O
:   O
Vetranio   B-NAME
Kominski   I-NAME
's   O
case   O
of   O
acute   O
appendicitis   O
was   O
managed   O
successfully   O
through   O
timely   O
surgical   O
intervention   O
and   O
appropriate   O
post   O
-   O
operative   O
care   O
.   O

The   O
patient   O
is   O
anticipated   O
to   O
make   O
a   O
full   O
recovery   O
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
January   B-DATE
07   I-DATE
,   I-DATE
2302   I-DATE
to   O
assess   O
post   O
-   O
operative   O
healing   O
and   O
to   O
address   O
any   O
residual   O
symptoms   O
or   O
concerns   O
.   O

For   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
the   O
primary   O
care   O
physician   O
,   O
Piper   B-NAME
Buck   I-NAME
,   O
at   O
57263   B-CONTACT
.   O

Document   O
Prepared   O
By   O
:   O
Municipal   O
Fire   O
Fighters   O
,   O
Fred   B-LOCATION
's   I-LOCATION
July   B-DATE
(   O
Note   O
:   O
All   O
PHI   O
has   O
been   O
removed   O
or   O
replaced   O
with   O
appropriate   O
placeholders   O
in   O
line   O
with   O
HIPAA   O
guidelines   O
and   O
privacy   O
protection   O
protocols   O
.   O
)   O

Patient   O
Report   O
for   O
Raymond   B-NAME
Personal   O
Information   O
:   O
Patient   O
ID   O
:   O
267   B-ID
-   I-ID
64   I-ID
-   I-ID
01   I-ID
-   I-ID
9   I-ID
Age   O
:   O
20s   O
Phone   O
Number   O
:   O
(   B-CONTACT
165   I-CONTACT
)   I-CONTACT
136   I-CONTACT
1705   I-CONTACT
Residence   O
:   O
Hazel   B-LOCATION
Run   I-LOCATION
,   O
21140   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
Mylee   B-NAME
Edwards   I-NAME
,   O
presented   O
to   O
CHRISTUS   B-LOCATION
Ochsner   I-LOCATION
Lake   I-LOCATION
Area   I-LOCATION
on   O
31/20/2237   B-DATE
with   O
complaints   O
that   O
have   O
progressively   O
worsened   O
over   O
a   O
period   O
of   O
approximately   O
two   O
weeks   O
.   O

Additionally   O
,   O
Stroustrup   B-NAME
,   I-NAME
Bjarne   I-NAME
described   O
episodes   O
of   O
vertigo   O
that   O
disrupt   O
daily   O
activities   O
,   O
noting   O
that   O
these   O
episodes   O
are   O
sometimes   O
accompanied   O
by   O
nausea   O
.   O

The   O
patient   O
's   O
medical   O
record   O
(   O
1622950   B-ID
)   O
shows   O
a   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
HOFFMAN   B-NAME
,   I-NAME
VICTOR   I-NAME
is   O
currently   O
under   O
medication   O
prescribed   O
by   O
Jermaine   B-NAME
Gaines   I-NAME
.   O

There   O
is   O
no   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
as   O
per   O
the   O
information   O
available   O
in   O
Overlake   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
records   O
.   O

Further   O
diagnostic   O
tests   O
,   O
including   O
a   O
head   O
MRI   O
ordered   O
by   O
Baxter   B-NAME
on   O
September   B-DATE
2002   I-DATE
,   O
revealed   O
no   O
acute   O
intracranial   O
pathology   O
.   O

Management   O
Plan   O
:   O
Davin   B-NAME
Gilmore   I-NAME
recommended   O
adjusting   O
the   O
current   O
antihypertensive   O
therapy   O
to   O
better   O
manage   O
the   O
patient   O
's   O
blood   O
pressure   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
02/02   B-DATE
to   O
reassess   O
symptoms   O
and   O
blood   O
pressure   O
control   O
.   O

In   O
case   O
of   O
emergency   O
,   O
Ryan   B-NAME
Chamberlain   I-NAME
has   O
authorized   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Joplin   I-LOCATION
to   O
contact   O
a   O
listed   O
next   O
of   O
kin   O
via   O
(   B-CONTACT
439   I-CONTACT
)   I-CONTACT
590   I-CONTACT
-   I-CONTACT
2506   I-CONTACT
.   O

Patient   O
Consent   O
:   O
Consent   O
for   O
treatment   O
and   O
data   O
processing   O
was   O
obtained   O
from   O
the   O
patient   O
,   O
Miya   B-NAME
Rivas   I-NAME
,   O
on   O
2193   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
21   I-DATE
.   O

Consent   O
documentation   O
is   O
stored   O
in   O
Children   B-LOCATION
's   I-LOCATION
of   I-LOCATION
Alabama   I-LOCATION
Russell   I-LOCATION
Campus   I-LOCATION
's   O
records   O
under   O
ID   O
982   B-ID
-   I-ID
36   I-ID
-   I-ID
76   I-ID
-   I-ID
5   I-ID
.   O
Prepared   O
by   O
:   O
Hartman   B-NAME
21/02   B-DATE
Marshall   B-LOCATION
Municipal   I-LOCATION
Utilities   I-LOCATION
is   O
committed   O
to   O
protecting   O
the   O
privacy   O
and   O
security   O
of   O
all   O
patients   O
.   O

For   O
questions   O
or   O
more   O
information   O
,   O
please   O
contact   O
our   O
privacy   O
office   O
at   O
(   B-CONTACT
361   I-CONTACT
)   I-CONTACT
580   I-CONTACT
3843   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Oglesby   B-NAME
Age   O
:   O
57   O
Date   O
of   O
Birth   O
:   O
33/23/2193   B-DATE
Address   O
:   O
Gaffney   B-LOCATION
,   O
67411   B-LOCATION
Phone   O
Number   O
:   O
929   B-CONTACT
-   I-CONTACT
481   I-CONTACT
-   I-CONTACT
1836   I-CONTACT
Occupation   O
:   O
Municipal   O
Fire   O
Fighters   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Meghan   B-NAME
Nash   I-NAME
Medical   O
Record   O
Number   O
:   O
06833182   B-ID
Patient   O
ID   O
:   O
FC   B-ID
:   I-ID
DR:7664   I-ID
Admission   O
Date   O
:   O
Tuesday   B-DATE
Hospital   O
:   O
Medical   B-LOCATION
West   I-LOCATION
Summary   O
:   O
Dimaia   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
UM   B-LOCATION
Harford   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2/91   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Hailee   B-NAME
Cunningham   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
.   O

Sydney   B-NAME
Owens   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

Upon   O
examination   O
,   O
Mikayla   B-NAME
Wilkins   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
98   O
beats   O
per   O
minute   O
,   O
temperature   O
98.6   O
°   O
F   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
.   O

Jaffe   B-NAME
,   I-NAME
Bob   I-NAME
was   O
admitted   O
to   O
Whitman   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Dixon   B-NAME
for   O
further   O
management   O
,   O
which   O
included   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
,   O
intravenous   O
hydration   O
,   O
and   O
pain   O
control   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Kathy   B-NAME
Gallegos   I-NAME
's   O
condition   O
progressively   O
improved   O
with   O
the   O
prescribed   O
treatment   O
regimen   O
.   O

A   O
follow   O
-   O
up   O
abdominal   O
ultrasound   O
on   O
32/19   B-DATE
showed   O
no   O
evidence   O
of   O
gallstones   O
or   O
significant   O
abnormalities   O
.   O

The   O
etiology   O
of   O
the   O
pancreatitis   O
was   O
attributed   O
to   O
Lavern   B-NAME
Eargle   I-NAME
's   O
history   O
of   O
hypertriglyceridemia   O
.   O

Katelynn   B-NAME
Flores   I-NAME
was   O
discharged   O
on   O
February   B-DATE
18   I-DATE
,   I-DATE
2266   I-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Travis   B-NAME
Hodge   I-NAME
and   O
dietary   O
recommendations   O
to   O
avoid   O
high   O
-   O
fat   O
foods   O
.   O

cline   B-NAME
was   O
also   O
advised   O
to   O
monitor   O
blood   O
glucose   O
levels   O
and   O
to   O
continue   O
with   O
the   O
diabetic   O
medication   O
regimen   O
.   O

For   O
more   O
information   O
or   O
to   O
discuss   O
Stephane   B-NAME
Krivanec   I-NAME
's   O
ongoing   O
care   O
plan   O
,   O
please   O
contact   O
Dr.   O
Katherin   B-NAME
Bulnes   I-NAME
at   O
114   B-CONTACT
-   I-CONTACT
7277   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Julissa   B-NAME
Kennedy   I-NAME
Patient   O
ID   O
:   O
LZ722/7425   B-ID
Medical   O
Record   O
Number   O
:   O
358   B-ID
-   I-ID
85   I-ID
-   I-ID
44   I-ID
Date   O
of   O
Birth   O
:   O
1837   B-DATE
Age   O
:   O
14   O
Phone   O
Number   O
:   O
372   B-CONTACT
6381   I-CONTACT
Address   O
:   O
Beeville   B-LOCATION
,   I-LOCATION
Beeville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
,   O
76646   B-LOCATION
Occupation   O
:   O
Food   O
and   O
Tobacco   O
Roasting   O
,   O
Baking   O
,   O
and   O
Drying   O
Machine   O
Operators   O
and   O
Tenders   O
Primary   O
Care   O
Physician   O
:   O

Zamora   B-NAME
Hospital   O
:   O
McLarenOrthopedic   B-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Kevin   B-NAME
Collins   I-NAME
presented   O
on   O
12/22/13   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
dry   O
cough   O
,   O
and   O
fatigue   O
.   O

Palahniuk   B-NAME
,   I-NAME
Chuck   I-NAME
mentioned   O
that   O
these   O
symptoms   O
have   O
been   O
worsening   O
over   O
the   O
past   O
14/14/73   B-DATE
.   O

Angie   B-NAME
Bailey   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
on   O
March   B-DATE
12th   I-DATE
.   O

General   O
:   O
Xzavior   B-NAME
is   O
a   O
92   O
-   O
year   O
-   O
old   O
Field   O
trials   O
officer   O
in   O
no   O
acute   O
distress   O
.   O

Roxanne   B-NAME
Turner   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
advised   O
to   O
increase   O
fluid   O
intake   O
,   O
rest   O
,   O
and   O
monitor   O
blood   O
glucose   O
levels   O
more   O
frequently   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Boyd   B-NAME
at   O
St.   B-LOCATION
Cloud   I-LOCATION
Hospital   I-LOCATION
on   O
06/03/2152   B-DATE
.   O

Instructions   O
were   O
given   O
to   O
Gay   B-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
increased   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
persistent   O
fever   O
.   O

For   O
any   O
further   O
information   O
or   O
to   O
report   O
worsening   O
symptoms   O
,   O
Kylie   B-NAME
Sanford   I-NAME
can   O
contact   O
Northcrest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
83424   B-CONTACT
.   O

This   O
patient   O
report   O
has   O
been   O
prepared   O
by   O
qw22   B-NAME
on   O
09/21   B-DATE
and   O
is   O
valid   O
until   O
the   O
next   O
review   O
scheduled   O
on   O
5   B-DATE
-   I-DATE
0   I-DATE
.   O

Patient   O
:   O
Hailey   B-NAME
Travis   I-NAME
ID   O
:   O
24129   B-ID
Medical   O
Record   O
Number   O
:   O
59990120   B-ID
Age   O
:   O
67   O
Phone   O
Number   O
:   O
89887   B-CONTACT
Address   O
:   O
Tuckerton   B-LOCATION
,   O
76185   B-LOCATION
Doctor   O
:   O
Sarita   B-NAME
Iadarola   I-NAME
Hospital   O
:   O
Cass   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Date   O
of   O
Initial   O
Consultation   O
:   O
07/40   B-DATE
Profession   O
:   O
Health   O
Diagnosing   O
and   O
Treating   O
Practitioners   O
,   O
All   O
Other   O
Username   O
:   O
vij314   B-NAME
Clinical   O
Narrative   O
:   O
Reynaldo   B-NAME
Forbes   I-NAME
,   O
a   O
Screen   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
of   O
2   O
years   O
,   O
presented   O
to   O
Larkin   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
04/22/1933   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
located   O
in   O
the   O
frontal   O
region   O
.   O

Lennon   B-NAME
,   I-NAME
John   I-NAME
has   O
a   O
prior   O
medical   O
history   O
significant   O
for   O
migraines   O
but   O
notes   O
that   O
the   O
current   O
episode   O
is   O
markedly   O
more   O
intense   O
than   O
usual   O
episodes   O
.   O

On   O
examination   O
,   O
Claire   B-NAME
Ramsey   I-NAME
was   O
found   O
to   O
be   O
neurologically   O
intact   O
but   O
displayed   O
signs   O
of   O
considerable   O
distress   O
due   O
to   O
pain   O
.   O

A   O
focused   O
neurological   O
assessment   O
did   O
not   O
reveal   O
any   O
focal   O
deficits   O
,   O
and   O
Robert   B-NAME
Renault   I-NAME
's   O
cranial   O
nerves   O
were   O
intact   O
.   O

Given   O
the   O
severity   O
and   O
acute   O
nature   O
of   O
the   O
symptoms   O
,   O
a   O
decision   O
was   O
made   O
by   O
Travis   B-NAME
to   O
proceed   O
with   O
a   O
non   O
-   O
contrast   O
head   O
CT   O
to   O
rule   O
out   O
any   O
acute   O
pathology   O
such   O
as   O
hemorrhage   O
.   O

The   O
imaging   O
,   O
performed   O
at   O
Spanish   B-LOCATION
Fork   I-LOCATION
Hospital   I-LOCATION
on   O
22   B-DATE
-   I-DATE
02   I-DATE
,   O
was   O
unremarkable   O
.   O

Over   O
a   O
span   O
of   O
several   O
hours   O
,   O
Kruger   B-NAME
,   I-NAME
Barbara   I-NAME
reported   O
a   O
gradual   O
decrease   O
in   O
headache   O
intensity   O
and   O
was   O
able   O
to   O
tolerate   O
oral   O
intake   O
.   O

Quintus   B-NAME
Bachmeyer   I-NAME
was   O
given   O
a   O
prescription   O
for   O
sumatriptan   O
to   O
manage   O
future   O
migraine   O
episodes   O
and   O
advised   O
to   O
follow   O
up   O
with   O
Mendoza   B-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
recur   O
.   O

Lamar   B-NAME
Werner   I-NAME
was   O
discharged   O
on   O
33/28/73   B-DATE
with   O
instructions   O
to   O
maintain   O
hydration   O
,   O
avoid   O
known   O
migraine   O
triggers   O
,   O
and   O
keep   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
new   O
triggers   O
or   O
patterns   O
.   O

A   O
follow   O
-   O
up   O
call   O
was   O
scheduled   O
for   O
12/04/09   B-DATE
to   O
discuss   O
symptom   O
management   O
and   O
efficacy   O
of   O
the   O
prescribed   O
treatment   O
regimen   O
.   O

Reggie   B-NAME
Beirne   I-NAME
was   O
also   O
advised   O
to   O
monitor   O
blood   O
pressure   O
at   O
home   O
,   O
given   O
the   O
slight   O
elevation   O
noted   O
during   O
the   O
visit   O
,   O
and   O
report   O
any   O
readings   O
consistently   O
above   O
normal   O
ranges   O
.   O

The   O
case   O
of   O
Demarcus   B-NAME
Simmons   I-NAME
highlights   O
the   O
importance   O
of   O
a   O
thorough   O
evaluation   O
and   O
tailored   O
approach   O
to   O
managing   O
acute   O
migraine   O
episodes   O
in   O
patients   O
with   O
a   O
known   O
history   O
of   O
migraines   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
to   O
reschedule   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
Malia   B-NAME
Schroeder   I-NAME
or   O
a   O
designated   O
caregiver   O
may   O
contact   O
Chandler   B-NAME
at   O
(   B-CONTACT
570   I-CONTACT
)   I-CONTACT
623   I-CONTACT
8729   I-CONTACT
.   O

Patient   O
:   O
Xena   B-NAME
Acuna   I-NAME
Medical   O
Record   O
Number   O
:   O
457   B-ID
-   I-ID
22   I-ID
-   I-ID
88   I-ID
Date   O
of   O
Birth   O
:   O
9/25/2180   B-DATE
Age   O
:   O
32   O
Address   O
:   O
Monroe   B-LOCATION
City   I-LOCATION
,   O
48252   B-LOCATION
Phone   O
:   O
156   B-CONTACT
9617   I-CONTACT
Primary   O
Physician   O
:   O

Griffin   B-NAME
Hospital   O
:   O
Wyckoff   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Employment   O
:   O
IT   O
consultant   O
at   O
Titan   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Attending   O
Nurse   O
:   O
vy588   B-NAME
Medical   O
History   O
Summary   O
:   O
The   O
patient   O
,   O
Dotson   B-NAME
,   O
presented   O
on   O
32/25   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
progressive   O
shortness   O
of   O
breath   O
,   O
exacerbated   O
by   O
physical   O
exertion   O
,   O
and   O
a   O
dry   O
,   O
non   O
-   O
productive   O
cough   O
that   O
has   O
been   O
persistent   O
for   O
approximately   O
two   O
weeks   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Mya   B-NAME
Sweeney   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
dyspnea   O
.   O

Vital   O
signs   O
recorded   O
on   O
21/00/2242   B-DATE
include   O
blood   O
pressure   O
140/90   O
mmHg   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
Saturday   B-DATE
,   I-DATE
July   I-DATE
demonstrated   O
bilateral   O
lower   O
lobe   O
infiltrates   O
.   O

Echocardiogram   O
scheduled   O
for   O
12/33   B-DATE
for   O
further   O
evaluation   O
of   O
cardiac   O
structure   O
and   O
function   O
due   O
to   O
symptoms   O
of   O
palpitations   O
and   O
chest   O
tightness   O
.   O

4   O
.   O
Schedule   O
follow   O
-   O
up   O
appointment   O
for   O
2/6   B-DATE
to   O
reassess   O
symptoms   O
and   O
response   O
to   O
treatment   O
.   O

Kendall   B-NAME
Roth   I-NAME
is   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
return   O
to   O
Children   B-LOCATION
's   I-LOCATION
Home   I-LOCATION
of   I-LOCATION
Pittsburgh   I-LOCATION
,   I-LOCATION
The   I-LOCATION
or   O
contact   O
Bernard   B-NAME
Parsons   I-NAME
at   O
661   B-CONTACT
355   I-CONTACT
-   I-CONTACT
9524   I-CONTACT
if   O
there   O
is   O
any   O
worsening   O
of   O
symptoms   O
,   O
such   O
as   O
increased   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
fever   O
.   O

A   O
follow   O
-   O
up   O
phone   O
consultation   O
is   O
scheduled   O
for   O
30/22/67   B-DATE
to   O
discuss   O
the   O
echocardiogram   O
results   O
and   O
any   O
adjustments   O
to   O
the   O
treatment   O
plan   O
.   O

This   O
summarized   O
report   O
was   O
generated   O
for   O
Eileen   B-NAME
Sparks   I-NAME
with   O
2   B-ID
-   I-ID
5440106   I-ID
and   O
kept   O
within   O
University   B-LOCATION
of   I-LOCATION
Connecticut   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
/   I-LOCATION
John   I-LOCATION
Dempsey   I-LOCATION
Hospital   I-LOCATION
's   O
secure   O
health   O
record   O
system   O
.   O

All   O
further   O
inquiries   O
should   O
be   O
directed   O
to   O
Chaney   B-NAME
in   O
charge   O
of   O
the   O
case   O
,   O
adhering   O
to   O
patient   O
confidentiality   O
and   O
privacy   O
regulations   O
.   O

Patient   O
Name   O
:   O
Stalin   B-NAME
,   I-NAME
Joseph   I-NAME
Age   O
:   O
11   O
Medical   O
Record   O
Number   O
:   O
37175455   B-ID
Date   O
of   O
Consultation   O
:   O
9/23/10   B-DATE
Consulting   O
Physician   O
:   O

Catalina   B-NAME
Hickman   I-NAME
Facility   O
:   O
Cape   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Melba   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
529   I-CONTACT
)   I-CONTACT
279   I-CONTACT
6995   I-CONTACT
Employment   O
:   O
Food   O
Preparation   O
Workers   O
Patient   O
ID   O
:   O
33989   B-ID
Username   O
:   O
hsr716   B-NAME
ZIP   O
Code   O
:   O
84175   B-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
COOKE   B-NAME
,   I-NAME
FREDI   I-NAME
,   O
presents   O
with   O
acute   O
abdominal   O
pain   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
24   O
hours   O
before   O
the   O
consultation   O
on   O
1673   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Casey   B-NAME
Copeland   I-NAME
noticed   O
the   O
onset   O
of   O
discomfort   O
after   O
eating   O
dinner   O
on   O
31/31/32   B-DATE
.   O

Penney   B-NAME
Winans   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
consumption   O
,   O
or   O
known   O
exposure   O
to   O
individuals   O
with   O
similar   O
symptoms   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
already   O
specified   O
,   O
Yael   B-NAME
Keeler   I-NAME
denies   O
experiencing   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
headaches   O
,   O
or   O
any   O
form   O
of   O
bleeding   O
.   O

On   O
examination   O
,   O
Miranda   B-NAME
Ramos   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

The   O
plan   O
includes   O
obtaining   O
an   O
abdominal   O
ultrasound   O
to   O
confirm   O
the   O
diagnosis   O
,   O
followed   O
by   O
consultation   O
with   O
a   O
general   O
surgeon   O
from   O
Chemical   B-LOCATION
Abstracts   I-LOCATION
Service   I-LOCATION
(   I-LOCATION
CAS   I-LOCATION
)   I-LOCATION
.   O

joshi   B-NAME
is   O
currently   O
under   O
observation   O
with   O
intravenous   O
hydration   O
and   O
has   O
been   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
in   O
anticipation   O
of   O
possible   O
surgery   O
.   O

Acevedo   B-NAME
will   O
be   O
reassessed   O
after   O
the   O
initial   O
diagnostic   O
tests   O
are   O
completed   O
,   O
and   O
a   O
definitive   O
plan   O
will   O
be   O
formulated   O
based   O
on   O
those   O
findings   O
.   O

Eggers   B-NAME
,   I-NAME
Dave   I-NAME
has   O
instructed   O
Soledad   B-NAME
Halterman   I-NAME
to   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
new   O
concerns   O
immediately   O
.   O

Patient   O
Report   O
:   O
--------------   O
Patient   O
Identification   O
:   O
Stuart   B-NAME
Price   I-NAME
Age   O
:   O
92   O
Date   O
of   O
Birth   O
:   O
09/26   B-DATE
Medical   O
Record   O
Number   O
:   O
21460014   B-ID
Date   O
of   O
Report   O
:   O
4   B-DATE
-   I-DATE
19   I-DATE
Address   O
:   O
Grapevine   B-LOCATION
,   O
64479   B-LOCATION
Physician   O
:   O

Knight   B-NAME
Attending   O
Hospital   O
:   O

Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Issaquah   I-LOCATION
Contact   O
Number   O
:   O
59728   B-CONTACT
Clinical   O
History   O
:   O
-----------------   O
Reese   B-NAME
Kaufman   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Peconic   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
November   B-DATE
11   I-DATE
,   O
with   O
complaints   O
of   O
acute   O
onset   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
over   O
the   O
past   O
few   O
hours   O
.   O

Upon   O
examination   O
,   O
Leana   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
------------------------------   O
Rylee   B-NAME
Horne   I-NAME
was   O
immediately   O
started   O
on   O
a   O
regimen   O
of   O
aspirin   O
,   O
clopidogrel   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
.   O

Post   O
-   O
procedure   O
,   O
the   O
patient   O
was   O
monitored   O
in   O
the   O
cardiac   O
care   O
unit   O
of   O
Hampton   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
8/09/2320   B-DATE
days   O
,   O
showing   O
improvement   O
in   O
symptoms   O
and   O
stabilization   O
of   O
cardiac   O
function   O
.   O

Following   O
discharge   O
,   O
Lexiss   B-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Charles   B-NAME
in   O
Stockdale   B-LOCATION
for   O
further   O
cardiac   O
rehabilitation   O
and   O
management   O
of   O
risk   O
factors   O
.   O

For   O
any   O
further   O
information   O
or   O
to   O
discuss   O
the   O
case   O
in   O
detail   O
,   O
please   O
contact   O
Connolly   B-NAME
,   I-NAME
Cyril   I-NAME
at   O
(   B-CONTACT
461   I-CONTACT
)   I-CONTACT
498   I-CONTACT
9274   I-CONTACT
or   O
visit   O
Mid   B-LOCATION
-   I-LOCATION
America   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
at   O
Lake   B-LOCATION
Koshkonong   I-LOCATION
,   O
63934   B-LOCATION
.   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
Vinnie   B-NAME
protected   O
under   O
federal   O
and   O
state   O
law   O
.   O

Document   O
Prepared   O
by   O
:   O
Sports   O
therapist   O
:   O
mrz831   B-NAME
Date   O
:   O
December   B-DATE
00   I-DATE
Medical   O
Record   O
Number   O
:   O
21619720   B-ID

Patient   O
Report   O
for   O
Kurtz   B-NAME
,   I-NAME
Scott   I-NAME
R.   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
36   O
-   O
Date   O
of   O
Birth   O
:   O
09/30/75   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
3352054   B-ID
-   O
Phone   O
:   O
134   B-CONTACT
-   I-CONTACT
6339   I-CONTACT
-   O
Location   O
:   O
Capitol   B-LOCATION
Heights   I-LOCATION
-   O
ZIP   O
:   O
99640   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
Peter   B-NAME
Goldstone   I-NAME
,   O
has   O
been   O
facing   O
ongoing   O
health   O
challenges   O
that   O
brought   O
them   O
to   O
the   O
attention   O
of   O
Frank   B-NAME
Jones   I-NAME
at   O
AMITA   B-LOCATION
Health   I-LOCATION
Adventist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Bolingbrook   I-LOCATION
.   O

During   O
the   O
initial   O
consultation   O
on   O
9/0   B-DATE
,   O
Cantu   B-NAME
reported   O
experiencing   O
severe   O
,   O
recurrent   O
abdominal   O
pain   O
,   O
exacerbated   O
by   O
eating   O
,   O
particularly   O
foods   O
high   O
in   O
fat   O
.   O

Madeline   B-NAME
Sampson   I-NAME
also   O
reported   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
,   O
which   O
seem   O
to   O
follow   O
the   O
consumption   O
of   O
food   O
.   O

In   O
addition   O
to   O
gastrointestinal   O
symptoms   O
,   O
Ali   B-NAME
,   I-NAME
Muhammad   I-NAME
has   O
been   O
experiencing   O
a   O
noticeable   O
jaundice   O
,   O
indicating   O
possible   O
bile   O
duct   O
obstruction   O
.   O

Diagnostic   O
Tests   O
:   O
To   O
further   O
investigate   O
the   O
symptoms   O
described   O
by   O
Lazarus   B-NAME
Nothacker   I-NAME
,   O
Woodward   B-NAME
recommended   O
a   O
series   O
of   O
diagnostic   O
tests   O
.   O

The   O
results   O
of   O
these   O
tests   O
,   O
conducted   O
on   O
6/8   B-DATE
,   O
suggested   O
the   O
presence   O
of   O
gallstones   O
,   O
which   O
could   O
be   O
obstructing   O
the   O
bile   O
ducts   O
,   O
leading   O
to   O
the   O
symptoms   O
reported   O
.   O

Based   O
on   O
the   O
diagnosis   O
,   O
Fox   B-NAME
,   I-NAME
Virgil   I-NAME
proposed   O
a   O
surgical   O
intervention   O
to   O
remove   O
the   O
gallstones   O
.   O

The   O
surgery   O
,   O
a   O
cholecystectomy   O
,   O
was   O
scheduled   O
at   O
Grove   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
January   B-DATE
12   I-DATE
.   O

The   O
procedure   O
was   O
explained   O
to   O
LF   B-NAME
,   O
including   O
potential   O
risks   O
and   O
the   O
expected   O
recovery   O
process   O
.   O

Post   O
-   O
surgery   O
,   O
Ezequiel   B-NAME
Schultz   I-NAME
would   O
require   O
a   O
short   O
hospital   O
stay   O
for   O
monitoring   O
,   O
followed   O
by   O
several   O
weeks   O
of   O
at   O
-   O
home   O
recovery   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Sidney   B-NAME
Stephenson   I-NAME
with   O
Martha   B-NAME
Livingston   I-NAME
at   O
Auburn   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
September   B-DATE
21th   I-DATE
,   I-DATE
2229   I-DATE
.   O

During   O
this   O
visit   O
,   O
Anderson   B-NAME
will   O
assess   O
the   O
healing   O
process   O
,   O
review   O
any   O
symptoms   O
,   O
and   O
possibly   O
perform   O
additional   O
tests   O
to   O
ensure   O
the   O
gallbladder   O
removal   O
has   O
successfully   O
alleviated   O
the   O
initial   O
complaints   O
.   O

Sanchez   B-NAME
was   O
advised   O
to   O
monitor   O
their   O
symptoms   O
and   O
promptly   O
report   O
any   O
complications   O
or   O
concerns   O
.   O

Additional   O
Notes   O
:   O
-   O
Larry   B-NAME
Craig   I-NAME
is   O
employed   O
as   O
a   O
Helpers   O
--   O
Electricians   O
at   O
International   B-LOCATION
Statistical   I-LOCATION
Institute   I-LOCATION
(   I-LOCATION
ISI   I-LOCATION
)   I-LOCATION
in   O
Traskwood   B-LOCATION
.   O
-   O
Emergency   O
Contact   O
:   O
749   B-CONTACT
9760   I-CONTACT
-   O
Patient   O
's   O
ID   O
:   O
FL131/3025   B-ID
This   O
report   O
is   O
confidential   O
and   O
should   O
only   O
be   O
accessed   O
by   O
authorized   O
personnel   O
or   O
individuals   O
with   O
explicit   O
permission   O
from   O
Brandon   B-NAME
Vanburen   I-NAME
.   O

Patient   O
Report   O
for   O
Mark   B-NAME
Brandt   I-NAME
2001   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
22   I-DATE
,   O
8957   B-LOCATION
Boston   I-LOCATION
Dr.   I-LOCATION
Risk   O
Management   O
Specialists   O
:   O
vc914   B-NAME
Medical   O
History   O
:   O

The   O
patient   O
is   O
currently   O
under   O
the   O
care   O
of   O
Armando   B-NAME
Duffy   I-NAME
for   O
the   O
management   O
of   O
their   O
chronic   O
conditions   O
.   O

Symptoms   O
:   O
On   O
0/13/2267   B-DATE
,   O
Sincere   B-NAME
Snow   I-NAME
presented   O
to   O
CHRISTUS   B-LOCATION
Spohn   I-LOCATION
Hospital   I-LOCATION
Corpus   I-LOCATION
Christi   I-LOCATION
-   I-LOCATION
South   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
acute   O
chest   O
pain   O
described   O
as   O
pressure   O
-   O
like   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
,   O
onset   O
approximately   O
45   O
minutes   O
prior   O
to   O
arrival   O
.   O

4744650   B-ID
Treatment   O
:   O
The   O
patient   O
was   O
immediately   O
administered   O
aspirin   O
,   O
sublingual   O
nitroglycerin   O
,   O
and   O
intravenous   O
morphine   O
for   O
pain   O
management   O
.   O

Given   O
the   O
ECG   O
findings   O
and   O
elevated   O
cardiac   O
markers   O
,   O
the   O
decision   O
was   O
made   O
by   O
Larissa   B-NAME
Petty   I-NAME
to   O
proceed   O
with   O
cardiac   O
catheterization   O
,   O
which   O
revealed   O
a   O
90   O
%   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Follow   O
-   O
Up   O
:   O
Scarlet   B-NAME
Banks   I-NAME
was   O
discharged   O
on   O
2128   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
at   O
Stafford   B-LOCATION
Hospital   I-LOCATION
with   O
Wagner   B-NAME
.   O

Contact   O
information   O
for   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Southeast   I-LOCATION
Texas   I-LOCATION
Beaumont   I-LOCATION
Campus   I-LOCATION
was   O
provided   O
(   O
722   B-CONTACT
-   I-CONTACT
478   I-CONTACT
3951   I-CONTACT
)   O
in   O
case   O
of   O
emergency   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

In   B-LOCATION
Defense   I-LOCATION
of   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
IDA   I-LOCATION
)   I-LOCATION
and   O
insurance   O
details   O
were   O
verified   O
,   O
and   O
the   O
patient   O
was   O
briefed   O
about   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
plan   O
to   O
prevent   O
future   O
cardiac   O
events   O
.   O

Confidentiality   O
Statement   O
:   O
This   O
patient   O
report   O
contains   O
sensitive   O
information   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
medical   O
staff   O
involved   O
in   O
the   O
care   O
of   O
Ulysses   B-NAME
Peralta   I-NAME
.   O

Identifier   O
Information   O
:   O
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
5078560   I-ID
Medical   O
Record   O
Number   O
:   O
2840628   B-ID
Date   O
of   O
Admission   O
:   O
16/03   B-DATE
Date   O
of   O
Discharge   O
:   O
2/31/54   B-DATE
Practitioner   O
:   O
Maverick   B-NAME
Wheeler   I-NAME
Hospital   O
:   O
Chestatee   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Oceanview   B-LOCATION
Contact   O
:   O
(   B-CONTACT
677   I-CONTACT
)   I-CONTACT
820   I-CONTACT
-   I-CONTACT
9750   I-CONTACT
Professional   O
involved   O
:   O
Retail   O
Salespersons   O
(   O
ba128   B-NAME
)   O

Patient   O
Name   O
:   O
Arthur   B-NAME
Arden   I-NAME
Age   O
:   O
72   O
ID   O
:   O
UX   B-ID
:   I-ID
ER:9860   I-ID
Medical   O
Record   O
Number   O
:   O
4689456   B-ID
Admission   O
Date   O
:   O
32/14   B-DATE
Discharge   O
Date   O
:   O
26/22   B-DATE
Attending   O
Physician   O
:   O

Jaquan   B-NAME
Williams   I-NAME
Hospital   O
:   O
Stewart   B-LOCATION
Memorial   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Point   B-LOCATION
Clear   I-LOCATION
Zip   O
Code   O
:   O
27047   B-LOCATION
Phone   O
Number   O
:   O
423   B-CONTACT
-   I-CONTACT
5752   I-CONTACT
Occupation   O
:   O

Art   O
Directors   O
Initials   O
:   O
WV124   B-NAME
Symptoms   O
and   O
Assessment   O
:   O
Beaumont   B-NAME
and   I-NAME
Fletcher   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Adventist   B-LOCATION
Health   I-LOCATION
Simi   I-LOCATION
Valley   I-LOCATION
on   O
22/6   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
a   O
sharp   O
and   O
constant   O
sensation   O
,   O
exacerbating   O
over   O
the   O
course   O
of   O
11/11   B-DATE
.   O

Additionally   O
,   O
Braden   B-NAME
Bowen   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
noted   O
since   O
the   O
morning   O
of   O
2228   B-DATE
.   O

Diagnostic   O
Imaging   O
and   O
Lab   O
Results   O
:   O
Nelson   B-NAME
Garner   I-NAME
underwent   O
abdominal   O
ultrasonography   O
,   O
which   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
periappendiceal   O
fluid   O
collection   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

The   O
white   O
blood   O
cell   O
count   O
was   O
elevated   O
at   O
0   B-ID
-   I-ID
7598165   I-ID
,   O
consistent   O
with   O
an   O
infectious   O
process   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Haley   B-NAME
Santiago   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Bates   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
an   O
appendectomy   O
.   O

Shepard   B-NAME
consented   O
to   O
the   O
proposed   O
treatment   O
plan   O
on   O
M   B-DATE
.   O
Postoperative   O
Course   O
:   O
The   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
3/2   B-DATE
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Stanly   I-LOCATION
without   O
complications   O
.   O

Becker   B-NAME
received   O
post   O
-   O
operative   O
antibiotics   O
and   O
was   O
advised   O
on   O
wound   O
care   O
and   O
activity   O
restrictions   O
.   O

Follow   O
-   O
Up   O
:   O
Benjamin   B-NAME
Taylor   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Burroughs   B-NAME
,   I-NAME
William   I-NAME
S.   I-NAME
in   O
the   O
outpatient   O
department   O
of   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Francisco   I-LOCATION
on   O
32/22   B-DATE
.   O

This   O
visit   O
will   O
include   O
an   O
assessment   O
of   O
the   O
surgical   O
site   O
,   O
evaluation   O
of   O
recovery   O
progress   O
,   O
and   O
discussion   O
of   O
any   O
concerns   O
Hanna   B-NAME
may   O
have   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
at   O
48303   B-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Xenakis   B-NAME
-   O
Age   O
:   O
33   O
-   O
ID   O
:   O
ZK301/7930   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
38560656   B-ID
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
137   I-CONTACT
)   I-CONTACT
402   I-CONTACT
-   I-CONTACT
8029   I-CONTACT
-   O
Address   O
:   O
Hardesty   B-LOCATION
,   O
34960   B-LOCATION
Incident   O
Description   O
:   O
On   O
22/30   B-DATE
,   O
Ochoa   B-NAME
,   O
a   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Huntsdale   B-LOCATION
,   O
was   O
admitted   O
to   O
Brooks   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
excessive   O
sweating   O
.   O

Medical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Mannheim   B-NAME
,   I-NAME
Karl   I-NAME
noted   O
that   O
Haven   B-NAME
Reid   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
.   O

Quinn   B-NAME
,   I-NAME
Medicine   I-NAME
Woman   I-NAME
was   O
then   O
moved   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
an   O
angioplasty   O
under   O
the   O
care   O
of   O
Daniela   B-NAME
Richmond   I-NAME
.   O

Post   O
-   O
procedure   O
,   O
Ayala   B-NAME
was   O
closely   O
monitored   O
in   O
the   O
cardiac   O
care   O
unit   O
(   O
CCU   O
)   O
of   O
Trinity   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
signs   O
of   O
complications   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Brandon   B-NAME
W.   I-NAME
Neilson   I-NAME
showed   O
signs   O
of   O
steady   O
improvement   O
.   O

It   O
was   O
recommended   O
that   O
Perla   B-NAME
Nichols   I-NAME
undergo   O
cardiac   O
rehabilitation   O
and   O
closely   O
follow   O
a   O
heart   O
-   O
healthy   O
diet   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Ashley   B-NAME
Bright   I-NAME
was   O
scheduled   O
for   O
32/23   B-DATE
.   O
Notes   O
:   O
Delaney   B-NAME
Schmitt   I-NAME
emphasized   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
including   O
quitting   O
smoking   O
,   O
regular   O
exercise   O
,   O
and   O
stress   O
management   O
in   O
preventing   O
future   O
episodes   O
.   O

Klukken   B-NAME
was   O
advised   O
to   O
maintain   O
regular   O
follow   O
-   O
ups   O
and   O
immediately   O
report   O
any   O
recurrence   O
of   O
symptoms   O
.   O

Contact   O
information   O
for   O
emergencies   O
was   O
provided   O
,   O
including   O
the   O
direct   O
line   O
to   O
Asante   B-LOCATION
Ashland   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
CCU   O
and   O
Ashley   B-NAME
Hudson   I-NAME
's   O
office   O
phone   O
number   O
,   O
779   B-CONTACT
-   I-CONTACT
202   I-CONTACT
9281   I-CONTACT
.   O

Prepared   O
by   O
:   O
JZ646   B-NAME
August   B-DATE

Patient   O
Name   O
:   O
Gilberto   B-NAME
Torres   I-NAME
Patient   O
ID   O
:   O
482915073   B-ID
Medical   O
Record   O
Number   O
:   O
873   B-ID
-   I-ID
48   I-ID
-   I-ID
17   I-ID
Date   O
of   O
Birth   O
:   O
29/32/2257   B-DATE
Age   O
:   O
3   O
week   O
Phone   O
Number   O
:   O
825   B-CONTACT
-   I-CONTACT
9168   I-CONTACT
Address   O
:   O
South   B-LOCATION
Bend   I-LOCATION
,   O
64448   B-LOCATION
Occupation   O
:   O
Agricultural   O
Equipment   O
Operators   O
Referring   O
Doctor   O
:   O
Santos   B-NAME
Watts   I-NAME
Hospital   O
:   O
North   B-LOCATION
Knoxville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Klahanie   B-LOCATION
Visit   O
Date   O
:   O
12/97   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Selina   B-NAME
Good   I-NAME
presents   O
with   O
a   O
2   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
nocturnal   O
orthopnea   O
.   O

The   O
symptoms   O
were   O
initially   O
mild   O
but   O
have   O
intensified   O
notably   O
over   O
the   O
past   O
22   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
32   I-DATE
.   O

Accompanying   O
these   O
symptoms   O
,   O
Maxim   B-NAME
Weiss   I-NAME
reports   O
a   O
persistent   O
,   O
dry   O
cough   O
,   O
and   O
bilateral   O
lower   O
extremity   O
edema   O
.   O

Notably   O
,   O
Triston   B-NAME
Melton   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Esposito   B-NAME
has   O
a   O
past   O
medical   O
history   O
that   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
YARBROUGH   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
pressure   O
150/95   O
mmHg   O
,   O
heart   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
92   O
%   O
on   O
room   O
air   O
.   O

The   O
case   O
of   O
Amaya   B-NAME
Jackson   I-NAME
is   O
consistent   O
with   O
acute   O
exacerbation   O
of   O
heart   O
failure   O
with   O
reduced   O
ejection   O
fraction   O
(   O
HFrEF   O
)   O
,   O
likely   O
precipitated   O
by   O
uncontrolled   O
hypertension   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
June   B-DATE
to   O
reassess   O
Andrians   B-NAME
,   I-NAME
Aiven   I-NAME
's   O
condition   O
and   O
modify   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Authorization   O
:   O
I   O
,   O
Hillary   B-NAME
Dixon   I-NAME
,   O
hereby   O
authorize   O
this   O
medical   O
report   O
for   O
Allan   B-NAME
Walker   I-NAME
with   O
Medical   O
Record   O
Number   O
2223448   B-ID
and   O
confirm   O
that   O
all   O
identifiable   O
information   O
has   O
been   O
appropriately   O
anonymized   O
as   O
per   O
the   O
regulations   O
.   O

Date   O
:   O
13   B-DATE
-   I-DATE
Oct-2262   I-DATE
Signature   O
:   O
Lindsay   B-NAME
Fleming   I-NAME
Contact   O
Information   O
:   O
(   B-CONTACT
628   I-CONTACT
)   I-CONTACT
136   I-CONTACT
2727   I-CONTACT
,   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Woodland   I-LOCATION
Hills   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

Patient   O
Name   O
:   O
Fuller   B-NAME
Patient   O
ID   O
:   O
YB826/7533   B-ID
Medical   O
Record   O
Number   O
:   O
07767709   B-ID
Age   O
:   O
75s   O
Date   O
of   O
Birth   O
:   O
07/18/1900   B-DATE
Address   O
:   O
Green   B-LOCATION
Spring   I-LOCATION
,   O
78431   B-LOCATION
Phone   O
Number   O
:   O
18162   B-CONTACT

Barnes   B-NAME
Hospital   O
:   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/20/37   B-DATE
Date   O
of   O
Report   O
:   O
1797   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Mortimer   B-NAME
,   I-NAME
John   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
George   B-LOCATION
Washington   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
3   B-DATE
-   I-DATE
12   I-DATE
with   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
.   O

Ella   B-NAME
Mckay   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
nausea   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ione   B-NAME
Jean   I-NAME
who   O
is   O
a   O
Life   O
,   O
Physical   O
,   O
and   O
Social   O
Science   O
Technicians   O
,   O
All   O
Other   O
by   O
profession   O
,   O
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
,   O
though   O
specific   O
compliance   O
to   O
medication   O
regimens   O
prior   O
to   O
the   O
event   O
was   O
unclear   O
.   O

Peirce   B-NAME
,   I-NAME
Charles   I-NAME
Sanders   I-NAME
noted   O
experiencing   O
mild   O
episodes   O
of   O
chest   O
discomfort   O
in   O
the   O
past   O
few   O
months   O
,   O
which   O
were   O
not   O
reported   O
or   O
evaluated   O
previously   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
-   O
Hyperlipidemia   O
-   O
No   O
known   O
allergies   O
-   O
No   O
previous   O
surgeries   O
Social   O
History   O
:   O
December   B-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
consumption   O
.   O

They   O
live   O
in   O
Partridge   B-LOCATION
and   O
work   O
as   O
a   O
Gas   O
Distribution   O
Plant   O
Operators   O
.   O

David   B-NAME
Howser   I-NAME
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
significant   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
,   O
with   O
Laura   B-NAME
Certain   I-NAME
's   O
father   O
having   O
had   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
88   O
.   O
Review   O
of   O
Systems   O
:   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Amis   B-NAME
,   I-NAME
Martin   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Loren   B-NAME
was   O
immediately   O
started   O
on   O
antiplatelet   O
therapy   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
,   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
management   O
protocol   O
.   O

A   O
decision   O
was   O
made   O
by   O
Duncan   B-NAME
Nicolay   I-NAME
to   O
proceed   O
with   O
cardiac   O
catheterization   O
for   O
further   O
evaluation   O
and   O
possible   O
intervention   O
.   O

Rachel   B-NAME
Schaefer   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
management   O
plan   O
,   O
and   O
consent   O
for   O
the   O
procedure   O
was   O
obtained   O
.   O

Follow   O
-   O
Up   O
:   O
Hayden   B-NAME
Avery   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
clinic   O
at   O
Meadville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
two   O
weeks   O
post   O
-   O
discharge   O
for   O
reassessment   O
and   O
further   O
management   O
planning   O
.   O

uyx916   B-NAME
1607   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
18   I-DATE

Patient   O
Name   O
:   O
Clyde   B-NAME
Roe   I-NAME
ID   O
:   O
NS:252:978769   B-ID
Medical   O
Record   O
Number   O
:   O
536   B-ID
-   I-ID
64   I-ID
-   I-ID
90   I-ID
Date   O
of   O
Birth   O
:   O
Sunday   B-DATE
Age   O
:   O
38   O
Address   O
:   O
Cold   B-LOCATION
Springs   I-LOCATION
,   O
11136   B-LOCATION
Phone   O
:   O
331   B-CONTACT
8171   I-CONTACT
Profession   O
:   O
Mail   O
Clerks   O
and   O
Mail   O
Machine   O
Operators   O
,   O
Except   O
Postal   O
Service   O
Primary   O
Physician   O
:   O
Dr.   O
Banks   B-NAME
,   I-NAME
Ernie   I-NAME
Admitting   O
Hospital   O
:   O
Resolute   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2126   B-DATE
Username   O
for   O
Hospital   O
Patient   O
Portal   O
:   O
XL5810   B-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Gretchen   B-NAME
Gonzales   I-NAME
,   O
a   O
57   O
-   O
year   O
-   O
old   O
Logging   O
Workers   O
,   O
All   O
Other   O
,   O
presented   O
at   O
Eagleville   B-LOCATION
Hospital   I-LOCATION
on   O
2032   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
02   I-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
,   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
before   O
admission   O
.   O

Nuvia   B-NAME
Nadeau   I-NAME
also   O
reports   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
and   O
has   O
denied   O
experiencing   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
previous   O
episodes   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Charla   B-NAME
initially   O
noticed   O
a   O
mild   O
discomfort   O
in   O
the   O
mid   O
-   O
abdominal   O
region   O
early   O
in   O
the   O
morning   O
on   O
10/88   B-DATE
.   O

Tawn   B-NAME
Johanson   I-NAME
denies   O
any   O
recent   O
dietary   O
indiscretions   O
,   O
travel   O
history   O
,   O
or   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Boswell   B-NAME
,   I-NAME
James   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
in   O
Cole   B-NAME
,   I-NAME
Nat   I-NAME
"   I-NAME
King   I-NAME
"   I-NAME
's   O
parent   O
,   O
diagnosed   O
at   O
30   O
.   O
Social   O
History   O
:   O
Billy   B-NAME
House   I-NAME
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
,   O
Customer   O
Service   O
in   O
Vantage   B-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Lane   B-NAME
-   I-NAME
Porteus   I-NAME
lives   O
with   O
family   O
and   O
enjoys   O
an   O
active   O
lifestyle   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bryce   B-NAME
Rasmussen   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Outcome   O
:   O
Dr.   O
Gilberto   B-NAME
Maxwell   I-NAME
admitted   O
Avitus   B-NAME
to   O
Stormont   B-LOCATION
Vail   I-LOCATION
Health   I-LOCATION
for   O
an   O
emergency   O
appendectomy   O
on   O
22/79   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Garnett   B-NAME
responded   O
well   O
to   O
the   O
treatment   O
.   O

The   O
postoperative   O
period   O
was   O
uneventful   O
,   O
and   O
Gwendolyn   B-NAME
Irvine   I-NAME
was   O
discharged   O
on   O
00/28/1684   B-DATE
with   O
instructions   O
for   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Cristofer   B-NAME
Leon   I-NAME
.   O

Follow   O
-   O
up   O
:   O
Oscar   B-NAME
B.   I-NAME
Stanley   I-NAME
is   O
advised   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
avoid   O
strenuous   O
activities   O
for   O
a   O
few   O
weeks   O
,   O
and   O
maintain   O
a   O
balanced   O
diet   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Madyson   B-NAME
Vargas   I-NAME
at   O
Searcy   B-LOCATION
Hospital   I-LOCATION
on   O
2250s   B-DATE
to   O
assess   O
the   O
healing   O
process   O
and   O
manage   O
hypertension   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
Ross   B-NAME
Downs   I-NAME
can   O
reach   O
the   O
medical   O
team   O
through   O
the   O
hospital   O
patient   O
portal   O
(   O
inb955   B-NAME
)   O
or   O
directly   O
via   O
phone   O
at   O
23423   B-CONTACT
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Aylin   B-NAME
Goodwin   I-NAME
Age   O
:   O
99s   O
Date   O
of   O
Birth   O
:   O
31/26   B-DATE
Gender   O
:   O
Male   O
Occupation   O
:   O

Gaming   O
Surveillance   O
Officers   O
and   O
Gaming   O
Investigators   O
Medical   O
Record   O
Number   O
:   O
5981252   B-ID
ID   O
Number   O
:   O
KZ:46866:183428   B-ID
Phone   O
Number   O
:   O
19479   B-CONTACT
Address   O
:   O
Bedias   B-LOCATION
,   O
18686   B-LOCATION
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Stanton   B-NAME
,   I-NAME
Elizabeth   I-NAME
Cady   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Gulfport   I-LOCATION
Presenting   O
Complaint   O
:   O
Dokok   B-NAME
presented   O
to   O
the   O
International   B-LOCATION
Work   I-LOCATION
Group   I-LOCATION
for   I-LOCATION
Indigenous   I-LOCATION
Affairs   I-LOCATION
on   O
38/05   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
over   O
the   O
past   O
three   O
months   O
.   O

Lucas   B-NAME
,   I-NAME
George   I-NAME
also   O
mentioned   O
intermittent   O
episodes   O
of   O
chest   O
tightness   O
,   O
especially   O
during   O
the   O
early   O
morning   O
hours   O
.   O

Rilke   B-NAME
,   I-NAME
Rainer   I-NAME
Maria   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
.   O

On   O
examination   O
,   O
Patricia   B-NAME
Wiley   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Investigations   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
2072   B-DATE
demonstrated   O
cardiomegaly   O
with   O
evidence   O
of   O
pulmonary   O
venous   O
congestion   O
.   O

The   O
management   O
plan   O
for   O
Viviana   B-NAME
Deleon   I-NAME
involves   O
initiating   O
diuretic   O
therapy   O
to   O
manage   O
fluid   O
overload   O
and   O
considering   O
angiotensin   O
-   O
converting   O
enzyme   O
inhibitors   O
to   O
improve   O
heart   O
function   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Collins   B-NAME
,   I-NAME
Tim   I-NAME
at   O
Tanner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Villa   I-LOCATION
Rica   I-LOCATION
has   O
been   O
scheduled   O
for   O
00/21/89   B-DATE
to   O
reassess   O
symptoms   O
and   O
adjust   O
management   O
as   O
necessary   O
.   O

Lillianna   B-NAME
Irwin   I-NAME
has   O
been   O
advised   O
on   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
including   O
salt   O
restriction   O
and   O
regular   O
physical   O
activity   O
.   O

Follow   O
-   O
Up   O
:   O
Cowan   B-NAME
has   O
been   O
advised   O
to   O
monitor   O
his   O
weight   O
daily   O
and   O
maintain   O
a   O
log   O
.   O

The   O
patient   O
,   O
Gavin   B-NAME
Mueller   I-NAME
,   O
a   O
Energy   O
conservation   O
officer   O
from   O
Cridersville   B-LOCATION
,   O
presented   O
to   O
Saint   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Blue   I-LOCATION
Springs   I-LOCATION
on   O
Thursday   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
and   O
nausea   O
that   O
began   O
approximately   O
two   O
weeks   O
ago   O
.   O

Richard   B-NAME
Estrada   I-NAME
reported   O
that   O
the   O
pain   O
intensifies   O
post   O
meals   O
and   O
is   O
occasionally   O
accompanied   O
by   O
episodes   O
of   O
vomiting   O
.   O

Goldberg   B-NAME
,   I-NAME
Jonah   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Upon   O
examination   O
,   O
yamamoto   B-NAME
,   O
who   O
is   O
73s   O
years   O
old   O
,   O
exhibited   O
mild   O
tenderness   O
upon   O
palpation   O
in   O
the   O
epigastric   O
region   O
,   O
but   O
no   O
rebound   O
tenderness   O
was   O
observed   O
.   O

Rayna   B-NAME
Hart   I-NAME
's   O
past   O
medical   O
history   O
,   O
provided   O
via   O
72878360   B-ID
with   O
CJ:3572:596844   B-ID
,   O
is   O
notable   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
controlled   O
hypertension   O
.   O

Carroll   B-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
gastrointestinal   O
issues   O
,   O
including   O
a   O
parent   O
with   O
a   O
history   O
of   O
peptic   O
ulcer   O
disease   O
.   O

Skyler   B-NAME
Grimes   I-NAME
is   O
currently   O
on   O
a   O
regimen   O
of   O
metformin   O
,   O
lisinopril   O
,   O
and   O
a   O
multivitamin   O
.   O

Laboratory   O
tests   O
,   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
lipase   O
,   O
were   O
ordered   O
by   O
Poop   B-NAME
.   O

An   O
abdominal   O
ultrasound   O
,   O
scheduled   O
for   O
02/22   B-DATE
,   O
is   O
pending   O
to   O
further   O
assess   O
the   O
pancreas   O
and   O
adjacent   O
structures   O
.   O

The   O
preliminary   O
diagnosis   O
,   O
considering   O
Dawson   B-NAME
's   O
clinical   O
presentation   O
and   O
laboratory   O
results   O
,   O
includes   O
acute   O
pancreatitis   O
possibly   O
compounded   O
by   O
the   O
patient   O
's   O
underlying   O
diabetic   O
condition   O
.   O

A   O
dietary   O
consult   O
has   O
been   O
arranged   O
to   O
provide   O
Lauren   B-NAME
Fontenot   I-NAME
with   O
guidance   O
on   O
managing   O
nutrition   O
during   O
this   O
period   O
.   O

Hamza   B-NAME
Riggs   I-NAME
has   O
advised   O
Oppenheimer   B-NAME
,   I-NAME
J.   I-NAME
Robert   I-NAME
to   O
avoid   O
alcohol   O
and   O
high   O
-   O
fat   O
foods   O
,   O
increase   O
fluid   O
intake   O
,   O
and   O
prescribed   O
a   O
course   O
of   O
proton   O
pump   O
inhibitors   O
to   O
manage   O
the   O
gastric   O
acidity   O
.   O

The   O
plan   O
is   O
to   O
closely   O
monitor   O
Parker   B-NAME
,   I-NAME
Dorothy   I-NAME
's   O
symptoms   O
and   O
laboratory   O
findings   O
for   O
any   O
signs   O
of   O
worsening   O
or   O
complications   O
that   O
might   O
necessitate   O
more   O
aggressive   O
interventions   O
,   O
such   O
as   O
endoscopic   O
evaluation   O
or   O
imaging   O
-   O
guided   O
drainage   O
of   O
any   O
potential   O
pancreatic   O
fluid   O
collections   O
that   O
may   O
develop   O
.   O

Walter   B-NAME
Patton   I-NAME
has   O
been   O
informed   O
of   O
the   O
importance   O
of   O
strict   O
adherence   O
to   O
the   O
prescribed   O
medical   O
and   O
dietary   O
plan   O
and   O
was   O
provided   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
1123   B-DATE
.   O

Nobles   B-NAME
was   O
also   O
given   O
contact   O
information   O
,   O
986   B-CONTACT
6641   I-CONTACT
,   O
to   O
use   O
in   O
case   O
of   O
any   O
significant   O
changes   O
in   O
symptoms   O
or   O
in   O
case   O
of   O
emergencies   O
.   O

The   O
care   O
team   O
,   O
including   O
nursing   O
staff   O
at   O
OhioHealth   B-LOCATION
Doctors   I-LOCATION
Hospital   I-LOCATION
and   O
Lucille   B-NAME
Jackson   I-NAME
's   O
primary   O
care   O
provider   O
,   O
will   O
maintain   O
collaborative   O
communication   O
to   O
ensure   O
continuity   O
of   O
care   O
.   O

Patient   O
Report   O
for   O
Turner   B-NAME
Personal   O
Information   O
:   O
-   O
Age   O
:   O
43   O
-   O
ID   O
:   O
RT   B-ID
:   I-ID
KS:2325   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
866   B-ID
-   I-ID
00   I-ID
-   I-ID
21   I-ID
-   I-ID
0   I-ID
-   O
Phone   O
:   O
613   B-CONTACT
-   I-CONTACT
535   I-CONTACT
-   I-CONTACT
9526   I-CONTACT
-   O
Location   O
:   O
Glendon   B-LOCATION
,   O
99723   B-LOCATION
Medical   O
History   O
:   O

On   O
32/20   B-DATE
,   O
Quine   B-NAME
,   I-NAME
Willard   I-NAME
van   I-NAME
Orman   I-NAME
was   O
referred   O
by   O
Dr.   O
Bill   B-NAME
Baxter   I-NAME
to   O
Our   B-LOCATION
Lady   I-LOCATION
Of   I-LOCATION
Lourdes   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
due   O
to   O
persistent   O
abdominal   O
pain   O
,   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Kane   B-NAME
,   O
a   O
Truck   O
Drivers   O
,   O
Light   O
or   O
Delivery   O
Services   O
,   O
has   O
reported   O
no   O
significant   O
changes   O
in   O
diet   O
or   O
lifestyle   O
around   O
the   O
initiation   O
of   O
these   O
symptoms   O
.   O

Teagan   B-NAME
Harvey   I-NAME
's   O
medical   O
history   O
was   O
notable   O
for   O
irritable   O
bowel   O
syndrome   O
diagnosed   O
in   O
adulthood   O
,   O
with   O
sporadic   O
flare   O
-   O
ups   O
managed   O
through   O
dietary   O
adjustments   O
until   O
this   O
point   O
.   O

Symptoms   O
:   O
Camryn   B-NAME
Winters   I-NAME
described   O
the   O
pain   O
as   O
cramp   O
-   O
like   O
,   O
intensifying   O
post   O
-   O
meals   O
,   O
and   O
partially   O
alleviated   O
by   O
bowel   O
movements   O
.   O

Borges   B-NAME
,   I-NAME
Jorge   I-NAME
Luis   I-NAME
also   O
mentioned   O
a   O
recent   O
unintentional   O
weight   O
loss   O
of   O
81   O
pounds   O
over   O
the   O
last   O
month   O
,   O
which   O
was   O
concerning   O
for   O
malabsorptive   O
or   O
inflammatory   O
gastrointestinal   O
conditions   O
.   O

Diagnostic   O
Efforts   O
:   O
Initial   O
laboratory   O
tests   O
conducted   O
on   O
06/01/03   B-DATE
at   O
Lakeview   B-LOCATION
Hospital   I-LOCATION
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
demonstrated   O
a   O
slightly   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
and   O
a   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
that   O
was   O
within   O
normal   O
limits   O
.   O

Given   O
the   O
persisting   O
abdominal   O
discomfort   O
and   O
the   O
negative   O
results   O
from   O
non   O
-   O
invasive   O
testing   O
,   O
a   O
colonoscopy   O
was   O
scheduled   O
and   O
performed   O
by   O
Dr.   O
Ashleigh   B-NAME
Duarte   I-NAME
on   O
2/7   B-DATE
.   O

Management   O
and   O
Recommendations   O
:   O
Summers   B-NAME
was   O
advised   O
to   O
start   O
a   O
low   O
-   O
FODMAP   O
diet   O
to   O
help   O
manage   O
symptoms   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antispasmodic   O
medication   O
to   O
provide   O
symptomatic   O
relief   O
from   O
cramping   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Wednesday   B-DATE
,   I-DATE
June   I-DATE
to   O
discuss   O
the   O
biopsy   O
results   O
and   O
reassess   O
Kemp   B-NAME
's   O
condition   O
.   O

In   O
addition   O
,   O
Leary   B-NAME
,   I-NAME
Timothy   I-NAME
was   O
instructed   O
to   O
maintain   O
a   O
symptom   O
diary   O
,   O
detailing   O
food   O
intake   O
,   O
symptom   O
severity   O
,   O
and   O
bowel   O
movement   O
patterns   O
,   O
to   O
aid   O
in   O
further   O
personalizing   O
treatment   O
plans   O
.   O

Society   B-LOCATION
for   I-LOCATION
Threatened   I-LOCATION
Peoples   I-LOCATION
provided   O
Fleming   B-NAME
with   O
resources   O
including   O
dietary   O
guides   O
and   O
access   O
to   O
a   O
nutrition   O
specialist   O
.   O

Ashly   B-NAME
Walsh   I-NAME
was   O
also   O
referred   O
to   O
a   O
support   O
group   O
for   O
individuals   O
living   O
with   O
irritable   O
bowel   O
syndrome   O
within   O
the   O
community   O
of   O
Eden   B-LOCATION
,   O
facilitated   O
by   O
Liberty   B-LOCATION
Mutual   I-LOCATION
.   O

For   O
any   O
urgent   O
issues   O
or   O
exacerbation   O
of   O
symptoms   O
,   O
Zavier   B-NAME
Kim   I-NAME
was   O
advised   O
to   O
contact   O
Walton   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
using   O
the   O
provided   O
63362   B-CONTACT
number   O
or   O
visit   O
the   O
emergency   O
department   O
in   O
Vayas   B-LOCATION
.   O

Elyse   B-NAME
Penton   I-NAME
Date   O
of   O
Birth   O
:   O
32/22/2032   B-DATE
Age   O
:   O
17s   O
Medical   O
Record   O
Number   O
:   O
74911533   B-ID
Patient   O
ID   O
:   O
HI   B-ID
:   I-ID
YZ:4511   I-ID
Address   O
:   O
Hana   B-LOCATION
,   O
38181   B-LOCATION
Phone   O
Number   O
:   O
601   B-CONTACT
-   I-CONTACT
8823   I-CONTACT
Employment   O
:   O
Weighers   O
,   O
Measurers   O
,   O
Checkers   O
,   O
and   O
Samplers   O
,   O
Recordkeeping   O
at   O
Duke   B-LOCATION
Energy   I-LOCATION
Florida   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Duke   I-LOCATION
Energy   I-LOCATION
Admitted   O
to   O
:   O
MercyOne   B-LOCATION
West   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Miranda   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
Eli   B-NAME
James   I-NAME
,   O
a   O
9   O
-   O
year   O
-   O
old   O
Hand   O
Compositors   O
and   O
Typesetters   O
employed   O
at   O
Chartered   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Physiotherapy   I-LOCATION
,   O
presented   O
to   O
Samaritan   B-LOCATION
Albany   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
2123   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
26   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
accompanied   O
by   O
nausea   O
and   O
photophobia   O
.   O

Devona   B-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
,   O
noting   O
that   O
over   O
-   O
the   O
-   O
counter   O
medications   O
provided   O
no   O
relief   O
.   O

Reuben   B-NAME
Larson   I-NAME
mentioned   O
a   O
family   O
history   O
of   O
migraines   O
.   O

Examination   O
Details   O
:   O
Upon   O
examination   O
,   O
Yoel   B-NAME
Newcomb   I-NAME
was   O
found   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
severity   O
of   O
the   O
symptoms   O
and   O
ineffectiveness   O
of   O
Chara   B-NAME
's   O
at   O
-   O
home   O
medication   O
regimen   O
,   O
an   O
intravenous   O
dose   O
of   O
metoclopramide   O
was   O
administered   O
for   O
nausea   O
,   O
along   O
with   O
sumatriptan   O
for   O
headache   O
relief   O
.   O

Follow   O
-   O
Up   O
Plan   O
:   O
Violet   B-NAME
Marks   I-NAME
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Douglas   B-NAME
Birely   I-NAME
in   O
Morehead   B-LOCATION
City   I-LOCATION
within   O
one   O
week   O
post   O
-   O
discharge   O
for   O
further   O
evaluation   O
and   O
management   O
of   O
migraines   O
.   O

Ardite   B-NAME
Civatte   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
avoiding   O
known   O
migraine   O
triggers   O
.   O

Follow   O
up   O
with   O
Dr.   O
Tristian   B-NAME
Lynch   I-NAME
in   O
20   B-DATE
.   O

4   O
.   O
Contact   O
North   B-LOCATION
Mississippi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Point   I-LOCATION
at   O
(   B-CONTACT
398   I-CONTACT
)   I-CONTACT
720   I-CONTACT
8889   I-CONTACT
for   O
any   O
concerns   O
or   O
if   O
symptoms   O
worsen   O
significantly   O
before   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

This   O
document   O
was   O
prepared   O
by   O
snz697   B-NAME
on   O
20/04/91   B-DATE
.   O

The   O
patient   O
,   O
Nina   B-NAME
I   I-NAME
Morris   I-NAME
,   O
a   O
Social   O
worker   O
from   O
Otsego   B-LOCATION
,   O
presented   O
to   O
North   B-LOCATION
Central   I-LOCATION
Bronx   I-LOCATION
Hospital   I-LOCATION
on   O
00   B-DATE
-   I-DATE
35   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

Chad   B-NAME
Morrow   I-NAME
is   O
94s   O
years   O
old   O
and   O
has   O
a   O
history   O
of   O
gastritis   O
.   O

Upon   O
examination   O
,   O
Madyson   B-NAME
Pena   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
and   O
temperature   O
37.8   O
°   O
C   O
.   O

Initial   O
laboratory   O
tests   O
were   O
ordered   O
by   O
Marlon   B-NAME
Duffy   I-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
and   O
amylase   O
levels   O
.   O

The   O
results   O
,   O
with   O
patient   O
identifier   O
51465027   B-ID
,   O
indicated   O
leukocytosis   O
and   O
elevated   O
amylase   O
levels   O
,   O
suggestive   O
of   O
acute   O
pancreatitis   O
.   O

Tyler   B-NAME
recommended   O
an   O
abdominal   O
ultrasound   O
to   O
further   O
evaluate   O
the   O
pancreas   O
and   O
adjacent   O
structures   O
.   O

The   O
imaging   O
,   O
completed   O
on   O
22/01   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
inflammation   O
and   O
edema   O
around   O
the   O
pancreas   O
,   O
consistent   O
with   O
acute   O
pancreatitis   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Jeffrey   B-NAME
Garth   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Louise   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
management   O
.   O

Carolla   B-NAME
,   I-NAME
Adam   I-NAME
was   O
also   O
consulted   O
by   O
a   O
dietitian   O
for   O
nutritional   O
support   O
during   O
hospitalization   O
and   O
for   O
dietary   O
advice   O
post   O
-   O
discharge   O
to   O
manage   O
and   O
prevent   O
future   O
episodes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
5/23   B-DATE
,   O
with   O
contact   O
number   O
17623   B-CONTACT
provided   O
for   O
any   O
concerns   O
in   O
the   O
interim   O
.   O

All   O
patient   O
-   O
related   O
communication   O
,   O
including   O
with   O
insurance   O
provider   O
Sexaholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
SA   I-LOCATION
)   I-LOCATION
for   O
billing   O
purposes   O
(   O
XS380/7844   B-ID
)   O
,   O
was   O
conducted   O
following   O
prescribed   O
privacy   O
protocols   O
.   O

The   O
progress   O
notes   O
and   O
discharge   O
summary   O
were   O
securely   O
stored   O
in   O
patient   O
's   O
electronic   O
medical   O
record   O
(   O
0137670   B-ID
)   O
,   O
accessible   O
only   O
to   O
authorized   O
medical   O
personnel   O
.   O

For   O
continuous   O
monitoring   O
,   O
Alonso   B-NAME
was   O
encouraged   O
to   O
use   O
a   O
health   O
tracking   O
application   O
,   O
username   O
nk279   B-NAME
,   O
designed   O
by   O
Botswana   B-LOCATION
Bank   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

In   O
summary   O
,   O
Channery   B-NAME
,   O
a   O
43   O
-   O
year   O
-   O
old   O
Mental   O
Health   O
Counselors   O
from   O
White   B-LOCATION
Hills   I-LOCATION
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
pancreatitis   O
.   O

The   O
condition   O
was   O
managed   O
with   O
hospitalization   O
,   O
and   O
NOLAN   B-NAME
,   I-NAME
N.   I-NAME
YANCY   I-NAME
was   O
discharged   O
with   O
instructions   O
on   O
dietary   O
management   O
and   O
follow   O
-   O
up   O
care   O
.   O

All   O
personal   O
and   O
health   O
information   O
was   O
handled   O
in   O
compliance   O
with   O
applicable   O
privacy   O
laws   O
and   O
regulations   O
,   O
with   O
identification   O
details   O
such   O
as   O
11187   B-LOCATION
code   O
,   O
56685431   B-ID
,   O
and   O
96984   B-CONTACT
number   O
carefully   O
protected   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Umali   B-NAME
Age   O
:   O
5   O
ID   O
:   O
XU:29136:240988   B-ID
Medical   O
Record   O
Number   O
:   O
75482516   B-ID
Date   O
of   O
Birth   O
:   O
4/9   B-DATE
Address   O
:   O
Elmore   B-LOCATION
City   I-LOCATION
,   O
27059   B-LOCATION
Phone   O
Number   O
:   O
567   B-CONTACT
159   I-CONTACT
-   I-CONTACT
4336   I-CONTACT
Employment   O
:   O
Correspondence   O
Clerks   O
Treating   O
Physician   O
:   O
Gallagher   B-NAME
Hospital   O
:   O

Sutter   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Uzziel   B-NAME
,   O
a   O
Purchasing   O
Agents   O
,   O
Except   O
Wholesale   O
,   O
Retail   O
,   O
and   O
Farm   O
Products   O
residing   O
in   O
La   B-LOCATION
Coma   I-LOCATION
,   O
presented   O
to   O
Veterans   B-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Birmingham   I-LOCATION
on   O
11/22/2010   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

Cael   B-NAME
Morrow   I-NAME
reported   O
a   O
high   O
fever   O
reaching   O
up   O
to   O
101   O
°   O
F   O
measured   O
at   O
home   O
.   O

Additionally   O
,   O
Gay   B-NAME
,   I-NAME
John   I-NAME
mentioned   O
experiencing   O
significant   O
fatigue   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

However   O
,   O
Ramiro   B-NAME
Cuevas   I-NAME
mentioned   O
that   O
a   O
colleague   O
at   O
their   O
workplace   O
,   O
a   O
Mechanical   O
Drafters   O
,   O
was   O
diagnosed   O
with   O
pneumonia   O
approximately   O
two   O
weeks   O
ago   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Elsie   B-NAME
Owen   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Management   O
and   O
Outcome   O
:   O
Augustus   B-NAME
Duncan   I-NAME
was   O
admitted   O
to   O
HealthAlliance   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Hudson   I-LOCATION
Valley   I-LOCATION
-   I-LOCATION
Broadway   I-LOCATION
Campus   I-LOCATION
on   O
May   B-DATE
2343   I-DATE
for   O
management   O
of   O
COVID-19   O
pneumonia   O
.   O

Mary   B-NAME
Huber   I-NAME
was   O
started   O
on   O
the   O
recommended   O
treatment   O
protocol   O
for   O
COVID-19   O
,   O
including   O
supplemental   O
oxygen   O
,   O
dexamethasone   O
,   O
and   O
remdesivir   O
.   O

Over   O
the   O
course   O
of   O
hospitalization   O
,   O
Colson   B-NAME
,   I-NAME
Charles   I-NAME
showed   O
significant   O
improvement   O
.   O

Oxygen   O
supplementation   O
was   O
gradually   O
weaned   O
off   O
as   O
Long   B-NAME
's   O
oxygen   O
saturation   O
levels   O
stabilized   O
above   O
94   O
%   O
on   O
room   O
air   O
.   O

Karla   B-NAME
Dittmer   I-NAME
was   O
discharged   O
on   O
35   B-DATE
-   I-DATE
16   I-DATE
with   O
instructions   O
to   O
continue   O
self   O
-   O
isolation   O
at   O
home   O
in   O
Coaticook   B-LOCATION
,   I-LOCATION
QC   I-LOCATION
J1A   I-LOCATION
1Y4   I-LOCATION
,   O
follow   O
-   O
up   O
with   O
Romeo   B-NAME
Fuller   I-NAME
in   O
one   O
week   O
,   O
and   O
manage   O
symptoms   O
with   O
over   O
-   O
the   O
-   O
counter   O
fever   O
reducers   O
and   O
plenty   O
of   O
fluids   O
.   O

Instructions   O
upon   O
Discharge   O
:   O
Israel   B-NAME
Blackwell   I-NAME
was   O
advised   O
to   O
strictly   O
adhere   O
to   O
the   O
self   O
-   O
isolation   O
guidelines   O
,   O
monitor   O
for   O
any   O
worsening   O
of   O
symptoms   O
,   O
and   O
report   O
to   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
Elmhurst   I-LOCATION
if   O
experiencing   O
difficulty   O
breathing   O
,   O
persistent   O
chest   O
pain   O
,   O
new   O
onset   O
confusion   O
,   O
or   O
bluish   O
lips   O
or   O
face   O
.   O

Trinity   B-NAME
Horn   I-NAME
was   O
provided   O
with   O
the   O
469   B-CONTACT
252   I-CONTACT
1647   I-CONTACT
number   O
for   O
the   O
hospital   O
's   O
COVID-19   O
hotline   O
for   O
any   O
queries   O
or   O
concerns   O
post   O
-   O
discharge   O
.   O

This   O
report   O
has   O
been   O
compiled   O
and   O
reviewed   O
by   O
Franz   B-NAME
Tobel   I-NAME
,   O
Tacoma   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
April   B-DATE
.   O

All   O
further   O
inquiries   O
should   O
be   O
directed   O
to   O
the   O
medical   O
records   O
department   O
at   O
79602   B-CONTACT
.   O

The   O
patient   O
,   O
Vixie   B-NAME
,   I-NAME
Paul   I-NAME
,   O
a   O
Medical   O
and   O
Clinical   O
Laboratory   O
Technologists   O
from   O
Imbler   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
20/20   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fevers   O
peaking   O
at   O
38.6   O
°   O
C   O
.   O

Belen   B-NAME
Mcneil   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
contact   O
with   O
known   O
COVID-19   O
cases   O
.   O

Upon   O
examination   O
,   O
Gilbert   B-NAME
Gill   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
of   O
96   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
94   O
%   O
on   O
room   O
air   O
.   O

The   O
patient   O
's   O
66203507   B-ID
indicated   O
no   O
previous   O
history   O
of   O
chronic   O
respiratory   O
diseases   O
.   O

Reed   B-NAME
advised   O
hospitalization   O
given   O
the   O
patient   O
's   O
oxygen   O
saturation   O
levels   O
and   O
the   O
risk   O
of   O
worsening   O
respiratory   O
status   O
.   O

Sabrina   B-NAME
Sanders   I-NAME
was   O
admitted   O
to   O
Hamilton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
respiratory   O
unit   O
on   O
32/24   B-DATE
for   O
further   O
management   O
.   O

The   O
COVID-19   O
test   O
,   O
returned   O
on   O
2/34   B-DATE
,   O
confirmed   O
SARS   O
-   O
CoV-2   O
infection   O
.   O

Treatment   O
with   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Gwinnett   I-LOCATION
County   I-LOCATION
-   O
recommended   O
antiviral   O
therapy   O
was   O
started   O
.   O

Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Cheyenne   B-NAME
Todd   I-NAME
required   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
but   O
did   O
not   O
necessitate   O
mechanical   O
ventilation   O
.   O

Follow   O
-   O
up   O
consultation   O
conducted   O
on   O
12/18/2018   B-DATE
revealed   O
marked   O
improvement   O
in   O
clinical   O
symptoms   O
.   O

The   O
patient   O
subsequently   O
tested   O
negative   O
for   O
COVID-19   O
and   O
was   O
discharged   O
on   O
12/15/52   B-DATE
with   O
instructions   O
for   O
home   O
isolation   O
and   O
follow   O
-   O
up   O
via   O
telehealth   O
appointments   O
.   O

The   O
discharge   O
summary   O
and   O
further   O
laboratory   O
test   O
result   O
arrangements   O
were   O
communicated   O
to   O
Kim   B-NAME
via   O
(   B-CONTACT
286   I-CONTACT
)   I-CONTACT
468   I-CONTACT
9178   I-CONTACT
.   O

The   O
case   O
was   O
reported   O
to   O
the   O
local   O
health   O
department   O
in   O
Glen   B-LOCATION
Osborne   I-LOCATION
as   O
per   O
the   O
infectious   O
disease   O
reporting   O
guidelines   O
.   O

Carter   B-NAME
Wolfe   I-NAME
's   O
consent   O
was   O
obtained   O
for   O
the   O
reporting   O
,   O
ensuring   O
all   O
personal   O
information   O
such   O
as   O
5   B-ID
-   I-ID
3724532   I-ID
,   O
834   B-CONTACT
-   I-CONTACT
4632   I-CONTACT
,   O
and   O
67429   B-LOCATION
was   O
securely   O
handled   O
.   O

In   O
summary   O
,   O
this   O
was   O
a   O
case   O
of   O
COVID-19   O
pneumonia   O
in   O
a   O
50   O
-   O
year   O
-   O
old   O
Planning   O
technician   O
from   O
64   B-LOCATION
Clark   I-LOCATION
Dr.   I-LOCATION
successfully   O
managed   O
with   O
antiviral   O
treatment   O
and   O
supportive   O
care   O
.   O

Patient   O
Name   O
:   O
Grant   B-NAME
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
7886346   I-ID
Medical   O
Record   O
Number   O
:   O
8424565   B-ID
Date   O
of   O
Birth   O
:   O
20/02   B-DATE
Age   O
:   O
75s   O
Address   O
:   O
North   B-LOCATION
Haven   I-LOCATION
,   O
76237   B-LOCATION
Phone   O
Number   O
:   O
715   B-CONTACT
-   I-CONTACT
1815   I-CONTACT
Occupation   O
:   O
Kindergarten   O
Teachers   O
,   O
Except   O
Special   O
Education   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Christmas   B-NAME
Jones   I-NAME
Referred   O
by   O
:   O
Dr.   O
Cristina   B-NAME
Esparza   I-NAME
Hospital   O
:   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Laredo   I-LOCATION
Date   O
of   O
Visit   O
:   O
1/37   B-DATE
Username   O
:   O
rmt381   B-NAME
Subjective   O
:   O
The   O
patient   O
,   O
Nate   B-NAME
Schacter   I-NAME
,   O
presents   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
persistent   O
dry   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

Gandhi   B-NAME
,   I-NAME
Mahatma   I-NAME
denies   O
any   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
Kate   B-NAME
Calder   I-NAME
's   O
vital   O
signs   O
are   O
as   O
follows   O
:   O
blood   O
pressure   O
120/80   O
mmHg   O
,   O
heart   O
rate   O
75   O
bpm   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
98.6   O
°   O
F   O
.   O

Instructions   O
for   O
Rian   B-NAME
Vicente   I-NAME
:   O
1   O
.   O

Monitor   O
symptoms   O
closely   O
,   O
and   O
contact   O
Dr.   O
Jina   B-NAME
Castronova   I-NAME
at   O
(   B-CONTACT
162   I-CONTACT
)   I-CONTACT
179   I-CONTACT
-   I-CONTACT
9522   I-CONTACT
or   O
go   O
to   O
Wills   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
if   O
experiencing   O
severe   O
worsening   O
of   O
symptoms   O
such   O
as   O
difficulty   O
breathing   O
,   O
chest   O
pain   O
,   O
or   O
high   O
fever   O
.   O

The   O
information   O
contained   O
in   O
this   O
report   O
is   O
confidential   O
and   O
pertains   O
to   O
the   O
medical   O
condition   O
of   O
Miranda   B-NAME
Rubio   I-NAME
.   O

Patient   O
:   O
Hugo   B-NAME
Buckley   I-NAME
Date   O
of   O
Birth   O
:   O
2233/35/10   B-DATE
Age   O
:   O
2   O
Gender   O
:   O
Male   O
ID   O
:   O
VL358/3855   B-ID
Medical   O
Record   O
Number   O
:   O
7819372   B-ID
Address   O
:   O
Mebane   B-LOCATION
,   O
97424   B-LOCATION
Phone   O
:   O
998   B-CONTACT
6573   I-CONTACT
Employment   O
:   O
Database   O
Administrators   O
Primary   O
Care   O
Physician   O
:   O

Kasen   B-NAME
Merritt   I-NAME
Hospital   O
:   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Independence   I-LOCATION
Chief   O
Complaint   O
:   O

These   O
symptoms   O
have   O
been   O
occurring   O
more   O
frequently   O
over   O
the   O
past   O
month   O
,   O
prompting   O
an   O
evaluation   O
on   O
33/21   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Rachele   B-NAME
Cabeza   I-NAME
reports   O
that   O
the   O
dyspnea   O
initially   O
occurred   O
only   O
with   O
vigorous   O
activities   O
but   O
has   O
progressed   O
to   O
the   O
point   O
where   O
it   O
occurs   O
with   O
minimal   O
activities   O
,   O
such   O
as   O
walking   O
a   O
short   O
distance   O
.   O

Emerson   B-NAME
Hart   I-NAME
denies   O
any   O
chest   O
pain   O
,   O
dizziness   O
,   O
or   O
syncope   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
-   O
Type   O
2   O
Diabetes   O
Mellitus   O
-   O
No   O
known   O
drug   O
allergies   O
Medications   O
:   O
-   O
Lisinopril   O
10   O
mg   O
daily   O
-   O
Metformin   O
500   O
mg   O
twice   O
daily   O
Social   O
History   O
:   O
Wayne   B-NAME
Davila   I-NAME
works   O
as   O
a   O
Social   O
researcher   O
at   O
West   B-LOCATION
Coast   I-LOCATION
Life   I-LOCATION
in   O
Powder   B-LOCATION
Springs   I-LOCATION
.   O

The   O
patient   O
is   O
to   O
follow   O
up   O
with   O
Campos   B-NAME
at   O
Atlanta   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
Campus   I-LOCATION
on   O
02/29   B-DATE
for   O
review   O
of   O
results   O
and   O
further   O
management   O
.   O

Keon   B-NAME
Moon   I-NAME
recommended   O
initiating   O
a   O
trial   O
of   O
diuretic   O
therapy   O
to   O
manage   O
symptoms   O
and   O
adjusting   O
antihypertensive   O
medications   O
.   O

Please   O
call   O
684   B-CONTACT
4516   I-CONTACT
for   O
any   O
questions   O
or   O
to   O
report   O
any   O
adverse   O
effects   O
of   O
new   O
medication   O
.   O

Signed   O
,   O
Evelyn   B-NAME
Vaughn   I-NAME
32/28/96   B-DATE

Patient   O
Name   O
:   O
Ruth   B-NAME
Carter   I-NAME
Patient   O
ID   O
:   O
ZV282/9869   B-ID
Age   O
:   O
29   O
Phone   O
Number   O
:   O
971   B-CONTACT
-   I-CONTACT
9701   I-CONTACT
Address   O
:   O
Gulf   B-LOCATION
Stream   I-LOCATION
,   O
81128   B-LOCATION
Primary   O
Physician   O
:   O

Young   B-NAME
Hospital   O
:   O
Crawford   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
District   I-LOCATION
No.1   I-LOCATION
–   I-LOCATION
Girard   I-LOCATION
Medical   O
Record   O
Number   O
:   O
462   B-ID
-   I-ID
36   I-ID
-   I-ID
05   I-ID
-   I-ID
6   I-ID
Occupation   O
:   O
Rehabilitation   O
Counselors   O
Date   O
of   O
Visit   O
:   O
12/29/2040   B-DATE
Chief   O
Complaint   O
:   O
Tigurius   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
UPMC   B-LOCATION
Carlisle   I-LOCATION
on   O
2250   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
10   I-DATE
,   O
complaining   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Lesly   B-NAME
Galvan   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Cordell   B-NAME
Summers   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Mesenteric   O
adenitis   O
Diagnostic   O
Tests   O
:   O
Initial   O
laboratory   O
tests   O
were   O
ordered   O
by   O
Elliott   B-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
which   O
showed   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
uL   O
,   O
indicating   O
a   O
potential   O
infection   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
performed   O
at   O
OSF   B-LOCATION
Heart   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
suggested   O
an   O
inflamed   O
appendix   O
,   O
supporting   O
the   O
clinical   O
suspicion   O
of   O
acute   O
appendicitis   O
.   O

Given   O
the   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Aryanna   B-NAME
Short   I-NAME
recommended   O
an   O
emergency   O
appendectomy   O
.   O

Desiree   B-NAME
Cannon   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
nature   O
of   O
the   O
surgery   O
,   O
and   O
consent   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
scheduled   O
immediately   O
at   O
Gateway   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
on   O
6/8   B-DATE
.   O

Post   O
-   O
surgery   O
,   O
Virginia   B-NAME
Aguilar   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
after   O
one   O
week   O
for   O
a   O
wound   O
check   O
.   O

Employer   O
Notification   O
:   O
Ackersley   B-NAME
requested   O
to   O
notify   O
their   O
employer   O
,   O
Aztec   B-LOCATION
Club   I-LOCATION
of   I-LOCATION
1847   I-LOCATION
,   O
regarding   O
their   O
medical   O
emergency   O
and   O
the   O
estimated   O
recovery   O
time   O
.   O

A   O
medical   O
certificate   O
was   O
prepared   O
by   O
Emmanuel   B-NAME
Huber   I-NAME
on   O
11/06   B-DATE
to   O
be   O
submitted   O
to   O
Braxton   B-NAME
Shah   I-NAME
's   O
employer   O
by   O
UW1006   B-NAME
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Lindsay   B-NAME
Campbell   I-NAME
at   O
Knoxville   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
on   O
01/29/2105   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Conclusion   O
:   O
The   O
prompt   O
diagnosis   O
and   O
management   O
of   O
acute   O
appendicitis   O
in   O
Ashanti   B-NAME
Calderon   I-NAME
likely   O
prevented   O
complications   O
such   O
as   O
appendicular   O
rupture   O
and   O
peritonitis   O
.   O

The   O
interdisciplinary   O
approach   O
involving   O
surgical   O
and   O
medical   O
teams   O
at   O
Doylestown   B-LOCATION
Health   I-LOCATION
facilitated   O
successful   O
immediate   O
intervention   O
and   O
ongoing   O
care   O
.   O

Patient   O
Name   O
:   O
Elisabeth   B-NAME
Moreno   I-NAME
ID   O
:   O
XU835/2266   B-ID
Medical   O
Record   O
Number   O
:   O
2834413   B-ID
Date   O
of   O
Birth   O
:   O
10/20   B-DATE
Age   O
:   O
28   O
Phone   O
Number   O
:   O
398   B-CONTACT
9378   I-CONTACT
Address   O
:   O
Landis   B-LOCATION
,   O
72431   B-LOCATION
Occupation   O
:   O
Telecommunications   O
Engineering   O
Specialists   O
Primary   O
Care   O
Physician   O
:   O

Vaughan   B-NAME
Referred   O
by   O
:   O
Jakayla   B-NAME
Mclean   I-NAME
Date   O
of   O
Visit   O
:   O
23/25   B-DATE
Hospital   O
Admission   O
Date   O
:   O
2/92   B-DATE
at   O
IU   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Freeman   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
5/3   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
exacerbated   O
over   O
a   O
24   O
-   O
hour   O
period   O
.   O

Additionally   O
,   O
Jacob   B-NAME
Allison   I-NAME
reported   O
experiencing   O
episodes   O
of   O
nausea   O
accompanied   O
by   O
vomiting   O
.   O

There   O
has   O
been   O
a   O
noticeable   O
absence   O
of   O
appetite   O
,   O
and   O
Ethen   B-NAME
Underwood   I-NAME
mentioned   O
not   O
having   O
had   O
a   O
bowel   O
movement   O
since   O
the   O
onset   O
of   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
a   O
89   O
-   O
year   O
-   O
old   O
Derrick   O
Operators   O
,   O
Oil   O
and   O
Gas   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
first   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
8/06/41   B-DATE
,   O
which   O
gradually   O
intensified   O
.   O

Darren   B-NAME
Haas   I-NAME
denies   O
any   O
fever   O
,   O
chills   O
,   O
diarrhea   O
,   O
or   O
urinary   O
symptoms   O
.   O

Upon   O
examination   O
,   O
Parker   B-NAME
Huang   I-NAME
's   O
vital   O
signs   O
were   O
found   O
to   O
be   O
within   O
normal   O
limits   O
except   O
for   O
a   O
mild   O
elevation   O
in   O
temperature   O
to   O
52   O
.   O

Treatment   O
Plan   O
:   O
-   O
Kundera   B-NAME
,   I-NAME
Milan   I-NAME
was   O
admitted   O
to   O
Morgan   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Andrews   B-NAME
for   O
further   O
management   O
.   O
-   O
Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Davis   B-NAME
Frey   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
8/13/2122   B-DATE
.   O
-   O
Pre   O
-   O
operative   O
antibiotics   O
were   O
started   O
immediately   O
.   O
-   O
Suarez   B-NAME
was   O
advised   O
to   O
remain   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
post   O
-   O
midnight   O
in   O
preparation   O
for   O
surgery   O
.   O

Recommendations   O
:   O
Post   O
-   O
operative   O
care   O
instructions   O
and   O
follow   O
-   O
up   O
appointment   O
with   O
Krish   B-NAME
Salazar   I-NAME
were   O
scheduled   O
for   O
2047   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
30   I-DATE
.   O

Vlad   B-NAME
Mostoller   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
adhering   O
to   O
post   O
-   O
operative   O
care   O
guidelines   O
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Halle   B-NAME
Mahoney   I-NAME
relative   O
Relation   O
:   O
Acute   O
Care   O
Nurses   O
Phone   O
:   O
378   B-CONTACT
5840   I-CONTACT

Patient   O
ID   O
:   O
0288384   B-ID
Tamala   B-NAME
Sadler   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Henrico   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
on   O
2202   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
05   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Kiera   B-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Past   O
medical   O
history   O
obtained   O
from   O
Dunlap   B-NAME
includes   O
previous   O
episodes   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
abdominal   O
pain   O
and   O
a   O
diagnosis   O
of   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
.   O

Sidney   B-NAME
Rios   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
and   O
is   O
currently   O
not   O
on   O
any   O
regular   O
medication   O
.   O

On   O
physical   O
examination   O
,   O
Rebecca   B-NAME
Cochran   I-NAME
,   O
a   O
55   O
-   O
year   O
-   O
old   O
Food   O
Servers   O
,   O
Nonrestaurant   O
,   O
exhibited   O
signs   O
of   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggesting   O
potential   O
appendicitis   O
.   O

Sawyer   B-NAME
advised   O
immediate   O
surgical   O
consultation   O
for   O
potential   O
appendectomy   O
given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
.   O

Summer   B-NAME
Allen   I-NAME
was   O
admitted   O
to   O
HealthSouth   B-LOCATION
Lakeshore   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
general   O
surgery   O
for   O
further   O
management   O
on   O
0/00   B-DATE
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Swanson   B-NAME
,   O
performed   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
observed   O
post   O
-   O
operatively   O
in   O
the   O
recovery   O
unit   O
.   O

Harvey   B-NAME
was   O
discharged   O
from   O
William   B-LOCATION
P.   I-LOCATION
Clements   I-LOCATION
Jr.   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
4/01   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
with   O
their   O
primary   O
care   O
physician   O
within   O
two   O
weeks   O
or   O
earlier   O
if   O
there   O
were   O
concerns   O
.   O

Prescription   O
information   O
and   O
discharge   O
paperwork   O
were   O
provided   O
,   O
including   O
211   B-CONTACT
9910   I-CONTACT
for   O
follow   O
-   O
up   O
questions   O
.   O

In   O
summary   O
,   O
the   O
timely   O
presentation   O
to   O
Inova   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
and   O
prompt   O
surgical   O
intervention   O
contributed   O
to   O
a   O
positive   O
outcome   O
for   O
Ardite   B-NAME
Beauparlant   I-NAME
with   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Patient   O
:   O
Datherine   B-NAME
Medical   O
Record   O
Number   O
:   O
455   B-ID
-   I-ID
47   I-ID
-   I-ID
22   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
14/06/81   B-DATE
Age   O
:   O
90   O
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
Transformer   O
Repairers   O
residing   O
in   O
9372   B-LOCATION
Bellevue   I-LOCATION
Lane   I-LOCATION
,   O
presented   O
to   O
Monroe   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
17/23   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headache   O
and   O
dizziness   O
for   O
the   O
past   O
three   O
days   O
.   O

Past   O
Medical   O
History   O
:   O
Martin   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
both   O
managed   O
with   O
medication   O
for   O
the   O
past   O
five   O
years   O
.   O

Grace   B-NAME
Jewell   I-NAME
denies   O
any   O
history   O
of   O
similar   O
symptoms   O
,   O
trauma   O
,   O
or   O
recent   O
illness   O
.   O

On   O
examination   O
,   O
Simon   B-NAME
Medina   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
the   O
headache   O
.   O

Diagnostic   O
Studies   O
:   O
A   O
head   O
CT   O
scan   O
performed   O
on   O
2112   B-DATE
showed   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Reese   B-NAME
in   O
two   O
weeks   O
to   O
evaluate   O
blood   O
pressure   O
control   O
and   O
headache   O
management   O
.   O

Follow   O
-   O
up   O
:   O
Nikolas   B-NAME
Van   I-NAME
Helsing   I-NAME
will   O
be   O
contacted   O
via   O
163   B-CONTACT
8838   I-CONTACT
in   O
one   O
week   O
to   O
assess   O
symptom   O
relief   O
and   O
adherence   O
to   O
the   O
modified   O
treatment   O
plan   O
.   O

Confidentiality   O
Statement   O
:   O
The   O
information   O
in   O
this   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
healthcare   O
personnel   O
involved   O
in   O
the   O
care   O
of   O
Dustin   B-NAME
T.   I-NAME
Michael   I-NAME
.   O

Please   O
contact   O
Animal   B-LOCATION
Liberation   I-LOCATION
Leagues   I-LOCATION
with   O
any   O
questions   O
or   O
to   O
request   O
further   O
information   O
.   O

Prepared   O
by   O
:   O
zu373   B-NAME
Date   O
:   O
3/11/2065   B-DATE
Contact   O
Phone   O
:   O
(   B-CONTACT
463   I-CONTACT
)   I-CONTACT
286   I-CONTACT
-   I-CONTACT
5915   I-CONTACT
TJ997/4834   B-ID
:   O
UH:2979:448569   B-ID
Office   O
Location   O
:   O

Barrville   B-LOCATION
,   O
71033   B-LOCATION
Wounded   B-LOCATION
Warrior   I-LOCATION
Project   I-LOCATION

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Nataly   B-NAME
Dalton   I-NAME
Age   O
:   O
80   O
Date   O
of   O
Birth   O
:   O
12/24   B-DATE
Medical   O
Record   O
Number   O
:   O
079   B-ID
-   I-ID
19   I-ID
-   I-ID
38   I-ID
-   I-ID
8   I-ID
ID   O
Number   O
:   O
DR   B-ID
:   I-ID
GW:1870   I-ID
Address   O
:   O
Rockaway   B-LOCATION
,   O
71289   B-LOCATION
Phone   O
Number   O
:   O
57501   B-CONTACT
Employment   O
:   O
Pharmacy   O
Aides   O
at   O
City   B-LOCATION
of   I-LOCATION
Green   I-LOCATION
Cove   I-LOCATION
Springs   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
Date   O
of   O
Visit   O
:   O
20/11/2019   B-DATE
Attending   O
Physician   O
:   O
Eaton   B-NAME
Hospital   O
Name   O
:   O

Speciality   B-LOCATION
Hospital   I-LOCATION
Clinical   O
Synopsis   O
:   O
Skye   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
2144   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
27   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
associated   O
nausea   O
.   O

Essence   B-NAME
Waller   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
vomiting   O
since   O
early   O
morning   O
on   O
the   O
day   O
of   O
admission   O
.   O

Additionally   O
,   O
Trahan   B-NAME
has   O
been   O
a   O
type   O
2   O
diabetic   O
for   O
the   O
past   O
33   O
years   O
,   O
managed   O
on   O
oral   O
hypoglycemics   O
.   O

Upon   O
examination   O
,   O
Peters   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

HbA1c   O
:   O
Was   O
measured   O
to   O
monitor   O
Franklin   B-NAME
,   I-NAME
Benjamin   I-NAME
's   O
diabetes   O
control   O
,   O
results   O
pending   O
.   O

Oren   B-NAME
S.   I-NAME
Ip   I-NAME
was   O
admitted   O
to   O
Heartland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Consultation   O
requested   O
from   O
Barry   B-NAME
in   O
Gastroenterology   O
for   O
further   O
evaluation   O
and   O
management   O
,   O
including   O
potential   O
endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
.   O

Educate   O
Pritchard   B-NAME
on   O
potential   O
dietary   O
changes   O
and   O
the   O
importance   O
of   O
avoiding   O
alcohol   O
.   O

Follow   O
-   O
Up   O
:   O
Myrl   B-NAME
Dan   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Carlson   B-NAME
in   O
the   O
gastroenterology   O
department   O
on   O
10/10/1945   B-DATE
,   O
to   O
evaluate   O
progress   O
and   O
discuss   O
long   O
-   O
term   O
management   O
to   O
prevent   O
recurrence   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
rj392   B-NAME
Relationship   O
:   O
Nanoscientist   O
Phone   O
Number   O
:   O
354   B-CONTACT
992   I-CONTACT
-   I-CONTACT
7430   I-CONTACT
All   O
further   O
inquiries   O
and   O
correspondence   O
regarding   O
Atwood   B-NAME
’s   O
care   O
should   O
be   O
directed   O
to   O
the   O
attending   O
physician   O
,   O
Julian   B-NAME
Sierson   I-NAME
,   O
at   O
111   B-CONTACT
-   I-CONTACT
7504   I-CONTACT
.   O

Patient   O
Report   O
for   O
Cummings   B-NAME
,   I-NAME
E.   I-NAME
E.   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
235123   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
028   B-ID
-   I-ID
27   I-ID
-   I-ID
60   I-ID
-   I-ID
4   I-ID
-   O
Date   O
of   O
Birth   O
:   O
35   O
-   O
Date   O
of   O
Initial   O
Consultation   O
:   O
11/26/1645   B-DATE
-   O
Consulting   O
Doctor   O
:   O
Alysha   B-NAME
Gualdoni   I-NAME
-   O
Contact   O
Number   O
:   O
341   B-CONTACT
3170   I-CONTACT
-   O
Address   O
:   O
Lake   B-LOCATION
Ann   I-LOCATION
,   O
54258   B-LOCATION
Medical   O
History   O
:   O
Ernesto   B-NAME
Harding   I-NAME
reported   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Wayne   I-LOCATION
with   O
a   O
series   O
of   O
symptoms   O
that   O
began   O
approximately   O
two   O
weeks   O
prior   O
to   O
their   O
consultation   O
on   O
15/25/2174   B-DATE
.   O

Morgenstern   B-NAME
,   I-NAME
Christian   I-NAME
also   O
noted   O
experiencing   O
photophobia   O
and   O
phonophobia   O
,   O
making   O
it   O
difficult   O
to   O
perform   O
daily   O
tasks   O
.   O

Upon   O
further   O
examination   O
,   O
it   O
was   O
noted   O
that   O
Matteo   B-NAME
Cannon   I-NAME
had   O
an   O
elevated   O
blood   O
pressure   O
reading   O
during   O
the   O
visit   O
,   O
although   O
they   O
denied   O
any   O
history   O
of   O
hypertension   O
.   O

Visual   O
acuity   O
was   O
within   O
normal   O
limits   O
,   O
but   O
Swender   B-NAME
reported   O
slight   O
blurriness   O
when   O
experiencing   O
headaches   O
.   O

Management   O
and   O
Recommendations   O
:   O
Dr.   O
Henson   B-NAME
prescribed   O
a   O
course   O
of   O
oral   O
medication   O
aimed   O
at   O
managing   O
the   O
symptoms   O
while   O
recommending   O
lifestyle   O
modifications   O
including   O
increased   O
physical   O
activity   O
,   O
hydration   O
,   O
and   O
regular   O
sleep   O
patterns   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
13/24   B-DATE
to   O
assess   O
the   O
patient   O
's   O
response   O
to   O
the   O
treatment   O
.   O

Chapin   B-NAME
,   I-NAME
Harry   I-NAME
was   O
advised   O
to   O
monitor   O
their   O
symptoms   O
closely   O
and   O
return   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
if   O
they   O
experience   O
any   O
exacerbation   O
,   O
particularly   O
visual   O
disturbances   O
,   O
severe   O
headaches   O
,   O
or   O
if   O
new   O
symptoms   O
arise   O
.   O

Should   O
there   O
be   O
no   O
improvement   O
,   O
Dr.   O
Aldo   B-NAME
Romero   I-NAME
suggested   O
that   O
further   O
diagnostic   O
testing   O
might   O
be   O
necessary   O
to   O
rule   O
out   O
underlying   O
conditions   O
.   O

Confidentiality   O
Notice   O
:   O
All   O
patient   O
information   O
including   O
name   O
,   O
ID   O
,   O
medical   O
record   O
,   O
and   O
contact   O
details   O
are   O
treated   O
with   O
utmost   O
confidentiality   O
and   O
are   O
protected   O
under   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Machinists   I-LOCATION
and   I-LOCATION
Aerospace   I-LOCATION
Workers   I-LOCATION
privacy   O
guidelines   O
.   O

For   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Community   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Monterey   I-LOCATION
Peninsula   I-LOCATION
at   O
472   B-CONTACT
3549   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
Patient   O
ID   O
:   O
LB:33269:523207   B-ID
Medical   O
Record   O
Number   O
:   O
96718877   B-ID
Age   O
:   O
13   O
DOB   O
:   O
6/38   B-DATE
Address   O
:   O
Grand   B-LOCATION
-   I-LOCATION
Mère   I-LOCATION
,   I-LOCATION
QC   I-LOCATION
G9   I-LOCATION
T   I-LOCATION
7V9   I-LOCATION
,   O
67525   B-LOCATION
Phone   O
Number   O
:   O
839   B-CONTACT
-   I-CONTACT
9083   I-CONTACT
Employment   O
:   O
Training   O
and   O
Development   O
Specialists   O
Consulting   O
Physician   O
:   O
Dr.   O
Michael   B-NAME
Hospital   O
:   O

Christian   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Consultation   O
:   O
02/21   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Uriel   B-NAME
Mays   I-NAME
,   O
a   O
Storage   O
and   O
Distribution   O
Managers   O
by   O
profession   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Ephraim   B-LOCATION
McDowell   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/4   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Aubree   B-NAME
Neal   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
outside   O
of   O
Fromberg   B-LOCATION
or   O
any   O
sick   O
contacts   O
.   O

Medical   O
History   O
:   O
Reema   B-NAME
N.   I-NAME
Imler   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
metformin   O
and   O
a   O
past   O
surgical   O
history   O
indicating   O
an   O
appendectomy   O
performed   O
at   O
LewisGale   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
03/22/53   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Atatürk   B-NAME
,   I-NAME
Mustafa   I-NAME
Kemal   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Computed   O
tomography   O
(   O
CT   O
)   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
ordered   O
by   O
Dr.   O
Tolian   B-NAME
Soran   I-NAME
indicated   O
signs   O
consistent   O
with   O
acute   O
enteritis   O
.   O

Audrina   B-NAME
Leon   I-NAME
was   O
admitted   O
to   O
Lakeland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Frank   B-NAME
for   O
further   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Brandt   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Dr.   O
Sawyer   B-NAME
on   O
02/32   B-DATE
to   O
reassess   O
symptomatology   O
and   O
response   O
to   O
treatment   O
.   O

Vernetta   B-NAME
Florestal   I-NAME
was   O
briefed   O
on   O
signs   O
of   O
potential   O
complications   O
warranting   O
immediate   O
medical   O
attention   O
,   O
including   O
but   O
not   O
limited   O
to   O
,   O
increased   O
abdominal   O
pain   O
,   O
persistent   O
vomiting   O
,   O
and   O
signs   O
of   O
dehydration   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
,   O
Urhua   B-NAME
Hillbrant   I-NAME
was   O
advised   O
to   O
contact   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
West   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
at   O
462   B-CONTACT
-   I-CONTACT
7604   I-CONTACT
.   O

This   O
patient   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
individual   O
named   O
above   O
and   O
the   O
medical   O
staff   O
of   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Muhlenberg   I-LOCATION
.   O

Patient   O
Report   O
:   O
2/34   B-DATE
,   O
Sophie   B-NAME
Huff   I-NAME
,   O
a   O
Mathematical   O
Science   O
Occupations   O
,   O
All   O
Other   O
from   O
Fair   B-LOCATION
Oaks   I-LOCATION
,   O
65579   B-LOCATION
,   O
was   O
admitted   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Center   I-LOCATION
with   O
a   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
,   O
noticeable   O
jaundice   O
,   O
and   O
unusual   O
weight   O
loss   O
.   O

According   O
to   O
Evans   B-NAME
,   O
the   O
patient   O
's   O
symptoms   O
had   O
gradually   O
intensified   O
over   O
the   O
past   O
two   O
months   O
.   O

Upon   O
admission   O
,   O
Henry   B-NAME
Pinkham   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
120/80   O
mmHg   O
,   O
heart   O
rate   O
88   O
beats   O
per   O
minute   O
,   O
and   O
body   O
temperature   O
37.2   O
°   O
C   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
disclosed   O
through   O
an   O
interview   O
and   O
examination   O
of   O
their   O
388   B-ID
-   I-ID
57   I-ID
-   I-ID
18   I-ID
-   I-ID
6   I-ID
,   O
indicated   O
no   O
prior   O
surgeries   O
or   O
significant   O
medical   O
conditions   O
.   O

Knowles   B-NAME
revealed   O
during   O
the   O
assessment   O
that   O
they   O
have   O
not   O
traveled   O
outside   O
Oketo   B-LOCATION
in   O
the   O
last   O
year   O
and   O
denied   O
any   O
use   O
of   O
alcohol   O
,   O
tobacco   O
,   O
or   O
illicit   O
substances   O
.   O

An   O
abdominal   O
ultrasound   O
,   O
performed   O
on   O
2141   B-DATE
,   O
revealed   O
the   O
presence   O
of   O
gallstones   O
and   O
signs   O
consistent   O
with   O
acute   O
cholecystitis   O
.   O

Wells   B-NAME
noted   O
that   O
these   O
findings   O
correlated   O
with   O
the   O
patient   O
’s   O
clinical   O
presentation   O
of   O
pain   O
and   O
jaundice   O
.   O

Treatment   O
initiated   O
for   O
Trinity   B-NAME
Reyes   I-NAME
included   O
intravenous   O
fluids   O
,   O
antibiotics   O
,   O
and   O
pain   O
management   O
with   O
the   O
plan   O
to   O
monitor   O
the   O
patient   O
's   O
response   O
over   O
the   O
subsequent   O
48   O
hours   O
.   O

A   O
consultation   O
with   O
a   O
gastroenterologist   O
is   O
scheduled   O
for   O
10/42   B-DATE
to   O
discuss   O
potential   O
surgical   O
interventions   O
,   O
such   O
as   O
cholecystectomy   O
.   O

The   O
patient   O
's   O
family   O
,   O
specifically   O
a   O
6s   O
years   O
old   O
relative   O
,   O
contacted   O
via   O
669   B-CONTACT
-   I-CONTACT
387   I-CONTACT
-   I-CONTACT
7508   I-CONTACT
,   O
was   O
briefed   O
about   O
the   O
condition   O
and   O
the   O
proposed   O
treatment   O
plan   O
.   O

Notes   O
added   O
to   O
262   B-ID
-   I-ID
95   I-ID
-   I-ID
27   I-ID
by   O
Marissa   B-NAME
Miles   I-NAME
on   O
35   B-DATE
-   I-DATE
13   I-DATE
included   O
a   O
reminder   O
to   O
discuss   O
lifestyle   O
and   O
dietary   O
guidance   O
with   O
the   O
patient   O
and   O
their   O
family   O
upon   O
stabilization   O
of   O
the   O
patient   O
's   O
condition   O
.   O

The   O
healthcare   O
team   O
at   O
Mount   B-LOCATION
Sinai   I-LOCATION
Hospital   I-LOCATION
,   O
led   O
by   O
Kylee   B-NAME
Mason   I-NAME
,   O
is   O
closely   O
monitoring   O
the   O
patient   O
's   O
condition   O
and   O
will   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
based   O
on   O
the   O
patient   O
's   O
response   O
to   O
the   O
initial   O
management   O
and   O
the   O
recommendations   O
of   O
the   O
gastroenterologist   O
.   O

For   O
any   O
further   O
details   O
regarding   O
the   O
patient   O
's   O
treatment   O
plan   O
,   O
please   O
refer   O
to   O
the   O
patient   O
's   O
medical   O
record   O
number   O
892030CA   B-ID
or   O
contact   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
College   I-LOCATION
Station   I-LOCATION
at   O
67492   B-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Geneticist   O
,   O
EC986   B-NAME
,   O
on   O
04/32/24   B-DATE
,   O
and   O
securely   O
stored   O
within   O
Northeast   B-LOCATION
Utilities   I-LOCATION
's   O
medical   O
records   O
system   O
to   O
ensure   O
confidentiality   O
and   O
compliance   O
with   O
health   O
information   O
privacy   O
regulations   O
.   O

Patient   O
Name   O
:   O
Julius   B-NAME
Garza   I-NAME
Age   O
:   O
75   O
Medical   O
Record   O
No   O
.   O
:   O
5945840   B-ID
Date   O
of   O
Visit   O
:   O
2353   B-DATE
Physician   O
:   O

Roy   B-NAME
Collins   I-NAME
Hospital   O
:   O

Day   B-LOCATION
Kimball   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Downers   B-LOCATION
Grove   I-LOCATION
Contact   O
No   O
.   O
:   O
291   B-CONTACT
-   I-CONTACT
2894   I-CONTACT
Clinical   O
Notes   O
:   O
Forbin   B-NAME
Izaguine   I-NAME
,   O
a   O
Electrical   O
and   O
Electronics   O
Drafters   O
from   O
Philadelphia   B-LOCATION
,   O
presented   O
to   O
Paris   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/21/4   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

On   O
examination   O
,   O
Arabella   B-NAME
Stokes   I-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
a   O
positive   O
Rovsing   O
's   O
sign   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
Willow   B-NAME
Rasmussen   I-NAME
suspected   O
acute   O
appendicitis   O
.   O

It   O
was   O
discussed   O
with   O
Natasha   B-NAME
Zhang   I-NAME
and   O
immediate   O
family   O
members   O
,   O
71   O
and   O
58s   O
,   O
the   O
possibility   O
of   O
surgical   O
intervention   O
to   O
prevent   O
complications   O
such   O
as   O
rupture   O
or   O
spread   O
of   O
infection   O
.   O

Ball   B-NAME
,   I-NAME
Hugo   I-NAME
agreed   O
to   O
proceed   O
with   O
the   O
recommended   O
treatment   O
plan   O
.   O

Surgical   O
Notes   O
:   O
Procedure   O
Date   O
:   O
1/24   B-DATE
Surgeon   O
:   O
Stoner   B-NAME
Jr.   I-NAME
,   I-NAME
James   I-NAME
R.   I-NAME
Hospital   O
:   O
Ascension   B-LOCATION
Macomb   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Madison   I-LOCATION
Heights   I-LOCATION
Campus   I-LOCATION
The   O
appendectomy   O
was   O
performed   O
under   O
general   O
anesthesia   O
without   O
any   O
complications   O
.   O

The   O
inflamed   O
appendix   O
was   O
successfully   O
removed   O
,   O
and   O
CODY   B-NAME
NEILSON   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
.   O

Browne   B-NAME
,   I-NAME
Harry   I-NAME
was   O
advised   O
to   O
remain   O
in   O
Vassar   B-LOCATION
Brothers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
for   O
24   O
hours   O
post   O
-   O
surgery   O
to   O
monitor   O
for   O
potential   O
complications   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Oscar   B-NAME
Broderick   I-NAME
was   O
discharged   O
on   O
0/02   B-DATE
with   O
instructions   O
to   O
follow   O
a   O
gradual   O
return   O
to   O
normal   O
activity   O
,   O
avoid   O
strenuous   O
exercise   O
for   O
17   O
weeks   O
,   O
and   O
observe   O
for   O
signs   O
of   O
infection   O
around   O
the   O
incision   O
site   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Bohm   B-NAME
,   I-NAME
David   I-NAME
at   O
Epsom   B-LOCATION
after   O
89   O
weeks   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Nero   B-NAME
Crissinger   I-NAME
was   O
reminded   O
to   O
contact   O
Henry   B-LOCATION
Ford   I-LOCATION
Hospital   I-LOCATION
at   O
46787   B-CONTACT
if   O
they   O
experience   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
other   O
concerns   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Medical   O
Record   O
No   O
.   O
:   O
5126978   B-ID
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
1232345   I-ID
ZIP   O
Code   O
:   O
56277   B-LOCATION
Username   O
for   O
Patient   O
Portal   O
:   O
KA188   B-NAME
The   O
patient   O
and   O
the   O
family   O
expressed   O
their   O
gratitude   O
towards   O
the   O
medical   O
staff   O
at   O
Caverna   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   O
were   O
optimistic   O
about   O
a   O
full   O
recovery   O
.   O

Patient   O
Report   O
for   O
John   B-NAME
H.   I-NAME
Watson   I-NAME
30/06/41   B-DATE
,   O
Jac   B-NAME
visited   O
Island   B-LOCATION
Hospital   I-LOCATION
located   O
in   O
Ward   B-LOCATION
,   O
11997   B-LOCATION
,   O
complaining   O
of   O
severe   O
and   O
persistent   O
abdominal   O
pain   O
predominately   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Keller   B-NAME
,   O
a   O
Machine   O
Feeders   O
and   O
Offbearers   O
by   O
trade   O
,   O
mentioned   O
that   O
the   O
pain   O
intensified   O
upon   O
moving   O
and   O
was   O
accompanied   O
by   O
a   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
a   O
singular   O
episode   O
of   O
vomiting   O
.   O

96s   O
years   O
of   O
age   O
,   O
Ritter   B-NAME
had   O
no   O
significant   O
previous   O
medical   O
history   O
and   O
took   O
no   O
regular   O
medications   O
.   O

Upon   O
examination   O
,   O
West   B-NAME
noted   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Alvarez   B-NAME
was   O
admitted   O
to   O
Raleigh   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
medical   O
record   O
number   O
3223183   B-ID
for   O
further   O
observation   O
and   O
diagnostic   O
testing   O
,   O
including   O
an   O
abdominal   O
ultrasound   O
scheduled   O
for   O
32/26   B-DATE
.   O

The   O
ultrasound   O
confirmed   O
Mckee   B-NAME
's   O
suspicion   O
of   O
appendicitis   O
,   O
showing   O
an   O
inflamed   O
appendix   O
.   O

After   O
thorough   O
evaluation   O
,   O
surgical   O
intervention   O
was   O
recommended   O
,   O
and   O
Heifetz   B-NAME
,   I-NAME
Jascha   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
12/22/97   B-DATE
.   O

The   O
procedure   O
,   O
performed   O
by   O
Campos   B-NAME
,   O
was   O
successful   O
without   O
complications   O
.   O

Conrad   B-NAME
Cuevas   I-NAME
was   O
discharged   O
on   O
0/12/98   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Braelyn   B-NAME
Hall   I-NAME
in   O
two   O
weeks   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
Lourdes   I-LOCATION
.   O

Armani   B-NAME
Wilkinson   I-NAME
was   O
advised   O
to   O
contact   O
the   O
hospital   O
at   O
30214   B-CONTACT
for   O
any   O
concerns   O
or   O
in   O
case   O
of   O
an   O
emergency   O
and   O
to   O
maintain   O
a   O
follow   O
-   O
up   O
with   O
Morse   B-NAME
for   O
removal   O
of   O
sutures   O
and   O
evaluation   O
of   O
recovery   O
progress   O
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
Lovecraft   B-NAME
,   I-NAME
H.   I-NAME
P.   I-NAME
's   O
privacy   O
and   O
confidentiality   O
were   O
maintained   O
,   O
following   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Elevator   I-LOCATION
Constructors   I-LOCATION
's   O
guidelines   O
for   O
the   O
protection   O
of   O
Personal   O
Health   O
Information   O
(   O
PHI   O
)   O
.   O

All   O
inquiries   O
into   O
Fletcher   B-NAME
's   O
case   O
utilized   O
the   O
assigned   O
medical   O
record   O
number   O
740   B-ID
-   I-ID
20   I-ID
-   I-ID
79   I-ID
-   I-ID
4   I-ID
for   O
secure   O
communication   O
and   O
documentation   O
purposes   O
.   O

Sara   B-NAME
McIntyre   I-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
with   O
adherence   O
to   O
postoperative   O
care   O
recommendations   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Constantine   B-NAME
Patient   O
ID   O
:   O
HC475/6393   B-ID
Age   O
:   O
44   O
Date   O
of   O
Admission   O
:   O
3/02/99   B-DATE
Location   O
:   O
Young   B-LOCATION
Place   I-LOCATION
Phone   O
Number   O
:   O
21746   B-CONTACT
Profession   O
:   O
Tax   O
inspector   O
Medical   O
Record   O
Number   O
:   O
54383388   B-ID
Attending   O
Physician   O
:   O

Robinson   B-NAME
Hospital   O
:   O

Jupiter   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Organization   O
:   O

Metromile   B-LOCATION
Username   O
:   O
MY2810   B-NAME
Zip   O
Code   O
:   O
49369   B-LOCATION
Clinical   O
Summary   O
:   O
Addyson   B-NAME
Lozano   I-NAME
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
,   O
including   O
lower   O
right   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
a   O
notable   O
increase   O
in   O
white   O
blood   O
cell   O
count   O
observed   O
through   O
laboratory   O
findings   O
.   O

This   O
68   O
-   O
year   O
-   O
old   O
Vocational   O
Education   O
Teachers   O
,   O
Middle   O
School   O
from   O
Freewater   B-LOCATION
was   O
admitted   O
to   O
UPMC   B-LOCATION
Horizon   I-LOCATION
-   I-LOCATION
Greenville   I-LOCATION
Campus   I-LOCATION
on   O
0/23/16   B-DATE
under   O
the   O
care   O
of   O
Ari   B-NAME
Fleming   I-NAME
.   O

Medical   O
History   O
:   O
Patient   O
Bella   B-NAME
Avera   I-NAME
,   O
with   O
medical   O
record   O
number   O
6408833   B-ID
,   O
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
managed   O
with   O
ACE   O
inhibitors   O
.   O

Surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
2071   B-DATE
-   I-DATE
14   I-DATE
-   I-DATE
37   I-DATE
at   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
Homestead   I-LOCATION
Hospital   I-LOCATION
.   O
Treatment   O
and   O
Management   O
:   O

Upon   O
diagnosis   O
,   O
Jimmy   B-NAME
Nelms   I-NAME
was   O
immediately   O
administered   O
intravenous   O
antibiotics   O
to   O
mitigate   O
any   O
potential   O
infection   O
.   O

The   O
surgery   O
,   O
conducted   O
on   O
10/30   B-DATE
,   O
was   O
successful   O
without   O
any   O
notable   O
intraoperative   O
complications   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Devin   B-NAME
Pugh   I-NAME
exhibited   O
a   O
smooth   O
post   O
-   O
operative   O
recovery   O
with   O
improvement   O
in   O
symptoms   O
and   O
was   O
discharged   O
on   O
18/00   B-DATE
.   O

Instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
potential   O
complications   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Fox   B-NAME
at   O
Sioux   B-LOCATION
Center   I-LOCATION
Health   I-LOCATION
were   O
provided   O
.   O

Additionally   O
,   O
patient   O
oy838   B-NAME
was   O
advised   O
to   O
monitor   O
for   O
any   O
symptoms   O
of   O
infection   O
or   O
unusual   O
pain   O
and   O
was   O
given   O
a   O
contact   O
number   O
,   O
(   B-CONTACT
742   I-CONTACT
)   I-CONTACT
746   I-CONTACT
-   I-CONTACT
6712   I-CONTACT
,   O
for   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Danville   I-LOCATION
to   O
report   O
any   O
concerns   O
or   O
seek   O
advice   O
.   O

A   O
routine   O
follow   O
-   O
up   O
in   O
two   O
weeks   O
at   O
the   O
outpatient   O
clinic   O
located   O
at   O
67261   B-LOCATION
is   O
scheduled   O
to   O
ensure   O
the   O
absence   O
of   O
complications   O
and   O
proper   O
wound   O
healing   O
.   O

In   O
summary   O
,   O
the   O
timely   O
intervention   O
and   O
comprehensive   O
care   O
plan   O
facilitated   O
Cassandra   B-NAME
Santana   I-NAME
's   O
recovery   O
from   O
acute   O
appendicitis   O
without   O
any   O
post   O
-   O
operative   O
complications   O
.   O

Continued   O
outpatient   O
follow   O
-   O
up   O
will   O
be   O
crucial   O
in   O
monitoring   O
Julian   B-NAME
Mercer   I-NAME
's   O
progress   O
and   O
addressing   O
any   O
potential   O
health   O
concerns   O
promptly   O
.   O

Patient   O
:   O
Roger   B-NAME
Easterling   I-NAME
MRN   O
:   O
95612625   B-ID
DOB   O
:   O
04/22/2292   B-DATE
Age   O
:   O
12s   O
Phone   O
:   O
676   B-CONTACT
-   I-CONTACT
4678   I-CONTACT
Address   O
:   O
Maltby   B-LOCATION
,   O
69420   B-LOCATION
Employer   O
:   O
Stars   B-LOCATION
'   I-LOCATION
Oligarcy   I-LOCATION
Occupation   O
:   O
Actuary   O
Chief   O
Complaint   O
:   O

The   O
patient   O
presented   O
to   O
the   O
clinic   O
on   O
September   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
occasional   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Roxanne   B-NAME
Turner   I-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
approximately   O
three   O
days   O
ago   O
,   O
starting   O
with   O
a   O
mild   O
,   O
generalized   O
abdominal   O
discomfort   O
that   O
progressively   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Leah   B-NAME
Shea   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
prescribed   O
by   O
Tyler   B-NAME
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Isla   B-NAME
Gaines   I-NAME
is   O
employed   O
as   O
a   O
Academic   O
librarian   O
and   O
lives   O
in   O
a   O
suburban   O
area   O
in   O
Crooks   B-LOCATION
.   O

Virgie   B-NAME
Giuliana   I-NAME
Quintanar   I-NAME
denies   O
the   O
use   O
of   O
alcohol   O
,   O
tobacco   O
,   O
or   O
recreational   O
drugs   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Codrescu   B-NAME
,   I-NAME
Andrei   I-NAME
appears   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Initiate   O
intravenous   O
fluids   O
and   O
antibiotics   O
in   O
the   O
emergency   O
department   O
at   O
Mountain   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
.   O

Advise   O
patient   O
on   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
with   O
Hana   B-NAME
Colon   I-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Instructions   O
given   O
to   O
Abel   B-NAME
Cooke   I-NAME
for   O
immediate   O
admission   O
to   O
Morristown   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
surgical   O
evaluation   O
.   O

Next   O
Appointment   O
:   O
Follow   O
-   O
up   O
in   O
the   O
clinic   O
with   O
Barron   B-NAME
after   O
discharge   O
from   O
Raritan   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Perth   I-LOCATION
Amboy   I-LOCATION
,   O
scheduled   O
for   O
02/32/2325   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Jairo   B-NAME
Sweeney   I-NAME
or   O
family   O
members   O
can   O
contact   O
the   O
clinic   O
at   O
(   B-CONTACT
266   I-CONTACT
)   I-CONTACT
602   I-CONTACT
4433   I-CONTACT
.   O
Documentation   O
completed   O
by   O
:   O
IC521   B-NAME
04/19   B-DATE

Patient   O
Name   O
:   O
Weber   B-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
7288380   I-ID
Medical   O
Record   O
Number   O
:   O
755   B-ID
-   I-ID
40   I-ID
-   I-ID
67   I-ID
-   I-ID
5   I-ID
Age   O
:   O
8   O
Date   O
of   O
Birth   O
:   O
11/34   B-DATE
Address   O
:   O
Saguache   B-LOCATION
,   O
56418   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
889   I-CONTACT
)   I-CONTACT
357   I-CONTACT
-   I-CONTACT
3619   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Moses   B-NAME
Chandler   I-NAME
Employer   O
:   O
Navy   B-LOCATION
League   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
Occupation   O
:   O

Veterinary   O
Technologists   O
and   O
Technicians   O
Admission   O
Date   O
:   O
03/5   B-DATE
Hospital   O
Name   O
:   O
Raritan   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Harrell   B-NAME
,   O
a   O
Artillery   O
and   O
Missile   O
Crew   O
Members   O
at   O
Air   B-LOCATION
Line   I-LOCATION
Pilots   I-LOCATION
Association   I-LOCATION
,   I-LOCATION
International   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
OSF   B-LOCATION
Heart   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/03/2143   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
occipital   O
region   O
.   O

Jarman   B-NAME
reported   O
the   O
headache   O
began   O
abruptly   O
approximately   O
2   O
hours   O
after   O
finishing   O
a   O
long   O
day   O
of   O
work   O
at   O
South   B-LOCATION
Uniontown   I-LOCATION
on   O
04/42   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Muir   B-NAME
,   I-NAME
John   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
since   O
2   O
month   O
,   O
but   O
notes   O
that   O
this   O
episode   O
is   O
significantly   O
more   O
severe   O
than   O
usual   O
episodes   O
.   O

Yazmin   B-NAME
Bruce   I-NAME
is   O
also   O
diagnosed   O
with   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
at   O
Henry   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
,   O
Brittany   B-NAME
Prince   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

A   O
subsequent   O
lumbar   O
puncture   O
was   O
recommended   O
by   O
Darian   B-NAME
Price   I-NAME
to   O
rule   O
out   O
meningitis   O
,   O
given   O
the   O
severity   O
of   O
the   O
headache   O
and   O
the   O
presence   O
of   O
nausea   O
.   O

After   O
several   O
hours   O
of   O
treatment   O
,   O
Li   B-NAME
reported   O
a   O
reduction   O
in   O
headache   O
severity   O
to   O
a   O
3   O
on   O
the   O
pain   O
scale   O
.   O

Chenoa   B-NAME
was   O
admitted   O
for   O
overnight   O
observation   O
under   O
the   O
care   O
of   O
Coffey   B-NAME
and   O
was   O
discharged   O
the   O
following   O
day   O
,   O
21/22/2066   B-DATE
,   O
with   O
instructions   O
for   O
outpatient   O
follow   O
-   O
up   O
with   O
a   O
neurologist   O
.   O

Bryce   B-NAME
Fleming   I-NAME
was   O
advised   O
to   O
monitor   O
blood   O
pressure   O
and   O
glucose   O
levels   O
regularly   O
,   O
and   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
recurred   O
or   O
worsened   O
.   O

Follow   O
-   O
Up   O
:   O
Maya   B-NAME
Marshall   I-NAME
has   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
a   O
neurologist   O
associated   O
with   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Panorama   I-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2113   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
23   I-DATE
for   O
further   O
evaluation   O
and   O
management   O
of   O
migraines   O
.   O

Additional   O
follow   O
-   O
up   O
appointments   O
with   O
Kason   B-NAME
Prince   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Anne   B-NAME
Hebert   I-NAME
,   O
and   O
an   O
endocrinologist   O
were   O
also   O
scheduled   O
to   O
optimize   O
control   O
of   O
hypertension   O
and   O
diabetes   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Providence   B-LOCATION
Medford   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
906   B-CONTACT
-   I-CONTACT
5195   I-CONTACT
.   O
Disclaimer   O
:   O

The   O
patient   O
,   O
Demarcus   B-NAME
Gould   I-NAME
,   O
a   O
Teacher   O
(   O
special   O
educational   O
needs   O
)   O
from   O
Laporte   B-LOCATION
,   O
presented   O
to   O
Sutter   B-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
on   O
30/20   B-DATE
with   O
symptoms   O
that   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

In   O
addition   O
to   O
the   O
headaches   O
,   O
Meghan   B-NAME
Hasegawa   I-NAME
reported   O
episodes   O
of   O
blurred   O
vision   O
,   O
photophobia   O
,   O
and   O
transient   O
aphasia   O
.   O

Upon   O
examination   O
,   O
Jennifer   B-NAME
Cline   I-NAME
noted   O
that   O
Julie   B-NAME
L   I-NAME
Cobb   I-NAME
,   O
who   O
is   O
15   O
years   O
old   O
,   O
demonstrated   O
nuchal   O
rigidity   O
and   O
a   O
positive   O
Brudzinski   O
sign   O
.   O

Considering   O
the   O
symptoms   O
,   O
Hinton   B-NAME
ordered   O
a   O
lumbar   O
puncture   O
,   O
the   O
results   O
of   O
which   O
suggested   O
viral   O
meningitis   O
.   O

CK405846   B-ID
and   O
lab   O
tests   O
,   O
particularly   O
a   O
PCR   O
test   O
for   O
common   O
viruses   O
,   O
were   O
conducted   O
to   O
confirm   O
the   O
diagnosis   O
.   O

It   O
is   O
worth   O
mentioning   O
that   O
Madalyn   B-NAME
Wall   I-NAME
had   O
traveled   O
to   O
Rialto   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
92376   I-LOCATION
on   O
2/23   B-DATE
where   O
viral   O
meningitis   O
cases   O
had   O
recently   O
spiked   O
.   O

Billie   B-NAME
Givens   I-NAME
works   O
as   O
a   O
New   O
Accounts   O
Clerks   O
and   O
had   O
not   O
received   O
vaccination   O
against   O
common   O
pathogens   O
associated   O
with   O
meningitis   O
prior   O
to   O
their   O
trip   O
.   O

The   O
specific   O
antiviral   O
regimen   O
was   O
chosen   O
based   O
on   O
the   O
most   O
likely   O
viruses   O
native   O
to   O
Lacomb   B-LOCATION
where   O
Monroe   B-NAME
,   I-NAME
Marilyn   I-NAME
traveled   O
.   O

ANDREW   B-NAME
TANG   I-NAME
was   O
advised   O
to   O
isolate   O
and   O
rest   O
,   O
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
for   O
10/24   B-DATE
to   O
monitor   O
recovery   O
and   O
manage   O
any   O
persistent   O
symptoms   O
.   O

The   O
patient   O
was   O
also   O
given   O
the   O
direct   O
line   O
,   O
298   B-CONTACT
243   I-CONTACT
-   I-CONTACT
7589   I-CONTACT
,   O
to   O
the   O
neurology   O
department   O
at   O
UAMS   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
any   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
.   O

The   O
case   O
was   O
reported   O
to   O
Dwelling   B-LOCATION
House   I-LOCATION
Savings   I-LOCATION
and   I-LOCATION
Loan   I-LOCATION
Association   I-LOCATION
for   O
disease   O
tracking   O
and   O
management   O
,   O
given   O
the   O
travel   O
history   O
and   O
recent   O
outbreak   O
in   O
San   B-LOCATION
Acacio   I-LOCATION
.   O

Consent   O
was   O
obtained   O
from   O
Annalise   B-NAME
Burnett   I-NAME
for   O
this   O
report   O
,   O
ensuring   O
all   O
personal   O
identifiers   O
,   O
such   O
as   O
SF:27717:916396   B-ID
,   O
586   B-ID
-   I-ID
29   I-ID
-   I-ID
52   I-ID
-   I-ID
3   I-ID
,   O
and   O
96198   B-LOCATION
code   O
were   O
protected   O
in   O
compliance   O
with   O
privacy   O
regulations   O
.   O

In   O
conclusion   O
,   O
the   O
timely   O
presentation   O
to   O
Veterans   B-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Birmingham   I-LOCATION
,   O
coupled   O
with   O
a   O
thorough   O
examination   O
and   O
swift   O
initiation   O
of   O
treatment   O
by   O
Tim   B-NAME
Lonner   I-NAME
,   O
likely   O
prevented   O
complications   O
associated   O
with   O
viral   O
meningitis   O
.   O

Patient   O
Odom   B-NAME
of   O
23   O
years   O
,   O
residing   O
in   O
Lakehead   B-LOCATION
,   O
ZIP   O
code   O
61656   B-LOCATION
,   O
presented   O
to   O
Interfaith   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
/   I-LOCATION
Jewish   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Of   I-LOCATION
Brooklyn   I-LOCATION
Div   I-LOCATION
on   O
39/11/42   B-DATE
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
lower   O
quadrants   O
,   O
accompanied   O
by   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
.   O

Ryder   B-NAME
Chang   I-NAME
noted   O
the   O
pain   O
had   O
been   O
gradually   O
increasing   O
in   O
intensity   O
over   O
the   O
past   O
week   O
.   O

There   O
were   O
no   O
significant   O
past   O
medical   O
histories   O
or   O
surgical   O
interventions   O
reported   O
,   O
as   O
per   O
medical   O
record   O
number   O
945   B-ID
-   I-ID
00   I-ID
-   I-ID
78   I-ID
-   I-ID
3   I-ID
.   O
Upon   O
physical   O
examination   O
,   O
Rand   B-NAME
,   I-NAME
Ayn   I-NAME
observed   O
tenderness   O
and   O
rebound   O
pain   O
in   O
the   O
lower   O
abdominal   O
regions   O
,   O
suggesting   O
possible   O
peritonitis   O
.   O

The   O
patient   O
's   O
contact   O
information   O
was   O
documented   O
for   O
follow   O
-   O
up   O
,   O
including   O
phone   O
number   O
758   B-CONTACT
3229   I-CONTACT
and   O
email   O
tv901   B-NAME
@   O
Westernbank   B-LOCATION
Puerto   B-LOCATION
Rico   I-LOCATION
.com   O
.   O

Given   O
the   O
preliminary   O
findings   O
and   O
the   O
potential   O
for   O
acute   O
surgical   O
intervention   O
,   O
Oberst   B-NAME
,   I-NAME
Conor   I-NAME
was   O
advised   O
to   O
remain   O
in   O
Woodland   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
immediate   O
monitoring   O
and   O
further   O
diagnostic   O
procedures   O
scheduled   O
for   O
2130   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
11   I-DATE
.   O
Consultation   O
with   O
a   O
gastroenterologist   O
and   O
a   O
general   O
surgeon   O
was   O
recommended   O
by   O
Branch   B-NAME
,   O
and   O
appointments   O
were   O
slated   O
within   O
the   O
following   O
24   O
hours   O
.   O

In   O
light   O
of   O
Wilson   B-NAME
,   I-NAME
Brian   I-NAME
's   O
current   O
health   O
status   O
,   O
the   O
management   O
plan   O
includes   O
intravenous   O
fluid   O
resuscitation   O
,   O
initiation   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
to   O
manage   O
infection   O
,   O
and   O
pain   O
management   O
protocols   O
to   O
provide   O
relief   O
from   O
symptoms   O
.   O

Macdonald   B-NAME
was   O
assigned   O
an   O
ID   O
number   O
AG129/3616   B-ID
for   O
hospital   O
admission   O
under   O
the   O
care   O
unit   O
specified   O
for   O
such   O
conditions   O
.   O

Russell   B-NAME
Deramo   I-NAME
and   O
the   O
interdisciplinary   O
team   O
at   O
Riverside   B-LOCATION
Walter   I-LOCATION
Reed   I-LOCATION
Hospital   I-LOCATION
are   O
committed   O
to   O
providing   O
Jack   B-NAME
McGuire   I-NAME
with   O
comprehensive   O
care   O
,   O
aiming   O
for   O
a   O
full   O
recovery   O
and   O
addressing   O
any   O
underlying   O
conditions   O
that   O
may   O
have   O
contributed   O
to   O
the   O
current   O
presentation   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Bailey   B-NAME
Klein   I-NAME
Patient   O
ID   O
:   O
UL958/6338   B-ID
Medical   O
Record   O
Number   O
:   O
359   B-ID
-   I-ID
17   I-ID
-   I-ID
41   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
2220   B-DATE
Age   O
:   O
8   O
week   O
Phone   O
Number   O
:   O
32322   B-CONTACT
Address   O
:   O
Norton   B-LOCATION
,   O
38894   B-LOCATION
Occupation   O
:   O

Police   O
and   O
Sheriff   O
's   O
Patrol   O
Officers   O
Attending   O
Physician   O
:   O
Cortez   B-NAME
Hospital   O
Name   O
:   O
Mainehealth   B-LOCATION
DBA   I-LOCATION
Southern   I-LOCATION
Maine   I-LOCATION
Healthcare   I-LOCATION
Date   O
of   O
Admission   O
:   O
0/2390   B-DATE
Date   O
of   O
Discharge   O
:   O
7/23   B-DATE
Chief   O
Complaint   O
:   O
Lance   B-NAME
Camacho   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Gulf   B-LOCATION
Breeze   I-LOCATION
Hospital   I-LOCATION
on   O
2124   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
21   I-DATE
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
palpitations   O
,   O
and   O
diaphoresis   O
.   O

The   O
symptoms   O
started   O
suddenly   O
while   O
Spencer   B-NAME
Truman   I-NAME
was   O
at   O
work   O
as   O
a   O
Education   O
Administrators   O
,   O
All   O
Other   O
and   O
persisted   O
for   O
approximately   O
2   O
hours   O
before   O
the   O
decision   O
was   O
made   O
to   O
seek   O
medical   O
attention   O
.   O

Trudi   B-NAME
Brieger   I-NAME
also   O
has   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Diagnostic   O
Findings   O
:   O
Electrocardiogram   O
(   O
ECG   O
)   O
performed   O
on   O
arrival   O
to   O
CHRISTUS   B-LOCATION
Good   I-LOCATION
Shepherd   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Marshall   I-LOCATION
showed   O
evidence   O
of   O
acute   O
myocardial   O
infarction   O
.   O

Julianne   B-NAME
Deleon   I-NAME
was   O
also   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
and   O
statin   O
therapy   O
.   O

Given   O
the   O
diagnostic   O
findings   O
,   O
Josiah   B-NAME
Prince   I-NAME
recommended   O
coronary   O
angiography   O
,   O
which   O
revealed   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Angila   B-NAME
Concepcion   I-NAME
was   O
discharged   O
on   O
December   B-DATE
22   I-DATE
,   I-DATE
2141   I-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
beta   O
-   O
blocker   O
,   O
statin   O
,   O
and   O
an   O
ACE   O
inhibitor   O
.   O

Rumack   B-NAME
was   O
advised   O
to   O
follow   O
a   O
low   O
-   O
cholesterol   O
diet   O
,   O
engage   O
in   O
regular   O
moderate   O
exercise   O
,   O
and   O
attend   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Phil   B-NAME
Reed   I-NAME
at   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Clare   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Baraboo   I-LOCATION
has   O
been   O
scheduled   O
for   O
20/23   B-DATE
to   O
monitor   O
progress   O
and   O
adjust   O
medications   O
if   O
necessary   O
.   O

Summary   O
and   O
Prognosis   O
:   O
Ione   B-NAME
Jean   I-NAME
,   O
a   O
4   O
month   O
-   O
year   O
-   O
old   O
Logging   O
Equipment   O
Operators   O
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
myocardial   O
infarction   O
and   O
underwent   O
successful   O
PCI   O
.   O

If   O
any   O
clarification   O
is   O
needed   O
regarding   O
this   O
report   O
,   O
please   O
contact   O
Meadows   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
572   B-CONTACT
-   I-CONTACT
189   I-CONTACT
-   I-CONTACT
3309   I-CONTACT
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Longfellow   B-NAME
,   I-NAME
Henry   I-NAME
Wadsworth   I-NAME
Age   O
:   O
26   O
Date   O
of   O
Birth   O
:   O
13/22   B-DATE
Address   O
:   O
Florida   B-LOCATION
,   O
61881   B-LOCATION
Phone   O
Number   O
:   O
350   B-CONTACT
3365   I-CONTACT
Occupation   O
:   O
Credit   O
Counselors   O
ID   O
Number   O
:   O
196539   B-ID
Medical   O
Record   O
Number   O
:   O
6355683   B-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Marilee   B-NAME
Demarest   I-NAME
Hospital   O
:   O
Emory   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Midtown   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Rubi   B-NAME
Colon   I-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Commissioning   O
engineer   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Hahnemann   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
02/35   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Braden   B-NAME
Gamble   I-NAME
denies   O
any   O
recent   O
foreign   O
travel   O
,   O
unusual   O
food   O
ingestion   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Past   O
Medical   O
History   O
:   O
Mussius   B-NAME
Neja   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

On   O
examination   O
,   O
Emil   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultrasound   O
performed   O
on   O
2/40   B-DATE
indicated   O
the   O
presence   O
of   O
an   O
inflamed   O
ileum   O
,   O
suggestive   O
of   O
appendicitis   O
without   O
perforation   O
.   O

Management   O
:   O
The   O
surgical   O
team   O
led   O
by   O
Dr.   O
Amiah   B-NAME
Sims   I-NAME
was   O
consulted   O
,   O
and   O
a   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
03   B-DATE
-   I-DATE
11   I-DATE
without   O
complications   O
.   O

Elena   B-NAME
Noble   I-NAME
received   O
intravenous   O
antibiotics   O
preoperatively   O
and   O
was   O
continued   O
on   O
antibiotics   O
postoperatively   O
.   O

Outcome   O
and   O
Follow   O
-   O
Up   O
:   O
Halona   B-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

The   O
patient   O
reported   O
significant   O
pain   O
relief   O
and   O
was   O
discharged   O
home   O
on   O
Friday   B-DATE
with   O
outpatient   O
follow   O
-   O
up   O
instructions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Gianna   B-NAME
Floyd   I-NAME
at   O
FirstHealth   B-LOCATION
Montgomery   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
in   O
2   O
weeks   O
for   O
wound   O
check   O
and   O
to   O
review   O
the   O
pathology   O
report   O
.   O

Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Afric   B-NAME
was   O
instructed   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
the   O
importance   O
of   O
gradual   O
reintroduction   O
of   O
physical   O
activity   O
.   O

In   O
case   O
of   O
fever   O
,   O
uncontrolled   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
,   O
Mikaela   B-NAME
Pollard   I-NAME
was   O
advised   O
to   O
contact   O
HealthSouth   B-LOCATION
Northern   I-LOCATION
Kentucky   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
at   O
103   B-CONTACT
855   I-CONTACT
6390   I-CONTACT
immediately   O
.   O

Patient   O
Acknowledgment   O
:   O
I   O
,   O
Xzavior   B-NAME
Casey   I-NAME
,   O
received   O
detailed   O
explanations   O
regarding   O
my   O
diagnosis   O
,   O
treatment   O
,   O
and   O
follow   O
-   O
up   O
care   O
.   O

Date   O
:   O
0/09/54   B-DATE
(   O
Note   O
:   O
All   O
identifiable   O
information   O
in   O
this   O
document   O
is   O
synthetic   O
and   O
for   O
illustrative   O
purposes   O
only   O
.   O
)   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Travis   B-NAME
Sims   I-NAME
-   O
Age   O
:   O
100   O
-   O
ID   O
:   O
962550   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
23459081   B-ID
-   O
Date   O
of   O
Birth   O
:   O
2273   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
04   I-DATE
-   O
Address   O
:   O
Tinsman   B-LOCATION
,   O
60878   B-LOCATION
-   O
Phone   O
Number   O
:   O
367   B-CONTACT
4984   I-CONTACT
-   O
Occupation   O
:   O
Radar   O
and   O
Sonar   O
Technicians   O
-   O
Attending   O
Physician   O
:   O
Cummings   B-NAME
-   O
Hospital   O
:   O
Mercy   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Chief   O
Complaint   O
:   O
Chanel   B-NAME
Oberlin   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
AMITA   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Alexius   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hoffman   I-LOCATION
Estates   I-LOCATION
on   O
0/22/12   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
centered   O
around   O
the   O
umbilicus   O
,   O
radiating   O
to   O
the   O
back   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Eliza   B-NAME
Bell   I-NAME
describes   O
the   O
pain   O
as   O
9/10   O
on   O
the   O
pain   O
scale   O
,   O
noting   O
that   O
it   O
worsens   O
with   O
movement   O
and   O
has   O
not   O
improved   O
with   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medications   O
.   O

Jeffery   B-NAME
Gamble   I-NAME
also   O
reports   O
nausea   O
without   O
vomiting   O
and   O
a   O
lack   O
of   O
appetite   O
since   O
this   O
morning   O
.   O

Dania   B-NAME
denies   O
any   O
bowel   O
movement   O
since   O
the   O
previous   O
day   O
and   O
has   O
not   O
passed   O
gas   O
for   O
the   O
same   O
duration   O
.   O

Thorpe   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
medication   O
.   O

Charley   B-NAME
Shanowski   I-NAME
reports   O
no   O
known   O
drug   O
allergies   O
.   O

Social   O
History   O
:   O
Onie   B-NAME
Snider   I-NAME
works   O
as   O
a   O
Broadcast   O
Technicians   O
and   O
has   O
a   O
20   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
but   O
quit   O
5   O
years   O
ago   O
.   O

Review   O
of   O
Systems   O
:   O
Upon   O
review   O
,   O
Lia   B-NAME
Thompson   I-NAME
denies   O
having   O
experienced   O
fever   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
bladder   O
habits   O
other   O
than   O
those   O
described   O
in   O
the   O
history   O
of   O
the   O
present   O
illness   O
.   O

Plan   O
:   O
-   O
Admit   O
Miles   B-NAME
Marks   I-NAME
to   O
UNC   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
management   O
.   O
-   O
Start   O
IV   O
fluids   O
,   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
,   O
and   O
pain   O
management   O
.   O
-   O
Order   O
abdominal   O
ultrasound   O
and   O
CT   O
scan   O
to   O
confirm   O
the   O
diagnosis   O
and   O
assess   O
the   O
extent   O
of   O
pancreatitis   O
.   O
-   O
Consult   O
Gastroenterology   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Alyson   B-NAME
Mendoza   I-NAME
at   O
Culpeper   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
02/5   B-DATE
to   O
review   O
the   O
results   O
of   O
diagnostic   O
studies   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

cc448   B-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Tabitha   B-NAME
Tate   I-NAME
Patient   O
ID   O
:   O
BT   B-ID
:   I-ID
BJ:6691   I-ID
Medical   O
Record   O
Number   O
:   O
47135014   B-ID
Date   O
of   O
Birth   O
:   O
22/22/62   B-DATE
Age   O
:   O
2   O
month   O
Address   O
:   O
California   B-LOCATION
,   O
28385   B-LOCATION
Phone   O
Number   O
:   O
65162   B-CONTACT
Occupation   O
:   O

Respiratory   O
Therapists   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Gillian   B-NAME
Ball   I-NAME
Hospital   O
:   O
NCH   B-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Naples   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/07   B-DATE
Date   O
of   O
Discharge   O
:   O
12/00/60   B-DATE
Chief   O
Complaint   O
:   O
Mcmillan   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Hackettstown   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/09/1653   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
early   O
in   O
the   O
morning   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Peter   B-NAME
Prentice   I-NAME
,   O
a   O
50   O
-   O
year   O
-   O
old   O
Control   O
and   O
Valve   O
Installers   O
and   O
Repairers   O
,   O
Except   O
Mechanical   O
Door   O
,   O
reported   O
that   O
the   O
symptoms   O
onset   O
was   O
sudden   O
,   O
with   O
no   O
preceding   O
injury   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Jaiden   B-NAME
Castaneda   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
managed   O
with   O
medication   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
conducted   O
at   O
VA   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
02/06   B-DATE
.   O
Review   O
of   O
Systems   O
:   O
The   O
review   O
of   O
systems   O
was   O
otherwise   O
negative   O
,   O
with   O
no   O
recent   O
weight   O
loss   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
or   O
urinary   O
symptoms   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Barajas   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultrasonography   O
performed   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
May   B-DATE
22th   I-DATE
confirmed   O
the   O
presence   O
of   O
a   O
swollen   O
appendix   O
without   O
evidence   O
of   O
rupture   O
.   O

Treatment   O
and   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Cranley   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Dr.   O
Hodge   B-NAME
,   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
November   B-DATE
11   I-DATE
.   O

The   O
procedure   O
was   O
successful   O
,   O
and   O
Judith   B-NAME
Gruszynski   I-NAME
tolerated   O
the   O
surgery   O
well   O
without   O
any   O
complications   O
.   O

Traficant   B-NAME
,   I-NAME
James   I-NAME
A.   I-NAME
,   I-NAME
Jr.   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
.   O

Disposition   O
:   O
ELLEN   B-NAME
HUNTER   I-NAME
was   O
discharged   O
home   O
on   O
23/12/2040   B-DATE
in   O
stable   O
condition   O
,   O
with   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
and   O
signs   O
of   O
possible   O
complications   O
.   O

Brooke   B-NAME
Small   I-NAME
was   O
given   O
the   O
contact   O
number   O
824   B-CONTACT
-   I-CONTACT
344   I-CONTACT
8988   I-CONTACT
for   O
the   O
surgical   O
team   O
for   O
any   O
questions   O
or   O
concerns   O
.   O

Follow   O
-   O
up   O
:   O
Dr.   O
Karley   B-NAME
Wilcox   I-NAME
will   O
see   O
Lester   B-NAME
in   O
the   O
outpatient   O
clinic   O
on   O
09/32   B-DATE
for   O
wound   O
evaluation   O
and   O
to   O
assess   O
recovery   O
progress   O
.   O

This   O
report   O
was   O
prepared   O
by   O
bg59   B-NAME
,   O
6/32   B-DATE
.   O

Kevin   B-NAME
Richmond   I-NAME
Patient   O
ID   O
:   O
UZ:41181:140959   B-ID
Medical   O
Record   O
Number   O
:   O
729   B-ID
-   I-ID
76   I-ID
-   I-ID
54   I-ID
Date   O
of   O
Report   O
:   O
22/23/32   B-DATE
Date   O
of   O
Birth   O
:   O
2123   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
39   I-DATE
Age   O
:   O
80   O
Address   O
:   O
Little   B-LOCATION
Creek   I-LOCATION
,   O
76624   B-LOCATION
Phone   O
:   O
94959   B-CONTACT
Attending   O
Physician   O
:   O

Sparks   B-NAME
Hospital   O
:   O

Bothwell   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Riggers   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
33/21   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
chest   O
pain   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Ciqala   B-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
fever   O
and   O
chills   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Deandra   B-NAME
first   O
noticed   O
the   O
symptoms   O
approximately   O
three   O
weeks   O
ago   O
,   O
beginning   O
with   O
a   O
mild   O
dry   O
cough   O
.   O

Over   O
the   O
course   O
of   O
the   O
next   O
week   O
,   O
Davis   B-NAME
Mccullough   I-NAME
developed   O
shortness   O
of   O
breath   O
with   O
minimal   O
exertion   O
,   O
accompanied   O
by   O
sharp   O
,   O
stabbing   O
chest   O
pains   O
localized   O
to   O
the   O
right   O
side   O
of   O
the   O
chest   O
.   O

Angel   B-NAME
Gibbs   I-NAME
denies   O
any   O
history   O
of   O
chronic   O
diseases   O
or   O
prior   O
hospitalizations   O
.   O

Social   O
History   O
:   O
Otto   B-NAME
Schmitt   I-NAME
is   O
a   O
Biofuels   O
Production   O
Managers   O
at   O
Mississippi   B-LOCATION
and   O
denies   O
any   O
tobacco   O
use   O
or   O
illicit   O
drug   O
use   O
.   O

Mooney   B-NAME
lives   O
with   O
family   O
in   O
Dazey   B-LOCATION
.   O

On   O
examination   O
,   O
Marely   B-NAME
Caldwell   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
discomfort   O
.   O

Diagnostic   O
Testing   O
:   O
Chest   O
X   O
-   O
Ray   O
performed   O
on   O
00   B-DATE
-   I-DATE
23   I-DATE
showed   O
consolidation   O
in   O
the   O
right   O
lower   O
lobe   O
suggestive   O
of   O
pneumonia   O
.   O

Management   O
Plan   O
:   O
Essence   B-NAME
Gregory   I-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
with   O
amoxicillin   O
-   O
clavulanate   O
and   O
advised   O
to   O
maintain   O
adequate   O
hydration   O
and   O
rest   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
12/32/2058   B-DATE
to   O
reassess   O
the   O
condition   O
and   O
review   O
culture   O
results   O
.   O

Follow   O
-   O
up   O
:   O
Follow   O
-   O
up   O
visit   O
is   O
planned   O
for   O
1/23   B-DATE
at   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Charles   I-LOCATION
Hospital   I-LOCATION
with   O
Cox   B-NAME
.   O

Abigail   B-NAME
Bartlet   I-NAME
was   O
also   O
given   O
contact   O
information   O
for   O
the   O
clinic   O
:   O
(   B-CONTACT
891   I-CONTACT
)   I-CONTACT
627   I-CONTACT
-   I-CONTACT
2006   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
that   O
may   O
arise   O
prior   O
to   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

Prepared   O
by   O
:   O
fc196   B-NAME
Reviewed   O
by   O
:   O
Rogers   B-NAME
Hospital   O
:   O

Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Vicki   B-NAME
Klein   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
3854856   I-ID
Medical   O
Record   O
Number   O
:   O
888   B-ID
-   I-ID
57   I-ID
-   I-ID
80   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
4/83   B-DATE
Age   O
:   O
25   O
Address   O
:   O
Jordan   B-LOCATION
,   O
31948   B-LOCATION
Employment   O
:   O
Office   O
Machine   O
and   O
Cash   O
Register   O
Servicers   O
Contact   O
Number   O
:   O
403   B-CONTACT
-   I-CONTACT
5297   I-CONTACT
Primary   O
Physician   O
:   O

Logan   B-NAME
Admitting   O
Hospital   O
:   O
Vidant   B-LOCATION
Chowan   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/18/31   B-DATE
Date   O
of   O
Discharge   O
:   O
June   B-DATE
24th   I-DATE
Clinical   O
Summary   O
:   O
Uriel   B-NAME
Hoover   I-NAME
,   O
a   O
jeweler   O
residing   O
in   O
700   B-LOCATION
Augusta   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
was   O
admitted   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
Hackley   I-LOCATION
Campus   I-LOCATION
on   O
2123   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
03   I-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
excessive   O
sweating   O
.   O

Choate   B-NAME
,   I-NAME
Rufus   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
.   O

On   O
physical   O
examination   O
conducted   O
by   O
Doyle   B-NAME
on   O
the   O
date   O
of   O
admission   O
,   O
Qarase   B-NAME
,   I-NAME
Laisenia   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
at   O
160/100   O
mmHg   O
,   O
heart   O
rate   O
was   O
tachycardic   O
at   O
102   O
bpm   O
,   O
and   O
respiratory   O
rate   O
was   O
slightly   O
elevated   O
at   O
22   O
breaths   O
/   O
min   O
.   O
Auscultation   O
revealed   O
diminished   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
bilaterally   O
but   O
no   O
wheezing   O
.   O

Haynes   B-NAME
also   O
initiated   O
reperfusion   O
therapy   O
via   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
on   O
00/26   B-DATE
.   O

Post   O
-   O
procedure   O
,   O
the   O
patient   O
was   O
monitored   O
in   O
the   O
Coronary   O
Care   O
Unit   O
(   O
CCU   O
)   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Waterman   I-LOCATION
for   O
arrhythmias   O
and   O
other   O
potential   O
complications   O
.   O

Schmitt   B-NAME
exhibited   O
a   O
remarkable   O
improvement   O
in   O
symptoms   O
and   O
was   O
scheduled   O
for   O
a   O
rehabilitation   O
program   O
.   O

Hayden   B-NAME
was   O
discharged   O
on   O
2312   B-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
a   O
statin   O
,   O
an   O
ACE   O
inhibitor   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Kaiser   B-NAME
in   O
Eddystone   B-LOCATION
.   O

For   O
further   O
questions   O
regarding   O
this   O
report   O
,   O
please   O
contact   O
Plains   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
977   B-CONTACT
6673   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
26493710   B-ID
Name   O
:   O
Goldwater   B-NAME
,   I-NAME
Barry   I-NAME
Age   O
:   O
73s   O
Location   O
:   O
Henryville   B-LOCATION
Phone   O
Number   O
:   O
65598   B-CONTACT
Date   O
of   O
Admission   O
:   O
20/24   B-DATE
Admitting   O
Hospital   O
:   O
DeKalb   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Referring   O
Physician   O
:   O
Bullock   B-NAME
,   I-NAME
Sandra   I-NAME
Zip   O
Code   O
:   O
36929   B-LOCATION
Employment   O
Information   O
:   O
Profession   O
:   O

Oglethorpe   B-LOCATION
Power   I-LOCATION
Medical   O
History   O
:   O
Patient   O
Hutcheson   B-NAME
,   I-NAME
Francis   I-NAME
,   O
a   O
11   O
month   O
-   O
year   O
-   O
old   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
from   O
Walker   B-LOCATION
,   O
10387   B-LOCATION
,   O
presented   O
to   O
Manhattan   B-LOCATION
Eye   I-LOCATION
on   O
1836   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

There   O
is   O
a   O
notable   O
family   O
history   O
of   O
gallbladder   O
disease   O
,   O
but   O
Harper   B-NAME
Tracy   I-NAME
has   O
no   O
prior   O
history   O
of   O
similar   O
episodes   O
.   O

On   O
examination   O
,   O
Min   B-NAME
Hogenmiller   I-NAME
appeared   O
to   O
be   O
in   O
significant   O
distress   O
,   O
with   O
vital   O
signs   O
showing   O
tachycardia   O
and   O
mild   O
fever   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Porter   B-NAME
Solomon   I-NAME
,   O
which   O
confirmed   O
the   O
presence   O
of   O
gallstones   O
without   O
evidence   O
of   O
cholecystitis   O
.   O

Follow   O
-   O
Up   O
and   O
Patient   O
Education   O
:   O
Strickland   B-NAME
discussed   O
the   O
diagnosis   O
and   O
treatment   O
plan   O
with   O
DUNN   B-NAME
,   I-NAME
VINCENT   I-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
a   O
low   O
-   O
fat   O
diet   O
post   O
-   O
surgery   O
and   O
avoiding   O
large   O
,   O
fatty   O
meals   O
to   O
reduce   O
the   O
risk   O
of   O
future   O
episodes   O
.   O

The   O
patient   O
was   O
given   O
instructions   O
on   O
signs   O
of   O
complications   O
to   O
watch   O
for   O
post   O
-   O
surgery   O
and   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
Centra   B-LOCATION
Southside   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
clinic   O
.   O

Contact   O
details   O
(   O
742   B-CONTACT
-   I-CONTACT
8264   I-CONTACT
)   O
were   O
provided   O
for   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
.   O

Discharge   O
Date   O
:   O
22   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
02   I-DATE
Discharge   O
Instructions   O
:   O

In   O
case   O
of   O
emergency   O
or   O
concerns   O
,   O
the   O
patient   O
was   O
instructed   O
to   O
contact   O
the   O
hospital   O
at   O
672   B-CONTACT
8243   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
Cedar   B-LOCATION
Park   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
in   O
Panora   B-LOCATION
,   O
30459   B-LOCATION
.   O

This   O
comprehensive   O
patient   O
report   O
provides   O
detailed   O
information   O
on   O
the   O
admission   O
,   O
diagnosis   O
,   O
treatment   O
,   O
and   O
discharge   O
instructions   O
for   O
Amya   B-NAME
Cummings   I-NAME
,   O
ensuring   O
continuity   O
of   O
care   O
and   O
a   O
reference   O
for   O
healthcare   O
professionals   O
involved   O
in   O
the   O
patient   O
's   O
care   O
.   O

Patient   O
Name   O
:   O
Ryan   B-NAME
Beard   I-NAME
Age   O
:   O
43   O
Date   O
of   O
Birth   O
:   O
December   B-DATE
21   I-DATE
Address   O
:   O
Fairlawn   B-LOCATION
,   O
71344   B-LOCATION
Phone   O
:   O
80841   B-CONTACT
Doctor   O
:   O
Rabuka   B-NAME
,   I-NAME
Sitiveni   I-NAME
Hospital   O
:   O
Russell   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
No   O
:   O
16466658   B-ID
SSN   O
:   O
7   B-ID
-   I-ID
8433572   I-ID
Occupation   O
:   O
Web   O
Administrators   O
Username   O
:   O
cxk661   B-NAME
Synopsis   O
:   O

The   O
patient   O
,   O
Natasha   B-NAME
Vaughn   I-NAME
,   O
a   O
professional   O
Children   O
's   O
nurse   O
from   O
Golconda   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Golconda   I-LOCATION
,   O
presented   O
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Allen   I-LOCATION
Hospital   I-LOCATION
on   O
7/39   B-DATE
with   O
complaints   O
of   O
acute   O
lower   O
right   O
quadrant   O
abdominal   O
pain   O
that   O
commenced   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Philip   B-NAME
,   I-NAME
Duke   I-NAME
of   I-NAME
Edinburgh   I-NAME
also   O
mentioned   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
significant   O
decrease   O
in   O
appetite   O
over   O
the   O
same   O
period   O
.   O

Dougherty   B-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
Type   O
II   O
diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
for   O
which   O
Ulises   B-NAME
J.   I-NAME
Kelley   I-NAME
is   O
on   O
omeprazole   O
.   O

Serenity   B-NAME
Gutierrez   I-NAME
denies   O
any   O
recent   O
travels   O
or   O
unusual   O
dietary   O
habits   O
.   O

Upon   O
physical   O
examination   O
,   O
Xie   B-NAME
demonstrated   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Beliasus   B-NAME
Allanson   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clay   I-LOCATION
County   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Precious   B-NAME
Stewart   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

4   O
.   O
Hyles   B-NAME
,   I-NAME
Jack   I-NAME
was   O
advised   O
to   O
remain   O
NPO   O
(   O
nil   O
per   O
os-   O
nothing   O
by   O
mouth   O
)   O
in   O
preparation   O
for   O
potential   O
surgical   O
intervention   O
.   O

Cal   B-NAME
Lightman   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
notifying   O
the   O
nursing   O
staff   O
immediately   O
should   O
there   O
be   O
an   O
escalation   O
in   O
pain   O
intensity   O
or   O
any   O
new   O
symptoms   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Gene   B-NAME
Quadri   I-NAME
two   O
weeks   O
post   O
-   O
operatively   O
with   O
Dr.   O
Buck   B-NAME
,   I-NAME
Pearl   I-NAME
to   O
evaluate   O
recovery   O
progression   O
.   O

In   O
the   O
interim   O
,   O
Terrence   B-NAME
Mcguire   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
unusual   O
symptoms   O
and   O
to   O
contact   O
Bethesda   B-LOCATION
Hospital   I-LOCATION
West   I-LOCATION
at   O
856   B-CONTACT
-   I-CONTACT
3657   I-CONTACT
immediately   O
if   O
such   O
situations   O
arise   O
.   O

The   O
Branden   B-NAME
Mccarty   I-NAME
's   O
condition   O
will   O
continue   O
to   O
be   O
monitored   O
closely   O
during   O
the   O
hospital   O
stay   O
,   O
and   O
any   O
adjustments   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
communicated   O
to   O
Lonnie   B-NAME
Walsh   I-NAME
and   O
documented   O
in   O
the   O
medical   O
record   O
number   O
909   B-ID
-   I-ID
58   I-ID
-   I-ID
72   I-ID
-   I-ID
6   I-ID
.   O

Patient   O
Report   O
:   O
Anton   B-NAME
Shannon   I-NAME
was   O
admitted   O
to   O
Liberty   B-LOCATION
Hospital   I-LOCATION
on   O
2230   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
21   I-DATE
complaining   O
of   O
persistent   O
headaches   O
and   O
dizziness   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Violet   B-NAME
Marks   I-NAME
reports   O
that   O
the   O
headaches   O
are   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
described   O
as   O
throbbing   O
in   O
nature   O
,   O
and   O
have   O
been   O
increasing   O
in   O
severity   O
.   O

Quinton   B-NAME
Quintela   I-NAME
,   O
a   O
Cooks   O
,   O
Fast   O
Food   O
,   O
mentions   O
that   O
these   O
episodes   O
severely   O
impact   O
their   O
ability   O
to   O
concentrate   O
at   O
work   O
and   O
perform   O
daily   O
activities   O
.   O

ostrowski   B-NAME
has   O
also   O
experienced   O
episodes   O
of   O
vertigo   O
,   O
particularly   O
when   O
changing   O
positions   O
from   O
sitting   O
to   O
standing   O
,   O
or   O
when   O
turning   O
their   O
head   O
quickly   O
.   O

Past   O
medical   O
history   O
includes   O
hypertension   O
,   O
for   O
which   O
James   B-NAME
Guerra   I-NAME
is   O
on   O
medication   O
,   O
and   O
a   O
family   O
history   O
of   O
migraines   O
.   O

During   O
the   O
examination   O
at   O
Helen   B-LOCATION
M.   I-LOCATION
Simpson   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
,   O
vital   O
signs   O
were   O
noted   O
with   O
a   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
,   O
pulse   O
of   O
78   O
beats   O
per   O
minute   O
,   O
and   O
a   O
normal   O
respiratory   O
rate   O
.   O

A   O
neurological   O
examination   O
conducted   O
by   O
Le   B-NAME
Corbusier   I-NAME
did   O
not   O
reveal   O
any   O
focal   O
neurological   O
deficits   O
.   O

Blood   O
tests   O
were   O
ordered   O
,   O
and   O
Bert   B-NAME
Simon   I-NAME
was   O
scheduled   O
for   O
an   O
MRI   O
of   O
the   O
brain   O
to   O
rule   O
out   O
any   O
intracranial   O
abnormalities   O
.   O

The   O
initial   O
assessment   O
suggests   O
that   O
Kinsley   B-NAME
Solomon   I-NAME
's   O
symptoms   O
may   O
be   O
migraine   O
-   O
related   O
,   O
possibly   O
exacerbated   O
by   O
hypertension   O
.   O

Recreational   O
Vehicle   O
Service   O
Technicians   O
Phone   O
:   O
468   B-CONTACT
2399   I-CONTACT
Medical   O
Record   O
:   O
03399727   B-ID
ID   O
:   O
QB474/1745   B-ID
Date   O
of   O
Birth   O
:   O
51   O
Address   O
:   O
St.   B-LOCATION
Regis   I-LOCATION
,   O
75542   B-LOCATION
Plan   O
:   O
1   O
.   O

4   O
.   O
Rick   B-NAME
Payne   I-NAME
is   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
frequency   O
,   O
duration   O
,   O
severity   O
of   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
or   O
triggers   O
.   O

Follow   O
-   O
Up   O
:   O
John   B-NAME
V.   I-NAME
Hood   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
0/23   B-DATE
to   O
discuss   O
the   O
results   O
of   O
the   O
MRI   O
and   O
determine   O
the   O
next   O
steps   O
in   O
management   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
notify   O
the   O
sender   O
immediately   O
at   O
32281   B-CONTACT
and   O
arrange   O
for   O
the   O
return   O
or   O
destruction   O
of   O
this   O
document   O
.   O

Patient   O
Name   O
:   O
Tandy   B-NAME
Holleran   I-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
3599164   I-ID
Date   O
of   O
Birth   O
:   O
16/20/2131   B-DATE
Age   O
:   O
76   O
Address   O
:   O
Hanceville   B-LOCATION
,   O
24263   B-LOCATION
Phone   O
Number   O
:   O
625   B-CONTACT
-   I-CONTACT
9273   I-CONTACT
Occupation   O
:   O
Embossing   O
Machine   O
Set   O
-   O
Up   O
Operators   O
Primary   O
Care   O
Physician   O
:   O

Maximus   B-NAME
Duncan   I-NAME
Medical   O
Record   O
Number   O
:   O
5634203   B-ID
Date   O
of   O
Visit   O
:   O
3/22   B-DATE
Summary   O
of   O
Visit   O
:   O

The   O
patient   O
,   O
kruse   B-NAME
,   O
presented   O
at   O
the   O
clinic   O
of   O
Wise   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
Decatur   I-LOCATION
on   O
03/22/31   B-DATE
complaining   O
of   O
acute   O
onset   O
dyspnea   O
,   O
chest   O
tightness   O
,   O
and   O
intermittent   O
palpitations   O
that   O
began   O
early   O
in   O
the   O
morning   O
of   O
the   O
same   O
day   O
.   O

Fossil   B-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
approximately   O
two   O
years   O
ago   O
.   O

Despite   O
the   O
ongoing   O
treatments   O
,   O
Samir   B-NAME
Combs   I-NAME
's   O
compliance   O
with   O
medication   O
has   O
been   O
irregular   O
,   O
as   O
reported   O
.   O

Education   O
on   O
the   O
importance   O
of   O
medication   O
adherence   O
and   O
regular   O
follow   O
-   O
up   O
appointments   O
with   O
Jennifer   B-NAME
Paige   I-NAME
for   O
monitoring   O
and   O
adjustment   O
of   O
treatment   O
as   O
necessary   O
.   O

Follow   O
-   O
Up   O
:   O
Pratchett   B-NAME
,   I-NAME
Terry   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
at   O
Lakeview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
a   I-LOCATION
Campus   I-LOCATION
of   I-LOCATION
Tulane   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
the   O
response   O
to   O
the   O
treatment   O
plan   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

Mastrianni   B-NAME
Berrocal   I-NAME
was   O
advised   O
to   O
monitor   O
blood   O
pressure   O
and   O
blood   O
sugar   O
levels   O
at   O
home   O
and   O
report   O
any   O
significant   O
changes   O
to   O
579   B-CONTACT
-   I-CONTACT
402   I-CONTACT
9389   I-CONTACT
.   O

Doctor   O
's   O
Notes   O
:   O
Rivas   B-NAME
's   O
case   O
has   O
been   O
particularly   O
challenging   O
due   O
to   O
the   O
combination   O
of   O
chronic   O
conditions   O
and   O
the   O
recent   O
onset   O
of   O
acute   O
symptoms   O
.   O

It   O
is   O
crucial   O
to   O
engage   O
Lawler   B-NAME
,   I-NAME
Jerry   I-NAME
in   O
more   O
consistent   O
management   O
of   O
their   O
health   O
conditions   O
,   O
including   O
medication   O
adherence   O
and   O
lifestyle   O
modifications   O
.   O

Collaboration   O
with   O
Harland   B-NAME
's   O
endocrinologist   O
and   O
potentially   O
a   O
cardiologist   O
is   O
recommended   O
for   O
comprehensive   O
care   O
.   O

All   O
patient   O
information   O
contained   O
in   O
this   O
report   O
,   O
including   O
9012988   B-ID
,   O
US   B-ID
:   I-ID
OR:5691   I-ID
,   O
and   O
personal   O
details   O
such   O
as   O
Chapeno   B-LOCATION
and   O
(   B-CONTACT
890   I-CONTACT
)   I-CONTACT
811   I-CONTACT
5782   I-CONTACT
,   O
is   O
confidential   O
and   O
protected   O
under   O
the   O
Health   O
Insurance   O
Portability   O
and   O
Accountability   O
Act   O
(   O
HIPAA   O
)   O
.   O

Patient   O
:   O
Xenakis   B-NAME
ID   O
:   O
18658523   B-ID
Medical   O
Record   O
Number   O
:   O
48636661   B-ID
Age   O
:   O
96   O
Date   O
of   O
Birth   O
:   O
06/20   B-DATE
Address   O
:   O
San   B-LOCATION
Diego   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
92154   I-LOCATION
,   O
69810   B-LOCATION
Phone   O
:   O
25821   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Shaw   B-NAME
Referring   O
Physician   O
:   O

Dr.   O
Monique   B-NAME
Garrett   I-NAME
Hospital   O
:   O
Kirkbride   B-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
May   B-DATE
20   I-DATE
Date   O
of   O
Discharge   O
:   O

Monday   B-DATE
,   I-DATE
December   I-DATE
History   O
of   O
Present   O
Illness   O
:   O
Brewer   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
West   I-LOCATION
Kendall   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
on   O
11/87   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
chest   O
pain   O
that   O
began   O
early   O
in   O
the   O
morning   O
on   O
the   O
same   O
day   O
.   O

Ballard   B-NAME
reported   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
palpitations   O
,   O
and   O
a   O
sense   O
of   O
impending   O
doom   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Abdiel   B-NAME
Reeves   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
98.6   O
°   O
F   O
.   O

Troponin   O
levels   O
were   O
elevated   O
at   O
MM765/2646   B-ID
ng   O
/   O
mL.   O
A   O
complete   O
blood   O
count   O
,   O
lipid   O
profile   O
,   O
and   O
basic   O
metabolic   O
panel   O
were   O
ordered   O
,   O
with   O
results   O
pending   O
at   O
the   O
time   O
of   O
this   O
report   O
.   O

Dr.   O
Cowley   B-NAME
,   I-NAME
Abraham   I-NAME
was   O
consulted   O
,   O
and   O
Evangeline   B-NAME
Cohen   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
an   O
emergent   O
coronary   O
angiography   O
,   O
which   O
revealed   O
significant   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

Jesse   B-NAME
Travis   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
and   O
further   O
management   O
.   O

Ralph   B-NAME
Hayes   I-NAME
was   O
discharged   O
on   O
27/28/02   B-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
a   O
statin   O
,   O
and   O
an   O
angiotensin   O
-   O
converting   O
enzyme   O
(   O
ACE   O
)   O
inhibitor   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Soren   B-NAME
Gallagher   I-NAME
in   O
31/26   B-DATE
.   O
Instructions   O
for   O
Information   O
Technology   O
Project   O
Managers   O
Care   O
:   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
International   B-LOCATION
Centre   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Research   I-LOCATION
at   O
547   B-CONTACT
-   I-CONTACT
465   I-CONTACT
-   I-CONTACT
7907   I-CONTACT
.   O

Patient   O
Name   O
:   O
Aarav   B-NAME
Peterson   I-NAME
Medical   O
Record   O
Number   O
:   O
6554618   B-ID
Age   O
:   O
72   O
Date   O
of   O
Birth   O
:   O
Monday   B-DATE
,   I-DATE
May   I-DATE
Date   O
of   O
Visit   O
:   O
2/11   B-DATE
Doctor   O
:   O
Baddiel   B-NAME
,   I-NAME
David   I-NAME
Phone   O
:   O
392   B-CONTACT
380   I-CONTACT
4251   I-CONTACT
Address   O
:   O
Alicia   B-LOCATION
,   O
80441   B-LOCATION
Employer   O
:   O
Iranian   B-LOCATION
Anti   I-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Association   I-LOCATION
(   I-LOCATION
IAVA   I-LOCATION
)   I-LOCATION
Profession   O
:   O
Consultant   O
Hospital   O
:   O

French   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
:   O
4758562   B-ID
Summary   O
of   O
Visit   O
:   O
The   O
patient   O
,   O
Lyndon   B-NAME
Isabelle   I-NAME
,   O
a   O
6   O
week   O
-   O
year   O
-   O
old   O
Social   O
and   O
Human   O
Service   O
Assistants   O
employed   O
at   O
Minority   B-LOCATION
Rights   I-LOCATION
Group   I-LOCATION
International   I-LOCATION
,   O
residing   O
at   O
Peebles   B-LOCATION
,   O
18322   B-LOCATION
,   O
reported   O
to   O
Mary   B-LOCATION
Greeley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
98   I-DATE
experiencing   O
severe   O
,   O
recurrent   O
headaches   O
localized   O
primarily   O
to   O
the   O
frontal   O
region   O
.   O

These   O
episodes   O
have   O
been   O
occurring   O
for   O
approximately   O
1/21/52   B-DATE
months   O
and   O
have   O
increased   O
in   O
frequency   O
over   O
the   O
last   O
17/12/2132   B-DATE
weeks   O
.   O

Additionally   O
,   O
Jaslene   B-NAME
Fuller   I-NAME
reported   O
episodes   O
of   O
nausea   O
,   O
which   O
occasionally   O
led   O
to   O
vomiting   O
,   O
especially   O
during   O
the   O
peak   O
intensity   O
of   O
the   O
headaches   O
.   O

No   O
significant   O
changes   O
in   O
Valentinian   B-NAME
Gelineau   I-NAME
's   O
lifestyle   O
,   O
diet   O
,   O
or   O
stress   O
levels   O
were   O
reported   O
that   O
could   O
potentially   O
explain   O
the   O
sudden   O
exacerbation   O
of   O
symptoms   O
.   O

Goldberg   B-NAME
has   O
a   O
medical   O
history   O
free   O
of   O
major   O
illness   O
,   O
does   O
not   O
take   O
regular   O
medications   O
,   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Examination   O
by   O
Janiah   B-NAME
Howe   I-NAME
revealed   O
no   O
neurological   O
deficits   O
.   O

Blood   O
pressure   O
was   O
slightly   O
elevated   O
during   O
episodes   O
of   O
headache   O
but   O
returned   O
to   O
Angelica   B-NAME
Dalton   I-NAME
's   O
baseline   O
upon   O
resolution   O
.   O

Rick   B-NAME
Bauer   I-NAME
was   O
advised   O
to   O
keep   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
triggers   O
,   O
and   O
severity   O
of   O
the   O
headaches   O
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
03/12   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
to   O
the   O
management   O
plan   O
.   O

For   O
confidentiality   O
and   O
privacy   O
reasons   O
,   O
personal   O
identifiers   O
have   O
been   O
replaced   O
with   O
the   O
following   O
placeholders   O
as   O
per   O
protocols   O
:   O
Ferreira   B-NAME
for   O
the   O
patient   O
's   O
name   O
,   O
100   O
for   O
age   O
,   O
5   B-DATE
-   I-DATE
20   I-DATE
for   O
dates   O
,   O
Williamson   B-NAME
for   O
doctor   O
's   O
name   O
,   O
(   B-CONTACT
396   I-CONTACT
)   I-CONTACT
940   I-CONTACT
-   I-CONTACT
5246   I-CONTACT
for   O
phone   O
numbers   O
,   O
Pooler   B-LOCATION
for   O
geographic   O
locations   O
,   O
12130   B-LOCATION
for   O
zip   O
codes   O
,   O
29508   B-ID
for   O
personal   O
identification   O
numbers   O
,   O
5002509   B-ID
for   O
the   O
patient   O
's   O
medical   O
record   O
number   O
,   O
Graphical   B-LOCATION
Paper   I-LOCATION
and   I-LOCATION
Media   I-LOCATION
Union   I-LOCATION
for   O
named   O
organizations   O
where   O
the   O
patient   O
is   O
employed   O
,   O
and   O
Computer   O
Systems   O
Analysts   O
for   O
the   O
patient   O
's   O
job   O
title   O
.   O

For   O
further   O
inquiries   O
or   O
updates   O
on   O
Ulyssa   B-NAME
Neff   I-NAME
's   O
condition   O
,   O
please   O
contact   O
NorthShore   B-LOCATION
University   I-LOCATION
HealthSystem   I-LOCATION
-Evanston   I-LOCATION
Hospital   I-LOCATION
's   O
patient   O
care   O
services   O
at   O
80908   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Aldrin   B-NAME
,   I-NAME
Buzz   I-NAME
Patient   O
ID   O
:   O
JA   B-ID
:   I-ID
GH:6585   I-ID
Medical   O
Record   O
Number   O
:   O
13899106   B-ID
Date   O
of   O
Birth   O
:   O
32/22   B-DATE
Age   O
:   O
73s   O
Phone   O
Number   O
:   O
201   B-CONTACT
9425   I-CONTACT
Address   O
:   O
Centralia   B-LOCATION
,   O
49842   B-LOCATION
Employer   O
:   O
Keys   B-LOCATION
Energy   I-LOCATION
Services   I-LOCATION
Occupation   O
:   O
Writers   O
and   O
Authors   O
Primary   O
Care   O
Physician   O
:   O

Kaitlynn   B-NAME
Schaefer   I-NAME
Admitting   O
Hospital   O
:   O

East   B-LOCATION
Orange   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
25/35/2011   B-DATE
Date   O
of   O
Discharge   O
:   O
02/31   B-DATE
Presenting   O
Complaint   O
:   O
Jerome   B-NAME
Stanton   I-NAME
was   O
admitted   O
to   O
UPMC   B-LOCATION
Chautauqua   I-LOCATION
WCA   I-LOCATION
on   O
November   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Jaeden   B-NAME
Larson   I-NAME
reported   O
that   O
the   O
symptoms   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

Additionally   O
,   O
Hull   B-NAME
,   I-NAME
Cordell   I-NAME
experienced   O
fever   O
and   O
chill   O
episodes   O
since   O
the   O
evening   O
of   O
2160   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
11   I-DATE
.   O

Past   O
Medical   O
History   O
:   O
Gregory   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
at   O
50   O
.   O

Fiske   B-NAME
,   I-NAME
Irving   I-NAME
is   O
also   O
known   O
to   O
have   O
Hypertension   O
for   O
which   O
Amoctez   B-NAME
is   O
on   O
medication   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Carly   B-NAME
exhibited   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Proctor   B-NAME
underwent   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Carville   B-NAME
,   I-NAME
James   I-NAME
on   O
24   B-DATE
-   I-DATE
29   I-DATE
.   O

The   O
procedure   O
was   O
without   O
complications   O
,   O
and   O
Haleigh   B-NAME
Adams   I-NAME
responded   O
well   O
to   O
the   O
surgical   O
intervention   O
.   O

Follow   O
-   O
Up   O
:   O
Ford   B-NAME
,   I-NAME
Henry   I-NAME
was   O
discharged   O
on   O
2/0   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
medication   O
regime   O
,   O
and   O
dietary   O
recommendations   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Reagan   B-NAME
,   I-NAME
Ronald   I-NAME
at   O
Monroe   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
22/32/44   B-DATE
to   O
assess   O
the   O
recovery   O
progress   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Maverick   B-NAME
Hanson   I-NAME
Relationship   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Retail   O
Sales   O
Workers   O
Phone   O
Number   O
:   O
71728   B-CONTACT

Patient   O
Report   O
for   O
Loku   B-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
8   O
-   O
Date   O
of   O
Admission   O
:   O
March   B-DATE
22   I-DATE
,   I-DATE
2392   I-DATE
-   O
Medical   O
Record   O
Number   O
:   O
8468785   B-ID
-   O
Attending   O
Physician   O
:   O
Dr.   O
Izayah   B-NAME
Foley   I-NAME
-   O
Hospital   O
:   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Location   O
:   O
Hazel   B-LOCATION
,   O
26321   B-LOCATION
-   O
Contact   O
Phone   O
:   O
712   B-CONTACT
206   I-CONTACT
-   I-CONTACT
8467   I-CONTACT
Medical   O
History   O
:   O
Xavier   B-NAME
Otero   I-NAME
has   O
been   O
experiencing   O
a   O
consistent   O
pattern   O
of   O
symptoms   O
indicative   O
of   O
Chronic   O
Obstructive   O
Pulmonary   O
Disease   O
(   O
COPD   O
)   O
.   O

Emphysema   O
appears   O
to   O
be   O
a   O
significant   O
contributing   O
factor   O
,   O
with   O
Jack   B-NAME
McGuire   I-NAME
reporting   O
shortness   O
of   O
breath   O
even   O
when   O
at   O
rest   O
.   O

There   O
is   O
no   O
record   O
of   O
genetic   O
disorders   O
such   O
as   O
alpha-1   O
antitrypsin   O
deficiency   O
in   O
Summer   B-NAME
Shaffer   I-NAME
's   O
family   O
history   O
.   O

There   O
has   O
been   O
a   O
noted   O
gradual   O
decline   O
in   O
Pena   B-NAME
's   O
pulmonary   O
function   O
over   O
the   O
past   O
few   O
months   O
,   O
necessitating   O
further   O
evaluation   O
and   O
adjustment   O
of   O
the   O
treatment   O
plan   O
.   O

Examination   O
Findings   O
on   O
Saturday   B-DATE
:   O
Upon   O
physical   O
examination   O
,   O
Kennedi   B-NAME
Bernard   I-NAME
exhibited   O
reduced   O
breath   O
sounds   O
,   O
with   O
wheezing   O
and   O
rales   O
detectable   O
in   O
both   O
lung   O
fields   O
.   O

Arterial   O
blood   O
gas   O
analysis   O
shows   O
mild   O
hypoxemia   O
and   O
hypercapnia   O
,   O
suggesting   O
Alejandra   B-NAME
Howard   I-NAME
might   O
benefit   O
from   O
supplemental   O
oxygen   O
therapy   O
.   O

The   O
treatment   O
plan   O
for   O
Neoma   B-NAME
involves   O
a   O
multifaceted   O
approach   O
aimed   O
at   O
managing   O
symptoms   O
and   O
improving   O
quality   O
of   O
life   O
.   O

Maddox   B-NAME
Boyd   I-NAME
has   O
been   O
provided   O
with   O
resources   O
and   O
support   O
to   O
assist   O
in   O
quitting   O
smoking   O
,   O
including   O
referral   O
to   O
a   O
smoking   O
cessation   O
program   O
sponsored   O
by   O
CapitalSouth   B-LOCATION
Bank   I-LOCATION
.   O

Future   O
Considerations   O
:   O
Conner   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
09/27/2273   B-DATE
with   O
Dr.   O
Leach   B-NAME
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Corbin   I-LOCATION
to   O
reassess   O
lung   O
function   O
and   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
current   O
treatment   O
plan   O
.   O

Adjustments   O
to   O
the   O
treatment   O
plan   O
may   O
be   O
necessary   O
based   O
on   O
Herzler   B-NAME
,   I-NAME
Roger   I-NAME
D   I-NAME
's   O
progress   O
and   O
any   O
new   O
symptoms   O
.   O

It   O
is   O
crucial   O
for   O
Aidan   B-NAME
Stewart   I-NAME
to   O
adhere   O
to   O
the   O
prescribed   O
treatment   O
plan   O
and   O
to   O
report   O
any   O
changes   O
in   O
symptoms   O
or   O
side   O
effects   O
from   O
medication   O
immediately   O
.   O

Efforts   O
in   O
lifestyle   O
modifications   O
,   O
especially   O
smoking   O
cessation   O
,   O
are   O
essential   O
in   O
slowing   O
the   O
progression   O
of   O
COPD   O
and   O
improving   O
Upton   B-NAME
's   O
overall   O
health   O
status   O
.   O

The   O
healthcare   O
team   O
remains   O
committed   O
to   O
providing   O
Yurem   B-NAME
Fitzpatrick   I-NAME
with   O
the   O
highest   O
standard   O
of   O
care   O
and   O
support   O
throughout   O
the   O
treatment   O
journey   O
.   O

Further   O
inquiries   O
and   O
updates   O
are   O
to   O
be   O
directed   O
to   O
Dr.   O
Ricky   B-NAME
Garcia   I-NAME
by   O
contacting   O
84689   B-CONTACT
.   O

End   O
of   O
Report   O
Accountability   O
and   O
Confidentiality   O
Notice   O
:   O
This   O
patient   O
report   O
,   O
ID   O
QZ:12586:957721   B-ID
,   O
is   O
confidential   O
and   O
intended   O
solely   O
for   O
the   O
use   O
of   O
the   O
patient   O
and   O
the   O
medical   O
personnel   O
involved   O
in   O
the   O
patient   O
's   O
care   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Elizabeth   B-NAME
M   I-NAME
Keys   I-NAME
Age   O
:   O
61   O
Address   O
:   O
Richburg   B-LOCATION
,   O
39774   B-LOCATION
Phone   O
Number   O
:   O
945   B-CONTACT
-   I-CONTACT
6890   I-CONTACT
Employment   O
:   O

Laundry   O
and   O
Drycleaning   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Except   O
Pressing   O
Doctor   O
:   O
Valenti   B-NAME
,   I-NAME
Jack   I-NAME
Hospital   O
:   O
Redmond   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
307   B-ID
-   I-ID
72   I-ID
-   I-ID
51   I-ID
-   I-ID
9   I-ID
ID   O
Number   O
:   O
TJ:151050:617791   B-ID
Date   O
of   O
Visit   O
:   O
27/22/2212   B-DATE
Symptoms   O
:   O
Reed   B-NAME
Richards   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
03/30/2253   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
and   O
cough   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Ana   B-NAME
Syphax   I-NAME
has   O
also   O
noted   O
a   O
general   O
sense   O
of   O
fatigue   O
and   O
malaise   O
during   O
this   O
period   O
.   O

On   O
examination   O
,   O
Park   B-NAME
exhibited   O
a   O
tachypnea   O
with   O
a   O
respiratory   O
rate   O
of   O
24   O
breaths   O
per   O
minute   O
and   O
a   O
SpO2   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Makenzie   B-NAME
Barry   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
exposure   O
to   O
known   O
allergens   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
Ray   O
:   O
Ordered   O
by   O
Robin   B-NAME
Van   I-NAME
Dorn   I-NAME
on   O
19/25   B-DATE
,   O
shows   O
bilateral   O
interstitial   O
infiltrates   O
.   O

Negative   O
as   O
of   O
02/03/2232   B-DATE
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
test   O
results   O
,   O
Johns   B-NAME
was   O
diagnosed   O
with   O
a   O
viral   O
pneumonia   O
,   O
complicated   O
by   O
an   O
acute   O
exacerbation   O
of   O
underlying   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

Darnell   B-NAME
Jacobson   I-NAME
recommended   O
the   O
following   O
treatment   O
plan   O
initiated   O
on   O
33/32   B-DATE
:   O
1   O
.   O

5   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
31/14/2330   B-DATE
to   O
reassess   O
condition   O
and   O
adjust   O
treatment   O
if   O
necessary   O
.   O
Instructions   O
for   O
Home   O
Care   O
:   O
Vasquez   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
an   O
increase   O
in   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
any   O
new   O
symptoms   O
.   O

OCASIO   B-NAME
,   I-NAME
GEORGE   I-NAME
OJAS   I-NAME
was   O
also   O
counseled   O
on   O
the   O
importance   O
of   O
smoking   O
cessation   O
and   O
was   O
referred   O
to   O
a   O
smoking   O
cessation   O
program   O
.   O

Follow   O
-   O
up   O
:   O
Ralph   B-NAME
Greenway   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
1/13/2137   B-DATE
at   O
MercyOne   B-LOCATION
Newton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
outpatient   O
clinic   O
with   O
Randy   B-NAME
Hodges   I-NAME
to   O
monitor   O
progression   O
and   O
adjust   O
treatment   O
as   O
appropriate   O
.   O

Ulyssa   B-NAME
Neff   I-NAME
was   O
encouraged   O
to   O
contact   O
Mullins   B-NAME
's   O
office   O
at   O
223   B-CONTACT
-   I-CONTACT
573   I-CONTACT
9555   I-CONTACT
with   O
any   O
concerns   O
prior   O
to   O
the   O
scheduled   O
appointment   O
.   O

Patient   O
Name   O
:   O
Maximus   B-NAME
Huerta   I-NAME
Date   O
of   O
Birth   O
:   O
20   B-DATE
Age   O
:   O
58   O
Medical   O
Record   O
Number   O
:   O
OW753545   B-ID
ID   O
:   O
1   B-ID
-   I-ID
4869314   I-ID
Address   O
:   O
Mifflinburg   B-LOCATION
,   O
75389   B-LOCATION
Phone   O
:   O
172   B-CONTACT
523   I-CONTACT
-   I-CONTACT
2322   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Berard   B-NAME
,   I-NAME
Edward   I-NAME
V.   I-NAME
Hospital   O
:   O
Methodist   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
Treatment   O
Organization   O
:   O
Irwin   B-LOCATION
Union   I-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
Username   O
:   O
TT190   B-NAME
Summary   O
Report   O
:   O
The   O
patient   O
,   O
Easter   B-NAME
,   O
with   O
a   O
recorded   O
age   O
of   O
46   O
,   O
presented   O
at   O
the   O
Northwest   B-LOCATION
Hospital   I-LOCATION
on   O
12/12/2062   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

On   O
physical   O
examination   O
,   O
Cecilia   B-NAME
Reyes   I-NAME
was   O
found   O
to   O
be   O
in   O
distress   O
with   O
tenderness   O
noted   O
upon   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Allyson   B-NAME
Forbes   I-NAME
's   O
past   O
medical   O
history   O
,   O
obtained   O
from   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Machinists   I-LOCATION
and   I-LOCATION
Aerospace   I-LOCATION
Workers   I-LOCATION
's   O
database   O
using   O
TC578   B-NAME
,   O
revealed   O
no   O
significant   O
surgical   O
history   O
or   O
chronic   O
conditions   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Dr.   O
Dorian   B-NAME
Summers   I-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
showed   O
leukocytosis   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
performed   O
2278   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
13   I-DATE
,   O
which   O
indicated   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
periappendiceal   O
fluid   O
,   O
supporting   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
decision   O
for   O
surgical   O
intervention   O
,   O
an   O
appendectomy   O
,   O
was   O
made   O
by   O
Dr.   O
Snyder   B-NAME
after   O
discussing   O
the   O
risks   O
and   O
benefits   O
with   O
Gates   B-NAME
.   O

The   O
procedure   O
was   O
successfully   O
conducted   O
on   O
2008   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
14   I-DATE
at   O
the   O
Memorial   B-LOCATION
Satilla   I-LOCATION
Health   I-LOCATION
,   O
without   O
any   O
complications   O
.   O

Michael   B-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
closely   O
monitored   O
,   O
showing   O
satisfactory   O
progress   O
with   O
symptom   O
resolution   O
.   O

22/30   B-DATE
marked   O
the   O
discharge   O
date   O
for   O
Adrienne   B-NAME
Werner   I-NAME
from   O
Methodist   B-LOCATION
Hospital   I-LOCATION
Union   I-LOCATION
County   I-LOCATION
with   O
detailed   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

Forrest   B-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Dr.   O
Harrison   B-NAME
Blackwood   I-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
nausea   O
,   O
or   O
incision   O
site   O
redness   O
occurred   O
.   O

(   B-CONTACT
495   I-CONTACT
)   I-CONTACT
264   I-CONTACT
-   I-CONTACT
6527   I-CONTACT
of   O
our   O
Oglethorpe   B-LOCATION
Power   I-LOCATION
is   O
available   O
24/7   O
for   O
any   O
immediate   O
concerns   O
or   O
queries   O
regarding   O
post   O
-   O
operative   O
care   O
.   O

In   O
conclusion   O
,   O
Orelia   B-NAME
D.   I-NAME
Burns   I-NAME
's   O
prompt   O
presentation   O
to   O
the   O
hospital   O
and   O
the   O
swift   O
interventions   O
taken   O
undeniably   O
led   O
to   O
a   O
positive   O
outcome   O
.   O

Teacher   O
(   O
nursery   O
/   O
early   O
years   O
)   O
:   O
Medical   O
Record   O
Keeper   O
Report   O
Compiled   O
on   O
:   O
9/14/2322   B-DATE

Patient   O
Name   O
:   O
Iliana   B-NAME
Dickson   I-NAME
Patient   O
ID   O
:   O
IU   B-ID
:   I-ID
GX:5413   I-ID
Medical   O
Record   O
Number   O
:   O
7741701   B-ID
Date   O
of   O
Visit   O
:   O
6/22   B-DATE
Location   O
:   O
Shickshinny   B-LOCATION
,   O
21313   B-LOCATION
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Virginia   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Haas   B-NAME
Contact   O
Information   O
:   O
35140   B-CONTACT
Chief   O
Complaint   O
:   O
Anoki   B-NAME
,   O
a   O
Geographers   O
from   O
Waianae   B-LOCATION
,   O
presents   O
to   O
the   O
emergency   O
department   O
on   O
2254   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
03   I-DATE
with   O
a   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Fatima   B-NAME
Logan   I-NAME
mentions   O
that   O
the   O
pain   O
was   O
preceded   O
by   O
a   O
one   O
-   O
day   O
history   O
of   O
nausea   O
and   O
vomiting   O
.   O

Social   O
History   O
:   O
Amos   B-NAME
,   I-NAME
Tori   I-NAME
works   O
as   O
a   O
Computer   O
and   O
Information   O
Systems   O
Managers   O
in   O
Rush   B-LOCATION
City   I-LOCATION
.   O

Laila   B-NAME
Melendez   I-NAME
was   O
advised   O
for   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

The   O
patient   O
was   O
transferred   O
to   O
the   O
surgical   O
unit   O
of   O
Larned   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Larned   I-LOCATION
for   O
further   O
management   O
on   O
1606   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
26   I-DATE
.   O
Follow   O
-   O
Up   O
:   O
Post   O
-   O
operative   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
39/22   B-DATE
in   O
the   O
surgery   O
clinic   O
.   O

Contact   O
Information   O
for   O
Further   O
Queries   O
:   O
322   B-CONTACT
-   I-CONTACT
313   I-CONTACT
2058   I-CONTACT

Patient   O
Name   O
:   O
Ray   B-NAME
,   I-NAME
Gene   I-NAME
Age   O
:   O
10   O
month   O
Date   O
of   O
Birth   O
:   O
00/69   B-DATE
Medical   O
Record   O
Number   O
:   O
8486388   B-ID
Address   O
:   O
Lumberport   B-LOCATION
,   O
84241   B-LOCATION
Phone   O
Number   O
:   O
46190   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Zimmermann   B-NAME
,   I-NAME
Philip   I-NAME
Admitting   O
Hospital   O
:   O
Lockport   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Immanuel   B-NAME
Shannon   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
00/22/2030   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
multiple   O
episodes   O
of   O
vomiting   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Randall   B-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
in   O
the   O
early   O
hours   O
of   O
the   O
same   O
day   O
.   O

Fisher   B-NAME
mentioned   O
that   O
the   O
pain   O
started   O
suddenly   O
and   O
has   O
progressively   O
worsened   O
.   O

Odessia   B-NAME
Q   I-NAME
Kay   I-NAME
also   O
noted   O
that   O
there   O
has   O
been   O
no   O
relief   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Past   O
Medical   O
History   O
:   O
Janee   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Medications   O
at   O
Admission   O
:   O
-   O
Metformin   O
-   O
Lisinopril   O
Allergies   O
:   O
Seymour   B-NAME
Katz   I-NAME
reports   O
no   O
known   O
drug   O
allergies   O
.   O

Social   O
History   O
:   O
Celia   B-NAME
Norton   I-NAME
is   O
a   O
Recreational   O
Vehicle   O
Service   O
Technicians   O
residing   O
in   O
Tuolumne   B-LOCATION
City   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Brown   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

After   O
assessment   O
by   O
Dorsey   B-NAME
,   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
laparoscopic   O
appendectomy   O
.   O

Arroyo   B-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
surgical   O
procedure   O
.   O

Bautista   B-NAME
was   O
transferred   O
to   O
the   O
surgical   O
unit   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
Florida   I-LOCATION
on   O
15/04   B-DATE
.   O
Follow   O
-   O
Up   O
:   O
Eve   B-NAME
Vargas   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
outpatient   O
department   O
with   O
Ben   B-NAME
Sobel   I-NAME
on   O
32/12   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
emergency   O
,   O
Keagan   B-NAME
Watts   I-NAME
or   O
family   O
members   O
may   O
contact   O
Passavant   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
at   O
86166   B-CONTACT
.   O

Documentation   O
was   O
completed   O
by   O
:   O
zo494   B-NAME
on   O
Monday   B-DATE
,   I-DATE
September   I-DATE
*   O
*   O
Note   O
:   O
This   O
documentation   O
complies   O
with   O
privacy   O
regulations   O
by   O
omitting   O
and   O
coding   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
.   O

Patient   O
Name   O
:   O
Holden   B-NAME
Patient   O
ID   O
:   O
GG600/8044   B-ID
Medical   O
Record   O
Number   O
:   O
62096256   B-ID
Date   O
of   O
Birth   O
:   O
09/21/2113   B-DATE
Age   O
:   O
15   O
Phone   O
Number   O
:   O
10008   B-CONTACT
Address   O
:   O
Tilbury   B-LOCATION
,   O
90843   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Rozella   B-NAME
Velazco   I-NAME
Hospital   O
:   O

LifeCare   B-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
Western   I-LOCATION
Michigan   I-LOCATION
Employment   O
:   O
Financial   O
manager   O
at   O
Maritime   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
Report   O
Date   O
:   O
21/16   B-DATE
Clinical   O
Summary   O
:   O
Maximus   B-NAME
Afflick   I-NAME
,   O
a   O
51   O
-   O
year   O
-   O
old   O
Detectives   O
and   O
Criminal   O
Investigators   O
employed   O
at   O
North   B-LOCATION
Attleboro   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
,   O
presented   O
to   O
Stamford   B-LOCATION
Hospital   I-LOCATION
with   O
a   O
history   O
of   O
progressive   O
,   O
unilateral   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
.   O

Jazmyn   B-NAME
Cook   I-NAME
reported   O
that   O
the   O
headaches   O
began   O
approximately   O
1/28/21   B-DATE
and   O
have   O
increased   O
in   O
frequency   O
over   O
the   O
past   O
9/24   B-DATE
,   O
occurring   O
4   O
-   O
5   O
times   O
a   O
week   O
.   O

Grady   B-NAME
Randall   I-NAME
denied   O
any   O
visual   O
disturbances   O
,   O
recent   O
trauma   O
,   O
fever   O
,   O
or   O
weight   O
loss   O
.   O

Upon   O
examination   O
,   O
Monique   B-NAME
Knight   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Investigations   O
including   O
a   O
head   O
CT   O
scan   O
and   O
laboratory   O
tests   O
(   O
CBC   O
,   O
ESR   O
,   O
CRP   O
)   O
were   O
ordered   O
by   O
Baxter   B-NAME
on   O
02/22   B-DATE
.   O

Any   O
inquiries   O
regarding   O
Luciana   B-NAME
Blair   I-NAME
's   O
care   O
should   O
be   O
directed   O
to   O
714   B-CONTACT
-   I-CONTACT
8428   I-CONTACT
at   O
Pottstown   B-LOCATION
Hospital   I-LOCATION
.   O

This   O
report   O
was   O
prepared   O
by   O
West   B-NAME
on   O
2   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
2311   I-DATE
.   O

Username   O
of   O
Record   O
Keeper   O
:   O
ol487   B-NAME
Report   O
ID   O
:   O
427   B-ID
-   I-ID
26   I-ID
-   I-ID
00   I-ID
-   I-ID
2   I-ID

Tara   B-NAME
Velez   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
9458233   I-ID
Medical   O
Record   O
Number   O
:   O
986   B-ID
-   I-ID
57   I-ID
-   I-ID
51   I-ID
Date   O
of   O
Birth   O
:   O
01/30/2320   B-DATE
Age   O
:   O
20s   O
Phone   O
Number   O
:   O
966   B-CONTACT
-   I-CONTACT
8388   I-CONTACT
Address   O
:   O
Navajo   B-LOCATION
Mountain   I-LOCATION
,   O
90438   B-LOCATION
Employer   O
:   O
Ontario   B-LOCATION
Secondary   I-LOCATION
School   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
Occupation   O
:   O
Exhibition   O
display   O
designer   O
Primary   O
Care   O
Physician   O
:   O

Raphael   B-NAME
Ibarra   I-NAME
Hospital   O
:   O

UPMC   B-LOCATION
Susquehanna   I-LOCATION
-   I-LOCATION
Williamsport   I-LOCATION
Date   O
of   O
Admission   O
:   O
9/15   B-DATE
Date   O
of   O
Discharge   O
:   O
22th   B-DATE
of   I-DATE
July   I-DATE
Clinical   O
Summary   O
:   O
Clara   B-NAME
Mcpherson   I-NAME
,   O
a   O
68   O
-   O
year   O
-   O
old   O
Hairdressers   O
,   O
Hairstylists   O
,   O
and   O
Cosmetologists   O
employed   O
at   O
Great   B-LOCATION
Ape   I-LOCATION
Project   I-LOCATION
,   O
presented   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Lorain   I-LOCATION
Hospital   I-LOCATION
on   O
August   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
started   O
approximately   O
13   B-DATE
-   I-DATE
22   I-DATE
.   O

Avalos   B-NAME
,   I-NAME
Holly   I-NAME
describes   O
the   O
pain   O
as   O
being   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
rating   O
it   O
an   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

The   O
patient   O
also   O
reported   O
experiencing   O
a   O
loss   O
of   O
appetite   O
and   O
slight   O
fever   O
since   O
Su   B-DATE
.   O

On   O
physical   O
examination   O
,   O
Mcfarland   B-NAME
demonstrated   O
signs   O
suggestive   O
of   O
peritoneal   O
irritation   O
,   O
including   O
rebound   O
tenderness   O
and   O
guarding   O
upon   O
palpation   O
of   O
the   O
right   O
lower   O
abdomen   O
.   O

Abdominal   O
ultrasonography   O
,   O
performed   O
on   O
22/25/92   B-DATE
,   O
indicated   O
an   O
inflamed   O
appendix   O
,   O
leading   O
to   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Under   O
the   O
care   O
of   O
Floyd   B-NAME
,   O
Tam   B-NAME
underwent   O
an   O
appendectomy   O
on   O
29/21/47   B-DATE
.   O

The   O
surgical   O
procedure   O
,   O
performed   O
at   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Redding   I-LOCATION
,   O
proceeded   O
without   O
any   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
unremarkable   O
,   O
and   O
Ezekiel   B-NAME
Hart   I-NAME
was   O
discharged   O
on   O
Thursday   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Zaniyah   B-NAME
Guzman   I-NAME
for   O
12   B-DATE
.   O

The   O
contact   O
information   O
provided   O
for   O
any   O
questions   O
or   O
concerns   O
post   O
-   O
discharge   O
is   O
733   B-CONTACT
-   I-CONTACT
527   I-CONTACT
5285   I-CONTACT
.   O

Doug   B-NAME
was   O
advised   O
to   O
monitor   O
for   O
symptoms   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
signs   O
of   O
infection   O
around   O
the   O
surgical   O
site   O
and   O
to   O
contact   O
Jamaica   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
return   O
to   O
the   O
emergency   O
department   O
if   O
any   O
such   O
symptoms   O
arise   O
.   O

Summary   O
prepared   O
by   O
:   O
xj924   B-NAME
,   O
on   O
behalf   O
of   O
Roach   B-NAME
and   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
Hospital   I-LOCATION
healthcare   O
team   O
.   O

April   B-DATE
6   I-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Benn   B-NAME
,   I-NAME
Tony   I-NAME
Patient   O
Age   O
:   O
1   O
Date   O
of   O
Birth   O
:   O
New   B-DATE
Years   I-DATE
Day   I-DATE
Medical   O
Record   O
Number   O
:   O
7522624   B-ID
SSN   O
:   O
7   B-ID
-   I-ID
6747302   I-ID
Address   O
:   O
Killen   B-LOCATION
,   O
31780   B-LOCATION
Employer   O
:   O
Fashion   B-LOCATION
for   I-LOCATION
Fighters   I-LOCATION
Foundation   I-LOCATION
Occupation   O
:   O
Precision   O
Printing   O
Workers   O
Primary   O
Physician   O
:   O
Schmidt   B-NAME
Hospital   O
:   O
Northern   B-LOCATION
Dutchess   I-LOCATION
Hospital   I-LOCATION
Contact   O
Number   O
:   O
57348   B-CONTACT
Email   O
:   O
lc1017   B-NAME
@   O
Irish   B-LOCATION
Medical   I-LOCATION
Organisation   I-LOCATION
.com   O
Summary   O
of   O
Visit   O
:   O
Dillan   B-NAME
Hatfield   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
University   B-LOCATION
of   I-LOCATION
Iowa   I-LOCATION
Hospitals   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
on   O
8/4/2330   B-DATE
,   O
with   O
complaints   O
of   O
acute   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
began   O
approximately   O
4   O
hours   O
prior   O
to   O
admission   O
.   O

Gerald   B-NAME
Marx   I-NAME
works   O
as   O
a   O
Tool   O
and   O
Die   O
Makers   O
at   O
Principality   B-LOCATION
of   I-LOCATION
Planets   I-LOCATION
in   O
Susan   B-LOCATION
Moore   I-LOCATION
and   O
reported   O
that   O
the   O
symptoms   O
started   O
suddenly   O
while   O
at   O
work   O
.   O

Kristina   B-NAME
Pineda   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bennington   B-NAME
,   I-NAME
Chester   I-NAME
,   O
a   O
6   O
-   O
year   O
-   O
old   O
Careers   O
adviser   O
(   O
higher   O
education   O
)   O
,   O
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
with   O
notable   O
diaphoresis   O
.   O

Clinical   O
Findings   O
:   O
Laboratory   O
tests   O
were   O
ordered   O
by   O
Jessie   B-NAME
Delacruz   I-NAME
which   O
showed   O
elevated   O
cardiac   O
markers   O
(   O
Troponin   O
I   O
and   O
CK   O
-   O
MB   O
)   O
,   O
and   O
an   O
ECG   O
demonstrated   O
T   O
-   O
wave   O
inversions   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
.   O

Management   O
and   O
Outcome   O
:   O
Given   O
the   O
presenting   O
symptoms   O
and   O
preliminary   O
diagnostic   O
findings   O
,   O
WEISS   B-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Altoona   I-LOCATION
for   O
further   O
management   O
of   O
suspected   O
acute   O
coronary   O
syndrome   O
(   O
ACS   O
)   O
and   O
congestive   O
heart   O
failure   O
(   O
CHF   O
)   O
.   O

A   O
cardiology   O
consult   O
was   O
requested   O
,   O
and   O
Hutchinson   B-NAME
recommended   O
an   O
urgent   O
cardiac   O
catheterization   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
31/22/99   B-DATE
,   O
revealed   O
two   O
significant   O
blockages   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
and   O
the   O
right   O
coronary   O
artery   O
(   O
RCA   O
)   O
.   O

Post   O
-   O
procedure   O
,   O
Cale   B-NAME
Oconnell   I-NAME
's   O
symptoms   O
markedly   O
improved   O
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
Judge   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Juliette   B-NAME
Baillie   I-NAME
at   O
Aspirus   B-LOCATION
Iron   I-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
on   O
Jan   B-DATE
2011   I-DATE
.   O

The   O
purpose   O
of   O
this   O
visit   O
is   O
to   O
monitor   O
kuntz   B-NAME
's   O
recovery   O
post   O
-   O
PCI   O
,   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
new   O
medication   O
regimen   O
,   O
and   O
address   O
any   O
concerns   O
Tommy   B-NAME
may   O
have   O
.   O

It   O
is   O
important   O
for   O
Nunally   B-NAME
.   I-NAME
Patrick   B-NAME
to   O
continue   O
monitoring   O
blood   O
pressure   O
and   O
blood   O
sugar   O
levels   O
as   O
directed   O
,   O
and   O
to   O
adhere   O
to   O
the   O
prescribed   O
diet   O
and   O
exercise   O
program   O
.   O

For   O
any   O
urgent   O
issues   O
or   O
concerns   O
,   O
Goldwyn   B-NAME
,   I-NAME
Samuel   I-NAME
can   O
contact   O
the   O
cardiology   O
department   O
at   O
253   B-CONTACT
-   I-CONTACT
8655   I-CONTACT
or   O
send   O
an   O
email   O
to   O
stj714   B-NAME
@   O
Citizens   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.com   O
.   O

This   O
patient   O
report   O
reflects   O
the   O
medical   O
evaluation   O
and   O
treatment   O
provided   O
to   O
Demerest   B-NAME
during   O
the   O
hospital   O
stay   O
from   O
5/3   B-DATE
to   O
2228   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
00   I-DATE
.   O

Patient   O
Report   O
for   O
Trinity   B-NAME
Estrada   I-NAME
Introduction   O
:   O
This   O
report   O
outlines   O
the   O
symptoms   O
,   O
diagnosis   O
,   O
and   O
management   O
plan   O
for   O
Adam   B-NAME
Mayfair   I-NAME
,   O
who   O
presented   O
at   O
Bullock   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
22/20   B-DATE
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Mid   B-NAME
-   I-NAME
Nite   I-NAME
-   O
Age   O
:   O
41   O
-   O
Medical   O
Record   O
Number   O
:   O
7515673   B-ID
-   O
Phone   O
:   O
344   B-CONTACT
473   I-CONTACT
5662   I-CONTACT
-   O
Address   O
:   O
Cool   B-LOCATION
Valley   I-LOCATION
,   O
80645   B-LOCATION
-   O
Emergency   O
Contact   O
:   O
180   B-CONTACT
-   I-CONTACT
728   I-CONTACT
7322   I-CONTACT
Medical   O
History   O
:   O
Heidegger   B-NAME
,   O
with   O
no   O
notable   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Henry   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
experiencing   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
102   O
°   O
F   O
.   O

Shannon   B-NAME
Hale   I-NAME
mentioned   O
these   O
symptoms   O
began   O
roughly   O
two   O
days   O
prior   O
to   O
the   O
emergency   O
department   O
visit   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
N   B-NAME
Leonard   I-NAME
displayed   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicating   O
possible   O
appendicitis   O
.   O

Additionally   O
,   O
Jill   B-NAME
Leiter   I-NAME
's   O
white   O
blood   O
cell   O
count   O
was   O
elevated   O
,   O
suggesting   O
an   O
infection   O
.   O

Abdominal   O
Ultrasound   O
:   O
Conducted   O
on   O
8   B-DATE
-   I-DATE
30   I-DATE
,   O
showed   O
an   O
enlarged   O
appendix   O
.   O

All   O
tests   O
were   O
confirmed   O
by   O
Johnny   B-NAME
Townsend   I-NAME
,   O
who   O
specializes   O
in   O
emergency   O
medicine   O
at   O
Longmont   B-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
Malika   B-NAME
Frohwein   I-NAME
's   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
immediate   O
surgical   O
intervention   O
was   O
recommended   O
.   O

Kate   B-NAME
McRae   I-NAME
successfully   O
underwent   O
an   O
appendectomy   O
on   O
8/13   B-DATE
without   O
any   O
complications   O
.   O

Oakley   B-NAME
has   O
been   O
advised   O
to   O
follow   O
up   O
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Medical   O
Team   O
:   O
-   O
Surgeon   O
:   O
Dennis   B-NAME
-   O
Anesthesiologist   O
:   O
Alfred   B-NAME
E.   I-NAME
Bellows   I-NAME
-   O
Nursing   O
Staff   O
:   O
Assigned   O
based   O
on   O
Aspirus   B-LOCATION
Ironwood   I-LOCATION
Hospital   I-LOCATION
guidelines   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Mike   B-NAME
Morton   I-NAME
was   O
discharged   O
on   O
March   B-DATE
with   O
instructions   O
for   O
postoperative   O
care   O
,   O
including   O
medication   O
management   O
,   O
wound   O
care   O
instructions   O
,   O
and   O
activity   O
limitations   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Gallagher   B-NAME
at   O
Kansas   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
to   O
monitor   O
the   O
healing   O
process   O
.   O

Jonas   B-NAME
Adams   I-NAME
’s   O
information   O
,   O
including   O
10626015   B-ID
,   O
27075   B-ID
,   O
and   O
(   B-CONTACT
115   I-CONTACT
)   I-CONTACT
174   I-CONTACT
-   I-CONTACT
5074   I-CONTACT
numbers   O
,   O
should   O
be   O
safeguarded   O
.   O

Conclusion   O
:   O
Ferrell   B-NAME
's   O
case   O
of   O
acute   O
appendicitis   O
was   O
managed   O
promptly   O
and   O
effectively   O
,   O
demonstrating   O
the   O
efficiency   O
and   O
readiness   O
of   O
our   O
medical   O
team   O
at   O
Hegg   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Avera   I-LOCATION
.   O

Report   O
Prepared   O
By   O
:   O
Library   O
Assistants   O
,   O
Clerical   O
:   O
UA954   B-NAME
Date   O
:   O
03/23   B-DATE
XL   B-LOCATION
Catlin   I-LOCATION

Patient   O
Name   O
:   O
James   B-NAME
Mortimer   I-NAME
Age   O
:   O
66s   O
Sex   O
:   O
Male   O
Date   O
of   O
Initial   O
Consultation   O
:   O
2281   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
29   I-DATE
Referring   O
Physician   O
:   O

Julissa   B-NAME
Mercado   I-NAME
Hospital   O
:   O
Southwest   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
7046292   B-ID
Address   O
:   O
Triana   B-LOCATION
,   O
62146   B-LOCATION
Contact   O
Number   O
:   O
950   B-CONTACT
-   I-CONTACT
793   I-CONTACT
-   I-CONTACT
1548   I-CONTACT
Occupation   O
:   O

Floral   O
Designers   O
Emergency   O
Contact   O
:   O
iy818   B-NAME
Chief   O
Complaint   O
:   O
Carey   B-NAME
,   I-NAME
Mariah   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
10/12   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
upon   O
exertion   O
,   O
and   O
intermittent   O
episodes   O
of   O
chest   O
pain   O
that   O
radiates   O
to   O
his   O
left   O
arm   O
.   O

Avery   B-NAME
Blackwell   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
managed   O
with   O
medication   O
for   O
the   O
past   O
100   O
.   O

Upon   O
examination   O
,   O
Richardson   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
elevated   O
blood   O
pressure   O
.   O

A   O
chest   O
X   O
-   O
ray   O
performed   O
at   O
Duke   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
02/23/72   B-DATE
revealed   O
no   O
acute   O
cardiopulmonary   O
process   O
.   O

Osborne   B-NAME
recommended   O
initiating   O
a   O
statin   O
for   O
cholesterol   O
management   O
and   O
adjusting   O
the   O
existing   O
hypertension   O
medications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
21th   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
medication   O
regimen   O
adjustments   O
.   O

Jaxson   B-NAME
Simmons   I-NAME
was   O
also   O
advised   O
to   O
integrate   O
lifestyle   O
modifications   O
focusing   O
on   O
diet   O
and   O
exercises   O
such   O
as   O
walking   O
for   O
30   O
minutes   O
daily   O
.   O

Instructions   O
were   O
also   O
given   O
for   O
HEATHER   B-NAME
HERNANDEZ   I-NAME
to   O
monitor   O
his   O
symptoms   O
closely   O
and   O
report   O
any   O
aggravation   O
of   O
symptoms   O
including   O
,   O
but   O
not   O
limited   O
to   O
,   O
increased   O
frequency   O
or   O
intensity   O
of   O
chest   O
pain   O
,   O
episodes   O
of   O
dizziness   O
,   O
or   O
palpitations   O
.   O

Christie   B-NAME
,   I-NAME
Agatha   I-NAME
was   O
advised   O
to   O
contact   O
St.   B-LOCATION
Vincent   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Los   I-LOCATION
Angeles   I-LOCATION
at   O
738   B-CONTACT
-   I-CONTACT
258   I-CONTACT
9084   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
should   O
any   O
of   O
these   O
symptoms   O
arise   O
.   O

Notes   O
for   O
Follow   O
-   O
Up   O
:   O
It   O
is   O
essential   O
to   O
review   O
Jessup   B-NAME
's   O
response   O
to   O
the   O
medication   O
adjustments   O
and   O
evaluate   O
the   O
need   O
for   O
further   O
diagnostic   O
evaluations   O
such   O
as   O
an   O
echocardiogram   O
or   O
referral   O
to   O
a   O
cardiologist   O
.   O

Summary   O
:   O
Jorryn   B-NAME
,   O
a   O
3   O
-   O
year   O
-   O
old   O
male   O
with   O
a   O
history   O
of   O
hypertension   O
,   O
presented   O
with   O
symptoms   O
suggestive   O
of   O
potential   O
cardiac   O
issues   O
.   O

Follow   O
-   O
up   O
is   O
crucial   O
to   O
monitor   O
Boutroux   B-NAME
,   I-NAME
Pierre   I-NAME
's   O
response   O
to   O
treatment   O
adjustments   O
.   O

Patient   O
Report   O
for   O
Edwards   B-NAME
32/21   B-DATE
,   O
a   O
patient   O
of   O
1   O
years   O
consulted   O
Dr.   O
Larson   B-NAME
at   O
Norton   B-LOCATION
Audubon   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Grasonville   B-LOCATION
,   O
40676   B-LOCATION
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Gabriel   B-NAME
Cole   I-NAME
's   O
medical   O
history   O
was   O
reviewed   O
,   O
indicating   O
no   O
previous   O
episodes   O
of   O
similar   O
nature   O
.   O

Upon   O
examination   O
,   O
Marianna   B-NAME
Mack   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
indicative   O
of   O
potential   O
appendicitis   O
.   O

Cal   B-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.5   O
°   O
C   O
,   O
suggesting   O
an   O
inflammatory   O
process   O
.   O

Dr.   O
Christopher   B-NAME
Kidd   I-NAME
ordered   O
further   O
diagnostics   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
revealed   O
leukocytosis   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
that   O
showed   O
swelling   O
of   O
the   O
appendix   O
.   O

Cynthia   B-NAME
Avery   I-NAME
was   O
admitted   O
to   O
Jackson   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinic   I-LOCATION
under   O
admission   O
number   O
491   B-ID
-   I-ID
89   I-ID
-   I-ID
82   I-ID
-   I-ID
4   I-ID
for   O
monitoring   O
and   O
scheduled   O
for   O
an   O
appendectomy   O
.   O

Pre   O
-   O
operative   O
procedures   O
were   O
explained   O
by   O
Dr.   O
Andrade   B-NAME
,   O
and   O
consent   O
was   O
provided   O
by   O
Elyse   B-NAME
Penton   I-NAME
.   O

The   O
surgery   O
was   O
conducted   O
on   O
39/23   B-DATE
without   O
complications   O
.   O

Dr.   O
Reilly   B-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Yamaguchi   B-NAME
on   O
January   B-DATE
to   O
reassess   O
healing   O
and   O
appendectomy   O
site   O
.   O

Gabriele   B-NAME
Gobrecht   I-NAME
's   O
emergency   O
contact   O
number   O
is   O
33253   B-CONTACT
.   O

Throughout   O
the   O
course   O
of   O
treatment   O
,   O
Janice   B-NAME
Wareham   I-NAME
was   O
employed   O
as   O
a   O
Geographers   O
at   O
Okefenoke   B-LOCATION
REMC   I-LOCATION
.   O

Accommodations   O
for   O
Tamara   B-NAME
Neal   I-NAME
's   O
medical   O
leave   O
have   O
been   O
arranged   O
directly   O
with   O
Esurance   B-LOCATION
's   O
HR   O
department   O
,   O
contactable   O
at   O
99096   B-CONTACT
.   O

The   O
medical   O
team   O
overseeing   O
James   B-NAME
,   I-NAME
Kevin   I-NAME
's   O
care   O
included   O
Dr.   O
Acosta   B-NAME
,   O
resident   O
nurses   O
on   O
the   O
surgical   O
floor   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
Newburgh   I-LOCATION
Campus   I-LOCATION
,   O
and   O
consulting   O
specialists   O
in   O
gastroenterology   O
.   O

The   O
patient   O
's   O
identification   O
number   O
for   O
this   O
case   O
is   O
PO:85460:102790   B-ID
.   O

Any   O
inquiries   O
regarding   O
Dana   B-NAME
Michael   I-NAME
's   O
case   O
should   O
be   O
directed   O
to   O
the   O
medical   O
record   O
services   O
at   O
Marietta   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
reachable   O
at   O
325   B-CONTACT
225   I-CONTACT
1740   I-CONTACT
.   O

In   O
summary   O
,   O
Clay   B-NAME
Sanchez   I-NAME
,   O
thanks   O
to   O
the   O
timely   O
surgical   O
intervention   O
and   O
comprehensive   O
care   O
provided   O
by   O
the   O
medical   O
staff   O
at   O
The   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Living   I-LOCATION
(   I-LOCATION
psychiatric   I-LOCATION
,   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Hartford   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
,   O
North   B-LOCATION
Perry   I-LOCATION
,   O
is   O
expected   O
to   O
have   O
a   O
complete   O
recovery   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
on   O
27/02   B-DATE
will   O
further   O
elucidate   O
the   O
patient   O
's   O
recovery   O
trajectory   O
.   O

Patient   O
Name   O
:   O
Sasha   B-NAME
Suarez   I-NAME
Medical   O
Record   O
Number   O
:   O
3731020   B-ID
Date   O
of   O
Birth   O
:   O
1/00   B-DATE
Age   O
:   O
0   O
month   O
Address   O
:   O
Hunt   B-LOCATION
,   O
45158   B-LOCATION
Phone   O
Number   O
:   O
927   B-CONTACT
1701   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Scarlett   B-NAME
Cantrell   I-NAME
Referring   O
Organization   O
:   O

BankFirst   B-LOCATION
Admitting   O
Hospital   O
:   O
Beverly   B-LOCATION
Hospital   I-LOCATION
ID   O
:   O
LV:46151:567771   B-ID

Clinical   O
Summary   O
:   O
BRODY   B-NAME
OHARA   I-NAME
,   O
a   O
Biological   O
Scientists   O
,   O
All   O
Other   O
from   O
Searles   B-LOCATION
,   O
84   O
years   O
of   O
age   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Geisinger   B-LOCATION
HealthSouth   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
on   O
36   B-DATE
-   I-DATE
12   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
lower   O
abdominal   O
pain   O
which   O
began   O
approximately   O
24   O
hours   O
prior   O
.   O

Otero   B-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
and   O
denied   O
any   O
recent   O
changes   O
in   O
bowel   O
habits   O
or   O
urinary   O
symptoms   O
.   O

Previous   O
medical   O
history   O
was   O
significant   O
for   O
hypertension   O
,   O
managed   O
on   O
medication   O
,   O
and   O
a   O
surgical   O
history   O
of   O
appendectomy   O
performed   O
in   O
Cape   B-LOCATION
Coral   I-LOCATION
at   O
Mt.   B-LOCATION
Sinai   I-LOCATION
Hospital   I-LOCATION
on   O
2001   B-DATE
.   O

Upon   O
physical   O
examination   O
,   O
Antione   B-NAME
was   O
afebrile   O
with   O
stable   O
vital   O
signs   O
.   O

A   O
CT   O
abdomen   O
/   O
pelvis   O
with   O
contrast   O
was   O
ordered   O
by   O
Joyce   B-NAME
which   O
demonstrated   O
signs   O
consistent   O
with   O
diverticulitis   O
without   O
any   O
evidence   O
of   O
perforation   O
or   O
abscess   O
formation   O
.   O

Leonidas   B-NAME
Galvan   I-NAME
was   O
started   O
on   O
oral   O
antibiotics   O
as   O
per   O
the   O
institution   O
's   O
guidelines   O
and   O
advised   O
on   O
dietary   O
modifications   O
.   O

Billy   B-NAME
U.   I-NAME
Webber   I-NAME
was   O
instructed   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
in   O
7   O
-   O
10   O
days   O
or   O
return   O
earlier   O
if   O
symptoms   O
persisted   O
or   O
worsened   O
.   O

Further   O
outpatient   O
follow   O
-   O
up   O
with   O
a   O
gastroenterologist   O
in   O
Conehatta   B-LOCATION
was   O
arranged   O
for   O
02/27   B-DATE
to   O
evaluate   O
the   O
need   O
for   O
colonoscopy   O
after   O
resolution   O
of   O
the   O
acute   O
episode   O
.   O

Discussion   O
with   O
Jong   B-NAME
,   I-NAME
Erica   I-NAME
regarding   O
the   O
diagnosis   O
,   O
management   O
plan   O
and   O
possible   O
complications   O
of   O
diverticulitis   O
was   O
carried   O
out   O
.   O

Tia   B-NAME
Lamb   I-NAME
verbalized   O
understanding   O
of   O
the   O
information   O
provided   O
and   O
agreed   O
to   O
the   O
recommended   O
management   O
plan   O
.   O

Abagail   B-NAME
Henson   I-NAME
was   O
also   O
informed   O
about   O
warning   O
signs   O
that   O
would   O
necessitate   O
immediate   O
medical   O
attention   O
,   O
including   O
sustained   O
fever   O
,   O
escalating   O
abdominal   O
pain   O
,   O
inability   O
to   O
tolerate   O
oral   O
intake   O
,   O
or   O
signs   O
of   O
sepsis   O
.   O

In   O
case   O
of   O
any   O
queries   O
or   O
emergency   O
,   O
URIBE   B-NAME
,   I-NAME
HAROLD   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
of   O
the   O
gastrointestinal   O
department   O
at   O
Boone   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
,   O
(   B-CONTACT
763   I-CONTACT
)   I-CONTACT
671   I-CONTACT
-   I-CONTACT
7159   I-CONTACT
,   O
and   O
advised   O
to   O
mention   O
their   O
Medical   O
Record   O
Number   O
,   O
48426481   B-ID
,   O
for   O
reference   O
.   O

Toby   B-NAME
Schultz   I-NAME
-   O
Age   O
:   O
12   O
-   O
Date   O
of   O
Birth   O
:   O
05/04   B-DATE
-   O
Gender   O
:   O
Male   O
-   O
Medical   O
Record   O
Number   O
:   O
96914105   B-ID
-   O
ID   O
Number   O
:   O
212284   B-ID
-   O
Address   O
:   O
Vaughnsville   B-LOCATION
,   O
27899   B-LOCATION
-   O
Phone   O
Number   O
:   O
325   B-CONTACT
-   I-CONTACT
870   I-CONTACT
5428   I-CONTACT
-   O
Occupation   O
:   O

Franklin   B-NAME
-   O
Hospital   O
:   O
Formerly   B-LOCATION
St.   I-LOCATION
Lawrence   I-LOCATION
Hospital   I-LOCATION
Clinical   O
History   O
:   O
Baylee   B-NAME
Navarro   I-NAME
,   O
a   O
Gaming   O
Supervisors   O
from   O
McDonough   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
McDonough   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Mountain   B-LOCATION
Vista   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/34   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
,   O
focused   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Quatisha   B-NAME
Long   I-NAME
denied   O
any   O
recent   O
changes   O
in   O
diet   O
,   O
travel   O
history   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Olive   B-NAME
Randall   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Royce   B-NAME
Morris   I-NAME
was   O
admitted   O
to   O
Searcy   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Hartman   B-NAME
for   O
an   O
urgent   O
appendectomy   O
performed   O
on   O
00   B-DATE
-   I-DATE
28   I-DATE
.   O

Post   O
-   O
operatively   O
,   O
Lana   B-NAME
Morrow   I-NAME
received   O
antibiotics   O
and   O
was   O
closely   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O

Ulises   B-NAME
Y.   I-NAME
Hobbs   I-NAME
showed   O
good   O
recovery   O
and   O
was   O
discharged   O
on   O
1885   B-DATE
.   O

Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Shields   B-NAME
for   O
32/33/12   B-DATE
to   O
ensure   O
proper   O
healing   O
and   O
to   O
address   O
any   O
post   O
-   O
operative   O
concerns   O
.   O

Johns   B-NAME
's   O
swift   O
surgical   O
treatment   O
following   O
the   O
onset   O
of   O
symptoms   O
likely   O
contributed   O
to   O
the   O
favorable   O
outcome   O
.   O

Gulf   B-LOCATION
Coast   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
remains   O
dedicated   O
to   O
providing   O
high   O
-   O
quality   O
care   O
and   O
employing   O
best   O
practices   O
in   O
the   O
diagnosis   O
and   O
treatment   O
of   O
emergent   O
conditions   O
such   O
as   O
this   O
.   O

Prepared   O
by   O
:   O
ya875   B-NAME
22/26   B-DATE

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
6115411   B-ID
Name   O
:   O
Fredrich   B-NAME
L.   I-NAME
van   I-NAME
Butler   I-NAME
Age   O
:   O
1   O
month   O
Phone   O
Number   O
:   O
87411   B-CONTACT
Date   O
of   O
First   O
Visit   O
:   O
33/24/32   B-DATE
Address   O
:   O
McBride   B-LOCATION
,   O
75188   B-LOCATION
Occupation   O
:   O

Chana   B-NAME
Mullen   I-NAME
Hospital   O
:   O
Research   B-LOCATION
Belton   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Contact   O
:   O
27213   B-CONTACT
Medical   O
History   O
:   O
yarnell   B-NAME
,   O
a   O
Service   O
Station   O
Attendants   O
by   O
occupation   O
,   O
presented   O
to   O
Firelands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Main   I-LOCATION
Campus   I-LOCATION
on   O
Tuesday   B-DATE
with   O
complaints   O
of   O
persistent   O
headache   O
,   O
blurred   O
vision   O
,   O
and   O
occasional   O
episodes   O
of   O
vertigo   O
.   O

Borges   B-NAME
,   I-NAME
Jorge   I-NAME
Luis   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
2258   B-DATE
ago   O
,   O
which   O
have   O
progressively   O
worsened   O
.   O

Examination   O
Findings   O
:   O
During   O
the   O
examination   O
on   O
6/22   B-DATE
,   O
Brice   B-NAME
Kirk   I-NAME
displayed   O
photophobia   O
and   O
phonophobia   O
.   O

Randy   B-NAME
Miles   I-NAME
's   O
BMI   O
is   O
recorded   O
at   O
25   O
.   O

Diagnostic   O
Tests   O
:   O
Magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
conducted   O
on   O
3/0   B-DATE
showed   O
no   O
evidence   O
of   O
acute   O
infarct   O
or   O
hemorrhage   O
.   O

A   O
lumbar   O
puncture   O
performed   O
on   O
2046   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
21   I-DATE
indicated   O
normal   O
opening   O
pressure   O
with   O
clear   O
cerebrospinal   O
fluid   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Key   B-NAME
prescribed   O
a   O
therapeutic   O
regimen   O
including   O
oral   O
medication   O
for   O
migraine   O
management   O
and   O
advised   O
strict   O
monitoring   O
of   O
symptoms   O
.   O

roberson   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
32/22   B-DATE
for   O
reevaluation   O
.   O

Conclusion   O
:   O
Joshua   B-NAME
U.   I-NAME
Jett   I-NAME
,   O
a   O
34s   O
-   O
year   O
-   O
old   O
Segmental   O
Pavers   O
,   O
is   O
under   O
observation   O
for   O
chronic   O
headaches   O
and   O
associated   O
symptoms   O
.   O

Jessie   B-NAME
Saunders   I-NAME
will   O
continue   O
to   O
monitor   O
Gonzalez   B-NAME
's   O
progress   O
and   O
adjust   O
treatments   O
as   O
necessary   O
.   O

This   O
medical   O
report   O
contains   O
confidential   O
health   O
information   O
of   O
Stout   B-NAME
and   O
is   O
for   O
the   O
exclusive   O
use   O
of   O
the   O
intended   O
recipient(s   O
)   O
.   O

For   O
further   O
inquiries   O
,   O
contact   O
Providence   B-LOCATION
Little   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
San   I-LOCATION
Pedro   I-LOCATION
at   O
(   B-CONTACT
295   I-CONTACT
)   I-CONTACT
221   I-CONTACT
-   I-CONTACT
5591   I-CONTACT
.   O

Patient   O
Name   O
:   O
Niemöller   B-NAME
,   I-NAME
Martin   I-NAME
Date   O
of   O
Birth   O
:   O
95   O
Medical   O
Record   O
Number   O
:   O
9071   B-ID
:   I-ID
A70005   I-ID
ID   O
:   O
5   B-ID
-   I-ID
9389876   I-ID
Address   O
:   O
Perdido   B-LOCATION
Beach   I-LOCATION
,   O
93430   B-LOCATION
Phone   O
Number   O
:   O
722   B-CONTACT
8693   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Iyana   B-NAME
Hampton   I-NAME
Treatment   O
Facility   O
:   O
Crawford   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
District   I-LOCATION
No.1   I-LOCATION
–   I-LOCATION
Girard   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
Real   O
Estate   O
Sales   O
Agents   O
from   O
Forada   B-LOCATION
,   O
presents   O
with   O
a   O
3   O
-   O
day   O
history   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

The   O
headache   O
intensity   O
was   O
reported   O
to   O
have   O
progressively   O
increased   O
over   O
the   O
mentioned   O
period   O
,   O
reaching   O
a   O
peak   O
intensity   O
on   O
the   O
morning   O
of   O
March   B-DATE
.   O

The   O
patient   O
's   O
last   O
visit   O
to   O
Jazmyn   B-NAME
Christensen   I-NAME
at   O
Fort   B-LOCATION
Belvoir   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
was   O
on   O
11/20   B-DATE
for   O
routine   O
check   O
-   O
up   O
.   O

Complaints   O
of   O
intermittent   O
blurry   O
vision   O
over   O
the   O
past   O
2192   B-DATE
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
with   O
Valentine   B-NAME
in   O
State   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
on   O
18/04   B-DATE
for   O
reassessment   O
and   O
further   O
evaluation   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
,   O
the   O
patient   O
was   O
instructed   O
to   O
contact   O
Shannon   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
902   B-CONTACT
-   I-CONTACT
6337   I-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
department   O
immediately   O
.   O

Prepared   O
by   O
:   O
bw520   B-NAME
Reviewed   O
by   O
:   O
Claudia   B-NAME
Schultz   I-NAME
Date   O
:   O
13/60   B-DATE

Patient   O
Name   O
:   O
Hailee   B-NAME
Golden   I-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
9575498   I-ID
Medical   O
Record   O
Number   O
:   O
975   B-ID
-   I-ID
99   I-ID
-   I-ID
69   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
27   O
Phone   O
Number   O
:   O
415   B-CONTACT
632   I-CONTACT
6572   I-CONTACT
Address   O
:   O
Missouri   B-LOCATION
,   O
25474   B-LOCATION

Randolph   B-NAME
Hospital   O
Name   O
:   O

Marshall   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
Date   O
of   O
Visit   O
:   O
07/24/63   B-DATE
Occupation   O
:   O

Financial   O
Quantitative   O
Analysts   O
Username   O
:   O
TJ192   B-NAME
Chief   O
Complaint   O
:   O

Arias   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
NYU   B-LOCATION
Langone   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Brooklyn   I-LOCATION
on   O
01/29   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
mostly   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

The   O
patient   O
described   O
the   O
pain   O
as   O
a   O
sharp   O
and   O
continuous   O
ache   O
that   O
started   O
approximately   O
12   O
hours   O
before   O
admission   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
a   O
58   O
-   O
year   O
-   O
old   O
therapist   O
from   O
Russell   B-LOCATION
,   O
started   O
experiencing   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
a   O
day   O
prior   O
to   O
the   O
hospital   O
visit   O
.   O

Terrell   B-NAME
Tuft   I-NAME
has   O
attempted   O
taking   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
and   O
pain   O
relief   O
medications   O
,   O
with   O
no   O
significant   O
improvement   O
.   O

Additionally   O
,   O
episodes   O
of   O
nausea   O
led   O
to   O
vomiting   O
twice   O
on   O
the   O
morning   O
of   O
27/23   B-DATE
.   O

According   O
to   O
Eve   B-NAME
Barton   I-NAME
,   O
there   O
are   O
no   O
known   O
allergies   O
.   O

Previous   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
at   O
Conway   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
an   O
unspecified   O
date   O
.   O

Review   O
of   O
Systems   O
:   O
Davion   B-NAME
Goodwin   I-NAME
denied   O
any   O
recent   O
fever   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
diarrhea   O
,   O
or   O
urinary   O
symptoms   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Hailee   B-NAME
Baird   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Right   O
ovarian   O
cyst   O
rupture   O
(   O
considering   O
gender   O
-   O
specific   O
causes   O
)   O
Diagnostic   O
Workup   O
:   O
Lab   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
urinalysis   O
were   O
ordered   O
by   O
Dr.   O
Karter   B-NAME
Becker   I-NAME
.   O

Management   O
and   O
Outcome   O
:   O
The   O
CT   O
scan   O
provided   O
by   O
the   O
radiology   O
department   O
at   O
Maricopa   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
confirmed   O
acute   O
appendicitis   O
.   O

Naomi   B-NAME
Newberry   I-NAME
underwent   O
an   O
urgent   O
appendectomy   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
in   O
two   O
weeks   O
with   O
Dangelo   B-NAME
Pena   I-NAME
to   O
ensure   O
proper   O
healing   O
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Anne   B-NAME
Osvath   I-NAME
was   O
instructed   O
to   O
rest   O
and   O
adhere   O
to   O
a   O
liquid   O
diet   O
for   O
the   O
initial   O
48   O
hours   O
post   O
-   O
operation   O
,   O
gradually   O
reintroducing   O
solid   O
foods   O
as   O
tolerated   O
.   O

Contact   O
Information   O
:   O
Should   O
James   B-NAME
,   I-NAME
Kevin   I-NAME
experience   O
any   O
concerns   O
or   O
signs   O
of   O
infection   O
,   O
they   O
were   O
advised   O
to   O
immediately   O
contact   O
Shriners   B-LOCATION
Hospitals   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
at   O
150   B-CONTACT
-   I-CONTACT
2434   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Mariah   B-NAME
Deleon   I-NAME
Patient   O
ID   O
:   O
WE   B-ID
:   I-ID
NA:4128   I-ID
Medical   O
Record   O
Number   O
:   O
7   B-ID
-   I-ID
098944   I-ID
Date   O
of   O
Birth   O
:   O
12/13   B-DATE
Age   O
:   O
71   O
Address   O
:   O
Dante   B-LOCATION
,   O
28693   B-LOCATION
Phone   O
Number   O
:   O
370   B-CONTACT
3244   I-CONTACT
Occupation   O
:   O

Dental   O
hygienist   O
Primary   O
Care   O
Physician   O
:   O
Campbell   B-NAME
Hospital   O
:   O
Medical   B-LOCATION
West   I-LOCATION
Admission   O
Date   O
:   O
20/22   B-DATE
Release   O
Date   O
:   O
2160   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
00   I-DATE
Chief   O
Complaint   O
:   O
Pinker   B-NAME
,   I-NAME
Steven   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Jefferson   B-LOCATION
Stratford   I-LOCATION
Hospital   I-LOCATION
on   O
2037   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Fredia   B-NAME
reported   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
currently   O
under   O
medication   O
.   O

Hypertension   O
diagnosed   O
in   O
39/23   B-DATE
.   O
2   O
.   O

Previous   O
hospitalization   O
for   O
a   O
similar   O
episode   O
on   O
01/26   B-DATE
at   O
Memorial   B-LOCATION
Sloan   I-LOCATION
-   I-LOCATION
Kettering   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
.   O

Upon   O
presentation   O
,   O
Patterson   B-NAME
was   O
immediately   O
given   O
sublingual   O
nitroglycerin   O
with   O
partial   O
relief   O
of   O
chest   O
pain   O
.   O

Otis   B-NAME
Xayasane   I-NAME
was   O
started   O
on   O
a   O
heparin   O
drip   O
for   O
anticoagulation   O
and   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
for   O
further   O
management   O
.   O

Progress   O
Note   O
:   O
During   O
hospital   O
stay   O
,   O
Roe   B-NAME
's   O
condition   O
stabilized   O
,   O
and   O
by   O
3/27/23   B-DATE
,   O
symptoms   O
had   O
significantly   O
improved   O
.   O

Angelika   B-NAME
Hillbrant   I-NAME
underwent   O
a   O
cardiac   O
catheterization   O
which   O
revealed   O
single   O
-   O
vessel   O
disease   O
amenable   O
to   O
stenting   O
.   O

A   O
successful   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
was   O
performed   O
on   O
1/3   B-DATE
.   O

Gaines   B-NAME
was   O
discharged   O
from   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Eastside   I-LOCATION
on   O
09/13   B-DATE
.   O

At   O
the   O
time   O
of   O
discharge   O
,   O
Georgetta   B-NAME
Crisman   I-NAME
was   O
asymptomatic   O
.   O

Werner   B-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
French   B-NAME
in   O
one   O
week   O
for   O
a   O
post   O
-   O
discharge   O
checkup   O
.   O

Follow   O
-   O
Up   O
Appointment   O
:   O
Scheduled   O
with   O
Leach   B-NAME
on   O
21/36   B-DATE
at   O
WakeMed   B-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
.   O

Greg   B-NAME
Fischer   I-NAME
was   O
instructed   O
to   O
monitor   O
for   O
any   O
recurrence   O
of   O
symptoms   O
and   O
to   O
immediately   O
report   O
any   O
such   O
incidents   O
.   O

This   O
report   O
has   O
been   O
generated   O
and   O
reviewed   O
by   O
the   O
attending   O
physician   O
,   O
Baron   B-NAME
Wolf   I-NAME
,   O
and   O
is   O
stored   O
in   O
Deanna   B-NAME
Holloway   I-NAME
's   O
electronic   O
health   O
record   O
system   O
.   O

For   O
any   O
further   O
information   O
,   O
please   O
contact   O
Florida   B-LOCATION
Hospital   I-LOCATION
Heartland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
patient   O
care   O
services   O
at   O
131   B-CONTACT
-   I-CONTACT
6676   I-CONTACT
.   O
End   O
of   O
Report   O
.   O

Patient   O
Name   O
:   O
Lincoln   B-NAME
Stein   I-NAME
Patient   O
ID   O
:   O
8   B-ID
-   I-ID
7867275   I-ID
Date   O
of   O
Birth   O
:   O
33/34/2094   B-DATE
Age   O
:   O
55   O
Phone   O
:   O
(   B-CONTACT
454   I-CONTACT
)   I-CONTACT
347   I-CONTACT
2869   I-CONTACT
Address   O
:   O
Brevard   B-LOCATION
,   I-LOCATION
Heart   I-LOCATION
of   I-LOCATION
Brevard   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
72198   B-LOCATION
Profession   O
:   O
Physical   O
Therapist   O
Assistants   O
Username   O
:   O
sso436   B-NAME
Medical   O
Record   O
Number   O
:   O
1347409   B-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Clare   B-NAME
Kent   I-NAME
Admitting   O
Hospital   O
:   O

MercyOne   B-LOCATION
Primghar   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Levine   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Irwin   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
29/11/93   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Leiber   B-NAME
,   I-NAME
Fritz   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
an   O
overall   O
sensation   O
of   O
malaise   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ezekiel   B-NAME
Cross   I-NAME
,   O
a   O
40   O
-   O
year   O
-   O
old   O
Hosts   O
and   O
Hostesses   O
,   O
Restaurant   O
,   O
Lounge   O
,   O
and   O
Coffee   O
Shop   O
,   O
began   O
experiencing   O
mild   O
,   O
intermittent   O
episodes   O
of   O
abdominal   O
discomfort   O
about   O
three   O
weeks   O
prior   O
to   O
this   O
acute   O
presentation   O
.   O

Past   O
Medical   O
History   O
:   O
Miller   B-NAME
,   I-NAME
Henry   I-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
diagnosed   O
two   O
years   O
ago   O
but   O
reports   O
no   O
other   O
significant   O
medical   O
history   O
,   O
surgeries   O
,   O
or   O
hospitalizations   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Alberto   B-NAME
Mays   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
a   O
surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Cleveland   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Solomon   B-NAME
was   O
admitted   O
post   O
-   O
operatively   O
for   O
observation   O
in   O
the   O
surgical   O
unit   O
of   O
Nix   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
was   O
discharged   O
on   O
1729   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
03   I-DATE
with   O
instructions   O
for   O
care   O
at   O
home   O
,   O
including   O
antibiotic   O
therapy   O
,   O
pain   O
management   O
,   O
and   O
activity   O
restrictions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Robbins   B-NAME
was   O
scheduled   O
0/25   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

St.   B-LOCATION
Cloud   I-LOCATION
Utilities   I-LOCATION
Contact   O
Information   O
:   O

For   O
any   O
questions   O
or   O
further   O
information   O
,   O
please   O
contact   O
BANNER   B-LOCATION
ESTRELLA   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
at   O
761   B-CONTACT
-   I-CONTACT
2812   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Sam   B-NAME
Metcalf   I-NAME
Patient   O
ID   O
:   O
TT957/4412   B-ID
Date   O
of   O
Birth   O
:   O
19/20/20   B-DATE
Medical   O
Record   O
Number   O
:   O
5973005   B-ID
Address   O
:   O
Tallahassee   B-LOCATION
,   O
20915   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
741   I-CONTACT
)   I-CONTACT
562   I-CONTACT
9412   I-CONTACT
Employer   O
:   O
Divine   B-LOCATION
Confederacy   I-LOCATION
Occupation   O
:   O
Social   O
and   O
Human   O
Service   O
Assistants   O
Referred   O
by   O
:   O
Dr.   O
Lola   B-NAME
Spratt   I-NAME
Date   O
of   O
admission   O
:   O
1773   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
17   I-DATE
Date   O
of   O
Report   O
:   O
23/23/32   B-DATE
Clinical   O
Summary   O
:   O
Tucker   B-NAME
Holder   I-NAME
,   O
a   O
20   O
-   O
year   O
-   O
old   O
Sales   O
Engineers   O
from   O
Greeley   B-LOCATION
,   O
presented   O
to   O
Asante   B-LOCATION
Rogue   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/90   B-DATE
with   O
complaints   O
of   O
sustained   O
high   O
-   O
grade   O
fever   O
,   O
reaching   O
up   O
to   O
104   O
°   O
F   O
,   O
severe   O
headache   O
,   O
and   O
photophobia   O
developing   O
over   O
the   O
course   O
of   O
01/04/2273   B-DATE
.   O

Upon   O
evaluation   O
,   O
Dr.   O
Dougherty   B-NAME
observed   O
the   O
presence   O
of   O
Brudzinski   O
’s   O
and   O
Kernig   O
's   O
signs   O
,   O
both   O
of   O
which   O
are   O
indicative   O
of   O
meningeal   O
irritation   O
.   O

Imaging   O
studies   O
,   O
including   O
a   O
brain   O
MRI   O
conducted   O
on   O
1/22   B-DATE
,   O
showed   O
no   O
signs   O
of   O
encephalitis   O
or   O
other   O
cerebral   O
complications   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
,   O
as   O
provided   O
by   O
Professionals   B-LOCATION
Australia   I-LOCATION
,   O
was   O
notable   O
for   O
a   O
splenectomy   O
following   O
a   O
car   O
accident   O
at   O
37   O
.   O

Throughout   O
the   O
hospital   O
stay   O
at   O
McLaren   B-LOCATION
Macomb   I-LOCATION
,   O
the   O
patient   O
received   O
support   O
care   O
,   O
including   O
fluid   O
resuscitation   O
,   O
antipyretics   O
,   O
and   O
analgesics   O
to   O
manage   O
symptoms   O
.   O

ivester   B-NAME
’s   O
condition   O
gradually   O
improved   O
,   O
and   O
after   O
a   O
ten   O
-   O
day   O
course   O
of   O
antibiotics   O
,   O
was   O
deemed   O
stable   O
for   O
discharge   O
on   O
03/12/2251   B-DATE
with   O
plans   O
for   O
close   O
outpatient   O
follow   O
-   O
up   O
with   O
Dr.   O
Woodward   B-NAME
.   O

Discharge   O
instructions   O
included   O
a   O
prescription   O
for   O
a   O
continued   O
oral   O
antibiotic   O
course   O
,   O
recommendations   O
for   O
rest   O
and   O
hydration   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
12/02   B-DATE
.   O

The   O
treatment   O
and   O
care   O
team   O
at   O
Ascension   B-LOCATION
SE   I-LOCATION
Wisconsin   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Franklin   I-LOCATION
Campus   I-LOCATION
included   O
Dr.   O
Maynard   B-NAME
,   O
a   O
team   O
of   O
nurses   O
,   O
and   O
pharmacists   O
,   O
all   O
of   O
whom   O
contributed   O
to   O
the   O
patient   O
's   O
recovery   O
path   O
.   O

Future   O
Considerations   O
:   O
It   O
's   O
recommended   O
that   O
Melanie   B-NAME
Porter   I-NAME
undergo   O
vaccination   O
against   O
Streptococcus   O
pneumoniae   O
,   O
Neisseria   O
meningitidis   O
,   O
and   O
Haemophilus   O
influenzae   O
type   O
B   O
to   O
reduce   O
the   O
risk   O
of   O
future   O
infections   O
,   O
considering   O
the   O
patient   O
's   O
history   O
of   O
splenectomy   O
.   O

A   O
follow   O
-   O
up   O
with   O
an   O
infectious   O
disease   O
specialist   O
,   O
Dr.   O
Gillespie   B-NAME
,   O
is   O
advised   O
to   O
further   O
evaluate   O
and   O
manage   O
the   O
patient   O
's   O
immunization   O
status   O
.   O

Report   O
prepared   O
by   O
:   O
Dr.   O
Lynch   B-NAME
Contact   O
Information   O
:   O
276   B-CONTACT
9678   I-CONTACT
Medical   O
Record   O
Reviewed   O
:   O
2717339   B-ID

Patient   O
Name   O
:   O
Alissa   B-NAME
Werner   I-NAME
Age   O
:   O
67s   O
Phone   O
Number   O
:   O
(   B-CONTACT
952   I-CONTACT
)   I-CONTACT
860   I-CONTACT
6407   I-CONTACT
Address   O
:   O
Fort   B-LOCATION
Madison   I-LOCATION
,   O
42958   B-LOCATION
Employment   O
:   O
Travel   O
Guides   O
Doctor   O
:   O
Albert   B-NAME
W.   I-NAME
Wily   I-NAME
Hospital   O
:   O
Alta   B-LOCATION
Bates   I-LOCATION
Summit   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
82864382   B-ID
Date   O
of   O
Visit   O
:   O
August   B-DATE
21   I-DATE
Username   O
:   O
mi798   B-NAME
Chief   O
Complaint   O
:   O
Shay   B-NAME
Vandemark   I-NAME
presented   O
to   O
Frisbie   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2122   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
started   O
approximately   O
24   O
hours   O
prior   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Medved   B-NAME
,   I-NAME
Michael   I-NAME
,   O
a   O
Gaming   O
Surveillance   O
Officers   O
and   O
Gaming   O
Investigators   O
residing   O
in   O
Irene   B-LOCATION
,   O
noted   O
the   O
onset   O
of   O
abdominal   O
discomfort   O
around   O
6th   B-DATE
,   O
which   O
has   O
progressively   O
worsened   O
.   O

There   O
have   O
been   O
three   O
episodes   O
of   O
vomiting   O
,   O
with   O
the   O
last   O
episode   O
occurring   O
on   O
the   O
morning   O
of   O
December   B-DATE
29   I-DATE
,   I-DATE
2070   I-DATE
.   O

Past   O
Medical   O
History   O
:   O
Jong   B-NAME
,   I-NAME
Erica   I-NAME
has   O
a   O
history   O
of   O
intermittent   O
asthmatic   O
episodes   O
but   O
reports   O
no   O
prior   O
surgeries   O
or   O
significant   O
hospitalizations   O
.   O

Social   O
History   O
:   O
Beau   B-NAME
Woodard   I-NAME
works   O
as   O
a   O
doctor   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

The   O
patient   O
lives   O
alone   O
in   O
Fordville   B-LOCATION
.   O

Review   O
of   O
Systems   O
:   O
Besides   O
the   O
symptoms   O
already   O
noted   O
,   O
Jacki   B-NAME
McGraph   I-NAME
denies   O
any   O
urinary   O
symptoms   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
fever   O
,   O
rash   O
,   O
or   O
additional   O
pain   O
locations   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Thomas   B-NAME
Aquinas   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Jablonski   B-NAME
was   O
counseled   O
on   O
the   O
likely   O
need   O
for   O
an   O
appendectomy   O
and   O
the   O
risks   O
associated   O
with   O
surgery   O
.   O

Gideon   B-NAME
Mccormick   I-NAME
was   O
started   O
on   O
IV   O
fluids   O
and   O
antibiotics   O
pending   O
surgical   O
evaluation   O
.   O

Notes   O
were   O
documented   O
in   O
Freddie   B-NAME
V.   I-NAME
Hickman   I-NAME
's   O
medical   O
record   O
number   O
7259232   B-ID
by   O
Kylan   B-NAME
Villarreal   I-NAME
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
Ludington   I-LOCATION
Hospital   I-LOCATION
on   O
32/30   B-DATE
.   O

For   O
any   O
concerns   O
or   O
symptoms   O
,   O
Leatha   B-NAME
Huffaker   I-NAME
was   O
advised   O
to   O
contact   O
the   O
surgical   O
team   O
directly   O
at   O
36969   B-CONTACT
or   O
return   O
to   O
Lilypad   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
Karina   B-NAME
Holder   I-NAME
Patient   O
ID   O
:   O
77924   B-ID
Medical   O
Record   O
Number   O
:   O
979   B-ID
-   I-ID
07   I-ID
-   I-ID
64   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
10/2203   B-DATE
Age   O
:   O
68   O
Address   O
:   O
696   B-LOCATION
N.   I-LOCATION
Main   I-LOCATION
Avenue   I-LOCATION
,   O
52632   B-LOCATION
Employment   O
:   O
Travel   O
agent   O
Primary   O
Care   O
Physician   O
:   O

Erik   B-NAME
Mathews   I-NAME
Hospital   O
:   O

Bothwell   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Contact   O
Number   O
:   O
436   B-CONTACT
581   I-CONTACT
1976   I-CONTACT
Username   O
:   O
zpb905   B-NAME
Symptoms   O
onset   O
date   O
:   O
1/04   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Graham   B-NAME
Francis   I-NAME
,   O
presented   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Wayne   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
persistent   O
fever   O
,   O
severe   O
headaches   O
,   O
and   O
a   O
noticeable   O
rash   O
spreading   O
across   O
both   O
arms   O
and   O
extending   O
to   O
the   O
torso   O
.   O

The   O
symptoms   O
have   O
gradually   O
worsened   O
over   O
the   O
course   O
of   O
11/39   B-DATE
,   O
prompting   O
an   O
evaluation   O
at   O
our   O
facility   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Herring   B-NAME
reports   O
the   O
fever   O
initially   O
manifested   O
on   O
2/20   B-DATE
,   O
described   O
as   O
intermittent   O
peaks   O
throughout   O
the   O
day   O
,   O
achieving   O
a   O
maximum   O
recorded   O
temperature   O
of   O
102   O
°   O
F   O
.   O

Accompanying   O
the   O
fever   O
,   O
Johanna   B-NAME
Bell   I-NAME
has   O
experienced   O
pulsatile   O
headaches   O
primarily   O
concentrated   O
in   O
the   O
frontal   O
region   O
,   O
described   O
as   O
8/10   O
in   O
intensity   O
,   O
unrelieved   O
by   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Past   O
Medical   O
History   O
:   O
CARR   B-NAME
,   I-NAME
RACHEL   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
a   O
combination   O
of   O
ACE   O
inhibitors   O
and   O
diuretics   O
.   O

Owen   B-NAME
Gregory   I-NAME
denies   O
any   O
previous   O
history   O
of   O
similar   O
symptoms   O
.   O

Admission   O
to   O
Tulane   B-LOCATION
Lakeside   I-LOCATION
Hospital   I-LOCATION
for   O
observation   O
and   O
comprehensive   O
evaluation   O
.   O

Consultation   O
with   O
an   O
infectious   O
disease   O
specialist   O
,   O
Lina   B-NAME
Griffith   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
Cason   B-NAME
Ruiz   I-NAME
will   O
be   O
reviewed   O
daily   O
by   O
the   O
attending   O
physician   O
,   O
Landen   B-NAME
Kidd   I-NAME
,   O
with   O
further   O
management   O
to   O
be   O
guided   O
by   O
the   O
results   O
of   O
the   O
pending   O
investigations   O
.   O

A   O
multi   O
-   O
disciplinary   O
team   O
approach   O
will   O
be   O
employed   O
for   O
comprehensive   O
care   O
,   O
ensuring   O
consideration   O
of   O
Bush   B-NAME
's   O
medical   O
history   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Velasquez   B-NAME
Patient   O
ID   O
:   O
EM584/8877   B-ID
Medical   O
Record   O
Number   O
:   O
833   B-ID
-   I-ID
10   I-ID
-   I-ID
01   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
30/12/31   B-DATE
Age   O
:   O
7   O
month   O
Phone   O
Number   O
:   O
113   B-CONTACT
3708   I-CONTACT
Address   O
:   O
Billericay   B-LOCATION
,   O
95351   B-LOCATION
Occupation   O
:   O

Court   O
Clerks   O
Primary   O
Care   O
Physician   O
:   O
Jaylene   B-NAME
Merritt   I-NAME
Treating   O
Hospital   O
:   O
Bayshore   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Report   O
Date   O
:   O
05/29   B-DATE
Clinical   O
Summary   O
:   O
Julia   B-NAME
Hoffman   I-NAME
,   O
a   O
secretary   O
from   O
Citrus   B-LOCATION
Hills   I-LOCATION
,   O
presented   O
to   O
Ascension   B-LOCATION
Genesys   I-LOCATION
Hospital   I-LOCATION
on   O
22   B-DATE
-   I-DATE
29   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
2/60   B-DATE
.   O

Bryson   B-NAME
Howard   I-NAME
's   O
symptoms   O
reportedly   O
began   O
approximately   O
two   O
weeks   O
prior   O
,   O
with   O
the   O
cough   O
initially   O
being   O
dry   O
,   O
progressing   O
to   O
productive   O
with   O
clear   O
sputum   O
.   O

Alongside   O
these   O
symptoms   O
,   O
WKJ   B-NAME
also   O
reported   O
experiencing   O
significant   O
fatigue   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
,   O
resulting   O
in   O
a   O
weight   O
loss   O
of   O
approximately   O
5   O
kg   O
over   O
the   O
two   O
-   O
week   O
period   O
.   O

Medical   O
History   O
:   O
-   O
Known   O
asthmatic   O
since   O
0   O
,   O
typically   O
well   O
-   O
controlled   O
with   O
inhaled   O
corticosteroids   O
and   O
occasional   O
use   O
of   O
a   O
rescue   O
inhaler   O
.   O
-   O
No   O
known   O
allergies   O
-   O
Non   O
-   O
smoker   O
-   O
No   O
significant   O
family   O
medical   O
history   O
On   O
examination   O
,   O
Jazlynn   B-NAME
Melton   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
shortness   O
of   O
breath   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
findings   O
,   O
Kate   B-NAME
Ramirez   I-NAME
was   O
admitted   O
to   O
Uniontown   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Jacobs   B-NAME
for   O
suspected   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Brandt   B-NAME
was   O
advised   O
to   O
remain   O
hydrated   O
and   O
to   O
monitor   O
symptoms   O
closely   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Huerta   B-NAME
in   O
two   O
weeks   O
from   O
Wednesday   B-DATE
,   I-DATE
September   I-DATE
to   O
reassess   O
Villagomez   B-NAME
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

In   O
addition   O
,   O
Kaden   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
if   O
new   O
symptoms   O
develop   O
.   O

Westsound   B-LOCATION
Bank   I-LOCATION
has   O
generated   O
this   O
patient   O
report   O
and   O
assures   O
it   O
adheres   O
to   O
HIPAA   O
guidelines   O
by   O
removing   O
all   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
and   O
replacing   O
it   O
with   O
PHI   O
labels   O
where   O
necessary   O
.   O

Any   O
inquiries   O
or   O
requests   O
for   O
additional   O
information   O
may   O
be   O
directed   O
to   O
United   B-LOCATION
Nation   I-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
at   O
848   B-CONTACT
-   I-CONTACT
6136   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Latoria   B-NAME
Sell   I-NAME
Patient   O
ID   O
:   O
75788193   B-ID
Medical   O
Record   O
Number   O
:   O
923   B-ID
-   I-ID
43   I-ID
-   I-ID
50   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
9   O
week   O
Date   O
of   O
Visit   O
:   O
12/03   B-DATE
Phone   O
Number   O
:   O
238   B-CONTACT
-   I-CONTACT
6150   I-CONTACT
Address   O
:   O
McAlester   B-LOCATION
,   O
75510   B-LOCATION

Marcos   B-NAME
Vasquez   I-NAME
Hospital   O
:   O

UPMC   B-LOCATION
St.   I-LOCATION
Margaret   I-LOCATION
Occupation   O
:   O
Exhibition   O
display   O
designer   O
Username   O
:   O
CO3610   B-NAME
Clinical   O
Synopsis   O
:   O

Gina   B-NAME
Kevin   I-NAME
Irons   I-NAME
presented   O
to   O
Phoebe   B-LOCATION
Putney   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
January   B-DATE
4   I-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
101.2   O
°   O
F   O
.   O

Khan   B-NAME
also   O
reported   O
experiencing   O
vomiting   O
and   O
diarrhea   O
since   O
the   O
evening   O
of   O
30/01   B-DATE
.   O

Upon   O
physical   O
examination   O
,   O
Roger   B-NAME
Easterling   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
guarding   O
during   O
the   O
abdominal   O
assessment   O
,   O
suggestive   O
of   O
peritonitis   O
.   O

Macha   B-NAME
's   O
history   O
of   O
similar   O
episodes   O
in   O
the   O
past   O
,   O
along   O
with   O
these   O
presenting   O
symptoms   O
,   O
raised   O
suspicion   O
for   O
appendicitis   O
.   O

Aradiel   B-NAME
's   O
medical   O
history   O
,   O
obtained   O
through   O
an   O
interview   O
and   O
review   O
of   O
10481155   B-ID
,   O
did   O
not   O
disclose   O
any   O
significant   O
past   O
surgeries   O
or   O
chronic   O
illnesses   O
that   O
could   O
complicate   O
the   O
diagnosis   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Amiya   B-NAME
Cannon   I-NAME
,   O
was   O
consulted   O
and   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

Iyana   B-NAME
Finley   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
risks   O
,   O
benefits   O
,   O
and   O
potential   O
complications   O
,   O
and   O
consent   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
1955   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
20   I-DATE
without   O
any   O
complications   O
.   O

Post   O
-   O
surgery   O
,   O
Hamilton   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
advised   O
on   O
proper   O
wound   O
care   O
.   O

Kirsten   B-NAME
Wiggins   I-NAME
showed   O
significant   O
improvement   O
and   O
was   O
discharged   O
on   O
12/17/30   B-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
'   O
time   O
or   O
earlier   O
if   O
symptoms   O
recur   O
or   O
worsen   O
.   O
Conclusion   O
and   O
Follow   O
-   O
Up   O
:   O
Beckie   B-NAME
was   O
advised   O
to   O
follow   O
a   O
graduated   O
return   O
to   O
normal   O
activities   O
,   O
avoiding   O
strenuous   O
exertion   O
for   O
at   O
least   O
a   O
couple   O
of   O
weeks   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
on   O
00/14/2122   B-DATE
with   O
Ruben   B-NAME
Cochran   I-NAME
to   O
assess   O
healing   O
and   O
recovery   O
progress   O
,   O
and   O
to   O
address   O
any   O
concerns   O
Cassie   B-NAME
Sanford   I-NAME
may   O
have   O
.   O

For   O
any   O
questions   O
or   O
to   O
report   O
any   O
post   O
-   O
discharge   O
concerns   O
,   O
Belen   B-NAME
Mcneil   I-NAME
was   O
advised   O
to   O
contact   O
the   O
surgical   O
unit   O
at   O
799   B-CONTACT
8778   I-CONTACT
or   O
visit   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
Brooke   B-NAME
Huber   I-NAME
was   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
.   O

Signature   O
:   O
Wiggins   B-NAME
07/02/2197   B-DATE

Patient   O
Report   O
for   O
Janis   B-NAME
Albaugh   I-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
1   O
week   O
-   O
ID   O
:   O
7   B-ID
-   I-ID
6049297   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
938   B-ID
-   I-ID
98   I-ID
-   I-ID
28   I-ID
-   I-ID
0   I-ID
-   O
Address   O
:   O
Kerrick   B-LOCATION
,   O
93993   B-LOCATION
-   O
Employer   O
:   O
Marine   B-LOCATION
Corps   I-LOCATION
League   I-LOCATION
-   O
Occupation   O
:   O
Precision   O
Mold   O
and   O
Pattern   O
Casters   O
,   O
except   O
Nonferrous   O
Metals   O
Contact   O
Information   O
:   O
-   O
Home   O
Phone   O
:   O
769   B-CONTACT
-   I-CONTACT
610   I-CONTACT
-   I-CONTACT
2961   I-CONTACT
-   O
Emergency   O
Contact   O
:   O
(   B-CONTACT
685   I-CONTACT
)   I-CONTACT
998   I-CONTACT
3069   I-CONTACT
Medical   O
History   O
:   O
The   O
patient   O
,   O
Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
F.   I-NAME
,   O
presented   O
to   O
Palms   B-LOCATION
of   I-LOCATION
Pasadena   I-LOCATION
Hospital   I-LOCATION
on   O
04/01/82   B-DATE
,   O
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
began   O
abruptly   O
on   O
09/27/32   B-DATE
.   O

Adam   B-NAME
Streeter   I-NAME
's   O
family   O
history   O
includes   O
a   O
maternal   O
history   O
of   O
gallstones   O
but   O
no   O
known   O
family   O
history   O
of   O
appendicitis   O
.   O

Evelyn   B-NAME
Parks   I-NAME
works   O
as   O
a   O
Tank   O
Car   O
,   O
Truck   O
,   O
and   O
Ship   O
Loaders   O
at   O
Eversource   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
New   I-LOCATION
Hampshire   I-LOCATION
)   I-LOCATION
,   O
which   O
involves   O
minimal   O
physical   O
exertion   O
.   O

There   O
were   O
no   O
recent   O
changes   O
in   O
the   O
physical   O
demands   O
of   O
Destiney   B-NAME
Thomas   I-NAME
's   O
job   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Owen   B-NAME
Maestro   I-NAME
displayed   O
rebound   O
tenderness   O
and   O
Rovsing   O
's   O
sign   O
,   O
indicating   O
irritation   O
in   O
the   O
peritoneal   O
lining   O
.   O

Illa   B-NAME
Puff   I-NAME
was   O
immediately   O
recommended   O
for   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
indicated   O
swelling   O
and   O
fluid   O
collection   O
around   O
the   O
appendix   O
.   O

Houston   B-NAME
Andrews   I-NAME
determined   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Autumn   B-NAME
Whitehead   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Prior   O
to   O
surgery   O
,   O
Andre   B-NAME
Nowzik   I-NAME
received   O
intravenous   O
fluids   O
and   O
antibiotics   O
to   O
manage   O
inflammation   O
and   O
prevent   O
further   O
infection   O
spread   O
.   O

The   O
appendectomy   O
was   O
performed   O
successfully   O
on   O
2300   B-DATE
without   O
complication   O
.   O

Julianna   B-NAME
Reilly   I-NAME
's   O
recovery   O
progress   O
was   O
monitored   O
through   O
follow   O
-   O
up   O
visits   O
to   O
Inova   B-LOCATION
Mount   I-LOCATION
Vernon   I-LOCATION
Hospital   I-LOCATION
on   O
32/32   B-DATE
and   O
2/20   B-DATE
,   O
showing   O
no   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Goethe   B-NAME
,   I-NAME
Johann   I-NAME
Wolfgang   I-NAME
von   I-NAME
advised   O
Harper   B-NAME
Tracy   I-NAME
to   O
avoid   O
strenuous   O
activity   O
for   O
a   O
period   O
of   O
63   B-DATE
's   I-DATE
post   O
-   O
surgery   O
to   O
ensure   O
healing   O
of   O
the   O
surgical   O
site   O
.   O

Henry   B-NAME
C.   I-NAME
Atwood   I-NAME
was   O
instructed   O
to   O
monitor   O
for   O
symptoms   O
such   O
as   O
fever   O
,   O
severe   O
abdominal   O
pain   O
,   O
or   O
incisional   O
discharge   O
,   O
and   O
to   O
contact   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
376   I-CONTACT
)   I-CONTACT
209   I-CONTACT
-   I-CONTACT
7606   I-CONTACT
for   O
any   O
concerns   O
or   O
signs   O
of   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
32/2252   B-DATE
with   O
Alayna   B-NAME
Hinton   I-NAME
for   O
a   O
routine   O
post   O
-   O
operative   O
evaluation   O
.   O

This   O
case   O
has   O
been   O
documented   O
under   O
106   B-ID
-   I-ID
50   I-ID
-   I-ID
84   I-ID
-   I-ID
2   I-ID
,   O
and   O
all   O
patient   O
interactions   O
were   O
recorded   O
in   O
accordance   O
with   O
Lyndon   B-LOCATION
Baines   I-LOCATION
Johnson   I-LOCATION
Hospital   I-LOCATION
's   O
data   O
protection   O
policy   O
and   O
HIPAA   O
guidelines   O
.   O

For   O
further   O
details   O
or   O
to   O
update   O
patient   O
information   O
,   O
please   O
contact   O
the   O
patient   O
service   O
department   O
at   O
451   B-CONTACT
-   I-CONTACT
6499   I-CONTACT
.   O

Patient   O
Name   O
:   O
Ali   B-NAME
,   I-NAME
Muhammad   I-NAME
Patient   O
ID   O
:   O
DI:41071:404911   B-ID
Medical   O
Record   O
Number   O
:   O
282   B-ID
-   I-ID
34   I-ID
-   I-ID
38   I-ID
Age   O
:   O
6   O
week   O
Date   O
of   O
Birth   O
:   O
9   B-DATE
-   I-DATE
25   I-DATE
Address   O
:   O
San   B-LOCATION
Francisco   I-LOCATION
,   O
67765   B-LOCATION
Phone   O
Number   O
:   O
472   B-CONTACT
307   I-CONTACT
-   I-CONTACT
2861   I-CONTACT
Physician   O
:   O

Lynch   B-NAME
Admitting   O
Hospital   O
:   O

MedStar   B-LOCATION
Union   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
8/16   B-DATE
Employment   O
:   O
Computer   O
and   O
Information   O
Scientists   O
,   O
Research   O
Username   O
:   O
ZC104   B-NAME
Chief   O
Complaint   O
:   O
Eveline   B-NAME
Claud   I-NAME
was   O
admitted   O
to   O
Carondelet   B-LOCATION
Health   I-LOCATION
on   O
13/20   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Grace   B-NAME
Duffy   I-NAME
,   O
a   O
Dietetic   O
Technicians   O
,   O
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
symptoms   O
progressively   O
worsened   O
,   O
prompting   O
the   O
call   O
to   O
699   B-CONTACT
-   I-CONTACT
951   I-CONTACT
9604   I-CONTACT
.   O

Ahmad   B-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Girard   B-LOCATION
or   O
any   O
consumption   O
of   O
unusual   O
foods   O
.   O

Liu   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
medication   O
and   O
diet   O
.   O

Spring   B-NAME
Lampton   I-NAME
also   O
has   O
hypertension   O
,   O
under   O
control   O
with   O
medication   O
prescribed   O
by   O
Harris   B-NAME
.   O

Family   O
History   O
:   O
Vivian   B-NAME
Gathers   I-NAME
reports   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
in   O
the   O
father   O
who   O
died   O
at   O
age   O
100   O
.   O

Social   O
History   O
:   O
Cassie   B-NAME
Doyle   I-NAME
is   O
a   O
Extruding   O
,   O
Forming   O
,   O
Pressing   O
,   O
and   O
Compacting   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Jonathon   B-NAME
Marquez   I-NAME
lives   O
in   O
Pembina   B-LOCATION
and   O
is   O
married   O
with   O
two   O
children   O
.   O

Olga   B-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
working   O
diagnosis   O
is   O
acute   O
pancreatitis   O
,   O
potentially   O
secondary   O
to   O
Efrain   B-NAME
Shah   I-NAME
's   O
diabetes   O
and   O
lifestyle   O
.   O

Ashley   B-NAME
Muma   I-NAME
was   O
admitted   O
to   O
Unity   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
IV   O
hydration   O
,   O
pain   O
management   O
,   O
and   O
further   O
evaluation   O
including   O
abdominal   O
ultrasound   O
and   O
laboratory   O
tests   O
(   O
lipase   O
,   O
amylase   O
levels   O
)   O
.   O

Massey   B-NAME
recommended   O
a   O
consultation   O
with   O
a   O
gastroenterologist   O
and   O
possibly   O
an   O
endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
depending   O
on   O
the   O
results   O
of   O
the   O
initial   O
investigations   O
.   O

Dietary   O
and   O
lifestyle   O
modifications   O
will   O
be   O
discussed   O
with   O
Mariel   B-NAME
prior   O
to   O
discharge   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Abrams   B-NAME
,   I-NAME
Creighton   I-NAME
Patient   O
ID   O
:   O
KG:11142:450784   B-ID
Date   O
of   O
Birth   O
:   O
2090   B-DATE
Age   O
:   O
89   O
Medical   O
Record   O
Number   O
:   O
76317776   B-ID
Address   O
:   O
Mountain   B-LOCATION
House   I-LOCATION
,   O
96614   B-LOCATION
Phone   O
Number   O
:   O
985   B-CONTACT
6593   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Avery   B-NAME
Ray   I-NAME
Employment   O
:   O
Product   O
development   O
scientist   O
at   O
John   B-LOCATION
Hancock   I-LOCATION
Insurance   I-LOCATION
Username   O
on   O
Hospital   O
Portal   O
:   O

yao927   B-NAME
Summary   O
:   O
On   O
31/21   B-DATE
,   O
Onassis   B-NAME
,   I-NAME
Jacqueline   I-NAME
Kennedy   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Santa   B-LOCATION
Barbara   I-LOCATION
Cottage   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Additionally   O
,   O
Kryptman   B-NAME
Comparoni   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
last   O
24   O
hours   O
.   O

Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Kristian   B-NAME
Bean   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

After   O
reviewing   O
the   O
imaging   O
,   O
Amy   B-NAME
Farrah   I-NAME
Fowler   I-NAME
diagnosed   O
Rae   B-NAME
Crane   I-NAME
with   O
acute   O
appendicitis   O
.   O

Jax   B-NAME
Blankenship   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
potential   O
appendectomy   O
.   O

Marianna   B-NAME
Mack   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
,   O
the   O
nature   O
of   O
the   O
recommended   O
surgery   O
,   O
potential   O
risks   O
,   O
and   O
the   O
expected   O
recovery   O
process   O
.   O

Outcome   O
:   O
The   O
surgical   O
team   O
,   O
led   O
by   O
Mendoza   B-NAME
at   O
Andalusia   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
successfully   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
32/12   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Maren   B-NAME
Shah   I-NAME
was   O
discharged   O
on   O
22/22/2072   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Holland   B-NAME
in   O
two   O
weeks   O
.   O

Instructions   O
for   O
Follow   O
-   O
Up   O
:   O
Vinnie   B-NAME
is   O
advised   O
to   O
rest   O
,   O
avoid   O
strenuous   O
activity   O
,   O
and   O
gradually   O
resume   O
normal   O
activities   O
as   O
tolerated   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Hadassah   B-NAME
Medina   I-NAME
is   O
scheduled   O
for   O
3/02   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

If   O
Libius   B-NAME
Severus   I-NAME
Molone   I-NAME
experiences   O
any   O
symptoms   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
other   O
concerns   O
,   O
they   O
are   O
directed   O
to   O
contact   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Bellefonte   I-LOCATION
Hospital   I-LOCATION
immediately   O
at   O
532   B-CONTACT
4137   I-CONTACT
.   O

Patient   O
Name   O
:   O
Cheyanne   B-NAME
Roy   I-NAME
Patient   O
ID   O
:   O
HC   B-ID
:   I-ID
RY:5869   I-ID
Date   O
of   O
Birth   O
:   O
3/36   B-DATE
Age   O
:   O
91   O
Medical   O
Record   O
Number   O
:   O
844   B-ID
-   I-ID
84   I-ID
-   I-ID
90   I-ID
-   I-ID
6   I-ID
Address   O
:   O
Munjor   B-LOCATION
,   O
11299   B-LOCATION
Phone   O
:   O
(   B-CONTACT
220   I-CONTACT
)   I-CONTACT
928   I-CONTACT
1485   I-CONTACT
Primary   O
Physician   O
:   O

Yair   B-NAME
Cooley   I-NAME
Employer   O
:   O

Marshall   B-LOCATION
Municipal   I-LOCATION
Utilities   I-LOCATION
Occupation   O
:   O
Nursery   O
Workers   O
Date   O
of   O
Admission   O
:   O
20/20   B-DATE
Date   O
of   O
Report   O
:   O
16/12   B-DATE
Clinical   O
Summary   O
:   O
Cheever   B-NAME
,   B-NAME
John   I-NAME
was   O
admitted   O
to   O
North   B-LOCATION
Fulton   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
19/12   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
consistent   O
with   O
the   O
presentation   O
of   O
appendicitis   O
.   O

Carleigh   B-NAME
Hicks   I-NAME
also   O
reported   O
a   O
moderate   O
to   O
high   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
.   O

On   O
examination   O
,   O
Lakeesha   B-NAME
Murillo   I-NAME
displayed   O
rebound   O
tenderness   O
and   O
rigidity   O
suggestive   O
of   O
peritoneal   O
irritation   O
.   O

Coleman   B-NAME
was   O
immediately   O
started   O
on   O
intravenous   O
antibiotics   O
as   O
per   O
Ferrell   B-NAME
,   I-NAME
Will   I-NAME
's   O
recommendation   O
and   O
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
7/13   B-DATE
.   O

Myah   B-NAME
Sherman   I-NAME
's   O
postoperative   O
course   O
was   O
unremarkable   O
,   O
with   O
significant   O
improvement   O
in   O
symptoms   O
noted   O
within   O
the   O
first   O
postoperative   O
day   O
.   O

Kotok   B-NAME
,   I-NAME
Alan   I-NAME
was   O
discharged   O
on   O
32/31   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Kiana   B-NAME
Marks   I-NAME
in   O
two   O
weeks   O
.   O

Hussein   B-NAME
,   I-NAME
Saddam   I-NAME
was   O
also   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
and   O
report   O
immediately   O
if   O
there   O
's   O
an   O
increase   O
in   O
pain   O
,   O
fever   O
,   O
or   O
any   O
gastrointestinal   O
symptoms   O
.   O

The   O
care   O
team   O
at   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
North   I-LOCATION
Central   I-LOCATION
Bronx   I-LOCATION
ensured   O
Trent   B-NAME
Markham   I-NAME
received   O
comprehensive   O
postoperative   O
instructions   O
and   O
clarified   O
all   O
queries   O
regarding   O
recovery   O
,   O
emphasizing   O
the   O
importance   O
of   O
follow   O
-   O
up   O
visits   O
.   O

bg254   B-NAME
documented   O
the   O
discharge   O
summary   O
and   O
ensured   O
all   O
relevant   O
details   O
were   O
communicated   O
to   O
Karissa   B-NAME
Francis   I-NAME
's   O
primary   O
care   O
physician   O
for   O
continued   O
outpatient   O
care   O
and   O
observation   O
.   O

For   O
any   O
further   O
information   O
or   O
clarification   O
,   O
please   O
contact   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
's   O
patient   O
care   O
services   O
at   O
507   B-CONTACT
-   I-CONTACT
3403   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ty   B-NAME
Ponce   I-NAME
Patient   O
ID   O
:   O
FI   B-ID
:   I-ID
GW:3246   I-ID
Medical   O
Record   O
Number   O
:   O
3330C31189   B-ID
Date   O
of   O
Birth   O
:   O
76s   O
Date   O
of   O
Visit   O
:   O
36/22   B-DATE
Location   O
of   O
Visit   O
:   O
Lake   B-LOCATION
Cumberland   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
Breathitt   B-LOCATION
,   O
55799   B-LOCATION
Phone   O
Number   O
:   O
571   B-CONTACT
-   I-CONTACT
1011   I-CONTACT
Presenting   O
Complaint   O
:   O
Jan   B-NAME
Freeman   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
3/33   B-DATE
with   O
a   O
48   O
-   O
hour   O
history   O
of   O
sharp   O
,   O
intermittent   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
,   O
exacerbated   O
by   O
movement   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Brendy   B-NAME
,   O
a   O
Pathologists   O
by   O
profession   O
,   O
indicates   O
that   O
the   O
symptoms   O
began   O
gradually   O
and   O
have   O
progressively   O
worsened   O
over   O
the   O
last   O
two   O
days   O
.   O

However   O
,   O
Davin   B-NAME
Nielsen   I-NAME
mentions   O
taking   O
over   O
-   O
the   O
-   O
counter   O
anti   O
-   O
inflammatory   O
medication   O
without   O
relief   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Lennon   B-NAME
Obrien   I-NAME
.   O

Curtis   B-NAME
reviewed   O
the   O
results   O
and   O
recommended   O
an   O
appendectomy   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Northern   B-LOCATION
Light   I-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
on   O
Monday   B-DATE
,   I-DATE
March   I-DATE
and   O
underwent   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
2050   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
05   I-DATE
with   O
instructions   O
on   O
wound   O
care   O
and   O
a   O
prescription   O
for   O
antibiotics   O
and   O
pain   O
management   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Jeremy   B-NAME
Stone   I-NAME
is   O
scheduled   O
for   O
08/25/1704   B-DATE
at   O
Crisp   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

For   O
any   O
concerns   O
or   O
questions   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
,   O
JABLONSKI   B-NAME
,   I-NAME
SHIRLEY   I-NAME
can   O
contact   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Pocono   I-LOCATION
at   O
722   B-CONTACT
362   I-CONTACT
-   I-CONTACT
6381   I-CONTACT
.   O

This   O
report   O
has   O
been   O
compiled   O
by   O
the   O
attending   O
physician   O
,   O
Dunn   B-NAME
,   O
and   O
is   O
based   O
on   O
the   O
clinical   O
findings   O
and   O
investigations   O
performed   O
during   O
Yosef   B-NAME
Ullrich   I-NAME
's   O
stay   O
at   O
MacNeal   B-LOCATION
Hospital   I-LOCATION
,   O
Bellamy   B-LOCATION
,   O
39173   B-LOCATION
.   O

Any   O
inquiries   O
regarding   O
this   O
report   O
should   O
be   O
directed   O
to   O
Keller   B-NAME
through   O
the   O
contact   O
details   O
provided   O
in   O
our   O
patient   O
records   O
system   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Borlaug   B-NAME
,   I-NAME
Norman   I-NAME
Patient   O
ID   O
:   O
TF:20485:152761   B-ID
Medical   O
Record   O
Number   O
:   O
9749281   B-ID
Age   O
:   O
50   O
Date   O
of   O
Initial   O
Consultation   O
:   O
13/29   B-DATE
Location   O
of   O
Consultation   O
:   O
Oakland   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Alexzander   B-NAME
Weaver   I-NAME
Hospital   O
:   O
Yavapai   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
East   I-LOCATION
Contact   O
Number   O
:   O
57178   B-CONTACT
Presenting   O
Complaint   O
:   O
Colson   B-NAME
,   I-NAME
Charles   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
11/03/1632   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
2   O
weeks   O
.   O

Cristian   B-NAME
Fletcher   I-NAME
also   O
reports   O
occasional   O
bouts   O
of   O
nausea   O
without   O
vomiting   O
and   O
has   O
noted   O
an   O
unintentional   O
weight   O
loss   O
of   O
around   O
5   O
kg   O
over   O
the   O
past   O
month   O
.   O

Past   O
Medical   O
History   O
:   O
Mariel   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
managed   O
with   O
medication   O
for   O
the   O
past   O
5   O
years   O
.   O

Family   O
history   O
is   O
notable   O
for   O
diabetes   O
mellitus   O
in   O
Arturo   B-NAME
West   I-NAME
's   O
father   O
but   O
no   O
known   O
familial   O
gastrointestinal   O
disorders   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Baldwin   B-NAME
appeared   O
mildly   O
distressed   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
scheduled   O
for   O
20/35   B-DATE
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
,   O
which   O
identified   O
a   O
small   O
,   O
non   O
-   O
obstructing   O
kidney   O
stone   O
in   O
the   O
right   O
kidney   O
but   O
was   O
otherwise   O
unremarkable   O
.   O

Management   O
Plan   O
:   O
Silva   B-NAME
advised   O
Rayna   B-NAME
Frohwein   I-NAME
to   O
increase   O
fluid   O
intake   O
,   O
and   O
prescribed   O
an   O
analgesic   O
for   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
Thursdays   B-DATE
to   O
reassess   O
symptoms   O
and   O
discuss   O
the   O
potential   O
need   O
for   O
intervention   O
to   O
address   O
the   O
kidney   O
stone   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Latanya   B-NAME
was   O
also   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
at   O
OSF   B-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
if   O
experiencing   O
severe   O
pain   O
,   O
fever   O
,   O
or   O
vomiting   O
.   O

Notes   O
:   O
Deandre   B-NAME
Remick   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
management   O
plan   O
.   O

Nancy   B-NAME
Xayarath   I-NAME
expressed   O
understanding   O
and   O
agreed   O
with   O
the   O
plan   O
.   O

The   O
clinic   O
's   O
contact   O
details   O
,   O
173   B-CONTACT
7478   I-CONTACT
,   O
were   O
provided   O
should   O
Adonis   B-NAME
Horn   I-NAME
need   O
to   O
get   O
in   O
touch   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Report   O
prepared   O
by   O
:   O
SK988   B-NAME
Date   O
:   O
03/22/49   B-DATE
Organization   O
:   O
Captive   B-LOCATION
Animals   I-LOCATION
Protection   I-LOCATION
Society   I-LOCATION
Location   O
:   O
Biehle   B-LOCATION
ZIP   O
Code   O
:   O
72632   B-LOCATION

The   O
patient   O
,   O
Ben   B-NAME
Samuels   I-NAME
,   O
a   O
0   O
week   O
-   O
year   O
-   O
old   O
Sheriffs   O
and   O
Deputy   O
Sheriffs   O
from   O
Wingate   B-LOCATION
,   O
94198   B-LOCATION
,   O
presented   O
to   O
Legacy   B-LOCATION
Mount   I-LOCATION
Hood   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
July   B-DATE
2382   I-DATE
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Bainimarama   B-NAME
,   I-NAME
Frank   I-NAME
reported   O
a   O
gradual   O
onset   O
of   O
pain   O
starting   O
in   O
the   O
mid   O
-   O
abdominal   O
region   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
,   O
which   O
then   O
migrated   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

ELROD   B-NAME
,   I-NAME
RYLEY   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
the   O
early   O
hours   O
of   O
December   B-DATE
25   I-DATE
.   O

Upon   O
examination   O
by   O
Sweeney   B-NAME
,   O
Zack   B-NAME
Gill   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
to   O
be   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slight   O
elevation   O
in   O
temperature   O
.   O

Eve   B-NAME
Friedman   I-NAME
's   O
medical   O
history   O
,   O
provided   O
over   O
the   O
phone   O
(   O
31322   B-CONTACT
)   O
,   O
was   O
unremarkable   O
except   O
for   O
a   O
past   O
surgical   O
procedure   O
(   O
cholecystectomy   O
)   O
conducted   O
in   O
1/20/32   B-DATE
.   O

Richard   B-NAME
Finley   I-NAME
's   O
family   O
history   O
could   O
not   O
be   O
ascertained   O
as   O
Maximilian   B-NAME
Booth   I-NAME
lives   O
alone   O
and   O
is   O
estranged   O
from   O
relatives   O
.   O

Laboratory   O
tests   O
ordered   O
on   O
5/2   B-DATE
revealed   O
a   O
slight   O
elevation   O
in   O
white   O
blood   O
cell   O
count   O
,   O
indicative   O
of   O
an   O
inflammatory   O
process   O
.   O

Rankar   B-NAME
Feulner   I-NAME
's   O
medical   O
record   O
number   O
,   O
9141439   B-ID
,   O
along   O
with   O
their   O
unique   O
identification   O
number   O
,   O
7   B-ID
-   I-ID
9153497   I-ID
,   O
were   O
used   O
to   O
document   O
all   O
findings   O
and   O
the   O
treatment   O
plan   O
.   O

After   O
discussing   O
treatment   O
options   O
,   O
Gustavo   B-NAME
Tyler   I-NAME
consented   O
to   O
an   O
appendectomy   O
.   O

Surgery   O
was   O
scheduled   O
and   O
successfully   O
performed   O
by   O
Hoffman   B-NAME
on   O
2310   B-DATE
without   O
complications   O
.   O

Violette   B-NAME
Bolfa   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
2/12   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
department   O
of   O
Providence   B-LOCATION
Tarzana   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Given   O
the   O
confidentiality   O
of   O
the   O
situation   O
,   O
all   O
communications   O
with   O
Dunlap   B-NAME
were   O
conducted   O
through   O
secure   O
means   O
,   O
including   O
updates   O
via   O
jy407   B-NAME
.   O

Bruce   B-NAME
Cusamano   I-NAME
expressed   O
satisfaction   O
with   O
the   O
care   O
received   O
and   O
planned   O
to   O
leave   O
a   O
positive   O
review   O
for   O
Essentia   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Fargo   I-LOCATION
and   O
Beddoes   B-NAME
,   I-NAME
Mick   I-NAME
on   O
Russell   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
's   O
official   O
website   O
.   O

This   O
report   O
serves   O
as   O
a   O
comprehensive   O
overview   O
of   O
Charlie   B-NAME
Rogers   I-NAME
's   O
medical   O
episode   O
from   O
presentation   O
to   O
discharge   O
,   O
ensuring   O
that   O
all   O
personal   O
health   O
information   O
is   O
protected   O
and   O
anonymized   O
according   O
to   O
guidelines   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
NW   B-ID
:   I-ID
QQ:3947   I-ID
Medical   O
Record   O
Number   O
:   O
494   B-ID
-   I-ID
11   I-ID
-   I-ID
72   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Admission   O
:   O
21/9   B-DATE
Date   O
of   O
Discharge   O
:   O
08/03   B-DATE
Treating   O
Physician   O
:   O

Christian   B-NAME
Hospital   O
:   O

Flowers   B-LOCATION
Hospital   I-LOCATION
Patient   O
Name   O
:   O
London   B-NAME
Combs   I-NAME
Age   O
:   O
8   O
Address   O
:   O
Ojai   B-LOCATION
,   O
71381   B-LOCATION
Phone   O
Number   O
:   O
178   B-CONTACT
-   I-CONTACT
4820   I-CONTACT
Occupation   O
:   O
Marine   O
Architects   O
Username   O
:   O
toj775   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Stein   B-NAME
,   I-NAME
Herbert   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
New   B-LOCATION
Milford   I-LOCATION
Hospital   I-LOCATION
on   O
July   B-DATE
0   I-DATE
,   I-DATE
2022   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
began   O
approximately   O
6   O
-   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
denied   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
recent   O
travel   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Ricardo   B-NAME
Lopez   I-NAME
,   O
a   O
100   O
-   O
year   O
-   O
old   O
Payroll   O
and   O
Timekeeping   O
Clerks   O
,   O
experienced   O
the   O
onset   O
of   O
symptoms   O
early   O
in   O
the   O
morning   O
on   O
25/23/42   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Jerry   B-NAME
Helper   I-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
and   O
had   O
an   O
appendectomy   O
at   O
the   O
age   O
of   O
34s   O
.   O

Currently   O
,   O
Xenia   B-NAME
Bridges   I-NAME
is   O
not   O
on   O
any   O
prescription   O
medications   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Trajan   B-NAME
Fringuello   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Douglas   B-NAME
,   I-NAME
Donald   I-NAME
discussed   O
the   O
findings   O
and   O
surgical   O
options   O
with   O
Eneida   B-NAME
Insognia   I-NAME
and   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

Procedure   O
:   O
A   O
laparoscopic   O
appendectomy   O
was   O
performed   O
by   O
Alberto   B-NAME
Frye   I-NAME
on   O
00/29/2328   B-DATE
without   O
complications   O
.   O

Kameryn   B-NAME
tolerated   O
the   O
procedure   O
well   O
.   O

Follow   O
-   O
Up   O
:   O
Jaslyn   B-NAME
Graves   I-NAME
was   O
discharged   O
on   O
27/27   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
activity   O
restrictions   O
and   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Jocelynn   B-NAME
Kramer   I-NAME
in   O
two   O
weeks   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Conclusion   O
:   O
Hoffer   B-NAME
,   I-NAME
Eric   I-NAME
,   O
a   O
73   O
-   O
year   O
-   O
old   O
Reservation   O
and   O
Transportation   O
Ticket   O
Agents   O
,   O
was   O
admitted   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

After   O
diagnostic   O
confirmation   O
,   O
Lourd   B-NAME
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
and   O
is   O
on   O
the   O
path   O
to   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
6032   B-ID
:   I-ID
A14077   I-ID
Patient   O
Name   O
:   O
Tyler   B-NAME
Bush   I-NAME
Age   O
:   O
38   O
Date   O
of   O
Admission   O
:   O
01   B-DATE
-   I-DATE
21   I-DATE
Phone   O
Number   O
:   O
683   B-CONTACT
109   I-CONTACT
4244   I-CONTACT
Primary   O
Doctor   O
:   O
Mccormick   B-NAME
Hospital   O
Name   O
:   O
Newark   B-LOCATION
Beth   I-LOCATION
Israel   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Chatmoss   B-LOCATION
ZIP   O
Code   O
:   O
77586   B-LOCATION
Employment   O
:   O
Structural   O
Iron   O
and   O
Steel   O
Workers   O
Username   O
:   O
xci810   B-NAME
Patient   O
SSN   O
:   O
QU338/4746   B-ID
Summary   O
of   O
Visit   O
:   O
Patient   O
Betty   B-NAME
Kaitlin   I-NAME
Wood   I-NAME
,   O
a   O
Tool   O
and   O
Die   O
Makers   O
from   O
Fort   B-LOCATION
Green   I-LOCATION
Springs   I-LOCATION
,   O
ZIP   O
code   O
75118   B-LOCATION
,   O
was   O
admitted   O
to   O
Van   B-LOCATION
Buren   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
05   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
on   O
the   O
frontotemporal   O
region   O
.   O

Anna   B-NAME
Frey   I-NAME
reported   O
that   O
the   O
headache   O
’s   O
severity   O
gradually   O
increased   O
,   O
reaching   O
a   O
peak   O
within   O
an   O
hour   O
.   O

Davon   B-NAME
Velazquez   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
episodic   O
migraines   O
but   O
described   O
this   O
particular   O
episode   O
as   O
being   O
more   O
intense   O
than   O
usual   O
.   O

Upon   O
examination   O
,   O
Vaughn   B-NAME
A.   I-NAME
Xander   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Outcomes   O
:   O
Charles   B-NAME
Ellison   I-NAME
initiated   O
treatment   O
with   O
intravenous   O
fluids   O
,   O
an   O
antiemetic   O
for   O
nausea   O
,   O
and   O
a   O
triptan   O
for   O
migraine   O
relief   O
.   O

Within   O
30   O
minutes   O
of   O
treatment   O
,   O
Cyrus   B-NAME
Mcintyre   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
headache   O
severity   O
.   O

After   O
a   O
period   O
of   O
observation   O
lasting   O
approximately   O
4   O
hours   O
,   O
Carlyn   B-NAME
expressed   O
feeling   O
much   O
better   O
and   O
was   O
deemed   O
stable   O
enough   O
for   O
discharge   O
.   O

Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
to   O
follow   O
up   O
with   O
Walesa   B-NAME
,   I-NAME
Lech   I-NAME
in   O
the   O
neurology   O
clinic   O
for   O
further   O
evaluation   O
and   O
management   O
of   O
migraines   O
.   O
Prescriptions   O
at   O
Discharge   O
:   O

Follow   O
-   O
up   O
:   O
Mamie   B-NAME
Rikard   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Mann   B-NAME
at   O
Bridgeport   B-LOCATION
Hospital   I-LOCATION
on   O
22/10/26   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Givens   B-NAME
can   O
reach   O
the   O
neurology   O
department   O
at   O
(   B-CONTACT
983   I-CONTACT
)   I-CONTACT
843   I-CONTACT
-   I-CONTACT
8529   I-CONTACT
using   O
the   O
patient   O
ID   O
number   O
69250685   B-ID
.   O

Patient   O
Consent   O
:   O
Consent   O
for   O
treatment   O
and   O
data   O
sharing   O
for   O
medical   O
purposes   O
was   O
obtained   O
from   O
Yonathan   B-NAME
Turk   I-NAME
.   O

Consent   O
form   O
is   O
stored   O
in   O
Infant   B-NAME
Brewer   I-NAME
’s   O
medical   O
records   O
under   O
ID   O
606   B-ID
-   I-ID
01   I-ID
-   I-ID
94   I-ID
-   I-ID
0   I-ID
.   O

This   O
report   O
was   O
generated   O
by   O
dr4110   B-NAME
,   O
and   O
any   O
discrepancies   O
or   O
questions   O
regarding   O
this   O
report   O
should   O
be   O
directed   O
to   O
the   O
neurology   O
department   O
at   O
BANNER   B-LOCATION
-   I-LOCATION
UNIVERSITY   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
PHOENIX   I-LOCATION
.   O

Patient   O
Name   O
:   O
Cale   B-NAME
Oconnell   I-NAME
Medical   O
Record   O
Number   O
:   O
80562092   B-ID
Date   O
of   O
Birth   O
:   O
0/22   B-DATE
Age   O
:   O
56   O
Address   O
:   O
Shasta   B-LOCATION
Lake   I-LOCATION
,   O
53462   B-LOCATION
Phone   O
:   O
(   B-CONTACT
951   I-CONTACT
)   I-CONTACT
615   I-CONTACT
-   I-CONTACT
8905   I-CONTACT
Attending   O
Physician   O
:   O

Danny   B-NAME
Valentine   I-NAME
Hospital   O
:   O
McLeod   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Seacoast   I-LOCATION
Date   O
of   O
Visit   O
:   O
Aug   B-DATE
2th   I-DATE
Insurance   O
ID   O
:   O
RL:65879:319847   B-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Lovins   B-NAME
,   I-NAME
Amory   I-NAME
,   O
presented   O
with   O
severe   O
abdominal   O
pain   O
predominantly   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
visiting   O
the   O
emergency   O
department   O
at   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Columbus   I-LOCATION
.   O

History   O
of   O
Present   O
Illness   O
:   O
Tatyana   B-NAME
A.   I-NAME
Morris   I-NAME
,   O
a   O
61   O
-   O
year   O
-   O
old   O
Statisticians   O
,   O
reports   O
the   O
onset   O
of   O
symptoms   O
started   O
suddenly   O
yesterday   O
evening   O
around   O
11/07/1662   B-DATE
.   O

According   O
to   O
Taylor   B-NAME
Otero   I-NAME
,   O
their   O
health   O
history   O
is   O
relatively   O
unremarkable   O
aside   O
from   O
controlled   O
hypertension   O
.   O

The   O
patient   O
works   O
as   O
a   O
Hospitalists   O
in   O
Mascotte   B-LOCATION
and   O
lives   O
with   O
their   O
family   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Cowan   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Roth   B-NAME
recommended   O
proceeding   O
with   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
to   O
confirm   O
the   O
diagnosis   O
,   O
which   O
reiterated   O
the   O
findings   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

After   O
reviewing   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
the   O
decision   O
was   O
made   O
by   O
Cael   B-NAME
Washington   I-NAME
for   O
TERESA   B-NAME
LAMB   I-NAME
to   O
undergo   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
0/2/2303   B-DATE
.   O

Following   O
the   O
surgery   O
,   O
Suzuka   B-NAME
,   I-NAME
Shunryu   I-NAME
was   O
admitted   O
to   O
the   O
post   O
-   O
surgical   O
unit   O
at   O
Tallahassee   B-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
for   O
observation   O
.   O

Jarrett   B-NAME
Keith   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
examination   O
on   O
September   B-DATE
2121   I-DATE
with   O
Karzai   B-NAME
,   I-NAME
Hamid   I-NAME
to   O
monitor   O
recovery   O
progress   O
.   O

Instructions   O
for   O
Discharge   O
:   O
-   O
Paxton   B-NAME
Mckinney   I-NAME
is   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
as   O
tolerated   O
.   O
-   O

The   O
importance   O
of   O
wound   O
care   O
was   O
stressed   O
,   O
and   O
signs   O
of   O
infection   O
were   O
discussed   O
.   O
-   O
Gordon   B-NAME
Robertson   I-NAME
was   O
urged   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
symptoms   O
suggesting   O
complications   O
.   O

For   O
any   O
concerns   O
or   O
to   O
schedule   O
an   O
earlier   O
follow   O
-   O
up   O
appointment   O
,   O
Emanuel   B-NAME
Riggs   I-NAME
was   O
given   O
the   O
contact   O
number   O
31751   B-CONTACT
of   O
Sentara   B-LOCATION
Albemarle   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
7896497   B-ID
Irwin   B-NAME
,   O
a   O
8   O
week   O
-   O
year   O
-   O
old   O
Video   O
game   O
developer   O
from   O
Hummelstown   B-LOCATION
,   O
presented   O
to   O
Northern   B-LOCATION
Westchester   I-LOCATION
Hospital   I-LOCATION
on   O
32   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
and   O
associated   O
with   O
nausea   O
and   O
vomiting   O
for   O
the   O
past   O
72   O
hours   O
.   O

Brenda   B-NAME
Browning   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
gallstones   O
and   O
hypertension   O
,   O
managed   O
with   O
medication   O
.   O

Family   O
history   O
was   O
notable   O
for   O
diabetes   O
mellitus   O
in   O
Nixon   B-NAME
's   O
parent   O
.   O

Physical   O
examination   O
revealed   O
Day   B-NAME
to   O
be   O
in   O
acute   O
distress   O
with   O
marked   O
tenderness   O
in   O
the   O
upper   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
positive   O
Murphy   O
’s   O
sign   O
,   O
and   O
no   O
rebound   O
or   O
guarding   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Webb   B-NAME
,   O
including   O
complete   O
blood   O
count   O
,   O
liver   O
function   O
tests   O
,   O
amylase   O
,   O
and   O
lipase   O
.   O

Abdominal   O
ultrasound   O
,   O
performed   O
on   O
11/21   B-DATE
,   O
showed   O
multiple   O
gallstones   O
with   O
signs   O
of   O
cholecystitis   O
and   O
a   O
dilated   O
common   O
bile   O
duct   O
,   O
without   O
evidence   O
of   O
choledocholithiasis   O
.   O

Mckenna   B-NAME
Robbins   I-NAME
consulted   O
with   O
the   O
gastroenterology   O
and   O
surgery   O
teams   O
for   O
further   O
management   O
.   O

Endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
was   O
scheduled   O
for   O
32/61   B-DATE
to   O
evaluate   O
the   O
need   O
for   O
stone   O
removal   O
and   O
stent   O
placement   O
.   O

The   O
patient   O
and   O
family   O
were   O
informed   O
about   O
the   O
diagnosis   O
,   O
treatment   O
options   O
,   O
and   O
possible   O
complications   O
during   O
a   O
phone   O
call   O
on   O
614   B-CONTACT
-   I-CONTACT
9360   I-CONTACT
.   O

This   O
case   O
was   O
documented   O
in   O
Johan   B-NAME
Mclean   I-NAME
's   O
electronic   O
medical   O
record   O
,   O
accessible   O
with   O
ID   O
645   B-ID
-   I-ID
12   I-ID
-   I-ID
83   I-ID
-   I-ID
0   I-ID
.   O

Further   O
inquiries   O
can   O
be   O
directed   O
to   O
Ean   B-NAME
Mcgee   I-NAME
at   O
NY   B-LOCATION
Flushing   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
Div   I-LOCATION
,   O
858   B-CONTACT
937   I-CONTACT
-   I-CONTACT
2239   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Beck   B-NAME
Age   O
:   O
38   O
ID   O
:   O
UQ269/1170   B-ID
Medical   O
Record   O
Number   O
:   O
EPW647398   B-ID
Date   O
of   O
Birth   O
:   O
February   B-DATE
17   I-DATE
,   I-DATE
2214   I-DATE
Phone   O
Number   O
:   O
296   B-CONTACT
8632   I-CONTACT
Address   O
:   O
North   B-LOCATION
,   O
39345   B-LOCATION
Occupation   O
:   O
Postsecondary   O
Teachers   O
,   O
All   O
Other   O
Primary   O
Physician   O
:   O

Calhoun   B-NAME
Hospital   O
:   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Vacaville   I-LOCATION
Patient   O
's   O
presenting   O
complaint   O
and   O
history   O
of   O
the   O
present   O
illness   O
:   O
Kirsten   B-NAME
Camacho   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Mercy   B-LOCATION
Gilbert   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/00   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Anabelle   B-NAME
Jacobson   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
an   O
inability   O
to   O
pass   O
gas   O
or   O
have   O
a   O
bowel   O
movement   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Paul   B-NAME
Herman   I-NAME
denied   O
any   O
previous   O
episodes   O
of   O
similar   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
BRANDON   B-NAME
VICENTE   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
.   O

Jillette   B-NAME
,   I-NAME
Penn   I-NAME
's   O
last   O
visit   O
to   O
Summers   B-NAME
was   O
on   O
01/29   B-DATE
for   O
a   O
routine   O
check   O
-   O
up   O
,   O
during   O
which   O
blood   O
pressure   O
and   O
blood   O
glucose   O
levels   O
were   O
within   O
normal   O
limits   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Antonio   B-NAME
Montes   I-NAME
was   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Follow   O
-   O
Up   O
:   O
Miranda   B-NAME
Rubio   I-NAME
was   O
admitted   O
to   O
Pine   B-LOCATION
Rest   I-LOCATION
Christian   I-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
for   O
management   O
of   O
acute   O
diverticulitis   O
on   O
30/08/23   B-DATE
.   O

Intravenous   O
antibiotics   O
were   O
started   O
,   O
and   O
Jesus   B-NAME
Ochoa   I-NAME
was   O
placed   O
on   O
a   O
clear   O
liquid   O
diet   O
.   O

Pain   O
management   O
was   O
addressed   O
with   O
acetaminophen   O
as   O
Meyers   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
.   O

Naomi   B-NAME
Simmons   I-NAME
's   O
condition   O
improved   O
over   O
the   O
next   O
48   O
hours   O
,   O
with   O
a   O
decrease   O
in   O
pain   O
and   O
inflammation   O
.   O

Johnson   B-NAME
,   I-NAME
Lyndon   I-NAME
was   O
discharged   O
on   O
0/00   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
,   O
instructions   O
for   O
a   O
high   O
-   O
fiber   O
diet   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Jacobs   B-NAME
in   O
two   O
weeks   O
to   O
reassess   O
condition   O
and   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
.   O

The   O
patient   O
,   O
Macias   B-NAME
,   O
a   O
Police   O
Detectives   O
from   O
Hilbert   B-LOCATION
,   O
presented   O
to   O
Ashland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Ashland   I-LOCATION
on   O
28/12   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Emmy   B-NAME
Hale   I-NAME
reported   O
that   O
the   O
pain   O
onset   O
was   O
sudden   O
,   O
beginning   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Along   O
with   O
the   O
pain   O
,   O
Xavier   B-NAME
Hobbs   I-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
without   O
the   O
presence   O
of   O
blood   O
.   O

Petty   B-NAME
also   O
noted   O
a   O
mild   O
fever   O
,   O
stating   O
a   O
temperature   O
was   O
taken   O
at   O
home   O
with   O
a   O
reading   O
of   O
38.2   O
°   O
C   O
(   O
100.8   O
°   O
F   O
)   O
.   O

Upon   O
examination   O
,   O
George   B-NAME
Tran   I-NAME
observed   O
MOL   B-NAME
's   O
abdomen   O
to   O
be   O
rigid   O
and   O
tender   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
positive   O
rebound   O
tenderness   O
,   O
indicating   O
potential   O
peritoneal   O
irritation   O
.   O

Siena   B-NAME
Shannon   I-NAME
had   O
no   O
known   O
allergies   O
and   O
denied   O
any   O
previous   O
surgeries   O
or   O
significant   O
medical   O
history   O
on   O
the   O
intake   O
form   O
,   O
MRN   O
70814325   B-ID
.   O

Given   O
the   O
findings   O
and   O
Premchand   B-NAME
,   I-NAME
Munshi   I-NAME
's   O
clinical   O
presentation   O
,   O
surgical   O
intervention   O
was   O
advised   O
.   O

Hezekiah   B-NAME
Barrett   I-NAME
was   O
informed   O
about   O
the   O
need   O
for   O
an   O
appendectomy   O
and   O
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
7/60   B-DATE
without   O
complications   O
.   O

During   O
the   O
post   O
-   O
operative   O
period   O
,   O
Beverly   B-NAME
Thiel   I-NAME
was   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
other   O
post   O
-   O
surgical   O
complications   O
.   O

Wall   B-NAME
demonstrated   O
good   O
recovery   O
,   O
with   O
decreased   O
abdominal   O
pain   O
and   O
normalizing   O
temperature   O
within   O
the   O
following   O
48   O
hours   O
.   O

Instructions   O
for   O
wound   O
care   O
and   O
signs   O
of   O
potential   O
complications   O
were   O
provided   O
upon   O
discharge   O
on   O
34/24   B-DATE
.   O

Anya   B-NAME
Campos   I-NAME
’s   O
discharge   O
plan   O
included   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
with   O
Lee   B-NAME
,   I-NAME
Ang   I-NAME
at   O
Gundersen   B-LOCATION
Lutheran   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Mccoy   B-NAME
was   O
given   O
the   O
contact   O
number   O
(   B-CONTACT
389   I-CONTACT
)   I-CONTACT
851   I-CONTACT
5338   I-CONTACT
for   O
the   O
surgery   O
department   O
should   O
any   O
concerns   O
or   O
symptoms   O
arise   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Caroline   B-NAME
Short   I-NAME
's   O
238941342   B-ID
and   O
personal   O
contact   O
information   O
,   O
including   O
812   B-CONTACT
8087   I-CONTACT
and   O
address   O
in   O
98715   B-LOCATION
,   O
have   O
been   O
registered   O
in   O
the   O
hospital   O
's   O
system   O
for   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
.   O

Patient   O
Name   O
:   O
Descartes   B-NAME
,   I-NAME
René   I-NAME
DOB   O
:   O
03/24   B-DATE
Age   O
:   O
97   O
Medical   O
Record   O
Number   O
:   O
406   B-ID
-   I-ID
60   I-ID
-   I-ID
33   I-ID
-   I-ID
0   I-ID
ID   O
:   O
ZS:33396:557684   B-ID
Address   O
:   O
Punaluu   B-LOCATION
,   O
89168   B-LOCATION
Phone   O
:   O
59950   B-CONTACT
Attending   O
Physician   O
:   O

Donald   B-NAME
Norton   I-NAME
Hospital   O
:   O
Methodist   B-LOCATION
Jennie   I-LOCATION
Edmundson   I-LOCATION
Date   O
of   O
Visit   O
:   O
November   B-DATE
21   I-DATE
Profession   O
:   O
receptionist   O
Username   O
:   O
am421   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
67   O
-   O
year   O
-   O
old   O
Administrative   O
Services   O
Managers   O
,   O
presented   O
to   O
Progress   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
on   O
24   B-DATE
-   I-DATE
29   I-DATE
complaining   O
of   O
severe   O
,   O
sudden   O
onset   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
denied   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
recent   O
travel   O
outside   O
of   O
Wayne   B-LOCATION
.   O
History   O
of   O
Present   O
Illness   O
:   O
Kian   B-NAME
Jarvis   I-NAME
reported   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
but   O
gradually   O
worsened   O
to   O
become   O
severe   O
over   O
a   O
period   O
of   O
a   O
few   O
hours   O
.   O

Additionally   O
,   O
Mackenzie   B-NAME
Hughes   I-NAME
denied   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
or   O
recent   O
illnesses   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Purcell   B-NAME
,   I-NAME
Steve   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Further   O
investigations   O
,   O
including   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
IV   O
contrast   O
,   O
confirmed   O
the   O
diagnosis   O
of   O
early   O
-   O
stage   O
appendicitis   O
without   O
perforation   O
.   O
Management   O
and   O
Outcome   O
:   O
Dierdre   B-NAME
Mahone   I-NAME
was   O
admitted   O
to   O
Riverside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Kamila   B-NAME
Lutz   I-NAME
for   O
further   O
management   O
.   O

After   O
pre   O
-   O
operative   O
preparation   O
,   O
Colby   B-NAME
Sparano   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Madelyn   B-NAME
Lucero   I-NAME
was   O
discharged   O
on   O
22/22   B-DATE
with   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
.   O

In   O
this   O
case   O
,   O
early   O
surgical   O
intervention   O
facilitated   O
a   O
positive   O
outcome   O
for   O
Domitianus   B-NAME
Krivanec   I-NAME
.   O

Uru   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Genevieve   B-NAME
Jefferson   I-NAME
at   O
Riverside   B-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
on   O
02/26   B-DATE
.   O

Pamelia   B-NAME
Papantonio   I-NAME
Patient   O
ID   O
:   O
CU:33746:922244   B-ID
Medical   O
Record   O
Number   O
:   O
9454337   B-ID
Age   O
:   O
26   O
Date   O
of   O
Birth   O
:   O
00/21/73   B-DATE
Address   O
:   O
Pella   B-LOCATION
,   O
12194   B-LOCATION

Phone   O
:   O
297   B-CONTACT
-   I-CONTACT
3369   I-CONTACT
Emergency   O
Contact   O
:   O
TV   O
/   O
film   O
/   O
theatre   O
set   O
designer   O
,   O
401   B-CONTACT
-   I-CONTACT
3555   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Tugia   B-NAME
,   I-NAME
Manasa   I-NAME
Hospital   O
:   O
Sparrow   B-LOCATION
Hospital   I-LOCATION
Visit   O
Date   O
:   O
30/12   B-DATE
Admitting   O
Doctor   O
:   O
Jakayla   B-NAME
Levy   I-NAME
Presenting   O
Complaint   O
:   O
The   O
patient   O
,   O
Sudie   B-NAME
Witman   I-NAME
,   O
was   O
admitted   O
to   O
St.   B-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
Dec   B-DATE
2379   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
without   O
evidence   O
of   O
blood   O
.   O

Kianna   B-NAME
Mack   I-NAME
also   O
reported   O
a   O
mild   O
,   O
intermittent   O
fever   O
starting   O
approximately   O
two   O
days   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
symptoms   O
began   O
abruptly   O
approximately   O
72   O
hours   O
before   O
admission   O
to   O
D.   B-LOCATION
W.   I-LOCATION
McMillan   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Smith   B-NAME
described   O
the   O
pain   O
as   O
sharp   O
,   O
worsening   O
with   O
movement   O
,   O
and   O
partially   O
relieved   O
by   O
lying   O
on   O
the   O
right   O
side   O
with   O
knees   O
drawn   O
up   O
.   O

Katima   B-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
incidental   O
hyperlipidemia   O
.   O

General   O
:   O
Thomas   B-NAME
Light   I-NAME
appeared   O
uncomfortable   O
,   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Assessment   O
/   O
Plan   O
:   O
Based   O
on   O
history   O
,   O
physical   O
examination   O
,   O
and   O
confirmed   O
by   O
ultrasound   O
findings   O
,   O
Lakeesha   B-NAME
Murillo   I-NAME
is   O
diagnosed   O
with   O
appendicitis   O
.   O

Surgical   O
consultation   O
with   O
Maximus   B-NAME
was   O
obtained   O
,   O
and   O
an   O
appendectomy   O
was   O
recommended   O
.   O

Operation   O
Note   O
:   O
02/21/1943   B-DATE
-   O
Brice   B-NAME
Fry   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
under   O
general   O
anesthesia   O
without   O
complications   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
unremarkable   O
with   O
Ralph   B-NAME
Delgado   I-NAME
being   O
discharged   O
on   O
4/22   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
and   O
follow   O
-   O
up   O
arrangements   O
made   O
for   O
post   O
-   O
operative   O
check   O
-   O
up   O
in   O
2   O
weeks   O
at   O
National   B-LOCATION
Stores   I-LOCATION
.   O

Follow   O
-   O
Up   O
Appointment   O
:   O
18   B-DATE
,   O
with   O
Aubrie   B-NAME
Case   I-NAME
at   O
Commonwealth   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Wordsworth   B-NAME
,   I-NAME
William   I-NAME
Patient   O
Identification   O
Number   O
:   O
60084649   B-ID
Date   O
of   O
Birth   O
:   O
04/26/92   B-DATE
Age   O
:   O
96   O
Physician   O
:   O
Caylee   B-NAME
Gates   I-NAME
Primary   O
Care   O

Facility   O
:   O
Mission   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Swift   B-LOCATION
Trail   I-LOCATION
Junction   I-LOCATION
Zip   O
Code   O
:   O
66015   B-LOCATION
Contact   O
Number   O
:   O
95668   B-CONTACT
Date   O
of   O
Visit   O
:   O
December   B-DATE
10   I-DATE
,   I-DATE
2370   I-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Kennedy   B-NAME
,   I-NAME
Anthony   I-NAME
,   O
presented   O
with   O
a   O
sudden   O
onset   O
of   O
intense   O
abdominal   O
pain   O
characterized   O
as   O
sharp   O
and   O
piercing   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Quezada   B-NAME
describes   O
the   O
pain   O
as   O
8/10   O
on   O
the   O
pain   O
scale   O
,   O
worsening   O
with   O
movement   O
.   O

Lorelei   B-NAME
Townsend   I-NAME
also   O
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
earlier   O
on   O
08/13/2016   B-DATE
.   O

Medical   O
History   O
:   O
Athena   B-NAME
Keith   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
known   O
allergies   O
.   O

Victor   B-NAME
Ehrlich   I-NAME
denies   O
any   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

On   O
examination   O
,   O
Alondra   B-NAME
Davenport   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Provisional   O
Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Esmeralda   B-NAME
Meriwether   I-NAME
is   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
risks   O
and   O
benefits   O
of   O
an   O
appendectomy   O
were   O
discussed   O
with   O
Grady   B-NAME
Pugh   I-NAME
.   O

Reid   B-NAME
consented   O
to   O
proceed   O
with   O
surgery   O
scheduled   O
for   O
08/23   B-DATE
at   O
Milford   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Additional   O
Instructions   O
:   O
Leon   B-NAME
was   O
advised   O
to   O
refrain   O
from   O
eating   O
or   O
drinking   O
after   O
midnight   O
prior   O
to   O
the   O
day   O
of   O
the   O
surgery   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
First   O
-   O
Line   O
Supervisors   O
of   O
Air   O
Crew   O
Members   O
ZD921   B-NAME
Relationship   O
to   O
Patient   O
:   O
Brother   O
Contact   O
Number   O
:   O
25402   B-CONTACT
Responsible   O
Healthcare   O
Professional   O
:   O
Lynn   B-NAME
,   O
M.D.   O
Shia   B-LOCATION
Rights   I-LOCATION
Watch   I-LOCATION
,   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Finley   I-LOCATION
Hospital   I-LOCATION
Medical   O
License   O
Number   O
:   O
KV118/8897   B-ID

Patient   O
Report   O
Patient   O
Name   O
:   O
Daniels   B-NAME
,   I-NAME
Anthony   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
6632901   I-ID
Medical   O
Record   O
Number   O
:   O
800   B-ID
-   I-ID
29   I-ID
-   I-ID
71   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Birth   O
:   O
2008   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
14   I-DATE
Age   O
:   O
77   O
Phone   O
Number   O
:   O
81744   B-CONTACT
Address   O
:   O
Eatonton   B-LOCATION
,   O
96041   B-LOCATION
Employment   O
:   O
Children   O
's   O
nurse   O
at   O
Prudential   B-LOCATION
Financial   I-LOCATION
Doctor   O
:   O
Donovan   B-NAME
Hospital   O
:   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Lake   I-LOCATION
Ascension   I-LOCATION
Date   O
of   O
Visit   O
:   O
2178   B-DATE
Chief   O
Complaint   O
:   O
Enoch   B-NAME
Shorty   I-NAME
presented   O
with   O
acute   O
onset   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
that   O
started   O
on   O
Tuesday   B-DATE
,   I-DATE
January   I-DATE
.   O

Jeffers   B-NAME
,   I-NAME
Oswald   I-NAME
also   O
reported   O
episodes   O
of   O
blurred   O
vision   O
preceding   O
the   O
headache   O
.   O

Medical   O
History   O
:   O
Smith   B-NAME
,   I-NAME
Anna   I-NAME
Nicole   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
diagnosed   O
in   O
Mar   B-DATE
10   I-DATE
,   O
with   O
no   O
significant   O
changes   O
in   O
pattern   O
until   O
recently   O
.   O

Mindi   B-NAME
Wilmer   I-NAME
denies   O
any   O
recent   O
trauma   O
,   O
changes   O
in   O
medication   O
,   O
or   O
lifestyle   O
.   O

Investigations   O
:   O
Upon   O
presentation   O
,   O
a   O
neurological   O
examination   O
was   O
performed   O
by   O
Beck   B-NAME
,   I-NAME
Glenn   I-NAME
,   O
revealing   O
no   O
focal   O
neurological   O
deficits   O
.   O

A   O
CT   O
scan   O
of   O
the   O
head   O
,   O
ordered   O
on   O
11/20/2325   B-DATE
,   O
showed   O
no   O
abnormalities   O
.   O

Treatment   O
:   O
Given   O
the   O
typical   O
presentation   O
and   O
history   O
of   O
migraines   O
,   O
Baum   B-NAME
,   I-NAME
L.   I-NAME
Frank   I-NAME
was   O
treated   O
with   O
a   O
combination   O
of   O
a   O
triptan   O
and   O
an   O
anti   O
-   O
nausea   O
medication   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
March   B-DATE
2073   I-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
effectiveness   O
.   O

Notes   O
:   O
Malloren   B-NAME
was   O
also   O
counseled   O
on   O
lifestyle   O
modifications   O
including   O
regular   O
sleep   O
patterns   O
,   O
stress   O
management   O
techniques   O
,   O
and   O
maintaining   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
.   O

A   O
referral   O
to   O
a   O
neurologist   O
for   O
further   O
evaluation   O
and   O
consideration   O
of   O
prophylactic   O
treatment   O
was   O
discussed   O
,   O
with   O
an   O
appointment   O
made   O
for   O
09/08   B-DATE
.   O

In   O
summary   O
,   O
YONATHAN   B-NAME
OLIVER   I-NAME
TURK   I-NAME
's   O
presentation   O
is   O
consistent   O
with   O
their   O
history   O
of   O
migraines   O
,   O
albeit   O
with   O
a   O
slight   O
increase   O
in   O
severity   O
and   O
frequency   O
.   O

For   O
any   O
queries   O
or   O
to   O
report   O
any   O
changes   O
in   O
symptoms   O
,   O
Quintillus   B-NAME
Hinely   I-NAME
can   O
contact   O
Kirkbride   B-LOCATION
Center   I-LOCATION
at   O
724   B-CONTACT
3309   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

Report   O
Prepared   O
By   O
:   O
Middleton   B-NAME
04/22/26   B-DATE
Confidentiality   O
Notice   O
:   O
This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
applicable   O
laws   O
.   O

Patient   O
Name   O
:   O
Abel   B-NAME
,   I-NAME
Reuben   I-NAME
Age   O
:   O
8   O
Date   O
of   O
Birth   O
:   O
1/39   B-DATE
Medical   O
Record   O
Number   O
:   O
62463384   B-ID
ID   O
:   O
AR:45756:694550   B-ID
Phone   O
:   O
24086   B-CONTACT
Admission   O
Date   O
:   O
F   B-DATE
Attending   O
Physician   O
:   O
Dr.   O
Dante   B-NAME
Mcbride   I-NAME
Location   O
:   O
White   B-LOCATION
Water   I-LOCATION
Zip   O
Code   O
:   O
48690   B-LOCATION
Organization   O
:   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Gwinnett   I-LOCATION
County   I-LOCATION
Hospital   O
:   O
McLaren   B-LOCATION
Central   I-LOCATION
Michigan   I-LOCATION
Profession   O
:   O
Riggers   O
Subjective   O
:   O
Patient   O
Greene   B-NAME
,   O
a   O
Heaters   O
,   O
Metal   O
and   O
Plastic   O
of   O
age   O
77   O
,   O
presented   O
to   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
on   O
04/31/2259   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
48   O
hours   O
.   O

Imaging   O
performed   O
on   O
December   B-DATE
,   I-DATE
2226   I-DATE
confirmed   O
the   O
suspicion   O
of   O
acute   O
appendicitis   O
.   O

Assessment   O
:   O
Based   O
on   O
clinical   O
findings   O
and   O
diagnostic   O
imaging   O
,   O
Gavyn   B-NAME
Diaz   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Plan   O
:   O
Dr.   O
Imani   B-NAME
Gentry   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Surgery   O
was   O
scheduled   O
for   O
03/47   B-DATE
.   O

Post   O
-   O
operative   O
care   O
instructions   O
included   O
infection   O
monitoring   O
,   O
wound   O
care   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
in   O
November   B-DATE
of   I-DATE
2142   I-DATE
weeks   O
.   O

Consent   O
:   O
Informed   O
consent   O
for   O
the   O
surgical   O
procedure   O
was   O
obtained   O
from   O
Blaze   B-NAME
Rowland   I-NAME
after   O
a   O
detailed   O
discussion   O
about   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
possible   O
complications   O
of   O
surgery   O
.   O

George   B-NAME
Rutledge   I-NAME
verbally   O
expressed   O
understanding   O
and   O
agreement   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
17/30   B-DATE
at   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Los   I-LOCATION
Angeles   I-LOCATION
,   O
with   O
Dr.   O
Howe   B-NAME
to   O
ensure   O
post   O
-   O
operative   O
recovery   O
is   O
proceeding   O
as   O
expected   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
the   O
office   O
at   O
17189   B-CONTACT
for   O
any   O
concerns   O
or   O
in   O
the   O
event   O
of   O
an   O
emergency   O
.   O

This   O
case   O
will   O
be   O
documented   O
under   O
the   O
medical   O
record   O
number   O
HW336   B-ID
and   O
stored   O
securely   O
within   O
Stop   B-LOCATION
Wickham   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SWAT   I-LOCATION
)   I-LOCATION
's   O
patient   O
information   O
system   O
.   O

For   O
any   O
further   O
communication   O
regarding   O
this   O
case   O
,   O
please   O
refer   O
to   O
ID   O
6   B-ID
-   I-ID
6978813   I-ID
or   O
contact   O
our   O
office   O
directly   O
at   O
138   B-CONTACT
-   I-CONTACT
8566   I-CONTACT
.   O

The   O
patient   O
,   O
Dick   B-NAME
Richard   I-NAME
,   O
a   O
Financial   O
Specialists   O
,   O
All   O
Other   O
from   O
Lake   B-LOCATION
Quivira   I-LOCATION
,   O
presented   O
to   O
Methodist   B-LOCATION
Le   I-LOCATION
Bonheur   I-LOCATION
Germantown   I-LOCATION
Hospital   I-LOCATION
on   O
25/18/13   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
.   O

19   O
years   O
old   O
,   O
Edison   B-NAME
Milford   I-NAME
III   I-NAME
reported   O
the   O
pain   O
to   O
be   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
describing   O
it   O
as   O
a   O
sharp   O
and   O
constant   O
ache   O
that   O
worsened   O
upon   O
movement   O
.   O

JABLONSKI   B-NAME
,   I-NAME
SHIRLEY   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
characterized   O
by   O
chills   O
and   O
sweating   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Diana   B-NAME
Reddin   I-NAME
noted   O
Chakaluka   B-NAME
's   O
temperature   O
to   O
be   O
38.5   O
°   O
C   O
,   O
with   O
other   O
vital   O
signs   O
within   O
normal   O
limits   O
except   O
for   O
a   O
mildly   O
elevated   O
heart   O
rate   O
.   O

Given   O
the   O
clinical   O
findings   O
and   O
imaging   O
results   O
,   O
Evie   B-NAME
Floyd   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
decision   O
for   O
surgical   O
intervention   O
was   O
made   O
,   O
and   O
Wilfred   B-NAME
Glendon   I-NAME
was   O
prepared   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

Christopher   B-NAME
Syn   I-NAME
provided   O
informed   O
consent   O
for   O
the   O
surgery   O
after   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
potential   O
complications   O
were   O
thoroughly   O
explained   O
by   O
Dr.   O
Harley   B-NAME
Weber   I-NAME
.   O

Brady   B-NAME
Obrien   I-NAME
was   O
advised   O
to   O
follow   O
a   O
clear   O
liquid   O
diet   O
initially   O
,   O
progressing   O
to   O
solid   O
foods   O
as   O
tolerated   O
.   O

Denisse   B-NAME
Park   I-NAME
was   O
discharged   O
on   O
34/22   B-DATE
with   O
prescriptions   O
for   O
antibiotics   O
and   O
analgesics   O
.   O

Hunter   B-NAME
Lawson   I-NAME
was   O
scheduled   O
for   O
a   O
postoperative   O
check   O
-   O
up   O
with   O
Dr.   O
Jake   B-NAME
Goodwin   I-NAME
in   O
Newark   B-LOCATION
on   O
6   B-DATE
-   I-DATE
27   I-DATE
.   O

For   O
further   O
information   O
,   O
Wendy   B-NAME
P   I-NAME
Nowak   I-NAME
or   O
any   O
healthcare   O
inquiries   O
related   O
to   O
this   O
case   O
can   O
contact   O
Cancer   B-LOCATION
Treatment   I-LOCATION
Centers   I-LOCATION
of   I-LOCATION
America   I-LOCATION
at   O
(   B-CONTACT
833   I-CONTACT
)   I-CONTACT
571   I-CONTACT
5687   I-CONTACT
.   O

The   O
medical   O
record   O
number   O
for   O
this   O
patient   O
is   O
0905283   B-ID
,   O
and   O
please   O
refer   O
to   O
this   O
number   O
for   O
any   O
queries   O
or   O
follow   O
-   O
up   O
appointments   O
.   O

Any   O
concerns   O
regarding   O
the   O
discharge   O
instructions   O
or   O
medication   O
can   O
also   O
be   O
directed   O
to   O
the   O
hospital   O
's   O
pharmacy   O
department   O
located   O
in   O
Sandy   B-LOCATION
with   O
ZIP   O
code   O
75294   B-LOCATION
.   O

Reminder   O
:   O
It   O
is   O
crucial   O
for   O
Thanh   B-NAME
to   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
and   O
to   O
keep   O
the   O
follow   O
-   O
up   O
appointment   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
after   O
the   O
surgery   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Madison   B-NAME
Nelson   I-NAME
Age   O
:   O
99   O
Date   O
of   O
Birth   O
:   O
32/12/32   B-DATE
Medical   O
Record   O
Number   O
:   O
2359311   B-ID
Social   O
Security   O
Number   O
:   O
25982787   B-ID
Address   O
:   O
Mount   B-LOCATION
Wilson   I-LOCATION
,   O
92778   B-LOCATION
Phone   O
Number   O
:   O
60062   B-CONTACT
Occupation   O
:   O
Tour   O
Guides   O
and   O
Escorts   O
Admitting   O
Physician   O
:   O

Velasquez   B-NAME
Hospital   O
Name   O
:   O
Coastal   B-LOCATION
Carolina   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/10/36   B-DATE
Date   O
of   O
Report   O
:   O
21/32   B-DATE
Chief   O
Complaint   O
:   O
ostrowski   B-NAME
presents   O
with   O
acute   O
abdominal   O
pain   O
,   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
has   O
been   O
increasing   O
in   O
severity   O
over   O
the   O
last   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Rishi   B-NAME
Wiley   I-NAME
reports   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
diffuse   O
but   O
has   O
progressively   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
's   O
intensity   O
has   O
significantly   O
hindered   O
Mario   B-NAME
Huynh   I-NAME
's   O
daily   O
activities   O
,   O
prompting   O
hospitalization   O
.   O

Past   O
Medical   O
History   O
:   O
Cochran   B-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
Diabetes   O
Mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemics   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Cash   B-NAME
Rush   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
to   O
manage   O
suspected   O
bacterial   O
ileitis   O
.   O

Pain   O
management   O
was   O
addressed   O
with   O
acetaminophen   O
,   O
avoiding   O
NSAIDs   O
due   O
to   O
Shenna   B-NAME
Travis   I-NAME
's   O
history   O
of   O
Type   O
II   O
Diabetes   O
and   O
potential   O
for   O
renal   O
impairment   O
.   O

Disposition   O
:   O
Brice   B-NAME
Fry   I-NAME
will   O
be   O
admitted   O
to   O
Englewood   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Brandt   B-NAME
for   O
further   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Wilcox   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
clinic   O
on   O
June   B-DATE
to   O
evaluate   O
the   O
progress   O
and   O
response   O
to   O
treatment   O
.   O

Contact   O
Information   O
:   O
Any   O
questions   O
or   O
concerns   O
regarding   O
this   O
patient   O
’s   O
care   O
can   O
be   O
directed   O
to   O
Morton   B-NAME
Chegley   I-NAME
at   O
233   B-CONTACT
6008   I-CONTACT
or   O
through   O
the   O
main   O
line   O
at   O
Georgetown   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
,   O
Ryker   B-NAME
Reese   I-NAME
,   O
a   O
53   O
years   O
old   O
Volunteer   O
work   O
organiser   O
from   O
Caro   B-LOCATION
,   O
60820   B-LOCATION
,   O
visited   O
the   O
clinic   O
on   O
24/37/22   B-DATE
complaining   O
of   O
persistent   O
headaches   O
,   O
dizziness   O
,   O
and   O
occasional   O
blurred   O
vision   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Khouron   B-NAME
reported   O
that   O
these   O
symptoms   O
significantly   O
interfere   O
with   O
daily   O
activities   O
and   O
work   O
schedules   O
.   O

The   O
medical   O
history   O
obtained   O
,   O
documented   O
under   O
31294914   B-ID
,   O
revealed   O
that   O
Jaidyn   B-NAME
Byrd   I-NAME
had   O
a   O
similar   O
episode   O
last   O
year   O
but   O
did   O
not   O
seek   O
medical   O
attention   O
at   O
that   O
time   O
.   O

During   O
the   O
examination   O
,   O
Alysha   B-NAME
Newhook   I-NAME
described   O
the   O
headache   O
as   O
a   O
constant   O
,   O
dull   O
ache   O
that   O
sometimes   O
escalates   O
into   O
a   O
throbbing   O
pain   O
,   O
predominantly   O
in   O
the   O
frontal   O
lobe   O
region   O
.   O

Warner   B-NAME
,   I-NAME
Harold   I-NAME
also   O
noted   O
an   O
increased   O
sensitivity   O
to   O
light   O
and   O
noise   O
.   O

A   O
neurological   O
examination   O
performed   O
by   O
Andersen   B-NAME
did   O
not   O
show   O
any   O
focal   O
neurological   O
deficits   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
may   B-DATE
at   O
Summa   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
,   I-LOCATION
Akron   I-LOCATION
Campus   I-LOCATION
.   O

Instructions   O
were   O
given   O
to   O
Yuriko   B-NAME
Amante   I-NAME
to   O
contact   O
the   O
clinic   O
at   O
(   B-CONTACT
701   I-CONTACT
)   I-CONTACT
384   I-CONTACT
-   I-CONTACT
9629   I-CONTACT
in   O
case   O
of   O
any   O
worsening   O
of   O
symptoms   O
or   O
the   O
emergence   O
of   O
new   O
symptoms   O
.   O

A   O
patient   O
information   O
leaflet   O
on   O
stress   O
management   O
and   O
the   O
importance   O
of   O
adequate   O
hydration   O
and   O
nutrition   O
was   O
provided   O
considering   O
the   O
demanding   O
nature   O
of   O
Alvarado   B-NAME
's   O
Instructional   O
Coordinators   O
.   O

Confidential   O
information   O
related   O
to   O
Oppliger   B-NAME
Demetris   I-NAME
,   O
including   O
contact   O
details   O
,   O
is   O
securely   O
stored   O
under   O
patient   O
ID   O
0   B-ID
-   I-ID
5790421   I-ID
to   O
ensure   O
privacy   O
and   O
compliance   O
with   O
healthcare   O
regulations   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
,   O
kindly   O
refer   O
to   O
the   O
patient   O
's   O
medical   O
record   O
number   O
9447033   B-ID
or   O
contact   O
our   O
office   O
at   O
71512   B-CONTACT
.   O

Note   O
:   O
All   O
procedures   O
and   O
recommendations   O
were   O
made   O
in   O
accordance   O
with   O
the   O
guidelines   O
and   O
best   O
practices   O
of   O
Delaware   B-LOCATION
Municipal   I-LOCATION
Electric   I-LOCATION
Corporation   I-LOCATION
and   O
following   O
consent   O
obtained   O
from   O
Cantu   B-NAME
.   O

Patient   O
Report   O
for   O
Xuan   B-NAME
Torrens   I-NAME
General   O
Information   O
:   O
-   O
Date   O
of   O
Birth   O
:   O
46   O
-   O
Date   O
of   O
Admission   O
:   O
20/20   B-DATE
-   O
Date   O
of   O
Discharge   O
:   O
1/18/2371   B-DATE
-   O
Hospital   O
:   O
Dr.   B-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
-   O
Attending   O
Physician   O
:   O
Walker   B-NAME
Daniel   I-NAME
-   O
Medical   O
Record   O
Number   O
:   O
787   B-ID
-   I-ID
27   I-ID
-   I-ID
73   I-ID
-   I-ID
1   I-ID
-   O
Patient   O
ID   O
:   O
GO:4547:727278   B-ID
Patient   O
Contact   O
Information   O
:   O
-   O
Address   O
:   O
Butler   B-LOCATION
,   O
91282   B-LOCATION
-   O
Phone   O
:   O
28911   B-CONTACT
-   O
Emergency   O
Contact   O
Phone   O
:   O
867   B-CONTACT
408   I-CONTACT
2052   I-CONTACT
Employment   O
Information   O
:   O
-   O
Occupation   O
:   O
Nannies   O
-   O
Employer   O
:   O
Sheet   B-LOCATION
Metal   I-LOCATION
Workers   I-LOCATION
International   I-LOCATION
Association   I-LOCATION
Clinical   O
Summary   O
:   O
Beddoes   B-NAME
,   I-NAME
Mick   I-NAME
presented   O
to   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Branch   I-LOCATION
on   O
18   B-DATE
with   O
severe   O
abdominal   O
discomfort   O
,   O
persistent   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
noticeable   O
loss   O
of   O
appetite   O
over   O
the   O
course   O
of   O
the   O
previous   O
week   O
.   O

Leila   B-NAME
Case   I-NAME
's   O
medical   O
history   O
was   O
notable   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
on   O
oral   O
agents   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
lifestyle   O
modifications   O
and   O
medication   O
.   O

Upon   O
presentation   O
,   O
Adrianna   B-NAME
Lester   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
an   O
elevated   O
blood   O
pressure   O
(   O
140/90   O
mmHg   O
)   O
.   O

Laboratory   O
&   O
Diagnostic   O
Findings   O
:   O
-   O
An   O
abdominal   O
ultrasound   O
conducted   O
on   O
12/02/03   B-DATE
revealed   O
cholelithiasis   O
without   O
evidence   O
of   O
cholecystitis   O
.   O

-   O
Complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
Comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
,   O
and   O
Lipid   O
Panel   O
were   O
drawn   O
on   O
Sunday   B-DATE
,   I-DATE
December   I-DATE
,   O
showing   O
elevated   O
triglyceride   O
levels   O
and   O
slight   O
leukocytosis   O
.   O
-   O
HbA1c   O
measured   O
at   O
7.2   O
%   O
,   O
indicating   O
suboptimal   O
glycemic   O
control   O
.   O

Management   O
&   O
Treatment   O
:   O
Under   O
the   O
guidance   O
of   O
Jairo   B-NAME
Bond   I-NAME
,   O
a   O
conservative   O
management   O
approach   O
was   O
first   O
adopted   O
,   O
including   O
dietary   O
modifications   O
and   O
close   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
.   O

Royce   B-NAME
Morris   I-NAME
underwent   O
an   O
elective   O
laparoscopic   O
cholecystectomy   O
on   O
11/27   B-DATE
without   O
any   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Ruiz   B-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
strict   O
glycemic   O
control   O
and   O
a   O
tailored   O
diet   O
plan   O
to   O
prevent   O
recurrence   O
.   O

Discharge   O
Instructions   O
:   O
Volpe   B-NAME
was   O
discharged   O
on   O
2191   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Zachery   B-NAME
Bass   I-NAME
within   O
two   O
weeks   O
for   O
a   O
post   O
-   O
operative   O
check   O
-   O
up   O
and   O
with   O
the   O
Endocrinology   O
Department   O
for   O
management   O
of   O
Type   O
2   O
diabetes   O
.   O

Sexton   B-NAME
was   O
educated   O
on   O
the   O
signs   O
of   O
potential   O
complications   O
,   O
including   O
infection   O
and   O
bile   O
leak   O
,   O
and   O
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
should   O
these   O
occur   O
.   O

The   O
prognosis   O
for   O
Kiersten   B-NAME
Benson   I-NAME
post   O
-   O
cholecystectomy   O
is   O
excellent   O
with   O
adherence   O
to   O
medical   O
advice   O
and   O
lifestyle   O
adjustments   O
.   O

Continuous   O
monitoring   O
of   O
diabetes   O
is   O
crucial   O
to   O
Donovan   B-NAME
's   O
overall   O
health   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Davison   B-NAME
-   O
Age   O
:   O
3   O
-   O
ID   O
:   O
NR404/1358   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
2804036   B-ID
-   O
Address   O
:   O
Eureka   B-LOCATION
,   O
76327   B-LOCATION
-   O
Phone   O
Number   O
:   O
673   B-CONTACT
-   I-CONTACT
8167   I-CONTACT
-   O
Occupation   O
:   O

Logging   O
Equipment   O
Operators   O
-   O
Username   O
:   O
xs601   B-NAME
Chief   O
Complaint   O
:   O
Cannon   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Angels   I-LOCATION
Hospital   I-LOCATION
on   O
27/30/75   B-DATE
with   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
accompanied   O
by   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
excessive   O
sweating   O
.   O

Medical   O
History   O
:   O
Yuri   B-NAME
Poole   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
managed   O
by   O
Jabari   B-NAME
Mcclure   I-NAME
at   O
Transport   B-LOCATION
Salaried   I-LOCATION
Staffs   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
.   O

Lennon   B-NAME
Collins   I-NAME
is   O
also   O
a   O
smoker   O
,   O
averaging   O
ten   O
cigarettes   O
a   O
day   O
for   O
the   O
past   O
71   O
years   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Victor   B-NAME
Webb   I-NAME
was   O
found   O
to   O
be   O
diaphoretic   O
with   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
and   O
a   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
.   O

Treatment   O
:   O
Gordon   B-NAME
Q.   I-NAME
Iniguez   I-NAME
was   O
promptly   O
administered   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
a   O
statin   O
.   O

Given   O
the   O
diagnosis   O
of   O
a   O
myocardial   O
infarction   O
,   O
Rodgers   B-NAME
was   O
referred   O
for   O
an   O
urgent   O
cardiac   O
catheterization   O
which   O
was   O
performed   O
on   O
09/48   B-DATE
by   O
Rachel   B-NAME
Vincent   I-NAME
at   O
Western   B-LOCATION
Reserve   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Kylie   B-NAME
Sanford   I-NAME
was   O
advised   O
to   O
stay   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
until   O
2004   B-DATE
-   I-DATE
37   I-DATE
-   I-DATE
02   I-DATE
.   O

Post   O
-   O
discharge   O
,   O
Jaidyn   B-NAME
Goodwin   I-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Shaffer   B-NAME
for   O
further   O
assessment   O
and   O
management   O
of   O
cardiovascular   O
risks   O
.   O

Education   B-LOCATION
International   I-LOCATION
was   O
notified   O
of   O
Agena   B-NAME
,   I-NAME
Keiko   I-NAME
's   O
current   O
medical   O
status   O
and   O
the   O
need   O
for   O
a   O
structured   O
cardiac   O
rehabilitation   O
program   O
was   O
discussed   O
.   O

Conclusion   O
:   O
Iva   B-NAME
Hall   I-NAME
's   O
timely   O
presentation   O
to   O
University   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
and   O
the   O
prompt   O
medical   O
intervention   O
significantly   O
reduced   O
the   O
risk   O
of   O
complications   O
associated   O
with   O
myocardial   O
infarction   O
.   O

Continuous   O
monitoring   O
of   O
heart   O
health   O
,   O
adherence   O
to   O
medications   O
,   O
and   O
lifestyle   O
modifications   O
are   O
crucial   O
for   O
Elizabeth   B-NAME
,   I-NAME
the   I-NAME
Queen   I-NAME
Mother   I-NAME
's   O
recovery   O
and   O
prevention   O
of   O
future   O
cardiac   O
events   O
.   O

Prepared   O
by   O
:   O
Jones   B-NAME
Date   O
:   O
1/28   B-DATE
Contact   O
Information   O
:   O
35473   B-CONTACT

The   O
patient   O
,   O
Chelsea   B-NAME
Arias   I-NAME
,   O
a   O
Ship   O
and   O
Boat   O
Captains   O
from   O
Market   B-LOCATION
Harborough   I-LOCATION
,   O
presented   O
to   O
AdventHealth   B-LOCATION
Kissimmee   I-LOCATION
on   O
1/30/91   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
dyspnea   O
over   O
the   O
past   O
12/94   B-DATE
.   O

Upon   O
examination   O
,   O
the   O
attending   O
physician   O
,   O
Blackwell   B-NAME
,   O
noted   O
the   O
patient   O
's   O
temperature   O
was   O
102   O
°   O
F   O
,   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
an   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Horne   B-NAME
requested   O
a   O
complete   O
blood   O
count   O
,   O
which   O
showed   O
elevated   O
white   O
blood   O
cells   O
,   O
indicating   O
a   O
potential   O
infection   O
.   O

A   O
chest   O
X   O
-   O
Ray   O
performed   O
on   O
03/22   B-DATE
revealed   O
bilateral   O
infiltrates   O
consistent   O
with   O
pneumonia   O
.   O

Infant   B-NAME
Brewer   I-NAME
's   O
medical   O
history   O
,   O
provided   O
by   O
Bunsen   B-NAME
Honeydew   I-NAME
during   O
the   O
consultation   O
,   O
was   O
significant   O
for   O
chronic   O
bronchitis   O
and   O
a   O
recent   O
trip   O
to   O
Herkimer   B-LOCATION
about   O
a   O
month   O
ago   O
.   O

710   B-ID
-   I-ID
01   I-ID
-   I-ID
38   I-ID
-   I-ID
8   I-ID
indicates   O
the   O
patient   O
is   O
a   O
smoker   O
with   O
a   O
20   O
-   O
pack   O
-   O
year   O
history   O
.   O

Given   O
Iyana   B-NAME
Strong   I-NAME
's   O
history   O
and   O
current   O
presentation   O
,   O
Kendal   B-NAME
Dodson   I-NAME
advised   O
hospitalization   O
for   O
management   O
of   O
what   O
was   O
suspected   O
to   O
be   O
community   O
-   O
acquired   O
pneumonia   O
,   O
possibly   O
complicated   O
by   O
the   O
patient   O
's   O
underlying   O
chronic   O
bronchitis   O
.   O

Rumi   B-NAME
,   I-NAME
Jalal   I-NAME
al   I-NAME
-   I-NAME
Din   I-NAME
Muhammad   I-NAME
was   O
prescribed   O
intravenous   O
antibiotics   O
and   O
supportive   O
care   O
.   O

The   O
contact   O
instructions   O
provided   O
were   O
to   O
call   O
97182   B-CONTACT
for   O
any   O
further   O
deterioration   O
of   O
symptoms   O
or   O
concerns   O
.   O

With   O
the   O
expectation   O
of   O
a   O
standard   O
recovery   O
,   O
Elianna   B-NAME
Andersen   I-NAME
was   O
informed   O
of   O
the   O
potential   O
discharge   O
plan   O
,   O
likely   O
in   O
the   O
next   O
5   O
-   O
7   O
days   O
barring   O
any   O
complications   O
.   O

Instructions   O
for   O
follow   O
-   O
up   O
appointments   O
with   O
Shelley   B-NAME
,   I-NAME
Percy   I-NAME
Bysshe   I-NAME
at   O
UPMC   B-LOCATION
Hamot   I-LOCATION
were   O
also   O
provided   O
,   O
along   O
with   O
precautions   O
to   O
minimize   O
exposure   O
to   O
respiratory   O
infections   O
.   O

All   O
personal   O
identification   O
and   O
specific   O
location   O
information   O
,   O
such   O
as   O
Willis   B-NAME
's   O
residence   O
Beacon   B-LOCATION
Square   I-LOCATION
and   O
the   O
exact   O
address   O
of   O
Mercy   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
as   O
well   O
as   O
Dick   B-NAME
Richard   I-NAME
's   O
direct   O
contact   O
963   B-CONTACT
589   I-CONTACT
9313   I-CONTACT
,   O
have   O
been   O
redacted   O
to   O
maintain   O
privacy   O
in   O
compliance   O
with   O
PHI   O
regulations   O
.   O

The   O
55499695   B-ID
number   O
for   O
this   O
case   O
has   O
been   O
documented   O
for   O
hospital   O
records   O
and   O
future   O
reference   O
.   O

Patient   O
Report   O
for   O
Tacitus   B-NAME
32   B-DATE
,   O
the   O
patient   O
,   O
a   O
50   O
-   O
year   O
-   O
old   O
Training   O
and   O
Development   O
Specialists   O
,   O
presented   O
to   O
St.   B-LOCATION
Francis   I-LOCATION
Eastside   I-LOCATION
's   O
emergency   O
department   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
that   O
started   O
earlier   O
that   O
day   O
.   O

Upon   O
examination   O
,   O
Vernon   B-NAME
A   I-NAME
Lozano   I-NAME
exhibited   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
basic   O
metabolic   O
panel   O
(   O
BMP   O
)   O
,   O
and   O
inflammatory   O
markers   O
were   O
ordered   O
by   O
Moore   B-NAME
.   O

Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Roger   B-NAME
York   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
patient   O
consented   O
to   O
the   O
surgery   O
,   O
which   O
was   O
successfully   O
performed   O
without   O
any   O
complications   O
on   O
33/05   B-DATE
.   O

The   O
patient   O
was   O
advised   O
to   O
stay   O
in   O
Clearwater   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
post   O
-   O
surgery   O
.   O

Post   O
-   O
operative   O
follow   O
-   O
up   O
was   O
scheduled   O
with   O
Keeping   B-NAME
,   I-NAME
Charles   I-NAME
in   O
the   O
surgery   O
clinic   O
.   O

For   O
any   O
queries   O
or   O
further   O
appointments   O
,   O
Morrison   B-NAME
,   I-NAME
Jim   I-NAME
was   O
advised   O
to   O
contact   O
the   O
surgery   O
department   O
at   O
91583   B-CONTACT
.   O

The   O
patient   O
was   O
discharged   O
on   O
3/46   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
39/32/17   B-DATE
.   O

The   O
patient   O
's   O
916   B-ID
-   I-ID
90   I-ID
-   I-ID
48   I-ID
-   I-ID
8   I-ID
number   O
is   O
UP   B-ID
:   I-ID
KT:2825   I-ID
.   O

The   O
billing   O
department   O
processed   O
the   O
medical   O
costs   O
associated   O
with   O
the   O
appendectomy   O
procedure   O
,   O
and   O
a   O
summary   O
was   O
sent   O
to   O
the   O
address   O
in   O
Idabel   B-LOCATION
,   I-LOCATION
Idabel   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
,   O
96964   B-LOCATION
.   O

RY82   B-NAME
was   O
assigned   O
as   O
the   O
contact   O
for   O
further   O
inquiries   O
by   O
the   O
patient   O
or   O
family   O
members   O
regarding   O
the   O
hospital   O
stay   O
or   O
follow   O
-   O
up   O
care   O
.   O

Please   O
contact   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Heat   I-LOCATION
and   I-LOCATION
Frost   I-LOCATION
Insulators   I-LOCATION
and   I-LOCATION
Asbestos   I-LOCATION
Workers   I-LOCATION
's   O
privacy   O
office   O
at   O
123   B-CONTACT
2677   I-CONTACT
for   O
any   O
concerns   O
regarding   O
the   O
handling   O
of   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
.   O

Patient   O
Name   O
:   O
Salena   B-NAME
Date   O
of   O
Birth   O
:   O
95   O
Medical   O
Record   O
Number   O
:   O
6055308   B-ID
Date   O
of   O
Visit   O
:   O
10/21   B-DATE
Attending   O
Physician   O
:   O

Larson   B-NAME
Hospital   O
:   O
Cooley   B-LOCATION
Dickinson   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Silverhill   B-LOCATION
Phone   O
:   O
57854   B-CONTACT
ID   O
:   O
TP   B-ID
:   I-ID
SB:6836   I-ID
Employee   O
:   O

First   O
-   O
Line   O
Supervisors   O
of   O
Personal   O
Service   O
Workers   O
at   O
GreyStone   B-LOCATION
Power   I-LOCATION
Corp.   I-LOCATION
Username   O
:   O
nud764   B-NAME
Zip   O
Code   O
:   O
55266   B-LOCATION
Chief   O
Complaint   O
:   O
OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
presents   O
to   O
the   O
clinic   O
complaining   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
June   B-DATE
22   I-DATE
.   O

Medical   O
History   O
:   O
Shea   B-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
managed   O
with   O
inhaled   O
corticosteroids   O
and   O
occasionally   O
oral   O
corticosteroids   O
during   O
exacerbations   O
.   O

Peyton   B-NAME
Kaufman   I-NAME
also   O
has   O
a   O
documented   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
.   O

On   O
examination   O
,   O
Karma   B-NAME
Wong   I-NAME
is   O
alert   O
and   O
oriented   O
but   O
appears   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Pending   O
as   O
of   O
30/33/2272   B-DATE
.   O

5   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
on   O
04/05/1780   B-DATE
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

Instructions   O
for   O
Avah   B-NAME
Copeland   I-NAME
:   O
Monitor   O
temperature   O
twice   O
daily   O
and   O
keep   O
a   O
record   O
of   O
readings   O
.   O

Follow   O
-   O
Up   O
:   O
anderson   B-NAME
is   O
advised   O
to   O
return   O
to   O
Connecticut   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
psychiatric   I-LOCATION
)   I-LOCATION
or   O
contact   O
Blake   B-NAME
Simmons   I-NAME
via   O
201   B-CONTACT
828   I-CONTACT
1885   I-CONTACT
for   O
further   O
evaluation   O
and   O
management   O
depending   O
on   O
the   O
outcome   O
of   O
the   O
COVID-19   O
test   O
results   O
and   O
clinical   O
response   O
to   O
the   O
initiated   O
treatment   O
regimen   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Lambert   B-NAME
Age   O
:   O
34   O
Date   O
of   O
Birth   O
:   O
12/10/2181   B-DATE
Address   O
:   O
Montevideo   B-LOCATION
,   O
30696   B-LOCATION
Phone   O
Number   O
:   O
812   B-CONTACT
6328   I-CONTACT
Occupation   O
:   O

Animal   O
Breeders   O
Primary   O
Care   O
Provider   O
:   O
Dr.   O
Layne   B-NAME
Sheppard   I-NAME
Medical   O
Record   O
Number   O
:   O
4986557   B-ID
Patient   O
ID   O
:   O
6229424   B-ID
Symptoms   O
:   O
Mackenzie   B-NAME
Gibbs   I-NAME
presented   O
to   O
EvergreenHealth   B-LOCATION
on   O
32/2100   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
nausea   O
and   O
photophobia   O
.   O

Brandi   B-NAME
Xayasane   I-NAME
also   O
reported   O
experiencing   O
a   O
stiff   O
neck   O
and   O
a   O
fever   O
,   O
which   O
prompted   O
the   O
visit   O
to   O
the   O
emergency   O
department   O
.   O

Travis   B-NAME
has   O
a   O
documented   O
history   O
of   O
migraine   O
without   O
aura   O
,   O
diagnosed   O
in   O
10/28   B-DATE
.   O

Quiana   B-NAME
Derubeis   I-NAME
is   O
currently   O
on   O
a   O
regimen   O
of   O
medication   O
prescribed   O
by   O
Dr.   O
Nathalia   B-NAME
Walls   I-NAME
,   O
which   O
includes   O
triptans   O
for   O
acute   O
attacks   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Henderson   B-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
at   O
150/95   O
mmHg   O
.   O

Diagnostic   O
Tests   O
:   O
Lumbar   O
puncture   O
was   O
performed   O
under   O
sterile   O
conditions   O
by   O
Dr.   O
Webster   B-NAME
in   O
Manteca   B-LOCATION
ward   O
of   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Philadelphia   I-LOCATION
on   O
2366   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
30   I-DATE
.   O

A   O
head   O
CT   O
scan   O
performed   O
prior   O
to   O
the   O
lumbar   O
puncture   O
showed   O
no   O
evidence   O
of   O
intracranial   O
hemorrhage   O
or   O
mass   O
effect   O
.   O
Plan   O
:   O
Helen   B-NAME
T.   I-NAME
Hattie   I-NAME
Simms   I-NAME
has   O
been   O
admitted   O
to   O
Fairfield   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
observation   O
and   O
symptomatic   O
treatment   O
,   O
including   O
administration   O
of   O
intravenous   O
fluids   O
,   O
analgesics   O
for   O
headache   O
,   O
and   O
antipyretics   O
for   O
fever   O
.   O

A   O
follow   O
-   O
up   O
MRI   O
of   O
the   O
brain   O
is   O
scheduled   O
for   O
31/30   B-DATE
to   O
exclude   O
other   O
potential   O
causes   O
of   O
symptoms   O
.   O

Anabel   B-NAME
Patton   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
low   O
-   O
stimulation   O
environment   O
,   O
given   O
the   O
photophobia   O
and   O
phonophobia   O
.   O

The   O
primary   O
care   O
provider   O
,   O
Dr.   O
Velazquez   B-NAME
,   O
and   O
Noe   B-NAME
Wade   I-NAME
's   O
emergency   O
contact   O
,   O
tnj10010   B-NAME
,   O
have   O
been   O
notified   O
of   O
the   O
current   O
medical   O
situation   O
.   O

Further   O
recommendations   O
and   O
alterations   O
in   O
the   O
management   O
plan   O
will   O
be   O
based   O
on   O
the   O
results   O
of   O
pending   O
diagnostic   O
tests   O
and   O
Theresia   B-NAME
Shryock   I-NAME
's   O
response   O
to   O
the   O
initial   O
therapeutic   O
interventions   O
.   O

If   O
there   O
are   O
any   O
changes   O
in   O
the   O
patient   O
's   O
condition   O
or   O
urgent   O
inquiries   O
,   O
please   O
contact   O
the   O
nursing   O
station   O
at   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Marysville   I-LOCATION
via   O
82463   B-CONTACT
.   O

This   O
report   O
was   O
compiled   O
by   O
the   O
medical   O
team   O
at   O
Maine   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
July   B-DATE
.   O

Bailey   B-NAME
Bray   I-NAME
Medical   O
Record   O
Number   O
:   O
3474785   B-ID
Date   O
of   O
Birth   O
:   O
22/24   B-DATE
Age   O
:   O
100   O
Address   O
:   O
Jamaica   B-LOCATION
Plain   I-LOCATION
-   I-LOCATION
Centre   I-LOCATION
/   I-LOCATION
South   I-LOCATION
,   I-LOCATION
Centre   I-LOCATION
/   I-LOCATION
South   I-LOCATION
Main   I-LOCATION
Streets   I-LOCATION
,   O
53149   B-LOCATION
Phone   O
Number   O
:   O
95269   B-CONTACT
Occupation   O
:   O

Dr.   O
Dwayne   B-NAME
Small   I-NAME
Hospital   O
:   O
Chambersburg   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
The   I-LOCATION
Patient   O
ID   O
:   O
RT   B-ID
:   I-ID
AW:2597   I-ID
Visit   O
Date   O
:   O
17/12/16   B-DATE
Presenting   O
Complaint   O
:   O
Braylon   B-NAME
Underwood   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Citizens   B-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
on   O
'   B-DATE
27   I-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
rating   O
8/10   O
on   O
the   O
pain   O
scale   O
,   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
upper   O
back   O
.   O

Franzen   B-NAME
,   I-NAME
Jonathan   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
shortness   O
of   O
breath   O
,   O
palpitations   O
,   O
and   O
an   O
episode   O
of   O
syncope   O
occurring   O
approximately   O
30   O
minutes   O
prior   O
to   O
arrival   O
.   O

Carney   B-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
approximately   O
33   O
years   O
ago   O
.   O

Taylor   B-NAME
Maddox   I-NAME
is   O
currently   O
on   O
medication   O
,   O
including   O
metformin   O
and   O
amlodipine   O
.   O

Examination   O
Findings   O
:   O
Upon   O
initial   O
examination   O
,   O
Atwood   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
150/90   O
mmHg   O
,   O
pulse   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
/   O
min   O
,   O
temperature   O
98.6   O
°   O
F   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

Management   O
and   O
Outcome   O
:   O
Ezra   B-NAME
Adams   I-NAME
was   O
immediately   O
given   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
sublingual   O
nitroglycerin   O
in   O
the   O
emergency   O
department   O
and   O
was   O
started   O
on   O
a   O
heparin   O
drip   O
.   O

Cardiology   O
was   O
consulted   O
,   O
and   O
Hateya   B-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
urgent   O
coronary   O
angiography   O
,   O
which   O
revealed   O
significant   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Malcolm   B-NAME
Crowe   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
ward   O
for   O
further   O
management   O
and   O
monitoring   O
.   O

The   O
patient   O
's   O
condition   O
stabilized   O
over   O
the   O
next   O
20   B-DATE
,   O
and   O
Valery   B-NAME
Frost   I-NAME
showed   O
significant   O
improvement   O
.   O

Rebecca   B-NAME
Cochran   I-NAME
received   O
education   O
on   O
lifestyle   O
modifications   O
,   O
including   O
diet   O
and   O
exercise   O
.   O

Banks   B-NAME
,   I-NAME
Robert   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Maldonado   B-NAME
in   O
01/23   B-DATE
.   O
Conclusion   O
:   O
This   O
incident   O
underscores   O
the   O
importance   O
of   O
early   O
recognition   O
and   O
prompt   O
intervention   O
in   O
acute   O
myocardial   O
infarction   O
.   O

Malory   B-NAME
,   I-NAME
Thomas   I-NAME
's   O
timely   O
arrival   O
and   O
the   O
coordinated   O
efforts   O
of   O
the   O
emergency   O
and   O
cardiology   O
departments   O
at   O
Abbott   B-LOCATION
Northwestern   I-LOCATION
Hospital   I-LOCATION
resulted   O
in   O
a   O
favorable   O
outcome   O
.   O

Ongoing   O
management   O
will   O
focus   O
on   O
secondary   O
prevention   O
and   O
close   O
monitoring   O
of   O
Barbie   B-NAME
's   O
cardiovascular   O
health   O
.   O

Patient   O
Report   O
for   O
Kellner   B-NAME
,   I-NAME
Friedrich   I-NAME
General   O
Information   O
:   O
Age   O
:   O
70   O
Date   O
of   O
Birth   O
:   O
01/18   B-DATE
ID   O
:   O
7212565   B-ID
Medical   O
Record   O
Number   O
:   O
8252111   B-ID
Admission   O
Date   O
:   O
04/90   B-DATE
Discharge   O
Date   O
:   O
15/21/2003   B-DATE
Provider   O
:   O
Duarte   B-NAME
Responsibility   O
for   O
Care   O
:   O
Johanna   B-NAME
Blackburn   I-NAME
Hospital   O
Name   O
:   O

Knapp   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
De   B-LOCATION
Leon   I-LOCATION
ZIP   O
Code   O
:   O
37381   B-LOCATION
Phone   O
:   O
67581   B-CONTACT
Patient   O
's   O
Profession   O
:   O
Treasurers   O
,   O
Controllers   O
,   O
and   O
Chief   O
Financial   O
Officers   O
Presenting   O
Complaint   O
:   O
Devan   B-NAME
Chandler   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Flint   B-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
on   O
22/23   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
38.6   O
°   O
C   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Douglas   B-NAME
Hanson   I-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
on   O
the   O
evening   O
of   O
March   B-DATE
12   I-DATE
,   I-DATE
2278   I-DATE
,   O
initially   O
dismissing   O
it   O
as   O
indigestion   O
.   O

There   O
was   O
no   O
vomiting   O
,   O
but   O
Ludwig   B-NAME
von   I-NAME
Saulsbourg   I-NAME
reported   O
loss   O
of   O
appetite   O
.   O

Upon   O
examination   O
,   O
Frankie   B-NAME
Beck   I-NAME
displayed   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

A   O
CT   O
abdomen   O
/   O
pelvis   O
with   O
contrast   O
performed   O
on   O
02/22/02   B-DATE
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
with   O
periappendiceal   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Berio   B-NAME
,   I-NAME
Luciano   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
22/01/12   B-DATE
without   O
complication   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Gilmore   B-NAME
was   O
discharged   O
on   O
28/20   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
activity   O
modification   O
.   O

Follow   O
-   O
Up   O
:   O
Emory   B-NAME
Sudderth   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Jackson   B-NAME
at   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Littleton   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
on   O
30/00   B-DATE
.   O

Any   O
signs   O
of   O
infection   O
,   O
fever   O
,   O
or   O
increased   O
abdominal   O
pain   O
should   O
prompt   O
an   O
immediate   O
phone   O
call   O
to   O
22280   B-CONTACT
.   O

Transmission   O
or   O
reproduction   O
of   O
this   O
document   O
to   O
parties   O
without   O
explicit   O
authorization   O
from   O
Benjamin   B-NAME
,   I-NAME
Walter   I-NAME
or   O
their   O
legal   O
representative   O
is   O
prohibited   O
.   O

Patient   O
Report   O
for   O
Hesiod   B-NAME
Basic   O
Information   O
:   O
-   O
Deacon   B-NAME
Obrien   I-NAME
is   O
a   O
82   O
-   O
year   O
-   O
old   O
Educational   O
,   O
Vocational   O
,   O
and   O
School   O
Counselors   O
residing   O
in   O
Tullos   B-LOCATION
,   O
32897   B-LOCATION
.   O

-   O
Contact   O
number   O
:   O
664   B-CONTACT
-   I-CONTACT
557   I-CONTACT
1352   I-CONTACT
.   O

-   O
Thomas   B-NAME
Woods   I-NAME
's   O
primary   O
care   O
provider   O
is   O
Dr.   O
Una   B-NAME
Perreira   I-NAME
at   O
Doctors   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Sarasota   I-LOCATION
,   I-LOCATION
Florida   I-LOCATION
)   I-LOCATION
.   O

Medical   O
History   O
:   O
-   O
Larry   B-NAME
Mora   I-NAME
presents   O
with   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Current   O
Symptoms   O
:   O
-   O
Xuereb   B-NAME
reports   O
experiencing   O
acute   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
and   O
an   O
irregular   O
heartbeat   O
which   O
began   O
approximately   O
on   O
the   O
morning   O
of   O
April   B-DATE
2154   I-DATE
.   O

Robinson   B-NAME
also   O
mentions   O
occasional   O
episodes   O
of   O
lightheadedness   O
and   O
one   O
instance   O
of   O
syncope   O
on   O
the   O
evening   O
of   O
17   B-DATE
.   O
-   O
Additionally   O
,   O
Dylan   B-NAME
Jones   I-NAME
has   O
noticed   O
swelling   O
in   O
the   O
lower   O
extremities   O
,   O
predominantly   O
on   O
the   O
left   O
side   O
,   O
starting   O
around   O
07/28   B-DATE
.   O
-   O
Breann   B-NAME
Bloss   I-NAME
's   O
current   O
medications   O
include   O
Metformin   O
500   O
mg   O
twice   O
a   O
day   O
,   O
Lisinopril   O
10   O
mg   O
once   O
a   O
day   O
,   O
and   O
a   O
newly   O
prescribed   O
SGLT2   O
inhibitor   O
initiated   O
on   O
07/21   B-DATE
.   O

Diagnostic   O
Evaluations   O
:   O
-   O
Upon   O
arrival   O
at   O
Andalusia   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
02/32   B-DATE
,   O
Rolando   B-NAME
underwent   O
a   O
series   O
of   O
diagnostic   O
tests   O
including   O
a   O
12   O
-   O
lead   O
ECG   O
,   O
chest   O
X   O
-   O
ray   O
,   O
and   O
blood   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
,   O
comprehensive   O
metabolic   O
panel   O
,   O
and   O
cardiac   O
biomarkers   O
.   O
-   O

Initial   O
cardiac   O
biomarkers   O
were   O
elevated   O
,   O
indicating   O
possible   O
myocardial   O
injury   O
.   O
-   O
Medical   O
record   O
number   O
:   O
224   B-ID
-   I-ID
76   I-ID
-   I-ID
49   I-ID
-   I-ID
2   I-ID
.   O
-   O
FB:72103:245104   B-ID
was   O
verified   O
upon   O
admission   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
-   O
Dr.   O
Abraham   B-NAME
Zhang   I-NAME
recommended   O
the   O
initiation   O
of   O
an   O
anticoagulant   O
therapy   O
to   O
manage   O
the   O
atrial   O
fibrillation   O
and   O
to   O
reduce   O
the   O
risk   O
of   O
stroke   O
.   O

-   O
Diuretic   O
therapy   O
was   O
suggested   O
to   O
manage   O
the   O
edema   O
in   O
the   O
lower   O
extremities   O
.   O
-   O
Yancy   B-NAME
was   O
advised   O
to   O
monitor   O
blood   O
glucose   O
levels   O
frequently   O
due   O
to   O
the   O
potential   O
for   O
SGLT2   O
inhibitors   O
to   O
cause   O
volume   O
depletion   O
,   O
which   O
could   O
exacerbate   O
orthostatic   O
hypotension   O
.   O
-   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Chang   B-NAME
for   O
2/2052   B-DATE
at   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
to   O
reevaluate   O
Daniella   B-NAME
Rangel   I-NAME
's   O
response   O
to   O
the   O
new   O
treatment   O
regimen   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

Discharge   O
Information   O
:   O
-   O
Sarina   B-NAME
Levielle   I-NAME
was   O
discharged   O
on   O
21/22   B-DATE
with   O
detailed   O
instructions   O
for   O
medication   O
management   O
,   O
signs   O
to   O
monitor   O
that   O
would   O
necessitate   O
immediate   O
medical   O
attention   O
,   O
and   O
lifestyle   O
modifications   O
including   O
dietary   O
changes   O
and   O
the   O
importance   O
of   O
regular   O
physical   O
activity   O
.   O

-   O
Instructions   O
for   O
follow   O
-   O
up   O
were   O
provided   O
,   O
including   O
70085   B-CONTACT
for   O
First   B-LOCATION
Hospital   I-LOCATION
Wyoming   I-LOCATION
Valley   I-LOCATION
and   O
Dr.   O
Salazar   B-NAME
's   O
direct   O
line   O
for   O
any   O
immediate   O
concerns   O
or   O
clarification   O
on   O
treatment   O
advice   O
.   O

Please   O
contact   O
Maria   B-LOCATION
Parham   I-LOCATION
Health   I-LOCATION
at   O
471   B-CONTACT
-   I-CONTACT
9982   I-CONTACT
for   O
any   O
inquiries   O
or   O
concerns   O
regarding   O
the   O
handling   O
of   O
this   O
information   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Axel   B-NAME
Shah   I-NAME
Patient   O
ID   O
:   O
XN   B-ID
:   I-ID
VQ:7598   I-ID
Medical   O
Record   O
Number   O
:   O
732   B-ID
-   I-ID
34   I-ID
-   I-ID
81   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
51   O
Phone   O
Number   O
:   O
636   B-CONTACT
-   I-CONTACT
2811   I-CONTACT
Primary   O
Physician   O
:   O
Wilkerson   B-NAME
Location   O
:   O
Everett   B-LOCATION
Hospital   O
:   O
Penn   B-LOCATION
Highlands   I-LOCATION
DuBois   I-LOCATION
Profession   O
:   O
Camera   O
operator   O
Admission   O
Date   O
:   O
19/22/2375   B-DATE
Zip   O
Code   O
:   O
99744   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Credit   O
Authorizers   O
from   O
New   B-LOCATION
Glarus   I-LOCATION
,   O
was   O
admitted   O
to   O
CHRISTUS   B-LOCATION
Spohn   I-LOCATION
Hospital   I-LOCATION
Kleberg   I-LOCATION
on   O
11/02/2332   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
an   O
episode   O
of   O
vomiting   O
that   O
started   O
approximately   O
12   O
hours   O
before   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Swift   B-NAME
,   I-NAME
Jonathan   I-NAME
,   O
a   O
67   O
-   O
year   O
-   O
old   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
reports   O
the   O
onset   O
of   O
symptoms   O
started   O
suddenly   O
the   O
evening   O
before   O
admission   O
after   O
consuming   O
dinner   O
.   O

No   O
recent   O
travel   O
history   O
outside   O
Lovettsville   B-LOCATION
was   O
reported   O
.   O

Type   O
2   O
diabetes   O
mellitus   O
diagnosed   O
in   O
August   B-DATE
03   I-DATE
2   O
.   O

Hypertension   O
diagnosed   O
in   O
23/29/07   B-DATE
3   O
.   O

Jenell   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

The   O
gastroenterology   O
team   O
,   O
led   O
by   O
Pearson   B-NAME
,   O
has   O
been   O
consulted   O
for   O
further   O
assessment   O
and   O
likely   O
endoscopic   O
evaluation   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
with   O
Ben   B-NAME
Gideon   I-NAME
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Pontiac   I-LOCATION
has   O
been   O
scheduled   O
for   O
3/10   B-DATE
to   O
review   O
the   O
results   O
of   O
pending   O
investigations   O
and   O
assess   O
the   O
patient   O
’s   O
progress   O
.   O

Progress   B-LOCATION
Energy   I-LOCATION
Florida   I-LOCATION
documents   O
all   O
patient   O
data   O
confidentially   O
adhering   O
to   O
HIPAA   O
guidelines   O
.   O

For   O
further   O
inquiries   O
,   O
please   O
contact   O
us   O
at   O
45117   B-CONTACT
.   O

Prepared   O
by   O
:   O
aqz262   B-NAME
Date   O
:   O
March   B-DATE
20   I-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Bailey   B-NAME
Huang   I-NAME
Patient   O
ID   O
:   O
FU:31293:506794   B-ID
Medical   O
Record   O
Number   O
:   O
28150687   B-ID
Age   O
:   O
42   O
Date   O
of   O
Birth   O
:   O
5/30   B-DATE
Address   O
:   O
Clarcona   B-LOCATION
,   O
19564   B-LOCATION
Phone   O
Number   O
:   O
14993   B-CONTACT
Employer   O
:   O
Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION
Occupation   O
:   O
Materials   O
Inspectors   O
Primary   O
Physician   O
:   O

Baba   B-NAME
,   I-NAME
Meher   I-NAME
Date   O
of   O
Admission   O
:   O
07/02   B-DATE
Hospital   O
:   O

Overlook   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
Nichols   B-NAME
was   O
admitted   O
to   O
Northern   B-LOCATION
Montana   I-LOCATION
Hospital   I-LOCATION
on   O
Friday   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
and   O
a   O
productive   O
cough   O
lasting   O
approximately   O
two   O
weeks   O
.   O

Past   O
Medical   O
History   O
:   O
Conrad   B-NAME
Stafford   I-NAME
has   O
a   O
documented   O
history   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
and   O
hypertension   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Janessa   B-NAME
Marguardt   I-NAME
exhibited   O
tachypnea   O
with   O
a   O
respiratory   O
rate   O
of   O
94   O
breaths   O
per   O
minute   O
and   O
was   O
febrile   O
with   O
a   O
temperature   O
of   O
9   O
week   O
degrees   O
Celsius   O
.   O

Treatment   O
:   O
Haas   B-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
consisting   O
of   O
intravenous   O
levofloxacin   O
and   O
oral   O
prednisone   O
to   O
manage   O
the   O
COPD   O
exacerbation   O
.   O

A   O
follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
is   O
scheduled   O
for   O
May   B-DATE
8   I-DATE
to   O
evaluate   O
the   O
response   O
to   O
treatment   O
.   O

Progress   O
Notes   O
:   O
As   O
of   O
F   B-DATE
,   O
Benedict   B-NAME
Lanate   I-NAME
's   O
symptoms   O
have   O
shown   O
moderate   O
improvement   O
.   O

outlaw   B-NAME
continues   O
to   O
receive   O
physiotherapy   O
to   O
aid   O
in   O
sputum   O
clearance   O
.   O

A   O
review   O
appointment   O
is   O
scheduled   O
with   O
Hurst   B-NAME
on   O
11/04/2326   B-DATE
at   O
Del   B-LOCATION
Sol   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
assessment   O
and   O
management   O
.   O

Additional   O
support   O
from   O
a   O
dietitian   O
and   O
a   O
pulmonary   O
rehabilitation   O
specialist   O
from   O
FDA   B-LOCATION
has   O
been   O
recommended   O
to   O
aid   O
in   O
Koen   B-NAME
Potts   I-NAME
's   O
recovery   O
and   O
health   O
optimization   O
.   O

For   O
any   O
additional   O
inquiries   O
or   O
clarifications   O
,   O
please   O
contact   O
Shenandoah   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
388   B-CONTACT
-   I-CONTACT
4893   I-CONTACT
.   O

Patient   O
Name   O
:   O
Kilian   B-NAME
Middleton   I-NAME
Patient   O
ID   O
:   O
64080   B-ID
Medical   O
Record   O
Number   O
:   O
762   B-ID
-   I-ID
37   I-ID
-   I-ID
30   I-ID
-   I-ID
5   I-ID
Age   O
:   O
48   O
Date   O
of   O
Visit   O
:   O
2260   B-DATE
Attending   O
Physician   O
:   O
Snyder   B-NAME
Hospital   O
Name   O
:   O
ORBIS   B-LOCATION
International   I-LOCATION
Location   O
:   O

Sioux   B-LOCATION
Rapids   I-LOCATION
Contact   O
Number   O
:   O
596   B-CONTACT
-   I-CONTACT
3475   I-CONTACT
Summary   O
of   O
Visit   O
:   O
Booker   B-NAME
,   O
a   O
Pump   O
Operators   O
,   O
Except   O
Wellhead   O
Pumpers   O
from   O
Salton   B-LOCATION
Sea   I-LOCATION
Beach   I-LOCATION
,   O
presented   O
to   O
Fox   B-LOCATION
Chase   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
on   O
March   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
persistent   O
cough   O
over   O
the   O
past   O
22/02/15   B-DATE
.   O

On   O
examination   O
,   O
Kaya   B-NAME
Good   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
with   O
observable   O
use   O
of   O
accessory   O
muscles   O
for   O
breathing   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
documented   O
under   O
75871130   B-ID
,   O
includes   O
controlled   O
hypertension   O
and   O
a   O
previous   O
diagnosis   O
of   O
atopic   O
dermatitis   O
.   O

Isaac   B-NAME
Ferraro   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
asthma   O
and   O
allergic   O
rhinitis   O
,   O
suggesting   O
a   O
possible   O
atopic   O
predisposition   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Curry   B-NAME
diagnosed   O
the   O
patient   O
with   O
Adult   O
-   O
Onset   O
Asthma   O
.   O

An   O
asthma   O
action   O
plan   O
was   O
developed   O
and   O
reviewed   O
with   O
Karsyn   B-NAME
Mcclure   I-NAME
,   O
focusing   O
on   O
identifying   O
triggers   O
and   O
early   O
signs   O
of   O
exacerbations   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
11/31   B-DATE
to   O
assess   O
response   O
to   O
therapy   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

Consideration   O
of   O
allergy   O
testing   O
,   O
as   O
recommended   O
by   O
Calhoun   B-NAME
to   O
explore   O
potential   O
allergens   O
that   O
may   O
exacerbate   O
asthma   O
symptoms   O
.   O

For   O
any   O
urgent   O
issues   O
or   O
questions   O
regarding   O
the   O
treatment   O
plan   O
,   O
Mitchell   B-NAME
was   O
advised   O
to   O
contact   O
Minidoka   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
pulmonary   O
department   O
directly   O
at   O
66688   B-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
exclusive   O
use   O
of   O
Mila   B-NAME
Chambers   I-NAME
and   O
Jay   B-NAME
,   I-NAME
Glenn   I-NAME
,   I-NAME
Miner   I-NAME
's   O
healthcare   O
providers   O
.   O

Date   O
of   O
Report   O
:   O
22/12   B-DATE
Report   O
Prepared   O
By   O
:   O
NG925   B-NAME
Atlantic   B-LOCATION
City   I-LOCATION
Electric   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
82236   B-LOCATION

The   O
patient   O
,   O
Roger   B-NAME
Bridges   I-NAME
,   O
a   O
Marketing   O
manager   O
(   O
social   O
media   O
)   O
from   O
East   B-LOCATION
Freedom   I-LOCATION
,   O
presented   O
to   O
Seton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Williamson   I-LOCATION
on   O
19   B-DATE
with   O
a   O
detailed   O
history   O
and   O
symptoms   O
suggestive   O
of   O
acute   O
pancreatitis   O
.   O

Upon   O
physical   O
examination   O
,   O
Gates   B-NAME
,   I-NAME
Bill   I-NAME
exhibited   O
tenderness   O
in   O
the   O
epigastric   O
region   O
.   O

Blood   O
investigations   O
were   O
immediately   O
ordered   O
by   O
Cristian   B-NAME
Maynard   I-NAME
which   O
showed   O
elevated   O
levels   O
of   O
serum   O
amylase   O
and   O
lipase   O
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
pancreatitis   O
.   O

Youngquist   B-NAME
's   O
83231663   B-ID
number   O
was   O
used   O
to   O
access   O
previous   O
health   O
records   O
,   O
revealing   O
no   O
significant   O
past   O
medical   O
history   O
.   O

A   O
follow   O
-   O
up   O
CT   O
scan   O
was   O
advised   O
by   O
Melody   B-NAME
Jackson   I-NAME
,   O
to   O
assess   O
the   O
extent   O
of   O
pancreatic   O
inflammation   O
and   O
rule   O
out   O
complications   O
such   O
as   O
necrosis   O
or   O
pseudocyst   O
formation   O
.   O

The   O
contact   O
number   O
provided   O
for   O
emergency   O
communication   O
was   O
63226   B-CONTACT
.   O

All   O
information   O
related   O
to   O
Adamanta   B-NAME
Gicker   I-NAME
's   O
care   O
,   O
including   O
diagnostic   O
reports   O
and   O
management   O
plans   O
,   O
were   O
secured   O
with   O
the   O
patient   O
's   O
276755478   B-ID
number   O
to   O
maintain   O
confidentiality   O
.   O

Further   O
consultations   O
with   O
specialists   O
in   O
gastroenterology   O
from   O
Botswana   B-LOCATION
Central   I-LOCATION
Bank   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
were   O
scheduled   O
to   O
evaluate   O
the   O
need   O
for   O
any   O
interventional   O
procedures   O
and   O
to   O
advise   O
on   O
long   O
-   O
term   O
management   O
to   O
prevent   O
recurrence   O
.   O

During   O
the   O
hospitalization   O
period   O
at   O
Chris   B-LOCATION
Evert   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
,   O
the   O
health   O
care   O
team   O
maintained   O
close   O
communication   O
with   O
the   O
patient   O
and   O
their   O
family   O
,   O
providing   O
updates   O
on   O
the   O
patient   O
's   O
progress   O
and   O
education   O
on   O
disease   O
management   O
after   O
discharge   O
.   O

Upon   O
discharge   O
,   O
Susan   B-NAME
Noyes   I-NAME
was   O
given   O
detailed   O
instructions   O
for   O
lifestyle   O
and   O
dietary   O
modifications   O
along   O
with   O
prescriptions   O
for   O
medications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Oneill   B-NAME
on   O
04/22/1879   B-DATE
to   O
monitor   O
recovery   O
progress   O
.   O

Directions   O
to   O
reach   O
the   O
clinic   O
from   O
JF   B-LOCATION
Villarreal   I-LOCATION
and   O
the   O
clinic   O
's   O
contact   O
details   O
,   O
including   O
the   O
652   B-CONTACT
-   I-CONTACT
201   I-CONTACT
-   I-CONTACT
4445   I-CONTACT
number   O
,   O
were   O
provided   O
.   O

The   O
patient   O
's   O
discharge   O
summary   O
,   O
coded   O
with   O
0953267   B-ID
,   O
was   O
securely   O
sent   O
to   O
their   O
primary   O
care   O
physician   O
in   O
California   B-LOCATION
for   O
continuity   O
of   O
care   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Cale   B-NAME
Munoz   I-NAME
Age   O
:   O
81   O
Medical   O
Record   O
Number   O
:   O
1622950   B-ID
ID   O
:   O
7   B-ID
-   I-ID
2675266   I-ID
Date   O
of   O
Birth   O
:   O

Thursday   B-DATE
,   I-DATE
December   I-DATE
Address   O
:   O
Mount   B-LOCATION
Plymouth   I-LOCATION
,   O
17940   B-LOCATION
Phone   O
number   O
:   O
(   B-CONTACT
733   I-CONTACT
)   I-CONTACT
294   I-CONTACT
-   I-CONTACT
1755   I-CONTACT

Winters   B-NAME
Hospital   O
:   O
St.   B-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
History   O
of   O
the   O
Present   O
Illness   O
:   O
Karen   B-NAME
Thorpe   I-NAME
presented   O
to   O
the   O
Prisma   B-LOCATION
Health   I-LOCATION
Oconee   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
08/38/33   B-DATE
,   O
complaining   O
of   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
palpitations   O
.   O

Gandhi   B-NAME
,   I-NAME
Mahatma   I-NAME
also   O
noted   O
a   O
recent   O
history   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
over   O
the   O
past   O
month   O
,   O
each   O
lasting   O
from   O
a   O
few   O
minutes   O
to   O
a   O
few   O
hours   O
.   O

Ramon   B-NAME
Mcintosh   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
is   O
a   O
Crane   O
and   O
Tower   O
Operators   O
with   O
a   O
high   O
-   O
stress   O
job   O
.   O

On   O
examination   O
,   O
Gene   B-NAME
Quadri   I-NAME
appeared   O
distressed   O
with   O
visible   O
pallor   O
.   O

CBC   O
and   O
CMP   O
results   O
were   O
within   O
normal   O
limits   O
,   O
but   O
the   O
troponin   O
level   O
was   O
slightly   O
elevated   O
,   O
prompting   O
further   O
evaluation   O
with   O
a   O
cardiac   O
MRI   O
.   O
Management   O
:   O
Given   O
the   O
suspicion   O
of   O
a   O
cardiac   O
etiology   O
,   O
Ahmad   B-NAME
Butler   I-NAME
initiated   O
treatment   O
with   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
.   O

A   O
referral   O
to   O
MetLife   B-LOCATION
for   O
an   O
outpatient   O
follow   O
-   O
up   O
and   O
potential   O
coronary   O
angiography   O
was   O
made   O
.   O

Philip   B-NAME
Mora   I-NAME
was   O
advised   O
on   O
lifestyle   O
modification   O
,   O
including   O
dietary   O
changes   O
,   O
exercise   O
,   O
and   O
stress   O
management   O
techniques   O
.   O

Dalton   B-NAME
Moody   I-NAME
was   O
discharged   O
on   O
8/9   B-DATE
with   O
a   O
prescription   O
for   O
nitroglycerin   O
to   O
use   O
as   O
needed   O
for   O
chest   O
pain   O
.   O

Follow   O
-   O
Up   O
:   O
Baker   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Anne   B-NAME
Hensley   I-NAME
at   O
Pioneers   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Nov   B-DATE
.   O
Further   O
appointments   O
with   O
cardiac   O
specialists   O
at   O
Botswana   B-LOCATION
Commercial   I-LOCATION
&   I-LOCATION
General   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
have   O
also   O
been   O
arranged   O
.   O

Fernanda   B-NAME
was   O
instructed   O
to   O
monitor   O
symptoms   O
and   O
seek   O
immediate   O
medical   O
attention   O
if   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
palpitations   O
worsen   O
or   O
do   O
not   O
improve   O
with   O
nitroglycerin   O
.   O

Conclusion   O
:   O
The   O
case   O
of   O
Kaya   B-NAME
highlights   O
the   O
importance   O
of   O
a   O
thorough   O
evaluation   O
and   O
management   O
plan   O
for   O
patients   O
presenting   O
with   O
chest   O
pain   O
and   O
potential   O
cardiac   O
symptoms   O
.   O

The   O
patient   O
,   O
Hardin   B-NAME
,   O
a   O
Geological   O
Sample   O
Test   O
Technicians   O
from   O
Owasa   B-LOCATION
,   O
was   O
admitted   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Allen   I-LOCATION
Hospital   I-LOCATION
on   O
2381   B-DATE
with   O
a   O
history   O
of   O
shortness   O
of   O
breath   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
intermittent   O
chest   O
pain   O
of   O
increasing   O
severity   O
over   O
the   O
past   O
71   O
weeks   O
.   O

Initial   O
evaluation   O
by   O
Patel   B-NAME
identified   O
bilateral   O
wheezing   O
on   O
auscultation   O
,   O
and   O
an   O
increased   O
respiratory   O
rate   O
suggestive   O
of   O
respiratory   O
distress   O
.   O

kuntz   B-NAME
's   O
oxygen   O
saturation   O
was   O
noted   O
to   O
be   O
89   O
%   O
on   O
room   O
air   O
upon   O
arrival   O
.   O

Blake   B-NAME
Sheppard   I-NAME
reported   O
a   O
significant   O
weight   O
loss   O
of   O
10   O
pounds   O
over   O
the   O
last   O
two   O
months   O
without   O
any   O
changes   O
in   O
diet   O
or   O
exercise   O
habits   O
,   O
which   O
raised   O
an   O
index   O
of   O
suspicion   O
for   O
a   O
possible   O
malignancy   O
or   O
a   O
chronic   O
infection   O
.   O

Given   O
the   O
complexity   O
of   O
the   O
case   O
,   O
Kaylen   B-NAME
Winters   I-NAME
ordered   O
a   O
high   O
-   O
resolution   O
CT   O
scan   O
of   O
the   O
chest   O
,   O
which   O
showed   O
small   O
nodules   O
scattered   O
throughout   O
the   O
lung   O
fields   O
bilaterally   O
,   O
and   O
mediastinal   O
lymphadenopathy   O
.   O

Elizabeth   B-NAME
Fernandez   I-NAME
was   O
started   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
while   O
awaiting   O
further   O
diagnostic   O
results   O
.   O

A   O
bronchoscopy   O
performed   O
on   O
03/72   B-DATE
allowed   O
for   O
the   O
collection   O
of   O
bronchoalveolar   O
lavage   O
(   O
BAL   O
)   O
samples   O
,   O
which   O
were   O
sent   O
for   O
cytological   O
analysis   O
.   O

Percy   B-NAME
,   I-NAME
Walker   I-NAME
's   O
229   B-ID
-   I-ID
43   I-ID
-   I-ID
86   I-ID
number   O
was   O
DN:48954:168715   B-ID
,   O
and   O
all   O
procedures   O
and   O
laboratory   O
tests   O
were   O
meticulously   O
documented   O
under   O
this   O
record   O
.   O

Subsequent   O
discussions   O
with   O
Anabella   B-NAME
Vang   I-NAME
about   O
the   O
potential   O
diagnoses   O
,   O
including   O
pulmonary   O
infections   O
,   O
interstitial   O
lung   O
diseases   O
,   O
and   O
neoplastic   O
processes   O
,   O
were   O
conducted   O
.   O

Mildred   B-NAME
Gustafson   I-NAME
consented   O
to   O
an   O
endobronchial   O
ultrasound   O
-   O
guided   O
biopsy   O
of   O
the   O
mediastinal   O
lymph   O
nodes   O
for   O
a   O
definitive   O
diagnosis   O
.   O

The   O
family   O
of   O
Vernon   B-NAME
,   O
who   O
reside   O
in   O
Castleberry   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
55412   B-CONTACT
,   O
have   O
been   O
updated   O
regularly   O
about   O
Lakin   B-NAME
's   O
condition   O
and   O
the   O
ongoing   O
investigations   O
.   O

Paris   B-NAME
Herring   I-NAME
has   O
expressed   O
gratitude   O
for   O
the   O
comprehensive   O
care   O
provided   O
by   O
the   O
multidisciplinary   O
team   O
at   O
Paris   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
inquiries   O
or   O
updates   O
regarding   O
Cayden   B-NAME
Nicholson   I-NAME
's   O
care   O
,   O
please   O
contact   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
475   B-CONTACT
-   I-CONTACT
334   I-CONTACT
7997   I-CONTACT
or   O
reference   O
the   O
96461469   B-ID
number   O
10961   B-ID
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Caitlyn   B-NAME
Ramos   I-NAME
,   O
remains   O
committed   O
to   O
providing   O
the   O
highest   O
standard   O
of   O
care   O
paralleled   O
by   O
constant   O
communication   O
with   O
both   O
the   O
patient   O
and   O
their   O
family   O
.   O

Patient   O
:   O
Brandon   B-NAME
Walls   I-NAME
ID   O
:   O
572301   B-ID
Age   O
:   O
0   O
Date   O
of   O
Birth   O
:   O
8   B-DATE
-   I-DATE
26   I-DATE
Address   O
:   O
Creighton   B-LOCATION
,   O
28235   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
458   I-CONTACT
)   I-CONTACT
706   I-CONTACT
-   I-CONTACT
9405   I-CONTACT
Occupation   O
:   O
Podiatrists   O
Primary   O
Physician   O
:   O
Dr.   O
Singh   B-NAME
Hospital   O
:   O

Grand   B-LOCATION
Strand   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
54710251   B-ID
Admission   O
Date   O
:   O
26/33   B-DATE
Username   O
:   O
lr9910   B-NAME
Summary   O
:   O
P.   B-NAME
Ponce   I-NAME
,   O
a   O
Nuclear   O
Technicians   O
by   O
trade   O
,   O
presented   O
to   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Kent   I-LOCATION
Community   I-LOCATION
Campus   I-LOCATION
on   O
11/22/2192   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

On   O
physical   O
examination   O
,   O
Richards   B-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Regency   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Parks   B-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Lewis   B-NAME
,   I-NAME
C.   I-NAME
S.   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
Saturday   B-DATE
,   I-DATE
July   I-DATE
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
01/25   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Belia   B-NAME
Mattioli   I-NAME
in   O
two   O
weeks   O
.   O

Elly   B-NAME
Mawson   I-NAME
exhibited   O
classic   O
symptoms   O
and   O
physical   O
findings   O
of   O
appendicitis   O
,   O
expedited   O
imaging   O
facilitated   O
confirmation   O
of   O
the   O
diagnosis   O
,   O
and   O
timely   O
surgical   O
intervention   O
ensured   O
a   O
successful   O
outcome   O
.   O

Ethyl   B-NAME
Gruber   I-NAME
was   O
advised   O
regarding   O
smoking   O
cessation   O
and   O
referred   O
to   O
a   O
smoking   O
cessation   O
program   O
at   O
CCJO   B-LOCATION
René   I-LOCATION
Cassin   I-LOCATION
to   O
address   O
the   O
long   O
-   O
standing   O
tobacco   O
use   O
.   O

Please   O
refer   O
to   O
medical   O
record   O
number   O
95980099   B-ID
for   O
further   O
details   O
regarding   O
this   O
admission   O
and   O
the   O
care   O
provided   O
.   O

Patient   O
Report   O
for   O
Sonia   B-NAME
Stevens   I-NAME
00/00/2220   B-DATE
,   O
Floresville   B-LOCATION
The   O
patient   O
,   O
a   O
41   O
-   O
year   O
-   O
old   O
salesperson   O
,   O
was   O
admitted   O
to   O
Chesapeake   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
symptoms   O
indicating   O
a   O
severe   O
case   O
of   O
gastroenteritis   O
.   O

Upon   O
admission   O
,   O
the   O
patient   O
reported   O
a   O
sudden   O
onset   O
of   O
symptoms   O
including   O
nausea   O
,   O
severe   O
abdominal   O
cramping   O
,   O
and   O
diarrhea   O
over   O
the   O
past   O
01/20   B-DATE
.   O

The   O
patient   O
also   O
noted   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
around   O
39/23/2197   B-DATE
.   O

Russell   B-NAME
,   I-NAME
Bertrand   I-NAME
has   O
no   O
known   O
allergies   O
but   O
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
which   O
exacerbates   O
these   O
symptoms   O
.   O

The   O
patient   O
's   O
weight   O
was   O
recorded   O
at   O
1561031   B-ID
kg   O
,   O
showing   O
a   O
slight   O
decline   O
from   O
the   O
previous   O
weight   O
recorded   O
on   O
30/17   B-DATE
,   O
indicating   O
possible   O
dehydration   O
.   O

A   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
and   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
were   O
ordered   O
by   O
Valdez   B-NAME
to   O
assess   O
Jamarion   B-NAME
Graham   I-NAME
's   O
current   O
health   O
status   O
and   O
to   O
look   O
for   O
possible   O
infections   O
or   O
imbalances   O
.   O

The   O
investigation   O
ID   O
for   O
these   O
labs   O
is   O
0849C90887   B-ID
.   O

Given   O
the   O
patient   O
's   O
history   O
and   O
symptoms   O
,   O
Wilber   B-NAME
,   I-NAME
Ken   I-NAME
prescribed   O
oral   O
rehydration   O
solutions   O
and   O
advised   O
strict   O
monitoring   O
of   O
fluid   O
intake   O
and   O
output   O
.   O

Lilyana   B-NAME
Downs   I-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
7   B-DATE
-   I-DATE
29   I-DATE
to   O
reassess   O
Jonah   B-NAME
Fullilove   I-NAME
's   O
condition   O
and   O
review   O
the   O
laboratory   O
results   O
.   O

The   O
patient   O
was   O
instructed   O
to   O
return   O
to   O
Duke   B-LOCATION
Raleigh   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
40348   B-CONTACT
if   O
symptoms   O
worsened   O
or   O
if   O
new   O
symptoms   O
appeared   O
.   O

Additionally   O
,   O
Quinn   B-NAME
Ivey   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
bland   O
diet   O
for   O
the   O
next   O
Tuesday   B-DATE
,   I-DATE
June   I-DATE
to   O
ease   O
the   O
gastrointestinal   O
tract   O
back   O
to   O
normal   O
function   O
.   O

Canadian   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
proceeded   O
with   O
the   O
registration   O
of   O
the   O
patient   O
's   O
visit   O
,   O
and   O
all   O
documentation   O
was   O
recorded   O
under   O
the   O
patient   O
's   O
medical   O
record   O
number   O
,   O
67932968   B-ID
.   O

The   O
billing   O
department   O
,   O
contactable   O
at   O
41189   B-CONTACT
,   O
processed   O
the   O
charges   O
for   O
the   O
laboratory   O
work   O
and   O
the   O
physician   O
's   O
consultation   O
.   O

The   O
confidentiality   O
of   O
Henriette   B-NAME
Leversee   I-NAME
's   O
personal   O
and   O
health   O
information   O
,   O
including   O
their   O
address   O
at   O
Peapack   B-LOCATION
and   O
69391   B-LOCATION
,   O
was   O
maintained   O
throughout   O
the   O
process   O
,   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

For   O
any   O
further   O
assistance   O
or   O
follow   O
-   O
up   O
,   O
Darwin   B-NAME
Li   I-NAME
can   O
reach   O
out   O
to   O
Providence   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Everett   I-LOCATION
's   O
helpdesk   O
via   O
(   B-CONTACT
201   I-CONTACT
)   I-CONTACT
823   I-CONTACT
-   I-CONTACT
4718   I-CONTACT
or   O
visit   O
the   O
hospital   O
's   O
premises   O
at   O
Peterlee   B-LOCATION
.   O

End   O
of   O
Report   O
Username   O
:   O
yc501   B-NAME
Memorial   B-DATE
Day   I-DATE

Patient   O
Name   O
:   O
Godfrey   B-NAME
,   I-NAME
Stanley   I-NAME
Age   O
:   O
47   O
Date   O
of   O
Birth   O
:   O
Saturday   B-DATE
,   I-DATE
July   I-DATE
Address   O
:   O
Absarokee   B-LOCATION
,   O
76118   B-LOCATION
Phone   O
Number   O
:   O
972   B-CONTACT
-   I-CONTACT
4792   I-CONTACT
Medical   O
Record   O
Number   O
:   O
346   B-ID
-   I-ID
92   I-ID
-   I-ID
36   I-ID
-   I-ID
6   I-ID
Attending   O
Physician   O
:   O

Kenny   B-NAME
Fischer   I-NAME
ID   O
:   O
6   B-ID
-   I-ID
2462885   I-ID
Hospital   O
:   O
Houston   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
07/26/2160   B-DATE
Date   O
of   O
Report   O
:   O
13/36/18   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
George   B-NAME
Fletcher   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
McLaren   B-LOCATION
Flint   I-LOCATION
on   O
1/23/02   B-DATE
complaining   O
of   O
severe   O
,   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Carey   B-NAME
,   I-NAME
Sandra   I-NAME
,   O
a   O
Biofuels   O
Production   O
Managers   O
by   O
profession   O
,   O
has   O
been   O
experiencing   O
intermittent   O
episodes   O
of   O
chest   O
pain   O
over   O
the   O
past   O
month   O
,   O
which   O
were   O
initially   O
attributed   O
to   O
stress   O
and   O
work   O
overload   O
.   O

However   O
,   O
the   O
intensity   O
of   O
the   O
pain   O
significantly   O
increased   O
on   O
Jun   B-DATE
02   I-DATE
,   I-DATE
2326   I-DATE
,   O
prompting   O
an   O
emergency   O
department   O
visit   O
.   O

Past   O
Medical   O
History   O
:   O
Rawan   B-NAME
Pineda   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

On   O
examination   O
,   O
Destiny   B-NAME
Hill   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
,   O
a   O
pulse   O
of   O
98   O
beats   O
per   O
minute   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
.   O

Management   O
:   O
Dustin   B-NAME
Hebert   I-NAME
was   O
immediately   O
administered   O
aspirin   O
325   O
mg   O
,   O
clopidogrel   O
600   O
mg   O
loading   O
dose   O
,   O
and   O
sublingual   O
nitroglycerin   O
in   O
the   O
emergency   O
department   O
,   O
followed   O
by   O
initiation   O
of   O
a   O
heparin   O
drip   O
.   O

Roy   B-NAME
Rivas   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
at   O
Boulder   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
for   O
further   O
intervention   O
.   O

Follow   O
-   O
up   O
:   O
Ethen   B-NAME
Wagner   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Rodolfo   B-NAME
Golden   I-NAME
at   O
Civil   B-LOCATION
Rights   I-LOCATION
Defenders   I-LOCATION
on   O
02/23/2000   B-DATE
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
rr552   B-NAME
Relationship   O
to   O
Patient   O
:   O
Manicurists   O
and   O
Pedicurists   O
Phone   O
Number   O
:   O
419   B-CONTACT
9414   I-CONTACT
Informed   O
Consent   O
:   O
Informed   O
consent   O
for   O
the   O
recommended   O
cardiac   O
catheterization   O
procedure   O
was   O
obtained   O
from   O
Savage   B-NAME
on   O
Friday   B-DATE
.   O

The   O
procedure   O
,   O
potential   O
risks   O
,   O
and   O
benefits   O
were   O
explained   O
in   O
detail   O
,   O
and   O
all   O
questions   O
from   O
Elise   B-NAME
Dunn   I-NAME
were   O
answered   O
.   O

Summary   O
:   O
This   O
report   O
summarizes   O
the   O
acute   O
presentation   O
,   O
diagnosis   O
,   O
and   O
initial   O
management   O
of   O
Catt   B-NAME
,   I-NAME
Michael   I-NAME
,   O
who   O
sustained   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Gide   B-NAME
,   I-NAME
André   I-NAME
Patient   O
ID   O
:   O
7619005   B-ID
Medical   O
Record   O
Number   O
:   O
814   B-ID
-   I-ID
93   I-ID
-   I-ID
87   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
4/35/2161   B-DATE
Age   O
:   O
21   O
Phone   O
Number   O
:   O
92891   B-CONTACT
Address   O
:   O
Mobile   B-LOCATION
,   O
30530   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Clayton   B-NAME
Hospital   O
:   O
OHSU   B-LOCATION
-   I-LOCATION
Marquam   I-LOCATION
Hill   I-LOCATION
Campus   I-LOCATION
Employer   O
:   O

Tahirih   B-LOCATION
Justice   I-LOCATION
Center   I-LOCATION
Occupation   O
:   O
Trader   O
Username   O
for   O
Patient   O
Portal   O
:   O
soq2910   B-NAME
Clinical   O
Synopsis   O
:   O
Curtis   B-NAME
Dalton   I-NAME
presented   O
on   O
22/22   B-DATE
to   O
Palm   B-LOCATION
Beach   I-LOCATION
Gardens   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
persistent   O
,   O
dry   O
cough   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Magdalena   B-NAME
Wheeler   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
sharp   O
,   O
localized   O
chest   O
pain   O
that   O
intensifies   O
upon   O
taking   O
deep   O
breaths   O
.   O

The   O
patient   O
does   O
not   O
have   O
a   O
history   O
of   O
smoking   O
but   O
works   O
as   O
a   O
Gas   O
Compressor   O
Operators   O
at   O
Town   B-LOCATION
of   I-LOCATION
Havana   I-LOCATION
Utilities   I-LOCATION
,   O
which   O
might   O
expose   O
them   O
to   O
respiratory   O
irritants   O
.   O

Rubio   B-NAME
is   O
advised   O
to   O
increase   O
fluid   O
intake   O
and   O
rest   O
adequately   O
.   O

Aedan   B-NAME
Tran   I-NAME
will   O
be   O
closely   O
monitored   O
for   O
any   O
signs   O
of   O
respiratory   O
distress   O
or   O
failure   O
,   O
and   O
adjustments   O
to   O
the   O
treatment   O
regimen   O
will   O
be   O
made   O
accordingly   O
based   O
on   O
clinical   O
response   O
and   O
laboratory   O
results   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
2062   B-DATE
with   O
John   B-NAME
Dolittle   I-NAME
for   O
re   O
-   O
evaluation   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Johan   B-NAME
Preston   I-NAME
-   O
Patient   O
ID   O
:   O
WD   B-ID
:   I-ID
SL:6066   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
EPW647398   B-ID
-   O
Date   O
of   O
Birth   O
:   O
13/32   B-DATE
-   O
Address   O
:   O
Queen   B-LOCATION
City   I-LOCATION
,   O
28439   B-LOCATION
-   O
Phone   O
Number   O
:   O
819   B-CONTACT
9881   I-CONTACT
-   O
Occupation   O
:   O
Bailiffs   O
-   O
Attending   O
Physician   O
:   O

Frost   B-NAME
-   O
Hospital   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
St.   I-LOCATION
Clair   I-LOCATION
Clinical   O
Summary   O
:   O
Mikaela   B-NAME
Pollard   I-NAME
,   O
a   O
8   O
-   O
year   O
-   O
old   O
Production   O
Inspectors   O
,   O
Testers   O
,   O
Graders   O
,   O
Sorters   O
,   O
Samplers   O
,   O
Weighers   O
,   O
was   O
admitted   O
to   O
Aurora   B-LOCATION
BayCare   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2179   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
32   I-DATE
with   O
symptoms   O
of   O
acute   O
abdominal   O
pain   O
,   O
severe   O
dehydration   O
,   O
and   O
intermittent   O
fever   O
.   O

Paul   B-NAME
Herman   I-NAME
also   O
complained   O
of   O
nausea   O
and   O
vomiting   O
,   O
which   O
exacerbated   O
the   O
dehydration   O
.   O

Medical   O
History   O
:   O
Kamren   B-NAME
Richardson   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemic   O
agents   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Clara   B-NAME
Ho   I-NAME
's   O
vitals   O
were   O
recorded   O
with   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
a   O
pulse   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

After   O
consultation   O
with   O
Alice   B-NAME
Alden   I-NAME
and   O
considering   O
the   O
clinical   O
and   O
diagnostic   O
findings   O
,   O
it   O
was   O
decided   O
to   O
proceed   O
with   O
an   O
emergency   O
appendectomy   O
.   O

Opal   B-NAME
Garner   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
consented   O
to   O
the   O
surgical   O
intervention   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
20/00/2372   B-DATE
,   O
without   O
complications   O
.   O

Postoperative   O
Care   O
:   O
Suzann   B-NAME
Sison   I-NAME
was   O
observed   O
in   O
the   O
postoperative   O
unit   O
of   O
Paris   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
signs   O
of   O
complications   O
.   O

Pain   O
was   O
managed   O
with   O
IV   O
analgesics   O
,   O
and   O
Hunter   B-NAME
Hayden   I-NAME
was   O
encouraged   O
to   O
mobilize   O
as   O
tolerated   O
.   O

Ray   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
two   O
weeks   O
or   O
sooner   O
if   O
they   O
experience   O
any   O
signs   O
and   O
symptoms   O
of   O
infection   O
or   O
wound   O
complications   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Meghann   B-NAME
was   O
discharged   O
on   O
01/31   B-DATE
with   O
prescriptions   O
for   O
oral   O
antibiotics   O
,   O
pain   O
management   O
,   O
and   O
a   O
guideline   O
on   O
wound   O
care   O
.   O

A   O
72907   B-CONTACT
call   O
follow   O
-   O
up   O
was   O
scheduled   O
for   O
1/04/2387   B-DATE
to   O
assess   O
the   O
patient   O
's   O
recovery   O
and   O
address   O
any   O
concerns   O
.   O

The   O
successful   O
management   O
of   O
Chad   B-NAME
Morrow   I-NAME
's   O
case   O
is   O
attributed   O
to   O
the   O
swift   O
diagnostic   O
and   O
surgical   O
response   O
by   O
the   O
team   O
at   O
Bluegrass   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Respectfully   O
submitted   O
,   O
Destiney   B-NAME
Duncan   I-NAME
Stars   B-LOCATION
'   I-LOCATION
Oligarcy   I-LOCATION

Patient   O
Report   O
for   O
Helki   B-NAME
General   O
Information   O
:   O
-   O
Patient   O
's   O
ID   O
:   O
BA   B-ID
:   I-ID
VV:2460   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
381   B-ID
-   I-ID
23   I-ID
-   I-ID
85   I-ID
-   O
Date   O
of   O
Birth   O
:   O
2000   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
22   I-DATE
-   O
Age   O
:   O
10   O
month   O
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
993   I-CONTACT
)   I-CONTACT
276   I-CONTACT
-   I-CONTACT
2734   I-CONTACT
-   O
Address   O
:   O
Susank   B-LOCATION
,   O
47561   B-LOCATION
-   O
Attending   O
Physician   O
:   O
Kelley   B-NAME
-   O
Hospital   O
:   O
Fairview   B-LOCATION
Southdale   I-LOCATION
Hospital   I-LOCATION
-   O
Profession   O
:   O
History   O
Teachers   O
,   O
Postsecondary   O
-   O
Date   O
of   O
Visit   O
:   O
29/02/2262   B-DATE
Clinical   O
Presentation   O
:   O
Sanders   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Norton   B-LOCATION
Hospital   I-LOCATION
on   O
03/55   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Townsend   B-NAME
's   O
past   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
the   O
patient   O
is   O
on   O
medication   O
.   O

Upon   O
presentation   O
,   O
Jean   B-NAME
Figueroa   I-NAME
underwent   O
a   O
series   O
of   O
diagnostic   O
tests   O
including   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
which   O
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
.   O

Management   O
and   O
Treatment   O
:   O
Based   O
on   O
the   O
presenting   O
symptoms   O
and   O
diagnostic   O
findings   O
,   O
Merlene   B-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
inferior   O
wall   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
.   O

Jessie   B-NAME
Sloan   I-NAME
was   O
also   O
given   O
a   O
stat   O
dose   O
of   O
unfractionated   O
heparin   O
and   O
was   O
prepared   O
for   O
urgent   O
cardiac   O
catheterization   O
as   O
per   O
the   O
protocol   O
for   O
reperfusion   O
therapy   O
.   O

Outcome   O
:   O
The   O
procedure   O
was   O
conducted   O
successfully   O
at   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Burlington   I-LOCATION
by   O
Henry   B-NAME
Pym   I-NAME
without   O
any   O
complications   O
.   O

Manson   B-NAME
,   I-NAME
Charles   I-NAME
's   O
post   O
-   O
procedure   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
monitored   O
closely   O
in   O
the   O
cardiology   O
unit   O
.   O

Plan   O
:   O
-   O
Braiden   B-NAME
Chaney   I-NAME
is   O
to   O
continue   O
with   O
prescribed   O
medications   O
including   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
ACE   O
inhibitors   O
,   O
and   O
statins   O
.   O

-   O
Lifestyle   O
modifications   O
with   O
an   O
emphasis   O
on   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
smoking   O
cessation   O
if   O
applicable   O
.   O
-   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
3/2   B-DATE
with   O
Vincent   B-NAME
Campanelli   I-NAME
at   O
Ozarks   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O
-   O
Adolph   B-NAME
Knowlton   I-NAME
was   O
advised   O
to   O
immediately   O
report   O
any   O
recurrence   O
of   O
symptoms   O
or   O
new   O
symptoms   O
.   O

Patient   O
Name   O
:   O
Early   B-NAME
,   I-NAME
Jubal   I-NAME
Anderson   I-NAME
Age   O
:   O
31   O
DOB   O
:   O
02/36/2236   B-DATE
MRN   O
:   O
895   B-ID
03   I-ID
92   I-ID
Address   O
:   O
Rabbit   B-LOCATION
Hash   I-LOCATION
,   O
10877   B-LOCATION
Phone   O
:   O
30618   B-CONTACT
Primary   O
Physician   O
:   O

Huffman   B-NAME
Admitting   O
Hospital   O
:   O

Saint   B-LOCATION
Peter   I-LOCATION
's   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
1716   B-DATE
ID   O
:   O
AI850/9082   B-ID
Summary   O
:   O
Sarahi   B-NAME
Petty   I-NAME
,   O
a   O
Loan   O
Interviewers   O
and   O
Clerks   O
from   O
India   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Albert   B-LOCATION
B.   I-LOCATION
Chandler   I-LOCATION
Hospital   I-LOCATION
on   O
37/20   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

The   O
symptoms   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
Graham   B-NAME
Peterson   I-NAME
was   O
at   O
work   O
.   O

Niven   B-NAME
,   I-NAME
Larry   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
medication   O
has   O
not   O
been   O
regularly   O
taken   O
as   O
prescribed   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Holly   B-NAME
Owen   I-NAME
appeared   O
in   O
moderate   O
distress   O
,   O
with   O
vital   O
signs   O
revealing   O
an   O
elevated   O
blood   O
pressure   O
of   O
180/110   O
mmHg   O
,   O
a   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
respiration   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
94   O
%   O
on   O
room   O
air   O
.   O

Management   O
:   O
Colleen   B-NAME
Polite   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
statins   O
,   O
and   O
beta   O
-   O
blockers   O
following   O
the   O
standard   O
STEMI   O
management   O
protocol   O
.   O

Urgent   O
cardiac   O
catheterization   O
recommended   O
by   O
Colon   B-NAME
revealed   O
significant   O
stenosis   O
in   O
the   O
right   O
coronary   O
artery   O
,   O
for   O
which   O
AALIYAH   B-NAME
IRAHETA   I-NAME
underwent   O
successful   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
with   O
stent   O
placement   O
.   O

Conclusion   O
:   O
Mackenzie   B-NAME
Hughes   I-NAME
showed   O
marked   O
improvement   O
in   O
symptoms   O
post   O
-   O
PCI   O
.   O

Tara   B-NAME
Phipps   I-NAME
was   O
advised   O
dietary   O
modifications   O
,   O
regular   O
exercise   O
,   O
adherence   O
to   O
prescribed   O
medications   O
,   O
and   O
follow   O
-   O
up   O
visits   O
with   O
Dixon   B-NAME
.   O

Discharged   O
on   O
Martin   B-DATE
Luther   I-DATE
King   I-DATE
Day   I-DATE
with   O
instructions   O
to   O
return   O
to   O
L.V.   B-LOCATION
Stabler   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
or   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
palpitations   O
recur   O
.   O

Follow   O
-   O
up   O
:   O
Marina   B-NAME
Collins   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
clinic   O
at   O
St.   B-LOCATION
Mark   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
2012   B-DATE
to   O
monitor   O
recovery   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

Prepared   O
By   O
:   O
vc408   B-NAME
,   O
secretary   O
at   O
Direct   B-LOCATION
Energy   I-LOCATION
0   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
27   I-DATE

Patient   O
Name   O
:   O
Una   B-NAME
Perreira   I-NAME
Date   O
of   O
Birth   O
:   O
38th   B-DATE
Age   O
:   O
61   O
Gender   O
:   O
Male   O
Address   O
:   O
Greasewood   B-LOCATION
,   O
86559   B-LOCATION
Phone   O
Number   O
:   O
98792   B-CONTACT
Medical   O
Record   O
Number   O
:   O
6577905   B-ID
ID   O
Number   O
:   O
RD237/5150   B-ID
Primary   O
Care   O
Physician   O
:   O

Rachael   B-NAME
Haney   I-NAME
Hospital   O
:   O

Albert   B-LOCATION
B.   I-LOCATION
Chandler   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
02/70   B-DATE
Employment   O
:   O
Logging   O
Workers   O
,   O
All   O
Other   O
at   O
First   B-LOCATION
Security   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Chief   O
Complaint   O
:   O
Klara   B-NAME
Stovall   I-NAME
presents   O
to   O
the   O
clinic   O
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
over   O
the   O
past   O
05/23   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
symptoms   O
was   O
sudden   O
,   O
occurring   O
approximately   O
Monday   B-DATE
.   O

Matilda   B-NAME
Conrad   I-NAME
describes   O
the   O
pain   O
as   O
"   O
crushing   O
"   O
and   O
rates   O
it   O
8/10   O
in   O
intensity   O
.   O

Carly   B-NAME
Shea   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Mother   O
has   O
diabetes   O
mellitus   O
type   O
2   O
.   O
Social   O
History   O
:   O
Blackwell   B-NAME
is   O
a   O
Recreation   O
and   O
Fitness   O
Studies   O
Teachers   O
,   O
Postsecondary   O
at   O
Templeton   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
.   O

Plan   O
:   O
-   O
Immediate   O
administration   O
of   O
aspirin   O
325   O
mg   O
,   O
nitroglycerin   O
sublingually   O
,   O
and   O
morphine   O
for   O
pain   O
management   O
.   O
-   O
Urgent   O
referral   O
to   O
MidHudson   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Westchester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
cardiac   O
catheterization   O
.   O

-   O
Follow   O
-   O
up   O
consultation   O
with   O
Combs   B-NAME
scheduled   O
for   O
20/28/2383   B-DATE
for   O
further   O
evaluation   O
and   O
management   O
.   O

Instructions   O
were   O
given   O
to   O
Essence   B-NAME
Luna   I-NAME
and   O
family   O
about   O
recognizing   O
symptoms   O
of   O
cardiac   O
distress   O
and   O
the   O
importance   O
of   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
recur   O
.   O

Cesar   B-NAME
Strickland   I-NAME
expressed   O
understanding   O
of   O
the   O
management   O
plan   O
and   O
was   O
transported   O
to   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
-   I-LOCATION
Lexington   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
treatment   O
.   O

Patient   O
Report   O
for   O
Aiken   B-NAME
,   I-NAME
Clay   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
48   O
-   O
Date   O
of   O
visit   O
:   O
33/20   B-DATE
-   O
Primary   O
Care   O
Physician   O
:   O
Wagner   B-NAME
-   O
Hospital   O
:   O
Bryan   B-LOCATION
Whitfield   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
905   B-ID
-   I-ID
50   I-ID
-   I-ID
45   I-ID
-   I-ID
6   I-ID
-   O
Location   O
:   O
Sand   B-LOCATION
Ridge   I-LOCATION
-   O
Phone   O
Number   O
:   O
67763   B-CONTACT
-   O
Profession   O
:   O

Grinding   O
and   O
Polishing   O
Workers   O
,   O
Hand   O
-   O
Username   O
for   O
Hospital   O
Portal   O
:   O
sf6010   B-NAME
-   O
Zip   O
Code   O
:   O
34960   B-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Terrian   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Uniontown   B-LOCATION
Hospital   I-LOCATION
on   O
10/82   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Devona   B-NAME
,   O
a   O
Postal   O
Service   O
Mail   O
Sorters   O
,   O
Processors   O
,   O
and   O
Processing   O
Machine   O
Operators   O
from   O
Two   B-LOCATION
Buttes   I-LOCATION
,   O
has   O
been   O
in   O
usual   O
health   O
until   O
the   O
early   O
morning   O
of   O
0   B-DATE
-   I-DATE
29   I-DATE
when   O
they   O
woke   O
up   O
with   O
significant   O
abdominal   O
discomfort   O
.   O

On   O
physical   O
examination   O
,   O
Nyla   B-NAME
Cameron   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

The   O
CBC   O
revealed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
at   O
OJ:11095:929364   B-ID
cells/µL   O
,   O
suggestive   O
of   O
a   O
possible   O
infection   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
assessment   O
and   O
diagnostic   O
findings   O
,   O
Kamila   B-NAME
Duran   I-NAME
in   O
Danville   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
diagnosed   O
Rivas   B-NAME
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Eleanor   B-NAME
Daniel   I-NAME
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
on   O
March   B-DATE
0   I-DATE
.   O

Postoperative   O
Course   O
:   O
Fields   B-NAME
,   I-NAME
W.   I-NAME
C.   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
observed   O
in   O
the   O
postoperative   O
care   O
unit   O
of   O
Cedar   B-LOCATION
Springs   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Wilson   B-NAME
Blackburn   I-NAME
was   O
discharged   O
on   O
0/15   B-DATE
with   O
instructions   O
for   O
care   O
at   O
home   O
,   O
including   O
wound   O
care   O
and   O
activity   O
restrictions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Mullen   B-NAME
was   O
scheduled   O
for   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
the   O
surgical   O
site   O
and   O
overall   O
recovery   O
.   O

Trevor   B-NAME
Morrow   I-NAME
's   O
prompt   O
presentation   O
to   O
Day   B-LOCATION
Kimball   I-LOCATION
Hospital   I-LOCATION
,   O
combined   O
with   O
effective   O
interdisciplinary   O
collaboration   O
,   O
contributed   O
to   O
a   O
favorable   O
outcome   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Brothers   B-NAME
,   I-NAME
Dr.   I-NAME
Joyce   I-NAME
Age   O
:   O
58   O
Phone   O
:   O
(   B-CONTACT
305   I-CONTACT
)   I-CONTACT
552   I-CONTACT
-   I-CONTACT
3541   I-CONTACT
Address   O
:   O
Farmers   B-LOCATION
,   O
13627   B-LOCATION
Employment   O
:   O
Model   O
Makers   O
,   O
Metal   O
and   O
Plastic   O
ID   O
:   O
5   B-ID
-   I-ID
6449462   I-ID
Medical   O
Record   O
Number   O
:   O
276   B-ID
-   I-ID
03   I-ID
-   I-ID
80   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Visit   O
:   O
10/26   B-DATE
Attending   O
Physician   O
:   O

Duncan   B-NAME
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marshalltown   I-LOCATION
Chief   O
Complaint   O
:   O
City   B-LOCATION
of   I-LOCATION
Newark   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
worker   O
Daugherty   B-NAME
presents   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
intermittent   O
,   O
severe   O
headaches   O
,   O
predominantly   O
in   O
the   O
frontal   O
region   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
39   O
-   O
year   O
-   O
old   O
Jeanelle   B-NAME
Calcagni   I-NAME
also   O
reports   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Tabitha   B-NAME
Tate   I-NAME
denies   O
any   O
recent   O
head   O
injury   O
,   O
fever   O
,   O
stiffness   O
of   O
the   O
neck   O
,   O
or   O
changes   O
in   O
vision   O
.   O

Electrical   O
and   O
Electronic   O
Equipment   O
Assemblers   O
at   O
Haven   B-LOCATION
Trust   I-LOCATION
Bank   I-LOCATION
Florida   I-LOCATION
with   O
no   O
recent   O
changes   O
in   O
work   O
stress   O
level   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Helen   B-NAME
Morris   I-NAME
appears   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2   B-DATE
-   I-DATE
20   I-DATE
at   O
AdventHealth   B-LOCATION
DeLand   I-LOCATION
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Health   B-LOCATION
Central   I-LOCATION
Neurology   O
department   O
at   O
728   B-CONTACT
-   I-CONTACT
2331   I-CONTACT
.   O

This   O
document   O
was   O
prepared   O
by   O
Trevon   B-NAME
Oliver   I-NAME
M.D.   O
on   O
30/26   B-DATE
.   O

Patient   O
Name   O
:   O
Shannon   B-NAME
Patient   O
ID   O
:   O
JQ:100218:498680   B-ID
Date   O
of   O
Exam   O
:   O
21/09   B-DATE
DOB   O
:   O
02/22/27   B-DATE
Age   O
:   O
59   O
Address   O
:   O
Columbia   B-LOCATION
,   I-LOCATION
Columbia   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
55589   B-LOCATION
Phone   O
:   O
829   B-CONTACT
2928   I-CONTACT
Employment   O
:   O
Writers   O
and   O
Authors   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Webster   B-NAME
Hospital   O
:   O
Southern   B-LOCATION
Ocean   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
49715357   B-ID
Referring   O
Organization   O
:   O
Town   B-LOCATION
of   I-LOCATION
Clayton   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Chief   O
Complaint   O
:   O
Nathen   B-NAME
Bates   I-NAME
presented   O
to   O
Littleton   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
's   O
Emergency   O
Department   O
on   O
30/38/2008   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
and   O
persistent   O
pain   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
high   O
-   O
grade   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Johanna   B-NAME
Bell   I-NAME
,   O
a   O
Barbers   O
from   O
Carlsbad   B-LOCATION
,   O
has   O
been   O
in   O
their   O
usual   O
state   O
of   O
health   O
until   O
37/16   B-DATE
when   O
they   O
began   O
to   O
experience   O
sudden   O
onset   O
of   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
.   O

Ulysess   B-NAME
Dodge   I-NAME
does   O
not   O
take   O
any   O
prescription   O
medications   O
regularly   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Omar   B-NAME
B.   I-NAME
Kern   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Noel   B-NAME
,   I-NAME
Eddie   I-NAME
was   O
admitted   O
to   O
Saint   B-LOCATION
Joseph   I-LOCATION
Health   I-LOCATION
Mishawaka   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

Surgical   O
consultation   O
by   O
Dr.   O
Hubbard   B-NAME
was   O
requested   O
.   O

Follow   O
-   O
Up   O
:   O
Hamilton   B-NAME
is   O
to   O
be   O
closely   O
monitored   O
for   O
signs   O
of   O
worsening   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
any   O
new   O
symptoms   O
.   O

For   O
any   O
further   O
information   O
,   O
Dr.   O
May   B-NAME
can   O
be   O
contacted   O
at   O
713   B-CONTACT
6056   I-CONTACT
.   O

The   O
patient   O
or   O
their   O
family   O
can   O
also   O
reach   O
out   O
to   O
Bayfront   B-LOCATION
Health   I-LOCATION
Port   I-LOCATION
Charlotte   I-LOCATION
Patient   O
Services   O
at   O
65522   B-CONTACT
for   O
any   O
non   O
-   O
medical   O
queries   O
or   O
support   O
needed   O
during   O
their   O
stay   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Tammy   B-NAME
Yon   I-NAME
Patient   O
ID   O
:   O
HJ   B-ID
:   I-ID
ID:1979   I-ID
Medical   O
Record   O
Number   O
:   O
3231682   B-ID
Date   O
of   O
Birth   O
:   O
2313   B-DATE
Age   O
:   O
3   O
Phone   O
Number   O
:   O
21867   B-CONTACT
Address   O
:   O
Staplehurst   B-LOCATION
,   O
34098   B-LOCATION

Referring   O
Doctor   O
:   O
Priestley   B-NAME
,   I-NAME
Joseph   I-NAME
Hospital   O
:   O
Henrico   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
HospitalParham   I-LOCATION
Campus   I-LOCATION
Presenting   O
Complaint   O
:   O

Patient   O
BW   B-NAME
,   O
a   O
Nurse   O
,   O
presented   O
to   O
Kings   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
March   B-DATE
2354   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Medical   O
History   O
:   O
Patient   O
Halberstrom   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
well   O
controlled   O
with   O
oral   O
hypoglycemics   O
.   O

The   O
patient   O
's   O
last   O
visit   O
to   O
the   O
doctor   O
was   O
on   O
03/1   B-DATE
for   O
a   O
routine   O
check   O
-   O
up   O
with   O
Rocha   B-NAME
at   O
Pemberton   B-LOCATION
Borough   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

On   O
physical   O
examination   O
,   O
Jody   B-NAME
exhibited   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
specific   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Upon   O
confirmation   O
of   O
the   O
diagnosis   O
,   O
Spolsky   B-NAME
,   I-NAME
Joel   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
35/01   B-DATE
.   O

The   O
surgical   O
procedure   O
was   O
carried   O
out   O
without   O
complications   O
by   O
Thornton   B-NAME
.   O

Hitler   B-NAME
,   I-NAME
Adolf   I-NAME
was   O
advised   O
to   O
follow   O
a   O
clear   O
liquid   O
diet   O
post   O
-   O
operatively   O
and   O
gradually   O
resume   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

Follow   O
-   O
Up   O
:   O
Ahmad   B-NAME
Cabrera   I-NAME
was   O
discharged   O
on   O
09/01/2145   B-DATE
with   O
instructions   O
to   O
watch   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
,   O
adhere   O
to   O
post   O
-   O
operative   O
medication   O
regimen   O
,   O
and   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Tim   B-NAME
Whatley   I-NAME
at   O
McLaren   B-LOCATION
Flint   I-LOCATION
for   O
wound   O
check   O
and   O
assessment   O
of   O
recovery   O
progress   O
on   O
03/32   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Winchell   B-NAME
,   I-NAME
April   I-NAME
can   O
contact   O
Lake   B-LOCATION
Granbury   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
general   O
line   O
at   O
32902   B-CONTACT
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Maston   B-NAME
Age   O
:   O
89   O
Date   O
of   O
Birth   O
:   O
July   B-DATE
2093   I-DATE
Medical   O
Record   O
Number   O
:   O
205   B-ID
-   I-ID
92   I-ID
-   I-ID
19   I-ID
-   I-ID
3   I-ID
ID   O
Number   O
:   O
872364037   B-ID
Address   O
:   O
Landmark   B-LOCATION
,   O
84143   B-LOCATION
Phone   O
Number   O
:   O
79196   B-CONTACT
Professional   O
Role   O
:   O
TV   O
/   O
film   O
/   O
theatre   O
set   O
designer   O
Username   O
:   O
myw954   B-NAME
Initial   O
Consultation   O
Date   O
:   O
22/7   B-DATE
Clinical   O
Presentation   O
:   O

The   O
patient   O
,   O
Linda   B-NAME
Faulkner   I-NAME
,   O
presented   O
to   O
the   O
clinic   O
on   O
33/23   B-DATE
with   O
a   O
host   O
of   O
symptoms   O
that   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
course   O
of   O
several   O
weeks   O
.   O

Additionally   O
,   O
Cornelius   B-NAME
Prince   I-NAME
reported   O
experiencing   O
significant   O
fatigue   O
,   O
which   O
was   O
unusual   O
for   O
their   O
normal   O
level   O
of   O
activity   O
related   O
to   O
their   O
profession   O
as   O
a   O
Pharmacy   O
Aides   O
.   O

Shortness   O
of   O
breath   O
with   O
minimal   O
exertion   O
was   O
also   O
noted   O
,   O
alongside   O
intermittent   O
episodes   O
of   O
chest   O
pain   O
that   O
Heaven   B-NAME
Steele   I-NAME
described   O
as   O
"   O
sharp   O
"   O
and   O
"   O
stabbing   O
"   O
in   O
nature   O
.   O

Medical   O
History   O
:   O
Mindbender   B-NAME
has   O
a   O
known   O
history   O
of   O
asthma   O
and   O
seasonal   O
allergies   O
,   O
for   O
which   O
they   O
have   O
been   O
under   O
the   O
care   O
of   O
Smith   B-NAME
at   O
ProMedica   B-LOCATION
Flower   I-LOCATION
Hospital   I-LOCATION
.   O

Victor   B-NAME
Q.   I-NAME
Qiu   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
coronary   O
artery   O
disease   O
and   O
diabetes   O
mellitus   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Kruth   B-NAME
,   I-NAME
Ernst   I-NAME
appeared   O
mildly   O
dyspneic   O
at   O
rest   O
but   O
was   O
able   O
to   O
speak   O
in   O
full   O
sentences   O
.   O

Diagnostic   O
Assessment   O
:   O
Given   O
the   O
clinical   O
presentation   O
and   O
Robert   B-NAME
Renault   I-NAME
's   O
medical   O
history   O
,   O
a   O
comprehensive   O
set   O
of   O
diagnostic   O
tests   O
was   O
ordered   O
,   O
including   O
a   O
chest   O
X   O
-   O
ray   O
,   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
and   O
pulmonary   O
function   O
tests   O
.   O

Pulmonary   O
function   O
tests   O
indicated   O
a   O
mild   O
restrictive   O
pattern   O
,   O
which   O
was   O
a   O
new   O
finding   O
in   O
comparison   O
to   O
Reilly   B-NAME
's   O
previous   O
results   O
from   O
22/28/83   B-DATE
.   O
Management   O
Plan   O
:   O
The   O
initial   O
management   O
plan   O
includes   O
starting   O
Levine   B-NAME
on   O
a   O
course   O
of   O
oral   O
corticosteroids   O
to   O
address   O
the   O
inflammatory   O
aspect   O
of   O
the   O
symptoms   O
and   O
scheduling   O
a   O
follow   O
-   O
up   O
in   O
one   O
week   O
with   O
Douglas   B-NAME
Hanson   I-NAME
at   O
Sheehan   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
re   O
-   O
evaluation   O
.   O

Sanai   B-NAME
Cowan   I-NAME
was   O
also   O
advised   O
to   O
use   O
their   O
rescue   O
inhaler   O
as   O
needed   O
for   O
acute   O
symptoms   O
and   O
to   O
maintain   O
a   O
symptom   O
diary   O
.   O

Should   O
symptoms   O
worsen   O
or   O
not   O
improve   O
,   O
Korbin   B-NAME
Herrera   I-NAME
was   O
instructed   O
to   O
contact   O
the   O
office   O
at   O
583   B-CONTACT
9385   I-CONTACT
or   O
present   O
to   O
the   O
emergency   O
department   O
of   O
Grandview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
12/30/2183   B-DATE
at   O
Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
,   O
where   O
Benjamin   B-NAME
Shepherd   I-NAME
will   O
undergo   O
further   O
evaluation   O
to   O
assess   O
the   O
response   O
to   O
the   O
treatment   O
plan   O
and   O
determine   O
if   O
additional   O
interventions   O
are   O
necessary   O
.   O

Notification   O
:   O
The   O
patient   O
and   O
their   O
emergency   O
contact   O
were   O
informed   O
of   O
the   O
findings   O
and   O
the   O
management   O
plan   O
verbally   O
and   O
via   O
a   O
summary   O
sent   O
to   O
Stone   B-NAME
,   I-NAME
W.   I-NAME
Clement   I-NAME
's   O
registered   O
email   O
on   O
26/12   B-DATE
.   O

This   O
report   O
was   O
prepared   O
by   O
Adams   B-NAME
,   I-NAME
John   I-NAME
Quincy   I-NAME
,   O
M.D.   O
,   O
attending   O
physician   O
at   O
UPMC   B-LOCATION
Passavant   I-LOCATION
-   I-LOCATION
Cranberry   I-LOCATION
,   O
and   O
is   O
subject   O
to   O
further   O
updates   O
based   O
on   O
Walton   B-NAME
Calgar   I-NAME
's   O
progression   O
and   O
response   O
to   O
treatment   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Goering   B-NAME
,   I-NAME
Hermann   I-NAME
Age   O
:   O
58   O
Medical   O
Record   O
Number   O
:   O
8424565   B-ID
ID   O
:   O
IN   B-ID
:   I-ID
WV:9726   I-ID
Location   O
:   O
Blyth   B-LOCATION
ZIP   O
Code   O
:   O
27432   B-LOCATION
Phone   O
:   O
51515   B-CONTACT
Attending   O
Physician   O
:   O
Maeve   B-NAME
Foster   I-NAME
Hospital   O
:   O
Rome   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Examination   O
:   O
11/21/92   B-DATE
Chief   O
Complaint   O
:   O
Tillman   B-NAME
,   O
a   O
Clinical   O
Nurse   O
Specialists   O
,   O
presented   O
on   O
11/08/2361   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
cramping   O
,   O
worsening   O
over   O
2164   B-DATE
-   I-DATE
37   I-DATE
-   I-DATE
04   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
symptoms   O
started   O
approximately   O
10/61   B-DATE
,   O
gradually   O
intensifying   O
.   O

Paul   B-NAME
Mercy   I-NAME
reported   O
the   O
pain   O
becoming   O
more   O
localized   O
and   O
sharp   O
.   O

Landin   B-NAME
Rivas   I-NAME
denied   O
any   O
recent   O
travels   O
outside   O
Clarcona   B-LOCATION
or   O
any   O
consumption   O
of   O
unusual   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
Poincaré   B-NAME
,   I-NAME
Henri   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
on   O
37/22   B-DATE
,   O
Quenton   B-NAME
Zacharie   I-NAME
Odell   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
diagnosis   O
for   O
Kruger   B-NAME
Blanquart   I-NAME
is   O
acute   O
appendicitis   O
.   O

Following   O
the   O
evaluation   O
on   O
32/12   B-DATE
,   O
the   O
decision   O
for   O
surgical   O
intervention   O
was   O
made   O
.   O

Opal   B-NAME
Feldman   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Marie   B-NAME
Egli   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
2/29   B-DATE
at   O
Lafayette   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
started   O
,   O
and   O
Allen   B-NAME
,   I-NAME
James   I-NAME
was   O
transferred   O
to   O
the   O
surgical   O
unit   O
.   O

Follow   O
-   O
Up   O
:   O
Wilberforce   B-NAME
,   I-NAME
William   I-NAME
is   O
to   O
be   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
any   O
complications   O
related   O
to   O
the   O
surgery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
30/29   B-DATE
with   O
Roberto   B-NAME
Brock   I-NAME
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

The   O
interdisciplinary   O
team   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Louisville   I-LOCATION
worked   O
efficiently   O
to   O
provide   O
prompt   O
and   O
effective   O
care   O
for   O
Newman   B-NAME
.   O

The   O
patient   O
,   O
Lloyd   B-NAME
,   O
a   O
46   O
-   O
year   O
-   O
old   O
Stock   O
Clerks   O
,   O
Sales   O
Floor   O
from   O
Dorchester   B-LOCATION
,   O
presented   O
to   O
Duke   B-LOCATION
Raleigh   I-LOCATION
Hospital   I-LOCATION
on   O
21/22/2134   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
that   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
course   O
of   O
the   O
last   O
week   O
.   O

Additionally   O
,   O
Mannering   B-NAME
reported   O
experiencing   O
bouts   O
of   O
nausea   O
and   O
a   O
decrease   O
in   O
appetite   O
,   O
which   O
resulted   O
in   O
a   O
weight   O
loss   O
of   O
approximately   O
5   O
pounds   O
over   O
the   O
same   O
period   O
.   O

Upon   O
examination   O
,   O
Maliyah   B-NAME
Bishop   I-NAME
noted   O
that   O
Sims   B-NAME
appeared   O
to   O
be   O
in   O
significant   O
distress   O
,   O
demonstrating   O
guarding   O
and   O
rebound   O
tenderness   O
upon   O
palpation   O
of   O
the   O
abdomen   O
.   O

Wendy   B-NAME
Saunders   I-NAME
's   O
medical   O
history   O
,   O
obtained   O
through   O
the   O
electronic   O
medical   O
record   O
system   O
74068122   B-ID
,   O
showed   O
no   O
significant   O
past   O
medical   O
history   O
or   O
surgical   O
interventions   O
.   O

Adam   B-NAME
Mayfair   I-NAME
disclosed   O
no   O
allergies   O
to   O
medications   O
and   O
no   O
current   O
use   O
of   O
prescription   O
medications   O
,   O
over   O
-   O
the   O
-   O
counter   O
products   O
,   O
or   O
dietary   O
supplements   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Brynlee   B-NAME
Stevenson   I-NAME
diagnosed   O
Noah   B-NAME
Werner   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
an   O
urgent   O
appendectomy   O
.   O

Jacoby   B-NAME
Howell   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
,   O
the   O
nature   O
of   O
the   O
surgery   O
,   O
its   O
risks   O
,   O
and   O
potential   O
complications   O
.   O

After   O
receiving   O
informed   O
consent   O
,   O
oliveira   B-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
22nd   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Shaquille   B-NAME
was   O
monitored   O
post   O
-   O
operatively   O
in   O
the   O
surgical   O
unit   O
of   O
Progress   B-LOCATION
Hospital   I-LOCATION
.   O

Hanna   B-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
instructions   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
activity   O
restrictions   O
.   O

Klein   B-NAME
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infections   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
04/07   B-DATE
to   O
assess   O
Jovanny   B-NAME
Richard   I-NAME
's   O
recovery   O
progress   O
.   O

For   O
further   O
inquiries   O
or   O
emergencies   O
,   O
Aedan   B-NAME
Conrad   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
50506   B-CONTACT
for   O
the   O
surgical   O
unit   O
.   O

Additionally   O
,   O
Laurinkus   B-NAME
,   I-NAME
Mečys   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
seeking   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
such   O
as   O
fever   O
,   O
chills   O
,   O
increased   O
pain   O
,   O
or   O
any   O
signs   O
of   O
incisional   O
infection   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Molina   B-NAME
Patient   O
ID   O
:   O
VJ:1260:231429   B-ID
Medical   O
Record   O
Number   O
:   O
3944219   B-ID
Address   O
:   O
Acworth   B-LOCATION
,   I-LOCATION
City   I-LOCATION
of   I-LOCATION
Acworth   I-LOCATION
-   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
19543   B-LOCATION
Date   O
of   O
Birth   O
:   O
13   B-DATE
-   I-DATE
Oct-2262   I-DATE
Age   O
:   O
47   O
Contact   O
Number   O
:   O
608   B-CONTACT
5696   I-CONTACT
Occupation   O
:   O
Talent   O
Directors   O
Primary   O
Physician   O
:   O

Denzel   B-NAME
Strickland   I-NAME
Admitting   O
Hospital   O
:   O

Citrus   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
22   B-DATE
-   I-DATE
Dec-2181   I-DATE
Date   O
of   O
Report   O
:   O
08/55   B-DATE
Clinical   O
Summary   O
:   O
Temujin   B-NAME
Muggley   I-NAME
,   O
a   O
Poets   O
and   O
Lyricists   O
from   O
Pemberwick   B-LOCATION
,   O
presented   O
to   O
Uniontown   B-LOCATION
Hospital   I-LOCATION
on   O
2/13   B-DATE
with   O
a   O
history   O
of   O
persistent   O
dry   O
cough   O
,   O
difficulty   O
breathing   O
,   O
and   O
episodes   O
of   O
high   O
-   O
grade   O
fever   O
peaking   O
at   O
25s   O
degrees   O
Celsius   O
.   O

No   O
travel   O
history   O
outside   O
Dayville   B-LOCATION
was   O
reported   O
in   O
the   O
weeks   O
preceding   O
symptom   O
onset   O
.   O

Additional   O
testing   O
,   O
including   O
a   O
CT   O
scan   O
of   O
the   O
chest   O
,   O
delineated   O
a   O
small   O
,   O
87   O
-   O
mm   O
consolidation   O
in   O
the   O
left   O
lower   O
lobe   O
adjacent   O
to   O
the   O
pleural   O
effusion   O
,   O
raising   O
concerns   O
for   O
a   O
secondary   O
bacterial   O
pneumonia   O
.   O
Management   O
and   O
Recommendations   O
:   O
Under   O
the   O
guidance   O
of   O
Dulce   B-NAME
Hebert   I-NAME
,   O
Shyla   B-NAME
Whitaker   I-NAME
underwent   O
thoracentesis   O
.   O

A   O
sample   O
of   O
pleural   O
fluid   O
was   O
extracted   O
for   O
analysis   O
,   O
revealing   O
the   O
presence   O
of   O
Walton   B-LOCATION
EMC   I-LOCATION
pneumoniae   O
.   O

Isla   B-NAME
Jacobs   I-NAME
showed   O
marked   O
symptomatic   O
improvement   O
with   O
resolution   O
of   O
fever   O
and   O
alleviation   O
of   O
cough   O
within   O
15   O
days   O
of   O
treatment   O
initiation   O
.   O

Follow   O
-   O
up   O
imaging   O
scheduled   O
for   O
03/13   B-DATE
will   O
ascertain   O
resolution   O
of   O
pleural   O
effusion   O
and   O
consolidate   O
lung   O
involvement   O
.   O

Instructions   O
were   O
given   O
for   O
Horn   B-NAME
to   O
maintain   O
hydration   O
,   O
adhere   O
to   O
the   O
prescribed   O
antibiotic   O
course   O
,   O
and   O
monitor   O
for   O
any   O
exacerbation   O
or   O
new   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Mcclure   B-NAME
at   O
NewYork   B-LOCATION
–   I-LOCATION
Presbyterian   I-LOCATION
Queens   I-LOCATION
is   O
scheduled   O
for   O
November   B-DATE
33   I-DATE
to   O
reassess   O
clinical   O
status   O
and   O
ensure   O
complete   O
recovery   O
.   O

Note   O
:   O
Tiara   B-NAME
Copeland   I-NAME
consented   O
to   O
all   O
procedures   O
and   O
treatments   O
.   O

The   O
necessary   O
privacy   O
forms   O
,   O
including   O
HIPAA   O
compliance   O
documents   O
,   O
were   O
reviewed   O
and   O
signed   O
on   O
02/20   B-DATE
.   O

Contact   O
information   O
(   O
49731   B-CONTACT
)   O
was   O
updated   O
to   O
ensure   O
accessibility   O
for   O
follow   O
-   O
up   O
communications   O
.   O

Report   O
Prepared   O
By   O
:   O
vij314   B-NAME
,   O
RN   O
Report   O
Date   O
:   O

Thursday   B-DATE
,   I-DATE
February   I-DATE

The   O
patient   O
,   O
Rush   B-NAME
,   O
36   O
years   O
old   O
,   O
was   O
admitted   O
to   O
Duane   B-LOCATION
L.   I-LOCATION
Waters   I-LOCATION
Hospital   I-LOCATION
on   O
0/2/2134   B-DATE
following   O
a   O
consultation   O
with   O
Aryan   B-NAME
Strickland   I-NAME
in   O
Oley   B-LOCATION
.   O

The   O
primary   O
complaint   O
as   O
documented   O
in   O
782   B-ID
-   I-ID
08   I-ID
-   I-ID
20   I-ID
-   I-ID
4   I-ID
was   O
acute   O
abdominal   O
pain   O
with   O
a   O
sudden   O
onset   O
,   O
localized   O
primarily   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Alongside   O
,   O
Nickolas   B-NAME
Alvarado   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
and   O
nausea   O
,   O
without   O
any   O
occurrences   O
of   O
vomiting   O
.   O

The   O
past   O
medical   O
history   O
of   O
the   O
patient   O
,   O
as   O
per   O
the   O
records   O
from   O
Bengal   B-LOCATION
Hawkers   I-LOCATION
Association   I-LOCATION
,   O
included   O
managed   O
hypothyroidism   O
and   O
no   O
known   O
allergies   O
to   O
medications   O
or   O
food   O
.   O

The   O
results   O
,   O
as   O
discussed   O
by   O
Brutus   B-NAME
,   I-NAME
Marcus   I-NAME
Junius   I-NAME
on   O
1   B-DATE
-   I-DATE
4   I-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

The   O
treatment   O
plan   O
,   O
as   O
outlined   O
by   O
the   O
medical   O
team   O
at   O
Clarendon   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
involved   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
successfully   O
performed   O
on   O
Thursday   B-DATE
without   O
complications   O
.   O

Post   O
-   O
surgery   O
,   O
Drew   B-NAME
Prince   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
any   O
potential   O
infection   O
and   O
was   O
advised   O
on   O
the   O
importance   O
of   O
wound   O
care   O
.   O

Contact   O
instructions   O
provided   O
to   O
Yen   B-NAME
Neall   I-NAME
included   O
the   O
direct   O
line   O
to   O
the   O
surgery   O
department   O
at   O
27202   B-CONTACT
and   O
instructions   O
to   O
return   O
to   O
the   O
emergency   O
department   O
for   O
symptoms   O
such   O
as   O
fever   O
,   O
persistent   O
vomiting   O
,   O
or   O
increased   O
pain   O
at   O
the   O
surgical   O
site   O
.   O

In   O
anticipation   O
of   O
discharge   O
,   O
educational   O
materials   O
were   O
provided   O
to   O
Friedman   B-NAME
,   I-NAME
Kinky   I-NAME
by   O
the   O
nursing   O
staff   O
regarding   O
post   O
-   O
surgery   O
care   O
and   O
signs   O
of   O
potential   O
complications   O
to   O
monitor   O
.   O

As   O
of   O
Thursday   B-DATE
,   I-DATE
December   I-DATE
,   O
the   O
discharge   O
summary   O
stated   O
that   O
Pitts   B-NAME
showed   O
significant   O
improvement   O
with   O
a   O
resolution   O
of   O
initial   O
symptoms   O
.   O

JAY   B-NAME
CARROLL   I-NAME
expressed   O
understanding   O
of   O
discharge   O
instructions   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Saniya   B-NAME
Ware   I-NAME
in   O
Seattle   B-LOCATION
for   O
Christmas   B-DATE
.   O

For   O
any   O
further   O
inquiries   O
,   O
Florence   B-NAME
Heather   I-NAME
Gil   I-NAME
was   O
provided   O
with   O
contact   O
information   O
for   O
the   O
patient   O
liaison   O
at   O
Baptist   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Collierville   I-LOCATION
,   O
reachable   O
through   O
16454   B-CONTACT
.   O

Additionally   O
,   O
recommendations   O
were   O
made   O
for   O
Banks   B-NAME
,   I-NAME
Ernie   I-NAME
to   O
seek   O
support   O
from   O
local   O
support   O
groups   O
in   O
99988   B-LOCATION
to   O
aid   O
in   O
the   O
recovery   O
process   O
.   O

The   O
case   O
was   O
officially   O
closed   O
in   O
the   O
system   O
under   O
5315569   B-ID
and   O
documented   O
for   O
further   O
review   O
during   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Patient   O
Report   O
:   O
*   O
*   O
General   O
Information   O
:*   O
*   O
-   O
*   O
*   O
Patient   O
ID   O
:*   O
*   O
556719   B-ID
-   O
*   O
*   O
Medical   O
Record   O
Number   O
:*   O
*   O
15749933   B-ID
-   O
*   O
*   O
Date   O
of   O
Admission   O
:*   O
*   O
03/01   B-DATE
-   O
*   O
*   O
Admitting   O
Physician   O
:*   O
*   O

Dr.   O
Karter   B-NAME
Burns   I-NAME
-   O
*   O
*   O
Hospital   O
:*   O
*   O
UPMC   B-LOCATION
Jameson   I-LOCATION
*   O
*   O
Patient   O
Information   O
:*   O
*   O
-   O
*   O
*   O
Name   O
:*   O
*   O

Min   B-NAME
Abajian   I-NAME
-   O
*   O
*   O
Age   O
:*   O
*   O
1   O
week   O
-   O
*   O
*   O
Phone   O
Number   O
:*   O
*   O
470   B-CONTACT
8352   I-CONTACT
-   O
*   O
*   O
Address   O
:*   O
*   O
New   B-LOCATION
Houlka   I-LOCATION
,   O
66621   B-LOCATION
*   O
*   O
Occupation   O
:*   O
*   O
-   O
Motor   O
Vehicle   O
Inspectors   O
*   O
*   O
Chief   O
Complains   O
:*   O
*   O

The   O
patient   O
,   O
Tessa   B-NAME
Ewing   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Ottawa   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Healthcare   I-LOCATION
Center   I-LOCATION
dba   I-LOCATION
OSF   I-LOCATION
Saint   I-LOCATION
Elizabeth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/4/2215   B-DATE
with   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
profuse   O
sweating   O
.   O

*   O
*   O
Medical   O
History   O
:*   O
*   O
Kareem   B-NAME
Phillips   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

*   O
*   O
Examination   O
Findings   O
:*   O
*   O
Upon   O
initial   O
examination   O
,   O
Christopher   B-NAME
Gibbs   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
Blood   O
Pressure   O
160/100   O
mmHg   O
,   O
Heart   O
Rate   O
110   O
bpm   O
,   O
Respiratory   O
Rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
Oxygen   O
Saturation   O
90   O
%   O
on   O
room   O
air   O
.   O

The   O
patient   O
was   O
started   O
on   O
a   O
heparin   O
drip   O
and   O
referred   O
for   O
urgent   O
cardiac   O
catheterization   O
as   O
recommended   O
by   O
Dr.   O
Everett   B-NAME
.   O

Post   O
-   O
procedure   O
,   O
Newhart   B-NAME
,   I-NAME
Bob   I-NAME
will   O
be   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
at   O
Virtua   B-LOCATION
Voorhees   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Wells   B-NAME
is   O
scheduled   O
for   O
22/28/2012   B-DATE
.   O

For   O
any   O
further   O
information   O
or   O
clarification   O
,   O
please   O
contact   O
the   O
Cardiology   O
Department   O
at   O
Gundersen   B-LOCATION
Lutheran   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
via   O
818   B-CONTACT
4552   I-CONTACT
.   O

Patient   O
Name   O
:   O
Sincere   B-NAME
Hodges   I-NAME
ID   O
:   O
VH:19549:678564   B-ID

Medical   O
Record   O
Number   O
:   O
0510239   B-ID
Date   O
of   O
Birth   O
:   O
Friday   B-DATE
Age   O
:   O
75   O
Occupation   O
:   O
Medical   O
Equipment   O
Preparers   O
Phone   O
Number   O
:   O
82004   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Solomon   B-NAME
Admitting   O
Hospital   O
:   O
Geisinger   B-LOCATION
Bloomsburg   I-LOCATION
Hospital   I-LOCATION
Residence   O
:   O
Womelsdorf   B-LOCATION
,   O
17215   B-LOCATION
Admission   O
Date   O
:   O
12/89   B-DATE
Chief   O
Complaint   O
:   O
Persistent   O
cough   O
and   O
difficulty   O
breathing   O
for   O
the   O
past   O
12/19/1786   B-DATE
History   O
of   O
present   O
illness   O
:   O
Ida   B-NAME
Xayachack   I-NAME
,   O
a   O
Gaming   O
Managers   O
by   O
profession   O
,   O
presented   O
to   O
Baptist   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Union   I-LOCATION
County   I-LOCATION
on   O
12/02/95   B-DATE
complaining   O
of   O
a   O
persistent   O
cough   O
and   O
difficulty   O
breathing   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

There   O
has   O
been   O
no   O
reported   O
fever   O
,   O
but   O
Chapman   B-NAME
mentions   O
experiencing   O
episodes   O
of   O
wheezing   O
and   O
tightness   O
in   O
the   O
chest   O
.   O

Samir   B-NAME
Combs   I-NAME
has   O
a   O
history   O
of   O
asthma   O
diagnosed   O
in   O
childhood   O
but   O
has   O
been   O
well   O
controlled   O
with   O
inhalers   O
and   O
occasional   O
oral   O
steroids   O
.   O

Castro   B-NAME
Leversee   I-NAME
has   O
a   O
known   O
allergy   O
to   O
penicillin   O
.   O

Justine   B-NAME
Mcmillan   I-NAME
is   O
a   O
Precision   O
Mold   O
and   O
Pattern   O
Casters   O
,   O
except   O
Nonferrous   O
Metals   O
,   O
living   O
in   O
Longmont   B-LOCATION
with   O
no   O
pets   O
.   O

Examination   O
:   O
On   O
examination   O
,   O
McCarthy   B-NAME
,   I-NAME
Eugene   I-NAME
was   O
alert   O
and   O
oriented   O
,   O
in   O
no   O
apparent   O
distress   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
23/20   B-DATE
showed   O
no   O
acute   O
findings   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
clinical   O
presentation   O
and   O
diagnostic   O
tests   O
suggest   O
an   O
exacerbation   O
of   O
asthma   O
,   O
possibly   O
triggered   O
by   O
an   O
unknown   O
allergen   O
or   O
air   O
quality   O
issue   O
in   O
Bradenton   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
34208   I-LOCATION
.   O

Lindsay   B-NAME
Lucas   I-NAME
was   O
also   O
advised   O
to   O
monitor   O
peak   O
flow   O
readings   O
at   O
home   O
and   O
avoid   O
known   O
asthma   O
triggers   O
.   O

Follow   O
-   O
up   O
:   O
Kidd   B-NAME
is   O
scheduled   O
to   O
follow   O
up   O
with   O
Merchant   B-NAME
,   I-NAME
Natalie   I-NAME
in   O
Wellstar   B-LOCATION
Douglas   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
department   O
on   O
2/23/23   B-DATE
.   O

Additional   O
follow   O
-   O
up   O
with   O
an   O
allergist   O
recommended   O
by   O
Alaska   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
is   O
planned   O
for   O
00/22/2103   B-DATE
.   O

Instructor   O
:   O
Pittman   B-NAME
Username   O
:   O
rmt381   B-NAME
Prepared   O
by   O
:   O
vf210   B-NAME
,   O
Intern   O
Reviewed   O
by   O
:   O
Jacob   B-NAME
Calderon   I-NAME
September   B-DATE
28   I-DATE
,   I-DATE
2181   I-DATE

Please   O
note   O
:   O
Any   O
further   O
inquiries   O
about   O
Blix   B-NAME
,   I-NAME
Hans   I-NAME
's   O
condition   O
should   O
be   O
directed   O
to   O
913   B-CONTACT
-   I-CONTACT
7433   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Sawyer   B-NAME
Gonzales   I-NAME
Patient   O
ID   O
:   O
VL   B-ID
:   I-ID
OJ:9615   I-ID
Date   O
of   O
Birth   O
:   O
Jan   B-DATE
2000   I-DATE
Phone   O
Number   O
:   O
72937   B-CONTACT
Address   O
:   O
Edinburg   B-LOCATION
,   O
82413   B-LOCATION
Occupation   O
:   O

Bill   O
and   O
Account   O
Collectors   O
Primary   O
Physician   O
:   O
Gould   B-NAME
Medical   O
Record   O
Number   O
:   O
345   B-ID
-   I-ID
15   I-ID
-   I-ID
14   I-ID
Admission   O
Date   O
:   O
3/4   B-DATE
Hospital   O
Name   O
:   O
NY   B-LOCATION
Flushing   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
Div   I-LOCATION
Summary   O
:   O
Brice   B-NAME
Miller   I-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
Purchasing   O
Managers   O
from   O
Latimer   B-LOCATION
,   O
presented   O
to   O
The   B-LOCATION
Miriam   I-LOCATION
Hospital   I-LOCATION
on   O
Nov-'03   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

These   O
symptoms   O
have   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
Saturday   B-DATE
,   I-DATE
November   I-DATE
.   O

However   O
,   O
Landin   B-NAME
Fry   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
currently   O
managed   O
with   O
medication   O
prescribed   O
by   O
Jones   B-NAME
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Joyce   B-NAME
Shea   I-NAME
appeared   O
anxious   O
but   O
was   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Derick   B-NAME
Chase   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
myocardial   O
infarction   O
.   O

Treatment   O
:   O
Wilcox   B-NAME
,   I-NAME
Ella   I-NAME
Wheeler   I-NAME
was   O
urgently   O
started   O
on   O
intravenous   O
thrombolytics   O
,   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
as   O
per   O
the   O
acute   O
myocardial   O
infarction   O
protocol   O
of   O
Atrium   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
City   I-LOCATION
.   O

Ford   B-NAME
,   I-NAME
Harrison   I-NAME
was   O
admitted   O
to   O
the   O
Intensive   O
Care   O
Unit   O
for   O
close   O
monitoring   O
and   O
further   O
management   O
.   O

A   O
consultation   O
with   O
cardiology   O
was   O
requested   O
,   O
and   O
Ellie   B-NAME
Oconnell   I-NAME
is   O
scheduled   O
for   O
a   O
coronary   O
angiography   O
on   O
Saturday   B-DATE
,   I-DATE
February   I-DATE
.   O

The   O
current   O
plan   O
is   O
to   O
continue   O
monitoring   O
Kobe   B-NAME
Anthony   I-NAME
's   O
vital   O
signs   O
,   O
cardiac   O
rhythm   O
,   O
and   O
response   O
to   O
treatment   O
closely   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Lillianna   B-NAME
Booker   I-NAME
and   O
the   O
cardiology   O
team   O
are   O
scheduled   O
for   O
April   B-DATE
.   O

Conclusion   O
:   O
Kirsten   B-NAME
Wiggins   I-NAME
's   O
presentation   O
of   O
acute   O
myocardial   O
infarction   O
was   O
promptly   O
identified   O
and   O
treated   O
.   O

The   O
clinical   O
team   O
remains   O
optimistic   O
about   O
Bethany   B-NAME
Mccarty   I-NAME
's   O
prognosis   O
with   O
adherence   O
to   O
the   O
proposed   O
treatment   O
plan   O
.   O

Patient   O
Name   O
:   O
Frankie   B-NAME
Frey   I-NAME
Medical   O
Record   O
Number   O
:   O
70320588   B-ID
Age   O
:   O
98   O
ID   O
:   O
PY   B-ID
:   I-ID
MW:7469   I-ID
Date   O
of   O
Visit   O
:   O
00/35/2082   B-DATE

Fletcher   B-NAME
Hospital   O
:   O
White   B-LOCATION
Wing   I-LOCATION
Clinic   I-LOCATION
Location   O
:   O

Unalakleet   B-LOCATION
Phone   O
:   O
21414   B-CONTACT
Profession   O
:   O
Stock   O
Clerks-   O
Stockroom   O
,   O
Warehouse   O
,   O
or   O
Storage   O
Yard   O
Username   O
:   O
pq602   B-NAME
ZIP   O
:   O
54732   B-LOCATION
Subjective   O
:   O
Tyger   B-NAME
,   I-NAME
Frank   I-NAME
presented   O
to   O
CHA   B-LOCATION
Cambridge   I-LOCATION
Hospital   I-LOCATION
on   O
0/1/58   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
recurrent   O
bouts   O
of   O
diarrhea   O
over   O
the   O
past   O
08/17/2073   B-DATE
.   O

Dragon   B-NAME
has   O
tried   O
over   O
-   O
the   O
-   O
counter   O
medications   O
with   O
no   O
relief   O
.   O

An   O
urgent   O
surgical   O
consultation   O
was   O
arranged   O
with   O
Robbins   B-NAME
to   O
evaluate   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

4   O
.   O
Inform   O
Lloyd   B-NAME
about   O
the   O
potential   O
need   O
for   O
surgery   O
and   O
discuss   O
the   O
risks   O
and   O
benefits   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
15/21   B-DATE
to   O
review   O
the   O
surgical   O
outcome   O
and   O
to   O
monitor   O
recovery   O
.   O

Yates   B-NAME
has   O
been   O
advised   O
to   O
call   O
(   B-CONTACT
121   I-CONTACT
)   I-CONTACT
228   I-CONTACT
-   I-CONTACT
6119   I-CONTACT
in   O
case   O
of   O
any   O
emergencies   O
or   O
worsening   O
of   O
symptoms   O
.   O

Emergency   O
contact   O
available   O
at   O
580   B-CONTACT
133   I-CONTACT
3784   I-CONTACT
.   O

Consent   O
forms   O
for   O
surgery   O
were   O
signed   O
by   O
Corbin   B-NAME
Poole   I-NAME
.   O

All   O
relevant   O
medical   O
history   O
and   O
previous   O
surgical   O
details   O
have   O
been   O
reviewed   O
and   O
noted   O
in   O
the   O
patient   O
’s   O
file   O
number   O
880   B-ID
-   I-ID
63   I-ID
-   I-ID
63   I-ID
-   I-ID
6   I-ID
.   O

Patient   O
Report   O
for   O
Merril   B-NAME
Bobolit   I-NAME
Demographics   O
:   O
-   O
Age   O
:   O
26   O
-   O
Patient   O
ID   O
:   O
JW   B-ID
:   I-ID
JN:7181   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
038   B-ID
-   I-ID
95   I-ID
-   I-ID
26   I-ID
-   O
Location   O
:   O
Ivalee   B-LOCATION
,   O
82896   B-LOCATION
Contact   O
Information   O
:   O
-   O
Primary   O
Contact   O
Phone   O
:   O
75774   B-CONTACT
-   O
Address   O
:   O
Russellville   B-LOCATION
Employment   O
:   O
-   O
Occupation   O
:   O
Social   O
Scientists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
-   O
Employer   O
:   O
Community   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Medical   O
History   O
:   O
Date   O
of   O
Visit   O
:   O
22/13   B-DATE
Referred   O
by   O
:   O
Dr.   O
Jacobson   B-NAME
Emery   B-NAME
Ferguson   I-NAME
observed   O
Skyler   B-NAME
Combs   I-NAME
's   O
symptoms   O
during   O
a   O
detailed   O
consultation   O
held   O
at   O
Lee   B-LOCATION
's   I-LOCATION
Summit   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
specialized   O
unit   O
.   O

On   O
the   O
onset   O
date   O
,   O
2113   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
23   I-DATE
,   O
Olive   B-NAME
Frederick   I-NAME
reported   O
experiencing   O
acute   O
episodes   O
of   O
vertigo   O
,   O
characterized   O
by   O
a   O
spinning   O
sensation   O
,   O
which   O
was   O
confirmed   O
not   O
to   O
be   O
related   O
to   O
any   O
recent   O
head   O
trauma   O
.   O

The   O
episodes   O
of   O
vertigo   O
were   O
sporadic   O
but   O
have   O
progressively   O
become   O
more   O
frequent   O
and   O
intensive   O
.   O
-   O
Wanda   B-NAME
Citizen   I-NAME
also   O
complained   O
about   O
persistent   O
tinnitus   O
in   O
the   O
right   O
ear   O
,   O
with   O
occasional   O
auditory   O
fluctuations   O
,   O
leading   O
to   O
difficulties   O
in   O
sound   O
perception   O
.   O
-   O

Diagnostic   O
Process   O
:   O
The   O
initial   O
diagnostic   O
approach   O
involved   O
comprehensive   O
audiometry   O
tests   O
,   O
alongside   O
vestibular   O
function   O
assessments   O
performed   O
on   O
08/12/2113   B-DATE
.   O

MRI   O
scans   O
scheduled   O
for   O
12/08/34   B-DATE
aim   O
to   O
rule   O
out   O
any   O
central   O
causes   O
of   O
these   O
symptoms   O
,   O
such   O
as   O
acoustic   O
neuroma   O
or   O
other   O
brainstem   O
/   O
cerebellar   O
pathology   O
.   O

Galloway   B-NAME
,   I-NAME
George   I-NAME
has   O
been   O
advised   O
to   O
follow   O
a   O
low   O
-   O
sodium   O
diet   O
and   O
to   O
avoid   O
caffeine   O
and   O
alcohol   O
,   O
which   O
are   O
known   O
to   O
exacerbate   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
Bridget   B-NAME
Moran   I-NAME
has   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
22/02/96   B-DATE
at   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Fontana   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
to   O
discuss   O
the   O
MRI   O
findings   O
and   O
to   O
adjust   O
the   O
treatment   O
plan   O
according   O
to   O
the   O
diagnostic   O
outcomes   O
.   O

Hawthorne   B-NAME
,   I-NAME
Nathaniel   I-NAME
's   O
progress   O
will   O
be   O
closely   O
monitored   O
,   O
and   O
adjustments   O
to   O
the   O
treatment   O
regimen   O
will   O
be   O
made   O
as   O
necessary   O
to   O
ensure   O
optimal   O
management   O
of   O
symptoms   O
.   O

Further   O
inquiries   O
can   O
be   O
directed   O
to   O
88530   B-CONTACT
.   O

Report   O
Prepared   O
by   O
:   O
wjv931   B-NAME

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Elina   B-NAME
Age   O
:   O
18   O
Medical   O
Record   O
Number   O
:   O
943   B-ID
-   I-ID
05   I-ID
-   I-ID
60   I-ID
ID   O
Number   O
:   O
1   B-ID
-   I-ID
8039869   I-ID
Address   O
:   O
Annville   B-LOCATION
,   O
78433   B-LOCATION
Phone   O
Number   O
:   O
10473   B-CONTACT
Employment   O
:   O
Network   O
Systems   O
and   O
Data   O
Communications   O
Analysts   O
Attending   O
Physician   O
:   O

Brayan   B-NAME
Horne   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
-   I-LOCATION
Chelsea   I-LOCATION
Initial   O
Presentation   O
:   O
Valery   B-NAME
Braun   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
8/21/2023   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
described   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Quinten   B-NAME
B.   I-NAME
Prado   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Bonner   B-NAME
denies   O
any   O
recent   O
trauma   O
to   O
the   O
abdomen   O
,   O
changes   O
in   O
diet   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

On   O
physical   O
examination   O
,   O
Herman   B-NAME
was   O
afebrile   O
with   O
a   O
temperature   O
of   O
37.5   O
°   O
C   O
,   O
heart   O
rate   O
was   O
88   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
,   O
and   O
respiration   O
rate   O
was   O
16   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Testing   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
initial   O
findings   O
,   O
Donte   B-NAME
Wong   I-NAME
underwent   O
an   O
urgent   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
on   O
3/33   B-DATE
,   O
which   O
revealed   O
appendiceal   O
enlargement   O
with   O
surrounding   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Management   O
:   O
The   O
surgical   O
team   O
was   O
consulted   O
,   O
and   O
Leia   B-NAME
Lucas   I-NAME
was   O
admitted   O
to   O
East   B-LOCATION
Orange   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
any   O
complications   O
on   O
12/22/2160   B-DATE
.   O

Postoperative   O
course   O
was   O
unremarkable   O
,   O
and   O
Bobby   B-NAME
Forbes   I-NAME
was   O
discharged   O
on   O
02/24   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Moon   B-NAME
in   O
2   O
weeks   O
.   O

Follow   O
-   O
up   O
:   O
Umberto   B-NAME
Gibbons   I-NAME
was   O
seen   O
in   O
the   O
outpatient   O
clinic   O
on   O
6/65   B-DATE
for   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

Jaslene   B-NAME
Strickland   I-NAME
reported   O
complete   O
resolution   O
of   O
symptoms   O
.   O

Leyla   B-NAME
Hutchinson   I-NAME
was   O
advised   O
on   O
the   O
gradual   O
resumption   O
of   O
normal   O
activities   O
and   O
a   O
follow   O
-   O
up   O
as   O
needed   O
.   O

Conclusion   O
:   O
This   O
case   O
of   O
Lillianna   B-NAME
Bailey   I-NAME
highlights   O
the   O
importance   O
of   O
timely   O
diagnosis   O
and   O
surgical   O
intervention   O
in   O
the   O
management   O
of   O
acute   O
appendicitis   O
to   O
prevent   O
complications   O
.   O

John   B-NAME
Gideon   I-NAME
's   O
recovery   O
was   O
favorable   O
due   O
to   O
the   O
prompt   O
medical   O
and   O
surgical   O
response   O
.   O

Prepared   O
by   O
:   O
LF982   B-NAME
Reviewed   O
by   O
:   O
Keon   B-NAME
Hanna   I-NAME
International   B-LOCATION
Longshore   I-LOCATION
and   I-LOCATION
Warehouse   I-LOCATION
Union   I-LOCATION
:   O

South   B-LOCATION
Florida   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
February   B-DATE
32   I-DATE
,   I-DATE
2322   I-DATE

Patient   O
Name   O
:   O
Vertie   B-NAME
Rigdon   I-NAME
Medical   O
Record   O
Number   O
:   O
9321G03490   B-ID
Date   O
of   O
Birth   O
:   O
29/11/93   B-DATE
Age   O
:   O
6   O
week   O
Address   O
:   O
Warrior   B-LOCATION
Run   I-LOCATION
,   O
92669   B-LOCATION
Contact   O
Number   O
:   O
51774   B-CONTACT
Attending   O
Physician   O
:   O

Angelica   B-NAME
Reed   I-NAME
Hospital   O
Name   O
:   O
Mercy   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Nazareth   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
13/06/71   B-DATE
Date   O
of   O
Report   O
:   O
12/02/08   B-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
Engineering   O
Managers   O
,   O
presented   O
at   O
Hallmark   B-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
on   O
32   B-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

There   O
has   O
been   O
one   O
episode   O
of   O
vomiting   O
,   O
with   O
the   O
patient   O
unable   O
to   O
keep   O
food   O
down   O
since   O
the   O
morning   O
of   O
12/09   B-DATE
.   O

Physical   O
Examination   O
:   O
On   O
examination   O
,   O
Xavier   B-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
38.2   O
°   O
C   O
(   O
100.8   O
°   O
F   O
)   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Margrett   B-NAME
Lorence   I-NAME
,   O
performed   O
an   O
appendectomy   O
without   O
complication   O
on   O
08/88   B-DATE
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
in   O
2   O
weeks   O
with   O
Braeden   B-NAME
Deleon   I-NAME
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Reno   I-LOCATION
.   O
Instructions   O
for   O
post   O
-   O
operative   O
care   O
were   O
provided   O
,   O
emphasizing   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
symptoms   O
to   O
monitor   O
that   O
may   O
necessitate   O
immediate   O
medical   O
attention   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
05/22/2232   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
analgesics   O
.   O

Follow   O
-   O
Up   O
Information   O
:   O
The   O
patient   O
is   O
scheduled   O
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
visit   O
with   O
Wordsworth   B-NAME
,   I-NAME
William   I-NAME
on   O
12/23   B-DATE
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

Contact   O
Information   O
:   O
Should   O
JERICO   B-NAME
WILLS   I-NAME
experience   O
any   O
concerning   O
symptoms   O
or   O
require   O
immediate   O
medical   O
attention   O
,   O
they   O
are   O
advised   O
to   O
contact   O
the   O
emergency   O
department   O
of   O
St   B-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
at   O
65665   B-CONTACT
.   O

Confidentiality   O
Statement   O
:   O
This   O
medical   O
report   O
for   O
Alejandro   B-NAME
Spence   I-NAME
,   O
03678336   B-ID
,   O
contains   O
confidential   O
health   O
information   O
and   O
is   O
intended   O
for   O
use   O
only   O
by   O
the   O
patient   O
and   O
their   O
healthcare   O
provider   O
.   O

Patient   O
Name   O
:   O
Marin   B-NAME
Padilla   I-NAME
Medical   O
Record   O
Number   O
:   O
6233602   B-ID
Date   O
of   O
Birth   O
:   O
2/22/2327   B-DATE
Age   O
:   O
91s   O
Address   O
:   O
Summerside   B-LOCATION
,   O
60335   B-LOCATION
Phone   O
Number   O
:   O
287   B-CONTACT
7611   I-CONTACT

Schroeder   B-NAME
Admitting   O
Hospital   O
:   O
Los   B-LOCATION
Alamitos   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2336   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
27   I-DATE
Referred   O
by   O
:   O
Dietitian   O
from   O
Just   B-LOCATION
Energy   I-LOCATION
Summary   O
of   O
Admission   O
:   O

Schaefer   B-NAME
was   O
admitted   O
to   O
Staten   B-LOCATION
Island   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
11/16   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
predominantly   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Clara   B-NAME
Schneider   I-NAME
denied   O
any   O
vomiting   O
,   O
diarrhea   O
,   O
or   O
blood   O
in   O
stool   O
.   O

On   O
physical   O
examination   O
,   O
Fabian   B-NAME
Harrington   I-NAME
exhibited   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicating   O
potential   O
appendicitis   O
.   O

Hussein   B-NAME
,   I-NAME
Saddam   I-NAME
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
2171   B-DATE
-   I-DATE
38   I-DATE
-   I-DATE
12   I-DATE
.   O

The   O
procedure   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Victoria   B-NAME
Xing   I-NAME
responded   O
well   O
to   O
surgical   O
intervention   O
and   O
postoperative   O
care   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Dolly   B-NAME
Tippetts   I-NAME
was   O
discharged   O
on   O
01/20   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
care   O
and   O
scheduled   O
for   O
a   O
postoperative   O
visit   O
with   O
Sellers   B-NAME
in   O
two   O
weeks   O
.   O

Recommendations   O
:   O
Cohen   B-NAME
,   I-NAME
Richard   I-NAME
is   O
advised   O
to   O
adhere   O
to   O
postoperative   O
care   O
instructions   O
,   O
including   O
wound   O
care   O
and   O
restricted   O
physical   O
activity   O
as   O
advised   O
.   O

Castro   B-NAME
should   O
avoid   O
lifting   O
heavy   O
objects   O
and   O
engaging   O
in   O
vigorous   O
physical   O
activity   O
until   O
cleared   O
by   O
Ann   B-NAME
Giles   I-NAME
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
Scheduled   O
for   O
5/23/74   B-DATE
at   O
Southeast   B-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Madilynn   B-NAME
Esparza   I-NAME
.   O

For   O
any   O
questions   O
or   O
to   O
reschedule   O
,   O
please   O
call   O
41407   B-CONTACT
.   O

Tortus   B-NAME
Crissinger   I-NAME
is   O
instructed   O
to   O
complete   O
the   O
full   O
course   O
of   O
antibiotics   O
even   O
if   O
symptoms   O
resolve   O
.   O

Pain   O
management   O
should   O
be   O
as   O
per   O
Jessie   B-NAME
Swanson   I-NAME
's   O
instructions   O
,   O
with   O
over   O
-   O
the   O
-   O
counter   O
options   O
for   O
mild   O
discomfort   O
.   O

Patient   O
Name   O
:   O
Gratian   B-NAME
Primary   O
Phone   O
Number   O
:   O
381   B-CONTACT
8518   I-CONTACT
Emergency   O
Contact   O
:   O
Elevator   O
Installers   O
and   O
Repairers   O
,   O
94812   B-CONTACT

This   O
report   O
was   O
prepared   O
by   O
Taryn   B-NAME
Morse   I-NAME
,   O
M.D.   O
,   O
and   O
is   O
confidential   O
.   O

Should   O
there   O
be   O
any   O
discrepancies   O
or   O
questions   O
regarding   O
this   O
report   O
,   O
kindly   O
contact   O
University   B-LOCATION
Hospitals   I-LOCATION
Richmond   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
714   B-CONTACT
-   I-CONTACT
8428   I-CONTACT
.   O

The   O
patient   O
,   O
Margo   B-NAME
Green   I-NAME
,   O
a   O
23   O
-   O
year   O
-   O
old   O
Clinical   O
Psychologists   O
from   O
Long   B-LOCATION
Hollow   I-LOCATION
,   O
presented   O
to   O
Atchison   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Atchison   I-LOCATION
Emergency   O
Department   O
on   O
September   B-DATE
10   I-DATE
,   I-DATE
2020   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Nabokov   B-NAME
,   I-NAME
Vladimir   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
since   O
the   O
onset   O
of   O
pain   O
earlier   O
that   O
day   O
.   O

Upon   O
examination   O
,   O
Terrence   B-NAME
Merritt   I-NAME
noted   O
tenderness   O
to   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
with   O
positive   O
Rovsing   O
's   O
sign   O
,   O
indicating   O
potential   O
appendicitis   O
.   O

Sarven   B-NAME
,   I-NAME
Allen   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
120/80   O
mmHg   O
,   O
heart   O
rate   O
90   O
bpm   O
,   O
respiratory   O
rate   O
16   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
of   O
98.6   O
°   O
F   O
.   O
Laboratory   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
were   O
ordered   O
,   O
revealing   O
leukocytosis   O
with   O
a   O
predominant   O
increase   O
in   O
neutrophils   O
,   O
further   O
supporting   O
the   O
suspicion   O
of   O
an   O
acute   O
inflammatory   O
process   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
completed   O
on   O
1607   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
18   I-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
evidence   O
of   O
rupture   O
.   O

Following   O
the   O
diagnosis   O
,   O
Maxim   B-NAME
Monroe   I-NAME
discussed   O
the   O
findings   O
and   O
the   O
recommended   O
surgical   O
intervention   O
,   O
an   O
appendectomy   O
,   O
with   O
Ray   B-NAME
,   I-NAME
Gene   I-NAME
.   O

Hamza   B-NAME
Pittman   I-NAME
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
2/03   B-DATE
without   O
complications   O
.   O

The   O
patient   O
remained   O
in   O
Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
postoperative   O
observation   O
and   O
was   O
discharged   O
on   O
2126   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Muir   B-NAME
,   I-NAME
John   I-NAME
in   O
two   O
weeks   O
at   O
Atchison   B-LOCATION
.   O

Samuel   B-NAME
Fowler   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
they   O
experienced   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
symptoms   O
of   O
infection   O
.   O

A   O
follow   O
-   O
up   O
contact   O
number   O
,   O
876   B-CONTACT
9426   I-CONTACT
,   O
was   O
provided   O
for   O
any   O
questions   O
or   O
concerns   O
.   O

Youth   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
International   I-LOCATION
billed   O
Giancarlo   B-NAME
Moran   I-NAME
's   O
insurance   O
,   O
under   O
the   O
policy   O
number   O
2   B-ID
-   I-ID
7013373   I-ID
,   O
for   O
the   O
emergency   O
department   O
visit   O
,   O
surgical   O
procedure   O
,   O
and   O
post   O
-   O
operative   O
care   O
.   O

The   O
billing   O
department   O
at   O
International   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Administration   I-LOCATION
can   O
be   O
reached   O
at   O
749   B-CONTACT
7173   I-CONTACT
for   O
any   O
queries   O
related   O
to   O
the   O
statement   O
.   O

The   O
comprehensive   O
care   O
provided   O
to   O
Levi   B-NAME
Poole   I-NAME
during   O
their   O
visit   O
from   O
02   B-DATE
-   I-DATE
32   I-DATE
to   O
17/18   B-DATE
at   O
Coatesville   B-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
documented   O
in   O
their   O
electronic   O
health   O
record   O
,   O
maintained   O
under   O
the   O
medical   O
record   O
number   O
259   B-ID
-   I-ID
76   I-ID
-   I-ID
46   I-ID
-   I-ID
0   I-ID
.   O

The   O
health   O
care   O
team   O
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Gulfport   I-LOCATION
adhered   O
to   O
all   O
current   O
guidelines   O
for   O
the   O
management   O
of   O
acute   O
appendicitis   O
,   O
ensuring   O
a   O
successful   O
outcome   O
for   O
Chaffey   B-NAME
.   O

Any   O
follow   O
-   O
up   O
appointments   O
or   O
additional   O
information   O
required   O
will   O
be   O
communicated   O
to   O
Rebbeca   B-NAME
Falco   I-NAME
via   O
phone   O
or   O
mail   O
to   O
Spring   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77373   I-LOCATION
with   O
postal   O
code   O
57977   B-LOCATION
.   O

Patient   O
Name   O
:   O
Marshall   B-NAME
Valdez   I-NAME
Patient   O
ID   O
:   O
925537   B-ID
Date   O
of   O
Birth   O
:   O
22/32/2332   B-DATE
Age   O
:   O
100   O
Medical   O
Record   O
Number   O
:   O
96508137   B-ID
Address   O
:   O
The   B-LOCATION
Crossings   I-LOCATION
,   O
78261   B-LOCATION
Phone   O
:   O
(   B-CONTACT
132   I-CONTACT
)   I-CONTACT
671   I-CONTACT
2290   I-CONTACT
Attending   O
Physician   O
:   O
Karsyn   B-NAME
Horne   I-NAME
Hospital   O
:   O
Commonwealth   B-LOCATION
Regional   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
5/12/20   B-DATE
Date   O
of   O
Report   O
:   O
May   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
xia   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
University   B-LOCATION
of   I-LOCATION
Minnesota   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Bank   I-LOCATION
Campus   I-LOCATION
on   O
19/22   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mercado   B-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
36   O
hours   O
prior   O
to   O
admission   O
,   O
initially   O
experiencing   O
a   O
dull   O
,   O
generalized   O
abdominal   O
discomfort   O
which   O
gradually   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

There   O
was   O
a   O
noted   O
loss   O
of   O
appetite   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
2110   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
.   O

Past   O
Medical   O
History   O
:   O
Kirsten   B-NAME
Fry   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
both   O
managed   O
with   O
oral   O
medications   O
prescribed   O
by   O
Brooks   B-NAME
Huerta   I-NAME
at   O
a   O
clinic   O
in   O
Athalia   B-LOCATION
.   O

Samson   B-NAME
May   I-NAME
works   O
as   O
a   O
chef   O
and   O
denied   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Sherman   B-NAME
,   I-NAME
William   I-NAME
Tecumseh   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Imaging   O
:   O
An   O
ultrasound   O
of   O
the   O
abdomen   O
,   O
performed   O
on   O
36/03   B-DATE
,   O
showed   O
evidence   O
of   O
an   O
inflamed   O
appendix   O
with   O
the   O
presence   O
of   O
a   O
fecalith   O
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Bothwell   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Tate   B-NAME
for   O
surgical   O
intervention   O
.   O

Matilda   B-NAME
Holder   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
03/08   B-DATE
.   O

The   O
procedure   O
was   O
uneventful   O
,   O
and   O
Tony   B-NAME
Kennedy   I-NAME
made   O
a   O
smooth   O
post   O
-   O
operative   O
recovery   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Henry   B-NAME
Dreyfoos   I-NAME
was   O
discharged   O
on   O
22/28/2162   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Deleon   B-NAME
in   O
two   O
weeks   O
'   O
time   O
.   O

For   O
any   O
concerns   O
or   O
questions   O
,   O
Kolten   B-NAME
Mcmillan   I-NAME
was   O
advised   O
to   O
contact   O
Marcum   B-LOCATION
and   I-LOCATION
Wallace   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
651   I-CONTACT
)   I-CONTACT
647   I-CONTACT
2564   I-CONTACT
.   O

This   O
summary   O
has   O
been   O
prepared   O
by   O
the   O
attending   O
physician   O
,   O
Wade   B-NAME
Byrd   I-NAME
,   O
and   O
is   O
based   O
on   O
the   O
clinical   O
findings   O
and   O
the   O
outcomes   O
related   O
to   O
the   O
treatment   O
provided   O
to   O
Guerra   B-NAME
.   O

Patient   O
Report   O
for   O
Landen   B-NAME
Rollins   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
91   O
-   O
Medical   O
Record   O
Number   O
:   O
0575O81989   B-ID
-   O
Date   O
of   O
Visit   O
:   O
20/05/64   B-DATE
-   O
Attending   O
Physician   O
:   O
Baker   B-NAME
-   O
Hospital   O
:   O
Cumberland   B-LOCATION
Hospital   I-LOCATION
-   O
Location   O
:   O
Quonochontaug   B-LOCATION
-   O
Phone   O
:   O
82038   B-CONTACT
-   O
Zip   O
:   O
57257   B-LOCATION
-   O
ID   O
:   O
102729543   B-ID
-   O
Organization   O
:   O
Vietnam   B-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
Chief   O
Complaint   O
:   O

These   O
headaches   O
are   O
described   O
as   O
throbbing   O
in   O
nature   O
and   O
have   O
been   O
occurring   O
almost   O
daily   O
for   O
the   O
past   O
3/60   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Wallace   B-NAME
,   I-NAME
Alan   I-NAME
notes   O
the   O
onset   O
of   O
headaches   O
approximately   O
5/26/22   B-DATE
,   O
with   O
episodes   O
increasing   O
in   O
frequency   O
and   O
severity   O
over   O
time   O
.   O

Wright   B-NAME
denies   O
any   O
recent   O
history   O
of   O
trauma   O
,   O
fever   O
,   O
or   O
visual   O
disturbances   O
.   O

Appendectomy   O
in   O
2223   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
28   I-DATE
.   O
-   O
Medications   O
:   O
Over   O
-   O
the   O
-   O
counter   O
ibuprofen   O
,   O
occasionally   O
taken   O
for   O
headache   O
with   O
minimal   O
relief   O
.   O

Social   O
History   O
:   O
Andres   B-NAME
Boone   I-NAME
is   O
employed   O
as   O
a   O
Insurance   O
claims   O
inspector   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Megan   B-NAME
Carr   I-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
no   O
acute   O
distress   O
.   O

Patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
Monday   B-DATE
,   I-DATE
September   I-DATE
to   O
review   O
diagnostic   O
test   O
results   O
and   O
assess   O
medication   O
efficacy   O
.   O

Instructions   O
were   O
given   O
to   O
Clayton   B-NAME
to   O
return   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Jones   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
the   O
nearest   O
emergency   O
department   O
should   O
they   O
experience   O
any   O
worsening   O
of   O
symptoms   O
,   O
especially   O
if   O
accompanied   O
by   O
fever   O
,   O
stiff   O
neck   O
,   O
or   O
visual   O
changes   O
.   O

Prepared   O
by   O
:   O
Duarte   B-NAME
Date   O
:   O
1773   B-DATE
Contact   O
Information   O
:   O
708   B-CONTACT
-   I-CONTACT
753   I-CONTACT
7420   I-CONTACT
at   O
Rush   B-LOCATION
Oak   I-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
in   O
Edgerton   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Yuri   B-NAME
Zhivago   I-NAME
Patient   O
ID   O
:   O
YM118/6387   B-ID
Date   O
of   O
Birth   O
:   O
2/27/20   B-DATE
Age   O
:   O
59   O
Address   O
:   O
South   B-LOCATION
Dayton   I-LOCATION
,   O
36335   B-LOCATION
Phone   O
Number   O
:   O
27138   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Cesar   B-NAME
Hess   I-NAME
Treating   O
Hospital   O
:   O
Conway   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
06233529   B-ID
Employment   O
:   O
Clinical   O
cytogeneticist   O
at   O
Graphical   B-LOCATION
Paper   I-LOCATION
and   I-LOCATION
Media   I-LOCATION
Union   I-LOCATION
Username   O
for   O
Patient   O
Portal   O
:   O
pg506   B-NAME
Visit   O
Date   O
:   O
2/12   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Swindoll   B-NAME
,   I-NAME
Charles   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Sherman   B-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
15   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
.   O

Randolph   B-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
24   O
hours   O
prior   O
to   O
presentation   O
.   O

Additionally   O
,   O
Dougherty   B-NAME
experienced   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
an   O
overall   O
feeling   O
of   O
malaise   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Eliezer   B-NAME
Dillon   I-NAME
has   O
been   O
otherwise   O
healthy   O
with   O
a   O
negligible   O
medical   O
history   O
.   O

This   O
episode   O
of   O
abdominal   O
pain   O
marks   O
a   O
significant   O
and   O
alarming   O
change   O
in   O
Salinger   B-NAME
,   I-NAME
J.   I-NAME
D.   I-NAME
's   O
health   O
status   O
.   O

Winnie   B-NAME
Palacios   I-NAME
denied   O
any   O
recent   O
injuries   O
,   O
changes   O
in   O
diet   O
,   O
or   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Payton   B-NAME
Hensley   I-NAME
has   O
no   O
known   O
allergies   O
and   O
is   O
not   O
on   O
any   O
routine   O
medications   O
.   O

Upon   O
examination   O
,   O
Savion   B-NAME
Hampton   I-NAME
demonstrated   O
notable   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
(   O
RLQ   O
)   O
of   O
the   O
abdomen   O
.   O

Samuel   B-NAME
Heller   I-NAME
's   O
vital   O
signs   O
were   O
otherwise   O
stable   O
upon   O
presentation   O
.   O

Surgical   O
consultation   O
with   O
Efrain   B-NAME
Hardin   I-NAME
was   O
recommended   O
,   O
and   O
Barry   B-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Ann   I-LOCATION
Arbor   I-LOCATION
for   O
an   O
urgent   O
appendectomy   O
.   O

Justus   B-NAME
Kent   I-NAME
was   O
advised   O
to   O
avoid   O
food   O
and   O
drink   O
in   O
preparation   O
for   O
anesthesia   O
and   O
surgery   O
.   O

Disposition   O
:   O
Agmar   B-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
without   O
complications   O
under   O
the   O
care   O
of   O
Smollett   B-NAME
,   I-NAME
Tobias   I-NAME
.   O

Philip   B-NAME
Barry   I-NAME
was   O
discharged   O
on   O
February   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
with   O
Ricky   B-NAME
Stokes   I-NAME
.   O

Patient   O
Name   O
:   O
Alexis   B-NAME
Hoover   I-NAME
MRN   O
:   O
22187972   B-ID
Date   O
of   O
Birth   O
:   O
23/32   B-DATE
Date   O
of   O
Visit   O
:   O
32/33   B-DATE
Age   O
:   O
6   O
week   O
Address   O
:   O
Mount   B-LOCATION
Repose   I-LOCATION
,   O
97813   B-LOCATION
Phone   O
:   O
47219   B-CONTACT

Atkinson   B-NAME
Hospital   O
:   O
Humboldt   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O
Iranian   B-LOCATION
Anti   I-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Association   I-LOCATION
(   I-LOCATION
IAVA   I-LOCATION
)   I-LOCATION
Occupation   O
:   O

Chief   O
Sustainability   O
Officers   O
Username   O
:   O
jn232   B-NAME
Chief   O
Complaint   O
:   O
Giovanna   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
KershawHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
8/28   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

camp   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
feeling   O
of   O
impending   O
doom   O
.   O

Past   O
Medical   O
History   O
:   O
Meade   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Xzavier   B-NAME
Small   I-NAME
.   O

Medications   O
:   O
Raphael   B-NAME
Garrison   I-NAME
is   O
currently   O
taking   O
Lisinopril   O
10   O
mg   O
daily   O
and   O
Atorvastatin   O
20   O
mg   O
at   O
bedtime   O
.   O

Allergies   O
:   O
Nancy   B-NAME
Xayarath   I-NAME
is   O
allergic   O
to   O
penicillin   O
,   O
which   O
causes   O
a   O
rash   O
.   O

Higgins   B-NAME
works   O
as   O
a   O
Reporters   O
and   O
Correspondents   O
at   O
AnimaNaturalis   B-LOCATION
(   I-LOCATION
Spain   I-LOCATION
and   I-LOCATION
Latin   I-LOCATION
America   I-LOCATION
)   I-LOCATION
in   O
Biggleswade   B-LOCATION
and   O
reports   O
smoking   O
about   O
one   O
pack   O
of   O
cigarettes   O
per   O
week   O
.   O

The   O
emergency   O
department   O
team   O
at   O
San   B-LOCATION
Juan   I-LOCATION
Hospital   I-LOCATION
initiated   O
the   O
STEMI   O
protocol   O
.   O

Brooke   B-NAME
Allison   I-NAME
was   O
given   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
morphine   O
for   O
pain   O
management   O
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Ellison   B-NAME
,   O
was   O
consulted   O
,   O
and   O
immediate   O
cardiac   O
catheterization   O
was   O
recommended   O
.   O

Damian   B-NAME
Hamilton   I-NAME
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
at   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
on   O
20/21/03   B-DATE
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Madelynn   B-NAME
Pearson   I-NAME
in   O
two   O
weeks   O
to   O
assess   O
recovery   O
and   O
discuss   O
secondary   O
prevention   O
strategies   O
.   O

For   O
any   O
further   O
questions   O
or   O
urgent   O
issues   O
,   O
Gavin   B-NAME
Esparza   I-NAME
or   O
their   O
family   O
members   O
can   O
contact   O
the   O
Cardiology   O
Department   O
at   O
VCU   B-LOCATION
Health   I-LOCATION
Community   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
via   O
886   B-CONTACT
-   I-CONTACT
595   I-CONTACT
7976   I-CONTACT
.   O

Patient   O
Name   O
:   O
Ryker   B-NAME
Figueroa   I-NAME
Medical   O
Record   O
Number   O
:   O
58240045   B-ID
Date   O
of   O
Admission   O
:   O
13/34/2081   B-DATE
Date   O
of   O
Birth   O
:   O
02/05/31   B-DATE
Age   O
:   O
9   O
week   O
Contact   O
Number   O
:   O
473   B-CONTACT
2576   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Camron   B-NAME
Anderson   I-NAME
Admitting   O
Hospital   O
:   O
El   B-LOCATION
Camino   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Village   B-LOCATION
Green   I-LOCATION
,   O
97379   B-LOCATION
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Mechanics   O
,   O
Installers   O
,   O
and   O
Repairers   O
Chief   O
Complaint   O
:   O
HOFFMAN   B-NAME
,   I-NAME
VICTOR   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
University   B-LOCATION
Health   I-LOCATION
Conway   I-LOCATION
,   O
Rural   B-LOCATION
Retreat   I-LOCATION
,   O
on   O
3/20/08   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
predominantly   O
on   O
the   O
right   O
side   O
,   O
accompanied   O
by   O
nausea   O
and   O
occasional   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Jaylin   B-NAME
Potts   I-NAME
denies   O
any   O
recent   O
foreign   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

Past   O
Medical   O
History   O
:   O
Lawson   B-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
was   O
previously   O
diagnosed   O
with   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
approximately   O
22   O
years   O
ago   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Dr.   O
Gurdjieff   B-NAME
,   I-NAME
G.   I-NAME
I.   I-NAME
and   O
the   O
surgical   O
team   O
at   O
HealthSouth   B-LOCATION
,   O
Ivan   B-NAME
Tomlinson   I-NAME
underwent   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
on   O
21/35   B-DATE
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Traficant   B-NAME
,   I-NAME
James   I-NAME
A.   I-NAME
,   I-NAME
Jr.   I-NAME
's   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
.   O

CARR   B-NAME
,   I-NAME
RACHEL   I-NAME
was   O
encouraged   O
to   O
ambulate   O
on   O
post   O
-   O
operative   O
day   O
one   O
.   O

The   O
patient   O
was   O
able   O
to   O
tolerate   O
a   O
liquid   O
diet   O
and   O
was   O
discharged   O
on   O
Saturday   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Dr.   O
Harper   B-NAME
Tracy   I-NAME
in   O
two   O
weeks   O
for   O
a   O
wound   O
check   O
and   O
further   O
evaluation   O
.   O

Uher   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Bennett   B-NAME
Hogan   I-NAME
on   O
12/13   B-DATE
at   O
San   B-LOCATION
Castle   I-LOCATION
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
questions   O
,   O
Phillip   B-NAME
Downey   I-NAME
was   O
advised   O
to   O
contact   O
SUNY   B-LOCATION
Downstate   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Brooklyn   I-LOCATION
's   O
general   O
information   O
line   O
at   O
262   B-CONTACT
9789   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
the   O
medical   O
staff   O
at   O
UT   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
Tyler   I-LOCATION
,   O
1/04/2387   B-DATE
.   O

Patient   O
Report   O
for   O
Nina   B-NAME
Pomerantz   I-NAME
83150399   B-ID
:   O

BB   B-ID
:   I-ID
PX:1739   I-ID
Date   O
of   O
Visit   O
:   O
26/20   B-DATE
Age   O
:   O
12   O
Location   O
:   O
Saxmundham   B-LOCATION
Contact   O
:   O
211   B-CONTACT
-   I-CONTACT
9346   I-CONTACT
Chief   O
Complaint   O
:   O
Noah   B-NAME
Escobar   I-NAME
presented   O
to   O
Kanakanak   B-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
on   O
07/18   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
radiating   O
towards   O
the   O
eye   O
.   O

Tommy   B-NAME
Hardy   I-NAME
,   I-NAME
Jr.   I-NAME
also   O
reports   O
experiencing   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

The   O
symptoms   O
started   O
abruptly   O
32th   B-DATE
around   O
the   O
early   O
morning   O
and   O
have   O
progressively   O
worsened   O
.   O

Medical   O
History   O
:   O
Christian   B-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
,   O
diagnosed   O
1/22   B-DATE
,   O
with   O
a   O
typical   O
frequency   O
of   O
1   O
-   O
2   O
episodes   O
per   O
month   O
,   O
usually   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
and   O
rest   O
.   O

Jessi   B-NAME
Caligari   I-NAME
denies   O
any   O
history   O
of   O
trauma   O
or   O
similar   O
episodes   O
requiring   O
hospitalization   O
.   O

Additionally   O
,   O
Vang   B-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
controlled   O
with   O
an   O
inhaler   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Family   O
history   O
is   O
significant   O
for   O
migraines   O
in   O
Bethany   B-NAME
Mccarty   I-NAME
's   O
mother   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Sarven   B-NAME
,   I-NAME
Allen   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Yonathan   B-NAME
Turk   I-NAME
's   O
blood   O
pressure   O
was   O
within   O
normal   O
range   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
CT   O
scan   O
of   O
the   O
head   O
,   O
performed   O
on   O
Sunday   B-DATE
,   O
showed   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

Escobar   B-NAME
was   O
diagnosed   O
with   O
a   O
migraine   O
with   O
aura   O
.   O

Gabrielle   B-NAME
Mullen   I-NAME
's   O
symptoms   O
showed   O
a   O
significant   O
improvement   O
following   O
treatment   O
.   O

Eric   B-NAME
Good   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
was   O
prescribed   O
Sumatriptan   O
for   O
home   O
use   O
in   O
case   O
of   O
recurrent   O
episodes   O
.   O

Follow   O
-   O
up   O
:   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Javion   B-NAME
Glass   I-NAME
at   O
CentraState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/36   B-DATE
.   O

Brent   B-NAME
Cameron   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
any   O
changes   O
in   O
the   O
pattern   O
or   O
frequency   O
of   O
headaches   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
do   O
not   O
improve   O
with   O
medication   O
.   O

4   O
.   O
Follow   O
up   O
with   O
Griffin   B-NAME
as   O
scheduled   O
or   O
earlier   O
if   O
needed   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Rose   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
515   I-CONTACT
)   I-CONTACT
611   I-CONTACT
-   I-CONTACT
3451   I-CONTACT
.   O

Prepared   O
by   O
:   O
Food   O
scientist   O
,   O
First   B-LOCATION
Commerce   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
21/02   B-DATE
35388   B-LOCATION

Patient   O
:   O
Hong   B-NAME
Beeson   I-NAME
ID   O
:   O
KQ:52069:583894   B-ID

Age   O
:   O
67   O
Phone   O
:   O
450   B-CONTACT
-   I-CONTACT
2252   I-CONTACT
Medical   O
Record   O
No   O
:   O
8606847   B-ID
Admission   O
Date   O
:   O
8/21   B-DATE
Location   O
:   O
Detroit   B-LOCATION
Beach   I-LOCATION
Zip   O
Code   O
:   O
11198   B-LOCATION

Attending   O
Doctor   O
:   O
Kiana   B-NAME
Bowers   I-NAME
Hospital   O
:   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Ada   I-LOCATION
Profession   O
:   O
Rail   O
Transportation   O
Workers   O
,   O
All   O
Other   O
Summary   O
:   O

The   O
patient   O
,   O
Bolívar   B-NAME
,   I-NAME
Simón   I-NAME
,   O
a   O
Precision   O
Agriculture   O
Technicians   O
from   O
Warm   B-LOCATION
River   I-LOCATION
,   O
ZIP   O
code   O
66880   B-LOCATION
,   O
was   O
admitted   O
to   O
Spring   B-LOCATION
Grove   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
30/32/02   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
-   O
grade   O
fever   O
lasting   O
for   O
approximately   O
three   O
days   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Colten   B-NAME
,   I-NAME
James   I-NAME
noted   O
that   O
the   O
patient   O
appeared   O
acutely   O
unwell   O
,   O
demonstrating   O
increased   O
respiratory   O
rate   O
with   O
evidence   O
of   O
labored   O
breathing   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
obtained   O
from   O
their   O
medical   O
record   O
number   O
3486S45345   B-ID
,   O
revealed   O
no   O
significant   O
past   O
medical   O
history   O
apart   O
from   O
a   O
mild   O
case   O
of   O
asthma   O
.   O

The   O
patient   O
's   O
contact   O
number   O
is   O
302   B-CONTACT
5380   I-CONTACT
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
findings   O
,   O
Mccormick   B-NAME
initiated   O
empirical   O
antimicrobial   O
therapy   O
targeted   O
towards   O
community   O
-   O
acquired   O
pneumonia   O
and   O
an   O
inhaled   O
corticosteroid   O
to   O
manage   O
asthma   O
exacerbations   O
.   O

In   O
summary   O
,   O
Jacqueline   B-NAME
Contreras   I-NAME
,   O
a   O
Immigration   O
officer   O
from   O
Reynolds   B-LOCATION
Heights   I-LOCATION
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
a   O
severe   O
respiratory   O
infection   O
marked   O
by   O
high   O
fever   O
,   O
cough   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

Patient   O
Name   O
:   O
Ruba   B-NAME
M   I-NAME
Neil   I-NAME
Patient   O
ID   O
:   O
168982   B-ID
Date   O
of   O
Birth   O
:   O
00/02   B-DATE
Phone   O
Number   O
:   O
972   B-CONTACT
-   I-CONTACT
657   I-CONTACT
3556   I-CONTACT
Age   O
:   O
1   O
week   O
Address   O
:   O
Eleanor   B-LOCATION
,   O
46025   B-LOCATION

Janice   B-NAME
Salmeron   I-NAME
Hospital   O
:   O
Baptist   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Fort   I-LOCATION
Smith   I-LOCATION
Medical   O
Record   O
Number   O
:   O
9028470   B-ID
Date   O
of   O
Admission   O
:   O
21/20/12   B-DATE
Employment   O
:   O
Astronomers   O
at   O
Silver   B-LOCATION
Falls   I-LOCATION
Bank   I-LOCATION
Clinical   O
Summary   O
:   O
Elsie   B-NAME
George   I-NAME
,   O
a   O
37   O
-   O
year   O
-   O
old   O
Subway   O
and   O
Streetcar   O
Operators   O
employed   O
at   O
CCJO   B-LOCATION
René   I-LOCATION
Cassin   I-LOCATION
,   O
presented   O
to   O
Lowell   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Saints   I-LOCATION
Campus   I-LOCATION
on   O
9/30   B-DATE
with   O
a   O
detailed   O
complaint   O
of   O
intermittent   O
,   O
sharp   O
chest   O
pain   O
located   O
primarily   O
in   O
the   O
left   O
sub   O
-   O
sternal   O
region   O
.   O

The   O
pain   O
was   O
described   O
as   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
down   O
the   O
arm   O
,   O
onset   O
approximately   O
27/10   B-DATE
,   O
and   O
has   O
been   O
increasing   O
in   O
both   O
frequency   O
and   O
intensity   O
.   O

Marlee   B-NAME
Price   I-NAME
reports   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
especially   O
on   O
exertion   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

No   O
prior   O
history   O
of   O
similar   O
symptoms   O
was   O
noted   O
in   O
the   O
patient   O
's   O
medical   O
records   O
(   O
643   B-ID
-   I-ID
92   I-ID
-   I-ID
05   I-ID
-   I-ID
7   I-ID
)   O
.   O

Upon   O
examination   O
,   O
Angel   B-NAME
Rubio   I-NAME
noted   O
that   O
Rayna   B-NAME
Beasley   I-NAME
appeared   O
in   O
mild   O
distress   O
,   O
with   O
a   O
noted   O
pallor   O
and   O
diaphoresis   O
.   O

Given   O
the   O
acute   O
nature   O
of   O
the   O
symptoms   O
and   O
the   O
ECG   O
findings   O
,   O
Delphine   B-NAME
Keely   I-NAME
was   O
immediately   O
started   O
on   O
standard   O
treatment   O
protocols   O
for   O
suspected   O
acute   O
coronary   O
syndrome   O
,   O
including   O
the   O
administration   O
of   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
the   O
initiation   O
of   O
anticoagulation   O
therapy   O
.   O

Further   O
diagnostic   O
testing   O
,   O
including   O
coronary   O
angiography   O
,   O
is   O
scheduled   O
for   O
2379   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
22   I-DATE
to   O
ascertain   O
the   O
extent   O
of   O
coronary   O
artery   O
disease   O
and   O
to   O
guide   O
subsequent   O
management   O
strategies   O
.   O

The   O
treating   O
team   O
,   O
led   O
by   O
Singh   B-NAME
,   O
is   O
closely   O
monitoring   O
Tocqueville   B-NAME
,   I-NAME
Alexis   I-NAME
de   I-NAME
's   O
condition   O
and   O
has   O
advised   O
avoiding   O
strenuous   O
activities   O
until   O
further   O
notice   O
.   O

Family   O
members   O
,   O
residing   O
at   O
Humacao   B-LOCATION
,   O
10346   B-LOCATION
,   O
have   O
been   O
informed   O
of   O
Kaley   B-NAME
Bolton   I-NAME
's   O
status   O
and   O
are   O
in   O
contact   O
via   O
558   B-CONTACT
4767   I-CONTACT
.   O

Plans   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
post   O
-   O
diagnostic   O
testing   O
have   O
been   O
scheduled   O
for   O
1930   B-DATE
,   O
where   O
Crimmins   B-NAME
,   I-NAME
Barry   I-NAME
will   O
review   O
the   O
angiography   O
findings   O
with   O
Joey   B-NAME
Whitehead   I-NAME
and   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
to   O
prevent   O
further   O
cardiac   O
events   O
.   O

For   O
any   O
further   O
clarifications   O
or   O
detailed   O
information   O
,   O
please   O
contact   O
the   O
Patient   O
Information   O
Desk   O
at   O
123   B-CONTACT
-   I-CONTACT
5383   I-CONTACT
.   O

Patient   O
Report   O
for   O
Reuben   B-NAME
Zulauf   I-NAME
General   O
Information   O
:   O
-   O
ID   O
:   O
MZ517/1111   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
2466556   B-ID
-   O
Date   O
of   O
Birth   O
:   O
December   B-DATE
-   O
Age   O
:   O
5   O
month   O
-   O
Phone   O
Number   O
:   O
417   B-CONTACT
-   I-CONTACT
315   I-CONTACT
7729   I-CONTACT
-   O
Address   O
:   O
Manor   B-LOCATION
Creek   I-LOCATION
,   O
35678   B-LOCATION
-   O
Attending   O
Physician   O
:   O

Henry   B-NAME
,   I-NAME
Patrick   I-NAME
-   O
Hospital   O
:   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
El   I-LOCATION
Paso   I-LOCATION
-   O
Occupation   O
:   O
Printing   O
Press   O
Machine   O
Operators   O
and   O
Tenders   O
-   O
Username   O
for   O
hospital   O
portal   O
:   O
TM869   B-NAME
Medical   O
History   O
:   O
Patient   O
Essence   B-NAME
Lewis   I-NAME
presented   O
to   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
15/22/42   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

The   O
patient   O
Nathalia   B-NAME
Murillo   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
a   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
by   O
Dr.   O
Matilda   B-NAME
Larsen   I-NAME
on   O
2340   B-DATE
.   O

The   O
patient   O
Gwendolyn   B-NAME
Irvine   I-NAME
was   O
discharged   O
on   O
07/27/1750   B-DATE
with   O
prescriptions   O
for   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
aspirin   O
,   O
a   O
statin   O
,   O
and   O
follow   O
-   O
up   O
scheduled   O
with   O
Branch   B-NAME
in   O
two   O
weeks   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
significant   O
swelling   O
in   O
the   O
limbs   O
,   O
the   O
patient   O
Thorpe   B-NAME
is   O
advised   O
to   O
contact   O
Santa   B-LOCATION
Rosa   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
immediately   O
at   O
328   B-CONTACT
610   I-CONTACT
-   I-CONTACT
1815   I-CONTACT
.   O

Note   O
:   O
This   O
document   O
contains   O
Protected   O
Health   O
Information   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
medical   O
team   O
directly   O
involved   O
in   O
the   O
patient   O
's   O
care   O
at   O
North   B-LOCATION
Georgia   I-LOCATION
EMC   I-LOCATION
.   O

Patient   O
Name   O
:   O
Paisley   B-NAME
Herman   I-NAME
Age   O
:   O
35s   O
DOB   O
:   O

Thursday   B-DATE
,   I-DATE
March   I-DATE
Medical   O
Record   O
Number   O
:   O
5448528   B-ID
Address   O
:   O
Kennebunkport   B-LOCATION
,   O
44876   B-LOCATION
Phone   O
Number   O
:   O
779   B-CONTACT
7398   I-CONTACT

Sweeney   B-NAME
Hospital   O
:   O
OhioHealth   B-LOCATION
Riverside   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
13/20   B-DATE
Date   O
of   O
Report   O
:   O
16/32/82   B-DATE
Reid   B-NAME
Proctor   I-NAME
was   O
admitted   O
to   O
Guthrie   B-LOCATION
Towanda   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
22/62   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
and   O
episodes   O
of   O
vertigo   O
over   O
the   O
past   O
three   O
weeks   O
.   O

Eva   B-NAME
Henderson   I-NAME
also   O
reported   O
a   O
recent   O
onset   O
of   O
intermittent   O
blurred   O
vision   O
.   O

Taahammie   B-NAME
Pemelton   I-NAME
is   O
a   O
Sound   O
Engineering   O
Technicians   O
by   O
trade   O
,   O
denies   O
tobacco   O
use   O
,   O
consumes   O
alcohol   O
socially   O
,   O
and   O
denies   O
illicit   O
drug   O
use   O
.   O

Lives   O
with   O
spouse   O
and   O
two   O
children   O
in   O
Tamworth   B-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Chelsea   B-NAME
Washington   I-NAME
was   O
alert   O
and   O
oriented   O
to   O
person   O
,   O
time   O
,   O
and   O
place   O
.   O

MRI   O
of   O
the   O
brain   O
,   O
ordered   O
by   O
Riley   B-NAME
on   O
22/22/85   B-DATE
,   O
showed   O
no   O
acute   O
intracranial   O
process   O
.   O

Follow   O
-   O
Up   O
:   O
Abe   B-NAME
Morris   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
neurology   O
clinic   O
on   O
12/23   B-DATE
.   O

Contact   O
Information   O
:   O
For   O
any   O
urgent   O
concerns   O
or   O
changes   O
in   O
condition   O
,   O
Dolphy   B-NAME
,   I-NAME
Eric   I-NAME
or   O
family   O
members   O
are   O
advised   O
to   O
contact   O
Island   B-LOCATION
Hospital   I-LOCATION
at   O
838   B-CONTACT
-   I-CONTACT
6693   I-CONTACT
.   O

Report   O
prepared   O
by   O
:   O
Gilder   B-NAME
,   I-NAME
George   I-NAME
Report   O
ID   O
:   O
770912739   B-ID
Location   O
:   O
1   B-LOCATION
East   I-LOCATION
Myrtle   I-LOCATION
Drive   I-LOCATION
,   O
55329   B-LOCATION
Date   O
:   O
10th   B-DATE
of   I-DATE
April   I-DATE
Please   O
note   O
that   O
all   O
personal   O
identifiable   O
information   O
(   O
PII   O
)   O
has   O
been   O
removed   O
or   O
anonymized   O
in   O
this   O
report   O
to   O
maintain   O
confidentiality   O
as   O
per   O
HIPAA   O
guidelines   O
.   O

The   O
patient   O
,   O
Ruben   B-NAME
Owen   I-NAME
,   O
a   O
9   O
month   O
-   O
year   O
-   O
old   O
Obstetricians   O
and   O
Gynecologists   O
from   O
7557   B-LOCATION
E.   I-LOCATION
Peachtree   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION
,   O
presented   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
emergency   O
department   O
on   O
Sunday   B-DATE
,   I-DATE
June   I-DATE
with   O
a   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
that   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
their   O
arrival   O
.   O

Upon   O
examination   O
,   O
Kelly   B-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
92   O
bpm   O
,   O
and   O
temperature   O
38.3   O
°   O
C   O
.   O

Laboratory   O
investigations   O
ordered   O
by   O
Donovan   B-NAME
Chavez   I-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
elevated   O
white   O
blood   O
cells   O
at   O
12,000   O
/   O
μL   O
,   O
suggestive   O
of   O
an   O
infectious   O
process   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
performed   O
on   O
Friday   B-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
signs   O
of   O
rupture   O
.   O

Vic   B-NAME
Schweiber   I-NAME
was   O
admitted   O
to   O
Orange   B-LOCATION
Garden   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
management   O
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
and   O
surgical   O
consultation   O
by   O
Barr   B-NAME
was   O
obtained   O
.   O

Delcie   B-NAME
Ponder   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
on   O
18/11   B-DATE
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
2038   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
21   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
.   O

The   O
patient   O
’s   O
medical   O
record   O
number   O
is   O
028   B-ID
-   I-ID
27   I-ID
-   I-ID
60   I-ID
-   I-ID
4   I-ID
.   O

All   O
communications   O
related   O
to   O
Craig   B-NAME
Adams   I-NAME
's   O
care   O
were   O
coordinated   O
via   O
phone   O
number   O
22655   B-CONTACT
and   O
documented   O
in   O
the   O
electronic   O
medical   O
record   O
system   O
of   O
National   B-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Further   O
,   O
a   O
prescription   O
for   O
pain   O
management   O
was   O
sent   O
to   O
a   O
pharmacy   O
located   O
in   O
49061   B-LOCATION
.   O

In   O
summary   O
,   O
Savion   B-NAME
Conley   I-NAME
,   O
a   O
1   O
-   O
year   O
-   O
old   O
Postal   O
Service   O
Mail   O
Carriers   O
from   O
Finn   B-LOCATION
Hill   I-LOCATION
,   O
had   O
a   O
successful   O
surgical   O
intervention   O
for   O
acute   O
appendicitis   O
at   O
Providence   B-LOCATION
Hospital   I-LOCATION
with   O
no   O
complications   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Adler   B-NAME
,   I-NAME
Alfred   I-NAME
Patient   O
ID   O
:   O
VV   B-ID
:   I-ID
RU:8392   I-ID
Age   O
:   O
68   O
Date   O
of   O
Examination   O
:   O
05/16   B-DATE
Attending   O
Physician   O
:   O

Daisy   B-NAME
Donovan   I-NAME
Hospital   O
:   O
Skagit   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
43495469   B-ID
Location   O
:   O
Gwynn   B-LOCATION
Zip   O
Code   O
:   O
41929   B-LOCATION
Organization   O
:   O

FirstCity   B-LOCATION
Bank   I-LOCATION
Contact   O
Phone   O
:   O
19761   B-CONTACT
Profession   O
:   O
Aircraft   O
Launch   O
and   O
Recovery   O
Specialists   O
Username   O
:   O
hrq462   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Dewyer   B-NAME
Linza   I-NAME
,   O
presented   O
with   O
complaints   O
of   O
acute   O
,   O
localized   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Accompanying   O
the   O
pain   O
,   O
Jean   B-NAME
Figueroa   I-NAME
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Martin   B-NAME
Arrowsmith   I-NAME
notes   O
the   O
pain   O
initially   O
was   O
diffuse   O
,   O
not   O
localized   O
to   O
any   O
specific   O
quadrant   O
but   O
became   O
sharply   O
focused   O
in   O
the   O
right   O
lower   O
quadrant   O
within   O
a   O
few   O
hours   O
.   O

Additionally   O
,   O
Anderson   B-NAME
experienced   O
a   O
decreased   O
appetite   O
and   O
had   O
not   O
eaten   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Dean   B-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
no   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

Kayleigh   B-NAME
Bulnes   I-NAME
is   O
currently   O
not   O
on   O
any   O
prescription   O
medications   O
.   O

Upon   O
examination   O
,   O
Querry   B-NAME
,   I-NAME
Lucas   I-NAME
Edwin   I-NAME
exhibited   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
rebound   O
tenderness   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Wendy   B-NAME
White   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
uneventful   O
,   O
and   O
Rosamond   B-NAME
tolerated   O
the   O
surgery   O
well   O
.   O

Erlene   B-NAME
Frohwein   I-NAME
was   O
advised   O
post   O
-   O
operative   O
wound   O
care   O
instructions   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
.   O

Randall   B-NAME
Strong   I-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
with   O
no   O
anticipated   O
complications   O
.   O

Please   O
contact   O
me   O
at   O
48849   B-CONTACT
for   O
any   O
further   O
details   O
or   O
clarification   O
regarding   O
Ramon   B-NAME
Black   I-NAME
's   O
treatment   O
plan   O
.   O

Sincerely   O
,   O
Mendez   B-NAME

Patient   O
Name   O
:   O
Margaret   B-NAME
Age   O
:   O
95   O
Medical   O
Record   O
Number   O
:   O
710   B-ID
-   I-ID
01   I-ID
-   I-ID
38   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Visit   O
:   O
07/31   B-DATE

Brynlee   B-NAME
Stevenson   I-NAME
Hospital   O
:   O

Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Encinitas   B-LOCATION
,   I-LOCATION
Leucadia   I-LOCATION
101   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Association   I-LOCATION
Patient   O
's   O
ZIP   O
Code   O
:   O
72646   B-LOCATION
Patient   O
's   O
Phone   O
Number   O
:   O
942   B-CONTACT
8709   I-CONTACT
Occupation   O
:   O
painter   O
Username   O
:   O
ql821   B-NAME
ID   O
Number   O
:   O
10   B-ID
-   I-ID
7561792   I-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Maxima   B-NAME
Bookter   I-NAME
,   O
presented   O
to   O
Phelps   B-LOCATION
Hospital   I-LOCATION
on   O
1639   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
00   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
focusing   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
persistent   O
,   O
starting   O
approximately   O
28/00/99   B-DATE
before   O
admission   O
.   O

Jennifer   B-NAME
Paige   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
slight   O
increase   O
in   O
temperature   O
noted   O
at   O
home   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jakayla   B-NAME
Barker   I-NAME
indicated   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
generalized   O
but   O
gradually   O
shifted   O
to   O
the   O
lower   O
right   O
quadrant   O
becoming   O
more   O
intense   O
over   O
the   O
period   O
of   O
05/29   B-DATE
.   O

Davidson   B-NAME
denied   O
any   O
recent   O
changes   O
in   O
diet   O
,   O
bowel   O
habits   O
,   O
or   O
urinary   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Jacoby   B-NAME
Howell   I-NAME
's   O
past   O
medical   O
history   O
includes   O
episodes   O
of   O
irritable   O
bowel   O
syndrome   O
,   O
which   O
are   O
typically   O
managed   O
with   O
dietary   O
adjustments   O
.   O

Carita   B-NAME
Finnegan   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
appendicitis   O
in   O
a   O
first   O
-   O
degree   O
relative   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
turpin   B-NAME
demonstrated   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
lower   O
right   O
abdominal   O
quadrant   O
.   O

Diagnostic   O
Tests   O
:   O
The   O
attending   O
physician   O
,   O
Fletcher   B-NAME
,   O
ordered   O
a   O
complete   O
blood   O
count   O
,   O
which   O
showed   O
a   O
slight   O
elevation   O
in   O
white   O
blood   O
cell   O
count   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
which   O
suggested   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O
Assessment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Silva   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
on   O
2/14   B-DATE
.   O
Plan   O
:   O

Alexander   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
.   O

Informative   O
consent   O
was   O
obtained   O
from   O
Crisp   B-NAME
,   I-NAME
Quentin   I-NAME
after   O
discussing   O
the   O
procedure   O
's   O
risks   O
and   O
benefits   O
.   O

Faith   B-NAME
Gallegos   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
06/09/2099   B-DATE
at   O
Riverside   B-LOCATION
Walter   I-LOCATION
Reed   I-LOCATION
Hospital   I-LOCATION
.   O

Conclusion   O
:   O
The   O
early   O
identification   O
and   O
management   O
of   O
acute   O
appendicitis   O
in   O
Celia   B-NAME
Rios   I-NAME
are   O
crucial   O
to   O
prevent   O
complications   O
such   O
as   O
perforation   O
or   O
peritonitis   O
.   O

The   O
surgical   O
intervention   O
was   O
timely   O
,   O
and   O
Schroeder   B-NAME
is   O
expected   O
to   O
recover   O
without   O
significant   O
complications   O
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
the   O
management   O
plan   O
,   O
please   O
contact   O
Gay   B-NAME
at   O
741   B-CONTACT
-   I-CONTACT
302   I-CONTACT
5254   I-CONTACT
or   O
via   O
email   O
at   O
lvy303   B-NAME
@   O
Chestatee   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
.   O

On   O
20/34   B-DATE
,   O
Edgar   B-NAME
Trujillo   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Beth   B-LOCATION
Israel   I-LOCATION
Deaconess   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

Joe   B-NAME
Briggs   I-NAME
is   O
a   O
Speech   O
and   O
language   O
therapist   O
with   O
no   O
significant   O
past   O
medical   O
history   O
.   O

However   O
,   O
Jace   B-NAME
Pierce   I-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Lilyana   B-NAME
Holder   I-NAME
's   O
72878360   B-ID
indicated   O
an   O
elevated   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
level   O
.   O

Abdominal   O
ultrasound   O
,   O
conducted   O
by   O
Raegan   B-NAME
Acosta   I-NAME
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
peri   O
-   O
appendiceal   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

2024   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
26   I-DATE
surgical   O
consultation   O
at   O
Wesley   B-LOCATION
Long   I-LOCATION
Hospital   I-LOCATION
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
,   O
performed   O
by   O
Vasquez   B-NAME
,   O
was   O
successful   O
without   O
complications   O
.   O

18/23/62   B-DATE
post   O
-   O
operative   O
follow   O
-   O
up   O
indicated   O
Peyton   B-NAME
Woods   I-NAME
was   O
recovering   O
well   O
with   O
resolution   O
of   O
symptoms   O
.   O

Riley   B-NAME
Bender   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
after   O
one   O
week   O
.   O

728   B-CONTACT
-   I-CONTACT
5696   I-CONTACT
was   O
documented   O
as   O
the   O
primary   O
contact   O
number   O
for   O
Eldredge   B-NAME
,   I-NAME
Niles   I-NAME
for   O
any   O
further   O
queries   O
or   O
emergencies   O
.   O

The   O
Marin   B-NAME
Padilla   I-NAME
was   O
instructed   O
to   O
reach   O
out   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Parkridge   I-LOCATION
’s   O
emergency   O
department   O
or   O
to   O
Wang   B-NAME
directly   O
if   O
there   O
were   O
any   O
concerns   O
during   O
recovery   O
.   O

For   O
confidentiality   O
purposes   O
,   O
all   O
identifying   O
information   O
including   O
Miles   B-NAME
Echeverria   I-NAME
name   O
,   O
5395906   B-ID
,   O
CK191336   B-ID
,   O
residence   O
in   O
Moscow   B-LOCATION
Mills   I-LOCATION
,   O
employment   O
as   O
a   O
Nuclear   O
Medicine   O
Physicians   O
at   O
Wakulla   B-LOCATION
Bank   I-LOCATION
,   O
and   O
contact   O
information   O
has   O
been   O
securely   O
documented   O
and   O
is   O
accessible   O
only   O
to   O
the   O
medical   O
team   O
involved   O
in   O
the   O
care   O
of   O
MF   B-NAME
.   O

This   O
outlines   O
the   O
critical   O
information   O
regarding   O
the   O
hospitalization   O
,   O
diagnosis   O
,   O
management   O
,   O
and   O
discharge   O
plan   O
for   O
Paz   B-NAME
with   O
acute   O
appendicitis   O
treated   O
at   O
Unity   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
,   O
Lucy   B-NAME
Best   I-NAME
,   O
a   O
Food   O
Cooking   O
Machine   O
Operators   O
and   O
Tenders   O
from   O
Manilla   B-LOCATION
,   O
presented   O
at   O
Corpus   B-LOCATION
Christi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
DRMC   I-LOCATION
on   O
1/26/32   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
for   O
the   O
past   O
61   O
hours   O
.   O

Brady   B-NAME
Renard   I-NAME
has   O
a   O
history   O
of   O
alcohol   O
misuse   O
and   O
was   O
diagnosed   O
with   O
chronic   O
pancreatitis   O
two   O
years   O
ago   O
,   O
managed   O
by   O
Dolphy   B-NAME
,   I-NAME
Eric   I-NAME
.   O

Upon   O
physical   O
examination   O
,   O
Osuna   B-NAME
appeared   O
to   O
be   O
in   O
distress   O
,   O
with   O
a   O
notable   O
epigastric   O
tenderness   O
upon   O
palpation   O
.   O

Vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
649255   B-ID
,   O
heart   O
rate   O
(   B-CONTACT
183   I-CONTACT
)   I-CONTACT
557   I-CONTACT
1575   I-CONTACT
,   O
and   O
temperature   O
13627   B-LOCATION
.   O

The   O
results   O
,   O
as   O
per   O
5228297   B-ID
,   O
showed   O
elevated   O
lipase   O
levels   O
indicative   O
of   O
a   O
potential   O
acute   O
pancreatitis   O
exacerbation   O
.   O

Further   O
,   O
an   O
abdominal   O
CT   O
scan   O
was   O
recommended   O
by   O
Ayers   B-NAME
to   O
assess   O
the   O
extent   O
of   O
the   O
pancreatitis   O
and   O
to   O
rule   O
out   O
possible   O
complications   O
such   O
as   O
necrosis   O
or   O
pseudocyst   O
formation   O
.   O

The   O
imaging   O
,   O
conducted   O
on   O
21/17/23   B-DATE
,   O
revealed   O
inflammation   O
of   O
the   O
pancreas   O
without   O
signs   O
of   O
necrosis   O
.   O

Throughout   O
the   O
stay   O
at   O
Granville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Chaney   B-NAME
's   O
condition   O
showed   O
gradual   O
improvement   O
.   O

The   O
pain   O
and   O
vomiting   O
subsided   O
,   O
and   O
Graceland   B-NAME
was   O
able   O
to   O
tolerate   O
oral   O
intake   O
without   O
difficulties   O
.   O

The   O
patient   O
education   O
focused   O
on   O
dietary   O
modifications   O
,   O
alcohol   O
cessation   O
,   O
and   O
the   O
importance   O
of   O
regular   O
follow   O
-   O
up   O
appointments   O
with   O
Ben   B-NAME
for   O
ongoing   O
pancreatitis   O
management   O
.   O

Discharge   O
instructions   O
given   O
on   O
5/2322   B-DATE
included   O
a   O
detailed   O
plan   O
for   O
a   O
gradual   O
increase   O
in   O
activity   O
level   O
,   O
adherence   O
to   O
a   O
prescribed   O
low   O
-   O
fat   O
diet   O
,   O
and   O
scheduled   O
follow   O
-   O
up   O
visits   O
to   O
Hodges   B-NAME
's   O
office   O
for   O
re   O
-   O
evaluation   O
.   O

Yuliana   B-NAME
Hodge   I-NAME
was   O
also   O
provided   O
with   O
contact   O
information   O
(   O
867   B-CONTACT
-   I-CONTACT
4817   I-CONTACT
)   O
for   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
gastroenterology   O
department   O
for   O
any   O
urgent   O
concerns   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Sanai   B-NAME
Ball   I-NAME
Patient   O
ID   O
:   O
8860608   B-ID
Medical   O
Record   O
Number   O
:   O
2484113   B-ID
Date   O
of   O
Birth   O
:   O
1984   B-DATE
Age   O
:   O
100   O
Phone   O
Number   O
:   O
767   B-CONTACT
9648   I-CONTACT
Address   O
:   O
New   B-LOCATION
Harmony   I-LOCATION
,   I-LOCATION
New   I-LOCATION
Harmony   I-LOCATION
Business   I-LOCATION
Associates   I-LOCATION
,   O
15317   B-LOCATION
Profession   O
:   O

Site   O
manager   O
Chief   O
Complaint   O
:   O
Christian   B-NAME
Storm   I-NAME
visited   O
Upstate   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
18/03/92   B-DATE
complaining   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
which   O
has   O
been   O
worsening   O
over   O
the   O
past   O
week   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mollie   B-NAME
Atkins   I-NAME
,   O
a   O
physician   O
by   O
occupation   O
,   O
reports   O
that   O
the   O
pain   O
initially   O
began   O
as   O
a   O
dull   O
ache   O
around   O
4/2222   B-DATE
but   O
has   O
progressively   O
intensified   O
.   O

Past   O
Medical   O
History   O
:   O
Scott   B-NAME
Koontz   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O

On   O
examination   O
,   O
Mattie   B-NAME
Richard   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Bill   B-NAME
Capa   I-NAME
.   O

Christel   B-NAME
Merrifield   I-NAME
,   O
a   O
general   O
surgeon   O
,   O
was   O
consulted   O
and   O
agreed   O
with   O
the   O
plan   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
2115   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
00   I-DATE
,   O
and   O
the   O
patient   O
tolerated   O
the   O
procedure   O
well   O
without   O
any   O
complications   O
.   O

Postoperative   O
Care   O
:   O
Keondre   B-NAME
Viera   I-NAME
was   O
advised   O
to   O
remain   O
in   O
Good   B-LOCATION
Samaritan   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Ctr   I-LOCATION
for   O
monitoring   O
until   O
November   B-DATE
23th   I-DATE
.   O

Hung   B-NAME
,   I-NAME
William   I-NAME
was   O
educated   O
on   O
wound   O
care   O
and   O
signs   O
of   O
infection   O
to   O
monitor   O
at   O
home   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Griffin   B-NAME
Fitzgerald   I-NAME
in   O
Rhode   B-LOCATION
Island   I-LOCATION
Hospital   I-LOCATION
on   O
29/24   B-DATE
to   O
monitor   O
recovery   O
and   O
ensure   O
proper   O
healing   O
of   O
the   O
surgical   O
site   O
.   O

This   O
report   O
was   O
prepared   O
by   O
:   O
RN316   B-NAME
08/29/1709   B-DATE

Patient   O
Name   O
:   O
Page   B-NAME
,   I-NAME
Larry   I-NAME
Medical   O
Record   O
Number   O
:   O
9518559   B-ID
Age   O
:   O
60   O
Date   O
of   O
Birth   O
:   O
22/10/2012   B-DATE
Address   O
:   O
Newfane   B-LOCATION
,   O
36713   B-LOCATION
Phone   O
Number   O
:   O
37724   B-CONTACT
Occupation   O
:   O
Cooks   O
,   O
Restaurant   O
Attending   O
Physician   O
:   O
Moyer   B-NAME
Hospital   O
:   O
Methodist   B-LOCATION
Hospital   I-LOCATION
Union   I-LOCATION
County   I-LOCATION
Date   O
of   O
Admission   O
:   O
6/10   B-DATE
Date   O
of   O
Discharge   O
:   O
New   B-DATE
Years   I-DATE
Eve   I-DATE
ID   O
Number   O
:   O
XN:771041:618749   B-ID
History   O
of   O
Present   O
Illness   O
:   O
Mathews   B-NAME
,   O
a   O
97s   O
-   O
year   O
-   O
old   O
Teacher   O
(   O
primary   O
)   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
presented   O
to   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Portage   I-LOCATION
on   O
11/13/1697   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Abdominal   O
ultrasonography   O
performed   O
on   O
12/34/04   B-DATE
revealed   O
an   O
enlarged   O
appendix   O
with   O
wall   O
thickening   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
and   O
Course   O
in   O
Hospital   O
:   O
Under   O
the   O
care   O
of   O
Strong   B-NAME
,   O
the   O
patient   O
was   O
immediately   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
fluids   O
.   O

Given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
the   O
patient   O
underwent   O
laparoscopic   O
appendectomy   O
on   O
05/03   B-DATE
.   O

Nantai   B-NAME
was   O
discharged   O
on   O
2/03/11   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Aurora   B-NAME
Mckenzie   I-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Wesley   B-NAME
Reeves   I-NAME
was   O
seen   O
in   O
the   O
outpatient   O
department   O
on   O
7/6/99   B-DATE
by   O
Reuben   B-NAME
Conway   I-NAME
.   O

Conclusion   O
:   O
Larry   B-NAME
T.   I-NAME
Jansen   I-NAME
's   O
case   O
of   O
acute   O
appendicitis   O
was   O
efficiently   O
managed   O
with   O
timely   O
surgical   O
intervention   O
and   O
appropriate   O
post   O
-   O
operative   O
care   O
,   O
leading   O
to   O
a   O
favorable   O
outcome   O
without   O
complications   O
.   O

For   O
further   O
information   O
,   O
please   O
contact   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Harrisburg   I-LOCATION
at   O
279   B-CONTACT
4172   I-CONTACT
.   O

Patient   O
Name   O
:   O
Santiago   B-NAME
Age   O
:   O
63   O
Medical   O
Record   O
Number   O
:   O
7784035   B-ID
Date   O
of   O
Birth   O
:   O
4/2/36   B-DATE
Date   O
of   O
Visit   O
:   O
10/25/76   B-DATE
Primary   O
Physician   O
:   O

Ibarra   B-NAME
Hospital   O
:   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Jacksonville   I-LOCATION
Location   O
:   O
Bremen   B-LOCATION
Zip   O
Code   O
:   O
32770   B-LOCATION
ID   O
Number   O
:   O
2   B-ID
-   I-ID
1619254   I-ID
Contact   O
Number   O
:   O
221   B-CONTACT
-   I-CONTACT
1515   I-CONTACT
Occupation   O
:   O
Bailiffs   O
Referring   O
Organization   O
:   O

Nebraska   B-LOCATION
Clinical   O
Note   O
:   O
Santiago   B-NAME
,   O
a   O
68   O
-   O
year   O
-   O
old   O
Meeting   O
and   O
Convention   O
Planners   O
from   O
Stanberry   B-LOCATION
,   O
41444   B-LOCATION
,   O
presented   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
West   I-LOCATION
on   O
21/01   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
cephalgia   O
predominantly   O
localized   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

The   O
patient   O
reports   O
the   O
pain   O
intensity   O
as   O
8/10   O
on   O
the   O
pain   O
scale   O
,   O
characterized   O
by   O
its   O
pulsating   O
nature   O
,   O
which   O
has   O
progressively   O
worsened   O
over   O
the   O
past   O
30/10   B-DATE
.   O

Additionally   O
,   O
Loren   B-NAME
mentioned   O
experiencing   O
nausea   O
and   O
episodes   O
of   O
vomiting   O
,   O
further   O
exacerbating   O
their   O
discomfort   O
.   O

Tandy   B-NAME
Empson   I-NAME
denotes   O
a   O
significant   O
reduction   O
in   O
quality   O
of   O
life   O
,   O
affecting   O
daily   O
activities   O
and   O
work   O
performance   O
as   O
a   O
Range   O
Managers   O
.   O

Upon   O
examination   O
,   O
Brown   B-NAME
,   I-NAME
Julie   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
of   O
77   O
bpm   O
,   O
and   O
temperature   O
of   O
98.6   O
°   O
F   O
.   O

For   O
acute   O
episodes   O
,   O
Rey   B-NAME
Diaz   I-NAME
was   O
prescribed   O
sumatriptan   O
to   O
be   O
taken   O
as   O
needed   O
for   O
symptomatic   O
relief   O
.   O

Follow   O
-   O
Up   O
:   O
Dru   B-NAME
Breslauer   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
04/32   B-DATE
to   O
assess   O
the   O
efficacy   O
of   O
the   O
treatment   O
plan   O
and   O
to   O
make   O
necessary   O
adjustments   O
based   O
on   O
clinical   O
response   O
.   O

Camryn   B-NAME
Hill   I-NAME
was   O
encouraged   O
to   O
keep   O
a   O
headache   O
diary   O
documenting   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
of   O
episodes   O
,   O
and   O
any   O
potential   O
triggers   O
or   O
relieving   O
factors   O
.   O

Instructions   O
were   O
given   O
to   O
Beckett   B-NAME
Farley   I-NAME
to   O
contact   O
Sutter   B-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
at   O
781   B-CONTACT
-   I-CONTACT
7768   I-CONTACT
for   O
any   O
immediate   O
concerns   O
or   O
if   O
symptoms   O
significantly   O
worsen   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Further   O
consultations   O
with   O
a   O
neurologist   O
and   O
a   O
nutritionist   O
were   O
also   O
proposed   O
to   O
provide   O
a   O
multidisciplinary   O
approach   O
to   O
managing   O
Laface   B-NAME
's   O
condition   O
.   O

Signature   O
:   O
Elliana   B-NAME
Suarez   I-NAME
1/2222   B-DATE

Patient   O
Name   O
:   O
Thurber   B-NAME
,   I-NAME
James   I-NAME
Patient   O
ID   O
:   O
AS   B-ID
:   I-ID
CS:2838   I-ID
Medical   O
Record   O
Number   O
:   O
DNSW9   B-ID
Date   O
of   O
Birth   O
:   O
2172   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
11   I-DATE
Age   O
:   O
58   O
Address   O
:   O
Rio   B-LOCATION
Hondo   I-LOCATION
,   O
29093   B-LOCATION
Phone   O
Number   O
:   O
148   B-CONTACT
3283   I-CONTACT
Attending   O
Physician   O
:   O
Stein   B-NAME
Hospital   O
Name   O
:   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Cherry   I-LOCATION
Hill   I-LOCATION
Date   O
of   O
Admission   O
:   O
2031   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
37   I-DATE
Date   O
of   O
Report   O
:   O
3/20   B-DATE
Chief   O
Complaint   O
:   O

Poop   B-NAME
presents   O
with   O
a   O
sharply   O
localized   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
that   O
has   O
progressively   O
worsened   O
over   O
the   O
past   O
23/28/2152   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Dania   B-NAME
Acorda   I-NAME
,   O
a   O
Sound   O
Engineering   O
Technicians   O
by   O
profession   O
,   O
reports   O
the   O
onset   O
of   O
mild   O
abdominal   O
discomfort   O
approximately   O
48   O
hours   O
before   O
admission   O
.   O

Associated   O
symptoms   O
include   O
nausea   O
without   O
vomiting   O
,   O
a   O
low   O
-   O
grade   O
fever   O
noted   O
since   O
24/22   B-DATE
,   O
and   O
an   O
overall   O
feeling   O
of   O
malaise   O
.   O

There   O
is   O
no   O
report   O
of   O
diarrhea   O
,   O
but   O
Xayachack   B-NAME
mentions   O
a   O
decreased   O
appetite   O
over   O
the   O
last   O
two   O
days   O
.   O

LF   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
on   O
medication   O
,   O
and   O
no   O
previous   O
surgeries   O
.   O

Social   O
History   O
:   O
Gregory   B-NAME
Saunders   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Holden   B-NAME
Vaughn   I-NAME
works   O
as   O
a   O
Amusement   O
and   O
Recreation   O
Attendants   O
at   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Danville   I-LOCATION
,   O
which   O
involves   O
minimal   O
physical   O
activity   O
.   O

Physical   O
Examination   O
:   O
General   O
-   O
Maren   B-NAME
Osborne   I-NAME
appears   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Admit   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
surgical   O
evaluation   O
and   O
management   O
.   O

2   O
.   O
Notify   O
surgical   O
team   O
led   O
by   O
Hurley   B-NAME
for   O
urgent   O
consultation   O
.   O

4   O
.   O
Obtain   O
surgical   O
consent   O
from   O
William   B-NAME
Joslin   I-NAME
.   O

Prepare   O
Vaughan   B-NAME
,   I-NAME
Norman   I-NAME
D.   I-NAME
for   O
an   O
appendectomy   O
as   O
soon   O
as   O
surgical   O
evaluation   O
is   O
completed   O
.   O

For   O
any   O
further   O
assistance   O
or   O
to   O
discuss   O
the   O
case   O
in   O
detail   O
,   O
please   O
contact   O
133   B-CONTACT
-   I-CONTACT
731   I-CONTACT
-   I-CONTACT
8812   I-CONTACT
.   O

Prepared   O
By   O
:   O
QO956   B-NAME
2033   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
21   I-DATE

Patient   O
Name   O
:   O
Thresa   B-NAME
Hirai   I-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
6125762   I-ID
Date   O
of   O
Birth   O
:   O
New   B-DATE
Years   I-DATE
Day   I-DATE
Address   O
:   O
Mayfield   B-LOCATION
Heights   I-LOCATION
,   O
86082   B-LOCATION
Phone   O
:   O
145   B-CONTACT
8836   I-CONTACT
Occupation   O
:   O
Chemists   O
Primary   O
Physician   O
:   O

Maxwell   B-NAME
Maxwell   I-NAME
Hospital   O
:   O

Phelps   B-LOCATION
Health   I-LOCATION
Medical   O
Record   O
Number   O
:   O
7817010   B-ID
Username   O
:   O
sz664   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
78   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Farming   O
,   O
Fishing   O
,   O
and   O
Forestry   O
Workers   O
from   O
Connerton   B-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Southside   I-LOCATION
on   O
2/29   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
sharp   O
lower   O
abdominal   O
pain   O
that   O
began   O
suddenly   O
approximately   O
8   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Quinton   B-NAME
Stone   I-NAME
reported   O
that   O
the   O
pain   O
was   O
exacerbated   O
by   O
movement   O
and   O
was   O
accompanied   O
by   O
nausea   O
without   O
vomiting   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jamal   B-NAME
Parker   I-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
with   O
rebound   O
tenderness   O
suggestive   O
of   O
peritoneal   O
irritation   O
.   O

Diagnostic   O
Tests   O
:   O
Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
basic   O
metabolic   O
panel   O
(   O
BMP   O
)   O
were   O
ordered   O
by   O
Davies   B-NAME
.   O

Pending   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
,   O
J.   B-NAME
Needham   I-NAME
was   O
advised   O
to   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
and   O
was   O
started   O
on   O
IV   O
fluids   O
for   O
hydration   O
.   O

Conclusion   O
:   O
Aldo   B-NAME
Cochran   I-NAME
,   O
a   O
2   O
week   O
-   O
year   O
-   O
old   O
Engineering   O
geologist   O
from   O
Moffat   B-LOCATION
,   O
exhibited   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
but   O
differential   O
diagnoses   O
should   O
consider   O
ovarian   O
torsion   O
,   O
ectopic   O
pregnancy   O
(   O
for   O
female   O
patients   O
)   O
,   O
diverticulitis   O
,   O
and   O
kidney   O
stones   O
based   O
on   O
history   O
and   O
physical   O
findings   O
.   O

Follow   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
6/74   B-DATE
to   O
review   O
the   O
results   O
of   O
diagnostic   O
tests   O
and   O
determine   O
the   O
next   O
steps   O
in   O
management   O
,   O
including   O
potential   O
surgical   O
intervention   O
.   O

Flores   B-NAME
has   O
been   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

Price   B-NAME
(   B-CONTACT
240   I-CONTACT
)   I-CONTACT
279   I-CONTACT
-   I-CONTACT
2379   I-CONTACT
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Westchester   I-LOCATION

Patient   O
Name   O
:   O
Gloom   B-NAME
Patient   O
ID   O
:   O
JU:98543:406794   B-ID
Date   O
of   O
Birth   O
:   O
12/02   B-DATE
Age   O
:   O
92s   O
Address   O
:   O
Roff   B-LOCATION
,   O
71331   B-LOCATION
Phone   O
Number   O
:   O
20291   B-CONTACT
Employer   O
:   O

American   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Licensed   O
conveyancer   O
Primary   O
Care   O
Physician   O
:   O

Natalee   B-NAME
Huffman   I-NAME
Medical   O
Record   O
Number   O
:   O
1095601   B-ID
Date   O
of   O
Visit   O
:   O
2037   B-DATE
Hospital   O
:   O
Loyola   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

Zeities   B-NAME
Lamartina   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Irwin   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
07/02   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Sidney   B-NAME
Rios   I-NAME
reported   O
the   O
pain   O
worsened   O
with   O
movement   O
and   O
was   O
not   O
relieved   O
by   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medication   O
.   O

Mariyah   B-NAME
Choi   I-NAME
also   O
noted   O
a   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
and   O
denied   O
any   O
bowel   O
movement   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
Brock   B-NAME
Holt   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
,   O
diagnosed   O
at   O
51   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

Davidson   B-NAME
is   O
a   O
Soil   O
and   O
Water   O
Conservationists   O
who   O
denies   O
tobacco   O
use   O
but   O
admits   O
to   O
occasional   O
alcohol   O
consumption   O
,   O
averaging   O
one   O
glass   O
of   O
wine   O
per   O
week   O
.   O

Buscaglia   B-NAME
,   I-NAME
Leo   I-NAME
lives   O
alone   O
in   O
7029   B-LOCATION
Glendale   I-LOCATION
Dr.   I-LOCATION
and   O
is   O
currently   O
employed   O
at   O
Marblehead   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Jerome   B-NAME
Collins   I-NAME
reports   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
in   O
a   O
first   O
-   O
degree   O
relative   O
(   O
father   O
)   O
who   O
was   O
diagnosed   O
at   O
23   O
.   O
Review   O
of   O
Systems   O
:   O
-   O
General   O
:   O
Denies   O
fever   O
,   O
fatigue   O
,   O
or   O
weight   O
loss   O
.   O
-   O
Cardiovascular   O
:   O
Denies   O
chest   O
pain   O
,   O
palpitations   O
,   O
or   O
shortness   O
of   O
breath   O
.   O
-   O
Respiratory   O
:   O
Denies   O
cough   O
or   O
respiratory   O
distress   O
.   O
-   O
Gastrointestinal   O
:   O
Reports   O
nausea   O
and   O
vomiting   O
,   O
as   O
well   O
as   O
anorexia   O
.   O

Diagnostic   O
Workup   O
:   O
-   O
Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
basic   O
metabolic   O
panel   O
,   O
and   O
inflammatory   O
markers   O
were   O
ordered   O
by   O
Gades   B-NAME
and   O
are   O
pending   O
at   O
the   O
moment   O
.   O
-   O

Assessment   O
/   O
Plan   O
:   O
The   O
preliminary   O
diagnosis   O
for   O
Tynan   B-NAME
,   I-NAME
Kenneth   I-NAME
is   O
acute   O
appendicitis   O
.   O

vaught   B-NAME
has   O
been   O
admitted   O
to   O
Advocate   B-LOCATION
Trinity   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Laface   B-NAME
for   O
further   O
management   O
.   O

Laora   B-NAME
Vandilus   I-NAME
has   O
been   O
made   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
,   O
and   O
intravenous   O
fluids   O
have   O
been   O
started   O
.   O

Please   O
note   O
,   O
Zayden   B-NAME
Lester   I-NAME
has   O
been   O
provided   O
with   O
the   O
contact   O
number   O
90096   B-CONTACT
for   O
the   O
surgical   O
ward   O
where   O
they   O
can   O
reach   O
out   O
for   O
any   O
immediate   O
concerns   O
.   O

All   O
efforts   O
will   O
be   O
made   O
to   O
ensure   O
Annie   B-NAME
Cavanero   I-NAME
's   O
comfort   O
and   O
to   O
keep   O
Nunes   B-NAME
informed   O
about   O
their   O
care   O
plan   O
.   O

Patient   O
Name   O
:   O
Gephardt   B-NAME
,   I-NAME
Dick   I-NAME
Date   O
of   O
Birth   O
:   O
2200   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
02   I-DATE
Age   O
:   O
1   O
Phone   O
Number   O
:   O
226   B-CONTACT
5471   I-CONTACT
Address   O
:   O
Panaca   B-LOCATION
,   O
69810   B-LOCATION
Occupation   O
:   O

Printing   O
Machine   O
Operators   O
ID   O
Number   O
:   O
JK329/9388   B-ID
Medical   O
Record   O
Number   O
:   O
31580946   B-ID

Attending   O
Physician   O
:   O
Simpson   B-NAME
Hospital   O
:   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Muhlenberg   I-LOCATION
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Richard   B-NAME
,   O
a   O
1   O
-   O
year   O
-   O
old   O
Roof   O
Bolters   O
,   O
Mining   O
from   O
Coffee   B-LOCATION
Springs   I-LOCATION
,   O
presented   O
to   O
Youth   B-LOCATION
Villages   I-LOCATION
Inner   I-LOCATION
Harbour   I-LOCATION
Campus   I-LOCATION
on   O
00/13/61   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
notably   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
McBurney   O
's   O
point   O
tenderness   O
.   O

Additionally   O
,   O
Benenson   B-NAME
,   I-NAME
Peter   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
with   O
two   O
episodes   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
10/23   B-DATE
,   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
.   O

Raquel   B-NAME
Browning   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
on   O
oral   O
hypoglycemics   O
,   O
and   O
hyperlipidemia   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Luna   B-NAME
Woods   I-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Further   O
imaging   O
with   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
evidence   O
of   O
perforation   O
or   O
abscess   O
formation   O
.   O
Management   O
and   O
Outcome   O
:   O
Following   O
the   O
diagnosis   O
,   O
Hoffman   B-NAME
underwent   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Dr.   O
Barrett   B-NAME
on   O
22/32   B-DATE
.   O

Myah   B-NAME
Schneider   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
post   O
-   O
operatively   O
and   O
transitioned   O
to   O
oral   O
antibiotics   O
upon   O
discharge   O
.   O

Ordonez   B-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
home   O
on   O
January   B-DATE
with   O
appropriate   O
discharge   O
instructions   O
and   O
follow   O
-   O
up   O
with   O
Mcconnell   B-NAME
scheduled   O
in   O
two   O
weeks   O
.   O

Chloe   B-NAME
Costa   I-NAME
's   O
prompt   O
presentation   O
to   O
the   O
hospital   O
and   O
the   O
coordinated   O
care   O
provided   O
by   O
the   O
multidisciplinary   O
team   O
at   O
Ashland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Ashland   I-LOCATION
were   O
crucial   O
to   O
the   O
favorable   O
outcome   O
.   O

Tri   B-LOCATION
-   I-LOCATION
County   I-LOCATION
EMC   I-LOCATION
's   O
protocol   O
for   O
the   O
management   O
of   O
suspected   O
acute   O
appendicitis   O
was   O
followed   O
,   O
which   O
emphasizes   O
the   O
role   O
of   O
clinical   O
assessment   O
,   O
laboratory   O
findings   O
,   O
and   O
imaging   O
in   O
making   O
a   O
definitive   O
diagnosis   O
.   O

Future   O
Recommendations   O
:   O
Fulbright   B-NAME
,   I-NAME
J.   I-NAME
William   I-NAME
was   O
advised   O
to   O
follow   O
a   O
graded   O
activity   O
plan   O
for   O
the   O
next   O
2181   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
07   I-DATE
,   O
avoiding   O
strenuous   O
activities   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
to   O
monitor   O
the   O
post   O
-   O
operative   O
course   O
and   O
to   O
manage   O
Rylie   B-NAME
Spence   I-NAME
's   O
chronic   O
conditions   O
,   O
including   O
diabetes   O
and   O
hyperlipidemia   O
.   O

Patient   O
Name   O
:   O
Louis   B-NAME
,   I-NAME
Joe   I-NAME
Patient   O
ID   O
:   O
98527   B-ID
Date   O
of   O
Birth   O
:   O
02/32/43   B-DATE
Age   O
:   O
46   O
Medical   O
Record   O
Number   O
:   O
1581482   B-ID
Address   O
:   O
Libertytown   B-LOCATION
,   O
89939   B-LOCATION
Phone   O
Number   O
:   O
481   B-CONTACT
9543   I-CONTACT
Occupation   O
:   O
Occupational   O
Therapy   O
Assistants   O
Primary   O
Care   O
Physician   O
:   O

Gemma   B-NAME
Bell   I-NAME
Treatment   O
Facility   O
:   O

Long   B-LOCATION
Island   I-LOCATION
Jewish   I-LOCATION
Forest   I-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2268   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
13   I-DATE
Username   O
:   O
tjp167   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Houdini   B-NAME
,   I-NAME
Harry   I-NAME
,   O
presented   O
at   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Jun   B-DATE
23   I-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Alongside   O
this   O
,   O
Erin   B-NAME
f.   I-NAME
Aquino   I-NAME
has   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
slight   O
fever   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
day   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mcpherson   B-NAME
,   O
a   O
35   O
-   O
year   O
-   O
old   O
Office   O
Machine   O
and   O
Cash   O
Register   O
Servicers   O
,   O
began   O
noticing   O
mild   O
discomfort   O
in   O
the   O
mid   O
-   O
abdominal   O
area   O
early   O
on   O
2/33   B-DATE
,   O
which   O
gradually   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
by   O
midday   O
.   O

dalton   B-NAME
has   O
not   O
experienced   O
these   O
symptoms   O
before   O
.   O

Edwin   B-NAME
Spindrift   I-NAME
is   O
not   O
on   O
any   O
long   O
-   O
term   O
medications   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Family   O
History   O
:   O
Cannicus   B-NAME
Maskaly   I-NAME
reports   O
that   O
their   O
family   O
,   O
residing   O
in   O
Concow   B-LOCATION
,   O
has   O
a   O
history   O
of   O
gastrointestinal   O
issues   O
,   O
though   O
Floyd   B-NAME
J.   I-NAME
Floyd   I-NAME
Jr.   I-NAME
has   O
not   O
previously   O
been   O
affected   O
.   O

Social   O
History   O
:   O
Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
is   O
a   O
Healthcare   O
Support   O
Workers   O
,   O
All   O
Other   O
,   O
nonsmoker   O
,   O
and   O
reports   O
occasional   O
alcohol   O
use   O
.   O

Gavyn   B-NAME
Diaz   I-NAME
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Sage   B-NAME
Watkins   I-NAME
lives   O
in   O
Elizaville   B-LOCATION
and   O
is   O
originally   O
from   O
Charlotte   B-LOCATION
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
symptoms   O
noted   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
the   O
present   O
illness   O
,   O
Ulysses   B-NAME
Xayasane   I-NAME
denies   O
any   O
other   O
systemic   O
symptoms   O
,   O
such   O
as   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
rash   O
,   O
headache   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
bladder   O
habits   O
.   O

The   O
physical   O
examination   O
conducted   O
by   O
Jaydon   B-NAME
Brock   I-NAME
revealed   O
tenderness   O
and   O
rebound   O
tenderness   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Diagnostic   O
Testing   O
:   O
Initial   O
laboratory   O
tests   O
and   O
imaging   O
ordered   O
by   O
Cherry   B-NAME
on   O
07/40   B-DATE
are   O
pending   O
.   O

Given   O
the   O
clinical   O
presentation   O
suggestive   O
of   O
acute   O
appendicitis   O
,   O
Shea   B-NAME
has   O
recommended   O
an   O
urgent   O
surgical   O
consult   O
.   O

Antibiotic   O
therapy   O
has   O
been   O
initiated   O
,   O
and   O
Tolkien   B-NAME
,   I-NAME
J.   I-NAME
R.   I-NAME
R.   I-NAME
will   O
be   O
admitted   O
to   O
Highlands   B-LOCATION
-   I-LOCATION
Cashiers   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

Instructions   O
for   O
Jenna   B-NAME
Q.   I-NAME
Corona   I-NAME
:   O
-   O
Victoria   B-NAME
Xing   I-NAME
is   O
to   O
avoid   O
any   O
food   O
or   O
drink   O
until   O
the   O
surgical   O
assessment   O
is   O
complete   O
.   O

-   O
Carroll   B-NAME
is   O
advised   O
to   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
to   O
the   O
nursing   O
staff   O
immediately   O
.   O

Follow   O
-   O
up   O
:   O
YONATHAN   B-NAME
OLIVER   I-NAME
TURK   I-NAME
will   O
be   O
evaluated   O
by   O
the   O
general   O
surgery   O
team   O
on   O
33/22/22   B-DATE
for   O
potential   O
surgical   O
intervention   O
.   O

Notes   O
:   O
Any   O
additional   O
updates   O
regarding   O
Isabella   B-NAME
Nash   I-NAME
's   O
condition   O
and   O
management   O
will   O
be   O
documented   O
in   O
Min   B-NAME
's   O
medical   O
record   O
,   O
584   B-ID
-   I-ID
35   I-ID
-   I-ID
18   I-ID
.   O

In   O
Case   O
of   O
Emergency   O
:   O
Karl   B-NAME
Hellfern   I-NAME
or   O
family   O
members   O
may   O
contact   O
Paradise   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
at   O
511   B-CONTACT
-   I-CONTACT
1029   I-CONTACT
.   O

Patient   O
Name   O
:   O
Lizeth   B-NAME
Sauage   I-NAME
Date   O
of   O
Birth   O
:   O
1967   B-DATE
Age   O
:   O
10   O
month   O
Medical   O
Record   O
Number   O
:   O
71534946   B-ID
ID   O
:   O
404000624   B-ID
Address   O
:   O
Paulding   B-LOCATION
,   O
18968   B-LOCATION
Phone   O
Number   O
:   O
223   B-CONTACT
632   I-CONTACT
2954   I-CONTACT
Employer   O
:   O

Forum   B-LOCATION
18   I-LOCATION
Occupation   O
:   O

Fire   O
Fighters   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
David   B-NAME
Kibner   I-NAME
Date   O
of   O
Visit   O
:   O
02/24/2022   B-DATE
Hospital   O
:   O
Lakes   B-LOCATION
Region   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Case   O
Summary   O
:   O
Amirah   B-NAME
Frederick   I-NAME
presented   O
to   O
Geisinger   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
35/00/2226   B-DATE
with   O
a   O
history   O
of   O
persistent   O
headaches   O
,   O
characterized   O
as   O
being   O
localized   O
primarily   O
in   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

powell   B-NAME
described   O
an   O
intensity   O
of   O
pain   O
that   O
ranged   O
from   O
moderate   O
to   O
severe   O
and   O
noted   O
that   O
the   O
headache   O
episodes   O
were   O
often   O
accompanied   O
by   O
nausea   O
and   O
a   O
marked   O
sensitivity   O
to   O
both   O
light   O
and   O
sound   O
.   O

In   O
addition   O
,   O
Abbott   B-NAME
reported   O
a   O
recent   O
onset   O
of   O
diplopia   O
and   O
photophobia   O
,   O
which   O
have   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
March   B-DATE
28th   I-DATE
.   O

No   O
significant   O
past   O
medical   O
history   O
was   O
noted   O
except   O
for   O
a   O
diagnosis   O
of   O
hypertension   O
,   O
for   O
which   O
Nate   B-NAME
Ambrose   I-NAME
has   O
been   O
prescribed   O
medication   O
by   O
Dr.   O
Memphis   B-NAME
Blevins   I-NAME
.   O

During   O
the   O
examination   O
,   O
Corrine   B-NAME
James   I-NAME
-   I-NAME
Wagner   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

ostrowski   B-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
or   O
possible   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Campos   B-NAME
for   O
2114   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
15   I-DATE
to   O
review   O
diagnostic   O
findings   O
and   O
adjust   O
treatment   O
plans   O
as   O
necessary   O
.   O

In   O
the   O
interim   O
,   O
Brooks   B-NAME
was   O
prescribed   O
an   O
abortive   O
medication   O
for   O
migraine   O
relief   O
and   O
advised   O
to   O
limit   O
exposure   O
to   O
known   O
triggers   O
,   O
such   O
as   O
bright   O
light   O
and   O
loud   O
noises   O
.   O

For   O
hypertension   O
,   O
Marisol   B-NAME
Kline   I-NAME
is   O
instructed   O
to   O
continue   O
the   O
current   O
antihypertensive   O
medication   O
and   O
monitor   O
blood   O
pressure   O
at   O
home   O
.   O

All   O
inquiries   O
and   O
further   O
appointment   O
scheduling   O
can   O
be   O
directed   O
to   O
29290   B-CONTACT
during   O
regular   O
business   O
hours   O
.   O

Patient   O
Name   O
:   O
Leung   B-NAME
,   I-NAME
Graeme   I-NAME
Age   O
:   O
85   O
Date   O
of   O
Birth   O
:   O
0/23   B-DATE
Phone   O
Number   O
:   O
621   B-CONTACT
6126   I-CONTACT
Medical   O
Record   O
Number   O
:   O
163   B-ID
-   I-ID
13   I-ID
-   I-ID
19   I-ID
-   I-ID
2   I-ID
Patient   O
ID   O
:   O
8   B-ID
-   I-ID
7426611   I-ID
Date   O
of   O
Visit   O
:   O
June   B-DATE
Location   O
:   O
Ishpeming   B-LOCATION
,   I-LOCATION
Ishpeming   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
,   O
78025   B-LOCATION

Hensley   B-NAME
Hospital   O
Name   O
:   O
Virginia   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
--   I-LOCATION
Arlington   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Username   O
:   O
psq181   B-NAME
Profession   O
:   O

Police   O
Identification   O
and   O
Records   O
Officers   O
Chief   O
Complaint   O
:   O
Natashia   B-NAME
Rosa   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
33/23/20   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

CARR   B-NAME
,   I-NAME
RACHEL   I-NAME
denied   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
blood   O
in   O
the   O
stool   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
Kolten   B-NAME
Richards   I-NAME
,   O
an   O
69   O
-   O
year   O
-   O
old   O
Medical   O
Records   O
and   O
Health   O
Information   O
Technicians   O
,   O
has   O
experienced   O
similar   O
,   O
but   O
less   O
severe   O
episodes   O
in   O
the   O
past   O
year   O
,   O
none   O
of   O
which   O
prompted   O
a   O
medical   O
consultation   O
.   O

Faustina   B-NAME
Douglas   I-NAME
has   O
no   O
history   O
of   O
surgeries   O
or   O
hospitalizations   O
.   O

Last   O
oral   O
intake   O
was   O
2/01   B-DATE
,   O
consisting   O
of   O
a   O
meal   O
that   O
Alden   B-NAME
Patterson   I-NAME
described   O
as   O
"   O
unusual   O
"   O
for   O
their   O
normal   O
diet   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
mentioned   O
,   O
Karen   B-NAME
Nixon   I-NAME
denies   O
any   O
chest   O
pain   O
,   O
dyspnea   O
,   O
urinary   O
symptoms   O
,   O
or   O
skin   O
rashes   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jerome   B-NAME
Santos   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Chase   B-NAME
Day   I-NAME
,   O
which   O
showed   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fluid   O
collection   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Management   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Milo   B-NAME
Smith   I-NAME
diagnosed   O
Leonard   B-NAME
Gillespie   I-NAME
with   O
acute   O
appendicitis   O
.   O

Robinson   B-NAME
discussed   O
the   O
findings   O
and   O
treatment   O
options   O
with   O
Bertram   B-NAME
Perrault   I-NAME
,   O
recommending   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Fisher   B-NAME
Mcclure   I-NAME
provided   O
informed   O
consent   O
for   O
the   O
procedure   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
the   O
next   O
available   O
slot   O
on   O
31/28/2381   B-DATE
at   O
Yavapai   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
East   I-LOCATION
.   O

Post   O
-   O
operative   O
Course   O
:   O
Sterling   B-NAME
,   I-NAME
Bruce   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
any   O
immediate   O
complications   O
.   O

Rocco   B-NAME
Zimmerman   I-NAME
was   O
encouraged   O
to   O
resume   O
a   O
liquid   O
diet   O
within   O
12   O
hours   O
post   O
-   O
operatively   O
and   O
was   O
able   O
to   O
tolerate   O
this   O
without   O
issue   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
March   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Genesis   B-NAME
Lee   I-NAME
in   O
2   O
weeks   O
.   O

In   O
summary   O
,   O
Brian   B-NAME
Malone   I-NAME
,   O
an   O
22   O
-   O
year   O
-   O
old   O
Radiologists   O
from   O
Clymer   B-LOCATION
,   O
presented   O
with   O
classic   O
symptoms   O
of   O
acute   O
appendicitis   O
.   O

Laparoscopic   O
appendectomy   O
was   O
successfully   O
performed   O
at   O
Long   B-LOCATION
Term   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Birmingham   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
by   O
James   B-NAME
Hobart   I-NAME
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Kira   B-NAME
Wang   I-NAME
is   O
scheduled   O
for   O
follow   O
-   O
up   O
to   O
ensure   O
complete   O
recovery   O
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Tyesha   B-NAME
Mikulec   I-NAME
-   O
Age   O
:   O
31   O
-   O
ID   O
:   O
52073178   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
061   B-ID
89   I-ID
71   I-ID
-   O
Location   O
:   O
Radcliff   B-LOCATION
-   O
Zip   O
:   O
87945   B-LOCATION
-   O
Phone   O
:   O
600   B-CONTACT
7640   I-CONTACT
-   O
Date   O
of   O
Visit   O
:   O
2153   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
36   I-DATE
-   O
Attending   O
Doctor   O
:   O
Gentry   B-NAME
-   O
Hospital   O
:   O
Fairfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
-   O
Occupation   O
:   O
Farmworkers   O
,   O
Farm   O
and   O
Ranch   O
Animals   O
Summary   O
:   O
Suzanne   B-NAME
McCullough   I-NAME
,   O
a   O
Mental   O
Health   O
and   O
Substance   O
Abuse   O
Social   O
Workers   O
from   O
Alachua   B-LOCATION
,   O
38072   B-LOCATION
,   O
presented   O
to   O
Lake   B-LOCATION
Wales   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Wednesday   B-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
,   O
chronic   O
fatigue   O
,   O
and   O
intermittent   O
episodes   O
of   O
palpitations   O
which   O
have   O
been   O
increasing   O
in   O
frequency   O
over   O
the   O
past   O
month   O
.   O

Natashia   B-NAME
Rosa   I-NAME
reports   O
limited   O
exercise   O
tolerance   O
and   O
an   O
episode   O
of   O
syncope   O
last   O
week   O
.   O

Medical   O
History   O
:   O
Nixon   B-NAME
,   I-NAME
Richard   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
.   O

Moses   B-NAME
Zavala   I-NAME
's   O
social   O
history   O
includes   O
a   O
Planning   O
technician   O
at   O
National   B-LOCATION
League   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Blind   I-LOCATION
with   O
a   O
10   O
-   O
year   O
history   O
of   O
smoking   O
,   O
though   O
Aydan   B-NAME
Hensley   I-NAME
quit   O
smoking   O
2   O
years   O
ago   O
.   O
Vitals   O
on   O
Admission   O
:   O
-   O
Blood   O
Pressure   O
:   O
145/95   O
mmHg   O
-   O
Heart   O
Rate   O
:   O
102   O
bpm   O
-   O
Respiratory   O
Rate   O
:   O
19   O
breaths   O
/   O
min   O
-   O
Temperature   O
:   O
98.6   O
°   O
F   O
-   O
Oxygen   O
Saturation   O
:   O
94   O
%   O
on   O
room   O
air   O
Examination   O
Findings   O
:   O
Clinical   O
examination   O
by   O
Dr.   O
Keenan   B-NAME
Ayers   I-NAME
revealed   O
an   O
overweight   O
male   O
in   O
no   O
acute   O
distress   O
.   O

Diagnostic   O
Testing   O
:   O
An   O
echocardiogram   O
scheduled   O
on   O
30/02   B-DATE
revealed   O
left   O
ventricular   O
hypertrophy   O
with   O
preserved   O
ejection   O
fraction   O
,   O
mild   O
to   O
moderate   O
mitral   O
valve   O
regurgitation   O
,   O
and   O
signs   O
of   O
pulmonary   O
hypertension   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
22/12   B-DATE
to   O
re   O
-   O
evaluate   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

Contact   O
Information   O
:   O
Any   O
changes   O
in   O
Infant   B-NAME
Brewer   I-NAME
's   O
condition   O
or   O
for   O
urgent   O
consultations   O
,   O
please   O
contact   O
Monadnock   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
428   B-CONTACT
-   I-CONTACT
329   I-CONTACT
-   I-CONTACT
4425   I-CONTACT
.   O

Patient   O
Report   O
for   O
Krista   B-NAME
Mcmahon   I-NAME
General   O
Information   O
:   O
Patient   O
ID   O
:   O
887592569   B-ID
Medical   O
Record   O
Number   O
:   O
5048249   B-ID
Date   O
of   O
Birth   O
:   O
22/18   B-DATE
Age   O
:   O
18   O
Residence   O
:   O
Columbia   B-LOCATION
,   O
33711   B-LOCATION
Occupation   O
:   O
Environmental   O
manager   O
Emergency   O
Contact   O
Phone   O
:   O
23453   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Ramos   B-NAME
Admitting   O
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Easton   I-LOCATION
Medical   O
History   O
:   O
hoover   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
through   O
medication   O
and   O
diet   O
.   O

Past   O
surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
on   O
11/25/91   B-DATE
.   O

Presenting   O
Complaint   O
:   O
Kianna   B-NAME
Velazquez   I-NAME
was   O
admitted   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Temple   I-LOCATION
on   O
12/33/69   B-DATE
with   O
chief   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
.   O

On   O
examination   O
,   O
Kitchen   B-NAME
,   I-NAME
Willie   I-NAME
was   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Rovsing   O
's   O
sign   O
was   O
positive   O
,   O
and   O
Psoas   O
sign   O
was   O
inconclusive   O
due   O
to   O
Marneus   B-NAME
's   O
pain   O
upon   O
execution   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Dr.   O
Savage   B-NAME
,   O
was   O
consulted   O
,   O
and   O
Gaines   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
0/90   B-DATE
.   O

Corinne   B-NAME
Bonilla   I-NAME
's   O
hypertension   O
was   O
considered   O
during   O
anesthesia   O
consultation   O
to   O
ensure   O
a   O
controlled   O
perioperative   O
blood   O
pressure   O
.   O

Paisley   B-NAME
Beltran   I-NAME
was   O
monitored   O
post   O
-   O
operatively   O
on   O
the   O
surgical   O
floor   O
of   O
Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Camden   I-LOCATION
Campus   I-LOCATION
.   O

Ferguson   B-NAME
,   I-NAME
Miriam   I-NAME
was   O
discharged   O
on   O
9/24   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
restriction   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Pratt   B-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Maureen   B-NAME
Robinson   I-NAME
is   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
redness   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
,   O
inability   O
to   O
eat   O
or   O
drink   O
,   O
or   O
persistent   O
vomiting   O
.   O

Conclusion   O
:   O
The   O
prompt   O
diagnosis   O
and   O
treatment   O
of   O
appendicitis   O
in   O
Foy   B-NAME
resulted   O
in   O
a   O
successful   O
outcome   O
.   O

Bird   B-NAME
will   O
continue   O
outpatient   O
follow   O
-   O
up   O
for   O
complete   O
recovery   O
and   O
to   O
monitor   O
hypertension   O
management   O
.   O

Generated   O
by   O
:   O
KM9410   B-NAME
Report   O
Date   O
:   O
22/20/2009   B-DATE
Contact   O
for   O
Further   O
Information   O
:   O
74378   B-CONTACT

Patient   O
Name   O
:   O
Davidson   B-NAME
Age   O
:   O
10   O
Date   O
of   O
Initial   O
Consultation   O
:   O
30/18   B-DATE
Contact   O
Number   O
:   O
511   B-CONTACT
-   I-CONTACT
1029   I-CONTACT
Residence   O
:   O
Baxter   B-LOCATION
Springs   I-LOCATION
,   O
38596   B-LOCATION
Occupation   O
:   O
butcher   O
Referring   O
Physician   O
:   O

Averie   B-NAME
Odom   I-NAME
Hospital   O
:   O
King   B-LOCATION
's   I-LOCATION
Daughter   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Medical   O
Record   O
Number   O
:   O
35649588   B-ID
Identification   O
Number   O
:   O
ZO:67854:667139   B-ID
Chief   O
Complaint   O
:   O

Quintillus   B-NAME
Alrod   I-NAME
was   O
brought   O
into   O
East   B-LOCATION
Mountain   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
that   O
radiates   O
to   O
the   O
left   O
arm   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
symptoms   O
began   O
suddenly   O
on   O
10   B-DATE
-   I-DATE
32   I-DATE
.   O

Brent   B-NAME
Price   I-NAME
describes   O
the   O
pain   O
as   O
"   O
like   O
a   O
weight   O
on   O
my   O
chest   O
"   O
and   O
rates   O
the   O
pain   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Stephen   B-NAME
Strange   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
diagnosed   O
in   O
38/22   B-DATE
and   O
hyperlipidemia   O
.   O

Bryan   B-NAME
Owens   I-NAME
also   O
mentioned   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Noah   B-NAME
Hardy   I-NAME
is   O
currently   O
on   O
Lisinopril   O
10   O
mg   O
once   O
daily   O
and   O
Simvastatin   O
20   O
mg   O
at   O
night   O
.   O

Social   O
history   O
includes   O
working   O
as   O
a   O
Plant   O
breeder   O
with   O
a   O
10   O
-   O
year   O
smoking   O
history   O
,   O
although   O
Apple   B-NAME
,   I-NAME
Fiona   I-NAME
quit   O
smoking   O
two   O
years   O
ago   O
.   O

David   B-NAME
Sandler   I-NAME
occasionally   O
consumes   O
alcohol   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Edward   B-NAME
Benitez   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Plan   O
:   O
Schlüter   B-NAME
,   I-NAME
Poul   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
325   O
mg   O
,   O
clopidogrel   O
75   O
mg   O
,   O
and   O
heparin   O
drip   O
as   O
per   O
acute   O
coronary   O
syndrome   O
(   O
ACS   O
)   O
protocol   O
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Delgado   B-NAME
,   O
was   O
consulted   O
,   O
and   O
it   O
was   O
decided   O
to   O
proceed   O
with   O
cardiac   O
catheterization   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
Dec   B-DATE
2103   I-DATE
,   O
revealed   O
significant   O
coronary   O
artery   O
disease   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
,   O
which   O
was   O
successfully   O
revascularized   O
with   O
the   O
placement   O
of   O
a   O
drug   O
-   O
eluting   O
stent   O
.   O

Miranda   B-NAME
,   I-NAME
James   I-NAME
R   I-NAME
was   O
also   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
and   O
statin   O
for   O
long   O
-   O
term   O
management   O
of   O
coronary   O
artery   O
disease   O
.   O

Follow   O
-   O
Up   O
:   O
Anjanette   B-NAME
Skult   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
cardiology   O
clinic   O
in   O
1   O
week   O
after   O
discharge   O
on   O
Saturday   B-DATE
for   O
medication   O
titration   O
and   O
a   O
repeat   O
evaluation   O
of   O
cardiac   O
function   O
.   O

Conclusion   O
:   O
Hui   B-NAME
Kimbell   I-NAME
's   O
acute   O
presentation   O
was   O
managed   O
promptly   O
with   O
a   O
multidisciplinary   O
approach   O
that   O
included   O
immediate   O
pharmacological   O
intervention   O
and   O
interventional   O
cardiology   O
techniques   O
,   O
which   O
underscores   O
the   O
importance   O
of   O
early   O
detection   O
and   O
treatment   O
of   O
ACS   O
to   O
prevent   O
adverse   O
outcomes   O
.   O

Patient   O
Report   O
for   O
Carter   B-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
97   O
-   O
ID   O
:   O
204066   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
537   B-ID
-   I-ID
41   I-ID
-   I-ID
57   I-ID
-   I-ID
4   I-ID
-   O
Phone   O
:   O
(   B-CONTACT
325   I-CONTACT
)   I-CONTACT
815   I-CONTACT
1588   I-CONTACT
-   O
Address   O
:   O
Naylor   B-LOCATION
,   O
43053   B-LOCATION
Medical   O
History   O
:   O

Estep   B-NAME
was   O
admitted   O
to   O
Houston   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/06   B-DATE
following   O
a   O
series   O
of   O
complaints   O
that   O
have   O
persisted   O
over   O
the   O
past   O
73s   B-DATE
.   O

Kiana   B-NAME
Chan   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Harvey   B-NAME
,   O
initially   O
noted   O
the   O
symptoms   O
during   O
a   O
routine   O
check   O
-   O
up   O
.   O

Briley   B-NAME
Wood   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Occupational   O
therapist   O
and   O
has   O
no   O
known   O
allergies   O
.   O

There   O
is   O
a   O
recorded   O
history   O
of   O
hypertension   O
in   O
the   O
family   O
,   O
but   O
Chaney   B-NAME
has   O
not   O
previously   O
been   O
diagnosed   O
with   O
this   O
condition   O
.   O

The   O
presenting   O
complaints   O
include   O
persistent   O
headaches   O
,   O
which   O
Ethanael   B-NAME
described   O
as   O
throbbing   O
pain   O
localized   O
on   O
one   O
side   O
of   O
the   O
head   O
.   O

Asia   B-NAME
Weeks   I-NAME
also   O
reported   O
experiencing   O
photophobia   O
,   O
nausea   O
,   O
and   O
occasional   O
episodes   O
of   O
vomiting   O
.   O

Moreover   O
,   O
Herrera   B-NAME
mentioned   O
experiencing   O
blurred   O
vision   O
and   O
a   O
sensation   O
of   O
pressure   O
behind   O
the   O
eyes   O
,   O
which   O
was   O
particularly   O
noted   O
during   O
the   O
most   O
recent   O
episode   O
on   O
Thursday   B-DATE
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
James   B-NAME
Hamilton   I-NAME
's   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
within   O
normal   O
limits   O
,   O
and   O
a   O
neurological   O
examination   O
did   O
not   O
reveal   O
any   O
focal   O
neurological   O
deficits   O
.   O

Diagnostic   O
Testing   O
:   O
Based   O
on   O
the   O
initial   O
assessment   O
,   O
Dr.   O
Yoshie   B-NAME
Caicedo   I-NAME
recommended   O
conducting   O
an   O
MRI   O
of   O
the   O
brain   O
to   O
rule   O
out   O
any   O
neurological   O
conditions   O
that   O
might   O
be   O
causing   O
the   O
symptoms   O
.   O

The   O
MRI   O
,   O
conducted   O
on   O
02/35   B-DATE
at   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Dover   I-LOCATION
,   O
did   O
not   O
show   O
any   O
significant   O
abnormalities   O
.   O

Blood   O
tests   O
were   O
taken   O
on   O
1957   B-DATE
,   O
with   O
results   O
pending   O
.   O

In   O
the   O
interim   O
,   O
Dr.   O
Blair   B-NAME
has   O
advised   O
Joshua   B-NAME
Morgan   I-NAME
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
onset   O
,   O
duration   O
,   O
and   O
severity   O
of   O
the   O
headaches   O
,   O
as   O
well   O
as   O
any   O
triggers   O
that   O
may   O
be   O
identified   O
.   O

Peace   B-NAME
has   O
been   O
prescribed   O
a   O
course   O
of   O
triptans   O
to   O
manage   O
the   O
symptoms   O
during   O
an   O
episode   O
and   O
has   O
been   O
advised   O
to   O
avoid   O
known   O
triggers   O
such   O
as   O
bright   O
lights   O
and   O
stress   O
.   O

Follow   O
-   O
Up   O
:   O
Aarav   B-NAME
West   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Dawkins   B-NAME
,   I-NAME
Richard   I-NAME
on   O
July   B-DATE
at   O
Larned   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Larned   I-LOCATION
to   O
review   O
the   O
blood   O
test   O
results   O
and   O
to   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Pratchett   B-NAME
,   I-NAME
Terry   I-NAME
has   O
also   O
been   O
referred   O
to   O
a   O
specialist   O
in   O
neurology   O
at   O
Imperium   B-LOCATION
of   I-LOCATION
Galaxies   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
of   O
the   O
symptoms   O
.   O

Conclusion   O
:   O
With   O
the   O
current   O
treatment   O
approach   O
,   O
there   O
is   O
optimism   O
that   O
Dorie   B-NAME
's   O
symptoms   O
can   O
be   O
effectively   O
managed   O
,   O
allowing   O
a   O
return   O
to   O
regular   O
activities   O
without   O
significant   O
disruption   O
due   O
to   O
headaches   O
and   O
associated   O
symptoms   O
.   O

Continued   O
monitoring   O
and   O
adjustments   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
necessary   O
to   O
achieve   O
optimal   O
outcomes   O
for   O
Letterman   B-NAME
,   I-NAME
David   I-NAME
.   O

Patient   O
Name   O
:   O
Sutherland   B-NAME
,   I-NAME
Kiefer   I-NAME
Medical   O
Record   O
Number   O
:   O
6703100   B-ID
Date   O
of   O
Birth   O
:   O
08/22   B-DATE
Report   O
Date   O
:   O
02/01   B-DATE
Age   O
:   O
64   O
Location   O
:   O
Pueblito   B-LOCATION
del   I-LOCATION
Rio   I-LOCATION
Hospital   O
:   O
Bear   B-LOCATION
River   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Adina   B-NAME
Holly   I-NAME
Patient   O
ID   O
:   O
470229307   B-ID
Contact   O
Number   O
:   O
314   B-CONTACT
-   I-CONTACT
611   I-CONTACT
9772   I-CONTACT
Zip   O
Code   O
:   O
72074   B-LOCATION
Occupation   O
:   O
Surveyors   O
Clinical   O
Synopsis   O
:   O
Rachael   B-NAME
Lindsey   I-NAME
presented   O
to   O
Evangelical   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
January   B-DATE
0   I-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicating   O
potential   O
appendicitis   O
.   O

Jerry   B-NAME
Prince   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
,   O
rated   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

On   O
physical   O
examination   O
,   O
Waitley   B-NAME
,   I-NAME
Denis   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
,   O
which   O
are   O
indicative   O
of   O
peritonitis   O
.   O

Additionally   O
,   O
Phil   B-NAME
Reed   I-NAME
reported   O
experiencing   O
nauseous   O
episodes   O
without   O
vomiting   O
and   O
a   O
fever   O
,   O
suggesting   O
an   O
infectious   O
process   O
.   O

Abdominal   O
ultrasonography   O
,   O
performed   O
on   O
1/24/42   B-DATE
,   O
showed   O
a   O
swollen   O
appendix   O
measuring   O
11   O
mm   O
in   O
diameter   O
,   O
with   O
the   O
presence   O
of   O
an   O
appendicolith   O
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Rowan   B-NAME
Hooper   I-NAME
was   O
immediately   O
scheduled   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
by   O
Bennett   B-NAME
.   O

The   O
procedure   O
,   O
conducted   O
on   O
39/23/2093   B-DATE
,   O
was   O
successful   O
without   O
complications   O
.   O

Aristotle   B-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
2/02   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Goldfoot   B-NAME
for   O
32/23/2171   B-DATE
.   O

During   O
the   O
post   O
-   O
operative   O
follow   O
-   O
up   O
visit   O
,   O
Julius   B-NAME
Mckenzie   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Jazlyn   B-NAME
Yates   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
and   O
to   O
maintain   O
a   O
high   O
-   O
fiber   O
diet   O
to   O
prevent   O
constipation   O
,   O
which   O
could   O
exacerbate   O
discomfort   O
during   O
the   O
recovery   O
period   O
.   O

Conclusion   O
:   O
The   O
prompt   O
diagnosis   O
and   O
timely   O
surgical   O
intervention   O
for   O
Shyla   B-NAME
Whitaker   I-NAME
's   O
acute   O
appendicitis   O
led   O
to   O
an   O
excellent   O
outcome   O
with   O
minimal   O
risk   O
of   O
complications   O
.   O

Sanai   B-NAME
Ellis   I-NAME
has   O
been   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
in   O
the   O
event   O
of   O
any   O
unusual   O
symptoms   O
or   O
signs   O
of   O
infection   O
.   O

Further   O
follow   O
-   O
up   O
in   O
South   B-LOCATION
Lead   I-LOCATION
Hill   I-LOCATION
at   O
Sharon   B-LOCATION
Hospital   I-LOCATION
has   O
been   O
scheduled   O
for   O
03/12   B-DATE
to   O
ensure   O
continued   O
recovery   O
.   O

Prepared   O
by   O
:   O
Savanah   B-NAME
Foley   I-NAME
7/82   B-DATE
[   O
NOTE   O
:   O
All   O
personal   O
identifiable   O
information   O
(   O
PII   O
)   O
in   O
this   O
document   O
has   O
been   O
replaced   O
with   O
standardized   O
protected   O
health   O
information   O
(   O
PHI   O
)   O
placeholders   O
to   O
ensure   O
privacy   O
and   O
compliance   O
with   O
regulations   O
.   O
]   O

Patient   O
Information   O
:   O
Name   O
:   O
Dreama   B-NAME
Age   O
:   O
9   O
month   O
Address   O
:   O
TORQUAY   B-LOCATION
,   O
58046   B-LOCATION
Phone   O
Number   O
:   O
518   B-CONTACT
-   I-CONTACT
6201   I-CONTACT
Occupation   O
:   O

Neurologists   O
Patient   O
ID   O
:   O
VL   B-ID
:   I-ID
WF:5398   I-ID
Medical   O
Record   O
Number   O
:   O
0386454   B-ID
Admission   O
Date   O
:   O
02/02/2322   B-DATE
Attending   O
Physician   O
:   O

Mullen   B-NAME
Hospital   O
Name   O
:   O
UPMC   B-LOCATION
Mercy   I-LOCATION
Username   O
for   O
Hospital   O
Portal   O
:   O
JV8210   B-NAME
Chief   O
Complaint   O
:   O
Floyd   B-NAME
R   I-NAME
Shaw   I-NAME
reports   O
experiencing   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
exacerbated   O
over   O
the   O
past   O
01/30/50   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Gregory   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
31/21/92   B-DATE
and   O
is   O
currently   O
managing   O
it   O
with   O
metformin   O
.   O

Additionally   O
,   O
Graham   B-NAME
Townsend   I-NAME
has   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

Orozco   B-NAME
mentions   O
that   O
Hosts   O
and   O
Hostesses   O
,   O
Restaurant   O
,   O
Lounge   O
,   O
and   O
Coffee   O
Shop   O
in   O
the   O
family   O
,   O
specifically   O
the   O
mother   O
,   O
has   O
a   O
history   O
of   O
colorectal   O
cancer   O
diagnosed   O
at   O
11   O
.   O

Social   O
History   O
:   O
Curry   B-NAME
,   O
a   O
Postmasters   O
and   O
Mail   O
Superintendents   O
,   O
reports   O
a   O
smoking   O
history   O
of   O
10   O
pack   O
-   O
years   O
but   O
quit   O
smoking   O
on   O
1/03/2322   B-DATE
.   O

Landon   B-NAME
Cochran   I-NAME
denies   O
any   O
recreational   O
drug   O
use   O
.   O
Review   O
of   O
Symptoms   O
:   O

Plan   O
:   O
It   O
's   O
recommended   O
that   O
Aiden   B-NAME
Contreras   I-NAME
undergo   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Follow   O
-   O
Up   O
:   O
umberger   B-NAME
will   O
require   O
close   O
monitoring   O
for   O
signs   O
of   O
sepsis   O
or   O
perforation   O
and   O
should   O
have   O
post   O
-   O
operative   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
clinic   O
after   O
discharge   O
.   O

Documentation   O
logged   O
by   O
:   O
Ralph   B-NAME
Pitts   I-NAME
22/23/2028   B-DATE
at   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Augusta   I-LOCATION

The   O
patient   O
,   O
Singleton   B-NAME
,   O
a   O
25   O
year   O
-   O
old   O
Energy   O
Auditors   O
,   O
presented   O
at   O
Wichita   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Leoti   I-LOCATION
on   O
32/26/83   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
symptoms   O
reportedly   O
started   O
around   O
9/03   B-DATE
and   O
have   O
progressively   O
worsened   O
.   O

Jadon   B-NAME
Frank   I-NAME
's   O
vital   O
signs   O
upon   O
admission   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
respiratory   O
rate   O
19   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
of   O
38.3   O
°   O
C   O
(   O
100.9   O
°   O
F   O
)   O
.   O

A   O
detailed   O
medical   O
history   O
was   O
obtained   O
from   O
Courtney   B-NAME
,   I-NAME
Leonard   I-NAME
H.   I-NAME
(   I-NAME
Lord   I-NAME
Courtney   I-NAME
)   I-NAME
,   O
who   O
disclosed   O
having   O
no   O
significant   O
past   O
medical   O
history   O
apart   O
from   O
a   O
mild   O
allergy   O
to   O
penicillin   O
.   O

Delana   B-NAME
Seekins   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
of   O
Florin   B-LOCATION
or   O
any   O
significant   O
family   O
history   O
of   O
gastrointestinal   O
diseases   O
.   O

However   O
,   O
Tocqueville   B-NAME
,   I-NAME
Alexis   I-NAME
de   I-NAME
mentioned   O
undergoing   O
a   O
gallbladder   O
removal   O
surgery   O
at   O
Vidant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
approximately   O
five   O
years   O
ago   O
without   O
complications   O
.   O

Upon   O
examination   O
,   O
Melany   B-NAME
Wheeler   I-NAME
noted   O
Nicholson   B-NAME
's   O
abdomen   O
to   O
be   O
tender   O
upon   O
palpation   O
,   O
especially   O
in   O
the   O
right   O
iliac   O
region   O
,   O
with   O
rebound   O
tenderness   O
.   O

Nadia   B-NAME
Woodward   I-NAME
's   O
laboratory   O
tests   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
of   O
15,000   O
/   O
uL   O
,   O
further   O
supporting   O
the   O
initial   O
diagnosis   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
10/22/32   B-DATE
showed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Pleione   B-NAME
Meley   I-NAME
was   O
immediately   O
placed   O
on   O
intravenous   O
antibiotics   O
,   O
and   O
surgical   O
consultation   O
was   O
requested   O
.   O

Addams   B-NAME
,   I-NAME
Jane   I-NAME
's   O
emergency   O
contact   O
,   O
listed   O
under   O
50284   B-CONTACT
,   O
was   O
notified   O
of   O
the   O
situation   O
.   O

India   B-NAME
Villanueva   I-NAME
's   O
medical   O
record   O
number   O
,   O
51834779   B-ID
,   O
was   O
updated   O
with   O
all   O
findings   O
and   O
the   O
proposed   O
treatment   O
plan   O
.   O

Surgery   O
was   O
scheduled   O
for   O
14/02/12   B-DATE
after   O
obtaining   O
informed   O
consent   O
.   O

Post   O
-   O
operative   O
care   O
was   O
managed   O
in   O
accordance   O
with   O
Ascension   B-LOCATION
Borgess   I-LOCATION
Hospital   I-LOCATION
's   O
recovery   O
protocols   O
.   O

Keel   B-NAME
,   I-NAME
John   I-NAME
showed   O
signs   O
of   O
significant   O
improvement   O
during   O
the   O
post   O
-   O
operative   O
period   O
,   O
reporting   O
a   O
substantial   O
decrease   O
in   O
pain   O
levels   O
and   O
an   O
overall   O
improvement   O
in   O
well   O
-   O
being   O
.   O

On   O
December   B-DATE
,   O
Butch   B-NAME
was   O
discharged   O
with   O
instructions   O
on   O
post   O
-   O
surgical   O
care   O
and   O
a   O
prescription   O
for   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2372   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
32   I-DATE
with   O
Elsie   B-NAME
Jones   I-NAME
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Kole   B-NAME
Guerra   I-NAME
's   O
discharge   O
summary   O
,   O
alongside   O
post   O
-   O
operative   O
care   O
instructions   O
,   O
was   O
sent   O
to   O
Thomas   B-NAME
Wyatt   I-NAME
's   O
registered   O
email   O
,   O
ut1005   B-NAME
@   O
Tennessee   B-LOCATION
Valley   I-LOCATION
Authority   I-LOCATION
.com   O
,   O
for   O
convenience   O
.   O

Gauss   B-NAME
,   I-NAME
Carl   I-NAME
Friedrich   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
any   O
signs   O
of   O
infection   O
.   O

All   O
personal   O
identifiers   O
such   O
as   O
the   O
patient   O
's   O
name   O
,   O
ID   O
number   O
HB:49275:827822   B-ID
,   O
and   O
specific   O
geographical   O
details   O
like   O
the   O
street   O
and   O
17151   B-LOCATION
code   O
of   O
residence   O
were   O
encrypted   O
for   O
privacy   O
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Medical   O
Evaluation   O
Summary   O
for   O
Russell   B-NAME
,   I-NAME
Nipsey   I-NAME
Personal   O
Information   O
:   O

Patient   O
Name   O
:   O
Robert   B-NAME
Lloyd   I-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
4274695   I-ID
Medical   O
Record   O
Number   O
:   O
29186134   B-ID
Age   O
:   O
91   O
Phone   O
Number   O
:   O
736   B-CONTACT
-   I-CONTACT
267   I-CONTACT
-   I-CONTACT
6402   I-CONTACT
Location   O
:   O
South   B-LOCATION
Willard   I-LOCATION
,   O
25881   B-LOCATION
Date   O
of   O
Admission   O
:   O
1687   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
25   I-DATE
Referring   O
Physician   O
:   O

Valentine   B-NAME
Admitting   O
Hospital   O
:   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Beaches   I-LOCATION
Employment   O
Information   O
:   O
Occupation   O
:   O
Communications   O
Teachers   O
,   O
Postsecondary   O
Employer   O
:   O
Center   B-LOCATION
for   I-LOCATION
Alternatives   I-LOCATION
to   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
CAAT   I-LOCATION
)   I-LOCATION

The   O
patient   O
,   O
Sidney   B-NAME
Mercado   I-NAME
,   O
presented   O
to   O
MercyOne   B-LOCATION
Cedar   I-LOCATION
Falls   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/25/2301   B-DATE
,   O
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
fever   O
,   O
and   O
nausea   O
.   O

The   O
patient   O
also   O
reports   O
a   O
fever   O
reaching   O
38.5   O
°   O
C   O
(   O
2/21   B-DATE
)   O
and   O
episodes   O
of   O
vomiting   O
without   O
the   O
presence   O
of   O
blood   O
.   O

No   O
recent   O
travel   O
or   O
unusual   O
dietary   O
habits   O
were   O
noted   O
in   O
Kasey   B-NAME
Crawford   I-NAME
's   O
history   O
.   O

Laboratory   O
and   O
Diagnostic   O
Imaging   O
:   O
Laboratory   O
results   O
indicated   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
14.5   O
x   O
10   O
^   O
9   O
/   O
L.   O
A   O
CT   O
scan   O
of   O
the   O
abdomen   O
performed   O
on   O
2145   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
05   I-DATE
revealed   O
signs   O
suggestive   O
of   O
acute   O
appendicitis   O
with   O
no   O
evidence   O
of   O
perforation   O
.   O

Surgical   O
consultation   O
with   O
Dr.   O
Gage   B-NAME
Davila   I-NAME
was   O
arranged   O
,   O
and   O
an   O
appendectomy   O
was   O
recommended   O
.   O

Hahn   B-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
treatment   O
plan   O
on   O
02/26/2221   B-DATE
and   O
consented   O
to   O
proceed   O
with   O
surgery   O
.   O

The   O
surgery   O
is   O
scheduled   O
for   O
01/68   B-DATE
at   O
Youth   B-LOCATION
Villages   I-LOCATION
Inner   I-LOCATION
Harbour   I-LOCATION
Campus   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Harper   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Taryn   B-NAME
Morse   I-NAME
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Moundridge   I-LOCATION
on   O
Thursday   B-DATE
,   I-DATE
October   I-DATE
.   O

Summary   O
Prepared   O
By   O
:   O
Dr.   O
Cruz   B-NAME
Username   O
:   O
ew154   B-NAME
Date   O
:   O
23/35/2172   B-DATE
This   O
summary   O
is   O
confidential   O
and   O
contains   O
information   O
protected   O
by   O
health   O
privacy   O
laws   O
.   O

Patient   O
Name   O
:   O
Flo   B-NAME
Age   O
:   O
3   O
week   O
DOB   O
:   O

July   B-DATE
Address   O
:   O
Haddon   B-LOCATION
Heights   I-LOCATION
,   O
41764   B-LOCATION
Phone   O
Number   O
:   O
634   B-CONTACT
-   I-CONTACT
3358   I-CONTACT
Employer   O
:   O
Teamsters   B-LOCATION
Occupation   O
:   O

Computer   O
and   O
Information   O
Research   O
Scientists   O
Medical   O
Record   O
Number   O
:   O
2133717   B-ID
Social   O
Security   O
Number   O
:   O
IO397/1422   B-ID
Primary   O
Physician   O
:   O
Dr.   O
Uriah   B-NAME
Mcclain   I-NAME
Hospital   O
:   O
Florida   B-LOCATION
Hospital   I-LOCATION
Altamonte   I-LOCATION
Clinical   O
Summary   O
:   O
Damarion   B-NAME
Nichols   I-NAME
,   O
a   O
Museum   O
/   O
gallery   O
exhibition   O
officer   O
from   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11220   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Rush   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
on   O
02/11   B-DATE
with   O
complaints   O
of   O
acute   O
severe   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

XUAN   B-NAME
denied   O
any   O
previous   O
similar   O
episodes   O
.   O

Laboratory   O
tests   O
,   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
,   O
were   O
ordered   O
by   O
Dr.   O
Hughes   B-NAME
,   O
indicating   O
a   O
raised   O
white   O
cell   O
count   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
administered   O
January   B-DATE
21   I-DATE
,   O
revealed   O
acute   O
appendicitis   O
without   O
signs   O
of   O
rupture   O
.   O

Surgical   O
Consultation   O
:   O
Dr.   O
Deven   B-NAME
Baker   I-NAME
,   O
a   O
general   O
surgeon   O
at   O
El   B-LOCATION
Camino   I-LOCATION
Hospital   I-LOCATION
,   O
evaluated   O
Fishback   B-NAME
,   I-NAME
Margaret   I-NAME
on   O
1837   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
01   I-DATE
and   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Christina   B-NAME
Murillo   I-NAME
was   O
informed   O
about   O
the   O
benefits   O
and   O
risks   O
associated   O
with   O
the   O
procedure   O
,   O
consenting   O
to   O
proceed   O
.   O

On   O
2103   B-DATE
's   I-DATE
,   O
Amanda   B-NAME
Meadows   I-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
under   O
general   O
anesthesia   O
.   O

Ta   B-NAME
was   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
,   O
with   O
none   O
observed   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Allan   B-NAME
Mathews   I-NAME
was   O
discharged   O
from   O
Baptist   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Golden   I-LOCATION
Triangle   I-LOCATION
on   O
2   B-DATE
-   I-DATE
6   I-DATE
with   O
post   O
-   O
operative   O
instructions   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Schultz   B-NAME
was   O
scheduled   O
for   O
2102   B-DATE
at   O
FirstHealth   B-LOCATION
Montgomery   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
wound   O
healing   O
and   O
discuss   O
the   O
histopathology   O
report   O
.   O

Instructions   O
for   O
Robert   B-NAME
Caldwell   I-NAME
included   O
:   O
-   O
Monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
.   O
-   O
Avoid   O
strenuous   O
activity   O
for   O
3/02   B-DATE
weeks   O
.   O
-   O
Follow   O
a   O
balanced   O
diet   O
to   O
prevent   O
constipation   O
.   O

For   O
any   O
immediate   O
concerns   O
,   O
Dalia   B-NAME
Soto   I-NAME
was   O
instructed   O
to   O
contact   O
Dr.   O
Cecelia   B-NAME
Best   I-NAME
at   O
252   B-CONTACT
8756   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
clinical   O
summary   O
is   O
intended   O
for   O
HomeGoods   B-LOCATION
's   O
medical   O
team   O
overseeing   O
the   O
care   O
of   O
Paityn   B-NAME
Clements   I-NAME
,   O
MRN   O
:   O
901   B-ID
-   I-ID
28   I-ID
-   I-ID
49   I-ID
-   I-ID
2   I-ID
.   O

Patient   O
Name   O
:   O
Briley   B-NAME
Riggs   I-NAME
Age   O
:   O
96   O
Date   O
of   O
Birth   O
:   O
Thursday   B-DATE
Address   O
:   O
Hayward   B-LOCATION
,   O
55946   B-LOCATION
Phone   O
:   O
45252   B-CONTACT
Profession   O
:   O

Chandler   B-NAME
Castro   I-NAME
Referred   O
by   O
:   O
Yang   B-NAME
Hospital   O
:   O
Duke   B-LOCATION
Raleigh   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
276   B-ID
-   I-ID
03   I-ID
-   I-ID
80   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Visit   O
:   O
12/23   B-DATE
ID   O
Number   O
:   O
LM   B-ID
:   I-ID
HN:7439   I-ID
Clinical   O
Notes   O
:   O
Usha   B-NAME
Gibbons   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
28/03/76   B-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
intermittent   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Daly   B-NAME
,   I-NAME
Daniel   I-NAME
also   O
reported   O
experiencing   O
nocturnal   O
paroxysmal   O
dyspnea   O
,   O
forcing   O
them   O
to   O
sleep   O
propped   O
up   O
by   O
pillows   O
.   O

Anthony   B-NAME
Hines   I-NAME
currently   O
works   O
as   O
a   O
Insurance   O
Underwriters   O
which   O
involves   O
moderate   O
physical   O
activity   O
.   O

Physical   O
examination   O
reveals   O
Ackersley   B-NAME
is   O
afebrile   O
with   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
findings   O
,   O
Jan   B-NAME
Poole   I-NAME
was   O
referred   O
for   O
further   O
evaluation   O
with   O
a   O
stress   O
echocardiography   O
scheduled   O
on   O
03/2022   B-DATE
.   O

In   O
the   O
interim   O
,   O
medication   O
adjustments   O
were   O
made   O
to   O
better   O
control   O
Oliver   B-NAME
Sanford   I-NAME
's   O
hypertension   O
and   O
diabetes   O
.   O

Whitt   B-NAME
,   I-NAME
Qiana   I-NAME
was   O
also   O
counseled   O
on   O
lifestyle   O
modifications   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
if   O
applicable   O
.   O

Schedule   O
Alice   B-NAME
Alden   I-NAME
for   O
stress   O
echocardiography   O
on   O
01/50   B-DATE
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
11/04/1640   B-DATE
to   O
review   O
results   O
and   O
adjust   O
treatment   O
plan   O
as   O
necessary   O
.   O
5   O
.   O

Norma   B-NAME
Umali   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
and   O
contact   O
(   B-CONTACT
909   I-CONTACT
)   I-CONTACT
652   I-CONTACT
-   I-CONTACT
7447   I-CONTACT
if   O
there   O
was   O
any   O
worsening   O
of   O
symptoms   O
.   O

Reuben   B-NAME
Conway   I-NAME
assured   O
Marie   B-NAME
Rocha   I-NAME
that   O
the   O
healthcare   O
team   O
at   O
Lower   B-LOCATION
Keys   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
committed   O
to   O
providing   O
the   O
best   O
care   O
possible   O
and   O
encouraged   O
Draven   B-NAME
Padilla   I-NAME
to   O
keep   O
open   O
communication   O
with   O
the   O
team   O
about   O
any   O
concerns   O
or   O
symptoms   O
that   O
may   O
arise   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Sheridan   B-NAME
,   I-NAME
Richard   I-NAME
Brinsley   I-NAME
Age   O
:   O
80   O
Date   O
of   O
Birth   O
:   O
2254   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
10   I-DATE
Medical   O
Record   O
Number   O
:   O
23215926   B-ID
Social   O
Security   O
Number   O
:   O
AA:87011:694333   B-ID
Address   O
:   O
Arizona   B-LOCATION
,   O
73499   B-LOCATION
Phone   O
Number   O
:   O
536   B-CONTACT
-   I-CONTACT
3086   I-CONTACT
Occupation   O
:   O
Gas   O
Plant   O
Operators   O
Primary   O
Care   O
Physician   O
:   O

Travis   B-NAME
Admitted   O
Hospital   O
:   O
Florida   B-LOCATION
Hospital   I-LOCATION
DeLand   I-LOCATION
Medical   O
History   O
:   O
Martell   B-NAME
,   I-NAME
Yann   I-NAME
presented   O
to   O
WellSpan   B-LOCATION
Gettysburg   I-LOCATION
Hospital   I-LOCATION
on   O
2263s   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
lasting   O
approximately   O
12   O
hours   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kayden   B-NAME
Vazquez   I-NAME
exhibited   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Diagnostic   O
Tests   O
:   O
After   O
initial   O
assessment   O
,   O
Jacob   B-NAME
Calderon   I-NAME
ordered   O
a   O
full   O
blood   O
count   O
,   O
which   O
showed   O
leukocytosis   O
with   O
a   O
predominance   O
of   O
neutrophils   O
,   O
indicative   O
of   O
an   O
acute   O
inflammatory   O
process   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
April   B-DATE
6   I-DATE
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

The   O
diagnosis   O
of   O
acute   O
appendicitis   O
led   O
Carrillo   B-NAME
to   O
recommend   O
an   O
urgent   O
appendectomy   O
.   O

Aditya   B-NAME
Lee   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
gave   O
informed   O
consent   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
7/21/72   B-DATE
,   O
without   O
complications   O
.   O

Karsyn   B-NAME
Potts   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
postoperative   O
infections   O
.   O

Follow   O
-   O
Up   O
:   O
Ronald   B-NAME
Bartlett   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Boise   I-LOCATION
with   O
James   B-NAME
Mortimer   I-NAME
on   O
1/98   B-DATE
to   O
monitor   O
the   O
healing   O
process   O
and   O
manage   O
pain   O
.   O

Dietary   O
recommendations   O
were   O
given   O
to   O
ease   O
VOLLMER   B-NAME
,   I-NAME
NATHAN   I-NAME
's   O
return   O
to   O
regular   O
meals   O
.   O
Instructions   O
for   O
Caregiver   O
:   O

As   O
Cady   B-NAME
recovers   O
,   O
it   O
is   O
crucial   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
around   O
the   O
surgical   O
wound   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

WOODRUFF   B-NAME
,   I-NAME
FERNE   I-NAME
should   O
stay   O
well   O
-   O
hydrated   O
and   O
gradually   O
increase   O
physical   O
activities   O
as   O
tolerated   O
.   O

Any   O
signs   O
of   O
fever   O
,   O
nausea   O
,   O
or   O
vomiting   O
should   O
be   O
reported   O
to   O
Mccann   B-NAME
immediately   O
.   O

Prescriptions   O
:   O
Fitzgerald   B-NAME
,   I-NAME
F.   I-NAME
Scott   I-NAME
was   O
prescribed   O
a   O
7   O
-   O
day   O
course   O
of   O
Reporters   B-LOCATION
Without   I-LOCATION
Borders   I-LOCATION
's   O
antibiotic   O
,   O
taken   O
twice   O
daily   O
.   O

Additionally   O
,   O
pain   O
management   O
was   O
addressed   O
with   O
NYLUG   B-LOCATION
’s   O
over   O
-   O
the   O
-   O
counter   O
acetaminophen   O
,   O
advised   O
to   O
be   O
used   O
as   O
needed   O
for   O
pain   O
.   O

In   O
case   O
of   O
any   O
concerns   O
or   O
complications   O
,   O
Jake   B-NAME
Stanton   I-NAME
or   O
caregivers   O
are   O
instructed   O
to   O
contact   O
Emanate   B-LOCATION
Health   I-LOCATION
Foothill   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
at   O
(   B-CONTACT
502   I-CONTACT
)   I-CONTACT
687   I-CONTACT
-   I-CONTACT
2522   I-CONTACT
.   O
Conclusion   O
:   O
This   O
detailed   O
report   O
outlines   O
the   O
successful   O
diagnosis   O
and   O
treatment   O
of   O
Peter   B-NAME
Norris   I-NAME
's   O
acute   O
appendicitis   O
.   O

Further   O
observations   O
and   O
adjustments   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
evaluated   O
during   O
the   O
upcoming   O
follow   O
-   O
up   O
visit   O
on   O
18/21/2317   B-DATE
.   O

The   O
patient   O
,   O
Helena   B-NAME
Grimes   I-NAME
,   O
a   O
35   O
-   O
year   O
-   O
old   O
Talent   O
Directors   O
presented   O
on   O
2333   B-DATE
with   O
complaints   O
of   O
progressive   O
,   O
unilateral   O
lower   O
limb   O
weakness   O
over   O
the   O
course   O
of   O
the   O
last   O
two   O
weeks   O
.   O

Additionally   O
,   O
Brendan   B-NAME
Roberts   I-NAME
noted   O
a   O
significant   O
decrease   O
in   O
sensation   O
to   O
touch   O
and   O
vibration   O
,   O
with   O
preserved   O
temperature   O
and   O
pain   O
sensations   O
.   O

3/0   B-DATE
also   O
marks   O
the   O
first   O
consultation   O
with   O
Eleanor   B-NAME
Potts   I-NAME
at   O
Hillsdale   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
's   O
Neurology   O
department   O
.   O

By   O
Monday   B-DATE
,   O
Cerra   B-NAME
's   O
symptoms   O
had   O
evolved   O
to   O
include   O
difficulty   O
in   O
ambulation   O
,   O
characterized   O
by   O
dragging   O
of   O
the   O
foot   O
,   O
and   O
an   O
inability   O
to   O
stand   O
from   O
a   O
seated   O
position   O
without   O
assistance   O
.   O

Durham   B-NAME
recommended   O
an   O
urgent   O
MRI   O
of   O
the   O
spine   O
,   O
which   O
was   O
performed   O
on   O
13/00/2085   B-DATE
,   O
revealing   O
a   O
demyelinating   O
lesion   O
consistent   O
with   O
a   O
diagnosis   O
of   O
acute   O
monophasic   O
neuropathy   O
.   O

A   O
lumbar   O
puncture   O
was   O
performed   O
on   O
28/23   B-DATE
,   O
with   O
cerebrospinal   O
fluid   O
(   O
CSF   O
)   O
analysis   O
showing   O
albuminocytological   O
dissociation   O
typical   O
for   O
Guillain   O
-   O
Barré   O
Syndrome   O
(   O
GBS   O
)   O
.   O

Irmgard   B-NAME
Merlette   I-NAME
was   O
admitted   O
to   O
Hoag   B-LOCATION
Hospital   I-LOCATION
Irvine   I-LOCATION
for   O
intravenous   O
immunoglobulin   O
therapy   O
,   O
initiated   O
on   O
32/00/30   B-DATE
.   O

The   O
assistance   O
of   O
Rocky   B-LOCATION
Mountain   I-LOCATION
Animal   I-LOCATION
Defense   I-LOCATION
's   O
physical   O
therapy   O
department   O
was   O
enlisted   O
for   O
early   O
mobilization   O
and   O
rehabilitation   O
,   O
starting   O
from   O
10/12/2332   B-DATE
,   O
focusing   O
on   O
strength   O
training   O
and   O
gait   O
re   O
-   O
education   O
to   O
facilitate   O
Franklyn   B-NAME
's   O
recovery   O
.   O

As   O
of   O
34/32   B-DATE
,   O
Singh   B-NAME
,   I-NAME
Raman   I-NAME
Pratap   I-NAME
has   O
shown   O
remarkable   O
improvement   O
in   O
motor   O
function   O
and   O
is   O
able   O
to   O
ambulate   O
with   O
minimal   O
assistance   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Deshawn   B-NAME
Blanchard   I-NAME
have   O
been   O
made   O
for   O
1728   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
11   I-DATE
to   O
monitor   O
F.   B-NAME
Mcfarland   I-NAME
's   O
progress   O
and   O
to   O
manage   O
any   O
residual   O
or   O
new   O
-   O
onset   O
symptoms   O
.   O

In   O
summary   O
,   O
the   O
timely   O
intervention   O
and   O
interdisciplinary   O
management   O
approach   O
significantly   O
contributed   O
to   O
Kylia   B-NAME
's   O
recovery   O
trajectory   O
,   O
although   O
careful   O
monitoring   O
is   O
warranted   O
given   O
the   O
unpredictable   O
nature   O
of   O
GBS   O
.   O

For   O
any   O
further   O
inquiries   O
,   O
Melissa   B-NAME
Barnett   I-NAME
can   O
be   O
reached   O
at   O
204   B-CONTACT
268   I-CONTACT
-   I-CONTACT
7122   I-CONTACT
.   O

Clara   B-NAME
Poole   I-NAME
's   O
medical   O
record   O
can   O
be   O
referenced   O
under   O
571   B-ID
-   I-ID
52   I-ID
-   I-ID
80   I-ID
.   O

All   O
treatment   O
and   O
follow   O
-   O
up   O
care   O
occurred   O
in   O
Palmer   B-LOCATION
Lake   I-LOCATION
,   O
with   O
primary   O
services   O
provided   O
at   O
Geneva   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Proctor   B-NAME
Patient   O
ID   O
:   O
VH:90892:989277   B-ID
Medical   O
Record   O
Number   O
:   O
76678253   B-ID
Date   O
of   O
Birth   O
:   O
33/35/2280   B-DATE
Age   O
:   O
99   O
Phone   O
Number   O
:   O
908   B-CONTACT
-   I-CONTACT
486   I-CONTACT
-   I-CONTACT
4928   I-CONTACT
Address   O
:   O
Oakmont   B-LOCATION
,   O
32589   B-LOCATION
Employer   O
:   O

Grand   B-LOCATION
Army   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Republic   I-LOCATION
(   I-LOCATION
dissolved   I-LOCATION
1956   I-LOCATION
)   I-LOCATION

Occupation   O
:   O
Bilingual   O
secretary   O
Physician   O
:   O
Jamiya   B-NAME
Key   I-NAME
Hospital   O
:   O

Virtua   B-LOCATION
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Lourdes   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
0   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
75   I-DATE
Chief   O
Complaint   O
:   O
Luz   B-NAME
Ortega   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
2074   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
23   I-DATE
complaining   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
two   O
weeks   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
According   O
to   O
Gray   B-NAME
,   O
the   O
symptoms   O
began   O
approximately   O
two   O
weeks   O
before   O
the   O
visit   O
on   O
2/5   B-DATE
.   O

Russell   B-NAME
,   I-NAME
Bertrand   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
known   O
exposure   O
to   O
individuals   O
with   O
similar   O
symptoms   O
.   O

Despite   O
over   O
-   O
the   O
-   O
counter   O
cough   O
syrup   O
and   O
fever   O
reducers   O
,   O
the   O
patient   O
's   O
symptoms   O
have   O
persisted   O
and   O
gradually   O
worsened   O
,   O
prompting   O
the   O
visit   O
to   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Saint   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Niko   B-NAME
Spears   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Clementina   B-NAME
Catillo   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
any   O
history   O
of   O
alcohol   O
or   O
drug   O
abuse   O
.   O

On   O
examination   O
,   O
Vance   B-NAME
Lozano   I-NAME
appeared   O
cachectic   O
.   O

Assessment   O
:   O
The   O
preliminary   O
diagnosis   O
for   O
Cassidy   B-NAME
Sherman   I-NAME
is   O
community   O
-   O
acquired   O
pneumonia   O
(   O
CAP   O
)   O
complicating   O
underlying   O
diabetes   O
.   O

1   O
.   O
Admit   O
Rachael   B-NAME
Byrd   I-NAME
to   O
Hope   B-LOCATION
Haven   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
intravenous   O
antibiotics   O
and   O
close   O
monitoring   O
due   O
to   O
the   O
underlying   O
comorbidities   O
and   O
severity   O
of   O
symptoms   O
.   O

Follow   O
-   O
up   O
visits   O
and   O
any   O
necessary   O
adjustments   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
coordinated   O
with   O
Braxton   B-NAME
Russell   I-NAME
and   O
the   O
team   O
at   O
Kirkbride   B-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
Samson   B-NAME
Delacruz   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
10082601   I-ID
Medical   O
Record   O
Number   O
:   O
4517918   B-ID
Date   O
of   O
Birth   O
:   O
09/20/43   B-DATE
Age   O
:   O
41   O
Address   O
:   O
Wiscon   B-LOCATION
,   O
89339   B-LOCATION
Phone   O
Number   O
:   O
335   B-CONTACT
-   I-CONTACT
1082   I-CONTACT
Primary   O
Physician   O
:   O
Schneider   B-NAME
Treating   O
Hospital   O
:   O
Greene   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
3/2   B-DATE
Employer   O
:   O
Human   B-LOCATION
Rights   I-LOCATION
Watch   I-LOCATION
Occupation   O
:   O
Photographic   O
Reproduction   O
Technicians   O
#   O
#   O
#   O
Clinical   O
Summary   O
The   O
patient   O
,   O
Maya   B-NAME
Dutta   I-NAME
,   O
currently   O
employed   O
as   O
a   O
Art   O
Therapists   O
at   O
GIRCA   B-LOCATION
,   O
residing   O
in   O
Standard   B-LOCATION
City   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Catholic   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
24/05/2367   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
sharp   O
,   O
left   O
-   O
sided   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
dizziness   O
.   O

Kailyn   B-NAME
Little   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
a   O
smoking   O
habit   O
of   O
10   O
years   O
.   O

The   O
patient   O
's   O
primary   O
contact   O
number   O
is   O
22898   B-CONTACT
and   O
currently   O
lives   O
at   O
the   O
address   O
Applewood   B-LOCATION
,   O
23936   B-LOCATION
.   O

Upon   O
physical   O
examination   O
,   O
Annika   B-NAME
Williamson   I-NAME
exhibited   O
a   O
blood   O
pressure   O
of   O
160/95   O
mmHg   O
,   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Chen   B-NAME
,   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
troponin   O
levels   O
,   O
and   O
D   O
-   O
dimer   O
,   O
the   O
results   O
of   O
which   O
are   O
pending   O
.   O

The   O
care   O
team   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
Lourdes   I-LOCATION
initiated   O
management   O
with   O
intravenous   O
beta   O
-   O
blockers   O
to   O
control   O
heart   O
rate   O
and   O
blood   O
pressure   O
,   O
along   O
with   O
pain   O
management   O
.   O

The   O
patient   O
Kaylen   B-NAME
Ferguson   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
,   O
the   O
potential   O
risks   O
,   O
and   O
the   O
treatment   O
plan   O
in   O
detail   O
.   O

Skylar   B-NAME
Rivera   I-NAME
's   O
next   O
of   O
kin   O
,   O
listed   O
in   O
the   O
medical   O
records   O
with   O
ID   O
OY:21103:798380   B-ID
and   O
contact   O
number   O
50272   B-CONTACT
,   O
was   O
also   O
briefed   O
about   O
the   O
situation   O
on   O
22/37   B-DATE
.   O

Given   O
the   O
stability   O
of   O
Khairy   B-NAME
's   O
condition   O
post   O
-   O
initial   O
management   O
,   O
a   O
plan   O
for   O
close   O
monitoring   O
over   O
the   O
next   O
48   O
hours   O
was   O
established   O
,   O
with   O
further   O
assessments   O
scheduled   O
as   O
needed   O
.   O

The   O
medical   O
record   O
number   O
for   O
Parker   B-NAME
Wyatt   I-NAME
is   O
916   B-ID
-   I-ID
89   I-ID
-   I-ID
44   I-ID
,   O
and   O
all   O
communications   O
regarding   O
the   O
patient   O
's   O
care   O
should   O
reference   O
this   O
number   O
or   O
the   O
patient   O
ID   O
HJ:781051:171462   B-ID
.   O

Questions   O
or   O
concerns   O
can   O
be   O
directed   O
to   O
Dupont   B-LOCATION
Hospital   I-LOCATION
's   O
main   O
line   O
at   O
527   B-CONTACT
-   I-CONTACT
6821   I-CONTACT
.   O

Further   O
updates   O
will   O
be   O
provided   O
to   O
Thoreau   B-NAME
,   I-NAME
Henry   I-NAME
David   I-NAME
and   O
the   O
designated   O
next   O
of   O
kin   O
as   O
the   O
patient   O
's   O
condition   O
evolves   O
or   O
following   O
significant   O
diagnostic   O
findings   O
or   O
changes   O
in   O
the   O
treatment   O
plan   O
.   O

This   O
clinical   O
summary   O
and   O
all   O
patient   O
interactions   O
are   O
compliant   O
with   O
the   O
privacy   O
regulations   O
and   O
have   O
been   O
documented   O
on   O
1/98   B-DATE
by   O
Whitney   B-NAME
Ball   I-NAME
,   O
overseeing   O
the   O
treatment   O
of   O
Spencer   B-NAME
at   O
John   B-LOCATION
D.   I-LOCATION
Archbold   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Van   B-NAME
Steiner   I-NAME
Age   O
:   O
43   O
Medical   O
Record   O
Number   O
:   O
06917019   B-ID
Date   O
of   O
Birth   O
:   O
33/22   B-DATE
Date   O
of   O
Initial   O
Consultation   O
:   O
21/03/2057   B-DATE
Attending   O
Physician   O
:   O
Smith   B-NAME
,   I-NAME
Elliott   I-NAME
Hospital   O
:   O
Delta   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
(   B-CONTACT
576   I-CONTACT
)   I-CONTACT
236   I-CONTACT
-   I-CONTACT
4483   I-CONTACT
Address   O
:   O
Lakeland   B-LOCATION
Village   I-LOCATION
,   O
59089   B-LOCATION
Occupation   O
:   O
Sales   O
Representatives   O
,   O
Electrical   O
--   O
Electronic   O
Username   O
:   O
AV98   B-NAME
ID   O
:   O
QG:56672:204460   B-ID

Clinical   O
Summary   O
:   O
Zavala   B-NAME
,   O
a   O
42s   O
-   O
year   O
-   O
old   O
Motorcycle   O
Mechanics   O
,   O
presented   O
at   O
Mid   B-LOCATION
-   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
4/30   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
,   O
localized   O
abdominal   O
pain   O
,   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
cramping   O
in   O
nature   O
,   O
worsening   O
over   O
the   O
past   O
31/22   B-DATE
.   O

Khloe   B-NAME
Raymond   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

There   O
was   O
no   O
significant   O
past   O
medical   O
history   O
documented   O
in   O
Shaffer   B-NAME
's   O
record   O
(   O
10864391   B-ID
)   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Sydnee   B-NAME
Whitehead   I-NAME
highlighted   O
leukocytosis   O
.   O

Management   O
and   O
Outcome   O
:   O
Under   O
the   O
care   O
of   O
Hull   B-NAME
,   I-NAME
Cordell   I-NAME
at   O
PIH   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Downey   I-LOCATION
,   O
Crystal   B-NAME
Allison   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
4/8   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Todd   B-NAME
was   O
discharged   O
on   O
34/23/92   B-DATE
with   O
instructions   O
for   O
care   O
at   O
home   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
19/11   B-DATE
.   O

In   O
the   O
case   O
of   O
Jasmin   B-NAME
Conrad   I-NAME
,   O
prompt   O
clinical   O
evaluation   O
,   O
appropriate   O
laboratory   O
testing   O
,   O
and   O
imaging   O
facilitated   O
an   O
accurate   O
diagnosis   O
and   O
successful   O
surgical   O
intervention   O
.   O

Follow   O
-   O
Up   O
:   O
Lola   B-NAME
Spratt   I-NAME
is   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
adhere   O
strictly   O
to   O
the   O
prescription   O
regimen   O
,   O
and   O
restrict   O
physical   O
activity   O
as   O
recommended   O
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
01/26   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
address   O
any   O
ongoing   O
concerns   O
.   O

Conclusion   O
:   O
This   O
case   O
of   O
Jeffers   B-NAME
,   I-NAME
Oswald   I-NAME
,   O
a   O
59   O
-   O
year   O
-   O
old   O
Physical   O
Therapists   O
with   O
acute   O
appendicitis   O
,   O
underscores   O
the   O
importance   O
of   O
early   O
intervention   O
and   O
the   O
effectiveness   O
of   O
laparoscopic   O
surgery   O
in   O
managing   O
uncomplicated   O
cases   O
.   O

The   O
multidisciplinary   O
team   O
at   O
Quincy   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
led   O
by   O
Poole   B-NAME
,   O
provided   O
comprehensive   O
care   O
ensuring   O
a   O
positive   O
outcome   O
for   O
THORNE   B-NAME
,   I-NAME
OLIVER   I-NAME
.   O

Patient   O
Name   O
:   O
Nye   B-NAME
Age   O
:   O
9   O
Date   O
of   O
Visit   O
:   O
02/21   B-DATE
Medical   O
Record   O
Number   O
:   O
097   B-ID
-   I-ID
76   I-ID
-   I-ID
33   I-ID
-   I-ID
6   I-ID
Doctor   O
Name   O
:   O
Phil   B-NAME
Burns   I-NAME
Hospital   O
Name   O
:   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
First   I-LOCATION
Hill   I-LOCATION
Phone   O
Number   O
:   O
778   B-CONTACT
199   I-CONTACT
-   I-CONTACT
5730   I-CONTACT
Location   O
:   O
Fargo   B-LOCATION
Zip   O
Code   O
:   O
49928   B-LOCATION
ID   O
:   O
XG:42970:429459   B-ID
Organization   O
:   O

Republic   B-LOCATION
of   I-LOCATION
Constellations   I-LOCATION
Username   O
:   O
ER381   B-NAME
Profession   O
:   O
Immigration   O
officer   O
Chief   O
Complaint   O
:   O
Fredricka   B-NAME
Paetzold   I-NAME
presented   O
to   O
Heritage   B-LOCATION
Valley   I-LOCATION
Sewickley   I-LOCATION
on   O
02/05   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
had   O
progressively   O
worsened   O
over   O
the   O
last   O
48   O
hours   O
.   O

In   O
addition   O
to   O
the   O
pain   O
,   O
Felicia   B-NAME
Ali   I-NAME
reported   O
symptoms   O
of   O
nausea   O
,   O
vomiting   O
,   O
and   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
abdominal   O
pain   O
was   O
first   O
noticed   O
22/05/2377   B-DATE
,   O
initially   O
mild   O
and   O
diffuse   O
,   O
not   O
localized   O
to   O
any   O
specific   O
area   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jaden   B-NAME
Carlson   I-NAME
appeared   O
distressed   O
and   O
in   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
recommended   O
by   O
Kristina   B-NAME
Nixon   I-NAME
,   O
which   O
revealed   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
recommended   O
,   O
and   O
an   O
appendectomy   O
was   O
scheduled   O
for   O
4/4   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Quinten   B-NAME
B.   I-NAME
Prado   I-NAME
is   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
on   O
02/21   B-DATE
for   O
wound   O
evaluation   O
and   O
to   O
discuss   O
the   O
pathology   O
report   O
of   O
the   O
appendectomy   O
specimen   O
.   O

Instructions   O
for   O
the   O
Patient   O
:   O
Christmas   B-NAME
Jones   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
post   O
-   O
operation   O
,   O
avoid   O
strenuous   O
activity   O
for   O
a   O
period   O
of   O
2312   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
23   I-DATE
to   O
2052   B-DATE
,   O
and   O
watch   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
or   O
worsening   O
symptoms   O
which   O
would   O
necessitate   O
immediate   O
medical   O
attention   O
.   O

Contact   O
Information   O
:   O
Should   O
any   O
questions   O
or   O
concerns   O
arise   O
,   O
Jill   B-NAME
Leiter   I-NAME
can   O
contact   O
WellSpan   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
at   O
49082   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Hawkins   B-NAME
Age   O
:   O
55   O
Medical   O
Record   O
Number   O
:   O
058   B-ID
-   I-ID
91   I-ID
-   I-ID
89   I-ID
Date   O
of   O
Visit   O
:   O
09/26   B-DATE
Address   O
:   O
Thornport   B-LOCATION
,   O
47796   B-LOCATION
Phone   O
Number   O
:   O
619   B-CONTACT
987   I-CONTACT
-   I-CONTACT
3573   I-CONTACT
Attending   O
Physician   O
:   O
Hayden   B-NAME
,   I-NAME
Teresa   I-NAME
Nielson   I-NAME
Treating   O
Hospital   O
:   O
Rehabilitation   B-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O
Railroad   O
Yard   O
Workers   O
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
7474903   I-ID
Clinical   O
Summary   O
:   O
Seldon   B-NAME
,   O
a   O
Helpers   O
--   O
Carpenters   O
from   O
Hawk   B-LOCATION
Springs   I-LOCATION
,   O
presented   O
to   O
Bronx   B-LOCATION
-   I-LOCATION
Lebanon   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
11/28/93   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
three   O
days   O
.   O

Oliver   B-NAME
M.   I-NAME
Oates   I-NAME
also   O
reported   O
visual   O
disturbances   O
described   O
as   O
flashing   O
lights   O
prior   O
to   O
the   O
onset   O
of   O
the   O
headache   O
.   O

Joslyn   B-NAME
Meyers   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
episodic   O
migraines   O
without   O
aura   O
diagnosed   O
by   O
Nielsen   B-NAME
in   O
10/22/60   B-DATE
.   O

Olivia   B-NAME
H.   I-NAME
Grant   I-NAME
's   O
medication   O
history   O
includes   O
over   O
-   O
the   O
-   O
counter   O
ibuprofen   O
and   O
acetaminophen   O
,   O
without   O
significant   O
relief   O
from   O
the   O
current   O
episode   O
.   O

On   O
examination   O
,   O
Arthur   B-NAME
Tisdale   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Wendy   B-NAME
Tapia   I-NAME
was   O
administered   O
Sumatriptan   O
100   O
mg   O
orally   O
and   O
Metoclopramide   O
10   O
mg   O
intravenously   O
in   O
the   O
emergency   O
department   O
,   O
which   O
led   O
to   O
a   O
significant   O
reduction   O
in   O
headache   O
severity   O
.   O

Konnor   B-NAME
Hodge   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
to   O
maintain   O
a   O
headache   O
diary   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Carmelo   B-NAME
Mcdaniel   I-NAME
at   O
Lakeview   B-LOCATION
Hospital   I-LOCATION
was   O
scheduled   O
for   O
1/3   B-DATE
to   O
discuss   O
preventive   O
migraine   O
management   O
strategies   O
.   O

Discharge   O
Instructions   O
:   O
Rolf   B-NAME
Caughran   I-NAME
was   O
educated   O
about   O
the   O
importance   O
of   O
adherence   O
to   O
prescribed   O
medications   O
and   O
was   O
given   O
prescriptions   O
for   O
Sumatriptan   O
and   O
Metoclopramide   O
to   O
manage   O
acute   O
migraine   O
episodes   O
.   O

Anthony   B-NAME
Giles   I-NAME
was   O
informed   O
to   O
seek   O
immediate   O
medical   O
attention   O
in   O
the   O
emergency   O
department   O
of   O
Jewish   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
if   O
experiencing   O
symptoms   O
of   O
a   O
severe   O
headache   O
with   O
fever   O
,   O
sudden   O
onset   O
of   O
a   O
"   O
worst   O
ever   O
"   O
headache   O
,   O
or   O
any   O
new   O
neurological   O
deficits   O
.   O

Conclusion   O
:   O
Gardner   B-NAME
was   O
discharged   O
in   O
stable   O
condition   O
with   O
outpatient   O
follow   O
-   O
up   O
for   O
ongoing   O
migraine   O
management   O
.   O

The   O
attentiveness   O
of   O
the   O
medical   O
team   O
at   O
Via   B-LOCATION
Christi   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
,   O
led   O
by   O
Norah   B-NAME
Fernandez   I-NAME
,   O
ensured   O
the   O
thorough   O
evaluation   O
and   O
appropriate   O
management   O
of   O
Julien   B-NAME
Boncourt   I-NAME
's   O
migraine   O
episode   O
,   O
facilitating   O
a   O
positive   O
outcome   O
.   O

Prepared   O
by   O
:   O
xcq349   B-NAME
September   B-DATE

Sandra   B-NAME
Woody   I-NAME
Patient   O
ID   O
:   O
FT:271075:811964   B-ID
Date   O
of   O
Birth   O
:   O

January   B-DATE
07   I-DATE
,   I-DATE
2302   I-DATE
Age   O
:   O
26   O
Medical   O
Record   O
Number   O
:   O
0485632   B-ID
Phone   O
Number   O
:   O
822   B-CONTACT
-   I-CONTACT
6659   I-CONTACT
Address   O
:   O
Paxtonia   B-LOCATION
,   O
15754   B-LOCATION
Profession   O
:   O

Sheriffs   O
and   O
Deputy   O
Sheriffs   O
Primary   O
Care   O
Physician   O
:   O
Sanford   B-NAME
Hospital   O
:   O
Baptist   B-LOCATION
Health   I-LOCATION
Louisville   I-LOCATION
Date   O
of   O
Visit   O
:   O
32/21   B-DATE
Presenting   O
Complaint   O
:   O

The   O
patient   O
,   O
Alexandria   B-NAME
Johnston   I-NAME
,   O
presented   O
with   O
a   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
localized   O
to   O
the   O
right   O
temple   O
.   O

Evan   B-NAME
Spencer   I-NAME
described   O
the   O
pain   O
as   O
unrelenting   O
,   O
rating   O
it   O
an   O
8   O
on   O
a   O
10   O
-   O
point   O
pain   O
scale   O
.   O

In   O
addition   O
,   O
Gideon   B-NAME
reported   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Keyon   B-NAME
Weaver   I-NAME
has   O
a   O
documented   O
history   O
of   O
episodic   O
migraine   O
without   O
aura   O
,   O
first   O
diagnosed   O
in   O
06/06   B-DATE
.   O

Family   O
history   O
revealed   O
that   O
O.   B-NAME
Feldman   I-NAME
's   O
mother   O
also   O
suffered   O
from   O
migraines   O
,   O
suggesting   O
a   O
possible   O
genetic   O
predisposition   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Elle   B-NAME
Downs   I-NAME
exhibited   O
pain   O
responsiveness   O
to   O
light   O
and   O
sound   O
,   O
preferring   O
to   O
remain   O
in   O
a   O
dimly   O
lit   O
,   O
quiet   O
room   O
.   O

Matthews   B-NAME
was   O
advised   O
to   O
rest   O
in   O
a   O
dark   O
,   O
quiet   O
room   O
and   O
to   O
apply   O
cold   O
therapy   O
as   O
needed   O
to   O
alleviate   O
discomfort   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Jennings   B-NAME
in   O
Novant   B-LOCATION
Health   I-LOCATION
UVA   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Culpeper   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
12/18   B-DATE
to   O
review   O
symptom   O
progression   O
and   O
response   O
to   O
treatment   O
.   O

Patient   O
Education   O
:   O
Gage   B-NAME
Koch   I-NAME
received   O
education   O
on   O
migraine   O
triggers   O
,   O
the   O
importance   O
of   O
adherence   O
to   O
prescribed   O
medications   O
,   O
and   O
the   O
effective   O
use   O
of   O
prophylactic   O
strategies   O
to   O
prevent   O
migraine   O
episodes   O
.   O

The   O
patient   O
,   O
Easton   B-NAME
Morrison   I-NAME
,   O
was   O
discharged   O
with   O
prescriptions   O
as   O
described   O
above   O
.   O

Rhett   B-NAME
Ramos   I-NAME
expressed   O
understanding   O
of   O
the   O
management   O
plan   O
and   O
scheduled   O
follow   O
-   O
up   O
as   O
advised   O
.   O

Patient   O
Report   O
for   O
Baby   B-NAME
Le   I-NAME
Patient   O
ID   O
:   O
SA226/6480   B-ID
Medical   O
Record   O
Number   O
:   O
68193860   B-ID
Date   O
of   O
Birth   O
:   O
3   O
Date   O
of   O
Admission   O
:   O
15/22   B-DATE
Hospital   O
:   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Richmond   I-LOCATION
Location   O
:   O
Cullen   B-LOCATION
,   O
75294   B-LOCATION
Attending   O
Physician   O
:   O

Carmelo   B-NAME
Lui   I-NAME
Contact   O
Phone   O
:   O
57035   B-CONTACT
Emergency   O
Contact   O
:   O
oc740   B-NAME
Admission   O
Details   O
:   O
Milo   B-NAME
Roberson   I-NAME
,   O
a   O
Residential   O
Advisors   O
by   O
profession   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Park   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Kent   B-LOCATION
,   O
on   O
04/65   B-DATE
,   O
with   O
a   O
severe   O
onset   O
of   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Upon   O
examination   O
,   O
Antony   B-NAME
Monroe   I-NAME
exhibited   O
rebound   O
tenderness   O
,   O
indicating   O
peritoneal   O
irritation   O
.   O

Ryker   B-NAME
Figueroa   I-NAME
's   O
white   O
blood   O
cell   O
count   O
was   O
elevated   O
at   O
PO:85460:102790   B-ID
,   O
signifying   O
an   O
infection   O
.   O

Augustine   B-NAME
has   O
a   O
documented   O
history   O
of   O
Special   B-LOCATION
Military   I-LOCATION
Active   I-LOCATION
Recreational   I-LOCATION
Travelers   I-LOCATION
-   O
managed   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
has   O
been   O
on   O
oral   O
hypoglycemic   O
agents   O
for   O
the   O
past   O
24   O
.   O

Marquez   B-NAME
's   O
family   O
medical   O
history   O
,   O
as   O
reported   O
,   O
was   O
non   O
-   O
contributory   O
.   O

After   O
thorough   O
evaluation   O
,   O
Milo   B-NAME
Frye   I-NAME
decided   O
that   O
an   O
urgent   O
surgical   O
intervention   O
was   O
appropriate   O
to   O
address   O
the   O
acute   O
appendicitis   O
and   O
mitigate   O
the   O
risk   O
of   O
rupture   O
or   O
further   O
complications   O
.   O

Paul   B-NAME
VI   I-NAME
(   I-NAME
Pope   I-NAME
)   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
5/5   B-DATE
at   O
Methodist   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
-   O
operative   O
care   O
instructions   O
included   O
administration   O
of   O
intravenous   O
antibiotics   O
to   O
prevent   O
post   O
-   O
surgical   O
infection   O
and   O
pain   O
management   O
with   O
acetaminophen   O
to   O
avoid   O
exacerbation   O
of   O
Bowles   B-NAME
,   I-NAME
Chester   I-NAME
's   O
diabetes   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Lauren   B-NAME
Fontenot   I-NAME
's   O
post   O
-   O
operative   O
period   O
was   O
closely   O
monitored   O
.   O

Ezequiel   B-NAME
Herman   I-NAME
's   O
blood   O
glucose   O
levels   O
were   O
slightly   O
elevated   O
post   O
-   O
surgery   O
due   O
to   O
stress   O
response   O
but   O
were   O
brought   O
under   O
control   O
with   O
minor   O
adjustments   O
in   O
insulin   O
therapy   O
.   O

Lovey   B-NAME
was   O
discharged   O
on   O
1/0   B-DATE
with   O
instructions   O
for   O
oral   O
antibiotics   O
,   O
wound   O
care   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Hawkins   B-NAME
in   O
two   O
weeks   O
at   O
Russell   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Disposition   O
at   O
Discharge   O
:   O
Letra   B-NAME
McGraph   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
low   O
physical   O
activity   O
level   O
for   O
the   O
week   O
following   O
discharge   O
and   O
gradually   O
resume   O
normal   O
activities   O
.   O

Dietary   O
recommendations   O
to   O
manage   O
Maria   B-NAME
Orton   I-NAME
's   O
diabetes   O
effectively   O
during   O
the   O
recovery   O
period   O
were   O
provided   O
.   O

Patrick   B-NAME
Campos   I-NAME
was   O
educated   O
on   O
the   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
at   O
the   O
incision   O
sites   O
and   O
advised   O
to   O
seek   O
immediate   O
medical   O
care   O
at   O
Forest   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
if   O
such   O
symptoms   O
were   O
observed   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
01/25   B-DATE
at   O
Cumberland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
focus   O
of   O
the   O
follow   O
-   O
up   O
will   O
be   O
to   O
ensure   O
proper   O
wound   O
healing   O
,   O
manage   O
diabetes   O
,   O
and   O
discuss   O
any   O
adjustments   O
needed   O
in   O
the   O
long   O
-   O
term   O
management   O
of   O
Kirby   B-NAME
's   O
health   O
conditions   O
.   O

Additional   O
support   O
from   O
Iraq   B-LOCATION
War   I-LOCATION
Veterans   I-LOCATION
Organization   I-LOCATION
diabetes   O
educators   O
will   O
be   O
utilized   O
to   O
ensure   O
Koehler   B-NAME
's   O
optimal   O
recovery   O
and   O
health   O
maintenance   O
.   O

Conclusion   O
:   O
Bender   B-NAME
's   O
case   O
of   O
acute   O
appendicitis   O
was   O
managed   O
successfully   O
with   O
surgical   O
intervention   O
and   O
comprehensive   O
post   O
-   O
operative   O
care   O
.   O

By   O
closely   O
monitoring   O
Katelyn   B-NAME
Blackwell   I-NAME
's   O
recovery   O
and   O
managing   O
underlying   O
health   O
conditions   O
,   O
the   O
medical   O
team   O
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Macomb   I-LOCATION
Hospitals   I-LOCATION
anticipates   O
a   O
full   O
recovery   O
with   O
minimal   O
risk   O
for   O
complications   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Arabella   B-NAME
Blake   I-NAME
Age   O
:   O
82   O
Date   O
of   O
Birth   O
:   O
Tuesday   B-DATE
,   I-DATE
July   I-DATE
Medical   O
Record   O
Number   O
:   O
036   B-ID
-   I-ID
38   I-ID
-   I-ID
09   I-ID
Phone   O
Number   O
:   O
50771   B-CONTACT
Address   O
:   O
Prestonville   B-LOCATION
,   O
95239   B-LOCATION
Occupation   O
:   O
Herbalist   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Collins   B-NAME
Encounter   O
Information   O
:   O
Date   O
of   O
Visit   O
:   O
September   B-DATE
02   I-DATE
,   I-DATE
2132   I-DATE
Hospital   O
:   O
Norman   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Porter   I-LOCATION
Campus   I-LOCATION
ID   O
number   O
:   O
OS   B-ID
:   I-ID
NL:9063   I-ID
Chief   O
Complaint   O
:   O

Friedman   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Medical   B-LOCATION
City   I-LOCATION
North   I-LOCATION
Hills   I-LOCATION
on   O
Thursday   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

More   B-NAME
,   I-NAME
St.   I-NAME
Thomas   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
was   O
noted   O
upon   O
evaluation   O
.   O

Medical   O
History   O
:   O
Barber   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Joplin   B-NAME
,   I-NAME
Janis   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bea   B-NAME
Slocumb   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnosis   O
:   O
Based   O
on   O
clinical   O
presentation   O
,   O
physical   O
examination   O
findings   O
,   O
and   O
supporting   O
laboratory   O
and   O
imaging   O
results   O
,   O
Yosef   B-NAME
Gardner   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
led   O
by   O
Dr.   O
Cowan   B-NAME
was   O
consulted   O
,   O
and   O
appendectomy   O
was   O
recommended   O
.   O

Cassius   B-NAME
Nguyen   I-NAME
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
November   B-DATE
22   I-DATE
.   O

Post   O
-   O
operatively   O
,   O
Diana   B-NAME
Chan   I-NAME
was   O
advised   O
to   O
take   O
oral   O
antibiotics   O
for   O
7   O
days   O
and   O
was   O
given   O
pain   O
management   O
instructions   O
.   O

aponte   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
discharged   O
from   O
Walker   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Jun   B-DATE
26   I-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
with   O
primary   O
care   O
physician   O
Dr.   O
Sara   B-NAME
Costa   I-NAME
in   O
one   O
week   O
.   O

Follow   O
-   O
up   O
:   O
Collins   B-NAME
was   O
seen   O
in   O
the   O
outpatient   O
clinic   O
by   O
Dr.   O
Collins   B-NAME
,   I-NAME
Tim   I-NAME
on   O
33/22/02   B-DATE
for   O
post   O
-   O
operative   O
evaluation   O
.   O

The   O
surgical   O
site   O
was   O
healing   O
as   O
expected   O
,   O
and   O
Quinton   B-NAME
H.   I-NAME
Welch   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
pain   O
.   O

Roderick   B-NAME
Schmitt   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
.   O

Informed   O
Consent   O
:   O
Informed   O
consent   O
was   O
obtained   O
from   O
Edward   B-NAME
Bird   I-NAME
prior   O
to   O
surgery   O
after   O
thorough   O
discussion   O
of   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
to   O
the   O
procedure   O
.   O

Ean   B-NAME
Jackson   I-NAME
expressed   O
understanding   O
and   O
agreement   O
with   O
the   O
planned   O
course   O
of   O
treatment   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Jerry   B-NAME
Robinson   I-NAME
Patient   O
ID   O
:   O
RN   B-ID
:   I-ID
TU:3872   I-ID
Medical   O
Record   O
Number   O
:   O
8142076   B-ID
Date   O
of   O
Birth   O
:   O
10   O
month   O
Date   O
of   O
Admission   O
:   O
2114   B-DATE
Hospital   O
:   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Oklahoma   I-LOCATION
City   I-LOCATION
Address   O
:   O
Fresno   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
93727   I-LOCATION
,   O
28385   B-LOCATION

Gilmore   B-NAME
Contact   O
Number   O
:   O
653   B-CONTACT
736   I-CONTACT
-   I-CONTACT
6914   I-CONTACT
Clinical   O
Summary   O
:   O
Shoshana   B-NAME
Krebsbach   I-NAME
,   O
a   O
Construction   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
presented   O
to   O
Lakeland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/2163   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
headaches   O
and   O
episodic   O
dizziness   O
over   O
the   O
past   O
1/02/2260   B-DATE
.   O

JABLONSKI   B-NAME
,   I-NAME
SHIRLEY   I-NAME
reported   O
associated   O
nausea   O
without   O
vomiting   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
.   O

On   O
evaluation   O
,   O
Jase   B-NAME
Wong   I-NAME
exhibited   O
a   O
blood   O
pressure   O
reading   O
of   O
140/90   O
mmHg   O
and   O
a   O
heart   O
rate   O
of   O
78   O
bpm   O
.   O

Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
Comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
,   O
and   O
Thyroid   O
Function   O
Tests   O
(   O
TFTs   O
)   O
performed   O
on   O
03/37   B-DATE
were   O
within   O
normal   O
limits   O
.   O

A   O
Brain   O
MRI   O
conducted   O
on   O
0/05   B-DATE
did   O
not   O
reveal   O
any   O
abnormality   O
.   O

Eye   O
examination   O
conducted   O
by   O
Hoffman   B-NAME
revealed   O
no   O
pathological   O
findings   O
to   O
account   O
for   O
the   O
patient   O
's   O
headaches   O
.   O

Cherish   B-NAME
Freeman   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
onset   O
,   O
duration   O
,   O
associated   O
symptoms   O
,   O
and   O
any   O
triggering   O
factors   O
.   O

Lamar   B-NAME
Werner   I-NAME
was   O
instructed   O
on   O
the   O
proper   O
use   O
and   O
potential   O
side   O
effects   O
of   O
these   O
medications   O
.   O

4   O
.   O
Follow   O
-   O
up   O
:   O
Roman   B-NAME
Beasley   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
0/0   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
management   O
as   O
necessary   O
.   O

Conclusion   O
:   O
Initial   O
assessment   O
suggests   O
that   O
Nash   B-NAME
's   O
symptoms   O
may   O
be   O
attributed   O
to   O
tension   O
-   O
type   O
headaches   O
,   O
with   O
a   O
differential   O
diagnosis   O
of   O
migraines   O
,   O
considering   O
the   O
described   O
characteristics   O
and   O
triggering   O
factors   O
of   O
the   O
headaches   O
.   O

Oneida   B-NAME
Norwood   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
and   O
follow   O
-   O
up   O
appointments   O
for   O
optimal   O
management   O
of   O
symptoms   O
.   O

Signed   O
,   O
Decker   B-NAME
01/29   B-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Jamya   B-NAME
Watkins   I-NAME
DOB   O
:   O
01/77   B-DATE
Age   O
:   O
1   O
week   O
ID   O
:   O
ZZ   B-ID
:   I-ID
DG:1421   B-ID
Medical   O
Record   O
:   O
914   B-ID
37   I-ID
44   I-ID
1   I-ID
Phone   O
:   O
720   B-CONTACT
-   I-CONTACT
975   I-CONTACT
8013   I-CONTACT
Address   O
:   O
Colman   B-LOCATION
,   O
69312   B-LOCATION
Occupation   O
:   O
Paste   O
-   O
Up   O
Workers   O
Primary   O
Physician   O
:   O
Abbott   B-NAME
Hospital   O
:   O
UHS   B-LOCATION
Wilson   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
for   O
Patient   O
Portal   O
:   O
WW255   B-NAME
Summary   O
:   O
On   O
Wednesday   B-DATE
,   I-DATE
August   I-DATE
,   O
Rivas   B-NAME
was   O
presented   O
to   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
West   I-LOCATION
Islip   I-LOCATION
)   I-LOCATION
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
clinical   O
presentation   O
of   O
acute   O
appendicitis   O
.   O

Nicholas   B-NAME
Q.   I-NAME
Vasquez   I-NAME
described   O
the   O
pain   O
as   O
a   O
constant   O
,   O
sharp   O
pain   O
that   O
began   O
around   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

In   O
addition   O
to   O
the   O
abdominal   O
pain   O
,   O
Teagan   B-NAME
Briggs   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
,   O
and   O
a   O
mild   O
fever   O
that   O
was   O
noted   O
the   O
evening   O
before   O
presenting   O
at   O
Jefferson   B-LOCATION
Healthcare   I-LOCATION
Hospital   I-LOCATION
.   O

To   O
further   O
evaluate   O
Tyrese   B-NAME
Fernandez   I-NAME
's   O
condition   O
,   O
a   O
comprehensive   O
physical   O
examination   O
and   O
several   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
abdominal   O
ultrasound   O
,   O
and   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
,   O
were   O
conducted   O
by   O
Freund   B-NAME
,   I-NAME
Peter   I-NAME
.   O

Physical   O
Examination   O
Findings   O
:   O
Vetter   B-NAME
's   O
temperature   O
was   O
slightly   O
elevated   O
at   O
the   O
time   O
of   O
examination   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
supporting   O
diagnostic   O
tests   O
,   O
Pacheco   B-NAME
recommended   O
an   O
appendectomy   O
to   O
remove   O
the   O
inflamed   O
appendix   O
and   O
prevent   O
any   O
potential   O
complications   O
.   O

Meryn   B-NAME
Degrandpre   I-NAME
was   O
informed   O
about   O
the   O
surgical   O
procedure   O
,   O
associated   O
risks   O
,   O
and   O
the   O
recovery   O
process   O
.   O

After   O
obtaining   O
Zavier   B-NAME
Bradford   I-NAME
's   O
consent   O
,   O
the   O
surgery   O
was   O
successfully   O
performed   O
on   O
00/29/2140   B-DATE
without   O
any   O
complications   O
.   O

Postoperative   O
Care   O
:   O
Post   O
-   O
surgery   O
,   O
Numerian   B-NAME
Herrion   I-NAME
was   O
managed   O
with   O
intravenous   O
antibiotics   O
to   O
prevent   O
infection   O
,   O
analgesics   O
for   O
pain   O
relief   O
,   O
and   O
was   O
closely   O
monitored   O
for   O
any   O
signs   O
of   O
complications   O
.   O

Potter   B-NAME
showed   O
good   O
postoperative   O
recovery   O
and   O
was   O
discharged   O
on   O
27/28   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Jamarcus   B-NAME
Leach   I-NAME
in   O
two   O
weeks   O
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

Conclusion   O
:   O
Deon   B-NAME
Ward   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
managed   O
with   O
an   O
appendectomy   O
followed   O
by   O
postoperative   O
care   O
.   O

Patient   O
Name   O
:   O
Joar   B-NAME
Mahkent   I-NAME
Patient   O
ID   O
:   O
KZ826/3774   B-ID
Medical   O
Record   O
Number   O
:   O
40858340   B-ID
Date   O
of   O
Birth   O
:   O
09/17/11   B-DATE
Age   O
:   O
41   O
Address   O
:   O
Fort   B-LOCATION
Erie   I-LOCATION
,   I-LOCATION
ON   I-LOCATION
L2A   I-LOCATION
1G6   I-LOCATION
,   O
65141   B-LOCATION
Phone   O
Number   O
:   O
864   B-CONTACT
976   I-CONTACT
-   I-CONTACT
3576   I-CONTACT
Primary   O
Physician   O
:   O

Fernandez   B-NAME
Treating   O
Hospital   O
:   O
Monroe   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/1   B-DATE
Date   O
of   O
Report   O
:   O

February   B-DATE
08   I-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Halle   B-NAME
Guzman   I-NAME
,   O
a   O
Manufacturing   O
machine   O
operator   O
from   O
Kuttawa   B-LOCATION
,   O
presented   O
to   O
Starr   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/03   B-DATE
with   O
a   O
report   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
centered   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
persistent   O
for   O
approximately   O
48   O
-   O
72   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Scott   B-NAME
Phipps   I-NAME
complained   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
decreased   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Constans   B-NAME
II   I-NAME
,   O
a   O
previously   O
healthy   O
individual   O
of   O
30   O
years   O
,   O
first   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdominal   O
region   O
approximately   O
three   O
days   O
prior   O
to   O
admission   O
.   O

Past   O
Medical   O
History   O
:   O
Skyler   B-NAME
Decker   I-NAME
reports   O
no   O
significant   O
past   O
medical   O
history   O
,   O
no   O
prior   O
surgeries   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Social   O
History   O
:   O
Mina   B-NAME
Hopkins   I-NAME
is   O
a   O
judge   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Lives   O
in   O
Weogufka   B-LOCATION
with   O
family   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Isaac   B-NAME
Ferraro   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Following   O
the   O
consultation   O
with   O
Jaydan   B-NAME
Henson   I-NAME
,   O
an   O
immediate   O
surgical   O
intervention   O
was   O
planned   O
.   O

Brand   B-NAME
,   I-NAME
Max   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
in   O
Hannibal   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
June   B-DATE
2225   I-DATE
.   O

Post   O
-   O
operative   O
recovery   O
has   O
been   O
uneventful   O
,   O
with   O
Yisroel   B-NAME
F   I-NAME
Cooley   I-NAME
scheduled   O
for   O
discharge   O
on   O
04/13/1812   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Herbert   B-NAME
,   I-NAME
George   I-NAME
is   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
2   O
weeks   O
post   O
-   O
discharge   O
for   O
wound   O
inspection   O
and   O
to   O
address   O
any   O
further   O
concerns   O
.   O

Morris   B-NAME
,   I-NAME
Errol   I-NAME
Contact   O
Information   O
:   O
17728   B-CONTACT
Note   O
:   O
All   O
identifying   O
information   O
in   O
this   O
report   O
has   O
been   O
anonymized   O
to   O
protect   O
patient   O
confidentiality   O
according   O
to   O
HIPAA   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
33100731   I-ID
Medical   O
Record   O
Number   O
:   O
00963449   B-ID
Name   O
:   O

Emil   B-NAME
Date   O
of   O
Birth   O
:   O
2/27   B-DATE
Age   O
:   O
82   O
Phone   O
Number   O
:   O
551   B-CONTACT
2056   I-CONTACT
Address   O
:   O
Lindstrom   B-LOCATION
,   O
61224   B-LOCATION
Occupation   O
:   O
Psychiatric   O
Aides   O
Next   O
of   O
Kin   O
:   O
Not   O
provided   O
due   O
to   O
privacy   O
protocols   O
.   O

Summary   O
:   O
03/07/2074   B-DATE
,   O
Beatrice   B-NAME
Bradford   I-NAME
,   O
a   O
Door   O
-   O
To   O
-   O
Door   O
Sales   O
Workers   O
,   O
News   O
and   O
Street   O
Vendors   O
,   O
and   O
Related   O
Workers   O
by   O
trade   O
,   O
presented   O
at   O
Rush   B-LOCATION
Copley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
an   O
acute   O
onset   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
temporal   O
region   O
.   O

The   O
onset   O
was   O
reported   O
to   O
have   O
begun   O
early   O
in   O
the   O
morning   O
on   O
35/36/13   B-DATE
.   O

Mireya   B-NAME
Patrick   I-NAME
also   O
noted   O
experiencing   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
,   O
which   O
significantly   O
impaired   O
their   O
ability   O
to   O
engage   O
in   O
daily   O
activities   O
.   O

However   O
,   O
Colm   B-NAME
mentioned   O
experiencing   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
in   O
the   O
past   O
months   O
,   O
which   O
were   O
not   O
formally   O
evaluated   O
or   O
treated   O
.   O

A   O
neurological   O
examination   O
conducted   O
by   O
Chase   B-NAME
Mcknight   I-NAME
did   O
not   O
reveal   O
any   O
focal   O
neurological   O
deficits   O
.   O

Management   O
strategies   O
were   O
discussed   O
with   O
Walken   B-NAME
,   I-NAME
Christopher   I-NAME
,   O
focusing   O
on   O
lifestyle   O
modifications   O
,   O
acute   O
symptomatic   O
relief   O
,   O
and   O
preventive   O
strategies   O
.   O

Further   O
,   O
NICHOLAS   B-NAME
EDGE   I-NAME
was   O
advised   O
to   O
return   O
to   O
CHRISTUS   B-LOCATION
Mother   I-LOCATION
Frances   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Sulphur   I-LOCATION
Springs   I-LOCATION
or   O
consult   O
with   O
a   O
neurologist   O
associated   O
with   O
United   B-LOCATION
Mine   I-LOCATION
Workers   I-LOCATION
of   I-LOCATION
America   I-LOCATION
for   O
follow   O
-   O
up   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
33/33   B-DATE
with   O
Adrien   B-NAME
Russo   I-NAME
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
management   O
plans   O
as   O
needed   O
.   O

Contact   O
information   O
for   O
Russell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
was   O
provided   O
should   O
Joe   B-NAME
Einhorn   I-NAME
need   O
to   O
reach   O
out   O
for   O
any   O
concerns   O
or   O
emergencies   O
related   O
to   O
their   O
condition   O
.   O

Instructions   O
were   O
also   O
given   O
on   O
the   O
mobile   O
application   O
associated   O
with   O
Flight   B-LOCATION
Attendants   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
,   O
where   O
Nikolas   B-NAME
Christian   I-NAME
could   O
manage   O
appointments   O
,   O
access   O
health   O
records   O
,   O
and   O
communicate   O
with   O
healthcare   O
providers   O
.   O

Prepared   O
by   O
:   O
Marisa   B-NAME
Barber   I-NAME
22/23   B-DATE

Disclosure   O
or   O
distribution   O
without   O
explicit   O
consent   O
from   O
Everett   B-NAME
,   I-NAME
Carl   I-NAME
is   O
prohibited   O
.   O

Patient   O
Report   O
for   O
Marech   B-NAME
Marnett   I-NAME
09/10   B-DATE
,   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Easley   I-LOCATION
Hospital   I-LOCATION
Precious   B-NAME
Stewart   I-NAME
reviewed   O
the   O
case   O
of   O
Rodger   B-NAME
Lester   I-NAME
,   O
a   O
21   O
-   O
year   O
-   O
old   O
Radiation   O
Therapists   O
from   O
Canute   B-LOCATION
,   O
95863   B-LOCATION
.   O

The   O
patient   O
was   O
admitted   O
to   O
KershawHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

The   O
medical   O
team   O
noted   O
that   O
Kimimela   B-NAME
's   O
symptoms   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
clinical   O
examination   O
,   O
Lizbeth   B-NAME
Atkinson   I-NAME
observed   O
McBurney   O
's   O
point   O
tenderness   O
which   O
was   O
suggestive   O
of   O
appendicitis   O
.   O

The   O
patient   O
's   O
102   B-ID
-   I-ID
91   I-ID
-   I-ID
96   I-ID
number   O
for   O
this   O
visit   O
is   O
NK   B-ID
:   I-ID
TL:2382   I-ID
.   O

Lecea   B-NAME
's   O
medical   O
history   O
was   O
notable   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
on   O
oral   O
hypoglycemics   O
.   O

A   O
surgical   O
consult   O
was   O
requested   O
and   O
Trinity   B-NAME
was   O
taken   O
to   O
the   O
operating   O
room   O
for   O
an   O
appendectomy   O
on   O
00/16   B-DATE
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
with   O
Hillary   B-NAME
Reilly   I-NAME
showing   O
signs   O
of   O
good   O
recovery   O
.   O

English   B-NAME
planned   O
a   O
follow   O
-   O
up   O
visit   O
for   O
Ali   B-NAME
ibn   I-NAME
Abi   I-NAME
Talib   I-NAME
in   O
OhioHealth   B-LOCATION
Mansfield   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
department   O
on   O
2/12   B-DATE
.   O

The   O
prescription   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
antibiotics   O
and   O
pain   O
management   O
,   O
was   O
sent   O
to   O
Rice   B-NAME
's   O
contact   O
number   O
,   O
722   B-CONTACT
753   I-CONTACT
-   I-CONTACT
4053   I-CONTACT
.   O

Sundance   B-LOCATION
Institute   I-LOCATION
has   O
been   O
advised   O
for   O
post   O
-   O
operative   O
diabetes   O
management   O
for   O
Bruna   B-NAME
Oglesby   I-NAME
.   O

It   O
was   O
noted   O
that   O
Charlotte   B-NAME
Farley   I-NAME
's   O
blood   O
glucose   O
levels   O
should   O
be   O
closely   O
monitored   O
during   O
the   O
recovery   O
period   O
to   O
prevent   O
any   O
hyperglycemic   O
or   O
hypoglycemic   O
events   O
.   O

oo992   B-NAME
updated   O
August   B-NAME
Asmus   I-NAME
's   O
electronic   O
health   O
records   O
on   O
33/32/64   B-DATE
to   O
reflect   O
the   O
most   O
recent   O
treatment   O
and   O
care   O
provided   O
,   O
including   O
discharge   O
instructions   O
and   O
plans   O
for   O
follow   O
-   O
up   O
.   O

This   O
update   O
ensures   O
continuity   O
of   O
care   O
with   O
Maximus   B-NAME
Mosley   I-NAME
's   O
primary   O
care   O
physician   O
and   O
specialists   O
as   O
needed   O
.   O

Biko   B-NAME
,   I-NAME
Steve   I-NAME
emphasized   O
the   O
importance   O
of   O
Madden   B-NAME
Bowman   I-NAME
adhering   O
to   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
and   O
following   O
up   O
as   O
scheduled   O
to   O
ensure   O
a   O
smooth   O
recovery   O
and   O
to   O
monitor   O
for   O
any   O
potential   O
complications   O
.   O

Moshe   B-NAME
Glenn   I-NAME
was   O
discharged   O
from   O
Johns   B-LOCATION
Hopkins   I-LOCATION
All   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
September   B-DATE
,   O
with   O
all   O
necessary   O
information   O
and   O
contacts   O
provided   O
for   O
any   O
urgent   O
concerns   O
that   O
may   O
arise   O
.   O

Patient   O
Report   O
for   O
Arcanus   B-NAME
Peacy   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
39s   O
-   O
Gender   O
:   O
Female   O
-   O
Location   O
:   O
Van   B-LOCATION
Buren   I-LOCATION
-   O
Contact   O
Information   O
:   O
(   B-CONTACT
580   I-CONTACT
)   I-CONTACT
791   I-CONTACT
-   I-CONTACT
9110   I-CONTACT
-   O
ID   O
:   O
KW   B-ID
:   I-ID
NJ:4967   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
304   B-ID
-   I-ID
89   I-ID
-   I-ID
50   I-ID
-   I-ID
8   I-ID
-   O
Date   O
of   O
Report   O
:   O
2272   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
17   I-DATE
Medical   O
History   O
:   O

The   O
patient   O
was   O
seen   O
at   O
Methodist   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
by   O
Davion   B-NAME
Rodriguez   I-NAME
on   O
26/12   B-DATE
.   O

3   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
03/13/1876   B-DATE
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

In   O
case   O
of   O
severe   O
migraine   O
attacks   O
unresponsive   O
to   O
medication   O
,   O
the   O
patient   O
is   O
advised   O
to   O
contact   O
MedStar   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
at   O
304   B-CONTACT
566   I-CONTACT
2065   I-CONTACT
.   O

This   O
medical   O
report   O
contains   O
confidential   O
health   O
information   O
pertaining   O
to   O
Casey   B-NAME
Leonard   I-NAME
.   O

For   O
any   O
further   O
inquiries   O
,   O
please   O
contact   O
the   O
records   O
department   O
at   O
Murray   B-LOCATION
-   I-LOCATION
Calloway   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
using   O
70376   B-CONTACT
.   O

This   O
report   O
is   O
prepared   O
by   O
:   O
Simpson   B-NAME
September   B-DATE
5   I-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Maxima   B-NAME
Bookter   I-NAME
ID   O
:   O
8   B-ID
-   I-ID
49100709   I-ID
Age   O
:   O
40   O
Phone   O
Number   O
:   O
70625   B-CONTACT
Medical   O
Record   O
Number   O
:   O
8616301   B-ID
Address   O
:   O
Hatboro   B-LOCATION
,   O
13626   B-LOCATION
Profession   O
:   O
Medical   O
Transcriptionists   O
Doctor   O
Information   O
:   O
Name   O
:   O
Eddie   B-NAME
Stephens   I-NAME
Hospital   O
:   O
Columbia   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Chilo   B-LOCATION
Summary   O
:   O

On   O
11/35   B-DATE
,   O
Hugo   B-NAME
Parks   I-NAME
was   O
admitted   O
to   O
Ascension   B-LOCATION
Providence   I-LOCATION
Rochester   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Woody   B-LOCATION
Creek   I-LOCATION
following   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
an   O
episode   O
of   O
vomiting   O
that   O
occurred   O
early   O
in   O
the   O
morning   O
.   O

Angelic   B-NAME
Shao   I-NAME
's   O
medical   O
history   O
includes   O
Type   O
2   O
diabetes   O
and   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

A   O
physical   O
examination   O
conducted   O
by   O
Dr.   O
Mara   B-NAME
,   I-NAME
Ratu   I-NAME
Sir   I-NAME
Kamisese   I-NAME
revealed   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
specifically   O
near   O
the   O
McBurney   O
's   O
point   O
,   O
suggesting   O
potential   O
appendicitis   O
.   O

Under   O
the   O
care   O
of   O
Dr.   O
Kylie   B-NAME
Preece   I-NAME
and   O
the   O
surgical   O
team   O
at   O
Bear   B-LOCATION
Lake   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
Jordan   B-NAME
,   I-NAME
Sandra   I-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
8/05   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Dawkins   B-NAME
,   I-NAME
Richard   I-NAME
was   O
discharged   O
on   O
11/14   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
at   O
the   O
ProMedica   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
recovery   O
progress   O
.   O

Queen   B-NAME
Newton   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
.   O

Conclusion   O
:   O
Napoleon   B-NAME
Blass   I-NAME
's   O
early   O
recognition   O
of   O
symptoms   O
and   O
prompt   O
medical   O
attention   O
were   O
crucial   O
in   O
avoiding   O
potential   O
complications   O
associated   O
with   O
appendicitis   O
.   O

The   O
collaborative   O
efforts   O
of   O
the   O
healthcare   O
team   O
at   O
Bob   B-LOCATION
Wilson   I-LOCATION
Memorial   I-LOCATION
Grant   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Ulysses   I-LOCATION
ensured   O
a   O
positive   O
outcome   O
for   O
Nash   B-NAME
Clay   I-NAME
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Christel   B-NAME
Merrifield   I-NAME
can   O
contact   O
Dr.   O
Dereon   B-NAME
Macdonald   I-NAME
at   O
549   B-CONTACT
-   I-CONTACT
3554   I-CONTACT
.   O

Further   O
information   O
about   O
post   O
-   O
operative   O
care   O
is   O
available   O
on   O
the   O
Georgiana   B-LOCATION
Hospital   I-LOCATION
's   O
website   O
or   O
by   O
visiting   O
our   O
office   O
at   O
Fort   B-LOCATION
Lauderdale   I-LOCATION
,   I-LOCATION
FL   I-LOCATION
33334   I-LOCATION
,   O
51145   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
29566103   B-ID
Patient   O
Name   O
:   O
Sharon   B-NAME
Wilkinson   I-NAME
Age   O
:   O
76   O
Address   O
:   O
McDonald   B-LOCATION
Chapel   I-LOCATION
,   O
28813   B-LOCATION
Phone   O
Number   O
:   O
84931   B-CONTACT
Date   O
of   O
Admission   O
:   O
2/20/43   B-DATE
Attending   O
Physician   O
:   O

Huber   B-NAME
Hospital   O
:   O

Highland   B-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Moriah   B-NAME
May   I-NAME
,   O
presented   O
to   O
the   O
Emergency   O
Department   O
on   O
21/06   B-DATE
with   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

On   O
physical   O
examination   O
,   O
Violette   B-NAME
Derubeis   I-NAME
was   O
in   O
apparent   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Hume   B-NAME
,   I-NAME
David   I-NAME
performed   O
an   O
appendectomy   O
without   O
complications   O
on   O
2182s   B-DATE
.   O

Xian   B-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
2250   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
29   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
33/12   B-DATE
at   O
Hayti   B-LOCATION
Heights   I-LOCATION
.   O

2   O
.   O
Follow   O
up   O
in   O
the   O
surgeon   O
's   O
office   O
on   O
02/32   B-DATE
.   O

If   O
you   O
experience   O
fever   O
,   O
uncontrollable   O
pain   O
,   O
or   O
any   O
signs   O
of   O
infection   O
,   O
please   O
call   O
(   B-CONTACT
803   I-CONTACT
)   I-CONTACT
345   I-CONTACT
1264   I-CONTACT
immediately   O
or   O
return   O
to   O
the   O
emergency   O
room   O
at   O
BronxCare   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

Personal   O
information   O
such   O
as   O
patient   O
name   O
,   O
ID   O
763   B-ID
-   I-ID
22   I-ID
-   I-ID
48   I-ID
-   I-ID
8   I-ID
,   O
and   O
contact   O
information   O
695   B-CONTACT
-   I-CONTACT
708   I-CONTACT
-   I-CONTACT
4569   I-CONTACT
will   O
not   O
be   O
disclosed   O
without   O
patient   O
consent   O
.   O

Document   O
Prepared   O
by   O
:   O
Precision   O
Agriculture   O
Technicians   O
at   O
Carter   B-LOCATION
Center   I-LOCATION
4/20/95   B-DATE

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
907   B-ID
-   I-ID
85   I-ID
-   I-ID
45   I-ID
Patient   O
Name   O
:   O
Jamie   B-NAME
Bennett   I-NAME
Age   O
:   O
94   O
Gender   O
:   O
Not   O
Specified   O
History   O
of   O
Present   O
Illness   O
:   O
2066   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
20   I-DATE
,   O
Lynna   B-NAME
Herriott   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
MercyOne   B-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
461   B-LOCATION
Shipley   I-LOCATION
St.   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
intensified   O
over   O
the   O
last   O
24   O
hours   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Anders   B-NAME
Sykes   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Copeland   B-NAME
,   I-NAME
Stewart   I-NAME
at   O
Morristown   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Ballard   B-NAME
was   O
admitted   O
for   O
an   O
emergency   O
appendectomy   O
.   O

Follow   O
-   O
up   O
:   O
Jaye   B-NAME
Venturini   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Lisa   B-NAME
Cox   I-NAME
in   O
two   O
weeks   O
on   O
2022   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
11   I-DATE
to   O
monitor   O
recovery   O
progress   O
.   O

Instructions   O
were   O
given   O
to   O
call   O
the   O
office   O
at   O
44521   B-CONTACT
if   O
there   O
are   O
any   O
concerns   O
or   O
symptoms   O
of   O
infection   O
,   O
such   O
as   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
at   O
the   O
surgical   O
site   O
,   O
fever   O
,   O
or   O
persistent   O
pain   O
.   O

Notes   O
:   O
-   O
Patient   O
019   B-ID
-   I-ID
18   I-ID
-   I-ID
10   I-ID
admitted   O
under   O
ID   O
:   O
RD   B-ID
:   I-ID
QK:3470   I-ID
-   O
Admitted   O
to   O
Gundersen   B-LOCATION
Lutheran   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
room   O
number   O
not   O
disclosed   O
for   O
privacy   O
.   O
-   O
Warren   B-NAME
,   I-NAME
Rick   I-NAME
's   O
emergency   O
contact   O
is   O
Energy   O
Auditors   O
residing   O
in   O
Anaktuvuk   B-LOCATION
Pass   I-LOCATION
,   O
contactable   O
at   O
801   B-CONTACT
-   I-CONTACT
7253   I-CONTACT
.   O
-   O
Prescriptions   O
were   O
sent   O
to   O
Minnesota   B-LOCATION
Pharmacy   O
in   O
80527   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Beckie   B-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
2228645   I-ID
Medical   O
Record   O
Number   O
:   O
156   B-ID
-   I-ID
94   I-ID
-   I-ID
24   I-ID
-   I-ID
7   I-ID
Age   O
:   O
25   O
Date   O
of   O
Birth   O
:   O
01/11/78   B-DATE
Address   O
:   O
Aguada   B-LOCATION
,   O
60780   B-LOCATION
Phone   O
Number   O
:   O
945   B-CONTACT
6590   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Morse   B-NAME
Primary   O
Care   O
Facility   O
:   O
Regional   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Scranton   I-LOCATION
Employment   O
:   O
Police   O
Patrol   O
Officers   O
at   O
Commerce   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Southwest   I-LOCATION
Florida   I-LOCATION
Username   O
:   O
ipb830   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
PENN   B-NAME
,   B-NAME
GINO   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Newark   B-LOCATION
Beth   I-LOCATION
Israel   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2095   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
24   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
an   O
episode   O
of   O
vomiting   O
that   O
commenced   O
early   O
in   O
the   O
morning   O
on   O
the   O
same   O
day   O
.   O

Houston   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
noted   O
that   O
the   O
current   O
symptoms   O
felt   O
markedly   O
different   O
and   O
were   O
accompanied   O
by   O
an   O
unwavering   O
intensity   O
of   O
discomfort   O
that   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
and   O
GERD   O
medication   O
did   O
not   O
alleviate   O
.   O

Upon   O
examination   O
,   O
Belen   B-NAME
Mcneil   I-NAME
's   O
abdomen   O
was   O
distended   O
and   O
tender   O
upon   O
palpation   O
,   O
with   O
notable   O
guarding   O
and   O
rebound   O
tenderness   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
performed   O
in   O
St   B-LOCATION
Agnes   I-LOCATION
Hospital   I-LOCATION
's   O
radiology   O
department   O
,   O
suggesting   O
acute   O
appendicitis   O
without   O
perforation   O
.   O

Treatment   O
and   O
Outcome   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
supporting   O
imaging   O
,   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Dr.   O
Mueller   B-NAME
.   O

Jacoby   B-NAME
was   O
admitted   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Finley   I-LOCATION
Hospital   I-LOCATION
for   O
an   O
urgent   O
appendectomy   O
,   O
which   O
was   O
successfully   O
performed   O
without   O
complications   O
.   O

Post   O
-   O
operatively   O
,   O
Cameron   B-NAME
Lewis   I-NAME
received   O
intravenous   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
was   O
discharged   O
on   O
September   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Kate   B-NAME
Morrow   I-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Foster   B-NAME
,   I-NAME
Sir   I-NAME
Robert   I-NAME
Sidney   I-NAME
is   O
advised   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
and   O
maintain   O
a   O
light   O
diet   O
initially   O
,   O
gradually   O
resuming   O
normal   O
activities   O
as   O
tolerated   O
.   O

Any   O
persistent   O
symptoms   O
should   O
be   O
reported   O
to   O
Dr.   O
Bond   B-NAME
immediately   O
.   O

Conclusion   O
:   O
This   O
case   O
highlights   O
the   O
critical   O
role   O
of   O
timely   O
intervention   O
in   O
acute   O
surgical   O
conditions   O
and   O
illustrates   O
the   O
effectiveness   O
of   O
multidisciplinary   O
care   O
involving   O
emergency   O
,   O
surgery   O
,   O
and   O
nursing   O
teams   O
at   O
Vidant   B-LOCATION
Beaufort   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Archer   B-NAME
Patient   O
ID   O
:   O
WT224/3187   B-ID
Medical   O
Record   O
Number   O
:   O
7   B-ID
-   I-ID
098944   I-ID
Age   O
:   O
9   O
Date   O
of   O
Visit   O
:   O
12/05   B-DATE
Attending   O
Physician   O
:   O

Reese   B-NAME
Hospital   O
:   O
Cache   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
White   B-LOCATION
Sulphur   I-LOCATION
Springs   I-LOCATION
Zip   O
Code   O
:   O
34355   B-LOCATION
Contact   O
Phone   O
:   O
96727   B-CONTACT
Profession   O
:   O
fisherman   O
Username   O
:   O
QC1016   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Armani   B-NAME
Castillo   I-NAME
,   O
presented   O
to   O
the   O
clinic   O
on   O
12/00/02   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
been   O
persisting   O
for   O
approximately   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jared   B-NAME
Morrow   I-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Logging   O
Workers   O
from   O
Jefferson   B-LOCATION
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
began   O
experiencing   O
mild   O
abdominal   O
discomfort   O
3/22   B-DATE
which   O
escalated   O
rapidly   O
into   O
the   O
current   O
state   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
described   O
above   O
,   O
Howell   B-NAME
denies   O
fever   O
,   O
diarrhea   O
,   O
constipation   O
,   O
or   O
urinary   O
symptoms   O
.   O

Preoperative   O
antibiotics   O
were   O
initiated   O
in   O
the   O
emergency   O
department   O
of   O
Coulee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
and   O
their   O
family   O
(   O
contact   O
number   O
:   O
55015   B-CONTACT
)   O
were   O
informed   O
about   O
the   O
condition   O
,   O
the   O
need   O
for   O
surgery   O
,   O
and   O
the   O
associated   O
risks   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Friday   B-DATE
,   I-DATE
December   I-DATE
post   O
-   O
operation   O
for   O
wound   O
check   O
and   O
evaluation   O
of   O
recovery   O
progress   O
.   O

This   O
report   O
was   O
generated   O
by   O
Congreve   B-NAME
,   I-NAME
William   I-NAME
and   O
reviewed   O
on   O
22/32   B-DATE
.   O

For   O
further   O
queries   O
or   O
information   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
Roper   B-LOCATION
Hospital   I-LOCATION
at   O
743   B-CONTACT
-   I-CONTACT
6690   I-CONTACT
.   O

Patient   O
Report   O
for   O
Landon   B-NAME
Twersky   I-NAME
Patient   O
ID   O
:   O
GZ   B-ID
:   I-ID
YE:6827   I-ID
Medical   O
Record   O
Number   O
:   O
78526485   B-ID
Admission   O
Date   O
:   O
1/24   B-DATE
Age   O
:   O
9   O
week   O
Phone   O
Number   O
:   O
302   B-CONTACT
-   I-CONTACT
132   I-CONTACT
7545   I-CONTACT
Residence   O
:   O
Ailey   B-LOCATION
,   O
75426   B-LOCATION
Summary   O
:   O
Pediatricians   O
,   O
General   O
Uehara   B-NAME
was   O
admitted   O
to   O
Huntington   B-LOCATION
Hospital   I-LOCATION
on   O
2286   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
05   I-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
frequent   O
episodes   O
of   O
vomiting   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
week   O
.   O

Medical   O
History   O
:   O
de   B-NAME
Molay   I-NAME
,   I-NAME
Jacques   I-NAME
reviewed   O
Key   B-NAME
's   O
medical   O
history   O
,   O
which   O
revealed   O
no   O
previous   O
surgeries   O
,   O
allergies   O
,   O
or   O
any   O
chronic   O
conditions   O
.   O

Guillermo   B-NAME
Schwartz   I-NAME
,   O
a   O
Duplicating   O
Machine   O
Operators   O
by   O
profession   O
,   O
mentioned   O
a   O
recent   O
trip   O
to   O
8505   B-LOCATION
Pennington   I-LOCATION
Drive   I-LOCATION
about   O
two   O
weeks   O
prior   O
to   O
the   O
onset   O
of   O
symptoms   O
.   O

Diagnostic   O
Findings   O
:   O
Diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
were   O
ordered   O
by   O
Cox   B-NAME
.   O

Treatment   O
:   O
After   O
consulting   O
with   O
Bridges   B-NAME
,   O
an   O
appendectomy   O
was   O
recommended   O
due   O
to   O
the   O
risk   O
of   O
rupture   O
.   O

Camille   B-NAME
Mckeen   I-NAME
was   O
informed   O
of   O
the   O
procedure   O
risks   O
and   O
benefits   O
,   O
consenting   O
to   O
surgery   O
scheduled   O
for   O
32/23   B-DATE
.   O

Following   O
the   O
procedure   O
,   O
Victor   B-NAME
Meadows   I-NAME
was   O
prescribed   O
antibiotics   O
to   O
prevent   O
post   O
-   O
surgical   O
infection   O
and   O
advised   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
dietary   O
modifications   O
and   O
activity   O
restrictions   O
.   O

Follow   O
-   O
Up   O
:   O
Ralph   B-NAME
Pitts   I-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
00/1   B-DATE
to   O
monitor   O
Heindel   B-NAME
,   I-NAME
Max   I-NAME
's   O
recovery   O
and   O
discuss   O
the   O
histopathological   O
report   O
.   O

Instructions   O
were   O
given   O
to   O
contact   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Nashua   I-LOCATION
at   O
(   B-CONTACT
832   I-CONTACT
)   I-CONTACT
207   I-CONTACT
9227   I-CONTACT
should   O
any   O
complications   O
arise   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
.   O

Please   O
contact   O
Canadian   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
Employees   I-LOCATION
at   O
121   B-CONTACT
264   I-CONTACT
1933   I-CONTACT
if   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
.   O

The   O
patient   O
,   O
Arteaga   B-NAME
,   O
a   O
38s   O
-   O
year   O
-   O
old   O
Planning   O
technician   O
residing   O
in   O
Bracebridge   B-LOCATION
,   I-LOCATION
ON   I-LOCATION
P1L   I-LOCATION
4H4   I-LOCATION
,   O
37991   B-LOCATION
,   O
presented   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
on   O
11/17/1849   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
dry   O
cough   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Tannen   B-NAME
,   I-NAME
Deborah   I-NAME
has   O
a   O
history   O
of   O
asthma   O
and   O
is   O
a   O
nonsmoker   O
.   O

The   O
physical   O
examination   O
conducted   O
by   O
Lennon   B-NAME
Obrien   I-NAME
revealed   O
bilateral   O
wheezing   O
and   O
reduced   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
.   O

Upon   O
reviewing   O
Morrison   B-NAME
,   I-NAME
Jim   I-NAME
's   O
medical   O
record   O
69514898   B-ID
,   O
it   O
was   O
observed   O
that   O
[   O
HE   O
/   O
SHE   O
]   O
had   O
not   O
been   O
adherent   O
with   O
[   O
HIS   O
/   O
HER   O
]   O
asthma   O
maintenance   O
therapy   O
.   O

Roy   B-NAME
was   O
immediately   O
administered   O
a   O
bronchodilator   O
and   O
a   O
dose   O
of   O
systemic   O
corticosteroids   O
to   O
manage   O
the   O
asthma   O
exacerbation   O
.   O

Richard   B-NAME
Quesenberry   I-NAME
was   O
advised   O
to   O
undergo   O
a   O
SARS   O
-   O
CoV-2   O
PCR   O
test   O
considering   O
the   O
present   O
symptoms   O
and   O
the   O
ongoing   O
pandemic   O
situation   O
in   O
Elizabethton   B-LOCATION
as   O
of   O
12/07   B-DATE
.   O

The   O
test   O
result   O
,   O
received   O
on   O
Friday   B-DATE
,   O
was   O
negative   O
.   O

Knox   B-NAME
recommended   O
hospitalization   O
for   O
close   O
monitoring   O
and   O
adjustment   O
of   O
asthma   O
medications   O
,   O
but   O
Schultz   B-NAME
,   I-NAME
Charles   I-NAME
M.   I-NAME
declined   O
due   O
to   O
personal   O
reasons   O
and   O
requested   O
to   O
be   O
managed   O
on   O
an   O
outpatient   O
basis   O
.   O

Hightower   B-NAME
,   I-NAME
Jim   I-NAME
provided   O
Billy   B-NAME
U.   I-NAME
Webber   I-NAME
with   O
a   O
detailed   O
management   O
plan   O
,   O
including   O
stepping   O
up   O
asthma   O
medications   O
,   O
starting   O
a   O
course   O
of   O
antibiotics   O
to   O
cover   O
for   O
any   O
unidentified   O
bacterial   O
infection   O
,   O
and   O
strict   O
observation   O
of   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
32/27   B-DATE
,   O
and   O
Ulyssa   B-NAME
Neff   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsened   O
.   O

Freedom   B-LOCATION
from   I-LOCATION
Torture   I-LOCATION
provided   O
Jade   B-NAME
Compton   I-NAME
with   O
an   O
informational   O
brochure   O
on   O
managing   O
asthma   O
during   O
the   O
COVID-19   O
pandemic   O
,   O
with   O
a   O
list   O
of   O
emergency   O
contact   O
numbers   O
,   O
including   O
a   O
direct   O
line   O
(   O
45982   B-CONTACT
)   O
to   O
the   O
asthma   O
care   O
team   O
at   O
Inland   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
education   O
team   O
,   O
led   O
by   O
Houston   B-NAME
,   O
emphasized   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
medication   O
regimen   O
and   O
avoiding   O
known   O
asthma   O
triggers   O
.   O

A   O
secure   O
electronic   O
message   O
was   O
sent   O
to   O
Lastman   B-NAME
,   I-NAME
Mel   I-NAME
's   O
registered   O
email   O
(   O
ZB191   B-NAME
@   O
Toronto   B-LOCATION
PET   I-LOCATION
Users   I-LOCATION
Group   I-LOCATION
(   I-LOCATION
TPUG)   I-LOCATION
.com   O
)   O
on   O
9/20   B-DATE
,   O
summarizing   O
the   O
care   O
plan   O
and   O
reminding   O
[   O
HIM   O
/   O
HER   O
]   O
of   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

In   O
addition   O
,   O
a   O
prescription   O
refill   O
request   O
was   O
submitted   O
to   O
Lacey   B-NAME
's   O
pharmacy   O
in   O
Lexington   B-LOCATION
Park   I-LOCATION
,   O
and   O
arrangements   O
were   O
made   O
for   O
home   O
delivery   O
to   O
ensure   O
continuity   O
of   O
care   O
.   O

The   O
case   O
of   O
Schweitzer   B-NAME
,   I-NAME
Albert   I-NAME
underscores   O
the   O
complexities   O
of   O
managing   O
asthma   O
patients   O
during   O
the   O
COVID-19   O
pandemic   O
and   O
highlights   O
the   O
importance   O
of   O
patient   O
education   O
,   O
adherence   O
to   O
treatment   O
plans   O
,   O
and   O
the   O
utility   O
of   O
remote   O
healthcare   O
services   O
.   O

Patient   O
Report   O
for   O
Mercedes   B-NAME
Calderon   I-NAME
37/24   B-DATE
,   O
788   B-ID
-   I-ID
52   I-ID
-   I-ID
31   I-ID
-   I-ID
5   I-ID
3   O
-   O
year   O
-   O
old   O
Government   O
Property   O
Inspectors   O
and   O
Investigators   O
presented   O
to   O
Decatur   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
history   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
dyspnea   O
that   O
began   O
approximately   O
10   O
days   O
prior   O
to   O
admission   O
.   O

Leonel   B-NAME
Randall   I-NAME
reported   O
experiencing   O
a   O
fever   O
of   O
around   O
101   O
°   O
F   O
,   O
measured   O
at   O
home   O
.   O

In   O
addition   O
,   O
Laurel   B-NAME
Weaver   I-NAME
complained   O
of   O
an   O
increasingly   O
productive   O
cough   O
,   O
with   O
yellowish   O
sputum   O
.   O

Sage   B-NAME
Jefferson   I-NAME
described   O
the   O
dyspnea   O
as   O
particularly   O
pronounced   O
during   O
physical   O
activities   O
.   O

Joaquin   B-NAME
Terry   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
and   O
does   O
not   O
use   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

The   O
family   O
history   O
includes   O
coronary   O
artery   O
disease   O
in   O
Loyd   B-NAME
's   O
father   O
.   O

Upon   O
physical   O
examination   O
by   O
Fisher   B-NAME
Ortiz   I-NAME
,   O
Carmelo   B-NAME
Mohammad   I-NAME
appeared   O
fatigued   O
but   O
was   O
in   O
no   O
acute   O
distress   O
.   O

The   O
diagnosis   O
was   O
presumed   O
community   O
-   O
acquired   O
pneumonia   O
,   O
and   O
Daniela   B-NAME
Garrison   I-NAME
was   O
admitted   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
New   I-LOCATION
Smyrna   I-LOCATION
for   O
treatment   O
on   O
4/2   B-DATE
.   O

Carroll   B-NAME
recommended   O
careful   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
due   O
to   O
the   O
patient   O
's   O
diabetes   O
and   O
the   O
potential   O
for   O
hyperglycemia   O
induced   O
by   O
the   O
stress   O
of   O
illness   O
and   O
steroid   O
administration   O
,   O
which   O
was   O
considered   O
as   O
adjunctive   O
treatment   O
for   O
Kailyn   B-NAME
Pennington   I-NAME
's   O
underlying   O
chronic   O
respiratory   O
issues   O
.   O

Instructions   O
were   O
given   O
for   O
Vikki   B-NAME
Walling   I-NAME
to   O
follow   O
up   O
in   O
15/22   B-DATE
after   O
discharge   O
.   O

Additionally   O
,   O
Michelangelo   B-NAME
Buonarroti   I-NAME
was   O
advised   O
to   O
schedule   O
an   O
appointment   O
with   O
a   O
diabetologist   O
to   O
reassess   O
diabetes   O
management   O
in   O
light   O
of   O
recent   O
illness   O
.   O

For   O
further   O
information   O
,   O
please   O
contact   O
the   O
medical   O
records   O
department   O
at   O
584   B-CONTACT
-   I-CONTACT
656   I-CONTACT
4774   I-CONTACT
or   O
visit   O
our   O
website   O
.   O

Note   O
:   O
Any   O
inquiries   O
about   O
this   O
case   O
should   O
reference   O
4856023   B-ID
.   O

Shop   B-LOCATION
,   I-LOCATION
Distributive   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Employees   I-LOCATION
Association   I-LOCATION
Grand   B-LOCATION
Canyon   I-LOCATION
Village   I-LOCATION
,   O
54067   B-LOCATION

The   O
patient   O
,   O
Kert   B-NAME
,   O
a   O
Medical   O
Transcriptionists   O
from   O
Leesport   B-LOCATION
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Vaughan   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/22/1628   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
progressively   O
worsening   O
shortness   O
of   O
breath   O
,   O
fatigue   O
,   O
and   O
dry   O
cough   O
over   O
the   O
course   O
of   O
two   O
weeks   O
.   O

5   O
years   O
old   O
,   O
Waltham   B-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
to   O
be   O
gradual   O
,   O
initially   O
attributing   O
them   O
to   O
work   O
-   O
related   O
stress   O
.   O

However   O
,   O
given   O
the   O
persistence   O
and   O
escalation   O
of   O
symptoms   O
,   O
Leyla   B-NAME
Hutchinson   I-NAME
sought   O
medical   O
evaluation   O
.   O

Case   B-NAME
is   O
a   O
non   O
-   O
smoker   O
with   O
minimal   O
alcohol   O
consumption   O
and   O
denies   O
any   O
illicit   O
drug   O
use   O
.   O

Henry   B-NAME
,   I-NAME
Patrick   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Sarita   B-NAME
Iadarola   I-NAME
,   O
specializing   O
in   O
pulmonology   O
at   O
Cass   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Queen   B-NAME
Pickett   I-NAME
's   O
treatment   O
regimen   O
was   O
initiated   O
with   O
high   O
-   O
dose   O
corticosteroids   O
,   O
supplemental   O
oxygen   O
,   O
and   O
supportive   O
care   O
.   O

Contact   O
information   O
for   O
follow   O
-   O
up   O
was   O
provided   O
,   O
with   O
a   O
scheduled   O
appointment   O
on   O
2/20   B-DATE
for   O
review   O
and   O
adjustment   O
of   O
treatment   O
based   O
on   O
pending   O
laboratory   O
results   O
and   O
clinical   O
response   O
.   O

Kareem   B-NAME
Wilcox   I-NAME
's   O
4477622   B-ID
number   O
for   O
this   O
admission   O
is   O
21435   B-ID
,   O
and   O
any   O
further   O
inquiries   O
can   O
be   O
directed   O
to   O
Healtheast   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
's   O
main   O
line   O
at   O
69880   B-CONTACT
.   O

The   O
patient   O
and   O
their   O
family   O
,   O
residents   O
of   O
21034   B-LOCATION
,   O
expressed   O
understanding   O
of   O
the   O
treatment   O
plan   O
and   O
gratitude   O
for   O
the   O
care   O
provided   O
.   O

Morton   B-NAME
remains   O
optimistic   O
about   O
the   O
prognosis   O
and   O
is   O
committed   O
to   O
adhering   O
to   O
the   O
recommended   O
management   O
plan   O
.   O

Patient   O
Report   O
for   O
Rose   B-NAME
Duke   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
64   O
-   O
12/28   B-DATE
of   O
Birth   O
-   O
Medical   O
Record   O
Number   O
:   O
4477872   B-ID
-   O
Patient   O
ID   O
:   O
VD235/5817   B-ID
-   O
Address   O
:   O
95   B-LOCATION
East   I-LOCATION
Dr.   I-LOCATION
,   O
71331   B-LOCATION
-   O
Phone   O
Number   O
:   O
79862   B-CONTACT
-   O
Attending   O
Physician   O
:   O

Darnell   B-NAME
Jacobson   I-NAME
-   O
Hospital   O
:   O
Spring   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
:   O

Nuwas   B-NAME
,   I-NAME
Abu   I-NAME
presented   O
on   O
12/15   B-DATE
with   O
a   O
detailed   O
history   O
of   O
episodic   O
abdominal   O
pain   O
,   O
characterized   O
by   O
its   O
cramping   O
nature   O
,   O
predominantly   O
localized   O
in   O
the   O
lower   O
abdomen   O
.   O

The   O
episodes   O
have   O
increased   O
in   O
frequency   O
over   O
the   O
past   O
February   B-DATE
25   I-DATE
,   O
peaking   O
in   O
severity   O
approximately   O
30   O
minutes   O
post   O
-   O
prandial   O
.   O

Social   O
History   O
:   O
Hawkins   B-NAME
,   O
a   O
Forest   O
and   O
Conservation   O
Technicians   O
by   O
profession   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

The   O
patient   O
indicates   O
a   O
significant   O
increase   O
in   O
stress   O
levels   O
due   O
to   O
a   O
project   O
deadline   O
in   O
the   O
past   O
3/12   B-DATE
months   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
on   O
23/19   B-DATE
,   O
Valda   B-NAME
Shadwick   I-NAME
appeared   O
in   O
no   O
acute   O
distress   O
.   O

Laboratory   O
Tests   O
and   O
Imaging   O
:   O
On   O
June   B-DATE
,   O
a   O
comprehensive   O
metabolic   O
panel   O
was   O
within   O
normal   O
limits   O
.   O

Given   O
the   O
family   O
history   O
and   O
symptoms   O
,   O
a   O
colonoscopy   O
was   O
recommended   O
and   O
performed   O
on   O
02/32/2045   B-DATE
,   O
revealing   O
mild   O
inflammation   O
and   O
ulcerated   O
areas   O
consistent   O
with   O
ulcerative   O
colitis   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
,   O
family   O
history   O
,   O
and   O
diagnostic   O
findings   O
,   O
Bradford   B-NAME
was   O
diagnosed   O
with   O
mild   O
to   O
moderate   O
ulcerative   O
colitis   O
.   O

Medication   O
:   O
Initiation   O
of   O
aminosalicylates   O
was   O
commenced   O
on   O
04/65   B-DATE
to   O
manage   O
inflammation   O
.   O

Dietary   O
Recommendations   O
:   O
A   O
consultation   O
with   O
a   O
dietitian   O
was   O
scheduled   O
for   O
2056   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
16   I-DATE
to   O
discuss   O
a   O
tailored   O
diet   O
plan   O
to   O
avoid   O
aggravating   O
foods   O
.   O

3   O
.   O
Follow   O
-   O
Up   O
:   O
Jax   B-NAME
Mcintyre   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
90   I-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

This   O
patient   O
report   O
was   O
prepared   O
by   O
Prince   B-NAME
Haynes   I-NAME
,   O
M.D.   O
,   O
at   O
Adventist   B-LOCATION
Health   I-LOCATION
Portland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
the   O
purpose   O
of   O
continuous   O
care   O
and   O
management   O
of   O
James   B-NAME
,   I-NAME
Henry   I-NAME
's   O
condition   O
.   O

For   O
further   O
inquiries   O
or   O
updates   O
on   O
David   B-NAME
Thornton   I-NAME
's   O
treatment   O
,   O
please   O
contact   O
the   O
GI   O
department   O
at   O
330   B-CONTACT
-   I-CONTACT
7058   I-CONTACT
.   O

Patient   O
Name   O
:   O
Bowles   B-NAME
,   I-NAME
Chester   I-NAME
Age   O
:   O
76   O
Date   O
of   O
Birth   O
:   O
02/01   B-DATE
Medical   O
Record   O
Number   O
:   O
8968G37726   B-ID
ID   O
Number   O
:   O
QR:521082:798735   B-ID
Address   O
:   O
Yosemite   B-LOCATION
Lakes   I-LOCATION
,   O
57386   B-LOCATION
Phone   O
Number   O
:   O
204   B-CONTACT
915   I-CONTACT
-   I-CONTACT
3900   I-CONTACT

Attending   O
Physician   O
:   O
Stanton   B-NAME
Hospital   O
Name   O
:   O
Jackson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
08/25   B-DATE
Date   O
of   O
Report   O
:   O
2   B-DATE
-   I-DATE
35   I-DATE
Clinical   O
Report   O
:   O

Avery   B-NAME
presented   O
to   O
Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Brunswick   I-LOCATION
Campus   I-LOCATION
on   O
04/24   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
,   O
severe   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
.   O

Burton   B-NAME
,   I-NAME
Sir   I-NAME
Richard   I-NAME
Francis   I-NAME
also   O
reported   O
experiencing   O
nausea   O
,   O
without   O
vomiting   O
,   O
and   O
episodes   O
were   O
noted   O
to   O
escalate   O
with   O
physical   O
activity   O
.   O

Past   O
medical   O
history   O
was   O
significant   O
for   O
episodic   O
migraines   O
,   O
diagnosed   O
in   O
03   B-DATE
-   I-DATE
22   I-DATE
.   O

Jerry   B-NAME
Robinson   I-NAME
has   O
been   O
under   O
the   O
care   O
of   O
French   B-NAME
for   O
management   O
of   O
these   O
symptoms   O
.   O

Despite   O
the   O
adherence   O
to   O
prescribed   O
pharmacological   O
interventions   O
,   O
the   O
frequency   O
and   O
intensity   O
of   O
the   O
migraine   O
episodes   O
have   O
progressively   O
increased   O
over   O
the   O
past   O
08/29   B-DATE
.   O

A   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
scan   O
of   O
the   O
brain   O
,   O
conducted   O
on   O
9/25   B-DATE
,   O
did   O
not   O
demonstrate   O
any   O
significant   O
abnormalities   O
that   O
might   O
explain   O
Newton   B-NAME
,   I-NAME
Isaac   I-NAME
's   O
headache   O
syndrome   O
.   O

Donovan   B-NAME
Jones   I-NAME
advised   O
initiating   O
a   O
prophylactic   O
medication   O
regimen   O
,   O
including   O
a   O
beta   O
-   O
blocker   O
,   O
and   O
an   O
anti   O
-   O
seizure   O
medication   O
recommended   O
for   O
migraine   O
management   O
.   O

Additional   O
recommendations   O
included   O
maintaining   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
,   O
regular   O
physical   O
exercise   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
32/22/2102   B-DATE
for   O
assessment   O
of   O
response   O
to   O
treatment   O
and   O
adjustment   O
of   O
the   O
management   O
plan   O
as   O
necessary   O
.   O
Instructions   O
for   O
seeking   O
urgent   O
care   O
were   O
provided   O
,   O
emphasizing   O
the   O
importance   O
of   O
immediate   O
evaluation   O
for   O
headache   O
symptoms   O
deviating   O
from   O
Rick   B-NAME
Payne   I-NAME
's   O
typical   O
migraine   O
pattern   O
,   O
or   O
associated   O
with   O
new   O
neurological   O
symptoms   O
.   O

Authorization   O
for   O
this   O
report   O
and   O
subsequent   O
treatment   O
plan   O
were   O
provided   O
by   O
delarosa   B-NAME
on   O
Thursday   B-DATE
.   O

Questions   O
regarding   O
this   O
report   O
or   O
the   O
recommended   O
treatment   O
plan   O
can   O
be   O
directed   O
to   O
844   B-CONTACT
8777   I-CONTACT
.   O

The   O
healthcare   O
team   O
is   O
committed   O
to   O
providing   O
Rhett   B-NAME
Hornback   I-NAME
with   O
comprehensive   O
care   O
aimed   O
at   O
managing   O
symptoms   O
and   O
improving   O
quality   O
of   O
life   O
.   O

Provider   O
Signature   O
:   O
Cantona   B-NAME
,   I-NAME
Eric   I-NAME
30   B-DATE
-   I-DATE
32   I-DATE

Patient   O
Name   O
:   O
Manuel   B-NAME
Bright   I-NAME
Patient   O
ID   O
:   O
OD:74958:929383   B-ID
Medical   O
Record   O
Number   O
:   O
37485074   B-ID
Date   O
of   O
Birth   O
:   O
46   O
Address   O
:   O
Evansville   B-LOCATION
,   I-LOCATION
Growth   I-LOCATION
Alliance   I-LOCATION
for   I-LOCATION
Greater   I-LOCATION
Evansville   I-LOCATION
,   O
85231   B-LOCATION
Phone   O
Number   O
:   O
37474   B-CONTACT
Occupation   O
:   O
Sculptors   O
Primary   O
Care   O
Physician   O
:   O

Chanel   B-NAME
Oberlin   I-NAME
Admitting   O
Hospital   O
:   O
Virginia   B-LOCATION
Mason   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
November   B-DATE
Date   O
of   O
Discharge   O
:   O
2/2   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Sabrina   B-NAME
Sanders   I-NAME
,   O
a   O
22   O
year   O
-   O
old   O
Pharmacist   O
,   O
presented   O
to   O
the   O
Large   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Indian   I-LOCATION
Rocks   I-LOCATION
(   I-LOCATION
Formerly   I-LOCATION
Sun   I-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
on   O
22/02/03   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
that   O
had   O
been   O
escalating   O
over   O
the   O
past   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Salma   B-NAME
Chung   I-NAME
reported   O
the   O
onset   O
of   O
the   O
abdominal   O
discomfort   O
approximately   O
48   O
hours   O
before   O
admission   O
to   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Divine   I-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
.   O

Qin   B-NAME
Shi   I-NAME
Huang   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Zachary   B-NAME
Rhodes   I-NAME
.   O

There   O
is   O
no   O
history   O
of   O
surgeries   O
,   O
and   O
Simon   B-NAME
denies   O
any   O
allergies   O
to   O
medications   O
or   O
food   O
.   O
Review   O
of   O
Systems   O
:   O
Upon   O
examination   O
,   O
Juliana   B-NAME
Mclaughlin   I-NAME
exhibited   O
signs   O
of   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
positive   O
Rovsing   O
's   O
sign   O
,   O
and   O
slight   O
guarding   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
12/21   B-DATE
indicated   O
appendicitis   O
with   O
no   O
signs   O
of   O
perforation   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Graves   B-NAME
performed   O
an   O
appendectomy   O
on   O
03th   B-DATE
of   I-DATE
June   I-DATE
.   O

The   O
surgical   O
procedure   O
was   O
uneventful   O
,   O
and   O
Fleta   B-NAME
Scholes   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Lien   B-NAME
Jastremski   I-NAME
recovered   O
in   O
the   O
post   O
-   O
surgical   O
unit   O
of   O
Walker   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
and   O
was   O
closely   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Burch   B-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
activities   O
to   O
avoid   O
during   O
the   O
recovery   O
period   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
07/26   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Ace   B-NAME
,   I-NAME
Jane   I-NAME
returned   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
32/22/2200   B-DATE
.   O

The   O
surgical   O
site   O
was   O
healing   O
as   O
expected   O
,   O
and   O
Murillo   B-NAME
reported   O
a   O
significant   O
decrease   O
in   O
pain   O
.   O

Conclusion   O
:   O
The   O
prompt   O
diagnosis   O
and   O
treatment   O
of   O
appendicitis   O
in   O
Alexander   B-NAME
,   O
a   O
48s   O
year   O
-   O
old   O
Information   O
Security   O
Analysts   O
from   O
Lebanon   B-LOCATION
,   O
resulted   O
in   O
a   O
successful   O
outcome   O
with   O
no   O
complications   O
.   O

Date   O
:   O
20/37   B-DATE
Physician   O
:   O
Pablo   B-NAME
Roy   I-NAME
NAPO   B-LOCATION
Contact   O
Information   O
:   O
Providence   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
72419   B-CONTACT

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
73225018   B-ID
2/03/24   B-DATE
-   O
Unique   B-NAME
Meyers   I-NAME
,   O
a   O
Stock   O
Clerks-   O
Stockroom   O
,   O
Warehouse   O
,   O
or   O
Storage   O
Yard   O
from   O
Spring   B-LOCATION
Hill   I-LOCATION
,   O
presented   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
complaining   O
of   O
acute   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Damian   B-NAME
Barajas   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
slight   O
fever   O
was   O
noted   O
upon   O
examination   O
.   O

Israel   B-NAME
Preston   I-NAME
's   O
family   O
history   O
was   O
non   O
-   O
contributory   O
.   O

Upon   O
examination   O
,   O
Eileen   B-NAME
Calderon   I-NAME
noted   O
that   O
Quinten   B-NAME
James   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

04/21   B-DATE
-   O
Alec   B-NAME
Rivera   I-NAME
underwent   O
an   O
abdominal   O
ultrasound   O
at   O
St.   B-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
,   O
which   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Derrick   B-NAME
Mcgee   I-NAME
discussed   O
the   O
findings   O
and   O
the   O
necessity   O
of   O
surgical   O
intervention   O
with   O
Thomas   B-NAME
Ho   I-NAME
.   O

7/18/22   B-DATE
-   O
Laura   B-NAME
Certain   I-NAME
consented   O
to   O
an   O
appendectomy   O
,   O
which   O
was   O
successfully   O
performed   O
without   O
complications   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Irmgard   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
one   O
week   O
.   O

25893   B-CONTACT
-   O
Michael   B-NAME
,   I-NAME
Dana   I-NAME
was   O
instructed   O
to   O
contact   O
Hollywood   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
if   O
any   O
signs   O
of   O
infection   O
,   O
fever   O
,   O
or   O
increased   O
abdominal   O
pain   O
were   O
observed   O
post   O
-   O
surgery   O
.   O

37/22   B-DATE
-   O
Follow   O
-   O
up   O
examination   O
showed   O
good   O
surgical   O
site   O
healing   O
,   O
with   O
Anabelle   B-NAME
Randall   I-NAME
reporting   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Zavier   B-NAME
Webb   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
to   O
gradually   O
resume   O
normal   O
activities   O
.   O

In   O
summary   O
,   O
Nickolas   B-NAME
Esparza   I-NAME
,   O
a   O
63   O
-   O
year   O
-   O
old   O
Weighers   O
,   O
Measurers   O
,   O
Checkers   O
,   O
and   O
Samplers   O
,   O
Recordkeeping   O
from   O
Charlottesville   B-LOCATION
,   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
underwent   O
successful   O
surgical   O
treatment   O
.   O

33068   B-LOCATION
-   O
Alanna   B-NAME
Acosta   I-NAME
left   O
the   O
clinic   O
with   O
instructions   O
to   O
maintain   O
contact   O
and   O
report   O
any   O
concerns   O
or   O
symptoms   O
indicating   O
a   O
potential   O
complication   O
.   O

28065708   B-ID
and   O
nj680   B-NAME
were   O
used   O
to   O
securely   O
manage   O
Amiyah   B-NAME
Delacruz   I-NAME
's   O
medical   O
records   O
throughout   O
the   O
treatment   O
process   O
,   O
ensuring   O
privacy   O
and   O
confidentiality   O
.   O

Patient   O
Name   O
:   O
Uecker   B-NAME
ID   O
:   O
CU   B-ID
:   I-ID
SV:9996   I-ID
Medical   O
Record   O
Number   O
:   O
399   B-ID
-   I-ID
46   I-ID
-   I-ID
78   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
A   B-DATE
Age   O
:   O
36   O
Address   O
:   O
Meadow   B-LOCATION
Acres   I-LOCATION
,   O
88938   B-LOCATION
Phone   O
:   O
921   B-CONTACT
-   I-CONTACT
335   I-CONTACT
-   I-CONTACT
6515   I-CONTACT
Attending   O
Physician   O
:   O
Anna   B-NAME
English   I-NAME
Hospital   O
:   O
Alamance   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
2072   B-DATE
Profession   O
:   O

Cost   O
Estimators   O
Chief   O
Complaint   O
:   O
Reid   B-NAME
Salinas   I-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Lebanon   I-LOCATION
on   O
25/03/45   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
vomiting   O
,   O
and   O
an   O
inability   O
to   O
tolerate   O
oral   O
intake   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Oscar   B-NAME
B.   I-NAME
Stanley   I-NAME
,   O
a   O
Legal   O
Support   O
Workers   O
,   O
All   O
Other   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
complaining   O
of   O
sharp   O
,   O
cramping   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Watkins   B-NAME
reported   O
that   O
the   O
onset   O
of   O
these   O
symptoms   O
was   O
sudden   O
and   O
that   O
they   O
had   O
not   O
experienced   O
anything   O
similar   O
in   O
the   O
past   O
.   O

Sadie   B-NAME
Gilmore   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Herman   B-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Based   O
on   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Allen   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Boris   B-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Jaida   B-NAME
Baker   I-NAME
on   O
10/50   B-DATE
.   O

The   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
Daniel   B-NAME
Auschlander   I-NAME
was   O
discharged   O
on   O
Saturday   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
scheduling   O
.   O

Follow   O
-   O
up   O
:   O
Kristian   B-NAME
Chung   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Ortiz   B-NAME
at   O
King   B-LOCATION
's   I-LOCATION
Daughter   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
on   O
1719   B-DATE
.   O

Prescriptions   O
:   O
Forbin   B-NAME
Noctula   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
pain   O
management   O
medication   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Janet   B-NAME
Coburn   I-NAME
was   O
advised   O
to   O
contact   O
McCullough   B-LOCATION
-   I-LOCATION
Hyde   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
580   B-CONTACT
-   I-CONTACT
9549   I-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Russell   B-NAME
,   O
authorized   O
healthcare   O
providers   O
,   O
and   O
Satilla   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
as   O
per   O
the   O
Health   O
Insurance   O
Portability   O
and   O
Accountability   O
Act   O
(   O
HIPAA   O
)   O
.   O

The   O
patient   O
,   O
Lila   B-NAME
Todd   I-NAME
,   O
a   O
Painters   O
,   O
Construction   O
and   O
Maintenance   O
from   O
Pelahatchie   B-LOCATION
,   O
with   O
a   O
medical   O
record   O
number   O
209   B-ID
-   I-ID
18   I-ID
-   I-ID
36   I-ID
and   O
an   O
ID   O
number   O
EG:62977:280580   B-ID
,   O
was   O
admitted   O
to   O
New   B-LOCATION
York   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
on   O
1698   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
03   I-DATE
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Carroll   B-NAME
,   O
reported   O
a   O
complex   O
clinical   O
presentation   O
including   O
persistent   O
asthenia   O
,   O
intermittent   O
episodes   O
of   O
tachycardia   O
,   O
and   O
diffuse   O
abdominal   O
pain   O
,   O
which   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
11   O
weeks   O
.   O

On   O
examination   O
,   O
Brian   B-NAME
Malone   I-NAME
displayed   O
pallor   O
,   O
with   O
a   O
Body   O
Mass   O
Index   O
(   O
BMI   O
)   O
falling   O
into   O
the   O
underweight   O
category   O
.   O

The   O
patient   O
's   O
family   O
history   O
,   O
as   O
recounted   O
via   O
(   B-CONTACT
377   I-CONTACT
)   I-CONTACT
222   I-CONTACT
-   I-CONTACT
5026   I-CONTACT
by   O
a   O
family   O
member   O
also   O
in   O
the   O
Structural   O
engineer   O
field   O
from   O
Derry   B-LOCATION
,   O
revealed   O
a   O
significant   O
pattern   O
of   O
gastrointestinal   O
cancers   O
,   O
suggesting   O
a   O
possible   O
genetic   O
predisposition   O
.   O

The   O
multi   O
-   O
disciplinary   O
team   O
at   O
Iredell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
including   O
specialists   O
from   O
both   O
oncology   O
and   O
gastroenterology   O
departments   O
,   O
engaged   O
in   O
extensive   O
discussions   O
regarding   O
the   O
therapeutic   O
approach   O
.   O

Chemotherapy   O
in   O
combination   O
with   O
targeted   O
therapy   O
was   O
proposed   O
to   O
COOKE   B-NAME
,   I-NAME
FREDI   I-NAME
on   O
31/33   B-DATE
,   O
taking   O
into   O
account   O
the   O
latest   O
guidelines   O
and   O
ongoing   O
clinical   O
trials   O
hosted   O
by   O
British   B-LOCATION
Actors   I-LOCATION
Equity   I-LOCATION
Association   I-LOCATION
.   O

Throughout   O
the   O
hospitalization   O
period   O
,   O
regular   O
updates   O
were   O
provided   O
to   O
Tamara   B-NAME
Boyer   I-NAME
via   O
the   O
patient   O
portal   O
(   O
jl955   B-NAME
)   O
and   O
direct   O
communication   O
,   O
ensuring   O
that   O
all   O
queries   O
and   O
concerns   O
regarding   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
prognosis   O
were   O
addressed   O
promptly   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
03   B-DATE
to   O
reevaluate   O
Isaac   B-NAME
Basden   I-NAME
's   O
progress   O
,   O
adjust   O
ongoing   O
treatments   O
,   O
and   O
discuss   O
further   O
management   O
strategies   O
.   O

Contact   O
information   O
for   O
the   O
patient   O
support   O
group   O
within   O
Tri   B-LOCATION
-   I-LOCATION
County   I-LOCATION
EMC   I-LOCATION
was   O
also   O
provided   O
,   O
alongside   O
resources   O
for   O
psychological   O
support   O
,   O
recognizing   O
the   O
emotional   O
burden   O
often   O
associated   O
with   O
such   O
diagnoses   O
.   O

In   O
preparation   O
for   O
discharge   O
,   O
the   O
nursing   O
staff   O
,   O
under   O
the   O
guidance   O
of   O
Anna   B-NAME
English   I-NAME
,   O
ensured   O
Mohammed   B-NAME
Hardy   I-NAME
and   O
their   O
family   O
from   O
56648   B-LOCATION
were   O
educated   O
regarding   O
medication   O
management   O
,   O
potential   O
side   O
effects   O
,   O
and   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
appointments   O
.   O

Emergency   O
contact   O
numbers   O
,   O
including   O
64078   B-CONTACT
,   O
were   O
provided   O
to   O
address   O
any   O
immediate   O
concerns   O
that   O
might   O
arise   O
post   O
-   O
discharge   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Joaquin   B-NAME
Jones   I-NAME
-   O
Age   O
:   O
54   O
-   O
Date   O
of   O
Birth   O
:   O
0/19   B-DATE
-   O
ID   O
:   O
5   B-ID
-   I-ID
5687706   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
7048   B-ID
:   I-ID
F55498   I-ID
-   O
Address   O
:   O
Walkerville   B-LOCATION
,   O
86561   B-LOCATION
-   O
Phone   O
:   O
(   B-CONTACT
524   I-CONTACT
)   I-CONTACT
506   I-CONTACT
9217   I-CONTACT
-   O
Occupation   O
:   O
License   O
Clerks   O
-   O
Primary   O
Physician   O
:   O

Dr.   O
English   B-NAME
-   O
Admission   O
Date   O
:   O
03/22/2311   B-DATE
-   O
Discharge   O
Date   O
:   O
22/12/2390   B-DATE
-   O
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
Snyder   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Pomerado   B-LOCATION
Hospital   I-LOCATION
on   O
23/11   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
symptoms   O
highly   O
indicative   O
of   O
a   O
myocardial   O
infarction   O
.   O

Upon   O
admission   O
,   O
Tera   B-NAME
Ake   I-NAME
was   O
diaphoretic   O
,   O
displaying   O
signs   O
of   O
acute   O
distress   O
.   O

Treatment   O
:   O
Immediate   O
initiation   O
of   O
MONA   O
therapy   O
(   O
Morphine   O
,   O
Oxygen   O
,   O
Nitroglycerin   O
,   O
Aspirin   O
)   O
was   O
administered   O
in   O
the   O
emergency   O
section   O
of   O
Platte   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Sallie   B-NAME
Coggins   I-NAME
was   O
fast   O
-   O
tracked   O
for   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Alaina   B-NAME
Olsen   I-NAME
was   O
then   O
started   O
on   O
a   O
regimen   O
of   O
dual   O
antiplatelet   O
therapy   O
post   O
-   O
procedure   O
.   O

Prognosis   O
:   O
Post   O
-   O
intervention   O
,   O
Regan   B-NAME
's   O
condition   O
stabilized   O
,   O
and   O
symptoms   O
were   O
markedly   O
improved   O
.   O

Temujin   B-NAME
Muggley   I-NAME
was   O
discharged   O
on   O
9/33   B-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
and   O
statin   O
,   O
alongside   O
a   O
referral   O
to   O
cardiac   O
rehabilitation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Gilbert   B-NAME
at   O
Salinas   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
has   O
been   O
scheduled   O
for   O
2081   B-DATE
.   O

Instructions   O
for   O
Care   O
:   O
Keyla   B-NAME
Woodward   I-NAME
has   O
been   O
advised   O
to   O
monitor   O
for   O
any   O
recurrence   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
palpitations   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Northside   B-LOCATION
Hospital   I-LOCATION
Forsyth   I-LOCATION
at   O
911   B-CONTACT
5646   I-CONTACT
.   O

Patient   O
Name   O
:   O
Jaylen   B-NAME
Key   I-NAME
Date   O
of   O
Birth   O
:   O
6/24   B-DATE
Age   O
:   O
21   O
Address   O
:   O
Tangier   B-LOCATION
,   O
60746   B-LOCATION
Phone   O
Number   O
:   O
58956   B-CONTACT
Occupation   O
:   O
Air   O
Crew   O
Officers   O
Medical   O
Record   O
Number   O
:   O
319   B-ID
-   I-ID
99   I-ID
-   I-ID
61   I-ID
-   I-ID
1   I-ID
ID   O
Number   O
:   O
296329   B-ID
Admitting   O
Doctor   O
:   O
Hunter   B-NAME
Hospital   O
:   O
Brookwood   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
30/21/91   B-DATE
Clinical   O
History   O
and   O
Symptoms   O
:   O
Quale   B-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
,   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
from   O
Las   B-LOCATION
Maravillas   I-LOCATION
,   O
presented   O
to   O
Runnells   B-LOCATION
Specialized   I-LOCATION
Hospital   I-LOCATION
on   O
3/5   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
progressive   O
shortness   O
of   O
breath   O
and   O
a   O
dry   O
cough   O
persisting   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
further   O
evaluation   O
,   O
Moriah   B-NAME
Ortiz   I-NAME
described   O
experiencing   O
a   O
loss   O
of   O
taste   O
and   O
smell   O
approximately   O
one   O
week   O
prior   O
to   O
hospital   O
admission   O
,   O
which   O
was   O
a   O
new   O
development   O
for   O
them   O
.   O

Kimball   B-NAME
Lukas   I-NAME
Abraham   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
outside   O
of   O
Roseland   B-LOCATION
or   O
known   O
exposures   O
to   O
communicable   O
diseases   O
.   O

However   O
,   O
Jared   B-NAME
Morrow   I-NAME
mentioned   O
multiple   O
Payroll   O
and   O
Timekeeping   O
Clerks   O
colleagues   O
at   O
Sterling   B-LOCATION
Bank   I-LOCATION
had   O
similar   O
respiratory   O
symptoms   O
in   O
recent   O
weeks   O
.   O

Upon   O
physical   O
examination   O
,   O
Griffin   B-NAME
Bernard   I-NAME
was   O
noted   O
to   O
be   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
exhibited   O
mild   O
hypoxemia   O
,   O
with   O
an   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Management   O
and   O
Recommendations   O
:   O
Kianna   B-NAME
Velazquez   I-NAME
was   O
admitted   O
to   O
Norman   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Healthplex   I-LOCATION
under   O
the   O
care   O
of   O
Jameson   B-NAME
Gaines   I-NAME
for   O
further   O
management   O
.   O

Given   O
the   O
suspected   O
diagnosis   O
of   O
COVID-19   O
,   O
Hernandez   B-NAME
was   O
placed   O
in   O
isolation   O
as   O
per   O
infectious   O
disease   O
protocols   O
,   O
started   O
on   O
supplemental   O
oxygen   O
,   O
and   O
commenced   O
on   O
a   O
regimen   O
of   O
dexamethasone   O
and   O
empiric   O
antibiotic   O
coverage   O
for   O
community   O
-   O
acquired   O
pneumonia   O
.   O

The   O
healthcare   O
team   O
recommended   O
close   O
monitoring   O
of   O
Will   B-NAME
Kidd   I-NAME
's   O
respiratory   O
status   O
,   O
with   O
consideration   O
for   O
escalation   O
of   O
care   O
if   O
there   O
was   O
evidence   O
of   O
clinical   O
deterioration   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Medina   B-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
reassess   O
pulmonary   O
function   O
and   O
recovery   O
progress   O
.   O

Ryleigh   B-NAME
Rowland   I-NAME
was   O
also   O
advised   O
on   O
measures   O
to   O
prevent   O
the   O
spread   O
of   O
infection   O
to   O
family   O
and   O
community   O
members   O
,   O
emphasizing   O
the   O
importance   O
of   O
hand   O
hygiene   O
and   O
masking   O
.   O

The   O
clinical   O
team   O
remains   O
in   O
close   O
communication   O
with   O
Veronica   B-NAME
Avila   I-NAME
via   O
920   B-CONTACT
-   I-CONTACT
147   I-CONTACT
-   I-CONTACT
8637   I-CONTACT
to   O
address   O
any   O
emerging   O
concerns   O
or   O
symptomatology   O
while   O
awaiting   O
the   O
test   O
results   O
and   O
during   O
the   O
course   O
of   O
home   O
isolation   O
.   O

Patient   O
Name   O
:   O
Benita   B-NAME
Shinkle   I-NAME
Patient   O
ID   O
:   O
860864   B-ID
Date   O
of   O
Birth   O
:   O
20/12   B-DATE
Age   O
:   O
46   O
Phone   O
Number   O
:   O
852   B-CONTACT
2541   I-CONTACT
Medical   O
Record   O
Number   O
:   O
17404938   B-ID
Address   O
:   O
Peach   B-LOCATION
Springs   I-LOCATION
,   O
84175   B-LOCATION
Occupation   O
:   O
Helpers   O
--   O
Painters   O
,   O
Paperhangers   O
,   O
Plasterers   O
,   O
and   O
Stucco   O
Masons   O
Username   O
:   O
hi986   B-NAME
Attending   O
Physician   O
:   O
Clay   B-NAME
Hospital   O
:   O

Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Southview   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
21/35/2331   B-DATE
Date   O
of   O
Report   O
:   O
27/30   B-DATE
Clinical   O
Summary   O
:   O

Vanpelt   B-NAME
presented   O
to   O
CaroMont   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Mount   I-LOCATION
Holly   I-LOCATION
on   O
0/2/2020   B-DATE
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
,   O
persistent   O
,   O
and   O
worsening   O
over   O
the   O
past   O
11/37   B-DATE
.   O

Misael   B-NAME
Benton   I-NAME
also   O
noted   O
accompanying   O
symptoms   O
including   O
nausea   O
and   O
vomiting   O
,   O
as   O
well   O
as   O
a   O
fever   O
recorded   O
at   O
home   O
.   O

Past   O
medical   O
history   O
revealed   O
that   O
Sellers   B-NAME
has   O
been   O
previously   O
diagnosed   O
with   O
nephrolithiasis   O
.   O

Upon   O
physical   O
examination   O
,   O
Sterling   B-NAME
,   I-NAME
Bruce   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Computed   O
tomography   O
(   O
CT   O
)   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Selah   B-NAME
Chan   I-NAME
and   O
performed   O
on   O
30/01   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
a   O
7   O
mm   O
calculus   O
at   O
the   O
junction   O
of   O
the   O
right   O
ureter   O
and   O
bladder   O
.   O
Management   O
and   O
Outcome   O
:   O

Hoffman   B-NAME
was   O
admitted   O
to   O
Susan   B-LOCATION
B.   I-LOCATION
Allen   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
pain   O
control   O
and   O
further   O
management   O
of   O
suspected   O
ureterolithiasis   O
.   O

Singer   B-NAME
,   I-NAME
Isaac   I-NAME
Bashevis   I-NAME
was   O
placed   O
under   O
the   O
care   O
of   O
Harmon   B-NAME
,   O
with   O
a   O
multidisciplinary   O
team   O
from   O
urology   O
consulted   O
.   O

Rumi   B-NAME
,   I-NAME
Jalal   I-NAME
al   I-NAME
-   I-NAME
Din   I-NAME
Muhammad   I-NAME
was   O
scheduled   O
for   O
a   O
ureteroscopy   O
and   O
potential   O
stone   O
removal   O
on   O
3/37   B-DATE
.   O

During   O
the   O
procedure   O
performed   O
on   O
05/28   B-DATE
,   O
the   O
urology   O
team   O
successfully   O
removed   O
the   O
ureteral   O
stone   O
without   O
complications   O
.   O

Throttle   B-NAME
,   I-NAME
Ben   I-NAME
was   O
discharged   O
on   O
01/04   B-DATE
with   O
instructions   O
for   O
outpatient   O
follow   O
-   O
up   O
,   O
dietary   O
and   O
fluid   O
recommendations   O
to   O
prevent   O
recurrence   O
,   O
and   O
a   O
prescription   O
for   O
oral   O
analgesics   O
as   O
needed   O
.   O

Follow   O
-   O
Up   O
:   O
Billy   B-NAME
Wnuk   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Ludwig   B-NAME
,   I-NAME
Arnold   I-NAME
M.   I-NAME
at   O
Blake   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/3   B-DATE
.   O

Additionally   O
,   O
a   O
referral   O
to   O
a   O
nephrologist   O
for   O
a   O
comprehensive   O
evaluation   O
of   O
recurrent   O
stones   O
has   O
been   O
made   O
,   O
with   O
the   O
appointment   O
set   O
for   O
09/04/2271   B-DATE
at   O
Oak   B-LOCATION
Forest   I-LOCATION
.   O

It   O
is   O
recommended   O
that   O
Russel   B-NAME
increases   O
fluid   O
intake   O
,   O
adheres   O
to   O
dietary   O
modifications   O
as   O
advised   O
by   O
the   O
healthcare   O
team   O
,   O
and   O
follows   O
up   O
with   O
both   O
the   O
urologist   O
and   O
nephrologist   O
as   O
scheduled   O
.   O

Report   O
prepared   O
by   O
:   O
Bridger   B-NAME
Compton   I-NAME
Report   O
Date   O
:   O
1695   B-DATE
---   O
Note   O
:   O
This   O
document   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
applicable   O
laws   O
and   O
is   O
intended   O
only   O
for   O
the   O
use   O
of   O
the   O
individual   O
or   O
entity   O
named   O
above   O
.   O

The   O
patient   O
,   O
Shamar   B-NAME
Preston   I-NAME
,   O
a   O
Crossing   O
Guards   O
from   O
Catskill   B-LOCATION
,   O
presented   O
to   O
Providence   B-LOCATION
St.   I-LOCATION
Peter   I-LOCATION
Hospital   I-LOCATION
on   O
15/31/80   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
atypical   O
chest   O
pain   O
over   O
the   O
past   O
20/20   B-DATE
.   O

Harold   B-NAME
Nutter   I-NAME
is   O
69   O
years   O
old   O
and   O
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
medication   O
.   O

A   O
physical   O
examination   O
conducted   O
by   O
Lily   B-NAME
Hampton   I-NAME
revealed   O
no   O
overt   O
signs   O
of   O
heart   O
failure   O
or   O
volume   O
overload   O
.   O

Given   O
the   O
atypical   O
nature   O
of   O
the   O
chest   O
pain   O
and   O
the   O
patient   O
’s   O
risk   O
factors   O
for   O
coronary   O
artery   O
disease   O
,   O
Natalie   B-NAME
Lam   I-NAME
recommended   O
further   O
evaluation   O
with   O
a   O
cardiac   O
stress   O
test   O
scheduled   O
for   O
03/23   B-DATE
.   O

(   B-CONTACT
641   I-CONTACT
)   I-CONTACT
481   I-CONTACT
-   I-CONTACT
4562   I-CONTACT
was   O
provided   O
as   O
a   O
contact   O
number   O
for   O
Paul   B-NAME
Arteaga   I-NAME
to   O
report   O
any   O
worsening   O
symptoms   O
or   O
concerns   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
.   O

Elenora   B-NAME
Kimbal   I-NAME
was   O
also   O
informed   O
that   O
results   O
from   O
the   O
stress   O
test   O
and   O
additional   O
recommendations   O
would   O
be   O
discussed   O
during   O
the   O
follow   O
-   O
up   O
visit   O
.   O

The   O
patient   O
’s   O
medical   O
record   O
number   O
,   O
8144756   B-ID
,   O
and   O
identification   O
number   O
,   O
OW270/6254   B-ID
,   O
were   O
updated   O
for   O
the   O
visit   O
.   O

Jordon   B-NAME
Jensen   I-NAME
was   O
made   O
aware   O
of   O
the   O
privacy   O
practices   O
of   O
Unity   B-LOCATION
Health   I-LOCATION
White   I-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
provided   O
informed   O
consent   O
for   O
the   O
planned   O
diagnostic   O
procedures   O
and   O
follow   O
-   O
up   O
.   O

Instructed   O
to   O
reach   O
out   O
directly   O
to   O
Mills   B-NAME
's   O
office   O
at   O
79515   B-CONTACT
for   O
any   O
immediate   O
questions   O
or   O
to   O
schedule   O
additional   O
appointments   O
as   O
needed   O
.   O

The   O
care   O
team   O
at   O
San   B-LOCATION
Antonio   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
emphasized   O
the   O
importance   O
of   O
adherence   O
to   O
medication   O
and   O
lifestyle   O
modifications   O
in   O
managing   O
symptoms   O
and   O
reducing   O
the   O
risk   O
of   O
potential   O
complications   O
related   O
to   O
the   O
patient   O
’s   O
existing   O
health   O
conditions   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Deanna   B-NAME
Mercer   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
8267535   I-ID
Medical   O
Record   O
Number   O
:   O
597   B-ID
-   I-ID
56   I-ID
-   I-ID
38   I-ID
Age   O
:   O
25s   O
Date   O
of   O
Admission   O
:   O
July   B-DATE
2   I-DATE
Date   O
of   O
Discharge   O
:   O
2281   B-DATE
Attending   O
Physician   O
:   O
Benitez   B-NAME
Hospital   O
Name   O
:   O
Iowa   B-LOCATION
Methodist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Milwaukie   B-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Cordell   B-NAME
Malone   I-NAME
,   O
a   O
Postal   O
Service   O
Mail   O
Sorters   O
,   O
Processors   O
,   O
and   O
Processing   O
Machine   O
Operators   O
from   O
Marine   B-LOCATION
on   I-LOCATION
St.   I-LOCATION
Croix   I-LOCATION
,   O
was   O
admitted   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
0/10/06   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
starting   O
approximately   O
48   O
hours   O
before   O
admission   O
.   O

Ayala   B-NAME
reported   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
rated   O
8/10   O
on   O
the   O
pain   O
scale   O
,   O
exacerbated   O
by   O
movement   O
.   O

Macrinus   B-NAME
Russ   I-NAME
denied   O
having   O
nausea   O
,   O
vomiting   O
,   O
but   O
reported   O
a   O
loss   O
of   O
appetite   O
.   O

Past   O
Medical   O
History   O
:   O
Julie   B-NAME
Fraser   I-NAME
has   O
a   O
history   O
of   O
type   O
II   O
diabetes   O
mellitus   O
,   O
well   O
controlled   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
lisinopril   O
.   O

On   O
examination   O
,   O
Madeleine   B-NAME
Stout   I-NAME
's   O
vital   O
signs   O
showed   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
pulse   O
rate   O
of   O
98   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
.   O

Harris   B-NAME
,   I-NAME
William   I-NAME
Torrey   I-NAME
was   O
started   O
on   O
iv   O
antibiotics   O
and   O
underwent   O
an   O
uneventful   O
laparoscopic   O
appendectomy   O
on   O
March   B-DATE
22th   I-DATE
.   O

Post   O
-   O
operatively   O
,   O
Mustaine   B-NAME
,   I-NAME
Dave   I-NAME
was   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
and   O
showed   O
good   O
recovery   O
.   O

Follow   O
-   O
Up   O
:   O
Greyson   B-NAME
Church   I-NAME
was   O
discharged   O
on   O
1/26   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
antibiotic   O
course   O
completion   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Wu   B-NAME
in   O
two   O
weeks   O
'   O
time   O
at   O
Pineville   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

If   O
there   O
are   O
any   O
questions   O
regarding   O
the   O
care   O
of   O
Terry   B-NAME
W.   I-NAME
Neel   I-NAME
,   O
please   O
contact   O
Sampson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
338   I-CONTACT
)   I-CONTACT
470   I-CONTACT
4942   I-CONTACT
.   O

Prepared   O
by   O
:   O
UB740   B-NAME
Date   O
:   O
1/2038   B-DATE
First   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
North   I-LOCATION
Florida   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Emmett   B-NAME
Cowger   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
1037817   I-ID
Medical   O
Record   O
Number   O
:   O
58989401   B-ID
Date   O
of   O
Birth   O
:   O
22/23   B-DATE
Age   O
:   O
82   O
Phone   O
Number   O
:   O
848   B-CONTACT
559   I-CONTACT
-   I-CONTACT
2755   I-CONTACT
Address   O
:   O
Jerico   B-LOCATION
Springs   I-LOCATION
,   O
36499   B-LOCATION
Occupation   O
:   O

Dr.   O
Georgiann   B-NAME
Raymo   I-NAME
Emergency   O
Contact   O
:   O
Name   O
:   O
Rana   B-NAME
Krivanec   I-NAME
Relationship   O
:   O
Helpers   O
--   O
Painters   O
,   O
Paperhangers   O
,   O
Plasterers   O
,   O
and   O
Stucco   O
Masons   O
Phone   O
Number   O
:   O
938   B-CONTACT
657   I-CONTACT
9916   I-CONTACT
Admission   O
Date   O
:   O
03/14/2382   B-DATE
Admitting   O
Physician   O
:   O

Dr.   O
Lawrence   B-NAME
,   I-NAME
Thomas   I-NAME
Edward   I-NAME
Presenting   O
Complaint   O
:   O
The   O
patient   O
,   O
Kasen   B-NAME
George   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Roper   B-LOCATION
Hospital   I-LOCATION
on   O
11/12   B-DATE
,   O
complaining   O
of   O
acute   O
on   O
chronic   O
lower   O
back   O
pain   O
,   O
exacerbated   O
over   O
the   O
past   O
11/81   B-DATE
.   O

Zyan   B-NAME
Conrad   I-NAME
also   O
reported   O
a   O
numbness   O
sensation   O
over   O
the   O
affected   O
leg   O
,   O
extending   O
to   O
the   O
toes   O
.   O

There   O
was   O
also   O
a   O
noted   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
prescribed   O
by   O
Dr.   O
John   B-NAME
Dolittle   I-NAME
.   O

Taylor   B-NAME
mentioned   O
a   O
previous   O
lumbar   O
MRI   O
conducted   O
two   O
years   O
ago   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Anderson   I-LOCATION
Campus   I-LOCATION
,   O
which   O
showed   O
mild   O
degenerative   O
disc   O
disease   O
but   O
no   O
acute   O
findings   O
at   O
that   O
time   O
.   O

Social   O
History   O
:   O
Vito   B-NAME
Dimarco   I-NAME
,   O
a   O
Social   O
and   O
Community   O
Service   O
Managers   O
,   O
reports   O
occasional   O
alcohol   O
use   O
but   O
denies   O
smoking   O
or   O
illicit   O
drug   O
use   O
.   O

The   O
patient   O
lives   O
at   O
Council   B-LOCATION
Bluffs   I-LOCATION
with   O
family   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Fulvius   B-NAME
Custa   I-NAME
exhibited   O
lumbar   O
paraspinal   O
muscle   O
tenderness   O
and   O
reduced   O
range   O
of   O
motion   O
in   O
the   O
lower   O
back   O
.   O

Diagnostic   O
Testing   O
:   O
An   O
MRI   O
of   O
the   O
lumbar   O
spine   O
was   O
ordered   O
and   O
conducted   O
on   O
31/27   B-DATE
,   O
showing   O
moderate   O
degenerative   O
disc   O
disease   O
at   O
L4   O
-   O
L5   O
and   O
L5   O
-   O
S1   O
levels   O
,   O
with   O
evidence   O
of   O
a   O
right   O
-   O
sided   O
L5   O
-   O
S1   O
disc   O
herniation   O
impinging   O
on   O
the   O
nerve   O
root   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Coretta   B-NAME
Newball   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
oral   O
corticosteroids   O
for   O
inflammation   O
and   O
prescribed   O
physical   O
therapy   O
focusing   O
on   O
lower   O
back   O
strengthening   O
and   O
flexibility   O
exercises   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Hugo   B-NAME
Cochran   I-NAME
is   O
scheduled   O
for   O
10/10   B-DATE
to   O
assess   O
progress   O
and   O
discuss   O
further   O
treatment   O
options   O
,   O
including   O
the   O
possibility   O
of   O
epidural   O
steroid   O
injections   O
or   O
surgical   O
interventions   O
if   O
symptoms   O
persist   O
.   O

Roses   B-LOCATION
has   O
been   O
informed   O
of   O
Jorge   B-NAME
Sutton   I-NAME
's   O
current   O
medical   O
condition   O
and   O
treatment   O
plans   O
.   O

The   O
patient   O
is   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
report   O
any   O
worsening   O
or   O
new   O
symptoms   O
immediately   O
to   O
Rush   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
or   O
Dr.   O
Day   B-NAME
.   O

Report   O
Prepared   O
By   O
:   O
Dr.   O
Rashad   B-NAME
Mcconnell   I-NAME
2171   B-DATE

Udo   B-NAME
O.   I-NAME
Zeitler   I-NAME
Age   O
:   O
81   O
Date   O
of   O
Birth   O
:   O
Nov   B-DATE
2231   I-DATE
Address   O
:   O
Cochiti   B-LOCATION
Lake   I-LOCATION
,   O
53381   B-LOCATION
Phone   O
Number   O
:   O
67068   B-CONTACT
Medical   O
Record   O
Number   O
:   O
26359458   B-ID
Social   O
Security   O
Number   O
:   O
LZ604/6348   B-ID
Presenting   O
Problem   O
:   O

The   O
patient   O
,   O
Za   B-NAME
,   O
presented   O
to   O
Trigg   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
's   O
Emergency   O
Department   O
on   O
Halloween   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
.   O

Braylon   B-NAME
Chaney   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
controlled   O
with   O
medication   O
and   O
hypertension   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Dr.   O
Glenn   B-NAME
noted   O
that   O
Lauren   B-NAME
Woodard   I-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
in   O
the   O
McBurney   O
's   O
point   O
area   O
,   O
suggesting   O
appendicitis   O
.   O

Diagnostic   O
Testing   O
:   O
Dr.   O
Mccormick   B-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
which   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
tests   O
,   O
Nicholas   B-NAME
Q.   I-NAME
Vasquez   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Odonnell   B-NAME
recommended   O
an   O
immediate   O
surgical   O
intervention   O
to   O
remove   O
the   O
inflamed   O
appendix   O
.   O

Marina   B-NAME
Houston   I-NAME
was   O
informed   O
about   O
the   O
nature   O
of   O
the   O
surgery   O
,   O
possible   O
complications   O
,   O
and   O
the   O
recovery   O
process   O
.   O

Consent   O
was   O
obtained   O
from   O
Richard   B-NAME
Aviles   I-NAME
on   O
Sat   B-DATE
.   O

Hunter   B-NAME
Lawson   I-NAME
was   O
scheduled   O
for   O
surgery   O
later   O
that   O
day   O
at   O
Menifee   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Upon   O
discharge   O
on   O
04/17/2023   B-DATE
,   O
Giuliana   B-NAME
Lozano   I-NAME
was   O
given   O
specific   O
instructions   O
regarding   O
wound   O
care   O
,   O
signs   O
of   O
possible   O
complications   O
to   O
watch   O
out   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
schedule   O
with   O
Dr.   O
Roman   B-NAME
in   O
two   O
weeks   O
.   O

Buscaglia   B-NAME
,   I-NAME
Leo   I-NAME
was   O
advised   O
to   O
rest   O
and   O
avoid   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
5   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Mcclain   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Howard   B-LOCATION
Young   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/59   B-DATE
to   O
assess   O
the   O
healing   O
process   O
and   O
resolve   O
any   O
ongoing   O
concerns   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Not   O
disclosed   O
Relationship   O
:   O
Not   O
disclosed   O
Phone   O
Number   O
:   O
93005   B-CONTACT
Prescribed   O
Medication   O
:   O
-   O
Antibiotic   O
therapy   O
for   O
7   O
days   O
to   O
prevent   O
post   O
-   O
operative   O
infection   O
.   O
-   O
Pain   O
management   O
medication   O
as   O
required   O
.   O

Report   O
Completed   O
By   O
:   O
Dr.   O
Lara   B-NAME
Date   O
:   O
2360   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
11   I-DATE
Contact   O
Information   O
:   O
894   B-CONTACT
-   I-CONTACT
2467   I-CONTACT
Free   B-LOCATION
the   I-LOCATION
Slaves   I-LOCATION
:   O
Randolph   B-LOCATION
Health   I-LOCATION

Patient   O
Report   O
for   O
Hayes   B-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
76   O
-   O
Date   O
of   O
admission   O
:   O
00/08/69   B-DATE
-   O
Hospital   O
:   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Kirkwood   I-LOCATION
-   O
Location   O
:   O
Gauley   B-LOCATION
Bridge   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
11340389   B-ID
-   O
ID   O
:   O
BM930/5639   B-ID
-   O
Physician   O
in   O
charge   O
:   O
Cochran   B-NAME
,   I-NAME
Johnnie   I-NAME
-   O
Organization   O
:   O

BankUnited   B-LOCATION
FSB   I-LOCATION
-   O
Phone   O
number   O
:   O
534   B-CONTACT
-   I-CONTACT
367   I-CONTACT
1661   I-CONTACT
-   O
Zip   O
Code   O
:   O
79557   B-LOCATION
-   O
Profession   O
:   O
Crystallographer   O
-   O
Username   O
:   O
wg10   B-NAME
Clinical   O
presentation   O
:   O
Alex   B-NAME
Durant   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Sumner   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Caldwell   I-LOCATION
on   O
1/01/83   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
loss   O
of   O
appetite   O
.   O

Florence   B-NAME
Mildred   I-NAME
Yuan   I-NAME
also   O
reported   O
a   O
subjective   O
fever   O
at   O
home   O
.   O

Medical   O
History   O
:   O
Jason   B-NAME
Mantzoukas   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Examination   O
findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Amina   B-NAME
Shannon   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

After   O
consultation   O
with   O
Gillian   B-NAME
Mack   I-NAME
and   O
explanation   O
of   O
findings   O
and   O
treatment   O
options   O
to   O
Crista   B-NAME
Kempon   I-NAME
,   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
,   O
performed   O
on   O
2/16   B-DATE
at   O
Jennersville   B-LOCATION
Hospital   I-LOCATION
,   O
was   O
without   O
complications   O
.   O

Darell   B-NAME
Fredericksen   I-NAME
received   O
antibiotics   O
preoperatively   O
and   O
postoperatively   O
to   O
prevent   O
infection   O
.   O

Postoperative   O
course   O
:   O
Benjamin   B-NAME
Taylor   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Isaiah   B-NAME
Rodriguez   I-NAME
tolerated   O
a   O
liquid   O
diet   O
well   O
the   O
day   O
following   O
surgery   O
and   O
was   O
advanced   O
to   O
a   O
regular   O
diet   O
without   O
issues   O
.   O

Noel   B-NAME
Powell   I-NAME
was   O
discharged   O
on   O
06/23/2124   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Freeman   B-NAME
in   O
two   O
weeks   O
.   O

Conclusion   O
:   O
Sosa   B-NAME
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
with   O
laparoscopic   O
appendectomy   O
.   O

Further   O
follow   O
-   O
up   O
will   O
monitor   O
Israel   B-NAME
Montes   I-NAME
's   O
recovery   O
progress   O
.   O

Soren   B-NAME
Melendez   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
3576124   I-ID
Medical   O
Record   O
:   O
69614990   B-ID
Age   O
:   O
55   O
Phone   O
:   O
69296   B-CONTACT
Date   O
of   O
Visit   O
:   O
12/06/2220   B-DATE
Location   O
:   O
Village   B-LOCATION
of   I-LOCATION
Clarkston   I-LOCATION
Zip   O
Code   O
:   O
29093   B-LOCATION

Steele   B-NAME
Hospital   O
:   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Manteca   I-LOCATION
Employment   O
:   O
Mold   O
Makers   O
,   O
Hand   O
Username   O
:   O
cf256   B-NAME
Clinical   O
Details   O
:   O
Beau   B-NAME
Heiner   I-NAME
,   O
a   O
Dispatchers   O
,   O
Except   O
Police   O
,   O
Fire   O
,   O
and   O
Ambulance   O
from   O
Tunbridge   B-LOCATION
Wells   I-LOCATION
,   O
presented   O
to   O
Eden   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
on   O
F   B-DATE
with   O
acute   O
onset   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

Byron   B-NAME
Pham   I-NAME
described   O
the   O
pain   O
as   O
a   O
squeezing   O
sensation   O
around   O
the   O
chest   O
area   O
,   O
rated   O
8/10   O
in   O
severity   O
.   O

Rex   B-NAME
Richardson   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Tyler   B-NAME
Quinonez   I-NAME
is   O
a   O
nonsmoker   O
and   O
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

K.   B-NAME
Yash   I-NAME
Ugarte   I-NAME
's   O
family   O
history   O
is   O
notable   O
for   O
coronary   O
artery   O
disease   O
.   O

Management   O
and   O
Outcome   O
:   O
Immediate   O
cardiac   O
catheterization   O
was   O
recommended   O
by   O
English   B-NAME
,   O
and   O
Cash   B-NAME
Villanueva   I-NAME
was   O
administered   O
a   O
loading   O
dose   O
of   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
as   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Cathy   B-NAME
T.   I-NAME
Turk   I-NAME
was   O
then   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
further   O
intervention   O
.   O

Hope   B-NAME
Kincaid   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
continuous   O
monitoring   O
and   O
further   O
management   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Mark   B-NAME
Diamond   I-NAME
was   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
and   O
statin   O
therapy   O
for   O
secondary   O
prevention   O
of   O
coronary   O
artery   O
disease   O
.   O

Dietary   O
and   O
lifestyle   O
modifications   O
were   O
discussed   O
with   O
a   O
focus   O
on   O
diabetes   O
management   O
,   O
weight   O
reduction   O
,   O
and   O
smoking   O
cessation   O
,   O
despite   O
Camus   B-NAME
,   I-NAME
Albert   I-NAME
being   O
a   O
nonsmoker   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Bradford   B-NAME
Gensler   I-NAME
showed   O
significant   O
improvement   O
and   O
was   O
discharged   O
on   O
2272   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
with   O
Jacobson   B-NAME
at   O
UHS   B-LOCATION
Wilson   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Addison   B-NAME
Frost   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
,   O
adhere   O
to   O
medication   O
regimen   O
,   O
and   O
engage   O
in   O
cardiac   O
rehabilitation   O
.   O

Contact   O
information   O
,   O
including   O
648   B-CONTACT
-   I-CONTACT
300   I-CONTACT
1455   I-CONTACT
,   O
was   O
provided   O
for   O
any   O
questions   O
or   O
in   O
case   O
of   O
emergency   O
.   O

Summary   O
:   O
This   O
case   O
of   O
Jaelyn   B-NAME
Case   I-NAME
underscores   O
the   O
importance   O
of   O
prompt   O
recognition   O
and   O
treatment   O
of   O
STEMI   O
,   O
a   O
critical   O
condition   O
requiring   O
immediate   O
intervention   O
to   O
restore   O
coronary   O
blood   O
flow   O
.   O

Walker   B-NAME
presented   O
to   O
Inova   B-LOCATION
Loudoun   I-LOCATION
Hospital   I-LOCATION
on   O
02/17   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
had   O
been   O
escalating   O
over   O
the   O
previous   O
48   O
hours   O
.   O

Fabian   B-NAME
George   I-NAME
denied   O
any   O
recent   O
history   O
of   O
trauma   O
,   O
dietary   O
indiscretion   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

On   O
examination   O
,   O
Angeline   B-NAME
Haney   I-NAME
,   O
a   O
12   O
month   O
-   O
year   O
-   O
old   O
Engravers   O
,   O
Hand   O
,   O
exhibited   O
signs   O
consistent   O
with   O
peritoneal   O
irritation   O
including   O
rebound   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Kurtz   B-NAME
,   I-NAME
Katherine   I-NAME
revealed   O
leukocytosis   O
with   O
a   O
left   O
shift   O
,   O
further   O
suggesting   O
an   O
infectious   O
process   O
.   O

Sophia   B-NAME
Yoder   I-NAME
consulted   O
with   O
the   O
surgery   O
team   O
after   O
initial   O
evaluations   O
.   O

The   O
surgical   O
procedure   O
took   O
place   O
on   O
May   B-DATE
22   I-DATE
at   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Florida   I-LOCATION
,   O
with   O
Caprice   B-NAME
Pagni   I-NAME
as   O
the   O
lead   O
surgeon   O
.   O

Galvan   B-NAME
was   O
advised   O
on   O
postoperative   O
care   O
,   O
including   O
activity   O
limitations   O
and   O
wound   O
care   O
,   O
during   O
the   O
discharge   O
process   O
on   O
1712   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
04   I-DATE
.   O

Florence   B-NAME
Heather   I-NAME
Gil   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
to   O
prevent   O
postoperative   O
infections   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dominguez   B-NAME
at   O
the   O
surgery   O
outpatient   O
clinic   O
.   O

The   O
follow   O
-   O
up   O
was   O
set   O
for   O
1773   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
05   I-DATE
,   O
with   O
the   O
intent   O
to   O
monitor   O
the   O
healing   O
process   O
and   O
address   O
any   O
potential   O
complications   O
early   O
.   O

Esteban   B-NAME
Guerrero   I-NAME
's   O
contact   O
information   O
was   O
updated   O
in   O
the   O
medical   O
records   O
,   O
including   O
a   O
new   O
(   B-CONTACT
362   I-CONTACT
)   I-CONTACT
177   I-CONTACT
-   I-CONTACT
4772   I-CONTACT
number   O
and   O
an   O
address   O
change   O
to   O
Chapeno   B-LOCATION
.   O

The   O
55021940   B-ID
for   O
this   O
episode   O
of   O
care   O
was   O
duly   O
updated   O
to   O
reflect   O
the   O
successful   O
surgical   O
intervention   O
and   O
the   O
planned   O
follow   O
-   O
up   O
regime   O
.   O

The   O
patient   O
expressed   O
appreciation   O
for   O
the   O
care   O
provided   O
by   O
Madyson   B-NAME
Crawford   I-NAME
and   O
the   O
surgical   O
team   O
at   O
WellSpan   B-LOCATION
Ephrata   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Sam   B-NAME
Pacheco   I-NAME
was   O
advised   O
to   O
reach   O
out   O
immediately   O
should   O
there   O
be   O
any   O
concerning   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
issues   O
related   O
to   O
the   O
surgical   O
site   O
.   O

UPMC   B-LOCATION
Lititz   I-LOCATION
ensured   O
that   O
Teagan   B-NAME
Ingram   I-NAME
was   O
provided   O
with   O
educational   O
resources   O
on   O
recognizing   O
signs   O
of   O
infection   O
and   O
the   O
importance   O
of   O
adherence   O
to   O
antibiotic   O
therapy   O
.   O

In   O
summary   O
,   O
Stevens   B-NAME
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
with   O
a   O
positive   O
prognosis   O
.   O

The   O
key   O
factors   O
contributing   O
to   O
the   O
successful   O
outcome   O
included   O
timely   O
presentation   O
to   O
Rutherford   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
,   O
accurate   O
diagnosis   O
by   O
Sam   B-NAME
Donaldson   I-NAME
,   O
and   O
prompt   O
surgical   O
intervention   O
.   O

Patient   O
:   O
Victoria   B-NAME
Xing   I-NAME
Age   O
:   O
88   O
Medical   O
Record   O
Number   O
:   O
074   B-ID
-   I-ID
57   I-ID
-   I-ID
84   I-ID
Date   O
of   O
Visit   O
:   O
13/03   B-DATE
Location   O
:   O
Caseyville   B-LOCATION
Doctor   O
:   O
Jacobson   B-NAME
Hospital   O
:   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
Brooklyn   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
603   B-CONTACT
3906   I-CONTACT
Profession   O
:   O
Medical   O
Equipment   O
Preparers   O
Username   O
:   O
sq981   B-NAME
Zip   O
:   O
10883   B-LOCATION
Subjective   O
:   O

The   O
patient   O
,   O
Finlay   B-NAME
,   O
a   O
Occupational   O
Therapy   O
Aides   O
,   O
visited   O
on   O
2072   B-DATE
complaining   O
of   O
acute   O
onset   O
lower   O
abdominal   O
pain   O
that   O
began   O
early   O
in   O
the   O
morning   O
.   O

Ashly   B-NAME
Hodges   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
decreased   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Singleton   B-NAME
denied   O
any   O
previous   O
similar   O
episodes   O
.   O

Assessment   O
:   O
Acute   O
appendicitis   O
is   O
suspected   O
based   O
on   O
the   O
clinical   O
presentation   O
and   O
examination   O
findings   O
of   O
Angel   B-NAME
Petersen   I-NAME
.   O

2   O
.   O
Obtain   O
a   O
CT   O
abdomen   O
/   O
pelvis   O
with   O
contrast   O
,   O
depending   O
on   O
the   O
availability   O
and   O
the   O
judgment   O
of   O
Bernard   B-NAME
Rieux   I-NAME
.   O

Arias   B-NAME
has   O
been   O
informed   O
of   O
the   O
signs   O
of   O
potential   O
complications   O
like   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
any   O
new   O
symptoms   O
and   O
was   O
advised   O
to   O
return   O
to   O
the   O
Lindsborg   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lindsborg   I-LOCATION
or   O
contact   O
Elliana   B-NAME
Suarez   I-NAME
immediately   O
if   O
these   O
occur   O
.   O

Contact   O
information   O
has   O
been   O
verified   O
with   O
781   B-CONTACT
1486   I-CONTACT
.   O

Patient   O
Report   O
:   O
35/23   B-DATE
,   O
Ivory   B-NAME
Barron   I-NAME
a   O
Helpers   O
--   O
Brickmasons   O
,   O
Blockmasons   O
,   O
Stonemasons   O
,   O
and   O
Tile   O
and   O
Marble   O
Setters   O
from   O
7131   B-LOCATION
North   I-LOCATION
Thatcher   I-LOCATION
Drive   I-LOCATION
,   O
77731   B-LOCATION
,   O
was   O
admitted   O
to   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Clare   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Baraboo   I-LOCATION
following   O
complaints   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Additionally   O
,   O
VETRA   B-NAME
MOON   I-NAME
reported   O
accompanying   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
9/27   B-DATE
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Brecht   B-NAME
,   I-NAME
Bertolt   I-NAME
showed   O
elevated   O
levels   O
of   O
serum   O
amylase   O
and   O
lipase   O
,   O
suggestive   O
of   O
acute   O
pancreatitis   O
.   O

Further   O
diagnostic   O
imaging   O
,   O
an   O
abdominal   O
CT   O
scan   O
,   O
was   O
performed   O
on   O
02/23   B-DATE
,   O
confirming   O
the   O
presence   O
of   O
pancreatic   O
inflammation   O
without   O
evidence   O
of   O
gallstones   O
or   O
obstruction   O
.   O

29290   B-CONTACT
was   O
listed   O
as   O
the   O
emergency   O
contact   O
number   O
.   O

The   O
treatment   O
plan   O
,   O
as   O
designed   O
by   O
Gilmore   B-NAME
,   O
included   O
admission   O
for   O
intravenous   O
hydration   O
,   O
fasting   O
to   O
rest   O
the   O
pancreas   O
,   O
and   O
pain   O
management   O
with   O
IV   O
analgesics   O
.   O

14/33/2088   B-DATE
marked   O
the   O
beginning   O
of   O
recovery   O
,   O
with   O
Korbin   B-NAME
Duran   I-NAME
reporting   O
a   O
significant   O
reduction   O
in   O
pain   O
and   O
improvement   O
in   O
overall   O
well   O
-   O
being   O
.   O

322   B-ID
-   I-ID
00   I-ID
-   I-ID
80   I-ID
detailed   O
the   O
progression   O
towards   O
stabilization   O
,   O
allowing   O
for   O
a   O
discussion   O
of   O
discharge   O
plans   O
to   O
be   O
initiated   O
on   O
11/22/88   B-DATE
.   O

For   O
follow   O
-   O
up   O
care   O
,   O
Allen   B-NAME
,   I-NAME
Woody   I-NAME
was   O
referred   O
to   O
a   O
gastroenterology   O
specialist   O
affiliated   O
with   O
McLeod   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Dillon   I-LOCATION
.   O

Kaleb   B-NAME
Meadows   I-NAME
was   O
provided   O
with   O
20794   B-CONTACT
for   O
the   O
gastroenterology   O
department   O
to   O
schedule   O
an   O
outpatient   O
appointment   O
.   O

Signed   O
,   O
Lainey   B-NAME
Duffy   I-NAME
10/20   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Armando   B-NAME
Norris   I-NAME
Patient   O
Age   O
:   O
46   O
Patient   O
ID   O
:   O
6816724   B-ID
Medical   O
Record   O
:   O
00252905   B-ID
Date   O
of   O
Visit   O
:   O
11/27/1978   B-DATE
Hospital   O
:   O
Margaret   B-LOCATION
R.   I-LOCATION
Pardee   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Doctor   O
:   O
Reed   B-NAME
Perez   I-NAME
Residence   O
:   O

North   B-LOCATION
Arlington   I-LOCATION
,   O
35827   B-LOCATION
Phone   O
:   O
72626   B-CONTACT
Profession   O
:   O

Cartographer   O
Username   O
:   O
PD587   B-NAME
Clinical   O
Description   O
:   O
Baron   B-NAME
Mejia   I-NAME
,   O
a   O
Brand   O
manager   O
from   O
Linndale   B-LOCATION
with   O
a   O
residence   O
ZIP   O
code   O
of   O
29323   B-LOCATION
,   O
presented   O
to   O
the   O
outpatient   O
department   O
of   O
St.   B-LOCATION
Charles   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Bend   I-LOCATION
on   O
March   B-DATE
20   I-DATE
with   O
complaints   O
of   O
chronic   O
fatigue   O
,   O
intermittent   O
headaches   O
,   O
and   O
diffuse   O
muscle   O
pain   O
persisting   O
for   O
the   O
past   O
few   O
months   O
.   O

The   O
patient   O
,   O
aged   O
93   O
,   O
reported   O
that   O
these   O
symptoms   O
have   O
increasingly   O
impacted   O
daily   O
functioning   O
and   O
work   O
performance   O
identified   O
by   O
username   O
rx774   B-NAME
.   O

Dr.   O
Todd   B-NAME
,   O
the   O
attending   O
physician   O
,   O
noted   O
that   O
Brice   B-NAME
Short   I-NAME
also   O
exhibited   O
symptoms   O
of   O
non   O
-   O
refreshing   O
sleep   O
and   O
cognitive   O
disturbances   O
,   O
including   O
difficulty   O
concentrating   O
and   O
memory   O
lapses   O
.   O

According   O
to   O
Golding   B-NAME
,   I-NAME
William   I-NAME
's   O
medical   O
record   O
8519334   B-ID
,   O
there   O
is   O
no   O
significant   O
past   O
medical   O
history   O
of   O
note   O
.   O

Maud   B-NAME
Carron   I-NAME
denied   O
recent   O
travel   O
,   O
contact   O
with   O
sick   O
individuals   O
,   O
or   O
any   O
significant   O
changes   O
in   O
diet   O
or   O
lifestyle   O
.   O

Angelo   B-NAME
Green   I-NAME
's   O
occupation   O
as   O
a   O
Heating   O
Equipment   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
involves   O
considerable   O
mental   O
exertion   O
but   O
limited   O
physical   O
activity   O
.   O

Jadyn   B-NAME
Glass   I-NAME
mentioned   O
during   O
the   O
consultation   O
that   O
the   O
condition   O
severely   O
hampers   O
work   O
,   O
often   O
requiring   O
extended   O
periods   O
of   O
rest   O
,   O
which   O
has   O
led   O
to   O
a   O
discussion   O
with   O
Addison   B-NAME
Leblanc   I-NAME
's   O
employer   O
about   O
modifying   O
working   O
hours   O
and   O
duties   O
.   O

A   O
comprehensive   O
physical   O
examination   O
conducted   O
by   O
Dr.   O
Carl   B-NAME
Noyes   I-NAME
did   O
not   O
reveal   O
any   O
focal   O
neurological   O
deficits   O
,   O
and   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

The   O
results   O
of   O
these   O
investigations   O
,   O
cataloged   O
under   O
patient   O
ID   O
878478   B-ID
and   O
due   O
on   O
2003   B-DATE
-   I-DATE
15   I-DATE
-   I-DATE
13   I-DATE
,   O
will   O
be   O
pivotal   O
in   O
guiding   O
the   O
subsequent   O
management   O
strategy   O
for   O
Frist   B-NAME
,   I-NAME
Bill   I-NAME
.   O

Given   O
the   O
constellation   O
of   O
symptoms   O
reported   O
by   O
Javon   B-NAME
Cole   I-NAME
and   O
the   O
preliminary   O
findings   O
,   O
a   O
provisional   O
diagnosis   O
of   O
fibromyalgia   O
syndrome   O
is   O
being   O
considered   O
.   O

It   O
was   O
recommended   O
that   O
Freeda   B-NAME
Fiorenzi   I-NAME
initiate   O
a   O
graded   O
exercise   O
program   O
,   O
consider   O
starting   O
cognitive   O
behavioral   O
therapy   O
,   O
and   O
maintain   O
regular   O
follow   O
-   O
up   O
appointments   O
at   O
Riverview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
symptom   O
management   O
and   O
evaluation   O
.   O

The   O
contact   O
number   O
provided   O
for   O
scheduling   O
follow   O
-   O
up   O
visits   O
is   O
820   B-CONTACT
108   I-CONTACT
4514   I-CONTACT
,   O
with   O
additional   O
communication   O
facilitated   O
through   O
the   O
patient   O
portal   O
using   O
Marlie   B-NAME
Mayer   I-NAME
's   O
username   O
,   O
ts668   B-NAME
.   O

In   O
light   O
of   O
this   O
ongoing   O
health   O
condition   O
,   O
Oakley   B-NAME
has   O
been   O
advised   O
to   O
seek   O
modifications   O
at   O
work   O
through   O
the   O
human   O
resources   O
department   O
at   O
American   B-LOCATION
Oil   I-LOCATION
Chemists   I-LOCATION
'   I-LOCATION
Society   I-LOCATION
,   O
to   O
possibly   O
reduce   O
work   O
-   O
related   O
stressors   O
that   O
could   O
exacerbate   O
symptoms   O
.   O

Dr.   O
Avery   B-NAME
has   O
extended   O
a   O
comprehensive   O
care   O
plan   O
,   O
emphasizing   O
the   O
importance   O
of   O
a   O
multidisciplinary   O
approach   O
in   O
the   O
management   O
of   O
fibromyalgia   O
,   O
which   O
typically   O
includes   O
pharmacologic   O
treatments   O
,   O
physical   O
therapy   O
,   O
and   O
psychological   O
support   O
.   O

11/20   B-DATE
Signature   O
:   O
Letterman   B-NAME
,   I-NAME
David   I-NAME

Patient   O
Name   O
:   O
ostrowski   B-NAME
Date   O
of   O
Birth   O
:   O
20/27/02   B-DATE
Age   O
:   O
29   O
Medical   O
Record   O
Number   O
:   O
789   B-ID
-   I-ID
16   I-ID
-   I-ID
48   I-ID
ID   O
:   O
3   B-ID
-   I-ID
8558280   I-ID
Address   O
:   O
Sherburn   B-LOCATION
,   O
75461   B-LOCATION
Phone   O
:   O
212   B-CONTACT
9395   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Nolan   B-NAME
King   I-NAME
Referred   O
by   O
:   O
Hudson   B-NAME
Mahoney   I-NAME
Current   O
Employment   O
:   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Helpers   O
,   O
Laborers   O
,   O
and   O
Material   O
Movers   O
,   O
Hand   O
Username   O
:   O
XP437   B-NAME
Hospital   O
:   O

Rochester   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
09/55   B-DATE
Date   O
of   O
Discharge   O
:   O
18/35/2332   B-DATE
Clinical   O
Summary   O
:   O
Ogi   B-NAME
,   I-NAME
Adolf   I-NAME
,   O
a   O
90   O
-   O
year   O
-   O
old   O
Operations   O
Research   O
Analysts   O
,   O
presented   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Oakland   I-LOCATION
on   O
6/24   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
persistent   O
headaches   O
,   O
predominantly   O
localized   O
to   O
the   O
frontal   O
lobe   O
.   O

Over   O
the   O
course   O
of   O
the   O
past   O
29/02/2327   B-DATE
,   O
the   O
headaches   O
have   O
progressively   O
worsened   O
in   O
intensity   O
.   O

Dwayne   B-NAME
Figueroa   I-NAME
reports   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
episodic   O
vertigo   O
,   O
leading   O
to   O
an   O
inability   O
to   O
perform   O
daily   O
tasks   O
.   O

Examination   O
upon   O
admission   O
revealed   O
no   O
focal   O
neurological   O
deficits   O
,   O
but   O
Brock   B-NAME
Randolph   I-NAME
demonstrated   O
heightened   O
sensitivity   O
to   O
light   O
and   O
sound   O
stimuli   O
.   O

Phillip   B-NAME
Isaac   I-NAME
Crosby   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
is   O
currently   O
managed   O
with   O
medication   O
prescribed   O
by   O
Ashtyn   B-NAME
Moyer   I-NAME
.   O

However   O
,   O
an   O
MRI   O
of   O
the   O
brain   O
,   O
ordered   O
by   O
Mills   B-NAME
on   O
April   B-DATE
,   O
showed   O
nonspecific   O
white   O
matter   O
changes   O
that   O
are   O
not   O
uncommon   O
for   O
someone   O
of   O
Niemöller   B-NAME
,   I-NAME
Martin   I-NAME
's   O
age   O
.   O

Marks   B-NAME
was   O
admitted   O
under   O
observation   O
and   O
treated   O
with   O
a   O
regimen   O
of   O
analgesic   O
therapy   O
tailored   O
to   O
manage   O
the   O
headache   O
episodes   O
,   O
which   O
reduced   O
in   O
intensity   O
over   O
the   O
following   O
days   O
.   O

Beatrice   B-NAME
Mendoza   I-NAME
was   O
instructed   O
to   O
follow   O
up   O
in   O
the   O
neurology   O
outpatient   O
clinic   O
for   O
a   O
repeat   O
evaluation   O
and   O
discussion   O
of   O
long   O
-   O
term   O
management   O
options   O
,   O
given   O
the   O
chronic   O
nature   O
of   O
their   O
symptoms   O
.   O

In   O
summary   O
,   O
Hollis   B-NAME
B   I-NAME
Hughes   I-NAME
’s   O
presentation   O
of   O
severe   O
headaches   O
and   O
associated   O
symptoms   O
required   O
a   O
thorough   O
diagnostic   O
evaluation   O
to   O
exclude   O
serious   O
underlying   O
pathologies   O
.   O

Zaid   B-NAME
Cox   I-NAME
is   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
severity   O
of   O
the   O
headache   O
episodes   O
.   O

Additionally   O
,   O
Sparks   B-NAME
should   O
avoid   O
known   O
triggers   O
such   O
as   O
bright   O
lights   O
and   O
loud   O
noises   O
.   O

Recommended   O
follow   O
-   O
up   O
with   O
neurology   O
within   O
32/26   B-DATE
.   O

For   O
any   O
urgent   O
concerns   O
or   O
significant   O
changes   O
in   O
symptoms   O
,   O
Durbin   B-NAME
,   I-NAME
Richard   I-NAME
should   O
contact   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
or   O
Chelsea   B-NAME
Barry   I-NAME
’s   O
office   O
at   O
644   B-CONTACT
5629   I-CONTACT
.   O

Prepared   O
by   O
:   O
Lutz   B-NAME
Medical   O
Record   O
Number   O
:   O
0582Y07120   B-ID

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
82629274   B-ID
General   O
Information   O
:   O
-   O
Name   O
:   O
Zed   B-NAME
Blanco   I-NAME
-   O
Age   O
:   O
90   O
-   O
Phone   O
:   O
28656   B-CONTACT
-   O
Address   O
:   O
Red   B-LOCATION
Lake   I-LOCATION
Falls   I-LOCATION
,   O
24988   B-LOCATION
-   O
Date   O
of   O
Admission   O
:   O
2382   B-DATE
-   O
Treating   O
Physician   O
:   O
Dr.   O
Stevens   B-NAME
-   O
Hospital   O
:   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Clairemont   I-LOCATION
-   O
Employer   O
:   O
Australian   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Marine   I-LOCATION
and   I-LOCATION
Power   I-LOCATION
Engineers   I-LOCATION
-   O
Occupation   O
:   O
Bailiffs   O
Medical   O
History   O
:   O
Patient   O
Beth   B-NAME
Cather   I-NAME
,   O
a   O
Communication   O
Equipment   O
Mechanics   O
,   O
Installers   O
,   O
and   O
Repairers   O
residing   O
in   O
Stockport   B-LOCATION
,   O
presented   O
to   O
Cheshire   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
August   B-DATE
3   I-DATE
,   I-DATE
2329   I-DATE
with   O
a   O
history   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
sporadic   O
episodes   O
of   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Bohr   B-NAME
,   I-NAME
Niels   I-NAME
displayed   O
symptoms   O
indicative   O
of   O
possible   O
pneumonia   O
or   O
a   O
pulmonary   O
embolism   O
,   O
characterized   O
by   O
a   O
high   O
-   O
pitch   O
wheezing   O
sound   O
upon   O
breathing   O
,   O
palpable   O
discomfort   O
while   O
breathing   O
,   O
and   O
an   O
elevated   O
heart   O
rate   O
of   O
110   O
bpm   O
.   O

A   O
chest   O
x   O
-   O
ray   O
and   O
a   O
CT   O
angiogram   O
were   O
ordered   O
by   O
Dr.   O
Mireya   B-NAME
Norman   I-NAME
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
symptoms   O
.   O

Ayanna   B-NAME
Hayden   I-NAME
was   O
also   O
given   O
supplemental   O
oxygen   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
92   O
%   O
.   O

Waqabaca   B-NAME
,   I-NAME
Josaia   I-NAME
was   O
advised   O
to   O
remain   O
hospitalized   O
for   O
at   O
least   O
48   O
hours   O
to   O
monitor   O
response   O
to   O
the   O
treatment   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
arranged   O
for   O
2007   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
20   I-DATE
with   O
Dr.   O
Payten   B-NAME
Rivers   I-NAME
to   O
reassess   O
the   O
condition   O
and   O
adjust   O
medications   O
if   O
needed   O
.   O

2   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Ponce   B-NAME
on   O
0/22/65   B-DATE
.   O

Littleton   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
will   O
follow   O
up   O
for   O
work   O
clearance   O
based   O
on   O
the   O
follow   O
-   O
up   O
appointment   O
findings   O
.   O

Emergency   O
Contact   O
:   O
-   O
Name   O
:   O
yr823   B-NAME
-   O
Relationship   O
:   O
Close   O
relative   O
-   O
Phone   O
:   O
264   B-CONTACT
-   I-CONTACT
8392   I-CONTACT

This   O
report   O
is   O
confidential   O
and   O
contains   O
sensitive   O
health   O
information   O
regarding   O
patient   O
Dulce   B-NAME
Bullock   I-NAME
,   O
7898C83654   B-ID
.   O

Patient   O
Name   O
:   O
Kurti   B-NAME
,   I-NAME
Nicholas   I-NAME
Age   O
:   O
15   O
Date   O
of   O
Admission   O
:   O
July   B-DATE
36th   I-DATE
Physician   O
in   O
charge   O
:   O
Kidd   B-NAME
Hospital   O
:   O

Osborn   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
9167144   B-ID
Location   O
of   O
Incident   O
:   O
Thornton   B-LOCATION
Employment   O
:   O
Fabric   O
Menders   O
,   O
Except   O
Garment   O
Username   O
:   O
QE549   B-NAME
Phone   O
Number   O
:   O
134   B-CONTACT
-   I-CONTACT
6339   I-CONTACT
Zip   O
Code   O
:   O
86879   B-LOCATION
ID   O
:   O
WB:2077:918918   B-ID
Organization   O
:   O

Libera   B-LOCATION
!   I-LOCATION

Admission   O
Summary   O
:   O
The   O
patient   O
,   O
Springsteen   B-NAME
,   I-NAME
Bruce   I-NAME
,   O
at   O
the   O
age   O
of   O
39   O
,   O
was   O
admitted   O
to   O
Medical   B-LOCATION
City   I-LOCATION
Las   I-LOCATION
Colinas   I-LOCATION
on   O
33/24   B-DATE
.   O

The   O
incident   O
leading   O
to   O
the   O
admission   O
occurred   O
at   O
Lookout   B-LOCATION
,   O
where   O
Cecila   B-NAME
Mordino   I-NAME
is   O
employed   O
as   O
a   O
Air   O
Crew   O
Members   O
.   O

The   O
initial   O
call   O
for   O
help   O
was   O
placed   O
to   O
emergency   O
services   O
at   O
156   B-CONTACT
-   I-CONTACT
776   I-CONTACT
-   I-CONTACT
7234   I-CONTACT
.   O

Hale   B-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
24   O
hours   O
before   O
admission   O
.   O

It   O
is   O
noteworthy   O
that   O
GUEVARA   B-NAME
,   I-NAME
ELIZABETH   I-NAME
has   O
a   O
medical   O
history   O
recorded   O
under   O
ID   O
5   B-ID
-   I-ID
7588235   I-ID
,   O
with   O
past   O
episodes   O
of   O
similar   O
,   O
albeit   O
milder   O
,   O
abdominal   O
discomfort   O
.   O

Jamie   B-NAME
Frazier   I-NAME
's   O
condition   O
necessitated   O
immediate   O
consultation   O
with   O
Brycen   B-NAME
Rice   I-NAME
,   O
a   O
specialist   O
in   O
gastrointestinal   O
disorders   O
,   O
associated   O
with   O
Infirmary   B-LOCATION
West   I-LOCATION
.   O

Management   O
and   O
treatment   O
plan   O
discussed   O
with   O
Gilmore   B-NAME
included   O
the   O
recommendation   O
for   O
an   O
appendectomy   O
.   O

Howe   B-NAME
provided   O
informed   O
consent   O
for   O
the   O
surgical   O
procedure   O
,   O
documented   O
in   O
the   O
medical   O
record   O
(   O
908   B-ID
-   I-ID
60   I-ID
-   I-ID
94   I-ID
-   I-ID
4   I-ID
)   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
2361   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
15   I-DATE
without   O
undue   O
delay   O
to   O
prevent   O
potential   O
complications   O
such   O
as   O
perforation   O
or   O
peritonitis   O
.   O

These   O
appointments   O
are   O
to   O
be   O
held   O
at   O
Providence   B-LOCATION
Little   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Torrance   I-LOCATION
under   O
the   O
care   O
of   O
Jerimiah   B-NAME
Hill   I-NAME
,   O
ensuring   O
continuity   O
of   O
care   O
.   O

The   O
expected   O
discharge   O
date   O
,   O
contingent   O
upon   O
the   O
absence   O
of   O
post   O
-   O
operative   O
complications   O
,   O
is   O
21/72   B-DATE
.   O

For   O
further   O
inquiries   O
or   O
updates   O
on   O
Dakota   B-NAME
Floyd   I-NAME
's   O
condition   O
,   O
please   O
contact   O
the   O
patient   O
information   O
desk   O
at   O
Norton   B-LOCATION
Hospital   I-LOCATION
,   O
reachable   O
at   O
634   B-CONTACT
-   I-CONTACT
329   I-CONTACT
-   I-CONTACT
1511   I-CONTACT
.   O

It   O
is   O
imperative   O
to   O
reference   O
Taylor   B-NAME
Taylor   I-NAME
's   O
medical   O
record   O
number   O
8775741   B-ID
for   O
prompt   O
and   O
accurate   O
service   O
.   O

The   O
healthcare   O
team   O
at   O
Annie   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
,   O
including   O
Katelyn   B-NAME
Vaughn   I-NAME
,   O
remains   O
committed   O
to   O
providing   O
Harrington   B-NAME
with   O
high   O
-   O
quality   O
care   O
and   O
supports   O
a   O
swift   O
recovery   O
.   O

Summary   O
Prepared   O
by   O
:   O
Username   O
:   O
TS624   B-NAME
Date   O
:   O
36/10/36   B-DATE
Mainstreet   B-LOCATION
Bank   I-LOCATION

Patient   O
:   O
Xzavior   B-NAME
Report   O
Date   O
:   O
33/21   B-DATE
ID   O
:   O
5316804   B-ID
Mr.   O
David   B-NAME
Aguilera   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Lockport   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
00/2001   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
,   O
and   O
stabbing   O
pain   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

The   O
patient   O
,   O
a   O
Painters   O
,   O
Construction   O
and   O
Maintenance   O
from   O
Oakton   B-LOCATION
,   O
has   O
a   O
history   O
of   O
similar   O
episodes   O
but   O
reports   O
that   O
the   O
intensity   O
of   O
pain   O
has   O
significantly   O
increased   O
.   O

Additionally   O
,   O
Samantha   B-NAME
Lewis   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
denied   O
any   O
recent   O
changes   O
in   O
bowel   O
habits   O
or   O
urinary   O
symptoms   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Jabari   B-NAME
Mills   I-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
which   O
revealed   O
leukocytosis   O
,   O
and   O
a   O
C   O
-   O
reactive   O
protein   O
level   O
that   O
was   O
elevated   O
,   O
suggestive   O
of   O
an   O
inflammatory   O
process   O
.   O

Consent   O
for   O
surgery   O
was   O
obtained   O
on   O
17/33   B-DATE
,   O
and   O
the   O
procedure   O
was   O
successfully   O
performed   O
without   O
complications   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Dr.   O
Cunningham   B-NAME
,   I-NAME
Ward   I-NAME
at   O
Cottonwood   B-LOCATION
Hospital   I-LOCATION
for   O
25   B-DATE
to   O
assess   O
the   O
patient   O
's   O
recovery   O
and   O
address   O
any   O
concerns   O
.   O

Kirby   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
around   O
the   O
surgical   O
site   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Bonhoeffer   B-NAME
,   I-NAME
Dietrich   I-NAME
was   O
instructed   O
to   O
contact   O
the   O
surgical   O
department   O
at   O
78447   B-CONTACT
.   O

Mr.   O
Rothbard   B-NAME
,   I-NAME
Murray   I-NAME
's   O
emergency   O
contact   O
,   O
Writers   O
and   O
Authors   O
at   O
(   B-CONTACT
621   I-CONTACT
)   I-CONTACT
345   I-CONTACT
-   I-CONTACT
2448   I-CONTACT
,   O
was   O
notified   O
of   O
the   O
patient   O
's   O
condition   O
,   O
treatment   O
plan   O
,   O
and   O
was   O
provided   O
with   O
post   O
-   O
operative   O
care   O
instructions   O
to   O
assist   O
Sonny   B-NAME
Williamson   I-NAME
during   O
the   O
recovery   O
process   O
.   O

This   O
report   O
has   O
been   O
filed   O
in   O
Thedotus   B-NAME
's   O
medical   O
record   O
(   O
914   B-ID
37   I-ID
44   I-ID
1   I-ID
)   O
and   O
will   O
be   O
accessible   O
for   O
review   O
by   O
the   O
referring   O
physician   O
,   O
Dr.   O
Emilia   B-NAME
Fischer   I-NAME
,   O
and   O
any   O
other   O
specialists   O
involved   O
in   O
Dyer   B-NAME
's   O
ongoing   O
care   O
.   O

Report   O
prepared   O
by   O
:   O
VN488   B-NAME
Medical   O
Center   O
:   O
Sentara   B-LOCATION
Martha   I-LOCATION
Jefferson   I-LOCATION
Hospital   I-LOCATION
Contact   O
Information   O
:   O
379   B-CONTACT
-   I-CONTACT
9037   I-CONTACT
|   O
United   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
@   O
Interstellar   B-LOCATION
Commonwealth   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
.com   O
Location   O
:   O
Fort   B-LOCATION
Mill   I-LOCATION
,   O
99443   B-LOCATION

Patient   O
Report   O
for   O
Juliana   B-NAME
Mclaughlin   I-NAME
Basic   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
7197639   B-ID
-   O
Date   O
of   O
Birth   O
:   O
55s   O
-   O
Date   O
of   O
Admission   O
:   O
Sep-2356   B-DATE
-   O
Primary   O
Physician   O
:   O

Jude   B-NAME
Sullivan   I-NAME
-   O
Hospital   O
:   O

Brunswick   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Inc   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
16453547   B-ID
-   O
Contact   O
Number   O
:   O
(   B-CONTACT
485   I-CONTACT
)   I-CONTACT
199   I-CONTACT
-   I-CONTACT
8511   I-CONTACT
-   O
Address   O
:   O
Morecambe   B-LOCATION
,   O
73436   B-LOCATION
-   O
Employer   O
:   O

Washington   B-LOCATION
First   I-LOCATION
International   I-LOCATION
Bank   I-LOCATION
,   O
Loan   O
Officers   O
Medical   O
History   O
:   O

The   O
patient   O
,   O
Yeager   B-NAME
,   O
presented   O
to   O
IU   B-LOCATION
Health   I-LOCATION
Ball   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2362   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
34   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

The   O
following   O
diagnostic   O
tests   O
were   O
ordered   O
by   O
Lloyd   B-NAME
Axton   I-NAME
:   O
1   O
.   O

Plan   O
for   O
Follow   O
-   O
up   O
:   O
Mcmillan   B-NAME
has   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
36/12/2245   B-DATE
to   O
review   O
the   O
investigations   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Emergency   O
contact   O
information   O
has   O
been   O
recorded   O
as   O
"   O
Next   O
of   O
Kin   O
,   O
"   O
with   O
a   O
contact   O
number   O
of   O
945   B-CONTACT
-   I-CONTACT
4580   I-CONTACT
.   O

In   O
the   O
event   O
of   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
date   O
,   O
the   O
patient   O
or   O
their   O
emergency   O
contact   O
is   O
encouraged   O
to   O
reach   O
out   O
directly   O
to   O
Luisa   B-NAME
Malachi   I-NAME
's   O
office   O
at   O
Cedar   B-LOCATION
Springs   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
.   O

Note   O
to   O
Patient   O
:   O
Please   O
ensure   O
to   O
keep   O
the   O
follow   O
-   O
up   O
appointment   O
on   O
December   B-DATE
of   I-DATE
2173   I-DATE
,   O
and   O
carry   O
all   O
prescribed   O
medications   O
and   O
headache   O
log   O
to   O
the   O
appointment   O
for   O
review   O
.   O

If   O
there   O
is   O
an   O
exacerbation   O
of   O
symptoms   O
or   O
any   O
adverse   O
reaction   O
to   O
the   O
prescribed   O
medication   O
,   O
please   O
call   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
.   O

Report   O
Prepared   O
by   O
:   O
Hardy   B-NAME
Medical   O
Record   O
for   O
Review   O
:   O
1506939   B-ID
Date   O
:   O
37/23   B-DATE

Patient   O
Name   O
:   O
Allen   B-NAME
Age   O
:   O
5   O
Date   O
:   O
2/56   B-DATE
Dr.   O
:   O
Rowland   B-NAME
Hospital   O
:   O

Pikeville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
No   O
.   O
:   O
71160154   B-ID
Location   O
:   O
Hulmeville   B-LOCATION
Organization   O
:   O

Colquitt   B-LOCATION
EMC   I-LOCATION
ID   O
:   O
UK:82512:333563   B-ID
Phone   O
:   O
675   B-CONTACT
2040   I-CONTACT
Profession   O
:   O
bartender   O
Username   O
:   O

JL4910   B-NAME
ZIP   O
:   O
63761   B-LOCATION
Medical   O
Report   O
:   O

The   O
patient   O
,   O
Yacob   B-NAME
T.   I-NAME
Kane   I-NAME
,   O
aged   O
82   O
,   O
residing   O
at   O
Flora   B-LOCATION
Dale   I-LOCATION
,   O
ZIP   O
44913   B-LOCATION
,   O
with   O
ID   O
SU:100084:476445   B-ID
,   O
contacted   O
our   O
facility   O
on   O
2080   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
15   I-DATE
.   O

During   O
the   O
initial   O
consultation   O
,   O
the   O
patient   O
's   O
vital   O
signs   O
were   O
recorded   O
by   O
Liu   B-NAME
at   O
Verde   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Further   O
diagnostic   O
tests   O
included   O
an   O
abdominal   O
ultrasound   O
and   O
MRI   O
conducted   O
on   O
2112   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
21   I-DATE
,   O
which   O
revealed   O
inflammation   O
of   O
the   O
pancreas   O
but   O
no   O
gallstones   O
or   O
evidence   O
of   O
biliary   O
disease   O
.   O

Maximo   B-NAME
Marquez   I-NAME
,   O
who   O
works   O
as   O
a   O
Packers   O
and   O
Packagers   O
,   O
Hand   O
,   O
expressed   O
concern   O
about   O
the   O
impact   O
of   O
this   O
diagnosis   O
on   O
their   O
ability   O
to   O
work   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Rojas   B-NAME
from   O
Sumter   B-LOCATION
EMC   I-LOCATION
extension   O
95341   B-CONTACT
.   O

Medical   O
record   O
number   O
7069427   B-ID
will   O
be   O
updated   O
with   O
the   O
progress   O
notes   O
and   O
treatment   O
plan   O
following   O
Vertie   B-NAME
Rigdon   I-NAME
's   O
consent   O
,   O
obtained   O
during   O
the   O
consultation   O
through   O
communication   O
device   O
37801   B-CONTACT
.   O

The   O
patient   O
also   O
consented   O
to   O
the   O
use   O
of   O
their   O
case   O
for   O
educational   O
purposes   O
within   O
Presbyterian   B-LOCATION
Rust   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
affiliated   O
medical   O
training   O
programs   O
.   O

For   O
further   O
inquiries   O
or   O
updates   O
,   O
Elijah   B-NAME
Parker   I-NAME
or   O
their   O
designated   O
contact   O
can   O
reach   O
the   O
medical   O
team   O
via   O
52898   B-CONTACT
or   O
through   O
our   O
patient   O
portal   O
username   O
NU660   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Eric   B-NAME
Olds   I-NAME
Patient   O
ID   O
:   O
PN533/4790   B-ID
Medical   O
Record   O
Number   O
:   O
8475259   B-ID
Date   O
of   O
Admission   O
:   O
10/21/2263   B-DATE
Date   O
of   O
Birth   O
:   O
3/01/2022   B-DATE
Age   O
:   O
96   O
Contact   O
Phone   O
:   O
59962   B-CONTACT
Primary   O
Doctor   O
:   O
Gloria   B-NAME
Ross   I-NAME
Hospital   O
:   O

Saint   B-LOCATION
Claire   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Laurens   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Laurens   I-LOCATION
,   I-LOCATION
USA   I-LOCATION
Zip   O
:   O
32878   B-LOCATION
Profession   O
:   O
Coaches   O
and   O
Scouts   O
Username   O
:   O
ibk222   B-NAME
Organization   O
:   O

Non   B-LOCATION
Commissioned   I-LOCATION
Officers   I-LOCATION
Association   I-LOCATION
Chief   O
Complaint   O
:   O
Christine   B-NAME
Frederick   I-NAME
presented   O
to   O
Cullman   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
07/04/1700   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Thant   B-NAME
,   I-NAME
U   I-NAME
,   O
a   O
3   O
month   O
-   O
year   O
-   O
old   O
Sawing   O
Machine   O
Operators   O
and   O
Tenders   O
from   O
Kirkwood   B-LOCATION
,   O
reports   O
that   O
the   O
symptoms   O
began   O
suddenly   O
earlier   O
on   O
12/02   B-DATE
.   O

In   O
addition   O
to   O
the   O
pain   O
,   O
Allais   B-NAME
,   I-NAME
Alphonse   I-NAME
experienced   O
several   O
episodes   O
of   O
vomiting   O
,   O
without   O
the   O
presence   O
of   O
blood   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Donovan   B-NAME
J.   I-NAME
Betty   I-NAME
Barber   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
with   O
a   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
pulse   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
130/80   O
mmHg   O
.   O

Didius   B-NAME
Julianus   I-NAME
was   O
admitted   O
to   O
Phelps   B-LOCATION
Health   I-LOCATION
for   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Jamal   B-NAME
Callahan   I-NAME
was   O
also   O
started   O
on   O
a   O
prophylactic   O
antibiotic   O
regimen   O
to   O
prevent   O
infection   O
.   O

The   O
diabetes   O
management   O
plan   O
was   O
adjusted   O
in   O
consultation   O
with   O
Jovani   B-NAME
Mcclain   I-NAME
.   O

Plan   O
for   O
Follow   O
-   O
up   O
:   O
Alexander   B-NAME
Hines   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
2   O
weeks   O
on   O
22/21   B-DATE
with   O
Lindsey   B-NAME
at   O
Highland   B-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Education   O
:   O
Education   O
was   O
provided   O
to   O
William   B-NAME
Sloan   I-NAME
regarding   O
the   O
importance   O
of   O
diet   O
management   O
and   O
avoiding   O
alcohol   O
to   O
prevent   O
future   O
episodes   O
of   O
pancreatitis   O
.   O

Prepared   O
by   O
:   O
Browning   B-NAME
4/12/19   B-DATE

Patient   O
Name   O
:   O
Xanders   B-NAME
Patient   O
ID   O
:   O
60780447   B-ID
Medical   O
Record   O
Number   O
:   O
942   B-ID
11   I-ID
47   I-ID
Date   O
of   O
Birth   O
:   O
35/00/95   B-DATE
Age   O
:   O
8   O
month   O
Address   O
:   O
Ronks   B-LOCATION
,   O
14176   B-LOCATION
Phone   O
Number   O
:   O
153   B-CONTACT
2047   I-CONTACT
Attending   O
Physician   O
:   O

Mark   B-NAME
Merritt   I-NAME
Hospital   O
:   O
Vidant   B-LOCATION
Roanoke   I-LOCATION
-   I-LOCATION
Chowan   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
31/23   B-DATE
Occupation   O
:   O
Lecturer   O
(   O
further   O
education   O
)   O
Clinical   O
Findings   O
:   O

The   O
patient   O
,   O
Mays   B-NAME
,   O
presented   O
with   O
acute   O
abdominal   O
pain   O
focused   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
indicative   O
of   O
appendicitis   O
.   O

The   O
onset   O
of   O
pain   O
was   O
approximately   O
24   O
hours   O
before   O
admission   O
on   O
2302   B-DATE
.   O

Additionally   O
,   O
Knowles   B-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
approximately   O
12   O
hours   O
before   O
presenting   O
at   O
Beauregard   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

Upon   O
examination   O
,   O
Schultz   B-NAME
's   O
temperature   O
was   O
elevated   O
at   O
38.3   O
°   O
C   O
,   O
indicating   O
a   O
febrile   O
response   O
.   O

Park   B-NAME
's   O
medical   O
history   O
,   O
procured   O
through   O
the   O
health   O
records   O
system   O
of   O
City   B-LOCATION
of   I-LOCATION
Newark   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
,   O
showed   O
no   O
previous   O
occurrences   O
of   O
similar   O
symptoms   O
or   O
other   O
chronic   O
gastrointestinal   O
conditions   O
.   O

The   O
attending   O
physician   O
,   O
Reilly   B-NAME
Austin   I-NAME
,   O
recommended   O
an   O
urgent   O
appendectomy   O
to   O
remove   O
the   O
inflamed   O
appendix   O
and   O
prevent   O
possible   O
rupture   O
.   O

The   O
surgical   O
procedure   O
was   O
scheduled   O
for   O
22/12   B-DATE
at   O
Valley   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Post   O
-   O
operative   O
recovery   O
guidelines   O
were   O
discussed   O
with   O
Salinger   B-NAME
,   I-NAME
J.   I-NAME
D.   I-NAME
,   O
emphasizing   O
wound   O
care   O
,   O
pain   O
management   O
,   O
and   O
signs   O
of   O
potential   O
complications   O
.   O

Instructions   O
for   O
post   O
-   O
operative   O
care   O
and   O
recovery   O
,   O
along   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
,   O
were   O
scheduled   O
for   O
October   B-DATE
20   I-DATE
with   O
Brice   B-NAME
Mcdonald   I-NAME
at   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
.   O

Huron   B-NAME
Hessman   I-NAME
was   O
informed   O
of   O
the   O
potential   O
risks   O
and   O
outcomes   O
associated   O
with   O
the   O
surgery   O
and   O
consented   O
to   O
proceed   O
with   O
the   O
recommended   O
treatment   O
plan   O
.   O

Jasmin   B-NAME
Conrad   I-NAME
was   O
advised   O
to   O
contact   O
(   B-LOCATION
under   I-LOCATION
construction   I-LOCATION
)   I-LOCATION
's   O
post   O
-   O
operative   O
care   O
line   O
at   O
447   B-CONTACT
-   I-CONTACT
6878   I-CONTACT
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
other   O
concerning   O
symptoms   O
.   O

Conclusion   O
:   O
Robert   B-NAME
's   O
clinical   O
presentation   O
,   O
alongside   O
laboratory   O
and   O
imaging   O
findings   O
,   O
conclusively   O
indicated   O
acute   O
appendicitis   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Carl   B-NAME
Deraad   I-NAME
Age   O
:   O
32s   O
Gender   O
:   O

Male   O
Date   O
of   O
Birth   O
:   O
1/7   B-DATE
Medical   O
Record   O
Number   O
:   O
0575O81989   B-ID
Date   O
of   O
Admission   O
:   O
7/0   B-DATE
Attending   O
Physician   O
:   O

Elaine   B-NAME
Burns   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Gulfport   I-LOCATION
Location   O
:   O
Williford   B-LOCATION
ZIP   O
Code   O
:   O
17547   B-LOCATION
Phone   O
Number   O
:   O
568   B-CONTACT
-   I-CONTACT
1820   I-CONTACT
Occupation   O
:   O
Atmospheric   O
and   O
Space   O
Scientists   O
ID   O
:   O
UX:55099:220157   B-ID

Clinical   O
Summary   O
:   O
Danielle   B-NAME
Stark   I-NAME
presented   O
to   O
AdventHealth   B-LOCATION
Zephyrhills   I-LOCATION
on   O
05/04   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
recurrent   O
headaches   O
predominantly   O
located   O
in   O
the   O
frontal   O
region   O
.   O

Usha   B-NAME
reported   O
a   O
significant   O
decrease   O
in   O
the   O
quality   O
of   O
life   O
due   O
to   O
these   O
symptoms   O
.   O

Medical   O
History   O
:   O
Elsy   B-NAME
Fredrickson   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
,   O
without   O
aura   O
,   O
initially   O
diagnosed   O
in   O
19/28/73   B-DATE
.   O

Past   O
medical   O
records   O
900   B-ID
-   I-ID
96   I-ID
-   I-ID
99   I-ID
indicate   O
a   O
consistent   O
pattern   O
of   O
increasing   O
frequency   O
and   O
intensity   O
of   O
episodes   O
over   O
the   O
past   O
year   O
.   O

Diagnostic   O
Assessment   O
:   O
A   O
comprehensive   O
neurological   O
examination   O
was   O
conducted   O
by   O
Sallust   B-NAME
at   O
MultiCare   B-LOCATION
Deaconess   I-LOCATION
Hospital   I-LOCATION
on   O
2032   B-DATE
,   O
revealing   O
no   O
focal   O
neurological   O
deficits   O
.   O

A   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
scan   O
of   O
the   O
brain   O
,   O
performed   O
on   O
32/02/22   B-DATE
,   O
was   O
unremarkable   O
,   O
with   O
no   O
evidence   O
of   O
structural   O
abnormalities   O
.   O

Given   O
the   O
ineffectiveness   O
of   O
previous   O
treatments   O
and   O
the   O
impact   O
on   O
Kallie   B-NAME
Spence   I-NAME
's   O
quality   O
of   O
life   O
,   O
a   O
decision   O
was   O
made   O
to   O
initiate   O
a   O
prophylactic   O
treatment   O
regimen   O
.   O

Additionally   O
,   O
Collier   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
identifying   O
potential   O
triggers   O
and   O
lifestyle   O
factors   O
that   O
may   O
contribute   O
to   O
the   O
onset   O
of   O
migraine   O
episodes   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2002   B-DATE
at   O
Minneola   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Minneola   I-LOCATION
with   O
Delgado   B-NAME
.   O

Conley   B-NAME
was   O
encouraged   O
to   O
report   O
any   O
changes   O
in   O
headache   O
frequency   O
or   O
severity   O
,   O
as   O
well   O
as   O
any   O
side   O
effects   O
from   O
the   O
medication   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
at   O
11204   B-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Lonnie   B-NAME
Leroy   I-NAME
George   I-NAME
Zuniga   I-NAME
-   O
Age   O
:   O
100   O
-   O
Medical   O
Record   O
Number   O
:   O
9718591   B-ID
-   O
ID   O
Number   O
:   O
6   B-ID
-   I-ID
3474540   I-ID
-   O
Address   O
:   O
Rosa   B-LOCATION
,   O
41530   B-LOCATION
-   O
Phone   O
Number   O
:   O
193   B-CONTACT
-   I-CONTACT
2610   I-CONTACT
-   O
Occupation   O
:   O
Health   O
Educators   O
-   O
Attending   O
Physician   O
:   O
Ru   B-NAME
-   O
Hospital   O
:   O
Ochsner   B-LOCATION
LSU   I-LOCATION
Health   I-LOCATION
Shreveport   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Daniel   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Warren   I-LOCATION
Campus   I-LOCATION
on   O
12/25   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Joi   B-NAME
Winders   I-NAME
,   O
a   O
87s   O
-   O
year   O
-   O
old   O
Coin   O
,   O
Vending   O
,   O
and   O
Amusement   O
Machine   O
Servicers   O
and   O
Repairers   O
,   O
started   O
experiencing   O
mild   O
abdominal   O
discomfort   O
0/22   B-DATE
which   O
gradually   O
intensified   O
.   O

Faustina   B-NAME
Douglas   I-NAME
reports   O
no   O
recent   O
travel   O
history   O
to   O
Byron   B-LOCATION
,   I-LOCATION
Byron   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

However   O
,   O
the   O
patient   O
mentions   O
a   O
decreased   O
appetite   O
over   O
the   O
past   O
06/19/1624   B-DATE
.   O

According   O
to   O
Foxworthy   B-NAME
,   I-NAME
Jeff   I-NAME
,   O
there   O
is   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
diagnosed   O
by   O
Rafael   B-NAME
Dorsey   I-NAME
at   O
Coimbatore   B-LOCATION
District   I-LOCATION
Textile   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
and   O
managed   O
with   O
dietary   O
modifications   O
with   O
no   O
recent   O
flare   O
-   O
ups   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Sherrill   B-NAME
Boyett   I-NAME
was   O
found   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
performed   O
on   O
2193   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
21   I-DATE
,   O
which   O
suggested   O
appendicitis   O
without   O
evidence   O
of   O
rupture   O
.   O

After   O
consultation   O
with   O
Glenn   B-NAME
from   O
the   O
general   O
surgery   O
team   O
at   O
Essex   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
,   O
it   O
was   O
concluded   O
that   O
Ulysses   B-NAME
Xiao   I-NAME
requires   O
surgical   O
intervention   O
for   O
suspected   O
appendicitis   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
2201   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
10   I-DATE
.   O
Follow   O
-   O
up   O
:   O
Antonia   B-NAME
Hage   I-NAME
is   O
to   O
be   O
admitted   O
to   O
Vail   B-LOCATION
Health   I-LOCATION
post   O
-   O
surgery   O
for   O
monitoring   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Mccoy   B-NAME
in   O
the   O
surgical   O
outpatient   O
department   O
on   O
30/12/03   B-DATE
to   O
evaluate   O
recovery   O
progress   O
.   O

Instructions   O
for   O
Patient   O
:   O
Lola   B-NAME
Spratt   I-NAME
is   O
advised   O
to   O
fast   O
for   O
12   O
hours   O
prior   O
to   O
the   O
scheduled   O
surgery   O
.   O

This   O
report   O
was   O
prepared   O
by   O
HJ573   B-NAME
on   O
32/66   B-DATE
.   O

For   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Norton   B-LOCATION
Suburban   I-LOCATION
Hospital   I-LOCATION
at   O
335   B-CONTACT
9243   I-CONTACT
.   O

Patient   O
Name   O
:   O
Sullivan   B-NAME
Chase   I-NAME
Patient   O
ID   O
:   O
GM711/2319   B-ID
Medical   O
Record   O
Number   O
:   O
20331911   B-ID
DOB   O
:   O
06   B-DATE
Age   O
:   O
69s   O
Address   O
:   O
Oglethorpe   B-LOCATION
,   I-LOCATION
Oglethorpe   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
,   O
24171   B-LOCATION
Phone   O
:   O
728   B-CONTACT
-   I-CONTACT
9095   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Areli   B-NAME
Whitaker   I-NAME
Employer   O
:   O
Canadian   B-LOCATION
Postmasters   I-LOCATION
and   I-LOCATION
Assistants   I-LOCATION
Association   I-LOCATION
Occupation   O
:   O
Preventive   O
Medicine   O
Physicians   O
Username   O
:   O
dc729   B-NAME
Summary   O
:   O
Sarah   B-NAME
Glass   I-NAME
-   I-NAME
Camden   I-NAME
was   O
admitted   O
to   O
Roosevelt   B-LOCATION
Warm   I-LOCATION
Springs   I-LOCATION
Institute   I-LOCATION
for   I-LOCATION
Rehabilitation   I-LOCATION
on   O
32/34   B-DATE
with   O
a   O
presenting   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
and   O
associated   O
with   O
nausea   O
and   O
vomiting   O
.   O

Treena   B-NAME
Godsey   I-NAME
also   O
reported   O
a   O
history   O
of   O
chronic   O
pancreatitis   O
.   O

Upon   O
examination   O
,   O
Sharlene   B-NAME
Lindow   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Walter   B-NAME
Curnow   I-NAME
was   O
initiated   O
on   O
IV   O
fluid   O
resuscitation   O
,   O
pain   O
management   O
,   O
and   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
to   O
rest   O
the   O
pancreas   O
.   O

Rose   B-NAME
Benton   I-NAME
's   O
care   O
team   O
,   O
led   O
by   O
Yurem   B-NAME
Ayers   I-NAME
,   O
also   O
consulted   O
with   O
the   O
gastroenterology   O
department   O
for   O
further   O
evaluation   O
and   O
management   O
recommendations   O
.   O

Current   O
Status   O
:   O
As   O
of   O
2032   B-DATE
,   O
Anreozzi   B-NAME
Imam   I-NAME
's   O
condition   O
has   O
shown   O
improvement   O
.   O

Pain   O
is   O
managed   O
with   O
reduced   O
analgesic   O
requirements   O
,   O
and   O
Hutcheson   B-NAME
,   I-NAME
Francis   I-NAME
has   O
been   O
started   O
on   O
a   O
liquid   O
diet   O
without   O
adverse   O
reactions   O
.   O

Planning   O
for   O
discharge   O
is   O
underway   O
,   O
with   O
considerations   O
for   O
outpatient   O
follow   O
-   O
up   O
with   O
Guerra   B-NAME
at   O
Mount   B-LOCATION
Hebron   I-LOCATION
and   O
a   O
detailed   O
management   O
plan   O
for   O
chronic   O
pancreatitis   O
.   O

Note   O
:   O
Emely   B-NAME
Hodge   I-NAME
is   O
advised   O
to   O
abstain   O
from   O
alcohol   O
and   O
adopt   O
a   O
low   O
-   O
fat   O
diet   O
as   O
preventive   O
measures   O
against   O
future   O
episodes   O
of   O
pancreatitis   O
.   O

Further   O
,   O
a   O
follow   O
-   O
up   O
endoscopic   O
ultrasound   O
(   O
EUS   O
)   O
is   O
scheduled   O
in   O
2061/21/11   B-DATE
to   O
assess   O
the   O
pancreas   O
and   O
surrounding   O
structures   O
for   O
any   O
long   O
-   O
term   O
damage   O
or   O
complications   O
that   O
may   O
require   O
intervention   O
.   O

Conclusion   O
:   O
Jeslyn   B-NAME
's   O
case   O
of   O
acute   O
-   O
on   O
-   O
chronic   O
pancreatitis   O
required   O
multidisciplinary   O
management   O
involving   O
aggressive   O
pain   O
management   O
,   O
nutritional   O
support   O
,   O
and   O
close   O
monitoring   O
for   O
complications   O
.   O

Early   O
intervention   O
and   O
comprehensive   O
inpatient   O
care   O
have   O
resulted   O
in   O
a   O
positive   O
outcome   O
,   O
with   O
Mila   B-NAME
Maddox   I-NAME
demonstrating   O
signs   O
of   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
58219832   B-ID
Mr.   O
Travaglia   B-NAME
,   I-NAME
Simon   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Alliance   I-LOCATION
on   O
2390   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
12   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Mr.   O
Landin   B-NAME
Campos   I-NAME
,   O
aged   O
88   O
,   O
stated   O
that   O
the   O
pain   O
is   O
sharp   O
and   O
persistent   O
,   O
rating   O
it   O
an   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Mr.   O
Mylee   B-NAME
Edwards   I-NAME
denies   O
recent   O
travel   O
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

Surgical   O
history   O
is   O
notable   O
for   O
appendectomy   O
performed   O
at   O
California   B-LOCATION
in   O
7/22   B-DATE
.   O

Mr.   O
Quinn   B-NAME
Rutledge   I-NAME
works   O
as   O
a   O
Diplomatic   O
service   O
at   O
Direct   B-LOCATION
Energy   I-LOCATION
.   O

On   O
physical   O
examination   O
,   O
Mr.   O
Jaxon   B-NAME
Shea   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Initial   O
laboratory   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Henson   B-NAME
,   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
urinalysis   O
(   O
UA   O
)   O
.   O

Mr.   O
Alaina   B-NAME
Olsen   I-NAME
was   O
admitted   O
to   O
Ellis   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Flavia   B-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

A   O
diagnostic   O
abdominal   O
ultrasound   O
was   O
performed   O
on   O
2313   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
27   I-DATE
which   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
without   O
perforation   O
.   O

Mr.   O
Cael   B-NAME
Kelley   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
02/36   B-DATE
.   O

The   O
procedure   O
was   O
completed   O
without   O
complications   O
by   O
Dr.   O
Bradshaw   B-NAME
.   O

Mr.   O
Edwards   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
transferred   O
to   O
recovery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
9/20/22   B-DATE
at   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Rockies   I-LOCATION
.   O

Contact   O
information   O
for   O
Mr.   O
Allyson   B-NAME
Hooper   I-NAME
includes   O
phone   O
number   O
281   B-CONTACT
8711   I-CONTACT
and   O
residence   O
at   O
Oceanport   B-LOCATION
,   O
80457   B-LOCATION
.   O

In   O
case   O
of   O
emergency   O
or   O
additional   O
inquiries   O
,   O
please   O
contact   O
Bob   B-LOCATION
Wilson   I-LOCATION
Memorial   I-LOCATION
Grant   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Ulysses   I-LOCATION
at   O
236   B-CONTACT
-   I-CONTACT
3367   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Dr.   O
Mason   B-NAME
,   O
Highline   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
on   O
08/22/69   B-DATE
.   O

Patient   O
ID   O
:   O
QO279/3188   B-ID

For   O
further   O
information   O
or   O
clarification   O
,   O
please   O
reach   O
out   O
to   O
kxw213   B-NAME
.   O

Patient   O
Report   O
for   O
Broderick   B-NAME
Dixon   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
10   O
month   O
Phone   O
:   O
(   B-CONTACT
431   I-CONTACT
)   I-CONTACT
418   I-CONTACT
1574   I-CONTACT
Medical   O
Record   O
Number   O
:   O
7343192   B-ID
ID   O
Number   O
:   O
CA:2015:483778   B-ID
Location   O
:   O
Medicine   B-LOCATION
Lodge   I-LOCATION
ZIP   O
:   O
34298   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
presented   O
to   O
MercyOne   B-LOCATION
West   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
4/21   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
more   O
severe   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Alongside   O
the   O
abdominal   O
pain   O
,   O
Hall   B-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Donna   B-NAME
Hull   I-NAME
,   O
a   O
New   O
Accounts   O
Clerks   O
,   O
has   O
not   O
experienced   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Earlier   O
on   O
the   O
day   O
of   O
admission   O
,   O
the   O
patient   O
consumed   O
food   O
from   O
a   O
new   O
restaurant   O
at   O
Fort   B-LOCATION
Indiantown   I-LOCATION
Gap   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Helveticus   B-NAME
,   I-NAME
Pagni   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Diagnostic   O
Tests   O
:   O
Preliminary   O
blood   O
tests   O
showed   O
elevated   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
μL.   O
An   O
abdominal   O
ultrasound   O
performed   O
by   O
McKay   B-NAME
indicated   O
appendicular   O
inflammation   O
,   O
suggesting   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

After   O
consultation   O
with   O
the   O
surgical   O
team   O
,   O
Savanna   B-NAME
Miles   I-NAME
was   O
prepped   O
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
procedure   O
,   O
conducted   O
on   O
2/07/2307   B-DATE
,   O
was   O
uneventful   O
,   O
and   O
the   O
inflamed   O
appendix   O
was   O
successfully   O
removed   O
.   O

Postoperative   O
recovery   O
is   O
currently   O
underway   O
at   O
McLeod   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Dillon   I-LOCATION
.   O

Teneil   B-NAME
has   O
been   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
and   O
pain   O
management   O
medication   O
.   O

Postoperative   O
instructions   O
include   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Zara   B-NAME
Quinn   I-NAME
in   O
2   O
weeks   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Barbara   B-NAME
Ely   I-NAME
is   O
expected   O
to   O
be   O
discharged   O
from   O
Rush   B-LOCATION
Copley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/09   B-DATE
.   O

Tri   B-LOCATION
-   I-LOCATION
County   I-LOCATION
EMC   I-LOCATION
will   O
provide   O
a   O
visiting   O
nurse   O
service   O
to   O
assist   O
with   O
wound   O
care   O
and   O
monitor   O
for   O
potential   O
complications   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
with   O
Rogers   B-NAME
will   O
assess   O
wound   O
healing   O
,   O
pain   O
management   O
,   O
and   O
discuss   O
any   O
further   O
care   O
needed   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
complications   O
,   O
Valorie   B-NAME
Howarth   I-NAME
or   O
family   O
members   O
can   O
contact   O
Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
89841   B-CONTACT
.   O

For   O
general   O
inquiries   O
or   O
medication   O
concerns   O
,   O
the   O
assigned   O
nurse   O
from   O
First   B-LOCATION
DuPage   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Westmont   I-LOCATION
can   O
be   O
reached   O
at   O
789   B-CONTACT
-   I-CONTACT
234   I-CONTACT
4617   I-CONTACT
.   O

This   O
report   O
is   O
prepared   O
by   O
zrw523   B-NAME
,   O
attested   O
by   O
Ayala   B-NAME
,   O
and   O
securely   O
stored   O
in   O
Aileen   B-NAME
Fernandez   I-NAME
’s   O
health   O
records   O
at   O
Truman   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hospital   I-LOCATION
Hill   I-LOCATION
.   O

Odin   B-NAME
Dorsey   I-NAME
-   O
Age   O
:   O
11   O
-   O
ID   O
:   O
ME654/7495   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
688   B-ID
-   I-ID
38   I-ID
-   I-ID
94   I-ID
-   O
Date   O
of   O
Birth   O
:   O
Sunday   B-DATE
-   O
Address   O
:   O
Lapeer   B-LOCATION
,   O
30551   B-LOCATION
-   O
Phone   O
Number   O
:   O
464   B-CONTACT
-   I-CONTACT
8016   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Frankie   B-NAME
Ortiz   I-NAME
-   O
Hospital   O
:   O
North   B-LOCATION
Central   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
-   O
Occupation   O
:   O
Social   O
Scientists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
-   O
Username   O
:   O
tr557   B-NAME
Clinical   O
Summary   O
:   O
Fleta   B-NAME
Scholes   I-NAME
,   O
a   O
12   O
-   O
year   O
-   O
old   O
Public   O
Transportation   O
Inspectors   O
,   O
presented   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Vallejo   I-LOCATION
on   O
Thursday   B-DATE
,   I-DATE
May   I-DATE
with   O
complaints   O
of   O
acute   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
.   O

Bowles   B-NAME
,   I-NAME
Ralston   I-NAME
reported   O
no   O
significant   O
relief   O
from   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
or   O
proton   O
pump   O
inhibitors   O
.   O

There   O
was   O
no   O
reported   O
history   O
of   O
alcohol   O
misuse   O
,   O
but   O
Jones   B-NAME
,   I-NAME
Norah   I-NAME
acknowledged   O
a   O
high   O
-   O
fat   O
diet   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
recorded   O
under   O
5419992   B-ID
,   O
was   O
revisited   O
to   O
check   O
for   O
any   O
previous   O
incidents   O
or   O
related   O
conditions   O
but   O
none   O
were   O
identified   O
.   O

Paxton   B-NAME
Pitts   I-NAME
was   O
admitted   O
to   O
Our   B-LOCATION
Lady   I-LOCATION
Of   I-LOCATION
Victory   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Lackawanna   I-LOCATION
for   O
close   O
monitoring   O
.   O

Follow   O
-   O
up   O
and   O
Instructions   O
:   O
Koehler   B-NAME
showed   O
significant   O
improvement   O
over   O
the   O
following   O
days   O
.   O

Riley   B-NAME
advised   O
on   O
dietary   O
management   O
post   O
-   O
discharge   O
,   O
emphasizing   O
the   O
importance   O
of   O
a   O
low   O
-   O
fat   O
diet   O
and   O
regular   O
follow   O
-   O
ups   O
.   O

Porter   B-NAME
Sutton   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Nichols   B-NAME
at   O
Banner   B-LOCATION
Ironwood   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/01/06   B-DATE
to   O
ensure   O
complete   O
resolution   O
of   O
the   O
pancreatitis   O
and   O
to   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
to   O
prevent   O
recurrence   O
.   O

Contact   O
information   O
for   O
the   O
gastroenterology   O
department   O
at   O
Grand   B-LOCATION
Itasca   I-LOCATION
Clinic   I-LOCATION
and   I-LOCATION
Hospital   I-LOCATION
was   O
given   O
,   O
with   O
a   O
phone   O
number   O
(   B-CONTACT
490   I-CONTACT
)   I-CONTACT
855   I-CONTACT
9273   I-CONTACT
for   O
appointments   O
or   O
concerns   O
.   O

Conclusion   O
:   O
Ellis   B-NAME
Grey   I-NAME
's   O
acute   O
pancreatitis   O
was   O
managed   O
effectively   O
through   O
supportive   O
care   O
and   O
targeted   O
intervention   O
.   O

Continued   O
care   O
and   O
observation   O
by   O
Colby   B-NAME
Escobar   I-NAME
and   O
the   O
team   O
at   O
Beverly   B-LOCATION
Hospital   I-LOCATION
are   O
essential   O
to   O
monitor   O
Kareem   B-NAME
Molina   I-NAME
's   O
recovery   O
and   O
minimize   O
the   O
risk   O
of   O
recurrence   O
.   O

Patient   O
Name   O
:   O
Devan   B-NAME
Chandler   I-NAME
Patient   O
ID   O
:   O
PQ:60680:252829   B-ID
Medical   O
Record   O
Number   O
:   O
16704398   B-ID
Date   O
of   O
Birth   O
:   O
30/22   B-DATE
Age   O
:   O
59   O
Address   O
:   O
SA77   B-LOCATION
1LN   I-LOCATION
,   O
33776   B-LOCATION
Phone   O
:   O
53929   B-CONTACT

Almasaro   B-NAME
Hospital   O
:   O
Monadnock   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Employment   O
:   O
Industrial   O
Production   O
Managers   O
at   O
International   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Defence   I-LOCATION
Committee   I-LOCATION
.   I-LOCATION
IHRDC   B-LOCATION
-   I-LOCATION
CIPDH   I-LOCATION
Username   O
:   O
klp670   B-NAME
Clinical   O
Report   O
Date   O
:   O
33/2069   B-DATE
Location   O
of   O
Consultation   O
:   O
Advocate   B-LOCATION
BroMenn   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Bigler   B-LOCATION
Summary   O
:   O
Tom   B-NAME
Callaghan   I-NAME
visited   O
the   O
clinic   O
on   O
0/20   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
recurring   O
epigastric   O
pain   O
that   O
radiates   O
to   O
the   O
back   O
,   O
noticeable   O
weight   O
loss   O
over   O
the   O
past   O
New   B-DATE
Years   I-DATE
Day   I-DATE
,   O
and   O
steatorrhea   O
.   O

Sophia   B-NAME
Holland   I-NAME
has   O
a   O
history   O
of   O
alcohol   O
abuse   O
and   O
was   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
mellitus   O
two   O
years   O
ago   O
.   O

Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Cook   B-NAME
's   O
weight   O
was   O
noted   O
to   O
be   O
significant   O
decreased   O
from   O
the   O
last   O
check   O
-   O
up   O
on   O
03/22/2282   B-DATE
.   O

Carlin   B-NAME
,   I-NAME
George   I-NAME
reports   O
no   O
change   O
in   O
medication   O
or   O
diet   O
prior   O
to   O
the   O
onset   O
of   O
symptoms   O
.   O

It   O
is   O
imperative   O
for   O
Laertes   B-NAME
to   O
completely   O
abstain   O
from   O
alcohol   O
to   O
prevent   O
further   O
damage   O
to   O
the   O
pancreas   O
and   O
to   O
mitigate   O
symptoms   O
.   O

A   O
referral   O
to   O
a   O
pain   O
specialist   O
at   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
may   O
be   O
considered   O
if   O
standard   O
therapy   O
does   O
not   O
provide   O
relief   O
.   O

5   O
.   O
Follow   O
-   O
up   O
-   O
Sedgwick   B-NAME
,   I-NAME
John   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
01/25   B-DATE
to   O
monitor   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

It   O
is   O
imperative   O
that   O
Jon   B-NAME
Rivers   I-NAME
complies   O
with   O
the   O
treatment   O
plan   O
to   O
manage   O
the   O
symptoms   O
of   O
chronic   O
pancreatitis   O
and   O
to   O
prevent   O
further   O
complications   O
related   O
to   O
the   O
disease   O
and   O
its   O
impact   O
on   O
diabetes   O
management   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
regarding   O
the   O
treatment   O
plan   O
,   O
Jaeger   B-NAME
can   O
reach   O
out   O
to   O
the   O
clinic   O
at   O
(   B-CONTACT
641   I-CONTACT
)   I-CONTACT
439   I-CONTACT
1635   I-CONTACT
.   O

Further   O
information   O
about   O
support   O
services   O
available   O
through   O
Riverside   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Florida   I-LOCATION
can   O
also   O
be   O
provided   O
upon   O
request   O
.   O

The   O
patient   O
,   O
Wolfowitz   B-NAME
,   I-NAME
Paul   I-NAME
,   O
a   O
0   O
month   O
-   O
year   O
-   O
old   O
Grounds   O
Maintenance   O
Workers   O
,   O
All   O
Other   O
from   O
Norwalk   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Norwalk   I-LOCATION
,   O
presented   O
to   O
NYC   B-LOCATION
Health   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Queens   I-LOCATION
on   O
2297   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
noted   O
to   O
have   O
started   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Shamika   B-NAME
Kirshner   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
,   O
with   O
two   O
episodes   O
of   O
vomiting   O
on   O
the   O
day   O
of   O
presentation   O
.   O

Upon   O
examination   O
,   O
the   O
attending   O
physician   O
,   O
Case   B-NAME
Preston   I-NAME
,   O
noted   O
that   O
Gaylene   B-NAME
Milliken   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Gregory   B-NAME
's   O
medical   O
record   O
number   O
755   B-ID
-   I-ID
19   I-ID
-   I-ID
98   I-ID
-   I-ID
9   I-ID
and   O
82215   B-ID
were   O
updated   O
to   O
reflect   O
these   O
findings   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Greer   B-NAME
diagnosed   O
Godfrey   B-NAME
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
recommended   O
,   O
and   O
Juliette   B-NAME
Gray   I-NAME
was   O
prepared   O
for   O
an   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
1/20   B-DATE
,   O
with   O
Karter   B-NAME
Lester   I-NAME
subsequently   O
admitted   O
to   O
Kit   B-LOCATION
Carson   I-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
postoperative   O
care   O
.   O

During   O
the   O
postoperative   O
period   O
,   O
Miya   B-NAME
Harvey   I-NAME
was   O
given   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
was   O
monitored   O
for   O
signs   O
of   O
complications   O
.   O

The   O
patient   O
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
Jeremiah   B-NAME
Mayo   I-NAME
was   O
discharged   O
on   O
12/04   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Sarven   B-NAME
,   I-NAME
Allen   I-NAME
in   O
two   O
weeks   O
.   O

Further   O
,   O
Carey   B-NAME
was   O
advised   O
to   O
abstain   O
from   O
heavy   O
lifting   O
and   O
to   O
follow   O
a   O
gradual   O
return   O
to   O
normal   O
activities   O
.   O

Kerouac   B-NAME
,   I-NAME
Jack   I-NAME
was   O
also   O
provided   O
with   O
a   O
phone   O
number   O
,   O
614   B-CONTACT
-   I-CONTACT
9360   I-CONTACT
,   O
to   O
call   O
in   O
case   O
of   O
any   O
emergencies   O
or   O
concerning   O
symptoms   O
.   O

Documentation   O
for   O
this   O
case   O
was   O
logged   O
in   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
,   I-LOCATION
Lower   I-LOCATION
Manhattan   I-LOCATION
Hospital   I-LOCATION
's   O
electronic   O
health   O
record   O
system   O
for   O
future   O
reference   O
and   O
to   O
assist   O
in   O
Ronni   B-NAME
Niau   I-NAME
's   O
ongoing   O
care   O
management   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Clark   B-NAME
Carey   I-NAME
Date   O
of   O
Birth   O
:   O
4/69   B-DATE
Age   O
:   O
27   O
Medical   O
Record   O
Number   O
:   O
726   B-ID
-   I-ID
76   I-ID
-   I-ID
63   I-ID
-   I-ID
2   I-ID
ID   O
Number   O
:   O
GC771/5368   B-ID
Contact   O
Number   O
:   O
16132   B-CONTACT
Address   O
:   O
Athens   B-LOCATION
,   O
80290   B-LOCATION
Occupation   O
:   O
Production   O
Workers   O
,   O
All   O
Other   O
Attending   O
Physician   O
:   O
Dr.   O
Small   B-NAME
Hospital   O
Name   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
York   I-LOCATION
Admission   O
Date   O
:   O
Sunday   B-DATE
Discharge   O
Date   O
:   O
22/32/81   B-DATE
Chief   O
Complaint   O
:   O
Wilson   B-NAME
Blackburn   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Excela   B-LOCATION
Frick   I-LOCATION
Hospital   I-LOCATION
on   O
Tuesday   B-DATE
,   I-DATE
May   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
that   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Sterling   B-NAME
,   I-NAME
Bruce   I-NAME
also   O
noted   O
a   O
feeling   O
of   O
impending   O
doom   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
diagnosed   O
6/4   B-DATE
-   O
Hypercholesterolemia   O
diagnosed   O
'   B-DATE
92   I-DATE
-   O
No   O
known   O
drug   O
allergies   O
-   O

No   O
prior   O
surgeries   O
Social   O
History   O
:   O
Bradyn   B-NAME
Pham   I-NAME
is   O
a   O
Gaming   O
Dealers   O
residing   O
in   O
Pink   B-LOCATION
and   O
admits   O
to   O
smoking   O
about   O
a   O
pack   O
of   O
cigarettes   O
a   O
day   O
for   O
the   O
past   O
20   O
years   O
.   O

Mercado   B-NAME
also   O
acknowledges   O
occasional   O
alcohol   O
consumption   O
but   O
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Hailee   B-NAME
Floyd   I-NAME
's   O
father   O
passed   O
away   O
due   O
to   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
74   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Tandy   B-NAME
Holleran   I-NAME
appeared   O
in   O
distress   O
with   O
labored   O
breathing   O
.   O

Treatment   O
:   O
Braylon   B-NAME
Dunn   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
morphine   O
for   O
pain   O
management   O
.   O

Based   O
on   O
the   O
initial   O
diagnosis   O
of   O
myocardial   O
infarction   O
,   O
Greene   B-NAME
,   I-NAME
Graham   I-NAME
was   O
referred   O
to   O
Dr.   O
Iyana   B-NAME
Hampton   I-NAME
for   O
cardiac   O
catheterization   O
.   O

Ireland   B-NAME
received   O
percutaneous   O
coronary   O
intervention   O
to   O
the   O
right   O
coronary   O
artery   O
during   O
the   O
same   O
admission   O
.   O

Discharge   O
Summary   O
:   O
Mark   B-NAME
Brandt   I-NAME
showed   O
significant   O
improvement   O
after   O
the   O
intervention   O
and   O
was   O
discharged   O
on   O
October   B-DATE
,   I-DATE
2191   I-DATE
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Dr.   O
Hale   B-NAME
at   O
North   B-LOCATION
Mississippi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Tupelo   I-LOCATION
and   O
with   O
a   O
cardiologist   O
in   O
Sebring   B-LOCATION
.   O

Zander   B-NAME
Gardner   I-NAME
was   O
also   O
advised   O
on   O
lifestyle   O
modifications   O
,   O
including   O
dietary   O
changes   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

Follow   O
-   O
up   O
:   O
Sarah   B-NAME
Sawyer   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Eileen   B-NAME
Calderon   I-NAME
at   O
Horsham   B-LOCATION
Clinic   I-LOCATION
,   I-LOCATION
The   I-LOCATION
on   O
2/29   B-DATE
to   O
assess   O
recovery   O
and   O
potential   O
medication   O
adjustments   O
.   O

Pipelaying   O
Fitters   O
-   O
548   B-CONTACT
8912   I-CONTACT
Secondary   O
Contact   O
:   O
Meteorologist   O
-   O
18368   B-CONTACT
This   O
report   O
is   O
intended   O
for   O
medical   O
use   O
by   O
the   O
professionals   O
attending   O
to   O
Clarence   B-NAME
K.   I-NAME
Hart   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Garrison   B-NAME
Patient   O
ID   O
:   O
199028   B-ID
Medical   O
Record   O
Number   O
:   O
4711510   B-ID
Date   O
of   O
Birth   O
:   O
13   B-DATE
-   I-DATE
25   I-DATE
Age   O
:   O
56   O
Phone   O
Number   O
:   O
64983   B-CONTACT
Address   O
:   O
Amber   B-LOCATION
,   O
81075   B-LOCATION
Occupation   O
:   O
Immigration   O
and   O
Customs   O
Inspectors   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Pete   B-NAME
Quintanar   I-NAME
,   O
presented   O
to   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Florence   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/82   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Medical   O
History   O
:   O
Duke   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
currently   O
being   O
managed   O
with   O
medication   O
prescribed   O
by   O
Farring   B-NAME
.   O

A   O
previous   O
appendectomy   O
was   O
performed   O
at   O
Loma   B-LOCATION
Linda   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
on   O
30/24/2000   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Dougherty   B-NAME
appeared   O
distressed   O
,   O
with   O
a   O
temperature   O
of   O
37.8   O
°   O
C   O
,   O
blood   O
pressure   O
recorded   O
at   O
130/85   O
mmHg   O
,   O
pulse   O
rate   O
at   O
98   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
at   O
20   O
breaths   O
per   O
minute   O
.   O

Ainsley   B-NAME
Mccoy   I-NAME
was   O
also   O
subjected   O
to   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
with   O
signs   O
of   O
early   O
perforation   O
.   O

After   O
consultation   O
with   O
Alana   B-NAME
Fung   I-NAME
,   O
Kripke   B-NAME
,   I-NAME
Saul   I-NAME
was   O
advised   O
for   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
on   O
32/21   B-DATE
.   O

Lenard   B-NAME
was   O
advised   O
post   O
-   O
operative   O
care   O
including   O
pain   O
management   O
,   O
antibiotic   O
therapy   O
,   O
and   O
wound   O
care   O
instructions   O
.   O

Follow   O
-   O
Up   O
:   O
Gilmore   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Payne   B-NAME
in   O
Mind   B-LOCATION
Freedom   I-LOCATION
International   I-LOCATION
on   O
10/11   B-DATE
for   O
post   O
-   O
operative   O
assessment   O
and   O
to   O
discuss   O
further   O
management   O
if   O
necessary   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Delana   B-NAME
Seekins   I-NAME
can   O
contact   O
Habersham   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
199   I-CONTACT
)   I-CONTACT
963   I-CONTACT
-   I-CONTACT
4945   I-CONTACT
or   O
reach   O
out   O
directly   O
to   O
Palmer   B-NAME
’s   O
office   O
via   O
the   O
provided   O
contact   O
number   O
.   O

This   O
report   O
was   O
prepared   O
by   O
WU494   B-NAME
on   O
0/2   B-DATE
and   O
is   O
confidential   O
.   O

All   O
Homestead   B-LOCATION
Public   I-LOCATION
Services   I-LOCATION
privacy   O
policies   O
have   O
been   O
adhered   O
to   O
in   O
the   O
preparation   O
of   O
this   O
document   O
.   O

Patient   O
Name   O
:   O
Cullen   B-NAME
Wright   I-NAME
Patient   O
Age   O
:   O
99   O
Date   O
of   O
Report   O
:   O
1/20   B-DATE
Medical   O
Record   O
Number   O
:   O
913   B-ID
-   I-ID
21   I-ID
-   I-ID
22   I-ID
-   I-ID
3   I-ID
Attending   O
Physician   O
:   O

Hansen   B-NAME
Hospital   O
Name   O
:   O
University   B-LOCATION
Hospital   I-LOCATION
Location   O
of   O
Event   O
:   O
Valencia   B-LOCATION
Patient   O
Zip   O
Code   O
:   O
48476   B-LOCATION
Patient   O
Phone   O
Number   O
:   O
61719   B-CONTACT
Patient   O
Occupation   O
:   O
Tax   O
Preparers   O
Reporter   O
Username   O
:   O

gsk291   B-NAME
Summary   O
of   O
the   O
report   O
:   O
Patient   O
Brandi   B-NAME
Xayasane   I-NAME
,   O
a   O
70   O
-   O
year   O
-   O
old   O
judge   O
residing   O
in   O
18   B-LOCATION
South   I-LOCATION
Oxford   I-LOCATION
St.   I-LOCATION
with   O
zip   O
code   O
80687   B-LOCATION
,   O
presented   O
to   O
Shriners   B-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
on   O
30/10/92   B-DATE
with   O
a   O
series   O
of   O
symptoms   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
week   O
.   O

Logan   B-NAME
Villanueva   I-NAME
's   O
medical   O
history   O
,   O
as   O
provided   O
by   O
the   O
attending   O
physician   O
Dan   B-NAME
Potter   I-NAME
,   O
includes   O
controlled   O
Type   O
II   O
Diabetes   O
Mellitus   O
and   O
a   O
history   O
of   O
hypertension   O
.   O

Upon   O
examination   O
,   O
Azaria   B-NAME
Madden   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
indicating   O
tachycardia   O
and   O
a   O
mild   O
increase   O
in   O
respiratory   O
rate   O
.   O

The   O
Azalee   B-NAME
Jefferson   I-NAME
ordered   O
a   O
chest   O
X   O
-   O
ray   O
,   O
which   O
suggested   O
bilateral   O
infiltrates   O
.   O

Hobbs   B-NAME
documented   O
the   O
initial   O
treatment   O
plan   O
to   O
include   O
supportive   O
care   O
with   O
oxygen   O
therapy   O
to   O
manage   O
the   O
patient   O
's   O
hypoxemia   O
,   O
intravenous   O
fluids   O
to   O
ensure   O
hydration   O
,   O
and   O
empirical   O
antibiotic   O
coverage   O
was   O
initiated   O
to   O
cover   O
potential   O
bacterial   O
superinfection   O
until   O
COVID-19   O
test   O
results   O
were   O
obtained   O
.   O

The   O
team   O
at   O
Coulee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
prepared   O
for   O
a   O
potential   O
escalation   O
of   O
care   O
,   O
should   O
the   O
patient   O
's   O
respiratory   O
status   O
worsen   O
,   O
necessitating   O
ventilatory   O
support   O
.   O

Moreover   O
,   O
Andy   B-NAME
Griffin   I-NAME
's   O
existing   O
comorbidities   O
added   O
an   O
additional   O
layer   O
of   O
complexity   O
to   O
the   O
ongoing   O
treatment   O
plan   O
,   O
necessitating   O
close   O
monitoring   O
of   O
blood   O
sugar   O
levels   O
and   O
blood   O
pressure   O
.   O

Patient   O
Vernon   B-NAME
consented   O
to   O
the   O
treatment   O
plan   O
via   O
phone   O
,   O
the   O
details   O
of   O
which   O
were   O
communicated   O
to   O
them   O
on   O
13   B-DATE
-   I-DATE
27   I-DATE
to   O
the   O
provided   O
contact   O
number   O
(   B-CONTACT
641   I-CONTACT
)   I-CONTACT
320   I-CONTACT
6577   I-CONTACT
.   O

Additionally   O
,   O
Baird   B-NAME
was   O
informed   O
about   O
potential   O
avenues   O
for   O
mental   O
health   O
support   O
via   O
telehealth   O
due   O
to   O
the   O
psychological   O
stress   O
associated   O
with   O
isolation   O
and   O
the   O
symptoms   O
experienced   O
.   O

ID   O
:   O
UH:12948:483480   B-ID
This   O
report   O
has   O
been   O
prepared   O
by   O
syk800   B-NAME
and   O
reviewed   O
by   O
the   O
attending   O
physician   O
Carlos   B-NAME
Mcneil   I-NAME
on   O
2028   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
32   I-DATE
.   O

All   O
information   O
contained   O
in   O
this   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
medical   O
team   O
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
,   O
and   O
other   O
authorized   O
City   B-LOCATION
of   I-LOCATION
Fort   I-LOCATION
Meade   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
personnel   O
involved   O
in   O
the   O
patient   O
's   O
care   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Lavina   B-NAME
Jean   I-NAME
Age   O
:   O
30   O
Address   O
:   O
Mesquite   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
75149   I-LOCATION
,   O
23125   B-LOCATION
Phone   O
Number   O
:   O
10953   B-CONTACT
Medical   O
Record   O
Number   O
:   O
667   B-ID
11   I-ID
15   I-ID
Date   O
of   O
Admission   O
:   O
10/26   B-DATE
Admitting   O
Physician   O
:   O

Sutton   B-NAME
Chief   O
Complaint   O
:   O
DUNN   B-NAME
,   I-NAME
VINCENT   I-NAME
presented   O
to   O
HealthAlliance   B-LOCATION
Hospital   I-LOCATION
:   I-LOCATION
Broadway   I-LOCATION
Campus   I-LOCATION
on   O
02/24   B-DATE
with   O
a   O
history   O
of   O
persistent   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
dyspnea   O
on   O
exertion   O
,   O
and   O
episodes   O
of   O
dizziness   O
over   O
the   O
past   O
week   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
W.   B-NAME
TAMAR   I-NAME
WHITEHEAD   I-NAME
,   O
a   O
Mail   O
Clerks   O
and   O
Mail   O
Machine   O
Operators   O
,   O
Except   O
Postal   O
Service   O
by   O
profession   O
,   O
noticed   O
the   O
onset   O
of   O
symptoms   O
approximately   O
seven   O
days   O
prior   O
to   O
admission   O
.   O

Devyn   B-NAME
Richmond   I-NAME
denies   O
recent   O
travel   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

On   O
examination   O
,   O
Thrasher   B-NAME
appeared   O
uncomfortable   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Melton   B-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
beta   O
-   O
blockers   O
as   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Admission   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
at   O
MercyOne   B-LOCATION
Dubuque   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
arranged   O
for   O
close   O
monitoring   O
and   O
further   O
management   O
,   O
including   O
possible   O
coronary   O
angiography   O
.   O

Disposition   O
:   O
As   O
of   O
June   B-DATE
,   O
Anderson   B-NAME
Abbott   I-NAME
remains   O
admitted   O
under   O
the   O
care   O
of   O
Ashlag   B-NAME
,   I-NAME
Baruch   I-NAME
.   O

For   O
further   O
information   O
or   O
updates   O
on   O
the   O
patient   O
’s   O
condition   O
,   O
please   O
contact   O
the   O
Cardiology   O
Department   O
at   O
UPMC   B-LOCATION
Pinnacle   I-LOCATION
Lititz   I-LOCATION
,   O
370   B-CONTACT
-   I-CONTACT
4059   I-CONTACT
.   O

Prepared   O
by   O
:   O
Chaim   B-NAME
Mcgrath   I-NAME
0/21/01   B-DATE
Note   O
:   O
This   O
is   O
a   O
synthetic   O
patient   O
report   O
created   O
for   O
illustrative   O
purposes   O
only   O
.   O

Patient   O
Name   O
:   O
Felicia   B-NAME
Ali   I-NAME
Age   O
:   O
11   O
Phone   O
Number   O
:   O
29901   B-CONTACT
Address   O
:   O
Teays   B-LOCATION
Valley   I-LOCATION
,   O
69874   B-LOCATION
Occupation   O
:   O

Markus   B-NAME
Wise   I-NAME
Hospital   O
:   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Manteca   I-LOCATION
Medical   O
Record   O
Number   O
:   O
345   B-ID
-   I-ID
15   I-ID
-   I-ID
14   I-ID
Patient   O
ID   O
:   O
ZR   B-ID
:   I-ID
FZ:5399   I-ID
Date   O
of   O
Initial   O
Visit   O
:   O
2299   B-DATE
Follow   O
-   O
up   O
Appointment   O
:   O
2141   B-DATE
Username   O
:   O
gv497   B-NAME
Chief   O
Complaint   O
:   O
Lurline   B-NAME
Dannecker   I-NAME
presented   O
at   O
Watauga   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/21   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
exacerbated   O
over   O
the   O
last   O
24   O
hours   O
.   O

Dania   B-NAME
Walls   I-NAME
reported   O
accompanying   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
a   O
low   O
-   O
grade   O
fever   O
,   O
and   O
loss   O
of   O
appetite   O
.   O

Medical   O
History   O
:   O
Cedric   B-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
,   O
diagnosed   O
in   O
2298   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
23   I-DATE
.   O

Kailee   B-NAME
Patrick   I-NAME
denied   O
any   O
recent   O
travel   O
outside   O
Farragut   B-LOCATION
or   O
any   O
changes   O
in   O
diet   O
or   O
medication   O
.   O

Examination   O
Highlights   O
:   O
Upon   O
physical   O
examination   O
,   O
Seagal   B-NAME
,   I-NAME
Steven   I-NAME
displayed   O
rebound   O
tenderness   O
and   O
muscle   O
guarding   O
localized   O
to   O
the   O
McBurney   O
's   O
point   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
findings   O
,   O
Ronan   B-NAME
Bishop   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consult   O
for   O
appendectomy   O
.   O

More   B-NAME
,   I-NAME
Hannah   I-NAME
was   O
informed   O
about   O
the   O
risks   O
associated   O
with   O
surgery   O
and   O
potential   O
complications   O
of   O
untreated   O
appendicitis   O
.   O

Follow   O
-   O
Up   O
:   O
Alexander   B-NAME
is   O
scheduled   O
to   O
return   O
to   O
Sound   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Of   I-LOCATION
Westchester   I-LOCATION
on   O
12/36/2023   B-DATE
for   O
post   O
-   O
operative   O
assessment   O
and   O
management   O
of   O
recovery   O
.   O

Additional   O
Notes   O
:   O
Gustavo   B-NAME
Wallace   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
21   O
-   O
weeks   O
post   O
-   O
surgery   O
.   O

Molimo   B-NAME
was   O
instructed   O
to   O
call   O
59063   B-CONTACT
for   O
any   O
urgent   O
concerns   O
or   O
to   O
report   O
signs   O
of   O
severe   O
infection   O
,   O
including   O
but   O
not   O
limited   O
to   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
,   O
fever   O
above   O
101   O
°   O
F   O
,   O
or   O
persistent   O
vomiting   O
.   O

Digital   O
Health   O
Record   O
Managed   O
by   O
:   O
Globe   B-LOCATION
Life   I-LOCATION
And   I-LOCATION
Accident   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Healthcare   O
Provider   O
:   O
Dr.   O
Munoz   B-NAME
at   O
Arroyo   B-LOCATION
Grande   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Contact   O
:   O
846   B-CONTACT
8112   I-CONTACT

Patient   O
Name   O
:   O
Janiah   B-NAME
Cabrera   I-NAME
ID   O
:   O
CP   B-ID
:   I-ID
SH:5134   I-ID
Medical   O
Record   O
Number   O
:   O
77425574   B-ID
Date   O
of   O
Birth   O
:   O
28   O
Date   O
of   O
Consultation   O
:   O
02/5   B-DATE
Hospital   O
:   O
Eaton   B-LOCATION
Rapids   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Consulting   O
Doctor   O
:   O
Jake   B-NAME
Cook   I-NAME
Contact   O
Number   O
:   O
507   B-CONTACT
5017   I-CONTACT
Address   O
:   O
Billings   B-LOCATION
,   O
19543   B-LOCATION
Occupation   O
:   O
Gaming   O
Supervisors   O
Username   O
:   O
QD131   B-NAME
Clinical   O
Summary   O
:   O
Keshawn   B-NAME
Giles   I-NAME
,   O
a   O
99   O
-   O
year   O
-   O
old   O
Bioinformatics   O
Technicians   O
from   O
Port   B-LOCATION
Allen   I-LOCATION
,   O
82971   B-LOCATION
,   O
presented   O
to   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Lourdes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2362   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
21   I-DATE
,   O
with   O
complaints   O
of   O
persistent   O
,   O
dull   O
aching   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
for   O
the   O
past   O
72   O
hours   O
.   O

Davis   B-NAME
Cherry   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
noted   O
since   O
the   O
onset   O
of   O
the   O
abdominal   O
discomfort   O
.   O

Schmitt   B-NAME
denied   O
any   O
recent   O
travel   O
history   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
or   O
urinary   O
symptoms   O
.   O

Upon   O
physical   O
examination   O
by   O
Dixon   B-NAME
,   O
Colten   B-NAME
,   I-NAME
James   I-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
voluntary   O
guarding   O
,   O
but   O
no   O
rebound   O
tenderness   O
was   O
noted   O
.   O

msx873   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
abdominal   O
ultrasound   O
which   O
was   O
conducted   O
on   O
22/30/2282   B-DATE
.   O

Subsequently   O
,   O
surgical   O
consultation   O
was   O
recommended   O
by   O
Webster   B-NAME
,   O
and   O
Youngman   B-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
at   O
Bethesda   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
without   O
any   O
intraoperative   O
complications   O
.   O

IKI   B-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
2186   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
05   I-DATE
with   O
post   O
-   O
operative   O
instructions   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
.   O

Instructions   O
upon   O
discharge   O
included   O
advising   O
Cardenas   B-NAME
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
,   O
adhere   O
to   O
a   O
prescribed   O
antibiotic   O
regimen   O
,   O
and   O
monitor   O
for   O
signs   O
of   O
infection   O
around   O
the   O
incision   O
site   O
.   O

Follow   O
-   O
up   O
was   O
arranged   O
with   O
Fuller   B-NAME
at   O
McLaren   B-LOCATION
Port   I-LOCATION
Huron   I-LOCATION
,   O
and   O
Shanon   B-NAME
Kirwin   I-NAME
was   O
provided   O
with   O
an   O
emergency   O
contact   O
number   O
,   O
(   B-CONTACT
751   I-CONTACT
)   I-CONTACT
345   I-CONTACT
7828   I-CONTACT
,   O
should   O
they   O
experience   O
any   O
post   O
-   O
operative   O
complications   O
.   O

This   O
clinical   O
summary   O
is   O
intended   O
for   O
continued   O
care   O
and   O
should   O
accompany   O
Ramonita   B-NAME
Bundette   I-NAME
to   O
all   O
subsequent   O
healthcare   O
provider   O
visits   O
.   O

For   O
further   O
information   O
or   O
updates   O
on   O
NEWTON   B-NAME
,   I-NAME
QUEEN   I-NAME
's   O
condition   O
,   O
healthcare   O
providers   O
can   O
contact   O
Crenshaw   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
medical   O
records   O
department   O
at   O
10435   B-CONTACT
.   O

Patient   O
Report   O
:   O
University   B-LOCATION
and   I-LOCATION
College   I-LOCATION
Union   I-LOCATION
Hospital   O
Patient   O
Name   O
:   O
Natasha   B-NAME
Vaughn   I-NAME
Medical   O
Record   O
Number   O
:   O
8728889   B-ID
Date   O
of   O
Admission   O
:   O
31/14   B-DATE
Date   O
of   O
Report   O
:   O
13/21   B-DATE
Attending   O
Physician   O
:   O
Mcguire   B-NAME
Age   O
:   O
61   O
Phone   O
Number   O
:   O
256   B-CONTACT
7644   I-CONTACT
Location   O
:   O
Moores   B-LOCATION
Mill   I-LOCATION
,   O
79663   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Exhibition   O
display   O
designer   O
by   O
profession   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Orlando   B-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
Hospital   O
on   O
August   B-DATE
20   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Conway   B-NAME
has   O
been   O
in   O
their   O
usual   O
state   O
of   O
health   O
until   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
when   O
they   O
began   O
experiencing   O
sharp   O
,   O
cramping   O
abdominal   O
pain   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Kaleb   B-NAME
Meadows   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
at   O
Lowell   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Saints   I-LOCATION
Campus   I-LOCATION
was   O
consulted   O
,   O
and   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

Palmer   B-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
,   O
surgical   O
procedure   O
,   O
potential   O
risks   O
,   O
and   O
expected   O
outcomes   O
.   O

Makya   B-NAME
is   O
currently   O
scheduled   O
for   O
surgery   O
on   O
03/37   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Post   O
-   O
operative   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
30/22   B-DATE
in   O
the   O
surgical   O
outpatient   O
department   O
at   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Gladwin   I-LOCATION
.   O

Lasorda   B-NAME
,   I-NAME
Tommy   I-NAME
will   O
be   O
given   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
post   O
-   O
operative   O
activity   O
restrictions   O
.   O

Physician   O
's   O
Signature   O
:   O
Patrick   B-NAME
June   B-DATE
22   I-DATE

Patient   O
Report   O
Patient   O
Information   O
Name   O
:   O
Peter   B-NAME
Prentice   I-NAME
Age   O
:   O
45   O
Phone   O
Number   O
:   O
131   B-CONTACT
8264   I-CONTACT
Medical   O
Record   O
Number   O
:   O
9259   B-ID
:   I-ID
Q79635   I-ID
ID   O
Number   O
:   O
40239   B-ID
Address   O
:   O
Cissna   B-LOCATION
Park   I-LOCATION
,   O
63360   B-LOCATION
Date   O
of   O
Initial   O
Consultation   O
:   O
September   B-DATE
Physician   O
:   O

Long   B-NAME
Hospital   O
:   O
South   B-LOCATION
Shore   I-LOCATION
Hospital   I-LOCATION
Presentation   O
:   O
Victor   B-NAME
Z.   I-NAME
Qazi   I-NAME
presented   O
to   O
the   O
outpatient   O
department   O
of   O
Long   B-LOCATION
Beach   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/20   B-DATE
with   O
complaints   O
of   O
progressively   O
worsening   O
shortness   O
of   O
breath   O
and   O
a   O
dry   O
cough   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Dierdre   B-NAME
Mullan   I-NAME
reported   O
experiencing   O
episodes   O
of   O
nocturnal   O
dyspnea   O
and   O
stated   O
that   O
these   O
symptoms   O
have   O
limited   O
their   O
ability   O
to   O
perform   O
daily   O
activities   O
,   O
especially   O
activities   O
related   O
to   O
their   O
profession   O
as   O
a   O
Helpers   O
--   O
Pipelayers   O
,   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
.   O

Medical   O
History   O
:   O
Nicholas   B-NAME
Whaley   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
.   O

Macey   B-NAME
Zavala   I-NAME
's   O
medication   O
regimen   O
includes   O
Metformin   O
,   O
Lisinopril   O
,   O
and   O
a   O
statin   O
,   O
which   O
they   O
have   O
been   O
on   O
for   O
the   O
past   O
five   O
years   O
.   O

Examination   O
:   O
Physical   O
examination   O
showed   O
Kimball   B-NAME
Lukas   I-NAME
Abraham   I-NAME
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Diagnostics   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
31/2   B-DATE
demonstrated   O
bilateral   O
lower   O
lobe   O
infiltrates   O
,   O
suggestive   O
of   O
a   O
possible   O
pneumonia   O
or   O
pulmonary   O
edema   O
.   O

Plan   O
:   O
The   O
initial   O
management   O
plan   O
includes   O
starting   O
Wilberforce   B-NAME
,   I-NAME
William   I-NAME
on   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
and   O
ordering   O
a   O
follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
for   O
December   B-DATE
.   O

Kendra   B-NAME
Brennan   I-NAME
was   O
also   O
advised   O
to   O
monitor   O
their   O
blood   O
glucose   O
levels   O
more   O
closely   O
and   O
report   O
any   O
significant   O
changes   O
in   O
symptoms   O
,   O
especially   O
worsening   O
respiratory   O
distress   O
.   O

A   O
referral   O
to   O
a   O
pulmonologist   O
affiliated   O
with   O
Huntsman   B-LOCATION
Cancer   I-LOCATION
Institute   I-LOCATION
for   O
further   O
evaluation   O
was   O
made   O
,   O
with   O
an   O
appointment   O
scheduled   O
for   O
22/21   B-DATE
.   O
Follow   O
-   O
up   O
:   O
Alivia   B-NAME
Rubio   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Watkins   B-NAME
on   O
00/22   B-DATE
to   O
review   O
the   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Further   O
instructions   O
were   O
provided   O
to   O
Fakes   B-NAME
,   I-NAME
Dennis   I-NAME
to   O
maintain   O
a   O
log   O
of   O
symptoms   O
and   O
any   O
new   O
or   O
exacerbating   O
factors   O
.   O

For   O
any   O
emergencies   O
or   O
significant   O
changes   O
in   O
condition   O
,   O
Goodwin   B-NAME
or   O
their   O
family   O
members   O
were   O
advised   O
to   O
contact   O
the   O
clinic   O
directly   O
at   O
371   B-CONTACT
5593   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
Rehabilitation   B-LOCATION
Hospital   I-LOCATION
.   O

Prepared   O
by   O
:   O
ST68   B-NAME

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Constantine   B-NAME
III   I-NAME
Metott   I-NAME
-   O
Age   O
:   O
40   O
-   O
Date   O
of   O
Birth   O
:   O
Tuesday   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
650   B-ID
-   I-ID
84   I-ID
-   I-ID
17   I-ID
-   I-ID
7   I-ID
-   O
ID   O
Number   O
:   O
RI   B-ID
:   I-ID
QO:2353   I-ID
-   O
Contact   O
Number   O
:   O
682   B-CONTACT
9533   I-CONTACT
-   O
Address   O
:   O
Starkville   B-LOCATION
,   O
71991   B-LOCATION
-   O
Attending   O
Physician   O
:   O

Kassidy   B-NAME
Romero   I-NAME
-   O
Hospital   O
:   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Marquette   I-LOCATION
Presenting   O
Complaint   O
:   O

George   B-NAME
presented   O
to   O
Western   B-LOCATION
Reserve   I-LOCATION
Hospital   I-LOCATION
on   O
00/06/1956   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
headache   O
,   O
primarily   O
located   O
in   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

These   O
headaches   O
have   O
been   O
occurring   O
for   O
the   O
past   O
06/75   B-DATE
and   O
have   O
progressively   O
increased   O
in   O
intensity   O
.   O

Medical   O
History   O
:   O
Barbara   B-NAME
Hickman   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
,   O
diagnosed   O
in   O
11/21   B-DATE
,   O
and   O
is   O
currently   O
under   O
medication   O
.   O

Past   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
in   O
5/1   B-DATE
.   O

Owen   B-NAME
Maestro   I-NAME
denies   O
any   O
history   O
of   O
allergies   O
or   O
adverse   O
reactions   O
to   O
medications   O
.   O

Investigations   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
,   O
a   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
was   O
performed   O
on   O
Tuesday   B-DATE
,   I-DATE
May   I-DATE
,   O
which   O
did   O
not   O
exhibit   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

Diagnosis   O
:   O
The   O
primary   O
diagnosis   O
for   O
Morris   B-NAME
,   I-NAME
Errol   I-NAME
is   O
Migraine   O
without   O
aura   O
,   O
based   O
on   O
the   O
International   O
Classification   O
of   O
Headache   O
Disorders   O
(   O
ICHD   O
)   O
criteria   O
.   O

4   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Lynch   B-NAME
in   O
30/32/2002   B-DATE
for   O
reassessment   O
and   O
adjustment   O
of   O
treatment   O
as   O
necessary   O
.   O

Disposition   O
:   O
Jamie   B-NAME
Uchida   I-NAME
was   O
discharged   O
from   O
Lourdes   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
detailed   O
patient   O
education   O
on   O
migraine   O
management   O
and   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
treatment   O
plan   O
.   O

Follow   O
-   O
Up   O
Instructions   O
:   O
Please   O
contact   O
Alfredo   B-NAME
Gallegos   I-NAME
's   O
office   O
at   O
22873   B-CONTACT
for   O
any   O
concerns   O
or   O
to   O
schedule   O
your   O
follow   O
-   O
up   O
appointment   O
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
dial   O
(   B-CONTACT
814   I-CONTACT
)   I-CONTACT
291   I-CONTACT
-   I-CONTACT
9524   I-CONTACT
or   O
go   O
to   O
your   O
nearest   O
emergency   O
room   O
.   O

Note   O
:   O
This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Enrique   B-NAME
Zuniga   I-NAME
,   O
Beth   B-LOCATION
Israel   I-LOCATION
Deaconess   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Milton   I-LOCATION
,   O
and   O
designated   O
healthcare   O
providers   O
.   O

Report   O
Prepared   O
By   O
:   O
yoe373   B-NAME
Date   O
:   O
12/2302   B-DATE

Patient   O
Name   O
:   O
Denham   B-NAME
,   I-NAME
John   I-NAME
Patient   O
ID   O
:   O
JN:72230:863640   B-ID
Medical   O
Record   O
Number   O
:   O
3619D46325   B-ID
Date   O
of   O
Birth   O
:   O
March   B-DATE
11   I-DATE
Phone   O
Number   O
:   O
915   B-CONTACT
-   I-CONTACT
2193   I-CONTACT
Address   O
:   O
Souderton   B-LOCATION
,   O
65869   B-LOCATION

Rowland   B-NAME
Hospital   O
Name   O
:   O
Plastic   B-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
Date   O
of   O
Admission   O
:   O
04/67   B-DATE
Date   O
of   O
Report   O
:   O
02/36/93   B-DATE

Presenting   O
Complaints   O
:   O
LOGAN   B-NAME
COLEMAN   I-NAME
,   O
a   O
74   O
-   O
year   O
-   O
old   O
Executive   O
Secretaries   O
and   O
Administrative   O
Assistants   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Sutter   B-LOCATION
Delta   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/00/2349   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
associated   O
with   O
nausea   O
and   O
an   O
episode   O
of   O
vomiting   O
.   O

The   O
headache   O
was   O
described   O
as   O
having   O
started   O
suddenly   O
on   O
the   O
morning   O
of   O
May   B-DATE
,   O
with   O
pain   O
intensity   O
progressively   O
worsening   O
over   O
the   O
course   O
of   O
the   O
day   O
.   O

Makenzie   B-NAME
Barry   I-NAME
has   O
a   O
history   O
of   O
migraines   O
,   O
but   O
indicates   O
that   O
the   O
current   O
episode   O
is   O
significantly   O
more   O
severe   O
than   O
usual   O
episodes   O
.   O

Social   O
History   O
:   O
Nicholas   B-NAME
Osuna   I-NAME
is   O
a   O
Mobile   O
developer   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

On   O
examination   O
,   O
Villa   B-NAME
was   O
alert   O
and   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

Investigations   O
:   O
-   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
Comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
,   O
and   O
Coagulation   O
profile   O
were   O
within   O
normal   O
limits   O
.   O
-   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
head   O
performed   O
on   O
13/3/61   B-DATE
showed   O
no   O
acute   O
abnormalities   O
.   O

-   O
Lumbar   O
puncture   O
was   O
deferred   O
as   O
Gibson   B-NAME
,   I-NAME
William   I-NAME
Ford   I-NAME
did   O
not   O
consent   O
.   O

The   O
exacerbation   O
in   O
the   O
severity   O
of   O
symptoms   O
beyond   O
usual   O
migraines   O
warrants   O
a   O
review   O
of   O
Patricia   B-NAME
N   I-NAME
Vallejo   I-NAME
's   O
current   O
migraine   O
management   O
plan   O
.   O

2   O
.   O
Start   O
Deshawn   B-NAME
on   O
a   O
course   O
of   O
a   O
corticosteroid   O
taper   O
for   O
potential   O
status   O
migrainosus   O
.   O

Schedule   O
follow   O
-   O
up   O
appointment   O
at   O
the   O
neurology   O
clinic   O
for   O
1877   B-DATE
to   O
discuss   O
potential   O
adjustments   O
to   O
migraine   O
prophylaxis   O
regimen   O
.   O

Advise   O
Josh   B-NAME
on   O
stress   O
management   O
techniques   O
and   O
consider   O
referral   O
to   O
a   O
psychologist   O
for   O
cognitive   O
-   O
behavioral   O
therapy   O
.   O

Follow   O
-   O
Up   O
:   O
Arias   B-NAME
is   O
to   O
be   O
closely   O
monitored   O
over   O
the   O
next   O
24   O
hours   O
for   O
response   O
to   O
treatment   O
and   O
potential   O
adverse   O
reactions   O
.   O

The   O
neurology   O
team   O
will   O
review   O
on   O
15/35/2091   B-DATE
during   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
.   O

Prepared   O
by   O
:   O
Kristian   B-NAME
Saunders   I-NAME
Reviewed   O
by   O
:   O
Amanda   B-NAME
Bentley   I-NAME
Hospital   O
:   O
ThedaCare   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Neenah   I-LOCATION
Contact   O
Information   O
for   O
the   O
Neurology   O
Department   O
:   O
22816   B-CONTACT

Patient   O
Report   O
for   O
Callahan   B-NAME
8/35   B-DATE
,   O
Harborview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Vermilion   B-LOCATION
,   I-LOCATION
AB   I-LOCATION
T9X   I-LOCATION
6G2   I-LOCATION
Medical   O
Record   O
:   O
96773093   B-ID
ID   O
:   O
ZG651/1641   B-ID
51   O
-   O
year   O
-   O
old   O
Health   O
Educators   O
presented   O
to   O
the   O
Emergency   O
Department   O
on   O
21/32   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
,   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Lucas   B-NAME
denies   O
any   O
prior   O
episodes   O
.   O

Kylan   B-NAME
Cherry   I-NAME
also   O
reported   O
nausea   O
without   O
vomiting   O
,   O
and   O
denied   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
constipation   O
.   O

Step   B-NAME
has   O
no   O
known   O
drug   O
allergies   O
.   O

On   O
physical   O
examination   O
,   O
Dobson   B-NAME
,   I-NAME
James   I-NAME
appeared   O
in   O
moderate   O
distress   O
.   O

Hart   B-NAME
recommended   O
an   O
abdominal   O
ultrasound   O
to   O
further   O
assess   O
the   O
cause   O
of   O
the   O
pain   O
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

Alexander   B-NAME
was   O
admitted   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Mint   I-LOCATION
Hill   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
surgical   O
intervention   O
.   O

The   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
07/73   B-DATE
by   O
Avery   B-NAME
Hampton   I-NAME
and   O
was   O
uncomplicated   O
.   O

Chambers   B-NAME
,   I-NAME
Oswald   I-NAME
's   O
postoperative   O
course   O
was   O
notable   O
for   O
good   O
pain   O
control   O
and   O
tolerance   O
of   O
a   O
liquid   O
diet   O
by   O
postoperative   O
day   O
one   O
.   O

Alysha   B-NAME
Mostoller   I-NAME
was   O
discharged   O
home   O
on   O
February   B-DATE
36   I-DATE
,   I-DATE
2310   I-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Elias   B-NAME
Hancock   I-NAME
in   O
one   O
week   O
.   O

For   O
postoperative   O
care   O
,   O
Gwen   B-NAME
K.   I-NAME
Xique   I-NAME
was   O
advised   O
to   O
monitor   O
the   O
incision   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

Gonzales   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
pain   O
management   O
medication   O
.   O

In   O
case   O
of   O
any   O
questions   O
or   O
if   O
there   O
's   O
need   O
for   O
immediate   O
assistance   O
,   O
Aniyah   B-NAME
Bush   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
for   O
Mulhall   B-LOCATION
's   O
Surgical   O
Department   O
at   O
97427   B-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
zzv67   B-NAME
,   O
M.D.   O
First   B-LOCATION
Security   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
19448   B-LOCATION

Patient   O
Report   O
for   O
Jaylene   B-NAME
Figueroa   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
524591397   B-ID
-   O
Age   O
:   O
5   O
month   O
-   O
Phone   O
:   O
53924   B-CONTACT
-   O
Address   O
:   O
Glassboro   B-LOCATION
,   I-LOCATION
Borough   I-LOCATION
of   I-LOCATION
Glassboro   I-LOCATION
,   O
14260   B-LOCATION
-   O
Profession   O
:   O
barber   O
-   O
Attending   O
Physician   O
:   O

Hailey   B-NAME
Davenport   I-NAME
-   O
Date   O
of   O
Admission   O
:   O
11/27   B-DATE
-   O
Hospital   O
:   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Southeast   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
25925305   B-ID
Clinical   O
Summary   O
:   O
Love   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Touro   B-LOCATION
Infirmary   I-LOCATION
on   O
8/21   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
101.2   O
°   O
F   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
after   O
conducting   O
a   O
preliminary   O
ultrasound   O
at   O
the   O
radiology   O
department   O
of   O
Kendall   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
suspected   O
.   O

The   O
attending   O
physician   O
,   O
Monroe   B-NAME
,   I-NAME
Marilyn   I-NAME
,   O
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Prior   O
to   O
surgery   O
,   O
Jaramillo   B-NAME
was   O
started   O
on   O
intravenous   O
fluids   O
and   O
antibiotics   O
to   O
manage   O
infection   O
and   O
hydration   O
.   O

Outcome   O
:   O
The   O
surgical   O
procedure   O
,   O
performed   O
on   O
1821   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
03   I-DATE
,   O
was   O
successful   O
without   O
any   O
immediate   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Vogel   B-NAME
was   O
discharged   O
on   O
4/22   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Vallie   B-NAME
Bonomo   I-NAME
in   O
two   O
weeks   O
at   O
Washington   B-LOCATION
Hospital   I-LOCATION
.   O

Prescriptions   O
for   O
pain   O
management   O
and   O
oral   O
antibiotics   O
were   O
provided   O
to   O
Jakobe   B-NAME
Sexton   I-NAME
.   O

Instructions   O
were   O
also   O
given   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
and   O
to   O
contact   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Nampa   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
943   B-CONTACT
749   I-CONTACT
1205   I-CONTACT
for   O
any   O
concerns   O
.   O

Conclusion   O
:   O
Shawn   B-NAME
Stein   I-NAME
’s   O
acute   O
appendicitis   O
was   O
timely   O
diagnosed   O
and   O
treated   O
successfully   O
with   O
surgical   O
intervention   O
.   O

For   O
any   O
further   O
assistance   O
or   O
information   O
regarding   O
this   O
case   O
,   O
Savanah   B-NAME
Villa   I-NAME
or   O
the   O
medical   O
staff   O
at   O
Broward   B-LOCATION
Health   I-LOCATION
Weston   I-LOCATION
can   O
be   O
contacted   O
at   O
97768   B-CONTACT
.   O

Please   O
refer   O
to   O
the   O
medical   O
record   O
number   O
7575524   B-ID
for   O
Duran   B-NAME
’s   O
details   O
.   O

Patient   O
Report   O
for   O
Makya   B-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
7578452   I-ID
Medical   O
Record   O
Number   O
:   O
163   B-ID
-   I-ID
13   I-ID
-   I-ID
19   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Birth   O
:   O
1885   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
19   I-DATE
Age   O
:   O
15   O
Phone   O
Number   O
:   O
(   B-CONTACT
281   I-CONTACT
)   I-CONTACT
625   I-CONTACT
-   I-CONTACT
8557   I-CONTACT
Residing   O
at   O
:   O
Oto   B-LOCATION
,   O
22861   B-LOCATION
Chief   O
Complaint   O
:   O
Elias   B-NAME
Q.   I-NAME
Mercado   I-NAME
visited   O
our   O
facility   O
on   O
3/3   B-DATE
with   O
primary   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
intermittent   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
week   O
.   O

Bruce   B-NAME
Bowers   I-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
moderate   O
,   O
unquantified   O
weight   O
loss   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
symptoms   O
occurred   O
approximately   O
10/09/1747   B-DATE
,   O
beginning   O
with   O
mild   O
discomfort   O
that   O
progressively   O
worsened   O
.   O

Erasmo   B-NAME
Vecchio   I-NAME
denies   O
the   O
presence   O
of   O
blood   O
in   O
the   O
vomitus   O
or   O
stools   O
.   O

Margrett   B-NAME
Lorence   I-NAME
,   O
a   O
Soil   O
and   O
Plant   O
Scientists   O
,   O
mentioned   O
significant   O
work   O
-   O
related   O
stress   O
over   O
the   O
past   O
month   O
.   O

Past   O
Medical   O
History   O
:   O
Phoenix   B-NAME
Fields   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
was   O
previously   O
treated   O
with   O
PPIs   O
two   O
years   O
ago   O
.   O

Karter   B-NAME
Duran   I-NAME
denies   O
any   O
history   O
of   O
smoking   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Medication   O
:   O
Aguilera   B-NAME
had   O
self   O
-   O
medicated   O
with   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
,   O
with   O
little   O
to   O
no   O
relief   O
of   O
symptoms   O
.   O

Acie   B-NAME
is   O
a   O
Archeologists   O
,   O
living   O
in   O
Agar   B-LOCATION
with   O
no   O
significant   O
travel   O
history   O
in   O
the   O
past   O
year   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bruce   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Gaye   B-NAME
,   I-NAME
Marvin   I-NAME
has   O
been   O
prescribed   O
a   O
proton   O
pump   O
inhibitor   O
(   O
PPI   O
)   O
to   O
manage   O
GERD   O
symptoms   O
.   O

2   O
.   O
Referral   O
to   O
a   O
gastroenterologist   O
,   O
Reagan   B-NAME
Faulkner   I-NAME
,   O
for   O
further   O
evaluation   O
,   O
including   O
a   O
potential   O
upper   O
gastrointestinal   O
endoscopy   O
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
March   B-DATE
2370   I-DATE
at   O
UPMC   B-LOCATION
Pinnacle   I-LOCATION
Lititz   I-LOCATION
to   O
review   O
test   O
results   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

Copeland   B-NAME
was   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
such   O
as   O
bloody   O
stools   O
,   O
severe   O
vomiting   O
,   O
or   O
chest   O
pain   O
arise   O
.   O

2   O
.   O
Contact   O
information   O
for   O
the   O
follow   O
-   O
up   O
visit   O
:   O
40408   B-CONTACT
at   O
Mercy   B-LOCATION
Gilbert   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Report   O
prepared   O
by   O
:   O
bg976   B-NAME
Date   O
:   O
32/06/2047   B-DATE
Organization   O
:   O

Emotions   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
EA   I-LOCATION
)   I-LOCATION
Contact   O
for   O
Queries   O
:   O
290   B-CONTACT
361   I-CONTACT
-   I-CONTACT
4753   I-CONTACT

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
XC636/7189   B-ID
Medical   O
Record   O
Number   O
:   O
07924572   B-ID
Name   O
:   O
Chesterton   B-NAME
,   I-NAME
Gilbert   I-NAME
Keith   I-NAME
Age   O
:   O
10   O
Phone   O
Number   O
:   O
(   B-CONTACT
174   I-CONTACT
)   I-CONTACT
541   I-CONTACT
-   I-CONTACT
4498   I-CONTACT
Address   O
:   O
Tioga   B-LOCATION
,   O
14754   B-LOCATION
Profession   O
:   O
Hotel   O
,   O
Motel   O
,   O
and   O
Resort   O
Desk   O
Clerks   O
Username   O
:   O
XT8310   B-NAME
Date   O
of   O
Consultation   O
:   O
Thursday   B-DATE
Attending   O
Physician   O
:   O
Morse   B-NAME
Hospital   O
:   O
Jackson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Abstract   O
:   O
Sullivan   B-NAME
,   O
a   O
8   O
-   O
year   O
-   O
old   O
Education   O
Administrators   O
,   O
Preschool   O
and   O
Childcare   O
Center   O
/   O
Program   O
residing   O
in   O
Jupiter   B-LOCATION
Island   I-LOCATION
(   O
24625   B-LOCATION
)   O
,   O
presented   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Johnstown   I-LOCATION
on   O
2105   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
concentrated   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Clinical   O
History   O
:   O
Mcdowell   B-NAME
denied   O
any   O
significant   O
past   O
medical   O
history   O
or   O
surgical   O
interventions   O
.   O

Mitchell   B-NAME
Stein   I-NAME
does   O
not   O
take   O
any   O
prescription   O
medications   O
,   O
over   O
-   O
the   O
-   O
counter   O
drugs   O
,   O
or   O
supplements   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Avalos   B-NAME
,   I-NAME
Holly   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
temperature   O
37.8   O
°   O
C   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
18   O
breaths   O
/   O
min   O
.   O
Abdominal   O
examination   O
revealed   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
a   O
positive   O
Blumberg   O
's   O
sign   O
.   O

Treatment   O
and   O
Outcome   O
:   O
Hadassah   B-NAME
Levine   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

JAY   B-NAME
CARROLL   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
2052   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
31   I-DATE
.   O

The   O
postoperative   O
period   O
was   O
uneventful   O
,   O
and   O
FLC   B-NAME
was   O
discharged   O
from   O
Cheyenne   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Saint   I-LOCATION
Francis   I-LOCATION
on   O
Saturday   B-DATE
,   I-DATE
April   I-DATE
with   O
instructions   O
for   O
postoperative   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

The   O
clinical   O
presentation   O
of   O
Livia   B-NAME
Spence   I-NAME
was   O
classic   O
for   O
appendicitis   O
,   O
emphasizing   O
the   O
importance   O
of   O
a   O
thorough   O
history   O
and   O
physical   O
examination   O
in   O
the   O
diagnosis   O
.   O

Conclusion   O
:   O
Kimball   B-NAME
Lukas   I-NAME
Abraham   I-NAME
,   O
a   O
34   O
-   O
year   O
-   O
old   O
Anthropologists   O
and   O
Archeologists   O
from   O
South   B-LOCATION
Brooksville   I-LOCATION
,   O
presented   O
with   O
symptoms   O
and   O
diagnostic   O
findings   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Follow   O
-   O
up   O
:   O
Usha   B-NAME
Gibbons   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
00/09/1849   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
wound   O
healing   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Yan   B-NAME
D.   I-NAME
Ball   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
5686314   I-ID
Date   O
of   O
Birth   O
:   O
Tuesday   B-DATE
,   I-DATE
May   I-DATE
Age   O
:   O
88   O
Medical   O
Record   O
Number   O
:   O
875   B-ID
-   I-ID
54   I-ID
-   I-ID
09   I-ID
-   I-ID
5   I-ID
Address   O
:   O
Thornbury   B-LOCATION
,   O
76832   B-LOCATION
Phone   O
:   O
415   B-CONTACT
-   I-CONTACT
4151   I-CONTACT
Primary   O
Physician   O
:   O

Kaye   B-NAME
Wilborn   I-NAME
Hospital   O
:   O
UAB   B-LOCATION
Callahan   I-LOCATION
Eye   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
20/30/2362   B-DATE
Discharge   O
Date   O
:   O
2/23   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
writer   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Vidant   B-LOCATION
Roanoke   I-LOCATION
-   I-LOCATION
Chowan   I-LOCATION
Hospital   I-LOCATION
on   O
2090   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
05   I-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Additionally   O
,   O
Landen   B-NAME
Gould   I-NAME
reported   O
experiencing   O
nausea   O
and   O
vomiting   O
over   O
the   O
past   O
16   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jimmy   B-NAME
Flynn   I-NAME
describes   O
the   O
pain   O
as   O
a   O
sharp   O
and   O
persistent   O
sensation   O
located   O
in   O
the   O
epigastric   O
region   O
.   O

Past   O
Medical   O
History   O
:   O
Martina   B-NAME
Durgin   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

QUIANA   B-NAME
N.   I-NAME
BULLOCK   I-NAME
denies   O
any   O
allergies   O
to   O
medication   O
.   O

Review   O
of   O
Systems   O
:   O
The   O
review   O
of   O
systems   O
was   O
significant   O
for   O
a   O
weight   O
loss   O
of   O
34   O
pounds   O
over   O
the   O
last   O
2012   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
00   I-DATE
months   O
,   O
which   O
was   O
unintended   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Payton   B-NAME
Mata   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
CT   O
abdomen   O
with   O
contrast   O
was   O
advised   O
by   O
Humphrey   B-NAME
,   O
which   O
confirmed   O
the   O
presence   O
of   O
pancreatitis   O
without   O
any   O
complications   O
.   O

Helena   B-NAME
Frey   I-NAME
was   O
admitted   O
to   O
Virtua   B-LOCATION
Berlin   I-LOCATION
for   O
IV   O
fluid   O
therapy   O
,   O
pain   O
management   O
,   O
and   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
.   O

A   O
follow   O
-   O
up   O
with   O
Weaver   B-NAME
in   O
the   O
gastroenterology   O
department   O
was   O
scheduled   O
for   O
32/02   B-DATE
to   O
evaluate   O
recovery   O
and   O
discuss   O
potential   O
etiologies   O
,   O
including   O
alcohol   O
use   O
and   O
hypertriglyceridemia   O
.   O

Disposition   O
:   O
Cohen   B-NAME
Garrett   I-NAME
showed   O
significant   O
improvement   O
with   O
the   O
conservative   O
management   O
and   O
was   O
discharged   O
on   O
2294   B-DATE
with   O
instructions   O
for   O
a   O
low   O
-   O
fat   O
diet   O
,   O
alcohol   O
abstinence   O
,   O
and   O
outpatient   O
follow   O
-   O
up   O
.   O

For   O
any   O
further   O
details   O
or   O
follow   O
-   O
up   O
appointments   O
,   O
please   O
contact   O
the   O
gastroenterology   O
department   O
at   O
409   B-CONTACT
963   I-CONTACT
-   I-CONTACT
1735   I-CONTACT
.   O

Prepared   O
by   O
:   O
psv932   B-NAME
01/40   B-DATE

Patient   O
Report   O
for   O
Davin   B-NAME
Woodard   I-NAME
Patient   O
ID   O
:   O
236919   B-ID
Medical   O
Record   O
Number   O
:   O
0137670   B-ID
Date   O
of   O
Birth   O
:   O
05/12/82   B-DATE
00/20   B-DATE
,   O
Livia   B-NAME
Mann   I-NAME
visited   O
our   O
facility   O
at   O
Northridge   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
in   O
Leetsdale   B-LOCATION
,   O
12613   B-LOCATION
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
had   O
begun   O
approximately   O
24   O
hours   O
earlier   O
.   O

Benjamin   B-NAME
Stone   I-NAME
,   O
a   O
Computer   O
Operators   O
by   O
occupation   O
,   O
mentioned   O
that   O
over   O
the   O
past   O
Jun   B-DATE
04   I-DATE
,   I-DATE
2038   I-DATE
,   O
they   O
also   O
experienced   O
nausea   O
and   O
vomiting   O
,   O
alongside   O
a   O
noticeable   O
loss   O
of   O
appetite   O
.   O

On   O
examination   O
,   O
Kale   B-NAME
Baldwin   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.5   O
°   O
C   O
,   O
indicative   O
of   O
a   O
fever   O
.   O

Kosevich   B-NAME
advised   O
immediate   O
surgical   O
consultation   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
Tuesday   B-DATE
,   I-DATE
November   I-DATE
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Maren   B-NAME
Velez   I-NAME
was   O
prepped   O
for   O
surgery   O
and   O
an   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
26/16/19   B-DATE
without   O
any   O
complications   O
.   O

Jaclyn   B-NAME
Jordon   I-NAME
was   O
administered   O
antibiotics   O
post   O
-   O
surgery   O
to   O
prevent   O
infection   O
.   O

Following   O
surgery   O
,   O
Alex   B-NAME
Baker   I-NAME
reported   O
relief   O
from   O
the   O
abdominal   O
pain   O
.   O

The   O
patient   O
was   O
advised   O
to   O
rest   O
and   O
was   O
provided   O
with   O
post   O
-   O
operative   O
care   O
instructions   O
before   O
being   O
discharged   O
on   O
30/03   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Ella   B-NAME
Noble   I-NAME
at   O
New   B-LOCATION
York   I-LOCATION
Downtown   I-LOCATION
Hospital   I-LOCATION
for   O
2288   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
26   I-DATE
,   O
to   O
ensure   O
the   O
surgical   O
site   O
is   O
healing   O
as   O
expected   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
regarding   O
post   O
-   O
operative   O
care   O
,   O
Lashunda   B-NAME
Kearns   I-NAME
was   O
advised   O
to   O
contact   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
62537   B-CONTACT
.   O

This   O
report   O
was   O
compiled   O
by   O
Khairy   B-NAME
Levers   I-NAME
,   O
residing   O
at   O
Veterans   B-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
and   O
will   O
be   O
stored   O
in   O
Zion   B-NAME
Matthews   I-NAME
's   O
medical   O
record   O
(   O
7549435   B-ID
)   O
.   O

Any   O
further   O
inquiries   O
or   O
requests   O
for   O
information   O
should   O
be   O
directed   O
to   O
Doha   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
by   O
contacting   O
900   B-CONTACT
-   I-CONTACT
187   I-CONTACT
-   I-CONTACT
4142   I-CONTACT
or   O
visiting   O
our   O
location   O
in   O
El   B-LOCATION
Negro   I-LOCATION
,   O
39827   B-LOCATION
.   O

Report   O
Generated   O
by   O
:   O
ibc72   B-NAME
Date   O
:   O
33   B-DATE

Adriene   B-NAME
Dobbin   I-NAME
Patient   O
ID   O
:   O
5918436   B-ID
Medical   O
Record   O
Number   O
:   O
16927239   B-ID
Date   O
of   O
Birth   O
:   O
23/32   B-DATE
Age   O
:   O
21   O
Phone   O
Number   O
:   O
629   B-CONTACT
-   I-CONTACT
4750   I-CONTACT
Address   O
:   O
Upper   B-LOCATION
Bear   I-LOCATION
Creek   I-LOCATION
,   O
44734   B-LOCATION
Occupation   O
:   O
Pharmacists   O
Primary   O
Physician   O
:   O

Anaya   B-NAME
Bryan   I-NAME
Hospital   O
:   O
ProMedica   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Summary   O
of   O
Visit   O
:   O
Lainey   B-NAME
Hampton   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Tampa   I-LOCATION
on   O
June   B-DATE
,   O
complaining   O
of   O
acute   O
shortness   O
of   O
breath   O
,   O
chest   O
tightness   O
,   O
and   O
a   O
productive   O
cough   O
with   O
yellowish   O
sputum   O
.   O

Downs   B-NAME
also   O
reported   O
experiencing   O
intermittent   O
episodes   O
of   O
fever   O
reaching   O
up   O
to   O
101.2   O
°   O
F   O
(   O
38.4   O
°   O
C   O
)   O
and   O
chills   O
over   O
the   O
past   O
13/24/2318   B-DATE
.   O

The   O
symptoms   O
onset   O
was   O
gradual   O
over   O
the   O
course   O
of   O
12/18/31   B-DATE
and   O
progressively   O
worsened   O
,   O
prompting   O
the   O
visit   O
.   O

Lawson   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
,   O
and   O
hypertension   O
.   O

Johnson   B-NAME
Neja   I-NAME
's   O
family   O
history   O
is   O
notable   O
for   O
coronary   O
artery   O
disease   O
in   O
a   O
parent   O
at   O
the   O
age   O
of   O
82   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Brooke   B-NAME
Barrett   I-NAME
's   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
was   O
98   O
beats   O
per   O
minute   O
,   O
temperature   O
was   O
101.3   O
°   O
F   O
(   O
38.5   O
°   O
C   O
)   O
,   O
and   O
oxygen   O
saturation   O
was   O
92   O
%   O
on   O
room   O
air   O
.   O

Waller   B-NAME
was   O
admitted   O
to   O
Stevens   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Hugoton   I-LOCATION
under   O
the   O
care   O
of   O
Frey   B-NAME
for   O
management   O
of   O
suspected   O
bacterial   O
pneumonia   O
.   O

Prognosis   O
:   O
Ty   B-NAME
Ponce   I-NAME
's   O
condition   O
is   O
expected   O
to   O
improve   O
with   O
the   O
treatment   O
plan   O
.   O

Instructions   O
for   O
Patient   O
upon   O
Discharge   O
:   O
Izabelle   B-NAME
Burch   I-NAME
was   O
advised   O
to   O
complete   O
the   O
course   O
of   O
antibiotics   O
,   O
monitor   O
their   O
temperature   O
,   O
and   O
maintain   O
adequate   O
hydration   O
.   O

An   O
appointment   O
was   O
scheduled   O
with   O
Dalton   B-NAME
in   O
Newburgh   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
12550   I-LOCATION
on   O
02/08   B-DATE
for   O
follow   O
-   O
up   O
.   O

Vitus   B-NAME
Werdegast   I-NAME
was   O
informed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
any   O
worsening   O
of   O
symptoms   O
.   O

This   O
report   O
is   O
for   O
the   O
use   O
of   O
medical   O
professionals   O
associated   O
with   O
this   O
case   O
and   O
International   B-LOCATION
Commission   I-LOCATION
of   I-LOCATION
Jurists   I-LOCATION
only   O
.   O

For   O
further   O
information   O
or   O
clarification   O
,   O
please   O
contact   O
Ripley   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
medical   O
records   O
department   O
at   O
634   B-CONTACT
-   I-CONTACT
730   I-CONTACT
6052   I-CONTACT
.   O

Prepared   O
by   O
:   O
YG15   B-NAME
Date   O
:   O
'   B-DATE
83   I-DATE
Botswana   B-LOCATION
Mining   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION

Patient   O
Name   O
:   O
Rosario   B-NAME
Age   O
:   O
17   O
Medical   O
Record   O
Number   O
:   O
873   B-ID
-   I-ID
48   I-ID
-   I-ID
17   I-ID
Date   O
of   O
Birth   O
:   O
01/40   B-DATE
Address   O
:   O
Bartow   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Bartow   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
47196   B-LOCATION
Phone   O
Number   O
:   O
196   B-CONTACT
-   I-CONTACT
637   I-CONTACT
6057   I-CONTACT

Hunt   B-NAME
Hospital   O
Name   O
:   O
Buena   B-LOCATION
Vista   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
1928   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
16   I-DATE
Social   O
Security   O
Number   O
:   O
FC699/6914   B-ID
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Peter   B-NAME
Janssen   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Peterson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/29/94   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
centered   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

The   O
patient   O
described   O
the   O
pain   O
as   O
a   O
9   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Conyers   B-NAME
's   O
symptoms   O
started   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
also   O
reported   O
experiencing   O
loss   O
of   O
appetite   O
and   O
an   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
15/09   B-DATE
.   O

Lainey   B-NAME
Mccoy   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
managed   O
with   O
metformin   O
and   O
a   O
remote   O
history   O
of   O
cholecystectomy   O
approximately   O
5   O
years   O
ago   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Floyd   B-NAME
Fong   I-NAME
was   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
CT   O
scan   O
performed   O
on   O
32/27/28   B-DATE
confirmed   O
appendicitis   O
with   O
early   O
signs   O
of   O
perforation   O
.   O

Camryn   B-NAME
Winters   I-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
01/30/50   B-DATE
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Alanna   B-NAME
Gonzales   I-NAME
.   O

Postoperative   O
Course   O
:   O
Cache   B-NAME
’s   O
surgery   O
was   O
completed   O
successfully   O
without   O
complication   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
22/10   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
with   O
Kemp   B-NAME
in   O
2   O
weeks   O
.   O

Joslyn   B-NAME
Meyers   I-NAME
was   O
advised   O
to   O
adhere   O
to   O
a   O
diet   O
low   O
in   O
fiber   O
for   O
the   O
initial   O
few   O
days   O
following   O
surgery   O
,   O
gradually   O
reintroducing   O
normal   O
diet   O
as   O
tolerated   O
.   O

The   O
patient   O
was   O
also   O
instructed   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
,   O
and   O
to   O
report   O
any   O
fever   O
or   O
persistent   O
pain   O
to   O
Kami   B-NAME
Simerly   I-NAME
.   O

Saunders   B-NAME
is   O
employed   O
as   O
a   O
Sales   O
Agents   O
,   O
Securities   O
and   O
Commodities   O
and   O
was   O
advised   O
to   O
remain   O
off   O
work   O
until   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Notification   O
of   O
Emergency   O
Contact   O
:   O
Aliyah   B-NAME
Stein   I-NAME
’s   O
emergency   O
contact   O
,   O
NC531   B-NAME
,   O
was   O
notified   O
on   O
01/12/42   B-DATE
regarding   O
the   O
patient   O
’s   O
condition   O
,   O
surgery   O
,   O
and   O
expected   O
discharge   O
plans   O
.   O

Future   O
appointments   O
have   O
been   O
scheduled   O
,   O
and   O
Richelieu   B-NAME
,   I-NAME
Cardinal   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
58024   B-CONTACT
for   O
any   O
immediate   O
concerns   O
or   O
queries   O
.   O

Patient   O
Name   O
:   O
Julien   B-NAME
Boncourt   I-NAME
Age   O
:   O
23   O
Date   O
of   O
Birth   O
:   O
32/22   B-DATE
Address   O
:   O
New   B-LOCATION
Jersey   I-LOCATION
,   O
38332   B-LOCATION
Phone   O
Number   O
:   O
36242   B-CONTACT
Primary   O
Physician   O
:   O

Ortiz   B-NAME
Medical   O
Record   O
Number   O
:   O
99043034   B-ID
Date   O
of   O
Visit   O
:   O
2364   B-DATE
Hospital   O
Name   O
:   O

Prisma   B-LOCATION
Health   I-LOCATION
Greer   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Margaret   B-NAME
,   O
a   O
Green   O
Marketers   O
,   O
presented   O
to   O
Baypointe   B-LOCATION
Hospital   I-LOCATION
on   O
4/12/2060   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
had   O
been   O
increasing   O
in   O
frequency   O
and   O
intensity   O
over   O
the   O
past   O
two   O
months   O
.   O

Natashia   B-NAME
Rosa   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
occasional   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
leading   O
to   O
a   O
weight   O
loss   O
of   O
approximately   O
5   O
kilograms   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

During   O
the   O
examination   O
,   O
Lola   B-NAME
Spratt   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
muscle   O
guarding   O
,   O
suggesting   O
peritoneal   O
irritation   O
.   O

Laboratory   O
tests   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
and   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
were   O
ordered   O
by   O
Harold   B-NAME
Ewing   I-NAME
which   O
revealed   O
leukocytosis   O
and   O
elevated   O
CRP   O
levels   O
,   O
respectively   O
.   O

Following   O
the   O
diagnosis   O
,   O
Conner   B-NAME
Durham   I-NAME
discussed   O
the   O
findings   O
and   O
recommended   O
an   O
urgent   O
surgical   O
intervention   O
to   O
prevent   O
potential   O
complications   O
such   O
as   O
perforation   O
or   O
peritonitis   O
.   O

The   O
patient   O
consented   O
to   O
the   O
procedure   O
,   O
and   O
an   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
2   B-DATE
-   I-DATE
01   I-DATE
.   O

Postoperative   O
care   O
was   O
managed   O
with   O
a   O
regimen   O
of   O
IV   O
antibiotics   O
to   O
prevent   O
infection   O
,   O
and   O
pain   O
management   O
protocols   O
to   O
ensure   O
Gray   B-NAME
's   O
comfort   O
.   O

Andre   B-NAME
Nowzik   I-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
08/24/2062   B-DATE
to   O
monitor   O
recovery   O
progress   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
6/65   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modifications   O
,   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

The   O
discharge   O
summary   O
was   O
sent   O
to   O
Edison   B-NAME
Milford   I-NAME
III   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Burns   B-NAME
,   O
for   O
continuation   O
of   O
care   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
persistent   O
vomiting   O
,   O
or   O
incision   O
site   O
infection   O
arise   O
,   O
Heath   B-NAME
Weyer   I-NAME
was   O
advised   O
to   O
contact   O
UHS   B-LOCATION
-   I-LOCATION
Binghamton   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
at   O
38984   B-CONTACT
.   O

FirstEnergy   B-LOCATION
(   I-LOCATION
Potomac   I-LOCATION
Edison   I-LOCATION
)   I-LOCATION
is   O
committed   O
to   O
providing   O
patient   O
-   O
centered   O
care   O
and   O
appreciates   O
the   O
opportunity   O
to   O
serve   O
Dulce   B-NAME
Bullock   I-NAME
's   O
healthcare   O
needs   O
.   O

Further   O
support   O
and   O
information   O
were   O
made   O
available   O
,   O
ensuring   O
that   O
Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
left   O
the   O
facility   O
well   O
-   O
informed   O
and   O
supported   O
in   O
their   O
recovery   O
journey   O
.   O

Patient   O
Username   O
for   O
the   O
Patient   O
Portal   O
:   O
slk859   B-NAME
Patient   O
ID   O
:   O
BU   B-ID
:   I-ID
RE:4251   I-ID

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Irmgard   B-NAME
Menas   I-NAME
Age   O
:   O
9   O
Medical   O
Record   O
Number   O
:   O
27873602   B-ID
Date   O
of   O
Report   O
:   O
30/31/30   B-DATE
Hospital   O
Name   O
:   O

Saint   B-LOCATION
Joseph   I-LOCATION
Martin   I-LOCATION
Physician   O
Name   O
:   O
Gianna   B-NAME
Floyd   I-NAME
The   O
patient   O
,   O
a   O
Tellers   O
residing   O
in   O
Ansted   B-LOCATION
,   O
78758   B-LOCATION
,   O
presented   O
to   O
East   B-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
20/23   B-DATE
with   O
complaints   O
of   O
persistent   O
headache   O
,   O
photophobia   O
,   O
and   O
neck   O
stiffness   O
.   O

The   O
patient   O
,   O
Titus   B-NAME
Strab   I-NAME
,   O
was   O
evaluated   O
by   O
Dr.   O
Merritt   B-NAME
upon   O
admission   O
.   O

The   O
onset   O
was   O
noted   O
approximately   O
2/2   B-DATE
,   O
with   O
a   O
gradual   O
increase   O
in   O
intensity   O
.   O

Averie   B-NAME
Key   I-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
one   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
33/22/2224   B-DATE
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
but   O
mentioned   O
working   O
long   O
hours   O
at   O
Concord   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Plant   I-LOCATION
as   O
a   O
Shop   O
and   O
Alteration   O
Tailors   O
.   O

On   O
physical   O
examination   O
,   O
Wall   B-NAME
appeared   O
uncomfortable   O
and   O
photophobic   O
.   O

The   O
clinical   O
presentation   O
and   O
examination   O
findings   O
of   O
Godwin   B-NAME
,   I-NAME
Earl   I-NAME
of   I-NAME
Wessex   I-NAME
raised   O
suspicion   O
for   O
bacterial   O
meningitis   O
.   O

Lumbar   O
puncture   O
performed   O
on   O
22/22/50   B-DATE
showed   O
cloudy   O
cerebrospinal   O
fluid   O
(   O
CSF   O
)   O
with   O
elevated   O
protein   O
levels   O
,   O
decreased   O
glucose   O
levels   O
,   O
and   O
a   O
high   O
white   O
blood   O
cell   O
count   O
indicative   O
of   O
bacterial   O
infection   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
preliminary   O
lab   O
results   O
,   O
the   O
patient   O
was   O
admitted   O
to   O
The   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Salem   I-LOCATION
County   I-LOCATION
for   O
intravenous   O
antibiotics   O
and   O
supportive   O
care   O
.   O

The   O
infectious   O
disease   O
team   O
led   O
by   O
Dr.   O
Sid   B-NAME
Handleman   I-NAME
recommended   O
a   O
course   O
of   O
ceftriaxone   O
and   O
vancomycin   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
13/28/2343   B-DATE
to   O
assess   O
the   O
patient   O
's   O
response   O
to   O
the   O
treatment   O
and   O
to   O
review   O
the   O
final   O
cultures   O
and   O
sensitivities   O
from   O
the   O
CSF   O
analysis   O
.   O

For   O
any   O
concerns   O
or   O
updates   O
regarding   O
the   O
patient   O
’s   O
condition   O
,   O
Dr.   O
Walton   B-NAME
can   O
be   O
reached   O
at   O
589   B-CONTACT
489   I-CONTACT
2716   I-CONTACT
.   O

Cain   B-NAME
,   I-NAME
Peter   I-NAME
has   O
given   O
consent   O
for   O
communication   O
via   O
this   O
number   O
.   O

End   O
of   O
Report   O
---   O
Reviewer   O
:   O
XT497   B-NAME
ID   O
:   O
53621   B-ID
Report   O
Date   O
:   O
5/2350   B-DATE

Patient   O
Report   O
for   O
Tristan   B-NAME
Atkinson   I-NAME
Medical   O
Record   O
Number   O
:   O
623   B-ID
-   I-ID
05   I-ID
-   I-ID
78   I-ID
Date   O
of   O
Birth   O
:   O
30/39   B-DATE
Age   O
:   O
54   O
Phone   O
Number   O
:   O
586   B-CONTACT
9237   I-CONTACT
Residence   O
:   O
Carbon   B-LOCATION
,   O
63761   B-LOCATION
Occupation   O
:   O
Municipal   O
Fire   O
Fighting   O
and   O
Prevention   O
Supervisors   O
Admission   O
Date   O
:   O
12   B-DATE
Discharge   O
Date   O
:   O
04/32   B-DATE
Attending   O
Physician   O
:   O
Dr.   O
Contreras   B-NAME
Treatment   O
Facility   O
:   O
INTEGRIS   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O

The   O
patient   O
,   O
Lewis   B-NAME
Huerta   I-NAME
,   O
a   O
Personal   O
Financial   O
Advisors   O
residing   O
in   O
Rock   B-LOCATION
Hill   I-LOCATION
,   O
presented   O
to   O
Ancora   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
on   O
0/27   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
episodes   O
of   O
vomiting   O
.   O

The   O
patient   O
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Dr.   O
Osborn   B-NAME
.   O

Recovery   O
:   O
Kaylynn   B-NAME
Garrett   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
.   O

Mohamed   B-NAME
Hall   I-NAME
was   O
discharged   O
on   O
22/32/00   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Dr.   O
Stella   B-NAME
Stephenson   I-NAME
in   O
two   O
weeks   O
for   O
a   O
wound   O
check   O
and   O
assessment   O
of   O
recovery   O
progress   O
.   O

-   O
Contact   O
BronxCare   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
immediately   O
at   O
44657   B-CONTACT
if   O
experiencing   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
other   O
concerning   O
symptoms   O
.   O

A   O
referral   O
was   O
made   O
to   O
social   O
work   O
to   O
assist   O
Hayden   B-NAME
Simpson   I-NAME
,   O
a   O
Police   O
and   O
Sheriff   O
's   O
Patrol   O
Officers   O
,   O
with   O
potential   O
workplace   O
accommodations   O
during   O
the   O
recovery   O
period   O
.   O

Follow   O
-   O
Up   O
:   O
Pierce   B-NAME
Goodman   I-NAME
is   O
scheduled   O
to   O
return   O
to   O
Dr.   O
Holmes   B-NAME
's   O
office   O
on   O
02/35/2193   B-DATE
for   O
a   O
routine   O
post   O
-   O
operative   O
check   O
.   O

Documented   O
by   O
:   O
jpn780   B-NAME
Document   O
ID   O
:   O
7416314   B-ID
Report   O
Date   O
:   O
00/03/2101   B-DATE

Patient   O
Report   O
for   O
Dania   B-NAME
Acorda   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
0   O
-   O
Date   O
of   O
Admission   O
:   O
25/02   B-DATE
-   O
ID   O
:   O
WB779/9987   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
6654289   B-ID
-   O
Physician   O
in   O
Charge   O
:   O
Fitzgerald   B-NAME
-   O
Hospital   O
:   O

Alaska   B-LOCATION
Native   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Location   O
:   O
Salemburg   B-LOCATION
-   O
Zip   O
Code   O
:   O
10592   B-LOCATION
-   O
Contact   O
Phone   O
:   O
67544   B-CONTACT
History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
a   O
Clothing   O
and   O
textile   O
technologist   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Stonewall   B-LOCATION
Jackson   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
Friday   B-DATE
,   I-DATE
February   I-DATE
with   O
a   O
complex   O
medical   O
history   O
including   O
but   O
not   O
limited   O
to   O
dyspnea   O
,   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
,   O
and   O
a   O
recent   O
diagnosis   O
of   O
pneumonia   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
1956   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
12   I-DATE
,   O
with   O
the   O
patient   O
experiencing   O
an   O
exacerbation   O
of   O
chronic   O
dyspnea   O
,   O
articulated   O
as   O
an   O
increased   O
difficulty   O
in   O
breathing   O
both   O
at   O
rest   O
and   O
during   O
minor   O
physical   O
exertion   O
compared   O
to   O
their   O
baseline   O
.   O

The   O
patient   O
reported   O
a   O
persistent   O
dry   O
cough   O
,   O
exacerbated   O
by   O
deep   O
inhalations   O
and   O
has   O
noted   O
a   O
quantifiable   O
decrease   O
in   O
exercise   O
tolerance   O
over   O
the   O
last   O
22/22   B-DATE
.   O

Additional   O
symptoms   O
include   O
intermittent   O
episodes   O
of   O
fever   O
and   O
chills   O
,   O
particularly   O
noted   O
over   O
the   O
past   O
23/12   B-DATE
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Terrence   B-NAME
Doyle   I-NAME
to   O
Houston   B-LOCATION
Methodist   I-LOCATION
Baytown   I-LOCATION
Hospital   I-LOCATION
for   O
acute   O
exacerbation   O
of   O
COPD   O
secondary   O
to   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
It   O
is   O
advised   O
that   O
the   O
patient   O
undergoes   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Mathews   B-NAME
in   O
Cloudcroft   B-LOCATION
on   O
00/06   B-DATE
,   O
to   O
reassess   O
pulmonary   O
status   O
and   O
adjust   O
treatment   O
protocols   O
as   O
necessary   O
.   O

A   O
multi   O
-   O
disciplinary   O
approach   O
involving   O
Snapping   B-LOCATION
Shoals   I-LOCATION
EMC   I-LOCATION
has   O
been   O
planned   O
for   O
ongoing   O
care   O
,   O
focusing   O
on   O
a   O
holistic   O
management   O
strategy   O
.   O

The   O
patient   O
has   O
been   O
registered   O
for   O
a   O
lrs648   B-NAME
to   O
access   O
their   O
medical   O
records   O
online   O
for   O
convenience   O
and   O
to   O
facilitate   O
communication   O
with   O
the   O
healthcare   O
team   O
.   O

Conclusion   O
:   O
Patient   O
Hutton   B-NAME
,   I-NAME
James   I-NAME
,   O
with   O
a   O
detailed   O
history   O
of   O
respiratory   O
conditions   O
and   O
recent   O
exacerbation   O
,   O
demonstrates   O
significant   O
improvement   O
post   O
-   O
admission   O
to   O
Georgetown   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Nogai   B-NAME
Medical   O
Record   O
Number   O
:   O
019   B-ID
-   I-ID
18   I-ID
-   I-ID
10   I-ID
Date   O
of   O
Birth   O
:   O
2322   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
16   I-DATE
Age   O
:   O
43   O
Address   O
:   O
Vista   B-LOCATION
,   I-LOCATION
Vista   I-LOCATION
Village   I-LOCATION
Business   I-LOCATION
Association   I-LOCATION
,   O
58181   B-LOCATION
Physician   O
:   O

Howell   B-NAME
Admission   O
Date   O
:   O
32/24   B-DATE
Hospital   O
:   O
Mease   B-LOCATION
Dunedin   I-LOCATION
Hospital   I-LOCATION
Contact   O
Phone   O
:   O
938   B-CONTACT
-   I-CONTACT
2416   I-CONTACT
Chief   O
Complaint   O
:   O

Palmer   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
32/13   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
lasting   O
for   O
approximately   O
30   O
minutes   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
a   O
Airline   O
cabin   O
crew   O
,   O
reported   O
that   O
the   O
symptoms   O
started   O
suddenly   O
while   O
at   O
work   O
at   O
International   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Professional   I-LOCATION
and   I-LOCATION
Technical   I-LOCATION
Engineers   I-LOCATION
around   O
noon   O
.   O

Kendal   B-NAME
Morrow   I-NAME
described   O
the   O
pain   O
as   O
"   O
stabbing   O
"   O
and   O
rated   O
it   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Past   O
Medical   O
History   O
:   O
Keira   B-NAME
Kubota   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
mellitus   O
two   O
years   O
ago   O
.   O

Social   O
History   O
:   O
Krista   B-NAME
Mcmahon   I-NAME
is   O
a   O
smoker   O
,   O
with   O
a   O
20   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
.   O

Upon   O
examination   O
,   O
Allisson   B-NAME
Lara   I-NAME
's   O
blood   O
pressure   O
was   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
was   O
100   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
was   O
98.6   O
°   O
F   O
.   O

Quesnel   B-NAME
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
for   O
further   O
monitoring   O
and   O
management   O
,   O
including   O
consideration   O
for   O
coronary   O
angiography   O
.   O

Follow   O
-   O
Up   O
:   O
Glenn   B-NAME
Mullins   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Koya   B-NAME
,   I-NAME
Sidiq   I-NAME
in   O
Intermountain   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Cardiology   O
clinic   O
on   O
38/23   B-DATE
.   O

Contact   O
Information   O
:   O
Should   O
Lien   B-NAME
experience   O
any   O
worsening   O
of   O
symptoms   O
,   O
Kaylin   B-NAME
Sutton   I-NAME
is   O
advised   O
to   O
contact   O
Bayonne   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
immediately   O
at   O
695   B-CONTACT
-   I-CONTACT
1683   I-CONTACT
or   O
return   O
to   O
the   O
hospital   O
.   O

For   O
any   O
non   O
-   O
urgent   O
questions   O
,   O
Peter   B-NAME
Leavitt   I-NAME
can   O
reach   O
out   O
to   O
Rivers   B-NAME
's   O
office   O
at   O
959   B-CONTACT
976   I-CONTACT
-   I-CONTACT
6199   I-CONTACT
.   O

Prepared   O
by   O
PJ9410   B-NAME
,   O
03/17/2117   B-DATE
ID   O
:   O
113212   B-ID
Location   O
:   O
Baylis   B-LOCATION

Patient   O
Name   O
:   O
Phoenix   B-NAME
Fields   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
7710964   I-ID
Medical   O
Record   O
Number   O
:   O
0789   B-ID
:   I-ID
Z68015   I-ID
Date   O
of   O
Birth   O
:   O
2091   B-DATE
Age   O
:   O
0   O
Address   O
:   O
Orlando   B-LOCATION
-   I-LOCATION
Audubon   I-LOCATION
Park   I-LOCATION
,   I-LOCATION
Audubon   I-LOCATION
Park   I-LOCATION
Garden   I-LOCATION
District   I-LOCATION
,   O
89097   B-LOCATION
Phone   O
:   O
699   B-CONTACT
515   I-CONTACT
-   I-CONTACT
8050   I-CONTACT
Primary   O
Physician   O
:   O

Yang   B-NAME
Hospital   O
:   O
CHI   B-LOCATION
Health   I-LOCATION
St   I-LOCATION
Francis   I-LOCATION
Date   O
of   O
Visit   O
:   O
December   B-DATE
16th   I-DATE
Chief   O
Complaint   O
:   O

Maureen   B-NAME
Robinson   I-NAME
presents   O
to   O
the   O
clinic   O
complaining   O
of   O
severe   O
,   O
continuous   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
11/02   B-DATE
.   O

Accompanying   O
the   O
abdominal   O
pain   O
,   O
Zane   B-NAME
Burton   I-NAME
reports   O
experiencing   O
nausea   O
without   O
emesis   O
,   O
a   O
decreased   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
Wednesday   B-DATE
,   I-DATE
November   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
symptoms   O
began   O
approximately   O
2179   B-DATE
-   I-DATE
38   I-DATE
-   I-DATE
31   I-DATE
,   O
with   O
Dolan   B-NAME
first   O
noticing   O
a   O
generalized   O
discomfort   O
and   O
anorexia   O
.   O

By   O
the   O
following   O
0/30   B-DATE
,   O
the   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
prompting   O
concern   O
for   O
appendicitis   O
.   O

Bowerman   B-NAME
,   I-NAME
Bill   I-NAME
,   O
a   O
Music   O
Arrangers   O
and   O
Orchestrators   O
by   O
profession   O
,   O
denied   O
any   O
recent   O
unusual   O
physical   O
activity   O
,   O
dietary   O
changes   O
,   O
or   O
recent   O
travel   O
outside   O
94   B-LOCATION
George   I-LOCATION
Street   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Kirkpatrick   B-NAME
,   I-NAME
Kevin   I-NAME
has   O
a   O
medical   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

Review   O
of   O
Systems   O
:   O
Shiela   B-NAME
Flomm   I-NAME
denies   O
any   O
chest   O
pain   O
,   O
palpitations   O
,   O
dyspnea   O
,   O
urinary   O
symptoms   O
,   O
or   O
changes   O
in   O
bowel   O
habits   O
aside   O
from   O
those   O
already   O
mentioned   O
.   O

Fischer   B-NAME
,   I-NAME
Bobby   I-NAME
also   O
denies   O
any   O
recent   O
rashes   O
,   O
headaches   O
,   O
or   O
visual   O
changes   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
LOGAN   B-NAME
COLEMAN   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
,   O
a   O
decision   O
was   O
made   O
to   O
conduct   O
some   O
laboratory   O
tests   O
and   O
imaging   O
to   O
further   O
evaluate   O
the   O
cause   O
of   O
Barkley   B-NAME
,   I-NAME
Charles   I-NAME
's   O
symptoms   O
.   O

These   O
include   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
to   O
be   O
performed   O
on   O
2/00/50   B-DATE
.   O
Impression   O
:   O

Given   O
the   O
severity   O
of   O
the   O
symptoms   O
and   O
the   O
findings   O
on   O
physical   O
examination   O
,   O
a   O
surgical   O
consultation   O
with   O
Dr.   O
Hardin   B-NAME
has   O
been   O
arranged   O
at   O
ThedaCare   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Appleton   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

Admit   O
Hussein   B-NAME
,   I-NAME
Saddam   I-NAME
to   O
Sharp   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
observation   O
and   O
further   O
management   O
.   O

4   O
.   O
Urgent   O
surgical   O
evaluation   O
by   O
Dr.   O
Montes   B-NAME
for   O
possible   O
appendectomy   O
.   O

Inform   O
Marie   B-NAME
Briggs   I-NAME
's   O
emergency   O
contact   O
on   O
397   B-CONTACT
9418   I-CONTACT
regarding   O
the   O
current   O
situation   O
and   O
plan   O
.   O

Follow   O
-   O
up   O
:   O
Gomrick   B-NAME
is   O
to   O
remain   O
under   O
care   O
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Flagler   I-LOCATION
under   O
observation   O
,   O
with   O
surgical   O
intervention   O
planned   O
for   O
2255   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
15   I-DATE
.   O

Patient   O
Name   O
:   O
Krystal   B-NAME
Ayers   I-NAME
Age   O
:   O
5   O
month   O
Date   O
of   O
Birth   O
:   O
02/20/2222   B-DATE
Medical   O
Record   O
Number   O
:   O
6045001   B-ID
Admitting   O
Doctor   O
:   O
Baldwin   B-NAME
Admitting   O
Facility   O
:   O
St.   B-LOCATION
Charles   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
5/21   B-DATE
Location   O
:   O
Matlock   B-LOCATION
Zip   O
Code   O
:   O
95196   B-LOCATION
Phone   O
:   O
81574   B-CONTACT
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Air   O
Crew   O
Members   O
Identity   O
Number   O
:   O
5   B-ID
-   I-ID
1539877   I-ID
Summary   O
:   O
Mcmahon   B-NAME
,   O
a   O
80   O
-   O
year   O
-   O
old   O
Exercise   O
Physiologists   O
from   O
High   B-LOCATION
Falls   I-LOCATION
,   O
94829   B-LOCATION
,   O
presented   O
to   O
Geneva   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
2/29   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Christopher   B-NAME
Lewis   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Vu   B-NAME
C.   I-NAME
Mccarty   I-NAME
’s   O
contact   O
number   O
is   O
539   B-CONTACT
-   I-CONTACT
6086   I-CONTACT
.   O

The   O
case   O
was   O
assigned   O
to   O
Dr.   O
Goodman   B-NAME
for   O
further   O
evaluation   O
.   O

Upon   O
physical   O
examination   O
,   O
Alyson   B-NAME
Sutton   I-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
rebound   O
tenderness   O
suggestive   O
of   O
peritonitis   O
.   O

Kate   B-NAME
Ramirez   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
surgical   O
consultation   O
with   O
Dulce   B-NAME
Hebert   I-NAME
for   O
possible   O
appendectomy   O
.   O

Abby   B-NAME
Valentine   I-NAME
is   O
scheduled   O
for   O
an   O
urgent   O
surgical   O
review   O
by   O
the   O
general   O
surgery   O
team   O
.   O

Discussion   O
with   O
Julianne   B-NAME
Cherry   I-NAME
and   O
next   O
of   O
kin   O
(   O
contact   O
info   O
:   O
992   B-CONTACT
-   I-CONTACT
5036   I-CONTACT
)   O
regarding   O
the   O
findings   O
and   O
the   O
proposed   O
management   O
plan   O
was   O
conducted   O
.   O

Follow   O
up   O
:   O
Eddie   B-NAME
is   O
scheduled   O
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
after   O
discharge   O
,   O
and   O
details   O
of   O
the   O
appointment   O
were   O
recorded   O
under   O
medical   O
record   O
number   O
97127636   B-ID
.   O

For   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
refer   O
to   O
medical   O
record   O
number   O
524   B-ID
-   I-ID
03   I-ID
-   I-ID
31   I-ID
-   I-ID
1   I-ID
or   O
contact   O
Southwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
patient   O
information   O
desk   O
at   O
14672   B-CONTACT
.   O

Patient   O
Name   O
:   O
Deandra   B-NAME
Medical   O
Record   O
Number   O
:   O
2031485   B-ID
Date   O
of   O
Birth   O
:   O
16   O
Date   O
of   O
Admission   O
:   O
22/28/2208   B-DATE
Primary   O
Care   O
Physician   O
:   O

Harmony   B-NAME
Madden   I-NAME
Hospital   O
:   O

Highland   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Eldon   B-LOCATION
Contact   O
Number   O
:   O
512   B-CONTACT
-   I-CONTACT
2707   I-CONTACT
Zip   O
Code   O
:   O
23790   B-LOCATION
Patient   O
ID   O
:   O
KX   B-ID
:   I-ID
XB:4745   I-ID
Profession   O
:   O

Radio   O
Operators   O
Username   O
:   O
sme15   B-NAME
Summary   O
:   O
Tess   B-NAME
Mcpherson   I-NAME
,   O
a   O
Hotel   O
,   O
Motel   O
,   O
and   O
Resort   O
Desk   O
Clerks   O
from   O
Langlois   B-LOCATION
,   O
with   O
a   O
history   O
of   O
chronic   O
hypertension   O
,   O
presented   O
to   O
Wichita   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
on   O
2103   B-DATE
's   I-DATE
with   O
chief   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
in   O
the   O
occipital   O
region   O
,   O
accompanied   O
by   O
episodes   O
of   O
dizziness   O
and   O
blurred   O
vision   O
lasting   O
for   O
approximately   O
3   O
-   O
4   O
hours   O
at   O
a   O
time   O
.   O

Iyago   B-NAME
Bourdages   I-NAME
also   O
complained   O
of   O
occasional   O
episodes   O
of   O
tinnitus   O
and   O
palpitations   O
.   O

Upon   O
examination   O
,   O
Nagle   B-NAME
's   O
blood   O
pressure   O
was   O
noted   O
to   O
be   O
elevated   O
at   O
160/100   O
mmHg   O
.   O

Management   O
and   O
Progress   O
:   O
Initial   O
management   O
focused   O
on   O
stabilizing   O
the   O
patient   O
's   O
blood   O
pressure   O
,   O
which   O
involved   O
the   O
administration   O
of   O
intravenous   O
antihypertensive   O
drugs   O
as   O
overseen   O
by   O
Cantrell   B-NAME
.   O

Uddin   B-NAME
was   O
placed   O
under   O
continuous   O
monitoring   O
to   O
assess   O
the   O
response   O
to   O
treatment   O
and   O
to   O
identify   O
any   O
potential   O
complications   O
.   O

Over   O
the   O
course   O
of   O
the   O
admission   O
,   O
Gracelyn   B-NAME
Ochoa   I-NAME
's   O
symptoms   O
gradually   O
improved   O
.   O

Recommendations   O
and   O
Follow   O
-   O
up   O
:   O
Upon   O
discharge   O
,   O
it   O
was   O
recommended   O
that   O
Henry   B-NAME
C.   I-NAME
Atwood   I-NAME
continues   O
on   O
oral   O
antihypertensive   O
medication   O
,   O
closely   O
monitors   O
blood   O
pressure   O
levels   O
at   O
home   O
,   O
and   O
follows   O
a   O
low   O
-   O
salt   O
diet   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Nia   B-NAME
Miranda   I-NAME
at   O
Yale   B-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
was   O
scheduled   O
for   O
02/22/1882   B-DATE
to   O
re   O
-   O
evaluate   O
the   O
patient   O
's   O
condition   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
to   O
the   O
treatment   O
regimen   O
.   O

Conclusion   O
:   O
Larry   B-NAME
Dorsey   I-NAME
,   O
a   O
43   O
-   O
year   O
-   O
old   O
Preschool   O
Teachers   O
,   O
Except   O
Special   O
Education   O
from   O
Salt   B-LOCATION
Lake   I-LOCATION
City   I-LOCATION
,   O
was   O
admitted   O
to   O
AdventHealth   B-LOCATION
Orlando   I-LOCATION
on   O
27/25/52   B-DATE
with   O
symptoms   O
indicative   O
of   O
hypertensive   O
crisis   O
.   O

With   O
timely   O
intervention   O
and   O
appropriate   O
management   O
,   O
SALGADO   B-NAME
,   I-NAME
BRUCE   I-NAME
's   O
condition   O
improved   O
markedly   O
.   O

Prepared   O
by   O
:   O
xtp240   B-NAME
Contact   O
Information   O
:   O
37802   B-CONTACT
Riverview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Wadley   B-LOCATION
,   O
85643   B-LOCATION

Patient   O
Name   O
:   O
Angel   B-NAME
Petersen   I-NAME
Age   O
:   O
98   O
Date   O
of   O
Birth   O
:   O
03/17/2117   B-DATE
Address   O
:   O
White   B-LOCATION
Clay   I-LOCATION
,   O
58364   B-LOCATION
Phone   O
Number   O
:   O
99626   B-CONTACT
Profession   O
:   O

Electrical   O
and   O
Electronic   O
Inspectors   O
and   O
Testers   O
Doctor   O
:   O
Church   B-NAME
Hospital   O
:   O
Winter   B-LOCATION
Park   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
8893497   B-ID
Date   O
of   O
Visit   O
:   O
Thursday   B-DATE
,   I-DATE
February   I-DATE
ID   O
:   O
2   B-ID
-   I-ID
7549489   I-ID
Clinical   O
Notes   O
:   O
Turner   B-NAME
,   I-NAME
Ted   I-NAME
presented   O
to   O
Essentia   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/12   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
over   O
the   O
last   O
seven   O
days   O
.   O

Additionally   O
,   O
Landen   B-NAME
Gould   I-NAME
reported   O
experiencing   O
fevers   O
with   O
temperatures   O
peaking   O
at   O
38.5   O
°   O
C   O
,   O
predominantly   O
in   O
the   O
evenings   O
.   O

During   O
the   O
examination   O
,   O
Clark   B-NAME
Mooney   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
respiratory   O
distress   O
,   O
with   O
noticeable   O
increased   O
work   O
of   O
breathing   O
and   O
use   O
of   O
accessory   O
muscles   O
.   O

Investigations   O
including   O
chest   O
X   O
-   O
ray   O
and   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
were   O
ordered   O
by   O
Archer   B-NAME
.   O

Based   O
on   O
these   O
findings   O
and   O
the   O
clinical   O
presentation   O
,   O
P.   B-NAME
Ponce   I-NAME
was   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Management   O
and   O
Treatment   O
:   O
Everett   B-NAME
Lonsdale   I-NAME
was   O
admitted   O
to   O
West   B-LOCATION
Marion   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
for   O
close   O
monitoring   O
and   O
treatment   O
.   O

Edward   B-NAME
Qu   I-NAME
was   O
also   O
given   O
supplemental   O
oxygen   O
therapy   O
via   O
nasal   O
cannula   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
94   O
%   O
.   O

Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Evelyn   B-NAME
Maxwell   I-NAME
-   I-NAME
Johnston   I-NAME
's   O
condition   O
gradually   O
improved   O
,   O
with   O
resolution   O
of   O
fever   O
by   O
day   O
three   O
and   O
improvement   O
in   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

Hayes   B-NAME
was   O
discharged   O
on   O
12/35/17   B-DATE
with   O
instructions   O
to   O
complete   O
a   O
7   O
-   O
day   O
course   O
of   O
oral   O
antibiotics   O
.   O

Follow   O
-   O
up   O
appointment   O
with   O
Jeremy   B-NAME
Stone   I-NAME
was   O
scheduled   O
for   O
October   B-DATE
27   I-DATE
to   O
ensure   O
complete   O
resolution   O
of   O
symptoms   O
and   O
to   O
discuss   O
the   O
importance   O
of   O
vaccination   O
against   O
pneumococcal   O
disease   O
.   O

This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
covered   O
under   O
Italian   B-LOCATION
Horse   I-LOCATION
Protection   I-LOCATION
Association   I-LOCATION
(   I-LOCATION
IHP   I-LOCATION
)   I-LOCATION
policies   O
and   O
applicable   O
laws   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Damari   B-NAME
Hall   I-NAME
-   O
ID   O
:   O
10   B-ID
-   I-ID
1918458   I-ID
-   O
Age   O
:   O
99   O
-   O
Phone   O
:   O
738   B-CONTACT
1233   I-CONTACT
-   O
Address   O
:   O
Burr   B-LOCATION
Oak   I-LOCATION
,   O
72680   B-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
15749933   B-ID
-   O
Date   O
of   O
Admission   O
:   O
00/24/2377   B-DATE
-   O
Admitting   O
Physician   O
:   O
Dr.   O
Jada   B-NAME
Harper   I-NAME
-   O
Hospital   O
:   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
West   I-LOCATION
Islip   I-LOCATION
)   I-LOCATION
-   O
Occupation   O
:   O
Eligibility   O
Interviewers   O
,   O
Government   O
Programs   O
Clinical   O
Summary   O
:   O
O.   B-NAME
Feldman   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Lexington   B-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/39   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
101.3   O
°   O
F   O
.   O

Briley   B-NAME
Brown   I-NAME
works   O
as   O
a   O
Opticians   O
,   O
Dispensing   O
and   O
mentioned   O
no   O
recent   O
travel   O
outside   O
of   O
Thurmond   B-LOCATION
.   O

Upon   O
examination   O
,   O
Dr.   O
Harrington   B-NAME
noted   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
consistent   O
with   O
McBurney   O
's   O
point   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
performed   O
on   O
31/29   B-DATE
,   O
showed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
peri   O
-   O
appendiceal   O
fat   O
stranding   O
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Given   O
the   O
diagnosis   O
,   O
Dr.   O
Ortega   B-NAME
recommended   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Dr.   O
Ward   B-NAME
,   O
successfully   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
09/38   B-DATE
without   O
complications   O
.   O

Larry   B-NAME
Cowan   I-NAME
was   O
administered   O
IV   O
antibiotics   O
pre   O
-   O
operatively   O
and   O
post   O
-   O
operatively   O
to   O
minimize   O
the   O
risk   O
of   O
infection   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Gillespie   B-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
.   O

The   O
patient   O
was   O
able   O
to   O
tolerate   O
a   O
liquid   O
diet   O
by   O
post   O
-   O
operative   O
day   O
1   O
and   O
was   O
discharged   O
on   O
2021   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
at   O
Samaritan   B-LOCATION
Albany   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

John   B-NAME
Sutton   I-NAME
was   O
provided   O
a   O
contact   O
number   O
76969   B-CONTACT
to   O
call   O
in   O
case   O
of   O
any   O
concerns   O
or   O
complications   O
.   O

Furthermore   O
,   O
a   O
note   O
was   O
provided   O
to   O
excuse   O
Humberto   B-NAME
Nixon   I-NAME
from   O
work   O
for   O
a   O
period   O
of   O
6   O
month   O
weeks   O
to   O
ensure   O
adequate   O
recovery   O
time   O
.   O

Conclusion   O
:   O
Ean   B-NAME
Jackson   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
underwent   O
successful   O
laparoscopic   O
appendectomy   O
with   O
no   O
post   O
-   O
operative   O
complications   O
.   O

Further   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
department   O
of   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
with   O
Dr.   O
Shannon   B-NAME
Huffman   I-NAME
has   O
been   O
scheduled   O
for   O
2114   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
19   I-DATE
to   O
assess   O
recovery   O
progression   O
and   O
address   O
any   O
subsequent   O
concerns   O
.   O

Patient   O
Name   O
:   O
Giuliana   B-NAME
Mooney   I-NAME
Patient   O
ID   O
:   O
TB:96176:266428   B-ID
Medical   O
Record   O
Number   O
:   O
550   B-ID
-   I-ID
55   I-ID
-   I-ID
74   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
08/38/33   B-DATE
Age   O
:   O
7   O
month   O
Phone   O
Number   O
:   O
(   B-CONTACT
416   I-CONTACT
)   I-CONTACT
347   I-CONTACT
-   I-CONTACT
7466   I-CONTACT
Address   O
:   O
Elk   B-LOCATION
Rapids   I-LOCATION
,   O
27931   B-LOCATION
Employment   O
:   O
Farmworkers   O
,   O
Farm   O
and   O
Ranch   O
Animals   O
Treating   O
Physician   O
:   O
Camille   B-NAME
Mckeen   I-NAME
Hospital   O
:   O
Mineral   B-LOCATION
Area   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
11/33/89   B-DATE
Date   O
of   O
Report   O
:   O
4/7   B-DATE
Chief   O
Complaint   O
:   O
Ciqala   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Navarro   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
7/29/2260   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
multiple   O
episodes   O
of   O
vomiting   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Mark   B-NAME
Kenney   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
chills   O
since   O
the   O
morning   O
of   O
02/28   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Latonia   B-NAME
Bazile   I-NAME
mentioned   O
that   O
the   O
symptoms   O
were   O
preceded   O
by   O
several   O
days   O
of   O
mild   O
,   O
generalized   O
abdominal   O
discomfort   O
,   O
which   O
Bradshaw   B-NAME
initially   O
attributed   O
to   O
indigestion   O
.   O

However   O
,   O
on   O
the   O
morning   O
of   O
20/33/93   B-DATE
,   O
the   O
pain   O
significantly   O
intensified   O
,   O
prompting   O
Cato   B-NAME
the   I-NAME
Elder   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

Amberly   B-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
known   O
contacts   O
with   O
infectious   O
diseases   O
.   O

Medical   O
History   O
:   O
Gaulle   B-NAME
,   I-NAME
Charles   I-NAME
de   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Alia   B-NAME
Brachle   I-NAME
's   O
last   O
visit   O
to   O
Curry   B-NAME
was   O
on   O
2117   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
19   I-DATE
for   O
a   O
routine   O
check   O
-   O
up   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jake   B-NAME
Marshak   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Asia   B-NAME
Weeks   I-NAME
was   O
admitted   O
to   O
Mount   B-LOCATION
Sinai   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Leblanc   B-NAME
for   O
an   O
urgent   O
appendectomy   O
.   O

Alan   B-NAME
Xavier   I-NAME
received   O
preoperative   O
antibiotics   O
and   O
fluids   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Bena   B-NAME
was   O
discharged   O
on   O
Sun   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
with   O
Donna   B-NAME
Cameron   I-NAME
.   O

Follow   O
-   O
up   O
:   O
Upon   O
follow   O
-   O
up   O
on   O
05/70   B-DATE
,   O
Delarosa   B-NAME
reported   O
significant   O
improvement   O
with   O
resolution   O
of   O
symptoms   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Ariel   B-NAME
Mata   I-NAME
Age   O
:   O
72   O
Medical   O
Record   O
Number   O
:   O
9952151   B-ID
Date   O
of   O
Birth   O
:   O

Thursday   B-DATE
,   I-DATE
March   I-DATE
Address   O
:   O
New   B-LOCATION
Trenton   I-LOCATION
,   O
26820   B-LOCATION
Phone   O
Number   O
:   O
35576   B-CONTACT
Physician   O
:   O

Watkins   B-NAME
ID   O
Number   O
:   O
5   B-ID
-   I-ID
5687706   I-ID
Chief   O
Complaint   O
:   O
Victor   B-NAME
Z.   I-NAME
Qazi   I-NAME
presented   O
to   O
Long   B-LOCATION
Island   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
10/10   B-DATE
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
for   O
the   O
past   O
24   O
hours   O
.   O

Denzel   B-NAME
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
since   O
December   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Minow   B-NAME
,   I-NAME
Newton   I-NAME
N.   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
managed   O
with   O
medication   O
and   O
hypertension   O
controlled   O
with   O
diet   O
and   O
exercise   O
.   O

Upon   O
examination   O
on   O
21/10/87   B-DATE
,   O
Justice   B-NAME
Bryan   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
Blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
98   O
beats   O
per   O
minute   O
,   O
temperature   O
of   O
38.2   O
degrees   O
Celsius   O
,   O
and   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Tests   O
:   O
Laboratory   O
findings   O
showed   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
uL.   O
A   O
CT   O
scan   O
of   O
the   O
abdomen   O
performed   O
on   O
Saturday   B-DATE
demonstrated   O
appendiceal   O
enlargement   O
suggestive   O
of   O
acute   O
appendicitis   O
without   O
signs   O
of   O
perforation   O
.   O

The   O
decision   O
was   O
made   O
by   O
Deandre   B-NAME
Galloway   I-NAME
to   O
proceed   O
with   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
completed   O
on   O
2   B-DATE
-   I-DATE
2   I-DATE
without   O
complications   O
.   O

Jamarcus   B-NAME
Berry   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
provided   O
with   O
post   O
-   O
operative   O
care   O
instructions   O
upon   O
discharge   O
from   O
MercyOne   B-LOCATION
Primghar   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/03   B-DATE
.   O
Instructions   O
for   O
Follow   O
-   O
up   O
:   O
Linda   B-NAME
Urbanek   I-NAME
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
Rockland   B-LOCATION
with   O
Herring   B-NAME
on   O
1/22   B-DATE
for   O
wound   O
care   O
inspection   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
histopathological   O
examination   O
of   O
the   O
appendectomy   O
specimen   O
.   O

Schmitt   B-NAME
was   O
also   O
instructed   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
and   O
was   O
given   O
the   O
emergency   O
contact   O
number   O
486   B-CONTACT
-   I-CONTACT
1909   I-CONTACT
of   O
Hayes   B-LOCATION
Green   I-LOCATION
Beach   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
immediate   O
assistance   O
.   O

Prescriptions   O
:   O
arias   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
pain   O
management   O
medication   O
to   O
aid   O
in   O
recovery   O
.   O

In   O
summary   O
,   O
Cordova   B-NAME
,   O
a   O
2   O
week   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
of   O
Animal   O
Husbandry   O
and   O
Animal   O
Care   O
Workers   O
,   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
successfully   O
underwent   O
a   O
laparoscopic   O
appendectomy   O
.   O

Subject   O
:   O
Medical   O
Report   O
for   O
Dutton   B-NAME
,   I-NAME
Denis   I-NAME
On   O
2271   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
02   I-DATE
,   O
Callahan   B-NAME
,   O
a   O
Farmworkers   O
and   O
Laborers   O
,   O
Crop   O
,   O
Nursery   O
,   O
and   O
Greenhouse   O
from   O
Ohio   B-LOCATION
with   O
ZIP   O
code   O
77983   B-LOCATION
,   O
contacted   O
our   O
facility   O
.   O

Miranda   B-NAME
Maldonado   I-NAME
reported   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
described   O
as   O
sharp   O
and   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
consistent   O
with   O
symptoms   O
of   O
appendicitis   O
.   O

Moreover   O
,   O
Berna   B-NAME
Nicola   I-NAME
mentioned   O
a   O
noticeable   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
48   O
hours   O
,   O
accompanied   O
by   O
a   O
mild   O
fever   O
and   O
nausea   O
.   O

Upon   O
arrival   O
at   O
Windmoor   B-LOCATION
Healthcare   I-LOCATION
of   I-LOCATION
Clearwater   I-LOCATION
for   O
a   O
detailed   O
evaluation   O
,   O
August   B-NAME
Jones   I-NAME
underwent   O
an   O
abdominal   O
ultrasound   O
and   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
test   O
,   O
as   O
ordered   O
by   O
Carrillo   B-NAME
.   O

Isabela   B-NAME
Strickland   I-NAME
's   O
medical   O
record   O
number   O
NXO   B-ID
0   I-ID
-   I-ID
450   I-ID
has   O
been   O
updated   O
with   O
these   O
findings   O
.   O

In   O
light   O
of   O
these   O
symptoms   O
and   O
test   O
results   O
,   O
Browning   B-NAME
,   I-NAME
Robert   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
.   O

As   O
of   O
12/3   B-DATE
,   O
the   O
plan   O
is   O
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
to   O
remove   O
the   O
inflamed   O
appendix   O
.   O

For   O
follow   O
-   O
up   O
appointments   O
and   O
any   O
questions   O
regarding   O
the   O
surgery   O
or   O
recovery   O
process   O
,   O
Skyler   B-NAME
Grimes   I-NAME
has   O
been   O
informed   O
to   O
contact   O
Cooley   B-LOCATION
Dickinson   I-LOCATION
Hospital   I-LOCATION
at   O
675   B-CONTACT
4668   I-CONTACT
.   O

Given   O
the   O
urgency   O
of   O
the   O
condition   O
and   O
James   B-NAME
Fraser   I-NAME
's   O
discomfort   O
,   O
swift   O
action   O
is   O
critical   O
to   O
prevent   O
any   O
complications   O
such   O
as   O
perforation   O
or   O
peritonitis   O
.   O

Should   O
there   O
be   O
any   O
inquiries   O
or   O
further   O
information   O
needed   O
,   O
please   O
do   O
not   O
hesitate   O
to   O
reach   O
out   O
to   O
our   O
medical   O
staff   O
at   O
Grand   B-LOCATION
Strand   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
directly   O
to   O
Lyons   B-NAME
,   I-NAME
Steve   I-NAME
’s   O
office   O
located   O
in   O
Tennessee   B-LOCATION
Ridge   I-LOCATION
.   O

Abbie   B-NAME
Cabrera   I-NAME
's   O
next   O
of   O
kin   O
,   O
as   O
listed   O
under   O
emergency   O
contacts   O
,   O
have   O
been   O
notified   O
and   O
are   O
advised   O
to   O
stay   O
in   O
close   O
communication   O
throughout   O
the   O
surgical   O
process   O
and   O
recovery   O
period   O
.   O

This   O
report   O
was   O
compiled   O
by   O
WH474   B-NAME
and   O
securely   O
stored   O
in   O
our   O
Minnesota   B-LOCATION
's   O
database   O
under   O
ID   O
AV   B-ID
:   I-ID
FI:7588   I-ID
.   O

We   O
aim   O
to   O
ensure   O
Le   B-NAME
's   O
privacy   O
and   O
confidentiality   O
are   O
maintained   O
at   O
all   O
stages   O
of   O
treatment   O
and   O
recovery   O
.   O

Best   O
Regards   O
,   O
Medical   O
Records   O
Department   O
St.   B-LOCATION
Francis   I-LOCATION
Health   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
18840   B-CONTACT
2/23   B-DATE

Patient   O
Name   O
:   O
whalen   B-NAME
Patient   O
ID   O
:   O
GN   B-ID
:   I-ID
MK:5674   I-ID
Medical   O
Record   O
Number   O
:   O
67986877   B-ID
Date   O
of   O
Birth   O
:   O
September   B-DATE
Age   O
:   O
56   O
Address   O
:   O
Exton   B-LOCATION
,   O
91390   B-LOCATION
Phone   O
Number   O
:   O
21072   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Lardner   B-NAME
,   I-NAME
Ring   I-NAME
Presenting   O
Complaint   O
:   O
Ronald   B-NAME
Moses   I-NAME
was   O
brought   O
to   O
Amity   B-LOCATION
Clinic   I-LOCATION
on   O
01/23/2198   B-DATE
complaining   O
of   O
severe   O
,   O
unrelenting   O
abdominal   O
pain   O
centered   O
around   O
the   O
umbilicus   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
pain   O
has   O
been   O
described   O
as   O
sharp   O
and   O
stabbing   O
in   O
nature   O
,   O
worsening   O
over   O
the   O
past   O
05/32/2048   B-DATE
.   O

Talbert   B-NAME
,   I-NAME
Nicholas   I-NAME
reports   O
no   O
recent   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

Coward   B-NAME
,   I-NAME
Noel   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
controlled   O
with   O
oral   O
hypoglycemics   O
,   O
hypertension   O
managed   O
with   O
beta   O
-   O
blockers   O
,   O
and   O
a   O
prior   O
episode   O
of   O
acute   O
pancreatitis   O
approximately   O
one   O
year   O
ago   O
.   O

Deangelo   B-NAME
Reid   I-NAME
is   O
a   O
Electrical   O
Parts   O
Reconditioners   O
by   O
profession   O
,   O
with   O
a   O
20   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
but   O
quit   O
smoking   O
five   O
years   O
ago   O
.   O

Ivy   B-NAME
Whitaker   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
cardiovascular   O
disease   O
in   O
a   O
father   O
who   O
passed   O
away   O
at   O
12   O
month   O
and   O
a   O
sibling   O
with   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Castro   B-NAME
appeared   O
acutely   O
distressed   O
.   O

Investigations   O
:   O
28/07   B-DATE
's   O
laboratory   O
results   O
showed   O
elevated   O
amylase   O
and   O
lipase   O
levels   O
,   O
indicative   O
of   O
pancreatitis   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
performed   O
on   O
16/02/09   B-DATE
,   O
demonstrated   O
inflammation   O
and   O
swelling   O
of   O
the   O
pancreas   O
without   O
evidence   O
of   O
gallstones   O
or   O
obstruction   O
.   O

Treatment   O
:   O
Marshall   B-NAME
Reames   I-NAME
was   O
admitted   O
to   O
Geisinger   B-LOCATION
Holy   I-LOCATION
Spirit   I-LOCATION
under   O
the   O
care   O
of   O
Brenna   B-NAME
Cabrera   I-NAME
and   O
initiated   O
on   O
IV   O
fluids   O
,   O
analgesia   O
,   O
and   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
.   O

Ferreira   B-NAME
's   O
condition   O
has   O
shown   O
gradual   O
improvement   O
over   O
the   O
following   O
days   O
,   O
with   O
plans   O
for   O
a   O
low   O
-   O
fat   O
diet   O
introduction   O
and   O
monitoring   O
of   O
pancreatic   O
enzyme   O
levels   O
.   O

Follow   O
-   O
Up   O
:   O
Joshua   B-NAME
Morgan   I-NAME
is   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
the   O
Capital   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
outpatient   O
department   O
with   O
Lilah   B-NAME
Gentry   I-NAME
on   O
7/90   B-DATE
for   O
reevaluation   O
of   O
pancreatic   O
function   O
and   O
assessment   O
of   O
dietary   O
tolerance   O
.   O

Contact   O
Information   O
:   O
For   O
any   O
concerns   O
or   O
further   O
information   O
,   O
please   O
contact   O
Rose   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
90845   B-CONTACT
.   O

Patient   O
Report   O
for   O
Arturo   B-NAME
Castro   I-NAME
2149   B-DATE
,   O
Fruithurst   B-LOCATION
IIUG   B-LOCATION
International   I-LOCATION
Informix   I-LOCATION
Users   I-LOCATION
Group   I-LOCATION
Medical   O
Records   O
#   O
293   B-ID
-   I-ID
74   I-ID
-   I-ID
84   I-ID
-   I-ID
4   I-ID
Patient   O
Miriam   B-NAME
Khan   I-NAME
,   O
78s   O
years   O
of   O
age   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Bakersfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
developed   O
gradually   O
over   O
the   O
past   O
2/29   B-DATE
.   O

Upon   O
initial   O
evaluation   O
,   O
Carter   B-NAME
Newton   I-NAME
noted   O
the   O
presence   O
of   O
McBurney   O
's   O
sign   O
during   O
the   O
physical   O
examination   O
.   O

Lee   B-NAME
had   O
also   O
undergone   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
,   O
which   O
further   O
corroborated   O
the   O
initial   O
diagnosis   O
with   O
evidence   O
of   O
an   O
inflamed   O
appendix   O
.   O

Crystal   B-NAME
Wells   I-NAME
discussed   O
the   O
findings   O
and   O
recommended   O
an   O
immediate   O
surgical   O
intervention   O
for   O
appendectomy   O
.   O

1797   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
13   I-DATE
marks   O
the   O
day   O
of   O
the   O
operation   O
performed   O
by   O
Cochran   B-NAME
,   O
overseen   O
by   O
a   O
team   O
of   O
medical   O
professionals   O
at   O
Stony   B-LOCATION
Brook   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
.   O

Carola   B-NAME
Sessoms   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
has   O
been   O
closely   O
monitored   O
,   O
with   O
Peter   B-NAME
Starr   I-NAME
showing   O
signs   O
of   O
steady   O
improvement   O
.   O

Instructions   O
for   O
rest   O
,   O
wound   O
care   O
,   O
and   O
a   O
follow   O
-   O
up   O
schedule   O
were   O
provided   O
upon   O
discharge   O
on   O
April   B-DATE
.   O

Markus   B-NAME
Mendez   I-NAME
was   O
advised   O
to   O
report   O
immediately   O
to   O
the   O
emergency   O
department   O
of   O
Huntington   B-LOCATION
Beach   I-LOCATION
Hospital   I-LOCATION
or   O
call   O
20350   B-CONTACT
in   O
case   O
of   O
fever   O
,   O
increased   O
pain   O
at   O
the   O
surgical   O
site   O
,   O
or   O
any   O
symptoms   O
suggesting   O
an   O
infection   O
.   O

In   O
summary   O
,   O
Tony   B-NAME
Wilkinson   I-NAME
,   O
a   O
Precision   O
Dyers   O
by   O
profession   O
,   O
exhibited   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
,   O
which   O
was   O
promptly   O
diagnosed   O
and   O
treated   O
via   O
surgical   O
intervention   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Thomasville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
collaborative   O
effort   O
between   O
Heath   B-NAME
Weyer   I-NAME
and   O
the   O
medical   O
team   O
facilitated   O
a   O
successful   O
outcome   O
,   O
with   O
expectation   O
for   O
full   O
recovery   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Nadia   B-NAME
Maxwell   I-NAME
have   O
been   O
scheduled   O
to   O
ensure   O
the   O
continued   O
health   O
and   O
well   O
-   O
being   O
of   O
Braden   B-NAME
Gamble   I-NAME
.   O

The   O
patient   O
's   O
case   O
will   O
remain   O
under   O
review   O
,   O
with   O
any   O
additional   O
information   O
pertinent   O
to   O
their   O
condition   O
to   O
be   O
added   O
to   O
medical   O
record   O
#   O
814   B-ID
-   I-ID
93   I-ID
-   I-ID
87   I-ID
-   I-ID
7   I-ID
as   O
it   O
becomes   O
available   O
.   O

For   O
any   O
inquiries   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
Dell   B-LOCATION
Seton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
the   I-LOCATION
University   I-LOCATION
of   I-LOCATION
Texas   I-LOCATION
at   O
90487   B-CONTACT
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Adonis   B-NAME
Shea   I-NAME
,   O
a   O
3   O
month   O
year   O
old   O
Cooling   O
and   O
Freezing   O
Equipment   O
Operators   O
and   O
Tenders   O
residing   O
at   O
Des   B-LOCATION
Lacs   I-LOCATION
,   O
presented   O
to   O
Altru   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
ER   O
on   O
2192   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
10   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
that   O
started   O
early   O
in   O
the   O
morning   O
.   O

TALLEY   B-NAME
,   I-NAME
KEITH   I-NAME
W   I-NAME
was   O
referred   O
by   O
Carroll   B-NAME
following   O
a   O
telehealth   O
consultation   O
.   O

Upon   O
examination   O
,   O
Goldman   B-NAME
,   I-NAME
Emma   I-NAME
exhibited   O
right   O
lower   O
quadrant   O
tenderness   O
,   O
with   O
rebound   O
tenderness   O
indicative   O
of   O
possible   O
appendicitis   O
.   O

Isaias   B-NAME
Gardner   I-NAME
's   O
primary   O
contact   O
number   O
is   O
319   B-CONTACT
8157   I-CONTACT
.   O

Surgical   O
Consultation   O
:   O
22/21   B-DATE
post   O
-   O
diagnosis   O
,   O
Casey   B-NAME
Middleton   I-NAME
's   O
evaluation   O
confirmed   O
acute   O
uncomplicated   O
appendicitis   O
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
and   O
consented   O
to   O
by   O
VALENTIN   B-NAME
,   I-NAME
IDA   I-NAME
.   O

Surgery   O
&   O
Recovery   O
:   O
07/22/1982   B-DATE
,   O
the   O
operation   O
was   O
performed   O
at   O
Havenwyck   B-LOCATION
Hospital   I-LOCATION
without   O
complications   O
.   O

Francisco   B-NAME
Lloyd   I-NAME
was   O
given   O
a   O
04811637   B-ID
number   O
of   O
WX976/4485   B-ID
for   O
this   O
operation   O
.   O

Post   O
-   O
operative   O
care   O
was   O
managed   O
by   O
Dr.   O
Erdös   B-NAME
,   I-NAME
Paul   I-NAME
on   O
the   O
surgical   O
team   O
.   O

Emmanuel   B-NAME
Kolbe   I-NAME
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
20/23/2303   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
prescribed   O
antibiotics   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Leif   B-NAME
Aston   I-NAME
in   O
2   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
call   O
was   O
made   O
on   O
3/3   B-DATE
by   O
MidState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
staff   O
to   O
check   O
on   O
Leif   B-NAME
Aston   I-NAME
's   O
recovery   O
.   O

Peyton   B-NAME
Ochoa   I-NAME
reported   O
feeling   O
much   O
better   O
,   O
with   O
no   O
signs   O
of   O
infection   O
or   O
complications   O
at   O
the   O
surgical   O
site   O
.   O

This   O
patient   O
's   O
case   O
has   O
been   O
documented   O
under   O
794   B-ID
94   I-ID
39   I-ID
for   O
our   O
records   O
.   O

Any   O
future   O
queries   O
or   O
requests   O
for   O
information   O
should   O
be   O
directed   O
to   O
the   O
patient   O
's   O
care   O
team   O
at   O
Quincy   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
reachable   O
at   O
325   B-CONTACT
-   I-CONTACT
4235   I-CONTACT
.   O

Patient   O
Report   O
for   O
Richards   B-NAME
General   O
Information   O
:   O
38/26/92   B-DATE
,   O
CJW   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Johnston   I-LOCATION
-   I-LOCATION
Willis   I-LOCATION
Campus   I-LOCATION
,   O
Butner   B-LOCATION
,   O
97379   B-LOCATION

The   O
patient   O
,   O
Alison   B-NAME
Sutton   I-NAME
,   O
a   O
23   O
-   O
year   O
-   O
old   O
Mail   O
Machine   O
Operators   O
,   O
Preparation   O
and   O
Handling   O
,   O
was   O
admitted   O
to   O
Wyoming   B-LOCATION
County   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
12   B-DATE
after   O
experiencing   O
acute   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

The   O
symptoms   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
the   O
patient   O
was   O
at   O
work   O
in   O
Calico   B-LOCATION
Rock   I-LOCATION
.   O

Natashia   B-NAME
Rosa   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
mellitus   O
three   O
years   O
ago   O
.   O

Previous   O
consultations   O
with   O
Cedric   B-NAME
Lambert   I-NAME
documented   O
efforts   O
to   O
manage   O
Edwin   B-NAME
Spindrift   I-NAME
's   O
weight   O
and   O
diet   O
.   O

Incident   O
Details   O
:   O
On   O
the   O
morning   O
of   O
32/35   B-DATE
,   O
Carlie   B-NAME
Wagner   I-NAME
reported   O
onset   O
of   O
acute   O
chest   O
pain   O
,   O
described   O
as   O
a   O
crushing   O
sensation   O
behind   O
the   O
sternum   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
,   O
accompanied   O
by   O
shortness   O
of   O
breath   O
and   O
diaphoresis   O
.   O

Lefty   B-NAME
immediately   O
contacted   O
61102   B-CONTACT
and   O
was   O
advised   O
to   O
seek   O
emergency   O
care   O
.   O

Upon   O
examination   O
at   O
Newberry   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
the   O
patient   O
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
Blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
37.5   O
°   O
C   O
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Lowe   B-NAME
,   O
initiated   O
thrombolytic   O
therapy   O
within   O
30   O
minutes   O
of   O
Jalia   B-NAME
's   O
arrival   O
at   O
the   O
emergency   O
department   O
.   O

Harold   B-NAME
Nutter   I-NAME
was   O
then   O
admitted   O
to   O
the   O
cardiology   O
ward   O
for   O
continuous   O
monitoring   O
and   O
further   O
management   O
,   O
including   O
blood   O
glucose   O
stabilization   O
and   O
hypertension   O
control   O
.   O

A   O
consult   O
with   O
the   O
dietician   O
was   O
scheduled   O
to   O
revisit   O
Sallie   B-NAME
Coggins   I-NAME
's   O
diet   O
and   O
diabetes   O
management   O
plan   O
.   O

Conclusion   O
:   O
Philip   B-NAME
Mora   I-NAME
is   O
currently   O
stable   O
but   O
remains   O
under   O
observation   O
in   O
Hartford   B-LOCATION
Hospital   I-LOCATION
,   O
with   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
Krieger   B-NAME
,   I-NAME
Robbie   I-NAME
for   O
1633   B-DATE
.   O

Documentation   O
:   O
Medical   O
Record   O
Number   O
:   O
2330455   B-ID
Admitting   O
Nurse   O
:   O
gdo400   B-NAME
Call   O
Recorded   O
by   O
:   O
Radar   O
and   O
Sonar   O
Technicians   O
on   O
(   B-CONTACT
277   I-CONTACT
)   I-CONTACT
825   I-CONTACT
-   I-CONTACT
2891   I-CONTACT
Emergency   O
Contact   O
:   O
864   B-CONTACT
-   I-CONTACT
7029   I-CONTACT
Note   O
:   O
All   O
personal   O
and   O
sensitive   O
information   O
has   O
been   O
anonymized   O
in   O
this   O
report   O
to   O
maintain   O
confidentiality   O
in   O
accordance   O
with   O
privacy   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Burton   B-NAME
-   O
Age   O
:   O
82   O
-   O
Contact   O
Number   O
:   O
259   B-CONTACT
-   I-CONTACT
7576   I-CONTACT
-   O
Address   O
:   O
Rose   B-LOCATION
Lodge   I-LOCATION
,   O
97522   B-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
88922247   B-ID
-   O
Admission   O
Date   O
:   O
2/32   B-DATE
-   O
Attending   O
Physician   O
:   O

Spencer   B-NAME
-   O
Hospital   O
:   O
Harborview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
The   O
patient   O
,   O
Kayo   B-NAME
,   O
presented   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
32/06   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Katima   B-NAME
was   O
found   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

The   O
attending   O
physician   O
,   O
Cornelius   B-NAME
Strong   I-NAME
,   O
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Pre   O
-   O
operative   O
preparations   O
were   O
initiated   O
on   O
32/22   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Thursday   B-DATE
,   I-DATE
February   I-DATE
:   O
Follow   O
-   O
up   O
examination   O
in   O
the   O
surgical   O
outpatient   O
department   O
showed   O
satisfactory   O
post   O
-   O
operative   O
wound   O
healing   O
with   O
no   O
signs   O
of   O
infection   O
.   O

Wendy   B-NAME
P   I-NAME
Nowak   I-NAME
reported   O
significant   O
relief   O
from   O
previous   O
symptoms   O
and   O
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
.   O

-   O
Follow   O
-   O
up   O
visit   O
scheduled   O
with   O
Marquez   B-NAME
on   O
02/22   B-DATE
at   O
MercyOne   B-LOCATION
Clive   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
for   O
wound   O
check   O
and   O
removal   O
of   O
sutures   O
.   O

In   O
case   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
,   O
the   O
patient   O
is   O
instructed   O
to   O
contact   O
Westlake   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
immediately   O
at   O
38342   B-CONTACT
.   O

Prepared   O
by   O
:   O
Construction   O
and   O
Building   O
Inspectors   O
,   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Anthony   I-LOCATION
2000   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
02   I-DATE

Patient   O
Name   O
:   O
Natashia   B-NAME
Rosa   I-NAME
Date   O
of   O
Birth   O
:   O
2050   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
20   I-DATE
Age   O
:   O
79   O
Address   O
:   O
Belle   B-LOCATION
Medical   O
Record   O
Number   O
:   O
5788305   B-ID
Date   O
of   O
Visit   O
:   O
12/28   B-DATE
Physician   O
:   O

Stone   B-NAME
Hospital   O
:   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
in   I-LOCATION
Waycross   I-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
781   I-CONTACT
)   I-CONTACT
560   I-CONTACT
5166   I-CONTACT
Zip   O
Code   O
:   O
99313   B-LOCATION
ID   O
:   O
SH   B-ID
:   I-ID
TN:4738   I-ID
Occupation   O
:   O
Electronic   O
Home   O
Entertainment   O
Equipment   O
Installers   O
and   O
Repairers   O
Username   O
:   O
MA345   B-NAME
Subjective   O
:   O

The   O
patient   O
,   O
Maurice   B-NAME
Casey   I-NAME
,   O
a   O
Magnetic   O
Resonance   O
Imaging   O
Technologists   O
from   O
Rio   B-LOCATION
en   I-LOCATION
Medio   I-LOCATION
,   O
with   O
no   O
known   O
drug   O
allergies   O
,   O
presented   O
to   O
Straith   B-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Special   I-LOCATION
Surgery   I-LOCATION
on   O
02/29   B-DATE
complaining   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
,   O
and   O
chest   O
tightness   O
that   O
began   O
approximately   O
two   O
days   O
prior   O
.   O

Manuel   B-NAME
Mercer   I-NAME
noted   O
a   O
progressive   O
worsening   O
of   O
symptoms   O
,   O
which   O
initially   O
started   O
as   O
a   O
mild   O
discomfort   O
but   O
escalated   O
to   O
a   O
point   O
of   O
concern   O
,   O
prompting   O
the   O
visit   O
.   O

Jonathon   B-NAME
Marquez   I-NAME
denies   O
recent   O
travel   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Objective   O
:   O
On   O
physical   O
examination   O
,   O
Cohen   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Assessment   O
:   O
A   O
series   O
of   O
diagnostic   O
tests   O
were   O
ordered   O
by   O
Hahn   B-NAME
including   O
a   O
chest   O
X   O
-   O
ray   O
,   O
which   O
showed   O
no   O
acute   O
cardiopulmonary   O
process   O
,   O
and   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
that   O
revealed   O
no   O
significant   O
abnormalities   O
.   O

3   O
.   O
Instructions   O
were   O
provided   O
to   O
Giselle   B-NAME
Good   I-NAME
for   O
adequate   O
hydration   O
and   O
rest   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
11/01/1856   B-DATE
to   O
reassess   O
the   O
progress   O
.   O

Instructions   O
were   O
also   O
given   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
deterioration   O
or   O
difficulty   O
breathing   O
,   O
in   O
which   O
case   O
Hayden   B-NAME
Cantu   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
or   O
return   O
to   O
Winter   B-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
.   O

All   O
information   O
regarding   O
the   O
treatment   O
and   O
care   O
plan   O
was   O
documented   O
in   O
Jensen   B-NAME
Frazier   I-NAME
's   O
medical   O
record   O
(   O
331   B-ID
-   I-ID
89   I-ID
-   I-ID
50   I-ID
-   I-ID
9   I-ID
)   O
and   O
a   O
summary   O
was   O
provided   O
to   O
the   O
patient   O
along   O
with   O
the   O
necessary   O
prescriptions   O
.   O

Simmons   B-NAME
's   O
contact   O
information   O
was   O
furnished   O
to   O
Elroy   B-NAME
for   O
any   O
questions   O
or   O
concerns   O
that   O
may   O
arise   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Irish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
was   O
notified   O
of   O
the   O
patient   O
's   O
condition   O
,   O
as   O
per   O
the   O
occupational   O
health   O
protocol   O
of   O
Aydin   B-NAME
Williamson   I-NAME
's   O
workplace   O
,   O
with   O
Gentry   B-NAME
's   O
consent   O
.   O

The   O
case   O
was   O
coded   O
accordingly   O
and   O
processed   O
for   O
billing   O
by   O
the   O
Soldiers   B-LOCATION
And   I-LOCATION
Sailors   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Yates   I-LOCATION
County   I-LOCATION
Inc   I-LOCATION
’s   O
administrative   O
staff   O
,   O
ensuring   O
all   O
patient   O
information   O
remains   O
confidential   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

Notes   O
prepared   O
by   O
:   O
lig8610   B-NAME
Date   O
:   O
17/12   B-DATE
Contact   O
Number   O
for   O
Follow   O
-   O
up   O
:   O
51071   B-CONTACT

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Lashunda   B-NAME
Kearns   I-NAME
Patient   O
ID   O
:   O
NG:24268:248345   B-ID
Medical   O
Record   O
Number   O
:   O
4412547   B-ID
Date   O
of   O
Birth   O
:   O
11/35/2052   B-DATE
Age   O
:   O
0   O
week   O
Phone   O
Number   O
:   O
65522   B-CONTACT
Address   O
:   O
Oakland   B-LOCATION
City   I-LOCATION
,   O
25856   B-LOCATION
Occupation   O
:   O
Precision   O
Devices   O
Inspectors   O
and   O
Testers   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Meyer   B-NAME
Hospital   O
:   O
Jefferson   B-LOCATION
Cherry   I-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
4   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
45   I-DATE
Admission   O
Date   O
:   O
26/00   B-DATE
Release   O
Date   O
:   O
0/31   B-DATE
Summary   O
:   O
PAUL   B-NAME
VALENTINE   I-NAME
,   O
a   O
Bioinformatics   O
Technicians   O
from   O
Milo   B-LOCATION
,   O
presented   O
to   O
UPMC   B-LOCATION
Carlisle   I-LOCATION
on   O
9/2   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
05/01   B-DATE
.   O

Upon   O
examination   O
,   O
Chad   B-NAME
Crawford   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.2   O
°   O
C   O
,   O
indicating   O
a   O
fever   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
ordered   O
by   O
Dr.   O
Daugherty   B-NAME
,   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O

Dr.   O
Boone   B-NAME
diagnosed   O
Alfonzo   B-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
3/2   B-DATE
without   O
any   O
complications   O
.   O

Meza   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
post   O
-   O
operation   O
and   O
advised   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
30/02   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
on   O
2004   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
22   I-DATE
with   O
instructions   O
on   O
wound   O
care   O
and   O
signs   O
of   O
potential   O
complications   O
to   O
watch   O
for   O
.   O

The   O
patient   O
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
and   O
avoid   O
strenuous   O
activities   O
for   O
12/68   B-DATE
weeks   O
post   O
-   O
operation   O
to   O
ensure   O
proper   O
healing   O
.   O

Herodotus   B-NAME
was   O
given   O
Dr.   O
Sherri   B-NAME
Dattilo   I-NAME
's   O
office   O
phone   O
number   O
,   O
362   B-CONTACT
-   I-CONTACT
5065   I-CONTACT
,   O
for   O
any   O
questions   O
or   O
concerns   O
during   O
the   O
recovery   O
period   O
.   O

Our   O
organization   O
,   O
United   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
,   O
is   O
dedicated   O
to   O
protecting   O
your   O
health   O
information   O
.   O

Should   O
there   O
be   O
any   O
concerns   O
regarding   O
your   O
treatment   O
or   O
if   O
you   O
experience   O
any   O
of   O
the   O
following   O
symptoms   O
:   O
increased   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
please   O
contact   O
Rose   B-LOCATION
Gardens   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
immediately   O
or   O
come   O
to   O
the   O
emergency   O
department   O
.   O

This   O
report   O
has   O
been   O
securely   O
shared   O
with   O
Nunzio   B-NAME
Manning   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Richmond   B-NAME
,   O
and   O
saved   O
in   O
Jamie   B-NAME
Frazier   I-NAME
's   O
medical   O
record   O
#   O
036   B-ID
-   I-ID
38   I-ID
-   I-ID
09   I-ID
for   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
.   O

For   O
further   O
inquiries   O
,   O
Havel   B-NAME
,   I-NAME
Václav   I-NAME
or   O
their   O
authorized   O
representative   O
may   O
contact   O
our   O
customer   O
service   O
at   O
12838   B-CONTACT
.   O

Patient   O
Report   O
for   O
Raphael   B-NAME
Monroe   I-NAME
08/06   B-DATE
Report   O
Summary   O
:   O

The   O
patient   O
,   O
a   O
82   O
-   O
year   O
-   O
old   O
Radio   O
and   O
Television   O
Announcers   O
residing   O
in   O
Valley   B-LOCATION
Springs   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Forest   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

According   O
to   O
Elisha   B-NAME
Meyer   I-NAME
,   O
the   O
symptoms   O
started   O
abruptly   O
around   O
January   B-DATE
of   I-DATE
2121   I-DATE
and   O
have   O
progressively   O
worsened   O
.   O

Medical   O
History   O
:   O
Oswald   B-NAME
M   I-NAME
Jeffers   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
a   O
combination   O
of   O
diuretics   O
and   O
ACE   O
inhibitors   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Alford   B-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
with   O
rebound   O
tenderness   O
suggestive   O
of   O
peritonitis   O
.   O

Dr.   O
Andreas   B-NAME
Cervantes   I-NAME
advised   O
immediate   O
surgical   O
intervention   O
.   O

The   O
patient   O
underwent   O
an   O
appendectomy   O
on   O
28/31/2216   B-DATE
at   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Nampa   I-LOCATION
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Daugherty   B-NAME
was   O
discharged   O
on   O
28/02/32   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
recommended   O
follow   O
-   O
up   O
appointments   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Caucau   B-NAME
,   I-NAME
Adi   I-NAME
Asenaca   I-NAME
in   O
two   O
weeks   O
at   O
Memorial   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
the   O
healing   O
process   O
and   O
discuss   O
any   O
further   O
treatment   O
if   O
necessary   O
.   O

Contact   O
Information   O
:   O
Should   O
John   B-NAME
Hudson   I-NAME
or   O
their   O
family   O
have   O
any   O
concerns   O
or   O
require   O
further   O
clarification   O
,   O
they   O
can   O
contact   O
the   O
surgical   O
department   O
at   O
997   B-CONTACT
7650   I-CONTACT
or   O
visit   O
Swain   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Garden   B-LOCATION
Grove   I-LOCATION
.   O

Please   O
refer   O
to   O
the   O
patient   O
’s   O
medical   O
record   O
number   O
04811637   B-ID
for   O
any   O
inquiries   O
.   O

The   O
unique   O
identifier   O
for   O
this   O
report   O
is   O
TI:988100:984728   B-ID
,   O
and   O
it   O
is   O
securely   O
stored   O
in   O
our   O
system   O
.   O

For   O
further   O
assistance   O
,   O
please   O
contact   O
our   O
support   O
at   O
80026   B-CONTACT
or   O
email   O
through   O
our   O
secured   O
system   O
with   O
your   O
user   O
ID   O
:   O
lw626   B-NAME
.   O

Billing   O
Information   O
:   O
Please   O
note   O
that   O
all   O
billing   O
queries   O
related   O
to   O
this   O
procedure   O
should   O
be   O
directed   O
to   O
our   O
billing   O
department   O
at   O
15924   B-CONTACT
,   O
located   O
in   O
82216   B-LOCATION
.   O

The   O
billing   O
codes   O
and   O
itemized   O
costs   O
for   O
the   O
services   O
provided   O
to   O
Shanon   B-NAME
Kirwin   I-NAME
are   O
detailed   O
in   O
their   O
account   O
under   O
8728889   B-ID
.   O

Report   O
Prepared   O
By   O
:   O
Order   O
Fillers   O
,   O
Wholesale   O
and   O
Retail   O
Sales   O
at   O
Sterling   B-LOCATION
Bank   I-LOCATION
February   B-DATE

Patient   O
Report   O
Patient   O
ID   O
:   O
6905649   B-ID
Demographics   O
:   O
-   O
Name   O
:   O
Charles   B-NAME
Cameron   I-NAME
-   O
Age   O
:   O
8   O
-   O
Address   O
:   O
487   B-LOCATION
Jones   I-LOCATION
St.   I-LOCATION
,   O
22237   B-LOCATION
-   O
Phone   O
:   O
(   B-CONTACT
763   I-CONTACT
)   I-CONTACT
668   I-CONTACT
-   I-CONTACT
3099   I-CONTACT
-   O
Emergency   O
Contact   O
:   O
police   O
officer   O
at   O
617   B-CONTACT
-   I-CONTACT
5204   I-CONTACT
Medical   O
History   O
:   O
-   O
Primary   O
Care   O
Physician   O
:   O

Landry   B-NAME
-   O
Referring   O
Physician   O
:   O

Sidney   B-NAME
Mccullough   I-NAME
-   O
Admission   O
Date   O
:   O
32/06   B-DATE
-   O
Discharge   O
Date   O
:   O
13/33/27   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
804   B-ID
-   I-ID
85   I-ID
-   I-ID
23   I-ID
Summary   O
:   O
Charlette   B-NAME
Ruston   I-NAME
,   O
a   O
23s   O
-   O
year   O
-   O
old   O
Geomatics   O
/   O
land   O
surveyor   O
,   O
presented   O
to   O
Putnam   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
9/40   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
patient   O
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
hypertension   O
,   O
managed   O
by   O
Galvan   B-NAME
at   O
First   B-LOCATION
Arizona   I-LOCATION
Savings   I-LOCATION
.   O

Ward   B-NAME
Gabrielson   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
,   O
describing   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
.   O
Examination   O
and   O
Findings   O
:   O

Upon   O
examination   O
,   O
Skip   B-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
.   O

Additional   O
Investigations   O
:   O
A   O
contrast   O
-   O
enhanced   O
CT   O
abdomen   O
performed   O
on   O
00/31   B-DATE
confirmed   O
the   O
diagnosis   O
of   O
acute   O
pancreatitis   O
,   O
showing   O
inflammation   O
and   O
fluid   O
collections   O
around   O
the   O
pancreas   O
.   O

Insulin   O
therapy   O
was   O
adjusted   O
in   O
response   O
to   O
Sari   B-NAME
Mojaro   I-NAME
's   O
glucose   O
levels   O
.   O

Under   O
the   O
care   O
of   O
Sanaa   B-NAME
Hoffman   I-NAME
and   O
the   O
multidisciplinary   O
team   O
at   O
University   B-LOCATION
of   I-LOCATION
Mississippi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Grenada   I-LOCATION
,   O
Donovan   B-NAME
J.   I-NAME
Betty   I-NAME
Barber   I-NAME
's   O
condition   O
steadily   O
improved   O
.   O

Bernard   B-NAME
Jennings   I-NAME
was   O
educated   O
on   O
lifestyle   O
modifications   O
,   O
including   O
dietary   O
changes   O
and   O
the   O
importance   O
of   O
managing   O
diabetes   O
to   O
prevent   O
recurrence   O
.   O

Follow   O
-   O
up   O
:   O
Armstrong   B-NAME
,   I-NAME
Edwin   I-NAME
was   O
discharged   O
on   O
23   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Castillo   B-NAME
in   O
two   O
weeks   O
for   O
re   O
-   O
evaluation   O
.   O

In   O
the   O
event   O
of   O
any   O
questions   O
or   O
worsening   O
symptoms   O
,   O
Kamari   B-NAME
Stevenson   I-NAME
was   O
advised   O
to   O
contact   O
Holden   B-NAME
's   O
office   O
at   O
154   B-CONTACT
2148   I-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
.   O

The   O
handling   O
of   O
this   O
information   O
is   O
subject   O
to   O
the   O
privacy   O
policies   O
and   O
regulations   O
dictated   O
by   O
Minnesota   B-LOCATION
Power   I-LOCATION
and   O
relevant   O
healthcare   O
laws   O
.   O

Prepared   O
by   O
:   O
lp823   B-NAME
Date   O
:   O
3/03/70   B-DATE
Sumter   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
South   B-LOCATION
Carthage   I-LOCATION
,   O
67514   B-LOCATION

Patient   O
Name   O
:   O
Blackwell   B-NAME
Patient   O
ID   O
:   O
RD   B-ID
:   I-ID
TL:6131   I-ID
Medical   O
Record   O
Number   O
:   O
92924192   B-ID
Date   O
of   O
Birth   O
:   O
02/33/50   B-DATE
Age   O
:   O
10   O
week   O
Address   O
:   O
Landrum   B-LOCATION
,   O
63989   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
891   I-CONTACT
)   I-CONTACT
571   I-CONTACT
-   I-CONTACT
3380   I-CONTACT
Employment   O
:   O
Higher   O
education   O
advice   O
worker   O
at   O
Jewish   B-LOCATION
War   I-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
the   I-LOCATION
USA   I-LOCATION
Attending   O
Physician   O
:   O

Francisco   B-NAME
Carpenter   I-NAME
Hospital   O
:   O
Mid   B-LOCATION
-   I-LOCATION
America   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
Admission   O
Date   O
:   O
11/32/13   B-DATE
Discharge   O
Date   O
:   O
30/20/70   B-DATE
Medical   O
History   O
:   O

Salgado   B-NAME
presents   O
to   O
AdventHealth   B-LOCATION
Winter   I-LOCATION
Park   I-LOCATION
with   O
a   O
complex   O
medical   O
history   O
,   O
including   O
previously   O
diagnosed   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

The   O
patient   O
is   O
currently   O
employed   O
as   O
a   O
Switchboard   O
Operators   O
,   O
Including   O
Answering   O
Service   O
at   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Nigeria   I-LOCATION
(   I-LOCATION
CSN   I-LOCATION
)   I-LOCATION
,   O
which   O
involves   O
high   O
levels   O
of   O
stress   O
.   O

There   O
is   O
no   O
history   O
of   O
tobacco   O
use   O
,   O
but   O
Valentino   B-NAME
Franklin   I-NAME
reports   O
moderate   O
alcohol   O
consumption   O
.   O

Upon   O
admission   O
on   O
21/24/90   B-DATE
,   O
Juliette   B-NAME
Mora   I-NAME
reported   O
a   O
48   O
-   O
hour   O
history   O
of   O
intermittent   O
,   O
sharp   O
chest   O
pains   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Additionally   O
,   O
KRIEGER   B-NAME
,   I-NAME
STEVEN   I-NAME
noted   O
an   O
increase   O
in   O
frequency   O
and   O
severity   O
of   O
the   O
mentioned   O
symptoms   O
over   O
the   O
past   O
7/26   B-DATE
.   O

Diagnostic   O
Findings   O
:   O
Initial   O
physical   O
examination   O
by   O
Dr.   O
Blackwell   B-NAME
revealed   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
,   O
a   O
resting   O
heart   O
rate   O
of   O
98   O
beats   O
per   O
minute   O
,   O
and   O
a   O
body   O
mass   O
index   O
of   O
30   O
kg   O
/   O
m^2   O
.   O

Toccara   B-NAME
Socha   I-NAME
was   O
also   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
and   O
a   O
statin   O
for   O
long   O
-   O
term   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Harmon   B-NAME
was   O
scheduled   O
for   O
7/20   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
symptoms   O
and   O
response   O
to   O
treatment   O
.   O

Braylon   B-NAME
Reeves   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
,   O
particularly   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
lightheadedness   O
.   O

Instructions   O
were   O
given   O
to   O
return   O
to   O
W.   B-LOCATION
D.   I-LOCATION
Partlow   I-LOCATION
Developmental   I-LOCATION
Center   I-LOCATION
or   O
contact   O
62089   B-CONTACT
in   O
case   O
of   O
symptom   O
exacerbation   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
in   O
the   O
cardiology   O
outpatient   O
department   O
with   O
Dr.   O
Hudson   B-NAME
Pittman   I-NAME
is   O
planned   O
for   O
39/12/2152   B-DATE
to   O
monitor   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
needed   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
92136225   B-ID
Burton   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
Corwin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2311   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Angie   B-NAME
Romero   I-NAME
reports   O
the   O
pain   O
is   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
describing   O
it   O
as   O
sharp   O
and   O
persistent   O
.   O

Joye   B-NAME
Menas   I-NAME
also   O
noted   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

Noli   B-NAME
,   I-NAME
Fan   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
of   O
Madison   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
-   I-LOCATION
City   I-LOCATION
of   I-LOCATION
Madison   I-LOCATION
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Upon   O
examination   O
,   O
Mcknight   B-NAME
noted   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
at   O
the   O
radiology   O
department   O
of   O
St.   B-LOCATION
Clair   I-LOCATION
Hospital   I-LOCATION
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
inflammation   O
,   O
supporting   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Gideon   B-NAME
Harvey   I-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
.   O

The   O
surgical   O
team   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
1/22   B-DATE
.   O

Maren   B-NAME
Vaughan   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
post   O
-   O
operative   O
recovery   O
is   O
ongoing   O
under   O
the   O
care   O
of   O
the   O
surgical   O
team   O
at   O
Duke   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Atwood   B-NAME
has   O
been   O
advised   O
to   O
follow   O
up   O
for   O
wound   O
check   O
and   O
removal   O
of   O
sutures   O
in   O
7   O
-   O
10   O
days   O
post   O
-   O
operation   O
.   O

Analgesics   O
have   O
been   O
prescribed   O
for   O
pain   O
management   O
,   O
and   O
Beckham   B-NAME
Brock   I-NAME
has   O
been   O
instructed   O
to   O
report   O
any   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
immediately   O
.   O

For   O
any   O
further   O
questions   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Katelynn   B-NAME
Washington   I-NAME
or   O
their   O
Automotive   O
engineer   O
can   O
contact   O
the   O
general   O
surgery   O
department   O
at   O
Parkway   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
via   O
446   B-CONTACT
-   I-CONTACT
946   I-CONTACT
5482   I-CONTACT
.   O

Additional   O
Notes   O
:   O
Landin   B-NAME
Rivas   I-NAME
is   O
a   O
Curators   O
residing   O
in   O
Barker   B-LOCATION
Heights   I-LOCATION
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Sims   B-NAME
and   O
is   O
filed   O
under   O
36111369   B-ID
dated   O
1842   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
26   I-DATE
.   O

For   O
any   O
clarification   O
or   O
additional   O
information   O
,   O
please   O
feel   O
free   O
to   O
contact   O
Gamble   B-NAME
's   O
office   O
at   O
61088   B-CONTACT
.   O

Emil   B-NAME
Skoda   I-NAME
Patient   O
ID   O
:   O
FM327/8196   B-ID
Medical   O
Record   O
Number   O
:   O
10467632   B-ID
Date   O
of   O
Birth   O
:   O
04/12/04   B-DATE
Age   O
:   O
5   O
Address   O
:   O
Dunlap   B-LOCATION
,   I-LOCATION
Dunlap   I-LOCATION
Community   I-LOCATION
Development   I-LOCATION
Corporation   I-LOCATION
,   O
62847   B-LOCATION
Employment   O
:   O
Museum   O
Technicians   O
and   O
Conservators   O
at   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Bricklayers   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Craftworkers   I-LOCATION
Primary   O
Physician   O
:   O
Dr.   O
Charles   B-NAME
Tyler   I-NAME
Hospital   O
:   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
The   I-LOCATION
Lake   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
980   I-CONTACT
)   I-CONTACT
354   I-CONTACT
9684   I-CONTACT
Clinical   O
Summary   O
:   O
Mr.   O
Maximilian   B-NAME
Harris   I-NAME
,   O
a   O
Municipal   O
Clerks   O
at   O
Helsinki   B-LOCATION
Watch   I-LOCATION
,   O
presented   O
at   O
Bethesda   B-LOCATION
Hospital   I-LOCATION
Inc.   I-LOCATION
on   O
0/01   B-DATE
with   O
symptoms   O
consistent   O
with   O
acute   O
cholecystitis   O
.   O

The   O
patient   O
reported   O
experiencing   O
sudden   O
onset   O
of   O
severe   O
right   O
upper   O
quadrant   O
abdominal   O
pain   O
since   O
3/0/85   B-DATE
,   O
which   O
radiated   O
to   O
the   O
right   O
shoulder   O
blade   O
.   O

Physical   O
examination   O
conducted   O
by   O
Dr.   O
David   B-NAME
Hayward   I-NAME
revealed   O
positive   O
Murphy   O
’s   O
sign   O
,   O
indicating   O
the   O
likelihood   O
of   O
gallbladder   O
inflammation   O
.   O

Additionally   O
,   O
Mr.   O
Mack   B-NAME
exhibited   O
jaundice   O
,   O
further   O
suggesting   O
biliary   O
obstruction   O
or   O
liver   O
involvement   O
.   O

The   O
management   O
strategy   O
for   O
Mr.   O
Anaya   B-NAME
involved   O
initial   O
stabilization   O
,   O
fasting   O
to   O
rest   O
the   O
gallbladder   O
,   O
intravenous   O
hydration   O
,   O
and   O
administration   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
to   O
combat   O
infection   O
.   O

Given   O
the   O
severity   O
of   O
symptoms   O
and   O
evidence   O
of   O
complications   O
,   O
Dr.   O
Giana   B-NAME
Zamora   I-NAME
recommended   O
laparoscopic   O
cholecystectomy   O
as   O
definitive   O
treatment   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
surgery   O
on   O
1680   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
17   I-DATE
at   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Muskogee   I-LOCATION
.   O

Follow   O
-   O
up   O
was   O
arranged   O
for   O
03/07   B-DATE
with   O
Dr.   O
Casey   B-NAME
Howell   I-NAME
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
discuss   O
long   O
-   O
term   O
dietary   O
management   O
to   O
prevent   O
further   O
biliary   O
complications   O
.   O

Mr.   O
Marc   B-NAME
Shulman   I-NAME
was   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
53430   B-CONTACT
for   O
any   O
concerns   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
or   O
in   O
case   O
of   O
symptoms   O
indicating   O
infection   O
or   O
other   O
post   O
-   O
operative   O
complications   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
123   B-ID
-   I-ID
04   I-ID
-   I-ID
62   I-ID
-   I-ID
8   I-ID
and   O
additional   O
details   O
can   O
be   O
accessed   O
securely   O
by   O
healthcare   O
providers   O
involved   O
in   O
Mr.   O
Laface   B-NAME
Nockai   I-NAME
's   O
care   O
,   O
ensuring   O
comprehensive   O
and   O
coordinated   O
management   O
of   O
his   O
condition   O
.   O

Prepared   O
by   O
:   O
BL010   B-NAME
Date   O
:   O
0/92   B-DATE

The   O
patient   O
,   O
Marisa   B-NAME
Chaney   I-NAME
,   O
a   O
Financial   O
manager   O
from   O
DERBY   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
DCH   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/74   B-DATE
.   O

Yates   B-NAME
Atkinson   I-NAME
is   O
a   O
11   O
month   O
-   O
year   O
-   O
old   O
who   O
complained   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Harold   B-NAME
G.   I-NAME
Keane   I-NAME
exhibited   O
signs   O
of   O
peritonitis   O
,   O
including   O
rebound   O
tenderness   O
and   O
guarding   O
.   O

Crista   B-NAME
Kempon   I-NAME
's   O
medical   O
history   O
was   O
noted   O
to   O
be   O
significant   O
for   O
Type   O
II   O
diabetes   O
mellitus   O
,   O
for   O
which   O
[   O
HE   O
/   O
SHE   O
]   O
is   O
on   O
oral   O
hypoglycemics   O
,   O
managed   O
by   O
Desiree   B-NAME
Weaver   I-NAME
at   O
Towne   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Arizona   I-LOCATION
.   O

Torvalds   B-NAME
,   I-NAME
Linus   I-NAME
is   O
allergic   O
to   O
penicillin   O
,   O
causing   O
a   O
rash   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Jayleen   B-NAME
Martinez   I-NAME
,   O
was   O
consulted   O
,   O
and   O
a   O
laparoscopic   O
appendectomy   O
was   O
planned   O
.   O

Prior   O
to   O
surgery   O
,   O
Lexi   B-NAME
Davila   I-NAME
received   O
prophylactic   O
antibiotics   O
suitable   O
for   O
[   O
HIS   O
/   O
HER   O
]   O
allergy   O
profile   O
.   O

The   O
operation   O
,   O
conducted   O
on   O
1/21/71   B-DATE
,   O
was   O
successful   O
without   O
any   O
complications   O
.   O

Schlüter   B-NAME
,   I-NAME
Poul   I-NAME
's   O
postoperative   O
course   O
was   O
unremarkable   O
,   O
with   O
improvement   O
in   O
symptoms   O
and   O
normalization   O
of   O
vital   O
signs   O
and   O
laboratory   O
values   O
by   O
the   O
2/25/22   B-DATE
post   O
-   O
op   O
.   O

Donovan   B-NAME
J.   I-NAME
Betty   I-NAME
Barber   I-NAME
was   O
educated   O
on   O
postoperative   O
care   O
and   O
signs   O
of   O
potential   O
complications   O
such   O
as   O
infection   O
,   O
incisional   O
hernia   O
,   O
and   O
adhesion   O
formation   O
.   O

[   O
HE   O
/   O
SHE   O
]   O
was   O
discharged   O
on   O
1750   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
14   I-DATE
with   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
with   O
Yank   B-NAME
Chung   I-NAME
at   O
City   B-LOCATION
of   I-LOCATION
Alachua   I-LOCATION
Public   I-LOCATION
Services   I-LOCATION
Department   I-LOCATION
.   O

For   O
any   O
concerns   O
or   O
emergencies   O
,   O
Seymour   B-NAME
Katz   I-NAME
was   O
provided   O
with   O
the   O
(   B-CONTACT
278   I-CONTACT
)   I-CONTACT
196   I-CONTACT
-   I-CONTACT
5600   I-CONTACT
number   O
of   O
the   O
surgical   O
department   O
at   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Redding   I-LOCATION
.   O

The   O
medical   O
record   O
number   O
assigned   O
for   O
this   O
visit   O
was   O
919   B-ID
-   I-ID
64   I-ID
-   I-ID
70   I-ID
-   I-ID
3   I-ID
,   O
and   O
Baker   B-NAME
,   I-NAME
Jack   I-NAME
’s   O
ID   O
provided   O
for   O
hospital   O
documentation   O
was   O
VT:100668:907892   B-ID
.   O

The   O
billing   O
department   O
processed   O
the   O
charges   O
to   O
Ezra   B-NAME
Adams   I-NAME
's   O
health   O
insurance   O
,   O
with   O
account   O
reference   O
2445512   B-ID
,   O
for   O
services   O
rendered   O
at   O
77670   B-LOCATION
location   O
.   O

In   O
summary   O
,   O
Samantha   B-NAME
Noland   I-NAME
,   O
a   O
90   O
-   O
year   O
-   O
old   O
Production   O
Inspectors   O
,   O
Testers   O
,   O
Graders   O
,   O
Sorters   O
,   O
Samplers   O
,   O
Weighers   O
from   O
Oakwood   B-LOCATION
Park   I-LOCATION
,   O
was   O
managed   O
successfully   O
for   O
acute   O
appendicitis   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

Yuhas   B-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
and   O
provided   O
with   O
necessary   O
postoperative   O
care   O
instructions   O
.   O

Patient   O
Report   O
:   O
23/37   B-DATE
,   O
a   O
patient   O
of   O
approximately   O
38   O
years   O
was   O
seen   O
at   O
Metropolitan   B-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
located   O
in   O
Turnerville   B-LOCATION
,   O
82775   B-LOCATION
for   O
evaluation   O
of   O
persistent   O
and   O
troubling   O
symptoms   O
that   O
began   O
approximately   O
two   O
weeks   O
prior   O
.   O

Aniyah   B-NAME
Bush   I-NAME
reported   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
was   O
consistent   O
with   O
a   O
clinical   O
presentation   O
of   O
acute   O
appendicitis   O
.   O

Dierdre   B-NAME
Mullan   I-NAME
's   O
medical   O
history   O
,   O
documented   O
under   O
262   B-ID
-   I-ID
48   I-ID
-   I-ID
75   I-ID
,   O
was   O
reviewed   O
by   O
Nolan   B-NAME
,   O
revealing   O
no   O
significant   O
instances   O
of   O
similar   O
symptoms   O
or   O
any   O
hereditary   O
conditions   O
that   O
could   O
contribute   O
to   O
the   O
current   O
presentation   O
.   O

The   O
contact   O
number   O
provided   O
for   O
any   O
follow   O
-   O
up   O
or   O
emergency   O
communication   O
with   O
Terrence   B-NAME
Newton   I-NAME
is   O
118   B-CONTACT
266   I-CONTACT
-   I-CONTACT
3746   I-CONTACT
.   O

Furthermore   O
,   O
Len   B-NAME
Wayne   I-NAME
-   I-NAME
Gregory   I-NAME
works   O
as   O
a   O
Nursery   O
Workers   O
in   O
International   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
,   O
a   O
detail   O
that   O
was   O
considered   O
during   O
the   O
initial   O
assessment   O
to   O
ensure   O
that   O
work   O
-   O
related   O
factors   O
did   O
not   O
contribute   O
to   O
the   O
presenting   O
symptoms   O
.   O

The   O
CT   O
scan   O
,   O
performed   O
on   O
22/30   B-DATE
,   O
confirmed   O
acute   O
appendicitis   O
with   O
no   O
evidence   O
of   O
rupture   O
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
and   O
subsequently   O
performed   O
on   O
2/32   B-DATE
by   O
Phoenix   B-NAME
Farrell   I-NAME
without   O
any   O
complications   O
.   O

Post   O
-   O
operative   O
instructions   O
were   O
provided   O
to   O
Giuliana   B-NAME
Mooney   I-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
rest   O
,   O
wound   O
care   O
,   O
and   O
the   O
observation   O
for   O
signs   O
of   O
infection   O
or   O
other   O
post   O
-   O
operative   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
08/13/2016   B-DATE
to   O
monitor   O
Frank   B-NAME
Campion   I-NAME
's   O
recovery   O
and   O
ensure   O
the   O
wound   O
's   O
proper   O
healing   O
.   O

For   O
further   O
inquiries   O
or   O
to   O
provide   O
additional   O
updates   O
on   O
Virginia   B-NAME
Dixon   I-NAME
's   O
condition   O
,   O
please   O
contact   O
the   O
nursing   O
station   O
at   O
Kadlec   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
via   O
14173   B-CONTACT
.   O

The   O
medical   O
team   O
remains   O
on   O
standby   O
to   O
support   O
Muhammad   B-NAME
Sanders   I-NAME
's   O
recovery   O
process   O
and   O
address   O
any   O
potential   O
post   O
-   O
operative   O
issues   O
.   O

This   O
report   O
has   O
been   O
assigned   O
3866940   B-ID
for   O
proper   O
identification   O
and   O
archiving   O
.   O

All   O
communications   O
regarding   O
Gay   B-NAME
should   O
reference   O
this   O
number   O
and   O
the   O
contact   O
information   O
provided   O
.   O

The   O
professional   O
discretion   O
and   O
confidentiality   O
regarding   O
Simon   B-NAME
Merivale   I-NAME
's   O
PHI   O
is   O
a   O
top   O
priority   O
of   O
our   O
medical   O
staff   O
and   O
institution   O
.   O

Patient   O
:   O
Le   B-NAME
Age   O
:   O
15   O
Date   O
of   O
Birth   O
:   O
31/00   B-DATE
Medical   O
Record   O
Number   O
:   O
161   B-ID
-   I-ID
14   I-ID
-   I-ID
68   I-ID
Address   O
:   O
Pisinemo   B-LOCATION
,   O
98126   B-LOCATION
Phone   O
:   O
56634   B-CONTACT
Attending   O
Physician   O
:   O
Chaney   B-NAME
Hospital   O
:   O
Mission   B-LOCATION
Hospital   I-LOCATION
Laguna   I-LOCATION
Beach   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Campos   B-NAME
,   O
a   O
Tax   O
Examiners   O
,   O
Collectors   O
,   O
and   O
Revenue   O
Agents   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Backus   B-LOCATION
Hospital   I-LOCATION
on   O
5   B-DATE
-   I-DATE
2   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
onset   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Paulson   B-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
,   O
with   O
an   O
intensity   O
of   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

Luciana   B-NAME
Willis   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
allergies   O
.   O

Medical   O
History   O
:   O
Elise   B-NAME
Colon   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
lisinopril   O
.   O

Irish   B-NAME
's   O
last   O
visit   O
to   O
Harley   B-NAME
Weber   I-NAME
at   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
Navicent   I-LOCATION
Health   I-LOCATION
was   O
on   O
4/22/40   B-DATE
for   O
a   O
routine   O
check   O
-   O
up   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Parker   B-NAME
Gutierrez   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
performed   O
on   O
8/37/2353   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
surrounding   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Stormont   B-LOCATION
Vail   I-LOCATION
Health   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
under   O
the   O
care   O
of   O
Moore   B-NAME
for   O
suspected   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Crygor   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
21/02   B-DATE
.   O

The   O
risks   O
,   O
benefits   O
,   O
and   O
potential   O
complications   O
of   O
the   O
procedure   O
were   O
discussed   O
with   O
Carter   B-NAME
,   O
who   O
provided   O
informed   O
consent   O
.   O

Follow   O
-   O
Up   O
:   O
RACHAEL   B-NAME
G.   I-NAME
OBRYAN   I-NAME
tolerated   O
the   O
procedure   O
well   O
with   O
no   O
immediate   O
complications   O
.   O

Alexander   B-NAME
the   I-NAME
Great   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
Attica   B-LOCATION
for   O
wound   O
check   O
and   O
further   O
evaluation   O
on   O
13/30/2339   B-DATE
.   O

Diabetic   O
management   O
will   O
be   O
reassessed   O
by   O
Ellis   B-NAME
in   O
one   O
week   O
.   O

Instructions   O
were   O
given   O
to   O
Kaycee   B-NAME
regarding   O
signs   O
of   O
infection   O
,   O
fever   O
,   O
or   O
any   O
other   O
concerns   O
to   O
report   O
immediately   O
via   O
403   B-CONTACT
245   I-CONTACT
-   I-CONTACT
4568   I-CONTACT
.   O

Conclusion   O
:   O
Giovanna   B-NAME
presented   O
with   O
classic   O
signs   O
and   O
symptoms   O
of   O
acute   O
appendicitis   O
and   O
was   O
successfully   O
managed   O
with   O
urgent   O
surgical   O
intervention   O
.   O

The   O
patient   O
's   O
diabetes   O
and   O
hypertension   O
will   O
continue   O
to   O
be   O
managed   O
by   O
Kaiser   B-NAME
,   O
ensuring   O
comprehensive   O
care   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Berg   B-NAME
Age   O
:   O
6   O
Date   O
of   O
Birth   O
:   O
11/39   B-DATE
Address   O
:   O
Rossford   B-LOCATION
,   O
25411   B-LOCATION
Phone   O
Number   O
:   O
470   B-CONTACT
9043   I-CONTACT
Employer   O
:   O

First   B-LOCATION
Vietnamese   I-LOCATION
American   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Private   O
music   O
teacher   O
Medical   O
Record   O
Number   O
:   O
8599443   B-ID
Social   O
Security   O
Number   O
:   O
GG126/8781   B-ID
On   O
2011   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
01   I-DATE
,   O
Galvan   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Fisher   B-LOCATION
-   I-LOCATION
Titus   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
acute   O
,   O
severe   O
headache   O
,   O
primarily   O
localized   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

hoover   B-NAME
also   O
reported   O
a   O
history   O
of   O
migraines   O
but   O
indicated   O
that   O
the   O
current   O
episode   O
was   O
markedly   O
more   O
severe   O
than   O
typical   O
episodes   O
.   O

Upon   O
examination   O
,   O
Skyler   B-NAME
Boone   I-NAME
demonstrated   O
a   O
stiff   O
neck   O
,   O
and   O
neurological   O
assessments   O
raised   O
concerns   O
for   O
potential   O
meningitis   O
,   O
prompting   O
immediate   O
diagnostic   O
investigations   O
.   O

Blood   O
tests   O
and   O
a   O
lumbar   O
puncture   O
were   O
performed   O
by   O
Sam   B-NAME
Metcalf   I-NAME
,   O
yielding   O
cerebrospinal   O
fluid   O
(   O
CSF   O
)   O
that   O
was   O
clear   O
and   O
under   O
normal   O
pressure   O
,   O
but   O
with   O
elevated   O
protein   O
levels   O
and   O
a   O
normal   O
glucose   O
level   O
.   O

A   O
subsequent   O
MRI   O
,   O
ordered   O
by   O
Landry   B-NAME
and   O
performed   O
on   O
21/12   B-DATE
,   O
showed   O
no   O
signs   O
of   O
intracranial   O
hemorrhage   O
or   O
mass   O
effect   O
.   O

Given   O
these   O
findings   O
,   O
Dewyer   B-NAME
Newbell   I-NAME
was   O
admitted   O
to   O
Veterans   B-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Tuscaloosa   I-LOCATION
for   O
further   O
observation   O
and   O
management   O
under   O
Hutton   B-NAME
,   I-NAME
James   I-NAME
's   O
care   O
.   O

A   O
consult   O
with   O
a   O
neurologist   O
specializing   O
in   O
headache   O
disorders   O
was   O
requested   O
to   O
evaluate   O
Paulina   B-NAME
Marshall   I-NAME
's   O
condition   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

These   O
tests   O
were   O
processed   O
in   O
the   O
laboratory   O
of   O
Saint   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
with   O
results   O
anticipated   O
by   O
20/20   B-DATE
.   O

Galvan   B-NAME
noted   O
in   O
Skylar   B-NAME
Foley   I-NAME
's   O
chart   O
that   O
ongoing   O
monitoring   O
for   O
any   O
changes   O
in   O
neurological   O
status   O
was   O
imperative   O
and   O
that   O
a   O
multidisciplinary   O
approach   O
,   O
including   O
input   O
from   O
neurology   O
,   O
infectious   O
disease   O
specialists   O
,   O
and   O
the   O
pain   O
management   O
team   O
,   O
would   O
be   O
essential   O
for   O
comprehensive   O
care   O
.   O

Bridger   B-NAME
Perez   I-NAME
also   O
recommended   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Jessi   B-NAME
Elis   I-NAME
in   O
the   O
outpatient   O
department   O
of   O
Overland   B-LOCATION
Park   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/00   B-DATE
to   O
review   O
test   O
results   O
,   O
assess   O
symptom   O
progression   O
,   O
and   O
adjust   O
the   O
treatment   O
regimen   O
accordingly   O
.   O

The   O
contact   O
information   O
provided   O
for   O
scheduling   O
this   O
appointment   O
was   O
57178   B-CONTACT
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Tony   B-NAME
Wilkinson   I-NAME
Patient   O
Age   O
:   O
8   O
month   O
Date   O
of   O
Report   O
:   O
02/30   B-DATE

Medical   O
Record   O
Number   O
:   O
370   B-ID
-   I-ID
66   I-ID
-   I-ID
47   I-ID
-   I-ID
2   I-ID
ID   O
Number   O
:   O
65589566   B-ID
History   O
of   O
Present   O
Illness   O
:   O
Mathews   B-NAME
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
three   O
weeks   O
ago   O
,   O
beginning   O
with   O
a   O
mild   O
cough   O
,   O
gradually   O
worsening   O
over   O
time   O
.   O

In   O
the   O
last   O
week   O
,   O
Gage   B-NAME
Yingling   I-NAME
has   O
experienced   O
significant   O
difficulty   O
breathing   O
,   O
particularly   O
during   O
the   O
night   O
,   O
which   O
has   O
resulted   O
in   O
sleep   O
disturbance   O
and   O
increased   O
fatigue   O
during   O
the   O
day   O
.   O

There   O
has   O
been   O
no   O
presence   O
of   O
fever   O
,   O
but   O
Zion   B-NAME
Matthews   I-NAME
has   O
noted   O
unintentional   O
weight   O
loss   O
over   O
the   O
same   O
period   O
.   O

Delphine   B-NAME
Keely   I-NAME
has   O
a   O
history   O
of   O
smoking   O
,   O
approximately   O
a   O
pack   O
a   O
day   O
for   O
the   O
past   O
20   O
years   O
.   O

Diagnostic   O
Tests   O
Ordered   O
:   O
Dr.   O
Zander   B-NAME
Wagner   I-NAME
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
chest   O
X   O
-   O
Ray   O
,   O
and   O
pulmonary   O
function   O
tests   O
to   O
further   O
evaluate   O
the   O
cause   O
of   O
the   O
symptoms   O
.   O

The   O
results   O
are   O
pending   O
and   O
expected   O
by   O
2310   B-DATE
.   O

Pending   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
,   O
BS   B-NAME
has   O
been   O
advised   O
to   O
initiate   O
a   O
smoking   O
cessation   O
program   O
immediately   O
.   O

An   O
inhaler   O
was   O
prescribed   O
to   O
manage   O
the   O
symptoms   O
of   O
dyspnea   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
10/28   B-DATE
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Danville   I-LOCATION
.   O

Referrals   O
:   O
Taniya   B-NAME
Rush   I-NAME
was   O
referred   O
to   O
Allen   B-NAME
,   O
a   O
specialist   O
in   O
pulmonary   O
medicine   O
,   O
at   O
John   B-LOCATION
Muir   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Concord   I-LOCATION
Campus   I-LOCATION
,   O
for   O
additional   O
evaluation   O
and   O
management   O
based   O
on   O
the   O
diagnostic   O
test   O
results   O
.   O

Contact   O
Information   O
:   O
Any   O
changes   O
in   O
the   O
patient   O
’s   O
condition   O
,   O
or   O
if   O
there   O
is   O
an   O
urgent   O
need   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
,   O
Greta   B-NAME
Gilbert   I-NAME
or   O
a   O
designated   O
family   O
member   O
is   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
27322   B-CONTACT
.   O

Instructions   O
for   O
Ullrich   B-NAME
:   O
Seleucus   B-NAME
Hannegan   I-NAME
is   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
,   O
especially   O
any   O
changes   O
in   O
the   O
pattern   O
or   O
intensity   O
of   O
cough   O
and   O
dyspnea   O
.   O

Ada   B-NAME
Davies   I-NAME
should   O
also   O
maintain   O
a   O
log   O
of   O
daily   O
peak   O
flow   O
measurements   O
if   O
applicable   O
.   O

Allergies   O
:   O
Duke   B-NAME
has   O
no   O
known   O
drug   O
allergies   O
.   O

Pharmacy   O
:   O
Medications   O
will   O
be   O
sent   O
to   O
the   O
pharmacy   O
at   O
Alta   B-LOCATION
with   O
15972   B-LOCATION
.   O

Kinsley   B-NAME
Morse   I-NAME
is   O
employed   O
as   O
a   O
dietician   O
at   O
AmTrust   B-LOCATION
Bank   I-LOCATION
in   O
Old   B-LOCATION
Eucha   I-LOCATION
.   O

Gabriel   B-NAME
Zuniga   I-NAME
lives   O
alone   O
and   O
has   O
a   O
supportive   O
network   O
of   O
friends   O
and   O
family   O
nearby   O
.   O

In   O
case   O
of   O
emergency   O
,   O
Shawn   B-NAME
Williams   I-NAME
has   O
listed   O
Joseph   B-NAME
Parnell   I-NAME
Scanlon   I-NAME
's   O
sibling   O
,   O
hku384   B-NAME
,   O
reachable   O
at   O
923   B-CONTACT
-   I-CONTACT
6223   I-CONTACT
.   O

This   O
report   O
was   O
compiled   O
by   O
Charley   B-NAME
Michaels   I-NAME
and   O
is   O
confidential   O
.   O

Patient   O
Name   O
:   O
Dylan   B-NAME
Shaw   I-NAME
Patient   O
ID   O
:   O
ER:8263:902131   B-ID
Medical   O
Record   O
Number   O
:   O
2390277   B-ID
Date   O
of   O
Birth   O
:   O
39/20/40   B-DATE
Age   O
:   O
2   O
Phone   O
Number   O
:   O
179   B-CONTACT
-   I-CONTACT
6409   I-CONTACT
Address   O
:   O
Cleo   B-LOCATION
Springs   I-LOCATION
,   O
14952   B-LOCATION
Employment   O
:   O
Talent   O
Directors   O
at   O
Retail   B-LOCATION
and   I-LOCATION
Fast   I-LOCATION
Food   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Allen   B-NAME
Admission   O
Date   O
:   O
32/30/00   B-DATE
Hospital   O
:   O

MercyOne   B-LOCATION
Siouxland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Galvan   B-NAME
,   I-NAME
Floyd   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
8/06/41   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
patient   O
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
2090   B-DATE
earlier   O
with   O
no   O
preceding   O
traumatic   O
event   O
or   O
known   O
injury   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Walter   B-NAME
noted   O
the   O
gradual   O
onset   O
of   O
symptoms   O
beginning   O
with   O
mild   O
discomfort   O
that   O
escalated   O
over   O
a   O
period   O
of   O
hours   O
.   O

Levine   B-NAME
denies   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
or   O
prior   O
similar   O
episodes   O
.   O

Sherryl   B-NAME
Lisa   I-NAME
mentioned   O
taking   O
acetaminophen   O
without   O
significant   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
Bentsen   B-NAME
,   I-NAME
Lloyd   I-NAME
's   O
past   O
medical   O
history   O
is   O
notable   O
for   O
Type   O
II   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
.   O

-   O
Abdominal   O
ultrasound   O
was   O
recommended   O
by   O
Dr.   O
Kaylah   B-NAME
Villarreal   I-NAME
to   O
further   O
evaluate   O
the   O
right   O
lower   O
quadrant   O
pain   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
assessment   O
by   O
Dr.   O
Giovanny   B-NAME
Stark   I-NAME
suggests   O
a   O
high   O
suspicion   O
for   O
acute   O
appendicitis   O
given   O
the   O
clinical   O
presentation   O
and   O
examination   O
findings   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Bakersfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
,   O
including   O
surgical   O
consultation   O
for   O
probable   O
appendectomy   O
.   O

Ellen   B-NAME
Rollins   I-NAME
has   O
been   O
scheduled   O
for   O
an   O
abdominal   O
ultrasound   O
on   O
32/22/33   B-DATE
.   O

Mahoney   B-NAME
and   O
family   O
(   O
Translator   O
at   O
Statisticians   B-LOCATION
In   I-LOCATION
The   I-LOCATION
Pharmaceutical   I-LOCATION
Industry   I-LOCATION
(   I-LOCATION
PSI   I-LOCATION
)   I-LOCATION
)   O
were   O
educated   O
about   O
the   O
signs   O
of   O
worsening   O
condition   O
and   O
advised   O
to   O
report   O
any   O
changes   O
immediately   O
to   O
the   O
medical   O
staff   O
.   O

A   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Leo   B-NAME
X   I-NAME
(   I-NAME
Pope   I-NAME
)   I-NAME
at   O
DCH   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
arranged   O
post   O
-   O
operatively   O
to   O
assess   O
recovery   O
and   O
manage   O
further   O
care   O
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
identified   O
as   O
Blake   B-NAME
Simmons   I-NAME
,   O
34   O
years   O
old   O
,   O
presented   O
to   O
WK   B-LOCATION
Pierremont   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
04/38/22   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
high   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
patient   O
mentioned   O
the   O
symptoms   O
started   O
around   O
02/39   B-DATE
,   O
initially   O
mild   O
,   O
but   O
gradually   O
worsened   O
over   O
the   O
course   O
of   O
several   O
days   O
.   O

Mercedes   B-NAME
Spencer   I-NAME
has   O
a   O
medical   O
history   O
of   O
asthma   O
and   O
seasonal   O
allergies   O
,   O
often   O
requiring   O
the   O
use   O
of   O
an   O
inhaler   O
and   O
antihistamines   O
during   O
spring   O
.   O

Upon   O
examination   O
,   O
Gary   B-NAME
Kane   I-NAME
exhibited   O
reduced   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
bilaterally   O
,   O
with   O
wheezing   O
noted   O
upon   O
auscultation   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Eneida   B-NAME
Bernieri   I-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
which   O
showed   O
elevated   O
white   O
blood   O
cells   O
,   O
suggesting   O
a   O
possible   O
infectious   O
etiology   O
.   O

Dijkstra   B-NAME
,   I-NAME
Edsger   I-NAME
was   O
admitted   O
to   O
Scotland   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Peterson   B-NAME
,   O
and   O
treatment   O
was   O
initiated   O
with   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
supplemental   O
oxygen   O
to   O
manage   O
the   O
bacterial   O
pneumonia   O
and   O
improve   O
oxygenation   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Cassius   B-NAME
Nguyen   I-NAME
's   O
condition   O
was   O
monitored   O
continuously   O
,   O
with   O
oxygen   O
saturation   O
improving   O
to   O
94   O
%   O
on   O
supplemental   O
oxygen   O
and   O
fever   O
reducing   O
to   O
98.6   O
°   O
F   O
after   O
48   O
hours   O
of   O
antibiotic   O
therapy   O
.   O

Jaclyn   B-NAME
Jordon   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
cough   O
frequency   O
and   O
intensity   O
.   O

The   O
patient   O
's   O
medical   O
record   O
,   O
1146127   B-ID
,   O
indicates   O
a   O
previous   O
history   O
of   O
upper   O
respiratory   O
tract   O
infections   O
,   O
but   O
no   O
prior   O
instances   O
of   O
pneumonia   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
16/32   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
to   O
complete   O
a   O
10   O
-   O
day   O
course   O
,   O
along   O
with   O
follow   O
-   O
up   O
instructions   O
to   O
return   O
to   O
Brandywine   B-LOCATION
Hospital   I-LOCATION
or   O
contact   O
173   B-CONTACT
-   I-CONTACT
797   I-CONTACT
9218   I-CONTACT
in   O
case   O
of   O
symptom   O
exacerbation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Nikolas   B-NAME
Gutierrez   I-NAME
was   O
scheduled   O
for   O
1859   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
10   I-DATE
to   O
reassess   O
lung   O
function   O
and   O
ensure   O
complete   O
resolution   O
of   O
the   O
pneumonia   O
.   O

Berry   B-NAME
was   O
advised   O
to   O
continue   O
with   O
asthma   O
management   O
plans   O
and   O
to   O
avoid   O
potential   O
allergens   O
as   O
per   O
previous   O
recommendations   O
.   O

Billing   O
information   O
,   O
including   O
health   O
plan   O
number   O
UA:37037:182694   B-ID
and   O
contact   O
information   O
for   O
insurance   O
queries   O
(   O
85319   B-CONTACT
)   O
,   O
was   O
provided   O
to   O
LOGAN   B-NAME
COLEMAN   I-NAME
upon   O
discharge   O
.   O

The   O
patient   O
resides   O
in   O
Pierce   B-LOCATION
,   O
49928   B-LOCATION
,   O
and   O
works   O
as   O
a   O
Ergonomist   O
,   O
which   O
may   O
involve   O
exposure   O
to   O
environmental   O
allergens   O
and   O
irritants   O
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
healthcare   O
professionals   O
involved   O
in   O
Elvis   B-NAME
Joyce   I-NAME
's   O
care   O
.   O

For   O
further   O
information   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Layton   B-NAME
Herrera   I-NAME
directly   O
at   O
Adventist   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Helena   I-LOCATION
.   O

Patient   O
Name   O
:   O
Geoffrey   B-NAME
Weiss   I-NAME
Patient   O
ID   O
:   O
179124391   B-ID
Date   O
of   O
Birth   O
:   O
11/08/2010   B-DATE
Age   O
:   O
5   O
Address   O
:   O
Hopkinsville   B-LOCATION
,   O
41056   B-LOCATION
Phone   O
Number   O
:   O
728   B-CONTACT
5351   I-CONTACT
Employer   O
:   O

Crescent   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Co   I-LOCATION
Occupation   O
:   O
Product   O
development   O
scientist   O
Primary   O
Care   O
Physician   O
:   O
Watterson   B-NAME
,   I-NAME
Bill   I-NAME
Medical   O
Record   O
Number   O
:   O
638   B-ID
-   I-ID
27   I-ID
-   I-ID
15   I-ID
Date   O
of   O
Visit   O
:   O
12/37   B-DATE
Hospital   O
Name   O
:   O

St.   B-LOCATION
John   I-LOCATION
Macomb   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Carl   B-NAME
Washington   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
12/22/41   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Bruno   B-NAME
has   O
been   O
experiencing   O
mild   O
intermittent   O
abdominal   O
discomfort   O
for   O
approximately   O
one   O
week   O
prior   O
to   O
the   O
acute   O
exacerbation   O
on   O
20/33/37   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Banks   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
,   O
well   O
-   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
medication   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Rex   B-NAME
Robinson   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
Blood   O
pressure   O
130/85   O
mmHg   O
,   O
Heart   O
rate   O
102   O
bpm   O
,   O
Temperature   O
99.8   O
°   O
F   O
,   O
Respiratory   O
rate   O
18   O
breaths   O
/   O
min   O
.   O
Abdominal   O
examination   O
revealed   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Diagnostic   O
Tests   O
:   O
Labs   O
including   O
complete   O
blood   O
count   O
,   O
electrolytes   O
,   O
and   O
liver   O
function   O
tests   O
were   O
ordered   O
by   O
Mayer   B-NAME
.   O

Napier   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
.   O

ostrowski   B-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
25/21   B-DATE
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Francisco   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Carlo   B-NAME
Riley   I-NAME
is   O
to   O
be   O
monitored   O
post   O
-   O
operatively   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
related   O
to   O
surgery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Claudio   B-NAME
Macaulay   I-NAME
on   O
03/32/32   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Eric   B-NAME
Lange   I-NAME
-   O
Age   O
:   O
7s   O
-   O
Date   O
of   O
Birth   O
:   O
09/67   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
3489739   B-ID
-   O
Address   O
:   O
Fort   B-LOCATION
Green   I-LOCATION
Springs   I-LOCATION
,   O
94556   B-LOCATION
-   O
Phone   O
Number   O
:   O
28947   B-CONTACT
-   O
Occupation   O
:   O
Field   O
trials   O
officer   O
-   O
Treating   O
Physician   O
:   O
Summers   B-NAME
-   O
Hospital   O
:   O
Speciality   B-LOCATION
Hospital   I-LOCATION
-   O
Date   O
of   O
Admission   O
:   O
32/2100   B-DATE
-   O
ID   O
:   O
7   B-ID
-   I-ID
1350366   I-ID
Medical   O
Summary   O
:   O
Todorov   B-NAME
,   I-NAME
Tzvetan   I-NAME
,   O
a   O
Costume   O
Attendants   O
of   O
80   O
,   O
reported   O
to   O
the   O
emergency   O
department   O
of   O
Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Camden   I-LOCATION
Campus   I-LOCATION
on   O
1/36   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
which   O
they   O
described   O
as   O
sharp   O
and   O
piercing   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

burns   B-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
last   O
24   O
hours   O
.   O

Upon   O
examination   O
,   O
Wilkins   B-NAME
demonstrated   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
positive   O
rebound   O
tenderness   O
,   O
and   O
slight   O
guarding   O
,   O
indicative   O
of   O
peritonitis   O
.   O

Further   O
diagnostic   O
imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
performed   O
on   O
04/16/1817   B-DATE
,   O
revealed   O
an   O
inflamed   O
appendix   O
with   O
evidence   O
of   O
early   O
abscess   O
formation   O
.   O

Based   O
on   O
these   O
findings   O
,   O
a   O
clinical   O
diagnosis   O
of   O
acute   O
appendicitis   O
complicated   O
by   O
the   O
formation   O
of   O
an   O
abscess   O
was   O
made   O
by   O
Terrell   B-NAME
Valentine   I-NAME
.   O

Immediate   O
surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Melissa   B-NAME
Erickson   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
3/01/08   B-DATE
.   O

Jack   B-NAME
Finley   I-NAME
was   O
advised   O
a   O
postoperative   O
recovery   O
period   O
involving   O
rest   O
,   O
gradual   O
reintroduction   O
of   O
diet   O
,   O
and   O
regular   O
follow   O
-   O
up   O
examinations   O
to   O
monitor   O
healing   O
and   O
recovery   O
progress   O
.   O

Follow   O
-   O
Up   O
:   O
Jones   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Clermont   B-LOCATION
,   I-LOCATION
QC   I-LOCATION
G4A   I-LOCATION
1R7   I-LOCATION
with   O
Kirk   B-NAME
on   O
7/21   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
ensure   O
the   O
absence   O
of   O
complications   O
such   O
as   O
infection   O
or   O
abscess   O
formation   O
.   O

Preventative   O
Measures   O
and   O
Recommendations   O
:   O
Educational   O
resources   O
on   O
recognizing   O
the   O
symptoms   O
of   O
appendicitis   O
were   O
provided   O
to   O
Ursula   B-NAME
Victoria   I-NAME
Delgado   I-NAME
.   O

This   O
medical   O
summary   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
patient   O
named   O
above   O
and   O
the   O
medical   O
staff   O
of   O
Parkland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
involved   O
in   O
the   O
patient   O
's   O
care   O
.   O

For   O
further   O
assistance   O
or   O
to   O
relay   O
information   O
regarding   O
Sarah   B-NAME
Spencer   I-NAME
's   O
care   O
,   O
please   O
contact   O
Norton   B-LOCATION
Audubon   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
478   I-CONTACT
)   I-CONTACT
350   I-CONTACT
-   I-CONTACT
5990   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
CHARLES   B-NAME
ULLAH   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
1821126   I-ID
Medical   O
Record   O
Number   O
:   O
651   B-ID
-   I-ID
14   I-ID
-   I-ID
71   I-ID
-   I-ID
8   I-ID
Age   O
:   O
100   O
Location   O
:   O
Tivoli   B-LOCATION
Zip   O
Code   O
:   O
16744   B-LOCATION
Phone   O
:   O
68096   B-CONTACT
Date   O
of   O
Visit   O
:   O
2/21/2122   B-DATE
Attending   O
Physician   O
:   O
Dr.   O
Barr   B-NAME
Hospital   O
:   O
Elba   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Professional   O
handling   O
the   O
case   O
:   O
Audio   O
and   O
Video   O
Equipment   O
Technicians   O
Presentation   O
:   O

The   O
patient   O
,   O
Nuvia   B-NAME
Nadeau   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Stafford   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Stafford   I-LOCATION
on   O
02/02   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

Phillip   B-NAME
Boone   I-NAME
stated   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Felipe   B-NAME
Ortega   I-NAME
's   O
blood   O
pressure   O
was   O
measured   O
at   O
165/95   O
mmHg   O
,   O
heart   O
rate   O
was   O
noted   O
as   O
110   O
bpm   O
,   O
and   O
SpO2   O
was   O
92   O
%   O
on   O
room   O
air   O
.   O

Management   O
:   O
Based   O
on   O
the   O
presenting   O
symptoms   O
and   O
initial   O
findings   O
,   O
Dr.   O
Humberto   B-NAME
Jordan   I-NAME
initiated   O
management   O
for   O
presumed   O
acute   O
myocardial   O
infarction   O
(   O
AMI   O
)   O
.   O

Given   O
the   O
potential   O
severity   O
of   O
the   O
condition   O
,   O
it   O
was   O
recommended   O
that   O
Lottie   B-NAME
Deschenes   I-NAME
undergo   O
immediate   O
cardiac   O
catheterization   O
for   O
further   O
evaluation   O
and   O
possible   O
intervention   O
.   O

Outcome   O
:   O
The   O
patient   O
was   O
transferred   O
to   O
the   O
cardiology   O
unit   O
of   O
University   B-LOCATION
of   I-LOCATION
California   I-LOCATION
Ronald   I-LOCATION
Reagan   I-LOCATION
UCLA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
continued   O
care   O
and   O
monitoring   O
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Dr.   O
Michael   B-NAME
Strother   I-NAME
,   O
successfully   O
performed   O
a   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
on   O
30/21/21   B-DATE
,   O
which   O
revealed   O
and   O
treated   O
a   O
significant   O
occlusion   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

Follow   O
-   O
up   O
:   O
Abbott   B-NAME
demonstrated   O
significant   O
improvement   O
post   O
-   O
procedure   O
,   O
with   O
resolution   O
of   O
chest   O
pain   O
and   O
normalization   O
of   O
heart   O
rate   O
and   O
blood   O
pressure   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Yu   B-NAME
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
for   O
2/13/72   B-DATE
to   O
assess   O
recovery   O
and   O
discuss   O
long   O
-   O
term   O
management   O
of   O
coronary   O
artery   O
disease   O
and   O
risk   O
factors   O
,   O
including   O
hypertension   O
and   O
diabetes   O
mellitus   O
.   O

Small   B-NAME
is   O
advised   O
to   O
maintain   O
regular   O
follow   O
-   O
up   O
appointments   O
,   O
adhere   O
to   O
the   O
prescribed   O
medication   O
regimen   O
,   O
and   O
consider   O
lifestyle   O
modifications   O
to   O
improve   O
overall   O
health   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Jax   B-NAME
Moore   I-NAME
or   O
representatives   O
can   O
reach   O
the   O
cardiology   O
department   O
of   O
CHRISTUS   B-LOCATION
Ochsner   I-LOCATION
Lake   I-LOCATION
Area   I-LOCATION
at   O
629   B-CONTACT
9676   I-CONTACT
.   O

This   O
report   O
contains   O
confidential   O
health   O
information   O
pertaining   O
to   O
Ashlynn   B-NAME
Gardner   I-NAME
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
875   B-CONTACT
3177   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Marcelene   B-NAME
Kaminsky   I-NAME
Age   O
:   O
12   O
month   O
Medical   O
Record   O
Number   O
:   O
3162045   B-ID
Date   O
of   O
Birth   O
:   O

30/22/17   B-DATE
Address   O
:   O
White   B-LOCATION
House   I-LOCATION
,   O
68751   B-LOCATION
Phone   O
Number   O
:   O
12437   B-CONTACT
Employment   O
:   O
Radiologic   O
Technicians   O
Username   O
:   O
ak720   B-NAME
Chief   O
Complaint   O
:   O
Chapman   B-NAME
presented   O
to   O
Golisano   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southwest   I-LOCATION
Florida   I-LOCATION
emergency   O
department   O
on   O
Sunday   B-DATE
,   I-DATE
February   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Turner   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ryan   B-NAME
has   O
been   O
experiencing   O
episodic   O
abdominal   O
pain   O
for   O
the   O
past   O
2/81   B-DATE
,   O
but   O
the   O
intensity   O
and   O
frequency   O
of   O
the   O
pain   O
significantly   O
increased   O
within   O
the   O
last   O
24   O
hours   O
.   O

Armstrong   B-NAME
,   I-NAME
Edwin   I-NAME
mentions   O
the   O
pain   O
worsens   O
after   O
eating   O
,   O
especially   O
fatty   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
Edgar   B-NAME
Trujillo   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Joe   B-NAME
Early   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
13/14   B-DATE
indicated   O
the   O
presence   O
of   O
gallstones   O
and   O
a   O
thickened   O
gallbladder   O
wall   O
,   O
suggestive   O
of   O
acute   O
cholecystitis   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
findings   O
,   O
Anthony   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
cholecystectomy   O
.   O

HARRIET   B-NAME
XIA   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
to   O
manage   O
the   O
infection   O
and   O
IV   O
fluids   O
for   O
hydration   O
.   O

Disposition   O
:   O
Zachariah   B-NAME
Cunningham   I-NAME
was   O
admitted   O
to   O
BANNER   B-LOCATION
DEL   I-LOCATION
E   I-LOCATION
WEBB   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
pending   O
surgical   O
evaluation   O
.   O

The   O
surgical   O
team   O
assessed   O
Thomas   B-NAME
Javier   I-NAME
on   O
8/3   B-DATE
and   O
scheduled   O
a   O
laparoscopic   O
cholecystectomy   O
for   O
the   O
following   O
day   O
.   O

Reuben   B-NAME
Zulauf   I-NAME
consented   O
to   O
the   O
procedure   O
after   O
the   O
risks   O
and   O
benefits   O
were   O
explained   O
by   O
Ryland   B-NAME
Ibarra   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
Savitri   B-NAME
Devi   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Morgan   B-NAME
at   O
Hemet   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Onycha   B-LOCATION
on   O
11/10/13   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
manage   O
any   O
ongoing   O
medical   O
issues   O
.   O

[   O
PATIENT_RELATION   O
]   O
Phone   O
Number   O
:   O
19761   B-CONTACT
This   O
medical   O
report   O
contains   O
sensitive   O
patient   O
information   O
and   O
is   O
confidential   O
.   O

Please   O
handle   O
it   O
according   O
to   O
Infinity   B-LOCATION
Property   I-LOCATION
&   I-LOCATION
Casualty   I-LOCATION
Corporation   I-LOCATION
privacy   O
regulations   O
and   O
guidelines   O
.   O

The   O
patient   O
,   O
Alexis   B-NAME
Mcgrath   I-NAME
,   O
a   O
fisherman   O
from   O
Northampton   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Goldriver   B-LOCATION
Clinic   I-LOCATION
on   O
02/11/22   B-DATE
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Benitez   B-NAME
noted   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
during   O
palpation   O
,   O
with   O
rebound   O
tenderness   O
suggestive   O
of   O
peritonitis   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Dr.   O
Miller   B-NAME
revealed   O
leukocytosis   O
,   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
15,000   O
per   O
microliter   O
,   O
further   O
supporting   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

The   O
patient   O
was   O
prepared   O
for   O
an   O
urgent   O
appendectomy   O
to   O
be   O
performed   O
by   O
Dr.   O
Baxter   B-NAME
in   O
operating   O
room   O
5   O
at   O
South   B-LOCATION
Peninsula   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
12/21/26   B-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
,   O
41806879   B-ID
,   O
was   O
used   O
to   O
document   O
all   O
preoperative   O
and   O
intraoperative   O
findings   O
,   O
as   O
well   O
as   O
the   O
postoperative   O
care   O
plan   O
.   O

Postoperative   O
instructions   O
were   O
provided   O
to   O
the   O
patient   O
,   O
along   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Gideon   B-NAME
Spence   I-NAME
for   O
Tuesday   B-DATE
,   I-DATE
September   I-DATE
at   O
Wanship   B-LOCATION
.   O

For   O
any   O
emergency   O
issues   O
post   O
-   O
discharge   O
,   O
the   O
patient   O
was   O
instructed   O
to   O
contact   O
the   O
surgical   O
department   O
of   O
South   B-LOCATION
Shore   I-LOCATION
Hospital   I-LOCATION
at   O
410   B-CONTACT
7677   I-CONTACT
.   O

The   O
medication   O
prescribed   O
upon   O
discharge   O
,   O
along   O
with   O
dosage   O
instructions   O
,   O
was   O
recorded   O
in   O
the   O
patient   O
's   O
electronic   O
health   O
record   O
,   O
which   O
can   O
be   O
accessed   O
through   O
our   O
secure   O
portal   O
by   O
fr433   B-NAME
.   O

The   O
interdisciplinary   O
team   O
at   O
Montefiore   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
including   O
surgeons   O
,   O
nurses   O
,   O
and   O
ancillary   O
staff   O
,   O
worked   O
collaboratively   O
to   O
provide   O
high   O
-   O
quality   O
care   O
for   O
Rhianna   B-NAME
Owen   I-NAME
resulting   O
in   O
a   O
favorable   O
outcome   O
.   O

Confidential   O
patient   O
information   O
,   O
including   O
personal   O
details   O
and   O
specific   O
identifiers   O
like   O
social   O
security   O
number   O
(   O
1602013   B-ID
)   O
,   O
exact   O
address   O
(   O
Spragueville   B-LOCATION
)   O
,   O
and   O
insurance   O
policy   O
number   O
,   O
has   O
been   O
protected   O
throughout   O
the   O
treatment   O
process   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
and   O
Groton   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
privacy   O
policies   O
.   O

Patient   O
Name   O
:   O
Antony   B-NAME
Shah   I-NAME
Age   O
:   O
9   O
month   O
Date   O
of   O
Birth   O
:   O
00/31   B-DATE
Address   O
:   O
Florida   B-LOCATION
,   O
42278   B-LOCATION
Phone   O
:   O
596   B-CONTACT
-   I-CONTACT
7352   I-CONTACT
Occupation   O
:   O
Railroad   O
Inspectors   O
Patient   O
ID   O
:   O
FC:78935:552313   B-ID
Medical   O
Record   O
Number   O
:   O
942   B-ID
11   I-ID
47   I-ID
Attending   O
Physician   O
:   O
Dr.   O
Amaris   B-NAME
Bailey   I-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Colorado   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Consultation   O
:   O
Thursday   B-DATE
Username   O
:   O
FF343   B-NAME
Medical   O
History   O
Summary   O
:   O

The   O
patient   O
,   O
Dangelo   B-NAME
Oneill   I-NAME
,   O
a   O
Economists   O
by   O
profession   O
,   O
presented   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Philadelphia   I-LOCATION
-   I-LOCATION
Havertown   I-LOCATION
on   O
2/23/2322   B-DATE
with   O
complaints   O
of   O
a   O
persistent   O
dry   O
cough   O
,   O
intermittent   O
episodes   O
of   O
high   O
fever   O
peaking   O
at   O
39   O
°   O
C   O
,   O
and   O
pronounced   O
fatigue   O
noted   O
over   O
the   O
past   O
37s   O
weeks   O
.   O

Dr.   O
Tom   B-NAME
Jonas   I-NAME
noted   O
a   O
history   O
of   O
asthma   O
in   O
Josue   B-NAME
Gallagher   I-NAME
's   O
medical   O
record   O
number   O
73637330   B-ID
,   O
but   O
the   O
patient   O
denied   O
any   O
recent   O
asthma   O
attacks   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Carter   B-NAME
observed   O
that   O
Urban   B-NAME
J.   I-NAME
Quinto   I-NAME
had   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
a   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
.   O

Richardson   B-NAME
has   O
not   O
traveled   O
outside   O
Pike   B-LOCATION
recently   O
nor   O
has   O
had   O
any   O
known   O
exposure   O
to   O
individuals   O
with   O
tuberculosis   O
or   O
similar   O
respiratory   O
illnesses   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Esmeralda   B-NAME
Esparza   I-NAME
prescribed   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
recommended   O
rest   O
,   O
hydration   O
,   O
and   O
paracetamol   O
for   O
fever   O
and   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
December   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
symptoms   O
and   O
progress   O
.   O

Conclusion   O
:   O
Patient   O
Gordon   B-NAME
Q.   I-NAME
Iniguez   I-NAME
,   O
with   O
an   O
existing   O
background   O
of   O
asthma   O
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
bacterial   O
pneumonia   O
.   O

Dr.   O
Pitts   B-NAME
's   O
notes   O
and   O
orders   O
have   O
been   O
added   O
to   O
medical   O
record   O
number   O
883   B-ID
-   I-ID
37   I-ID
-   I-ID
54   I-ID
-   I-ID
8   I-ID
for   O
continuity   O
of   O
care   O
,   O
and   O
Lillianna   B-NAME
Bailey   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
return   O
to   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
call   O
36987   B-CONTACT
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kalam   B-NAME
,   I-NAME
APJ   I-NAME
Abdul   I-NAME
Age   O
:   O
96   O
Date   O
of   O
Birth   O
:   O
22/36/2251   B-DATE
Social   O
Security   O
Number   O
:   O
904166279   B-ID
Medical   O
Record   O
Number   O
:   O
53087512   B-ID
Address   O
:   O
Manistique   B-LOCATION
,   O
38072   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
234   I-CONTACT
)   I-CONTACT
422   I-CONTACT
-   I-CONTACT
6418   I-CONTACT
Employer   O
:   O
Florida   B-LOCATION
Keys   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
Profession   O
:   O

Yesenia   B-NAME
Fernandez   I-NAME
Admitting   O
Hospital   O
:   O
Plains   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
1/23/38   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Enoch   B-NAME
Shorty   I-NAME
,   O
presented   O
with   O
severe   O
,   O
acute   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
episodes   O
of   O
vomiting   O
since   O
2187   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Audrina   B-NAME
Leon   I-NAME
described   O
the   O
onset   O
of   O
symptoms   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Past   O
Medical   O
History   O
:   O
Paul   B-NAME
Arteaga   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Social   O
History   O
:   O
Ward   B-NAME
Gabrielson   I-NAME
works   O
as   O
a   O
Order   O
Clerks   O
at   O
Civil   B-LOCATION
Air   I-LOCATION
Operations   I-LOCATION
Officers   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kaufman   B-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

The   O
surgery   O
was   O
scheduled   O
with   O
Arnold   B-NAME
at   O
Buffalo   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
for   O
33/20/22   B-DATE
.   O

Lillie   B-NAME
Stewart   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
potential   O
risks   O
,   O
and   O
consent   O
was   O
obtained   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
12/14   B-DATE
at   O
Brook   B-LOCATION
Park   I-LOCATION
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

December   B-NAME
was   O
advised   O
to   O
contact   O
44605   B-CONTACT
if   O
there   O
are   O
any   O
signs   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
any   O
other   O
concerns   O
arise   O
post   O
-   O
surgery   O
.   O
Notes   O
:   O

Amy   B-NAME
Alvarez   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
balanced   O
diet   O
and   O
hydration   O
during   O
the   O
recovery   O
process   O
.   O

Patient   O
:   O
Gallegos   B-NAME
Medical   O
Record   O
Number   O
:   O
9518559   B-ID
Date   O
of   O
Birth   O
:   O
02   B-DATE
-   I-DATE
33   I-DATE
Age   O
:   O
51   O
Address   O
:   O
Cambridge   B-LOCATION
,   I-LOCATION
Cambridge   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
92424   B-LOCATION
Phone   O
:   O
221   B-CONTACT
8174   I-CONTACT

Lorelai   B-NAME
Bullock   I-NAME
Admission   O
Date   O
:   O
05/29   B-DATE
Hospital   O
:   O
St.   B-LOCATION
Tammany   I-LOCATION
Parish   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Linda   B-NAME
Abbott   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
June   B-DATE
28th   I-DATE
,   I-DATE
2281   I-DATE
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Herzog   B-NAME
,   I-NAME
Werner   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
0/2362   B-DATE
,   O
initially   O
mild   O
and   O
intermittent   O
but   O
gradually   O
increasing   O
in   O
intensity   O
.   O

Juarez   B-NAME
also   O
reports   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
since   O
5/23   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Caden   B-NAME
Mendoza   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
medication   O
,   O
and   O
mild   O
hypertension   O
.   O

Gillian   B-NAME
Bright   I-NAME
is   O
a   O
Scanner   O
Operators   O
,   O
living   O
in   O
Phoenicia   B-LOCATION
with   O
family   O
.   O

The   O
gastrointestinal   O
review   O
was   O
significant   O
for   O
the   O
pain   O
described   O
,   O
with   O
no   O
bowel   O
movement   O
since   O
2231   B-DATE
.   O

A   O
CT   O
abdomen   O
performed   O
on   O
4/28   B-DATE
suggested   O
acute   O
pancreatitis   O
.   O

Management   O
Plan   O
:   O
Kailyn   B-NAME
Little   I-NAME
was   O
admitted   O
to   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Dearborn   I-LOCATION
under   O
the   O
care   O
of   O
Case   B-NAME
for   O
conservative   O
management   O
of   O
acute   O
pancreatitis   O
,   O
including   O
IV   O
fluids   O
,   O
fasting   O
,   O
and   O
pain   O
management   O
.   O

Summary   O
:   O
This   O
is   O
a   O
77   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
of   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
from   O
Warrenville   B-LOCATION
,   O
with   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
presenting   O
with   O
acute   O
pancreatitis   O
.   O

For   O
any   O
further   O
details   O
or   O
clarification   O
,   O
please   O
contact   O
the   O
attending   O
physician   O
,   O
Bradley   B-NAME
,   O
at   O
(   B-CONTACT
328   I-CONTACT
)   I-CONTACT
671   I-CONTACT
7412   I-CONTACT
.   O

Patient   O
Name   O
:   O
Neal   B-NAME
Hudson   I-NAME
Patient   O
ID   O
:   O
2353624   B-ID
Medical   O
Record   O
Number   O
:   O
2670841   B-ID
Date   O
of   O
Visit   O
:   O
Jan   B-DATE
27   I-DATE
,   I-DATE
2311   I-DATE
Location   O
of   O
Visit   O
:   O
Williamston   B-LOCATION
Contact   O
Information   O
:   O
75958   B-CONTACT
Zip   O
Code   O
:   O
43661   B-LOCATION
Attending   O
Physician   O
:   O

Rosemary   B-NAME
Rose   I-NAME
Hospital   O
:   O
Redlands   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Age   O
:   O
28   O
Profession   O
:   O

Receptionists   O
and   O
Information   O
Clerks   O
Clinical   O
Notes   O
:   O
Vincent   B-NAME
Ventura   I-NAME
,   O
a   O
psychologist   O
from   O
Saint   B-LOCATION
-   I-LOCATION
Antoine   I-LOCATION
,   I-LOCATION
NB   I-LOCATION
E4V   I-LOCATION
1A2   I-LOCATION
,   O
74612   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
8   B-DATE
-   I-DATE
2   I-DATE
with   O
complaints   O
of   O
progressively   O
worsening   O
dyspnea   O
,   O
orthopnea   O
,   O
and   O
paroxysmal   O
nocturnal   O
dyspnea   O
.   O

Over   O
the   O
past   O
two   O
weeks   O
,   O
Xavier   B-NAME
V   I-NAME
Cook   I-NAME
has   O
observed   O
increased   O
difficulty   O
with   O
exertion   O
,   O
notably   O
becoming   O
short   O
of   O
breath   O
while   O
walking   O
short   O
distances   O
,   O
which   O
was   O
previously   O
well   O
tolerated   O
.   O

Additionally   O
,   O
Larry   B-NAME
Dorsey   I-NAME
reported   O
experiencing   O
swollen   O
ankles   O
and   O
feet   O
by   O
the   O
end   O
of   O
the   O
day   O
,   O
which   O
improves   O
slightly   O
with   O
elevation   O
overnight   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Sonia   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Management   O
Plan   O
:   O
Mirakle   B-NAME
was   O
admitted   O
to   O
Johns   B-LOCATION
Hopkins   I-LOCATION
Bayview   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
acute   O
exacerbation   O
of   O
CHF   O
.   O

Ida   B-NAME
Oquinn   I-NAME
was   O
also   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
and   O
an   O
ACE   O
inhibitor   O
for   O
optimal   O
heart   O
failure   O
management   O
.   O

Serrano   B-NAME
discussed   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
including   O
a   O
low   O
-   O
salt   O
diet   O
and   O
regular   O
follow   O
-   O
up   O
appointments   O
.   O

Disposition   O
:   O
Glass   B-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
over   O
the   O
course   O
of   O
a   O
2096   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
09   I-DATE
-   O
day   O
hospital   O
stay   O
.   O

Upon   O
discharge   O
,   O
Flynt   B-NAME
,   I-NAME
Larry   I-NAME
was   O
counseled   O
on   O
identifying   O
early   O
signs   O
of   O
CHF   O
exacerbation   O
and   O
was   O
provided   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Bertram   B-NAME
Charles   I-NAME
in   O
23/22   B-DATE
.   O

Tony   B-NAME
Wilkinson   I-NAME
was   O
advised   O
to   O
monitor   O
weight   O
daily   O
and   O
to   O
adhere   O
strictly   O
to   O
medication   O
regimen   O
.   O

Follow   O
-   O
up   O
Instructions   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Mary   B-NAME
Saunders   I-NAME
at   O
Institute   B-LOCATION
of   I-LOCATION
Mathematical   I-LOCATION
Statistics   I-LOCATION
on   O
5/2322   B-DATE
with   O
Paige   B-NAME
Rasmussen   I-NAME
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
needed   O
.   O

Hines   B-NAME
was   O
advised   O
to   O
call   O
(   B-CONTACT
163   I-CONTACT
)   I-CONTACT
937   I-CONTACT
-   I-CONTACT
9116   I-CONTACT
for   O
any   O
urgent   O
issues   O
or   O
concerns   O
arising   O
before   O
the   O
scheduled   O
appointment   O
.   O

They   O
were   O
provided   O
with   O
educational   O
materials   O
on   O
CHF   O
management   O
and   O
were   O
encouraged   O
to   O
contact   O
University   B-LOCATION
of   I-LOCATION
Michigan   I-LOCATION
Hospital   I-LOCATION
for   O
support   O
and   O
with   O
any   O
additional   O
questions   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Andy   B-NAME
Vega   I-NAME
Patient   O
ID   O
:   O
7442230   B-ID
Patient   O
Age   O
:   O
4   O
Medical   O
Record   O
Number   O
:   O
841   B-ID
-   I-ID
48   I-ID
-   I-ID
50   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
April   B-DATE
Address   O
:   O
Merced   B-LOCATION
,   O
99723   B-LOCATION
Phone   O
Number   O
:   O
10126   B-CONTACT
Profession   O
:   O
undertaker   O
Primary   O
Physician   O
:   O

Dr.   O
Craig   B-NAME
Hospital   O
:   O
Cascade   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Symptom   O
Overview   O
:   O
WL   B-NAME
presented   O
to   O
the   O
outpatient   O
department   O
on   O
26/12/61   B-DATE
with   O
chief   O
complaints   O
of   O
protracted   O
cough   O
,   O
intermittent   O
fever   O
peaking   O
to   O
102   O
°   O
F   O
,   O
and   O
dyspnea   O
on   O
exertion   O
.   O

Cordell   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
Abbott   B-NAME
appeared   O
cachectic   O
.   O

Additional   O
recommendations   O
included   O
an   O
adjustment   O
in   O
diabetic   O
medication   O
by   O
Dr.   O
Harper   B-NAME
Sellers   I-NAME
to   O
better   O
manage   O
blood   O
glucose   O
levels   O
.   O

Osvaldo   B-NAME
Irwin   I-NAME
was   O
advised   O
strict   O
bed   O
rest   O
,   O
for   O
robust   O
fluid   O
intake   O
,   O
and   O
nutritional   O
support   O
to   O
address   O
weight   O
loss   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
27   B-DATE
to   O
review   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Conclusion   O
:   O
Sydnee   B-NAME
Schaefer   I-NAME
is   O
currently   O
under   O
management   O
for   O
acute   O
lower   O
respiratory   O
tract   O
infection   O
with   O
associated   O
complications   O
due   O
to   O
underlying   O
diabetes   O
.   O

Documents   O
prepared   O
by   O
:   O
wzt345   B-NAME
Prepared   O
on   O
:   O
8/23   B-DATE
Reliance   B-LOCATION
Partners   I-LOCATION
Medical   O
Records   O
Department   O
Contact   O
Information   O
:   O
(   B-CONTACT
700   I-CONTACT
)   I-CONTACT
301   I-CONTACT
4948   I-CONTACT

Patient   O
Name   O
:   O
Claire   B-NAME
Wong   I-NAME
Age   O
:   O
6   O
Phone   O
Number   O
:   O
797   B-CONTACT
7160   I-CONTACT
Address   O
:   O
Poneto   B-LOCATION
,   O
37534   B-LOCATION
Employer   O
:   O
Professionals   B-LOCATION
Australia   I-LOCATION
Occupation   O
:   O

Community   O
Health   O
Workers   O
Primary   O
Physician   O
:   O
Dr.   O
Duarte   B-NAME
Hospital   O
:   O
Cancer   B-LOCATION
Treatment   I-LOCATION
Centers   I-LOCATION
of   I-LOCATION
America   I-LOCATION
,   I-LOCATION
Atlanta   I-LOCATION
Date   O
of   O
Visit   O
:   O
38/22   B-DATE
Medical   O
Record   O
Number   O
:   O
4028722   B-ID
Patient   O
ID   O
:   O
48275353   B-ID
Presenting   O
Complaints   O
:   O
Meadow   B-NAME
Pratt   I-NAME
,   O
a   O
Plant   O
and   O
System   O
Operators   O
,   O
All   O
Other   O
from   O
Valley   B-LOCATION
City   I-LOCATION
,   O
presented   O
to   O
Adventist   B-LOCATION
Health   I-LOCATION
Lodi   I-LOCATION
Memorial   I-LOCATION
on   O
2022   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
21   I-DATE
with   O
a   O
detailed   O
history   O
of   O
recurrent   O
abdominal   O
pain   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
6   O
months   O
.   O

Past   O
Medical   O
History   O
:   O
Keely   B-NAME
Williams   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
5   O
years   O
ago   O
,   O
currently   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

There   O
is   O
also   O
a   O
history   O
of   O
hypercholesterolemia   O
for   O
which   O
TOMLIN   B-NAME
,   I-NAME
THEODORE   I-NAME
has   O
been   O
prescribed   O
statin   O
therapy   O
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
significant   O
family   O
history   O
of   O
gallbladder   O
disease   O
,   O
with   O
Potts   B-NAME
's   O
mother   O
undergoing   O
cholecystectomy   O
at   O
the   O
age   O
of   O
96   O
.   O
Social   O
History   O
:   O
Lang   B-NAME
reports   O
working   O
as   O
a   O
History   O
Teachers   O
,   O
Postsecondary   O
for   O
Dollar   B-LOCATION
Tree   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
or   O
illicit   O
drugs   O
.   O

Meals   O
are   O
often   O
consumed   O
outside   O
due   O
to   O
the   O
demanding   O
nature   O
of   O
Hitchens   B-NAME
,   I-NAME
Christopher   I-NAME
's   O
job   O
at   O
Leisuretowne   B-LOCATION
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
symptoms   O
described   O
above   O
,   O
Spence   B-NAME
reports   O
a   O
recent   O
unintentional   O
weight   O
loss   O
of   O
10   O
pounds   O
over   O
the   O
last   O
2   O
months   O
and   O
occasional   O
night   O
sweats   O
.   O

On   O
examination   O
,   O
Keegan   B-NAME
Rios   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Nga   B-NAME
Elis   I-NAME
underwent   O
an   O
abdominal   O
ultrasound   O
which   O
suggested   O
the   O
presence   O
of   O
gallstones   O
.   O

The   O
plan   O
is   O
to   O
admit   O
Altsoba   B-NAME
for   O
further   O
observation   O
and   O
surgical   O
consultation   O
for   O
possible   O
cholecystectomy   O
.   O

A   O
follow   O
-   O
up   O
with   O
Dr.   O
Oconnell   B-NAME
post   O
-   O
surgery   O
is   O
scheduled   O
for   O
09/14   B-DATE
.   O
Instructions   O
for   O
Collin   B-NAME
Durham   I-NAME
:   O
-   O
Fasting   O
until   O
further   O
assessment   O
by   O
the   O
surgical   O
team   O
-   O
Administration   O
of   O
IV   O
fluids   O
and   O
analgesics   O
as   O
prescribed   O
-   O
Regular   O
monitoring   O
of   O
vital   O
signs   O
and   O
symptoms   O
of   O
infection   O
This   O
report   O
was   O
prepared   O
by   O
Dr.   O
Dalia   B-NAME
Huerta   I-NAME
on   O
32/28/2022   B-DATE
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
Lea   B-NAME
Wagner   I-NAME
's   O
condition   O
,   O
please   O
contact   O
Caribou   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
92711   B-CONTACT
.   O

Patient   O
Name   O
:   O
Donnelly   B-NAME
Patient   O
ID   O
:   O
BI:11611:673995   B-ID
Medical   O
Record   O
Number   O
:   O
843   B-ID
-   I-ID
62   I-ID
-   I-ID
73   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
2028   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
22   I-DATE
Age   O
:   O
80   O
Address   O
:   O
Crosspointe   B-LOCATION
,   O
97186   B-LOCATION
Phone   O
Number   O
:   O
91440   B-CONTACT
Employer   O
:   O
St.   B-LOCATION
Stephen   I-LOCATION
State   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Special   O
Forces   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Haas   B-NAME
Admitting   O
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
2/2010   B-DATE
Discharge   O
Date   O
:   O
07/26/34   B-DATE
Chief   O
Complaint   O
:   O
Ahmad   B-NAME
Cabrera   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Paoli   B-LOCATION
Hospital   I-LOCATION
on   O
12/14   B-DATE
,   O
complaining   O
of   O
acute   O
,   O
severe   O
chest   O
pain   O
describing   O
it   O
as   O
a   O
tightness   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
,   O
a   O
21   O
-   O
year   O
-   O
old   O
Park   O
Naturalists   O
employed   O
by   O
Neighborhood   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
with   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
reported   O
that   O
the   O
symptoms   O
started   O
suddenly   O
while   O
at   O
work   O
at   O
Ocean   B-LOCATION
City   I-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Ocean   I-LOCATION
City   I-LOCATION
.   O

Arp   B-NAME
,   I-NAME
Hans   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Petronius   B-NAME
mentioned   O
adherence   O
to   O
prescribed   O
medication   O
but   O
has   O
been   O
experiencing   O
increased   O
stress   O
at   O
work   O
.   O

Upon   O
examination   O
in   O
the   O
emergency   O
department   O
of   O
Decatur   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
System   I-LOCATION
,   O
Xenia   B-NAME
Jaramillo   I-NAME
was   O
in   O
evident   O
distress   O
with   O
vital   O
signs   O
showing   O
a   O
blood   O
pressure   O
of   O
145/90   O
mmHg   O
,   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
,   O
and   O
a   O
temperature   O
of   O
98.6   O
F.   O
Cardiovascular   O
examination   O
revealed   O
a   O
regular   O
tachycardia   O
without   O
murmurs   O
,   O
rubs   O
,   O
or   O
gallops   O
.   O

A   O
consult   O
with   O
cardiology   O
was   O
made   O
,   O
and   O
Umberto   B-NAME
Xuan   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
further   O
intervention   O
.   O

Follow   O
-   O
Up   O
:   O
Horace   B-NAME
will   O
require   O
close   O
follow   O
-   O
up   O
with   O
cardiology   O
post   O
-   O
discharge   O
.   O

Contacts   O
:   O
Primary   O
Care   O
Physician   O
-   O
Dr.   O
Davion   B-NAME
Donovan   I-NAME
at   O
548   B-CONTACT
-   I-CONTACT
4370   I-CONTACT
Cardiologist   O
-   O
Dr.   O
Armando   B-NAME
Duffy   I-NAME
at   O
85154   B-CONTACT
Emergency   O
Department   O
Contact   O
-   O
58730   B-CONTACT
This   O
report   O
was   O
prepared   O
by   O
nrg183   B-NAME
on   O
31/20/2378   B-DATE
.   O

Patient   O
Name   O
:   O
QUAGLIA   B-NAME
,   I-NAME
BRONSON   I-NAME
Age   O
:   O
16s   O
Date   O
of   O
Birth   O
:   O
01/30/50   B-DATE

Phone   O
Number   O
:   O
50980   B-CONTACT
Address   O
:   O
New   B-LOCATION
Philadelphia   I-LOCATION
,   O
13379   B-LOCATION
Occupation   O
:   O
politician   O
Medical   O
Record   O
Number   O
:   O
38355934   B-ID
Social   O
Security   O
Number   O
:   O
3   B-ID
-   I-ID
7346704   I-ID
Admitting   O
Physician   O
:   O

Victor   B-NAME
Ehrlich   I-NAME
Admission   O
Date   O
:   O
9/23   B-DATE
Location   O
of   O
Admission   O
:   O
Providence   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Findings   O
:   O
Ainsley   B-NAME
Simon   I-NAME
was   O
admitted   O
to   O
the   O
St.   B-LOCATION
Clair   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
12   I-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
,   O
photophobia   O
,   O
and   O
nausea   O
.   O

The   O
onset   O
of   O
these   O
symptoms   O
was   O
approximately   O
0   B-DATE
-   I-DATE
2   I-DATE
,   O
gradually   O
intensifying   O
over   O
the   O
subsequent   O
days   O
.   O

Elsie   B-NAME
Figueroa   I-NAME
,   O
a   O
Continuous   O
Mining   O
Machine   O
Operators   O
by   O
profession   O
,   O
noted   O
that   O
these   O
symptoms   O
significantly   O
impaired   O
their   O
ability   O
to   O
perform   O
daily   O
activities   O
,   O
prompting   O
the   O
need   O
for   O
medical   O
evaluation   O
.   O

Additionally   O
,   O
Mamie   B-NAME
Varnes   I-NAME
reported   O
episodes   O
of   O
vertigo   O
and   O
a   O
significant   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
week   O
.   O

Diagnostic   O
Evaluation   O
:   O
Upon   O
admission   O
,   O
a   O
comprehensive   O
neurological   O
examination   O
was   O
conducted   O
by   O
Rowe   B-NAME
revealing   O
nuchal   O
rigidity   O
and   O
a   O
positive   O
Brudzinski   O
's   O
sign   O
.   O

Kineks   B-NAME
was   O
initiated   O
on   O
empirical   O
antiviral   O
therapy   O
alongside   O
supportive   O
care   O
,   O
including   O
hydration   O
and   O
pain   O
management   O
for   O
headache   O
relief   O
.   O

Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Landry   B-NAME
's   O
symptoms   O
gradually   O
improved   O
with   O
the   O
prescribed   O
treatment   O
regimen   O
.   O

The   O
infectious   O
disease   O
team   O
,   O
headed   O
by   O
Gardner   B-NAME
,   O
recommended   O
outpatient   O
follow   O
-   O
up   O
upon   O
discharge   O
to   O
monitor   O
the   O
resolution   O
of   O
symptoms   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

Discharge   O
Date   O
:   O
2330   B-DATE
Follow   O
-   O
up   O
Appointment   O
:   O
1781   B-DATE
Physician   O
:   O

Zachery   B-NAME
Olson   I-NAME
Location   O
:   O
Disabled   B-LOCATION
American   I-LOCATION
Veterans   I-LOCATION
(   I-LOCATION
DAV   I-LOCATION
)   I-LOCATION
,   O
Galion   B-LOCATION
Instructions   O
for   O
Chandler   B-NAME
Nguyen   I-NAME
included   O
maintaining   O
adequate   O
hydration   O
,   O
completing   O
the   O
entire   O
course   O
of   O
prescribed   O
medication   O
,   O
and   O
minimizing   O
exposure   O
to   O
bright   O
light   O
until   O
photophobia   O
resolves   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Nashville   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
143   I-CONTACT
)   I-CONTACT
707   I-CONTACT
5901   I-CONTACT
.   O

It   O
is   O
crucial   O
for   O
Laitman   B-NAME
,   I-NAME
Michael   I-NAME
to   O
monitor   O
for   O
any   O
new   O
or   O
worsening   O
symptoms   O
and   O
report   O
them   O
to   O
Mccarthy   B-NAME
or   O
visit   O
the   O
nearest   O
emergency   O
department   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
at   O
362   B-CONTACT
761   I-CONTACT
3968   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Elliot   B-NAME
Sexton   I-NAME
Patient   O
ID   O
:   O
FZ   B-ID
:   I-ID
ES:8724   I-ID
Medical   O
Record   O
Number   O
:   O
84869837   B-ID
Date   O
of   O
Birth   O
:   O
2/22   B-DATE
Age   O
:   O
60   O
Phone   O
Number   O
:   O
830   B-CONTACT
547   I-CONTACT
6999   I-CONTACT
Address   O
:   O
Hoyt   B-LOCATION
Lakes   I-LOCATION
,   O
72680   B-LOCATION
Profession   O
:   O

Postal   O
Service   O
Clerks   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Durrell   B-NAME
,   I-NAME
Gerald   I-NAME
Hospital   O
:   O
Putnam   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
4/22   B-DATE
Date   O
of   O
Discharge   O
:   O
03/18   B-DATE
Username   O
for   O
Hospital   O
Portal   O
:   O
hd600   B-NAME
Clinical   O
Summary   O
:   O
Nation   B-NAME
McKinley   I-NAME
,   O
a   O
42   O
-   O
year   O
-   O
old   O
Computer   O
Network   O
Architects   O
from   O
Sharon   B-LOCATION
,   O
presented   O
to   O
University   B-LOCATION
of   I-LOCATION
South   I-LOCATION
Alabama   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
and   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
2/22   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

On   O
examination   O
,   O
Ruba   B-NAME
Neil   I-NAME
was   O
found   O
to   O
be   O
in   O
acute   O
distress   O
with   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
and   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Imaging   O
Studies   O
:   O
A   O
contrast   O
-   O
enhanced   O
CT   O
scan   O
of   O
the   O
abdomen   O
performed   O
on   O
2/2303   B-DATE
confirmed   O
the   O
presence   O
of   O
inflammation   O
in   O
the   O
pancreas   O
without   O
evidence   O
of   O
gallstones   O
or   O
bile   O
duct   O
obstruction   O
.   O

Bevan   B-NAME
,   I-NAME
Aneurin   I-NAME
's   O
symptoms   O
began   O
to   O
improve   O
significantly   O
after   O
48   O
hours   O
of   O
conservative   O
management   O
.   O

Vernetta   B-NAME
Florestal   I-NAME
was   O
counseled   O
on   O
dietary   O
modifications   O
,   O
including   O
alcohol   O
cessation   O
and   O
fat   O
intake   O
reduction   O
,   O
to   O
manage   O
and   O
prevent   O
future   O
episodes   O
.   O

I   O
referred   O
them   O
to   O
a   O
gastroenterologist   O
,   O
Dr.   O
Franco   B-NAME
Richmond   I-NAME
,   O
for   O
follow   O
-   O
up   O
after   O
discharge   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
2056   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
24   I-DATE
with   O
prescriptions   O
for   O
analgesia   O
and   O
pancreatic   O
enzyme   O
supplements   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Douglas   B-NAME
in   O
two   O
weeks   O
at   O
Otsego   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
monitor   O
progress   O
and   O
address   O
any   O
ongoing   O
concerns   O
.   O

Dollar   B-LOCATION
General   I-LOCATION
provided   O
post   O
-   O
discharge   O
care   O
instructions   O
and   O
scheduled   O
a   O
home   O
health   O
visit   O
by   O
a   O
nurse   O
from   O
the   O
San   B-LOCATION
Diego   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
team   O
on   O
2196   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
32   I-DATE
to   O
ensure   O
compliance   O
with   O
dietary   O
and   O
medication   O
instructions   O
and   O
to   O
assess   O
the   O
patient   O
's   O
recovery   O
in   O
their   O
home   O
environment   O
.   O

Contact   O
Information   O
for   O
Follow   O
-   O
up   O
:   O
Phone   O
:   O
504   B-CONTACT
7349   I-CONTACT
Email   O
registered   O
under   O
RL790   B-NAME
Note   O
:   O
Please   O
ensure   O
Ana   B-NAME
Decker   I-NAME
follows   O
the   O
provided   O
dietary   O
guidelines   O
closely   O
and   O
contact   O
Dr.   O
Lynch   B-NAME
or   O
the   O
Ingalls   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
at   O
(   B-CONTACT
447   I-CONTACT
)   I-CONTACT
148   I-CONTACT
-   I-CONTACT
2819   I-CONTACT
if   O
there   O
is   O
recurrence   O
of   O
severe   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
if   O
any   O
new   O
symptoms   O
arise   O
.   O

Patient   O
:   O
Reilly   B-NAME
Nielsen   I-NAME
Medical   O
Record   O
Number   O
:   O
551   B-ID
-   I-ID
25   I-ID
-   I-ID
78   I-ID
Date   O
of   O
Report   O
:   O
2002   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
24   I-DATE
Age   O
:   O
36   O
Location   O
:   O
Isleton   B-LOCATION
Phone   O
:   O
713   B-CONTACT
102   I-CONTACT
-   I-CONTACT
1754   I-CONTACT
Admitting   O
Hospital   O
:   O
Kootenai   B-LOCATION
Health   I-LOCATION
Attending   O
Physician   O
:   O

[   O
Dr.   O
]   O
Jaliyah   B-NAME
Le   I-NAME
ID   O
:   O
CL138/3040   B-ID
Zip   O
:   O
34439   B-LOCATION
Organization   O
:   O

Centennial   B-LOCATION
Bank   I-LOCATION
Username   O
:   O
qrb152   B-NAME
Profession   O
:   O
Geographers   O
Subjective   O
:   O

The   O
patient   O
,   O
Adelaide   B-NAME
English   I-NAME
,   O
a   O
Economists   O
from   O
Rosepine   B-LOCATION
,   O
complains   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
left   O
side   O
,   O
radiating   O
towards   O
the   O
eye   O
region   O
.   O

The   O
onset   O
of   O
these   O
headaches   O
was   O
approximately   O
02/39/93   B-DATE
,   O
with   O
increasing   O
intensity   O
over   O
the   O
past   O
10/12/02   B-DATE
.   O

Ayasha   B-NAME
mentions   O
associated   O
symptoms   O
,   O
including   O
nausea   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
,   O
worsening   O
the   O
quality   O
of   O
life   O
and   O
hindering   O
daily   O
activities   O
.   O

Yasmine   B-NAME
Snyder   I-NAME
denies   O
recent   O
travel   O
or   O
any   O
form   O
of   O
trauma   O
.   O

Objective   O
:   O
Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Briana   B-NAME
Hampton   I-NAME
appears   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Imaging   O
:   O
A   O
non   O
-   O
contrast   O
head   O
CT   O
scan   O
was   O
performed   O
at   O
Inova   B-LOCATION
Fair   I-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
on   O
April   B-DATE
,   O
showing   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

Bert   B-NAME
Simon   I-NAME
is   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
identifying   O
potential   O
triggers   O
.   O

Follow   O
-   O
up   O
with   O
[   O
Dr.   O
]   O
Ward   B-NAME
is   O
scheduled   O
for   O
2219   B-DATE
to   O
evaluate   O
the   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Vaughn   B-NAME
A.   I-NAME
Xander   I-NAME
is   O
encouraged   O
to   O
reach   O
out   O
to   O
(   B-CONTACT
529   I-CONTACT
)   I-CONTACT
536   I-CONTACT
-   I-CONTACT
6592   I-CONTACT
for   O
any   O
concerning   O
symptoms   O
or   O
clarification   O
on   O
medication   O
administration   O
.   O

This   O
plan   O
has   O
been   O
devised   O
considering   O
Esteban   B-NAME
Singh   I-NAME
's   O
medical   O
history   O
,   O
current   O
clinical   O
presentation   O
,   O
and   O
personal   O
preferences   O
to   O
ensure   O
comprehensive   O
care   O
.   O

Society   B-LOCATION
of   I-LOCATION
American   I-LOCATION
Military   I-LOCATION
Engineers   I-LOCATION
remains   O
committed   O
to   O
providing   O
high   O
-   O
quality   O
healthcare   O
tailored   O
to   O
each   O
patient   O
's   O
needs   O
.   O

Should   O
there   O
be   O
any   O
questions   O
or   O
additional   O
information   O
needed   O
,   O
please   O
contact   O
Thomas   B-LOCATION
Jefferson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Campus   I-LOCATION
at   O
82420   B-CONTACT
.   O

The   O
patient   O
,   O
Madilyn   B-NAME
Schroeder   I-NAME
,   O
a   O
39   O
year   O
-   O
old   O
Jewelers   O
and   O
Precious   O
Stone   O
and   O
Metal   O
Workers   O
residing   O
in   O
Effie   B-LOCATION
,   O
48488   B-LOCATION
,   O
was   O
admitted   O
to   O
Angelvale   B-LOCATION
Hospital   I-LOCATION
on   O
2/2333   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
significant   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
for   O
which   O
[   O
HE   O
/   O
SHE   O
]   O
has   O
been   O
under   O
the   O
care   O
of   O
Coolidge   B-NAME
,   I-NAME
Calvin   I-NAME
since   O
1604   B-DATE
.   O

Lonnie   B-NAME
Leroy   I-NAME
George   I-NAME
Zuniga   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

Upon   O
examination   O
,   O
Pham   B-NAME
exhibited   O
tenderness   O
in   O
the   O
epigastric   O
region   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
1134176   B-ID
includes   O
a   O
detailed   O
history   O
of   O
previous   O
admissions   O
for   O
similar   O
episodes   O
.   O

The   O
treatment   O
plan   O
initiated   O
by   O
Dr.   O
Obrien   B-NAME
included   O
intravenous   O
hydration   O
,   O
fasting   O
to   O
rest   O
the   O
pancreas   O
,   O
and   O
pain   O
management   O
.   O

Additionally   O
,   O
Robert   B-NAME
Huff   I-NAME
's   O
glycemic   O
control   O
was   O
closely   O
monitored   O
given   O
[   O
HIS   O
/   O
HER   O
]   O
history   O
of   O
diabetes   O
.   O

Porter   B-NAME
's   O
emergency   O
contact   O
,   O
99674   B-CONTACT
,   O
was   O
notified   O
on   O
12/21/32   B-DATE
regarding   O
[   O
HIS   O
/   O
HER   O
]   O
admission   O
and   O
the   O
current   O
health   O
status   O
.   O

During   O
the   O
hospital   O
stay   O
at   O
UCHealth   B-LOCATION
Yampa   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
a   O
dietician   O
consultation   O
was   O
arranged   O
to   O
educate   O
Yaholo   B-NAME
on   O
dietary   O
measures   O
to   O
manage   O
[   O
HIS   O
/   O
HER   O
]   O
condition   O
post   O
-   O
discharge   O
.   O

Abby   B-NAME
Branch   I-NAME
's   O
condition   O
improved   O
significantly   O
over   O
the   O
course   O
of   O
the   O
hospitalization   O
,   O
and   O
[   O
HE   O
/   O
SHE   O
]   O
was   O
discharged   O
on   O
2/20   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Fisher   B-NAME
Ortiz   I-NAME
within   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
recur   O
.   O

Leonel   B-NAME
Randall   I-NAME
was   O
advised   O
to   O
avoid   O
alcohol   O
,   O
adopt   O
a   O
low   O
-   O
fat   O
diet   O
,   O
and   O
monitor   O
blood   O
glucose   O
levels   O
regularly   O
.   O

Prescriptions   O
were   O
given   O
for   O
a   O
pancreatic   O
enzyme   O
supplement   O
to   O
aid   O
digestion   O
and   O
a   O
recommendation   O
was   O
made   O
to   O
resume   O
diabetes   O
medications   O
as   O
previously   O
directed   O
by   O
Berger   B-NAME
.   O

The   O
discharge   O
summary   O
,   O
including   O
detailed   O
instructions   O
for   O
care   O
at   O
home   O
,   O
was   O
documented   O
in   O
the   O
patient   O
's   O
electronic   O
health   O
record   O
,   O
1884   B-ID
:   I-ID
F33477   I-ID
.   O

For   O
further   O
inquiries   O
or   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
,   O
Miley   B-NAME
Friedman   I-NAME
or   O
[   O
HIS   O
/   O
HER   O
]   O
designated   O
contact   O
can   O
reach   O
Benitez   B-NAME
's   O
office   O
via   O
89647   B-CONTACT
.   O

Patient   O
Report   O
for   O
Phoenix   B-NAME
Fields   I-NAME
ID   O
:   O
RG258/8824   B-ID
Medical   O
Record   O
Number   O
:   O
21694628   B-ID
Date   O
of   O
Birth   O
:   O
January   B-DATE
Age   O
:   O
61s   O
Address   O
:   O
Temecula   B-LOCATION
,   O
78196   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
170   I-CONTACT
)   I-CONTACT
529   I-CONTACT
8393   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Ferrell   B-NAME
Organization   O
:   O

International   B-LOCATION
Humanist   I-LOCATION
and   I-LOCATION
Ethical   I-LOCATION
Union   I-LOCATION
Admitting   O
Hospital   O
:   O
Uniontown   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/11   B-DATE
Username   O
:   O
sxv9410   B-NAME
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Anderson   B-NAME
Buckley   I-NAME
,   O
presented   O
with   O
an   O
acute   O
onset   O
of   O
abdominal   O
pain   O
,   O
notably   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

This   O
symptom   O
was   O
reported   O
to   O
intensify   O
over   O
a   O
24   O
-   O
hour   O
period   O
preceding   O
admission   O
on   O
2089   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
02   I-DATE
.   O

Alongside   O
this   O
,   O
Gabrielle   B-NAME
Hinton   I-NAME
also   O
experienced   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
.   O

Physical   O
examination   O
conducted   O
by   O
Dr.   O
Bracken   B-NAME
,   I-NAME
Thomas   I-NAME
revealed   O
right   O
lower   O
quadrant   O
tenderness   O
upon   O
palpation   O
,   O
with   O
positive   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
raising   O
the   O
suspicion   O
for   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
proposed   O
surgical   O
intervention   O
;   O
consent   O
for   O
surgery   O
was   O
obtained   O
on   O
0/3   B-DATE
.   O

The   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
2280   B-DATE
,   O
without   O
any   O
complications   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Spolsky   B-NAME
,   I-NAME
Joel   I-NAME
was   O
discharged   O
in   O
stable   O
condition   O
on   O
22/22/72   B-DATE
,   O
with   O
instructions   O
to   O
follow   O
up   O
with   O
Dr.   O
Palmer   B-NAME
in   O
one   O
to   O
two   O
weeks   O
for   O
a   O
routine   O
post   O
-   O
operative   O
check   O
.   O

Veila   B-NAME
Lipira   I-NAME
was   O
advised   O
to   O
report   O
any   O
signs   O
of   O
infection   O
,   O
including   O
fever   O
,   O
increasing   O
pain   O
,   O
or   O
drainage   O
from   O
the   O
incision   O
site   O
.   O

Additional   O
recommendations   O
included   O
avoiding   O
strenuous   O
activities   O
and   O
lifting   O
heavy   O
objects   O
for   O
0720   B-DATE
weeks   O
post   O
-   O
operatively   O
to   O
facilitate   O
optimal   O
healing   O
.   O

Documentation   O
Prepared   O
By   O
:   O
Dr.   O
Joaquin   B-NAME
Cohen   I-NAME
13/28/22   B-DATE
Contact   O
Information   O
:   O
308   B-CONTACT
4128   I-CONTACT
International   B-LOCATION
Crisis   I-LOCATION
Group   I-LOCATION
Deborah   B-LOCATION
Heart   I-LOCATION
and   I-LOCATION
Lung   I-LOCATION
Center   I-LOCATION

Patient   O
:   O
Mallory   B-NAME
Young   I-NAME
ID   O
:   O
BE:98546:207793   B-ID

Medical   O
Record   O
:   O
5174896   B-ID
Age   O
:   O
48   O
Phone   O
:   O
445   B-CONTACT
-   I-CONTACT
7980   I-CONTACT
Date   O
of   O
Admission   O
:   O
2/34   B-DATE
Attending   O
Physician   O
:   O

Fernando   B-NAME
Charles   I-NAME
Location   O
:   O
Port   B-LOCATION
Matilda   I-LOCATION
Hospital   O
:   O

Blanchfield   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Zip   O
:   O
19163   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Maci   B-NAME
Thornton   I-NAME
,   O
presented   O
with   O
an   O
acute   O
onset   O
of   O
substernal   O
chest   O
pain   O
,   O
described   O
as   O
pressure   O
-   O
like   O
in   O
nature   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

The   O
pain   O
initiated   O
while   O
Eva   B-NAME
Estes   I-NAME
was   O
at   O
their   O
job   O
as   O
a   O
Automotive   O
engineer   O
,   O
about   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Miyamoto   B-NAME
,   I-NAME
Shigeru   I-NAME
also   O
reports   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
nausea   O
.   O

Past   O
Medical   O
History   O
:   O
Vonda   B-NAME
T.   I-NAME
Ulloa   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
.   O

Rihanna   B-NAME
Nicholson   I-NAME
is   O
a   O
current   O
smoker   O
,   O
with   O
a   O
20   O
-   O
pack   O
-   O
year   O
history   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Petra   B-NAME
Cosentino   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Follow   O
-   O
Up   O
:   O
Norton   B-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
according   O
to   O
the   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Peru   I-LOCATION
guidelines   O
for   O
the   O
management   O
of   O
STEMI   O
.   O

A   O
stat   O
consultation   O
with   O
cardiology   O
was   O
made   O
,   O
and   O
Sanai   B-NAME
Ellis   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
coronary   O
angiography   O
,   O
which   O
revealed   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

Post   O
-   O
procedure   O
,   O
Anna   B-NAME
Mccann   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
.   O

Disposition   O
:   O
Isabella   B-NAME
Ellis   I-NAME
demonstrated   O
remarkable   O
improvement   O
and   O
was   O
stable   O
at   O
the   O
time   O
of   O
discharge   O
on   O
2078   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
22   I-DATE
.   O

Elaina   B-NAME
Branch   I-NAME
was   O
advised   O
to   O
quit   O
smoking   O
and   O
referred   O
to   O
a   O
smoking   O
cessation   O
program   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Marvin   B-NAME
Cobb   I-NAME
and   O
a   O
cardiac   O
rehabilitation   O
program   O
was   O
scheduled   O
for   O
22/11/56   B-DATE
.   O
Instructions   O
for   O
Jodee   B-NAME
:   O
-   O
Monitor   O
for   O
any   O
new   O
symptoms   O
or   O
worsening   O
of   O
your   O
condition   O
.   O

If   O
you   O
experience   O
any   O
concerning   O
symptoms   O
before   O
your   O
next   O
scheduled   O
appointment   O
,   O
do   O
not   O
hesitate   O
to   O
contact   O
the   O
hospital   O
at   O
82275   B-CONTACT
or   O
visit   O
the   O
emergency   O
room   O
of   O
Greystone   B-LOCATION
Park   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Applegate   B-LOCATION
,   O
62371   B-LOCATION
.   O

This   O
comprehensive   O
report   O
has   O
been   O
generated   O
and   O
reviewed   O
on   O
2188   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
07   I-DATE
by   O
Eisenstein   B-NAME
,   I-NAME
Ferdinand   I-NAME
.   O

Patient   O
Name   O
:   O
LATRISHA   B-NAME
ERVIN   I-NAME
Age   O
:   O
99   O
Medical   O
Record   O
Number   O
:   O
7568E07716   B-ID
Date   O
of   O
Consultation   O
:   O
04/23/2018   B-DATE
Consulting   O
Physician   O
:   O

Valentine   B-NAME
Hospital   O
:   O
Southeastern   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
White   B-LOCATION
Stone   I-LOCATION
Zip   O
Code   O
:   O
59766   B-LOCATION
Phone   O
Number   O
:   O
63447   B-CONTACT
Employer   O
/   O
Organization   O
:   O

American   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Dermatologists   O
Patient   O
ID   O
:   O
UZ927/2167   B-ID
Username   O
:   O

VC305   B-NAME
Case   O
Summary   O
:   O
Golding   B-NAME
,   I-NAME
William   I-NAME
presented   O
to   O
Houston   B-LOCATION
Methodist   I-LOCATION
Clear   I-LOCATION
Lake   I-LOCATION
Hospital   I-LOCATION
on   O
2366   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
30   I-DATE
with   O
a   O
consultation   O
from   O
Dr.   O
Corgan   B-NAME
,   I-NAME
Billy   I-NAME
.   O

The   O
patient   O
is   O
a   O
9   O
-   O
year   O
-   O
old   O
Information   O
and   O
Record   O
Clerks   O
,   O
All   O
Other   O
residing   O
in   O
Anaheim   B-LOCATION
,   O
with   O
a   O
history   O
of   O
employment   O
at   O
American   B-LOCATION
Legion   I-LOCATION
.   O

Ira   B-NAME
Huges   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
exposure   O
to   O
known   O
allergens   O
.   O

Jami   B-NAME
Dedrick   I-NAME
was   O
started   O
on   O
a   O
regime   O
of   O
corticosteroids   O
to   O
address   O
the   O
inflammatory   O
component   O
of   O
the   O
interstitial   O
lung   O
process   O
.   O

The   O
patient   O
's   O
unique   O
identifier   O
89139   B-ID
and   O
contact   O
through   O
52209   B-CONTACT
have   O
been   O
documented   O
for   O
follow   O
-   O
up   O
purposes   O
.   O

The   O
medical   O
record   O
maintained   O
under   O
544   B-ID
-   I-ID
45   I-ID
-   I-ID
36   I-ID
-   I-ID
4   I-ID
will   O
facilitate   O
coordinated   O
care   O
among   O
specialists   O
at   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Nampa   I-LOCATION
.   O

Further   O
consultations   O
and   O
diagnostic   O
evaluations   O
scheduled   O
are   O
to   O
be   O
recorded   O
under   O
this   O
medical   O
record   O
number   O
,   O
ensuring   O
a   O
comprehensive   O
and   O
continuous   O
care   O
pathway   O
for   O
Brandi   B-NAME
Xayasane   I-NAME
.   O

Instructed   O
Mccarthy   B-NAME
on   O
the   O
importance   O
of   O
monitoring   O
symptoms   O
,   O
strictly   O
adhering   O
to   O
the   O
medication   O
regime   O
,   O
and   O
advised   O
on   O
scheduled   O
follow   O
-   O
up   O
appointments   O
.   O

Ligia   B-NAME
was   O
informed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
worsening   O
symptoms   O
or   O
health   O
concerns   O
.   O

The   O
healthcare   O
team   O
at   O
Newark   B-LOCATION
Beth   I-LOCATION
Israel   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
continue   O
to   O
monitor   O
Daphne   B-NAME
Solomon   I-NAME
's   O
progress   O
through   O
scheduled   O
visits   O
and   O
via   O
contact   O
information   O
provided   O
(   O
68386   B-CONTACT
)   O
.   O

Coordination   O
with   O
LinuxChix   B-LOCATION
regarding   O
Ramon   B-NAME
Jarvis   I-NAME
's   O
occupational   O
health   O
considerations   O
has   O
been   O
initiated   O
,   O
ensuring   O
a   O
holistic   O
approach   O
to   O
care   O
and   O
recovery   O
.   O

Patient   O
Name   O
:   O
Xavier   B-NAME
Otero   I-NAME
Date   O
of   O
Birth   O
:   O
May   B-DATE
32th   I-DATE
Medical   O
Record   O
Number   O
:   O
3967907   B-ID
ID   O
Number   O
:   O
452886   B-ID
Address   O
:   O
Schaumburg   B-LOCATION
,   O
84562   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
816   I-CONTACT
)   I-CONTACT
567   I-CONTACT
-   I-CONTACT
4641   I-CONTACT
Employment   O
:   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
at   O
Town   B-LOCATION
of   I-LOCATION
Havana   I-LOCATION
Utilities   I-LOCATION
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Cross   B-NAME
Hospital   O
:   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Sunbury   I-LOCATION
Summary   O
:   O
Simon   B-NAME
Griffith   I-NAME
,   O
a   O
44   O
-   O
year   O
-   O
old   O
Aircraft   O
Launch   O
and   O
Recovery   O
Officers   O
,   O
presented   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Plano   I-LOCATION
on   O
26/02/2123   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
starting   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Christine   B-NAME
Mclaughlin   I-NAME
lives   O
in   O
Van   B-LOCATION
Nuys   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
91405   I-LOCATION
and   O
works   O
as   O
a   O
Mechanical   O
Door   O
Repairers   O
for   O
Home   B-LOCATION
Valley   I-LOCATION
Bank   I-LOCATION
,   O
performing   O
mostly   O
desk   O
-   O
oriented   O
tasks   O
.   O

Upon   O
physical   O
examination   O
,   O
Nogai   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
basic   O
metabolic   O
panel   O
,   O
and   O
liver   O
function   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Rice   B-NAME
and   O
showed   O
a   O
mild   O
leukocytosis   O
.   O

Alan   B-NAME
Larsen   I-NAME
's   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
were   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Given   O
the   O
diagnosis   O
,   O
surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Yevgeniy   B-NAME
Petrov   I-NAME
underwent   O
an   O
uneventful   O
laparoscopic   O
appendectomy   O
on   O
24/02   B-DATE
.   O

The   O
postoperative   O
course   O
was   O
uncomplicated   O
,   O
and   O
Genevieve   B-NAME
Prince   I-NAME
was   O
discharged   O
on   O
12/42   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
follow   O
-   O
up   O
with   O
Dr.   O
Dwayne   B-NAME
Long   I-NAME
in   O
one   O
week   O
for   O
postoperative   O
evaluation   O
.   O

Eden   B-NAME
Roth   I-NAME
was   O
also   O
given   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
around   O
the   O
surgical   O
site   O
.   O

Dr.   O
Adriana   B-NAME
Morgan   I-NAME
,   O
379   B-CONTACT
-   I-CONTACT
1015   I-CONTACT
Hospital   O
:   O
Montrose   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
225   B-CONTACT
-   I-CONTACT
727   I-CONTACT
4280   I-CONTACT
Note   O
:   O
Should   O
Galbraith   B-NAME
,   I-NAME
John   I-NAME
Kenneth   I-NAME
experience   O
any   O
concerns   O
or   O
complications   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
issues   O
related   O
to   O
the   O
surgical   O
wound   O
,   O
they   O
are   O
advised   O
to   O
immediately   O
contact   O
Dr.   O
Novak   B-NAME
or   O
return   O
to   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Gadsden   I-LOCATION
.   O

Prepared   O
by   O
:   O
Healthcare   O
Provider   O
,   O
zik928   B-NAME
Date   O
:   O
11/32/79   B-DATE

Patient   O
Name   O
:   O
Reyes   B-NAME
Medical   O
Record   O
Number   O
:   O
6369986   B-ID
Date   O
of   O
Birth   O
:   O
12/21   B-DATE
Age   O
:   O
11   O
Address   O
:   O
St.   B-LOCATION
Louis   I-LOCATION
,   O
13532   B-LOCATION
Phone   O
Number   O
:   O
584   B-CONTACT
-   I-CONTACT
394   I-CONTACT
-   I-CONTACT
3309   I-CONTACT
Occupation   O
:   O
Biomedical   O
scientist   O
Attending   O
Physician   O
:   O

Dwayne   B-NAME
Long   I-NAME
Date   O
of   O
Admission   O
:   O
39/31   B-DATE
Hospital   O
:   O
Franklin   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Northwell   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
Patient   O
ID   O
:   O
FF:63545:376496   B-ID
Chief   O
Complaint   O
:   O
Serling   B-NAME
,   I-NAME
Rod   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Waxahachie   I-LOCATION
on   O
35/02/42   B-DATE
complaining   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
that   O
had   O
been   O
escalating   O
over   O
the   O
past   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
According   O
to   O
Kelsey   B-NAME
Proctor   I-NAME
,   O
the   O
abdominal   O
discomfort   O
initially   O
began   O
as   O
a   O
mild   O
,   O
generalized   O
ache   O
approximately   O
72   O
hours   O
ago   O
.   O

However   O
,   O
by   O
2359   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
20   I-DATE
,   O
the   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
side   O
and   O
significantly   O
increased   O
in   O
severity   O
.   O

Lawrence   B-NAME
Wilhelm   I-NAME
also   O
reported   O
experiencing   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
decreased   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Konnor   B-NAME
Reed   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
prior   O
episodes   O
of   O
similar   O
nature   O
.   O

Past   O
Medical   O
History   O
:   O
Kasey   B-NAME
Crawford   I-NAME
has   O
a   O
documented   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

Laverna   B-NAME
also   O
mentioned   O
undergoing   O
cholecystectomy   O
approximately   O
72   O
years   O
ago   O
.   O

Jamiya   B-NAME
Stephenson   I-NAME
's   O
vaccination   O
status   O
is   O
up   O
to   O
date   O
.   O

Review   O
of   O
Systems   O
:   O
Emmy   B-NAME
Payna   I-NAME
exhibited   O
signs   O
of   O
mild   O
dehydration   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Salinger   B-NAME
,   I-NAME
J.   I-NAME
D.   I-NAME
recommended   O
immediate   O
surgical   O
intervention   O
for   O
appendectomy   O
.   O

Davian   B-NAME
Hahn   I-NAME
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
31/21   B-DATE
without   O
any   O
complications   O
.   O

Postoperative   O
instructions   O
included   O
wound   O
care   O
,   O
pain   O
management   O
with   O
acetaminophen   O
,   O
and   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
with   O
Michelle   B-NAME
Saunders   I-NAME
in   O
two   O
weeks   O
.   O

Disposition   O
:   O
Roth   B-NAME
was   O
discharged   O
from   O
St.   B-LOCATION
Clair   I-LOCATION
Hospital   I-LOCATION
on   O
10/09/2003   B-DATE
with   O
instructions   O
to   O
observe   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unusual   O
symptoms   O
.   O

Ferguson   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
clear   O
liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
discharge   O
,   O
gradually   O
advancing   O
to   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

A   O
prescription   O
for   O
oral   O
antibiotics   O
was   O
provided   O
,   O
and   O
Clare   B-NAME
Merritt   I-NAME
was   O
instructed   O
to   O
complete   O
the   O
antibiotic   O
course   O
.   O

Follow   O
-   O
up   O
:   O
Londyn   B-NAME
Estes   I-NAME
is   O
scheduled   O
for   O
a   O
postoperative   O
follow   O
-   O
up   O
with   O
Crane   B-NAME
on   O
1/02   B-DATE
at   O
the   O
surgical   O
clinic   O
of   O
Johnston   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
progress   O
.   O

Hesse   B-NAME
,   I-NAME
Hermann   I-NAME
was   O
reminded   O
to   O
contact   O
906   B-CONTACT
-   I-CONTACT
6389   I-CONTACT
immediately   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
signs   O
of   O
infection   O
.   O

The   O
patient   O
,   O
Paul   B-NAME
Arteaga   I-NAME
,   O
a   O
76   O
-   O
year   O
-   O
old   O
Shoe   O
and   O
Leather   O
Workers   O
and   O
Repairers   O
from   O
Harrogate   B-LOCATION
,   O
79085   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Forest   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
on   O
2065   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
27   I-DATE
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
a   O
high   O
fever   O
.   O

Delaney   B-NAME
's   O
symptoms   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Tristian   B-NAME
Aguilar   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
,   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
.   O

Chasity   B-NAME
Stephenson   I-NAME
performed   O
a   O
thorough   O
physical   O
examination   O
,   O
noting   O
a   O
positive   O
McBurney   O
's   O
sign   O
.   O

Abdominal   O
ultrasonography   O
,   O
performed   O
at   O
Aurora   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
South   I-LOCATION
Shore   I-LOCATION
,   O
suggested   O
acute   O
appendicitis   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
obtained   O
from   O
76629045   B-ID
,   O
showed   O
no   O
significant   O
previous   O
medical   O
issues   O
or   O
surgeries   O
.   O

Fuller   B-NAME
takes   O
no   O
regular   O
medications   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Contact   O
information   O
was   O
taken   O
(   O
867   B-CONTACT
4858   I-CONTACT
)   O
for   O
notification   O
purposes   O
and   O
future   O
follow   O
-   O
ups   O
.   O

Given   O
the   O
diagnosis   O
,   O
Christine   B-NAME
Tapia   I-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
were   O
explained   O
to   O
Felix   B-NAME
Horne   I-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
2115   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
22   I-DATE
without   O
complications   O
,   O
and   O
the   O
appendix   O
appeared   O
inflamed   O
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Post   O
-   O
operatively   O
,   O
Newton   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
was   O
advised   O
on   O
the   O
importance   O
of   O
follow   O
-   O
up   O
visits   O
.   O

Amare   B-NAME
Burnett   I-NAME
provided   O
Kolton   B-NAME
Logan   I-NAME
with   O
discharge   O
instructions   O
,   O
including   O
signs   O
of   O
infection   O
to   O
monitor   O
and   O
a   O
diet   O
to   O
follow   O
for   O
the   O
next   O
few   O
weeks   O
.   O

Erick   B-NAME
Bass   I-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Brown   B-NAME
on   O
2072   B-DATE
-   I-DATE
19   I-DATE
-   I-DATE
27   I-DATE
at   O
Catawba   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Before   O
discharge   O
,   O
Armstrong   B-NAME
emphasized   O
the   O
importance   O
of   O
gradual   O
reintroduction   O
of   O
physical   O
activity   O
and   O
avoiding   O
strenuous   O
exercises   O
for   O
at   O
least   O
12/38/11   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Lexine   B-NAME
was   O
encouraged   O
to   O
contact   O
the   O
surgical   O
team   O
at   O
(   B-CONTACT
910   I-CONTACT
)   I-CONTACT
930   I-CONTACT
1540   I-CONTACT
.   O

Additionally   O
,   O
Elon   B-NAME
Levine   I-NAME
was   O
informed   O
about   O
the   O
availability   O
of   O
the   O
patient   O
portal   O
(   O
zzq903   B-NAME
)   O
for   O
accessing   O
personal   O
health   O
records   O
and   O
communicating   O
with   O
healthcare   O
providers   O
.   O

Patient   O
Name   O
:   O
Kitchen   B-NAME
Patient   O
ID   O
:   O
WY111/9636   B-ID
DOB   O
:   O
4/26   B-DATE
Address   O
:   O
Whitten   B-LOCATION
,   O
31140   B-LOCATION
Phone   O
:   O
163   B-CONTACT
5956   I-CONTACT
Physician   O
:   O
Ponsonby   B-NAME
,   I-NAME
Arthur   I-NAME
Hospital   O
:   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Fairfield   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
434   B-ID
67   I-ID
40   I-ID
Occupation   O
:   O
Bioinformatics   O
Scientists   O
Username   O
:   O
lmh491   B-NAME
Presenting   O
Symptoms   O
:   O
The   O
patient   O
,   O
Maximilian   B-NAME
Dennis   I-NAME
,   O
a   O
97   O
-   O
year   O
-   O
old   O
Mechanical   O
Drafters   O
,   O
presented   O
to   O
the   O
Adventist   B-LOCATION
Health   I-LOCATION
Lodi   I-LOCATION
Memorial   I-LOCATION
on   O
2/28   B-DATE
with   O
complaints   O
of   O
persistent   O
and   O
worsening   O
dyspnea   O
,   O
orthopnea   O
,   O
and   O
paroxysmal   O
nocturnal   O
dyspnea   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Past   O
Medical   O
History   O
:   O
Deandre   B-NAME
Remick   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Schneider   B-NAME
,   O
and   O
type   O
II   O
diabetes   O
mellitus   O
.   O

There   O
's   O
also   O
a   O
noted   O
history   O
of   O
ischemic   O
heart   O
disease   O
,   O
with   O
a   O
myocardial   O
infarction   O
occurring   O
approximately   O
one   O
year   O
ago   O
on   O
21/13/2153   B-DATE
.   O

The   O
patient   O
follows   O
up   O
regularly   O
at   O
the   O
clinic   O
associated   O
with   O
Parkland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
and   O
medical   O
records   O
from   O
Close   B-LOCATION
Highgate   I-LOCATION
Farm   I-LOCATION
indicate   O
compliance   O
with   O
medication   O
and   O
lifestyle   O
modifications   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
ECG   O
performed   O
on   O
Christmas   B-DATE
showed   O
evidence   O
of   O
left   O
ventricular   O
hypertrophy   O
with   O
a   O
strain   O
pattern   O
.   O

The   O
treatment   O
plan   O
,   O
as   O
discussed   O
with   O
Jacobs   B-NAME
on   O
April   B-DATE
,   O
includes   O
optimizing   O
heart   O
failure   O
management   O
with   O
an   O
ACE   O
inhibitor   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
and   O
a   O
diuretic   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Tuesday   B-DATE
at   O
Arroyo   B-LOCATION
Grande   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
response   O
to   O
therapy   O
and   O
to   O
adjust   O
medications   O
as   O
required   O
.   O

Additionally   O
,   O
patient   O
education   O
emphasized   O
the   O
importance   O
of   O
regular   O
monitoring   O
for   O
symptoms   O
,   O
weight   O
,   O
and   O
adherence   O
to   O
the   O
prescribed   O
therapeutic   O
regimen   O
.   O
Instructions   O
for   O
Follow   O
-   O
up   O
:   O
Guadalupe   B-NAME
Logan   I-NAME
has   O
been   O
directed   O
to   O
monitor   O
daily   O
weights   O
and   O
to   O
report   O
any   O
significant   O
changes   O
in   O
symptoms   O
,   O
especially   O
increasing   O
shortness   O
of   O
breath   O
,   O
to   O
94215   B-CONTACT
.   O

Compton   B-NAME
was   O
encouraged   O
to   O
maintain   O
an   O
open   O
line   O
of   O
communication   O
with   O
the   O
healthcare   O
team   O
primarily   O
via   O
the   O
patient   O
portal   O
or   O
by   O
contacting   O
910   B-CONTACT
-   I-CONTACT
3561   I-CONTACT
for   O
any   O
concerns   O
or   O
emergencies   O
.   O

Conclusion   O
:   O
The   O
comprehensive   O
care   O
plan   O
for   O
Dee   B-NAME
,   I-NAME
Jack   I-NAME
,   O
including   O
medication   O
,   O
lifestyle   O
modifications   O
,   O
and   O
follow   O
-   O
up   O
,   O
aims   O
at   O
managing   O
symptoms   O
,   O
improving   O
quality   O
of   O
life   O
,   O
and   O
preventing   O
future   O
cardiac   O
events   O
.   O

Ongoing   O
collaboration   O
between   O
the   O
patient   O
,   O
primary   O
care   O
physician   O
Harry   B-NAME
Block   I-NAME
,   O
and   O
specialists   O
at   O
UC   B-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Health   I-LOCATION
Hillcrest   I-LOCATION
-   I-LOCATION
Hillcrest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
be   O
vital   O
to   O
achieving   O
the   O
best   O
possible   O
outcomes   O
in   O
managing   O
congestive   O
heart   O
failure   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Lola   B-NAME
Spratt   I-NAME
-   O
Age   O
:   O
3   O
-   O
Date   O
of   O
Birth   O
:   O
10/33   B-DATE
-   O
Patient   O
ID   O
:   O
IQ:5625:828595   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
730   B-ID
-   I-ID
62   I-ID
-   I-ID
47   I-ID
-   O
Address   O
:   O
Albia   B-LOCATION
,   O
37494   B-LOCATION
-   O
Phone   O
Number   O
:   O
56615   B-CONTACT
-   O
Occupation   O
:   O
First   O
-   O
Line   O
Supervisors   O
of   O
Logging   O
Workers   O
-   O
Referred   O
by   O
:   O
Dr.   O
Rudy   B-NAME
Graham   I-NAME
-   O
Date   O
of   O
Visit   O
:   O
11/04   B-DATE
-   O
Hospital   O
:   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
The   I-LOCATION
Heart   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
Parker   B-NAME
Quinby   I-NAME
,   O
a   O
Floor   O
Sanders   O
and   O
Finishers   O
,   O
residing   O
at   O
Gray   B-LOCATION
,   O
presented   O
to   O
Beth   B-LOCATION
Israel   I-LOCATION
Deaconess   I-LOCATION
Hospital   I-LOCATION
Plymouth   I-LOCATION
on   O
00/19   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Parker   B-NAME
Quinby   I-NAME
displayed   O
signs   O
of   O
dehydration   O
,   O
likely   O
a   O
result   O
of   O
prolonged   O
nausea   O
and   O
vomiting   O
.   O

Laboratory   O
tests   O
were   O
conducted   O
,   O
and   O
imaging   O
studies   O
were   O
ordered   O
by   O
Dr.   O
Zoey   B-NAME
Dawson   I-NAME
to   O
further   O
evaluate   O
the   O
patient   O
's   O
condition   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
and   O
diagnostic   O
findings   O
,   O
Dr.   O
Sincere   B-NAME
Morrow   I-NAME
recommended   O
an   O
immediate   O
surgical   O
intervention   O
to   O
remove   O
the   O
inflamed   O
appendix   O
.   O

Han   B-NAME
Shan   I-NAME
provided   O
informed   O
consent   O
for   O
the   O
procedure   O
,   O
which   O
was   O
scheduled   O
for   O
26/22/2288   B-DATE
at   O
Carle   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Madden   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Floyd   B-NAME
J.   I-NAME
Floyd   I-NAME
Jr.   I-NAME
at   O
Kaiser   B-LOCATION
Sunnyside   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
6/13   B-DATE
to   O
monitor   O
the   O
recovery   O
process   O
and   O
ensure   O
proper   O
wound   O
healing   O
.   O

Conclusion   O
:   O
The   O
prompt   O
diagnosis   O
and   O
treatment   O
of   O
Abbey   B-NAME
Lambert   I-NAME
's   O
acute   O
appendicitis   O
likely   O
prevented   O
more   O
severe   O
complications   O
.   O

For   O
any   O
queries   O
regarding   O
this   O
report   O
,   O
please   O
contact   O
Wills   B-LOCATION
Eye   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
891   I-CONTACT
)   I-CONTACT
390   I-CONTACT
5750   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
FM422   B-NAME
Medical   O
Staff   O
at   O
Los   B-LOCATION
Angeles   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Olive   I-LOCATION
View   I-LOCATION
UCLA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
32/04   B-DATE

The   O
patient   O
,   O
Willie   B-NAME
Maynard   I-NAME
,   O
a   O
Glaziers   O
from   O
Hopkins   B-LOCATION
,   O
52127   B-LOCATION
,   O
presented   O
to   O
Rye   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
on   O
03/06/1944   B-DATE
with   O
a   O
history   O
of   O
progressive   O
difficulty   O
in   O
breathing   O
,   O
a   O
high   O
-   O
grade   O
fever   O
reaching   O
up   O
to   O
39.5   O
°   O
C   O
,   O
and   O
a   O
worsening   O
dry   O
cough   O
over   O
the   O
past   O
7   O
days   O
.   O

Upon   O
examination   O
,   O
Ilse   B-NAME
Agosto   I-NAME
observed   O
that   O
Amelia   B-NAME
Norris   I-NAME
exhibited   O
signs   O
of   O
tachypnea   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
was   O
using   O
accessory   O
muscles   O
to   O
breathe   O
.   O

Yesenia   B-NAME
Roy   I-NAME
's   O
nasopharyngeal   O
swab   O
tested   O
positive   O
for   O
SARS   O
-   O
CoV-2   O
via   O
real   O
-   O
time   O
reverse   O
transcription   O
-   O
polymerase   O
chain   O
reaction   O
(   O
RT   O
-   O
PCR   O
)   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Barton   B-NAME
,   O
initiated   O
the   O
standard   O
protocol   O
for   O
COVID-19   O
,   O
including   O
administration   O
of   O
dexamethasone   O
,   O
supplemental   O
oxygen   O
via   O
a   O
nasal   O
cannula   O
,   O
and   O
close   O
monitoring   O
of   O
vital   O
signs   O
and   O
oxygen   O
saturation   O
levels   O
.   O

Griffin   B-NAME
Wilson   I-NAME
was   O
advised   O
to   O
remain   O
in   O
isolation   O
to   O
prevent   O
the   O
spread   O
of   O
the   O
virus   O
.   O

Additionally   O
,   O
Kayo   B-NAME
's   O
contact   O
tracing   O
commenced   O
immediately   O
to   O
identify   O
and   O
inform   O
potential   O
exposures   O
.   O

Richards   B-NAME
's   O
medical   O
record   O
,   O
96908300   B-ID
,   O
was   O
updated   O
with   O
the   O
details   O
of   O
the   O
current   O
admission   O
,   O
treatments   O
provided   O
,   O
and   O
the   O
planned   O
follow   O
-   O
up   O
after   O
discharge   O
.   O

The   O
healthcare   O
team   O
coordinated   O
with   O
Montana   B-LOCATION
-   I-LOCATION
Dakota   I-LOCATION
Utilities   I-LOCATION
(   I-LOCATION
MDU   I-LOCATION
)   I-LOCATION
for   O
the   O
provision   O
of   O
home   O
oxygen   O
and   O
necessary   O
support   O
post   O
-   O
discharge   O
.   O

Manning   B-NAME
provided   O
an   O
emergency   O
contact   O
,   O
752   B-CONTACT
-   I-CONTACT
4733   I-CONTACT
,   O
belonging   O
to   O
a   O
close   O
family   O
member   O
,   O
in   O
case   O
of   O
further   O
deterioration   O
requiring   O
readmission   O
or   O
urgent   O
consultation   O
.   O

Hector   B-NAME
Chaney   I-NAME
documented   O
the   O
case   O
and   O
submitted   O
it   O
to   O
Dartmouth   B-LOCATION
-   I-LOCATION
Hitchcock   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
database   O
for   O
future   O
research   O
and   O
reference   O
.   O

A   O
follow   O
-   O
up   O
telemedicine   O
appointment   O
has   O
been   O
scheduled   O
for   O
11/25   B-DATE
to   O
assess   O
Keagan   B-NAME
Watts   I-NAME
's   O
recovery   O
progress   O
and   O
any   O
lingering   O
symptoms   O
.   O

Patient   O
:   O
Shyla   B-NAME
Whitaker   I-NAME
ID   O
:   O
MM590/4022   B-ID
Medical   O
Record   O
Number   O
:   O
53497350   B-ID
Age   O
:   O
79   O
Date   O
of   O
Report   O
:   O
1/15/31   B-DATE
Location   O
:   O
Cleburne   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
76031   I-LOCATION
Hospital   O
:   O
San   B-LOCATION
Joaquin   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Doctor   O
:   O
Ashley   B-NAME
Hudson   I-NAME
Profession   O
:   O

General   O
Farmworkers   O
Phone   O
:   O
461   B-CONTACT
3762   I-CONTACT
ZIP   O
:   O
68887   B-LOCATION
Organization   O
:   O

International   B-LOCATION
Biometric   I-LOCATION
Society   I-LOCATION
0/41   B-DATE
,   O
Thomas   B-NAME
Hoffman   I-NAME
,   O
a   O
Police   O
and   O
Sheriffs   O
Patrol   O
Officers   O
residing   O
in   O
Lexington   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Lexington   I-LOCATION
Association   I-LOCATION
with   O
ZIP   O
code   O
11364   B-LOCATION
,   O
contacted   O
Innovative   B-LOCATION
Bank   I-LOCATION
via   O
59267   B-CONTACT
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
headache   O
,   O
photophobia   O
,   O
and   O
neck   O
stiffness   O
.   O

The   O
symptoms   O
reportedly   O
started   O
abruptly   O
on   O
the   O
morning   O
of   O
32/27/2232   B-DATE
,   O
and   O
have   O
progressively   O
worsened   O
,   O
leading   O
Brand   B-NAME
,   I-NAME
Max   I-NAME
to   O
seek   O
immediate   O
medical   O
assistance   O
.   O

Jerry   B-NAME
Holden   I-NAME
reported   O
no   O
prior   O
history   O
of   O
similar   O
symptoms   O
and   O
denied   O
any   O
recent   O
trauma   O
to   O
the   O
head   O
or   O
neck   O
area   O
.   O

Upon   O
arrival   O
at   O
WhidbeyHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2295   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
23   I-DATE
,   O
a   O
detailed   O
examination   O
carried   O
out   O
by   O
Nikolai   B-NAME
Barnes   I-NAME
revealed   O
a   O
positive   O
Brudzinski   O
's   O
sign   O
and   O
Kernig   O
's   O
sign   O
,   O
suggestive   O
of   O
meningeal   O
irritation   O
.   O

Ross   B-NAME
was   O
afebrile   O
at   O
the   O
time   O
of   O
examination   O
but   O
complained   O
of   O
nausea   O
and   O
had   O
vomited   O
once   O
in   O
the   O
morning   O
before   O
hospital   O
admission   O
.   O

Grass   B-NAME
,   I-NAME
Günter   I-NAME
also   O
reported   O
no   O
recent   O
travels   O
or   O
sick   O
contacts   O
but   O
mentioned   O
being   O
up   O
to   O
date   O
with   O
vaccinations   O
.   O

Given   O
the   O
clinical   O
presentation   O
,   O
Kendall   B-NAME
Curry   I-NAME
ordered   O
a   O
lumbar   O
puncture   O
to   O
test   O
for   O
meningitis   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Rocha   B-NAME
initiated   O
empirical   O
treatment   O
for   O
bacterial   O
meningitis   O
,   O
pending   O
further   O
CSF   O
culture   O
and   O
sensitivity   O
results   O
.   O

Simultaneously   O
,   O
Bender   B-NAME
recommended   O
a   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
to   O
rule   O
out   O
any   O
other   O
potential   O
causes   O
for   O
the   O
symptoms   O
.   O

The   O
MRI   O
was   O
scheduled   O
for   O
01/21/82   B-DATE
and   O
was   O
performed   O
without   O
any   O
complications   O
.   O

Waitley   B-NAME
,   I-NAME
Denis   I-NAME
has   O
advised   O
complete   O
bed   O
rest   O
for   O
Solomon   B-NAME
and   O
has   O
started   O
a   O
course   O
of   O
IV   O
antibiotics   O
.   O

Hirsch   B-NAME
's   O
plan   O
is   O
to   O
monitor   O
Watterson   B-NAME
,   I-NAME
Bill   I-NAME
's   O
response   O
to   O
the   O
antibiotics   O
closely   O
over   O
the   O
next   O
48   O
-   O
72   O
hours   O
,   O
with   O
a   O
follow   O
-   O
up   O
lumbar   O
puncture   O
if   O
there   O
is   O
no   O
sign   O
of   O
improvement   O
or   O
if   O
the   O
condition   O
worsens   O
.   O

Preston   B-NAME
's   O
family   O
,   O
residing   O
in   O
Laguna   B-LOCATION
Hills   I-LOCATION
,   O
has   O
been   O
informed   O
about   O
the   O
situation   O
and   O
prognosis   O
.   O

Geraldo   B-NAME
Betterton   I-NAME
emphasized   O
the   O
importance   O
of   O
immediate   O
family   O
members   O
seeking   O
medical   O
advice   O
if   O
they   O
develop   O
any   O
symptoms   O
suggestive   O
of   O
meningitis   O
,   O
given   O
the   O
potential   O
for   O
infectious   O
causes   O
.   O

The   O
care   O
team   O
,   O
led   O
by   O
Osvaldo   B-NAME
Key   I-NAME
at   O
Ocala   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
will   O
continue   O
to   O
provide   O
updates   O
on   O
Darwin   B-NAME
Li   I-NAME
's   O
condition   O
and   O
treatment   O
progress   O
.   O

The   O
Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
has   O
created   O
a   O
secure   O
portal   O
(   O
EY939   B-NAME
)   O
for   O
Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
and   O
elizondo   B-NAME
's   O
family   O
to   O
access   O
medical   O
records   O
(   O
76507743   B-ID
)   O
and   O
test   O
results   O
as   O
they   O
become   O
available   O
,   O
ensuring   O
confidentiality   O
and   O
compliance   O
with   O
privacy   O
regulations   O
.   O

Patient   O
Name   O
:   O
Jaffe   B-NAME
,   I-NAME
Bob   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
9420862   I-ID
Date   O
of   O
Birth   O
:   O
2/2   B-DATE
Medical   O
Record   O
Number   O
:   O
4728   B-ID
:   I-ID
A41749   I-ID
Address   O
:   O
Grand   B-LOCATION
Prairie   I-LOCATION
,   O
39410   B-LOCATION
Phone   O
Number   O
:   O
271   B-CONTACT
-   I-CONTACT
316   I-CONTACT
-   I-CONTACT
7675   I-CONTACT
Occupation   O
:   O
Therapists   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Puttnam   B-NAME
Admitting   O
Hospital   O
:   O
Cordova   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
06/63   B-DATE
Date   O
of   O
Report   O
:   O
30/22   B-DATE
Clinical   O
Summary   O
:   O
Marisa   B-NAME
Krause   I-NAME
,   O
a   O
98   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Fishery   O
Workers   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Mercy   B-LOCATION
Iowa   I-LOCATION
City   I-LOCATION
on   O
05/22/2232   B-DATE
with   O
a   O
24   O
-   O
hour   O
history   O
of   O
severe   O
,   O
crampy   O
abdominal   O
pain   O
.   O

Upon   O
physical   O
examination   O
,   O
Brown   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Joshua   B-NAME
Root   I-NAME
was   O
admitted   O
to   O
Connecticut   B-LOCATION
Hospice   I-LOCATION
for   O
management   O
under   O
the   O
care   O
of   O
Dr.   O
Juliet   B-NAME
South   I-NAME
.   O

Mark   B-NAME
Taylor   I-NAME
's   O
condition   O
was   O
closely   O
monitored   O
with   O
serial   O
abdominal   O
examinations   O
and   O
laboratory   O
tests   O
.   O

Johns   B-NAME
,   I-NAME
Michael   I-NAME
's   O
symptoms   O
gradually   O
improved   O
,   O
and   O
they   O
were   O
discharged   O
on   O
20/24   B-DATE
.   O

Outpatient   O
follow   O
-   O
up   O
with   O
Dr.   O
Kelly   B-NAME
was   O
arranged   O
.   O

In   O
summary   O
,   O
Justus   B-NAME
,   O
a   O
68   O
-   O
year   O
-   O
old   O
Engravers   O
,   O
Hand   O
,   O
was   O
diagnosed   O
with   O
acute   O
pancreatitis   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
,   O
please   O
contact   O
276   B-CONTACT
463   I-CONTACT
-   I-CONTACT
7901   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Malik   B-NAME
Fleming   I-NAME
Patient   O
ID   O
:   O
82893222   B-ID
Medical   O
Record   O
Number   O
:   O
7784100   B-ID
Date   O
of   O
Birth   O
:   O
2366   B-DATE
Age   O
:   O
9   O
Address   O
:   O

Prairie   B-LOCATION
City   I-LOCATION
,   O
53695   B-LOCATION
Phone   O
Number   O
:   O
903   B-CONTACT
-   I-CONTACT
2709   I-CONTACT
Employment   O
:   O
Environmental   O
health   O
officer   O
Treating   O
Physician   O
:   O

Paris   B-NAME
Dawson   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
of   I-LOCATION
Michigan   I-LOCATION
Standish   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Tiara   B-NAME
Pope   I-NAME
,   O
a   O
Procurement   O
Clerks   O
,   O
presented   O
to   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
York   I-LOCATION
on   O
30/25/2332   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
focused   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Associated   O
symptoms   O
reported   O
included   O
nausea   O
without   O
vomiting   O
,   O
fever   O
measured   O
at   O
home   O
as   O
101.6   O
°   O
F   O
(   O
Monday   B-DATE
,   I-DATE
May   I-DATE
)   O
,   O
and   O
an   O
inability   O
to   O
pass   O
gas   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Albert   B-NAME
Marks   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

August   B-NAME
underwent   O
laparoscopic   O
appendectomy   O
on   O
2/22   B-DATE
,   O
performed   O
by   O
Mateo   B-NAME
Tran   I-NAME
.   O

Postoperative   O
Course   O
:   O
Abbey   B-NAME
Lambert   I-NAME
demonstrated   O
steady   O
recovery   O
postoperatively   O
.   O

The   O
patient   O
was   O
advised   O
to   O
gradually   O
resume   O
a   O
normal   O
diet   O
and   O
was   O
discharged   O
on   O
11   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
86   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
activity   O
limitations   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Robert   B-NAME
Morgan   I-NAME
at   O
FirstHealth   B-LOCATION
Montgomery   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
is   O
scheduled   O
for   O
12/20   B-DATE
to   O
evaluate   O
wound   O
healing   O
and   O
discuss   O
further   O
monitoring   O
of   O
DU   B-NAME
's   O
condition   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Axel   B-NAME
Goodman   I-NAME
was   O
advised   O
to   O
contact   O
Forrest   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
at   O
854   B-CONTACT
2247   I-CONTACT
or   O
return   O
to   O
the   O
hospital   O
.   O

Routine   O
queries   O
can   O
be   O
directed   O
to   O
Hooper   B-NAME
's   O
office   O
via   O
phone   O
number   O
867   B-CONTACT
-   I-CONTACT
3784   I-CONTACT
.   O

Notes   O
Prepared   O
By   O
:   O
qd5110   B-NAME
Submission   O
Date   O
:   O
37/27   B-DATE

Patient   O
Name   O
:   O
Julie   B-NAME
Fraser   I-NAME
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
6499662   I-ID
Date   O
of   O
Birth   O
:   O
12/00   B-DATE
Age   O
:   O
0s   O
Address   O
:   O
San   B-LOCATION
Antonio   I-LOCATION
,   O
21873   B-LOCATION
Phone   O
Number   O
:   O
13226   B-CONTACT
Employment   O
:   O
Musicians   O
,   O
Instrumental   O
at   O
Bank   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
-   I-LOCATION
Southwest   I-LOCATION
Physician   O
:   O
Dr.   O
Burnett   B-NAME
Hospital   O
:   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
404   B-ID
-   I-ID
32   I-ID
-   I-ID
78   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Visit   O
:   O
7/31   B-DATE
Clinical   O
Notes   O
:   O
Bond   B-NAME
,   O
a   O
2   O
week   O
-   O
year   O
-   O
old   O
Community   O
arts   O
worker   O
employed   O
at   O
PowerSouth   B-LOCATION
Energy   I-LOCATION
Cooperative   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Graham   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Hill   I-LOCATION
City   I-LOCATION
on   O
2101   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
previous   O
48   O
hours   O
.   O

Alongside   O
the   O
abdominal   O
discomfort   O
,   O
Pham   B-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
that   O
started   O
approximately   O
24   O
hours   O
prior   O
to   O
the   O
presentation   O
.   O

Initial   O
laboratory   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Reese   B-NAME
,   O
which   O
showed   O
a   O
leukocytosis   O
with   O
a   O
predominance   O
of   O
neutrophils   O
.   O

Campbell   B-NAME
,   I-NAME
Beatrice   I-NAME
Stella   I-NAME
;   I-NAME
(   I-NAME
Mrs.   I-NAME
Patrick   I-NAME
Campbell   I-NAME
)   I-NAME
underwent   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
on   O
1/21   B-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
IKECHUKWU   B-NAME
SPEARS   I-NAME
was   O
discharged   O
from   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/08/1722   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
with   O
Dr.   O
Mcneil   B-NAME
at   O
the   O
outpatient   O
clinic   O
on   O
11/20   B-DATE
.   O

Prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
were   O
given   O
,   O
and   O
Poe   B-NAME
,   I-NAME
Edgar   I-NAME
Allan   I-NAME
was   O
educated   O
on   O
signs   O
of   O
infection   O
or   O
complications   O
to   O
watch   O
for   O
during   O
the   O
recovery   O
process   O
.   O

Follow   O
-   O
up   O
contact   O
information   O
was   O
verified   O
with   O
Conway   B-NAME
,   O
including   O
phone   O
number   O
21576   B-CONTACT
and   O
email   O
username   O
EC939   B-NAME
.   O

In   O
conclusion   O
,   O
the   O
timely   O
presentation   O
to   O
the   O
healthcare   O
facility   O
and   O
immediate   O
surgical   O
intervention   O
significantly   O
contributed   O
to   O
the   O
positive   O
outcome   O
for   O
Randolph   B-NAME
.   O

The   O
Floyd   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
team   O
,   O
led   O
by   O
Dr.   O
Gina   B-NAME
Arroyo   I-NAME
,   O
provided   O
comprehensive   O
care   O
,   O
aligning   O
with   O
best   O
practice   O
guidelines   O
for   O
the   O
management   O
of   O
acute   O
appendicitis   O
.   O

Patient   O
:   O
Ledford   B-NAME
ID   O
:   O
VO155/7752   B-ID
Medical   O
Record   O
Number   O
:   O
201   B-ID
-   I-ID
25   I-ID
-   I-ID
19   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Admission   O
:   O
2154   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
08   I-DATE
Date   O
of   O
Report   O
:   O
June   B-DATE
02   I-DATE
,   I-DATE
2110   I-DATE
Physician   O
:   O
Wu   B-NAME
Hospital   O
:   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O

Tremont   B-LOCATION
City   I-LOCATION
Zip   O
Code   O
:   O
77043   B-LOCATION
Contact   O
Number   O
:   O
706   B-CONTACT
3083   I-CONTACT
Clinical   O
Summary   O
:   O
Ryker   B-NAME
Martinez   I-NAME
,   O
a   O
93   O
-   O
year   O
-   O
old   O
Recreation   O
Workers   O
from   O
Carthage   B-LOCATION
,   I-LOCATION
Carthage   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
73272   B-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Thanksgiving   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
reported   O
a   O
fever   O
measured   O
at   O
home   O
,   O
reaching   O
up   O
to   O
38.5   O
°   O
C   O
(   O
04/16/1817   B-DATE
)   O
.   O

MARVIN   B-NAME
UTECHT   I-NAME
denied   O
any   O
history   O
of   O
similar   O
episodes   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
by   O
Cheyenne   B-NAME
Henson   I-NAME
at   O
Little   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Randall   B-NAME
Munoz   I-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
Rovsing   O
's   O
sign   O
positive   O
in   O
the   O
right   O
lower   O
abdominal   O
quadrant   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
IV   O
contrast   O
,   O
conducted   O
on   O
38/22   B-DATE
,   O
showed   O
evidence   O
of   O
appendiceal   O
enlargement   O
with   O
peri   O
-   O
appendiceal   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
started   O
on   O
IV   O
antibiotics   O
and   O
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
31/11   B-DATE
.   O

Cassie   B-NAME
Mullen   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Daniel   B-NAME
at   O
Bolton   B-LOCATION
Landing   I-LOCATION
clinic   O
in   O
2   O
weeks   O
for   O
wound   O
check   O
and   O
further   O
evaluation   O
.   O

Harran   B-NAME
was   O
also   O
educated   O
on   O
the   O
importance   O
of   O
gradual   O
resumption   O
of   O
activities   O
and   O
was   O
given   O
681   B-CONTACT
7000   I-CONTACT
as   O
a   O
contact   O
number   O
for   O
any   O
queries   O
or   O
concerns   O
following   O
discharge   O
.   O

Social   O
History   O
:   O
Colin   B-NAME
Keane   I-NAME
,   O
an   O
Atmospheric   O
and   O
Space   O
Scientists   O
,   O
lives   O
alone   O
at   O
Flaxton   B-LOCATION
,   O
96848   B-LOCATION
.   O

Review   O
submitted   O
by   O
:   O
zhd997   B-NAME
on   O
24/08   B-DATE

Patient   O
Name   O
:   O
Pena   B-NAME
Patient   O
ID   O
:   O
39476961   B-ID
Medical   O
Record   O
Number   O
:   O
47747787   B-ID
Date   O
of   O
Birth   O
:   O
02/30   B-DATE
Age   O
:   O
74s   O
Address   O
:   O
Moreton   B-LOCATION
-   I-LOCATION
in   I-LOCATION
-   I-LOCATION
Marsh   I-LOCATION
,   O
39985   B-LOCATION
Phone   O
Number   O
:   O
303   B-CONTACT
4758   I-CONTACT
Employer   O
:   O

Lakeside   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Position   O
:   O
Technical   O
author   O
Primary   O
Care   O
Physician   O
:   O

Cringely   B-NAME
,   I-NAME
Robert   I-NAME
X.   I-NAME
Hospital   O
Admitted   O
:   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Jefferson   I-LOCATION
City   I-LOCATION
*   O
*   O
Clinical   O
History   O
:*   O
*   O
Patient   O
Shamar   B-NAME
Briggs   I-NAME
was   O
admitted   O
to   O
Geisinger   B-LOCATION
Bloomsburg   I-LOCATION
Hospital   I-LOCATION
on   O
13/28/2343   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

*   O
*   O
Treatment   O
Plan   O
:*   O
*   O
Considering   O
the   O
clinical   O
presentation   O
and   O
findings   O
,   O
a   O
plan   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
was   O
discussed   O
with   O
Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
by   O
Brycen   B-NAME
Stein   I-NAME
.   O

The   O
surgical   O
procedure   O
was   O
scheduled   O
for   O
3/28   B-DATE
.   O

*   O
*   O
Postoperative   O
Course   O
:*   O
*   O
Dennis   B-NAME
Gant   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

The   O
patient   O
was   O
started   O
on   O
a   O
clear   O
liquid   O
diet   O
12   B-DATE
-   I-DATE
28   I-DATE
-   I-DATE
32   I-DATE
post   O
-   O
surgery   O
,   O
with   O
plans   O
to   O
advance   O
as   O
tolerated   O
.   O

Kantor   B-NAME
Cosano   I-NAME
was   O
counseled   O
on   O
signs   O
of   O
possible   O
complications   O
and   O
instructed   O
on   O
wound   O
care   O
before   O
discharge   O
.   O

*   O
*   O
Discharge   O
Instructions   O
:*   O
*   O
Patient   O
Ricardo   B-NAME
Lopez   I-NAME
was   O
discharged   O
on   O
5/37   B-DATE
with   O
instructions   O
to   O
continue   O
oral   O
analgesics   O
as   O
needed   O
for   O
pain   O
,   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activity   O
for   O
a   O
minimum   O
of   O
two   O
weeks   O
,   O
and   O
to   O
follow   O
up   O
with   O
Giovani   B-NAME
Barron   I-NAME
in   O
691   B-LOCATION
Redwood   I-LOCATION
Drive   I-LOCATION
for   O
postoperative   O
evaluation   O
in   O
10   O
to   O
14   O
days   O
.   O

Should   O
there   O
be   O
any   O
concerns   O
or   O
the   O
patient   O
exhibits   O
symptoms   O
of   O
infection   O
,   O
Enzo   B-NAME
Cooley   I-NAME
was   O
advised   O
to   O
contact   O
MedStar   B-LOCATION
Montgomery   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
571   B-CONTACT
-   I-CONTACT
1011   I-CONTACT
or   O
present   O
to   O
the   O
emergency   O
department   O
immediately   O
.   O

This   O
report   O
summarizes   O
the   O
admission   O
,   O
diagnosis   O
,   O
treatment   O
,   O
and   O
postoperative   O
care   O
of   O
Quinton   B-NAME
Lovett   I-NAME
who   O
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
at   O
Lakes   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
under   O
the   O
care   O
of   O
Diya   B-NAME
Pham   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Sosa   B-NAME
Patient   O
ID   O
:   O
VC843/7383   B-ID
Date   O
of   O
Birth   O
:   O
00/07/1635   B-DATE
Age   O
:   O
77   O
Medical   O
Record   O
Number   O
:   O
677   B-ID
48   I-ID
94   I-ID
Address   O
:   O
St.   B-LOCATION
Nazianz   I-LOCATION
,   O
94695   B-LOCATION
Phone   O
Number   O
:   O
131   B-CONTACT
-   I-CONTACT
806   I-CONTACT
-   I-CONTACT
7574   I-CONTACT
Primary   O
Physician   O
:   O

Kiley   B-NAME
Santos   I-NAME
Attending   O
Hospital   O
:   O
Providence   B-LOCATION
Portland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Employment   O
Status   O
:   O

Hazardous   O
Materials   O
Removal   O
Workers   O
at   O
Seafarers   B-LOCATION
'   I-LOCATION
International   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
Background   O
:   O
YARBROUGH   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Lenox   B-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
on   O
33/33   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
onset   O
of   O
pain   O
was   O
sudden   O
,   O
and   O
Callum   B-NAME
Best   I-NAME
reported   O
it   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Riya   B-NAME
Soto   I-NAME
also   O
reported   O
a   O
fever   O
of   O
100.4   O
°   O
F   O
and   O
nausea   O
without   O
vomiting   O
.   O

Upon   O
examination   O
,   O
Xanders   B-NAME
exhibited   O
signs   O
of   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Quinton   B-NAME
Lee   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Dudley   B-NAME
recommended   O
surgical   O
intervention   O
for   O
appendectomy   O
.   O

Konrad   B-NAME
Styner   I-NAME
consented   O
to   O
the   O
surgery   O
scheduled   O
on   O
8/97   B-DATE
.   O

Surgical   O
Outcome   O
:   O
Burch   B-NAME
performed   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Arjun   B-NAME
Mcdaniel   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
transferred   O
to   O
the   O
post   O
-   O
operative   O
unit   O
for   O
recovery   O
.   O

Post   O
-   O
Operative   O
Care   O
:   O
Rasmussen   B-NAME
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infections   O
and   O
recommended   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
.   O

Augustus   B-NAME
Hetjonk   I-NAME
was   O
discharged   O
from   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
0/23   B-DATE
with   O
detailed   O
instructions   O
on   O
wound   O
care   O
and   O
activity   O
level   O
adjustments   O
.   O

Follow   O
-   O
Up   O
:   O
Gaige   B-NAME
Hancock   I-NAME
reviewed   O
Shakia   B-NAME
Kirkham   I-NAME
's   O
recovery   O
progress   O
during   O
the   O
follow   O
-   O
up   O
visit   O
on   O
2258   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
30   I-DATE
.   O

The   O
surgical   O
site   O
was   O
healing   O
as   O
expected   O
,   O
and   O
Krueger   B-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Conclusion   O
:   O
Todorov   B-NAME
,   I-NAME
Tzvetan   I-NAME
successfully   O
recovered   O
from   O
acute   O
appendicitis   O
following   O
a   O
timely   O
diagnosis   O
and   O
surgical   O
intervention   O
.   O

For   O
further   O
information   O
or   O
concerns   O
,   O
Davis   B-NAME
,   I-NAME
Miles   I-NAME
or   O
a   O
representative   O
may   O
contact   O
Salt   B-LOCATION
Lake   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
428   B-CONTACT
-   I-CONTACT
9230   I-CONTACT
.   O

Patient   O
Report   O
for   O
Greg   B-NAME
Lee   I-NAME
00/06/1736   B-DATE
,   O
California   B-LOCATION
22   O
-   O
year   O
-   O
old   O
Fine   O
Artists   O
,   O
Including   O
Painters   O
,   O
Sculptors   O
,   O
and   O
Illustrators   O
presented   O
to   O
AdventHealth   B-LOCATION
New   I-LOCATION
Smyrna   I-LOCATION
Beach   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
persistent   O
,   O
productive   O
cough   O
for   O
approximately   O
two   O
weeks   O
.   O

Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
,   O
basic   O
metabolic   O
panel   O
,   O
and   O
arterial   O
blood   O
gases   O
were   O
ordered   O
by   O
Dr.   O
Weber   B-NAME
.   O

A   O
chest   O
x   O
-   O
ray   O
performed   O
on   O
22th   B-DATE
of   I-DATE
July   I-DATE
indicated   O
hyperinflation   O
and   O
flattened   O
diaphragms   O
consistent   O
with   O
COPD   O
exacerbation   O
.   O

The   O
patient   O
's   O
505   B-ID
-   I-ID
39   I-ID
-   I-ID
19   I-ID
and   O
MC:59316:823240   B-ID
number   O
were   O
used   O
to   O
review   O
past   O
medical   O
records   O
,   O
which   O
revealed   O
multiple   O
hospital   O
admissions   O
for   O
COPD   O
exacerbations   O
.   O

Discharge   O
plans   O
included   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
07/34   B-DATE
with   O
pulmonary   O
rehabilitation   O
services   O
and   O
continuous   O
home   O
oxygen   O
therapy   O
.   O

Emergency   O
contact   O
information   O
was   O
updated   O
,   O
with   O
the   O
primary   O
contact   O
being   O
listed   O
as   O
11661   B-CONTACT
.   O

The   O
patient   O
expressed   O
understanding   O
of   O
disease   O
management   O
and   O
follow   O
-   O
up   O
care   O
before   O
being   O
discharged   O
on   O
05/21/12   B-DATE
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
the   O
patient   O
's   O
management   O
plan   O
,   O
please   O
contact   O
Bauer   B-NAME
at   O
Northeast   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Please   O
refer   O
to   O
the   O
patient   O
's   O
medical   O
record   O
number   O
550   B-ID
-   I-ID
05   I-ID
-   I-ID
10   I-ID
when   O
inquiring   O
.   O

Note   O
:   O
Any   O
communication   O
related   O
to   O
the   O
patient   O
should   O
comply   O
with   O
HIPAA   O
regulations   O
,   O
ensuring   O
the   O
confidentiality   O
of   O
Jennis   B-NAME
's   O
health   O
information   O
.   O

Report   O
prepared   O
by   O
:   O
NW85   B-NAME
,   O
cashier   O
Report   O
ID   O
:   O
8488772   B-ID
Lake   B-LOCATION
Villa   I-LOCATION
,   O
23063   B-LOCATION
May   B-DATE
2235   I-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Heaven   B-NAME
Bell   I-NAME
Age   O
:   O
93   O
Address   O
:   O
Agawam   B-LOCATION
Town   I-LOCATION
,   O
74574   B-LOCATION
Phone   O
:   O
900   B-CONTACT
947   I-CONTACT
8028   I-CONTACT
ID   O
:   O
102729543   B-ID
Medical   O
Record   O
Number   O
:   O
67783196   B-ID
Primary   O
Care   O
Provider   O
:   O
Dr.   O
Wiggins   B-NAME
at   O
Brooks   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2220   B-DATE
Profession   O
:   O
Psychologist   O
(   O
clinical   O
)   O
Chief   O
Complaint   O
:   O

Florencio   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
32/22/2328   B-DATE
with   O
complaints   O
of   O
intermittent   O
,   O
high   O
-   O
grade   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
,   O
severe   O
headache   O
,   O
and   O
photophobia   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
Thursday   B-DATE
,   O
initially   O
mild   O
and   O
progressively   O
worsening   O
over   O
the   O
next   O
few   O
days   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Beltran   B-NAME
,   O
a   O
Painters   O
,   O
Construction   O
and   O
Maintenance   O
,   O
reports   O
experiencing   O
sudden   O
onset   O
of   O
chills   O
and   O
rigors   O
approximately   O
three   O
days   O
ago   O
,   O
followed   O
by   O
the   O
development   O
of   O
a   O
diffuse   O
,   O
pounding   O
headache   O
,   O
primarily   O
on   O
the   O
frontal   O
region   O
,   O
and   O
extreme   O
sensitivity   O
to   O
light   O
.   O

Aedan   B-NAME
Bowman   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
sick   O
contacts   O
.   O

Past   O
Medical   O
History   O
:   O
Brooke   B-NAME
Barrett   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
,   O
well   O
-   O
controlled   O
on   O
metformin   O
,   O
and   O
hypertension   O
managed   O
with   O
lisinopril   O
.   O

Social   O
History   O
:   O
Xavier   B-NAME
Israel   I-NAME
kenneth   I-NAME
Xenos   I-NAME
works   O
as   O
a   O
Bailiffs   O
in   O
Tarkio   B-LOCATION
.   O

Maren   B-NAME
Leomiti   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
use   O
on   O
weekends   O
.   O

On   O
physical   O
examination   O
,   O
Cameron   B-NAME
was   O
observed   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
.   O

Pending   O
laboratory   O
results   O
,   O
turpin   B-NAME
was   O
started   O
empirically   O
on   O
intravenous   O
antibiotics   O
and   O
antivirals   O
,   O
given   O
the   O
suspicion   O
of   O
meningitis   O
.   O

Vuong   B-NAME
was   O
admitted   O
to   O
MercyOne   B-LOCATION
Newton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
management   O
.   O

Follow   O
-   O
up   O
:   O
Miriam   B-NAME
Khan   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Larson   B-NAME
in   O
one   O
week   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

For   O
any   O
changes   O
in   O
condition   O
or   O
for   O
urgent   O
concerns   O
,   O
John   B-NAME
Hood   I-NAME
is   O
advised   O
to   O
contact   O
Stamford   B-LOCATION
Health   I-LOCATION
at   O
996   B-CONTACT
5436   I-CONTACT
or   O
re   O
-   O
visit   O
the   O
emergency   O
department   O
.   O

American   B-LOCATION
Crystallographic   I-LOCATION
Association   I-LOCATION
assures   O
the   O
confidentiality   O
of   O
Handy   B-NAME
,   I-NAME
Charles   I-NAME
's   O
medical   O
records   O
and   O
personal   O
information   O
,   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Vogel   B-NAME
(   O
44   O
)   O
Medical   O
Record   O
Number   O
:   O
2823218   B-ID
Date   O
of   O
Visit   O
:   O
30/26/63   B-DATE
Location   O
:   O
West   B-LOCATION
Carthage   I-LOCATION
Contact   O
Information   O
:   O
521   B-CONTACT
-   I-CONTACT
729   I-CONTACT
-   I-CONTACT
6507   I-CONTACT
Physician   O
:   O
Ponce   B-NAME
Hospital   O
:   O

Eskenazi   B-LOCATION
Health   I-LOCATION
Presenting   O
Symptoms   O
:   O
Kevin   B-NAME
Cummings   I-NAME
presented   O
on   O
Monday   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
crampy   O
in   O
nature   O
,   O
starting   O
approximately   O
21/23   B-DATE
,   O
gradually   O
worsening   O
over   O
a   O
24   O
-   O
hour   O
period   O
.   O

Additionally   O
,   O
Erica   B-NAME
Simpson   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
October   B-DATE
2324   I-DATE
under   O
the   O
care   O
of   O
Lamb   B-NAME
for   O
further   O
management   O
.   O

After   O
initial   O
stabilization   O
and   O
administration   O
of   O
intravenous   O
antibiotics   O
,   O
Aaliyah   B-NAME
Parker   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Brenden   B-NAME
Graham   I-NAME
was   O
discharged   O
on   O
13/27/78   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modifications   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
.   O

Conclusion   O
:   O
Olga   B-NAME
Xavier   I-NAME
,   O
a   O
73   O
year   O
-   O
old   O
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Contact   O
Information   O
for   O
Further   O
Communication   O
:   O
For   O
additional   O
information   O
or   O
follow   O
-   O
up   O
concerning   O
Yesenia   B-NAME
Morton   I-NAME
's   O
care   O
,   O
please   O
contact   O
Nicholas   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
at   O
52785   B-CONTACT
.   O

End   O
of   O
Report   O
12/26   B-DATE

Patient   O
Name   O
:   O
Rae   B-NAME
Crane   I-NAME
Age   O
:   O
88   O
Date   O
of   O
Birth   O
:   O
23/30   B-DATE
Address   O
:   O
Valleyview   B-LOCATION
,   O
61112   B-LOCATION
Phone   O
:   O
98724   B-CONTACT
Employer   O
:   O
Society   B-LOCATION
of   I-LOCATION
Independent   I-LOCATION
Brewers   I-LOCATION
(   I-LOCATION
SIBA   I-LOCATION
)   I-LOCATION
Occupation   O
:   O

Ricky   B-NAME
Torres   I-NAME
Hospital   O
:   O
Florida   B-LOCATION
Hospital   I-LOCATION
Lake   I-LOCATION
Placid   I-LOCATION
Medical   O
Record   O
Number   O
:   O
905   B-ID
-   I-ID
79   I-ID
-   I-ID
59   I-ID
SSN   O
:   O
601059   B-ID
Date   O
of   O
Visit   O
:   O
2127   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
31   I-DATE
Reason   O
for   O
Visit   O
:   O
The   O
patient   O
,   O
Jair   B-NAME
Bentley   I-NAME
,   O
presented   O
to   O
Gove   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Quinter   I-LOCATION
with   O
a   O
complaint   O
of   O
persistent   O
dry   O
cough   O
and   O
shortness   O
of   O
breath   O
that   O
has   O
been   O
worsening   O
over   O
the   O
last   O
two   O
weeks   O
.   O

Recently   O
,   O
Dexter   B-NAME
Krause   I-NAME
mentioned   O
experiencing   O
a   O
more   O
challenging   O
time   O
performing   O
regular   O
daily   O
activities   O
without   O
feeling   O
fatigued   O
or   O
needing   O
to   O
stop   O
for   O
breath   O
.   O

A   O
physical   O
examination   O
conducted   O
by   O
Darnell   B-NAME
Jacobson   I-NAME
revealed   O
wheezing   O
on   O
auscultation   O
,   O
primarily   O
in   O
the   O
lower   O
lung   O
fields   O
,   O
and   O
a   O
rapid   O
,   O
shallow   O
breathing   O
pattern   O
.   O

Diagnostic   O
tests   O
ordered   O
included   O
a   O
chest   O
X   O
-   O
ray   O
,   O
which   O
was   O
performed   O
on   O
1955   B-DATE
and   O
showed   O
no   O
acute   O
cardiopulmonary   O
disease   O
.   O

A   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
drawn   O
on   O
07/22/2004   B-DATE
indicated   O
no   O
significant   O
abnormalities   O
.   O

The   O
patient   O
,   O
Dania   B-NAME
Mcdowell   I-NAME
,   O
has   O
been   O
advised   O
to   O
increase   O
the   O
usage   O
of   O
their   O
asthma   O
inhaler   O
as   O
prescribed   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Kasen   B-NAME
Peters   I-NAME
in   O
two   O
weeks   O
at   O
Emerson   B-LOCATION
Hospital   I-LOCATION
.   O

Additionally   O
,   O
Juliette   B-NAME
Baillie   I-NAME
was   O
instructed   O
to   O
monitor   O
their   O
symptoms   O
closely   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
worsening   O
symptoms   O
such   O
as   O
severe   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
fever   O
.   O

Instructions   O
were   O
provided   O
to   O
Ethan   B-NAME
Carter   I-NAME
for   O
potential   O
COVID-19   O
testing   O
considering   O
the   O
symptomology   O
and   O
ongoing   O
pandemic   O
circumstances   O
in   O
71   B-LOCATION
Queen   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
with   O
further   O
management   O
to   O
be   O
determined   O
based   O
on   O
those   O
test   O
results   O
and   O
symptom   O
progression   O
.   O

Follow   O
-   O
Up   O
Information   O
:   O
The   O
next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
31/22/2142   B-DATE
,   O
at   O
which   O
point   O
the   O
treatment   O
plan   O
may   O
be   O
revised   O
based   O
on   O
the   O
patient   O
's   O
response   O
to   O
the   O
increased   O
inhaler   O
usage   O
and   O
any   O
new   O
symptoms   O
or   O
concerns   O
that   O
may   O
arise   O
.   O

In   O
the   O
interim   O
,   O
Marc   B-NAME
Pratt   I-NAME
is   O
encouraged   O
to   O
maintain   O
a   O
diary   O
of   O
symptoms   O
,   O
noting   O
any   O
changes   O
in   O
frequency   O
,   O
duration   O
,   O
or   O
severity   O
,   O
and   O
to   O
continue   O
avoiding   O
known   O
asthma   O
triggers   O
.   O

Additionally   O
,   O
the   O
patient   O
has   O
been   O
provided   O
with   O
the   O
contact   O
information   O
for   O
Crouse   B-LOCATION
Hospital   I-LOCATION
's   O
respiratory   O
therapy   O
department   O
and   O
encouraged   O
to   O
contact   O
them   O
with   O
any   O
immediate   O
concerns   O
regarding   O
inhaler   O
technique   O
or   O
symptom   O
management   O
.   O

The   O
patient   O
,   O
Lawanda   B-NAME
,   O
a   O
66   O
-   O
year   O
-   O
old   O
Postal   O
Service   O
Clerks   O
from   O
Darbydale   B-LOCATION
,   O
was   O
admitted   O
to   O
Temple   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
2278   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
20   I-DATE
with   O
complaints   O
of   O
sustained   O
high   O
fever   O
,   O
severe   O
headaches   O
,   O
and   O
general   O
malaise   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
32/13/33   B-DATE
,   O
with   O
the   O
patient   O
noting   O
a   O
rapid   O
escalation   O
in   O
severity   O
,   O
prompting   O
the   O
consultation   O
.   O

Congreve   B-NAME
,   I-NAME
William   I-NAME
had   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
being   O
managed   O
on   O
a   O
regimen   O
prescribed   O
by   O
Amanda   B-NAME
Bentley   I-NAME
.   O

Blood   O
tests   O
were   O
promptly   O
initiated   O
,   O
and   O
a   O
lumbar   O
puncture   O
was   O
performed   O
by   O
Sherlyn   B-NAME
Beltran   I-NAME
,   O
yielding   O
a   O
cloudy   O
cerebrospinal   O
fluid   O
indicative   O
of   O
meningitis   O
.   O

Cultures   O
have   O
been   O
sent   O
to   O
Equality   B-LOCATION
Now   I-LOCATION
's   O
laboratory   O
with   O
results   O
pending   O
as   O
of   O
11/23   B-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
,   O
1092622   B-ID
,   O
shows   O
no   O
known   O
allergies   O
to   O
medications   O
;   O
however   O
,   O
due   O
to   O
the   O
sensitivity   O
of   O
the   O
current   O
condition   O
,   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
regimen   O
was   O
initiated   O
after   O
samples   O
were   O
taken   O
for   O
culture   O
to   O
ensure   O
wide   O
coverage   O
.   O

The   O
contact   O
number   O
provided   O
by   O
Quentin   B-NAME
Casey   I-NAME
for   O
emergency   O
purposes   O
is   O
962   B-CONTACT
416   I-CONTACT
-   I-CONTACT
5801   I-CONTACT
.   O

Ulises   B-NAME
Noel   I-NAME
resides   O
at   O
Peoria   B-LOCATION
Heights   I-LOCATION
,   O
with   O
a   O
postal   O
code   O
of   O
55163   B-LOCATION
.   O

The   O
patient   O
provided   O
their   O
consent   O
for   O
treatments   O
verbally   O
and   O
through   O
written   O
consent   O
,   O
documented   O
under   O
366028429   B-ID
in   O
our   O
records   O
,   O
gesturing   O
their   O
understanding   O
of   O
the   O
proposed   O
treatment   O
plan   O
and   O
its   O
potential   O
risks   O
.   O

Frank   B-NAME
mentioned   O
a   O
family   O
history   O
of   O
autoimmune   O
diseases   O
but   O
no   O
specific   O
genetic   O
disorders   O
that   O
could   O
be   O
influencing   O
the   O
current   O
health   O
state   O
.   O

As   O
per   O
the   O
latest   O
update   O
on   O
August   B-DATE
,   O
the   O
patient   O
's   O
condition   O
is   O
showing   O
signs   O
of   O
improvement   O
,   O
with   O
reduced   O
fever   O
and   O
alleviation   O
of   O
headaches   O
.   O

The   O
care   O
team   O
,   O
led   O
by   O
Max   B-NAME
Von   I-NAME
Sydow   I-NAME
,   O
has   O
been   O
in   O
constant   O
communication   O
regarding   O
Jaylynn   B-NAME
Fernandez   I-NAME
's   O
care   O
plan   O
.   O

For   O
any   O
further   O
information   O
regarding   O
Madilynn   B-NAME
Nixon   I-NAME
's   O
condition   O
or   O
treatment   O
plan   O
,   O
please   O
reach   O
out   O
to   O
Columbia   B-LOCATION
Miami   I-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
's   O
information   O
desk   O
at   O
83341   B-CONTACT
.   O

For   O
privacy   O
concerns   O
and   O
updates   O
on   O
Anne   B-NAME
Rice   I-NAME
's   O
health   O
information   O
,   O
refer   O
to   O
the   O
patient   O
's   O
portal   O
using   O
username   O
tnj10010   B-NAME
,   O
securely   O
managed   O
by   O
Portland   B-LOCATION
Linux   I-LOCATION
/   I-LOCATION
Unix   I-LOCATION
Group   I-LOCATION
's   O
IT   O
department   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Jeremiah   B-NAME
Schultz   I-NAME
Age   O
:   O
99   O
Medical   O
Record   O
Number   O
:   O
596   B-ID
-   I-ID
41   I-ID
-   I-ID
83   I-ID
-   I-ID
7   I-ID
Phone   O
Number   O
:   O
605   B-CONTACT
4245   I-CONTACT
Address   O
:   O
Plattsburg   B-LOCATION
,   O
95896   B-LOCATION
Occupation   O
:   O
Shampooers   O
Date   O
of   O
Admission   O
:   O
10/21   B-DATE
Attending   O
Physician   O
:   O
Dr.   O
Oralee   B-NAME
Dunning   I-NAME
Hospital   O
:   O
Park   B-LOCATION
Nicollet   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
EN   B-ID
:   I-ID
YT:1861   I-ID
Medical   O
History   O
:   O
Mortimer   B-NAME
,   I-NAME
John   I-NAME
presented   O
to   O
Pikeville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/32/2102   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
headaches   O
,   O
described   O
as   O
throbbing   O
and   O
unilateral   O
in   O
nature   O
.   O

The   O
episodes   O
have   O
been   O
occurring   O
for   O
approximately   O
December   B-DATE
6   I-DATE
,   O
significantly   O
impacting   O
Camron   B-NAME
Ochoa   I-NAME
's   O
daily   O
activities   O
.   O

Savitri   B-NAME
Devi   I-NAME
also   O
reported   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
,   O
leading   O
to   O
vomiting   O
during   O
severe   O
episodes   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Tammy   B-NAME
Yon   I-NAME
exhibited   O
no   O
focal   O
neurological   O
deficits   O
.   O

A   O
neurological   O
examination   O
conducted   O
by   O
Dr.   O
Kilmister   B-NAME
,   I-NAME
Lemmy   I-NAME
revealed   O
no   O
signs   O
of   O
motor   O
or   O
sensory   O
deficits   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
scan   O
of   O
the   O
brain   O
,   O
ordered   O
on   O
2110   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
25   I-DATE
,   O
showed   O
no   O
abnormal   O
findings   O
.   O

Deja   B-NAME
Hayden   I-NAME
was   O
initiated   O
on   O
a   O
prophylactic   O
treatment   O
regimen   O
including   O
a   O
beta   O
-   O
blocker   O
and   O
advised   O
on   O
lifestyle   O
modifications   O
that   O
may   O
help   O
in   O
reducing   O
the   O
frequency   O
of   O
migraine   O
episodes   O
.   O

Follow   O
-   O
Up   O
:   O
Rolando   B-NAME
Sanders   I-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Texas   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
Dr.   O
Colt   B-NAME
Heath   I-NAME
on   O
15/28/18   B-DATE
.   O

Instructions   O
for   O
Herman   B-NAME
Patton   I-NAME
:   O
-   O
Keep   O
a   O
headache   O
diary   O
to   O
track   O
the   O
frequency   O
and   O
triggers   O
of   O
migraine   O
episodes   O
.   O
-   O
Avoid   O
known   O
triggers   O
such   O
as   O
specific   O
foods   O
,   O
sleep   O
deprivation   O
,   O
and   O
stress   O
.   O
-   O
Take   O
medication   O
as   O
prescribed   O
,   O
and   O
do   O
not   O
hesitate   O
to   O
reach   O
out   O
to   O
717   B-CONTACT
6423   I-CONTACT
if   O
you   O
experience   O
any   O
adverse   O
effects   O
or   O
if   O
symptoms   O
worsen   O
.   O

In   O
case   O
of   O
any   O
emergency   O
,   O
please   O
visit   O
the   O
emergency   O
department   O
of   O
Hospital   B-LOCATION
for   I-LOCATION
Special   I-LOCATION
Care   I-LOCATION
or   O
call   O
758   B-CONTACT
-   I-CONTACT
5082   I-CONTACT
.   O

Prepared   O
by   O
:   O
Independent   B-LOCATION
Family   I-LOCATION
Brewers   I-LOCATION
of   I-LOCATION
Britain   I-LOCATION
(   I-LOCATION
IFBB   I-LOCATION
)   I-LOCATION

Date   O
:   O
30/36/86   B-DATE
Signature   O
:   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O

xap735   B-NAME
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O

Patient   O
Report   O
for   O
Yan   B-NAME
D.   I-NAME
Ball   I-NAME
General   O
Information   O
:   O
MEDICAL   O
RECORD   O
:   O
95066434   B-ID
Date   O
of   O
Visit   O
:   O
32/03/2143   B-DATE
Age   O
:   O
28   O
Phone   O
Number   O
:   O
30676   B-CONTACT
Patient   O
ID   O
:   O
CR994/8592   B-ID
Zip   O
Code   O
:   O
79035   B-LOCATION
Location   O
:   O
Plaster   B-LOCATION
Rock   I-LOCATION
,   I-LOCATION
NB   I-LOCATION
E7   I-LOCATION
G   I-LOCATION
8N1   I-LOCATION
Treating   O
Doctor   O
:   O
Alexis   B-NAME
Ingram   I-NAME
Hospital   O
:   O
UM   B-LOCATION
Harford   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Organization   O
:   O

Irish   B-LOCATION
National   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Organisation   I-LOCATION
Profession   O
:   O

Sheriffs   O
and   O
Deputy   O
Sheriffs   O
Symptoms   O
:   O
Roman   B-NAME
Dillon   I-NAME
presented   O
to   O
Fairview   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
on   O
1/4   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
high   O
fever   O
for   O
the   O
past   O
three   O
days   O
.   O

On   O
examination   O
,   O
Elu   B-NAME
appeared   O
to   O
be   O
in   O
distress   O
with   O
visible   O
difficulty   O
in   O
breathing   O
.   O

Afric   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Asthma   O
,   O
diagnosed   O
10   O
years   O
ago   O
,   O
and   O
is   O
on   O
a   O
regular   O
inhaler   O
regime   O
.   O

The   O
patient   O
is   O
a   O
non   O
-   O
smoker   O
and   O
works   O
as   O
a   O
Nutritional   O
therapist   O
in   O
Lewisburg   B-LOCATION
,   I-LOCATION
Lewisburg   I-LOCATION
Downtown   I-LOCATION
Partnership   I-LOCATION
.   O

Grace   B-NAME
C.   I-NAME
Valerie   I-NAME
-   I-NAME
Yun   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
contact   O
with   O
known   O
sick   O
individuals   O
.   O

Williams   B-NAME
has   O
recommended   O
in   O
-   O
patient   O
care   O
for   O
close   O
monitoring   O
given   O
the   O
risk   O
factors   O
and   O
severity   O
of   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
and   O
blood   O
tests   O
have   O
been   O
scheduled   O
for   O
33/24/2332   B-DATE
to   O
assess   O
the   O
response   O
to   O
treatment   O
.   O

Recommendations   O
:   O
It   O
is   O
crucial   O
for   O
Jaime   B-NAME
Frederick   I-NAME
to   O
adhere   O
to   O
the   O
treatment   O
plan   O
,   O
maintain   O
adequate   O
hydration   O
,   O
and   O
rest   O
.   O

Next   O
Steps   O
:   O
A   O
follow   O
-   O
up   O
consultation   O
with   O
Tucker   B-NAME
is   O
scheduled   O
for   O
03/17/03   B-DATE
to   O
review   O
the   O
treatment   O
progress   O
,   O
lab   O
results   O
,   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Tia   B-NAME
Thornton   I-NAME
has   O
been   O
given   O
the   O
direct   O
line   O
348   B-CONTACT
-   I-CONTACT
433   I-CONTACT
1751   I-CONTACT
to   O
the   O
nursing   O
station   O
for   O
any   O
immediate   O
concerns   O
or   O
worsening   O
symptoms   O
.   O

The   O
patient   O
,   O
Davin   B-NAME
Carrillo   I-NAME
,   O
a   O
Manicurists   O
and   O
Pedicurists   O
by   O
profession   O
,   O
residing   O
in   O
Florida   B-LOCATION
,   O
with   O
a   O
zip   O
code   O
of   O
26643   B-LOCATION
,   O
contacted   O
the   O
clinic   O
on   O
2287   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
21   I-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

During   O
the   O
telephonic   O
conversation   O
,   O
the   O
medical   O
staff   O
advised   O
Corbin   B-NAME
Poole   I-NAME
to   O
visit   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Columbus   I-LOCATION
for   O
a   O
more   O
comprehensive   O
evaluation   O
.   O

Upon   O
arrival   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Reading   I-LOCATION
on   O
2223   B-DATE
,   O
the   O
patient   O
was   O
examined   O
by   O
Stephany   B-NAME
Myers   I-NAME
,   O
who   O
noted   O
that   O
Giovanni   B-NAME
Gabriel   I-NAME
appeared   O
jaundiced   O
.   O

A   O
contrast   O
-   O
enhanced   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
was   O
scheduled   O
for   O
21   B-DATE
-   I-DATE
17   I-DATE
,   O
which   O
confirmed   O
the   O
inflammation   O
of   O
the   O
pancreas   O
and   O
ruled   O
out   O
any   O
necrosis   O
or   O
pseudocysts   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Bradyn   B-NAME
Salas   I-NAME
received   O
IV   O
fluids   O
,   O
pain   O
management   O
,   O
and   O
was   O
advised   O
to   O
abstain   O
from   O
eating   O
to   O
rest   O
the   O
pancreas   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
4006201   B-ID
,   O
and   O
the   O
unique   O
identifier   O
7390912   B-ID
was   O
used   O
for   O
all   O
laboratory   O
and   O
imaging   O
requests   O
.   O

The   O
attending   O
doctor   O
,   O
Kripke   B-NAME
,   I-NAME
Saul   I-NAME
,   O
documented   O
progress   O
notes   O
in   O
the   O
electronic   O
health   O
record   O
system   O
,   O
detailing   O
the   O
patient   O
's   O
response   O
to   O
treatment   O
and   O
the   O
plan   O
for   O
discharge   O
education   O
regarding   O
diet   O
and   O
alcohol   O
consumption   O
.   O

On   O
26/21   B-DATE
,   O
after   O
a   O
hospital   O
stay   O
of   O
several   O
days   O
,   O
Calhoun   B-NAME
reported   O
a   O
significant   O
improvement   O
in   O
symptoms   O
and   O
was   O
discharged   O
with   O
instructions   O
to   O
follow   O
up   O
with   O
Nabokov   B-NAME
,   I-NAME
Vladimir   I-NAME
in   O
the   O
outpatient   O
clinic   O
.   O

Dowden   B-NAME
was   O
advised   O
to   O
avoid   O
high   O
-   O
fat   O
foods   O
and   O
to   O
monitor   O
symptoms   O
.   O

The   O
discharge   O
summary   O
,   O
along   O
with   O
follow   O
-   O
up   O
appointments   O
and   O
prescriptions   O
,   O
were   O
communicated   O
to   O
Gertude   B-NAME
Schreiner   I-NAME
via   O
the   O
secure   O
patient   O
portal   O
(   O
nk279   B-NAME
)   O
,   O
and   O
a   O
copy   O
was   O
also   O
sent   O
to   O
the   O
primary   O
care   O
physician   O
.   O

A   O
follow   O
-   O
up   O
call   O
was   O
scheduled   O
for   O
01   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
69   I-DATE
to   O
ensure   O
compliance   O
with   O
the   O
discharge   O
instructions   O
.   O

The   O
patient   O
or   O
their   O
caregiver   O
was   O
instructed   O
to   O
call   O
(   B-CONTACT
458   I-CONTACT
)   I-CONTACT
977   I-CONTACT
1719   I-CONTACT
in   O
case   O
of   O
any   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Dolly   B-NAME
Murphy   I-NAME
Patient   O
Age   O
:   O
41   O
Date   O
of   O
Birth   O
:   O
21   B-DATE
-   I-DATE
Aug-2313   I-DATE
Medical   O
Record   O
Number   O
:   O
8456166   B-ID
Address   O
:   O
Western   B-LOCATION
Lake   I-LOCATION
,   O
80827   B-LOCATION
Phone   O
Number   O
:   O
11809   B-CONTACT
Primary   O
Physician   O
:   O

Huber   B-NAME
Attending   O
Physician   O
:   O

Jimenez   B-NAME
Name   O
of   O
Referring   O
Physician   O
:   O
Heywood   B-NAME
,   I-NAME
John   I-NAME
Employer   O
:   O
Society   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Cincinnati   I-LOCATION
Occupation   O
:   O
developer   O
Hospital   O
Name   O
:   O
St.   B-LOCATION
Louis   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Room   O
Number   O
:   O
400   B-LOCATION
Ohio   I-LOCATION
Rd   I-LOCATION
.   I-LOCATION

Date   O
of   O
Admission   O
:   O
July   B-DATE
37   I-DATE
,   I-DATE
2182   I-DATE
Date   O
of   O
Discharge   O
:   O
2/02   B-DATE
SSN   O
:   O
246548322   B-ID
Clinical   O
History   O
:   O
Bach   B-NAME
,   I-NAME
Richard   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Adventist   B-LOCATION
Health   I-LOCATION
Ukiah   I-LOCATION
Valley   I-LOCATION
on   O
1930   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
28   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headache   O
,   O
radiating   O
from   O
the   O
occipital   O
region   O
to   O
the   O
frontal   O
area   O
.   O

The   O
headache   O
was   O
described   O
as   O
throbbing   O
in   O
nature   O
,   O
worsening   O
over   O
a   O
period   O
of   O
13/13/2347   B-DATE
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Finney   B-NAME
,   I-NAME
Albert   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
.   O

Abbott   B-NAME
denied   O
any   O
recent   O
history   O
of   O
trauma   O
or   O
falls   O
.   O

Further   O
inquiry   O
revealed   O
that   O
Brenna   B-NAME
Page   I-NAME
works   O
as   O
a   O
Farm   O
and   O
Ranch   O
Managers   O
in   O
Farm   B-LOCATION
Animal   I-LOCATION
Rights   I-LOCATION
Movement   I-LOCATION
(   I-LOCATION
FARM   I-LOCATION
)   I-LOCATION
,   O
involving   O
long   O
hours   O
in   O
front   O
of   O
computer   O
screens   O
without   O
significant   O
breaks   O
,   O
potentially   O
contributing   O
to   O
symptomatology   O
.   O

Review   O
of   O
systems   O
was   O
notably   O
positive   O
for   O
blurred   O
vision   O
and   O
intermittent   O
episodes   O
of   O
dizziness   O
over   O
the   O
past   O
12/34   B-DATE
.   O

Richard   B-NAME
A.   I-NAME
Verlin   I-NAME
-   I-NAME
Urbina   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
is   O
currently   O
on   O
medication   O
.   O

Examination   O
and   O
Treatment   O
:   O
Upon   O
examination   O
,   O
Stephenie   B-NAME
Morejon   I-NAME
was   O
alert   O
and   O
oriented   O
,   O
but   O
reported   O
a   O
headache   O
score   O
of   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

Diagnostic   O
imaging   O
,   O
including   O
a   O
CT   O
scan   O
of   O
the   O
head   O
performed   O
on   O
33/21   B-DATE
,   O
showed   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

An   O
MRI   O
of   O
the   O
brain   O
,   O
also   O
conducted   O
on   O
1/20   B-DATE
,   O
corroborated   O
the   O
CT   O
findings   O
,   O
ruling   O
out   O
any   O
structural   O
causes   O
for   O
the   O
headache   O
.   O

Management   O
:   O
Considering   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Dean   B-NAME
diagnosed   O
Jax   B-NAME
Ward   I-NAME
with   O
Migraine   O
without   O
aura   O
.   O

ELROD   B-NAME
,   I-NAME
RYLEY   I-NAME
was   O
prescribed   O
a   O
triptan   O
for   O
acute   O
migraine   O
attacks   O
and   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
.   O

Alexis   B-NAME
Garrett   I-NAME
was   O
also   O
advised   O
on   O
ergonomic   O
adjustments   O
at   O
the   O
workplace   O
to   O
prevent   O
strain   O
.   O

Follow   O
-   O
Up   O
:   O
Memoria   B-NAME
Nasers   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Kraus   B-NAME
,   I-NAME
Karl   I-NAME
in   O
YRMC   B-LOCATION
-   I-LOCATION
West   I-LOCATION
's   O
neurology   O
department   O
on   O
22/26   B-DATE
to   O
assess   O
the   O
efficacy   O
of   O
the   O
treatment   O
plan   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

For   O
any   O
urgent   O
inquiries   O
or   O
to   O
report   O
any   O
significant   O
changes   O
in   O
symptoms   O
,   O
Fitzgerald   B-NAME
or   O
their   O
family   O
can   O
contact   O
BLAKE   B-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
at   O
19145   B-CONTACT
.   O

The   O
patient   O
,   O
Raphael   B-NAME
Monroe   I-NAME
,   O
a   O
veterinarian   O
from   O
Denmark   B-LOCATION
,   O
scheduled   O
an   O
appointment   O
on   O
04/29/2042   B-DATE
due   O
to   O
ongoing   O
respiratory   O
issues   O
that   O
had   O
been   O
persistent   O
for   O
approximately   O
two   O
weeks   O
.   O

Upon   O
consultation   O
,   O
Bono   B-NAME
conducted   O
a   O
thorough   O
physical   O
examination   O
and   O
noted   O
a   O
decreased   O
breath   O
sound   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
.   O

Given   O
the   O
patient   O
's   O
medical   O
history   O
of   O
asthma   O
,   O
documented   O
under   O
36435233   B-ID
,   O
a   O
spirometry   O
test   O
was   O
recommended   O
to   O
assess   O
lung   O
function   O
further   O
.   O

Calhoun   B-NAME
suggested   O
an   O
immediate   O
change   O
in   O
the   O
patient   O
's   O
asthma   O
management   O
plan   O
,   O
which   O
included   O
the   O
initiation   O
of   O
a   O
high   O
-   O
dose   O
inhaled   O
corticosteroid   O
combined   O
with   O
a   O
long   O
-   O
acting   O
beta   O
-   O
agonist   O
.   O

Prescribed   O
medication   O
details   O
and   O
instructions   O
for   O
use   O
were   O
forwarded   O
to   O
Harlan   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
's   O
pharmacy   O
via   O
349   B-CONTACT
-   I-CONTACT
596   I-CONTACT
4071   I-CONTACT
on   O
02/21   B-DATE
.   O

Taliyah   B-NAME
Hays   I-NAME
was   O
also   O
given   O
a   O
peak   O
flow   O
meter   O
to   O
monitor   O
lung   O
function   O
at   O
home   O
and   O
instructed   O
on   O
how   O
to   O
use   O
it   O
effectively   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
00   B-DATE
to   O
evaluate   O
treatment   O
effectiveness   O
and   O
adjust   O
medications   O
if   O
necessary   O
.   O

For   O
emergency   O
situations   O
,   O
Hardquanonne   B-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
(   B-CONTACT
178   I-CONTACT
)   I-CONTACT
526   I-CONTACT
5188   I-CONTACT
for   O
Kingman   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Kingman   I-LOCATION
's   O
respiratory   O
unit   O
.   O

It   O
was   O
emphasized   O
that   O
should   O
symptoms   O
drastically   O
worsen   O
,   O
such   O
as   O
experiencing   O
severe   O
shortness   O
of   O
breath   O
or   O
inability   O
to   O
speak   O
in   O
full   O
sentences   O
,   O
immediate   O
medical   O
attention   O
at   O
Oriental   B-LOCATION
's   O
emergency   O
department   O
would   O
be   O
necessary   O
.   O

In   O
the   O
interim   O
,   O
Morris   B-NAME
,   I-NAME
Errol   I-NAME
was   O
encouraged   O
to   O
maintain   O
a   O
symptom   O
diary   O
,   O
noting   O
episodes   O
of   O
wheezing   O
,   O
coughing   O
,   O
and   O
any   O
potential   O
triggers   O
or   O
relieving   O
factors   O
.   O

This   O
diary   O
is   O
intended   O
to   O
be   O
shared   O
with   O
Hale   B-NAME
during   O
the   O
follow   O
-   O
up   O
visit   O
for   O
a   O
more   O
detailed   O
assessment   O
of   O
the   O
condition   O
's   O
progression   O
or   O
improvement   O
.   O

For   O
privacy   O
and   O
security   O
reasons   O
,   O
all   O
communications   O
regarding   O
Lesley   B-NAME
Bushie   I-NAME
's   O
health   O
information   O
and   O
subsequent   O
treatment   O
plans   O
were   O
documented   O
under   O
9264966   B-ID
and   O
securely   O
stored   O
within   O
Hennepin   B-LOCATION
Healthcare   I-LOCATION
's   O
electronic   O
medical   O
records   O
system   O
.   O

Any   O
inquiries   O
regarding   O
the   O
patient   O
's   O
health   O
status   O
or   O
medication   O
details   O
were   O
directed   O
to   O
43235   B-CONTACT
,   O
with   O
a   O
strict   O
protocol   O
requiring   O
verification   O
of   O
caller   O
identity   O
before   O
any   O
information   O
was   O
disclosed   O
.   O

In   O
conclusion   O
,   O
the   O
management   O
of   O
Amanda   B-NAME
Escobar   I-NAME
's   O
exacerbated   O
asthma   O
condition   O
involves   O
a   O
comprehensive   O
approach   O
that   O
includes   O
medication   O
adjustments   O
,   O
lifestyle   O
modifications   O
,   O
and   O
close   O
monitoring   O
of   O
symptoms   O
to   O
prevent   O
further   O
complications   O
.   O

The   O
collaborative   O
efforts   O
of   O
Emil   B-NAME
,   O
Adams   B-NAME
,   O
and   O
the   O
healthcare   O
team   O
at   O
Baptist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Miami   I-LOCATION
are   O
crucial   O
for   O
the   O
effective   O
treatment   O
and   O
management   O
of   O
the   O
condition   O
.   O

The   O
patient   O
,   O
McCarthy   B-NAME
,   I-NAME
Mary   I-NAME
,   O
a   O
Fine   O
Artists   O
,   O
Including   O
Painters   O
,   O
Sculptors   O
,   O
and   O
Illustrators   O
from   O
North   B-LOCATION
Ridgeville   I-LOCATION
,   O
presented   O
at   O
Emanate   B-LOCATION
Health   I-LOCATION
Inter   I-LOCATION
-   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
33   B-DATE
-   I-DATE
9   I-DATE
with   O
a   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Carla   B-NAME
Walton   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Kaliyah   B-NAME
Galloway   I-NAME
,   O
who   O
is   O
6   O
years   O
old   O
,   O
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Robertson   B-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.5   O
°   O
C   O
,   O
which   O
suggests   O
an   O
infectious   O
process   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Chanakya   B-NAME
and   O
performed   O
on   O
12/9   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
appendicitis   O
with   O
no   O
evidence   O
of   O
perforation   O
.   O

Cash   B-NAME
Andersen   I-NAME
's   O
medical   O
history   O
,   O
as   O
per   O
40615291   B-ID
,   O
includes   O
controlled   O
hypertension   O
and   O
a   O
surgical   O
history   O
of   O
cholecystectomy   O
performed   O
at   O
Westchester   B-LOCATION
Square   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
5/01/2103   B-DATE
.   O

Kaylah   B-NAME
Roy   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
.   O

Mason   B-NAME
has   O
a   O
family   O
history   O
of   O
cardiovascular   O
diseases   O
but   O
no   O
known   O
familial   O
gastrointestinal   O
issues   O
.   O

The   O
surgical   O
team   O
at   O
WellStar   B-LOCATION
Kennestone   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
led   O
by   O
Potter   B-NAME
,   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
given   O
the   O
diagnosis   O
and   O
Alexie   B-NAME
,   I-NAME
Sherman   I-NAME
's   O
clinical   O
presentation   O
.   O

Crane   B-NAME
provided   O
informed   O
consent   O
for   O
the   O
operation   O
,   O
which   O
was   O
successfully   O
completed   O
on   O
30/22   B-DATE
.   O

Mccullough   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
Monterey   B-LOCATION
Park   I-LOCATION
on   O
0/20   B-DATE
for   O
wound   O
inspection   O
and   O
removal   O
of   O
sutures   O
.   O

Sarai   B-NAME
Delacruz   I-NAME
was   O
also   O
provided   O
with   O
post   O
-   O
operative   O
care   O
instructions   O
,   O
including   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
and   O
dietary   O
recommendations   O
for   O
the   O
initial   O
recovery   O
period   O
.   O

The   O
discharge   O
summary   O
was   O
discussed   O
with   O
Melvin   B-NAME
Brewer   I-NAME
on   O
22/30   B-DATE
,   O
and   O
a   O
copy   O
was   O
sent   O
to   O
Turk   B-NAME
,   I-NAME
Elvis   I-NAME
's   O
primary   O
care   O
provider   O
via   O
fax   O
number   O
70003   B-CONTACT
.   O

The   O
unique   O
identifier   O
assigned   O
to   O
Mariela   B-NAME
Whitehead   I-NAME
's   O
case   O
is   O
59410   B-ID
,   O
ensuring   O
all   O
medical   O
records   O
and   O
communications   O
are   O
correctly   O
linked   O
to   O
this   O
case   O
for   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
.   O

Bryan   B-NAME
,   I-NAME
William   I-NAME
Jennings   I-NAME
's   O
contact   O
information   O
has   O
been   O
updated   O
in   O
our   O
system   O
to   O
include   O
a   O
new   O
phone   O
number   O
,   O
514   B-CONTACT
6328   I-CONTACT
,   O
and   O
an   O
address   O
in   O
81679   B-LOCATION
.   O

The   O
medical   O
team   O
at   O
North   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
,   O
including   O
Eleanor   B-NAME
Molina   I-NAME
and   O
the   O
nursing   O
staff   O
,   O
will   O
continue   O
to   O
monitor   O
Sophia   B-NAME
Burgess   I-NAME
's   O
recovery   O
closely   O
,   O
ensuring   O
a   O
comprehensive   O
approach   O
to   O
post   O
-   O
operative   O
care   O
and   O
rehabilitation   O
.   O

Patient   O
Name   O
:   O
Peter   B-NAME
Goldstone   I-NAME
Age   O
:   O
5   O
month   O
Gender   O
:   O

Male   O
Date   O
of   O
Visit   O
:   O
2227   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
09   I-DATE
Hospital   O
:   O
HSHS   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Green   I-LOCATION
Bay   I-LOCATION
Doctor   O
:   O
Brylee   B-NAME
Taylor   I-NAME
Medical   O
Record   O
Number   O
:   O
90809803   B-ID
Phone   O
:   O
724   B-CONTACT
-   I-CONTACT
8130   I-CONTACT
Address   O
:   O
Coronita   B-LOCATION
,   O
96723   B-LOCATION
Occupation   O
:   O
Fire   O
-   O
Prevention   O
and   O
Protection   O
Engineers   O
Referring   O
Physician   O
:   O

Trujillo   B-NAME
Clinical   O
Summary   O
:   O
Cooper   B-NAME
,   I-NAME
Alice   I-NAME
presented   O
to   O
the   O
outpatient   O
department   O
of   O
Clinch   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
0/23/16   B-DATE
with   O
complaints   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
for   O
the   O
past   O
two   O
weeks   O
.   O

There   O
was   O
also   O
a   O
reported   O
increase   O
in   O
the   O
frequency   O
of   O
bowel   O
movements   O
,   O
with   O
Obrien   B-NAME
indicating   O
up   O
to   O
six   O
loose   O
stools   O
per   O
day   O
,   O
a   O
significant   O
deviation   O
from   O
his   O
normal   O
bowel   O
habits   O
.   O

Winters   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
upon   O
admission   O
.   O

Past   O
medical   O
history   O
disclosed   O
no   O
significant   O
findings   O
,   O
and   O
Kyron   B-NAME
M.   I-NAME
Castaneda   I-NAME
has   O
been   O
generally   O
healthy   O
,   O
with   O
only   O
a   O
few   O
instances   O
of   O
controlled   O
hypertension   O
for   O
which   O
he   O
takes   O
medication   O
regularly   O
.   O

However   O
,   O
a   O
colonoscopy   O
performed   O
by   O
Dr.   O
Ariella   B-NAME
Medina   I-NAME
on   O
2/22/00   B-DATE
showed   O
the   O
presence   O
of   O
mild   O
diverticulosis   O
in   O
the   O
sigmoid   O
colon   O
.   O

3   O
.   O
Arnie   B-NAME
was   O
advised   O
to   O
maintain   O
adequate   O
hydration   O
,   O
especially   O
due   O
to   O
the   O
increased   O
frequency   O
of   O
bowel   O
movements   O
.   O

4   O
.   O
Follow   O
-   O
up   O
was   O
scheduled   O
for   O
1   B-DATE
-   I-DATE
28   I-DATE
for   O
review   O
and   O
evaluation   O
of   O
the   O
histopathology   O
results   O
from   O
the   O
colonoscopy   O
biopsies   O
.   O

Ellen   B-NAME
Stark   I-NAME
will   O
be   O
closely   O
monitored   O
for   O
any   O
signs   O
of   O
complication   O
or   O
exacerbation   O
of   O
symptoms   O
.   O

Confidential   O
Note   O
:   O
This   O
patient   O
report   O
contains   O
private   O
information   O
intended   O
solely   O
for   O
the   O
use   O
of   O
the   O
healthcare   O
providers   O
at   O
Noyes   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   O
the   O
referring   O
physician   O
,   O
Dr.   O
Mora   B-NAME
.   O

Patient   O
Contact   O
Information   O
:   O
284   B-CONTACT
-   I-CONTACT
832   I-CONTACT
-   I-CONTACT
6118   I-CONTACT
Emergency   O
Contact   O
:   O
20668   B-CONTACT
Physician   O
Contact   O
:   O
Dr.   O
Erika   B-NAME
Wilkinson   I-NAME
,   O
733   B-CONTACT
1403   I-CONTACT
End   O
of   O
Report   O

Patient   O
Name   O
:   O
Y   B-NAME
Ullrich   I-NAME
Patient   O
ID   O
:   O
RZ:83757:745894   B-ID
Medical   O
Record   O
Number   O
:   O
1786092   B-ID
Date   O
of   O
Birth   O
:   O
1832   B-DATE
Age   O
:   O
5   O
Address   O
:   O
Odin   B-LOCATION
,   O
82194   B-LOCATION
Phone   O
Number   O
:   O
536   B-CONTACT
-   I-CONTACT
3086   I-CONTACT
Employment   O
:   O
Leisure   O
centre   O
manager   O
at   O
First   B-LOCATION
Piedmont   I-LOCATION
Bank   I-LOCATION
Physician   O
’s   O
Name   O
:   O
Natisha   B-NAME
Gent   I-NAME
Hospital   O
:   O

West   B-LOCATION
Jefferson   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
*   O
*   O
Clinical   O
Visit   O
Summary   O
for   O
2020   B-DATE
:*   O
*   O
*   O
*   O
Chief   O
Complaint   O
:*   O
*   O
Hubbard   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Rockledge   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2041   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
10   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
onset   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

*   O
*   O
Medical   O
History   O
:*   O
*   O
Stella   B-NAME
Calhoun   I-NAME
,   O
a   O
89   O
-   O
year   O
-   O
old   O
Helpers   O
--   O
Electricians   O
at   O
Direct   B-LOCATION
Action   I-LOCATION
Everywhere   I-LOCATION
(   I-LOCATION
DxE   I-LOCATION
)   I-LOCATION
,   O
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Georgene   B-NAME
Davide   I-NAME
denies   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

On   O
physical   O
examination   O
,   O
Dania   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Abdominal   O
ultrasound   O
conducted   O
at   O
Vail   B-LOCATION
Health   I-LOCATION
suggested   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
with   O
no   O
evidence   O
of   O
perforation   O
.   O

Under   O
the   O
care   O
of   O
Moses   B-NAME
,   O
Malik   B-NAME
Contreras   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
successfully   O
on   O
10/9   B-DATE
.   O

Aniyah   B-NAME
Bush   I-NAME
was   O
advised   O
to   O
remain   O
in   O
Crossroads   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
observation   O
for   O
02/23   B-DATE
to   O
ensure   O
proper   O
recovery   O
without   O
complications   O
.   O

Post   O
-   O
operative   O
instructions   O
include   O
wound   O
care   O
,   O
adherence   O
to   O
a   O
prescribed   O
antibiotic   O
regimen   O
to   O
prevent   O
infection   O
,   O
and   O
a   O
follow   O
-   O
up   O
examination   O
scheduled   O
for   O
1767   B-DATE
.   O

Connolly   B-NAME
,   I-NAME
Cyril   I-NAME
is   O
advised   O
to   O
rest   O
,   O
maintain   O
hydration   O
,   O
and   O
gradually   O
return   O
to   O
normal   O
activities   O
as   O
tolerated   O
.   O

Lucian   B-NAME
Dunn   I-NAME
should   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
symptoms   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
.   O

*   O
*   O
Follow   O
-   O
up   O
:*   O
*   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Anya   B-NAME
Owens   I-NAME
in   O
Hensley   B-LOCATION
on   O
08/00   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
before   O
the   O
scheduled   O
appointment   O
,   O
Goge   B-NAME
Bringas   I-NAME
can   O
contact   O
Merit   B-LOCATION
Health   I-LOCATION
River   I-LOCATION
Oaks   I-LOCATION
at   O
984   B-CONTACT
690   I-CONTACT
1810   I-CONTACT
.   O

*   O
*   O
Signature   O
:*   O
*   O
Mulock   B-NAME
,   I-NAME
Dinah   I-NAME
Maria   I-NAME
;   I-NAME
also   I-NAME
Dinah   I-NAME
Maria   I-NAME
Craik   I-NAME
Decatur   B-LOCATION
General   I-LOCATION
West   I-LOCATION
Behavioral   I-LOCATION
Medicine   I-LOCATION
Center   I-LOCATION
5/22   B-DATE

The   O
patient   O
,   O
Leonel   B-NAME
Lin   I-NAME
,   O
a   O
59   O
-   O
year   O
-   O
old   O
veterinarian   O
residing   O
in   O
Lily   B-LOCATION
,   O
44924   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
UHS   B-LOCATION
Wilson   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/30   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
which   O
commenced   O
a   O
few   O
hours   O
prior   O
to   O
presentation   O
.   O

On   O
physical   O
examination   O
,   O
Berry   B-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
indicative   O
of   O
peritonitis   O
.   O

A   O
contrast   O
-   O
enhanced   O
abdominal   O
CT   O
scan   O
was   O
promptly   O
ordered   O
by   O
Adriene   B-NAME
Dobbin   I-NAME
to   O
further   O
evaluate   O
the   O
cause   O
of   O
the   O
symptoms   O
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
with   O
no   O
complications   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
76015716   B-ID
and   O
0   B-ID
-   I-ID
8429567   I-ID
were   O
reviewed   O
to   O
confirm   O
no   O
known   O
allergies   O
to   O
medications   O
or   O
past   O
surgical   O
history   O
.   O

Given   O
the   O
diagnosis   O
,   O
Bräutigam   B-NAME
,   I-NAME
Deborah   I-NAME
discussed   O
the   O
findings   O
and   O
the   O
necessity   O
of   O
an   O
urgent   O
appendectomy   O
with   O
Emma   B-NAME
Manning   I-NAME
,   O
who   O
provided   O
informed   O
consent   O
for   O
the   O
surgical   O
procedure   O
.   O

The   O
surgery   O
was   O
conducted   O
without   O
complications   O
on   O
07/04   B-DATE
,   O
and   O
Xavier   B-NAME
Israel   I-NAME
kenneth   I-NAME
Xenos   I-NAME
was   O
given   O
post   O
-   O
operative   O
care   O
instructions   O
,   O
including   O
signs   O
of   O
potential   O
complications   O
to   O
monitor   O
for   O
.   O

Forbin   B-NAME
Comeauy   I-NAME
was   O
discharged   O
on   O
W   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
two   O
weeks   O
post   O
-   O
discharge   O
with   O
the   O
surgical   O
team   O
at   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marion   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
monitor   O
the   O
healing   O
process   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
the   O
hospital   O
at   O
150   B-CONTACT
548   I-CONTACT
3941   I-CONTACT
should   O
there   O
be   O
any   O
concerns   O
or   O
signs   O
of   O
infection   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
redness   O
at   O
the   O
surgical   O
site   O
.   O

Confidentiality   O
is   O
ensured   O
in   O
Genevieve   B-NAME
Berry   I-NAME
's   O
care   O
management   O
.   O

All   O
information   O
pertaining   O
to   O
Jaelynn   B-NAME
Burke   I-NAME
's   O
diagnosis   O
,   O
treatment   O
,   O
and   O
personal   O
details   O
,   O
including   O
any   O
communication   O
via   O
(   B-CONTACT
643   I-CONTACT
)   I-CONTACT
455   I-CONTACT
-   I-CONTACT
9717   I-CONTACT
or   O
documentation   O
,   O
is   O
securely   O
managed   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

The   O
medical   O
team   O
at   O
Norton   B-LOCATION
Sound   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
appreciates   O
the   O
importance   O
of   O
privacy   O
and   O
has   O
taken   O
due   O
diligence   O
to   O
protect   O
the   O
personal   O
health   O
information   O
of   O
Gallo   B-NAME
,   I-NAME
Vincent   I-NAME
Actor   I-NAME
,   O
including   O
adherence   O
to   O
protocols   O
for   O
the   O
secure   O
handling   O
of   O
849   B-ID
59   I-ID
80   I-ID
and   O
XX343/3059   B-ID
numbers   O
.   O

In   O
conclusion   O
,   O
the   O
management   O
of   O
Eliezer   B-NAME
Galloway   I-NAME
's   O
acute   O
appendicitis   O
was   O
prompt   O
and   O
complied   O
with   O
the   O
current   O
medical   O
standards   O
,   O
ensuring   O
a   O
positive   O
outcome   O
.   O

The   O
patient   O
will   O
receive   O
ongoing   O
support   O
from   O
the   O
healthcare   O
team   O
at   O
UPMC   B-LOCATION
Horizon   I-LOCATION
for   O
any   O
post   O
-   O
operative   O
needs   O
or   O
concerns   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Morgan   B-NAME
Patient   O
ID   O
:   O
183   B-ID
-   I-ID
97   I-ID
-   I-ID
25   I-ID
Date   O
of   O
Birth   O
:   O
32/23   B-DATE
Age   O
:   O
43   O
Phone   O
Number   O
:   O
138   B-CONTACT
6137   I-CONTACT
Address   O
:   O
NE15   B-LOCATION
6UT   I-LOCATION
,   O
69896   B-LOCATION
Emergency   O
Contact   O
:   O
29438   B-CONTACT
Occupation   O
:   O

Funeral   O
Service   O
Managers   O
Primary   O
Care   O
Physician   O
:   O
Kaley   B-NAME
Graves   I-NAME
Hospital   O
:   O

Heartland   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
Visit   O
Summary   O
:   O
Faulkner   B-NAME
,   O
a   O
Nurse   O
Practitioners   O
from   O
Driscoll   B-LOCATION
,   O
was   O
admitted   O
to   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Littleton   I-LOCATION
on   O
08/03/2205   B-DATE
after   O
presenting   O
with   O
symptoms   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Isaac   B-NAME
Upson   I-NAME
reported   O
nausea   O
without   O
vomiting   O
and   O
a   O
significant   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
30/12   B-DATE
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
ordered   O
by   O
Gillian   B-NAME
Oconnell   I-NAME
,   O
confirmed   O
the   O
inflammation   O
of   O
the   O
pancreas   O
.   O

Huber   B-NAME
's   O
medical   O
record   O
number   O
7190L3518   B-ID
was   O
updated   O
to   O
include   O
these   O
findings   O
.   O

Management   O
and   O
Treatment   O
:   O
The   O
initial   O
approach   O
to   O
managing   O
Issac   B-NAME
Martinez   I-NAME
's   O
condition   O
involved   O
fasting   O
to   O
rest   O
the   O
pancreas   O
,   O
intravenous   O
fluid   O
therapy   O
to   O
correct   O
dehydration   O
,   O
and   O
administration   O
of   O
analgesics   O
for   O
pain   O
control   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Michaela   B-NAME
Osborn   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
.   O

Brent   B-NAME
Price   I-NAME
was   O
discharged   O
on   O
Monday   B-DATE
with   O
instructions   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
abstain   O
from   O
alcohol   O
,   O
and   O
monitor   O
blood   O
glucose   O
levels   O
more   O
frequently   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Jakobe   B-NAME
Esparza   I-NAME
was   O
scheduled   O
for   O
2102   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
27   I-DATE
.   O

Instructions   O
to   O
call   O
980   B-CONTACT
-   I-CONTACT
1942   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
were   O
provided   O
.   O

Report   O
Prepared   O
By   O
:   O
hvs144   B-NAME
08/12/2113   B-DATE

Patient   O
Name   O
:   O
Nolan   B-NAME
Cooke   I-NAME
Age   O
:   O
16   O
Phone   O
Number   O
:   O
(   B-CONTACT
571   I-CONTACT
)   I-CONTACT
265   I-CONTACT
9450   I-CONTACT
Address   O
:   O
Big   B-LOCATION
Spring   I-LOCATION
,   O
22861   B-LOCATION
Medical   O
Record   O
Number   O
:   O
2639Y52573   B-ID
Appointment   O
Date   O
:   O
22/20   B-DATE
Attending   O
Physician   O
:   O
Lam   B-NAME
Organization   O
:   O
Marijuana   B-LOCATION
Anonymous   I-LOCATION
Hospital   O
:   O
Hancock   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Symptoms   O
:   O
VELASQUEZ   B-NAME
,   I-NAME
WALTER   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
1/22   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
and   O
worsening   O
over   O
a   O
period   O
of   O
several   O
hours   O
.   O

Additionally   O
,   O
Willie   B-NAME
Maynard   I-NAME
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
last   O
24   O
hours   O
.   O

Medical   O
History   O
:   O
Eaton   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
James   B-NAME
Kildare   I-NAME
.   O

Knowles   B-NAME
denies   O
any   O
allergies   O
to   O
medications   O
or   O
known   O
food   O
allergies   O
.   O

Family   O
history   O
is   O
notable   O
for   O
type   O
2   O
diabetes   O
mellitus   O
in   O
Maren   B-NAME
Capaldo   I-NAME
's   O
father   O
and   O
hypertension   O
in   O
the   O
mother   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Salvatore   B-NAME
Hinton   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Lezlie   B-NAME
Midkiff   I-NAME
underwent   O
a   O
contrast   O
-   O
enhanced   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
which   O
indicated   O
an   O
enlarged   O
right   O
ovary   O
with   O
a   O
complex   O
cystic   O
structure   O
,   O
raising   O
concerns   O
for   O
a   O
potential   O
ovarian   O
torsion   O
or   O
a   O
ruptured   O
ovarian   O
cyst   O
.   O
Impression   O
and   O
Plan   O
:   O

The   O
initial   O
differential   O
diagnosis   O
for   O
Veronica   B-NAME
Hall   I-NAME
,   O
considering   O
the   O
symptoms   O
,   O
examination   O
findings   O
,   O
and   O
initial   O
diagnostic   O
results   O
,   O
includes   O
acute   O
appendicitis   O
,   O
ovarian   O
torsion   O
,   O
ruptured   O
ovarian   O
cyst   O
,   O
and   O
a   O
complicated   O
UTI   O
.   O

Given   O
the   O
severe   O
pain   O
and   O
the   O
risk   O
of   O
ovarian   O
torsion   O
,   O
immediate   O
surgical   O
consultation   O
was   O
recommended   O
,   O
and   O
Babette   B-NAME
Labo   I-NAME
was   O
admitted   O
to   O
Northeast   B-LOCATION
Alabama   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

Emergency   O
contact   O
information   O
was   O
verified   O
with   O
Livia   B-NAME
Mann   I-NAME
,   O
and   O
a   O
consent   O
form   O
was   O
signed   O
.   O

Cheyenne   B-NAME
Harper   I-NAME
provided   O
the   O
phone   O
number   O
of   O
a   O
close   O
relative   O
,   O
(   B-CONTACT
966   I-CONTACT
)   I-CONTACT
417   I-CONTACT
7333   I-CONTACT
,   O
for   O
any   O
emergencies   O
.   O

Patient   O
Report   O
for   O
Baylee   B-NAME
Navarro   I-NAME
0226   B-DATE
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
9699960   I-ID
Medical   O
Record   O
Number   O
:   O
14317646   B-ID
Age   O
:   O
4   O
week   O
Zip   O
Code   O
:   O
61627   B-LOCATION
Location   O
:   O

Edgewater   B-LOCATION
Estates   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Florence   B-NAME
Mildred   I-NAME
Yuan   I-NAME
,   O
presented   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
-   I-LOCATION
Corwin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
has   O
been   O
present   O
for   O
approximately   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ebadi   B-NAME
,   I-NAME
Shirin   I-NAME
reports   O
that   O
the   O
pain   O
started   O
mildly   O
around   O
08/08   B-DATE
and   O
has   O
progressively   O
worsened   O
.   O

Eboni   B-NAME
Spainhour   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
,   O
well   O
-   O
controlled   O
with   O
metformin   O
,   O
and   O
hypertension   O
managed   O
with   O
lisinopril   O
.   O

Social   O
History   O
:   O
Dougherty   B-NAME
is   O
a   O
developer   O
living   O
in   O
Braden   B-LOCATION
with   O
a   O
smoking   O
habit   O
of   O
10   O
cigarettes   O
a   O
day   O
for   O
the   O
past   O
20   O
years   O
.   O

Groban   B-NAME
,   I-NAME
Josh   I-NAME
denies   O
any   O
illicit   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Elaina   B-NAME
Branch   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

After   O
discussion   O
of   O
surgical   O
options   O
with   O
Mcclain   B-NAME
,   O
consent   O
was   O
obtained   O
for   O
an   O
appendectomy   O
.   O

Surgery   O
is   O
scheduled   O
for   O
3/01/2022   B-DATE
at   O
Poplar   B-LOCATION
Bluff   I-LOCATION
RMC   I-LOCATION
-   I-LOCATION
Oak   I-LOCATION
Grove   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Ayita   B-NAME
will   O
be   O
admitted   O
to   O
Baptist   B-LOCATION
Health   I-LOCATION
Floyd   I-LOCATION
for   O
surgery   O
and   O
is   O
expected   O
to   O
stay   O
for   O
post   O
-   O
operative   O
observation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
32/20   B-DATE
with   O
Blake   B-NAME
to   O
assess   O
post   O
-   O
surgical   O
recovery   O
and   O
wound   O
healing   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Randolph   B-NAME
or   O
relatives   O
can   O
contact   O
Logan   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
704   B-CONTACT
9889   I-CONTACT
.   O

Signed   O
,   O
Jerimiah   B-NAME
Sheppard   I-NAME
02/30   B-DATE
Note   O
:   O
All   O
personal   O
identifying   O
information   O
in   O
this   O
report   O
has   O
been   O
replaced   O
with   O
placeholders   O
as   O
per   O
privacy   O
guidelines   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
June   B-NAME
Nixon   I-NAME
Patient   O
ID   O
:   O
914   B-ID
37   I-ID
44   I-ID
1   I-ID
Date   O
of   O
Birth   O
:   O
1/1   B-DATE
Age   O
:   O
26   O
Address   O
:   O
Afghanistan   B-LOCATION
,   O
57674   B-LOCATION
Phone   O
Number   O
:   O
98212   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Torres   B-NAME
Hospital   O
:   O

Bethesda   B-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Initial   O
Consultation   O
:   O
November   B-DATE
20   I-DATE
Employment   O
:   O

Human   O
resources   O
officer   O
Summary   O
:   O
Nailatikau   B-NAME
,   I-NAME
Ratu   I-NAME
Epeli   I-NAME
Qaraninamu   I-NAME
,   O
a   O
Solar   O
Photovoltaic   O
Installers   O
from   O
612   B-LOCATION
S.   I-LOCATION
St   I-LOCATION
Margarets   I-LOCATION
Drive   I-LOCATION
,   O
presented   O
to   O
Methodist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Oak   I-LOCATION
Ridge   I-LOCATION
on   O
0/30   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
,   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
notable   O
for   O
its   O
sharp   O
,   O
stabbing   O
nature   O
.   O

Clinical   O
Assessment   O
:   O
Upon   O
examination   O
,   O
Dalila   B-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggesting   O
irritation   O
in   O
the   O
peritoneum   O
.   O

Management   O
:   O
After   O
consultation   O
with   O
Cooley   B-NAME
,   O
surgical   O
intervention   O
was   O
recommended   O
.   O

Delta   B-NAME
McLilly   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
2272   B-DATE
without   O
any   O
complications   O
.   O

Vincent   B-NAME
Avila   I-NAME
's   O
postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
from   O
Georgetown   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
22/12   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

Follow   O
-   O
up   O
:   O
Michael   B-NAME
Glenn   I-NAME
was   O
seen   O
in   O
the   O
follow   O
-   O
up   O
clinic   O
on   O
02/23   B-DATE
,   O
reporting   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Conclusion   O
:   O
Lawrence   B-NAME
K.   I-NAME
Townsend   I-NAME
demonstrated   O
a   O
classic   O
presentation   O
of   O
acute   O
appendicitis   O
with   O
successful   O
management   O
through   O
surgical   O
intervention   O
and   O
appropriate   O
postoperative   O
care   O
.   O

Future   O
health   O
maintenance   O
recommendations   O
have   O
been   O
discussed   O
with   O
Audrey   B-NAME
Ross   I-NAME
to   O
prevent   O
possible   O
health   O
issues   O
.   O

Patient   O
Name   O
:   O
Kelvin   B-NAME
Graham   I-NAME
Patient   O
ID   O
:   O
5291002   B-ID
Date   O
of   O
Birth   O
:   O
04/39   B-DATE
Age   O
:   O
31s   O
Address   O
:   O
Gillham   B-LOCATION
,   O
81732   B-LOCATION
Phone   O
:   O
(   B-CONTACT
132   I-CONTACT
)   I-CONTACT
671   I-CONTACT
2290   I-CONTACT
Occupation   O
:   O

Dr.   O
Christian   B-NAME
Troy   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Hermann   I-LOCATION
The   I-LOCATION
Woodlands   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
289   B-ID
-   I-ID
06   I-ID
-   I-ID
65   I-ID
-   I-ID
9   I-ID
Summary   O
of   O
Visit   O
:   O

The   O
patient   O
,   O
Brooke   B-NAME
Allison   I-NAME
,   O
a   O
Database   O
Administrators   O
from   O
Fort   B-LOCATION
Bliss   I-LOCATION
,   O
presented   O
to   O
Lighthouse   B-LOCATION
Care   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Augusta   I-LOCATION
on   O
22/21   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
(   O
38.9   O
°   O
C   O
)   O
,   O
and   O
increasing   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
5   O
days   O
.   O

However   O
,   O
Mephisto   B-NAME
Peacy   I-NAME
reported   O
working   O
longer   O
hours   O
indoors   O
with   O
minimal   O
ventilation   O
in   O
recent   O
weeks   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Guderian   B-NAME
,   I-NAME
Heinz   I-NAME
noted   O
bilateral   O
wheezing   O
in   O
the   O
lower   O
lung   O
fields   O
and   O
mild   O
tachypnea   O
.   O

Management   O
and   O
Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
the   O
recent   O
history   O
of   O
prolonged   O
indoor   O
exposure   O
,   O
Dr.   O
Burnett   B-NAME
diagnosed   O
the   O
patient   O
with   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Pena   B-NAME
was   O
admitted   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Parkridge   I-LOCATION
for   O
further   O
observation   O
and   O
supportive   O
care   O
,   O
including   O
supplemental   O
oxygen   O
to   O
maintain   O
saturation   O
above   O
94   O
%   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
May   B-DATE
18   I-DATE
with   O
Dr.   O
Corbin   B-NAME
Stark   I-NAME
in   O
Stony   B-LOCATION
River   I-LOCATION
.   O

For   O
any   O
concerns   O
or   O
worsening   O
symptoms   O
before   O
the   O
follow   O
-   O
up   O
date   O
,   O
Roland   B-NAME
Walton   I-NAME
was   O
advised   O
to   O
contact   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Avon   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
380   I-CONTACT
)   I-CONTACT
776   I-CONTACT
-   I-CONTACT
2299   I-CONTACT
or   O
Dr.   O
Octagonecologyst   B-NAME
's   O
office   O
directly   O
.   O

Notice   O
of   O
Privacy   O
Practices   O
Acknowledgment   O
:   O
By   O
signing   O
below   O
,   O
Abdiel   B-NAME
Massey   I-NAME
acknowledges   O
receipt   O
of   O
the   O
San   B-LOCATION
Joaquin   I-LOCATION
Bank   I-LOCATION
's   O
Notice   O
of   O
Privacy   O
Practices   O
and   O
consents   O
to   O
the   O
use   O
and   O
disclosure   O
of   O
health   O
information   O
as   O
described   O
.   O

Date   O
:   O
2/30   B-DATE
Confidentiality   O
Statement   O
:   O

The   O
information   O
contained   O
in   O
this   O
patient   O
report   O
is   O
confidential   O
,   O
protected   O
health   O
information   O
intended   O
only   O
for   O
the   O
use   O
of   O
Elizabeth   B-NAME
Fernandez   I-NAME
and   O
the   O
medical   O
staff   O
of   O
Hardin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Spock   B-NAME
,   I-NAME
Benjamin   I-NAME
Age   O
:   O
59   O
Medical   O
Record   O
Number   O
:   O
55908665   B-ID
Date   O
of   O
Visit   O
:   O
14/22   B-DATE
Hospital   O
:   O
Bath   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Doctor   O
:   O
Danny   B-NAME
Valentine   I-NAME
Address   O
:   O
Todmorden   B-LOCATION
,   O
97767   B-LOCATION
Phone   O
:   O
99895   B-CONTACT
Occupation   O
:   O
Probation   O
Officers   O
and   O
Correctional   O
Treatment   O
Specialists   O
Presenting   O
Complaint   O
:   O
Cyrus   B-NAME
Castillo   I-NAME
presented   O
to   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
on   O
00/22/2081   B-DATE
with   O
a   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
exacerbated   O
by   O
minimal   O
physical   O
exertion   O
,   O
and   O
orthopnea   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Medical   O
History   O
:   O
Erik   B-NAME
Iverson   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
,   O
diagnosed   O
approximately   O
63s   O
years   O
ago   O
,   O
and   O
a   O
past   O
myocardial   O
infarction   O
approximately   O
3   O
years   O
prior   O
to   O
this   O
visit   O
.   O

On   O
examination   O
,   O
Otero   B-NAME
appeared   O
dyspneic   O
at   O
rest   O
with   O
an   O
oxygen   O
saturation   O
of   O
89   O
%   O
on   O
room   O
air   O
,   O
which   O
improved   O
to   O
94   O
%   O
with   O
2   O
liters   O
per   O
minute   O
of   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
.   O

In   O
light   O
of   O
Sean   B-NAME
Vasques   I-NAME
's   O
extensive   O
smoking   O
history   O
and   O
existing   O
COPD   O
,   O
a   O
referral   O
to   O
a   O
pulmonologist   O
for   O
a   O
comprehensive   O
lung   O
function   O
test   O
was   O
also   O
made   O
.   O

Discharge   O
Instructions   O
:   O
Ken   B-NAME
Sylvester   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
new   O
medication   O
regimen   O
and   O
to   O
monitor   O
for   O
symptoms   O
of   O
worsening   O
heart   O
failure   O
including   O
monitoring   O
daily   O
weights   O
,   O
noting   O
any   O
increases   O
in   O
shortness   O
of   O
breath   O
,   O
especially   O
during   O
the   O
night   O
,   O
and   O
keeping   O
track   O
of   O
fluid   O
intake   O
and   O
output   O
.   O

The   O
patient   O
was   O
given   O
an   O
appointment   O
card   O
for   O
follow   O
-   O
up   O
in   O
the   O
cardiac   O
clinic   O
and   O
was   O
instructed   O
to   O
call   O
855   B-CONTACT
9217   I-CONTACT
in   O
case   O
of   O
any   O
emergencies   O
or   O
concerns   O
.   O

For   O
any   O
questions   O
or   O
to   O
report   O
changes   O
in   O
condition   O
,   O
Lacie   B-NAME
Luttrell   I-NAME
can   O
contact   O
Bradford   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
cardiology   O
department   O
at   O
401   B-CONTACT
6094   I-CONTACT
.   O

Patient   O
Name   O
:   O
Wilson   B-NAME
Patient   O
ID   O
:   O
HN   B-ID
:   I-ID
EK:6144   I-ID
Medical   O
Record   O
Number   O
:   O
7723B09147   B-ID
Date   O
of   O
Birth   O
:   O
2232   B-DATE
-   I-DATE
24   I-DATE
-   I-DATE
23   I-DATE
Age   O
:   O
93   O
Address   O
:   O
Papua   B-LOCATION
New   I-LOCATION
Guinea   I-LOCATION
,   O
72099   B-LOCATION
Phone   O
Number   O
:   O
986   B-CONTACT
-   I-CONTACT
678   I-CONTACT
-   I-CONTACT
6611   I-CONTACT
Attending   O
Physician   O
:   O

Serrano   B-NAME
Hospital   O
:   O

Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Greene   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/2120   B-DATE
Username   O
:   O
xsv05   B-NAME

The   O
patient   O
,   O
Lottie   B-NAME
Deschenes   I-NAME
,   O
a   O
Oceanographer   O
from   O
Hillside   B-LOCATION
,   O
presented   O
to   O
the   O
Parkland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Farmington   I-LOCATION
emergency   O
department   O
on   O
17/22/10   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
localized   O
predominantly   O
in   O
the   O
frontal   O
regions   O
.   O

Pieper   B-NAME
,   I-NAME
Josef   I-NAME
rated   O
the   O
headache   O
an   O
8   O
on   O
a   O
scale   O
of   O
1   O
-   O
10   O
,   O
with   O
10   O
being   O
the   O
most   O
severe   O
pain   O
imaginable   O
.   O

Amayeta   B-NAME
's   O
family   O
history   O
was   O
unremarkable   O
for   O
neurological   O
diseases   O
.   O

A   O
thorough   O
neurological   O
examination   O
by   O
Mateo   B-NAME
Chen   I-NAME
revealed   O
no   O
focal   O
neurological   O
deficits   O
.   O

Meadows   B-NAME
was   O
advised   O
to   O
stay   O
in   O
Johnson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
overnight   O
.   O

Instructions   O
for   O
continued   O
management   O
included   O
follow   O
-   O
up   O
visits   O
with   O
Butler   B-NAME
at   O
the   O
Neurology   O
Clinic   O
of   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
   I-LOCATION
Bradley   I-LOCATION
Memorial   I-LOCATION
Campus   I-LOCATION
for   O
reassessment   O
and   O
adjustment   O
of   O
migraine   O
prophylaxis   O
treatment   O
.   O

WKJ   B-NAME
was   O
also   O
counseled   O
on   O
the   O
importance   O
of   O
maintaining   O
a   O
headache   O
diary   O
.   O

Contact   O
Details   O
:   O
To   O
further   O
discuss   O
the   O
case   O
or   O
provide   O
additional   O
insights   O
,   O
please   O
contact   O
Natalie   B-NAME
Lam   I-NAME
at   O
(   B-CONTACT
617   I-CONTACT
)   I-CONTACT
763   I-CONTACT
4455   I-CONTACT
or   O
through   O
the   O
medical   O
office   O
located   O
in   O
Browns   B-LOCATION
Valley   I-LOCATION
.   O

The   O
patient   O
,   O
Russell   B-NAME
,   O
a   O
78   O
year   O
old   O
Coating   O
,   O
Painting   O
,   O
and   O
Spraying   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
from   O
Fullerton   B-LOCATION
,   O
39515   B-LOCATION
,   O
presented   O
to   O
Stanley   B-NAME
Rhodes   I-NAME
at   O
Children   B-LOCATION
's   I-LOCATION
Mercy   I-LOCATION
Northland   I-LOCATION
on   O
2251   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
05   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
rated   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
,   O
mainly   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
without   O
vomiting   O
.   O

The   O
patient   O
denies   O
any   O
recent   O
travel   O
outside   O
Pittsboro   B-LOCATION
or   O
any   O
unusual   O
dietary   O
intake   O
.   O

Upon   O
examination   O
,   O
Cunningham   B-NAME
,   I-NAME
Ward   I-NAME
noted   O
tenderness   O
upon   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
without   O
rebound   O
tenderness   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
,   O
ordered   O
on   O
03/8   B-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
rupture   O
.   O

Freeman   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
,   O
and   O
the   O
patient   O
was   O
admitted   O
to   O
Norman   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Porter   I-LOCATION
Campus   I-LOCATION
under   O
the   O
care   O
of   O
Grady   B-NAME
Lamb   I-NAME
,   O
Surgeon   O
,   O
for   O
an   O
appendectomy   O
scheduled   O
for   O
August   B-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
626   B-ID
-   I-ID
94   I-ID
-   I-ID
12   I-ID
-   I-ID
5   I-ID
was   O
updated   O
accordingly   O
to   O
reflect   O
the   O
diagnosis   O
and   O
planned   O
surgical   O
intervention   O
.   O

The   O
patient   O
provided   O
verbal   O
and   O
written   O
consent   O
for   O
the   O
procedure   O
after   O
a   O
thorough   O
explanation   O
of   O
the   O
risks   O
and   O
benefits   O
was   O
provided   O
by   O
Siouxsie   B-NAME
Bundette   I-NAME
.   O

The   O
patient   O
's   O
emergency   O
contact   O
,   O
listed   O
as   O
Refuse   O
and   O
Recyclable   O
Material   O
Collectors   O
,   O
was   O
notified   O
by   O
phone   O
at   O
41550   B-CONTACT
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
13/23   B-DATE
at   O
DLP   B-LOCATION
Conemaugh   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

The   O
patient   O
's   O
employer   O
,   O
Escambia   B-LOCATION
River   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
,   O
was   O
contacted   O
with   O
the   O
patient   O
's   O
consent   O
,   O
to   O
discuss   O
temporary   O
work   O
adjustments   O
needed   O
during   O
recovery   O
.   O

All   O
personal   O
health   O
information   O
,   O
including   O
the   O
patient   O
's   O
identity   O
Justice   B-NAME
Finley   I-NAME
,   O
medical   O
record   O
53956463   B-ID
,   O
contact   O
details   O
62389   B-CONTACT
,   O
and   O
address   O
in   O
Fort   B-LOCATION
Belvoir   I-LOCATION
,   O
has   O
been   O
carefully   O
documented   O
and   O
protected   O
in   O
adherence   O
with   O
HIPAA   O
regulations   O
.   O

The   O
case   O
is   O
documented   O
under   O
ID   O
508236   B-ID
for   O
reference   O
in   O
future   O
clinical   O
audits   O
and   O
reviews   O
.   O

Patient   O
Name   O
:   O
Darell   B-NAME
Noirgrim   I-NAME
Patient   O
ID   O
:   O
BZ792/6480   B-ID
Medical   O
Record   O
Number   O
:   O
09302160   B-ID
Date   O
of   O
Birth   O
:   O
3/17   B-DATE
Age   O
:   O
89s   O
Phone   O
Number   O
:   O
(   B-CONTACT
317   I-CONTACT
)   I-CONTACT
784   I-CONTACT
4428   I-CONTACT
Address   O
:   O
8270   B-LOCATION
South   I-LOCATION
Green   I-LOCATION
Hill   I-LOCATION
Drive   I-LOCATION
,   O
24532   B-LOCATION
Occupation   O
:   O

Learning   O
mentor   O
Primary   O
Care   O
Physician   O
:   O
Moss   B-NAME
Hospital   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Macomb   I-LOCATION
County   I-LOCATION
Date   O
of   O
Admission   O
:   O
39/23   B-DATE
Date   O
of   O
Discharge   O
:   O
32/33   B-DATE
Chief   O
Complaint   O
:   O
Angelina   B-NAME
Alexander   I-NAME
,   O
a   O
IT   O
support   O
analyst   O
from   O
Old   B-LOCATION
Tappan   I-LOCATION
,   O
was   O
admitted   O
to   O
Mercy   B-LOCATION
McCune   I-LOCATION
-   I-LOCATION
Brooks   I-LOCATION
Hospital   I-LOCATION
on   O
01/26/2237   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
persisting   O
for   O
the   O
last   O
72   O
hours   O
.   O

The   O
patient   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
fever   O
of   O
101.2   O
°   O
F   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Galen   B-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
3   O
days   O
prior   O
to   O
admission   O
.   O

Pearle   B-NAME
Bergfalk   I-NAME
has   O
not   O
experienced   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
at   O
TriStar   B-LOCATION
Greenview   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
in   O
06/21   B-DATE
.   O
Social   O
History   O
:   O
Narvaez   B-NAME
is   O
a   O
Creative   O
Writers   O
with   O
a   O
20   O
pack   O
-   O
year   O
smoking   O
history   O
but   O
quit   O
smoking   O
in   O
22/31/2313   B-DATE
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Forrest   B-NAME
Morgan   I-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
101.2   O
°   O
F   O
.   O

Surgical   O
consultation   O
with   O
Aguirre   B-NAME
was   O
requested   O
,   O
and   O
an   O
appendectomy   O
was   O
scheduled   O
for   O
September   B-DATE
.   O

Follow   O
-   O
up   O
:   O
John   B-NAME
H.   I-NAME
Watson   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Winters   B-NAME
at   O
Abrazo   B-LOCATION
West   I-LOCATION
Campus   I-LOCATION
on   O
1975   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
30   I-DATE
for   O
wound   O
check   O
and   O
to   O
assess   O
recovery   O
progress   O
.   O

Discharge   O
Instructions   O
:   O
Harold   B-NAME
II   I-NAME
Godwinson   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
was   O
advised   O
to   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activity   O
for   O
a   O
period   O
of   O
4   O
weeks   O
.   O

For   O
any   O
concerns   O
or   O
complications   O
,   O
Karlee   B-NAME
Castaneda   I-NAME
was   O
advised   O
to   O
contact   O
South   B-LOCATION
Miami   I-LOCATION
Hospital   I-LOCATION
at   O
30618   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
immediately   O
.   O

Patient   O
Name   O
:   O
Caden   B-NAME
Date   O
of   O
Birth   O
:   O
03/23   B-DATE
Age   O
:   O
26   O
Medical   O
Record   O
Number   O
:   O
235   B-ID
-   I-ID
66   I-ID
-   I-ID
68   I-ID
-   I-ID
1   I-ID
Address   O
:   O
Taylorville   B-LOCATION
,   I-LOCATION
Taylorville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
29220   B-LOCATION
Phone   O
Number   O
:   O
748   B-CONTACT
7481   I-CONTACT

Attending   O
Physician   O
:   O
Mann   B-NAME
Employment   O
:   O
Private   O
music   O
teacher   O
at   O
Tuesday   B-LOCATION
Morning   I-LOCATION
ID   O
Number   O
:   O
88815635   B-ID
Username   O
:   O
YE394   B-NAME
Clinical   O
Summary   O
:   O

Lera   B-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
South   B-LOCATION
Fulton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/22   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Marc   B-NAME
Leblanc   I-NAME
reported   O
a   O
lack   O
of   O
appetite   O
and   O
denied   O
experiencing   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
recent   O
travel   O
history   O
to   O
Corona   B-LOCATION
de   I-LOCATION
Tucson   I-LOCATION
.   O

Dali   B-NAME
,   I-NAME
Salvador   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
gallstones   O
and   O
hyperlipidemia   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Nathalie   B-NAME
Wood   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
temperature   O
was   O
98.6   O
°   O
F   O
,   O
heart   O
rate   O
was   O
100   O
bpm   O
,   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Echols   B-NAME
,   I-NAME
Damien   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
led   O
by   O
Darian   B-NAME
Skinner   I-NAME
was   O
consulted   O
,   O
and   O
a   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

Dorthea   B-NAME
Classen   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
and   O
written   O
informed   O
consent   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
00/3   B-DATE
without   O
any   O
complications   O
.   O

Echeverria   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
2   O
weeks   O
for   O
postoperative   O
evaluation   O
.   O

Discharge   O
Instructions   O
:   O
Antoninius   B-NAME
Bernitsky   I-NAME
was   O
discharged   O
on   O
1646   B-DATE
with   O
instructions   O
to   O
maintain   O
a   O
clear   O
liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
operation   O
,   O
gradually   O
progressing   O
to   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

Pineda   B-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
and   O
discharge   O
.   O

Any   O
fever   O
or   O
increase   O
in   O
pain   O
should   O
prompt   O
an   O
immediate   O
visit   O
to   O
the   O
nearest   O
healthcare   O
facility   O
or   O
contact   O
with   O
Wadley   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
at   O
(   B-CONTACT
139   I-CONTACT
)   I-CONTACT
367   I-CONTACT
1069   I-CONTACT
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Daugherty   B-NAME
at   O
Lakeview   B-LOCATION
Hospital   I-LOCATION
for   O
20/27/69   B-DATE
to   O
assess   O
Echols   B-NAME
's   O
postoperative   O
recovery   O
and   O
wound   O
healing   O
.   O

STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
was   O
reminded   O
to   O
call   O
the   O
clinic   O
at   O
182   B-CONTACT
-   I-CONTACT
6831   I-CONTACT
should   O
any   O
questions   O
or   O
concerns   O
arise   O
prior   O
to   O
the   O
scheduled   O
visit   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Dalila   B-NAME
Age   O
:   O
9s   O
Date   O
of   O
Birth   O
:   O
09/01   B-DATE
Medical   O
Record   O
Number   O
:   O
22664104   B-ID
Phone   O
Number   O
:   O
36242   B-CONTACT
Address   O
:   O
West   B-LOCATION
Springfield   I-LOCATION
Town   I-LOCATION
,   O
45386   B-LOCATION
Occupation   O
:   O
Statisticians   O
Emergency   O
Contact   O
:   O
812   B-CONTACT
4439   I-CONTACT
Physician   O
:   O

Ayers   B-NAME
Hospital   O
:   O
Parkview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
0   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
90   I-DATE
ID   O
Number   O
:   O
WM   B-ID
:   I-ID
WO:3324   I-ID
Summary   O
:   O

Alec   B-NAME
Rojas   I-NAME
,   O
a   O
Production   O
Laborers   O
,   O
presented   O
to   O
AdventHealth   B-LOCATION
Daytona   I-LOCATION
Beach   I-LOCATION
on   O
33/10   B-DATE
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Erica   B-NAME
Harrell   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
,   O
accompanied   O
by   O
nausea   O
and   O
occasional   O
vomiting   O
.   O

Bowel   O
movements   O
were   O
described   O
as   O
irregular   O
,   O
with   O
episodes   O
of   O
both   O
diarrhea   O
and   O
constipation   O
over   O
the   O
past   O
0/12/56   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Hebert   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Zechariah   B-NAME
Knapp   I-NAME
was   O
admitted   O
to   O
ONSLOW   B-LOCATION
MEMORIAL   I-LOCATION
HOSPITAL   I-LOCATION
for   O
intravenous   O
fluid   O
therapy   O
,   O
pain   O
management   O
,   O
and   O
nutritional   O
support   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Gracelyn   B-NAME
Reid   I-NAME
were   O
scheduled   O
for   O
1720   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
28   I-DATE
to   O
monitor   O
Snyder   B-NAME
's   O
condition   O
and   O
manage   O
pancreatitis   O
.   O

Conclusion   O
:   O
Simon   B-NAME
,   I-NAME
Paul   I-NAME
's   O
presentation   O
was   O
consistent   O
with   O
acute   O
pancreatitis   O
.   O

Initial   O
treatment   O
in   O
Rose   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
successful   O
,   O
with   O
Ripa   B-NAME
,   I-NAME
Kelly   I-NAME
showing   O
signs   O
of   O
improvement   O
before   O
discharge   O
.   O

Patient   O
Education   O
:   O
Harleen   B-NAME
Quinzel   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
diet   O
and   O
lifestyle   O
in   O
managing   O
pancreatitis   O
.   O

Fitzgerald   B-NAME
was   O
urged   O
to   O
maintain   O
communication   O
with   O
Salas   B-NAME
and   O
report   O
any   O
recurrence   O
of   O
symptoms   O
immediately   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Lenna   B-NAME
Age   O
:   O
80   O
Date   O
of   O
Birth   O
:   O
8   B-DATE
-   I-DATE
2   I-DATE
Address   O
:   O
Carey   B-LOCATION
,   O
39589   B-LOCATION
Phone   O
Number   O
:   O
482   B-CONTACT
-   I-CONTACT
4563   I-CONTACT
Occupation   O
:   O
Precision   O
Devices   O
Inspectors   O
and   O
Testers   O
Medical   O
Record   O
Number   O
:   O
51829670   B-ID
ID   O
Number   O
:   O
3   B-ID
-   I-ID
9642968   I-ID
Emergency   O
Contact   O
:   O
Name   O
:   O
Bonner   B-NAME
,   I-NAME
Elena   I-NAME
Phone   O
Number   O
:   O
558   B-CONTACT
-   I-CONTACT
1456   I-CONTACT
Relationship   O
:   O
Dining   O
Room   O
and   O
Cafeteria   O
Attendants   O
and   O
Bartender   O
Helpers   O
Healthcare   O
Provider   O
:   O
Primary   O
Care   O
Physician   O
:   O

Clinton   B-NAME
Trevino   I-NAME
Clinic   O
:   O
Tri   B-LOCATION
-   I-LOCATION
State   I-LOCATION
EMC   I-LOCATION
Hospital   O
:   O
Meadville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Phone   O
Number   O
:   O
97577   B-CONTACT
Visit   O
Information   O
:   O
Date   O
of   O
Visit   O
:   O
30/20   B-DATE
Reason   O
for   O
Visit   O
:   O
Dylan   B-NAME
West   I-NAME
presented   O
with   O
persistent   O
symptoms   O
suggestive   O
of   O
an   O
upper   O
respiratory   O
tract   O
infection   O
,   O
characterized   O
by   O
a   O
sore   O
throat   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
nasal   O
congestion   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
37/20/2283   B-DATE
,   O
with   O
no   O
noted   O
improvement   O
despite   O
over   O
-   O
the   O
-   O
counter   O
treatments   O
.   O

Medical   O
History   O
:   O
Bruce   B-NAME
has   O
a   O
documented   O
history   O
of   O
seasonal   O
allergies   O
and   O
had   O
been   O
previously   O
diagnosed   O
with   O
asthma   O
during   O
childhood   O
.   O

Symptoms   O
:   O
-   O
Persistent   O
sore   O
throat   O
-   O
Non   O
-   O
productive   O
cough   O
-   O
Nasal   O
congestion   O
-   O
Reported   O
low   O
-   O
grade   O
fever   O
(   O
July   B-DATE
2093   I-DATE
)   O
-   O

No   O
reported   O
shortness   O
of   O
breath   O
or   O
wheezing   O
Physical   O
Examination   O
:   O
An   O
examination   O
conducted   O
by   O
Janet   B-NAME
Burke   I-NAME
revealed   O
erythematic   O
oropharynx   O
without   O
puss   O
or   O
exudate   O
.   O

Diagnostic   O
Studies   O
:   O
A   O
rapid   O
streptococcal   O
antigen   O
test   O
was   O
performed   O
in   O
-   O
office   O
on   O
2046   B-DATE
,   O
with   O
negative   O
results   O
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
32/11   B-DATE
to   O
reassess   O
symptoms   O
and   O
potential   O
need   O
for   O
further   O
diagnostic   O
evaluation   O
.   O

Preventive   O
Measures   O
:   O
Recommendations   O
were   O
made   O
to   O
Sammy   B-NAME
Richmond   I-NAME
to   O
consider   O
receiving   O
the   O
annual   O
influenza   O
vaccine   O
and   O
discussing   O
the   O
possible   O
benefits   O
of   O
receiving   O
the   O
pneumococcal   O
vaccine   O
with   O
Rich   B-NAME
during   O
the   O
next   O
visit   O
.   O

Instructions   O
for   O
Patient   O
:   O
Dierdre   B-NAME
Mullan   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
,   O
if   O
there   O
is   O
difficulty   O
breathing   O
,   O
or   O
if   O
the   O
fever   O
exceeds   O
101   O
°   O
F   O
.   O

The   O
Santa   B-LOCATION
Barbara   I-LOCATION
Cottage   I-LOCATION
Hospital   I-LOCATION
is   O
committed   O
to   O
providing   O
excellent   O
care   O
and   O
appreciates   O
Alfreda   B-NAME
Vandermark   I-NAME
entrusting   O
their   O
health   O
to   O
our   O
medical   O
staff   O
.   O

Should   O
any   O
questions   O
arise   O
,   O
please   O
feel   O
free   O
to   O
contact   O
Hays   B-NAME
at   O
304   B-CONTACT
-   I-CONTACT
839   I-CONTACT
9631   I-CONTACT
.   O

Document   O
Prepared   O
By   O
:   O
YP702   B-NAME
Date   O
:   O
02/67   B-DATE

Patient   O
Report   O
for   O
WL   B-NAME
Demographics   O
:   O
Age   O
:   O
17   O
Gender   O
:   O
Male   O
ID   O
:   O
XM   B-ID
:   I-ID
XJ:8322   I-ID
Medical   O
Record   O
Number   O
:   O
038   B-ID
-   I-ID
95   I-ID
-   I-ID
26   I-ID
Phone   O
:   O
722   B-CONTACT
-   I-CONTACT
6947   I-CONTACT
Location   O
:   O
Fontana   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
92336   I-LOCATION
Zip   O
:   O
62956   B-LOCATION
Occupation   O
:   O
Computer   O
-   O
Controlled   O
Machine   O
Tool   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
Chief   O
Complaint   O
:   O
Patient   O
presented   O
to   O
Granville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/20/67   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headache   O
,   O
markedly   O
worsened   O
over   O
the   O
past   O
48   O
hours   O
.   O

Jazlynn   B-NAME
Owen   I-NAME
describes   O
the   O
headache   O
as   O
throbbing   O
and   O
localized   O
primarily   O
to   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

Accompanying   O
the   O
headache   O
,   O
Hieth   B-NAME
Kingson   I-NAME
also   O
reported   O
experiencing   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Noah   B-NAME
Macias   I-NAME
denies   O
any   O
history   O
of   O
similar   O
headaches   O
in   O
the   O
past   O
and   O
states   O
that   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
have   O
been   O
ineffective   O
in   O
managing   O
the   O
symptoms   O
.   O

Esposito   B-NAME
also   O
notes   O
an   O
unintentional   O
weight   O
loss   O
of   O
5   O
kilograms   O
over   O
the   O
past   O
month   O
and   O
intermittent   O
night   O
sweats   O
.   O

Medical   O
History   O
:   O
Booker   B-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
,   O
for   O
which   O
he   O
is   O
currently   O
taking   O
medication   O
prescribed   O
by   O
Maurice   B-NAME
Diaz   I-NAME
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Erika   B-NAME
Roberson   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
MRI   O
of   O
the   O
brain   O
,   O
ordered   O
by   O
Newton   B-NAME
and   O
conducted   O
on   O
11/2292   B-DATE
,   O
showed   O
no   O
evidence   O
of   O
intracranial   O
hemorrhage   O
,   O
mass   O
effect   O
,   O
or   O
acute   O
infarct   O
.   O

Treatment   O
Plan   O
:   O
Arely   B-NAME
Gonzalez   I-NAME
was   O
started   O
on   O
a   O
treatment   O
regimen   O
of   O
oral   O
sumatriptan   O
and   O
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
neurology   O
clinic   O
at   O
Bellevue   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Levy   B-NAME
for   O
25/22   B-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

Signed   O
:   O
Angeline   B-NAME
Kline   I-NAME
32/19/16   B-DATE

Patient   O
's   O
Name   O
:   O
Elena   B-NAME
Vong   I-NAME
Age   O
:   O
44   O
Medical   O
Record   O
Number   O
:   O
60653084   B-ID
Date   O
of   O
Visit   O
:   O
2/30   B-DATE
Attending   O
Physician   O
:   O

Dr.   O
Cael   B-NAME
Washington   I-NAME
Location   O
of   O
Visit   O
:   O
Pioneer   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Early   I-LOCATION
,   O
Sugartown   B-LOCATION
Zip   O
Code   O
:   O
84614   B-LOCATION
Phone   O
Number   O
:   O
37305   B-CONTACT
Occupation   O
:   O

Title   O
Examiners   O
and   O
Abstractors   O
Username   O
:   O
ZD921   B-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
9067248   I-ID

The   O
patient   O
,   O
Cat   B-NAME
Black   I-NAME
,   O
presented   O
to   O
Iowa   B-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
in   O
Houston   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77036   I-LOCATION
,   O
on   O
30   B-DATE
-   I-DATE
23   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Additionally   O
,   O
Mastrianni   B-NAME
Ingran   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Over   O
the   O
past   O
19/32   B-DATE
,   O
there   O
has   O
been   O
a   O
noticeable   O
yellowish   O
discoloration   O
of   O
the   O
skin   O
and   O
eyes   O
,   O
indicative   O
of   O
jaundice   O
.   O

KYLE   B-NAME
LEVINE   I-NAME
,   O
whose   O
occupation   O
is   O
Licensing   O
Examiners   O
and   O
Inspectors   O
,   O
mentioned   O
that   O
the   O
symptoms   O
have   O
progressively   O
worsened   O
over   O
this   O
period   O
,   O
leading   O
to   O
significant   O
distress   O
and   O
impairment   O
in   O
daily   O
activities   O
.   O

On   O
physical   O
examination   O
,   O
Urijah   B-NAME
Beck   I-NAME
exhibited   O
tenderness   O
in   O
the   O
upper   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
along   O
with   O
the   O
aforementioned   O
jaundice   O
.   O

Given   O
the   O
clinical   O
presentation   O
,   O
Dr.   O
Braiden   B-NAME
Cordova   I-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
comprehensive   O
metabolic   O
panel   O
,   O
ultrasound   O
of   O
the   O
abdomen   O
,   O
and   O
an   O
MRI   O
of   O
the   O
hepatobiliary   O
system   O
.   O

The   O
management   O
plan   O
,   O
as   O
discussed   O
by   O
Dr.   O
Tatum   B-NAME
Ballard   I-NAME
with   O
Manning   B-NAME
,   O
involved   O
conservative   O
treatment   O
with   O
intravenous   O
fluids   O
,   O
antibiotics   O
,   O
and   O
pain   O
management   O
.   O

1st   B-LOCATION
Centennial   I-LOCATION
Bank   I-LOCATION
was   O
responsible   O
for   O
processing   O
Koch   B-NAME
's   O
health   O
insurance   O
claims   O
,   O
ensuring   O
that   O
the   O
patient   O
ID   O
:   O
4   B-ID
-   I-ID
8788746   I-ID
,   O
was   O
duly   O
registered   O
in   O
their   O
system   O
.   O

Regular   O
updates   O
on   O
the   O
patient   O
's   O
health   O
status   O
and   O
treatment   O
plan   O
were   O
documented   O
in   O
the   O
medical   O
record   O
number   O
630   B-ID
-   I-ID
98   I-ID
-   I-ID
15   I-ID
-   I-ID
4   I-ID
,   O
accessible   O
to   O
the   O
medical   O
team   O
at   O
Saint   B-LOCATION
Thomas   I-LOCATION
Rutherford   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
follow   O
-   O
up   O
appointments   O
,   O
Holmes   B-NAME
was   O
advised   O
to   O
contact   O
the   O
gastroenterology   O
department   O
directly   O
at   O
169   B-CONTACT
3509   I-CONTACT
.   O

Velez   B-NAME
's   O
progress   O
and   O
any   O
adjustments   O
to   O
the   O
treatment   O
plan   O
would   O
be   O
reviewed   O
during   O
these   O
visits   O
,   O
with   O
Dr.   O
Cuevas   B-NAME
overseeing   O
the   O
continuity   O
of   O
care   O
.   O

In   O
summary   O
,   O
Tenesha   B-NAME
Perlman   I-NAME
expressed   O
gratitude   O
for   O
the   O
comprehensive   O
and   O
empathetic   O
care   O
received   O
at   O
The   B-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
Providence   I-LOCATION
-   I-LOCATION
Sierra   I-LOCATION
Campus   I-LOCATION
in   O
Pamelia   B-LOCATION
Center   I-LOCATION
.   O

The   O
collaborative   O
approach   O
among   O
the   O
healthcare   O
team   O
,   O
alongside   O
the   O
support   O
from   O
Australian   B-LOCATION
Maritime   I-LOCATION
Officers   I-LOCATION
Union   I-LOCATION
,   O
ensured   O
a   O
coordinated   O
effort   O
in   O
managing   O
this   O
challenging   O
medical   O
condition   O
.   O

Patient   O
's   O
Name   O
:   O
Rosa   B-NAME
Molina   I-NAME
Age   O
:   O
21   O
Date   O
of   O
Birth   O
:   O
24/13/2102   B-DATE
Phone   O
Number   O
:   O
640   B-CONTACT
-   I-CONTACT
7611   I-CONTACT
Address   O
:   O
Statesboro   B-LOCATION
,   O
31583   B-LOCATION
Profession   O
:   O
Stock   O
Clerks   O
,   O
Sales   O
Floor   O
Primary   O
Care   O
Physician   O
:   O

Jaslene   B-NAME
Conrad   I-NAME
Hospital   O
:   O
Sutter   B-LOCATION
Amador   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
77409595   B-ID
Patient   O
ID   O
:   O
QH   B-ID
:   I-ID
BL:1546   I-ID
Clinical   O
Summary   O
:   O
Madden   B-NAME
,   O
a   O
76   O
-   O
year   O
-   O
old   O
Historians   O
,   O
presented   O
to   O
Reston   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
30/09/98   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
progressive   O
,   O
bilateral   O
lower   O
extremity   O
weakness   O
and   O
numbness   O
over   O
the   O
course   O
of   O
three   O
weeks   O
.   O

Montoya   B-NAME
denies   O
any   O
trauma   O
or   O
precipitating   O
event   O
.   O

Further   O
inquiry   O
into   O
Bobby   B-NAME
Aguirre   I-NAME
's   O
history   O
revealed   O
a   O
recent   O
episode   O
of   O
gastroenteritis   O
approximately   O
32/66   B-DATE
,   O
which   O
resolved   O
after   O
a   O
few   O
days   O
without   O
intervention   O
.   O

James   B-NAME
Kildare   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
use   O
.   O

Neurological   O
examination   O
conducted   O
by   O
Atkins   B-NAME
indicated   O
diminished   O
strength   O
in   O
both   O
lower   O
extremities   O
,   O
graded   O
3/5   O
in   O
the   O
proximal   O
muscles   O
and   O
4/5   O
distally   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Stafford   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Brilliant   B-NAME
,   I-NAME
Ashleigh   I-NAME
for   O
further   O
observation   O
and   O
management   O
.   O

Intravenous   O
immunoglobulin   O
(   O
IVIG   O
)   O
therapy   O
was   O
initiated   O
on   O
January   B-DATE
2005   I-DATE
after   O
a   O
lumbar   O
puncture   O
confirmed   O
albuminocytologic   O
dissociation   O
characteristic   O
of   O
GBS   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Cinnamon   B-NAME
's   O
condition   O
was   O
closely   O
monitored   O
by   O
a   O
multidisciplinary   O
team   O
including   O
neurology   O
,   O
physical   O
therapy   O
,   O
and   O
nursing   O
staff   O
.   O

The   O
patient   O
showed   O
initial   O
signs   O
of   O
improvement   O
in   O
muscle   O
strength   O
and   O
sensory   O
symptoms   O
by   O
32/30/00   B-DATE
.   O

Discharge   O
planning   O
included   O
referrals   O
to   O
outpatient   O
physical   O
therapy   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Cantrell   B-NAME
scheduled   O
for   O
March   B-DATE
.   O

The   O
patient   O
was   O
counseled   O
on   O
the   O
importance   O
of   O
monitoring   O
for   O
respiratory   O
difficulties   O
and   O
was   O
provided   O
with   O
emergency   O
contact   O
numbers   O
,   O
including   O
493   B-CONTACT
8324   I-CONTACT
,   O
in   O
case   O
of   O
urgent   O
concerns   O
.   O

This   O
case   O
was   O
documented   O
in   O
the   O
health   O
record   O
system   O
under   O
the   O
identification   O
number   O
232   B-ID
-   I-ID
03   I-ID
-   I-ID
76   I-ID
-   I-ID
7   I-ID
and   O
shall   O
be   O
reviewed   O
in   O
the   O
scheduled   O
follow   O
-   O
up   O
for   O
assessing   O
the   O
progression   O
and   O
response   O
to   O
treatment   O
.   O

The   O
patient   O
,   O
Tiana   B-NAME
Jackson   I-NAME
,   O
3   O
month   O
years   O
old   O
,   O
presented   O
to   O
Highlands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Sebring   I-LOCATION
)   I-LOCATION
on   O
32/22   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Upon   O
physical   O
examination   O
,   O
Mercer   B-NAME
observed   O
rebound   O
tenderness   O
in   O
the   O
McBurney   O
's   O
point   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

The   O
patient   O
's   O
406   B-ID
-   I-ID
99   I-ID
-   I-ID
67   I-ID
-   I-ID
1   I-ID
number   O
is   O
CY   B-ID
:   I-ID
CE:3345   I-ID
,   O
and   O
they   O
reside   O
at   O
Wyndham   B-LOCATION
,   O
94272   B-LOCATION
.   O

Contact   O
was   O
made   O
with   O
the   O
patient   O
's   O
next   O
of   O
kin   O
via   O
phone   O
number   O
97084   B-CONTACT
to   O
inform   O
them   O
of   O
the   O
situation   O
and   O
plan   O
for   O
surgical   O
intervention   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Ortiz   B-NAME
,   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
03/23   B-DATE
.   O

Follow   O
-   O
up   O
plans   O
include   O
an   O
outpatient   O
visit   O
to   O
the   O
surgery   O
clinic   O
in   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
in   O
two   O
weeks   O
from   O
05/20   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

For   O
privacy   O
concerns   O
,   O
the   O
patient   O
's   O
contact   O
information   O
has   O
been   O
stored   O
under   O
vs415   B-NAME
in   O
the   O
hospital   O
’s   O
secure   O
digital   O
health   O
record   O
system   O
.   O

The   O
care   O
team   O
remains   O
available   O
for   O
consultation   O
through   O
the   O
main   O
hospital   O
line   O
at   O
997   B-CONTACT
2375   I-CONTACT
.   O

Patient   O
Name   O
:   O
Gayle   B-NAME
Arrant   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
5077484   I-ID
Medical   O
Record   O
Number   O
:   O
018   B-ID
-   I-ID
19   I-ID
-   I-ID
62   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
2/2/2032   B-DATE
Age   O
:   O
87   O
Address   O
:   O
Fair   B-LOCATION
Lakes   I-LOCATION
,   O
61130   B-LOCATION
Phone   O
:   O
220   B-CONTACT
-   I-CONTACT
1919   I-CONTACT
Attending   O
Physician   O
:   O
Dr.   O
James   B-NAME
Fraser   I-NAME
Hospital   O
:   O
Redlands   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
14/24/90   B-DATE
Discharge   O
Date   O
:   O
12/23/2215   B-DATE
Chief   O
Complaint   O
:   O

Trey   B-NAME
Villa   I-NAME
,   O
a   O
Teaching   O
/   O
classroom   O
assistant   O
from   O
Ferguson   B-LOCATION
,   O
was   O
admitted   O
to   O
AMITA   B-LOCATION
Health   I-LOCATION
Adventist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hinsdale   I-LOCATION
on   O
4/20   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
sporadic   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Hughes   B-NAME
,   I-NAME
Charles   I-NAME
Evans   I-NAME
also   O
reported   O
a   O
slight   O
fever   O
and   O
a   O
diminished   O
appetite   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

Medical   O
History   O
:   O
Vernon   B-NAME
Toth   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
diet   O
modification   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Walter   B-NAME
Patton   I-NAME
exhibited   O
mild   O
distress   O
due   O
to   O
abdominal   O
pain   O
.   O

Treatment   O
:   O
Kidd   B-NAME
,   I-NAME
Yechiel   I-NAME
was   O
immediately   O
started   O
on   O
intravenous   O
fluids   O
and   O
antibiotics   O
.   O

After   O
stabilization   O
and   O
under   O
the   O
care   O
of   O
Dr.   O
Jaiden   B-NAME
Wilcox   I-NAME
,   O
Parks   B-NAME
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
on   O
2275   B-DATE
-   I-DATE
35   I-DATE
-   I-DATE
17   I-DATE
.   O

Postoperative   O
Course   O
:   O
The   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
Maximillian   B-NAME
Roivas   I-NAME
's   O
symptoms   O
significantly   O
improved   O
following   O
surgery   O
.   O

Aaron   B-NAME
Myers   I-NAME
was   O
advised   O
on   O
postoperative   O
care   O
,   O
including   O
wound   O
care   O
and   O
activity   O
limitations   O
.   O

Pritchard   B-NAME
was   O
discharged   O
on   O
0/33   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
in   O
one   O
week   O
or   O
sooner   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
increased   O
abdominal   O
pain   O
develop   O
.   O

Username   O
for   O
Hospital   O
Portal   O
:   O
ncl500   B-NAME
Prescribed   O
Medications   O
:   O
Information   O
related   O
to   O
medications   O
has   O
been   O
entered   O
into   O
the   O
hospital   O
's   O
electronic   O
health   O
record   O
system   O
for   O
pharmacist   O
review   O
.   O

Follow   O
-   O
Up   O
:   O
Butler   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Aditya   B-NAME
Meadows   I-NAME
at   O
Vassar   B-LOCATION
Brothers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2147   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
.   O

Summary   O
:   O
This   O
report   O
details   O
the   O
case   O
of   O
Bruno   B-NAME
,   I-NAME
Giordano   I-NAME
,   O
a   O
79   O
-   O
year   O
-   O
old   O
Janitors   O
and   O
Cleaners   O
,   O
Except   O
Maids   O
and   O
Housekeeping   O
Cleaners   O
from   O
Hayfork   B-LOCATION
,   O
who   O
was   O
diagnosed   O
and   O
treated   O
for   O
acute   O
appendicitis   O
at   O
Holton   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Holton   I-LOCATION
.   O

Patient   O
Name   O
:   O
Jeri   B-NAME
Clingan   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
8867779   I-ID
Date   O
of   O
Birth   O
:   O
2122   B-DATE
Age   O
:   O
0   O
Phone   O
Number   O
:   O
155   B-CONTACT
1353   I-CONTACT
Address   O
:   O
627   B-LOCATION
Colonial   I-LOCATION
Lane   I-LOCATION
,   O
95039   B-LOCATION
Occupation   O
:   O
Construction   O
Carpenters   O
Primary   O
Physician   O
:   O

Guadalupe   B-NAME
Trujillo   I-NAME
Medical   O
Record   O
Number   O
:   O
2498064   B-ID
Admitting   O
Hospital   O
:   O
Light   B-LOCATION
Beacon   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/26/12   B-DATE
Clinical   O
Summary   O
:   O
Cash   B-NAME
Poole   I-NAME
,   O
a   O
74   O
-   O
year   O
-   O
old   O
Medical   O
Assistants   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
John   B-LOCATION
J.   I-LOCATION
Pershing   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/02/2192   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
further   O
questioning   O
,   O
Jayvion   B-NAME
Mcmillan   I-NAME
mentioned   O
experiencing   O
more   O
stress   O
at   O
work   O
,   O
describing   O
the   O
work   O
environment   O
at   O
Grange   B-LOCATION
Mutual   I-LOCATION
Casualty   I-LOCATION
Company   I-LOCATION
as   O
particularly   O
strenuous   O
over   O
the   O
past   O
few   O
months   O
.   O

Physical   O
examination   O
conducted   O
by   O
Mcmahon   B-NAME
revealed   O
diaphoresis   O
and   O
pallor   O
.   O

Gertrude   B-NAME
Fulton   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
as   O
per   O
the   O
acute   O
MI   O
management   O
protocol   O
.   O

Laurel   B-NAME
,   I-NAME
Stan   I-NAME
was   O
also   O
referred   O
to   O
the   O
cardiology   O
department   O
for   O
further   O
evaluation   O
,   O
including   O
coronary   O
angiography   O
,   O
planned   O
for   O
2115   B-DATE
.   O

The   O
patient   O
is   O
currently   O
under   O
continuous   O
monitoring   O
in   O
the   O
cardiac   O
care   O
unit   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Aurora   I-LOCATION
,   O
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Levine   B-NAME
for   O
further   O
management   O
and   O
potential   O
intervention   O
if   O
deemed   O
necessary   O
.   O

Family   O
members   O
have   O
been   O
informed   O
and   O
are   O
in   O
contact   O
with   O
the   O
medical   O
team   O
via   O
788   B-CONTACT
-   I-CONTACT
925   I-CONTACT
-   I-CONTACT
4213   I-CONTACT
.   O

Sloane   B-NAME
Woodard   I-NAME
's   O
condition   O
has   O
been   O
stable   O
over   O
the   O
last   O
24   O
hours   O
,   O
showing   O
signs   O
of   O
improvement   O
.   O

In   O
follow   O
-   O
up   O
,   O
Drake   B-NAME
Chavez   I-NAME
will   O
be   O
assessed   O
for   O
cardiac   O
rehabilitation   O
suitability   O
to   O
promote   O
recovery   O
and   O
prevent   O
future   O
cardiac   O
events   O
.   O

Marques   B-NAME
Drake   I-NAME
Patient   O
ID   O
:   O
AQ:66148:760543   B-ID
Medical   O
Record   O
Number   O
:   O
65337632   B-ID
Date   O
of   O
Birth   O
:   O

March   B-DATE
2065   I-DATE
Age   O
:   O
41   O
Address   O
:   O
Granton   B-LOCATION
,   O
75016   B-LOCATION
Phone   O
Number   O
:   O
560   B-CONTACT
320   I-CONTACT
-   I-CONTACT
2727   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Ruiz   B-NAME
Admitting   O
Hospital   O
:   O
St.   B-LOCATION
Petersburg   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/37/72   B-DATE
Employer   O
:   O
UN   B-LOCATION
Watch   I-LOCATION
Occupation   O
:   O
pilot   O
History   O
of   O
present   O
illness   O
:   O
Warhol   B-NAME
,   I-NAME
Andy   I-NAME
presented   O
to   O
H.   B-LOCATION
Lee   I-LOCATION
Moffitt   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Research   I-LOCATION
Institute   I-LOCATION
on   O
04/28   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
that   O
started   O
abruptly   O
early   O
in   O
the   O
morning   O
around   O
4:00   O
AM   O
.   O

Anaya   B-NAME
mentioned   O
that   O
the   O
headache   O
intensity   O
was   O
gradually   O
increasing   O
and   O
did   O
not   O
respond   O
to   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Additionally   O
,   O
Francisco   B-NAME
Hess   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
but   O
reported   O
that   O
this   O
episode   O
was   O
significantly   O
more   O
severe   O
than   O
the   O
usual   O
migraine   O
episodes   O
.   O

Review   O
of   O
systems   O
was   O
remarkable   O
for   O
recent   O
excessive   O
emotional   O
stress   O
and   O
a   O
change   O
in   O
sleep   O
patterns   O
due   O
to   O
job   O
demands   O
as   O
a   O
Medical   O
Assistants   O
at   O
Los   B-LOCATION
Padres   I-LOCATION
Bank   I-LOCATION
.   O

There   O
has   O
been   O
no   O
recent   O
travel   O
outside   O
Saxon   B-LOCATION
,   O
no   O
sick   O
contacts   O
,   O
and   O
no   O
significant   O
change   O
in   O
diet   O
or   O
exercise   O
habits   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Heath   B-NAME
Hopkins   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
non   O
-   O
contrast   O
head   O
CT   O
scan   O
was   O
performed   O
at   O
2/22   B-DATE
and   O
showed   O
no   O
acute   O
abnormalities   O
.   O

Given   O
the   O
presentation   O
and   O
clinical   O
findings   O
,   O
Peguy   B-NAME
,   I-NAME
Charles   I-NAME
was   O
diagnosed   O
with   O
a   O
migraine   O
with   O
aura   O
.   O

Howard   B-NAME
Sheinfeld   I-NAME
recommended   O
the   O
initiation   O
of   O
a   O
triptan   O
for   O
acute   O
management   O
and   O
discussed   O
the   O
importance   O
of   O
maintaining   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
.   O

Adrien   B-NAME
Russo   I-NAME
also   O
suggested   O
that   O
if   O
King   B-NAME
,   I-NAME
Stephen   I-NAME
experiences   O
any   O
change   O
in   O
the   O
pattern   O
of   O
headaches   O
,   O
worsening   O
symptoms   O
,   O
or   O
signs   O
suggestive   O
of   O
neurological   O
deficits   O
,   O
they   O
should   O
immediately   O
return   O
to   O
Myrtue   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
contact   O
the   O
office   O
at   O
(   B-CONTACT
904   I-CONTACT
)   I-CONTACT
885   I-CONTACT
-   I-CONTACT
6812   I-CONTACT
.   O

Patient   O
Name   O
:   O
Delarosa   B-NAME
Age   O
:   O
48   O
Date   O
of   O
Birth   O
:   O
32/09/2207   B-DATE
Phone   O
Number   O
:   O
(   B-CONTACT
922   I-CONTACT
)   I-CONTACT
807   I-CONTACT
-   I-CONTACT
5304   I-CONTACT
Address   O
:   O
Chambers   B-LOCATION
,   O
56199   B-LOCATION
Doctor   O
:   O
Jacquelyn   B-NAME
Carter   I-NAME
Hospital   O
:   O
Northside   B-LOCATION
Hospital   I-LOCATION
Forsyth   I-LOCATION
Medical   O
Record   O
Number   O
:   O
23981323   B-ID
ID   O
:   O
9   B-ID
-   I-ID
9984827   I-ID
Date   O
of   O
Visit   O
:   O
2131   B-DATE
Occupation   O
:   O

Meeting   O
and   O
Convention   O
Planners   O
Username   O
:   O
tfu370   B-NAME
Organization   O
:   O

American   B-LOCATION
Marine   I-LOCATION
Bank   I-LOCATION
Chief   O
Complaint   O
:   O
Devyn   B-NAME
Henson   I-NAME
presents   O
to   O
the   O
clinic   O
complaining   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
productive   O
cough   O
with   O
yellowish   O
sputum   O
,   O
and   O
a   O
high   O
-   O
grade   O
fever   O
noted   O
since   O
3   B-DATE
-   I-DATE
5   I-DATE
-   I-DATE
43   I-DATE
.   O

Vincent   B-NAME
A.   I-NAME
Xayavong   I-NAME
also   O
reports   O
experiencing   O
sharp   O
,   O
localized   O
chest   O
pain   O
that   O
worsens   O
with   O
deep   O
breathing   O
and   O
coughing   O
.   O

The   O
patient   O
noticed   O
the   O
onset   O
of   O
symptoms   O
approximately   O
06/97   B-DATE
ago   O
,   O
initially   O
manifesting   O
as   O
a   O
mild   O
cough   O
and   O
discomfort   O
in   O
the   O
chest   O
area   O
.   O

Over   O
the   O
subsequent   O
days   O
,   O
Draven   B-NAME
Padilla   I-NAME
reports   O
the   O
symptoms   O
escalated   O
to   O
include   O
fever   O
with   O
temperatures   O
recorded   O
up   O
to   O
100   O
degrees   O
Fahrenheit   O
,   O
increased   O
production   O
of   O
yellowish   O
sputum   O
,   O
and   O
significant   O
difficulty   O
in   O
breathing   O
,   O
prompting   O
the   O
visit   O
to   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Florida   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Adamanta   B-NAME
Gicker   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
22   O
years   O
ago   O
,   O
and   O
Hypertension   O
,   O
under   O
management   O
for   O
the   O
past   O
71   O
years   O
.   O

Richelieu   B-NAME
,   I-NAME
Cardinal   I-NAME
denies   O
any   O
history   O
of   O
smoking   O
or   O
alcohol   O
abuse   O
.   O

Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
Eldredge   B-NAME
,   I-NAME
Niles   I-NAME
appeared   O
in   O
distress   O
,   O
with   O
labored   O
respirations   O
.   O

Investigations   O
:   O
Chest   O
X   O
-   O
Ray   O
performed   O
on   O
1/2   B-DATE
showed   O
an   O
area   O
of   O
consolidation   O
in   O
the   O
right   O
lower   O
lobe   O
,   O
suggestive   O
of   O
pneumonia   O
.   O

Phillip   B-NAME
Watters   I-NAME
’s   O
blood   O
glucose   O
level   O
was   O
within   O
normal   O
ranges   O
on   O
this   O
visit   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
investigations   O
,   O
Ashanti   B-NAME
Calderon   I-NAME
is   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Zachariah   B-NAME
is   O
advised   O
to   O
maintain   O
hydration   O
and   O
rest   O
.   O

3   O
.   O
Scheduled   O
for   O
follow   O
-   O
up   O
in   O
2/5/10   B-DATE
days   O
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

Follow   O
-   O
Up   O
:   O
Eliot   B-NAME
,   I-NAME
George   I-NAME
is   O
advised   O
to   O
return   O
to   O
New   B-LOCATION
York   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
or   O
see   O
Madeleine   B-NAME
Tamayo   I-NAME
on   O
0/1/2272   B-DATE
for   O
a   O
follow   O
-   O
up   O
examination   O
and   O
assessment   O
of   O
the   O
treatment   O
response   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
1776169   I-ID
Name   O
:   O
Pablo   B-NAME
Y.   I-NAME
Mendez   I-NAME
Date   O
of   O
Birth   O
:   O
5   B-DATE
-   I-DATE
2   I-DATE
Age   O
:   O
1   O
week   O
Medical   O
Record   O
Number   O
:   O
322   B-ID
-   I-ID
00   I-ID
-   I-ID
80   I-ID
Address   O
:   O
Silver   B-LOCATION
Hill   I-LOCATION
,   O
56594   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
503   I-CONTACT
)   I-CONTACT
765   I-CONTACT
6196   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Darren   B-NAME
Pitts   I-NAME
Treating   O
Hospital   O
:   O
L.V.   B-LOCATION
Stabler   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Helen   B-NAME
Updike   I-NAME
,   O
a   O
Medical   O
and   O
Health   O
Services   O
Managers   O
from   O
Plum   B-LOCATION
,   O
presented   O
to   O
NY   B-LOCATION
Eye   I-LOCATION
And   B-LOCATION
Ear   I-LOCATION
Infirmary   I-LOCATION
on   O
18   B-DATE
-   I-DATE
20   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
patient   O
noted   O
an   O
episode   O
of   O
high   O
fever   O
reaching   O
up   O
to   O
KE:8100:945549   B-ID
degrees   O
Fahrenheit   O
approximately   O
one   O
week   O
prior   O
,   O
which   O
mildly   O
subsided   O
with   O
over   O
-   O
the   O
-   O
counter   O
medications   O
.   O

Sexton   B-NAME
denied   O
any   O
recent   O
travels   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Medical   O
History   O
:   O
Violet   B-NAME
Pearson   I-NAME
has   O
a   O
history   O
of   O
asthma   O
diagnosed   O
in   O
childhood   O
but   O
reports   O
that   O
symptoms   O
had   O
been   O
well   O
controlled   O
with   O
inhalers   O
until   O
recently   O
.   O

Family   O
history   O
is   O
significant   O
for   O
coronary   O
artery   O
disease   O
in   O
Adalynn   B-NAME
Sullivan   I-NAME
's   O
father   O
at   O
the   O
age   O
of   O
76   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Norman   B-NAME
Jasinski   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
effort   O
.   O

Vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slightly   O
elevated   O
heart   O
rate   O
at   O
UI598/2657   B-ID
beats   O
per   O
minute   O
.   O

Advise   O
Josie   B-NAME
Cortez   I-NAME
to   O
use   O
a   O
rescue   O
inhaler   O
as   O
needed   O
for   O
wheezing   O
or   O
shortness   O
of   O
breath   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
1/21/07   B-DATE
weeks   O
to   O
reassess   O
asthma   O
control   O
and   O
lung   O
function   O
.   O

Educate   O
Hathaway   B-NAME
,   I-NAME
Anne   I-NAME
on   O
the   O
importance   O
of   O
avoiding   O
known   O
asthma   O
triggers   O
and   O
adhering   O
to   O
the   O
prescribed   O
treatment   O
plan   O
.   O

All   O
information   O
has   O
been   O
communicated   O
to   O
Jeter   B-NAME
,   I-NAME
Derek   I-NAME
and   O
questions   O
related   O
to   O
the   O
prescribed   O
treatment   O
plan   O
were   O
addressed   O
.   O

David   B-NAME
Thornton   I-NAME
provided   O
verbal   O
consent   O
for   O
the   O
recommended   O
treatment   O
plan   O
.   O

Future   O
appointments   O
and   O
consultations   O
will   O
be   O
organized   O
through   O
34475   B-CONTACT
as   O
per   O
Kailee   B-NAME
Patrick   I-NAME
's   O
convenience   O
.   O

Prepared   O
by   O
:   O
Best   B-NAME
Date   O
:   O
2121   B-DATE

Patient   O
Name   O
:   O
Clara   B-NAME
D   I-NAME
Decker   I-NAME
Patient   O
ID   O
:   O
WH   B-ID
:   I-ID
JC:9222   I-ID
Medical   O
Record   O
Number   O
:   O
7500086   B-ID
Date   O
of   O
Birth   O
:   O
5/10/62   B-DATE
Age   O
:   O
59   O
Phone   O
Number   O
:   O
972   B-CONTACT
-   I-CONTACT
303   I-CONTACT
6555   I-CONTACT
Address   O
:   O
Buzzards   B-LOCATION
Bay   I-LOCATION
,   O
77835   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Mathis   B-NAME
Attending   O
Hospital   O
:   O
Onslow   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Employment   O
:   O
Transportation   O
Managers   O
at   O
Last   B-LOCATION
Chance   I-LOCATION
for   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
LCA   I-LOCATION
)   B-LOCATION
Report   O
Date   O
:   O
2/2   B-DATE
Summary   O
:   O
Sid   B-NAME
Handleman   I-NAME
,   O
a   O
21   O
-   O
year   O
-   O
old   O
Pharmacologist   O
employed   O
at   O
Chemical   B-LOCATION
Research   I-LOCATION
Society   I-LOCATION
of   I-LOCATION
India   I-LOCATION
,   O
presented   O
to   O
Jackson   B-LOCATION
Hospital   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
experienced   O
over   O
the   O
past   O
13/13   B-DATE
.   O

Diagnostic   O
Tests   O
:   O
Upon   O
presentation   O
,   O
Theodore   B-NAME
Pennington   I-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
revealed   O
a   O
slight   O
elevation   O
in   O
white   O
blood   O
cell   O
count   O
,   O
suggesting   O
a   O
possible   O
infection   O
.   O

Considering   O
the   O
diagnosis   O
and   O
the   O
severity   O
of   O
KYLE   B-NAME
CONLEY   I-NAME
's   O
symptoms   O
,   O
surgical   O
intervention   O
was   O
deemed   O
necessary   O
.   O

Karik   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
2353   B-DATE
.   O

Post   O
-   O
Surgical   O
Outcome   O
:   O
The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Edwards   B-NAME
has   O
been   O
recovering   O
well   O
in   O
the   O
post   O
-   O
operative   O
unit   O
at   O
Palmdale   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Ricardo   B-NAME
Jacob   I-NAME
Updyke   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Adrianna   B-NAME
Mccarthy   I-NAME
on   O
12/18/49   B-DATE
to   O
ensure   O
proper   O
healing   O
and   O
to   O
address   O
any   O
post   O
-   O
operative   O
concerns   O
.   O

Jennings   B-NAME
,   I-NAME
Peter   I-NAME
has   O
been   O
briefed   O
on   O
signs   O
of   O
possible   O
complications   O
,   O
such   O
as   O
infection   O
or   O
incisional   O
hernia   O
,   O
and   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
such   O
symptoms   O
occur   O
.   O
Instructions   O
for   O
Home   O
Care   O
:   O

Upon   O
discharge   O
,   O
Jeni   B-NAME
LaHain   I-NAME
was   O
given   O
specific   O
instructions   O
for   O
home   O
care   O
,   O
including   O
wound   O
care   O
management   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
restricted   O
activity   O
plan   O
to   O
ensure   O
proper   O
healing   O
.   O

Angelique   B-NAME
Vega   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
complete   O
at   O
home   O
.   O

It   O
is   O
also   O
recommended   O
that   O
VELASQUEZ   B-NAME
,   I-NAME
WALTER   I-NAME
maintain   O
a   O
balanced   O
diet   O
and   O
stay   O
hydrated   O
to   O
support   O
recovery   O
.   O

Conclusion   O
:   O
Gebri   B-NAME
Biersack   I-NAME
's   O
case   O
of   O
acute   O
appendicitis   O
was   O
successfully   O
managed   O
through   O
timely   O
surgical   O
intervention   O
.   O

Follow   O
-   O
Up   O
Appointment   O
:   O
2023   B-DATE
with   O
Ramsey   B-NAME
at   O
Carilion   B-LOCATION
New   I-LOCATION
River   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Contacts   O
:   O
For   O
any   O
immediate   O
concerns   O
,   O
Adina   B-NAME
Holly   I-NAME
can   O
reach   O
the   O
post   O
-   O
operative   O
care   O
team   O
at   O
59036   B-CONTACT
.   O

Prepared   O
by   O
:   O
zhd997   B-NAME
Medical   O
Team   O
,   O
Baptist   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Conway   I-LOCATION
02/05   B-DATE

Patient   O
Name   O
:   O
William   B-NAME
Hayward   I-NAME
Patient   O
ID   O
:   O
QI:37814:488784   B-ID
Medical   O
Record   O
Number   O
:   O
31294914   B-ID
Date   O
of   O
Birth   O
:   O
March   B-DATE
,   I-DATE
2200   I-DATE
Age   O
:   O
14   O
Address   O
:   O
Castlewood   B-LOCATION
,   O
82336   B-LOCATION
Phone   O
:   O
(   B-CONTACT
725   I-CONTACT
)   I-CONTACT
538   I-CONTACT
-   I-CONTACT
4087   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Maynard   B-NAME
Admitting   O
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Muscatine   I-LOCATION
Admission   O
Date   O
:   O
17/29   B-DATE
Discharge   O
Date   O
:   O
3/93   B-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Georgetta   B-NAME
Crisman   I-NAME
,   O
a   O
Respiratory   O
Therapy   O
Technicians   O
from   O
Glasford   B-LOCATION
,   O
was   O
admitted   O
to   O
Scheurer   B-LOCATION
Hospital   I-LOCATION
on   O
4/9   B-DATE
following   O
several   O
weeks   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
orthopnea   O
,   O
and   O
lower   O
extremity   O
edema   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Candy   B-NAME
's   O
symptoms   O
began   O
approximately   O
8   O
weeks   O
prior   O
to   O
admission   O
and   O
have   O
gradually   O
worsened   O
.   O

67   O
-   O
year   O
-   O
old   O
Eileen   B-NAME
Merritt   I-NAME
also   O
reports   O
an   O
accompanying   O
non   O
-   O
productive   O
cough   O
and   O
occasional   O
nocturnal   O
dyspnea   O
.   O

Sims   B-NAME
denied   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Metoprolol   O
25   O
mg   O
twice   O
a   O
day   O
Allergies   O
:   O
No   O
known   O
drug   O
allergies   O
Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Sylvia   B-NAME
Robles   I-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Assessment   O
:   O
The   O
diagnosis   O
for   O
Deja   B-NAME
Huerta   I-NAME
is   O
acute   O
exacerbation   O
of   O
congestive   O
heart   O
failure   O
(   O
CHF   O
)   O
secondary   O
to   O
undiagnosed   O
systolic   O
dysfunction   O
.   O

Arrange   O
follow   O
-   O
up   O
appointment   O
with   O
Harrison   B-NAME
in   O
2   O
weeks   O
or   O
immediately   O
should   O
symptoms   O
worsen   O
.   O

Disposition   O
:   O
Kelley   B-NAME
responded   O
well   O
to   O
the   O
initial   O
treatment   O
and   O
was   O
discharged   O
on   O
11/33/32   B-DATE
with   O
outpatient   O
follow   O
-   O
up   O
scheduled   O
.   O

Outpatient   O
care   O
will   O
be   O
coordinated   O
with   O
Roberto   B-NAME
Craig   I-NAME
's   O
primary   O
care   O
physician   O
in   O
Laird   B-LOCATION
and   O
a   O
local   O
cardiologist   O
.   O

Username   O
for   O
Patient   O
Portal   O
Access   O
:   O
psv932   B-NAME
Contact   O
Information   O
for   O
Further   O
Inquiries   O
:   O
67015   B-CONTACT

Patient   O
Name   O
:   O
Wilson   B-NAME
,   I-NAME
Ron   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
3836877   I-ID
Medical   O
Record   O
Number   O
:   O
91497429   B-ID
Date   O
of   O
Birth   O
:   O
15/31/32   B-DATE
Age   O
:   O
3   O
Address   O
:   O
Woodstock   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Woodstock   I-LOCATION
,   O
19446   B-LOCATION
Phone   O
Number   O
:   O
341   B-CONTACT
3170   I-CONTACT

Gia   B-NAME
Rogers   I-NAME
Hospital   O
:   O
Chandler   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
33/22/67   B-DATE
Profession   O
:   O

Potters   O
Username   O
:   O
NF247   B-NAME
Chief   O
Complaint   O
:   O
Olivia   B-NAME
H.   I-NAME
Grant   I-NAME
presented   O
to   O
the   O
Wellstar   B-LOCATION
Cobb   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
02/22   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Clare   B-NAME
Merritt   I-NAME
,   O
a   O
20   O
year   O
-   O
old   O
Construction   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
started   O
experiencing   O
mild   O
discomfort   O
around   O
the   O
navel   O
area   O
early   O
in   O
the   O
morning   O
of   O
02/21/2322   B-DATE
.   O

Braun   B-NAME
,   I-NAME
Wernher   I-NAME
von   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
food   O
intolerances   O
,   O
or   O
ingestion   O
of   O
unfamiliar   O
foods   O
.   O

However   O
,   O
Brayan   B-NAME
Finley   I-NAME
reported   O
a   O
family   O
history   O
of   O
appendicitis   O
.   O

Spring   B-NAME
Lampton   I-NAME
reports   O
being   O
generally   O
healthy   O
with   O
no   O
prior   O
hospitalizations   O
or   O
significant   O
illnesses   O
.   O

Upon   O
examination   O
,   O
Rich   B-NAME
appeared   O
uncomfortable   O
and   O
preferred   O
to   O
lie   O
still   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
was   O
ordered   O
by   O
Robertson   B-NAME
and   O
demonstrated   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Bakhtiari   B-NAME
,   I-NAME
Marjaney   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgical   O
intervention   O
.   O

Surgical   O
consent   O
was   O
obtained   O
,   O
and   O
Rana   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
1/2/13   B-DATE
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Sharri   B-NAME
Adolphson   I-NAME
was   O
transferred   O
to   O
the   O
surgical   O
unit   O
of   O
Nicholas   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
-   O
operative   O
instructions   O
included   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Knight   B-NAME
in   O
2   O
weeks   O
.   O

Nagle   B-NAME
was   O
advised   O
to   O
gradually   O
return   O
to   O
normal   O
activities   O
,   O
avoiding   O
strenuous   O
exercise   O
or   O
heavy   O
lifting   O
for   O
at   O
least   O
4   O
-   O
6   O
weeks   O
post   O
-   O
surgery   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Raegan   B-NAME
Murillo   I-NAME
,   O
and   O
all   O
inquiries   O
regarding   O
Jonathan   B-NAME
Kinder   I-NAME
's   O
treatment   O
should   O
be   O
directed   O
to   O
491   B-CONTACT
-   I-CONTACT
828   I-CONTACT
-   I-CONTACT
6079   I-CONTACT
at   O
SSM   B-LOCATION
DePaul   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

Joslyn   B-NAME
Forbes   I-NAME
Patient   O
ID   O
:   O
281355552   B-ID
Medical   O
Record   O
Number   O
:   O
0837619   B-ID
Date   O
of   O
Birth   O
:   O
02/42   B-DATE
Age   O
:   O
53   O
Address   O
:   O
West   B-LOCATION
Brookfield   I-LOCATION
,   O
32648   B-LOCATION
Phone   O
Number   O
:   O
199   B-CONTACT
-   I-CONTACT
2105   I-CONTACT
Employer   O
:   O
FirstBank   B-LOCATION
Financial   I-LOCATION
Service   I-LOCATION
Occupation   O
:   O
Proofreaders   O
and   O
Copy   O
Markers   O
Primary   O
Physician   O
:   O

Mccoy   B-NAME
Admitting   O
Hospital   O
:   O
Freeman   B-LOCATION
Neosho   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/1   B-DATE
Date   O
of   O
Discharge   O
:   O
00/05/53   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Hillary   B-NAME
,   I-NAME
Edmund   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
McLaren   B-LOCATION
Bay   I-LOCATION
Regional   I-LOCATION
on   O
2031   B-DATE
with   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lucille   B-NAME
Jackson   I-NAME
,   O
a   O
Landscape   O
architect   O
employed   O
at   O
Fair   B-LOCATION
Wear   I-LOCATION
Foundation   I-LOCATION
(   I-LOCATION
FWA   I-LOCATION
)   I-LOCATION
and   O
residing   O
in   O
Hailsham   B-LOCATION
,   O
58296   B-LOCATION
,   O
noted   O
the   O
onset   O
of   O
symptoms   O
approximately   O
48   O
hours   O
prior   O
to   O
presentation   O
.   O

Past   O
Medical   O
History   O
:   O
Ivan   B-NAME
Melendez   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
lifestyle   O
modifications   O
and   O
medication   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Cornelius   B-NAME
Robles   I-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
rebound   O
tenderness   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Management   O
and   O
Outcome   O
:   O
Pineda   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
was   O
promptly   O
started   O
on   O
IV   O
antibiotics   O
.   O

Surgical   O
consultation   O
with   O
Melanie   B-NAME
Flynn   I-NAME
led   O
to   O
an   O
elective   O
laparoscopic   O
appendectomy   O
on   O
5/12   B-DATE
.   O

Miles   B-NAME
McCabe   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
[   O
HE   O
/   O
SHE   O
]   O
was   O
discharged   O
on   O
21/33   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
one   O
week   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Flowers   B-NAME
at   O
VA   B-LOCATION
Hospital   I-LOCATION
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Patient   O
Username   O
for   O
Online   O
Health   O
Portal   O
:   O
kv1910   B-NAME
Primary   O
Contact   O
Number   O
for   O
Questions   O
or   O
Concerns   O
:   O
749   B-CONTACT
-   I-CONTACT
530   I-CONTACT
-   I-CONTACT
8673   I-CONTACT

This   O
patient   O
report   O
synthesizes   O
clinical   O
findings   O
,   O
diagnostic   O
outcomes   O
,   O
and   O
the   O
management   O
plan   O
for   O
Julie   B-NAME
L   I-NAME
Cobb   I-NAME
,   O
ensuring   O
confidentiality   O
and   O
protecting   O
personal   O
health   O
information   O
in   O
compliance   O
with   O
healthcare   O
privacy   O
standards   O
.   O

The   O
patient   O
,   O
Tonya   B-NAME
Adamson   I-NAME
,   O
a   O
Heating   O
and   O
Air   O
Conditioning   O
Mechanics   O
from   O
Stafford   B-LOCATION
,   O
83265   B-LOCATION
,   O
presented   O
at   O
the   O
emergency   O
room   O
of   O
Augusta   B-LOCATION
Health   I-LOCATION
on   O
12/06/2390   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Kaur   B-NAME
,   I-NAME
Xan   I-NAME
G   I-NAME
described   O
the   O
pain   O
as   O
a   O
sharp   O
and   O
constant   O
ache   O
centered   O
in   O
the   O
upper   O
abdomen   O
.   O

2   O
week   O
years   O
old   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
Groszkiewicz   B-NAME
Beyea   I-NAME
denied   O
any   O
recent   O
history   O
of   O
alcohol   O
consumption   O
or   O
trauma   O
to   O
the   O
abdomen   O
.   O

Upon   O
examination   O
,   O
Adam   B-NAME
Patrick   I-NAME
noted   O
that   O
Alicia   B-NAME
Perry   I-NAME
appeared   O
acutely   O
distressed   O
.   O

Hannah   B-NAME
Copeland   I-NAME
's   O
medical   O
record   O
number   O
,   O
84465161   B-ID
,   O
was   O
used   O
to   O
document   O
the   O
findings   O
and   O
the   O
diagnostic   O
process   O
.   O

Additionally   O
,   O
Cherlin   B-NAME
provided   O
an   O
emergency   O
contact   O
,   O
264   B-CONTACT
-   I-CONTACT
834   I-CONTACT
9042   I-CONTACT
,   O
and   O
signed   O
a   O
consent   O
form   O
for   O
the   O
necessary   O
diagnostic   O
procedures   O
and   O
treatment   O
plan   O
.   O

The   O
attending   O
physician   O
,   O
Barr   B-NAME
,   O
advised   O
immediate   O
admission   O
for   O
close   O
monitoring   O
and   O
supportive   O
care   O
,   O
including   O
fluid   O
resuscitation   O
,   O
pain   O
management   O
,   O
and   O
fasting   O
to   O
rest   O
the   O
pancreas   O
.   O

The   O
care   O
team   O
at   O
Lakeland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
implemented   O
an   O
evidence   O
-   O
based   O
protocol   O
for   O
managing   O
acute   O
pancreatitis   O
.   O

During   O
the   O
hospitalization   O
period   O
,   O
Nikolas   B-NAME
Beard   I-NAME
's   O
condition   O
gradually   O
improved   O
with   O
the   O
prescribed   O
treatment   O
.   O

Discharge   O
planning   O
was   O
initiated   O
by   O
the   O
hospital   O
's   O
multidisciplinary   O
team   O
,   O
including   O
Murray   B-NAME
and   O
nursing   O
staff   O
.   O

Dyer   B-NAME
was   O
educated   O
on   O
lifestyle   O
modifications   O
to   O
prevent   O
recurrence   O
,   O
including   O
dietary   O
adjustments   O
and   O
the   O
importance   O
of   O
avoiding   O
alcohol   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
a   O
gastroenterologist   O
associated   O
with   O
Missouri   B-LOCATION
Delta   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
ongoing   O
management   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
etiological   O
work   O
-   O
up   O
.   O

King   B-NAME
's   O
discharge   O
summary   O
,   O
including   O
a   O
detailed   O
report   O
of   O
the   O
hospitalization   O
,   O
treatment   O
received   O
,   O
and   O
recommendations   O
for   O
follow   O
-   O
up   O
care   O
,   O
was   O
prepared   O
by   O
Emilio   B-NAME
Hanson   I-NAME
.   O

This   O
summary   O
,   O
with   O
the   O
unique   O
identifier   O
52834724   B-ID
,   O
was   O
securely   O
transmitted   O
to   O
the   O
gastroenterologist   O
's   O
office   O
.   O

Suzuka   B-NAME
,   I-NAME
Shunryu   I-NAME
expressed   O
gratitude   O
to   O
the   O
medical   O
staff   O
for   O
the   O
care   O
received   O
and   O
left   O
the   O
hospital   O
premises   O
on   O
03/06/1984   B-DATE
,   O
with   O
instructions   O
to   O
return   O
immediately   O
if   O
symptoms   O
such   O
as   O
severe   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
jaundice   O
developed   O
.   O

Throughout   O
the   O
management   O
of   O
Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
Francis   I-NAME
Jr.   I-NAME
's   O
case   O
,   O
all   O
communications   O
and   O
documentations   O
adhered   O
to   O
the   O
guidelines   O
for   O
protecting   O
personal   O
health   O
information   O
,   O
ensuring   O
confidentiality   O
and   O
security   O
of   O
the   O
patient   O
's   O
data   O
.   O

Patient   O
Report   O
for   O
Sutherland   B-NAME
,   I-NAME
Kiefer   I-NAME
23/22   B-DATE
,   O
Glendale   B-LOCATION
Botswana   B-LOCATION
Commercial   I-LOCATION
&   I-LOCATION
General   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Methodist   B-LOCATION
Texsan   I-LOCATION
Hospital   I-LOCATION
The   O
patient   O
,   O
Jude   B-NAME
George   I-NAME
,   O
a   O
Data   O
Entry   O
Keyers   O
,   O
was   O
admitted   O
to   O
Western   B-LOCATION
Missouri   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2236   B-DATE
after   O
reporting   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
which   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

No   O
previous   O
cardiac   O
events   O
have   O
been   O
recorded   O
in   O
Duff   B-NAME
,   I-NAME
Hilary   I-NAME
's   O
medical   O
history   O
,   O
but   O
there   O
is   O
a   O
familial   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

A   O
consult   O
for   O
cardiology   O
was   O
placed   O
,   O
and   O
Harmon   B-NAME
reviewed   O
the   O
patient   O
's   O
condition   O
on   O
10/12/1610   B-DATE
.   O

Throughout   O
the   O
hospitalization   O
,   O
Eden   B-NAME
Hansen   I-NAME
's   O
condition   O
was   O
closely   O
monitored   O
by   O
the   O
cardiology   O
team   O
,   O
and   O
Houston   B-NAME
was   O
provided   O
with   O
education   O
on   O
lifestyle   O
modifications   O
and   O
medication   O
adherence   O
to   O
prevent   O
future   O
cardiac   O
events   O
.   O

23/32   B-DATE
Discharge   O
Summary   O
:   O
Kreff   B-NAME
Colomy   I-NAME
was   O
discharged   O
on   O
22/23/2280   B-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
a   O
statin   O
,   O
and   O
an   O
ACE   O
inhibitor   O
.   O

Follow   O
-   O
up   O
was   O
arranged   O
with   O
Phelps   B-NAME
in   O
two   O
weeks   O
at   O
the   O
cardiology   O
clinic   O
of   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
   I-LOCATION
New   I-LOCATION
Britain   I-LOCATION
General   I-LOCATION
Campus   I-LOCATION
.   O

Additionally   O
,   O
Kepa   B-NAME
,   I-NAME
Ro   I-NAME
Teimumu   I-NAME
was   O
advised   O
to   O
enroll   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

arias   B-NAME
was   O
advised   O
to   O
call   O
322   B-CONTACT
3621   I-CONTACT
should   O
any   O
symptoms   O
occur   O
.   O

Medical   O
Record   O
:   O
97036477   B-ID
Patient   O
ID   O
:   O
BO344/6732   B-ID
Date   O
of   O
Birth   O
:   O
2/21   B-DATE
Address   O
:   O
Lake   B-LOCATION
Park   I-LOCATION
,   O
91771   B-LOCATION
Emergency   O
Contact   O
:   O
282   B-CONTACT
-   I-CONTACT
2152   I-CONTACT

This   O
report   O
is   O
generated   O
by   O
the   O
medical   O
records   O
system   O
ip323   B-NAME
at   O
Greenwich   B-LOCATION
Hospital   I-LOCATION
,   O
and   O
is   O
confidential   O
.   O

Patient   O
Report   O
:   O
2185026   B-ID
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Jude   B-NAME
Bolton   I-NAME
-   O
Age   O
:   O
74   O
-   O
Date   O
of   O
Admission   O
:   O
06/09   B-DATE
-   O
ID   O
:   O
GR:3432:386173   B-ID
-   O
Location   O
:   O
Rico   B-LOCATION
-   O
Zip   O
Code   O
:   O
99186   B-LOCATION
-   O
Phone   O
Number   O
:   O
990   B-CONTACT
-   I-CONTACT
843   I-CONTACT
-   I-CONTACT
1603   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Matt   B-NAME
Lincoln   I-NAME
-   O
Hospital   O
:   O
Leesburg   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Terry   B-NAME
Iyer   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Huntsville   B-LOCATION
Hospital   I-LOCATION
on   O
10/54   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
described   O
as   O
a   O
sharp   O
and   O
stabbing   O
sensation   O
localized   O
primarily   O
in   O
the   O
left   O
thoracic   O
region   O
.   O

Past   O
Medical   O
History   O
:   O
Chicago   B-NAME
,   I-NAME
Judy   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Initial   O
blood   O
tests   O
including   O
complete   O
blood   O
counts   O
,   O
electrolytes   O
,   O
and   O
cardiac   O
markers   O
(   O
Troponins   O
)   O
were   O
sent   O
to   O
the   O
laboratory   O
of   O
The   B-LOCATION
Norfolk   I-LOCATION
&   I-LOCATION
Dedham   I-LOCATION
Group   I-LOCATION
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
diagnostic   O
findings   O
,   O
Sheldon   B-NAME
Choi   I-NAME
initiated   O
treatment   O
for   O
suspected   O
Acute   O
Coronary   O
Syndrome   O
(   O
ACS   O
)   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Danville   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
monitoring   O
and   O
management   O
.   O

A   O
complete   O
cardiac   O
workup   O
,   O
including   O
a   O
stress   O
test   O
and   O
echocardiogram   O
,   O
was   O
scheduled   O
for   O
February   B-DATE
.   O

Patient   O
's   O
Status   O
as   O
of   O
October   B-DATE
:   O
Morrison   B-NAME
,   I-NAME
Robert   I-NAME
's   O
condition   O
stabilized   O
after   O
the   O
initial   O
management   O
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Dallas   B-NAME
Bradshaw   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
continue   O
with   O
prescribed   O
medications   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Galloway   B-NAME
at   O
Orlando   B-LOCATION
Health-   I-LOCATION
Orlando   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
have   O
been   O
scheduled   O
for   O
22/21/25   B-DATE
.   O

Phone   O
Number   O
:   O
84931   B-CONTACT

This   O
report   O
was   O
prepared   O
by   O
xkq523   B-NAME
and   O
is   O
confidential   O
.   O

Unauthorized   O
distribution   O
or   O
copying   O
without   O
explicit   O
consent   O
from   O
Lange   B-NAME
is   O
strictly   O
prohibited   O
.   O

Patient   O
Name   O
:   O
Bosconovitch   B-NAME
Patient   O
ID   O
:   O
RD   B-ID
:   I-ID
CC:8454   I-ID
Medical   O
Record   O
Number   O
:   O
395   B-ID
-   I-ID
50   I-ID
-   I-ID
29   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
2035   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
02   I-DATE
Age   O
:   O
18   O
Address   O
:   O
Nokesville   B-LOCATION
,   O
34573   B-LOCATION
Phone   O
Number   O
:   O
39915   B-CONTACT
Employer   O
:   O

AmTrust   B-LOCATION
Bank   I-LOCATION
Profession   O
:   O
Insurance   O
Policy   O
Processing   O
Clerks   O
Primary   O
Care   O
Doctor   O
:   O
Morgan   B-NAME
Howell   I-NAME
Hospital   O
:   O

Labette   B-LOCATION
Health   I-LOCATION
–   I-LOCATION
Parsons   I-LOCATION
Chief   O
Complaint   O
:   O
Ayla   B-NAME
Rich   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Morton   B-LOCATION
Hospital   I-LOCATION
on   O
5/10   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
MURRAY   B-NAME
,   I-NAME
MARION   I-NAME
OSCAR   I-NAME
,   O
a   O
10   O
-   O
year   O
-   O
old   O
Glass   O
Blowers   O
,   O
Molders   O
,   O
Benders   O
,   O
and   O
Finishers   O
at   O
Disabled   B-LOCATION
Peoples   I-LOCATION
'   I-LOCATION
International   I-LOCATION
residing   O
in   O
Luverne   B-LOCATION
,   O
61261   B-LOCATION
,   O
has   O
been   O
in   O
generally   O
good   O
health   O
until   O
the   O
onset   O
of   O
symptoms   O
early   O
morning   O
on   O
January   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Bender   B-NAME
reports   O
no   O
significant   O
medical   O
history   O
.   O

Social   O
History   O
:   O
Bosconovitch   B-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
,   O
with   O
no   O
recent   O
increase   O
in   O
consumption   O
.   O

The   O
patient   O
is   O
employed   O
as   O
a   O
Wholesale   O
and   O
Retail   O
Buyers   O
,   O
Except   O
Farm   O
Products   O
for   O
UNITE   B-LOCATION
HERE   I-LOCATION
and   O
lives   O
with   O
family   O
in   O
7   B-LOCATION
Amerige   I-LOCATION
Road   I-LOCATION
.   O

In   O
addition   O
to   O
the   O
symptoms   O
already   O
described   O
,   O
Alexis   B-NAME
Mcgrath   I-NAME
reports   O
no   O
dysuria   O
,   O
hematuria   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
skin   O
rash   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Fowler   B-NAME
,   I-NAME
Gene   I-NAME
appeared   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
suggested   O
by   O
Moon   B-NAME
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
abdominal   O
pain   O
.   O

Plan   O
:   O
Chaz   B-NAME
Stanley   I-NAME
was   O
admitted   O
to   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Cincinnati   I-LOCATION
for   O
further   O
observation   O
and   O
surgical   O
evaluation   O
on   O
14/23/52   B-DATE
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
initiated   O
,   O
and   O
surgical   O
consultation   O
with   O
Crosby   B-NAME
was   O
arranged   O
.   O

Follow   O
-   O
Up   O
:   O
Dougherty   B-NAME
will   O
be   O
monitored   O
for   O
response   O
to   O
antibiotics   O
,   O
and   O
surgery   O
will   O
be   O
considered   O
based   O
on   O
the   O
results   O
of   O
the   O
abdominal   O
ultrasound   O
and   O
consultation   O
with   O
the   O
surgical   O
team   O
.   O

A   O
follow   O
-   O
up   O
review   O
is   O
scheduled   O
for   O
28/38   B-DATE
post   O
-   O
operation   O
or   O
as   O
determined   O
by   O
Gardner   B-NAME
.   O

Patient   O
Report   O
:   O
691   B-ID
-   I-ID
31   I-ID
-   I-ID
20   I-ID
-   I-ID
7   I-ID
Gassée   B-NAME
,   I-NAME
Jean   I-NAME
-   I-NAME
Louis   I-NAME
presented   O
to   O
CHI   B-LOCATION
Health   I-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
in   O
Oundle   B-LOCATION
on   O
10/28   B-DATE
for   O
evaluation   O
of   O
ongoing   O
symptoms   O
which   O
initially   O
began   O
approximately   O
two   O
weeks   O
prior   O
.   O

Additionally   O
,   O
Alhaus   B-NAME
Fensel   I-NAME
reported   O
experiencing   O
profound   O
fatigue   O
,   O
muscle   O
aches   O
,   O
and   O
a   O
recent   O
loss   O
of   O
taste   O
and   O
smell   O
over   O
the   O
past   O
few   O
days   O
.   O

On   O
physical   O
examination   O
,   O
Julian   B-NAME
I.   I-NAME
Judkins   I-NAME
was   O
noted   O
to   O
be   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
exhibited   O
use   O
of   O
accessory   O
muscles   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
,   O
and   O
a   O
high   O
resolution   O
CT   O
scan   O
of   O
the   O
chest   O
was   O
performed   O
by   O
Marlon   B-NAME
Duffy   I-NAME
,   O
revealing   O
bilateral   O
ground   O
-   O
glass   O
opacities   O
predominantly   O
in   O
the   O
peripheral   O
and   O
basal   O
segments   O
,   O
suggestive   O
of   O
viral   O
pneumonia   O
.   O

Based   O
on   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Branson   B-NAME
Allison   I-NAME
was   O
diagnosed   O
with   O
COVID-19   O
pneumonia   O
.   O

Patient   O
's   O
condition   O
throughout   O
the   O
hospital   O
stay   O
was   O
closely   O
monitored   O
by   O
the   O
medical   O
team   O
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Symptoms   O
of   O
fatigue   O
and   O
muscle   O
aches   O
also   O
resolved   O
,   O
and   O
Fe   B-NAME
Ell   I-NAME
reported   O
a   O
gradual   O
return   O
of   O
taste   O
and   O
smell   O
.   O

Jeanne   B-NAME
Bartlett   I-NAME
was   O
discharged   O
on   O
3/23   B-DATE
with   O
instructions   O
to   O
continue   O
self   O
-   O
isolation   O
at   O
his   O
residence   O
in   O
Williamsburg   B-LOCATION
until   O
fully   O
recovered   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Rivers   B-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
reassess   O
the   O
patient   O
's   O
recovery   O
and   O
to   O
conduct   O
further   O
evaluations   O
if   O
necessary   O
.   O

For   O
any   O
questions   O
or   O
emergencies   O
,   O
Mila   B-NAME
Thompson   I-NAME
was   O
advised   O
to   O
contact   O
Inova   B-LOCATION
Mount   I-LOCATION
Vernon   I-LOCATION
Hospital   I-LOCATION
at   O
465   B-CONTACT
-   I-CONTACT
8113   I-CONTACT
.   O

The   O
patient   O
is   O
employed   O
as   O
a   O
Forest   O
Fire   O
Fighters   O
in   O
Eversource   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
NSTAR   I-LOCATION
,   I-LOCATION
Western   I-LOCATION
Massachusetts   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
located   O
in   O
78576   B-LOCATION
.   O

Given   O
the   O
nature   O
of   O
the   O
patient   O
's   O
work   O
and   O
potential   O
risk   O
of   O
transmission   O
,   O
public   O
health   O
guidelines   O
were   O
reviewed   O
with   O
Alonso   B-NAME
Kounthapanya   I-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
notifying   O
the   O
employer   O
and   O
adhering   O
to   O
local   O
regulations   O
for   O
quarantine   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Dax   B-NAME
Whitney   I-NAME
on   O
2260   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
22   I-DATE
and   O
is   O
to   O
be   O
added   O
to   O
Franco   B-NAME
Gardner   I-NAME
's   O
medical   O
record   O
.   O

For   O
any   O
further   O
information   O
,   O
please   O
use   O
MR   O
#   O
4760700   B-ID
for   O
reference   O
or   O
contact   O
me   O
directly   O
through   O
the   O
secure   O
messaging   O
service   O
,   O
username   O
:   O
cj901   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Bunny   B-NAME
Patient   O
20s   O
:   O
54   O
years   O
Gender   O
:   O

Male   O
Address   O
:   O
Gillsville   B-LOCATION
,   O
51384   B-LOCATION
Contact   O
Info   O
:   O
70378   B-CONTACT
Employment   O
:   O
Foresters   O
at   O
Public   B-LOCATION
Service   I-LOCATION
Electric   I-LOCATION
and   I-LOCATION
Gas   I-LOCATION
Company   I-LOCATION
(   I-LOCATION
PSE&G   I-LOCATION
)   I-LOCATION
Physician   O
:   O

Arthur   B-NAME
Blair   I-NAME
Hospital   O
:   O
Freeman   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
Date   O
of   O
Visit   O
:   O
03/23   B-DATE
Medical   O
Record   O
Number   O
:   O
5144132   B-ID
Identification   O
Number   O
:   O
89151014   B-ID
Chief   O
Complaint   O
:   O
Diya   B-NAME
Frey   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
1/22   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
peaking   O
at   O
101.2   O
°   O
F   O
,   O
and   O
shortness   O
of   O
breath   O
aggravated   O
by   O
exertion   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Atkinson   B-NAME
,   O
a   O
Probation   O
officer   O
by   O
profession   O
,   O
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
two   O
weeks   O
ago   O
,   O
starting   O
with   O
a   O
mild   O
cough   O
that   O
progressively   O
worsened   O
over   O
the   O
following   O
days   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Sonia   B-NAME
Klein   I-NAME
exhibited   O
tachypnea   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Testing   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
0   B-DATE
-   I-DATE
2   I-DATE
-   I-DATE
96   I-DATE
showed   O
bilateral   O
infiltrates   O
consistent   O
with   O
pneumonia   O
.   O

Assessment   O
:   O
Xanthos   B-NAME
has   O
been   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
,   O
considering   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
.   O

Admission   O
to   O
Watertown   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
intravenous   O
antibiotic   O
therapy   O
.   O

4   O
.   O
Arrange   O
for   O
follow   O
-   O
up   O
testing   O
,   O
including   O
a   O
chest   O
X   O
-   O
ray   O
on   O
7/29/70   B-DATE
to   O
evaluate   O
response   O
to   O
treatment   O
.   O

Patient   O
Name   O
:   O
Jack   B-NAME
Quade   I-NAME
Patient   O
ID   O
:   O
ZP:73850:306263   B-ID
Medical   O
Record   O
Number   O
:   O
540   B-ID
-   I-ID
68   I-ID
-   I-ID
88   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
march   B-DATE
Age   O
:   O
69   O
Phone   O
Number   O
:   O
71021   B-CONTACT
Address   O
:   O
New   B-LOCATION
Egypt   I-LOCATION
,   O
60171   B-LOCATION
Occupation   O
:   O
Precision   O
Dyers   O
Attending   O
Physician   O
:   O

Kapell   B-NAME
,   I-NAME
William   I-NAME
Hospital   O
Name   O
:   O
Bellevue   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
March   B-DATE
21   I-DATE
Date   O
of   O
Discharge   O
:   O
20/02/2362   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Harold   B-NAME
G.   I-NAME
Keane   I-NAME
,   O
a   O
35   O
-   O
year   O
-   O
old   O
Paramedic   O
residing   O
in   O
Gerton   B-LOCATION
,   O
76214   B-LOCATION
,   O
was   O
admitted   O
to   O
Bronx   B-LOCATION
-   I-LOCATION
Lebanon   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
4/33/2130   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
episodes   O
of   O
dizziness   O
over   O
the   O
past   O
few   O
days   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Deshawn   B-NAME
Stephens   I-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Electrocardiogram   O
(   O
ECG   O
)   O
performed   O
by   O
Kiana   B-NAME
Marks   I-NAME
on   O
13/32/2032   B-DATE
showed   O
ST   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
,   O
suggestive   O
of   O
an   O
acute   O
anterior   O
wall   O
myocardial   O
infarction   O
.   O

Given   O
the   O
diagnostic   O
findings   O
confirming   O
myocardial   O
infarction   O
,   O
Ahmad   B-NAME
Butler   I-NAME
recommended   O
urgent   O
cardiac   O
catheterization   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
22/12/78   B-DATE
,   O
revealed   O
significant   O
stenosis   O
of   O
the   O
left   O
anterior   O
descending   O
artery   O
,   O
for   O
which   O
angioplasty   O
and   O
stent   O
placement   O
were   O
successfully   O
performed   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Jonathan   B-NAME
Jefferson   I-NAME
was   O
discharged   O
on   O
22/01   B-DATE
with   O
instructions   O
for   O
strict   O
blood   O
pressure   O
and   O
cholesterol   O
control   O
,   O
adherence   O
to   O
medication   O
regimen   O
including   O
aspirin   O
,   O
a   O
P2Y12   O
inhibitor   O
,   O
statin   O
,   O
beta   O
-   O
blocker   O
,   O
and   O
ACE   O
inhibitor   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Schmidt   B-NAME
in   O
two   O
weeks   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Fish   I-LOCATION
Memorial   I-LOCATION
.   O

Contact   O
Information   O
for   O
Further   O
Inquiries   O
:   O
Phoebe   B-LOCATION
Putney   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
(   B-CONTACT
734   I-CONTACT
)   I-CONTACT
353   I-CONTACT
1107   I-CONTACT
Assigned   O
Caseworker   O
:   O
LH1410   B-NAME
This   O
report   O
is   O
a   O
comprehensive   O
overview   O
of   O
the   O
patient   O
's   O
treatment   O
course   O
during   O
their   O
stay   O
at   O
Lee   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
documenting   O
initial   O
symptoms   O
,   O
diagnostic   O
findings   O
,   O
management   O
strategies   O
,   O
and   O
follow   O
-   O
up   O
care   O
instructions   O
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Clarissa   B-NAME
Dunlap   I-NAME
Age   O
:   O
59   O
Date   O
of   O
Birth   O
:   O
2252   B-DATE
SSN   O
:   O
866062   B-ID
Medical   O
Record   O
Number   O
:   O
30023617   B-ID
Address   O
:   O
Waynesboro   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Waynesboro   I-LOCATION
,   O
18129   B-LOCATION
Phone   O
:   O
(   B-CONTACT
293   I-CONTACT
)   I-CONTACT
936   I-CONTACT
6834   I-CONTACT
Employer   O
:   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Operating   I-LOCATION
Engineers   I-LOCATION
Occupation   O
:   O
Nonfarm   O
Animal   O
Caretakers   O
Primary   O
Care   O
Physician   O
:   O

Golden   B-NAME
Date   O
of   O
Visit   O
:   O
32/26/63   B-DATE
Hospital   O
:   O

Good   B-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
West   I-LOCATION
Palm   I-LOCATION
Beach   I-LOCATION
)   I-LOCATION

Summary   O
:   O
Jordon   B-NAME
Wallace   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Cottage   I-LOCATION
Hospital   I-LOCATION
on   O
12/33   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
focusing   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Riggs   B-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
fever   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
since   O
the   O
early   O
hours   O
of   O
2380   B-DATE
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Miles   B-NAME
McCabe   I-NAME
exhibited   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

Surgical   O
consultation   O
led   O
by   O
Ricardo   B-NAME
Leonard   I-NAME
was   O
obtained   O
,   O
and   O
Klein   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
02/20   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Cael   B-NAME
Ruiz   I-NAME
responded   O
well   O
to   O
the   O
procedure   O
.   O

Postoperative   O
Course   O
:   O
Belinda   B-NAME
House   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Dewyer   B-NAME
Linza   I-NAME
was   O
afebrile   O
,   O
and   O
leukocytosis   O
resolved   O
as   O
shown   O
in   O
follow   O
-   O
up   O
CBC   O
.   O

Alonso   B-NAME
Mannchen   I-NAME
was   O
discharged   O
on   O
07/04   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Chen   B-NAME
in   O
two   O
weeks   O
.   O

Instructions   O
for   O
Patient   O
upon   O
Discharge   O
:   O
Viviana   B-NAME
Khan   I-NAME
was   O
advised   O
to   O
limit   O
physical   O
activity   O
,   O
including   O
lifting   O
no   O
more   O
than   O
10   O
pounds   O
,   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
operation   O
.   O

Higgins   B-NAME
was   O
informed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
high   O
fever   O
,   O
worsening   O
abdominal   O
pain   O
,   O
or   O
persistent   O
vomiting   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
with   O
Maggie   B-NAME
Doyle   I-NAME
in   O
Johnsonburg   B-LOCATION
on   O
02/16   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
address   O
any   O
concerns   O
Leroy   B-NAME
Blake   I-NAME
may   O
have   O
.   O

For   O
any   O
questions   O
or   O
emergent   O
issues   O
before   O
the   O
follow   O
-   O
up   O
,   O
Silva   B-NAME
was   O
advised   O
to   O
contact   O
Athens   B-LOCATION
-   I-LOCATION
Limestone   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
at   O
68658   B-CONTACT
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Echols   B-NAME
,   I-NAME
Damien   I-NAME
-   O
Age   O
:   O
34   O
-   O
Phone   O
:   O
527   B-CONTACT
-   I-CONTACT
721   I-CONTACT
7533   I-CONTACT
-   O
Address   O
:   O
Long   B-LOCATION
Beach   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
90813   I-LOCATION
,   O
61479   B-LOCATION
-   O
Occupation   O
:   O
Radio   O
and   O
Television   O
Announcers   O
-   O
Medical   O
Record   O
Number   O
:   O
9447033   B-ID
-   O
Physician   O
:   O

Brayden   B-NAME
Moran   I-NAME
-   O
Date   O
of   O
Visit   O
:   O
1929   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
23   I-DATE
/2023   O
-   O
Hospital   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Southside   I-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
Rhett   B-NAME
Johnston   I-NAME
,   O
presented   O
with   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
hypertension   O
,   O
and   O
hyperlipidemia   O
.   O

The   O
patient   O
complained   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
4/22   B-DATE
.   O

On   O
examination   O
,   O
Taurean   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Diagnostic   O
Assessment   O
:   O
A   O
CT   O
scan   O
of   O
the   O
head   O
was   O
performed   O
at   O
Abington   B-LOCATION
Health   I-LOCATION
Lansdale   I-LOCATION
Hospital   I-LOCATION
,   O
which   O
did   O
not   O
show   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Chance   B-NAME
Frost   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
Thursday   B-DATE
,   I-DATE
July   I-DATE
/2023   O
with   O
Barrett   B-NAME
to   O
assess   O
the   O
efficacy   O
of   O
the   O
treatment   O
plan   O
and   O
adjust   O
the   O
medications   O
if   O
necessary   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
or   O
if   O
there   O
is   O
an   O
increase   O
in   O
frequency   O
or   O
severity   O
of   O
symptoms   O
,   O
Max   B-NAME
Carson   I-NAME
was   O
instructed   O
to   O
contact   O
Stoner   B-NAME
Jr.   I-NAME
,   I-NAME
James   I-NAME
R.   I-NAME
at   O
(   B-CONTACT
828   I-CONTACT
)   I-CONTACT
577   I-CONTACT
-   I-CONTACT
2147   I-CONTACT
or   O
visit   O
the   O
Rice   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
.   O

The   O
patient   O
,   O
Kathryn   B-NAME
Lara   I-NAME
,   O
a   O
Poets   O
,   O
Lyricists   O
and   O
Creative   O
Writers   O
from   O
Castro   B-LOCATION
Valley   I-LOCATION
,   O
presented   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Cleburne   I-LOCATION
on   O
02/21   B-DATE
with   O
a   O
comprehensive   O
set   O
of   O
symptoms   O
.   O

Initially   O
,   O
Raelynn   B-NAME
Giles   I-NAME
reported   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
heightened   O
suspicion   O
for   O
appendicitis   O
.   O

Alongside   O
this   O
,   O
Abbey   B-NAME
Lambert   I-NAME
,   O
89   O
,   O
also   O
noted   O
a   O
marked   O
increase   O
in   O
nausea   O
and   O
had   O
vomited   O
several   O
times   O
in   O
the   O
hours   O
leading   O
up   O
to   O
the   O
hospital   O
visit   O
.   O

Upon   O
examination   O
,   O
Leblanc   B-NAME
noted   O
that   O
Vines   B-NAME
's   O
temperature   O
was   O
elevated   O
at   O
38.5   O
°   O
C   O
,   O
suggestive   O
of   O
an   O
infectious   O
process   O
.   O

Complicating   O
the   O
clinical   O
picture   O
was   O
Addison   B-NAME
's   O
report   O
of   O
a   O
recent   O
onset   O
of   O
diarrhea   O
and   O
a   O
persistent   O
headache   O
,   O
which   O
further   O
broadened   O
the   O
differential   O
diagnosis   O
.   O

Blood   O
tests   O
ordered   O
by   O
Seth   B-NAME
Boyd   I-NAME
revealed   O
leukocytosis   O
,   O
indicating   O
an   O
inflammatory   O
response   O
.   O

Dolly   B-NAME
Murphy   I-NAME
's   O
abdominal   O
ultrasonography   O
,   O
conducted   O
on   O
15/21   B-DATE
,   O
showed   O
swelling   O
around   O
the   O
appendix   O
,   O
supporting   O
the   O
initial   O
diagnosis   O
of   O
appendicitis   O
.   O

Given   O
the   O
severity   O
of   O
Landers   B-NAME
's   O
symptoms   O
and   O
the   O
diagnostic   O
findings   O
,   O
Sheppard   B-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
.   O

Heaven   B-NAME
Steele   I-NAME
's   O
medical   O
record   O
number   O
,   O
335   B-ID
-   I-ID
25   I-ID
-   I-ID
15   I-ID
,   O
was   O
noted   O
for   O
reference   O
in   O
all   O
further   O
treatment   O
documentation   O
.   O

During   O
the   O
stay   O
at   O
Baton   B-LOCATION
Rouge   I-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
contact   O
precautions   O
were   O
initiated   O
due   O
to   O
Vicente   B-NAME
Raymond   I-NAME
's   O
fever   O
and   O
gastrointestinal   O
symptoms   O
,   O
to   O
prevent   O
any   O
potential   O
spread   O
of   O
infection   O
.   O

The   O
surgical   O
team   O
,   O
after   O
a   O
thorough   O
review   O
of   O
Russel   B-NAME
Bernotas   I-NAME
's   O
medical   O
history   O
and   O
current   O
symptoms   O
,   O
planned   O
an   O
appendectomy   O
for   O
3/23   B-DATE
.   O

For   O
post   O
-   O
operative   O
care   O
,   O
detailed   O
instructions   O
were   O
provided   O
to   O
Frank   B-NAME
Oden   I-NAME
on   O
7/7   B-DATE
,   O
emphasizing   O
wound   O
care   O
,   O
signs   O
of   O
possible   O
infection   O
,   O
and   O
the   O
importance   O
of   O
follow   O
-   O
up   O
visits   O
.   O

Chris   B-NAME
Sands   I-NAME
was   O
informed   O
to   O
reach   O
out   O
to   O
James   B-NAME
's   O
office   O
at   O
206   B-CONTACT
-   I-CONTACT
898   I-CONTACT
-   I-CONTACT
4037   I-CONTACT
for   O
any   O
concerning   O
symptoms   O
or   O
clarification   O
on   O
post   O
-   O
operative   O
care   O
.   O

American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Mass   I-LOCATION
Spectrometry   I-LOCATION
billed   O
the   O
procedure   O
,   O
and   O
all   O
related   O
costs   O
were   O
documented   O
under   O
the   O
account   O
number   O
IN:9117:370680   B-ID
.   O

Lanne   B-NAME
,   I-NAME
Jack   I-NAME
La   I-NAME
was   O
discharged   O
on   O
2190   B-DATE
with   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
two   O
weeks   O
post   O
-   O
discharge   O
.   O

In   O
summary   O
,   O
Mohamed   B-NAME
Hall   I-NAME
's   O
prompt   O
presentation   O
to   O
NorthShore   B-LOCATION
University   I-LOCATION
HealthSystem   I-LOCATION
-Skokie   I-LOCATION
Hospital   I-LOCATION
and   O
the   O
swift   O
response   O
by   O
the   O
medical   O
team   O
led   O
to   O
a   O
successful   O
surgical   O
intervention   O
.   O

Paz   B-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
was   O
optimistic   O
about   O
a   O
full   O
recovery   O
.   O

The   O
coordination   O
between   O
various   O
departments   O
within   O
Citizens   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
adherence   O
to   O
protocol   O
was   O
commendable   O
and   O
played   O
a   O
significant   O
role   O
in   O
the   O
outcome   O
of   O
this   O
case   O
.   O

Further   O
instructions   O
were   O
provided   O
to   O
Albertina   B-NAME
Bubonicus   I-NAME
to   O
contact   O
the   O
clinic   O
at   O
934   B-CONTACT
1878   I-CONTACT
if   O
any   O
complications   O
arose   O
.   O

Additionally   O
,   O
Nielsen   B-NAME
was   O
advised   O
that   O
further   O
correspondence   O
from   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Charles   I-LOCATION
Hospital   I-LOCATION
regarding   O
the   O
stay   O
would   O
be   O
mailed   O
to   O
Americus   B-LOCATION
,   I-LOCATION
Americus   I-LOCATION
Downtown   I-LOCATION
Development   I-LOCATION
Authority   I-LOCATION
-   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
89090   B-LOCATION
.   O

Future   O
consultations   O
and   O
any   O
necessary   O
treatments   O
were   O
scheduled   O
to   O
be   O
conducted   O
in   O
North   B-LOCATION
Liberty   I-LOCATION
,   O
ensuring   O
Florianus   B-NAME
Dolven   I-NAME
's   O
comfort   O
and   O
accessibility   O
to   O
healthcare   O
services   O
.   O

4   B-DATE
-   I-DATE
11   I-DATE
,   O
Jacoby   B-NAME
Keith   I-NAME
,   O
a   O
74   O
-   O
year   O
-   O
old   O
Insurance   O
underwriter   O
from   O
Shidler   B-LOCATION
,   O
was   O
admitted   O
to   O
UPMC   B-LOCATION
PASSAVANT   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
that   O
had   O
been   O
worsening   O
over   O
the   O
past   O
week   O
.   O

Additionally   O
,   O
Jan   B-NAME
Poole   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
.   O

Upon   O
initial   O
evaluation   O
,   O
Knightley   B-NAME
,   I-NAME
Keira   I-NAME
noted   O
that   O
Johan   B-NAME
Preston   I-NAME
's   O
temperature   O
was   O
38.2   O
°   O
C   O
(   O
100.8   O
°   O
F   O
)   O
,   O
and   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
.   O

Holden   B-NAME
also   O
requested   O
an   O
abdominal   O
ultrasound   O
to   O
further   O
investigate   O
the   O
source   O
of   O
Irmgard   B-NAME
Menas   I-NAME
's   O
symptoms   O
.   O

Given   O
these   O
findings   O
,   O
Vance   B-NAME
,   I-NAME
Jack   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
as   O
the   O
definitive   O
treatment   O
for   O
acute   O
appendicitis   O
.   O

Stanton   B-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
.   O

After   O
discussing   O
the   O
potential   O
risks   O
and   O
benefits   O
,   O
Botha   B-NAME
,   I-NAME
Pik   I-NAME
consented   O
to   O
proceed   O
with   O
the   O
operation   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
00/22   B-DATE
without   O
any   O
complications   O
.   O

Rabuka   B-NAME
,   I-NAME
Sitiveni   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
post   O
-   O
operatively   O
and   O
showed   O
remarkable   O
improvement   O
in   O
symptoms   O
.   O

During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
03/27   B-DATE
,   O
Diane   B-NAME
Ullah   I-NAME
reported   O
complete   O
resolution   O
of   O
abdominal   O
pain   O
and   O
had   O
returned   O
to   O
normal   O
activities   O
.   O

Amy   B-NAME
Farrah   I-NAME
Fowler   I-NAME
advised   O
Zander   B-NAME
Guzman   I-NAME
to   O
avoid   O
strenuous   O
activity   O
for   O
a   O
few   O
weeks   O
to   O
ensure   O
complete   O
healing   O
.   O

Haven   B-NAME
Cervantes   I-NAME
documented   O
the   O
case   O
in   O
Wilson   B-NAME
Mcdaniel   I-NAME
's   O
medical   O
record   O
,   O
40858340   B-ID
,   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
4   O
weeks   O
to   O
monitor   O
Anakin   B-NAME
's   O
recovery   O
progress   O
.   O

The   O
medical   O
team   O
at   O
Connecticut   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
commended   O
for   O
their   O
swift   O
diagnosis   O
and   O
management   O
of   O
a   O
potentially   O
life   O
-   O
threatening   O
condition   O
.   O

For   O
further   O
inquiries   O
,   O
Lopez   B-NAME
was   O
given   O
the   O
contact   O
number   O
450   B-CONTACT
-   I-CONTACT
5487   I-CONTACT
and   O
advised   O
to   O
reach   O
out   O
if   O
there   O
were   O
any   O
concerns   O
before   O
the   O
next   O
scheduled   O
appointment   O
.   O

Patient   O
Name   O
:   O
Bruna   B-NAME
Oglesby   I-NAME
Patient   O
ID   O
:   O
JL697/7974   B-ID
Medical   O
Record   O
Number   O
:   O
53975875   B-ID
Date   O
of   O
Birth   O
:   O
2322   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
23   I-DATE
Age   O
:   O
0   O
week   O
Address   O
:   O
Pleasant   B-LOCATION
Plains   I-LOCATION
,   O
42777   B-LOCATION
Phone   O
Number   O
:   O
889   B-CONTACT
1502   I-CONTACT

Garnet   B-NAME
Christain   I-NAME
Hospital   O
:   O
Mercy   B-LOCATION
Philadelphia   I-LOCATION
Hospital   I-LOCATION
Employment   O
:   O
Orthotists   O
and   O
Prosthetists   O
at   O
Colonial   B-LOCATION
Bank   I-LOCATION
Username   O
:   O
ywu66   B-NAME
Patient   O
Cheever   B-NAME
,   I-NAME
John   I-NAME
was   O
admitted   O
to   O
Troy   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/01   B-DATE
with   O
a   O
history   O
of   O
severe   O
,   O
persistent   O
headache   O
and   O
photophobia   O
.   O

Crosby   B-NAME
also   O
complained   O
of   O
nausea   O
without   O
vomiting   O
and   O
transient   O
episodes   O
of   O
blurred   O
vision   O
.   O

JUSTUS   B-NAME
,   I-NAME
ELLIS   I-NAME
's   O
past   O
medical   O
history   O
includes   O
migraine   O
without   O
aura   O
diagnosed   O
at   O
the   O
age   O
of   O
50   O
.   O

Hensley   B-NAME
mentioned   O
the   O
ineffective   O
use   O
of   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
,   O
and   O
has   O
not   O
been   O
on   O
any   O
prescription   O
migraine   O
prophylaxis   O
.   O

A   O
CT   O
scan   O
of   O
the   O
head   O
was   O
ordered   O
by   O
Samuel   B-NAME
Ortiz   I-NAME
and   O
performed   O
on   O
31/32/2191   B-DATE
,   O
which   O
did   O
not   O
reveal   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

Damaris   B-NAME
Reynolds   I-NAME
was   O
monitored   O
for   O
24   O
hours   O
,   O
during   O
which   O
the   O
episodes   O
of   O
headache   O
and   O
photophobia   O
significantly   O
reduced   O
in   O
intensity   O
.   O

Weeks   B-NAME
recommended   O
a   O
follow   O
-   O
up   O
visit   O
for   O
further   O
evaluation   O
and   O
potential   O
adjustment   O
of   O
migraine   O
prophylaxis   O
regimen   O
.   O

August   B-NAME
Beard   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
regular   O
sleep   O
patterns   O
,   O
hydration   O
,   O
and   O
avoidance   O
of   O
known   O
migraine   O
triggers   O
.   O

Details   O
of   O
the   O
follow   O
-   O
up   O
appointment   O
and   O
patient   O
education   O
resources   O
were   O
emailed   O
to   O
VR826   B-NAME
for   O
convenience   O
.   O

(   B-CONTACT
334   I-CONTACT
)   I-CONTACT
112   I-CONTACT
8280   I-CONTACT
was   O
listed   O
as   O
the   O
primary   O
contact   O
number   O
for   O
any   O
further   O
queries   O
or   O
emergency   O
situations   O
.   O

Dumas   B-NAME
,   I-NAME
Alexandre   I-NAME
was   O
discharged   O
on   O
12/02/11   B-DATE
with   O
instructions   O
to   O
monitor   O
symptoms   O
closely   O
and   O
report   O
to   O
Sentara   B-LOCATION
Obici   I-LOCATION
Hospital   I-LOCATION
or   O
visit   O
the   O
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsen   O
or   O
new   O
symptoms   O
appear   O
.   O

The   O
patient   O
,   O
Easton   B-NAME
Morrison   I-NAME
,   O
93   O
years   O
old   O
,   O
initially   O
presented   O
to   O
American   B-LOCATION
Sterling   I-LOCATION
Bank   I-LOCATION
on   O
02/20   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
pulsating   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
accompanied   O
by   O
nausea   O
and   O
photophobia   O
.   O

The   O
history   O
provided   O
by   O
Peter   B-NAME
Janssen   I-NAME
also   O
noted   O
episodes   O
of   O
visual   O
aura   O
characterized   O
by   O
flashing   O
lights   O
and   O
blind   O
spots   O
occurring   O
prior   O
to   O
the   O
headache   O
onset   O
.   O

Upon   O
examination   O
at   O
Piedmont   B-LOCATION
Newnan   I-LOCATION
Hospital   I-LOCATION
,   O
Rolando   B-NAME
Olson   I-NAME
's   O
vitals   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
120/80   O
mmHg   O
,   O
heart   O
rate   O
72   O
beats   O
per   O
minute   O
,   O
and   O
temperature   O
98.6   O
°   O
F   O
.   O

Neurological   O
examination   O
by   O
Martin   B-NAME
Ellingham   I-NAME
did   O
not   O
reveal   O
any   O
focal   O
deficits   O
.   O

Dakota   B-NAME
Prochaska   I-NAME
reported   O
no   O
recent   O
history   O
of   O
head   O
injury   O
,   O
loss   O
of   O
consciousness   O
,   O
or   O
seizure   O
activity   O
.   O

Phelps   B-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
to   O
rule   O
out   O
structural   O
abnormalities   O
,   O
and   O
blood   O
work   O
to   O
identify   O
any   O
potential   O
metabolic   O
contributors   O
to   O
the   O
headache   O
episodes   O
.   O

The   O
results   O
of   O
the   O
MRI   O
,   O
conducted   O
on   O
11/02/2071   B-DATE
,   O
showed   O
no   O
significant   O
abnormalities   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
assessment   O
,   O
Knowles   B-NAME
was   O
diagnosed   O
with   O
migraines   O
with   O
aura   O
.   O

A   O
treatment   O
plan   O
was   O
formulated   O
by   O
Aylin   B-NAME
Wise   I-NAME
,   O
involving   O
the   O
initiation   O
of   O
a   O
prophylactic   O
beta   O
-   O
blocker   O
and   O
a   O
prescription   O
for   O
a   O
triptan   O
medication   O
for   O
acute   O
management   O
of   O
migraine   O
episodes   O
.   O

Stone   B-NAME
was   O
also   O
advised   O
on   O
lifestyle   O
modifications   O
,   O
including   O
regular   O
sleep   O
,   O
hydration   O
,   O
stress   O
management   O
,   O
and   O
the   O
avoidance   O
of   O
known   O
migraine   O
triggers   O
.   O

Parker   B-NAME
Compton   I-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Eden   B-NAME
Hansen   I-NAME
in   O
4   O
weeks   O
to   O
evaluate   O
the   O
efficacy   O
of   O
the   O
treatment   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

Shawn   B-NAME
Stein   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
on   O
migraine   O
management   O
and   O
was   O
encouraged   O
to   O
keep   O
a   O
headache   O
diary   O
to   O
track   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
severity   O
of   O
future   O
episodes   O
,   O
as   O
well   O
as   O
any   O
potential   O
triggers   O
.   O

For   O
any   O
questions   O
or   O
to   O
report   O
any   O
adverse   O
effects   O
of   O
the   O
medication   O
,   O
Jacobson   B-NAME
was   O
instructed   O
to   O
contact   O
Triumph   B-LOCATION
the   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Rome   I-LOCATION
's   O
headache   O
clinic   O
at   O
47572   B-CONTACT
.   O

Irineo   B-NAME
Tovar   I-NAME
's   O
medical   O
record   O
number   O
for   O
this   O
visit   O
is   O
328   B-ID
-   I-ID
58   I-ID
-   I-ID
05   I-ID
.   O

Confidentiality   O
Notice   O
:   O
All   O
personal   O
and   O
medical   O
information   O
pertaining   O
to   O
Phil   B-NAME
Burns   I-NAME
should   O
remain   O
confidential   O
and   O
be   O
accessed   O
only   O
by   O
authorized   O
personnel   O
of   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Kirkwood   I-LOCATION
and   O
affiliated   O
healthcare   O
providers   O
.   O

Unauthorized   O
disclosure   O
of   O
AH:50540:823759   B-ID
,   O
798   B-ID
-   I-ID
53   I-ID
-   I-ID
88   I-ID
,   O
and   O
personal   O
data   O
including   O
address   O
at   O
Marshalltown   B-LOCATION
and   O
contact   O
number   O
90014   B-CONTACT
is   O
strictly   O
prohibited   O
.   O

This   O
document   O
has   O
been   O
prepared   O
by   O
Film   O
and   O
Video   O
Editors   O
qe240   B-NAME
on   O
behalf   O
of   O
the   O
neurology   O
department   O
at   O
El   B-LOCATION
Camino   I-LOCATION
Hospital   I-LOCATION
Los   I-LOCATION
Gatos   I-LOCATION
,   O
15891   B-LOCATION
.   O

Patient   O
Name   O
:   O
Hillary   B-NAME
,   I-NAME
Edmund   I-NAME
Patient   O
ID   O
:   O
DH:29211:977198   B-ID

Medical   O
Record   O
Number   O
:   O
62958877   B-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
Age   O
:   O
25   O
Address   O
:   O
Meadowlands   B-LOCATION
,   O
21215   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
181   I-CONTACT
)   I-CONTACT
568   I-CONTACT
4250   I-CONTACT
Employer   O
:   O
TeamBank   B-LOCATION
,   I-LOCATION
NA   I-LOCATION
Profession   O
:   O
bartender   O
Primary   O
Physician   O
:   O

Fitzpatrick   B-NAME
Hospital   O
:   O
Buffalo   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
20/20   B-DATE
Visitation   O
Summary   O
:   O
Jazlynn   B-NAME
Ray   I-NAME
,   O
a   O
54   O
-   O
year   O
-   O
old   O
Molding   O
,   O
Coremaking   O
,   O
and   O
Casting   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
employed   O
by   O
Statewide   B-LOCATION
Bank   I-LOCATION
,   O
residing   O
in   O
Hemlock   B-LOCATION
Farms   I-LOCATION
with   O
the   O
zip   O
code   O
of   O
10690   B-LOCATION
,   O
contacted   O
our   O
facility   O
on   O
00/64   B-DATE
.   O

The   O
initial   O
report   O
was   O
received   O
via   O
phone   O
number   O
610   B-CONTACT
-   I-CONTACT
118   I-CONTACT
-   I-CONTACT
7562   I-CONTACT
,   O
citing   O
complaints   O
of   O
chronic   O
fatigue   O
,   O
intermittent   O
episodes   O
of   O
severe   O
headaches   O
,   O
and   O
unexplained   O
weight   O
loss   O
over   O
the   O
past   O
two   O
months   O
.   O

Upon   O
presentation   O
,   O
a   O
detailed   O
evaluation   O
was   O
undertaken   O
by   O
Roy   B-NAME
at   O
Hendrick   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
.   O

A   O
thorough   O
review   O
of   O
Nova   B-NAME
Fennell   I-NAME
's   O
medical   O
history   O
and   O
recent   O
lifestyle   O
changes   O
was   O
also   O
conducted   O
,   O
excluding   O
any   O
recent   O
travel   O
history   O
to   O
endemic   O
regions   O
which   O
could   O
suggest   O
exotic   O
etiologies   O
.   O

Given   O
the   O
nonspecific   O
nature   O
of   O
the   O
symptoms   O
,   O
Heath   B-NAME
recommended   O
a   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
and   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
to   O
rule   O
out   O
any   O
neurological   O
involvement   O
.   O

These   O
tests   O
are   O
scheduled   O
for   O
02/22   B-DATE
at   O
Suburban   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
located   O
at   O
Norlina   B-LOCATION
.   O

Being   O
a   O
Nuclear   O
Power   O
Reactor   O
Operators   O
at   O
City   B-LOCATION
of   I-LOCATION
Winter   I-LOCATION
Park   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
Department   I-LOCATION
,   O
there   O
was   O
initial   O
speculation   O
about   O
occupational   O
hazards   O
that   O
could   O
explain   O
the   O
symptomatology   O
;   O
however   O
,   O
further   O
review   O
is   O
required   O
.   O

It   O
is   O
imperative   O
to   O
follow   O
up   O
on   O
Matteo   B-NAME
Cannon   I-NAME
's   O
test   O
results   O
,   O
scheduled   O
for   O
04/23   B-DATE
,   O
to   O
delineate   O
the   O
appropriate   O
therapeutic   O
pathway   O
.   O

In   O
summary   O
,   O
the   O
patient   O
,   O
Arthur   B-NAME
Jackson   I-NAME
,   O
with   O
9   B-ID
-   I-ID
7485380   I-ID
,   O
medical   O
record   O
number   O
038   B-ID
-   I-ID
95   I-ID
-   I-ID
26   I-ID
,   O
residing   O
in   O
Strausstown   B-LOCATION
,   O
51235   B-LOCATION
,   O
presents   O
with   O
a   O
complex   O
symptomatology   O
necessitating   O
a   O
multidimensional   O
diagnostic   O
approach   O
.   O

Document   O
prepared   O
by   O
:   O
XX941   B-NAME
Date   O
:   O
winter   B-DATE

Patient   O
Name   O
:   O
Leroy   B-NAME
X.   I-NAME
Oshea   I-NAME
Patient   O
ID   O
:   O
4877797   B-ID
Date   O
of   O
Birth   O
:   O
7   B-DATE
/   I-DATE
May   I-DATE
Age   O
:   O
10   O
Address   O
:   O
Ore   B-LOCATION
City   I-LOCATION
,   O
99744   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
211   I-CONTACT
)   I-CONTACT
985   I-CONTACT
-   I-CONTACT
7764   I-CONTACT
Employer   O
:   O

Washington   B-LOCATION
EMC   I-LOCATION
Occupation   O
:   O
teacher   O
Primary   O
Care   O
Physician   O
:   O

Drake   B-NAME
Medical   O
Record   O
Number   O
:   O
319   B-ID
-   I-ID
27   I-ID
-   I-ID
36   I-ID
Admission   O
Date   O
:   O
36/32   B-DATE
Hospital   O
:   O

Guthrie   B-LOCATION
Towanda   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Kübler   B-NAME
-   I-NAME
Ross   I-NAME
,   I-NAME
Elisabeth   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
02/06   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lilia   B-NAME
Nichols   I-NAME
,   O
a   O
85   O
-   O
year   O
-   O
old   O
editor   O
,   O
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Cecila   B-NAME
Mordino   I-NAME
states   O
that   O
the   O
symptoms   O
were   O
sudden   O
in   O
onset   O
while   O
at   O
work   O
(   O
TeamBank   B-LOCATION
,   I-LOCATION
NA   I-LOCATION
)   O
in   O
West   B-LOCATION
Bend   I-LOCATION
.   O

Jeter   B-NAME
,   I-NAME
Derek   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
Travers   B-NAME
,   I-NAME
P.   I-NAME
L.   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Kaleb   B-NAME
Oconnell   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
.   O

A   O
stat   O
consultation   O
with   O
cardiology   O
was   O
requested   O
,   O
and   O
Stephen   B-NAME
Strange   I-NAME
was   O
subsequently   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
an   O
emergent   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
by   O
Booker   B-NAME
.   O

Post   O
-   O
procedure   O
,   O
Tabeathah   B-NAME
Leasher   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
for   O
monitoring   O
and   O
further   O
management   O
.   O

Follow   O
-   O
up   O
and   O
Plan   O
:   O
Henson   B-NAME
will   O
remain   O
under   O
observation   O
in   O
Loring   B-LOCATION
Hospital   I-LOCATION
with   O
daily   O
evaluations   O
by   O
the   O
cardiology   O
team   O
.   O

Medications   O
will   O
be   O
adjusted   O
as   O
needed   O
,   O
and   O
Wade   B-NAME
will   O
be   O
started   O
on   O
a   O
dual   O
antiplatelet   O
therapy   O
regimen   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Carlson   B-NAME
has   O
been   O
scheduled   O
for   O
10/27   B-DATE
to   O
assess   O
recovery   O
progress   O
and   O
discuss   O
long   O
-   O
term   O
management   O
of   O
coronary   O
artery   O
disease   O
.   O

Additionally   O
,   O
Giancarlo   B-NAME
Sanders   I-NAME
will   O
be   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
and   O
advised   O
on   O
lifestyle   O
modifications   O
.   O

Prepared   O
by   O
:   O
da124   B-NAME
Reviewed   O
by   O
:   O
Song   B-NAME
Lepak   I-NAME
Date   O
:   O
03   B-DATE
-   I-DATE
11   I-DATE
Contact   O
Information   O
:   O
Cardiology   O
Department   O
,   O
(   B-CONTACT
621   I-CONTACT
)   I-CONTACT
345   I-CONTACT
-   I-CONTACT
2448   I-CONTACT

Patient   O
Name   O
:   O
Suzann   B-NAME
Sison   I-NAME
Age   O
:   O
10   O
Gender   O
:   O
F   O
Date   O
of   O
Birth   O
:   O
1928   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
24   I-DATE
Address   O
:   O
Miami   B-LOCATION
,   O
43024   B-LOCATION
Phone   O
:   O
(   B-CONTACT
183   I-CONTACT
)   I-CONTACT
292   I-CONTACT
-   I-CONTACT
9033   I-CONTACT
Occupation   O
:   O
Secretary   O
Doctor   O
:   O
Benjamin   B-NAME
Reed   I-NAME
Hospital   O
:   O
Bullock   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
83499264   B-ID
Social   O
Security   O
Number   O
:   O
WD870/6947   B-ID
Presentation   O
:   O
The   O
patient   O
,   O
Yelton   B-NAME
,   O
presented   O
to   O
Montrose   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
00/15   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
nausea   O
and   O
photophobia   O
.   O

Koen   B-NAME
Park   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
dizziness   O
,   O
and   O
an   O
aura   O
characterized   O
by   O
visual   O
disturbances   O
in   O
the   O
form   O
of   O
flashing   O
lights   O
prior   O
to   O
the   O
onset   O
of   O
headache   O
.   O

Ross   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
migraine   O
,   O
diagnosed   O
at   O
age   O
34s   O
.   O

Yahir   B-NAME
Malone   I-NAME
has   O
a   O
family   O
history   O
of   O
migraine   O
in   O
her   O
mother   O
and   O
one   O
sibling   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Shinoda   B-NAME
,   I-NAME
Mike   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Eliezer   B-NAME
Strong   I-NAME
at   O
Tift   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
within   O
four   O
weeks   O
to   O
assess   O
response   O
to   O
therapy   O
.   O

Should   O
the   O
patient   O
experience   O
any   O
side   O
effects   O
or   O
no   O
improvement   O
in   O
symptoms   O
,   O
she   O
was   O
advised   O
to   O
contact   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Westchester   I-LOCATION
via   O
59524   B-CONTACT
.   O

The   O
importance   O
of   O
maintaining   O
a   O
headache   O
diary   O
was   O
emphasized   O
to   O
Jair   B-NAME
Rodgers   I-NAME
for   O
better   O
identification   O
of   O
triggers   O
and   O
assessment   O
of   O
treatment   O
efficacy   O
.   O

The   O
patient   O
was   O
encouraged   O
to   O
reach   O
out   O
to   O
support   O
groups   O
available   O
through   O
Marine   B-LOCATION
Corps   I-LOCATION
League   I-LOCATION
for   O
additional   O
resources   O
and   O
support   O
.   O

Further   O
assessments   O
or   O
referrals   O
were   O
deemed   O
not   O
necessary   O
at   O
this   O
point   O
;   O
however   O
,   O
it   O
was   O
communicated   O
to   O
Inge   B-NAME
that   O
should   O
her   O
symptoms   O
drastically   O
change   O
or   O
worsen   O
,   O
she   O
should   O
not   O
hesitate   O
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

Documentation   O
of   O
this   O
visit   O
was   O
completed   O
and   O
stored   O
under   O
708   B-ID
-   I-ID
45   I-ID
-   I-ID
59   I-ID
-   I-ID
2   I-ID
.   O

For   O
any   O
queries   O
or   O
follow   O
-   O
up   O
matters   O
,   O
Seamus   B-NAME
Mckee   I-NAME
or   O
her   O
designated   O
family   O
member   O
may   O
reach   O
out   O
to   O
the   O
clinic   O
using   O
the   O
contact   O
information   O
provided   O
at   O
the   O
beginning   O
of   O
this   O
document   O
.   O

Patient   O
Report   O
for   O
Leonard   B-NAME
Murphy   I-NAME
General   O
Information   O
:   O
Age   O
:   O
10   O
Date   O
of   O
Admission   O
:   O
3/08   B-DATE
/2023   O
Admitting   O
Hospital   O
:   O

Cherokee   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
10856608   B-ID
Residence   O
:   O
Bramwell   B-LOCATION
,   O
78576   B-LOCATION
Contact   O
Information   O
:   O
75933   B-CONTACT
Detail   O
of   O
presenting   O
complaint   O
:   O
Johanna   B-NAME
Peters   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Divine   B-LOCATION
Savior   I-LOCATION
Healthcare   I-LOCATION
on   O
February   B-DATE
9   I-DATE
,   I-DATE
2378   I-DATE
with   O
acute   O
onset   O
of   O
severe   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
lightheadedness   O
.   O

The   O
patient   O
described   O
the   O
pain   O
as   O
8/10   O
in   O
intensity   O
,   O
with   O
onset   O
while   O
at   O
their   O
occupation   O
as   O
a   O
Production   O
manager   O
at   O
approximately   O
Tuesday   B-DATE
,   I-DATE
December   I-DATE
midday   O
.   O

Erickson   B-NAME
also   O
reported   O
associated   O
nausea   O
without   O
vomiting   O
or   O
diaphoresis   O
.   O

Coleman   B-NAME
Lambert   I-NAME
has   O
been   O
under   O
the   O
care   O
of   O
Ortiz   B-NAME
for   O
the   O
management   O
of   O
these   O
conditions   O
.   O

The   O
last   O
recorded   O
visit   O
was   O
on   O
3/20   B-DATE
.   O
Medications   O
upon   O
Admission   O
:   O
1   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Rehnquist   B-NAME
,   I-NAME
William   I-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
Course   O
:   O
Neil   B-NAME
,   I-NAME
Ruba   I-NAME
was   O
promptly   O
initiated   O
on   O
aspirin   O
,   O
a   O
loading   O
dose   O
of   O
clopidogrel   O
,   O
and   O
heparin   O
drip   O
following   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Noah   B-NAME
Love   I-NAME
,   O
was   O
consulted   O
,   O
and   O
a   O
decision   O
for   O
an   O
urgent   O
cardiac   O
catheterization   O
was   O
made   O
.   O

The   O
procedure   O
was   O
performed   O
on   O
33/03   B-DATE
,   O
revealing   O
a   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
,   O
which   O
was   O
successfully   O
stented   O
.   O

Follow   O
-   O
up   O
:   O
Belen   B-NAME
Benitez   I-NAME
was   O
moved   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
post   O
-   O
procedure   O
.   O

Hunter   B-NAME
's   O
pain   O
has   O
resolved   O
,   O
and   O
[   O
HE   O
/   O
SHE   O
]   O
remains   O
stable   O
with   O
a   O
plan   O
for   O
discharge   O
to   O
Suriname   B-LOCATION
scheduled   O
for   O
12/12   B-DATE
.   O

Pruitt   B-NAME
has   O
been   O
advised   O
to   O
follow   O
up   O
with   O
Paityn   B-NAME
Obrien   I-NAME
in   O
two   O
weeks   O
for   O
a   O
repeat   O
evaluation   O
and   O
to   O
continue   O
with   O
medication   O
adjustments   O
as   O
needed   O
.   O

IntelliQuote   B-LOCATION
Insurance   I-LOCATION
Services   I-LOCATION
and   O
insurance   O
information   O
:   O

Maritime   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
has   O
been   O
notified   O
of   O
Beth   B-NAME
Chapel   I-NAME
's   O
admission   O
and   O
treatment   O
course   O
.   O

Michael   B-NAME
Zamora   I-NAME
's   O
insurance   O
provider   O
,   O
identified   O
by   O
PN   B-ID
:   I-ID
BH:1271   I-ID
,   O
has   O
approved   O
the   O
procedure   O
and   O
inpatient   O
stay   O
.   O

Coordination   O
with   O
the   O
patient   O
’s   O
pharmacy   O
in   O
Clarkston   B-LOCATION
has   O
been   O
arranged   O
for   O
medication   O
prescriptions   O
.   O

Summary   O
:   O
Harold   B-NAME
Ashley   I-NAME
,   O
a   O
48s   O
-   O
year   O
-   O
old   O
Refrigeration   O
Mechanics   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
an   O
acute   O
MI   O
.   O

Ongoing   O
management   O
of   O
Franklin   B-NAME
Feliciano   I-NAME
's   O
chronic   O
conditions   O
will   O
continue   O
with   O
Huber   B-NAME
,   O
with   O
an   O
emphasis   O
on   O
secondary   O
prevention   O
strategies   O
.   O

The   O
patient   O
has   O
been   O
provided   O
with   O
emergency   O
contact   O
numbers   O
,   O
including   O
(   B-CONTACT
886   I-CONTACT
)   I-CONTACT
155   I-CONTACT
3220   I-CONTACT
,   O
for   O
any   O
further   O
questions   O
or   O
concerns   O
that   O
may   O
arise   O
following   O
discharge   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Kobe   B-NAME
Wagner   I-NAME
Patient   O
ID   O
:   O
ZO:67854:667139   B-ID
Medical   O
Record   O
Number   O
:   O
9321G03490   B-ID
Date   O
of   O
Birth   O
:   O
2267   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
13   I-DATE
Age   O
:   O
32s   O
Address   O
:   O
Currie   B-LOCATION
,   O
52623   B-LOCATION
Phone   O
Number   O
:   O
869   B-CONTACT
8554   I-CONTACT
Primary   O
Care   O
Provider   O
:   O
Lyla   B-NAME
Brewer   I-NAME
Hospital   O
:   O
MultiCare   B-LOCATION
Deaconess   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/26/39   B-DATE
Date   O
of   O
Discharge   O
:   O

Thursday   B-DATE
Occupation   O
:   O
Broadcast   O
Technicians   O
Clinical   O
Summary   O
:   O
Punja   B-NAME
,   I-NAME
Hari   I-NAME
,   O
a   O
2   O
-   O
year   O
-   O
old   O
Transit   O
and   O
Railroad   O
Police   O
residing   O
in   O
Rifle   B-LOCATION
,   O
72610   B-LOCATION
,   O
was   O
admitted   O
to   O
Bear   B-LOCATION
Lake   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
02/22/38   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Aquila   B-NAME
denies   O
any   O
recent   O
trauma   O
,   O
dietary   O
changes   O
,   O
or   O
similar   O
prior   O
episodes   O
.   O

Physical   O
examination   O
by   O
Rojas   B-NAME
revealed   O
marked   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
positive   O
Rovsing   O
's   O
sign   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Abdominal   O
ultrasound   O
performed   O
on   O
9/4/2121   B-DATE
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fluid   O
collection   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Based   O
on   O
the   O
clinical   O
and   O
diagnostic   O
findings   O
,   O
Julius   B-NAME
Moss   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
by   O
Adrien   B-NAME
Shea   I-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
21/39   B-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
with   O
Raelynn   B-NAME
Sutton   I-NAME
showing   O
signs   O
of   O
improvement   O
including   O
resolution   O
of   O
abdominal   O
pain   O
and   O
normalization   O
of   O
vital   O
signs   O
and   O
white   O
blood   O
cell   O
count   O
.   O

Tiara   B-NAME
Pope   I-NAME
was   O
discharged   O
from   O
Millard   B-LOCATION
Fillmore   I-LOCATION
Suburban   I-LOCATION
Hospital   I-LOCATION
on   O
29/12   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
Owen   B-NAME
in   O
two   O
weeks   O
.   O

Karlee   B-NAME
Gonzales   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unusual   O
symptoms   O
and   O
to   O
contact   O
Phoenixville   B-LOCATION
Health   I-LOCATION
at   O
303   B-CONTACT
-   I-CONTACT
8397   I-CONTACT
for   O
any   O
concerns   O
or   O
to   O
report   O
to   O
the   O
nearest   O
emergency   O
room   O
if   O
necessary   O
.   O

The   O
collaborative   O
effort   O
between   O
the   O
surgical   O
team   O
,   O
nursing   O
staff   O
,   O
and   O
other   O
healthcare   O
professionals   O
at   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Franciscan   I-LOCATION
Healthcare   I-LOCATION
in   I-LOCATION
LaCrosse   I-LOCATION
contributed   O
significantly   O
to   O
Whitney   B-NAME
Gibbs   I-NAME
's   O
positive   O
outcome   O
.   O

OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
was   O
encouraged   O
to   O
maintain   O
regular   O
health   O
check   O
-   O
ups   O
with   O
Benjamin   B-NAME
Stone   I-NAME
.   O

Prepared   O
by   O
:   O
wi881   B-NAME
03/05   B-DATE

Patient   O
Name   O
:   O
Shyanne   B-NAME
Wiggins   I-NAME
Medical   O
Record   O
Number   O
:   O
3010769   B-ID
Date   O
of   O
Birth   O
:   O
March   B-DATE
21   I-DATE
,   I-DATE
2219   I-DATE
Age   O
:   O
52   O
Date   O
of   O
Report   O
:   O
2/2027   B-DATE

Meadows   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Airport   B-LOCATION
Road   I-LOCATION
Addition   I-LOCATION
Phone   O
:   O
756   B-CONTACT
-   I-CONTACT
7792   I-CONTACT
ID   O
:   O
XU835/2266   B-ID
Zip   O
:   O
48795   B-LOCATION
Employer   O
:   O
Coastal   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Profession   O
:   O

Data   O
Entry   O
Keyers   O
Summary   O
:   O
Santos   B-NAME
presented   O
to   O
Bethesda   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
8/31   B-DATE
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Vinnie   B-NAME
Biever   I-NAME
reported   O
an   O
associated   O
loss   O
of   O
appetite   O
,   O
mild   O
nausea   O
without   O
vomiting   O
,   O
and   O
an   O
elevated   O
temperature   O
recorded   O
at   O
home   O
.   O

On   O
physical   O
examination   O
,   O
Tawn   B-NAME
Johanson   I-NAME
demonstrated   O
tenderness   O
on   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
guarding   O
and   O
rebound   O
tenderness   O
,   O
suggestive   O
of   O
peritoneal   O
irritation   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
2115   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
00   I-DATE
showed   O
evidence   O
of   O
an   O
enlarged   O
appendix   O
with   O
wall   O
thickening   O
and   O
a   O
small   O
amount   O
of   O
free   O
fluid   O
around   O
the   O
appendix   O
,   O
which   O
further   O
supports   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Nunes   B-NAME
was   O
evaluated   O
by   O
the   O
surgical   O
team   O
led   O
by   O
Martin   B-NAME
,   I-NAME
Demetri   I-NAME
,   O
and   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

Consent   O
for   O
surgery   O
was   O
obtained   O
on   O
2298   B-DATE
,   O
and   O
Gilder   B-NAME
,   I-NAME
George   I-NAME
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
.   O

Post   O
-   O
operative   O
recovery   O
has   O
been   O
uneventful   O
,   O
with   O
Rice   B-NAME
demonstrating   O
an   O
improvement   O
in   O
symptoms   O
and   O
decrease   O
in   O
leukocyte   O
count   O
.   O

Delson   B-NAME
,   I-NAME
Brad   I-NAME
is   O
advised   O
to   O
follow   O
up   O
with   O
House   B-NAME
at   O
State   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
after   O
discharge   O
for   O
a   O
post   O
-   O
operative   O
evaluation   O
on   O
23/38   B-DATE
.   O

Dillian   B-NAME
is   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
should   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
wound   O
infection   O
occur   O
.   O

Conclusion   O
:   O
Nathan   B-NAME
O.   I-NAME
Duncan   I-NAME
’s   O
presentation   O
of   O
acute   O
appendicitis   O
symptoms   O
,   O
supported   O
by   O
clinical   O
findings   O
and   O
diagnostic   O
imaging   O
,   O
led   O
to   O
the   O
timely   O
management   O
with   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgical   O
intervention   O
was   O
successful   O
,   O
and   O
Yasmine   B-NAME
Burch   I-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
with   O
appropriate   O
follow   O
-   O
up   O
and   O
care   O
.   O

Patient   O
Name   O
:   O
Johnson   B-NAME
,   I-NAME
Boris   I-NAME
Date   O
of   O
Birth   O
:   O
04/75   B-DATE
Age   O
:   O
73   O
Medical   O
Record   O
Number   O
:   O
186   B-ID
-   I-ID
09   I-ID
-   I-ID
97   I-ID
-   I-ID
0   I-ID
Address   O
:   O
Monfort   B-LOCATION
Heights   I-LOCATION
,   O
93655   B-LOCATION
Phone   O
Number   O
:   O
106   B-CONTACT
-   I-CONTACT
3636   I-CONTACT
Employer   O
:   O
Botswana   B-LOCATION
National   I-LOCATION
Development   I-LOCATION
Bank   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
Occupation   O
:   O
Electrical   O
and   O
Electronics   O
Repairers   O
,   O
Powerhouse   O
,   O
Substation   O
,   O
and   O
Relay   O
Primary   O
Physician   O
:   O

Hammond   B-NAME
Referred   O
by   O
:   O
Lizbeth   B-NAME
Watkins   I-NAME
Hospital   O
:   O

Wesley   B-LOCATION
Woods   I-LOCATION
Geriatric   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
January   B-DATE
Patient   O
ID   O
:   O
RB   B-ID
:   I-ID
XC:2265   I-ID
Subjective   O
:   O
Uriel   B-NAME
Patrick   I-NAME
Zapien   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
23/23   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
.   O

Savitri   B-NAME
Devi   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Cole   B-NAME
Morgan   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Further   O
,   O
Luciana   B-NAME
Willis   I-NAME
does   O
not   O
recall   O
any   O
recent   O
trauma   O
to   O
the   O
abdomen   O
.   O

Family   O
history   O
includes   O
a   O
mother   O
with   O
a   O
history   O
of   O
gallstones   O
,   O
but   O
Wickens   B-NAME
has   O
no   O
known   O
personal   O
medical   O
history   O
of   O
gallstones   O
or   O
any   O
other   O
significant   O
gastrointestinal   O
diseases   O
.   O

Jimbo   B-NAME
,   O
a   O
Music   O
Composers   O
and   O
Arrangers   O
,   O
has   O
been   O
generally   O
healthy   O
and   O
takes   O
no   O
regular   O
medications   O
except   O
for   O
an   O
over   O
-   O
the   O
-   O
counter   O
antacid   O
occasionally   O
.   O

2   O
.   O
Refer   O
to   O
Flavia   B-NAME
Mautte   I-NAME
for   O
a   O
gastroenterology   O
consultation   O
.   O

Advise   O
Eva   B-NAME
Henderson   I-NAME
to   O
adopt   O
a   O
bland   O
diet   O
,   O
avoiding   O
spicy   O
,   O
acidic   O
,   O
or   O
greasy   O
foods   O
,   O
and   O
to   O
monitor   O
symptoms   O
closely   O
.   O

Instructions   O
for   O
Patient   O
:   O
Feelgood   B-NAME
is   O
advised   O
to   O
take   O
the   O
prescribed   O
medication   O
as   O
directed   O
and   O
comply   O
with   O
dietary   O
recommendations   O
.   O

Should   O
symptoms   O
worsen   O
or   O
if   O
there   O
is   O
the   O
onset   O
of   O
new   O
symptoms   O
such   O
as   O
vomiting   O
,   O
fever   O
,   O
or   O
significant   O
changes   O
in   O
bowel   O
habits   O
,   O
Tapia   B-NAME
is   O
instructed   O
to   O
contact   O
CENTRAL   B-LOCATION
CAROLINA   I-LOCATION
HOSPITAL   I-LOCATION
immediately   O
or   O
visit   O
the   O
nearest   O
emergency   O
department   O
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
Scheduled   O
for   O
Tuesday   B-DATE
at   O
Jupiter   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Fu   B-NAME
Manchu   I-NAME
to   O
evaluate   O
response   O
to   O
treatment   O
and   O
review   O
ultrasound   O
findings   O
.   O

The   O
patient   O
,   O
Melanie   B-NAME
Casselman   I-NAME
,   O
aged   O
90   O
,   O
reported   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
characterized   O
as   O
sharp   O
and   O
persistent   O
,   O
primarily   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

This   O
pain   O
began   O
approximately   O
1/28   B-DATE
and   O
has   O
progressively   O
worsened   O
.   O

Francis   B-NAME
Chase   I-NAME
also   O
noted   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
decrease   O
in   O
appetite   O
,   O
and   O
a   O
mild   O
fever   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Unique   B-NAME
Meyers   I-NAME
's   O
past   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O

The   O
review   O
of   O
systems   O
was   O
otherwise   O
negative   O
for   O
Allison   B-NAME
.   O

Family   O
history   O
is   O
significant   O
for   O
colorectal   O
cancer   O
in   O
Lucy   B-NAME
Hall   I-NAME
's   O
father   O
at   O
the   O
age   O
of   O
22   O
.   O

Upon   O
examination   O
at   O
McKenzie   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
11/10   B-DATE
,   O
Kellen   B-NAME
Lambert   I-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
positive   O
Rovsing   O
's   O
sign   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
of   O
52   O
degrees   O
Celsius   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Adyson   B-NAME
Stuart   I-NAME
,   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O

ROSE   B-NAME
R.   I-NAME
WALSH   I-NAME
was   O
admitted   O
to   O
Sisters   B-LOCATION
Of   I-LOCATION
Charity   I-LOCATION
Hospital   I-LOCATION
on   O
20   B-DATE
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
the   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
with   O
Antony   B-NAME
House   I-NAME
showing   O
signs   O
of   O
recovery   O
.   O

Rex   B-NAME
Hensley   I-NAME
was   O
discharged   O
on   O
2217   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
00   I-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
and   O
management   O
of   O
incision   O
care   O
.   O

Schultz   B-NAME
's   O
contact   O
information   O
was   O
registered   O
as   O
963   B-CONTACT
6104   I-CONTACT
,   O
and   O
the   O
emergency   O
contact   O
was   O
noted   O
as   O
Hossein   B-NAME
Elahi   I-NAME
Ghomshei   I-NAME
's   O
Office   O
Clerks   O
,   O
General   O
,   O
residing   O
in   O
Lockeford   B-LOCATION
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Quinten   B-NAME
Ball   I-NAME
and   O
comprising   O
nurses   O
and   O
ancillary   O
staff   O
from   O
NewYork   B-LOCATION
–   I-LOCATION
Presbyterian   I-LOCATION
Queens   I-LOCATION
,   O
facilitated   O
a   O
multidisciplinary   O
approach   O
for   O
the   O
perioperative   O
management   O
of   O
Dewyer   B-NAME
Newbell   I-NAME
.   O

The   O
post   O
-   O
operative   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
Sunday   B-DATE
at   O
Crescent   B-LOCATION
Pines   I-LOCATION
Hospital   I-LOCATION
's   O
Outpatient   O
Department   O
to   O
assess   O
wound   O
healing   O
and   O
recovery   O
progress   O
.   O

This   O
case   O
was   O
documented   O
under   O
2182720   B-ID
by   O
DM564   B-NAME
on   O
22/00   B-DATE
.   O

For   O
further   O
information   O
or   O
changes   O
in   O
Brycen   B-NAME
Rivas   I-NAME
's   O
condition   O
,   O
the   O
managing   O
team   O
at   O
Community   B-LOCATION
Hospital   I-LOCATION
can   O
be   O
reached   O
at   O
72384   B-CONTACT
.   O

The   O
case   O
details   O
have   O
been   O
reported   O
to   O
Air   B-LOCATION
Force   I-LOCATION
Association   I-LOCATION
as   O
part   O
of   O
ongoing   O
studies   O
on   O
the   O
outcomes   O
of   O
emergency   O
surgeries   O
in   O
patients   O
with   O
comorbidities   O
living   O
in   O
the   O
99662   B-LOCATION
region   O
of   O
Hudson   B-LOCATION
Oaks   I-LOCATION
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Sid   B-NAME
Walker   I-NAME
-   O
Date   O
of   O
Birth   O
:   O
13/02   B-DATE
-   O
Age   O
:   O
19   O
-   O
Gender   O
:   O
Female   O
-   O
ID   O
Number   O
:   O
92315   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
0010122   B-ID
-   O
Address   O
:   O
Greenville   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Greenville   I-LOCATION
,   O
27463   B-LOCATION
-   O
Telephone   O
:   O
66432   B-CONTACT
-   O
Occupation   O
:   O
Cleaning   O
,   O
Washing   O
,   O
and   O
Metal   O
Pickling   O
Equipment   O
Operators   O
and   O
Tenders   O
Medical   O
History   O
:   O
Ana   B-NAME
Small   I-NAME
presents   O
with   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

As   O
of   O
Dec   B-DATE
2001   I-DATE
,   O
Qu   B-NAME
reports   O
experiencing   O
persistent   O
abdominal   O
pain   O
,   O
notably   O
in   O
the   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
episodes   O
of   O
nausea   O
and   O
intermittent   O
vomiting   O
over   O
the   O
last   O
72   O
hours   O
.   O

Quentin   B-NAME
Casey   I-NAME
also   O
notes   O
a   O
decrease   O
in   O
appetite   O
and   O
has   O
observed   O
a   O
slight   O
fever   O
at   O
home   O
.   O

Upon   O
examination   O
,   O
Simeon   B-NAME
Riley   I-NAME
's   O
temperature   O
was   O
elevated   O
at   O
38.2   O
°   O
C   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
the   O
preliminary   O
lab   O
results   O
,   O
crane   B-NAME
has   O
been   O
advised   O
to   O
undergo   O
further   O
evaluation   O
with   O
an   O
abdominal   O
CT   O
scan   O
to   O
rule   O
out   O
appendicitis   O
.   O

Delphine   B-NAME
Keely   I-NAME
has   O
been   O
started   O
on   O
IV   O
fluids   O
for   O
hydration   O
and   O
prescribed   O
ondansetron   O
for   O
nausea   O
.   O

Referral   O
:   O
Given   O
the   O
necessity   O
for   O
specialized   O
evaluation   O
,   O
THORNE   B-NAME
,   I-NAME
OLIVER   I-NAME
has   O
been   O
referred   O
to   O
Carson   B-NAME
Wagner   I-NAME
at   O
Nicholas   B-LOCATION
H   I-LOCATION
Noyes   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
assessment   O
and   O
management   O
of   O
her   O
condition   O
.   O

Follow   O
-   O
Up   O
:   O
Forrest   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2110   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
30   I-DATE
to   O
reassess   O
the   O
symptoms   O
and   O
review   O
the   O
outcomes   O
of   O
the   O
diagnostic   O
tests   O
.   O

Note   O
:   O
For   O
any   O
emergencies   O
or   O
worsening   O
of   O
symptoms   O
,   O
Alphonse   B-NAME
is   O
advised   O
to   O
contact   O
NorthBay   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
immediately   O
or   O
call   O
484   B-CONTACT
-   I-CONTACT
279   I-CONTACT
5025   I-CONTACT
.   O

The   O
above   O
patient   O
report   O
has   O
been   O
reviewed   O
and   O
approved   O
by   O
Mooney   B-NAME
on   O
Tuesday   B-DATE
.   O

Username   O
of   O
Medical   O
Officer   O
in   O
Charge   O
:   O
CZ689   B-NAME
Registration   O
Number   O
:   O
66247030   B-ID

The   O
patient   O
,   O
Tony   B-NAME
Wilkinson   I-NAME
,   O
aged   O
86   O
,   O
visited   O
Regional   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
of   I-LOCATION
Howard   I-LOCATION
County   I-LOCATION
on   O
2/37   B-DATE
with   O
complaints   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
fever   O
,   O
and   O
nausea   O
.   O

The   O
initial   O
examination   O
conducted   O
by   O
James   B-NAME
Kildare   I-NAME
in   O
Skippack   B-LOCATION
revealed   O
mild   O
tenderness   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Becker   B-NAME
's   O
medical   O
history   O
,   O
obtained   O
from   O
51464335   B-ID
,   O
indicated   O
no   O
prior   O
instances   O
of   O
similar   O
symptoms   O
or   O
any   O
significant   O
chronic   O
illnesses   O
.   O

The   O
Education   O
Administrators   O
,   O
Elementary   O
and   O
Secondary   O
School   O
at   O
Chicopee   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
had   O
recommended   O
Yacob   B-NAME
T.   I-NAME
Kane   I-NAME
seek   O
immediate   O
medical   O
attention   O
after   O
a   O
brief   O
consultation   O
via   O
148   B-CONTACT
5789   I-CONTACT
on   O
March   B-DATE
,   I-DATE
2304   I-DATE
.   O

Wright   B-NAME
,   I-NAME
Frank   I-NAME
Lloyd   I-NAME
was   O
admitted   O
to   O
Clara   B-LOCATION
Barton   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Hoisington   I-LOCATION
for   O
observation   O
with   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Arias   B-NAME
's   O
treatment   O
plan   O
,   O
devised   O
by   O
Ho   B-NAME
,   O
included   O
intravenous   O
antibiotics   O
initiated   O
on   O
32/02/81   B-DATE
.   O

Over   O
the   O
course   O
of   O
Meredith   B-NAME
Church   I-NAME
's   O
stay   O
,   O
regular   O
monitoring   O
of   O
vital   O
signs   O
,   O
pain   O
management   O
,   O
and   O
fluid   O
therapy   O
were   O
administered   O
.   O

By   O
13/13   B-DATE
,   O
Birdie   B-NAME
Lares   I-NAME
's   O
condition   O
showed   O
significant   O
improvement   O
,   O
with   O
a   O
decrease   O
in   O
abdominal   O
pain   O
and   O
resolution   O
of   O
fever   O
.   O

Alana   B-NAME
Sherman   I-NAME
was   O
discharged   O
on   O
14   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
winter   B-DATE
at   O
Grand   B-LOCATION
Willow   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
recovery   O
progress   O
.   O

Throughout   O
the   O
treatment   O
and   O
hospital   O
stay   O
,   O
all   O
communications   O
with   O
Bryce   B-NAME
Fleming   I-NAME
and   O
updates   O
to   O
Lyn   B-NAME
's   O
family   O
were   O
conducted   O
while   O
ensuring   O
the   O
confidentiality   O
of   O
personal   O
and   O
health   O
information   O
.   O

Contact   O
to   O
the   O
Spring   B-NAME
Vandilus   I-NAME
post   O
-   O
discharge   O
was   O
provided   O
through   O
32736   B-CONTACT
for   O
any   O
queries   O
or   O
concerns   O
regarding   O
the   O
recovery   O
process   O
.   O

The   O
GROW   B-LOCATION
acknowledges   O
the   O
contributions   O
of   O
all   O
staff   O
involved   O
in   O
the   O
care   O
of   O
Gracia   B-NAME
Gillmer   I-NAME
and   O
ensuring   O
a   O
swift   O
recovery   O
.   O

For   O
any   O
further   O
details   O
regarding   O
Joey   B-NAME
Atkinson   I-NAME
's   O
case   O
or   O
treatment   O
,   O
please   O
contact   O
Saint   B-LOCATION
Barnabas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
patient   O
information   O
center   O
at   O
95326   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ken   B-NAME
Patient   O
ID   O
:   O
ZA:32192:765226   B-ID
Date   O
of   O
Birth   O
:   O
9/13   B-DATE
Age   O
:   O
38   O
Medical   O
Record   O
Number   O
:   O
65454062   B-ID
Address   O
:   O
Sterling   B-LOCATION
,   O
22671   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
891   I-CONTACT
)   I-CONTACT
627   I-CONTACT
-   I-CONTACT
2006   I-CONTACT
Primary   O
Care   O
Doctor   O
:   O
Yang   B-NAME
Hospital   O
:   O

HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tallahassee   I-LOCATION
On   O
June   B-DATE
3   I-DATE
,   O
Cassidy   B-NAME
Gibbs   I-NAME
,   O
a   O
Orthoptists   O
from   O
Wauna   B-LOCATION
,   O
presented   O
to   O
Titusville   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
non   O
-   O
bilious   O
vomiting   O
,   O
and   O
a   O
feeling   O
of   O
bloating   O
over   O
the   O
past   O
24   O
hours   O
.   O

Nietzsche   B-NAME
,   I-NAME
Friedrich   I-NAME
has   O
a   O
history   O
of   O
similar   O
,   O
albeit   O
less   O
severe   O
,   O
episodes   O
in   O
the   O
past   O
year   O
,   O
suggesting   O
a   O
chronic   O
condition   O
.   O

Lahoma   B-NAME
Tacey   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
both   O
under   O
pharmaceutical   O
control   O
.   O

Upon   O
examination   O
,   O
Kant   B-NAME
,   I-NAME
Immanuel   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
135/85   O
mmHg   O
,   O
heart   O
rate   O
98   O
bpm   O
,   O
respiratory   O
rate   O
19   O
breaths   O
per   O
minute   O
,   O
and   O
a   O
temperature   O
of   O
37.8   O
°   O
C   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Munoz   B-NAME
included   O
a   O
complete   O
blood   O
count   O
,   O
which   O
showed   O
a   O
slightly   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
and   O
liver   O
function   O
tests   O
,   O
which   O
were   O
within   O
normal   O
limits   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Crosby   B-NAME
advised   O
admission   O
for   O
potential   O
surgical   O
intervention   O
.   O

Graham   B-NAME
,   I-NAME
Paul   I-NAME
was   O
informed   O
of   O
the   O
necessity   O
for   O
an   O
appendectomy   O
to   O
prevent   O
complications   O
such   O
as   O
peritonitis   O
or   O
appendix   O
rupture   O
.   O

URIEL   B-NAME
ILES   I-NAME
provided   O
consent   O
for   O
the   O
procedure   O
,   O
which   O
was   O
scheduled   O
for   O
the   O
following   O
morning   O
,   O
01/03   B-DATE
,   O
with   O
pre   O
-   O
operative   O
preparations   O
initiated   O
immediately   O
.   O

The   O
operation   O
was   O
carried   O
out   O
without   O
complications   O
by   O
House   B-NAME
,   O
and   O
Shad   B-NAME
was   O
transferred   O
to   O
the   O
post   O
-   O
operative   O
ward   O
for   O
monitoring   O
and   O
recovery   O
.   O

Quentin   B-NAME
U.   I-NAME
Johnson   I-NAME
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
from   O
Sentara   B-LOCATION
CarePlex   I-LOCATION
Hospital   I-LOCATION
on   O
23/01/32   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
signs   O
of   O
infection   O
,   O
activity   O
levels   O
,   O
and   O
dietary   O
recommendations   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Aydin   B-NAME
Golden   I-NAME
at   O
Brooks   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
clinic   O
for   O
18/21   B-DATE
to   O
assess   O
the   O
healing   O
process   O
and   O
manage   O
Destiny   B-NAME
Tran   I-NAME
's   O
chronic   O
conditions   O
further   O
.   O

Alina   B-NAME
Fitzpatrick   I-NAME
Hospital   O
:   O
Nacogdoches   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
753   I-CONTACT
)   I-CONTACT
981   I-CONTACT
-   I-CONTACT
9328   I-CONTACT
Note   O
:   O
All   O
patient   O
information   O
in   O
this   O
report   O
has   O
been   O
de   O
-   O
identified   O
to   O
preserve   O
privacy   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Name   O
:   O
Nunzio   B-NAME
Kyle   I-NAME
Aragon   I-NAME
Patient   O
ID   O
:   O
YO   B-ID
:   I-ID
WX:2756   I-ID
Medical   O
Record   O
Number   O
:   O
601   B-ID
-   I-ID
68   I-ID
-   I-ID
25   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Birth   O
:   O
22   O
Date   O
of   O
Visit   O
:   O
02/32/2115   B-DATE
/2023   O

Mckenzie   B-NAME
Barnes   I-NAME
Hospital   O
:   O

Lakeland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Kissimmee   B-LOCATION
,   I-LOCATION
Kissimmee   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
Contact   O
Phone   O
:   O
620   B-CONTACT
3897   I-CONTACT
Occupation   O
:   O

Electrical   O
and   O
Electronics   O
Installers   O
and   O
Repairers   O
,   O
Transportation   O
Equipment   O
Username   O
:   O
YG15   B-NAME
Summary   O
:   O
joshi   B-NAME
,   O
a   O
25   O
-   O
year   O
-   O
old   O
Orthodontists   O
from   O
Bear   B-LOCATION
Grass   I-LOCATION
,   O
presented   O
to   O
Sentara   B-LOCATION
Albemarle   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
8/13   B-DATE
/2023   O
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
weeks   O
.   O

Henson   B-NAME
reported   O
a   O
marked   O
reduction   O
in   O
exercise   O
tolerance   O
,   O
noting   O
difficulty   O
climbing   O
stairs   O
which   O
was   O
not   O
present   O
before   O
.   O

Additionally   O
,   O
Mikayla   B-NAME
Wall   I-NAME
mentioned   O
recent   O
episodes   O
of   O
night   O
sweats   O
and   O
an   O
unexplained   O
weight   O
loss   O
.   O

Jade   B-NAME
Flowers   I-NAME
recommended   O
initiating   O
empirical   O
antibiotic   O
therapy   O
targeting   O
likely   O
pathogens   O
associated   O
with   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Additionally   O
,   O
Hayek   B-NAME
,   I-NAME
Friedrich   I-NAME
ordered   O
a   O
thoracentesis   O
to   O
evacuate   O
the   O
pleural   O
effusion   O
for   O
both   O
relief   O
of   O
dyspnea   O
and   O
diagnostic   O
analysis   O
.   O

Verlon   B-NAME
Ventura   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
'   O
time   O
to   O
assess   O
response   O
to   O
treatment   O
and   O
discuss   O
results   O
from   O
the   O
fluid   O
analysis   O
.   O

Advice   O
on   O
Discharge   O
:   O
Ebert   B-NAME
was   O
advised   O
to   O
monitor   O
their   O
symptoms   O
closely   O
,   O
particularly   O
any   O
exacerbation   O
of   O
shortness   O
of   O
breath   O
,   O
persistent   O
fever   O
,   O
or   O
increasing   O
chest   O
pain   O
.   O

Devine   B-NAME
,   I-NAME
Carl   I-NAME
was   O
instructed   O
to   O
return   O
to   O
Healtheast   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
(   B-CONTACT
446   I-CONTACT
)   I-CONTACT
244   I-CONTACT
2686   I-CONTACT
should   O
symptoms   O
worsen   O
before   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Zavier   B-NAME
Bradford   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
hydration   O
,   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
antibiotic   O
regimen   O
,   O
and   O
engage   O
in   O
mild   O
,   O
non   O
-   O
strenuous   O
activities   O
as   O
tolerated   O
.   O

Follow   O
-   O
Up   O
Plan   O
:   O
Sara   B-NAME
Dillane   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Swanson   B-NAME
at   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Riverside   I-LOCATION
Hospital   I-LOCATION
on   O
27/16/2188   B-DATE
/2023   O
,   O
to   O
reassess   O
symptoms   O
and   O
discuss   O
the   O
thoracentesis   O
findings   O
and   O
any   O
further   O
diagnostic   O
tests   O
or   O
adjustments   O
to   O
the   O
treatment   O
plan   O
that   O
may   O
be   O
required   O
.   O

Confidentiality   O
Notice   O
:   O
The   O
information   O
contained   O
in   O
this   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
specified   O
use   O
of   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Flint   I-LOCATION
and   O
the   O
patient   O
only   O
.   O

Patient   O
Name   O
:   O
Finnegan   B-NAME
Garrison   I-NAME
Age   O
:   O
82s   O
Medical   O
Record   O
Number   O
:   O
0801853   B-ID
Date   O
of   O
Initial   O
Consultation   O
:   O
October   B-DATE
Address   O
:   O
779   B-LOCATION
Airport   I-LOCATION
Drive   I-LOCATION
,   O
63066   B-LOCATION
Primary   O
Physician   O
:   O

Holland   B-NAME
Hospital   O
:   O
Verde   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
629   I-CONTACT
)   I-CONTACT
798   I-CONTACT
4061   I-CONTACT
Occupation   O
:   O

Counseling   O
Psychologists   O
Social   O
Security   O
Number   O
:   O
XY   B-ID
:   I-ID
TM:3739   I-ID
Chief   O
Complaint   O
:   O

Rilke   B-NAME
,   I-NAME
Rainer   I-NAME
Maria   I-NAME
presented   O
on   O
10/29/2100   B-DATE
with   O
a   O
detailed   O
Complaint   O
of   O
experiencing   O
severe   O
,   O
recurrent   O
headaches   O
predominantly   O
located   O
in   O
the   O
frontal   O
region   O
.   O

Jina   B-NAME
Nothacker   I-NAME
describes   O
the   O
pain   O
as   O
"   O
throbbing   O
"   O
and   O
"   O
pulsating   O
"   O
in   O
nature   O
,   O
often   O
accompanied   O
by   O
photophobia   O
(   O
sensitivity   O
to   O
light   O
)   O
and   O
phonophobia   O
(   O
sensitivity   O
to   O
sound   O
)   O
.   O

Medical   O
History   O
:   O
Todd   B-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
.   O

Jordin   B-NAME
Berry   I-NAME
has   O
a   O
history   O
of   O
migraines   O
in   O
the   O
immediate   O
family   O
,   O
with   O
Reva   B-NAME
Chew   I-NAME
's   O
mother   O
having   O
had   O
similar   O
symptoms   O
starting   O
at   O
the   O
age   O
of   O
10   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
on   O
June   B-DATE
of   I-DATE
2033   I-DATE
at   O
Hardin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
Ninio   B-NAME
,   I-NAME
Jacques   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Diagnostic   O
Tests   O
:   O
Following   O
the   O
clinical   O
examination   O
,   O
Luka   B-NAME
Cain   I-NAME
recommended   O
an   O
MRI   O
of   O
the   O
brain   O
,   O
which   O
was   O
conducted   O
on   O
19/11   B-DATE
at   O
Berkshire   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Given   O
the   O
normal   O
diagnostic   O
workup   O
and   O
the   O
clinical   O
presentation   O
highly   O
suggestive   O
of   O
migraines   O
,   O
Riley   B-NAME
,   I-NAME
Tim   I-NAME
initiated   O
a   O
treatment   O
regimen   O
including   O
a   O
preventative   O
medication   O
to   O
reduce   O
the   O
frequency   O
and   O
severity   O
of   O
migraine   O
attacks   O
,   O
alongside   O
a   O
specific   O
medication   O
to   O
be   O
taken   O
at   O
the   O
onset   O
of   O
symptoms   O
for   O
acute   O
attacks   O
.   O

Keira   B-NAME
Kubota   I-NAME
was   O
also   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
stress   O
management   O
techniques   O
,   O
regular   O
exercise   O
,   O
and   O
dietary   O
adjustments   O
to   O
identify   O
and   O
avoid   O
potential   O
migraine   O
triggers   O
.   O

Follow   O
-   O
Up   O
:   O
Mcmillan   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Nickolas   B-NAME
Ali   I-NAME
on   O
W   B-DATE
at   O
Punxsutawney   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
regimen   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

Prince   B-NAME
was   O
also   O
provided   O
with   O
67717   B-CONTACT
to   O
contact   O
Nevada   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
headache   O
clinic   O
should   O
they   O
have   O
any   O
questions   O
or   O
concerns   O
or   O
if   O
there   O
is   O
an   O
escalation   O
in   O
symptoms   O
requiring   O
more   O
immediate   O
attention   O
.   O
Recommendations   O
for   O
Future   O
Care   O
:   O

Yamilet   B-NAME
Cox   I-NAME
was   O
encouraged   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
recording   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
any   O
potential   O
triggers   O
or   O
relieving   O
factors   O
.   O

This   O
medical   O
report   O
contains   O
confidential   O
information   O
intended   O
only   O
for   O
the   O
use   O
of   O
Aden   B-NAME
Higgins   I-NAME
,   O
Navarro   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
authorized   O
medical   O
personnel   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
Jewish   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Shelbyville   I-LOCATION
at   O
50996   B-CONTACT
.   O

Aydin   B-NAME
Sanchez   I-NAME
Patient   O
ID   O
:   O
SJ   B-ID
:   I-ID
NJ:9939   I-ID
Medical   O
Record   O
Number   O
:   O
28539590   B-ID
Date   O
of   O
Birth   O
:   O
09/29/2192   B-DATE

Age   O
:   O
70   O
Address   O
:   O
Watts   B-LOCATION
,   O
46569   B-LOCATION
Phone   O
Number   O
:   O
469   B-CONTACT
671   I-CONTACT
7443   I-CONTACT
Employment   O
:   O
Gaugers   O
at   O
Town   B-LOCATION
of   I-LOCATION
Middletown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Admitting   O
Doctor   O
:   O
Archer   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Anderson   I-LOCATION
Campus   I-LOCATION
Admission   O
Date   O
:   O
32/66   B-DATE
Username   O
for   O
online   O
health   O
portal   O
:   O
MS509   B-NAME
Clinical   O
Summary   O
:   O
Ashanti   B-NAME
Calderon   I-NAME
presented   O
to   O
INTEGRIS   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
on   O
33/29/32   B-DATE
complaining   O
of   O
severe   O
,   O
episodic   O
headaches   O
predominantly   O
localized   O
over   O
the   O
right   O
temporal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

The   O
headaches   O
have   O
been   O
occurring   O
with   O
increasing   O
frequency   O
over   O
the   O
past   O
03   B-DATE
-   I-DATE
2   I-DATE
,   O
now   O
happening   O
about   O
3   O
times   O
per   O
month   O
and   O
lasting   O
for   O
approximately   O
4   O
-   O
6   O
hours   O
each   O
episode   O
.   O

Handy   B-NAME
,   I-NAME
W.   I-NAME
C.   I-NAME
also   O
reported   O
an   O
aura   O
consisting   O
of   O
visual   O
disturbances   O
,   O
specifically   O
zigzag   O
lines   O
,   O
approximately   O
30   O
minutes   O
prior   O
to   O
the   O
onset   O
of   O
the   O
headache   O
.   O

There   O
is   O
no   O
noted   O
history   O
of   O
similar   O
headaches   O
in   O
Ella   B-NAME
Mckay   I-NAME
's   O
family   O
.   O

Sonny   B-NAME
denies   O
any   O
recent   O
trauma   O
,   O
stress   O
,   O
or   O
changes   O
in   O
medication   O
.   O

However   O
,   O
Rowe   B-NAME
mentioned   O
that   O
the   O
headaches   O
often   O
occur   O
after   O
consuming   O
aged   O
cheeses   O
or   O
red   O
wine   O
.   O

Neurological   O
examination   O
by   O
Howe   B-NAME
revealed   O
no   O
focal   O
neurological   O
deficits   O
.   O

Abrams   B-NAME
,   I-NAME
Creighton   I-NAME
was   O
educated   O
on   O
lifestyle   O
and   O
dietary   O
modifications   O
to   O
avoid   O
known   O
triggers   O
,   O
particularly   O
aged   O
cheeses   O
and   O
red   O
wine   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
11/25/2032   B-DATE
with   O
Duarte   B-NAME
at   O
Piedmont   B-LOCATION
Athens   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
the   O
efficacy   O
of   O
the   O
treatment   O
and   O
adherence   O
to   O
lifestyle   O
modifications   O
.   O

Horning   B-NAME
,   I-NAME
Jim   I-NAME
was   O
provided   O
with   O
the   O
contact   O
(   B-CONTACT
737   I-CONTACT
)   I-CONTACT
660   I-CONTACT
7009   I-CONTACT
number   O
of   O
the   O
headache   O
clinic   O
for   O
any   O
urgent   O
issues   O
.   O

This   O
treatment   O
plan   O
aims   O
to   O
reduce   O
the   O
frequency   O
and   O
severity   O
of   O
Mulis   B-NAME
's   O
migraine   O
attacks   O
,   O
improving   O
their   O
quality   O
of   O
life   O
.   O

Patient   O
Report   O
Patient   O
Details   O
:   O
Name   O
:   O
KEELER   B-NAME
,   I-NAME
ELIOT   I-NAME
Age   O
:   O
3   O
Date   O
of   O
Birth   O
:   O
01/10/2019   B-DATE
Address   O
:   O
Maple   B-LOCATION
Ridge   I-LOCATION
,   O
77894   B-LOCATION
Phone   O
Number   O
:   O
249   B-CONTACT
4222   I-CONTACT
Occupation   O
:   O
Hosts   O
and   O
Hostesses   O
,   O
Restaurant   O
,   O
Lounge   O
,   O
and   O
Coffee   O
Shop   O
Medical   O
Record   O
Number   O
:   O
4740078   B-ID
ID   O
Number   O
:   O
85971   B-ID
Presenting   O
Symptoms   O
:   O
Michael   B-NAME
Twoyoungmen   I-NAME
,   O
an   O
39s   O
-   O
year   O
-   O
old   O
Healthcare   O
Support   O
Workers   O
,   O
All   O
Other   O
from   O
Seattle   B-LOCATION
,   O
reported   O
experiencing   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
on   O
the   O
left   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
week   O
.   O

Additionally   O
,   O
Ali   B-NAME
Weaver   I-NAME
has   O
described   O
episodes   O
of   O
blurred   O
vision   O
and   O
dizziness   O
,   O
raising   O
concerns   O
for   O
potential   O
neurological   O
implications   O
.   O

Moon   B-NAME
also   O
mentioned   O
a   O
recent   O
onset   O
of   O
intermittent   O
chest   O
pain   O
,   O
described   O
as   O
"   O
tightness   O
"   O
that   O
lasts   O
for   O
several   O
minutes   O
before   O
subsiding   O
.   O

Medical   O
History   O
:   O
Feibig   B-NAME
,   I-NAME
Jim   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
two   O
years   O
ago   O
.   O

Previous   O
consultations   O
with   O
Georgia   B-NAME
Acevedo   I-NAME
at   O
HealthSouth   B-LOCATION
Emerald   I-LOCATION
Coast   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
have   O
led   O
to   O
a   O
regimen   O
of   O
medication   O
that   O
Julian   B-NAME
Mercer   I-NAME
admits   O
to   O
not   O
always   O
following   O
consistently   O
.   O

There   O
is   O
no   O
recorded   O
history   O
of   O
similar   O
symptoms   O
or   O
neurological   O
disorders   O
in   O
Kael   B-NAME
Huff   I-NAME
's   O
family   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
on   O
2228   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
12   I-DATE
,   O
Kaylynn   B-NAME
Marshall   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
at   O
160/100   O
mmHg   O
.   O

A   O
neurological   O
examination   O
conducted   O
by   O
Fawkes   B-NAME
,   I-NAME
Guy   I-NAME
at   O
VA   B-LOCATION
New   I-LOCATION
Jersey   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
did   O
not   O
reveal   O
any   O
focal   O
neurological   O
deficits   O
.   O

Visual   O
acuity   O
tests   O
were   O
within   O
normal   O
limits   O
but   O
did   O
not   O
rule   O
out   O
transient   O
ischemic   O
attacks   O
given   O
Jessica   B-NAME
Wade   I-NAME
's   O
reported   O
episodes   O
of   O
blurred   O
vision   O
and   O
dizziness   O
.   O

2   O
.   O
ECG   O
and   O
echocardiogram   O
to   O
evaluate   O
Maria   B-NAME
Santos   I-NAME
's   O
irregular   O
heartbeat   O
and   O
potential   O
cardiovascular   O
implications   O
.   O

Plan   O
:   O
-   O
Thaddeus   B-NAME
Roy   I-NAME
has   O
been   O
advised   O
to   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
and   O
to   O
monitor   O
blood   O
pressure   O
daily   O
.   O
-   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Hussein   B-NAME
,   I-NAME
Saddam   I-NAME
at   O
Lafayette   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
Dec   B-DATE
2106   I-DATE
to   O
review   O
the   O
results   O
of   O
the   O
investigations   O
and   O
modify   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O
-   O
Signe   B-NAME
Auala   I-NAME
was   O
recommended   O
to   O
initiate   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
onset   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
to   O
better   O
understand   O
the   O
triggers   O
and   O
patterns   O
.   O
-   O
Lifestyle   O
modifications   O
were   O
emphasized   O
,   O
including   O
dietary   O
adjustments   O
,   O
regular   O
physical   O
activity   O
,   O
and   O
stress   O
management   O
techniques   O
.   O

For   O
any   O
questions   O
or   O
to   O
report   O
any   O
changes   O
in   O
symptoms   O
,   O
Lila   B-NAME
Stark   I-NAME
can   O
contact   O
Serrano   B-NAME
's   O
office   O
at   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
through   O
862   B-CONTACT
6993   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
DA299   B-NAME
,   O
Medical   O
Assistant   O
May   B-DATE
25   I-DATE
,   I-DATE
2120   B-DATE
Note   O
:   O
This   O
report   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
applicable   O
laws   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Deja   B-NAME
Richard   I-NAME
Patient   O
ID   O
:   O
QZ:10353:669630   B-ID
Medical   O
Record   O
Number   O
:   O
7197607   B-ID
Age   O
:   O
49   O
Address   O
:   O
Campbell   B-LOCATION
,   O
53348   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
331   I-CONTACT
)   I-CONTACT
506   I-CONTACT
2387   I-CONTACT
Primary   O
Physician   O
:   O
Stein   B-NAME
,   I-NAME
Ben   I-NAME
Hospital   O
:   O
Forrest   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2122   B-DATE
Date   O
of   O
Discharge   O
:   O
04/26/1602   B-DATE
Occupation   O
:   O
Program   O
Directors   O
Username   O
:   O
KS431   B-NAME
Summary   O
:   O
Sarah   B-NAME
Lynch   I-NAME
was   O
admitted   O
to   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2265   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
01   I-DATE
following   O
a   O
series   O
of   O
complaints   O
regarding   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
vomiting   O
,   O
and   O
bouts   O
of   O
dizziness   O
.   O

Medical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Ruben   B-NAME
Bates   I-NAME
noted   O
the   O
presence   O
of   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
performed   O
on   O
2197   B-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
with   O
no   O
signs   O
of   O
rupture   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Rhianna   B-NAME
Craig   I-NAME
and   O
the   O
surgical   O
team   O
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Northwest   I-LOCATION
Arkansas   I-LOCATION
,   O
Cherish   B-NAME
Butler   I-NAME
underwent   O
an   O
appendectomy   O
on   O
14/10   B-DATE
.   O

Jacob   B-NAME
Bautista   I-NAME
was   O
administered   O
IV   O
antibiotics   O
as   O
a   O
preventative   O
measure   O
against   O
infection   O
and   O
prescribed   O
oral   O
analgesics   O
for   O
pain   O
management   O
during   O
the   O
recovery   O
period   O
.   O

Follow   O
-   O
up   O
:   O
Xzavior   B-NAME
was   O
discharged   O
on   O
Jun   B-DATE
10   I-DATE
,   I-DATE
2043   I-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
wound   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Camelia   B-NAME
Canney   I-NAME
in   O
two   O
weeks   O
to   O
monitor   O
the   O
healing   O
process   O
and   O
address   O
any   O
concerns   O
that   O
may   O
arise   O
.   O

Liana   B-NAME
Schultz   I-NAME
was   O
advised   O
to   O
report   O
any   O
unusual   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
issues   O
with   O
the   O
surgical   O
site   O
immediately   O
.   O

In   O
case   O
of   O
emergency   O
,   O
Saunders   B-NAME
has   O
authorized   O
contact   O
with   O
63306   B-CONTACT
.   O
Notes   O
:   O
Throughout   O
the   O
hospitalization   O
period   O
,   O
Keondre   B-NAME
Viera   I-NAME
displayed   O
a   O
positive   O
attitude   O
towards   O
the   O
treatment   O
and   O
recovery   O
process   O
.   O

The   O
healthcare   O
providers   O
at   O
Willapa   B-LOCATION
Harbor   I-LOCATION
Hospital   I-LOCATION
commend   O
Davis   B-NAME
,   I-NAME
Miles   I-NAME
for   O
the   O
cooperation   O
and   O
adherence   O
to   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

Conclusion   O
:   O
The   O
successful   O
management   O
of   O
Wong   B-NAME
's   O
acute   O
appendicitis   O
highlights   O
the   O
importance   O
of   O
timely   O
medical   O
intervention   O
.   O

The   O
collaborative   O
efforts   O
of   O
the   O
medical   O
staff   O
at   O
CHI   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
-   I-LOCATION
Sugar   I-LOCATION
Land   I-LOCATION
Hospital   I-LOCATION
ensured   O
a   O
favorable   O
outcome   O
for   O
Antoine   B-NAME
Carlson   I-NAME
.   O

Healthcare   O
Provider   O
:   O
Akira   B-NAME
Brock   I-NAME

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
33932103   B-ID
Patient   O
Name   O
:   O

Samantha   B-NAME
Oneal   I-NAME
Age   O
:   O
43   O
Date   O
of   O
Visit   O
:   O
00   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
62   I-DATE
Phone   O
Number   O
:   O
364   B-CONTACT
2144   I-CONTACT
Address   O
:   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73114   I-LOCATION
,   O
48940   B-LOCATION

Diya   B-NAME
Oneal   I-NAME
Hospital   O
:   O
CENTRAL   B-LOCATION
CAROLINA   I-LOCATION
HOSPITAL   I-LOCATION
Organization   O
:   O

Slash   B-LOCATION
Pine   I-LOCATION
EMC   I-LOCATION
Username   O
:   O
rli996   B-NAME
Clinical   O
Summary   O
:   O
XAYSANA   B-NAME
,   I-NAME
YUSEF   I-NAME
,   O
a   O
Licensed   O
Practical   O
and   O
Licensed   O
Vocational   O
Nurses   O
from   O
Impact   B-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
13/20/2244   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

37   O
-   O
year   O
-   O
old   O
Sparks   B-NAME
describes   O
the   O
pain   O
as   O
squeezing   O
in   O
nature   O
,   O
rated   O
8/10   O
in   O
severity   O
,   O
and   O
associated   O
with   O
diaphoresis   O
and   O
nausea   O
.   O

Ahmad   B-NAME
Osborne   I-NAME
denies   O
any   O
recent   O
history   O
of   O
similar   O
episodes   O
or   O
any   O
pertinent   O
cardiovascular   O
history   O
.   O

Examination   O
upon   O
admission   O
revealed   O
Goodman   B-NAME
to   O
be   O
in   O
moderate   O
distress   O
.   O

Management   O
:   O
LATRISHA   B-NAME
ERVIN   I-NAME
was   O
promptly   O
treated   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
according   O
to   O
the   O
acute   O
myocardial   O
infarction   O
protocol   O
.   O

A   O
stat   O
call   O
to   O
Bradford   B-NAME
for   O
cardiac   O
catheterization   O
was   O
made   O
,   O
and   O
Antarius   B-NAME
Aipopo   I-NAME
was   O
transferred   O
to   O
the   O
catheterization   O
lab   O
within   O
the   O
golden   O
hour   O
of   O
arrival   O
.   O

Outcome   O
:   O
Post   O
-   O
procedure   O
,   O
Meadow   B-NAME
Pace   I-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Atkinson   B-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
for   O
further   O
management   O
and   O
monitoring   O
.   O

James   B-NAME
Tyler   I-NAME
was   O
also   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Rosales   B-NAME
at   O
Berwick   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
2082   B-DATE
.   O

Duncan   B-NAME
Kane   I-NAME
is   O
advised   O
to   O
immediately   O
report   O
any   O
recurrence   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
other   O
concerning   O
symptoms   O
.   O

For   O
any   O
further   O
information   O
or   O
to   O
report   O
any   O
post   O
-   O
discharge   O
symptoms   O
,   O
Laplace   B-NAME
,   I-NAME
Pierre   I-NAME
-   I-NAME
Simon   I-NAME
or   O
family   O
members   O
can   O
contact   O
Geary   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Junction   I-LOCATION
City   I-LOCATION
at   O
(   B-CONTACT
720   I-CONTACT
)   I-CONTACT
523   I-CONTACT
-   I-CONTACT
1328   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Stroustrup   B-NAME
,   I-NAME
Bjarne   I-NAME
Patient   O
ID   O
:   O
60535   B-ID
Age   O
:   O
80s   O
Location   O
:   O
Alexander   B-LOCATION
City   I-LOCATION
Zip   O
Code   O
:   O
94578   B-LOCATION
Phone   O
Number   O
:   O
532   B-CONTACT
1438   I-CONTACT
Medical   O
Record   O
Number   O
:   O
7   B-ID
-   I-ID
557945   I-ID
Date   O
of   O
Visit   O
:   O
02/24   B-DATE
/2023   O

Attending   O
Physician   O
:   O
Conley   B-NAME
Hospital   O
Name   O
:   O
Northern   B-LOCATION
Light   I-LOCATION
Inland   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Tito   B-NAME
Quast   I-NAME
,   O
a   O
Log   O
Graders   O
and   O
Scalers   O
from   O
Ryderwood   B-LOCATION
,   O
47454   B-LOCATION
,   O
presented   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Arlington   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
0/20/35   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
one   O
side   O
of   O
the   O
head   O
,   O
along   O
with   O
nausea   O
and   O
photophobia   O
.   O

Guerrero   B-NAME
reported   O
that   O
the   O
symptoms   O
had   O
emerged   O
suddenly   O
22/34/54   B-DATE
/2023   O
and   O
had   O
progressively   O
worsened   O
over   O
the   O
last   O
few   O
hours   O
.   O

Medical   O
History   O
:   O
Lacey   B-NAME
Odonnell   I-NAME
has   O
a   O
documented   O
history   O
of   O
migraines   O
with   O
aura   O
and   O
has   O
been   O
under   O
the   O
care   O
of   O
Wilkerson   B-NAME
for   O
management   O
.   O

Rory   B-NAME
Hurst   I-NAME
's   O
medical   O
records   O
,   O
ID   O
0300302   B-ID
,   O
also   O
denote   O
a   O
history   O
of   O
hypertension   O
managed   O
with   O
medication   O
.   O
Examination   O
and   O
Findings   O
:   O

Upon   O
examination   O
,   O
Brayan   B-NAME
Martinez   I-NAME
displayed   O
photophobia   O
and   O
phonophobia   O
,   O
preferred   O
to   O
lie   O
down   O
in   O
a   O
dark   O
,   O
quiet   O
room   O
,   O
and   O
rated   O
the   O
headache   O
's   O
severity   O
as   O
8   O
out   O
of   O
10   O
.   O

Sheol   B-NAME
was   O
administered   O
an   O
intravenous   O
dose   O
of   O
sumatriptan   O
upon   O
arrival   O
at   O
Hays   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

After   O
approximately   O
52   O
minutes   O
,   O
Mercury   B-NAME
,   I-NAME
Freddie   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
the   O
severity   O
of   O
the   O
headache   O
and   O
nausea   O
.   O

Finley   B-NAME
Fox   I-NAME
suggested   O
outpatient   O
follow   O
-   O
up   O
for   O
Albertina   B-NAME
Bubonicus   I-NAME
and   O
advised   O
on   O
the   O
importance   O
of   O
managing   O
hypertension   O
and   O
stress   O
as   O
factors   O
that   O
could   O
potentially   O
trigger   O
migraines   O
.   O

Hayes   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Rogers   B-NAME
in   O
UPMC   B-LOCATION
St.   I-LOCATION
Margaret   I-LOCATION
's   O
Neurology   O
Department   O
on   O
9/04/25   B-DATE
/2023   O
.   O

Conclusion   O
:   O
Thurman   B-NAME
Keyes   I-NAME
’s   O
episode   O
of   O
migraine   O
with   O
aura   O
was   O
successfully   O
managed   O
with   O
acute   O
pharmacological   O
intervention   O
.   O

Further   O
assessments   O
have   O
been   O
scheduled   O
to   O
monitor   O
Zackary   B-NAME
Rosales   I-NAME
’s   O
condition   O
and   O
adjust   O
treatment   O
plans   O
as   O
necessary   O
.   O

Contacts   O
:   O
For   O
any   O
further   O
information   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Dante   B-NAME
Decker   I-NAME
can   O
contact   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Rehab   I-LOCATION
Hospital   I-LOCATION
's   O
Neurology   O
Department   O
at   O
283   B-CONTACT
-   I-CONTACT
1184   I-CONTACT
or   O
reach   O
out   O
to   O
Viviana   B-NAME
Mcintyre   I-NAME
directly   O
for   O
advice   O
and   O
support   O
.   O

Patient   O
Name   O
:   O
Ashlynn   B-NAME
Charles   I-NAME
Age   O
:   O
6   O
Date   O
of   O
Birth   O
:   O
03/22/49   B-DATE
Phone   O
:   O
74971   B-CONTACT
Address   O
:   O
Miami   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33165   I-LOCATION
,   O
88230   B-LOCATION
Employer   O
:   O

Hellenic   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
Profession   O
:   O

Mcintyre   B-NAME
Hospital   O
:   O
Ascension   B-LOCATION
St   I-LOCATION
Michael   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
1   B-ID
-   I-ID
301253   I-ID
Social   O
Security   O
Number   O
:   O
7   B-ID
-   I-ID
5118521   I-ID
Summary   O
of   O
visit   O
on   O
12/79   B-DATE
:   O
Eggers   B-NAME
,   I-NAME
Dave   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Sanpete   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
acute   O
,   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Ava   B-NAME
Conrad   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
one   O
episode   O
of   O
vomiting   O
earlier   O
in   O
the   O
day   O
.   O

Forbes   B-NAME
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

They   O
are   O
currently   O
employed   O
as   O
a   O
Skin   O
Care   O
Specialists   O
at   O
Warren   B-LOCATION
Bank   I-LOCATION
,   O
Whitesburg   B-LOCATION
.   O

Lam   B-NAME
recommended   O
an   O
urgent   O
CT   O
abdomen   O
which   O
confirmed   O
the   O
diagnosis   O
.   O

Ady   B-NAME
was   O
taken   O
to   O
the   O
operating   O
room   O
for   O
a   O
laparoscopic   O
appendectomy   O
by   O
Tania   B-NAME
Hardin   I-NAME
on   O
8/20   B-DATE
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
and   O
YUTAKA   B-NAME
PRITCHARD   I-NAME
was   O
discharged   O
on   O
33/22/2161   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
2   O
weeks   O
.   O

Ryan   B-NAME
Patel   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
regular   O
activities   O
as   O
tolerated   O
and   O
to   O
avoid   O
heavy   O
lifting   O
for   O
at   O
least   O
2   O
weeks   O
post   O
-   O
surgery   O
.   O

Halliburton   B-NAME
,   I-NAME
Richard   I-NAME
expressed   O
understanding   O
of   O
the   O
discharge   O
instructions   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
12/21   B-DATE
.   O

The   O
contact   O
number   O
provided   O
for   O
any   O
questions   O
or   O
concerns   O
post   O
-   O
discharge   O
was   O
27602   B-CONTACT
.   O

All   O
patient   O
identifiers   O
such   O
as   O
name   O
,   O
SSN   O
44347   B-ID
,   O
medical   O
record   O
0004869   B-ID
,   O
and   O
contact   O
information   O
983   B-CONTACT
-   I-CONTACT
5495   I-CONTACT
have   O
been   O
kept   O
confidential   O
.   O

Patient   O
Name   O
:   O
Sung   B-NAME
Park   I-NAME
Age   O
:   O
3   O
week   O
Date   O
of   O
Birth   O
:   O
32/3   B-DATE
Address   O
:   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11229   I-LOCATION
,   O
90236   B-LOCATION
Phone   O
:   O
656   B-CONTACT
-   I-CONTACT
8674   I-CONTACT
Doctor   O
:   O
Good   B-NAME
Medical   O
Record   O
Number   O
:   O
183   B-ID
-   I-ID
97   I-ID
-   I-ID
25   I-ID
Hospital   O
:   O
Veterans   B-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Birmingham   I-LOCATION
Employer   O
:   O

Film   B-LOCATION
and   I-LOCATION
Television   I-LOCATION
Institute   I-LOCATION
of   I-LOCATION
India   I-LOCATION
Occupation   O
:   O
Materials   O
Engineers   O
User   O
ID   O
:   O
dxb531   B-NAME
Date   O
of   O
Visit   O
:   O
18/22   B-DATE
Social   O
Security   O
Number   O
:   O
8   B-ID
-   I-ID
3136607   I-ID
Chief   O
Complaint   O
:   O
Marsh   B-NAME
,   O
a   O
Mechanical   O
Drafters   O
at   O
Hart   B-LOCATION
EMC   I-LOCATION
,   O
presented   O
to   O
Scripps   B-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Chula   I-LOCATION
Vista   I-LOCATION
on   O
Feb   B-DATE
,   O
with   O
complaints   O
of   O
severe   O
,   O
pulsating   O
headache   O
,   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
which   O
has   O
been   O
persistent   O
for   O
the   O
past   O
3th   B-DATE
.   O

Additionally   O
,   O
Brice   B-NAME
Short   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
.   O

The   O
patient   O
has   O
a   O
past   O
medical   O
history   O
of   O
episodic   O
migraines   O
without   O
aura   O
,   O
diagnosed   O
in   O
2309   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
04   I-DATE
.   O

Oconnell   B-NAME
,   I-NAME
Philip   I-NAME
D   I-NAME
mentioned   O
being   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Zaria   B-NAME
Cisneros   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
the   O
headache   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
the   O
patient   O
's   O
medical   O
history   O
,   O
the   O
diagnosis   O
for   O
EVANS   B-NAME
,   I-NAME
NELSON   I-NAME
MAC   I-NAME
is   O
acute   O
migraine   O
without   O
aura   O
.   O

Due   O
to   O
the   O
frequency   O
of   O
Adelyn   B-NAME
Donovan   I-NAME
's   O
migraines   O
,   O
daily   O
prophylactic   O
medication   O
with   O
Topiramate   O
25   O
mg   O
orally   O
at   O
bedtime   O
was   O
initiated   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Carlee   B-NAME
Taylor   I-NAME
in   O
4   O
weeks   O
to   O
re   O
-   O
evaluate   O
the   O
treatment   O
plan   O
.   O

Instructions   O
for   O
Patient   O
:   O
Oakley   B-NAME
was   O
instructed   O
to   O
monitor   O
headache   O
frequency   O
and   O
severity   O
,   O
along   O
with   O
any   O
side   O
effects   O
of   O
the   O
treatment   O
.   O

Additionally   O
,   O
Nick   B-NAME
Golden   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
of   O
a   O
severe   O
migraine   O
that   O
is   O
not   O
relieved   O
by   O
medication   O
,   O
signs   O
of   O
a   O
stroke   O
,   O
or   O
an   O
abrupt   O
,   O
severe   O
headache   O
unlike   O
any   O
experienced   O
before   O
.   O

Patient   O
Name   O
:   O
Davis   B-NAME
Frey   I-NAME
Medical   O
Record   O
Number   O
:   O
462   B-ID
-   I-ID
36   I-ID
-   I-ID
05   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
23/22   B-DATE
Age   O
:   O
6s   O
Address   O
:   O
Turton   B-LOCATION
,   O
90667   B-LOCATION
Phone   O
Number   O
:   O
739   B-CONTACT
-   I-CONTACT
610   I-CONTACT
5213   I-CONTACT
June   B-DATE
25   I-DATE
-   O
Consultation   O
Note   O
Referred   O
by   O
:   O
Itzel   B-NAME
Parker   I-NAME
,   O
Southern   B-LOCATION
Aid   I-LOCATION
and   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Isabell   B-NAME
Fitzgerald   I-NAME
,   O
a   O
Tile   O
and   O
Marble   O
Setters   O
from   O
Houghton   B-LOCATION
Lake   I-LOCATION
,   O
presented   O
to   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
Montgomery   I-LOCATION
with   O
a   O
history   O
of   O
progressive   O
,   O
bilateral   O
lower   O
extremity   O
weakness   O
and   O
numbness   O
,   O
which   O
has   O
been   O
escalating   O
over   O
the   O
past   O
three   O
weeks   O
.   O

Additionally   O
,   O
Dillon   B-NAME
Patterson   I-NAME
reports   O
experiencing   O
bouts   O
of   O
sharp   O
,   O
shooting   O
pain   O
in   O
the   O
same   O
regions   O
,   O
which   O
seems   O
to   O
aggravate   O
during   O
the   O
night   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Diabetic   O
neuropathy   O
diagnosed   O
in   O
2272   B-DATE
.   O
-   O
Hypertension   O
controlled   O
with   O
medication   O
.   O

Social   O
History   O
:   O
Carita   B-NAME
Finnegan   I-NAME
is   O
a   O
Printing   O
Press   O
Machine   O
Operators   O
and   O
Tenders   O
with   O
a   O
20   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
,   O
currently   O
attempting   O
to   O
quit   O
.   O

Plan   O
:   O
-   O
Increase   O
dose   O
of   O
current   O
neuropathic   O
pain   O
medication   O
.   O
-   O
Refer   O
to   O
Breanna   B-NAME
Castaneda   I-NAME
for   O
endocrinology   O
consultation   O
.   O
-   O
Initiate   O
physical   O
therapy   O
to   O
preserve   O
muscle   O
strength   O
and   O
mobility   O
.   O

Smoking   O
cessation   O
resources   O
were   O
provided   O
,   O
and   O
Sellers   B-NAME
has   O
agreed   O
to   O
attend   O
a   O
smoking   O
cessation   O
program   O
recommended   O
by   O
Crescent   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Co   I-LOCATION
.   O
Signature   O
:   O
Costa   B-NAME
23/22/89   B-DATE
For   O
inquiries   O
or   O
to   O
reschedule   O
an   O
appointment   O
,   O
please   O
contact   O
Unity   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
at   O
573   B-CONTACT
8849   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Torres   B-NAME
Patient   O
ID   O
:   O
SN   B-ID
:   I-ID
UO:9446   I-ID
Medical   O
Record   O
Number   O
:   O
09301983   B-ID
Age   O
:   O
28   O
Date   O
of   O
Birth   O
:   O
22/20/2101   B-DATE
Phone   O
Number   O
:   O
403   B-CONTACT
-   I-CONTACT
258   I-CONTACT
-   I-CONTACT
9533   I-CONTACT
Address   O
:   O
Delshire   B-LOCATION
,   O
71123   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Saige   B-NAME
Phelps   I-NAME
Admitting   O
Hospital   O
:   O
CHI   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Health   I-LOCATION
Regional   I-LOCATION
Date   O
of   O
Admission   O
:   O
May   B-DATE
2383   I-DATE
Date   O
of   O
Discharge   O
:   O
01/65   B-DATE
Presenting   O
Complaint   O
:   O
Queen   B-NAME
Newton   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Greene   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
2321   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

The   O
symptoms   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
Speech   O
and   O
language   O
therapist   O
was   O
at   O
work   O
in   O
Beardstown   B-LOCATION
.   O

Medical   O
History   O
:   O
OCASIO   B-NAME
,   I-NAME
GEORGE   I-NAME
OJAS   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

On   O
examination   O
,   O
Kaylie   B-NAME
Gomez   I-NAME
appeared   O
anxious   O
,   O
with   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Management   O
and   O
Outcome   O
:   O
Jorge   B-NAME
Sutton   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
inferior   O
wall   O
myocardial   O
infarction   O
(   O
MI   O
)   O
and   O
was   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
statin   O
therapy   O
,   O
and   O
subcutaneous   O
heparin   O
.   O

vidal   B-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
at   O
Spanish   B-LOCATION
Peaks   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
.   O

Coronary   O
angiography   O
performed   O
by   O
French   B-NAME
on   O
20/22/2028   B-DATE
revealed   O
significant   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
,   O
for   O
which   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
with   O
stent   O
placement   O
was   O
successfully   O
performed   O
.   O

Baylee   B-NAME
Burnett   I-NAME
exhibited   O
a   O
favorable   O
clinical   O
response   O
to   O
treatment   O
with   O
resolution   O
of   O
chest   O
pain   O
and   O
normalization   O
of   O
heart   O
rate   O
and   O
blood   O
pressure   O
.   O

Pearle   B-NAME
Bergfalk   I-NAME
was   O
discharged   O
on   O
19/32/2249   B-DATE
with   O
prescriptions   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
an   O
ACE   O
inhibitor   O
,   O
and   O
a   O
statin   O
.   O

Yoselin   B-NAME
Ellis   I-NAME
was   O
advised   O
to   O
enroll   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Leach   B-NAME
in   O
4   O
weeks   O
.   O

Username   O
for   O
Patient   O
Portal   O
Access   O
:   O
ifr271   B-NAME
Patient   O
Instructions   O
:   O
Atwood   B-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
medication   O
adherence   O
,   O
lifestyle   O
modifications   O
including   O
dietary   O
changes   O
,   O
regular   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

Follow   O
-   O
up   O
Instructions   O
:   O
Addison   B-NAME
Frost   I-NAME
is   O
recommended   O
to   O
follow   O
up   O
with   O
Werner   B-NAME
in   O
Fort   B-LOCATION
Jesup   I-LOCATION
on   O
21   B-DATE
-   I-DATE
Feb-2203   I-DATE
for   O
assessment   O
of   O
medication   O
adherence   O
,   O
symptom   O
management   O
,   O
and   O
to   O
review   O
laboratory   O
tests   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Shepard   B-NAME
Relation   O
:   O
Nuclear   O
Medicine   O
Technologists   O
Phone   O
:   O
358   B-CONTACT
7223   I-CONTACT
Address   O
:   O
Hazlehurst   B-LOCATION
,   I-LOCATION
Hazlehurst   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
,   O
52549   B-LOCATION

This   O
report   O
contains   O
all   O
necessary   O
information   O
related   O
to   O
Coleman   B-NAME
's   O
recent   O
hospitalization   O
for   O
an   O
acute   O
myocardial   O
infarction   O
,   O
management   O
during   O
the   O
hospital   O
stay   O
,   O
and   O
detailed   O
follow   O
-   O
up   O
care   O
instructions   O
.   O

Patient   O
:   O
Brennen   B-NAME
Horne   I-NAME
ID   O
:   O
76391   B-ID
Medical   O
Record   O
Number   O
:   O
3486358   B-ID
Phone   O
Number   O
:   O
730   B-CONTACT
-   I-CONTACT
1609   I-CONTACT
Date   O
of   O
Birth   O
:   O
4/7   B-DATE
Age   O
:   O
90   O
Occupation   O
:   O
Purchasing   O
Agents   O
and   O
Buyers   O
,   O
Farm   O
Products   O
Primary   O
Physician   O
:   O

Shaunda   B-NAME
Posner   I-NAME
Hospital   O
:   O

Wellspan   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11204   I-LOCATION
Zip   O
Code   O
:   O
48348   B-LOCATION
Clinical   O
Summary   O
:   O

Patient   O
Ida   B-NAME
Oquinn   I-NAME
,   O
a   O
91   O
-   O
year   O
-   O
old   O
Rail   O
Transportation   O
Workers   O
,   O
All   O
Other   O
from   O
El   B-LOCATION
Paso   I-LOCATION
,   O
ZIP   O
code   O
67749   B-LOCATION
,   O
presented   O
to   O
Fort   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
32/23   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
vertigo   O
,   O
nausea   O
,   O
and   O
an   O
unsteady   O
gait   O
persisting   O
for   O
two   O
days   O
.   O

However   O
,   O
Ben   B-NAME
Teverley   I-NAME
mentioned   O
a   O
significant   O
increase   O
in   O
work   O
-   O
related   O
stress   O
in   O
the   O
weeks   O
leading   O
up   O
to   O
the   O
onset   O
of   O
symptoms   O
.   O

Physical   O
Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
Cadence   B-NAME
Payne   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
the   O
vertigo   O
.   O

Diagnostic   O
Tests   O
:   O
Initial   O
blood   O
tests   O
and   O
a   O
head   O
CT   O
scan   O
performed   O
on   O
8/22   B-DATE
were   O
unremarkable   O
.   O

Considering   O
the   O
clinical   O
presentation   O
and   O
the   O
findings   O
of   O
the   O
physical   O
examination   O
,   O
a   O
likely   O
diagnosis   O
of   O
benign   O
paroxysmal   O
positional   O
vertigo   O
(   O
BPPV   O
)   O
was   O
made   O
by   O
Dr.   O
Stanton   B-NAME
.   O

The   O
patient   O
was   O
treated   O
with   O
the   O
Epley   O
maneuver   O
by   O
Ryan   B-NAME
,   O
which   O
resulted   O
in   O
a   O
significant   O
reduction   O
of   O
vertigo   O
immediately   O
post   O
-   O
manipulation   O
.   O

Cecilia   B-NAME
Nelson   I-NAME
was   O
further   O
advised   O
on   O
the   O
importance   O
of   O
hydration   O
,   O
stress   O
management   O
,   O
and   O
provided   O
with   O
instructions   O
for   O
vestibular   O
rehabilitation   O
exercises   O
to   O
perform   O
at   O
home   O
.   O

Kenyon   B-NAME
was   O
also   O
advised   O
on   O
safety   O
measures   O
to   O
prevent   O
falls   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
two   O
weeks   O
later   O
in   O
Hamilton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Syracuse   I-LOCATION
with   O
Dr.   O
Tertius   B-NAME
Lydgate   I-NAME
to   O
re   O
-   O
assess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

Micheal   B-NAME
Duncan   I-NAME
was   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsened   O
or   O
if   O
new   O
symptoms   O
such   O
as   O
severe   O
headache   O
,   O
sudden   O
hearing   O
loss   O
,   O
or   O
weakness   O
were   O
experienced   O
.   O

(   B-CONTACT
763   I-CONTACT
)   I-CONTACT
971   I-CONTACT
-   I-CONTACT
4619   I-CONTACT
was   O
documented   O
as   O
the   O
primary   O
contact   O
number   O
,   O
and   O
Aviles   B-NAME
consented   O
to   O
use   O
this   O
number   O
for   O
further   O
communication   O
regarding   O
appointments   O
and   O
test   O
results   O
.   O

All   O
patient   O
information   O
including   O
Name   O
:   O
Haynes   B-NAME
,   O
ID   O
:   O
YB   B-ID
:   I-ID
OC:8183   I-ID
,   O
Medical   O
Record   O
:   O
92188125   B-ID
,   O
Phone   O
:   O
960   B-CONTACT
-   I-CONTACT
812   I-CONTACT
-   I-CONTACT
3622   I-CONTACT
,   O
and   O
residence   O
:   O
Chiloquin   B-LOCATION
,   O
23511   B-LOCATION
are   O
confidential   O
and   O
have   O
been   O
appropriately   O
de   O
-   O
identified   O
for   O
the   O
protection   O
of   O
the   O
patient   O
’s   O
privacy   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Elle   B-NAME
Mcguire   I-NAME
Age   O
:   O
20   O
Date   O
of   O
Birth   O
:   O
10/21   B-DATE
Medical   O
Record   O
Number   O
:   O
51465027   B-ID
ID   O
Number   O
:   O
BW:50629:796401   B-ID
Address   O
:   O
St.   B-LOCATION
Jo   I-LOCATION
,   O
90573   B-LOCATION
Phone   O
Number   O
:   O
302   B-CONTACT
6351   I-CONTACT
Attending   O
Physician   O
:   O

Kaylene   B-NAME
Laroe   I-NAME
Hospital   O
Name   O
:   O
Columbia   B-LOCATION
Basin   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
December   B-DATE
Username   O
:   O
EC986   B-NAME
Occupation   O
:   O

Computer   O
and   O
Information   O
Research   O
Scientists   O
Medical   O
History   O
:   O
Lawson   B-NAME
presented   O
to   O
Saint   B-LOCATION
Peter   I-LOCATION
's   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
2271   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Yosef   B-NAME
Q   I-NAME
Ullrich   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
for   O
which   O
Ryann   B-NAME
Riggs   I-NAME
is   O
on   O
medication   O
.   O

Perez   B-NAME
denied   O
any   O
recent   O
trauma   O
,   O
fever   O
,   O
or   O
chills   O
.   O

On   O
physical   O
examination   O
,   O
Zaria   B-NAME
Cisneros   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Blood   O
glucose   O
level   O
was   O
slightly   O
elevated   O
at   O
180   O
mg   O
/   O
dL.   O
Imaging   O
studies   O
,   O
including   O
an   O
abdominal   O
ultrasound   O
and   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
were   O
ordered   O
by   O
Dominic   B-NAME
Padilla   I-NAME
.   O

Management   O
and   O
Outcomes   O
:   O
Based   O
on   O
these   O
findings   O
,   O
Janet   B-NAME
Thornton   I-NAME
determined   O
that   O
Abbey   B-NAME
,   I-NAME
Edward   I-NAME
required   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Cowan   B-NAME
was   O
taken   O
to   O
the   O
operating   O
room   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
2236   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
20   I-DATE
.   O

Robespierre   B-NAME
,   I-NAME
Maximilien   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
to   O
treat   O
the   O
underlying   O
infection   O
and   O
prevent   O
postoperative   O
complications   O
.   O

Hart   B-NAME
,   I-NAME
Owen   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
showed   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Rand   B-NAME
,   I-NAME
Ayn   I-NAME
was   O
discharged   O
on   O
32/12   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
at   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Sullivan   B-NAME
Chase   I-NAME
was   O
also   O
advised   O
on   O
a   O
gradual   O
return   O
to   O
normal   O
activities   O
and   O
given   O
a   O
prescription   O
for   O
a   O
course   O
of   O
oral   O
antibiotics   O
to   O
complete   O
at   O
home   O
.   O

Moses   B-NAME
Woodward   I-NAME
expressed   O
gratitude   O
towards   O
the   O
medical   O
staff   O
at   O
Bon   B-LOCATION
Secours   I-LOCATION
Memorial   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
the   O
prompt   O
and   O
effective   O
treatment   O
received   O
.   O

Follow   O
-   O
up   O
:   O
Gray   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Goodwin   B-NAME
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Further   O
management   O
will   O
be   O
based   O
on   O
the   O
clinical   O
progress   O
of   O
Alisson   B-NAME
Wade   I-NAME
.   O

Patient   O
Name   O
:   O
Spurgeon   B-NAME
,   I-NAME
Charles   I-NAME
Haddon   I-NAME
Patient   O
ID   O
:   O
3371860   B-ID
Date   O
of   O
Birth   O
:   O
22/27   B-DATE
Date   O
of   O
Admission   O
:   O
14/21/22   B-DATE

Attending   O
Physician   O
:   O
Cordova   B-NAME
Hospital   O
:   O
Providence   B-LOCATION
Alaska   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
52266941   B-ID
Address   O
:   O
Goodnight   B-LOCATION
,   O
36335   B-LOCATION
Phone   O
Number   O
:   O
541   B-CONTACT
-   I-CONTACT
8579   I-CONTACT
Occupation   O
:   O
Food   O
Preparation   O
Workers   O
Username   O
:   O
IA589   B-NAME
Summary   O
:   O
Wu   B-NAME
,   O
a   O
8   O
-   O
year   O
-   O
old   O
Refrigeration   O
Mechanics   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Porter   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
on   O
2027   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
02   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
that   O
developed   O
over   O
the   O
course   O
of   O
the   O
previous   O
day   O
.   O

Upon   O
examination   O
,   O
Yusuf   B-NAME
Caldwell   I-NAME
's   O
abdomen   O
was   O
found   O
to   O
be   O
tender   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
noticeable   O
rebound   O
tenderness   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
ordered   O
by   O
Hatfield   B-NAME
,   O
which   O
showed   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
inflammation   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Camila   B-NAME
Carney   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Consent   O
was   O
obtained   O
and   O
Calvin   B-NAME
Zabo   I-NAME
was   O
prepared   O
for   O
surgery   O
,   O
which   O
was   O
scheduled   O
for   O
the   O
immediate   O
next   O
day   O
,   O
2114   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
28   I-DATE
.   O

Surgical   O
Outcome   O
:   O
Greta   B-NAME
Ingstrom   I-NAME
underwent   O
an   O
uneventful   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Salinas   B-NAME
.   O

Delacruz   B-NAME
responded   O
well   O
to   O
the   O
surgery   O
,   O
showing   O
signs   O
of   O
improvement   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
03/25   B-DATE
to   O
assess   O
recovery   O
progress   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Mike   B-NAME
Perry   I-NAME
was   O
discharged   O
from   O
Missouri   B-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
on   O
18/22/2021   B-DATE
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

A   O
detailed   O
discharge   O
summary   O
was   O
provided   O
to   O
Clarence   B-NAME
Strong   I-NAME
,   O
including   O
instructions   O
on   O
activity   O
levels   O
,   O
dietary   O
recommendations   O
,   O
and   O
symptom   O
monitoring   O
.   O

794   B-CONTACT
223   I-CONTACT
3037   I-CONTACT
was   O
provided   O
as   O
a   O
24   O
-   O
hour   O
contact   O
number   O
for   O
any   O
urgent   O
concerns   O
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
notify   O
the   O
sender   O
immediately   O
at   O
(   B-CONTACT
451   I-CONTACT
)   I-CONTACT
216   I-CONTACT
1436   I-CONTACT
and   O
delete   O
or   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Evelyn   B-NAME
Xuan   I-NAME
Age   O
:   O
73   O
Date   O
of   O
Birth   O
:   O
32/32   B-DATE
Gender   O
:   O
Male   O
SSN   O
:   O
LO:7208:388724   B-ID
Medical   O
Record   O
Number   O
:   O
834   B-ID
-   I-ID
65   I-ID
-   I-ID
55   I-ID
Address   O
:   O
Sarita   B-LOCATION
,   O
82727   B-LOCATION
Employment   O
:   O
Fiberglass   O
Laminators   O
and   O
Fabricators   O
Contact   O
Number   O
:   O
921   B-CONTACT
-   I-CONTACT
622   I-CONTACT
9689   I-CONTACT
Primary   O
Physician   O
:   O

Mcdowell   B-NAME
Treating   O
Facility   O
:   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
West   I-LOCATION
Islip   I-LOCATION
)   I-LOCATION
Chief   O
Complaint   O
:   O

Rueben   B-NAME
Muggley   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Tuality   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2152   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
04   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Terrance   B-NAME
Ibarra   I-NAME
,   O
a   O
63   O
-   O
year   O
-   O
old   O
Roof   O
Bolters   O
,   O
Mining   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
reported   O
the   O
symptoms   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
while   O
at   O
work   O
in   O
Ventress   B-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Merchant   B-NAME
,   I-NAME
Natalie   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Electrocardiogram   O
(   O
ECG   O
)   O
performed   O
at   O
August   B-DATE
1   I-DATE
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
anterior   O
leads   O
consistent   O
with   O
an   O
anterior   O
wall   O
myocardial   O
infarction   O
(   O
MI   O
)   O
.   O

Management   O
:   O
Landry   B-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
heparin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
as   O
per   O
acute   O
MI   O
protocol   O
.   O

Villarreal   B-NAME
of   O
cardiology   O
was   O
consulted   O
,   O
and   O
urgent   O
cardiac   O
catheterization   O
was   O
recommended   O
.   O

Bird   B-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
further   O
intervention   O
.   O

Follow   O
-   O
Up   O
:   O
Arias   B-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
at   O
Martinsville   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
continued   O
observation   O
and   O
management   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Keegan   B-NAME
Stewart   I-NAME
in   O
two   O
weeks   O
to   O
assess   O
recovery   O
and   O
discuss   O
further   O
secondary   O
prevention   O
strategies   O
.   O

Prepared   O
by   O
:   O
fxo55   B-NAME
,   O
6/20   B-DATE
Contact   O
for   O
Further   O
Information   O
:   O
Sheppard   B-NAME
-   O
881   B-CONTACT
-   I-CONTACT
9921   I-CONTACT
Guthrie   B-LOCATION
Cortland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Administration   O
-   O
288   B-CONTACT
-   I-CONTACT
9712   I-CONTACT
Document   O
ID   O
:   O
8699312   B-ID

Patient   O
Name   O
:   O
Kitchen   B-NAME
,   I-NAME
Willie   I-NAME
DOB   O
:   O
12/20   B-DATE
Age   O
:   O
0   O
week   O
Medical   O
Record   O
No   O
.   O
:   O
293   B-ID
-   I-ID
27   I-ID
-   I-ID
92   I-ID
-   I-ID
7   I-ID
Admission   O
Date   O
:   O
38/16/02   B-DATE
Attending   O
Physician   O
:   O
Lutz   B-NAME
Hospital   O
Name   O
:   O
Advocate   B-LOCATION
Trinity   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Tripp   B-LOCATION
ZIP   O
Code   O
:   O
41165   B-LOCATION
Phone   O
:   O
148   B-CONTACT
-   I-CONTACT
334   I-CONTACT
-   I-CONTACT
4316   I-CONTACT
ID   O
Number   O
:   O
PK581/9968   B-ID
Occupation   O
:   O

Word   O
Processors   O
and   O
Typists   O
Chief   O
Complaint   O
:   O
Lehman   B-NAME
,   I-NAME
John   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Bayfront   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Petersburg   I-LOCATION
,   O
Metaline   B-LOCATION
Falls   I-LOCATION
,   O
on   O
2292   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Donovan   B-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Personal   O
assistant   O
,   O
reports   O
that   O
the   O
symptoms   O
started   O
suddenly   O
while   O
at   O
work   O
at   O
International   B-LOCATION
Red   I-LOCATION
Cross   I-LOCATION
and   I-LOCATION
Red   I-LOCATION
Crescent   I-LOCATION
Movement   I-LOCATION
in   O
16   B-LOCATION
undefined   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Ecclestone   B-NAME
,   I-NAME
Bernie   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
mellitus   O
three   O
years   O
ago   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Ronnie   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
comprehensive   O
metabolic   O
panel   O
,   O
and   O
lipid   O
profile   O
were   O
ordered   O
by   O
Conrad   B-NAME
.   O

Given   O
the   O
ECG   O
findings   O
and   O
clinical   O
presentation   O
,   O
Winters   B-NAME
initiated   O
reperfusion   O
therapy   O
.   O

Chaya   B-NAME
Crosby   I-NAME
was   O
subsequently   O
transferred   O
to   O
the   O
cardiology   O
department   O
for   O
further   O
management   O
,   O
including   O
possible   O
coronary   O
angiography   O
.   O

Disposition   O
:   O
As   O
of   O
12/11   B-DATE
,   O
Florianus   B-NAME
Dolven   I-NAME
remains   O
admitted   O
at   O
Prairie   B-LOCATION
View   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Newton   I-LOCATION
under   O
the   O
care   O
of   O
Owens   B-NAME
.   O

The   O
patient   O
's   O
condition   O
is   O
stable   O
,   O
and   O
further   O
updates   O
regarding   O
treatment   O
and   O
progression   O
will   O
be   O
documented   O
in   O
the   O
medical   O
record   O
(   O
550   B-ID
-   I-ID
05   I-ID
-   I-ID
10   I-ID
)   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
22/32/56   B-DATE
at   O
Riverside   B-LOCATION
University   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Fort   B-LOCATION
Lauderdale   I-LOCATION
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Katherin   B-NAME
Bulnes   I-NAME
or   O
family   O
members   O
may   O
contact   O
the   O
cardiology   O
department   O
at   O
24606   B-CONTACT
.   O

Patient   O
:   O
Sade   B-NAME
,   I-NAME
Donatien   I-NAME
de   I-NAME
DOB   O
:   O
A   B-DATE
Age   O
:   O
58   O
Medical   O
Record   O
Number   O
:   O
9098560   B-ID
Location   O
:   O
703   B-LOCATION
S.   I-LOCATION
Lakewood   I-LOCATION
Street   I-LOCATION
,   O
22360   B-LOCATION
Phone   O
:   O
527   B-CONTACT
6361   I-CONTACT

Stuart   B-NAME
Price   I-NAME
Hospital   O
:   O
OSF   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
Sunday   B-DATE
Date   O
of   O
Discharge   O
:   O

April   B-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Wilfred   B-NAME
Glendon   I-NAME
,   O
was   O
admitted   O
to   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Northeast   I-LOCATION
on   O
21   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
over   O
the   O
last   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Malaki   B-NAME
Ayers   I-NAME
is   O
a   O
2   O
-   O
year   O
-   O
old   O
Waiters   O
and   O
Waitresses   O
with   O
no   O
significant   O
past   O
medical   O
history   O
who   O
presents   O
with   O
a   O
1   O
-   O
day   O
history   O
of   O
sharp   O
,   O
stabbing   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
(   O
RLQ   O
)   O
of   O
the   O
abdomen   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
mentioned   O
,   O
Gray   B-NAME
denies   O
any   O
fever   O
,   O
chills   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
recent   O
travel   O
history   O
.   O

On   O
examination   O
,   O
Ida   B-NAME
Xayachack   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Surgical   O
consultation   O
with   O
Brianna   B-NAME
Dodson   I-NAME
was   O
obtained   O
,   O
and   O
Ingram   B-NAME
was   O
scheduled   O
for   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
on   O
Wednesday   B-DATE
.   O

Disposition   O
:   O
Kovacs   B-NAME
,   I-NAME
Ernie   I-NAME
was   O
observed   O
in   O
the   O
post   O
-   O
surgical   O
unit   O
at   O
Hutchinson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Hutchinson   I-LOCATION
and   O
discharged   O
on   O
Friday   B-DATE
,   I-DATE
March   I-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Jovita   B-NAME
Napier   I-NAME
in   O
1   O
week   O
for   O
a   O
wound   O
check   O
and   O
review   O
of   O
pathology   O
.   O

A   O
prescription   O
for   O
pain   O
management   O
and   O
guidelines   O
on   O
activity   O
restrictions   O
were   O
provided   O
.   O
Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Betty   B-NAME
G.   I-NAME
Pierce   I-NAME
was   O
advised   O
to   O
report   O
immediately   O
to   O
the   O
emergency   O
department   O
for   O
any   O
signs   O
of   O
infection   O
,   O
worsening   O
pain   O
,   O
or   O
if   O
unable   O
to   O
tolerate   O
oral   O
intake   O
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
Carma   B-NAME
Masek   I-NAME
is   O
scheduled   O
to   O
follow   O
up   O
with   O
Amira   B-NAME
Hampton   I-NAME
at   O
Waimanalo   B-LOCATION
Beach   I-LOCATION
on   O
0.22.54   B-DATE
.   O

Further   O
appointments   O
can   O
be   O
scheduled   O
by   O
calling   O
375   B-CONTACT
434   I-CONTACT
9751   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
pic366   B-NAME
,   O
and   O
all   O
patient   O
information   O
has   O
been   O
handled   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

Any   O
discrepancies   O
or   O
concerns   O
should   O
be   O
reported   O
to   O
the   O
medical   O
records   O
department   O
of   O
Harbor   B-LOCATION
Beach   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
:   O
Vidal   B-NAME
,   I-NAME
Gore   I-NAME
ID   O
:   O
8   B-ID
-   I-ID
2888400   I-ID
Medical   O
Record   O
Number   O
:   O
859   B-ID
-   I-ID
39   I-ID
-   I-ID
33   I-ID
Age   O
:   O
32   O
Phone   O
:   O
849   B-CONTACT
7184   I-CONTACT
Date   O
of   O
Visit   O
:   O
2060   B-DATE
/2023   O
Attending   O
Physician   O
:   O
Burton   B-NAME
,   I-NAME
Sir   I-NAME
Richard   I-NAME
Francis   I-NAME
Hospital   O
:   O
Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Big   B-LOCATION
Cabin   I-LOCATION
Zip   O
Code   O
:   O
25732   B-LOCATION
Profession   O
:   O
Fisheries   O
enforcement   O
officer   O
Username   O
:   O
wlk619   B-NAME
Chief   O
Complaint   O
:   O
Palgrave   B-NAME
,   I-NAME
Francis   I-NAME
Turner   I-NAME
presented   O
to   O
University   B-LOCATION
of   I-LOCATION
California   I-LOCATION
Irvine   I-LOCATION
Health   I-LOCATION
located   O
at   O
Rib   B-LOCATION
Lake   I-LOCATION
,   O
95344   B-LOCATION
,   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
09/05/1911   B-DATE
.   O

Jessie   B-NAME
Robbins   I-NAME
,   O
a   O
Nurse   O
Anesthetists   O
,   O
mentioned   O
experiencing   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
an   O
inability   O
to   O
pass   O
gas   O
for   O
the   O
last   O
24   O
-   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Valery   B-NAME
Harding   I-NAME
,   O
at   O
6   O
month   O
years   O
old   O
,   O
initially   O
noticed   O
the   O
pain   O
after   O
consuming   O
a   O
meal   O
at   O
a   O
local   O
restaurant   O
in   O
Bradford   B-LOCATION
on   O
2/11/2222   B-DATE
.   O

Kendal   B-NAME
Lester   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
change   O
in   O
diet   O
except   O
for   O
the   O
restaurant   O
meal   O
,   O
or   O
any   O
sick   O
contacts   O
.   O

Kevin   B-NAME
Casey   I-NAME
also   O
reported   O
a   O
decreased   O
appetite   O
and   O
a   O
feeling   O
of   O
fullness   O
.   O

Past   O
Medical   O
History   O
:   O
Marry   B-NAME
Bruno   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Examination   O
reveals   O
Spring   B-NAME
Vandilus   I-NAME
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
acuity   O
of   O
symptoms   O
,   O
Habib   B-NAME
Valenzuela   I-NAME
was   O
admitted   O
to   O
Sumner   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Caldwell   I-LOCATION
under   O
the   O
care   O
of   O
Newton   B-NAME
for   O
further   O
evaluation   O
and   O
management   O
on   O
May   B-DATE
20   I-DATE
.   O

Instructions   O
were   O
provided   O
to   O
Short   B-NAME
to   O
avoid   O
eating   O
or   O
drinking   O
until   O
further   O
evaluation   O
by   O
gastroenterology   O
and   O
possible   O
surgical   O
teams   O
.   O

(   B-CONTACT
431   I-CONTACT
)   I-CONTACT
625   I-CONTACT
-   I-CONTACT
5104   I-CONTACT
was   O
listed   O
as   O
the   O
primary   O
contact   O
number   O
for   O
any   O
immediate   O
family   O
to   O
reach   O
out   O
for   O
updates   O
regarding   O
Lakeisha   B-NAME
's   O
condition   O
.   O

Djilas   B-NAME
,   I-NAME
Milovan   I-NAME
consented   O
to   O
share   O
necessary   O
information   O
with   O
healthcare   O
providers   O
and   O
emergency   O
contacts   O
listed   O
under   O
212   B-CONTACT
9395   I-CONTACT
.   O

The   O
documentation   O
was   O
securely   O
stored   O
in   O
Adrienne   B-NAME
Holland   I-NAME
's   O
electronic   O
health   O
record   O
,   O
CK277899   B-ID
,   O
accessible   O
only   O
by   O
authorized   O
personnel   O
.   O

Patient   O
Name   O
:   O
Didion   B-NAME
,   I-NAME
Joan   I-NAME
Date   O
of   O
Birth   O
:   O
2002   B-DATE
Age   O
:   O
94   O
Phone   O
:   O
531   B-CONTACT
-   I-CONTACT
7319   I-CONTACT
Address   O
:   O
Dilworth   B-LOCATION
,   O
29880   B-LOCATION
Occupation   O
:   O

Offset   O
Lithographic   O
Press   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
Physician   O
:   O
Ariana   B-NAME
Hays   I-NAME
Hospital   O
:   O
Lake   B-LOCATION
City   I-LOCATION
Veterans   I-LOCATION
Administration   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
40767716   B-ID
Date   O
of   O
Visit   O
:   O
1   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
87   I-DATE
Social   O
Security   O
Number   O
:   O
IA432/8633   B-ID
Clinical   O
Notes   O
:   O
Friedman   B-NAME
,   I-NAME
Nat   I-NAME
,   O
a   O
27   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
of   O
Animal   O
Husbandry   O
and   O
Animal   O
Care   O
Workers   O
from   O
Edinburg   B-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Rita   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/21/69   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
dyspnea   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

Courtney   B-NAME
Dawson   I-NAME
reports   O
that   O
these   O
symptoms   O
have   O
been   O
occurring   O
sporadically   O
over   O
the   O
past   O
month   O
but   O
significantly   O
worsened   O
in   O
the   O
24   O
hours   O
preceding   O
the   O
hospital   O
visit   O
.   O

Upon   O
examination   O
,   O
Groszkiewicz   B-NAME
noted   O
that   O
Younce   B-NAME
's   O
blood   O
pressure   O
was   O
160/110   O
mmHg   O
,   O
heart   O
rate   O
was   O
102   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
.   O

Marshall   B-NAME
was   O
informed   O
about   O
the   O
seriousness   O
of   O
the   O
condition   O
and   O
the   O
importance   O
of   O
urgent   O
intervention   O
.   O

Consent   O
was   O
obtained   O
,   O
and   O
the   O
procedure   O
was   O
scheduled   O
with   O
Barron   B-NAME
at   O
Seattle   B-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
May   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Valeria   B-NAME
Singleton   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
clinic   O
at   O
Silver   B-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
psychiatric   I-LOCATION
)   I-LOCATION
on   O
02/20/71   B-DATE
to   O
assess   O
recovery   O
progress   O
,   O
adjust   O
medications   O
if   O
necessary   O
,   O
and   O
evaluate   O
the   O
need   O
for   O
further   O
rehabilitation   O
services   O
.   O

-   O
Contact   O
907   B-CONTACT
-   I-CONTACT
3903   I-CONTACT
immediately   O
for   O
any   O
signs   O
of   O
chest   O
pain   O
,   O
breathing   O
difficulty   O
,   O
or   O
other   O
concerning   O
symptoms   O
.   O

Do   O
not   O
share   O
your   O
medical   O
record   O
number   O
(   O
594   B-ID
-   I-ID
84   I-ID
-   I-ID
54   I-ID
-   I-ID
9   I-ID
)   O
or   O
any   O
other   O
personal   O
information   O
included   O
in   O
this   O
report   O
with   O
unauthorized   O
individuals   O
.   O

For   O
further   O
assistance   O
,   O
contact   O
UPMC   B-LOCATION
Lititz   I-LOCATION
at   O
665   B-CONTACT
-   I-CONTACT
3669   I-CONTACT
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Arroyo   B-NAME
,   O
M.D.   O
,   O
Cardiology   O
Department   O
,   O
Southeast   B-LOCATION
Missouri   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
15/26   B-DATE
.   O

The   O
patient   O
,   O
Rylee   B-NAME
Horne   I-NAME
,   O
93   O
years   O
of   O
age   O
,   O
presented   O
to   O
Samaritan   B-LOCATION
Hospital   I-LOCATION
on   O
31/39/2305   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Additionally   O
,   O
Bush   B-NAME
,   I-NAME
Vannevar   I-NAME
had   O
experienced   O
nausea   O
without   O
vomiting   O
and   O
a   O
noted   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Galvan   B-NAME
,   O
conducted   O
a   O
physical   O
examination   O
which   O
revealed   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
a   O
positive   O
Rovsing   O
's   O
sign   O
.   O

Further   O
diagnostic   O
imaging   O
was   O
ordered   O
by   O
Cummings   B-NAME
,   I-NAME
E.   I-NAME
E.   I-NAME
,   O
which   O
included   O
an   O
abdominal   O
ultrasound   O
that   O
showed   O
an   O
enlarged   O
appendix   O
with   O
a   O
thickened   O
wall   O
,   O
confirming   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

ostrowski   B-NAME
's   O
medical   O
record   O
number   O
978   B-ID
-   I-ID
88   I-ID
-   I-ID
98   I-ID
-   I-ID
2   I-ID
indicated   O
no   O
prior   O
history   O
of   O
similar   O
symptoms   O
or   O
any   O
significant   O
surgical   O
history   O
.   O

The   O
patient   O
's   O
laboratory   O
tests   O
,   O
conducted   O
upon   O
admittance   O
on   O
23/30/2137   B-DATE
,   O
showed   O
a   O
mild   O
leukocytosis   O
,   O
further   O
supporting   O
the   O
diagnosis   O
.   O

Angelic   B-NAME
Shao   I-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
to   O
be   O
performed   O
on   O
2213   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
04   I-DATE
.   O

Prior   O
to   O
surgery   O
,   O
Glenn   B-NAME
Richie   I-NAME
was   O
administered   O
preoperative   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

The   O
procedure   O
,   O
as   O
documented   O
in   O
record   O
121   B-ID
-   I-ID
47   I-ID
-   I-ID
99   I-ID
-   I-ID
9   I-ID
,   O
was   O
completed   O
without   O
complication   O
,   O
and   O
the   O
appendix   O
was   O
successfully   O
removed   O
.   O

Post   O
-   O
operative   O
recovery   O
has   O
been   O
smooth   O
,   O
with   O
DUNN   B-NAME
,   I-NAME
VINCENT   I-NAME
having   O
tolerated   O
a   O
liquid   O
diet   O
well   O
and   O
pain   O
being   O
managed   O
through   O
prescribed   O
medication   O
.   O

In   O
terms   O
of   O
follow   O
-   O
up   O
and   O
discharge   O
planning   O
,   O
Ramon   B-NAME
Jarvis   I-NAME
has   O
been   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
and   O
to   O
gradually   O
resume   O
physical   O
activity   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Sanders   B-NAME
at   O
Highlands   B-LOCATION
Hospital   I-LOCATION
on   O
0/22   B-DATE
to   O
evaluate   O
Manuel   B-NAME
Dalton   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
.   O

Patti   B-NAME
Henery   I-NAME
's   O
emergency   O
contact   O
,   O
listed   O
as   O
a   O
cashier   O
in   O
Tacoma   B-LOCATION
,   O
has   O
been   O
informed   O
of   O
the   O
discharge   O
instructions   O
and   O
was   O
provided   O
with   O
(   B-CONTACT
894   I-CONTACT
)   I-CONTACT
996   I-CONTACT
6499   I-CONTACT
to   O
contact   O
in   O
case   O
of   O
any   O
concerns   O
or   O
complications   O
.   O

For   O
records   O
and   O
confidentiality   O
,   O
all   O
communications   O
and   O
documents   O
have   O
been   O
secured   O
under   O
Gilberto   B-NAME
Levine   I-NAME
's   O
unique   O
identification   O
code   O
,   O
SQ681/3659   B-ID
,   O
and   O
will   O
be   O
stored   O
according   O
to   O
Montford   B-LOCATION
Point   I-LOCATION
Marines[1   I-LOCATION
]   I-LOCATION
policies   O
in   O
Acme   B-LOCATION
,   O
84485   B-LOCATION
.   O

The   O
entire   O
medical   O
procedure   O
and   O
patient   O
interaction   O
were   O
conducted   O
in   O
strict   O
compliance   O
with   O
privacy   O
laws   O
to   O
protect   O
Pratchett   B-NAME
,   I-NAME
Terry   I-NAME
's   O
personal   O
health   O
information   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
YX:57579:297374   B-ID
Patient   O
Name   O
:   O
Jayden   B-NAME
Malone   I-NAME
Date   O
of   O
Birth   O
:   O
20   O
Address   O
:   O
Benedict   B-LOCATION
,   O
94069   B-LOCATION
Phone   O
Number   O
:   O
123   B-CONTACT
3120   I-CONTACT
Primary   O
Physician   O
:   O

Farley   B-NAME
Hospital   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Danville   I-LOCATION
Medical   O
Record   O
Number   O
:   O
85538484   B-ID
Date   O
of   O
Admission   O
:   O
2/23/73   B-DATE
Ciara   B-NAME
J.   I-NAME
Goldberg   I-NAME
was   O
admitted   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center-   I-LOCATION
Hillcrest   I-LOCATION
on   O
2371   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
16   I-DATE
with   O
a   O
detailed   O
history   O
of   O
persistent   O
migraines   O
,   O
characterized   O
by   O
throbbing   O
pain   O
on   O
one   O
side   O
of   O
the   O
head   O
,   O
sensitivity   O
to   O
light   O
and   O
sound   O
,   O
and   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
.   O

Inge   B-NAME
reported   O
that   O
the   O
migraines   O
typically   O
last   O
for   O
several   O
hours   O
and   O
are   O
often   O
preceded   O
by   O
visual   O
disturbances   O
known   O
as   O
aura   O
.   O

Additionally   O
,   O
Jacobson   B-NAME
,   I-NAME
Isaiah   I-NAME
Peter   I-NAME
has   O
been   O
experiencing   O
episodic   O
dizziness   O
,   O
making   O
it   O
difficult   O
to   O
maintain   O
balance   O
,   O
which   O
suggests   O
a   O
vestibular   O
involvement   O
.   O

Upon   O
physical   O
examination   O
,   O
Dax   B-NAME
Carlson   I-NAME
demonstrated   O
a   O
heightened   O
sensitivity   O
to   O
light   O
,   O
necessitating   O
the   O
lights   O
to   O
be   O
dimmed   O
in   O
the   O
examination   O
room   O
.   O

Neurological   O
examination   O
revealed   O
no   O
focal   O
deficits   O
,   O
and   O
Aydin   B-NAME
Dudley   I-NAME
's   O
Glasgow   O
Coma   O
Scale   O
was   O
15   O
,   O
indicating   O
full   O
responsiveness   O
.   O

Easton   B-NAME
Castro   I-NAME
ordered   O
a   O
comprehensive   O
set   O
of   O
diagnostic   O
investigations   O
including   O
a   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
scan   O
of   O
the   O
brain   O
to   O
rule   O
out   O
any   O
structural   O
abnormalities   O
,   O
and   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
to   O
check   O
for   O
signs   O
of   O
infection   O
or   O
anemia   O
that   O
could   O
be   O
contributing   O
to   O
the   O
patient   O
's   O
symptoms   O
.   O

Gloria   B-NAME
Leblanc   I-NAME
's   O
blood   O
pressure   O
was   O
also   O
monitored   O
,   O
given   O
the   O
symptoms   O
could   O
be   O
exacerbated   O
by   O
hypertension   O
.   O

In   O
terms   O
of   O
treatment   O
,   O
Colleen   B-NAME
Flaherty   I-NAME
Richards   I-NAME
has   O
been   O
prescribed   O
a   O
course   O
of   O
triptans   O
for   O
migraine   O
management   O
,   O
devised   O
to   O
be   O
taken   O
at   O
the   O
onset   O
of   O
headache   O
symptoms   O
.   O

Romero   B-NAME
discussed   O
lifestyle   O
adjustments   O
with   O
Lucille   B-NAME
Jackson   I-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
maintaining   O
a   O
regular   O
sleep   O
schedule   O
,   O
staying   O
hydrated   O
,   O
and   O
avoiding   O
known   O
migraine   O
triggers   O
,   O
including   O
certain   O
foods   O
and   O
stress   O
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
for   O
June   B-DATE
01   I-DATE
,   I-DATE
2037   I-DATE
to   O
monitor   O
Dino   B-NAME
's   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

It   O
was   O
strongly   O
recommended   O
that   O
Ortega   B-NAME
keep   O
a   O
headache   O
diary   O
,   O
noting   O
down   O
the   O
frequency   O
,   O
duration   O
,   O
symptoms   O
,   O
and   O
potential   O
triggers   O
of   O
each   O
migraine   O
episode   O
.   O

This   O
information   O
will   O
be   O
crucial   O
for   O
ongoing   O
management   O
and   O
in   O
tailoring   O
the   O
treatment   O
to   O
Eliana   B-NAME
Woodward   I-NAME
's   O
specific   O
needs   O
.   O

Contact   O
Information   O
:   O
Primary   O
Physician   O
:   O
Shepard   B-NAME
-   O
93148   B-CONTACT
Hospital   O
:   O

Suburban   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
-   O
152   B-CONTACT
6890   I-CONTACT
Jerry   B-NAME
Robinson   I-NAME
's   O
Emergency   O
Contact   O
:   O

Title   O
Searchers   O
eye890   B-NAME
-   O
(   B-CONTACT
657   I-CONTACT
)   I-CONTACT
675   I-CONTACT
6088   I-CONTACT
Prepared   O
by   O
:   O
Medical   O
Transcriptionists   O

ET9910   B-NAME

Fisher   B-NAME
Mcclure   I-NAME
Patient   O
ID   O
:   O
NS191/6667   B-ID
Medical   O
Record   O
Number   O
:   O
97234141   B-ID
Date   O
of   O
Birth   O
:   O
69   O
Date   O
of   O
Admission   O
:   O
1789   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
23   I-DATE
/2023   O
Attending   O
Physician   O
:   O

Koch   B-NAME
Location   O
of   O
Admission   O
:   O
Mt.   B-LOCATION
San   I-LOCATION
Rafael   I-LOCATION
Hospital   I-LOCATION
,   O
Pana   B-LOCATION
Zip   O
Code   O
:   O
84511   B-LOCATION
Contact   O
Phone   O
:   O
794   B-CONTACT
8336   I-CONTACT
Chief   O
Complaint   O
:   O

Jeramiah   B-NAME
Savage   I-NAME
reported   O
to   O
Weirton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/30/62   B-DATE
/2023   O
with   O
a   O
severe   O
headache   O
and   O
photophobia   O
that   O
had   O
persisted   O
for   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Sage   B-NAME
Jefferson   I-NAME
mentioned   O
experiencing   O
nausea   O
and   O
an   O
episode   O
of   O
emesis   O
on   O
the   O
morning   O
of   O
admission   O
.   O

Medical   O
History   O
:   O
Paul   B-NAME
B.   I-NAME
Stokes   I-NAME
has   O
a   O
chronic   O
history   O
of   O
migraines   O
but   O
states   O
that   O
the   O
current   O
episode   O
is   O
significantly   O
more   O
severe   O
than   O
typical   O
episodes   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Lambert   B-NAME
exhibited   O
a   O
photophobic   O
response   O
and   O
was   O
noted   O
to   O
have   O
pallor   O
.   O

Blood   O
pressure   O
was   O
measured   O
at   O
145/95   O
mmHg   O
,   O
slightly   O
elevated   O
compared   O
to   O
Florentina   B-NAME
's   O
typical   O
readings   O
.   O

Schmitt   B-NAME
was   O
administered   O
a   O
combination   O
of   O
sumatriptan   O
and   O
naproxen   O
sodium   O
shortly   O
after   O
admission   O
,   O
which   O
led   O
to   O
partial   O
relief   O
of   O
headache   O
and   O
photophobia   O
.   O

Virgilio   B-NAME
Wendell   I-NAME
was   O
advised   O
to   O
remain   O
in   O
Princeton   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
observation   O
for   O
24   O
hours   O
,   O
with   O
the   O
plan   O
to   O
reassess   O
the   O
need   O
for   O
lumbar   O
puncture   O
or   O
further   O
imaging   O
depending   O
on   O
clinical   O
evolution   O
.   O

Jaunie   B-NAME
showed   O
notable   O
improvement   O
in   O
symptoms   O
by   O
35/30/2024   B-DATE
/2023   O
and   O
was   O
discharged   O
with   O
instructions   O
to   O
follow   O
up   O
with   O
Cassius   B-NAME
Calhoun   I-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
recurred   O
or   O
worsened   O
.   O

Prescriptions   O
were   O
sent   O
to   O
CryptoRights   B-LOCATION
Foundation   I-LOCATION
Pharmacy   O
,   O
located   O
in   O
Maple   B-LOCATION
Bluff   I-LOCATION
.   O

For   O
further   O
information   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Walter   B-NAME
was   O
advised   O
to   O
contact   O
Hawarden   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
at   O
70478   B-CONTACT
.   O

Note   O
:   O
All   O
further   O
inquiries   O
and   O
correspondences   O
regarding   O
Camp   B-NAME
's   O
care   O
should   O
be   O
directed   O
to   O
4   B-ID
-   I-ID
3689317   I-ID
and   O
reference   O
428   B-ID
-   I-ID
12   I-ID
-   I-ID
31   I-ID
-   I-ID
8   I-ID
for   O
confidentiality   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Vidal   B-NAME
-   O
Age   O
:   O
3   O
-   O
SSN   O
:   O
9   B-ID
-   I-ID
5593106   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
7617044   B-ID
-   O
Phone   O
Number   O
:   O
65348   B-CONTACT
-   O
Address   O
:   O
Sharon   B-LOCATION
Hill   I-LOCATION
,   O
62743   B-LOCATION
Healthcare   O
Provider   O
:   O
Gentry   B-NAME
Affiliated   O
Institution   O
:   O

Sentara   B-LOCATION
Halifax   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Report   O
:   O
3/17   B-DATE
/2023   O
Summary   O
:   O
Deegan   B-NAME
Zimmerman   I-NAME
,   O
a   O
Survey   O
Researchers   O
from   O
Regan   B-LOCATION
,   O
was   O
admitted   O
to   O
Eating   B-LOCATION
Recovery   I-LOCATION
Center   I-LOCATION
a   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
on   O
2111/16/11   B-DATE
following   O
a   O
two   O
-   O
week   O
history   O
of   O
progressively   O
worsening   O
symptoms   O
.   O

Grant   B-NAME
,   I-NAME
Ulysses   I-NAME
S.   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
lack   O
of   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Medical   O
History   O
:   O
-   O
Halle   B-NAME
Mahoney   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
.   O
-   O
No   O
known   O
allergies   O
.   O
-   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Laurel   B-NAME
Franklin   I-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
with   O
rebound   O
tenderness   O
and   O
guarding   O
suggestive   O
of   O
peritonitis   O
.   O

Given   O
the   O
diagnosis   O
and   O
the   O
severity   O
of   O
the   O
Mayra   B-NAME
West   I-NAME
's   O
condition   O
,   O
surgical   O
intervention   O
was   O
recommended   O
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
performed   O
successfully   O
on   O
11/28   B-DATE
by   O
Fleming   B-NAME
.   O

Postoperative   O
Care   O
:   O
-   O
Sanai   B-NAME
Ellis   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
postoperative   O
infection   O
.   O
-   O
Pain   O
management   O
with   O
acetaminophen   O
and   O
ibuprofen   O
as   O
needed   O
.   O

-   O
joshi   B-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
to   O
observe   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Allen   B-NAME
,   I-NAME
Steve   I-NAME
for   O
2276   B-DATE
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
Florida   I-LOCATION
to   O
assess   O
the   O
healing   O
process   O
and   O
the   O
efficacy   O
of   O
the   O
treatment   O
plan   O
.   O

Instructions   O
for   O
Radner   B-NAME
,   I-NAME
Gilda   I-NAME
:   O
-   O
Maintain   O
a   O
light   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
surgery   O
.   O
-   O
Gradually   O
resume   O
regular   O
activities   O
as   O
tolerated   O
.   O
-   O
Keep   O
the   O
wound   O
area   O
clean   O
and   O
dry   O
.   O

-   O
Contact   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Troy   I-LOCATION
at   O
44616   B-CONTACT
if   O
you   O
experience   O
fever   O
,   O
severe   O
abdominal   O
pain   O
,   O
or   O
any   O
signs   O
of   O
wound   O
infection   O
.   O

Prepared   O
by   O
:   O
Burnett   B-NAME
,   O
M.D.   O
9/30   B-DATE
/2023   O

This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Chaim   B-NAME
Stevens   I-NAME
and   O
authorized   O
healthcare   O
providers   O
only   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Frankie   B-NAME
Echols   I-NAME
-   O
Age   O
:   O
77   O
-   O
Date   O
of   O
Birth   O
:   O
12/22   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
78427732   B-ID
-   O
Phone   O
Number   O
:   O
675   B-CONTACT
-   I-CONTACT
676   I-CONTACT
8442   I-CONTACT
-   O
Address   O
:   O
Juno   B-LOCATION
Ridge   I-LOCATION
,   O
13364   B-LOCATION
Medical   O
History   O
:   O
Judith   B-NAME
Wiggins   I-NAME
presented   O
to   O
Ridgeview   B-LOCATION
Institute   I-LOCATION
on   O
12/37   B-DATE
with   O
complaints   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
occasional   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
week   O
.   O

Jensen   B-NAME
Frazier   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
the   O
use   O
of   O
alcohol   O
or   O
recreational   O
drugs   O
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
examination   O
,   O
Huynh   B-NAME
noted   O
tenderness   O
in   O
the   O
lower   O
left   O
quadrant   O
of   O
the   O
abdomen   O
without   O
signs   O
of   O
rebound   O
tenderness   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Kent   I-LOCATION
Community   I-LOCATION
Campus   I-LOCATION
for   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
and   O
fluids   O
.   O

Kate   B-NAME
Marlens   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
was   O
discharged   O
on   O
12/13   B-DATE
with   O
a   O
prescription   O
for   O
a   O
10   O
-   O
day   O
course   O
of   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Agustin   B-NAME
Crosby   I-NAME
at   O
Lufkin   B-LOCATION
has   O
been   O
scheduled   O
for   O
32/11   B-DATE
to   O
assess   O
progress   O
and   O
discuss   O
the   O
potential   O
need   O
for   O
further   O
interventions   O
or   O
lifestyle   O
adjustments   O
to   O
manage   O
or   O
prevent   O
future   O
episodes   O
of   O
diverticulitis   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
to   O
update   O
personal   O
information   O
,   O
please   O
contact   O
our   O
office   O
at   O
164   B-CONTACT
9790   I-CONTACT
.   O

Please   O
have   O
the   O
patient   O
's   O
ID   O
GM793/4960   B-ID
ready   O
for   O
verification   O
purposes   O
.   O

This   O
health   O
information   O
is   O
confidential   O
and   O
intended   O
for   O
use   O
by   O
the   O
medical   O
team   O
involved   O
in   O
Lien   B-NAME
Kounthapanya   I-NAME
's   O
care   O
.   O

Patient   O
Name   O
:   O
Joey   B-NAME
Reilly   I-NAME
Date   O
of   O
Birth   O
:   O
10/28   B-DATE
Age   O
:   O
35   O
Medical   O
Record   O
Number   O
:   O
4260105   B-ID
ID   O
:   O
506797   B-ID
Address   O
:   O
Jesup   B-LOCATION
,   O
83149   B-LOCATION
Phone   O
:   O
712   B-CONTACT
132   I-CONTACT
4800   I-CONTACT
Physician   O
:   O

Bray   B-NAME
Hospital   O
:   O
Clarke   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
0/01   B-DATE
Occupation   O
:   O
Teaching   O
/   O
classroom   O
assistant   O
Chief   O
Complaint   O
:   O
Yuri   B-NAME
Zhivago   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
Jun   B-DATE
01   I-DATE
,   I-DATE
2393   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headaches   O
primarily   O
localized   O
to   O
the   O
frontal   O
region   O
.   O

Villasenor   B-NAME
has   O
also   O
experienced   O
episodes   O
of   O
nausea   O
,   O
but   O
without   O
vomiting   O
.   O

Medical   O
History   O
:   O
Allan   B-NAME
Dominguez   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
an   O
allergy   O
to   O
penicillin   O
,   O
which   O
causes   O
rash   O
and   O
urticaria   O
.   O

Social   O
History   O
:   O
Alanna   B-NAME
Benjamin   I-NAME
,   O
a   O
Precision   O
Dyers   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Kadyn   B-NAME
Garza   I-NAME
lives   O
in   O
Mundelein   B-LOCATION
,   I-LOCATION
Mundelein   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
and   O
works   O
as   O
a   O
Radiologists   O
,   O
which   O
involves   O
prolonged   O
periods   O
of   O
screen   O
time   O
and   O
exposure   O
to   O
high   O
stress   O
levels   O
.   O

Review   O
of   O
Systems   O
:   O
Upon   O
examination   O
,   O
Ali   B-NAME
ibn   I-NAME
Abi   I-NAME
Talib   I-NAME
exhibited   O
no   O
signs   O
of   O
fever   O
,   O
acute   O
distress   O
,   O
or   O
neurological   O
deficits   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
14/20   B-DATE
weeks   O
to   O
evaluate   O
response   O
to   O
treatment   O
and   O
discuss   O
preventive   O
medications   O
if   O
frequency   O
of   O
headaches   O
does   O
not   O
decrease   O
.   O

Talley   B-NAME
is   O
scheduled   O
to   O
return   O
to   O
Heywood   B-LOCATION
Hospital   I-LOCATION
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Glass   B-NAME
on   O
03/20/1949   B-DATE
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

The   O
patient   O
,   O
Hayden   B-NAME
Simpson   I-NAME
,   O
a   O
Mechanical   O
Engineering   O
Technicians   O
from   O
Unalaska   B-LOCATION
,   O
78429   B-LOCATION
,   O
was   O
admitted   O
to   O
Whittier   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
37/27   B-DATE
after   O
presenting   O
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
recurrent   O
episodes   O
of   O
vomiting   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Larson   B-NAME
denied   O
any   O
recent   O
travel   O
history   O
,   O
change   O
in   O
diet   O
,   O
or   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Upon   O
physical   O
examination   O
,   O
Zaiden   B-NAME
Green   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Laboratory   O
investigations   O
ordered   O
by   O
Liberty   B-NAME
Jennings   I-NAME
included   O
a   O
full   O
blood   O
count   O
,   O
which   O
showed   O
a   O
leukocytosis   O
of   O
12,500   O
cells/µL   O
with   O
a   O
left   O
shift   O
,   O
and   O
elevated   O
C   O
-   O
reactive   O
protein   O
levels   O
.   O

Given   O
the   O
clinical   O
and   O
ultrasound   O
findings   O
,   O
Xan   B-NAME
Dunn   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Robles   B-NAME
discussed   O
the   O
findings   O
and   O
the   O
need   O
for   O
surgical   O
intervention   O
with   O
Loida   B-NAME
Pinnix   I-NAME
.   O

After   O
obtaining   O
informed   O
consent   O
,   O
Daniel   B-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
12/07/2013   B-DATE
.   O

Ardite   B-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
surgical   O
outpatient   O
department   O
on   O
3725   B-DATE
.   O

710   B-ID
-   I-ID
12   I-ID
-   I-ID
92   I-ID
-   I-ID
3   I-ID
of   O
Bruce   B-NAME
now   O
includes   O
detailed   O
notes   O
on   O
the   O
presentation   O
,   O
surgical   O
procedure   O
,   O
and   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

The   O
patient   O
has   O
been   O
provided   O
with   O
a   O
contact   O
number   O
317   B-CONTACT
-   I-CONTACT
305   I-CONTACT
-   I-CONTACT
1427   I-CONTACT
for   O
the   O
surgical   O
team   O
at   O
Harrison   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
should   O
there   O
be   O
any   O
concerns   O
during   O
the   O
recovery   O
period   O
.   O

For   O
confidentiality   O
,   O
the   O
patient   O
’s   O
personal   O
identity   O
,   O
including   O
social   O
security   O
number   O
DU:91085:281172   B-ID
and   O
other   O
personal   O
information   O
,   O
has   O
been   O
securely   O
managed   O
according   O
to   O
the   O
privacy   O
policy   O
of   O
Botswana   B-LOCATION
Construction   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

In   O
summary   O
,   O
Odin   B-NAME
Dorsey   I-NAME
’s   O
acute   O
appendicitis   O
was   O
managed   O
promptly   O
with   O
surgical   O
intervention   O
,   O
demonstrating   O
the   O
importance   O
of   O
early   O
diagnosis   O
and   O
treatment   O
in   O
acute   O
surgical   O
conditions   O
.   O

The   O
multi   O
-   O
disciplinary   O
team   O
at   O
West   B-LOCATION
Side   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
including   O
surgeons   O
,   O
nursing   O
staff   O
,   O
and   O
ancillary   O
services   O
,   O
worked   O
cohesively   O
to   O
ensure   O
a   O
favorable   O
outcome   O
for   O
the   O
patient   O
.   O

Patient   O
Report   O
for   O
Layla   B-NAME
Stearn   I-NAME
03/22   B-DATE
/2023   O
Patient   O
Information   O
:   O
-   O
Age   O
:   O
58   O
-   O
Medical   O
Record   O
Number   O
:   O
39673423   B-ID
-   O
ID   O
:   O
9   B-ID
-   I-ID
3092893   I-ID
-   O
Phone   O
:   O
966   B-CONTACT
-   I-CONTACT
8388   I-CONTACT
-   O
Address   O
:   O
Yellow   B-LOCATION
Bluff   I-LOCATION
,   O
82669   B-LOCATION
Provider   O
Information   O
:   O
-   O
Attending   O
Physician   O
:   O

Talia   B-NAME
Lindsey   I-NAME
-   O
Hospital   O
:   O

Waverly   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
-   O
Organization   O
:   O

Kissimmee   B-LOCATION
Utility   I-LOCATION
Authority   I-LOCATION
Summary   O
:   O
Gross   B-NAME
,   O
a   O
Office   O
Machine   O
Operators   O
,   O
Except   O
Computer   O
from   O
Sharon   B-LOCATION
,   O
presented   O
to   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Trinity   I-LOCATION
on   O
38/20   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Beecher   B-NAME
,   I-NAME
Henry   I-NAME
Ward   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
chronic   O
pancreatitis   O
,   O
managed   O
outpatient   O
by   O
Elyse   B-NAME
Penton   I-NAME
.   O

Ursula   B-NAME
Michael   I-NAME
Troyer   I-NAME
's   O
social   O
history   O
includes   O
moderate   O
alcohol   O
use   O
.   O

On   O
examination   O
,   O
MARVIN   B-NAME
UTECHT   I-NAME
was   O
found   O
to   O
be   O
tachycardic   O
with   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
febrile   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
and   O
hypotensive   O
with   O
a   O
blood   O
pressure   O
of   O
90/60   O
mmHg   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Seattle   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Gate   I-LOCATION
under   O
the   O
care   O
of   O
Griffin   B-NAME
.   O

Jayda   B-NAME
Schmidt   I-NAME
was   O
advised   O
to   O
avoid   O
alcohol   O
strictly   O
.   O

Follow   O
-   O
Up   O
:   O
Bill   B-NAME
X.   I-NAME
Stafford   I-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
by   O
08/20/1907   B-DATE
.   O

Laboratory   O
parameters   O
normalized   O
,   O
and   O
Garrett   B-NAME
Carroll   I-NAME
was   O
discharged   O
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Skyler   B-NAME
Holt   I-NAME
.   O

3   O
.   O
Follow   O
-   O
up   O
with   O
Kevin   B-NAME
Fields   I-NAME
within   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
recur   O
.   O

For   O
further   O
details   O
or   O
emergencies   O
,   O
J.S.   B-NAME
Hirsch   I-NAME
or   O
their   O
emergency   O
contact   O
can   O
reach   O
CHRISTUS   B-LOCATION
Southeast   I-LOCATION
Texas   I-LOCATION
St.   I-LOCATION
Elizabeth   I-LOCATION
at   O
965   B-CONTACT
-   I-CONTACT
3644   I-CONTACT
.   O

Patient   O
Name   O
:   O
Wendy   B-NAME
Tapia   I-NAME
DOB   O
:   O

May   B-DATE
22   I-DATE
Age   O
:   O
12s   O
Medical   O
Record   O
Number   O
:   O
7699878   B-ID
Phone   O
Number   O
:   O
614   B-CONTACT
-   I-CONTACT
1199   I-CONTACT
Address   O
:   O
California   B-LOCATION
,   O
52212   B-LOCATION
Occupation   O
:   O
Environmental   O
scientist   O
Attending   O
Physician   O
:   O

Nola   B-NAME
Valdez   I-NAME
Hospital   O
:   O
Gove   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Quinter   I-LOCATION
ID   O
:   O
8   B-ID
-   I-ID
4422570   I-ID
Date   O
of   O
Visit   O
:   O
Tuesday   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Blaze   B-NAME
Rowland   I-NAME
,   O
presented   O
to   O
New   B-LOCATION
York   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
on   O
02/09/2230   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
described   O
as   O
sharp   O
and   O
persistent   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

The   O
pain   O
began   O
suddenly   O
2137   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
22   I-DATE
and   O
has   O
progressively   O
worsened   O
.   O

Mckinley   B-NAME
Velasquez   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
earlier   O
on   O
the   O
day   O
of   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Glendora   B-NAME
Bolfa   I-NAME
,   O
a   O
16   O
-   O
year   O
-   O
old   O
Shipping   O
,   O
Receiving   O
,   O
and   O
Traffic   O
Clerks   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
first   O
noticed   O
mild   O
discomfort   O
32/3/22   B-DATE
,   O
which   O
escalated   O
into   O
severe   O
pain   O
necessitating   O
the   O
visit   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
gastrointestinal   O
symptoms   O
described   O
,   O
Thaddeus   B-NAME
Roy   I-NAME
denies   O
respiratory   O
,   O
cardiovascular   O
,   O
genitourinary   O
or   O
neurological   O
symptoms   O
.   O

On   O
examination   O
,   O
Chase   B-NAME
Washington   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Studies   O
:   O
Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
were   O
ordered   O
by   O
Buscaglia   B-NAME
,   I-NAME
Leo   I-NAME
and   O
showed   O
a   O
mild   O
leukocytosis   O
.   O

After   O
evaluation   O
,   O
Pacheco   B-NAME
concluded   O
that   O
Yerger   B-NAME
required   O
surgical   O
intervention   O
.   O

Eden   B-NAME
Wolfe   I-NAME
was   O
admitted   O
to   O
Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Camden   I-LOCATION
Campus   I-LOCATION
under   O
the   O
care   O
of   O
the   O
general   O
surgery   O
team   O
for   O
an   O
urgent   O
appendectomy   O
scheduled   O
for   O
22/21   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Adelaide   B-NAME
Ramos   I-NAME
is   O
to   O
be   O
reassessed   O
03/11   B-DATE
,   O
post   O
-   O
surgery   O
,   O
in   O
the   O
general   O
surgery   O
outpatient   O
department   O
at   O
MedStar   B-LOCATION
Montgomery   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Beatus   B-NAME
Kokenge   I-NAME
was   O
advised   O
to   O
call   O
the   O
office   O
at   O
(   B-CONTACT
177   I-CONTACT
)   I-CONTACT
707   I-CONTACT
-   I-CONTACT
2252   I-CONTACT
with   O
any   O
concerns   O
or   O
to   O
report   O
to   O
the   O
emergency   O
department   O
at   O
Contra   B-LOCATION
Costa   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
symptoms   O
significantly   O
worsen   O
.   O

This   O
report   O
serves   O
as   O
a   O
comprehensive   O
summary   O
of   O
Donny   B-NAME
Speece   I-NAME
's   O
admission   O
on   O
20/26/2277   B-DATE
.   O

The   O
patient   O
,   O
Dolan   B-NAME
,   O
a   O
2   O
week   O
-   O
year   O
-   O
old   O
Fitness   O
Trainers   O
and   O
Aerobics   O
Instructors   O
from   O
Marshall   B-LOCATION
,   I-LOCATION
Marshall   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
presented   O
at   O
George   B-LOCATION
C.   I-LOCATION
Grape   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
July   B-DATE
28   I-DATE
,   I-DATE
2031   I-DATE
with   O
symptoms   O
that   O
had   O
progressively   O
worsened   O
over   O
the   O
past   O
week   O
.   O

Additionally   O
,   O
Thorpe   B-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
transient   O
episodes   O
of   O
blurred   O
vision   O
.   O

Upon   O
examination   O
,   O
Guadalupe   B-NAME
Maldonado   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
78   O
bpm   O
,   O
respiratory   O
rate   O
16   O
breaths   O
per   O
minute   O
,   O
and   O
body   O
temperature   O
37.5   O
°   O
C   O
.   O

Neurological   O
examination   O
by   O
Sun   B-NAME
Tzu   I-NAME
revealed   O
no   O
focal   O
neurological   O
deficits   O
.   O

Sallust   B-NAME
has   O
been   O
on   O
a   O
beta   O
-   O
blocker   O
,   O
prescribed   O
by   O
a   O
previous   O
healthcare   O
provider   O
from   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
Foreign   I-LOCATION
Wars   I-LOCATION
.   O

Short   B-NAME
's   O
81359076   B-ID
number   O
is   O
60365703   B-ID
,   O
and   O
the   O
contact   O
number   O
provided   O
is   O
515   B-CONTACT
-   I-CONTACT
2317   I-CONTACT
.   O

Atkins   B-NAME
lives   O
with   O
a   O
spouse   O
and   O
two   O
children   O
in   O
the   O
suburban   O
area   O
of   O
Pine   B-LOCATION
Flat   I-LOCATION
(   O
32274   B-LOCATION
)   O
.   O

This   O
is   O
the   O
patient   O
's   O
first   O
visit   O
to   O
CHI   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Elizabeth   I-LOCATION
since   O
moving   O
to   O
Mason   B-LOCATION
City   I-LOCATION
in   O
2321   B-DATE
.   O

A   O
consultation   O
with   O
neurology   O
was   O
requested   O
,   O
and   O
Cristopher   B-NAME
Houston   I-NAME
recommended   O
initiating   O
a   O
migraine   O
abortive   O
therapy   O
while   O
considering   O
preventive   O
migraine   O
management   O
.   O

Jaelyn   B-NAME
Riggs   I-NAME
provided   O
Sam   B-NAME
Pacheco   I-NAME
with   O
educational   O
materials   O
on   O
migraine   O
triggers   O
and   O
lifestyle   O
modifications   O
to   O
manage   O
stress   O
,   O
which   O
has   O
been   O
identified   O
as   O
a   O
significant   O
trigger   O
for   O
Roger   B-NAME
Hurley   I-NAME
's   O
migraines   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2/0   B-DATE
to   O
reassess   O
symptoms   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

August   B-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
and   O
record   O
any   O
potential   O
triggers   O
,   O
headache   O
intensity   O
,   O
and   O
symptoms   O
between   O
visits   O
.   O

For   O
further   O
assistance   O
or   O
to   O
modify   O
their   O
appointment   O
,   O
Harry   B-NAME
Block   I-NAME
was   O
given   O
the   O
direct   O
line   O
to   O
the   O
neurology   O
department   O
at   O
(   B-CONTACT
388   I-CONTACT
)   I-CONTACT
232   I-CONTACT
-   I-CONTACT
4829   I-CONTACT
.   O

Instructions   O
were   O
given   O
to   O
Kilmer   B-NAME
,   I-NAME
Joyce   I-NAME
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
an   O
ambulance   O
in   O
case   O
of   O
experiencing   O
symptoms   O
of   O
a   O
more   O
severe   O
or   O
different   O
nature   O
,   O
such   O
as   O
the   O
sudden   O
onset   O
of   O
the   O
worst   O
headache   O
of   O
life   O
,   O
seizures   O
,   O
or   O
acute   O
neurological   O
deficits   O
.   O

This   O
clinical   O
encounter   O
's   O
documentation   O
was   O
completed   O
by   O
dam249   B-NAME
and   O
securely   O
stored   O
in   O
Fawkes   B-NAME
,   I-NAME
Guy   I-NAME
's   O
electronic   O
health   O
record   O
for   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
.   O

Patient   O
:   O
Vivekananda   B-NAME
,   I-NAME
Swami   I-NAME
ID   O
:   O
6   B-ID
-   I-ID
5427157   I-ID
Medical   O
Record   O
Number   O
:   O
163   B-ID
-   I-ID
02   I-ID
-   I-ID
48   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
46   O
Address   O
:   O
Potter   B-LOCATION
Hollow   I-LOCATION
,   O
69959   B-LOCATION
Phone   O
:   O
71571   B-CONTACT

Mel   B-NAME
Buffkin   I-NAME
Treating   O
Hospital   O
:   O
Upstate   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Community   I-LOCATION
Campus   I-LOCATION
Date   O
of   O
Visit   O
:   O
3/28/20   B-DATE
/2023   O
Chief   O
Complaint   O
:   O
Betty   B-NAME
G.   I-NAME
Pierce   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Broward   B-LOCATION
Health   I-LOCATION
Coral   I-LOCATION
Springs   I-LOCATION
on   O
23/31/12   B-DATE
/2023   O
with   O
acute   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
alongside   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Acton   B-NAME
,   I-NAME
John   I-NAME
(   I-NAME
Lord   I-NAME
Acton   I-NAME
)   I-NAME
,   O
a   O
Electronic   O
Equipment   O
Installers   O
and   O
Repairers   O
,   O
Motor   O
Vehicles   O
by   O
profession   O
,   O
first   O
experienced   O
mild   O
abdominal   O
discomfort   O
33/20   B-DATE
/2023   O
,   O
which   O
escalated   O
to   O
severe   O
sharp   O
pain   O
within   O
hours   O
.   O

Karik   B-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
a   O
prior   O
diagnosis   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Vidal   B-NAME
presented   O
with   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

The   O
surgical   O
team   O
led   O
by   O
Fitzpatrick   B-NAME
was   O
consulted   O
,   O
and   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

Angelou   B-NAME
,   I-NAME
Maya   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
consented   O
to   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
Aragon   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Ronnie   B-NAME
James   I-NAME
at   O
Bon   B-LOCATION
Secours   I-LOCATION
Venice   I-LOCATION
Hospital   I-LOCATION
on   O
15/03   B-DATE
/2023   O
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
discuss   O
further   O
management   O
if   O
necessary   O
.   O

For   O
any   O
queries   O
or   O
emergency   O
,   O
Keshawn   B-NAME
Howard   I-NAME
can   O
contact   O
the   O
surgical   O
department   O
at   O
Trident   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
via   O
330   B-CONTACT
-   I-CONTACT
7058   I-CONTACT
.   O
Notes   O
:   O

Hayes   B-NAME
,   I-NAME
Helen   I-NAME
lives   O
with   O
a   O
spouse   O
and   O
two   O
children   O
in   O
Coulter   B-LOCATION
.   O

As   O
a   O
Business   O
Intelligence   O
Analysts   O
,   O
Tanner   B-NAME
has   O
a   O
moderately   O
active   O
lifestyle   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
jit632   B-NAME
,   O
adhering   O
to   O
HIPAA   O
regulations   O
and   O
ensuring   O
no   O
PHI   O
is   O
disclosed   O
unlawfully   O
.   O

The   O
patient   O
,   O
Ashlynn   B-NAME
Gardner   I-NAME
,   O
a   O
Dragline   O
Operators   O
from   O
Foxburg   B-LOCATION
,   O
presented   O
to   O
Twin   B-LOCATION
Mountains   I-LOCATION
Clinic   I-LOCATION
on   O
February   B-DATE
12   I-DATE
,   I-DATE
2004   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
36   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
physical   O
examination   O
,   O
Richard   B-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
when   O
the   O
right   O
lower   O
quadrant   O
was   O
palpated   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Newton   B-NAME
revealed   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
mm^3   O
,   O
indicating   O
a   O
probable   O
infection   O
.   O

Joseph   B-NAME
Prang   I-NAME
was   O
admitted   O
to   O
Sharon   B-LOCATION
Hospital   I-LOCATION
under   O
medical   O
record   O
number   O
32665492   B-ID
and   O
was   O
scheduled   O
for   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
by   O
Montgomery   B-NAME
on   O
07/22   B-DATE
.   O

The   O
surgery   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Jacoby   B-NAME
was   O
started   O
on   O
a   O
course   O
of   O
IV   O
antibiotics   O
post   O
-   O
operatively   O
for   O
the   O
treatment   O
of   O
appendicitis   O
.   O

Albert   B-NAME
W.   I-NAME
Wily   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
with   O
a   O
notable   O
improvement   O
in   O
symptoms   O
within   O
the   O
first   O
24   O
hours   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
S   B-DATE
with   O
instructions   O
for   O
oral   O
antibiotic   O
therapy   O
for   O
the   O
next   O
7   O
days   O
,   O
pain   O
management   O
recommendations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
23/10   B-DATE
.   O

The   O
discharge   O
summary   O
and   O
follow   O
-   O
up   O
appointment   O
information   O
were   O
provided   O
to   O
the   O
patient   O
along   O
with   O
the   O
emergency   O
contact   O
number   O
,   O
953   B-CONTACT
-   I-CONTACT
4830   I-CONTACT
,   O
should   O
any   O
complications   O
arise   O
.   O

Additionally   O
,   O
Chaya   B-NAME
Morales   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
liquid   O
diet   O
for   O
the   O
first   O
48   O
hours   O
,   O
progressively   O
transitioning   O
to   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

Stevens   B-NAME
was   O
informed   O
of   O
the   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
at   O
the   O
surgical   O
site   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
increased   O
pain   O
,   O
and   O
the   O
presence   O
of   O
pus   O
.   O

In   O
summary   O
,   O
Isiah   B-NAME
Huynh   I-NAME
,   O
a   O
16   O
-   O
year   O
-   O
old   O
Radio   O
and   O
Television   O
Announcers   O
from   O
Seattle   B-LOCATION
,   O
presented   O
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
,   O
confirmed   O
by   O
laboratory   O
and   O
imaging   O
studies   O
.   O

Cannon   B-NAME
Jarvis   I-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
,   O
followed   O
by   O
a   O
standard   O
course   O
of   O
antibiotics   O
.   O

Aragon   B-NAME
was   O
discharged   O
with   O
comprehensive   O
care   O
instructions   O
including   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Powell   B-NAME
on   O
2070   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
02   I-DATE
to   O
monitor   O
recovery   O
and   O
resolution   O
of   O
the   O
appendicitis   O
.   O

Patient   O
:   O
Villagomez   B-NAME
Age   O
:   O
22s   O
Gender   O
:   O

Male   O
Date   O
of   O
Admission   O
:   O
12/20   B-DATE
Medical   O
Record   O
Number   O
:   O
383   B-ID
-   I-ID
43   I-ID
-   I-ID
16   I-ID
-   I-ID
9   I-ID
Attending   O
Physician   O
:   O

Miah   B-NAME
Norman   I-NAME
Hospital   O
:   O
Shenandoah   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
of   O
Incident   O
:   O
Darlington   B-LOCATION
Zip   O
Code   O
:   O
39221   B-LOCATION
Employer   O
:   O
Marijuana   B-LOCATION
Anonymous   I-LOCATION
Occupation   O
:   O

Wind   O
Energy   O
Operations   O
Managers   O
Primary   O
Phone   O
:   O
720   B-CONTACT
2230   I-CONTACT
Patient   O
ID   O
:   O
BI   B-ID
:   I-ID
MY:4148   I-ID
Clinical   O
Summary   O
:   O
Curtis   B-NAME
,   O
a   O
26   O
-   O
year   O
-   O
old   O
male   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Northeastern   B-LOCATION
Nevada   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
2040   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
22   I-DATE
with   O
symptoms   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
profuse   O
sweating   O
.   O

The   O
patient   O
was   O
at   O
his   O
place   O
of   O
employment   O
at   O
Bradford   B-LOCATION
Bank   I-LOCATION
performing   O
his   O
duties   O
as   O
a   O
Solar   O
Photovoltaic   O
Installers   O
when   O
he   O
first   O
noticed   O
the   O
symptoms   O
.   O

Upon   O
arrival   O
at   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73110   I-LOCATION
,   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

Roach   B-NAME
was   O
administered   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
of   O
Hoag   B-LOCATION
Hospital   I-LOCATION
Irvine   I-LOCATION
.   O

The   O
patient   O
was   O
then   O
urgently   O
referred   O
to   O
the   O
cardiology   O
department   O
where   O
Mckenzie   B-NAME
performed   O
a   O
coronary   O
angiography   O
,   O
which   O
revealed   O
a   O
significant   O
blockage   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Kimama   B-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
for   O
further   O
management   O
and   O
monitoring   O
.   O

Roux   B-NAME
,   I-NAME
Joseph   I-NAME
was   O
counseled   O
about   O
lifestyle   O
modifications   O
and   O
the   O
importance   O
of   O
adherence   O
to   O
his   O
medication   O
regimen   O
,   O
including   O
antiplatelets   O
,   O
statins   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
ACE   O
inhibitors   O
.   O

Discharge   O
instructions   O
included   O
follow   O
-   O
up   O
appointments   O
with   O
Kimberly   B-NAME
Copeland   I-NAME
at   O
Overlook   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
enrollment   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
,   O
and   O
strict   O
control   O
of   O
his   O
diabetes   O
and   O
hypertension   O
.   O

Discharge   O
Date   O
:   O
05/28   B-DATE
Follow   O
-   O
up   O
Appointment   O
:   O
00/08/1875   B-DATE
with   O
Giovani   B-NAME
Barron   I-NAME
at   O
Beauregard   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
Contact   O
Information   O
:   O

Twin   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
-   O
360   B-CONTACT
-   I-CONTACT
1246   I-CONTACT

Any   O
questions   O
or   O
concerns   O
should   O
be   O
directed   O
to   O
the   O
medical   O
team   O
at   O
10435   B-CONTACT
.   O

Patient   O
Name   O
:   O
Elena   B-NAME
Massey   I-NAME
Age   O
:   O
70   O
Address   O
:   O
Pittsburgh   B-LOCATION
,   O
38993   B-LOCATION
Phone   O
:   O
(   B-CONTACT
970   I-CONTACT
)   I-CONTACT
683   I-CONTACT
-   I-CONTACT
7579   I-CONTACT
Profession   O
:   O
Upholsterers   O
Physician   O
:   O

Savion   B-NAME
Beard   I-NAME
Hospital   O
:   O
UF   B-LOCATION
Health   I-LOCATION
Jacksonville   I-LOCATION
Medical   O
Record   O
Number   O
:   O
2936686   B-ID
Date   O
of   O
Visit   O
:   O
2010   B-DATE
ID   O
Number   O
:   O
CE   B-ID
:   I-ID
BM:1591   I-ID
UserID   O
:   O
bpd165   B-NAME
Clinical   O
Narrative   O
:   O
Larkin   B-NAME
,   I-NAME
,   O
a   O
5   O
-   O
year   O
-   O
old   O
Pressers   O
,   O
Delicate   O
Fabrics   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Glenwood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/22   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
located   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Dawne   B-NAME
Mcmains   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
an   O
inability   O
to   O
pass   O
gas   O
since   O
the   O
onset   O
of   O
pain   O
.   O

On   O
examination   O
,   O
Samantha   B-NAME
Michael   I-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Una   B-NAME
Perreira   I-NAME
showed   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
mm3   O
,   O
indicating   O
a   O
possible   O
infectious   O
process   O
.   O

Further   O
diagnostic   O
imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
followed   O
by   O
a   O
confirmatory   O
CT   O
scan   O
,   O
was   O
recommended   O
and   O
subsequently   O
performed   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
McKeesport   I-LOCATION
on   O
03/05   B-DATE
.   O

Management   O
involved   O
consulting   O
the   O
surgical   O
team   O
led   O
by   O
Corrine   B-NAME
Krebsbach   I-NAME
for   O
an   O
urgent   O
appendectomy   O
.   O

Surgical   O
intervention   O
was   O
successfully   O
performed   O
on   O
02/23   B-DATE
without   O
complications   O
.   O

Sloane   B-NAME
Woodard   I-NAME
received   O
IV   O
antibiotics   O
as   O
part   O
of   O
the   O
postoperative   O
management   O
plan   O
and   O
was   O
monitored   O
closely   O
for   O
signs   O
of   O
infection   O
or   O
any   O
postoperative   O
complications   O
.   O

Keon   B-NAME
Foster   I-NAME
demonstrated   O
a   O
satisfactory   O
recovery   O
and   O
was   O
discharged   O
from   O
PeaceHealth   B-LOCATION
Southwest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/17/2057   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
out   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Horn   B-NAME
in   O
2   O
weeks   O
for   O
postoperative   O
review   O
.   O

No   O
other   O
significant   O
past   O
medical   O
history   O
was   O
noted   O
in   O
Christopher   B-NAME
Fry   I-NAME
's   O
records   O
(   O
84833936   B-ID
)   O
.   O

Osvaldo   B-NAME
Watson   I-NAME
denied   O
any   O
allergies   O
to   O
medications   O
or   O
food   O
and   O
reported   O
being   O
generally   O
healthy   O
prior   O
to   O
this   O
event   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Chandler   B-NAME
Age   O
:   O
68   O
Date   O
of   O
Birth   O
:   O
2322   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
10   I-DATE
Medical   O
Record   O
Number   O
:   O
59013202   B-ID
Address   O
:   O
Frederika   B-LOCATION
,   O
40942   B-LOCATION
Phone   O
Number   O
:   O
90738   B-CONTACT

Dr.   O
Neil   B-NAME
Diaz   I-NAME
Employer   O
:   O
UPC   B-LOCATION
Insurance   I-LOCATION
Occupation   O
:   O

Postal   O
Service   O
Clerks   O
Admitting   O
Hospital   O
:   O
Advocate   B-LOCATION
Trinity   I-LOCATION
Hospital   I-LOCATION
ID   O
Number   O
:   O
KK836/7928   B-ID
Admission   O
Date   O
:   O

March   B-DATE
3   I-DATE
Username   O
:   O
fj1001   B-NAME
Chief   O
Complaint   O
:   O
Yesenia   B-NAME
Roy   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Medical   B-LOCATION
Center   I-LOCATION
Enterprise   I-LOCATION
on   O
2014   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
39   I-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Nathan   B-NAME
France   I-NAME
had   O
attempted   O
to   O
alleviate   O
the   O
pain   O
with   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medications   O
without   O
significant   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
Nantai   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
symptoms   O
mentioned   O
,   O
Xavier   B-NAME
Dotson   I-NAME
denies   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
recent   O
travel   O
.   O

Beau   B-NAME
Heiner   I-NAME
does   O
have   O
a   O
noted   O
history   O
of   O
intermittent   O
episodes   O
of   O
lower   O
back   O
pain   O
,   O
attributed   O
to   O
their   O
occupation   O
as   O
a   O
Medical   O
Assistants   O
.   O

Upon   O
physical   O
examination   O
,   O
Kidd   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Thorpe   B-NAME
was   O
admitted   O
to   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Clements   B-NAME
for   O
further   O
management   O
.   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Patricia   B-NAME
Quebedeaux   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
35/39/2192   B-DATE
.   O

The   O
contact   O
information   O
of   O
the   O
next   O
of   O
kin   O
was   O
recorded   O
as   O
(   B-CONTACT
169   I-CONTACT
)   I-CONTACT
459   I-CONTACT
6591   I-CONTACT
,   O
and   O
they   O
were   O
promptly   O
informed   O
about   O
Ricky   B-NAME
David   I-NAME
's   O
condition   O
and   O
the   O
planned   O
surgical   O
intervention   O
.   O

Patient   O
Yareli   B-NAME
Kilgore   I-NAME
was   O
admitted   O
to   O
Caribou   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
32/21/2222   B-DATE
following   O
a   O
referral   O
from   O
Jaquan   B-NAME
Adams   I-NAME
.   O

Len   B-NAME
Wayne   I-NAME
-   I-NAME
Gregory   I-NAME
,   O
a   O
Service   O
Unit   O
Operators   O
,   O
Oil   O
,   O
Gas   O
,   O
and   O
Mining   O
from   O
Spaulding   B-LOCATION
,   O
presented   O
with   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
noted   O
to   O
begin   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
physical   O
examination   O
,   O
Craig   B-NAME
Solis   I-NAME
exhibited   O
tenderness   O
to   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
rebound   O
tenderness   O
,   O
suggestive   O
of   O
peritonitis   O
.   O

The   O
patient   O
's   O
07767709   B-ID
number   O
is   O
KO   B-ID
:   I-ID
LC:1678   I-ID
and   O
they   O
are   O
insured   O
through   O
The   B-LOCATION
Advocacy   I-LOCATION
Project   I-LOCATION
.   O

The   O
treatment   O
plan   O
,   O
discussed   O
with   O
Fernandez   B-NAME
,   O
involved   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
performed   O
on   O
September   B-DATE
2   I-DATE
.   O

Daniels   B-NAME
advised   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
for   O
wound   O
inspection   O
and   O
complete   O
evaluation   O
of   O
the   O
postoperative   O
course   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
Friday   B-DATE
,   I-DATE
July   I-DATE
with   O
prescriptions   O
for   O
oral   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
analgesics   O
for   O
pain   O
management   O
.   O

The   O
patient   O
was   O
provided   O
with   O
contact   O
information   O
,   O
65940   B-CONTACT
,   O
for   O
the   O
surgical   O
department   O
in   O
case   O
of   O
any   O
concerns   O
or   O
complications   O
arising   O
before   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

Patient   O
Name   O
:   O
Hastie   B-NAME
Lanyon   I-NAME
Patient   O
ID   O
:   O
QP394/6021   B-ID
Medical   O
Record   O
Number   O
:   O
57504196   B-ID
Date   O
of   O
Birth   O
:   O
03/38   B-DATE
Age   O
:   O
36   O
Phone   O
Number   O
:   O
75833   B-CONTACT
Address   O
:   O
Bonsall   B-LOCATION
,   O
30489   B-LOCATION
Employer   O
:   O
Gainesville   B-LOCATION
Regional   I-LOCATION
Utilities   I-LOCATION
Occupation   O
:   O
Electrical   O
and   O
Electronics   O
Drafters   O
Primary   O
Physician   O
:   O

Paul   B-NAME
Herman   I-NAME
Hospital   O
:   O

Augusta   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Ulises   B-NAME
Y.   I-NAME
Hobbs   I-NAME
was   O
seen   O
in   O
the   O
emergency   O
department   O
of   O
Providence   B-LOCATION
Holy   I-LOCATION
Family   I-LOCATION
Hospital   I-LOCATION
on   O
00/27/2332   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
which   O
was   O
described   O
as   O
cramping   O
and   O
radiating   O
to   O
the   O
lower   O
back   O
.   O

Cadee   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
fever   O
which   O
began   O
a   O
few   O
hours   O
before   O
the   O
onset   O
of   O
the   O
abdominal   O
pain   O
.   O

Medical   O
History   O
:   O
Rebekah   B-NAME
Bullock   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
recent   O
diagnosis   O
of   O
hypertension   O
for   O
which   O
Held   B-NAME
,   I-NAME
John   I-NAME
started   O
taking   O
lisinopril   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
the   O
age   O
of   O
6   O
and   O
cataract   O
surgery   O
in   O
Jun   B-DATE
10   I-DATE
,   I-DATE
2043   I-DATE
.   O

Upon   O
examination   O
,   O
Virgil   B-NAME
Gregory   I-NAME
's   O
body   O
temperature   O
was   O
100.4   O
°   O
F   O
,   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
,   O
pulse   O
rate   O
was   O
98   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
was   O
16   O
breaths   O
per   O
minute   O
.   O

Reid   B-NAME
was   O
advised   O
to   O
stay   O
nil   O
by   O
mouth   O
(   O
NPO   O
)   O
in   O
anticipation   O
of   O
possible   O
surgical   O
intervention   O
depending   O
on   O
the   O
results   O
of   O
the   O
investigations   O
.   O

The   O
follow   O
-   O
up   O
with   O
Amara   B-NAME
Martin   I-NAME
at   O
Hannibal   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
is   O
scheduled   O
for   O
7/18/2222   B-DATE
to   O
discuss   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
and   O
to   O
plan   O
further   O
management   O
based   O
on   O
those   O
results   O
.   O

Kristan   B-NAME
Cannata   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

Patient   O
Name   O
:   O
Mcdaniel   B-NAME
Medical   O
Record   O
Number   O
:   O
9597518   B-ID
Date   O
of   O
Birth   O
:   O
2357   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
35   I-DATE
Age   O
:   O
11   O
month   O
Address   O
:   O
Camden   B-LOCATION
Point   I-LOCATION
,   O
48188   B-LOCATION
Phone   O
Number   O
:   O
928   B-CONTACT
7267   I-CONTACT
Attending   O
Physician   O
:   O

Plato   B-NAME
Hospital   O
:   O

WellSpan   B-LOCATION
Chambersburg   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
01/72   B-DATE
ID   O
Number   O
:   O
SR137/4914   B-ID
Extruding   O
,   O
Forming   O
,   O
Pressing   O
,   O
and   O
Compacting   O
Machine   O
Operators   O
and   O
Tenders   O
:   O
Computer   O
Programmer   O
Username   O
:   O
nj178   B-NAME
Clinical   O
Summary   O
:   O
Aguilar   B-NAME
,   O
a   O
6   O
-   O
year   O
-   O
old   O
Radiologic   O
Technologists   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
was   O
admitted   O
to   O
BANNER   B-LOCATION
BOSWELL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
on   O
12/00/61   B-DATE
with   O
complaints   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
dizziness   O
.   O

These   O
symptoms   O
had   O
a   O
sudden   O
onset   O
,   O
initiating   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
Lukas   B-NAME
Nichols   I-NAME
was   O
at   O
work   O
in   O
Allerton   B-LOCATION
.   O

Teagan   B-NAME
Ware   I-NAME
also   O
reported   O
a   O
feeling   O
of   O
impending   O
doom   O
.   O

Vital   O
signs   O
on   O
admission   O
highlighted   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
,   O
a   O
pulse   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
a   O
temperature   O
of   O
98.6   O
F.   O
The   O
physical   O
examination   O
conducted   O
by   O
Dillamond   B-NAME
revealed   O
mild   O
bilateral   O
pedal   O
edema   O
,   O
but   O
was   O
otherwise   O
unremarkable   O
.   O

Management   O
:   O
Immediately   O
following   O
the   O
diagnosis   O
,   O
Goodwin   B-NAME
was   O
started   O
on   O
a   O
regimen   O
of   O
aspirin   O
325   O
mg   O
,   O
clopidogrel   O
75   O
mg   O
,   O
atorvastatin   O
80   O
mg   O
,   O
and   O
was   O
administered   O
morphine   O
sulfate   O
for   O
pain   O
management   O
.   O

A   O
consult   O
was   O
made   O
to   O
the   O
cardiology   O
team   O
,   O
and   O
Ethan   B-NAME
Baker   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
an   O
emergent   O
coronary   O
angiography   O
,   O
which   O
revealed   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

Kaitlynn   B-NAME
Le   I-NAME
was   O
monitored   O
in   O
the   O
cardiac   O
care   O
unit   O
under   O
the   O
care   O
of   O
Stein   B-NAME
for   O
3   O
days   O
following   O
the   O
intervention   O
.   O

Eden   B-NAME
Wolfe   I-NAME
was   O
discharged   O
on   O
22   B-DATE
-   I-DATE
23   I-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Cleveland   I-LOCATION
cardiology   O
clinic   O
.   O

This   O
clinical   O
summary   O
has   O
been   O
prepared   O
by   O
Howell   B-NAME
in   O
compliance   O
with   O
the   O
Human   B-LOCATION
Rights   I-LOCATION
Watch   I-LOCATION
's   O
standards   O
for   O
documentation   O
and   O
patient   O
privacy   O
regulations   O
.   O

All   O
personal   O
health   O
information   O
has   O
been   O
handled   O
and   O
removed   O
according   O
to   O
policy   O
,   O
ensuring   O
O’Shaughnessy   B-NAME
,   I-NAME
Arthur   I-NAME
's   O
confidentiality   O
and   O
privacy   O
.   O

For   O
inquiries   O
or   O
further   O
information   O
,   O
please   O
contact   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Hillcrest   I-LOCATION
Hospital   I-LOCATION
at   O
157   B-CONTACT
2589   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Terrence   B-NAME
Powers   I-NAME
Age   O
:   O
3   O
month   O
Sex   O
:   O
Male   O
Date   O
of   O
Admission   O
:   O
34/22/2252   B-DATE
Patient   O
ID   O
:   O
75388   B-ID
Medical   O
Record   O
Number   O
:   O
293   B-ID
-   I-ID
27   I-ID
-   I-ID
92   I-ID
-   I-ID
7   I-ID
Attending   O
Physician   O
:   O

Edgar   B-NAME
Davidson   I-NAME
Hospital   O
:   O
Moses   B-LOCATION
H.   I-LOCATION
Cone   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Alloway   B-LOCATION
Zip   O
Code   O
:   O
53027   B-LOCATION
Phone   O
Number   O
:   O
242   B-CONTACT
6386   I-CONTACT
Occupation   O
:   O
Food   O
Servers   O
,   O
Nonrestaurant   O
Username   O
for   O
Patient   O
Portal   O
:   O
cow192   B-NAME
Chief   O
Complaint   O
:   O
Luciana   B-NAME
Aguirre   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
2182   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
07   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Glass   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Knox   B-NAME
,   O
a   O
0   O
month   O
-   O
year   O
-   O
old   O
Set   O
and   O
Exhibit   O
Designers   O
,   O
started   O
noticing   O
the   O
pain   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Brandon   B-NAME
Ho   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Indiantown   B-LOCATION
or   O
any   O
sick   O
contacts   O
.   O

Past   O
Medical   O
History   O
:   O
Phoenix   B-NAME
Winters   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
well   O
-   O
controlled   O
with   O
metformin   O
,   O
and   O
Hypertension   O
managed   O
with   O
lisinopril   O
.   O

Treatment   O
:   O
Yazmin   B-NAME
Rowland   I-NAME
was   O
given   O
IV   O
fluids   O
and   O
analgesia   O
upon   O
admission   O
to   O
manage   O
pain   O
and   O
dehydration   O
.   O

Based   O
on   O
the   O
diagnostic   O
findings   O
,   O
Darion   B-NAME
Wang   I-NAME
started   O
a   O
course   O
of   O
antibiotics   O
for   O
suspected   O
diverticulitis   O
.   O

Felicia   B-NAME
Ali   I-NAME
was   O
admitted   O
to   O
Mission   B-LOCATION
Hospital   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
observation   O
and   O
treatment   O
.   O

Conclusion   O
:   O
Yadiel   B-NAME
Matthews   I-NAME
,   O
a   O
38   O
-   O
year   O
-   O
old   O
Journalist   O
,   O
presented   O
with   O
acute   O
lower   O
abdominal   O
pain   O
,   O
suspected   O
to   O
be   O
diverticulitis   O
based   O
on   O
clinical   O
presentation   O
and   O
preliminary   O
examinations   O
.   O

Lanette   B-NAME
Hottinger   I-NAME
is   O
currently   O
admitted   O
under   O
the   O
care   O
of   O
Mccoy   B-NAME
at   O
University   B-LOCATION
of   I-LOCATION
Washington   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
and   O
treatment   O
in   O
Waynesville   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Waynesville   I-LOCATION
Association   I-LOCATION
.   O

Further   O
updates   O
on   O
Kirsten   B-NAME
Wiggins   I-NAME
's   O
condition   O
will   O
be   O
documented   O
in   O
the   O
medical   O
record   O
number   O
69614990   B-ID
.   O

Patient   O
Report   O
Patient   O
ID   O
:   O
507   B-ID
-   I-ID
96   I-ID
-   I-ID
94   I-ID
-   I-ID
4   I-ID
Name   O
:   O
Spring   B-NAME
Geneseo   I-NAME
Date   O
of   O
Birth   O
:   O
27/14   B-DATE
Age   O
:   O
70   O
Address   O
:   O
Napoopoo   B-LOCATION
,   O
24931   B-LOCATION
Phone   O
Number   O
:   O
82463   B-CONTACT
Occupation   O
:   O
Rail   O
Transportation   O
Workers   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O

Contreras   B-NAME
Admission   O
Date   O
:   O
2125   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
01   I-DATE
Hospital   O
:   O
Littleton   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
:   O
Patient   O
Youngquist   B-NAME
,   O
a   O
Colour   O
technologist   O
from   O
Cranbury   B-LOCATION
,   O
presenting   O
with   O
symptoms   O
that   O
suggest   O
an   O
acute   O
exacerbation   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

The   O
patient   O
has   O
also   O
noted   O
a   O
low   O
-   O
grade   O
fever   O
since   O
32/19   B-DATE
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
1/21/52   B-DATE
indicated   O
hyperinflation   O
and   O
increased   O
lung   O
markings   O
,   O
suggestive   O
of   O
COPD   O
exacerbation   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Patient   O
Brianna   B-NAME
Fitzgerald   I-NAME
was   O
advised   O
to   O
continue   O
with   O
the   O
prescribed   O
medications   O
and   O
to   O
seek   O
follow   O
-   O
up   O
care   O
with   O
Mcclure   B-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
do   O
not   O
improve   O
or   O
worsen   O
.   O

The   O
patient   O
was   O
also   O
referred   O
to   O
a   O
pulmonary   O
rehabilitation   O
program   O
at   O
Capital   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
(   I-LOCATION
Fuld   I-LOCATION
Campus   I-LOCATION
)   I-LOCATION
and   O
encouraged   O
to   O
avoid   O
any   O
respiratory   O
irritants   O
,   O
particularly   O
tobacco   O
smoke   O
.   O

A   O
home   O
health   O
care   O
service   O
from   O
International   B-LOCATION
Center   I-LOCATION
for   I-LOCATION
Transitional   I-LOCATION
Justice   I-LOCATION
will   O
check   O
on   O
the   O
patient   O
in   O
Florida   B-LOCATION
next   O
week   O
to   O
ensure   O
compliance   O
with   O
the   O
treatment   O
plan   O
and   O
to   O
assist   O
with   O
any   O
needs   O
.   O

Contact   O
Information   O
:   O
Follow   O
-   O
up   O
appointment   O
with   O
Palmer   B-NAME
at   O
Merit   B-LOCATION
Health   I-LOCATION
River   I-LOCATION
Oaks   I-LOCATION
on   O
7/22   B-DATE
.   O

For   O
any   O
immediate   O
concerns   O
,   O
please   O
contact   O
Charlotte   B-LOCATION
Hungerford   I-LOCATION
Hospital   I-LOCATION
at   O
53962   B-CONTACT
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Bryanna   B-NAME
Cross   I-NAME
's   O
spouse   O
Phone   O
:   O
154   B-CONTACT
7473   I-CONTACT

Document   O
prepared   O
by   O
fs378   B-NAME
on   O
20/22   B-DATE
.   O

Patient   O
Name   O
:   O
Alanna   B-NAME
Sheppard   I-NAME
Medical   O
Record   O
Number   O
:   O
86866417   B-ID
Date   O
of   O
Birth   O
:   O
5/02/2077   B-DATE
Age   O
:   O
49   O
Address   O
:   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73135   I-LOCATION
,   O
78868   B-LOCATION
Phone   O
:   O
112   B-CONTACT
738   I-CONTACT
-   I-CONTACT
5432   I-CONTACT
Primary   O
Physician   O
:   O

Hickenbottom   B-NAME
,   I-NAME
Michael   I-NAME
Admitting   O
Hospital   O
:   O
White   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2052   B-DATE
-   I-DATE
26   I-DATE
-   I-DATE
10   I-DATE
SSN   O
:   O
413121   B-ID
Clinical   O
Summary   O
:   O
Bryanna   B-NAME
Contreras   I-NAME
,   O
a   O
Plasterers   O
and   O
Stucco   O
Masons   O
from   O
San   B-LOCATION
Diego   I-LOCATION
,   O
was   O
admitted   O
to   O
Valley   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/22/09   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
associated   O
with   O
nausea   O
and   O
uncontrollable   O
vomiting   O
.   O

Mel   B-NAME
Buffkin   I-NAME
reveals   O
a   O
history   O
of   O
moderate   O
alcohol   O
use   O
on   O
weekends   O
and   O
admits   O
to   O
a   O
recent   O
increase   O
in   O
consumption   O
.   O

After   O
48   O
hours   O
of   O
conservative   O
management   O
,   O
Jaiden   B-NAME
Heath   I-NAME
's   O
symptoms   O
began   O
to   O
subside   O
,   O
and   O
Quinton   B-NAME
Hansen   I-NAME
was   O
slowly   O
started   O
on   O
a   O
liquid   O
diet   O
without   O
exacerbation   O
of   O
symptoms   O
.   O

Dane   B-NAME
Jefferies   I-NAME
was   O
under   O
the   O
care   O
of   O
Yahir   B-NAME
Stuart   I-NAME
and   O
the   O
gastroenterology   O
team   O
.   O

By   O
1/01   B-DATE
,   O
Jenaya   B-NAME
's   O
condition   O
had   O
improved   O
significantly   O
,   O
allowing   O
for   O
discharge   O
with   O
instructions   O
to   O
avoid   O
alcohol   O
,   O
adhere   O
to   O
a   O
low   O
-   O
fat   O
diet   O
,   O
and   O
to   O
follow   O
up   O
with   O
outpatient   O
services   O
.   O

Mitchell   B-NAME
was   O
also   O
advised   O
on   O
the   O
importance   O
of   O
monitoring   O
for   O
signs   O
of   O
infection   O
or   O
worsening   O
symptoms   O
that   O
would   O
necessitate   O
prompt   O
medical   O
attention   O
.   O
Instructions   O
for   O
follow   O
-   O
up   O
care   O
were   O
provided   O
,   O
including   O
scheduled   O
visits   O
to   O
Honorious   B-NAME
's   O
office   O
at   O
Hegg   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Avera   I-LOCATION
for   O
reevaluation   O
.   O

Contact   O
information   O
was   O
given   O
to   O
Gavin   B-NAME
Mueller   I-NAME
,   O
with   O
an   O
emphasis   O
on   O
the   O
availability   O
of   O
the   O
medical   O
team   O
via   O
23494   B-CONTACT
for   O
any   O
queries   O
or   O
concerns   O
.   O

Summary   O
written   O
by   O
:   O
EY77   B-NAME
,   O
3444942   B-ID
Approved   O
by   O
:   O
Alexis   B-NAME
Shannon   I-NAME
,   O
MD   O
Date   O
:   O
Friday   B-DATE
Confidentiality   O
Notice   O
:   O
This   O
document   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
applicable   O
laws   O
.   O

Patient   O
Name   O
:   O
Ramonita   B-NAME
Bundette   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
8983316   I-ID
Date   O
of   O
Birth   O
:   O
20/39/58   B-DATE
Age   O
:   O
77   O
Medical   O
Record   O
Number   O
:   O
8705268   B-ID
Address   O
:   O
Guntown   B-LOCATION
,   O
25281   B-LOCATION
Phone   O
Number   O
:   O
328   B-CONTACT
-   I-CONTACT
104   I-CONTACT
1964   I-CONTACT

Attending   O
Physician   O
:   O
Schlüter   B-NAME
,   I-NAME
Poul   I-NAME
Hospital   O
:   O
Veterans   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
July   B-DATE
2   I-DATE
Discharge   O
Date   O
:   O
12/31/79   B-DATE
Chief   O
Complaint   O
:   O
Samuel   B-NAME
Juarez   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Jackson   B-LOCATION
Hospital   I-LOCATION
on   O
12/33/2333   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
patient   O
also   O
reported   O
a   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
Memorial   B-DATE
Day   I-DATE
and   O
a   O
slight   O
fever   O
since   O
the   O
morning   O
of   O
admission   O
.   O

Medical   O
History   O
:   O
Cameron   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Farmer   B-NAME
,   I-NAME
Frances   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Dedra   B-NAME
Erikson   I-NAME
,   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
10/09   B-DATE
.   O

The   O
procedure   O
was   O
uneventful   O
,   O
and   O
Susan   B-NAME
Donaldson   I-NAME
tolerated   O
the   O
surgery   O
well   O
.   O

ignacio   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgery   O
clinic   O
after   O
discharge   O
for   O
wound   O
evaluation   O
and   O
further   O
management   O
.   O

Discharge   O
Instructions   O
:   O
Thurman   B-NAME
Flicker   I-NAME
was   O
discharged   O
on   O
4   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
45   I-DATE
with   O
instructions   O
to   O
maintain   O
a   O
light   O
diet   O
for   O
the   O
next   O
few   O
days   O
,   O
avoid   O
strenuous   O
activities   O
for   O
2   O
weeks   O
,   O
and   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Allen   B-NAME
at   O
WellSpan   B-LOCATION
York   I-LOCATION
Hospital   I-LOCATION
for   O
Christmas   B-DATE
Eve   I-DATE
.   O
Comments   O
:   O

The   O
timely   O
presentation   O
to   O
the   O
hospital   O
and   O
immediate   O
surgical   O
intervention   O
were   O
crucial   O
in   O
managing   O
Armani   B-NAME
Farrell   I-NAME
's   O
acute   O
appendicitis   O
and   O
preventing   O
potential   O
complications   O
such   O
as   O
perforation   O
or   O
peritonitis   O
.   O

Note   O
for   O
Mail   O
Machine   O
Operators   O
,   O
Preparation   O
and   O
Handling   O
:   O
Please   O
ensure   O
Kayleigh   B-NAME
Guzman   I-NAME
's   O
post   O
-   O
operative   O
care   O
instructions   O
are   O
fully   O
understood   O
and   O
encourage   O
adherence   O
to   O
the   O
antibiotic   O
regimen   O
and   O
follow   O
-   O
up   O
appointments   O
to   O
promote   O
optimal   O
recovery   O
.   O

Signature   O
:   O
Blevins   B-NAME
6/32/56   B-DATE

Patient   O
Name   O
:   O
Johnson   B-NAME
Patient   O
ID   O
:   O
LV206/6898   B-ID
Date   O
of   O
Birth   O
:   O
03/15/2012   B-DATE
Date   O
of   O
Visit   O
:   O
3/4   B-DATE
Address   O
:   O
Circle   B-LOCATION
,   O
69896   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
994   I-CONTACT
)   I-CONTACT
863   I-CONTACT
3860   I-CONTACT
Medical   O
Record   O
Number   O
:   O
202   B-ID
-   I-ID
86   I-ID
-   I-ID
33   I-ID
-   I-ID
2   I-ID
Attending   O
Physician   O
:   O

Miles   B-NAME
J.   I-NAME
Bennell   I-NAME
Hospital   O
:   O
Inova   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O
Magnolia   B-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Occupation   O
:   O

Public   O
Address   O
System   O
and   O
Other   O
Announcers   O
Chief   O
Complaint   O
:   O
Epictetus   B-NAME
,   O
a   O
12s   O
-   O
year   O
-   O
old   O
Health   O
Diagnosing   O
and   O
Treating   O
Practitioners   O
,   O
All   O
Other   O
presented   O
to   O
UNC   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2003/30/24   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
had   O
been   O
escalating   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Kristopher   B-NAME
Norton   I-NAME
also   O
reported   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
,   O
which   O
seemed   O
to   O
worsen   O
after   O
meals   O
.   O

However   O
,   O
the   O
intensity   O
of   O
the   O
pain   O
has   O
significantly   O
increased   O
,   O
prompting   O
Anika   B-NAME
Goffney   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

Ulises   B-NAME
Y.   I-NAME
Hobbs   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
symptoms   O
in   O
family   O
members   O
.   O

Past   O
Medical   O
History   O
:   O
Isabelle   B-NAME
Rich   I-NAME
reports   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
denies   O
any   O
other   O
chronic   O
conditions   O
.   O

Amya   B-NAME
Sandoval   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Medications   O
:   O
Jordan   B-NAME
Stewart   I-NAME
takes   O
omeprazole   O
20   O
mg   O
daily   O
for   O
GERD   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Rebecca   B-NAME
Cochran   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

In   O
the   O
interim   O
,   O
Arielle   B-NAME
Huang   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
in   O
preparation   O
for   O
possible   O
surgical   O
intervention   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
28/12   B-DATE
to   O
discuss   O
the   O
outcomes   O
of   O
the   O
diagnostic   O
tests   O
and   O
to   O
finalize   O
the   O
treatment   O
plan   O
.   O

Kevin   B-NAME
Patterson   I-NAME
has   O
been   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
,   O
such   O
as   O
fever   O
or   O
inability   O
to   O
tolerate   O
oral   O
fluids   O
,   O
develop   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Connor   B-NAME
Powell   I-NAME
can   O
reach   O
the   O
clinic   O
at   O
46921   B-CONTACT
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
Gayle   B-NAME
Ibric   I-NAME
is   O
advised   O
to   O
dial   O
emergency   O
services   O
or   O
proceed   O
to   O
the   O
nearest   O
emergency   O
room   O
.   O

Documented   O
by   O
:   O
ET10   B-NAME
Reviewed   O
by   O
:   O
Lucy   B-NAME
Weeks   I-NAME
Date   O
and   O
Time   O
:   O
0/19   B-DATE

Patient   O
Name   O
:   O
Woods   B-NAME
Patient   O
ID   O
:   O
2595716   B-ID
DOB   O
:   O

11/22   B-DATE
Age   O
:   O
13   O
Medical   O
Record   O
No   O
.   O
:   O
7197607   B-ID
Address   O
:   O
Dimmitt   B-LOCATION
,   O
57312   B-LOCATION
Phone   O
:   O
69679   B-CONTACT
Employment   O
:   O
Service   O
Unit   O
Operators   O
,   O
Oil   O
,   O
Gas   O
,   O
and   O
Mining   O
at   O
Excelsior   B-LOCATION
EMC   I-LOCATION
Attending   O
Physician   O
:   O

Gabriele   B-NAME
Gobrecht   I-NAME
Hospital   O
:   O
Winter   B-LOCATION
Park   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O

0/28   B-DATE
Date   O
of   O
Report   O
:   O
18/33   B-DATE
Summary   O
:   O
David   B-NAME
Delgado   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Shore   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
Sunday   B-DATE
,   I-DATE
November   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
associated   O
with   O
nausea   O
and   O
vomiting   O
.   O

Brenden   B-NAME
Hanna   I-NAME
has   O
a   O
medical   O
history   O
of   O
cholelithiasis   O
and   O
chronic   O
gastritis   O
.   O

Treatment   O
Plan   O
:   O
Jovani   B-NAME
Jenkins   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Sedgwick   B-NAME
,   I-NAME
John   I-NAME
for   O
further   O
management   O
,   O
which   O
included   O
IV   O
fluid   O
hydration   O
,   O
pain   O
management   O
with   O
analgesics   O
,   O
and   O
antibiotic   O
therapy   O
.   O

A   O
detailed   O
discussion   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
surgery   O
was   O
held   O
with   O
Karik   B-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Esteban   B-NAME
Casey   I-NAME
is   O
scheduled   O
for   O
laparoscopic   O
cholecystectomy   O
on   O
11/37   B-DATE
.   O

For   O
further   O
inquiries   O
or   O
to   O
reschedule   O
appointments   O
,   O
Nelia   B-NAME
Metott   I-NAME
or   O
family   O
members   O
can   O
contact   O
Schmidt   B-NAME
’s   O
office   O
at   O
86783   B-CONTACT
.   O

Prepared   O
by   O
:   O
ge942   B-NAME
,   O
Medical   O
Staff   O
Ogden   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
10/07/1895   B-DATE

Patient   O
Report   O
for   O
:   O
Hurley   B-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
7535131   I-ID
Medical   O
Record   O
Number   O
:   O
20838403   B-ID
Date   O
of   O
Birth   O
:   O
2/26   B-DATE
Age   O
:   O
18   O
Phone   O
Number   O
:   O
88074   B-CONTACT
Zip   O
Code   O
:   O
69584   B-LOCATION
Location   O
of   O
Incident   O
:   O
Deep   B-LOCATION
River   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Potter   B-NAME
Treating   O
Hospital   O
:   O
Northridge   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Roscoe   I-LOCATION
Boulevard   I-LOCATION
Campus   I-LOCATION
Employer   O
:   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
and   I-LOCATION
General   I-LOCATION
Employees   I-LOCATION
Occupation   O
:   O
Air   O
Crew   O
Members   O
Historical   O
Summary   O
:   O
Xaiden   B-NAME
Roberson   I-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Nursing   O
Aides   O
,   O
Orderlies   O
,   O
and   O
Attendants   O
employed   O
by   O
Orlando   B-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
,   O
residing   O
in   O
44239   B-LOCATION
,   O
Ducor   B-LOCATION
,   O
presented   O
to   O
Betsy   B-LOCATION
Johnson   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
on   O
0/30/2222   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Barker   B-NAME
,   I-NAME
Clive   I-NAME
reported   O
these   O
symptoms   O
began   O
approximately   O
two   O
hours   O
prior   O
to   O
arrival   O
.   O

Andrians   B-NAME
,   I-NAME
Aiven   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
but   O
mentioned   O
a   O
high   O
level   O
of   O
stress   O
at   O
work   O
.   O
Examination   O
and   O
Findings   O
:   O

Upon   O
examination   O
,   O
Leah   B-NAME
Williams   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
showing   O
symptoms   O
of   O
pallor   O
and   O
diaphoresis   O
.   O

Leota   B-NAME
Skeens   I-NAME
's   O
chest   O
X   O
-   O
ray   O
was   O
unremarkable   O
,   O
showing   O
no   O
signs   O
of   O
pneumonia   O
or   O
pulmonary   O
edema   O
.   O

Given   O
the   O
clinical   O
and   O
ECG   O
findings   O
suggestive   O
of   O
an   O
Acute   O
Myocardial   O
Infarction   O
(   O
AMI   O
)   O
,   O
Furion   B-NAME
Lemans   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
a   O
loading   O
dose   O
of   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
.   O

David   B-NAME
was   O
consulted   O
,   O
and   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
was   O
performed   O
,   O
revealing   O
a   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
,   O
which   O
was   O
successfully   O
stented   O
.   O

Disposition   O
:   O
Potter   B-NAME
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
for   O
further   O
monitoring   O
and   O
management   O
.   O

Discharge   O
planning   O
will   O
include   O
cardiac   O
rehabilitation   O
,   O
lifestyle   O
modifications   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Vivian   B-NAME
Francis   I-NAME
Porter   I-NAME
in   O
two   O
weeks   O
.   O
Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Bobby   B-NAME
U.   I-NAME
Spears   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
21   B-DATE
,   O
monitor   O
for   O
any   O
new   O
or   O
worsening   O
symptoms   O
,   O
and   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O

Bonilla   B-NAME
was   O
educated   O
on   O
recognizing   O
signs   O
of   O
potential   O
complications   O
and   O
advised   O
to   O
call   O
(   B-CONTACT
733   I-CONTACT
)   I-CONTACT
238   I-CONTACT
-   I-CONTACT
9426   I-CONTACT
or   O
proceed   O
to   O
the   O
nearest   O
emergency   O
department   O
if   O
symptoms   O
recur   O
or   O
escalate   O
.   O

Next   O
appointment   O
with   O
Hicks   B-NAME
,   I-NAME
Bill   I-NAME
scheduled   O
for   O
23/01/32   B-DATE
at   O
Columbus   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

22583   B-ID
will   O
be   O
reviewed   O
,   O
and   O
further   O
adjustments   O
to   O
treatment   O
and   O
management   O
will   O
be   O
determined   O
based   O
on   O
Rema   B-NAME
Livers   I-NAME
's   O
recovery   O
progress   O
.   O

Signature   O
:   O
jt592   B-NAME

Patient   O
Name   O
:   O
Jaylin   B-NAME
Lindsey   I-NAME
Age   O
:   O
86   O
Date   O
of   O
Birth   O
:   O
18/04   B-DATE
Address   O
:   O
Uniondale   B-LOCATION
,   O
34446   B-LOCATION
Occupation   O
:   O
Physical   O
Therapists   O
Phone   O
Number   O
:   O
871   B-CONTACT
-   I-CONTACT
2806   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Hobbs   B-NAME
Referred   O
by   O
:   O
Love   B-NAME
Medical   O
Record   O
Number   O
:   O
41671020   B-ID
Social   O
Security   O
Number   O
:   O
18821113   B-ID
Date   O
of   O
Visit   O
:   O
2185   B-DATE
Hospital   O
:   O
Martin   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
Chief   O
Complaint   O
:   O
Roland   B-NAME
Walton   I-NAME
presented   O
in   O
the   O
emergency   O
department   O
on   O
2   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
66   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
and   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Additionally   O
,   O
Blaze   B-NAME
Wilcox   I-NAME
reported   O
experiencing   O
chills   O
and   O
a   O
fever   O
of   O
13/17   B-DATE
.   O

The   O
abdominal   O
pain   O
was   O
first   O
noted   O
approximately   O
11/22/1993   B-DATE
,   O
initially   O
mild   O
and   O
intermittent   O
in   O
nature   O
,   O
gradually   O
progressing   O
in   O
intensity   O
.   O

Notably   O
,   O
Selena   B-NAME
Flores   I-NAME
mentioned   O
that   O
the   O
pain   O
intensifies   O
after   O
eating   O
,   O
particularly   O
fatty   O
meals   O
.   O

Past   O
Medical   O
History   O
:   O
Essence   B-NAME
Waller   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
for   O
which   O
they   O
are   O
currently   O
under   O
medication   O
regimen   O
prescribed   O
by   O
Mason   B-NAME
.   O

Upon   O
examination   O
,   O
Mason   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
pancreatitis   O
,   O
Georgia   B-NAME
Gardner   I-NAME
was   O
admitted   O
to   O
Lockport   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
management   O
.   O

kruse   B-NAME
was   O
kept   O
NPO   O
(   O
nil   O
per   O
os   O
,   O
nothing   O
by   O
mouth   O
)   O
to   O
rest   O
the   O
pancreas   O
,   O
started   O
on   O
IV   O
fluids   O
for   O
hydration   O
,   O
and   O
given   O
analgesics   O
for   O
pain   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Dougherty   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
outpatient   O
clinic   O
with   O
Gorky   B-NAME
,   I-NAME
Maxim   I-NAME
on   O
32/21/2220   B-DATE
.   O

Instructions   O
for   O
Patient   O
:   O
Emery   B-NAME
Weaver   I-NAME
was   O
instructed   O
to   O
avoid   O
alcohol   O
and   O
fatty   O
meals   O
.   O

The   O
patient   O
was   O
also   O
advised   O
to   O
monitor   O
for   O
any   O
worsening   O
of   O
symptoms   O
and   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
500   B-CONTACT
2247   I-CONTACT
if   O
severe   O
pain   O
,   O
fever   O
,   O
or   O
any   O
new   O
symptoms   O
develop   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
visit   O
.   O

The   O
above   O
represents   O
a   O
comprehensive   O
outline   O
of   O
Gould   B-NAME
's   O
current   O
presentation   O
,   O
evaluation   O
,   O
and   O
management   O
plan   O
during   O
their   O
recent   O
visit   O
to   O
Mountain   B-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2132   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
31   I-DATE
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Isaias   B-NAME
Gardner   I-NAME
Patient   O
ID   O
:   O
142989373   B-ID
Date   O
of   O
Birth   O
:   O
12   B-DATE
-   I-DATE
Jun-2222   I-DATE
Age   O
:   O
7   O
Address   O
:   O

Halfway   B-LOCATION
,   O
11491   B-LOCATION
Phone   O
Number   O
:   O
17007   B-CONTACT
Occupation   O
:   O
Electrical   O
and   O
Electronic   O
Engineering   O
Technicians   O
Primary   O
Physician   O
:   O

Mosley   B-NAME
Hospital   O
:   O

Grand   B-LOCATION
Mountain   I-LOCATION
Clinic   I-LOCATION
Medical   O
Record   O
Number   O
:   O
3755323   B-ID
Summary   O
:   O

On   O
32/12   B-DATE
,   O
Bogart   B-NAME
,   I-NAME
Neil   I-NAME
,   O
a   O
100s   O
-   O
year   O
-   O
old   O
Mobile   O
Heavy   O
Equipment   O
Mechanics   O
,   O
Except   O
Engines   O
from   O
Hazel   B-LOCATION
Green   I-LOCATION
,   O
was   O
admitted   O
to   O
Saint   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
recurrent   O
episodes   O
of   O
vomiting   O
for   O
the   O
past   O
48   O
hours   O
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
history   O
outside   O
Driftwood   B-LOCATION
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Medical   O
History   O
:   O
Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
which   O
are   O
currently   O
being   O
managed   O
with   O
medication   O
(   O
details   O
not   O
disclosed   O
due   O
to   O
privacy   O
)   O
.   O

On   O
examination   O
,   O
Frederick   B-NAME
Steele   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Brianna   B-NAME
Benjamin   I-NAME
was   O
initiated   O
on   O
intravenous   O
hydration   O
and   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Moreau   B-NAME
,   O
decided   O
against   O
immediate   O
surgical   O
intervention   O
,   O
opting   O
for   O
conservative   O
management   O
with   O
close   O
monitoring   O
of   O
the   O
patient   O
’s   O
condition   O
.   O

Follow   O
-   O
Up   O
:   O
Craig   B-NAME
Adams   I-NAME
showed   O
significant   O
improvement   O
over   O
the   O
following   O
72   O
hours   O
with   O
a   O
reduction   O
in   O
abdominal   O
pain   O
and   O
resolution   O
of   O
nausea   O
and   O
vomiting   O
.   O

The   O
patient   O
was   O
advised   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
with   O
Eduardo   B-NAME
Klein   I-NAME
at   O
Clay   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Clay   I-LOCATION
Center   I-LOCATION
.   O

Conclusion   O
:   O
Fulvius   B-NAME
Custa   I-NAME
responded   O
well   O
to   O
conservative   O
management   O
for   O
terminal   O
ileitis   O
.   O

Notifier   O
:   O
Godwin   B-NAME
,   I-NAME
Mike   I-NAME
2152   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
25   I-DATE
Contact   O
Information   O
:   O
Parkview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Black   B-LOCATION
Hawk   I-LOCATION
,   O
11017   B-LOCATION
Phone   O
:   O
(   B-CONTACT
992   I-CONTACT
)   I-CONTACT
128   I-CONTACT
7418   I-CONTACT

Patient   O
Name   O
:   O
Ecclestone   B-NAME
,   I-NAME
Bernie   I-NAME
Patient   O
ID   O
:   O
RL179/8877   B-ID
Date   O
of   O
Birth   O
:   O
11/24   B-DATE
Date   O
of   O
Admission   O
:   O
02/25   B-DATE
Medical   O
Record   O
Number   O
:   O
0560292   B-ID
Treating   O
Doctor   O
:   O
Carleigh   B-NAME
Shelton   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Marquette   B-LOCATION
,   O
77292   B-LOCATION
Contact   O
Phone   O
:   O
746   B-CONTACT
-   I-CONTACT
9224   I-CONTACT
Profession   O
:   O

The   O
patient   O
,   O
a   O
56   O
-   O
year   O
-   O
old   O
Writers   O
and   O
Authors   O
,   O
presented   O
to   O
Cheyenne   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Campus   I-LOCATION
on   O
07/11   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
headache   O
predominantly   O
localized   O
to   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

The   O
patient   O
reported   O
a   O
history   O
of   O
migraines   O
dating   O
back   O
approximately   O
5   O
years   O
but   O
mentioned   O
that   O
the   O
frequency   O
,   O
intensity   O
,   O
and   O
duration   O
of   O
these   O
episodes   O
have   O
markedly   O
increased   O
over   O
the   O
past   O
22.22.23   B-DATE
.   O

There   O
is   O
also   O
a   O
documented   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
Dooom   B-NAME
is   O
on   O
medication   O
,   O
and   O
a   O
recent   O
diagnosis   O
of   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Benjamin   B-NAME
Earnest   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

Magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
with   O
and   O
without   O
contrast   O
performed   O
on   O
34/35   B-DATE
showed   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

Management   O
and   O
Outcome   O
:   O
Sloan   B-NAME
initiated   O
treatment   O
with   O
a   O
triptan   O
-   O
class   O
medication   O
for   O
acute   O
migraine   O
relief   O
and   O
recommended   O
starting   O
a   O
prophylactic   O
beta   O
-   O
blocker   O
given   O
the   O
increase   O
in   O
migraine   O
frequency   O
and   O
severity   O
.   O

Brenton   B-NAME
Pierce   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
June   B-DATE
22   I-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
effectiveness   O
.   O

While   O
Corrine   B-NAME
James   I-NAME
-   I-NAME
Wagner   I-NAME
's   O
migraines   O
had   O
been   O
previously   O
diagnosed   O
,   O
the   O
escalation   O
in   O
symptoms   O
warranted   O
a   O
comprehensive   O
review   O
and   O
adjustment   O
in   O
treatment   O
strategy   O
.   O

Username   O
:   O
JR776   B-NAME
Document   O
prepared   O
by   O
:   O
Zion   B-NAME
Lawson   I-NAME
,   O
32/29   B-DATE

Patient   O
Name   O
:   O
Kayleigh   B-NAME
Bulnes   I-NAME
Medical   O
Record   O
Number   O
:   O
08227193   B-ID
Date   O
of   O
Birth   O
:   O
0rd   B-DATE
Age   O
:   O
45   O
Address   O
:   O
Downingtown   B-LOCATION
,   O
63950   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
456   I-CONTACT
)   I-CONTACT
777   I-CONTACT
9113   I-CONTACT

Attending   O
Physician   O
:   O
McQuaig   B-NAME
,   I-NAME
Linda   I-NAME
Hospital   O
:   O

Clark   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Patient   O
's   O
Occupation   O
:   O
Occupational   O
therapist   O
Date   O
of   O
Visit   O
:   O
22/06/2012   B-DATE
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
5423341   I-ID
Referred   O
by   O
Dr.   O
Jones   B-NAME
Subjective   O
:   O
Destiny   B-NAME
Wooley   I-NAME
,   O
a   O
Meter   O
Mechanics   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
7/27   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fever   O
over   O
the   O
past   O
2/33/2392   B-DATE
.   O

Lamont   B-NAME
Warner   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
contact   O
with   O
known   O
sick   O
individuals   O
.   O

Vernell   B-NAME
Fournier   I-NAME
has   O
a   O
history   O
of   O
asthma   O
and   O
is   O
a   O
non   O
-   O
smoker   O
.   O

Admit   O
the   O
patient   O
to   O
Aurora   B-LOCATION
BayCare   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
monitoring   O
and   O
treatment   O
.   O

Refer   O
to   O
Leblanc   B-NAME
for   O
a   O
pulmonology   O
consultation   O
.   O

6   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
11/13/1919   B-DATE
to   O
review   O
test   O
results   O
and   O
modify   O
treatment   O
as   O
necessary   O
.   O

Giselle   B-NAME
Andersen   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
strict   O
hand   O
hygiene   O
and   O
wear   O
a   O
mask   O
to   O
reduce   O
the   O
risk   O
of   O
COVID-19   O
transmission   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Patch   B-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
2162924   I-ID
Medical   O
Record   O
Number   O
:   O
78526485   B-ID
Age   O
:   O
35s   O
Date   O
of   O
Birth   O
:   O
02/27   B-DATE
Phone   O
Number   O
:   O
588   B-CONTACT
8844   I-CONTACT
Address   O
:   O
Amherstdale   B-LOCATION
,   O
52888   B-LOCATION
Employment   O
:   O
Travel   O
Clerks   O
at   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Knitwear   I-LOCATION
,   I-LOCATION
Footwear   I-LOCATION
and   I-LOCATION
Apparel   I-LOCATION
Trades   I-LOCATION
Referring   O
Doctor   O
:   O
Mora   B-NAME
Hospital   O
Name   O
:   O
Bronson   B-LOCATION
Vicksburg   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
First   O
Visit   O
:   O
12/27   B-DATE
Summary   O
:   O

The   O
patient   O
,   O
Joshua   B-NAME
Root   I-NAME
,   O
presented   O
on   O
37/23/62   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

Braylon   B-NAME
Morrison   I-NAME
reported   O
associated   O
symptoms   O
including   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
occasional   O
nausea   O
without   O
vomiting   O
.   O

The   O
intensity   O
of   O
the   O
headaches   O
peaks   O
within   O
1   O
-   O
2   O
hours   O
of   O
onset   O
,   O
severely   O
impacting   O
Watts   B-NAME
,   I-NAME
Alan   I-NAME
's   O
daily   O
activities   O
,   O
including   O
work   O
duties   O
as   O
a   O
Home   O
Appliance   O
Installers   O
at   O
Shelter   B-LOCATION
Insurance   I-LOCATION
.   O

Past   O
medical   O
history   O
was   O
reviewed   O
,   O
revealing   O
a   O
diagnosis   O
of   O
migraines   O
in   O
28/04/62   B-DATE
but   O
noted   O
to   O
be   O
of   O
lesser   O
frequency   O
and   O
intensity   O
compared   O
to   O
the   O
current   O
episodes   O
.   O

Family   O
history   O
is   O
significant   O
for   O
migraines   O
in   O
Olivia   B-NAME
H.   I-NAME
Grant   I-NAME
's   O
mother   O
and   O
brother   O
.   O

Examination   O
findings   O
upon   O
visit   O
on   O
32/26   B-DATE
to   O
Lina   B-NAME
Lane   I-NAME
at   O
Oroville   B-LOCATION
Hospital   I-LOCATION
revealed   O
no   O
acute   O
distress   O
.   O

Follow   O
-   O
Up   O
:   O
Duvall   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
08/20/1907   B-DATE
to   O
assess   O
response   O
to   O
initial   O
treatment   O
and   O
discuss   O
the   O
results   O
of   O
the   O
investigations   O
.   O

Contact   O
Information   O
:   O
Please   O
contact   O
my   O
office   O
at   O
(   B-CONTACT
701   I-CONTACT
)   I-CONTACT
384   I-CONTACT
-   I-CONTACT
9629   I-CONTACT
for   O
any   O
urgent   O
concerns   O
or   O
changes   O
in   O
the   O
patient   O
's   O
condition   O
.   O

Signature   O
:   O
Burton   B-NAME
,   I-NAME
Sir   I-NAME
Richard   I-NAME
Francis   I-NAME
Jackson   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinic   I-LOCATION
June   B-DATE
Note   O
:   O
This   O
document   O
is   O
confidential   O
and   O
contains   O
Protected   O
Health   O
Information   O
(   O
PHI   O
)   O
.   O

Patient   O
Report   O
:   O
Black   B-NAME
was   O
admitted   O
to   O
Northeast   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/08/88   B-DATE
with   O
presenting   O
symptoms   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
a   O
high   O
fever   O
.   O

The   O
54   O
-   O
year   O
-   O
old   O
Plant   O
and   O
System   O
Operators   O
,   O
All   O
Other   O
from   O
Washington   B-LOCATION
,   I-LOCATION
Washington   I-LOCATION
Business   I-LOCATION
District   I-LOCATION
,   O
39472   B-LOCATION
reported   O
experiencing   O
sharp   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

David   B-NAME
Hale   I-NAME
also   O
noted   O
a   O
significant   O
lack   O
of   O
appetite   O
and   O
dehydration   O
due   O
to   O
the   O
inability   O
to   O
keep   O
food   O
or   O
liquids   O
down   O
.   O

Upon   O
examination   O
,   O
Houston   B-NAME
Grimes   I-NAME
's   O
temperature   O
was   O
noted   O
to   O
be   O
38.9   O
°   O
C   O
,   O
and   O
blood   O
pressure   O
was   O
slightly   O
elevated   O
.   O

Laboratory   O
tests   O
,   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
and   O
Comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
,   O
were   O
ordered   O
by   O
Ingram   B-NAME
.   O

An   O
ultrasound   O
of   O
the   O
abdomen   O
,   O
conducted   O
on   O
2th   B-DATE
of   I-DATE
March   I-DATE
,   O
revealed   O
an   O
enlarged   O
appendix   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Kelsie   B-NAME
Barnett   I-NAME
's   O
medical   O
history   O
,   O
provided   O
on   O
11/33   B-DATE
,   O
was   O
significant   O
for   O
Type   O
II   O
Diabetes   O
Mellitus   O
,   O
for   O
which   O
Ferron   B-NAME
,   I-NAME
Marcelle   I-NAME
takes   O
Metformin   O
.   O

The   O
medical   O
record   O
number   O
34996659   B-ID
and   O
CX:98149:297353   B-ID
were   O
verified   O
for   O
accuracy   O
.   O

The   O
surgical   O
team   O
at   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Saint   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
was   O
consulted   O
and   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Gabrielle   B-NAME
Hinton   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
including   O
potential   O
risks   O
and   O
benefits   O
,   O
by   O
Deidre   B-NAME
Borquez   I-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
on   O
Wednesday   B-DATE
,   I-DATE
July   I-DATE
.   O

Post   O
-   O
operatively   O
,   O
Beethoven   B-NAME
,   I-NAME
Ludwig   I-NAME
van   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
any   O
potential   O
infection   O
and   O
was   O
advised   O
on   O
the   O
importance   O
of   O
wound   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

Contact   O
information   O
(   O
(   B-CONTACT
361   I-CONTACT
)   I-CONTACT
509   I-CONTACT
-   I-CONTACT
1686   I-CONTACT
)   O
was   O
verified   O
with   O
Kate   B-NAME
Austin   I-NAME
's   O
next   O
of   O
kin   O
,   O
listed   O
as   O
IM506   B-NAME
,   O
who   O
is   O
presently   O
serving   O
as   O
the   O
emergency   O
contact   O
.   O

Paola   B-NAME
Rolls   I-NAME
was   O
hospitalized   O
for   O
a   O
total   O
of   O
72   O
hours   O
,   O
during   O
which   O
time   O
Beau   B-NAME
Woodard   I-NAME
showed   O
marked   O
improvement   O
in   O
symptoms   O
.   O

Daphne   B-NAME
Houtz   I-NAME
was   O
discharged   O
on   O
10/26/08   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Ellison   B-NAME
in   O
two   O
weeks   O
.   O

Frances   B-NAME
Talley   I-NAME
's   O
quick   O
recovery   O
was   O
aided   O
by   O
the   O
swift   O
action   O
of   O
the   O
medical   O
team   O
at   O
Ascension   B-LOCATION
Via   I-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
and   O
adherence   O
to   O
post   O
-   O
operative   O
care   O
protocols   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Alexis   B-NAME
Garrett   I-NAME
Age   O
:   O
15   O
Date   O
of   O
Birth   O
:   O
2058   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
22   I-DATE
Address   O
:   O
Houghton   B-LOCATION
,   O
10854   B-LOCATION
Phone   O
Number   O
:   O
41189   B-CONTACT
Occupation   O
:   O
Health   O
Technologists   O
and   O
Technicians   O
,   O
All   O
Other   O
Medical   O
Record   O
Number   O
:   O
1567274   B-ID
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
1146800   I-ID
Summary   O
:   O
Maxwell   B-NAME
Becker   I-NAME
,   O
a   O
78   O
-   O
year   O
-   O
old   O
IT   O
consultant   O
from   O
Sholes   B-LOCATION
,   O
presented   O
to   O
Children   B-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
of   I-LOCATION
Atlanta   I-LOCATION
at   I-LOCATION
Egleston   I-LOCATION
on   O
2053   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
20   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
dizziness   O
.   O

The   O
patient   O
reports   O
that   O
the   O
symptoms   O
started   O
suddenly   O
while   O
at   O
work   O
around   O
11/27   B-DATE
.   O

Evans   B-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
is   O
a   O
non   O
-   O
smoker   O
.   O

On   O
examination   O
,   O
Aileen   B-NAME
Fernandez   I-NAME
appeared   O
anxious   O
and   O
diaphoretic   O
.   O

Diagnostic   O
Results   O
:   O
Electrocardiogram   O
(   O
EKG   O
)   O
conducted   O
by   O
Dr.   O
Hunter   B-NAME
on   O
18/22   B-DATE
showed   O
ST   O
-   O
segment   O
elevations   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
consistent   O
with   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
(   O
MI   O
)   O
.   O

Treatment   O
:   O
Barry   B-NAME
was   O
immediately   O
given   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
sublingual   O
nitroglycerin   O
upon   O
diagnosis   O
.   O

Mullen   B-NAME
recommended   O
urgent   O
cardiac   O
catheterization   O
,   O
which   O
was   O
performed   O
on   O
2182   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
12   I-DATE
and   O
revealed   O
a   O
90   O
%   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Follow   O
-   O
Up   O
:   O
Berna   B-NAME
Nicola   I-NAME
was   O
discharged   O
on   O
2364   B-DATE
with   O
a   O
prescription   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
a   O
statin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
and   O
an   O
ACE   O
inhibitor   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Ellis   B-NAME
at   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
for   O
02/26/00   B-DATE
to   O
monitor   O
progress   O
and   O
manage   O
medications   O
.   O

Attending   O
Physician   O
:   O
Dr.   O
Gomrick   B-NAME
Hospital   O
:   O
Novant   B-LOCATION
Health   I-LOCATION
UVA   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Prince   I-LOCATION
William   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hospital   O
Address   O
:   O
Laura   B-LOCATION
,   O
93297   B-LOCATION
Hospital   O
Phone   O
Number   O
:   O
82991   B-CONTACT

This   O
patient   O
report   O
has   O
been   O
prepared   O
by   O
Dr.   O
Harper   B-NAME
,   O
25/00   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Demarcus   B-NAME
Woods   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
7351436   I-ID
Medical   O
Record   O
Number   O
:   O
32868471   B-ID
Date   O
of   O
Birth   O
:   O
44   O
Address   O
:   O
Ontario   B-LOCATION
,   O
36757   B-LOCATION
Phone   O
Number   O
:   O
848   B-CONTACT
-   I-CONTACT
6136   I-CONTACT
Primary   O
Physician   O
:   O
Ali   B-NAME
Admitting   O
Hospital   O
:   O
BANNER   B-LOCATION
DEL   I-LOCATION
E   I-LOCATION
WEBB   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
Date   O
of   O
Admission   O
:   O
03/30   B-DATE
/2023   O
Chief   O
Complaint   O
:   O

Girard   B-NAME
presented   O
with   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
onset   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

kr   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
starting   O
around   O
the   O
same   O
time   O
as   O
the   O
abdominal   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Adelina   B-NAME
Letts   I-NAME
,   O
a   O
Biofuels   O
/   O
Biodiesel   O
Technology   O
and   O
Product   O
Development   O
Managers   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
began   O
experiencing   O
symptoms   O
early   O
in   O
the   O
morning   O
on   O
1/27   B-DATE
/2023   O
.   O

Willy   B-NAME
Sheetz   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
unusual   O
dietary   O
intake   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Sage   B-NAME
Ho   I-NAME
presented   O
with   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
(   O
101   O
°   O
F   O
)   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

After   O
consultation   O
with   O
Augustus   B-NAME
Cisneros   I-NAME
,   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
laparoscopic   O
appendectomy   O
.   O

Will   B-NAME
Zimmerman   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
surgery   O
plan   O
.   O

The   O
procedure   O
was   O
scheduled   O
for   O
the   O
next   O
morning   O
,   O
9/22/58   B-DATE
/2023   O
,   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Johnson   B-NAME
,   I-NAME
Samuel   I-NAME
's   O
postoperative   O
recovery   O
was   O
smooth   O
,   O
and   O
Naomi   B-NAME
Newberry   I-NAME
was   O
discharged   O
on   O
21/22   B-DATE
/2023   O
with   O
instructions   O
for   O
postoperative   O
care   O
and   O
follow   O
-   O
up   O
with   O
Kamren   B-NAME
Cobb   I-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Armani   B-NAME
Castillo   I-NAME
reported   O
for   O
the   O
follow   O
-   O
up   O
visit   O
on   O
29/11   B-DATE
/2023   O
.   O

Urwin   B-NAME
Orosco   I-NAME
stated   O
the   O
recovery   O
had   O
been   O
uneventful   O
,   O
with   O
resolution   O
of   O
symptoms   O
.   O

Conclusion   O
:   O
Harper   B-NAME
Young   I-NAME
's   O
case   O
of   O
acute   O
appendicitis   O
was   O
successfully   O
managed   O
through   O
timely   O
surgical   O
intervention   O
.   O

Julian   B-NAME
Quintela   I-NAME
demonstrated   O
a   O
favorable   O
recovery   O
and   O
is   O
advised   O
to   O
continue   O
routine   O
postoperative   O
care   O
and   O
monitoring   O
for   O
any   O
potential   O
complications   O
.   O

Police   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
is   O
committed   O
to   O
providing   O
high   O
-   O
quality   O
care   O
and   O
appreciates   O
the   O
opportunity   O
to   O
participate   O
in   O
the   O
healthcare   O
journey   O
of   O
our   O
patients   O
.   O

Prepared   O
By   O
:   O
Medical   O
Staff   O
ble632   B-NAME
22/32/75   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Imani   B-NAME
Blevins   I-NAME
Patient   O
ID   O
:   O
287327   B-ID
Medical   O
Record   O
Number   O
:   O
111   B-ID
-   I-ID
30   I-ID
-   I-ID
50   I-ID
Date   O
of   O
Birth   O
:   O
02/11/2050   B-DATE
Age   O
:   O
72   O
Phone   O
Number   O
:   O
49810   B-CONTACT
Address   O
:   O
Kenansville   B-LOCATION
,   O
34473   B-LOCATION
Employment   O
:   O
Truck   O
Drivers   O
,   O
Heavy   O
and   O
Tractor   O
-   O
Trailer   O
at   O
Irish   B-LOCATION
National   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Organisation   I-LOCATION
Primary   O
Physician   O
:   O

Stanton   B-NAME
Hospital   O
:   O
Moab   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2058   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
01   I-DATE
Date   O
of   O
Discharge   O
:   O
2070   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Joyce   B-NAME
Stewart   I-NAME
was   O
admitted   O
to   O
MultiCare   B-LOCATION
Covington   I-LOCATION
on   O
77   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
.   O

Patient   O
history   O
was   O
significant   O
for   O
similar   O
,   O
albeit   O
milder   O
,   O
episodes   O
over   O
the   O
past   O
16/12/13   B-DATE
,   O
which   O
had   O
not   O
been   O
formally   O
evaluated   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Galvan   B-NAME
presented   O
with   O
tachycardia   O
(   O
heart   O
rate   O
of   O
102   O
bpm   O
)   O
,   O
and   O
a   O
body   O
temperature   O
of   O
37.8   O
°   O
C   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Tyler   B-NAME
,   O
confirmed   O
acute   O
appendicitis   O
without   O
complication   O
.   O

Treatment   O
:   O
Given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
Patterson   B-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Ariel   B-NAME
Vargas   I-NAME
on   O
01/12   B-DATE
.   O

The   O
procedure   O
was   O
uneventful   O
,   O
and   O
Luna   B-NAME
tolerated   O
it   O
well   O
without   O
any   O
immediate   O
complications   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Post   O
-   O
operatively   O
,   O
Kelvin   B-NAME
Graham   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
and   O
given   O
pain   O
management   O
as   O
needed   O
.   O

Tillman   B-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
and   O
was   O
discharged   O
on   O
2/20/90   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Lowery   B-NAME
in   O
one   O
week   O
.   O

Follow   O
-   O
Up   O
:   O
At   O
the   O
follow   O
-   O
up   O
visit   O
on   O
8   B-DATE
-   I-DATE
9   I-DATE
,   O
Hark   B-NAME
reported   O
feeling   O
well   O
,   O
with   O
no   O
symptoms   O
.   O

Michelle   B-NAME
Robidaux   I-NAME
advised   O
Mohammed   B-NAME
Hardy   I-NAME
to   O
gradually   O
resume   O
normal   O
activities   O
and   O
to   O
report   O
any   O
unusual   O
symptoms   O
immediately   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Charlee   B-NAME
Wall   I-NAME
Patient   O
ID   O
:   O
CI   B-ID
:   I-ID
OK:9035   I-ID
Date   O
of   O
Birth   O
:   O
1   O
Address   O
:   O
Travelers   B-LOCATION
Rest   I-LOCATION
,   O
33480   B-LOCATION
Phone   O
Number   O
:   O
50250   B-CONTACT
Employer   O
:   O
Direct   B-LOCATION
Energy   I-LOCATION
Occupation   O
:   O

Nurse   O
Practitioners   O
Primary   O
Care   O
Physician   O
:   O
Charles   B-NAME
Medical   O
Record   O
Number   O
:   O
14977163   B-ID
Admission   O
Date   O
:   O
May   B-DATE
00   I-DATE
/2023   O
Hospital   O
Name   O
:   O
Maury   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Dexter   B-NAME
Jones   I-NAME
,   O
a   O
7   O
-   O
year   O
-   O
old   O
Railroad   O
Conductors   O
and   O
Yardmasters   O
employed   O
at   O
Elementary   B-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Ontario   I-LOCATION
,   O
residing   O
in   O
Cocoa   B-LOCATION
Beach   I-LOCATION
,   O
presented   O
to   O
Monongahela   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
27/20   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headache   O
,   O
accompanied   O
by   O
photophobia   O
(   O
sensitivity   O
to   O
light   O
)   O
and   O
phonophobia   O
(   O
sensitivity   O
to   O
sound   O
)   O
.   O

Figueroa   B-NAME
also   O
mentioned   O
experiencing   O
nausea   O
,   O
with   O
occasional   O
episodes   O
of   O
vomiting   O
which   O
seems   O
to   O
exacerbate   O
during   O
physical   O
activity   O
.   O

Celine   B-NAME
Schlachter   I-NAME
's   O
headache   O
was   O
described   O
as   O
throbbing   O
and   O
unilateral   O
,   O
primarily   O
affecting   O
the   O
left   O
temple   O
.   O

John   B-NAME
Stephens   I-NAME
reported   O
a   O
similar   O
pattern   O
of   O
headache   O
in   O
their   O
family   O
history   O
,   O
primarily   O
affecting   O
their   O
mother   O
and   O
a   O
sibling   O
.   O

Ehrlich   B-NAME
,   B-NAME
Paul   I-NAME
R.   I-NAME
is   O
currently   O
under   O
the   O
care   O
of   O
Morton   B-NAME
for   O
routine   O
management   O
of   O
their   O
condition   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Habib   B-NAME
Valenzuela   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Stephen   B-NAME
Strange   I-NAME
was   O
sensitive   O
to   O
both   O
light   O
and   O
sound   O
,   O
which   O
were   O
partially   O
relieved   O
by   O
lying   O
in   O
a   O
dark   O
,   O
quiet   O
room   O
.   O

Treatment   O
:   O
Sincere   B-NAME
Snow   I-NAME
was   O
administered   O
intravenous   O
fluids   O
,   O
along   O
with   O
Metoclopramide   O
for   O
nausea   O
and   O
Sumatriptan   O
for   O
acute   O
migraine   O
relief   O
.   O

Leonarda   B-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
following   O
treatment   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Quintin   B-NAME
Rangel   I-NAME
for   O
02/22/81   B-DATE
/2023   O
to   O
assess   O
Logan   B-NAME
's   O
progress   O
and   O
to   O
adjust   O
the   O
treatment   O
plan   O
if   O
necessary   O
.   O

Discharge   O
Instructions   O
:   O
Ryder   B-NAME
Chang   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
,   O
such   O
as   O
certain   O
foods   O
,   O
stress   O
,   O
and   O
irregular   O
sleep   O
patterns   O
.   O

Dana   B-NAME
Michael   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
regular   O
exercise   O
,   O
adequate   O
hydration   O
,   O
and   O
maintaining   O
a   O
migraine   O
diary   O
to   O
identify   O
potential   O
triggers   O
.   O

For   O
any   O
further   O
queries   O
or   O
in   O
case   O
of   O
an   O
emergency   O
,   O
Kimberly   B-NAME
Fox   I-NAME
was   O
instructed   O
to   O
contact   O
Metropolitan   B-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
at   O
674   B-CONTACT
9791   I-CONTACT
.   O

Albert   B-NAME
Michaels   I-NAME
's   O
Signature   O
:   O
10/24   B-DATE

Patient   O
:   O
Boyd   B-NAME
ID   O
:   O
YO:41597:101691   B-ID
Medical   O
Record   O
:   O
22478932   B-ID
Age   O
:   O
87   O
Date   O
of   O
Visit   O
:   O
0/32   B-DATE
Attending   O
Physician   O
:   O
Tubbs   B-NAME
Hospital   O
:   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Cherry   I-LOCATION
Hill   I-LOCATION
Location   O
:   O
Fults   B-LOCATION
Phone   O
:   O
(   B-CONTACT
903   I-CONTACT
)   I-CONTACT
819   I-CONTACT
3017   I-CONTACT
Username   O
:   O
rz401   B-NAME
Profession   O
:   O

Software   O
developer   O
Zip   O
code   O
:   O
97039   B-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Arafat   B-NAME
,   I-NAME
Yasser   I-NAME
,   O
a   O
90   O
-   O
year   O
-   O
old   O
actor   O
from   O
201   B-LOCATION
Anderson   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
presented   O
to   O
Platte   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
36/13/83   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
that   O
radiates   O
to   O
the   O
back   O
.   O

Brett   B-NAME
F.   I-NAME
Rutherford   I-NAME
denies   O
any   O
history   O
of   O
trauma   O
,   O
cough   O
,   O
or   O
fever   O
but   O
reports   O
a   O
recent   O
history   O
of   O
shortness   O
of   O
breath   O
with   O
exertion   O
.   O

Upon   O
examination   O
,   O
Kristina   B-NAME
Pineda   I-NAME
appeared   O
distressed   O
.   O

Given   O
the   O
critical   O
nature   O
of   O
an   O
aortic   O
dissection   O
,   O
Lilyana   B-NAME
Boyle   I-NAME
was   O
immediately   O
started   O
on   O
intravenous   O
beta   O
-   O
blockers   O
to   O
manage   O
blood   O
pressure   O
and   O
heart   O
rate   O
.   O

A   O
surgical   O
consultation   O
with   O
Duncan   B-NAME
Nicolay   I-NAME
was   O
requested   O
,   O
and   O
Jaidyn   B-NAME
Kent   I-NAME
was   O
scheduled   O
for   O
urgent   O
aortic   O
repair   O
surgery   O
.   O

The   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
were   O
discussed   O
thoroughly   O
with   O
Caden   B-NAME
Mendoza   I-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Following   O
successful   O
emergency   O
aortic   O
repair   O
,   O
Trevor   B-NAME
Morrow   I-NAME
was   O
transferred   O
to   O
the   O
ICU   O
for   O
close   O
monitoring   O
.   O

The   O
postoperative   O
period   O
was   O
uneventful   O
,   O
and   O
Gothard   B-NAME
,   I-NAME
Bill   I-NAME
demonstrated   O
significant   O
improvement   O
.   O

Frida   B-NAME
Webb   I-NAME
was   O
discharged   O
from   O
Fox   B-LOCATION
Chase   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
on   O
38/22   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
cardiac   O
surgery   O
clinic   O
in   O
two   O
weeks   O
.   O

Instructions   O
for   O
Peter   B-NAME
Goldstone   I-NAME
:   O
-   O
Monitor   O
blood   O
pressure   O
and   O
heart   O
rate   O
daily   O
.   O

-   O
Report   O
any   O
signs   O
of   O
infection   O
,   O
unusual   O
pain   O
,   O
or   O
other   O
concerning   O
symptoms   O
to   O
45257   B-CONTACT
immediately   O
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
Scheduled   O
for   O
2/32   B-DATE
with   O
Broderick   B-NAME
Holden   I-NAME
at   O
Sterling   B-LOCATION
Regional   I-LOCATION
MedCenter   I-LOCATION
,   O
Acalanes   B-LOCATION
Ridge   I-LOCATION
.   O

For   O
any   O
queries   O
or   O
to   O
reschedule   O
,   O
contact   O
891   B-CONTACT
-   I-CONTACT
7292   I-CONTACT
.   O

Patient   O
Name   O
:   O
Annabel   B-NAME
Werner   I-NAME
Patient   O
ID   O
:   O
107595   B-ID
Medical   O
Record   O
Number   O
:   O
LLGKRS   B-ID
Age   O
:   O
31   O
Phone   O
:   O
385   B-CONTACT
7444   I-CONTACT
Date   O
of   O
Birth   O
:   O
10/26/94   B-DATE
Date   O
of   O
Visit   O
:   O
January   B-DATE
28   I-DATE
,   I-DATE
2200   I-DATE
Address   O
:   O
Orwigsburg   B-LOCATION
,   O
72666   B-LOCATION

Attending   O
Physician   O
:   O
Shaylee   B-NAME
Long   I-NAME
Hospital   O
Name   O
:   O

Legacy   B-LOCATION
Meridian   I-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Profession   O
:   O
Cooks   O
,   O
Fast   O
Food   O
Username   O
:   O
klp670   B-NAME
Chief   O
Complaint   O
:   O
Jelinek   B-NAME
,   I-NAME
Fred   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
28/21/26   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
stabbing   O
,   O
worsening   O
over   O
the   O
past   O
2175   B-DATE
.   O

Additionally   O
,   O
Geagea   B-NAME
,   I-NAME
Samir   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
decreased   O
appetite   O
over   O
the   O
same   O
period   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Benton   B-NAME
C.   I-NAME
Quest   I-NAME
has   O
been   O
in   O
their   O
usual   O
state   O
of   O
health   O
until   O
approximately   O
21   B-DATE
-   I-DATE
22   I-DATE
,   O
when   O
they   O
began   O
to   O
experience   O
the   O
aforementioned   O
symptoms   O
.   O

The   O
pain   O
was   O
initially   O
mild   O
but   O
has   O
progressively   O
worsened   O
,   O
motivating   O
Queen   B-NAME
F.   I-NAME
Hodge   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

Flaminius   B-NAME
Blochberger   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
ingestions   O
.   O

Markus   B-NAME
Fitzpatrick   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Nia   B-NAME
Briggs   I-NAME
is   O
currently   O
on   O
metformin   O
and   O
lisinopril   O
.   O

Social   O
History   O
:   O
Grant   B-NAME
Linowitz   I-NAME
is   O
a   O
Lecturer   O
(   O
adult   O
education   O
)   O
,   O
does   O
not   O
smoke   O
,   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kareem   B-NAME
Wilcox   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
:   O
Laboratory   O
studies   O
ordered   O
by   O
Stanley   B-NAME
Riverside   I-NAME
II   I-NAME
on   O
2153   B-DATE
included   O
a   O
complete   O
blood   O
count   O
,   O
which   O
was   O
within   O
normal   O
limits   O
,   O
and   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
/   O
pelvis   O
with   O
contrast   O
which   O
highlighted   O
an   O
inflammation   O
of   O
the   O
appendix   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Given   O
the   O
severity   O
and   O
progression   O
of   O
symptoms   O
,   O
Frost   B-NAME
recommended   O
surgical   O
intervention   O
.   O

Plan   O
:   O
Suzuka   B-NAME
,   I-NAME
Shunryu   I-NAME
was   O
counseled   O
on   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
,   O
and   O
Boswell   B-NAME
,   I-NAME
James   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
1   B-DATE
-   I-DATE
21   I-DATE
at   O
Alvarado   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Post   O
-   O
operative   O
instructions   O
and   O
follow   O
-   O
up   O
care   O
were   O
discussed   O
in   O
detail   O
with   O
Kurtz   B-NAME
,   I-NAME
Katherine   I-NAME
.   O

The   O
patient   O
was   O
advised   O
to   O
call   O
the   O
clinic   O
at   O
696   B-CONTACT
417   I-CONTACT
6349   I-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
for   O
any   O
concerns   O
or   O
in   O
case   O
of   O
worsening   O
symptoms   O
prior   O
to   O
the   O
surgery   O
date   O
.   O

Patient   O
Name   O
:   O
Keegan   B-NAME
Pennington   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
1929271   I-ID
Date   O
of   O
Birth   O
:   O
2011   B-DATE
Age   O
:   O
0   O
month   O
Address   O
:   O
White   B-LOCATION
Horse   I-LOCATION
,   O
56757   B-LOCATION
Phone   O
Number   O
:   O
206   B-CONTACT
-   I-CONTACT
898   I-CONTACT
-   I-CONTACT
4037   I-CONTACT
Occupation   O
:   O
Molding   O
and   O
Casting   O
Workers   O
Primary   O
Physician   O
:   O

Kemp   B-NAME
Medical   O
Record   O
Number   O
:   O
85538484   B-ID
Date   O
of   O
Visit   O
:   O
08/31/12   B-DATE
Hospital   O
:   O

Silver   B-LOCATION
Oak   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Raphael   B-NAME
Buckley   I-NAME
,   O
a   O
Security   O
Guards   O
from   O
Melksham   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Tallahassee   B-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
on   O
02/00/26   B-DATE
complaining   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
.   O

There   O
were   O
no   O
reported   O
incidents   O
of   O
vomiting   O
,   O
but   O
Norris   B-NAME
experienced   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Leah   B-NAME
Neal   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

Social   O
History   O
:   O
Eneida   B-NAME
Bernieri   I-NAME
reported   O
being   O
a   O
nonsmoker   O
and   O
drinks   O
alcohol   O
occasionally   O
.   O

Ernesto   B-NAME
Meyer   I-NAME
works   O
as   O
a   O
Orthoptists   O
,   O
which   O
involves   O
moderate   O
physical   O
activity   O
.   O

On   O
examination   O
,   O
Tannen   B-NAME
,   I-NAME
Deborah   I-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Sullivan   B-NAME
was   O
admitted   O
to   O
Wayne   B-LOCATION
HealthCare   I-LOCATION
and   O
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Rollins   B-NAME
on   O
37/17/2040   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
D.   B-NAME
EMON   I-NAME
DUBOIS   I-NAME
was   O
discharged   O
on   O
21   B-DATE
-   I-DATE
Nov-00   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
level   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dario   B-NAME
Jenkins   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
Regena   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
surgical   O
clinic   O
on   O
March   B-DATE
4   I-DATE
for   O
wound   O
check   O
and   O
evaluation   O
of   O
post   O
-   O
operative   O
recovery   O
.   O

Summary   O
:   O
This   O
report   O
documents   O
the   O
presentation   O
,   O
diagnosis   O
,   O
management   O
,   O
and   O
discharge   O
of   O
Devan   B-NAME
Chandler   I-NAME
,   O
a   O
18   O
-   O
year   O
-   O
old   O
Camera   O
operator   O
from   O
Las   B-LOCATION
Maravillas   I-LOCATION
,   O
who   O
successfully   O
underwent   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
at   O
Noble   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
WOODRUFF   B-NAME
,   I-NAME
FERNE   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
5292740   I-ID
Date   O
of   O
Birth   O
:   O
2/3   B-DATE
Phone   O
:   O
545   B-CONTACT
207   I-CONTACT
6526   I-CONTACT
Address   O
:   O
West   B-LOCATION
Monroe   I-LOCATION
,   O
46532   B-LOCATION
Physician   O
:   O

Fisher   B-NAME
Steele   I-NAME
Medical   O
Record   O
Number   O
:   O
9463966   B-ID
Date   O
of   O
Visit   O
:   O
2248   B-DATE
Hospital   O
:   O

UPMC   B-LOCATION
Susquehanna   I-LOCATION
Soldiers   I-LOCATION
+   I-LOCATION
Sailors   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Heather   B-NAME
Hodges   I-NAME
,   O
a   O
30   O
-   O
year   O
-   O
old   O
Teacher   O
(   O
primary   O
)   O
,   O
presents   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
,   O
bilateral   O
lower   O
extremity   O
weakness   O
and   O
paresthesias   O
.   O

Additionally   O
,   O
Sharpton   B-NAME
,   I-NAME
Al   I-NAME
reports   O
associated   O
fatigue   O
and   O
intermittent   O
episodes   O
of   O
blurred   O
vision   O
.   O

Medical   O
History   O
:   O
Kepa   B-NAME
,   B-NAME
Ro   I-NAME
Teimumu   I-NAME
's   O
past   O
medical   O
history   O
is   O
remarkable   O
for   O
hypothyroidism   O
,   O
managed   O
with   O
medication   O
,   O
and   O
a   O
diagnosed   O
episode   O
of   O
optic   O
neuritis   O
in   O
31   B-DATE
-   I-DATE
20   I-DATE
.   O

The   O
occurrence   O
of   O
optic   O
neuritis   O
in   O
3   B-DATE
-   I-DATE
6   I-DATE
,   O
combined   O
with   O
the   O
current   O
neurological   O
symptoms   O
,   O
raises   O
a   O
high   O
suspicion   O
for   O
MS   O
.   O
Management   O
and   O
Recommendations   O
:   O
Immediate   O
referral   O
to   O
a   O
neurologist   O
at   O
UPMC   B-LOCATION
McKeesport   I-LOCATION
for   O
further   O
evaluation   O
,   O
including   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
and   O
spine   O
,   O
is   O
recommended   O
to   O
assess   O
for   O
demyelinating   O
lesions   O
characteristic   O
of   O
MS   O
.   O

Julene   B-NAME
Bierbaum   I-NAME
has   O
been   O
instructed   O
on   O
the   O
importance   O
of   O
maintaining   O
a   O
healthy   O
lifestyle   O
,   O
including   O
regular   O
exercise   O
,   O
a   O
balanced   O
diet   O
,   O
and   O
adequate   O
sleep   O
,   O
to   O
potentially   O
mitigate   O
symptom   O
progression   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
13/13   B-DATE
to   O
review   O
diagnostic   O
findings   O
and   O
formulate   O
a   O
comprehensive   O
management   O
plan   O
.   O

The   O
patient   O
has   O
been   O
provided   O
with   O
the   O
contact   O
information   O
for   O
the   O
MS   O
society   O
in   O
Joseph   B-LOCATION
for   O
additional   O
support   O
and   O
resources   O
.   O

Notes   O
Prepared   O
by   O
:   O
pnv338   B-NAME
Contact   O
Number   O
for   O
Follow   O
-   O
Up   O
:   O
13546   B-CONTACT
Labor   B-LOCATION
movement   I-LOCATION

Markus   B-NAME
Mckee   I-NAME
Age   O
:   O
7   O
Date   O
of   O
Birth   O
:   O
1614   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
15   I-DATE
Address   O
:   O
Guttenberg   B-LOCATION
,   O
30966   B-LOCATION
Phone   O
Number   O
:   O
66338   B-CONTACT
Occupation   O
:   O
Petroleum   O
Pump   O
System   O
Operators   O
,   O
Refinery   O
Operators   O
,   O
and   O
Gaugers   O
Emergency   O
Contact   O
:   O
KL66   B-NAME
,   O
(   B-CONTACT
529   I-CONTACT
)   I-CONTACT
769   I-CONTACT
-   I-CONTACT
9818   I-CONTACT
Medical   O
Record   O
Number   O
:   O
9212189   B-ID
Social   O
Security   O
Number   O
:   O
BB   B-ID
:   I-ID
MG:1232   I-ID
Clinical   O
Summary   O
:   O
Maximilian   B-NAME
Harris   I-NAME
was   O
admitted   O
to   O
Carolina   B-LOCATION
Pines   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
may   B-DATE
25   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Willena   B-NAME
Dameron   I-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
and   O
mild   O
fever   O
.   O

Medical   O
History   O
:   O
Tristen   B-NAME
Crawford   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
beta   O
-   O
blockers   O
.   O

Family   O
history   O
includes   O
heart   O
disease   O
in   O
Diamond   B-NAME
Terrell   I-NAME
's   O
father   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Turtledove   B-NAME
,   I-NAME
Harry   I-NAME
appeared   O
distressed   O
with   O
pain   O
.   O

Abbott   B-NAME
recommended   O
consultation   O
with   O
a   O
gastroenterologist   O
for   O
further   O
evaluation   O
and   O
management   O
of   O
gallstones   O
.   O

Disposition   O
:   O
Karrack   B-NAME
Darrup   I-NAME
responded   O
well   O
to   O
the   O
initial   O
treatment   O
and   O
showed   O
significant   O
improvement   O
in   O
symptoms   O
over   O
the   O
next   O
48   O
hours   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
the   O
gastroenterology   O
department   O
for   O
02/2218   B-DATE
at   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Duluth   I-LOCATION
to   O
discuss   O
the   O
management   O
of   O
gallstones   O
and   O
prevention   O
of   O
future   O
episodes   O
of   O
pancreatitis   O
.   O

Doctor   O
's   O
Name   O
:   O
Durham   B-NAME
Hospital   O
:   O
Bayfront   B-LOCATION
Health   I-LOCATION
Port   I-LOCATION
Charlotte   I-LOCATION
Date   O
of   O
Visit   O
:   O
05/11/2105   B-DATE
Note   O
:   O
The   O
information   O
provided   O
in   O
this   O
patient   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
medical   O
use   O
only   O
.   O
---   O
All   O
PHI   O
has   O
been   O
replaced   O
with   O
corresponding   O
labels   O
as   O
per   O
the   O
guidelines   O
provided   O
.   O

Patient   O
Name   O
:   O
Maribel   B-NAME
Mason   I-NAME
Age   O
:   O
36   O
Date   O
of   O
Admission   O
:   O
32/2396   B-DATE
Hospital   O
:   O
Cottage   B-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
10626015   B-ID
I   O
d   O
Number   O
:   O
10   B-ID
-   I-ID
2013568   I-ID
Residence   O
:   O
Upland   B-LOCATION
,   O
18065   B-LOCATION

Villegas   B-NAME
Employer   O
:   O
City   B-LOCATION
of   I-LOCATION
Seaford   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O
Toxicologist   O
Contact   O
Number   O
:   O
180   B-CONTACT
-   I-CONTACT
9230   I-CONTACT
Username   O
:   O
OK472   B-NAME
Clinical   O
Summary   O
:   O
Waters   B-NAME
,   O
a   O
5   O
-   O
year   O
-   O
old   O
Automotive   O
engineer   O
employed   O
by   O
Ravenswood   B-LOCATION
Bank   I-LOCATION
,   O
residing   O
in   O
Floyd   B-LOCATION
,   O
87135   B-LOCATION
,   O
was   O
admitted   O
to   O
Medical   B-LOCATION
University   I-LOCATION
of   I-LOCATION
South   I-LOCATION
Carolina   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
28/11   B-DATE
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

On   O
physical   O
examination   O
,   O
Nero   B-NAME
(   I-NAME
Emperor   I-NAME
)   I-NAME
manifested   O
rebound   O
tenderness   O
at   O
McBurney   O
's   O
point   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
,   O
alongside   O
mild   O
tachycardia   O
.   O

Dr.   O
Mendez   B-NAME
,   O
the   O
attending   O
physician   O
,   O
recommended   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Given   O
the   O
confirmed   O
diagnosis   O
and   O
the   O
severity   O
of   O
Phoenix   B-NAME
Reynolds   I-NAME
's   O
symptoms   O
,   O
the   O
medical   O
team   O
,   O
led   O
by   O
Dr.   O
Holland   B-NAME
,   O
advised   O
proceeding   O
with   O
an   O
appendectomy   O
.   O

OTTO   B-NAME
,   I-NAME
SUZANNE   I-NAME
reported   O
significant   O
pain   O
relief   O
and   O
improvement   O
in   O
symptoms   O
following   O
the   O
surgery   O
.   O

Mikayla   B-NAME
Stanton   I-NAME
was   O
advised   O
on   O
postoperative   O
care   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
12/22/2343   B-DATE
weeks   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
3/03/70   B-DATE
with   O
instructions   O
to   O
contact   O
the   O
hospital   O
at   O
587   B-CONTACT
2406   I-CONTACT
for   O
any   O
concerns   O
or   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
severe   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
wound   O
infection   O
develop   O
.   O

The   O
collaborative   O
efforts   O
of   O
the   O
healthcare   O
team   O
at   O
Emory   B-LOCATION
Johns   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
ensured   O
a   O
favorable   O
outcome   O
for   O
Singleton   B-NAME
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
regarding   O
Victor   B-NAME
Ashley   I-NAME
's   O
condition   O
,   O
Dr.   O
Koontz   B-NAME
,   I-NAME
Dean   I-NAME
R.   I-NAME
can   O
be   O
reached   O
through   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Topeka   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
at   O
226   B-CONTACT
518   I-CONTACT
1723   I-CONTACT
.   O

Please   O
reference   O
Robert   B-NAME
Villasenor   I-NAME
's   O
medical   O
record   O
number   O
1163566   B-ID
for   O
all   O
communications   O
.   O

The   O
patient   O
,   O
Dexter   B-NAME
Ellis   I-NAME
,   O
a   O
Carpenters   O
from   O
Kickapoo   B-LOCATION
,   O
with   O
no   O
previous   O
history   O
of   O
chronic   O
diseases   O
,   O
was   O
admitted   O
to   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
Hospital   I-LOCATION
on   O
2/27   B-DATE
presenting   O
with   O
acute   O
abdominal   O
pain   O
,   O
characterized   O
as   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
centrally   O
located   O
around   O
the   O
umbilicus   O
.   O

Dr.   O
Rosario   B-NAME
,   O
the   O
attending   O
physician   O
,   O
noted   O
the   O
patient   O
's   O
temperature   O
was   O
elevated   O
at   O
38.5   O
°   O
C   O
(   O
20s   O
accurate   O
measurement   O
)   O
,   O
suggesting   O
the   O
presence   O
of   O
an   O
infectious   O
or   O
inflammatory   O
process   O
.   O

Laboratory   O
tests   O
ordered   O
on   O
25   B-DATE
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
showing   O
a   O
raised   O
white   O
cell   O
count   O
of   O
15,000   O
/   O
uL   O
,   O
typical   O
of   O
an   O
infection   O
.   O

The   O
patient   O
's   O
6548456   B-ID
noted   O
no   O
known   O
drug   O
allergies   O
or   O
previous   O
hospitalizations   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Dr.   O
Cochran   B-NAME
,   O
decided   O
on   O
surgical   O
intervention   O
,   O
specifically   O
an   O
appendectomy   O
,   O
which   O
was   O
successfully   O
carried   O
out   O
on   O
00/22/1848   B-DATE
.   O

The   O
patient   O
Simon   B-NAME
,   I-NAME
Willie   I-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
and   O
signs   O
of   O
potential   O
complications   O
to   O
monitor   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Hoffman   B-NAME
at   O
Bronson   B-LOCATION
Battle   I-LOCATION
Creek   I-LOCATION
for   O
33/22   B-DATE
,   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Contact   O
information   O
for   O
any   O
further   O
queries   O
or   O
emergency   O
situations   O
was   O
provided   O
,   O
including   O
the   O
hospital   O
's   O
main   O
line   O
(   B-CONTACT
608   I-CONTACT
)   I-CONTACT
583   I-CONTACT
-   I-CONTACT
1571   I-CONTACT
and   O
the   O
direct   O
line   O
to   O
the   O
surgical   O
department   O
at   O
881   B-CONTACT
-   I-CONTACT
9921   I-CONTACT
.   O

The   O
patient   O
Melton   B-NAME
was   O
discharged   O
on   O
26/15/2304   B-DATE
,   O
with   O
detailed   O
discharge   O
instructions   O
and   O
prescriptions   O
.   O

The   O
collaborative   O
effort   O
of   O
the   O
medical   O
staff   O
at   O
Palestine   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
East   I-LOCATION
,   O
along   O
with   O
the   O
efficient   O
use   O
of   O
diagnostic   O
tools   O
,   O
contributed   O
significantly   O
to   O
the   O
positive   O
outcome   O
for   O
the   O
patient   O
Elaine   B-NAME
Barber   I-NAME
.   O

For   O
any   O
inquiries   O
or   O
additional   O
information   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
Medical   B-LOCATION
City   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
at   O
321   B-CONTACT
-   I-CONTACT
7642   I-CONTACT
,   O
referencing   O
the   O
case   O
96841284   B-ID
.   O

Patient   O
Name   O
:   O
Krystal   B-NAME
Ayers   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
7366655   I-ID
Date   O
of   O
Birth   O
:   O
12   B-DATE
-   I-DATE
9   I-DATE
Age   O
:   O
69   O
Medical   O
Record   O
Number   O
:   O
3013619   B-ID
Phone   O
Number   O
:   O
258   B-CONTACT
460   I-CONTACT
-   I-CONTACT
2376   I-CONTACT
Address   O
:   O
Seattle   B-LOCATION
,   O
48129   B-LOCATION
Employer   O
:   O
International   B-LOCATION
Freedom   I-LOCATION
of   I-LOCATION
Expression   I-LOCATION
Exchange   I-LOCATION
Occupation   O
:   O
Transformer   O
Repairers   O
Primary   O
Care   O
Physician   O
:   O

Shea   B-NAME
Date   O
of   O
Visit   O
:   O
33/32/2152   B-DATE
Hospital   O
:   O
Lawrence+Memorial   B-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Isaac   B-NAME
Upson   I-NAME
presents   O
to   O
the   O
clinic   O
with   O
a   O
complaint   O
of   O
persistent   O
epigastric   O
pain   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
two   O
months   O
.   O

Galerius   B-NAME
Filary   I-NAME
reports   O
that   O
the   O
pain   O
becomes   O
more   O
pronounced   O
after   O
meals   O
and   O
at   O
night   O
.   O

Additionally   O
,   O
Evangeline   B-NAME
Wolf   I-NAME
has   O
experienced   O
unintended   O
weight   O
loss   O
of   O
approximately   O
37   O
pounds   O
over   O
the   O
last   O
two   O
months   O
,   O
alongside   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
.   O

Medical   O
History   O
:   O
Fiona   B-NAME
Barber   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Floy   B-NAME
Light   I-NAME
denies   O
the   O
use   O
of   O
alcohol   O
,   O
tobacco   O
,   O
or   O
illicit   O
drugs   O
.   O

On   O
examination   O
,   O
Giles   B-NAME
appears   O
cachectic   O
.   O

Jimena   B-NAME
Donaldson   I-NAME
has   O
been   O
advised   O
to   O
adopt   O
a   O
bland   O
diet   O
,   O
avoid   O
NSAIDs   O
,   O
and   O
is   O
prescribed   O
a   O
proton   O
pump   O
inhibitor   O
for   O
symptom   O
management   O
pending   O
further   O
evaluation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Saturday   B-DATE
to   O
review   O
test   O
results   O
and   O
to   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Jeffery   B-NAME
Ali   I-NAME
can   O
reach   O
the   O
clinic   O
at   O
(   B-CONTACT
176   I-CONTACT
)   I-CONTACT
774   I-CONTACT
1700   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
27872874   B-ID
Name   O
:   O
Allison   B-NAME
Reed   I-NAME
Age   O
:   O
10   O
month   O
Phone   O
Number   O
:   O
77724   B-CONTACT
Admission   O
Date   O
:   O
02/2127   B-DATE
/2023   O
Release   O
Date   O
:   O
February   B-DATE
01   I-DATE
/2023   O

Attending   O
Doctor   O
:   O
Levine   B-NAME
Hospital   O
:   O
Athens   B-LOCATION
-   I-LOCATION
Limestone   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Bay   B-LOCATION
Pines   I-LOCATION
Zip   O
Code   O
:   O
81687   B-LOCATION
Employer   O
:   O
Bi   B-LOCATION
-   I-LOCATION
Mart   I-LOCATION
Profession   O
:   O

Clinical   O
cytogeneticist   O
Presentation   O
:   O
Ethan   B-NAME
Carter   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Virginia   B-LOCATION
Mason   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/38/2111   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Past   O
Medical   O
History   O
:   O
Duncan   B-NAME
Nicolay   I-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
previous   O
surgeries   O
.   O

Keagan   B-NAME
Morrison   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
coronary   O
artery   O
disease   O
,   O
but   O
there   O
are   O
no   O
known   O
gastrointestinal   O
diseases   O
in   O
immediate   O
relatives   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Alexander   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Treatment   O
:   O
The   O
surgical   O
team   O
,   O
led   O
by   O
Ho   B-NAME
,   O
was   O
consulted   O
,   O
and   O
Dreiser   B-NAME
,   I-NAME
Theodore   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
2/03   B-DATE
/2023   O
without   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Melvin   B-NAME
Rosales   I-NAME
showed   O
significant   O
improvement   O
post   O
-   O
surgery   O
and   O
was   O
discharged   O
on   O
32/33   B-DATE
/2023   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
antibiotic   O
therapy   O
completion   O
,   O
and   O
follow   O
-   O
up   O
with   O
Newton   B-NAME
in   O
two   O
weeks   O
for   O
a   O
postoperative   O
check   O
-   O
up   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O
Conclusion   O
:   O
This   O
case   O
highlights   O
the   O
importance   O
of   O
timely   O
recognition   O
and   O
surgical   O
intervention   O
in   O
acute   O
appendicitis   O
to   O
prevent   O
complications   O
.   O

George   B-NAME
Avery   I-NAME
's   O
recovery   O
trajectory   O
is   O
anticipated   O
to   O
be   O
favorable   O
with   O
adherence   O
to   O
postoperative   O
instructions   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
Addyson   B-NAME
Shelton   I-NAME
's   O
condition   O
,   O
please   O
contact   O
Lifecare   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Chester   I-LOCATION
County   I-LOCATION
's   O
main   O
line   O
at   O
225   B-CONTACT
4425   I-CONTACT
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
(   O
ozt683   B-NAME
)   O
at   O
(   B-CONTACT
922   I-CONTACT
)   I-CONTACT
712   I-CONTACT
-   I-CONTACT
8700   I-CONTACT
and   O
delete   O
this   O
report   O
from   O
your   O
system   O
.   O

Patient   O
Name   O
:   O
Dalton   B-NAME
Date   O
of   O
Birth   O
:   O
03/06   B-DATE
Age   O
:   O
10   O
Phone   O
:   O
(   B-CONTACT
581   I-CONTACT
)   I-CONTACT
892   I-CONTACT
-   I-CONTACT
7104   I-CONTACT
Medical   O
Record   O
Number   O
:   O
86866417   B-ID
Address   O
:   O
Harrison   B-LOCATION
,   O
23533   B-LOCATION

Daley   B-NAME
,   I-NAME
Richard   I-NAME
J.   I-NAME
Hospital   O
:   O
Longmont   B-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/02   B-DATE
Date   O
of   O
Discharge   O
:   O
28/31   B-DATE
Chief   O
Complaint   O
:   O
Watkins   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Abrazo   B-LOCATION
West   I-LOCATION
Campus   I-LOCATION
on   O
34/32/73   B-DATE
complaining   O
of   O
severe   O
,   O
persistent   O
headaches   O
and   O
episodes   O
of   O
visual   O
disturbances   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Accompanying   O
symptoms   O
included   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
,   O
which   O
have   O
significantly   O
impaired   O
Abagail   B-NAME
Donovan   I-NAME
's   O
daily   O
activities   O
.   O

Annabel   B-NAME
Bonilla   I-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Landscaping   O
Workers   O
,   O
reported   O
the   O
inability   O
to   O
focus   O
at   O
work   O
due   O
to   O
the   O
severity   O
of   O
the   O
symptoms   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Edward   B-NAME
Roivas   I-NAME
has   O
experienced   O
mild   O
,   O
intermittent   O
headaches   O
in   O
the   O
past   O
,   O
typically   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Otha   B-NAME
Rush   I-NAME
denies   O
any   O
history   O
of   O
similar   O
episodes   O
in   O
the   O
family   O
.   O

General   O
:   O
Mcmillan   B-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
no   O
acute   O
distress   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
differential   O
diagnosis   O
for   O
Patricia   B-NAME
's   O
symptoms   O
includes   O
migraine   O
with   O
aura   O
,   O
tension   O
-   O
type   O
headache   O
,   O
and   O
cluster   O
headaches   O
.   O

Pain   O
management   O
and   O
nausea   O
control   O
are   O
also   O
prioritized   O
for   O
Yadiel   B-NAME
Schwartz   I-NAME
's   O
comfort   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
02/12/89   B-DATE
to   O
review   O
the   O
MRI   O
results   O
and   O
discuss   O
a   O
comprehensive   O
management   O
plan   O
based   O
on   O
the   O
specialist   O
’s   O
evaluation   O
.   O

Outpatient   O
Instructions   O
:   O
Null   B-NAME
is   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
onset   O
,   O
duration   O
,   O
associated   O
symptoms   O
,   O
and   O
any   O
triggers   O
.   O

Follow   O
-   O
up   O
:   O
2/37   B-DATE
with   O
Rowan   B-NAME
Santiago   I-NAME
at   O
Boca   B-LOCATION
Raton   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Texas   B-LOCATION
Health   I-LOCATION
Resources   I-LOCATION
Allen   I-LOCATION
at   O
639   B-CONTACT
-   I-CONTACT
8407   I-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
use   O
by   O
Jasmin   B-NAME
Conrad   I-NAME
and   O
the   O
medical   O
team   O
at   O
Located   B-LOCATION
within   I-LOCATION
Sinai   I-LOCATION
-   I-LOCATION
Grace   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Mcbride   B-NAME
Patient   O
ID   O
:   O
CQ:96090:833890   B-ID
Medical   O
Record   O
Number   O
:   O
12799506   B-ID
Age   O
:   O
15s   O
Address   O
:   O

First   B-LOCATION
Mesa   I-LOCATION
,   O
73436   B-LOCATION
Phone   O
Number   O
:   O
213   B-CONTACT
8585   I-CONTACT
Profession   O
:   O

Court   O
Clerks   O
Primary   O
Care   O
Doctor   O
:   O
Castaneda   B-NAME
Hospital   O
:   O
Orlando   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Lake   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
22/21/35   B-DATE
Username   O
:   O
NN260   B-NAME
Summary   O
:   O
Spencer   B-NAME
Truman   I-NAME
,   O
a   O
Financial   O
Managers   O
residing   O
in   O
Hickam   B-LOCATION
Housing   I-LOCATION
,   O
18768   B-LOCATION
,   O
presented   O
to   O
University   B-LOCATION
Hospitals   I-LOCATION
Elyria   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/13/12   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Idalee   B-NAME
also   O
reported   O
associated   O
nausea   O
without   O
vomiting   O
,   O
and   O
an   O
inability   O
to   O
find   O
a   O
comfortable   O
resting   O
position   O
due   O
to   O
the   O
intensity   O
of   O
the   O
pain   O
.   O

Upon   O
physical   O
examination   O
,   O
Chambers   B-NAME
,   I-NAME
Oswald   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
temperature   O
37.8   O
°   O
C   O
,   O
and   O
respiratory   O
rate   O
18   O
breaths   O
per   O
minute   O
.   O

Blood   O
tests   O
showed   O
a   O
slight   O
leukocytosis   O
,   O
and   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Paige   B-NAME
Mitchell   I-NAME
,   O
indicated   O
signs   O
consistent   O
with   O
acute   O
diverticulitis   O
without   O
complication   O
.   O

Lillian   B-NAME
Price   I-NAME
was   O
admitted   O
to   O
Queen   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Ryleigh   B-NAME
Liu   I-NAME
for   O
management   O
.   O

Hayley   B-NAME
Byrd   I-NAME
was   O
advised   O
on   O
dietary   O
modifications   O
to   O
prevent   O
future   O
episodes   O
,   O
including   O
the   O
gradual   O
increase   O
of   O
fiber   O
intake   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Phoenix   B-NAME
Giles   I-NAME
for   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
reassess   O
the   O
condition   O
and   O
discuss   O
further   O
preventive   O
measures   O
.   O

For   O
questions   O
or   O
concerns   O
,   O
Alvarez   B-NAME
or   O
their   O
family   O
members   O
have   O
been   O
provided   O
with   O
the   O
contact   O
number   O
560   B-CONTACT
197   I-CONTACT
3598   I-CONTACT
to   O
reach   O
the   O
medical   O
team   O
at   O
Marlette   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Access   B-LOCATION
Bank   I-LOCATION
remains   O
diligent   O
in   O
protecting   O
the   O
privacy   O
and   O
security   O
of   O
our   O
patients   O
.   O

If   O
there   O
are   O
any   O
issues   O
regarding   O
the   O
management   O
of   O
personal   O
information   O
,   O
please   O
contact   O
us   O
at   O
902   B-CONTACT
-   I-CONTACT
934   I-CONTACT
6031   I-CONTACT
or   O
visit   O
our   O
office   O
at   O
Mascoutah   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Mascoutah   I-LOCATION
,   O
15692   B-LOCATION
.   O

Patient   O
Name   O
:   O
Ross   B-NAME
Jennings   I-NAME
Patient   O
ID   O
:   O
PL:9191:263676   B-ID
Date   O
of   O
Birth   O
:   O
22/10   B-DATE
Age   O
:   O
46s   O

Phone   O
Number   O
:   O
404   B-CONTACT
365   I-CONTACT
-   I-CONTACT
6628   I-CONTACT
Address   O
:   O
8221A   B-LOCATION
Carriage   I-LOCATION
St.   I-LOCATION
,   O
62147   B-LOCATION
Occupation   O
:   O

Police   O
Detectives   O
Date   O
of   O
Admission   O
:   O
2192   B-DATE
Hospital   O
:   O
PeaceHealth   B-LOCATION
Ketchikan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Attending   O
Physician   O
:   O

Mia   B-NAME
Brady   I-NAME
Medical   O
Record   O
Number   O
:   O
611   B-ID
-   I-ID
21   I-ID
-   I-ID
06   I-ID
Chief   O
Complaint   O
:   O
Hammarskjöld   B-NAME
,   I-NAME
Dag   I-NAME
was   O
admitted   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Waxahachie   I-LOCATION
on   O
32/21   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
and   O
nausea   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
a   O
Family   O
and   O
General   O
Practitioners   O
from   O
Guaynabo   B-LOCATION
,   O
reported   O
that   O
the   O
pain   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Giovanna   B-NAME
Curtis   I-NAME
denied   O
any   O
recent   O
history   O
of   O
similar   O
symptoms   O
,   O
alcohol   O
consumption   O
,   O
or   O
trauma   O
to   O
the   O
abdomen   O
.   O

Xuereb   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
.   O

Social   O
History   O
:   O
Dillon   B-NAME
is   O
a   O
Test   O
automation   O
developer   O
and   O
denies   O
tobacco   O
,   O
illicit   O
drug   O
use   O
,   O
and   O
maintains   O
a   O
moderate   O
alcohol   O
intake   O
.   O

Plan   O
:   O
-   O
Ulyssa   B-NAME
Neff   I-NAME
was   O
started   O
on   O
IV   O
fluids   O
,   O
pain   O
management   O
,   O
and   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
was   O
initiated   O
.   O

Follow   O
-   O
Up   O
:   O
Galan   B-NAME
Matsoukas   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
in   O
the   O
gastroenterology   O
clinic   O
after   O
discharge   O
for   O
reevaluation   O
and   O
management   O
of   O
pancreatitis   O
.   O

This   O
summary   O
was   O
prepared   O
by   O
:   O
tgy686   B-NAME
on   O
02/13/2143   B-DATE
.   O

Patient   O
Name   O
:   O
Mollie   B-NAME
Wyatt   I-NAME
Patient   O
571743241   B-ID
:   O
91897703   B-ID
Age   O
:   O
8   O
Address   O
:   O
Plumas   B-LOCATION
Lake   I-LOCATION
,   O
80457   B-LOCATION
Phone   O
Number   O
:   O
37194   B-CONTACT
Physician   O
:   O
Cole   B-NAME
,   I-NAME
Nat   I-NAME
"   I-NAME
King   I-NAME
"   I-NAME
Date   O
of   O
Admission   O
:   O
7/22   B-DATE
/2023   O
Hospital   O
:   O
Detroit   B-LOCATION
Receiving   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
University   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Employment   O
:   O
Compliance   O
Managers   O
at   O
Warren   B-LOCATION
Bank   I-LOCATION
Chief   O
Complaint   O
:   O
Mortez   B-NAME
Fenoff   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
on   O
23/20/2012   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Sheridan   B-NAME
,   I-NAME
Richard   I-NAME
Brinsley   I-NAME
,   O
a   O
7   O
month   O
-   O
year   O
-   O
old   O
Physical   O
Therapists   O
working   O
at   O
Gordmans   B-LOCATION
,   O
started   O
experiencing   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
on   O
22/22   B-DATE
/2023   O
,   O
which   O
progressively   O
worsened   O
leading   O
to   O
severe   O
pain   O
on   O
2/23   B-DATE
/2023   O
.   O

Marcos   B-NAME
Beasley   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
to   O
Poestenkill   B-LOCATION
or   O
consumption   O
of   O
any   O
unusual   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
Brylee   B-NAME
Jacobson   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
and   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
diet   O
and   O
oral   O
hypoglycemic   O
agents   O
.   O

Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
P.   B-NAME
Ponce   I-NAME
had   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
blood   O
pressure   O
was   O
140/90   O
mmHg   O
,   O
and   O
heart   O
rate   O
was   O
102   O
beats   O
per   O
minute   O
.   O

Abdominal   O
ultrasound   O
performed   O
on   O
02/2127   B-DATE
/2023   O
showed   O
thickening   O
of   O
the   O
appendix   O
with   O
surrounding   O
fluid   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Dr.   O
Corinne   B-NAME
Andrade   I-NAME
,   O
Shaman   B-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Follow   O
-   O
up   O
:   O
Ross   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Moon   B-NAME
at   O
Monongahela   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
02/33/07   B-DATE
/2023   O
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Social   O
History   O
:   O
Vosanibola   B-NAME
,   I-NAME
Josefa   I-NAME
,   O
a   O
painter   O
at   O
City   B-LOCATION
of   I-LOCATION
Bushnell   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
,   O
lives   O
alone   O
in   O
Graysville   B-LOCATION
.   O

Bautista   B-NAME
denies   O
smoking   O
,   O
alcohol   O
,   O
or   O
recreational   O
drug   O
use   O
.   O

There   O
is   O
a   O
sound   O
support   O
system   O
from   O
colleagues   O
and   O
friends   O
in   O
Hannahs   B-LOCATION
Mill   I-LOCATION
.   O

The   O
effective   O
coordination   O
between   O
emergency   O
department   O
staff   O
,   O
surgical   O
teams   O
,   O
and   O
nursing   O
care   O
at   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Hillcrest   I-LOCATION
Hospital   I-LOCATION
ensured   O
a   O
successful   O
outcome   O
for   O
Celine   B-NAME
Emperor   I-NAME
.   O

Patient   O
Name   O
:   O
Quinn   B-NAME
Patient   O
ID   O
:   O
UU544/9277   B-ID
Date   O
of   O
Birth   O
:   O
33/26   B-DATE
Age   O
:   O
13   O
Contact   O
Number   O
:   O
593   B-CONTACT
-   I-CONTACT
721   I-CONTACT
8956   I-CONTACT
Address   O
:   O
Mazeppa   B-LOCATION
,   O
39515   B-LOCATION
Employer   O
:   O

Dr   B-LOCATION
Hadwen   I-LOCATION
Trust   I-LOCATION
Occupation   O
:   O
Radiologic   O
Technicians   O
Medical   O
Record   O
Number   O
:   O
3162045   B-ID
Attending   O
Physician   O
:   O

Bishop   B-NAME
Date   O
of   O
Visit   O
:   O
2147   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
Hospital   O
:   O

Adventhealth   B-LOCATION
Heart   I-LOCATION
of   I-LOCATION
Florida   I-LOCATION
Clinical   O
Notes   O
:   O
The   O
patient   O
,   O
Dania   B-NAME
,   O
a   O
48   O
-   O
year   O
-   O
old   O
Midwife   O
working   O
at   O
Community   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Arizona   I-LOCATION
,   O
presented   O
to   O
Loma   B-LOCATION
Linda   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
on   O
11/21/94   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
few   O
days   O
.   O

During   O
the   O
consultation   O
,   O
Dr.   O
Rodgers   B-NAME
noted   O
that   O
the   O
patient   O
resides   O
at   O
Quinwood   B-LOCATION
,   O
an   O
area   O
currently   O
experiencing   O
a   O
high   O
incidence   O
of   O
viral   O
respiratory   O
infections   O
.   O

Upon   O
physical   O
examination   O
,   O
Benjamin   B-NAME
Hoover   I-NAME
exhibited   O
pronounced   O
respiratory   O
distress   O
,   O
including   O
wheezing   O
and   O
bilateral   O
crackles   O
observed   O
during   O
auscultation   O
.   O

A   O
high   O
-   O
resolution   O
CT   O
scan   O
recommended   O
by   O
Dr.   O
Pitts   B-NAME
revealed   O
bilateral   O
interstitial   O
infiltrates   O
,   O
suggestive   O
of   O
pneumonitis   O
.   O

Given   O
the   O
rapid   O
progression   O
of   O
symptoms   O
and   O
the   O
patient   O
's   O
declining   O
oxygen   O
saturation   O
,   O
immediate   O
hospitalization   O
at   O
Bartow   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
pulmonary   O
unit   O
was   O
advised   O
on   O
0/0   B-DATE
.   O
Blood   O
tests   O
,   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
showed   O
elevated   O
white   O
blood   O
cell   O
counts   O
,   O
indicative   O
of   O
an   O
ongoing   O
infection   O
.   O

Michael   B-NAME
was   O
started   O
on   O
empirical   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
antiviral   O
therapy   O
according   O
to   O
the   O
latest   O
guidelines   O
published   O
by   O
the   O
health   O
department   O
in   O
Pine   B-LOCATION
Mountain   I-LOCATION
Club   I-LOCATION
(   O
11/17   B-DATE
)   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
compiled   O
by   O
Dr.   O
Kenny   B-NAME
Reilly   I-NAME
from   O
the   O
electronic   O
health   O
records   O
(   O
48033497   B-ID
)   O
,   O
revealed   O
no   O
significant   O
pre   O
-   O
existing   O
conditions   O
.   O

However   O
,   O
Galloway   B-NAME
disclosed   O
a   O
history   O
of   O
smoking   O
,   O
approximately   O
half   O
a   O
pack   O
per   O
day   O
for   O
the   O
past   O
65   O
years   O
,   O
and   O
a   O
family   O
history   O
of   O
asthma   O
,   O
which   O
could   O
potentially   O
complicate   O
the   O
current   O
clinical   O
presentation   O
.   O

Plan   O
:   O
-   O
Continue   O
monitoring   O
Kyleigh   B-NAME
Alvarez   I-NAME
's   O
respiratory   O
status   O
and   O
adjust   O
oxygen   O
supplementation   O
to   O
maintain   O
SpO2   O
above   O
92   O
%   O
.   O
-   O
Await   O
results   O
of   O
the   O
PCR   O
tests   O
and   O
adjust   O
antimicrobial   O
therapy   O
based   O
on   O
specific   O
pathogen   O
identification   O
and   O
sensitivity   O
patterns   O
.   O
-   O
Consider   O
consultation   O
with   O
a   O
pulmonologist   O
if   O
the   O
patient   O
's   O
condition   O
does   O
not   O
improve   O
within   O
the   O
next   O
48   O
hours   O
.   O

-   O
Provide   O
smoking   O
cessation   O
counseling   O
and   O
explore   O
the   O
need   O
for   O
respiratory   O
rehabilitation   O
post   O
-   O
recovery   O
.   O
-   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
16/24   B-DATE
to   O
re   O
-   O
evaluate   O
Savannah   B-NAME
Ellison   I-NAME
's   O
clinical   O
status   O
and   O
discuss   O
long   O
-   O
term   O
management   O
options   O
to   O
prevent   O
recurrence   O
.   O

Patient   O
instruction   O
was   O
given   O
regarding   O
the   O
importance   O
of   O
maintaining   O
hydration   O
,   O
completing   O
the   O
prescribed   O
antibiotic   O
and   O
antiviral   O
courses   O
,   O
and   O
immediately   O
reporting   O
any   O
worsening   O
of   O
symptoms   O
to   O
WellSpan   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
via   O
the   O
emergency   O
contact   O
number   O
,   O
218   B-CONTACT
-   I-CONTACT
5717   I-CONTACT
.   O

The   O
above   O
notes   O
were   O
recorded   O
and   O
compiled   O
by   O
xts4510   B-NAME
and   O
forwarded   O
to   O
Dr.   O
Dalia   B-NAME
Hanna   I-NAME
for   O
further   O
review   O
and   O
inclusion   O
in   O
Woody   B-NAME
's   O
medical   O
records   O
(   O
4193067   B-ID
)   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Quakertown   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Wiesel   B-NAME
,   I-NAME
Elie   I-NAME
Age   O
:   O
90   O
DOB   O
:   O
December   B-DATE
2333   I-DATE
Address   O
:   O
Cleora   B-LOCATION
,   O
68887   B-LOCATION
Phone   O
:   O
10345   B-CONTACT
Profession   O
:   O
Directors-   O
Stage   O
,   O
Motion   O
Pictures   O
,   O
Television   O
,   O
and   O
Radio   O
Primary   O
Doctor   O
:   O

Skylar   B-NAME
Whitehead   I-NAME
Hospital   O
:   O

UPMC   B-LOCATION
Magee   I-LOCATION
-   I-LOCATION
Womens   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
77425574   B-ID
Patient   O
ID   O
:   O
72356382   B-ID
Admission   O
Date   O
:   O
00/25   B-DATE
Chief   O
Complaint   O
:   O
Eddie   B-NAME
Love   I-NAME
presented   O
with   O
a   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

Dunn   B-NAME
has   O
been   O
experiencing   O
these   O
symptoms   O
intermittently   O
over   O
the   O
past   O
few   O
months   O
,   O
with   O
an   O
increase   O
in   O
frequency   O
and   O
intensity   O
noted   O
over   O
the   O
last   O
two   O
weeks   O
.   O

Melody   B-NAME
Shurtz   I-NAME
has   O
been   O
under   O
significant   O
stress   O
at   O
work   O
as   O
a   O
Door   O
-   O
To   O
-   O
Door   O
Sales   O
Workers   O
,   O
News   O
and   O
Street   O
Vendors   O
,   O
and   O
Related   O
Workers   O
,   O
which   O
seems   O
to   O
precipitate   O
some   O
of   O
the   O
headache   O
episodes   O
.   O

Past   O
Medical   O
History   O
:   O
Iyana   B-NAME
Finley   I-NAME
has   O
a   O
history   O
of   O
asthma   O
and   O
eczema   O
,   O
well   O
controlled   O
with   O
medication   O
.   O

On   O
examination   O
,   O
Saul   B-NAME
,   I-NAME
John   I-NAME
Ralston   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
To   O
further   O
evaluate   O
Birrell   B-NAME
,   I-NAME
Augustine   I-NAME
's   O
condition   O
,   O
an   O
MRI   O
of   O
the   O
brain   O
was   O
ordered   O
by   O
Misael   B-NAME
Blanchard   I-NAME
,   O
which   O
did   O
not   O
reveal   O
any   O
abnormalities   O
.   O

Given   O
the   O
presentation   O
and   O
clinical   O
findings   O
,   O
Alexa   B-NAME
Castaneda   I-NAME
was   O
diagnosed   O
with   O
migraine   O
headaches   O
.   O

Mario   B-NAME
Huynh   I-NAME
was   O
also   O
advised   O
on   O
lifestyle   O
modifications   O
such   O
as   O
stress   O
management   O
techniques   O
,   O
regular   O
sleep   O
patterns   O
,   O
and   O
dietary   O
changes   O
to   O
avoid   O
known   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Turtledove   B-NAME
,   I-NAME
Harry   I-NAME
at   O
Hampton   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
for   O
22   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

Instructions   O
were   O
also   O
provided   O
to   O
Pritchard   B-NAME
to   O
monitor   O
and   O
record   O
the   O
frequency   O
and   O
severity   O
of   O
the   O
headaches   O
,   O
as   O
well   O
as   O
any   O
potential   O
adverse   O
effects   O
of   O
the   O
medications   O
.   O

Contact   O
information   O
for   O
Lawrence   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lawrence   I-LOCATION
's   O
headache   O
clinic   O
was   O
provided   O
,   O
with   O
instructions   O
to   O
call   O
if   O
the   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
there   O
are   O
concerns   O
about   O
medication   O
side   O
effects   O
.   O

In   O
addition   O
,   O
Salinas   B-NAME
was   O
encouraged   O
to   O
reach   O
out   O
to   O
support   O
groups   O
associated   O
with   O
Mainstreet   B-LOCATION
Bank   I-LOCATION
for   O
additional   O
resources   O
and   O
support   O
in   O
managing   O
migraines   O
.   O

Username   O
:   O
bzz369   B-NAME
Emergency   O
Contact   O
:   O
443   B-CONTACT
-   I-CONTACT
2226   I-CONTACT

This   O
comprehensive   O
evaluation   O
and   O
treatment   O
plan   O
aims   O
to   O
manage   O
H.   B-NAME
SHAWN   I-NAME
HOWELL   I-NAME
's   O
symptoms   O
effectively   O
and   O
improve   O
the   O
overall   O
quality   O
of   O
life   O
.   O

Patient   O
Name   O
:   O
Gabrielle   B-NAME
King   I-NAME
Age   O
:   O
54   O
Date   O
of   O
Birth   O
:   O
17/36   B-DATE
Address   O
:   O
Fountain   B-LOCATION
Run   I-LOCATION
,   O
11773   B-LOCATION
Phone   O
:   O
289   B-CONTACT
-   I-CONTACT
462   I-CONTACT
-   I-CONTACT
8864   I-CONTACT
Occupation   O
:   O
Electrical   O
Parts   O
Reconditioners   O
Primary   O
Care   O
Physician   O
:   O

Wall   B-NAME
Hospital   O
:   O
Baylor   B-LOCATION
Scott   I-LOCATION
and   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Grapevine   I-LOCATION
Medical   O
Record   O
Number   O
:   O
0805B81681   B-ID
Social   O
Security   O
Number   O
:   O
84835   B-ID
Summary   O
of   O
Visit   O
:   O
Nyla   B-NAME
Bond   I-NAME
presented   O
to   O
Lake   B-LOCATION
City   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
09/31/2386   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
which   O
had   O
been   O
escalating   O
over   O
the   O
past   O
48   O
hours   O
.   O

Additionally   O
,   O
Lewis   B-NAME
,   I-NAME
C.   I-NAME
S.   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
same   O
period   O
.   O

There   O
were   O
no   O
reported   O
instances   O
of   O
diarrhea   O
,   O
but   O
Morrow   B-NAME
noted   O
a   O
slight   O
fever   O
that   O
began   O
earlier   O
on   O
the   O
morning   O
of   O
17/23/12   B-DATE
.   O

Tori   B-NAME
Rocha   I-NAME
has   O
also   O
been   O
previously   O
diagnosed   O
with   O
hypertension   O
,   O
currently   O
under   O
control   O
with   O
medication   O
.   O

The   O
patient   O
's   O
family   O
history   O
is   O
notable   O
for   O
cardiac   O
issues   O
on   O
the   O
paternal   O
side   O
,   O
but   O
there   O
are   O
no   O
known   O
hereditary   O
conditions   O
affecting   O
Colene   B-NAME
Lodi   I-NAME
's   O
current   O
complaint   O
.   O

Upon   O
examination   O
,   O
Sonny   B-NAME
Williamson   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
Pressure   O
130/85   O
mmHg   O
,   O
Heart   O
Rate   O
102   O
bpm   O
,   O
Temperature   O
100.4   O
°   O
F   O
,   O
and   O
Respiratory   O
Rate   O
18   O
breaths   O
per   O
minute   O
.   O

After   O
evaluation   O
by   O
Brynn   B-NAME
Waller   I-NAME
,   O
Parton   B-NAME
,   I-NAME
Dolly   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
immediate   O
surgical   O
consultation   O
for   O
suspected   O
acute   O
appendicitis   O
.   O

Yuliana   B-NAME
Soto   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
post   O
-   O
operative   O
wound   O
care   O
and   O
was   O
given   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
with   O
Akira   B-NAME
Brock   I-NAME
at   O
MercyOne   B-LOCATION
Primghar   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
stitch   O
removal   O
and   O
evaluation   O
of   O
recovery   O
progress   O
.   O

Follow   O
-   O
up   O
Contact   O
:   O
HOFFMAN   B-NAME
,   I-NAME
VICTOR   I-NAME
or   O
a   O
designated   O
caregiver   O
was   O
instructed   O
to   O
contact   O
Wayne   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
's   O
post   O
-   O
operative   O
care   O
line   O
at   O
(   B-CONTACT
358   I-CONTACT
)   I-CONTACT
621   I-CONTACT
-   I-CONTACT
4665   I-CONTACT
with   O
any   O
immediate   O
post   O
-   O
discharge   O
questions   O
or   O
concerns   O
.   O

Additionally   O
,   O
OCASIO   B-NAME
,   I-NAME
WANDA   I-NAME
may   O
reach   O
out   O
to   O
Mcclure   B-NAME
's   O
office   O
for   O
non   O
-   O
urgent   O
matters   O
related   O
to   O
recovery   O
or   O
to   O
schedule   O
earlier   O
follow   O
-   O
up   O
if   O
needed   O
.   O

Account   O
Number   O
for   O
Billing   O
:   O
UG   B-ID
:   I-ID
KP:8739   I-ID
Emergency   O
Contact   O
:   O
Funeral   O
Attendants   O
at   O
(   B-CONTACT
134   I-CONTACT
)   I-CONTACT
109   I-CONTACT
3852   I-CONTACT
All   O
patient   O
information   O
herein   O
is   O
strictly   O
confidential   O
and   O
is   O
only   O
to   O
be   O
accessed   O
by   O
authorized   O
medical   O
personnel   O
or   O
by   O
the   O
patient   O
upon   O
request   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Leblanc   B-NAME
Patient   O
ID   O
:   O
JR:89230:116319   B-ID
Date   O
of   O
Birth   O
:   O
03/25   B-DATE
Address   O
:   O
Miami   B-LOCATION
Gardens   I-LOCATION
,   O
89372   B-LOCATION
Phone   O
Number   O
:   O
657   B-CONTACT
171   I-CONTACT
6422   I-CONTACT
Employer   O
:   O

Princeton   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O

Ophthalmic   O
Laboratory   O
Technicians   O
Referred   O
by   O
:   O
Cailyn   B-NAME
Middleton   I-NAME
Medical   O
Record   O
Number   O
:   O
916   B-ID
-   I-ID
90   I-ID
-   I-ID
48   I-ID
-   I-ID
8   I-ID
Admission   O
Date   O
:   O
32/32   B-DATE
Discharge   O
Date   O
:   O
20/12/2082   B-DATE
Attending   O
Physician   O
:   O
Brackish   B-NAME
Okun   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Satilla   I-LOCATION
Health   I-LOCATION
Summary   O
:   O
Fitzgerald   B-NAME
,   O
a   O
10   O
month   O
-   O
year   O
-   O
old   O
Construction   O
and   O
Building   O
Inspectors   O
from   O
Atlanta   B-LOCATION
,   O
presented   O
to   O
Inova   B-LOCATION
Mount   I-LOCATION
Vernon   I-LOCATION
Hospital   I-LOCATION
on   O
32/22   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
,   O
photophobia   O
,   O
and   O
nausea   O
.   O

Nightingale   B-NAME
,   I-NAME
Florence   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
blurred   O
vision   O
.   O

Marleen   B-NAME
Lueker   I-NAME
's   O
family   O
history   O
is   O
non   O
-   O
contributory   O
.   O

Social   O
history   O
includes   O
work   O
as   O
a   O
Travel   O
Guides   O
for   O
Premier   B-LOCATION
Bank   I-LOCATION
,   O
and   O
Willard   B-NAME
Rozzell   I-NAME
denies   O
any   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Tommy   B-NAME
Richards   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Imaging   O
:   O
A   O
non   O
-   O
contrast   O
head   O
CT   O
scan   O
was   O
performed   O
on   O
02/25/2234   B-DATE
,   O
showing   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

Considering   O
the   O
persistent   O
nature   O
of   O
the   O
headaches   O
and   O
the   O
episodes   O
of   O
blurred   O
vision   O
,   O
a   O
subsequent   O
MRI   O
of   O
the   O
brain   O
with   O
and   O
without   O
contrast   O
was   O
ordered   O
by   O
Ballard   B-NAME
and   O
performed   O
on   O
2143   B-DATE
.   O

Pasty   B-NAME
Dineen   I-NAME
was   O
started   O
on   O
a   O
regimen   O
of   O
oral   O
sumatriptan   O
for   O
acute   O
attacks   O
and   O
advised   O
to   O
avoid   O
known   O
headache   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Amiyah   B-NAME
Andersen   I-NAME
in   O
the   O
neurology   O
department   O
was   O
scheduled   O
for   O
2340   B-DATE
-   I-DATE
16   I-DATE
-   I-DATE
20   I-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
to   O
discuss   O
preventive   O
strategies   O
.   O

Discharge   O
and   O
Recommendations   O
:   O
Trinity   B-NAME
Mcmillan   I-NAME
was   O
discharged   O
on   O
2266   B-DATE
with   O
prescriptions   O
for   O
sumatriptan   O
as   O
well   O
as   O
instructions   O
for   O
lifestyle   O
modifications   O
to   O
help   O
manage   O
migraine   O
triggers   O
.   O

Paul   B-NAME
Leotard   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
down   O
the   O
duration   O
,   O
severity   O
,   O
and   O
any   O
associated   O
symptoms   O
or   O
potential   O
triggers   O
of   O
migraine   O
episodes   O
.   O

Byrd   B-NAME
-   O
701   B-CONTACT
311   I-CONTACT
5569   I-CONTACT
Neurology   O
Department   O
:   O

Swedish   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
Issaquah   I-LOCATION
-   O
898   B-CONTACT
-   I-CONTACT
698   I-CONTACT
-   I-CONTACT
1657   I-CONTACT

Patient   O
Name   O
:   O
Yareli   B-NAME
Holcomb   I-NAME
Age   O
:   O
6   O
week   O
DOB   O
:   O
02/2290   B-DATE
Medical   O
Record   O
Number   O
:   O
900   B-ID
-   I-ID
96   I-ID
-   I-ID
99   I-ID
Doctor   O
:   O
Phoenix   B-NAME
Morrow   I-NAME
Treatment   O
Facility   O
:   O
Sarah   B-LOCATION
Bush   I-LOCATION
Lincoln   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Norman   B-LOCATION
Phone   O
:   O
(   B-CONTACT
569   I-CONTACT
)   I-CONTACT
248   I-CONTACT
-   I-CONTACT
7681   I-CONTACT
Occupation   O
:   O
Chemical   O
Technicians   O
Username   O
:   O
OY911   B-NAME
Zip   O
Code   O
:   O
68587   B-LOCATION
ID   O
Number   O
:   O
13268   B-ID
Clinical   O
Summary   O
:   O
Braden   B-NAME
Gamble   I-NAME
presented   O
to   O
Vanderbilt   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
10/18/42   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
had   O
begun   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Griffin   B-NAME
described   O
the   O
pain   O
as   O
constant   O
,   O
with   O
a   O
severity   O
of   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Associated   O
symptoms   O
included   O
nausea   O
without   O
vomiting   O
,   O
fever   O
measured   O
at   O
home   O
as   O
reaching   O
a   O
peak   O
of   O
38.5   O
°   O
C   O
(   O
2114   B-DATE
)   O
,   O
and   O
an   O
inability   O
to   O
pass   O
stools   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Morgan   B-NAME
,   O
a   O
Brokerage   O
Clerks   O
,   O
denied   O
any   O
recent   O
out   O
-   O
of   O
-   O
Roselawn   B-LOCATION
travel   O
,   O
known   O
exposure   O
to   O
infectious   O
agents   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Upon   O
physical   O
examination   O
,   O
Oliver   B-NAME
Oates   I-NAME
exhibited   O
signs   O
consistent   O
with   O
appendicitis   O
,   O
including   O
rebound   O
tenderness   O
at   O
McBurney   O
's   O
point   O
,   O
guarding   O
,   O
and   O
Rovsing   O
's   O
sign   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Nielsen   B-NAME
revealed   O
leukocytosis   O
with   O
a   O
left   O
shift   O
.   O

Management   O
and   O
Outcome   O
:   O
After   O
discussing   O
the   O
findings   O
and   O
treatment   O
options   O
,   O
Urquidez   B-NAME
consented   O
to   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
performed   O
on   O
2382   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
21   I-DATE
.   O

The   O
procedure   O
,   O
carried   O
out   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Danville   I-LOCATION
,   O
was   O
completed   O
without   O
complications   O
.   O

Postoperatively   O
,   O
Jaylah   B-NAME
Marsh   I-NAME
was   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O

Reagan   B-NAME
,   I-NAME
Ron   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
pain   O
by   O
post   O
-   O
operative   O
day   O
one   O
and   O
was   O
able   O
to   O
tolerate   O
a   O
liquid   O
diet   O
.   O

During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
2161   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
30   I-DATE
,   O
Perry   B-NAME
was   O
noted   O
to   O
be   O
recovering   O
well   O
,   O
with   O
no   O
symptoms   O
of   O
infection   O
or   O
complications   O
.   O

Cottle   B-NAME
's   O
sutures   O
were   O
removed   O
,   O
and   O
they   O
were   O
advised   O
on   O
wound   O
care   O
and   O
gradually   O
resuming   O
normal   O
activities   O
.   O

Conclusion   O
:   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
,   O
a   O
94   O
-   O
year   O
-   O
old   O
Infantry   O
,   O
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
through   O
laparoscopic   O
appendectomy   O
at   O
Mease   B-LOCATION
Countryside   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
prompt   O
diagnosis   O
and   O
treatment   O
by   O
Grant   B-NAME
and   O
the   O
surgical   O
team   O
led   O
to   O
a   O
favorable   O
outcome   O
.   O

Shamika   B-NAME
Kirshner   I-NAME
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
22/09   B-DATE
weeks   O
to   O
ensure   O
complete   O
recovery   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
clarification   O
,   O
please   O
contact   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Waxahachie   I-LOCATION
at   O
860   B-CONTACT
936   I-CONTACT
-   I-CONTACT
6600   I-CONTACT
or   O
refer   O
to   O
Zehr   B-NAME
's   O
medical   O
record   O
number   O
64913836   B-ID
for   O
detailed   O
information   O
.   O

Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Yuna   B-NAME
K.   I-NAME
Tripp   I-NAME
,   O
a   O
19   O
-   O
year   O
-   O
old   O
Psychiatric   O
Aides   O
from   O
7959   B-LOCATION
Rockland   I-LOCATION
Street   I-LOCATION
,   O
presents   O
to   O
the   O
Emergency   O
Department   O
(   O
ED   O
)   O
at   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Blount   I-LOCATION
on   O
July   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
vomiting   O
,   O
and   O
a   O
mild   O
fever   O
that   O
started   O
early   O
morning   O
on   O
2/2370   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Caden   B-NAME
Parks   I-NAME
describes   O
the   O
abdominal   O
pain   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Accompanying   O
the   O
abdominal   O
pain   O
,   O
Benton   B-NAME
C.   I-NAME
Quest   I-NAME
reports   O
having   O
vomited   O
at   O
least   O
four   O
times   O
since   O
the   O
onset   O
,   O
with   O
the   O
vomitus   O
being   O
bile   O
-   O
stained   O
.   O

WILKES   B-NAME
also   O
notes   O
a   O
mild   O
fever   O
,   O
for   O
which   O
no   O
thermometer   O
measurement   O
was   O
taken   O
but   O
was   O
associated   O
with   O
chills   O
.   O

Wright   B-NAME
,   I-NAME
Frank   I-NAME
Lloyd   I-NAME
was   O
seen   O
by   O
Laila   B-NAME
Buchanan   I-NAME
for   O
a   O
routine   O
check   O
-   O
up   O
in   O
5/01   B-DATE
,   O
with   O
no   O
significant   O
findings   O
.   O

Kymani   B-NAME
Barajas   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
or   O
food   O
.   O

Hull   B-NAME
is   O
a   O
Network   O
and   O
Computer   O
Systems   O
Administrators   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Shannon   B-NAME
's   O
diet   O
mainly   O
consists   O
of   O
home   O
-   O
cooked   O
meals   O
,   O
with   O
rare   O
consumption   O
of   O
fast   O
food   O
.   O

Family   O
History   O
:   O
Joe   B-NAME
Einhorn   I-NAME
reports   O
no   O
significant   O
family   O
history   O
of   O
genetic   O
disorders   O
or   O
chronic   O
diseases   O
.   O

Upon   O
examination   O
,   O
Leif   B-NAME
Aston   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
:   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
at   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
at   O
130/85   O
mmHg   O
.   O

Treatment   O
and   O
Outcome   O
:   O
Joye   B-NAME
Menas   I-NAME
was   O
admitted   O
to   O
Kootenai   B-LOCATION
Health   I-LOCATION
on   O
21/18/2324   B-DATE
under   O
the   O
care   O
of   O
Munoz   B-NAME
.   O

An   O
appendectomy   O
was   O
performed   O
on   O
2028   B-DATE
,   O
and   O
Quincy   B-NAME
Rucker   I-NAME
responded   O
well   O
to   O
the   O
surgery   O
.   O

Leatha   B-NAME
Huffaker   I-NAME
was   O
discharged   O
on   O
0/32/33   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Kramer   B-NAME
in   O
27/23   B-DATE
.   O
Follow   O
-   O
Up   O
:   O
Gomez   B-NAME
is   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgery   O
site   O
,   O
adhere   O
to   O
the   O
prescribed   O
medication   O
regimen   O
,   O
and   O
gradually   O
increase   O
physical   O
activity   O
as   O
tolerated   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
20/12   B-DATE
to   O
assess   O
recovery   O
progress   O
.   O

Conclusion   O
:   O
Brady   B-NAME
Obrien   I-NAME
,   O
a   O
59s   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Landscaping   O
,   O
Lawn   O
Service   O
,   O
and   O
Groundskeeping   O
Workers   O
from   O
Goldsboro   B-LOCATION
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
appendicitis   O
.   O

Prompt   O
diagnosis   O
and   O
surgical   O
intervention   O
resulted   O
in   O
a   O
positive   O
outcome   O
with   O
Linda   B-NAME
Trujillo   I-NAME
expected   O
to   O
make   O
a   O
full   O
recovery   O
.   O

Patient   O
Name   O
:   O
Carmelo   B-NAME
Combs   I-NAME
Medical   O
Record   O
Number   O
:   O
937   B-ID
-   I-ID
36   I-ID
-   I-ID
44   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
30/32/2002   B-DATE
Age   O
:   O
40   O
Address   O
:   O
Cowlington   B-LOCATION
,   O
96565   B-LOCATION
Phone   O
Number   O
:   O
99381   B-CONTACT
Admitting   O
Doctor   O
:   O
Walton   B-NAME
Treatment   O
Facility   O
:   O
DeTar   B-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
Date   O
of   O
Admission   O
:   O
5/32   B-DATE
Employer   O
:   O
East   B-LOCATION
River   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Profession   O
:   O

Court   O
Reporters   O
ID   O
Number   O
:   O
649255   B-ID
Medical   O
History   O
and   O
Clinical   O
Findings   O
:   O
Ayanna   B-NAME
Luna   I-NAME
was   O
admitted   O
to   O
Flowers   B-LOCATION
Hospital   I-LOCATION
on   O
2/82   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
continuous   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
101.3   O
°   O
F   O
.   O

Shawanna   B-NAME
Rickey   I-NAME
reports   O
the   O
pain   O
exacerbates   O
upon   O
movement   O
.   O

Elvina   B-NAME
Mire   I-NAME
is   O
employed   O
as   O
a   O
Coroners   O
at   O
Direct   B-LOCATION
Energy   I-LOCATION
located   O
in   O
800   B-LOCATION
Prairie   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
.   O
Physical   O
examination   O
revealed   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
specifically   O
in   O
the   O
area   O
of   O
the   O
McBurney   O
's   O
point   O
,   O
positive   O
Rovsing   O
's   O
sign   O
,   O
and   O
rebound   O
tenderness   O
suggesting   O
a   O
possible   O
appendicitis   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Jose   B-NAME
Walters   I-NAME
included   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
a   O
raised   O
white   O
blood   O
cell   O
count   O
at   O
12,000   O
/   O
uL   O
,   O
indicating   O
an   O
infection   O
or   O
inflammation   O
.   O

Plan   O
of   O
Management   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
tests   O
,   O
the   O
decision   O
was   O
made   O
by   O
Dr.   O
Wolfe   B-NAME
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

Boyd   B-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
possible   O
risks   O
,   O
and   O
the   O
post   O
-   O
operative   O
recovery   O
period   O
.   O

Informed   O
consent   O
was   O
obtained   O
on   O
Christmas   B-DATE
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
2/25   B-DATE
at   O
Holyoke   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Post   O
-   O
operative   O
Instructions   O
:   O
Post   O
-   O
surgery   O
,   O
Janet   B-NAME
Marquez   I-NAME
will   O
be   O
kept   O
under   O
observation   O
for   O
24   O
hours   O
in   O
Andalusia   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Heaven   B-NAME
is   O
advised   O
to   O
follow   O
a   O
liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
operation   O
,   O
gradually   O
transitioning   O
to   O
solid   O
food   O
as   O
tolerated   O
.   O

Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Lucas   B-NAME
on   O
02/20/2068   B-DATE
at   O
Florida   B-LOCATION
to   O
assess   O
wound   O
healing   O
and   O
discuss   O
further   O
management   O
if   O
necessary   O
.   O

Instructions   O
regarding   O
wound   O
care   O
and   O
activity   O
limitations   O
were   O
provided   O
to   O
Morgan   B-NAME
Thayer   I-NAME
.   O

In   O
case   O
of   O
severe   O
pain   O
,   O
fever   O
,   O
or   O
any   O
concerns   O
post   O
-   O
operation   O
,   O
Sonja   B-NAME
Quinteros   I-NAME
is   O
advised   O
to   O
contact   O
Heritage   B-LOCATION
Valley   I-LOCATION
Beaver   I-LOCATION
at   O
(   B-CONTACT
562   I-CONTACT
)   I-CONTACT
998   I-CONTACT
-   I-CONTACT
4058   I-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
immediately   O
.   O

Patient   O
Name   O
:   O
Oliveira   B-NAME
,   I-NAME
Keith   I-NAME
Date   O
of   O
Birth   O
:   O
Friday   B-DATE
,   I-DATE
July   I-DATE
Age   O
:   O
7   O
week   O
ID   O
:   O
6   B-ID
-   I-ID
5916855   I-ID
Medical   O
Record   O
Number   O
:   O
39673423   B-ID
Address   O
:   O
Neylandville   B-LOCATION
,   O
72262   B-LOCATION
Phone   O
:   O
27682   B-CONTACT

Sloan   B-NAME
Hospital   O
:   O
Anthony   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Anthony   I-LOCATION
Date   O
of   O
Visit   O
:   O
38/26   B-DATE
Occupation   O
:   O

Crystallographer   O
Clinical   O
Notes   O
:   O
Nielsen   B-NAME
,   O
a   O
12   O
-   O
year   O
-   O
old   O
architect   O
,   O
presented   O
to   O
Flaget   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
06/05   B-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
,   O
nausea   O
,   O
and   O
dizziness   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Felipe   B-NAME
Ortega   I-NAME
also   O
reports   O
intermittent   O
episodes   O
of   O
blurred   O
vision   O
and   O
photophobia   O
.   O

In   O
addition   O
,   O
Marley   B-NAME
Osborne   I-NAME
has   O
been   O
experiencing   O
occasional   O
bouts   O
of   O
nausea   O
,   O
which   O
sometimes   O
lead   O
to   O
vomiting   O
,   O
especially   O
in   O
the   O
mornings   O
.   O

Upon   O
further   O
examination   O
,   O
it   O
was   O
noted   O
that   O
Fulvius   B-NAME
Custa   I-NAME
's   O
headaches   O
tend   O
to   O
worsen   O
with   O
sudden   O
head   O
movements   O
and   O
physical   O
activity   O
.   O

Goldberg   B-NAME
denies   O
any   O
recent   O
history   O
of   O
head   O
trauma   O
,   O
fever   O
,   O
or   O
stiff   O
neck   O
.   O

Past   O
medical   O
history   O
was   O
non   O
-   O
contributory   O
,   O
and   O
Knight   B-NAME
does   O
not   O
take   O
any   O
regular   O
medications   O
apart   O
from   O
over   O
-   O
the   O
-   O
counter   O
pain   O
relievers   O
,   O
which   O
have   O
been   O
ineffective   O
in   O
mitigating   O
the   O
headache   O
symptoms   O
.   O

Given   O
the   O
presenting   O
symptoms   O
and   O
their   O
persistence   O
,   O
a   O
series   O
of   O
diagnostic   O
tests   O
were   O
ordered   O
by   O
Oliver   B-NAME
to   O
rule   O
out   O
potential   O
underlying   O
causes   O
.   O

Vonda   B-NAME
T.   I-NAME
Ulloa   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
documenting   O
the   O
timing   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
each   O
episode   O
,   O
along   O
with   O
any   O
associated   O
symptoms   O
or   O
potential   O
triggers   O
.   O

Eloy   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
on   O
22/24/2223   B-DATE
to   O
review   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
and   O
to   O
discuss   O
further   O
management   O
based   O
on   O
the   O
findings   O
.   O

In   O
the   O
meantime   O
,   O
Sha   B-NAME
Beauparlant   I-NAME
was   O
counseled   O
on   O
lifestyle   O
modifications   O
that   O
may   O
help   O
alleviate   O
symptoms   O
,   O
including   O
hydration   O
,   O
regular   O
sleep   O
patterns   O
,   O
and   O
stress   O
management   O
techniques   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
next   O
scheduled   O
visit   O
,   O
Wordsworth   B-NAME
,   I-NAME
William   I-NAME
was   O
instructed   O
to   O
contact   O
Sycamore   B-LOCATION
Shoals   I-LOCATION
Hospital   I-LOCATION
's   O
Neurology   O
Department   O
at   O
302   B-CONTACT
5001   I-CONTACT
.   O

Follow   O
-   O
up   O
Instructions   O
:   O
-   O
Keep   O
a   O
detailed   O
headache   O
diary   O
-   O
Adhere   O
to   O
recommended   O
lifestyle   O
changes   O
-   O
Contact   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Capitol   I-LOCATION
Hill   I-LOCATION
Neurology   O
Department   O
for   O
any   O
urgent   O
concerns   O
-   O
Return   O
to   O
the   O
clinic   O
on   O
2/30   B-DATE
for   O
evaluation   O
and   O
discussion   O
of   O
test   O
results   O

This   O
patient   O
report   O
has   O
been   O
prepared   O
by   O
Church   B-NAME
,   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
,   O
on   O
6   B-DATE
-   I-DATE
23   I-DATE
.   O

For   O
further   O
information   O
,   O
please   O
refer   O
to   O
the   O
patient   O
’s   O
medical   O
record   O
number   O
036   B-ID
-   I-ID
38   I-ID
-   I-ID
09   I-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Coralee   B-NAME
Everton   I-NAME
Patient   O
ID   O
:   O
QE   B-ID
:   I-ID
MY:4364   I-ID
Age   O
:   O
2   O
Phone   O
:   O
549   B-CONTACT
-   I-CONTACT
8117   I-CONTACT
Medical   O
Record   O
Number   O
:   O
571   B-ID
-   I-ID
52   I-ID
-   I-ID
80   I-ID
Admission   O
Date   O
:   O
February   B-DATE
Location   O
:   O
Beech   B-LOCATION
Bottom   I-LOCATION
Hospital   O
:   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Duluth   I-LOCATION
Doctor   O
:   O

Reilly   B-NAME
Austin   I-NAME
Zip   O
Code   O
:   O
30459   B-LOCATION
Occupation   O
:   O

Marking   O
Clerks   O
Summary   O
:   O
Pena   B-NAME
,   O
a   O
65   O
-   O
year   O
-   O
old   O
Quality   O
Control   O
Analysts   O
from   O
Conner   B-LOCATION
,   O
presented   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Blank   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
12/07   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
that   O
has   O
been   O
increasing   O
in   O
severity   O
over   O
the   O
past   O
week   O
.   O

Desiree   B-NAME
Cannon   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
.   O

Upon   O
examination   O
,   O
Gilbert   B-NAME
noted   O
the   O
patient   O
's   O
abdomen   O
to   O
be   O
tender   O
upon   O
palpation   O
,   O
particularly   O
in   O
the   O
lower   O
quadrants   O
,   O
with   O
no   O
observable   O
distention   O
or   O
guarding   O
.   O

Diagnostic   O
imaging   O
,   O
including   O
an   O
abdominal   O
ultrasound   O
,   O
was   O
performed   O
on   O
3/21   B-DATE
,   O
which   O
indicated   O
signs   O
consistent   O
with   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Aimee   B-NAME
Delacruz   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
potential   O
appendectomy   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
,   O
obtained   O
from   O
their   O
medical   O
record   O
5910B67358   B-ID
,   O
showed   O
no   O
previous   O
surgeries   O
or   O
significant   O
health   O
issues   O
.   O

Surgical   O
consultation   O
was   O
immediately   O
arranged   O
,   O
and   O
Tova   B-NAME
was   O
prepared   O
for   O
possible   O
appendectomy   O
.   O

3   O
.   O
Pain   O
management   O
was   O
provided   O
,   O
with   O
Floyd   B-NAME
Fong   I-NAME
receiving   O
analgesics   O
to   O
alleviate   O
discomfort   O
.   O

Follow   O
-   O
up   O
:   O
Gallagher   B-NAME
(   I-NAME
Leo   I-NAME
Anthony   I-NAME
Gallagher   I-NAME
)   I-NAME
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Yoselin   B-NAME
Barry   I-NAME
at   O
Penn   B-LOCATION
State   I-LOCATION
Milton   I-LOCATION
S.   I-LOCATION
Hershey   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
02/13   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
discuss   O
further   O
treatment   O
or   O
lifestyle   O
modifications   O
necessary   O
for   O
full   O
recovery   O
.   O

Conclusion   O
:   O
This   O
report   O
documents   O
the   O
presentation   O
,   O
diagnosis   O
,   O
and   O
initial   O
management   O
plan   O
for   O
Ann   B-NAME
Cuthbert   I-NAME
,   O
a   O
85s   O
-   O
year   O
-   O
old   O
Spa   O
Managers   O
from   O
East   B-LOCATION
Lansdowne   I-LOCATION
,   O
with   O
symptoms   O
suggestive   O
of   O
appendicitis   O
.   O

For   O
any   O
queries   O
or   O
further   O
information   O
regarding   O
Overby   B-NAME
,   I-NAME
Fred   I-NAME
's   O
care   O
,   O
please   O
contact   O
Mccarty   B-NAME
at   O
320   B-CONTACT
3733   I-CONTACT
or   O
email   O
via   O
the   O
secure   O
hospital   O
portal   O
using   O
the   O
username   O
UX293   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rey   B-NAME
Roberson   I-NAME
Age   O
:   O
5   O
Date   O
of   O
Birth   O
:   O
39/10/02   B-DATE
Address   O
:   O
Leachville   B-LOCATION
,   O
98072   B-LOCATION
Phone   O
Number   O
:   O
635   B-CONTACT
9451   I-CONTACT
Occupation   O
:   O

Conveyor   O
Operators   O
and   O
Tenders   O
Primary   O
Physician   O
:   O
Spinoza   B-NAME
,   I-NAME
Baruch   I-NAME
Hospital   O
Name   O
:   O
Overlake   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
6538766   B-ID
Date   O
of   O
Visit   O
:   O
2121   B-DATE
ID   O
Number   O
:   O
QR627/2471   B-ID
Username   O
:   O
AU1012   B-NAME
Summary   O
:   O
Patient   O
Mya   B-NAME
Sweeney   I-NAME
presented   O
to   O
Kalamazoo   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
on   O
41   B-DATE
's   I-DATE
with   O
complaints   O
of   O
a   O
persistent   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
exacerbated   O
by   O
movement   O
and   O
light   O
.   O

Erica   B-NAME
Noughton   I-NAME
also   O
notes   O
a   O
stiff   O
neck   O
and   O
photophobia   O
.   O

Additionally   O
,   O
Richards   B-NAME
reported   O
a   O
low   O
-   O
grade   O
fever   O
that   O
started   O
approximately   O
one   O
day   O
prior   O
to   O
hospital   O
visit   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
Lumbar   O
puncture   O
was   O
performed   O
by   O
Aiden   B-NAME
Barber   I-NAME
with   O
sterile   O
technique   O
after   O
obtaining   O
patient   O
consent   O
.   O

Plan   O
:   O
Luz   B-NAME
Castaneda   I-NAME
has   O
recommended   O
admission   O
to   O
Bibb   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
management   O
.   O

Patient   O
Landon   B-NAME
Cochran   I-NAME
has   O
been   O
informed   O
about   O
the   O
significance   O
of   O
maintaining   O
hydration   O
and   O
resting   O
to   O
aid   O
in   O
recovery   O
.   O

Coastal   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
and   O
Appleby   B-LOCATION
Public   O
Health   O
Departments   O
have   O
been   O
notified   O
about   O
the   O
case   O
as   O
per   O
protocol   O
for   O
infectious   O
diseases   O
surveillance   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Bolívar   B-NAME
,   I-NAME
Simón   I-NAME
-   O
Age   O
:   O
15s   O
-   O
Medical   O
Record   O
No   O
.   O
:   O
53893652   B-ID
-   O
Date   O
of   O
Visit   O
:   O
2350   B-DATE
-   O
Contact   O
No   O
.   O
:   O
61350   B-CONTACT
-   O
Address   O
:   O
Irondequoit   B-LOCATION
,   O
46581   B-LOCATION
-   O
Physician   O
:   O
Rush   B-NAME
-   O
Hospital   O
:   O
HSHS   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Green   I-LOCATION
Bay   I-LOCATION
Medical   O
History   O
:   O
Magtinius   B-NAME
Fringuello   I-NAME
,   O
a   O
Information   O
scientist   O
from   O
Chewton   B-LOCATION
,   O
presented   O
with   O
a   O
history   O
of   O
chronic   O
dyspnea   O
and   O
progressive   O
fatigue   O
over   O
the   O
past   O
few   O
months   O
.   O

The   O
patient   O
reports   O
an   O
exacerbation   O
of   O
symptoms   O
over   O
the   O
last   O
week   O
,   O
characterized   O
by   O
increased   O
difficulty   O
in   O
performing   O
daily   O
activities   O
that   O
were   O
previously   O
manageable   O
.   O
Symptoms   O
:   O
-   O
Severe   O
shortness   O
of   O
breath   O
,   O
especially   O
with   O
exertion   O
-   O
Persistent   O
dry   O
cough   O
-   O
Significant   O
weight   O
loss   O
over   O
the   O
past   O
02/08/1834   B-DATE
-   O
Swelling   O
in   O
the   O
ankles   O
and   O
feet   O
-   O
Episodes   O
of   O
light   O
-   O
headedness   O
,   O
especially   O
upon   O
standing   O
Diagnostic   O
Assessment   O
:   O
Upon   O
examination   O
,   O
Moody   B-NAME
noted   O
a   O
decrease   O
in   O
breath   O
sounds   O
and   O
a   O
distinct   O
wheezing   O
during   O
the   O
respiratory   O
assessment   O
.   O

Regular   O
monitoring   O
and   O
follow   O
-   O
up   O
visits   O
scheduled   O
at   O
Sutter   B-LOCATION
Amador   I-LOCATION
Hospital   I-LOCATION
on   O
a   O
bimonthly   O
basis   O
.   O

Due   O
to   O
the   O
complexity   O
of   O
the   O
patient   O
's   O
condition   O
,   O
a   O
referral   O
to   O
a   O
pulmonology   O
specialist   O
,   O
Dr.   O
Jaiden   B-NAME
Wilcox   I-NAME
,   O
located   O
at   O
Salt   B-LOCATION
Lake   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
,   O
was   O
made   O
.   O

Additional   O
Notes   O
:   O
YERGER   B-NAME
,   I-NAME
DESEAN   I-NAME
was   O
advised   O
to   O
monitor   O
their   O
symptoms   O
closely   O
and   O
report   O
any   O
significant   O
changes   O
to   O
Susan   B-LOCATION
B.   I-LOCATION
Allen   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
immediately   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
spring   B-DATE
to   O
review   O
the   O
patient   O
's   O
response   O
to   O
the   O
treatment   O
plan   O
.   O

Pena   B-NAME
was   O
reminded   O
to   O
bring   O
a   O
list   O
of   O
all   O
current   O
medications   O
to   O
the   O
next   O
appointment   O
.   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
Orelia   B-NAME
Burns   I-NAME
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
Dawson   B-NAME
at   O
570   B-CONTACT
2551   I-CONTACT
immediately   O
.   O
End   O
of   O
Report   O

Patient   O
Name   O
:   O
Roman   B-NAME
Church   I-NAME
Age   O
:   O
69s   O
Date   O
:   O
2254   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
03   I-DATE
/2023   O
Phone   O
Number   O
:   O
(   B-CONTACT
706   I-CONTACT
)   I-CONTACT
767   I-CONTACT
6220   I-CONTACT
Location   O
:   O
Hassell   B-LOCATION
Medical   O
Record   O
Number   O
:   O
3317625   B-ID
Doctor   O
:   O
Richardson   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
St.   I-LOCATION
Clair   I-LOCATION
ID   O
Number   O
:   O
68837   B-ID
Organization   O
:   O

Grupo   B-LOCATION
de   I-LOCATION
Usuarios   I-LOCATION
de   I-LOCATION
Linux   I-LOCATION
de   I-LOCATION
Costa   I-LOCATION
Rica   I-LOCATION
Profession   O
:   O

Gas   O
Plant   O
Operators   O
Username   O
:   O
PW428   B-NAME
ZIP   O
Code   O
:   O
85013   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Leota   B-NAME
Skeens   I-NAME
,   O
presents   O
with   O
acute   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
which   O
started   O
roughly   O
6   O
hours   O
ago   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Hunter   B-NAME
Hayden   I-NAME
states   O
the   O
pain   O
was   O
mild   O
initially   O
but   O
gradually   O
intensified   O
over   O
a   O
few   O
hours   O
.   O

Fitch   B-NAME
Cooper   I-NAME
also   O
reports   O
a   O
slight   O
fever   O
,   O
though   O
no   O
measurements   O
were   O
taken   O
at   O
home   O
.   O

Cedrick   B-NAME
Kasky   I-NAME
has   O
a   O
history   O
of   O
asthma   O
managed   O
with   O
inhalers   O
and   O
seasonal   O
allergies   O
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
symptoms   O
mentioned   O
,   O
Jonathan   B-NAME
Katz   I-NAME
reports   O
no   O
changes   O
in   O
bowel   O
or   O
urinary   O
functions   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Davin   B-NAME
Nielsen   I-NAME
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
,   O
Homer   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
abdominal   O
ultrasound   O
to   O
rule   O
out   O
appendicitis   O
.   O

Plan   O
/   O
Management   O
:   O
Pending   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
,   O
Upton   B-NAME
was   O
advised   O
to   O
remain   O
fasting   O
and   O
was   O
started   O
on   O
IV   O
fluids   O
for   O
rehydration   O
.   O

Follow   O
-   O
Up   O
:   O
Starr   B-NAME
,   I-NAME
Ringo   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
Friday   B-DATE
,   I-DATE
October   I-DATE
/2023   O
or   O
immediately   O
after   O
the   O
test   O
results   O
are   O
available   O
,   O
whichever   O
comes   O
first   O
.   O

Informed   O
Consent   O
:   O
Aviles   B-NAME
was   O
explained   O
the   O
necessity   O
of   O
the   O
proposed   O
diagnostic   O
tests   O
and   O
the   O
potential   O
outcomes   O
depending   O
on   O
the   O
findings   O
.   O

Romeo   B-NAME
Horton   I-NAME
verbally   O
consented   O
to   O
the   O
management   O
plan   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
if   O
symptoms   O
worsen   O
,   O
Maximilian   B-NAME
Durham   I-NAME
is   O
advised   O
to   O
contact   O
Florida   B-LOCATION
A&M   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
at   O
538   B-CONTACT
-   I-CONTACT
890   I-CONTACT
-   I-CONTACT
3763   I-CONTACT
or   O
visit   O
the   O
Emergency   O
Department   O
.   O

Patient   O
Report   O
:   O
08/24/1739   B-DATE
/2023   O
Patient   O
Information   O
:   O
Name   O
:   O
Trevin   B-NAME
Hamilton   I-NAME
ID   O
:   O
4453436   B-ID
Date   O
of   O
Birth   O
:   O
25/08/2333   B-DATE
Age   O
:   O
90   O
Medical   O
Record   O
Number   O
:   O
516   B-ID
-   I-ID
87   I-ID
-   I-ID
59   I-ID
-   I-ID
6   I-ID
Address   O
:   O
North   B-LOCATION
Ballston   I-LOCATION
Spa   I-LOCATION
,   O
52860   B-LOCATION
Phone   O
:   O
14708   B-CONTACT
Employment   O
:   O
Farmworkers   O
,   O
Farm   O
,   O
Ranch   O
,   O
and   O
Aquacultural   O
Animals   O
Contact   O
Information   O
for   O
Family   O
Doctor   O
:   O
Dr.   O
Spears   B-NAME
at   O
414   B-CONTACT
-   I-CONTACT
8227   I-CONTACT
Summary   O
:   O
J.S.   B-NAME
Hirsch   I-NAME
,   O
a   O
30   O
-   O
year   O
-   O
old   O
Control   O
and   O
instrumentation   O
engineer   O
residing   O
in   O
Maiden   B-LOCATION
Rock   I-LOCATION
with   O
zip   O
code   O
16998   B-LOCATION
,   O
presented   O
to   O
Deer   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
exacerbated   O
by   O
movement   O
.   O

Medical   O
History   O
:   O
Phillip   B-NAME
Capra   I-NAME
has   O
a   O
history   O
of   O
mild   O
hypertension   O
and   O
is   O
currently   O
on   O
medication   O
prescribed   O
by   O
Dr.   O
Heinrich   B-NAME
von   I-NAME
Gitfinger   I-NAME
.   O

Examination   O
and   O
Diagnosis   O
:   O
Upon   O
examination   O
,   O
Cherish   B-NAME
Freeman   I-NAME
showed   O
tenderness   O
in   O
the   O
lower   O
left   O
quadrant   O
of   O
the   O
abdomen   O
.   O

A   O
comprehensive   O
abdominal   O
ultrasound   O
conducted   O
by   O
Dr.   O
Shepard   B-NAME
on   O
00   B-DATE
-   I-DATE
27   I-DATE
revealed   O
no   O
signs   O
of   O
internal   O
hemorrhage   O
or   O
abnormalities   O
in   O
the   O
liver   O
,   O
kidneys   O
,   O
and   O
spleen   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Fox   B-NAME
prescribed   O
a   O
10   O
-   O
day   O
course   O
of   O
oral   O
antibiotics   O
,   O
recommending   O
rest   O
and   O
a   O
liquid   O
diet   O
for   O
the   O
first   O
48   O
hours   O
.   O

Carleigh   B-NAME
Rowland   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
return   O
to   O
National   B-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
there   O
was   O
no   O
improvement   O
or   O
if   O
symptoms   O
worsened   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Beck   B-NAME
at   O
Medical   B-LOCATION
City   I-LOCATION
McKinney   I-LOCATION
on   O
2/22   B-DATE
.   O

Atwood   B-NAME
was   O
instructed   O
to   O
maintain   O
a   O
high   O
-   O
fiber   O
diet   O
post   O
-   O
recovery   O
and   O
consider   O
routine   O
health   O
check   O
-   O
ups   O
given   O
the   O
history   O
of   O
diverticulitis   O
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
Erica   B-NAME
Noughton   I-NAME
has   O
authorized   O
contact   O
to   O
ZS8910   B-NAME
,   O
a   O
close   O
relative   O
,   O
at   O
667   B-CONTACT
4647   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Dr.   O
Paris   B-NAME
Guzman   I-NAME
and   O
submitted   O
to   O
Bank   B-LOCATION
of   I-LOCATION
Hiawassee   I-LOCATION
on   O
16/09/81   B-DATE
.   O

Any   O
queries   O
regarding   O
this   O
report   O
should   O
be   O
directed   O
to   O
834   B-CONTACT
-   I-CONTACT
772   I-CONTACT
-   I-CONTACT
2077   I-CONTACT
or   O
mailed   O
to   O
Hacienda   B-LOCATION
Heights   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
91745   I-LOCATION
,   O
12961   B-LOCATION
.   O

Patient   O
Name   O
:   O
Trump   B-NAME
,   I-NAME
Donald   I-NAME
Patient   O
ID   O
:   O
HB:68229:178892   B-ID

Medical   O
Record   O
Number   O
:   O
0774567   B-ID
Date   O
of   O
Birth   O
:   O
18/17   B-DATE
Age   O
:   O
1   O
Phone   O
Number   O
:   O
71021   B-CONTACT
Address   O
:   O
Missoula   B-LOCATION
,   O
52526   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Denisse   B-NAME
Dennis   I-NAME
Referring   O
Organization   O
:   O

Northeast   B-LOCATION
Utilities   I-LOCATION
Location   O
of   O
Referral   O
:   O
Richton   B-LOCATION
Park   I-LOCATION
Date   O
of   O
Initial   O
Visit   O
:   O
06/02   B-DATE
Hospital   O
:   O
Comprehensive   B-LOCATION
Health   I-LOCATION
of   I-LOCATION
Planned   I-LOCATION
Parenthood   I-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
and   I-LOCATION
Mid   I-LOCATION
-   I-LOCATION
Missouri   I-LOCATION
(   I-LOCATION
PPKM   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
Clinical   O
Summary   O
:   O
Adonai   B-NAME
,   O
a   O
78   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Food   O
Preparation   O
and   O
Serving   O
Workers   O
,   O
presented   O
to   O
Brandon   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
2220   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
20   I-DATE
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Norman   B-NAME
Jewett   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
that   O
started   O
early   O
on   O
12/21   B-DATE
.   O

On   O
physical   O
examination   O
,   O
Castro   B-NAME
exhibited   O
rebound   O
tenderness   O
(   O
Blumberg   O
's   O
sign   O
)   O
and   O
the   O
Rovsing   O
's   O
sign   O
was   O
positive   O
,   O
indicating   O
irritation   O
of   O
the   O
peritoneum   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Tiffany   B-NAME
Wang   I-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
.   O

Mae   B-NAME
S.   I-NAME
Naylor   I-NAME
was   O
informed   O
of   O
the   O
risks   O
and   O
benefits   O
of   O
appendectomy   O
and   O
consented   O
to   O
the   O
procedure   O
.   O

Bertha   B-NAME
Ely   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
unremarkable   O
,   O
and   O
they   O
were   O
discharged   O
from   O
Brandywine   B-LOCATION
Hospital   I-LOCATION
on   O
6/52   B-DATE
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Hurst   B-NAME
for   O
9/33   B-DATE
to   O
monitor   O
recovery   O
and   O
address   O
any   O
concerns   O
.   O

Eden   B-NAME
Bryant   I-NAME
was   O
advised   O
to   O
contact   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Dallas   I-LOCATION
at   O
35642   B-CONTACT
in   O
case   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
other   O
symptoms   O
indicative   O
of   O
infection   O
or   O
complications   O
.   O

Brett   B-NAME
Dickerson   I-NAME
's   O
early   O
presentation   O
and   O
the   O
prompt   O
diagnostic   O
and   O
surgical   O
response   O
contributed   O
significantly   O
to   O
the   O
favorable   O
outcome   O
.   O

Prepared   O
by   O
:   O
cun58   B-NAME
Friday   B-DATE
,   I-DATE
May   I-DATE

Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Mariela   B-NAME
Manning   I-NAME
-   O
Age   O
:   O
21   O
-   O
Date   O
of   O
Birth   O
:   O
32/01   B-DATE
-   O
Contact   O
Number   O
:   O
185   B-CONTACT
323   I-CONTACT
1460   I-CONTACT
-   O
Address   O
:   O
Hoagland   B-LOCATION
,   O
82727   B-LOCATION
-   O
Occupation   O
:   O
Transit   O
and   O
Railroad   O
Police   O
-   O
Medical   O
Record   O
Number   O
:   O
4576446   B-ID
-   O
Patient   O
ID   O
:   O
66192   B-ID
Incident   O
Report   O
:   O
On   O
23/20/09   B-DATE
,   O
Lucian   B-NAME
Copeland   I-NAME
,   O
a   O
27   O
-   O
year   O
-   O
old   O
Carpenters   O
from   O
Martorell   B-LOCATION
,   O
was   O
admitted   O
to   O
Boston   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
following   O
a   O
series   O
of   O
concerning   O
symptoms   O
that   O
had   O
progressively   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Waldman   B-NAME
reported   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

Additionally   O
,   O
Sidney   B-NAME
Rios   I-NAME
mentioned   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
and   O
significant   O
weight   O
loss   O
during   O
this   O
period   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Shannon   B-NAME
presented   O
with   O
tenderness   O
in   O
the   O
upper   O
abdominal   O
quadrant   O
;   O
palpation   O
triggered   O
sharp   O
pain   O
responses   O
.   O

Alijah   B-NAME
Silva   I-NAME
,   O
the   O
attending   O
physician   O
,   O
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
blood   O
work   O
,   O
an   O
abdominal   O
ultrasound   O
,   O
and   O
an   O
endoscopy   O
to   O
determine   O
the   O
underlying   O
cause   O
of   O
the   O
symptoms   O
.   O

Treatment   O
Plan   O
:   O
Mendez   B-NAME
diagnosed   O
Londyn   B-NAME
Wong   I-NAME
with   O
acute   O
cholecystitis   O
precipitated   O
by   O
gallstones   O
and   O
concurrent   O
gastritis   O
.   O

A   O
recommendation   O
for   O
a   O
cholecystectomy   O
to   O
remove   O
the   O
gallbladder   O
,   O
scheduled   O
for   O
21/00   B-DATE
.   O
-   O
Dietary   O
guidelines   O
provided   O
to   O
ease   O
symptoms   O
of   O
gastritis   O
and   O
prevent   O
further   O
aggravation   O
before   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
Tony   B-NAME
Whitman   I-NAME
has   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Justice   B-NAME
Bryan   I-NAME
on   O
8   B-DATE
-   I-DATE
32   I-DATE
to   O
review   O
the   O
progress   O
post   O
-   O
surgery   O
and   O
to   O
discuss   O
long   O
-   O
term   O
dietary   O
adjustments   O
.   O

Josue   B-NAME
Combs   I-NAME
has   O
been   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
any   O
signs   O
of   O
complications   O
.   O

Prior   O
to   O
discharge   O
,   O
Benton   B-NAME
McAnaw   I-NAME
was   O
given   O
written   O
and   O
oral   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
and   O
was   O
informed   O
about   O
potential   O
signs   O
of   O
complications   O
to   O
monitor   O
.   O

In   O
case   O
of   O
emergency   O
or   O
further   O
inquiries   O
,   O
Hayek   B-NAME
,   I-NAME
Friedrich   I-NAME
or   O
their   O
point   O
of   O
contact   O
can   O
reach   O
Tudor   B-NAME
,   I-NAME
John   I-NAME
's   O
office   O
at   O
(   B-CONTACT
246   I-CONTACT
)   I-CONTACT
935   I-CONTACT
8657   I-CONTACT
or   O
visit   O
Hancock   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Volo   B-LOCATION
.   O

Note   O
:   O
This   O
document   O
contains   O
sensitive   O
information   O
protected   O
under   O
privacy   O
laws   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
medical   O
professionals   O
involved   O
in   O
Dalton   B-NAME
Edwards   I-NAME
's   O
care   O
.   O

Patient   O
:   O
Delcie   B-NAME
Ponder   I-NAME
Medical   O
Record   O
Number   O
:   O
6164666   B-ID
Date   O
of   O
Birth   O
:   O
12/32   B-DATE
Age   O
:   O
74   O
Address   O
:   O
Southsea   B-LOCATION
,   O
34052   B-LOCATION
Phone   O
:   O
95160   B-CONTACT
Doctor   O
:   O
Cabrera   B-NAME
Hospital   O
:   O
Johnston   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
20/16   B-DATE
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Logging   O
Workers   O
ID   O
:   O
CM:43229:175975   B-ID
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Etta   B-NAME
Cohen   I-NAME
,   O
complains   O
of   O
persistent   O
abdominal   O
pain   O
,   O
significant   O
weight   O
loss   O
without   O
trying   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
several   O
weeks   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Steve   B-NAME
Flint   I-NAME
has   O
been   O
experiencing   O
a   O
dull   O
,   O
aching   O
pain   O
in   O
the   O
lower   O
abdomen   O
for   O
approximately   O
1744   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
00   I-DATE
.   O

Alongside   O
the   O
abdominal   O
discomfort   O
,   O
Jaylynn   B-NAME
Fernandez   I-NAME
reports   O
an   O
unintentional   O
weight   O
loss   O
of   O
approximately   O
10   O
kilograms   O
over   O
the   O
last   O
two   O
months   O
.   O

There   O
have   O
also   O
been   O
alterations   O
in   O
bowel   O
habits   O
,   O
with   O
Bob   B-NAME
Merrick   I-NAME
experiencing   O
both   O
constipation   O
and   O
episodes   O
of   O
diarrhea   O
.   O

Past   O
Medical   O
History   O
:   O
Kory   B-NAME
Irby   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
in   O
02/13   B-DATE
.   O

Shawn   B-NAME
Collier   I-NAME
is   O
also   O
known   O
to   O
have   O
Hypertension   O
for   O
which   O
medications   O
are   O
regularly   O
being   O
taken   O
.   O

Imaging   O
studies   O
,   O
including   O
an   O
abdominal   O
ultrasound   O
and   O
CT   O
scan   O
,   O
have   O
been   O
suggested   O
by   O
Dr.   O
Hanson   B-NAME
to   O
further   O
evaluate   O
the   O
cause   O
of   O
the   O
symptoms   O
.   O

4   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
1620   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
09   I-DATE
to   O
review   O
test   O
results   O
and   O
revise   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Given   O
Lonnie   B-NAME
Leroy   I-NAME
George   I-NAME
Zuniga   I-NAME
's   O
complex   O
presentation   O
of   O
symptoms   O
,   O
a   O
thorough   O
and   O
systematic   O
approach   O
is   O
being   O
followed   O
to   O
ensure   O
a   O
comprehensive   O
evaluation   O
and   O
appropriate   O
management   O
plan   O
is   O
formulated   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Jessi   B-NAME
McCuan   I-NAME
Age   O
:   O
47   O
Address   O
:   O
Veguita   B-LOCATION
,   O
72429   B-LOCATION
Phone   O
:   O
(   B-CONTACT
795   I-CONTACT
)   I-CONTACT
296   I-CONTACT
8243   I-CONTACT
Occupation   O
:   O
Truck   O
Drivers   O
,   O
Light   O
or   O
Delivery   O
Services   O
Medical   O
Record   O
Number   O
:   O
3426205   B-ID
Date   O
:   O
13/21/2029   B-DATE
/2023   O
ID   O
Number   O
:   O
NN784/7574   B-ID
Medical   O
History   O
:   O
Morgan   B-NAME
,   O
a   O
28   O
-   O
year   O
-   O
old   O
Paper   O
Goods   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
residing   O
in   O
Ida   B-LOCATION
Grove   I-LOCATION
,   O
92915   B-LOCATION
,   O
presented   O
to   O
ProMedica   B-LOCATION
Monroe   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
2/23/62   B-DATE
/2023   O
with   O
complaints   O
of   O
progressive   O
dyspnea   O
,   O
fatigue   O
,   O
and   O
episodes   O
of   O
syncope   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Malcolm   B-NAME
Patton   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

At   O
presentation   O
,   O
Calhoun   B-NAME
appeared   O
acutely   O
distressed   O
with   O
notable   O
pallor   O
and   O
diaphoresis   O
.   O

Echocardiography   O
performed   O
by   O
Dr.   O
Delacruz   B-NAME
revealed   O
reduced   O
left   O
ventricular   O
ejection   O
fraction   O
(   O
LVEF   O
)   O
of   O
35   O
%   O
,   O
confirming   O
a   O
diagnosis   O
of   O
congestive   O
heart   O
failure   O
.   O

Treatment   O
:   O
Elizabeth   B-NAME
Masterson   I-NAME
was   O
admitted   O
to   O
Bethesda   B-LOCATION
Butler   I-LOCATION
Hospital   I-LOCATION
for   O
heart   O
failure   O
management   O
,   O
initiated   O
on   O
intravenous   O
diuretics   O
for   O
volume   O
overload   O
,   O
and   O
beta   O
-   O
blockers   O
to   O
optimize   O
heart   O
rate   O
control   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Constans   B-NAME
II   I-NAME
showed   O
significant   O
clinical   O
improvement   O
and   O
was   O
discharged   O
on   O
18/25   B-DATE
/2023   O
with   O
instructions   O
to   O
follow   O
a   O
low   O
-   O
salt   O
diet   O
,   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
,   O
and   O
monitor   O
daily   O
weights   O
to   O
detect   O
early   O
signs   O
of   O
fluid   O
accumulation   O
.   O

Follow   O
-   O
up   O
in   O
the   O
cardiology   O
clinic   O
has   O
been   O
scheduled   O
with   O
Walker   B-NAME
,   I-NAME
Murray   I-NAME
in   O
two   O
weeks   O
for   O
reassessment   O
.   O

For   O
further   O
inquiries   O
or   O
emergency   O
,   O
Zorba   B-NAME
The   B-NAME
Greek   I-NAME
or   O
a   O
designated   O
caregiver   O
is   O
advised   O
to   O
contact   O
82899   B-CONTACT
.   O

Patient   O
Name   O
:   O
Corbin   B-NAME
Poole   I-NAME
Medical   O
Record   O
Number   O
:   O
3703095   B-ID
Date   O
of   O
Birth   O
:   O
12/21   B-DATE
Age   O
:   O
99   O
Address   O
:   O
Arapahoe   B-LOCATION
,   O
74253   B-LOCATION
Phone   O
Number   O
:   O
894   B-CONTACT
-   I-CONTACT
2467   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Maryjane   B-NAME
Bean   I-NAME
Hospital   O
:   O
Mainehealth   B-LOCATION
DBA   I-LOCATION
Southern   I-LOCATION
Maine   I-LOCATION
Healthcare   I-LOCATION
Date   O
of   O
Visit   O
:   O
November   B-DATE
2242   I-DATE
Symptoms   O
:   O

Scarlett   B-NAME
Forbes   I-NAME
reported   O
a   O
persistent   O
dry   O
cough   O
that   O
has   O
progressed   O
over   O
the   O
past   O
week   O
,   O
with   O
episodes   O
of   O
dyspnea   O
particularly   O
noticeable   O
during   O
the   O
night   O
,   O
leading   O
to   O
sleep   O
disturbances   O
.   O

The   O
patient   O
also   O
reported   O
an   O
itchy   O
,   O
red   O
rash   O
on   O
both   O
forearms   O
that   O
appeared   O
approximately   O
2324   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
25   I-DATE
.   O

McGill   B-NAME
,   I-NAME
Bryant   I-NAME
has   O
a   O
documented   O
history   O
of   O
Atopic   O
Dermatitis   O
and   O
was   O
diagnosed   O
with   O
Asthma   O
in   O
childhood   O
.   O

Allergies   O
:   O
Armstrong   B-NAME
,   I-NAME
Edwin   I-NAME
is   O
allergic   O
to   O
Penicillin   O
and   O
has   O
had   O
previous   O
adverse   O
reactions   O
to   O
Sulfa   O
drugs   O
.   O

Current   O
Medications   O
:   O
Malika   B-NAME
Deley   I-NAME
is   O
currently   O
using   O
an   O
inhaler   O
(   O
corticosteroid   O
)   O
twice   O
daily   O
and   O
has   O
been   O
prescribed   O
an   O
antihistamine   O
for   O
the   O
dermatitis   O
.   O

Given   O
the   O
acute   O
exacerbation   O
of   O
Asthmatic   O
symptoms   O
and   O
the   O
presence   O
of   O
an   O
allergic   O
rash   O
,   O
Nikolas   B-NAME
Christian   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
corticosteroids   O
and   O
advised   O
to   O
continue   O
using   O
the   O
current   O
inhaler   O
with   O
increased   O
frequency   O
.   O

Furthermore   O
,   O
Terrance   B-NAME
Love   I-NAME
will   O
be   O
referred   O
to   O
an   O
allergist   O
for   O
testing   O
and   O
assessment   O
to   O
better   O
manage   O
and   O
identify   O
potential   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Jaden   B-NAME
Haley   I-NAME
is   O
scheduled   O
for   O
05/22/70   B-DATE
to   O
review   O
the   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Emergency   O
Contact   O
:   O
Medical   O
and   O
Clinical   O
Laboratory   O
Technologists   O
at   O
280   B-CONTACT
-   I-CONTACT
475   I-CONTACT
3362   I-CONTACT
Insurance   O
Provider   O
:   O
Direct   B-LOCATION
Action   I-LOCATION
Everywhere   I-LOCATION
(   I-LOCATION
DxE   I-LOCATION
)   I-LOCATION
Insurance   O
ID   O
:   O
34583   B-ID
Employment   O
:   O

Delbert   B-NAME
Lyles   I-NAME
is   O
employed   O
as   O
a   O
Engine   O
and   O
Other   O
Machine   O
Assemblers   O
and   O
expressed   O
concern   O
about   O
missing   O
work   O
due   O
to   O
these   O
health   O
issues   O
.   O

Dominque   B-NAME
Emperor   I-NAME
showed   O
concern   O
regarding   O
the   O
long   O
-   O
term   O
use   O
of   O
corticosteroids   O
and   O
their   O
potential   O
side   O
effects   O
.   O

Anthony   B-NAME
provided   O
reassurance   O
by   O
discussing   O
the   O
risk   O
-   O
benefit   O
profile   O
and   O
the   O
importance   O
of   O
controlling   O
acute   O
exacerbations   O
to   O
prevent   O
further   O
respiratory   O
compromise   O
.   O

Username   O
for   O
Patient   O
Portal   O
:   O
qkn835   B-NAME
Summary   O
:   O
Lowery   B-NAME
,   O
a   O
5   O
week   O
-   O
year   O
-   O
old   O
individual   O
with   O
a   O
history   O
of   O
Atopic   O
Dermatitis   O
and   O
Asthma   O
,   O
presented   O
with   O
signs   O
of   O
an   O
asthma   O
exacerbation   O
and   O
an   O
allergic   O
rash   O
.   O

*   O
*   O
Patient   O
Report   O
*   O
*   O
Patient   O
Name   O
:   O
Simon   B-NAME
Ecks   I-NAME
Age   O
:   O
26   O
Date   O
of   O
Birth   O
:   O
January   B-DATE
Address   O
:   O
Birchwood   B-LOCATION
,   O
44826   B-LOCATION
Phone   O
:   O
(   B-CONTACT
942   I-CONTACT
)   I-CONTACT
785   I-CONTACT
3179   I-CONTACT
Emergency   O
Contact   O
:   O
(   B-CONTACT
718   I-CONTACT
)   I-CONTACT
961   I-CONTACT
-   I-CONTACT
1150   I-CONTACT
Occupation   O
:   O
Woodworkers   O
,   O
All   O
Other   O
Primary   O
Physician   O
:   O
Dr.   O
Ezequiel   B-NAME
Park   I-NAME
Hospital   O
:   O
UF   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
Medical   O
Record   O
Number   O
:   O
9186074   B-ID
Patient   O
ID   O
:   O
SQ:62983:915382   B-ID
*   O
*   O
Visit   O
Date   O
:*   O
*   O
2071   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
07   I-DATE
*   O
*   O
Referring   O
Organization   O
:*   O
*   O

Borough   B-LOCATION
of   I-LOCATION
Madison   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
*   O
*   O
Chief   O
Complaint   O
:*   O
*   O
Thalia   B-NAME
Alvarado   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
LifeBrite   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Stokes   I-LOCATION
on   O
4/03   B-DATE
with   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
described   O
as   O
'   O
crushing   O
'   O
in   O
nature   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

Ferraro   B-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
sweating   O
,   O
and   O
nausea   O
.   O

*   O
*   O
Medical   O
History   O
:*   O
*   O
Orlando   B-NAME
Bashore   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
Conley   B-NAME
is   O
currently   O
taking   O
medication   O
.   O

Gallagher   B-NAME
(   I-NAME
Leo   I-NAME
Anthony   I-NAME
Gallagher   I-NAME
)   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Josh   B-NAME
's   O
last   O
visit   O
to   O
Dr.   O
Wendy   B-NAME
Lozano   I-NAME
was   O
on   O
12/36   B-DATE
for   O
a   O
routine   O
check   O
-   O
up   O
.   O

On   O
examination   O
,   O
Dimensionpants   B-NAME
appeared   O
to   O
be   O
in   O
distress   O
with   O
cold   O
clammy   O
skin   O
.   O

*   O
*   O
Diagnostic   O
Testing   O
:*   O
*   O
Electrocardiogram   O
(   O
ECG   O
)   O
performed   O
on   O
Tuesday   B-DATE
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
.   O

Xayachack   B-NAME
,   I-NAME
Ida   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
(   O
ACS   O
)   O
protocol   O
.   O

Referral   O
was   O
made   O
to   O
Dr.   O
Jerry   B-NAME
Helper   I-NAME
for   O
emergent   O
cardiac   O
catheterization   O
.   O

Gillian   B-NAME
King   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
ward   O
at   O
Flint   B-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

Risk   O
factor   O
modification   O
and   O
secondary   O
prevention   O
measures   O
were   O
also   O
discussed   O
with   O
Kelsi   B-NAME
Rouleau   I-NAME
.   O

*   O
*   O
Follow   O
-   O
up   O
:*   O
*   O
Miguel   B-NAME
Ornega   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Advanced   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
in   O
1   O
week   O
following   O
discharge   O
for   O
reassessment   O
of   O
condition   O
and   O
evaluation   O
of   O
medication   O
regimen   O
.   O

Jones   B-NAME
,   I-NAME
Norah   I-NAME
was   O
advised   O
to   O
contact   O
Dr.   O
Walters   B-NAME
immediately   O
should   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
syncope   O
arise   O
.   O
---   O
Note   O
:   O
All   O
PHI   O
in   O
this   O
report   O
has   O
been   O
anonymized   O
as   O
per   O
HIPAA   O
guidelines   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Jaida   B-NAME
Eaton   I-NAME
Age   O
:   O
78   O
Phone   O
Number   O
:   O
479   B-CONTACT
-   I-CONTACT
1612   I-CONTACT
Address   O
:   O
Hawthorn   B-LOCATION
,   O
52448   B-LOCATION
Medical   O
Record   O
Number   O
:   O
096   B-ID
-   I-ID
14   I-ID
-   I-ID
16   I-ID
ID   O
Number   O
:   O
278840582   B-ID
Occupation   O
:   O
Landscape   O
Architects   O
Primary   O
Physician   O
:   O

Curtis   B-NAME
Hospital   O
:   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Concord   I-LOCATION
Date   O
of   O
Visit   O
:   O
11/01   B-DATE
/2023   O
Symptom   O
Overview   O
:   O

The   O
patient   O
,   O
Barrett   B-NAME
,   O
presented   O
with   O
acute   O
lower   O
abdominal   O
pain   O
,   O
reported   O
as   O
sharp   O
and   O
localized   O
.   O

Associated   O
symptoms   O
include   O
nausea   O
without   O
vomiting   O
and   O
a   O
reported   O
fever   O
up   O
to   O
101   O
°   O
F   O
on   O
the   O
evening   O
of   O
6/01   B-DATE
.   O

The   O
medical   O
history   O
of   O
Lia   B-NAME
Dube   I-NAME
reveals   O
no   O
significant   O
chronic   O
illnesses   O
or   O
surgeries   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
goldstein   B-NAME
appeared   O
uncomfortable   O
and   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
provisional   O
diagnosis   O
for   O
John   B-NAME
V.   I-NAME
Hood   I-NAME
is   O
acute   O
appendicitis   O
pending   O
further   O
diagnostic   O
imaging   O
.   O

Huerta   B-NAME
prescribed   O
a   O
regimen   O
of   O
intravenous   O
fluids   O
and   O
antibiotics   O
targeting   O
common   O
gastrointestinal   O
flora   O
.   O

Kramer   B-NAME
has   O
been   O
advised   O
to   O
abstain   O
from   O
eating   O
or   O
drinking   O
until   O
the   O
ultrasound   O
report   O
is   O
available   O
.   O

If   O
appendicitis   O
is   O
confirmed   O
,   O
Callum   B-NAME
Clayton   I-NAME
may   O
be   O
scheduled   O
for   O
an   O
appendectomy   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
winter   B-DATE
,   O
post   O
-   O
ultrasound   O
review   O
,   O
with   O
Banks   B-NAME
at   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
363   B-ID
-   I-ID
82   I-ID
-   I-ID
21   I-ID
-   I-ID
8   I-ID
,   O
75509548   B-ID
pertaining   O
to   O
Levi   B-NAME
Leblanc   I-NAME
from   O
St.   B-LOCATION
Michael   I-LOCATION
,   O
96840   B-LOCATION
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
Botswana   B-LOCATION
Wholesale   I-LOCATION
,   I-LOCATION
Furniture   I-LOCATION
&   I-LOCATION
Retail   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
at   O
59711   B-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
rgx862   B-NAME
Medical   O
Documentation   O
Specialist   O
2363   B-DATE
-   I-DATE
19   I-DATE
-   I-DATE
32   I-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Milton   B-NAME
Mead   I-NAME
Patient   O
ID   O
:   O
SG:95861:780555   B-ID
Date   O
of   O
Birth   O
:   O
1/13/73   B-DATE
Age   O
:   O
20s   O
Medical   O
Record   O
Number   O
:   O
71613341   B-ID
Address   O
:   O
Johnstown   B-LOCATION
,   O
93513   B-LOCATION
Phone   O
Number   O
:   O
501   B-CONTACT
-   I-CONTACT
4308   I-CONTACT
Employer   O
:   O
HomeGoods   B-LOCATION
Occupation   O
:   O
Design   O
engineer   O
Attending   O
Physician   O
:   O

Freeman   B-NAME
Hospital   O
:   O
Pemiscot   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
Admission   O
Date   O
:   O
13/22   B-DATE
Discharge   O
Date   O
:   O

April   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
QUINTON   B-NAME
OSWALD   I-NAME
,   O
a   O
Building   O
surveyor   O
hailing   O
from   O
Coopertown   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Providence   B-LOCATION
Willamette   I-LOCATION
Falls   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
February   B-DATE
2284   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

The   O
symptoms   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
presentation   O
while   O
the   O
patient   O
was   O
at   O
work   O
at   O
CryptoRights   B-LOCATION
Foundation   I-LOCATION
.   O

Chaffey   B-NAME
noted   O
that   O
the   O
pain   O
was   O
substernal   O
,   O
squeezing   O
in   O
nature   O
,   O
and   O
was   O
precipitated   O
by   O
physical   O
exertion   O
.   O

Sharon   B-NAME
Lester   I-NAME
denied   O
any   O
recent   O
history   O
of   O
illness   O
or   O
fever   O
.   O

Social   O
History   O
:   O
Buchan   B-NAME
,   B-NAME
John   I-NAME
disclosed   O
they   O
are   O
a   O
smoker   O
,   O
averaging   O
10   O
cigarettes   O
a   O
day   O
for   O
the   O
past   O
20   O
years   O
,   O
and   O
occasionally   O
consumes   O
alcohol   O
.   O

Patricia   B-NAME
is   O
married   O
with   O
two   O
children   O
and   O
works   O
as   O
a   O
Hairdressers   O
,   O
Hairstylists   O
,   O
and   O
Cosmetologists   O
at   O
Anti   B-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Coalition   I-LOCATION
(   I-LOCATION
AVC   I-LOCATION
)   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
SORENSEN   B-NAME
,   I-NAME
SAUL   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Andy   B-NAME
Campbell   I-NAME
underwent   O
coronary   O
angiography   O
by   O
Arturo   B-NAME
Crawford   I-NAME
which   O
confirmed   O
the   O
diagnosis   O
of   O
anterior   O
wall   O
myocardial   O
infarction   O
.   O
Treatment   O
and   O
Plan   O
:   O
Jerome   B-NAME
Ewing   I-NAME
was   O
immediately   O
started   O
on   O
intravenous   O
thrombolytics   O
,   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
as   O
part   O
of   O
acute   O
myocardial   O
infarction   O
management   O
protocol   O
.   O

Amiel   B-NAME
,   I-NAME
Barbara   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
at   O
Inova   B-LOCATION
Loudoun   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Dorsey   B-NAME
in   O
two   O
weeks   O
to   O
reassess   O
the   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Upon   O
discharge   O
on   O
12   B-DATE
-   I-DATE
Dec-2390   I-DATE
,   O
Noble   B-NAME
was   O
instructed   O
to   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
,   O
attend   O
all   O
scheduled   O
follow   O
-   O
up   O
appointments   O
with   O
Compton   B-NAME
,   O
and   O
immediately   O
report   O
any   O
new   O
or   O
worsening   O
symptoms   O
.   O

Todd   B-NAME
Riley   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
on   O
managing   O
risk   O
factors   O
for   O
coronary   O
artery   O
disease   O
.   O

For   O
any   O
questions   O
or   O
to   O
report   O
symptoms   O
,   O
Johnavon   B-NAME
can   O
contact   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Riverside   I-LOCATION
Hospital   I-LOCATION
at   O
449   B-CONTACT
845   I-CONTACT
-   I-CONTACT
2306   I-CONTACT
.   O

Patient   O
Name   O
:   O
Anibal   B-NAME
Cleek   I-NAME
Date   O
of   O
Birth   O
:   O
0/0   B-DATE
Medical   O
Record   O
Number   O
:   O
5239522   B-ID
Date   O
of   O
Visit   O
:   O
06/12/2281   B-DATE

Attending   O
Physician   O
:   O
Silva   B-NAME
Facility   O
:   O
Norwegian   B-LOCATION
American   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Pahokee   B-LOCATION
Zip   O
Code   O
:   O
25757   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
371   I-CONTACT
)   I-CONTACT
701   I-CONTACT
-   I-CONTACT
3696   I-CONTACT
ID   O
:   O
IW296/1755   B-ID
Profession   O
:   O

Youth   O
worker   O
Username   O
:   O
aeq123   B-NAME
Chief   O
Complaint   O
:   O

Esther   B-NAME
Holland   I-NAME
is   O
a   O
23   O
-   O
year   O
-   O
old   O
Precision   O
Pattern   O
and   O
Die   O
Casters   O
,   O
Nonferrous   O
Metals   O
presenting   O
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
persisting   O
for   O
approximately   O
72   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Malik   B-NAME
Beard   I-NAME
reports   O
the   O
onset   O
of   O
pain   O
03/16/2221   B-DATE
,   O
which   O
was   O
initially   O
mild   O
and   O
tolerated   O
.   O

Fever   O
was   O
self   O
-   O
reported   O
as   O
101.5   O
°   O
F   O
(   O
33/03   B-DATE
)   O
.   O

Gennie   B-NAME
Halper   I-NAME
mentions   O
a   O
history   O
of   O
intermittent   O
constipation   O
,   O
managed   O
with   O
increased   O
dietary   O
fiber   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Blanc   B-NAME
,   I-NAME
Mel   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Plan   O
:   O
Surgical   O
consultation   O
with   O
Arias   B-NAME
at   O
Baystate   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
potential   O
appendectomy   O
was   O
recommended   O
and   O
arranged   O
.   O

Maximilian   B-NAME
Schaefer   I-NAME
was   O
instructed   O
to   O
fast   O
in   O
anticipation   O
of   O
possible   O
surgery   O
.   O

Pre   O
-   O
Operative   O
Instructions   O
:   O
Deborah   B-NAME
Howell   I-NAME
is   O
advised   O
to   O
avoid   O
any   O
food   O
or   O
drink   O
until   O
the   O
time   O
of   O
the   O
procedure   O
.   O

Vivian   B-NAME
Ritter   I-NAME
was   O
informed   O
about   O
the   O
risks   O
associated   O
with   O
the   O
surgery   O
and   O
consent   O
obtained   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
post   O
-   O
operative   O
evaluation   O
is   O
scheduled   O
for   O
2152   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
01   I-DATE
at   O
Gulf   B-LOCATION
Breeze   I-LOCATION
Hospital   I-LOCATION
,   O
with   O
Elvis   B-NAME
Andrade   I-NAME
to   O
monitor   O
recovery   O
and   O
address   O
any   O
complications   O
.   O

For   O
questions   O
or   O
concerns   O
,   O
Robert   B-NAME
I.   I-NAME
Harmon   I-NAME
is   O
encouraged   O
to   O
contact   O
Forest   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
on   O
916   B-CONTACT
546   I-CONTACT
9294   I-CONTACT
.   O

This   O
report   O
should   O
be   O
reviewed   O
again   O
on   O
2250   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
22   I-DATE
for   O
accuracy   O
and   O
completeness   O
by   O
Rodgers   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
Age   O
:   O
33   O
Date   O
of   O
Birth   O
:   O
12/01   B-DATE
Medical   O
Record   O
Number   O
:   O
6123956   B-ID
Social   O
Security   O
Number   O
:   O
LI   B-ID
:   I-ID
JE:4445   I-ID
Phone   O
Number   O
:   O
506   B-CONTACT
7468   I-CONTACT
Address   O
:   O
Newfane   B-LOCATION
,   O
55165   B-LOCATION
Occupation   O
:   O
Hearing   O
Aid   O
Specialists   O
Admitting   O
Physician   O
:   O
Carlee   B-NAME
Taylor   I-NAME
Hospital   O
:   O
Aspen   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
Friday   B-DATE
,   I-DATE
July   I-DATE
Username   O
for   O
Hospital   O
Portal   O
:   O
zl957   B-NAME
Chief   O
Complaint   O
:   O
Albert   B-NAME
W.   I-NAME
Wily   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Springhill   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
5/29/31   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Corea   B-NAME
,   I-NAME
Chick   I-NAME
described   O
the   O
pain   O
as   O
constant   O
and   O
worsening   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Max   B-NAME
Huerta   I-NAME
,   O
a   O
74   O
-   O
year   O
-   O
old   O
Shampooers   O
,   O
has   O
been   O
in   O
his   O
usual   O
state   O
of   O
health   O
until   O
early   O
this   O
morning   O
.   O

Around   O
2   O
AM   O
on   O
00   B-DATE
-   I-DATE
22   I-DATE
,   O
he   O
woke   O
up   O
with   O
sudden   O
onset   O
abdominal   O
pain   O
.   O

Watson   B-NAME
also   O
reports   O
experiencing   O
nausea   O
followed   O
by   O
episodes   O
of   O
vomiting   O
,   O
containing   O
mostly   O
undigested   O
food   O
.   O

Darian   B-NAME
Davila   I-NAME
denies   O
any   O
recent   O
history   O
of   O
fever   O
,   O
diarrhea   O
,   O
or   O
constipation   O
.   O

Notably   O
,   O
Andrians   B-NAME
,   I-NAME
Aiven   I-NAME
has   O
a   O
history   O
of   O
alcohol   O
use   O
but   O
denies   O
any   O
recent   O
binge   O
drinking   O
episodes   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Alfonzo   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
145/90   O
mmHg   O
,   O
heart   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
temperature   O
37.2   O
°   O
C   O
.   O

Renee   B-NAME
Merchant   I-NAME
's   O
abdomen   O
was   O
notably   O
tender   O
in   O
the   O
epigastric   O
region   O
,   O
with   O
no   O
signs   O
of   O
rebound   O
tenderness   O
or   O
guarding   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
performed   O
on   O
21/24/90   B-DATE
,   O
showed   O
signs   O
consistent   O
with   O
acute   O
pancreatitis   O
.   O

Treatment   O
Plan   O
:   O
Nicholas   B-NAME
Gomes   I-NAME
was   O
admitted   O
to   O
the   O
gastroenterology   O
unit   O
at   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
West   I-LOCATION
Islip   I-LOCATION
)   I-LOCATION
for   O
management   O
of   O
acute   O
pancreatitis   O
.   O

A   O
follow   O
-   O
up   O
with   O
a   O
gastroenterologist   O
,   O
Dr.   O
Ada   B-NAME
Maynard   I-NAME
,   O
was   O
scheduled   O
for   O
2329   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
28   I-DATE
to   O
evaluate   O
Sara   B-NAME
Sitarides   I-NAME
's   O
recovery   O
and   O
discuss   O
any   O
further   O
interventions   O
needed   O
.   O

Upon   O
discharge   O
on   O
14/28   B-DATE
,   O
Yosef   B-NAME
Gardner   I-NAME
was   O
advised   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
avoid   O
alcohol   O
,   O
and   O
monitor   O
for   O
any   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
jaundice   O
.   O

Drake   B-NAME
was   O
given   O
prescriptions   O
for   O
oral   O
pain   O
medication   O
and   O
a   O
proton   O
pump   O
inhibitor   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
confirmed   O
for   O
3/21   B-DATE
at   O
Archer   B-NAME
's   O
office   O
located   O
in   O
East   B-LOCATION
Randolph   I-LOCATION
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
It   O
is   O
critical   O
for   O
Blaine   B-NAME
Black   I-NAME
to   O
adhere   O
to   O
the   O
discharge   O
instructions   O
and   O
attend   O
all   O
scheduled   O
follow   O
-   O
up   O
appointments   O
.   O

Conclusion   O
:   O
Samuel   B-NAME
Fowler   I-NAME
has   O
been   O
diagnosed   O
with   O
acute   O
pancreatitis   O
and   O
has   O
been   O
managed   O
according   O
to   O
current   O
medical   O
guidelines   O
.   O

The   O
patient   O
,   O
Alisson   B-NAME
Wade   I-NAME
,   O
a   O
Slaughterers   O
and   O
Meat   O
Packers   O
from   O
Maiden   B-LOCATION
,   O
76456   B-LOCATION
,   O
presented   O
to   O
Geisinger   B-LOCATION
Holy   I-LOCATION
Spirit   I-LOCATION
on   O
25/30   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Jalia   B-NAME
reported   O
experiencing   O
fatigue   O
and   O
occasional   O
dizziness   O
,   O
with   O
these   O
symptoms   O
significantly   O
impacting   O
their   O
daily   O
activities   O
.   O

5   O
month   O
years   O
old   O
,   O
Pilar   B-NAME
Piersall   I-NAME
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
asthma   O
and   O
seasonal   O
allergies   O
but   O
denies   O
any   O
recent   O
exposures   O
or   O
triggers   O
that   O
could   O
have   O
precipitated   O
this   O
episode   O
.   O

Upon   O
examination   O
,   O
Fuller   B-NAME
,   I-NAME
Margaret   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
,   O
13090490   B-ID
,   O
and   O
their   O
identification   O
number   O
,   O
UZ703/1687   B-ID
,   O
were   O
used   O
to   O
document   O
and   O
track   O
the   O
progress   O
of   O
their   O
case   O
.   O

Rachael   B-NAME
Haney   I-NAME
,   O
a   O
pulmonologist   O
at   O
Sentara   B-LOCATION
Northern   I-LOCATION
Virginia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
was   O
consulted   O
for   O
further   O
management   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
imaging   O
findings   O
,   O
Kessler   B-NAME
recommended   O
initiating   O
treatment   O
with   O
corticosteroids   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
20/32/96   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
response   O
to   O
the   O
therapy   O
.   O

In   O
the   O
interim   O
,   O
Ashley   B-NAME
Nolan   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
,   O
including   O
smoking   O
cessation   O
(   O
despite   O
Flowers   B-NAME
's   O
denial   O
of   O
tobacco   O
use   O
)   O
,   O
engagement   O
in   O
gentle   O
exercise   O
as   O
tolerated   O
,   O
and   O
avoidance   O
of   O
potential   O
environmental   O
allergens   O
.   O

Davin   B-NAME
Woodard   I-NAME
was   O
also   O
informed   O
about   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
prescribed   O
medication   O
regimen   O
and   O
was   O
provided   O
with   O
educational   O
materials   O
about   O
managing   O
symptoms   O
of   O
interstitial   O
lung   O
disease   O
.   O

Contact   O
information   O
was   O
verified   O
with   O
William   B-NAME
Seth   I-NAME
Potter   I-NAME
,   O
ensuring   O
that   O
the   O
phone   O
number   O
,   O
80263   B-CONTACT
,   O
was   O
correct   O
for   O
any   O
necessary   O
follow   O
-   O
up   O
or   O
communication   O
regarding   O
test   O
results   O
or   O
changes   O
in   O
the   O
treatment   O
plan   O
.   O

Hensley   B-NAME
documented   O
the   O
encounter   O
in   O
Braeden   B-NAME
Bray   I-NAME
's   O
electronic   O
health   O
record   O
,   O
ensuring   O
to   O
update   O
any   O
additional   O
findings   O
or   O
changes   O
in   O
the   O
patient   O
's   O
condition   O
for   O
the   O
coming   O
appointment   O
in   O
Quincy   B-LOCATION
,   I-LOCATION
Historic   I-LOCATION
Quincy   I-LOCATION
Business   I-LOCATION
District   I-LOCATION
.   O

The   O
team   O
at   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Michigan   I-LOCATION
coordinated   O
with   O
Allegiance   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
North   I-LOCATION
America   I-LOCATION
to   O
ensure   O
CG   B-NAME
had   O
access   O
to   O
necessary   O
community   O
resources   O
and   O
support   O
groups   O
for   O
patients   O
with   O
chronic   O
lung   O
conditions   O
.   O

Patient   O
Name   O
:   O
Beaumont   B-NAME
and   I-NAME
Fletcher   I-NAME
Medical   O
Record   O
Number   O
:   O
832   B-ID
-   I-ID
65   I-ID
-   I-ID
05   I-ID
-   I-ID
9   I-ID
ID   O
:   O
EI850/1325   B-ID
Date   O
of   O
Birth   O
:   O
02   B-DATE
Age   O
:   O
27   O
Phone   O
Number   O
:   O
33052   B-CONTACT
Address   O
:   O
Sharon   B-LOCATION
Springs   I-LOCATION
,   O
26519   B-LOCATION
Profession   O
:   O
Compensation   O
and   O
Benefits   O
Managers   O
Primary   O
Care   O
Physician   O
:   O

Daniels   B-NAME
Hospital   O
:   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Sisters   I-LOCATION
of   I-LOCATION
Charity   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
12/33   B-DATE
Chief   O
Complaint   O
:   O
Candy   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Beloit   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2016   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
13   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
which   O
escalated   O
over   O
a   O
2   O
-   O
hour   O
period   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Rishi   B-NAME
Evans   I-NAME
,   O
a   O
82   O
-   O
year   O
-   O
old   O
Stockbroker   O
,   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
episodic   O
migraines   O
without   O
aura   O
,   O
presents   O
with   O
the   O
aforementioned   O
symptoms   O
.   O

Parker   B-NAME
Quinby   I-NAME
denies   O
any   O
recent   O
head   O
trauma   O
,   O
fever   O
,   O
stiff   O
neck   O
,   O
or   O
rash   O
.   O

No   O
new   O
dietary   O
habits   O
,   O
medications   O
,   O
nor   O
travel   O
history   O
to   O
Sexton   B-LOCATION
were   O
reported   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
-   O
Episodic   O
migraines   O
without   O
aura   O
-   O
No   O
known   O
drug   O
allergies   O
Medications   O
:   O
-   O
Metoprolol   O
50   O
mg   O
daily   O
-   O
Sumatriptan   O
100   O
mg   O
as   O
needed   O
for   O
migraines   O
Social   O
History   O
:   O
Tessa   B-NAME
Mckay   I-NAME
,   O
a   O
Biotechnologist   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
illicit   O
drugs   O
,   O
and   O
states   O
they   O
are   O
a   O
social   O
drinker   O
,   O
consuming   O
alcohol   O
only   O
occasionally   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Medina   B-NAME
was   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Imaging   O
:   O
A   O
non   O
-   O
contrast   O
CT   O
scan   O
of   O
the   O
head   O
was   O
performed   O
at   O
Community   B-LOCATION
Hospital   I-LOCATION
to   O
rule   O
out   O
other   O
causes   O
of   O
acute   O
headache   O
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
with   O
Rojas   B-NAME
in   O
one   O
week   O
or   O
sooner   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Valerie   B-NAME
Flame   I-NAME
was   O
also   O
educated   O
on   O
lifestyle   O
modifications   O
and   O
triggers   O
avoidance   O
strategies   O
for   O
migraine   O
management   O
.   O

Instructions   O
for   O
Follow   O
-   O
up   O
:   O
Albert   B-NAME
Marks   I-NAME
is   O
instructed   O
to   O
make   O
an   O
appointment   O
with   O
Lowery   B-NAME
by   O
calling   O
118   B-CONTACT
-   I-CONTACT
394   I-CONTACT
-   I-CONTACT
5657   I-CONTACT
.   O

If   O
symptoms   O
significantly   O
worsen   O
or   O
new   O
symptoms   O
develop   O
,   O
Drake   B-NAME
Stanton   I-NAME
should   O
return   O
to   O
AMITA   B-LOCATION
Health   I-LOCATION
Saints   I-LOCATION
Mary   I-LOCATION
and   I-LOCATION
Elizabeth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chicago   I-LOCATION
or   O
the   O
nearest   O
emergency   O
department   O
.   O

The   O
plan   O
was   O
discussed   O
with   O
Pamelia   B-NAME
Papantonio   I-NAME
,   O
who   O
expressed   O
understanding   O
and   O
consented   O
to   O
the   O
management   O
plan   O
.   O

zjw492   B-NAME
completed   O
the   O
chart   O
on   O
Independence   B-DATE
Day   I-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Nathan   B-NAME
Hillenbrand   I-NAME
Patient   O
ID   O
:   O
EB368/4766   B-ID
DOB   O
:   O

25th   B-DATE
Age   O
:   O
74   O
Address   O
:   O
Shawano   B-LOCATION
,   O
86068   B-LOCATION
Phone   O
:   O
27711   B-CONTACT
Employment   O
:   O

Telemarketers   O
at   O
Direct   B-LOCATION
Energy   I-LOCATION
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Starrett   B-NAME
,   I-NAME
Vincent   I-NAME
Medical   O
Record   O
Number   O
:   O
40300992   B-ID
Date   O
of   O
Consultation   O
:   O
10/22/41   B-DATE
Location   O
of   O
Consultation   O
:   O
McLaren   B-LOCATION
-   I-LOCATION
Lapeer   I-LOCATION
Region   I-LOCATION
,   O
Pine   B-LOCATION
Haven   I-LOCATION
Chief   O
Complaint   O
:   O
Patient   O
Allen   B-NAME
,   I-NAME
Agnes   I-NAME
,   O
a   O
75   O
-   O
year   O
-   O
old   O
Methane   O
/   O
Landfill   O
Gas   O
Collection   O
System   O
Operators   O
employed   O
at   O
Professional   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
with   O
a   O
complaint   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
for   O
the   O
past   O
01/27   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
noticed   O
the   O
onset   O
of   O
symptoms   O
approximately   O
12/2090   B-DATE
ago   O
,   O
initially   O
dismissing   O
it   O
as   O
a   O
minor   O
discomfort   O
.   O

However   O
,   O
the   O
intensity   O
of   O
the   O
pain   O
increased   O
,   O
leading   O
Cornelius   B-NAME
Robles   I-NAME
to   O
seek   O
medical   O
advice   O
.   O

Associated   O
symptoms   O
include   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
decreased   O
appetite   O
since   O
2103   B-DATE
.   O

Crockett   B-NAME
,   I-NAME
Davy   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Panorama   B-LOCATION
City   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
91402   I-LOCATION
or   O
changes   O
in   O
dietary   O
habits   O
.   O

Past   O
Medical   O
History   O
:   O
Brennus   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
.   O

Social   O
History   O
:   O
William   B-NAME
Uecker   I-NAME
is   O
a   O
Obstetricians   O
and   O
Gynecologists   O
at   O
International   B-LOCATION
Coalition   I-LOCATION
against   I-LOCATION
Enforced   I-LOCATION
Disappearances   I-LOCATION
and   O
reports   O
a   O
relatively   O
sedentary   O
lifestyle   O
.   O

Lives   O
alone   O
in   O
Mine   B-LOCATION
La   I-LOCATION
Motte   I-LOCATION
.   O

An   O
abdominal   O
ultrasound   O
is   O
scheduled   O
for   O
Sunday   B-DATE
to   O
further   O
evaluate   O
the   O
source   O
of   O
abdominal   O
pain   O
.   O

3   O
.   O
Proceed   O
with   O
the   O
scheduled   O
abdominal   O
ultrasound   O
on   O
30/28/2151   B-DATE
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
1929   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
23   I-DATE
to   O
review   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Notifications   O
:   O
A   O
summary   O
of   O
today   O
's   O
consultation   O
will   O
be   O
forwarded   O
to   O
Dr.   O
Maxwell   B-NAME
Maxwell   I-NAME
for   O
continued   O
coordination   O
of   O
care   O
.   O

Brackett   B-NAME
,   I-NAME
Joseph   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
at   O
Lane   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Valley   B-LOCATION
View   I-LOCATION
if   O
symptoms   O
worsen   O
significantly   O
before   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

Prepared   O
by   O
:   O
Dr.   O
Compton   B-NAME
Username   O
:   O
TZ30   B-NAME
Contact   O
:   O
(   B-CONTACT
578   I-CONTACT
)   I-CONTACT
611   I-CONTACT
5774   I-CONTACT

Patient   O
Report   O
Patient   O
Name   O
:   O
Rachel   B-NAME
Davila   I-NAME
Patient   O
ID   O
:   O
LZ542/6052   B-ID
Age   O
:   O
2   O
week   O
Date   O
of   O
Birth   O
:   O
31/03   B-DATE
Address   O
:   O
Eutawville   B-LOCATION
,   O
63761   B-LOCATION
Phone   O
Number   O
:   O
743   B-CONTACT
-   I-CONTACT
4401   I-CONTACT
Occupation   O
:   O

York   B-NAME
Medical   O
Record   O
Number   O
:   O
3966Y48824   B-ID
Date   O
of   O
Visit   O
:   O
20/15   B-DATE
Hospital   O
Name   O
:   O
North   B-LOCATION
Shore   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Northwell   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
Chief   O
Complaint   O
:   O

Rory   B-NAME
Frazier   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
30/03   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
last   O
24   O
hours   O
.   O

Elizabeth   B-NAME
Macdonald   I-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
with   O
an   O
intensity   O
of   O
7   O
out   O
of   O
10   O
.   O

Deandra   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
diet   O
control   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Pierce   B-NAME
Mcdonald   I-NAME
appears   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Admit   O
the   O
patient   O
to   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
United   I-LOCATION
Memorial   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

Contact   O
Information   O
for   O
Queries   O
:   O
Name   O
:   O
Emely   B-NAME
Preston   I-NAME
Hospital   O
:   O
Holland   B-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
523   B-CONTACT
-   I-CONTACT
6585   I-CONTACT
Emergency   O
Contact   O
:   O
411   B-CONTACT
-   I-CONTACT
233   I-CONTACT
-   I-CONTACT
7040   I-CONTACT
This   O
report   O
was   O
prepared   O
by   O
um504   B-NAME
,   O
RN   O
,   O
under   O
the   O
supervision   O
of   O
Steven   B-NAME
James   I-NAME
on   O
22   B-DATE
-   I-DATE
Nov-2000   I-DATE
.   O

The   O
information   O
contained   O
in   O
this   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Grady   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Corporation   I-LOCATION
's   O
medical   O
staff   O
only   O
.   O

Patient   O
Name   O
:   O
Uriel   B-NAME
Patrick   I-NAME
Zapien   I-NAME
Date   O
of   O
Birth   O
:   O
Sep-2356   B-DATE
Age   O
:   O
5   O
Address   O
:   O
Las   B-LOCATION
Quintas   I-LOCATION
Fronterizas   I-LOCATION
,   O
19655   B-LOCATION
Phone   O
Number   O
:   O
851   B-CONTACT
-   I-CONTACT
506   I-CONTACT
-   I-CONTACT
9498   I-CONTACT
Employment   O
:   O

Personal   O
and   O
Home   O
Care   O
Aides   O
at   O
European   B-LOCATION
Beer   I-LOCATION
Consumers   I-LOCATION
Union   I-LOCATION
(   I-LOCATION
EBCU   I-LOCATION
)   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Norton   B-NAME
Hospital   O
Admitted   O
To   O
:   O
HealthSouth   B-LOCATION
Sunrise   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
421   B-ID
-   I-ID
10   I-ID
-   I-ID
65   I-ID
Patient   O
ID   O
:   O
OU:40591:476167   B-ID
Referred   O
By   O
:   O
Dr.   O
Tomas   B-NAME
Collins   I-NAME
Date   O
of   O
Admission   O
:   O
12/21/59   B-DATE
Username   O
:   O
XD623   B-NAME
Summary   O
:   O
Ramon   B-NAME
Black   I-NAME
,   O
a   O
Electronic   O
Drafters   O
at   O
Hind   B-LOCATION
Mazdoor   I-LOCATION
Sabha   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Adventist   B-LOCATION
Health   I-LOCATION
Lodi   I-LOCATION
Memorial   I-LOCATION
on   O
12/20/50   B-DATE
complaining   O
of   O
acute   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
had   O
intensified   O
over   O
the   O
last   O
48   O
hours   O
.   O

There   O
was   O
a   O
noted   O
absence   O
of   O
bowel   O
movement   O
since   O
2008   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
02   I-DATE
.   O

Upon   O
examination   O
,   O
Stephane   B-NAME
exhibited   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggesting   O
peritoneal   O
irritation   O
.   O

Further   O
history   O
revealed   O
that   O
CARR   B-NAME
,   I-NAME
RACHEL   I-NAME
has   O
not   O
experienced   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Lab   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
were   O
ordered   O
by   O
Dr.   O
Zamora   B-NAME
.   O

Abdominal   O
ultrasonography   O
performed   O
on   O
22/1   B-DATE
indicated   O
the   O
presence   O
of   O
an   O
appendiceal   O
thickening   O
,   O
supporting   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

A   O
surgical   O
consult   O
was   O
requested   O
,   O
and   O
after   O
risk   O
-   O
benefit   O
discussion   O
with   O
Russell   B-NAME
,   O
laparoscopic   O
appendectomy   O
was   O
planned   O
.   O

The   O
surgery   O
,   O
performed   O
on   O
2053   B-DATE
,   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
tolerated   O
the   O
procedure   O
well   O
.   O

Beck   B-NAME
was   O
advised   O
to   O
remain   O
in   O
Parham   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
for   O
post   O
-   O
operative   O
observation   O
for   O
03   B-DATE
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Recommendations   O
for   O
follow   O
-   O
up   O
care   O
include   O
wound   O
care   O
instructions   O
,   O
pain   O
management   O
with   O
prescribed   O
medications   O
,   O
and   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
with   O
Dr.   O
Collin   B-NAME
Sawyer   I-NAME
in   O
2   O
weeks   O
.   O

For   O
any   O
emergent   O
care   O
or   O
questions   O
,   O
please   O
contact   O
the   O
general   O
line   O
of   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Georgia   I-LOCATION
at   O
706   B-CONTACT
-   I-CONTACT
689   I-CONTACT
3513   I-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
.   O

For   O
follow   O
-   O
up   O
care   O
and   O
questions   O
regarding   O
recovery   O
,   O
Dr.   O
Egnar   B-NAME
Bernotas   I-NAME
's   O
office   O
can   O
be   O
reached   O
at   O
464   B-CONTACT
-   I-CONTACT
4845   I-CONTACT
.   O

This   O
summary   O
encapsulates   O
the   O
clinical   O
course   O
of   O
Ken   B-NAME
's   O
recent   O
hospitalization   O
at   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
Manhattan   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
overseen   O
by   O
Liliana   B-NAME
Moses   I-NAME
and   O
the   O
surgical   O
team   O
.   O

Prepared   O
by   O
:   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Transportation   O
and   O
Material   O
-   O
Moving   O
Machine   O
and   O
Vehicle   O
Operators   O
,   O
CARE   B-LOCATION
Reviewed   O
by   O
:   O
Dr.   O
Harris   B-NAME
Date   O
:   O
2/7/29   B-DATE

Patient   O
Name   O
:   O
Randall   B-NAME
Strong   I-NAME
Patient   O
ID   O
:   O
FZ   B-ID
:   I-ID
DI:1177   I-ID
Medical   O
Record   O
Number   O
:   O
2031485   B-ID
Age   O
:   O
50   O
Date   O
of   O
Birth   O
:   O
21/18/62   B-DATE
Phone   O
Number   O
:   O
52725   B-CONTACT
Address   O
:   O
Eagle   B-LOCATION
Village   I-LOCATION
,   O
65621   B-LOCATION
Employment   O
:   O
Informatics   O
Nurse   O
Specialists   O
Primary   O
Care   O
Physician   O
:   O

Maeve   B-NAME
Collier   I-NAME
Date   O
of   O
Visit   O
:   O
21/48   B-DATE
Hospital   O
:   O

Fort   B-LOCATION
Duncan   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Notes   O
:   O
Rayna   B-NAME
Beasley   I-NAME
,   O
a   O
16   O
-   O
year   O
-   O
old   O
Industrial   O
Production   O
Managers   O
from   O
Dorking   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Hoag   B-LOCATION
Hospital   I-LOCATION
Irvine   I-LOCATION
on   O
2/10   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
diaphoresis   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

The   O
patient   O
was   O
given   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
supplemental   O
oxygen   O
immediately   O
upon   O
presentation   O
,   O
and   O
James   B-NAME
was   O
consulted   O
for   O
further   O
management   O
.   O

Destiny   B-NAME
Tran   I-NAME
was   O
promptly   O
started   O
on   O
a   O
heparin   O
drip   O
and   O
was   O
scheduled   O
for   O
an   O
urgent   O
cardiac   O
catheterization   O
.   O

Social   O
History   O
:   O
Alexis   B-NAME
Hoover   I-NAME
is   O
a   O
Aircraft   O
Launch   O
and   O
Recovery   O
Officers   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

The   O
patient   O
lives   O
in   O
Cuckfield   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
492   B-CONTACT
-   I-CONTACT
367   I-CONTACT
6835   I-CONTACT
.   O

Immediate   O
cardiology   O
consultation   O
and   O
cardiac   O
catheterization   O
as   O
advised   O
by   O
Fernanda   B-NAME
Anthony   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
Renee   B-NAME
Merchant   I-NAME
is   O
to   O
follow   O
up   O
with   O
Andrews   B-NAME
within   O
one   O
week   O
post   O
-   O
discharge   O
for   O
further   O
evaluation   O
and   O
management   O
of   O
coronary   O
artery   O
disease   O
and   O
diabetes   O
.   O

Emergency   O
Contact   O
:   O
fgu918   B-NAME
has   O
been   O
listed   O
as   O
the   O
emergency   O
contact   O
and   O
has   O
consented   O
to   O
this   O
role   O
.   O

They   O
can   O
be   O
reached   O
at   O
502   B-CONTACT
9460   I-CONTACT
.   O

Patient   O
Name   O
:   O
Keenan   B-NAME
Sanchez   I-NAME
Patient   O
ID   O
:   O
MG775/7378   B-ID
Medical   O
Record   O
Number   O
:   O
5720O07638   B-ID
Date   O
of   O
Birth   O
:   O
2/04/2187   B-DATE
Age   O
:   O
64   O
Phone   O
Number   O
:   O
67110   B-CONTACT
Address   O
:   O
Orbisonia   B-LOCATION
,   O
65022   B-LOCATION
Employer   O
:   O

Federated   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
Profession   O
:   O

Demarcus   B-NAME
Lee   I-NAME
Hospital   O
:   O

Adirondack   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
Aliyah   B-NAME
Stein   I-NAME
,   O
a   O
57   O
-   O
year   O
-   O
old   O
Forest   O
Fire   O
Fighting   O
and   O
Prevention   O
Supervisors   O
from   O
Los   B-LOCATION
Altos   I-LOCATION
Hills   I-LOCATION
,   O
presented   O
to   O
Dickinson   B-LOCATION
County   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
on   O
12/35   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
dizziness   O
.   O

Pushkin   B-NAME
,   I-NAME
Aleksandr   I-NAME
(   I-NAME
Alexander   I-NAME
Pushkin   I-NAME
)   I-NAME
mentions   O
no   O
prior   O
episodes   O
but   O
has   O
a   O
family   O
history   O
of   O
cardiovascular   O
diseases   O
.   O

No   O
recent   O
travels   O
outside   O
Campus   B-LOCATION
or   O
changes   O
in   O
daily   O
routine   O
were   O
noted   O
.   O

Ronnie   B-NAME
Caldwell   I-NAME
's   O
contact   O
number   O
is   O
59298   B-CONTACT
.   O

The   O
physical   O
examination   O
revealed   O
Sapphon   B-NAME
appearing   O
distressed   O
due   O
to   O
pain   O
.   O

Follow   O
-   O
Up   O
:   O
Douglas   B-NAME
Ortiz   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
at   O
Research   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
monitoring   O
and   O
further   O
management   O
.   O

Scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Tyree   B-NAME
Ramos   I-NAME
on   O
30/22/00   B-DATE
to   O
assess   O
recovery   O
and   O
evaluate   O
the   O
need   O
for   O
adjustments   O
in   O
the   O
treatment   O
regimen   O
.   O

Yoselin   B-NAME
Pace   I-NAME
and   O
family   O
were   O
educated   O
on   O
the   O
importance   O
of   O
lifestyle   O
adjustments   O
and   O
adherence   O
to   O
medications   O
to   O
prevent   O
future   O
cardiac   O
events   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
please   O
contact   O
University   B-LOCATION
Hospital   I-LOCATION
at   O
829   B-CONTACT
356   I-CONTACT
8493   I-CONTACT
.   O

For   O
follow   O
-   O
up   O
appointments   O
and   O
general   O
inquiries   O
,   O
reach   O
out   O
to   O
Mendoza   B-NAME
's   O
office   O
via   O
64650   B-CONTACT
.   O

Patient   O
Name   O
:   O
Johnson   B-NAME
,   I-NAME
Lyndon   I-NAME
Medical   O
Record   O
Number   O
:   O
4700605   B-ID
Date   O
of   O
Birth   O
:   O
19   O
Date   O
of   O
Visit   O
:   O
1980   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
23   I-DATE
/2023   O
Contact   O
Number   O
:   O
870   B-CONTACT
-   I-CONTACT
7231   I-CONTACT
Address   O
:   O
Ravenwood   B-LOCATION
,   O
66350   B-LOCATION
Attending   O
Physician   O
:   O
Lawson   B-NAME
Hospital   O
:   O

Cox   B-LOCATION
North   I-LOCATION
Chief   O
Complaint   O
:   O
Kenna   B-NAME
Davies   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
NCH   B-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Naples   I-LOCATION
on   O
3   B-DATE
-   I-DATE
20   I-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
which   O
they   O
rated   O
as   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

The   O
pain   O
was   O
described   O
as   O
crampy   O
in   O
nature   O
and   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
12/25/60   B-DATE
.   O

QR   B-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
an   O
episode   O
of   O
vomiting   O
early   O
in   O
the   O
morning   O
on   O
3   B-DATE
-   I-DATE
5   I-DATE
-   I-DATE
43   I-DATE
/2023   O
.   O

Medical   O
History   O
:   O
Biden   B-NAME
,   I-NAME
Joseph   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
controlled   O
with   O
metformin   O
and   O
a   O
history   O
of   O
hypertensive   O
cardiovascular   O
disease   O
.   O

Previous   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
in   O
20/33/12   B-DATE
.   O

Renee   B-NAME
Merchant   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
.   O

Social   O
History   O
:   O
Constantine   B-NAME
III   I-NAME
Metott   I-NAME
is   O
a   O
Clothing   O
and   O
textile   O
technologist   O
living   O
in   O
White   B-LOCATION
River   I-LOCATION
and   O
reports   O
a   O
10   O
-   O
pack   O
-   O
year   O
history   O
of   O
smoking   O
but   O
quit   O
smoking   O
44   O
years   O
ago   O
.   O

Camryn   B-NAME
Buck   I-NAME
denies   O
any   O
alcohol   O
or   O
illicit   O
drug   O
use   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Orlando   B-NAME
Bashore   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
150/90   O
mmHg   O
,   O
heart   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
18   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
37.8   O
°   O
C   O
.   O

An   O
abdominal   O
ultrasound   O
ordered   O
by   O
Alexander   B-NAME
on   O
22/16/2022   B-DATE
/2023   O
revealed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Complete   O
blood   O
count   O
(   O
CBC   O
)   O
showed   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
15,000   O
/   O
uL.   O
Blood   O
glucose   O
level   O
was   O
180   O
mg   O
/   O
dL.   O
Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Elisha   B-NAME
Bodelson   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

White   B-NAME
discussed   O
the   O
diagnosis   O
with   O
Bob   B-NAME
Sexton   I-NAME
,   O
providing   O
a   O
detailed   O
explanation   O
of   O
the   O
condition   O
and   O
its   O
potential   O
complications   O
if   O
left   O
untreated   O
.   O

Troy   B-NAME
Wolf   I-NAME
provided   O
informed   O
consent   O
for   O
the   O
procedure   O
,   O
scheduled   O
for   O
1800   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
16   I-DATE
/2023   O
at   O
York   B-LOCATION
Hospital   I-LOCATION
.   O

Town   B-LOCATION
of   I-LOCATION
Thurmont   I-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
was   O
notified   O
of   O
Abigail   B-NAME
Mcphatter   I-NAME
's   O
hospital   O
admission   O
and   O
the   O
planned   O
surgical   O
intervention   O
.   O

Iraq   B-LOCATION
and   I-LOCATION
Afghanistan   I-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
will   O
provide   O
post   O
-   O
discharge   O
care   O
instructions   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
with   O
Garrison   B-NAME
2333   B-DATE
weeks   O
post   O
-   O
operation   O
to   O
assess   O
Joey   B-NAME
Atkinson   I-NAME
's   O
recovery   O
progress   O
and   O
address   O
any   O
concerns   O
.   O

In   O
case   O
of   O
urgent   O
concerns   O
or   O
complications   O
,   O
Aniya   B-NAME
Cummings   I-NAME
or   O
their   O
family   O
can   O
contact   O
Murray   B-LOCATION
-   I-LOCATION
Calloway   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
at   O
807   B-CONTACT
8843   I-CONTACT
.   O

This   O
plan   O
of   O
care   O
has   O
been   O
reviewed   O
and   O
agreed   O
upon   O
by   O
both   O
Kristofer   B-NAME
and   O
Mauricio   B-NAME
Mcdonald   I-NAME
on   O
9/02/15   B-DATE
.   O

Patient   O
Name   O
:   O
Rudy   B-NAME
Hicks   I-NAME
Medical   O
Record   O
Number   O
:   O
7818921   B-ID
Date   O
of   O
Birth   O
:   O
09/18   B-DATE
Age   O
:   O
24s   O
Address   O
:   O
Setauket   B-LOCATION
,   O
78867   B-LOCATION
Phone   O
Number   O
:   O
482   B-CONTACT
4180   I-CONTACT
Employment   O
:   O
Woodworking   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Except   O
Sawing   O
at   O
The   B-LOCATION
Norfolk   I-LOCATION
&   I-LOCATION
Dedham   I-LOCATION
Group   I-LOCATION

Sellers   B-NAME
Hospital   O
:   O

Wise   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
Decatur   I-LOCATION
Patient   O
ID   O
:   O
6889745   B-ID
Medical   O
History   O
:   O
Patient   O
Burnett   B-NAME
,   O
a   O
73   O
-   O
year   O
-   O
old   O
economist   O
employed   O
at   O
Comunidad   B-LOCATION
Inti   I-LOCATION
Wara   I-LOCATION
Yassi   I-LOCATION
,   O
presented   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Tiffin   I-LOCATION
Hospital   I-LOCATION
with   O
symptoms   O
initiated   O
on   O
04/28   B-DATE
.   O

-   O
Recent   O
unexplained   O
weight   O
loss   O
,   O
approximately   O
86   O
lbs   O
over   O
the   O
past   O
2002   B-DATE
months   O
.   O

Upon   O
examination   O
,   O
Myers   B-NAME
noted   O
signs   O
consistent   O
with   O
respiratory   O
distress   O
,   O
including   O
use   O
of   O
accessory   O
muscles   O
.   O

Jaslyn   B-NAME
Moody   I-NAME
's   O
differential   O
diagnosis   O
includes   O
community   O
-   O
acquired   O
pneumonia   O
with   O
a   O
consideration   O
for   O
underlying   O
chronic   O
conditions   O
given   O
the   O
patient   O
's   O
unexplained   O
weight   O
loss   O
and   O
systemic   O
manifestations   O
.   O

Management   O
Plan   O
:   O
Mateo   B-NAME
Chen   I-NAME
has   O
recommended   O
hospitalization   O
for   O
intravenous   O
antibiotics   O
and   O
supportive   O
care   O
.   O

The   O
management   O
plan   O
also   O
includes   O
consultation   O
with   O
a   O
specialist   O
from   O
Founders   B-LOCATION
Bank   I-LOCATION
for   O
a   O
multidisciplinary   O
approach   O
.   O

Follow   O
-   O
Up   O
:   O
Frostrup   B-NAME
,   I-NAME
Mariella   I-NAME
has   O
been   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
McLeod   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
out   O
-   O
patient   O
department   O
on   O
2363   B-DATE
.   O

Patient   O
Education   O
:   O
Isabelle   B-NAME
Deleon   I-NAME
has   O
been   O
counseled   O
on   O
the   O
importance   O
of   O
completing   O
the   O
full   O
course   O
of   O
antibiotics   O
and   O
adhering   O
to   O
the   O
follow   O
-   O
up   O
schedule   O
.   O

Hillary   B-NAME
Pettway   I-NAME
has   O
been   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
contact   O
Penn   B-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
174   B-CONTACT
-   I-CONTACT
9679   I-CONTACT
for   O
any   O
worsening   O
of   O
symptoms   O
or   O
concerns   O
.   O

Patient   O
Name   O
:   O
Aileen   B-NAME
Riley   I-NAME
Patient   O
ID   O
:   O
JC   B-ID
:   I-ID
BK:4451   I-ID
Date   O
of   O
Birth   O
:   O
Sat   B-DATE
Age   O
:   O
95   O
Phone   O
Number   O
:   O
(   B-CONTACT
333   I-CONTACT
)   I-CONTACT
429   I-CONTACT
6135   I-CONTACT
Address   O
:   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73120   I-LOCATION
,   O
24310   B-LOCATION
Employer   O
:   O
Elizabeth   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O

Water   O
engineer   O
Primary   O
Physician   O
:   O
Boyle   B-NAME
Medical   O
Record   O
Number   O
:   O
0490518   B-ID
Admission   O
Date   O
:   O
Sunday   B-DATE
Hospital   O
:   O
Mount   B-LOCATION
Nittany   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Reginald   B-NAME
Mendez   I-NAME
,   O
a   O
engineer   O
from   O
Elkhart   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Northern   B-LOCATION
Dutchess   I-LOCATION
Hospital   I-LOCATION
on   O
4/21/26   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
acute   O
onset   O
of   O
dizziness   O
.   O

Bartholin   B-NAME
,   I-NAME
Thomas   I-NAME
V.   I-NAME
reported   O
a   O
history   O
of   O
hypertension   O
and   O
high   O
cholesterol   O
but   O
has   O
been   O
non   O
-   O
compliant   O
with   O
medication   O
regimen   O
for   O
the   O
past   O
few   O
months   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Mccoy   B-NAME
appeared   O
anxious   O
and   O
diaphoretic   O
.   O

Treatment   O
:   O
Emergency   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
was   O
performed   O
by   O
Curry   B-NAME
following   O
the   O
diagnosis   O
.   O

Macha   B-NAME
was   O
successfully   O
treated   O
with   O
angioplasty   O
and   O
stent   O
placement   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

Post   O
-   O
procedure   O
,   O
Upson   B-NAME
was   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
,   O
statin   O
,   O
beta   O
-   O
blocker   O
,   O
and   O
ACE   O
inhibitor   O
as   O
per   O
the   O
latest   O
guidelines   O
.   O

Ravi   B-NAME
Jayawardener   I-NAME
was   O
also   O
counseled   O
on   O
lifestyle   O
modifications   O
,   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
the   O
importance   O
of   O
adherence   O
to   O
medications   O
.   O

Follow   O
-   O
up   O
:   O
Yuliana   B-NAME
Hodge   I-NAME
is   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
clinic   O
with   O
Kason   B-NAME
Waters   I-NAME
in   O
2   O
weeks   O
.   O

Jackson   B-NAME
,   I-NAME
Lucille   I-NAME
was   O
discharged   O
on   O
2/22   B-DATE
with   O
a   O
prescription   O
for   O
medications   O
and   O
instructions   O
for   O
gradual   O
increase   O
in   O
physical   O
activity   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
(   B-CONTACT
858   I-CONTACT
)   I-CONTACT
414   I-CONTACT
-   I-CONTACT
7281   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Joi   B-NAME
Winders   I-NAME
Age   O
:   O
69   O
Medical   O
Record   O
Number   O
:   O
5448528   B-ID
Phone   O
Number   O
:   O
482   B-CONTACT
-   I-CONTACT
1414   I-CONTACT
Address   O
:   O
Cuba   B-LOCATION
,   O
43240   B-LOCATION
Referred   O
by   O
:   O
Jensen   B-NAME
Date   O
of   O
initial   O
consultation   O
:   O
spring   B-DATE
,   I-DATE
2071   I-DATE
/2023   O
Medical   O
History   O
:   O
Roe   B-NAME
,   O
a   O
Archaeologist   O
,   O
presented   O
to   O
our   O
clinic   O
at   O
Kansas   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
on   O
04/58   B-DATE
/2023   O
with   O
complaints   O
of   O
episodic   O
shortness   O
of   O
breath   O
,   O
chest   O
tightness   O
,   O
and   O
wheezing   O
.   O

Coretta   B-NAME
Newball   I-NAME
has   O
not   O
been   O
previously   O
evaluated   O
or   O
treated   O
for   O
these   O
symptoms   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Dobson   B-NAME
,   I-NAME
James   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
respiratory   O
distress   O
.   O

A   O
management   O
plan   O
was   O
discussed   O
with   O
Natalya   B-NAME
Orozco   I-NAME
,   O
focusing   O
on   O
avoiding   O
known   O
triggers   O
and   O
the   O
initiation   O
of   O
inhaled   O
corticosteroids   O
combined   O
with   O
long   O
-   O
acting   O
beta   O
-   O
agonists   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
22/30   B-DATE
/2023   O
to   O
reassess   O
symptom   O
control   O
and   O
lung   O
function   O
.   O

Remarks   O
:   O
Humboldt   B-NAME
,   I-NAME
Alexander   I-NAME
von   I-NAME
is   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
maintain   O
a   O
symptom   O
diary   O
,   O
which   O
could   O
be   O
beneficial   O
for   O
tailoring   O
long   O
-   O
term   O
management   O
.   O

Report   O
Prepared   O
by   O
:   O
Vosanibola   B-NAME
,   I-NAME
Josefa   I-NAME
Thursday   B-DATE
,   I-DATE
November   I-DATE
/2023   O
Confidential   O
Patient   O
Information   O
:   O
ID   O
:   O
95249096   B-ID
Medical   O
Organization   O
:   O
Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION

Treating   O
Hospital   O
:   O
St.   B-LOCATION
Clare   I-LOCATION
Hospital   I-LOCATION
Location   O
of   O
Consultation   O
:   O
La   B-LOCATION
Grande   I-LOCATION
Doctor   O
's   O
Phone   O
Number   O
:   O
30614   B-CONTACT
Medical   O
Staff   O
Username   O
:   O

axw610   B-NAME

Patient   O
Name   O
:   O
Sarahi   B-NAME
Rios   I-NAME
DOB   O
:   O
01/25/09   B-DATE
Age   O
:   O
85   O
Address   O
:   O
Pittsburgh   B-LOCATION
,   O
90421   B-LOCATION
Phone   O
:   O
(   B-CONTACT
957   I-CONTACT
)   I-CONTACT
248   I-CONTACT
-   I-CONTACT
7692   I-CONTACT
Employer   O
:   O
Tyranical   B-LOCATION
Planets   I-LOCATION
Occupation   O
:   O
Conference   O
organiser   O
Primary   O
Care   O
Physician   O
:   O

Damien   B-NAME
Wang   I-NAME
Medical   O
Record   O
Number   O
:   O
9560157   B-ID
ID   O
:   O
5   B-ID
-   I-ID
1999668   I-ID
Visit   O
Date   O
:   O
02/19   B-DATE
Chief   O
Complaint   O
:   O

Janeeva   B-NAME
presented   O
to   O
Bayfront   B-LOCATION
Health   I-LOCATION
Punta   I-LOCATION
Gorda   I-LOCATION
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
dry   O
cough   O
persisting   O
for   O
approximately   O
three   O
weeks   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Drucker   B-NAME
,   I-NAME
Peter   I-NAME
F.   I-NAME
,   O
a   O
writer   O
at   O
New   B-LOCATION
South   I-LOCATION
Federal   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
in   O
Ballantine   B-LOCATION
,   O
has   O
been   O
experiencing   O
increased   O
shortness   O
of   O
breath   O
during   O
routine   O
activities   O
,   O
which   O
was   O
initially   O
attributed   O
to   O
a   O
lack   O
of   O
physical   O
fitness   O
.   O

Andre   B-NAME
Nowzik   I-NAME
denies   O
any   O
recent   O
travels   O
or   O
contact   O
with   O
sick   O
individuals   O
but   O
mentions   O
a   O
history   O
of   O
smoking   O
,   O
averaging   O
about   O
a   O
pack   O
a   O
week   O
for   O
the   O
past   O
93   O
years   O
.   O

Impression   O
:   O
A   O
74   O
-   O
year   O
-   O
old   O
Employment   O
,   O
Recruitment   O
,   O
and   O
Placement   O
Specialists   O
from   O
McComb   B-LOCATION
presents   O
with   O
symptoms   O
suggestive   O
of   O
pneumonia   O
,   O
characterized   O
by   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
dry   O
cough   O
,   O
and   O
localized   O
chest   O
pain   O
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
Scheduled   O
with   O
Bianca   B-NAME
Gillespie   I-NAME
at   O
Nicholas   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
12/24   B-DATE
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Jacob   B-NAME
Christmas   I-NAME
can   O
contact   O
the   O
office   O
at   O
734   B-CONTACT
3171   I-CONTACT
.   O

Elbert   B-NAME
Fleet   I-NAME
Patient   O
ID   O
:   O
HA   B-ID
:   I-ID
HM:8526   I-ID
Medical   O
Record   O
Number   O
:   O
38244152   B-ID
Date   O
of   O
Birth   O
:   O
2292   B-DATE
Age   O
:   O
47s   O
Phone   O
:   O
755   B-CONTACT
-   I-CONTACT
1681   I-CONTACT
Address   O
:   O
Silver   B-LOCATION
City   I-LOCATION
,   O
30561   B-LOCATION
Employer   O
:   O
Darby   B-LOCATION
Bank   I-LOCATION
&   I-LOCATION
Trust   I-LOCATION
Occupation   O
:   O
Health   O
Educators   O
Attending   O
Physician   O
:   O
Aliya   B-NAME
Osborn   I-NAME
Hospital   O
:   O
Summit   B-LOCATION
Healthcare   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
3/00   B-DATE
Date   O
of   O
Report   O
:   O
3/21   B-DATE
Chief   O
Complaint   O
:   O
Mattie   B-NAME
Hurley   I-NAME
was   O
admitted   O
to   O
CHRISTUS   B-LOCATION
St.   I-LOCATION
Frances   I-LOCATION
Cabrini   I-LOCATION
Hospital   I-LOCATION
on   O
2122   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
02   I-DATE
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Wang   B-NAME
reported   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
diffuse   O
but   O
gradually   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
becoming   O
more   O
severe   O
over   O
time   O
.   O

Accompanying   O
the   O
abdominal   O
pain   O
,   O
Lewis   B-NAME
Jennings   I-NAME
experienced   O
several   O
episodes   O
of   O
vomiting   O
and   O
an   O
inability   O
to   O
tolerate   O
oral   O
intake   O
.   O

Roe   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
symptoms   O
described   O
in   O
the   O
present   O
illness   O
,   O
Jerome   B-NAME
Santos   I-NAME
denied   O
experiencing   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
headaches   O
,   O
or   O
any   O
changes   O
in   O
bowel   O
or   O
bladder   O
function   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Cunningham   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Further   O
imaging   O
with   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
complications   O
.   O
Treatment   O
and   O
Plan   O
:   O
The   O
surgical   O
team   O
,   O
led   O
by   O
Blake   B-NAME
,   O
was   O
consulted   O
and   O
HARRIET   B-NAME
XIA   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
and   O
Martinius   B-NAME
Colombe   I-NAME
is   O
currently   O
recovering   O
in   O
Community   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Dobbs   I-LOCATION
Ferry   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
23/11/2250   B-DATE
with   O
Rogers   B-NAME
,   I-NAME
Fred   I-NAME
to   O
ensure   O
proper   O
healing   O
and   O
to   O
discuss   O
any   O
further   O
treatment   O
if   O
necessary   O
.   O

Prepared   O
by   O
:   O
xt446   B-NAME
Contact   O
Information   O
:   O
53691   B-CONTACT
Date   O
of   O
Preparation   O
:   O
01/22/28   B-DATE
This   O
report   O
is   O
confidential   O
and   O
contains   O
protected   O
health   O
information   O
pertaining   O
to   O
Angeline   B-NAME
Hickman   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Lloyd   B-NAME
Date   O
of   O
Birth   O
:   O
04/67   B-DATE
Age   O
:   O
57   O
Medical   O
Record   O
Number   O
:   O
118   B-ID
-   I-ID
37   I-ID
-   I-ID
58   I-ID
-   I-ID
6   I-ID
Social   O
Security   O
Number   O
:   O
QL905/8224   B-ID
Address   O
:   O
West   B-LOCATION
Seneca   I-LOCATION
,   O
72182   B-LOCATION
Phone   O
Number   O
:   O
31656   B-CONTACT
Employment   O
:   O
Speech   O
-   O
Language   O
Pathologists   O
at   O
GMAC   B-LOCATION
Insurance   I-LOCATION
Attending   O
Physician   O
:   O
Lozano   B-NAME
Hospital   O
:   O
Medical   B-LOCATION
City   I-LOCATION
Arlington   I-LOCATION
Admission   O
Date   O
:   O
12/22/2358   B-DATE
Discharge   O
Date   O
:   O
2   B-DATE
-   I-DATE
2   I-DATE
-   I-DATE
54   I-DATE
History   O
of   O
Present   O
Illness   O
:   O
Norman   B-NAME
Seifried   I-NAME
,   O
a   O
89   O
-   O
year   O
-   O
old   O
Management   O
Analysts   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
HSHS   B-LOCATION
St   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
13/02/96   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
onset   O
chest   O
pain   O
,   O
described   O
as   O
sharp   O
and   O
localized   O
on   O
the   O
left   O
side   O
,   O
radiating   O
to   O
the   O
left   O
shoulder   O
.   O

The   O
pain   O
began   O
suddenly   O
while   O
the   O
patient   O
was   O
at   O
work   O
at   O
First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

Levy   B-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
and   O
palpitations   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Elyse   B-NAME
Espinoza   I-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Outcome   O
:   O
Andrew   B-NAME
Manson   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
a   O
heparin   O
drip   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Nash   B-NAME
Clay   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
an   O
emergent   O
coronary   O
angiography   O
,   O
revealing   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
,   O
which   O
was   O
successfully   O
revascularized   O
with   O
a   O
stent   O
placement   O
by   O
Chambers   B-NAME
.   O

Post   O
-   O
procedure   O
,   O
Joey   B-NAME
Shaw   I-NAME
's   O
chest   O
pain   O
resolved   O
,   O
and   O
repeat   O
troponin   O
levels   O
trended   O
down   O
.   O

Skyler   B-NAME
Combs   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
at   O
Hackettstown   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
monitoring   O
.   O

After   O
a   O
stable   O
period   O
of   O
observation   O
,   O
Zaid   B-NAME
Gordon   I-NAME
was   O
discharged   O
on   O
February   B-DATE
9   I-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
clopidogrel   O
,   O
atorvastatin   O
,   O
and   O
metoprolol   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Pratt   B-NAME
in   O
two   O
weeks   O
.   O

Instructions   O
for   O
Follow   O
-   O
up   O
:   O
Kylee   B-NAME
Hamilton   I-NAME
was   O
advised   O
to   O
follow   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
a   O
month   O
,   O
and   O
to   O
promptly   O
report   O
any   O
recurrence   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
dizziness   O
to   O
19740   B-CONTACT
.   O

Agena   B-NAME
,   I-NAME
Keiko   I-NAME
was   O
also   O
encouraged   O
to   O
enroll   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

The   O
robust   O
and   O
timely   O
management   O
of   O
Alejandra   B-NAME
Howard   I-NAME
's   O
acute   O
myocardial   O
infarction   O
highlights   O
the   O
importance   O
of   O
immediate   O
medical   O
attention   O
in   O
the   O
setting   O
of   O
chest   O
pain   O
with   O
supporting   O
clinical   O
evidence   O
of   O
an   O
AMI   O
.   O

Further   O
outpatient   O
follow   O
-   O
up   O
and   O
lifestyle   O
modification   O
will   O
be   O
crucial   O
in   O
the   O
management   O
of   O
Brennan   B-NAME
's   O
cardiovascular   O
health   O
.   O

Username   O
of   O
the   O
person   O
completing   O
this   O
report   O
:   O
KU700   B-NAME
Date   O
:   O
August   B-DATE

Patient   O
Report   O
:   O
Name   O
:   O
Dru   B-NAME
Age   O
:   O
81   O
Date   O
of   O
Birth   O
:   O
1847   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
04   I-DATE
Address   O
:   O
Hereford   B-LOCATION
,   O
98945   B-LOCATION
Phone   O
Number   O
:   O
754   B-CONTACT
890   I-CONTACT
6282   I-CONTACT
Healthcare   O
Provider   O
:   O
Town   B-LOCATION
of   I-LOCATION
Williamsport   I-LOCATION
Utilities   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Gordon   B-NAME
Hospital   O
:   O
Houston   B-LOCATION
Methodist   I-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
0444654   B-ID
Date   O
of   O
Visit   O
:   O
00/26   B-DATE
ID   O
Number   O
:   O
OG766/4216   B-ID
Presenting   O
Symptoms   O
:   O
Norah   B-NAME
Mcneil   I-NAME
presented   O
at   O
the   O
Emergency   O
Department   O
of   O
Florida   B-LOCATION
Hospital   I-LOCATION
Waterman   I-LOCATION
on   O
20/31   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

YERGER   B-NAME
,   I-NAME
DESEAN   I-NAME
described   O
the   O
chest   O
pain   O
as   O
"   O
severe   O
"   O
and   O
rated   O
it   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Aviles   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Buchanan   B-NAME
,   O
a   O
specialist   O
in   O
internal   O
medicine   O
.   O

Remezov   B-NAME
also   O
has   O
a   O
known   O
history   O
of   O
hyperlipidemia   O
.   O

On   O
physical   O
examination   O
,   O
Olivia   B-NAME
P.   I-NAME
Hopkins   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Diagnostic   O
Testing   O
:   O
Following   O
the   O
initial   O
assessment   O
,   O
Fuller   B-NAME
,   I-NAME
Margaret   I-NAME
ordered   O
further   O
diagnostic   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
cardiac   O
biomarkers   O
,   O
and   O
a   O
chest   O
X   O
-   O
ray   O
.   O

Youngman   B-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
at   O
UH   B-LOCATION
Cleveland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
,   O
which   O
included   O
initiation   O
of   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
and   O
statin   O
therapy   O
as   O
per   O
the   O
latest   O
guidelines   O
.   O

A   O
consultation   O
with   O
a   O
cardiologist   O
,   O
Conner   B-NAME
,   O
was   O
scheduled   O
for   O
the   O
following   O
morning   O
to   O
evaluate   O
the   O
need   O
for   O
cardiac   O
catheterization   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Alan   B-NAME
Fritz   I-NAME
was   O
discharged   O
from   O
Sedgwick   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
Aug   B-DATE
32   I-DATE
with   O
a   O
prescription   O
for   O
dual   O
antiplatelet   O
therapy   O
and   O
instructions   O
for   O
strict   O
control   O
of   O
blood   O
sugar   O
and   O
blood   O
pressure   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Knox   B-NAME
in   O
two   O
weeks   O
to   O
reassess   O
heart   O
function   O
and   O
to   O
adjust   O
medications   O
as   O
necessary   O
.   O

Sexton   B-NAME
was   O
advised   O
to   O
participate   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
and   O
was   O
given   O
contact   O
information   O
for   O
a   O
local   O
support   O
group   O
for   O
individuals   O
recovering   O
from   O
a   O
heart   O
attack   O
.   O

In   O
case   O
of   O
any   O
questions   O
or   O
concerns   O
,   O
Anders   B-NAME
Sykes   I-NAME
or   O
their   O
family   O
members   O
can   O
contact   O
Penn   B-LOCATION
State   I-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
at   O
422   B-CONTACT
-   I-CONTACT
130   I-CONTACT
-   I-CONTACT
8923   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Andrew   B-NAME
Manson   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
7678335   I-ID
Medical   O
Record   O
Number   O
:   O
DNSW9   B-ID
Age   O
:   O
39   O
DOB   O
:   O
5   B-DATE
-   I-DATE
22   I-DATE
Address   O
:   O
Olowalu   B-LOCATION
,   O
54952   B-LOCATION
Phone   O
:   O
(   B-CONTACT
690   I-CONTACT
)   I-CONTACT
193   I-CONTACT
-   I-CONTACT
8430   I-CONTACT
Employer   O
:   O
Butler   B-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Materials   O
Inspectors   O
Consulting   O
Doctor   O
:   O
Valencia   B-NAME
Hospital   O
Name   O
:   O

Friends   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
Thursday   B-DATE
,   I-DATE
November   I-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Cal   B-NAME
Lightman   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Chatham   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
on   O
07/39   B-DATE
with   O
complaints   O
of   O
acute   O
-   O
onset   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
nausea   O
.   O

Medical   O
History   O
:   O
Alaina   B-NAME
Olsen   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

However   O
,   O
Martha   B-NAME
Livingston   I-NAME
mentioned   O
a   O
family   O
history   O
of   O
heart   O
disease   O
,   O
with   O
a   O
parent   O
experiencing   O
a   O
heart   O
attack   O
at   O
the   O
age   O
of   O
32   O
.   O

Examination   O
Findings   O
:   O
Upon   O
initial   O
examination   O
,   O
Kelton   B-NAME
Valenzuela   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Janetta   B-NAME
Lopiccalo   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
a   O
loading   O
dose   O
of   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
according   O
to   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Given   O
the   O
ECG   O
findings   O
and   O
clinical   O
presentation   O
,   O
an   O
urgent   O
consultation   O
with   O
a   O
cardiologist   O
,   O
Casey   B-NAME
Howell   I-NAME
,   O
was   O
made   O
for   O
possible   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Madelynn   B-NAME
Shaw   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
at   O
FirstHealth   B-LOCATION
Montgomery   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

Follow   O
-   O
up   O
:   O
Shyann   B-NAME
Salazar   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
13/11   B-DATE
with   O
Chandler   B-NAME
Blanchard   I-NAME
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Pittsburgh   I-LOCATION
UPMC   I-LOCATION
to   O
assess   O
post   O
-   O
PCI   O
recovery   O
and   O
to   O
adjust   O
medications   O
as   O
necessary   O
.   O

Notes   O
:   O
All   O
personal   O
and   O
sensitive   O
data   O
regarding   O
Kelsey   B-NAME
Proctor   I-NAME
,   O
including   O
contact   O
information   O
,   O
identification   O
,   O
and   O
geographical   O
details   O
,   O
have   O
been   O
securely   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
guidelines   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
Jair   B-NAME
Rodgers   I-NAME
's   O
condition   O
,   O
please   O
contact   O
the   O
Cardiology   O
Department   O
at   O
Lafayette   B-LOCATION
General   I-LOCATION
Orthopaedic   I-LOCATION
Hospital   I-LOCATION
via   O
48303   B-CONTACT
.   O

The   O
patient   O
,   O
Nikolai   B-NAME
Martinez   I-NAME
,   O
a   O
Astronomers   O
from   O
Kief   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Lake   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
07/06   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Isabel   B-NAME
Spence   I-NAME
has   O
a   O
documented   O
medical   O
history   O
of   O
hypertension   O
and   O
has   O
been   O
on   O
medication   O
,   O
although   O
the   O
adherence   O
to   O
the   O
prescribed   O
regimen   O
is   O
inconsistent   O
.   O

Xavier   B-NAME
Reed   I-NAME
,   O
the   O
attending   O
emergency   O
physician   O
,   O
immediately   O
ordered   O
an   O
electrocardiogram   O
(   O
EKG   O
)   O
,   O
which   O
indicated   O
signs   O
consistent   O
with   O
an   O
acute   O
myocardial   O
infarction   O
(   O
AMI   O
)   O
.   O

Raymond   B-NAME
advised   O
immediate   O
admission   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
for   O
further   O
management   O
,   O
including   O
pharmacological   O
intervention   O
and   O
potential   O
coronary   O
intervention   O
.   O

Consent   O
was   O
obtained   O
orally   O
,   O
and   O
Xie   B-NAME
was   O
transferred   O
to   O
the   O
designated   O
care   O
unit   O
on   O
the   O
3/25   B-DATE
.   O

The   O
patient   O
's   O
6009625   B-ID
and   O
GR:801044:264583   B-ID
were   O
reviewed   O
to   O
note   O
any   O
allergies   O
or   O
previous   O
adverse   O
reactions   O
to   O
medications   O
,   O
which   O
were   O
found   O
to   O
be   O
negative   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Silva   B-NAME
at   O
the   O
Cardiology   O
Clinic   O
of   O
Woodland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/08   B-DATE
to   O
re   O
-   O
evaluate   O
the   O
patient   O
's   O
condition   O
post   O
-   O
discharge   O
and   O
to   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
to   O
prevent   O
recurrence   O
.   O

Before   O
discharge   O
,   O
the   O
patient   O
was   O
given   O
emergency   O
contact   O
numbers   O
,   O
including   O
the   O
direct   O
line   O
to   O
the   O
Cardiology   O
Clinic   O
(   O
436   B-CONTACT
3991   I-CONTACT
)   O
and   O
instructions   O
on   O
when   O
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

The   O
patient   O
expressed   O
gratitude   O
for   O
the   O
care   O
provided   O
and   O
left   O
the   O
hospital   O
on   O
32/24   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Mareli   B-NAME
Elliott   I-NAME
and   O
a   O
referral   O
to   O
a   O
dietician   O
specializing   O
in   O
cardiac   O
health   O
.   O

The   O
care   O
team   O
at   O
Centerpoint   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ensured   O
that   O
all   O
discharge   O
protocols   O
were   O
followed   O
,   O
and   O
the   O
patient   O
's   O
information   O
was   O
updated   O
in   O
the   O
hospital   O
's   O
electronic   O
health   O
record   O
system   O
for   O
continuity   O
of   O
care   O
.   O

Patient   O
Report   O
for   O
Sentara   B-LOCATION
Martha   I-LOCATION
Jefferson   I-LOCATION
Hospital   I-LOCATION
Patient   O
Information   O
:   O
Name   O
:   O
Bennett   B-NAME
,   I-NAME
William   I-NAME
Andrew   I-NAME
Cicil   I-NAME
Age   O
:   O
36   O
Medical   O
Record   O
Number   O
:   O
885   B-ID
-   I-ID
04   I-ID
-   I-ID
76   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Admission   O
:   O
23/03/2176   B-DATE
Date   O
of   O
Report   O
:   O

32/23/16   B-DATE
Attending   O
Physician   O
:   O

Bucky   B-NAME
DeVol   I-NAME
Location   O
:   O
Longbranch   B-LOCATION
Zip   O
Code   O
:   O
72514   B-LOCATION
Phone   O
:   O
579   B-CONTACT
957   I-CONTACT
-   I-CONTACT
2557   I-CONTACT
ID   O
:   O
BK:5041:435623   B-ID
Clinical   O
Summary   O
:   O
Gillian   B-NAME
King   I-NAME
,   O
a   O
Cardiovascular   O
Technologists   O
and   O
Technicians   O
from   O
Weston   B-LOCATION
-   I-LOCATION
super   I-LOCATION
-   I-LOCATION
Mare   I-LOCATION
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Newington   B-LOCATION
Campus   I-LOCATION
(   I-LOCATION
US   I-LOCATION
Veterans   I-LOCATION
Administration   I-LOCATION
)   I-LOCATION
on   O
1832   B-DATE
with   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
associated   O
with   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
diaphoresis   O
.   O

The   O
patient   O
reported   O
that   O
the   O
symptoms   O
began   O
suddenly   O
while   O
at   O
work   O
(   O
Government   O
Property   O
Inspectors   O
and   O
Investigators   O
)   O
on   O
2/3   B-DATE
.   O

Management   O
and   O
Outcome   O
:   O
Jordan   B-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
.   O

The   O
patient   O
was   O
taken   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
an   O
urgent   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
under   O
the   O
care   O
of   O
Shepard   B-NAME
.   O

Following   O
the   O
procedure   O
,   O
Sandra   B-NAME
Mornay   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

Camila   B-NAME
Rhodes   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
complications   O
.   O

Morgan   B-NAME
was   O
discharged   O
on   O
21/2   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Conner   B-NAME
Durham   I-NAME
in   O
the   O
outpatient   O
cardiology   O
clinic   O
.   O

For   O
further   O
information   O
or   O
follow   O
-   O
up   O
,   O
please   O
contact   O
the   O
Cardiology   O
Department   O
at   O
290   B-CONTACT
-   I-CONTACT
909   I-CONTACT
7195   I-CONTACT
or   O
via   O
email   O
to   O
the   O
attending   O
physician   O
Carter   B-NAME
at   O
International   B-LOCATION
Coalition   I-LOCATION
against   I-LOCATION
Enforced   I-LOCATION
Disappearances   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Amaris   B-NAME
Olson   I-NAME
Patient   O
ID   O
:   O
29342   B-ID
Medical   O
Record   O
Number   O
:   O
7817010   B-ID
Date   O
of   O
Birth   O
:   O
11/01/1856   B-DATE
Age   O
:   O
79   O
Phone   O
Number   O
:   O
68010   B-CONTACT
Address   O
:   O
9874   B-LOCATION
Lakewood   B-LOCATION
St.   I-LOCATION
,   O
64711   B-LOCATION
Occupation   O
:   O
Natural   O
Sciences   O
Managers   O
Primary   O
Care   O
Physician   O
:   O

April   B-NAME
Davila   I-NAME
Hospital   O
:   O
Healthstone   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Username   O
:   O
qn624   B-NAME
Date   O
of   O
Visit   O
:   O
09   B-DATE
-   I-DATE
32   I-DATE
Chief   O
Complaint   O
:   O

Hawking   B-NAME
,   I-NAME
Stephen   I-NAME
presents   O
with   O
a   O
continuous   O
,   O
severe   O
headache   O
primarily   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
described   O
as   O
a   O
throbbing   O
sensation   O
.   O

Barnett   B-NAME
also   O
reports   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Keaton   B-NAME
Soto   I-NAME
,   O
a   O
94   O
-   O
year   O
-   O
old   O
Electricians   O
from   O
Macungie   B-LOCATION
,   O
started   O
experiencing   O
headaches   O
of   O
increasing   O
intensity   O
.   O

Kevin   B-NAME
Solomon   I-NAME
denies   O
any   O
recent   O
head   O
injury   O
,   O
fever   O
,   O
or   O
stiff   O
neck   O
.   O

However   O
,   O
Lawrence   B-NAME
Parrish   I-NAME
mentions   O
that   O
work   O
-   O
related   O
stress   O
at   O
Independent   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Ireland   I-LOCATION
has   O
been   O
unusually   O
high   O
in   O
the   O
past   O
month   O
.   O

Past   O
Medical   O
History   O
:   O
Murphy   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
seasonal   O
allergies   O
.   O

Family   O
History   O
:   O
Jones   B-NAME
,   B-NAME
Norah   I-NAME
reports   O
that   O
a   O
parent   O
had   O
migraine   O
headaches   O
,   O
and   O
there   O
is   O
a   O
family   O
history   O
of   O
hypertension   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Davin   B-NAME
Carrillo   I-NAME
is   O
awake   O
,   O
alert   O
,   O
and   O
oriented   O
.   O

Vitals   O
:   O
Blood   O
pressure   O
,   O
heart   O
rate   O
,   O
and   O
respiratory   O
rate   O
are   O
within   O
normal   O
limits   O
for   O
Byrd   B-NAME
's   O
age   O
.   O

Bradford   B-NAME
recommends   O
keeping   O
a   O
headache   O
diary   O
documenting   O
the   O
onset   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
associated   O
symptoms   O
to   O
discuss   O
at   O
the   O
next   O
follow   O
-   O
up   O
visit   O
.   O

Documentation   O
completed   O
by   O
:   O
Bobby   B-NAME
Bell   I-NAME
Date   O
:   O
02/39/2120   B-DATE
Contact   O
Information   O
:   O
59038   B-CONTACT

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
feel   O
free   O
to   O
contact   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Alleghany   I-LOCATION
's   O
Neurology   O
Department   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
WX   B-NAME
Patient   O
ID   O
:   O
ZE:68272:493717   B-ID
Date   O
of   O
Birth   O
:   O
35/30/2024   B-DATE
Age   O
:   O
12   O
month   O
Medical   O
Record   O
Number   O
:   O
44609425   B-ID
Address   O
:   O
Moxee   B-LOCATION
,   O
53695   B-LOCATION

Phone   O
Number   O
:   O
958   B-CONTACT
8015   I-CONTACT
Occupation   O
:   O
Gaming   O
Supervisors   O
Primary   O
Care   O
Physician   O
:   O

Tristian   B-NAME
Oneal   I-NAME
Hospital   O
:   O
Gerber   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
Date   O
of   O
Admission   O
:   O
26/32   B-DATE
Date   O
of   O
Report   O
:   O
04/30   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Aiden   B-NAME
Mccann   I-NAME
,   O
was   O
admitted   O
to   O
OhioHealth   B-LOCATION
Doctors   I-LOCATION
Hospital   I-LOCATION
on   O
12/09   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Albertina   B-NAME
,   O
a   O
93   O
-   O
year   O
-   O
old   O
Lifeguards   O
,   O
Ski   O
Patrol   O
,   O
and   O
Other   O
Recreational   O
Protective   O
Service   O
Workers   O
,   O
first   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
approximately   O
one   O
week   O
prior   O
to   O
admission   O
.   O

Over   O
the   O
past   O
two   O
days   O
,   O
the   O
patient   O
noted   O
an   O
acute   O
exacerbation   O
of   O
the   O
pain   O
,   O
prompting   O
an   O
emergency   O
visit   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
Heartland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

On   O
physical   O
examination   O
,   O
Ahmad   B-NAME
Cabrera   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Mckinley   B-NAME
Foster   I-NAME
,   O
was   O
consulted   O
,   O
and   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
March   B-DATE
of   I-DATE
2311   I-DATE
.   O

Kamren   B-NAME
Holder   I-NAME
is   O
scheduled   O
for   O
discharge   O
on   O
Friday   B-DATE
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
booked   O
for   O
01/27/49   B-DATE
at   O
Saint   B-LOCATION
Claire   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Summary   O
:   O
Abram   B-NAME
Kelley   I-NAME
,   O
a   O
89   O
-   O
year   O
-   O
old   O
Dietitians   O
and   O
Nutritionists   O
,   O
presented   O
with   O
acute   O
onset   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
,   O
nausea   O
,   O
vomiting   O
,   O
and   O
low   O
-   O
grade   O
fever   O
.   O

Recommendations   O
:   O
-   O
Ensure   O
appropriate   O
wound   O
care   O
post   O
-   O
discharge   O
-   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
to   O
Gabriela   B-NAME
Lawrence   I-NAME
on   O
3124   B-DATE
for   O
surgical   O
site   O
inspection   O
and   O
overall   O
recovery   O
assessment   O
.   O

Prepared   O
by   O
:   O
pdv15   B-NAME
Contact   O
Information   O
:   O
492   B-CONTACT
-   I-CONTACT
4637   I-CONTACT
Teamsters   B-LOCATION

Patient   O
Report   O
:   O
730   B-ID
-   I-ID
62   I-ID
-   I-ID
47   I-ID
31/21/2172   B-DATE
/2023   O
Patient   O
Name   O
:   O
Rosalia   B-NAME
Korth   I-NAME
95   O
:   O
45   O
years   O
Address   O
:   O
Plant   B-LOCATION
City   I-LOCATION
,   O
27925   B-LOCATION
Phone   O
:   O
643   B-CONTACT
1472   I-CONTACT
Occupation   O
:   O

Ellis   B-NAME
Hospital   O
:   O
Shriners   B-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
ID   O
:   O
NS   B-ID
:   I-ID
QO:8636   I-ID
Username   O
:   O
QX683   B-NAME

Presenting   O
Complaint   O
:   O
Casey   B-NAME
Leonard   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Wythe   B-LOCATION
County   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
7/90   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

D.   B-NAME
EMON   I-NAME
DUBOIS   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Barbie   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
prior   O
surgeries   O
.   O

Family   O
history   O
is   O
notable   O
for   O
colorectal   O
cancer   O
in   O
Ayanna   B-NAME
Mckenzie   I-NAME
's   O
father   O
at   O
27   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Leila   B-NAME
Casey   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Zariah   B-NAME
Kaiser   I-NAME
was   O
admitted   O
to   O
Bingham   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Jackson   B-NAME
for   O
further   O
management   O
.   O

Oliveira   B-NAME
,   I-NAME
Keith   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
risks   O
and   O
benefits   O
of   O
the   O
surgery   O
were   O
discussed   O
with   O
Holder   B-NAME
,   O
who   O
provided   O
informed   O
consent   O
.   O

Follow   O
-   O
up   O
:   O
A   O
post   O
-   O
operative   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Avila   B-NAME
with   O
Mumford   B-NAME
,   I-NAME
Lewis   I-NAME
in   O
Lubbock   B-LOCATION
Heritage   I-LOCATION
Hospital   I-LOCATION
LLC   I-LOCATION
dba   I-LOCATION
Grace   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/82   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Anabelle   B-NAME
Randall   I-NAME
Patient   O
ID   O
:   O
CY:40142:625998   B-ID
Date   O
of   O
Birth   O
:   O
20/25   B-DATE
Age   O
:   O
95   O
Medical   O
Record   O
Number   O
:   O
5802491   B-ID
Address   O
:   O
Rockport   B-LOCATION
,   O
96496   B-LOCATION
Phone   O
Number   O
:   O
27357   B-CONTACT
Primary   O
Care   O
Doctor   O
:   O
Gould   B-NAME
,   I-NAME
Stephen   I-NAME
Jay   I-NAME
Hospital   O
:   O
Citrus   B-LOCATION
Clinic   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/33/2202   B-DATE
Date   O
of   O
Discharge   O
:   O
10/23/18   B-DATE
Presenting   O
Complaint   O
:   O
PATRICIA   B-NAME
DRAKE   I-NAME
was   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Beloit   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
09/00/29   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
several   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
.   O

Additionally   O
,   O
ullmann   B-NAME
reported   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
early   O
in   O
the   O
morning   O
of   O
18/26   B-DATE
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Morris   B-NAME
exhibited   O
signs   O
of   O
appendiceal   O
tenderness   O
with   O
a   O
positive   O
Blumberg   O
sign   O
indicative   O
of   O
peritonitis   O
.   O

Treatment   O
:   O
Quiana   B-NAME
was   O
administered   O
intravenous   O
antibiotics   O
and   O
fluids   O
.   O

After   O
stabilization   O
and   O
further   O
evaluation   O
by   O
Amya   B-NAME
Bauer   I-NAME
,   O
surgical   O
intervention   O
was   O
advised   O
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
'   B-DATE
62   I-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Maxentius   B-NAME
Dorn   I-NAME
was   O
discharged   O
on   O
37   B-DATE
-   I-DATE
Dec-2060   I-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
care   O
and   O
antibiotic   O
therapy   O
.   O

Follow   O
-   O
up   O
:   O
Khalilzad   B-NAME
,   I-NAME
Zalmay   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Arias   B-NAME
in   O
the   O
outpatient   O
clinic   O
at   O
Bristol   B-LOCATION
-   I-LOCATION
Myers   I-LOCATION
Squibb   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
April   B-DATE
12   I-DATE
,   I-DATE
2123   I-DATE
to   O
monitor   O
recovery   O
and   O
ensure   O
the   O
absence   O
of   O
post   O
-   O
operative   O
complications   O
.   O

Clark   B-NAME
,   I-NAME
Ramsey   I-NAME
was   O
also   O
provided   O
with   O
the   O
contact   O
number   O
896   B-CONTACT
-   I-CONTACT
7338   I-CONTACT
for   O
the   O
surgical   O
department   O
should   O
there   O
be   O
any   O
concerns   O
or   O
symptoms   O
of   O
infection   O
,   O
such   O
as   O
increased   O
pain   O
,   O
redness   O
around   O
the   O
surgical   O
site   O
,   O
or   O
fever   O
.   O

Conclusion   O
:   O
Veritas   B-NAME
Faltz   I-NAME
,   O
a   O
54   O
-   O
year   O
-   O
old   O
Lathe   O
and   O
Turning   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
,   O
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
at   O
St.   B-LOCATION
Mark   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Boone   B-NAME
.   O

Patient   O
Consent   O
:   O
Consent   O
was   O
obtained   O
from   O
Bush   B-NAME
,   I-NAME
George   I-NAME
W.   I-NAME
for   O
all   O
treatments   O
and   O
procedures   O
performed   O
.   O

Prepared   O
by   O
:   O
Health   O
Information   O
Management   O
at   O
Civil   B-LOCATION
and   I-LOCATION
Public   I-LOCATION
Services   I-LOCATION
Union   I-LOCATION
Author   O
:   O
Medical   O
Records   O
Specialist   O
AU232   B-NAME
Date   O
:   O
5   B-DATE
-   I-DATE
04   I-DATE

Patient   O
Report   O
for   O
Alberto   B-NAME
Beltran   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
Age   O
:   O
21   O
-   O
Date   O
of   O
Initial   O
Consultation   O
:   O
12/21/22   B-DATE
/2023   O
-   O
Physician   O
in   O
Charge   O
:   O
Barr   B-NAME
-   O
Hospital   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
Carmel   I-LOCATION
Hospital   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
269   B-ID
-   I-ID
22   I-ID
-   I-ID
36   I-ID
-   I-ID
8   I-ID
-   O
ID   O
:   O
VQ   B-ID
:   I-ID
ER:6511   I-ID
-   O
Location   O
:   O
Datto   B-LOCATION
,   O
73627   B-LOCATION
-   O
Contact   O
Number   O
:   O
972   B-CONTACT
113   I-CONTACT
8034   I-CONTACT
Summary   O
:   O
Samantha   B-NAME
G   I-NAME
Noland   I-NAME
,   O
a   O
Ophthalmic   O
Medical   O
Technicians   O
from   O
Gayville   B-LOCATION
,   O
presented   O
with   O
complaints   O
of   O
intermittent   O
episodes   O
of   O
shortness   O
of   O
breath   O
,   O
exacerbated   O
by   O
mild   O
physical   O
activities   O
and   O
a   O
persistent   O
cough   O
over   O
the   O
past   O
2100   B-DATE
-   I-DATE
36   I-DATE
-   I-DATE
12   I-DATE
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
examination   O
,   O
Morgan   B-NAME
was   O
found   O
to   O
have   O
an   O
elevated   O
heart   O
rate   O
and   O
a   O
slightly   O
elevated   O
blood   O
pressure   O
.   O

Yoshie   B-NAME
Caicedo   I-NAME
was   O
advised   O
to   O
undergo   O
a   O
comprehensive   O
echocardiogram   O
to   O
further   O
assess   O
cardiac   O
function   O
and   O
to   O
rule   O
out   O
congestive   O
heart   O
failure   O
.   O

3   O
.   O
Mulis   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Yaretzi   B-NAME
Reynolds   I-NAME
in   O
2338   B-DATE
/2023   O
for   O
reevaluation   O
and   O
adjustment   O
of   O
the   O
treatment   O
plan   O
based   O
on   O
the   O
echocardiogram   O
results   O
.   O

Stevenson   B-NAME
was   O
educated   O
about   O
the   O
importance   O
of   O
monitoring   O
daily   O
weights   O
and   O
advised   O
to   O
report   O
significant   O
changes   O
or   O
worsening   O
of   O
symptoms   O
immediately   O
.   O

Further   O
Recommendations   O
:   O
-   O
Referral   O
to   O
a   O
cardiologist   O
associated   O
with   O
Navicent   B-LOCATION
Health   I-LOCATION
Baldwin   I-LOCATION
for   O
specialized   O
care   O
.   O
-   O
Potential   O
consideration   O
of   O
cardiac   O
MRI   O
for   O
detailed   O
imaging   O
if   O
echocardiogram   O
results   O
warrant   O
further   O
investigation   O
.   O

Safety   O
Measures   O
and   O
Precautions   O
:   O
-   O
Norris   B-NAME
Jahns   I-NAME
was   O
instructed   O
to   O
avoid   O
engaging   O
in   O
strenuous   O
physical   O
activities   O
until   O
further   O
evaluation   O
is   O
completed   O
.   O
-   O

Follow   O
-   O
Up   O
:   O
-   O
Kilmister   B-NAME
,   I-NAME
Lemmy   I-NAME
is   O
expected   O
to   O
return   O
to   O
Zuckerberg   B-LOCATION
San   I-LOCATION
Francisco   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Trauma   I-LOCATION
Center   I-LOCATION
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
11/20/30   B-DATE
/2023   O
.   O
-   O
Contact   O
information   O
:   O
(   B-CONTACT
999   I-CONTACT
)   I-CONTACT
135   I-CONTACT
2512   I-CONTACT
,   O
should   O
Emery   B-NAME
Klein   I-NAME
have   O
any   O
questions   O
or   O
concerns   O
or   O
experiences   O
any   O
adverse   O
reactions   O
to   O
medications   O
or   O
worsening   O
symptoms   O
.   O

This   O
patient   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
only   O
for   O
the   O
use   O
of   O
FirstHealth   B-LOCATION
Moore   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Hoke   I-LOCATION
,   O
Jameson   B-NAME
Sloan   I-NAME
,   O
and   O
the   O
assigned   O
medical   O
team   O
.   O

Document   O
Prepared   O
by   O
:   O
ims2310   B-NAME
Date   O
:   O
November   B-DATE
01   I-DATE

Patient   O
Name   O
:   O
Cassie   B-NAME
Sanford   I-NAME
Age   O
:   O
5s   O
Date   O
of   O
Birth   O
:   O
32/23/2231   B-DATE
Medical   O
Record   O
Number   O
:   O
96093941   B-ID
SSN   O
:   O
10   B-ID
-   I-ID
6199615   I-ID
Address   O
:   O
Horton   B-LOCATION
,   O
33782   B-LOCATION
Phone   O
Number   O
:   O
57416   B-CONTACT
Doctor   O
:   O
Smith   B-NAME
,   I-NAME
Kevin   I-NAME
Hospital   O
:   O
CHI   B-LOCATION
Health   I-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Date   O
of   O
Visit   O
:   O
36/26/2134   B-DATE
Occupation   O
:   O
Credit   O
Authorizers   O
Clinical   O
Summary   O
:   O
Geneva   B-NAME
Franklin   I-NAME
,   O
a   O
5   O
-   O
year   O
-   O
old   O
Orthotists   O
and   O
Prosthetists   O
from   O
Gateshead   B-LOCATION
,   O
presented   O
to   O
Parkview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Jan   B-DATE
'   I-DATE
52   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
recurrent   O
fevers   O
over   O
the   O
past   O
two   O
weeks   O
.   O

According   O
to   O
Hampton   B-NAME
,   O
the   O
patient   O
had   O
been   O
previously   O
healthy   O
without   O
any   O
significant   O
medical   O
history   O
.   O

These   O
symptoms   O
prompted   O
Walken   B-NAME
,   I-NAME
Christopher   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

Upon   O
examination   O
,   O
Duran   B-NAME
noted   O
mild   O
tachypnea   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
scattered   O
rhonchi   O
on   O
auscultation   O
of   O
the   O
lungs   O
.   O

Given   O
the   O
clinical   O
findings   O
and   O
the   O
patient   O
’s   O
occupation   O
as   O
a   O
Retail   O
pharmacist   O
in   O
Detroit   B-LOCATION
-   I-LOCATION
Corktown   I-LOCATION
's   I-LOCATION
Michigan   I-LOCATION
Avenue   I-LOCATION
Business   I-LOCATION
District   I-LOCATION
,   I-LOCATION
Greater   I-LOCATION
Corktown   I-LOCATION
Development   I-LOCATION
Corporation   I-LOCATION
,   O
a   O
broad   O
differential   O
diagnosis   O
was   O
considered   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
investigations   O
,   O
Taniyah   B-NAME
Patterson   I-NAME
suspect   O
a   O
possible   O
community   O
-   O
acquired   O
pneumonia   O
and   O
recommended   O
starting   O
empirical   O
antibiotic   O
therapy   O
alongside   O
symptomatic   O
treatment   O
for   O
cough   O
and   O
fever   O
.   O

Bridges   B-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Shaw   B-NAME
at   O
Staten   B-LOCATION
Island   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
in   O
25/22   B-DATE
for   O
a   O
review   O
of   O
symptoms   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
ongoing   O
tests   O
.   O

In   O
the   O
meantime   O
,   O
Krystal   B-NAME
Eddy   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
hydration   O
,   O
rest   O
,   O
and   O
adhering   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O

The   O
contact   O
information   O
provided   O
for   O
any   O
urgent   O
concerns   O
or   O
deterioration   O
of   O
symptoms   O
is   O
916   B-CONTACT
-   I-CONTACT
831   I-CONTACT
1906   I-CONTACT
.   O

Kendrick   B-NAME
Reed   I-NAME
was   O
reassured   O
that   O
the   O
medical   O
team   O
at   O
King   B-LOCATION
's   I-LOCATION
Daughters   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
available   O
to   O
assist   O
and   O
was   O
encouraged   O
to   O
reach   O
out   O
if   O
necessary   O
.   O

End   O
of   O
Report   O
Prepared   O
by   O
:   O
IL25   B-NAME
Date   O
:   O
32/27/28   B-DATE

Patient   O
Name   O
:   O
Miranda   B-NAME
,   I-NAME
James   I-NAME
R   I-NAME
Patient   O
ID   O
:   O
8   B-ID
-   I-ID
2433878   I-ID
Medical   O
Record   O
Number   O
:   O
0586602   B-ID
DOB   O
:   O
67   O
Date   O
of   O
Visit   O
:   O
2/2/2212   B-DATE
Attending   O
Physician   O
:   O

May   B-NAME
Hospital   O
Name   O
:   O
Aspirus   B-LOCATION
Wausau   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Aguas   B-LOCATION
Buenas   I-LOCATION
Contact   O
Number   O
:   O
439   B-CONTACT
5204   I-CONTACT
Employment   O
:   O

Dietitian   O
at   O
Duke   B-LOCATION
Energy   I-LOCATION
Florida   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Duke   I-LOCATION
Energy   I-LOCATION
Residence   O
Zip   O
Code   O
:   O
13471   B-LOCATION
Username   O
:   O
zt653   B-NAME
Subjective   O
:   O
Amira   B-NAME
Myers   I-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
Stationary   O
Engineers   O
and   O
Boiler   O
Operators   O
employed   O
at   O
Sexaholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
SA   I-LOCATION
)   I-LOCATION
,   O
presented   O
to   O
Conemaugh   B-LOCATION
Meyersdale   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/42   B-DATE
complaining   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
,   O
and   O
chest   O
tightness   O
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
outside   O
Salt   B-LOCATION
Rock   I-LOCATION
or   O
contact   O
with   O
sick   O
individuals   O
.   O

However   O
,   O
they   O
mentioned   O
a   O
high   O
level   O
of   O
stress   O
due   O
to   O
work   O
demands   O
at   O
Tahirih   B-LOCATION
Justice   I-LOCATION
Center   I-LOCATION
.   O

The   O
following   O
plan   O
was   O
established   O
for   O
Tia   B-NAME
Thornton   I-NAME
by   O
Quintin   B-NAME
Frank   I-NAME
:   O
1   O
.   O

Follow   O
-   O
up   O
visit   O
scheduled   O
for   O
22/33   B-DATE
to   O
re   O
-   O
evaluate   O
symptoms   O
and   O
treatment   O
effectiveness   O
Conclusion   O
:   O
The   O
patient   O
's   O
symptoms   O
warrant   O
immediate   O
and   O
careful   O
attention   O
to   O
rule   O
out   O
any   O
potential   O
complications   O
.   O

Novalis   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
do   O
not   O
improve   O
with   O
the   O
prescribed   O
treatment   O
.   O

Document   O
Prepared   O
By   O
:   O
Bacevich   B-NAME
,   I-NAME
Andrew   I-NAME
For   O
any   O
further   O
queries   O
,   O
please   O
contact   O
INTEGRIS   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
at   O
660   B-CONTACT
-   I-CONTACT
871   I-CONTACT
9978   I-CONTACT
.   O

Patient   O
:   O
Dolan   B-NAME
Date   O
:   O
32   B-DATE
Medical   O
Record   O
Number   O
:   O
1241470   B-ID
Physician   O
:   O
Gramsci   B-NAME
,   I-NAME
Antonio   I-NAME
United   B-LOCATION
Auto   I-LOCATION
Workers   I-LOCATION
:   O
Lourdes   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
7975   B-LOCATION
N.   B-LOCATION
Riverview   I-LOCATION
Street   I-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
357   I-CONTACT
)   I-CONTACT
627   I-CONTACT
7590   I-CONTACT
Age   O
:   O
37   O
Occupation   O
:   O
Equal   O
Opportunity   O
Representatives   O
and   O
Officers   O
ID   O
:   O
MO:38551:184233   B-ID
Username   O
:   O
pdv15   B-NAME
ZIP   O
:   O
23179   B-LOCATION
Chief   O
Complaint   O
:   O

Foster   B-NAME
presents   O
to   O
the   O
clinic   O
on   O
Feb.   B-DATE
32   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
.   O

Additionally   O
,   O
Quintanar   B-NAME
reports   O
a   O
fever   O
of   O
101   O
°   O
F   O
(   O
38.3   O
°   O
C   O
)   O
as   O
of   O
this   O
morning   O
.   O

Medical   O
History   O
:   O
Jazlynn   B-NAME
Jones   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
medication   O
is   O
currently   O
being   O
taken   O
.   O

On   O
physical   O
examination   O
,   O
Walker   B-NAME
exhibits   O
tenderness   O
on   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Based   O
on   O
these   O
findings   O
,   O
it   O
is   O
recommended   O
that   O
Ibrahim   B-NAME
Farmer   I-NAME
be   O
admitted   O
to   O
Marietta   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
and   O
potential   O
surgical   O
intervention   O
.   O

Li   B-NAME
from   O
General   O
Surgery   O
was   O
consulted   O
and   O
recommended   O
an   O
appendectomy   O
pending   O
further   O
evaluation   O
.   O

Instructions   O
for   O
Russel   B-NAME
Bernotas   I-NAME
:   O
-   O
Follow   O
up   O
immediately   O
in   O
the   O
emergency   O
department   O
at   O
Utah   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
.   O
-   O
NPO   O
(   O
nil   O
per   O
os   O
-   O
nothing   O
by   O
mouth   O
)   O
status   O
in   O
anticipation   O
of   O
potential   O
surgery   O
.   O
-   O
Continue   O
monitoring   O
temperature   O
and   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
.   O

Documentation   O
completed   O
by   O
:   O
Walter   B-NAME
2/9   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Malik   B-NAME
Okorududu   I-NAME
Patient   O
ID   O
:   O
235123   B-ID
Medical   O
Record   O
Number   O
:   O
DNSW7   B-ID
Date   O
of   O
Birth   O
:   O
93   O
Date   O
of   O
Visit   O
:   O
7/26/83   B-DATE
/2023   O
Primary   O
Care   O
Physician   O
:   O

Horton   B-NAME
Address   O
:   O
Ohio   B-LOCATION
,   O
12833   B-LOCATION
Phone   O
Number   O
:   O
286   B-CONTACT
8836   I-CONTACT
Employment   O
:   O
Media   O
buyer   O
at   O
San   B-LOCATION
Diego   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Clinical   O
Presentation   O
:   O
16   B-DATE
/2023   O
-   O
Bergman   B-NAME
,   I-NAME
George   I-NAME
E.   I-NAME
,   O
a   O
4   O
-   O
year   O
-   O
old   O
Environmental   O
manager   O
,   O
presented   O
to   O
Yukon   B-LOCATION
-   I-LOCATION
Kuskokwim   I-LOCATION
Delta   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
in   O
Seminole   B-LOCATION
Manor   I-LOCATION
with   O
a   O
three   O
-   O
day   O
history   O
of   O
progressive   O
,   O
right   O
-   O
sided   O
abdominal   O
pain   O
,   O
described   O
as   O
sharp   O
and   O
intermittent   O
.   O

Burns   B-NAME
,   I-NAME
Robert   I-NAME
also   O
reported   O
experiencing   O
chills   O
and   O
a   O
subjective   O
fever   O
.   O

On   O
physical   O
examination   O
,   O
Eli   B-NAME
Lainez   I-NAME
appeared   O
uncomfortable   O
and   O
was   O
noted   O
to   O
have   O
right   O
lower   O
quadrant   O
tenderness   O
with   O
voluntary   O
guarding   O
.   O

Management   O
and   O
Outcome   O
:   O
2043   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
02   I-DATE
/2023   O
-   O
The   O
surgical   O
team   O
,   O
led   O
by   O
James   B-NAME
Atherton   I-NAME
,   O
was   O
consulted   O
.   O

After   O
discussing   O
the   O
risks   O
and   O
benefits   O
with   O
Frankie   B-NAME
Farmer   I-NAME
,   O
a   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
laparoscopic   O
appendectomy   O
.   O

The   O
operation   O
was   O
performed   O
at   O
Milford   B-LOCATION
Hospital   I-LOCATION
without   O
complication   O
.   O

Kenneth   B-NAME
X.   I-NAME
Sylvester   I-NAME
,   I-NAME
Jr.   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
post   O
-   O
operatively   O
and   O
transitioned   O
to   O
oral   O
antibiotics   O
upon   O
discharge   O
.   O

Rhodes   B-NAME
was   O
discharged   O
on   O
February   B-DATE
4   I-DATE
/2023   O
with   O
instructions   O
to   O
follow   O
up   O
with   O
Grayson   B-NAME
Cross   I-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
they   O
experienced   O
any   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O

Contessa   B-NAME
's   O
recovery   O
was   O
unremarkable   O
,   O
with   O
complete   O
resolution   O
of   O
symptoms   O
at   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Acetaminophen   O
500   O
mg   O
orally   O
every   O
6   O
hours   O
as   O
needed   O
for   O
pain   O
Instructions   O
for   O
Follow   O
-   O
up   O
:   O
Salinger   B-NAME
,   I-NAME
J.   I-NAME
D.   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
sites   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Lynn   B-NAME
in   O
Pine   B-LOCATION
Beach   I-LOCATION
was   O
scheduled   O
for   O
2247   B-DATE
/2023   O
to   O
assess   O
wound   O
healing   O
and   O
post   O
-   O
operative   O
recovery   O
.   O

Patient   O
Education   O
:   O
Coralee   B-NAME
Everton   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
prescribed   O
antibiotic   O
regimen   O
to   O
prevent   O
infection   O
.   O

Patient   O
Name   O
:   O
Nick   B-NAME
Chavez   I-NAME
Age   O
:   O
27   O
Medical   O
Record   O
Number   O
:   O
1582585   B-ID
Date   O
of   O
Visit   O
:   O
63   B-DATE
's   I-DATE
Attending   O
Physician   O
:   O

Kane   B-NAME
Hospital   O
:   O

Prairie   B-LOCATION
View   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Newton   I-LOCATION
Location   O
:   O
Lutcher   B-LOCATION
Contact   O
Phone   O
:   O
814   B-CONTACT
9966   I-CONTACT
Occupation   O
:   O
Construction   O
Managers   O
Zip   O
Code   O
:   O
44727   B-LOCATION
ID   O
Number   O
:   O
PF:81086:790856   B-ID
Chief   O
Complaint   O
:   O
Alicia   B-NAME
Mason   I-NAME
,   O
a   O
62   O
-   O
year   O
-   O
old   O
Microbiologists   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Scotland   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
5/25/2301   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Medical   O
History   O
:   O
Feelgood   B-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Rex   B-NAME
Mendoza   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
the   O
use   O
of   O
recreational   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Skylar   B-NAME
Rivera   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
150/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

Diagnosis   O
:   O
The   O
clinical   O
presentation   O
and   O
diagnostic   O
tests   O
suggest   O
that   O
Dick   B-NAME
Richard   I-NAME
is   O
experiencing   O
an   O
acute   O
inferior   O
wall   O
myocardial   O
infarction   O
(   O
MI   O
)   O
.   O

Gogol   B-NAME
,   I-NAME
Nikolai   I-NAME
Vasilievich   I-NAME
was   O
immediately   O
started   O
on   O
IV   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
.   O

Carroll   B-NAME
was   O
urgently   O
referred   O
to   O
the   O
cardiology   O
team   O
for   O
cardiac   O
catheterization   O
.   O

Abraham   B-NAME
Zhang   I-NAME
discussed   O
the   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
potential   O
need   O
for   O
further   O
interventions   O
,   O
including   O
possible   O
stenting   O
or   O
coronary   O
artery   O
bypass   O
grafting   O
(   O
CABG   O
)   O
,   O
with   O
LX   B-NAME
and   O
initiated   O
the   O
consent   O
process   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
KYLE   B-NAME
CONLEY   I-NAME
with   O
Mark   B-NAME
Powell   I-NAME
in   O
the   O
cardiology   O
clinic   O
at   O
Penn   B-LOCATION
Medicine   I-LOCATION
Chester   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
for   O
'   B-DATE
83   I-DATE
to   O
evaluate   O
recovery   O
progress   O
and   O
adjust   O
medications   O
as   O
needed   O
.   O

Additionally   O
,   O
Curtis   B-NAME
was   O
advised   O
to   O
enroll   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

Instructions   O
were   O
given   O
to   O
Fulghum   B-NAME
,   I-NAME
Robert   I-NAME
to   O
avoid   O
strenuous   O
activities   O
and   O
to   O
monitor   O
for   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
palpitations   O
.   O

Lucille   B-NAME
Jackson   I-NAME
was   O
advised   O
to   O
immediately   O
call   O
(   B-CONTACT
520   I-CONTACT
)   I-CONTACT
720   I-CONTACT
5444   I-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
if   O
any   O
concerning   O
symptoms   O
arose   O
.   O

Patient   O
Name   O
:   O
Petty   B-NAME
Medical   O
Record   O
Number   O
:   O
58042409   B-ID
Date   O
of   O
Birth   O
:   O
12/31   B-DATE
Age   O
:   O
70   O
Address   O
:   O
Williamsport   B-LOCATION
,   O
21537   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
264   I-CONTACT
)   I-CONTACT
622   I-CONTACT
-   I-CONTACT
3301   I-CONTACT
Primary   O
Physician   O
:   O

Dixon   B-NAME
Treatment   O
Facility   O
:   O

Atmore   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2052   B-DATE
ID   O
:   O
SI:92567:853747   B-ID
Clinical   O
Summary   O
:   O
Ranke   B-NAME
,   I-NAME
Leopold   I-NAME
von   I-NAME
,   O
a   O
Actuary   O
from   O
Esmond   B-LOCATION
,   O
presented   O
to   O
Mercy   B-LOCATION
McCune   I-LOCATION
-   I-LOCATION
Brooks   I-LOCATION
Hospital   I-LOCATION
on   O
14/22/38   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
sharp   O
chest   O
pains   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
started   O
roughly   O
two   O
days   O
prior   O
.   O

Andrews   B-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
and   O
a   O
recent   O
onset   O
of   O
palpitations   O
.   O

Initial   O
assessments   O
including   O
electrocardiogram   O
(   O
EKG   O
)   O
and   O
chest   O
x   O
-   O
rays   O
were   O
ordered   O
by   O
Mcdaniel   B-NAME
.   O

Gina   B-NAME
Kevin   I-NAME
Irons   I-NAME
was   O
also   O
given   O
sublingual   O
nitroglycerin   O
in   O
the   O
Emergency   O
Department   O
,   O
which   O
provided   O
some   O
relief   O
from   O
the   O
chest   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Todd   B-NAME
for   O
further   O
observation   O
and   O
management   O
.   O

Disney   B-NAME
,   I-NAME
Roy   I-NAME
O.   I-NAME
has   O
since   O
been   O
scheduled   O
for   O
a   O
coronary   O
angiography   O
to   O
assess   O
the   O
extent   O
of   O
coronary   O
artery   O
disease   O
and   O
plan   O
possible   O
interventions   O
such   O
as   O
stenting   O
or   O
coronary   O
artery   O
bypass   O
grafting   O
,   O
depending   O
on   O
the   O
findings   O
.   O

Geoffrey   B-NAME
Weiss   I-NAME
expressed   O
understanding   O
of   O
the   O
situation   O
and   O
willingness   O
to   O
comply   O
with   O
the   O
recommended   O
changes   O
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
post   O
-   O
discharge   O
to   O
monitor   O
Tristin   B-NAME
Greene   I-NAME
's   O
recovery   O
and   O
response   O
to   O
the   O
treatment   O
plan   O
.   O

Constans   B-NAME
II   I-NAME
's   O
contact   O
number   O
,   O
18741   B-CONTACT
,   O
and   O
email   O
,   O
sb239   B-NAME
@   O
United   B-LOCATION
Steelworkers   I-LOCATION
.com   O
,   O
have   O
been   O
recorded   O
for   O
communication   O
and   O
additional   O
support   O
services   O
including   O
cardiac   O
rehabilitation   O
.   O

Conclusion   O
:   O
Paisley   B-NAME
Beltran   I-NAME
's   O
diagnosis   O
of   O
myocardial   O
infarction   O
has   O
been   O
managed   O
according   O
to   O
current   O
clinical   O
guidelines   O
with   O
a   O
focus   O
on   O
acute   O
treatment   O
and   O
long   O
-   O
term   O
recovery   O
plans   O
including   O
lifestyle   O
modifications   O
.   O

The   O
patient   O
’s   O
care   O
team   O
,   O
led   O
by   O
Lucie   B-NAME
Boone   I-NAME
,   O
will   O
continue   O
to   O
monitor   O
the   O
situation   O
closely   O
,   O
ensuring   O
the   O
best   O
possible   O
outcome   O
.   O

Patient   O
Report   O
for   O
Cascade   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
Information   O
:   O
Name   O
:   O
Nye   B-NAME
Age   O
:   O
35s   O
Medical   O
Record   O
Number   O
:   O
895   B-ID
03   I-ID
92   I-ID
Date   O
of   O
Birth   O
:   O
22/02   B-DATE
Address   O
:   O
Palacios   B-LOCATION
,   O
24413   B-LOCATION
Phone   O
Number   O
:   O
180   B-CONTACT
2358   I-CONTACT
Employment   O
:   O
Statistical   O
Assistants   O
Admitting   O
Physician   O
:   O
Donald   B-NAME
Barajas   I-NAME
Admission   O
Date   O
:   O

July   B-DATE
21   I-DATE
,   I-DATE
2324   I-DATE
SSN   O
:   O
JT   B-ID
:   I-ID
LE:7064   I-ID
Chief   O
Complaint   O
:   O
Men   B-NAME
,   I-NAME
Alexander   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
01/38   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Farris   B-NAME
Short   I-NAME
also   O
reported   O
nausea   O
and   O
vomiting   O
for   O
the   O
last   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Sammy   B-NAME
Brewer   I-NAME
,   O
a   O
27   O
-   O
year   O
-   O
old   O
Combination   O
Machine   O
Tool   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
,   O
started   O
to   O
experience   O
mild   O
abdominal   O
discomfort   O
approximately   O
72   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
discomfort   O
gradually   O
escalated   O
to   O
severe   O
pain   O
,   O
prompting   O
the   O
visit   O
to   O
the   O
emergency   O
department   O
at   O
Sentara   B-LOCATION
Martha   I-LOCATION
Jefferson   I-LOCATION
Hospital   I-LOCATION
on   O
2012   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
25   I-DATE
.   O

Giovanna   B-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Levy   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
.   O

Case   B-NAME
has   O
an   O
allergy   O
to   O
penicillin   O
.   O

Angie   B-NAME
Maddox   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
regular   O
alcohol   O
use   O
.   O

Dang   B-NAME
works   O
as   O
a   O
Court   O
reporter   O
/   O
verbatim   O
reporter   O
at   O
Home   B-LOCATION
Valley   I-LOCATION
Bank   I-LOCATION
and   O
lives   O
in   O
Ellensburg   B-LOCATION
,   I-LOCATION
Ellensburg   I-LOCATION
Downtown   I-LOCATION
Association   I-LOCATION
with   O
family   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
mentioned   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
present   O
illness   O
,   O
Heath   B-NAME
Roberts   I-NAME
denies   O
any   O
other   O
systemic   O
symptoms   O
,   O
including   O
fevers   O
,   O
chills   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
urinary   O
habits   O
.   O

On   O
examination   O
,   O
Stanley   B-NAME
was   O
afebrile   O
with   O
stable   O
vital   O
signs   O
.   O

Wallace   B-NAME
was   O
admitted   O
to   O
Dickenson   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Stephanie   B-NAME
Powell   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

Follow   O
-   O
up   O
and   O
Prognosis   O
:   O
Fuentes   B-NAME
will   O
remain   O
under   O
inpatient   O
observation   O
,   O
and   O
a   O
repeat   O
abdominal   O
CT   O
scan   O
is   O
scheduled   O
for   O
06/02   B-DATE
to   O
reassess   O
the   O
pancreas   O
.   O

On   O
12/22   B-DATE
,   O
Chaz   B-NAME
Stanley   I-NAME
was   O
brought   O
to   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Lenexa   B-LOCATION
,   O
32632   B-LOCATION
following   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

The   O
17   O
-   O
year   O
-   O
old   O
,   O
whose   O
occupation   O
is   O
listed   O
as   O
File   O
Clerks   O
,   O
exhibited   O
symptoms   O
suggestive   O
of   O
an   O
acute   O
myocardial   O
infarction   O
upon   O
initial   O
examination   O
by   O
Tapia   B-NAME
.   O

Nicks   B-NAME
,   I-NAME
Stevie   I-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
blood   O
works   O
which   O
revealed   O
elevated   O
troponin   O
levels   O
.   O

The   O
47656036   B-ID
for   O
Jones   B-NAME
,   I-NAME
Orlando   I-NAME
also   O
noted   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
factors   O
contributing   O
to   O
the   O
current   O
cardiac   O
event   O
.   O

Given   O
the   O
urgent   O
need   O
for   O
revascularization   O
,   O
Confucius   B-NAME
was   O
moved   O
to   O
the   O
catheterization   O
lab   O
for   O
a   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Post   O
-   O
procedure   O
,   O
the   O
patient   O
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
,   O
as   O
per   O
the   O
protocol   O
of   O
Inspira   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Vineland   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
33/22   B-DATE
with   O
Mckayla   B-NAME
Mckenzie   I-NAME
to   O
assess   O
Dorian   B-NAME
Lord   I-NAME
's   O
recovery   O
progress   O
and   O
to   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
to   O
prevent   O
future   O
incidents   O
.   O

The   O
family   O
of   O
Frank   B-NAME
Griffin   I-NAME
,   O
who   O
could   O
be   O
contacted   O
at   O
265   B-CONTACT
-   I-CONTACT
7605   I-CONTACT
,   O
was   O
informed   O
about   O
the   O
situation   O
and   O
the   O
interventions   O
conducted   O
.   O

They   O
were   O
provided   O
with   O
guidance   O
on   O
how   O
to   O
support   O
Edgar   B-NAME
through   O
recovery   O
and   O
were   O
encouraged   O
to   O
liaise   O
closely   O
with   O
the   O
cardiology   O
team   O
for   O
any   O
concerns   O
or   O
questions   O
that   O
may   O
arise   O
.   O

Instructions   O
on   O
lifestyle   O
modifications   O
were   O
given   O
to   O
Becker   B-NAME
before   O
discharge   O
,   O
including   O
dietary   O
changes   O
,   O
the   O
importance   O
of   O
regular   O
physical   O
activity   O
,   O
and   O
adherence   O
to   O
prescribed   O
medications   O
to   O
manage   O
risk   O
factors   O
effectively   O
.   O

Additionally   O
,   O
enrollment   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
was   O
discussed   O
to   O
aid   O
in   O
the   O
optimal   O
recovery   O
of   O
Caldwell   B-NAME
.   O

Throughout   O
the   O
treatment   O
and   O
recovery   O
period   O
,   O
all   O
interactions   O
and   O
health   O
information   O
exchanges   O
regarding   O
VELASQUEZ   B-NAME
,   I-NAME
WALTER   I-NAME
were   O
secured   O
and   O
documented   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

No   O
EM940/9020   B-ID
or   O
sensitive   O
information   O
such   O
as   O
2568926   B-ID
details   O
were   O
compromised   O
,   O
ensuring   O
Aemillia   B-NAME
Angilello   I-NAME
's   O
confidentiality   O
and   O
privacy   O
were   O
maintained   O
.   O

In   O
summary   O
,   O
the   O
quick   O
response   O
and   O
coordinated   O
care   O
provided   O
by   O
Calvary   B-LOCATION
Hospital   I-LOCATION
and   O
Hope   B-NAME
Parsons   I-NAME
following   O
Massey   B-NAME
's   O
presenting   O
symptoms   O
of   O
a   O
heart   O
attack   O
were   O
crucial   O
in   O
stabilizing   O
the   O
patient   O
's   O
condition   O
.   O

Continued   O
outpatient   O
follow   O
-   O
up   O
and   O
lifestyle   O
management   O
are   O
essential   O
in   O
preventing   O
recurrence   O
and   O
promoting   O
Leah   B-NAME
Shea   I-NAME
's   O
overall   O
health   O
and   O
well   O
-   O
being   O
.   O

Patient   O
Name   O
:   O
Jon   B-NAME
Rivers   I-NAME
Date   O
of   O
Birth   O
:   O
9/29/2077   B-DATE
Age   O
:   O
1   O
week   O
Phone   O
Number   O
:   O
761   B-CONTACT
-   I-CONTACT
125   I-CONTACT
-   I-CONTACT
1537   I-CONTACT
Address   O
:   O
Bear   B-LOCATION
,   O
41833   B-LOCATION
Occupation   O
:   O
Roofers   O
Primary   O
Care   O
Physician   O
:   O

Goodman   B-NAME
Medical   O
Record   O
Number   O
:   O
851   B-ID
-   I-ID
60   I-ID
-   I-ID
36   I-ID
-   I-ID
5   I-ID
Insurance   O
ID   O
:   O
6723700   B-ID
Date   O
of   O
Visit   O
:   O
32/39   B-DATE
Hospital   O
:   O
Terre   B-LOCATION
Haute   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Ponsonby   B-NAME
,   I-NAME
Arthur   I-NAME
presents   O
with   O
a   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
high   O
fever   O
of   O
102   O
°   O
F   O
recorded   O
over   O
the   O
past   O
22/20   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
symptoms   O
began   O
mildly   O
approximately   O
08/34/2228   B-DATE
ago   O
and   O
have   O
progressively   O
worsened   O
.   O

Leo   B-NAME
Pierce   I-NAME
denies   O
recent   O
travel   O
or   O
contact   O
with   O
sick   O
individuals   O
but   O
mentions   O
working   O
long   O
hours   O
in   O
Command   O
and   O
Control   O
Center   O
Specialists   O
with   O
minimal   O
rest   O
.   O

Dane   B-NAME
Spence   I-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
well   O
-   O
controlled   O
on   O
inhaled   O
corticosteroids   O
,   O
and   O
no   O
prior   O
hospitalizations   O
for   O
respiratory   O
issues   O
.   O

Social   O
History   O
:   O
Saint   B-NAME
-   I-NAME
Exupéry   I-NAME
,   I-NAME
Antoine   I-NAME
de   I-NAME
is   O
a   O
Woodworking   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Except   O
Sawing   O
,   O
non   O
-   O
smoker   O
,   O
and   O
occasional   O
alcohol   O
user   O
.   O

Blood   O
cultures   O
have   O
been   O
sent   O
to   O
Canadian   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
.   O

Treatment   O
and   O
Plan   O
:   O
Allen   B-NAME
,   I-NAME
Steve   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
as   O
per   O
Osvaldo   B-NAME
Lane   I-NAME
's   O
orders   O
.   O

Fluid   O
intake   O
has   O
been   O
encouraged   O
,   O
and   O
Leon   B-NAME
Ansell   I-NAME
is   O
being   O
closely   O
monitored   O
for   O
signs   O
of   O
respiratory   O
distress   O
.   O

Follow   O
-   O
Up   O
:   O
Sam   B-NAME
Metcalf   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
4/03   B-DATE
at   O
Infirmary   B-LOCATION
West   I-LOCATION
with   O
Lynn   B-NAME
to   O
assess   O
response   O
to   O
treatment   O
and   O
plan   O
further   O
management   O
if   O
necessary   O
.   O

Note   O
to   O
Patient   O
:   O
Please   O
keep   O
your   O
phone   O
,   O
235   B-CONTACT
1355   I-CONTACT
,   O
near   O
in   O
case   O
we   O
need   O
to   O
reach   O
you   O
regarding   O
your   O
test   O
results   O
from   O
FDA   B-LOCATION
.   O

Remember   O
to   O
bring   O
your   O
insurance   O
ID   O
,   O
MM   B-ID
:   I-ID
OE:3158   I-ID
,   O
and   O
your   O
medical   O
record   O
number   O
,   O
9518559   B-ID
,   O
for   O
your   O
follow   O
-   O
up   O
visit   O
.   O

This   O
document   O
was   O
prepared   O
by   O
wvo792   B-NAME
,   O
and   O
all   O
information   O
is   O
confidential   O
.   O

Should   O
you   O
need   O
to   O
discuss   O
your   O
case   O
or   O
share   O
details   O
with   O
another   O
healthcare   O
provider   O
,   O
kindly   O
request   O
a   O
secure   O
transfer   O
of   O
your   O
medical   O
records   O
from   O
Spencer   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
,   O
Finnegan   B-NAME
Grimes   I-NAME
,   O
a   O
Environmental   O
Engineering   O
Technicians   O
from   O
Dyersburg   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Dyersburg   I-LOCATION
,   O
presented   O
to   O
Elba   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
22/21/25   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
chest   O
tightness   O
,   O
and   O
intermittent   O
episodes   O
of   O
palpitations   O
that   O
started   O
approximately   O
2   O
weeks   O
ago   O
.   O

Mozelle   B-NAME
Bailey   I-NAME
is   O
75   O
years   O
old   O
and   O
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
which   O
has   O
been   O
managed   O
with   O
medication   O
for   O
the   O
past   O
5   O
years   O
.   O

Upon   O
examination   O
,   O
Robinson   B-NAME
noted   O
that   O
Christie   B-NAME
,   I-NAME
Agatha   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
respiratory   O
distress   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
a   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
92   O
%   O
on   O
room   O
air   O
.   O

Given   O
the   O
patient   O
's   O
symptoms   O
and   O
clinical   O
findings   O
,   O
Clint   B-NAME
Cassidy   I-NAME
diagnosed   O
ostrowski   B-NAME
with   O
acute   O
exacerbation   O
of   O
previously   O
undiagnosed   O
asthma   O
triggered   O
by   O
recent   O
exposure   O
to   O
an   O
unknown   O
allergen   O
in   O
Orlando   B-LOCATION
-   I-LOCATION
College   I-LOCATION
Park   I-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
College   I-LOCATION
Park   I-LOCATION
Partnership   I-LOCATION
.   O

Greene   B-NAME
also   O
highlighted   O
the   O
importance   O
of   O
identifying   O
potential   O
allergens   O
that   O
Zaiden   B-NAME
Clayton   I-NAME
might   O
have   O
been   O
exposed   O
to   O
in   O
the   O
64   B-LOCATION
Homewood   I-LOCATION
Dr.   I-LOCATION
area   O
,   O
and   O
recommended   O
consultation   O
with   O
an   O
allergy   O
specialist   O
to   O
further   O
evaluate   O
and   O
manage   O
Richard   B-NAME
Salinas   I-NAME
's   O
condition   O
.   O

In   O
the   O
discharge   O
summary   O
prepared   O
on   O
0/03   B-DATE
,   O
Adele   B-NAME
Nuckols   I-NAME
included   O
instructions   O
for   O
Truth   B-NAME
,   I-NAME
Sojourner   I-NAME
to   O
monitor   O
symptoms   O
closely   O
and   O
to   O
return   O
to   O
Santa   B-LOCATION
Clara   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
contact   O
97881   B-CONTACT
if   O
there   O
is   O
any   O
deterioration   O
in   O
condition   O
.   O

Prescription   O
details   O
and   O
follow   O
-   O
up   O
appointments   O
were   O
securely   O
sent   O
to   O
Uehara   B-NAME
's   O
registered   O
email   O
,   O
in   O
accordance   O
to   O
Bank   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
-   I-LOCATION
Southwest   I-LOCATION
's   O
policy   O
on   O
patient   O
data   O
confidentiality   O
.   O

The   O
patient   O
’s   O
unique   O
identification   O
number   O
,   O
5   B-ID
-   I-ID
3625137   I-ID
,   O
and   O
medical   O
record   O
number   O
,   O
03829364   B-ID
,   O
were   O
utilized   O
to   O
accurately   O
document   O
and   O
manage   O
Herschel   B-NAME
,   I-NAME
John   I-NAME
's   O
care   O
throughout   O
the   O
stay   O
.   O

Antonia   B-NAME
Hage   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
regular   O
medication   O
adherence   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Wilkerson   B-NAME
in   O
4   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Braccio   B-NAME
Valance   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
6930343   I-ID
Medical   O
Record   O
Number   O
:   O
6904181   B-ID
Date   O
of   O
Birth   O
:   O
30   O
Address   O
:   O
Rutherford   B-LOCATION
,   I-LOCATION
Rutherford   I-LOCATION
Town   I-LOCATION
Revitalization   I-LOCATION
,   O
78777   B-LOCATION
Contact   O
Number   O
:   O
641   B-CONTACT
1241   I-CONTACT
Employment   O
:   O
Physical   O
Therapists   O
Primary   O
Care   O
Physician   O
:   O

Finlay   B-NAME
Admission   O
Date   O
:   O
Wednesday   B-DATE
/2023   O
Hospital   O
:   O

Windham   B-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Sid   B-NAME
Handleman   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Hanover   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Hanover   I-LOCATION
on   O
01/29/2294   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
-   O
onset   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Finnegan   B-NAME
Grimes   I-NAME
's   O
medical   O
history   O
,   O
provided   O
by   O
AW333   B-NAME
,   O
includes   O
a   O
prior   O
diagnosis   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
no   O
surgical   O
history   O
.   O

Stacy   B-NAME
Sanchez   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Kaden   B-NAME
Cook   I-NAME
revealed   O
leukocytosis   O
(   O
12,000/µL   O
)   O
with   O
a   O
left   O
shift   O
.   O

Abdominal   O
ultrasonography   O
,   O
conducted   O
on   O
7/20   B-DATE
/2023   O
,   O
confirmed   O
the   O
presence   O
of   O
a   O
swollen   O
appendix   O
with   O
evidence   O
of   O
an   O
appendicolith   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Management   O
and   O
Outcomes   O
:   O
Under   O
the   O
consultation   O
of   O
Jayvion   B-NAME
Whitney   I-NAME
,   O
Christopher   B-NAME
Roberson   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
on   O
9/4   B-DATE
/2023   O
without   O
any   O
complication   O
.   O

The   O
postoperative   O
period   O
was   O
uneventful   O
,   O
and   O
Dean   B-NAME
Walters   I-NAME
reported   O
significant   O
relief   O
of   O
symptoms   O
.   O

Antibiotic   O
therapy   O
was   O
administered   O
as   O
per   O
First   B-LOCATION
Hospital   I-LOCATION
Wyoming   I-LOCATION
Valley   I-LOCATION
's   O
protocol   O
for   O
postoperative   O
care   O
.   O

Rosamond   B-NAME
was   O
discharged   O
on   O
13/22   B-DATE
/2023   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Sage   B-NAME
Hinton   I-NAME
in   O
2   O
weeks   O
.   O

Schama   B-NAME
,   I-NAME
Simon   I-NAME
was   O
advised   O
to   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activities   O
for   O
4   O
-   O
6   O
weeks   O
post   O
-   O
surgery   O
.   O
Conclusion   O
:   O
Johnny   B-NAME
Williams   I-NAME
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
with   O
laparoscopic   O
appendectomy   O
.   O

Charles   B-NAME
Howard   I-NAME
will   O
continue   O
to   O
be   O
monitored   O
on   O
an   O
outpatient   O
basis   O
by   O
Ansley   B-NAME
Gross   I-NAME
to   O
ensure   O
complete   O
resolution   O
of   O
symptoms   O
and   O
to   O
manage   O
any   O
potential   O
postoperative   O
complications   O
.   O

Follow   O
-   O
Up   O
Contact   O
:   O
Should   O
Petty   B-NAME
or   O
jiw902   B-NAME
have   O
any   O
concerns   O
or   O
symptoms   O
,   O
they   O
are   O
advised   O
to   O
contact   O
McKenzie   B-LOCATION
-   I-LOCATION
Willamette   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
general   O
line   O
at   O
495   B-CONTACT
-   I-CONTACT
843   I-CONTACT
8462   I-CONTACT
or   O
reach   O
out   O
directly   O
to   O
Gray   B-NAME
's   O
office   O
.   O

Baron   B-NAME
Tyler   I-NAME
Age   O
:   O
3   O
Date   O
of   O
Birth   O
:   O
1732   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
04   I-DATE
Address   O
:   O
Bakersfield   B-LOCATION
,   O
68056   B-LOCATION
Phone   O
Number   O
:   O
201   B-CONTACT
-   I-CONTACT
973   I-CONTACT
-   I-CONTACT
9115   I-CONTACT
Occupation   O
:   O
Insurance   O
Claims   O
and   O
Policy   O
Processing   O
Clerks   O
Primary   O
Care   O
Physician   O
:   O

Carey   B-NAME
Hospital   O
:   O
Pioneer   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Early   I-LOCATION
Medical   O
Record   O
Number   O
:   O
140   B-ID
-   I-ID
97   I-ID
-   I-ID
15   I-ID
-   I-ID
5   I-ID
Insurance   O
ID   O
:   O
9   B-ID
-   I-ID
2515245   I-ID
Chief   O
Complaint   O
:   O
Trinity   B-NAME
presented   O
to   O
Albert   B-LOCATION
B.   I-LOCATION
Chandler   I-LOCATION
Hospital   I-LOCATION
on   O
January   B-DATE
2161   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
started   O
approximately   O
24   O
hours   O
prior   O
.   O

Additionally   O
,   O
Aragon   B-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
an   O
inability   O
to   O
pass   O
gas   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Sparks   B-NAME
,   O
a   O
51   O
-   O
year   O
-   O
old   O
Social   O
and   O
Human   O
Service   O
Assistants   O
from   O
Morganza   B-LOCATION
,   O
has   O
experienced   O
intermittent   O
abdominal   O
discomfort   O
over   O
the   O
past   O
few   O
months   O
but   O
nothing   O
of   O
this   O
severity   O
or   O
duration   O
.   O

Y   B-NAME
Ullrich   I-NAME
denied   O
any   O
recent   O
changes   O
in   O
diet   O
,   O
bowel   O
habits   O
,   O
or   O
any   O
similar   O
past   O
episodes   O
.   O

Benton   B-NAME
Byrdsong   I-NAME
also   O
noted   O
a   O
decreased   O
appetite   O
over   O
the   O
last   O
31/08/2246   B-DATE
but   O
attributed   O
this   O
to   O
a   O
busy   O
work   O
schedule   O
.   O

Past   O
Medical   O
History   O
:   O
Harper   B-NAME
Nguyen   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
surgical   O
history   O
.   O

Social   O
History   O
:   O
Madilyn   B-NAME
Larsen   I-NAME
works   O
as   O
a   O
Treasurers   O
,   O
Controllers   O
,   O
and   O
Chief   O
Financial   O
Officers   O
and   O
reports   O
moderate   O
alcohol   O
use   O
on   O
weekends   O
.   O

Strickland   B-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
Vital   O
Signs   O
:   O
Blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
temperature   O
101.2   O
°   O
F   O
,   O
respiratory   O
rate   O
18   O
breaths   O
/   O
min   O
.   O
General   O
Appearance   O
:   O
Quinten   B-NAME
B.   I-NAME
Prado   I-NAME
appeared   O
anxious   O
and   O
uncomfortable   O
.   O

Assessment   O
and   O
Plan   O
:   O
Johnny   B-NAME
Chase   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
immediately   O
scheduled   O
for   O
surgery   O
after   O
consultation   O
with   O
Marques   B-NAME
Roach   I-NAME
.   O

Hamilton   B-NAME
was   O
admitted   O
to   O
Osceola   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
5/13   B-DATE
and   O
received   O
preoperative   O
antibiotics   O
.   O

Sanai   B-NAME
Ball   I-NAME
's   O
next   O
of   O
kin   O
,   O
reported   O
at   O
78809   B-CONTACT
,   O
was   O
informed   O
of   O
the   O
situation   O
.   O

Follow   O
-   O
Up   O
:   O
Ted   B-NAME
Mercer   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Brent   B-NAME
Melton   I-NAME
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Carrollton   I-LOCATION
2   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
progress   O
.   O

This   O
medical   O
report   O
was   O
prepared   O
by   O
:   O
TC578   B-NAME
,   O
on   O
behalf   O
of   O
United   B-LOCATION
Auto   I-LOCATION
Workers   I-LOCATION
,   O
on   O
September   B-DATE
2052   I-DATE
.   O

Patient   O
Report   O
for   O
Nikolas   B-NAME
Mccoy   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
3010355   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
465   B-ID
-   I-ID
86   I-ID
-   I-ID
59   I-ID
-   I-ID
6   I-ID
-   O
Date   O
of   O
Birth   O
:   O
7   B-DATE
-   I-DATE
32   I-DATE
-   O
Age   O
:   O
48   O
-   O
Phone   O
Number   O
:   O
755   B-CONTACT
-   I-CONTACT
5038   I-CONTACT
-   O
Address   O
:   O
West   B-LOCATION
Farmington   I-LOCATION
,   O
57273   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
a   O
Storage   O
and   O
Distribution   O
Managers   O
by   O
profession   O
,   O
presented   O
to   O
Hedrick   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
32   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
(   O
October   B-DATE
)   O
,   O
and   O
shortness   O
of   O
breath   O
starting   O
approximately   O
one   O
week   O
prior   O
.   O

Hull   B-NAME
,   I-NAME
Bobby   I-NAME
reported   O
a   O
recent   O
history   O
of   O
exposure   O
to   O
a   O
confirmed   O
case   O
of   O
influenza   O
at   O
their   O
workplace   O
,   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Georgia   I-LOCATION
,   O
located   O
in   O
La   B-LOCATION
Porte   I-LOCATION
.   O

Symptom   O
Analysis   O
:   O
Upon   O
examination   O
,   O
Jodi   B-NAME
exhibited   O
symptoms   O
indicative   O
of   O
an   O
upper   O
respiratory   O
tract   O
infection   O
,   O
including   O
nasal   O
congestion   O
and   O
a   O
sore   O
throat   O
.   O

Audible   O
wheezing   O
was   O
noted   O
during   O
auscultation   O
,   O
and   O
Hibiki   B-NAME
,   I-NAME
Dan   I-NAME
appeared   O
fatigued   O
.   O

Rene   B-NAME
Singh   I-NAME
denied   O
any   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Laboratory   O
Results   O
:   O
Blood   O
tests   O
,   O
alongside   O
a   O
chest   O
X   O
-   O
ray   O
,   O
were   O
ordered   O
by   O
Lin   B-NAME
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
symptoms   O
.   O

Palmer   B-NAME
recommended   O
the   O
initiation   O
of   O
an   O
antiviral   O
medication   O
course   O
,   O
adequate   O
rest   O
,   O
and   O
increased   O
fluid   O
intake   O
.   O

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
4/28/31   B-DATE
to   O
monitor   O
Marcos   B-NAME
,   I-NAME
Ferdinand   I-NAME
Edralin   I-NAME
's   O
progress   O
and   O
response   O
to   O
the   O
treatment   O
.   O

Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Dawson   B-NAME
Cruz   I-NAME
was   O
advised   O
to   O
stay   O
well   O
-   O
hydrated   O
,   O
rest   O
as   O
much   O
as   O
possible   O
,   O
and   O
stay   O
isolated   O
to   O
avoid   O
spreading   O
the   O
infection   O
.   O

Samantha   B-NAME
G   I-NAME
Noland   I-NAME
was   O
also   O
instructed   O
to   O
monitor   O
their   O
temperature   O
daily   O
and   O
report   O
any   O
worsening   O
of   O
symptoms   O
to   O
Davis   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
via   O
(   B-CONTACT
797   I-CONTACT
)   I-CONTACT
415   I-CONTACT
5508   I-CONTACT
.   O

In   O
case   O
of   O
emergency   O
or   O
if   O
difficulty   O
breathing   O
is   O
experienced   O
,   O
Jesus   B-NAME
Christ   I-NAME
was   O
advised   O
to   O
contact   O
(   B-CONTACT
655   I-CONTACT
)   I-CONTACT
883   I-CONTACT
8858   I-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
immediately   O
.   O

Privacy   O
Statement   O
:   O
This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
Terry   B-NAME
and   O
is   O
strictly   O
for   O
medical   O
use   O
by   O
authorized   O
personnel   O
.   O

End   O
of   O
Report   O
Prepared   O
by   O
:   O
Joyce   B-NAME
12/31/93   B-DATE

Patient   O
Name   O
:   O
Aliza   B-NAME
Riggs   I-NAME
Medical   O
Record   O
Number   O
:   O
36455755   B-ID
Date   O
of   O
Birth   O
:   O
11/02   B-DATE
Age   O
:   O
10   O
week   O
Address   O
:   O
Llano   B-LOCATION
del   I-LOCATION
Medio   I-LOCATION
,   O
58811   B-LOCATION
Phone   O
:   O
619   B-CONTACT
5053   I-CONTACT

Attending   O
Physician   O
:   O
Benjamin   B-NAME
Hospital   O
:   O

Prisma   B-LOCATION
Health   I-LOCATION
Greer   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
0/20   B-DATE
Date   O
of   O
Report   O
:   O
26/32   B-DATE
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Sebastianus   B-NAME
Dotstry   I-NAME
,   O
presented   O
to   O
Warren   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
28/21/2282   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
episodic   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
have   O
persisted   O
over   O
the   O
past   O
48   O
hours   O
.   O

Past   O
medical   O
history   O
,   O
provided   O
by   O
the   O
patient   O
,   O
includes   O
a   O
diagnosis   O
of   O
irritable   O
bowel   O
syndrome   O
and   O
a   O
surgical   O
history   O
of   O
an   O
appendectomy   O
performed   O
in   O
01/17   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
initial   O
examination   O
,   O
PENN   B-NAME
,   I-NAME
GINO   I-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
without   O
guarding   O
or   O
rebound   O
tenderness   O
.   O

Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
urinalysis   O
were   O
ordered   O
by   O
Marks   B-NAME
.   O

Diagnostic   O
Imaging   O
:   O
Kasen   B-NAME
Merritt   I-NAME
recommended   O
an   O
abdominal   O
ultrasound   O
that   O
revealed   O
no   O
signs   O
of   O
cholecystitis   O
or   O
kidney   O
stones   O
.   O

Given   O
the   O
patient   O
's   O
past   O
medical   O
history   O
and   O
current   O
presentation   O
,   O
Hopkins   B-NAME
advised   O
against   O
the   O
use   O
of   O
nonsteroidal   O
anti   O
-   O
inflammatory   O
drugs   O
(   O
NSAIDs   O
)   O
.   O

Dietary   O
modifications   O
were   O
recommended   O
,   O
and   O
Lutz   B-NAME
was   O
advised   O
to   O
follow   O
a   O
low   O
-   O
FODMAP   O
diet   O
upon   O
discharge   O
.   O

Curry   B-NAME
also   O
prescribed   O
an   O
antispasmodic   O
to   O
manage   O
abdominal   O
pain   O
and   O
a   O
course   O
of   O
probiotics   O
to   O
help   O
restore   O
healthy   O
gut   O
flora   O
.   O

Follow   O
-   O
Up   O
:   O
Mabuse   B-NAME
Bullert   I-NAME
is   O
scheduled   O
for   O
an   O
outpatient   O
follow   O
-   O
up   O
with   O
Callie   B-NAME
Sawyer   I-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

Jeremiah   B-NAME
Alvarez   I-NAME
was   O
provided   O
with   O
discharge   O
instructions   O
and   O
advised   O
to   O
return   O
to   O
the   O
Sheridan   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Complex   I-LOCATION
–   I-LOCATION
Hoxie   I-LOCATION
emergency   O
department   O
or   O
contact   O
837   B-CONTACT
4047   I-CONTACT
in   O
case   O
of   O
severe   O
pain   O
,   O
fever   O
over   O
38.5   O
°   O
C   O
,   O
or   O
inability   O
to   O
tolerate   O
oral   O
intake   O
.   O

Authorization   O
for   O
Release   O
of   O
Information   O
:   O
Plutocratic   B-LOCATION
Systems   I-LOCATION
Patient   O
's   O
Signature   O
:   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O

Wednesday   B-DATE
,   I-DATE
October   I-DATE
Medical   O
Record   O
Number   O
:   O
36089916   B-ID
Contact   O
Phone   O
:   O
784   B-CONTACT
679   I-CONTACT
4380   I-CONTACT
Note   O
:   O
This   O
document   O
contains   O
protected   O
health   O
information   O
and   O
is   O
intended   O
solely   O
for   O
medical   O
monitoring   O
and   O
follow   O
-   O
up   O
care   O
.   O

Patient   O
Name   O
:   O
Aragon   B-NAME
Age   O
:   O
8   O
Date   O
of   O
Visit   O
:   O
07/14   B-DATE
ID   O
:   O
RH:72035:895168   B-ID
Medical   O
Record   O
Number   O
:   O
782   B-ID
-   I-ID
08   I-ID
-   I-ID
20   I-ID
-   I-ID
4   I-ID
Physician   O
:   O

Kenneth   B-NAME
Dickson   I-NAME
Hospital   O
:   O
Dickinson   B-LOCATION
County   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
Location   O
:   O
Menard   B-LOCATION
Organization   O
:   O

Institute   B-LOCATION
of   I-LOCATION
Mathematical   I-LOCATION
Statistics   I-LOCATION
Contact   O
Number   O
:   O
633   B-CONTACT
8704   I-CONTACT
Profession   O
:   O
Cytotechnologists   O
Username   O
:   O
qy136   B-NAME
ZIP   O
Code   O
:   O
85643   B-LOCATION
Chief   O
Complaint   O
:   O
Vincent   B-NAME
Ventura   I-NAME
,   O
a   O
Network   O
Systems   O
and   O
Data   O
Communications   O
Analysts   O
from   O
Silverdale   B-LOCATION
,   O
presented   O
to   O
Harlan   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
on   O
02/32   B-DATE
with   O
chief   O
complaints   O
of   O
acute   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
palpitations   O
lasting   O
approximately   O
30   O
minutes   O
.   O

Brendy   B-NAME
reported   O
the   O
pain   O
as   O
"   O
squeezing   O
"   O
in   O
character   O
,   O
rated   O
8   O
out   O
of   O
10   O
,   O
and   O
associated   O
with   O
nausea   O
and   O
diaphoresis   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Bradford   B-NAME
has   O
been   O
experiencing   O
milder   O
,   O
non   O
-   O
specific   O
chest   O
discomfort   O
for   O
the   O
past   O
week   O
,   O
dismissed   O
as   O
indigestion   O
.   O

However   O
,   O
the   O
intensity   O
of   O
the   O
pain   O
notably   O
increased   O
this   O
morning   O
,   O
prompting   O
a   O
visit   O
to   O
the   O
emergency   O
department   O
at   O
McKay   B-LOCATION
-   I-LOCATION
Dee   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
located   O
in   O
Parachute   B-LOCATION
.   O

Alondra   B-NAME
Davenport   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
pulmonary   O
symptoms   O
such   O
as   O
coughing   O
or   O
fever   O
.   O

Past   O
Medical   O
History   O
:   O
Bill   B-NAME
Capa   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Lennon   B-NAME
Harrington   I-NAME
is   O
a   O
non   O
-   O
smoker   O
with   O
minimal   O
alcohol   O
usage   O
and   O
denies   O
any   O
illegal   O
drug   O
use   O
.   O

Family   O
History   O
:   O
SALGADO   B-NAME
,   B-NAME
BRUCE   I-NAME
disclosed   O
a   O
family   O
history   O
of   O
cardiovascular   O
disease   O
;   O
notably   O
,   O
a   O
parent   O
suffered   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
81   O
.   O
Review   O
of   O
Systems   O
:   O
-   O
Cardiovascular   O
:   O
Positive   O
for   O
chest   O
pain   O
and   O
palpitations   O
.   O

Physical   O
exam   O
noted   O
Brandon   B-NAME
W   I-NAME
Neilson   I-NAME
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
,   O
with   O
a   O
clear   O
lung   O
auscultation   O
and   O
a   O
regular   O
heart   O
rhythm   O
without   O
murmurs   O
,   O
rubs   O
,   O
or   O
gallops   O
.   O

Pablo   B-NAME
Y.   I-NAME
Mendez   I-NAME
was   O
promptly   O
given   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
started   O
on   O
anticoagulant   O
therapy   O
in   O
the   O
emergency   O
department   O
.   O

The   O
cardiology   O
team   O
at   O
Elmore   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
consulted   O
and   O
plans   O
for   O
an   O
urgent   O
cardiac   O
catheterization   O
have   O
been   O
discussed   O
.   O

Carlo   B-NAME
Riley   I-NAME
has   O
been   O
informed   O
about   O
the   O
condition   O
,   O
the   O
proposed   O
diagnostic   O
procedures   O
,   O
and   O
treatment   O
options   O
.   O

Follow   O
-   O
up   O
with   O
Chan   B-NAME
at   O
Palm   B-LOCATION
Beach   I-LOCATION
Gardens   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
White   B-LOCATION
Swan   I-LOCATION
is   O
scheduled   O
for   O
02/35/2242   B-DATE
.   O
Conclusion   O
:   O
This   O
report   O
describes   O
the   O
presentation   O
,   O
investigation   O
,   O
and   O
initial   O
management   O
of   O
Xenakis   B-NAME
with   O
an   O
acute   O
myocardial   O
infarction   O
.   O

Merrick   B-NAME
,   I-NAME
Joseph   I-NAME
is   O
scheduled   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

The   O
care   O
team   O
at   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Portage   I-LOCATION
is   O
coordinated   O
to   O
provide   O
comprehensive   O
care   O
including   O
cardiological   O
and   O
endocrinological   O
management   O
based   O
on   O
Lisa   B-NAME
Inge   I-NAME
's   O
medical   O
history   O
and   O
current   O
presentation   O
.   O

Patient   O
Report   O
:   O
United   B-LOCATION
Firefighters   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
received   O
a   O
new   O
patient   O
,   O
Leila   B-NAME
Evans   I-NAME
,   O
with   O
a   O
medical   O
record   O
number   O
89146810   B-ID
on   O
14/30/2079   B-DATE
.   O

Wilson   B-NAME
Blackburn   I-NAME
,   O
a   O
Molding   O
,   O
Coremaking   O
,   O
and   O
Casting   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Curlew   B-LOCATION
Lake   I-LOCATION
,   O
presented   O
with   O
a   O
range   O
of   O
symptoms   O
necessitating   O
immediate   O
attention   O
.   O

Upon   O
admission   O
,   O
Dallas   B-NAME
Sanford   I-NAME
was   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
indicative   O
of   O
appendicitis   O
.   O

Further   O
,   O
Sanai   B-NAME
Ellis   I-NAME
reported   O
a   O
progressively   O
worsening   O
fever   O
over   O
the   O
past   O
48   O
hours   O
,   O
alongside   O
nausea   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
.   O

Arnold   B-NAME
,   O
67   O
years   O
old   O
,   O
has   O
no   O
significant   O
medical   O
history   O
aside   O
from   O
a   O
mild   O
,   O
treated   O
case   O
of   O
hypertension   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Hector   B-NAME
Parker   I-NAME
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
suggesting   O
an   O
infection   O
or   O
inflammation   O
.   O

Given   O
the   O
diagnosis   O
,   O
Dangelo   B-NAME
Shepard   I-NAME
recommended   O
an   O
urgent   O
appendectomy   O
.   O

Marques   B-NAME
Drake   I-NAME
was   O
informed   O
of   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
provided   O
informed   O
consent   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
39/32/31   B-DATE
at   O
Valor   B-LOCATION
Health   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Wednesday   B-DATE
with   O
Castaneda   B-NAME
to   O
ensure   O
proper   O
recovery   O
.   O

For   O
any   O
inquiries   O
or   O
concerns   O
,   O
Macdonald   B-NAME
was   O
advised   O
to   O
contact   O
Hugh   B-LOCATION
Chatham   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
467   B-CONTACT
-   I-CONTACT
3942   I-CONTACT
or   O
visit   O
the   O
facility   O
located   O
at   O
79115   B-LOCATION
,   O
Tennessee   B-LOCATION
.   O

Note   O
:   O
All   O
personal   O
identifiers   O
such   O
as   O
patient   O
's   O
name   O
,   O
ID   O
number   O
ZI:66534:513172   B-ID
,   O
and   O
specifics   O
regarding   O
Orchards   B-LOCATION
have   O
been   O
removed   O
to   O
protect   O
patient   O
confidentiality   O
as   O
per   O
HIPAA   O
regulations   O
.   O

The   O
patient   O
,   O
Justus   B-NAME
Mcguire   I-NAME
,   O
a   O
95   O
-   O
year   O
-   O
old   O
Mining   O
Machine   O
Operators   O
,   O
All   O
Other   O
from   O
Bradley   B-LOCATION
Beach   I-LOCATION
,   O
73951   B-LOCATION
,   O
was   O
admitted   O
to   O
DCH   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
8   B-DATE
-   I-DATE
3   I-DATE
after   O
presenting   O
with   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
.   O

Kennan   B-NAME
,   I-NAME
George   I-NAME
F.   I-NAME
reported   O
associated   O
nausea   O
without   O
vomiting   O
,   O
and   O
denied   O
any   O
recent   O
bowel   O
movement   O
,   O
indicating   O
possible   O
constipation   O
or   O
bowel   O
obstruction   O
.   O

Upon   O
examination   O
,   O
the   O
attending   O
physician   O
,   O
Cailyn   B-NAME
Sanchez   I-NAME
,   O
noted   O
that   O
Gonzales   B-NAME
's   O
abdomen   O
was   O
distended   O
,   O
with   O
notable   O
tenderness   O
upon   O
palpation   O
in   O
the   O
lower   O
quadrants   O
.   O

Lukas   B-NAME
Tapia   I-NAME
ordered   O
an   O
abdominal   O
X   O
-   O
ray   O
and   O
CT   O
scan   O
,   O
which   O
confirmed   O
an   O
obstruction   O
in   O
the   O
distal   O
colon   O
.   O

Noli   B-NAME
,   I-NAME
Fan   I-NAME
's   O
medical   O
history   O
,   O
provided   O
by   O
9516890   B-ID
,   O
showed   O
no   O
prior   O
incidents   O
of   O
similar   O
symptoms   O
,   O
making   O
this   O
an   O
acute   O
episode   O
.   O

Additionally   O
,   O
Mack   B-NAME
's   O
contact   O
information   O
including   O
36928   B-CONTACT
was   O
updated   O
in   O
the   O
hospital   O
's   O
database   O
for   O
further   O
communication   O
.   O

The   O
differential   O
diagnoses   O
considered   O
by   O
Horn   B-NAME
included   O
acute   O
appendicitis   O
,   O
diverticulitis   O
,   O
and   O
colorectal   O
cancer   O
.   O

To   O
manage   O
the   O
immediate   O
pain   O
,   O
Ora   B-NAME
-   I-NAME
Jordan   I-NAME
Yelton   I-NAME
was   O
given   O
intravenous   O
analgesics   O
.   O

Prior   O
to   O
the   O
surgery   O
,   O
Haylen   B-NAME
Breslauer   I-NAME
provided   O
informed   O
consent   O
,   O
as   O
documented   O
in   O
172   B-ID
-   I-ID
88   I-ID
-   I-ID
41   I-ID
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Pratt   B-NAME
,   O
successfully   O
removed   O
the   O
obstruction   O
.   O

The   O
postoperative   O
course   O
,   O
monitored   O
in   O
Eating   B-LOCATION
Recovery   I-LOCATION
Center   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
,   O
was   O
uneventful   O
,   O
and   O
Vega   B-NAME
's   O
recovery   O
was   O
within   O
normal   O
expectations   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
01/38   B-DATE
with   O
Bentley   B-NAME
Gill   I-NAME
to   O
monitor   O
Cora   B-NAME
Berry   I-NAME
's   O
progress   O
.   O

Contact   O
was   O
established   O
with   O
an   O
external   O
support   O
group   O
,   O
part   O
of   O
an   O
Amicalola   B-LOCATION
EMC   I-LOCATION
specializing   O
in   O
post   O
-   O
operative   O
care   O
for   O
patients   O
,   O
ensuring   O
Dayle   B-NAME
Mckell   I-NAME
received   O
comprehensive   O
post   O
-   O
discharge   O
support   O
.   O

The   O
care   O
team   O
emphasized   O
the   O
importance   O
of   O
regular   O
medical   O
check   O
-   O
ups   O
to   O
Barrett   B-NAME
Moore   I-NAME
,   O
highlighting   O
the   O
need   O
for   O
early   O
detection   O
and   O
management   O
of   O
potential   O
complications   O
.   O

Mccullough   B-NAME
,   I-NAME
Stephen   I-NAME
N   I-NAME
's   O
case   O
was   O
documented   O
in   O
a   O
study   O
conducted   O
by   O
Grand   B-LOCATION
Army   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Republic   I-LOCATION
(   I-LOCATION
dissolved   I-LOCATION
1956   I-LOCATION
)   I-LOCATION
on   O
acute   O
abdominal   O
pain   O
management   O
,   O
with   O
anonymized   O
details   O
including   O
7281A18284   B-ID
,   O
aiming   O
to   O
contribute   O
to   O
medical   O
research   O
in   O
this   O
area   O
.   O

Patient   O
Name   O
:   O
Sherlyn   B-NAME
Barr   I-NAME
Patient   O
ID   O
:   O
OI:26059:143744   B-ID
Medical   O
Record   O
Number   O
:   O
76507743   B-ID
Date   O
of   O
Birth   O
:   O
2263   B-DATE
-   I-DATE
19   I-DATE
-   I-DATE
22   I-DATE
Age   O
:   O
34s   O
Phone   O
Number   O
:   O
963   B-CONTACT
-   I-CONTACT
4436   I-CONTACT
Address   O
:   O
Norcross   B-LOCATION
,   O
24151   B-LOCATION
Employer   O
:   O

Media   B-LOCATION
Entertainment   I-LOCATION
and   I-LOCATION
Arts   I-LOCATION
Alliance   I-LOCATION
Profession   O
:   O
Producers   O
Primary   O
Care   O
Physician   O
:   O
Holder   B-NAME
Hospital   O
:   O

Alice   B-LOCATION
M.   I-LOCATION
Kidd   I-LOCATION
Nursing   I-LOCATION
Facility   I-LOCATION
Chief   O
Complaint   O
:   O
Donny   B-NAME
Speece   I-NAME
presents   O
to   O
the   O
outpatient   O
department   O
on   O
2360   B-DATE
with   O
a   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
exacerbated   O
by   O
exertion   O
,   O
and   O
intermittent   O
episodes   O
of   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ochoa   B-NAME
,   O
a   O
Psychiatric   O
Aides   O
by   O
occupation   O
,   O
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
two   O
weeks   O
ago   O
,   O
initially   O
attributing   O
the   O
discomfort   O
to   O
work   O
-   O
related   O
stress   O
.   O

Johnson   B-NAME
,   I-NAME
Zach   I-NAME
,   O
who   O
works   O
as   O
a   O
Landscape   O
architect   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
occasional   O
alcohol   O
consumption   O
,   O
and   O
denies   O
any   O
illicit   O
drug   O
use   O
.   O

Lives   O
in   O
Mackinaw   B-LOCATION
City   I-LOCATION
with   O
family   O
.   O

Schedule   O
follow   O
-   O
up   O
appointment   O
for   O
03/33/2106   B-DATE
to   O
review   O
test   O
results   O
.   O

Signature   O
:   O
Huynh   B-NAME
32/22   B-DATE

Patient   O
Report   O
Patient   O
Name   O
:   O
Gordon   B-NAME
Age   O
:   O
78   O
Medical   O
Record   O
Number   O
:   O
40615291   B-ID
Date   O
of   O
Visit   O
:   O
1/11/32   B-DATE
Attending   O
Doctor   O
:   O
Stevens   B-NAME
Hospital   O
:   O

UT   B-LOCATION
Health   I-LOCATION
Tyler   I-LOCATION
Location   O
:   O
Sonora   B-LOCATION
Phone   O
Number   O
:   O
492   B-CONTACT
-   I-CONTACT
6284   I-CONTACT
Zip   O
Code   O
:   O
37341   B-LOCATION
ID   O
Number   O
:   O
ZI:4110:328839   B-ID
Employment   O
:   O
Station   O
Installers   O
and   O
Repairers   O
,   O
Telephone   O
Username   O
:   O
fd6210   B-NAME
Summary   O
:   O
Ziglar   B-NAME
,   I-NAME
Zig   I-NAME
,   O
a   O
83   O
-   O
year   O
-   O
old   O
Religious   O
Workers   O
,   O
All   O
Other   O
from   O
Candelaria   B-LOCATION
,   O
presented   O
on   O
39/13/96   B-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
,   O
dizziness   O
,   O
and   O
episodes   O
of   O
nausea   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Harrison   B-NAME
Buckman   I-NAME
observed   O
that   O
Marleen   B-NAME
Lueker   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Diagnostic   O
Tests   O
:   O
It   O
was   O
decided   O
that   O
Frances   B-NAME
Talley   I-NAME
would   O
undergo   O
a   O
brain   O
MRI   O
at   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
Elmhurst   I-LOCATION
to   O
rule   O
out   O
intracranial   O
pathologies   O
.   O

The   O
MRI   O
,   O
conducted   O
on   O
02/27   B-DATE
,   O
revealed   O
no   O
significant   O
abnormalities   O
,   O
eliminating   O
the   O
concerns   O
for   O
tumors   O
or   O
intracranial   O
hemorrhage   O
.   O

Treatment   O
:   O
Given   O
the   O
negative   O
MRI   O
findings   O
,   O
Kissinger   B-NAME
,   I-NAME
Henry   I-NAME
initiated   O
a   O
treatment   O
plan   O
focusing   O
on   O
symptom   O
management   O
.   O

Urbach   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
onset   O
,   O
duration   O
,   O
and   O
severity   O
of   O
headaches   O
,   O
alongside   O
any   O
triggers   O
.   O

James   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Jacksonville   I-LOCATION
on   O
March   B-DATE
21   I-DATE
,   I-DATE
2219   I-DATE
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
to   O
discuss   O
any   O
ongoing   O
or   O
new   O
symptoms   O
.   O

Comments   O
:   O
The   O
attentive   O
care   O
and   O
detailed   O
evaluation   O
by   O
the   O
medical   O
team   O
at   O
Corona   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
underline   O
the   O
commitment   O
to   O
providing   O
quality   O
patient   O
-   O
centered   O
care   O
.   O

Carrie   B-NAME
's   O
case   O
highlights   O
the   O
importance   O
of   O
thorough   O
investigation   O
and   O
personalized   O
treatment   O
approaches   O
in   O
managing   O
nonspecific   O
neurological   O
symptoms   O
.   O

For   O
further   O
inquiries   O
or   O
concerns   O
,   O
please   O
contact   O
Harrington   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
385   I-CONTACT
)   I-CONTACT
221   I-CONTACT
2597   I-CONTACT
.   O

The   O
patient   O
,   O
Easton   B-NAME
Johnston   I-NAME
,   O
a   O
52   O
-   O
year   O
-   O
old   O
Healthcare   O
Practitioners   O
and   O
Technical   O
Workers   O
,   O
All   O
Other   O
from   O
Surfside   B-LOCATION
Beach   I-LOCATION
,   O
was   O
admitted   O
to   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Lake   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
on   O
07/23/42   B-DATE
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Giada   B-NAME
Kane   I-NAME
reported   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
00/20   B-DATE
.   O

Lee   B-NAME
Craig   I-NAME
performed   O
a   O
physical   O
examination   O
,   O
revealing   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
specifically   O
at   O
McBurney   O
's   O
point   O
,   O
with   O
rebound   O
tenderness   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
220   B-ID
-   I-ID
38   I-ID
-   I-ID
93   I-ID
-   I-ID
1   I-ID
was   O
updated   O
with   O
these   O
findings   O
.   O

An   O
abdominal   O
ultrasound   O
followed   O
by   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
performed   O
on   O
00/37/31   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
with   O
evidence   O
of   O
periappendiceal   O
fat   O
stranding   O
,   O
no   O
perforation   O
identified   O
.   O

The   O
findings   O
were   O
discussed   O
with   O
NOE   B-NAME
,   I-NAME
NATALEY   I-NAME
KINSLEE   I-NAME
by   O
Andrews   B-NAME
,   O
and   O
the   O
decision   O
for   O
surgical   O
intervention   O
was   O
made   O
.   O

Kaylene   B-NAME
Jastremski   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
2332   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
20   I-DATE
without   O
complications   O
.   O

Instructions   O
for   O
post   O
-   O
operative   O
care   O
were   O
provided   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
22/02   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
on   O
Friday   B-DATE
with   O
prescriptions   O
for   O
antibiotics   O
and   O
analgesics   O
.   O

Nicholas   B-NAME
Osuna   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
22/04   B-DATE
weeks   O
post   O
-   O
operatively   O
.   O

A   O
follow   O
-   O
up   O
contact   O
number   O
18120   B-CONTACT
was   O
provided   O
to   O
Savanna   B-NAME
Miles   I-NAME
for   O
any   O
post   O
-   O
discharge   O
queries   O
or   O
concerns   O
.   O

Furthermore   O
,   O
the   O
patient   O
was   O
informed   O
that   O
the   O
hospital   O
's   O
patient   O
portal   O
,   O
accessible   O
with   O
the   O
username   O
kb118   B-NAME
,   O
could   O
be   O
used   O
to   O
access   O
their   O
medical   O
records   O
,   O
including   O
detailed   O
surgical   O
reports   O
and   O
post   O
-   O
operative   O
care   O
plans   O
.   O

In   O
summary   O
,   O
the   O
patient   O
Alhaus   B-NAME
Fensel   I-NAME
,   O
from   O
Honiton   B-LOCATION
,   O
28446   B-LOCATION
,   O
with   O
medical   O
record   O
number   O
627   B-ID
95   I-ID
24   I-ID
6   I-ID
,   O
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
at   O
Mercyhealth   B-LOCATION
Hospital   I-LOCATION
Rockton   I-LOCATION
Ave   I-LOCATION
.   O

The   O
collaborative   O
efforts   O
between   O
the   O
patient   O
,   O
Geographers   O
Jameson   B-NAME
Camacho   I-NAME
,   O
and   O
the   O
medical   O
team   O
,   O
led   O
by   O
Griffith   B-NAME
,   O
resulted   O
in   O
a   O
positive   O
outcome   O
with   O
expectation   O
for   O
full   O
recovery   O
.   O

Patient   O
Name   O
:   O
Usha   B-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
8164418   I-ID
Medical   O
Record   O
Number   O
:   O
8060088   B-ID
Date   O
of   O
Birth   O
:   O
August   B-DATE
37   I-DATE
,   I-DATE
2120   I-DATE
Age   O
:   O
64   O
Phone   O
Number   O
:   O
358   B-CONTACT
630   I-CONTACT
5688   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Tucker   B-NAME
Location   O
:   O
Kiribati   B-LOCATION
Zip   O
Code   O
:   O
28018   B-LOCATION
Employer   O
:   O
Michigan   B-LOCATION
Heritage   I-LOCATION
Bank   I-LOCATION
Profession   O
:   O
Higher   O
education   O
administrator   O
Username   O
:   O

lw49   B-NAME
Admission   O
Date   O
:   O
2051   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
22   I-DATE
Hospital   O
:   O
UHS   B-LOCATION
Wilson   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Osbourne   B-NAME
,   I-NAME
Ozzy   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Jordan   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/24   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Fisher   B-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
nausea   O
,   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Vonda   B-NAME
Tara   I-NAME
Ulloa   I-NAME
,   O
a   O
7   O
month   O
-   O
year   O
-   O
old   O
Sales   O
Agents   O
,   O
Securities   O
and   O
Commodities   O
employed   O
by   O
International   B-LOCATION
Foundation   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Tolerance   I-LOCATION
residing   O
in   O
North   B-LOCATION
Falmouth   I-LOCATION
,   O
99214   B-LOCATION
,   O
began   O
experiencing   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
around   O
2/26/59   B-DATE
.   O

The   O
discomfort   O
gradually   O
escalated   O
to   O
severe   O
pain   O
on   O
2/00/50   B-DATE
,   O
prompting   O
Berlin   B-NAME
,   I-NAME
Irving   I-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

Mcguire   B-NAME
noted   O
that   O
the   O
pain   O
worsens   O
with   O
movement   O
and   O
is   O
somewhat   O
relieved   O
by   O
lying   O
still   O
.   O

Past   O
Medical   O
History   O
:   O
Adelina   B-NAME
Letts   I-NAME
has   O
a   O
history   O
of   O
gastritis   O
approximately   O
2   O
years   O
ago   O
,   O
treated   O
with   O
medication   O
.   O

General   O
:   O
Espinoza   B-NAME
reports   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Trinity   B-NAME
Parker   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Vital   O
signs   O
were   O
temperature   O
:   O
01/28   B-DATE
,   O
blood   O
pressure   O
:   O
120/80   O
mmHg   O
,   O
heart   O
rate   O
:   O
90   O
bpm   O
,   O
and   O
respiratory   O
rate   O
:   O
16   O
breaths   O
per   O
minute   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
suggested   O
by   O
Park   B-NAME
and   O
showed   O
signs   O
consistent   O
with   O
appendicitis   O
.   O

Melua   B-NAME
,   I-NAME
Katie   I-NAME
has   O
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Samantha   B-NAME
Albright   I-NAME
was   O
advised   O
to   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
anticipation   O
of   O
possible   O
surgery   O
.   O

Collier   B-NAME
documented   O
the   O
need   O
for   O
close   O
monitoring   O
for   O
signs   O
of   O
increased   O
infection   O
or   O
complications   O
.   O

For   O
any   O
further   O
queries   O
or   O
emergency   O
,   O
Johanna   B-NAME
Cannon   I-NAME
or   O
relatives   O
may   O
contact   O
Mount   B-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   O
101   B-CONTACT
-   I-CONTACT
4426   I-CONTACT
.   O

Milagros   B-NAME
Knox   I-NAME
Patient   O
ID   O
:   O
KF508/4690   B-ID
Date   O
of   O
Birth   O
:   O
12/29   B-DATE
Age   O
:   O
29   O
Medical   O
Record   O
Number   O
:   O
51357831   B-ID
Phone   O
Number   O
:   O
928   B-CONTACT
8737   I-CONTACT
Address   O
:   O
Tilghman   B-LOCATION
Island   I-LOCATION
,   O
53652   B-LOCATION
Occupation   O
:   O
Forest   O
Fire   O
Fighting   O
and   O
Prevention   O
Supervisors   O
Primary   O
Care   O
Physician   O
:   O

Cato   B-NAME
the   I-NAME
Elder   I-NAME
Hospital   O
Name   O
:   O
Bozeman   B-LOCATION
Health   I-LOCATION
Deaconess   I-LOCATION
Hospital   I-LOCATION
Location   O
of   O
Hospital   O
:   O
Winsted   B-LOCATION
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Davidson   B-NAME
,   O
presented   O
on   O
7/1   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
clinical   O
presentation   O
of   O
acute   O
appendicitis   O
.   O

The   O
onset   O
of   O
symptoms   O
occurred   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
to   O
UPMC   B-LOCATION
Altoona   I-LOCATION
.   O

Howe   B-NAME
's   O
condition   O
was   O
further   O
characterized   O
by   O
nausea   O
without   O
vomiting   O
,   O
a   O
low   O
-   O
grade   O
fever   O
documented   O
at   O
the   O
time   O
of   O
examination   O
,   O
and   O
noticeable   O
guarding   O
during   O
palpation   O
.   O

Dillan   B-NAME
Strong   I-NAME
has   O
been   O
a   O
smoker   O
for   O
the   O
past   O
20   O
years   O
,   O
consuming   O
approximately   O
half   O
a   O
pack   O
of   O
cigarettes   O
daily   O
.   O

Based   O
on   O
the   O
clinical   O
and   O
diagnostic   O
findings   O
,   O
Jayvion   B-NAME
Lara   I-NAME
recommended   O
an   O
urgent   O
surgical   O
intervention   O
for   O
suspected   O
appendicitis   O
with   O
possible   O
perforation   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Juan   B-NAME
Watson   I-NAME
on   O
07/91   B-DATE
,   O
and   O
emergent   O
laparoscopic   O
appendectomy   O
was   O
performed   O
without   O
complications   O
.   O

Geno   B-NAME
Guidry   I-NAME
demonstrated   O
a   O
satisfactory   O
postoperative   O
recovery   O
,   O
with   O
resolution   O
of   O
abdominal   O
pain   O
and   O
normalization   O
of   O
leukocyte   O
count   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
11/31   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Hardin   B-NAME
for   O
suture   O
removal   O
and   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O

Planned   O
follow   O
-   O
up   O
appointments   O
are   O
scheduled   O
with   O
both   O
the   O
primary   O
care   O
provider   O
,   O
Jordan   B-NAME
,   O
and   O
the   O
surgical   O
team   O
at   O
East   B-LOCATION
Georgia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
monitor   O
recovery   O
progress   O
and   O
manage   O
any   O
ongoing   O
health   O
concerns   O
.   O

Additionally   O
,   O
Tavarius   B-NAME
was   O
counseled   O
on   O
smoking   O
cessation   O
strategies   O
given   O
the   O
increased   O
risk   O
of   O
postoperative   O
complications   O
and   O
the   O
impact   O
on   O
overall   O
health   O
.   O

Username   O
for   O
patient   O
portal   O
access   O
:   O
ln773   B-NAME
International   B-LOCATION
Statistical   I-LOCATION
Institute   I-LOCATION
(   I-LOCATION
ISI   I-LOCATION
)   I-LOCATION
was   O
noted   O
in   O
the   O
patient   O
's   O
record   O
as   O
the   O
health   O
insurance   O
provider   O
,   O
and   O
coordination   O
with   O
their   O
services   O
was   O
performed   O
to   O
ensure   O
coverage   O
of   O
the   O
surgical   O
procedure   O
and   O
associated   O
hospital   O
stay   O
.   O

Ongoing   O
management   O
of   O
Barbara   B-NAME
Chavez   I-NAME
's   O
chronic   O
conditions   O
,   O
including   O
diabetes   O
and   O
smoking   O
,   O
is   O
crucial   O
to   O
reduce   O
future   O
health   O
risks   O
.   O

Patient   O
Name   O
:   O
Samuel   B-NAME
Heller   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
8171822   I-ID
Date   O
of   O
Birth   O
:   O
04/28   B-DATE
Age   O
:   O
9   O
Medical   O
Record   O
Number   O
:   O
66338788   B-ID
Phone   O
Number   O
:   O
50023   B-CONTACT
Address   O
:   O
Prince   B-LOCATION
George   I-LOCATION
,   O
37061   B-LOCATION

Attending   O
Doctor   O
:   O
Ahmad   B-NAME
Nolan   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Hermann   I-LOCATION
-   I-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
10/39   B-DATE
Occupation   O
:   O

Farm   O
,   O
Ranch   O
,   O
and   O
Other   O
Agricultural   O
Managers   O
Username   O
:   O
gu391   B-NAME
Clinical   O
Summary   O
:   O
Keon   B-NAME
Mcneil   I-NAME
presented   O
to   O
Ottawa   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Minneapolis   I-LOCATION
on   O
March   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
.   O

Godwin   B-NAME
,   I-NAME
Earl   I-NAME
of   I-NAME
Wessex   I-NAME
describes   O
the   O
pain   O
as   O
throbbing   O
and   O
reports   O
that   O
it   O
intensifies   O
with   O
sudden   O
movements   O
.   O

Additionally   O
,   O
Mariela   B-NAME
Whitehead   I-NAME
mentioned   O
experiencing   O
photophobia   O
and   O
phonophobia   O
,   O
leading   O
to   O
considerable   O
discomfort   O
in   O
brightly   O
lit   O
or   O
noisy   O
environments   O
.   O

Upon   O
further   O
examination   O
,   O
Holmes   B-NAME
,   I-NAME
Oliver   I-NAME
Wendell   I-NAME
,   I-NAME
Sr   I-NAME
.   I-NAME
noted   O
the   O
presence   O
of   O
nausea   O
without   O
vomiting   O
.   O

Tejeda   B-NAME
's   O
medical   O
history   O
was   O
reviewed   O
,   O
revealing   O
no   O
significant   O
findings   O
.   O

Management   O
Plan   O
:   O
Alberto   B-NAME
Mays   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
regular   O
sleep   O
patterns   O
,   O
adequate   O
hydration   O
,   O
and   O
stress   O
management   O
techniques   O
.   O

Jalen   B-NAME
Warren   I-NAME
was   O
also   O
recommended   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
the   O
headaches   O
.   O

Further   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Durham   B-NAME
at   O
Samuel   B-LOCATION
Simmonds   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
was   O
scheduled   O
for   O
32/11   B-DATE
to   O
reassess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
adjust   O
if   O
necessary   O
.   O

Additional   O
Notes   O
:   O
Rylan   B-NAME
Rangel   I-NAME
was   O
also   O
provided   O
with   O
information   O
on   O
identifying   O
potential   O
migraine   O
triggers   O
and   O
strategies   O
for   O
avoidance   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
significant   O
changes   O
in   O
symptoms   O
,   O
River   B-NAME
Lloyd   I-NAME
was   O
instructed   O
to   O
contact   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Cleburne   I-LOCATION
via   O
49921   B-CONTACT
or   O
seek   O
immediate   O
medical   O
attention   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Roger   B-NAME
Easterling   I-NAME
Patient   O
ID   O
:   O
LB950/4439   B-ID
Medical   O
Record   O
Number   O
:   O
3473847   B-ID
Date   O
of   O
Birth   O
:   O
6   O
month   O
Date   O
of   O
Admission   O
:   O
20/1   B-DATE
Attending   O
Physician   O
:   O

Santino   B-NAME
Flowers   I-NAME
Treatment   O
Facility   O
:   O
Hills   B-LOCATION
and   I-LOCATION
Dales   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Gloucester   B-LOCATION
Zip   O
Code   O
:   O
92863   B-LOCATION
Contact   O
Phone   O
:   O
355   B-CONTACT
-   I-CONTACT
712   I-CONTACT
2004   I-CONTACT
Employment   O
:   O
Nature   O
conservation   O
officer   O
Username   O
Reported   O
:   O
riy640   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Yisroel   B-NAME
F   I-NAME
Cooley   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Colorado   B-LOCATION
Plains   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
8/09   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
and   O
associated   O
symptoms   O
of   O
nausea   O
and   O
slight   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Pao   B-NAME
Arias   I-NAME
,   O
a   O
Press   O
photographer   O
from   O
Karlsruhe   B-LOCATION
,   O
reports   O
that   O
the   O
abdominal   O
pain   O
began   O
abruptly   O
yesterday   O
morning   O
and   O
has   O
since   O
increased   O
in   O
severity   O
.   O

Additionally   O
,   O
Barry   B-NAME
,   I-NAME
Dave   I-NAME
reports   O
experiencing   O
episodes   O
of   O
nausea   O
and   O
has   O
vomited   O
twice   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Upon   O
examination   O
,   O
Kristopher   B-NAME
Harmon   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
has   O
been   O
admitted   O
to   O
Bayhealth   B-LOCATION
Hospital   I-LOCATION
Sussex   I-LOCATION
Campus   I-LOCATION
for   O
further   O
observation   O
and   O
management   O
.   O

The   O
next   O
of   O
kin   O
has   O
been   O
notified   O
and   O
provided   O
with   O
(   B-CONTACT
574   I-CONTACT
)   I-CONTACT
221   I-CONTACT
3171   I-CONTACT
as   O
a   O
contact   O
number   O
for   O
updates   O
on   O
Kristian   B-NAME
Chung   I-NAME
's   O
condition   O
.   O

Responsible   O
Physician   O
:   O
Stephanie   B-NAME
Reyes   I-NAME
Date   O
:   O
Sunday   B-DATE
,   I-DATE
July   I-DATE

Patient   O
Name   O
:   O
Johnson   B-NAME
,   I-NAME
Philip   I-NAME
Date   O
of   O
Birth   O
:   O
23/8   B-DATE
Age   O
:   O
66s   O
Phone   O
Number   O
:   O
445   B-CONTACT
4783   I-CONTACT
Address   O
:   O
Arroyo   B-LOCATION
,   O
89019   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Jaydan   B-NAME
Everett   I-NAME
Medical   O
Record   O
Number   O
:   O
00252905   B-ID
Insurance   O
ID   O
:   O
UP   B-ID
:   I-ID
SN:5820   I-ID
Employer   O
:   O

Republic   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
N.A.   I-LOCATION
Occupation   O
:   O
Retail   O
pharmacist   O
Username   O
:   O
AU1019   B-NAME
Clinical   O
Summary   O
:   O
Larry   B-NAME
Cowan   I-NAME
presented   O
to   O
Banner   B-LOCATION
Casa   I-LOCATION
Grande   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
April   B-DATE
21   I-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
persistent   O
dry   O
cough   O
over   O
the   O
past   O
39/26/2082   B-DATE
.   O

V.   B-NAME
Hamilton   I-NAME
's   O
oxygen   O
saturation   O
was   O
measured   O
at   O
92   O
%   O
on   O
room   O
air   O
.   O

Impression   O
:   O
Considering   O
the   O
clinical   O
presentation   O
and   O
initial   O
diagnostic   O
findings   O
,   O
Elisha   B-NAME
Roberts   I-NAME
likely   O
has   O
an   O
early   O
stage   O
of   O
interstitial   O
lung   O
disease   O
,   O
although   O
further   O
diagnostic   O
workup   O
including   O
a   O
high   O
-   O
resolution   O
chest   O
CT   O
scan   O
is   O
recommended   O
to   O
confirm   O
the   O
diagnosis   O
and   O
evaluate   O
the   O
extent   O
of   O
lung   O
involvement   O
.   O

Instructions   O
for   O
Molly   B-NAME
Clock   I-NAME
:   O
-   O
Avoid   O
known   O
respiratory   O
irritants   O
such   O
as   O
smoke   O
,   O
excessive   O
dust   O
,   O
and   O
strong   O
fumes   O
.   O

Contacts   O
for   O
questions   O
or   O
concerns   O
:   O
-   O
Highline   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Pulmonology   O
Department   O
:   O
(   B-CONTACT
987   I-CONTACT
)   I-CONTACT
329   I-CONTACT
9364   I-CONTACT
-   O
Nursing   O
Line   O
:   O
66519   B-CONTACT
Note   O
:   O
All   O
future   O
correspondence   O
and   O
medical   O
records   O
will   O
be   O
referred   O
under   O
7568E07716   B-ID
for   O
Dania   B-NAME
Mcdowell   I-NAME
.   O

Further   O
inquiries   O
can   O
be   O
directed   O
to   O
Delacruz   B-NAME
at   O
Maria   B-LOCATION
Parham   I-LOCATION
Health   I-LOCATION
with   O
reference   O
to   O
the   O
above   O
-   O
medicated   O
medical   O
record   O
number   O
.   O

Document   O
Prepared   O
by   O
:   O
Griffith   B-NAME
,   O
M.D.   O
Date   O
:   O
2093   B-DATE
Clarks   B-LOCATION
Summit   I-LOCATION
,   O
74232   B-LOCATION

Patient   O
Name   O
:   O
Milton   B-NAME
Wilson   I-NAME
Age   O
:   O
81   O
Date   O
of   O
Birth   O
:   O
1/13   B-DATE
Phone   O
Number   O
:   O
864   B-CONTACT
-   I-CONTACT
7029   I-CONTACT
Address   O
:   O
Largo   B-LOCATION
,   O
98851   B-LOCATION
Employment   O
:   O
Education   O
Administrators   O
,   O
Preschool   O
and   O
Childcare   O
Center   O
/   O
Program   O
at   O
People   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Ethical   I-LOCATION
Treatment   I-LOCATION
of   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
PETA   I-LOCATION
)   I-LOCATION
Medical   O
Record   O
Number   O
:   O
31382   B-ID
Physician   O
:   O

Esteban   B-NAME
Mcclure   I-NAME
Date   O
of   O
Visit   O
:   O
30/20   B-DATE
Hospital   O
:   O

BANNER   B-LOCATION
ESTRELLA   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
Chief   O
Complaint   O
:   O
Clay   B-NAME
Morales   I-NAME
presents   O
with   O
a   O
four   O
-   O
day   O
history   O
of   O
worsening   O
productive   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
patient   O
has   O
observed   O
a   O
low   O
-   O
grade   O
fever   O
over   O
the   O
past   O
two   O
days   O
,   O
measured   O
at   O
home   O
with   O
peak   O
temperature   O
reaching   O
100.4   O
°   O
F   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Mcclain   B-NAME
first   O
noticed   O
a   O
mild   O
cough   O
on   O
33/01   B-DATE
,   O
which   O
was   O
initially   O
dry   O
but   O
became   O
productive   O
of   O
yellowish   O
sputum   O
.   O

Past   O
Medical   O
History   O
:   O
Chavez   B-NAME
has   O
a   O
history   O
of   O
well   O
-   O
controlled   O
asthma   O
since   O
childhood   O
and   O
seasonal   O
allergies   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
respiratory   O
symptoms   O
,   O
Ahmad   B-NAME
Osborne   I-NAME
denies   O
any   O
headaches   O
,   O
dizziness   O
,   O
edema   O
,   O
abdominal   O
pain   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
urinary   O
habits   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Foch   B-NAME
,   I-NAME
Ferdinand   I-NAME
is   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Based   O
on   O
Caryl   B-NAME
Eisenman   I-NAME
's   O
clinical   O
presentation   O
,   O
empirical   O
antibiotic   O
therapy   O
targeting   O
common   O
respiratory   O
pathogens   O
is   O
initiated   O
pending   O
further   O
diagnostic   O
results   O
.   O

Instructions   O
for   O
Yash   B-NAME
Ugarte   I-NAME
:   O
1   O
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
09/16/2231   B-DATE
or   O
sooner   O
if   O
condition   O
worsens   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Buffalo   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
11138   B-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
visit   O
the   O
nearest   O
hospital   O
emergency   O
department   O
or   O
call   O
(   B-CONTACT
655   I-CONTACT
)   I-CONTACT
412   I-CONTACT
-   I-CONTACT
3826   I-CONTACT
.   O

This   O
plan   O
was   O
discussed   O
with   O
Ally   B-NAME
Gibson   I-NAME
who   O
agreed   O
to   O
the   O
following   O
steps   O
.   O

Allen   B-NAME
,   I-NAME
Fred   I-NAME
expressed   O
understanding   O
and   O
consented   O
to   O
the   O
treatment   O
plan   O
.   O

Caroline   B-NAME
Franco   I-NAME
Date   O
:   O
1/9   B-DATE
Username   O
:   O
yg910   B-NAME

Patient   O
Report   O
Stanly   B-NAME
Lang   I-NAME
presented   O
to   O
Phelps   B-LOCATION
Health   I-LOCATION
on   O
36/23   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
localized   O
to   O
the   O
right   O
temporal   O
region   O
.   O

Olsen   B-NAME
,   I-NAME
Mary   I-NAME
-   I-NAME
Kate   I-NAME
and   I-NAME
Ashley   I-NAME
described   O
the   O
pain   O
as   O
unbearable   O
,   O
rating   O
it   O
a   O
9   O
on   O
a   O
pain   O
scale   O
of   O
1   O
to   O
10   O
.   O

Furthermore   O
,   O
Rosamond   B-NAME
Mojaro   I-NAME
,   O
a   O
Embalmers   O
,   O
reported   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
,   O
leading   O
to   O
vomiting   O
on   O
two   O
occasions   O
prior   O
to   O
hospital   O
admission   O
.   O

Maurice   B-NAME
Ruiz   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
episodic   O
migraines   O
without   O
aura   O
,   O
which   O
were   O
previously   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
moderate   O
success   O
.   O

However   O
,   O
Tapia   B-NAME
indicated   O
that   O
the   O
current   O
episode   O
was   O
unlike   O
any   O
previous   O
migraine   O
episodes   O
in   O
terms   O
of   O
pain   O
severity   O
and   O
associated   O
symptoms   O
.   O

Trevino   B-NAME
denied   O
any   O
recent   O
head   O
trauma   O
,   O
fever   O
,   O
neck   O
stiffness   O
,   O
visual   O
disturbances   O
,   O
or   O
changes   O
in   O
mental   O
status   O
.   O

Upon   O
examination   O
,   O
Vega   B-NAME
noted   O
Dakota   B-NAME
Harper   I-NAME
's   O
blood   O
pressure   O
to   O
be   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
of   O
78   O
beats   O
per   O
minute   O
,   O
temperature   O
of   O
98.6   O
°   O
F   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
Boone   B-NAME
's   O
medical   O
history   O
,   O
a   O
working   O
diagnosis   O
of   O
a   O
severe   O
migraine   O
episode   O
was   O
considered   O
.   O

Given   O
the   O
presentation   O
and   O
the   O
severity   O
of   O
symptoms   O
,   O
Mayo   B-NAME
recommended   O
initiating   O
treatment   O
with   O
intravenous   O
fluids   O
,   O
antiemetics   O
,   O
and   O
a   O
triptan   O
,   O
while   O
closely   O
monitoring   O
MIGUEL   B-NAME
LARSON   I-NAME
's   O
response   O
to   O
therapy   O
.   O

Additionally   O
,   O
Franklin   B-NAME
ordered   O
a   O
brain   O
MRI   O
to   O
rule   O
out   O
other   O
potential   O
causes   O
of   O
Khloe   B-NAME
Raymond   I-NAME
's   O
symptoms   O
,   O
such   O
as   O
an   O
underlying   O
cerebrovascular   O
accident   O
or   O
aneurysm   O
.   O

Clarissa   B-NAME
Dunlap   I-NAME
's   O
517   B-ID
-   I-ID
31   I-ID
-   I-ID
12   I-ID
number   O
for   O
this   O
admission   O
is   O
QD698/6126   B-ID
.   O

Donaldson   B-NAME
also   O
discussed   O
the   O
importance   O
of   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
outpatient   O
neurology   O
clinic   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Corbin   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
of   O
Ray   B-NAME
's   O
migraines   O
,   O
including   O
the   O
consideration   O
of   O
preventive   O
medications   O
to   O
reduce   O
the   O
frequency   O
and   O
severity   O
of   O
migraine   O
episodes   O
.   O

Contact   O
information   O
for   O
follow   O
-   O
up   O
appointments   O
was   O
provided   O
,   O
and   O
Harley   B-NAME
Atkinson   I-NAME
was   O
advised   O
to   O
call   O
422   B-CONTACT
-   I-CONTACT
7246   I-CONTACT
if   O
there   O
were   O
any   O
concerns   O
or   O
if   O
symptoms   O
worsened   O
before   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

This   O
case   O
will   O
be   O
reported   O
to   O
Human   B-LOCATION
Rights   I-LOCATION
Without   I-LOCATION
Frontiers   I-LOCATION
for   O
statistical   O
purposes   O
,   O
with   O
all   O
personal   O
identifiers   O
removed   O
to   O
protect   O
Jayden   B-NAME
Malone   I-NAME
's   O
privacy   O
.   O

The   O
anonymous   O
patient   O
identifiers   O
used   O
for   O
reporting   O
will   O
be   O
LH5510   B-NAME
.   O

8850   B-LOCATION
Shub   I-LOCATION
Farm   I-LOCATION
Lane   I-LOCATION
was   O
provided   O
as   O
the   O
home   O
address   O
,   O
and   O
71331   B-LOCATION
was   O
recorded   O
for   O
demographic   O
data   O
analysis   O
purposes   O
.   O

Rodgers   B-NAME
was   O
discharged   O
on   O
7   B-DATE
-   I-DATE
26   I-DATE
with   O
outpatient   O
follow   O
-   O
up   O
instructions   O
and   O
emergency   O
contact   O
numbers   O
,   O
including   O
50153   B-CONTACT
,   O
should   O
any   O
urgent   O
issues   O
arise   O
post   O
-   O
discharge   O
.   O

Lesly   B-NAME
Grant   I-NAME
DOB   O
:   O

6th   B-DATE
Age   O
:   O
5   O
Phone   O
Number   O
:   O
240   B-CONTACT
-   I-CONTACT
2334   I-CONTACT
Address   O
:   O
Thorne   B-LOCATION
Bay   I-LOCATION
,   O
74888   B-LOCATION
Patient   O
ID   O
:   O
714489   B-ID
Medical   O
Record   O
Number   O
:   O
079   B-ID
-   I-ID
19   I-ID
-   I-ID
38   I-ID
-   I-ID
8   I-ID
Attending   O
Physician   O
:   O
Veila   B-NAME
Employer   O
:   O

George   B-LOCATION
Washington   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Marriage   O
and   O
Family   O
Therapists   O
Username   O
:   O
elu638   B-NAME
The   O
patient   O
,   O
Tillman   B-NAME
,   O
was   O
seen   O
at   O
Parkland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Farmington   I-LOCATION
on   O
7   B-DATE
-   I-DATE
36   I-DATE
complaining   O
of   O
severe   O
epigastric   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Notably   O
,   O
Fuller   B-NAME
mentioned   O
the   O
pain   O
exacerbates   O
after   O
eating   O
,   O
especially   O
fatty   O
foods   O
,   O
and   O
is   O
somewhat   O
alleviated   O
by   O
leaning   O
forward   O
.   O

There   O
is   O
no   O
reported   O
fever   O
,   O
but   O
Liana   B-NAME
Schultz   I-NAME
described   O
a   O
significant   O
loss   O
of   O
appetite   O
leading   O
to   O
the   O
events   O
.   O

Owen   B-NAME
Maestro   I-NAME
has   O
a   O
medical   O
history   O
of   O
gallstones   O
and   O
chronic   O
pancreatitis   O
,   O
suggesting   O
a   O
possible   O
acute   O
exacerbation   O
or   O
complication   O
such   O
as   O
gallstone   O
pancreatitis   O
.   O

Family   O
history   O
,   O
provided   O
by   O
Brock   B-NAME
,   O
included   O
diabetes   O
mellitus   O
in   O
a   O
parent   O
,   O
but   O
there   O
are   O
no   O
known   O
genetic   O
diseases   O
that   O
could   O
be   O
contributive   O
.   O

Judge   B-NAME
appeared   O
mildly   O
dehydrated   O
,   O
corroborated   O
by   O
dry   O
mucous   O
membranes   O
.   O

Abdominal   O
ultrasound   O
,   O
scheduled   O
by   O
Kassidy   B-NAME
Romero   I-NAME
,   O
is   O
expected   O
to   O
confirm   O
the   O
diagnosis   O
by   O
illustrating   O
gallstones   O
and   O
any   O
changes   O
in   O
the   O
pancreas   O
.   O

A   O
management   O
plan   O
was   O
discussed   O
with   O
Diego   B-NAME
Gaunt   I-NAME
,   O
focusing   O
on   O
pain   O
management   O
,   O
rehydration   O
,   O
and   O
nutritional   O
support   O
.   O

Instructions   O
were   O
given   O
to   O
Linh   B-NAME
Mcwaters   I-NAME
to   O
avoid   O
fatty   O
foods   O
,   O
alcohol   O
,   O
and   O
to   O
monitor   O
symptoms   O
closely   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
02/30/49   B-DATE
at   O
Sharp   B-LOCATION
Coronado   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Healthcare   I-LOCATION
Center   I-LOCATION
,   O
with   O
Pena   B-NAME
.   O

ElBaradei   B-NAME
,   I-NAME
Mohamed   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
arise   O
such   O
as   O
fever   O
,   O
jaundice   O
,   O
or   O
severe   O
abdominal   O
distension   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
before   O
the   O
follow   O
-   O
up   O
visit   O
,   O
Angie   B-NAME
Nolan   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
of   O
the   O
gastroenterology   O
department   O
,   O
779   B-CONTACT
1196   I-CONTACT
.   O

Additionally   O
,   O
Ellyn   B-NAME
Chandier   I-NAME
has   O
been   O
registered   O
for   O
an   O
online   O
patient   O
portal   O
(   O
DX655   B-NAME
)   O
for   O
easy   O
access   O
to   O
medical   O
records   O
and   O
communication   O
with   O
the   O
healthcare   O
team   O
.   O

This   O
care   O
plan   O
is   O
aimed   O
at   O
managing   O
current   O
symptoms   O
while   O
preparing   O
for   O
further   O
diagnostic   O
procedures   O
to   O
confirm   O
the   O
cause   O
of   O
Skye   B-NAME
's   O
acute   O
abdominal   O
pain   O
and   O
guide   O
definitive   O
treatment   O
.   O

Patient   O
Name   O
:   O
Karissa   B-NAME
Kerr   I-NAME
Medical   O
Record   O
Number   O
:   O
567   B-ID
-   I-ID
89   I-ID
-   I-ID
33   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
22/13/52   B-DATE
Age   O
:   O
48   O
Address   O
:   O
Bier   B-LOCATION
,   O
85988   B-LOCATION
Phone   O
Number   O
:   O
999   B-CONTACT
434   I-CONTACT
2813   I-CONTACT
Referring   O
Physician   O
:   O

Augustus   B-NAME
Navarro   I-NAME
Hospital   O
:   O
Raritan   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
:   O
9   B-ID
-   I-ID
4372286   I-ID
Occupation   O
:   O
Market   O
Research   O
Analysts   O
and   O
Marketing   O
Specialists   O
Date   O
of   O
Admission   O
:   O
2003   B-DATE
Date   O
of   O
Discharge   O
:   O
0/02   B-DATE
Summary   O
:   O

Jase   B-NAME
was   O
admitted   O
to   O
Summerfield   B-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
on   O
31/04/2043   B-DATE
with   O
a   O
referral   O
from   O
White   B-NAME
.   O

The   O
patient   O
,   O
a   O
Consumer   O
rights   O
adviser   O
from   O
Davenport   B-LOCATION
,   I-LOCATION
Hilltop   I-LOCATION
Campus   I-LOCATION
Village   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
presented   O
with   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Additionally   O
,   O
Eric   B-NAME
Good   I-NAME
reported   O
a   O
fever   O
reaching   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
,   O
nausea   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
.   O

Upon   O
examination   O
,   O
Tessa   B-NAME
Ewing   I-NAME
,   O
who   O
is   O
27   O
years   O
old   O
,   O
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
during   O
the   O
abdominal   O
examination   O
,   O
indicative   O
of   O
possible   O
peritonitis   O
.   O

Imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
followed   O
by   O
a   O
CT   O
scan   O
,   O
was   O
ordered   O
by   O
Sparks   B-NAME
to   O
confirm   O
the   O
diagnosis   O
.   O

Management   O
and   O
Outcome   O
:   O
After   O
discussing   O
the   O
diagnosis   O
and   O
treatment   O
options   O
with   O
Hughes   B-NAME
,   I-NAME
Charles   I-NAME
Evans   I-NAME
,   O
a   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
,   O
performed   O
on   O
2/10   B-DATE
,   O
was   O
uneventful   O
,   O
and   O
the   O
inflamed   O
appendix   O
was   O
successfully   O
removed   O
.   O

Post   O
-   O
operative   O
care   O
was   O
managed   O
according   O
to   O
Spring   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
protocol   O
for   O
appendectomy   O
patients   O
.   O

Krystyna   B-NAME
Omalley   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
monitored   O
closely   O
,   O
with   O
attention   O
paid   O
to   O
pain   O
management   O
and   O
infection   O
prevention   O
.   O

Ivan   B-NAME
Blevins   I-NAME
demonstrated   O
a   O
good   O
recovery   O
and   O
was   O
discharged   O
on   O
37/04   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Debs   B-NAME
,   I-NAME
Eugene   I-NAME
V.   I-NAME
for   O
28/05/49   B-DATE
.   O

Dougherty   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
increased   O
abdominal   O
pain   O
were   O
experienced   O
.   O
Prescriptions   O
for   O
analgesia   O
and   O
an   O
antibiotic   O
course   O
were   O
provided   O
at   O
discharge   O
.   O

Contact   O
information   O
,   O
including   O
868   B-CONTACT
924   I-CONTACT
-   I-CONTACT
6847   I-CONTACT
,   O
was   O
verified   O
with   O
Enoch   B-NAME
Shorty   I-NAME
for   O
any   O
follow   O
-   O
up   O
communication   O
.   O

The   O
medical   O
team   O
at   O
Indiana   B-LOCATION
University   I-LOCATION
Health   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
will   O
continue   O
to   O
monitor   O
Wilkinson   B-NAME
's   O
progress   O
through   O
scheduled   O
outpatient   O
visits   O
.   O

For   O
further   O
inquiry   O
or   O
if   O
any   O
symptoms   O
persist   O
,   O
Belen   B-NAME
Mcneil   I-NAME
has   O
been   O
instructed   O
to   O
contact   O
Henry   B-LOCATION
Ford   I-LOCATION
Macomb   I-LOCATION
Hospitals   I-LOCATION
at   O
502   B-CONTACT
-   I-CONTACT
742   I-CONTACT
-   I-CONTACT
3802   I-CONTACT
.   O

Healthcare   O
Provider   O
:   O
Parker   B-NAME
Grady   B-LOCATION
EMC   I-LOCATION
66617   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Krystal   B-NAME
Ayers   I-NAME
Patient   O
PW   B-ID
:   I-ID
VE:4476   I-ID
:   O
629   B-ID
32   I-ID
36   I-ID
Date   O
of   O
Birth   O
:   O
14/33   B-DATE
Age   O
:   O
89   O
Address   O
:   O
Westmorland   B-LOCATION
,   O
62371   B-LOCATION
Phone   O
:   O
36159   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Buchanan   B-NAME
Hospital   O
:   O

Marian   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
33/20/83   B-DATE
Chief   O
Complaint   O
:   O

Maxwell   B-NAME
presents   O
with   O
a   O
48   O
-   O
hour   O
history   O
of   O
intermittent   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Medical   O
History   O
:   O
Jonathan   B-NAME
Kinder   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
prior   O
surgeries   O
.   O

Social   O
History   O
:   O
Karli   B-NAME
Smith   I-NAME
works   O
as   O
a   O
Floral   O
Designers   O
in   O
North   B-LOCATION
Bennington   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

On   O
examination   O
,   O
Myatt   B-NAME
,   I-NAME
David   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Abdominal   O
ultrasound   O
was   O
performed   O
at   O
New   B-LOCATION
Lifecare   I-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
PGH   I-LOCATION
-   I-LOCATION
Suburban   I-LOCATION
,   O
revealing   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
with   O
no   O
abscess   O
or   O
perforation   O
.   O

Janos   B-NAME
Hohlstein   I-NAME
's   O
history   O
of   O
progressively   O
worsening   O
right   O
lower   O
quadrant   O
pain   O
,   O
alongside   O
laboratory   O
and   O
sonographic   O
evidence   O
,   O
consolidates   O
the   O
diagnosis   O
.   O

Jenna   B-NAME
Warner   I-NAME
from   O
the   O
general   O
surgery   O
team   O
evaluated   O
Mustaine   B-NAME
,   I-NAME
Dave   I-NAME
and   O
recommended   O
laparoscopic   O
appendectomy   O
.   O

Claudie   B-NAME
Tow   I-NAME
was   O
informed   O
about   O
the   O
surgery   O
,   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
,   O
and   O
consent   O
was   O
obtained   O
.   O

Follow   O
-   O
Up   O
:   O
huff   B-NAME
will   O
be   O
admitted   O
to   O
North   B-LOCATION
Central   I-LOCATION
Bronx   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Evelyn   B-NAME
Glover   I-NAME
for   O
the   O
planned   O
procedure   O
on   O
05/17   B-DATE
.   O

For   O
any   O
questions   O
regarding   O
Sonny   B-NAME
Lowery   I-NAME
's   O
care   O
,   O
please   O
contact   O
Phillip   B-NAME
Long   I-NAME
at   O
Willingway   B-LOCATION
Hospital   I-LOCATION
,   O
phone   O
340   B-CONTACT
768   I-CONTACT
-   I-CONTACT
5531   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Bradford   B-NAME
Althaus   I-NAME
-   O
DOB   O
:   O
2/29   B-DATE
/1985   O
-   O
Age   O
:   O
95   O
-   O
Medical   O
Record   O
Number   O
:   O
07604043   B-ID
-   O
Phone   O
Number   O
:   O
281   B-CONTACT
-   I-CONTACT
7985   I-CONTACT
-   O
Address   O
:   O
Morven   B-LOCATION
,   O
77178   B-LOCATION
-   O
Occupation   O
:   O
Government   O
lawyer   O
-   O
Attending   O
Physician   O
:   O

Sidney   B-NAME
Ramsey   I-NAME
-   O
Hospital   O
Name   O
:   O
Summit   B-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
-   O
Patient   O
ID   O
:   O
UV:17548:924145   B-ID
History   O
of   O
Present   O
Illness   O
:   O
Brittany   B-NAME
Dean   I-NAME
was   O
admitted   O
to   O
Glendale   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
22/22   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
frontal   O
headaches   O
primarily   O
in   O
the   O
morning   O
,   O
nausea   O
,   O
and   O
blurred   O
vision   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Sanders   B-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
three   O
weeks   O
ago   O
,   O
initially   O
mild   O
and   O
intermittent   O
,   O
but   O
has   O
noted   O
a   O
significant   O
increase   O
in   O
severity   O
and   O
frequency   O
.   O

Homer   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
but   O
is   O
not   O
currently   O
on   O
medication   O
.   O

Eli   B-NAME
James   I-NAME
denies   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Medical   O
History   O
:   O
-   O
Hypertension   O
diagnosed   O
in   O
2020   O
-   O
No   O
surgical   O
history   O
-   O
No   O
known   O
drug   O
allergies   O
-   O
Family   O
history   O
is   O
non   O
-   O
contributive   O
Examination   O
Findings   O
:   O
Upon   O
examination   O
on   O
02/32/2045   B-DATE
,   O
Valencia   B-NAME
appeared   O
alert   O
and   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

Diagnostic   O
Testing   O
:   O
MRI   O
of   O
the   O
head   O
performed   O
on   O
9/23/33   B-DATE
showed   O
findings   O
suggestive   O
of   O
increased   O
intracranial   O
pressure   O
.   O

Educate   O
Catullus   B-NAME
,   I-NAME
Gaius   I-NAME
Valerius   I-NAME
on   O
the   O
importance   O
of   O
monitoring   O
blood   O
pressure   O
and   O
adherence   O
to   O
hypertension   O
management   O
.   O

Follow   O
Up   O
:   O
Kaye   B-NAME
Wilborn   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
32/07/39   B-DATE
for   O
evaluation   O
of   O
symptoms   O
and   O
review   O
of   O
test   O
results   O
.   O

Baddiel   B-NAME
,   I-NAME
David   I-NAME
has   O
been   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
experiencing   O
worsening   O
symptoms   O
or   O
new   O
neurological   O
signs   O
.   O

Prepared   O
by   O
:   O
Proctor   B-NAME
Medical   O
Record   O
Prepared   O
for   O
:   O
Null   B-NAME
Date   O
:   O
2/19/18   B-DATE
Contact   O
Information   O
for   O
Follow   O
-   O
Up   O
:   O
575   B-CONTACT
-   I-CONTACT
819   I-CONTACT
1657   I-CONTACT
,   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Ada   I-LOCATION

Schmitt   B-NAME
Medical   O
Record   O
Number   O
:   O
915   B-ID
-   I-ID
03   I-ID
-   I-ID
70   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Birth   O
:   O
33/39/2137   B-DATE
Age   O
:   O
75   O
Address   O
:   O
Benton   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Benton   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
16998   B-LOCATION
Phone   O
:   O
766   B-CONTACT
-   I-CONTACT
5565   I-CONTACT

Attending   O
Doctor   O
:   O
Tuibua   B-NAME
,   I-NAME
Esala   I-NAME
Location   O
of   O
Visit   O
:   O
Western   B-LOCATION
Maryland   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
2280   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
02   I-DATE
Occupation   O
:   O
Music   O
Arrangers   O
and   O
Orchestrators   O
Username   O
for   O
Hospital   O
Portal   O
:   O
MY2810   B-NAME
Clinical   O
Summary   O
:   O
Braylen   B-NAME
Dougherty   I-NAME
,   O
a   O
4   O
-   O
year   O
-   O
old   O
Curator   O
,   O
presented   O
to   O
Aultman   B-LOCATION
Hospital   I-LOCATION
on   O
06/05/2073   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
high   O
-   O
grade   O
fever   O
measured   O
at   O
39.5   O
°   O
C   O
(   O
103.1   O
°   O
F   O
)   O
,   O
severe   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
and   O
photophobia   O
.   O

Past   O
medical   O
history   O
obtained   O
from   O
Jane   B-LOCATION
Phillips   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
electronic   O
health   O
records   O
(   O
844   B-ID
-   I-ID
84   I-ID
-   I-ID
90   I-ID
-   I-ID
6   I-ID
)   O
indicate   O
no   O
significant   O
chronic   O
illnesses   O
.   O

Upon   O
examination   O
,   O
Cowper   B-NAME
,   I-NAME
William   I-NAME
noted   O
positive   O
Brudzinski   O
and   O
Kernig   O
signs   O
,   O
suggesting   O
meningeal   O
irritation   O
.   O

Nugent   B-NAME
,   I-NAME
Ted   I-NAME
was   O
initiated   O
on   O
empirical   O
antibiotic   O
therapy   O
pending   O
culture   O
results   O
.   O

The   O
plan   O
communicated   O
to   O
Matthew   B-NAME
Vieira   I-NAME
emphasized   O
the   O
need   O
for   O
hospitalization   O
at   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Florence   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
intravenous   O
antibiotics   O
,   O
close   O
monitoring   O
of   O
neurological   O
status   O
,   O
and   O
supportive   O
care   O
.   O

Chapin   B-NAME
,   I-NAME
Harry   I-NAME
discussed   O
the   O
gravity   O
of   O
the   O
condition   O
and   O
the   O
essential   O
steps   O
in   O
the   O
treatment   O
regimen   O
with   O
MOL   B-NAME
and   O
ensured   O
all   O
queries   O
were   O
addressed   O
.   O

The   O
patient   O
consent   O
form   O
for   O
the   O
proposed   O
treatment   O
plan   O
was   O
electronically   O
signed   O
and   O
dated   O
on   O
3/4   B-DATE
.   O

The   O
patient   O
expressed   O
understanding   O
and   O
agreed   O
to   O
proceed   O
with   O
the   O
treatment   O
as   O
advised   O
by   O
Kymani   B-NAME
Kennedy   I-NAME
.   O

For   O
further   O
inquiries   O
or   O
updates   O
,   O
Buzz   B-NAME
Stryker   I-NAME
or   O
family   O
members   O
were   O
advised   O
to   O
contact   O
Nevada   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
through   O
the   O
designated   O
patient   O
line   O
14408   B-CONTACT
.   O

This   O
clinical   O
summary   O
has   O
been   O
prepared   O
to   O
facilitate   O
seamless   O
collaboration   O
and   O
ensure   O
continuity   O
of   O
care   O
for   O
Anika   B-NAME
Goffney   I-NAME
amid   O
the   O
compassionate   O
expertise   O
at   O
Abbeville   B-LOCATION
Area   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Further   O
updates   O
will   O
be   O
provided   O
through   O
the   O
hospital   O
's   O
patient   O
portal   O
,   O
bk592   B-NAME
,   O
ensuring   O
confidentiality   O
and   O
timely   O
information   O
exchange   O
as   O
Xzavior   B-NAME
Welch   I-NAME
progresses   O
through   O
the   O
treatment   O
protocol   O
.   O

Patient   O
Name   O
:   O
Josephine   B-NAME
Baxter   I-NAME
Patient   O
ID   O
:   O
ZT952/3366   B-ID
Medical   O
Record   O
Number   O
:   O
35649588   B-ID
Date   O
of   O
Birth   O
:   O
2120   B-DATE
Age   O
:   O
67   O
Address   O
:   O
Thompson   B-LOCATION
's   I-LOCATION
Station   I-LOCATION
,   O
98386   B-LOCATION
Phone   O
Number   O
:   O
644   B-CONTACT
-   I-CONTACT
953   I-CONTACT
2085   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Glover   B-NAME
Admitting   O
Hospital   O
:   O
Maury   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
30/03/25   B-DATE
Insurance   O
Provider   O
:   O
Minnesota   B-LOCATION
Power   I-LOCATION
Occupation   O
:   O
Loan   O
Officers   O
Chief   O
Complaint   O
:   O
Benton   B-NAME
C.   I-NAME
Quest   I-NAME
presented   O
to   O
Jefferson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
episodic   O
nocturnal   O
dyspnea   O
over   O
the   O
past   O
two   O
months   O
.   O

In   O
addition   O
,   O
Zander   B-NAME
Freeman   I-NAME
reported   O
a   O
persistent   O
dry   O
cough   O
and   O
recent   O
unexplained   O
weight   O
loss   O
.   O

Medical   O
History   O
:   O
Arianna   B-NAME
Ortiz   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
Type   O
II   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Mccullough   B-NAME
also   O
has   O
a   O
documented   O
allergy   O
to   O
penicillin   O
.   O

Social   O
History   O
:   O
Terrence   B-NAME
Mcguire   I-NAME
is   O
a   O
Textile   O
Cutting   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
by   O
profession   O
and   O
denies   O
tobacco   O
use   O
or   O
illicit   O
drug   O
use   O
.   O

Refer   O
to   O
Calderon   B-NAME
for   O
further   O
evaluation   O
of   O
suspected   O
interstitial   O
lung   O
disease   O
.   O

Educate   O
Charles   B-NAME
McNider   I-NAME
on   O
monitoring   O
weight   O
and   O
fluid   O
intake   O
daily   O
to   O
help   O
manage   O
potential   O
congestive   O
heart   O
failure   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
Uphoff   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Davila   B-NAME
and   O
a   O
check   O
-   O
up   O
at   O
Aventura   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
two   O
weeks   O
on   O
0/2/2303   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
review   O
the   O
results   O
of   O
the   O
upcoming   O
tests   O
.   O

Note   O
:   O
Morrison   B-NAME
has   O
been   O
informed   O
about   O
the   O
importance   O
of   O
strict   O
adherence   O
to   O
the   O
medication   O
regimen   O
and   O
lifestyle   O
recommendations   O
made   O
during   O
discharge   O
.   O

Queries   O
regarding   O
the   O
management   O
plan   O
were   O
addressed   O
,   O
and   O
Iris   B-NAME
Allison   I-NAME
was   O
encouraged   O
to   O
contact   O
OhioHealth   B-LOCATION
-   I-LOCATION
O'Bleness   I-LOCATION
Hospital   I-LOCATION
at   O
615   B-CONTACT
-   I-CONTACT
1689   I-CONTACT
for   O
any   O
further   O
questions   O
or   O
emergent   O
concerns   O
.   O

Patient   O
Name   O
:   O
Brett   B-NAME
F.   I-NAME
Rutherford   I-NAME
Patient   O
ID   O
:   O
EJ122/5766   B-ID
Medical   O
Record   O
Number   O
:   O
5388744   B-ID
Date   O
of   O
Birth   O
:   O
November   B-DATE
Age   O
:   O
9   O
week   O
Address   O
:   O
Glenside   B-LOCATION
,   O
27543   B-LOCATION
Phone   O
Number   O
:   O
420   B-CONTACT
731   I-CONTACT
2538   I-CONTACT
Profession   O
:   O

Joyce   B-NAME
Rodgers   I-NAME
Admitting   O
Hospital   O
:   O
Ascension   B-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
21   B-DATE
-   I-DATE
17   I-DATE
Date   O
of   O
Discharge   O
:   O
Wednesday   B-DATE
Patient   O
Izaiah   B-NAME
Sherman   I-NAME
,   O
a   O
77   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
of   O
Animal   O
Husbandry   O
and   O
Animal   O
Care   O
Workers   O
from   O
Muskogee   B-LOCATION
,   I-LOCATION
Muskogee   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
15866   B-LOCATION
,   O
was   O
admitted   O
to   O
AdventHealth   B-LOCATION
North   I-LOCATION
Pinellas   I-LOCATION
on   O
10/22   B-DATE
with   O
complaints   O
of   O
sharp   O
,   O
lancinating   O
chest   O
pain   O
radiating   O
to   O
their   O
left   O
shoulder   O
,   O
dyspnea   O
,   O
and   O
episodes   O
of   O
dizziness   O
which   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Initial   O
assessment   O
in   O
the   O
Emergency   O
Department   O
by   O
Dr.   O
Hinton   B-NAME
noted   O
pallor   O
,   O
diaphoresis   O
,   O
and   O
an   O
elevated   O
heart   O
rate   O
of   O
110   O
bpm   O
.   O

The   O
medical   O
team   O
,   O
including   O
Nyasia   B-NAME
Golden   I-NAME
,   O
initiated   O
treatment   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
as   O
per   O
ACC   O
/   O
AHA   O
guidelines   O
.   O

Helena   B-NAME
Grimes   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
an   O
emergency   O
coronary   O
angiography   O
,   O
revealing   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

During   O
their   O
stay   O
at   O
Geisinger   B-LOCATION
Lewistown   I-LOCATION
Hospital   I-LOCATION
,   O
Walter   B-NAME
Langkowski   I-NAME
received   O
post   O
-   O
myocardial   O
infarction   O
care   O
,   O
including   O
beta   O
-   O
blocker   O
therapy   O
,   O
ACE   O
inhibitors   O
,   O
and   O
statins   O
.   O

A   O
lifestyle   O
modification   O
plan   O
was   O
discussed   O
with   O
Shamika   B-NAME
Kirshner   I-NAME
,   O
emphasizing   O
a   O
balanced   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

Bruce   B-NAME
demonstrated   O
an   O
understanding   O
of   O
the   O
management   O
plan   O
and   O
expressed   O
gratitude   O
to   O
the   O
healthcare   O
team   O
for   O
the   O
urgent   O
care   O
provided   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Mathews   B-NAME
for   O
04/06/1716   B-DATE
,   O
and   O
Morgan   B-NAME
was   O
provided   O
with   O
contact   O
information   O
(   O
63894   B-CONTACT
)   O
for   O
the   O
cardiac   O
rehabilitation   O
program   O
at   O
New   B-LOCATION
Hampshire   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
.   O

Patient   O
was   O
discharged   O
on   O
7/22   B-DATE
in   O
a   O
stable   O
condition   O
with   O
prescriptions   O
for   O
the   O
aforementioned   O
medications   O
.   O

The   O
collaborative   O
effort   O
of   O
the   O
emergency   O
,   O
cardiology   O
,   O
and   O
nursing   O
teams   O
at   O
Citizens   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
contributed   O
to   O
a   O
positive   O
outcome   O
for   O
Broderick   B-NAME
Narcisse   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Malone   B-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
7732508   I-ID
Medical   O
Record   O
:   O
6834X53037   B-ID
Date   O
of   O
Birth   O
:   O

July   B-DATE
22   I-DATE
Age   O
:   O
3   O
month   O
Phone   O
:   O
59654   B-CONTACT
Address   O
:   O
Brooks   B-LOCATION
,   O
28840   B-LOCATION
Employer   O
:   O

Hagerstown   B-LOCATION
Light   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O
Music   O
Composers   O
and   O
Arrangers   O
Primary   O
Care   O
Physician   O
:   O
Harrington   B-NAME
Admitting   O
Hospital   O
:   O
W.   B-LOCATION
D.   I-LOCATION
Partlow   I-LOCATION
Developmental   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2230   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
30   I-DATE
Date   O
of   O
Discharge   O
:   O
12/37   B-DATE
Summary   O
:   O
Garner   B-NAME
,   I-NAME
Helen   I-NAME
,   O
a   O
55   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors-   O
Construction   O
Trades   O
Workers   O
employed   O
by   O
Jackson   B-LOCATION
EMC   I-LOCATION
in   O
Hope   B-LOCATION
Mills   I-LOCATION
,   O
presented   O
to   O
Summit   B-LOCATION
Pacific   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1833   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
26   I-DATE
with   O
symptoms   O
that   O
warranted   O
immediate   O
medical   O
attention   O
.   O

Upon   O
examination   O
,   O
Andy   B-NAME
Petersen   I-NAME
displayed   O
a   O
positive   O
Brudzinski   O
's   O
sign   O
and   O
was   O
febrile   O
with   O
a   O
temperature   O
of   O
102   O
°   O
F   O
.   O

Due   O
to   O
the   O
serious   O
nature   O
of   O
the   O
symptoms   O
and   O
the   O
preliminary   O
test   O
results   O
,   O
Bailee   B-NAME
Pratt   I-NAME
initiated   O
empirical   O
antimicrobial   O
therapy   O
pending   O
further   O
diagnostic   O
studies   O
.   O

Conclusion   O
:   O
The   O
patient   O
,   O
Tori   B-NAME
Rocha   I-NAME
,   O
is   O
currently   O
under   O
observation   O
with   O
antimicrobial   O
therapy   O
ongoing   O
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
for   O
September   B-DATE
to   O
assess   O
progress   O
and   O
adapt   O
treatment   O
as   O
needed   O
.   O

Dr.   O
Farmer   B-NAME
,   I-NAME
Frances   I-NAME
,   O
71631   B-CONTACT
Treating   O
Hospital   O
:   O
Augusta   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Grand   B-LOCATION
Falls   I-LOCATION
,   I-LOCATION
LB   I-LOCATION
A2A   I-LOCATION
0L5   I-LOCATION

Patient   O
Name   O
:   O
Cherrie   B-NAME
Age   O
:   O
32   O
Date   O
of   O
Birth   O
:   O
Tuesday   B-DATE
Phone   O
:   O
88207   B-CONTACT
Address   O
:   O
Imlay   B-LOCATION
,   O
75676   B-LOCATION
Physician   O
:   O

Kennedy   B-NAME
Medical   O
Record   O
Number   O
:   O
36140379   B-ID
Date   O
of   O
Visit   O
:   O
2/2120   B-DATE
Hospital   O
:   O

Weiss   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaint   O
:   O
Andreas   B-NAME
Aguilar   I-NAME
visited   O
the   O
outpatient   O
department   O
at   O
CAMC   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
19/20   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
episodes   O
of   O
photophobia   O
and   O
phonophobia   O
.   O

Feldman   B-NAME
also   O
reports   O
experiencing   O
nausea   O
and   O
occasional   O
vomiting   O
,   O
especially   O
during   O
episodes   O
of   O
intense   O
headache   O
.   O

Medical   O
History   O
:   O
Francesca   B-NAME
Guidotti   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
without   O
aura   O
since   O
54   O
,   O
with   O
sporadic   O
episodes   O
until   O
recent   O
frequency   O
increase   O
.   O

Sophie   B-NAME
Pruitt   I-NAME
was   O
previously   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
some   O
relief   O
.   O

Mckayla   B-NAME
Bush   I-NAME
works   O
as   O
a   O
Dancers   O
in   O
Mobile   B-LOCATION
,   O
which   O
involves   O
prolonged   O
screen   O
time   O
and   O
exposure   O
to   O
high   O
-   O
stress   O
levels   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Gaige   B-NAME
Jordan   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

Pending   O
the   O
results   O
of   O
the   O
MRI   O
scan   O
,   O
Middleton   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
triggers   O
,   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
the   O
headache   O
episodes   O
.   O

Ronald   B-NAME
Hubbard   I-NAME
was   O
prescribed   O
a   O
triptan   O
for   O
acute   O
migraine   O
relief   O
and   O
advised   O
to   O
continue   O
monitoring   O
symptoms   O
.   O

Noble   B-NAME
discussed   O
lifestyle   O
modifications   O
including   O
regular   O
sleep   O
patterns   O
,   O
hydration   O
,   O
stress   O
management   O
techniques   O
,   O
and   O
ergonomic   O
adjustments   O
at   O
work   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
27/20   B-DATE
to   O
review   O
the   O
headache   O
diary   O
,   O
assess   O
response   O
to   O
medication   O
,   O
and   O
discuss   O
the   O
results   O
of   O
the   O
MRI   O
scan   O
.   O

Maci   B-NAME
Flowers   I-NAME
emphasized   O
the   O
importance   O
of   O
seeking   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
sudden   O
onset   O
of   O
the   O
"   O
worst   O
headache   O
of   O
life   O
,   O
"   O
fever   O
,   O
stiff   O
neck   O
,   O
or   O
changes   O
in   O
consciousness   O
occur   O
,   O
indicating   O
possible   O
secondary   O
causes   O
of   O
headache   O
that   O
require   O
urgent   O
evaluation   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Arthur   B-NAME
Qin   I-NAME
was   O
provided   O
with   O
the   O
922   B-CONTACT
-   I-CONTACT
3786   I-CONTACT
number   O
of   O
Owensboro   B-LOCATION
Health   I-LOCATION
's   O
neurology   O
department   O
.   O

Instructions   O
were   O
given   O
to   O
call   O
during   O
office   O
hours   O
from   O
19/02   B-DATE
to   O
09/01   B-DATE
,   O
except   O
on   O
weekends   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
(   B-CONTACT
557   I-CONTACT
)   I-CONTACT
565   I-CONTACT
-   I-CONTACT
8687   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Report   O
for   O
Leslie   B-NAME
Combs   I-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
55s   O
-   O
ID   O
:   O
NE:89724:626805   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
3617500   B-ID
-   O
Phone   O
Number   O
:   O
220   B-CONTACT
6048   I-CONTACT
-   O
Zip   O
Code   O
:   O
39241   B-LOCATION
-   O
Location   O
:   O
Newport   B-LOCATION
News   I-LOCATION
-   O
Profession   O
:   O

Page   B-NAME
Hospital   O
:   O
Valley   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
1/23   B-DATE
Symptoms   O
and   O
Presentation   O
:   O
Caroline   B-NAME
Moore   I-NAME
presented   O
to   O
Parkridge   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/13/81   B-DATE
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
have   O
been   O
persistent   O
for   O
the   O
past   O
two   O
weeks   O
.   O

In   O
addition   O
to   O
headaches   O
,   O
Valeria   B-NAME
Conley   I-NAME
has   O
described   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
,   O
which   O
tend   O
to   O
worsen   O
with   O
the   O
headaches   O
.   O

Upon   O
further   O
evaluation   O
,   O
Lang   B-NAME
,   I-NAME
Will   I-NAME
Jr.   I-NAME
also   O
reported   O
experiencing   O
occasional   O
bouts   O
of   O
vertigo   O
,   O
making   O
it   O
difficult   O
for   O
them   O
to   O
maintain   O
balance   O
.   O

Diagnostic   O
Summary   O
:   O
Initial   O
neurological   O
examination   O
by   O
Hank   B-NAME
Hastings   I-NAME
did   O
not   O
reveal   O
any   O
focal   O
neurological   O
deficits   O
.   O

MRI   O
of   O
the   O
brain   O
without   O
contrast   O
to   O
exclude   O
any   O
structural   O
abnormalities   O
that   O
might   O
contribute   O
to   O
Fletcher   B-NAME
's   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
Jakobe   B-NAME
Rodriguez   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Adventist   B-LOCATION
Health   I-LOCATION
Ukiah   I-LOCATION
Valley   I-LOCATION
with   O
the   O
neurology   O
specialist   O
,   O
Mario   B-NAME
Villanueva   I-NAME
,   O
on   O
30/02/2052   B-DATE
.   O

It   O
is   O
imperative   O
that   O
Julius   B-NAME
Garza   I-NAME
adheres   O
to   O
the   O
recommended   O
diagnostic   O
and   O
therapeutic   O
plans   O
to   O
mitigate   O
the   O
impact   O
of   O
these   O
symptoms   O
on   O
their   O
quality   O
of   O
life   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
,   O
Robert   B-NAME
D.   I-NAME
Briggs   I-NAME
is   O
advised   O
to   O
contact   O
Phelps   B-LOCATION
Health   I-LOCATION
directly   O
at   O
(   B-CONTACT
657   I-CONTACT
)   I-CONTACT
131   I-CONTACT
-   I-CONTACT
1209   I-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
for   O
re   O
-   O
evaluation   O
.   O

Contact   O
Information   O
:   O
-   O
Hospital   O
:   O
Tri   B-LOCATION
-   I-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
-   O
Direct   O
line   O
to   O
Neurology   O
Department   O
:   O
151   B-CONTACT
-   I-CONTACT
937   I-CONTACT
-   I-CONTACT
5938   I-CONTACT
-   O
Address   O
:   O
Davenport   B-LOCATION
-   O
Patient   O
Medical   O
Record   O
Number   O
for   O
Reference   O
:   O
4229084   B-ID

Patient   O
Report   O
for   O
Donaldson   B-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
32s   O
-   O
Date   O
of   O
Initial   O
Consultation   O
:   O
28th   B-DATE
-   O
Primary   O
Physician   O
:   O

Miya   B-NAME
Green   I-NAME
-   O
Hospital   O
:   O
Lexington   B-LOCATION
Shriners   I-LOCATION
Hospital   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
75896682   B-ID
-   O
Contact   O
Information   O
:   O
139   B-CONTACT
5125   I-CONTACT
-   O
Residence   O
:   O
Boswell   B-LOCATION
's   I-LOCATION
Corner   I-LOCATION
,   O
75552   B-LOCATION
-   O
Occupation   O
:   O

Counseling   O
Psychologists   O
-   O
Reported   O
by   O
:   O
vd821   B-NAME
Medical   O
History   O
:   O

Huckabee   B-NAME
,   I-NAME
Mike   I-NAME
,   O
a   O
Transformer   O
Repairers   O
residing   O
in   O
La   B-LOCATION
Puerta   I-LOCATION
,   O
was   O
admitted   O
to   O
Saint   B-LOCATION
Michael   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/02   B-DATE
following   O
a   O
series   O
of   O
alarming   O
symptoms   O
that   O
commenced   O
approximately   O
two   O
weeks   O
prior   O
.   O

The   O
initial   O
consultation   O
with   O
Carissa   B-NAME
Peterson   I-NAME
highlighted   O
concerns   O
regarding   O
acute   O
episodes   O
of   O
dyspnea   O
and   O
persistent   O
dry   O
cough   O
.   O

A   O
comprehensive   O
review   O
of   O
Hicks   B-NAME
's   O
medical   O
records   O
,   O
identifiable   O
by   O
611   B-ID
-   I-ID
21   I-ID
-   I-ID
06   I-ID
,   O
failed   O
to   O
reveal   O
any   O
predisposing   O
factors   O
or   O
genetic   O
proclivities   O
predisposing   O
Tia   B-NAME
Lamb   I-NAME
to   O
respiratory   O
ailments   O
.   O
Symptoms   O
and   O
Observations   O
:   O
-   O
Dyspnea   O
:   O
Darnell   B-NAME
Hayden   I-NAME
described   O
experiencing   O
considerable   O
difficulty   O
breathing   O
,   O
particularly   O
during   O
nocturnal   O
hours   O
,   O
resulting   O
in   O
significant   O
sleep   O
disruption   O
and   O
fatigue   O
.   O

-   O
Dry   O
Cough   O
:   O
A   O
persistent   O
dry   O
cough   O
that   O
has   O
progressively   O
worsened   O
,   O
often   O
being   O
exacerbated   O
by   O
physical   O
exertion   O
.   O
-   O
Febrile   O
Episodes   O
:   O
Sadie   B-NAME
Mcclure   I-NAME
reported   O
intermittent   O
episodes   O
of   O
fever   O
,   O
reaching   O
temperatures   O
as   O
high   O
as   O
79   O
°   O
F   O
,   O
accompanied   O
by   O
night   O
sweats   O
.   O
-   O
Weight   O
Loss   O
:   O
An   O
unintended   O
loss   O
of   O
14   O
pounds   O
was   O
reported   O
over   O
the   O
last   O
month   O
,   O
not   O
attributable   O
to   O
diet   O
or   O
exercise   O
.   O
-   O
Fatigue   O
:   O
Conrad   B-NAME
Elizalde   I-NAME
has   O
observed   O
an   O
unusual   O
level   O
of   O
fatigue   O
that   O
hampers   O
daily   O
activities   O
,   O
which   O
is   O
uncharacteristic   O
of   O
the   O
patient   O
’s   O
usual   O
vitality   O
.   O

Results   O
are   O
pending   O
as   O
of   O
22/28/2208   B-DATE
.   O

Pending   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
,   O
Chad   B-NAME
Morrow   I-NAME
has   O
been   O
prescribed   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
in   O
conjunction   O
with   O
a   O
short   O
-   O
term   O
regimen   O
of   O
corticosteroids   O
to   O
manage   O
inflammation   O
and   O
potential   O
infection   O
.   O

Follow   O
-   O
up   O
consultations   O
are   O
scheduled   O
for   O
00/29   B-DATE
at   O
Golden   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
Maldonado   B-NAME
to   O
discuss   O
the   O
outcomes   O
of   O
the   O
tests   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Safety   O
Measures   O
and   O
Recommendations   O
:   O
Jimena   B-NAME
English   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
low   O
physical   O
activity   O
level   O
and   O
avoid   O
exposure   O
to   O
known   O
respiratory   O
irritants   O
,   O
such   O
as   O
smoke   O
and   O
pollen   O
.   O

Additionally   O
,   O
Salma   B-NAME
Dalton   I-NAME
has   O
been   O
encouraged   O
to   O
closely   O
monitor   O
symptoms   O
and   O
report   O
any   O
significant   O
changes   O
in   O
condition   O
to   O
Lara   B-NAME
Diaz   I-NAME
immediately   O
.   O

Conclusion   O
:   O
The   O
medical   O
team   O
,   O
led   O
by   O
Tessa   B-NAME
Wilkinson   I-NAME
at   O
WellStar   B-LOCATION
Paulding   I-LOCATION
Hospital   I-LOCATION
,   O
remains   O
committed   O
to   O
identifying   O
the   O
underlying   O
causes   O
of   O
Patañjali   B-NAME
's   O
respiratory   O
symptoms   O
and   O
implementing   O
a   O
comprehensive   O
treatment   O
approach   O
tailored   O
to   O
the   O
patient   O
’s   O
specific   O
health   O
needs   O
.   O

Further   O
updates   O
will   O
be   O
provided   O
following   O
the   O
forthcoming   O
consultation   O
on   O
12/10/2302   B-DATE
.   O

Notifications   O
:   O
Please   O
make   O
note   O
of   O
Lilianna   B-NAME
Hardin   I-NAME
's   O
updated   O
contact   O
number   O
:   O
62757   B-CONTACT
,   O
for   O
any   O
urgent   O
communications   O
or   O
changes   O
in   O
the   O
appointment   O
schedule   O
.   O

Patient   O
ID   O
:   O
VA:39437:387731   B-ID
Medical   O
Record   O
Number   O
:   O
6905649   B-ID
Name   O
:   O
reece   B-NAME
Age   O
:   O
78   O
Address   O
:   O
Grand   B-LOCATION
Falls   I-LOCATION
,   I-LOCATION
LB   I-LOCATION
A2A   I-LOCATION
3A0   I-LOCATION
,   O
42561   B-LOCATION
Contact   O
Number   O
:   O
10296   B-CONTACT
Date   O
of   O
First   O
Visit   O
:   O
2306   B-DATE
Attending   O
Physician   O
:   O

Farley   B-NAME
Hospital   O
:   O
Claxton   B-LOCATION
-   I-LOCATION
Hepburn   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Employment   O
:   O
Petroleum   O
Pump   O
System   O
Operators   O
,   O
Refinery   O
Operators   O
,   O
and   O
Gaugers   O
at   O
American   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Musicians   I-LOCATION
Username   O
:   O
li669   B-NAME
Chief   O
Complaint   O
:   O

Clara   B-NAME
D   I-NAME
Decker   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
4/10   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Newton   B-NAME
does   O
not   O
report   O
any   O
significant   O
past   O
medical   O
history   O
.   O

Social   O
History   O
:   O
Kyong   B-NAME
Kubik   I-NAME
is   O
a   O
professor   O
residing   O
in   O
Belcher   B-LOCATION
.   O

It   O
was   O
noted   O
that   O
Egnar   B-NAME
Maskaly   I-NAME
lives   O
alone   O
and   O
does   O
not   O
have   O
any   O
pets   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Isabell   B-NAME
Fitzgerald   I-NAME
's   O
temperature   O
was   O
found   O
to   O
be   O
slightly   O
elevated   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Landin   B-NAME
Mcpherson   I-NAME
,   O
which   O
showed   O
a   O
slight   O
enlargement   O
of   O
the   O
appendix   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Leticia   B-NAME
Haney   I-NAME
was   O
diagnosed   O
with   O
early   O
-   O
stage   O
appendicitis   O
.   O

Leon   B-NAME
Yamauchi   I-NAME
was   O
admitted   O
to   O
Comanche   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Coldwater   I-LOCATION
for   O
observation   O
and   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
2/20   B-DATE
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Cadence   B-NAME
Barton   I-NAME
will   O
be   O
observed   O
closely   O
post   O
-   O
operation   O
for   O
any   O
signs   O
of   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2314   B-DATE
with   O
Darian   B-NAME
Skinner   I-NAME
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

Patient   O
Name   O
:   O
Iliana   B-NAME
Carson   I-NAME
Patient   O
ID   O
:   O
RA229/1964   B-ID
Medical   O
Record   O
Number   O
:   O
015   B-ID
-   I-ID
85   I-ID
-   I-ID
81   I-ID
Date   O
of   O
Birth   O
:   O
5/22/2321   B-DATE
Age   O
:   O
85   O
Address   O
:   O
Sahuarita   B-LOCATION
,   O
66536   B-LOCATION
Phone   O
Number   O
:   O
35931   B-CONTACT
Employment   O
:   O
Educational   O
Psychologists   O
at   O
Constitutional   B-LOCATION
Worlds   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Spring   B-NAME
Ebbesen   I-NAME
Admitting   O
Hospital   O
:   O
Schoolcraft   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/01/2112   B-DATE
Username   O
:   O
nl245   B-NAME
Clinical   O
Summary   O
:   O
Romeo   B-NAME
Costa   I-NAME
,   O
a   O
4   O
month   O
-   O
year   O
-   O
old   O
Public   O
house   O
manager   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
presented   O
to   O
NYU   B-LOCATION
Langone   I-LOCATION
Hospitals   I-LOCATION
on   O
07/05   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
of   O
severe   O
chest   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
and   O
tearing   O
sensation   O
radiating   O
to   O
the   O
back   O
.   O

The   O
management   O
plan   O
initiated   O
for   O
Maximus   B-NAME
included   O
immediate   O
blood   O
pressure   O
control   O
with   O
IV   O
beta   O
-   O
blockers   O
,   O
followed   O
by   O
surgical   O
consultation   O
from   O
the   O
cardiothoracic   O
team   O
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
Joey   B-NAME
Robinson   I-NAME
's   O
family   O
,   O
residing   O
in   O
Dryden   B-LOCATION
,   O
were   O
kept   O
informed   O
about   O
the   O
patient   O
's   O
progress   O
via   O
212   B-CONTACT
536   I-CONTACT
9261   I-CONTACT
.   O

Ramiro   B-NAME
Blanchard   I-NAME
underwent   O
successful   O
surgical   O
repair   O
of   O
the   O
aortic   O
dissection   O
on   O
06/69   B-DATE
and   O
was   O
transferred   O
to   O
the   O
ICU   O
post   O
-   O
operatively   O
for   O
close   O
monitoring   O
.   O

The   O
patient   O
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
after   O
a   O
stay   O
of   O
7   O
days   O
in   O
the   O
hospital   O
,   O
Clough   B-NAME
,   I-NAME
Brian   I-NAME
was   O
discharged   O
in   O
stable   O
condition   O
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Jadiel   B-NAME
Espinoza   I-NAME
and   O
the   O
cardiothoracic   O
surgery   O
team   O
at   O
Swedish   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
Issaquah   I-LOCATION
.   O
Instructions   O
for   O
lifestyle   O
modifications   O
,   O
including   O
dietary   O
changes   O
and   O
stress   O
management   O
,   O
along   O
with   O
a   O
prescription   O
for   O
antihypertensive   O
medication   O
,   O
were   O
provided   O
upon   O
discharge   O
.   O

Ruben   B-NAME
Durham   I-NAME
was   O
advised   O
to   O
closely   O
monitor   O
blood   O
pressure   O
at   O
home   O
and   O
report   O
any   O
signs   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
other   O
concerning   O
symptoms   O
immediately   O
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
Scheduled   O
for   O
22/02   B-DATE
with   O
Vance   B-NAME
,   I-NAME
Jack   I-NAME
at   O
Vidant   B-LOCATION
Duplin   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Keaton   B-NAME
Soto   I-NAME
Age   O
:   O
20   O
Address   O
:   O
Peachland   B-LOCATION
,   O
60488   B-LOCATION
Phone   O
Number   O
:   O
51806   B-CONTACT
Employer   O
:   O
Knights   B-LOCATION
of   I-LOCATION
Columbus   I-LOCATION
Occupation   O
:   O
Conference   O
organiser   O
Medical   O
Record   O
Number   O
:   O
95930528   B-ID
ID   O
Number   O
:   O
VO   B-ID
:   I-ID
ZW:9392   I-ID
Attending   O
Physician   O
:   O
Jack   B-NAME
MacKee   I-NAME
Hospital   O
:   O

East   B-LOCATION
Georgia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
On   O
1/8/2022   B-DATE
,   O
Hayes   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Slidell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Julia   B-NAME
Reid   I-NAME
's   O
history   O
includes   O
episodes   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
abdominal   O
discomfort   O
over   O
the   O
past   O
month   O
.   O

Upon   O
physical   O
examination   O
,   O
Layla   B-NAME
Stearn   I-NAME
demonstrated   O
signs   O
of   O
rebound   O
tenderness   O
,   O
suggestive   O
of   O
peritonitis   O
,   O
particularly   O
in   O
the   O
right   O
iliac   O
fossa   O
,   O
indicating   O
potential   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
Wilson   B-NAME
recommended   O
an   O
abdominal   O
ultrasound   O
to   O
further   O
evaluate   O
the   O
appendix   O
's   O
condition   O
.   O

Management   O
of   O
Diandra   B-NAME
's   O
condition   O
involved   O
immediate   O
surgical   O
consultation   O
for   O
potential   O
appendectomy   O
.   O

The   O
surgical   O
team   O
at   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
successfully   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
16   B-DATE
without   O
complications   O
.   O

Keenan   B-NAME
Adkins   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
any   O
surgical   O
complications   O
.   O

Upon   O
follow   O
-   O
up   O
visit   O
on   O
19/21/62   B-DATE
,   O
Billie   B-NAME
Givens   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
,   O
with   O
complete   O
resolution   O
of   O
the   O
abdominal   O
pain   O
.   O

Lainey   B-NAME
Howell   I-NAME
was   O
advised   O
to   O
follow   O
a   O
graduated   O
return   O
to   O
regular   O
activities   O
and   O
was   O
scheduled   O
for   O
a   O
final   O
post   O
-   O
operative   O
check   O
-   O
up   O
in   O
two   O
weeks   O
.   O

In   O
summary   O
,   O
the   O
prompt   O
evaluation   O
and   O
management   O
of   O
Zain   B-NAME
Edwards   I-NAME
's   O
acute   O
appendicitis   O
led   O
to   O
a   O
successful   O
outcome   O
with   O
minimal   O
risk   O
of   O
complications   O
.   O

Signed   O
,   O
Koen   B-NAME
Allison   I-NAME
01/01   B-DATE

Patient   O
:   O
Horn   B-NAME
Medical   O
Record   O
Number   O
:   O
7301243   B-ID
Date   O
of   O
Birth   O
:   O
22/36   B-DATE
Age   O
:   O
72   O
Doctor   O
:   O
Humphrey   B-NAME
Attending   O
Physician   O
’s   O
phone   O
number   O
:   O
48343   B-CONTACT
Hospital   O
:   O
Trident   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
RM15   B-LOCATION
3LK   I-LOCATION
Zip   O
Code   O
:   O
12737   B-LOCATION
Identification   O
Number   O
:   O
JB:56935:779267   B-ID
The   O
patient   O
,   O
Lina   B-NAME
Fisher   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Duke   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
in   O
Mallard   B-LOCATION
,   O
75676   B-LOCATION
,   O
on   O
20/07/2053   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
.   O

Frida   B-NAME
Shelton   I-NAME
reports   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
an   O
inability   O
to   O
pass   O
gas   O
or   O
have   O
a   O
bowel   O
movement   O
since   O
the   O
onset   O
of   O
pain   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
as   O
reviewed   O
by   O
Bautista   B-NAME
,   O
is   O
notable   O
for   O
a   O
previous   O
appendectomy   O
performed   O
at   O
Harrison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Silverdale   I-LOCATION
and   O
a   O
diagnosis   O
of   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
managed   O
with   O
medication   O
.   O

The   O
patient   O
's   O
profession   O
as   O
a   O
Occupational   O
Health   O
and   O
Safety   O
Technicians   O
requires   O
Roger   B-NAME
Helvick   I-NAME
to   O
remain   O
physically   O
active   O
,   O
and   O
Jerry   B-NAME
Prince   I-NAME
expressed   O
concern   O
about   O
the   O
impact   O
of   O
this   O
condition   O
on   O
Jaclyn   B-NAME
Jordon   I-NAME
's   O
ability   O
to   O
work   O
.   O

Beyale   B-NAME
's   O
emergency   O
contact   O
,   O
available   O
at   O
13496   B-CONTACT
,   O
was   O
informed   O
of   O
the   O
patient   O
's   O
status   O
,   O
the   O
need   O
for   O
hospitalization   O
for   O
further   O
diagnostic   O
evaluation   O
,   O
and   O
the   O
possible   O
need   O
for   O
surgical   O
intervention   O
.   O

The   O
plan   O
,   O
as   O
discussed   O
with   O
Marcos   B-NAME
,   I-NAME
Ferdinand   I-NAME
Edralin   I-NAME
by   O
Quentin   B-NAME
Moreno   I-NAME
,   O
includes   O
admission   O
to   O
Clarks   B-LOCATION
Summit   I-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
observation   O
,   O
intravenous   O
fluid   O
administration   O
,   O
and   O
pain   O
management   O
.   O

Zayne   B-NAME
Erickson   I-NAME
and   O
Ryann   B-NAME
Vincent   I-NAME
's   O
family   O
have   O
been   O
advised   O
about   O
the   O
potential   O
diagnoses   O
,   O
including   O
adhesions   O
or   O
hernia   O
causing   O
the   O
current   O
symptoms   O
,   O
and   O
the   O
recommended   O
management   O
plans   O
.   O

In   O
summary   O
,   O
Paz   B-NAME
,   O
a   O
65s   O
-   O
year   O
-   O
old   O
Regulatory   O
Affairs   O
Specialists   O
,   O
presents   O
with   O
acute   O
abdominal   O
pain   O
,   O
suspected   O
to   O
be   O
due   O
to   O
a   O
small   O
bowel   O
obstruction   O
.   O

Further   O
evaluation   O
and   O
treatment   O
at   O
CHRISTUS   B-LOCATION
Health   I-LOCATION
Shreveport   I-LOCATION
-   I-LOCATION
Bossier   I-LOCATION
are   O
warranted   O
to   O
address   O
Oliver   B-NAME
Barnes   I-NAME
's   O
condition   O
and   O
to   O
prevent   O
complications   O
such   O
as   O
strangulation   O
of   O
the   O
bowel   O
.   O

All   O
information   O
is   O
documented   O
in   O
Bergman   B-NAME
,   I-NAME
Ingmar   I-NAME
's   O
medical   O
record   O
(   O
52977455   B-ID
)   O
for   O
continuity   O
of   O
care   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ryker   B-NAME
Lawrence   I-NAME
Patient   O
ID   O
:   O
RY184/6683   B-ID
Medical   O
Record   O
Number   O
:   O
180   B-ID
-   I-ID
73   I-ID
-   I-ID
22   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Birth   O
:   O
87   O
Date   O
of   O
Admission   O
:   O
07/37   B-DATE
/2023   O
Address   O
:   O
Chilchinbito   B-LOCATION
,   O
98263   B-LOCATION
Phone   O
Number   O
:   O
791   B-CONTACT
1906   I-CONTACT
Primary   O
Physician   O
:   O

Ean   B-NAME
Kline   I-NAME
Treating   O
Hospital   O
:   O
Madison   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Karzai   B-NAME
,   I-NAME
Hamid   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
December   B-DATE
/2023   O
with   O
a   O
severe   O
headache   O
,   O
photophobia   O
,   O
and   O
neck   O
stiffness   O
,   O
which   O
started   O
suddenly   O
a   O
few   O
hours   O
prior   O
to   O
admission   O
.   O

Medical   O
History   O
:   O
Jacoby   B-NAME
Alexander   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

The   O
patient   O
's   O
last   O
check   O
-   O
up   O
was   O
on   O
2127   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
12   I-DATE
/2023   O
with   O
Tyson   B-NAME
Porter   I-NAME
at   O
Atlanta   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
Campus   I-LOCATION
,   O
and   O
compliance   O
with   O
medication   O
has   O
been   O
consistent   O
as   O
per   O
Keely   B-NAME
Trexler   I-NAME
's   O
report   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Irmgard   B-NAME
Menas   I-NAME
demonstrated   O
a   O
positive   O
Brudzinski   O
's   O
sign   O
and   O
Kernig   O
's   O
sign   O
,   O
suggesting   O
meningeal   O
irritation   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
lumbar   O
puncture   O
was   O
performed   O
by   O
Lamar   B-NAME
Thomas   I-NAME
on   O
12/11   B-DATE
/2023   O
,   O
revealing   O
a   O
cloudy   O
cerebrospinal   O
fluid   O
(   O
CSF   O
)   O
with   O
elevated   O
protein   O
and   O
white   O
cell   O
count   O
,   O
predominantly   O
neutrophils   O
,   O
suggesting   O
bacterial   O
meningitis   O
.   O

Blood   O
cultures   O
were   O
drawn   O
,   O
and   O
imaging   O
studies   O
,   O
including   O
a   O
CT   O
scan   O
of   O
the   O
head   O
conducted   O
at   O
AdventHealth   B-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
,   O
showed   O
no   O
signs   O
of   O
increased   O
intracranial   O
pressure   O
or   O
focal   O
lesions   O
.   O

Treatment   O
:   O
Shyla   B-NAME
Mckee   I-NAME
was   O
immediately   O
started   O
on   O
empiric   O
antibiotic   O
therapy   O
including   O
intravenous   O
ceftriaxone   O
and   O
vancomycin   O
.   O

As   O
of   O
23/23   B-DATE
/2023   O
,   O
the   O
patient   O
has   O
shown   O
a   O
marked   O
improvement   O
in   O
symptoms   O
and   O
is   O
currently   O
stable   O
.   O

The   O
patient   O
continues   O
to   O
be   O
closely   O
monitored   O
in   O
the   O
infectious   O
disease   O
ward   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Thomasville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Comments   O
:   O
HECTOR   B-NAME
V.   I-NAME
OBRYAN   I-NAME
's   O
timely   O
presentation   O
to   O
the   O
hospital   O
and   O
immediate   O
commencement   O
of   O
treatment   O
have   O
significantly   O
improved   O
the   O
prognosis   O
.   O

Continuation   O
of   O
close   O
monitoring   O
and   O
appropriate   O
antibiotic   O
treatment   O
based   O
on   O
culture   O
results   O
will   O
be   O
critical   O
in   O
Asa   B-NAME
Russo   I-NAME
's   O
recovery   O
process   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
11/30/98   B-DATE
/2023   O
with   O
Trevor   B-NAME
Rosales   I-NAME
at   O
Floyd   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
progress   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

For   O
any   O
further   O
assistance   O
,   O
please   O
contact   O
our   O
helpdesk   O
at   O
583   B-CONTACT
-   I-CONTACT
593   I-CONTACT
4560   I-CONTACT
.   O

Prepared   O
by   O
:   O
gu391   B-NAME
,   O
4/38/2081   B-DATE
/2023   O
Reviewed   O
by   O
:   O
Mikayla   B-NAME
Silva   I-NAME
,   O
Friday   B-DATE

Patient   O
:   O
Lola   B-NAME
Spratt   I-NAME
Medical   O
Record   O
Number   O
:   O
8854117   B-ID
Date   O
of   O
Birth   O
:   O
6   B-DATE
-   I-DATE
07   I-DATE
Age   O
:   O
15s   O
Phone   O
:   O
82016   B-CONTACT
ID   O
:   O
OG841/3015   B-ID
Address   O
:   O
Blades   B-LOCATION
,   O
57732   B-LOCATION
Presenting   O
Complaint   O
:   O
Charolette   B-NAME
Carlson   I-NAME
was   O
brought   O
to   O
the   O
emergency   O
department   O
of   O
Watertown   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/12/61   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
.   O

Nancie   B-NAME
Kiel   I-NAME
reports   O
that   O
the   O
pain   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
and   O
has   O
progressively   O
worsened   O
.   O

Past   O
Medical   O
History   O
:   O
Infant   B-NAME
Church   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Family   O
History   O
:   O
roberson   B-NAME
reports   O
that   O
both   O
parents   O
have   O
a   O
history   O
of   O
hypertension   O
and   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O

Odonnell   B-NAME
is   O
a   O
Credit   O
Authorizers   O
living   O
in   O
Ingalls   B-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Blanc   B-NAME
,   I-NAME
Raymond   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

The   O
surgical   O
team   O
led   O
by   O
Velasquez   B-NAME
was   O
consulted   O
and   O
Paul   B-NAME
Mercy   I-NAME
was   O
promptly   O
taken   O
to   O
the   O
operating   O
theatre   O
for   O
an   O
appendectomy   O
on   O
2107   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
05   I-DATE
.   O

Postoperative   O
Course   O
:   O
Richard   B-NAME
had   O
an   O
uneventful   O
recovery   O
.   O

Aragon   B-NAME
was   O
discharged   O
on   O
1864   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
24   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
antibiotic   O
therapy   O
completion   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Gerardo   B-NAME
Copeland   I-NAME
at   O
MetroHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
August   B-DATE
3   I-DATE
.   O
Follow   O
-   O
up   O
:   O
Burton   B-NAME
is   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
unusual   O
symptoms   O
and   O
to   O
keep   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

Patient   O
Name   O
:   O
FISCHER   B-NAME
Patient   O
ID   O
:   O
RL:98760:356705   B-ID
Medical   O
Record   O
Number   O
:   O
7251222   B-ID
Age   O
:   O
87   O
Date   O
of   O
Birth   O
:   O
02/02   B-DATE
Address   O
:   O
Palmdale   B-LOCATION
,   O
78423   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
653   I-CONTACT
)   I-CONTACT
276   I-CONTACT
4458   I-CONTACT

Jessie   B-NAME
Swanson   I-NAME
Hospital   O
:   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2   B-DATE
-   I-DATE
6   I-DATE
Date   O
of   O
Discharge   O
:   O
2/03   B-DATE
Summary   O
of   O
Admission   O
:   O
Kuro   B-NAME
Hazama   I-NAME
was   O
admitted   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Laurens   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
June   B-DATE
8th   I-DATE
presenting   O
with   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
associated   O
with   O
nausea   O
and   O
vomiting   O
.   O

No   O
known   O
allergies   O
(   O
ynw65   B-NAME
)   O
were   O
reported   O
at   O
the   O
time   O
of   O
admission   O
.   O

Dylan   B-NAME
Hawkins   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
to   O
prevent   O
secondary   O
infection   O
.   O

The   O
Gastroenterology   O
team   O
,   O
led   O
by   O
Schneider   B-NAME
,   O
was   O
consulted   O
for   O
possible   O
ERCP   O
(   O
Endoscopic   O
Retrograde   O
Cholangio   O
-   O
Pancreatography   O
)   O
to   O
remove   O
the   O
obstructing   O
gallstones   O
and   O
alleviate   O
the   O
biliary   O
obstruction   O
.   O

Progress   O
:   O
During   O
the   O
hospitalization   O
,   O
vaught   B-NAME
's   O
abdominal   O
pain   O
significantly   O
reduced   O
,   O
and   O
the   O
patient   O
showed   O
marked   O
improvement   O
in   O
symptoms   O
.   O

Montoya   B-NAME
was   O
able   O
to   O
tolerate   O
a   O
liquid   O
diet   O
gradually   O
progressing   O
to   O
solid   O
foods   O
without   O
recurrence   O
of   O
abdominal   O
pain   O
.   O

Discharge   O
Plans   O
:   O
Quanterius   B-NAME
L.   I-NAME
Sorensen   I-NAME
was   O
discharged   O
on   O
October   B-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
1   B-LOCATION
Prairie   I-LOCATION
St.   I-LOCATION
at   O
Allegheny   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
with   O
Rhett   B-NAME
Montgomery   I-NAME
in   O
two   O
weeks   O
.   O

Idaeus   B-NAME
was   O
advised   O
to   O
avoid   O
alcohol   O
,   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
and   O
cease   O
smoking   O
.   O

A   O
referral   O
to   O
a   O
dietician   O
was   O
made   O
to   O
help   O
Spike   B-NAME
with   O
dietary   O
changes   O
.   O

Further   O
,   O
contact   O
information   O
was   O
given   O
to   O
Lavina   B-NAME
Jean   I-NAME
in   O
the   O
event   O
of   O
emergency   O
or   O
questions   O
regarding   O
treatment   O
,   O
with   O
a   O
health   O
line   O
available   O
at   O
61796   B-CONTACT
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
crucial   O
for   O
assessing   O
James   B-NAME
,   I-NAME
Alice   I-NAME
's   O
ongoing   O
recovery   O
and   O
adjusting   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Please   O
contact   O
AMITA   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
Elgin   I-LOCATION
at   O
326   B-CONTACT
-   I-CONTACT
7957   I-CONTACT
should   O
there   O
be   O
a   O
need   O
for   O
immediate   O
medical   O
assistance   O
or   O
inquiries   O
regarding   O
Lewis   B-NAME
Cooley   I-NAME
's   O
care   O
plan   O
.   O

Patient   O
:   O
Hoffman   B-NAME
Age   O
:   O
5   O
week   O
Gender   O
:   O

Male   O
Address   O
:   O
Greenville   B-LOCATION
,   O
91567   B-LOCATION
Phone   O
:   O
438   B-CONTACT
-   I-CONTACT
7944   I-CONTACT
Employment   O
:   O
Housekeeping   O
Supervisors   O
Doctor   O
:   O
Burroughs   B-NAME
,   I-NAME
John   I-NAME
Hospital   O
:   O

Starr   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/7   B-DATE
Medical   O
Record   O
Number   O
:   O
4229U40831   B-ID
ID   O
:   O
4   B-ID
-   I-ID
9920713   I-ID
Summary   O
of   O
Visit   O
:   O
Patient   O
Hoover   B-NAME
presented   O
to   O
Auburn   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
28/07   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
occipital   O
region   O
.   O

The   O
onset   O
was   O
noted   O
approximately   O
2   O
hours   O
post   O
engaging   O
in   O
physical   O
activity   O
at   O
Kings   B-LOCATION
Bay   I-LOCATION
Base   I-LOCATION
.   O

McNamara   B-NAME
,   I-NAME
Robert   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Filomena   B-NAME
Jiles   I-NAME
denies   O
any   O
recent   O
history   O
of   O
trauma   O
to   O
the   O
head   O
,   O
loss   O
of   O
consciousness   O
,   O
or   O
new   O
neurological   O
deficits   O
.   O

Medical   O
History   O
:   O
Taleb   B-NAME
,   B-NAME
Nassim   I-NAME
Nicholas   I-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
he   O
has   O
been   O
prescribed   O
medication   O
by   O
Gavin   B-NAME
Herman   I-NAME
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Buffy   B-NAME
Fegan   I-NAME
was   O
alert   O
and   O
oriented   O
,   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Sylvia   B-NAME
Robles   I-NAME
was   O
managed   O
with   O
analgesia   O
and   O
antiemetic   O
medication   O
for   O
symptom   O
relief   O
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
Nichols   B-NAME
's   O
headache   O
gradually   O
improved   O
.   O

Dalton   B-NAME
scheduled   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
at   O
Saint   B-LOCATION
Joseph   I-LOCATION
Mount   I-LOCATION
Sterling   I-LOCATION
to   O
reevaluate   O
Blake   B-NAME
Barber   I-NAME
's   O
condition   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O
Conclusion   O
:   O
Lenin   B-NAME
,   I-NAME
Vladimir   I-NAME
was   O
discharged   O
on   O
3/22   B-DATE
in   O
a   O
stable   O
condition   O
with   O
advice   O
on   O
lifestyle   O
modifications   O
and   O
prescription   O
alterations   O
aimed   O
at   O
managing   O
hypertension   O
.   O

Keating   B-NAME
,   I-NAME
Paul   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
and   O
return   O
to   O
Scripps   B-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
San   I-LOCATION
Diego   I-LOCATION
if   O
experiencing   O
any   O
worsening   O
or   O
new   O
symptoms   O
.   O

Instructions   O
for   O
Follow   O
-   O
up   O
:   O
Follow   O
-   O
up   O
with   O
Woodward   B-NAME
in   O
two   O
weeks   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
Doctors   I-LOCATION
Hospital   I-LOCATION
or   O
earlier   O
if   O
symptoms   O
exacerbate   O
.   O

Contacts   O
:   O
For   O
any   O
questions   O
or   O
concerns   O
,   O
Jovinus   B-NAME
Diachenko   I-NAME
can   O
contact   O
Bear   B-LOCATION
River   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
at   O
122   B-CONTACT
-   I-CONTACT
941   I-CONTACT
6046   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Vaughn   B-NAME
A.   I-NAME
Xander   I-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
4898297   I-ID
Date   O
of   O
Birth   O
:   O
11/23/2385   B-DATE
Age   O
:   O
10   O
Address   O
:   O
Ridott   B-LOCATION
,   O
99477   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
644   I-CONTACT
)   I-CONTACT
273   I-CONTACT
-   I-CONTACT
4610   I-CONTACT
Occupation   O
:   O
Motorcycle   O
Mechanics   O
Primary   O
Care   O
Physician   O
:   O

Mann   B-NAME
Medical   O
Record   O
Number   O
:   O
21619720   B-ID
Current   O
Date   O
:   O
2123   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
26   I-DATE
Hospital   O
Name   O
:   O
Winchester   B-LOCATION
Hospital   I-LOCATION
Username   O
for   O
Portal   O
:   O
RH325   B-NAME
Chief   O
Complaint   O
:   O
Brooke   B-NAME
Huber   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Slidell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
1772   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
which   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
describes   O
the   O
pain   O
as   O
a   O
sharp   O
,   O
constricting   O
sensation   O
that   O
began   O
suddenly   O
while   O
at   O
work   O
at   O
DT16   B-LOCATION
8NH   I-LOCATION
.   O

The   O
patient   O
also   O
reports   O
associated   O
symptoms   O
of   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
shortly   O
before   O
arriving   O
at   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Southside   I-LOCATION
.   O

Terrence   B-NAME
Newton   I-NAME
denies   O
any   O
previous   O
history   O
of   O
similar   O
symptoms   O
.   O

Nevaeh   B-NAME
Lowe   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
is   O
currently   O
on   O
medication   O
prescribed   O
by   O
Lorelai   B-NAME
Morse   I-NAME
.   O

Social   O
History   O
:   O
Cruz   B-NAME
Leonard   I-NAME
is   O
a   O
Strippers   O
by   O
profession   O
and   O
reports   O
a   O
20   O
-   O
year   O
history   O
of   O
smoking   O
,   O
averaging   O
half   O
a   O
pack   O
of   O
cigarettes   O
daily   O
.   O

Ryker   B-NAME
Lawrence   I-NAME
denies   O
any   O
illicit   O
drug   O
use   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
electrocardiogram   O
(   O
ECG   O
)   O
conducted   O
at   O
24/32   B-DATE
revealed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
consistent   O
with   O
an   O
inferoposterior   O
myocardial   O
infarction   O
.   O

Treatment   O
:   O
QUINTON   B-NAME
COLON   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
heparin   O
drip   O
following   O
the   O
establishment   O
of   O
IV   O
access   O
.   O

N.   B-NAME
levine   I-NAME
was   O
moved   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
and   O
management   O
.   O

Disposition   O
:   O
As   O
of   O
2/86   B-DATE
,   O
Victor   B-NAME
von   I-NAME
Doom   I-NAME
remains   O
admitted   O
under   O
the   O
care   O
of   O
Davies   B-NAME
for   O
ongoing   O
treatment   O
and   O
management   O
of   O
acute   O
myocardial   O
infarction   O
.   O

Signatures   O
:   O
Faulkner   B-NAME
13/23/2152   B-DATE

Patient   O
Name   O
:   O
Bent   B-NAME
,   I-NAME
Silas   I-NAME
Patient   O
ID   O
:   O
MO:651048:504352   B-ID
Medical   O
Record   O
Number   O
:   O
63775485   B-ID
DOB   O
:   O
15   O
Address   O
:   O
Winnsboro   B-LOCATION
,   I-LOCATION
Winnsboro   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
39460   B-LOCATION
Phone   O
:   O
(   B-CONTACT
432   I-CONTACT
)   I-CONTACT
818   I-CONTACT
9671   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Frederick   B-NAME
Date   O
of   O
Visit   O
:   O
22/12/2300   B-DATE
Hospital   O
Name   O
:   O
Froedtert   B-LOCATION
Hospital   I-LOCATION
Symptoms   O
:   O

The   O
patient   O
,   O
Keyon   B-NAME
Weaver   I-NAME
,   O
presented   O
to   O
Havasu   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3112   B-DATE
with   O
complaints   O
of   O
exacerbating   O
shortness   O
of   O
breath   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
intermittent   O
episodes   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Moreover   O
,   O
Meryn   B-NAME
Degrandpre   I-NAME
has   O
been   O
experiencing   O
nocturnal   O
dyspnea   O
,   O
which   O
has   O
significantly   O
disrupted   O
sleep   O
,   O
and   O
notable   O
lower   O
extremity   O
edema   O
,   O
primarily   O
in   O
the   O
bilateral   O
ankles   O
.   O

Tori   B-NAME
Folk   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
,   O
controlled   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
lisinopril   O
.   O

A   O
previous   O
hospitalization   O
occurred   O
two   O
years   O
ago   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
La   I-LOCATION
Grange   I-LOCATION
for   O
an   O
acute   O
myocardial   O
infarction   O
,   O
after   O
which   O
a   O
drug   O
-   O
eluting   O
stent   O
was   O
placed   O
.   O

Specifically   O
,   O
the   O
father   O
of   O
GARY   B-NAME
J.   I-NAME
HUGHES   I-NAME
suffered   O
from   O
coronary   O
artery   O
disease   O
and   O
succumbed   O
to   O
heart   O
failure   O
at   O
the   O
age   O
of   O
47s   O
.   O

SP   B-NAME
is   O
employed   O
as   O
a   O
Gas   O
Processing   O
Plant   O
Operators   O
and   O
admits   O
to   O
smoking   O
approximately   O
one   O
pack   O
of   O
cigarettes   O
per   O
day   O
for   O
the   O
past   O
20   O
years   O
.   O

Mays   B-NAME
denies   O
recreational   O
drug   O
use   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Risa   B-NAME
Leavigne   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
92   O
%   O
on   O
room   O
air   O
.   O

The   O
treatment   O
plan   O
for   O
Charlee   B-NAME
Richmond   I-NAME
includes   O
initiation   O
of   O
a   O
beta   O
-   O
blocker   O
,   O
specifically   O
carvedilol   O
,   O
and   O
a   O
loop   O
diuretic   O
,   O
furosemide   O
,   O
for   O
volume   O
management   O
.   O

X.   B-NAME
Hayes   I-NAME
has   O
been   O
advised   O
to   O
strictly   O
limit   O
salt   O
intake   O
and   O
instructed   O
on   O
the   O
importance   O
of   O
fluid   O
restriction   O
.   O

Smoking   O
cessation   O
resources   O
were   O
provided   O
,   O
and   O
Matilda   B-NAME
Pace   I-NAME
was   O
strongly   O
encouraged   O
to   O
enroll   O
in   O
a   O
smoking   O
cessation   O
program   O
.   O

Follow   O
-   O
up   O
with   O
cardiology   O
has   O
been   O
scheduled   O
for   O
two   O
weeks   O
from   O
today   O
's   O
date   O
at   O
Northwestern   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
reassess   O
symptom   O
management   O
and   O
treatment   O
efficacy   O
.   O

Signed   O
,   O
Jaslene   B-NAME
Conrad   I-NAME
37/20/00   B-DATE

Patient   O
Report   O
for   O
Carmelo   B-NAME
Combs   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
1437273   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
3   B-ID
-   I-ID
103213   I-ID
-   O
Date   O
of   O
Birth   O
:   O
2157   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
22   I-DATE
-   O
Age   O
:   O
67   O
-   O
Contact   O
Information   O
:   O
12240   B-CONTACT
-   O
Address   O
:   O
Satellite   B-LOCATION
Beach   I-LOCATION
,   O
21265   B-LOCATION
Medical   O
History   O
:   O

On   O
32/00   B-DATE
,   O
Xzavior   B-NAME
C.   I-NAME
Welch   I-NAME
was   O
referred   O
to   O
Luciana   B-NAME
Caldwell   I-NAME
at   O
Ascension   B-LOCATION
Providence   I-LOCATION
Rochester   I-LOCATION
Hospital   I-LOCATION
for   O
evaluation   O
of   O
chronic   O
headaches   O
and   O
intermittent   O
episodes   O
of   O
dizziness   O
over   O
the   O
past   O
three   O
months   O
.   O

Howard   B-NAME
Schaefer   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
a   O
family   O
history   O
of   O
migraine   O
headaches   O
.   O

Pierce   B-NAME
Goodman   I-NAME
is   O
a   O
Healthcare   O
Social   O
Workers   O
with   O
a   O
history   O
of   O
working   O
long   O
hours   O
,   O
which   O
they   O
report   O
as   O
a   O
potential   O
trigger   O
for   O
their   O
symptoms   O
.   O

During   O
the   O
initial   O
assessment   O
,   O
Winston   B-NAME
described   O
the   O
headaches   O
as   O
unilateral   O
throbbing   O
,   O
with   O
episodes   O
lasting   O
between   O
4   O
to   O
72   O
hours   O
.   O

Jazmine   B-NAME
Pham   I-NAME
's   O
blood   O
pressure   O
was   O
measured   O
at   O
140/90   O
mmHg   O
.   O

Diagnostic   O
Assessment   O
:   O
In   O
the   O
following   O
appointment   O
on   O
2061   B-DATE
,   O
diagnostic   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
,   O
MRI   O
of   O
the   O
brain   O
,   O
and   O
vestibular   O
tests   O
were   O
conducted   O
.   O

All   O
tests   O
were   O
performed   O
at   O
Inova   B-LOCATION
Fair   I-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
results   O
were   O
discussed   O
with   O
Angeline   B-NAME
Haney   I-NAME
by   O
Armstrong   B-NAME
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Jarrett   B-NAME
Gomez   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Sarahi   B-NAME
Shields   I-NAME
at   O
Shasta   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/22/38   B-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

In   O
case   O
of   O
emergency   O
,   O
Kobe   B-NAME
Nixon   I-NAME
provided   O
the   O
contact   O
number   O
of   O
a   O
family   O
member   O
,   O
38539   B-CONTACT
.   O

All   O
personal   O
identifying   O
information   O
has   O
been   O
redacted   O
to   O
protect   O
Simak   B-NAME
,   I-NAME
Clifford   I-NAME
D.   I-NAME
's   O
privacy   O
,   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

This   O
report   O
has   O
been   O
shared   O
with   O
relevant   O
medical   O
personnel   O
within   O
FirstEnergy   B-LOCATION
(   I-LOCATION
Potomac   I-LOCATION
Edison   I-LOCATION
)   I-LOCATION
for   O
the   O
purpose   O
of   O
continuity   O
of   O
care   O
.   O

For   O
any   O
further   O
queries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
the   O
medical   O
office   O
at   O
30614   B-CONTACT
.   O

Patient   O
:   O
Keon   B-NAME
Foster   I-NAME
ID   O
:   O
OU:86314:766855   B-ID

Medical   O
Record   O
:   O
344   B-ID
-   I-ID
03   I-ID
-   I-ID
06   I-ID
Date   O
of   O
Admission   O
:   O
7/65   B-DATE
/2023   O
Age   O
:   O
13   O
Location   O
:   O
Alaska   B-LOCATION
Phone   O
:   O
441   B-CONTACT
-   I-CONTACT
9787   I-CONTACT

Ibrahim   B-NAME
Warner   I-NAME
Hospital   O
:   O
Suburban   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Presentation   O
:   O

Bo   B-NAME
Kirby   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
INTEGRIS   B-LOCATION
Southwest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
24/12/92   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Morley   B-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
significantly   O
worsening   O
upon   O
physical   O
activity   O
.   O

Upon   O
arrival   O
,   O
Rhodes   B-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
,   O
with   O
vital   O
signs   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
respiratory   O
rate   O
22   O
bpm   O
,   O
and   O
temperature   O
37.8   O
°   O
C   O
.   O

Diagnostic   O
Imaging   O
:   O
Abdominal   O
ultrasound   O
,   O
conducted   O
by   O
Atkinson   B-NAME
,   O
revealed   O
the   O
presence   O
of   O
a   O
3.5   O
cm   O
calculus   O
in   O
the   O
right   O
ureter   O
,   O
suggestive   O
of   O
a   O
ureterolithiasis   O
,   O
causing   O
moderate   O
hydronephrosis   O
.   O

Given   O
the   O
size   O
of   O
the   O
calculus   O
and   O
severe   O
symptoms   O
,   O
Jonathan   B-NAME
Strong   I-NAME
recommended   O
surgical   O
intervention   O
.   O

Terry   B-NAME
Leblanc   I-NAME
underwent   O
ureteroscopy   O
with   O
successful   O
laser   O
lithotripsy   O
by   O
Lilyana   B-NAME
Jimenez   I-NAME
at   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Woodhull   I-LOCATION
on   O
2322   B-DATE
-   I-DATE
26   I-DATE
-   I-DATE
26   I-DATE
/2023   O
.   O

Post   O
-   O
Operative   O
Care   O
:   O
Turner   B-NAME
Hart   I-NAME
was   O
monitored   O
closely   O
for   O
signs   O
of   O
infection   O
,   O
bleeding   O
,   O
or   O
renal   O
impairment   O
post   O
-   O
operatively   O
.   O

Follow   O
-   O
up   O
imaging   O
on   O
12/28   B-DATE
/2023   O
confirmed   O
the   O
absence   O
of   O
residual   O
stones   O
and   O
normalization   O
of   O
renal   O
function   O
.   O

Eisenstein   B-NAME
,   I-NAME
Ferdinand   I-NAME
was   O
advised   O
on   O
dietary   O
modifications   O
and   O
hydration   O
strategies   O
to   O
prevent   O
recurrence   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Hans   B-NAME
Reinhardt   I-NAME
was   O
discharged   O
from   O
Providence   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Everett   I-LOCATION
on   O
1   B-DATE
-   I-DATE
21   I-DATE
/2023   O
with   O
instructions   O
for   O
oral   O
analgesics   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
with   O
Bond   B-NAME
.   O

Thu   B-NAME
Civatte   I-NAME
was   O
also   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
severe   O
pain   O
,   O
or   O
any   O
signs   O
of   O
urinary   O
tract   O
infection   O
.   O

Information   O
Security   O
Analysts   O
:   O
lx311   B-NAME
Contact   O
:   O
(   B-CONTACT
720   I-CONTACT
)   I-CONTACT
523   I-CONTACT
-   I-CONTACT
1328   I-CONTACT
Confidentiality   O
Notice   O
:   O

Patient   O
Name   O
:   O
John   B-NAME
Sundstrom   I-NAME
Patient   O
ID   O
:   O
22216   B-ID
Date   O
of   O
Birth   O
:   O
2136   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
16   I-DATE
Age   O
:   O
80   O
Address   O
:   O
Jenison   B-LOCATION
,   O
34713   B-LOCATION
Phone   O
Number   O
:   O
112   B-CONTACT
-   I-CONTACT
5930   I-CONTACT
Employer   O
:   O
Harbor   B-LOCATION
Freight   I-LOCATION
Tools   I-LOCATION
Profession   O
:   O
Coroners   O
Primary   O
Physician   O
:   O

Phillips   B-NAME
Hospital   O
:   O
Marietta   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
05284727   B-ID
Date   O
of   O
Admission   O
:   O
00/34   B-DATE
Clinical   O
Summary   O
:   O
Rene   B-NAME
Vasquez   I-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Community   O
and   O
Social   O
Service   O
Specialists   O
,   O
All   O
Other   O
,   O
presented   O
to   O
Lourdes   B-LOCATION
Hospital   I-LOCATION
on   O
12/13/92   B-DATE
,   O
following   O
a   O
referral   O
from   O
Dr.   O
Noah   B-NAME
Werner   I-NAME
.   O

The   O
patient   O
complained   O
of   O
progressively   O
worsening   O
dyspnea   O
on   O
exertion   O
,   O
chest   O
tightness   O
,   O
and   O
an   O
intermittent   O
cough   O
over   O
the   O
past   O
23/02/2042   B-DATE
.   O

Hicks   B-NAME
,   I-NAME
Bill   I-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
which   O
are   O
managed   O
with   O
medication   O
.   O

Upon   O
examination   O
,   O
James   B-NAME
,   I-NAME
Henry   I-NAME
had   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
heart   O
rate   O
of   O
98   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
and   O
pulse   O
oximetry   O
showed   O
92   O
%   O
on   O
room   O
air   O
.   O

Instructions   O
for   O
follow   O
-   O
up   O
care   O
were   O
provided   O
to   O
Werner   B-NAME
,   O
along   O
with   O
contact   O
information   O
for   O
the   O
pulmonary   O
clinic   O
.   O

(   O
Date   O
):   O
12/23   B-DATE
Attending   O
Physician   O
:   O

Alexia   B-NAME
Moore   I-NAME
Enough   B-LOCATION
Project   I-LOCATION
/   O
Medical   O
Group   O
:   O
Johns   B-LOCATION
Hopkins   I-LOCATION
Bayview   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Contact   O
for   O
follow   O
-   O
up   O
:   O
54620   B-CONTACT

Patient   O
Name   O
:   O
DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
Patient   O
ID   O
:   O
7416314   B-ID
Medical   O
Record   O
Number   O
:   O
5228297   B-ID
Date   O
of   O
Birth   O
:   O
2208   B-DATE
Age   O
:   O
69   O
Phone   O
Number   O
:   O
79351   B-CONTACT
Address   O
:   O
Belleville   B-LOCATION
,   I-LOCATION
Belleville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
74122   B-LOCATION
Primary   O
Physician   O
:   O

Christian   B-NAME
Hospital   O
Name   O
:   O
Mineral   B-LOCATION
Area   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Occupation   O
:   O
Combination   O
Machine   O
Tool   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
Visit   O
Information   O
:   O
Date   O
of   O
Visit   O
:   O
19/33   B-DATE
Reason   O
for   O
Visit   O
:   O
The   O
patient   O
,   O
Courtney   B-NAME
,   O
presented   O
with   O
complaints   O
of   O
acute   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
and   O
a   O
persistent   O
cough   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Medical   O
History   O
:   O
Burt   B-NAME
Eanes   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
was   O
previously   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Social   O
History   O
:   O
Lutz   B-NAME
works   O
as   O
a   O
Camera   O
Operators   O
,   O
Television   O
,   O
Video   O
,   O
and   O
Motion   O
Picture   O
and   O
lives   O
with   O
their   O
spouse   O
and   O
two   O
children   O
in   O
Melvern   B-LOCATION
.   O

On   O
examination   O
,   O
Needham   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
effort   O
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
remain   O
in   O
Parham   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
and   O
further   O
evaluation   O
by   O
the   O
cardiology   O
and   O
respiratory   O
teams   O
.   O

Patient   O
Name   O
:   O
Wilson   B-NAME
Fuentes   I-NAME
Patient   O
ID   O
:   O
ST   B-ID
:   I-ID
EB:8838   I-ID
Medical   O
Record   O
Number   O
:   O
276   B-ID
-   I-ID
03   I-ID
-   I-ID
80   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Birth   O
:   O
02/31/92   B-DATE

Phone   O
Number   O
:   O
462   B-CONTACT
-   I-CONTACT
7604   I-CONTACT
Address   O
:   O
Okeechobee   B-LOCATION
,   O
21085   B-LOCATION
Employer   O
:   O

Park   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Music   O
Directors   O
and   O
Composers   O
Attending   O
Physician   O
:   O

Mckenzie   B-NAME
Hospital   O
:   O

Saint   B-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
21/19/61   B-DATE
Clinical   O
Summary   O
:   O
Jeslyn   B-NAME
,   O
a   O
9   O
-   O
year   O
-   O
old   O
Operations   O
Research   O
Analysts   O
employed   O
at   O
TeamBank   B-LOCATION
,   I-LOCATION
NA   I-LOCATION
residing   O
in   O
Abrams   B-LOCATION
,   O
85354   B-LOCATION
,   O
was   O
admitted   O
to   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
on   O
0/22   B-DATE
with   O
a   O
presenting   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Additionally   O
,   O
Santiago   B-NAME
reported   O
experiencing   O
chills   O
and   O
a   O
fever   O
earlier   O
on   O
the   O
day   O
of   O
admission   O
.   O

On   O
physical   O
examination   O
by   O
Wolfe   B-NAME
MacFarlane   I-NAME
,   O
Retta   B-NAME
Hurd   I-NAME
exhibited   O
tenderness   O
in   O
the   O
upper   O
abdominal   O
quadrant   O
,   O
notably   O
around   O
the   O
epigastric   O
region   O
.   O

Shepard   B-NAME
also   O
observed   O
that   O
Immanuel   B-NAME
Shannon   I-NAME
demonstrated   O
positive   O
Murphy   O
’s   O
sign   O
.   O

Throughout   O
the   O
hospital   O
stay   O
under   O
the   O
supervision   O
of   O
Bertram   B-NAME
Charles   I-NAME
at   O
Cayuga   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Ithaca   I-LOCATION
,   O
Oneal   B-NAME
's   O
condition   O
was   O
closely   O
monitored   O
.   O

The   O
management   O
plan   O
was   O
regularly   O
updated   O
based   O
on   O
Zackary   B-NAME
Blair   I-NAME
's   O
ongoing   O
clinical   O
response   O
and   O
laboratory   O
results   O
.   O

Discharge   O
instructions   O
provided   O
to   O
whalen   B-NAME
included   O
recommendations   O
for   O
post   O
-   O
surgery   O
care   O
,   O
signs   O
of   O
possible   O
complications   O
to   O
watch   O
for   O
,   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
visit   O
with   O
Braelyn   B-NAME
Hall   I-NAME
on   O
32/00/30   B-DATE
.   O

Spurgeon   B-NAME
,   I-NAME
Charles   I-NAME
Haddon   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
and   O
avoid   O
heavy   O
lifting   O
for   O
a   O
few   O
weeks   O
post   O
-   O
operation   O
.   O

Contact   O
information   O
,   O
including   O
68133   B-CONTACT
,   O
was   O
provided   O
for   O
Eddie   B-NAME
Jimenez   I-NAME
to   O
reach   O
out   O
in   O
case   O
of   O
emergency   O
or   O
if   O
there   O
were   O
any   O
concerns   O
during   O
the   O
recovery   O
period   O
.   O

The   O
cross   O
-   O
disciplinary   O
approach   O
to   O
Clara   B-NAME
Schneider   I-NAME
's   O
care   O
involved   O
consultations   O
with   O
specialists   O
in   O
gastroenterology   O
and   O
surgery   O
,   O
ensuring   O
a   O
comprehensive   O
treatment   O
strategy   O
was   O
in   O
place   O
.   O

The   O
coordinated   O
efforts   O
of   O
the   O
medical   O
team   O
at   O
Roper   B-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Mount   I-LOCATION
Pleasant   I-LOCATION
Hospital   I-LOCATION
facilitated   O
an   O
effective   O
response   O
to   O
this   O
acute   O
episode   O
,   O
promoting   O
a   O
positive   O
outcome   O
for   O
Sampson   B-NAME
.   O

This   O
case   O
will   O
be   O
reviewed   O
again   O
during   O
the   O
follow   O
-   O
up   O
visit   O
scheduled   O
on   O
22/22   B-DATE
,   O
or   O
sooner   O
if   O
Vonreuter   B-NAME
experiences   O
any   O
complications   O
or   O
adverse   O
reactions   O
to   O
the   O
treatment   O
.   O

Notes   O
regarding   O
this   O
visit   O
and   O
ongoing   O
management   O
plans   O
will   O
be   O
documented   O
in   O
Holderlin   B-NAME
,   I-NAME
Friedrich   I-NAME
's   O
medical   O
record   O
,   O
number   O
2943U75195   B-ID
,   O
for   O
continued   O
care   O
coordination   O
.   O

Username   O
for   O
secure   O
patient   O
portal   O
login   O
:   O
EE86   B-NAME
End   O
of   O
Report   O

Patient   O
Name   O
:   O
Zola   B-NAME
,   I-NAME
Emile   I-NAME
Age   O
:   O
0   O
Sex   O
:   O
Male   O
Date   O
of   O
Initial   O
Consultation   O
:   O

May   B-DATE
17   I-DATE
Physician   O
Name   O
:   O
Hoff   B-NAME
,   I-NAME
Benjamin   I-NAME
Hospital   O
:   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Columbus   I-LOCATION
Medical   O
Record   O
Number   O
:   O
521   B-ID
72   I-ID
32   I-ID
5   I-ID
Address   O
:   O
Wath   B-LOCATION
-   I-LOCATION
upon   I-LOCATION
-   I-LOCATION
Dearne   I-LOCATION
,   O
94775   B-LOCATION
Phone   O
:   O
64532   B-CONTACT
Employment   O
:   O
Electronic   O
Equipment   O
Installers   O
and   O
Repairers   O
,   O
Motor   O
Vehicles   O
Username   O
:   O
dzh313   B-NAME
ID   O
Number   O
:   O
MM:64693:728395   B-ID

Subjective   O
:   O
26/20   B-DATE
,   O
Keren   B-NAME
Lineman   I-NAME
,   O
a   O
16   O
-   O
year   O
-   O
old   O
male   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
presented   O
to   O
Sanford   B-LOCATION
Aberdeen   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

The   O
headaches   O
had   O
been   O
occurring   O
daily   O
for   O
the   O
past   O
Independence   B-DATE
Day   I-DATE
weeks   O
,   O
described   O
as   O
throbbing   O
in   O
nature   O
,   O
and   O
rated   O
at   O
an   O
8   O
on   O
the   O
pain   O
scale   O
of   O
1   O
to   O
10   O
.   O

Yandel   B-NAME
Acevedo   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
photophobia   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
intermittent   O
episodes   O
of   O
dizziness   O
.   O

Archer   B-NAME
has   O
tried   O
over   O
-   O
the   O
-   O
counter   O
acetaminophen   O
and   O
ibuprofen   O
without   O
significant   O
relief   O
.   O

D   B-NAME
works   O
as   O
a   O
Correctional   O
Officers   O
and   O
Jailers   O
at   O
Animal   B-LOCATION
Liberation   I-LOCATION
Brigade   I-LOCATION
(   I-LOCATION
ALB   I-LOCATION
)   I-LOCATION
,   O
which   O
reportedly   O
has   O
been   O
under   O
significant   O
stress   O
in   O
recent   O
months   O
.   O

Assessment   O
and   O
Plan   O
:   O
The   O
differential   O
diagnosis   O
for   O
Kristen   B-NAME
Rangel   I-NAME
's   O
headache   O
includes   O
tension   O
-   O
type   O
headaches   O
,   O
migraines   O
without   O
aura   O
,   O
and   O
cluster   O
headaches   O
.   O

Plan   O
to   O
schedule   O
Mauricio   B-NAME
Walls   I-NAME
for   O
a   O
brain   O
MRI   O
on   O
22/12/2021   B-DATE
at   O
Bellin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Additionally   O
,   O
considering   O
Malaki   B-NAME
Sherman   I-NAME
's   O
hypertension   O
and   O
diabetes   O
,   O
a   O
referral   O
to   O
Clarke   B-NAME
for   O
management   O
and   O
potential   O
adjustment   O
of   O
medications   O
is   O
necessary   O
.   O

Mata   B-NAME
is   O
to   O
follow   O
up   O
in   O
2   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

For   O
further   O
information   O
,   O
please   O
contact   O
NYU   B-LOCATION
Downtown   I-LOCATION
Hospital   I-LOCATION
at   O
400   B-CONTACT
-   I-CONTACT
9908   I-CONTACT
.   O

The   O
patient   O
,   O
Maribel   B-NAME
Salazar   I-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
All   O
Other   O
Tactical   O
Operations   O
Specialists   O
from   O
29   B-LOCATION
Meadow   I-LOCATION
Lane   I-LOCATION
,   O
62088   B-LOCATION
,   O
presented   O
to   O
AdventHealth   B-LOCATION
Altamonte   I-LOCATION
Springs   I-LOCATION
on   O
Sunday   B-DATE
,   I-DATE
February   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Tuan   B-NAME
Party   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Upon   O
examination   O
,   O
Nick   B-NAME
Golden   I-NAME
,   O
aged   O
10   O
,   O
appeared   O
in   O
mild   O
distress   O
.   O

The   O
Larry   B-NAME
Wolek   I-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
which   O
showed   O
swelling   O
of   O
the   O
appendix   O
with   O
evidence   O
of   O
a   O
small   O
appendicolith   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Makayla   B-NAME
Monroe   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
Araceli   B-NAME
Orozco   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
laparoscopic   O
appendectomy   O
.   O

Jennefer   B-NAME
Outten   I-NAME
consented   O
to   O
the   O
procedure   O
after   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
potential   O
complications   O
were   O
thoroughly   O
explained   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
January   B-DATE
without   O
delay   O
.   O

Post   O
-   O
operatively   O
,   O
ROSE   B-NAME
R.   I-NAME
WALSH   I-NAME
's   O
recovery   O
was   O
uneventful   O
.   O

Yoder   B-NAME
was   O
administered   O
intravenous   O
antibiotics   O
as   O
prophylaxis   O
against   O
infection   O
.   O

Landin   B-NAME
Bowers   I-NAME
was   O
discharged   O
on   O
1762   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
26   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
booked   O
with   O
Keyon   B-NAME
Morris   I-NAME
for   O
16/29/72   B-DATE
.   O

Prescriptions   O
for   O
oral   O
antibiotics   O
and   O
analgesics   O
were   O
provided   O
,   O
with   O
the   O
35369   B-CONTACT
number   O
of   O
Inova   B-LOCATION
Fair   I-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
given   O
in   O
case   O
of   O
any   O
queries   O
or   O
concerns   O
.   O

The   O
electronic   O
medical   O
record   O
94782780   B-ID
was   O
updated   O
to   O
include   O
a   O
summary   O
of   O
the   O
hospital   O
stay   O
,   O
operative   O
report   O
,   O
and   O
post   O
-   O
operative   O
instructions   O
.   O

A   O
secure   O
message   O
was   O
sent   O
to   O
Singleton   B-NAME
's   O
primary   O
care   O
physician   O
in   O
Simi   B-LOCATION
Valley   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
93065   I-LOCATION
via   O
the   O
healthcare   O
system   O
's   O
portal   O
,   O
mni35   B-NAME
,   O
summarizing   O
the   O
care   O
provided   O
and   O
suggesting   O
a   O
timeline   O
for   O
follow   O
-   O
up   O
care   O
.   O

Brennus   B-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
was   O
encouraged   O
to   O
contact   O
Tri   B-LOCATION
-   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Williston   I-LOCATION
at   O
617   B-CONTACT
7860   I-CONTACT
for   O
any   O
post   O
-   O
discharge   O
questions   O
.   O

The   O
Alonso   B-NAME
Mannchen   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
as   O
per   O
tolerance   O
,   O
with   O
specific   O
guidance   O
provided   O
on   O
avoiding   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

Patient   O
Name   O
:   O
Axel   B-NAME
Shah   I-NAME
Patient   O
ID   O
:   O
56179983   B-ID
Medical   O
Record   O
Number   O
:   O
029   B-ID
-   I-ID
08   I-ID
-   I-ID
84   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Birth   O
:   O
17/33   B-DATE
Age   O
:   O
31   O
Address   O
:   O
Garnavillo   B-LOCATION
,   O
28286   B-LOCATION
Phone   O
Number   O
:   O
15707   B-CONTACT

Rosa   B-NAME
Stanton   I-NAME
Admitting   O
Hospital   O
:   O

Sampson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
Sunday   B-DATE
,   I-DATE
March   I-DATE
Occupation   O
:   O
Copy   O
Writers   O
Insurance   O
Provider   O
:   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Carabao   I-LOCATION
Chief   O
Complaint   O
:   O

powell   B-NAME
was   O
admitted   O
to   O
Snoqualmie   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
33/02/72   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
and   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ashly   B-NAME
Walsh   I-NAME
,   O
a   O
Regulatory   O
Affairs   O
Specialists   O
from   O
Pensacola   B-LOCATION
,   O
first   O
noticed   O
mild   O
discomfort   O
in   O
the   O
epigastric   O
region   O
approximately   O
one   O
week   O
ago   O
,   O
which   O
initially   O
was   O
mild   O
and   O
intermittent   O
.   O

Over   O
the   O
past   O
10/75   B-DATE
,   O
the   O
severity   O
of   O
the   O
pain   O
significantly   O
increased   O
,   O
prompting   O
the   O
visit   O
to   O
the   O
emergency   O
department   O
.   O

Past   O
Medical   O
History   O
:   O
Beethoven   B-NAME
,   I-NAME
Ludwig   I-NAME
van   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Upon   O
admission   O
,   O
Christopher   B-NAME
Syn   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
1/22   B-DATE
revealed   O
a   O
gallstone   O
obstructing   O
the   O
common   O
bile   O
duct   O
.   O

Pena   B-NAME
was   O
admitted   O
to   O
the   O
intensive   O
care   O
unit   O
for   O
close   O
monitoring   O
.   O

A   O
consultation   O
with   O
Bianca   B-NAME
Gillespie   I-NAME
,   O
the   O
gastroenterology   O
specialist   O
,   O
was   O
made   O
for   O
possible   O
Endoscopic   O
Retrograde   O
Cholangiopancreatography   O
(   O
ERCP   O
)   O
to   O
remove   O
the   O
obstructing   O
gallstone   O
.   O

In   O
Marquis   B-NAME
Blackburn   I-NAME
's   O
case   O
,   O
the   O
presence   O
of   O
a   O
gallstone   O
leading   O
to   O
bile   O
duct   O
obstruction   O
was   O
identified   O
as   O
the   O
likely   O
etiology   O
.   O

Follow   O
-   O
up   O
:   O
Davin   B-NAME
Carrillo   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Case   B-NAME
three   O
weeks   O
post   O
-   O
discharge   O
to   O
evaluate   O
recovery   O
and   O
discuss   O
potential   O
measures   O
to   O
prevent   O
recurrence   O
,   O
such   O
as   O
cholecystectomy   O
.   O

Coder   O
:   O
SO257   B-NAME

Patient   O
Report   O
:   O
Confidential   O
Patient   O
Information   O
:   O
Name   O
:   O
Stoner   B-NAME
Jr.   I-NAME
,   I-NAME
James   I-NAME
R.   I-NAME
Age   O
:   O
3   O
Phone   O
Number   O
:   O
242   B-CONTACT
-   I-CONTACT
7895   I-CONTACT
Medical   O
Record   O
Number   O
:   O
59808654   B-ID
ID   O
Number   O
:   O
US:331063:938471   B-ID
Address   O
:   O
Grey   B-LOCATION
Forest   I-LOCATION
,   O
46448   B-LOCATION
Chief   O
Complaint   O
:   O
V.   B-NAME
A.   I-NAME
Nunes   I-NAME
presented   O
to   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Southwest   I-LOCATION
Hospital   I-LOCATION
on   O
6/22/05   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
continuous   O
abdominal   O
pain   O
that   O
started   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
(   O
3   O
episodes   O
since   O
onset   O
)   O
,   O
and   O
an   O
inability   O
to   O
pass   O
stool   O
or   O
gas   O
since   O
2192   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
27   I-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Vanover   B-NAME
,   O
a   O
Elementary   O
School   O
Teachers   O
,   O
Except   O
Special   O
Education   O
by   O
occupation   O
,   O
stated   O
that   O
the   O
symptoms   O
appeared   O
suddenly   O
and   O
have   O
progressively   O
worsened   O
.   O

Ali   B-NAME
Norman   I-NAME
mentioned   O
a   O
recent   O
increase   O
in   O
dietary   O
fiber   O
intake   O
but   O
denies   O
any   O
foreign   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

On   O
physical   O
examination   O
,   O
Jakayla   B-NAME
Herring   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Workup   O
:   O
Complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
abdominal   O
radiographs   O
were   O
ordered   O
by   O
Leonidas   B-NAME
Taylor   I-NAME
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Ronan   B-NAME
Kemp   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
of   O
suspected   O
small   O
bowel   O
obstruction   O
.   O

Mckee   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
abdominal   O
CT   O
scan   O
on   O
2140s   B-DATE
and   O
remained   O
under   O
close   O
monitoring   O
for   O
signs   O
of   O
clinical   O
improvement   O
or   O
deterioration   O
.   O

The   O
care   O
team   O
,   O
including   O
Garza   B-NAME
,   O
planned   O
a   O
multidisciplinary   O
discussion   O
regarding   O
the   O
findings   O
and   O
subsequent   O
steps   O
.   O

Consent   O
:   O
Informed   O
consent   O
for   O
the   O
proposed   O
investigation   O
and   O
management   O
plan   O
was   O
obtained   O
from   O
Rey   B-NAME
Robles   I-NAME
.   O

All   O
questions   O
were   O
answered   O
,   O
and   O
Sheck   B-NAME
,   I-NAME
Barry   I-NAME
expressed   O
an   O
understanding   O
of   O
the   O
necessity   O
and   O
risks   O
associated   O
with   O
the   O
prescribed   O
treatment   O
plan   O
.   O

Contact   O
Information   O
:   O
Any   O
further   O
inquiries   O
regarding   O
the   O
patient   O
's   O
care   O
should   O
be   O
directed   O
to   O
the   O
attending   O
physician   O
,   O
Ernesto   B-NAME
Blair   I-NAME
,   O
at   O
554   B-CONTACT
5074   I-CONTACT
.   O

Please   O
refer   O
to   O
MRN   O
:   O
50675942   B-ID
for   O
Lion   B-NAME
's   O
detailed   O
medical   O
records   O
.   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
concerning   O
Copeland   B-NAME
and   O
should   O
be   O
handled   O
accordingly   O
.   O

Patient   O
Report   O
:   O
31/24   B-DATE
/2023   O
Patient   O
Name   O
:   O
Tuan   B-NAME
Michalek   I-NAME
Age   O
:   O
4   O
Medical   O
Record   O
Number   O
:   O
74068122   B-ID
Date   O
of   O
Birth   O
:   O
03/07/1619   B-DATE
Location   O
:   O
Coloma   B-LOCATION
,   O
83946   B-LOCATION
Contact   O
Number   O
:   O
94235   B-CONTACT
Referring   O
Physician   O
:   O
Brandt   B-NAME
Treating   O
Hospital   O
:   O

Intermountain   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
's   O
Occupation   O
:   O
Managers   O
,   O
All   O
Other   O
History   O
and   O
Symptoms   O
:   O
David   B-NAME
Craig   I-NAME
,   O
a   O
Hoist   O
and   O
Winch   O
Operators   O
from   O
Wenatchee   B-LOCATION
,   I-LOCATION
Wenatchee   I-LOCATION
Downtown   I-LOCATION
Association   I-LOCATION
,   O
presented   O
to   O
Lourdes   B-LOCATION
Counseling   I-LOCATION
Center   I-LOCATION
on   O
06/04   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
,   O
high   O
-   O
grade   O
fever   O
peaking   O
at   O
39   O
°   O
C   O
,   O
severe   O
headache   O
localized   O
in   O
the   O
frontal   O
region   O
,   O
and   O
photophobia   O
.   O

Foust   B-NAME
also   O
reported   O
experiencing   O
intermittent   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
.   O

The   O
history   O
collected   O
from   O
Cotton   B-NAME
notes   O
the   O
absence   O
of   O
rash   O
,   O
neck   O
stiffness   O
,   O
or   O
any   O
recent   O
travel   O
outside   O
Emporia   B-LOCATION
.   O

There   O
are   O
no   O
noted   O
previous   O
significant   O
medical   O
conditions   O
,   O
and   O
Sidney   B-NAME
Hopkins   I-NAME
denies   O
any   O
recent   O
use   O
of   O
medications   O
except   O
for   O
over   O
-   O
the   O
-   O
counter   O
acetaminophen   O
.   O

Follow   O
-   O
Up   O
and   O
Outlook   O
:   O
Alonso   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Blankenship   B-NAME
at   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
   I-LOCATION
Bradley   I-LOCATION
Memorial   I-LOCATION
Campus   I-LOCATION
on   O
33/11   B-DATE
for   O
reassessment   O
and   O
adjustment   O
of   O
treatment   O
based   O
on   O
culture   O
results   O
,   O
sensitivity   O
patterns   O
,   O
and   O
clinical   O
progress   O
.   O

Discussions   O
regarding   O
preventive   O
measures   O
and   O
potential   O
lifestyle   O
adjustments   O
pertinent   O
to   O
Tyrese   B-NAME
Fernandez   I-NAME
’s   O
occupation   O
as   O
a   O
Telephone   O
Operators   O
were   O
initiated   O
and   O
will   O
continue   O
during   O
subsequent   O
visits   O
.   O

Confidentiality   O
Statement   O
:   O
This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
Chase   B-NAME
Washington   I-NAME
protected   O
under   O
federal   O
and   O
state   O
law   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
Shaffer   B-NAME
at   O
687   B-CONTACT
618   I-CONTACT
-   I-CONTACT
4515   I-CONTACT
for   O
further   O
instructions   O
.   O

End   O
of   O
Report   O
Prepared   O
by   O
:   O
epq587   B-NAME
Medical   O
ID   O
:   O
ED   B-ID
:   I-ID
AI:9488   I-ID

Patient   O
Report   O
:   O
Subject   O
:   O
Da'nailed   B-NAME
Lyme   I-NAME
Medical   O
Record   O
Number   O
:   O
4326119   B-ID
Date   O
of   O
Birth   O
:   O
2/19   B-DATE
Date   O
of   O
Visit   O
:   O
12/27   B-DATE
Age   O
:   O
3   O
month   O
Phone   O
:   O
534   B-CONTACT
-   I-CONTACT
236   I-CONTACT
-   I-CONTACT
1785   I-CONTACT
Address   O
:   O
Breathitt   B-LOCATION
,   O
57718   B-LOCATION

Washington   B-NAME
Referring   O
Physician   O
:   O

Huxley   B-NAME
,   I-NAME
Aldous   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Lawrence   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
Employment   O
:   O
Systems   O
developer   O
at   O
City   B-LOCATION
of   I-LOCATION
Milford   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Clinical   O
Summary   O
:   O
Richard   B-NAME
Fletcher   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Lakeland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
09/12   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
intense   O
abdominal   O
pain   O
focused   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
were   O
ordered   O
by   O
Sosa   B-NAME
.   O

Villalpando   B-NAME
was   O
admitted   O
to   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Southwest   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Herbert   B-NAME
,   I-NAME
Zbigniew   I-NAME
for   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Bombeck   B-NAME
,   I-NAME
Erma   I-NAME
recommended   O
an   O
appendectomy   O
as   O
the   O
course   O
of   O
treatment   O
,   O
explaining   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
to   O
Mayra   B-NAME
Rodriguez   I-NAME
.   O

Informed   O
consent   O
was   O
obtained   O
on   O
31/01   B-DATE
.   O

The   O
appendectomy   O
was   O
successfully   O
performed   O
without   O
complications   O
on   O
01/29   B-DATE
.   O

Sparber   B-NAME
,   I-NAME
Max   I-NAME
was   O
closely   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
any   O
surgical   O
complications   O
.   O

Reese   B-NAME
demonstrated   O
satisfactory   O
recovery   O
with   O
resolution   O
of   O
symptoms   O
and   O
was   O
discharged   O
on   O
03/07   B-DATE
.   O

Follow   O
-   O
up   O
care   O
instructions   O
were   O
provided   O
,   O
including   O
signs   O
of   O
possible   O
complications   O
to   O
watch   O
for   O
and   O
a   O
scheduled   O
post   O
-   O
operative   O
visit   O
with   O
Sergio   B-NAME
Beard   I-NAME
in   O
2   O
weeks   O
or   O
sooner   O
if   O
any   O
concerns   O
arise   O
.   O

In   O
conclusion   O
,   O
Tucker   B-NAME
Sellers   I-NAME
's   O
acute   O
appendicitis   O
was   O
successfully   O
treated   O
through   O
surgical   O
intervention   O
.   O

The   O
prompt   O
diagnosis   O
and   O
treatment   O
plan   O
implemented   O
by   O
the   O
medical   O
team   O
at   O
Kessler   B-LOCATION
Institute   I-LOCATION
for   I-LOCATION
Rehabilitation   I-LOCATION
resulted   O
in   O
a   O
positive   O
outcome   O
without   O
complications   O
.   O

(   B-CONTACT
668   I-CONTACT
)   I-CONTACT
409   I-CONTACT
-   I-CONTACT
7297   I-CONTACT
for   O
any   O
urgent   O
concerns   O
.   O

Our   O
team   O
at   O
Brandywine   B-LOCATION
Hospital   I-LOCATION
is   O
committed   O
to   O
ensuring   O
a   O
smooth   O
recovery   O
for   O
Gina   B-NAME
Kevin   I-NAME
Irons   I-NAME
.   O

Patient   O
Name   O
:   O
Minow   B-NAME
,   I-NAME
Newton   I-NAME
N.   I-NAME
Medical   O
Record   O
Number   O
:   O
80541297   B-ID
Date   O
of   O
Birth   O
:   O
00/3   B-DATE
Age   O
:   O
24   O
Doctor   O
's   O
Name   O
:   O
Dylan   B-NAME
Mcmillan   I-NAME
Admitting   O
Hospital   O
:   O
Dixie   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
30/33   B-DATE
ID   O
:   O
HX609/6023   B-ID
Location   O
:   O
Winchester   B-LOCATION
Contact   O
Phone   O
:   O
(   B-CONTACT
970   I-CONTACT
)   I-CONTACT
636   I-CONTACT
8027   I-CONTACT
Address   O
:   O
Fancy   B-LOCATION
Farm   I-LOCATION
,   O
16855   B-LOCATION
Occupation   O
:   O

Petroleum   O
engineer   O
Username   O
:   O
HA779   B-NAME
Consulting   O
Organization   O
:   O

Freedom   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Georgia   I-LOCATION
Clinical   O
Summary   O
:   O
Tyger   B-NAME
,   I-NAME
Frank   I-NAME
,   O
a   O
Tank   O
Car   O
,   O
Truck   O
,   O
and   O
Ship   O
Loaders   O
of   O
37   O
years   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Emanate   B-LOCATION
Health   I-LOCATION
Foothill   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
on   O
4/77   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
acute   O
onset   O
of   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
starting   O
approximately   O
6   O
-   O
8   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
attending   O
physician   O
Eliza   B-NAME
York   I-NAME
,   O
a   O
specialist   O
in   O
general   O
surgery   O
,   O
was   O
consulted   O
and   O
acute   O
appendicitis   O
was   O
diagnosed   O
based   O
on   O
clinical   O
and   O
radiological   O
findings   O
.   O

Post   O
-   O
operative   O
course   O
was   O
uneventful   O
with   O
Gregory   B-NAME
Howard   I-NAME
responding   O
well   O
to   O
antibiotic   O
therapy   O
and   O
showing   O
signs   O
of   O
improvement   O
.   O

Discharge   O
instructions   O
included   O
advice   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Ramos   B-NAME
in   O
2   O
weeks   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sarasota   I-LOCATION
.   O

Conlon   B-NAME
,   I-NAME
Fred   I-NAME
was   O
discharged   O
on   O
2/20/43   B-DATE
,   O
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
analgesics   O
.   O

Instructions   O
for   O
follow   O
-   O
up   O
care   O
were   O
provided   O
,   O
alongside   O
the   O
emergency   O
contact   O
number   O
429   B-CONTACT
-   I-CONTACT
122   I-CONTACT
-   I-CONTACT
4434   I-CONTACT
for   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Farmington   I-LOCATION
Hills   I-LOCATION
,   O
should   O
there   O
be   O
concerns   O
or   O
complications   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

The   O
patient   O
expressed   O
understanding   O
of   O
discharge   O
instructions   O
and   O
gratitude   O
towards   O
the   O
medical   O
staff   O
at   O
PeaceHealth   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
the   O
care   O
provided   O
.   O

Documentation   O
of   O
the   O
patient   O
's   O
consent   O
for   O
treatment   O
and   O
procedures   O
conducted   O
was   O
completed   O
and   O
filed   O
under   O
05693841   B-ID
.   O

For   O
any   O
further   O
information   O
or   O
clarification   O
required   O
,   O
please   O
contact   O
the   O
Pinnacle   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Oregon   I-LOCATION
's   O
office   O
through   O
their   O
main   O
line   O
197   B-CONTACT
4586   I-CONTACT
or   O
reach   O
out   O
to   O
the   O
attending   O
physician   O
Valerie   B-NAME
Krause   I-NAME
referencing   O
the   O
medical   O
record   O
number   O
700   B-ID
-   I-ID
35   I-ID
-   I-ID
13   I-ID
.   O

Patient   O
Name   O
:   O
Isaiah   B-NAME
Rodriguez   I-NAME
Patient   O
EG   B-ID
:   I-ID
NI:3998   I-ID
:   O
6506L5151   B-ID
Date   O
of   O
Consultation   O
:   O
1/27   B-DATE
Age   O
:   O
12s   O
Address   O
:   O
Potwin   B-LOCATION
,   O
99519   B-LOCATION
Telephone   O
:   O
92867   B-CONTACT
Referred   O
by   O
:   O
Sloane   B-NAME
Fritz   I-NAME
Presenting   O
Complaint   O
:   O
Heinlein   B-NAME
,   I-NAME
Robert   I-NAME
A.   I-NAME
presented   O
to   O
the   O
clinic   O
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
headache   O
episodes   O
primarily   O
located   O
in   O
the   O
frontal   O
and   O
temporal   O
regions   O
.   O

These   O
headaches   O
have   O
been   O
occurring   O
for   O
the   O
past   O
06/13/2013   B-DATE
,   O
with   O
an   O
increasing   O
frequency   O
and   O
intensity   O
.   O

Dirac   B-NAME
,   I-NAME
Paul   I-NAME
describes   O
the   O
pain   O
as   O
throbbing   O
,   O
accompanied   O
by   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

Saunders   B-NAME
has   O
a   O
history   O
of   O
recurrent   O
headaches   O
but   O
mentions   O
that   O
the   O
current   O
episodes   O
are   O
significantly   O
more   O
severe   O
.   O

There   O
is   O
a   O
documented   O
history   O
of   O
hypertension   O
for   O
which   O
Keaton   B-NAME
Michael   I-NAME
is   O
on   O
medication   O
,   O
details   O
of   O
which   O
are   O
in   O
the   O
records   O
of   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Indian   I-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
.   O

Examination   O
Findings   O
:   O
On   O
examination   O
,   O
Carmelo   B-NAME
Combs   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
clinical   O
presentation   O
,   O
Karla   B-NAME
Dittmer   I-NAME
was   O
diagnosed   O
with   O
migraine   O
with   O
aura   O
.   O

Margaret   B-NAME
Norris   I-NAME
was   O
prescribed   O
a   O
triptan   O
for   O
acute   O
management   O
of   O
migraine   O
episodes   O
and   O
was   O
advised   O
to   O
identify   O
and   O
avoid   O
known   O
triggers   O
.   O

Allen   B-NAME
was   O
also   O
referred   O
to   O
Roselyn   B-NAME
Lynch   I-NAME
at   O
CareLink   B-LOCATION
of   I-LOCATION
Jackson   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2/11   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
modify   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Instructions   O
to   O
Stein   B-NAME
,   I-NAME
Ben   I-NAME
:   O
Bell   B-NAME
,   I-NAME
Alexander   I-NAME
Graham   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
down   O
the   O
time   O
of   O
onset   O
,   O
duration   O
,   O
severity   O
of   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
or   O
triggers   O
.   O

Leighna   B-NAME
was   O
also   O
instructed   O
to   O
follow   O
the   O
prescribed   O
treatment   O
plan   O
and   O
attend   O
the   O
follow   O
-   O
up   O
appointment   O
without   O
fail   O
.   O

In   O
case   O
of   O
any   O
severe   O
headache   O
episode   O
unresponsive   O
to   O
medication   O
,   O
Tagore   B-NAME
,   I-NAME
Rabindranath   I-NAME
was   O
advised   O
to   O
contact   O
the   O
clinic   O
immediately   O
at   O
929   B-CONTACT
-   I-CONTACT
6410   I-CONTACT
or   O
proceed   O
to   O
the   O
emergency   O
department   O
of   O
Prisma   B-LOCATION
Health   I-LOCATION
Laurens   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

Professional   O
Involved   O
:   O
Photoengravers   O
Signature   O
:   O
YP702   B-NAME
Date   O
:   O
07/00/1824   B-DATE
Hospital   O
Affiliation   O
:   O
Mercy   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Moundridge   I-LOCATION
Venture   B-LOCATION
Bank   I-LOCATION
:   O
Mercantile   B-LOCATION
Stars   I-LOCATION
Location   O
of   O
Consultation   O
:   O
Vineyards   B-LOCATION
,   O
12534   B-LOCATION

Patient   O
Name   O
:   O
Kenisha   B-NAME
Age   O
:   O
43   O
Date   O
of   O
Admission   O
:   O
2/28   B-DATE
Attending   O
Physician   O
:   O

Dana   B-NAME
Torres   I-NAME
Medical   O
Record   O
Number   O
:   O
8444371   B-ID
Hospital   O
:   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Philadelphia   I-LOCATION
Contact   O
Number   O
:   O
38217   B-CONTACT
Patient   O
ID   O
:   O
BA   B-ID
:   I-ID
GZ:5166   I-ID
Location   O
:   O

Glenburn   B-LOCATION
Zip   O
Code   O
:   O
68258   B-LOCATION
Organization   O
:   O

Evergreen   B-LOCATION
Bank   I-LOCATION
Username   O
:   O
zrw523   B-NAME
Profession   O
:   O
Compliance   O
Officers   O
,   O
Except   O
Agriculture   O
,   O
Construction   O
,   O
Health   O
and   O
Safety   O
,   O
and   O
Transportation   O
Clinical   O
Summary   O
:   O
George   B-NAME
,   O
a   O
Commissioning   O
engineer   O
from   O
Narrowsburg   B-LOCATION
,   O
60315   B-LOCATION
,   O
was   O
admitted   O
to   O
Portneuf   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
5/02/2077   B-DATE
with   O
a   O
history   O
of   O
progressively   O
worsening   O
dyspnea   O
,   O
productive   O
cough   O
with   O
greenish   O
sputum   O
,   O
and   O
intermittent   O
fever   O
reaching   O
up   O
to   O
38.5   O
°   O
C   O
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Heath   B-NAME
,   O
noted   O
wheezing   O
and   O
crackles   O
upon   O
auscultation   O
,   O
concentrated   O
in   O
the   O
lower   O
lobes   O
of   O
the   O
lungs   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
provided   O
under   O
the   O
record   O
number   O
92787376   B-ID
and   O
verified   O
with   O
their   O
ID   O
45794   B-ID
,   O
includes   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
lisinopril   O
.   O

A   O
review   O
of   O
Richards   B-NAME
's   O
social   O
history   O
,   O
including   O
occupation   O
details   O
as   O
Statistician   O
and   O
any   O
recent   O
lifestyle   O
changes   O
,   O
did   O
not   O
reveal   O
any   O
significant   O
risk   O
factors   O
for   O
their   O
current   O
presentation   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Dwayne   B-NAME
Huerta   I-NAME
to   O
reassess   O
the   O
patient   O
's   O
progress   O
.   O

The   O
patient   O
and   O
Irish   B-LOCATION
National   I-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Organisation   I-LOCATION
were   O
informed   O
of   O
discharge   O
instructions   O
through   O
contact   O
number   O
968   B-CONTACT
-   I-CONTACT
436   I-CONTACT
2136   I-CONTACT
and   O
email   O
associated   O
with   O
username   O
gpc993   B-NAME
.   O

Due   O
to   O
the   O
nature   O
of   O
Brice   B-NAME
Miller   I-NAME
's   O
profession   O
,   O
recommendations   O
were   O
provided   O
on   O
workplace   O
modifications   O
to   O
reduce   O
the   O
risk   O
of   O
future   O
respiratory   O
infections   O
.   O

The   O
patient   O
,   O
Sparta   B-NAME
,   O
a   O
35s   O
-   O
year   O
-   O
old   O
Manicurists   O
and   O
Pedicurists   O
from   O
Citrus   B-LOCATION
Springs   I-LOCATION
,   O
81724   B-LOCATION
,   O
presented   O
to   O
Lancaster   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
on   O
3/29/2246   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
two   O
weeks   O
.   O

According   O
to   O
Nicholas   B-NAME
Garrigan   I-NAME
,   O
the   O
symptoms   O
gradually   O
escalated   O
,   O
leading   O
to   O
significant   O
discomfort   O
and   O
reduced   O
physical   O
activity   O
.   O

On   O
examination   O
,   O
Becker   B-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.5   O
°   O
C   O
,   O
with   O
a   O
resting   O
heart   O
rate   O
of   O
98   O
bpm   O
.   O

Huber   B-NAME
provided   O
a   O
medical   O
history   O
of   O
asthma   O
and   O
seasonal   O
allergies   O
.   O

Laboratory   O
investigations   O
ordered   O
by   O
Delaney   B-NAME
Powell   I-NAME
included   O
a   O
complete   O
blood   O
count   O
,   O
which   O
showed   O
elevated   O
white   O
blood   O
cells   O
,   O
primarily   O
neutrophils   O
,   O
consistent   O
with   O
an   O
acute   O
infection   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
findings   O
,   O
Ruben   B-NAME
Moses   I-NAME
diagnosed   O
Kimball   B-NAME
Lukas   I-NAME
Abraham   I-NAME
with   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Callum   B-NAME
Best   I-NAME
was   O
advised   O
rest   O
,   O
hydration   O
,   O
and   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
for   O
11/14   B-DATE
.   O

For   O
further   O
management   O
,   O
Elisa   B-NAME
Snow   I-NAME
provided   O
Christmas   B-NAME
Jones   I-NAME
with   O
educational   O
materials   O
on   O
pneumonia   O
,   O
emphasizing   O
the   O
importance   O
of   O
medication   O
adherence   O
and   O
recognizing   O
signs   O
of   O
worsening   O
symptoms   O
.   O

McGoohan   B-NAME
,   I-NAME
Patrick   I-NAME
's   O
140   B-CONTACT
-   I-CONTACT
711   I-CONTACT
-   I-CONTACT
2113   I-CONTACT
and   O
484   B-ID
-   I-ID
64   I-ID
-   I-ID
62   I-ID
-   I-ID
9   I-ID
were   O
updated   O
in   O
our   O
system   O
to   O
ensure   O
seamless   O
communication   O
and   O
follow   O
-   O
up   O
.   O

Subsequent   O
to   O
initial   O
treatment   O
,   O
Cassidy   B-NAME
Pope   I-NAME
's   O
condition   O
showed   O
marked   O
improvement   O
.   O

By   O
the   O
follow   O
-   O
up   O
appointment   O
on   O
10/58   B-DATE
,   O
symptoms   O
had   O
significantly   O
resolved   O
,   O
and   O
Holmes   B-NAME
reported   O
feeling   O
much   O
better   O
.   O

Patient   O
:   O
Briana   B-NAME
Hampton   I-NAME
Medical   O
Record   O
Number   O
:   O
775   B-ID
-   I-ID
53   I-ID
-   I-ID
99   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
23/28/32   B-DATE
Age   O
:   O
8   O
Doctor   O
:   O

Valorie   B-NAME
Mcnair   I-NAME
Admitting   O
Hospital   O
:   O
Delta   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Belden   B-LOCATION
Phone   O
:   O
332   B-CONTACT
-   I-CONTACT
742   I-CONTACT
-   I-CONTACT
8884   I-CONTACT
ID   O
Number   O
:   O
FR:16365:115713   B-ID

Zip   O
Code   O
:   O
33776   B-LOCATION
Employment   O
:   O
Philosophy   O
and   O
Religion   O
Teachers   O
,   O
Postsecondary   O
Username   O
:   O
jti845   B-NAME
Admission   O
Date   O
:   O

03/21   B-DATE
Discharge   O
Date   O
:   O
04/12/2146   B-DATE
Chief   O
Complaint   O
:   O
Paul   B-NAME
Turner   I-NAME
presented   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
29/05   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
multiple   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
12   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Charlie   B-NAME
Nichols   I-NAME
,   O
a   O
previously   O
healthy   O
individual   O
with   O
a   O
history   O
of   O
occasional   O
gastritis   O
,   O
reports   O
the   O
abrupt   O
onset   O
of   O
symptoms   O
early   O
in   O
the   O
morning   O
of   O
6/47   B-DATE
.   O

Rush   B-NAME
denies   O
any   O
bowel   O
habit   O
changes   O
or   O
urinary   O
symptoms   O
.   O

Social   O
History   O
:   O
Bono   B-NAME
works   O
as   O
a   O
Directory   O
Assistance   O
Operators   O
in   O
Wichita   B-LOCATION
and   O
denies   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Review   O
of   O
Systems   O
:   O
-   O
General   O
:   O
Mild   O
fever   O
,   O
fatigue   O
-   O
Cardiovascular   O
:   O
No   O
chest   O
pain   O
,   O
no   O
palpitations   O
-   O
Respiratory   O
:   O
No   O
cough   O
or   O
difficulty   O
breathing   O
-   O
GI   O
:   O
Nausea   O
,   O
vomiting   O
,   O
described   O
above   O
,   O
no   O
diarrhea   O
,   O
no   O
blood   O
in   O
vomit   O
or   O
stool   O
-   O
GU   O
:   O
No   O
dysuria   O
or   O
hematuria   O
-   O
Musculoskeletal   O
:   O
No   O
recent   O
trauma   O
or   O
injuries   O
Physical   O
Examination   O
:   O
General   O
:   O
Sanford   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
abdominal   O
pain   O
.   O

Jack   B-NAME
Gallagher   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Trace   B-NAME
Todd   I-NAME
and   O
the   O
surgical   O
team   O
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Hospital   I-LOCATION
discussed   O
the   O
case   O
in   O
detail   O
with   O
French   B-NAME
,   O
explaining   O
the   O
procedure   O
's   O
benefits   O
,   O
risks   O
,   O
and   O
expected   O
outcomes   O
.   O

Consent   O
for   O
the   O
surgical   O
procedure   O
was   O
obtained   O
,   O
and   O
Kramer   B-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
0/03/2222   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
07/25   B-DATE
in   O
the   O
surgical   O
clinic   O
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Leach   B-NAME
Patient   O
ID   O
:   O
928083144   B-ID
Medical   O
Record   O
Number   O
:   O
14977163   B-ID
Date   O
of   O
Birth   O
:   O
12/26/40   B-DATE
Age   O
:   O
19s   O
Phone   O
Number   O
:   O
(   B-CONTACT
651   I-CONTACT
)   I-CONTACT
734   I-CONTACT
-   I-CONTACT
3142   I-CONTACT
Address   O
:   O
Huntleigh   B-LOCATION
,   O
23148   B-LOCATION
Occupation   O
:   O

Chefs   O
and   O
Head   O
Cooks   O
Primary   O
Care   O
Physician   O
:   O
Haas   B-NAME
Hospital   O
:   O
Knoxville   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
Presenting   O
Complaint   O
:   O
Vetora   B-NAME
Almgren   I-NAME
presented   O
to   O
the   O
George   B-LOCATION
Washington   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
on   O
22/22   B-DATE
with   O
a   O
rapid   O
onset   O
of   O
severe   O
headache   O
,   O
described   O
as   O
a   O
thunderclap   O
headache   O
,   O
peaking   O
within   O
60   O
seconds   O
.   O

Chakraborty   B-NAME
also   O
reported   O
a   O
brief   O
episode   O
of   O
loss   O
of   O
consciousness   O
immediately   O
before   O
the   O
onset   O
of   O
the   O
headache   O
.   O

Medical   O
History   O
:   O
MARVIN   B-NAME
UTECHT   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
Samara   B-NAME
Jome   I-NAME
is   O
on   O
medication   O
.   O

Belen   B-NAME
Kaufman   I-NAME
denied   O
any   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

On   O
physical   O
examination   O
,   O
Emmly   B-NAME
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Collett   B-NAME
,   I-NAME
Camilla   I-NAME
was   O
admitted   O
to   O
the   O
Neurology   O
unit   O
at   O
Lake   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
for   O
close   O
monitoring   O
and   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Willard   B-NAME
Frisby   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
angiogram   O
on   O
03/05   B-DATE
to   O
elucidate   O
the   O
source   O
of   O
the   O
SAH   O
and   O
plan   O
further   O
management   O
.   O

Brycen   B-NAME
Rivas   I-NAME
's   O
condition   O
has   O
been   O
stable   O
,   O
with   O
improvement   O
noted   O
in   O
headache   O
intensity   O
and   O
overall   O
discomfort   O
.   O

Jessica   B-NAME
Blackwell   I-NAME
For   O
any   O
further   O
information   O
or   O
emergencies   O
,   O
contact   O
Salt   B-LOCATION
Lake   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
771   B-CONTACT
-   I-CONTACT
600   I-CONTACT
-   I-CONTACT
9566   I-CONTACT
.   O

This   O
patient   O
report   O
provides   O
a   O
detailed   O
account   O
of   O
Layne   B-NAME
Day   I-NAME
's   O
presenting   O
symptoms   O
,   O
medical   O
history   O
,   O
examination   O
findings   O
,   O
diagnostic   O
testing   O
,   O
and   O
management   O
plan   O
during   O
the   O
hospital   O
stay   O
.   O

Patient   O
Name   O
:   O
Jordon   B-NAME
Beck   I-NAME
Patient   O
ID   O
:   O
6228716   B-ID
Date   O
of   O
Birth   O
:   O
'   B-DATE
38   I-DATE
Age   O
:   O
39   O
Phone   O
Number   O
:   O
79691   B-CONTACT
Address   O
:   O
Naguabo   B-LOCATION
,   O
42278   B-LOCATION
Primary   O
Physician   O
:   O

Robinson   B-NAME
Admitting   O
Hospital   O
:   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
50836163   B-ID
Date   O
of   O
Admission   O
:   O
Tuesday   B-DATE
Occupation   O
:   O

Shipping   O
,   O
Receiving   O
,   O
and   O
Traffic   O
Clerks   O
Username   O
:   O
mzm799   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Charles   B-NAME
Claver   I-NAME
,   O
presented   O
to   O
Northcrest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
W   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
persisting   O
for   O
three   O
days   O
.   O

Associated   O
symptoms   O
included   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Macrianus   B-NAME
Major   I-NAME
Danver   I-NAME
De   I-NAME
Banzi   I-NAME
Haight   I-NAME
Gilbear   I-NAME
,   O
a   O
47   O
-   O
year   O
-   O
old   O
Solar   O
Photovoltaic   O
Installers   O
from   O
Wotton   B-LOCATION
-   I-LOCATION
under   I-LOCATION
-   I-LOCATION
Edge   I-LOCATION
,   O
reports   O
the   O
pain   O
initially   O
began   O
as   O
a   O
dull   O
ache   O
and   O
gradually   O
intensified   O
.   O

Additionally   O
,   O
Genet   B-NAME
,   I-NAME
Jean   I-NAME
mentioned   O
experiencing   O
similar   O
,   O
albeit   O
milder   O
,   O
episodes   O
in   O
the   O
past   O
year   O
but   O
did   O
not   O
seek   O
medical   O
attention   O
.   O

Past   O
Medical   O
History   O
:   O
Zion   B-NAME
Olsen   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
surgical   O
history   O
.   O

Turk   B-NAME
does   O
not   O
smoke   O
,   O
occasionally   O
consumes   O
alcohol   O
,   O
and   O
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Elias   B-NAME
Mercado   I-NAME
was   O
afebrile   O
with   O
a   O
temperature   O
of   O
37.2   O
°   O
C   O
(   O
99   O
°   O
F   O
)   O
,   O
heart   O
rate   O
of   O
88   O
beats   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Skylar   B-NAME
Ford   I-NAME
on   O
05/30   B-DATE
,   O
revealed   O
inflammation   O
of   O
the   O
appendix   O
,   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Given   O
the   O
findings   O
,   O
the   O
surgical   O
team   O
at   O
Texas   B-LOCATION
Health   I-LOCATION
Huguley   I-LOCATION
Hospital   I-LOCATION
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Mccann   B-NAME
was   O
informed   O
of   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
provided   O
informed   O
consent   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
03/22/49   B-DATE
without   O
complications   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Lanette   B-NAME
Hottinger   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Wilkerson   B-NAME
in   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
monitor   O
recovery   O
progress   O
.   O

OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
was   O
encouraged   O
to   O
maintain   O
regular   O
check   O
-   O
ups   O
and   O
to   O
adhere   O
to   O
a   O
healthy   O
lifestyle   O
to   O
prevent   O
potential   O
complications   O
.   O

Prepared   O
by   O
:   O
Lambert   B-NAME
Reviewed   O
by   O
:   O
Ezequiel   B-NAME
Adams   I-NAME
January   B-DATE
20   I-DATE
,   I-DATE
2103   I-DATE
Contact   O
Information   O
:   O
(   B-CONTACT
882   I-CONTACT
)   I-CONTACT
662   I-CONTACT
5367   I-CONTACT
Confidentiality   O
Notice   O
:   O

This   O
patient   O
report   O
is   O
intended   O
for   O
use   O
only   O
by   O
Van   B-NAME
Steiner   I-NAME
,   O
Rappahannock   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
authorized   O
healthcare   O
providers   O
.   O

Patient   O
Report   O
for   O
Yoselin   B-NAME
Briggs   I-NAME
General   O
Information   O
:   O
0/0/00   B-DATE
/2023   O
Patient   O
ID   O
:   O
FH:37331:9801000   B-ID
Medical   O
Record   O
Number   O
:   O
823   B-ID
-   I-ID
03   I-ID
-   I-ID
31   I-ID
Admitting   O
Physician   O
:   O
Hubbard   B-NAME
,   I-NAME
Kin   I-NAME
(   I-NAME
Frank   I-NAME
McKinney   I-NAME
Hubbard   I-NAME
)   I-NAME

Treating   O
Facility   O
:   O
Atrium   B-LOCATION
Health   I-LOCATION
Kannapolis   I-LOCATION
Location   O
:   O
Stewardson   B-LOCATION
,   O
79485   B-LOCATION
Contact   O
Number   O
:   O
231   B-CONTACT
-   I-CONTACT
3212   I-CONTACT
Summary   O
:   O
Kurti   B-NAME
,   I-NAME
Nicholas   I-NAME
,   O
a   O
0   O
-   O
year   O
-   O
old   O
physician   O
's   O
assistant   O
,   O
presented   O
to   O
Vassar   B-LOCATION
Brothers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
6th   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
persistent   O
nausea   O
without   O
vomiting   O
for   O
the   O
past   O
48   O
hours   O
.   O

Medical   O
History   O
:   O
Lincoln   B-NAME
Stein   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypercholesterolemia   O
and   O
was   O
previously   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
mellitus   O
.   O

Milne   B-NAME
,   I-NAME
A.A.   I-NAME
is   O
currently   O
on   O
medication   O
for   O
diabetes   O
,   O
metformin   O
500   O
mg   O
twice   O
daily   O
,   O
and   O
atorvastatin   O
20   O
mg   O
at   O
night   O
for   O
cholesterol   O
management   O
.   O

Inge   B-NAME
's   O
vital   O
signs   O
upon   O
admission   O
were   O
as   O
follows   O
:   O
Blood   O
pressure   O
at   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
at   O
102   O
bpm   O
,   O
respiratory   O
rate   O
at   O
19   O
bpm   O
,   O
and   O
a   O
temperature   O
of   O
37.8   O
°   O
C   O
(   O
100   O
°   O
F   O
)   O
.   O

The   O
treatment   O
plan   O
initiated   O
for   O
Paul   B-NAME
N.   I-NAME
Tam   I-NAME
included   O
intravenous   O
fluid   O
hydration   O
,   O
pain   O
management   O
with   O
acetaminophen   O
,   O
and   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
.   O

A   O
consultation   O
with   O
Stein   B-NAME
,   O
a   O
gastroenterologist   O
at   O
Tenet   B-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
,   O
has   O
been   O
scheduled   O
for   O
26/32/2373   B-DATE
to   O
evaluate   O
the   O
need   O
for   O
an   O
endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
or   O
potential   O
cholecystectomy   O
.   O

Plan   O
for   O
Follow   O
-   O
Up   O
:   O
Stoppard   B-NAME
,   I-NAME
Tom   I-NAME
will   O
remain   O
under   O
observation   O
in   O
Havenwyck   B-LOCATION
Hospital   I-LOCATION
with   O
scheduled   O
re   O
-   O
evaluations   O
by   O
the   O
gastroenterology   O
team   O
.   O

A   O
dietary   O
consult   O
has   O
also   O
been   O
arranged   O
to   O
assist   O
Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
with   O
diabetes   O
-   O
friendly   O
,   O
pancreatitis   O
-   O
conscious   O
meal   O
planning   O
upon   O
discharge   O
.   O

Marianna   B-NAME
Mack   I-NAME
has   O
been   O
advised   O
to   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
new   O
symptoms   O
immediately   O
.   O

Contact   O
Information   O
:   O
Should   O
Gratian   B-NAME
or   O
their   O
family   O
have   O
any   O
concerns   O
or   O
require   O
further   O
clarification   O
,   O
they   O
are   O
encouraged   O
to   O
contact   O
SHEA   B-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
's   O
patient   O
care   O
line   O
at   O
50947   B-CONTACT
.   O

Patient   O
Report   O
for   O
Craft   B-NAME
Summary   O
:   O
30/21   B-DATE
/2023   O
,   O
Patañjali   B-NAME
,   O
a   O
68   O
-   O
year   O
-   O
old   O
Data   O
Entry   O
Keyers   O
from   O
Moses   B-LOCATION
Lake   I-LOCATION
,   O
was   O
admitted   O
to   O
Stringfellow   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
presenting   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
fever   O
.   O

Additionally   O
,   O
Russell   B-NAME
,   I-NAME
Bertrand   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
12/03/2041   B-DATE
.   O

Medical   O
History   O
:   O
Angel   B-NAME
Cawthorne   I-NAME
has   O
a   O
known   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
a   O
combination   O
of   O
ACE   O
inhibitors   O
and   O
diuretics   O
.   O

Family   O
medical   O
history   O
is   O
significant   O
for   O
colorectal   O
cancer   O
in   O
Havok   B-NAME
,   I-NAME
Davey   I-NAME
's   O
sibling   O
at   O
the   O
age   O
of   O
20   O
.   O

Ingenuus   B-NAME
denies   O
any   O
known   O
drug   O
allergies   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Moore   B-NAME
,   I-NAME
Alan   I-NAME
noted   O
Lionus   B-NAME
McAnaw   I-NAME
's   O
temperature   O
was   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
was   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
.   O

Aguilar   B-NAME
ordered   O
a   O
complete   O
blood   O
count   O
,   O
which   O
revealed   O
leukocytosis   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
that   O
suggested   O
appendicitis   O
with   O
no   O
signs   O
of   O
perforation   O
.   O
Treatment   O
and   O
Management   O
:   O

Arellano   B-NAME
diagnosed   O
Lurline   B-NAME
van   I-NAME
Heppel   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Mark   B-NAME
Brandt   I-NAME
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
performed   O
on   O
02/02/81   B-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Hector   B-NAME
Faulkner   I-NAME
was   O
advised   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
schedule   O
.   O

Angeline   B-NAME
Barajas   I-NAME
was   O
discharged   O
on   O
13/20   B-DATE
with   O
prescriptions   O
for   O
oral   O
antibiotics   O
and   O
analgesics   O
.   O

Follow   O
-   O
Up   O
:   O
Nunes   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Morse   B-NAME
at   O
Enloe   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/15/64   B-DATE
.   O

Additionally   O
,   O
a   O
referral   O
has   O
been   O
made   O
to   O
a   O
dietitian   O
to   O
discuss   O
dietary   O
modifications   O
to   O
manage   O
Robert   B-NAME
's   O
diabetes   O
more   O
effectively   O
.   O

Roosevelt   B-NAME
,   I-NAME
Eleanor   I-NAME
was   O
also   O
encouraged   O
to   O
maintain   O
regular   O
check   O
-   O
ups   O
with   O
the   O
primary   O
care   O
provider   O
to   O
closely   O
monitor   O
and   O
manage   O
blood   O
pressure   O
and   O
blood   O
glucose   O
levels   O
.   O

For   O
any   O
queries   O
or   O
urgent   O
concerns   O
,   O
Ali   B-NAME
Norman   I-NAME
can   O
contact   O
Grand   B-LOCATION
Mountain   I-LOCATION
Clinic   I-LOCATION
's   O
General   O
Surgery   O
Department   O
at   O
858   B-CONTACT
-   I-CONTACT
778   I-CONTACT
-   I-CONTACT
9094   I-CONTACT
.   O

In   O
the   O
case   O
of   O
an   O
emergency   O
,   O
Rowan   B-NAME
Suarez   I-NAME
is   O
advised   O
to   O
contact   O
emergency   O
medical   O
services   O
immediately   O
.   O

This   O
patient   O
report   O
contains   O
confidential   O
information   O
concerning   O
Amaris   B-NAME
Klein   I-NAME
's   O
health   O
history   O
and   O
should   O
be   O
treated   O
as   O
sensitive   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
at   O
967   B-CONTACT
-   I-CONTACT
1162   I-CONTACT
and   O
delete   O
the   O
original   O
message   O
and   O
any   O
copy   O
of   O
it   O
from   O
your   O
computer   O
system   O
.   O

Report   O
Compiled   O
By   O
:   O
oc241   B-NAME
0/22   B-DATE
/2023   O
Barnes   B-LOCATION
Banking   I-LOCATION
Company   I-LOCATION
Seal   O
7565013   B-ID
:   O
2409362   B-ID
74978   B-LOCATION
:   O
80692   B-LOCATION
Hustisford   B-LOCATION
,   O
00/22   B-DATE

Patient   O
:   O
Agustin   B-NAME
Jefferson   I-NAME
DOB   O
:   O
07/19/1641   B-DATE
MRN   O
:   O
184   B-ID
-   I-ID
95   I-ID
-   I-ID
11   I-ID
Date   O
of   O
Visit   O
:   O
1/23   B-DATE
Physician   O
:   O

Mccormick   B-NAME
Hospital   O
:   O
Ocean   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Pompano   B-LOCATION
Beach   I-LOCATION
,   I-LOCATION
FL   I-LOCATION
33065   I-LOCATION
Contact   O
Number   O
:   O
762   B-CONTACT
-   I-CONTACT
6336   I-CONTACT
Occupation   O
:   O
Investment   O
Underwriters   O
ID   O
:   O
FN495/6321   B-ID
Chief   O
Complaint   O
:   O
Lacie   B-NAME
Douglas   I-NAME
,   O
a   O
7   O
-   O
year   O
-   O
old   O
Photoengravers   O
from   O
Aneta   B-LOCATION
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presents   O
to   O
McLaren   B-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
complaining   O
of   O
severe   O
,   O
sharp   O
,   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
ago   O
.   O

Ken   B-NAME
Martin   I-NAME
denies   O
any   O
recent   O
trauma   O
to   O
the   O
abdomen   O
.   O

Works   O
as   O
a   O
Healthcare   O
Practitioners   O
and   O
Technical   O
Workers   O
,   O
All   O
Other   O
and   O
lives   O
in   O
Richmond   B-LOCATION
.   O

Dotson   B-NAME
appears   O
uncomfortable   O
,   O
lying   O
still   O
in   O
bed   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
supporting   O
ultrasound   O
findings   O
,   O
Susy   B-NAME
Babineau   I-NAME
is   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Mateo   B-NAME
Mercado   I-NAME
recommends   O
an   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Bianca   B-NAME
Garza   I-NAME
's   O
condition   O
is   O
discussed   O
with   O
Quinton   B-NAME
Quintela   I-NAME
,   O
and   O
informed   O
consent   O
for   O
surgery   O
is   O
obtained   O
.   O

Plans   O
for   O
postoperative   O
care   O
and   O
follow   O
-   O
up   O
in   O
Torrance   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
are   O
also   O
discussed   O
.   O

Aditya   B-NAME
Lawson   I-NAME
's   O
Notes   O
:   O
Surgery   O
carried   O
out   O
on   O
08/06/1899   B-DATE
was   O
successful   O
without   O
complications   O
.   O

Yoder   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
is   O
currently   O
recovering   O
.   O

Discharge   O
planning   O
and   O
postoperative   O
instructions   O
,   O
including   O
activity   O
restrictions   O
and   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
have   O
been   O
provided   O
to   O
Malika   B-NAME
Ebbesen   I-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
32/20   B-DATE
in   O
Baypointe   B-LOCATION
Hospital   I-LOCATION
to   O
assess   O
recovery   O
progress   O
.   O

Please   O
call   O
69679   B-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
.   O

HH853   B-NAME

Patient   O
Report   O
for   O
Friedman   B-NAME
,   I-NAME
Milton   I-NAME
39/02   B-DATE
/2023   O
Patient   O
Information   O
:   O
-   O
Age   O
:   O
45   O
-   O
ID   O
:   O
21393   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
75938560   B-ID
-   O
Location   O
:   O
Bearden   B-LOCATION
,   O
79876   B-LOCATION
Chief   O
Complaint   O
:   O
Bruce   B-NAME
D.   I-NAME
Brian   I-NAME
presented   O
to   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Buffalo   I-LOCATION
on   O
'   B-DATE
31   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
101.3   O
°   O
F   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Upon   O
presentation   O
,   O
Upshur   B-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
.   O

Jacobson   B-NAME
,   I-NAME
Isaiah   I-NAME
Peter   I-NAME
,   O
a   O
Healthcare   O
Social   O
Workers   O
,   O
mentioned   O
the   O
inability   O
to   O
perform   O
regular   O
duties   O
due   O
to   O
the   O
discomfort   O
.   O

Giovanna   B-NAME
denied   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
consumption   O
.   O

Past   O
Medical   O
History   O
:   O
Adams   B-NAME
,   I-NAME
John   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
managed   O
with   O
medication   O
and   O
diet   O
modifications   O
.   O

In   O
addition   O
to   O
the   O
chief   O
complaint   O
,   O
Lucien   B-NAME
Dubenko   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
2191   B-DATE
-   I-DATE
14   I-DATE
-   I-DATE
03   I-DATE
days   O
.   O

Diagnostic   O
Testing   O
:   O
An   O
abdominal   O
ultrasound   O
performed   O
on   O
12/08   B-DATE
indicated   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

The   O
findings   O
were   O
discussed   O
with   O
Norman   B-NAME
X.   I-NAME
Jewett   I-NAME
by   O
Charlize   B-NAME
Campos   I-NAME
.   O

Lurline   B-NAME
Maxim   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
11/16   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Joesph   B-NAME
will   O
be   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
Caesar   B-NAME
,   I-NAME
Julius   I-NAME
's   O
recovery   O
process   O
.   O

Chanel   B-NAME
Hurley   I-NAME
was   O
instructed   O
to   O
contact   O
Sparrow   B-LOCATION
Hospital   I-LOCATION
at   O
67550   B-CONTACT
if   O
there   O
are   O
any   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O
Instructions   O
for   O
Tabeathah   B-NAME
Leasher   I-NAME
:   O
-   O
Maintain   O
hydration   O
and   O
adhere   O
to   O
the   O
post   O
-   O
operative   O
diet   O
as   O
advised   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Curtis   B-NAME
,   O
and   O
all   O
inquiries   O
should   O
be   O
directed   O
to   O
15507   B-CONTACT
or   O
via   O
the   O
patient   O
portal   O
username   O
fnc426   B-NAME
.   O

Patient   O
Name   O
:   O
Gladys   B-NAME
Kupiec   I-NAME
Patient   O
ID   O
:   O
KY316/6212   B-ID
Medical   O
Record   O
Number   O
:   O
467   B-ID
-   I-ID
70   I-ID
-   I-ID
81   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Birth   O
:   O
28   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
2031   I-DATE
Age   O
:   O
74   O
Phone   O
Number   O
:   O
344   B-CONTACT
3349   I-CONTACT
Address   O
:   O
Texas   B-LOCATION
,   O
97895   B-LOCATION
Attending   O
Physician   O
:   O

Hilton   B-NAME
Elgin   I-NAME
Hospital   O
:   O
Sts   B-LOCATION
.   I-LOCATION
Mary   B-LOCATION
&   I-LOCATION
Elizabeth   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
31/13/2082   B-DATE
Occupation   O
:   O
Receptionists   O
and   O
Information   O
Clerks   O
Referred   O
by   O
:   O
Atlantic   B-LOCATION
City   I-LOCATION
Electric   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
Clinical   O
Report   O
:   O
Alia   B-NAME
Bernard   I-NAME
presented   O
to   O
Alaska   B-LOCATION
Native   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/14/25   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
dry   O
cough   O
,   O
and   O
difficulty   O
breathing   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

Lamont   B-NAME
Romero   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
shortness   O
of   O
breath   O
after   O
minimal   O
physical   O
exertion   O
.   O

Upon   O
examination   O
,   O
Fuller   B-NAME
,   O
a   O
57   O
-   O
year   O
-   O
old   O
Tool   O
Grinders   O
,   O
Filers   O
,   O
and   O
Sharpeners   O
,   O
exhibited   O
signs   O
of   O
respiratory   O
distress   O
including   O
tachypnea   O
and   O
use   O
of   O
accessory   O
muscles   O
.   O

Kristian   B-NAME
Galvan   I-NAME
has   O
a   O
history   O
of   O
controlled   O
asthma   O
and   O
is   O
a   O
nonsmoker   O
.   O

A   O
detailed   O
medical   O
history   O
obtained   O
from   O
Gates   B-NAME
,   I-NAME
Bill   I-NAME
highlighted   O
no   O
recent   O
travels   O
or   O
exposure   O
to   O
known   O
allergens   O
.   O

Macrinus   B-NAME
Oberdick   I-NAME
's   O
medications   O
upon   O
admission   O
included   O
a   O
rescue   O
inhaler   O
(   O
albuterol   O
)   O
,   O
which   O
[   O
HE   O
/   O
SHE   O
]   O
reported   O
using   O
more   O
frequently   O
over   O
the   O
last   O
week   O
without   O
significant   O
relief   O
.   O

The   O
attending   O
physician   O
,   O
Trudeau   B-NAME
,   I-NAME
Pierre   I-NAME
,   O
recommended   O
the   O
initiation   O
of   O
an   O
inhaled   O
corticosteroid   O
combined   O
with   O
a   O
long   O
-   O
acting   O
beta   O
agonist   O
to   O
manage   O
Karey   B-NAME
McGinnity   I-NAME
's   O
asthma   O
symptoms   O
.   O

Vanessa   B-NAME
Lopez   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
avoiding   O
known   O
triggers   O
and   O
proper   O
inhaler   O
technique   O
by   O
the   O
respiratory   O
therapy   O
department   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
within   O
two   O
weeks   O
to   O
reassess   O
Maia   B-NAME
Shepard   I-NAME
's   O
response   O
to   O
the   O
new   O
treatment   O
regimen   O
.   O

In   O
summary   O
,   O
Chase   B-NAME
,   O
a   O
2   O
-   O
year   O
-   O
old   O
Clergy   O
,   O
presents   O
with   O
worsening   O
of   O
asthma   O
symptoms   O
,   O
characterized   O
by   O
persistent   O
cough   O
,   O
difficulty   O
breathing   O
,   O
and   O
decreased   O
oxygen   O
saturation   O
.   O

The   O
treatment   O
plan   O
includes   O
adjustment   O
of   O
asthma   O
medication   O
and   O
close   O
monitoring   O
of   O
Terrence   B-NAME
's   O
lung   O
function   O
.   O

For   O
any   O
inquiries   O
or   O
appointment   O
rescheduling   O
,   O
please   O
contact   O
our   O
office   O
at   O
566   B-CONTACT
-   I-CONTACT
141   I-CONTACT
-   I-CONTACT
4543   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Hatshepsut   B-NAME
Age   O
:   O
10   O
week   O
Date   O
of   O
Birth   O
:   O
01/15   B-DATE
Medical   O
Record   O
Number   O
:   O
99770827   B-ID
Address   O
:   O
Conestoga   B-LOCATION
,   O
96538   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
754   I-CONTACT
)   I-CONTACT
939   I-CONTACT
-   I-CONTACT
8737   I-CONTACT
Physician   O
:   O

Rojas   B-NAME
Employer   O
:   O
Eurobank   B-LOCATION
Occupation   O
:   O
Electronic   O
Drafters   O
Patient   O
ID   O
:   O
PI683/8994   B-ID
Date   O
of   O
Visit   O
:   O
14/22   B-DATE
Hospital   O
:   O

Sutter   B-LOCATION
Davis   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Ellen   B-NAME
Burgess   I-NAME
,   O
a   O
95   O
-   O
year   O
-   O
old   O
Surveying   O
Technicians   O
from   O
Alpine   B-LOCATION
,   O
presented   O
to   O
Sutter   B-LOCATION
Solano   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
15/10   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
a   O
fever   O
peaking   O
at   O
38.5   O
°   O
C   O
measured   O
at   O
home   O
.   O

Abagail   B-NAME
Donovan   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

However   O
,   O
Victor   B-NAME
Tolbert   I-NAME
mentioned   O
working   O
in   O
a   O
crowded   O
Georgetown   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
office   O
setting   O
with   O
poor   O
ventilation   O
.   O

Upon   O
examination   O
,   O
Dean   B-NAME
noticed   O
that   O
Kellsie   B-NAME
appeared   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
/   O
min   O
and   O
exhibited   O
mild   O
cyanosis   O
of   O
the   O
lips   O
.   O

Given   O
the   O
clinical   O
and   O
radiographic   O
findings   O
,   O
Bowman   B-NAME
initiated   O
empiric   O
antibiotic   O
therapy   O
targeting   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Additionally   O
,   O
Ziemba   B-NAME
was   O
advised   O
to   O
maintain   O
strict   O
isolation   O
given   O
the   O
current   O
symptomatology   O
and   O
the   O
ongoing   O
assessment   O
for   O
potential   O
COVID-19   O
,   O
pending   O
the   O
results   O
of   O
the   O
PCR   O
test   O
sent   O
during   O
the   O
visit   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
for   O
26/20/2180   B-DATE
via   O
a   O
telehealth   O
consultation   O
to   O
review   O
the   O
response   O
to   O
treatment   O
and   O
discuss   O
the   O
results   O
of   O
the   O
COVID-19   O
test   O
.   O

Sosa   B-NAME
also   O
recommended   O
that   O
Jami   B-NAME
Dedrick   I-NAME
engage   O
in   O
home   O
monitoring   O
of   O
oxygen   O
levels   O
using   O
a   O
pulse   O
oximeter   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
worsening   O
symptoms   O
,   O
such   O
as   O
difficulty   O
breathing   O
or   O
a   O
significant   O
drop   O
in   O
oxygen   O
saturation   O
below   O
92   O
%   O
.   O

Furthermore   O
,   O
Rey   B-NAME
Meadows   I-NAME
was   O
provided   O
with   O
the   O
52220   B-CONTACT
number   O
of   O
the   O
Pennsylvania   B-LOCATION
Psychiatric   I-LOCATION
Institute   I-LOCATION
COVID-19   O
hotline   O
for   O
any   O
queries   O
or   O
concerns   O
during   O
the   O
isolation   O
period   O
.   O

Conclusion   O
:   O
Mcbride   B-NAME
demonstrated   O
symptoms   O
suggestive   O
of   O
community   O
-   O
acquired   O
pneumonia   O
with   O
a   O
differential   O
diagnosis   O
of   O
COVID-19   O
.   O

Aryan   B-NAME
Hatfield   I-NAME
was   O
advised   O
on   O
follow   O
-   O
up   O
care   O
,   O
home   O
monitoring   O
,   O
and   O
the   O
significance   O
of   O
isolation   O
to   O
prevent   O
the   O
spread   O
of   O
infection   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Vasquez   B-NAME
on   O
12/01/2206   B-DATE
and   O
is   O
saved   O
under   O
791   B-ID
74   I-ID
39   I-ID
2   I-ID
.   O

For   O
any   O
correspondence   O
regarding   O
this   O
patient   O
,   O
please   O
refer   O
to   O
the   O
above   O
patient   O
ID   O
or   O
contact   O
Virginia   B-LOCATION
Gay   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Vinton   I-LOCATION
at   O
225   B-CONTACT
-   I-CONTACT
727   I-CONTACT
4280   I-CONTACT
.   O

Patient   O
Name   O
:   O
Sullivan   B-NAME
Pitts   I-NAME
Patient   O
ID   O
:   O
YD:45011:239773   B-ID
Medical   O
Record   O
Number   O
:   O
794   B-ID
94   I-ID
39   I-ID
Age   O
:   O
87   O
Date   O
of   O
Birth   O
:   O
22/96   B-DATE
Phone   O
Number   O
:   O
44997   B-CONTACT
Address   O
:   O
Paddock   B-LOCATION
Wood   I-LOCATION
,   O
54878   B-LOCATION
Primary   O
Care   O
Physician   O
:   O
Branch   B-NAME
Date   O
of   O
Report   O
:   O
Thursday   B-DATE
Location   O
of   O
Visit   O
:   O
York   B-LOCATION
Hospital   I-LOCATION
,   O
Creswell   B-LOCATION
Chief   O
Complaint   O
:   O
Ulises   B-NAME
Lopez   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
33/07   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
-   O
onset   O
,   O
severe   O
lower   O
abdominal   O
pain   O
beginning   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Assessment   O
/   O
Plan   O
:   O
Terrance   B-NAME
Love   I-NAME
was   O
admitted   O
for   O
observation   O
under   O
the   O
care   O
of   O
Vaughan   B-NAME
at   O
Forest   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
for   O
suspected   O
small   O
bowel   O
obstruction   O
and   O
possible   O
infectious   O
colitis   O
.   O

Informed   O
Consent   O
:   O
Miller   B-NAME
,   I-NAME
Arthur   I-NAME
provided   O
verbal   O
and   O
written   O
informed   O
consent   O
for   O
treatment   O
after   O
thorough   O
explanation   O
of   O
the   O
diagnostic   O
and   O
treatment   O
plan   O
by   O
Aubrey   B-NAME
Hattaway   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Nicks   B-NAME
,   I-NAME
Stevie   I-NAME
with   O
Romeo   B-NAME
Pennington   I-NAME
in   O
Cannonville   B-LOCATION
at   O
Presbyterian   B-LOCATION
Rust   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/29/1881   B-DATE
for   O
re   O
-   O
evaluation   O
and   O
review   O
of   O
diagnostic   O
tests   O
.   O

Stop   B-LOCATION
Sequani   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SSAT   I-LOCATION
)   I-LOCATION
and   O
WC440   B-NAME
were   O
listed   O
as   O
contacts   O
for   O
potential   O
enrollment   O
in   O
a   O
study   O
related   O
to   O
abdominal   O
pain   O
etiologies   O
,   O
with   O
Kadyn   B-NAME
Garza   I-NAME
's   O
verbal   O
consent   O
obtained   O
for   O
future   O
contact   O
.   O

Conclusion   O
:   O
Upon   O
evaluation   O
,   O
Yousif   B-NAME
,   O
a   O
81   O
-   O
year   O
-   O
old   O
Fitters   O
,   O
Structural   O
Metal-   O
Precision   O
,   O
was   O
admitted   O
with   O
acute   O
lower   O
abdominal   O
pain   O
and   O
a   O
preliminary   O
diagnosis   O
of   O
small   O
bowel   O
obstruction   O
and   O
possible   O
infectious   O
colitis   O
.   O

Patient   O
Name   O
:   O
Koop   B-NAME
,   I-NAME
C.   I-NAME
Everett   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
8890685   I-ID
Medical   O
Record   O
Number   O
:   O
734   B-ID
-   I-ID
33   I-ID
-   I-ID
59   I-ID
Date   O
of   O
Birth   O
:   O
November   B-DATE
26   I-DATE
Age   O
:   O
95   O
Address   O
:   O
Brookfield   B-LOCATION
Center   I-LOCATION
,   O
35341   B-LOCATION
Phone   O
:   O
126   B-CONTACT
-   I-CONTACT
7005   I-CONTACT

Mckenzie   B-NAME
Admission   O
Date   O
:   O
21/29   B-DATE
Hospital   O
:   O

Methodist   B-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O
Police   O
Identification   O
and   O
Records   O
Officers   O
Username   O
:   O
wdz66   B-NAME
Chief   O
Complaint   O
:   O
Jodee   B-NAME
Grossklaus   I-NAME
was   O
admitted   O
to   O
Salina   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
10/01   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Cunningham   B-NAME
,   I-NAME
Ward   I-NAME
,   O
a   O
27   O
-   O
year   O
-   O
old   O
Construction   O
Carpenters   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Moab   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
describing   O
the   O
pain   O
as   O
sudden   O
in   O
onset   O
,   O
sharp   O
,   O
and   O
persistently   O
worsening   O
.   O

Social   O
History   O
:   O
Suzann   B-NAME
Nozick   I-NAME
denies   O
smoking   O
,   O
alcohol   O
use   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Lives   O
in   O
Parkersburg   B-LOCATION
and   O
is   O
employed   O
as   O
a   O
Sound   O
Engineering   O
Technicians   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
abdominal   O
ultrasound   O
performed   O
on   O
1720   B-DATE
revealed   O
gallstones   O
,   O
with   O
no   O
evidence   O
of   O
gallbladder   O
wall   O
thickening   O
or   O
pericholecystic   O
fluid   O
.   O

The   O
working   O
diagnosis   O
for   O
Tyrese   B-NAME
Yoder   I-NAME
is   O
acute   O
pancreatitis   O
likely   O
secondary   O
to   O
gallstones   O
.   O

Follow   O
-   O
up   O
appointments   O
are   O
scheduled   O
with   O
Ward   B-NAME
in   O
Talihina   B-LOCATION
after   O
discharge   O
.   O
Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Camryn   B-NAME
Pollard   I-NAME
is   O
advised   O
to   O
avoid   O
fatty   O
meals   O
and   O
to   O
stick   O
to   O
a   O
clear   O
liquid   O
diet   O
for   O
the   O
following   O
few   O
days   O
,   O
gradually   O
reintroducing   O
solid   O
foods   O
as   O
tolerated   O
.   O

Pain   O
management   O
and   O
any   O
signs   O
of   O
complications   O
such   O
as   O
jaundice   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
fever   O
should   O
be   O
promptly   O
reported   O
to   O
Wesley   B-NAME
Hartman   I-NAME
or   O
the   O
emergency   O
department   O
of   O
Henry   B-LOCATION
Ford   I-LOCATION
Cottage   I-LOCATION
Hospital   I-LOCATION
.   O

In   O
case   O
of   O
emergency   O
,   O
Martin   B-NAME
Arrowsmith   I-NAME
or   O
relatives   O
can   O
contact   O
Ascension   B-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Southfield   I-LOCATION
Campus   I-LOCATION
at   O
98662   B-CONTACT
.   O

Patient   O
Name   O
:   O
George   B-NAME
Dickerson   I-NAME
Patient   O
ID   O
:   O
XG912/8373   B-ID
Medical   O
Record   O
Number   O
:   O
83879448   B-ID
Date   O
of   O
Birth   O
:   O
2/2182   B-DATE
Age   O
:   O
3   O
month   O
Address   O
:   O
Coopersburg   B-LOCATION
,   O
74455   B-LOCATION
Phone   O
Number   O
:   O
385   B-CONTACT
-   I-CONTACT
3557   I-CONTACT
Employment   O
:   O
receptionist   O
at   O
Safe   B-LOCATION
Auto   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Sherman   B-NAME
Hospital   O
:   O
Putnam   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

Hayes   B-NAME
presented   O
to   O
the   O
Bertrand   B-LOCATION
Chaffee   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
on   O
13/26   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
started   O
approximately   O
02/22   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Creola   B-NAME
states   O
the   O
pain   O
originated   O
mildly   O
around   O
the   O
navel   O
area   O
and   O
has   O
since   O
localized   O
to   O
the   O
lower   O
right   O
abdomen   O
,   O
increasing   O
in   O
severity   O
.   O

Christine   B-NAME
Valenzuela   I-NAME
denies   O
any   O
recent   O
injuries   O
or   O
falls   O
that   O
could   O
explain   O
the   O
symptoms   O
.   O

Nixon   B-NAME
,   I-NAME
Richard   I-NAME
is   O
currently   O
on   O
Lisinopril   O
and   O
Atorvastatin   O
.   O

Social   O
History   O
:   O
Vicente   B-NAME
Blair   I-NAME
works   O
as   O
a   O
Concierges   O
at   O
Okefenoke   B-LOCATION
Rural   I-LOCATION
Electric   I-LOCATION
Membership   I-LOCATION
Corporation   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Lives   O
alone   O
in   O
Medicine   B-LOCATION
Lake   I-LOCATION
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
detailed   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
present   O
illness   O
,   O
Levi   B-NAME
Poole   I-NAME
denies   O
any   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
or   O
changes   O
in   O
vision   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Cunningham   B-NAME
,   I-NAME
Ward   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Pending   O
results   O
,   O
surgical   O
consultation   O
with   O
Ayala   B-NAME
will   O
be   O
sought   O
to   O
assess   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Emilie   B-NAME
Pierce   I-NAME
has   O
been   O
made   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
and   O
started   O
on   O
IV   O
fluids   O
and   O
antibiotics   O
to   O
manage   O
infection   O
and   O
support   O
hydration   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Zachary   B-NAME
Smith   I-NAME
,   O
and   O
all   O
inquiries   O
regarding   O
this   O
report   O
should   O
be   O
directed   O
to   O
232   B-CONTACT
-   I-CONTACT
9669   I-CONTACT
at   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Soldiers   I-LOCATION
+   I-LOCATION
Sailors   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
ID   O
:   O
QI:15011:619121   B-ID
Medical   O
Record   O
:   O
96093941   B-ID
Date   O
of   O
Admission   O
:   O
00/16/94   B-DATE
/2023   O
Date   O
of   O
Report   O
:   O
1694   B-DATE
/2023   O
Patient   O
Name   O
:   O

Marisa   B-NAME
Rodriguez   I-NAME
Age   O
:   O
38s   O
Phone   O
Number   O
:   O
521   B-CONTACT
-   I-CONTACT
2723   I-CONTACT
Profession   O
:   O

First   O
-   O
Line   O
Supervisors   O
of   O
Office   O
and   O
Administrative   O
Support   O
Workers   O
Address   O
:   O
Towamensing   B-LOCATION
Trails   I-LOCATION
,   O
36991   B-LOCATION
Referring   O
Physician   O
:   O
Shaun   B-NAME
Simpson   I-NAME
Hospital   O
:   O

Pike   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Presentation   O
:   O
Chasity   B-NAME
Tate   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Texas   B-LOCATION
Health   I-LOCATION
Resources   I-LOCATION
Allen   I-LOCATION
on   O
8/27   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
dyspnea   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Sean   B-NAME
Collins   I-NAME
indicated   O
the   O
symptoms   O
began   O
suddenly   O
approximately   O
two   O
hours   O
prior   O
to   O
admission   O
.   O

Mays   B-NAME
is   O
a   O
known   O
smoker   O
,   O
with   O
a   O
history   O
of   O
hypertension   O
and   O
high   O
cholesterol   O
levels   O
.   O

Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Vance   B-NAME
U.   I-NAME
Arias   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Fulghum   B-NAME
,   I-NAME
Robert   I-NAME
's   O
condition   O
was   O
promptly   O
discussed   O
with   O
the   O
on   O
-   O
call   O
cardiologist   O
,   O
Olson   B-NAME
,   O
and   O
it   O
was   O
decided   O
to   O
proceed   O
with   O
an   O
emergent   O
cardiac   O
catheterization   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
ostrowski   B-NAME
after   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
potential   O
outcomes   O
were   O
explained   O
in   O
detail   O
.   O

The   O
procedure   O
was   O
performed   O
by   O
Carney   B-NAME
at   O
Central   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
5/01   B-DATE
/2023   O
.   O

Post   O
-   O
procedure   O
,   O
Conrad   B-NAME
Mckeehan   I-NAME
's   O
chest   O
pain   O
resolved   O
,   O
and   O
vital   O
signs   O
stabilized   O
.   O

Plan   O
:   O
Antunes   B-NAME
,   I-NAME
António   I-NAME
Lobo   I-NAME
will   O
be   O
admitted   O
to   O
the   O
cardiology   O
unit   O
for   O
post   O
-   O
procedural   O
monitoring   O
and   O
further   O
management   O
,   O
including   O
initiation   O
of   O
dual   O
antiplatelet   O
therapy   O
,   O
statins   O
,   O
beta   O
blockers   O
,   O
and   O
ACE   O
inhibitors   O
as   O
per   O
the   O
latest   O
guidelines   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
clinic   O
of   O
Samaritan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
scheduled   O
for   O
3/37/92   B-DATE
/2023   O
to   O
assess   O
Julius   B-NAME
Strickland   I-NAME
's   O
recovery   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

Lifestyle   O
modifications   O
including   O
dietary   O
changes   O
,   O
smoking   O
cessation   O
,   O
and   O
initiation   O
of   O
a   O
regular   O
exercise   O
regimen   O
were   O
strongly   O
recommended   O
to   O
Ellsworth   B-NAME
Garnder   I-NAME
.   O

Castillo   B-NAME
is   O
also   O
advised   O
to   O
closely   O
monitor   O
blood   O
pressure   O
and   O
cholesterol   O
levels   O
and   O
visit   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Southwest   I-LOCATION
Hospital   I-LOCATION
immediately   O
if   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
dizziness   O
recur   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
call   O
to   O
114   B-CONTACT
-   I-CONTACT
7277   I-CONTACT
will   O
be   O
placed   O
a   O
week   O
post   O
-   O
discharge   O
to   O
inquire   O
about   O
the   O
recovery   O
status   O
of   O
Rana   B-NAME
Desparrois   I-NAME
and   O
adherence   O
to   O
medications   O
and   O
lifestyle   O
modifications   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
(   B-CONTACT
627   I-CONTACT
)   I-CONTACT
835   I-CONTACT
-   I-CONTACT
7913   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Name   O
:   O
Remigio   B-NAME
Allison   I-NAME
Patient   O
ID   O
:   O
ZU   B-ID
:   I-ID
OH:8588   I-ID
Age   O
:   O
9   O
Date   O
of   O
Birth   O
:   O
09/01/86   B-DATE
Medical   O
Record   O
Number   O
:   O
866   B-ID
-   I-ID
63   I-ID
-   I-ID
68   I-ID
-   I-ID
8   I-ID
Address   O
:   O
Red   B-LOCATION
Oak   I-LOCATION
,   O
96012   B-LOCATION
Phone   O
Number   O
:   O
12916   B-CONTACT

Treating   O
Doctor   O
:   O
Mata   B-NAME
Admitting   O
Hospital   O
:   O
Newark   B-LOCATION
-   I-LOCATION
Wayne   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
February   B-DATE
18   I-DATE
,   I-DATE
2266   I-DATE
Employer   O
:   O

Home   B-LOCATION
Federal   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Command   O
and   O
Control   O
Center   O
Officers   O
Primary   O
Care   O
Physician   O
:   O

Sarahi   B-NAME
Stuart   I-NAME
History   O
of   O
Present   O
Illness   O
:   O
Ru   B-NAME
was   O
admitted   O
to   O
A.O.   B-LOCATION
Fox   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2193   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
21   I-DATE
with   O
symptoms   O
of   O
acute   O
abdominal   O
pain   O
focused   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Allergies   O
include   O
penicillin   O
and   O
latex   O
.   O
Review   O
of   O
Systems   O
:   O
Aaron   B-NAME
Myers   I-NAME
reports   O
no   O
respiratory   O
symptoms   O
,   O
such   O
as   O
cough   O
or   O
shortness   O
of   O
breath   O
.   O

Given   O
the   O
diagnosis   O
of   O
uncomplicated   O
appendicitis   O
,   O
surgical   O
consultation   O
with   O
Avery   B-NAME
concluded   O
that   O
an   O
appendectomy   O
was   O
advisable   O
.   O

Raelynn   B-NAME
Wilkinson   I-NAME
agreed   O
to   O
proceed   O
with   O
the   O
surgery   O
,   O
scheduled   O
for   O
Halloween   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dustin   B-NAME
Neal   I-NAME
in   O
two   O
weeks   O
from   O
1/6   B-DATE
to   O
assess   O
recovery   O
and   O
discuss   O
the   O
pathology   O
report   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
XF295   B-NAME
Relationship   O
to   O
Patient   O
:   O
Buyers   O
and   O
Purchasing   O
Agents   O
,   O
Farm   O
Products   O
Phone   O
Number   O
:   O
520   B-CONTACT
2706   I-CONTACT

This   O
report   O
was   O
compiled   O
by   O
the   O
medical   O
team   O
at   O
Naval   B-LOCATION
Hospital   I-LOCATION
Pensacola   I-LOCATION
,   O
led   O
by   O
Wordsmith   B-NAME
.   O

For   O
any   O
additional   O
information   O
or   O
emergency   O
,   O
please   O
contact   O
the   O
hospital   O
's   O
main   O
line   O
at   O
(   B-CONTACT
156   I-CONTACT
)   I-CONTACT
632   I-CONTACT
-   I-CONTACT
7703   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kendall   B-NAME
Roth   I-NAME
Date   O
of   O
Birth   O
:   O
3/25   B-DATE
Age   O
:   O
81   O
Medical   O
Record   O
Number   O
:   O
165   B-ID
-   I-ID
96   I-ID
-   I-ID
97   I-ID
-   I-ID
5   I-ID
ID   O
Number   O
:   O
0   B-ID
-   I-ID
2044974   I-ID
Address   O
:   O
EC92   B-LOCATION
7CI   I-LOCATION
,   O
45338   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
224   I-CONTACT
)   I-CONTACT
209   I-CONTACT
4741   I-CONTACT
Occupation   O
:   O

Radio   O
Operators   O
Primary   O
Care   O
Physician   O
:   O
Tsalie   B-NAME
Grim   I-NAME
Hospital   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Saginaw   I-LOCATION
Date   O
of   O
Admission   O
:   O
December   B-DATE
21   I-DATE
Date   O
of   O
Report   O
:   O
22/17/2213   B-DATE
Summary   O
:   O
Jaeden   B-NAME
Castillo   I-NAME
,   O
a   O
78   O
-   O
year   O
-   O
old   O
Log   O
Graders   O
and   O
Scalers   O
,   O
presented   O
to   O
Adventist   B-LOCATION
Health   I-LOCATION
Lodi   I-LOCATION
Memorial   I-LOCATION
on   O
01/15/1915   B-DATE
with   O
symptoms   O
suggestive   O
of   O
an   O
acute   O
exacerbation   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

Quentin   B-NAME
Lacey   I-NAME
also   O
noted   O
an   O
increased   O
use   O
of   O
their   O
rescue   O
inhaler   O
with   O
little   O
to   O
no   O
relief   O
.   O

Joseph   B-NAME
Cooper   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
a   O
20   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
,   O
though   O
they   O
quit   O
smoking   O
five   O
years   O
ago   O
following   O
an   O
initial   O
diagnosis   O
of   O
COPD   O
.   O

Upon   O
physical   O
examination   O
,   O
Jacob   B-NAME
Bautista   I-NAME
exhibited   O
signs   O
of   O
respiratory   O
distress   O
with   O
an   O
increased   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
use   O
of   O
accessory   O
muscles   O
for   O
breathing   O
,   O
and   O
audible   O
wheezes   O
upon   O
auscultation   O
of   O
the   O
lungs   O
.   O

La   B-NAME
Rochefoucauld   I-NAME
,   I-NAME
François   I-NAME
de   I-NAME
's   O
oxygen   O
saturation   O
was   O
recorded   O
at   O
88   O
%   O
on   O
room   O
air   O
,   O
indicating   O
hypoxemia   O
.   O

Hayden   B-NAME
Frey   I-NAME
was   O
also   O
started   O
on   O
antibiotics   O
based   O
on   O
the   O
presumption   O
of   O
a   O
bacterial   O
infection   O
indicated   O
by   O
the   O
greenish   O
sputum   O
.   O

Ashtyn   B-NAME
Moyer   I-NAME
advised   O
Zuniga   B-NAME
on   O
the   O
importance   O
of   O
smoking   O
cessation   O
,   O
pulmonary   O
rehabilitation   O
,   O
and   O
vaccination   O
against   O
flu   O
and   O
pneumococcus   O
to   O
prevent   O
future   O
exacerbations   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Hoffman   B-NAME
showed   O
considerable   O
improvement   O
with   O
the   O
initiated   O
treatment   O
plan   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
3   O
weeks   O
'   O
time   O
.   O

Anderson   B-NAME
emphasized   O
the   O
need   O
for   O
Brian   B-NAME
Fitzgerald   I-NAME
to   O
adhere   O
strictly   O
to   O
the   O
treatment   O
regimen   O
,   O
avoid   O
any   O
known   O
COPD   O
triggers   O
,   O
and   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
were   O
to   O
worsen   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
emergency   O
,   O
Grace   B-NAME
C.   I-NAME
Valerie   I-NAME
-   I-NAME
Yun   I-NAME
or   O
their   O
family   O
can   O
reach   O
out   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Lincoln   I-LOCATION
at   O
867   B-CONTACT
-   I-CONTACT
872   I-CONTACT
8651   I-CONTACT
.   O

Report   O
Prepared   O
by   O
:   O
ml334   B-NAME
,   O
Resident   O
Physician   O
at   O
WellSpan   B-LOCATION
Gettysburg   I-LOCATION
Hospital   I-LOCATION
2213   B-DATE
Note   O
:   O

The   O
patient   O
,   O
The   B-NAME
Rock   I-NAME
,   O
a   O
20   O
-   O
year   O
-   O
old   O
Physical   O
Therapist   O
Assistants   O
from   O
McLouth   B-LOCATION
,   O
presented   O
to   O
Geisinger   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/02   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
onset   O
right   O
-   O
sided   O
chest   O
pain   O
which   O
began   O
earlier   O
that   O
day   O
.   O

Additionally   O
,   O
Lysander   B-NAME
Harlan   I-NAME
reported   O
experiencing   O
shortness   O
of   O
breath   O
and   O
a   O
productive   O
cough   O
with   O
yellow   O
sputum   O
for   O
the   O
past   O
two   O
days   O
.   O

Courtney   B-NAME
Ellis   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
and   O
hypertension   O
.   O

Upon   O
examination   O
,   O
Acosta   B-NAME
appeared   O
in   O
moderate   O
distress   O
,   O
with   O
vital   O
signs   O
showing   O
a   O
temperature   O
of   O
101.2   O
°   O
F   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
of   O
150/90   O
mmHg   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Helen   B-NAME
Odom   I-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
arterial   O
blood   O
gas   O
(   O
ABG   O
)   O
,   O
and   O
cultures   O
of   O
blood   O
and   O
sputum   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
89162233   B-ID
and   O
insurance   O
information   O
were   O
reviewed   O
to   O
confirm   O
coverage   O
for   O
the   O
provided   O
care   O
.   O

Angel   B-NAME
Hays   I-NAME
was   O
administered   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
intravenously   O
after   O
blood   O
cultures   O
were   O
drawn   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Zaiden   B-NAME
Clayton   I-NAME
's   O
condition   O
was   O
closely   O
monitored   O
.   O

Arndt   B-NAME
was   O
advised   O
by   O
Rayan   B-NAME
Bentley   I-NAME
about   O
the   O
importance   O
of   O
smoking   O
cessation   O
and   O
was   O
referred   O
to   O
a   O
respiratory   O
therapist   O
for   O
COPD   O
management   O
after   O
discharge   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
8/29   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
to   O
complete   O
a   O
10   O
-   O
day   O
course   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Lamb   B-NAME
for   O
20/22   B-DATE
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
Maimonides   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
provided   O
Ila   B-NAME
Araujo   I-NAME
with   O
a   O
contact   O
number   O
959   B-CONTACT
-   I-CONTACT
7703   I-CONTACT
.   O

Instructions   O
were   O
given   O
to   O
Van   B-NAME
Steiner   I-NAME
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
the   O
provided   O
number   O
if   O
symptoms   O
worsened   O
or   O
new   O
symptoms   O
developed   O
.   O

The   O
patient   O
’s   O
discharge   O
summary   O
,   O
including   O
their   O
8   B-ID
-   I-ID
2034494   I-ID
,   O
would   O
be   O
securely   O
emailed   O
to   O
them   O
via   O
their   O
email   O
handle   O
lhp5910   B-NAME
,   O
ensuring   O
confidentiality   O
and   O
compliance   O
with   O
privacy   O
regulations   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Olszewski   B-NAME
Age   O
:   O
21   O
Medical   O
Record   O
Number   O
:   O
837   B-ID
-   I-ID
88   I-ID
-   I-ID
39   I-ID
-   I-ID
3   I-ID
Phone   O
Number   O
:   O
(   B-CONTACT
896   I-CONTACT
)   I-CONTACT
279   I-CONTACT
4960   I-CONTACT
Address   O
:   O
Ashville   B-LOCATION
,   O
29863   B-LOCATION

Kelly   B-NAME
Hospital   O
:   O
Hunt   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
39/31   B-DATE
Release   O
Date   O
:   O
11/24   B-DATE
Insurance   O
ID   O
:   O
BH842/2750   B-ID
Summary   O
:   O
Molly   B-NAME
Harrell   I-NAME
,   O
a   O
flight   O
attendant   O
from   O
Knierim   B-LOCATION
,   O
presented   O
to   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Miami   I-LOCATION
on   O
31/01   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
recurrent   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
episodes   O
over   O
the   O
past   O
week   O
.   O

Upon   O
examination   O
,   O
Lee   B-NAME
Esparza   I-NAME
exhibited   O
jaundice   O
and   O
tenderness   O
in   O
the   O
upper   O
abdominal   O
quadrant   O
.   O

Past   O
medical   O
history   O
,   O
as   O
shared   O
by   O
Welch   B-NAME
,   O
includes   O
Type   O
2   O
Diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
.   O

Abdominal   O
ultrasound   O
,   O
ordered   O
by   O
Georgia   B-NAME
Hampton   I-NAME
,   O
showed   O
gallstones   O
and   O
dilated   O
common   O
bile   O
duct   O
,   O
suggesting   O
cholelithiasis   O
and   O
possible   O
choledocholithiasis   O
.   O

Treatment   O
:   O
Braxton   B-NAME
Shah   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Sara   B-NAME
Ellis   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

Post   O
-   O
procedure   O
,   O
Geneva   B-NAME
Franklin   I-NAME
was   O
started   O
on   O
IV   O
fluids   O
,   O
antibiotics   O
to   O
prevent   O
infection   O
,   O
and   O
pain   O
management   O
.   O

Discussion   O
:   O
The   O
case   O
of   O
Harry   B-NAME
Glass   I-NAME
underscores   O
the   O
importance   O
of   O
considering   O
cholelithiasis   O
and   O
choledocholithiasis   O
in   O
patients   O
presenting   O
with   O
recurrent   O
abdominal   O
pain   O
and   O
jaundice   O
,   O
especially   O
with   O
a   O
background   O
of   O
Type   O
2   O
Diabetes   O
.   O

Early   O
intervention   O
,   O
as   O
demonstrated   O
in   O
this   O
scenario   O
,   O
can   O
alleviate   O
symptoms   O
and   O
prevent   O
further   O
complications   O
such   O
as   O
cholangitis   O
or   O
pancreatitis   O
.   O
Conclusion   O
:   O
Ross   B-NAME
showed   O
significant   O
improvement   O
post   O
-   O
ERCP   O
and   O
was   O
discharged   O
on   O
23/27/2082   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Carpenter   B-NAME
in   O
two   O
weeks   O
at   O
Adventist   B-LOCATION
Health   I-LOCATION
White   I-LOCATION
Memorial   I-LOCATION
.   O

Recommendations   O
were   O
made   O
for   O
Rosamond   B-NAME
Mojaro   I-NAME
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
continue   O
diabetes   O
management   O
,   O
and   O
undergo   O
regular   O
monitoring   O
of   O
liver   O
function   O
tests   O
.   O

Ricky   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
recur   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
if   O
symptoms   O
persist   O
,   O
Celia   B-NAME
Davila   I-NAME
can   O
reach   O
out   O
to   O
Independence   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
at   O
304   B-CONTACT
-   I-CONTACT
7152   I-CONTACT
or   O
visit   O
the   O
outpatient   O
department   O
for   O
evaluation   O
.   O

Instructions   O
were   O
also   O
provided   O
to   O
contact   O
Rachel   B-NAME
Vincent   I-NAME
directly   O
for   O
any   O
complications   O
.   O

Iranian   B-LOCATION
Anti   I-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Association   I-LOCATION
(   I-LOCATION
IAVA   I-LOCATION
)   I-LOCATION
and   O
the   O
healthcare   O
team   O
remain   O
committed   O
to   O
providing   O
quality   O
care   O
and   O
support   O
to   O
Sincere   B-NAME
Hodges   I-NAME
for   O
a   O
complete   O
recovery   O
and   O
better   O
management   O
of   O
their   O
health   O
conditions   O
.   O

Patient   O
Name   O
:   O
Skylar   B-NAME
Odonnell   I-NAME
Age   O
:   O
3   O
month   O
Date   O
of   O
Birth   O
:   O
6/29   B-DATE
Medical   O
Record   O
Number   O
:   O
188   B-ID
-   I-ID
90   I-ID
-   I-ID
76   I-ID
Social   O
Security   O
Number   O
:   O
JC144/9759   B-ID
Address   O
:   O
Lake   B-LOCATION
Bryan   I-LOCATION
,   O
15523   B-LOCATION
Phone   O
Number   O
:   O
707   B-CONTACT
-   I-CONTACT
3240   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Rush   B-NAME
Employer   O
:   O
The   B-LOCATION
Guardian   I-LOCATION
Life   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
America   I-LOCATION
Occupation   O
:   O
Leisure   O
centre   O
manager   O
Date   O
of   O
Visit   O
:   O
00/30/33   B-DATE
Hospital   O
:   O

Erlanger   B-LOCATION
Baroness   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Presentation   O
:   O
Quiana   B-NAME
N.   I-NAME
Bullock   I-NAME
,   O
a   O
Cooks   O
,   O
Private   O
Household   O
from   O
Detroit   B-LOCATION
,   O
presented   O
to   O
PIH   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Whittier   I-LOCATION
on   O
32/32   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
left   O
side   O
of   O
the   O
head   O
.   O

The   O
patient   O
described   O
the   O
onset   O
of   O
symptoms   O
approximately   O
9   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
28   I-DATE
ago   O
,   O
which   O
have   O
progressively   O
worsened   O
.   O

Susan   B-NAME
Wheeler   I-NAME
reports   O
the   O
headaches   O
are   O
accompanied   O
by   O
nausea   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
with   O
Kalidas   B-NAME
for   O
further   O
evaluation   O
and   O
management   O
,   O
including   O
consideration   O
for   O
a   O
preventive   O
migraine   O
regimen   O
.   O

Ananda   B-NAME
was   O
discharged   O
with   O
instructions   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
if   O
new   O
neurological   O
symptoms   O
develop   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Flynn   B-NAME
was   O
arranged   O
for   O
2242   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
12   I-DATE
.   O

Note   O
:   O
Eternity   B-NAME
consented   O
to   O
the   O
treatment   O
plan   O
.   O

All   O
personal   O
identifiers   O
such   O
as   O
name   O
,   O
medical   O
record   O
7043019   B-ID
,   O
and   O
contact   O
information   O
99448   B-CONTACT
have   O
been   O
documented   O
securely   O
in   O
our   O
electronic   O
health   O
records   O
system   O
.   O

For   O
any   O
queries   O
or   O
concerns   O
,   O
Leo   B-NAME
Bain   I-NAME
was   O
encouraged   O
to   O
contact   O
Trinity   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
956   B-CONTACT
2522   I-CONTACT
.   O

Follow   O
-   O
up   O
with   O
the   O
primary   O
care   O
provider   O
,   O
Sanchez   B-NAME
,   O
is   O
highly   O
recommended   O
to   O
ensure   O
comprehensive   O
care   O
and   O
management   O
of   O
the   O
patient   O
's   O
condition   O
.   O

Patient   O
:   O
Holden   B-NAME
Vaughn   I-NAME
Age   O
:   O
47s   O
Date   O
of   O
Report   O
:   O
25/10   B-DATE
Medical   O
Record   O
Number   O
:   O
38244152   B-ID
Attending   O
Physician   O
:   O

Konner   B-NAME
Michael   I-NAME
Hospital   O
:   O
Mount   B-LOCATION
Sinai   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
North   B-LOCATION
Baltimore   I-LOCATION
Phone   O
:   O
54277   B-CONTACT
ID   O
:   O
IU557/5710   B-ID
Organization   O
:   O

Anonymous   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Voiceless   I-LOCATION
Username   O
:   O
vc914   B-NAME
Profession   O
:   O
Mining   O
Machine   O
Operators   O
,   O
All   O
Other   O
Zip   O
:   O
15238   B-LOCATION
Subjective   O
:   O
The   O
patient   O
,   O
Zyan   B-NAME
Conrad   I-NAME
,   O
presented   O
to   O
the   O
clinic   O
on   O
2/3/14   B-DATE
with   O
complaints   O
of   O
a   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fever   O
.   O

The   O
patient   O
is   O
a   O
Electrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
and   O
mentioned   O
that   O
their   O
workplace   O
is   O
located   O
in   O
a   O
highly   O
polluted   O
area   O
of   O
Tooele   B-LOCATION
,   O
which   O
possibly   O
aggravated   O
the   O
symptoms   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
Viviana   B-NAME
Oconnell   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
discomfort   O
.   O

Throttle   B-NAME
,   I-NAME
Ben   I-NAME
was   O
advised   O
to   O
start   O
empiric   O
antibiotic   O
therapy   O
pending   O
culture   O
results   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
.   O

Instructions   O
were   O
given   O
to   O
Quy   B-NAME
Cherry   I-NAME
to   O
rest   O
,   O
stay   O
hydrated   O
,   O
and   O
avoid   O
any   O
known   O
allergens   O
or   O
irritants   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
12/31   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
condition   O
,   O
review   O
the   O
results   O
of   O
the   O
investigations   O
,   O
and   O
adjust   O
treatments   O
as   O
necessary   O
.   O

The   O
patient   O
was   O
also   O
encouraged   O
to   O
explore   O
possible   O
changes   O
in   O
the   O
work   O
environment   O
with   O
City   B-LOCATION
of   I-LOCATION
New   I-LOCATION
Smyrna   I-LOCATION
Beach   I-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
to   O
reduce   O
exposure   O
to   O
harmful   O
pollutants   O
.   O

Signed   O
,   O
Petersen   B-NAME
2142   B-DATE

Patient   O
Name   O
:   O
Carsyn   B-NAME
Patient   O
ID   O
:   O
IS703/1475   B-ID
Medical   O
Record   O
Number   O
:   O
89162233   B-ID
Age   O
:   O
8   O
month   O
Date   O
of   O
Report   O
:   O
10/22/53   B-DATE
/2023   O
Primary   O
Care   O
Physician   O
:   O

Caldwell   B-NAME
Hospital   O
:   O

Advocate   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Muir   B-LOCATION
Zip   O
Code   O
:   O
70520   B-LOCATION
Phone   O
Number   O
:   O
11325   B-CONTACT
Occupation   O
:   O

pk65   B-NAME
Clinical   O
Summary   O
:   O
The   O
patient   O
,   O
Jonathon   B-NAME
Mckenzie   I-NAME
,   O
presented   O
to   O
the   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
First   I-LOCATION
Hill   I-LOCATION
on   O
22   B-DATE
-   I-DATE
Dec-2293   I-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

Urbach   B-NAME
reported   O
a   O
subjective   O
fever   O
and   O
denied   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

Management   O
and   O
Outcome   O
:   O
Under   O
the   O
care   O
of   O
Clayton   B-NAME
,   O
Dakota   B-NAME
Harper   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
at   O
Riverside   B-LOCATION
Tappahannock   I-LOCATION
Hospital   I-LOCATION
,   O
Hartly   B-LOCATION
,   O
on   O
15/11   B-DATE
/2023   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
0/23/12   B-DATE
/2023   O
,   O
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
follow   O
-   O
up   O
arrangements   O
.   O

Mcdaniel   B-NAME
was   O
advised   O
to   O
resume   O
work   O
after   O
33   B-DATE
-   I-DATE
Dec-2030   I-DATE
/2023   O
following   O
a   O
follow   O
-   O
up   O
visit   O
to   O
assess   O
wound   O
healing   O
.   O

Follow   O
-   O
Up   O
Plan   O
:   O
Knapman   B-NAME
,   I-NAME
Roger   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
department   O
with   O
Asia   B-NAME
Patterson   I-NAME
on   O
10/02   B-DATE
/2023   O
,   O
for   O
postoperative   O
evaluation   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
histopathology   O
report   O
.   O

Contact   O
information   O
for   O
follow   O
-   O
up   O
appointment   O
:   O
Phone   O
:   O
583   B-CONTACT
3532   I-CONTACT
,   O
AMITA   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Alexius   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hoffman   I-LOCATION
Estates   I-LOCATION
,   O
St.   B-LOCATION
Petersburg   I-LOCATION
,   O
84673   B-LOCATION
.   O

It   O
was   O
emphasized   O
to   O
de   B-NAME
Mello   I-NAME
,   I-NAME
Anthony   I-NAME
to   O
avoid   O
strenuous   O
activity   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

Further   O
inquiries   O
about   O
Yandel   B-NAME
Escobar   I-NAME
's   O
case   O
should   O
be   O
directed   O
to   O
(   B-CONTACT
168   I-CONTACT
)   I-CONTACT
571   I-CONTACT
-   I-CONTACT
9405   I-CONTACT
with   O
reference   O
to   O
004   B-ID
27   I-ID
58   I-ID
or   O
KN983/1426   B-ID
.   O

Patient   O
Name   O
:   O
Kolten   B-NAME
Zimmerman   I-NAME
Patient   O
ID   O
:   O
82613   B-ID
Medical   O
Record   O
Number   O
:   O
55050007   B-ID
Date   O
of   O
Birth   O
:   O
9/23   B-DATE
Age   O
:   O
41s   O
Address   O
:   O
Montgomery   B-LOCATION
,   O
22716   B-LOCATION
Phone   O
Number   O
:   O
83994   B-CONTACT
Employment   O
:   O
Slaughterers   O
and   O
Meat   O
Packers   O
at   O
Innovative   B-LOCATION
Bank   I-LOCATION
Username   O
:   O
uod657   B-NAME
Primary   O
Care   O
Physician   O
:   O
Hitchcock   B-NAME
,   I-NAME
Alfred   I-NAME
Treatment   O
Facility   O
:   O
Sainte   B-LOCATION
Genevieve   I-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Consultation   O
Date   O
:   O
11/07/1873   B-DATE
Lessing   B-NAME
,   I-NAME
Doris   I-NAME
presented   O
to   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Ballard   I-LOCATION
on   O
2/22/52   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
recurrent   O
headaches   O
primarily   O
localized   O
to   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

The   O
severity   O
of   O
these   O
symptoms   O
significantly   O
impaired   O
Gramsci   B-NAME
,   I-NAME
Antonio   I-NAME
's   O
ability   O
to   O
perform   O
daily   O
activities   O
and   O
necessitated   O
absence   O
from   O
Couriers   O
and   O
Messengers   O
at   O
Okefenoke   B-LOCATION
Rural   I-LOCATION
Electric   I-LOCATION
Membership   I-LOCATION
Corporation   I-LOCATION
.   O

Furthermore   O
,   O
Payton   B-NAME
Hensley   I-NAME
reported   O
experiencing   O
an   O
aura   O
consisting   O
of   O
visual   O
disturbances   O
in   O
the   O
form   O
of   O
flashing   O
lights   O
and   O
zigzag   O
lines   O
approximately   O
30   O
minutes   O
before   O
the   O
onset   O
of   O
the   O
headache   O
.   O

Valerian   B-NAME
Mautte   I-NAME
's   O
past   O
medical   O
history   O
,   O
obtained   O
from   O
81907454   B-ID
,   O
revealed   O
a   O
family   O
history   O
of   O
migraine   O
but   O
no   O
personal   O
history   O
of   O
trauma   O
or   O
similar   O
episodes   O
.   O

Physical   O
examination   O
by   O
Shelton   B-NAME
demonstrated   O
no   O
focal   O
neurological   O
deficits   O
.   O

Charlie   B-NAME
Calhoun   I-NAME
advised   O
initiating   O
a   O
treatment   O
regimen   O
comprising   O
of   O
a   O
trial   O
of   O
triptans   O
for   O
acute   O
management   O
and   O
recommended   O
a   O
follow   O
-   O
up   O
visit   O
in   O
4   O
weeks   O
to   O
assess   O
response   O
to   O
treatment   O
.   O

Mauricio   B-NAME
Whitaker   I-NAME
was   O
also   O
counseled   O
on   O
lifestyle   O
modifications   O
including   O
stress   O
management   O
,   O
dietary   O
adjustments   O
,   O
and   O
regular   O
sleep   O
patterns   O
,   O
aimed   O
at   O
reducing   O
the   O
frequency   O
and   O
severity   O
of   O
migraine   O
episodes   O
.   O

Kristin   B-NAME
Short   I-NAME
documented   O
the   O
need   O
for   O
further   O
diagnostic   O
evaluation   O
in   O
the   O
event   O
of   O
treatment   O
failure   O
or   O
if   O
symptoms   O
significantly   O
changed   O
,   O
which   O
may   O
include   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
and   O
referral   O
to   O
a   O
neurologist   O
for   O
comprehensive   O
assessment   O
.   O

Zackary   B-NAME
agreed   O
to   O
the   O
proposed   O
management   O
plan   O
and   O
was   O
provided   O
with   O
written   O
instructions   O
on   O
medication   O
use   O
,   O
potential   O
side   O
effects   O
,   O
and   O
the   O
importance   O
of   O
maintaining   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
headaches   O
as   O
well   O
as   O
associated   O
symptoms   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
for   O
23/13   B-DATE
at   O
Formerly   B-LOCATION
St.   I-LOCATION
Lawrence   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
Nina   B-NAME
Escobar   I-NAME
was   O
instructed   O
to   O
contact   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Episcopal   I-LOCATION
Hospital   I-LOCATION
/   I-LOCATION
South   I-LOCATION
Shore   I-LOCATION
at   O
(   B-CONTACT
967   I-CONTACT
)   I-CONTACT
161   I-CONTACT
3150   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
,   O
or   O
to   O
report   O
any   O
adverse   O
reactions   O
to   O
the   O
prescribed   O
medication   O
.   O

In   O
summary   O
,   O
Kurtz   B-NAME
,   I-NAME
Katherine   I-NAME
,   O
a   O
48   O
-   O
year   O
-   O
old   O
Helpers   O
--   O
Installation   O
,   O
Maintenance   O
,   O
and   O
Repair   O
Workers   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
migraine   O
with   O
aura   O
.   O

After   O
evaluation   O
by   O
Spencer   B-NAME
,   O
a   O
treatment   O
and   O
follow   O
-   O
up   O
plan   O
was   O
established   O
to   O
manage   O
the   O
condition   O
.   O

Patient   O
Name   O
:   O
Yaziel   B-NAME
Kraft   I-NAME
Date   O
of   O
Birth   O
:   O
18/22   B-DATE
Phone   O
:   O
736   B-CONTACT
3996   I-CONTACT
Address   O
:   O
Jefferson   B-LOCATION
,   O
27358   B-LOCATION
Occupation   O
:   O
Construction   O
Laborers   O
Doctor   O
:   O
Demarcus   B-NAME
Lee   I-NAME
Hospital   O
:   O

Waccamaw   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
3222921   B-ID
Patient   O
ID   O
:   O
3669555   B-ID

On   O
January   B-DATE
,   O
Amanda   B-NAME
Herman   I-NAME
,   O
a   O
75   O
-   O
year   O
-   O
old   O
Sociologists   O
from   O
Sula   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Ascension   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Riverside   I-LOCATION
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Jim   B-NAME
Craig   I-NAME
denies   O
any   O
recent   O
travels   O
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
known   O
allergies   O
.   O

On   O
examination   O
,   O
Litzy   B-NAME
Huffman   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
145/90   O
mmHg   O
,   O
heart   O
rate   O
98   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
37.8   O
°   O
C   O
(   O
100   O
°   O
F   O
)   O
.   O

An   O
abdominal   O
CT   O
scan   O
was   O
recommended   O
by   O
Skylar   B-NAME
Mcfarland   I-NAME
to   O
further   O
evaluate   O
the   O
cause   O
of   O
the   O
symptoms   O
.   O

3/4   B-DATE
's   O
follow   O
-   O
up   O
notes   O
:   O
Peralta   B-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Hill   B-NAME
,   O
01996993   B-ID
indicates   O
that   O
the   O
abdominal   O
CT   O
scan   O
confirmed   O
the   O
presence   O
of   O
gallstones   O
,   O
with   O
signs   O
suggestive   O
of   O
early   O
acute   O
pancreatitis   O
.   O

Further   O
consultations   O
with   O
gastrointestinal   O
specialists   O
at   O
Chesapeake   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
are   O
scheduled   O
to   O
evaluate   O
the   O
need   O
for   O
gallstone   O
removal   O
and   O
to   O
assess   O
for   O
any   O
potential   O
complications   O
.   O

Discussions   O
with   O
Sid   B-NAME
Walker   I-NAME
regarding   O
the   O
importance   O
of   O
dietary   O
management   O
and   O
potential   O
lifestyle   O
modifications   O
following   O
recovery   O
have   O
been   O
initiated   O
.   O

OCASIO   B-NAME
,   I-NAME
WANDA   I-NAME
has   O
been   O
informed   O
of   O
the   O
importance   O
of   O
strict   O
glycemic   O
control   O
to   O
mitigate   O
risks   O
associated   O
with   O
diabetes   O
that   O
can   O
exacerbate   O
pancreatic   O
conditions   O
.   O

All   O
personally   O
identifiable   O
information   O
has   O
been   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
to   O
ensure   O
Ascham   B-NAME
,   I-NAME
Roger   I-NAME
's   O
privacy   O
and   O
confidentiality   O
are   O
maintained   O
.   O

Further   O
updates   O
on   O
Cook   B-NAME
,   I-NAME
Peter   I-NAME
’s   O
condition   O
and   O
management   O
plan   O
will   O
be   O
documented   O
in   O
subsequent   O
medical   O
records   O
.   O

Patient   O
Name   O
:   O
Carina   B-NAME
Wallace   I-NAME
Patient   O
ID   O
:   O
841358   B-ID
Medical   O
Record   O
Number   O
:   O
1791953   B-ID
Date   O
of   O
Birth   O
:   O
September   B-DATE
0   I-DATE
Age   O
:   O
79   O
Phone   O
Number   O
:   O
138   B-CONTACT
4917   I-CONTACT
Address   O
:   O
90   B-LOCATION
undefined   I-LOCATION
,   O
41813   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Friedman   B-NAME
Employer   O
:   O
White   B-LOCATION
Mountains   I-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
Occupation   O
:   O
Local   O
government   O
lawyer   O
Date   O
of   O
Visit   O
:   O
January   B-DATE
Hospital   O
Name   O
:   O

Mountain   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Notes   O
:   O
Lonny   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Martin   I-LOCATION
South   I-LOCATION
Hospital   I-LOCATION
on   O
2001   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Kamora   B-NAME
Patton   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
and   O
a   O
low   O
-   O
grade   O
fever   O
that   O
started   O
earlier   O
on   O
the   O
day   O
of   O
admission   O
.   O

On   O
physical   O
examination   O
,   O
Misti   B-NAME
Telles   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
right   O
lower   O
abdomen   O
,   O
indicative   O
of   O
peritonitis   O
.   O

A   O
computerized   O
tomography   O
(   O
CT   O
)   O
abdomen   O
and   O
pelvis   O
with   O
IV   O
contrast   O
ordered   O
by   O
Alvarez   B-NAME
showed   O
findings   O
consistent   O
with   O
acute   O
appendicitis   O
without   O
evidence   O
of   O
perforation   O
or   O
abscess   O
formation   O
.   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
K.   B-NAME
Yash   I-NAME
Ugarte   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Earnest   B-NAME
after   O
a   O
detailed   O
discussion   O
about   O
the   O
procedure   O
,   O
risks   O
,   O
benefits   O
,   O
and   O
potential   O
complications   O
.   O

The   O
procedure   O
was   O
performed   O
without   O
any   O
complications   O
by   O
Duran   B-NAME
on   O
06/06   B-DATE
.   O

Morris   B-NAME
,   I-NAME
Errol   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
observed   O
in   O
the   O
post   O
-   O
anesthesia   O
care   O
unit   O
(   O
PACU   O
)   O
before   O
being   O
transferred   O
to   O
the   O
surgical   O
floor   O
for   O
further   O
management   O
.   O

Jacoby   B-NAME
Armstrong   I-NAME
was   O
started   O
on   O
a   O
clear   O
liquid   O
diet   O
6   O
hours   O
post   O
-   O
operatively   O
and   O
was   O
gradually   O
advanced   O
to   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

Bathgate   B-NAME
,   I-NAME
Andy   I-NAME
was   O
ambulatory   O
and   O
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Davon   B-NAME
Leach   I-NAME
was   O
discharged   O
on   O
post   O
-   O
operative   O
day   O
2   O
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
out   O
for   O
,   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Hammond   B-NAME
in   O
two   O
weeks   O
to   O
ensure   O
proper   O
recovery   O
.   O

Conclusion   O
:   O
Abril   B-NAME
Long   I-NAME
's   O
presentation   O
of   O
acute   O
appendicitis   O
was   O
promptly   O
diagnosed   O
and   O
effectively   O
managed   O
with   O
surgical   O
intervention   O
.   O

Future   O
Recommendations   O
:   O
Roma   B-NAME
Kuether   I-NAME
is   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
they   O
experience   O
symptoms   O
of   O
fevers   O
,   O
chills   O
,   O
increasing   O
abdominal   O
pain   O
,   O
vomiting   O
,   O
or   O
signs   O
of   O
wound   O
infection   O
.   O

Patient   O
Name   O
:   O
Uriel   B-NAME
Hoover   I-NAME
Patient   O
ID   O
:   O
84702   B-ID
Medical   O
Record   O
Number   O
:   O
01900239   B-ID
Date   O
of   O
Birth   O
:   O
M   B-DATE
Age   O
:   O
69s   O
Phone   O
Number   O
:   O
18368   B-CONTACT
Address   O
:   O
5   B-LOCATION
Race   I-LOCATION
Drive   I-LOCATION
,   O
68390   B-LOCATION
Occupation   O
:   O

Shanel   B-NAME
Dorsett   I-NAME
Hospital   O
:   O

Windham   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2051   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
22   I-DATE
Username   O
for   O
Patient   O
Portal   O
:   O
xs982   B-NAME
Insurance   O
Provider   O
:   O
Waterfield   B-LOCATION
Bank   I-LOCATION
Chief   O
Complaint   O
:   O
Gabriela   B-NAME
Sanford   I-NAME
presented   O
to   O
San   B-LOCATION
Joaquin   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
22/03   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
throbbing   O
frontal   O
headache   O
persisting   O
for   O
1   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
08   I-DATE
.   O

Dougherty   B-NAME
denies   O
any   O
visual   O
aura   O
,   O
weakness   O
or   O
numbness   O
in   O
the   O
limbs   O
,   O
and   O
recent   O
head   O
injury   O
.   O

Past   O
Medical   O
History   O
:   O
Anthony   B-NAME
Odonnell   I-NAME
has   O
a   O
history   O
of   O
tension   O
-   O
type   O
headaches   O
and   O
was   O
diagnosed   O
with   O
migraine   O
without   O
aura   O
in   O
22/13   B-DATE
.   O

Melanie   B-NAME
Casselman   I-NAME
also   O
has   O
a   O
documented   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
.   O

Social   O
History   O
:   O
Josue   B-NAME
Combs   I-NAME
is   O
a   O
Motion   O
Picture   O
Projectionists   O
,   O
which   O
involves   O
prolonged   O
periods   O
in   O
front   O
of   O
a   O
computer   O
screen   O
,   O
with   O
self   O
-   O
reported   O
average   O
stress   O
levels   O
.   O

Joseph   B-NAME
Parnell   I-NAME
Scanlon   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
,   O
but   O
not   O
within   O
the   O
last   O
month   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Gretchen   B-NAME
Dominguez   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Instructions   O
were   O
given   O
to   O
the   O
patient   O
to   O
monitor   O
headache   O
frequency   O
and   O
severity   O
and   O
to   O
return   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Nashua   I-LOCATION
or   O
contact   O
Greer   B-NAME
via   O
439   B-CONTACT
-   I-CONTACT
1081   I-CONTACT
for   O
severe   O
symptoms   O
or   O
questions   O
.   O

Acknowledgement   O
:   O
Edward   B-NAME
Bird   I-NAME
acknowledged   O
understanding   O
the   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
follow   O
-   O
up   O
instructions   O
.   O

Consent   O
forms   O
for   O
the   O
prescribed   O
medications   O
were   O
signed   O
and   O
dated   O
on   O
2/32   B-DATE
.   O

Signature   O
:   O
Daugherty   B-NAME
,   O
01/26/2163   B-DATE

Patient   O
Name   O
:   O
Viviana   B-NAME
Werner   I-NAME
Patient   O
ID   O
:   O
PC602/8565   B-ID
Medical   O
Record   O
Number   O
:   O
432   B-ID
-   I-ID
46   I-ID
-   I-ID
28   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
30/20/02   B-DATE
Age   O
:   O
22   O
Contact   O
Number   O
:   O
(   B-CONTACT
580   I-CONTACT
)   I-CONTACT
754   I-CONTACT
5397   I-CONTACT
Address   O
:   O
Burbank   B-LOCATION
,   O
38592   B-LOCATION
Admitting   O
Physician   O
:   O

Spencer   B-NAME
Carroll   I-NAME
Hospital   O
:   O
Lovelace   B-LOCATION
Westside   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
02   B-DATE
-   I-DATE
24   I-DATE
Presenting   O
Complaint   O
:   O
Alfred   B-NAME
Short   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
ProHealth   B-LOCATION
Oconomowoc   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
30/22   B-DATE
with   O
acute   O
onset   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
associated   O
with   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
diaphoresis   O
.   O

Medical   O
History   O
:   O
Schaefer   B-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
hypertension   O
,   O
controlled   O
with   O
medication   O
and   O
type   O
II   O
diabetes   O
mellitus   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Ana   B-NAME
Syphax   I-NAME
appeared   O
distressed   O
with   O
vital   O
signs   O
revealing   O
a   O
blood   O
pressure   O
of   O
160/95   O
mmHg   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Management   O
:   O
Navarro   B-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
a   O
loading   O
dose   O
of   O
clopidogrel   O
,   O
intravenous   O
heparin   O
,   O
and   O
a   O
sta   O
-   O
nitrate   O
infusion   O
for   O
pain   O
control   O
.   O

Due   O
to   O
the   O
presentation   O
and   O
EKG   O
findings   O
,   O
Kaylie   B-NAME
Cox   I-NAME
was   O
taken   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
emergency   O
coronary   O
angiography   O
,   O
performed   O
by   O
Guerrero   B-NAME
at   O
Pottstown   B-LOCATION
Hospital   I-LOCATION
.   O

Post   O
-   O
Procedure   O
:   O
Post   O
-   O
procedure   O
,   O
Willis   B-NAME
was   O
monitored   O
in   O
the   O
cardiac   O
care   O
unit   O
.   O

During   O
the   O
stay   O
,   O
Jospeh   B-NAME
Blackington   I-NAME
also   O
received   O
counseling   O
on   O
lifestyle   O
modification   O
including   O
smoking   O
cessation   O
,   O
diet   O
,   O
and   O
exercise   O
from   O
the   O
cardiology   O
team   O
at   O
Saint   B-LOCATION
John   I-LOCATION
Vianney   I-LOCATION
Hospital   I-LOCATION
.   O

Disposition   O
:   O
Gavin   B-NAME
Kane   I-NAME
demonstrated   O
remarkable   O
improvement   O
and   O
was   O
discharged   O
on   O
13/14/25   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Kayden   B-NAME
Myers   I-NAME
and   O
a   O
cardiologist   O
at   O
Infirmary   B-LOCATION
LTAC   I-LOCATION
Hospital   I-LOCATION
.   O

Signature   O
:   O
Janae   B-NAME
Anthony   I-NAME
2/21   B-DATE

Patient   O
Name   O
:   O
Daphne   B-NAME
Alexander   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
8430170   I-ID
Date   O
of   O
Birth   O
:   O
5/69   B-DATE
Age   O
:   O
13   O
Address   O
:   O
Parowan   B-LOCATION
,   O
31514   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
529   I-CONTACT
)   I-CONTACT
458   I-CONTACT
-   I-CONTACT
5575   I-CONTACT
Employer   O
:   O
Gulf   B-LOCATION
Power   I-LOCATION
Company   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
NextEra   I-LOCATION
Energy   I-LOCATION
Occupation   O
:   O
Metal   O
Molding   O
,   O
Coremaking   O
,   O
and   O
Casting   O
Machine   O
Operators   O
and   O
Tenders   O
Primary   O
Care   O
Physician   O
:   O

Beyale   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
1310772   B-ID
Username   O
:   O
ith213   B-NAME
Medical   O
History   O
Summary   O
:   O
Oneida   B-NAME
Harlan   I-NAME
was   O
admitted   O
to   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/22   B-DATE
following   O
several   O
weeks   O
of   O
persistent   O
and   O
progressive   O
respiratory   O
symptoms   O
.   O

The   O
patient   O
,   O
a   O
22   O
-   O
year   O
-   O
old   O
Allergists   O
and   O
Immunologists   O
from   O
Lena   B-LOCATION
,   O
reported   O
a   O
history   O
of   O
non   O
-   O
specific   O
bronchial   O
irritation   O
,   O
characterized   O
by   O
an   O
intermittent   O
dry   O
cough   O
that   O
has   O
evolved   O
into   O
productive   O
coughing   O
with   O
clear   O
to   O
whitish   O
expectoration   O
.   O

In   O
the   O
days   O
leading   O
up   O
to   O
the   O
admission   O
,   O
Maximilian   B-NAME
Mccarty   I-NAME
experienced   O
acute   O
episodes   O
of   O
dyspnea   O
on   O
exertion   O
,   O
notable   O
even   O
during   O
minimal   O
physical   O
activities   O
.   O

Upon   O
initial   O
examination   O
,   O
Aguirre   B-NAME
noted   O
bilateral   O
wheezing   O
and   O
reduced   O
breath   O
sounds   O
in   O
the   O
lower   O
lung   O
fields   O
.   O

Management   O
and   O
Treatment   O
Plan   O
:   O
Jaylah   B-NAME
Cox   I-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
tailored   O
to   O
cover   O
typical   O
and   O
atypical   O
respiratory   O
pathogens   O
.   O

Follow   O
-   O
Up   O
:   O
Raiden   B-NAME
Bolton   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Beard   B-NAME
at   O
Optim   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Screven   I-LOCATION
on   O
August   B-DATE
to   O
assess   O
progress   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
to   O
the   O
treatment   O
regimen   O
.   O

Patient   O
Name   O
:   O
Corinne   B-NAME
Garner   I-NAME
Patient   O
ID   O
:   O
US   B-ID
:   I-ID
NN:4527   I-ID
Date   O
of   O
Birth   O
:   O
09/94   B-DATE
Medical   O
Record   O
Number   O
:   O
16847945   B-ID
Address   O
:   O
Weweantic   B-LOCATION
,   O
52524   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
687   I-CONTACT
)   I-CONTACT
719   I-CONTACT
-   I-CONTACT
4786   I-CONTACT
Primary   O
Physician   O
:   O

Chen   B-NAME
Admitting   O
Hospital   O
:   O

UAB   B-LOCATION
Highlands   I-LOCATION
Date   O
of   O
Admission   O
:   O
June   B-DATE
Profession   O
:   O

Computer   O
Network   O
Architects   O
Username   O
for   O
Health   O
Portal   O
:   O
rh322   B-NAME
Subjective   O
:   O
Aedan   B-NAME
Tran   I-NAME
,   O
a   O
65   O
-   O
year   O
-   O
old   O
Acute   O
Care   O
Nurses   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Joint   B-LOCATION
Township   I-LOCATION
District   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
13/18/2341   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

Clara   B-NAME
Ho   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
and   O
sweating   O
.   O

GUEVARA   B-NAME
,   I-NAME
ELIZABETH   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
currently   O
on   O
medication   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
Yovani   B-NAME
Vergara   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
98   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
37.2   O
°   O
C   O
.   O

Assessment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
initial   O
investigations   O
,   O
Khloe   B-NAME
Woodard   I-NAME
has   O
been   O
provisionally   O
diagnosed   O
with   O
an   O
acute   O
inferior   O
wall   O
myocardial   O
infarction   O
(   O
MI   O
)   O
.   O

Admit   O
Steven   B-NAME
James   I-NAME
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
of   O
Bayfront   B-LOCATION
Health   I-LOCATION
Port   I-LOCATION
Charlotte   I-LOCATION
for   O
close   O
monitoring   O
and   O
management   O
.   O

2   O
.   O
Start   O
Beethoven   B-NAME
,   I-NAME
Ludwig   I-NAME
van   I-NAME
on   O
aspirin   O
325   O
mg   O
,   O
a   O
loading   O
dose   O
of   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
(   O
ACS   O
)   O
management   O
protocol   O
.   O

Urgent   O
cardiology   O
consultation   O
with   O
Singh   B-NAME
for   O
consideration   O
of   O
coronary   O
angiography   O
and   O
possible   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Educate   O
Kayley   B-NAME
Wolfe   I-NAME
on   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
and   O
adherence   O
to   O
prescribed   O
medication   O
post   O
-   O
discharge   O
for   O
the   O
management   O
of   O
risk   O
factors   O
for   O
coronary   O
artery   O
disease   O
.   O

Further   O
follow   O
-   O
up   O
appointments   O
with   O
Kassandra   B-NAME
Mccoy   I-NAME
in   O
the   O
cardiology   O
clinic   O
of   O
Blount   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
have   O
been   O
scheduled   O
for   O
2/22   B-DATE
to   O
evaluate   O
Darryl   B-NAME
Keith   I-NAME
's   O
progress   O
and   O
adjust   O
treatment   O
plans   O
as   O
necessary   O
.   O

The   O
prognosis   O
for   O
Bayly   B-NAME
,   I-NAME
Thomas   I-NAME
Haynes   I-NAME
is   O
cautiously   O
optimistic   O
,   O
contingent   O
upon   O
timely   O
intervention   O
and   O
adherence   O
to   O
recommended   O
lifestyle   O
and   O
pharmacological   O
therapies   O
post   O
-   O
event   O
.   O

Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Sulla   B-NAME
,   I-NAME
Lucius   I-NAME
Cornelius   I-NAME
-   O
Age   O
:   O
40   O
-   O
Phone   O
Number   O
:   O
967   B-CONTACT
-   I-CONTACT
4982   I-CONTACT
-   O
Address   O
:   O
Chattanooga   B-LOCATION
,   O
71584   B-LOCATION
-   O
Occupation   O
:   O
Segmental   O
Pavers   O
-   O
Medical   O
Record   O
Number   O
:   O
505   B-ID
-   I-ID
39   I-ID
-   I-ID
19   I-ID
-   O
ID   O
Number   O
:   O
JA:70446:106771   B-ID
-   O
Username   O
:   O
MR476   B-NAME
-   O
Date   O
of   O
Visit   O
:   O
06/00   B-DATE
-   O
Referring   O
Doctor   O
:   O
Norton   B-NAME
-   O
Hospital   O
Name   O
:   O
Catawba   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
History   O
:   O
Cannon   B-NAME
Jarvis   I-NAME
presented   O
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Macomb   I-LOCATION
Hospital   I-LOCATION
on   O
08/71   B-DATE
with   O
a   O
detailed   O
account   O
of   O
symptoms   O
that   O
began   O
approximately   O
two   O
weeks   O
prior   O
.   O

The   O
patient   O
is   O
a   O
Musicians   O
,   O
Instrumental   O
from   O
San   B-LOCATION
Ramon   I-LOCATION
and   O
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
controlled   O
hypertension   O
and   O
seasonal   O
allergies   O
.   O

-   O
Fever   O
,   O
recorded   O
as   O
high   O
as   O
101   O
°   O
F   O
(   O
October   B-DATE
)   O
.   O

-   O
Loss   O
of   O
taste   O
and   O
smell   O
reported   O
August   B-DATE
6   I-DATE
,   I-DATE
2031   I-DATE
.   O
-   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Colby   B-NAME
Gill   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
a   O
coughing   O
spell   O
.   O

Treatment   O
Plan   O
:   O
Lorena   B-NAME
Levine   I-NAME
was   O
advised   O
to   O
maintain   O
strict   O
isolation   O
protocols   O
at   O
home   O
and   O
monitor   O
symptoms   O
closely   O
.   O

Garrett   B-NAME
Carroll   I-NAME
was   O
also   O
advised   O
to   O
stay   O
well   O
-   O
hydrated   O
and   O
rest   O
.   O

Recommendations   O
for   O
follow   O
-   O
up   O
:   O
Samantha   B-NAME
Snow   I-NAME
was   O
strongly   O
advised   O
to   O
call   O
751   B-CONTACT
-   I-CONTACT
1716   I-CONTACT
if   O
experiencing   O
difficulties   O
breathing   O
,   O
persistent   O
chest   O
pain   O
,   O
new   O
onset   O
confusion   O
,   O
or   O
bluish   O
lips   O
or   O
face   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Adams   B-NAME
,   I-NAME
Scott   I-NAME
,   O
2268   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
13   I-DATE
,   O
at   O
Minneola   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Minneola   I-LOCATION
.   O

Please   O
contact   O
25389   B-CONTACT
at   O
SCL   B-LOCATION
Health   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Westminster   I-LOCATION
for   O
any   O
further   O
details   O
or   O
confirmation   O
of   O
the   O
follow   O
-   O
up   O
schedule   O
.   O

Patient   O
Name   O
:   O
Jorge   B-NAME
Dunn   I-NAME
Medical   O
Record   O
Number   O
:   O
0620746   B-ID
Date   O
of   O
Birth   O
:   O
June   B-DATE
of   I-DATE
2352   I-DATE
Age   O
:   O
84   O
Address   O
:   O
Cohasset   B-LOCATION
,   O
27937   B-LOCATION
Phone   O
Number   O
:   O
676   B-CONTACT
-   I-CONTACT
4678   I-CONTACT
Attending   O
Physician   O
:   O

Kailey   B-NAME
Hanna   I-NAME
Hospital   O
:   O
Wilson   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Neodesha   I-LOCATION
Date   O
of   O
Admission   O
:   O
0/13   B-DATE
Date   O
of   O
Discharge   O
:   O
20/09   B-DATE
Employment   O
:   O
Business   O
Intelligence   O
Analysts   O
,   O
JEA   B-LOCATION
Summary   O
:   O
Roy   B-NAME
Clyburn   I-NAME
was   O
admitted   O
to   O
Capital   B-LOCATION
Health   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
April   B-DATE
with   O
a   O
provisional   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Lao   B-NAME
,   O
a   O
Personnel   O
Recruiters   O
by   O
profession   O
,   O
reported   O
that   O
the   O
symptoms   O
had   O
progressively   O
worsened   O
over   O
a   O
period   O
of   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
physical   O
examination   O
conducted   O
by   O
Hodge   B-NAME
revealed   O
rebound   O
tenderness   O
in   O
the   O
right   O
iliac   O
fossa   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Tudor   B-NAME
,   I-NAME
John   I-NAME
was   O
diagnosed   O
with   O
acute   O
non   O
-   O
perforated   O
appendicitis   O
.   O

After   O
receiving   O
informed   O
consent   O
,   O
Jesenia   B-NAME
Bulnes   I-NAME
underwent   O
an   O
uneventful   O
laparoscopic   O
appendectomy   O
on   O
27/00   B-DATE
.   O

Follow   O
-   O
Up   O
and   O
Recovery   O
:   O
Wallace   B-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
showed   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
closely   O
monitored   O
by   O
Ray   B-NAME
.   O

The   O
surgical   O
site   O
healed   O
without   O
signs   O
of   O
infection   O
,   O
and   O
John   B-NAME
V.   I-NAME
Hood   I-NAME
was   O
discharged   O
on   O
12/10   B-DATE
with   O
instructions   O
for   O
care   O
at   O
home   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
at   O
Coliseum   B-LOCATION
Medical   I-LOCATION
Centers   I-LOCATION
.   O

Instructions   O
for   O
Discharge   O
:   O
Landry   B-NAME
was   O
advised   O
to   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
two   O
weeks   O
.   O

Kaeden   B-NAME
Ellis   I-NAME
was   O
also   O
informed   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
,   O
such   O
as   O
increased   O
pain   O
,   O
redness   O
,   O
or   O
discharge   O
at   O
the   O
incision   O
site   O
,   O
and   O
to   O
contact   O
Vidant   B-LOCATION
Edgecombe   I-LOCATION
Hospital   I-LOCATION
at   O
329   B-CONTACT
995   I-CONTACT
-   I-CONTACT
5093   I-CONTACT
if   O
any   O
such   O
symptoms   O
arise   O
.   O

Conclusion   O
:   O
Mcintosh   B-NAME
's   O
acute   O
appendicitis   O
was   O
successfully   O
managed   O
with   O
timely   O
surgical   O
intervention   O
.   O

The   O
collaborative   O
effort   O
between   O
Morrison   B-NAME
,   I-NAME
Robert   I-NAME
,   O
Karley   B-NAME
Watson   I-NAME
,   O
and   O
the   O
medical   O
staff   O
at   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Schuylkill   I-LOCATION
East   I-LOCATION
Norwegian   I-LOCATION
Street   I-LOCATION
resulted   O
in   O
a   O
positive   O
outcome   O
and   O
highlights   O
the   O
importance   O
of   O
prompt   O
medical   O
attention   O
in   O
acute   O
surgical   O
conditions   O
.   O

Patient   O
Name   O
:   O
Orelia   B-NAME
Burns   I-NAME
Patient   O
ID   O
:   O
ST:13749:710207   B-ID
Date   O
of   O
Birth   O
:   O
32/90   B-DATE
Age   O
:   O
70   O
Phone   O
Number   O
:   O
867   B-CONTACT
5767   I-CONTACT
Address   O
:   O
Ronan   B-LOCATION
,   O
41927   B-LOCATION
Referred   O
by   O
:   O
Lennon   B-NAME
Garner   I-NAME
Medical   O
Record   O
Number   O
:   O
7920683   B-ID
Employment   O
:   O
Financial   O
Analysts   O
at   O
Collective   B-LOCATION
of   I-LOCATION
Spheres   I-LOCATION

Presenting   O
Complaint   O
:   O
Jaydan   B-NAME
Dodson   I-NAME
was   O
admitted   O
to   O
Paris   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2342   B-DATE
following   O
a   O
week   O
of   O
progressive   O
dyspnea   O
and   O
a   O
persistent   O
dry   O
cough   O
.   O

Additionally   O
,   O
Mayo   B-NAME
reported   O
experiencing   O
episodes   O
of   O
chest   O
tightness   O
and   O
palpitations   O
over   O
the   O
same   O
period   O
.   O

Past   O
Medical   O
History   O
:   O
Claudia   B-NAME
Vang   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
through   O
medication   O
and   O
lifestyle   O
adjustments   O
respectively   O
.   O

Waters   B-NAME
's   O
vaccination   O
status   O
is   O
up   O
to   O
date   O
,   O
including   O
the   O
seasonal   O
influenza   O
vaccine   O
.   O

On   O
examination   O
,   O
Pia   B-NAME
Kent   I-NAME
appeared   O
in   O
mild   O
distress   O
related   O
to   O
the   O
effort   O
of   O
breathing   O
.   O

Electrocardiogram   O
(   O
ECG   O
)   O
showed   O
sinus   O
tachycardia   O
without   O
any   O
signs   O
of   O
ischemia   O
.   O
Management   O
and   O
Outcome   O
:   O
Joanna   B-NAME
Rhodes   I-NAME
was   O
started   O
on   O
empirical   O
antibiotics   O
,   O
considering   O
a   O
provisional   O
diagnosis   O
of   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
on   O
2028   B-DATE
demonstrated   O
clearance   O
of   O
previous   O
opacities   O
.   O

Dyspnea   O
significantly   O
reduced   O
,   O
and   O
Zehr   B-NAME
was   O
discharged   O
on   O
04/21/2054   B-DATE
with   O
instructions   O
for   O
outpatient   O
follow   O
-   O
up   O
with   O
Maia   B-NAME
Hobbs   I-NAME
.   O

In   O
Regena   B-NAME
's   O
case   O
,   O
initial   O
concern   O
for   O
an   O
infectious   O
process   O
was   O
ruled   O
out   O
systematically   O
,   O
allowing   O
for   O
targeted   O
treatment   O
that   O
led   O
to   O
improvement   O
.   O

Future   O
Recommendations   O
:   O
It   O
is   O
recommended   O
that   O
Daniel   B-NAME
follows   O
up   O
with   O
Ashlynn   B-NAME
Pollard   I-NAME
in   O
Sands   B-LOCATION
Point   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
of   O
hypertension   O
and   O
diabetes   O
,   O
in   O
addition   O
to   O
the   O
recent   O
pulmonary   O
concerns   O
.   O

2   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Fletcher   B-NAME
by   O
calling   O
607   B-CONTACT
1531   I-CONTACT
.   O

Documentation   O
Prepared   O
by   O
:   O
RY82   B-NAME
,   O
25   B-DATE
Hospital   O
:   O
Washington   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Charleston   B-LOCATION

Patient   O
Report   O
for   O
Ulises   B-NAME
Noel   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
1768591   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
92867949   B-ID
-   O
Date   O
of   O
Birth   O
:   O
31/21   B-DATE
-   O
Age   O
:   O
52   O
-   O
Gender   O
:   O
Male   O
-   O
Phone   O
Number   O
:   O
45641   B-CONTACT
-   O
Residence   O
:   O
Highland   B-LOCATION
Lake   I-LOCATION
,   O
41124   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
a   O
Crossing   O
Guards   O
by   O
profession   O
,   O
was   O
admitted   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Harrisburg   I-LOCATION
on   O
May   B-DATE
0   I-DATE
with   O
a   O
series   O
of   O
complaints   O
that   O
have   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
prior   O
to   O
admission   O
.   O

Sonny   B-NAME
Lowery   I-NAME
reported   O
severe   O
abdominal   O
pain   O
,   O
centered   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
was   O
described   O
as   O
sharp   O
and   O
intermittent   O
.   O

Upon   O
admission   O
,   O
Itzel   B-NAME
Bruce   I-NAME
appeared   O
acutely   O
uncomfortable   O
,   O
with   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
.   O

Diagnostic   O
Testing   O
:   O
Computed   O
Tomography   O
(   O
CT   O
)   O
of   O
the   O
abdomen   O
,   O
ordered   O
by   O
Claire   B-NAME
Fraser   I-NAME
,   O
indicated   O
appendicitis   O
with   O
no   O
signs   O
of   O
perforation   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Herman   B-NAME
,   O
Winston   B-NAME
Burton   I-NAME
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
on   O
9/20   B-DATE
.   O

Alan   B-NAME
Poe   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
wound   O
care   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
any   O
potential   O
infection   O
.   O

Follow   O
-   O
Up   O
:   O
Daisy   B-NAME
Mccarty   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Medina   B-NAME
in   O
McCullough   B-LOCATION
-   I-LOCATION
Hyde   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
12/02/2094   B-DATE
.   O

Additionally   O
,   O
lifestyle   O
and   O
dietary   O
advice   O
will   O
be   O
provided   O
to   O
Del   B-NAME
to   O
prevent   O
future   O
health   O
issues   O
.   O

Conclusion   O
:   O
The   O
timely   O
diagnosis   O
and   O
intervention   O
have   O
resulted   O
in   O
a   O
positive   O
outcome   O
for   O
Clodius   B-NAME
Albinus   I-NAME
.   O

For   O
any   O
further   O
information   O
or   O
emergency   O
,   O
Devon   B-NAME
Olsen   I-NAME
or   O
the   O
designated   O
emergency   O
contact   O
can   O
reach   O
out   O
to   O
Research   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Main   I-LOCATION
Campus   I-LOCATION
at   O
(   B-CONTACT
447   I-CONTACT
)   I-CONTACT
902   I-CONTACT
9967   I-CONTACT
.   O

First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Beverly   I-LOCATION
Hills   I-LOCATION
strictly   O
adheres   O
to   O
privacy   O
and   O
confidentiality   O
guidelines   O
,   O
ensuring   O
that   O
all   O
patient   O
information   O
,   O
including   O
this   O
report   O
,   O
is   O
handled   O
with   O
the   O
utmost   O
care   O
and   O
security   O
.   O

Prepared   O
by   O
:   O
zo5210   B-NAME
Date   O
:   O

Thursday   B-DATE
,   I-DATE
December   I-DATE

Patient   O
Report   O
for   O
Maddox   B-NAME
Boyd   I-NAME
02/0/72   B-DATE
/2023   O
Cardenas   B-NAME
,   O
a   O
90   O
-   O
year   O
-   O
old   O
Shoe   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
presented   O
to   O
Indiana   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/31   B-DATE
with   O
a   O
history   O
of   O
progressive   O
,   O
unilateral   O
headache   O
predominantly   O
over   O
the   O
left   O
temporal   O
region   O
.   O

Probus   B-NAME
also   O
reported   O
experiencing   O
nausea   O
,   O
but   O
no   O
vomiting   O
.   O

Upon   O
examination   O
,   O
Vincent   B-NAME
Gregory   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
ranges   O
.   O

Bruna   B-NAME
Oglesby   I-NAME
underwent   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
at   O
Christian   B-LOCATION
Hospital   I-LOCATION
,   O
which   O
did   O
not   O
show   O
any   O
intracranial   O
abnormality   O
.   O

Given   O
the   O
negative   O
findings   O
and   O
the   O
characteristic   O
presentation   O
of   O
the   O
symptoms   O
,   O
al   B-NAME
-   I-NAME
Sadr   I-NAME
,   I-NAME
Muqtada   I-NAME
diagnosed   O
Diana   B-NAME
Elliott   I-NAME
with   O
migraine   O
without   O
aura   O
and   O
recommended   O
initiating   O
a   O
treatment   O
plan   O
involving   O
both   O
pharmacologic   O
and   O
non   O
-   O
pharmacologic   O
strategies   O
aimed   O
at   O
managing   O
the   O
symptoms   O
and   O
preventing   O
future   O
episodes   O
.   O

Marsh   B-NAME
was   O
also   O
advised   O
on   O
lifestyle   O
modifications   O
such   O
as   O
regular   O
exercise   O
,   O
maintaining   O
a   O
regular   O
sleep   O
pattern   O
,   O
and   O
dietary   O
changes   O
to   O
avoid   O
known   O
migraine   O
triggers   O
.   O

Additionally   O
,   O
Fey   B-NAME
,   I-NAME
Tina   I-NAME
was   O
provided   O
with   O
educational   O
resources   O
on   O
stress   O
management   O
techniques   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
4   O
weeks   O
to   O
evaluate   O
the   O
efficacy   O
of   O
the   O
treatment   O
plan   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

Contact   O
Information   O
:   O
-   O
Novant   B-LOCATION
Health   I-LOCATION
Matthews   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Gettysburg   B-LOCATION
,   O
28726   B-LOCATION
-   O
Phone   O
:   O
21347   B-CONTACT
-   O
Dr.   O
Rommel   B-NAME
,   I-NAME
Erwin   I-NAME
's   O
Office   O
:   O
Union   B-LOCATION
Dale   I-LOCATION
,   O
36114   B-LOCATION
,   O
Phone   O
:   O
308   B-CONTACT
-   I-CONTACT
3362   I-CONTACT
Medical   O
Record   O
:   O
CK281263   B-ID
Patient   O
ID   O
:   O
1303507   B-ID
Please   O
contact   O
our   O
office   O
at   O
56923   B-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
regarding   O
Bujold   B-NAME
,   I-NAME
Lois   I-NAME
McMaster   I-NAME
's   O
treatment   O
plan   O
or   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

Delmarva   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
compliance   O
ensures   O
that   O
no   O
PHI   O
is   O
disclosed   O
without   O
consent   O
.   O

Please   O
refer   O
to   O
Committee   B-LOCATION
of   I-LOCATION
Concerned   I-LOCATION
Scientists   I-LOCATION
's   O
privacy   O
policy   O
for   O
more   O
details   O
.   O

Wishing   O
Sophie   B-NAME
Huff   I-NAME
a   O
speedy   O
recovery   O
.   O
Reported   O
by   O
:   O
Ramos   B-NAME
,   O
M.D.   O
2032   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
35   I-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Anderson   B-NAME
Patient   O
ID   O
:   O
305801400   B-ID
Date   O
of   O
Birth   O
:   O
60   O
Date   O
of   O
Admission   O
:   O
12/08   B-DATE
/2023   O
Admitting   O
Hospital   O
:   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Cleburne   I-LOCATION
Primary   O
Physician   O
:   O

Long   B-NAME
,   I-NAME
Earl   I-NAME
Location   O
:   O
Trimble   B-LOCATION
Medical   O
Record   O
Number   O
:   O
83260799   B-ID
Employment   O
:   O
Mapping   O
Technicians   O
Contact   O
Number   O
:   O
226   B-CONTACT
4404   I-CONTACT
Primary   O
Complaint   O
:   O
The   O
patient   O
initially   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
St.   B-LOCATION
Rose   I-LOCATION
Dominican   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Siena   I-LOCATION
Campus   I-LOCATION
on   O
21/40   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
101.6   O
°   O
F   O
.   O

-   O
Abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Kendal   B-NAME
Griffin   I-NAME
,   O
showing   O
signs   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
the   O
patient   O
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
30/2032   B-DATE
/2023   O
.   O

The   O
patient   O
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
by   O
Randall   B-NAME
Castro   I-NAME
.   O

The   O
patient   O
successfully   O
underwent   O
an   O
appendectomy   O
on   O
22/31   B-DATE
/2023   O
at   O
Spring   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
2332   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
29   I-DATE
/2023   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Montoya   B-NAME
in   O
two   O
weeks   O
.   O

Instructions   O
for   O
Contact   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
,   O
questions   O
,   O
or   O
emergency   O
,   O
the   O
patient   O
is   O
advised   O
to   O
contact   O
Caro   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
703   B-CONTACT
-   I-CONTACT
641   I-CONTACT
-   I-CONTACT
8383   I-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Mario   B-NAME
Villanueva   I-NAME
on   O
11/12   B-DATE
/2023   O
.   O

For   O
any   O
further   O
assistance   O
,   O
the   O
clinic   O
's   O
helpline   O
12303   B-CONTACT
is   O
available   O
.   O

Ocmulgee   B-LOCATION
EMC   I-LOCATION
strictly   O
adheres   O
to   O
patient   O
confidentiality   O
and   O
the   O
protection   O
of   O
personal   O
health   O
information   O
.   O

Patient   O
:   O
Paul   B-NAME
,   I-NAME
Ron   I-NAME
ID   O
:   O
1   B-ID
-   I-ID
9713323   I-ID
Medical   O
Record   O
Number   O
:   O
38019910   B-ID
Age   O
:   O
17   O
Date   O
of   O
Visit   O
:   O
32/35   B-DATE
/2023   O
Address   O
:   O
Tony   B-LOCATION
,   O
40717   B-LOCATION
Phone   O
:   O
836   B-CONTACT
-   I-CONTACT
1535   I-CONTACT
Attending   O
Physician   O
:   O

Cervantes   B-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sweetwater   I-LOCATION
County   I-LOCATION
Employment   O
:   O
Counselors   O
,   O
All   O
Other   O
at   O
United   B-LOCATION
Steelworkers   I-LOCATION
The   O
patient   O
,   O
Holly   B-NAME
Lawson   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
on   O
33/04/2219   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
onset   O
,   O
intense   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
mild   O
dyspnea   O
,   O
and   O
episodes   O
of   O
presyncope   O
.   O

Micaela   B-NAME
Ochoa   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
and   O
there   O
is   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Bruce   B-NAME
Bowers   I-NAME
is   O
a   O
smoker   O
and   O
reports   O
a   O
stressful   O
job   O
as   O
a   O
Nuclear   O
Medicine   O
Technologists   O
at   O
MCF   B-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

Upon   O
physical   O
examination   O
,   O
Linda   B-NAME
Urbanek   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
blood   O
pressure   O
of   O
160/100   O
mmHg   O
,   O
a   O
heart   O
rate   O
of   O
95   O
beats   O
per   O
minute   O
,   O
regular   O
,   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
97   O
%   O
on   O
room   O
air   O
.   O

A   O
consultation   O
with   O
Kathy   B-NAME
Henson   I-NAME
recommended   O
the   O
patient   O
undergo   O
coronary   O
angiography   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Ingalls   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
continuous   O
monitoring   O
and   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Russell   B-NAME
for   O
1/29   B-DATE
/2023   O
to   O
assess   O
recovery   O
progress   O
and   O
to   O
adjust   O
long   O
-   O
term   O
medication   O
management   O
.   O

For   O
questions   O
or   O
concerns   O
,   O
Aaron   B-NAME
,   I-NAME
Hank   I-NAME
or   O
their   O
designated   O
next   O
of   O
kin   O
can   O
contact   O
Kasandra   B-NAME
Gordon   I-NAME
at   O
653   B-CONTACT
736   I-CONTACT
-   I-CONTACT
6914   I-CONTACT
.   O

Central   B-LOCATION
City   I-LOCATION
,   I-LOCATION
Central   I-LOCATION
City   I-LOCATION
Mainstreet   I-LOCATION
and   O
88484   B-LOCATION
continue   O
to   O
be   O
relevant   O
for   O
patient   O
follow   O
-   O
up   O
and   O
potential   O
outreach   O
programs   O
through   O
Anti   B-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Coalition   I-LOCATION
(   I-LOCATION
AVC   I-LOCATION
)   I-LOCATION
aimed   O
at   O
addressing   O
patient   O
-   O
specific   O
health   O
determinants   O
.   O

Further   O
inquiries   O
regarding   O
this   O
case   O
or   O
related   O
research   O
can   O
be   O
directed   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Research   O
Department   O
at   O
324   B-CONTACT
1033   I-CONTACT
.   O

Patient   O
Name   O
:   O
Wilson   B-NAME
Fuentes   I-NAME
Patient   O
ID   O
:   O
QY171/7737   B-ID
Medical   O
Record   O
Number   O
:   O
4452927   B-ID
Date   O
of   O
Birth   O
:   O
2123   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
01   I-DATE
Age   O
:   O
34   O
Address   O
:   O
Lake   B-LOCATION
Ivanhoe   I-LOCATION
,   O
91468   B-LOCATION
Phone   O
Number   O
:   O
964   B-CONTACT
-   I-CONTACT
6114   I-CONTACT
Employment   O
:   O
Mechanical   O
Engineering   O
Technicians   O
Primary   O
Care   O
Physician   O
:   O

Mckay   B-NAME
Hospital   O
:   O
Carondelet   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
August   B-DATE
10   I-DATE
,   I-DATE
2065   I-DATE
Chief   O
Complaint   O
:   O
Brandon   B-NAME
Walls   I-NAME
presented   O
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
for   O
the   O
past   O
38/32/91   B-DATE
.   O

The   O
onset   O
was   O
sudden   O
,   O
occurring   O
around   O
12/44   B-DATE
,   O
with   O
the   O
pain   O
initially   O
localized   O
in   O
the   O
mid   O
-   O
abdominal   O
region   O
before   O
radiating   O
towards   O
the   O
right   O
lower   O
quadrant   O
.   O

Cosmo   B-NAME
McKinley   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
outside   O
Nebraska   B-LOCATION
or   O
any   O
significant   O
change   O
in   O
dietary   O
habits   O
.   O

Hope   B-NAME
Estes   I-NAME
also   O
mentioned   O
experiencing   O
episodes   O
of   O
chills   O
but   O
no   O
fever   O
has   O
been   O
measured   O
.   O

Ardite   B-NAME
Civatte   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Garrison   B-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
colorectal   O
cancer   O
in   O
a   O
first   O
-   O
degree   O
relative   O
.   O

Polly   B-NAME
Grey   I-NAME
is   O
scheduled   O
for   O
a   O
confirmatory   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
.   O

Assessment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
diagnostic   O
findings   O
,   O
Patel   B-NAME
is   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
at   O
Johnson   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
consulted   O
,   O
and   O
Harry   B-NAME
Glass   I-NAME
is   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Judith   B-NAME
Gruszynski   I-NAME
has   O
been   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
.   O

Hodges   B-NAME
's   O
next   O
of   O
kin   O
listed   O
under   O
the   O
contact   O
number   O
267   B-CONTACT
2578   I-CONTACT
has   O
been   O
notified   O
and   O
is   O
present   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
will   O
be   O
scheduled   O
with   O
Mccullough   B-NAME
two   O
weeks   O
post   O
-   O
operation   O
to   O
assess   O
recovery   O
and   O
discuss   O
histopathology   O
results   O
.   O

Patient   O
Name   O
:   O
Hayden   B-NAME
,   I-NAME
Teresa   I-NAME
Nielson   I-NAME
DOB   O
:   O
28/23/2050   B-DATE
MRN   O
:   O
643   B-ID
-   I-ID
92   I-ID
-   I-ID
05   I-ID
-   I-ID
7   I-ID
SSN   O
:   O
SY439/1317   B-ID
Address   O
:   O
Oroville   B-LOCATION
,   O
22270   B-LOCATION
Phone   O
Number   O
:   O
57770   B-CONTACT
Employer   O
:   O
Satilla   B-LOCATION
REMC   I-LOCATION
Occupation   O
:   O

Ashly   B-NAME
Mitchell   I-NAME
Hospital   O
:   O
Astria   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
Friday   B-DATE
Discharge   O
Date   O
:   O
June   B-DATE
6   I-DATE
,   I-DATE
2181   I-DATE
Clinical   O
Summary   O
:   O
Raelynn   B-NAME
Wilkinson   I-NAME
,   O
a   O
38   O
-   O
year   O
-   O
old   O
Gaming   O
Managers   O
,   O
presented   O
to   O
Grady   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
19/30/2122   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
substernal   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
diaphoresis   O
.   O

The   O
symptoms   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
the   O
patient   O
was   O
at   O
work   O
at   O
Warren   B-LOCATION
Bank   I-LOCATION
.   O

Physical   O
examination   O
conducted   O
by   O
Aguilar   B-NAME
revealed   O
a   O
diaphoretic   O
and   O
anxious   O
patient   O
in   O
mild   O
to   O
moderate   O
distress   O
.   O

Karin   B-NAME
Yule   I-NAME
was   O
immediately   O
started   O
on   O
a   O
regimen   O
of   O
antiplatelets   O
,   O
anticoagulants   O
,   O
and   O
beta   O
-   O
blockers   O
consistent   O
with   O
acute   O
coronary   O
syndrome   O
management   O
protocols   O
.   O

[   O
HE   O
/   O
SHE   O
]   O
was   O
taken   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
an   O
emergency   O
coronary   O
angiogram   O
performed   O
by   O
Costa   B-NAME
,   O
which   O
revealed   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

Post   O
-   O
procedure   O
,   O
Kelley   B-NAME
Fenimore   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

Ivers   B-NAME
was   O
discharged   O
on   O
Aug   B-DATE
2   I-DATE
,   I-DATE
2392   I-DATE
in   O
stable   O
condition   O
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Wang   B-NAME
and   O
a   O
cardiologist   O
at   O
Palisades   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
qm767   B-NAME
Relation   O
:   O
Securities   O
,   O
Commodities   O
,   O
and   O
Financial   O
Services   O
Sales   O
Agents   O
Phone   O
Number   O
:   O
(   B-CONTACT
211   I-CONTACT
)   I-CONTACT
316   I-CONTACT
5125   I-CONTACT

The   O
clinical   O
team   O
at   O
Milford   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
remains   O
committed   O
to   O
providing   O
Maxwell   B-NAME
with   O
the   O
highest   O
level   O
of   O
care   O
and   O
support   O
as   O
[   O
HE   O
/   O
SHE   O
]   O
transitions   O
back   O
to   O
[   O
HIS   O
/   O
HER   O
]   O
daily   O
life   O
in   O
Christian   B-LOCATION
.   O

Bucharis   B-NAME
Imam   I-NAME
Age   O
:   O
27   O
Date   O
of   O
Birth   O
:   O
00/22   B-DATE
Address   O
:   O
Yoe   B-LOCATION
,   O
40717   B-LOCATION
Phone   O
Number   O
:   O
888   B-CONTACT
6642   I-CONTACT
Employment   O
:   O

Pope   B-NAME
Medical   O
Record   O
Number   O
:   O
4287332   B-ID
Hospital   O
:   O
Munson   B-LOCATION
Healthcare   I-LOCATION
Manistee   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/32/2300   B-DATE
Date   O
of   O
Discharge   O
:   O
34/28/2392   B-DATE
ID   O
Number   O
:   O
10   B-ID
-   I-ID
6665540   I-ID
Clinical   O
Summary   O
:   O
Raquel   B-NAME
Merritt   I-NAME
,   O
a   O
Dragline   O
Operators   O
by   O
profession   O
,   O
presented   O
to   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
New   I-LOCATION
Orleans   I-LOCATION
on   O
37/25/68   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fever   O
for   O
the   O
past   O
18/23/2258   B-DATE
.   O

The   O
patient   O
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
Friday   B-DATE
days   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Mencken   B-NAME
,   I-NAME
H.   I-NAME
L.   I-NAME
exhibited   O
signs   O
of   O
respiratory   O
distress   O
,   O
including   O
use   O
of   O
accessory   O
muscles   O
and   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

The   O
patient   O
's   O
COVID-19   O
test   O
returned   O
positive   O
on   O
2152   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
21   I-DATE
.   O

Management   O
and   O
Outcome   O
:   O
Under   O
the   O
care   O
of   O
Izabella   B-NAME
Duke   I-NAME
,   O
Goodwin   B-NAME
was   O
started   O
on   O
a   O
regimen   O
including   O
dexamethasone   O
and   O
remdesivir   O
,   O
in   O
addition   O
to   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
.   O

Throughout   O
the   O
hospitalization   O
period   O
,   O
Angel   B-NAME
Petersen   I-NAME
received   O
supportive   O
care   O
,   O
including   O
hydration   O
and   O
fever   O
management   O
.   O

By   O
Thursday   B-DATE
,   I-DATE
March   I-DATE
,   O
Alexandria   B-NAME
Harvey   I-NAME
's   O
condition   O
had   O
significantly   O
improved   O
,   O
characterized   O
by   O
a   O
resolution   O
of   O
fever   O
and   O
improvement   O
in   O
respiratory   O
symptoms   O
.   O

Mohamed   B-NAME
Hall   I-NAME
was   O
discharged   O
from   O
Rice   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
District   I-LOCATION
No.1   I-LOCATION
–   I-LOCATION
Lyons   I-LOCATION
on   O
2135   B-DATE
with   O
instructions   O
to   O
isolate   O
at   O
home   O
for   O
an   O
additional   O
19/21/89   B-DATE
days   O
and   O
to   O
follow   O
up   O
with   O
Hepburn   B-NAME
,   I-NAME
Audrey   I-NAME
for   O
post   O
-   O
discharge   O
care   O
.   O

A   O
telehealth   O
appointment   O
has   O
been   O
scheduled   O
for   O
10/16/03   B-DATE
to   O
discuss   O
the   O
patient   O
's   O
recovery   O
and   O
to   O
address   O
any   O
ongoing   O
symptoms   O
or   O
concerns   O
.   O

Neal   B-NAME
has   O
been   O
advised   O
to   O
maintain   O
hydration   O
,   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
,   O
and   O
engage   O
in   O
light   O
rehabilitation   O
exercises   O
to   O
improve   O
lung   O
function   O
.   O

For   O
any   O
urgent   O
health   O
concerns   O
,   O
Katherine   B-NAME
Hardin   I-NAME
is   O
instructed   O
to   O
contact   O
Windham   B-LOCATION
Hospital   I-LOCATION
's   O
hotline   O
at   O
86609   B-CONTACT
or   O
to   O
visit   O
the   O
nearest   O
emergency   O
department   O
.   O

This   O
comprehensive   O
care   O
plan   O
aims   O
to   O
support   O
Andersen   B-NAME
,   I-NAME
Hans   I-NAME
Christian   I-NAME
through   O
the   O
recovery   O
phase   O
and   O
to   O
monitor   O
for   O
any   O
complications   O
related   O
to   O
COVID-19   O
.   O

Prepared   O
by   O
:   O
Ashleigh   B-NAME
Wright   I-NAME
Medical   O
Staff   O
at   O
Lakeview   B-LOCATION
Hospital   I-LOCATION
July   B-DATE
31   I-DATE

Patient   O
Name   O
:   O
Dorine   B-NAME
Kleiman   I-NAME
DOB   O
:   O
11/14   B-DATE
Age   O
:   O
8   O
Address   O
:   O
Allenwood   B-LOCATION
,   O
94184   B-LOCATION
Phone   O
:   O
40980   B-CONTACT
Employment   O
:   O
Office   O
Clerks   O
,   O
General   O
at   O
International   B-LOCATION
affiliates   I-LOCATION
Doctor   O
:   O
Reed   B-NAME
Crosby   I-NAME
Hospital   O
:   O

South   B-LOCATION
Miami   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
80562092   B-ID
ID   O
:   O
WV   B-ID
:   I-ID
KA:6988   I-ID
Date   O
of   O
Visit   O
:   O
2/2   B-DATE
Summary   O
:   O
Smith   B-NAME
,   I-NAME
Logan   I-NAME
Pearsall   I-NAME
,   O
a   O
51   O
-   O
year   O
-   O
old   O
Rehabilitation   O
Counselors   O
employed   O
at   O
MassMutual   B-LOCATION
,   O
presented   O
to   O
Heart   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Rockies   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/23/23   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

O’Shaughnessy   B-NAME
,   I-NAME
Arthur   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
and   O
was   O
unable   O
to   O
keep   O
food   O
down   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

The   O
patient   O
has   O
a   O
known   O
history   O
of   O
gastritis   O
,   O
managed   O
with   O
dietary   O
modifications   O
and   O
medication   O
prescribed   O
by   O
Strickland   B-NAME
.   O
Examination   O
:   O
Upon   O
examination   O
,   O
Vincent   B-NAME
Hughes   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
,   O
with   O
a   O
slight   O
elevation   O
in   O
temperature   O
noted   O
at   O
99.5   O
°   O
F   O
.   O

The   O
treatment   O
plan   O
,   O
as   O
discussed   O
with   O
and   O
agreed   O
upon   O
by   O
Warner   B-NAME
,   I-NAME
Harold   I-NAME
and   O
Gomez   B-NAME
,   O
involves   O
an   O
immediate   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Disposition   O
:   O
Probus   B-NAME
Marbray   I-NAME
was   O
admitted   O
to   O
the   O
surgical   O
unit   O
of   O
McLaren   B-LOCATION
Macomb   I-LOCATION
on   O
12/24   B-DATE
for   O
further   O
management   O
.   O

Emergency   O
contact   O
information   O
was   O
verified   O
with   O
Lucia   B-NAME
Ramos   I-NAME
,   O
and   O
the   O
number   O
provided   O
was   O
85666   B-CONTACT
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Smith   B-NAME
for   O
03/37/35   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
discuss   O
histopathology   O
findings   O
from   O
the   O
appendectomy   O
.   O

Veritas   B-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
uncontrolled   O
vomiting   O
,   O
and   O
to   O
return   O
to   O
Saint   B-LOCATION
Joseph   I-LOCATION
London   I-LOCATION
or   O
contact   O
339   B-CONTACT
-   I-CONTACT
321   I-CONTACT
-   I-CONTACT
5694   I-CONTACT
if   O
any   O
concerning   O
symptoms   O
developed   O
.   O

This   O
case   O
report   O
will   O
be   O
securely   O
stored   O
in   O
Paul   B-NAME
,   I-NAME
Ron   I-NAME
's   O
medical   O
record   O
(   O
36919121   B-ID
)   O
at   O
State   B-LOCATION
University   I-LOCATION
of   I-LOCATION
New   I-LOCATION
York   I-LOCATION
Downstate   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
is   O
subject   O
to   O
all   O
applicable   O
privacy   O
regulations   O
as   O
outlined   O
by   O
Animal   B-LOCATION
Liberation   I-LOCATION
Leagues   I-LOCATION
.   O

Patient   O
Name   O
:   O
Jeffery   B-NAME
Gamble   I-NAME
Patient   O
ID   O
:   O
CY:6763:896659   B-ID
Medical   O
Record   O
Number   O
:   O
49776027   B-ID
Date   O
of   O
Birth   O
:   O
3   O
Address   O
:   O
Cirencester   B-LOCATION
,   O
93362   B-LOCATION
Phone   O
Number   O
:   O
853   B-CONTACT
-   I-CONTACT
4279   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Phillip   B-NAME
Alvarado   I-NAME
Employment   O
:   O
Elevator   O
Installers   O
and   O
Repairers   O
at   O
Advanta   B-LOCATION
Bank   I-LOCATION
Corp   I-LOCATION
Last   O
Visit   O
Date   O
:   O
00/28   B-DATE
Hospital   O
:   O

Raleigh   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Yasmine   B-NAME
Snyder   I-NAME
presents   O
to   O
the   O
clinic   O
expressing   O
concerns   O
over   O
a   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
that   O
has   O
progressively   O
worsened   O
over   O
the   O
past   O
two   O
months   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
a   O
48   O
-   O
year   O
-   O
old   O
Mental   O
health   O
nurse   O
employed   O
at   O
Frontier   B-LOCATION
Bank   I-LOCATION
,   O
has   O
experienced   O
these   O
symptoms   O
for   O
approximately   O
eight   O
weeks   O
,   O
but   O
due   O
to   O
a   O
busy   O
work   O
schedule   O
,   O
sought   O
medical   O
attention   O
only   O
recently   O
.   O

Braylon   B-NAME
Chaney   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
products   O
but   O
admits   O
to   O
occasional   O
alcohol   O
consumption   O
.   O

The   O
patient   O
lives   O
alone   O
in   O
Lake   B-LOCATION
Panasoffkee   I-LOCATION
and   O
works   O
full   O
-   O
time   O
as   O
a   O
Emergency   O
Management   O
Directors   O
for   O
International   B-LOCATION
Rehabilitation   I-LOCATION
Council   I-LOCATION
for   I-LOCATION
Torture   I-LOCATION
Victims   I-LOCATION
.   O

Cannicus   B-NAME
Leversee   I-NAME
's   O
family   O
history   O
is   O
non   O
-   O
contributory   O
.   O

Upon   O
examination   O
,   O
Asimov   B-NAME
,   I-NAME
Isaac   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Hayden   B-NAME
Simpson   I-NAME
will   O
be   O
scheduled   O
for   O
a   O
chest   O
X   O
-   O
ray   O
and   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
to   O
further   O
investigate   O
these   O
symptoms   O
.   O

A   O
referral   O
to   O
a   O
pulmonologist   O
at   O
Carolina   B-LOCATION
Pines   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
also   O
recommend   O
for   O
further   O
evaluation   O
.   O

Dexter   B-NAME
Ellis   I-NAME
has   O
been   O
advised   O
to   O
monitor   O
symptoms   O
and   O
return   O
to   O
the   O
clinic   O
should   O
they   O
experience   O
any   O
worsening   O
of   O
symptoms   O
or   O
new   O
concerns   O
prior   O
to   O
their   O
follow   O
-   O
up   O
appointment   O
.   O

Follow   O
-   O
Up   O
Instructions   O
:   O
Gertude   B-NAME
Schreiner   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Ruskin   B-NAME
,   I-NAME
John   I-NAME
in   O
two   O
weeks   O
on   O
3/25   B-DATE
to   O
review   O
test   O
results   O
and   O
plan   O
further   O
management   O
based   O
on   O
those   O
findings   O
.   O

The   O
patient   O
was   O
provided   O
with   O
the   O
549   B-CONTACT
9827   I-CONTACT
number   O
to   O
call   O
if   O
they   O
have   O
any   O
immediate   O
concerns   O
or   O
experience   O
a   O
significant   O
deterioration   O
in   O
their   O
condition   O
.   O

Notes   O
:   O
Please   O
ensure   O
Monique   B-NAME
Mack   I-NAME
understands   O
the   O
importance   O
of   O
the   O
follow   O
-   O
up   O
visit   O
and   O
the   O
potential   O
significance   O
of   O
these   O
symptoms   O
.   O

Encourage   O
James   B-NAME
Guerra   I-NAME
to   O
minimize   O
physical   O
exertion   O
until   O
further   O
assessment   O
can   O
be   O
made   O
.   O

The   O
patient   O
,   O
Alfreda   B-NAME
Vandermark   I-NAME
,   O
a   O
23   O
-   O
year   O
-   O
old   O
Hospitalists   O
residing   O
in   O
Gem   B-LOCATION
,   O
35832   B-LOCATION
,   O
presented   O
to   O
Santa   B-LOCATION
Barbara   I-LOCATION
Cottage   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
fever   O
,   O
and   O
vomiting   O
since   O
23/20/2332   B-DATE
.   O

Ruba   B-NAME
Neil   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
diabetes   O
mellitus   O
type   O
2   O
and   O
hypertension   O
.   O

According   O
to   O
Aditya   B-NAME
Lee   I-NAME
,   O
the   O
pain   O
is   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
and   O
was   O
rated   O
as   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

On   O
examination   O
,   O
Sweeney   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Celia   B-NAME
Esparza   I-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
a   O
raised   O
white   O
blood   O
cell   O
count   O
indicative   O
of   O
an   O
infection   O
.   O

Lainey   B-NAME
Hampton   I-NAME
was   O
admitted   O
to   O
Ogden   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
26/38/2115   B-DATE
and   O
was   O
promptly   O
started   O
on   O
intravenous   O
antibiotics   O
.   O

Surgical   O
consultation   O
by   O
Simmons   B-NAME
was   O
requested   O
,   O
and   O
Willena   B-NAME
Dameron   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
2   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
07   I-DATE
without   O
any   O
complications   O
.   O

Burt   B-NAME
Eanes   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
Titus   B-NAME
Duffy   I-NAME
was   O
discharged   O
on   O
2/93   B-DATE
with   O
instructions   O
for   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Jenkins   B-NAME
in   O
two   O
weeks   O
.   O

DeShannon   B-NAME
,   I-NAME
Jackie   I-NAME
was   O
advised   O
to   O
monitor   O
blood   O
glucose   O
levels   O
closely   O
,   O
given   O
the   O
history   O
of   O
diabetes   O
,   O
and   O
to   O
maintain   O
a   O
healthy   O
diet   O
and   O
hydration   O
level   O
.   O

Contact   O
information   O
was   O
provided   O
,   O
including   O
32178   B-CONTACT
,   O
in   O
case   O
of   O
emergencies   O
or   O
if   O
Coleman   B-NAME
Shaw   I-NAME
had   O
any   O
questions   O
or   O
concerns   O
post   O
-   O
discharge   O
.   O

The   O
32191547   B-ID
number   O
for   O
this   O
admission   O
was   O
UT131/3558   B-ID
.   O

The   O
healthcare   O
team   O
,   O
including   O
Reina   B-NAME
Wolf   I-NAME
and   O
the   O
nursing   O
staff   O
,   O
ensured   O
that   O
all   O
care   O
provided   O
was   O
within   O
the   O
best   O
practice   O
guidelines   O
for   O
the   O
management   O
of   O
acute   O
appendicitis   O
.   O

Treasure   B-LOCATION
Hunt   I-LOCATION
will   O
follow   O
up   O
on   O
Tanja   B-NAME
Koeppel   I-NAME
's   O
recovery   O
through   O
the   O
scheduled   O
outpatient   O
visits   O
,   O
ensuring   O
a   O
smooth   O
transition   O
back   O
to   O
routines   O
and   O
monitoring   O
for   O
any   O
postoperative   O
complications   O
.   O

Tesla   B-NAME
,   I-NAME
Nikola   I-NAME
was   O
appreciative   O
of   O
the   O
care   O
received   O
and   O
expressed   O
confidence   O
in   O
the   O
instructions   O
provided   O
for   O
home   O
care   O
.   O

Patient   O
Name   O
:   O
Zehr   B-NAME
Patient   O
ID   O
:   O
471678158   B-ID
Medical   O
Record   O
Number   O
:   O
68193860   B-ID
Date   O
of   O
Birth   O
:   O
10/33   B-DATE
Age   O
:   O
75   O
Phone   O
:   O
389   B-CONTACT
-   I-CONTACT
827   I-CONTACT
-   I-CONTACT
5736   I-CONTACT
Address   O
:   O
Rosalie   B-LOCATION
,   O
46532   B-LOCATION
Employment   O
:   O
Fence   O
Erectors   O
at   O
Gosnold   B-LOCATION
Municipal   I-LOCATION
Electric   I-LOCATION
Plant   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Cassie   B-NAME
Hartman   I-NAME
Hospital   O
:   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Somerset   I-LOCATION
Clinical   O
Notes   O
:   O
Cockroach   B-NAME
,   O
a   O
40   O
-   O
year   O
-   O
old   O
Infantry   O
Officers   O
employed   O
at   O
BJ   B-LOCATION
's   I-LOCATION
Wholesale   I-LOCATION
Club   I-LOCATION
,   O
presented   O
to   O
Mount   B-LOCATION
Sinai   I-LOCATION
Beth   I-LOCATION
Israel   I-LOCATION
on   O
30/17   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
and   O
chest   O
discomfort   O
over   O
the   O
past   O
2   O
weeks   O
.   O

Diamond   B-NAME
denies   O
any   O
recent   O
travel   O
history   O
outside   O
of   O
Butternut   B-LOCATION
or   O
any   O
known   O
sick   O
contacts   O
.   O

Initial   O
laboratory   O
tests   O
showed   O
a   O
slightly   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
and   O
Imaging   O
studies   O
including   O
chest   O
X   O
-   O
ray   O
and   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
chest   O
were   O
ordered   O
by   O
Brooklynn   B-NAME
Wolf   I-NAME
to   O
further   O
assess   O
the   O
patient   O
's   O
condition   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Lincoln   I-LOCATION
for   O
further   O
monitoring   O
and   O
evaluation   O
under   O
the   O
care   O
of   O
Nathen   B-NAME
Ewing   I-NAME
.   O

A   O
comprehensive   O
cardiovascular   O
evaluation   O
including   O
echocardiography   O
and   O
cardiac   O
MRI   O
was   O
scheduled   O
for   O
4/43   B-DATE
.   O

5   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
36   B-DATE
-   I-DATE
27   I-DATE
at   O
Methodist   B-LOCATION
Jennie   I-LOCATION
Edmundson   I-LOCATION
with   O
Hart   B-NAME
to   O
review   O
test   O
results   O
and   O
update   O
the   O
treatment   O
plan   O
.   O

For   O
any   O
immediate   O
concerns   O
or   O
emergencies   O
,   O
please   O
contact   O
28728   B-CONTACT
.   O

For   O
any   O
additional   O
information   O
or   O
to   O
reschedule   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
please   O
contact   O
the   O
main   O
office   O
at   O
Providence   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
or   O
via   O
phone   O
at   O
(   B-CONTACT
576   I-CONTACT
)   I-CONTACT
236   I-CONTACT
-   I-CONTACT
4483   I-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Dauten   B-NAME
,   I-NAME
Dale   I-NAME
,   O
Zavala   B-NAME
,   O
and   O
authorized   O
medical   O
personnel   O
at   O
San   B-LOCATION
Gorgonio   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Lem   B-NAME
,   I-NAME
Stanislaw   I-NAME
Age   O
:   O
27   O
Date   O
of   O
Birth   O
:   O
35/22   B-DATE
Date   O
of   O
Admission   O
:   O
2120   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
32   I-DATE
Phone   O
Number   O
:   O
28051   B-CONTACT
Address   O
:   O
JAARS   B-LOCATION
,   O
78647   B-LOCATION
Employer   O
:   O
Grupo   B-LOCATION
de   I-LOCATION
Usuarios   I-LOCATION
de   I-LOCATION
Linux   I-LOCATION
de   I-LOCATION
Costa   I-LOCATION
Rica   I-LOCATION
Occupation   O
:   O

Kailee   B-NAME
Dougherty   I-NAME
Hospital   O
:   O

Spalding   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
51408761   B-ID
Social   O
Security   O
Number   O
:   O
WE:78797:546806   B-ID

Clinical   O
Summary   O
:   O
Copernicus   B-NAME
,   I-NAME
Nicolaus   I-NAME
,   O
a   O
Cytogenetic   O
Technologists   O
from   O
Douglas   B-LOCATION
,   O
25881   B-LOCATION
,   O
presented   O
to   O
BRANDON   B-LOCATION
REGIONAL   I-LOCATION
HOSPITAL   I-LOCATION
on   O
02/20   B-DATE
with   O
a   O
series   O
of   O
symptoms   O
that   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Werner   B-NAME
reported   O
experiencing   O
severe   O
,   O
recurrent   O
headaches   O
predominantly   O
localized   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Additionally   O
,   O
Perez   B-NAME
noted   O
a   O
consistent   O
throbbing   O
sensation   O
that   O
aggravates   O
with   O
physical   O
activity   O
.   O

Ellsworth   B-NAME
Garnder   I-NAME
,   O
however   O
,   O
mentioned   O
experiencing   O
transient   O
visual   O
disturbances   O
described   O
as   O
"   O
flashing   O
lights   O
"   O
in   O
the   O
peripheral   O
vision   O
preceding   O
the   O
headaches   O
.   O

Upon   O
examination   O
,   O
Eden   B-NAME
Wolfe   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

Friedman   B-NAME
,   I-NAME
Milton   I-NAME
recommended   O
ordering   O
a   O
brain   O
MRI   O
to   O
rule   O
out   O
other   O
potential   O
causes   O
of   O
the   O
symptoms   O
and   O
prescribed   O
a   O
triptan   O
medication   O
to   O
manage   O
the   O
acute   O
headache   O
episodes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
July   B-DATE
2035   I-DATE
to   O
review   O
the   O
imaging   O
results   O
and   O
reassess   O
the   O
treatment   O
plan   O
.   O

Instructions   O
were   O
given   O
to   O
Orosco   B-NAME
,   I-NAME
Vincent   I-NAME
I.   I-NAME
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
frequency   O
,   O
duration   O
,   O
associated   O
symptoms   O
,   O
and   O
triggers   O
of   O
the   O
headache   O
episodes   O
.   O

In   O
the   O
event   O
of   O
symptom   O
exacerbation   O
or   O
any   O
new   O
symptoms   O
,   O
The   B-NAME
Rock   I-NAME
was   O
advised   O
to   O
contact   O
Burton   B-NAME
's   O
office   O
at   O
71925   B-CONTACT
immediately   O
or   O
visit   O
the   O
emergency   O
department   O
of   O
New   B-LOCATION
Bridge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Signature   O
:   O
Trevon   B-NAME
Mann   I-NAME
M   B-DATE

Patient   O
Name   O
:   O
Kareem   B-NAME
Molina   I-NAME
Medical   O
Record   O
Number   O
:   O
06464189   B-ID
Date   O
of   O
Admission   O
:   O
02/00   B-DATE
Date   O
of   O
Report   O
:   O
2122   B-DATE

Attending   O
Physician   O
:   O
John   B-NAME
of   I-NAME
the   I-NAME
Cross   I-NAME
Hospital   O
:   O
Adventist   B-LOCATION
HealthCare   I-LOCATION
White   I-LOCATION
Oak   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Age   O
:   O
66   O
Location   O
:   O
Lakeside   B-LOCATION
,   I-LOCATION
NS   I-LOCATION
B3   I-LOCATION
T   I-LOCATION
4Y4   I-LOCATION
Zip   O
:   O
41319   B-LOCATION
ID   O
:   O
QC   B-ID
:   I-ID
QM:3086   I-ID
Phone   O
:   O
29105   B-CONTACT
Username   O
:   O
ikv224   B-NAME
Profession   O
:   O

The   O
patient   O
,   O
locke   B-NAME
,   O
is   O
a   O
94   O
-   O
year   O
-   O
old   O
Pathologists   O
presenting   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
intermittent   O
fevers   O
,   O
and   O
a   O
cough   O
productive   O
of   O
yellowish   O
sputum   O
.   O

Eileen   B-NAME
Klingbeil   I-NAME
also   O
reports   O
a   O
loss   O
of   O
taste   O
and   O
smell   O
over   O
the   O
past   O
week   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
patient   O
,   O
Hezekiah   B-NAME
Whitaker   I-NAME
,   O
has   O
been   O
diagnosed   O
with   O
COVID-19   O
pneumonia   O
,   O
superimposed   O
on   O
a   O
background   O
of   O
poorly   O
controlled   O
asthma   O
.   O

Disposition   O
:   O
Given   O
the   O
patient   O
's   O
oxygen   O
requirements   O
and   O
the   O
need   O
for   O
close   O
monitoring   O
,   O
Robert   B-NAME
Neil   I-NAME
was   O
admitted   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Birmingham   I-LOCATION
on   O
09/23/2338   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
evaluation   O
will   O
be   O
scheduled   O
for   O
October   B-DATE
2261   I-DATE
to   O
assess   O
the   O
patient   O
's   O
response   O
to   O
treatment   O
and   O
to   O
further   O
titrate   O
oxygen   O
therapy   O
as   O
needed   O
.   O

In   O
Summary   O
:   O
Nolan   B-NAME
Cooke   I-NAME
,   O
a   O
39   O
-   O
year   O
-   O
old   O
Legal   O
executive   O
with   O
a   O
background   O
of   O
asthma   O
,   O
was   O
diagnosed   O
with   O
COVID-19   O
pneumonia   O
.   O

The   O
patient   O
is   O
currently   O
admitted   O
to   O
Hackensack   B-LOCATION
Meridian   I-LOCATION
Health   I-LOCATION
Mountainside   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
management   O
of   O
respiratory   O
symptoms   O
and   O
requires   O
close   O
monitoring   O
due   O
to   O
the   O
complexity   O
of   O
their   O
condition   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Reid   B-NAME
Patient   O
ID   O
:   O
RB   B-ID
:   I-ID
EP:7291   I-ID
Date   O
of   O
Birth   O
:   O
78   O
Date   O
of   O
Admission   O
:   O
August   B-DATE
/2023   O
Admitting   O
Doctor   O
:   O
John   B-NAME
Wade   I-NAME
Prentice   I-NAME
Hospital   O
:   O
Sky   B-LOCATION
Ridge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Parcelas   B-LOCATION
Viejas   I-LOCATION
Borinquen   I-LOCATION
Medical   O
Record   O
Number   O
:   O
7150584   B-ID
Employment   O
:   O
Education   O
Administrators   O
,   O
All   O
Other   O
Phone   O
Number   O
:   O
37162   B-CONTACT
Residence   O
ZIP   O
Code   O
:   O
70146   B-LOCATION
Chief   O
Complaint   O
:   O
Rikki   B-NAME
Rierson   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Laurel   I-LOCATION
Highlands   I-LOCATION
on   O
04/32   B-DATE
/2023   O
,   O
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
farrar   B-NAME
,   O
a   O
75   O
-   O
year   O
-   O
old   O
Dietitian   O
from   O
Slatedale   B-LOCATION
,   O
started   O
experiencing   O
mild   O
abdominal   O
discomfort   O
18/21   B-DATE
days   O
ago   O
,   O
which   O
progressively   O
worsened   O
.   O

Past   O
Medical   O
History   O
:   O
ostrowski   B-NAME
has   O
a   O
documented   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
hypertension   O
,   O
which   O
have   O
been   O
managed   O
with   O
medication   O
.   O

Examination   O
:   O
On   O
physical   O
examination   O
,   O
Jeneil   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

white   O
blood   O
cells   O
(   O
WBC   O
)   O
at   O
12,000   O
/   O
μL.   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
levels   O
were   O
elevated   O
at   O
20   O
mg   O
/   O
L.   O
Imaging   O
:   O
A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
performed   O
on   O
New   B-DATE
Years   I-DATE
Eve   I-DATE
/2023   O
confirmed   O
the   O
suspicion   O
of   O
acute   O
appendicitis   O
,   O
showing   O
an   O
inflamed   O
appendix   O
with   O
surrounding   O
fat   O
stranding   O
.   O

Treatment   O
Plan   O
:   O
The   O
admitting   O
physician   O
,   O
Huff   B-NAME
,   O
recommended   O
an   O
urgent   O
surgical   O
intervention   O
for   O
appendectomy   O
.   O

Makenna   B-NAME
Hendricks   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
.   O

After   O
obtaining   O
informed   O
consent   O
,   O
Douglas   B-NAME
,   I-NAME
Tommy   I-NAME
was   O
scheduled   O
for   O
an   O
operative   O
procedure   O
on   O
T   B-DATE
/2023   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Bryson   B-NAME
Sanders   I-NAME
is   O
currently   O
recovering   O
in   O
the   O
postoperative   O
unit   O
at   O
Harper   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Wolfe   B-NAME
on   O
06/97   B-DATE
/2023   O
to   O
assess   O
recovery   O
progress   O
.   O

The   O
patient   O
and   O
family   O
were   O
advised   O
on   O
the   O
importance   O
of   O
postoperative   O
care   O
and   O
were   O
given   O
contact   O
information   O
(   O
74838   B-CONTACT
)   O
for   O
any   O
queries   O
or   O
concerns   O
during   O
the   O
recovery   O
period   O
.   O

Discussion   O
:   O
This   O
case   O
of   O
acute   O
appendicitis   O
in   O
Aracely   B-NAME
Ingram   I-NAME
highlights   O
the   O
importance   O
of   O
prompt   O
diagnosis   O
and   O
surgical   O
intervention   O
.   O

Browning   B-NAME
,   I-NAME
Robert   I-NAME
's   O
history   O
of   O
diabetes   O
necessitates   O
close   O
monitoring   O
during   O
the   O
recovery   O
phase   O
to   O
prevent   O
infection   O
and   O
ensure   O
optimal   O
healing   O
.   O

Prepared   O
by   O
:   O
cl439   B-NAME
Date   O
:   O
03/07/1956   B-DATE

Patient   O
Name   O
:   O
Uriel   B-NAME
Patrick   I-NAME
Zapien   I-NAME
DOB   O
:   O

1/10/83   B-DATE
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
6445427   I-ID
Medical   O
Record   O
Number   O
:   O
4216092   B-ID
Address   O
:   O
Lake   B-LOCATION
Hughes   I-LOCATION
,   O
41057   B-LOCATION
Phone   O
:   O
499   B-CONTACT
279   I-CONTACT
6526   I-CONTACT
Attending   O
Physician   O
:   O
Lowe   B-NAME
Hospital   O
Name   O
:   O
St.   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Pleasant   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O

Sexaholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
SA   I-LOCATION
)   I-LOCATION
Occupation   O
:   O
Radio   O
and   O
Television   O
Announcers   O
Admission   O
Date   O
:   O
38/19   B-DATE
Username   O
:   O
edu582   B-NAME
Chief   O
Complaint   O
:   O
Roxanne   B-NAME
Turner   I-NAME
is   O
a   O
47   O
-   O
year   O
-   O
old   O
Product   O
development   O
scientist   O
presenting   O
with   O
acute   O
onset   O
of   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
and   O
a   O
recent   O
history   O
of   O
unexplained   O
weight   O
loss   O
.   O

The   O
symptoms   O
began   O
approximately   O
01/29/31   B-DATE
and   O
have   O
progressively   O
worsened   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
According   O
to   O
Gomez   B-NAME
,   O
the   O
chest   O
pain   O
is   O
centralized   O
and   O
worsens   O
with   O
physical   O
activity   O
but   O
does   O
not   O
improve   O
with   O
rest   O
.   O

Rothschild   B-NAME
,   I-NAME
Baron   I-NAME
also   O
reports   O
an   O
unintended   O
weight   O
loss   O
of   O
10   O
pounds   O
over   O
the   O
past   O
month   O
without   O
changes   O
in   O
diet   O
or   O
exercise   O
habits   O
.   O

Past   O
Medical   O
History   O
:   O
Schama   B-NAME
,   I-NAME
Simon   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Allergies   O
:   O
None   O
known   O
Social   O
History   O
:   O
Rolland   B-NAME
Muck   I-NAME
works   O
as   O
a   O
Urologists   O
at   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Knitwear   I-LOCATION
,   I-LOCATION
Footwear   I-LOCATION
and   I-LOCATION
Apparel   I-LOCATION
Trades   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
or   O
illicit   O
drugs   O
.   O

Lives   O
alone   O
in   O
Woodside   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11377   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Brittany   B-NAME
Dean   I-NAME
appeared   O
visibly   O
dyspneic   O
at   O
rest   O
.   O

Admit   O
to   O
Fauquier   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
for   O
inpatient   O
treatment   O
and   O
observation   O
.   O

4   O
.   O
Consult   O
Li   B-NAME
for   O
lung   O
evaluation   O
.   O

Continue   O
monitoring   O
vital   O
signs   O
closely   O
,   O
especially   O
oxygen   O
saturation   O
and   O
respiratory   O
rate   O
.   O
Instructions   O
to   O
the   O
Patient   O
:   O
Sydnee   B-NAME
Reynolds   I-NAME
is   O
advised   O
to   O
immediately   O
inform   O
the   O
nursing   O
staff   O
in   O
case   O
of   O
any   O
symptom   O
exacerbation   O
,   O
particularly   O
increased   O
difficulty   O
breathing   O
or   O
persistent   O
chest   O
pain   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
on   O
30/24/65   B-DATE
with   O
Harrison   B-NAME
Palmer   I-NAME
for   O
re   O
-   O
evaluation   O
of   O
the   O
condition   O
and   O
to   O
discuss   O
the   O
progress   O
of   O
the   O
treatment   O
plan   O
.   O

The   O
above   O
report   O
synthesizes   O
the   O
presentation   O
,   O
examination   O
,   O
tests   O
,   O
and   O
initial   O
management   O
plan   O
for   O
Rebecca   B-NAME
Cochran   I-NAME
,   O
omitting   O
all   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
as   O
per   O
guidelines   O
and   O
utilizing   O
designated   O
PHI   O
labels   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Paige   B-NAME
,   I-NAME
Satchel   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
8424586   I-ID
Medical   O
Record   O
Number   O
:   O
55938190   B-ID
Date   O
of   O
Birth   O
:   O
02/21/23   B-DATE
Age   O
:   O
65   O
Phone   O
Number   O
:   O
373   B-CONTACT
-   I-CONTACT
417   I-CONTACT
-   I-CONTACT
8658   I-CONTACT
Address   O
:   O
Coyote   B-LOCATION
Flats   I-LOCATION
,   O
84052   B-LOCATION
Primary   O
Care   O
Doctor   O
:   O
Maleah   B-NAME
Harper   I-NAME
Hospital   O
Name   O
:   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Euclid   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
10/02/1796   B-DATE
Date   O
of   O
Report   O
:   O
W   B-DATE
Summary   O
:   O
Zackary   B-NAME
,   O
a   O
Travel   O
Guides   O
from   O
Orovada   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
SSM   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Louis   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
06/20   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Management   O
and   O
Treatment   O
:   O
Under   O
the   O
care   O
of   O
Riggs   B-NAME
and   O
after   O
obtaining   O
informed   O
consent   O
,   O
Ellyn   B-NAME
was   O
taken   O
to   O
surgery   O
for   O
an   O
appendectomy   O
on   O
12/12/2008   B-DATE
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Ward   B-NAME
is   O
advised   O
to   O
follow   O
a   O
gradual   O
return   O
to   O
normal   O
activities   O
,   O
with   O
avoidance   O
of   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
4   O
weeks   O
to   O
promote   O
healing   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
00   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
97   I-DATE
with   O
Amara   B-NAME
Costa   I-NAME
at   O
Wayne   B-LOCATION
HealthCare   I-LOCATION
to   O
assess   O
postoperative   O
recovery   O
and   O
to   O
address   O
any   O
concerns   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Opal   B-NAME
Carrie   I-NAME
-   I-NAME
Guerrero   I-NAME
can   O
reach   O
out   O
to   O
the   O
General   O
Surgery   O
Department   O
at   O
Gerald   B-LOCATION
Champion   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
via   O
49563   B-CONTACT
.   O

Conclusion   O
:   O
The   O
prompt   O
intervention   O
in   O
the   O
case   O
of   O
Nietzsche   B-NAME
,   I-NAME
Friedrich   I-NAME
has   O
resulted   O
in   O
a   O
positive   O
outcome   O
without   O
complications   O
.   O

Report   O
Prepared   O
By   O
:   O
trh221   B-NAME
Direct   B-LOCATION
Energy   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Romero   B-NAME
Age   O
:   O
67s   O
Date   O
of   O
Birth   O
:   O
22/24/81   B-DATE
Address   O
:   O
Hornsby   B-LOCATION
,   O
89958   B-LOCATION
Phone   O
Number   O
:   O
833   B-CONTACT
-   I-CONTACT
1254   I-CONTACT
Employer   O
:   O
Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
Profession   O
:   O

Media   O
planner   O
ID   O
Number   O
:   O
OE:46070:277151   B-ID
Medical   O
Record   O
Number   O
:   O
677   B-ID
48   I-ID
94   I-ID
Treating   O
Physician   O
:   O

Contreras   B-NAME
Hospital   O
Name   O
:   O
Spartanburg   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
2278   B-DATE
Presenting   O
Complaint   O
:   O
Vance   B-NAME
Taylor   I-NAME
presented   O
to   O
Adventist   B-LOCATION
Health   I-LOCATION
Glendale   I-LOCATION
on   O
33/23   B-DATE
with   O
a   O
history   O
of   O
progressive   O
,   O
worsening   O
dyspnea   O
over   O
the   O
past   O
Friday   B-DATE
,   O
associated   O
with   O
a   O
productive   O
cough   O
of   O
yellowish   O
sputum   O
.   O

Shaneka   B-NAME
Kosters   I-NAME
also   O
reported   O
experiencing   O
intermittent   O
chest   O
pain   O
,   O
described   O
as   O
a   O
tight   O
sensation   O
around   O
the   O
chest   O
,   O
exacerbating   O
upon   O
deep   O
inhalation   O
.   O

Medical   O
History   O
:   O
Rivers   B-NAME
,   I-NAME
Joan   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
diagnosed   O
in   O
2325   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
32   I-DATE
,   O
controlled   O
with   O
metformin   O
.   O

Social   O
history   O
reveals   O
Nuvia   B-NAME
Nadeau   I-NAME
is   O
a   O
former   O
smoker   O
,   O
having   O
quit   O
smoking   O
in   O
02/00   B-DATE
after   O
20   O
years   O
of   O
a   O
pack   O
a   O
day   O
smoking   O
history   O
.   O

Ayala   B-NAME
denies   O
any   O
recent   O
travels   O
outside   O
Grove   B-LOCATION
Hill   I-LOCATION
.   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Tan   B-NAME
is   O
afebrile   O
with   O
a   O
temperature   O
of   O
98.6   O
°   O
F   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
heart   O
rate   O
of   O
98   O
beats   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
92   O
%   O
on   O
room   O
air   O
.   O

Assessment   O
:   O
Deborah   B-NAME
N.   I-NAME
Hooper   I-NAME
is   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
(   O
CAP   O
)   O
,   O
taking   O
into   O
consideration   O
the   O
clinical   O
signs   O
,   O
symptoms   O
,   O
and   O
preliminary   O
investigation   O
findings   O
.   O

4   O
.   O
Follow   O
up   O
with   O
Mack   B-NAME
in   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Fairview   I-LOCATION
Hospital   I-LOCATION
for   O
reevaluation   O
in   O
11/8   B-DATE
days   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

Andreas   B-NAME
Cervantes   I-NAME
will   O
continue   O
to   O
oversee   O
BRODY   B-NAME
OHARA   I-NAME
's   O
care   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
based   O
on   O
response   O
to   O
treatment   O
and   O
further   O
diagnostic   O
findings   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
deterioration   O
in   O
Johnson   B-NAME
,   I-NAME
Lyndon   I-NAME
's   O
condition   O
,   O
contact   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Ardmore   I-LOCATION
Emergency   O
Department   O
at   O
344   B-CONTACT
867   I-CONTACT
3987   I-CONTACT
.   O

Patient   O
Name   O
:   O
Drew   B-NAME
Prince   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
2765899   I-ID
Medical   O
Record   O
Number   O
:   O
161   B-ID
-   I-ID
14   I-ID
-   I-ID
68   I-ID
Age   O
:   O
33   O
Date   O
of   O
Birth   O
:   O
20/31/2124   B-DATE
Address   O
:   O
White   B-LOCATION
House   I-LOCATION
Station   I-LOCATION
,   O
71858   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
972   I-CONTACT
)   I-CONTACT
226   I-CONTACT
-   I-CONTACT
7749   I-CONTACT
Employer   O
:   O
City   B-LOCATION
of   I-LOCATION
Newark   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O
Veterinarians   O
Primary   O
Care   O
Physician   O
:   O

Hoffman   B-NAME
Hospital   O
:   O

Neosho   B-LOCATION
Memorial   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Chanute   I-LOCATION
Admission   O
Date   O
:   O
23/20/2012   B-DATE
Username   O
:   O
fp21   B-NAME
Subjective   O
:   O
Figueroa   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Scheurer   B-LOCATION
Hospital   I-LOCATION
on   O
33/23/49   B-DATE
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
that   O
began   O
approximately   O
06/04/2149   B-DATE
.   O

Jerrod   B-NAME
Hersom   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
slight   O
fever   O
that   O
started   O
earlier   O
on   O
1/32   B-DATE
.   O

UNKNOWN   B-NAME
Y.   I-NAME
PARRA   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
Shenna   B-NAME
Deming   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
temperature   O
of   O
100.4   O
°   O
F   O
,   O
pulse   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
min   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Assessment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
findings   O
,   O
Hardy   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
risks   O
and   O
benefits   O
of   O
surgical   O
intervention   O
versus   O
conservative   O
management   O
were   O
discussed   O
in   O
detail   O
with   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
and   O
their   O
family   O
.   O

Lessig   B-NAME
,   I-NAME
Lawrence   I-NAME
was   O
admitted   O
to   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Oklahoma   I-LOCATION
City   I-LOCATION
under   O
the   O
care   O
of   O
Gertude   B-NAME
Schreiner   I-NAME
for   O
an   O
appendectomy   O
scheduled   O
on   O
1   B-DATE
-   I-DATE
32   I-DATE
.   O

Ernest   B-NAME
Davila   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
.   O

The   O
surgery   O
team   O
and   O
Cal   B-NAME
Lightman   I-NAME
's   O
family   O
were   O
updated   O
about   O
the   O
planned   O
surgery   O
and   O
postoperative   O
care   O
instructions   O
.   O

Carita   B-NAME
Wengerd   I-NAME
consented   O
to   O
the   O
procedure   O
following   O
a   O
comprehensive   O
discussion   O
.   O

Instructions   O
for   O
Travis   B-NAME
included   O
fasting   O
for   O
at   O
least   O
8   O
hours   O
prior   O
to   O
surgery   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
19   B-DATE
-   I-DATE
Dec-18   I-DATE
at   O
Beacon   B-LOCATION
Center   I-LOCATION
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Seymour   B-NAME
Katz   I-NAME
was   O
also   O
advised   O
on   O
signs   O
of   O
infection   O
or   O
complications   O
to   O
watch   O
for   O
and   O
report   O
immediately   O
.   O

Jack   B-NAME
Finley   I-NAME
's   O
emergency   O
contact   O
(   O
Corporate   O
banker   O
at   O
ILUG   B-LOCATION
-   I-LOCATION
Delhi   I-LOCATION
,   O
68863   B-CONTACT
)   O
was   O
noted   O
,   O
and   O
it   O
was   O
confirmed   O
that   O
they   O
would   O
be   O
available   O
to   O
assist   O
Deliz   B-NAME
during   O
the   O
post   O
-   O
operative   O
recovery   O
period   O
.   O

Amaya   B-NAME
Owens   I-NAME
documented   O
the   O
plan   O
and   O
consent   O
in   O
David   B-NAME
Patel   I-NAME
's   O
medical   O
record   O
,   O
7165698   B-ID
,   O
and   O
ensured   O
that   O
all   O
queries   O
from   O
Kolten   B-NAME
Mcmillan   I-NAME
and   O
their   O
family   O
were   O
addressed   O
before   O
proceeding   O
.   O

The   O
patient   O
,   O
Badvibes   B-NAME
,   O
a   O
92   O
-   O
year   O
-   O
old   O
Gas   O
Plant   O
Operators   O
from   O
McMechen   B-LOCATION
,   O
presented   O
to   O
Renown   B-LOCATION
South   I-LOCATION
Meadows   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/26/2134   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
has   O
been   O
ongoing   O
for   O
the   O
past   O
two   O
days   O
.   O

Jake   B-NAME
Houseman   I-NAME
has   O
no   O
significant   O
past   O
medical   O
history   O
but   O
mentioned   O
a   O
family   O
history   O
of   O
appendicitis   O
.   O

Upon   O
examination   O
by   O
Lashaun   B-NAME
Angell   I-NAME
,   O
Reggie   B-NAME
Beirne   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
guarding   O
upon   O
palpation   O
of   O
the   O
McBurney   O
's   O
point   O
.   O

LATRISHA   B-NAME
ERVIN   I-NAME
's   O
8620861   B-ID
number   O
is   O
BW:7660:504975   B-ID
,   O
and   O
their   O
contact   O
number   O
listed   O
in   O
the   O
hospital   O
records   O
is   O
816   B-CONTACT
-   I-CONTACT
5543   I-CONTACT
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Lane   B-NAME
,   O
recommended   O
an   O
urgent   O
appendectomy   O
to   O
which   O
Thurber   B-NAME
,   I-NAME
James   I-NAME
consented   O
after   O
the   O
risks   O
and   O
benefits   O
were   O
discussed   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
1623   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
25   I-DATE
at   O
Stephens   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
and   O
Mollie   B-NAME
Atkins   I-NAME
showed   O
signs   O
of   O
improvement   O
with   O
resolution   O
of   O
fever   O
and   O
pain   O
.   O

Eveline   B-NAME
Claud   I-NAME
was   O
advised   O
regarding   O
wound   O
care   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Caitlyn   B-NAME
Mcdowell   I-NAME
was   O
given   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2/24   B-DATE
with   O
Hunt   B-NAME
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

The   O
case   O
was   O
documented   O
under   O
42238742   B-ID
for   O
future   O
reference   O
and   O
submitted   O
to   O
Principality   B-LOCATION
of   I-LOCATION
Planets   I-LOCATION
for   O
quality   O
and   O
outcome   O
analysis   O
.   O

Should   O
there   O
be   O
any   O
concerns   O
or   O
symptoms   O
of   O
infection   O
,   O
Reed   B-NAME
Mccullough   I-NAME
was   O
instructed   O
to   O
contact   O
Cherokee   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
immediately   O
.   O

This   O
account   O
represents   O
a   O
comprehensive   O
overview   O
of   O
JF   B-NAME
's   O
encounter   O
with   O
acute   O
appendicitis   O
treatment   O
at   O
Capital   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
(   I-LOCATION
Mercer   I-LOCATION
Campus   I-LOCATION
)   I-LOCATION
,   O
from   O
initial   O
presentation   O
to   O
discharge   O
and   O
follow   O
-   O
up   O
care   O
.   O

The   O
patient   O
,   O
Billie   B-NAME
Givens   I-NAME
,   O
a   O
Grinding   O
,   O
Honing   O
,   O
Lapping   O
,   O
and   O
Deburring   O
Machine   O
Set   O
-   O
Up   O
Operators   O
from   O
Greenville   B-LOCATION
,   O
98596   B-LOCATION
,   O
presented   O
to   O
South   B-LOCATION
Baldwin   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
07/03/2261   B-DATE
with   O
a   O
detailed   O
medical   O
history   O
as   O
provided   O
by   O
Stuart   B-NAME
.   O

Upon   O
examination   O
,   O
Brooklynn   B-NAME
Mcbride   I-NAME
noted   O
an   O
irregular   O
heartbeat   O
with   O
a   O
rapid   O
ventricular   O
response   O
and   O
ordered   O
further   O
diagnostic   O
tests   O
.   O

Given   O
the   O
findings   O
,   O
Malone   B-NAME
initiated   O
anticoagulation   O
therapy   O
to   O
mitigate   O
the   O
risk   O
of   O
thromboembolic   O
events   O
and   O
recommended   O
a   O
follow   O
-   O
up   O
echocardiogram   O
to   O
assess   O
for   O
any   O
structural   O
heart   O
disease   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
,   O
6138494   B-ID
,   O
and   O
the   O
contact   O
number   O
,   O
82433   B-CONTACT
,   O
were   O
updated   O
in   O
Stony   B-LOCATION
Brook   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
's   O
system   O
for   O
future   O
reference   O
.   O

Additionally   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Mar.   B-DATE
2371   I-DATE
to   O
reassess   O
the   O
patient   O
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Due   O
to   O
the   O
potential   O
complications   O
associated   O
with   O
atrial   O
fibrillation   O
,   O
such   O
as   O
an   O
increased   O
risk   O
of   O
stroke   O
and   O
heart   O
failure   O
,   O
Franklin   B-NAME
emphasized   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
anticoagulation   O
regimen   O
and   O
scheduled   O
periodic   O
evaluations   O
to   O
monitor   O
the   O
patient   O
's   O
cardiac   O
rhythm   O
.   O

The   O
patient   O
,   O
Rodrigo   B-NAME
Chang   I-NAME
,   O
expressed   O
understanding   O
of   O
the   O
diagnosis   O
and   O
the   O
proposed   O
treatment   O
plan   O
.   O

Hailie   B-NAME
Mcintosh   I-NAME
also   O
recommended   O
lifestyle   O
modifications   O
including   O
weight   O
management   O
,   O
regular   O
physical   O
activity   O
,   O
and   O
dietary   O
adjustments   O
to   O
manage   O
the   O
patient   O
's   O
cardiovascular   O
risk   O
factors   O
more   O
effectively   O
.   O

In   O
summary   O
,   O
Valdez   B-NAME
presents   O
a   O
challenging   O
case   O
of   O
atrial   O
fibrillation   O
requiring   O
careful   O
management   O
to   O
prevent   O
potential   O
complications   O
.   O

The   O
collaborative   O
effort   O
between   O
the   O
patient   O
and   O
the   O
healthcare   O
team   O
at   O
Brigham   B-LOCATION
and   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Faulkner   I-LOCATION
Hospital   I-LOCATION
aims   O
to   O
achieve   O
optimal   O
health   O
outcomes   O
through   O
evidence   O
-   O
based   O
interventions   O
and   O
regular   O
monitoring   O
.   O

Kelly   B-NAME
Watson   I-NAME
documented   O
the   O
case   O
in   O
the   O
patient   O
's   O
medical   O
history   O
under   O
ID   O
number   O
IS   B-ID
:   I-ID
MR:2585   I-ID
for   O
continuity   O
of   O
care   O
and   O
future   O
reference   O
.   O

The   O
patient   O
,   O
Alivia   B-NAME
Wilson   I-NAME
,   O
a   O
7   O
-   O
year   O
-   O
old   O
General   O
and   O
Operations   O
Managers   O
from   O
East   B-LOCATION
Elmhurst   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
11370   I-LOCATION
,   O
presented   O
to   O
Dupont   B-LOCATION
Hospital   I-LOCATION
on   O
12/20   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
that   O
has   O
persisted   O
for   O
the   O
past   O
48   O
hours   O
.   O

Alhaus   B-NAME
Grinman   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
Cannicus   B-NAME
Maskaly   I-NAME
is   O
currently   O
taking   O
multiple   O
medications   O
,   O
including   O
metformin   O
and   O
lisinopril   O
.   O

Upon   O
physical   O
examination   O
,   O
Shaylee   B-NAME
Keith   I-NAME
noted   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Given   O
these   O
findings   O
,   O
Jensen   B-NAME
at   O
McPherson   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
McPherson   I-LOCATION
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

The   O
consultation   O
occurred   O
on   O
2002   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
32   I-DATE
,   O
and   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
laparoscopic   O
appendectomy   O
.   O

Pieper   B-NAME
,   I-NAME
Josef   I-NAME
's   O
102   B-ID
-   I-ID
78   I-ID
-   I-ID
21   I-ID
number   O
,   O
4   B-ID
-   I-ID
6394680   I-ID
,   O
was   O
used   O
to   O
schedule   O
the   O
surgery   O
for   O
26/02   B-DATE
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
initiated   O
,   O
and   O
conley   B-NAME
was   O
taken   O
to   O
the   O
operating   O
room   O
at   O
Uniontown   B-LOCATION
Hospital   I-LOCATION
without   O
delay   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Dan   B-NAME
Potter   I-NAME
tolerated   O
the   O
procedure   O
well   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Kirk   B-NAME
Langström   I-NAME
was   O
discharged   O
home   O
on   O
10/03/1704   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Walter   B-NAME
at   O
Northern   B-LOCATION
Dutchess   I-LOCATION
Hospital   I-LOCATION
for   O
02/29   B-DATE
.   O

Clement   B-NAME
Molloch   I-NAME
was   O
advised   O
to   O
call   O
Mccoy   B-NAME
's   O
office   O
at   O
875   B-CONTACT
-   I-CONTACT
798   I-CONTACT
-   I-CONTACT
2857   I-CONTACT
with   O
any   O
concerns   O
or   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
were   O
to   O
occur   O
.   O

Additionally   O
,   O
Kristian   B-NAME
Day   I-NAME
was   O
reminded   O
to   O
continue   O
with   O
the   O
current   O
regimen   O
for   O
diabetes   O
and   O
hypertension   O
management   O
and   O
to   O
consult   O
with   O
Maverick   B-NAME
Anderson   I-NAME
during   O
the   O
follow   O
-   O
up   O
visit   O
for   O
potential   O
adjustments   O
.   O

The   O
case   O
was   O
reported   O
to   O
Burlington   B-LOCATION
for   O
quality   O
improvement   O
purposes   O
,   O
under   O
the   O
unique   O
identifier   O
7   B-ID
-   I-ID
7170816   I-ID
,   O
ensuring   O
that   O
all   O
PHI   O
is   O
securely   O
managed   O
as   O
per   O
HIPAA   O
regulations   O
.   O

For   O
further   O
details   O
or   O
queries   O
regarding   O
Chance   B-NAME
Mcintosh   I-NAME
's   O
case   O
,   O
please   O
contact   O
MultiCare   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
's   O
information   O
desk   O
at   O
539   B-CONTACT
1919   I-CONTACT
or   O
via   O
the   O
patient   O
portal   O
using   O
the   O
username   O
psv932   B-NAME
.   O

Sabrina   B-NAME
Decker   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
from   O
the   O
medical   O
team   O
at   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Bellefonte   I-LOCATION
Hospital   I-LOCATION
,   O
located   O
in   O
Pickerington   B-LOCATION
,   O
and   O
expressed   O
satisfaction   O
with   O
the   O
clear   O
communication   O
and   O
professionalism   O
displayed   O
throughout   O
the   O
treatment   O
process   O
.   O

Patient   O
Name   O
:   O
Noe   B-NAME
Howard   I-NAME
Patient   O
ID   O
:   O
KS446/4219   B-ID
Date   O
of   O
Birth   O
:   O
05/10   B-DATE
Age   O
:   O
3   O
Address   O
:   O
Foster   B-LOCATION
City   I-LOCATION
,   O
46681   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
628   I-CONTACT
)   I-CONTACT
641   I-CONTACT
-   I-CONTACT
2683   I-CONTACT
Occupation   O
:   O

Damari   B-NAME
Malone   I-NAME
Medical   O
Record   O
Number   O
:   O
6538766   B-ID
Date   O
of   O
Admission   O
:   O
1/20   B-DATE
Date   O
of   O
Discharge   O
:   O
20/29   B-DATE
Hospital   O
Name   O
:   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Kent   I-LOCATION
Community   I-LOCATION
Campus   I-LOCATION
Clinical   O
Summary   O
:   O
Feibig   B-NAME
,   I-NAME
Jim   I-NAME
,   O
a   O
18s   O
-   O
year   O
-   O
old   O
Continuous   O
Mining   O
Machine   O
Operators   O
residing   O
at   O
Sarasota   B-LOCATION
,   O
93554   B-LOCATION
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Metropolitan   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
2297   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
abdominal   O
pain   O
located   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

McKay   B-NAME
,   I-NAME
Charles   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
a   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

On   O
physical   O
examination   O
,   O
Simeon   B-NAME
Casey   I-NAME
exhibited   O
signs   O
of   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Decker   B-NAME
recommended   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
on   O
17/33   B-DATE
without   O
any   O
complications   O
.   O

Leah   B-NAME
Medina   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
antibiotics   O
post   O
-   O
operatively   O
and   O
showed   O
significant   O
improvement   O
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
and   O
XIE   B-NAME
,   I-NAME
LORI   I-NAME
was   O
discharged   O
on   O
2/33/2392   B-DATE
with   O
advice   O
on   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Daniel   B-NAME
,   I-NAME
Samuel   I-NAME
at   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Williamsport   I-LOCATION
.   O

During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
12/22   B-DATE
,   O
Reese   B-NAME
's   O
surgical   O
site   O
was   O
healing   O
adequately   O
,   O
and   O
Bridges   B-NAME
reported   O
no   O
further   O
abdominal   O
pain   O
or   O
discomfort   O
.   O

Antonio   B-NAME
Cole   I-NAME
assessed   O
Trotter   B-NAME
and   O
concluded   O
that   O
the   O
Jessica   B-NAME
Ewing   I-NAME
had   O
fully   O
recovered   O
from   O
the   O
appendectomy   O
.   O

Carline   B-NAME
Makin   I-NAME
was   O
satisfied   O
with   O
the   O
care   O
received   O
from   O
Cedar   B-LOCATION
Springs   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
and   O
the   O
medical   O
team   O
led   O
by   O
Good   B-NAME
.   O

Case   B-NAME
recommended   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
one   O
month   O
to   O
ensure   O
complete   O
recovery   O
and   O
to   O
discuss   O
any   O
further   O
health   O
concerns   O
.   O

Clayton   B-NAME
Norton   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
and   O
was   O
given   O
dietary   O
recommendations   O
to   O
support   O
healing   O
.   O

The   O
case   O
was   O
documented   O
in   O
72983140   B-ID
under   O
0   B-ID
-   I-ID
4184870   I-ID
and   O
will   O
be   O
reviewed   O
in   O
the   O
subsequent   O
follow   O
-   O
up   O
.   O

Contact   O
Information   O
:   O
Primary   O
Physician   O
:   O
Byrd   B-NAME
,   O
175   B-CONTACT
1755   I-CONTACT
Hospital   O
Contact   O
:   O
Indiana   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
91507   B-CONTACT
Patient   O
ID   O
:   O
RJ   B-ID
:   I-ID
OQ:6939   I-ID
Medical   O
Record   O
Number   O
:   O
0587073   B-ID

Patient   O
Name   O
:   O
Gregory   B-NAME
Mcguire   I-NAME
Medical   O
Record   O
Number   O
:   O
467   B-ID
-   I-ID
83   I-ID
-   I-ID
13   I-ID
Date   O
of   O
Birth   O
:   O
10/02   B-DATE
Age   O
:   O
11   O
month   O
Address   O
:   O
Holiday   B-LOCATION
Beach   I-LOCATION
,   O
53368   B-LOCATION
Phone   O
:   O
96668   B-CONTACT

Davin   B-NAME
Christensen   I-NAME
Hospital   O
:   O
Sinai   B-LOCATION
-   I-LOCATION
Grace   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
01   B-DATE
-   I-DATE
10   I-DATE
ID   O
:   O
1   B-ID
-   I-ID
1736552   I-ID
History   O
of   O
Present   O
Illness   O
:   O
Frostrup   B-NAME
,   I-NAME
Mariella   I-NAME
presented   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Jones   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/10   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
recurrent   O
headaches   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
nausea   O
and   O
photophobia   O
.   O

Victor   B-NAME
describes   O
the   O
pain   O
as   O
throbbing   O
,   O
occurring   O
3   O
-   O
4   O
times   O
per   O
week   O
,   O
and   O
significantly   O
impacting   O
daily   O
activities   O
.   O

Social   O
History   O
:   O
Amiya   B-NAME
Rocha   I-NAME
is   O
a   O
Copy   O
Writers   O
,   O
living   O
in   O
Indianapolis   B-LOCATION
and   O
reports   O
occasional   O
alcohol   O
use   O
but   O
denies   O
smoking   O
or   O
illicit   O
drug   O
use   O
.   O

On   O
examination   O
,   O
Nash   B-NAME
Clay   I-NAME
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Investigations   O
:   O
MRI   O
of   O
the   O
brain   O
was   O
conducted   O
at   O
Tempe   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
supervision   O
of   O
Mcgrath   B-NAME
,   O
which   O
did   O
not   O
show   O
any   O
significant   O
abnormalities   O
.   O

Treatment   O
Plan   O
:   O
Linnie   B-NAME
Labombard   I-NAME
was   O
advised   O
to   O
initiate   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
.   O

Maurice   B-NAME
Casey   I-NAME
was   O
counseled   O
on   O
lifestyle   O
modifications   O
including   O
hydration   O
,   O
regular   O
meals   O
,   O
sleep   O
hygiene   O
,   O
and   O
stress   O
management   O
techniques   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
for   O
06/23   B-DATE
with   O
Kovacs   B-NAME
,   I-NAME
Ernie   I-NAME
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
and   O
adjust   O
as   O
necessary   O
.   O

-   O
Contact   O
Maria   B-LOCATION
Parham   I-LOCATION
Health   I-LOCATION
at   O
74794   B-CONTACT
for   O
any   O
questions   O
or   O
to   O
report   O
any   O
side   O
effects   O
of   O
the   O
medication   O
.   O

-   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
26/06/86   B-DATE
with   O
Yon   B-NAME
Sandt   I-NAME
.   O

This   O
is   O
a   O
53   O
-   O
year   O
-   O
old   O
Planning   O
and   O
development   O
surveyor   O
from   O
Somerton   B-LOCATION
,   O
who   O
presented   O
with   O
severe   O
,   O
recurring   O
headaches   O
.   O

Patient   O
Name   O
:   O
Echeverria   B-NAME
Patient   O
ID   O
:   O
OH:8438:696597   B-ID
Date   O
of   O
Birth   O
:   O
2091   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
22   I-DATE
Address   O
:   O
Lake   B-LOCATION
Heritage   I-LOCATION
,   O
13850   B-LOCATION
Phone   O
Number   O
:   O
553   B-CONTACT
759   I-CONTACT
6841   I-CONTACT
Employment   O
:   O

Endoscopy   O
Technicians   O
at   O
Australian   B-LOCATION
Council   I-LOCATION
of   I-LOCATION
Trade   I-LOCATION
Unions   I-LOCATION
Physician   O
:   O

Henry   B-NAME
Jekyll   I-NAME
Medical   O
Record   O
Number   O
:   O
92695804   B-ID
Hospital   O
:   O
Atrium   B-LOCATION
Health   I-LOCATION
Huntersville   I-LOCATION
Date   O
of   O
Admission   O
:   O
06/27   B-DATE
Date   O
of   O
Discharge   O
:   O
21/22/2351   B-DATE
Clinical   O
Summary   O
:   O
Isabella   B-NAME
Nash   I-NAME
,   O
a   O
71   O
-   O
year   O
-   O
old   O
Parking   O
Enforcement   O
Workers   O
employed   O
at   O
American   B-LOCATION
Oil   I-LOCATION
Chemists   I-LOCATION
'   I-LOCATION
Society   I-LOCATION
,   O
presented   O
to   O
Guthrie   B-LOCATION
Robert   I-LOCATION
Packer   I-LOCATION
Hospital   I-LOCATION
on   O
2/00   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
high   O
-   O
grade   O
,   O
intermittent   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
,   O
severe   O
headache   O
localized   O
primarily   O
in   O
the   O
frontal   O
region   O
,   O
and   O
photophobia   O
.   O

Fossil   B-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
episodes   O
of   O
vomiting   O
,   O
which   O
aggravated   O
the   O
headache   O
.   O

Past   O
medical   O
history   O
obtained   O
through   O
electronic   O
health   O
records   O
(   O
255   B-ID
-   I-ID
72   I-ID
-   I-ID
17   I-ID
)   O
documented   O
at   O
Blue   B-LOCATION
Point   I-LOCATION
under   O
the   O
care   O
of   O
Marie   B-NAME
Randall   I-NAME
indicates   O
that   O
Emilee   B-NAME
Blankenbaker   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
(   O
NKDA   O
)   O
and   O
has   O
been   O
previously   O
healthy   O
with   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

Laboratory   O
tests   O
conducted   O
on   O
12/23   B-DATE
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
showing   O
leukocytosis   O
with   O
a   O
left   O
shift   O
,   O
elevated   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
,   O
and   O
a   O
Lumbar   O
puncture   O
indicating   O
cloudy   O
cerebrospinal   O
fluid   O
(   O
CSF   O
)   O
with   O
elevated   O
protein   O
levels   O
,   O
reduced   O
glucose   O
levels   O
,   O
and   O
an   O
increased   O
white   O
blood   O
cell   O
count   O
suggestive   O
of   O
bacterial   O
meningitis   O
.   O

Given   O
the   O
clinical   O
findings   O
and   O
laboratory   O
results   O
,   O
Charlotte   B-NAME
Farley   I-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
including   O
intravenous   O
ceftriaxone   O
and   O
vancomycin   O
,   O
along   O
with   O
dexamethasone   O
to   O
reduce   O
cerebral   O
edema   O
.   O

Knightley   B-NAME
,   I-NAME
Keira   I-NAME
has   O
been   O
admitted   O
to   O
the   O
Neurology   O
ward   O
at   O
Kings   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
management   O
.   O

The   O
care   O
team   O
,   O
led   O
by   O
Quentin   B-NAME
Costa   I-NAME
,   O
has   O
been   O
in   O
close   O
communication   O
with   O
Eulah   B-NAME
Verner   I-NAME
's   O
emergency   O
contact   O
listed   O
in   O
the   O
medical   O
record   O
(   O
4884189   B-ID
)   O
.   O

Updates   O
regarding   O
Dorsey   B-NAME
's   O
condition   O
and   O
progress   O
are   O
shared   O
with   O
consent   O
,   O
adhering   O
to   O
HIPAA   O
guidelines   O
.   O

Efforts   O
have   O
been   O
made   O
to   O
document   O
all   O
interactions   O
and   O
medical   O
interventions   O
accurately   O
in   O
Oakley   B-NAME
's   O
electronic   O
health   O
record   O
(   O
4905561   B-ID
)   O
,   O
ensuring   O
confidentiality   O
and   O
security   O
as   O
per   O
the   O
organization   O
's   O
privacy   O
policies   O
at   O
Easton   B-LOCATION
Hospital   I-LOCATION
,   O
Bel   B-LOCATION
Air   I-LOCATION
South   I-LOCATION
.   O

Contact   O
for   O
further   O
information   O
:   O
(   B-CONTACT
767   I-CONTACT
)   I-CONTACT
238   I-CONTACT
-   I-CONTACT
6953   I-CONTACT
Responsible   O
Physician   O
:   O
Kim   B-NAME
Review   O
Date   O
:   O
12/02/2351   B-DATE

Patient   O
Name   O
:   O
Paul   B-NAME
Edwards   I-NAME
Medical   O
Record   O
Number   O
:   O
16907202   B-ID
Date   O
of   O
Birth   O
:   O
2160   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
30   I-DATE
Age   O
:   O
28   O
Address   O
:   O
New   B-LOCATION
Jerusalem   I-LOCATION
,   O
85510   B-LOCATION
Phone   O
Number   O
:   O
493   B-CONTACT
-   I-CONTACT
952   I-CONTACT
7993   I-CONTACT

Attending   O
Physician   O
:   O
Callahan   B-NAME
Hospital   O
:   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Jacksonville   I-LOCATION
ID   O
:   O
VL:95712:383214   B-ID

Date   O
of   O
Admission   O
:   O
20/03   B-DATE
Date   O
of   O
Report   O
:   O
2124   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
23   I-DATE
Subjective   O
:   O

Flo   B-NAME
presents   O
complaining   O
of   O
severe   O
,   O
stabbing   O
chest   O
pain   O
that   O
radiates   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

Maddison   B-NAME
Johns   I-NAME
mentions   O
experiencing   O
episodes   O
of   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
and   O
episodes   O
of   O
nausea   O
.   O

Tim   B-NAME
Whatley   I-NAME
,   O
a   O
Security   O
Guards   O
,   O
states   O
that   O
these   O
symptoms   O
have   O
been   O
ongoing   O
sporadically   O
over   O
the   O
past   O
32/30/96   B-DATE
,   O
but   O
have   O
significantly   O
worsened   O
in   O
the   O
past   O
24   O
hours   O
.   O

Jacie   B-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
diabetes   O
,   O
for   O
which   O
William   B-NAME
K.   I-NAME
Joslin   I-NAME
takes   O
medication   O
,   O
though   O
names   O
and   O
dosages   O
were   O
not   O
recalled   O
at   O
the   O
time   O
of   O
admission   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
Dominguez   B-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
160/100   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
/   O
min   O
,   O
and   O
oxygen   O
saturation   O
at   O
92   O
%   O
on   O
room   O
air   O
.   O

Immediate   O
admission   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
at   O
Community   B-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
and   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Tucker   B-NAME
Valenzuela   I-NAME
is   O
to   O
be   O
closely   O
monitored   O
over   O
the   O
next   O
Wednesday   B-DATE
for   O
signs   O
of   O
heart   O
failure   O
or   O
arrhythmias   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Iyana   B-NAME
Hampton   I-NAME
in   O
Buzzards   B-LOCATION
Bay   I-LOCATION
on   O
21/24/2347   B-DATE
to   O
review   O
the   O
progress   O
and   O
discuss   O
further   O
rehabilitation   O
.   O

Social   O
work   O
consultation   O
was   O
also   O
arranged   O
to   O
assist   O
Carolina   B-NAME
Green   I-NAME
with   O
adjustments   O
in   O
daily   O
activities   O
and   O
Municipal   O
Firefighters   O
responsibilities   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Blinky   B-NAME
or   O
their   O
family   O
may   O
contact   O
the   O
Cardiac   O
Care   O
Unit   O
at   O
263   B-CONTACT
-   I-CONTACT
349   I-CONTACT
-   I-CONTACT
5208   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Alina   B-NAME
Irwin   I-NAME
Patient   O
ID   O
:   O
279072   B-ID
Medical   O
Record   O
Number   O
:   O
CK322517   B-ID
Date   O
of   O
Birth   O
:   O
2006   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
01   I-DATE
Age   O
:   O
80   O
Phone   O
Number   O
:   O
(   B-CONTACT
822   I-CONTACT
)   I-CONTACT
980   I-CONTACT
-   I-CONTACT
6953   I-CONTACT
Address   O
:   O
Lubbock   B-LOCATION
,   O
64130   B-LOCATION
Employment   O
:   O
Industrial   O
Truck   O
and   O
Tractor   O
Operators   O
Physician   O
:   O

Barry   B-NAME
Hospital   O
:   O
CHRISTUS   B-LOCATION
Mother   I-LOCATION
Frances   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Tyler   I-LOCATION
Admission   O
Date   O
:   O
22/30   B-DATE
Discharge   O
Date   O
:   O
32/02   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Mccall   B-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
Stanford   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
on   O
2340   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
37   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
up   O
into   O
the   O
jaw   O
,   O
lasting   O
for   O
about   O
3   O
hours   O
before   O
admission   O
.   O

Rankar   B-NAME
Nusz   I-NAME
denied   O
any   O
previous   O
episodes   O
of   O
this   O
nature   O
.   O

Vetter   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Troponin   O
levels   O
were   O
elevated   O
at   O
0.32   O
ng   O
/   O
mL.   O
Management   O
:   O
Quintilian   B-NAME
,   I-NAME
Marcus   I-NAME
Fabius   I-NAME
was   O
promptly   O
administered   O
aspirin   O
325   O
mg   O
,   O
clopidogrel   O
600   O
mg   O
loading   O
dose   O
followed   O
by   O
75   O
mg   O
daily   O
,   O
and   O
was   O
started   O
on   O
a   O
heparin   O
drip   O
.   O

Tavon   B-NAME
was   O
taken   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
an   O
emergent   O
coronary   O
angiography   O
,   O
which   O
revealed   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

Rebecca   B-NAME
Cochran   I-NAME
was   O
started   O
on   O
beta   O
-   O
blocker   O
therapy   O
,   O
high   O
-   O
intensity   O
statin   O
therapy   O
,   O
and   O
angiotensin   O
-   O
converting   O
enzyme   O
(   O
ACE   O
)   O
inhibitor   O
.   O

URIBE   B-NAME
,   I-NAME
HAROLD   I-NAME
was   O
educated   O
on   O
lifestyle   O
modifications   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
before   O
being   O
discharged   O
on   O
8/31   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Ahmed   B-NAME
Mcdaniel   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Morse   B-NAME
at   O
Ochsner   B-LOCATION
LSU   I-LOCATION
Health   I-LOCATION
Shreveport   I-LOCATION
on   O
9/93   B-DATE
.   O

Scheduled   O
follow   O
-   O
up   O
appointment   O
on   O
6   B-DATE
-   I-DATE
26   I-DATE
with   O
Hutchinson   B-NAME
at   O
Tift   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Note   O
:   O
For   O
any   O
immediate   O
concerns   O
or   O
side   O
effects   O
,   O
Sidney   B-NAME
Blackburn   I-NAME
can   O
contact   O
Liberty   B-LOCATION
Hospital   I-LOCATION
at   O
622   B-CONTACT
3610   I-CONTACT
.   O

Patient   O
Report   O
:   O
april   B-DATE
/2023   O
Patient   O
ID   O
:   O
4302959   B-ID
Westfield   B-LOCATION
Insurance   I-LOCATION
Hospital   O
Admission   O
Note   O
Patient   O
Name   O
:   O
Kimama   B-NAME
Age   O
:   O
55   O
Address   O
:   O
Pocklington   B-LOCATION
,   O
31140   B-LOCATION
Phone   O
Number   O
:   O
32850   B-CONTACT
Emergency   O
Contact   O
:   O
Musicians   O
,   O
Instrumental   O
at   O
448   B-CONTACT
7075   I-CONTACT
Referring   O
Physician   O
:   O

Colten   B-NAME
Dillon   I-NAME
Admitting   O
Physician   O
:   O
Washington   B-NAME
Hospital   O
:   O
Oakbend   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Jackson   I-LOCATION
Street   I-LOCATION
Campus   I-LOCATION
Summary   O
:   O
12/29/2040   B-DATE
/2023   O
,   O
Holly   B-NAME
Knapp   I-NAME
,   O
a   O
Immigration   O
and   O
Customs   O
Inspectors   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
WakeMed   B-LOCATION
Cary   I-LOCATION
Hospital   I-LOCATION
,   O
Rayville   B-LOCATION
,   O
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
onset   O
approximately   O
6   O
hours   O
prior   O
to   O
presentation   O
.   O

Associated   O
symptoms   O
reported   O
include   O
nausea   O
without   O
vomiting   O
,   O
fever   O
measured   O
at   O
home   O
as   O
101.2   O
°   O
F   O
(   O
11/12   B-DATE
/2023   O
)   O
,   O
and   O
a   O
lack   O
of   O
appetite   O
.   O

Medical   O
History   O
:   O
-   O
Hypertension   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Anderson   B-NAME
-   O
No   O
known   O
drug   O
allergies   O
-   O
Non   O
-   O
smoker   O
-   O
No   O
prior   O
surgeries   O
Medications   O
:   O
-   O
Lisinopril   O
10   O
mg   O
daily   O
Family   O
History   O
:   O
-   O
Father   O
had   O
colon   O
cancer   O
at   O
6   O
-   O
Mother   O
living   O
,   O
with   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
.   O

5   O
.   O
Surgical   O
consult   O
requested   O
with   O
Dr.   O
Casey   B-NAME
for   O
possible   O
appendectomy   O
depending   O
on   O
investigative   O
results   O
.   O

Observations   O
:   O
Patient   O
Madeleine   B-NAME
Salazar   I-NAME
has   O
been   O
admitted   O
under   O
observation   O
with   O
a   O
pending   O
surgical   O
evaluation   O
for   O
suspected   O
acute   O
appendicitis   O
.   O

The   O
patient   O
's   O
vital   O
signs   O
remain   O
stable   O
post   O
-   O
admission   O
,   O
and   O
Perry   B-NAME
is   O
currently   O
NPO   O
in   O
preparation   O
for   O
potential   O
surgery   O
.   O

All   O
communication   O
regarding   O
Camila   B-NAME
Carney   I-NAME
's   O
condition   O
and   O
treatment   O
plans   O
should   O
be   O
directed   O
to   O
51449   B-CONTACT
and   O
documented   O
in   O
90809803   B-ID
.   O

Prepared   O
by   O
:   O
Kaley   B-NAME
Graves   I-NAME
,   O
MD   O
22/13/2262   B-DATE

The   O
patient   O
,   O
Malcolm   B-NAME
Mcpherson   I-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
Truck   O
Drivers   O
,   O
Light   O
or   O
Delivery   O
Services   O
from   O
Cherokee   B-LOCATION
,   O
85036   B-LOCATION
,   O
presented   O
to   O
Emory   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Midtown   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
as   O
of   O
June   B-DATE
29   I-DATE
,   I-DATE
2142   I-DATE
.   O

Isabell   B-NAME
Mora   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
occurred   O
suddenly   O
and   O
has   O
progressively   O
worsened   O
.   O

Additionally   O
,   O
Rubi   B-NAME
Colon   I-NAME
described   O
experiencing   O
episodes   O
of   O
nocturnal   O
dyspnea   O
which   O
have   O
impacted   O
sleep   O
quality   O
significantly   O
.   O

Jerome   B-NAME
denies   O
any   O
recent   O
travel   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Upon   O
initial   O
examination   O
,   O
Hatshepsut   B-NAME
noted   O
that   O
Justa   B-NAME
Gravitt   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
respiratory   O
distress   O
.   O

Given   O
the   O
presenting   O
symptoms   O
and   O
clinical   O
findings   O
,   O
Macey   B-NAME
Herring   I-NAME
discussed   O
the   O
possibility   O
of   O
community   O
-   O
acquired   O
pneumonia   O
and   O
commenced   O
treatment   O
with   O
empiric   O
antibiotics   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Sharp   B-LOCATION
Coronado   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Healthcare   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
and   O
observation   O
.   O

The   O
primary   O
contact   O
number   O
for   O
Romano   B-NAME
,   I-NAME
Ray   I-NAME
was   O
recorded   O
as   O
319   B-CONTACT
870   I-CONTACT
4731   I-CONTACT
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
at   O
Decatur   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
System   I-LOCATION
is   O
875   B-ID
-   I-ID
57   I-ID
-   I-ID
23   I-ID
-   I-ID
3   I-ID
,   O
and   O
the   O
identification   O
number   O
provided   O
was   O
81084737   B-ID
.   O

The   O
case   O
was   O
discussed   O
in   O
a   O
multi   O
-   O
disciplinary   O
team   O
meeting   O
involving   O
Mcgrath   B-NAME
,   O
a   O
pulmonologist   O
,   O
and   O
an   O
infectious   O
disease   O
specialist   O
to   O
coordinate   O
a   O
comprehensive   O
care   O
plan   O
.   O

The   O
team   O
also   O
considered   O
the   O
socioeconomic   O
factors   O
impacting   O
Irvin   B-NAME
's   O
health   O
,   O
including   O
the   O
patient   O
's   O
Drafters   O
,   O
All   O
Other   O
as   O
a   O
Mathematical   O
Science   O
Teachers   O
,   O
Postsecondary   O
in   O
Greenwood   B-LOCATION
Village   I-LOCATION
,   O
and   O
how   O
it   O
might   O
affect   O
treatment   O
adherence   O
.   O

In   O
summary   O
,   O
Domenic   B-NAME
Borge   I-NAME
's   O
presentation   O
of   O
persistent   O
respiratory   O
symptoms   O
warranted   O
immediate   O
clinical   O
attention   O
.   O

The   O
collaborative   O
approach   O
adopted   O
by   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
South   I-LOCATION
Austin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
medical   O
team   O
,   O
under   O
the   O
guidance   O
of   O
Braun   B-NAME
,   O
aims   O
to   O
not   O
only   O
address   O
the   O
acute   O
issues   O
but   O
also   O
to   O
strategize   O
long   O
-   O
term   O
management   O
plans   O
for   O
Patricia   B-NAME
's   O
overall   O
well   O
-   O
being   O
.   O

Future   O
appointments   O
were   O
scheduled   O
,   O
and   O
Tellez   B-NAME
was   O
strongly   O
advised   O
to   O
consider   O
smoking   O
cessation   O
programs   O
offered   O
by   O
The   B-LOCATION
Cowlitz   I-LOCATION
Bank   I-LOCATION
in   O
Fallis   B-LOCATION
,   O
77178   B-LOCATION
.   O

Patient   O
Name   O
:   O
King   B-NAME
Gould   I-NAME
Patient   O
ID   O
:   O
ZO:60994:801453   B-ID
Date   O
of   O
Birth   O
:   O
02/9   B-DATE
Age   O
:   O
72   O
Address   O
:   O
The   B-LOCATION
Hills   I-LOCATION
,   O
83619   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
311   I-CONTACT
)   I-CONTACT
328   I-CONTACT
-   I-CONTACT
6978   I-CONTACT
Occupation   O
:   O
Motion   O
Picture   O
Projectionists   O
Medical   O
Record   O
Number   O
:   O
8284408   B-ID
Date   O
of   O
Visit   O
:   O
24/22   B-DATE
Referring   O
Physician   O
:   O
Knapman   B-NAME
,   I-NAME
Roger   I-NAME
Hospital   O
:   O
Northern   B-LOCATION
Dutchess   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Herschel   B-NAME
,   I-NAME
John   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
2291   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
14   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
worsened   O
over   O
a   O
24   O
-   O
hour   O
period   O
.   O

Additional   O
symptoms   O
include   O
nausea   O
and   O
vomiting   O
,   O
as   O
well   O
as   O
a   O
fever   O
of   O
101.2   O
°   O
F   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Hayden   B-NAME
Cantu   I-NAME
described   O
the   O
onset   O
of   O
the   O
abdominal   O
pain   O
as   O
sudden   O
and   O
sharp   O
,   O
indicating   O
it   O
began   O
approximately   O
36   O
hours   O
before   O
their   O
arrival   O
to   O
Adventist   B-LOCATION
Health   I-LOCATION
Sonora   I-LOCATION
.   O

YUTAKA   B-NAME
PRITCHARD   I-NAME
attempted   O
to   O
alleviate   O
the   O
pain   O
with   O
over   O
-   O
the   O
-   O
counter   O
acetaminophen   O
,   O
with   O
no   O
significant   O
relief   O
.   O

Accompanying   O
symptoms   O
included   O
two   O
episodes   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
32/2   B-DATE
and   O
the   O
inability   O
to   O
maintain   O
an   O
oral   O
intake   O
without   O
inducing   O
further   O
nausea   O
.   O

Past   O
Medical   O
History   O
:   O
Corinne   B-NAME
Garner   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
remote   O
history   O
of   O
cholecystectomy   O
.   O

Reeves   B-NAME
’s   O
immunizations   O
are   O
up   O
to   O
date   O
,   O
including   O
recent   O
influenza   O
and   O
COVID-19   O
vaccinations   O
.   O

Upon   O
examination   O
,   O
Jamarion   B-NAME
Oneill   I-NAME
appeared   O
in   O
moderate   O
distress   O
,   O
secondary   O
to   O
pain   O
.   O

Watson   B-NAME
recommended   O
immediate   O
surgical   O
intervention   O
to   O
avoid   O
the   O
risk   O
of   O
rupture   O
and   O
peritonitis   O
.   O

Yoselin   B-NAME
Briggs   I-NAME
was   O
informed   O
of   O
the   O
situation   O
,   O
and   O
after   O
discussing   O
,   O
consented   O
to   O
an   O
appendectomy   O
.   O

Surgical   O
intervention   O
was   O
performed   O
successfully   O
without   O
complications   O
at   O
Lourdes   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Burlington   I-LOCATION
County   I-LOCATION
on   O
32/20   B-DATE
.   O
Follow   O
-   O
Up   O
and   O
Aftercare   O
:   O
Xitlali   B-NAME
Xia   I-NAME
was   O
discharged   O
on   O
32/13   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
,   O
and   O
a   O
prescription   O
for   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Fletcher   B-NAME
Lam   I-NAME
is   O
scheduled   O
for   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
evaluate   O
recovery   O
and   O
discuss   O
any   O
further   O
treatment   O
if   O
necessary   O
.   O

The   O
importance   O
of   O
a   O
gradual   O
return   O
to   O
Highway   O
Maintenance   O
Workers   O
activities   O
was   O
emphasized   O
to   O
Filomena   B-NAME
Xia   I-NAME
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Salena   B-NAME
can   O
contact   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Joplin   I-LOCATION
at   O
109   B-CONTACT
-   I-CONTACT
9077   I-CONTACT
or   O
follow   O
-   O
up   O
directly   O
with   O
Dixon   B-NAME
’s   O
office   O
.   O

Patient   O
Report   O
for   O
Nikia   B-NAME
12/28   B-DATE
/2023   O
95   O
years   O
,   O
Farm   O
Labor   O
Contractors   O
by   O
profession   O
,   O
living   O
in   O
Orme   B-LOCATION
,   O
21140   B-LOCATION
,   O
reported   O
to   O
El   B-LOCATION
Centro   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
one   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
2103   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
23   I-DATE
.   O

The   O
headache   O
episodes   O
,   O
as   O
described   O
by   O
Ferred   B-NAME
Orlosky   I-NAME
,   O
were   O
accompanied   O
by   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

The   O
intensity   O
of   O
the   O
pain   O
was   O
reported   O
to   O
be   O
debilitating   O
,   O
hindering   O
Keenan   B-NAME
Adkins   I-NAME
's   O
ability   O
to   O
perform   O
daily   O
tasks   O
.   O

There   O
was   O
a   O
noted   O
increase   O
in   O
episode   O
frequency   O
over   O
the   O
last   O
May   B-DATE
25   I-DATE
,   O
with   O
incidents   O
being   O
reported   O
approximately   O
twice   O
a   O
week   O
.   O

Koen   B-NAME
Park   I-NAME
has   O
a   O
documented   O
history   O
of   O
similar   O
episodes   O
spanning   O
back   O
to   O
7/21   B-DATE
,   O
with   O
a   O
gradual   O
escalation   O
in   O
both   O
intensity   O
and   O
frequency   O
of   O
the   O
episodes   O
.   O

Previous   O
consultations   O
led   O
to   O
the   O
prescription   O
of   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
which   O
Edison   B-NAME
,   I-NAME
Thomas   I-NAME
Alva   I-NAME
reports   O
as   O
being   O
ineffectual   O
in   O
recent   O
episodes   O
.   O

Wyatt   B-NAME
Cooper   I-NAME
's   O
medical   O
records   O
,   O
920   B-ID
-   I-ID
17   I-ID
-   I-ID
46   I-ID
-   I-ID
4   I-ID
,   O
show   O
no   O
significant   O
findings   O
or   O
morbidities   O
aside   O
from   O
the   O
recurrent   O
migraine   O
episodes   O
.   O
Examination   O
and   O
Diagnosis   O
:   O
Upon   O
examination   O
,   O
Clare   B-NAME
Avila   I-NAME
noted   O
no   O
neurological   O
deficits   O
.   O

An   O
MRI   O
scan   O
was   O
conducted   O
on   O
2182   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
00   I-DATE
,   O
showing   O
no   O
abnormalities   O
,   O
thereby   O
ruling   O
out   O
other   O
potential   O
causes   O
for   O
the   O
headaches   O
.   O

Spring   B-NAME
Geneseo   I-NAME
was   O
diagnosed   O
with   O
migraine   O
without   O
aura   O
,   O
and   O
a   O
comprehensive   O
treatment   O
plan   O
was   O
crafted   O
by   O
Charles   B-NAME
Claver   I-NAME
.   O

Follow   O
-   O
up   O
:   O
Casey   B-NAME
Copeland   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
11/23   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
necessary   O
adjustments   O
.   O

Holmes   B-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
pattern   O
of   O
the   O
migraine   O
episodes   O
.   O

For   O
any   O
urgencies   O
or   O
concerns   O
,   O
Jackson   B-NAME
,   I-NAME
Robert   I-NAME
H.   I-NAME
can   O
reach   O
Longview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
directly   O
at   O
46045   B-CONTACT
.   O

Confidentiality   O
Notice   O
:   O
This   O
patient   O
report   O
for   O
Dreiser   B-NAME
,   I-NAME
Theodore   I-NAME
,   O
3   B-ID
-   I-ID
8670448   I-ID
,   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Chan   B-LOCATION
Soon   I-LOCATION
-   I-LOCATION
Shiong   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Windber   I-LOCATION
and   O
authorized   O
medical   O
personnel   O
only   O
.   O

Patient   O
Name   O
:   O
Arias   B-NAME
MRN   O
:   O
2966668   B-ID
Date   O
of   O
Birth   O
:   O
4   O
Date   O
of   O
Admission   O
:   O
10/20/17   B-DATE
/2023   O
Attending   O
Physician   O
:   O

Jayvon   B-NAME
Lawrence   I-NAME
Hospital   O
:   O

North   B-LOCATION
Vista   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Lackawanna   B-LOCATION
Zip   O
Code   O
:   O
84114   B-LOCATION
Employment   O
:   O
Numerical   O
Tool   O
and   O
Process   O
Control   O
Programmers   O
Emergency   O
Contact   O
Phone   O
:   O
917   B-CONTACT
3889   I-CONTACT
Patient   O
's   O
Social   O
Security   O
Number   O
:   O
JR977/7151   B-ID
Presenting   O
Complaint   O
:   O

Neta   B-NAME
was   O
admitted   O
to   O
the   O
emergency   O
department   O
of   O
O'Connor   B-LOCATION
Hospital   I-LOCATION
on   O
13/08   B-DATE
/2023   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
,   O
including   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
signs   O
of   O
low   O
-   O
grade   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Malcolm   B-NAME
Patton   I-NAME
described   O
the   O
pain   O
as   O
sudden   O
in   O
onset   O
,   O
initially   O
around   O
the   O
navel   O
before   O
localizing   O
to   O
the   O
right   O
lower   O
abdomen   O
.   O

The   O
pain   O
has   O
progressively   O
worsened   O
over   O
a   O
21/12   B-DATE
/2023   O
period   O
.   O

Arturo   B-NAME
Weiss   I-NAME
denies   O
any   O
bowel   O
habit   O
changes   O
or   O
urinary   O
symptoms   O
.   O

Kent   B-NAME
reports   O
no   O
significant   O
past   O
medical   O
history   O
,   O
surgical   O
history   O
,   O
or   O
known   O
allergies   O
to   O
medication   O
.   O

Social   O
History   O
:   O
Xie   B-NAME
,   O
a   O
Funeral   O
Directors   O
residing   O
in   O
Laurel   B-LOCATION
Run   I-LOCATION
,   O
has   O
a   O
nonsmoking   O
history   O
and   O
denies   O
illegal   O
drug   O
use   O
.   O

Diagnostic   O
Imaging   O
:   O
Abdominal   O
ultrasound   O
performed   O
on   O
1   B-DATE
-   I-DATE
37   I-DATE
/2023   O
demonstrated   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
increased   O
periappendiceal   O
fat   O
,   O
consistent   O
with   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Dr.   O
Ramsey   B-NAME
,   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Angell   B-NAME
,   I-NAME
Norman   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
provided   O
written   O
consent   O
.   O

Surgery   O
and   O
Follow   O
-   O
Up   O
:   O
The   O
operation   O
was   O
completed   O
without   O
complications   O
on   O
0327   B-DATE
/2023   O
in   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
St.   I-LOCATION
Peters   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Layton   B-NAME
was   O
discharged   O
on   O
34/23   B-DATE
/2023   O
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Brock   B-NAME
Wolfe   I-NAME
in   O
two   O
weeks   O
.   O

Instructions   O
for   O
Follow   O
-   O
Up   O
:   O
Madilynn   B-NAME
Shelton   I-NAME
was   O
instructed   O
to   O
monitor   O
the   O
wound   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
,   O
and   O
to   O
report   O
any   O
instances   O
of   O
fever   O
or   O
increased   O
abdominal   O
pain   O
.   O

A   O
follow   O
-   O
up   O
visit   O
with   O
King   B-NAME
is   O
essential   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Tamara   B-NAME
Boyer   I-NAME
can   O
contact   O
MedStar   B-LOCATION
Washington   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
's   O
post   O
-   O
operative   O
care   O
unit   O
at   O
75447   B-CONTACT
.   O

This   O
comprehensive   O
management   O
plan   O
aims   O
to   O
ensure   O
the   O
well   O
-   O
being   O
and   O
recovery   O
of   O
Jayson   B-NAME
Patton   I-NAME
,   O
with   O
close   O
monitoring   O
for   O
any   O
potential   O
complications   O
.   O

Patient   O
Report   O
for   O
Shoemaker   B-NAME
Identification   O
Number   O
:   O
5229203   B-ID
21/00/2242   B-DATE
Monarchy   B-LOCATION
of   I-LOCATION
Stars   I-LOCATION
:   O
Houston   B-LOCATION
Methodist   I-LOCATION
Baytown   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Fosdick   B-NAME
,   I-NAME
Harry   I-NAME
Emerson   I-NAME
Patagonia   B-LOCATION
,   O
63214   B-LOCATION
Contact   O
Information   O
:   O
(   B-CONTACT
859   I-CONTACT
)   I-CONTACT
141   I-CONTACT
3174   I-CONTACT
---   O
Chief   O
Complaint   O
:   O
A   O
7   O
month   O
-   O
year   O
-   O
old   O
Pump   O
Operators   O
,   O
Except   O
Wellhead   O
Pumpers   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
2/8   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
constant   O
,   O
worsening   O
over   O
a   O
period   O
of   O
02/37   B-DATE
hours   O
.   O

Medical   O
History   O
:   O
Gordon   B-NAME
Robertson   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Ray   B-NAME
Downing   I-NAME
's   O
family   O
history   O
is   O
notable   O
for   O
colorectal   O
cancer   O
in   O
a   O
first   O
-   O
degree   O
relative   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Esteban   B-NAME
Guerrero   I-NAME
exhibited   O
signs   O
of   O
distress   O
secondary   O
to   O
pain   O
.   O

Will   B-NAME
Vernon   I-NAME
was   O
admitted   O
to   O
Cook   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
,   O
which   O
was   O
successfully   O
completed   O
on   O
May   B-DATE
.   O

O'Donnell   B-NAME
,   I-NAME
Rosie   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
peri   O
-   O
operatively   O
and   O
was   O
instructed   O
to   O
continue   O
antibiotics   O
orally   O
for   O
7   O
days   O
postoperatively   O
.   O

Follow   O
-   O
Up   O
:   O
Null   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
22/23   B-DATE
with   O
Conrad   B-NAME
Mays   I-NAME
at   O
Glen   B-LOCATION
Osborne   I-LOCATION
.   O

Ulysses   B-NAME
Xayasane   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
,   O
any   O
persistent   O
fever   O
,   O
or   O
increase   O
in   O
pain   O
,   O
and   O
to   O
report   O
back   O
to   O
Emory   B-LOCATION
Hillandale   I-LOCATION
Hospital   I-LOCATION
or   O
call   O
902   B-CONTACT
257   I-CONTACT
-   I-CONTACT
3979   I-CONTACT
for   O
any   O
concerning   O
symptoms   O
.   O

Discharge   O
Summary   O
:   O
Kingston   B-NAME
Johnson   I-NAME
was   O
discharged   O
on   O
11/17   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activities   O
limitation   O
,   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

It   O
was   O
emphasized   O
that   O
Holden   B-NAME
Vance   I-NAME
should   O
maintain   O
adequate   O
hydration   O
,   O
follow   O
a   O
balanced   O
diet   O
,   O
and   O
gradually   O
increase   O
activity   O
as   O
tolerated   O
.   O

The   O
importance   O
of   O
attending   O
the   O
follow   O
-   O
up   O
visit   O
was   O
reiterated   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O
---   O
First   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Idaho   I-LOCATION
Healthcare   O
acknowledges   O
the   O
confidentiality   O
of   O
the   O
health   O
information   O
contained   O
within   O
this   O
document   O
and   O
complies   O
with   O
all   O
relevant   O
legislation   O
and   O
policies   O
to   O
protect   O
the   O
privacy   O
of   O
Punja   B-NAME
,   I-NAME
Hari   I-NAME
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
ks708   B-NAME
and   O
contains   O
no   O
PHI   O
beyond   O
what   O
is   O
essential   O
for   O
the   O
continuation   O
of   O
care   O
.   O

Patient   O
Name   O
:   O
Tammera   B-NAME
Heal   I-NAME
Patient   O
ID   O
:   O
OV629/3595   B-ID
Medical   O
Record   O
Number   O
:   O
7823042   B-ID
Date   O
of   O
Birth   O
:   O
Friday   B-DATE
Age   O
:   O
64s   O
Phone   O
Number   O
:   O
25764   B-CONTACT
Address   O
:   O
Valrico   B-LOCATION
,   O
76646   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Giles   B-NAME
Hospital   O
:   O
Froedtert   B-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O
Food   O
Servers   O
,   O
Nonrestaurant   O
Username   O
:   O
fs311   B-NAME
Clinical   O
Summary   O
:   O
Mila   B-NAME
Thompson   I-NAME
,   O
a   O
23   O
-   O
year   O
-   O
old   O
Museum   O
education   O
officer   O
from   O
Rough   B-LOCATION
and   I-LOCATION
Ready   I-LOCATION
,   O
presented   O
to   O
Leonard   B-LOCATION
J.   I-LOCATION
Chabert   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
9/8   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
centered   O
in   O
the   O
epigastric   O
region   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Notably   O
,   O
Ortiz   B-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
emesis   O
,   O
anorexia   O
,   O
and   O
unintended   O
weight   O
loss   O
over   O
the   O
past   O
two   O
months   O
.   O

On   O
examination   O
,   O
Salena   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Abdominal   O
examination   O
revealed   O
epigastric   O
tenderness   O
without   O
rebound   O
or   O
guarding   O
;   O
however   O
,   O
palpation   O
elicited   O
pain   O
that   O
Jerrica   B-NAME
rated   O
as   O
7/10   O
on   O
the   O
pain   O
scale   O
.   O

Further   O
diagnostic   O
imaging   O
,   O
including   O
an   O
abdominal   O
ultrasound   O
performed   O
on   O
4/82   B-DATE
,   O
showed   O
no   O
gallstones   O
,   O
but   O
an   O
MRI   O
of   O
the   O
abdomen   O
revealed   O
inflammation   O
of   O
the   O
pancreas   O
consistent   O
with   O
pancreatitis   O
.   O

Over   O
the   O
next   O
few   O
days   O
under   O
these   O
management   O
guidelines   O
,   O
Sullivan   B-NAME
Chase   I-NAME
's   O
symptoms   O
showed   O
gradual   O
improvement   O
.   O

A   O
detailed   O
history   O
taken   O
by   O
Rice   B-NAME
from   O
Mei   B-NAME
Mulero   I-NAME
ruled   O
out   O
alcohol   O
use   O
,   O
gallstone   O
disease   O
,   O
or   O
significant   O
familial   O
history   O
of   O
pancreatic   O
disorders   O
.   O

Andres   B-NAME
Boone   I-NAME
was   O
discharged   O
on   O
2114   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
15   I-DATE
with   O
instructions   O
for   O
strict   O
alcohol   O
abstinence   O
,   O
dietary   O
modifications   O
,   O
and   O
follow   O
-   O
up   O
arrangements   O
with   O
Bowers   B-NAME
at   O
Whittier   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
repeat   O
evaluation   O
in   O
two   O
weeks   O
to   O
monitor   O
progress   O
and   O
discuss   O
the   O
initiation   O
of   O
enzyme   O
supplements   O
if   O
necessary   O
.   O

Adrian   B-NAME
Ramirez   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
recurred   O
or   O
worsened   O
.   O

Contact   O
details   O
for   O
follow   O
-   O
up   O
:   O
Savanna   B-NAME
Freeman   I-NAME
at   O
11019   B-CONTACT
KershawHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Bon   B-LOCATION
Air   I-LOCATION
,   O
89470   B-LOCATION
This   O
document   O
was   O
prepared   O
by   O
ppv29   B-NAME
on   O
08/09   B-DATE
,   O
and   O
all   O
information   O
herein   O
is   O
strictly   O
confidential   O
and   O
should   O
only   O
be   O
accessed   O
by   O
authorized   O
individuals   O
involved   O
in   O
Deandre   B-NAME
Nash   I-NAME
's   O
care   O
.   O

Patient   O
Name   O
:   O
Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
Medical   O
Record   O
Number   O
:   O
61027756   B-ID
Date   O
of   O
Birth   O
:   O
1   O
month   O
Date   O
of   O
Visit   O
:   O
03/37   B-DATE
Hospital   O
Name   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Jones   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Attending   O
Physician   O
:   O

Wagner   B-NAME
Contact   O
Number   O
:   O
(   B-CONTACT
827   I-CONTACT
)   I-CONTACT
254   I-CONTACT
-   I-CONTACT
5162   I-CONTACT
Address   O
:   O
Dubuque   B-LOCATION
,   I-LOCATION
Dubuque   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
64665   B-LOCATION
Employer   O
:   O

Oxford   B-LOCATION
Health   I-LOCATION
Plans   I-LOCATION
Occupation   O
:   O
Operating   O
Engineers   O
and   O
Other   O
Construction   O
Equipment   O
Operators   O
ID   O
:   O
DV510/9539   B-ID
Summary   O
:   O

The   O
patient   O
,   O
Rayna   B-NAME
Marnett   I-NAME
,   O
an   O
96   O
-   O
year   O
-   O
old   O
Marking   O
Clerks   O
employed   O
at   O
Fourth   B-LOCATION
Estate   I-LOCATION
(   I-LOCATION
association   I-LOCATION
)   I-LOCATION
located   O
in   O
Swannanoa   B-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Meridian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
38/26   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
began   O
earlier   O
that   O
morning   O
.   O

Theodore   B-NAME
Contreras   I-NAME
denied   O
any   O
prior   O
history   O
of   O
similar   O
symptoms   O
.   O

Initial   O
diagnostic   O
tests   O
,   O
including   O
electrocardiogram   O
(   O
ECG   O
)   O
performed   O
by   O
Charles   B-NAME
Litto   I-NAME
,   O
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
.   O

Given   O
these   O
findings   O
,   O
Jayson   B-NAME
Patton   I-NAME
was   O
diagnosed   O
with   O
an   O
ST   O
-   O
segment   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
.   O

Post   O
-   O
procedure   O
,   O
Wanda   B-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
for   O
continued   O
monitoring   O
and   O
further   O
management   O
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Mireya   B-NAME
Bradshaw   I-NAME
,   O
initiated   O
dual   O
antiplatelet   O
therapy   O
and   O
beta   O
-   O
blocker   O
therapy   O
.   O

OCASIO   B-NAME
,   I-NAME
GEORGE   I-NAME
OJAS   I-NAME
was   O
scheduled   O
for   O
discharge   O
planning   O
and   O
secondary   O
prevention   O
education   O
focusing   O
on   O
lifestyle   O
modifications   O
and   O
adherence   O
to   O
medication   O
.   O

Follow   O
-   O
up   O
appointment   O
was   O
arranged   O
for   O
02/02/2311   B-DATE
with   O
Isaias   B-NAME
Smelcer   I-NAME
at   O
Benewah   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Additional   O
resources   O
for   O
cardiac   O
rehabilitation   O
were   O
provided   O
,   O
including   O
contact   O
information   O
with   O
support   O
from   O
Bank   B-LOCATION
of   I-LOCATION
Hiawassee   I-LOCATION
’s   O
wellness   O
programs   O
,   O
reachable   O
at   O
631   B-CONTACT
-   I-CONTACT
1639   I-CONTACT
.   O

In   O
summary   O
,   O
Donovan   B-NAME
J.   I-NAME
Betty   I-NAME
Barber   I-NAME
,   O
a   O
52s   O
-   O
year   O
-   O
old   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
from   O
Vista   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
,   O
was   O
managed   O
for   O
STEMI   O
with   O
early   O
intervention   O
and   O
is   O
scheduled   O
for   O
comprehensive   O
follow   O
-   O
up   O
to   O
address   O
risk   O
factors   O
and   O
promote   O
cardiac   O
health   O
.   O

Coordination   O
of   O
care   O
between   O
cardiology   O
,   O
primary   O
care   O
,   O
and   O
Lansing   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Water   I-LOCATION
&   I-LOCATION
Light   I-LOCATION
’s   O
wellness   O
programs   O
is   O
crucial   O
for   O
ongoing   O
management   O
and   O
prevention   O
of   O
recurrence   O
.   O

Patient   O
ID   O
:   O
333   B-ID
-   I-ID
92   I-ID
-   I-ID
08   I-ID
-   I-ID
3   I-ID
The   O
patient   O
,   O
Sosa   B-NAME
,   O
a   O
33   O
-   O
year   O
-   O
old   O
Human   O
Resources   O
Managers   O
,   O
presented   O
to   O
Northstar   B-LOCATION
Hospital   I-LOCATION
in   O
Le   B-LOCATION
Raysville   I-LOCATION
,   O
on   O
Tuesday   B-DATE
,   I-DATE
September   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
38.9   O
°   O
C   O
.   O

An   O
initial   O
examination   O
conducted   O
by   O
Danielle   B-NAME
Fletcher   I-NAME
revealed   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicating   O
potential   O
appendicitis   O
.   O

The   O
patient   O
,   O
who   O
lives   O
in   O
91282   B-LOCATION
,   O
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
to   O
prevent   O
rupture   O
and   O
further   O
complications   O
.   O

Post   O
-   O
operative   O
care   O
was   O
provided   O
under   O
the   O
supervision   O
of   O
Glenn   B-NAME
and   O
the   O
nursing   O
staff   O
at   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
South   I-LOCATION
Arkansas   I-LOCATION
.   O

The   O
patient   O
was   O
discharged   O
on   O
04/22/26   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Luka   B-NAME
Solis   I-NAME
for   O
7/22/32   B-DATE
.   O

For   O
further   O
inquiries   O
or   O
assistance   O
,   O
the   O
patient   O
was   O
provided   O
with   O
the   O
100   B-CONTACT
-   I-CONTACT
887   I-CONTACT
9894   I-CONTACT
number   O
of   O
the   O
surgical   O
department   O
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
and   O
encouraged   O
to   O
reach   O
out   O
if   O
any   O
concerns   O
or   O
symptoms   O
arose   O
.   O

This   O
case   O
was   O
documented   O
by   O
tan129   B-NAME
and   O
added   O
to   O
the   O
secure   O
database   O
of   O
T.J.   B-LOCATION
Maxx   I-LOCATION
for   O
quality   O
improvement   O
and   O
patient   O
care   O
enhancement   O
measures   O
on   O
20/32/06   B-DATE
.   O

Future   O
correspondence   O
regarding   O
this   O
case   O
should   O
reference   O
the   O
patient   O
ID   O
:   O
8053104   B-ID
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Alice   B-NAME
Mort   I-NAME
-   O
Age   O
:   O
42   O
-   O
Date   O
of   O
Birth   O
:   O
9   B-DATE
-   I-DATE
21   I-DATE
-   O
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
2794544   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
832   B-ID
-   I-ID
65   I-ID
-   I-ID
05   I-ID
-   I-ID
9   I-ID
-   O
Address   O
:   O
Cleveland   B-LOCATION
,   I-LOCATION
Cleveland   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
,   O
21412   B-LOCATION
-   O
Phone   O
Number   O
:   O
141   B-CONTACT
-   I-CONTACT
8088   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Duncan   B-NAME
Flynn   I-NAME
-   O
Hospital   O
:   O
Helen   B-LOCATION
Keller   I-LOCATION
Hospital   I-LOCATION
-   O
Date   O
of   O
Admission   O
:   O
02/23   B-DATE
-   O
Date   O
of   O
Report   O
:   O
15/23/33   B-DATE
Chief   O
Complaint   O
:   O
Kayleigh   B-NAME
Bulnes   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Western   B-LOCATION
Plains   I-LOCATION
Medical   I-LOCATION
Complex   I-LOCATION
on   O
2002   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
symptoms   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
Ussery   B-NAME
,   O
began   O
experiencing   O
mild   O
abdominal   O
discomfort   O
approximately   O
48   O
hours   O
before   O
admission   O
.   O

Frederick   B-NAME
denies   O
any   O
changes   O
in   O
bowel   O
movements   O
,   O
urinary   O
symptoms   O
,   O
or   O
recent   O
travels   O
.   O

Social   O
History   O
:   O
Rachel   B-NAME
Adair   I-NAME
is   O
a   O
Surgical   O
Assistants   O
residing   O
in   O
Canyon   B-LOCATION
Country   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
91351   I-LOCATION
.   O

James   B-NAME
Hamilton   I-NAME
does   O
not   O
use   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
performed   O
on   O
2352   B-DATE
confirmed   O
acute   O
appendicitis   O
with   O
no   O
evidence   O
of   O
rupture   O
.   O

Treatment   O
:   O
The   O
surgical   O
team   O
,   O
led   O
by   O
Macias   B-NAME
,   O
performed   O
an   O
appendectomy   O
on   O
06/62   B-DATE
without   O
complications   O
.   O

Jones   B-NAME
,   I-NAME
Orlando   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
pre   O
-   O
operatively   O
.   O

Follow   O
-   O
up   O
:   O
Marques   B-NAME
Drake   I-NAME
showed   O
a   O
good   O
post   O
-   O
operative   O
course   O
,   O
with   O
resolution   O
of   O
symptoms   O
.   O

Carney   B-NAME
was   O
discharged   O
on   O
07/60   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgical   O
clinic   O
in   O
2   O
weeks   O
.   O

Note   O
:   O
For   O
any   O
questions   O
regarding   O
this   O
patient   O
's   O
care   O
,   O
please   O
contact   O
Kim   B-NAME
at   O
25268   B-CONTACT
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
eaj9710   B-NAME
,   O
under   O
the   O
administration   O
of   O
Denver   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
in   O
accordance   O
with   O
the   O
compliance   O
policies   O
of   O
General   B-LOCATION
Re   I-LOCATION
.   O

Patient   O
Name   O
:   O
Odom   B-NAME
,   I-NAME
Kacie   I-NAME
Patient   O
ID   O
:   O
SO   B-ID
:   I-ID
SL:6337   I-ID
Medical   O
Record   O
Number   O
:   O
20497429   B-ID
Date   O
of   O
Birth   O
:   O
2123   B-DATE
Age   O
:   O
68   O
Phone   O
Number   O
:   O
(   B-CONTACT
393   I-CONTACT
)   I-CONTACT
908   I-CONTACT
2879   I-CONTACT
Address   O
:   O
Mine   B-LOCATION
La   I-LOCATION
Motte   I-LOCATION
,   O
27848   B-LOCATION
Primary   O
Physician   O
:   O

Anabella   B-NAME
Brewer   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Hermann   I-LOCATION
-   I-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Employment   O
:   O
Hairdressers   O
,   O
Hairstylists   O
,   O
and   O
Cosmetologists   O
Username   O
:   O
ix363   B-NAME
Chief   O
Complaint   O
:   O
Gutierrez   B-NAME
presented   O
to   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/22   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
sharp   O
chest   O
pains   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
and   O
episodes   O
of   O
dizziness   O
over   O
the   O
past   O
week   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Robert   B-NAME
Caldwell   I-NAME
,   O
a   O
Spa   O
Managers   O
by   O
occupation   O
,   O
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
7   O
days   O
prior   O
to   O
admission   O
.   O

Past   O
Medical   O
History   O
:   O
Clara   B-NAME
D   I-NAME
Quilici   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
managed   O
by   O
medication   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Layla   B-NAME
Stearn   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
discomfort   O
from   O
chest   O
pain   O
.   O

Further   O
diagnostic   O
tests   O
including   O
cardiac   O
enzymes   O
and   O
a   O
comprehensive   O
metabolic   O
panel   O
were   O
ordered   O
by   O
Brody   B-NAME
Nicholson   I-NAME
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
EKG   O
findings   O
,   O
Fossil   B-NAME
was   O
started   O
on   O
a   O
regimen   O
of   O
aspirin   O
,   O
sublingual   O
nitroglycerin   O
,   O
and   O
high   O
-   O
intensity   O
statin   O
pending   O
further   O
evaluation   O
.   O

Follow   O
-   O
up   O
:   O
Brooke   B-NAME
Small   I-NAME
was   O
advised   O
to   O
remain   O
in   O
Baptist   B-LOCATION
Health   I-LOCATION
Madisonville   I-LOCATION
for   O
monitoring   O
of   O
cardiac   O
symptoms   O
and   O
for   O
further   O
evaluation   O
by   O
the   O
cardiology   O
team   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
13/24   B-DATE
to   O
review   O
diagnostic   O
test   O
results   O
and   O
to   O
adjust   O
treatment   O
plans   O
as   O
necessary   O
.   O
Instructions   O
for   O
Malaki   B-NAME
Miranda   I-NAME
:   O
Raleigh   B-NAME
,   I-NAME
Sir   I-NAME
Walter   I-NAME
was   O
instructed   O
to   O
avoid   O
strenuous   O
activities   O
and   O
report   O
any   O
worsening   O
of   O
symptoms   O
immediately   O
to   O
the   O
nursing   O
staff   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
questions   O
or   O
concerns   O
,   O
Estrada   B-NAME
or   O
relatives   O
may   O
contact   O
St.   B-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
33449   B-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Delilah   B-NAME
Stein   I-NAME
,   O
attending   O
cardiologist   O
at   O
Lourdes   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Burlington   I-LOCATION
County   I-LOCATION
,   O
on   O
2/33   B-DATE
.   O

Patient   O
Name   O
:   O
STEPHEN   B-NAME
X.   I-NAME
PIKE   I-NAME
Age   O
:   O
6   O
month   O
Date   O
of   O
Birth   O
:   O
January   B-DATE
2   I-DATE
Address   O
:   O
TRURO   B-LOCATION
,   O
14248   B-LOCATION
Phone   O
Number   O
:   O
54800   B-CONTACT
Medical   O
Record   O
Number   O
:   O
59990120   B-ID

Hayes   B-NAME
Referred   O
by   O
:   O
Mata   B-NAME
Hospital   O
:   O

Montgomery   B-LOCATION
County   I-LOCATION
Emergency   I-LOCATION
Service   I-LOCATION
Admission   O
Date   O
:   O
22/33/2121   B-DATE
Social   O
Security   O
Number   O
:   O
PM   B-ID
:   I-ID
HQ:9767   I-ID
Chief   O
Complaint   O
:   O
Uselton   B-NAME
presented   O
in   O
the   O
emergency   O
department   O
of   O
Labette   B-LOCATION
Health   I-LOCATION
–   I-LOCATION
Parsons   I-LOCATION
on   O
20/31   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Reilly   B-NAME
also   O
reported   O
a   O
decrease   O
in   O
appetite   O
and   O
a   O
mild   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lawanda   B-NAME
,   O
a   O
Research   O
scientist   O
,   O
has   O
been   O
experiencing   O
these   O
symptoms   O
progressively   O
worsening   O
over   O
a   O
period   O
of   O
two   O
days   O
before   O
the   O
decision   O
to   O
seek   O
medical   O
care   O
was   O
made   O
.   O

Family   O
History   O
:   O
Sherman   B-NAME
,   I-NAME
William   I-NAME
Tecumseh   I-NAME
's   O
mother   O
had   O
a   O
history   O
of   O
colon   O
cancer   O
diagnosed   O
at   O
the   O
age   O
of   O
60   O
.   O

Social   O
History   O
:   O
Henry   B-NAME
,   I-NAME
Patrick   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
use   O
.   O

Damaris   B-NAME
Reynolds   I-NAME
works   O
as   O
a   O
plumber   O
and   O
lives   O
with   O
their   O
family   O
in   O
Texas   B-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Hana   B-NAME
Bullock   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Laboratory   O
Tests   O
:   O
Complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
were   O
ordered   O
by   O
Anahi   B-NAME
Gill   I-NAME
.   O

Given   O
the   O
findings   O
,   O
Wolf   B-NAME
recommended   O
an   O
urgent   O
appendectomy   O
.   O

Kishi   B-NAME
was   O
informed   O
about   O
the   O
surgery   O
and   O
provided   O
consent   O
.   O

Disposition   O
:   O
Kiara   B-NAME
Hampton   I-NAME
was   O
successfully   O
operated   O
on   O
May   B-DATE
12   I-DATE
by   O
Ballard   B-NAME
at   O
Located   B-LOCATION
within   I-LOCATION
Beaumont   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Taylor   I-LOCATION
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
and   O
Brontë   B-NAME
,   I-NAME
Emily   I-NAME
was   O
discharged   O
on   O
32/25   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
after   O
one   O
week   O
.   O

Username   O
:   O
HQ734   B-NAME
Organizations   O
involved   O
:   O
Eversource   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
NSTAR   I-LOCATION
,   I-LOCATION
Western   I-LOCATION
Massachusetts   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
Notes   O
:   O

Consent   O
forms   O
were   O
documented   O
and   O
signed   O
by   O
Desmond   B-NAME
and   O
witnessed   O
by   O
Wall   B-NAME
on   O
fall   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
63711359   B-ID
Date   O
of   O
Examination   O
:   O
August   B-DATE
21th   I-DATE
Dr.   O
Godwin   B-NAME
,   I-NAME
Earl   I-NAME
of   I-NAME
Wessex   I-NAME
observed   O
Sonny   B-NAME
Stokes   I-NAME
in   O
UTMB   B-LOCATION
Health   I-LOCATION
League   I-LOCATION
City   I-LOCATION
Campus   I-LOCATION
Hospital   I-LOCATION
's   O
Department   O
of   O
Internal   O
Medicine   O
due   O
to   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
an   O
episode   O
of   O
vomiting   O
that   O
started   O
early   O
in   O
the   O
morning   O
on   O
21/01/92   B-DATE
.   O
Ricardo   B-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Agricultural   O
Crop   O
and   O
Horticultural   O
Workers   O
from   O
Boise   B-LOCATION
,   O
79   O
years   O
of   O
age   O
,   O
reported   O
that   O
the   O
pain   O
was   O
mainly   O
localized   O
in   O
the   O
lower   O
abdomen   O
,   O
describing   O
it   O
as   O
a   O
sharp   O
and   O
cramping   O
sensation   O
that   O
intermittently   O
radiates   O
to   O
the   O
back   O
.   O

Upon   O
physical   O
examination   O
,   O
Gilbert   B-NAME
noted   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
with   O
no   O
visible   O
signs   O
of   O
external   O
injury   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
performed   O
,   O
revealing   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
,   O
leading   O
Linh   B-NAME
Bou   I-NAME
to   O
diagnose   O
Blalock   B-NAME
,   I-NAME
Jolene   I-NAME
with   O
acute   O
appendicitis   O
.   O

A   O
surgical   O
consultation   O
was   O
made   O
,   O
and   O
Malone   B-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
11/12   B-DATE
at   O
Lifecare   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Pittsburgh   I-LOCATION
.   O

The   O
procedure   O
went   O
without   O
complications   O
,   O
and   O
Carmen   B-NAME
Skinner   I-NAME
was   O
advised   O
to   O
remain   O
in   O
the   O
hospital   O
for   O
monitoring   O
until   O
December   B-DATE
,   I-DATE
2237   I-DATE
.   O

Fe   B-NAME
Ell   I-NAME
was   O
discharged   O
on   O
1/02   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Leroy   B-NAME
Baldwin   I-NAME
in   O
two   O
weeks   O
.   O

Contact   O
information   O
was   O
provided   O
in   O
case   O
of   O
emergency   O
or   O
if   O
there   O
were   O
any   O
concerning   O
symptoms   O
,   O
directing   O
Ryann   B-NAME
Stephenson   I-NAME
to   O
call   O
317   B-CONTACT
5480   I-CONTACT
.   O

This   O
case   O
was   O
reported   O
to   O
Sterling   B-LOCATION
Bank   I-LOCATION
as   O
per   O
the   O
health   O
monitoring   O
protocol   O
for   O
surgical   O
interventions   O
,   O
under   O
report   O
ID   O
AG787/4193   B-ID
.   O

The   O
patient   O
's   O
residential   O
address   O
(   O
418   B-LOCATION
East   I-LOCATION
Ridgewood   I-LOCATION
Road   I-LOCATION
,   O
55799   B-LOCATION
)   O
and   O
the   O
contact   O
number   O
(   O
410   B-CONTACT
-   I-CONTACT
2686   I-CONTACT
)   O
were   O
updated   O
in   O
the   O
hospital   O
records   O
for   O
any   O
future   O
correspondence   O
.   O

Ultrasound   O
images   O
of   O
Gerry   B-NAME
Baldwin   I-NAME
's   O
abdomen   O
.   O

2   O
.   O
CBC   O
report   O
dated   O
February   B-DATE
2152   I-DATE
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Nicholas   B-NAME
Knight   I-NAME
Age   O
:   O
27   O
Sex   O
:   O
Male   O
Date   O
of   O
Birth   O
:   O
3/21   B-DATE
Medical   O
Record   O
Number   O
:   O
4117772   B-ID
Phone   O
Number   O
:   O
(   B-CONTACT
597   I-CONTACT
)   I-CONTACT
759   I-CONTACT
-   I-CONTACT
2758   I-CONTACT
Address   O
:   O
Wichita   B-LOCATION
,   O
68623   B-LOCATION
Occupation   O
:   O
Heat   O
Treating   O
,   O
Annealing   O
,   O
and   O
Tempering   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
Primary   O
Care   O
Physician   O
:   O

Rowan   B-NAME
Hogan   I-NAME
Hospital   O
:   O
Southern   B-LOCATION
Ocean   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
Number   O
:   O
2810961   B-ID
Summary   O
:   O

Meyers   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
San   B-LOCATION
Juan   I-LOCATION
Hospital   I-LOCATION
on   O
7/0/31   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
cold   O
sweats   O
.   O

Harrison   B-NAME
Blackwood   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
is   O
a   O
smoker   O
.   O

Upon   O
examination   O
,   O
Haiden   B-NAME
David   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
to   O
severe   O
distress   O
,   O
clutching   O
his   O
chest   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Richard   B-NAME
was   O
given   O
aspirin   O
325   O
mg   O
orally   O
,   O
followed   O
by   O
nitroglycerin   O
sublingually   O
in   O
the   O
emergency   O
department   O
without   O
significant   O
relief   O
of   O
chest   O
pain   O
.   O

Given   O
the   O
diagnosis   O
of   O
a   O
suspected   O
myocardial   O
infarction   O
,   O
James   B-NAME
Vasquez   I-NAME
was   O
started   O
on   O
a   O
heparin   O
drip   O
and   O
was   O
urgently   O
referred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
further   O
evaluation   O
and   O
management   O
by   O
Dr.   O
Gray   B-NAME
.   O

Post   O
-   O
procedure   O
,   O
Holly   B-NAME
Martinez   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
(   O
CCU   O
)   O
for   O
monitoring   O
.   O

Disposition   O
:   O
After   O
a   O
brief   O
stay   O
in   O
the   O
CCU   O
,   O
Latisha   B-NAME
's   O
condition   O
stabilized   O
,   O
and   O
he   O
was   O
discharged   O
on   O
23/25/61   B-DATE
with   O
instructions   O
for   O
strict   O
adherence   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
,   O
medications   O
including   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
statins   O
,   O
and   O
ACE   O
inhibitors   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Rogers   B-NAME
in   O
two   O
weeks   O
.   O

Recorded   O
By   O
:   O
WQ523   B-NAME
Date   O
:   O
07/13   B-DATE
Peace   B-LOCATION
Brigades   I-LOCATION
International   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Teagan   B-NAME
Ware   I-NAME
Patient   O
ID   O
:   O
8053127   B-ID
Medical   O
Record   O
Number   O
:   O
982   B-ID
-   I-ID
36   I-ID
-   I-ID
76   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Birth   O
:   O
02/30   B-DATE
Age   O
:   O
25   O
Phone   O
Number   O
:   O
(   B-CONTACT
694   I-CONTACT
)   I-CONTACT
270   I-CONTACT
-   I-CONTACT
5002   I-CONTACT
Address   O
:   O
61   B-LOCATION
undefined   I-LOCATION
,   O
15793   B-LOCATION
Summary   O
:   O
Dayami   B-NAME
Holder   I-NAME
presented   O
to   O
Monroe   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
13/22   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Demarcus   B-NAME
Gould   I-NAME
reported   O
a   O
lack   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
.   O

A   O
detailed   O
medical   O
history   O
obtained   O
from   O
Trevon   B-NAME
Gordon   I-NAME
revealed   O
a   O
history   O
of   O
gallstones   O
and   O
chronic   O
pancreatitis   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Ralph   B-NAME
Chambers   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
February   B-DATE
23   I-DATE
identified   O
cholelithiasis   O
,   O
without   O
evidence   O
of   O
cholecystitis   O
.   O

The   O
management   O
plan   O
for   O
Echols   B-NAME
included   O
admission   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
for   O
intravenous   O
hydration   O
,   O
pain   O
control   O
,   O
and   O
nutritional   O
support   O
.   O

Moses   B-NAME
was   O
placed   O
on   O
a   O
clear   O
liquid   O
diet   O
for   O
48   O
hours   O
,   O
with   O
gradual   O
reintroduction   O
of   O
solid   O
foods   O
as   O
tolerated   O
.   O

A   O
consultation   O
with   O
Misti   B-NAME
Telles   I-NAME
,   O
a   O
gastroenterologist   O
,   O
was   O
arranged   O
for   O
2301   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
10   I-DATE
.   O

Follow   O
-   O
Up   O
:   O
Desirae   B-NAME
Palmer   I-NAME
showed   O
marked   O
improvement   O
in   O
symptoms   O
by   O
the   O
third   O
day   O
of   O
hospitalization   O
,   O
with   O
resolution   O
of   O
fever   O
and   O
decrease   O
in   O
abdominal   O
pain   O
.   O

Laboratory   O
parameters   O
normalized   O
,   O
and   O
Jeremiah   B-NAME
Mccowen   I-NAME
was   O
able   O
to   O
tolerate   O
a   O
regular   O
diet   O
without   O
issues   O
.   O

Discharge   O
was   O
planned   O
for   O
9/20/2382   B-DATE
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
Eagan   B-LOCATION
at   O
the   O
gastroenterology   O
clinic   O
for   O
20/20   B-DATE
.   O

Madalynn   B-NAME
Daugherty   I-NAME
was   O
advised   O
to   O
avoid   O
alcohol   O
and   O
fatty   O
meals   O
to   O
reduce   O
the   O
risk   O
of   O
further   O
pancreatic   O
episodes   O
.   O

Maryland   B-NAME
Legleiter   I-NAME
's   O
contact   O
information   O
was   O
verified   O
,   O
including   O
410   B-CONTACT
-   I-CONTACT
574   I-CONTACT
-   I-CONTACT
3875   I-CONTACT
and   O
email   O
RA467   B-NAME
for   O
any   O
necessary   O
communication   O
and   O
updates   O
on   O
the   O
condition   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Dr.   O
Hardin   B-NAME
,   O
M.D.   O
,   O
Gastroenterology   O
Department   O
,   O
and   O
approved   O
on   O
October   B-DATE
.   O

Any   O
further   O
inquiries   O
can   O
be   O
directed   O
to   O
(   B-CONTACT
780   I-CONTACT
)   I-CONTACT
813   I-CONTACT
6160   I-CONTACT
or   O
Plainview   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Northwell   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
's   O
customer   O
service   O
at   O
Omega   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Conrad   B-NAME
Kern   I-NAME
Age   O
:   O
33   O
Medical   O
Record   O
Number   O
:   O
48099581   B-ID
Date   O
of   O
Visit   O
:   O
32/12/2391   B-DATE
Location   O
:   O
Lake   B-LOCATION
Lorraine   I-LOCATION
Doctor   O
:   O
Waqabaca   B-NAME
,   I-NAME
Josaia   I-NAME
Hospital   O
:   O
Inova   B-LOCATION
Loudoun   I-LOCATION
Hospital   I-LOCATION
Organization   O
:   O

Waterford   B-LOCATION
Village   I-LOCATION
Bank   I-LOCATION
Zip   O
Code   O
:   O
57499   B-LOCATION
Phone   O
Number   O
:   O
29134   B-CONTACT
Profession   O
:   O
Mates-   O
Ship   O
,   O
Boat   O
,   O
and   O
Barge   O
Username   O
:   O
YE984   B-NAME
Chief   O
Complaint   O
:   O
Patient   O
Lucia   B-NAME
Sharp   I-NAME
,   O
a   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Sealy   B-LOCATION
,   O
ZIP   O
code   O
18939   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
31/21/24   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
for   O
the   O
past   O
24   O
hours   O
.   O

Social   O
History   O
:   O
Melvina   B-NAME
Creech   I-NAME
is   O
a   O
Endoscopy   O
Technicians   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
substances   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Victor   B-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Flores   B-NAME
was   O
admitted   O
to   O
Vaughan   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
management   O
of   O
acute   O
pancreatitis   O
secondary   O
to   O
gallstone   O
disease   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
32/02   B-DATE
to   O
assess   O
recovery   O
progress   O
and   O
to   O
plan   O
further   O
treatment   O
strategies   O
.   O

Desmond   B-NAME
Miranda   I-NAME
has   O
been   O
provided   O
contact   O
details   O
(   O
967   B-CONTACT
934   I-CONTACT
-   I-CONTACT
8768   I-CONTACT
)   O
for   O
the   O
clinic   O
to   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
new   O
concerns   O
.   O

Summary   O
:   O
Jeff   B-NAME
House   I-NAME
,   O
a   O
38   O
-   O
year   O
-   O
old   O
Machine   O
Feeders   O
and   O
Offbearers   O
from   O
Palos   B-LOCATION
Heights   I-LOCATION
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
acute   O
pancreatitis   O
secondary   O
to   O
gallstone   O
disease   O
.   O

The   O
patient   O
is   O
currently   O
admitted   O
to   O
CHRISTUS   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
-   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
conservative   O
management   O
,   O
with   O
surgical   O
intervention   O
to   O
be   O
considered   O
post   O
-   O
recovery   O
.   O

Patient   O
:   O
Peter   B-NAME
Prentice   I-NAME
MRN   O
:   O
98608829   B-ID
DOB   O
:   O
22/20   B-DATE
Age   O
:   O
42   O
Attending   O
Physician   O
:   O

Alivia   B-NAME
Ponce   I-NAME
Location   O
:   O
Love   B-LOCATION
Valley   I-LOCATION
Phone   O
:   O
302   B-CONTACT
-   I-CONTACT
3073   I-CONTACT
Admission   O
Date   O
:   O
12/32/2058   B-DATE
Zip   O
Code   O
:   O
29681   B-LOCATION
ID   O
:   O
YM:16519:835149   B-ID
Organization   O
:   O

National   B-LOCATION
League   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Blind   I-LOCATION
Hospital   O
:   O
Morton   B-LOCATION
Plant   I-LOCATION
North   I-LOCATION
Bay   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaint   O
:   O
Yoder   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
9   B-DATE
-   I-DATE
21   I-DATE
with   O
a   O
72   O
-   O
hour   O
history   O
of   O
progressive   O
,   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Past   O
Medical   O
History   O
:   O
Madeleine   B-NAME
Salazar   I-NAME
has   O
a   O
known   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
well   O
-   O
controlled   O
on   O
metformin   O
,   O
and   O
hypertension   O
managed   O
with   O
lisinopril   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Valentino   B-NAME
Mcintosh   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Farrah   B-NAME
Hanna   I-NAME
was   O
admitted   O
to   O
Magnolia   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
service   O
of   O
Daniels   B-NAME
,   I-NAME
Anthony   I-NAME
on   O
10/15/1661   B-DATE
.   O

After   O
initial   O
stabilization   O
,   O
including   O
IV   O
fluids   O
and   O
administration   O
of   O
IV   O
antibiotics   O
(   O
ceftriaxone   O
and   O
metronidazole   O
)   O
,   O
Juliet   B-NAME
Roberts   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Darena   B-NAME
was   O
discharged   O
home   O
in   O
stable   O
condition   O
on   O
00/32   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
oral   O
antibiotics   O
for   O
7   O
days   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Maria   B-NAME
Morales   I-NAME
in   O
two   O
weeks   O
.   O

Rene   B-NAME
Madden   I-NAME
was   O
also   O
provided   O
with   O
contact   O
information   O
,   O
including   O
52710   B-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
follow   O
-   O
up   O
.   O

The   O
case   O
summary   O
of   O
Amaya   B-NAME
Espinoza   I-NAME
,   O
MRN   O
574   B-ID
-   I-ID
39   I-ID
-   I-ID
51   I-ID
-   I-ID
3   I-ID
,   O
underscores   O
the   O
importance   O
of   O
timely   O
diagnosis   O
and   O
management   O
of   O
acute   O
appendicitis   O
to   O
prevent   O
complications   O
.   O

The   O
coordinated   O
care   O
between   O
emergency   O
services   O
,   O
surgery   O
,   O
and   O
nursing   O
staff   O
at   O
Decatur   B-LOCATION
General   I-LOCATION
West   I-LOCATION
Behavioral   I-LOCATION
Medicine   I-LOCATION
Center   I-LOCATION
ensured   O
a   O
positive   O
outcome   O
for   O
Joshua   B-NAME
Root   I-NAME
.   O

Patient   O
Name   O
:   O
Yan   B-NAME
D.   I-NAME
Ball   I-NAME
Age   O
:   O
72   O
Date   O
of   O
Birth   O
:   O
4/20   B-DATE
SSN   O
:   O
414258   B-ID
Medical   O
Record   O
Number   O
:   O
098   B-ID
-   I-ID
36   I-ID
-   I-ID
90   I-ID
-   I-ID
0   I-ID
Address   O
:   O
Maxton   B-LOCATION
,   O
25411   B-LOCATION
Phone   O
Number   O
:   O
441   B-CONTACT
8026   I-CONTACT
Occupation   O
:   O

Sheppard   B-NAME
Hospital   O
:   O

Alaska   B-LOCATION
Native   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
:   O
BL010   B-NAME
Date   O
of   O
Report   O
:   O
39/25   B-DATE
*   O
*   O
Clinical   O
Summary   O
:*   O
*   O
Hoyt   B-NAME
Olivarria   I-NAME
presented   O
to   O
MercyOne   B-LOCATION
New   I-LOCATION
Hampton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
July   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

Upon   O
physical   O
examination   O
,   O
Octagonecologyst   B-NAME
showed   O
signs   O
of   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
indicative   O
of   O
potential   O
appendicitis   O
.   O

Diagnostic   O
imaging   O
,   O
specifically   O
an   O
abdominal   O
CT   O
scan   O
,   O
was   O
ordered   O
by   O
Jaiden   B-NAME
Daniels   I-NAME
and   O
conducted   O
on   O
2/22   B-DATE
,   O
revealing   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Adelyn   B-NAME
Salinas   I-NAME
,   O
who   O
works   O
as   O
a   O
Validation   O
engineer   O
in   O
Lemmon   B-LOCATION
Valley   I-LOCATION
,   O
has   O
a   O
medical   O
history   O
notable   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
on   O
metformin   O
and   O
a   O
history   O
of   O
hypertension   O
treated   O
with   O
lisinopril   O
.   O

The   O
patient   O
does   O
not   O
smoke   O
,   O
consumes   O
alcohol   O
socially   O
,   O
and   O
denies   O
any   O
recent   O
travel   O
outside   O
of   O
Pflugerville   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78660   I-LOCATION
.   O

Given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
Sincere   B-NAME
Mayer   I-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Iesha   B-NAME
Newhook   I-NAME
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
5   B-DATE
-   I-DATE
13   I-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
unremarkable   O
,   O
and   O
Gideon   B-NAME
Mccormick   I-NAME
was   O
discharged   O
on   O
1/29   B-DATE
with   O
prescriptions   O
for   O
antibiotics   O
and   O
pain   O
management   O
.   O

*   O
*   O
Post   O
-   O
Operative   O
Plan   O
:*   O
*   O
-   O
Julia   B-NAME
Santos   I-NAME
Keefer   I-NAME
is   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
one   O
week   O
for   O
wound   O
assessment   O
.   O

-   O
Waradi   B-NAME
,   I-NAME
Taito   I-NAME
should   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
sites   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

-   O
Continue   O
with   O
the   O
existing   O
regimen   O
for   O
diabetes   O
and   O
hypertension   O
,   O
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Bowman   B-NAME
in   O
two   O
weeks   O
.   O

*   O
*   O
Conclusion   O
:*   O
*   O
Pierce   B-NAME
’s   O
acute   O
appendicitis   O
was   O
timely   O
diagnosed   O
and   O
treated   O
successfully   O
.   O

A   O
multidisciplinary   O
approach   O
,   O
including   O
surgical   O
and   O
medical   O
management   O
,   O
is   O
paramount   O
for   O
the   O
holistic   O
care   O
of   O
Krista   B-NAME
Bates   I-NAME
.   O

For   O
further   O
information   O
or   O
emergency   O
,   O
Kelsie   B-NAME
Carroll   I-NAME
or   O
a   O
designated   O
contact   O
can   O
reach   O
Marion   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
287   B-CONTACT
-   I-CONTACT
665   I-CONTACT
9754   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Frankie   B-NAME
Acosta   I-NAME
Age   O
:   O
15   O
Date   O
of   O
Birth   O
:   O
38/28/2272   B-DATE
Medical   O
Record   O
Number   O
:   O
83203895   B-ID
ID   O
Number   O
:   O
ZD:2936:518461   B-ID
Phone   O
Number   O
:   O
379   B-CONTACT
1340   I-CONTACT
Admitting   O
Doctor   O
:   O
Carson   B-NAME
Date   O
of   O
Admission   O
:   O
02/03/1989   B-DATE
Hospital   O
:   O
Twin   B-LOCATION
Mountains   I-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
Location   O
:   O
Basehor   B-LOCATION
ZIP   O
Code   O
:   O
39084   B-LOCATION
Employment   O
:   O
Health   O
visitor   O
Username   O
:   O
ygc316   B-NAME
Referring   O
Organization   O
:   O

Prosperan   B-LOCATION
Bank   I-LOCATION
Summary   O
:   O
Denita   B-NAME
Grinman   I-NAME
was   O
admitted   O
to   O
Salem   B-LOCATION
Memorial   I-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
on   O
1955   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
20   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
primarily   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
concerning   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
48   O
hours   O
.   O

Further   O
inquiry   O
revealed   O
that   O
Ordonez   B-NAME
experienced   O
a   O
gradual   O
onset   O
of   O
discomfort   O
beginning   O
approximately   O
72   O
hours   O
ago   O
,   O
with   O
symptoms   O
significantly   O
intensifying   O
in   O
the   O
last   O
24   O
hours   O
.   O

On   O
examination   O
,   O
Essence   B-NAME
Payne   I-NAME
presented   O
with   O
marked   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
especially   O
on   O
palpation   O
.   O

Differential   O
diagnosis   O
includes   O
but   O
is   O
not   O
limited   O
to   O
,   O
gastrointestinal   O
infections   O
,   O
diverticulitis   O
,   O
and   O
ectopic   O
pregnancy   O
(   O
consideration   O
given   O
to   O
Lucy   B-NAME
Hall   I-NAME
's   O
12   O
and   O
gender   O
)   O
.   O

Admit   O
Nylah   B-NAME
Bentley   I-NAME
to   O
UPMC   B-LOCATION
Magee   I-LOCATION
-   I-LOCATION
Womens   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
evaluation   O
.   O

5   O
.   O
Consult   O
with   O
a   O
gastroenterologist   O
and   O
a   O
general   O
surgeon   O
from   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Clermont   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
multidisciplinary   O
approach   O
to   O
Gavin   B-NAME
Kane   I-NAME
's   O
care   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
tentatively   O
scheduled   O
for   O
22/33   B-DATE
to   O
discuss   O
the   O
diagnostic   O
findings   O
,   O
finalized   O
treatment   O
plan   O
,   O
and   O
potential   O
surgical   O
intervention   O
if   O
needed   O
.   O

Note   O
:   O
It   O
is   O
imperative   O
to   O
maintain   O
close   O
observation   O
of   O
Carlisle   B-NAME
Cullen   I-NAME
's   O
clinical   O
status   O
due   O
to   O
the   O
risk   O
of   O
appendiceal   O
rupture   O
,   O
which   O
could   O
significantly   O
complicate   O
the   O
patient   O
's   O
prognosis   O
.   O

The   O
healthcare   O
team   O
at   O
Holton   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Holton   I-LOCATION
will   O
coordinate   O
to   O
ensure   O
that   O
Harlen   B-NAME
Kern   I-NAME
receives   O
comprehensive   O
care   O
tailored   O
to   O
the   O
evolving   O
clinical   O
picture   O
.   O

All   O
personal   O
information   O
regarding   O
Raquel   B-NAME
Curry   I-NAME
has   O
been   O
handled   O
in   O
accordance   O
with   O
privacy   O
regulations   O
and   O
hospital   O
policy   O
to   O
protect   O
Schmidt   B-NAME
's   O
confidentiality   O
.   O

Patient   O
Report   O
for   O
Washington   B-NAME
,   I-NAME
Booker   I-NAME
T.   I-NAME
Personal   O
Information   O
:   O
-   O
Age   O
:   O
46   O
-   O
Medical   O
Record   O
Number   O
:   O
CK313534   B-ID
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
396   I-CONTACT
)   I-CONTACT
599   I-CONTACT
-   I-CONTACT
4984   I-CONTACT
-   O
Residence   O
:   O
Susquehanna   B-LOCATION
Trails   I-LOCATION
,   O
27846   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
Edward   B-NAME
Jessup   I-NAME
,   O
was   O
admitted   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Cleveland   I-LOCATION
on   O
2023   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
37   I-DATE
with   O
a   O
detailed   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
a   O
combination   O
of   O
Metformin   O
and   O
lifestyle   O
modifications   O
.   O

Sapphon   B-NAME
Hollarn   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
Lisinopril   O
,   O
and   O
hyperlipidemia   O
treated   O
with   O
Atorvastatin   O
.   O

Upon   O
presentation   O
,   O
Amiya   B-NAME
Bowen   I-NAME
complained   O
of   O
a   O
sudden   O
onset   O
of   O
chest   O
pain   O
radiating   O
to   O
their   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
occurring   O
over   O
the   O
last   O
48   O
hours   O
.   O

Jocelyn   B-NAME
T   I-NAME
Issa   I-NAME
also   O
reported   O
a   O
recent   O
increase   O
in   O
nocturnal   O
diuresis   O
and   O
episodes   O
of   O
blurred   O
vision   O
.   O

Glycemic   O
control   O
was   O
addressed   O
with   O
insulin   O
therapy   O
,   O
and   O
Collett   B-NAME
,   I-NAME
Camilla   I-NAME
's   O
regular   O
medications   O
were   O
reviewed   O
and   O
adjusted   O
accordingly   O
by   O
Dr.   O
Boethius   B-NAME
,   I-NAME
Ancius   I-NAME
.   O

Kennedi   B-NAME
Nicholson   I-NAME
was   O
scheduled   O
for   O
a   O
coronary   O
angiography   O
to   O
assess   O
the   O
extent   O
of   O
coronary   O
artery   O
disease   O
and   O
determine   O
the   O
need   O
for   O
further   O
interventions   O
such   O
as   O
percutaneous   O
coronary   O
intervention   O
or   O
coronary   O
artery   O
bypass   O
grafting   O
.   O

Follow   O
-   O
Up   O
:   O
Risa   B-NAME
Leavigne   I-NAME
was   O
advised   O
to   O
attend   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Harvey   B-NAME
in   O
Hallmark   B-LOCATION
Hospital   I-LOCATION
's   O
cardiology   O
outpatient   O
clinic   O
on   O
01/34   B-DATE
for   O
reassessment   O
and   O
a   O
detailed   O
discussion   O
on   O
lifestyle   O
modifications   O
,   O
dietary   O
adjustments   O
,   O
and   O
optimization   O
of   O
diabetic   O
control   O
.   O

Jamal   B-NAME
Campbell   I-NAME
was   O
also   O
referred   O
to   O
a   O
diabetes   O
education   O
program   O
hosted   O
by   O
Comunidad   B-LOCATION
Inti   I-LOCATION
Wara   I-LOCATION
Yassi   I-LOCATION
to   O
better   O
manage   O
their   O
condition   O
.   O

Discharge   O
Instructions   O
:   O
HR   B-NAME
was   O
instructed   O
to   O
monitor   O
their   O
blood   O
sugar   O
levels   O
closely   O
,   O
adhere   O
to   O
the   O
prescribed   O
medication   O
regimen   O
,   O
and   O
seek   O
immediate   O
medical   O
attention   O
if   O
they   O
experience   O
any   O
recurrence   O
of   O
chest   O
pain   O
,   O
difficulty   O
in   O
breathing   O
,   O
or   O
any   O
new   O
or   O
worsening   O
symptoms   O
.   O

For   O
any   O
queries   O
or   O
emergency   O
assistance   O
,   O
Zaniyah   B-NAME
Rangel   I-NAME
can   O
contact   O
Munson   B-LOCATION
Army   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Fort   I-LOCATION
Leavenworth   I-LOCATION
at   O
512   B-CONTACT
773   I-CONTACT
4829   I-CONTACT
.   O

Prepared   O
by   O
:   O
ox792   B-NAME
ID   O
:   O
RF:88072:459191   B-ID
St.   B-LOCATION
Leo   I-LOCATION
,   O
03/06   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rodgers   B-NAME
Patient   O
ID   O
:   O
YB   B-ID
:   I-ID
US:5732   I-ID
Medical   O
Record   O
Number   O
:   O
85911941   B-ID
Date   O
of   O
Birth   O
:   O
25   O
Admission   O
Date   O
:   O
32/25   B-DATE
/2023   O
Release   O
Date   O
:   O
Veterans   B-DATE
Day   I-DATE
/2023   O

Mullen   B-NAME
Hospital   O
:   O
Northwest   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Margate   B-LOCATION
,   O
92828   B-LOCATION
Summary   O
:   O
Lyric   B-NAME
Mcdonald   I-NAME
,   O
a   O
Set   O
and   O
Exhibit   O
Designers   O
from   O
Settle   B-LOCATION
,   O
presented   O
to   O
Watauga   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/26   B-DATE
/2023   O
with   O
a   O
complex   O
clinical   O
picture   O
that   O
included   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
12/23   B-DATE
.   O

Pedro   B-NAME
Powers   I-NAME
reported   O
that   O
the   O
symptoms   O
had   O
progressively   O
worsened   O
,   O
leading   O
to   O
a   O
significant   O
impairment   O
in   O
daily   O
functions   O
.   O

Adams   B-NAME
,   I-NAME
Scott   I-NAME
has   O
no   O
known   O
allergies   O
but   O
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Rana   B-NAME
Krivanec   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

The   O
treatment   O
team   O
,   O
led   O
by   O
Barnes   B-NAME
,   O
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
a   O
possible   O
appendectomy   O
.   O

Terrence   B-NAME
Thirteen   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
suggested   O
surgical   O
intervention   O
.   O

FARLEY   B-NAME
,   I-NAME
ERIC   I-NAME
provided   O
informed   O
consent   O
after   O
a   O
thorough   O
discussion   O
of   O
potential   O
risks   O
and   O
benefits   O
.   O
Progress   O
and   O
Outcome   O
:   O
Surgical   O
evaluation   O
by   O
Washington   B-NAME
confirmed   O
acute   O
appendicitis   O
,   O
and   O
Oliver   B-NAME
underwent   O
laparoscopic   O
appendectomy   O
on   O
26   B-DATE
-   I-DATE
05   I-DATE
/2023   O
without   O
complications   O
.   O

The   O
postoperative   O
course   O
was   O
uneventful   O
with   O
noted   O
improvement   O
in   O
Mercedes   B-NAME
Calderon   I-NAME
's   O
condition   O
.   O

Xavier   B-NAME
Ware   I-NAME
was   O
discharged   O
on   O
01/21/2223   B-DATE
/2023   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
32/2   B-DATE
/2023   O
with   O
Julien   B-NAME
Boncourt   I-NAME
.   O

Follow   O
-   O
Up   O
Care   O
:   O
Naomi   B-NAME
Santiago   I-NAME
is   O
advised   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
adhere   O
to   O
the   O
prescribed   O
antibiotic   O
regimen   O
,   O
and   O
gradually   O
resume   O
normal   O
activities   O
as   O
tolerated   O
.   O

TIBOR   B-NAME
OQUINN   I-NAME
should   O
also   O
continue   O
the   O
management   O
of   O
underlying   O
chronic   O
conditions   O
,   O
specifically   O
hypertension   O
and   O
diabetes   O
,   O
with   O
their   O
primary   O
care   O
physician   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
regarding   O
post   O
-   O
discharge   O
care   O
,   O
Jameson   B-NAME
Camacho   I-NAME
can   O
contact   O
Houston   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
518   I-CONTACT
)   I-CONTACT
158   I-CONTACT
-   I-CONTACT
7299   I-CONTACT
.   O

This   O
patient   O
report   O
was   O
prepared   O
by   O
XD560   B-NAME
,   O
Industrial   O
-   O
Organizational   O
Psychologists   O
at   O
Anti   B-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Coalition   I-LOCATION
(   I-LOCATION
AVC   I-LOCATION
)   I-LOCATION
.   O

The   O
patient   O
,   O
Skylar   B-NAME
Sweeney   I-NAME
,   O
a   O
9   O
week   O
-   O
year   O
-   O
old   O
Commercial   O
Pilots   O
from   O
Vickery   B-LOCATION
,   O
82727   B-LOCATION
,   O
presented   O
to   O
Decatur   B-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
–   I-LOCATION
Oberlin   I-LOCATION
on   O
12/16/42   B-DATE
with   O
complaints   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
intermittent   O
episodes   O
of   O
vomiting   O
which   O
began   O
roughly   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Furthermore   O
,   O
Felipa   B-NAME
Baynard   I-NAME
has   O
experienced   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
,   O
noting   O
temperature   O
fluctuations   O
reaching   O
100.4   O
°   O
F   O
.   O

Upon   O
examination   O
,   O
Roxanne   B-NAME
Turner   I-NAME
noted   O
noticeable   O
tenderness   O
during   O
palpation   O
of   O
the   O
lower   O
right   O
abdominal   O
quadrant   O
,   O
along   O
with   O
mild   O
rebound   O
tenderness   O
.   O

Jaylah   B-NAME
Barrett   I-NAME
has   O
a   O
medical   O
record   O
number   O
of   O
95216612   B-ID
and   O
has   O
been   O
assigned   O
an   O
identification   O
number   O
of   O
EI:34347:664759   B-ID
for   O
hospital   O
records   O
.   O

Brunilda   B-NAME
Laski   I-NAME
was   O
admitted   O
to   O
NYU   B-LOCATION
Hospitals   I-LOCATION
Center   I-LOCATION
for   O
further   O
observation   O
and   O
surgical   O
consultation   O
.   O

A   O
detailed   O
medical   O
history   O
was   O
taken   O
,   O
wherein   O
Salgado   B-NAME
disclosed   O
no   O
known   O
drug   O
allergies   O
.   O

However   O
,   O
Nathaniel   B-NAME
Barry   I-NAME
mentioned   O
being   O
a   O
diabetic   O
managed   O
on   O
oral   O
hypoglycemic   O
agents   O
.   O

These   O
details   O
were   O
corroborated   O
with   O
HECTOR   B-NAME
V.   I-NAME
OBRYAN   I-NAME
's   O
primary   O
care   O
provider   O
,   O
Belial   B-NAME
Nickas   I-NAME
,   O
via   O
a   O
secure   O
line   O
at   O
79730   B-CONTACT
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Barrett   B-NAME
,   O
successfully   O
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
2192   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
23   I-DATE
.   O

The   O
procedure   O
went   O
uneventfully   O
,   O
and   O
Laylah   B-NAME
Grant   I-NAME
reported   O
significant   O
relief   O
from   O
the   O
initial   O
symptoms   O
post   O
-   O
operatively   O
.   O

Rice   B-NAME
,   I-NAME
Condoleezza   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
monitored   O
closely   O
,   O
with   O
regular   O
assessments   O
of   O
vital   O
signs   O
,   O
pain   O
management   O
,   O
and   O
wound   O
care   O
instructions   O
diligently   O
followed   O
.   O

Odakota   B-NAME
was   O
discharged   O
on   O
0/08/51   B-DATE
with   O
detailed   O
post   O
-   O
operative   O
care   O
instructions   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
at   O
the   O
outpatient   O
department   O
of   O
MemorialCare   B-LOCATION
Orange   I-LOCATION
Coast   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
two   O
weeks   O
post   O
-   O
discharge   O
.   O

Contact   O
details   O
provided   O
for   O
follow   O
-   O
up   O
issues   O
are   O
(   B-CONTACT
878   I-CONTACT
)   I-CONTACT
815   I-CONTACT
-   I-CONTACT
8064   I-CONTACT
.   O

The   O
healthcare   O
team   O
at   O
Community   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Branch   I-LOCATION
County   I-LOCATION
,   O
alongside   O
First   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
North   I-LOCATION
Florida   I-LOCATION
,   O
worked   O
meticulously   O
to   O
ensure   O
the   O
best   O
outcome   O
for   O
Oswald   B-NAME
M   I-NAME
Jeffers   I-NAME
.   O

Ted   B-NAME
's   O
case   O
will   O
be   O
reviewed   O
in   O
a   O
follow   O
-   O
up   O
meeting   O
on   O
2/84   B-DATE
to   O
ensure   O
complete   O
recovery   O
and   O
address   O
any   O
ongoing   O
healthcare   O
needs   O
.   O

For   O
any   O
further   O
inquiries   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
Coimbatore   B-LOCATION
District   I-LOCATION
Textile   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
at   O
99052   B-CONTACT
or   O
reach   O
out   O
via   O
the   O
assigned   O
case   O
manager   O
,   O
YW277   B-NAME
.   O

Jordin   B-NAME
Robinson   I-NAME
Patient   O
ID   O
:   O
UM781/5688   B-ID
Medical   O
Record   O
Number   O
:   O
NXO   B-ID
5   I-ID
-   I-ID
175   I-ID
Date   O
of   O
Birth   O
:   O
07/23   B-DATE
Age   O
:   O
1   O
month   O
Address   O
:   O
Whittingham   B-LOCATION
,   O
82297   B-LOCATION
Phone   O
Number   O
:   O
363   B-CONTACT
-   I-CONTACT
4581   I-CONTACT
Employment   O
:   O
dental   O
hygienist   O
Admitting   O
Physician   O
:   O
Valencia   B-NAME
Hospital   O
:   O

Tenet   B-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/8   B-DATE
Date   O
of   O
Report   O
:   O
2/2035   B-DATE
Subjective   O
:   O

The   O
patient   O
,   O
Tristian   B-NAME
Gill   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Research   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Saturday   B-DATE
,   I-DATE
June   I-DATE
with   O
complaints   O
of   O
acute   O
right   O
lower   O
quadrant   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
recorded   O
at   O
home   O
.   O

Buscaglia   B-NAME
,   I-NAME
Leo   I-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
worsening   O
over   O
the   O
last   O
24   O
hours   O
.   O

Acie   B-NAME
has   O
not   O
taken   O
any   O
over   O
-   O
the   O
-   O
counter   O
or   O
prescription   O
pain   O
medication   O
for   O
the   O
current   O
symptoms   O
.   O

Keely   B-NAME
Livingston   I-NAME
denies   O
any   O
change   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
or   O
recent   O
illnesses   O
.   O

Objective   O
:   O
Upon   O
physical   O
examination   O
,   O
Gillian   B-NAME
Bright   I-NAME
exhibited   O
signs   O
of   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
typical   O
presentation   O
and   O
supporting   O
laboratory   O
results   O
,   O
an   O
urgent   O
surgical   O
consultation   O
with   O
Mathis   B-NAME
was   O
requested   O
to   O
evaluate   O
the   O
need   O
for   O
appendectomy   O
.   O

Follow   O
-   O
up   O
:   O
Dominick   B-NAME
Kim   I-NAME
reviewed   O
XI   B-NAME
,   I-NAME
KATHERINE   I-NAME
I   I-NAME
's   O
case   O
and   O
recommended   O
proceeding   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
the   O
morning   O
of   O
02/31   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
tentatively   O
scheduled   O
for   O
01/04/41   B-DATE
at   O
Jupiter   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

This   O
report   O
was   O
prepared   O
by   O
rz202   B-NAME
,   O
on   O
behalf   O
of   O
Wheeling   B-LOCATION
Hospital   I-LOCATION
.   O

Any   O
inquiries   O
about   O
this   O
report   O
can   O
be   O
directed   O
to   O
86595   B-CONTACT
.   O

Patient   O
Name   O
:   O
Jovani   B-NAME
Patterson   I-NAME
Medical   O
Record   O
Number   O
:   O
9569432   B-ID
Date   O
of   O
Birth   O
:   O
15/04   B-DATE
Age   O
:   O
53   O
years   O
Phone   O
Number   O
:   O
719   B-CONTACT
-   I-CONTACT
923   I-CONTACT
1465   I-CONTACT
Address   O
:   O
East   B-LOCATION
Bend   I-LOCATION
,   O
96198   B-LOCATION
Profession   O
:   O

Morgan   B-NAME
Hospital   O
:   O
Kingsbrook   B-LOCATION
Jewish   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
1854   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
20   I-DATE
Social   O
Security   O
Number   O
:   O
3831552   B-ID
Clinical   O
Summary   O
:   O
Amaris   B-NAME
Olson   I-NAME
,   O
a   O
70   O
-   O
year   O
-   O
old   O
Police   O
,   O
Fire   O
,   O
and   O
Ambulance   O
Dispatchers   O
from   O
Ogallala   B-LOCATION
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Palm   B-LOCATION
Bay   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
6/20   B-DATE
with   O
a   O
72   O
-   O
hour   O
history   O
of   O
progressive   O
,   O
sharp   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
and   O
associated   O
with   O
shortness   O
of   O
breath   O
.   O

Mckay   B-NAME
denies   O
recent   O
travel   O
or   O
sick   O
contacts   O
but   O
mentions   O
a   O
stressful   O
workload   O
at   O
Society   B-LOCATION
of   I-LOCATION
Independent   I-LOCATION
Brewers   I-LOCATION
(   I-LOCATION
SIBA   I-LOCATION
)   I-LOCATION
in   O
the   O
past   O
month   O
.   O

Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Devin   B-NAME
May   I-NAME
's   O
symptoms   O
improved   O
significantly   O
.   O

Mark   B-NAME
Sloan   I-NAME
was   O
discharged   O
on   O
New   B-DATE
Years   I-DATE
Eve   I-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
with   O
Pruitt   B-NAME
and   O
a   O
prescription   O
for   O
rivaroxaban   O
for   O
three   O
months   O
.   O

Wesley   B-NAME
Nieves   I-NAME
was   O
advised   O
to   O
manage   O
stress   O
and   O
consider   O
consulting   O
with   O
a   O
mental   O
health   O
provider   O
to   O
address   O
persistent   O
stressors   O
at   O
Bargain   B-LOCATION
Hunt   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Addisyn   B-NAME
Klein   I-NAME
was   O
scheduled   O
for   O
5/23   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
discuss   O
any   O
concerns   O
.   O

Patient   O
Name   O
:   O
Lanny   B-NAME
Panek   I-NAME
Patient   O
ID   O
:   O
PU:84796:785189   B-ID
Medical   O
Record   O
Number   O
:   O
866   B-ID
-   I-ID
63   I-ID
-   I-ID
68   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
2343   I-DATE
Age   O
:   O
22   O
Address   O
:   O
554   B-LOCATION
Green   I-LOCATION
Hill   I-LOCATION
Drive   I-LOCATION
,   O
41046   B-LOCATION
Phone   O
Number   O
:   O
371   B-CONTACT
939   I-CONTACT
-   I-CONTACT
5110   I-CONTACT
Occupation   O
:   O

:   O
Gilmore   B-NAME
,   I-NAME
John   I-NAME
Hospital   O
:   O
Virtua   B-LOCATION
Voorhees   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
03/34   B-DATE
Discharge   O
Date   O
:   O
18/26   B-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Cael   B-NAME
Ruiz   I-NAME
,   O
presented   O
with   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Ike   B-NAME
Grygiel   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
episodes   O
of   O
vomiting   O
since   O
the   O
onset   O
of   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mencken   B-NAME
,   I-NAME
H.   I-NAME
L.   I-NAME
has   O
been   O
generally   O
healthy   O
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
.   O

However   O
,   O
in   O
the   O
48   O
hours   O
preceding   O
the   O
onset   O
of   O
the   O
current   O
symptoms   O
,   O
James   B-NAME
Vasquez   I-NAME
mentioned   O
experiencing   O
general   O
malaise   O
and   O
a   O
slight   O
loss   O
of   O
appetite   O
.   O

There   O
were   O
no   O
reported   O
incidents   O
of   O
diarrhea   O
,   O
but   O
Karsyn   B-NAME
Mcclure   I-NAME
did   O
note   O
a   O
slight   O
change   O
in   O
bowel   O
habits   O
,   O
including   O
less   O
frequent   O
bowel   O
movements   O
.   O

Past   O
Medical   O
History   O
:   O
Dolphy   B-NAME
,   I-NAME
Eric   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
.   O

Villasenor   B-NAME
's   O
vaccination   O
status   O
is   O
up   O
to   O
date   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Christine   B-NAME
Mclaughlin   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

After   O
evaluation   O
,   O
Glenn   B-NAME
Richie   I-NAME
was   O
admitted   O
to   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Trinity   I-LOCATION
under   O
the   O
care   O
of   O
Itzel   B-NAME
Butler   I-NAME
for   O
further   O
management   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Erlene   B-NAME
Frohwein   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Nichols   B-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
post   O
-   O
operatively   O
and   O
responded   O
well   O
to   O
treatment   O
.   O

Trevino   B-NAME
was   O
discharged   O
on   O
2054   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
22   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Saniyah   B-NAME
Blackburn   I-NAME
in   O
2   O
weeks   O
'   O
time   O
.   O

Čapek   B-NAME
,   I-NAME
Karel   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
and   O
to   O
immediately   O
report   O
any   O
signs   O
of   O
infection   O
or   O
worsening   O
symptoms   O
.   O

Contact   O
Information   O
:   O
Should   O
Roger   B-NAME
Deleon   I-NAME
have   O
any   O
questions   O
or   O
concerns   O
,   O
they   O
are   O
advised   O
to   O
contact   O
Norton   B-LOCATION
Sound   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
at   O
18368   B-CONTACT
.   O

This   O
synthetic   O
patient   O
report   O
is   O
a   O
comprehensive   O
review   O
of   O
the   O
case   O
of   O
Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
,   O
including   O
presenting   O
symptoms   O
,   O
diagnostic   O
findings   O
,   O
and   O
treatment   O
management   O
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Collier   B-NAME
-   O
Age   O
:   O
65   O
-   O
Gender   O
:   O
Female   O
-   O
ID   O
:   O
GN:87992:226630   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
623   B-ID
-   I-ID
99   I-ID
-   I-ID
19   I-ID
-   I-ID
6   I-ID
-   O
Address   O
:   O
Ramsey   B-LOCATION
,   O
70180   B-LOCATION
-   O
Phone   O
:   O
594   B-CONTACT
1934   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Matthews   B-NAME
-   O
Hospital   O
:   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Flower   I-LOCATION
Mound   I-LOCATION
-   O
Date   O
of   O
Visit   O
:   O
13/28   B-DATE
-   O
Occupation   O
:   O
Preschool   O
Teachers   O
,   O
Except   O
Special   O
Education   O
History   O
of   O
Present   O
Illness   O
:   O
Michael   B-NAME
Goldberg   I-NAME
presented   O
to   O
the   O
West   B-LOCATION
Marion   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
01/26   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
occipital   O
region   O
,   O
which   O
radiates   O
towards   O
the   O
frontal   O
area   O
.   O

Douglas   B-NAME
Vega   I-NAME
rates   O
the   O
pain   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Leblanc   B-NAME
denies   O
any   O
recent   O
history   O
of   O
trauma   O
,   O
fever   O
,   O
neck   O
stiffness   O
,   O
or   O
rash   O
.   O

Past   O
Medical   O
History   O
:   O
URIEL   B-NAME
XING   I-NAME
has   O
a   O
history   O
of   O
migraines   O
diagnosed   O
approximately   O
5   O
years   O
ago   O
.   O

Family   O
History   O
:   O
Charles   B-NAME
Skinner   I-NAME
reports   O
that   O
her   O
mother   O
,   O
who   O
is   O
3   O
month   O
years   O
old   O
,   O
has   O
a   O
history   O
of   O
migraines   O
and   O
hypertension   O
.   O

Social   O
History   O
:   O
Kahlo   B-NAME
,   B-NAME
Frida   I-NAME
is   O
a   O
Fire   O
Investigators   O
who   O
works   O
at   O
Jewish   B-LOCATION
War   I-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
the   I-LOCATION
USA   I-LOCATION
.   O

Physical   O
Examination   O
:   O
-   O
General   O
Appearance   O
:   O
Oakley   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O
-   O
Vital   O
Signs   O
:   O
Blood   O
pressure   O
145/90   O
mmHg   O
,   O
heartbeat   O
rate   O
78   O
bpm   O
,   O
respiratory   O
rate   O
16   O
breaths   O
/   O
min   O
,   O
temperature   O
98.6   O
°   O
F   O
.   O
-   O
Neurological   O
Examination   O
:   O
Cranial   O
nerves   O
II   O
-   O
XII   O
were   O
intact   O
.   O

The   O
severe   O
nature   O
of   O
the   O
headache   O
,   O
combined   O
with   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
the   O
presence   O
of   O
visual   O
aura   O
,   O
aligns   O
with   O
Momoedonu   B-NAME
,   I-NAME
Tevita   I-NAME
's   O
previous   O
diagnosis   O
of   O
migraine   O
.   O

-   O
Monitor   O
blood   O
pressure   O
and   O
pain   O
level   O
.   O
-   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
5/21   B-DATE
to   O
reassess   O
and   O
possibly   O
adjust   O
the   O
management   O
of   O
VOLLMER   B-NAME
,   I-NAME
NATHAN   I-NAME
's   O
migraines   O
and   O
hypertension   O
.   O

Instructions   O
were   O
given   O
to   O
Baylee   B-NAME
Navarro   I-NAME
on   O
recognizing   O
migraine   O
triggers   O
and   O
the   O
importance   O
of   O
medication   O
adherence   O
,   O
especially   O
for   O
managing   O
her   O
blood   O
pressure   O
.   O

Additionally   O
,   O
Jordon   B-NAME
Cervantes   I-NAME
was   O
encouraged   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
better   O
understand   O
the   O
pattern   O
and   O
triggers   O
of   O
her   O
migraines   O
.   O

Future   O
Considerations   O
:   O
Considering   O
the   O
frequency   O
and   O
severity   O
of   O
Ibarra   B-NAME
's   O
migraines   O
,   O
a   O
discussion   O
regarding   O
prophylactic   O
migraine   O
management   O
may   O
be   O
warranted   O
during   O
the   O
follow   O
-   O
up   O
visit   O
.   O

The   O
patient   O
was   O
instructed   O
to   O
return   O
to   O
the   O
Emergency   O
Department   O
or   O
contact   O
Genesis   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
713   B-CONTACT
-   I-CONTACT
1019   I-CONTACT
if   O
there   O
is   O
a   O
significant   O
change   O
in   O
her   O
symptoms   O
or   O
if   O
she   O
experiences   O
side   O
effects   O
from   O
the   O
medication   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Barry   B-NAME
Patient   O
ID   O
:   O
EJ682/6072   B-ID
Medical   O
Record   O
Number   O
:   O
8945649   B-ID
Summary   O
:   O
Hernandez   B-NAME
,   O
a   O
99   O
-   O
year   O
-   O
old   O
Archivist   O
from   O
Gulf   B-LOCATION
Gate   I-LOCATION
Estates   I-LOCATION
,   O
was   O
admitted   O
to   O
McLarenGreater   B-LOCATION
Lansing   I-LOCATION
Hospital   I-LOCATION
on   O
3/11   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
fever   O
over   O
the   O
last   O
seven   O
days   O
.   O

Paul   B-NAME
Gardner   I-NAME
has   O
a   O
medical   O
history   O
of   O
Asthma   O
and   O
seasonal   O
allergies   O
.   O

Upon   O
examination   O
,   O
Maud   B-NAME
Carron   I-NAME
appeared   O
lethargic   O
but   O
was   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

Management   O
Plan   O
:   O
Trinity   B-NAME
was   O
started   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
intravenous   O
fluids   O
.   O

uhl   B-NAME
's   O
condition   O
is   O
being   O
closely   O
monitored   O
by   O
Marquez   B-NAME
and   O
the   O
respiratory   O
therapy   O
team   O
.   O

Instructions   O
for   O
Sarpedon   B-NAME
Cocking   I-NAME
:   O
1   O
.   O

4   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Leisha   B-NAME
Oxner   I-NAME
in   O
14   O
days   O
or   O
sooner   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

In   O
case   O
of   O
emergency   O
,   O
Ingenuus   B-NAME
or   O
family   O
members   O
can   O
contact   O
Hoag   B-LOCATION
Hospital   I-LOCATION
Irvine   I-LOCATION
at   O
(   B-CONTACT
903   I-CONTACT
)   I-CONTACT
643   I-CONTACT
7649   I-CONTACT
.   O

Note   O
:   O
Coastal   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
has   O
stated   O
that   O
all   O
patient   O
data   O
must   O
be   O
kept   O
confidential   O
according   O
to   O
HIPAA   O
regulations   O
.   O

Prepared   O
by   O
:   O
coc4510   B-NAME
Thursday   B-DATE

For   O
any   O
additional   O
information   O
or   O
to   O
discuss   O
the   O
case   O
further   O
,   O
please   O
contact   O
Union   B-LOCATION
Hospital   I-LOCATION
's   O
patient   O
care   O
team   O
directly   O
.   O

Patient   O
Name   O
:   O
Allan   B-NAME
Cabrera   I-NAME
DOB   O
:   O
10/22/2098   B-DATE
Age   O
:   O
13   O
Medical   O
Record   O
Number   O
:   O
443   B-ID
-   I-ID
54   I-ID
-   I-ID
87   I-ID
-   I-ID
2   I-ID
Address   O
:   O
Lakewood   B-LOCATION
Village   I-LOCATION
,   O
12043   B-LOCATION
Phone   O
Number   O
:   O

639   B-CONTACT
-   I-CONTACT
8407   I-CONTACT
Treating   O
Physician   O
:   O
Handy   B-NAME
,   I-NAME
W.   I-NAME
C.   I-NAME
Referring   O
Physician   O
:   O
Steve   B-NAME
Ayers   I-NAME
Treatment   O
Facility   O
:   O
Angel   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Consult   O
:   O
2/00   B-DATE
Occupation   O
:   O

Substance   O
Abuse   O
and   O
Behavioral   O
Disorder   O
Counselors   O
Clinical   O
History   O
:   O
UGALDE   B-NAME
,   I-NAME
JAZZLYNN   I-NAME
,   O
a   O
3   O
-   O
year   O
-   O
old   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
,   O
presents   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
dry   O
cough   O
.   O

Kevin   B-NAME
Cummings   I-NAME
reports   O
no   O
significant   O
past   O
medical   O
history   O
except   O
for   O
a   O
treated   O
case   O
of   O
pneumonia   O
approximately   O
one   O
year   O
ago   O
.   O

On   O
physical   O
examination   O
,   O
Bruce   B-NAME
is   O
in   O
no   O
acute   O
distress   O
,   O
afebrile   O
,   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Testing   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
10/19/1746   B-DATE
shows   O
bilateral   O
interstitial   O
opacities   O
,   O
more   O
pronounced   O
in   O
the   O
lower   O
lobes   O
.   O

After   O
discussion   O
with   O
Collett   B-NAME
,   I-NAME
Camilla   I-NAME
and   O
review   O
by   O
the   O
multidisciplinary   O
team   O
at   O
Sumner   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Tamia   B-NAME
Ochoa   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
high   O
-   O
dose   O
corticosteroids   O
.   O

A   O
follow   O
-   O
up   O
consultation   O
is   O
scheduled   O
for   O
07/34   B-DATE
to   O
evaluate   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
needed   O
.   O

Instructions   O
for   O
Patient   O
:   O
Jaylah   B-NAME
Barrett   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
report   O
any   O
worsening   O
of   O
dyspnea   O
,   O
fever   O
,   O
or   O
new   O
onset   O
symptoms   O
.   O

Liliana   B-NAME
Pierce   I-NAME
was   O
also   O
counseled   O
on   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
steroid   O
treatment   O
course   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

Smoking   O
cessation   O
was   O
strongly   O
recommended   O
,   O
and   O
Mark   B-NAME
Craig   I-NAME
was   O
referred   O
to   O
a   O
smoking   O
cessation   O
program   O
associated   O
with   O
Bengal   B-LOCATION
Jute   I-LOCATION
Mill   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Heindel   B-NAME
,   I-NAME
Max   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
in   O
the   O
clinic   O
on   O
3/08/30   B-DATE
for   O
reassessment   O
of   O
clinical   O
status   O
and   O
repeat   O
imaging   O
to   O
evaluate   O
response   O
to   O
therapy   O
.   O

Christopher   B-NAME
Lewis   I-NAME
's   O
notes   O
indicate   O
that   O
Becker   B-NAME
's   O
prognosis   O
depends   O
on   O
the   O
response   O
to   O
the   O
steroid   O
therapy   O
and   O
adherence   O
to   O
the   O
treatment   O
regimen   O
.   O

Education   O
regarding   O
the   O
potential   O
side   O
effects   O
of   O
long   O
-   O
term   O
steroid   O
use   O
was   O
provided   O
,   O
and   O
Roy   B-NAME
Clyburn   I-NAME
was   O
reassured   O
that   O
the   O
medical   O
team   O
at   O
McLeod   B-LOCATION
Health   I-LOCATION
Cheraw   I-LOCATION
is   O
committed   O
to   O
closely   O
monitoring   O
and   O
managing   O
any   O
complications   O
that   O
may   O
arise   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Baba   B-NAME
,   I-NAME
Tupeni   I-NAME
can   O
reach   O
the   O
treating   O
team   O
at   O
17396   B-CONTACT
during   O
office   O
hours   O
.   O

After   O
hours   O
,   O
Eric   B-NAME
Proctor   I-NAME
is   O
instructed   O
to   O
contact   O
the   O
emergency   O
department   O
at   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Muskogee   I-LOCATION
.   O

This   O
report   O
is   O
prepared   O
by   O
uei1010   B-NAME
,   O
under   O
the   O
supervision   O
of   O
Mack   B-NAME
.   O

Any   O
queries   O
regarding   O
this   O
report   O
should   O
be   O
directed   O
to   O
Joyce   B-NAME
's   O
office   O
at   O
53839   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
35882496   B-ID
Name   O
:   O
Levi   B-NAME
Gasch   I-NAME
Age   O
:   O
55   O
Phone   O
Number   O
:   O
(   B-CONTACT
508   I-CONTACT
)   I-CONTACT
892   I-CONTACT
3864   I-CONTACT
Date   O
of   O
Visit   O
:   O
0/29   B-DATE
Address   O
:   O
Sistersville   B-LOCATION
,   O
47763   B-LOCATION
Occupation   O
:   O
Police   O
Identification   O
and   O
Records   O
Officers   O
Primary   O
Care   O
Physician   O
:   O

Meza   B-NAME
Hospital   O
:   O
Wythe   B-LOCATION
County   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Biondo   B-NAME
,   I-NAME
Frank   I-NAME
,   O
a   O
Technical   O
Writers   O
from   O
Sylva   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Sentara   B-LOCATION
CarePlex   I-LOCATION
Hospital   I-LOCATION
on   O
22/94   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
radiating   O
chest   O
pain   O
initiating   O
from   O
the   O
left   O
side   O
and   O
spreading   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

Medical   O
History   O
:   O
Isabell   B-NAME
Fitzgerald   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Previous   O
records   O
from   O
Fabian   B-NAME
Clay   I-NAME
at   O
Union   B-LOCATION
Network   I-LOCATION
International   I-LOCATION
indicate   O
that   O
Chen   B-NAME
has   O
been   O
on   O
medication   O
for   O
these   O
conditions   O
but   O
has   O
been   O
non   O
-   O
compliant   O
with   O
the   O
treatment   O
plan   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Klobucar   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
170/95   O
mmHg   O
,   O
heart   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

The   O
cardiology   O
team   O
led   O
by   O
Jaime   B-NAME
Rivera   I-NAME
was   O
consulted   O
,   O
and   O
North   B-NAME
was   O
administered   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
upon   O
initial   O
assessment   O
.   O

Following   O
the   O
confirmation   O
of   O
a   O
myocardial   O
infarction   O
,   O
Lean   B-NAME
Hagens   I-NAME
was   O
transferred   O
to   O
the   O
catheterization   O
lab   O
for   O
angiography   O
,   O
which   O
revealed   O
a   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

Outcome   O
and   O
Follow   O
-   O
Up   O
:   O
Steve   B-NAME
Key   I-NAME
demonstrated   O
a   O
favorable   O
response   O
to   O
the   O
intervention   O
,   O
with   O
resolution   O
of   O
chest   O
pain   O
and   O
stabilization   O
of   O
vital   O
signs   O
.   O

Wendy   B-NAME
Saunders   I-NAME
was   O
subsequently   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
at   O
ProMedica   B-LOCATION
Monroe   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
monitoring   O
and   O
management   O
.   O

Discharge   O
planning   O
included   O
strict   O
adherence   O
to   O
prescribed   O
medications   O
,   O
lifestyle   O
modifications   O
including   O
diet   O
and   O
exercise   O
,   O
and   O
regular   O
follow   O
-   O
up   O
appointments   O
with   O
Kelly   B-NAME
.   O

Whitney   B-NAME
Randall   I-NAME
was   O
advised   O
to   O
attend   O
cardiac   O
rehabilitation   O
and   O
was   O
provided   O
with   O
a   O
contact   O
number   O
for   O
the   O
Cardiac   O
Rehabilitation   O
unit   O
(   O
465   B-CONTACT
-   I-CONTACT
612   I-CONTACT
7885   I-CONTACT
)   O
.   O

Patient   O
Identifier   O
:   O
0   B-ID
-   I-ID
9860281   I-ID

Elmer   B-NAME
Ure   I-NAME
Age   O
:   O
65   O
Date   O
of   O
Birth   O
:   O
32/02   B-DATE
Address   O
:   O
Autryville   B-LOCATION
,   O
13813   B-LOCATION
Phone   O
Number   O
:   O
14590   B-CONTACT
Primary   O
Physician   O
:   O

Bradford   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
8574309   B-ID
Date   O
of   O
Visit   O
:   O
3/10   B-DATE
Occupation   O
:   O
Nuclear   O
Medicine   O
Physicians   O
Insurance   O
ID   O
:   O
604997560   B-ID
Summary   O
:   O
Nightingale   B-NAME
,   I-NAME
Florence   I-NAME
,   O
a   O
15   O
-   O
year   O
-   O
old   O
Massage   O
Therapists   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Florida   B-LOCATION
Hospital   I-LOCATION
Wauchula   I-LOCATION
on   O
Monday   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

The   O
patient   O
reported   O
that   O
these   O
symptoms   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
at   O
work   O
in   O
Finley   B-LOCATION
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
Harold   B-NAME
Crosby   I-NAME
is   O
currently   O
taking   O
medication   O
(   O
details   O
not   O
disclosed   O
for   O
confidentiality   O
)   O
.   O

Jaeden   B-NAME
Castillo   I-NAME
was   O
quickly   O
stabilized   O
and   O
subsequently   O
admitted   O
to   O
the   O
cardiology   O
unit   O
for   O
further   O
treatment   O
under   O
the   O
care   O
of   O
Chance   B-NAME
Walker   I-NAME
.   O

A   O
decision   O
was   O
made   O
for   O
the   O
patient   O
to   O
undergo   O
coronary   O
angiography   O
scheduled   O
for   O
00/37/05   B-DATE
.   O
Plan   O
:   O

Luz   B-NAME
Cordova   I-NAME
will   O
also   O
be   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
,   O
statin   O
,   O
and   O
angiotensin   O
-   O
converting   O
enzyme   O
(   O
ACE   O
)   O
inhibitor   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Henry   B-NAME
,   I-NAME
O.   I-NAME
at   O
Ascension   B-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Novi   I-LOCATION
Campus   I-LOCATION
on   O
22/31/2313   B-DATE
to   O
review   O
the   O
outcomes   O
of   O
the   O
intervention   O
and   O
to   O
discuss   O
long   O
-   O
term   O
management   O
of   O
coronary   O
artery   O
disease   O
.   O

John   B-NAME
H.   I-NAME
Watson   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
and   O
was   O
provided   O
with   O
contact   O
information   O
(   O
830   B-CONTACT
1653   I-CONTACT
)   O
in   O
case   O
of   O
emergency   O
or   O
if   O
symptoms   O
worsen   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
and   O
notify   O
Monarchy   B-LOCATION
of   I-LOCATION
Stars   I-LOCATION
at   O
49475   B-CONTACT
.   O

Patient   O
Name   O
:   O
Cobain   B-NAME
,   I-NAME
Kurt   I-NAME
Donald   I-NAME
Date   O
of   O
Birth   O
:   O
02/05   B-DATE
Age   O
:   O
22   O
Phone   O
Number   O
:   O
44328   B-CONTACT
Address   O
:   O
Kennewick   B-LOCATION
,   I-LOCATION
Historic   I-LOCATION
Downtown   I-LOCATION
Kennewick   I-LOCATION
Partnership   I-LOCATION
,   O
45170   B-LOCATION
Occupation   O
:   O
Network   O
Systems   O
and   O
Data   O
Communications   O
Analysts   O
Primary   O
Care   O
Physician   O
:   O

Rhodes   B-NAME
Medical   O
Record   O
Number   O
:   O
8021458   B-ID
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
4556245   I-ID
Date   O
of   O
Visit   O
:   O
5/20   B-DATE
Hospital   O
:   O
Amsterdam   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Greene   B-NAME
presented   O
to   O
Sarasota   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
3/3   B-DATE
with   O
an   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Brian   B-NAME
,   O
a   O
Economist   O
at   O
Nevada   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
,   O
noted   O
the   O
onset   O
of   O
symptoms   O
while   O
at   O
Port   B-LOCATION
Hadlock   I-LOCATION
on   O
32/23/11   B-DATE
.   O

Social   O
History   O
:   O
Maribel   B-NAME
Mccarthy   I-NAME
is   O
a   O
Gaming   O
Supervisors   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

The   O
patient   O
lives   O
with   O
a   O
family   O
in   O
Little   B-LOCATION
York   I-LOCATION
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Kourtney   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Macey   B-NAME
Vance   I-NAME
,   O
which   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fluid   O
collection   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Plan   O
:   O
Tora   B-NAME
,   I-NAME
Apisai   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

After   O
discussing   O
the   O
risks   O
and   O
benefits   O
with   O
Aedan   B-NAME
Jennings   I-NAME
,   O
surgical   O
intervention   O
for   O
an   O
appendectomy   O
was   O
planned   O
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Isabella   B-NAME
Fleming   I-NAME
was   O
prepared   O
for   O
surgery   O
.   O

Consent   O
was   O
obtained   O
from   O
Hess   B-NAME
.   O

Follow   O
-   O
up   O
:   O
A   O
post   O
-   O
operative   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Steele   B-NAME
at   O
Des   B-LOCATION
Peres   I-LOCATION
Hospital   I-LOCATION
for   O
January   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Dayami   B-NAME
Nielsen   I-NAME
was   O
advised   O
to   O
contact   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Independence   I-LOCATION
at   O
61435   B-CONTACT
for   O
any   O
concerns   O
or   O
symptoms   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
fever   O
.   O

This   O
patient   O
report   O
for   O
Cassidy   B-NAME
Oliver   I-NAME
,   O
9646   B-ID
:   I-ID
N87889   I-ID
,   O
has   O
been   O
prepared   O
by   O
hku384   B-NAME
,   O
and   O
further   O
inquiries   O
can   O
be   O
directed   O
to   O
37054   B-CONTACT
.   O

Patient   O
Name   O
:   O
Pagan   B-NAME
Patient   O
ID   O
:   O
5772209   B-ID
Medical   O
Record   O
Number   O
:   O
359   B-ID
-   I-ID
17   I-ID
-   I-ID
41   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
February   B-DATE
Age   O
:   O
69s   O
Address   O
:   O
Greencastle   B-LOCATION
,   O
58793   B-LOCATION
Phone   O
Number   O
:   O
696   B-CONTACT
471   I-CONTACT
2879   I-CONTACT

Hansen   B-NAME
Location   O
of   O
Care   O
:   O
Lourdes   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Burlington   I-LOCATION
County   I-LOCATION
Date   O
of   O
Visit   O
:   O
June   B-DATE
Employment   O
:   O
Sheriffs   O
and   O
Deputy   O
Sheriffs   O
at   O
Missouri   B-LOCATION
River   I-LOCATION
Energy   I-LOCATION
Username   O
for   O
Patient   O
Portal   O
:   O
gyk855   B-NAME
Clinical   O
Notes   O
:   O
Giuliana   B-NAME
Rios   I-NAME
presented   O
to   O
Heritage   B-LOCATION
Valley   I-LOCATION
Sewickley   I-LOCATION
on   O
27/13/07   B-DATE
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
has   O
been   O
escalating   O
over   O
the   O
past   O
48   O
hours   O
.   O

Franco   B-NAME
Gardner   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Demosthenes   B-NAME
reports   O
being   O
a   O
nonsmoker   O
and   O
occasional   O
alcohol   O
drinker   O
.   O

Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
were   O
ordered   O
by   O
Patterson   B-NAME
.   O

Surgery   O
was   O
successfully   O
conducted   O
on   O
24/18/2381   B-DATE
without   O
complications   O
.   O

Tavorian   B-NAME
was   O
advised   O
postoperative   O
care   O
instructions   O
,   O
including   O
signs   O
of   O
infection   O
,   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
surgical   O
site   O
infection   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Gallegos   B-NAME
two   O
weeks   O
post   O
-   O
discharge   O
for   O
wound   O
check   O
and   O
overall   O
health   O
assessment   O
.   O

Comments   O
:   O
The   O
proactive   O
management   O
of   O
Gia   B-NAME
Short   I-NAME
's   O
appendicitis   O
,   O
from   O
the   O
initial   O
assessment   O
to   O
the   O
post   O
-   O
operative   O
care   O
,   O
highlights   O
the   O
importance   O
of   O
early   O
intervention   O
in   O
acute   O
surgical   O
conditions   O
.   O

Instructions   O
for   O
Patient   O
:   O
Gonzalez   B-NAME
is   O
advised   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
,   O
and   O
to   O
report   O
any   O
fever   O
or   O
persistent   O
pain   O
immediately   O
.   O

Luna   B-NAME
should   O
also   O
maintain   O
a   O
balanced   O
diet   O
and   O
gradually   O
increase   O
physical   O
activity   O
as   O
tolerated   O
.   O

Contact   O
Information   O
:   O
Should   O
Jovany   B-NAME
Crawford   I-NAME
have   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Centra   B-LOCATION
Lynchburg   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
935   B-CONTACT
-   I-CONTACT
1238   I-CONTACT
.   O

Patient   O
Report   O
:   O
---   O
*   O
*   O
Patient   O
Information   O
:*   O
*   O
-   O
Name   O
:   O
Xavier   B-NAME
Otero   I-NAME
-   O
Age   O
:   O
81   O
-   O
ID   O
:   O
5   B-ID
-   I-ID
5882782   I-ID
-   O
Medical   O
Record   O
No   O
.   O
:   O
CK159072   B-ID
-   O
Address   O
:   O
Northwest   B-LOCATION
Stanwood   I-LOCATION
,   O
75189   B-LOCATION
-   O
Phone   O
:   O
683   B-CONTACT
229   I-CONTACT
1005   I-CONTACT
-   O
Admission   O
Date   O
:   O
September   B-DATE
/2023   O
-   O
Attending   O
Physician   O
:   O
Malik   B-NAME
Mottershead   I-NAME
-   O
Hospital   O
:   O
Heritage   B-LOCATION
Hospital   I-LOCATION
*   O
*   O
Summary   O
:*   O
*   O
The   O
patient   O
,   O
Zayden   B-NAME
Hampton   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Williamsport   I-LOCATION
on   O
22/29   B-DATE
/2023   O
with   O
acute   O
abdominal   O
pain   O
,   O
markedly   O
in   O
the   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
101.3   O
°   O
F   O
.   O

Smith   B-NAME
,   I-NAME
Elliott   I-NAME
described   O
the   O
pain   O
as   O
persistent   O
and   O
cramping   O
in   O
nature   O
.   O

*   O
*   O
Medical   O
History   O
:*   O
*   O
Terrell   B-NAME
Blake   I-NAME
has   O
a   O
medical   O
history   O
of   O
Type   O
II   O
diabetes   O
controlled   O
with   O
medication   O
and   O
a   O
previous   O
cholecystectomy   O
.   O

Infinity   B-NAME
works   O
as   O
a   O
Quality   O
Control   O
Analysts   O
in   O
Pendergrass   B-LOCATION
,   O
which   O
often   O
involves   O
long   O
periods   O
of   O
seated   O
work   O
.   O

*   O
*   O
Examination   O
Findings   O
:*   O
*   O
Upon   O
physical   O
examination   O
,   O
Rocco   B-NAME
Pearson   I-NAME
exhibited   O
signs   O
of   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

*   O
*   O
Treatment   O
Plan   O
:*   O
*   O
Cailyn   B-NAME
Welch   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Wiggins   B-NAME
and   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
the   O
morning   O
of   O
24/02/06   B-DATE
/2023   O
.   O

*   O
*   O
Follow   O
-   O
up   O
:*   O
*   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
8/01/61   B-DATE
/2023   O
with   O
Cortez   B-NAME
at   O
Texas   B-LOCATION
Health   I-LOCATION
Arlington   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
recovery   O
progress   O
.   O

Bea   B-NAME
Slocumb   I-NAME
is   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
unusual   O
discomfort   O
and   O
to   O
maintain   O
hydration   O
and   O
rest   O
.   O

*   O
*   O
Contact   O
Information   O
:*   O
*   O
For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
main   O
line   O
at   O
236   B-CONTACT
-   I-CONTACT
3163   I-CONTACT
.   O

*   O
*   O
Healthcare   O
Provider   O
:*   O
*   O
Valerie   B-NAME
Flame   I-NAME
,   O
Valley   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Brownsville   I-LOCATION
*   O
*   O
Confidentiality   O
Notice   O
:*   O
*   O

Patient   O
Name   O
:   O
Nolan   B-NAME
Clayton   I-NAME
Patient   O
ID   O
:   O
264528   B-ID
Age   O
:   O
74s   O
Phone   O
:   O
856   B-CONTACT
-   I-CONTACT
311   I-CONTACT
-   I-CONTACT
8881   I-CONTACT
Address   O
:   O
El   B-LOCATION
Cajon   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
92021   I-LOCATION
,   O
89225   B-LOCATION
Employment   O
:   O
Public   O
Address   O
System   O
and   O
Other   O
Announcers   O
Primary   O
Care   O
Physician   O
:   O

Kemp   B-NAME
Hospital   O
:   O

Henry   B-LOCATION
Ford   I-LOCATION
Kingswood   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
80804932   B-ID
Date   O
of   O
Visit   O
:   O
November   B-DATE
31   I-DATE
,   I-DATE
2199   I-DATE
Username   O
for   O
Patient   O
Portal   O
:   O
ic545   B-NAME
Clinical   O
Notes   O
:   O
Hallie   B-NAME
Thomas   I-NAME
,   O
a   O
10   O
-   O
year   O
-   O
old   O
Public   O
affairs   O
consultant   O
(   O
lobbyist   O
)   O
from   O
West   B-LOCATION
Valley   I-LOCATION
City   I-LOCATION
,   O
presented   O
to   O
East   B-LOCATION
Jefferson   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
02/27   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
headaches   O
primarily   O
located   O
on   O
one   O
side   O
of   O
the   O
head   O
.   O

Walton   B-NAME
describes   O
the   O
pain   O
as   O
throbbing   O
and   O
pulsating   O
in   O
nature   O
,   O
rating   O
it   O
an   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

The   O
headaches   O
are   O
often   O
accompanied   O
by   O
nausea   O
,   O
photophobia   O
(   O
sensitivity   O
to   O
light   O
)   O
,   O
and   O
phonophobia   O
(   O
sensitivity   O
to   O
sound   O
)   O
,   O
forcing   O
Yelton   B-NAME
,   I-NAME
Ora   I-NAME
-   I-NAME
jordan   I-NAME
to   O
avoid   O
regular   O
activities   O
and   O
seek   O
relief   O
in   O
a   O
dark   O
,   O
quiet   O
room   O
.   O

During   O
this   O
visit   O
,   O
Conor   B-NAME
Dickerson   I-NAME
also   O
reported   O
experiencing   O
visual   O
disturbances   O
,   O
known   O
as   O
aura   O
,   O
such   O
as   O
seeing   O
flashing   O
lights   O
or   O
zigzag   O
patterns   O
,   O
approximately   O
20   O
minutes   O
prior   O
to   O
the   O
onset   O
of   O
the   O
headache   O
.   O

There   O
is   O
no   O
recent   O
history   O
of   O
head   O
injury   O
or   O
any   O
significant   O
past   O
medical   O
history   O
noted   O
in   O
Angelo   B-NAME
Green   I-NAME
's   O
record   O
(   O
853   B-ID
-   I-ID
10   I-ID
-   I-ID
94   I-ID
-   I-ID
8   I-ID
)   O
.   O

Pena   B-NAME
has   O
tried   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
minimal   O
relief   O
.   O

Dahlia   B-NAME
Arildsen   I-NAME
's   O
family   O
history   O
,   O
retrieved   O
from   O
discussions   O
with   O
Stephany   B-NAME
Rowe   I-NAME
,   O
revealed   O
that   O
a   O
sibling   O
also   O
suffers   O
from   O
migraines   O
,   O
which   O
may   O
suggest   O
a   O
genetic   O
predisposition   O
.   O

Lifestyle   O
factors   O
,   O
including   O
high   O
-   O
stress   O
levels   O
at   O
Medical   O
Appliance   O
Technicians   O
and   O
irregular   O
sleep   O
patterns   O
due   O
to   O
shift   O
work   O
,   O
may   O
also   O
be   O
contributing   O
to   O
the   O
frequency   O
and   O
severity   O
of   O
Emmanuel   B-NAME
Kolbe   I-NAME
's   O
migraines   O
.   O

Given   O
the   O
severity   O
and   O
frequency   O
of   O
the   O
headaches   O
,   O
Bayly   B-NAME
,   I-NAME
Thomas   I-NAME
Haynes   I-NAME
recommended   O
initiating   O
a   O
prophylactic   O
treatment   O
plan   O
,   O
including   O
both   O
medication   O
and   O
lifestyle   O
modifications   O
.   O

Cheyenne   B-NAME
Rumley   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
any   O
potential   O
triggers   O
such   O
as   O
food   O
,   O
stress   O
levels   O
,   O
and   O
sleep   O
patterns   O
.   O

Reed   B-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Carsen   B-NAME
Sutton   I-NAME
on   O
32/32/42   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

Additionally   O
,   O
Rivers   B-NAME
,   I-NAME
Joan   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
on   O
migraine   O
management   O
and   O
a   O
contact   O
number   O
(   O
730   B-CONTACT
3613   I-CONTACT
)   O
for   O
the   O
clinic   O
should   O
they   O
have   O
any   O
questions   O
or   O
concerns   O
about   O
their   O
treatment   O
plan   O
.   O

Uriah   B-NAME
Schwartz   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
and   O
lifestyle   O
modifications   O
to   O
potentially   O
decrease   O
the   O
frequency   O
and   O
severity   O
of   O
the   O
headaches   O
.   O

Signature   O
:   O
Crane   B-NAME
,   I-NAME
Dr.   I-NAME
Frank   I-NAME
2028   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
21   I-DATE

Roderick   B-NAME
Galloway   I-NAME
Patient   O
ID   O
:   O
5899257   B-ID
Medical   O
Record   O
Number   O
:   O
43033445   B-ID
Age   O
:   O
70   O
Address   O
:   O
McCarthy   B-LOCATION
,   O
72356   B-LOCATION
Phone   O
Number   O
:   O
48562   B-CONTACT
Profession   O
:   O
Electronic   O
Equipment   O
Installers   O
and   O
Repairers   O
,   O
Motor   O
Vehicles   O
Date   O
of   O
Initial   O
Consultation   O
:   O
1847   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
24   I-DATE
Location   O
of   O
Consultation   O
:   O
Providence   B-LOCATION
Saint   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Burbank   I-LOCATION
,   O
Groton   B-LOCATION
Long   I-LOCATION
Point   I-LOCATION
Referring   O
Physician   O
:   O

Dalton   B-NAME
Summary   O
:   O
01/25/09   B-DATE
,   O
Yasmin   B-NAME
Davis   I-NAME
,   O
a   O
Speech   O
and   O
language   O
therapist   O
residing   O
in   O
Corpus   B-LOCATION
Christi   I-LOCATION
,   I-LOCATION
Corpus   I-LOCATION
Christi   I-LOCATION
Downtown   I-LOCATION
Management   I-LOCATION
District   I-LOCATION
,   O
ZIP   O
code   O
39980   B-LOCATION
,   O
presented   O
with   O
a   O
history   O
of   O
persistent   O
and   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
pronounced   O
over   O
the   O
past   O
six   O
weeks   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Bates   B-NAME
appeared   O
in   O
no   O
acute   O
distress   O
but   O
displayed   O
noticeable   O
use   O
of   O
accessory   O
muscles   O
during   O
respiration   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
and   O
High   O
Resolution   O
CT   O
(   O
HRCT   O
)   O
of   O
the   O
chest   O
were   O
performed   O
at   O
CentraState   B-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
,   O
indicating   O
bilateral   O
interstitial   O
opacities   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
an   O
interdisciplinary   O
consultation   O
involving   O
Gabor   B-NAME
,   I-NAME
Zsa   I-NAME
Zsa   I-NAME
,   O
a   O
specialist   O
in   O
pulmonary   O
medicine   O
at   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
-   I-LOCATION
Lexington   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
was   O
arranged   O
.   O

Carlo   B-NAME
Riley   I-NAME
was   O
initiated   O
on   O
a   O
regimen   O
of   O
corticosteroids   O
,   O
with   O
close   O
monitoring   O
of   O
respiratory   O
function   O
and   O
symptoms   O
recommended   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
11/21/2226   B-DATE
to   O
assess   O
treatment   O
efficacy   O
and   O
discuss   O
further   O
diagnostic   O
procedures   O
,   O
including   O
a   O
possible   O
lung   O
biopsy   O
for   O
definitive   O
diagnosis   O
.   O

Instructions   O
were   O
given   O
to   O
Kristopher   B-NAME
Pinckard   I-NAME
to   O
avoid   O
any   O
known   O
environmental   O
or   O
occupational   O
irritants   O
and   O
to   O
contact   O
the   O
clinic   O
at   O
61711   B-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
next   O
scheduled   O
visit   O
.   O

Conclusion   O
:   O
Tomas   B-NAME
Combs   I-NAME
and   O
the   O
team   O
at   O
AMITA   B-LOCATION
Health   I-LOCATION
Resurrection   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chicago   I-LOCATION
are   O
committed   O
to   O
providing   O
Skyla   B-NAME
Roman   I-NAME
with   O
ongoing   O
care   O
and   O
support   O
.   O

Prepared   O
by   O
:   O
hb662   B-NAME
12/39   B-DATE

Patient   O
Name   O
:   O
Ninke   B-NAME
Donnellon   I-NAME
Patient   O
ID   O
:   O
BT:78053:841807   B-ID
Medical   O
Record   O
Number   O
:   O
9283659   B-ID
Date   O
of   O
Birth   O
:   O
07/23   B-DATE
Age   O
:   O
81   O
Address   O
:   O
Camp   B-LOCATION
Hill   I-LOCATION
,   O
92042   B-LOCATION
Phone   O
Number   O
:   O
384   B-CONTACT
367   I-CONTACT
-   I-CONTACT
5350   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Butler   B-NAME
Admission   O
Date   O
:   O
0/27   B-DATE
Hospital   O
:   O
Hillside   B-LOCATION
Hospital   I-LOCATION
Profession   O
:   O
Agricultural   O
Inspectors   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Kristin   B-NAME
Harris   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Albany   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2322   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
their   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

"   O
History   O
of   O
Present   O
Illness   O
:   O
Wendy   B-NAME
Tapia   I-NAME
,   O
a   O
26   O
-   O
year   O
-   O
old   O
Bailiffs   O
,   O
with   O
a   O
history   O
of   O
hypertension   O
and   O
high   O
cholesterol   O
,   O
experienced   O
sudden   O
onset   O
of   O
chest   O
pain   O
approximately   O
two   O
hours   O
prior   O
to   O
presentation   O
while   O
at   O
work   O
in   O
Porcupine   B-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
-   O
Hyperlipidemia   O
-   O
Type   O
II   O
diabetes   O
(   O
managed   O
with   O
diet   O
and   O
oral   O
medication   O
)   O
Medications   O
:   O
-   O
Lisinopril   O
10   O
mg   O
daily   O
-   O
Atorvastatin   O
20   O
mg   O
at   O
bedtime   O
-   O
Metformin   O
500   O
mg   O
twice   O
daily   O
Allergies   O
:   O
-   O
No   O
known   O
drug   O
allergies   O
-   O
NKA   O
(   O
No   O
Known   O
Allergies   O
)   O
Family   O
History   O
:   O
-   O
Father   O
passed   O
away   O
at   O
age   O
65   O
due   O
to   O
myocardial   O
infarction   O
-   O
Mother   O
living   O
with   O
Type   O
II   O
diabetes   O
,   O
age   O
72   O
Social   O
History   O
:   O
-   O
Shyla   B-NAME
Mahoney   I-NAME
is   O
a   O
non   O
-   O
smoker   O
-   O
Occasional   O
alcohol   O
consumption   O
,   O
mainly   O
socially   O
-   O
Denies   O
the   O
use   O
of   O
recreational   O
drugs   O
Review   O
of   O
Systems   O
:   O
General   O
:   O
Weight   O
loss   O
of   O
5   O
pounds   O
over   O
the   O
past   O
month   O
.   O

Physical   O
Examination   O
Findings   O
:   O
-   O
General   O
:   O
Yasmine   B-NAME
Bernoudi   I-NAME
is   O
alert   O
and   O
oriented   O
,   O
appearing   O
anxious   O
.   O

Instructions   O
were   O
given   O
to   O
Rylee   B-NAME
Horne   I-NAME
regarding   O
the   O
importance   O
of   O
adhering   O
to   O
their   O
medication   O
regime   O
and   O
to   O
follow   O
up   O
with   O
their   O
primary   O
care   O
physician   O
,   O
Dr.   O
McCain   B-NAME
,   I-NAME
John   I-NAME
,   O
within   O
one   O
week   O
post   O
-   O
discharge   O
for   O
evaluation   O
and   O
management   O
of   O
risk   O
factors   O
.   O

00/15   B-DATE
xj924   B-NAME

Patient   O
Report   O
for   O
Alex   B-NAME
Patel   I-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
18s   O
-   O
Date   O
of   O
Admission   O
:   O
04/01/2127   B-DATE
/2023   O
-   O
Hospital   O
:   O
Annie   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
7259232   B-ID
-   O
Treating   O
Physician   O
:   O
Torres   B-NAME
-   O
WX   B-NAME
's   O
Address   O
:   O
West   B-LOCATION
Livingston   I-LOCATION
,   O
42312   B-LOCATION
-   O
Contact   O
Phone   O
Number   O
:   O
586   B-CONTACT
-   I-CONTACT
528   I-CONTACT
2734   I-CONTACT
-   O
Occupation   O
:   O
Directors   O
,   O
Religious   O
Activities   O
and   O
Education   O
Clinical   O
Findings   O
:   O
Mya   B-NAME
Mccoy   I-NAME
,   O
a   O
Lodging   O
Managers   O
from   O
Maskell   B-LOCATION
,   O
was   O
admitted   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
02/33   B-DATE
/2023   O
with   O
a   O
chief   O
complaint   O
of   O
intense   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Medical   O
History   O
:   O
-   O
Identification   O
Number   O
:   O
XD884/7721   B-ID
-   O
Primary   O
Care   O
Provider   O
:   O
Chandler   B-NAME
Middleton   I-NAME
at   O
Diverse   B-LOCATION
Power   I-LOCATION
Inc.   I-LOCATION
-   O
Last   O
Visit   O
:   O
11/31   B-DATE
/2023   O
-   O
Past   O
Medical   O
History   O
:   O

Additionally   O
,   O
Swindoll   B-NAME
,   I-NAME
Charles   I-NAME
has   O
been   O
diagnosed   O
with   O
hypertension   O
and   O
has   O
been   O
on   O
a   O
stable   O
dose   O
of   O
medication   O
.   O

Diagnostic   O
Evaluation   O
:   O
Upon   O
presentation   O
,   O
a   O
comprehensive   O
neurological   O
examination   O
was   O
performed   O
by   O
Colten   B-NAME
Esparza   I-NAME
,   O
revealing   O
no   O
focal   O
neurological   O
deficits   O
.   O

Previous   O
investigations   O
included   O
a   O
normal   O
electroencephalogram   O
(   O
EEG   O
)   O
and   O
a   O
thorough   O
cardiovascular   O
evaluation   O
by   O
Silva   B-NAME
at   O
Tricare   B-LOCATION
,   O
which   O
ruled   O
out   O
secondary   O
causes   O
of   O
the   O
patient   O
's   O
symptoms   O
.   O

For   O
prophylaxis   O
,   O
considering   O
the   O
frequency   O
and   O
severity   O
of   O
the   O
migraine   O
episodes   O
,   O
Tempie   B-NAME
Plewa   I-NAME
initiated   O
a   O
beta   O
-   O
blocker   O
.   O

Wil   B-NAME
was   O
counseled   O
on   O
lifestyle   O
modifications   O
,   O
including   O
regular   O
physical   O
activity   O
,   O
maintaining   O
a   O
sleep   O
schedule   O
,   O
and   O
dietary   O
adjustments   O
to   O
avoid   O
known   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
23/33   B-DATE
/2023   O
with   O
Skinner   B-NAME
at   O
Mercy   B-LOCATION
Iowa   I-LOCATION
City   I-LOCATION
for   O
reassessment   O
and   O
modification   O
of   O
the   O
management   O
plan   O
based   O
on   O
response   O
to   O
therapy   O
.   O

Remarks   O
:   O
Leo   B-NAME
Pierce   I-NAME
's   O
contact   O
information   O
has   O
been   O
updated   O
to   O
include   O
a   O
new   O
phone   O
number   O
:   O
56873   B-CONTACT
,   O
to   O
ensure   O
continuity   O
of   O
care   O
.   O

Additionally   O
,   O
the   O
patient   O
consented   O
to   O
the   O
use   O
of   O
his   O
medical   O
record   O
for   O
research   O
purposes   O
related   O
to   O
migraine   O
management   O
at   O
Jamaica   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O
Conclusion   O
:   O
The   O
detailed   O
assessment   O
and   O
personalized   O
management   O
plan   O
for   O
Brandon   B-NAME
Nix   I-NAME
aim   O
at   O
improving   O
the   O
quality   O
of   O
life   O
and   O
reducing   O
the   O
frequency   O
and   O
severity   O
of   O
migraine   O
episodes   O
.   O

Prepared   O
by   O
:   O
KV629   B-NAME
Date   O
:   O
12/24/38   B-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Olszewski   B-NAME
-   O
Age   O
:   O
44   O
-   O
Gender   O
:   O
Female   O
-   O
Date   O
of   O
Birth   O
:   O
22/32/59   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
269   B-ID
-   I-ID
22   I-ID
-   I-ID
36   I-ID
-   I-ID
8   I-ID
-   O
Health   O
Plan   O
Number   O
:   O
1   B-ID
-   I-ID
9892488   I-ID
-   O
Social   O
Security   O
Number   O
:   O
168977418   B-ID
-   O
Address   O
:   O
Orlando   B-LOCATION
,   O
97829   B-LOCATION
-   O
Phone   O
Number   O
:   O
84950   B-CONTACT
-   O
Occupation   O
:   O
Forest   O
Fire   O
Inspectors   O
and   O
Prevention   O
Specialists   O
-   O
Username   O
:   O
UA979   B-NAME
Medical   O
History   O
:   O

The   O
patient   O
,   O
Xzavior   B-NAME
Casey   I-NAME
,   O
visited   O
SCI   B-LOCATION
-   I-LOCATION
Waymart   I-LOCATION
Forensic   I-LOCATION
Treatment   I-LOCATION
Center   I-LOCATION
on   O
0/92   B-DATE
with   O
complaints   O
of   O
chronic   O
fatigue   O
,   O
intermittent   O
headaches   O
,   O
and   O
episodes   O
of   O
tachycardia   O
.   O

Dolan   B-NAME
also   O
reports   O
difficulty   O
in   O
concentrating   O
at   O
her   O
job   O
as   O
a   O
Video   O
game   O
developer   O
and   O
experiencing   O
an   O
unintentional   O
weight   O
loss   O
of   O
approximately   O
FQ527/2279   B-ID
lbs   O
over   O
the   O
last   O
three   O
months   O
.   O

Clinical   O
Findings   O
:   O
During   O
the   O
physical   O
examination   O
conducted   O
by   O
Toby   B-NAME
Sims   I-NAME
,   O
Osborn   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
noted   O
elevated   O
heart   O
rate   O
at   O
rest   O
.   O

Quinton   B-NAME
H.   I-NAME
Welch   I-NAME
is   O
advised   O
to   O
monitor   O
her   O
symptoms   O
closely   O
and   O
report   O
back   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
six   O
weeks   O
.   O

Referral   O
:   O
A   O
referral   O
to   O
a   O
Dietitian   O
within   O
Friends   B-LOCATION
of   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
FoA   I-LOCATION
)   I-LOCATION
was   O
made   O
to   O
assist   O
Ferreira   B-NAME
in   O
dietary   O
planning   O
and   O
management   O
of   O
her   O
deficiencies   O
.   O

Additionally   O
,   O
Pontius   B-NAME
is   O
recommended   O
to   O
consult   O
with   O
a   O
psychologist   O
due   O
to   O
the   O
stress   O
associated   O
with   O
her   O
challenging   O
profession   O
of   O
Welders   O
,   O
Production   O
,   O
which   O
might   O
be   O
exacerbating   O
her   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
Jack   B-NAME
Stewart   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
22/73   B-DATE
at   O
INTEGRIS   B-LOCATION
Southwest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Quentin   B-NAME
Arias   I-NAME
to   O
monitor   O
her   O
response   O
to   O
the   O
treatment   O
plan   O
and   O
reassess   O
her   O
condition   O
.   O

This   O
medical   O
record   O
is   O
confidential   O
and   O
is   O
intended   O
solely   O
for   O
the   O
use   O
of   O
Dorian   B-NAME
Peterson   I-NAME
and   O
authorized   O
medical   O
personnel   O
.   O

For   O
any   O
inquiries   O
or   O
to   O
report   O
incorrect   O
information   O
,   O
please   O
contact   O
Newport   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
851   B-CONTACT
-   I-CONTACT
506   I-CONTACT
-   I-CONTACT
9498   I-CONTACT
.   O

Patient   O
Name   O
:   O
Keely   B-NAME
Williams   I-NAME
Age   O
:   O
10   O
week   O
Date   O
of   O
Birth   O
:   O
12/01   B-DATE
Address   O
:   O
LU15   B-LOCATION
1OT   I-LOCATION
,   O
26888   B-LOCATION
Phone   O
:   O
55874   B-CONTACT
Occupation   O
:   O

Models   O
Doctor   O
:   O
Allison   B-NAME
Hospital   O
:   O
Mease   B-LOCATION
Countryside   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
8505E57280   B-ID
ID   O
Number   O
:   O
GO191/4585   B-ID
Date   O
of   O
Visit   O
:   O
02/14   B-DATE
Emergency   O
Contact   O
:   O
zik928   B-NAME
,   O
15724   B-CONTACT
*   O
*   O
Medical   O
History   O
*   O
*   O
:   O
ULICES   B-NAME
ELLIOT   I-NAME
was   O
admitted   O
to   O
AdventHealth   B-LOCATION
Winter   I-LOCATION
Park   I-LOCATION
on   O
30/32/2132   B-DATE
after   O
reporting   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
a   O
high   O
fever   O
.   O

According   O
to   O
Linh   B-NAME
Bou   I-NAME
,   O
the   O
symptoms   O
began   O
approximately   O
two   O
days   O
prior   O
to   O
the   O
admission   O
.   O

*   O
*   O
Clinical   O
Findings   O
:*   O
*   O
Upon   O
examination   O
,   O
Morgan   B-NAME
Nichols   I-NAME
noted   O
that   O
Florene   B-NAME
Kim   I-NAME
exhibited   O
signs   O
of   O
dehydration   O
and   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggesting   O
appendicitis   O
.   O

Collins   B-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.5   O
°   O
C   O
(   O
48s   O
appropriate   O
reference   O
range   O
:   O
36.1   O
-   O
37.2   O
°   O
C   O
)   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
conducted   O
on   O
2323   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
without   O
any   O
signs   O
of   O
perforation   O
.   O

*   O
*   O
Diagnosis   O
:*   O
*   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
imaging   O
,   O
Le   B-NAME
Corbusier   I-NAME
diagnosed   O
Dominic   B-NAME
Issa   I-NAME
with   O
acute   O
appendicitis   O
.   O

*   O
*   O
Treatment   O
Plan   O
:*   O
*   O
Alex   B-NAME
Cominis   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
09/31   B-DATE
at   O
Bullock   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
without   O
complications   O
,   O
and   O
Xitlali   B-NAME
Crane   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infection   O
.   O

Skylar   B-NAME
Cooper   I-NAME
was   O
advised   O
to   O
follow   O
a   O
liquid   O
diet   O
for   O
the   O
first   O
53   O
hours   O
post   O
-   O
surgery   O
,   O
gradually   O
returning   O
to   O
solid   O
foods   O
as   O
tolerated   O
.   O

*   O
*   O
Follow   O
-   O
up   O
:*   O
*   O
Aliyah   B-NAME
Stein   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Briggs   B-NAME
at   O
Wellstar   B-LOCATION
Kennestone   I-LOCATION
Hospital   I-LOCATION
on   O
12/05   B-DATE
to   O
evaluate   O
post   O
-   O
operative   O
recovery   O
and   O
to   O
ensure   O
the   O
infection   O
has   O
adequately   O
been   O
addressed   O
.   O

*   O
*   O
Instructions   O
for   O
Patient   O
:*   O
*   O
Pablo   B-NAME
Y.   I-NAME
Mendez   I-NAME
has   O
been   O
instructed   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
such   O
as   O
increased   O
redness   O
,   O
swelling   O
at   O
the   O
surgical   O
site   O
,   O
fever   O
,   O
or   O
any   O
exacerbation   O
of   O
pain   O
,   O
and   O
to   O
report   O
these   O
symptoms   O
immediately   O
to   O
CarePoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Bayonne   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
call   O
586   B-CONTACT
6340   I-CONTACT
.   O

Junior   B-NAME
Mcconnell   I-NAME
’s   O
consent   O
was   O
obtained   O
for   O
all   O
procedures   O
conducted   O
.   O

*   O
*   O
Medical   O
Team   O
:*   O
*   O
Fritz   B-NAME
-   O
Attending   O
Surgeon   O
Abbie   B-NAME
Mendoza   I-NAME
-   O
Anesthesiologist   O
Nursing   O
Staff   O
of   O
Geisinger   B-LOCATION
-   I-LOCATION
Lewistown   I-LOCATION
Hospital   I-LOCATION
Surgical   O
Unit   O

Patient   O
Name   O
:   O
Alexis   B-NAME
Melendez   I-NAME
ID   O
:   O
EB674/6322   B-ID
Medical   O
Record   O
Number   O
:   O
0   B-ID
-   I-ID
2617317   I-ID
Date   O
of   O
Birth   O
:   O
7/6   B-DATE
Date   O
of   O
Visit   O
:   O
2363   B-DATE
Age   O
:   O
16   O
Contact   O
Number   O
:   O
500   B-CONTACT
8783   I-CONTACT
Address   O
:   O
7638   B-LOCATION
Lookout   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
10349   B-LOCATION

Attending   O
Physician   O
:   O
Vega   B-NAME
Hospital   O
:   O
Methodist   B-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Northlake   I-LOCATION
Campus   I-LOCATION
Profession   O
:   O

Counter   O
Attendants   O
,   O
Cafeteria   O
,   O
Food   O
Concession   O
,   O
and   O
Coffee   O
Shop   O
Clinical   O
Notes   O
:   O
Begin   B-NAME
,   I-NAME
Menachem   I-NAME
,   O
a   O
33   O
-   O
year   O
-   O
old   O
Set   O
and   O
Exhibit   O
Designers   O
,   O
presented   O
to   O
Trios   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
and   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
three   O
-   O
day   O
history   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
localized   O
to   O
the   O
frontal   O
region   O
.   O

On   O
examination   O
,   O
Ed   B-NAME
Helms   I-NAME
was   O
alert   O
and   O
oriented   O
,   O
with   O
vital   O
signs   O
within   O
normal   O
limits   O
.   O

Symptomatic   O
relief   O
was   O
achieved   O
within   O
1884   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
03   I-DATE
hours   O
of   O
treatment   O
.   O

Given   O
the   O
intensity   O
of   O
the   O
migraine   O
and   O
the   O
impact   O
on   O
Iniguez   B-NAME
's   O
functionality   O
,   O
a   O
referral   O
to   O
Banks   B-NAME
for   O
a   O
neurology   O
follow   O
-   O
up   O
was   O
made   O
to   O
consider   O
preventive   O
migraine   O
therapy   O
.   O

Instructions   O
were   O
given   O
for   O
Carma   B-NAME
Masek   I-NAME
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
potential   O
triggers   O
,   O
symptoms   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
future   O
episodes   O
.   O

Follow   O
-   O
Up   O
:   O
Joe   B-NAME
Martin   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Jan   B-NAME
Stevenson   I-NAME
at   O
Hospital   B-LOCATION
for   I-LOCATION
Special   I-LOCATION
Surgery   I-LOCATION
on   O
April   B-DATE
22   I-DATE
.   O

For   O
any   O
emergent   O
symptoms   O
,   O
Brandi   B-NAME
was   O
advised   O
to   O
contact   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
'   O
emergency   O
department   O
at   O
928   B-CONTACT
7267   I-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
.   O

Prepared   O
by   O
:   O
wy484   B-NAME
,   O
Medical   O
Scribe   O
Reviewed   O
by   O
:   O
Maleah   B-NAME
Carney   I-NAME
,   O
M.D.   O
Date   O
:   O
02/25/1689   B-DATE

Patient   O
Name   O
:   O
Otto   B-NAME
Schmitt   I-NAME
Medical   O
Record   O
Number   O
:   O
6639154   B-ID
Date   O
of   O
Birth   O
:   O
60   O
Phone   O
Number   O
:   O
87394   B-CONTACT
Address   O
:   O
Alturas   B-LOCATION
,   O
46372   B-LOCATION
Occupation   O
:   O
Tour   O
/   O
holiday   O
representative   O
Primary   O
Care   O
Physician   O
:   O

Ayana   B-NAME
Day   I-NAME
Admitting   O
Hospital   O
:   O
UCLA   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Santa   I-LOCATION
Monica   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/22   B-DATE
/2023   O
Date   O
of   O
Report   O
:   O
00   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
11   I-DATE
/2023   O
Social   O
Security   O
Number   O
:   O
92704786   B-ID
Clinical   O
Summary   O
:   O
Dennis   B-NAME
Dean   I-NAME
,   O
a   O
29   O
-   O
year   O
-   O
old   O
Public   O
Transportation   O
Inspectors   O
from   O
East   B-LOCATION
Northport   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Glens   B-LOCATION
Falls   I-LOCATION
Hospital   I-LOCATION
on   O
36/10/36   B-DATE
/2023   O
with   O
a   O
notable   O
history   O
of   O
sudden   O
onset   O
,   O
severe   O
,   O
and   O
localized   O
abdominal   O
pain   O
dominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Upon   O
admission   O
,   O
Benita   B-NAME
Tynan   I-NAME
reported   O
accompanying   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
.   O

Kelton   B-NAME
Ellis   I-NAME
denied   O
any   O
recent   O
travel   O
outside   O
White   B-LOCATION
Pigeon   I-LOCATION
or   O
any   O
sick   O
contacts   O
at   O
home   O
or   O
work   O
in   O
Travel   O
Guides   O
.   O

Past   O
medical   O
history   O
provided   O
by   O
Ali   B-NAME
Crichton   I-NAME
was   O
significant   O
for   O
hypercholesterolemia   O
,   O
managed   O
with   O
statin   O
therapy   O
,   O
and   O
no   O
history   O
of   O
surgeries   O
.   O

Abdominal   O
ultrasonography   O
,   O
recommended   O
by   O
Hendrix   B-NAME
,   O
was   O
performed   O
,   O
revealing   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
confirming   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Management   O
and   O
Outcome   O
:   O
Given   O
the   O
findings   O
and   O
clinical   O
presentation   O
,   O
Anthony   B-NAME
Edwardes   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
2353   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
13   I-DATE
/2023   O
at   O
Bryn   B-LOCATION
Mawr   I-LOCATION
Hospital   I-LOCATION
without   O
any   O
immediate   O
complications   O
.   O

John   B-NAME
V.   I-NAME
Hood   I-NAME
received   O
antibiotic   O
prophylaxis   O
pre   O
-   O
operation   O
and   O
was   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Domitianus   B-NAME
Krivanec   I-NAME
exhibited   O
good   O
recovery   O
,   O
showing   O
tolerance   O
to   O
oral   O
intake   O
and   O
managing   O
pain   O
with   O
oral   O
analgesics   O
.   O

Poincaré   B-NAME
,   I-NAME
Henri   I-NAME
was   O
discharged   O
from   O
Duane   B-LOCATION
L.   I-LOCATION
Waters   I-LOCATION
Hospital   I-LOCATION
on   O
Friday   B-DATE
,   I-DATE
February   I-DATE
/2023   O
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Ludwig   B-NAME
,   I-NAME
Arnold   I-NAME
M.   I-NAME
in   O
two   O
weeks   O
.   O

In   O
follow   O
-   O
up   O
,   O
Collison   B-NAME
,   I-NAME
Chris   I-NAME
demonstrated   O
excellent   O
wound   O
healing   O
and   O
no   O
signs   O
of   O
post   O
-   O
operative   O
complications   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
jzc576   B-NAME
,   O
and   O
I   O
can   O
be   O
reached   O
for   O
further   O
clarification   O
at   O
70313   B-CONTACT
.   O

The   O
patient   O
,   O
Tynan   B-NAME
,   I-NAME
Kenneth   I-NAME
,   O
a   O
24   O
-   O
year   O
-   O
old   O
Welders   O
and   O
Cutters   O
from   O
Butte   B-LOCATION
Falls   I-LOCATION
,   O
presented   O
to   O
Methodist   B-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Southlake   I-LOCATION
Campus   I-LOCATION
on   O
22   B-DATE
-   I-DATE
21   I-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fevers   O
over   O
the   O
past   O
two   O
weeks   O
.   O

During   O
the   O
initial   O
evaluation   O
,   O
Lauryn   B-NAME
Martinez   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
at   O
108   O
bpm   O
,   O
and   O
oxygen   O
saturation   O
at   O
92   O
%   O
on   O
room   O
air   O
.   O

A   O
comprehensive   O
blood   O
panel   O
was   O
ordered   O
by   O
Davidson   B-NAME
,   O
which   O
indicated   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
specifically   O
neutrophilia   O
,   O
and   O
elevated   O
C   O
-   O
reactive   O
protein   O
levels   O
.   O

The   O
CT   O
scan   O
,   O
performed   O
on   O
02/12/81   B-DATE
,   O
revealed   O
multi   O
-   O
lobar   O
pneumonia   O
with   O
associated   O
ground   O
-   O
glass   O
opacities   O
,   O
raising   O
concern   O
for   O
an   O
infectious   O
process   O
,   O
potentially   O
COVID-19   O
or   O
bacterial   O
pneumonia   O
.   O

Mahoney   B-NAME
's   O
COVID-19   O
test   O
returned   O
positive   O
on   O
31/33   B-DATE
.   O

Haleigh   B-NAME
Graham   I-NAME
was   O
admitted   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Louisville   I-LOCATION
for   O
close   O
monitoring   O
,   O
under   O
the   O
care   O
of   O
Coffey   B-NAME
,   O
and   O
assigned   O
to   O
medical   O
record   O
number   O
9818258   B-ID
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
consistent   O
updates   O
were   O
provided   O
to   O
Leverson   B-NAME
,   I-NAME
Ada   I-NAME
via   O
phone   O
number   O
92414   B-CONTACT
.   O

On   O
6/22   B-DATE
,   O
an   O
improvement   O
in   O
clinical   O
symptoms   O
was   O
noted   O
,   O
with   O
decreased   O
cough   O
frequency   O
and   O
improved   O
oxygen   O
saturation   O
levels   O
,   O
allowing   O
for   O
a   O
transition   O
to   O
room   O
air   O
.   O

Nursing   O
Instructors   O
and   O
Teachers   O
,   O
Postsecondary   O
from   O
Alcoholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
AA   I-LOCATION
)   I-LOCATION
made   O
arrangements   O
for   O
Patricia   B-NAME
Najera   I-NAME
’s   O
discharge   O
on   O
12.23.03   B-DATE
.   O

Before   O
discharge   O
,   O
Strong   B-NAME
discussed   O
the   O
importance   O
of   O
isolation   O
and   O
monitoring   O
for   O
any   O
recurrence   O
of   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
13/22   B-DATE
to   O
reassess   O
lung   O
function   O
and   O
overall   O
recovery   O
progress   O
.   O

In   O
summary   O
,   O
Wilhelm   B-NAME
,   O
a   O
50   O
-   O
year   O
-   O
old   O
patient   O
from   O
Red   B-LOCATION
Rock   I-LOCATION
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
COVID-19   O
,   O
confirmed   O
through   O
diagnostic   O
testing   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
regarding   O
Acevedo   B-NAME
's   O
condition   O
,   O
please   O
contact   O
Decatur   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
at   O
72953   B-CONTACT
or   O
visit   O
our   O
website   O
with   O
the   O
unique   O
access   O
ID   O
PF:58899:101548   B-ID
.   O

For   O
those   O
residing   O
in   O
the   O
60561   B-LOCATION
area   O
,   O
additional   O
resources   O
and   O
support   O
are   O
available   O
through   O
local   O
health   O
departments   O
.   O

Patient   O
Name   O
:   O
Zariah   B-NAME
Hartman   I-NAME
Medical   O
Record   O
Number   O
:   O
237   B-ID
-   I-ID
29   I-ID
-   I-ID
04   I-ID
-   I-ID
8   I-ID
Age   O
:   O
25   O
Date   O
of   O
Admission   O
:   O
13/20   B-DATE
Attending   O
Physician   O
:   O

Abdiel   B-NAME
Orozco   I-NAME
Hospital   O
:   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Philadelphia   I-LOCATION
-   I-LOCATION
Havertown   I-LOCATION
Location   O
:   O
Kingston   B-LOCATION
Mines   I-LOCATION
Zip   O
:   O
27748   B-LOCATION
Phone   O
Number   O
:   O
849   B-CONTACT
-   I-CONTACT
373   I-CONTACT
5204   I-CONTACT
Profession   O
:   O
Semiconductor   O
Processors   O
Username   O
:   O
dk572   B-NAME
ID   O
Number   O
:   O
AO:50686:921274   B-ID
Subjective   O
:   O

Patient   O
Henry   B-NAME
Frankenstein   I-NAME
,   O
a   O
Life   O
Scientists   O
,   O
All   O
Other   O
from   O
Paynes   B-LOCATION
Creek   I-LOCATION
,   O
presented   O
to   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Grosse   I-LOCATION
Pointe   I-LOCATION
on   O
2039   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
01   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
recurrent   O
headaches   O
and   O
intermittent   O
blurred   O
vision   O
over   O
the   O
past   O
three   O
weeks   O
.   O

Additionally   O
,   O
Shawanna   B-NAME
Rickey   I-NAME
has   O
observed   O
episodes   O
of   O
blurred   O
vision   O
,   O
describing   O
it   O
as   O
looking   O
through   O
a   O
"   O
foggy   O
lens   O
,   O
"   O
which   O
usually   O
resolves   O
within   O
a   O
few   O
minutes   O
.   O

Objective   O
:   O
On   O
physical   O
examination   O
,   O
Britney   B-NAME
Hodge   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Assessment   O
:   O
Given   O
the   O
clinical   O
presentation   O
and   O
examination   O
findings   O
,   O
a   O
provisional   O
diagnosis   O
of   O
migraine   O
with   O
aura   O
was   O
considered   O
for   O
Schroeder   B-NAME
.   O

Refer   O
Patanella   B-NAME
Nickas   I-NAME
for   O
a   O
comprehensive   O
ophthalmological   O
assessment   O
and   O
visual   O
field   O
testing   O
to   O
evaluate   O
the   O
cause   O
of   O
intermittent   O
blurred   O
vision   O
and   O
increased   O
intraocular   O
pressure   O
.   O

4   O
.   O
Advise   O
Suvorov   B-NAME
,   I-NAME
Alexander   I-NAME
Vasilyevich   I-NAME
on   O
lifestyle   O
modifications   O
and   O
migraine   O
triggers   O
avoidance   O
to   O
complement   O
pharmacological   O
intervention   O
.   O

Follow   O
-   O
up   O
:   O
Brenda   B-NAME
Boone   I-NAME
is   O
scheduled   O
for   O
a   O
return   O
visit   O
on   O
30/25   B-DATE
with   O
Saul   B-NAME
Kramer   I-NAME
at   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Chestertown   I-LOCATION
,   O
for   O
assessment   O
of   O
response   O
to   O
treatment   O
and   O
review   O
of   O
additional   O
diagnostic   O
test   O
results   O
.   O

Contact   O
information   O
for   O
any   O
questions   O
or   O
to   O
report   O
any   O
adverse   O
effects   O
has   O
been   O
provided   O
to   O
the   O
patient   O
:   O
(   B-CONTACT
723   I-CONTACT
)   I-CONTACT
176   I-CONTACT
3796   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Khan   B-NAME
,   I-NAME
Genghis   I-NAME
Patient   O
ID   O
:   O
NN   B-ID
:   I-ID
HD:4787   I-ID
Medical   O
Record   O
Number   O
:   O
80228487   B-ID
Date   O
of   O
Birth   O
:   O
35/16   B-DATE
Age   O
:   O
50   O
Address   O
:   O
El   B-LOCATION
Cajon   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
92021   I-LOCATION
,   O
75348   B-LOCATION
Phone   O
Number   O
:   O
193   B-CONTACT
7357   I-CONTACT
Employment   O
:   O
Financial   O
Quantitative   O
Analysts   O
at   O
First   B-LOCATION
Coweta   I-LOCATION
Bank   I-LOCATION
Primary   O
Physician   O
:   O

Marcelo   B-NAME
Curry   I-NAME
Admitting   O
Hospital   O
:   O
Memorial   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Short   B-NAME
,   O
a   O
50   O
-   O
year   O
-   O
old   O
Soldering   O
and   O
Brazing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
presented   O
to   O
Navicent   B-LOCATION
Health   I-LOCATION
Baldwin   I-LOCATION
on   O
10/70   B-DATE
,   O
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
back   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Jaxon   B-NAME
Holt   I-NAME
also   O
reported   O
associated   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
dizziness   O
.   O

Piraten   B-NAME
,   I-NAME
Fritiof   I-NAME
Nilsson   I-NAME
denied   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
previous   O
pulmonary   O
or   O
cardiovascular   O
diseases   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Sharri   B-NAME
Adolphson   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
Blood   O
Pressure   O
140/90   O
mmHg   O
,   O
Heart   O
Rate   O
110   O
bpm   O
,   O
Respiratory   O
Rate   O
22   O
breaths   O
per   O
minute   O
,   O
Temperature   O
98.6   O
degrees   O
Fahrenheit   O
,   O
Oxygen   O
Saturation   O
93   O
%   O
on   O
room   O
air   O
.   O

Diagnostic   O
Findings   O
:   O
Chest   O
radiography   O
performed   O
on   O
2141   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
11   I-DATE
identified   O
a   O
small   O
left   O
-   O
sided   O
pleural   O
effusion   O
.   O

Tora   B-NAME
,   I-NAME
Apisai   I-NAME
was   O
started   O
on   O
a   O
non   O
-   O
steroidal   O
anti   O
-   O
inflammatory   O
drug   O
for   O
pain   O
control   O
and   O
advised   O
to   O
follow   O
up   O
for   O
a   O
repeat   O
chest   O
X   O
-   O
ray   O
and   O
consideration   O
for   O
a   O
CT   O
pulmonary   O
angiography   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

The   O
patient   O
was   O
discharged   O
with   O
instructions   O
on   O
12/27   B-DATE
and   O
given   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Ruiz   B-NAME
in   O
1   O
week   O
.   O

Recommendations   O
for   O
Follow   O
-   O
up   O
:   O
-   O
Follow   O
up   O
with   O
primary   O
care   O
physician   O
,   O
Kaitlin   B-NAME
Mayer   I-NAME
,   O
in   O
1   O
week   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O
-   O
Consider   O
repeat   O
chest   O
radiography   O
and   O
possible   O
CT   O
pulmonary   O
angiography   O
as   O
per   O
Marlon   B-NAME
Farrell   I-NAME
's   O
discretion   O
.   O
-   O
Maintain   O
hydration   O
and   O
rest   O
.   O

Patient   O
Name   O
:   O
Friel   B-NAME
,   I-NAME
Todd   I-NAME
Patient   O
ID   O
:   O
WG786/2884   B-ID
Medical   O
Record   O
Number   O
:   O
7626139   B-ID
Date   O
of   O
Birth   O
:   O
33/10/2260   B-DATE
Age   O
:   O
9   O
Address   O
:   O
Tennessee   B-LOCATION
,   O
17786   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
155   I-CONTACT
)   I-CONTACT
588   I-CONTACT
6348   I-CONTACT
Occupation   O
:   O
Motion   O
Picture   O
Projectionists   O
Attending   O
Physician   O
:   O

Hale   B-NAME
Hospital   O
:   O

Lifecare   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O

Hickman   B-NAME
presents   O
with   O
acute   O
abdominal   O
pain   O
,   O
exacerbated   O
over   O
the   O
past   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Onset   O
was   O
approximately   O
72   O
hours   O
prior   O
to   O
the   O
admission   O
date   O
of   O
0325   B-DATE
.   O

Nina   B-NAME
I   I-NAME
Morris   I-NAME
denies   O
any   O
recent   O
trauma   O
to   O
the   O
area   O
.   O

Ronald   B-NAME
Moses   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Medications   O
:   O
-   O
Metformin   O
500   O
mg   O
twice   O
daily   O
-   O
Lisinopril   O
10   O
mg   O
daily   O
Social   O
History   O
:   O
Jobs   B-NAME
,   I-NAME
Steve   I-NAME
is   O
a   O
Gas   O
Appliance   O
Repairers   O
living   O
in   O
Juncos   B-LOCATION
.   O

Diagnostic   O
Studies   O
:   O
Abdominal   O
ultrasound   O
scheduled   O
for   O
1875   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
04   I-DATE
to   O
further   O
evaluate   O
the   O
presence   O
of   O
appendicitis   O
.   O

Discussion   O
held   O
with   O
Ali   B-NAME
,   I-NAME
Muhammad   I-NAME
regarding   O
the   O
likely   O
necessity   O
of   O
surgical   O
intervention   O
.   O

Surgical   O
team   O
and   O
Walter   B-NAME
have   O
been   O
notified   O
of   O
potential   O
case   O
.   O

Informed   O
Consent   O
:   O
Gunner   B-NAME
Allen   I-NAME
demonstrated   O
understanding   O
of   O
the   O
procedure   O
,   O
including   O
potential   O
risks   O
and   O
benefits   O
,   O
and   O
verbally   O
consented   O
.   O

Written   O
consent   O
obtained   O
on   O
16/01   B-DATE
.   O
Follow   O
-   O
up   O
/   O
Instructions   O
:   O
Jeremiah   B-NAME
Kidd   I-NAME
is   O
to   O
remain   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
for   O
at   O
least   O
8   O
hours   O
prior   O
to   O
scheduled   O
surgery   O
.   O

Notifications   O
:   O
Callum   B-NAME
Hanna   I-NAME
's   O
emergency   O
contact   O
,   O
inb955   B-NAME
,   O
was   O
notified   O
of   O
the   O
current   O
medical   O
situation   O
and   O
planned   O
intervention   O
.   O

Consent   O
for   O
sharing   O
this   O
information   O
was   O
obtained   O
from   O
Al   B-NAME
-   I-NAME
Hallaj   I-NAME
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
ISN   B-LOCATION
Bank   I-LOCATION
for   O
Sloan   B-NAME
under   O
the   O
care   O
of   O
Karter   B-NAME
Becker   I-NAME
at   O
Gundersen   B-LOCATION
Palmer   I-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ruba   B-NAME
Neil   I-NAME
Patient   O
Age   O
:   O
96   O
Date   O
of   O
Birth   O
:   O
Wednesday   B-DATE
Patient   O
ID   O
:   O
46600304   B-ID
Medical   O
Record   O
Number   O
:   O
58187344   B-ID
Address   O
:   O
Laramie   B-LOCATION
,   O
20750   B-LOCATION
Primary   O
Care   O
Physician   O
:   O
Clements   B-NAME
Hospital   O
:   O

Thomas   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Contact   O
Number   O
:   O
493   B-CONTACT
8324   I-CONTACT
Date   O
of   O
Admission   O
:   O
38/28/2272   B-DATE
Date   O
of   O
Discharge   O
:   O
38/25   B-DATE
Clinical   O
Summary   O
:   O
Ricardo   B-NAME
Jacob   I-NAME
Updyke   I-NAME
presented   O
to   O
Three   B-LOCATION
Rivers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
cramp   O
-   O
like   O
,   O
intensifying   O
over   O
the   O
past   O
12/09   B-DATE
.   O

Associated   O
symptoms   O
included   O
nausea   O
without   O
vomiting   O
,   O
fever   O
of   O
1/21   B-DATE
,   O
and   O
marked   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

No   O
recent   O
travel   O
history   O
to   O
Philippi   B-LOCATION
or   O
any   O
changes   O
in   O
dietary   O
habits   O
were   O
reported   O
.   O

Upon   O
examination   O
,   O
Zachery   B-NAME
Wagner   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
with   O
vital   O
signs   O
indicating   O
tachycardia   O
and   O
slight   O
fever   O
.   O

Consultation   O
with   O
Bonilla   B-NAME
from   O
the   O
General   O
Surgery   O
Department   O
was   O
requested   O
,   O
and   O
the   O
decision   O
for   O
surgical   O
intervention   O
via   O
laparoscopic   O
appendectomy   O
was   O
made   O
.   O

Irmgard   B-NAME
reported   O
no   O
significant   O
family   O
history   O
of   O
gastrointestinal   O
disorders   O
.   O

The   O
family   O
resides   O
at   O
Sumpter   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
333   B-CONTACT
-   I-CONTACT
4592   I-CONTACT
.   O

Social   O
History   O
:   O
DUNN   B-NAME
,   I-NAME
VINCENT   I-NAME
is   O
a   O
Graduate   O
Teaching   O
Assistants   O
with   O
no   O
history   O
of   O
smoking   O
or   O
heavy   O
alcohol   O
use   O
.   O

Minimal   O
travel   O
outside   O
of   O
Dursley   B-LOCATION
was   O
noted   O
,   O
with   O
no   O
recent   O
exposures   O
to   O
known   O
allergens   O
or   O
pathogens   O
.   O

The   O
patient   O
underwent   O
laparoscopic   O
appendectomy   O
under   O
the   O
care   O
of   O
Jonathan   B-NAME
Neyer   I-NAME
.   O

The   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
More   B-NAME
,   I-NAME
Hannah   I-NAME
exhibited   O
signs   O
of   O
improvement   O
with   O
resolution   O
of   O
pain   O
and   O
fever   O
by   O
postoperative   O
day   O
06/31   B-DATE
.   O

Tara   B-NAME
Phipps   I-NAME
was   O
advised   O
on   O
postoperative   O
wound   O
care   O
,   O
signs   O
of   O
possible   O
complications   O
,   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
8   B-DATE
-   I-DATE
9   I-DATE
.   O

Instructions   O
were   O
provided   O
to   O
contact   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
Newburgh   I-LOCATION
Campus   I-LOCATION
at   O
25438   B-CONTACT
for   O
any   O
concerns   O
or   O
signs   O
of   O
infection   O
,   O
including   O
fever   O
,   O
chills   O
,   O
or   O
increasing   O
abdominal   O
pain   O
.   O

Follow   O
-   O
Up   O
:   O
Arlean   B-NAME
Robicheaux   I-NAME
will   O
follow   O
up   O
with   O
Duarte   B-NAME
in   O
the   O
General   O
Surgery   O
clinic   O
at   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Mainland   I-LOCATION
on   O
33/20   B-DATE
.   O

Confidentiality   O
Statement   O
:   O
This   O
document   O
contains   O
confidential   O
health   O
information   O
pertaining   O
to   O
Soo   B-NAME
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
at   O
255   B-CONTACT
-   I-CONTACT
439   I-CONTACT
-   I-CONTACT
2144   I-CONTACT
and   O
delete   O
the   O
original   O
message   O
.   O

Prepared   O
by   O
:   O
GH270   B-NAME
Medical   O
Staff   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Forsyth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
30/00/32   B-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Sanger   B-NAME
,   I-NAME
Margaret   I-NAME
-   O
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
1575566   I-ID
-   O
Age   O
:   O
52   O
-   O
Medical   O
Record   O
Number   O
:   O
774   B-ID
55   I-ID
75   I-ID
-   O
Date   O
of   O
Birth   O
:   O
03/15/09   B-DATE
-   O
Address   O
:   O
Pittsburgh   B-LOCATION
,   O
51668   B-LOCATION
-   O
Phone   O
Number   O
:   O
44521   B-CONTACT
-   O
Occupation   O
:   O
Multimedia   O
Artists   O
and   O
Animators   O
-   O
Username   O
:   O
bp608   B-NAME
-   O
Primary   O
Care   O
Physician   O
:   O
Jacobson   B-NAME
-   O
Treating   O
Hospital   O
:   O
South   B-LOCATION
Central   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
of   O
Visit   O
:   O
On   O
9/27/33   B-DATE
,   O
Destinee   B-NAME
Stanley   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
UCHealth   B-LOCATION
Grandview   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
had   O
persisted   O
for   O
approximately   O
48   O
hours   O
.   O

June   B-NAME
Francis   I-NAME
also   O
reported   O
a   O
fever   O
of   O
100.4   O
°   O
F   O
(   O
26   B-DATE
)   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Berry   B-NAME
,   I-NAME
Halle   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
-   O
Temperature   O
:   O
100.4   O
°   O
F   O
-   O
Heart   O
Rate   O
:   O
102   O
bpm   O
-   O
Blood   O
Pressure   O
:   O
130/85   O
mmHg   O
-   O
Respiratory   O
Rate   O
:   O
18   O
breaths   O
/   O
min   O
The   O
physical   O
examination   O
indicated   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
with   O
rebound   O
tenderness   O
suggestive   O
of   O
peritonitis   O
.   O

Treatment   O
:   O
Bernard   B-NAME
advised   O
immediate   O
surgical   O
intervention   O
given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
with   O
signs   O
of   O
peritonitis   O
.   O

Crista   B-NAME
Brensel   I-NAME
underwent   O
an   O
appendectomy   O
on   O
14/30   B-DATE
at   O
The   B-LOCATION
William   I-LOCATION
W.   I-LOCATION
Backus   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
procedure   O
was   O
performed   O
by   O
Bishop   B-NAME
,   O
and   O
it   O
was   O
completed   O
without   O
complications   O
.   O

Hahn   B-NAME
's   O
symptoms   O
improved   O
significantly   O
after   O
the   O
surgery   O
.   O

Parrish   B-NAME
was   O
discharged   O
on   O
22/23/97   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Damari   B-NAME
Spence   I-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
2295   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
19   I-DATE
,   O
Esta   B-NAME
reported   O
feeling   O
much   O
better   O
with   O
complete   O
resolution   O
of   O
previous   O
symptoms   O
.   O

Orr   B-NAME
advised   O
continuing   O
wound   O
care   O
and   O
scheduled   O
another   O
follow   O
-   O
up   O
in   O
one   O
month   O
to   O
ensure   O
continued   O
recovery   O
.   O

Summary   O
:   O
Leah   B-NAME
Orozco   I-NAME
,   O
a   O
9   O
-   O
year   O
-   O
old   O
Personal   O
Care   O
and   O
Service   O
Workers   O
,   O
All   O
Other   O
from   O
Ingram   B-LOCATION
with   O
a   O
medical   O
history   O
significant   O
for   O
acute   O
appendicitis   O
,   O
was   O
successfully   O
treated   O
with   O
an   O
appendectomy   O
at   O
Sound   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Of   I-LOCATION
Westchester   I-LOCATION
.   O

The   O
postoperative   O
recovery   O
has   O
been   O
smooth   O
,   O
and   O
James   B-NAME
B.   I-NAME
Tyler   I-NAME
is   O
on   O
a   O
good   O
path   O
to   O
full   O
recovery   O
.   O

Patient   O
Name   O
:   O
Kelley   B-NAME
Fenimore   I-NAME
Patient   O
ID   O
:   O
XE:92119:909551   B-ID

Medical   O
Record   O
:   O
35521333   B-ID
Address   O
:   O
Loganville   B-LOCATION
,   O
98263   B-LOCATION
Phone   O
:   O
607   B-CONTACT
-   I-CONTACT
5605   I-CONTACT
Date   O
of   O
Birth   O
:   O
19/16   B-DATE
Age   O
:   O
42   O
Attending   O
Physician   O
:   O

Antarius   B-NAME
Hospital   O
:   O
HealthSouth   B-LOCATION
Lakeview   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
08/29   B-DATE
Date   O
of   O
Discharge   O
:   O
2278   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
20   I-DATE
Chief   O
Complaint   O
:   O
Ben   B-NAME
Barnes   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Abrazo   B-LOCATION
West   I-LOCATION
Campus   I-LOCATION
on   O
17/05   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
ongoing   O
for   O
approximately   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kamron   B-NAME
Waller   I-NAME
,   O
a   O
Insurance   O
Sales   O
Agents   O
by   O
trade   O
,   O
initially   O
noticed   O
the   O
onset   O
of   O
symptoms   O
December   B-DATE
while   O
at   O
work   O
in   O
Shiloh   B-LOCATION
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
described   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
present   O
illness   O
,   O
Quiana   B-NAME
N.   I-NAME
Bullock   I-NAME
denies   O
any   O
urinary   O
symptoms   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
chest   O
pain   O
.   O

Impression   O
:   O
Acute   O
Appendicitis   O
Management   O
:   O
Krystal   B-NAME
Ayers   I-NAME
was   O
admitted   O
to   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Burlington   I-LOCATION
under   O
the   O
care   O
of   O
Mann   B-NAME
for   O
further   O
management   O
.   O

Jamarcus   B-NAME
Berry   I-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
on   O
03/37   B-DATE
without   O
complications   O
.   O

Postoperative   O
course   O
was   O
unremarkable   O
,   O
and   O
Emelia   B-NAME
Love   I-NAME
was   O
advised   O
on   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
follow   O
-   O
up   O
appointments   O
before   O
discharge   O
on   O
1/23/46   B-DATE
.   O
Instructions   O
for   O
Follow   O
-   O
up   O
:   O
1   O
.   O

Follow   O
-   O
up   O
appointment   O
with   O
Steve   B-NAME
Ashley   I-NAME
at   O
Heritage   B-LOCATION
Valley   I-LOCATION
Beaver   I-LOCATION
within   O
7   O
-   O
10   O
days   O
post   O
-   O
discharge   O
for   O
wound   O
check   O
and   O
overall   O
postoperative   O
assessment   O
.   O

Lyric   B-NAME
Hale   I-NAME
is   O
advised   O
to   O
monitor   O
their   O
blood   O
sugar   O
levels   O
closely   O
,   O
considering   O
their   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O
Prescriptions   O
at   O
Discharge   O
:   O

The   O
provided   O
information   O
is   O
a   O
comprehensive   O
overview   O
of   O
Tocho   B-NAME
's   O
admission   O
,   O
diagnosis   O
,   O
treatment   O
,   O
and   O
post   O
-   O
discharge   O
care   O
instructions   O
without   O
revealing   O
any   O
personal   O
health   O
information   O
as   O
per   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Annika   B-NAME
Williamson   I-NAME
Patient   O
ID   O
:   O
18293132   B-ID
Medical   O
Record   O
:   O
8153960   B-ID
Date   O
of   O
Birth   O
:   O
3/41   B-DATE
Age   O
:   O
86   O
Contact   O
Number   O
:   O
408   B-CONTACT
767   I-CONTACT
3218   I-CONTACT
Address   O
:   O
Big   B-LOCATION
Run   I-LOCATION
,   O
10139   B-LOCATION
Occupation   O
:   O

Mathematical   O
Technicians   O
Physician   O
in   O
Charge   O
:   O
Dario   B-NAME
Ellis   I-NAME
Hospital   O
:   O

Millard   B-LOCATION
Fillmore   I-LOCATION
Suburban   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Infant   B-NAME
Brewer   I-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Public   O
Relations   O
and   O
Fundraising   O
Managers   O
from   O
Haralson   B-LOCATION
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
on   O
03/22/31   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
sudden   O
onset   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
indicative   O
of   O
potential   O
acute   O
aortic   O
dissection   O
.   O

Upon   O
examination   O
,   O
Apple   B-NAME
,   I-NAME
Fiona   I-NAME
's   O
blood   O
pressure   O
was   O
found   O
to   O
be   O
significantly   O
higher   O
on   O
the   O
right   O
arm   O
compared   O
to   O
the   O
left   O
,   O
suggestive   O
of   O
aortic   O
dissection   O
.   O

Urgent   O
imaging   O
with   O
a   O
CT   O
angiogram   O
of   O
the   O
chest   O
was   O
recommended   O
by   O
Munoz   B-NAME
and   O
subsequently   O
performed   O
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
a   O
Type   O
A   O
aortic   O
dissection   O
extending   O
from   O
the   O
ascending   O
aorta   O
to   O
the   O
aortic   O
arch   O
.   O

Given   O
the   O
acute   O
nature   O
and   O
severity   O
of   O
the   O
condition   O
,   O
Joseph   B-NAME
Ortega   I-NAME
was   O
immediately   O
prepared   O
for   O
surgical   O
intervention   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Neruda   B-NAME
,   I-NAME
Pablo   I-NAME
,   O
performed   O
an   O
emergency   O
aortic   O
repair   O
on   O
11/26/2035   B-DATE
.   O

Post   O
-   O
operative   O
care   O
in   O
the   O
intensive   O
care   O
unit   O
(   O
ICU   O
)   O
was   O
mandatory   O
,   O
where   O
Deandra   B-NAME
remained   O
stable   O
with   O
gradual   O
improvement   O
in   O
hemodynamic   O
parameters   O
.   O

Following   O
surgery   O
,   O
Dolan   B-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
regular   O
follow   O
-   O
up   O
for   O
imaging   O
studies   O
to   O
monitor   O
the   O
condition   O
of   O
the   O
aorta   O
and   O
on   O
the   O
need   O
for   O
strict   O
blood   O
pressure   O
control   O
.   O

Prescriptions   O
for   O
antihypertensive   O
medication   O
were   O
provided   O
upon   O
discharge   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Anthony   B-NAME
,   I-NAME
Piers   I-NAME
was   O
scheduled   O
for   O
December   B-DATE
22   I-DATE
,   I-DATE
2370   I-DATE
.   O

Signed   O
,   O
Leroy   B-NAME
Harrison   I-NAME
Danbury   B-LOCATION
Hospital   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Joseph   B-NAME
Age   O
:   O
49   O
Date   O
of   O
Birth   O
:   O
1988   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
13   I-DATE
Medical   O
Record   O
Number   O
:   O
31595424   B-ID
ID   O
:   O
9   B-ID
-   I-ID
2545210   I-ID
Address   O
:   O
Northborough   B-LOCATION
,   O
80789   B-LOCATION
Phone   O
Number   O
:   O
16837   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Waller   B-NAME
Hospital   O
:   O
NY   B-LOCATION
Eye   I-LOCATION
And   I-LOCATION
Ear   I-LOCATION
Infirmary   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/23/2360   B-DATE
Occupation   O
:   O
Risk   O
Management   O
Specialists   O
Username   O
:   O
cma144   B-NAME
Insurance   O
Provider   O
:   O
Equanimal   B-LOCATION
Clinical   O
Note   O
:   O

Hardin   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
NorthShore   B-LOCATION
University   I-LOCATION
HealthSystem   I-LOCATION
-Evanston   I-LOCATION
Hospital   I-LOCATION
on   O
07/27/2245   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
high   O
fever   O
(   O
measured   O
at   O
home   O
as   O
39.5   O
°   O
C   O
)   O
,   O
and   O
nausea   O
.   O

Vu   B-NAME
C.   I-NAME
Mccarty   I-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

Upon   O
examination   O
,   O
Abbey   B-NAME
Lambert   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Priyanka   B-NAME
Maheswaran   I-NAME
,   O
was   O
consulted   O
and   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Deshawn   B-NAME
Good   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
expected   O
outcomes   O
.   O

Consent   O
was   O
obtained   O
,   O
and   O
the   O
surgery   O
was   O
performed   O
without   O
complication   O
on   O
22/29/80   B-DATE
.   O

Post   O
-   O
operative   O
care   O
included   O
administration   O
of   O
IV   O
antibiotics   O
to   O
prevent   O
infection   O
,   O
pain   O
management   O
,   O
and   O
monitoring   O
for   O
any   O
signs   O
of   O
complications   O
.   O
Outcome   O
:   O
Ferreira   B-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
unremarkable   O
.   O

The   O
pain   O
and   O
fever   O
resolved   O
,   O
and   O
Riya   B-NAME
Soto   I-NAME
was   O
able   O
to   O
resume   O
a   O
normal   O
diet   O
within   O
48   O
hours   O
post   O
-   O
operation   O
.   O

Baker   B-NAME
,   I-NAME
Russell   I-NAME
was   O
discharged   O
on   O
04/11/1766   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
possible   O
complications   O
to   O
watch   O
for   O
at   O
home   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Callahan   B-NAME
in   O
2   O
weeks   O
'   O
time   O
.   O

Conclusion   O
:   O
Levertov   B-NAME
,   I-NAME
Denise   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
underwent   O
successful   O
laparoscopic   O
appendectomy   O
with   O
no   O
complications   O
.   O

Janssen   B-NAME
will   O
require   O
minimal   O
convalescence   O
and   O
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
1/27/73   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
ensure   O
recovery   O
is   O
progressing   O
as   O
expected   O
.   O

This   O
patient   O
report   O
will   O
be   O
securely   O
stored   O
in   O
our   O
health   O
records   O
with   O
the   O
135   B-ID
-   I-ID
23   I-ID
-   I-ID
04   I-ID
-   I-ID
2   I-ID
number   O
for   O
future   O
reference   O
and   O
continued   O
care   O
management   O
for   O
Jaquan   B-NAME
Andrews   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Marivel   B-NAME
Guess   I-NAME
Age   O
:   O
78   O
Medical   O
Record   O
Number   O
:   O
788   B-ID
-   I-ID
91   I-ID
-   I-ID
46   I-ID
Date   O
of   O
Visit   O
:   O
22/20/2334   B-DATE
Hospital   O
:   O
SCI   B-LOCATION
-   I-LOCATION
Waymart   I-LOCATION
Forensic   I-LOCATION
Treatment   I-LOCATION
Center   I-LOCATION
Doctor   O
:   O
Stein   B-NAME
Summary   O
:   O
Kaleb   B-NAME
Carroll   I-NAME
,   O
a   O
Bill   O
and   O
Account   O
Collectors   O
from   O
West   B-LOCATION
Plains   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
West   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
on   O
02/28   B-DATE
with   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
and   O
described   O
as   O
sharp   O
and   O
constant   O
.   O

Wiesel   B-NAME
,   I-NAME
Elie   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
QUINTON   B-NAME
COLON   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
with   O
a   O
pain   O
score   O
of   O
7/10   O
.   O

Treatment   O
and   O
Outcome   O
:   O
The   O
surgical   O
team   O
led   O
by   O
The   B-NAME
Rock   I-NAME
was   O
consulted   O
,   O
and   O
Shyann   B-NAME
Camacho   I-NAME
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
on   O
Nov   B-DATE
.   O
Elenora   B-NAME
Newball   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
observed   O
for   O
24   O
hours   O
in   O
the   O
surgical   O
ward   O
of   O
LifeCare   B-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
Western   I-LOCATION
Michigan   I-LOCATION
.   O

Logan   B-NAME
Deleon   I-NAME
was   O
discharged   O
on   O
07/32   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
2   O
weeks   O
post   O
-   O
discharge   O
.   O

The   O
contact   O
number   O
provided   O
for   O
follow   O
-   O
up   O
or   O
complications   O
was   O
85264   B-CONTACT
.   O

Nelson   B-NAME
's   O
occupation   O
11   O
:   O
Mark   B-NAME
Brandt   I-NAME
's   O
age   O
875   B-ID
-   I-ID
54   I-ID
-   I-ID
09   I-ID
-   I-ID
5   I-ID
:   O
Number   O
associated   O
with   O
Sahale   B-NAME
's   O
medical   O
records   O
Wyatt   B-NAME
Cooper   I-NAME
:   O
Name   O
of   O
the   O
doctor   O
who   O
treated   O
Xavier   B-NAME
Embry   I-NAME
00/03   B-DATE
:   O
Dates   O
relevant   O
to   O
the   O
patient   O
's   O
visit   O
and   O
treatment   O
Williamsburg   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
:   O
Name   O
of   O
the   O
hospital   O
where   O
Maximillian   B-NAME
Roivas   I-NAME
was   O
treated   O
Tenafly   B-LOCATION
:   O
Jensen   B-NAME
Love   I-NAME
's   O
place   O
of   O
residence   O
Republic   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
:   O
Any   O
mentioned   O
organization   O
49102   B-CONTACT
:   O

Contact   O
number   O
given   O
to   O
Murphy   B-NAME
75188   B-LOCATION
:   O

Postal   O
code   O
of   O
Morley   B-NAME
's   O
residence   O
3183932   B-ID
:   O

Any   O
identification   O
number   O
provided   O
lp823   B-NAME
:   O
Specific   O
usernames   O
mentioned   O
Conclusion   O
:   O
THORNE   B-NAME
,   I-NAME
OLIVER   I-NAME
,   O
a   O
69s   O
-   O
year   O
-   O
old   O
Locomotive   O
Engineers   O
from   O
Lockhart   B-LOCATION
,   O
successfully   O
underwent   O
an   O
appendectomy   O
for   O
acute   O
appendicitis   O
with   O
no   O
complications   O
.   O

It   O
is   O
imperative   O
that   O
Turner   B-NAME
Grey   I-NAME
adheres   O
to   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
provided   O
and   O
attends   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
to   O
ensure   O
a   O
smooth   O
recovery   O
process   O
.   O

Patient   O
Name   O
:   O
Annalise   B-NAME
Velez   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
4042905   I-ID
Medical   O
Record   O
Number   O
:   O
2135695   B-ID
Date   O
of   O
Birth   O
:   O
10/20/1655   B-DATE
Age   O
:   O
21s   O
Address   O
:   O
Schiller   B-LOCATION
Park   I-LOCATION
,   O
58876   B-LOCATION
Occupation   O
:   O
Construction   O
Carpenters   O
Primary   O
Physician   O
:   O
Wilson   B-NAME
Admitting   O
Hospital   O
:   O
St.   B-LOCATION
Clair   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2210   B-DATE
Date   O
of   O
Discharge   O
:   O

Jan   B-DATE
55   I-DATE
Contact   O
Number   O
:   O
145   B-CONTACT
-   I-CONTACT
848   I-CONTACT
5651   I-CONTACT
Username   O
for   O
Hospital   O
Portal   O
:   O
eaj9710   B-NAME
Summary   O
:   O

Marina   B-NAME
Collins   I-NAME
was   O
admitted   O
to   O
Henry   B-LOCATION
Ford   I-LOCATION
Hospital   I-LOCATION
on   O
3th   B-DATE
with   O
complaints   O
of   O
intense   O
abdominal   O
pain   O
,   O
centered   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
of   O
101.2   O
°   O
F   O
.   O

Upon   O
admission   O
,   O
Jefferey   B-NAME
reported   O
the   O
pain   O
had   O
been   O
increasing   O
in   O
intensity   O
over   O
the   O
last   O
48   O
hours   O
.   O

ostrowski   B-NAME
,   O
a   O
Opticians   O
,   O
Dispensing   O
from   O
Mount   B-LOCATION
Dora   I-LOCATION
,   O
has   O
no   O
significant   O
past   O
medical   O
history   O
except   O
for   O
mild   O
,   O
non   O
-   O
insulin   O
dependent   O
diabetes   O
mellitus   O
.   O

Clinical   O
Findings   O
:   O
During   O
the   O
physical   O
examination   O
,   O
Riley   B-NAME
Weeks   I-NAME
noted   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
's   O
fasting   O
blood   O
glucose   O
was   O
slightly   O
elevated   O
at   O
160   O
mg   O
/   O
dL.   O
Abdominal   O
ultrasound   O
showed   O
a   O
swollen   O
appendix   O
with   O
evidence   O
of   O
a   O
small   O
abscess   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Acevedo   B-NAME
,   O
Banhart   B-NAME
,   I-NAME
Devendra   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
33/05   B-DATE
.   O

Almasaro   B-NAME
was   O
advised   O
on   O
a   O
diabetic   O
diet   O
control   O
plan   O
to   O
manage   O
blood   O
glucose   O
levels   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
July   B-DATE
04   I-DATE
.   O

Discharge   O
Instructions   O
:   O
Ryann   B-NAME
Riggs   I-NAME
was   O
discharged   O
on   O
06/05/1859   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
guidelines   O
on   O
gradually   O
resuming   O
normal   O
activities   O
.   O

Feldman   B-NAME
was   O
given   O
prescriptions   O
for   O
antibiotics   O
to   O
complete   O
a   O
7   O
-   O
day   O
course   O
and   O
pain   O
management   O
.   O

Additionally   O
,   O
Forrest   B-NAME
Morgan   I-NAME
was   O
advised   O
to   O
monitor   O
blood   O
glucose   O
levels   O
closely   O
and   O
follow   O
up   O
with   O
Isabella   B-NAME
Mcgrath   I-NAME
for   O
both   O
post   O
-   O
operative   O
assessment   O
and   O
diabetes   O
management   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Brooks   B-NAME
at   O
Wyckoff   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2074   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
30   I-DATE
to   O
assess   O
recovery   O
and   O
discuss   O
further   O
management   O
of   O
Flynn   B-NAME
's   O
diabetes   O
.   O

Notes   O
:   O
Communication   O
with   O
David   B-NAME
Thornton   I-NAME
was   O
facilitated   O
through   O
their   O
registered   O
phone   O
number   O
and   O
email   O
linked   O
to   O
the   O
username   O
XX941   B-NAME
on   O
the   O
Abrazo   B-LOCATION
Central   I-LOCATION
portal   O
.   O

Palgrave   B-NAME
,   I-NAME
Francis   I-NAME
Turner   I-NAME
consented   O
to   O
the   O
treatment   O
plan   O
and   O
understood   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

All   O
patient   O
data   O
,   O
including   O
NX   B-ID
:   I-ID
SG:6664   I-ID
and   O
16195033   B-ID
,   O
remains   O
confidential   O
as   O
per   O
Marijuana   B-LOCATION
Anonymous   I-LOCATION
health   O
information   O
privacy   O
policies   O
.   O

Patient   O
Name   O
:   O
Stout   B-NAME
Age   O
:   O
45   O
Medical   O
Record   O
Number   O
:   O
8519334   B-ID
Date   O
of   O
Birth   O
:   O
07/16   B-DATE
Address   O
:   O
Coleraine   B-LOCATION
,   O
81724   B-LOCATION
Phone   O
Number   O
:   O
37031   B-CONTACT

Elsa   B-NAME
Sharp   I-NAME
Hospital   O
Name   O
:   O
Maine   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/22   B-DATE
Employer   O
:   O
Aztec   B-LOCATION
Club   I-LOCATION
of   I-LOCATION
1847   I-LOCATION
Occupation   O
:   O

Office   O
and   O
Administrative   O
Support   O
Workers   O
,   O
All   O
Other   O
Emergency   O
Contact   O
:   O
ijk19   B-NAME
ID   O
Number   O
:   O
QS:93744:574107   B-ID
Chief   O
Complaint   O
:   O
Baba   B-NAME
,   I-NAME
Meher   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
SOUTH   B-LOCATION
BAY   I-LOCATION
HOSPITAL   I-LOCATION
on   O
2230   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
28   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Past   O
Medical   O
History   O
:   O
Hoover   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Tomlin   B-NAME
,   I-NAME
Lily   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Corbin   B-NAME
Stark   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
potential   O
appendectomy   O
.   O

Further   O
,   O
Hanson   B-NAME
was   O
started   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
to   O
manage   O
any   O
possible   O
infection   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Washington   I-LOCATION
County   I-LOCATION
for   O
close   O
monitoring   O
and   O
management   O
.   O

Conclusion   O
:   O
Ubaldo   B-NAME
Daugherty   I-NAME
,   O
a   O
4   O
week   O
-   O
year   O
-   O
old   O
individual   O
with   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
,   O
presented   O
with   O
symptoms   O
and   O
signs   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Patient   O
Name   O
:   O
Sean   B-NAME
Sullivan   I-NAME
Medical   O
Record   O
Number   O
:   O
279   B-ID
-   I-ID
76   I-ID
-   I-ID
42   I-ID
Date   O
of   O
Birth   O
:   O
23/20/12   B-DATE
Age   O
:   O
3   O
Phone   O
Number   O
:   O
505   B-CONTACT
-   I-CONTACT
5350   I-CONTACT
Attending   O
Physician   O
:   O
Mckee   B-NAME
Hospital   O
Name   O
:   O
Roswell   B-LOCATION
Park   I-LOCATION
Cancer   I-LOCATION
Institute   I-LOCATION
Location   O
:   O
Yellville   B-LOCATION
ID   O
:   O
XT663/4932   B-ID
Organization   O
:   O

Mazdoor   B-LOCATION
Mukti   I-LOCATION
Morcha   I-LOCATION
Profession   O
:   O
Tellers   O
Username   O
:   O
hon475   B-NAME
ZIP   O
Code   O
:   O
76456   B-LOCATION
Summary   O
:   O
A   O
patient   O
named   O
Dana   B-NAME
Vaughn   I-NAME
,   O
with   O
the   O
medical   O
record   O
number   O
7952058   B-ID
,   O
presented   O
to   O
Straith   B-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Special   I-LOCATION
Surgery   I-LOCATION
located   O
in   O
Smoaks   B-LOCATION
,   O
ZIP   O
Code   O
69566   B-LOCATION
,   O
on   O
3   B-DATE
-   I-DATE
22   I-DATE
.   O

Bill   B-NAME
X.   I-NAME
Stafford   I-NAME
is   O
a   O
7   O
week   O
-   O
year   O
-   O
old   O
Postal   O
Service   O
Mail   O
Carriers   O
who   O
has   O
been   O
experiencing   O
a   O
range   O
of   O
symptoms   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
few   O
weeks   O
.   O

Clinical   O
Presentation   O
:   O
Nickolas   B-NAME
Santos   I-NAME
has   O
reported   O
severe   O
,   O
persistent   O
headaches   O
predominantly   O
localized   O
to   O
the   O
frontal   O
and   O
occipital   O
regions   O
,   O
accompanied   O
by   O
photophobia   O
and   O
occasional   O
episodes   O
of   O
nausea   O
.   O

Hayes   B-NAME
also   O
complains   O
of   O
intermittent   O
dizziness   O
and   O
a   O
ringing   O
sensation   O
in   O
the   O
ears   O
,   O
termed   O
tinnitus   O
.   O

Additionally   O
,   O
Victor   B-NAME
Q.   I-NAME
Qiu   I-NAME
experiences   O
bouts   O
of   O
short   O
-   O
term   O
memory   O
lapses   O
and   O
has   O
mentioned   O
an   O
increase   O
in   O
difficulty   O
concentrating   O
at   O
work   O
.   O

Deborah   B-NAME
Ash   I-NAME
's   O
past   O
medical   O
history   O
includes   O
controlled   O
hypertension   O
,   O
for   O
which   O
Malika   B-NAME
Mojaro   I-NAME
has   O
been   O
on   O
medication   O
prescribed   O
by   O
Dixon   B-NAME
for   O
the   O
past   O
few   O
years   O
.   O

Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Caldwell   B-NAME
exhibited   O
a   O
blood   O
pressure   O
reading   O
of   O
150/95   O
mmHg   O
,   O
a   O
pulse   O
rate   O
of   O
80   O
beats   O
per   O
minute   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
14   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Evaluation   O
:   O
Evan   B-NAME
Stein   I-NAME
underwent   O
MRI   O
imaging   O
of   O
the   O
brain   O
,   O
which   O
revealed   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Milosz   B-NAME
,   I-NAME
Ceslaw   I-NAME
was   O
advised   O
to   O
continue   O
the   O
current   O
antihypertensive   O
medication   O
.   O

A   O
referral   O
to   O
neurology   O
for   O
further   O
evaluation   O
of   O
the   O
headaches   O
and   O
possible   O
migraine   O
management   O
was   O
made   O
by   O
Kale   B-NAME
Mcfarland   I-NAME
.   O

Follow   O
-   O
up   O
in   O
the   O
neurology   O
outpatient   O
department   O
of   O
Jersey   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
scheduled   O
for   O
12/34   B-DATE
.   O

For   O
any   O
further   O
queries   O
regarding   O
the   O
care   O
of   O
Donaldson   B-NAME
,   O
please   O
contact   O
PeaceHealth   B-LOCATION
Peace   I-LOCATION
Island   I-LOCATION
Hospital   I-LOCATION
at   O
973   B-CONTACT
-   I-CONTACT
889   I-CONTACT
-   I-CONTACT
6868   I-CONTACT
.   O

Patient   O
Name   O
:   O
Cleveland   B-NAME
Patient   O
ID   O
:   O
DK   B-ID
:   I-ID
BI:3085   I-ID
Medical   O
Record   O
Number   O
:   O
289   B-ID
-   I-ID
06   I-ID
-   I-ID
65   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
5   B-DATE
-   I-DATE
28   I-DATE
Date   O
of   O
Visit   O
:   O
1970   B-DATE
Consulting   O
Doctor   O
:   O
Hartman   B-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Contact   O
Phone   O
:   O
50358   B-CONTACT
Address   O
:   O
De   B-LOCATION
Kalb   I-LOCATION
,   O
32379   B-LOCATION
Chief   O
Complaint   O
:   O
Nunez   B-NAME
presented   O
to   O
the   O
outpatient   O
department   O
at   O
Presbyterian   B-LOCATION
Rust   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
36/22   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
that   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
presentation   O
.   O

Jonathan   B-NAME
Faivre   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Banhart   B-NAME
,   I-NAME
Devendra   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
hypertension   O
.   O

Allston   B-NAME
,   I-NAME
Aaron   I-NAME
is   O
currently   O
taking   O
Metformin   O
and   O
Lisinopril   O
.   O

Social   O
History   O
:   O
Ulises   B-NAME
Lopez   I-NAME
is   O
a   O
Floral   O
Designers   O
and   O
denies   O
any   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Truth   B-NAME
,   I-NAME
Sojourner   I-NAME
lives   O
with   O
Mariela   B-NAME
Manning   I-NAME
's   O
spouse   O
in   O
Midland   B-LOCATION
,   I-LOCATION
ON   I-LOCATION
L4R   I-LOCATION
8B5   I-LOCATION
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
in   O
Daphne   B-NAME
Houtz   I-NAME
's   O
father   O
,   O
who   O
was   O
diagnosed   O
at   O
99   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Micheal   B-NAME
Webb   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
findings   O
were   O
discussed   O
with   O
Best   B-NAME
and   O
Giraudoux   B-NAME
,   I-NAME
Jean   I-NAME
's   O
emergency   O
contact   O
via   O
(   B-CONTACT
976   I-CONTACT
)   I-CONTACT
708   I-CONTACT
7293   I-CONTACT
.   O

Surgical   O
consultation   O
with   O
Jon   B-NAME
Robertson   I-NAME
was   O
obtained   O
,   O
and   O
Nigel   B-NAME
Watts   I-NAME
was   O
advised   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Esmeralda   B-NAME
Torres   I-NAME
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
scheduled   O
for   O
22/21   B-DATE
at   O
Olathe   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Walters   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Williamson   B-NAME
at   O
Brandywine   B-LOCATION
Hospital   I-LOCATION
on   O
20/22   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Instructions   O
for   O
Patient   O
Care   O
at   O
Home   O
:   O
Buddy   B-NAME
was   O
instructed   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
maintain   O
hygiene   O
at   O
the   O
incision   O
site   O
,   O
and   O
follow   O
a   O
prescribed   O
diet   O
during   O
the   O
recovery   O
period   O
.   O

This   O
medical   O
report   O
was   O
prepared   O
by   O
Malraux   B-NAME
,   I-NAME
André   I-NAME
at   O
Phoebe   B-LOCATION
Sumter   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
Leroy   B-NAME
Kelly   I-NAME
,   O
with   O
patient   O
ID   O
3771540   B-ID
and   O
medical   O
record   O
number   O
12945409   B-ID
.   O

Contact   O
44039   B-CONTACT
for   O
further   O
inquiries   O
.   O

Patient   O
Name   O
:   O
sanchez   B-NAME
Patient   O
ID   O
:   O
UA995/9148   B-ID
Medical   O
Record   O
Number   O
:   O
60091151   B-ID
Date   O
of   O
Birth   O
:   O
04/14   B-DATE
Age   O
:   O
80   O
Phone   O
Number   O
:   O
(   B-CONTACT
927   I-CONTACT
)   I-CONTACT
707   I-CONTACT
-   I-CONTACT
3736   I-CONTACT
Address   O
:   O
Dranesville   B-LOCATION
,   O
30235   B-LOCATION

Attending   O
Physician   O
:   O
Tanner   B-NAME
Hospital   O
:   O

WellSpan   B-LOCATION
York   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
September   B-DATE
22   I-DATE
Date   O
of   O
Report   O
:   O
02/28   B-DATE
Clinical   O
Summary   O
:   O
Yarborough   B-NAME
,   O
a   O
Political   O
party   O
agent   O
from   O
Crewkerne   B-LOCATION
,   O
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
Golisano   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southwest   I-LOCATION
Florida   I-LOCATION
on   O
01/00   B-DATE
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
included   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
.   O

Palin   B-NAME
,   I-NAME
Michael   I-NAME
also   O
recounted   O
a   O
recent   O
history   O
of   O
nausea   O
and   O
occasional   O
vomiting   O
,   O
which   O
seems   O
to   O
be   O
exacerbated   O
by   O
certain   O
food   O
intake   O
and   O
stress   O
.   O

Examination   O
upon   O
admission   O
by   O
Jacoby   B-NAME
Baldwin   I-NAME
revealed   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
a   O
pulse   O
of   O
78   O
beats   O
per   O
minute   O
,   O
and   O
a   O
temperature   O
of   O
37.2   O
°   O
C   O
.   O

Bethor   B-NAME
Chaderton   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
to   O
monitor   O
for   O
any   O
exacerbation   O
of   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Delacroix   B-NAME
,   I-NAME
Eugène   I-NAME
has   O
been   O
scheduled   O
for   O
October   B-DATE
12   I-DATE
at   O
Waynesboro   B-LOCATION
Hospital   I-LOCATION
to   O
discuss   O
preventive   O
measures   O
and   O
possible   O
initiation   O
of   O
a   O
prophylactic   O
medication   O
regimen   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
10/18/92   B-DATE
with   O
prescriptions   O
for   O
sumatriptan   O
to   O
be   O
used   O
as   O
needed   O
for   O
severe   O
headache   O
episodes   O
and   O
instructions   O
on   O
lifestyle   O
modifications   O
aimed   O
at   O
reducing   O
the   O
frequency   O
of   O
migraines   O
.   O

Contact   O
information   O
for   O
the   O
headache   O
clinic   O
at   O
Erie   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
provided   O
(   O
82881   B-CONTACT
)   O
for   O
any   O
urgent   O
concerns   O
.   O

Prepared   O
by   O
:   O
Katherine   B-NAME
Ross   I-NAME
Reviewed   O
by   O
:   O
Angie   B-NAME
Hickman   I-NAME
User   O
:   O
ze106   B-NAME
Report   O
ID   O
:   O
160   B-ID
-   I-ID
63   I-ID
-   I-ID
27   I-ID
-   I-ID
8   I-ID

Patient   O
Name   O
:   O
Cade   B-NAME
Age   O
:   O
11   O
month   O
Date   O
of   O
Birth   O
:   O
3/4   B-DATE
Medical   O
Record   O
Number   O
:   O
319   B-ID
-   I-ID
27   I-ID
-   I-ID
36   I-ID
Address   O
:   O
Twin   B-LOCATION
Groves   I-LOCATION
,   O
89254   B-LOCATION
Phone   O
Number   O
:   O
850   B-CONTACT
766   I-CONTACT
-   I-CONTACT
1830   I-CONTACT
Attending   O
Physician   O
:   O

Clay   B-NAME
Employer   O
:   O

Allegiance   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
North   I-LOCATION
America   I-LOCATION
Occupation   O
:   O
Physical   O
Therapist   O
Aides   O
Username   O
:   O

pip781   B-NAME
Treatment   O
Facility   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Clinical   O
Summary   O
:   O
Michael   B-NAME
,   O
a   O
7   O
-   O
year   O
-   O
old   O
Travel   O
Guides   O
from   O
Celeste   B-LOCATION
,   O
presented   O
to   O
Seton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Austin   I-LOCATION
on   O
2   B-DATE
-   I-DATE
29   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
which   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Greer   B-NAME
,   O
was   O
performed   O
and   O
showed   O
signs   O
consistent   O
with   O
acute   O
appendicitis   O
without   O
evidence   O
of   O
perforation   O
.   O

The   O
procedure   O
was   O
performed   O
successfully   O
on   O
09/20   B-DATE
,   O
without   O
complications   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
03/37   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Clarke   B-NAME
in   O
two   O
weeks   O
for   O
post   O
-   O
operative   O
evaluation   O
.   O

In   O
summary   O
,   O
Magnentius   B-NAME
Haakinson   I-NAME
,   O
a   O
86   O
-   O
year   O
-   O
old   O
Slaughterers   O
and   O
Meat   O
Packers   O
,   O
was   O
diagnosed   O
and   O
treated   O
for   O
acute   O
appendicitis   O
with   O
successful   O
surgical   O
intervention   O
.   O

Contact   O
information   O
was   O
verified   O
,   O
and   O
the   O
patient   O
was   O
reminded   O
to   O
call   O
37765   B-CONTACT
should   O
they   O
have   O
any   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Patient   O
Name   O
:   O
Walter   B-NAME
Patient   O
ID   O
:   O
96499353   B-ID
Medical   O
Record   O
Number   O
:   O
22598884   B-ID
Date   O
of   O
Birth   O
:   O

Jan   B-DATE
2090   I-DATE
Age   O
:   O
62   O
Phone   O
Number   O
:   O
581   B-CONTACT
-   I-CONTACT
1615   I-CONTACT
Address   O
:   O
Lewisburg   B-LOCATION
,   O
59184   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Parrish   B-NAME
Referring   O
Organization   O
:   O

Old   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
Admitting   O
Hospital   O
:   O

Habersham   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Eduardo   B-NAME
Randolph   I-NAME
,   O
a   O
Ship   O
and   O
Boat   O
Captains   O
from   O
Malden   B-LOCATION
-   I-LOCATION
on   I-LOCATION
-   I-LOCATION
Hudson   I-LOCATION
,   O
presented   O
on   O
1712   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
04   I-DATE
with   O
a   O
history   O
of   O
persistent   O
,   O
dry   O
cough   O
over   O
the   O
past   O
three   O
weeks   O
.   O

Spring   B-NAME
Ebbesen   I-NAME
also   O
reported   O
experiencing   O
episodic   O
shortness   O
of   O
breath   O
,   O
particularly   O
when   O
engaged   O
in   O
moderate   O
physical   O
activity   O
.   O

In   O
addition   O
,   O
Josephine   B-NAME
Little   I-NAME
has   O
been   O
feeling   O
an   O
unusual   O
tightness   O
in   O
the   O
chest   O
,   O
with   O
intermittent   O
episodes   O
of   O
sharp   O
,   O
localized   O
pain   O
on   O
the   O
left   O
side   O
,   O
which   O
does   O
not   O
radiate   O
.   O

Upon   O
auscultation   O
,   O
Jerimiah   B-NAME
Sheppard   I-NAME
noted   O
reduced   O
breath   O
sounds   O
in   O
the   O
lower   O
left   O
lobe   O
without   O
wheezes   O
,   O
rhonchi   O
,   O
or   O
rales   O
.   O

A   O
chest   O
X   O
-   O
ray   O
performed   O
on   O
Monday   B-DATE
,   I-DATE
May   I-DATE
showed   O
a   O
small   O
area   O
of   O
opacity   O
in   O
the   O
lower   O
left   O
lung   O
field   O
,   O
suggestive   O
of   O
a   O
possible   O
inflammatory   O
process   O
.   O

Dru   B-NAME
works   O
as   O
a   O
Customs   O
officer   O
,   O
which   O
does   O
not   O
expose   O
them   O
to   O
obvious   O
respiratory   O
irritants   O
.   O

Aaron   B-NAME
Shutt   I-NAME
has   O
been   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
worsening   O
symptoms   O
such   O
as   O
severe   O
dyspnea   O
,   O
chest   O
pain   O
,   O
or   O
fever   O
.   O

For   O
any   O
questions   O
or   O
further   O
information   O
,   O
Thaddeus   B-NAME
Reilly   I-NAME
or   O
their   O
healthcare   O
proxy   O
may   O
contact   O
Reilly   B-NAME
at   O
(   B-CONTACT
666   I-CONTACT
)   I-CONTACT
538   I-CONTACT
-   I-CONTACT
9416   I-CONTACT
.   O

This   O
summary   O
and   O
plan   O
were   O
reviewed   O
and   O
agreed   O
upon   O
with   O
Jenni   B-NAME
Pettiford   I-NAME
on   O
2/27/2226   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Holt   B-NAME
,   I-NAME
Anatol   I-NAME
Patient   O
ID   O
:   O
CV351/1343   B-ID
Medical   O
Record   O
Number   O
:   O
79566347   B-ID
Date   O
of   O
Birth   O
:   O
14/25   B-DATE
Age   O
:   O
38   O
Address   O
:   O
Dalmatia   B-LOCATION
,   O
76936   B-LOCATION
Phone   O
Number   O
:   O
46323   B-CONTACT
Occupation   O
:   O
Motor   O
Vehicle   O
Operators   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O

Escobar   B-NAME
Hospital   O
:   O
Taylor   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2061/16/32   B-DATE
Summary   O
:   O
Irish   B-NAME
,   O
a   O
42   O
-   O
year   O
-   O
old   O
Heat   O
Treating   O
,   O
Annealing   O
,   O
and   O
Tempering   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Mozambique   B-LOCATION
,   O
presented   O
to   O
Saint   B-LOCATION
Thomas   I-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
persistent   O
migraine   O
headaches   O
,   O
exacerbated   O
by   O
exposure   O
to   O
light   O
and   O
noises   O
.   O

Eli   B-NAME
Mathis   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
01/38   B-DATE
,   O
noting   O
that   O
the   O
headaches   O
often   O
occur   O
in   O
the   O
late   O
afternoon   O
and   O
can   O
last   O
several   O
hours   O
.   O

The   O
patient   O
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
is   O
currently   O
under   O
the   O
care   O
of   O
Buchanan   B-NAME
.   O

Clinical   O
Findings   O
:   O
During   O
the   O
examination   O
,   O
Quilla   B-NAME
Uehara   I-NAME
exhibited   O
photophobia   O
and   O
phonophobia   O
,   O
consistent   O
with   O
migraine   O
symptoms   O
.   O

Mckinley   B-NAME
Carroll   I-NAME
's   O
blood   O
pressure   O
was   O
noted   O
to   O
be   O
elevated   O
at   O
the   O
time   O
of   O
visit   O
.   O

A   O
review   O
of   O
Terry   B-NAME
Middleton   I-NAME
's   O
medication   O
did   O
not   O
indicate   O
any   O
recent   O
changes   O
that   O
could   O
have   O
contributed   O
to   O
the   O
headache   O
episodes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Lara   B-NAME
for   O
03/83   B-DATE
to   O
re   O
-   O
evaluate   O
symptoms   O
and   O
medication   O
effectiveness   O
.   O

Fennias   B-NAME
was   O
also   O
advised   O
to   O
monitor   O
blood   O
pressure   O
at   O
home   O
and   O
report   O
any   O
significant   O
changes   O
to   O
Aldo   B-NAME
Jacobson   I-NAME
.   O

Lexie   B-NAME
Mendoza   I-NAME
was   O
encouraged   O
to   O
keep   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
more   O
effectively   O
.   O

Carrillo   B-NAME
summarized   O
the   O
visit   O
in   O
Xie   B-NAME
's   O
electronic   O
health   O
record   O
,   O
9370512   B-ID
,   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
call   O
on   O
(   B-CONTACT
444   I-CONTACT
)   I-CONTACT
810   I-CONTACT
-   I-CONTACT
8322   I-CONTACT
for   O
Nov   B-DATE
03   I-DATE
to   O
check   O
on   O
Willie   B-NAME
Calhoun   I-NAME
's   O
progress   O
.   O

Conclusion   O
:   O
Baudelaire   B-NAME
,   I-NAME
Charles   I-NAME
's   O
presentation   O
is   O
consistent   O
with   O
a   O
diagnosis   O
of   O
migraine   O
headaches   O
.   O

The   O
patient   O
,   O
Larry   B-NAME
Castaneda   I-NAME
,   O
a   O
66   O
-   O
year   O
-   O
old   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Rocky   B-LOCATION
Mount   I-LOCATION
,   I-LOCATION
Community   I-LOCATION
Partnership   I-LOCATION
,   O
was   O
admitted   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Richland   I-LOCATION
Hospital   I-LOCATION
on   O
1/22   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

According   O
to   O
Omari   B-NAME
Fry   I-NAME
's   O
medical   O
history   O
provided   O
by   O
Shania   B-NAME
Howard   I-NAME
,   O
there   O
was   O
no   O
presence   O
of   O
chronic   O
diseases   O
or   O
prior   O
similar   O
episodes   O
.   O

Zinck   B-NAME
,   I-NAME
Kenneth   I-NAME
's   O
contact   O
number   O
is   O
listed   O
as   O
(   B-CONTACT
457   I-CONTACT
)   I-CONTACT
614   I-CONTACT
7382   I-CONTACT
.   O

Urie   B-NAME
reported   O
a   O
subjective   O
fever   O
and   O
a   O
lack   O
of   O
appetite   O
over   O
the   O
last   O
24   O
to   O
48   O
hours   O
.   O

The   O
initial   O
examination   O
conducted   O
by   O
Didion   B-NAME
,   I-NAME
Joan   I-NAME
revealed   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
with   O
guarding   O
and   O
rebound   O
tenderness   O
indicating   O
potential   O
peritonitis   O
.   O

Based   O
on   O
the   O
findings   O
,   O
Annabel   B-NAME
Lucero   I-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Pre   O
-   O
operative   O
blood   O
works   O
were   O
ordered   O
,   O
and   O
Dogg   B-NAME
,   I-NAME
Snoop   I-NAME
was   O
made   O
NPO   O
(   O
nil   O
per   O
os   O
-   O
nothing   O
by   O
mouth   O
)   O
in   O
preparation   O
for   O
surgery   O
.   O

The   O
medical   O
record   O
number   O
for   O
Terry   B-NAME
Iyer   I-NAME
is   O
8897177   B-ID
,   O
and   O
the   O
insurance   O
information   O
was   O
verified   O
with   O
Food   B-LOCATION
Addicts   I-LOCATION
in   I-LOCATION
Recovery   I-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
FA   I-LOCATION
)   I-LOCATION
under   O
policy   O
number   O
10   B-ID
-   I-ID
4838128   I-ID
.   O

The   O
procedure   O
was   O
scheduled   O
without   O
delay   O
,   O
and   O
Karenga   B-NAME
,   I-NAME
Ron   I-NAME
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
on   O
22   B-DATE
-   I-DATE
22   I-DATE
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
and   O
Casie   B-NAME
Cudan   I-NAME
was   O
discharged   O
on   O
13/07/2050   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
department   O
of   O
Sanpete   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
follow   O
-   O
up   O
was   O
scheduled   O
for   O
02/3   B-DATE
,   O
two   O
weeks   O
post   O
-   O
discharge   O
,   O
to   O
assess   O
wound   O
healing   O
and   O
address   O
any   O
concerns   O
.   O

Arianna   B-NAME
Ortiz   I-NAME
was   O
advised   O
to   O
contact   O
the   O
office   O
at   O
32860   B-CONTACT
should   O
there   O
be   O
an   O
increase   O
in   O
pain   O
,   O
fever   O
,   O
or   O
any   O
signs   O
of   O
infection   O
prior   O
to   O
the   O
scheduled   O
visit   O
.   O

Tiana   B-NAME
Jackson   I-NAME
's   O
post   O
-   O
operative   O
care   O
package   O
included   O
detailed   O
dietary   O
recommendations   O
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

Any   O
inquiries   O
regarding   O
Akira   B-NAME
Cooke   I-NAME
's   O
treatment   O
should   O
be   O
directed   O
to   O
the   O
attending   O
physician   O
,   O
Sweeney   B-NAME
,   O
via   O
the   O
secure   O
line   O
at   O
Crestwood   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Further   O
updates   O
on   O
Clark   B-NAME
's   O
recovery   O
will   O
be   O
documented   O
in   O
the   O
electronic   O
health   O
record   O
(   O
EHR   O
)   O
under   O
medical   O
record   O
number   O
35360780   B-ID
,   O
accessible   O
by   O
authorized   O
personnel   O
only   O
.   O

In   O
conclusion   O
,   O
the   O
proactive   O
approach   O
taken   O
by   O
the   O
medical   O
team   O
at   O
Donalsonville   B-LOCATION
Hospital   I-LOCATION
,   O
guided   O
by   O
the   O
expert   O
diagnosis   O
of   O
Jaquan   B-NAME
Williams   I-NAME
,   O
ensured   O
a   O
favorable   O
outcome   O
for   O
Grace   B-NAME
C.   I-NAME
Valerie   I-NAME
-   I-NAME
Yun   I-NAME
.   O

The   O
team   O
continues   O
to   O
monitor   O
the   O
recovery   O
process   O
closely   O
,   O
ensuring   O
that   O
Peterson   B-NAME
receives   O
the   O
best   O
possible   O
care   O
tailored   O
to   O
their   O
personal   O
and   O
medical   O
needs   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Krieger   B-NAME
,   I-NAME
Robbie   I-NAME
Patient   O
ID   O
:   O
631111600   B-ID
Date   O
of   O
Birth   O
:   O
02/2030   B-DATE
Age   O
:   O
37   O
Address   O
:   O
Paloma   B-LOCATION
Creek   I-LOCATION
South   I-LOCATION
,   O
53922   B-LOCATION
Phone   O
Number   O
:   O
364   B-CONTACT
930   I-CONTACT
2214   I-CONTACT
Occupation   O
:   O
Musicians   O
and   O
Singers   O
Medical   O
Record   O
Number   O
:   O
5297321   B-ID
Attending   O
Physician   O
:   O
Shaw   B-NAME
,   I-NAME
George   I-NAME
Bernard   I-NAME
Date   O
of   O
Admission   O
:   O
1/10   B-DATE
Hospital   O
Name   O
:   O
Holy   B-LOCATION
Redeemer   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaints   O
:   O
Logan   B-NAME
was   O
admitted   O
to   O
Located   B-LOCATION
within   I-LOCATION
Sinai   I-LOCATION
-   I-LOCATION
Grace   I-LOCATION
Hospital   I-LOCATION
on   O
January   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
January   B-DATE
2375   I-DATE
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
hypertension   O
controlled   O
with   O
Beta   O
-   O
blockers   O
,   O
and   O
high   O
cholesterol   O
for   O
which   O
Gordon   B-NAME
Q.   I-NAME
Iniguez   I-NAME
has   O
been   O
prescribed   O
statins   O
.   O

On   O
examination   O
,   O
Larsen   B-NAME
was   O
found   O
to   O
be   O
in   O
acute   O
distress   O
with   O
a   O
temperature   O
of   O
37.8   O
°   O
C   O
,   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
,   O
and   O
a   O
pulse   O
rate   O
of   O
100   O
bpm   O
.   O

The   O
patient   O
was   O
started   O
on   O
intravenous   O
antibiotics   O
for   O
infection   O
control   O
and   O
analgesics   O
for   O
pain   O
management   O
upon   O
the   O
recommendation   O
of   O
Dennis   B-NAME
Hancock   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
Gilmore   B-NAME
,   I-NAME
John   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Alden   B-NAME
Moreno   I-NAME
on   O
6/32   B-DATE
post   O
-   O
discharge   O
to   O
monitor   O
recovery   O
and   O
discuss   O
the   O
results   O
of   O
the   O
surgery   O
if   O
performed   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
emergency   O
,   O
please   O
contact   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
at   O
992   B-CONTACT
1535   I-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
individual   O
named   O
herein   O
and   O
the   O
medical   O
personnel   O
responsible   O
for   O
Vetora   B-NAME
Almgren   I-NAME
's   O
care   O
.   O

Patient   O
Name   O
:   O
Darnell   B-NAME
Hayden   I-NAME
Patient   O
ID   O
:   O
LZ   B-ID
:   I-ID
IH:3697   I-ID
Medical   O
Record   O
Number   O
:   O
7434337   B-ID
Date   O
of   O
Birth   O
:   O
0/2   B-DATE
Age   O
:   O
32   O
Phone   O
Number   O
:   O
761   B-CONTACT
254   I-CONTACT
-   I-CONTACT
1349   I-CONTACT
Address   O
:   O
Two   B-LOCATION
Buttes   I-LOCATION
,   O
79579   B-LOCATION
Employment   O
:   O
Medical   O
Equipment   O
Preparers   O
at   O
Coalition   B-LOCATION
to   I-LOCATION
Abolish   I-LOCATION
the   I-LOCATION
Fur   I-LOCATION
Trade   I-LOCATION
(   I-LOCATION
CAFT   I-LOCATION
)   I-LOCATION
Primary   O
Care   O
Physician   O
:   O
Larkin   B-NAME
,   I-NAME
Bolfa   I-NAME
Hospital   O
:   O
Saint   B-LOCATION
Francis   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Henry   B-NAME
,   I-NAME
Patrick   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Adventist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hanford   I-LOCATION
on   O
3/8   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
for   O
the   O
past   O
72   O
hours   O
.   O

Travis   B-NAME
Webb   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Dorthea   B-NAME
Classen   I-NAME
's   O
abdominal   O
pain   O
onset   O
was   O
sudden   O
,   O
initially   O
mild   O
,   O
and   O
has   O
progressively   O
worsened   O
over   O
the   O
last   O
three   O
days   O
.   O

Peyton   B-NAME
Kaufman   I-NAME
denies   O
any   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
controlled   O
with   O
metformin   O
and   O
hypertension   O
managed   O
with   O
lisinopril   O
.   O

Social   O
History   O
:   O
Bakunin   B-NAME
,   B-NAME
Mikhail   I-NAME
is   O
a   O
Nuclear   O
Monitoring   O
Technicians   O
at   O
Interstellar   B-LOCATION
Commonwealth   I-LOCATION
of   I-LOCATION
Systems   I-LOCATION
and   O
admits   O
to   O
smoking   O
half   O
a   O
pack   O
of   O
cigarettes   O
per   O
day   O
for   O
the   O
past   O
20   O
years   O
.   O

Sean   B-NAME
McNamara   I-NAME
denies   O
regular   O
alcohol   O
use   O
and   O
illicit   O
drug   O
use   O
.   O

Lives   O
alone   O
in   O
Blackshear   B-LOCATION
,   I-LOCATION
Blackshear   I-LOCATION
BHT   I-LOCATION
.   O
Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
symptoms   O
described   O
above   O
,   O
Gandhi   B-NAME
,   I-NAME
Mahatma   I-NAME
denies   O
any   O
other   O
systemic   O
symptoms   O
,   O
including   O
but   O
not   O
limited   O
to   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
headache   O
,   O
or   O
changes   O
in   O
vision   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Elvina   B-NAME
Mire   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Bo   B-NAME
David   I-NAME
has   O
recommended   O
consultation   O
with   O
general   O
surgery   O
for   O
possible   O
appendectomy   O
.   O

Jaslyn   B-NAME
Santana   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
necessity   O
for   O
probable   O
surgical   O
intervention   O
.   O

Pending   O
diagnostic   O
results   O
,   O
Cummings   B-NAME
,   I-NAME
E.   I-NAME
E.   I-NAME
will   O
be   O
started   O
on   O
IV   O
antibiotics   O
to   O
prevent   O
any   O
potential   O
infection   O
.   O

All   O
information   O
discussed   O
has   O
been   O
shared   O
with   O
Thomas   B-NAME
Javier   I-NAME
and   O
documented   O
in   O
the   O
medical   O
record   O
58989401   B-ID
.   O

Samuel   B-NAME
Juarez   I-NAME
has   O
been   O
given   O
Zhang   B-NAME
’s   O
contact   O
information   O
at   O
905   B-CONTACT
-   I-CONTACT
3471   I-CONTACT
for   O
any   O
further   O
questions   O
or   O
concerns   O
.   O

Follow   O
-   O
up   O
will   O
be   O
arranged   O
upon   O
discharge   O
from   O
Northern   B-LOCATION
Westchester   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Allan   B-NAME
Dominguez   I-NAME
Patient   O
Age   O
:   O
60   O
Date   O
of   O
Birth   O
:   O
11/10/76   B-DATE
Gender   O
:   O
Female   O
Medical   O
Record   O
Number   O
:   O
4005B62102   B-ID
Address   O
:   O
Clifton   B-LOCATION
Heights   I-LOCATION
,   O
38398   B-LOCATION
Phone   O
Number   O
:   O
279   B-CONTACT
2555   I-CONTACT
Primary   O
Physician   O
:   O

Becker   B-NAME
Admitting   O
Hospital   O
:   O
Delray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
February   B-DATE
Occupation   O
:   O

Sales   O
Agents   O
,   O
Securities   O
and   O
Commodities   O
Username   O
:   O
rtu590   B-NAME
Insurance   O
ID   O
:   O
VE674/2947   B-ID
Chief   O
Complaint   O
:   O
Ethan   B-NAME
Green   I-NAME
was   O
admitted   O
to   O
the   O
Holy   B-LOCATION
Cross   I-LOCATION
Germantown   I-LOCATION
Hospital   I-LOCATION
on   O
01   B-DATE
-   I-DATE
Nov-30   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Geagea   B-NAME
,   I-NAME
Samir   I-NAME
,   O
a   O
4   O
-   O
year   O
-   O
old   O
Community   O
and   O
Social   O
Service   O
Specialists   O
,   O
All   O
Other   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
irritable   O
bowel   O
syndrome   O
(   O
managed   O
with   O
diet   O
modification   O
)   O
,   O
presented   O
complaining   O
of   O
acute   O
lower   O
abdominal   O
pain   O
.   O

Jaeger   B-NAME
was   O
started   O
on   O
IV   O
fluid   O
resuscitation   O
and   O
broad   O
-   O
spectrum   O
antibiotics   O
upon   O
arrival   O
.   O

General   O
Surgery   O
was   O
consulted   O
,   O
and   O
Estes   B-NAME
was   O
taken   O
to   O
the   O
operating   O
room   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
33/52   B-DATE
.   O

The   O
procedure   O
was   O
uneventful   O
,   O
and   O
Marshall   B-NAME
O.   I-NAME
Lehman   I-NAME
tolerated   O
it   O
well   O
.   O

Postoperatively   O
,   O
Milton   B-NAME
Wilson   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
clear   O
liquid   O
diet   O
for   O
24   O
hours   O
,   O
advancing   O
as   O
tolerated   O
,   O
and   O
to   O
follow   O
up   O
with   O
Maggie   B-NAME
Olson   I-NAME
in   O
two   O
weeks   O
for   O
postoperative   O
evaluation   O
or   O
sooner   O
if   O
any   O
complications   O
arise   O
.   O

Discharge   O
Instructions   O
:   O
Quanita   B-NAME
Ziemer   I-NAME
was   O
discharged   O
on   O
4/12/2253   B-DATE
with   O
instructions   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
sites   O
,   O
adhere   O
to   O
the   O
prescribed   O
diet   O
,   O
and   O
avoid   O
heavy   O
lifting   O
for   O
at   O
least   O
four   O
weeks   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Mckay   B-NAME
for   O
postoperative   O
care   O
.   O

In   O
case   O
of   O
emergency   O
,   O
Beckett   B-NAME
Morton   I-NAME
or   O
a   O
family   O
member   O
is   O
advised   O
to   O
contact   O
Kyla   B-NAME
Franco   I-NAME
at   O
233   B-CONTACT
2371   I-CONTACT
or   O
proceed   O
to   O
the   O
nearest   O
hospital   O
.   O

Patient   O
Education   O
:   O
Yan   B-NAME
D.   I-NAME
Ball   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
discharge   O
and   O
postoperative   O
instructions   O
to   O
facilitate   O
healing   O
and   O
minimize   O
complications   O
.   O

Patient   O
Name   O
:   O
Angel   B-NAME
Smith   I-NAME
Date   O
of   O
Birth   O
:   O
2/20   B-DATE
Age   O
:   O
53   O
ID   O
:   O
RF451/4032   B-ID
Medical   O
Record   O
:   O
5096187   B-ID
Location   O
:   O
St.   B-LOCATION
Pauls   I-LOCATION
Zip   O
:   O
34577   B-LOCATION
Phone   O
:   O
223   B-CONTACT
8564   I-CONTACT

Attending   O
Doctor   O
:   O
Jensen   B-NAME
Hospital   O
:   O
Calvary   B-LOCATION
Hospital   I-LOCATION
Employer   O
:   O
SquareTrade   B-LOCATION
Profession   O
:   O

Command   O
and   O
Control   O
Center   O
Officers   O
Username   O
:   O
bj282   B-NAME
Chief   O
Complaint   O
:   O
Knowles   B-NAME
was   O
admitted   O
to   O
Grandview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/30   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
,   O
photophobia   O
,   O
and   O
neck   O
stiffness   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Michael   B-NAME
,   I-NAME
Dana   I-NAME
,   O
a   O
63   O
-   O
year   O
-   O
old   O
Precision   O
Agriculture   O
Technicians   O
from   O
Maywood   B-LOCATION
,   O
with   O
a   O
past   O
medical   O
history   O
notable   O
for   O
episodic   O
migraine   O
without   O
aura   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
late   O
in   O
the   O
evening   O
on   O
2331   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
33   I-DATE
.   O

Ronda   B-NAME
Godley   I-NAME
denied   O
any   O
recent   O
fever   O
,   O
upper   O
respiratory   O
symptoms   O
,   O
rash   O
,   O
or   O
sick   O
contacts   O
.   O

Social   O
History   O
:   O
Marty   B-NAME
Saybrooke   I-NAME
is   O
a   O
Pension   O
scheme   O
manager   O
working   O
for   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Anthony   I-LOCATION
in   O
Houstonia   B-LOCATION
.   O

Quintanar   B-NAME
denied   O
any   O
recreational   O
drug   O
use   O
.   O
Review   O
of   O
Systems   O
:   O
All   O
systems   O
reviewed   O
were   O
negative   O
,   O
except   O
for   O
those   O
pertinent   O
to   O
the   O
chief   O
complaint   O
.   O

On   O
examination   O
,   O
Heather   B-NAME
Hodges   I-NAME
's   O
blood   O
pressure   O
was   O
145/95   O
,   O
heart   O
rate   O
95   O
bpm   O
,   O
temperature   O
98.6   O
°   O
F   O
,   O
and   O
respiratory   O
rate   O
16   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Testing   O
:   O
PHILLIPS   B-NAME
,   I-NAME
URHO   I-NAME
underwent   O
a   O
non   O
-   O
contrast   O
head   O
CT   O
scan   O
,   O
which   O
showed   O
no   O
acute   O
intracranial   O
abnormality   O
.   O

Admit   O
Elsie   B-NAME
Figueroa   I-NAME
to   O
Twin   B-LOCATION
Lakes   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
evaluation   O
.   O

The   O
treatment   O
progression   O
will   O
be   O
closely   O
monitored   O
,   O
and   O
adjustments   O
will   O
be   O
made   O
based   O
on   O
the   O
diagnostic   O
test   O
results   O
and   O
Priestley   B-NAME
,   I-NAME
Joseph   I-NAME
's   O
response   O
to   O
the   O
initial   O
therapy   O
.   O

Patient   O
:   O
Lillianna   B-NAME
Little   I-NAME
Age   O
:   O
59   O
Date   O
of   O
Admission   O
:   O
12/13   B-DATE
/2023   O
Physician   O
:   O

Lizbeth   B-NAME
Atkinson   I-NAME
Location   O
:   O
Little   B-LOCATION
Cedar   I-LOCATION
Hospital   O
:   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Conroe   I-LOCATION
Medical   O
Record   O
Number   O
:   O
3944219   B-ID
Patient   O
's   O
Phone   O
Number   O
:   O
986   B-CONTACT
8379   I-CONTACT
ID   O
:   O
10   B-ID
-   I-ID
2786629   I-ID
Zip   O
Code   O
:   O
97424   B-LOCATION
Employer   O
:   O

World   B-LOCATION
Future   I-LOCATION
Council   I-LOCATION
Profession   O
:   O
Housing   O
adviser   O
Username   O
:   O
vp114   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
XAVIER   B-NAME
ODONNELL   I-NAME
presented   O
to   O
Helen   B-LOCATION
Newberry   I-LOCATION
Joy   I-LOCATION
Hospital   I-LOCATION
on   O
13/21   B-DATE
/2023   O
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
chest   O
pain   O
that   O
began   O
early   O
in   O
the   O
morning   O
.   O

John   B-NAME
Spivey   I-NAME
reports   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
palpitations   O
,   O
and   O
dizziness   O
.   O

June   B-NAME
Francis   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
prolonged   O
periods   O
of   O
immobilization   O
.   O

Estes   B-NAME
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
hypertension   O
and   O
a   O
family   O
history   O
relevant   O
for   O
coronary   O
artery   O
disease   O
.   O

Tristen   B-NAME
Norris   I-NAME
currently   O
takes   O
lisinopril   O
for   O
hypertension   O
.   O
Review   O
of   O
Systems   O
:   O
-   O
Cardiovascular   O
:   O
Positive   O
for   O
chest   O
pain   O
and   O
palpitations   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Nola   B-NAME
Mora   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Myrtie   B-NAME
Apker   I-NAME
has   O
been   O
started   O
on   O
a   O
nitroglycerin   O
drip   O
to   O
manage   O
the   O
blood   O
pressure   O
and   O
chest   O
pain   O
,   O
and   O
IV   O
fluids   O
were   O
administered   O
for   O
hydration   O
.   O

The   O
patient   O
will   O
be   O
monitored   O
closely   O
in   O
the   O
cardiovascular   O
intensive   O
care   O
unit   O
at   O
INTEGRIS   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
changes   O
in   O
condition   O
.   O

The   O
goal   O
is   O
to   O
stabilize   O
NICHOLAS   B-NAME
EDGE   I-NAME
's   O
condition   O
and   O
address   O
the   O
underlying   O
cause   O
of   O
the   O
presenting   O
symptoms   O
to   O
prevent   O
complications   O
.   O

Patient   O
Name   O
:   O
Alejandra   B-NAME
Howard   I-NAME
Patient   O
ID   O
:   O
194648563   B-ID
Medical   O
Record   O
Number   O
:   O
80398199   B-ID
Age   O
:   O
64   O
Date   O
of   O
Birth   O
:   O
6   B-DATE
-   I-DATE
22   I-DATE
Phone   O
Number   O
:   O
86700   B-CONTACT
Address   O
:   O
Marionville   B-LOCATION
,   O
49240   B-LOCATION

Hedy   B-NAME
Thon   I-NAME
Hospital   O
Name   O
:   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2121   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
13   I-DATE
Date   O
of   O
Discharge   O
:   O
5   B-DATE
-   I-DATE
8/22   I-DATE
Clinical   O
Summary   O
:   O
Jaclyn   B-NAME
Jordon   I-NAME
,   O
a   O
Stock   O
Clerks   O
,   O
Sales   O
Floor   O
from   O
Log   B-LOCATION
Lane   I-LOCATION
Village   I-LOCATION
,   O
with   O
no   O
known   O
history   O
of   O
allergies   O
or   O
chronic   O
illnesses   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Guthrie   B-LOCATION
Corning   I-LOCATION
Hospital   I-LOCATION
on   O
03/22   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

The   O
patient   O
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
since   O
the   O
evening   O
of   O
2303   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
00   I-DATE
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Bennett   B-NAME
,   O
which   O
showed   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
15,000   O
/   O
uL   O
,   O
indicating   O
a   O
possible   O
infection   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
in   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Southview   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
suggested   O
appendicitis   O
,   O
showing   O
a   O
swollen   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
.   O

The   O
patient   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
May   B-DATE
23   I-DATE
.   O

The   O
surgical   O
procedure   O
,   O
conducted   O
by   O
Darien   B-NAME
Benjamin   I-NAME
,   O
was   O
successful   O
without   O
any   O
complications   O
.   O

Violette   B-NAME
Lestourgeon   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
reported   O
significant   O
relief   O
from   O
the   O
symptoms   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
Sunday   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
at   O
home   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Ayala   B-NAME
in   O
two   O
weeks   O
.   O

In   O
follow   O
-   O
up   O
,   O
Ferreira   B-NAME
exhibited   O
good   O
wound   O
healing   O
,   O
no   O
signs   O
of   O
infection   O
,   O
and   O
reported   O
complete   O
resolution   O
of   O
symptoms   O
.   O

Documentation   O
Compiled   O
by   O
:   O
ev143   B-NAME
Contact   O
Information   O
for   O
Further   O
Inquiries   O
:   O
304   B-CONTACT
-   I-CONTACT
6210   I-CONTACT
Western   B-LOCATION
&   I-LOCATION
Southern   I-LOCATION
Financial   I-LOCATION
Group   I-LOCATION
Note   O
:   O
This   O
medical   O
report   O
is   O
confidential   O
and   O
contains   O
protected   O
health   O
information   O
.   O

On   O
01/04/1925   B-DATE
/2023   O
,   O
Satriani   B-NAME
,   I-NAME
Joe   I-NAME
was   O
admitted   O
to   O
the   O
emergency   O
department   O
of   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tattnall   I-LOCATION
after   O
experiencing   O
acute   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
dyspnea   O
that   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
arrival   O
,   O
Horn   B-NAME
appeared   O
diaphoretic   O
and   O
in   O
moderate   O
distress   O
.   O

Physical   O
examination   O
by   O
Punja   B-NAME
,   I-NAME
Hari   I-NAME
revealed   O
reduced   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
bilaterally   O
without   O
wheezes   O
or   O
crackles   O
.   O

Based   O
on   O
these   O
findings   O
,   O
acute   O
myocardial   O
infarction   O
(   O
MI   O
)   O
was   O
suspected   O
,   O
and   O
Blanchard   B-NAME
was   O
immediately   O
started   O
on   O
a   O
protocol   O
including   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
.   O

Monroe   B-NAME
,   I-NAME
Marilyn   I-NAME
was   O
assigned   O
13595207   B-ID
for   O
documentation   O
and   O
tracking   O
purposes   O
within   O
King   B-LOCATION
's   I-LOCATION
Daughter   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
.   O

The   O
procedure   O
,   O
performed   O
by   O
Love   B-NAME
on   O
7/22   B-DATE
/2023   O
,   O
revealed   O
significant   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
,   O
which   O
was   O
successfully   O
treated   O
with   O
the   O
placement   O
of   O
a   O
drug   O
-   O
eluting   O
stent   O
.   O

Post   O
-   O
procedure   O
,   O
Jasiah   B-NAME
Levy   I-NAME
was   O
transferred   O
to   O
the   O
cardiology   O
unit   O
for   O
further   O
monitoring   O
and   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Abril   B-NAME
Houston   I-NAME
in   O
2   O
weeks   O
at   O
the   O
cardiology   O
clinic   O
located   O
in   O
Beachwood   B-LOCATION
.   O

Instructions   O
were   O
given   O
to   O
contact   O
the   O
clinic   O
at   O
744   B-CONTACT
4689   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
.   O

Further   O
,   O
Jakayla   B-NAME
Orozco   I-NAME
was   O
encouraged   O
to   O
attend   O
cardiac   O
rehabilitation   O
at   O
Lansing   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Water   I-LOCATION
&   I-LOCATION
Light   I-LOCATION
,   O
a   O
facility   O
specialized   O
in   O
post   O
-   O
MI   O
patient   O
recovery   O
.   O

Discharge   O
instructions   O
,   O
including   O
emergency   O
contact   O
numbers   O
and   O
directions   O
to   O
the   O
nearest   O
pharmacy   O
in   O
60757   B-LOCATION
,   O
were   O
provided   O
to   O
the   O
patient   O
.   O

Patient   O
Name   O
:   O
Easterling   B-NAME
Patient   O
ID   O
:   O
KH   B-ID
:   I-ID
UT:8826   I-ID
Medical   O
Record   O
Number   O
:   O
84200857   B-ID
Date   O
of   O
Birth   O
:   O
2/2263   B-DATE
Age   O
:   O
35   O
Address   O
:   O
Sodus   B-LOCATION
,   O
75766   B-LOCATION
Phone   O
Number   O
:   O
251   B-CONTACT
-   I-CONTACT
2239   I-CONTACT

Maleah   B-NAME
Harper   I-NAME
Hospital   O
Name   O
:   O
Mary   B-LOCATION
Starke   I-LOCATION
Harper   I-LOCATION
Geriatric   I-LOCATION
Psychiatry   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
39/21/72   B-DATE
Date   O
of   O
Report   O
:   O
03/04/1602   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Futurity   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Mahaska   B-LOCATION
Health   I-LOCATION
on   O
2/02/40   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
vomiting   O
for   O
the   O
past   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Sena   B-NAME
Cagle   I-NAME
mentioned   O
that   O
the   O
symptoms   O
started   O
approximately   O
24   O
hours   O
before   O
admission   O
.   O

Regina   B-NAME
Ellis   I-NAME
has   O
tried   O
taking   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
and   O
pain   O
relievers   O
with   O
no   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
Bourdages   B-NAME
Bolfa   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
previous   O
surgeries   O
.   O

Social   O
History   O
:   O
Monique   B-NAME
Mack   I-NAME
is   O
a   O
Illustrator   O
living   O
in   O
Stratford   B-LOCATION
-   I-LOCATION
upon   I-LOCATION
-   I-LOCATION
Avon   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Holt   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Imaging   O
:   O
A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
ordered   O
by   O
Lynn   B-NAME
,   O
which   O
revealed   O
appendicitis   O
without   O
perforation   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Freeman   B-LOCATION
Cancer   I-LOCATION
Institute   I-LOCATION
under   O
the   O
care   O
of   O
Davies   B-NAME
for   O
surgical   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Ecclestone   B-NAME
,   I-NAME
Bernie   I-NAME
demonstrated   O
uneventful   O
recovery   O
post   O
-   O
operatively   O
and   O
was   O
discharged   O
on   O
32/22   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Hansen   B-NAME
in   O
two   O
weeks   O
at   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Penrose   I-LOCATION
Hospital   I-LOCATION
to   O
monitor   O
healing   O
and   O
recovery   O
progress   O
.   O

For   O
any   O
concerns   O
or   O
symptoms   O
of   O
infection   O
,   O
Jimmy   B-NAME
was   O
advised   O
to   O
contact   O
CAMC   B-LOCATION
Teays   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
at   O
700   B-CONTACT
4902   I-CONTACT
.   O

Preparation   O
and   O
Review   O
:   O
Report   O
prepared   O
by   O
ezn822   B-NAME
and   O
reviewed   O
by   O
Gray   B-NAME
on   O
11/25   B-DATE
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Medical   O
Evaluation   O
Report   O
for   O
Xiang   B-NAME
Patient   O
ID   O
:   O
097   B-ID
-   I-ID
39   I-ID
-   I-ID
77   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
27th   B-DATE
Consultation   O
Date   O
:   O
00/03/2101   B-DATE
/2023   O
Primary   O
Physician   O
:   O
Espinoza   B-NAME
Addressing   O
Put   B-LOCATION
-   I-LOCATION
in   I-LOCATION
-   I-LOCATION
Bay   I-LOCATION
Clinic   O
Contact   O
Number   O
:   O
712   B-CONTACT
206   I-CONTACT
-   I-CONTACT
8467   I-CONTACT
1   O
.   O

Introduction   O
This   O
report   O
is   O
prepared   O
for   O
Shyann   B-NAME
Salazar   I-NAME
,   O
a   O
88   O
-   O
year   O
-   O
old   O
Fish   O
Hatchery   O
Managers   O
,   O
residing   O
in   O
Chenega   B-LOCATION
with   O
postal   O
code   O
68549   B-LOCATION
.   O

The   O
patient   O
was   O
referred   O
to   O
our   O
facility   O
,   O
Williamsburg   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
by   O
Dr.   O
Beard   B-NAME
on   O
03/02/57   B-DATE
/2023   O
.   O

Justin   B-NAME
Castillo   I-NAME
's   O
primary   O
concern   O
was   O
an   O
exacerbation   O
of   O
chronic   O
respiratory   O
symptoms   O
,   O
which   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
few   O
weeks   O
.   O

Clinical   O
History   O
Snyder   B-NAME
has   O
a   O
documented   O
history   O
of   O
asthma   O
,   O
diagnosed   O
in   O
childhood   O
.   O

The   O
most   O
recent   O
flare   O
-   O
up   O
occurred   O
around   O
2/23   B-DATE
,   O
with   O
symptoms   O
including   O
wheezing   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
persistent   O
coughing   O
.   O

3   O
.   O
Examination   O
and   O
Findings   O
Upon   O
physical   O
examination   O
,   O
Potts   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
with   O
observable   O
difficulty   O
in   O
breathing   O
.   O

Bianca   B-NAME
Lowe   I-NAME
's   O
medical   O
evaluation   O
included   O
spirometry   O
,   O
which   O
indicated   O
a   O
reduced   O
FEV1   O
/   O
FVC   O
ratio   O
,   O
suggestive   O
of   O
obstructive   O
airway   O
disease   O
.   O

The   O
exacerbation   O
of   O
asthma   O
in   O
Insano   B-NAME
is   O
likely   O
due   O
to   O
environmental   O
allergens   O
and   O
exposure   O
to   O
irritants   O
at   O
the   O
workplace   O
.   O

A   O
plan   O
to   O
initiate   O
a   O
course   O
of   O
inhaled   O
corticosteroids   O
,   O
coupled   O
with   O
a   O
long   O
-   O
acting   O
beta   O
-   O
agonist   O
,   O
was   O
discussed   O
with   O
Bonner   B-NAME
,   I-NAME
Elena   I-NAME
.   O

Delarosa   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
indicative   O
of   O
an   O
acute   O
asthma   O
attack   O
.   O

Recommendations   O
Vu   B-NAME
C.   I-NAME
Mccarty   I-NAME
is   O
strongly   O
encouraged   O
to   O
:   O
-   O
Adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O

Prepared   O
by   O
:   O
Mcgee   B-NAME
,   O
30/20/62   B-DATE
/2023   O
Patient   O
Consent   O
:   O
Consent   O
for   O
this   O
treatment   O
plan   O
and   O
follow   O
-   O
up   O
care   O
was   O
obtained   O
from   O
Hesiod   B-NAME
on   O
November   B-DATE
33   I-DATE
,   I-DATE
2107   I-DATE
/2023   O
.   O

Bo   B-NAME
Robles   I-NAME
's   O
contact   O
information   O
has   O
been   O
verified   O
,   O
and   O
they   O
have   O
agreed   O
to   O
receive   O
reminders   O
for   O
their   O
follow   O
-   O
up   O
appointment   O
via   O
26903   B-CONTACT
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
our   O
office   O
immediately   O
at   O
883   B-CONTACT
-   I-CONTACT
760   I-CONTACT
3548   I-CONTACT
.   O

Medical   O
Record   O
No   O
:   O
601   B-ID
-   I-ID
17   I-ID
-   I-ID
15   I-ID
Identifier   O
:   O
0   B-ID
-   I-ID
1260700   I-ID

Patient   O
Name   O
:   O
Yancy   B-NAME
Medical   O
Record   O
Number   O
:   O
7500086   B-ID
Date   O
of   O
Birth   O
:   O
June   B-DATE
28th   I-DATE
,   I-DATE
2281   I-DATE
Age   O
:   O
60   O
Phone   O
Number   O
:   O
(   B-CONTACT
680   I-CONTACT
)   I-CONTACT
831   I-CONTACT
3314   I-CONTACT
Address   O
:   O
New   B-LOCATION
Ulm   I-LOCATION
,   O
46699   B-LOCATION
Attending   O
Physician   O
:   O
Duarte   B-NAME
Hospital   O
:   O
Riddle   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
32   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
03   I-DATE
ID   O
:   O
MU467/2343   B-ID
Summary   O
:   O
Kellner   B-NAME
,   I-NAME
Friedrich   I-NAME
,   O
a   O
Drywall   O
Installers   O
from   O
630   B-LOCATION
Glenwood   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
presented   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Greer   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
28/20   B-DATE
with   O
complaints   O
of   O
persistent   O
headache   O
,   O
dizziness   O
,   O
and   O
nausea   O
for   O
the   O
past   O
10/84   B-DATE
.   O

Andrew   B-NAME
Mata   I-NAME
reported   O
experiencing   O
photophobia   O
and   O
phonophobia   O
,   O
finding   O
it   O
difficult   O
to   O
tolerate   O
bright   O
lights   O
and   O
loud   O
sounds   O
.   O

Xaiden   B-NAME
Roberson   I-NAME
also   O
exhibited   O
a   O
positive   O
Brudzinski   O
's   O
sign   O
.   O

Laboratory   O
tests   O
,   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
were   O
ordered   O
by   O
Akira   B-NAME
Gallegos   I-NAME
,   O
and   O
results   O
were   O
within   O
normal   O
ranges   O
.   O

Bohm   B-NAME
,   I-NAME
David   I-NAME
has   O
been   O
advised   O
to   O
stay   O
hydrated   O
and   O
was   O
administered   O
a   O
dose   O
of   O
intravenous   O
fluids   O
in   O
the   O
emergency   O
department   O
.   O

Miller   B-NAME
,   I-NAME
Walter   I-NAME
M.   I-NAME
(   I-NAME
Jr.   I-NAME
)   I-NAME
was   O
instructed   O
to   O
return   O
to   O
Gulf   B-LOCATION
Breeze   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
Simmons   B-NAME
at   O
43664   B-CONTACT
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
to   O
access   O
test   O
results   O
,   O
Lara   B-NAME
was   O
informed   O
to   O
contact   O
the   O
medical   O
records   O
department   O
at   O
MercyOne   B-LOCATION
Dubuque   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
their   O
ID   O
number   O
,   O
33932103   B-ID
,   O
or   O
use   O
the   O
patient   O
portal   O
with   O
the   O
username   O
pah464   B-NAME
.   O

Note   O
:   O
Confidentiality   O
and   O
privacy   O
of   O
Macy   B-NAME
Leon   I-NAME
's   O
information   O
have   O
been   O
maintained   O
,   O
and   O
all   O
the   O
personal   O
identifiers   O
have   O
been   O
removed   O
or   O
replaced   O
in   O
accordance   O
with   O
HIPAA   O
guidelines   O
and   O
the   O
provided   O
instructions   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
8837032   B-ID
Patient   O
Name   O
:   O
Jari   B-NAME
Age   O
:   O
49   O
Phone   O
Number   O
:   O
72466   B-CONTACT
Address   O
:   O
Aiken   B-LOCATION
,   O
25024   B-LOCATION
Employment   O
:   O
Frame   O
Wirers   O
,   O
Central   O
Office   O
at   O
Botswana   B-LOCATION
Bank   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Physician   O
:   O
Hart   B-NAME
Admission   O
Date   O
:   O
2103   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
12   I-DATE
/2023   O
Hospital   O
:   O
Lakeland   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Goines   B-NAME
,   O
presented   O
on   O
32/23   B-DATE
/2023   O
with   O
a   O
two   O
-   O
day   O
history   O
of   O
severe   O
,   O
unremitting   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
.   O

Joan   B-NAME
of   I-NAME
Arc   I-NAME
also   O
noted   O
a   O
transient   O
episode   O
of   O
blurred   O
vision   O
on   O
the   O
evening   O
of   O
21/25   B-DATE
.   O

Medical   O
History   O
:   O
Buster   B-NAME
Guilford   I-NAME
has   O
a   O
documented   O
history   O
of   O
migraine   O
without   O
aura   O
for   O
the   O
past   O
15   O
years   O
,   O
typically   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Stephenson   B-NAME
's   O
medical   O
history   O
also   O
includes   O
controlled   O
hypertension   O
and   O
a   O
previous   O
cholecystectomy   O
in   O
2019   O
.   O

Griffin   B-NAME
Gregory   I-NAME
denies   O
any   O
recent   O
use   O
of   O
new   O
medications   O
or   O
changes   O
in   O
diet   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Gaynell   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
lumbar   O
puncture   O
was   O
suggested   O
to   O
rule   O
out   O
meningitis   O
or   O
subarachnoid   O
hemorrhage   O
,   O
but   O
Antony   B-NAME
House   I-NAME
was   O
hesitant   O
and   O
wished   O
to   O
defer   O
any   O
invasive   O
procedures   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
VCU   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Main   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
under   O
the   O
care   O
of   O
Luisa   B-NAME
Malachi   I-NAME
.   O

Brandi   B-NAME
Xayasane   I-NAME
was   O
also   O
counseled   O
on   O
the   O
importance   O
of   O
regular   O
follow   O
-   O
up   O
and   O
the   O
potential   O
need   O
for   O
preventive   O
migraine   O
therapy   O
considering   O
the   O
frequency   O
and   O
severity   O
of   O
the   O
episodes   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
9/30   B-DATE
/2023   O
with   O
James   B-NAME
Kildare   I-NAME
in   O
the   O
neurology   O
clinic   O
to   O
reassess   O
James   B-NAME
Hamilton   I-NAME
's   O
condition   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
pending   O
investigations   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
questions   O
or   O
concerns   O
,   O
farrar   B-NAME
or   O
their   O
primary   O
caregiver   O
can   O
reach   O
Bronson   B-LOCATION
Battle   I-LOCATION
Creek   I-LOCATION
's   O
neurology   O
department   O
at   O
246   B-CONTACT
-   I-CONTACT
330   I-CONTACT
1210   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
bg976   B-NAME
on   O
00/00   B-DATE
/2023   O
and   O
is   O
to   O
be   O
included   O
in   O
Alayna   B-NAME
Hooper   I-NAME
's   O
health   O
records   O
at   O
Thomas   B-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
6997124   B-ID
Medical   O
Record   O
Number   O
:   O
7697700   B-ID
Name   O
:   O
Clement   B-NAME
Molloch   I-NAME
Age   O
:   O
82   O
Phone   O
Number   O
:   O
74687   B-CONTACT
Address   O
:   O
Chardon   B-LOCATION
,   O
78196   B-LOCATION
Admission   O
Date   O
:   O
30/26   B-DATE
/2023   O
Attending   O
Physician   O
:   O

Kelsie   B-NAME
Stark   I-NAME
Hospital   O
:   O
Punxsutawney   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
Insurance   O
Provider   O
:   O
Safeco   B-LOCATION
Clinical   O
Summary   O
:   O
Amiah   B-NAME
Joseph   I-NAME
,   O
a   O
Rough   O
Carpenters   O
of   O
41   O
years   O
,   O
presented   O
to   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Beaches   I-LOCATION
on   O
December   B-DATE
33   I-DATE
,   I-DATE
2310   I-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

A   O
diagnostic   O
laparoscopy   O
performed   O
by   O
Davis   B-NAME
on   O
W   B-DATE
/2023   O
confirmed   O
acute   O
appendicitis   O
.   O

Appendectomy   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Winters   B-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
.   O

Norton   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
showed   O
signs   O
of   O
improvement   O
.   O

Shoemaker   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
one   O
week   O
for   O
a   O
wound   O
check   O
and   O
further   O
evaluation   O
.   O

Welch   B-NAME
is   O
to   O
maintain   O
a   O
liquid   O
diet   O
for   O
24   O
hours   O
post   O
-   O
discharge   O
,   O
gradually   O
returning   O
to   O
a   O
normal   O
diet   O
as   O
tolerated   O
.   O

Any   O
fever   O
over   O
38   O
°   O
C   O
or   O
persistent   O
vomiting   O
should   O
prompt   O
an   O
immediate   O
call   O
to   O
101   B-CONTACT
5475   I-CONTACT
or   O
return   O
to   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Kingwood   I-LOCATION
.   O

Follow   O
-   O
up   O
with   O
Dr.   O
Scott   B-NAME
scheduled   O
for   O
22/37   B-DATE
/2023   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
South   I-LOCATION
Miami   I-LOCATION
Hospital   I-LOCATION
for   O
wound   O
assessment   O
and   O
post   O
-   O
operative   O
evaluation   O
.   O

Note   O
:   O
Chapin   B-NAME
,   I-NAME
Harry   I-NAME
was   O
advised   O
against   O
heavy   O
lifting   O
and   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
two   O
weeks   O
post   O
-   O
surgery   O
to   O
aid   O
in   O
the   O
healing   O
process   O
.   O

Patient   O
Acknowledgment   O
:   O
Giuliana   B-NAME
Lozano   I-NAME
or   O
legal   O
guardian   O
signature   O
:   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O

Date   O
:   O
Tu   B-DATE
/2023   O
Medical   O
Professional   O
Confirmation   O
:   O
Vazquez   B-NAME
,   O
M.D.   O
Signature   O
:   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O

Patient   O
Name   O
:   O
Morton   B-NAME
Age   O
:   O
26   O
Date   O
of   O
Birth   O
:   O
Wednesday   B-DATE
,   I-DATE
December   I-DATE
Address   O
:   O
Graball   B-LOCATION
,   O
59046   B-LOCATION
Phone   O
:   O
237   B-CONTACT
-   I-CONTACT
481   I-CONTACT
-   I-CONTACT
7217   I-CONTACT
Occupation   O
:   O
Electronics   O
engineer   O
Primary   O
Care   O
Physician   O
:   O

King   B-NAME
Medical   O
Record   O
Number   O
:   O
136   B-ID
-   I-ID
65   I-ID
-   I-ID
79   I-ID
-   I-ID
3   I-ID
Hospital   O
:   O
Washington   B-LOCATION
Hospital   I-LOCATION
ID   O
Number   O
:   O
CR:11912:848127   B-ID
Patient   O
Chailyn   B-NAME
presented   O
to   O
Muhlenberg   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
December   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
localized   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
noted   O
to   O
be   O
exacerbated   O
over   O
a   O
24   O
-   O
hour   O
period   O
.   O

Thedotus   B-NAME
McCuan   I-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
scoring   O
it   O
an   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Bruce   B-NAME
Godfrey   I-NAME
,   O
an   O
70   O
-   O
year   O
-   O
old   O
Web   O
developer   O
from   O
North   B-LOCATION
Richland   I-LOCATION
Hills   I-LOCATION
,   O
indicated   O
that   O
they   O
had   O
not   O
experienced   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Noah   B-NAME
E.   I-NAME
Galvan   I-NAME
denies   O
any   O
bowel   O
habit   O
changes   O
,   O
recent   O
weight   O
loss   O
,   O
or   O
fever   O
.   O

Rivas   B-NAME
's   O
family   O
history   O
,   O
as   O
accessed   O
via   O
3174229   B-ID
,   O
revealed   O
no   O
genetic   O
predispositions   O
to   O
gastrointestinal   O
issues   O
.   O

The   O
clinical   O
examination   O
performed   O
by   O
Davion   B-NAME
Landry   I-NAME
at   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
confirmed   O
McBurney   O
's   O
sign   O
positivity   O
.   O

Laboratory   O
investigations   O
ordered   O
on   O
13/21   B-DATE
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
a   O
slightly   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
suggesting   O
a   O
possible   O
inflammatory   O
process   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
(   O
592   B-ID
-   I-ID
77   I-ID
-   I-ID
59   I-ID
)   O
has   O
been   O
recorded   O
for   O
all   O
interactions   O
and   O
procedures   O
.   O

Alfred   B-NAME
E.   I-NAME
Bellows   I-NAME
was   O
advised   O
of   O
the   O
possible   O
need   O
for   O
surgical   O
intervention   O
depending   O
on   O
the   O
radiologic   O
findings   O
.   O

Jacob   B-NAME
Bautista   I-NAME
was   O
informed   O
to   O
monitor   O
symptoms   O
closely   O
and   O
return   O
to   O
Staten   B-LOCATION
Island   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
immediately   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
signs   O
of   O
peritonitis   O
.   O

Contacts   O
were   O
updated   O
in   O
the   O
patient   O
file   O
with   O
Konnor   B-NAME
Ramirez   I-NAME
's   O
consent   O
,   O
noting   O
an   O
emergency   O
contact   O
number   O
(   O
128   B-CONTACT
6293   I-CONTACT
)   O
for   O
immediate   O
family   O
residing   O
in   O
Aten   B-LOCATION
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
,   O
and   O
Giovanni   B-NAME
Crawford   I-NAME
was   O
provided   O
with   O
direct   O
contact   O
information   O
for   O
Cheever   B-NAME
,   I-NAME
John   I-NAME
's   O
office   O
in   O
case   O
of   O
any   O
queries   O
or   O
emergencies   O
before   O
the   O
next   O
visit   O
.   O

In   O
summary   O
,   O
Mindi   B-NAME
Wilmer   I-NAME
10   O
from   O
Pollocksville   B-LOCATION
reported   O
to   O
St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
with   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

The   O
care   O
team   O
led   O
by   O
Serrano   B-NAME
is   O
closely   O
monitoring   O
Daisy   B-NAME
Cobb   I-NAME
's   O
condition   O
,   O
prioritizing   O
prompt   O
and   O
effective   O
treatment   O
to   O
prevent   O
complications   O
.   O

Patient   O
Name   O
:   O
Quinten   B-NAME
James   I-NAME
Patient   O
ID   O
:   O
KW:5118:357104   B-ID
Medical   O
Record   O
Number   O
:   O
1254970   B-ID
Date   O
of   O
Birth   O
:   O
32/19/42   B-DATE
Age   O
:   O
2   O
month   O
Address   O
:   O
Van   B-LOCATION
Etten   I-LOCATION
,   O
26519   B-LOCATION
Phone   O
Number   O
:   O
33734   B-CONTACT
Occupation   O
:   O
Commercial   O
Pilots   O
Primary   O
Care   O
Doctor   O
:   O

Jaden   B-NAME
Davidson   I-NAME
Hospital   O
:   O

Little   B-LOCATION
Falls   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
17/03/2002   B-DATE
Username   O
:   O
zhd997   B-NAME
Referring   O
Organization   O
:   O

American   B-LOCATION
Oil   I-LOCATION
Chemists   I-LOCATION
'   I-LOCATION
Society   I-LOCATION
Clinical   O
Notes   O
:   O
Moreau   B-NAME
presented   O
to   O
AdventHealth   B-LOCATION
Celebration   I-LOCATION
on   O
23/22/2041   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
subjective   O
fever   O
,   O
and   O
difficulty   O
breathing   O
that   O
have   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
week   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Grimes   B-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
a   O
COVID-19   O
PCR   O
test   O
given   O
the   O
respiratory   O
symptoms   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Terrance   B-NAME
Love   I-NAME
was   O
admitted   O
for   O
further   O
management   O
and   O
observation   O
under   O
the   O
care   O
of   O
Moreno   B-NAME
in   O
Kings   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
's   O
general   O
medical   O
ward   O
.   O

Florence   B-NAME
Mildred   I-NAME
Yuan   I-NAME
was   O
also   O
advised   O
to   O
remain   O
hydrated   O
and   O
was   O
placed   O
on   O
a   O
low   O
salt   O
diet   O
to   O
assist   O
in   O
recovery   O
.   O

Follow   O
-   O
up   O
care   O
includes   O
a   O
scheduled   O
appointment   O
with   O
Kyan   B-NAME
Sutton   I-NAME
on   O
2028   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
14   I-DATE
at   O
Georgiana   B-LOCATION
Hospital   I-LOCATION
to   O
evaluate   O
progress   O
.   O

Drucker   B-NAME
,   I-NAME
Peter   I-NAME
F.   I-NAME
was   O
also   O
given   O
a   O
prescription   O
for   O
a   O
course   O
of   O
oral   O
antibiotics   O
to   O
complete   O
at   O
home   O
,   O
with   O
instructions   O
to   O
monitor   O
temperature   O
and   O
oxygen   O
saturation   O
levels   O
using   O
a   O
home   O
pulse   O
oximeter   O
provided   O
by   O
Coweta   B-LOCATION
-   I-LOCATION
Fayette   I-LOCATION
EMC   I-LOCATION
.   O

In   O
terms   O
of   O
prevention   O
,   O
Zackary   B-NAME
Sellers   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
vaccination   O
,   O
including   O
the   O
pneumococcal   O
and   O
annual   O
flu   O
vaccines   O
,   O
considering   O
the   O
current   O
presentation   O
.   O

For   O
any   O
further   O
questions   O
or   O
if   O
symptoms   O
worsen   O
,   O
Wyatt   B-NAME
was   O
instructed   O
to   O
contact   O
Duke   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
through   O
the   O
general   O
inquiry   O
number   O
587   B-CONTACT
-   I-CONTACT
276   I-CONTACT
5454   I-CONTACT
or   O
to   O
reach   O
out   O
directly   O
to   O
Waller   B-NAME
's   O
office   O
.   O

Evan   B-NAME
Newman   I-NAME
was   O
discharged   O
on   O
02/34   B-DATE
with   O
follow   O
-   O
up   O
instructions   O
and   O
prescriptions   O
.   O

Patient   O
Name   O
:   O
Keith   B-NAME
Patient   O
ID   O
:   O
GM693/8798   B-ID
Medical   O
Record   O
Number   O
:   O
004   B-ID
-   I-ID
56   I-ID
-   I-ID
93   I-ID
Date   O
of   O
Birth   O
:   O
35/22   B-DATE
Age   O
:   O
17   O
Address   O
:   O
9798   B-LOCATION
Redwood   I-LOCATION
Street   I-LOCATION
,   O
86899   B-LOCATION
Phone   O
Number   O
:   O
891   B-CONTACT
-   I-CONTACT
7292   I-CONTACT
Employment   O
:   O
Pressure   O
Vessel   O
Inspectors   O
at   O
Collective   B-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
Physician   O
:   O
Hernandez   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Federal   I-LOCATION
Way   I-LOCATION
Admission   O
Date   O
:   O
2/2   B-DATE
Username   O
:   O
VD699   B-NAME
Clinical   O
Synopsis   O
:   O
Jayden   B-NAME
,   O
a   O
83   O
-   O
year   O
-   O
old   O
Command   O
and   O
Control   O
Center   O
Specialists   O
employed   O
at   O
Sentry   B-LOCATION
Insurance   I-LOCATION
,   O
presented   O
to   O
Lakeland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
on   O
2349   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
20   I-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
over   O
the   O
past   O
two   O
hours   O
.   O

Upon   O
physical   O
examination   O
by   O
Carson   B-NAME
,   O
Margaret   B-NAME
Cole   I-NAME
exhibited   O
diaphoresis   O
and   O
palpitations   O
.   O

Copeland   B-NAME
,   I-NAME
Stewart   I-NAME
was   O
administered   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
upon   O
arrival   O
per   O
ACS   O
protocol   O
.   O

Valery   B-NAME
Valdez   I-NAME
will   O
remain   O
under   O
continuous   O
monitoring   O
in   O
the   O
cardiac   O
care   O
unit   O
.   O

Follow   O
-   O
Up   O
Instructions   O
:   O
Deeann   B-NAME
Mazion   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Roy   B-NAME
Clyburn   I-NAME
at   O
Essentia   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
-   I-LOCATION
Detroit   I-LOCATION
Lakes   I-LOCATION
on   O
2242   B-DATE
.   O

Emergency   O
Contact   O
:   O
Film   O
Laboratory   O
Technicians   O
at   O
54186   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
King   B-NAME
Gould   I-NAME
Age   O
:   O
21s   O
Date   O
of   O
Birth   O
:   O
1865   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
30   I-DATE
Medical   O
Record   O
Number   O
:   O
924556   B-ID
ID   O
Number   O
:   O
FV:67843:904525   B-ID
Address   O
:   O
379   B-LOCATION
Ryan   I-LOCATION
Court   I-LOCATION
,   O
44838   B-LOCATION
Phone   O
Number   O
:   O
597   B-CONTACT
-   I-CONTACT
513   I-CONTACT
9345   I-CONTACT

Kendall   B-NAME
Patel   I-NAME
Hospital   O
:   O

Jupiter   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Report   O
:   O
Su   B-DATE
Date   O
of   O
Admission   O
:   O
2276   B-DATE
Chronic   O
Conditions   O
:   O
None   O
reported   O
.   O

Symptoms   O
:   O
yanez   B-NAME
presented   O
to   O
Doctors   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Renaissance   I-LOCATION
on   O
2221   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
neck   O
.   O

Markus   B-NAME
Fitzpatrick   I-NAME
also   O
noted   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
and   O
episodes   O
of   O
palpitations   O
.   O

Anthony   B-NAME
Everett   I-NAME
denies   O
any   O
recent   O
history   O
of   O
falls   O
,   O
trauma   O
,   O
or   O
physical   O
exertion   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Greene   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
Blood   O
Pressure   O
145/90   O
mmHg   O
,   O
Heart   O
Rate   O
110   O
bpm   O
,   O
Respiratory   O
Rate   O
22   O
bpm   O
,   O
Temperature   O
98.6   O
°   O
F   O
.   O

Stuart   B-NAME
Price   I-NAME
was   O
immediately   O
referred   O
to   O
Kirsten   B-NAME
Petersen   I-NAME
for   O
cardiac   O
catheterization   O
which   O
confirmed   O
the   O
presence   O
of   O
a   O
significant   O
occlusion   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

Post   O
-   O
Procedure   O
:   O
Following   O
the   O
procedure   O
,   O
Johnathon   B-NAME
Randolph   I-NAME
's   O
symptoms   O
markedly   O
improved   O
.   O

River   B-NAME
Watson   I-NAME
was   O
then   O
started   O
on   O
a   O
regimen   O
of   O
dual   O
antiplatelet   O
therapy   O
,   O
statins   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
ACE   O
inhibitors   O
.   O

Blankenship   B-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
and   O
scheduled   O
for   O
follow   O
-   O
up   O
appointments   O
with   O
Goldman   B-NAME
,   I-NAME
Emma   I-NAME
at   O
Research   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Main   I-LOCATION
Campus   I-LOCATION
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Watkins   B-NAME
was   O
discharged   O
on   O
2031   B-DATE
with   O
follow   O
-   O
up   O
instructions   O
and   O
appointments   O
.   O

Beatrice   B-NAME
Mendoza   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
medication   O
adherence   O
,   O
recognition   O
of   O
symptoms   O
indicating   O
cardiac   O
distress   O
,   O
and   O
the   O
necessity   O
of   O
immediate   O
medical   O
attention   O
in   O
such   O
cases   O
.   O

NOLAN   B-NAME
,   I-NAME
N.   I-NAME
YANCY   I-NAME
was   O
also   O
provided   O
resources   O
for   O
cardiac   O
rehabilitation   O
.   O

Username   O
for   O
Patient   O
Portal   O
Access   O
:   O
MI934   B-NAME
Note   O
:   O
Upshur   B-NAME
has   O
consented   O
to   O
the   O
release   O
of   O
this   O
information   O
for   O
medical   O
coordination   O
purposes   O
to   O
White   B-LOCATION
Mountains   I-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
.   O

This   O
report   O
is   O
prepared   O
and   O
signed   O
by   O
Camila   B-NAME
Reid   I-NAME
,   O
Cardiologist   O
at   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
   I-LOCATION
New   I-LOCATION
Britain   I-LOCATION
General   I-LOCATION
Campus   I-LOCATION
,   O
on   O
09/00   B-DATE
.   O

Patient   O
Name   O
:   O
Baruch   B-NAME
,   I-NAME
Bernard   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
7975667   I-ID
Medical   O
Record   O
Number   O
:   O
1980333   B-ID
Date   O
of   O
Birth   O
:   O
22/12/25   B-DATE
Age   O
:   O
62   O
Address   O
:   O
East   B-LOCATION
Cathlamet   I-LOCATION
,   O
32632   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
360   I-CONTACT
)   I-CONTACT
964   I-CONTACT
3507   I-CONTACT
Employer   O
:   O

Excelsior   B-LOCATION
EMC   I-LOCATION
Occupation   O
:   O
Farmworkers   O
and   O
Laborers   O
,   O
Crop   O
Attending   O
Physician   O
:   O

Curtis   B-NAME
Connors   I-NAME
Hospital   O
:   O
Riverside   B-LOCATION
Walter   I-LOCATION
Reed   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2238   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
12   I-DATE
Date   O
of   O
Discharge   O
:   O
0   B-DATE
-   I-DATE
19   I-DATE
-   I-DATE
99   I-DATE
Clinical   O
Summary   O
:   O
Arianna   B-NAME
Ortiz   I-NAME
,   O
a   O
99   O
-   O
year   O
-   O
old   O
File   O
Clerks   O
employed   O
by   O
United   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
,   O
residing   O
in   O
Port   B-LOCATION
Orchard   I-LOCATION
,   O
63515   B-LOCATION
,   O
presented   O
to   O
Safe   B-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Treasure   I-LOCATION
Valley   I-LOCATION
on   O
2361   B-DATE
-   I-DATE
15   I-DATE
-   I-DATE
29   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
intermittent   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

The   O
patient   O
's   O
contact   O
number   O
is   O
967   B-CONTACT
8185   I-CONTACT
.   O

Hansen   B-NAME
's   O
symptoms   O
were   O
initially   O
mild   O
but   O
progressively   O
worsened   O
,   O
prompting   O
the   O
visit   O
.   O

Upon   O
evaluation   O
,   O
Jennifer   B-NAME
Cline   I-NAME
noted   O
the   O
patient   O
's   O
abdomen   O
to   O
be   O
tender   O
at   O
the   O
McBurney   O
's   O
point   O
,   O
which   O
raised   O
suspicion   O
for   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
George   B-NAME
Reed   I-NAME
recommended   O
an   O
urgent   O
surgical   O
intervention   O
.   O

Emmalee   B-NAME
Gross   I-NAME
's   O
surgical   O
history   O
was   O
reviewed   O
,   O
revealing   O
no   O
known   O
drug   O
allergies   O
or   O
previous   O
adverse   O
reactions   O
to   O
anesthesia   O
.   O

The   O
patient   O
was   O
adequately   O
informed   O
about   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
expected   O
outcomes   O
,   O
to   O
which   O
Jeremiah   B-NAME
Alvarez   I-NAME
provided   O
consent   O
.   O

The   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
30/30/52   B-DATE
without   O
any   O
intraoperative   O
complications   O
.   O

Briley   B-NAME
Riggs   I-NAME
was   O
closely   O
monitored   O
post   O
-   O
operation   O
,   O
showing   O
satisfactory   O
recovery   O
with   O
resolution   O
of   O
initial   O
symptoms   O
.   O

Arcanus   B-NAME
Bonsell   I-NAME
was   O
discharged   O
on   O
02/37   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
level   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Kenny   B-NAME
Vincent   I-NAME
in   O
two   O
weeks   O
.   O

Conclusion   O
and   O
Recommendations   O
:   O
Kamden   B-NAME
Nichols   I-NAME
should   O
maintain   O
a   O
low   O
activity   O
level   O
for   O
the   O
initial   O
post   O
-   O
operative   O
week   O
to   O
facilitate   O
healing   O
.   O

Greg   B-NAME
Madden   I-NAME
also   O
advises   O
Suzann   B-NAME
Jaxx   I-NAME
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
,   O
and   O
to   O
report   O
any   O
fever   O
or   O
severe   O
abdominal   O
pain   O
immediately   O
.   O

Encoded   O
by   O
:   O
YI8810   B-NAME

Patient   O
Name   O
:   O
Devin   B-NAME
Medical   O
Record   O
Number   O
:   O
83177482   B-ID
Date   O
of   O
Birth   O
:   O
30/03   B-DATE
Age   O
:   O
11   O
Address   O
:   O
Marthasville   B-LOCATION
,   O
86790   B-LOCATION
Phone   O
Number   O
:   O
78336   B-CONTACT
Attending   O
Physician   O
:   O

Emery   B-NAME
Fleming   I-NAME
Hospital   O
:   O
UCHealth   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Central   I-LOCATION
Date   O
of   O
Visit   O
:   O
00/43   B-DATE
Identification   O
Number   O
:   O
4   B-ID
-   I-ID
3377951   I-ID
Chief   O
Complaint   O
:   O

Kate   B-NAME
Austin   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Caverna   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
5/21   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
persistent   O
nausea   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lien   B-NAME
Dotstry   I-NAME
,   O
a   O
Freight   O
Forwarders   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
reported   O
that   O
the   O
pain   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
symptom   O
onset   O
was   O
sudden   O
,   O
following   O
a   O
meal   O
at   O
a   O
new   O
restaurant   O
in   O
New   B-LOCATION
York   I-LOCATION
.   O

Erica   B-NAME
Simpson   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Gary   B-NAME
Kane   I-NAME
does   O
not   O
consume   O
alcohol   O
and   O
has   O
no   O
history   O
of   O
gallstones   O
or   O
pancreatitis   O
.   O
Review   O
of   O
Systems   O
:   O

In   O
addition   O
to   O
the   O
above   O
,   O
Reagan   B-NAME
Rich   I-NAME
reports   O
no   O
fever   O
,   O
chills   O
,   O
or   O
recent   O
illnesses   O
.   O

There   O
’s   O
no   O
history   O
of   O
renal   O
stones   O
,   O
and   O
Zoie   B-NAME
Galvan   I-NAME
has   O
not   O
experienced   O
similar   O
symptoms   O
previously   O
.   O

Upon   O
physical   O
examination   O
,   O
Suzann   B-NAME
Nozick   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
lipase   O
levels   O
were   O
ordered   O
by   O
Dr.   O
Macdonald   B-NAME
.   O

Treatment   O
Plan   O
:   O
Gage   B-NAME
Pierce   I-NAME
was   O
admitted   O
to   O
MercyOne   B-LOCATION
West   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
pain   O
management   O
and   O
fluid   O
resuscitation   O
.   O

Warren   B-NAME
,   I-NAME
Earl   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
avoiding   O
fatty   O
meals   O
and   O
alcohol   O
.   O

Disposition   O
:   O
Joselyn   B-NAME
Sloan   I-NAME
responded   O
well   O
to   O
initial   O
treatment   O
,   O
with   O
a   O
decrease   O
in   O
pain   O
intensity   O
.   O

Plans   O
for   O
a   O
follow   O
-   O
up   O
in   O
the   O
gastroenterology   O
clinic   O
after   O
discharge   O
,   O
scheduled   O
for   O
1813   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
02   I-DATE
.   O
---   O
This   O
synthetic   O
patient   O
report   O
incorporates   O
the   O
guidelines   O
provided   O
,   O
using   O
all   O
the   O
PHI   O
labels   O
as   O
instructed   O
.   O

Patient   O
Name   O
:   O
Henson   B-NAME
Patient   O
ID   O
:   O
BI:65560:281566   B-ID
Date   O
of   O
Birth   O
:   O
0/02/2392   B-DATE
Age   O
:   O
19   O
Medical   O
Record   O
Number   O
:   O
4920967   B-ID
Address   O
:   O
Chicopee   B-LOCATION
,   O
42286   B-LOCATION
Phone   O
Number   O
:   O
998   B-CONTACT
-   I-CONTACT
4123   I-CONTACT
Profession   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Office   O
and   O
Administrative   O
Support   O
Workers   O
Primary   O
Physician   O
:   O
Allen   B-NAME
,   I-NAME
James   I-NAME
Hospital   O
:   O
Penn   B-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
:   O
de452   B-NAME
Date   O
of   O
Admission   O
:   O
June   B-DATE
26   I-DATE
Date   O
of   O
Report   O
:   O
11/21/2226   B-DATE
Clinical   O
Summary   O
:   O
Tessa   B-NAME
Alford   I-NAME
,   O
a   O
33   O
-   O
year   O
-   O
old   O
Interpreters   O
and   O
Translators   O
from   O
Moonstone   B-LOCATION
,   O
was   O
admitted   O
to   O
Munson   B-LOCATION
Healthcare   I-LOCATION
Grayling   I-LOCATION
Hospital   I-LOCATION
on   O
33/27/2207   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
that   O
commenced   O
early   O
in   O
the   O
morning   O
.   O

Upon   O
physical   O
examination   O
,   O
Tamia   B-NAME
Peck   I-NAME
displayed   O
rebound   O
tenderness   O
at   O
McBurney   O
's   O
point   O
,   O
accompanied   O
by   O
guarding   O
,   O
which   O
further   O
supported   O
the   O
initial   O
diagnosis   O
.   O

Ashlyn   B-NAME
Cain   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Considering   O
the   O
findings   O
and   O
the   O
clinical   O
presentation   O
,   O
Lorelei   B-NAME
Nash   I-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgical   O
intervention   O
was   O
performed   O
successfully   O
on   O
2064   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
28   I-DATE
.   O

Postoperative   O
recovery   O
has   O
been   O
unremarkable   O
with   O
Haley   B-NAME
Santiago   I-NAME
showing   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Charlotte   B-NAME
Beaumont   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
operation   O
,   O
gradually   O
returning   O
to   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Wolfe   B-NAME
at   O
UF   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
was   O
scheduled   O
for   O
2222   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
wound   O
healing   O
.   O

Conclusion   O
:   O
Setsuko   B-NAME
Lovett   I-NAME
’s   O
clinical   O
presentation   O
,   O
diagnostic   O
findings   O
,   O
and   O
successful   O
surgical   O
intervention   O
indicate   O
a   O
classic   O
case   O
of   O
acute   O
appendicitis   O
without   O
complication   O
.   O

Tyrone   B-NAME
Jenkins   I-NAME
has   O
been   O
educated   O
on   O
the   O
signs   O
of   O
potential   O
complications   O
and   O
when   O
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

For   O
any   O
further   O
queries   O
or   O
assistance   O
,   O
Amiyah   B-NAME
Blake   I-NAME
can   O
reach   O
the   O
surgical   O
team   O
at   O
286   B-CONTACT
-   I-CONTACT
665   I-CONTACT
-   I-CONTACT
6364   I-CONTACT
during   O
working   O
hours   O
or   O
visit   O
the   O
emergency   O
department   O
of   O
Regional   B-LOCATION
One   I-LOCATION
Health   I-LOCATION
in   O
case   O
of   O
urgent   O
concerns   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Cannon   B-NAME
Mays   I-NAME
,   O
and   O
securely   O
stored   O
in   O
Reading   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
's   O
electronic   O
health   O
record   O
system   O
,   O
accessible   O
via   O
UM964   B-NAME
.   O

Patient   O
Name   O
:   O
Davis   B-NAME
,   I-NAME
Miles   I-NAME
Medical   O
Record   O
Number   O
:   O
02980628   B-ID
Date   O
of   O
Birth   O
:   O
07/85   B-DATE
Age   O
:   O
8   O
week   O
Address   O
:   O
Little   B-LOCATION
Ferry   I-LOCATION
,   O
93513   B-LOCATION
Employment   O
:   O
Derrick   O
Operators   O
,   O
Oil   O
and   O
Gas   O
at   O
Protective   B-LOCATION
Life   I-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
874   I-CONTACT
)   I-CONTACT
859   I-CONTACT
-   I-CONTACT
8982   I-CONTACT
Attending   O
Physician   O
:   O
Jeanne   B-NAME
Bartlett   I-NAME
Treating   O
Hospital   O
:   O
Seattle   B-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
8/26/79   B-DATE
ID   O
Number   O
:   O
ZD   B-ID
:   I-ID
PI:1592   I-ID
Subjective   O
:   O
Madalyn   B-NAME
Decker   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
13/08   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Additionally   O
,   O
Aydan   B-NAME
Moss   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
there   O
was   O
an   O
absence   O
of   O
fever   O
or   O
diarrhea   O
.   O

These   O
symptoms   O
began   O
approximately   O
35/01   B-DATE
,   O
gradually   O
worsening   O
over   O
time   O
.   O

Lillie   B-NAME
Hampton   I-NAME
denied   O
any   O
recent   O
travels   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
past   O
episodes   O
.   O

Objective   O
:   O
On   O
physical   O
examination   O
,   O
Michael   B-NAME
Queen   I-NAME
's   O
vital   O
signs   O
showed   O
a   O
slightly   O
elevated   O
blood   O
pressure   O
and   O
normal   O
temperature   O
.   O

Routine   O
laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
were   O
ordered   O
by   O
Graves   B-NAME
,   O
which   O
revealed   O
leukocytosis   O
.   O

Assessment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Karina   B-NAME
Bracco   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Ralph   B-NAME
Pitts   I-NAME
recommended   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgical   O
team   O
at   O
Heritage   B-LOCATION
Valley   I-LOCATION
Sewickley   I-LOCATION
was   O
consulted   O
,   O
and   O
Xavier   B-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
appendectomy   O
on   O
2208   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
30   I-DATE
.   O

Yurem   B-NAME
Lang   I-NAME
was   O
advised   O
regarding   O
the   O
surgical   O
procedure   O
,   O
potential   O
complications   O
,   O
and   O
the   O
recovery   O
process   O
.   O

Titus   B-NAME
Rush   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
immediate   O
complications   O
and   O
was   O
admitted   O
for   O
observation   O
.   O

Post   O
-   O
operative   O
instructions   O
included   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
arrangement   O
with   O
Odom   B-NAME
on   O
1949   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
24   I-DATE
.   O
Follow   O
-   O
up   O
:   O
delarosa   B-NAME
is   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
with   O
Rowland   B-NAME
in   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
and   O
address   O
any   O
concerns   O
.   O

Villasenor   B-NAME
was   O
also   O
reminded   O
to   O
monitor   O
blood   O
sugar   O
levels   O
closely   O
due   O
to   O
a   O
history   O
of   O
diabetes   O
and   O
to   O
contact   O
446   B-CONTACT
-   I-CONTACT
9493   I-CONTACT
in   O
case   O
of   O
any   O
emergencies   O
or   O
unusual   O
symptoms   O
.   O

Username   O
for   O
patient   O
portal   O
access   O
:   O
cp995   B-NAME
Prescriptions   O
and   O
any   O
specific   O
instructions   O
were   O
sent   O
to   O
Kolton   B-NAME
Cisneros   I-NAME
's   O
pharmacy   O
in   O
Alton   B-LOCATION
,   I-LOCATION
Alton   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
along   O
with   O
contact   O
for   O
home   O
health   O
services   O
in   O
case   O
needed   O
during   O
recovery   O
.   O

This   O
case   O
will   O
be   O
documented   O
under   O
36663443   B-ID
for   O
future   O
references   O
and   O
continuous   O
care   O
management   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
HK   B-NAME
-   O
Age   O
:   O
9   O
-   O
Address   O
:   O
Newtown   B-LOCATION
Grant   I-LOCATION
,   O
57227   B-LOCATION
-   O
Phone   O
:   O
64983   B-CONTACT
-   O
Occupation   O
:   O
Mining   O
engineer   O
-   O
Medical   O
Record   O
Number   O
:   O
577   B-ID
-   I-ID
69   I-ID
-   I-ID
76   I-ID
-   I-ID
2   I-ID
-   O
Admission   O
Date   O
:   O
0/23/58   B-DATE
/2023   O
-   O
Attending   O
Physician   O
:   O

Hernandez   B-NAME
-   O
Hospital   O
:   O
Spring   B-LOCATION
Grove   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Aniyah   B-NAME
Boyd   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Medical   B-LOCATION
City   I-LOCATION
Frisco   I-LOCATION
on   O
14   B-DATE
-   I-DATE
00   I-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ellyn   B-NAME
Chandier   I-NAME
,   O
a   O
5   O
-   O
year   O
-   O
old   O
Directors   O
,   O
Religious   O
Activities   O
and   O
Education   O
,   O
reported   O
no   O
prior   O
history   O
of   O
similar   O
symptoms   O
.   O

Neal   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
as   O
well   O
as   O
a   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Berg   B-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
unusual   O
dietary   O
intake   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Zayden   B-NAME
York   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Buck   B-NAME
and   O
the   O
surgical   O
team   O
at   O
Providence   B-LOCATION
Willamette   I-LOCATION
Falls   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Paula   B-NAME
Chapman   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
Monday   B-DATE
/2023   O
without   O
complications   O
.   O

Follow   O
-   O
up   O
:   O
Odessa   B-NAME
Kang   I-NAME
was   O
advised   O
to   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
2   O
weeks   O
for   O
wound   O
check   O
and   O
further   O
evaluation   O
.   O

Discharge   O
Instructions   O
:   O
Mitchell   B-NAME
,   B-NAME
John   I-NAME
was   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
or   O
any   O
worsening   O
symptoms   O
.   O

For   O
any   O
concerns   O
or   O
to   O
report   O
symptoms   O
,   O
Tonette   B-NAME
Trammell   I-NAME
was   O
advised   O
to   O
contact   O
NYU   B-LOCATION
Winthrop   I-LOCATION
Hospital   I-LOCATION
at   O
584   B-CONTACT
459   I-CONTACT
5662   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Key   B-NAME
on   O
32/23/2371   B-DATE
.   O

Patient   O
Name   O
:   O
Mcgee   B-NAME
Age   O
:   O
84   O
Medical   O
Record   O
Number   O
:   O
OW926999   B-ID
Date   O
of   O
Visit   O
:   O
00/03/23   B-DATE
/2023   O
Contact   O
Phone   O
:   O
(   B-CONTACT
241   I-CONTACT
)   I-CONTACT
251   I-CONTACT
-   I-CONTACT
1239   I-CONTACT
Residence   O
:   O
Atlanta   B-LOCATION
,   O
51417   B-LOCATION

Attending   O
Doctor   O
:   O
Lee   B-NAME
Hospital   O
:   O
Saint   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O
Hosts   O
and   O
Hostesses   O
,   O
Restaurant   O
,   O
Lounge   O
,   O
and   O
Coffee   O
Shop   O
Referring   O
Organization   O
:   O

North   B-LOCATION
County   I-LOCATION
Bank   I-LOCATION
Chief   O
Complaint   O
:   O
Gilbert   B-NAME
,   I-NAME
W.   I-NAME
S.   I-NAME
presented   O
to   O
Lake   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
on   O
2261   B-DATE
/2023   O
,   O
complaining   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
onset   O
06/19   B-DATE
around   O
noon   O
.   O

Sparks   B-NAME
also   O
reported   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
morning   O
of   O
1/12/35   B-DATE
.   O

Briana   B-NAME
Roy   I-NAME
denied   O
any   O
previous   O
episodes   O
of   O
similar   O
pain   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
or   O
recent   O
illnesses   O
.   O

Morton   B-NAME
also   O
noted   O
that   O
taking   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medication   O
provided   O
no   O
relief   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
severe   O
abdominal   O
pain   O
and   O
nausea   O
,   O
Giancarlo   B-NAME
Moran   I-NAME
denied   O
experiencing   O
fever   O
,   O
diarrhea   O
,   O
or   O
bloody   O
stools   O
.   O

The   O
patient   O
also   O
reported   O
no   O
recent   O
travel   O
outside   O
St.   B-LOCATION
Maries   I-LOCATION
or   O
any   O
recent   O
antibiotic   O
use   O
.   O

Past   O
Medical   O
History   O
:   O
Rose   B-NAME
Anaya   I-NAME
's   O
past   O
medical   O
history   O
is   O
notable   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
medication   O
.   O

Tenesha   B-NAME
Perlman   I-NAME
denies   O
any   O
surgical   O
history   O
or   O
known   O
drug   O
allergies   O
.   O

Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
Adam   B-NAME
Rossi   I-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
scheduled   O
for   O
21/28   B-DATE
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Setsuko   B-NAME
Lovett   I-NAME
was   O
advised   O
immediate   O
surgical   O
consultation   O
with   O
Valrie   B-NAME
Berkley   I-NAME
for   O
possible   O
appendectomy   O
.   O

Instructions   O
were   O
provided   O
to   O
Loree   B-NAME
Blonigan   I-NAME
for   O
preoperative   O
preparation   O
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Dax   B-NAME
Herman   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
22/17/78   B-DATE
at   O
Parker   B-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
importance   O
of   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
was   O
explained   O
to   O
Reid   B-NAME
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
March   B-DATE
33   I-DATE
post   O
-   O
discharge   O
.   O

Emergency   O
contact   O
information   O
was   O
verified   O
(   O
388   B-CONTACT
5544   I-CONTACT
)   O
,   O
and   O
Kirby   B-NAME
was   O
provided   O
with   O
contact   O
information   O
for   O
the   O
surgical   O
team   O
and   O
Broward   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
patient   O
care   O
services   O
in   O
case   O
of   O
any   O
questions   O
or   O
concerns   O
pre   O
or   O
post   O
-   O
surgery   O
.   O

This   O
case   O
was   O
reported   O
to   O
1st   B-LOCATION
American   I-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Minnesota   I-LOCATION
for   O
data   O
collection   O
and   O
analysis   O
as   O
part   O
of   O
ongoing   O
quality   O
improvement   O
initiatives   O
focusing   O
on   O
acute   O
abdominal   O
conditions   O
.   O

The   O
patient   O
,   O
Dante   B-NAME
Barron   I-NAME
,   O
a   O
73   O
-   O
year   O
-   O
old   O
Foresters   O
from   O
Siloam   B-LOCATION
Springs   I-LOCATION
,   O
47194   B-LOCATION
,   O
visited   O
Los   B-LOCATION
Angeles   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Harbor   I-LOCATION
UCLA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
9   B-DATE
-   I-DATE
25   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
that   O
started   O
approximately   O
24   O
hours   O
before   O
admission   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
819   B-ID
-   I-ID
39   I-ID
-   I-ID
18   I-ID
-   I-ID
6   I-ID
notes   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertensive   O
disorder   O
,   O
managed   O
by   O
medication   O
,   O
and   O
no   O
prior   O
surgical   O
interventions   O
.   O

During   O
the   O
examination   O
,   O
June   B-NAME
Good   I-NAME
documented   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
without   O
rebound   O
tenderness   O
.   O

The   O
results   O
of   O
the   O
ultrasound   O
,   O
performed   O
on   O
02/35   B-DATE
,   O
indicated   O
the   O
presence   O
of   O
an   O
appendicolith   O
,   O
leading   O
to   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Karli   B-NAME
Craig   I-NAME
discussed   O
the   O
findings   O
and   O
the   O
need   O
for   O
surgical   O
intervention   O
with   O
Leverson   B-NAME
,   I-NAME
Ada   I-NAME
.   O

After   O
obtaining   O
informed   O
consent   O
,   O
the   O
patient   O
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
23/29/2183   B-DATE
.   O

Idaeus   B-NAME
Bverger   I-NAME
was   O
administered   O
a   O
course   O
of   O
antibiotics   O
as   O
a   O
preventative   O
measure   O
against   O
infection   O
.   O

Lucius   B-NAME
Verus   I-NAME
Capinpin   I-NAME
was   O
discharged   O
from   O
Harrison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2066   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
03   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Church   B-NAME
in   O
two   O
weeks   O
for   O
post   O
-   O
operative   O
evaluation   O
.   O

A   O
follow   O
-   O
up   O
phone   O
call   O
conducted   O
on   O
2091   B-DATE
to   O
the   O
number   O
68061   B-CONTACT
confirmed   O
that   O
Valerian   B-NAME
Mautte   I-NAME
was   O
recovering   O
well   O
with   O
no   O
complications   O
.   O

The   O
return   O
to   O
Agricultural   O
and   O
Food   O
Science   O
Technicians   O
activities   O
was   O
anticipated   O
within   O
22/11   B-DATE
,   O
contingent   O
upon   O
the   O
post   O
-   O
operative   O
evaluation   O
by   O
Janelle   B-NAME
Stanton   I-NAME
.   O

The   O
patient   O
's   O
treatment   O
and   O
recovery   O
process   O
were   O
documented   O
in   O
the   O
electronic   O
health   O
record   O
system   O
under   O
the   O
ID   O
109964   B-ID
,   O
ensuring   O
a   O
comprehensive   O
and   O
accessible   O
medical   O
history   O
for   O
future   O
healthcare   O
needs   O
.   O

Patient   O
Name   O
:   O
Kassidy   B-NAME
Manning   I-NAME
Patient   O
ID   O
:   O
6889745   B-ID
Age   O
:   O
17   O
Address   O
:   O
Candler   B-LOCATION
,   O
83265   B-LOCATION
Phone   O
Number   O
:   O
59285   B-CONTACT
Emergency   O
Contact   O
:   O
489   B-CONTACT
580   I-CONTACT
-   I-CONTACT
5798   I-CONTACT
Date   O
of   O
Admission   O
:   O
2/02   B-DATE
Hospital   O
:   O
Nemours   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Warner   B-NAME
Medical   O
Record   O
Number   O
:   O
8178569   B-ID
Summary   O
:   O
The   O
patient   O
,   O
a   O
Umpires   O
,   O
Referees   O
,   O
and   O
Other   O
Sports   O
Officials   O
from   O
Ninnekah   B-LOCATION
,   O
presented   O
to   O
Ellett   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
1882   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
09   I-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
palpitations   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
evaluation   O
,   O
Rogers   B-NAME
noted   O
the   O
patient   O
's   O
blood   O
pressure   O
to   O
be   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
was   O
110   O
bpm   O
,   O
and   O
observed   O
diaphoresis   O
.   O

Faustina   B-NAME
Ellerman   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

There   O
's   O
no   O
documented   O
history   O
of   O
coronary   O
artery   O
disease   O
in   O
the   O
patient   O
's   O
file   O
(   O
06233529   B-ID
)   O
.   O

Family   O
history   O
reveals   O
that   O
Ivers   B-NAME
's   O
father   O
suffered   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
39   O
.   O

Treatment   O
:   O
Upon   O
diagnosis   O
of   O
acute   O
myocardial   O
infarction   O
,   O
Montes   B-NAME
initiated   O
treatment   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
.   O

Singer   B-NAME
,   I-NAME
Isaac   I-NAME
Bashevis   I-NAME
was   O
also   O
given   O
supplemental   O
oxygen   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
94   O
%   O
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
cardiology   O
clinic   O
at   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
after   O
discharge   O
.   O

Dallas   B-NAME
Bradshaw   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
strict   O
control   O
of   O
blood   O
pressure   O
and   O
blood   O
sugar   O
levels   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Blake   B-NAME
on   O
22   B-DATE
.   O
Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O

Report   O
immediately   O
to   O
UPMC   B-LOCATION
Presbyterian   I-LOCATION
if   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
palpitations   O
reoccur   O
.   O

For   O
any   O
queries   O
or   O
emergencies   O
,   O
Makenna   B-NAME
Davies   I-NAME
can   O
contact   O
Bonner   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
546   B-CONTACT
-   I-CONTACT
4866   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
at   O
Council   B-LOCATION
Bluffs   I-LOCATION
,   O
17666   B-LOCATION
.   O

Interstellar   B-LOCATION
Commonwealth   I-LOCATION
of   I-LOCATION
Systems   I-LOCATION
ensures   O
that   O
the   O
privacy   O
and   O
security   O
of   O
patient   O
data   O
,   O
including   O
details   O
of   O
diagnosis   O
,   O
treatment   O
,   O
and   O
personal   O
information   O
,   O
are   O
strictly   O
maintained   O
in   O
accordance   O
with   O
health   O
data   O
protection   O
regulations   O
.   O

On   O
02/10   B-DATE
,   O
Christopher   B-NAME
Roberson   I-NAME
was   O
admitted   O
to   O
Geneva   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
following   O
complaints   O
of   O
severe   O
epigastric   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

During   O
the   O
physical   O
examination   O
,   O
Kwanita   B-NAME
,   O
who   O
is   O
3   O
years   O
old   O
,   O
exhibited   O
signs   O
of   O
abdominal   O
tenderness   O
upon   O
palpation   O
.   O

The   O
medical   O
team   O
led   O
by   O
Monroe   B-NAME
reviewed   O
Chapman   B-NAME
's   O
previous   O
medical   O
records   O
with   O
67021055   B-ID
number   O
,   O
revealing   O
a   O
history   O
of   O
gallstones   O
which   O
is   O
a   O
notable   O
risk   O
factor   O
for   O
the   O
development   O
of   O
pancreatitis   O
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
the   O
patient   O
's   O
condition   O
was   O
closely   O
monitored   O
with   O
regular   O
updates   O
being   O
communicated   O
to   O
the   O
emergency   O
contact   O
listed   O
under   O
332   B-CONTACT
4341   I-CONTACT
.   O

Mylee   B-NAME
Manning   I-NAME
expressed   O
satisfaction   O
with   O
the   O
care   O
provided   O
and   O
was   O
eventually   O
discharged   O
on   O
2222   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
33   I-DATE
with   O
a   O
detailed   O
management   O
plan   O
,   O
including   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Atkinson   B-NAME
at   O
Roxbury   B-LOCATION
Treatment   I-LOCATION
Center   I-LOCATION
for   O
further   O
assessment   O
of   O
pancreatic   O
recovery   O
.   O

For   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
,   O
the   O
discharge   O
summary   O
along   O
with   O
treatment   O
records   O
was   O
documented   O
and   O
securely   O
stored   O
in   O
Koleyna   B-NAME
's   O
health   O
record   O
with   O
an   O
identification   O
number   O
886815263   B-ID
.   O

Before   O
leaving   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Atlanta   I-LOCATION
,   O
the   O
patient   O
was   O
provided   O
with   O
education   O
on   O
recognizing   O
symptoms   O
that   O
would   O
necessitate   O
immediate   O
medical   O
attention   O
and   O
was   O
encouraged   O
to   O
maintain   O
regular   O
follow   O
-   O
ups   O
.   O

Oglethorpe   B-LOCATION
Power   I-LOCATION
was   O
noted   O
as   O
Jaelynn   B-NAME
Butler   I-NAME
's   O
insurance   O
provider   O
,   O
ensuring   O
coverage   O
for   O
the   O
medical   O
services   O
received   O
.   O

Amberly   B-NAME
,   O
a   O
Surgical   O
Technologists   O
by   O
occupation   O
,   O
expressed   O
gratitude   O
for   O
the   O
comprehensive   O
care   O
provided   O
during   O
the   O
hospitalization   O
period   O
and   O
was   O
optimistic   O
about   O
a   O
full   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Fakes   B-NAME
,   I-NAME
Dennis   I-NAME
Patient   O
ID   O
:   O
ZK:131058:191655   B-ID

Medical   O
Record   O
Number   O
:   O
87999906   B-ID
Date   O
of   O
Birth   O
:   O
94   O
Phone   O
Number   O
:   O
442   B-CONTACT
224   I-CONTACT
-   I-CONTACT
1810   I-CONTACT
Address   O
:   O
McKinley   B-LOCATION
Heights   I-LOCATION
,   O
36929   B-LOCATION
Employment   O
:   O
Film   O
and   O
Video   O
Editors   O
Primary   O
Care   O
Physician   O
:   O

Bucky   B-NAME
DeVol   I-NAME
Admitting   O
Hospital   O
:   O
Jefferson   B-LOCATION
Frankford   I-LOCATION
Date   O
of   O
Admission   O
:   O
4/22   B-DATE
/2023   O
Date   O
of   O
Discharge   O
:   O
1/02/35   B-DATE
/2023   O
Emergency   O
Contact   O
:   O
Uriel   B-NAME
A.   I-NAME
Xavier   I-NAME
(   O
Relationship   O
)   O
,   O
705   B-CONTACT
-   I-CONTACT
2854   I-CONTACT
Clinical   O
Summary   O
:   O
Horne   B-NAME
,   O
a   O
43   O
-   O
year   O
-   O
old   O
Pediatricians   O
,   O
General   O
,   O
presented   O
to   O
University   B-LOCATION
of   I-LOCATION
Louisville   I-LOCATION
Hospital   I-LOCATION
on   O
2173   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
11   I-DATE
/2023   O
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Phoenix   B-NAME
Reynolds   I-NAME
denied   O
any   O
recent   O
history   O
of   O
foreign   O
travel   O
,   O
food   O
poisoning   O
,   O
or   O
similar   O
symptoms   O
in   O
close   O
contacts   O
.   O

Holly   B-NAME
Martinez   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
[   O
HE   O
/   O
SHE   O
/   O
THEY   O
]   O
is   O
on   O
medication   O
.   O

On   O
physical   O
examination   O
,   O
Tan   B-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
Plan   O
:   O
Nathan   B-NAME
Altman   I-NAME
was   O
admitted   O
to   O
Morristown   B-LOCATION
-   I-LOCATION
Hamblen   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
under   O
the   O
care   O
of   O
Duarte   B-NAME
and   O
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
32/13/2398   B-DATE
/2023   O
.   O

O'Rourke   B-NAME
,   I-NAME
P.   I-NAME
J.   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
pre   O
-   O
operatively   O
.   O

The   O
surgery   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Terrell   B-NAME
was   O
advised   O
to   O
remain   O
in   O
the   O
hospital   O
for   O
post   O
-   O
operative   O
care   O
and   O
monitoring   O
.   O

Isai   B-NAME
Martinez   I-NAME
showed   O
significant   O
improvement   O
and   O
was   O
discharged   O
on   O
12/22   B-DATE
/2023   O
with   O
instructions   O
for   O
home   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Ali   B-NAME
in   O
two   O
weeks   O
.   O

Conclusion   O
:   O
Valdivia   B-NAME
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
via   O
laparoscopic   O
appendectomy   O
.   O

It   O
is   O
recommended   O
that   O
Frantz   B-NAME
resume   O
activities   O
gradually   O
and   O
adhere   O
to   O
the   O
discharge   O
instructions   O
provided   O
.   O

Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
remains   O
committed   O
to   O
providing   O
high   O
-   O
quality   O
care   O
and   O
appreciates   O
the   O
opportunity   O
to   O
serve   O
Gina   B-NAME
Simon   I-NAME
's   O
health   O
care   O
needs   O
.   O

Should   O
any   O
further   O
questions   O
arise   O
,   O
please   O
do   O
not   O
hesitate   O
to   O
contact   O
us   O
at   O
44339   B-CONTACT
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Kitchen   B-NAME
,   I-NAME
Willie   I-NAME
-   O
Age   O
:   O
47   O
-   O
Medical   O
Record   O
Number   O
:   O
3664H70175   B-ID
-   O
Date   O
of   O
Visit   O
:   O
2031   B-DATE
/2023   O
-   O
Contact   O
Number   O
:   O
444   B-CONTACT
3083   I-CONTACT
-   O
Address   O
:   O
Olowalu   B-LOCATION
,   O
95168   B-LOCATION

Referring   O
Physician   O
:   O
-   O
Name   O
:   O
Margera   B-NAME
,   I-NAME
Brandon   I-NAME
"   I-NAME
Bam   I-NAME
"   I-NAME
-   O
Phone   O
:   O
93063   B-CONTACT
-   O
Affiliation   O
:   O
Merrimac   B-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
Symptoms   O
:   O
Martinez   B-NAME
presented   O
with   O
acute   O
onset   O
of   O
high   O
-   O
grade   O
fever   O
,   O
reaching   O
up   O
to   O
39.5   O
°   O
C   O
on   O
02/21   B-DATE
/2023   O
,   O
associated   O
with   O
rigors   O
and   O
profuse   O
sweating   O
.   O

Natasha   B-NAME
Zhang   I-NAME
also   O
reported   O
a   O
persistent   O
,   O
dry   O
cough   O
and   O
shortness   O
of   O
breath   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
few   O
days   O
.   O

Turner   B-NAME
's   O
past   O
medical   O
history   O
was   O
noted   O
for   O
Type   O
II   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
both   O
conditions   O
being   O
managed   O
with   O
medication   O
.   O

Jaxson   B-NAME
Bradley   I-NAME
is   O
employed   O
as   O
a   O
Emergency   O
Medical   O
Technicians   O
and   O
Paramedics   O
and   O
denies   O
any   O
recent   O
travel   O
history   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Logan   B-NAME
Deleon   I-NAME
appeared   O
lethargic   O
but   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

Veleria   B-NAME
Blackwell   I-NAME
was   O
advised   O
hospitalization   O
given   O
the   O
acute   O
respiratory   O
symptoms   O
and   O
underlying   O
comorbidities   O
but   O
chose   O
to   O
self   O
-   O
isolate   O
and   O
be   O
monitored   O
regularly   O
via   O
telehealth   O
.   O

Admission   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Dallas   I-LOCATION
was   O
facilitated   O
on   O
09/26   B-DATE
/2023   O
,   O
under   O
the   O
care   O
of   O
Knight   B-NAME
.   O

Daily   O
telehealth   O
check   O
-   O
ins   O
were   O
scheduled   O
,   O
and   O
Melanie   B-NAME
Porter   I-NAME
was   O
provided   O
with   O
a   O
14436   B-CONTACT
number   O
to   O
reach   O
out   O
in   O
case   O
of   O
emergency   O
or   O
significant   O
deterioration   O
in   O
condition   O
.   O

Plan   O
for   O
Follow   O
-   O
Up   O
:   O
Hickman   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
telehealth   O
consultation   O
on   O
2052   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
18   I-DATE
to   O
reassess   O
symptoms   O
and   O
review   O
the   O
results   O
of   O
pending   O
tests   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Constantius   B-NAME
II   I-NAME
Patient   O
ID   O
:   O
PM253/3891   B-ID
Medical   O
Record   O
Number   O
:   O
3010769   B-ID
Date   O
of   O
Birth   O
:   O
1751   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
13   I-DATE
Date   O
of   O
Visit   O
:   O
2054   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
22   I-DATE
Contact   O
Information   O
:   O
436   B-CONTACT
-   I-CONTACT
6494   I-CONTACT
Address   O
:   O
Jesup   B-LOCATION
,   O
45338   B-LOCATION
Employment   O
:   O
actress   O
at   O
International   B-LOCATION
Rehabilitation   I-LOCATION
Council   I-LOCATION
for   I-LOCATION
Torture   I-LOCATION
Victims   I-LOCATION
Physician   O
:   O
Wilde   B-NAME
,   I-NAME
Oscar   I-NAME
Hospital   O
:   O
Emanate   B-LOCATION
Health   I-LOCATION
Foothill   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Note   O
:   O
Eva   B-NAME
Henderson   I-NAME
,   O
a   O
9   O
-   O
year   O
-   O
old   O
Woodworking   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Except   O
Sawing   O
from   O
Whitley   B-LOCATION
,   O
presented   O
with   O
complaints   O
of   O
persistent   O
,   O
diffuse   O
abdominal   O
pain   O
that   O
initially   O
started   O
approximately   O
one   O
week   O
prior   O
.   O

Brown   B-NAME
,   I-NAME
Sam   I-NAME
has   O
experienced   O
mild   O
,   O
intermittent   O
fever   O
and   O
has   O
described   O
the   O
stool   O
as   O
loose   O
,   O
without   O
the   O
presence   O
of   O
blood   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
ANDREW   B-NAME
TANG   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
discomfort   O
.   O

4   O
.   O
Instruct   O
Naranjo   B-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
at   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
if   O
symptoms   O
worsen   O
or   O
if   O
new   O
symptoms   O
such   O
as   O
severe   O
abdominal   O
pain   O
,   O
blood   O
in   O
stool   O
,   O
or   O
high   O
fever   O
develop   O
.   O

Signed   O
,   O
Duncan   B-NAME
01/63   B-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Vaughn   B-NAME
Solomon   I-NAME
was   O
brought   O
in   O
for   O
consultation   O
at   O
Brigham   B-LOCATION
And   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
0/23   B-DATE
.   O

Knapman   B-NAME
,   I-NAME
Roger   I-NAME
is   O
6   O
week   O
years   O
old   O
and   O
resides   O
in   O
Amorita   B-LOCATION
,   O
84892   B-LOCATION
.   O

Rios   B-NAME
works   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Air   O
Crew   O
Members   O
and   O
was   O
referred   O
to   O
Joan   B-NAME
of   I-NAME
Arc   I-NAME
by   O
another   O
healthcare   O
professional   O
.   O

Contact   O
number   O
:   O
65314   B-CONTACT
.   O

Medical   O
Record   O
Number   O
:   O
122   B-ID
-   I-ID
38   I-ID
-   I-ID
40   I-ID
-   I-ID
5   I-ID
ID   O
:   O
FP716/3647   B-ID
Chief   O
Complaints   O
:   O
Mathew   B-NAME
Kelley   I-NAME
presented   O
with   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
few   O
days   O
.   O

Marcelene   B-NAME
Kaminsky   I-NAME
also   O
reported   O
experiencing   O
significant   O
fatigue   O
and   O
loss   O
of   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
symptoms   O
started   O
approximately   O
one   O
week   O
ago   O
,   O
with   O
Doug   B-NAME
initially   O
believing   O
it   O
to   O
be   O
a   O
common   O
cold   O
.   O

However   O
,   O
the   O
absence   O
of   O
runny   O
nose   O
or   O
sneezing   O
alongside   O
the   O
persistence   O
of   O
symptoms   O
prompted   O
the   O
visit   O
to   O
Ascension   B-LOCATION
Macomb   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Warren   I-LOCATION
Campus   I-LOCATION
.   O

The   O
fever   O
peaked   O
at   O
102   O
°   O
F   O
on   O
21/23/2104   B-DATE
,   O
and   O
over   O
-   O
the   O
-   O
counter   O
fever   O
reducers   O
provided   O
only   O
temporary   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
Michaela   B-NAME
Osborn   I-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
controlled   O
with   O
inhaled   O
steroids   O
and   O
occasional   O
use   O
of   O
a   O
rescue   O
inhaler   O
.   O

Naomi   B-NAME
Cline   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
,   O
without   O
any   O
history   O
of   O
substance   O
abuse   O
.   O

Plan   O
:   O
Admit   O
Beckie   B-NAME
Nacisse   I-NAME
to   O
The   B-LOCATION
University   I-LOCATION
of   I-LOCATION
Tennessee   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
,   O
including   O
intravenous   O
antibiotics   O
,   O
supplemental   O
oxygen   O
,   O
and   O
fluids   O
.   O

Follow   O
-   O
up   O
:   O
William   B-NAME
Arndt   I-NAME
will   O
be   O
under   O
observation   O
in   O
the   O
respiratory   O
unit   O
on   O
floor   O
3   O
of   O
Riverside   B-LOCATION
University   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

A   O
reevaluation   O
by   O
Montoya   B-NAME
is   O
scheduled   O
for   O
11/20   B-DATE
.   O

Further   O
appointments   O
will   O
be   O
based   O
on   O
Ulysses   B-NAME
Jurado   I-NAME
's   O
response   O
to   O
treatment   O
.   O

For   O
any   O
immediate   O
concerns   O
or   O
deterioration   O
in   O
Abdullah   B-NAME
Simpson   I-NAME
's   O
condition   O
,   O
please   O
call   O
97375   B-CONTACT
.   O

All   O
personal   O
and   O
sensitive   O
information   O
related   O
to   O
Osuna   B-NAME
should   O
be   O
securely   O
managed   O
in   O
accordance   O
with   O
Building   B-LOCATION
and   I-LOCATION
Wood   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
International   I-LOCATION
privacy   O
policy   O
.   O

For   O
further   O
information   O
,   O
refer   O
to   O
the   O
patient   O
information   O
booklet   O
provided   O
by   O
Touro   B-LOCATION
Infirmary   I-LOCATION
or   O
contact   O
our   O
helpdesk   O
at   O
541   B-CONTACT
-   I-CONTACT
8227   I-CONTACT
.   O

This   O
medical   O
report   O
was   O
prepared   O
by   O
AN142   B-NAME
and   O
reviewed   O
by   O
Snoddy   B-NAME
on   O
23/33   B-DATE
.   O

Please   O
refer   O
to   O
this   O
document   O
's   O
medical   O
record   O
number   O
,   O
36361742   B-ID
,   O
for   O
future   O
inquiries   O
or   O
treatments   O
.   O

Patient   O
Name   O
:   O
Thomas   B-NAME
Hoffman   I-NAME
Age   O
:   O
54   O
Date   O
of   O
Birth   O
:   O
1/05   B-DATE
Address   O
:   O
Washington   B-LOCATION
Park   I-LOCATION
,   O
22642   B-LOCATION
Occupation   O
:   O
Museum   O
education   O
officer   O
Phone   O
Number   O
:   O
912   B-CONTACT
2532   I-CONTACT
Email   O
:   O
umy973   B-NAME
@example.com   O
Medical   O
Record   O
Number   O
:   O
27499614   B-ID
Social   O
Security   O
Number   O
:   O
KV:81896:630105   B-ID
Primary   O
Care   O
Physician   O
:   O

Stout   B-NAME
Hospital   O
:   O
Pleasant   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
16/26/73   B-DATE
Date   O
of   O
Discharge   O
:   O
1722   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
29   I-DATE
Medical   O
History   O
:   O
Reuben   B-NAME
Pineda   I-NAME
presented   O
to   O
Formerly   B-LOCATION
Ingham   I-LOCATION
Regional   I-LOCATION
Orthopedic   I-LOCATION
Hospital   I-LOCATION
on   O
11/33   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
.   O

Friedman   B-NAME
,   I-NAME
Kinky   I-NAME
has   O
a   O
history   O
of   O
migraines   O
but   O
reports   O
that   O
the   O
current   O
episodes   O
are   O
more   O
severe   O
and   O
longer   O
in   O
duration   O
than   O
usual   O
.   O

On   O
examination   O
,   O
ostrowski   B-NAME
was   O
afebrile   O
with   O
stable   O
vital   O
signs   O
.   O

Branson   B-NAME
Allison   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Fey   B-NAME
,   I-NAME
Tina   I-NAME
was   O
seen   O
by   O
Mejia   B-NAME
from   O
the   O
Neurology   O
Department   O
,   O
who   O
reviewed   O
the   O
imaging   O
and   O
lab   O
results   O
.   O

Xiques   B-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
,   O
including   O
stress   O
management   O
techniques   O
and   O
dietary   O
changes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Boethius   B-NAME
,   I-NAME
Ancius   I-NAME
in   O
two   O
weeks   O
to   O
assess   O
the   O
response   O
to   O
treatment   O
and   O
discuss   O
further   O
management   O
.   O

Paul   B-NAME
Reilly   I-NAME
was   O
instructed   O
to   O
monitor   O
symptoms   O
and   O
was   O
given   O
instructions   O
on   O
when   O
to   O
return   O
to   O
the   O
emergency   O
department   O
,   O
which   O
include   O
worsening   O
headache   O
,   O
sudden   O
onset   O
of   O
speech   O
difficulty   O
,   O
weakness   O
on   O
one   O
side   O
of   O
the   O
body   O
,   O
or   O
acute   O
vision   O
changes   O
.   O

Release   O
Information   O
:   O
Micaela   B-NAME
Villanueva   I-NAME
was   O
discharged   O
on   O
09/23/1796   B-DATE
with   O
prescriptions   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
place   O
.   O

Fitzgerald   B-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
87545   B-CONTACT
for   O
Augusta   B-LOCATION
Health   I-LOCATION
's   O
Neurology   O
Department   O
should   O
they   O
have   O
any   O
questions   O
or   O
concerns   O
before   O
the   O
next   O
scheduled   O
visit   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Alberto   B-NAME
Carney   I-NAME
,   O
M.D.   O
,   O
and   O
is   O
entered   O
into   O
Dorie   B-NAME
's   O
medical   O
record   O
(   O
18445824   B-ID
)   O
on   O
11/22/23   B-DATE
.   O

Patient   O
Name   O
:   O
Pushkin   B-NAME
,   I-NAME
Aleksandr   I-NAME
(   I-NAME
Alexander   I-NAME
Pushkin   I-NAME
)   I-NAME
Patient   O
ID   O
:   O
UF:461100:957665   B-ID
Date   O
of   O
Birth   O
:   O
21/03/50   B-DATE
Age   O
:   O
21   O
Medical   O
Record   O
Number   O
:   O
7699878   B-ID
Address   O
:   O
Buchtel   B-LOCATION
,   O
17819   B-LOCATION
Phone   O
Number   O
:   O
75958   B-CONTACT
Primary   O
Care   O
Doctor   O
:   O
Isabel   B-NAME
Crosby   I-NAME
Hospital   O
:   O
Lawnwood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
Occupation   O
:   O
Chiropractors   O
Username   O
for   O
Hospital   O
Portal   O
:   O
CH774   B-NAME
Chief   O
Complaint   O
:   O
Miley   B-NAME
Mayer   I-NAME
presents   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
8/4/2330   B-DATE
.   O

The   O
patient   O
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
2291   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
03   I-DATE
weeks   O
ago   O
,   O
with   O
gradual   O
worsening   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Simonides   B-NAME
of   I-NAME
Ceos   I-NAME
,   O
a   O
92   O
-   O
year   O
-   O
old   O
Critical   O
Care   O
Nurses   O
residing   O
in   O
Poth   B-LOCATION
,   O
reports   O
having   O
experienced   O
an   O
initial   O
mild   O
dry   O
cough   O
which   O
has   O
progressively   O
become   O
more   O
severe   O
and   O
persistent   O
.   O

Medications   O
:   O
Welch   B-NAME
,   I-NAME
Xzavior   I-NAME
Charles   I-NAME
reports   O
taking   O
over   O
-   O
the   O
-   O
counter   O
antipyretics   O
for   O
symptomatic   O
relief   O
with   O
minimal   O
improvement   O
.   O

Social   O
History   O
:   O
Steven   B-NAME
Dorsey   I-NAME
is   O
a   O
Self   O
-   O
Enrichment   O
Education   O
Teachers   O
,   O
denies   O
smoking   O
tobacco   O
,   O
occasional   O
alcohol   O
consumption   O
.   O

Reports   O
living   O
in   O
a   O
well   O
-   O
ventilated   O
home   O
in   O
Wolverine   B-LOCATION
with   O
no   O
known   O
exposure   O
to   O
industrial   O
chemicals   O
or   O
recent   O
home   O
renovations   O
.   O

On   O
examination   O
,   O
Matilda   B-NAME
Pace   I-NAME
appears   O
in   O
no   O
acute   O
distress   O
but   O
is   O
noted   O
to   O
have   O
a   O
sustained   O
cough   O
during   O
the   O
consultation   O
.   O

Recommendation   O
for   O
Urzua   B-NAME
to   O
maintain   O
hydration   O
and   O
avoid   O
known   O
irritants   O
.   O

Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
2/70   B-DATE
for   O
review   O
of   O
investigation   O
results   O
and   O
potential   O
referral   O
to   O
a   O
pulmonologist   O
based   O
on   O
findings   O
.   O

Signature   O
:   O
Eliezer   B-NAME
Strong   I-NAME
14/16   B-DATE

Patient   O
:   O
Apiatan   B-NAME
Age   O
:   O
28   O
Date   O
of   O
Visit   O
:   O
1933   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
12   I-DATE
/2023   O
Medical   O
Record   O
Number   O
:   O
0935182   B-ID

Blackwell   B-NAME
Hospital   O
:   O
Phoebe   B-LOCATION
Putney   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Bruin   B-LOCATION
Phone   O
:   O
236   B-CONTACT
803   I-CONTACT
3318   I-CONTACT
ID   O
:   O
10   B-ID
-   I-ID
2989283   I-ID
Organization   O
:   O

Upper   B-LOCATION
Peninsula   I-LOCATION
Power   I-LOCATION
Company   I-LOCATION
Zip   O
:   O
77418   B-LOCATION
Profession   O
:   O
TEFL   O
/   O
TESL   O
teacher   O
Clinical   O
Synopsis   O
:   O
Moore   B-NAME
,   I-NAME
Dudley   I-NAME
,   O
a   O
35   O
-   O
year   O
-   O
old   O
Plastic   O
Molding   O
and   O
Casting   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
presented   O
to   O
Platinum   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
at   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Denville   I-LOCATION
on   O
2122   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
29   I-DATE
/2023   O
,   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
that   O
had   O
been   O
increasing   O
in   O
intensity   O
over   O
the   O
past   O
48   O
hours   O
.   O

Maddox   B-NAME
Nolan   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
one   O
episode   O
of   O
diarrhea   O
.   O

Past   O
Medical   O
History   O
:   O
Belva   B-NAME
Calles   I-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
and   O
had   O
undergone   O
an   O
appendectomy   O
at   O
64   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kaleb   B-NAME
Petersen   I-NAME
's   O
vital   O
signs   O
included   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
18   O
/   O
min   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Treatment   O
and   O
Outcome   O
:   O
Given   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
urie   B-NAME
was   O
admitted   O
to   O
Russell   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Russell   I-LOCATION
under   O
the   O
care   O
of   O
Cordova   B-NAME
for   O
further   O
management   O
.   O

Intravenous   O
antibiotics   O
were   O
initiated   O
,   O
and   O
STEVE   B-NAME
NUTT   I-NAME
was   O
scheduled   O
for   O
a   O
diagnostic   O
laparoscopy   O
.   O

The   O
procedure   O
,   O
conducted   O
on   O
M   B-DATE
/2023   O
,   O
confirmed   O
acute   O
appendicitis   O
without   O
rupture   O
.   O

Gary   B-NAME
,   I-NAME
Romain   I-NAME
made   O
an   O
uneventful   O
recovery   O
and   O
was   O
discharged   O
on   O
12/15   B-DATE
/2023   O
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
department   O
.   O

Follow   O
-   O
up   O
:   O
Ellsworth   B-NAME
Garnder   I-NAME
was   O
seen   O
in   O
the   O
outpatient   O
department   O
on   O
5/92   B-DATE
/2023   O
,   O
reporting   O
complete   O
resolution   O
of   O
symptoms   O
.   O

Queen   B-NAME
F.   I-NAME
Hodge   I-NAME
was   O
advised   O
to   O
resume   O
normal   O
activities   O
gradually   O
and   O
was   O
provided   O
with   O
dietary   O
recommendations   O
to   O
manage   O
IBS   O
symptoms   O
.   O

Conclusion   O
:   O
Danny   B-NAME
Kozak   I-NAME
's   O
presentation   O
of   O
acute   O
appendicitis   O
was   O
somewhat   O
atypical   O
given   O
the   O
history   O
of   O
IBS   O
and   O
previous   O
abdominal   O
surgery   O
.   O

Patient   O
Name   O
:   O
ostrowski   B-NAME
Age   O
:   O
22   O
Date   O
of   O
Birth   O
:   O
13/22   B-DATE
Address   O
:   O
630   B-LOCATION
S.   I-LOCATION
Illinois   I-LOCATION
Drive   I-LOCATION
,   O
49257   B-LOCATION
Phone   O
:   O
831   B-CONTACT
6158   I-CONTACT
Occupation   O
:   O

Qarase   B-NAME
,   I-NAME
Laisenia   I-NAME
Admitting   O
Hospital   O
:   O
Coatesville   B-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
10/27/2282   B-DATE
Medical   O
Record   O
Number   O
:   O
40876339   B-ID
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
2476522   I-ID
Username   O
for   O
Hospital   O
Portal   O
:   O
HH8610   B-NAME
Chief   O
Complaint   O
:   O
Yoselin   B-NAME
Patrick   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Holy   B-LOCATION
Family   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
30/21/25   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
an   O
inability   O
to   O
keep   O
down   O
liquids   O
or   O
solids   O
for   O
the   O
last   O
24   O
hours   O
.   O

Angelika   B-NAME
Mammano   I-NAME
also   O
reported   O
experiencing   O
chills   O
and   O
a   O
fever   O
measured   O
at   O
home   O
,   O
peaking   O
at   O
102   O
°   O
F   O
the   O
night   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Henderson   B-NAME
Xin   I-NAME
,   O
a   O
26   O
-   O
year   O
-   O
old   O
programmer   O
,   O
has   O
been   O
in   O
generally   O
good   O
health   O
prior   O
to   O
the   O
onset   O
of   O
symptoms   O
.   O

Upon   O
examination   O
in   O
the   O
emergency   O
department   O
of   O
Warren   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
Dale   B-NAME
Green   I-NAME
had   O
a   O
temperature   O
of   O
101.5   O
°   O
F   O
,   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
pulse   O
of   O
98   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
.   O

Abdominal   O
ultrasonography   O
,   O
performed   O
by   O
Oberst   B-NAME
,   I-NAME
Conor   I-NAME
,   O
indicated   O
an   O
inflamed   O
appendix   O
without   O
evidence   O
of   O
rupture   O
.   O

Treatment   O
:   O
Havel   B-NAME
,   I-NAME
Václav   I-NAME
was   O
admitted   O
to   O
Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Wiggins   B-NAME
and   O
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
32/22   B-DATE
.   O

Postoperatively   O
,   O
Victor   B-NAME
Frankenstein   I-NAME
was   O
given   O
IV   O
fluids   O
and   O
antibiotics   O
.   O

Hospital   O
Course   O
:   O
Theodore   B-NAME
Chandler   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
showed   O
improvement   O
over   O
the   O
subsequent   O
48   O
hours   O
.   O

Ecclestone   B-NAME
,   I-NAME
Bernie   I-NAME
resumed   O
a   O
liquid   O
diet   O
by   O
postoperative   O
day   O
1   O
and   O
progressed   O
to   O
soft   O
foods   O
by   O
postoperative   O
day   O
2   O
.   O

Alexander   B-NAME
Hines   I-NAME
was   O
discharged   O
in   O
stable   O
condition   O
on   O
21/25   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
level   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Zoe   B-NAME
Atkins   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
Eastwood   B-NAME
,   I-NAME
Clint   I-NAME
is   O
scheduled   O
to   O
follow   O
up   O
in   O
the   O
office   O
of   O
Graves   B-NAME
in   O
Sutherlin   B-LOCATION
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
the   O
progress   O
of   O
recovery   O
and   O
wound   O
healing   O
.   O

A   O
contact   O
number   O
,   O
350   B-CONTACT
3365   I-CONTACT
,   O
was   O
provided   O
for   O
any   O
questions   O
or   O
concerns   O
that   O
may   O
arise   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Instructions   O
:   O
Giggles   B-NAME
was   O
educated   O
on   O
signs   O
of   O
infection   O
,   O
the   O
importance   O
of   O
wound   O
care   O
,   O
and   O
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
four   O
weeks   O
.   O

Chambers   B-NAME
,   I-NAME
Oswald   I-NAME
was   O
informed   O
to   O
seek   O
immediate   O
care   O
if   O
experiencing   O
fever   O
,   O
vomiting   O
,   O
severe   O
abdominal   O
pain   O
,   O
or   O
drainage   O
from   O
the   O
incision   O
site   O
.   O

Patient   O
Name   O
:   O
Jack   B-NAME
Parker   I-NAME
Medical   O
Record   O
Number   O
:   O
7741701   B-ID
Date   O
of   O
Birth   O
:   O
1   B-DATE
-   I-DATE
31   I-DATE
Age   O
:   O
8   O
Address   O
:   O
Ambrose   B-LOCATION
,   O
87262   B-LOCATION
Phone   O
Number   O
:   O
38853   B-CONTACT

Donovan   B-NAME
Chavez   I-NAME
Employer   O
:   O
International   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Journalists   I-LOCATION
Occupation   O
:   O
Pension   O
scheme   O
manager   O
Admission   O
Date   O
:   O
33/14   B-DATE
Hospital   O
:   O

INTEGRIS   B-LOCATION
Deaconess   I-LOCATION
Clinical   O
History   O
:   O

Gabriella   B-NAME
Yockey   I-NAME
is   O
a   O
83   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Non   O
-   O
Retail   O
Sales   O
Workers   O
with   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
whom   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
05/04   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
which   O
had   O
begun   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Jack   B-NAME
Stewart   I-NAME
denies   O
any   O
recent   O
head   O
trauma   O
or   O
fever   O
.   O

On   O
examination   O
,   O
Duvall   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Neurological   O
examination   O
carried   O
out   O
by   O
Malone   B-NAME
did   O
not   O
reveal   O
any   O
focal   O
deficits   O
.   O

However   O
,   O
Hope   B-NAME
,   I-NAME
Bob   I-NAME
's   O
response   O
to   O
light   O
was   O
slower   O
than   O
expected   O
.   O

Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
performed   O
on   O
1/2361   B-DATE
did   O
not   O
show   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

Angel   B-NAME
Mason   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
to   O
keep   O
a   O
headache   O
diary   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
07/21/2157   B-DATE
.   O

-   O
Monitor   O
blood   O
pressure   O
and   O
blood   O
sugar   O
levels   O
as   O
instructed   O
by   O
Lloyd   B-NAME
Axton   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
Zavier   B-NAME
Elliott   I-NAME
's   O
condition   O
will   O
be   O
re   O
-   O
evaluated   O
by   O
Palin   B-NAME
,   I-NAME
Michael   I-NAME
during   O
the   O
follow   O
-   O
up   O
visit   O
on   O
01/2023   B-DATE
at   O
Fort   B-LOCATION
Walton   I-LOCATION
Beach   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
urgent   O
concerns   O
,   O
please   O
contact   O
St.   B-LOCATION
Francis   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
14874   B-CONTACT
.   O

To   O
reschedule   O
follow   O
-   O
up   O
appointments   O
,   O
please   O
call   O
the   O
scheduling   O
office   O
at   O
510   B-CONTACT
826   I-CONTACT
-   I-CONTACT
6165   I-CONTACT
.   O

This   O
medical   O
summary   O
is   O
intended   O
for   O
the   O
use   O
of   O
Pasty   B-NAME
Dineen   I-NAME
and   O
the   O
healthcare   O
team   O
.   O

For   O
questions   O
or   O
more   O
information   O
,   O
please   O
contact   O
Deegan   B-NAME
David   I-NAME
at   O
(   B-CONTACT
125   I-CONTACT
)   I-CONTACT
533   I-CONTACT
8256   I-CONTACT
.   O

Document   O
prepared   O
by   O
:   O
WQ523   B-NAME
Date   O
:   O
19/10   B-DATE

Patient   O
ID   O
:   O
9709391   B-ID
12/24   B-DATE
/2023   O
Patient   O
Name   O
:   O
Nabokov   B-NAME
,   I-NAME
Vladimir   I-NAME
Age   O
:   O
9   O
Location   O
:   O
Thomaston   B-LOCATION
Phone   O
Number   O
:   O
465   B-CONTACT
-   I-CONTACT
140   I-CONTACT
-   I-CONTACT
4684   I-CONTACT
Zip   O
Code   O
:   O
63111   B-LOCATION
Doctor   O
:   O
Andrade   B-NAME
Hospital   O
:   O
Providence   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Everett   I-LOCATION
Organization   O
:   O

CapitalSouth   B-LOCATION
Bank   I-LOCATION
Username   O
:   O

AC9710   B-NAME
Profession   O
:   O
Professional   O
Photographers   O
---   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Haleigh   B-NAME
Daniel   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Decatur   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
System   I-LOCATION
on   O
April   B-DATE
22nd   I-DATE
/2023   O
,   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
.   O

Mario   B-NAME
Huynh   I-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Hart   B-NAME
,   I-NAME
Lorenz   I-NAME
also   O
reports   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Hateya   B-NAME
,   O
a   O
57   O
Gas   O
Pumping   O
Station   O
Operators   O
,   O
has   O
no   O
significant   O
past   O
medical   O
history   O
of   O
similar   O
symptoms   O
.   O

Ezekiel   B-NAME
Cross   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
changes   O
in   O
diet   O
.   O

Maximillian   B-NAME
Kaufman   I-NAME
reports   O
no   O
known   O
drug   O
allergies   O
and   O
is   O
currently   O
not   O
on   O
any   O
prescribed   O
medications   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Randolph   B-NAME
appears   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Imaging   O
studies   O
included   O
an   O
abdominal   O
ultrasonography   O
which   O
revealed   O
an   O
inflamed   O
appendix   O
.   O
Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Dogg   B-NAME
,   I-NAME
Snoop   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Bradley   B-NAME
was   O
admitted   O
to   O
Wayne   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
under   O
the   O
care   O
of   O
Amelie   B-NAME
Levine   I-NAME
and   O
the   O
surgical   O
team   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Jacoby   B-NAME
and   O
Bradbury   B-NAME
,   I-NAME
Ray   I-NAME
's   O
family   O
(   O
Geographers   O
)   O
were   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
proposed   O
plan   O
of   O
care   O
.   O

Nobles   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
surgical   O
outpatient   O
department   O
in   O
2   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
the   O
recovery   O
process   O
.   O

For   O
any   O
further   O
information   O
or   O
to   O
report   O
changes   O
in   O
condition   O
,   O
Madelynn   B-NAME
Shaw   I-NAME
or   O
Kendal   B-NAME
Morrow   I-NAME
's   O
family   O
can   O
contact   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Baton   I-LOCATION
Rouge   I-LOCATION
at   O
848   B-CONTACT
-   I-CONTACT
6136   I-CONTACT
.   O

Please   O
ask   O
for   O
Dunlap   B-NAME
's   O
team   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Burch   B-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
9384826   I-ID
Date   O
of   O
Birth   O
:   O
Monday   B-DATE
,   I-DATE
March   I-DATE
Age   O
:   O
43   O
Location   O
:   O
Hudson   B-LOCATION
Medical   O
Record   O
Number   O
:   O
2368225   B-ID
Primary   O
Doctor   O
:   O
Bevel   B-NAME
,   I-NAME
Ken   I-NAME
Hospital   O
:   O
AdventHealth   B-LOCATION
Winter   I-LOCATION
Park   I-LOCATION
Address   O
:   O
Ashton   B-LOCATION
,   O
94477   B-LOCATION
Phone   O
Number   O
:   O
635   B-CONTACT
9451   I-CONTACT
Emergency   O
Contact   O
:   O
105   B-CONTACT
8285   I-CONTACT
Current   O
Profession   O
:   O
Multimedia   O
Artists   O
and   O
Animators   O
Username   O
for   O
Hospital   O
Portal   O
:   O
tfv3610   B-NAME
Admission   O
Date   O
:   O
23/14   B-DATE
Discharge   O
Date   O
:   O
17   B-DATE
-   I-DATE
11   I-DATE
Chief   O
Complaint   O
:   O
Christopher   B-NAME
Leslie   I-NAME
presented   O
to   O
Wellspan   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
21/02   I-DATE
2260   I-DATE
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ryan   B-NAME
Chamberlain   I-NAME
,   O
a   O
police   O
officer   O
by   O
profession   O
,   O
first   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
00/19/1610   B-DATE
,   O
which   O
progressively   O
worsened   O
over   O
a   O
period   O
of   O
48   O
hours   O
.   O

By   O
the   O
evening   O
of   O
5/2   B-DATE
,   O
the   O
discomfort   O
evolved   O
into   O
a   O
sharp   O
pain   O
,   O
prompting   O
Mildred   B-NAME
D.   I-NAME
Yunker   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

Null   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
noticeable   O
loss   O
of   O
appetite   O
since   O
2225   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
23   I-DATE
.   O

Past   O
Medical   O
History   O
:   O
Chassidy   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
mild   O
hypertensive   O
condition   O
controlled   O
with   O
lisinopril   O
.   O

Upon   O
examination   O
on   O
29   B-DATE
-   I-DATE
25   I-DATE
,   O
Luz   B-NAME
Eddy   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slightly   O
elevated   O
temperature   O
of   O
100.4   O
°   O
F   O
.   O

Diagnostic   O
Tests   O
:   O
Initial   O
laboratory   O
tests   O
on   O
2285   B-DATE
showed   O
a   O
mildly   O
elevated   O
white   O
blood   O
cell   O
count   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Taylor   B-NAME
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Under   O
the   O
care   O
of   O
Mastrianni   B-NAME
Berrocal   I-NAME
,   O
Emmett   B-NAME
Cowger   I-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
23/33/2182   B-DATE
at   O
Fox   B-LOCATION
Chase   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
.   O

Max   B-NAME
Carson   I-NAME
was   O
advised   O
to   O
remain   O
in   O
the   O
hospital   O
until   O
22/02/68   B-DATE
for   O
monitoring   O
and   O
to   O
ensure   O
adequate   O
recovery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
4/56   B-DATE
with   O
Wong   B-NAME
to   O
assess   O
recovery   O
progress   O
.   O

Lanka   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
was   O
notified   O
of   O
Elisha   B-NAME
Bodelson   I-NAME
's   O
hospitalization   O
and   O
expected   O
discharge   O
date   O
in   O
order   O
to   O
facilitate   O
any   O
necessary   O
adjustments   O
to   O
Lauren   B-NAME
Swanson   I-NAME
's   O
work   O
responsibilities   O
during   O
the   O
recovery   O
period   O
.   O

Conclusion   O
:   O
Randolph   B-NAME
's   O
acute   O
appendicitis   O
was   O
promptly   O
diagnosed   O
and   O
treated   O
with   O
an   O
emergency   O
appendectomy   O
.   O

Cason   B-NAME
Cobb   I-NAME
is   O
advised   O
to   O
adhere   O
to   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
and   O
follow   O
up   O
with   O
Daniels   B-NAME
as   O
scheduled   O
.   O

Melissande   B-NAME
Bauer   I-NAME
Age   O
:   O
36   O
Date   O
of   O
Birth   O
:   O
July   B-DATE
0rd   I-DATE
Address   O
:   O
Greensboro   B-LOCATION
,   I-LOCATION
Greensboro   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
,   O
28143   B-LOCATION

Phone   O
:   O
552   B-CONTACT
-   I-CONTACT
7181   I-CONTACT
Employment   O
:   O

Translator   O
at   O
Bank   B-LOCATION
of   I-LOCATION
Hiawassee   I-LOCATION
Physician   O
:   O

Jaiden   B-NAME
Randall   I-NAME
Hospital   O
:   O

Saint   B-LOCATION
Joseph   I-LOCATION
Berea   I-LOCATION
Medical   O
Record   O
Number   O
:   O
0   B-ID
-   I-ID
2617317   I-ID
Date   O
of   O
Visit   O
:   O
16/38/82   B-DATE
Chief   O
Complaint   O
:   O
Neal   B-NAME
Joshi   I-NAME
presented   O
to   O
Willingway   B-LOCATION
Hospital   I-LOCATION
on   O
1774   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Angeline   B-NAME
Haney   I-NAME
also   O
reported   O
experiencing   O
diarrhea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Aedan   B-NAME
Conrad   I-NAME
stated   O
that   O
the   O
symptoms   O
began   O
suddenly   O
on   O
the   O
evening   O
of   O
2153   B-DATE
.   O

The   O
abdominal   O
pain   O
was   O
initially   O
mild   O
but   O
gradually   O
intensified   O
,   O
prompting   O
Guillermo   B-NAME
Schwartz   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

Quintillus   B-NAME
Alrod   I-NAME
also   O
mentioned   O
a   O
loss   O
of   O
appetite   O
and   O
the   O
inability   O
to   O
consume   O
solid   O
foods   O
without   O
exacerbating   O
the   O
nausea   O
.   O

Chase   B-NAME
Washington   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
through   O
diet   O
and   O
medication   O
.   O

Christopher   B-NAME
Syn   I-NAME
underwent   O
laparoscopic   O
cholecystectomy   O
approximately   O
10   O
years   O
ago   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
mentioned   O
,   O
Susan   B-NAME
Donaldson   I-NAME
denies   O
any   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
dysuria   O
,   O
or   O
recent   O
travel   O
history   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Frank   B-NAME
Oconnell   I-NAME
was   O
afebrile   O
with   O
a   O
temperature   O
of   O
37.2   O
°   O
C   O
.   O

Plan   O
:   O
Bancroft   B-NAME
,   I-NAME
Anne   I-NAME
was   O
admitted   O
to   O
Danbury   B-LOCATION
Hospital   I-LOCATION
for   O
observation   O
and   O
management   O
.   O

A   O
consultation   O
with   O
a   O
gastroenterologist   O
,   O
Jayvion   B-NAME
Gibson   I-NAME
,   O
has   O
been   O
scheduled   O
for   O
32   B-DATE
to   O
discuss   O
further   O
diagnostic   O
and   O
therapeutic   O
options   O
.   O

The   O
patient   O
and   O
family   O
(   O
contact   O
:   O
457   B-CONTACT
7790   I-CONTACT
)   O
have   O
been   O
informed   O
of   O
the   O
findings   O
and   O
the   O
management   O
plan   O
.   O

Cherish   B-NAME
Freeman   I-NAME
has   O
provided   O
informed   O
consent   O
for   O
the   O
proposed   O
investigations   O
and   O
treatments   O
.   O

Follow   O
-   O
up   O
is   O
planned   O
for   O
32/25/13   B-DATE
in   O
the   O
outpatient   O
clinic   O
to   O
review   O
results   O
and   O
adjust   O
management   O
as   O
necessary   O
.   O

Username   O
for   O
Patient   O
Portal   O
Access   O
:   O
lhn157   B-NAME
Patient   O
ID   O
:   O
PX   B-ID
:   I-ID
SE:1359   I-ID

Patient   O
Name   O
:   O
Kelvin   B-NAME
Yang   I-NAME
Age   O
:   O
68   O
Medical   O
Record   O
Number   O
:   O
0019177   B-ID
Date   O
of   O
Visit   O
:   O
00/09/1844   B-DATE
Attending   O
Physician   O
:   O

Tristian   B-NAME
Lynch   I-NAME
Hospital   O
:   O
Overlake   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Raeford   B-LOCATION
Phone   O
:   O
96971   B-CONTACT
ID   O
:   O
86580345   B-ID
Employer   O
:   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Cootie   I-LOCATION
Occupation   O
:   O
Pressers   O
,   O
Delicate   O
Fabrics   O
Zip   O
Code   O
:   O
14374   B-LOCATION
Username   O
:   O
RU385   B-NAME
Clinical   O
Summary   O
:   O

Roland   B-NAME
Huffman   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
2362   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
03   I-DATE
complaining   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
that   O
has   O
been   O
persistent   O
for   O
the   O
past   O
48   O
hours   O
.   O

Upon   O
examination   O
,   O
Brooks   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Kimberly   B-NAME
Fox   I-NAME
was   O
immediately   O
referred   O
to   O
Windham   B-LOCATION
Community   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
an   O
urgent   O
abdominal   O
ultrasound   O
.   O

Management   O
Plan   O
:   O
-   O
Urgent   O
abdominal   O
ultrasound   O
at   O
University   B-LOCATION
of   I-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Branch   I-LOCATION
-   I-LOCATION
Galveston   I-LOCATION
to   O
confirm   O
the   O
diagnosis   O
.   O

Follow   O
-   O
Up   O
:   O
NOE   B-NAME
,   I-NAME
NATALEY   I-NAME
KINSLEE   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
5/'01   B-DATE
to   O
review   O
the   O
imaging   O
results   O
and   O
post   O
-   O
operative   O
care   O
if   O
surgery   O
is   O
performed   O
.   O

Coordination   O
with   O
Qin   B-NAME
Shi   I-NAME
Huang   I-NAME
at   O
Montefiore   B-LOCATION
Wakefield   I-LOCATION
Campus   I-LOCATION
for   O
surgical   O
care   O
and   O
post   O
-   O
operative   O
management   O
has   O
been   O
established   O
.   O

The   O
patient   O
and   O
family   O
were   O
educated   O
regarding   O
the   O
signs   O
of   O
complications   O
such   O
as   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
fever   O
,   O
and   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
311   B-CONTACT
789   I-CONTACT
-   I-CONTACT
9590   I-CONTACT
with   O
any   O
concerns   O
.   O

Patient   O
Name   O
:   O
Charles   B-NAME
Uher   I-NAME
Medical   O
Record   O
Number   O
:   O
4006201   B-ID
Date   O
of   O
Birth   O
:   O
9   O
Date   O
of   O
Admission   O
:   O
2152   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
31   I-DATE
/2023   O
Attending   O
Physician   O
:   O
Burroughs   B-NAME
,   I-NAME
John   I-NAME
Admitting   O
Facility   O
:   O
KershawHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Residence   O
:   O
198   B-LOCATION
Cottage   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
86054   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
782   I-CONTACT
)   I-CONTACT
465   I-CONTACT
7138   I-CONTACT
Emergency   O
Contact   O
:   O
Library   O
Assistants   O
,   O
Clerical   O
at   O
Colorado   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Referenced   O
by   O
:   O
Dr.   O
VU797   B-NAME
Patient   O
ID   O
:   O
WS   B-ID
:   I-ID
AC:4129   I-ID
*   O
*   O
Clinical   O
Synopsis   O
:*   O
*   O

The   O
patient   O
,   O
NOE   B-NAME
,   I-NAME
NATALEY   I-NAME
KINSLEE   I-NAME
,   O
was   O
admitted   O
to   O
Island   B-LOCATION
Hospital   I-LOCATION
on   O
6/29   B-DATE
/2023   O
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
persistent   O
nausea   O
without   O
vomiting   O
.   O

In   O
addition   O
to   O
these   O
symptoms   O
,   O
Iniguez   B-NAME
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
malaise   O
.   O

*   O
*   O
Physical   O
Examination   O
Findings   O
:*   O
*   O
Upon   O
examination   O
,   O
Bruno   B-NAME
exhibited   O
epigastric   O
tenderness   O
,   O
Murphy   O
’s   O
sign   O
was   O
negative   O
,   O
and   O
there   O
was   O
no   O
jaundice   O
or   O
palpable   O
masses   O
.   O

The   O
management   O
plan   O
for   O
Leverson   B-NAME
,   I-NAME
Ada   I-NAME
included   O
aggressive   O
intravenous   O
hydration   O
,   O
pain   O
management   O
with   O
analgesics   O
,   O
and   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
.   O

Hicks   B-NAME
,   I-NAME
Dan   I-NAME
was   O
monitored   O
for   O
complications   O
,   O
including   O
organ   O
failure   O
and   O
infections   O
,   O
during   O
the   O
hospital   O
stay   O
.   O

*   O
*   O
Disposition   O
:*   O
*   O
Rafael   B-NAME
Haas   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
showed   O
clinical   O
improvement   O
.   O

Kayleigh   B-NAME
White   I-NAME
was   O
discharged   O
on   O
3/1   B-DATE
/2023   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Leanna   B-NAME
Mathis   I-NAME
in   O
two   O
weeks   O
at   O
Children   B-LOCATION
's   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
.   O

In   O
case   O
of   O
emergency   O
or   O
further   O
concerns   O
,   O
Keshawn   B-NAME
Holden   I-NAME
or   O
their   O
emergency   O
contact   O
can   O
reach   O
out   O
to   O
University   B-LOCATION
Hospitals   I-LOCATION
Geauga   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
583   B-CONTACT
-   I-CONTACT
5374   I-CONTACT
.   O

The   O
successful   O
management   O
of   O
acute   O
pancreatitis   O
in   O
Martí   B-NAME
,   I-NAME
José   I-NAME
involved   O
a   O
multidisciplinary   O
approach   O
,   O
including   O
gastroenterology   O
,   O
nutrition   O
,   O
and   O
mental   O
health   O
services   O
.   O

Patient   O
Name   O
:   O
Dayami   B-NAME
Proctor   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
9353142   I-ID
Date   O
of   O
Birth   O
:   O
14/27/12   B-DATE
Age   O
:   O
47s   O
Medical   O
Record   O
Number   O
:   O
0876811   B-ID

Phone   O
Number   O
:   O
31822   B-CONTACT
Address   O
:   O
Mercedes   B-LOCATION
,   O
86873   B-LOCATION
Physician   O
:   O

Ponce   B-NAME
Attending   O
Hospital   O
:   O
Bon   B-LOCATION
Secours   I-LOCATION
DePaul   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
'   B-DATE
33   I-DATE
Date   O
of   O
Discharge   O
:   O
January   B-DATE
2183   I-DATE
Employer   O
:   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Elevator   I-LOCATION
Constructors   I-LOCATION
Occupation   O
:   O
Emergency   O
Medical   O
Technicians   O
and   O
Paramedics   O
Clinical   O
Summary   O
:   O
OLIVIA   B-NAME
PATTY   I-NAME
HOPKINS   I-NAME
presented   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Meridian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/20   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
.   O

The   O
patient   O
's   O
condition   O
was   O
initially   O
assessed   O
by   O
Chloe   B-NAME
Knight   I-NAME
,   O
who   O
ordered   O
a   O
series   O
of   O
tests   O
including   O
a   O
chest   O
X   O
-   O
ray   O
and   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
.   O

Further   O
evaluation   O
by   O
Andre   B-NAME
Wallace   I-NAME
included   O
a   O
high   O
-   O
resolution   O
computed   O
tomography   O
(   O
HRCT   O
)   O
scan   O
of   O
the   O
chest   O
,   O
which   O
identified   O
subtle   O
ground   O
-   O
glass   O
opacities   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
.   O

Wilcox   B-NAME
,   O
a   O
21   O
-   O
year   O
-   O
old   O
Cooks   O
,   O
Short   O
Order   O
employed   O
by   O
Tricare   B-LOCATION
in   O
Wayne   B-LOCATION
,   O
reported   O
no   O
recent   O
travel   O
history   O
or   O
sick   O
contacts   O
.   O

However   O
,   O
Sparta   B-NAME
admitted   O
to   O
increased   O
exposure   O
to   O
environmental   O
allergens   O
due   O
to   O
David   B-NAME
Livesey   I-NAME
's   O
outdoor   O
leisure   O
activities   O
.   O

Nichols   B-NAME
recommended   O
initiation   O
of   O
empiric   O
antibiotic   O
therapy   O
with   O
consideration   O
for   O
further   O
infectious   O
disease   O
workup   O
if   O
the   O
patient   O
's   O
condition   O
did   O
not   O
improve   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Boyd   B-NAME
's   O
symptoms   O
were   O
managed   O
with   O
supportive   O
care   O
,   O
including   O
oxygen   O
supplementation   O
and   O
nebulized   O
bronchodilators   O
.   O

Repeat   O
testing   O
on   O
Monday   B-DATE
showed   O
improvement   O
in   O
white   O
blood   O
cell   O
count   O
and   O
Maximilian   B-NAME
Schaefer   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
symptoms   O
.   O

Oneill   B-NAME
advised   O
a   O
follow   O
-   O
up   O
appointment   O
within   O
two   O
weeks   O
of   O
discharge   O
and   O
prescribed   O
an   O
oral   O
antibiotic   O
course   O
to   O
complete   O
at   O
home   O
.   O

Harold   B-NAME
Nutter   I-NAME
was   O
discharged   O
on   O
11/09   B-DATE
with   O
detailed   O
instructions   O
for   O
medication   O
management   O
and   O
was   O
advised   O
to   O
maintain   O
hydration   O
and   O
rest   O
.   O

Barker   B-NAME
also   O
recommended   O
minimizing   O
exposure   O
to   O
known   O
allergens   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
were   O
to   O
worsen   O
.   O

Follow   O
-   O
Up   O
Contact   O
:   O
95226   B-CONTACT

This   O
report   O
is   O
generated   O
for   O
Julie   B-NAME
Fraser   I-NAME
with   O
the   O
medical   O
record   O
number   O
30011023   B-ID
by   O
the   O
healthcare   O
team   O
at   O
Metro   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
University   I-LOCATION
of   I-LOCATION
MI   I-LOCATION
Health   I-LOCATION
,   O
located   O
in   O
Onsted   B-LOCATION
,   O
under   O
the   O
care   O
of   O
Dr.   O
Roth   B-NAME
.   O

Stephen   B-NAME
Mccullough   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
9485783   I-ID
Medical   O
Record   O
Number   O
:   O
807   B-ID
-   I-ID
78   I-ID
-   I-ID
76   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
42   O
Consultation   O
Date   O
:   O
December   B-DATE
/2023   O

Macy   B-NAME
Mitchell   I-NAME
Hospital   O
:   O
BANNER   B-LOCATION
ESTRELLA   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
Location   O
:   O
North   B-LOCATION
Carolina   I-LOCATION
,   O
95491   B-LOCATION
Contact   O
Number   O
:   O
31868   B-CONTACT
Summary   O
:   O
Noel   B-NAME
French   I-NAME
,   O
a   O
Interior   O
Designers   O
from   O
Catherine   B-LOCATION
,   O
presented   O
to   O
Chesapeake   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Jun   B-DATE
7   I-DATE
,   I-DATE
2122   I-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
persisting   O
for   O
approximately   O
48   O
hours   O
before   O
consultation   O
.   O

Medical   O
History   O
:   O
Tannen   B-NAME
,   I-NAME
Deborah   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

On   O
physical   O
examination   O
,   O
Bryson   B-NAME
Cole   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

The   O
surgical   O
team   O
led   O
by   O
Walters   B-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
performed   O
successfully   O
on   O
New   B-DATE
Years   I-DATE
Day   I-DATE
/2023   O
without   O
complications   O
.   O

Patterson   B-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
pre   O
-   O
operatively   O
and   O
continued   O
post   O
-   O
operatively   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Chase   B-NAME
demonstrated   O
a   O
good   O
post   O
-   O
operative   O
recovery   O
.   O

The   B-NAME
Rock   I-NAME
was   O
discharged   O
on   O
12/23   B-DATE
/2023   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
a   O
course   O
of   O
oral   O
antibiotics   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Gomez   B-NAME
in   O
2   O
weeks   O
.   O

Recommendations   O
:   O
It   O
is   O
recommended   O
that   O
Richard   B-NAME
Finley   I-NAME
follow   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
closely   O
,   O
maintain   O
a   O
diet   O
low   O
in   O
sugar   O
and   O
fat   O
to   O
manage   O
diabetes   O
,   O
and   O
monitor   O
blood   O
pressure   O
regularly   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
symptoms   O
,   O
Jeana   B-NAME
is   O
advised   O
to   O
contact   O
EvergreenHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
910   B-CONTACT
1716   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
immediately   O
.   O

Prepared   O
by   O
:   O
FX679   B-NAME
2/32/95   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ferred   B-NAME
Orlosky   I-NAME
Patient   O
ID   O
:   O
EZ:1092:551649   B-ID
Date   O
of   O
Birth   O
:   O
9/20   B-DATE
Age   O
:   O
99   O
Address   O
:   O
Durham   B-LOCATION
,   O
11283   B-LOCATION
Phone   O
Number   O
:   O
56563   B-CONTACT
Occupation   O
:   O
Medical   O
Transcriptionists   O
Medical   O
Record   O
Number   O
:   O
61437185   B-ID
Admitting   O
Physician   O
:   O

Vance   B-NAME
Giles   I-NAME
Hospital   O
Name   O
:   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Reed   I-LOCATION
City   I-LOCATION
Campus   I-LOCATION
Location   O
of   O
Hospital   O
:   O
Westchase   B-LOCATION
Chief   O
Complaint   O
:   O
DONNIE   B-NAME
YOUNGMAN   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Wuesthoff   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1739   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
06   I-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
that   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Quan   B-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
Chiropractor   O
with   O
a   O
prior   O
medical   O
history   O
of   O
type   O
2   O
diabetes   O
and   O
hypertension   O
,   O
noted   O
the   O
onset   O
of   O
mild   O
abdominal   O
discomfort   O
2144   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
27   I-DATE
ago   O
,   O
which   O
gradually   O
increased   O
in   O
severity   O
.   O

Jaylin   B-NAME
Clarke   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
chills   O
starting   O
in   O
the   O
early   O
hours   O
of   O
7/22/20   B-DATE
.   O
Past   O
Medical   O
History   O
:   O
-   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
in   O
33/30   B-DATE
-   O
Hypertension   O
diagnosed   O
in   O
27/23/83   B-DATE
-   O
No   O
prior   O
surgeries   O
-   O
Allergies   O
:   O
Penicillin   O
Medications   O
:   O
-   O
Metformin   O
500   O
mg   O
twice   O
daily   O
-   O
Lisinopril   O
10   O
mg   O
once   O
daily   O
Social   O
History   O
:   O
Gideon   B-NAME
Mccormick   I-NAME
is   O
a   O
Substance   O
Abuse   O
and   O
Behavioral   O
Disorder   O
Counselors   O
currently   O
employed   O
at   O
Interstellar   B-LOCATION
Commonwealth   I-LOCATION
of   I-LOCATION
Systems   I-LOCATION
in   O
Georgiana   B-LOCATION
.   O

Deanna   B-NAME
Morrison   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
and   O
recreational   O
drugs   O
.   O

Agena   B-NAME
,   I-NAME
Keiko   I-NAME
lives   O
with   O
spouse   O
and   O
two   O
children   O
.   O

General   O
:   O
Calderon   B-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
apparent   O
distress   O
due   O
to   O
pain   O
.   O

Recommended   O
actions   O
include   O
admission   O
to   O
St   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
,   O
including   O
possible   O
surgical   O
intervention   O
.   O

Consultation   O
with   O
the   O
surgical   O
team   O
led   O
by   O
Aguirre   B-NAME
has   O
been   O
arranged   O
.   O

Prepared   O
by   O
:   O
tal434   B-NAME
Date   O
:   O
2097   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
14   I-DATE
Contact   O
Information   O
:   O
66876   B-CONTACT

Patient   O
Name   O
:   O
Shyla   B-NAME
Patterson   I-NAME
Patient   O
ID   O
:   O
GE:56587:339591   B-ID
Medical   O
Record   O
Number   O
:   O
282   B-ID
-   I-ID
34   I-ID
-   I-ID
38   I-ID
Date   O
of   O
Birth   O
:   O
September   B-DATE
Age   O
:   O
85   O
Address   O
:   O
North   B-LOCATION
Freedom   I-LOCATION
,   O
93457   B-LOCATION
Phone   O
Number   O
:   O
115   B-CONTACT
7003   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Giovanny   B-NAME
Burch   I-NAME
Treatment   O
Facility   O
:   O
Missouri   B-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
0/21   B-DATE
Date   O
of   O
Report   O
:   O
'   B-DATE
70   I-DATE
Patient   O
Leana   B-NAME
was   O
admitted   O
to   O
Gerber   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
on   O
2000   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Darwin   B-NAME
Noble   I-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
he   O
/   O
she   O
takes   O
medication   O
regularly   O
.   O

Upon   O
arrival   O
,   O
Reeve   B-NAME
,   I-NAME
Christopher   I-NAME
was   O
immediately   O
assessed   O
.   O

The   O
treatment   O
team   O
,   O
led   O
by   O
Hancock   B-NAME
,   O
initiated   O
management   O
using   O
aspirin   O
,   O
162   O
mg   O
orally   O
,   O
followed   O
by   O
a   O
loading   O
dose   O
of   O
clopidogrel   O
.   O

Hayden   B-NAME
was   O
moved   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
for   O
further   O
monitoring   O
and   O
treatment   O
.   O

Medical   O
Record   O
Number   O
:   O
8756449   B-ID
was   O
updated   O
with   O
the   O
treatment   O
details   O
,   O
including   O
all   O
administered   O
medications   O
and   O
dosages   O
,   O
observations   O
during   O
the   O
initial   O
assessment   O
,   O
and   O
planned   O
interventions   O
.   O

Scheduled   O
follow   O
-   O
ups   O
and   O
a   O
detailed   O
plan   O
for   O
cardiac   O
rehabilitation   O
were   O
discussed   O
with   O
Dexter   B-NAME
Navarro   I-NAME
.   O

In   O
the   O
case   O
of   O
any   O
changes   O
in   O
condition   O
or   O
for   O
further   O
information   O
,   O
the   O
medical   O
staff   O
can   O
be   O
reached   O
at   O
234   B-CONTACT
-   I-CONTACT
6384   I-CONTACT
.   O

Uriah   B-NAME
Schwartz   I-NAME
or   O
relatives   O
with   O
the   O
provided   O
access   O
code   O
VJ420   B-NAME
are   O
allowed   O
to   O
inquire   O
about   O
patient   O
status   O
,   O
access   O
health   O
records   O
through   O
our   O
patient   O
portal   O
provided   O
by   O
Willmar   B-LOCATION
Municipal   I-LOCATION
Utilities   I-LOCATION
,   O
or   O
visit   O
Polo   B-LOCATION
in   O
accordance   O
with   O
visiting   O
hours   O
policies   O
.   O

This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Vincent   B-NAME
A.   I-NAME
Xayavong   I-NAME
,   O
his   O
/   O
her   O
legal   O
representatives   O
,   O
and   O
the   O
treating   O
medical   O
team   O
.   O

Further   O
inquiries   O
should   O
be   O
directed   O
to   O
the   O
Health   O
Information   O
Management   O
Department   O
at   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Parkridge   I-LOCATION
Hospital   I-LOCATION
.   O

Note   O
:   O
Please   O
ensure   O
all   O
patient   O
inquiries   O
include   O
the   O
Medical   O
Record   O
Number   O
63937845   B-ID
and   O
the   O
patient   O
's   O
ID   O
YW   B-ID
:   I-ID
FO:6697   I-ID
for   O
verification   O
purposes   O
.   O

Report   O
Signed   O
by   O
:   O
Damon   B-NAME
Bradley   I-NAME
06/36   B-DATE

The   O
patient   O
,   O
Kinley   B-NAME
Payne   I-NAME
,   O
a   O
Platemakers   O
from   O
Gowanda   B-LOCATION
,   O
was   O
seen   O
at   O
Otsego   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
29/24/2184   B-DATE
for   O
an   O
evaluation   O
of   O
symptoms   O
that   O
started   O
approximately   O
2   O
weeks   O
prior   O
.   O

Kadyn   B-NAME
Garza   I-NAME
reported   O
a   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fever   O
peaking   O
at   O
38.5   O
°   O
C   O
.   O

Upon   O
examination   O
,   O
Buck   B-NAME
noted   O
that   O
Florence   B-NAME
Heather   I-NAME
Gil   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

These   O
findings   O
led   O
Terrence   B-NAME
Doyle   I-NAME
to   O
suspect   O
a   O
bacterial   O
pneumonia   O
superimposed   O
on   O
a   O
possible   O
viral   O
infection   O
.   O

Anthony   B-NAME
Giles   I-NAME
was   O
admitted   O
to   O
South   B-LOCATION
Seminole   I-LOCATION
Hospital   I-LOCATION
under   O
647   B-ID
-   I-ID
70   I-ID
-   I-ID
34   I-ID
and   O
initiated   O
on   O
empiric   O
antibiotic   O
therapy   O
with   O
azithromycin   O
and   O
ceftriaxone   O
.   O

Given   O
the   O
presence   O
of   O
underlying   O
diabetes   O
and   O
observed   O
hypoxemia   O
,   O
Cruz   B-NAME
Reyes   I-NAME
also   O
decided   O
to   O
start   O
Olson   B-NAME
on   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
.   O

Camren   B-NAME
Carney   I-NAME
's   O
condition   O
was   O
carefully   O
monitored   O
over   O
the   O
following   O
days   O
.   O

Throughout   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Mcintosh   B-NAME
's   O
condition   O
showed   O
gradual   O
improvement   O
.   O

The   O
fever   O
resolved   O
by   O
09/49   B-DATE
,   O
and   O
oxygen   O
saturation   O
levels   O
stabilized   O
above   O
95   O
%   O
without   O
the   O
need   O
for   O
supplemental   O
oxygen   O
.   O

The   O
Chaney   B-NAME
was   O
discharged   O
on   O
2156   B-DATE
with   O
instructions   O
to   O
complete   O
a   O
course   O
of   O
oral   O
antibiotics   O
,   O
remain   O
well   O
-   O
hydrated   O
,   O
and   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Sonny   B-NAME
Richard   I-NAME
in   O
two   O
weeks   O
.   O

A   O
follow   O
-   O
up   O
call   O
to   O
49672   B-CONTACT
on   O
11/04/1602   B-DATE
confirmed   O
that   O
Craig   B-NAME
was   O
recovering   O
well   O
at   O
home   O
without   O
any   O
complaints   O
.   O

Najee   B-NAME
Yuan   I-NAME
was   O
reminded   O
to   O
monitor   O
blood   O
sugar   O
levels   O
closely   O
given   O
the   O
temporary   O
stress   O
of   O
illness   O
and   O
antibiotic   O
therapy   O
on   O
glycemic   O
control   O
.   O

Patient   O
Name   O
:   O
Keenan   B-NAME
Sanchez   I-NAME
Patient   O
ID   O
:   O
533460   B-ID
Medical   O
Record   O
Number   O
:   O
3754816   B-ID
Age   O
:   O
53   O
Date   O
of   O
Initial   O
Consultation   O
:   O
22/22   B-DATE
/2023   O
Attending   O
Physician   O
:   O

Donovan   B-NAME
Booker   I-NAME
Hospital   O
:   O
Ray   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Nectar   B-LOCATION
Phone   O
Number   O
:   O
348   B-CONTACT
-   I-CONTACT
462   I-CONTACT
-   I-CONTACT
3078   I-CONTACT
Zip   O
Code   O
:   O
32741   B-LOCATION
Employment   O
:   O

Recreational   O
Vehicle   O
Service   O
Technicians   O
Username   O
:   O
imv738   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Jaelynn   B-NAME
Burke   I-NAME
,   O
presented   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Pittsburgh   I-LOCATION
on   O
02/00/14   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
left   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Ali   B-NAME
Yu   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jan   B-NAME
Freeman   I-NAME
described   O
the   O
pain   O
as   O
cramping   O
in   O
nature   O
,   O
with   O
intermittent   O
episodes   O
of   O
sharp   O
,   O
stabbing   O
sensations   O
that   O
radiated   O
to   O
the   O
back   O
.   O

Past   O
Medical   O
History   O
:   O
Andersen   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
on   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
diet   O
and   O
oral   O
hypoglycemic   O
agents   O
.   O

Review   O
of   O
Systems   O
:   O
Significant   O
for   O
weight   O
loss   O
of   O
1   O
pounds   O
over   O
the   O
last   O
two   O
months   O
,   O
which   O
Henson   B-NAME
attributes   O
to   O
a   O
reduced   O
appetite   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Lilianna   B-NAME
Sheppard   I-NAME
's   O
temperature   O
was   O
37.8   O
°   O
C   O
,   O
blood   O
pressure   O
135/85   O
mmHg   O
,   O
pulse   O
98   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
.   O

Abdominal   O
and   O
pelvic   O
CT   O
scan   O
with   O
contrast   O
was   O
scheduled   O
to   O
further   O
evaluate   O
the   O
cause   O
of   O
Max   B-NAME
Von   I-NAME
Sydow   I-NAME
's   O
abdominal   O
pain   O
.   O

Admit   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
and   O
management   O
2   O
.   O

Consult   O
gastroenterology   O
for   O
further   O
evaluation   O
and   O
management   O
Follow   O
-   O
up   O
:   O
Harrison   B-NAME
Davis   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
examination   O
on   O
36/22/93   B-DATE
/2023   O
to   O
reassess   O
symptoms   O
and   O
review   O
diagnostic   O
test   O
results   O
.   O

Notes   O
:   O
Communication   O
with   O
Jack   B-NAME
Parker   I-NAME
has   O
been   O
documented   O
and   O
instructions   O
relayed   O
for   O
post   O
-   O
discharge   O
care   O
.   O

Brandon   B-NAME
Neilson   I-NAME
expressed   O
understanding   O
and   O
consented   O
to   O
the   O
proposed   O
treatment   O
plan   O
.   O

The   O
emergency   O
contact   O
listed   O
,   O
Griffin   B-NAME
Wilson   I-NAME
's   O
First   O
-   O
Line   O
Supervisors   O
of   O
Correctional   O
Officers   O
,   O
was   O
informed   O
of   O
the   O
current   O
situation   O
and   O
the   O
treatment   O
plan   O
via   O
60785   B-CONTACT
on   O
11/39   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Kaleb   B-NAME
Carroll   I-NAME
Age   O
:   O
94   O
ID   O
:   O
973542899   B-ID
Medical   O
Record   O
:   O
54534493   B-ID
Admission   O
Date   O
:   O
2/26   B-DATE
/2023   O
Discharge   O
Date   O
:   O

20/35   B-DATE
/2023   O
Hospital   O
:   O
Spring   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Primary   O
Doctor   O
:   O
Mcdaniel   B-NAME
Location   O
:   O
St.   B-LOCATION
Xavier   I-LOCATION
Zip   O
Code   O
:   O
22775   B-LOCATION
Contact   O
Number   O
:   O
933   B-CONTACT
-   I-CONTACT
5317   I-CONTACT
Summary   O
:   O
Spring   B-NAME
Vandilus   I-NAME
,   O
a   O
Diplomatic   O
service   O
from   O
Glen   B-LOCATION
Head   I-LOCATION
,   O
presented   O
to   O
Liberty   B-LOCATION
Hospital   I-LOCATION
on   O
2113   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Upon   O
examination   O
,   O
George   B-NAME
T.   I-NAME
Rutledge   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
with   O
notable   O
pallor   O
.   O

Given   O
these   O
findings   O
,   O
Watts   B-NAME
underwent   O
an   O
emergent   O
coronary   O
angiography   O
as   O
recommended   O
by   O
Cash   B-NAME
Hart   I-NAME
,   O
revealing   O
significant   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O
Treatment   O
and   O
Outcome   O
:   O
Korbin   B-NAME
Herrera   I-NAME
immediately   O
received   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
as   O
part   O
of   O
the   O
acute   O
coronary   O
syndrome   O
(   O
ACS   O
)   O
management   O
protocol   O
.   O

Nancie   B-NAME
Kiel   I-NAME
's   O
symptoms   O
rapidly   O
improved   O
following   O
the   O
procedure   O
.   O

Boyer   B-NAME
was   O
closely   O
monitored   O
in   O
the   O
cardiac   O
care   O
unit   O
.   O

Destinee   B-NAME
Rivera   I-NAME
initiated   O
a   O
beta   O
-   O
blocker   O
,   O
statin   O
therapy   O
,   O
and   O
optimized   O
the   O
antihypertensive   O
and   O
antidiabetic   O
medications   O
during   O
the   O
hospital   O
stay   O
.   O

Dietary   O
and   O
lifestyle   O
modifications   O
were   O
strongly   O
recommended   O
,   O
and   O
Quinton   B-NAME
Lovett   I-NAME
was   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
upon   O
discharge   O
.   O

Follow   O
-   O
up   O
:   O
Foster   B-NAME
,   I-NAME
Sir   I-NAME
Robert   I-NAME
Sidney   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Marsh   B-NAME
at   O
NYU   B-LOCATION
Langone   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Brooklyn   I-LOCATION
in   O
3121   B-DATE
.   O

Additional   O
Information   O
:   O
Contact   O
East   B-LOCATION
Orange   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
111   I-CONTACT
)   I-CONTACT
316   I-CONTACT
1616   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
.   O

Patient   O
Report   O
:   O
07/26   B-DATE
-   O
Mark   B-NAME
Bellows   I-NAME
,   O
a   O
81s   O
-   O
year   O
-   O
old   O
Criminal   O
Justice   O
and   O
Law   O
Enforcement   O
Teachers   O
,   O
Postsecondary   O
from   O
Park   B-LOCATION
Ridge   I-LOCATION
,   O
presented   O
to   O
Mineral   B-LOCATION
Area   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
unexplained   O
weight   O
loss   O
over   O
the   O
past   O
two   O
months   O
.   O

Upon   O
examination   O
,   O
Killian   B-NAME
Santana   I-NAME
exhibited   O
an   O
elevated   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
a   O
heart   O
rate   O
of   O
88   O
beats   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

No   O
clubbing   O
was   O
observed   O
but   O
there   O
was   O
noticeable   O
loss   O
of   O
weight   O
since   O
the   O
last   O
recorded   O
visit   O
on   O
2351   B-DATE
.   O

Diagnostic   O
tests   O
including   O
a   O
chest   O
X   O
-   O
ray   O
and   O
high   O
-   O
resolution   O
computed   O
tomography   O
(   O
HRCT   O
)   O
scan   O
were   O
ordered   O
by   O
Laci   B-NAME
Gallagher   I-NAME
.   O

An   O
autoimmune   O
panel   O
was   O
also   O
requested   O
considering   O
the   O
differential   O
diagnosis   O
that   O
included   O
connective   O
tissue   O
diseases   O
.   O
869   B-CONTACT
881   I-CONTACT
8067   I-CONTACT
was   O
the   O
contact   O
number   O
provided   O
for   O
any   O
follow   O
-   O
up   O
communication   O
.   O

Additionally   O
,   O
a   O
next   O
-   O
of   O
-   O
kin   O
,   O
listed   O
as   O
KV293   B-NAME
,   O
was   O
noted   O
to   O
be   O
the   O
patient   O
's   O
emergency   O
contact   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2116   B-DATE
in   O
Elbert   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
pulmonology   O
department   O
for   O
further   O
evaluation   O
and   O
to   O
discuss   O
the   O
findings   O
of   O
the   O
autoimmune   O
panel   O
.   O

Valery   B-NAME
Savage   I-NAME
,   O
specializing   O
in   O
pulmonary   O
diseases   O
,   O
emphasized   O
the   O
importance   O
of   O
quitting   O
smoking   O
and   O
prescribed   O
supplementary   O
oxygen   O
to   O
be   O
used   O
as   O
needed   O
.   O

A   O
medical   O
record   O
number   O
799   B-ID
-   I-ID
31   I-ID
-   I-ID
03   I-ID
-   I-ID
0   I-ID
and   O
an   O
identification   O
number   O
ZF:54448:763481   B-ID
were   O
assigned   O
for   O
documentation   O
and   O
billing   O
purposes   O
.   O

The   O
patient   O
resides   O
in   O
48286   B-LOCATION
and   O
further   O
instructions   O
were   O
mailed   O
to   O
this   O
address   O
.   O

The   O
above   O
details   O
accurately   O
encapsulate   O
the   O
clinical   O
encounter   O
and   O
planned   O
interventions   O
for   O
Adsila   B-NAME
as   O
of   O
30/2   B-DATE
.   O

Fisher   B-NAME
Bush   I-NAME
Patient   O
ID   O
:   O
5918436   B-ID
Medical   O
Record   O
Number   O
:   O
108   B-ID
-   I-ID
76   I-ID
-   I-ID
50   I-ID
Date   O
of   O
Birth   O
:   O
18/06   B-DATE
Phone   O
Number   O
:   O
322   B-CONTACT
5814   I-CONTACT
Address   O
:   O
Hughes   B-LOCATION
,   O
94198   B-LOCATION
Employment   O
:   O
Tourist   O
information   O
manager   O
at   O
American   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Admitting   O
Physician   O
:   O
Davies   B-NAME
Admitting   O
Hospital   O
:   O
Englewood   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/82   B-DATE
Username   O
:   O
QB647   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
34   O
-   O
year   O
-   O
old   O
Dietitians   O
and   O
Nutritionists   O
employed   O
at   O
Ideal   B-LOCATION
Federal   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
,   O
presented   O
to   O
USC   B-LOCATION
Verdugo   I-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
on   O
0/32   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodic   O
vomiting   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Sloan   B-NAME
first   O
noticed   O
the   O
abdominal   O
discomfort   O
late   O
in   O
the   O
evening   O
on   O
02/35   B-DATE
.   O

Associated   O
symptoms   O
developed   O
,   O
including   O
nausea   O
without   O
emesis   O
,   O
until   O
the   O
early   O
hours   O
of   O
2150   B-DATE
when   O
vomiting   O
episodes   O
began   O
,   O
occurring   O
approximately   O
three   O
to   O
four   O
times   O
,   O
devoid   O
of   O
blood   O
or   O
bile   O
.   O

Past   O
Medical   O
History   O
:   O
Notably   O
,   O
Zariah   B-NAME
Hartman   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
managed   O
with   O
medication   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Rolland   B-NAME
Muck   I-NAME
's   O
temperature   O
was   O
38.5   O
°   O
C   O
,   O
pulse   O
98   O
bpm   O
,   O
and   O
blood   O
pressure   O
130/85   O
mmHg   O
.   O

Management   O
:   O
Based   O
on   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Makenzie   B-NAME
Mcclure   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Beckie   B-NAME
Kosters   I-NAME
was   O
made   O
NPO   O
(   O
nil   O
per   O
os   O
,   O
nothing   O
by   O
mouth   O
)   O
,   O
initiated   O
on   O
IV   O
fluids   O
,   O
and   O
started   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
pending   O
surgical   O
intervention   O
.   O

Surgical   O
Outcome   O
:   O
The   O
patient   O
underwent   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
1935   B-DATE
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Katelynn   B-NAME
Washington   I-NAME
was   O
discharged   O
on   O
2365   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
31   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
one   O
week   O
.   O

Instructions   O
for   O
Follow   O
-   O
Up   O
:   O
Marshall   B-NAME
O.   I-NAME
Lehman   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
avoid   O
heavy   O
lifting   O
,   O
and   O
gradually   O
resume   O
activities   O
as   O
tolerated   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Munoz   B-NAME
at   O
MercyOne   B-LOCATION
Cedar   I-LOCATION
Falls   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
October   B-DATE
2324   I-DATE
.   O

Prepared   O
by   O
:   O
Gamble   B-NAME
Phone   O
Number   O
:   O
780   B-CONTACT
-   I-CONTACT
6239   I-CONTACT
Date   O
:   O
08/04   B-DATE

The   O
patient   O
,   O
Fowler   B-NAME
,   O
a   O
6   O
month   O
-   O
year   O
-   O
old   O
Engineers   O
,   O
All   O
Other   O
from   O
Sugar   B-LOCATION
Land   I-LOCATION
,   O
42859   B-LOCATION
,   O
presented   O
with   O
multiple   O
symptoms   O
on   O
02/24   B-DATE
.   O

In   O
addition   O
to   O
the   O
cough   O
,   O
Anderson   B-NAME
Buckley   I-NAME
reported   O
experiencing   O
shortness   O
of   O
breath   O
,   O
particularly   O
with   O
exertion   O
,   O
and   O
an   O
intermittent   O
fever   O
peaking   O
at   O
38.5   O
°   O
C   O
.   O

Aldrich   B-NAME
was   O
seen   O
at   O
NorthBay   B-LOCATION
VacaValley   I-LOCATION
Hospital   I-LOCATION
where   O
a   O
detailed   O
evaluation   O
was   O
conducted   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Belial   B-NAME
Nickas   I-NAME
,   O
conducted   O
a   O
series   O
of   O
tests   O
including   O
chest   O
X   O
-   O
rays   O
and   O
blood   O
tests   O
.   O

Given   O
these   O
findings   O
,   O
Garrett   B-NAME
initiated   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
and   O
Whitney   B-NAME
Keller   I-NAME
was   O
advised   O
to   O
increase   O
fluid   O
intake   O
and   O
prescribed   O
a   O
course   O
of   O
a   O
new   O
asthma   O
inhaler   O
with   O
corticosteroids   O
to   O
manage   O
the   O
asthma   O
more   O
effectively   O
during   O
this   O
period   O
.   O

Brodie   B-NAME
Sullivan   I-NAME
's   O
52655169   B-ID
number   O
AY:89935:716799   B-ID
has   O
been   O
kept   O
on   O
file   O
for   O
follow   O
-   O
up   O
appointments   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
01/26/1844   B-DATE
,   O
at   O
which   O
point   O
the   O
response   O
to   O
treatment   O
will   O
be   O
reassessed   O
.   O

Instructions   O
were   O
given   O
to   O
the   O
Ito   B-NAME
on   O
signs   O
to   O
watch   O
for   O
that   O
would   O
necessitate   O
an   O
earlier   O
revisit   O
to   O
the   O
hospital   O
,   O
including   O
increased   O
difficulty   O
breathing   O
or   O
persistent   O
high   O
fever   O
.   O

Da'nailed   B-NAME
Lyme   I-NAME
was   O
provided   O
with   O
educational   O
material   O
on   O
pneumonia   O
,   O
its   O
implications   O
on   O
asthma   O
,   O
and   O
the   O
importance   O
of   O
completing   O
the   O
antibiotic   O
course   O
.   O

Contact   O
information   O
,   O
(   B-CONTACT
790   I-CONTACT
)   I-CONTACT
998   I-CONTACT
7032   I-CONTACT
,   O
was   O
updated   O
to   O
ensure   O
effective   O
communication   O
for   O
any   O
adjustments   O
in   O
the   O
treatment   O
protocol   O
or   O
to   O
address   O
any   O
concerns   O
that   O
might   O
arise   O
.   O

The   O
American   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Clinical   I-LOCATION
Chemistry   I-LOCATION
where   O
Signe   B-NAME
Auala   I-NAME
is   O
employed   O
has   O
been   O
notified   O
of   O
the   O
situation   O
,   O
with   O
a   O
detailed   O
medical   O
certificate   O
issued   O
to   O
excuse   O
Maddox   B-NAME
Wilkins   I-NAME
from   O
work   O
for   O
a   O
period   O
of   O
14   O
days   O
,   O
to   O
allow   O
for   O
sufficient   O
recovery   O
time   O
.   O

The   O
Commonwealth   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
was   O
advised   O
to   O
contact   O
our   O
office   O
through   O
the   O
provided   O
phone   O
number   O
,   O
632   B-CONTACT
-   I-CONTACT
1302   I-CONTACT
,   O
should   O
they   O
need   O
further   O
information   O
regarding   O
Delacruz   B-NAME
's   O
health   O
condition   O
and   O
estimated   O
time   O
of   O
return   O
to   O
work   O
.   O

In   O
summary   O
,   O
the   O
patient   O
,   O
Jimmy   B-NAME
Ray   I-NAME
,   O
is   O
currently   O
under   O
a   O
prescribed   O
treatment   O
plan   O
for   O
atypical   O
pneumonia   O
with   O
a   O
close   O
follow   O
-   O
up   O
strategy   O
.   O

Our   O
medical   O
team   O
at   O
Abbeville   B-LOCATION
Area   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
optimistic   O
about   O
a   O
full   O
recovery   O
given   O
the   O
patient   O
's   O
otherwise   O
good   O
health   O
status   O
and   O
compliance   O
with   O
the   O
treatment   O
plan   O
.   O

Further   O
updates   O
on   O
Eaton   B-NAME
's   O
recovery   O
progress   O
will   O
be   O
documented   O
in   O
the   O
medical   O
file   O
630   B-ID
-   I-ID
98   I-ID
-   I-ID
15   I-ID
-   I-ID
4   I-ID
and   O
communicated   O
accordingly   O
.   O

Patient   O
:   O
Melvin   B-NAME
Rosales   I-NAME
DOB   O
:   O
2/2220   B-DATE
Age   O
:   O
14   O
Medical   O
Record   O
Number   O
:   O
7000008   B-ID
ID   O
:   O
YB:241076:117162   B-ID

Address   O
:   O
Millerstown   B-LOCATION
,   O
86040   B-LOCATION
Phone   O
:   O
701   B-CONTACT
843   I-CONTACT
-   I-CONTACT
4539   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Hutchinson   B-NAME
Admitting   O
Hospital   O
:   O

Clark   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
2291   B-DATE
Profession   O
:   O
Data   O
Processing   O
Equipment   O
Repairers   O
Username   O
for   O
portal   O
login   O
:   O
wuy54   B-NAME
Chief   O
Complaint   O
:   O

Patient   O
Margaret   B-NAME
Erik   I-NAME
Alvarez   I-NAME
presented   O
to   O
Christiana   B-LOCATION
Care   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Wilmington   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
32   I-DATE
,   I-DATE
2009   I-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
their   O
head   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Conchita   B-NAME
,   O
a   O
58   O
-   O
year   O
-   O
old   O
designer   O
,   O
has   O
been   O
experiencing   O
unilateral   O
headaches   O
with   O
the   O
aforementioned   O
characteristics   O
.   O

Chamberlain   B-NAME
noted   O
that   O
the   O
headaches   O
are   O
often   O
triggered   O
by   O
stress   O
and   O
lack   O
of   O
sleep   O
,   O
with   O
a   O
significant   O
impact   O
on   O
their   O
daily   O
activities   O
and   O
work   O
performance   O
as   O
a   O
Supply   O
Chain   O
Managers   O
.   O

Past   O
Medical   O
History   O
:   O
Queen   B-NAME
Olivares   I-NAME
has   O
a   O
history   O
of   O
seasonal   O
allergies   O
,   O
controlled   O
with   O
over   O
-   O
the   O
-   O
counter   O
antihistamines   O
.   O

Terrence   B-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
consumption   O
,   O
specifically   O
red   O
wine   O
,   O
which   O
they   O
noted   O
may   O
sometimes   O
precede   O
a   O
headache   O
episode   O
.   O

Meredith   B-NAME
Rios   I-NAME
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Xavier   B-NAME
Rivers   I-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
no   O
acute   O
distress   O
.   O

-   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
1781   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
07   I-DATE
with   O
Lam   B-NAME
for   O
a   O
review   O
of   O
the   O
response   O
to   O
treatment   O
and   O
headache   O
diary   O
.   O

Terry   B-NAME
Iyer   I-NAME
was   O
encouraged   O
to   O
contact   O
Strong   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
or   O
Jeff   B-NAME
House   I-NAME
's   O
office   O
at   O
29043   B-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Tilph   B-NAME
Date   O
of   O
Birth   O
:   O
02/28/2329   B-DATE
Age   O
:   O
9   O
month   O
Medical   O
Record   O
Number   O
:   O
54521932   B-ID
Health   O
Plan   O
Number   O
:   O
996419756   B-ID
Patient   O
Location   O
:   O
Seven   B-LOCATION
Springs   I-LOCATION
Zip   O
Code   O
:   O
70214   B-LOCATION
Phone   O
Number   O
:   O
84243   B-CONTACT

Dawson   B-NAME
Clay   I-NAME
Hospital   O
Name   O
:   O
Lifecare   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaint   O
:   O
Angeni   B-NAME
was   O
admitted   O
to   O
MultiCare   B-LOCATION
Allenmore   I-LOCATION
Hospital   I-LOCATION
on   O
0/30/21   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Heidi   B-NAME
Bond   I-NAME
reported   O
the   O
pain   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
,   O
with   O
episodes   O
of   O
worsening   O
pain   O
following   O
meals   O
.   O

Medical   O
History   O
:   O
Cedric   B-NAME
Bullock   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
and   O
diet   O
modification   O
.   O

Dj'Ohe   B-NAME
also   O
has   O
hypertension   O
controlled   O
with   O
medication   O
.   O

The   O
family   O
history   O
includes   O
coronary   O
artery   O
disease   O
in   O
Oren   B-NAME
S.   I-NAME
Ip   I-NAME
's   O
father   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Stephanie   B-NAME
Brody   I-NAME
appeared   O
in   O
acute   O
distress   O
with   O
pallor   O
and   O
diaphoresis   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
32/03   B-DATE
showed   O
signs   O
consistent   O
with   O
acute   O
pancreatitis   O
,   O
including   O
enlargement   O
of   O
the   O
pancreas   O
and   O
peripancreatic   O
fluid   O
collection   O
.   O

Management   O
:   O
Brooke   B-NAME
Barrett   I-NAME
was   O
managed   O
with   O
IV   O
fluids   O
,   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
,   O
and   O
pain   O
control   O
with   O
IV   O
analgesics   O
.   O

Schwartz   B-NAME
's   O
condition   O
improved   O
with   O
the   O
conservative   O
management   O
,   O
and   O
Roy   B-NAME
Suarez   I-NAME
was   O
gradually   O
introduced   O
to   O
a   O
low   O
-   O
fat   O
diet   O
without   O
the   O
return   O
of   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
Debra   B-NAME
Y   I-NAME
Xin   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Sallust   B-NAME
in   O
Federated   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
's   O
outpatient   O
department   O
on   O
1929   B-DATE
.   O

Emma   B-NAME
S.   I-NAME
Crane   I-NAME
was   O
advised   O
on   O
lifestyle   O
and   O
diet   O
modifications   O
to   O
manage   O
diabetes   O
and   O
prevent   O
recurrent   O
pancreatitis   O
.   O

For   O
any   O
queries   O
or   O
further   O
assistance   O
,   O
Aarav   B-NAME
Peterson   I-NAME
can   O
contact   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
at   O
558   B-CONTACT
218   I-CONTACT
-   I-CONTACT
3124   I-CONTACT
.   O

Prepared   O
by   O
:   O
gm504   B-NAME
,   O
Medical   O
Records   O
Department   O
Northern   B-LOCATION
Light   I-LOCATION
Maine   I-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
13/15/30   B-DATE

The   O
patient   O
,   O
Roger   B-NAME
Hurley   I-NAME
,   O
a   O
Farmers   O
,   O
Ranchers   O
,   O
and   O
Other   O
Agricultural   O
Managers   O
from   O
Stonerstown   B-LOCATION
,   O
presented   O
to   O
West   B-LOCATION
Side   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
dyspnea   O
on   O
exertion   O
,   O
and   O
intermittent   O
chest   O
pain   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
00/30/1706   B-DATE
.   O

Bullock   B-NAME
,   I-NAME
Sandra   I-NAME
reports   O
no   O
recent   O
illnesses   O
,   O
travel   O
history   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Upon   O
examination   O
,   O
67   O
year   O
-   O
old   O
Tony   B-NAME
Wilkinson   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
breathing   O
difficulties   O
.   O

Colten   B-NAME
Morales   I-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
mild   O
asthma   O
and   O
seasonal   O
allergies   O
.   O

Havok   B-NAME
,   I-NAME
Davey   I-NAME
denied   O
smoking   O
tobacco   O
but   O
admitted   O
to   O
occasional   O
e   O
-   O
cigarette   O
use   O
.   O

Moses   B-NAME
recommended   O
starting   O
Mike   B-NAME
Morton   I-NAME
on   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
an   O
inhaled   O
corticosteroid   O
,   O
and   O
bronchodilators   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
02/83   B-DATE
to   O
reassess   O
Copernicus   B-NAME
,   I-NAME
Nicolaus   I-NAME
's   O
condition   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

Beck   B-NAME
documented   O
these   O
findings   O
in   O
Deeann   B-NAME
's   O
electronic   O
medical   O
record   O
,   O
11421550   B-ID
.   O

Instructions   O
for   O
care   O
,   O
including   O
prescription   O
details   O
and   O
lifestyle   O
recommendations   O
,   O
were   O
provided   O
to   O
Alondra   B-NAME
White   I-NAME
before   O
discharge   O
.   O

Meade   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
if   O
new   O
symptoms   O
develop   O
.   O

For   O
further   O
consultation   O
,   O
Rangel   B-NAME
provided   O
Madalynn   B-NAME
Daugherty   I-NAME
with   O
a   O
contact   O
number   O
,   O
54180   B-CONTACT
,   O
and   O
encouraged   O
follow   O
-   O
up   O
via   O
telehealth   O
options   O
if   O
traveling   O
to   O
Dixie   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
proved   O
difficult   O
due   O
to   O
Koen   B-NAME
Elliott   I-NAME
's   O
residence   O
in   O
78679   B-LOCATION
.   O

Patient   O
Name   O
:   O
Calhoun   B-NAME
Date   O
of   O
Birth   O
:   O
12/14/1857   B-DATE
Age   O
:   O
24   O
Address   O
:   O
Borehamwood   B-LOCATION
,   O
23355   B-LOCATION
Phone   O
:   O
63609   B-CONTACT
Occupation   O
:   O
Retail   O
merchandiser   O
Doctor   O
:   O
Gael   B-NAME
Nolan   I-NAME
Medical   O
Record   O
Number   O
:   O
938   B-ID
-   I-ID
98   I-ID
-   I-ID
28   I-ID
-   I-ID
0   I-ID
Hospital   O
:   O
Jackson   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
38/32/91   B-DATE
ID   O
:   O
NZ625/2710   B-ID
Summary   O
:   O
Kyler   B-NAME
Perkins   I-NAME
,   O
a   O
81   O
-   O
year   O
-   O
old   O
Firefighters   O
residing   O
in   O
Wallsburg   B-LOCATION
,   O
84893   B-LOCATION
,   O
presented   O
to   O
CHI   B-LOCATION
Health   I-LOCATION
Immanuel   I-LOCATION
on   O
Saturday   B-DATE
,   I-DATE
November   I-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Darius   B-NAME
Houchard   I-NAME
's   O
contact   O
number   O
is   O
51068   B-CONTACT
,   O
and   O
Kyla   B-NAME
Campbell   I-NAME
was   O
the   O
attending   O
physician   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Tuibua   B-NAME
,   I-NAME
Esala   I-NAME
exhibited   O
signs   O
of   O
McBurney   O
's   O
point   O
tenderness   O
and   O
Rovsing   O
's   O
sign   O
,   O
indicating   O
potential   O
appendicitis   O
.   O

Diagnostic   O
Tests   O
:   O
Abdominal   O
ultrasound   O
and   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
were   O
ordered   O
by   O
Quinn   B-NAME
to   O
confirm   O
the   O
diagnosis   O
.   O

Caprice   B-NAME
Kofoot   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
06/67   B-DATE
,   O
which   O
was   O
performed   O
without   O
incident   O
.   O

Postoperatively   O
,   O
Olen   B-NAME
X.   I-NAME
Laughlin   I-NAME
was   O
advised   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Henry   B-NAME
,   I-NAME
Patrick   I-NAME
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
also   I-LOCATION
known   I-LOCATION
as   I-LOCATION
Seton   I-LOCATION
Health   I-LOCATION
)   I-LOCATION
for   O
09/24   B-DATE
.   O

The   O
purpose   O
of   O
the   O
visit   O
will   O
be   O
to   O
monitor   O
Luigi   B-NAME
's   O
recovery   O
and   O
to   O
address   O
any   O
potential   O
postoperative   O
complications   O
.   O

Instructions   O
for   O
Davisson   B-NAME
,   I-NAME
Richard   I-NAME
included   O
maintaining   O
a   O
light   O
diet   O
post   O
-   O
surgery   O
,   O
observing   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
,   O
and   O
managing   O
pain   O
with   O
prescribed   O
medications   O
.   O

In   O
summary   O
,   O
the   O
prompt   O
recognition   O
and   O
management   O
of   O
Galbraith   B-NAME
,   I-NAME
John   I-NAME
Kenneth   I-NAME
's   O
appendicitis   O
resulted   O
in   O
a   O
successful   O
surgical   O
outcome   O
without   O
complications   O
.   O

Further   O
monitoring   O
and   O
a   O
structured   O
recovery   O
plan   O
are   O
in   O
place   O
to   O
ensure   O
a   O
complete   O
return   O
to   O
health   O
for   O
Karla   B-NAME
Lewis   I-NAME
.   O

Patient   O
Name   O
:   O
Herbert   B-NAME
,   I-NAME
Zbigniew   I-NAME
Patient   O
ID   O
:   O
WE:97657:981629   B-ID

Medical   O
Record   O
Number   O
:   O
73684426   B-ID
Date   O
of   O
Birth   O
:   O
32/23   B-DATE
Age   O
:   O
17s   O
Address   O
:   O
Moss   B-LOCATION
Point   I-LOCATION
,   O
32014   B-LOCATION
Phone   O
:   O
94202   B-CONTACT
Physician   O
:   O

Friedman   B-NAME
Hospital   O
Name   O
:   O
Huntington   B-LOCATION
Beach   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
1123   B-DATE
Occupation   O
:   O
Hairdressers   O
,   O
Hairstylists   O
,   O
and   O
Cosmetologists   O
Username   O
:   O
ff17   B-NAME
Clinical   O
Summary   O
:   O
Herb   B-NAME
Melnick   I-NAME
,   O
a   O
72   O
-   O
year   O
-   O
old   O
Production   O
Laborers   O
from   O
Lawton   B-LOCATION
,   O
presented   O
to   O
Williamsburg   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
03/22   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Upon   O
examination   O
,   O
Morse   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Loo   B-NAME
,   I-NAME
Tristan   I-NAME
J.   I-NAME
demonstrated   O
a   O
white   O
blood   O
cell   O
count   O
elevated   O
at   O
12,000   O
/   O
μL   O
,   O
suggesting   O
an   O
infectious   O
process   O
.   O

Management   O
and   O
Outcome   O
:   O
The   O
patient   O
was   O
immediately   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
by   O
Huff   B-NAME
.   O

The   O
surgery   O
was   O
uneventful   O
,   O
and   O
Vinny   B-NAME
tolerated   O
the   O
procedure   O
well   O
.   O

Post   O
-   O
operative   O
recovery   O
has   O
been   O
smooth   O
,   O
with   O
Houston   B-NAME
experiencing   O
a   O
significant   O
reduction   O
in   O
pain   O
levels   O
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
at   O
INTEGRIS   B-LOCATION
Deaconess   I-LOCATION
for   O
wound   O
care   O
and   O
further   O
evaluation   O
in   O
two   O
weeks   O
.   O

Additionally   O
,   O
instructions   O
for   O
a   O
gradual   O
return   O
to   O
normal   O
activities   O
,   O
emphasizing   O
the   O
need   O
for   O
rest   O
and   O
monitoring   O
for   O
signs   O
of   O
infection   O
,   O
were   O
provided   O
.   O
Follow   O
-   O
up   O
visit   O
on   O
December   B-DATE
25   I-DATE
indicated   O
that   O
the   O
patient   O
's   O
surgical   O
site   O
was   O
healing   O
appropriately   O
without   O
signs   O
of   O
infection   O
.   O

Elsy   B-NAME
Fredrickson   I-NAME
reported   O
feeling   O
much   O
better   O
and   O
has   O
resumed   O
most   O
pre   O
-   O
operative   O
activities   O
without   O
difficulty   O
.   O

Overall   O
,   O
the   O
immediate   O
identification   O
and   O
treatment   O
of   O
this   O
acute   O
condition   O
have   O
resulted   O
in   O
a   O
positive   O
outcome   O
for   O
Sterling   B-NAME
Spencer   I-NAME
.   O

For   O
any   O
further   O
information   O
or   O
emergencies   O
,   O
Addison   B-NAME
Leblanc   I-NAME
or   O
family   O
members   O
can   O
contact   O
the   O
surgical   O
team   O
at   O
435   B-CONTACT
-   I-CONTACT
1171   I-CONTACT
or   O
visit   O
Athens   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
any   O
time   O
.   O

Patient   O
Name   O
:   O
Maci   B-NAME
Levine   I-NAME
Date   O
of   O
Birth   O
:   O
2221   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
26   I-DATE
Age   O
:   O
81   O
Phone   O
Number   O
:   O
749   B-CONTACT
9094   I-CONTACT
Address   O
:   O
Dranesville   B-LOCATION
,   O
30959   B-LOCATION
Employer   O
:   O
Bank   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
-   I-LOCATION
Southwest   I-LOCATION
Occupation   O
:   O
Executive   O
Secretaries   O
and   O
Executive   O
Administrative   O
Assistants   O
Primary   O
Care   O
Physician   O
:   O
Conrad   B-NAME
Hospital   O
:   O
McLeod   B-LOCATION
Health   I-LOCATION
Clarendon   I-LOCATION
Medical   O
Record   O
Number   O
:   O
319   B-ID
-   I-ID
27   I-ID
-   I-ID
36   I-ID
Patient   O
ID   O
:   O
FQ   B-ID
:   I-ID
AN:5083   I-ID
Chief   O
Complaint   O
:   O
Ralph   B-NAME
Ball   I-NAME
reports   O
experiencing   O
acute   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
has   O
progressively   O
worsened   O
over   O
the   O
course   O
of   O
December   B-DATE
00   I-DATE
,   I-DATE
2122   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Approximately   O
7/7   B-DATE
,   O
Nathan   B-NAME
O.   I-NAME
Duncan   I-NAME
began   O
to   O
notice   O
a   O
dull   O
ache   O
in   O
the   O
abdomen   O
,   O
initially   O
dismissed   O
as   O
indigestion   O
.   O

However   O
,   O
by   O
9/21   B-DATE
,   O
the   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
and   O
became   O
sharply   O
severe   O
.   O

Salvador   B-NAME
Barboza   I-NAME
rates   O
the   O
pain   O
at   O
7/10   O
on   O
the   O
pain   O
scale   O
.   O

Mauricio   B-NAME
also   O
reported   O
a   O
noticeable   O
increase   O
in   O
body   O
temperature   O
and   O
frequent   O
,   O
loose   O
bowel   O
movements   O
.   O

Aleida   B-NAME
Clevenger   I-NAME
denies   O
any   O
similar   O
past   O
episodes   O
or   O
significant   O
medical   O
history   O
.   O

Conor   B-NAME
Doyle   I-NAME
has   O
been   O
generally   O
healthy   O
,   O
with   O
only   O
minor   O
ailments   O
such   O
as   O
common   O
colds   O
.   O

Ezekiel   B-NAME
Hart   I-NAME
is   O
employed   O
as   O
a   O
Employment   O
advice   O
worker   O
at   O
Physicians   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   O
resides   O
in   O
Eswatini   B-LOCATION
with   O
family   O
.   O

Alan   B-NAME
Fritz   I-NAME
denies   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Abdominal   O
ultrasound   O
scheduled   O
for   O
December   B-DATE
of   I-DATE
2173   I-DATE
to   O
further   O
investigate   O
.   O

Follow   O
-   O
Up   O
:   O
Jaslene   B-NAME
Rice   I-NAME
is   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
return   O
to   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Sunbury   I-LOCATION
immediately   O
if   O
symptoms   O
worsen   O
or   O
if   O
new   O
symptoms   O
appear   O
before   O
the   O
scheduled   O
ultrasound   O
on   O
2255   B-DATE
.   O

Emergency   O
Contact   O
:   O
483   B-CONTACT
-   I-CONTACT
161   I-CONTACT
9225   I-CONTACT
Physician   O
's   O
Signature   O
:   O
Dougherty   B-NAME
29/12   B-DATE

The   O
patient   O
,   O
Madilyn   B-NAME
Schroeder   I-NAME
,   O
94   O
years   O
of   O
age   O
,   O
presented   O
to   O
Culpeper   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
22/12/78   B-DATE
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
.   O

According   O
to   O
Talia   B-NAME
Lindsey   I-NAME
,   O
Wheeler   B-NAME
's   O
primary   O
complaint   O
was   O
a   O
persistent   O
,   O
dry   O
cough   O
that   O
was   O
unresponsive   O
to   O
over   O
-   O
the   O
-   O
counter   O
cough   O
suppressants   O
.   O

Additionally   O
,   O
Osbourne   B-NAME
,   I-NAME
Ozzy   I-NAME
reported   O
experiencing   O
shortness   O
of   O
breath   O
during   O
minimal   O
physical   O
exertion   O
,   O
which   O
was   O
not   O
characteristic   O
of   O
their   O
usual   O
health   O
status   O
.   O

Upon   O
further   O
examination   O
,   O
Wagner   B-NAME
noted   O
a   O
fever   O
of   O
101.3   O
°   O
F   O
and   O
bilateral   O
crackles   O
upon   O
auscultation   O
of   O
the   O
lower   O
lung   O
fields   O
.   O

Garza   B-NAME
's   O
medical   O
history   O
,   O
obtained   O
from   O
861   B-ID
-   I-ID
03   I-ID
-   I-ID
51   I-ID
,   O
was   O
notable   O
for   O
mild   O
asthma   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

The   O
management   O
plan   O
,   O
as   O
discussed   O
with   O
Tamia   B-NAME
Ochoa   I-NAME
and   O
documented   O
on   O
1781   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
07   I-DATE
,   O
involved   O
admission   O
to   O
Sycamore   B-LOCATION
Shoals   I-LOCATION
Hospital   I-LOCATION
's   O
respiratory   O
isolation   O
unit   O
for   O
close   O
monitoring   O
.   O

Owens   B-NAME
ensured   O
that   O
Andrew   B-NAME
Madden   I-NAME
and   O
their   O
family   O
,   O
a   O
Nursing   O
Assistants   O
living   O
in   O
Diagonal   B-LOCATION
,   O
were   O
informed   O
about   O
the   O
treatment   O
plan   O
and   O
prognosis   O
via   O
a   O
phone   O
call   O
to   O
number   O
80843   B-CONTACT
on   O
01/26   B-DATE
.   O

Abigayle   B-NAME
Schaefer   I-NAME
's   O
emergency   O
contact   O
,   O
listed   O
as   O
so787   B-NAME
,   O
was   O
notified   O
about   O
the   O
hospital   O
admission   O
and   O
provided   O
with   O
updates   O
on   O
the   O
patient   O
's   O
clinical   O
status   O
.   O

Coordination   O
with   O
Chemical   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
(   I-LOCATION
CIC   I-LOCATION
)   I-LOCATION
for   O
post   O
-   O
discharge   O
care   O
and   O
follow   O
-   O
up   O
was   O
initiated   O
early   O
,   O
considering   O
the   O
potential   O
need   O
for   O
prolonged   O
recovery   O
.   O

The   O
patient   O
's   O
OU:15040:827101   B-ID
and   O
98793   B-LOCATION
code   O
were   O
used   O
to   O
facilitate   O
the   O
coordination   O
of   O
care   O
and   O
support   O
services   O
in   O
their   O
local   O
area   O
.   O

The   O
treatment   O
outcomes   O
were   O
favorable   O
,   O
with   O
Riley   B-NAME
Solis   I-NAME
showing   O
significant   O
improvement   O
in   O
respiratory   O
function   O
and   O
overall   O
well   O
-   O
being   O
by   O
09/02/2131   B-DATE
.   O

Billings   B-NAME
,   I-NAME
Josh   I-NAME
was   O
discharged   O
with   O
a   O
comprehensive   O
care   O
plan   O
,   O
including   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Hemingway   B-NAME
,   I-NAME
Ernest   I-NAME
at   O
Brooksville   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
scheduled   O
for   O
12/8   B-DATE
.   O

Patient   O
confidentiality   O
and   O
information   O
security   O
were   O
maintained   O
throughout   O
the   O
treatment   O
process   O
,   O
adhering   O
to   O
HIPAA   O
regulations   O
and   O
ensuring   O
that   O
all   O
personal   O
health   O
information   O
,   O
including   O
88515015   B-ID
and   O
contact   O
details   O
,   O
were   O
properly   O
secured   O
and   O
used   O
solely   O
for   O
healthcare   O
-   O
related   O
purposes   O
.   O

Patient   O
Name   O
:   O
Wilcox   B-NAME
Medical   O
Record   O
Number   O
:   O
401   B-ID
-   I-ID
61   I-ID
-   I-ID
98   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
06/51   B-DATE
Age   O
:   O
98   O
Address   O
:   O
Pearisburg   B-LOCATION
,   O
34011   B-LOCATION
Phone   O
:   O
38984   B-CONTACT
Primary   O
Physician   O
:   O

Stevenson   B-NAME
Treating   O
Hospital   O
:   O
FirstHealth   B-LOCATION
Moore   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Employment   O
:   O
Information   O
Technology   O
Project   O
Managers   O
at   O
Provisional   B-LOCATION
Coalition   I-LOCATION
of   I-LOCATION
Constellations   I-LOCATION
Date   O
of   O
Admission   O
:   O
01/00   B-DATE
Emergency   O
Contact   O
:   O
mg137   B-NAME
,   O
708   B-CONTACT
8830   I-CONTACT
Clinical   O
Summary   O
:   O
Schröder   B-NAME
,   I-NAME
Gerhard   I-NAME
,   O
a   O
37   O
-   O
year   O
-   O
old   O
Financial   O
manager   O
employed   O
at   O
Southwest   B-LOCATION
Mississippi   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Association   I-LOCATION
,   O
presented   O
to   O
University   B-LOCATION
Hospital   I-LOCATION
on   O
1   B-DATE
-   I-DATE
11   I-DATE
complaining   O
of   O
severe   O
,   O
recurrent   O
headaches   O
predominantly   O
localized   O
to   O
the   O
right   O
temporal   O
region   O
.   O

Santos   B-NAME
described   O
the   O
headache   O
as   O
throbbing   O
in   O
nature   O
,   O
rated   O
8/10   O
in   O
intensity   O
,   O
worsening   O
with   O
physical   O
activity   O
and   O
partially   O
relieved   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

In   O
addition   O
to   O
the   O
headache   O
,   O
Xzavior   B-NAME
C.   I-NAME
Welch   I-NAME
reported   O
experiencing   O
intermittent   O
episodes   O
of   O
dizziness   O
and   O
a   O
single   O
episode   O
of   O
syncope   O
occurring   O
approximately   O
one   O
week   O
prior   O
to   O
admission   O
.   O

Quintillus   B-NAME
Alrod   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
symptoms   O
in   O
family   O
members   O
.   O

Jaylen   B-NAME
Medina   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
managed   O
with   O
medication   O
and   O
does   O
not   O
smoke   O
or   O
consume   O
alcoholic   O
beverages   O
.   O

Upon   O
admission   O
,   O
Kaleb   B-NAME
Petersen   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
mild   O
hypertension   O
.   O

A   O
neurological   O
exam   O
performed   O
by   O
Popper   B-NAME
,   I-NAME
Karl   I-NAME
revealed   O
no   O
focal   O
deficits   O
.   O

Marshall   B-NAME
was   O
consulted   O
to   O
neurology   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Espinoza   B-NAME
initiated   O
treatment   O
with   O
a   O
trial   O
of   O
triptans   O
for   O
acute   O
headaches   O
and   O
recommended   O
starting   O
a   O
beta   O
-   O
blocker   O
for   O
prophylaxis   O
.   O

Patrick   B-NAME
Yeates   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
avoid   O
known   O
triggers   O
,   O
and   O
follow   O
-   O
up   O
in   O
the   O
neurology   O
clinic   O
in   O
Bement   B-LOCATION
in   O
two   O
weeks   O
.   O

ID   O
of   O
Report   O
:   O
2   B-ID
-   I-ID
3259909   I-ID
Report   O
by   O
:   O
Campbell   B-NAME
,   I-NAME
Beatrice   I-NAME
Stella   I-NAME
;   I-NAME
(   I-NAME
Mrs.   I-NAME
Patrick   I-NAME
Campbell   I-NAME
)   I-NAME
,   O
M.D.   O
,   O
Neurology   O
Department   O
Contact   O
Information   O
:   O
453   B-CONTACT
-   I-CONTACT
7990   I-CONTACT
Date   O
of   O
Report   O
:   O
11/20/2176   B-DATE
Note   O
:   O
All   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
has   O
been   O
anonymized   O
or   O
removed   O
to   O
protect   O
patient   O
confidentiality   O
.   O

Patient   O
Name   O
:   O
Ford   B-NAME
,   I-NAME
Harrison   I-NAME
Patient   O
ID   O
:   O
BV   B-ID
:   I-ID
MY:5169   I-ID
Medical   O
Record   O
Number   O
:   O
4197078   B-ID
Date   O
of   O
Birth   O
:   O
2361   B-DATE
-   I-DATE
24   I-DATE
-   I-DATE
02   I-DATE
Address   O
:   O
Ronceverte   B-LOCATION
,   I-LOCATION
Ronceverte   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
81339   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
729   I-CONTACT
)   I-CONTACT
415   I-CONTACT
3979   I-CONTACT
Physician   O
:   O

Saniyah   B-NAME
Callahan   I-NAME
Hospital   O
:   O
CHRISTUS   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
New   I-LOCATION
Braunfels   I-LOCATION
Date   O
of   O
Visit   O
:   O
34/20   B-DATE
Occupation   O
:   O

Textile   O
Cutting   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
Chief   O
Complaint   O
:   O
Gizhaum   B-NAME
Haddaway   I-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
Chemists   O
,   O
presented   O
to   O
HSHS   B-LOCATION
St   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
10/22/2042   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
that   O
has   O
been   O
persisting   O
for   O
the   O
last   O
48   O
hours   O
.   O

Additionally   O
,   O
Neal   B-NAME
Joshi   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
an   O
overall   O
sensation   O
of   O
malaise   O
.   O

Amina   B-NAME
Roberson   I-NAME
denies   O
any   O
recent   O
trauma   O
to   O
the   O
abdomen   O
,   O
changes   O
in   O
diet   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Quinton   B-NAME
Sparks   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
surgical   O
history   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Aragon   B-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Zuniga   B-NAME
,   O
was   O
consulted   O
,   O
and   O
an   O
emergency   O
appendectomy   O
was   O
recommended   O
.   O

Nicole   B-NAME
Bender   I-NAME
consented   O
to   O
the   O
surgery   O
after   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
benefits   O
were   O
discussed   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
06/09   B-DATE
at   O
Lawrence   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lawrence   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Humberto   B-NAME
Nixon   I-NAME
is   O
to   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
department   O
in   O
2   O
weeks   O
post   O
-   O
operation   O
or   O
sooner   O
if   O
any   O
complications   O
arise   O
.   O

For   O
any   O
urgent   O
issues   O
or   O
questions   O
,   O
Brenton   B-NAME
Pierce   I-NAME
can   O
contact   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Franciscan   I-LOCATION
Healthcare   I-LOCATION
in   I-LOCATION
LaCrosse   I-LOCATION
at   O
745   B-CONTACT
-   I-CONTACT
2816   I-CONTACT
or   O
reach   O
out   O
to   O
Wood   B-NAME
's   O
office   O
during   O
working   O
hours   O
.   O

Patient   O
Name   O
:   O
Presley   B-NAME
Moore   I-NAME
DOB   O
:   O
05/02/1927   B-DATE
Age   O
:   O
81   O
Address   O
:   O
East   B-LOCATION
Norriton   I-LOCATION
,   O
23344   B-LOCATION
Employment   O
:   O
Computer   O
Specialists   O
,   O
All   O
Other   O
Phone   O
Number   O
:   O
742   B-CONTACT
-   I-CONTACT
4444   I-CONTACT
Physician   O
:   O

Goodwin   B-NAME
Hospital   O
:   O
Baptist   B-LOCATION
Health   I-LOCATION
Corbin   I-LOCATION
Medical   O
Record   O
Number   O
:   O
10856960   B-ID
Insurance   O
ID   O
:   O
IJ359/6252   B-ID
Chief   O
Complaint   O
:   O

Destiny   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Haywood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/12   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
starting   O
approximately   O
6   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Julien   B-NAME
Gilmore   I-NAME
,   O
a   O
11   O
month   O
-   O
year   O
-   O
old   O
Environmental   O
Scientists   O
and   O
Specialists   O
,   O
Including   O
Health   O
from   O
East   B-LOCATION
Orosi   I-LOCATION
,   O
reported   O
the   O
onset   O
of   O
sharp   O
,   O
stabbing   O
pain   O
in   O
the   O
mid   O
-   O
epigastric   O
region   O
early   O
this   O
morning   O
.   O

Nate   B-NAME
Ambrose   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
and   O
no   O
known   O
history   O
of   O
pancreatitis   O
,   O
gallstones   O
,   O
or   O
similar   O
gastrointestinal   O
conditions   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Fred   B-NAME
Hornblower   I-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
liver   O
function   O
tests   O
,   O
lipase   O
,   O
and   O
amylase   O
were   O
ordered   O
by   O
Singleton   B-NAME
.   O

Management   O
:   O
Given   O
the   O
presentation   O
and   O
clinical   O
findings   O
,   O
Cristofer   B-NAME
Leon   I-NAME
initiated   O
intravenous   O
fluids   O
,   O
analgesia   O
for   O
pain   O
management   O
,   O
and   O
antiemetics   O
for   O
nausea   O
control   O
.   O

Admitting   O
Gilbert   B-NAME
Maxwell   I-NAME
to   O
Stafford   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Stafford   I-LOCATION
for   O
further   O
observation   O
and   O
management   O
was   O
decided   O
to   O
monitor   O
the   O
response   O
to   O
treatment   O
and   O
the   O
results   O
of   O
pending   O
diagnostic   O
tests   O
.   O

Discussion   O
:   O
The   O
clinical   O
presentation   O
of   O
Zane   B-NAME
Mcfarland   I-NAME
is   O
suggestive   O
of   O
acute   O
pancreatitis   O
,   O
considering   O
the   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Risk   O
factors   O
for   O
pancreatitis   O
in   O
this   O
case   O
appear   O
to   O
be   O
low   O
,   O
indicating   O
a   O
possible   O
idiopathic   O
cause   O
;   O
however   O
,   O
diagnostic   O
results   O
pending   O
will   O
provide   O
more   O
clarity   O
on   O
the   O
etiology   O
.   O
Username   O
for   O
Follow   O
-   O
Up   O
:   O
mg28   B-NAME
Emergency   O
Contact   O
:   O
765   B-CONTACT
-   I-CONTACT
6017   I-CONTACT
Date   O
of   O
Next   O
Appointment   O
:   O
11   B-DATE
-   I-DATE
20   I-DATE
Recommended   O
Follow   O
-   O
Up   O
with   O
:   O
Clay   B-NAME
Note   O
:   O
This   O
medical   O
report   O
is   O
a   O
synthetic   O
document   O
created   O
for   O
the   O
purpose   O
of   O
demonstrating   O
how   O
to   O
anonymize   O
PHI   O
in   O
clinical   O
documentation   O
.   O

Patient   O
Report   O
:   O
Clemenceau   B-NAME
,   I-NAME
Georges   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
John   B-LOCATION
Randolph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/13   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

0   O
years   O
old   O
Mark   B-NAME
Diamond   I-NAME
reported   O
the   O
pain   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicating   O
possible   O
appendicitis   O
.   O

Upon   O
evaluation   O
,   O
Veronica   B-NAME
Fischer   I-NAME
noted   O
that   O
Long   B-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
during   O
the   O
physical   O
examination   O
,   O
further   O
suggesting   O
appendicitis   O
.   O

Eduardo   B-NAME
Potts   I-NAME
discussed   O
the   O
findings   O
with   O
Messiah   B-NAME
Robertson   I-NAME
,   O
explaining   O
the   O
diagnosis   O
and   O
recommending   O
an   O
immediate   O
surgical   O
intervention   O
,   O
specifically   O
an   O
appendectomy   O
,   O
to   O
remove   O
the   O
inflamed   O
appendix   O
.   O

Mcguire   B-NAME
provided   O
written   O
informed   O
consent   O
after   O
a   O
detailed   O
discussion   O
about   O
the   O
potential   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complication   O
on   O
32/24/22   B-DATE
,   O
and   O
Karla   B-NAME
Madden   I-NAME
was   O
advised   O
to   O
remain   O
in   O
AdventHealth   B-LOCATION
Fish   I-LOCATION
Memorial   I-LOCATION
for   O
post   O
-   O
operative   O
observation   O
.   O

During   O
the   O
stay   O
,   O
Lasorda   B-NAME
,   I-NAME
Tommy   I-NAME
's   O
vital   O
signs   O
and   O
recovery   O
progress   O
were   O
closely   O
monitored   O
.   O

Thoreau   B-NAME
,   I-NAME
Henry   I-NAME
David   I-NAME
provided   O
discharge   O
instructions   O
on   O
Friday   B-DATE
,   O
including   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
dietary   O
recommendations   O
,   O
and   O
wound   O
care   O
instructions   O
.   O

Chance   B-NAME
Kidd   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgical   O
clinic   O
in   O
2   O
weeks   O
or   O
sooner   O
if   O
any   O
complications   O
were   O
to   O
arise   O
.   O

Clinton   B-NAME
Mcdonald   I-NAME
documented   O
the   O
case   O
in   O
Jesus   B-NAME
Bradley   I-NAME
's   O
medical   O
record   O
(   O
366   B-ID
-   I-ID
13   I-ID
-   I-ID
95   I-ID
-   I-ID
1   I-ID
)   O
and   O
summarized   O
the   O
successful   O
treatment   O
and   O
recovery   O
process   O
.   O

Bohm   B-NAME
,   I-NAME
David   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
left   O
the   O
hospital   O
in   O
good   O
condition   O
.   O

Contact   O
information   O
on   O
file   O
includes   O
16040   B-CONTACT
and   O
address   O
in   O
Lansing   B-LOCATION
,   I-LOCATION
Old   I-LOCATION
Town   I-LOCATION
Lansing   I-LOCATION
,   O
90137   B-LOCATION
.   O

Maryland   B-NAME
Legleiter   I-NAME
works   O
as   O
a   O
Commercial   O
Pilots   O
and   O
expressed   O
a   O
desire   O
to   O
return   O
to   O
work   O
as   O
soon   O
as   O
medically   O
advised   O
.   O

All   O
personal   O
identifiers   O
such   O
as   O
patient   O
name   O
(   O
Ardias   B-NAME
)   O
,   O
medical   O
record   O
number   O
(   O
2245287   B-ID
)   O
,   O
and   O
contact   O
information   O
(   O
961   B-CONTACT
1649   I-CONTACT
,   O
Woodbury   B-LOCATION
Heights   I-LOCATION
,   O
89727   B-LOCATION
)   O
are   O
handled   O
in   O
compliance   O
with   O
privacy   O
regulations   O
.   O

Report   O
prepared   O
by   O
:   O
TR6810   B-NAME
,   O
April   B-DATE
2   I-DATE
Note   O
:   O
All   O
information   O
in   O
this   O
report   O
is   O
generic   O
and   O
synthesized   O
for   O
the   O
purpose   O
of   O
this   O
scenario   O
.   O

Patient   O
Name   O
:   O
Dean   B-NAME
,   I-NAME
John   I-NAME
Medical   O
Record   O
Number   O
:   O
57849536   B-ID
Date   O
of   O
Birth   O
:   O
00/26/2072   B-DATE
Age   O
:   O
1   O
week   O
Phone   O
Number   O
:   O
761   B-CONTACT
930   I-CONTACT
-   I-CONTACT
6852   I-CONTACT
Address   O
:   O
Morocco   B-LOCATION
,   I-LOCATION
Morocco   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
48916   B-LOCATION
Primary   O
Physician   O
:   O

Deja   B-NAME
Finley   I-NAME
Hospital   O
:   O

Cumberland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
:   O
BS   B-ID
:   I-ID
EU:1314   I-ID
Date   O
of   O
Visit   O
:   O
1850   B-DATE
Referring   O
Organization   O
:   O
Iranian   B-LOCATION
Anti   I-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Association   I-LOCATION
(   I-LOCATION
IAVA   I-LOCATION
)   I-LOCATION

Employment   O
:   O
Psychology   O
Teachers   O
,   O
Postsecondary   O
at   O
United   B-LOCATION
Mine   I-LOCATION
Workers   I-LOCATION
of   I-LOCATION
America   I-LOCATION
Subjective   O
:   O
Bunsen   B-NAME
Honeydew   I-NAME
,   O
a   O
politician   O
at   O
Community   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Sarasota   I-LOCATION
County   I-LOCATION
,   O
presented   O
to   O
James   B-LOCATION
B.   I-LOCATION
Haggin   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
7/49   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
20/01   B-DATE
.   O

Reagan   B-NAME
,   I-NAME
Ron   I-NAME
denies   O
any   O
history   O
of   O
smoking   O
or   O
drug   O
use   O
.   O

Admit   O
to   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
Thomas   B-NAME
for   O
further   O
management   O
and   O
observation   O
.   O

Arrange   O
follow   O
-   O
up   O
consultation   O
after   O
05/36   B-DATE
or   O
upon   O
discharge   O
from   O
Ascension   B-LOCATION
St.   I-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Ari   B-NAME
Williams   I-NAME
was   O
advised   O
to   O
remain   O
isolated   O
and   O
to   O
report   O
any   O
worsening   O
of   O
symptoms   O
or   O
new   O
symptoms   O
immediately   O
to   O
Lorelei   B-NAME
Griffin   I-NAME
at   O
92863   B-CONTACT
.   O

Jones   B-NAME
(   O
Primary   O
Physician   O
)   O
10/02   B-DATE

Patient   O
Name   O
:   O
Deangelo   B-NAME
Rowland   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
6261791   I-ID
Age   O
:   O
86   O
Medical   O
Record   O
Number   O
:   O
4302959   B-ID
Date   O
of   O
Admission   O
:   O
2081   B-DATE
/2023   O
Admitting   O
Physician   O
:   O

Krause   B-NAME
Hospital   O
:   O

UPMC   B-LOCATION
Hamot   I-LOCATION
Location   O
:   O
Spickard   B-LOCATION
Primary   O
Diagnosis   O
:   O
Acute   O
Pancreatitis   O
Clinical   O
Summary   O
:   O
Malika   B-NAME
Mojaro   I-NAME
,   O
a   O
Obstetricians   O
and   O
Gynecologists   O
,   O
was   O
admitted   O
to   O
University   B-LOCATION
Hospital   I-LOCATION
on   O
0/5   B-DATE
/2023   O
with   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
began   O
approximately   O
6   O
-   O
8   O
hours   O
post   O
a   O
heavy   O
,   O
fatty   O
meal   O
.   O

Giancarlo   B-NAME
Frederick   I-NAME
has   O
a   O
history   O
of   O
mild   O
alcohol   O
use   O
and   O
denies   O
any   O
recent   O
change   O
in   O
medication   O
or   O
known   O
gallstones   O
.   O

There   O
was   O
no   O
noticeable   O
jaundice   O
,   O
but   O
Clausewitz   B-NAME
,   I-NAME
Karl   I-NAME
von   I-NAME
appeared   O
distressed   O
and   O
in   O
considerable   O
discomfort   O
.   O

Vital   O
Signs   O
at   O
Admission   O
:   O
-   O
Temperature   O
:   O
38.4   O
°   O
C   O
-   O
Heart   O
Rate   O
:   O
102   O
bpm   O
-   O
Blood   O
Pressure   O
:   O
135/85   O
mmHg   O
-   O
Respiratory   O
Rate   O
:   O
22   O
/   O
min   O
-   O
O2   O
Saturation   O
:   O
97   O
%   O
on   O
room   O
air   O
Physical   O
Examination   O
:   O
Gordon   B-NAME
Robertson   I-NAME
's   O
abdomen   O
was   O
tender   O
upon   O
palpation   O
in   O
the   O
upper   O
quadrant   O
with   O
guarding   O
,   O
but   O
no   O
rebound   O
tenderness   O
was   O
noted   O
.   O

Treatment   O
:   O
Jamiya   B-NAME
Howe   I-NAME
was   O
managed   O
with   O
IV   O
fluids   O
,   O
pain   O
management   O
,   O
and   O
fasting   O
to   O
rest   O
the   O
pancreas   O
.   O

Over   O
the   O
course   O
of   O
hospitalization   O
,   O
the   O
symptoms   O
began   O
to   O
resolve   O
,   O
and   O
Holly   B-NAME
Lawson   I-NAME
was   O
gradually   O
started   O
on   O
a   O
low   O
-   O
fat   O
diet   O
without   O
complication   O
.   O

Plan   O
:   O
-   O
Continue   O
IV   O
hydration   O
and   O
pain   O
management   O
-   O
Monitor   O
vital   O
signs   O
and   O
laboratory   O
markers   O
closely   O
-   O
Gradual   O
reintroduction   O
of   O
oral   O
feeding   O
as   O
tolerated   O
by   O
keys   B-NAME
-   O
Refrain   O
from   O
alcohol   O
and   O
high   O
-   O
fat   O
foods   O
-   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Reagan   B-NAME
Daniels   I-NAME
in   O
2   O
weeks   O
time   O
,   O
or   O
earlier   O
if   O
symptoms   O
recur   O
or   O
worsen   O
-   O
Provide   O
education   O
on   O
lifestyle   O
adjustments   O
to   O
prevent   O
future   O
episodes   O
Discharge   O
Date   O
:   O
3/27/63   B-DATE
/2023   O
Contact   O
Information   O
for   O
Follow   O
-   O
Up   O
:   O
139   B-CONTACT
-   I-CONTACT
8467   I-CONTACT
Residence   O
Zip   O
Code   O
:   O
29095   B-LOCATION

Robert   B-NAME
Renault   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
Kokomo   I-LOCATION
Username   O
for   O
Patient   O
Portal   O
Access   O
:   O
dh265   B-NAME
Note   O
:   O
Brady   B-NAME
Renard   I-NAME
has   O
been   O
informed   O
of   O
the   O
importance   O
of   O
adhering   O
to   O
dietary   O
recommendations   O
and   O
avoiding   O
alcohol   O
to   O
minimize   O
the   O
risk   O
of   O
recurrent   O
pancreatitis   O
.   O

Bailey   B-NAME
Klein   I-NAME
has   O
demonstrated   O
understanding   O
and   O
has   O
been   O
provided   O
with   O
written   O
educational   O
materials   O
.   O

Patient   O
Name   O
:   O
Omar   B-NAME
Moody   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
6041345   I-ID
Date   O
of   O
Birth   O
:   O
F   B-DATE
Age   O
:   O
58   O
Phone   O
Number   O
:   O
96246   B-CONTACT
Address   O
:   O
Windsor   B-LOCATION
Locks   I-LOCATION
,   O
72683   B-LOCATION
Employer   O
:   O
Key   B-LOCATION
West   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Horticultural   O
Workers   O
Primary   O
Physician   O
:   O
Byrd   B-NAME
Hospital   O
:   O

Yuma   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
09777158   B-ID
Admission   O
Date   O
:   O
14   B-DATE
-   I-DATE
Aug-2191   I-DATE
Discharge   O
Date   O
:   O
March   B-DATE
8   I-DATE
Chief   O
Complaint   O
:   O
Rebekah   B-NAME
Bullock   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Silver   B-LOCATION
Oak   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
3/21/94   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Harper   B-NAME
Tracy   I-NAME
reported   O
experiencing   O
bouts   O
of   O
diarrhea   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Duarte   B-NAME
has   O
been   O
in   O
usual   O
health   O
until   O
early   O
morning   O
on   O
22   B-DATE
when   O
the   O
symptoms   O
abruptly   O
started   O
.   O

There   O
was   O
no   O
reported   O
fever   O
or   O
chills   O
but   O
Rona   B-NAME
Schuld   I-NAME
noticed   O
the   O
onset   O
of   O
symptoms   O
shortly   O
after   O
eating   O
out   O
at   O
a   O
restaurant   O
in   O
Garden   B-LOCATION
Grove   I-LOCATION
.   O

Chevalier   B-NAME
,   I-NAME
Maurice   I-NAME
who   O
is   O
a   O
Environmental   O
Scientists   O
and   O
Specialists   O
,   O
Including   O
Health   O
did   O
not   O
notice   O
any   O
similar   O
symptoms   O
in   O
colleagues   O
or   O
family   O
members   O
.   O

Past   O
Medical   O
History   O
:   O
Giovani   B-NAME
Hensley   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
no   O
previous   O
episodes   O
similar   O
to   O
the   O
current   O
presentation   O
.   O

On   O
examination   O
,   O
Medved   B-NAME
,   I-NAME
Michael   I-NAME
was   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
working   O
diagnosis   O
for   O
Janessa   B-NAME
Adelizzi   I-NAME
is   O
suspected   O
gastroenteritis   O
,   O
possibly   O
foodborne   O
,   O
given   O
the   O
rapid   O
onset   O
after   O
eating   O
and   O
the   O
symptoms   O
described   O
.   O

Turner   B-NAME
was   O
advised   O
to   O
maintain   O
hydration   O
and   O
was   O
started   O
on   O
a   O
course   O
of   O
oral   O
rehydration   O
solution   O
.   O

Instructions   O
were   O
given   O
to   O
return   O
to   O
Heart   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
contact   O
Garrison   B-NAME
if   O
symptoms   O
worsen   O
or   O
if   O
Jordin   B-NAME
Robinson   I-NAME
experiences   O
fever   O
,   O
persistent   O
vomiting   O
,   O
or   O
signs   O
of   O
dehydration   O
.   O

Follow   O
-   O
Up   O
:   O
Malika   B-NAME
Ostrum   I-NAME
is   O
advised   O
to   O
follow   O
up   O
with   O
Chaz   B-NAME
Randolph   I-NAME
in   O
48   O
hours   O
or   O
sooner   O
if   O
the   O
condition   O
deteriorates   O
.   O

Stool   O
culture   O
results   O
pending   O
at   O
the   O
time   O
of   O
discharge   O
will   O
be   O
reviewed   O
by   O
Francona   B-NAME
,   I-NAME
Terry   I-NAME
and   O
Liam   B-NAME
Mcmahon   I-NAME
will   O
be   O
notified   O
of   O
any   O
significant   O
findings   O
.   O

Signature   O
:   O
Barton   B-NAME
8/18   B-DATE

Patient   O
Name   O
:   O
Uriel   B-NAME
Hendricks   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
5535599   I-ID
Medical   O
Record   O
Number   O
:   O
1412329   B-ID
Date   O
of   O
Birth   O
:   O
95   O
Date   O
of   O
Admission   O
:   O
Sunday   B-DATE
Physician   O
Name   O
:   O
Davin   B-NAME
Clayton   I-NAME
Hospital   O
Name   O
:   O
Novato   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Bracknell   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
393   I-CONTACT
)   I-CONTACT
952   I-CONTACT
3168   I-CONTACT
Employment   O
:   O
Riggers   O
Username   O
:   O
TA4410   B-NAME
Zip   O
Code   O
:   O
33068   B-LOCATION
Chief   O
Complaint   O
:   O
Giovanni   B-NAME
Huerta   I-NAME
presents   O
with   O
a   O
persistent   O
,   O
high   O
-   O
grade   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
observed   O
over   O
the   O
past   O
48   O
hours   O
.   O

Leopold   B-NAME
X.   I-NAME
Steinberg   I-NAME
mentions   O
recent   O
travel   O
history   O
to   O
Beltrami   B-LOCATION
about   O
two   O
weeks   O
ago   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Arianna   B-NAME
Ortiz   I-NAME
,   O
a   O
93   O
-   O
year   O
-   O
old   O
Archivist   O
,   O
has   O
experienced   O
escalating   O
symptoms   O
starting   O
with   O
a   O
mild   O
headache   O
and   O
low   O
-   O
grade   O
fever   O
approximately   O
five   O
days   O
post   O
-   O
return   O
from   O
Mount   B-LOCATION
Eagle   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Matthews   B-NAME
has   O
a   O
documented   O
history   O
of   O
asthma   O
,   O
managed   O
with   O
intermittent   O
use   O
of   O
a   O
salbutamol   O
inhaler   O
,   O
and   O
seasonal   O
allergies   O
.   O

Follow   O
-   O
up   O
:   O
Laylah   B-NAME
Grant   I-NAME
will   O
be   O
closely   O
monitored   O
for   O
any   O
escalation   O
of   O
symptoms   O
or   O
new   O
developments   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
tentatively   O
scheduled   O
for   O
4/1   B-DATE
,   O
or   O
earlier   O
if   O
the   O
patient   O
's   O
condition   O
warrants   O
.   O

Please   O
contact   O
Seton   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
St   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Campus   I-LOCATION
at   O
344   B-CONTACT
1824   I-CONTACT
for   O
any   O
queries   O
or   O
emergency   O
concerns   O
relating   O
to   O
this   O
treatment   O
plan   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Malik   B-NAME
Beard   I-NAME
Patient   O
ID   O
:   O
GY:90930:402155   B-ID
Medical   O
Record   O
Number   O
:   O
2568926   B-ID
Date   O
of   O
Birth   O
:   O
24/27/13   B-DATE
Age   O
:   O
14   O
Address   O
:   O
Tampa   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33615   I-LOCATION
,   O
11677   B-LOCATION
Phone   O
Number   O
:   O
80170   B-CONTACT

Jayleen   B-NAME
Martinez   I-NAME
Treatment   O
Facility   O
:   O
Brattleboro   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/05   B-DATE
Date   O
of   O
Discharge   O
:   O
9/17   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Cantrell   B-NAME
,   O
a   O
Interior   O
Designers   O
from   O
Lyford   B-LOCATION
,   O
presented   O
to   O
Avera   B-LOCATION
Merrill   I-LOCATION
Pioneer   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
2137   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
persistent   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
over   O
the   O
past   O
24   O
hours   O
.   O

Gebri   B-NAME
Biersack   I-NAME
also   O
reported   O
a   O
recent   O
history   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
occurring   O
sporadically   O
over   O
the   O
past   O
month   O
.   O

Considering   O
the   O
clinical   O
presentation   O
and   O
initial   O
tests   O
,   O
a   O
provisional   O
diagnosis   O
of   O
acute   O
coronary   O
syndrome   O
(   O
ACS   O
)   O
was   O
made   O
by   O
Reed   B-NAME
.   O

Mia   B-NAME
Rivers   I-NAME
was   O
immediately   O
initiated   O
on   O
antiplatelet   O
therapy   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
as   O
per   O
ACS   O
management   O
guidelines   O
.   O

A   O
coronary   O
angiography   O
scheduled   O
for   O
3/09   B-DATE
revealed   O
a   O
70   O
%   O
stenosis   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Patient   O
's   O
Progress   O
:   O
Post   O
-   O
procedure   O
,   O
Kruger   B-NAME
Blanquart   I-NAME
's   O
chest   O
pain   O
resolved   O
and   O
cardiac   O
biomarkers   O
returned   O
to   O
baseline   O
within   O
48   O
hours   O
.   O

Kaden   B-NAME
Bean   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
any   O
immediate   O
complications   O
.   O

Lowell   B-NAME
,   I-NAME
Christopher   I-NAME
recommended   O
lifestyle   O
modifications   O
including   O
a   O
low   O
-   O
fat   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
strict   O
adherence   O
to   O
prescribed   O
medications   O
.   O

XIE   B-NAME
,   I-NAME
LORI   I-NAME
was   O
discharged   O
on   O
15/23   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Marianna   B-NAME
Giles   I-NAME
in   O
two   O
weeks   O
at   O
Meadville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
assessment   O
and   O
management   O
.   O

During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
2035   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
23   I-DATE
,   O
Lynch   B-NAME
,   I-NAME
Peter   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
and   O
compliance   O
with   O
lifestyle   O
changes   O
and   O
medications   O
.   O

Mckee   B-NAME
was   O
advised   O
to   O
continue   O
medication   O
and   O
scheduled   O
for   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Galvan   B-NAME
-   O
Age   O
:   O
64   O
-   O
Gender   O
:   O
Male   O
-   O
ID   O
:   O
CJ:40114:873788   B-ID
-   O
Medical   O
Record   O
No   O
:   O
71685462   B-ID
-   O
Date   O
of   O
Admission   O
:   O
32/03   B-DATE
-   O
Phone   O
:   O
184   B-CONTACT
-   I-CONTACT
938   I-CONTACT
3791   I-CONTACT
-   O
Address   O
:   O
179   B-LOCATION
Rosewood   I-LOCATION
Dr.   I-LOCATION
,   O
96442   B-LOCATION
Referring   O
Physician   O
:   O
-   O
Name   O
:   O
Norman   B-NAME
-   O
Hospital   O
:   O
UPMC   B-LOCATION
Carlisle   I-LOCATION
Primary   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Coroners   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
AMITA   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Alexius   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hoffman   I-LOCATION
Estates   I-LOCATION
on   O
July   B-DATE
2123   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
review   O
of   O
the   O
findings   O
,   O
Vaughan   B-NAME
at   O
Bingham   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
potential   O
cholecystectomy   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
surgery   O
on   O
07/03/2369   B-DATE
.   O

A   O
post   O
-   O
operative   O
follow   O
-   O
up   O
is   O
planned   O
with   O
the   O
referring   O
physician   O
,   O
Hendricks   B-NAME
,   O
two   O
weeks   O
post   O
-   O
surgery   O
to   O
assess   O
recovery   O
and   O
discuss   O
lifestyle   O
modifications   O
to   O
prevent   O
future   O
occurrences   O
.   O

Consent   O
:   O
Informed   O
consent   O
was   O
obtained   O
from   O
Ileen   B-NAME
Routt   I-NAME
after   O
a   O
detailed   O
discussion   O
about   O
the   O
benefits   O
and   O
risks   O
associated   O
with   O
the   O
surgical   O
procedure   O
.   O

For   O
any   O
further   O
information   O
or   O
emergency   O
,   O
Mcclain   B-NAME
or   O
any   O
relative   O
can   O
contact   O
Reynolds   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
843   I-CONTACT
)   I-CONTACT
692   I-CONTACT
2601   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
xzr831   B-NAME
on   O
03/23   B-DATE
.   O

Patient   O
Report   O
for   O
Lorr   B-NAME
Patient   O
ID   O
:   O
209   B-ID
56   I-ID
11   I-ID
Date   O
:   O
33/01   B-DATE
Age   O
:   O
36s   O
Location   O
:   O
Smelterville   B-LOCATION
Doctor   O
:   O
English   B-NAME
Hospital   O
:   O
John   B-LOCATION
Heinz   I-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Rehab   I-LOCATION
Medicine   I-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
750   I-CONTACT
)   I-CONTACT
990   I-CONTACT
4710   I-CONTACT
Employment   O
:   O

Naval   O
architect   O
Username   O
:   O
cdy124   B-NAME
Summary   O
:   O
Melville   B-NAME
,   I-NAME
Herman   I-NAME
was   O
admitted   O
to   O
Abrazo   B-LOCATION
Central   I-LOCATION
on   O
1984   B-DATE
presenting   O
with   O
severe   O
abdominal   O
pain   O
,   O
focused   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Additionally   O
,   O
Ubaldo   B-NAME
Daugherty   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
.   O

No   O
fever   O
was   O
observed   O
upon   O
admission   O
,   O
but   O
Dulce   B-NAME
Bradley   I-NAME
noted   O
mild   O
feverish   O
feelings   O
starting   O
approximately   O
three   O
days   O
prior   O
.   O

Upon   O
examination   O
,   O
Rohan   B-NAME
Mcmillan   I-NAME
observed   O
localized   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
a   O
possible   O
appendicitis   O
.   O

Angel   B-NAME
Glover   I-NAME
was   O
informed   O
of   O
the   O
procedure   O
and   O
consented   O
to   O
surgery   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
03/95   B-DATE
.   O

Postoperative   O
recovery   O
has   O
been   O
uneventful   O
,   O
and   O
Friedman   B-NAME
is   O
responding   O
well   O
to   O
treatment   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Gavin   B-NAME
Kane   I-NAME
is   O
scheduled   O
to   O
be   O
discharged   O
from   O
UPMC   B-LOCATION
Magee   I-LOCATION
-   I-LOCATION
Womens   I-LOCATION
Hospital   I-LOCATION
on   O
Saturday   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Emerson   B-NAME
Thornton   I-NAME
has   O
been   O
set   O
for   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
monitor   O
healing   O
and   O
address   O
any   O
complications   O
.   O

Gizhaum   B-NAME
has   O
been   O
advised   O
to   O
avoid   O
strenuous   O
activity   O
for   O
at   O
least   O
two   O
weeks   O
and   O
to   O
follow   O
a   O
clear   O
liquid   O
diet   O
for   O
24   O
hours   O
post   O
-   O
discharge   O
,   O
gradually   O
reintroducing   O
solid   O
foods   O
as   O
tolerated   O
.   O
Instructions   O
for   O
Home   O
Care   O
:   O
-   O
Monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

-   O
Report   O
any   O
instances   O
of   O
fever   O
,   O
vomiting   O
,   O
or   O
severe   O
pain   O
to   O
Garfield   B-LOCATION
County   I-LOCATION
Public   I-LOCATION
Hospital   I-LOCATION
at   O
715   B-CONTACT
2930   I-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
Coward   B-NAME
,   I-NAME
Noel   I-NAME
or   O
relatives   O
can   O
contact   O
Clearwater   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
at   O
70641   B-CONTACT
.   O

Note   O
:   O
Please   O
refer   O
to   O
the   O
ID   O
00314760   B-ID
for   O
any   O
inquiries   O
or   O
further   O
information   O
regarding   O
Wallace   B-NAME
,   I-NAME
Alan   I-NAME
's   O
treatment   O
and   O
recovery   O
process   O
.   O

Document   O
prepared   O
by   O
:   O
QS405   B-NAME
,   O
10/12/1610   B-DATE
Historic   B-LOCATION
Technocracy   I-LOCATION
of   I-LOCATION
Suns   I-LOCATION

Patient   O
Name   O
:   O
NATHAN   B-NAME
PLATT   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
1337450   I-ID
Date   O
of   O
Birth   O
:   O
2086   B-DATE
Age   O
:   O
87   O
Medical   O
Record   O
Number   O
:   O
4001264   B-ID
Address   O
:   O
Saks   B-LOCATION
,   O
34713   B-LOCATION
Phone   O
Number   O
:   O
863   B-CONTACT
-   I-CONTACT
5179   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Amiyah   B-NAME
Bauer   I-NAME
Employer   O
:   O
Reliance   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Occupation   O
:   O
Chiropractor   O
Admitting   O
Information   O
:   O
Admission   O
Date   O
:   O

02/22/1776   B-DATE
Admitting   O
Physician   O
:   O

Snow   B-NAME
Hospital   O
:   O
Ben   B-LOCATION
Taub   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Beatrice   B-NAME
Mendoza   I-NAME
,   O
presented   O
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
that   O
started   O
approximately   O
12/11/25   B-DATE
.   O

The   O
pain   O
is   O
described   O
as   O
crampy   O
in   O
nature   O
,   O
localized   O
to   O
the   O
lower   O
abdomen   O
,   O
and   O
has   O
progressively   O
worsened   O
over   O
the   O
last   O
2302   B-DATE
.   O

Thomas   B-NAME
Esquivel   I-NAME
also   O
reports   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
a   O
significant   O
,   O
unintentional   O
weight   O
loss   O
of   O
84   O
pounds   O
over   O
the   O
past   O
month   O
.   O

Tamara   B-NAME
Mahoney   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
changes   O
in   O
bowel   O
habits   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Sabrina   B-NAME
Benton   I-NAME
,   O
a   O
Engraver   O
Set   O
-   O
Up   O
Operators   O
by   O
occupation   O
,   O
has   O
not   O
had   O
any   O
prior   O
episodes   O
of   O
similar   O
abdominal   O
pain   O
and   O
has   O
no   O
significant   O
past   O
medical   O
history   O
of   O
gastrointestinal   O
diseases   O
.   O

Jairo   B-NAME
Sweeney   I-NAME
notes   O
that   O
the   O
pain   O
seems   O
unrelieved   O
by   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
or   O
pain   O
relievers   O
.   O

Social   O
History   O
:   O
Sawyer   B-NAME
Gonzales   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
occasional   O
alcohol   O
user   O
,   O
reporting   O
one   O
to   O
two   O
glasses   O
of   O
wine   O
on   O
weekends   O
.   O

Bruce   B-NAME
,   I-NAME
Lenny   I-NAME
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Chavez   B-NAME
,   I-NAME
Barbara   I-NAME
mentions   O
working   O
long   O
hours   O
as   O
a   O
Geological   O
Data   O
Technicians   O
but   O
denies   O
any   O
recent   O
undue   O
stress   O
or   O
life   O
changes   O
.   O

Family   O
History   O
:   O
Carl   B-NAME
Belle   I-NAME
reports   O
no   O
family   O
history   O
of   O
gastrointestinal   O
cancers   O
,   O
inflammatory   O
bowel   O
disease   O
,   O
or   O
peptic   O
ulcer   O
disease   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
mentioned   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
the   O
present   O
illness   O
,   O
Oates   B-NAME
denies   O
any   O
respiratory   O
,   O
cardiovascular   O
,   O
neurological   O
,   O
or   O
genitourinary   O
issues   O
.   O

On   O
examination   O
,   O
Justus   B-NAME
Hobbs   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
and   O
CT   O
scan   O
were   O
ordered   O
to   O
further   O
evaluate   O
the   O
source   O
of   O
Bruce   B-NAME
D.   I-NAME
Brian   I-NAME
's   O
abdominal   O
pain   O
.   O

Continue   O
with   O
supportive   O
care   O
,   O
including   O
IV   O
fluids   O
for   O
rehydration   O
and   O
pain   O
management   O
protocols   O
as   O
per   O
Atlantic   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
guidelines   O
.   O

4   O
.   O
Follow   O
up   O
with   O
Robertson   B-NAME
in   O
240   B-LOCATION
E.   I-LOCATION
Oakland   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
clinic   O
after   O
discharge   O
for   O
ongoing   O
management   O
and   O
review   O
of   O
test   O
results   O
.   O

Patient   O
Name   O
:   O
al   B-NAME
-   I-NAME
Sahaf   I-NAME
,   I-NAME
Muhammed   I-NAME
Saeed   I-NAME
Gender   O
:   O
Male   O
Age   O
:   O
9   O
month   O
Date   O
of   O
Birth   O
:   O
22/38   B-DATE
Phone   O
:   O
408   B-CONTACT
-   I-CONTACT
8982   I-CONTACT
Address   O
:   O
Manistee   B-LOCATION
,   O
24566   B-LOCATION
Physician   O
:   O
Woodard   B-NAME
Date   O
of   O
Initial   O
Consultation   O
:   O
November   B-DATE
20   I-DATE
,   I-DATE
2011   I-DATE
Hospital   O
:   O
Wenatchee   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
958   B-ID
-   I-ID
50   I-ID
-   I-ID
11   I-ID
-   I-ID
5   I-ID
Employment   O
:   O
Cardiovascular   O
Technologists   O
and   O
Technicians   O
at   O
Symetra   B-LOCATION
ID   O
:   O
HL:86175:493407   B-ID
Clinical   O
Notes   O
:   O
Knapp   B-NAME
presented   O
on   O
10/2221   B-DATE
with   O
complaints   O
of   O
intermittent   O
,   O
severe   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
he   O
rated   O
as   O
7/10   O
on   O
the   O
pain   O
scale   O
.   O

Additionally   O
,   O
Rosario   B-NAME
reported   O
experiencing   O
diarrhea   O
approximately   O
three   O
times   O
daily   O
,   O
without   O
any   O
presence   O
of   O
blood   O
or   O
mucus   O
in   O
the   O
stool   O
.   O

Lucia   B-NAME
Hodges   I-NAME
recommended   O
laboratory   O
investigations   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
,   O
and   O
stool   O
cultures   O
to   O
rule   O
out   O
infectious   O
causes   O
.   O

A   O
follow   O
-   O
up   O
consultation   O
was   O
scheduled   O
for   O
11/20/60   B-DATE
at   O
Rush   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
where   O
Titus   B-NAME
Bourdages   I-NAME
was   O
advised   O
on   O
the   O
management   O
plan   O
,   O
which   O
included   O
starting   O
a   O
course   O
of   O
corticosteroids   O
aimed   O
at   O
reducing   O
intestinal   O
inflammation   O
and   O
dietary   O
modifications   O
to   O
avoid   O
potential   O
triggers   O
.   O

Instructions   O
were   O
provided   O
to   O
Albert   B-NAME
Merritt   I-NAME
to   O
monitor   O
his   O
symptoms   O
and   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
he   O
experiences   O
severe   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
signs   O
of   O
dehydration   O
.   O

Additionally   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
arranged   O
for   O
02/02   B-DATE
to   O
assess   O
response   O
to   O
therapy   O
and   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
.   O

For   O
any   O
queries   O
or   O
immediate   O
concerns   O
,   O
Buchan   B-NAME
,   I-NAME
John   I-NAME
was   O
advised   O
to   O
contact   O
Paola   B-NAME
Rolls   I-NAME
at   O
46826   B-CONTACT
.   O

QK778   B-NAME
prepared   O
the   O
patient   O
's   O
report   O
and   O
ensured   O
all   O
patient   O
-   O
specific   O
information   O
was   O
adequately   O
coded   O
for   O
confidentiality   O
.   O

On   O
November   B-DATE
,   O
Jasper   B-NAME
Huerta   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Lawrence   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

In   O
addition   O
to   O
the   O
abdominal   O
symptoms   O
,   O
Foust   B-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
chills   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Cabrera   B-NAME
,   O
conducted   O
a   O
physical   O
examination   O
which   O
revealed   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Blackwell   B-NAME
recommended   O
an   O
urgent   O
abdominal   O
ultrasound   O
to   O
further   O
evaluate   O
the   O
condition   O
.   O

The   O
ultrasound   O
,   O
performed   O
on   O
22/23   B-DATE
,   O
confirmed   O
the   O
suspicion   O
of   O
appendicitis   O
,   O
showing   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
fluid   O
collection   O
around   O
it   O
.   O

Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
imaging   O
,   O
Valdez   B-NAME
diagnosed   O
Henry   B-NAME
Jekyll   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
immediate   O
surgical   O
intervention   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Alaska   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Holmes   B-NAME
.   O

Kele   B-NAME
provided   O
informed   O
consent   O
for   O
the   O
appendectomy   O
procedure   O
,   O
which   O
was   O
scheduled   O
for   O
2028   B-DATE
.   O

Jasiah   B-NAME
Hester   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Rose   B-NAME
on   O
04/10   B-DATE
to   O
assess   O
the   O
recovery   O
process   O
.   O

Personal   O
details   O
such   O
as   O
6077043   B-ID
,   O
ZY269/7320   B-ID
,   O
and   O
contact   O
information   O
(   O
(   B-CONTACT
920   I-CONTACT
)   I-CONTACT
845   I-CONTACT
-   I-CONTACT
2103   I-CONTACT
,   O
91240   B-LOCATION
)   O
were   O
protected   O
according   O
to   O
healthcare   O
guidelines   O
.   O

The   O
patient   O
was   O
discharged   O
from   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Orange   I-LOCATION
on   O
January   B-DATE
with   O
instructions   O
for   O
at   O
-   O
home   O
recovery   O
.   O

Patient   O
Report   O
for   O
:   O
Kamari   B-NAME
Stevenson   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
98   O
Date   O
of   O
Birth   O
:   O
11/07/1873   B-DATE
/   O
July   B-DATE
2273   I-DATE
Social   O
Security   O
Number   O
:   O
GP:4577:514763   B-ID
Medical   O
Record   O
Number   O
:   O
9212189   B-ID
Address   O
:   O
Watsonville   B-LOCATION
,   O
Lititz   B-LOCATION
,   O
80290   B-LOCATION
Phone   O
Number   O
:   O
496   B-CONTACT
9895   I-CONTACT
Employment   O
:   O
Insurance   O
Adjusters   O
,   O
Examiners   O
,   O
and   O
Investigators   O
at   O
San   B-LOCATION
Joaquin   I-LOCATION
Bank   I-LOCATION
Primary   O
Care   O
Physician   O
:   O
Morrison   B-NAME
Hospital   O
:   O
Atrium   B-LOCATION
Health   I-LOCATION
Anson   I-LOCATION
Clinical   O
Information   O
:   O
Briana   B-NAME
Roy   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
on   O
02/38/2222   B-DATE
,   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Upon   O
physical   O
examination   O
,   O
Vonda   B-NAME
T.   I-NAME
Ulloa   I-NAME
exhibited   O
McBurney   O
's   O
sign   O
,   O
further   O
suggesting   O
appendicitis   O
.   O

Past   O
Medical   O
History   O
:   O
Uriel   B-NAME
Patrick   I-NAME
Zapien   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
managed   O
with   O
ACE   O
inhibitors   O
.   O

Previous   O
surgical   O
history   O
includes   O
a   O
laparoscopic   O
cholecystectomy   O
performed   O
in   O
30/21/81   B-DATE
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Harley   B-NAME
Weber   I-NAME
,   O
Lauretta   B-NAME
Labarge   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complication   O
on   O
6/51   B-DATE
.   O

Post   O
-   O
operatively   O
,   O
Uy   B-NAME
was   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Pain   O
management   O
was   O
achieved   O
with   O
acetaminophen   O
,   O
avoiding   O
NSAIDs   O
due   O
to   O
Chaudhry   B-NAME
,   I-NAME
Mahendra   I-NAME
's   O
history   O
of   O
hypertension   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Peterson   B-NAME
was   O
discharged   O
from   O
UTMB   B-LOCATION
Health   I-LOCATION
Angleton   I-LOCATION
Danbury   I-LOCATION
Campus   I-LOCATION
on   O
03/03/2134   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Brynn   B-NAME
Bell   I-NAME
in   O
two   O
weeks   O
.   O

Mcclain   B-NAME
was   O
advised   O
to   O
adhere   O
to   O
a   O
liquid   O
diet   O
for   O
24   O
hours   O
post   O
-   O
discharge   O
,   O
gradually   O
returning   O
to   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

Contact   O
Information   O
for   O
Follow   O
-   O
Up   O
:   O
Office   O
of   O
Braylen   B-NAME
Santiago   I-NAME
:   O
476   B-CONTACT
6598   I-CONTACT
Appointment   O
Date   O
:   O
December   B-DATE
22th   I-DATE

-   O
Should   O
you   O
experience   O
any   O
complications   O
,   O
please   O
contact   O
Bon   B-LOCATION
Secours   I-LOCATION
DePaul   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
.   O

Please   O
note   O
,   O
this   O
document   O
contains   O
confidential   O
information   O
intended   O
solely   O
for   O
the   O
use   O
of   O
Jaidyn   B-NAME
Michael   I-NAME
and   O
should   O
not   O
be   O
disclosed   O
to   O
third   O
parties   O
without   O
proper   O
consent   O
.   O

Report   O
Prepared   O
By   O
:   O
ro879   B-NAME
Report   O
Date   O
:   O
20/02   B-DATE

Patient   O
Report   O
Patient   O
's   O
Name   O
:   O
Itzel   B-NAME
Bruce   I-NAME
Patient   O
's   O
Age   O
:   O
97   O
Patient   O
's   O
ID   O
:   O
2   B-ID
-   I-ID
8862192   I-ID
Medical   O
Record   O
Number   O
:   O
9985677   B-ID
Date   O
of   O
Examination   O
:   O
23/02   B-DATE
/2023   O
Location   O
:   O
Youngtown   B-LOCATION
Phone   O
Number   O
:   O
737   B-CONTACT
297   I-CONTACT
2791   I-CONTACT
Profession   O
:   O
plumber   O
Primary   O
Doctor   O
:   O
Lin   B-NAME
Hospital   O
Name   O
:   O

INTEGRIS   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Zip   O
Code   O
:   O
74763   B-LOCATION
Clinical   O
Presentation   O
:   O
ostrowski   B-NAME
presented   O
to   O
the   O
clinic   O
with   O
a   O
chief   O
complaint   O
of   O
intermittent   O
severe   O
headaches   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

The   O
patient   O
reported   O
an   O
increase   O
in   O
frequency   O
of   O
these   O
episodes   O
over   O
the   O
past   O
29/27   B-DATE
,   O
occurring   O
approximately   O
2   O
-   O
3   O
times   O
per   O
month   O
.   O

There   O
was   O
no   O
observed   O
pattern   O
in   O
terms   O
of   O
time   O
of   O
day   O
,   O
but   O
the   O
patient   O
noted   O
that   O
stress   O
at   O
North   B-LOCATION
Attleboro   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
and   O
lack   O
of   O
sleep   O
seemed   O
to   O
exacerbate   O
the   O
symptoms   O
.   O

Rocky   B-NAME
has   O
a   O
known   O
history   O
of   O
asthma   O
and   O
has   O
been   O
using   O
an   O
inhaler   O
as   O
prescribed   O
.   O

Family   O
history   O
is   O
significant   O
for   O
migraine   O
in   O
Nichols   B-NAME
's   O
mother   O
.   O

Diagnostic   O
Assessment   O
:   O
A   O
neurological   O
examination   O
conducted   O
by   O
Francesca   B-NAME
Hunter   I-NAME
was   O
fundamentally   O
unremarkable   O
,   O
with   O
no   O
signs   O
of   O
focal   O
neurological   O
deficits   O
.   O

However   O
,   O
to   O
rule   O
out   O
other   O
potential   O
causes   O
of   O
the   O
symptoms   O
,   O
Horne   B-NAME
recommended   O
a   O
brain   O
MRI   O
,   O
which   O
was   O
scheduled   O
to   O
be   O
conducted   O
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
South   I-LOCATION
Bend   I-LOCATION
on   O
08/20/2102   B-DATE
/2023   O
.   O

The   O
management   O
strategy   O
for   O
Tullar   B-NAME
Geneseo   I-NAME
involves   O
both   O
pharmacological   O
and   O
non   O
-   O
pharmacological   O
approaches   O
.   O

As   O
a   O
prophylactic   O
measure   O
,   O
Lainey   B-NAME
Quinn   I-NAME
prescribed   O
a   O
beta   O
-   O
blocker   O
,   O
to   O
be   O
taken   O
daily   O
.   O

Follow   O
-   O
up   O
:   O
Scarlet   B-NAME
Banks   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Mata   B-NAME
at   O
Kingman   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Kingman   I-LOCATION
after   O
the   O
MRI   O
results   O
are   O
available   O
,   O
approximately   O
in   O
02/07/40   B-DATE
/2023   O
.   O

Instructions   O
for   O
Patient   O
:   O
Helen   B-NAME
Updike   I-NAME
was   O
instructed   O
to   O
avoid   O
known   O
headache   O
triggers   O
,   O
maintain   O
a   O
healthy   O
lifestyle   O
,   O
and   O
adhere   O
strictly   O
to   O
the   O
medication   O
regimen   O
.   O

Additionally   O
,   O
Degas   B-NAME
,   I-NAME
Edgar   I-NAME
was   O
encouraged   O
to   O
contact   O
John   B-LOCATION
Paul   I-LOCATION
Jones   I-LOCATION
Hospital   I-LOCATION
at   O
980   B-CONTACT
-   I-CONTACT
1942   I-CONTACT
for   O
any   O
concerns   O
or   O
if   O
there   O
was   O
an   O
increase   O
in   O
the   O
frequency   O
or   O
severity   O
of   O
headaches   O
.   O

Patient   O
Report   O
for   O
Joseph   B-NAME
Basic   O
Information   O
:   O
-   O
Age   O
:   O
51   O
-   O
ID   O
:   O
2   B-ID
-   I-ID
1717984   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
4968104   B-ID
-   O
Date   O
of   O
Initial   O
Consultation   O
:   O
12/16/2378   B-DATE
Symptoms   O
:   O
Lyla   B-NAME
Galvan   I-NAME
presented   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
Wauchula   I-LOCATION
on   O
21/20/64   B-DATE
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
last   O
three   O
weeks   O
.   O

Agnew   B-NAME
,   I-NAME
Spiro   I-NAME
also   O
reported   O
experiencing   O
significant   O
malaise   O
,   O
myalgia   O
,   O
and   O
intermittent   O
headaches   O
of   O
moderate   O
severity   O
.   O

Notably   O
,   O
Dalton   B-NAME
Reynolds   I-NAME
mentioned   O
a   O
marked   O
decrease   O
in   O
appetite   O
leading   O
to   O
an   O
unintentional   O
weight   O
loss   O
of   O
approximately   O
5   O
%   O
of   O
their   O
total   O
body   O
weight   O
over   O
the   O
aforementioned   O
period   O
.   O

Medical   O
History   O
:   O
Summers   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
managed   O
with   O
a   O
combination   O
of   O
ACE   O
inhibitors   O
and   O
thiazide   O
diuretics   O
.   O

Theodore   B-NAME
Chandler   I-NAME
denies   O
any   O
history   O
of   O
smoking   O
or   O
illicit   O
drug   O
use   O
.   O

Diagnostic   O
Evaluation   O
:   O
Upon   O
evaluation   O
by   O
Fernando   B-NAME
Acosta   I-NAME
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Bethlehem   I-LOCATION
Campus   I-LOCATION
,   O
laboratory   O
investigations   O
were   O
ordered   O
,   O
which   O
returned   O
with   O
elevated   O
inflammatory   O
markers   O
(   O
CRP   O
and   O
ESR   O
)   O
,   O
and   O
a   O
chest   O
X   O
-   O
ray   O
suggestive   O
of   O
early   O
bilateral   O
interstitial   O
infiltrates   O
.   O

In   O
light   O
of   O
the   O
above   O
findings   O
,   O
Pratchett   B-NAME
,   I-NAME
Terry   I-NAME
was   O
advised   O
to   O
commence   O
a   O
regimen   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
supportive   O
care   O
,   O
including   O
hydration   O
and   O
antipyretics   O
.   O

The   O
possibility   O
of   O
a   O
viral   O
etiology   O
leading   O
to   O
these   O
symptoms   O
necessitates   O
close   O
monitoring   O
,   O
and   O
thus   O
,   O
Joyce   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
examination   O
on   O
04/21   B-DATE
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
urgent   O
updates   O
in   O
Frey   B-NAME
's   O
condition   O
,   O
Winters   B-NAME
can   O
be   O
reached   O
directly   O
through   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Orange   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Anaheim   I-LOCATION
's   O
main   O
line   O
at   O
638   B-CONTACT
-   I-CONTACT
683   I-CONTACT
-   I-CONTACT
3553   I-CONTACT
.   O

This   O
report   O
contains   O
sensitive   O
health   O
information   O
regarding   O
Lenna   B-NAME
,   O
under   O
the   O
care   O
of   O
Spence   B-NAME
,   I-NAME
Gerry   I-NAME
and   O
Danbury   B-LOCATION
Hospital   I-LOCATION
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
notify   O
the   O
sender   O
immediately   O
at   O
697   B-CONTACT
2003   I-CONTACT
and   O
delete   O
the   O
original   O
message   O
.   O

Patient   O
Name   O
:   O
Jimena   B-NAME
Donaldson   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
7060675   I-ID
Medical   O
Record   O
No   O
.   O
:   O
1357188   B-ID
Date   O
of   O
Birth   O
:   O
23/39/08   B-DATE
Age   O
:   O
97   O
Address   O
:   O
Pawling   B-LOCATION
,   O
93298   B-LOCATION
Phone   O
:   O
802   B-CONTACT
1908   I-CONTACT
Physician   O
:   O
Gray   B-NAME
Referred   O
by   O
:   O
Stevenson   B-NAME
Organization   O
:   O
Seafarers   B-LOCATION
'   I-LOCATION
International   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
Hospital   O
:   O
UPMC   B-LOCATION
Somerset   I-LOCATION
Report   O
Date   O
:   O
1833   B-DATE
Summary   O
:   O
RDB   B-NAME
presented   O
to   O
Memorial   B-LOCATION
Satilla   I-LOCATION
Health   I-LOCATION
on   O
15/26   B-DATE
with   O
complaints   O
of   O
continuous   O
,   O
severe   O
tension   O
headaches   O
characterized   O
by   O
a   O
tight   O
band   O
-   O
like   O
sensation   O
around   O
the   O
head   O
,   O
notably   O
worsening   O
over   O
the   O
past   O
three   O
weeks   O
.   O

Pierce   B-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
,   O
significantly   O
impacting   O
daily   O
functioning   O
.   O

GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
denied   O
any   O
recent   O
trauma   O
,   O
fever   O
,   O
or   O
visual   O
disturbances   O
.   O

Appendectomy   O
in   O
2010   O
Examination   O
:   O
Upon   O
examination   O
,   O
Seleucus   B-NAME
Cabeza   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
at   O
150/95   O
mmHg   O
.   O

Diagnosis   O
:   O
Trenton   B-NAME
Pena   I-NAME
was   O
diagnosed   O
with   O
chronic   O
tension   O
-   O
type   O
headaches   O
,   O
exacerbated   O
by   O
poorly   O
controlled   O
hypertension   O
and   O
possible   O
stress   O
-   O
related   O
factors   O
.   O

4   O
.   O
Recommendation   O
for   O
Guillermo   B-NAME
Schwartz   I-NAME
to   O
commence   O
a   O
structured   O
stress   O
management   O
program   O
,   O
including   O
cognitive   O
-   O
behavioral   O
therapy   O
(   O
CBT   O
)   O
.   O

5   O
.   O
Follow   O
-   O
up   O
appointment   O
booked   O
for   O
09/11/1676   B-DATE
with   O
Vitus   B-NAME
Werdegast   I-NAME
to   O
assess   O
response   O
to   O
treatment   O
and   O
blood   O
pressure   O
control   O
.   O

Instructions   O
for   O
Iyer   B-NAME
:   O
-   O
Adhere   O
strictly   O
to   O
the   O
new   O
medication   O
regimen   O
and   O
keep   O
a   O
headache   O
diary   O
to   O
monitor   O
frequency   O
and   O
intensity   O
of   O
headaches   O
.   O
-   O
Engage   O
in   O
regular   O
physical   O
activity   O
and   O
maintain   O
a   O
balanced   O
diet   O
.   O

For   O
any   O
questions   O
,   O
or   O
to   O
report   O
any   O
side   O
effects   O
of   O
medication   O
,   O
Dalton   B-NAME
is   O
advised   O
to   O
contact   O
Kenmore   B-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
's   O
Neurology   O
department   O
at   O
681   B-CONTACT
-   I-CONTACT
2064   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Keller   B-NAME
,   I-NAME
Helen   I-NAME
Patient   O
Age   O
:   O
99   O
Date   O
of   O
Birth   O
:   O
2233   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
33   I-DATE
Medical   O
Record   O
Number   O
:   O
14977163   B-ID
SSN   O
:   O
667634   B-ID
Address   O
:   O
Bolton   B-LOCATION
,   I-LOCATION
ON   I-LOCATION
L7E   I-LOCATION
7A1   I-LOCATION
,   O
43960   B-LOCATION
Phone   O
Number   O
:   O
70970   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Gogh   B-NAME
,   I-NAME
Vincent   I-NAME
Willem   I-NAME
Van   I-NAME
Admitting   O
Hospital   O
:   O
Lewis   B-LOCATION
County   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
33/02/2120   B-DATE
Date   O
of   O
Report   O
:   O
4/23   B-DATE
Summary   O
:   O
Aaliyah   B-NAME
Parker   I-NAME
presented   O
to   O
Peak   B-LOCATION
View   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
on   O
31/24   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Gabriel   B-NAME
Cole   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Sabrina   B-NAME
Benton   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
pulse   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
temperature   O
38.2   O
°   O
C   O
(   O
100.8   O
°   O
F   O
)   O
,   O
and   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
workup   O
,   O
Martin   B-NAME
was   O
diagnosed   O
with   O
acute   O
pancreatitis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Jewish   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Jaiden   B-NAME
Randall   I-NAME
for   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Disposition   O
:   O
As   O
of   O
21/28   B-DATE
,   O
McKay   B-NAME
's   O
condition   O
has   O
shown   O
improvement   O
.   O

Pain   O
has   O
significantly   O
decreased   O
,   O
and   O
Theodore   B-NAME
Chandler   I-NAME
is   O
tolerating   O
a   O
liquid   O
diet   O
without   O
exacerbation   O
of   O
symptoms   O
.   O

The   O
plan   O
is   O
for   O
Nolan   B-NAME
Stelzer   I-NAME
to   O
be   O
discharged   O
within   O
the   O
next   O
48   O
hours   O
if   O
the   O
recovery   O
trend   O
continues   O
.   O

Follow   O
-   O
Up   O
:   O
Stephenson   B-NAME
,   I-NAME
Neal   I-NAME
will   O
follow   O
up   O
with   O
Wilkinson   B-NAME
in   O
1   O
week   O
for   O
re   O
-   O
evaluation   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
outpatient   O
endoscopic   O
ultrasound   O
scheduled   O
to   O
assess   O
for   O
any   O
evidence   O
of   O
chronic   O
pancreatitis   O
or   O
gallbladder   O
disease   O
.   O

Instructions   O
upon   O
Discharge   O
:   O
Earnest   B-NAME
has   O
been   O
instructed   O
to   O
avoid   O
alcohol   O
and   O
fatty   O
foods   O
.   O

Jerome   B-NAME
Santos   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
regular   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
and   O
strict   O
adherence   O
to   O
diabetes   O
medication   O
.   O

Addyson   B-NAME
Shelton   I-NAME
Patient   O
ID   O
:   O
AB:91699:684987   B-ID
Medical   O
Record   O
Number   O
:   O
9393668   B-ID
Date   O
of   O
Birth   O
:   O
81   O
Date   O
of   O
Admission   O
:   O
06/01/2250   B-DATE
/2023   O

Date   O
of   O
Report   O
:   O
29/32/2257   B-DATE
/2023   O
Attending   O
Physician   O
:   O
Cabrera   B-NAME
Treatment   O
Facility   O
:   O
Sentara   B-LOCATION
CarePlex   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Cambridge   B-LOCATION
,   O
82628   B-LOCATION
Contact   O
Information   O
:   O
802   B-CONTACT
180   I-CONTACT
-   I-CONTACT
5457   I-CONTACT
Chief   O
Complaint   O
:   O
Grady   B-NAME
Randall   I-NAME
was   O
admitted   O
to   O
Comprehensive   B-LOCATION
Health   I-LOCATION
of   I-LOCATION
Planned   I-LOCATION
Parenthood   I-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
and   I-LOCATION
Mid   I-LOCATION
-   I-LOCATION
Missouri   I-LOCATION
(   I-LOCATION
PPKM   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
on   O
9/08/2022   B-DATE
/2023   O
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
intermittent   O
episodes   O
of   O
fever   O
over   O
the   O
past   O
72   O
hours   O
.   O

Jocelyn   B-NAME
Frye   I-NAME
has   O
described   O
the   O
pain   O
as   O
a   O
sharp   O
and   O
consistent   O
sensation   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
William   B-NAME
Dugan   I-NAME
,   O
a   O
39   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Agricultural   O
Crop   O
Workers   O
from   O
Jellico   B-LOCATION
,   O
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
four   O
days   O
prior   O
to   O
admission   O
.   O

Accompanying   O
the   O
abdominal   O
pain   O
,   O
Sidney   B-NAME
Stephenson   I-NAME
experienced   O
several   O
episodes   O
of   O
nausea   O
leading   O
to   O
vomiting   O
,   O
without   O
the   O
presence   O
of   O
blood   O
.   O

Past   O
Medical   O
History   O
:   O
Desmond   B-NAME
,   I-NAME
Paul   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
beta   O
-   O
blockers   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Philips   B-NAME
,   I-NAME
Emo   I-NAME
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Based   O
on   O
the   O
clinical   O
and   O
diagnostic   O
findings   O
,   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Andrews   B-NAME
.   O

Kitchen   B-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
Memorial   B-DATE
Day   I-DATE
/2023   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Lincoln   I-LOCATION
.   O

Judalon   B-NAME
demonstrated   O
significant   O
improvement   O
and   O
was   O
discharged   O
on   O
March   B-DATE
00   I-DATE
/2023   O
with   O
instructions   O
for   O
follow   O
-   O
up   O
at   O
Medical   B-LOCATION
Center   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
clinic   O
.   O

Odonnell   B-NAME
is   O
required   O
to   O
return   O
to   O
Little   B-LOCATION
Falls   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
visit   O
with   O
Mckinney   B-NAME
on   O
2162   B-DATE
/2023   O
.   O

Further   O
evaluation   O
of   O
Kayleen   B-NAME
's   O
diabetes   O
and   O
hypertension   O
management   O
will   O
also   O
be   O
conducted   O
during   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Conclusion   O
:   O
Johanna   B-NAME
Reed   I-NAME
,   O
a   O
29   O
-   O
year   O
-   O
old   O
Economists   O
from   O
Weott   B-LOCATION
,   O
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
with   O
laparoscopic   O
appendectomy   O
.   O

Post   O
-   O
operative   O
recovery   O
is   O
proceeding   O
as   O
expected   O
,   O
and   O
follow   O
-   O
up   O
care   O
has   O
been   O
scheduled   O
to   O
ensure   O
comprehensive   O
management   O
of   O
Madilyn   B-NAME
Houston   I-NAME
's   O
condition   O
.   O

End   O
of   O
Report   O
Prepared   O
by   O
:   O
dbx6810   B-NAME
Contact   O
Information   O
for   O
Queries   O
:   O
(   B-CONTACT
897   I-CONTACT
)   I-CONTACT
465   I-CONTACT
4803   I-CONTACT

Patient   O
Report   O
for   O
Adonis   B-NAME
Shea   I-NAME
2035   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
00   I-DATE
/2023   O
First   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
:   O

St.   B-LOCATION
Catherine   I-LOCATION
Hospital   I-LOCATION
Campbell   B-NAME
:   O
129   B-ID
-   I-ID
12   I-ID
-   I-ID
04   I-ID
-   I-ID
9   I-ID
STEPHEN   B-NAME
X.   I-NAME
PIKE   I-NAME
Information   O
:   O

Age   O
:   O
80   O
Gender   O
:   O
Female   O
ID   O
:   O
RQ:60916:352766   B-ID
Medical   O
Record   O
Number   O
:   O
48022475   B-ID
Contact   O
Number   O
:   O
(   B-CONTACT
595   I-CONTACT
)   I-CONTACT
941   I-CONTACT
-   I-CONTACT
9563   I-CONTACT
Residence   O
:   O
Houston   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77060   I-LOCATION
,   O
74315   B-LOCATION
Chief   O
Complaint   O
:   O

Rhodes   B-NAME
presents   O
with   O
a   O
persistent   O
dry   O
cough   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Medical   O
History   O
:   O
Chapin   B-NAME
,   I-NAME
Harry   I-NAME
has   O
a   O
history   O
of   O
asthma   O
diagnosed   O
in   O
childhood   O
and   O
seasonal   O
allergies   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Hernandez   B-NAME
's   O
vital   O
signs   O
are   O
within   O
normal   O
ranges   O
but   O
with   O
a   O
slightly   O
elevated   O
respiratory   O
rate   O
.   O

3   O
.   O
Increase   O
the   O
dose   O
of   O
inhaled   O
corticosteroids   O
and   O
long   O
-   O
acting   O
beta   O
-   O
agonists   O
for   O
the   O
next   O
12/09   B-DATE
.   O
4   O
.   O

Instructions   O
for   O
Tilph   B-NAME
:   O
-   O
Follow   O
the   O
medication   O
regimen   O
as   O
prescribed   O
.   O

The   O
Bonner   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
and   O
Harding   B-NAME
will   O
continue   O
to   O
monitor   O
Eric   B-NAME
Proctor   I-NAME
's   O
condition   O
closely   O
to   O
ensure   O
an   O
effective   O
treatment   O
plan   O
is   O
in   O
place   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
based   O
on   O
her   O
response   O
to   O
the   O
therapy   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
can   O
contact   O
Colmery   B-LOCATION
-   I-LOCATION
O'Neil   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
's   O
pulmonary   O
department   O
at   O
490   B-CONTACT
-   I-CONTACT
2786   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsen   O
.   O

Report   O
prepared   O
by   O
:   O
Rich   B-NAME
,   O
Pulmonologist   O
Blue   B-LOCATION
Ridge   I-LOCATION
Mountain   I-LOCATION
EMC   I-LOCATION
:   O
Scheurer   B-LOCATION
Hospital   I-LOCATION
2/5/54   B-DATE

Patient   O
Name   O
:   O
Suzanne   B-NAME
McCullough   I-NAME
Patient   O
PO   B-ID
:   I-ID
YQ:6983   I-ID
:   O
189   B-ID
-   I-ID
42   I-ID
-   I-ID
27   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
1719   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
25   I-DATE
Age   O
:   O
50   O
Address   O
:   O
Moss   B-LOCATION
Beach   I-LOCATION
,   O
75653   B-LOCATION
Phone   O
:   O
21732   B-CONTACT

Gardner   B-NAME
Hospital   O
:   O

Citrus   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
04/03   B-DATE
Chief   O
Complaint   O
:   O
WILKES   B-NAME
,   O
a   O
Conservation   O
Scientists   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
2383   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
33   I-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

Klukken   B-NAME
reported   O
no   O
recent   O
travel   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
prior   O
history   O
of   O
similar   O
symptoms   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Trotsky   B-NAME
,   I-NAME
Leon   I-NAME
first   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
approximately   O
48   O
hours   O
before   O
presentation   O
.   O

Past   O
Medical   O
History   O
:   O
Morley   B-NAME
,   I-NAME
Christopher   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
prescribed   O
by   O
Nugent   B-NAME
,   I-NAME
Ted   I-NAME
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

On   O
physical   O
examination   O
,   O
McGuire   B-NAME
,   I-NAME
Al   I-NAME
exhibited   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

Ximena   B-NAME
A   I-NAME
Mays   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Bombeck   B-NAME
,   I-NAME
Erma   I-NAME
consented   O
to   O
the   O
procedure   O
after   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
were   O
discussed   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
the   O
morning   O
of   O
07/22   B-DATE
under   O
the   O
care   O
of   O
Lennon   B-NAME
Jackson   I-NAME
at   O
Harrison   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

wep735   B-NAME
completed   O
the   O
report   O
on   O
23/29/94   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rylan   B-NAME
Rangel   I-NAME
Patient   O
ID   O
:   O
NP   B-ID
:   I-ID
XJ:8390   I-ID
Medical   O
Record   O
Number   O
:   O
5151X69458   B-ID
Date   O
of   O
Birth   O
:   O
13/27/2040   B-DATE
Age   O
:   O
20   O
Phone   O
Number   O
:   O
72854   B-CONTACT
Address   O
:   O
Modest   B-LOCATION
Town   I-LOCATION
,   O
99278   B-LOCATION
Occupation   O
:   O

Procurement   O
Clerks   O
Primary   O
Physician   O
:   O
Holt   B-NAME
,   I-NAME
John   I-NAME
Hospital   O
:   O

Piedmont   B-LOCATION
Henry   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2/2370   B-DATE
Username   O
:   O
pvp493   B-NAME
Chief   O
Complaint   O
:   O
Belen   B-NAME
Mcneil   I-NAME
,   O
a   O
98   O
-   O
year   O
-   O
old   O
Pewter   O
Casters   O
and   O
Finishers   O
from   O
Laureles   B-LOCATION
,   O
presented   O
to   O
Randolph   B-LOCATION
Health   I-LOCATION
on   O
15/32/11   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
5   O
days   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Nia   B-NAME
Potts   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
5   O
days   O
ago   O
,   O
starting   O
with   O
a   O
mild   O
cough   O
and   O
low   O
-   O
grade   O
fever   O
,   O
which   O
then   O
escalated   O
to   O
its   O
current   O
state   O
.   O

According   O
to   O
Ivan   B-NAME
Moss   I-NAME
,   O
there   O
is   O
no   O
history   O
of   O
chronic   O
diseases   O
,   O
surgeries   O
,   O
or   O
prolonged   O
hospitalizations   O
.   O

On   O
examination   O
,   O
Lucien   B-NAME
Englert   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Steve   B-NAME
Flint   I-NAME
for   O
17/16/92   B-DATE
to   O
review   O
test   O
results   O
and   O
adjust   O
treatment   O
plans   O
accordingly   O
.   O

Instructions   O
were   O
given   O
to   O
Campbell   B-NAME
Hoover   I-NAME
to   O
maintain   O
hydration   O
,   O
continue   O
fever   O
management   O
,   O
and   O
rest   O
adequately   O
.   O

Follow   O
-   O
up   O
Contact   O
:   O
Kramer   B-NAME
or   O
an   O
immediate   O
family   O
member   O
is   O
advised   O
to   O
contact   O
Asante   B-LOCATION
Three   I-LOCATION
Rivers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
312   B-CONTACT
555   I-CONTACT
-   I-CONTACT
9999   I-CONTACT
for   O
any   O
urgent   O
concerns   O
or   O
if   O
symptoms   O
markedly   O
worsen   O
before   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

Please   O
contact   O
Clewiston   B-LOCATION
Utilities   I-LOCATION
for   O
any   O
queries   O
or   O
further   O
information   O
.   O

Patient   O
Name   O
:   O
Waters   B-NAME
Age   O
:   O
79   O
Date   O
of   O
Birth   O
:   O
06/03   B-DATE
Phone   O
Number   O
:   O
273   B-CONTACT
1309   I-CONTACT
Address   O
:   O
Bingham   B-LOCATION
Lake   I-LOCATION
,   O
80645   B-LOCATION
Occupation   O
:   O
Forest   O
and   O
Conservation   O
Technicians   O
Medical   O
Record   O
Number   O
:   O
94867280   B-ID
Health   O
Insurance   O
ID   O
:   O
VK:77422:864944   B-ID

Brent   B-NAME
Baltzell   I-NAME
Hospital   O
:   O

Christian   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
6/4/2147   B-DATE
Username   O
:   O
HY662   B-NAME
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Zechariah   B-NAME
Braun   I-NAME
,   O
a   O
Fish   O
and   O
Game   O
Wardens   O
residing   O
in   O
Two   B-LOCATION
Strike   I-LOCATION
,   O
was   O
admitted   O
to   O
University   B-LOCATION
of   I-LOCATION
Cincinnati   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Wednesday   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
lasting   O
for   O
several   O
hours   O
.   O

Donovan   B-NAME
's   O
abdominal   O
examination   O
upon   O
admission   O
revealed   O
rebound   O
tenderness   O
and   O
rigidity   O
suggesting   O
peritoneal   O
irritation   O
.   O

Abdominal   O
ultrasonography   O
performed   O
by   O
Gilbert   B-NAME
,   I-NAME
W.   I-NAME
S.   I-NAME
on   O
00/38/98   B-DATE
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
fluid   O
collection   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
fluids   O
and   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
under   O
the   O
care   O
of   O
Augustus   B-NAME
Luna   I-NAME
.   O

The   O
patient   O
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Dunlap   B-NAME
was   O
discharged   O
from   O
Boulder   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
on   O
31/11/2060   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
care   O
with   O
Aydin   B-NAME
Ford   I-NAME
in   O
two   O
weeks   O
.   O

Conclusion   O
:   O
Tara   B-NAME
Phipps   I-NAME
,   O
a   O
28   O
-   O
year   O
-   O
old   O
Health   O
Educators   O
from   O
Chestertown   B-LOCATION
,   O
presented   O
with   O
classic   O
symptoms   O
of   O
acute   O
appendicitis   O
.   O

Outpatient   O
Follow   O
-   O
up   O
:   O
Scheduled   O
for   O
Jan   B-DATE
24   I-DATE
,   I-DATE
2198   I-DATE
with   O
Whitaker   B-NAME
at   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marion   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
outpatient   O
department   O
.   O

Contact   O
Number   O
for   O
Concerns   O
:   O
(   B-CONTACT
226   I-CONTACT
)   I-CONTACT
785   I-CONTACT
-   I-CONTACT
6589   I-CONTACT
End   O
of   O
Report   O
.   O

Patient   O
Name   O
:   O
Tripp   B-NAME
Wise   I-NAME
ID   O
:   O
8588061   B-ID
Medical   O
Record   O
Number   O
:   O
04571485   B-ID
Date   O
of   O
Birth   O
:   O
February   B-DATE
of   I-DATE
2242   I-DATE
Age   O
:   O
81   O
Phone   O
Number   O
:   O
877   B-CONTACT
-   I-CONTACT
269   I-CONTACT
4764   I-CONTACT
Address   O
:   O
Pine   B-LOCATION
Grove   I-LOCATION
,   O
63458   B-LOCATION
Treating   O
Physician   O
:   O

Mariah   B-NAME
Horn   I-NAME
Hospital   O
:   O
Wellstar   B-LOCATION
West   I-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
20/22   B-DATE
Profession   O
:   O

Social   O
and   O
Human   O
Service   O
Assistants   O
Chief   O
Complaint   O
:   O
Anthony   B-NAME
Ludgate   I-NAME
Druid   I-NAME
presented   O
to   O
the   O
Saint   B-LOCATION
Joseph   I-LOCATION
East   I-LOCATION
on   O
12/28   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
persisting   O
for   O
approximately   O
48   O
hours   O
before   O
admission   O
.   O

Trump   B-NAME
,   I-NAME
Donald   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Martha   B-NAME
Tharp   I-NAME
,   O
a   O
Photographers   O
,   O
Scientific   O
,   O
stated   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
generalized   O
but   O
gradually   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
over   O
several   O
hours   O
.   O

Meadows   B-NAME
denied   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
consumption   O
,   O
or   O
sick   O
contacts   O
.   O

Past   O
Medical   O
History   O
:   O
Alanna   B-NAME
Gonzales   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
known   O
allergies   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Shelby   B-NAME
Ocallaghan   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

The   O
provisional   O
diagnosis   O
for   O
Kiana   B-NAME
is   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
with   O
Nailatikau   B-NAME
,   I-NAME
Adi   I-NAME
Koila   I-NAME
was   O
requested   O
for   O
evaluation   O
for   O
an   O
appendectomy   O
.   O

Braxton   B-NAME
May   I-NAME
was   O
advised   O
to   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
preparation   O
for   O
possible   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
Zara   B-NAME
Gordon   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
post   O
-   O
surgery   O
on   O
1976   B-DATE
at   O
the   O
Fawcett   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
surgical   O
outpatient   O
department   O
.   O

Instructions   O
were   O
given   O
to   O
call   O
(   B-CONTACT
516   I-CONTACT
)   I-CONTACT
632   I-CONTACT
-   I-CONTACT
9644   I-CONTACT
if   O
there   O
are   O
any   O
concerns   O
before   O
the   O
follow   O
-   O
up   O
date   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Selena   B-NAME
Tanner   I-NAME
,   O
PIH   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Whittier   I-LOCATION
,   O
on   O
32/02   B-DATE
.   O

Patient   O
Name   O
:   O
Uehara   B-NAME
Patient   O
43134431   B-ID
:   O
96356090   B-ID
Date   O
of   O
Birth   O
:   O
2207   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
29   I-DATE
Address   O
:   O
Kyrgyzstan   B-LOCATION
,   O
21265   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Warhol   B-NAME
,   I-NAME
Andy   I-NAME
Date   O
of   O
Visit   O
:   O
12/02/72   B-DATE
Hospital   O
:   O
BANNER   B-LOCATION
ESTRELLA   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
Contact   O
Information   O
:   O
341   B-CONTACT
-   I-CONTACT
820   I-CONTACT
7361   I-CONTACT
Chief   O
Complaint   O
:   O
Ruba   B-NAME
Neil   I-NAME
,   O
a   O
60   O
-   O
year   O
-   O
old   O
Private   O
Sector   O
Executives   O
from   O
Texas   B-LOCATION
(   O
57590   B-LOCATION
)   O
,   O
presented   O
to   O
St.   B-LOCATION
Louis   I-LOCATION
Behavioral   I-LOCATION
Medicine   I-LOCATION
Institute   I-LOCATION
on   O
2343   B-DATE
with   O
a   O
3   O
-   O
day   O
history   O
of   O
severe   O
,   O
throbbing   O
headaches   O
primarily   O
localized   O
to   O
the   O
frontal   O
region   O
.   O

Michiko   B-NAME
also   O
reported   O
experiencing   O
transient   O
episodes   O
of   O
blurred   O
vision   O
and   O
nausea   O
without   O
vomiting   O
.   O

Medical   O
History   O
:   O
Allan   B-NAME
Cabrera   I-NAME
has   O
a   O
documented   O
history   O
of   O
migraines   O
but   O
notes   O
that   O
the   O
current   O
episode   O
is   O
significantly   O
more   O
severe   O
than   O
previous   O
occurrences   O
.   O

Braylon   B-NAME
Allison   I-NAME
's   O
medical   O
record   O
(   O
548   B-ID
-   I-ID
36   I-ID
-   I-ID
60   I-ID
-   I-ID
0   I-ID
)   O
also   O
indicates   O
a   O
history   O
of   O
hypertension   O
for   O
which   O
Rosamond   B-NAME
has   O
been   O
prescribed   O
medication   O
(   O
specific   O
drugs   O
not   O
disclosed   O
in   O
this   O
summary   O
)   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Marc   B-NAME
Guerrero   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

4   O
.   O
Continue   O
monitoring   O
Johnson   B-NAME
,   I-NAME
Philip   I-NAME
's   O
blood   O
pressure   O
and   O
manage   O
as   O
per   O
current   O
hypertension   O
guidelines   O
.   O

Follow   O
-   O
Up   O
:   O
Gates   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Shriners   B-LOCATION
Hospitals   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
-   I-LOCATION
Greenville   I-LOCATION
with   O
Shepherd   B-NAME
on   O
2/2/2350   B-DATE
to   O
review   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
and   O
assess   O
the   O
effectiveness   O
of   O
the   O
headache   O
management   O
plan   O
.   O

Schultz   B-NAME
was   O
also   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
document   O
any   O
future   O
episodes   O
in   O
detail   O
.   O

Instructions   O
were   O
provided   O
to   O
Wright   B-NAME
,   I-NAME
Wilbur   I-NAME
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
contact   O
Mcneil   B-NAME
at   O
125   B-CONTACT
-   I-CONTACT
467   I-CONTACT
-   I-CONTACT
8567   I-CONTACT
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
Kenisha   B-NAME
experiences   O
signs   O
of   O
potential   O
complications   O
,   O
such   O
as   O
persistent   O
vomiting   O
,   O
seizures   O
,   O
or   O
sudden   O
onset   O
of   O
neurological   O
deficits   O
.   O

Security   O
:   O
A   O
copy   O
of   O
this   O
visit   O
summary   O
and   O
all   O
related   O
test   O
results   O
will   O
be   O
securely   O
stored   O
in   O
Kang   B-NAME
's   O
electronic   O
health   O
record   O
(   O
2621956   B-ID
)   O
.   O

Rowan   B-NAME
Dunlop   I-NAME
was   O
reminded   O
of   O
the   O
importance   O
of   O
protecting   O
personal   O
health   O
information   O
and   O
to   O
contact   O
our   O
office   O
at   O
882   B-CONTACT
-   I-CONTACT
5292   I-CONTACT
if   O
any   O
discrepancies   O
are   O
noticed   O
in   O
the   O
health   O
record   O
.   O

All   O
further   O
correspondence   O
will   O
be   O
directed   O
to   O
Xavier   B-NAME
Vandire   I-NAME
at   O
the   O
provided   O
contact   O
number   O
(   O
921   B-CONTACT
-   I-CONTACT
714   I-CONTACT
-   I-CONTACT
6315   I-CONTACT
)   O
and   O
address   O
in   O
Fivepointville   B-LOCATION
,   O
21038   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Mark   B-NAME
Hall   I-NAME
Age   O
:   O
92   O
Date   O
of   O
Birth   O
:   O
5   B-DATE
-   I-DATE
22   I-DATE
Medical   O
Record   O
Number   O
:   O
31382   B-ID
Date   O
of   O
Visit   O
:   O
00/3   B-DATE
Referred   O
by   O
:   O
O'Brien   B-NAME
,   I-NAME
Conan   I-NAME
Hospital   O
:   O
West   B-LOCATION
Marion   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O

Nora   B-LOCATION
Springs   I-LOCATION
Contact   O
Number   O
:   O
919   B-CONTACT
-   I-CONTACT
2939   I-CONTACT
Zip   O
Code   O
:   O
64593   B-LOCATION
Occupation   O
:   O
Cooks   O
,   O
Institution   O
and   O
Cafeteria   O
Username   O
:   O
le314   B-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Marina   B-NAME
Houston   I-NAME
,   O
presented   O
to   O
the   O
clinic   O
with   O
a   O
complaint   O
of   O
persistent   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
13/26   B-DATE
.   O

Phelps   B-NAME
,   I-NAME
Michael   I-NAME
also   O
reports   O
experiencing   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Charla   B-NAME
first   O
noticed   O
the   O
onset   O
of   O
symptoms   O
approximately   O
20/33   B-DATE
.   O

Kason   B-NAME
Graves   I-NAME
denies   O
any   O
history   O
of   O
head   O
injury   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Saunders   B-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
currently   O
taking   O
medication   O
prescribed   O
by   O
Christensen   B-NAME
at   O
Augusta   B-LOCATION
Health   I-LOCATION
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
in   O
01/22/2363   B-DATE
.   O
Review   O
of   O
Systems   O
:   O
-   O
Neurological   O
:   O
Positive   O
for   O
headaches   O
as   O
described   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Goodwin   B-NAME
is   O
awake   O
,   O
alert   O
,   O
and   O
oriented   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
11/12/2123   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
.   O

Signature   O
:   O
Nash   B-NAME
3/07/92   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Glennis   B-NAME
Halbritter   I-NAME
Patient   O
ID   O
:   O
31065   B-ID
Date   O
of   O
Birth   O
:   O
38   O
Medical   O
Record   O
Number   O
:   O
9828829   B-ID
Address   O
:   O
Raymore   B-LOCATION
,   O
31816   B-LOCATION
Phone   O
Number   O
:   O
306   B-CONTACT
619   I-CONTACT
-   I-CONTACT
1973   I-CONTACT
Primary   O
Physician   O
:   O

Marquez   B-NAME
Affiliated   O
Organization   O
:   O

First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Anthony   I-LOCATION
Treated   O
at   O
:   O
Saint   B-LOCATION
Elizabeth   I-LOCATION
Fort   I-LOCATION
Thomas   I-LOCATION
Date   O
of   O
Visit   O
:   O
2/70   B-DATE
/2023   O
Medical   O
History   O
:   O
Esposito   B-NAME
,   O
a   O
Grips   O
and   O
Set   O
-   O
Up   O
Workers   O
,   O
Motion   O
Picture   O
Sets   O
,   O
Studios   O
,   O
and   O
Stages   O
by   O
profession   O
,   O
presented   O
to   O
the   O
clinic   O
with   O
a   O
series   O
of   O
symptoms   O
that   O
have   O
persisted   O
for   O
approximately   O
two   O
weeks   O
prior   O
to   O
their   O
visit   O
on   O
02/05/31   B-DATE
/2023   O
.   O

Additionally   O
,   O
Alani   B-NAME
Whitney   I-NAME
noted   O
episodes   O
of   O
photophobia   O
,   O
making   O
it   O
difficult   O
to   O
work   O
on   O
the   O
computer   O
or   O
be   O
in   O
well   O
-   O
lit   O
environments   O
.   O

Moreover   O
,   O
Sharron   B-NAME
Eisele   I-NAME
has   O
been   O
experiencing   O
nausea   O
,   O
without   O
vomiting   O
,   O
alongside   O
the   O
headaches   O
.   O

There   O
have   O
been   O
no   O
recent   O
changes   O
in   O
vision   O
,   O
no   O
history   O
of   O
head   O
trauma   O
,   O
and   O
no   O
similar   O
cases   O
within   O
the   O
family   O
history   O
as   O
per   O
the   O
records   O
reviewed   O
by   O
Dr.   O
Warner   B-NAME
from   O
Park   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
.   O

Quintin   B-NAME
Costa   I-NAME
denied   O
any   O
history   O
of   O
chronic   O
illnesses   O
and   O
does   O
not   O
take   O
any   O
regular   O
medications   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Myron   B-NAME
Berman   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Diagnostic   O
Tests   O
:   O
Given   O
the   O
symptomatology   O
,   O
Mohamed   B-NAME
Davis   I-NAME
recommended   O
an   O
MRI   O
of   O
the   O
brain   O
to   O
rule   O
out   O
neurological   O
conditions   O
that   O
could   O
manifest   O
with   O
similar   O
symptoms   O
,   O
such   O
as   O
tumors   O
or   O
vascular   O
abnormalities   O
.   O

The   O
results   O
of   O
the   O
MRI   O
,   O
conducted   O
on   O
09/22   B-DATE
/2023   O
,   O
showed   O
no   O
abnormalities   O
.   O

Considering   O
the   O
normal   O
imaging   O
results   O
and   O
the   O
clinical   O
presentation   O
,   O
Alessandra   B-NAME
Carr   I-NAME
was   O
diagnosed   O
with   O
migraines   O
.   O

Braxton   B-NAME
Waters   I-NAME
prescribed   O
a   O
treatment   O
plan   O
that   O
includes   O
lifestyle   O
modifications   O
,   O
such   O
as   O
stress   O
management   O
and   O
avoidance   O
of   O
known   O
triggers   O
.   O

Paulson   B-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
the   O
headaches   O
.   O

Follow   O
-   O
Up   O
:   O
Rogelio   B-NAME
Mcintyre   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Solomon   B-NAME
at   O
Dupont   B-LOCATION
Hospital   I-LOCATION
in   O
four   O
weeks   O
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
adjustments   O
if   O
necessary   O
.   O

Wilson   B-NAME
Fuentes   I-NAME
was   O
encouraged   O
to   O
contact   O
Alvarez   B-NAME
's   O
office   O
at   O
81816   B-CONTACT
if   O
the   O
headaches   O
increase   O
in   O
frequency   O
or   O
severity   O
or   O
if   O
new   O
symptoms   O
arise   O
.   O

Conclusion   O
:   O
Danny   B-NAME
Wolek   I-NAME
,   O
a   O
56   O
-   O
year   O
-   O
old   O
Forest   O
and   O
Conservation   O
Workers   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
migraines   O
.   O

After   O
a   O
comprehensive   O
evaluation   O
including   O
a   O
normal   O
MRI   O
of   O
the   O
brain   O
,   O
Orlena   B-NAME
Knowles   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
and   O
medical   O
management   O
for   O
migraines   O
.   O

Patient   O
Name   O
:   O
Udo   B-NAME
O.   I-NAME
Zeitler   I-NAME
Date   O
of   O
Birth   O
:   O
23/35   B-DATE
Medical   O
Record   O
Number   O
:   O
96674260   B-ID
Date   O
of   O
Admission   O
:   O
12/12/2062   B-DATE
Attending   O
Physician   O
:   O

Francisco   B-NAME
Carpenter   I-NAME
Hospital   O
:   O
Curahealth   B-LOCATION
Heritage   I-LOCATION
Valley   I-LOCATION
Location   O
:   O

North   B-LOCATION
Plains   I-LOCATION
Phone   O
Number   O
:   O
25262   B-CONTACT
ID   O
:   O
EN:73280:660471   B-ID
Employment   O
:   O
Stationary   O
Engineers   O
at   O
Anti   B-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Coalition   I-LOCATION
(   I-LOCATION
AVC   I-LOCATION
)   I-LOCATION
Zip   O
Code   O
:   O
58033   B-LOCATION
Summary   O
:   O
Kassandra   B-NAME
Pope   I-NAME
,   O
a   O
96   O
-   O
year   O
-   O
old   O
Government   O
Property   O
Inspectors   O
and   O
Investigators   O
employed   O
at   O
International   B-LOCATION
Service   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
,   O
presented   O
to   O
McLaren   B-LOCATION
Lapeer   I-LOCATION
Regional   I-LOCATION
on   O
26/00/2174   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
and   O
blurred   O
vision   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Nunez   B-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
occasional   O
vomiting   O
,   O
particularly   O
in   O
the   O
mornings   O
.   O

There   O
has   O
been   O
a   O
noted   O
increase   O
in   O
photophobia   O
,   O
making   O
it   O
difficult   O
for   O
Carly   B-NAME
Flores   I-NAME
to   O
work   O
on   O
a   O
computer   O
or   O
be   O
in   O
well   O
-   O
lit   O
environments   O
,   O
which   O
is   O
critical   O
for   O
Kale   B-NAME
Baldwin   I-NAME
's   O
job   O
at   O
Great   B-LOCATION
Lakes   I-LOCATION
Energy   I-LOCATION
(   I-LOCATION
Great   I-LOCATION
Lakes   I-LOCATION
Energy   I-LOCATION
Cooperative   I-LOCATION
)   I-LOCATION
.   O

Finnegan   B-NAME
Hester   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
has   O
been   O
on   O
medication   O
for   O
the   O
same   O
since   O
9   B-DATE
-   I-DATE
25   I-DATE
.   O

Family   O
history   O
is   O
notable   O
for   O
migraine   O
headaches   O
on   O
the   O
maternal   O
side   O
,   O
but   O
Reilly   B-NAME
Nielsen   I-NAME
denied   O
any   O
prior   O
episodes   O
similar   O
to   O
the   O
current   O
one   O
.   O

On   O
physical   O
examination   O
conducted   O
by   O
Fatima   B-NAME
Pham   I-NAME
at   O
Erlanger   B-LOCATION
Western   I-LOCATION
Carolina   I-LOCATION
Hospital   I-LOCATION
,   O
Thelma   B-NAME
Comeau   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Given   O
the   O
nature   O
and   O
persistence   O
of   O
the   O
symptoms   O
,   O
Macias   B-NAME
recommended   O
an   O
MRI   O
of   O
the   O
brain   O
,   O
which   O
is   O
scheduled   O
for   O
2227   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
09   I-DATE
.   O
Assessment   O
and   O
Plan   O
:   O

William   B-NAME
Sloan   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
down   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
,   O
and   O
associated   O
symptoms   O
of   O
the   O
headaches   O
.   O

Lawrence   B-NAME
K.   I-NAME
Townsend   I-NAME
is   O
currently   O
on   O
symptomatic   O
treatment   O
with   O
analgesics   O
for   O
headache   O
management   O
and   O
has   O
been   O
advised   O
to   O
avoid   O
potential   O
migraine   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
32/30   B-DATE
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Moanalua   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
where   O
the   O
results   O
of   O
the   O
MRI   O
will   O
be   O
discussed   O
,   O
and   O
further   O
management   O
will   O
be   O
planned   O
based   O
on   O
the   O
findings   O
.   O

Privacy   O
Note   O
:   O
This   O
document   O
contains   O
protected   O
health   O
information   O
and   O
is   O
intended   O
solely   O
for   O
the   O
use   O
of   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Marquette   I-LOCATION
and   O
the   O
attending   O
healthcare   O
provider   O
,   O
Gergen   B-NAME
,   I-NAME
David   I-NAME
.   O

Please   O
contact   O
172   B-CONTACT
-   I-CONTACT
6244   I-CONTACT
at   O
Davis   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
any   O
inquiries   O
regarding   O
this   O
patient   O
report   O
.   O

Patient   O
Name   O
:   O
Odessia   B-NAME
Q   I-NAME
Kay   I-NAME
Medical   O
Record   O
Number   O
:   O
69254181   B-ID
Date   O
of   O
Birth   O
:   O
2/03/73   B-DATE
Age   O
:   O
78   O
Address   O
:   O
Mount   B-LOCATION
Cobb   I-LOCATION
,   O
67930   B-LOCATION
Phone   O
Number   O
:   O
199   B-CONTACT
-   I-CONTACT
2105   I-CONTACT

Bautista   B-NAME
Hospital   O
:   O
Holy   B-LOCATION
Cross   I-LOCATION
Germantown   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
9   B-DATE
-   I-DATE
22   I-DATE
Date   O
of   O
Discharge   O
:   O
1/1   B-DATE
ID   O
:   O
ID153/5898   B-ID
Summary   O
:   O
XAVIER   B-NAME
ODONNELL   I-NAME
,   O
a   O
Rolling   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Tampa   B-LOCATION
,   O
presented   O
at   O
Minidoka   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
12/13/00   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
have   O
persisted   O
for   O
three   O
days   O
.   O

Additionally   O
,   O
Kara   B-NAME
Shelton   I-NAME
has   O
been   O
experiencing   O
a   O
high   O
-   O
grade   O
fever   O
documented   O
at   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
,   O
chills   O
,   O
and   O
loss   O
of   O
appetite   O
.   O

During   O
the   O
initial   O
examination   O
,   O
the   O
attending   O
physician   O
,   O
Atwood   B-NAME
,   I-NAME
Margaret   I-NAME
,   O
noted   O
marked   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
with   O
positive   O
Blumberg   O
's   O
sign   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Hussein   B-NAME
,   I-NAME
Saddam   I-NAME
was   O
promptly   O
scheduled   O
for   O
a   O
diagnostic   O
laparoscopy   O
by   O
Haylee   B-NAME
Evans   I-NAME
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
perforated   O
appendicitis   O
.   O

Post   O
-   O
surgery   O
,   O
Whitt   B-NAME
,   I-NAME
Qiana   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
to   O
manage   O
and   O
prevent   O
postoperative   O
infections   O
.   O

Throughout   O
the   O
stay   O
in   O
Indiana   B-LOCATION
University   I-LOCATION
Health   I-LOCATION
Bloomington   I-LOCATION
Hospital   I-LOCATION
,   O
the   O
patient   O
's   O
condition   O
was   O
closely   O
monitored   O
for   O
signs   O
of   O
complications   O
such   O
as   O
peritonitis   O
or   O
abscess   O
formation   O
.   O

Victor   B-NAME
Z.   I-NAME
Qazi   I-NAME
's   O
recovery   O
has   O
been   O
gradual   O
post   O
-   O
surgery   O
,   O
with   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Rivers   B-NAME
reported   O
the   O
resolution   O
of   O
abdominal   O
pain   O
and   O
has   O
been   O
afebrile   O
for   O
the   O
past   O
48   O
hours   O
.   O

The   O
discharge   O
plan   O
,   O
as   O
discussed   O
with   O
Stoner   B-NAME
Jr.   I-NAME
,   I-NAME
James   I-NAME
R.   I-NAME
on   O
29/22   B-DATE
,   O
includes   O
oral   O
antibiotics   O
for   O
the   O
next   O
7   O
days   O
,   O
pain   O
management   O
with   O
acetaminophen   O
,   O
and   O
wound   O
care   O
instructions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Shaffer   B-NAME
at   O
River   B-LOCATION
Place   I-LOCATION
Braselton   I-LOCATION
has   O
been   O
scheduled   O
for   O
22/23/2260   B-DATE
to   O
assess   O
post   O
-   O
surgical   O
recovery   O
and   O
wound   O
healing   O
.   O

Valerian   B-NAME
Ahaus   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
at   O
Aspirus   B-LOCATION
Wausau   I-LOCATION
Hospital   I-LOCATION
or   O
with   O
Kennedy   B-NAME
if   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
worsening   O
nausea   O
,   O
or   O
vomiting   O
,   O
and   O
signs   O
of   O
wound   O
infection   O
develop   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
21/12/83   B-DATE
,   O
with   O
all   O
discharge   O
instructions   O
and   O
medications   O
reviewed   O
and   O
understood   O
.   O

Mattie   B-NAME
Hurley   I-NAME
expressed   O
understanding   O
of   O
the   O
post   O
-   O
discharge   O
care   O
plan   O
and   O
gratitude   O
towards   O
the   O
medical   O
staff   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Spring   I-LOCATION
Hill   I-LOCATION
for   O
the   O
care   O
received   O
.   O
Michigan   B-LOCATION
Heritage   I-LOCATION
Bank   I-LOCATION
and   O
MA345   B-NAME
were   O
not   O
directly   O
involved   O
in   O
the   O
treatment   O
of   O
this   O
case   O
and   O
thus   O
are   O
not   O
mentioned   O
further   O
in   O
this   O
document   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Camellia   B-NAME
Gilden   I-NAME
Patient   O
ID   O
:   O
XS380/7844   B-ID
Date   O
of   O
Birth   O
:   O
28   O
Date   O
of   O
Visit   O
:   O
12/14/02   B-DATE
/2023   O
Physician   O
:   O
Kyle   B-NAME
Daniels   I-NAME
Hospital   O
:   O
Crotched   B-LOCATION
Mountain   I-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
36139368   B-ID
Address   O
:   O
Climbing   B-LOCATION
Hill   I-LOCATION
,   O
81447   B-LOCATION
Phone   O
:   O
(   B-CONTACT
759   I-CONTACT
)   I-CONTACT
900   I-CONTACT
3071   I-CONTACT
Occupation   O
:   O
Pilots   O
,   O
Ship   O
Username   O
:   O
lew12   B-NAME
Chief   O
Complaint   O
:   O

Xuereb   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Truman   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Hospital   I-LOCATION
Hill   I-LOCATION
on   O
Fri   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
101.6   O
°   O
F   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Marech   B-NAME
Marnett   I-NAME
,   O
a   O
87   O
-   O
year   O
-   O
old   O
Veterinary   O
Assistants   O
and   O
Laboratory   O
Animal   O
Caretakers   O
,   O
reported   O
that   O
the   O
abdominal   O
pain   O
initiated   O
approximately   O
12   O
hours   O
prior   O
to   O
seeking   O
medical   O
attention   O
.   O

Accompanying   O
the   O
abdominal   O
pain   O
,   O
Khairy   B-NAME
experienced   O
bouts   O
of   O
nausea   O
and   O
vomited   O
twice   O
earlier   O
in   O
the   O
day   O
.   O

Aemillia   B-NAME
Bringas   I-NAME
denied   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
or   O
recent   O
illnesses   O
.   O

Past   O
Medical   O
History   O
:   O
Madalynn   B-NAME
Zhang   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
mild   O
case   O
of   O
hypertension   O
under   O
control   O
with   O
lisinopril   O
.   O

Ida   B-NAME
is   O
allergic   O
to   O
penicillin   O
,   O
which   O
causes   O
a   O
rash   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Andric   B-NAME
,   I-NAME
Ivo   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
transvaginal   O
ultrasound   O
was   O
ordered   O
for   O
Nixon   B-NAME
and   O
showed   O
no   O
signs   O
of   O
ectopic   O
pregnancy   O
.   O

Treatment   O
:   O
Following   O
the   O
diagnosis   O
,   O
Elliot   B-NAME
Sexton   I-NAME
was   O
informed   O
about   O
the   O
need   O
for   O
surgical   O
intervention   O
.   O

Informed   O
consent   O
was   O
obtained   O
,   O
and   O
Brandon   B-NAME
Ho   I-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
successfully   O
on   O
June   B-DATE
20   I-DATE
,   I-DATE
2290   I-DATE
/2023   O
.   O

Postoperatively   O
,   O
Ellsworth   B-NAME
Garnder   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Follow   O
-   O
up   O
:   O
Trevon   B-NAME
Gordon   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Iyana   B-NAME
Hampton   I-NAME
at   O
Deckerville   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
in   O
two   O
weeks   O
time   O
on   O
03/15/09   B-DATE
/2023   O
to   O
assess   O
the   O
healing   O
process   O
and   O
to   O
address   O
any   O
concerns   O
.   O

This   O
medical   O
report   O
for   O
Dakota   B-NAME
,   O
ID   O
:   O
461545161   B-ID
,   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
medical   O
professionals   O
at   O
UPMC   B-LOCATION
Hamot   I-LOCATION
and   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Japan   I-LOCATION
(   I-LOCATION
CSJ   I-LOCATION
)   I-LOCATION
.   O

For   O
any   O
queries   O
regarding   O
this   O
report   O
,   O
please   O
contact   O
Brennan   B-NAME
Parks   I-NAME
's   O
office   O
at   O
750   B-CONTACT
4855   I-CONTACT
or   O
email   O
through   O
the   O
secure   O
hospital   O
messaging   O
system   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Dalton   B-NAME
Moody   I-NAME
Patient   O
ID   O
:   O
WZ:84939:447515   B-ID
Medical   O
Record   O
Number   O
:   O
0042263   B-ID
Date   O
of   O
Birth   O
:   O
F   B-DATE
Age   O
:   O
66   O
Contact   O
Number   O
:   O
73980   B-CONTACT
Address   O
:   O
Texas   B-LOCATION
,   O
52777   B-LOCATION
Occupation   O
:   O

Bradshaw   B-NAME
Hospital   O
:   O
Shelby   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
13/34/2081   B-DATE
Chief   O
Complaint   O
:   O
DeShannon   B-NAME
,   I-NAME
Jackie   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Mercy   B-LOCATION
Philadelphia   I-LOCATION
Hospital   I-LOCATION
on   O
32/8   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Ryland   B-NAME
Giles   I-NAME
also   O
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
.   O

Keven   B-NAME
Laughlin   I-NAME
denies   O
any   O
recent   O
trauma   O
to   O
the   O
area   O
but   O
mentions   O
that   O
the   O
pain   O
intensifies   O
upon   O
movement   O
.   O

Patricia   B-NAME
Lund   I-NAME
has   O
a   O
history   O
of   O
mild   O
,   O
intermittent   O
gastritis   O
treated   O
with   O
dietary   O
modifications   O
.   O

Past   O
Medical   O
History   O
:   O
Xavier   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jonathan   B-NAME
Neyer   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Ximenez   B-NAME
has   O
been   O
admitted   O
for   O
surgical   O
evaluation   O
and   O
management   O
.   O

A   O
surgical   O
consult   O
has   O
been   O
requested   O
,   O
and   O
Sonny   B-NAME
Morrow   I-NAME
will   O
perform   O
an   O
appendectomy   O
if   O
deemed   O
necessary   O
after   O
further   O
assessment   O
.   O

Dolan   B-NAME
will   O
be   O
kept   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
preparation   O
for   O
possible   O
surgery   O
.   O

The   O
patient   O
and   O
family   O
(   O
contact   O
number   O
:   O
436   B-CONTACT
1547   I-CONTACT
)   O
have   O
been   O
briefed   O
on   O
the   O
situation   O
and   O
have   O
consented   O
to   O
the   O
proposed   O
management   O
plan   O
.   O

Joey   B-NAME
Whitehead   I-NAME
will   O
be   O
closely   O
monitored   O
for   O
any   O
signs   O
of   O
complication   O
pre   O
and   O
post   O
-   O
surgery   O
.   O

This   O
plan   O
was   O
discussed   O
and   O
agreed   O
upon   O
on   O
39/01   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
A   O
post   O
-   O
operative   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Anaya   B-NAME
Tran   I-NAME
at   O
Riverside   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
on   O
06/08   B-DATE
.   O

Kosevich   B-NAME
will   O
be   O
provided   O
with   O
discharge   O
instructions   O
and   O
signs   O
to   O
watch   O
for   O
that   O
would   O
require   O
immediate   O
medical   O
attention   O
.   O

Prepared   O
by   O
:   O
CG1910   B-NAME
Reviewed   O
by   O
:   O
Muhammad   B-NAME
Bolton   I-NAME
02/22   B-DATE

Patient   O
Name   O
:   O
Kelton   B-NAME
Ellis   I-NAME
Medical   O
Record   O
Number   O
:   O
2725697   B-ID
Date   O
of   O
Birth   O
:   O
33/03/2292   B-DATE
Age   O
:   O
65   O
Contact   O
Number   O
:   O
187   B-CONTACT
6189   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Madeline   B-NAME
Brewer   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Address   O
:   O
Scottsboro   B-LOCATION
,   O
80192   B-LOCATION
Date   O
of   O
Visit   O
:   O
1/92   B-DATE
ID   O
:   O
NM:85942:905130   B-ID

Chief   O
Complaint   O
:   O
Liam   B-NAME
Daugherty   I-NAME
presents   O
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
this   O
visit   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Bosconovitch   B-NAME
,   O
a   O
Production   O
,   O
Planning   O
,   O
and   O
Expediting   O
Clerks   O
by   O
profession   O
,   O
reports   O
that   O
the   O
pain   O
is   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
and   O
described   O
it   O
as   O
a   O
sharp   O
and   O
constant   O
pain   O
that   O
radiates   O
to   O
the   O
back   O
.   O

Franzen   B-NAME
,   I-NAME
Jonathan   I-NAME
denies   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
blood   O
in   O
the   O
stool   O
.   O

Asher   B-NAME
has   O
tried   O
taking   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
with   O
no   O
relief   O
of   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Tapia   B-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
for   O
which   O
Jaron   B-NAME
Todd   I-NAME
is   O
under   O
the   O
care   O
of   O
Davis   B-NAME
Wyatt   I-NAME
at   O
Morton   B-LOCATION
Plant   I-LOCATION
North   I-LOCATION
Bay   I-LOCATION
Hospital   I-LOCATION
.   O

Jayvon   B-NAME
Robinson   I-NAME
denies   O
any   O
surgeries   O
or   O
hospitalizations   O
in   O
the   O
past   O
.   O

Social   O
History   O
:   O
Skye   B-NAME
,   O
a   O
Learning   O
disability   O
nurse   O
,   O
denies   O
any   O
tobacco   O
use   O
but   O
admits   O
to   O
occasional   O
alcohol   O
consumption   O
.   O

Physical   O
Examination   O
:   O
Vitals   O
:   O
Blood   O
Pressure   O
140/90   O
mmHg   O
,   O
Pulse   O
100   O
bpm   O
,   O
Temperature   O
98.6   O
°   O
F   O
,   O
Respiratory   O
Rate   O
20   O
bpm   O
.   O
General   O
:   O
Vern   B-NAME
Snow   I-NAME
appears   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
clinical   O
presentation   O
,   O
acute   O
appendicitis   O
is   O
highly   O
suspected   O
in   O
Virginia   B-NAME
Roman   I-NAME
.   O

2   O
.   O
Start   O
IV   O
fluids   O
and   O
IV   O
antibiotics   O
as   O
per   O
the   O
protocol   O
of   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
Wichita   I-LOCATION
,   I-LOCATION
St   I-LOCATION
Joseph   I-LOCATION
.   O

4   O
.   O
Admit   O
to   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
.   O
Instructions   O
for   O
Ida   B-NAME
Xayachack   I-NAME
:   O
1   O
.   O

2   O
.   O
Keep   O
the   O
follow   O
-   O
up   O
appointment   O
with   O
Khan   B-NAME
in   O
Medaryville   B-LOCATION
on   O
1611   B-DATE
.   O

In   O
case   O
of   O
any   O
worsening   O
of   O
symptoms   O
,   O
Jonathan   B-NAME
Katz   I-NAME
is   O
advised   O
to   O
contact   O
Franciscan   B-LOCATION
Health   I-LOCATION
Crawfordsville   I-LOCATION
emergency   O
department   O
at   O
26677   B-CONTACT
or   O
return   O
to   O
the   O
emergency   O
room   O
.   O

This   O
document   O
has   O
been   O
reviewed   O
with   O
Habib   B-NAME
Valenzuela   I-NAME
and   O
all   O
questions   O
were   O
addressed   O
.   O

Mario   B-NAME
verbalized   O
understanding   O
of   O
the   O
plan   O
and   O
provided   O
verbal   O
consent   O
to   O
the   O
proposed   O
management   O
.   O

Medical   O
Staff   O
:   O
Baldwin   B-NAME
Username   O
:   O
QW787   B-NAME
Date   O
:   O
30/25   B-DATE
Signature   O
:   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O

Patient   O
Name   O
:   O
ismail   B-NAME
Patient   O
ID   O
:   O
ZG651/1641   B-ID
Date   O
of   O
Birth   O
:   O
00/20   B-DATE
Age   O
:   O
99   O
Address   O
:   O
Zaleski   B-LOCATION
,   O
71492   B-LOCATION
Phone   O
Number   O
:   O
27627   B-CONTACT
Occupation   O
:   O
videographer   O
Primary   O
Care   O
Physician   O
:   O

Phoenix   B-NAME
Giles   I-NAME
Medical   O
Record   O
Number   O
:   O
20724875   B-ID
Hospital   O
:   O
Vidant   B-LOCATION
Beaufort   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
3/4/2193   B-DATE
Username   O
:   O
kzu924   B-NAME
Chief   O
Complaint   O
:   O

Hurst   B-NAME
presents   O
to   O
the   O
clinic   O
complaining   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
predominantly   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

This   O
pain   O
has   O
been   O
occurring   O
over   O
the   O
past   O
August   B-DATE
,   O
intensifying   O
over   O
the   O
last   O
24   O
hours   O
.   O

The   O
patient   O
reports   O
that   O
the   O
onset   O
of   O
abdominal   O
pain   O
initially   O
began   O
as   O
a   O
dull   O
ache   O
approximately   O
2290   B-DATE
ago   O
but   O
has   O
progressively   O
worsened   O
.   O

Tillman   B-NAME
also   O
notes   O
a   O
decrease   O
in   O
frequency   O
of   O
bowel   O
movements   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
Michelle   B-NAME
Maxwell   I-NAME
has   O
a   O
history   O
of   O
hypothyroidism   O
,   O
well   O
-   O
controlled   O
on   O
levothyroxine   O
.   O

Social   O
History   O
:   O
Rachael   B-NAME
Byrd   I-NAME
is   O
a   O
Biofuels   O
Production   O
Managers   O
living   O
in   O
Speed   B-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bertram   B-NAME
Charles   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Makayla   B-NAME
Lopez   I-NAME
was   O
referred   O
for   O
an   O
abdominal   O
ultrasound   O
and   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
to   O
further   O
evaluate   O
the   O
source   O
of   O
the   O
abdominal   O
pain   O
and   O
associated   O
symptoms   O
.   O

Immediate   O
admission   O
to   O
Annie   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
for   O
observation   O
and   O
further   O
evaluation   O
.   O

4   O
.   O
Consult   O
with   O
surgery   O
department   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Pittsburgh   I-LOCATION
for   O
potential   O
appendectomy   O
depending   O
on   O
the   O
results   O
of   O
diagnostic   O
tests   O
.   O

Inform   O
Ellyn   B-NAME
Nesin   I-NAME
and   O
family   O
about   O
the   O
condition   O
,   O
possible   O
outcomes   O
,   O
and   O
the   O
importance   O
of   O
a   O
possible   O
surgical   O
intervention   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
will   O
be   O
scheduled   O
for   O
05/31/2082   B-DATE
,   O
or   O
as   O
indicated   O
by   O
the   O
surgical   O
team   O
or   O
if   O
there   O
are   O
any   O
complications   O
in   O
the   O
meantime   O
.   O

Note   O
:   O
Consent   O
for   O
treatment   O
and   O
potential   O
surgical   O
intervention   O
was   O
obtained   O
from   O
Heaven   B-NAME
.   O

Patient   O
Name   O
:   O
Brett   B-NAME
Cannon   I-NAME
Age   O
:   O
28   O
Date   O
of   O
Admission   O
:   O
9/29/2077   B-DATE
Primary   O
Doctor   O
:   O
Stevenson   B-NAME
Hospital   O
:   O
Light   B-LOCATION
Beacon   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
PH:97342:566113   B-ID
Medical   O
Record   O
Number   O
:   O
592   B-ID
-   I-ID
77   I-ID
-   I-ID
59   I-ID
Location   O
:   O
New   B-LOCATION
York   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10040   I-LOCATION
Organizations   O
Involved   O
:   O
American   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Musicians   I-LOCATION
Patient   O
's   O
Phone   O
Number   O
:   O
628   B-CONTACT
-   I-CONTACT
9264   I-CONTACT
Profession   O
:   O

Insurance   O
claims   O
inspector   O
Username   O
:   O
FF613   B-NAME
ZIP   O
:   O

13471   B-LOCATION
Report   O
:   O
The   O
individual   O
,   O
Thomas   B-NAME
Brady   I-NAME
,   O
of   O
age   O
9   O
,   O
presented   O
to   O
Madison   B-LOCATION
Hospital   I-LOCATION
on   O
2283   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
38   I-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
acute   O
chest   O
pain   O
,   O
and   O
palpitations   O
.   O

The   O
patient   O
,   O
a   O
Petroleum   O
engineer   O
from   O
Talking   B-LOCATION
Rock   I-LOCATION
,   O
mentioned   O
no   O
prior   O
history   O
of   O
similar   O
episodes   O
but   O
noted   O
a   O
significant   O
family   O
history   O
of   O
cardiac   O
disease   O
.   O

Upon   O
examination   O
,   O
Mauricio   B-NAME
Mcdonald   I-NAME
noted   O
a   O
rapid   O
but   O
regular   O
heart   O
rhythm   O
,   O
elevated   O
blood   O
pressure   O
,   O
and   O
respiratory   O
distress   O
.   O

The   O
results   O
,   O
added   O
to   O
42936371   B-ID
under   O
patient   O
ID   O
MY:0149:858391   B-ID
,   O
indicated   O
a   O
troponin   O
level   O
within   O
normal   O
ranges   O
but   O
elevated   O
D   O
-   O
dimer   O
levels   O
.   O

Given   O
the   O
patient   O
's   O
presentation   O
and   O
clinical   O
findings   O
,   O
Maci   B-NAME
Arias   I-NAME
admitted   O
Ottilie   B-NAME
Kang   I-NAME
to   O
Mease   B-LOCATION
Dunedin   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
monitoring   O
and   O
diagnostic   O
testing   O
to   O
rule   O
out   O
pulmonary   O
embolism   O
and   O
other   O
potential   O
causes   O
of   O
the   O
symptoms   O
.   O

Throughout   O
the   O
night   O
,   O
Christopher   B-NAME
Pineda   I-NAME
's   O
respiratory   O
symptoms   O
slightly   O
improved   O
with   O
the   O
administration   O
of   O
supplemental   O
oxygen   O
and   O
beta   O
-   O
blockers   O
.   O

The   O
following   O
morning   O
,   O
the   O
CTPA   O
,   O
referenced   O
in   O
medical   O
record   O
number   O
951   B-ID
-   I-ID
73   I-ID
-   I-ID
56   I-ID
-   I-ID
6   I-ID
,   O
showed   O
no   O
evidence   O
of   O
pulmonary   O
embolism   O
but   O
confirmed   O
the   O
presence   O
of   O
a   O
small   O
pleural   O
effusion   O
.   O

The   O
multidisciplinary   O
team   O
at   O
Lawrence   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
including   O
specialists   O
from   O
cardiology   O
and   O
pulmonology   O
from   O
Norwegian   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
,   O
convened   O
to   O
discuss   O
the   O
treatment   O
plan   O
.   O

It   O
was   O
decided   O
that   O
Shavon   B-NAME
would   O
benefit   O
from   O
a   O
diuretic   O
to   O
manage   O
the   O
pleural   O
effusion   O
and   O
scheduled   O
follow   O
-   O
ups   O
with   O
Xavier   B-NAME
Reed   I-NAME
after   O
discharge   O
for   O
further   O
evaluation   O
of   O
the   O
underlying   O
cause   O
of   O
the   O
tachycardia   O
and   O
chest   O
discomfort   O
.   O

Owen   B-NAME
Maestro   I-NAME
was   O
discharged   O
on   O
2/5/2327   B-DATE
with   O
prescriptions   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
card   O
.   O

Instructions   O
were   O
provided   O
to   O
contact   O
Light   B-LOCATION
Beacon   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
277   I-CONTACT
)   I-CONTACT
825   I-CONTACT
-   I-CONTACT
2891   I-CONTACT
should   O
symptoms   O
worsen   O
.   O

The   O
cooperative   O
efforts   O
between   O
the   O
patient   O
,   O
their   O
family   O
,   O
and   O
the   O
multidisciplinary   O
team   O
at   O
Jewish   B-LOCATION
Hospital   I-LOCATION
played   O
a   O
crucial   O
role   O
in   O
the   O
effective   O
management   O
of   O
Dougherty   B-NAME
's   O
condition   O
.   O

Submitted   O
by   O
:   O
il277   B-NAME
23/13   B-DATE

Patient   O
Name   O
:   O
Ricky   B-NAME
Patient   O
ID   O
:   O
193237358   B-ID
Medical   O
Record   O
Number   O
:   O
34978465   B-ID
Date   O
of   O
Birth   O
:   O
11   B-DATE
's   I-DATE
Age   O
:   O
49   O
Phone   O
:   O
40634   B-CONTACT
Address   O
:   O
Elko   B-LOCATION
,   O
57674   B-LOCATION
Occupation   O
:   O
Occupational   O
Health   O
and   O
Safety   O
Specialists   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Alexus   B-NAME
Caldwell   I-NAME
Referring   O
Physician   O
:   O
Dr.   O
Neal   B-NAME
Hospital   O
of   O
Record   O
:   O
Essentia   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
-   I-LOCATION
Detroit   I-LOCATION
Lakes   I-LOCATION
Date   O
of   O
Visit   O
:   O
12/26   B-DATE
Date   O
of   O
Report   O
:   O
0/09/2342   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Nash   B-NAME
,   O
a   O
Financial   O
Examiners   O
from   O
Kidderminster   B-LOCATION
,   O
reports   O
experiencing   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
2009   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
22   I-DATE
.   O

Sherlyn   B-NAME
Bond   I-NAME
describes   O
the   O
pain   O
as   O
pulsating   O
in   O
nature   O
,   O
with   O
each   O
pulse   O
coinciding   O
with   O
intense   O
spikes   O
in   O
pain   O
.   O

During   O
these   O
episodes   O
,   O
Ramos   B-NAME
also   O
experiences   O
phonophobia   O
,   O
photophobia   O
,   O
and   O
nausea   O
,   O
compelling   O
them   O
to   O
isolate   O
in   O
a   O
dark   O
,   O
quiet   O
room   O
until   O
symptoms   O
subside   O
.   O

Averie   B-NAME
Powers   I-NAME
noted   O
that   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medication   O
provides   O
minimal   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
Looney   B-NAME
,   I-NAME
General   I-NAME
William   I-NAME
has   O
a   O
history   O
of   O
seasonal   O
allergies   O
and   O
was   O
previously   O
diagnosed   O
with   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
taking   O
medication   O
prescribed   O
by   O
Dr.   O
Hooper   B-NAME
at   O
Pali   B-LOCATION
Momi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Javion   B-NAME
Wells   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
CT   O
scan   O
and   O
MRI   O
of   O
the   O
head   O
,   O
ordered   O
by   O
Dr.   O
Clinton   B-NAME
Hood   I-NAME
and   O
performed   O
on   O
4/9/64   B-DATE
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
,   O
showed   O
no   O
acute   O
abnormalities   O
,   O
masses   O
,   O
or   O
signs   O
of   O
intracranial   O
hemorrhage   O
.   O

Assessment   O
:   O
The   O
clinical   O
presentation   O
and   O
diagnostic   O
workup   O
suggest   O
that   O
Travis   B-NAME
is   O
experiencing   O
migraine   O
headaches   O
without   O
aura   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
3/34   B-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
effectiveness   O
.   O

4   O
.   O
Encourage   O
Richard   B-NAME
to   O
maintain   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
and   O
patterns   O
in   O
the   O
occurrences   O
.   O

Instructions   O
were   O
given   O
to   O
Jamya   B-NAME
Rich   I-NAME
to   O
contact   O
Dr.   O
Jordan   B-NAME
Foley   I-NAME
’s   O
office   O
at   O
35672   B-CONTACT
should   O
symptoms   O
persist   O
or   O
worsen   O
,   O
or   O
if   O
there   O
are   O
any   O
adverse   O
reactions   O
to   O
the   O
prescribed   O
medication   O
.   O

A   O
referral   O
to   O
a   O
neurologist   O
at   O
Southeast   B-LOCATION
Missouri   I-LOCATION
Community   I-LOCATION
Treatment   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
was   O
considered   O
an   O
option   O
if   O
there   O
is   O
no   O
improvement   O
.   O

This   O
plan   O
was   O
discussed   O
with   O
Jones   B-NAME
,   O
who   O
expressed   O
understanding   O
and   O
agreed   O
to   O
the   O
recommended   O
approach   O
.   O

Dang   B-NAME
was   O
encouraged   O
to   O
reach   O
out   O
with   O
any   O
questions   O
or   O
concerns   O
via   O
the   O
provided   O
contact   O
information   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Elle   B-NAME
Downs   I-NAME
Patient   O
ID   O
:   O
9464053   B-ID
Medical   O
Record   O
Number   O
:   O
58212729   B-ID
Date   O
of   O
Birth   O
:   O
Tuesday   B-DATE
,   I-DATE
November   I-DATE
Age   O
:   O
60   O
Address   O
:   O
South   B-LOCATION
Heart   I-LOCATION
,   O
96653   B-LOCATION
Phone   O
Number   O
:   O
534   B-CONTACT
-   I-CONTACT
2838   I-CONTACT
Occupation   O
:   O
Couriers   O
and   O
Messengers   O
Admitting   O
Physician   O
:   O

Drake   B-NAME
Admission   O
Date   O
:   O
January   B-DATE
2390   I-DATE
Hospital   O
:   O
Pennsylvania   B-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Quinton   B-NAME
H.   I-NAME
Welch   I-NAME
,   O
a   O
41s   O
-   O
year   O
-   O
old   O
Clergy   O
from   O
Kaukauna   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Capital   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2218   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
02   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Josue   B-NAME
Ryan   I-NAME
also   O
reported   O
associated   O
symptoms   O
,   O
including   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
a   O
sense   O
of   O
impending   O
doom   O
.   O

Autumn   B-NAME
Hayes   I-NAME
is   O
a   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Initial   O
Management   O
:   O
Andersen   B-NAME
was   O
immediately   O
started   O
on   O
IV   O
thrombolytic   O
therapy   O
,   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Derrick   B-NAME
was   O
transferred   O
to   O
the   O
cardiology   O
unit   O
for   O
further   O
management   O
and   O
was   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
.   O

A   O
coronary   O
angiography   O
was   O
performed   O
on   O
2272   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
31   I-DATE
,   O
which   O
revealed   O
a   O
90   O
%   O
stenosis   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Nabokov   B-NAME
,   I-NAME
Vladimir   I-NAME
was   O
discharged   O
on   O
3/37   B-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
P2Y12   O
inhibitor   O
,   O
statin   O
,   O
beta   O
-   O
blocker   O
,   O
and   O
ACE   O
inhibitor   O
.   O

Follow   O
-   O
up   O
with   O
Rivers   B-NAME
at   O
Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
scheduled   O
for   O
20/32/2300   B-DATE
.   O

For   O
any   O
queries   O
or   O
additional   O
information   O
,   O
please   O
contact   O
Hiawatha   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Hiawatha   I-LOCATION
at   O
244   B-CONTACT
6011   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
Hoover   B-NAME
22/25   B-DATE

Dallas   B-NAME
Bradshaw   I-NAME
Patient   O
ID   O
:   O
YS   B-ID
:   I-ID
LN:4747   I-ID
Medical   O
Record   O
Number   O
:   O
32945255   B-ID
Date   O
of   O
Birth   O
:   O
03/04/63   B-DATE
Age   O
:   O
2   O
week   O
Address   O
:   O
Port   B-LOCATION
Deposit   I-LOCATION
,   O
61479   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
332   I-CONTACT
)   I-CONTACT
815   I-CONTACT
-   I-CONTACT
8869   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Milo   B-NAME
Best   I-NAME
Hospital   O
:   O
Gunnison   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O
MagnetBank   B-LOCATION
Occupation   O
:   O

Residential   O
Advisors   O
Username   O
for   O
patient   O
portal   O
:   O
AD483   B-NAME
On   O
05/02/2272   B-DATE
,   O
Richards   B-NAME
,   I-NAME
Keith   I-NAME
presented   O
to   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Avista   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
persistent   O
chest   O
pain   O
,   O
specifically   O
described   O
as   O
a   O
tightness   O
on   O
the   O
left   O
side   O
of   O
the   O
chest   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Coward   B-NAME
,   I-NAME
Noel   I-NAME
also   O
reported   O
shortness   O
of   O
breath   O
with   O
minimal   O
exertion   O
,   O
episodes   O
of   O
dizziness   O
,   O
and   O
occasional   O
palpitations   O
.   O

Kody   B-NAME
Mcdaniel   I-NAME
’s   O
medical   O
history   O
includes   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Ian   B-NAME
Booth   I-NAME
does   O
not   O
smoke   O
and   O
consumes   O
alcohol   O
occasionally   O
.   O

Ashlag   B-NAME
,   I-NAME
Baruch   I-NAME
works   O
as   O
a   O
Investment   O
banker   O
-   O
corporate   O
finance   O
at   O
International   B-LOCATION
Disability   I-LOCATION
Alliance   I-LOCATION
in   O
Culpeper   B-LOCATION
,   O
which   O
involves   O
minimal   O
physical   O
activity   O
.   O

The   O
physical   O
examination   O
conducted   O
by   O
Addison   B-NAME
Hanna   I-NAME
revealed   O
a   O
blood   O
pressure   O
of   O
150/90   O
mmHg   O
,   O
a   O
resting   O
heart   O
rate   O
of   O
98   O
bpm   O
,   O
and   O
a   O
respiration   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
.   O

Given   O
the   O
patient   O
's   O
symptoms   O
,   O
medical   O
history   O
,   O
and   O
initial   O
findings   O
,   O
Ranke   B-NAME
,   I-NAME
Leopold   I-NAME
von   I-NAME
suspects   O
a   O
possible   O
acute   O
coronary   O
syndrome   O
and   O
has   O
recommended   O
further   O
diagnostic   O
evaluation   O
including   O
a   O
cardiac   O
stress   O
test   O
and   O
echocardiogram   O
.   O

Daron   B-NAME
Shurtleff   I-NAME
has   O
been   O
admitted   O
to   O
Mount   B-LOCATION
Pleasant   I-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
and   O
management   O
of   O
these   O
symptoms   O
.   O

Medication   O
management   O
was   O
adjusted   O
to   O
address   O
Lacey   B-NAME
Frost   I-NAME
’s   O
hypertension   O
more   O
effectively   O
in   O
the   O
interim   O
.   O

The   O
plan   O
is   O
to   O
conduct   O
a   O
review   O
of   O
Ann   B-NAME
Cuthbert   I-NAME
’s   O
current   O
diabetes   O
management   O
strategy   O
,   O
considering   O
the   O
potential   O
impact   O
on   O
cardiovascular   O
health   O
.   O

Little   B-NAME
also   O
emphasized   O
the   O
importance   O
of   O
lifestyle   O
changes   O
,   O
including   O
diet   O
and   O
exercise   O
,   O
to   O
mitigate   O
risk   O
factors   O
for   O
coronary   O
artery   O
disease   O
.   O

Follow   O
-   O
up   O
is   O
scheduled   O
for   O
32/12   B-DATE
,   O
after   O
the   O
completion   O
of   O
the   O
diagnostic   O
tests   O
and   O
a   O
reassessment   O
of   O
Paz   B-NAME
’s   O
condition   O
.   O

For   O
any   O
immediate   O
concerns   O
or   O
if   O
symptoms   O
worsen   O
,   O
Amiah   B-NAME
Frederick   I-NAME
is   O
instructed   O
to   O
contact   O
New   B-LOCATION
York   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
at   O
381   B-CONTACT
-   I-CONTACT
6722   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Elena   B-NAME
Vong   I-NAME
Age   O
:   O
70s   O
ID   O
:   O
9   B-ID
-   I-ID
8232177   I-ID
Medical   O
Record   O
Number   O
:   O
837   B-ID
-   I-ID
88   I-ID
-   I-ID
39   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Admission   O
:   O
07/24   B-DATE
/2023   O
Date   O
of   O
Report   O
:   O
19/10   B-DATE
/2023   O
Primary   O
Care   O
Physician   O
:   O

Velaz   B-NAME
Gicker   I-NAME
Location   O
:   O
Dahlonega   B-LOCATION
,   I-LOCATION
Dahlonega   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
Phone   O
:   O
300   B-CONTACT
-   I-CONTACT
6285   I-CONTACT
Hospital   O
:   O
Mount   B-LOCATION
Sinai   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Summary   O
:   O
Jovan   B-NAME
Woodfin   I-NAME
,   O
a   O
20   O
-   O
year   O
-   O
old   O
Concierges   O
from   O
Vander   B-LOCATION
,   O
presented   O
to   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sacramento   I-LOCATION
on   O
12/22   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Viho   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
for   O
which   O
[   O
HE   O
/   O
SHE   O
]   O
is   O
on   O
medication   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Pennington   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
,   O
pulse   O
of   O
102   O
beats   O
per   O
minute   O
,   O
and   O
respirations   O
at   O
22   O
per   O
minute   O
.   O

The   O
patient   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
subsequently   O
underwent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Charles   B-NAME
Claver   I-NAME
at   O
Delta   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
14/21   B-DATE
/2023   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
unremarkable   O
,   O
and   O
Kirsten   B-NAME
Wiggins   I-NAME
was   O
advised   O
to   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
clinic   O
in   O
two   O
weeks   O
.   O

Discharge   O
Instructions   O
:   O
Bryan   B-NAME
Koch   I-NAME
was   O
discharged   O
on   O
2343   B-DATE
/2023   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
advice   O
on   O
gradually   O
resuming   O
normal   O
activities   O
.   O

Allisson   B-NAME
Lara   I-NAME
was   O
prescribed   O
oral   O
antibiotics   O
for   O
7   O
days   O
and   O
pain   O
management   O
medication   O
as   O
needed   O
.   O

Follow   O
-   O
Up   O
:   O
Regan   B-NAME
Alvarez   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Lowe   B-NAME
at   O
Moses   B-LOCATION
H.   I-LOCATION
Cone   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2003   B-DATE
/2023   O
.   O

At   O
this   O
visit   O
,   O
Olive   B-NAME
Tripp   I-NAME
's   O
recovery   O
progress   O
will   O
be   O
evaluated   O
,   O
and   O
any   O
necessary   O
adjustments   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
made   O
.   O

For   O
any   O
questions   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Bernard   B-NAME
Jennings   I-NAME
can   O
contact   O
Piedmont   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
802   B-CONTACT
-   I-CONTACT
522   I-CONTACT
8815   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Walter   B-NAME
,   O
M.D.   O
,   O
and   O
is   O
confidential   O
.   O

Patient   O
Name   O
:   O
Best   B-NAME
Patient   O
ID   O
:   O
DM   B-ID
:   I-ID
XQ:5470   I-ID
Medical   O
Record   O
Number   O
:   O
06917019   B-ID
Date   O
of   O
Birth   O
:   O
21/29/66   B-DATE
Phone   O
Number   O
:   O
223   B-CONTACT
9704   I-CONTACT
Address   O
:   O
Doolittle   B-LOCATION
,   O
25856   B-LOCATION
Primary   O
Care   O
Doctor   O
:   O
Marina   B-NAME
Adkins   I-NAME
Hospital   O
Name   O
:   O
Margaret   B-LOCATION
R.   I-LOCATION
Pardee   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
18/24   B-DATE
Occupation   O
:   O
Investment   O
Underwriters   O
Summary   O
:   O
Blankenship   B-NAME
,   O
a   O
58   O
-   O
year   O
-   O
old   O
Wholesale   O
and   O
Retail   O
Buyers   O
,   O
Except   O
Farm   O
Products   O
from   O
Missouri   B-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
2162   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
15   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

Furthermore   O
,   O
Heidy   B-NAME
Stevens   I-NAME
showed   O
signs   O
of   O
low   O
-   O
grade   O
fever   O
and   O
expressed   O
concern   O
over   O
decreased   O
appetite   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Theodore   B-NAME
Contreras   I-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
Rovsing   O
's   O
sign   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Additional   O
imaging   O
,   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
,   O
was   O
ordered   O
by   O
Vang   B-NAME
to   O
confirm   O
the   O
presence   O
of   O
appendicitis   O
and   O
rule   O
out   O
any   O
complications   O
such   O
as   O
perforation   O
.   O

Given   O
the   O
findings   O
and   O
the   O
clinical   O
presentation   O
of   O
acute   O
appendicitis   O
,   O
it   O
was   O
advised   O
that   O
Ione   B-NAME
Jean   I-NAME
undergoes   O
laparoscopic   O
appendectomy   O
.   O

Reva   B-NAME
Chew   I-NAME
was   O
informed   O
about   O
the   O
nature   O
of   O
the   O
condition   O
,   O
the   O
proposed   O
surgical   O
procedure   O
,   O
and   O
its   O
potential   O
risks   O
and   O
benefits   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
the   O
patient   O
on   O
1968   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
25   I-DATE
.   O

Postoperative   O
Course   O
:   O
The   O
surgery   O
was   O
conducted   O
without   O
any   O
complications   O
,   O
and   O
Siena   B-NAME
Mayer   I-NAME
's   O
postoperative   O
recovery   O
was   O
closely   O
monitored   O
in   O
the   O
surgical   O
unit   O
of   O
Good   B-LOCATION
Shepherd   I-LOCATION
Penn   I-LOCATION
Partners   I-LOCATION
.   O

Quintillus   B-NAME
Alrod   I-NAME
was   O
started   O
on   O
antibiotics   O
to   O
prevent   O
postoperative   O
infection   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Brogan   B-NAME
Mahoney   I-NAME
in   O
two   O
weeks   O
at   O
the   O
outpatient   O
department   O
to   O
evaluate   O
the   O
healing   O
process   O
and   O
assess   O
for   O
any   O
complications   O
.   O

Instructions   O
Provided   O
:   O
Sharolyn   B-NAME
Clear   I-NAME
was   O
advised   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
the   O
importance   O
of   O
gradual   O
reintroduction   O
of   O
solid   O
foods   O
.   O

Halme   B-NAME
,   I-NAME
Tony   I-NAME
was   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
high   O
fever   O
,   O
uncontrolled   O
pain   O
,   O
or   O
symptoms   O
of   O
incisional   O
infection   O
.   O

Hogan   B-NAME
provided   O
an   O
emergency   O
contact   O
,   O
kod600   B-NAME
,   O
reachable   O
at   O
36781   B-CONTACT
.   O

The   O
patient   O
was   O
discharged   O
on   O
Feb   B-DATE
with   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
.   O

The   O
commitment   O
to   O
postoperative   O
care   O
and   O
adherence   O
to   O
the   O
recovery   O
guidelines   O
by   O
Munro   B-NAME
,   I-NAME
Alice   I-NAME
will   O
be   O
crucial   O
in   O
facilitating   O
a   O
smooth   O
recovery   O
and   O
return   O
to   O
daily   O
activities   O
.   O

Patient   O
Report   O
for   O
Tellez   B-NAME
2012   B-DATE
,   O
Hackettstown   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Egypt   B-LOCATION
Lake   I-LOCATION
Medical   O
Record   O
Number   O
:   O
1060367   B-ID
Admission   O
Date   O
:   O
0th   B-DATE
Release   O
Date   O
:   O
26/30/2014   B-DATE
Doctor   O
:   O
Orozco   B-NAME
Presenting   O
Complaints   O
:   O

Medical   O
History   O
:   O
Benjamin   B-NAME
W.   I-NAME
Taylor   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

Upon   O
examination   O
,   O
Vetranio   B-NAME
Kominski   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
Murphy   O
’s   O
sign   O
was   O
positive   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Herring   B-NAME
and   O
was   O
started   O
on   O
IV   O
fluids   O
for   O
hydration   O
,   O
along   O
with   O
IV   O
analgesics   O
for   O
pain   O
management   O
.   O

Progress   O
:   O
Over   O
the   O
course   O
of   O
the   O
stay   O
,   O
Jac   B-NAME
showed   O
signs   O
of   O
improvement   O
.   O

Upon   O
discharge   O
on   O
31/01   B-DATE
,   O
Rhodes   B-NAME
was   O
prescribed   O
a   O
low   O
-   O
fat   O
diet   O
and   O
was   O
advised   O
to   O
abstain   O
from   O
alcohol   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Matthews   B-NAME
at   O
Evergreen   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
scheduled   O
for   O
1637   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
28   I-DATE
to   O
monitor   O
pancreatitis   O
resolution   O
and   O
manage   O
diabetes   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Ascham   B-NAME
,   I-NAME
Roger   I-NAME
's   O
Managers   O
,   O
All   O
Other   O
Phone   O
:   O
11351   B-CONTACT
Confidentiality   O
Notice   O
:   O

This   O
medical   O
report   O
contains   O
confidential   O
health   O
information   O
and   O
is   O
only   O
for   O
the   O
use   O
of   O
the   O
intended   O
recipient   O
(   O
Stanley   B-NAME
Riverside   I-NAME
II   I-NAME
)   O
.   O

Prepared   O
by   O
:   O
rod874   B-NAME
,   O
Rail   O
Yard   O
Engineers   O
,   O
Dinkey   O
Operators   O
,   O
and   O
Hostlers   O
at   O
Tahirih   B-LOCATION
Justice   I-LOCATION
Center   I-LOCATION
For   O
further   O
information   O
or   O
clarification   O
regarding   O
this   O
medical   O
report   O
,   O
please   O
contact   O
Saint   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Blue   I-LOCATION
Springs   I-LOCATION
at   O
28837   B-CONTACT
or   O
visit   O
us   O
at   O
Deerfield   B-LOCATION
Beach   I-LOCATION
,   O
14374   B-LOCATION
.   O

Patient   O
:   O
Kason   B-NAME
Graves   I-NAME
ID   O
:   O
PH989/5765   B-ID
Medical   O
Record   O
:   O
9027950   B-ID
Date   O
of   O
Consultation   O
:   O
21   B-DATE
-   I-DATE
Jul-2335   I-DATE
Physician   O
:   O

Christensen   B-NAME
Location   O
:   O
Liebenthal   B-LOCATION
Contact   O
:   O
94154   B-CONTACT
Age   O
:   O
9   O
month   O
Profession   O
:   O
Credit   O
Authorizers   O
,   O
Checkers   O
,   O
and   O
Clerks   O
Organization   O
:   O

Peotone   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
Hospital   O
:   O
Lourdes   B-LOCATION
Hospital   I-LOCATION
Zip   O
:   O
12945   B-LOCATION
Kenzie   B-NAME
Collins   I-NAME
was   O
admitted   O
to   O
AdventHealth   B-LOCATION
Dade   I-LOCATION
City   I-LOCATION
on   O
1/43   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
dyspnea   O
,   O
and   O
fever   O
.   O

Reilly   B-NAME
noted   O
an   O
elevated   O
body   O
temperature   O
,   O
measured   O
at   O
home   O
,   O
ranging   O
between   O
100   O
°   O
F   O
to   O
102   O
°   O
F   O
.   O

Brunilda   B-NAME
Kerst   I-NAME
,   O
a   O
Broadcast   O
News   O
Analysts   O
at   O
MassMutual   B-LOCATION
,   O
reported   O
no   O
recent   O
travel   O
history   O
or   O
known   O
exposure   O
to   O
individuals   O
diagnosed   O
with   O
infectious   O
respiratory   O
conditions   O
.   O

Upon   O
examination   O
,   O
Cayden   B-NAME
Nicholson   I-NAME
,   O
6   O
month   O
,   O
showed   O
signs   O
of   O
tachypnea   O
and   O
used   O
accessory   O
muscles   O
to   O
breathe   O
.   O

Abourezk   B-NAME
,   I-NAME
James   I-NAME
conducted   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
chest   O
x   O
-   O
ray   O
,   O
which   O
showed   O
bilateral   O
infiltrates   O
,   O
and   O
a   O
complete   O
blood   O
count   O
indicating   O
leukocytosis   O
.   O

Additional   O
history   O
taking   O
revealed   O
that   O
Denise   B-NAME
Clarke   I-NAME
has   O
a   O
history   O
of   O
smoking   O
,   O
with   O
an   O
average   O
of   O
one   O
pack   O
per   O
day   O
for   O
the   O
past   O
20   O
years   O
.   O

RONNIE   B-NAME
PALMER   I-NAME
lives   O
in   O
Fort   B-LOCATION
Lawn   I-LOCATION
,   O
near   O
a   O
heavily   O
industrialized   O
area   O
,   O
which   O
raises   O
concerns   O
about   O
potential   O
occupational   O
or   O
environmental   O
exposures   O
.   O

A   O
working   O
diagnosis   O
of   O
community   O
-   O
acquired   O
pneumonia   O
(   O
CAP   O
)   O
complicated   O
by   O
the   O
patient   O
's   O
smoking   O
history   O
and   O
potential   O
environmental   O
factors   O
was   O
made   O
by   O
Ross   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2040   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
29   I-DATE
to   O
reassess   O
the   O
patient   O
's   O
condition   O
and   O
adjust   O
treatment   O
plans   O
accordingly   O
.   O

The   O
patient   O
was   O
also   O
given   O
the   O
contact   O
number   O
76608   B-CONTACT
for   O
the   O
pulmonology   O
department   O
at   O
Inova   B-LOCATION
Alexandria   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
urgent   O
queries   O
.   O

Fitch   B-NAME
Cooper   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
compliance   O
with   O
the   O
prescribed   O
treatment   O
and   O
the   O
potential   O
health   O
risks   O
associated   O
with   O
continued   O
smoking   O
and   O
exposure   O
to   O
environmental   O
pollutants   O
.   O

Isaiah   B-NAME
Paul   I-NAME
expressed   O
understanding   O
and   O
willingness   O
to   O
adhere   O
to   O
the   O
outlined   O
treatment   O
regimen   O
and   O
follow   O
-   O
up   O
plan   O
.   O

For   O
confidentiality   O
,   O
please   O
do   O
not   O
hesitate   O
to   O
contact   O
Mccall   B-NAME
at   O
32299   B-CONTACT
in   O
UNM   B-LOCATION
Sandoval   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
details   O
.   O

Patient   O
:   O
Derrick   B-NAME
Thornton   I-NAME
Sex   O
:   O
Male   O
Age   O
:   O
6   O
week   O
ID   O
:   O
AY:4662:920217   B-ID
Medical   O
Record   O
Number   O
:   O
037   B-ID
-   I-ID
46   I-ID
-   I-ID
83   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Admission   O
:   O
25/13   B-DATE
Phone   O
:   O
84741   B-CONTACT
Address   O
:   O
Lake   B-LOCATION
Erie   I-LOCATION
Beach   I-LOCATION
,   O
76399   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Moss   B-NAME
Referring   O
Physician   O
:   O

Valentin   B-NAME
Ford   I-NAME
Hospital   O
:   O

Lifecare   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O
Police   O
officer   O
Chief   O
Complaint   O
:   O
Romano   B-NAME
,   I-NAME
Ray   I-NAME
presented   O
with   O
acute   O
onset   O
of   O
left   O
-   O
sided   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
which   O
began   O
approximately   O
two   O
hours   O
before   O
admission   O
to   O
Goshen   B-LOCATION
Hospital   I-LOCATION
on   O
December   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Frostrup   B-NAME
,   I-NAME
Mariella   I-NAME
,   O
a   O
19   O
-   O
year   O
-   O
old   O
male   O
with   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hypercholesterolemia   O
,   O
experienced   O
sudden   O
onset   O
of   O
chest   O
pain   O
while   O
at   O
work   O
as   O
a   O
Lifeguards   O
,   O
Ski   O
Patrol   O
,   O
and   O
Other   O
Recreational   O
Protective   O
Service   O
Workers   O
.   O

Lion   B-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
diaphoresis   O
.   O

Physical   O
Examination   O
:   O
Upon   O
admission   O
,   O
Winkel   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
Blood   O
Pressure   O
150/95   O
mmHg   O
,   O
Pulse   O
98   O
bpm   O
,   O
Respiratory   O
Rate   O
20   O
breaths   O
per   O
minute   O
,   O
Temperature   O
98.6   O
°   O
F   O
(   O
37   O
°   O
C   O
)   O
,   O
Oxygen   O
Saturation   O
94   O
%   O
on   O
room   O
air   O
.   O

Management   O
:   O
Kenyon   B-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
infusion   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Ramon   B-NAME
Mahoney   I-NAME
was   O
consulted   O
,   O
and   O
urgent   O
cardiac   O
catheterization   O
was   O
recommended   O
.   O

Ellen   B-NAME
Webb   I-NAME
was   O
transferred   O
to   O
the   O
Cardiac   O
Catheterization   O
Lab   O
for   O
further   O
intervention   O
.   O

Disposition   O
:   O
Post   O
-   O
procedure   O
,   O
Isai   B-NAME
Grimes   I-NAME
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
for   O
monitoring   O
.   O

Follow   O
-   O
Up   O
:   O
Y.   B-NAME
Quinton   I-NAME
Xanders   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Carsen   B-NAME
Miller   I-NAME
at   O
Mercy   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Fort   I-LOCATION
Scott   I-LOCATION
on   O
03/66   B-DATE
for   O
evaluation   O
of   O
cardiac   O
rehabilitation   O
readiness   O
and   O
further   O
management   O
of   O
hypertension   O
and   O
hypercholesterolemia   O
.   O

Patient   O
Name   O
:   O
Ray   B-NAME
Downing   I-NAME
Patient   O
ID   O
:   O
WX:81334:317574   B-ID
Date   O
of   O
Birth   O
:   O
27/26/2251   B-DATE
Age   O
:   O
94s   O
Phone   O
:   O
999   B-CONTACT
773   I-CONTACT
5020   I-CONTACT
Address   O
:   O
Six   B-LOCATION
Shooter   I-LOCATION
Canyon   I-LOCATION
,   O
56573   B-LOCATION
Occupation   O
:   O
Podiatrists   O
Primary   O
Care   O
Physician   O
:   O

Craig   B-NAME
Hospital   O
:   O
Grandview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
3695813   B-ID
Username   O
:   O
YZ340   B-NAME
Description   O
of   O
Visit   O
:   O
Tate   B-NAME
Zavala   I-NAME
presented   O
to   O
Riverview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02   B-DATE
-   I-DATE
27   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
focused   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Owen   B-NAME
Gregory   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
was   O
noted   O
upon   O
examination   O
.   O

The   O
medical   O
history   O
provided   O
by   O
Larry   B-NAME
Cowan   I-NAME
did   O
not   O
reveal   O
any   O
significant   O
previous   O
conditions   O
or   O
surgeries   O
.   O

A   O
detailed   O
physical   O
examination   O
by   O
Rylan   B-NAME
Duffy   I-NAME
revealed   O
McBurney   O
's   O
point   O
tenderness   O
,   O
suggesting   O
acute   O
appendicitis   O
as   O
a   O
probable   O
diagnosis   O
.   O

Braxton   B-NAME
Shah   I-NAME
was   O
immediately   O
scheduled   O
for   O
an   O
appendectomy   O
by   O
Rasmussen   B-NAME
on   O
4   B-DATE
.   O

Following   O
surgery   O
,   O
Alysha   B-NAME
Mostoller   I-NAME
was   O
monitored   O
closely   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Emmett   B-NAME
Gutierrez   I-NAME
's   O
recovery   O
was   O
monitored   O
through   O
daily   O
assessments   O
by   O
the   O
medical   O
team   O
at   O
Methodist   B-LOCATION
Hospital   I-LOCATION
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Landen   B-NAME
Rollins   I-NAME
was   O
discharged   O
on   O
8/02   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
wound   O
management   O
.   O

Quintana   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Samantha   B-NAME
Meadows   I-NAME
at   O
Manatee   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
the   O
healing   O
process   O
and   O
address   O
any   O
concerns   O
.   O

Additional   O
advice   O
was   O
provided   O
for   O
Merrick   B-NAME
to   O
contact   O
St   B-LOCATION
James   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
should   O
any   O
signs   O
of   O
infection   O
,   O
such   O
as   O
fever   O
,   O
redness   O
around   O
the   O
incision   O
site   O
,   O
or   O
increased   O
pain   O
,   O
be   O
observed   O
.   O

Conclusion   O
:   O
The   O
timely   O
intervention   O
and   O
surgical   O
management   O
of   O
Suellen   B-NAME
's   O
appendicitis   O
effectively   O
resolved   O
the   O
acute   O
symptoms   O
and   O
prevented   O
potential   O
complications   O
.   O

Continued   O
adherence   O
to   O
post   O
-   O
operative   O
care   O
guidelines   O
and   O
monitoring   O
will   O
be   O
essential   O
for   O
the   O
complete   O
recovery   O
of   O
Poop   B-NAME
.   O

The   O
patient   O
,   O
Josue   B-NAME
Gallagher   I-NAME
,   O
a   O
Special   O
Education   O
Teachers   O
,   O
Middle   O
School   O
from   O
Point   B-LOCATION
,   O
presented   O
to   O
Shriners   B-LOCATION
Hospitals   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
-   I-LOCATION
Greenville   I-LOCATION
on   O
30/07   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
mainly   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

Braylon   B-NAME
Chaney   I-NAME
reported   O
the   O
pain   O
as   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
,   O
exacerbated   O
by   O
movement   O
and   O
not   O
alleviated   O
by   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medication   O
.   O

Upon   O
examination   O
,   O
Freddy   B-NAME
Miles   I-NAME
,   O
age   O
90s   O
,   O
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
with   O
a   O
noticeable   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Juliana   B-NAME
Mclaughlin   I-NAME
's   O
vital   O
signs   O
upon   O
admission   O
were   O
as   O
follows   O
:   O
temperature   O
of   O
100.4   O
°   O
F   O
,   O
heart   O
rate   O
90   O
bpm   O
,   O
respiratory   O
rate   O
18   O
bpm   O
,   O
and   O
blood   O
pressure   O
130/85   O
mmHg   O
.   O

Laboratory   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
were   O
ordered   O
by   O
Ulises   B-NAME
Burch   I-NAME
and   O
revealed   O
a   O
slight   O
elevation   O
in   O
white   O
blood   O
cell   O
count   O
,   O
indicative   O
of   O
a   O
possible   O
infection   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
recommended   O
by   O
Chapin   B-NAME
,   I-NAME
Harry   I-NAME
,   O
confirmed   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

The   O
medical   O
team   O
,   O
including   O
John   B-NAME
Becker   I-NAME
,   O
decided   O
that   O
an   O
appendectomy   O
was   O
necessary   O
and   O
scheduled   O
the   O
surgery   O
for   O
the   O
following   O
day   O
,   O
3/05   B-DATE
.   O

Anabella   B-NAME
Vaughan   I-NAME
's   O
medical   O
record   O
number   O
621   B-ID
-   I-ID
87   I-ID
-   I-ID
01   I-ID
-   I-ID
7   I-ID
and   O
the   O
surgical   O
consent   O
form   O
were   O
processed   O
and   O
filed   O
by   O
the   O
administrative   O
team   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Boise   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Pre   O
-   O
operative   O
instructions   O
were   O
provided   O
to   O
Yamilet   B-NAME
Cox   I-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
fasting   O
for   O
at   O
least   O
8   O
hours   O
before   O
the   O
procedure   O
.   O

292   B-CONTACT
-   I-CONTACT
9712   I-CONTACT
and   O
32550   B-LOCATION
were   O
recorded   O
in   O
Weiss   B-NAME
's   O
file   O
for   O
emergency   O
contact   O
purposes   O
.   O

Furthermore   O
,   O
the   O
Australian   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Marine   I-LOCATION
and   I-LOCATION
Power   I-LOCATION
Engineers   I-LOCATION
was   O
informed   O
of   O
Acie   B-NAME
's   O
hospital   O
admission   O
due   O
to   O
the   O
policy   O
of   O
keeping   O
the   O
employer   O
informed   O
in   O
the   O
event   O
of   O
a   O
prolonged   O
absence   O
from   O
work   O
.   O

Nathalie   B-NAME
Wood   I-NAME
consented   O
to   O
this   O
disclosure   O
before   O
admission   O
.   O

Instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
along   O
with   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
antibiotics   O
,   O
were   O
prepared   O
by   O
Bullock   B-NAME
.   O

Brooklynn   B-NAME
Sampson   I-NAME
was   O
advised   O
of   O
potential   O
signs   O
of   O
infection   O
or   O
complications   O
to   O
watch   O
for   O
,   O
including   O
excessive   O
redness   O
,   O
swelling   O
at   O
the   O
incision   O
site   O
,   O
fever   O
over   O
101   O
°   O
F   O
,   O
or   O
severe   O
abdominal   O
pain   O
not   O
relieved   O
by   O
medication   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2260s   B-DATE
with   O
Hanson   B-NAME
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
progress   O
.   O

For   O
identification   O
and   O
security   O
reasons   O
,   O
Erin   B-NAME
Cochran   I-NAME
's   O
ID   O
number   O
PM669/3635   B-ID
was   O
used   O
during   O
all   O
electronic   O
communications   O
and   O
medical   O
entries   O
.   O

Moreover   O
,   O
XU331   B-NAME
was   O
generated   O
for   O
Ulises   B-NAME
Y.   I-NAME
Hobbs   I-NAME
to   O
access   O
the   O
patient   O
portal   O
provided   O
by   O
North   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
allowing   O
Serena   B-NAME
Hester   I-NAME
to   O
view   O
test   O
results   O
,   O
medical   O
records   O
,   O
and   O
scheduled   O
appointments   O
.   O

Throughout   O
the   O
hospital   O
stay   O
and   O
surgical   O
procedure   O
,   O
all   O
necessary   O
precautions   O
were   O
taken   O
to   O
ensure   O
the   O
privacy   O
and   O
confidentiality   O
of   O
Emil   B-NAME
Skoda   I-NAME
's   O
health   O
information   O
,   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
and   O
the   O
policies   O
of   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Derek   B-NAME
Schaefer   I-NAME
Patient   O
ID   O
:   O
844223065   B-ID
Medical   O
Record   O
Number   O
:   O
70200416   B-ID
Date   O
of   O
Birth   O
:   O
17s   O
years   O
Date   O
of   O
Admission   O
:   O
Labor   B-DATE
Day   I-DATE
Date   O
of   O
Discharge   O
:   O
02/38   B-DATE
Attending   O
Physician   O
:   O

Aedan   B-NAME
Velez   I-NAME
Hospital   O
:   O
Cascade   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Pottsboro   B-LOCATION
Zip   O
Code   O
:   O
43791   B-LOCATION
Contact   O
Number   O
:   O
396   B-CONTACT
5099   I-CONTACT
Chief   O
Complaint   O
:   O
Tamara   B-NAME
Neal   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Episcopal   I-LOCATION
Hospital   I-LOCATION
on   O
Jul   B-DATE
27   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
75   O
days   O
.   O

Franzen   B-NAME
,   I-NAME
Jonathan   I-NAME
also   O
reported   O
experiencing   O
sharp   O
chest   O
pains   O
that   O
worsened   O
with   O
deep   O
breaths   O
.   O

Medical   O
History   O
:   O
David   B-NAME
Hayward   I-NAME
has   O
a   O
history   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
and   O
had   O
been   O
a   O
smoker   O
for   O
11   O
month   O
years   O
but   O
quit   O
smoking   O
80   O
years   O
ago   O
.   O

Additionally   O
,   O
Lowery   B-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Kaeden   B-NAME
Sawyer   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
radiography   O
performed   O
on   O
28/05/49   B-DATE
showed   O
bilateral   O
infiltrates   O
suggestive   O
of   O
pneumonia   O
.   O

Haylie   B-NAME
Dennis   I-NAME
was   O
also   O
subjected   O
to   O
a   O
nasal   O
swab   O
which   O
returned   O
positive   O
for   O
influenza   O
A   O
virus   O
.   O

Treatment   O
:   O
Upon   O
the   O
diagnosis   O
of   O
bacterial   O
pneumonia   O
superimposed   O
with   O
influenza   O
A   O
infection   O
,   O
Magaly   B-NAME
Loiacona   I-NAME
was   O
admitted   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
for   O
further   O
management   O
.   O

Progress   O
and   O
Discharge   O
:   O
Landen   B-NAME
Rollins   I-NAME
's   O
condition   O
showed   O
marked   O
improvement   O
over   O
a   O
period   O
of   O
32   O
days   O
.   O

Bryson   B-NAME
,   I-NAME
Bill   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
vaccination   O
and   O
smoking   O
cessation   O
.   O

Discharge   O
instructions   O
included   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Delgado   B-NAME
in   O
0   O
month   O
weeks   O
for   O
re   O
-   O
evaluation   O
.   O

Patient   O
Name   O
:   O
Queen   B-NAME
Pickett   I-NAME
Patient   O
ID   O
:   O
VC253/1477   B-ID
Medical   O
Record   O
Number   O
:   O
6129130   B-ID
Date   O
of   O
Birth   O
:   O
8/25   B-DATE
Age   O
:   O
59   O
Phone   O
Number   O
:   O
608   B-CONTACT
3433   I-CONTACT
Address   O
:   O
Matfield   B-LOCATION
Green   I-LOCATION
,   O
97188   B-LOCATION
Employment   O
:   O
First   O
-   O
Line   O
Supervisors   O
of   O
Food   O
Preparation   O
and   O
Serving   O
Workers   O
Primary   O
Care   O
Physician   O
:   O

Harrison   B-NAME
Morrison   I-NAME
Treatment   O
Hospital   O
:   O

UPMC   B-LOCATION
Mercy   I-LOCATION
Chief   O
Complaint   O
:   O
4   B-DATE
-   I-DATE
16   I-DATE
-   I-DATE
74   I-DATE
:   O
Jones   B-NAME
presented   O
at   O
THOMPSON   B-LOCATION
PEAK   I-LOCATION
HOSPITAL   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
described   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kimber   B-NAME
Marsters   I-NAME
noticed   O
the   O
onset   O
of   O
the   O
abdominal   O
discomfort   O
early   O
in   O
the   O
morning   O
of   O
12/11   B-DATE
.   O

Sawyer   B-NAME
,   O
a   O
Claims   O
Takers   O
,   O
Unemployment   O
Benefits   O
by   O
occupation   O
,   O
attempted   O
to   O
continue   O
daily   O
activities   O
but   O
found   O
the   O
pain   O
too   O
severe   O
.   O

Murrow   B-NAME
,   I-NAME
Edward   I-NAME
R.   I-NAME
denied   O
any   O
recent   O
travels   O
outside   O
Sac   B-LOCATION
City   I-LOCATION
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

Allergies   O
:   O
Konner   B-NAME
Price   I-NAME
reports   O
an   O
allergy   O
to   O
penicillin   O
,   O
causing   O
rash   O
.   O
Medications   O
:   O
1   O
.   O

Social   O
History   O
:   O
Gunner   B-NAME
Sherman   I-NAME
does   O
not   O
use   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O
Review   O
of   O
Systems   O
:   O
Positive   O
for   O
fever   O
and   O
anorexia   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Ronald   B-NAME
Hubbard   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Surgical   O
consultation   O
with   O
Damari   B-NAME
Adkins   I-NAME
for   O
possible   O
appendectomy   O
has   O
been   O
requested   O
.   O

Follow   O
-   O
up   O
:   O
Nero   B-NAME
Crissinger   I-NAME
will   O
be   O
admitted   O
under   O
the   O
care   O
of   O
Gaines   B-NAME
at   O
Hurley   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
surgical   O
evaluation   O
and   O
management   O
.   O

For   O
any   O
further   O
information   O
or   O
emergencies   O
,   O
please   O
contact   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
at   O
97886   B-CONTACT
.   O

Note   O
Prepared   O
by   O
:   O
lcg552   B-NAME
,   O
Medical   O
Scribe   O
Date   O
:   O
2/2010   B-DATE

Patient   O
Name   O
:   O
Julian   B-NAME
Rivera   I-NAME
Age   O
:   O
32   O
Date   O
of   O
Birth   O
:   O
02/23   B-DATE
Gender   O
:   O

Male   O
Address   O
:   O
Flora   B-LOCATION
Dale   I-LOCATION
,   O
11017   B-LOCATION
Phone   O
Number   O
:   O
837   B-CONTACT
919   I-CONTACT
-   I-CONTACT
9255   I-CONTACT
Occupation   O
:   O
QA   O
analyst   O
Doctor   O
:   O
Kiersten   B-NAME
Mendez   I-NAME
Hospital   O
:   O
Providence   B-LOCATION
Little   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Torrance   I-LOCATION
Medical   O
Record   O
Number   O
:   O
65203814   B-ID
Insurance   O
ID   O
:   O
32556351   B-ID
Summary   O
of   O
Visit   O
:   O
Darryl   B-NAME
Gross   I-NAME
was   O
admitted   O
to   O
Meadowview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Thursday   B-DATE
,   I-DATE
March   I-DATE
with   O
complaints   O
of   O
acute   O
left   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Bowles   B-NAME
,   I-NAME
Ralston   I-NAME
also   O
reported   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
was   O
noted   O
with   O
a   O
peak   O
of   O
101.5   O
°   O
F   O
.   O

Upon   O
examination   O
,   O
Carey   B-NAME
,   I-NAME
Mariah   I-NAME
's   O
vitals   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
140/90   O
mmHg   O
,   O
heart   O
rate   O
98   O
beats   O
per   O
minute   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Davion   B-NAME
Cherry   I-NAME
,   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
a   O
Comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
,   O
and   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Fred   B-NAME
Hornblower   I-NAME
diagnosed   O
Elsy   B-NAME
Fredrickson   I-NAME
with   O
acute   O
uncomplicated   O
diverticulitis   O
.   O

Nixon   B-NAME
was   O
started   O
on   O
oral   O
antibiotics   O
,   O
specifically   O
a   O
7   O
-   O
day   O
course   O
of   O
Ciprofloxacin   O
500   O
mg   O
twice   O
daily   O
and   O
Metronidazole   O
500   O
mg   O
three   O
times   O
daily   O
.   O

Aleah   B-NAME
Alvarez   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Ace   B-NAME
Rosales   I-NAME
in   O
Bromont   B-LOCATION
,   I-LOCATION
QC   I-LOCATION
J2L   I-LOCATION
4Y4   I-LOCATION
in   O
10   O
days   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

Bailey   B-NAME
Bray   I-NAME
was   O
educated   O
on   O
signs   O
of   O
complications   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
rectal   O
bleeding   O
.   O

11/25/42   B-DATE
Time   O
:   O
(   B-CONTACT
575   I-CONTACT
)   I-CONTACT
845   I-CONTACT
-   I-CONTACT
6194   I-CONTACT
Location   O
:   O

Sentara   B-LOCATION
Albemarle   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Additional   O
Recommendations   O
:   O
Cather   B-NAME
,   I-NAME
Willa   I-NAME
was   O
encouraged   O
to   O
maintain   O
adequate   O
hydration   O
and   O
to   O
monitor   O
his   O
blood   O
glucose   O
levels   O
closely   O
,   O
given   O
his   O
history   O
of   O
diabetes   O
.   O

Discharge   O
Instructions   O
:   O
Draven   B-NAME
Padilla   I-NAME
was   O
provided   O
with   O
a   O
written   O
summary   O
of   O
the   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
signs   O
and   O
symptoms   O
of   O
potential   O
complications   O
.   O

Contact   O
information   O
including   O
868   B-CONTACT
684   I-CONTACT
-   I-CONTACT
9997   I-CONTACT
for   O
Orange   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
given   O
for   O
any   O
questions   O
or   O
concerns   O
.   O

Signature   O
:   O
Mcpherson   B-NAME
8   B-DATE
-   I-DATE
2   I-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ricardo   B-NAME
Patient   O
ID   O
:   O
WW:86627:293136   B-ID
Medical   O
Record   O
Number   O
:   O
958   B-ID
-   I-ID
98   I-ID
-   I-ID
17   I-ID
Date   O
of   O
Birth   O
:   O
0   O
month   O
Date   O
of   O
Admission   O
:   O
8/34   B-DATE
Date   O
of   O
Report   O
:   O
20/19/2241   B-DATE
Primary   O
Care   O
Physician   O
:   O

Selena   B-NAME
Mcpherson   I-NAME
Attending   O
Physician   O
:   O
Alisha   B-NAME
Schwartz   I-NAME
Hospital   O
:   O
Jefferson   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Geriatric   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Winchester   I-LOCATION
Location   O
:   O
156   B-LOCATION
Purple   I-LOCATION
Finch   I-LOCATION
St.   I-LOCATION
Zip   O
Code   O
:   O
71287   B-LOCATION
Contact   O
Phone   O
:   O
352   B-CONTACT
2027   I-CONTACT
Employment   O
:   O
Helpers   O
--   O
Carpenters   O
at   O
Gordmans   B-LOCATION
Username   O
:   O
laf961   B-NAME
Clinical   O
Summary   O
:   O
Carter   B-NAME
,   I-NAME
Howard   I-NAME
,   O
a   O
10   O
week   O
year   O
old   O
Recreational   O
Vehicle   O
Service   O
Technicians   O
from   O
Spring   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Missouri   B-LOCATION
Southern   I-LOCATION
Healthcare   I-LOCATION
on   O
3620   B-DATE
with   O
a   O
set   O
of   O
symptoms   O
that   O
raised   O
concerns   O
for   O
acute   O
appendicitis   O
.   O

On   O
examination   O
,   O
Morley   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
slight   O
elevation   O
in   O
temperature   O
,   O
but   O
blood   O
pressure   O
,   O
respiratory   O
rate   O
,   O
and   O
heart   O
rate   O
were   O
within   O
normal   O
limits   O
.   O

Abdominal   O
ultrasonography   O
,   O
performed   O
by   O
Bartlett   B-NAME
on   O
03/23   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
without   O
evidence   O
of   O
perforation   O
.   O

Management   O
and   O
Treatment   O
:   O
Based   O
on   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
a   O
surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Damari   B-NAME
Huff   I-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
11   B-DATE
's   I-DATE
.   O

The   O
surgery   O
,   O
performed   O
at   O
Legacy   B-LOCATION
Meridian   I-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
was   O
successful   O
without   O
complications   O
.   O

Carla   B-NAME
Evans   I-NAME
responded   O
well   O
to   O
the   O
procedure   O
and   O
post   O
-   O
operative   O
care   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
De   B-NAME
Haven   I-NAME
's   O
recovery   O
has   O
been   O
uneventful   O
.   O

Alan   B-NAME
xavier   I-NAME
was   O
encouraged   O
to   O
ambulate   O
on   O
the   O
first   O
post   O
-   O
operative   O
day   O
.   O

Leticia   B-NAME
Haney   I-NAME
was   O
discharged   O
on   O
23/14   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Mccarthy   B-NAME
in   O
two   O
weeks   O
.   O

No   O
specific   O
work   O
restrictions   O
were   O
recommended   O
,   O
but   O
Beherns   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
physical   O
activity   O
until   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
29/01   B-DATE
to   O
assess   O
wound   O
healing   O
,   O
evaluate   O
for   O
any   O
post   O
-   O
operative   O
complications   O
,   O
and   O
discuss   O
the   O
resumption   O
of   O
normal   O
activities   O
.   O

Barbara   B-NAME
Hickman   I-NAME
has   O
been   O
provided   O
with   O
the   O
contact   O
number   O
587   B-CONTACT
-   I-CONTACT
1512   I-CONTACT
for   O
UPMC   B-LOCATION
Lititz   I-LOCATION
should   O
any   O
questions   O
or   O
concerns   O
arise   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Conclusion   O
:   O
Suellen   B-NAME
Carilli   I-NAME
's   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
timely   O
addressed   O
through   O
surgical   O
intervention   O
.   O

Continued   O
follow   O
-   O
up   O
will   O
ensure   O
that   O
Chailyn   B-NAME
returns   O
to   O
their   O
usual   O
state   O
of   O
health   O
and   O
Private   O
Sector   O
Executives   O
activities   O
without   O
delay   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Alvaro   B-NAME
Meyer   I-NAME
-   O
Age   O
:   O
0   O
week   O
-   O
ID   O
:   O
0   B-ID
-   I-ID
1539542   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
924556   B-ID
-   O
Date   O
of   O
Birth   O
:   O
26/24   B-DATE
-   O
Phone   O
Number   O
:   O
841   B-CONTACT
-   I-CONTACT
8089   I-CONTACT
-   O
Address   O
:   O
Glen   B-LOCATION
Echo   I-LOCATION
Park   I-LOCATION
,   O
26055   B-LOCATION
-   O
Profession   O
:   O
Derrick   O
Operators   O
,   O
Oil   O
and   O
Gas   O
-   O
Doctor   O
:   O
Becker   B-NAME
-   O
Hospital   O
:   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sacramento   I-LOCATION
Medical   O
History   O
:   O
Aragon   B-NAME
presented   O
on   O
33/37/60   B-DATE
with   O
complaints   O
of   O
a   O
persistent   O
,   O
dry   O
cough   O
that   O
had   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

Lynn   B-NAME
reported   O
an   O
onset   O
of   O
fever   O
peaking   O
at   O
101   O
°   O
F   O
(   O
May   B-DATE
2387   I-DATE
)   O
,   O
chills   O
,   O
and   O
marked   O
fatigue   O
.   O

Symptoms   O
:   O
Upon   O
examination   O
,   O
Elyse   B-NAME
Espinoza   I-NAME
exhibited   O
a   O
temperature   O
of   O
100.4   O
°   O
F   O
,   O
a   O
heart   O
rate   O
of   O
88   O
beats   O
per   O
minute   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
.   O

Tests   O
Conducted   O
:   O
A   O
chest   O
X   O
-   O
ray   O
was   O
performed   O
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Wyandotte   I-LOCATION
Hospital   I-LOCATION
,   O
indicating   O
bilateral   O
lower   O
lobe   O
infiltrates   O
,   O
suggestive   O
of   O
pneumonia   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Atticus   B-NAME
Brown   I-NAME
initiated   O
treatment   O
with   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
and   O
recommended   O
rest   O
,   O
hydration   O
,   O
and   O
the   O
use   O
of   O
acetaminophen   O
to   O
manage   O
fever   O
and   O
discomfort   O
.   O

Leida   B-NAME
Perna   I-NAME
was   O
also   O
advised   O
to   O
use   O
their   O
inhaler   O
as   O
needed   O
for   O
asthma   O
symptoms   O
and   O
to   O
monitor   O
their   O
blood   O
pressure   O
regularly   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
21   B-DATE
-   I-DATE
Jul-2335   I-DATE
to   O
reassess   O
the   O
patient   O
’s   O
condition   O
and   O
review   O
blood   O
culture   O
results   O
.   O

Precautions   O
:   O
Kaur   B-NAME
,   I-NAME
Xan   I-NAME
G   I-NAME
was   O
instructed   O
to   O
avoid   O
close   O
contact   O
with   O
family   O
members   O
and   O
to   O
wear   O
a   O
mask   O
if   O
proximity   O
could   O
not   O
be   O
avoided   O
,   O
to   O
prevent   O
the   O
spread   O
of   O
infection   O
.   O

Conclusion   O
:   O
Goldberg   B-NAME
,   I-NAME
M   I-NAME
is   O
currently   O
under   O
outpatient   O
treatment   O
for   O
suspected   O
bacterial   O
pneumonia   O
,   O
with   O
symptoms   O
being   O
closely   O
monitored   O
by   O
Dr.   O
Dean   B-NAME
at   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Brazosport   I-LOCATION
.   O

For   O
any   O
concerns   O
or   O
worsening   O
symptoms   O
,   O
Christian   B-NAME
was   O
advised   O
to   O
contact   O
Loma   B-LOCATION
Linda   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
directly   O
at   O
76584   B-CONTACT
.   O

Report   O
by   O
:   O
Dr.   O
Royce   B-NAME
Hammond   I-NAME
Date   O
:   O
12/02   B-DATE

Patient   O
:   O
Joaquin   B-NAME
Shannon   I-NAME
Medical   O
Record   O
Number   O
:   O
1204110   B-ID
Age   O
:   O
96   O
Date   O
of   O
Admission   O
:   O
05/01/1945   B-DATE

Attending   O
Physician   O
:   O
Elizabeth   B-NAME
,   I-NAME
the   I-NAME
Queen   I-NAME
Mother   I-NAME
Hospital   O
:   O
Washington   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Washington   I-LOCATION
Location   O
:   O
914   B-LOCATION
Victoria   I-LOCATION
St.   I-LOCATION
Zip   O
:   O
58617   B-LOCATION
ID   O
:   O
MI304/3624   B-ID
Phone   O
:   O
78871   B-CONTACT
Username   O
:   O
RQ117   B-NAME
Profession   O
:   O

The   O
patient   O
,   O
Keith   B-NAME
Quant   I-NAME
,   O
presents   O
with   O
a   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
lobe   O
region   O
,   O
which   O
has   O
been   O
persistent   O
for   O
the   O
past   O
72   O
hours   O
.   O

Rhett   B-NAME
Davis   I-NAME
has   O
attempted   O
taking   O
over   O
-   O
the   O
-   O
counter   O
pain   O
relief   O
medication   O
with   O
minimal   O
effect   O
.   O

Assessment   O
:   O
The   O
clinical   O
presentation   O
suggests   O
that   O
Green   B-NAME
,   I-NAME
Matthew   I-NAME
is   O
experiencing   O
a   O
migraine   O
without   O
aura   O
.   O

The   O
follow   O
-   O
up   O
will   O
be   O
conducted   O
by   O
Fabian   B-NAME
Singh   I-NAME
at   O
Good   B-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

If   O
there   O
is   O
no   O
improvement   O
with   O
the   O
current   O
management   O
strategy   O
,   O
consider   O
referring   O
Barajas   B-NAME
to   O
a   O
neurologist   O
for   O
further   O
evaluation   O
.   O

Additionally   O
,   O
Seldon   B-NAME
has   O
been   O
advised   O
to   O
seek   O
medical   O
attention   O
immediately   O
if   O
they   O
experience   O
any   O
changes   O
in   O
the   O
pattern   O
of   O
their   O
headaches   O
,   O
or   O
if   O
they   O
develop   O
new   O
neurological   O
symptoms   O
such   O
as   O
weakness   O
,   O
visual   O
changes   O
,   O
or   O
difficulty   O
speaking   O
.   O

The   O
contact   O
information   O
provided   O
by   O
the   O
patient   O
for   O
further   O
communication   O
is   O
(   B-CONTACT
337   I-CONTACT
)   I-CONTACT
654   I-CONTACT
4549   I-CONTACT
.   O

All   O
protected   O
health   O
information   O
pertaining   O
to   O
this   O
case   O
has   O
been   O
securely   O
documented   O
in   O
the   O
medical   O
record   O
number   O
2477550   B-ID
for   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
.   O

The   O
discharge   O
information   O
has   O
also   O
been   O
communicated   O
electronically   O
to   O
Kamari   B-NAME
Stevenson   I-NAME
's   O
registered   O
username   O
,   O
du404   B-NAME
,   O
for   O
their   O
records   O
.   O

Patient   O
Name   O
:   O
Owen   B-NAME
Maestro   I-NAME
Patient   O
ID   O
:   O
YM   B-ID
:   I-ID
TJ:2752   I-ID
Date   O
of   O
Birth   O
:   O
2/21/96   B-DATE
Medical   O
Record   O
Number   O
:   O
86549112   B-ID
Address   O
:   O
Bethalto   B-LOCATION
,   O
64579   B-LOCATION
Phone   O
Number   O
:   O
66748   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Cardenas   B-NAME
Employer   O
:   O
British   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
Occupation   O
:   O
Licensing   O
Examiners   O
and   O
Inspectors   O
Username   O
:   O
LU508   B-NAME
2392   B-DATE
Medical   O
Visit   O
Summary   O
:   O
Jordyn   B-NAME
Maldonado   I-NAME
,   O
a   O
58   O
-   O
year   O
-   O
old   O
Human   O
Resources   O
Managers   O
from   O
Natrona   B-LOCATION
,   O
presented   O
to   O
Alaska   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
,   O
unrelenting   O
headaches   O
primarily   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
which   O
have   O
persisted   O
for   O
approximately   O
two   O
weeks   O
.   O

Jessica   B-NAME
Gates   I-NAME
denies   O
any   O
recent   O
head   O
trauma   O
or   O
history   O
of   O
migraines   O
.   O

Alvarez   B-NAME
reported   O
a   O
significant   O
level   O
of   O
stress   O
at   O
work   O
,   O
associated   O
with   O
a   O
recent   O
project   O
deadline   O
at   O
Greater   B-LOCATION
Atlantic   I-LOCATION
Bank   I-LOCATION
.   O

Given   O
the   O
persistent   O
nature   O
of   O
the   O
headaches   O
and   O
the   O
impact   O
on   O
Barry   B-NAME
R.   I-NAME
Lockhart   I-NAME
's   O
daily   O
functioning   O
,   O
Marilee   B-NAME
Demarest   I-NAME
ordered   O
an   O
MRI   O
of   O
the   O
brain   O
,   O
which   O
did   O
not   O
show   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

Management   O
and   O
Recommendations   O
:   O
Huff   B-NAME
diagnosed   O
Kristopher   B-NAME
Norton   I-NAME
with   O
tension   O
-   O
type   O
headaches   O
,   O
exacerbated   O
by   O
workplace   O
stress   O
.   O

It   O
was   O
recommended   O
that   O
Venedict   B-NAME
initiate   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
triggers   O
of   O
the   O
headaches   O
.   O

Hamilton   B-NAME
,   I-NAME
Alexander   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
,   O
including   O
regular   O
exercise   O
,   O
hydration   O
,   O
and   O
stress   O
management   O
techniques   O
such   O
as   O
mindfulness   O
and   O
yoga   O
.   O

Follow   O
-   O
Up   O
:   O
Destiny   B-NAME
Wooley   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Copernicus   B-NAME
,   I-NAME
Nicolaus   I-NAME
at   O
RCHP   B-LOCATION
Billings   I-LOCATION
-   I-LOCATION
Missoula   I-LOCATION
LLC   I-LOCATION
DBA   I-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
4   O
weeks   O
to   O
monitor   O
headache   O
progression   O
and   O
response   O
to   O
treatment   O
.   O

Yates   B-NAME
also   O
recommended   O
a   O
consultation   O
with   O
a   O
therapist   O
at   O
Retail   B-LOCATION
and   I-LOCATION
Fast   I-LOCATION
Food   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
to   O
address   O
underlying   O
stress   O
and   O
coping   O
mechanisms   O
.   O

In   O
Case   O
of   O
Emergency   O
:   O
Xavier   B-NAME
Ross   I-NAME
or   O
an   O
immediate   O
family   O
member   O
is   O
advised   O
to   O
contact   O
Colorado   B-LOCATION
Plains   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
at   O
53644   B-CONTACT
or   O
return   O
to   O
the   O
hospital   O
if   O
headaches   O
significantly   O
worsen   O
,   O
are   O
accompanied   O
by   O
new   O
symptoms   O
such   O
as   O
vision   O
changes   O
,   O
weakness   O
,   O
or   O
if   O
ostrowski   B-NAME
experiences   O
any   O
adverse   O
reactions   O
to   O
the   O
medication   O
.   O

This   O
medical   O
summary   O
contains   O
confidential   O
health   O
information   O
about   O
powell   B-NAME
and   O
is   O
intended   O
for   O
use   O
only   O
by   O
the   O
individual   O
named   O
.   O

If   O
you   O
are   O
not   O
Russell   B-NAME
Kennedy   I-NAME
or   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
Daniels   B-NAME
at   O
181   B-CONTACT
-   I-CONTACT
5163   I-CONTACT
immediately   O
to   O
arrange   O
the   O
return   O
of   O
the   O
original   O
documents   O
to   O
Lower   B-LOCATION
Bucks   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
The   I-LOCATION
.   O

Patient   O
Name   O
:   O
Mylee   B-NAME
Manning   I-NAME
Patient   O
ID   O
:   O
EO:01048:920369   B-ID
Date   O
of   O
Birth   O
:   O
30/30   B-DATE
Age   O
:   O
9   O
week   O
Address   O
:   O
Church   B-LOCATION
Rock   I-LOCATION
,   O
17340   B-LOCATION
Phone   O
:   O
93870   B-CONTACT
Employer   O
:   O
San   B-LOCATION
Joaquin   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O

Accounting   O
technician   O
Medical   O
Record   O
Number   O
:   O
07767709   B-ID
Admitting   O
Physician   O
:   O

Trenton   B-NAME
Hoffman   I-NAME
Date   O
of   O
Admission   O
:   O
17/26/20   B-DATE
Hospital   O
:   O
Mission   B-LOCATION
Hospital   I-LOCATION
Laguna   I-LOCATION
Beach   I-LOCATION
Summary   O
:   O

Felix   B-NAME
Horne   I-NAME
,   O
a   O
Drafters   O
,   O
All   O
Other   O
from   O
Boone   B-LOCATION
,   O
presented   O
to   O
Novato   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
on   O
10/97   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
marked   O
increase   O
in   O
temperature   O
.   O

Oliver   B-NAME
Ludwig   I-NAME
reported   O
no   O
previous   O
similar   O
episodes   O
and   O
has   O
a   O
nonsignificant   O
medical   O
history   O
according   O
to   O
the   O
chart   O
recorded   O
under   O
931   B-ID
-   I-ID
91   I-ID
-   I-ID
16   I-ID
-   I-ID
7   I-ID
.   O
Diagnostic   O
Evaluation   O
:   O
During   O
the   O
initial   O
evaluation   O
,   O
Donne   B-NAME
,   I-NAME
John   I-NAME
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
revealed   O
leukocytosis   O
with   O
a   O
left   O
shift   O
,   O
suggestive   O
of   O
an   O
inflammatory   O
process   O
.   O

The   O
imaging   O
study   O
was   O
saved   O
under   O
the   O
identifier   O
CD   B-ID
:   I-ID
UD:9617   I-ID
for   O
future   O
reference   O
.   O

Management   O
Plan   O
:   O
Based   O
on   O
the   O
diagnostics   O
,   O
Mila   B-NAME
Pacheco   I-NAME
recommended   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
.   O

Travis   B-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
provided   O
consent   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
03/02/83   B-DATE
without   O
any   O
complications   O
.   O

Follow   O
-   O
Up   O
and   O
Recovery   O
:   O
Marcus   B-NAME
Aurelius   I-NAME
was   O
discharged   O
on   O
5/88   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
visit   O
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-San   I-LOCATION
Diego   I-LOCATION
Zion   I-LOCATION
's   O
outpatient   O
department   O
for   O
2/28/33   B-DATE
.   O

Kiana   B-NAME
's   O
recovery   O
is   O
being   O
closely   O
monitored   O
through   O
telehealth   O
consultations   O
,   O
facilitated   O
by   O
the   O
secure   O
contact   O
number   O
968   B-CONTACT
-   I-CONTACT
6352   I-CONTACT
and   O
email   O
KO750   B-NAME
@hospital.org   O
.   O

It   O
is   O
imperative   O
for   O
Vest   B-NAME
to   O
observe   O
any   O
signs   O
of   O
infection   O
or   O
unusual   O
symptoms   O
and   O
to   O
avoid   O
strenuous   O
activities   O
in   O
the   O
coming   O
weeks   O
to   O
ensure   O
optimal   O
healing   O
.   O

Further   O
inquiries   O
and   O
updates   O
about   O
the   O
patient   O
's   O
condition   O
can   O
be   O
directed   O
to   O
23078   B-CONTACT
or   O
via   O
email   O
to   O
gyk855   B-NAME
@hospital.org   O
.   O

The   O
medical   O
team   O
at   O
St.   B-LOCATION
John   I-LOCATION
Macomb   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
is   O
committed   O
to   O
providing   O
Omari   B-NAME
Duran   I-NAME
with   O
the   O
necessary   O
care   O
and   O
support   O
for   O
a   O
full   O
recovery   O
.   O

Santino   B-NAME
Mathews   I-NAME
Patient   O
ID   O
:   O
654819044   B-ID
Date   O
of   O
Birth   O
:   O
6/21   B-DATE
Age   O
:   O
79   O
Medical   O
Record   O
Number   O
:   O
51465027   B-ID
Phone   O
Number   O
:   O
77473   B-CONTACT
Address   O
:   O
Marion   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Marion   I-LOCATION
,   O
57590   B-LOCATION
Occupation   O
:   O
Tire   O
Builders   O
Attending   O
Physician   O
:   O

Beltran   B-NAME
Hospital   O
Name   O
:   O
Mercy   B-LOCATION
Gilbert   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
for   O
Hospital   O
Portal   O
:   O
QG417   B-NAME
Summary   O
:   O
Daphne   B-NAME
Strong   I-NAME
,   O
a   O
21   O
-   O
year   O
-   O
old   O
Pathologists   O
from   O
Monson   B-LOCATION
,   O
presented   O
to   O
Witham   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
on   O
00/30   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
persisting   O
for   O
the   O
past   O
48   O
hours   O
.   O

Sonderborg   B-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
gastritis   O
and   O
was   O
under   O
the   O
care   O
of   O
Bradford   B-NAME
.   O

Additionally   O
,   O
Oakley   B-NAME
experienced   O
episodes   O
of   O
vomiting   O
up   O
to   O
four   O
times   O
a   O
day   O
,   O
with   O
nausea   O
that   O
worsened   O
post   O
meals   O
.   O

No   O
bowel   O
movement   O
was   O
reported   O
since   O
33/03/80   B-DATE
,   O
raising   O
concerns   O
for   O
possible   O
obstruction   O
or   O
appendicitis   O
.   O

Diagnostic   O
Tests   O
Assigned   O
:   O
Upon   O
presentation   O
,   O
Kaelyn   B-NAME
Valentine   I-NAME
ordered   O
a   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
and   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
to   O
rule   O
out   O
appendicitis   O
and   O
other   O
possible   O
abdominal   O
pathologies   O
.   O

Keith   B-NAME
Ball   I-NAME
’s   O
blood   O
samples   O
were   O
collected   O
,   O
and   O
0   B-ID
-   I-ID
9129104   I-ID
was   O
used   O
for   O
proper   O
identification   O
and   O
tracking   O
of   O
specimens   O
.   O

Given   O
the   O
diagnosis   O
,   O
Snow   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
surgery   O
on   O
00/24   B-DATE
under   O
the   O
care   O
of   O
the   O
surgical   O
team   O
at   O
Peconic   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Kymani   B-NAME
Bender   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
provided   O
consent   O
.   O

Follow   O
-   O
Up   O
:   O
Ila   B-NAME
Araujo   I-NAME
was   O
advised   O
for   O
post   O
-   O
operative   O
check   O
-   O
ups   O
scheduled   O
on   O
12/21   B-DATE
and   O
31/12   B-DATE
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Any   O
queries   O
or   O
emergencies   O
were   O
to   O
be   O
reported   O
immediately   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Union   I-LOCATION
via   O
the   O
contact   O
number   O
871   B-CONTACT
-   I-CONTACT
8298   I-CONTACT
.   O

Conclusion   O
:   O
The   O
timely   O
presentation   O
and   O
accurate   O
diagnosis   O
of   O
Bowers   B-NAME
's   O
condition   O
allowed   O
for   O
a   O
swift   O
intervention   O
,   O
potentially   O
preventing   O
more   O
severe   O
complications   O
such   O
as   O
rupture   O
or   O
widespread   O
infection   O
.   O

The   O
multidisciplinary   O
approach   O
involving   O
Progressive   B-LOCATION
and   O
the   O
surgery   O
team   O
played   O
a   O
crucial   O
role   O
in   O
the   O
patient   O
's   O
care   O
pathway   O
.   O
Notes   O
:   O

No   O
unauthorized   O
access   O
to   O
Rose   B-NAME
Duke   I-NAME
's   O
medical   O
records   O
,   O
personal   O
health   O
information   O
,   O
or   O
contact   O
details   O
has   O
been   O
permitted   O
during   O
or   O
after   O
the   O
treatment   O
process   O
.   O

Patient   O
Name   O
:   O
Taylor   B-NAME
Maddox   I-NAME
Medical   O
Record   O
Number   O
:   O
404   B-ID
-   I-ID
48   I-ID
-   I-ID
01   I-ID
Date   O
of   O
Birth   O
:   O
39/14   B-DATE
Age   O
:   O
55s   O
Address   O
:   O
Willards   B-LOCATION
,   O
71018   B-LOCATION
Telephone   O
:   O
20767   B-CONTACT
Employment   O
:   O
secretary   O
at   O
Bank   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
-   I-LOCATION
Southwest   I-LOCATION
Attending   O
Physician   O
:   O

Newton   B-NAME
Hospital   O
:   O
Emory   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/12   B-DATE
Social   O
Security   O
Number   O
:   O
AP929/4898   B-ID
Chief   O
Complaint   O
:   O
Jeff   B-NAME
House   I-NAME
presents   O
with   O
acute   O
onset   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
an   O
overwhelming   O
sense   O
of   O
dread   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
39s   O
-   O
year   O
-   O
old   O
Valladares   B-NAME
experienced   O
sudden   O
onset   O
of   O
symptoms   O
while   O
at   O
work   O
(   O
Helpers   O
--   O
Carpenters   O
at   O
Animal   B-LOCATION
Liberation   I-LOCATION
Brigade   I-LOCATION
(   I-LOCATION
ALB   I-LOCATION
)   I-LOCATION
)   O
.   O

Nogai   B-NAME
Fenger   I-NAME
denies   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

On   O
examination   O
,   O
Orion   B-NAME
Combs   I-NAME
appeared   O
distressed   O
with   O
pallor   O
and   O
diaphoresis   O
.   O

Troponins   O
were   O
elevated   O
at   O
FH   B-ID
:   I-ID
KE:4561   I-ID
.   O

Treatment   O
:   O
Noe   B-NAME
Howard   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
according   O
to   O
the   O
acute   O
MI   O
protocol   O
.   O

Referred   O
for   O
urgent   O
cardiac   O
catheterization   O
by   O
Peyton   B-NAME
Rogers   I-NAME
.   O

Following   O
catheterization   O
,   O
Keaton   B-NAME
Michael   I-NAME
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
at   O
Dearborn   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
DBA   I-LOCATION
Highpoint   I-LOCATION
Health   I-LOCATION
for   O
further   O
management   O
under   O
the   O
care   O
of   O
Price   B-NAME
.   O

Follow   O
-   O
up   O
:   O
STEPHEN   B-NAME
HENDERSON   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Mica   B-NAME
Maheux   I-NAME
on   O
02/13/20   B-DATE

For   O
any   O
further   O
information   O
or   O
changes   O
in   O
Pierre   B-NAME
Mooney   I-NAME
's   O
condition   O
,   O
please   O
contact   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Northeast   I-LOCATION
at   O
784   B-CONTACT
335   I-CONTACT
8289   I-CONTACT
.   O

Patient   O
Name   O
:   O
Isabela   B-NAME
Ruiz   I-NAME
DOB   O
:   O
October   B-DATE
Age   O
:   O
52   O
Address   O
:   O
Camp   B-LOCATION
Springs   I-LOCATION
,   O
34214   B-LOCATION
Phone   O
:   O
(   B-CONTACT
622   I-CONTACT
)   I-CONTACT
876   I-CONTACT
2855   I-CONTACT
Occupation   O
:   O
Engravers   O
--   O
Carvers   O
Medical   O
Record   O
Number   O
:   O
4260105   B-ID

Attending   O
Doctor   O
:   O
Kent   B-NAME
Hospital   O
:   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
Saint   I-LOCATION
Peters   I-LOCATION
Hospital   I-LOCATION
Presentation   O
:   O

The   O
patient   O
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Financial   O
Clerks   O
,   O
All   O
Other   O
,   O
presented   O
to   O
the   O
outpatient   O
department   O
at   O
Wilkes   B-LOCATION
-   I-LOCATION
Barre   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
'   B-DATE
31   I-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
an   O
episode   O
of   O
vomiting   O
that   O
started   O
early   O
morning   O
on   O
the   O
same   O
day   O
.   O

The   O
patient   O
was   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
at   O
UF   B-LOCATION
Health   I-LOCATION
Jacksonville   I-LOCATION
or   O
contact   O
10934   B-CONTACT
in   O
case   O
of   O
worsening   O
symptoms   O
like   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
persistent   O
vomiting   O
.   O

Follow   O
-   O
up   O
in   O
the   O
outpatient   O
department   O
was   O
scheduled   O
for   O
05   B-DATE
to   O
review   O
the   O
investigation   O
results   O
and   O
adapt   O
the   O
treatment   O
plan   O
as   O
needed   O
.   O

Doctor   O
's   O
notes   O
were   O
entered   O
by   O
xpi243   B-NAME
on   O
1123   B-DATE
.   O

Patient   O
Name   O
:   O
delarosa   B-NAME
Patient   O
ID   O
:   O
VM:38583:563521   B-ID
Date   O
of   O
Birth   O
:   O
23/20/2248   B-DATE
Address   O
:   O
Kent   B-LOCATION
Acres   I-LOCATION
,   O
58293   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
587   I-CONTACT
)   I-CONTACT
966   I-CONTACT
-   I-CONTACT
7280   I-CONTACT
Medical   O
Record   O
Number   O
:   O
118   B-ID
-   I-ID
37   I-ID
-   I-ID
58   I-ID
-   I-ID
6   I-ID
Attending   O
Physician   O
:   O

Thaddeus   B-NAME
Berg   I-NAME
Hospital   O
Name   O
:   O
Karmanos   B-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/25/2082   B-DATE
Date   O
of   O
Discharge   O
:   O
32/20/85   B-DATE
Employment   O
:   O
Helpers   O
--   O
Carpenters   O
at   O
Community   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
West   I-LOCATION
Georgia   I-LOCATION
Clinical   O
Summary   O
:   O
Carina   B-NAME
Wallace   I-NAME
,   O
a   O
26   O
-   O
year   O
-   O
old   O
Epidemiologists   O
working   O
at   O
University   B-LOCATION
and   I-LOCATION
College   I-LOCATION
Union   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Mountain   B-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/29   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Nathan   B-NAME
Daniel   I-NAME
's   O
pain   O
was   O
described   O
as   O
constant   O
and   O
dull   O
,   O
intensifying   O
over   O
a   O
period   O
of   O
three   O
days   O
before   O
admission   O
.   O

Additionally   O
,   O
OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
experienced   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
.   O

Upon   O
examination   O
,   O
Klahn   B-NAME
's   O
vital   O
signs   O
were   O
stable   O
;   O
however   O
,   O
tenderness   O
was   O
noted   O
in   O
the   O
epigastric   O
region   O
,   O
without   O
guarding   O
or   O
rebound   O
.   O

Domitius   B-NAME
Alexander   I-NAME
Jastremski   I-NAME
mentioned   O
a   O
history   O
of   O
similar   O
episodes   O
in   O
the   O
past   O
,   O
which   O
were   O
less   O
severe   O
and   O
managed   O
conservatively   O
at   O
home   O
.   O

Edward   B-NAME
Cowher   I-NAME
's   O
condition   O
improved   O
gradually   O
over   O
the   O
admission   O
period   O
,   O
and   O
after   O
a   O
stay   O
of   O
October   B-DATE
days   O
in   O
Sovah   B-LOCATION
Health   I-LOCATION
Martinsville   I-LOCATION
,   O
Paulina   B-NAME
Marshall   I-NAME
was   O
discharged   O
with   O
a   O
recommendation   O
for   O
alcohol   O
cessation   O
and   O
referral   O
to   O
a   O
gastroenterologist   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Follow   O
-   O
up   O
Plan   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Mckinley   B-NAME
Cunningham   I-NAME
at   O
Parkwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
scheduled   O
for   O
2263   B-DATE
to   O
assess   O
Jayla   B-NAME
Friedman   I-NAME
's   O
recovery   O
progress   O
and   O
to   O
discuss   O
the   O
findings   O
of   O
the   O
gastroenterological   O
consultation   O
.   O

The   O
patient   O
was   O
advised   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
,   O
abstain   O
from   O
alcohol   O
,   O
and   O
contact   O
584   B-CONTACT
-   I-CONTACT
5609   I-CONTACT
for   O
any   O
worsening   O
of   O
symptoms   O
or   O
new   O
concerns   O
.   O

Notes   O
:   O
-   O
Ulises   B-NAME
J.   I-NAME
Kelley   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
to   O
prevent   O
the   O
recurrence   O
of   O
pancreatitis   O
.   O

-   O
Ardias   B-NAME
agreed   O
to   O
join   O
a   O
local   O
support   O
group   O
for   O
alcohol   O
abstinence   O
,   O
suggested   O
by   O
the   O
social   O
work   O
department   O
at   O
Desert   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
.   O
-   O
Janet   B-NAME
Humphrey   I-NAME
's   O
family   O
,   O
including   O
individuals   O
aged   O
1   O
month   O
,   O
were   O
educated   O
about   O
the   O
nature   O
of   O
the   O
condition   O
,   O
expected   O
outcomes   O
,   O
and   O
ways   O
to   O
support   O
Ulises   B-NAME
Y.   I-NAME
Hobbs   I-NAME
in   O
lifestyle   O
adjustments   O
.   O

For   O
any   O
inquiries   O
or   O
to   O
access   O
your   O
own   O
medical   O
records   O
,   O
please   O
contact   O
Republic   B-LOCATION
of   I-LOCATION
Constellations   I-LOCATION
at   O
20948   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Disney   B-NAME
,   I-NAME
Walt   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
1423188   I-ID
Medical   O
Record   O
Number   O
:   O
9040U28645   B-ID
Date   O
of   O
Birth   O
:   O
09/15   B-DATE
Age   O
:   O
23s   O
Address   O
:   O
Gosport   B-LOCATION
,   O
38040   B-LOCATION
Phone   O
Number   O
:   O
54591   B-CONTACT
Occupation   O
:   O
Electronic   O
Drafters   O
Primary   O
Care   O
Physician   O
:   O

Channing   B-NAME
,   I-NAME
William   I-NAME
Ellery   I-NAME
Hospital   O
:   O
Capital   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
TERESA   B-NAME
LAMB   I-NAME
,   O
a   O
82   O
-   O
year   O
-   O
old   O
Embalmers   O
residing   O
in   O
Montgomery   B-LOCATION
,   O
presented   O
to   O
Wichita   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Leoti   I-LOCATION
on   O
T   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
over   O
the   O
last   O
48   O
hours   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Ximena   B-NAME
Webber   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Mcguire   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
surgical   O
unit   O
Agra   B-LOCATION
on   O
12/22   B-DATE
and   O
underwent   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Cameron   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
reported   O
significant   O
alleviation   O
of   O
abdominal   O
pain   O
within   O
24   O
hours   O
post   O
-   O
operatively   O
.   O

Haven   B-NAME
Reid   I-NAME
was   O
discharged   O
on   O
02   B-DATE
-   I-DATE
27   I-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
schedule   O
with   O
Leblanc   B-NAME
in   O
two   O
weeks   O
.   O

The   O
successful   O
outcome   O
for   O
Beltran   B-NAME
underscores   O
the   O
importance   O
of   O
a   O
timely   O
surgical   O
referral   O
and   O
the   O
effectiveness   O
of   O
laparoscopic   O
surgery   O
for   O
appendicitis   O
.   O

Patient   O
Name   O
:   O
Joseph   B-NAME
Age   O
:   O
74   O
Date   O
of   O
Visit   O
:   O
09/20/2262   B-DATE
ID   O
:   O
VF:921021:496296   B-ID
Medical   O
Record   O
Number   O
:   O
38723129   B-ID
Address   O
:   O
Shubert   B-LOCATION
,   O
33711   B-LOCATION
Employment   O
:   O

Photoengraving   O
and   O
Lithographing   O
Machine   O
Operators   O
and   O
Tenders   O
Phone   O
Number   O
:   O
86292   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Alivia   B-NAME
Strong   I-NAME
Hospital   O
:   O
San   B-LOCATION
Angelo   I-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
:   O
dkf601   B-NAME
Chief   O
Complaint   O
:   O
Cedric   B-NAME
Parks   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
11   B-DATE
-   I-DATE
20   I-DATE
with   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

Niemöller   B-NAME
,   I-NAME
Martin   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Elina   B-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Logistics   O
Engineers   O
with   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
,   O
has   O
been   O
non   O
-   O
compliant   O
with   O
medications   O
for   O
the   O
last   O
month   O
.   O

Pamelia   B-NAME
Feazelle   I-NAME
is   O
a   O
smoker   O
,   O
consuming   O
approximately   O
a   O
pack   O
of   O
cigarettes   O
daily   O
for   O
the   O
past   O
20   O
years   O
.   O

Brock   B-NAME
Hart   I-NAME
reported   O
a   O
slight   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
week   O
but   O
denied   O
any   O
significant   O
weight   O
loss   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
or   O
urinary   O
issues   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Shrivastava   B-NAME
,   I-NAME
Mataji   I-NAME
Nirmala   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Spring   B-NAME
Vandilus   I-NAME
was   O
administered   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
morphine   O
on   O
arrival   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Terrance   B-NAME
Ryan   I-NAME
from   O
cardiology   O
was   O
consulted   O
,   O
and   O
Robin   B-NAME
U.   I-NAME
Tejeda   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
an   O
urgent   O
coronary   O
angiography   O
which   O
revealed   O
a   O
90   O
%   O
stenosis   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Outcome   O
:   O
Castro   B-NAME
was   O
admitted   O
to   O
Medical   B-LOCATION
City   I-LOCATION
Plano   I-LOCATION
's   O
cardiology   O
unit   O
for   O
further   O
management   O
of   O
acute   O
myocardial   O
infarction   O
and   O
secondary   O
prevention   O
measures   O
.   O

Min   B-NAME
Abajian   I-NAME
was   O
placed   O
on   O
a   O
statin   O
,   O
beta   O
-   O
blocker   O
,   O
and   O
ACE   O
inhibitor   O
.   O

Follow   O
-   O
Up   O
:   O
Jaxon   B-NAME
Holt   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Romero   B-NAME
in   O
two   O
weeks   O
and   O
another   O
with   O
the   O
cardiology   O
specialist   O
at   O
Mosaic   B-LOCATION
Life   I-LOCATION
Care   I-LOCATION
at   I-LOCATION
St   I-LOCATION
Joseph   I-LOCATION
-   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
one   O
month   O
to   O
evaluate   O
progress   O
and   O
adjust   O
medications   O
if   O
necessary   O
.   O

Evergreen   B-LOCATION
Bank   I-LOCATION
and   O
34794   B-LOCATION
were   O
instrumental   O
in   O
providing   O
community   O
resources   O
for   O
Infant   B-NAME
Brewer   I-NAME
's   O
ongoing   O
care   O
.   O

Pompey   B-NAME
the   I-NAME
Great   I-NAME
Patient   O
ID   O
:   O
622588   B-ID
Medical   O
Record   O
Number   O
:   O
789   B-ID
-   I-ID
05   I-ID
-   I-ID
08   I-ID
-   I-ID
1   I-ID
Age   O
:   O
58   O
Date   O
of   O
Birth   O
:   O
1/23   B-DATE
Address   O
:   O
Hollywood   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33029   I-LOCATION
,   O
24084   B-LOCATION
Phone   O
Number   O
:   O
248   B-CONTACT
7989   I-CONTACT

Attending   O
Physician   O
:   O
Nixon   B-NAME
,   I-NAME
Richard   I-NAME
Hospital   O
:   O
Coler   B-LOCATION
-   I-LOCATION
Goldwater   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
1729   B-DATE
Date   O
of   O
Report   O
:   O

00/51   B-DATE
Summary   O
of   O
the   O
Medical   O
Report   O
:   O
Patient   O
David   B-NAME
George   I-NAME
was   O
admitted   O
to   O
Hegg   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Avera   I-LOCATION
on   O
03/0   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
fever   O
for   O
the   O
past   O
2180   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
21   I-DATE
.   O

Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
were   O
ordered   O
by   O
Jakayla   B-NAME
Levy   I-NAME
which   O
indicated   O
elevated   O
white   O
blood   O
cell   O
count   O
and   O
CRP   O
levels   O
,   O
suggesting   O
an   O
active   O
bacterial   O
infection   O
.   O

Chest   O
X   O
-   O
ray   O
performed   O
on   O
22/22/74   B-DATE
revealed   O
consolidation   O
in   O
the   O
lower   O
lobe   O
of   O
the   O
right   O
lung   O
,   O
consistent   O
with   O
pneumonia   O
.   O

The   O
patient   O
was   O
started   O
on   O
intravenous   O
antibiotics   O
as   O
per   O
the   O
hospital   O
protocol   O
developed   O
by   O
Town   B-LOCATION
of   I-LOCATION
Smyrna   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
.   O

Despite   O
initial   O
treatment   O
,   O
the   O
patient   O
showed   O
marginal   O
improvement   O
,   O
and   O
a   O
decision   O
was   O
made   O
by   O
Rowe   B-NAME
to   O
conduct   O
further   O
tests   O
.   O

The   O
patient   O
works   O
as   O
a   O
Plumbers   O
at   O
Hillcrest   B-LOCATION
Bank   I-LOCATION
Florida   I-LOCATION
,   O
suggesting   O
the   O
necessity   O
of   O
a   O
workplace   O
assessment   O
to   O
identify   O
potential   O
allergens   O
or   O
irritants   O
that   O
could   O
exacerbate   O
respiratory   O
conditions   O
.   O

Discharge   O
planning   O
included   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Robles   B-NAME
for   O
Thursday   B-DATE
,   I-DATE
March   I-DATE
at   O
Sound   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Westchester   I-LOCATION
to   O
re   O
-   O
evaluate   O
the   O
patient   O
's   O
respiratory   O
function   O
and   O
to   O
ensure   O
the   O
pneumonia   O
has   O
resolved   O
.   O

In   O
summary   O
,   O
Patient   O
Aquila   B-NAME
was   O
diagnosed   O
with   O
bacterial   O
pneumonia   O
superimposed   O
on   O
a   O
background   O
of   O
chronic   O
asthma   O
.   O

The   O
coordinated   O
care   O
between   O
various   O
departments   O
within   O
Ottumwa   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
and   O
adherence   O
to   O
treatment   O
protocols   O
by   O
Campaign   B-LOCATION
for   I-LOCATION
Real   I-LOCATION
Ale   I-LOCATION
(   I-LOCATION
CAMRA   I-LOCATION
)   I-LOCATION
played   O
a   O
crucial   O
role   O
in   O
the   O
patient   O
's   O
recovery   O
process   O
.   O

Contact   O
Information   O
for   O
Follow   O
-   O
up   O
:   O
Booker   B-NAME
at   O
87237   B-CONTACT
.   O

Please   O
refer   O
to   O
Montrose   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
privacy   O
policy   O
for   O
any   O
concerns   O
regarding   O
the   O
handling   O
of   O
patient   O
information   O
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Harmony   B-NAME
Whited   I-NAME
-   O
Age   O
:   O
47s   O
-   O
Medical   O
Record   O
Number   O
:   O
92136225   B-ID
-   O
Date   O
of   O
Birth   O
:   O
38/13/17   B-DATE
-   O
Phone   O
Number   O
:   O
863   B-CONTACT
857   I-CONTACT
-   I-CONTACT
5236   I-CONTACT
-   O
Address   O
:   O
Woodlyn   B-LOCATION
,   O
69623   B-LOCATION
2   O
.   O

Emergency   O
Contact   O
:   O
-   O
Name   O
:   O
XUAN   B-NAME
's   O
relative   O
-   O
Relationship   O
:   O
translator   O
-   O
Phone   O
:   O
871   B-CONTACT
2497   I-CONTACT
3   O
.   O

Referring   O
Physician   O
:   O
-   O
Name   O
:   O
Christopher   B-NAME
Kidd   I-NAME
-   O
Contact   O
:   O
42290   B-CONTACT
4   O
.   O

Admission   O
Information   O
:   O
-   O
Admission   O
Date   O
:   O
0/8/2133   B-DATE
-   O
Admitting   O
Doctor   O
:   O
Ward   B-NAME
-   O
Hospital   O
:   O
Logan   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Oakley   I-LOCATION
-   O
Reason   O
for   O
admission   O
:   O
Severe   O
abdominal   O
pain   O
and   O
persistent   O
nausea   O
5   O
.   O

Medical   O
History   O
:   O
-   O
Patient   O
Alfredo   B-NAME
Bennett   I-NAME
has   O
a   O
history   O
of   O
chronic   O
gastritis   O
diagnosed   O
in   O
8/28   B-DATE
.   O

Nathan   B-NAME
Whaley   I-NAME
's   O
medical   O
records   O
,   O
number   O
788   B-ID
-   I-ID
91   I-ID
-   I-ID
46   I-ID
,   O
indicate   O
multiple   O
consultations   O
with   O
Ayala   B-NAME
at   O
Abbott   B-LOCATION
Northwestern   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Spring   B-LOCATION
Creek   I-LOCATION
.   O

During   O
the   O
examination   O
on   O
30/22   B-DATE
,   O
Amaris   B-NAME
Klein   I-NAME
presented   O
with   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
upper   O
quadrant   O
,   O
rating   O
the   O
pain   O
8   O
out   O
of   O
10   O
.   O

Jenna   B-NAME
Kane   I-NAME
also   O
reported   O
experiencing   O
persistent   O
nausea   O
without   O
vomiting   O
.   O

Diagnostic   O
Tests   O
and   O
Results   O
:   O
-   O
West   B-NAME
underwent   O
an   O
upper   O
GI   O
endoscopy   O
on   O
Sunday   B-DATE
,   I-DATE
June   I-DATE
,   O
performed   O
by   O
Faith   B-NAME
Contreras   I-NAME
at   O
Jackson   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinic   I-LOCATION
.   O

Management   O
and   O
Treatment   O
:   O
-   O
Homer   B-NAME
recommended   O
starting   O
Dolphy   B-NAME
,   I-NAME
Eric   I-NAME
on   O
a   O
two   O
-   O
week   O
course   O
of   O
proton   O
pump   O
inhibitors   O
to   O
manage   O
the   O
gastritis   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
21   B-DATE
-   I-DATE
Nov-00   I-DATE
.   O

Follow   O
-   O
up   O
Care   O
:   O
-   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
19/29   B-DATE
with   O
Mirakle   B-NAME
at   O
Nebraska   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Fiona   B-NAME
Barber   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
and   O
report   O
any   O
exacerbations   O
or   O
new   O
symptoms   O
immediately   O
.   O

Discharge   O
Information   O
:   O
-   O
Aubree   B-NAME
Benitez   I-NAME
was   O
discharged   O
on   O
0/10   B-DATE
with   O
prescriptions   O
and   O
detailed   O
home   O
care   O
instructions   O
.   O

Hoffman   B-NAME
was   O
informed   O
to   O
contact   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
South   I-LOCATION
Pointe   I-LOCATION
Hospital   I-LOCATION
at   O
90294   B-CONTACT
for   O
any   O
questions   O
or   O
to   O
schedule   O
earlier   O
follow   O
-   O
up   O
should   O
symptoms   O
persist   O
or   O
worsen   O
.   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
Osama   B-NAME
bin   I-NAME
Laden   I-NAME
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
631   B-CONTACT
-   I-CONTACT
2425   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Name   O
:   O
Eliezer   B-NAME
Hendricks   I-NAME
Patient   O
ID   O
:   O
7504344   B-ID
DOB   O
:   O

Friday   B-DATE
,   I-DATE
May   I-DATE
Age   O
:   O
7   O
Phone   O
Number   O
:   O
81513   B-CONTACT
Address   O
:   O
Bonner   B-LOCATION
,   O
71033   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Madeline   B-NAME
Miles   I-NAME
Hospital   O
:   O

Wesley   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
1319926   B-ID
Employment   O
:   O
Housing   O
adviser   O
at   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Bricklayers   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Craftworkers   I-LOCATION
Username   O
:   O
xq863   B-NAME
Chief   O
Complaint   O
:   O
Ardite   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Morton   B-LOCATION
Plant   I-LOCATION
North   I-LOCATION
Bay   I-LOCATION
Hospital   I-LOCATION
on   O
August   B-DATE
00   I-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Additionally   O
,   O
Quincy   B-NAME
T.   I-NAME
Uselton   I-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
earlier   O
that   O
day   O
.   O

History   O
:   O
Black   B-NAME
's   O
medical   O
history   O
includes   O
Type   O
2   O
Diabetes   O
Mellitus   O
managed   O
with   O
Metformin   O
,   O
Hypertension   O
controlled   O
with   O
Lisinopril   O
,   O
and   O
a   O
previous   O
episode   O
of   O
renal   O
calculi   O
approximately   O
3   O
years   O
ago   O
.   O

Frankie   B-NAME
Carlson   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
sick   O
contacts   O
in   O
the   O
weeks   O
leading   O
up   O
to   O
the   O
presentation   O
.   O

Plan   O
:   O
-   O
Jock   B-NAME
was   O
admitted   O
to   O
Osceola   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Thurman   B-NAME
Flicker   I-NAME
for   O
further   O
management   O
.   O
-   O

The   O
surgical   O
team   O
was   O
consulted   O
,   O
and   O
laparoscopic   O
appendectomy   O
was   O
scheduled   O
for   O
Christmas   B-DATE
.   O
-   O
Pre   O
-   O
operative   O
antibiotics   O
were   O
started   O
in   O
the   O
ED   O
.   O

-   O
Sampson   B-NAME
was   O
advised   O
to   O
remain   O
NPO   O
(   O
Nothing   O
by   O
Mouth   O
)   O
in   O
preparation   O
for   O
surgery   O
.   O

Laplace   B-NAME
,   I-NAME
Pierre   I-NAME
-   I-NAME
Simon   I-NAME
was   O
discharged   O
on   O
15/21/72   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Leverson   B-NAME
,   I-NAME
Ada   I-NAME
in   O
two   O
weeks   O
or   O
earlier   O
if   O
any   O
complications   O
arise   O
.   O

Conclusion   O
:   O
Vasquez   B-NAME
's   O
early   O
presentation   O
and   O
prompt   O
medical   O
intervention   O
contributed   O
to   O
a   O
favourable   O
outcome   O
without   O
complications   O
from   O
acute   O
appendicitis   O
.   O

The   O
importance   O
of   O
seeking   O
timely   O
medical   O
care   O
for   O
similar   O
symptoms   O
was   O
discussed   O
with   O
Thomas   B-NAME
Javier   I-NAME
before   O
discharge   O
.   O

Patient   O
Name   O
:   O
Santos   B-NAME
Fleming   I-NAME
Age   O
:   O
58   O
Gender   O
:   O
Male   O
Date   O
of   O
Admission   O
:   O
8/27/91   B-DATE
Hospital   O
Name   O
:   O
SSM   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Louis   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Maldon   B-LOCATION
Physician   O
:   O

Matilda   B-NAME
Terry   I-NAME
Medical   O
Record   O
Number   O
:   O
592   B-ID
-   I-ID
41   I-ID
-   I-ID
81   I-ID
-   I-ID
7   I-ID
Patient   O
Phone   O
Number   O
:   O
20337   B-CONTACT
Patient   O
profession   O
:   O
Geologists   O
User   O
ID   O
:   O
QR824   B-NAME
Patient   O
Zip   O
Code   O
:   O
43617   B-LOCATION
Summary   O
:   O
Konner   B-NAME
Price   I-NAME
,   O
a   O
3   O
-   O
year   O
-   O
old   O
male   O
with   O
a   O
profession   O
as   O
a   O
Talent   O
Directors   O
,   O
presented   O
to   O
BANNER   B-LOCATION
DEL   I-LOCATION
E   I-LOCATION
WEBB   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
in   O
Vanlue   B-LOCATION
on   O
00/0   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
left   O
-   O
sided   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
associated   O
with   O
shortness   O
of   O
breath   O
and   O
profuse   O
sweating   O
.   O

Beethoven   B-NAME
,   I-NAME
Ludwig   I-NAME
van   I-NAME
denied   O
any   O
recent   O
history   O
of   O
injury   O
or   O
trauma   O
to   O
the   O
chest   O
area   O
.   O

Pierce   B-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Charity   B-NAME
Rollins   I-NAME
.   O

Management   O
and   O
Treatment   O
:   O
Immediate   O
management   O
involved   O
intravenous   O
beta   O
-   O
blockers   O
to   O
control   O
the   O
heart   O
rate   O
and   O
blood   O
pressure   O
,   O
followed   O
by   O
surgical   O
consultation   O
from   O
Moses   B-LOCATION
Taylor   I-LOCATION
Hospital   I-LOCATION
's   O
cardiothoracic   O
surgery   O
team   O
.   O

Current   O
Status   O
:   O
As   O
of   O
22/03/80   B-DATE
,   O
Cristofer   B-NAME
Carlson   I-NAME
's   O
condition   O
has   O
stabilized   O
following   O
an   O
emergency   O
endovascular   O
repair   O
of   O
the   O
aortic   O
dissection   O
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
follow   O
up   O
closely   O
with   O
Noah   B-NAME
Werner   I-NAME
at   O
Jane   B-LOCATION
Phillips   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
to   O
maintain   O
a   O
strict   O
follow   O
-   O
up   O
schedule   O
.   O

Further   O
appointments   O
have   O
been   O
scheduled   O
to   O
monitor   O
Sharon   B-NAME
Dyer   I-NAME
's   O
recovery   O
progress   O
.   O

Next   O
Steps   O
:   O
Bruce   B-NAME
Cusamano   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
St   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
with   O
Attali   B-NAME
,   I-NAME
Jacques   I-NAME
on   O
06/15/2157   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
to   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
for   O
his   O
cardiovascular   O
health   O
.   O

Patient   O
Name   O
:   O
Jeremy   B-NAME
King   I-NAME
Age   O
:   O
52s   O
Date   O
of   O
Birth   O
:   O
09/21/62   B-DATE

Phone   O
Number   O
:   O
836   B-CONTACT
1041   I-CONTACT
Address   O
:   O
Lenoir   B-LOCATION
City   I-LOCATION
,   O
13471   B-LOCATION
Profession   O
:   O
Historians   O
Physician   O
:   O

Woods   B-NAME
Hospital   O
:   O

Overlook   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
60168254   B-ID
Date   O
of   O
Visit   O
:   O
0/38/66   B-DATE
SSN   O
:   O
OD535/4862   B-ID
Chief   O
Complaint   O
:   O
Rabuka   B-NAME
,   I-NAME
Sitiveni   I-NAME
presented   O
to   O
Lourdes   B-LOCATION
Counseling   I-LOCATION
Center   I-LOCATION
on   O
00/03/2015   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
persistent   O
for   O
the   O
last   O
Sat   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jaxon   B-NAME
Berry   I-NAME
,   O
a   O
Travel   O
Guides   O
from   O
Fairhaven   B-LOCATION
,   O
first   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
approximately   O
2/22/74   B-DATE
ago   O
,   O
which   O
progressively   O
worsened   O
to   O
severe   O
pain   O
by   O
the   O
time   O
of   O
presentation   O
.   O

ULICES   B-NAME
ELLIOT   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
ingestion   O
of   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

The   O
medical   O
records   O
from   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Trinity   I-LOCATION
indicate   O
that   O
Rivera   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
at   O
3   B-DATE
-   I-DATE
0   I-DATE
,   O
Travis   B-NAME
's   O
vital   O
signs   O
were   O
stable   O
,   O
with   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
pulse   O
of   O
88   O
beats   O
per   O
minute   O
,   O
temperature   O
of   O
98.6   O
°   O
F   O
,   O
and   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
11/12/2087   B-DATE
indicated   O
appendicitis   O
with   O
no   O
complications   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Dr.   O
Belinda   B-NAME
Quinn   I-NAME
at   O
University   B-LOCATION
Hospitals   I-LOCATION
Richmond   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Len   B-NAME
underwent   O
laparoscopic   O
appendectomy   O
on   O
11/22   B-DATE
without   O
any   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Chasity   B-NAME
George   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
2202   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Instructions   O
were   O
given   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unusual   O
symptoms   O
,   O
and   O
to   O
call   O
Smyth   B-LOCATION
County   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
269   B-CONTACT
-   I-CONTACT
388   I-CONTACT
4665   I-CONTACT
if   O
symptoms   O
arise   O
.   O

In   O
Summary   O
:   O
Zorba   B-NAME
The   B-NAME
Greek   I-NAME
,   O
a   O
62   O
-   O
year   O
-   O
old   O
Television   O
production   O
assistant   O
from   O
Philadelphia   B-LOCATION
,   O
presented   O
with   O
signs   O
and   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
,   O
confirmed   O
by   O
laboratory   O
and   O
imaging   O
studies   O
.   O

Username   O
involved   O
in   O
the   O
case   O
:   O
kfc560   B-NAME

Faustina   B-NAME
Douglas   I-NAME
Patient   O
ID   O
:   O
VG822/7822   B-ID
Date   O
of   O
Birth   O
:   O

23/13/2143   B-DATE
Age   O
:   O
90   O
Phone   O
Number   O
:   O
77630   B-CONTACT
Address   O
:   O
Wauregan   B-LOCATION
,   O
11228   B-LOCATION
Employer   O
:   O
Police   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
Occupation   O
:   O
Medical   O
Records   O
and   O
Health   O
Information   O
Technicians   O
Primary   O
Care   O
Physician   O
:   O
Melua   B-NAME
,   I-NAME
Katie   I-NAME
Medical   O
Record   O
Number   O
:   O
96093941   B-ID
Date   O
of   O
Visit   O
:   O
8   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
32   I-DATE
Chief   O
Complaint   O
:   O
Derek   B-NAME
Wiley   I-NAME
presented   O
to   O
Mary   B-LOCATION
Breckinridge   I-LOCATION
Hospital   I-LOCATION
on   O
2/6   B-DATE
with   O
a   O
detailed   O
report   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
localized   O
to   O
the   O
right   O
temple   O
.   O

Maxima   B-NAME
Bookter   I-NAME
reported   O
that   O
the   O
headaches   O
have   O
been   O
recurrent   O
,   O
occurring   O
3   O
-   O
4   O
times   O
a   O
month   O
,   O
and   O
notably   O
intensifying   O
over   O
the   O
past   O
few   O
months   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kaydence   B-NAME
Bernard   I-NAME
has   O
a   O
history   O
of   O
episodic   O
headaches   O
starting   O
at   O
12   O
,   O
but   O
notes   O
the   O
recent   O
increase   O
in   O
frequency   O
and   O
severity   O
.   O

Kierra   B-NAME
Ayala   I-NAME
denies   O
any   O
similar   O
family   O
history   O
of   O
such   O
symptoms   O
.   O

Layla   B-NAME
Smith   I-NAME
's   O
vaccination   O
status   O
is   O
up   O
to   O
date   O
.   O

Social   O
History   O
:   O
Joesph   B-NAME
Dupras   I-NAME
,   O
a   O
Financial   O
Managers   O
,   O
Branch   O
or   O
Department   O
at   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Operating   I-LOCATION
Engineers   I-LOCATION
in   O
Mattituck   B-LOCATION
,   O
denies   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Will   B-NAME
Tucker   I-NAME
enjoys   O
jogging   O
and   O
is   O
actively   O
involved   O
in   O
a   O
community   O
soccer   O
league   O
.   O

Naomi   B-NAME
Newberry   I-NAME
appears   O
anxious   O
but   O
is   O
in   O
no   O
acute   O
distress   O
.   O

The   O
next   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
12/21/70   B-DATE
at   O
MercyOne   B-LOCATION
New   I-LOCATION
Hampton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
concerns   O
or   O
if   O
there   O
is   O
an   O
escalation   O
in   O
symptoms   O
,   O
Mariyah   B-NAME
Rosales   I-NAME
is   O
advised   O
to   O
contact   O
Edison   B-NAME
,   I-NAME
Thomas   I-NAME
Alva   I-NAME
at   O
457   B-CONTACT
6878   I-CONTACT
.   O

Patient   O
:   O
Martin   B-NAME
MRN   O
:   O
6039647   B-ID
DOB   O
:   O
08/11/1972   B-DATE
/   O
31   O
Physician   O
:   O

Moody   B-NAME
Admission   O
Date   O
:   O
32/32/2191   B-DATE
/2023   O
Discharge   O
Date   O
:   O
00/69   B-DATE
/2023   O
Hospital   O
:   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Grosse   I-LOCATION
Pointe   I-LOCATION
Address   O
:   O
Lionville   B-LOCATION
,   O
34492   B-LOCATION
Phone   O
:   O
905   B-CONTACT
-   I-CONTACT
2533   I-CONTACT
Chief   O
Complaint   O
:   O

Sara   B-NAME
Sitarides   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Seton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hays   I-LOCATION
on   O
02/35/95   B-DATE
with   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
associated   O
with   O
shortness   O
of   O
breath   O
and   O
diaphoresis   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jamya   B-NAME
Rich   I-NAME
,   O
a   O
0   O
-   O
year   O
-   O
old   O
Health   O
service   O
manager   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
,   O
experienced   O
the   O
onset   O
of   O
symptoms   O
approximately   O
2   O
hours   O
before   O
arriving   O
at   O
the   O
hospital   O
.   O

The   O
patient   O
reported   O
that   O
they   O
were   O
at   O
work   O
in   O
Idanha   B-LOCATION
when   O
the   O
symptoms   O
started   O
suddenly   O
without   O
any   O
preceding   O
physical   O
exertion   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
-   O
Hyperlipidemia   O
-   O
No   O
previous   O
diagnosis   O
of   O
coronary   O
artery   O
disease   O
or   O
diabetes   O
mellitus   O
Medications   O
on   O
Admission   O
:   O
-   O
Lisinopril   O
10   O
mg   O
/   O
day   O
-   O
Atorvastatin   O
20   O
mg   O
at   O
bedtime   O
-   O
No   O
known   O
drug   O
allergies   O
Physical   O
Examination   O
:   O
-   O
Vital   O
Signs   O
:   O
Blood   O
pressure   O
150/90   O
mmHg   O
,   O
Heart   O
rate   O
95   O
bpm   O
,   O
Temperature   O
98.6   O
F   O
,   O
Respiratory   O
rate   O
18   O
/   O
min   O
,   O
O2   O
saturation   O
94   O
%   O
on   O
room   O
air   O
-   O
General   O
:   O
Rick   B-NAME
January   I-NAME
is   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
-   O
Cardiovascular   O
:   O
Regular   O
rhythm   O
,   O
no   O
murmurs   O
,   O
rubs   O
,   O
or   O
gallops   O
-   O
Respiratory   O
:   O
Clear   O
to   O
auscultation   O
bilaterally   O
,   O
no   O
wheezes   O
,   O
rales   O
,   O
or   O
rhonchi   O
-   O
Extremities   O
:   O
No   O
edema   O
,   O
pulses   O
intact   O
Diagnostic   O
Tests   O
:   O
-   O
ECG   O
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
-   O
Troponin   O
I   O
levels   O
were   O
elevated   O
at   O
73381548   B-ID
ng   O
/   O
mL   O
-   O
Chest   O
X   O
-   O
Ray   O
was   O
unremarkable   O
Assessment   O
and   O
Plan   O
:   O
The   O
presenting   O
symptoms   O
and   O
diagnostic   O
findings   O
are   O
indicative   O
of   O
an   O
acute   O
inferolateral   O
myocardial   O
infarction   O
.   O

Dodge   B-NAME
was   O
urgently   O
referred   O
for   O
cardiac   O
catheterization   O
.   O

During   O
the   O
procedure   O
performed   O
by   O
Mcintyre   B-NAME
at   O
East   B-LOCATION
Georgia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/13   B-DATE
,   O
significant   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
was   O
identified   O
and   O
successfully   O
treated   O
with   O
percutaneous   O
coronary   O
intervention   O
and   O
stent   O
placement   O
.   O

Disposition   O
:   O
Viho   B-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
post   O
-   O
procedure   O
and   O
showed   O
improvement   O
in   O
symptoms   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
10/21/2333   B-DATE
with   O
a   O
prescription   O
for   O
aspirin   O
,   O
clopidogrel   O
,   O
lisinopril   O
,   O
atorvastatin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Baha'u'llah   B-NAME
was   O
scheduled   O
for   O
09/20/2052   B-DATE
.   O
Instructions   O
at   O
Discharge   O
:   O
Lauren   B-NAME
French   I-NAME
was   O
counseled   O
on   O
recognizing   O
symptoms   O
of   O
chest   O
pain   O
,   O
importance   O
of   O
medication   O
adherence   O
,   O
and   O
lifestyle   O
modifications   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
if   O
applicable   O
.   O

Reprieve   B-LOCATION
will   O
also   O
provide   O
a   O
Radio   O
and   O
Television   O
Announcers   O
from   O
their   O
team   O
for   O
home   O
visits   O
to   O
ensure   O
compliance   O
with   O
the   O
discharge   O
plan   O
.   O

(   B-CONTACT
832   I-CONTACT
)   I-CONTACT
727   I-CONTACT
5824   I-CONTACT
is   O
the   O
contact   O
number   O
for   O
any   O
questions   O
or   O
concerns   O
.   O

mj737   B-NAME
completed   O
and   O
reviewed   O
the   O
discharge   O
summary   O
on   O
1769   B-DATE
.   O

Patient   O
Name   O
:   O
Jeffrey   B-NAME
Moran   I-NAME
Patient   O
ID   O
:   O
HA166/7862   B-ID
Medical   O
Record   O
:   O
4671101   B-ID
Date   O
of   O
Birth   O
:   O
2/3/34   B-DATE
Date   O
of   O
Visit   O
:   O
2/02   B-DATE
Attending   O
Physician   O
:   O
Kilroy   B-NAME
-   I-NAME
Silk   I-NAME
,   I-NAME
Robert   I-NAME
Hospital   O
:   O
Oswego   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Oswego   I-LOCATION
Location   O
:   O
Boardman   B-LOCATION
,   O
57934   B-LOCATION
Contact   O
Phone   O
:   O
667   B-CONTACT
4647   I-CONTACT
Chief   O
Complaint   O
:   O
Jerimiah   B-NAME
Brock   I-NAME
,   O
a   O
Farm   O
and   O
Home   O
Management   O
Advisors   O
from   O
Newcomerstown   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Heartland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/90   B-DATE
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Klara   B-NAME
Stovall   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
and   O
vomiting   O
,   O
as   O
well   O
as   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Mauricio   B-NAME
stated   O
that   O
the   O
pain   O
was   O
somewhat   O
relieved   O
by   O
lying   O
still   O
and   O
exacerbated   O
by   O
any   O
movement   O
.   O

Past   O
Medical   O
History   O
:   O
Stroustrup   B-NAME
,   I-NAME
Bjarne   I-NAME
has   O
a   O
history   O
of   O
well   O
-   O
controlled   O
hypertension   O
,   O
for   O
which   O
Luciana   B-NAME
Blair   I-NAME
has   O
been   O
on   O
medication   O
prescribed   O
by   O
Libby   B-NAME
Mcfarland   I-NAME
for   O
the   O
past   O
5   O
years   O
.   O

In   O
addition   O
to   O
the   O
chief   O
complaint   O
,   O
Christopher   B-NAME
Syn   I-NAME
reported   O
a   O
lack   O
of   O
appetite   O
and   O
general   O
malaise   O
starting   O
a   O
few   O
days   O
prior   O
to   O
the   O
onset   O
of   O
abdominal   O
pain   O
.   O

Upon   O
examination   O
,   O
Benjamin   B-NAME
Earnest   I-NAME
's   O
temperature   O
was   O
noted   O
to   O
be   O
100.4   O
F.   O
Abdominal   O
exam   O
revealed   O
tenderness   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
involuntary   O
guarding   O
and   O
rebound   O
tenderness   O
indicative   O
of   O
potential   O
peritonitis   O
.   O

Abdominal   O
ultrasound   O
was   O
also   O
performed   O
,   O
indicating   O
an   O
inflammation   O
of   O
the   O
appendix   O
.   O
Impression   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
Leonard   B-NAME
Uranga   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Plan   O
:   O
Aryan   B-NAME
Hatfield   I-NAME
was   O
admitted   O
to   O
Rio   B-LOCATION
Grande   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Davila   B-NAME
for   O
further   O
management   O
,   O
which   O
included   O
surgical   O
consultation   O
for   O
an   O
appendectomy   O
.   O

Jacobson   B-NAME
,   I-NAME
Isaiah   I-NAME
Peter   I-NAME
's   O
condition   O
and   O
response   O
to   O
treatment   O
will   O
be   O
closely   O
monitored   O
during   O
the   O
hospital   O
stay   O
.   O

Follow   O
-   O
Up   O
:   O
Lyman   B-NAME
Sanderson   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Salinas   B-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
evaluate   O
recovery   O
progress   O
.   O

Patient   O
Name   O
:   O
Absalom   B-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
9964331   I-ID
Date   O
of   O
Birth   O
:   O
1686   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
18   I-DATE
Age   O
:   O
46   O
Phone   O
Number   O
:   O
800   B-CONTACT
9069   I-CONTACT
Address   O
:   O
Mackinac   B-LOCATION
,   O
69379   B-LOCATION
Occupation   O
:   O
Accountants   O
Primary   O
Care   O
Physician   O
:   O

Lucille   B-NAME
Woods   I-NAME
Medical   O
Record   O
Number   O
:   O
163   B-ID
38   I-ID
27   I-ID
Date   O
of   O
Visit   O
:   O
12/01   B-DATE
Hospital   O
:   O
Geisinger   B-LOCATION
Bloomsburg   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Lynn   B-NAME
presents   O
with   O
an   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
that   O
started   O
approximately   O
32/34   B-DATE
.   O

There   O
has   O
also   O
been   O
a   O
noted   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
since   O
22/21/02   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
a   O
Water   O
engineer   O
by   O
occupation   O
,   O
started   O
experiencing   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
around   O
06/36/2292   B-DATE
which   O
progressively   O
worsened   O
to   O
severe   O
pain   O
within   O
a   O
24   O
-   O
hour   O
period   O
.   O

Holmes   B-NAME
denied   O
any   O
recent   O
trauma   O
,   O
surgical   O
history   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Kenneth   B-NAME
X.   I-NAME
Sylvester   I-NAME
,   I-NAME
Jr.   I-NAME
reports   O
a   O
generally   O
good   O
health   O
status   O
with   O
no   O
chronic   O
illnesses   O
.   O

Social   O
History   O
:   O
Polly   B-NAME
Grey   I-NAME
is   O
a   O
Word   O
Processors   O
and   O
Typists   O
living   O
in   O
South   B-LOCATION
Canal   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Fabian   B-NAME
Harrington   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Klopstock   B-NAME
,   I-NAME
Friedrich   I-NAME
Gottlieb   I-NAME
has   O
been   O
advised   O
to   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
anticipation   O
of   O
possible   O
surgical   O
intervention   O
.   O

The   O
surgery   O
team   O
at   O
PIH   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Downey   I-LOCATION
has   O
been   O
consulted   O
to   O
evaluate   O
Knapp   B-NAME
for   O
an   O
urgent   O
appendectomy   O
.   O

Crane   B-NAME
,   I-NAME
Dr.   I-NAME
Frank   I-NAME
's   O
next   O
of   O
kin   O
,   O
as   O
listed   O
in   O
the   O
patient   O
record   O
,   O
has   O
been   O
contacted   O
and   O
informed   O
about   O
the   O
patient   O
's   O
condition   O
and   O
the   O
planned   O
course   O
of   O
action   O
.   O

Conclusion   O
:   O
Shane   B-NAME
Richardson   I-NAME
,   O
a   O
94   O
-   O
year   O
-   O
old   O
Shoe   O
and   O
Leather   O
Workers   O
and   O
Repairers   O
from   O
213   B-LOCATION
Mill   I-LOCATION
Street   I-LOCATION
,   O
presented   O
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Crisp   B-NAME
,   I-NAME
Quentin   I-NAME
-   O
Patient   O
Age   O
:   O
1   O
month   O
-   O
Patient   O
ID   O
:   O
NK:9308:466563   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
5956470   B-ID
-   O
Address   O
:   O
Grays   B-LOCATION
River   I-LOCATION
,   O
79743   B-LOCATION
-   O
Phone   O
Number   O
:   O
648   B-CONTACT
778   I-CONTACT
2569   I-CONTACT
-   O
Occupation   O
:   O
Fiberglass   O
Laminators   O
and   O
Fabricators   O
-   O
Attending   O
Physician   O
:   O
Elmira   B-NAME
Nack   I-NAME
-   O
Hospital   O
:   O
Northeast   B-LOCATION
Alabama   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Admission   O
Date   O
:   O
9/22/97   B-DATE
/2023   O
Summary   O
:   O
Sloan   B-NAME
,   O
a   O
60   O
-   O
year   O
-   O
old   O
Ergonomist   O
from   O
Hoople   B-LOCATION
,   O
presented   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Proctor   I-LOCATION
on   O
03/26   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Elliott   B-NAME
also   O
reported   O
a   O
fever   O
of   O
101   O
°   O
F   O
(   O
38.3   O
°   O
C   O
)   O
taken   O
at   O
home   O
.   O

Upon   O
examination   O
,   O
Ace   B-NAME
,   I-NAME
Jane   I-NAME
noted   O
Hannity   B-NAME
,   I-NAME
Sean   I-NAME
's   O
abdomen   O
to   O
be   O
tender   O
to   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
positive   O
McBurney   O
's   O
sign   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Walter   B-NAME
,   O
indicated   O
appendicitis   O
with   O
no   O
perforation   O
.   O

Edward   B-NAME
L   I-NAME
Echevarria   I-NAME
was   O
admitted   O
to   O
Long   B-LOCATION
Island   I-LOCATION
Jewish   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Simpson   B-NAME
for   O
further   O
management   O
of   O
acute   O
appendicitis   O
.   O

2   O
.   O
Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Micaela   B-NAME
Villanueva   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
32/9   B-DATE
/2023   O
.   O

Post   O
-   O
operative   O
instructions   O
include   O
activity   O
as   O
tolerated   O
,   O
wound   O
care   O
instructions   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
de   B-NAME
la   I-NAME
Rocha   I-NAME
,   I-NAME
Zack   I-NAME
in   O
2   O
weeks   O
or   O
sooner   O
if   O
any   O
concerns   O
arise   O
.   O
Instructions   O
for   O
Discharge   O
:   O
-   O
Keyon   B-NAME
Nguyen   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
fever   O
,   O
or   O
any   O
unexpected   O
symptoms   O
.   O

-   O
36266   B-CONTACT
number   O
of   O
Vail   B-LOCATION
Health   I-LOCATION
's   O
post   O
-   O
surgical   O
care   O
unit   O
was   O
provided   O
for   O
any   O
questions   O
or   O
concerns   O
.   O

Follow   O
-   O
Up   O
:   O
Next   O
appointment   O
with   O
Jillette   B-NAME
,   I-NAME
Penn   I-NAME
:   O
4/21   B-DATE
/2023   O
at   O
Lifecare   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Mechanicsburg   I-LOCATION
.   O

Chana   B-NAME
Shea   I-NAME
is   O
encouraged   O
to   O
maintain   O
a   O
balanced   O
diet   O
and   O
to   O
gradually   O
increase   O
physical   O
activities   O
as   O
tolerated   O
.   O

Patient   O
Name   O
:   O
Zayden   B-NAME
Hampton   I-NAME
Patient   O
ID   O
:   O
377916116   B-ID
Date   O
of   O
Birth   O
:   O
1683   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
04   I-DATE
Address   O
:   O
Preston   B-LOCATION
,   O
38592   B-LOCATION
Phone   O
:   O
85613   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Olsen   B-NAME
Employer   O
:   O
Human   B-LOCATION
Rights   I-LOCATION
First   I-LOCATION
Occupation   O
:   O
Forest   O
Fire   O
Fighting   O
and   O
Prevention   O
Supervisors   O
Medical   O
Record   O
Number   O
:   O
9447033   B-ID
Date   O
of   O
Visit   O
:   O
6/28   B-DATE
Hospital   O
:   O

Good   B-LOCATION
Samaritan   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Ctr   I-LOCATION
Chief   O
Complaint   O
:   O
Cardenas   B-NAME
,   O
a   O
71   O
-   O
year   O
-   O
old   O
Patent   O
attorney   O
at   O
First   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
California   I-LOCATION
,   I-LOCATION
F.S.B.   I-LOCATION
,   O
presents   O
with   O
a   O
48   O
-   O
hour   O
history   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

quiggle   B-NAME
also   O
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
lack   O
of   O
appetite   O
.   O

Sara   B-NAME
Dillane   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Melrose   B-LOCATION
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Edward   B-NAME
Randolph   I-NAME
initially   O
rated   O
the   O
pain   O
as   O
6/10   O
on   O
the   O
pain   O
scale   O
,   O
but   O
states   O
it   O
has   O
progressively   O
worsened   O
to   O
a   O
current   O
pain   O
level   O
of   O
9/10   O
.   O

Demarcus   B-NAME
Woods   I-NAME
also   O
notes   O
a   O
slight   O
elevation   O
in   O
temperature   O
at   O
home   O
,   O
though   O
no   O
measurements   O
were   O
taken   O
.   O

Past   O
Medical   O
History   O
:   O
Harris   B-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
was   O
previously   O
evaluated   O
for   O
gallstones   O
approximately   O
one   O
year   O
ago   O
,   O
with   O
negative   O
findings   O
.   O

Review   O
of   O
Systems   O
:   O
Verney   B-NAME
reports   O
no   O
respiratory   O
,   O
cardiovascular   O
,   O
or   O
urinary   O
symptoms   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Xavier   B-NAME
Dotson   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
distress   O
.   O

Valentino   B-NAME
Mcintosh   I-NAME
is   O
advised   O
to   O
fast   O
in   O
preparation   O
for   O
possible   O
surgery   O
.   O

Additional   O
Notes   O
:   O
Michael   B-NAME
,   I-NAME
Dana   I-NAME
expressed   O
concern   O
regarding   O
the   O
sudden   O
onset   O
and   O
progression   O
of   O
symptoms   O
,   O
as   O
well   O
as   O
the   O
impact   O
on   O
[   O
his   O
/   O
her   O
/   O
their   O
]   O
ability   O
to   O
perform   O
[   O
his   O
/   O
her   O
/   O
their   O
]   O
duties   O
as   O
a   O
Telephone   O
Operators   O
at   O
Federation   B-LOCATION
of   I-LOCATION
Western   I-LOCATION
India   I-LOCATION
Cine   I-LOCATION
Employees   I-LOCATION
.   O

Ida   B-NAME
Xayachack   I-NAME
was   O
reassured   O
,   O
provided   O
with   O
detailed   O
information   O
about   O
the   O
suspected   O
diagnosis   O
,   O
possible   O
treatment   O
paths   O
,   O
and   O
outcomes   O
.   O

Mariela   B-NAME
Atkinson   I-NAME
consented   O
to   O
the   O
proposed   O
plan   O
of   O
care   O
.   O

Contact   O
Information   O
:   O
Patient   O
can   O
be   O
reached   O
at   O
156   B-CONTACT
-   I-CONTACT
9938   I-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
contact   O
Patrick   B-NAME
Townsend   I-NAME
's   O
next   O
of   O
kin   O
listed   O
in   O
the   O
medical   O
record   O
.   O

Patient   O
Name   O
:   O
Shawcross   B-NAME
,   I-NAME
Hartley   I-NAME
Patient   O
ID   O
:   O
MA   B-ID
:   I-ID
DN:3214   I-ID
Date   O
of   O
Birth   O
:   O
14/22   B-DATE
Age   O
:   O
4   O
month   O
Address   O
:   O
Tuscaloosa   B-LOCATION
,   O
64269   B-LOCATION
Phone   O
:   O
561   B-CONTACT
-   I-CONTACT
686   I-CONTACT
5578   I-CONTACT
Medical   O
Record   O
Number   O
:   O
536   B-ID
-   I-ID
16   I-ID
-   I-ID
17   I-ID
-   I-ID
4   I-ID
Attending   O
Physician   O
:   O
Eaton   B-NAME
Hospital   O
:   O
Logan   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/32   B-DATE
Occupation   O
:   O
Paper   O
Goods   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
Username   O
:   O
us317   B-NAME
Chief   O
Complaint   O
:   O
Stevenson   B-NAME
,   I-NAME
Robert   I-NAME
Louis   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Midland   I-LOCATION
on   O
32/8   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Chaya   B-NAME
Morales   I-NAME
,   O
a   O
32   O
-   O
year   O
-   O
old   O
Diagnostic   O
Medical   O
Sonographers   O
from   O
Sunset   B-LOCATION
Valley   I-LOCATION
,   O
reported   O
that   O
the   O
pain   O
was   O
initially   O
mild   O
and   O
diffuse   O
but   O
gradually   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
becoming   O
more   O
severe   O
over   O
time   O
.   O

Archer   B-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

According   O
to   O
Elise   B-NAME
Quinn   I-NAME
's   O
medical   O
records   O
,   O
there   O
is   O
no   O
history   O
of   O
any   O
chronic   O
illnesses   O
or   O
previous   O
abdominal   O
surgeries   O
.   O

Alexis   B-NAME
Garrett   I-NAME
is   O
not   O
on   O
any   O
regular   O
medications   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Alfredo   B-NAME
Greene   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Williams   B-NAME
,   I-NAME
Roger   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Powell   B-NAME
,   I-NAME
Colin   I-NAME
performed   O
an   O
appendectomy   O
on   O
2002   B-DATE
.   O

Natalee   B-NAME
Proctor   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
any   O
complications   O
.   O

Disposition   O
:   O
Brandon   B-NAME
Hinton   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Patients   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
post   O
-   O
operative   O
care   O
.   O

Margaret   B-NAME
Berry   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Kendrick   B-NAME
Owens   I-NAME
at   O
Madera   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
suture   O
removal   O
and   O
further   O
evaluation   O
in   O
two   O
weeks   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Kyla   B-NAME
Fredricks   I-NAME
with   O
Arthur   B-NAME
Komer   I-NAME
at   O
Henry   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
06/20/2363   B-DATE
.   O

Elias   B-NAME
Huer   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
there   O
are   O
signs   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
any   O
new   O
symptoms   O
.   O

Emergency   O
Contact   O
:   O
Isabel   B-NAME
Hale   I-NAME
listed   O
VC49   B-NAME
as   O
an   O
emergency   O
contact   O
.   O

Contact   O
number   O
provided   O
is   O
278   B-CONTACT
806   I-CONTACT
4468   I-CONTACT
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Reagan   B-NAME
,   I-NAME
Ron   I-NAME
,   O
Parker   B-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
9/30   B-DATE
.   O

The   O
patient   O
,   O
conley   B-NAME
,   O
a   O
61   O
-   O
year   O
-   O
old   O
Heat   O
Treating   O
,   O
Annealing   O
,   O
and   O
Tempering   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Villalba   B-LOCATION
,   O
reported   O
to   O
Mountain   B-LOCATION
Vista   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
09/01/1651   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
earlier   O
that   O
morning   O
.   O

According   O
to   O
Raina   B-NAME
Murillo   I-NAME
,   O
the   O
symptoms   O
were   O
sudden   O
in   O
onset   O
and   O
have   O
progressively   O
worsened   O
over   O
the   O
course   O
of   O
the   O
day   O
.   O

Welch   B-NAME
,   I-NAME
Xzavior   I-NAME
Charles   I-NAME
also   O
noted   O
an   O
inability   O
to   O
keep   O
any   O
food   O
or   O
liquid   O
down   O
,   O
leading   O
to   O
dehydration   O
symptoms   O
such   O
as   O
dry   O
mouth   O
and   O
dizziness   O
.   O

Cantrell   B-NAME
's   O
medical   O
history   O
,   O
as   O
per   O
the   O
document   O
1514382   B-ID
,   O
includes   O
Type   O
2   O
Diabetes   O
Mellitus   O
controlled   O
with   O
medication   O
and   O
a   O
previous   O
appendectomy   O
performed   O
in   O
2018   O
.   O

No   O
allergies   O
are   O
noted   O
in   O
Malika   B-NAME
Ebbesen   I-NAME
's   O
chart   O
.   O

Micaela   B-NAME
Dougherty   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Upon   O
examination   O
,   O
quang   B-NAME
presented   O
with   O
moderate   O
to   O
severe   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
potential   O
gastrointestinal   O
issues   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Castor   B-NAME
Hallerman   I-NAME
,   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
Comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
,   O
and   O
abdominal   O
imaging   O
studies   O
.   O

Areli   B-NAME
Edwards   I-NAME
was   O
given   O
intravenous   O
fluids   O
for   O
rehydration   O
at   O
Wilson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
a   O
sample   O
for   O
culture   O
was   O
taken   O
to   O
identify   O
any   O
infectious   O
agents   O
.   O

HEATHER   B-NAME
HERNANDEZ   I-NAME
was   O
admitted   O
to   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Kent   I-LOCATION
Community   I-LOCATION
Campus   I-LOCATION
for   O
further   O
observation   O
under   O
the   O
care   O
of   O
Shah   B-NAME
on   O
2281   B-DATE
.   O

Liluye   B-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
CT   O
scan   O
on   O
July   B-DATE
and   O
will   O
be   O
evaluated   O
for   O
possible   O
gastroenteritis   O
or   O
other   O
gastrointestinal   O
disorders   O
.   O

For   O
any   O
inquiries   O
or   O
further   O
updates   O
regarding   O
NOE   B-NAME
,   I-NAME
NATALEY   I-NAME
KINSLEE   I-NAME
's   O
condition   O
,   O
please   O
contact   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
High   I-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
main   O
line   O
at   O
(   B-CONTACT
277   I-CONTACT
)   I-CONTACT
877   I-CONTACT
-   I-CONTACT
3464   I-CONTACT
.   O

The   O
case   O
manager   O
,   O
NK420   B-NAME
,   O
will   O
be   O
coordinating   O
Hunter   B-NAME
's   O
care   O
and   O
can   O
provide   O
additional   O
information   O
as   O
needed   O
.   O

Please   O
note   O
that   O
all   O
communications   O
must   O
comply   O
with   O
Free   B-LOCATION
Czardom   I-LOCATION
's   O
privacy   O
policies   O
to   O
protect   O
Mortem   B-NAME
Newbell   I-NAME
's   O
sensitive   O
information   O
,   O
including   O
4221792   B-ID
,   O
PZ   B-ID
:   I-ID
EC:4277   I-ID
,   O
and   O
any   O
related   O
health   O
information   O
.   O

Dexter   B-NAME
Foley   I-NAME
resides   O
in   O
the   O
71335   B-LOCATION
area   O
,   O
and   O
Mad   B-LOCATION
River   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
is   O
committed   O
to   O
providing   O
the   O
necessary   O
medical   O
care   O
to   O
address   O
Sofia   B-NAME
Christensen   I-NAME
's   O
health   O
concerns   O
effectively   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Lutz   B-NAME
,   I-NAME
John   I-NAME
Gregory   I-NAME
Patient   O
ID   O
:   O
YI:91769:394621   B-ID
Medical   O
Record   O
Number   O
:   O
7083911   B-ID
Date   O
of   O
Birth   O
:   O
0/22/2157   B-DATE
Age   O
:   O
3   O
month   O
Address   O
:   O
Blowing   B-LOCATION
Rock   I-LOCATION
,   O
36929   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
271   I-CONTACT
)   I-CONTACT
497   I-CONTACT
7721   I-CONTACT
Primary   O
Physician   O
:   O
Hart   B-NAME
Hospital   O
Name   O
:   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
Monday   B-DATE
Chief   O
Complaint   O
:   O
Bruce   B-NAME
D.   I-NAME
Brian   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
32/08   B-DATE
with   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Medical   O
History   O
:   O
English   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
controlled   O
with   O
metformin   O
and   O
a   O
past   O
episode   O
of   O
renal   O
calculi   O
approximately   O
3   O
years   O
ago   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Braun   B-NAME
,   I-NAME
Carol   I-NAME
Moseley   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
98   O
bpm   O
,   O
respiratory   O
rate   O
19   O
breaths   O
/   O
min   O
,   O
and   O
temperature   O
of   O
37.8   O
°   O
C   O
.   O

Aiken   B-NAME
,   I-NAME
Conrad   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Mark   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Claire   B-NAME
Ramsey   I-NAME
for   O
surgical   O
intervention   O
.   O

Laparoscopic   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
30/24   B-DATE
without   O
complications   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
was   O
discharged   O
on   O
Friday   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Ramos   B-NAME
in   O
two   O
weeks   O
.   O

Prescriptions   O
upon   O
discharge   O
include   O
acetaminophen   O
650   O
mg   O
every   O
6   O
hours   O
as   O
needed   O
for   O
pain   O
and   O
oral   O
antibiotics   O
for   O
7   O
days   O
to   O
prevent   O
postoperative   O
infections   O
.   O
Instructions   O
for   O
Follow   O
-   O
up   O
:   O
JUSTUS   B-NAME
,   I-NAME
ELLIS   I-NAME
is   O
advised   O
to   O
monitor   O
the   O
surgical   O
wound   O
for   O
signs   O
of   O
infection   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

Sanders   B-NAME
should   O
seek   O
immediate   O
medical   O
care   O
if   O
experiencing   O
increasing   O
pain   O
,   O
fever   O
,   O
vomiting   O
,   O
or   O
any   O
signs   O
of   O
infection   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Miles   B-NAME
McCabe   I-NAME
's   O
office   O
at   O
48373   B-CONTACT
.   O

Report   O
Prepared   O
by   O
:   O
Social   O
Scientists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
Pacific   B-LOCATION
Life   I-LOCATION
Date   O
:   O
2   B-DATE
-   I-DATE
0   I-DATE
Report   O
ID   O
:   O
2466556   B-ID

Todd   B-NAME
Doyle   I-NAME
Patient   O
ID   O
:   O
FE   B-ID
:   I-ID
OP:2290   I-ID
Date   O
of   O
Birth   O
:   O
2   O
month   O
Date   O
of   O
Admission   O
:   O
10/58   B-DATE
Admitting   O
Physician   O
:   O
Horn   B-NAME
Hospital   O
:   O
Graydon   B-LOCATION
Manor   I-LOCATION
Medical   O
Record   O
Number   O
:   O
0605D41184   B-ID
Location   O
:   O
Port   B-LOCATION
Washington   I-LOCATION
,   I-LOCATION
Port   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
Zip   O
Code   O
:   O
84511   B-LOCATION
Contact   O
Number   O
:   O
820   B-CONTACT
428   I-CONTACT
-   I-CONTACT
7441   I-CONTACT
Employment   O
:   O
Software   O
Quality   O
Assurance   O
Engineers   O
and   O
Testers   O
Username   O
:   O
UP19   B-NAME
Summary   O
:   O
Delay   B-NAME
,   I-NAME
Tom   I-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Pressers   O
,   O
Hand   O
from   O
Dobbins   B-LOCATION
,   O
96463   B-LOCATION
,   O
presented   O
to   O
Freeman   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
25/24   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
localized   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
intermittent   O
in   O
nature   O
and   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

Upon   O
physical   O
examination   O
by   O
Tom   B-NAME
Jonas   I-NAME
,   O
Xuereb   B-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

The   O
patient   O
's   O
contact   O
number   O
,   O
(   B-CONTACT
554   I-CONTACT
)   I-CONTACT
322   I-CONTACT
-   I-CONTACT
4546   I-CONTACT
,   O
was   O
noted   O
in   O
their   O
file   O
for   O
any   O
emergent   O
updates   O
.   O

The   O
patient   O
granted   O
permission   O
through   O
their   O
username   O
,   O
znx377   B-NAME
,   O
for   O
their   O
Broadcast   O
News   O
Analysts   O
to   O
be   O
informed   O
about   O
their   O
medical   O
condition   O
and   O
treatment   O
plan   O
.   O

The   O
patient   O
was   O
registered   O
under   O
985   B-ID
-   I-ID
20   I-ID
-   I-ID
20   I-ID
-   I-ID
5   I-ID
and   O
closely   O
monitored   O
for   O
any   O
changes   O
in   O
condition   O
.   O

Preoperative   O
care   O
was   O
coordinated   O
among   O
the   O
multidisciplinary   O
team   O
,   O
including   O
Havel   B-NAME
,   I-NAME
Václav   I-NAME
,   O
nursing   O
staff   O
at   O
Bayhealth   B-LOCATION
Kent   I-LOCATION
Campus   I-LOCATION
,   O
and   O
the   O
surgical   O
unit   O
.   O

This   O
report   O
will   O
be   O
stored   O
within   O
the   O
secure   O
hospital   O
system   O
,   O
with   O
access   O
strictly   O
limited   O
to   O
involved   O
medical   O
staff   O
and   O
authorized   O
administrative   O
personnel   O
as   O
per   O
Tessa   B-NAME
Alford   I-NAME
's   O
consent   O
.   O

Further   O
updates   O
on   O
Edison   B-NAME
Milford   I-NAME
III   I-NAME
's   O
condition   O
and   O
postoperative   O
recovery   O
will   O
be   O
provided   O
as   O
necessary   O
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
the   O
case   O
,   O
please   O
contact   O
the   O
attending   O
physician   O
,   O
George   B-NAME
Waggner   I-NAME
,   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Floyd   I-LOCATION
or   O
call   O
the   O
hospital   O
's   O
main   O
line   O
at   O
90593   B-CONTACT
.   O

Patient   O
Name   O
:   O
Lorena   B-NAME
Wu   I-NAME
Patient   O
ID   O
:   O
34583   B-ID
Medical   O
Record   O
Number   O
:   O
19243974   B-ID
Date   O
of   O
Birth   O
:   O
2212   B-DATE
Age   O
:   O
33s   O
Phone   O
Number   O
:   O
87137   B-CONTACT
Address   O
:   O
Hobart   B-LOCATION
Bay   I-LOCATION
,   O
53295   B-LOCATION
Occupation   O
:   O

Patel   B-NAME
Hospital   O
:   O
Doctors   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Modesto   I-LOCATION
Date   O
of   O
Visit   O
:   O
2027   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
24   I-DATE
/2023   O
Chief   O
Complaint   O
:   O

Mills   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
'   B-DATE
83   I-DATE
/2023   O
,   O
reporting   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Additionally   O
,   O
Leon   B-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
Labor   B-DATE
Day   I-DATE
/2023   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
abdominal   O
pain   O
initially   O
started   O
as   O
a   O
dull   O
ache   O
around   O
the   O
umbilical   O
region   O
12/44   B-DATE
/2023   O
and   O
progressively   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
within   O
24   O
hours   O
.   O

No   O
similar   O
past   O
episodes   O
were   O
noted   O
in   O
Opal   B-NAME
Larson   I-NAME
's   O
medical   O
history   O
.   O

Past   O
Medical   O
History   O
:   O
Annie   B-NAME
Ruder   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
II   O
diabetes   O
mellitus   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemic   O
agents   O
.   O

Hana   B-NAME
Bullock   I-NAME
is   O
a   O
Astronomers   O
,   O
lives   O
in   O
Pontiac   B-LOCATION
,   I-LOCATION
Pontiac   I-LOCATION
PROUD   I-LOCATION
,   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

On   O
examination   O
,   O
Dale   B-NAME
Edson   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

The   O
surgical   O
team   O
was   O
consulted   O
,   O
and   O
Null   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
01/09   B-DATE
/2023   O
.   O

Preoperative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Angel   B-NAME
Meza   I-NAME
was   O
educated   O
about   O
the   O
procedure   O
and   O
post   O
-   O
operative   O
care   O
.   O

Bonaparte   B-NAME
,   I-NAME
Napoleon   I-NAME
will   O
oversee   O
the   O
surgery   O
at   O
Roxborough   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O
Notes   O
:   O
Post   O
-   O
operative   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
22/23/2028   B-DATE
/2023   O
with   O
Knuth   B-NAME
,   I-NAME
Donald   I-NAME
in   O
Tolley   B-LOCATION
.   O

Houston   B-NAME
was   O
instructed   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
complications   O
and   O
to   O
report   O
to   O
the   O
emergency   O
department   O
or   O
contact   O
340   B-CONTACT
1022   I-CONTACT
in   O
case   O
of   O
any   O
concerns   O
.   O

Signature   O
:   O
Latoria   B-NAME
Sell   I-NAME
12/33/69   B-DATE

Patient   O
Name   O
:   O
Wilson   B-NAME
Blackburn   I-NAME
Age   O
:   O
99   O
DOB   O
:   O
2/23/98   B-DATE
Phone   O
Number   O
:   O
21335   B-CONTACT
Address   O
:   O
McCord   B-LOCATION
Bend   I-LOCATION
,   O
44984   B-LOCATION
Physician   O
:   O
Stevenson   B-NAME
Hospital   O
:   O
Located   B-LOCATION
within   I-LOCATION
Sinai   I-LOCATION
-   I-LOCATION
Grace   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
5817E22138   B-ID
Date   O
of   O
Visit   O
:   O
January   B-DATE
0   I-DATE
Social   O
Security   O
Number   O
:   O
1   B-ID
-   I-ID
6317889   I-ID
Clinical   O
Notes   O
:   O
Joyce   B-NAME
R.   I-NAME
Barton   I-NAME
,   O
a   O
Physical   O
Scientists   O
,   O
All   O
Other   O
from   O
75   B-LOCATION
undefined   I-LOCATION
,   O
presented   O
to   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
Bossier   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
28/20   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
relentless   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
extreme   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Lina   B-NAME
Hale   I-NAME
also   O
reported   O
episodes   O
of   O
vomiting   O
.   O

Hodge   B-NAME
denies   O
any   O
recent   O
travel   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Initial   O
laboratory   O
tests   O
including   O
cardiac   O
enzymes   O
were   O
ordered   O
by   O
Moody   B-NAME
.   O

Admit   O
to   O
Mountainview   B-LOCATION
Hospital   I-LOCATION
cardiology   O
unit   O
for   O
monitoring   O
and   O
further   O
management   O
.   O

Urgent   O
cardiac   O
catheterization   O
to   O
be   O
performed   O
by   O
the   O
on   O
-   O
call   O
cardiologist   O
,   O
Rob   B-NAME
Lake   I-NAME
.   O

Addisyn   B-NAME
Maxwell   I-NAME
noted   O
that   O
Vincent   B-NAME
I.   I-NAME
Orosco   I-NAME
’s   O
prompt   O
presentation   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Dallas   I-LOCATION
and   O
immediate   O
management   O
significantly   O
reduced   O
the   O
risk   O
of   O
further   O
cardiac   O
damage   O
.   O

Follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Downs   B-NAME
on   O
2020   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
18   I-DATE
for   O
further   O
evaluation   O
and   O
management   O
.   O

Instructions   O
provided   O
to   O
Weston   B-NAME
Mata   I-NAME
on   O
recognizing   O
symptoms   O
of   O
cardiac   O
distress   O
and   O
when   O
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
jx701   B-NAME
Relation   O
to   O
Patient   O
:   O

Spouse   O
Phone   O
Number   O
:   O
303   B-CONTACT
6649   I-CONTACT
Signed   O
,   O
Aliya   B-NAME
Lang   I-NAME
21/33   B-DATE

Patient   O
Report   O
:   O
32/25   B-DATE
/2023   O
Patient   O
Name   O
:   O
Thalia   B-NAME
Alvarado   I-NAME
Patient   O
ID   O
:   O
NW:40046:172935   B-ID
Medical   O
Record   O
Number   O
:   O
550   B-ID
-   I-ID
09   I-ID
-   I-ID
22   I-ID
-   I-ID
0   I-ID
Age   O
:   O
60   O
Location   O
:   O
Muscoy   B-LOCATION
,   O
93771   B-LOCATION
Contact   O
:   O
82120   B-CONTACT
Admitting   O
Physician   O
:   O
Ramsey   B-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Easton   I-LOCATION
Occupation   O
:   O

The   O
patient   O
,   O
Kayleen   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
West   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
onset   O
of   O
these   O
symptoms   O
was   O
sudden   O
,   O
beginning   O
early   O
in   O
the   O
morning   O
on   O
15/10   B-DATE
/2023   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Cage   B-NAME
,   I-NAME
John   I-NAME
experienced   O
sharp   O
,   O
localized   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
that   O
progressively   O
worsened   O
over   O
a   O
few   O
hours   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Aracely   B-NAME
Ingram   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Upon   O
evaluation   O
by   O
Maddox   B-NAME
,   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
.   O

Josh   B-NAME
Galvez   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Holden   B-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
scheduled   O
for   O
surgery   O
on   O
6/23/03   B-DATE
/2023   O
.   O

Trevon   B-NAME
Lindsey   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
.   O

The   O
patient   O
was   O
discharged   O
from   O
AnMed   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/37/2262   B-DATE
/2023   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Ernesto   B-NAME
Delgado   I-NAME
in   O
two   O
weeks   O
.   O

This   O
case   O
was   O
reported   O
to   O
Pemberton   B-LOCATION
Borough   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
as   O
per   O
the   O
standard   O
protocol   O
for   O
surgical   O
interventions   O
and   O
patient   O
outcomes   O
monitoring   O
.   O

Authors   O
:   O
Dr.   O
bpd165   B-NAME
,   O
Resident   O
Surgeon   O
Dr.   O
Addyson   B-NAME
Hull   I-NAME
,   O
Attending   O
Physician   O

Patient   O
Name   O
:   O
Jerome   B-NAME
Collins   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
4432581   I-ID
Date   O
of   O
Birth   O
:   O
0   O
week   O
Address   O
:   O
Quonochontaug   B-LOCATION
,   O
55136   B-LOCATION
Phone   O
:   O
33767   B-CONTACT
Employer   O
:   O
Euro   B-LOCATION
-   I-LOCATION
Mediterranean   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Monitor   I-LOCATION
Occupation   O
:   O
Construction   O
Drillers   O
Primary   O
Care   O
Physician   O
:   O

Edward   B-NAME
VII   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
Medical   O
Record   O
Number   O
:   O
745   B-ID
-   I-ID
63   I-ID
-   I-ID
84   I-ID
Admitting   O
Hospital   O
:   O
John   B-LOCATION
D.   I-LOCATION
Archbold   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2105   B-DATE
Date   O
of   O
Report   O
:   O
14/22/2028   B-DATE
Subjective   O
:   O
The   O
patient   O
,   O
Sanai   B-NAME
Black   I-NAME
,   O
a   O
15   O
-   O
year   O
-   O
old   O
Orthodontists   O
,   O
presented   O
to   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
18/30   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
described   O
as   O
tearing   O
in   O
nature   O
.   O

The   O
patient   O
reports   O
the   O
pain   O
onset   O
was   O
sudden   O
while   O
at   O
work   O
at   O
Finnish   B-LOCATION
Film   I-LOCATION
Foundation   I-LOCATION
in   O
9150   B-LOCATION
North   I-LOCATION
Academy   I-LOCATION
Dr   I-LOCATION
.   I-LOCATION
.   O

Physical   O
examination   O
conducted   O
by   O
Dr.   O
Constantine   B-NAME
revealed   O
a   O
diaphoretic   O
and   O
distressed   O
appearance   O
,   O
but   O
no   O
cyanosis   O
or   O
palpable   O
masses   O
.   O

Plan   O
:   O
The   O
patient   O
,   O
Eva   B-NAME
Ewing   I-NAME
,   O
was   O
scheduled   O
for   O
emergency   O
aortic   O
repair   O
surgery   O
on   O
03   B-DATE
.   O

The   O
patient   O
will   O
be   O
closely   O
monitored   O
in   O
the   O
Cardiovascular   O
Intensive   O
Care   O
Unit   O
(   O
CICU   O
)   O
at   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
   I-LOCATION
New   I-LOCATION
Britain   I-LOCATION
General   I-LOCATION
Campus   I-LOCATION
following   O
surgery   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Mendez   B-NAME
two   O
weeks   O
post   O
-   O
operatively   O
.   O

Further   O
,   O
the   O
patient   O
will   O
be   O
enrolled   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
near   O
their   O
residence   O
in   O
Otterbein   B-LOCATION
.   O

Instructions   O
given   O
to   O
the   O
patient   O
include   O
signs   O
of   O
infection   O
,   O
bleeding   O
,   O
or   O
any   O
worsening   O
of   O
symptoms   O
to   O
report   O
immediately   O
,   O
either   O
by   O
calling   O
25691   B-CONTACT
or   O
presenting   O
to   O
the   O
emergency   O
department   O
of   O
Health   B-LOCATION
Central   I-LOCATION
.   O

The   O
care   O
team   O
,   O
consisting   O
of   O
cardiothoracic   O
surgery   O
,   O
cardiology   O
,   O
and   O
rehabilitation   O
specialists   O
,   O
will   O
continue   O
to   O
collaborate   O
to   O
ensure   O
the   O
best   O
possible   O
outcome   O
for   O
the   O
patient   O
,   O
Kinski   B-NAME
,   I-NAME
Klaus   I-NAME
.   O

Username   O
for   O
patient   O
portal   O
access   O
:   O
knf570   B-NAME

For   O
any   O
further   O
query   O
or   O
emergency   O
,   O
please   O
contact   O
Centura   B-LOCATION
Health   I-LOCATION
Castle   I-LOCATION
Rock   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
at   O
105   B-CONTACT
-   I-CONTACT
6446   I-CONTACT
.   O

Patient   O
Name   O
:   O
Berry   B-NAME
Medical   O
Record   O
Number   O
:   O
19017506   B-ID
Date   O
of   O
Birth   O
:   O
2212   B-DATE
Age   O
:   O
79   O
Address   O
:   O
Chase   B-LOCATION
,   O
16066   B-LOCATION
Phone   O
Number   O
:   O
295   B-CONTACT
-   I-CONTACT
2521   I-CONTACT
Attending   O
Physician   O
:   O

Nikolai   B-NAME
Sanford   I-NAME
Hospital   O
:   O

Allegheny   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2/31   B-DATE
Chief   O
Complaint   O
:   O
Freddie   B-NAME
V.   I-NAME
Hickman   I-NAME
,   O
a   O
Truck   O
Drivers   O
,   O
Heavy   O
and   O
Tractor   O
-   O
Trailer   O
by   O
profession   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
March   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
fever   O
peaking   O
at   O
101   O
°   O
F   O
.   O

Earnest   B-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
contact   O
with   O
known   O
sick   O
individuals   O
.   O

Ava   B-NAME
Richards   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
Diabetes   O
Mellitus   O
,   O
well   O
-   O
controlled   O
on   O
Metformin   O
,   O
and   O
Hypertension   O
managed   O
with   O
Lisinopril   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
the   O
ongoing   O
pandemic   O
,   O
Nolan   B-NAME
Stelzer   I-NAME
was   O
advised   O
to   O
self   O
-   O
isolate   O
at   O
home   O
.   O

Follow   O
-   O
Up   O
:   O
SALGADO   B-NAME
,   I-NAME
BRUCE   I-NAME
is   O
scheduled   O
for   O
a   O
telehealth   O
follow   O
-   O
up   O
appointment   O
with   O
Coby   B-NAME
Collins   I-NAME
in   O
5   O
days   O
or   O
sooner   O
if   O
there   O
is   O
any   O
deterioration   O
in   O
the   O
clinical   O
condition   O
.   O

Orion   B-NAME
Dunn   I-NAME
was   O
also   O
provided   O
with   O
the   O
contact   O
number   O
of   O
Mercy   B-LOCATION
Hospital   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
emergency   O
department   O
,   O
84741   B-CONTACT
,   O
for   O
immediate   O
concerns   O
.   O

Order   O
Entry   O
By   O
:   O
fhr365   B-NAME
Date   O
:   O
07/24/2105   B-DATE
Holland   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
Works   I-LOCATION

Patient   O
Name   O
:   O
Heller   B-NAME
,   I-NAME
Joseph   I-NAME
Patient   O
ID   O
:   O
PA   B-ID
:   I-ID
XM:1919   I-ID
Medical   O
Record   O
Number   O
:   O
57504196   B-ID
Date   O
of   O
Birth   O
:   O
2329   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
03   I-DATE
Age   O
:   O
2   O
week   O
Address   O
:   O
Torrington   B-LOCATION
,   O
61633   B-LOCATION
Phone   O
Number   O
:   O
86807   B-CONTACT
Employment   O
:   O
Sales   O
Agents   O
,   O
Securities   O
and   O
Commodities   O
at   O
Linux   B-LOCATION
Users   I-LOCATION
'   I-LOCATION
Group   I-LOCATION
of   I-LOCATION
Davis   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Valery   B-NAME
Wang   I-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Virginia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
*   O
*   O
Clinical   O
Summary   O
:*   O
*   O
Scott   B-NAME
Phipps   I-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
McCune   I-LOCATION
-   I-LOCATION
Brooks   I-LOCATION
Hospital   I-LOCATION
on   O
July   B-DATE
,   I-DATE
2039   I-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
palpitations   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

Upon   O
admission   O
,   O
Juanita   B-NAME
Lewandowski   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
150/90   O
mmHg   O
,   O
pulse   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
98.6   O
°   O
F   O
.   O

Past   O
medical   O
history   O
was   O
significant   O
for   O
myocardial   O
infarction   O
in   O
2045   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
04   I-DATE
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Cervantes   B-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
myocardial   O
infarction   O
.   O

*   O
*   O
Management   O
and   O
Treatment   O
:*   O
*   O
Maggie   B-NAME
Mcclain   I-NAME
was   O
immediately   O
started   O
on   O
a   O
treatment   O
regimen   O
consisting   O
of   O
aspirin   O
,   O
clopidogrel   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
.   O

Karlie   B-NAME
Shelton   I-NAME
was   O
also   O
started   O
on   O
insulin   O
therapy   O
to   O
manage   O
blood   O
glucose   O
levels   O
.   O

Considering   O
the   O
patient   O
's   O
history   O
and   O
current   O
clinical   O
findings   O
,   O
a   O
decision   O
for   O
urgent   O
coronary   O
angiography   O
was   O
made   O
by   O
Duran   B-NAME
.   O

*   O
*   O
Follow   O
-   O
Up   O
and   O
Recommendations   O
:*   O
*   O
Tillman   B-NAME
underwent   O
successful   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
with   O
stent   O
placement   O
in   O
the   O
right   O
coronary   O
artery   O
on   O
2/2333   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
on   O
03/33   B-DATE
with   O
prescriptions   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
beta   O
-   O
blockers   O
,   O
ACE   O
inhibitors   O
,   O
statins   O
,   O
and   O
a   O
detailed   O
diabetes   O
management   O
plan   O
.   O

Georgetta   B-NAME
Crisman   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Steele   B-NAME
in   O
two   O
weeks   O
for   O
a   O
post   O
-   O
discharge   O
evaluation   O
and   O
with   O
a   O
diabetes   O
specialist   O
for   O
glycemic   O
control   O
optimization   O
.   O

*   O
*   O
Contact   O
Information   O
:*   O
*   O
For   O
any   O
further   O
information   O
or   O
to   O
report   O
changes   O
in   O
symptoms   O
,   O
Layton   B-NAME
or   O
their   O
next   O
of   O
kin   O
can   O
contact   O
Saint   B-LOCATION
Louis   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
608   I-CONTACT
)   I-CONTACT
583   I-CONTACT
-   I-CONTACT
1571   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Israel   B-NAME
Blackwell   I-NAME
Patient   O
ID   O
:   O
51606265   B-ID
Medical   O
Record   O
Number   O
:   O
47607248   B-ID
Date   O
of   O
Birth   O
:   O
36   O
Date   O
of   O
Admission   O
:   O
January   B-DATE
21   I-DATE
,   I-DATE
2044   I-DATE
Hospital   O
:   O
Sutter   B-LOCATION
Solano   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Attending   O
Physician   O
:   O
Hughes   B-NAME
,   I-NAME
Charles   I-NAME
Evans   I-NAME
Location   O
:   O
Rock   B-LOCATION
Point   I-LOCATION
Primary   O
Complaint   O
:   O
The   O
patient   O
,   O
Valerius   B-NAME
Valance   I-NAME
,   O
a   O
Animator   O
from   O
Mountain   B-LOCATION
Road   I-LOCATION
,   O
presented   O
to   O
University   B-LOCATION
of   I-LOCATION
New   I-LOCATION
Mexico   I-LOCATION
Hospital   I-LOCATION
on   O
2129   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
09   I-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
intermittent   O
vomiting   O
.   O

The   O
patient   O
described   O
the   O
onset   O
of   O
symptoms   O
as   O
sudden   O
,   O
occurring   O
approximately   O
00/12/32   B-DATE
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Reilly   B-NAME
Nielsen   I-NAME
mentioned   O
experiencing   O
similar   O
,   O
albeit   O
less   O
severe   O
episodes   O
in   O
the   O
past   O
month   O
which   O
were   O
self   O
-   O
resolved   O
.   O

An   O
abdominal   O
ultrasound   O
,   O
ordered   O
by   O
Strauss   B-NAME
,   I-NAME
Richard   I-NAME
,   O
showed   O
the   O
presence   O
of   O
gallstones   O
and   O
sludge   O
in   O
the   O
gallbladder   O
,   O
with   O
signs   O
of   O
inflammation   O
suggesting   O
acute   O
cholecystitis   O
.   O

Treatment   O
Plan   O
:   O
Lorena   B-NAME
Estrada   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Francis   I-LOCATION
Health   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
for   O
observation   O
and   O
management   O
.   O

The   O
treatment   O
plan   O
initiated   O
by   O
Garrison   B-NAME
included   O
IV   O
hydration   O
,   O
analgesia   O
,   O
and   O
antibiotic   O
therapy   O
.   O

Follow   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
07/32   B-DATE
to   O
evaluate   O
the   O
patient   O
’s   O
progress   O
post   O
-   O
discharge   O
and   O
to   O
discuss   O
further   O
management   O
strategies   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Not   O
provided   O
Phone   O
:   O
184   B-CONTACT
1553   I-CONTACT

This   O
report   O
has   O
been   O
prepared   O
by   O
Curry   B-NAME
,   O
and   O
any   O
further   O
inquiries   O
regarding   O
Dalia   B-NAME
Meadows   I-NAME
’s   O
care   O
should   O
directed   O
to   O
97212   B-CONTACT
.   O

Patient   O
Report   O
for   O
Howell   B-NAME
,   I-NAME
James   I-NAME
23/23   B-DATE
/2023   O
Patient   O
Baxter   B-NAME
,   O
a   O
52s   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
of   O
Construction   O
Trades   O
and   O
Extraction   O
Workers   O
from   O
Garfield   B-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
and   O
a   O
persistent   O
cough   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Infant   B-NAME
Church   I-NAME
has   O
a   O
known   O
history   O
of   O
asthma   O
but   O
mentioned   O
that   O
the   O
current   O
symptoms   O
feel   O
more   O
severe   O
than   O
typical   O
asthma   O
attacks   O
.   O

Physical   O
exam   O
conducted   O
by   O
Arthur   B-NAME
Thurmond   I-NAME
revealed   O
bilateral   O
wheezing   O
on   O
auscultation   O
,   O
with   O
decreased   O
breath   O
sounds   O
noted   O
in   O
the   O
lower   O
lung   O
fields   O
.   O

Chest   O
X   O
-   O
ray   O
,   O
performed   O
on   O
2273/32/10   B-DATE
,   O
indicated   O
no   O
acute   O
cardiopulmonary   O
process   O
.   O

Garza   B-NAME
initiated   O
treatment   O
with   O
high   O
-   O
dose   O
inhaled   O
corticosteroids   O
and   O
a   O
long   O
-   O
acting   O
beta   O
-   O
agonist   O
.   O

Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
two   O
weeks   O
from   O
35/08   B-DATE
at   O
Crouse   B-LOCATION
Hospital   I-LOCATION
's   O
Pulmonary   O
Medicine   O
Department   O
.   O

Homer   B-NAME
Sosnowski   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
asthma   O
triggers   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
before   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Medical   O
Record   O
:   O
4629687   B-ID
Patient   O
's   O
Contact   O
Information   O
:   O
Phone   O
:   O
985   B-CONTACT
2118   I-CONTACT
Emergency   O
Contact   O
:   O
146   B-CONTACT
7843   I-CONTACT
Physician   O
Responsible   O
:   O
Pittman   B-NAME
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Kenmore   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
Contact   O
Number   O
:   O
703   B-CONTACT
-   I-CONTACT
9211   I-CONTACT

This   O
report   O
has   O
been   O
generated   O
by   O
the   O
Electronic   O
Health   O
Record   O
System   O
,   O
maintained   O
by   O
First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Altus   I-LOCATION
.   O

For   O
any   O
inquiries   O
or   O
updates   O
regarding   O
the   O
patient   O
's   O
medical   O
record   O
,   O
please   O
refer   O
to   O
XV:91430:817633   B-ID
and   O
contact   O
our   O
office   O
at   O
45056   B-CONTACT
.   O

The   O
patient   O
,   O
Demerest   B-NAME
,   O
a   O
86   O
-   O
year   O
-   O
old   O
Audio   O
and   O
Video   O
Equipment   O
Technicians   O
from   O
Ohio   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
on   O
Saturday   B-DATE
,   I-DATE
January   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
which   O
was   O
described   O
as   O
sharp   O
and   O
stabbing   O
in   O
nature   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
a   O
decrease   O
in   O
appetite   O
,   O
and   O
a   O
single   O
episode   O
of   O
fever   O
documented   O
at   O
home   O
.   O

Upon   O
examination   O
,   O
Maggie   B-NAME
Doyle   I-NAME
's   O
vital   O
signs   O
included   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
at   O
134/86   O
mmHg   O
.   O

The   O
patient   O
was   O
kept   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
,   O
started   O
on   O
IV   O
hydration   O
and   O
IV   O
antibiotics   O
,   O
and   O
Alisa   B-NAME
Davies   I-NAME
,   O
a   O
general   O
surgeon   O
,   O
was   O
consulted   O
for   O
surgical   O
evaluation   O
.   O

Following   O
the   O
evaluation   O
,   O
Brent   B-NAME
Cameron   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
08/45   B-DATE
.   O

Bryce   B-NAME
Cherry   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
notable   O
for   O
mild   O
post   O
-   O
operative   O
pain   O
,   O
which   O
was   O
well   O
managed   O
with   O
oral   O
analgesics   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
12/28   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Jim   B-NAME
Clancy   I-NAME
in   O
2   O
weeks   O
at   O
John   B-LOCATION
T.   I-LOCATION
Mather   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

90959   B-CONTACT
and   O
2455215   B-ID
were   O
used   O
for   O
communication   O
and   O
documentation   O
purposes   O
,   O
respectively   O
.   O

Instructions   O
were   O
given   O
to   O
call   O
400   B-CONTACT
-   I-CONTACT
609   I-CONTACT
4279   I-CONTACT
for   O
any   O
signs   O
of   O
complications   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
signs   O
of   O
wound   O
infection   O
.   O

In   O
compliance   O
with   O
privacy   O
regulations   O
,   O
all   O
personal   O
health   O
information   O
including   O
36982   B-ID
,   O
36083   B-LOCATION
,   O
and   O
unique   O
identifiers   O
such   O
as   O
EL731   B-NAME
have   O
been   O
kept   O
confidential   O
and   O
are   O
securely   O
documented   O
.   O

Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
remains   O
diligent   O
in   O
the   O
protection   O
of   O
patient   O
data   O
and   O
adheres   O
to   O
all   O
health   O
information   O
privacy   O
guidelines   O
.   O

Patient   O
:   O
Burton   B-NAME
Medical   O
Record   O
Number   O
:   O
31083682   B-ID
Date   O
of   O
Visit   O
:   O
20/35   B-DATE
Age   O
:   O
44   O
Occupation   O
:   O
Producers   O
Doctor   O
:   O
Ali   B-NAME
Hospital   O
:   O
Huggins   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Spencerport   B-LOCATION
Phone   O
:   O
(   B-CONTACT
526   I-CONTACT
)   I-CONTACT
494   I-CONTACT
-   I-CONTACT
2304   I-CONTACT
ID   O
:   O
HN:6096:915746   B-ID
Username   O
:   O
lhn157   B-NAME
ZIP   O
:   O
48274   B-LOCATION
Chief   O
Complaint   O
:   O
Truman   B-NAME
,   I-NAME
Harry   I-NAME
S.   I-NAME
was   O
admitted   O
to   O
Mainehealth   B-LOCATION
DBA   I-LOCATION
Southern   I-LOCATION
Maine   I-LOCATION
Healthcare   I-LOCATION
on   O
12/22   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
and   O
persistent   O
nausea   O
.   O

The   O
nausea   O
has   O
been   O
unrelenting   O
for   O
the   O
past   O
01/91   B-DATE
,   O
occasionally   O
accompanied   O
by   O
episodes   O
of   O
vomiting   O
.   O

Terrel   B-NAME
's   O
symptoms   O
began   O
approximately   O
2/39   B-DATE
ago   O
,   O
initially   O
presenting   O
as   O
a   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
that   O
progressively   O
worsened   O
.   O

The   O
vomiting   O
episodes   O
have   O
become   O
more   O
frequent   O
over   O
the   O
past   O
Jan   B-DATE
2022   I-DATE
,   O
with   O
an   O
inability   O
to   O
retain   O
solid   O
food   O
.   O

Faustina   B-NAME
Douglas   I-NAME
also   O
notes   O
a   O
slight   O
elevation   O
in   O
temperature   O
and   O
general   O
malaise   O
.   O

According   O
to   O
Kimama   B-NAME
,   O
there   O
have   O
been   O
no   O
previous   O
episodes   O
similar   O
to   O
the   O
current   O
situation   O
.   O

It   O
was   O
mentioned   O
that   O
Semaj   B-NAME
Fletcher   I-NAME
is   O
currently   O
under   O
medication   O
for   O
hypertension   O
,   O
prescribed   O
by   O
Emmanuel   B-NAME
Walter   I-NAME
at   O
Camberley   B-LOCATION
.   O

,   O
Lane   B-NAME
was   O
found   O
to   O
have   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
performed   O
at   O
VA   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
indicated   O
appendicitis   O
with   O
periappendiceal   O
inflammation   O
.   O

Berg   B-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Consent   O
was   O
obtained   O
on   O
02/02   B-DATE
,   O
and   O
Jair   B-NAME
Caldwell   I-NAME
was   O
scheduled   O
for   O
surgery   O
under   O
the   O
care   O
of   O
Nicholson   B-NAME
the   O
following   O
day   O
.   O

Post   O
-   O
operative   O
instructions   O
include   O
rest   O
,   O
antibiotic   O
therapy   O
,   O
and   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
for   O
06/22   B-DATE
.   O

In   O
Summary   O
:   O
Fisher   B-NAME
,   O
a   O
31   O
-   O
year   O
-   O
old   O
Telemarketers   O
,   O
presented   O
with   O
sharp   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
and   O
nausea   O
.   O

Melany   B-NAME
Mckenzie   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
.   O

Follow   O
-   O
Up   O
:   O
Pham   B-NAME
is   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Richards   B-NAME
at   O
Northport   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
post   O
-   O
operative   O
assessment   O
and   O
management   O
.   O

In   O
case   O
of   O
emergency   O
or   O
further   O
complications   O
,   O
Angeline   B-NAME
Barajas   I-NAME
is   O
instructed   O
to   O
contact   O
the   O
hospital   O
at   O
68676   B-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
.   O

Patient   O
Name   O
:   O
James   B-NAME
Kildare   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
9143173   I-ID
Date   O
of   O
Birth   O
:   O
02/07   B-DATE
Date   O
of   O
Visit   O
:   O
2312   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
21   I-DATE
Hospital   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
2004877   B-ID
Address   O
:   O
Lake   B-LOCATION
Wisconsin   I-LOCATION
,   O
11878   B-LOCATION
Doctor   O
:   O
Chaudhry   B-NAME
,   I-NAME
Mahendra   I-NAME
Contact   O
Phone   O
:   O
99465   B-CONTACT
Clinical   O
Notes   O
:   O

The   O
patient   O
,   O
Marg   B-NAME
Guyer   I-NAME
,   O
a   O
Learning   O
disability   O
nurse   O
of   O
91   O
years   O
,   O
presented   O
to   O
Geary   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Junction   I-LOCATION
City   I-LOCATION
on   O
2034   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
18   I-DATE
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
week   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
,   O
av999   B-NAME
,   O
has   O
been   O
informed   O
of   O
the   O
patient   O
's   O
condition   O
and   O
the   O
current   O
plan   O
for   O
evaluation   O
and   O
management   O
.   O

The   O
subject   O
,   O
known   O
as   O
Yeates   B-NAME
,   I-NAME
Patrick   I-NAME
I   I-NAME
,   O
a   O
6   O
-   O
year   O
-   O
old   O
Program   O
Directors   O
residing   O
in   O
Storla   B-LOCATION
,   O
34446   B-LOCATION
,   O
presented   O
to   O
Spring   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
on   O
03/10   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
and   O
orthopnea   O
.   O

Haynes   B-NAME
also   O
reports   O
a   O
nocturnal   O
non   O
-   O
productive   O
cough   O
and   O
episodes   O
of   O
paroxysmal   O
nocturnal   O
dyspnea   O
.   O

Ray   B-NAME
Palmer   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
[   O
he   O
/   O
she   O
]   O
is   O
on   O
medication   O
.   O

On   O
examination   O
,   O
padgett   B-NAME
appeared   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Investigations   O
were   O
ordered   O
by   O
Ponce   B-NAME
,   O
including   O
a   O
chest   O
X   O
-   O
ray   O
showing   O
cardiomegaly   O
and   O
pulmonary   O
congestion   O
,   O
and   O
an   O
ECG   O
indicating   O
left   O
ventricular   O
hypertrophy   O
.   O

Evans   B-NAME
's   O
9571002   B-ID
was   O
updated   O
on   O
23/04   B-DATE
to   O
reflect   O
these   O
findings   O
.   O

Plans   O
for   O
further   O
evaluation   O
including   O
echocardiography   O
and   O
adjustment   O
of   O
Cal   B-NAME
's   O
current   O
hypertension   O
and   O
diabetes   O
management   O
were   O
discussed   O
.   O

A   O
referral   O
to   O
a   O
cardiologist   O
associated   O
with   O
CHRISTUS   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
New   I-LOCATION
Braunfels   I-LOCATION
was   O
made   O
.   O

Vu   B-NAME
C.   I-NAME
Mccarty   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
management   O
plan   O
via   O
45172   B-CONTACT
on   O
22/12/2323   B-DATE
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
22/28/2012   B-DATE
to   O
monitor   O
the   O
patient   O
's   O
progress   O
and   O
response   O
to   O
treatment   O
.   O

For   O
any   O
additional   O
inquiries   O
or   O
emergencies   O
,   O
BRODY   B-NAME
OHARA   I-NAME
was   O
advised   O
to   O
contact   O
Paradise   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
main   O
line   O
at   O
(   B-CONTACT
294   I-CONTACT
)   I-CONTACT
334   I-CONTACT
-   I-CONTACT
4522   I-CONTACT
.   O

The   O
patient   O
was   O
also   O
given   O
a   O
direct   O
line   O
to   O
reach   O
Mcfarland   B-NAME
should   O
there   O
be   O
any   O
concerning   O
changes   O
in   O
symptoms   O
or   O
overall   O
condition   O
.   O

All   O
personal   O
identifiers   O
,   O
including   O
IV133/3050   B-ID
and   O
YC1018   B-NAME
,   O
have   O
been   O
securely   O
stored   O
in   O
Zachary   B-NAME
Smith   I-NAME
's   O
health   O
record   O
following   O
Chemical   B-LOCATION
Research   I-LOCATION
Society   I-LOCATION
of   I-LOCATION
India   I-LOCATION
's   O
privacy   O
policy   O
to   O
ensure   O
confidentiality   O
and   O
compliance   O
with   O
health   O
information   O
regulations   O
.   O

Patient   O
Name   O
:   O
Humboldt   B-NAME
,   I-NAME
Alexander   I-NAME
von   I-NAME
Patient   O
ID   O
:   O
AS:4086:439651   B-ID
Medical   O
Record   O
Number   O
:   O
088   B-ID
-   I-ID
25   I-ID
-   I-ID
67   I-ID
Date   O
of   O
Encounter   O
:   O
32/30/21   B-DATE
Location   O
of   O
Encounter   O
:   O
Colp   B-LOCATION
Age   O
:   O
76   O
Phone   O
:   O
16664   B-CONTACT
Zip   O
Code   O
:   O
41136   B-LOCATION
Doctor   O
:   O
Eleanor   B-NAME
Sosa   I-NAME
Hospital   O
:   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
South   I-LOCATION
San   I-LOCATION
Francisco   I-LOCATION
Employment   O
:   O
Farmers   O
,   O
Ranchers   O
,   O
and   O
Other   O
Agricultural   O
Managers   O
at   O
Town   B-LOCATION
of   I-LOCATION
Thurmont   I-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
Username   O
:   O
ry488   B-NAME
Clinical   O
Note   O
:   O

The   O
patient   O
,   O
Belia   B-NAME
Mattioli   I-NAME
,   O
presented   O
to   O
Orlando   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Lake   I-LOCATION
Hospital   I-LOCATION
on   O
February   B-DATE
2   I-DATE
,   I-DATE
2006   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
several   O
episodes   O
of   O
vomiting   O
since   O
the   O
early   O
hours   O
of   O
the   O
morning   O
.   O

Gill   B-NAME
,   O
whose   O
medical   O
record   O
number   O
is   O
834   B-ID
-   I-ID
65   I-ID
-   I-ID
55   I-ID
,   O
was   O
evaluated   O
by   O
Mccann   B-NAME
,   O
a   O
specialist   O
in   O
gastroenterology   O
.   O

Upon   O
examination   O
,   O
Cornelius   B-NAME
Prince   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
,   O
with   O
vital   O
signs   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
and   O
temperature   O
38.5   O
°   O
C   O
.   O

The   O
patient   O
,   O
who   O
works   O
as   O
a   O
Colour   O
technologist   O
for   O
First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
,   O
reported   O
no   O
significant   O
past   O
medical   O
history   O
apart   O
from   O
treated   O
hypertension   O
.   O

Benjamin   B-NAME
Earnest   I-NAME
also   O
mentioned   O
that   O
there   O
was   O
no   O
recent   O
travel   O
outside   O
Makoti   B-LOCATION
,   O
no   O
consumption   O
of   O
unusual   O
foods   O
,   O
and   O
no   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Agnew   B-NAME
,   I-NAME
Spiro   I-NAME
's   O
contact   O
information   O
was   O
verified   O
,   O
with   O
a   O
phone   O
number   O
711   B-CONTACT
-   I-CONTACT
7005   I-CONTACT
and   O
residing   O
at   O
Kaser   B-LOCATION
,   O
23446   B-LOCATION
.   O

The   O
patient   O
was   O
admitted   O
to   O
Trinity   B-LOCATION
Rock   I-LOCATION
Island   I-LOCATION
under   O
the   O
care   O
of   O
Gilbert   B-NAME
for   O
further   O
management   O
,   O
including   O
fluid   O
resuscitation   O
,   O
pain   O
control   O
,   O
and   O
fasting   O
to   O
rest   O
the   O
pancreas   O
.   O

Confidential   O
Information   O
:   O
All   O
personal   O
health   O
information   O
relevant   O
to   O
Vasquez   B-NAME
's   O
case   O
,   O
including   O
but   O
not   O
limited   O
to   O
the   O
73225018   B-ID
and   O
the   O
care   O
provided   O
by   O
Herrick   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
is   O
strictly   O
confidential   O
and   O
should   O
only   O
be   O
accessed   O
by   O
authorized   O
personnel   O
.   O

Any   O
inquiries   O
should   O
be   O
directed   O
to   O
72888   B-CONTACT
following   O
HIPAA   O
regulations   O
.   O

This   O
document   O
contains   O
confidential   O
information   O
and   O
is   O
intended   O
only   O
for   O
the   O
use   O
of   O
Santino   B-NAME
Herman   I-NAME
or   O
other   O
authorized   O
individuals   O
at   O
(   B-LOCATION
closed   I-LOCATION
in   I-LOCATION
2017   I-LOCATION
after   I-LOCATION
Hurricane   I-LOCATION
Irma   I-LOCATION
damage   I-LOCATION
proved   I-LOCATION
too   I-LOCATION
costly   I-LOCATION
to   I-LOCATION
reopen   I-LOCATION
)   I-LOCATION
.   O

Patient   O
Name   O
:   O
Abel   B-NAME
Bolton   I-NAME
Age   O
:   O
9   O
week   O
Date   O
of   O
Birth   O
:   O
2/60   B-DATE
Medical   O
Record   O
Number   O
:   O
13689223   B-ID
Address   O
:   O
South   B-LOCATION
Lockport   I-LOCATION
,   O
31947   B-LOCATION
Phone   O
:   O
536   B-CONTACT
1210   I-CONTACT
Physician   O
:   O

Jim   B-NAME
Clancy   I-NAME
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Saint   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
02/18   B-DATE
Identification   O
Number   O
:   O
4   B-ID
-   I-ID
1279245   I-ID
Chief   O
Complaint   O
:   O
Makayla   B-NAME
Nichols   I-NAME
presented   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
on   O
02/36/2236   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
sharp   O
,   O
lower   O
right   O
abdominal   O
pain   O
,   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
presentation   O
.   O

Wheeler   B-NAME
rated   O
the   O
pain   O
as   O
8   O
out   O
of   O
10   O
in   O
severity   O
.   O

Donavan   B-NAME
Mclaughlin   I-NAME
denies   O
any   O
urinary   O
or   O
bowel   O
changes   O
,   O
vaginal   O
discharge   O
,   O
bleeding   O
,   O
chest   O
pain   O
,   O
or   O
shortness   O
of   O
breath   O
.   O

Past   O
Medical   O
History   O
:   O
Xiang   B-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
(   O
NKDA   O
)   O
.   O

On   O
physical   O
examination   O
,   O
Ahmad   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Outcome   O
:   O
Hawkins   B-NAME
was   O
admitted   O
to   O
Stringfellow   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Bullock   B-NAME
,   I-NAME
Sandra   I-NAME
for   O
suspected   O
acute   O
appendicitis   O
.   O

After   O
discussing   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
,   O
Henderson   B-NAME
Xin   I-NAME
consented   O
to   O
an   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
2/33/00   B-DATE
without   O
complications   O
.   O

Zara   B-NAME
Carpenter   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
started   O
on   O
a   O
course   O
of   O
IV   O
antibiotics   O
.   O

Lee   B-NAME
Esparza   I-NAME
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
home   O
on   O
Apr   B-DATE
3   I-DATE
,   I-DATE
2351   I-DATE
with   O
oral   O
antibiotics   O
and   O
pain   O
management   O
instructions   O
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Lynch   B-NAME
at   O
Geneva   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
in   O
2   O
weeks   O
for   O
wound   O
check   O
and   O
to   O
review   O
recovery   O
progress   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Sparta   B-NAME
was   O
advised   O
to   O
contact   O
Krause   B-NAME
's   O
office   O
at   O
675   B-CONTACT
534   I-CONTACT
4273   I-CONTACT
or   O
return   O
to   O
Scheurer   B-LOCATION
Hospital   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Nov/26   B-DATE
with   O
Zwiezic   B-NAME
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Patient   O
:   O
Ellena   B-NAME
Ressler   I-NAME
Age   O
:   O
39   O
Date   O
of   O
Birth   O
:   O
31/2250   B-DATE
Phone   O
Number   O
:   O
326   B-CONTACT
754   I-CONTACT
5227   I-CONTACT
Address   O
:   O
Ocean   B-LOCATION
Breeze   I-LOCATION
Park   I-LOCATION
,   O
Annetta   B-LOCATION
,   O
36831   B-LOCATION
Profession   O
:   O
Engineering   O
Technicians   O
,   O
Except   O
Drafters   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O
Avery   B-NAME
Hospital   O
:   O

INTEGRIS   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
638   B-ID
-   I-ID
27   I-ID
-   I-ID
15   I-ID
ID   O
Number   O
:   O
7809013   B-ID
Medical   O
History   O
:   O

Brunder   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
03/17   B-DATE
with   O
a   O
complaint   O
of   O
progressive   O
,   O
bilateral   O
knee   O
pain   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
six   O
months   O
.   O

Bayle   B-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
hypertension   O
,   O
and   O
obesity   O
.   O

Cale   B-NAME
Preston   I-NAME
works   O
as   O
a   O
Insurance   O
Underwriters   O
which   O
requires   O
standing   O
for   O
extended   O
periods   O
.   O

Skip   B-NAME
reports   O
a   O
dull   O
,   O
aching   O
pain   O
in   O
both   O
knees   O
,   O
more   O
pronounced   O
on   O
the   O
right   O
,   O
graded   O
at   O
6/10   O
on   O
the   O
pain   O
scale   O
.   O

Mia   B-NAME
Clarke   I-NAME
has   O
also   O
noticed   O
a   O
decreased   O
range   O
of   O
motion   O
in   O
the   O
right   O
knee   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Poop   B-NAME
exhibited   O
a   O
swollen   O
right   O
knee   O
with   O
palpable   O
warmth   O
and   O
tenderness   O
around   O
the   O
joint   O
line   O
.   O

A   O
conservative   O
treatment   O
approach   O
was   O
discussed   O
with   O
Ursula   B-NAME
Olivia   I-NAME
Oconnell   I-NAME
,   O
emphasizing   O
weight   O
loss   O
to   O
decrease   O
joint   O
stress   O
and   O
potential   O
diabetes   O
complications   O
.   O

Harris   B-NAME
,   I-NAME
Sam   I-NAME
was   O
educated   O
on   O
proper   O
knee   O
joint   O
mechanics   O
and   O
referred   O
to   O
a   O
physiotherapist   O
specializing   O
in   O
osteoarthritis   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Monday   B-DATE
.   O

Special   O
Note   O
:   O
Given   O
the   O
chronic   O
nature   O
of   O
Samuel   B-NAME
Marsh   I-NAME
's   O
condition   O
,   O
Mel   B-NAME
Buffkin   I-NAME
emphasized   O
the   O
importance   O
of   O
managing   O
expectations   O
regarding   O
treatment   O
outcomes   O
and   O
highlighted   O
the   O
potential   O
need   O
for   O
future   O
interventions   O
,   O
including   O
joint   O
replacement   O
surgery   O
,   O
given   O
the   O
severity   O
of   O
joint   O
damage   O
observed   O
in   O
the   O
radiographs   O
.   O

The   O
patient   O
was   O
advised   O
to   O
reach   O
out   O
directly   O
to   O
601   B-CONTACT
-   I-CONTACT
6246   I-CONTACT
in   O
case   O
of   O
any   O
exacerbated   O
symptoms   O
or   O
concerns   O
before   O
the   O
next   O
scheduled   O
appointment   O
.   O

All   O
patient   O
information   O
has   O
been   O
securely   O
stored   O
in   O
Memorial   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Manor   I-LOCATION
's   O
electronic   O
health   O
record   O
system   O
under   O
the   O
ID   O
91497429   B-ID
.   O

Patient   O
Name   O
:   O
Krish   B-NAME
Spencer   I-NAME
Age   O
:   O
37   O
Phone   O
Number   O
:   O
932   B-CONTACT
518   I-CONTACT
1786   I-CONTACT
Address   O
:   O
Markleeville   B-LOCATION
,   O
69386   B-LOCATION
Employer   O
:   O
Global   B-LOCATION
Rights   I-LOCATION
Occupation   O
:   O

Home   O
Economics   O
Teachers   O
,   O
Postsecondary   O
Primary   O
Physician   O
:   O
Damon   B-NAME
Bradley   I-NAME
Hospital   O
:   O

Yuma   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
0490518   B-ID
ID   O
Number   O
:   O
IF772/3523   B-ID
Date   O
of   O
Visit   O
:   O
1/39   B-DATE
/2023   O
Clinical   O
Summary   O
:   O
Rocco   B-NAME
Berry   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
02/22/2323   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
recurrent   O
headaches   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Aquila   B-NAME
Kominski   I-NAME
describes   O
the   O
pain   O
as   O
throbbing   O
and   O
pulsating   O
,   O
worsening   O
with   O
physical   O
activity   O
,   O
and   O
rates   O
it   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Loren   B-NAME
reported   O
nausea   O
but   O
no   O
vomiting   O
during   O
these   O
episodes   O
.   O

There   O
is   O
a   O
noted   O
history   O
of   O
similar   O
symptoms   O
in   O
Lea   B-NAME
Wagner   I-NAME
's   O
family   O
,   O
suggesting   O
a   O
possible   O
genetic   O
predisposition   O
.   O

Rowan   B-NAME
Short   I-NAME
works   O
as   O
a   O
Acupuncturists   O
at   O
Georgia   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Southern   I-LOCATION
Company   I-LOCATION
in   O
Avondale   B-LOCATION
Estates   I-LOCATION
,   O
a   O
job   O
that   O
Gallienus   B-NAME
Perza   I-NAME
describes   O
as   O
"   O
high   O
-   O
stress   O
,   O
"   O
especially   O
in   O
the   O
weeks   O
leading   O
up   O
to   O
the   O
onset   O
of   O
these   O
headache   O
episodes   O
.   O

During   O
examination   O
,   O
Quilici   B-NAME
was   O
alert   O
and   O
oriented   O
,   O
with   O
normal   O
vital   O
signs   O
.   O

4   O
.   O
Scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
to   O
evaluate   O
response   O
to   O
medication   O
and   O
to   O
discuss   O
findings   O
from   O
the   O
MRI   O
.   O
Follow   O
up   O
with   O
neurology   O
Hooper   B-NAME
was   O
recommended   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

All   O
sensitive   O
information   O
related   O
to   O
Hunter   B-NAME
Lawson   I-NAME
's   O
identity   O
and   O
medical   O
history   O
is   O
strictly   O
protected   O
and   O
contained   O
within   O
this   O
report   O
.   O

Contact   O
Information   O
:   O
Jaqueline   B-NAME
Bailey   I-NAME
's   O
Phone   O
:   O
110   B-CONTACT
1962   I-CONTACT
Primary   O
Physician   O
:   O

Devon   B-NAME
Mitchell   I-NAME
,   O
Phone   O
:   O
71256   B-CONTACT
,   O
Knoxville   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
Emergency   O
Contact   O
:   O
56685   B-CONTACT

Patient   O
Report   O
Patient   O
ID   O
:   O
70543012   B-ID
Date   O
:   O
2042   B-DATE
/2023   O
Patient   O
Name   O
:   O
Constance   B-NAME
Peterson   I-NAME
Age   O
:   O
53   O
Phone   O
Number   O
:   O
48154   B-CONTACT
Address   O
:   O
Natalbany   B-LOCATION
,   O
70121   B-LOCATION
Admitting   O
Doctor   O
:   O
Holder   B-NAME
Hospital   O
:   O

Crisp   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Sidney   B-NAME
Crane   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
MultiCare   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
32/01   B-DATE
/2023   O
with   O
a   O
two   O
-   O
day   O
history   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
increasing   O
in   O
severity   O
.   O

The   O
patient   O
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
04/11/70   B-DATE
/2023   O
.   O

Mcpherson   B-NAME
denied   O
any   O
recent   O
foreign   O
travel   O
or   O
unusual   O
dietary   O
intakes   O
.   O

Medical   O
History   O
:   O
Jeramiah   B-NAME
Mcpherson   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
well   O
-   O
controlled   O
hypertension   O
.   O

Social   O
History   O
:   O
Kaleigh   B-NAME
States   I-NAME
is   O
a   O
Paperhangers   O
living   O
with   O
their   O
family   O
in   O
New   B-LOCATION
Baltimore   I-LOCATION
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Kevin   B-NAME
Y.   I-NAME
Kirkpatrick   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
Plan   O
:   O
Capote   B-NAME
,   B-NAME
Truman   I-NAME
was   O
admitted   O
under   O
the   O
service   O
of   O
Dante   B-NAME
Leonard   I-NAME
for   O
suspected   O
acute   O
appendicitis   O
.   O

Eastwood   B-NAME
,   I-NAME
Clint   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
surgery   O
,   O
consenting   O
to   O
the   O
procedure   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
on   O
January   B-DATE
/2023   O
.   O

Reagan   B-NAME
,   I-NAME
Ron   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
monitored   O
post   O
-   O
operation   O
in   O
Inspira   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Elmer   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Walter   B-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
up   O
Contact   O
:   O
quevedo   B-NAME
to   O
contact   O
21617   B-CONTACT
for   O
any   O
concerns   O
or   O
complications   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
.   O

Patient   O
Name   O
:   O
Urijah   B-NAME
Whaley   I-NAME
Medical   O
Record   O
Number   O
:   O
4863819   B-ID
DOB   O
:   O
87   O
Address   O
:   O
Green   B-LOCATION
Springs   I-LOCATION
,   O
76646   B-LOCATION
Phone   O
:   O
(   B-CONTACT
163   I-CONTACT
)   I-CONTACT
135   I-CONTACT
-   I-CONTACT
9945   I-CONTACT
Attending   O
Physician   O
:   O

Ogi   B-NAME
,   I-NAME
Adolf   I-NAME
Admission   O
Date   O
:   O
33/27/2207   B-DATE
/2023   O
Hospital   O
:   O

Alhambra   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
Government   O
Service   O
Executives   O
in   O
their   O
mid   O
-   O
forties   O
,   O
presents   O
complaining   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
ago   O
.   O

The   O
patient   O
admits   O
to   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
morning   O
of   O
39/31   B-DATE
/2023   O
.   O

Prepared   O
By   O
:   O
WQ547   B-NAME
Date   O
:   O

1/26   B-DATE
/2023   O

The   O
patient   O
's   O
information   O
should   O
be   O
reviewed   O
again   O
by   O
Mcpherson   B-NAME
at   O
Interfaith   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
/   I-LOCATION
Jewish   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Of   I-LOCATION
Brooklyn   I-LOCATION
Div   I-LOCATION
for   O
any   O
further   O
updates   O
or   O
changes   O
in   O
the   O
management   O
plan   O
.   O

Patient   O
:   O
Elsie   B-NAME
George   I-NAME
Age   O
:   O
88s   O
Medical   O
Record   O
Number   O
:   O
8   B-ID
-   I-ID
004927   I-ID
Date   O
:   O
2254   B-DATE
-   I-DATE
37   I-DATE
-   I-DATE
37   I-DATE
/2023   O
Location   O
:   O
Rutherford   B-LOCATION
Zip   O
Code   O
:   O
37562   B-LOCATION
Phone   O
Number   O
:   O
557   B-CONTACT
763   I-CONTACT
-   I-CONTACT
7079   I-CONTACT
Treating   O
Hospital   O
:   O

INTEGRIS   B-LOCATION
Health   I-LOCATION
Edmond   I-LOCATION
Treating   O
Doctor   O
:   O
Richardson   B-NAME
Employer   O
:   O
Asian   B-LOCATION
Academy   I-LOCATION
of   I-LOCATION
Film   I-LOCATION
&   I-LOCATION
Television   I-LOCATION
Profession   O
:   O
Extraction   O
Workers   O
,   O
All   O
Other   O
User   O
ID   O
:   O
TM869   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
Douglas   B-NAME
,   O
a   O
Logistics   O
Managers   O
from   O
Broomfield   B-LOCATION
,   O
presented   O
to   O
I-70   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
1774   B-DATE
/2023   O
with   O
complaints   O
of   O
intermittent   O
,   O
high   O
-   O
grade   O
fevers   O
peaking   O
at   O
102   O
°   O
F   O
,   O
severe   O
headache   O
,   O
and   O
photophobia   O
of   O
three   O
days   O
duration   O
.   O

Jack   B-NAME
Finley   I-NAME
also   O
reports   O
experiencing   O
marked   O
myalgia   O
,   O
arthralgia   O
,   O
and   O
has   O
noticed   O
a   O
maculopapular   O
rash   O
spreading   O
from   O
the   O
trunk   O
to   O
the   O
limbs   O
.   O
Review   O
of   O
Systems   O
:   O
Jacqueline   B-NAME
Grist   I-NAME
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
controlled   O
on   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
managed   O
with   O
medication   O
.   O

Halona   B-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
sick   O
contacts   O
.   O

River   B-NAME
Hammond   I-NAME
also   O
reports   O
no   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Galvan   B-NAME
appeared   O
acutely   O
ill   O
and   O
fatigued   O
.   O

No   O
meningismus   O
was   O
noted   O
,   O
but   O
Erickson   B-NAME
,   I-NAME
F.   I-NAME
exhibited   O
significant   O
photophobia   O
.   O

Maintain   O
Emil   B-NAME
Skoda   I-NAME
in   O
isolation   O
until   O
the   O
infectious   O
etiology   O
is   O
determined   O
to   O
prevent   O
potential   O
nosocomial   O
spread   O
.   O

4   O
.   O
Consult   O
Infectious   O
Disease   O
specialist   O
,   O
Dr.   O
Donovan   B-NAME
,   O
for   O
evaluation   O
and   O
management   O
recommendations   O
.   O

Follow   O
-   O
Up   O
:   O
Whitney   B-NAME
V   I-NAME
Keller   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
one   O
week   O
,   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

Chase   B-NAME
Macdonald   I-NAME
has   O
been   O
provided   O
with   O
the   O
emergency   O
contact   O
number   O
(   O
204   B-CONTACT
4758   I-CONTACT
)   O
at   O
Valley   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
should   O
there   O
be   O
any   O
immediate   O
concerns   O
or   O
deterioration   O
in   O
condition   O
.   O

This   O
summary   O
has   O
been   O
prepared   O
for   O
the   O
medical   O
team   O
at   O
North   B-LOCATION
Knoxville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
shared   O
with   O
Keon   B-NAME
Foster   I-NAME
and   O
Braintree   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
for   O
accurate   O
record   O
-   O
keeping   O
and   O
future   O
reference   O
.   O

Patient   O
Name   O
:   O
Brady   B-NAME
Patient   O
ID   O
:   O
RK137/6871   B-ID
Date   O
of   O
Birth   O
:   O
37/25   B-DATE
Age   O
:   O
10   O
month   O
Address   O
:   O
Orlando   B-LOCATION
,   O
54869   B-LOCATION
Phone   O
:   O
317   B-CONTACT
4176   I-CONTACT
Employment   O
:   O
receptionist   O
at   O
Health   B-LOCATION
Services   I-LOCATION
Union   I-LOCATION
Attending   O
Physician   O
:   O
Mercer   B-NAME
Medical   O
Record   O
Number   O
:   O
50993427   B-ID
Date   O
of   O
Admission   O
:   O
12/39   B-DATE
Date   O
of   O
Report   O
:   O
22/27/21   B-DATE
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Bangor   I-LOCATION
Username   O
:   O
kr724   B-NAME
Chief   O
Complaint   O
:   O
Hoover   B-NAME
was   O
admitted   O
to   O
University   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
on   O
23/21/2152   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
sporadic   O
episodes   O
of   O
vomiting   O
that   O
have   O
been   O
ongoing   O
for   O
the   O
past   O
three   O
days   O
before   O
admission   O
.   O

Ardite   B-NAME
reported   O
an   O
inability   O
to   O
retain   O
meals   O
,   O
experiencing   O
bouts   O
of   O
chills   O
,   O
and   O
intermittent   O
fever   O
.   O

Medical   O
History   O
:   O
Tia   B-NAME
Nichols   I-NAME
disclosed   O
a   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
in   O
the   O
year   O
2015   O
,   O
and   O
Hypertension   O
under   O
management   O
for   O
the   O
past   O
five   O
years   O
.   O

Jaylon   B-NAME
Bradshaw   I-NAME
also   O
reported   O
recent   O
-   O
onset   O
diarrhea   O
,   O
with   O
no   O
blood   O
observed   O
in   O
the   O
stool   O
.   O

On   O
physical   O
examination   O
,   O
Coward   B-NAME
,   I-NAME
Noel   I-NAME
's   O
temperature   O
was   O
38.3   O
°   O
C   O
,   O
blood   O
pressure   O
was   O
145/95   O
mmHg   O
,   O
pulse   O
rate   O
was   O
102   O
beats   O
per   O
minute   O
and   O
regular   O
,   O
and   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
.   O

02980628   B-ID
highlights   O
the   O
proposal   O
for   O
a   O
gastroenterology   O
consultation   O
for   O
further   O
evaluation   O
and   O
management   O
of   O
the   O
suspected   O
Crohn   O
's   O
disease   O
.   O

Upon   O
discharge   O
scheduled   O
for   O
32   B-DATE
-   I-DATE
Dec-2021   I-DATE
,   O
Abbott   B-NAME
is   O
advised   O
to   O
follow   O
up   O
with   O
Balzac   B-NAME
,   I-NAME
Honoré   I-NAME
de   I-NAME
at   O
the   O
gastroenterology   O
department   O
of   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Fresno   I-LOCATION
in   O
two   O
weeks   O
.   O

Adolfo   B-NAME
Kim   I-NAME
is   O
advised   O
to   O
maintain   O
a   O
bland   O
diet   O
,   O
avoid   O
NSAIDs   O
,   O
and   O
monitor   O
temperature   O
daily   O
.   O

For   O
any   O
emergency   O
situations   O
or   O
significant   O
changes   O
in   O
symptoms   O
,   O
Elmira   B-NAME
Aucoin   I-NAME
is   O
to   O
contact   O
Munising   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
142   I-CONTACT
)   I-CONTACT
248   I-CONTACT
9599   I-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Reynolds   B-NAME
,   O
M.D.   O
,   O
02/14/2313   B-DATE
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Gavin   B-NAME
Kane   I-NAME
-   O
Age   O
:   O
54   O
-   O
ID   O
:   O
JM708/1962   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
281   B-ID
-   I-ID
66   I-ID
-   I-ID
66   I-ID
-   O
Date   O
of   O
Admission   O
:   O
00/22   B-DATE
/2023   O
-   O
Attending   O
Physician   O
:   O
Ramirez   B-NAME
-   O
Hospital   O
:   O
HCA   B-LOCATION
Houston   I-LOCATION
Tomball   I-LOCATION
-   O
Location   O
:   O
Warrensburg   B-LOCATION
-   O
Zip   O
Code   O
:   O
40856   B-LOCATION
-   O
Phone   O
:   O
(   B-CONTACT
227   I-CONTACT
)   I-CONTACT
683   I-CONTACT
6256   I-CONTACT
-   O
Profession   O
:   O
Multimedia   O
programmer   O
Chief   O
Complaint   O
:   O
Konrad   B-NAME
Styner   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
CHI   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
The   I-LOCATION
Vintage   I-LOCATION
on   O
03/19   B-DATE
/2023   O
complaining   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Past   O
Medical   O
History   O
:   O
Carly   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
,   O
and   O
dyslipidemia   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Christian   B-NAME
Troy   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Sherri   B-NAME
Dattilo   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
surgery   O
,   O
to   O
which   O
he   O
consented   O
after   O
all   O
questions   O
were   O
addressed   O
.   O

Follow   O
-   O
Up   O
:   O
Mill   B-NAME
,   I-NAME
John   I-NAME
Stuart   I-NAME
will   O
need   O
close   O
monitoring   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Ruiz   B-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
evaluate   O
recovery   O
progress   O
.   O

The   O
primary   O
contact   O
for   O
Baltus   B-NAME
Biever   I-NAME
is   O
listed   O
as   O
DM598   B-NAME
.   O
-   O
All   O
communications   O
regarding   O
William   B-NAME
Howe   I-NAME
's   O
care   O
should   O
be   O
directed   O
to   O
(   B-CONTACT
721   I-CONTACT
)   I-CONTACT
663   I-CONTACT
5549   I-CONTACT
.   O

-   O
Patient   O
education   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
activities   O
restriction   O
post   O
-   O
surgery   O
was   O
provided   O
and   O
documented   O
in   O
the   O
patient   O
's   O
medical   O
record   O
1523377   B-ID
.   O

Conclusion   O
:   O
The   O
timely   O
presentation   O
of   O
Lorelai   B-NAME
Morton   I-NAME
to   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
combined   O
with   O
prompt   O
diagnostic   O
evaluation   O
and   O
management   O
,   O
is   O
anticipated   O
to   O
lead   O
to   O
a   O
favorable   O
outcome   O
.   O

Patient   O
Report   O
:   O
0792638   B-ID
Patient   O
Name   O
:   O
Forsyth   B-NAME
,   I-NAME
Bruce   I-NAME
Age   O
:   O
87   O
Date   O
of   O
Admission   O
:   O
2205   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
28   I-DATE
/2023   O
Date   O
of   O
Discharge   O
:   O
23/37   B-DATE
/2023   O
Attending   O
Physician   O
:   O

Campbell   B-NAME
Hospital   O
:   O
North   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
North   B-LOCATION
Johns   I-LOCATION
Phone   O
:   O
83927   B-CONTACT
Summary   O
:   O
Grove   B-NAME
,   I-NAME
Andy   I-NAME
,   O
a   O
Environmental   O
Scientists   O
and   O
Specialists   O
,   O
Including   O
Health   O
from   O
Vidalia   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Vidalia   I-LOCATION
Association   I-LOCATION
-   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
with   O
a   O
history   O
of   O
asthma   O
and   O
seasonal   O
allergies   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Mease   B-LOCATION
Countryside   I-LOCATION
Hospital   I-LOCATION
on   O
6/1   B-DATE
/2023   O
,   O
complaining   O
of   O
acute   O
shortness   O
of   O
breath   O
,   O
wheezing   O
,   O
and   O
a   O
sensation   O
of   O
tightness   O
in   O
the   O
chest   O
.   O

Cal   B-NAME
also   O
reported   O
a   O
productive   O
cough   O
with   O
clear   O
sputum   O
.   O

A   O
review   O
of   O
the   O
patient   O
's   O
medical   O
records   O
(   O
62910406   B-ID
)   O
indicated   O
no   O
prior   O
hospitalizations   O
for   O
asthma   O
but   O
noted   O
a   O
recent   O
increase   O
in   O
the   O
use   O
of   O
a   O
salbutamol   O
inhaler   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Trory   B-NAME
was   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Tuan   B-NAME
Michalek   I-NAME
showed   O
significant   O
improvement   O
with   O
these   O
interventions   O
.   O

After   O
stabilization   O
,   O
Brandon   B-NAME
W.   I-NAME
Neilson   I-NAME
was   O
admitted   O
under   O
Dr.   O
Bracken   B-NAME
,   I-NAME
Peg   I-NAME
for   O
observation   O
and   O
further   O
management   O
.   O

During   O
the   O
hospital   O
stay   O
at   O
North   B-LOCATION
Arkansas   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
a   O
focused   O
asthma   O
education   O
session   O
was   O
provided   O
,   O
emphasizing   O
the   O
importance   O
of   O
avoiding   O
triggers   O
,   O
correct   O
inhaler   O
techniques   O
,   O
and   O
the   O
use   O
of   O
a   O
peak   O
flow   O
meter   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Wolfe   B-NAME
in   O
two   O
weeks   O
to   O
re   O
-   O
evaluate   O
the   O
asthma   O
action   O
plan   O
.   O

Zara   B-NAME
Jensen   I-NAME
was   O
discharged   O
on   O
36/14   B-DATE
/2023   O
with   O
prescriptions   O
for   O
an   O
inhaled   O
corticosteroid   O
,   O
a   O
long   O
-   O
acting   O
beta   O
agonist   O
,   O
and   O
a   O
rescue   O
inhaler   O
.   O

Directions   O
were   O
given   O
to   O
follow   O
up   O
with   O
primary   O
care   O
physician   O
Dr.   O
Ortega   B-NAME
and   O
a   O
pulmonologist   O
in   O
Soudersburg   B-LOCATION
should   O
symptoms   O
not   O
improve   O
or   O
worsen   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
uix253   B-NAME
Relation   O
:   O

Close   O
relative   O
Phone   O
:   O
988   B-CONTACT
-   I-CONTACT
6289   I-CONTACT
Address   O
:   O
Eucalyptus   B-LOCATION
Hills   I-LOCATION
,   O
88721   B-LOCATION
Note   O
:   O
Please   O
ensure   O
that   O
Otero   B-NAME
avoids   O
known   O
allergens   O
and   O
adheres   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Michael   B-NAME
Strother   I-NAME
or   O
ZO895   B-NAME
can   O
contact   O
Dr.   O
Leung   B-NAME
,   I-NAME
Graeme   I-NAME
’s   O
office   O
at   O
556   B-CONTACT
-   I-CONTACT
7627   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Angelou   B-NAME
,   I-NAME
Maya   I-NAME
Patient   O
ID   O
:   O
AD   B-ID
:   I-ID
SP:7027   I-ID
Date   O
of   O
Birth   O
:   O
01/34/2300   B-DATE
Age   O
:   O
80   O
Address   O
:   O
Metter   B-LOCATION
,   O
69911   B-LOCATION
Phone   O
Number   O
:   O
51321   B-CONTACT
Employer   O
:   O

Animal   B-LOCATION
Defense   I-LOCATION
League   I-LOCATION
Occupation   O
:   O

Landin   B-NAME
Harvey   I-NAME
Medical   O
Record   O
Number   O
:   O
596   B-ID
-   I-ID
41   I-ID
-   I-ID
83   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Visit   O
:   O
December   B-DATE
Hospital   O
:   O
Hale   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Florence   B-NAME
Heather   I-NAME
Gil   I-NAME
presents   O
to   O
the   O
clinic   O
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
and   O
cramping   O
sensation   O
localized   O
to   O
the   O
lower   O
left   O
quadrant   O
,   O
which   O
has   O
been   O
ongoing   O
for   O
approximately   O
three   O
weeks   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Skye   B-NAME
,   O
a   O
55   O
-   O
year   O
-   O
old   O
Picture   O
researcher   O
from   O
Chambersburg   B-LOCATION
,   O
started   O
experiencing   O
mild   O
,   O
intermittent   O
abdominal   O
discomfort   O
approximately   O
two   O
months   O
prior   O
,   O
which   O
has   O
progressively   O
worsened   O
to   O
the   O
current   O
state   O
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
diagnosed   O
3/12   B-DATE
.   O

Hypertension   O
was   O
diagnosed   O
2/26/39   B-DATE
.   O

Review   O
of   O
Systems   O
:   O
Santino   B-NAME
Rivas   I-NAME
reports   O
no   O
additional   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
jaundice   O
.   O

On   O
examination   O
,   O
Zehr   B-NAME
appears   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

A   O
referral   O
to   O
a   O
gastroenterologist   O
Livermore   B-NAME
,   I-NAME
Jesse   I-NAME
Lauriston   I-NAME
for   O
a   O
colonoscopy   O
is   O
recommended   O
.   O

Instructions   O
given   O
to   O
Luke   B-NAME
Montes   I-NAME
include   O
seeking   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
increased   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
any   O
symptoms   O
indicative   O
of   O
gastrointestinal   O
perforation   O
or   O
obstruction   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Fri   B-DATE
to   O
review   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
.   O

In   O
case   O
of   O
any   O
questions   O
or   O
concerns   O
,   O
Cristal   B-NAME
Greene   I-NAME
can   O
contact   O
the   O
clinic   O
at   O
91412   B-CONTACT
.   O

Further   O
information   O
and   O
updates   O
will   O
be   O
communicated   O
through   O
the   O
patient   O
portal   O
(   O
Username   O
:   O
znl727   B-NAME
)   O
.   O

The   O
medical   O
team   O
at   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Jefferson   I-LOCATION
City   I-LOCATION
is   O
committed   O
to   O
providing   O
Hanna   B-NAME
Cook   I-NAME
with   O
the   O
highest   O
standard   O
of   O
care   O
and   O
support   O
throughout   O
this   O
diagnostic   O
process   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ito   B-NAME
Patient   O
Age   O
:   O
51   O
Patient   O
ID   O
:   O
JJ:19390:714953   B-ID
Medical   O
Record   O
#   O
:   O
85582937   B-ID
Physician   O
:   O
Patterson   B-NAME
Date   O
of   O
Visit   O
:   O
34/22   B-DATE
Hospital   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Birmingham   I-LOCATION
Location   O
:   O

El   B-LOCATION
Ojo   I-LOCATION
Zip   O
Code   O
:   O
58924   B-LOCATION
Phone   O
Number   O
:   O
29425   B-CONTACT
Occupation   O
:   O
Licensed   O
conveyancer   O
Username   O
:   O
VS104   B-NAME
Presenting   O
Complaint   O
:   O
Luciano   B-NAME
Bird   I-NAME
presented   O
to   O
Kessler   B-LOCATION
Institute   I-LOCATION
for   I-LOCATION
Rehabilitation   I-LOCATION
on   O
6/01   B-DATE
complaining   O
of   O
severe   O
,   O
abrupt   O
-   O
onset   O
abdominal   O
pain   O
.   O

Alex   B-NAME
Hesse   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
.   O

Medical   O
History   O
:   O
Harry   B-NAME
Brewster   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Curtis   B-NAME
denies   O
any   O
allergies   O
to   O
medications   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Vanover   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Goodman   B-NAME
,   O
which   O
demonstrated   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Following   O
the   O
imaging   O
results   O
,   O
Dunham   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
recommended   O
,   O
and   O
Viviana   B-NAME
Oconnell   I-NAME
was   O
prepared   O
for   O
an   O
appendectomy   O
.   O

The   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
were   O
discussed   O
with   O
Joylyn   B-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Follow   O
-   O
Up   O
:   O
Putnam   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dunlap   B-NAME
at   O
Delray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
06/33/2300   B-DATE
to   O
evaluate   O
post   O
-   O
operative   O
recovery   O
and   O
manage   O
any   O
ongoing   O
health   O
issues   O
related   O
to   O
the   O
appendicitis   O
or   O
Case   B-NAME
's   O
pre   O
-   O
existing   O
conditions   O
.   O

Howard   B-NAME
Rosser   I-NAME
was   O
also   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
and   O
to   O
contact   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Denville   I-LOCATION
at   O
511   B-CONTACT
7403   I-CONTACT
if   O
any   O
concerning   O
symptoms   O
arise   O
.   O

Dollar   B-LOCATION
Tree   I-LOCATION
provided   O
educational   O
materials   O
on   O
post   O
-   O
appendectomy   O
care   O
before   O
discharge   O
.   O

Emilia   B-NAME
Harvey   I-NAME
expressed   O
understanding   O
of   O
the   O
instructions   O
and   O
verbalized   O
no   O
further   O
questions   O
at   O
the   O
time   O
.   O

Summary   O
:   O
Za   B-NAME
,   O
a   O
22   O
-   O
year   O
-   O
old   O
Municipal   O
Firefighters   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Diagnostic   O
imaging   O
confirmed   O
the   O
diagnosis   O
,   O
and   O
Sanford   B-NAME
underwent   O
successful   O
surgical   O
removal   O
of   O
the   O
appendix   O
.   O

Follow   O
-   O
up   O
care   O
is   O
arranged   O
to   O
monitor   O
Singleton   B-NAME
's   O
recovery   O
and   O
manage   O
pre   O
-   O
existing   O
conditions   O
.   O

Patient   O
Name   O
:   O
Keyes   B-NAME
,   I-NAME
Alan   I-NAME
Patient   O
ID   O
:   O
YB   B-ID
:   I-ID
US:2831   I-ID
Medical   O
Record   O
Number   O
:   O
3426205   B-ID
Date   O
of   O
Admission   O
:   O
02/06/1660   B-DATE
/2023   O
Age   O
:   O
42   O
Occupation   O
:   O
Investment   O
fund   O
manager   O
Location   O
:   O
Gore   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
388   I-CONTACT
)   I-CONTACT
232   I-CONTACT
-   I-CONTACT
4829   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Roberson   B-NAME
Admitting   O
Hospital   O
:   O
Advanced   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
Username   O
:   O
vkd660   B-NAME
Zip   O
Code   O
:   O
68676   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Kennedi   B-NAME
Nicholson   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Soldiers   B-LOCATION
And   I-LOCATION
Sailors   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Yates   I-LOCATION
County   I-LOCATION
Inc   I-LOCATION
on   O
01/30   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
,   O
severe   O
,   O
and   O
localized   O
lower   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Brylee   B-NAME
Moody   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
denied   O
any   O
changes   O
in   O
bowel   O
or   O
bladder   O
habits   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Holt   B-NAME
,   I-NAME
John   I-NAME
has   O
experienced   O
mild   O
intermittent   O
abdominal   O
discomfort   O
over   O
the   O
past   O
month   O
,   O
but   O
nothing   O
comparable   O
to   O
the   O
current   O
episode   O
.   O

Past   O
Medical   O
History   O
:   O
renteria   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
surgical   O
history   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Thomasine   B-NAME
Consiglio   I-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
was   O
ordered   O
by   O
Alden   B-NAME
Bray   I-NAME
and   O
revealed   O
an   O
enlarged   O
appendix   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

The   O
diagnosis   O
for   O
Bryson   B-NAME
Stanton   I-NAME
is   O
acute   O
appendicitis   O
.   O

Nader   B-NAME
,   I-NAME
Ralph   I-NAME
was   O
admitted   O
to   O
Excela   B-LOCATION
Latrobe   I-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Naima   B-NAME
Schaefer   I-NAME
for   O
further   O
management   O
.   O

Antibiotic   O
therapy   O
was   O
initiated   O
,   O
and   O
the   O
patient   O
was   O
scheduled   O
for   O
surgery   O
on   O
the   O
following   O
day   O
,   O
19   B-DATE
-   I-DATE
00   I-DATE
/2023   O
.   O

Edward   B-NAME
Cowher   I-NAME
consented   O
to   O
the   O
surgical   O
procedure   O
and   O
was   O
informed   O
of   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
potential   O
complications   O
of   O
surgery   O
.   O

Raythus   B-NAME
Ibric   I-NAME
was   O
transferred   O
to   O
the   O
surgical   O
unit   O
in   O
preparation   O
for   O
an   O
appendectomy   O
scheduled   O
for   O
37/22   B-DATE
/2023   O
.   O

The   O
contact   O
number   O
provided   O
for   O
any   O
further   O
inquiries   O
or   O
updates   O
regarding   O
the   O
patient   O
's   O
status   O
is   O
29142   B-CONTACT
.   O

The   O
patient   O
's   O
family   O
,   O
specifically   O
Karsyn   B-NAME
Potts   I-NAME
's   O
spouse   O
who   O
is   O
a   O
Personal   O
Financial   O
Advisors   O
,   O
has   O
been   O
notified   O
and   O
will   O
arrive   O
at   O
Ashland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Ashland   I-LOCATION
prior   O
to   O
surgery   O
.   O

Patient   O
Name   O
:   O
Zaiden   B-NAME
Clayton   I-NAME
Patient   O
KD:99279:978625   B-ID
:   O
15136774   B-ID
Date   O
of   O
Birth   O
:   O
01/34   B-DATE
Age   O
:   O
27   O
Address   O
:   O
Westhampton   B-LOCATION
Beach   I-LOCATION
,   O
98534   B-LOCATION
Phone   O
:   O
21130   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Isis   B-NAME
Strong   I-NAME
Hospital   O
:   O

Upper   B-LOCATION
Connecticut   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2164   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
03   I-DATE
Date   O
of   O
Discharge   O
:   O
3225   B-DATE
Clinical   O
Summary   O
:   O
Alison   B-NAME
Randall   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Jacksonville   I-LOCATION
on   O
February   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
characterized   O
by   O
sharp   O
,   O
stabbing   O
sensations   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Holden   B-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Paul   B-NAME
Reilly   I-NAME
's   O
past   O
medical   O
history   O
,   O
documented   O
under   O
14789235   B-ID
,   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
.   O

Craig   B-NAME
Brennan   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Lawyers   O
and   O
has   O
no   O
known   O
allergies   O
.   O

Treatment   O
Summary   O
:   O
Under   O
the   O
care   O
of   O
Vang   B-NAME
,   O
Burl   B-NAME
Harty   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
on   O
2/20   B-DATE
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Rand   B-NAME
,   I-NAME
Ayn   I-NAME
responded   O
well   O
to   O
the   O
intervention   O
.   O

Jamari   B-NAME
Glover   I-NAME
was   O
monitored   O
for   O
signs   O
of   O
post   O
-   O
surgical   O
infection   O
or   O
complications   O
.   O

Quintanar   B-NAME
was   O
discharged   O
on   O
02/29   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
,   O
and   O
guidance   O
on   O
gradual   O
return   O
to   O
normal   O
activities   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Carson   B-NAME
was   O
scheduled   O
for   O
31/28/2043   B-DATE
at   O
West   B-LOCATION
Millgrove   I-LOCATION
to   O
assess   O
recovery   O
progress   O
.   O

Neale   B-NAME
Xiao   I-NAME
was   O
advised   O
to   O
follow   O
a   O
balanced   O
diet   O
,   O
maintain   O
hydration   O
,   O
and   O
avoid   O
strenuous   O
activities   O
for   O
92   O
weeks   O
post   O
-   O
discharge   O
.   O

Prescribed   O
medications   O
upon   O
discharge   O
included   O
acetaminophen   O
for   O
pain   O
management   O
and   O
a   O
course   O
of   O
oral   O
antibiotics   O
to   O
complete   O
the   O
antibiotic   O
therapy   O
initiated   O
in   O
Canton   B-LOCATION
-   I-LOCATION
Potsdam   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Beatrice   B-NAME
Bradford   I-NAME
was   O
instructed   O
to   O
contact   O
Poudre   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
's   O
general   O
helpline   O
at   O
368   B-CONTACT
8373   I-CONTACT
or   O
reach   O
out   O
directly   O
to   O
Luis   B-NAME
Bishop   I-NAME
's   O
office   O
.   O

Notification   O
of   O
Data   O
Use   O
:   O
All   O
personal   O
and   O
medical   O
information   O
of   O
Bavadra   B-NAME
,   I-NAME
Timoci   I-NAME
,   O
including   O
35624172   B-ID
,   O
CV:20161:772535   B-ID
,   O
and   O
contact   O
details   O
(   O
85239   B-CONTACT
,   O
El   B-LOCATION
Centro   I-LOCATION
,   O
47196   B-LOCATION
)   O
,   O
are   O
protected   O
and   O
used   O
in   O
compliance   O
with   O
GMB   B-LOCATION
privacy   O
policies   O
.   O

The   O
clinical   O
summary   O
serves   O
for   O
medical   O
documentation   O
and   O
may   O
be   O
utilized   O
for   O
quality   O
improvement   O
within   O
St.   B-LOCATION
Anthony   I-LOCATION
North   I-LOCATION
Health   I-LOCATION
Campus   I-LOCATION
and   O
related   O
healthcare   O
entities   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
uek207   B-NAME
,   O
adhering   O
to   O
the   O
privacy   O
and   O
information   O
handling   O
policies   O
of   O
Titan   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
and   O
Detroit   B-LOCATION
Receiving   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Hartman   B-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
3468587   I-ID
Medical   O
Record   O
Number   O
:   O
082   B-ID
-   I-ID
84   I-ID
-   I-ID
73   I-ID
Date   O
of   O
Birth   O
:   O
12/33/2329   B-DATE
Age   O
:   O
5s   O
Phone   O
Number   O
:   O
(   B-CONTACT
402   I-CONTACT
)   I-CONTACT
627   I-CONTACT
-   I-CONTACT
6964   I-CONTACT
Address   O
:   O
Woodall   B-LOCATION
,   O
18129   B-LOCATION
Employment   O
:   O
Directors-   O
Stage   O
,   O
Motion   O
Pictures   O
,   O
Television   O
,   O
and   O
Radio   O
at   O
Veterans   B-LOCATION
'   I-LOCATION
Alliance   I-LOCATION
for   I-LOCATION
Security   I-LOCATION
and   I-LOCATION
Democracy   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Rashad   B-NAME
Holt   I-NAME
Treatment   O
Facility   O
:   O
Seton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Harker   I-LOCATION
Heights   I-LOCATION
Presentation   O
and   O
Symptoms   O
:   O
Sun   B-NAME
was   O
admitted   O
to   O
Homestead   B-LOCATION
Hospital   I-LOCATION
on   O
1930   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
21   I-DATE
with   O
a   O
complaint   O
of   O
persistent   O
headache   O
,   O
dizziness   O
,   O
and   O
episodes   O
of   O
blurred   O
vision   O
over   O
the   O
past   O
6   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
60   I-DATE
.   O

Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
also   O
reported   O
experiencing   O
occasional   O
nausea   O
without   O
vomiting   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Landin   B-NAME
Campos   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
pressure   O
140/90   O
mmHg   O
,   O
heart   O
rate   O
78   O
bpm   O
,   O
and   O
temperature   O
98.6   O
°   O
F   O
.   O

An   O
MRI   O
of   O
the   O
head   O
was   O
performed   O
on   O
3/10   B-DATE
,   O
revealing   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

However   O
,   O
a   O
slight   O
thickening   O
of   O
the   O
right   O
optic   O
nerve   O
sheath   O
was   O
observed   O
,   O
necessitating   O
further   O
evaluation   O
by   O
a   O
specialist   O
in   O
neuro   O
-   O
ophthalmology   O
at   O
Advanced   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
.   O

Management   O
Plan   O
:   O
Dr.   O
London   B-NAME
Roberts   I-NAME
has   O
recommended   O
a   O
follow   O
-   O
up   O
with   O
a   O
neuro   O
-   O
ophthalmologist   O
to   O
further   O
assess   O
the   O
optic   O
nerve   O
findings   O
.   O

In   O
addition   O
,   O
Herman   B-NAME
was   O
advised   O
to   O
monitor   O
their   O
blood   O
pressure   O
at   O
home   O
and   O
maintain   O
a   O
log   O
to   O
be   O
reviewed   O
during   O
their   O
next   O
visit   O
.   O

Follow   O
-   O
up   O
and   O
Precautions   O
:   O
Glennis   B-NAME
Halbritter   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Mary   B-LOCATION
Greeley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Dr.   O
Franklin   B-NAME
on   O
1/22   B-DATE
to   O
review   O
the   O
home   O
blood   O
pressure   O
log   O
and   O
assess   O
responses   O
to   O
the   O
analgesic   O
treatment   O
.   O

Magnentius   B-NAME
Haakinson   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
worsening   O
headache   O
,   O
vision   O
changes   O
,   O
or   O
other   O
new   O
symptoms   O
.   O

Emergency   O
Contact   O
:   O
River   B-NAME
Watson   I-NAME
's   O
emergency   O
contact   O
is   O
listed   O
as   O
lfu805   B-NAME
,   O
reachable   O
at   O
49147   B-CONTACT
.   O

Instructions   O
for   O
Dolphy   B-NAME
,   I-NAME
Eric   I-NAME
:   O
-   O
Monitor   O
and   O
log   O
blood   O
pressure   O
twice   O
daily   O
.   O
-   O
Follow   O
the   O
prescribed   O
dosage   O
of   O
analgesics   O
to   O
manage   O
pain   O
.   O

The   O
clinical   O
care   O
team   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
remains   O
available   O
for   O
any   O
questions   O
or   O
concerns   O
Bailey   B-NAME
,   I-NAME
Philip   I-NAME
James   I-NAME
may   O
have   O
prior   O
to   O
the   O
next   O
scheduled   O
visit   O
.   O

Patient   O
Name   O
:   O
Fry   B-NAME
Date   O
of   O
Birth   O
:   O
22/81   B-DATE
ID   O
:   O
258580425   B-ID
Medical   O
Record   O
Number   O
:   O
6958524   B-ID
Attending   O
Physician   O
:   O

Theodore   B-NAME
Patterson   I-NAME
Hospital   O
:   O
Medical   B-LOCATION
City   I-LOCATION
Plano   I-LOCATION
Phone   O
:   O
462   B-CONTACT
684   I-CONTACT
3074   I-CONTACT
Address   O
:   O
Pearland   B-LOCATION
,   O
68532   B-LOCATION
Employer   O
:   O

Satilla   B-LOCATION
REMC   I-LOCATION
Occupation   O
:   O
Speech   O
-   O
Language   O
Pathologists   O
Username   O
:   O
YD283   B-NAME
Chief   O
Complaint   O
:   O
Jayce   B-NAME
Parker   I-NAME
,   O
a   O
95   O
-   O
year   O
-   O
old   O
Engineering   O
Teachers   O
,   O
Postsecondary   O
working   O
at   O
Rural   B-LOCATION
Industry   I-LOCATION
Promotions   I-LOCATION
Company   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
located   O
in   O
Skyline   B-LOCATION
View   I-LOCATION
,   O
presented   O
to   O
CJW   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Johnston   I-LOCATION
-   I-LOCATION
Willis   I-LOCATION
Campus   I-LOCATION
on   O
07/37   B-DATE
with   O
a   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
and   O
bilateral   O
lower   O
extremity   O
edema   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Amirah   B-NAME
Fitzpatrick   I-NAME
also   O
noted   O
increased   O
fatigue   O
,   O
limiting   O
physical   O
activity   O
,   O
which   O
is   O
unusual   O
for   O
the   O
patient   O
's   O
normal   O
daily   O
routines   O
.   O

Gaines   B-NAME
denies   O
any   O
chest   O
pain   O
,   O
palpitations   O
,   O
or   O
syncope   O
.   O

Past   O
Medical   O
History   O
:   O
Delgado   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O

The   O
patient   O
has   O
been   O
compliant   O
with   O
all   O
prescribed   O
medications   O
and   O
follows   O
up   O
regularly   O
with   O
Mcconnell   B-NAME
at   O
Reid   B-LOCATION
Health   I-LOCATION
for   O
routine   O
checks   O
.   O

Schedule   O
follow   O
-   O
up   O
appointment   O
in   O
one   O
week   O
with   O
Jack   B-NAME
Harper   I-NAME
at   O
Commonwealth   B-LOCATION
Regional   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
or   O
earlier   O
if   O
symptoms   O
worsen   O
.   O

Nunez   B-NAME
was   O
advised   O
to   O
contact   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Marble   I-LOCATION
Falls   I-LOCATION
at   O
366   B-CONTACT
-   I-CONTACT
9576   I-CONTACT
in   O
case   O
of   O
emergency   O
or   O
concerns   O
.   O

Prepared   O
by   O
:   O
Lloyd   B-NAME
,   I-NAME
Seth   I-NAME
,   O
M.D.   O
Date   O
:   O
1833   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
26   I-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Jovany   B-NAME
Crawford   I-NAME
Age   O
:   O
29   O
Sex   O
:   O
Male   O
Date   O
of   O
Admission   O
:   O
2299   B-DATE
-   I-DATE
38   I-DATE
-   I-DATE
33   I-DATE
/2023   O
Hospital   O
:   O
Terre   B-LOCATION
Haute   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Pedley   B-LOCATION
Medical   O
Record   O
Number   O
:   O
095   B-ID
-   I-ID
80   I-ID
-   I-ID
33   I-ID
-   I-ID
3   I-ID
Doctor   O
:   O
Ashlyn   B-NAME
Rios   I-NAME
ZIP   O
Code   O
:   O
38894   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
391   I-CONTACT
)   I-CONTACT
803   I-CONTACT
-   I-CONTACT
8532   I-CONTACT
Occupation   O
:   O
Research   O
scientist   O
ID   O
Number   O
:   O
1832950   B-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Rohan   B-NAME
Fitzpatrick   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Baptist   B-LOCATION
Health   I-LOCATION
Paducah   I-LOCATION
on   O
16/18   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Hodge   B-NAME
reported   O
that   O
the   O
chest   O
pain   O
was   O
sudden   O
in   O
onset   O
,   O
located   O
centrally   O
and   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Uy   B-NAME
is   O
currently   O
taking   O
Metformin   O
for   O
diabetes   O
and   O
Lisinopril   O
for   O
hypertension   O
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
on   O
the   O
paternal   O
side   O
,   O
with   O
Middleton   B-NAME
's   O
father   O
having   O
passed   O
away   O
from   O
a   O
myocardial   O
infarction   O
at   O
60s   O
.   O

Social   O
History   O
:   O
Kurosawa   B-NAME
,   I-NAME
Akira   I-NAME
is   O
a   O
Public   O
Address   O
System   O
and   O
Other   O
Announcers   O
from   O
West   B-LOCATION
Nanticoke   I-LOCATION
and   O
reports   O
occasional   O
alcohol   O
use   O
but   O
denies   O
smoking   O
or   O
recreational   O
drug   O
use   O
.   O

On   O
examination   O
,   O
Jaelynn   B-NAME
Butler   I-NAME
appeared   O
anxious   O
and   O
was   O
experiencing   O
diaphoresis   O
.   O

Wolfe   B-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
under   O
the   O
care   O
of   O
Oconnell   B-NAME
for   O
further   O
observation   O
and   O
management   O
,   O
which   O
might   O
include   O
cardiac   O
catheterization   O
based   O
on   O
ongoing   O
evaluations   O
.   O

Disposition   O
:   O
After   O
initial   O
treatment   O
,   O
Henson   B-NAME
's   O
chest   O
pain   O
subsided   O
,   O
and   O
vital   O
signs   O
stabilized   O
.   O

Follow   O
-   O
Up   O
:   O
LISA   B-NAME
NOYES   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
clinic   O
of   O
Franciscan   B-LOCATION
St.   I-LOCATION
James   I-LOCATION
Health   I-LOCATION
-   I-LOCATION
Olympia   I-LOCATION
Fields   I-LOCATION
on   O
2062   B-DATE
/2023   O
.   O

Prepared   O
by   O
:   O
VI226   B-NAME
Contact   O
Information   O
:   O
(   B-CONTACT
563   I-CONTACT
)   I-CONTACT
506   I-CONTACT
-   I-CONTACT
1641   I-CONTACT
at   O
Grady   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION

Patient   O
:   O
The   B-NAME
Rock   I-NAME
Age   O
:   O
40   O
Phone   O
Number   O
:   O
52118   B-CONTACT
Medical   O
Record   O
Number   O
:   O
31311128   B-ID
Date   O
of   O
Report   O
:   O
16/23/21   B-DATE

Attending   O
Doctor   O
:   O
Bowers   B-NAME
Hospital   O
Name   O
:   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Chester   B-LOCATION
Center   I-LOCATION
,   O
75117   B-LOCATION
Profession   O
:   O
Equal   O
Opportunity   O
Representatives   O
and   O
Officers   O
ID   O
Number   O
:   O
SG:64122:129938   B-ID
Username   O
:   O
fs509   B-NAME
33/22   B-DATE
-   O
Patient   O
Bennett   B-NAME
Daugherty   I-NAME
,   O
a   O
85   O
-   O
year   O
-   O
old   O
Marine   O
Architects   O
residing   O
in   O
Fergus   B-LOCATION
Falls   I-LOCATION
,   O
34680   B-LOCATION
,   O
reported   O
to   O
Lakeland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
nausea   O
for   O
the   O
past   O
6   O
hours   O
.   O

Yogami   B-NAME
denied   O
any   O
recent   O
travel   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Physical   O
Examination   O
:   O
Physical   O
examination   O
by   O
Dr.   O
Shepherd   B-NAME
revealed   O
epigastric   O
tenderness   O
upon   O
palpation   O
,   O
with   O
no   O
signs   O
of   O
rebound   O
tenderness   O
.   O

An   O
abdominal   O
ultrasound   O
,   O
performed   O
on   O
12/3   B-DATE
,   O
showed   O
gallstones   O
and   O
thickening   O
of   O
the   O
gallbladder   O
wall   O
,   O
consistent   O
with   O
acute   O
cholecystitis   O
.   O

Management   O
:   O
The   O
patient   O
Darwin   B-NAME
Li   I-NAME
was   O
admitted   O
to   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Branch   I-LOCATION
for   O
intravenous   O
hydration   O
,   O
pain   O
management   O
,   O
and   O
antibiotic   O
therapy   O
,   O
under   O
the   O
care   O
of   O
Kael   B-NAME
Daugherty   I-NAME
.   O

A   O
consultation   O
with   O
a   O
gastroenterologist   O
was   O
scheduled   O
for   O
2270   B-DATE
to   O
evaluate   O
the   O
need   O
for   O
a   O
cholecystectomy   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
32/01/2216   B-DATE
post   O
-   O
discharge   O
to   O
monitor   O
liver   O
function   O
tests   O
and   O
overall   O
recovery   O
progress   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Wheatland   B-LOCATION
Bank   I-LOCATION
at   O
593   B-CONTACT
-   I-CONTACT
721   I-CONTACT
8956   I-CONTACT
in   O
case   O
of   O
any   O
emergency   O
symptoms   O
,   O
including   O
but   O
not   O
limited   O
to   O
,   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
jaundice   O
.   O

Patient   O
Name   O
:   O
Krishnamurti   B-NAME
,   I-NAME
Jiddu   I-NAME
Patient   O
ID   O
:   O
BP   B-ID
:   I-ID
TE:1745   I-ID
Medical   O
Record   O
Number   O
:   O
1405896   B-ID
Date   O
of   O
Birth   O
:   O
06/28/70   B-DATE
Age   O
:   O
5   O
Address   O
:   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11209   I-LOCATION
,   O
71388   B-LOCATION
Phone   O
:   O
664   B-CONTACT
4244   I-CONTACT

Attending   O
Physician   O
:   O
Mahoney   B-NAME
Username   O
:   O

rfw6010   B-NAME
Occupation   O
:   O
Electronics   O
Engineers   O
,   O
Except   O
Computer   O
Hospital   O
:   O
Baptist   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Golden   I-LOCATION
Triangle   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Izabelle   B-NAME
Burch   I-NAME
,   O
presented   O
with   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
which   O
has   O
been   O
persistent   O
for   O
the   O
past   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lorri   B-NAME
Whitmore   I-NAME
indicated   O
that   O
the   O
abdominal   O
pain   O
initially   O
started   O
in   O
the   O
mid   O
-   O
epigastric   O
region   O
and   O
described   O
it   O
as   O
a   O
sharp   O
,   O
piercing   O
pain   O
.   O

Also   O
,   O
Karlee   B-NAME
Lindsey   I-NAME
has   O
been   O
previously   O
diagnosed   O
with   O
hypertension   O
,   O
controlled   O
with   O
medication   O
.   O

Allergies   O
:   O
Mcgee   B-NAME
reports   O
an   O
allergy   O
to   O
penicillin   O
,   O
causing   O
hives   O
.   O

Lawrence   B-NAME
Wilhelm   I-NAME
is   O
currently   O
taking   O
Metformin   O
and   O
Lisinopril   O
.   O

Both   O
parents   O
of   O
Doug   B-NAME
had   O
been   O
diagnosed   O
with   O
heart   O
conditions   O
in   O
their   O
late   O
fifties   O
.   O

Oates   B-NAME
is   O
a   O
Retail   O
buyer   O
,   O
lives   O
in   O
Grizzly   B-LOCATION
Flats   I-LOCATION
,   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Aarav   B-NAME
Castaneda   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Initial   O
laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
and   O
amylase   O
and   O
lipase   O
levels   O
were   O
ordered   O
by   O
Bishop   B-NAME
.   O

Geovanni   B-NAME
Kim   I-NAME
was   O
admitted   O
to   O
Northeast   B-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
evaluation   O
.   O

Devan   B-NAME
Santiago   I-NAME
advised   O
against   O
oral   O
intake   O
until   O
the   O
underlying   O
cause   O
of   O
the   O
symptoms   O
was   O
identified   O
.   O

Follow   O
-   O
Up   O
:   O
Potts   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
03   B-DATE
,   O
to   O
discuss   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
and   O
to   O
formulate   O
a   O
long   O
-   O
term   O
management   O
plan   O
.   O

Contact   O
Information   O
:   O
For   O
any   O
urgent   O
issues   O
,   O
Dominique   B-NAME
Clark   I-NAME
or   O
a   O
representative   O
can   O
contact   O
the   O
hospital   O
at   O
979   B-CONTACT
-   I-CONTACT
5296   I-CONTACT
.   O

Patient   O
Name   O
:   O
Giacometti   B-NAME
,   I-NAME
Alberto   I-NAME
Age   O
:   O
54   O
Date   O
:   O
21/02   B-DATE
Physician   O
:   O

Song   B-NAME
Lepak   I-NAME
Medical   O
Record   O
Number   O
:   O
757   B-ID
-   I-ID
93   I-ID
-   I-ID
55   I-ID
-   I-ID
6   I-ID
Hospital   O
:   O
FirstHealth   B-LOCATION
Moore   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Everest   B-LOCATION
Phone   O
:   O
481   B-CONTACT
-   I-CONTACT
2394   I-CONTACT
ID   O
:   O
2   B-ID
-   I-ID
3467888   I-ID
Organization   O
:   O

HCC   B-LOCATION
Insurance   I-LOCATION
Holdings   I-LOCATION
Zip   O
:   O
74222   B-LOCATION
Username   O
:   O
TC458   B-NAME
Profession   O
:   O
Directors   O
,   O
Religious   O
Activities   O
and   O
Education   O
Clinical   O
Summary   O
:   O
Ba   B-NAME
Jin   I-NAME
,   O
a   O
Residential   O
Advisors   O
from   O
Browndell   B-LOCATION
,   O
presented   O
to   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
Bossier   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
2220   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
02   I-DATE
with   O
a   O
history   O
of   O
persistent   O
headaches   O
,   O
photophobia   O
,   O
and   O
episodic   O
dizziness   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Delilah   B-NAME
Hodge   I-NAME
also   O
reported   O
experiencing   O
nausea   O
but   O
no   O
vomiting   O
.   O

The   O
photophobia   O
has   O
made   O
it   O
difficult   O
for   O
Yen   B-NAME
McNicol   I-NAME
to   O
work   O
on   O
the   O
computer   O
,   O
significantly   O
impacting   O
[   O
HIS   O
/   O
HER   O
]   O
job   O
performance   O
as   O
a   O
Producers   O
and   O
Directors   O
.   O

Upon   O
examination   O
,   O
Taylor   B-NAME
Lynn   I-NAME
noted   O
that   O
Xavier   B-NAME
Dotson   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Given   O
the   O
persistence   O
and   O
severity   O
of   O
the   O
symptoms   O
,   O
Kylan   B-NAME
Kemp   I-NAME
decided   O
to   O
order   O
an   O
MRI   O
of   O
the   O
brain   O
to   O
rule   O
out   O
any   O
serious   O
underlying   O
conditions   O
.   O

The   O
MRI   O
,   O
performed   O
on   O
7/0   B-DATE
,   O
showed   O
no   O
acute   O
intracranial   O
process   O
.   O

Considering   O
the   O
MRI   O
results   O
and   O
clinical   O
presentation   O
,   O
Yael   B-NAME
Daugherty   I-NAME
diagnosed   O
Fulghum   B-NAME
,   I-NAME
Robert   I-NAME
with   O
migraine   O
headaches   O
and   O
prescribed   O
a   O
course   O
of   O
triptans   O
for   O
acute   O
management   O
and   O
a   O
preventive   O
medication   O
regimen   O
to   O
reduce   O
the   O
frequency   O
and   O
severity   O
of   O
headache   O
episodes   O
.   O

OCASIO   B-NAME
,   I-NAME
WANDA   I-NAME
's   O
contact   O
information   O
has   O
been   O
recorded   O
as   O
(   B-CONTACT
769   I-CONTACT
)   I-CONTACT
199   I-CONTACT
-   I-CONTACT
7015   I-CONTACT
and   O
TU:81034:609716   B-ID
for   O
future   O
correspondence   O
.   O

Future   O
appointments   O
have   O
been   O
scheduled   O
to   O
monitor   O
Milan   B-NAME
's   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Isabel   B-NAME
Vaughan   I-NAME
has   O
been   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
headaches   O
'   O
pattern   O
and   O
severity   O
.   O

In   O
summary   O
,   O
Fisher   B-NAME
Mcclure   I-NAME
presented   O
with   O
symptoms   O
indicative   O
of   O
migraine   O
headaches   O
.   O

Initial   O
treatment   O
has   O
been   O
initiated   O
,   O
and   O
close   O
follow   O
-   O
up   O
is   O
planned   O
to   O
ensure   O
adequate   O
control   O
of   O
symptoms   O
and   O
improvement   O
in   O
Carroll   B-NAME
's   O
quality   O
of   O
life   O
.   O

Patient   O
Name   O
:   O
Zeities   B-NAME
Gevorkian   I-NAME
Medical   O
Record   O
Number   O
:   O
6209788   B-ID
Date   O
of   O
Birth   O
:   O
2/8   B-DATE
Age   O
:   O
26   O
Address   O
:   O
Virginia   B-LOCATION
Beach   I-LOCATION
,   O
57020   B-LOCATION
Phone   O
Number   O
:   O
553   B-CONTACT
-   I-CONTACT
8965   I-CONTACT

Sathya   B-NAME
Sai   I-NAME
Baba   I-NAME
Employer   O
:   O
Tricare   B-LOCATION
Profession   O
:   O

Police   O
Patrol   O
Officers   O
Admission   O
Date   O
:   O
2/22   B-DATE
Discharge   O
Date   O
:   O
30/82   B-DATE
Hospital   O
Name   O
:   O
University   B-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Gianna   B-NAME
Howe   I-NAME
,   O
a   O
96   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Transportation   O
and   O
Material   O
-   O
Moving   O
Machine   O
and   O
Vehicle   O
Operators   O
residing   O
in   O
Philip   B-LOCATION
,   O
52225   B-LOCATION
,   O
was   O
admitted   O
to   O
Avera   B-LOCATION
Queen   I-LOCATION
of   I-LOCATION
Peace   I-LOCATION
Hospital   I-LOCATION
on   O
Mar.   B-DATE
2371   I-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
22/07/2011   B-DATE
.   O

Vital   O
signs   O
at   O
the   O
time   O
of   O
admission   O
included   O
a   O
temperature   O
of   O
39.2   O
°   O
C   O
,   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
/   O
min   O
.   O
Marlon   B-NAME
Branch   I-NAME
's   O
past   O
medical   O
history   O
,   O
obtained   O
via   O
270   B-CONTACT
9905   I-CONTACT
from   O
Greer   B-NAME
,   O
includes   O
controlled   O
hypertension   O
and   O
a   O
recent   O
diagnosis   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O

On   O
physical   O
examination   O
,   O
Grace   B-NAME
Ryan   I-NAME
appeared   O
acutely   O
unwell   O
,   O
with   O
diminished   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
bilaterally   O
on   O
auscultation   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
radiologic   O
findings   O
,   O
Irineo   B-NAME
Tovar   I-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
and   O
antiviral   O
agents   O
under   O
the   O
guidance   O
of   O
Bridget   B-NAME
Garner   I-NAME
.   O

Yoel   B-NAME
Newcomb   I-NAME
's   O
condition   O
gradually   O
improved   O
over   O
the   O
course   O
of   O
the   O
stay   O
,   O
with   O
resolution   O
of   O
fever   O
and   O
improvement   O
in   O
respiratory   O
symptoms   O
.   O

Follow   O
-   O
up   O
consultations   O
have   O
been   O
scheduled   O
with   O
Ayala   B-NAME
at   O
Larned   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Larned   I-LOCATION
,   O
and   O
Stout   B-NAME
,   I-NAME
Rex   I-NAME
was   O
advised   O
to   O
maintain   O
strict   O
glycemic   O
control   O
and   O
monitor   O
for   O
any   O
signs   O
of   O
respiratory   O
distress   O
.   O

Instructions   O
were   O
given   O
to   O
contact   O
Hugh   B-LOCATION
Chatham   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
77509   B-CONTACT
for   O
any   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
.   O

The   O
medical   O
record   O
number   O
for   O
this   O
admission   O
is   O
07792023   B-ID
.   O

Prepared   O
by   O
:   O
CE422   B-NAME
Date   O
:   O
2227   B-DATE
Contact   O
Information   O
:   O
832   B-CONTACT
-   I-CONTACT
3707   I-CONTACT

Patient   O
Name   O
:   O
Baylee   B-NAME
Kent   I-NAME
Patient   O
ID   O
:   O
FA:49955:753658   B-ID
Medical   O
Record   O
Number   O
:   O
346   B-ID
-   I-ID
92   I-ID
-   I-ID
36   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
29/00/2344   B-DATE
Age   O
:   O
1   O
month   O
Phone   O
Number   O
:   O
777   B-CONTACT
9740   I-CONTACT
Address   O
:   O
CO55   B-LOCATION
3RS   I-LOCATION
,   O
48261   B-LOCATION
Employment   O
:   O
Food   O
Scientists   O
and   O
Technologists   O
at   O
International   B-LOCATION
Rehabilitation   I-LOCATION
Council   I-LOCATION
for   I-LOCATION
Torture   I-LOCATION
Victims   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Cuevas   B-NAME
Admission   O
Date   O
:   O
9/01   B-DATE
Hospital   O
:   O
Phoebe   B-LOCATION
Worth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Dereon   B-NAME
Hicks   I-NAME
was   O
presented   O
to   O
the   O
emergency   O
department   O
(   O
ED   O
)   O
of   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
03/18/2225   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Brooklynn   B-NAME
Elliott   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
subjective   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Candy   B-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
Financial   O
Managers   O
,   O
Branch   O
or   O
Department   O
at   O
GEICO   B-LOCATION
,   O
has   O
no   O
known   O
past   O
medical   O
history   O
of   O
similar   O
symptoms   O
.   O

The   O
onset   O
of   O
the   O
pain   O
was   O
sudden   O
,   O
following   O
a   O
meal   O
at   O
a   O
new   O
restaurant   O
in   O
Newnan   B-LOCATION
on   O
3/13/2322   B-DATE
.   O

Craig   B-NAME
Holland   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
apart   O
from   O
the   O
mentioned   O
restaurant   O
meal   O
.   O

Christian   B-NAME
also   O
notes   O
that   O
the   O
pain   O
slightly   O
worsens   O
with   O
movement   O
and   O
has   O
not   O
found   O
relief   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

In   O
addition   O
to   O
the   O
chief   O
complaint   O
,   O
Elianna   B-NAME
Andersen   I-NAME
reports   O
no   O
changes   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
or   O
recent   O
weight   O
loss   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Ricardo   B-NAME
Ellis   I-NAME
was   O
noted   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Initial   O
laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
basic   O
metabolic   O
panel   O
(   O
BMP   O
)   O
,   O
and   O
inflammatory   O
markers   O
(   O
CRP   O
,   O
ESR   O
)   O
were   O
ordered   O
by   O
Dr.   O
Ellis   B-NAME
Grey   I-NAME
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Welch   B-NAME
consulted   O
General   O
Surgery   O
upon   O
confirming   O
the   O
diagnosis   O
.   O

It   O
was   O
determined   O
that   O
Hector   B-NAME
Faulkner   I-NAME
would   O
undergo   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
the   O
following   O
morning   O
on   O
23/23/2302   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Abel   B-NAME
Beard   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Sha   B-NAME
Gaseoma   I-NAME
in   O
the   O
surgical   O
outpatient   O
clinic   O
at   O
LifeCare   B-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
Western   I-LOCATION
Michigan   I-LOCATION
one   O
week   O
post   O
-   O
operatively   O
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Instructions   O
have   O
been   O
given   O
to   O
Brand   B-NAME
,   I-NAME
Max   I-NAME
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
and   O
to   O
manage   O
post   O
-   O
operative   O
pain   O
.   O

Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Odin   B-NAME
Moon   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
,   O
increase   O
fluid   O
intake   O
,   O
and   O
gradually   O
return   O
to   O
normal   O
activities   O
as   O
tolerated   O
.   O

Potter   B-NAME
's   I-NAME
was   O
instructed   O
to   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

Emergency   O
Contact   O
:   O
Should   O
Gary   B-NAME
Lansing   I-NAME
have   O
any   O
concerning   O
symptoms   O
such   O
as   O
fevers   O
,   O
chills   O
,   O
increased   O
pain   O
,   O
or   O
issues   O
with   O
the   O
surgical   O
site   O
,   O
Olive   B-NAME
Randall   I-NAME
is   O
advised   O
to   O
contact   O
the   O
surgical   O
team   O
at   O
167   B-CONTACT
-   I-CONTACT
3824   I-CONTACT
or   O
return   O
to   O
the   O
ED   O
of   O
Heartland   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
.   O

This   O
report   O
was   O
created   O
by   O
CK539   B-NAME
on   O
June   B-DATE
2185   I-DATE
.   O

The   O
information   O
contained   O
in   O
this   O
document   O
is   O
confidential   O
and   O
was   O
prepared   O
specifically   O
for   O
the   O
medical   O
team   O
involved   O
in   O
the   O
care   O
of   O
Jaslyn   B-NAME
Decker   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Shane   B-NAME
Marshall   I-NAME
Age   O
:   O
46   O
Medical   O
Record   O
Number   O
:   O
088   B-ID
-   I-ID
25   I-ID
-   I-ID
67   I-ID
Date   O
of   O
Visit   O
:   O
Jun   B-DATE
03   I-DATE
,   I-DATE
2171   I-DATE
Physician   O
:   O

Richard   B-NAME
Hardin   I-NAME
Summary   O
:   O
Gagarin   B-NAME
,   I-NAME
Yuri   I-NAME
,   O
a   O
Fundraisers   O
residing   O
at   O
Iberia   B-LOCATION
,   O
presented   O
to   O
Christian   B-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
on   O
3/2360   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
constricting   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
arrival   O
at   O
Providence   B-LOCATION
Hospital   I-LOCATION
,   O
a   O
12   O
-   O
lead   O
ECG   O
was   O
performed   O
,   O
indicating   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
suggesting   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

Cardiac   O
biomarkers   O
were   O
ordered   O
:   O
Initial   O
troponin   O
levels   O
were   O
elevated   O
at   O
OV   B-ID
:   I-ID
FX:2843   I-ID
ng   O
/   O
mL   O
(   O
normal   O
range   O
:   O
0   O
-   O
0.04   O
ng   O
/   O
mL   O
)   O
,   O
and   O
CK   O
-   O
MB   O
also   O
showed   O
an   O
increased   O
level   O
of   O
LJ   B-ID
:   I-ID
BR:1176   I-ID
U   O
/   O
L   O
(   O
normal   O
range   O
:   O
5   O
-   O
25   O
U   O
/   O
L   O
)   O
.   O

Given   O
the   O
patient   O
's   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
a   O
consultation   O
with   O
Hosea   B-NAME
McCalvin   I-NAME
,   O
a   O
cardiologist   O
attached   O
to   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Boonton   I-LOCATION
Township   I-LOCATION
,   O
was   O
arranged   O
.   O

Fischer   B-NAME
,   I-NAME
Bobby   I-NAME
was   O
discharged   O
on   O
02/26/2134   B-DATE
with   O
prescriptions   O
for   O
dual   O
antiplatelet   O
therapy   O
(   O
aspirin   O
and   O
clopidogrel   O
)   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
an   O
ACE   O
inhibitor   O
,   O
and   O
a   O
statin   O
.   O

Dietary   O
and   O
lifestyle   O
modifications   O
were   O
strongly   O
recommended   O
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Wells   B-NAME
in   O
Sanpete   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
's   O
cardiology   O
clinic   O
on   O
23/29   B-DATE
.   O

Davis   B-NAME
Horton   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
recur   O
.   O

Next   O
of   O
kin   O
listed   O
as   O
qa183   B-NAME
,   O
available   O
at   O
(   B-CONTACT
482   I-CONTACT
)   I-CONTACT
667   I-CONTACT
3971   I-CONTACT
.   O

Patient   O
Education   O
:   O
Dante   B-NAME
Dejoode   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
regarding   O
heart   O
-   O
healthy   O
lifestyle   O
choices   O
,   O
the   O
importance   O
of   O
adherence   O
to   O
medication   O
,   O
and   O
recognizing   O
the   O
signs   O
and   O
symptoms   O
of   O
cardiac   O
distress   O
.   O

Privacy   O
and   O
Confidentiality   O
:   O
All   O
patient   O
information   O
including   O
name   O
House   B-NAME
,   I-NAME
Jinnah   I-NAME
,   O
48   O
,   O
481   B-ID
-   I-ID
98   I-ID
-   I-ID
12   I-ID
,   O
contact   O
13553   B-CONTACT
,   O
and   O
residential   O
40189   B-LOCATION
has   O
been   O
kept   O
confidential   O
in   O
accordance   O
with   O
health   O
information   O
privacy   O
policies   O
.   O

Report   O
Completed   O
by   O
:   O
Nancy   B-NAME
Mitchell   I-NAME
,   O
00   B-DATE
-   I-DATE
23   I-DATE

Patient   O
Name   O
:   O
Damien   B-NAME
Pigford   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
5054617   I-ID
Medical   O
Record   O
Number   O
:   O
979   B-ID
-   I-ID
52   I-ID
-   I-ID
81   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Birth   O
:   O
1/20   B-DATE
Age   O
:   O
60s   O
Phone   O
Number   O
:   O
385   B-CONTACT
7444   I-CONTACT
Address   O
:   O
88   B-LOCATION
Tanglewood   I-LOCATION
St.   I-LOCATION
,   O
76237   B-LOCATION
Admitting   O
Hospital   O
:   O
St.   B-LOCATION
Petersburg   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O
Mcdonald   B-NAME
Date   O
of   O
Admission   O
:   O
15/21   B-DATE
Date   O
of   O
Discharge   O
:   O
28/34/70   B-DATE
Profession   O
:   O
Mining   O
Machine   O
Operators   O
,   O
All   O
Other   O
Chief   O
Complaint   O
:   O

Darian   B-NAME
King   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Dearborn   I-LOCATION
on   O
7/0   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
.   O

Benita   B-NAME
Tynan   I-NAME
also   O
reported   O
a   O
fever   O
and   O
chills   O
since   O
early   O
1628   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
03   I-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Jaqueline   B-NAME
Whitney   I-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
Motor   O
Vehicle   O
Operators   O
,   O
All   O
Other   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
began   O
experiencing   O
mild   O
abdominal   O
discomfort   O
34/21   B-DATE
,   O
which   O
progressed   O
to   O
severe   O
pain   O
within   O
24   O
hours   O
.   O

Marleen   B-NAME
Grim   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Social   O
History   O
:   O
Edward   B-NAME
Xanthos   I-NAME
works   O
as   O
a   O
Research   O
chemist   O
and   O
lives   O
in   O
Morovis   B-LOCATION
with   O
family   O
.   O

No   O
recent   O
travels   O
outside   O
Delhi   B-LOCATION
Hills   I-LOCATION
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Elisha   B-NAME
Meyer   I-NAME
was   O
found   O
to   O
have   O
a   O
temperature   O
of   O
38.6   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
of   O
110/70   O
mmHg   O
.   O

The   O
decision   O
was   O
made   O
by   O
Lyons   B-NAME
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
successfully   O
on   O
2135/07/18   B-DATE
at   O
St.   B-LOCATION
Tammany   I-LOCATION
Parish   I-LOCATION
Hospital   I-LOCATION
.   O

Hurst   B-NAME
was   O
advised   O
postoperative   O
care   O
instructions   O
,   O
including   O
activity   O
limitations   O
and   O
wound   O
care   O
.   O

Follow   O
-   O
Up   O
:   O
Castillo   B-NAME
was   O
discharged   O
on   O
2168   B-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
two   O
weeks   O
.   O

Summary   O
:   O
A   O
55   O
-   O
year   O
-   O
old   O
Stevedores   O
,   O
Except   O
Equipment   O
Operators   O
,   O
Guy   B-NAME
Claiborne   I-NAME
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
,   O
confirmed   O
via   O
CT   O
scan   O
.   O

Patient   O
underwent   O
successful   O
laparoscopic   O
appendectomy   O
and   O
was   O
discharged   O
on   O
2233   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
20   I-DATE
with   O
follow   O
-   O
up   O
arranged   O
.   O

Patient   O
Name   O
:   O
DSN   B-NAME
Patient   O
ID   O
:   O
LV:53566:965953   B-ID
Date   O
of   O
birth   O
:   O
01/72   B-DATE
Age   O
:   O
17   O
Phone   O
Number   O
:   O
310   B-CONTACT
-   I-CONTACT
864   I-CONTACT
-   I-CONTACT
7680   I-CONTACT
Medical   O
Record   O
Number   O
:   O
8962256   B-ID
Address   O
:   O
Twin   B-LOCATION
,   O
22871   B-LOCATION

Jaiden   B-NAME
Wilcox   I-NAME
Hospital   O
:   O

Saint   B-LOCATION
Michael   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
visit   O
:   O
November   B-DATE
25   I-DATE
,   I-DATE
2170   I-DATE
Clinical   O
Note   O
:   O
Tania   B-NAME
Dennis   I-NAME
,   O
a   O
70   O
-   O
year   O
-   O
old   O
Job   O
Printers   O
,   O
presented   O
to   O
Geisinger   B-LOCATION
Jersey   I-LOCATION
Shore   I-LOCATION
Hospital   I-LOCATION
on   O
28/02   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

Emiliano   B-NAME
Houston   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
which   O
are   O
managed   O
with   O
medication   O
.   O

Ula   B-NAME
Lovett   I-NAME
reported   O
no   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

On   O
examination   O
,   O
Holly   B-NAME
Martinez   I-NAME
appeared   O
in   O
moderate   O
distress   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Cadence   B-NAME
Velez   I-NAME
diagnosed   O
Monroe   B-NAME
with   O
acute   O
appendicitis   O
.   O

The   O
patient   O
underwent   O
surgery   O
without   O
complications   O
on   O
0   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
01   I-DATE
.   O

Sung   B-NAME
Park   I-NAME
responded   O
well   O
to   O
the   O
procedure   O
and   O
was   O
started   O
on   O
intravenous   O
antibiotics   O
postoperatively   O
.   O

The   O
patient   O
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
Kymani   B-NAME
Santos   I-NAME
was   O
discharged   O
on   O
20   B-DATE
-   I-DATE
02   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Arthur   B-NAME
Thurmond   I-NAME
in   O
two   O
weeks   O
.   O

Zayden   B-NAME
York   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
clear   O
liquid   O
diet   O
for   O
24   O
hours   O
post   O
-   O
discharge   O
,   O
progressively   O
advancing   O
as   O
tolerated   O
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
September   B-DATE
with   O
Merritt   B-NAME
to   O
assess   O
wound   O
healing   O
and   O
address   O
any   O
concerns   O
.   O

The   O
importance   O
of   O
regular   O
follow   O
-   O
up   O
for   O
diabetes   O
management   O
and   O
hypertension   O
was   O
emphasized   O
to   O
Alyn   B-NAME
,   O
and   O
referrals   O
to   O
a   O
dietician   O
and   O
a   O
diabetes   O
educator   O
were   O
made   O
to   O
assist   O
with   O
lifestyle   O
modifications   O
and   O
glycemic   O
control   O
.   O

Irish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
and   O
Raymond   B-NAME
agreed   O
on   O
the   O
treatment   O
plan   O
,   O
and   O
ostrowski   B-NAME
expressed   O
understanding   O
and   O
consent   O
for   O
the   O
proposed   O
follow   O
-   O
up   O
and   O
management   O
plan   O
.   O

Please   O
call   O
79823   B-CONTACT
for   O
any   O
urgent   O
issues   O
or   O
concerns   O
that   O
may   O
arise   O
,   O
or   O
return   O
to   O
Valley   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
if   O
there   O
is   O
an   O
immediate   O
health   O
concern   O
.   O

Note   O
prepared   O
by   O
:   O
YM728   B-NAME
Date   O
:   O
March   B-DATE
,   I-DATE
2036   I-DATE

Patient   O
Name   O
:   O
Gabrielle   B-NAME
Huang   I-NAME
Patient   O
ID   O
:   O
QD   B-ID
:   I-ID
JI:7024   I-ID
Medical   O
Record   O
Number   O
:   O
610   B-ID
-   I-ID
81   I-ID
-   I-ID
19   I-ID
-   I-ID
6   I-ID
Age   O
:   O
5s   O
Address   O
:   O
Fishersville   B-LOCATION
,   O
98670   B-LOCATION
Phone   O
Number   O
:   O
114   B-CONTACT
9231   I-CONTACT
Occupation   O
:   O
Customs   O
officer   O
Attending   O
Physician   O
:   O

Turner   B-NAME
Healthcare   O
Facility   O
:   O
Seattle   B-LOCATION
Cancer   I-LOCATION
Care   I-LOCATION
Alliance   I-LOCATION
Admission   O
Date   O
:   O
36/11   B-DATE
/2023   O
*   O
*   O
Clinical   O
Summary   O
:*   O
*   O
Luca   B-NAME
Riddle   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Fort   B-LOCATION
Walton   I-LOCATION
Beach   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
25/32/90   B-DATE
/2023   O
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Tierra   B-NAME
also   O
complained   O
of   O
marked   O
myalgias   O
,   O
with   O
significant   O
discomfort   O
in   O
the   O
lower   O
extremities   O
,   O
and   O
arthralgias   O
affecting   O
the   O
wrists   O
and   O
knees   O
.   O

Notably   O
,   O
Ardite   B-NAME
reported   O
a   O
maculopapular   O
rash   O
that   O
started   O
on   O
the   O
torso   O
and   O
spread   O
to   O
the   O
limbs   O
within   O
the   O
first   O
24   O
hours   O
of   O
symptom   O
onset   O
,   O
sparing   O
the   O
face   O
,   O
palms   O
,   O
and   O
soles   O
.   O

Sanders   B-NAME
's   O
medical   O
history   O
,   O
provided   O
by   O
Good   B-NAME
and   O
verified   O
through   O
our   O
records   O
(   O
CK996290   B-ID
)   O
,   O
includes   O
Type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
metformin   O
and   O
a   O
history   O
of   O
hypertension   O
under   O
control   O
with   O
lisinopril   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Acevedo   B-NAME
included   O
a   O
complete   O
blood   O
count   O
,   O
where   O
leukocytosis   O
with   O
a   O
left   O
shift   O
was   O
noted   O
,   O
a   O
comprehensive   O
metabolic   O
panel   O
that   O
was   O
within   O
normal   O
limits   O
except   O
for   O
slightly   O
elevated   O
glucose   O
levels   O
consistent   O
with   O
Rich   B-NAME
's   O
known   O
diabetes   O
,   O
and   O
inflammatory   O
markers   O
(   O
CRP   O
and   O
ESR   O
)   O
which   O
were   O
elevated   O
.   O

Management   O
in   O
the   O
initial   O
stages   O
focused   O
on   O
symptomatic   O
relief   O
,   O
with   O
Moshe   B-NAME
Frazier   I-NAME
receiving   O
intravenous   O
fluids   O
,   O
antipyretics   O
,   O
and   O
analgesia   O
.   O

The   O
case   O
remains   O
under   O
investigation   O
by   O
the   O
team   O
at   O
California   B-LOCATION
Pacific   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Mission   I-LOCATION
Bernal   I-LOCATION
Campus   I-LOCATION
,   O
with   O
differential   O
diagnoses   O
being   O
broadened   O
to   O
include   O
other   O
viral   O
infections   O
,   O
autoimmune   O
conditions   O
,   O
and   O
possible   O
tick   O
-   O
borne   O
diseases   O
,   O
taking   O
into   O
account   O
the   O
broader   O
symptomatology   O
including   O
the   O
rash   O
and   O
joint   O
pains   O
.   O

Richard   B-NAME
Estrada   I-NAME
's   O
occupational   O
history   O
as   O
a   O
Packaging   O
and   O
Filling   O
Machine   O
Operators   O
and   O
Tenders   O
is   O
being   O
considered   O
in   O
the   O
context   O
of   O
possible   O
environmental   O
exposures   O
.   O

-   O
Monitor   O
response   O
to   O
symptomatic   O
treatments   O
and   O
adjust   O
as   O
necessary   O
.   O
-   O
Conduct   O
environmental   O
exposure   O
assessment   O
based   O
on   O
O'Keeffe   B-NAME
,   I-NAME
Georgia   I-NAME
's   O
Police   O
officer   O
and   O
activities   O
.   O
-   O
Detailed   O
patient   O
education   O
regarding   O
the   O
provisional   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
necessary   O
follow   O
-   O
up   O
appointments   O
.   O

The   O
healthcare   O
team   O
remains   O
committed   O
to   O
providing   O
comprehensive   O
care   O
and   O
keeping   O
Jorge   B-NAME
Porter   I-NAME
informed   O
every   O
step   O
of   O
the   O
way   O
.   O

Patient   O
Name   O
:   O
Quinn   B-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
7226190   I-ID
Medical   O
Record   O
Number   O
:   O
44282974   B-ID
Date   O
of   O
Birth   O
:   O
31/19   B-DATE
Age   O
:   O
89   O
Address   O
:   O
McKean   B-LOCATION
,   O
34315   B-LOCATION
Phone   O
Number   O
:   O
931   B-CONTACT
-   I-CONTACT
622   I-CONTACT
8253   I-CONTACT
Primary   O
Physician   O
:   O
Fox   B-NAME
Hospital   O
:   O
Hiawatha   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Hiawatha   I-LOCATION
Date   O
of   O
Visit   O
:   O
21/23   B-DATE
Occupation   O
:   O
Retail   O
Loss   O
Prevention   O
Specialists   O
Chief   O
Complaint   O
:   O
Leon   B-NAME
F.   I-NAME
Craft   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
22/80   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
occipital   O
headaches   O
that   O
have   O
been   O
recurrent   O
over   O
the   O
past   O
month   O
.   O

Benita   B-NAME
Shinkle   I-NAME
describes   O
the   O
pain   O
as   O
unilateral   O
and   O
notes   O
that   O
it   O
can   O
last   O
for   O
several   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Earl   B-NAME
N.   I-NAME
Morrow   I-NAME
reported   O
that   O
the   O
headaches   O
initially   O
started   O
around   O
38th   B-DATE
and   O
have   O
gradually   O
increased   O
in   O
frequency   O
and   O
intensity   O
.   O

Giovanna   B-NAME
Francis   I-NAME
,   O
a   O
Writers   O
and   O
Authors   O
,   O
mentioned   O
that   O
these   O
episodes   O
are   O
often   O
triggered   O
by   O
prolonged   O
periods   O
of   O
screen   O
time   O
and   O
stress   O
at   O
work   O
.   O

Savannah   B-NAME
Ellison   I-NAME
has   O
tried   O
taking   O
acetaminophen   O
and   O
ibuprofen   O
with   O
little   O
to   O
no   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
Ramiro   B-NAME
Blanchard   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
and   O
seasonal   O
allergies   O
.   O

Skylar   B-NAME
Wilson   I-NAME
's   O
mother   O
suffered   O
from   O
migraines   O
with   O
aura   O
but   O
had   O
them   O
less   O
frequently   O
after   O
the   O
age   O
of   O
54   O
.   O

Social   O
History   O
:   O
Tommye   B-NAME
Sprung   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
use   O
.   O

Vinnie   B-NAME
Biever   I-NAME
is   O
a   O
Mail   O
Machine   O
Operators   O
,   O
Preparation   O
and   O
Handling   O
,   O
which   O
involves   O
significant   O
computer   O
use   O
.   O

The   O
differential   O
diagnosis   O
for   O
Potts   B-NAME
's   O
presentations   O
includes   O
migraines   O
with   O
aura   O
,   O
tension   O
-   O
type   O
headaches   O
,   O
and   O
cluster   O
headaches   O
.   O

The   O
plan   O
is   O
to   O
start   O
Dante   B-NAME
Dejoode   I-NAME
on   O
a   O
trial   O
of   O
a   O
triptan   O
medication   O
for   O
acute   O
episodes   O
and   O
discuss   O
lifestyle   O
modifications   O
to   O
help   O
manage   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
04/30/2179   B-DATE
to   O
assess   O
response   O
to   O
the   O
medication   O
and   O
review   O
headache   O
diary   O
.   O

Recommendations   O
for   O
ergonomics   O
in   O
the   O
workplace   O
were   O
also   O
provided   O
to   O
QUIANA   B-NAME
N.   I-NAME
BULLOCK   I-NAME
to   O
reduce   O
the   O
strain   O
from   O
prolonged   O
computer   O
use   O
.   O

Instructions   O
for   O
Patient   O
:   O
-   O
Maintain   O
a   O
headache   O
diary   O
to   O
track   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
,   O
and   O
any   O
associated   O
symptoms   O
of   O
the   O
headaches   O
.   O
-   O
Implement   O
lifestyle   O
modifications   O
including   O
regular   O
exercise   O
,   O
adequate   O
hydration   O
,   O
and   O
stress   O
management   O
techniques   O
.   O
-   O
Follow   O
up   O
in   O
clinic   O
on   O
0   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
90   I-DATE
or   O
sooner   O
if   O
headaches   O
increase   O
in   O
frequency   O
or   O
severity   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Palmdale   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
112   B-CONTACT
-   I-CONTACT
7461   I-CONTACT
.   O

Valerius   B-NAME
Valance   I-NAME
presented   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Iowa   I-LOCATION
Methodist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Department   O
on   O
2360   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

Daniels   B-NAME
,   I-NAME
Anthony   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
6   O
hours   O
prior   O
to   O
presentation   O
and   O
denied   O
any   O
relieving   O
factors   O
.   O

Kaylie   B-NAME
Cox   I-NAME
,   O
a   O
Shoe   O
and   O
Leather   O
Workers   O
and   O
Repairers   O
,   O
mentioned   O
that   O
the   O
pain   O
disrupted   O
their   O
ability   O
to   O
perform   O
everyday   O
tasks   O
.   O

Braylen   B-NAME
Dougherty   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
and   O
is   O
currently   O
not   O
on   O
any   O
prescription   O
medications   O
.   O

Past   O
medical   O
history   O
includes   O
a   O
laparoscopic   O
cholecystectomy   O
approximately   O
five   O
years   O
ago   O
at   O
Cox   B-LOCATION
Walnut   I-LOCATION
Lawn   I-LOCATION
.   O

Damari   B-NAME
Hall   I-NAME
's   O
family   O
history   O
is   O
notable   O
for   O
colorectal   O
cancer   O
in   O
a   O
first   O
-   O
degree   O
relative   O
at   O
31   O
.   O

The   O
management   O
plan   O
,   O
formulated   O
by   O
Snyder   B-NAME
,   O
included   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
,   O
IV   O
fluid   O
resuscitation   O
,   O
and   O
empirical   O
IV   O
antibiotics   O
covering   O
for   O
gram   O
-   O
negative   O
and   O
anaerobic   O
bacteria   O
.   O

Mike   B-NAME
Perry   I-NAME
was   O
admitted   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Finley   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
and   O
supportive   O
care   O
on   O
06/86   B-DATE
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
Rosales   B-NAME
's   O
condition   O
gradually   O
improved   O
with   O
conservative   O
management   O
.   O

Pain   O
was   O
well   O
controlled   O
with   O
IV   O
analgesia   O
,   O
and   O
Brady   B-NAME
was   O
able   O
to   O
tolerate   O
oral   O
fluids   O
by   O
1901   B-DATE
.   O

Repeat   O
laboratory   O
tests   O
showed   O
a   O
decrease   O
in   O
WBC   O
count   O
to   O
12,000/µL.   O
Jarrett   B-NAME
Gomez   I-NAME
was   O
discharged   O
on   O
Tuesday   B-DATE
,   I-DATE
November   I-DATE
with   O
oral   O
antibiotics   O
and   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Figueroa   B-NAME
in   O
two   O
weeks   O
.   O

Sariah   B-NAME
Hopkins   I-NAME
was   O
also   O
educated   O
on   O
the   O
signs   O
and   O
symptoms   O
of   O
complications   O
necessitating   O
emergent   O
medical   O
attention   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
persistent   O
vomiting   O
.   O

66645   B-CONTACT
for   O
Prince   B-NAME
Edwards   I-NAME
was   O
updated   O
in   O
the   O
Heart   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Rockies   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
records   O
,   O
along   O
with   O
an   O
emergency   O
contact   O
.   O

The   O
9851909   B-ID
for   O
this   O
admission   O
was   O
documented   O
carefully   O
and   O
secured   O
according   O
to   O
MidHudson   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Westchester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
protocols   O
.   O

Byron   B-NAME
Pham   I-NAME
expressed   O
understanding   O
of   O
the   O
discharge   O
instructions   O
and   O
scheduled   O
the   O
follow   O
-   O
up   O
appointment   O
before   O
leaving   O
the   O
hospital   O
.   O

At   O
the   O
time   O
of   O
discharge   O
,   O
both   O
Arthur   B-NAME
Qin   I-NAME
and   O
Hodge   B-NAME
were   O
optimistic   O
about   O
a   O
full   O
recovery   O
,   O
provided   O
that   O
the   O
post   O
-   O
discharge   O
care   O
instructions   O
were   O
followed   O
closely   O
.   O

Patient   O
Report   O
:   O
12/13   B-DATE
,   O
Gridley   B-LOCATION
Patient   O
:   O

Odin   B-NAME
Dorsey   I-NAME
Age   O
:   O
87   O
Medical   O
Record   O
Number   O
:   O
55516273   B-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Psychiatrists   O
by   O
profession   O
,   O
presents   O
with   O
acute   O
onset   O
of   O
substernal   O
chest   O
pain   O
that   O
started   O
early   O
in   O
the   O
morning   O
around   O
31   B-DATE
-   I-DATE
20   I-DATE
.   O

Given   O
the   O
EKG   O
findings   O
,   O
James   B-NAME
Kildare   I-NAME
was   O
consulted   O
and   O
recommended   O
immediate   O
cardiac   O
catheterization   O
.   O

Consent   O
was   O
obtained   O
,   O
and   O
the   O
patient   O
was   O
transported   O
to   O
Lankenau   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
the   O
procedure   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
2/22   B-DATE
for   O
reassessment   O
and   O
management   O
of   O
risk   O
factors   O
.   O

If   O
there   O
are   O
any   O
queries   O
or   O
further   O
updates   O
needed   O
,   O
please   O
contact   O
Wilkerson   B-NAME
at   O
39286   B-CONTACT
or   O
through   O
Coimbatore   B-LOCATION
District   I-LOCATION
Textile   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
patient   O
portal   O
ykv807   B-NAME
.   O

This   O
report   O
contains   O
confidential   O
health   O
information   O
belonging   O
to   O
Jovita   B-NAME
Napier   I-NAME
.   O

If   O
you   O
believe   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
notify   O
the   O
sender   O
at   O
488   B-CONTACT
-   I-CONTACT
8584   I-CONTACT
and   O
delete   O
the   O
original   O
message   O
immediately   O
.   O

Report   O
Generated   O
by   O
:   O
Williamson   B-NAME
M.D.   O
2327   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
28   I-DATE
65255   B-LOCATION
Macdoel   B-LOCATION

Patient   O
Name   O
:   O
Stanton   B-NAME
,   I-NAME
Elizabeth   I-NAME
Cady   I-NAME
Medical   O
Record   O
Number   O
:   O
938   B-ID
-   I-ID
98   I-ID
-   I-ID
28   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
32/27   B-DATE
Age   O
:   O
38   O
Address   O
:   O
Metompkin   B-LOCATION
,   O
79970   B-LOCATION
Phone   O
Number   O
:   O
850   B-CONTACT
4358   I-CONTACT
Employer   O
:   O

Irish   B-LOCATION
Medical   I-LOCATION
Organisation   I-LOCATION
Occupation   O
:   O

Aydan   B-NAME
Carter   I-NAME
Date   O
of   O
Admission   O
:   O
32/29   B-DATE
Hospital   O
:   O
Freeman   B-LOCATION
Cancer   I-LOCATION
Institute   I-LOCATION
Primary   O
Diagnosis   O
:   O
Acute   O
appendicitis   O
Medical   O
History   O
Summary   O
:   O
Mason   B-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
,   I-LOCATION
formerly   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
7/98   B-DATE
with   O
severe   O
lower   O
abdominal   O
pain   O
,   O
predominately   O
located   O
on   O
the   O
right   O
side   O
.   O

Conner   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Brenda   B-NAME
Browning   I-NAME
is   O
a   O
Electrical   O
and   O
Electronics   O
Repairers   O
,   O
Powerhouse   O
,   O
Substation   O
,   O
and   O
Relay   O
at   O
Sun   B-LOCATION
American   I-LOCATION
Bank   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Giovanni   B-NAME
Gabriel   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
temperature   O
of   O
37.6   O
℃   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Cherish   B-NAME
Taylor   I-NAME
,   O
which   O
showed   O
an   O
enlarged   O
appendix   O
with   O
a   O
thickened   O
wall   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Mero   B-NAME
,   I-NAME
Rena   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
surgery   O
and   O
consented   O
to   O
an   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
22/21/92   B-DATE
without   O
complications   O
.   O

Jensen   B-NAME
,   I-NAME
Derrick   I-NAME
received   O
intravenous   O
antibiotics   O
perioperatively   O
.   O

Postoperative   O
Course   O
:   O
Oakley   B-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Chamomile   B-NAME
tolerated   O
a   O
liquid   O
diet   O
the   O
day   O
following   O
surgery   O
and   O
was   O
advanced   O
to   O
a   O
regular   O
diet   O
without   O
issues   O
.   O

Odin   B-NAME
Moon   I-NAME
was   O
discharged   O
on   O
11/21/41   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Owens   B-NAME
in   O
two   O
weeks   O
or   O
earlier   O
if   O
issues   O
arise   O
.   O

Discharge   O
Medications   O
:   O
-   O
Antibiotics   O
for   O
7   O
days   O
to   O
prevent   O
infection   O
-   O
Pain   O
medication   O
as   O
needed   O
for   O
pain   O
management   O
Instructions   O
for   O
Care   O
at   O
Home   O
:   O
-   O
Rest   O
and   O
gradually   O
increase   O
activity   O
as   O
tolerated   O
-   O
Keep   O
the   O
surgical   O
site   O
clean   O
and   O
dry   O
-   O
Observe   O
for   O
signs   O
of   O
infection   O
,   O
including   O
fever   O
,   O
increased   O
pain   O
,   O
redness   O
,   O
or   O
discharge   O
from   O
the   O
incision   O
site   O
-   O
Follow   O
up   O
with   O
Eboni   B-NAME
Spainhour   I-NAME
as   O
scheduled   O
or   O
sooner   O
if   O
needed   O
Emergency   O
Contact   O
:   O

In   O
case   O
of   O
emergency   O
or   O
a   O
sudden   O
worsening   O
of   O
condition   O
,   O
Ayden   B-NAME
Oneal   I-NAME
is   O
advised   O
to   O
call   O
34314   B-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
.   O

This   O
summary   O
of   O
care   O
has   O
been   O
prepared   O
for   O
Paytah   B-NAME
,   O
medical   O
record   O
number   O
00282612   B-ID
,   O
and   O
is   O
confidential   O
.   O

Any   O
inquiries   O
or   O
requests   O
for   O
information   O
should   O
be   O
directed   O
to   O
San   B-LOCATION
Mateo   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
medical   O
records   O
department   O
at   O
129   B-CONTACT
9389   I-CONTACT
.   O

Patient   O
Name   O
:   O
Baba   B-NAME
,   I-NAME
Meher   I-NAME
Patient   O
ID   O
:   O
PD   B-ID
:   I-ID
FK:1949   I-ID
DOB   O
:   O
7/25   B-DATE
Age   O
:   O
49   O
Address   O
:   O
Coffee   B-LOCATION
Creek   I-LOCATION
,   O
99477   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Spencer   B-NAME
Medical   O
Record   O
Number   O
:   O
553   B-ID
-   I-ID
36   I-ID
-   I-ID
57   I-ID
-   I-ID
7   I-ID
Employer   O
:   O

Bramble   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Customer   O
Service   O
Representatives   O
Phone   O
Number   O
:   O
87062   B-CONTACT
Username   O
:   O
hki629   B-NAME
Subjective   O
:   O

Lazaro   B-NAME
presented   O
to   O
Blue   B-LOCATION
Ridge   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
4/22/2271   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
48   O
hours   O
.   O

irons   B-NAME
also   O
reports   O
experiencing   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
,   O
without   O
vomiting   O
.   O

Kelton   B-NAME
Ellis   I-NAME
notes   O
a   O
personal   O
and   O
family   O
history   O
of   O
migraines   O
.   O

Lincoln   B-NAME
Stein   I-NAME
also   O
mentioned   O
experiencing   O
stress   O
at   O
work   O
as   O
a   O
Demonstrators   O
and   O
Product   O
Promoters   O
at   O
Tennessee   B-LOCATION
Valley   I-LOCATION
Authority   I-LOCATION
located   O
in   O
La   B-LOCATION
Fayette   I-LOCATION
.   O

Migraine   O
without   O
aura   O
-   O
the   O
clinical   O
presentation   O
is   O
consistent   O
with   O
Adams   B-NAME
's   O
history   O
of   O
migraines   O
,   O
characterized   O
by   O
unilateral   O
throbbing   O
headache   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
.   O

2   O
.   O
Stress   O
-   O
related   O
exacerbation   O
-   O
given   O
Cali   B-NAME
Lynch   I-NAME
's   O
reports   O
of   O
increased   O
stress   O
at   O
work   O
as   O
a   O
receptionist   O
,   O
this   O
could   O
be   O
contributing   O
to   O
the   O
frequency   O
and   O
severity   O
of   O
migraine   O
attacks   O
.   O

Counseling   O
referral   O
for   O
stress   O
management   O
techniques   O
,   O
considering   O
Regina   B-NAME
Walton   I-NAME
's   O
stressful   O
job   O
as   O
a   O
Occupational   O
Therapy   O
Assistants   O
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Allen   B-NAME
Jennings   I-NAME
in   O
4   O
weeks   O
to   O
re   O
-   O
assess   O
migraine   O
management   O
and   O
medication   O
effectiveness   O
.   O

Cindy   B-NAME
Flores   I-NAME
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
monitor   O
frequency   O
,   O
duration   O
,   O
and   O
triggers   O
of   O
migraine   O
attacks   O
.   O

Allayna   B-NAME
was   O
given   O
educational   O
materials   O
on   O
migraine   O
triggers   O
and   O
lifestyle   O
modifications   O
to   O
reduce   O
the   O
frequency   O
of   O
migraine   O
attacks   O
.   O

Jonah   B-NAME
Fullilove   I-NAME
was   O
provided   O
780   B-CONTACT
8646   I-CONTACT
to   O
contact   O
Naval   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Portsmouth   I-LOCATION
's   O
headache   O
clinic   O
for   O
any   O
further   O
concerns   O
or   O
if   O
the   O
condition   O
worsens   O
.   O

Emergency   O
contact   O
provided   O
is   O
zf526   B-NAME
.   O

Roberson   B-NAME
consented   O
to   O
the   O
treatment   O
plan   O
and   O
was   O
discharged   O
with   O
follow   O
-   O
up   O
instructions   O
.   O

Patient   O
Name   O
:   O
Watson   B-NAME
,   I-NAME
Thomas   I-NAME
J.   I-NAME
Age   O
:   O
42   O
Address   O
:   O
Howland   B-LOCATION
,   O
58491   B-LOCATION
Phone   O
Number   O
:   O
685   B-CONTACT
-   I-CONTACT
8228   I-CONTACT
Occupation   O
:   O

Charities   O
fundraiser   O
Social   O
Security   O
Number   O
:   O
TO460/1122   B-ID
Medical   O
Record   O
Number   O
:   O
9952151   B-ID
Date   O
of   O
Admission   O
:   O
32/24   B-DATE
Attending   O
Physician   O
:   O

Beckham   B-NAME
Juarez   I-NAME
Hospital   O
Name   O
:   O
Temple   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Drake   B-NAME
Ramoray   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
8/22   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Collett   B-NAME
,   I-NAME
Camilla   I-NAME
,   O
a   O
Secondary   O
School   O
Teachers   O
,   O
Except   O
Special   O
and   O
Vocational   O
Education   O
from   O
Foss   B-LOCATION
,   O
reported   O
that   O
the   O
abdominal   O
pain   O
began   O
mildly   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
and   O
has   O
progressively   O
worsened   O
.   O

Uriah   B-NAME
Aranda   I-NAME
also   O
reported   O
no   O
recent   O
travel   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
any   O
known   O
contacts   O
with   O
infectious   O
diseases   O
.   O

Upon   O
examination   O
,   O
Roderick   B-NAME
Barton   I-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

After   O
reviewing   O
the   O
findings   O
,   O
Santiago   B-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
a   O
possible   O
appendectomy   O
.   O

Tyler   B-NAME
Wilson   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
and   O
the   O
need   O
for   O
surgical   O
intervention   O
.   O

Disposition   O
:   O
Chesterton   B-NAME
,   I-NAME
Gilbert   I-NAME
Keith   I-NAME
was   O
admitted   O
to   O
Bryn   B-LOCATION
Mawr   I-LOCATION
Hospital   I-LOCATION
on   O
2/3   B-DATE
for   O
further   O
observation   O
and   O
management   O
.   O

The   O
surgery   O
department   O
was   O
consulted   O
,   O
and   O
an   O
appendectomy   O
was   O
scheduled   O
for   O
11/12   B-DATE
.   O

Pre   O
-   O
operative   O
preparations   O
were   O
commenced   O
,   O
with   O
Diana   B-NAME
Chan   I-NAME
to   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
post   O
-   O
midnight   O
before   O
the   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Cunningham   B-NAME
with   O
Tania   B-NAME
Hardin   I-NAME
two   O
weeks   O
post   O
-   O
operatively   O
to   O
monitor   O
recovery   O
and   O
address   O
any   O
potential   O
complications   O
.   O

The   O
patient   O
was   O
also   O
advised   O
to   O
contact   O
Ann   B-LOCATION
Klein   I-LOCATION
Forensic   I-LOCATION
Center   I-LOCATION
or   O
return   O
to   O
the   O
emergency   O
department   O
if   O
experiencing   O
any   O
concerning   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
.   O

In   O
case   O
of   O
any   O
urgent   O
concerns   O
or   O
complications   O
,   O
Alex   B-NAME
Patel   I-NAME
or   O
a   O
family   O
member   O
is   O
instructed   O
to   O
contact   O
Munson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
975   B-CONTACT
3284   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rana   B-NAME
Krivanec   I-NAME
Patient   O
ID   O
:   O
AO:81021:678788   B-ID
Medical   O
Record   O
Number   O
:   O

537   B-ID
-   I-ID
83   I-ID
-   I-ID
54   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Birth   O
:   O
32/20/12   B-DATE
Age   O
:   O
69   O
Address   O
:   O
Sellers   B-LOCATION
,   O
56080   B-LOCATION
Phone   O
Number   O
:   O
408   B-CONTACT
6853   I-CONTACT
Primary   O
Physician   O
:   O

Gracelyn   B-NAME
Reid   I-NAME
Treatment   O
Facility   O
:   O
Baxter   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Overview   O
:   O

On   O
32/2   B-DATE
,   O
Velasquez   B-NAME
was   O
admitted   O
to   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
presenting   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Additionally   O
,   O
Gabriele   B-NAME
Crotwell   I-NAME
reported   O
experiencing   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Medical   O
History   O
:   O
Ileen   B-NAME
Routt   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
no   O
other   O
significant   O
gastrointestinal   O
disorders   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Timmy   B-NAME
exhibited   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Treatment   O
Plan   O
:   O
Following   O
the   O
diagnosis   O
,   O
Lopez   B-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Ludwig   B-NAME
von   I-NAME
Saulsbourg   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
and   O
consent   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
8/81   B-DATE
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
.   O

Postoperative   O
Course   O
:   O
Iyana   B-NAME
Strong   I-NAME
's   O
postoperative   O
course   O
was   O
unremarkable   O
.   O

Doug   B-NAME
Jackson   I-NAME
was   O
discharged   O
on   O
21/28/83   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Davion   B-NAME
Bass   I-NAME
in   O
one   O
week   O
and   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
.   O

Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Deanna   B-NAME
Mercer   I-NAME
was   O
advised   O
to   O
rest   O
,   O
gradually   O
resume   O
activities   O
as   O
tolerated   O
,   O
and   O
consume   O
a   O
diet   O
of   O
clear   O
liquids   O
transitioning   O
to   O
solid   O
foods   O
as   O
tolerated   O
over   O
the   O
next   O
few   O
days   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2111   B-DATE
-   I-DATE
36   I-DATE
-   I-DATE
21   I-DATE
with   O
Batch   B-NAME
,   I-NAME
Charlie   I-NAME
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
of10110   B-NAME
,   O
and   O
all   O
the   O
PHI   O
has   O
been   O
properly   O
anonymized   O
to   O
ensure   O
privacy   O
and   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Oakley   B-NAME
Patient   O
ID   O
:   O
40786   B-ID
Medical   O
Record   O
Number   O
:   O
2585Y49283   B-ID
Age   O
:   O
20   O
Phone   O
Number   O
:   O
12292   B-CONTACT
Address   O
:   O
Kechi   B-LOCATION
,   O
84667   B-LOCATION
Profession   O
:   O
Tax   O
Preparers   O
Date   O
of   O
Visit   O
:   O
March   B-DATE
2183   I-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Jeffers   B-NAME
,   I-NAME
Robinson   I-NAME
,   O
presented   O
with   O
a   O
48   O
-   O
hour   O
history   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Yao   B-NAME
's   I-NAME
began   O
experiencing   O
mild   O
abdominal   O
discomfort   O
two   O
days   O
ago   O
,   O
which   O
has   O
progressively   O
worsened   O
.   O

Past   O
Medical   O
History   O
:   O
ostrowski   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
surgical   O
history   O
.   O

Consultation   O
with   O
Heywood   B-NAME
,   I-NAME
John   I-NAME
in   O
the   O
department   O
of   O
surgery   O
at   O
Healtheast   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
possible   O
surgical   O
intervention   O
pending   O
imaging   O
results   O
.   O

Natasha   B-NAME
Vaughn   I-NAME
has   O
been   O
advised   O
to   O
refrain   O
from   O
eating   O
or   O
drinking   O
until   O
a   O
surgical   O
consultation   O
is   O
obtained   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
15/00   B-DATE
at   O
Brooks   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
to   O
review   O
test   O
results   O
and   O
discuss   O
further   O
treatment   O
options   O
.   O

Gonzalez   B-NAME
was   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
develop   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
dl1510   B-NAME
Relation   O
:   O

First   O
-   O
Line   O
Supervisors   O
,   O
Administrative   O
Support   O
Phone   O
:   O
87454   B-CONTACT

This   O
report   O
was   O
prepared   O
by   O
Dr.   O
Hewitt   B-NAME
,   I-NAME
Hugh   I-NAME
and   O
reviewed   O
and   O
signed   O
on   O
12/13   B-DATE
.   O

The   O
consultation   O
at   O
Sierra   B-LOCATION
Vista   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
the   O
subsequent   O
surgical   O
intervention   O
,   O
if   O
required   O
,   O
will   O
be   O
crucial   O
in   O
the   O
management   O
of   O
this   O
patient   O
's   O
condition   O
.   O

Patient   O
Name   O
:   O
Elane   B-NAME
Still   I-NAME
ID   O
:   O
RL   B-ID
:   I-ID
VJ:6334   I-ID
Date   O
of   O
Birth   O
:   O
38s   O
Medical   O
Record   O
Number   O
:   O
168   B-ID
-   I-ID
34   I-ID
-   I-ID
37   I-ID
-   I-ID
8   I-ID
Address   O
:   O
Plankinton   B-LOCATION
,   O
22937   B-LOCATION
Phone   O
Number   O
:   O
59495   B-CONTACT
Referred   O
by   O
:   O
Kristen   B-NAME
Hodge   I-NAME
Employer   O
:   O
Bank   B-LOCATION
of   I-LOCATION
Illinois   I-LOCATION
Occupation   O
:   O
Human   O
Resources   O
Assistants   O
,   O
Except   O
Payroll   O
and   O
Timekeeping   O
Date   O
of   O
Visit   O
:   O
00/27/2115   B-DATE
/2023   O
Physician   O
:   O

Karley   B-NAME
Daniel   I-NAME
Bacavi   B-LOCATION
-   O
56697   B-LOCATION
Chief   O
Complaint   O
:   O
Patricia   B-NAME
Lund   I-NAME
presented   O
to   O
Tampa   B-LOCATION
Shriners   I-LOCATION
Hospital   I-LOCATION
on   O
03/25   B-DATE
/2023   O
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
noted   O
to   O
be   O
recurrent   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Additionally   O
,   O
Tejeda   B-NAME
reported   O
associated   O
symptoms   O
of   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Layton   B-NAME
Fitzpatrick   I-NAME
,   O
a   O
19s   O
-   O
year   O
-   O
old   O
Environmental   O
Compliance   O
Inspectors   O
,   O
stated   O
that   O
the   O
headaches   O
often   O
occur   O
midday   O
and   O
last   O
for   O
approximately   O
4   O
hours   O
if   O
untreated   O
.   O

Andy   B-NAME
Campbell   I-NAME
has   O
attempted   O
to   O
manage   O
symptoms   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
,   O
with   O
minimal   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Episodic   O
migraine   O
without   O
aura   O
since   O
26   O
-   O
Allergic   O
rhinitis   O
Medications   O
:   O
-   O
Ibuprofen   O
as   O
needed   O
for   O
migraine   O
relief   O
,   O
not   O
effective   O
recently   O
-   O
Loratadine   O
10   O
mg   O
daily   O
for   O
allergic   O
rhinitis   O
Allergies   O
:   O
-   O
Penicillin   O
-   O
causes   O
rash   O
Family   O
History   O
:   O
-   O
Mother   O
had   O
a   O
history   O
of   O
migraine   O
-   O
Father   O
is   O
hypertensive   O
Social   O
History   O
:   O
Kendrick   B-NAME
Duncan   I-NAME
works   O
as   O
a   O
Drilling   O
and   O
Boring   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
at   O
Irish   B-LOCATION
Municipal   I-LOCATION
,   I-LOCATION
Public   I-LOCATION
and   I-LOCATION
Civil   I-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Lois   B-NAME
Ochs   I-NAME
lives   O
with   O
spouse   O
and   O
two   O
children   O
in   O
McAllen   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78501   I-LOCATION
.   O

Physical   O
Examination   O
:   O
-   O
Vital   O
Signs   O
:   O
Blood   O
pressure   O
130/80   O
mmHg   O
,   O
heart   O
rate   O
75   O
bpm   O
,   O
respiratory   O
rate   O
16   O
/   O
min   O
,   O
temperature   O
98.6   O
F   O
-   O
General   O
:   O
Lilly   B-NAME
Lamb   I-NAME
is   O
alert   O
and   O
oriented   O
in   O
no   O
acute   O
distress   O
.   O
-   O
HEENT   O
:   O

Contact   O
information   O
for   O
follow   O
-   O
up   O
:   O
St.   B-LOCATION
Louis   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
275   B-CONTACT
-   I-CONTACT
472   I-CONTACT
6678   I-CONTACT

Patient   O
Name   O
:   O
Felicity   B-NAME
Tran   I-NAME
Age   O
:   O
9   O
Date   O
of   O
Birth   O
:   O
22/19/69   B-DATE
Address   O
:   O
Ellston   B-LOCATION
,   O
53764   B-LOCATION
Phone   O
Number   O
:   O
527   B-CONTACT
2617   I-CONTACT
Occupation   O
:   O

Biochemists   O
and   O
Biophysicists   O
Medical   O
Record   O
Number   O
:   O
9684473   B-ID

Carsen   B-NAME
Mcgrath   I-NAME
Hospital   O
:   O

South   B-LOCATION
Central   I-LOCATION
Kansas   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Arkansas   I-LOCATION
City   I-LOCATION
Date   O
of   O
Admission   O
:   O
2262   B-DATE
's   I-DATE
ID   O
Number   O
:   O
AN   B-ID
:   I-ID
UB:1419   I-ID
Username   O
:   O
ek815   B-NAME
Summary   O
of   O
Present   O
Illness   O
:   O
Nabokov   B-NAME
,   I-NAME
Vladimir   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Maple   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
on   O
4   B-DATE
-   I-DATE
21   I-DATE
,   O
with   O
complaints   O
of   O
acute   O
onset   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Prince   B-NAME
Edwards   I-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
.   O

Past   O
Medical   O
History   O
:   O
Mclaughlin   B-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
hypertension   O
,   O
and   O
hyperlipidemia   O
.   O

Charity   B-NAME
Wood   I-NAME
has   O
been   O
on   O
metformin   O
,   O
lisinopril   O
,   O
and   O
atorvastatin   O
,   O
respectively   O
.   O

Upon   O
arrival   O
,   O
Jefferson   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Management   O
and   O
Follow   O
-   O
Up   O
:   O
Landin   B-NAME
Rivas   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Santos   B-NAME
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Joplin   I-LOCATION
for   O
acute   O
pancreatitis   O
.   O

Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Arthur   B-NAME
Oconnor   I-NAME
's   O
symptoms   O
gradually   O
improved   O
,   O
and   O
diet   O
was   O
slowly   O
reintroduced   O
starting   O
with   O
clear   O
liquids   O
.   O

Benson   B-NAME
was   O
counseled   O
on   O
lifestyle   O
modifications   O
,   O
including   O
dietary   O
changes   O
and   O
the   O
importance   O
of   O
abstaining   O
from   O
alcohol   O
.   O

Nesbitt   B-NAME
was   O
discharged   O
on   O
09/05/59   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Ewing   B-NAME
in   O
2   O
weeks   O
'   O
time   O
or   O
earlier   O
if   O
symptoms   O
recur   O
.   O

Derick   B-NAME
Morrow   I-NAME
was   O
also   O
referred   O
to   O
a   O
dietitian   O
specializing   O
in   O
pancreatitis   O
at   O
Network   B-LOCATION
for   I-LOCATION
Education   I-LOCATION
and   I-LOCATION
Academic   I-LOCATION
Rights   I-LOCATION
in   O
Mermentau   B-LOCATION
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
urgent   O
issues   O
,   O
Kingston   B-NAME
Johnson   I-NAME
is   O
advised   O
to   O
contact   O
Iowa   B-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
at   O
36417   B-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
in   O
Cactus   B-LOCATION
Forest   I-LOCATION
.   O

For   O
follow   O
-   O
up   O
appointments   O
and   O
non   O
-   O
urgent   O
matters   O
,   O
please   O
contact   O
Raymond   B-NAME
's   O
office   O
at   O
594   B-CONTACT
-   I-CONTACT
2982   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Carmen   B-NAME
Skinner   I-NAME
Age   O
:   O
37s   O
Patient   O
ID   O
:   O
PZ:86395:789858   B-ID
Medical   O
Record   O
Number   O
:   O
5511A66578   B-ID
Date   O
of   O
Visit   O
:   O
02/05   B-DATE
/2023   O

Cook   B-NAME
Hospital   O
:   O
Good   B-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Cherry   B-LOCATION
Grove   I-LOCATION
,   O
58395   B-LOCATION
Contact   O
Number   O
:   O
129   B-CONTACT
-   I-CONTACT
987   I-CONTACT
8942   I-CONTACT
Occupation   O
:   O
Helpers   O
--   O
Pipelayers   O
,   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
Referring   O
Organization   O
:   O

Norwood   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
Chief   O
Complaint   O
:   O
Ann   B-NAME
Cuthbert   I-NAME
,   O
a   O
Barrister   O
from   O
Glade   B-LOCATION
Spring   I-LOCATION
,   O
presented   O
to   O
the   O
outpatient   O
department   O
of   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Indian   I-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
on   O
2225   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
23   I-DATE
/2023   O
with   O
chief   O
complaints   O
of   O
persistent   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
severe   O
dizziness   O
lasting   O
for   O
2   O
-   O
3   O
minutes   O
at   O
a   O
time   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Russell   B-NAME
has   O
experienced   O
similar   O
,   O
albeit   O
milder   O
,   O
episodes   O
in   O
the   O
past   O
month   O
,   O
but   O
the   O
severity   O
and   O
frequency   O
of   O
the   O
symptoms   O
have   O
significantly   O
increased   O
over   O
the   O
past   O
few   O
days   O
.   O

W.   B-NAME
TAMAR   I-NAME
WHITEHEAD   I-NAME
reports   O
no   O
recent   O
history   O
of   O
respiratory   O
infections   O
or   O
other   O
known   O
triggers   O
.   O

Past   O
Medical   O
History   O
:   O
Davis   B-NAME
Mccullough   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
managed   O
with   O
medication   O
for   O
the   O
past   O
19   O
years   O
.   O

Social   O
History   O
:   O
Genevie   B-NAME
Latimer   I-NAME
,   O
a   O
Meeting   O
,   O
Convention   O
,   O
and   O
Event   O
Planners   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Ferguson   B-NAME
leads   O
a   O
moderately   O
active   O
lifestyle   O
but   O
admits   O
to   O
high   O
levels   O
of   O
work   O
-   O
related   O
stress   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
McCarthy   B-NAME
,   I-NAME
Eugene   I-NAME
's   O
vital   O
signs   O
were   O
found   O
to   O
be   O
within   O
normal   O
limits   O
,   O
except   O
for   O
elevated   O
blood   O
pressure   O
readings   O
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
00/20/82   B-DATE
for   O
review   O
of   O
test   O
results   O
and   O
further   O
management   O
.   O

Patient   O
Name   O
:   O
Butch   B-NAME
Medical   O
Record   O
Number   O
:   O
NXO   B-ID
0   I-ID
-   I-ID
450   I-ID
Date   O
of   O
Birth   O
:   O
38/20   B-DATE
Age   O
:   O
82s   O
Phone   O
Number   O
:   O
813   B-CONTACT
-   I-CONTACT
376   I-CONTACT
4121   I-CONTACT
Address   O
:   O
Kanab   B-LOCATION
,   O
92266   B-LOCATION
Primary   O
Physician   O
:   O

Flynn   B-NAME
Admitting   O
Hospital   O
:   O
Aurora   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
South   I-LOCATION
Shore   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/5   B-DATE
Patient   O
ID   O
:   O
4622978   B-ID
Chief   O
Complaint   O
:   O
Sellers   B-NAME
,   I-NAME
Peter   I-NAME
presents   O
with   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
quadrant   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
pain   O
is   O
described   O
as   O
sharp   O
and   O
cramping   O
in   O
nature   O
,   O
exacerbating   O
over   O
the   O
last   O
8/3   B-DATE
.   O

Associated   O
symptoms   O
include   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
a   O
mild   O
fever   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Landon   B-NAME
Twersky   I-NAME
,   O
a   O
Nurse   O
Practitioners   O
with   O
a   O
medical   O
history   O
of   O
type   O
2   O
diabetes   O
and   O
hypertension   O
,   O
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
2/40   B-DATE
,   O
with   O
gradual   O
intensification   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
clinical   O
findings   O
and   O
diagnostic   O
tests   O
,   O
Galtieri   B-NAME
,   I-NAME
Leopoldo   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
with   O
Knapp   B-NAME
was   O
made   O
,   O
and   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

O’Shaughnessy   B-NAME
,   I-NAME
Arthur   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
its   O
risks   O
,   O
and   O
consent   O
was   O
obtained   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Roy   B-NAME
Stuart   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
immediate   O
complications   O
.   O

Kadyn   B-NAME
Suarez   I-NAME
is   O
scheduled   O
to   O
be   O
discharged   O
on   O
15/39   B-DATE
with   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

Follow   O
-   O
up   O
:   O
Sara   B-NAME
Sitarides   I-NAME
is   O
advised   O
to   O
follow   O
up   O
with   O
Danvers   B-NAME
in   O
two   O
weeks   O
at   O
Novant   B-LOCATION
Health   I-LOCATION
Charlotte   I-LOCATION
Orthopaedic   I-LOCATION
Hospital   I-LOCATION
or   O
sooner   O
if   O
complications   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
arise   O
.   O

This   O
patient   O
report   O
was   O
prepared   O
by   O
tpl12   B-NAME
,   O
NP   O
,   O
under   O
the   O
supervision   O
of   O
Preston   B-NAME
Reeves   I-NAME
,   O
MD   O
,   O
on   O
04/30/2179   B-DATE
.   O

Patient   O
Name   O
:   O
Cindy   B-NAME
Flores   I-NAME
Date   O
of   O
Birth   O
:   O
2   O
Date   O
of   O
Visit   O
:   O
20/11/2019   B-DATE
Primary   O
Care   O
Physician   O
:   O

Bell   B-NAME
Medical   O
Record   O
Number   O
:   O
2196395   B-ID
Referred   O
by   O
:   O
CARE   B-LOCATION
Presenting   O
Complaint   O
:   O

Armstrong   B-NAME
presented   O
to   O
Wilson   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Neodesha   I-LOCATION
in   O
Los   B-LOCATION
Corralitos   I-LOCATION
,   O
with   O
symptoms   O
that   O
included   O
severe   O
and   O
intermittent   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

The   O
symptom   O
onset   O
was   O
approximately   O
48   O
hours   O
prior   O
to   O
presentation   O
on   O
15/27/92   B-DATE
.   O

Luciana   B-NAME
Scott   I-NAME
reported   O
a   O
low   O
-   O
grade   O
fever   O
during   O
this   O
period   O
.   O

Imaging   O
Results   O
:   O
Abdominal   O
ultrasonography   O
conducted   O
on   O
1/9   B-DATE
at   O
(   B-LOCATION
closed   I-LOCATION
in   I-LOCATION
2017   I-LOCATION
after   I-LOCATION
Hurricane   I-LOCATION
Irma   I-LOCATION
damage   I-LOCATION
proved   I-LOCATION
too   I-LOCATION
costly   I-LOCATION
to   I-LOCATION
reopen   I-LOCATION
)   I-LOCATION
indicated   O
a   O
slight   O
thickening   O
of   O
the   O
appendix   O
wall   O
,   O
consistent   O
with   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
and   O
imaging   O
findings   O
,   O
Gisselle   B-NAME
Lucero   I-NAME
at   O
AdventHealth   B-LOCATION
Hendersonville   I-LOCATION
recommended   O
an   O
appendectomy   O
.   O

Skyler   B-NAME
Perkins   I-NAME
consented   O
to   O
the   O
surgery   O
scheduled   O
for   O
11/08   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
28/20   B-DATE
with   O
Robert   B-NAME
Yamamoto   I-NAME
at   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Marquette   I-LOCATION
to   O
evaluate   O
healing   O
and   O
recovery   O
progress   O
.   O

Bruce   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
symptoms   O
of   O
an   O
infection   O
.   O

Confidential   O
Patient   O
Information   O
:   O
Contact   O
Number   O
:   O
751   B-CONTACT
-   I-CONTACT
8976   I-CONTACT
Address   O
:   O
La   B-LOCATION
Plata   I-LOCATION
,   O
23232   B-LOCATION
Emergency   O
Contact   O
:   O
Education   O
Administrators   O
,   O
All   O
Other   O
at   O
493   B-CONTACT
8324   I-CONTACT
Insurance   O
Provider   O
:   O
Town   B-LOCATION
of   I-LOCATION
Williamsport   I-LOCATION
Utilities   I-LOCATION
Policy   O
Number   O
:   O

SO   B-ID
:   I-ID
UA:1477   I-ID
The   O
care   O
team   O
at   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summit   I-LOCATION
is   O
committed   O
to   O
providing   O
a   O
comprehensive   O
and   O
patient   O
-   O
centered   O
care   O
plan   O
to   O
ensure   O
quiggle   B-NAME
's   O
swift   O
recovery   O
and   O
return   O
to   O
daily   O
activities   O
.   O

The   O
team   O
is   O
available   O
for   O
any   O
questions   O
or   O
concerns   O
at   O
906   B-CONTACT
8825   I-CONTACT
.   O

Documentation   O
completed   O
by   O
:   O
RN316   B-NAME
Date   O
:   O
0/7   B-DATE

Patient   O
Name   O
:   O
Suzanne   B-NAME
Corson   I-NAME
Age   O
:   O
17   O
Date   O
of   O
Admission   O
:   O
2000   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
02   I-DATE
/2023   O
ID   O
:   O
IS   B-ID
:   I-ID
MR:2585   I-ID
Medical   O
Record   O
:   O
2534048   B-ID
Attending   O
Physician   O
:   O
Shyla   B-NAME
Long   I-NAME
Hospital   O
:   O

Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Sisters   I-LOCATION
of   I-LOCATION
Charity   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Cincinnati   B-LOCATION
Phone   O
:   O
603   B-CONTACT
-   I-CONTACT
4984   I-CONTACT
Organization   O
:   O

Harbor   B-LOCATION
Freight   I-LOCATION
Tools   I-LOCATION
Profession   O
:   O

Data   O
visualisation   O
analyst   O
Username   O
:   O
YY213   B-NAME
Zip   O
Code   O
:   O
49799   B-LOCATION
Summary   O
:   O
Kody   B-NAME
Flores   I-NAME
,   O
a   O
0   O
week   O
-   O
year   O
-   O
old   O
Electrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Wallington   B-LOCATION
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
University   B-LOCATION
of   I-LOCATION
Wisconsin   I-LOCATION
Hospitals   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
on   O
8/05   B-DATE
/2023   O
with   O
a   O
complaint   O
of   O
sudden   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
and   O
a   O
dry   O
cough   O
that   O
began   O
early   O
in   O
the   O
morning   O
.   O

Briana   B-NAME
Hampton   I-NAME
also   O
reported   O
a   O
subjective   O
fever   O
and   O
chills   O
at   O
home   O
.   O

Upon   O
examination   O
,   O
Kellee   B-NAME
Jastremski   I-NAME
's   O
vital   O
signs   O
were   O
notable   O
for   O
tachycardia   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Quintina   B-NAME
Golden   I-NAME
was   O
admitted   O
to   O
Pioneer   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Patrick   I-LOCATION
under   O
the   O
care   O
of   O
Claudia   B-NAME
Frost   I-NAME
for   O
further   O
management   O
.   O

Intravenous   O
antibiotics   O
were   O
initiated   O
,   O
and   O
Eliza   B-NAME
Escobar   I-NAME
was   O
placed   O
on   O
supplemental   O
oxygen   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
92   O
%   O
.   O

Rachael   B-NAME
Mitchell   I-NAME
's   O
condition   O
was   O
closely   O
monitored   O
for   O
any   O
signs   O
of   O
respiratory   O
distress   O
or   O
failure   O
that   O
would   O
necessitate   O
mechanical   O
ventilation   O
.   O

Follow   O
-   O
Up   O
:   O
Lernoux   B-NAME
,   I-NAME
Penny   I-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
by   O
the   O
second   O
day   O
of   O
hospitalization   O
.   O

Given   O
the   O
improvement   O
in   O
Vazquez   B-NAME
's   O
clinical   O
status   O
,   O
Janet   B-NAME
Bowen   I-NAME
planned   O
for   O
discharge   O
with   O
a   O
course   O
of   O
oral   O
antibiotics   O
.   O

Jaslyn   B-NAME
Lutz   I-NAME
was   O
instructed   O
to   O
follow   O
up   O
in   O
the   O
clinic   O
after   O
one   O
week   O
with   O
Sydney   B-NAME
Mccall   I-NAME
and   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
worsened   O
.   O

Additional   O
Comments   O
:   O
Larry   B-NAME
Dorsey   I-NAME
's   O
prompt   O
presentation   O
to   O
Grove   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
the   O
efficient   O
,   O
coordinated   O
care   O
provided   O
by   O
the   O
medical   O
team   O
played   O
a   O
crucial   O
role   O
in   O
the   O
positive   O
outcome   O
.   O

Day   B-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
was   O
encouraged   O
to   O
seek   O
medical   O
attention   O
immediately   O
in   O
case   O
of   O
symptom   O
recurrence   O
.   O

The   O
importance   O
of   O
completing   O
the   O
antibiotic   O
course   O
was   O
stressed   O
to   O
Bethor   B-NAME
Chaderton   I-NAME
during   O
discharge   O
counseling   O
.   O

For   O
further   O
information   O
or   O
follow   O
-   O
up   O
,   O
please   O
contact   O
Orlando   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
723   B-CONTACT
-   I-CONTACT
5077   I-CONTACT
.   O

The   O
patient   O
,   O
Mann   B-NAME
,   O
a   O
31s   O
-   O
year   O
-   O
old   O
Exhibition   O
organiser   O
from   O
Barrett   B-LOCATION
,   O
14262   B-LOCATION
,   O
presented   O
to   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Pearland   I-LOCATION
Hospital   I-LOCATION
on   O
2226   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
23   I-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
had   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

Maarie   B-NAME
Dannecker   I-NAME
reported   O
that   O
the   O
pain   O
was   O
exacerbated   O
by   O
eating   O
,   O
particularly   O
foods   O
high   O
in   O
fat   O
,   O
and   O
was   O
somewhat   O
relieved   O
by   O
lying   O
in   O
a   O
fetal   O
position   O
.   O

Additionally   O
,   O
Andy   B-NAME
Yablonski   I-NAME
experienced   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
,   O
which   O
had   O
increased   O
in   O
frequency   O
over   O
the   O
past   O
2300   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
15   I-DATE
.   O
Upon   O
physical   O
examination   O
by   O
Cristian   B-NAME
Maynard   I-NAME
,   O
Kate   B-NAME
Austin   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

A   O
diagnostic   O
ultrasound   O
,   O
performed   O
on   O
33/29/2164   B-DATE
,   O
revealed   O
the   O
presence   O
of   O
gallstones   O
,   O
leading   O
to   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
cholecystitis   O
.   O

Laboratory   O
tests   O
,   O
ordered   O
by   O
Ball   B-NAME
and   O
conducted   O
on   O
6/29   B-DATE
,   O
showed   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
signifying   O
infection   O
or   O
inflammation   O
,   O
and   O
abnormal   O
liver   O
function   O
tests   O
.   O

Elsie   B-NAME
Owen   I-NAME
's   O
34605   B-ID
indicated   O
no   O
previous   O
history   O
of   O
similar   O
symptoms   O
or   O
any   O
chronic   O
illnesses   O
.   O

Derick   B-NAME
Gay   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
the   O
possible   O
removal   O
of   O
the   O
gallbladder   O
.   O

In   O
the   O
meantime   O
,   O
Nina   B-NAME
Uresti   I-NAME
was   O
advised   O
to   O
adhere   O
to   O
a   O
strict   O
low   O
-   O
fat   O
diet   O
and   O
was   O
prescribed   O
pain   O
management   O
and   O
anti   O
-   O
emetic   O
medication   O
to   O
manage   O
symptoms   O
.   O

Felicia   B-NAME
Ali   I-NAME
's   O
contact   O
information   O
was   O
recorded   O
as   O
65295   B-CONTACT
for   O
any   O
necessary   O
follow   O
-   O
up   O
appointments   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
12/63   B-DATE
,   O
with   O
pre   O
-   O
operative   O
instructions   O
and   O
information   O
about   O
the   O
procedure   O
communicated   O
to   O
Courtney   B-NAME
,   I-NAME
Margaret   I-NAME
in   O
detail   O
.   O

Post   O
-   O
operative   O
care   O
,   O
including   O
potential   O
risks   O
,   O
recovery   O
time   O
,   O
and   O
lifestyle   O
modifications   O
post   O
-   O
surgery   O
,   O
was   O
discussed   O
by   O
Boyd   B-NAME
to   O
ensure   O
Levine   B-NAME
had   O
a   O
comprehensive   O
understanding   O
of   O
the   O
treatment   O
plan   O
.   O

In   O
preparation   O
for   O
surgery   O
,   O
Stephenson   B-NAME
was   O
required   O
to   O
complete   O
pre   O
-   O
surgical   O
lab   O
tests   O
and   O
a   O
COVID-19   O
screening   O
,   O
as   O
per   O
Historic   B-LOCATION
Technocracy   I-LOCATION
of   I-LOCATION
Suns   I-LOCATION
's   O
protocol   O
on   O
2337   B-DATE
.   O

Williams   B-NAME
was   O
informed   O
that   O
the   O
surgical   O
team   O
would   O
be   O
led   O
by   O
Bryce   B-NAME
Maner   I-NAME
,   O
specializing   O
in   O
minimally   O
invasive   O
laparoscopic   O
surgery   O
,   O
with   O
the   O
procedure   O
taking   O
place   O
at   O
CHRISTUS   B-LOCATION
Spohn   I-LOCATION
Hospital   I-LOCATION
Corpus   I-LOCATION
Christi   I-LOCATION
Memorial   I-LOCATION
.   O

Jesus   B-NAME
Crosby   I-NAME
's   O
family   O
,   O
residing   O
in   O
Evansville   B-LOCATION
,   O
was   O
briefed   O
on   O
the   O
situation   O
and   O
given   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
requirements   O
.   O

Lucille   B-NAME
Cobb   I-NAME
expressed   O
gratitude   O
for   O
the   O
prompt   O
diagnosis   O
and   O
comprehensive   O
treatment   O
plan   O
,   O
feeling   O
reassured   O
about   O
the   O
upcoming   O
surgical   O
intervention   O
.   O

The   O
case   O
of   O
Yvette   B-NAME
S.   I-NAME
Anaya   I-NAME
,   O
5056526   B-ID
number   O
439516520   B-ID
,   O
serves   O
as   O
a   O
detailed   O
example   O
of   O
the   O
management   O
of   O
acute   O
cholecystitis   O
,   O
highlighting   O
the   O
importance   O
of   O
thorough   O
clinical   O
examination   O
,   O
prompt   O
diagnostic   O
processes   O
,   O
and   O
effective   O
communication   O
between   O
healthcare   O
professionals   O
and   O
patients   O
.   O

Patient   O
Name   O
:   O
Mauricio   B-NAME
Becker   I-NAME
Patient   O
ID   O
:   O
AS797/5963   B-ID
Medical   O
Record   O
Number   O
:   O
711   B-ID
-   I-ID
39   I-ID
-   I-ID
17   I-ID
Date   O
of   O
Birth   O
:   O
12/23   B-DATE
Age   O
:   O
95   O
Address   O
:   O
Toftrees   B-LOCATION
,   O
85473   B-LOCATION
Phone   O
Number   O
:   O
22898   B-CONTACT
Primary   O
Physician   O
:   O

Mayo   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
30/25/2292   B-DATE
Occupation   O
:   O

Cooling   O
and   O
Freezing   O
Equipment   O
Operators   O
and   O
Tenders   O
Username   O
:   O
WP611   B-NAME
Chief   O
Complaint   O
:   O

Carr   B-NAME
presented   O
to   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
St.   I-LOCATION
Peters   I-LOCATION
Hospital   I-LOCATION
on   O
Monday   B-DATE
,   I-DATE
January   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
nausea   O
.   O

Medical   O
History   O
:   O
London   B-NAME
,   B-NAME
Jack   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
diagnosed   O
in   O
childhood   O
but   O
has   O
not   O
experienced   O
an   O
episode   O
of   O
this   O
severity   O
in   O
several   O
years   O
.   O

Cullen   B-NAME
Jenkins   I-NAME
also   O
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
on   O
metformin   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
lisinopril   O
.   O

Hoffman   B-NAME
denies   O
any   O
recent   O
trauma   O
,   O
fever   O
,   O
vision   O
changes   O
,   O
or   O
new   O
neurological   O
symptoms   O
.   O

On   O
examination   O
,   O
Wilkinson   B-NAME
was   O
alert   O
and   O
oriented   O
,   O
in   O
evident   O
distress   O
due   O
to   O
headache   O
.   O

A   O
decision   O
was   O
made   O
to   O
admit   O
DU   B-NAME
to   O
Evergreen   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
including   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
to   O
exclude   O
secondary   O
causes   O
.   O

A   O
consultation   O
with   O
neurology   O
Hood   B-NAME
was   O
also   O
arranged   O
.   O

Acute   O
management   O
included   O
administration   O
of   O
sumatriptan   O
and   O
metoclopramide   O
,   O
with   O
a   O
decrease   O
in   O
headache   O
severity   O
reported   O
by   O
Person   B-NAME
following   O
treatment   O
.   O

Instructions   O
were   O
provided   O
for   O
Maverick   B-NAME
Michael   I-NAME
to   O
maintain   O
a   O
headache   O
diary   O
and   O
to   O
avoid   O
known   O
migraine   O
triggers   O
.   O

Follow   O
-   O
up   O
in   O
the   O
headache   O
clinic   O
in   O
two   O
weeks   O
'   O
time   O
was   O
arranged   O
,   O
and   O
ULLOA   B-NAME
,   I-NAME
MISTY   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
experiencing   O
any   O
worsening   O
of   O
symptoms   O
,   O
such   O
as   O
vision   O
changes   O
,   O
severe   O
vomiting   O
,   O
or   O
a   O
headache   O
that   O
does   O
not   O
respond   O
to   O
medication   O
.   O

For   O
further   O
information   O
or   O
questions   O
,   O
Tchaikovsky   B-NAME
,   I-NAME
Pyotr   I-NAME
Ilyich   I-NAME
can   O
contact   O
the   O
Neurology   O
Department   O
at   O
28489   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Chasity   B-NAME
George   I-NAME
Patient   O
ID   O
:   O
KY482/7492   B-ID
Date   O
of   O
Birth   O
:   O
36   O
Date   O
of   O
Admission   O
:   O
39/27   B-DATE
/2023   O
Phone   O
Number   O
:   O
576   B-CONTACT
1258   I-CONTACT
Address   O
:   O
Freedom   B-LOCATION
Acres   I-LOCATION
,   O
41312   B-LOCATION
Occupation   O
:   O
Metallurgist   O
Responsible   O
Physician   O
:   O
Klopstock   B-NAME
,   I-NAME
Friedrich   I-NAME
Gottlieb   I-NAME
Hospital   O
:   O
Providence   B-LOCATION
Holy   I-LOCATION
Family   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
86549112   B-ID
Referring   O
Organization   O
:   O
New   B-LOCATION
South   I-LOCATION
Federal   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Scott   B-NAME
Phipps   I-NAME
,   O
a   O
31   O
-   O
year   O
-   O
old   O
Human   O
Resources   O
Assistants   O
,   O
Except   O
Payroll   O
and   O
Timekeeping   O
from   O
Texas   B-LOCATION
,   O
presented   O
to   O
Medical   B-LOCATION
Center   I-LOCATION
at   I-LOCATION
Bowling   I-LOCATION
Green   I-LOCATION
on   O
2082   B-DATE
/2023   O
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
that   O
has   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
,   O
and   O
a   O
fever   O
peaking   O
at   O
101   O
°   O
F   O
.   O

Rodriquez   B-NAME
denies   O
any   O
recent   O
travel   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Lovecraft   B-NAME
,   I-NAME
H.   I-NAME
P.   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
asthma   O
and   O
type   O
2   O
diabetes   O
,   O
both   O
of   O
which   O
have   O
been   O
managed   O
through   O
medication   O
and   O
lifestyle   O
modifications   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Stein   B-NAME
,   I-NAME
Ben   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Arrange   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Lucero   B-NAME
in   O
one   O
week   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

Educate   O
Liluye   B-NAME
on   O
the   O
importance   O
of   O
taking   O
medications   O
as   O
prescribed   O
,   O
proper   O
inhaler   O
use   O
,   O
and   O
when   O
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

Wood   B-NAME
is   O
to   O
return   O
to   O
Norton   B-LOCATION
Sound   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
310   B-CONTACT
6582   I-CONTACT
for   O
any   O
worsening   O
of   O
symptoms   O
,   O
including   O
increased   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
inability   O
to   O
maintain   O
adequate   O
hydration   O
.   O

Scheduled   O
follow   O
-   O
up   O
with   O
Omar   B-NAME
Franco   I-NAME
on   O
07   B-DATE
-   I-DATE
Dec-2228   I-DATE
/2023   O
to   O
assess   O
response   O
to   O
treatment   O
and   O
plan   O
further   O
care   O
as   O
needed   O
.   O

Signature   O
:   O
Pace   B-NAME
32/28/96   B-DATE

Patient   O
Name   O
:   O
Chery   B-NAME
Bologna   I-NAME
Patient   O
DOB   O
:   O
08/21   B-DATE
Age   O
:   O
85   O
Medical   O
Record   O
Number   O
:   O
18445824   B-ID
Address   O
:   O
Brookeville   B-LOCATION
,   O
57682   B-LOCATION
Phone   O
Number   O
:   O
76065   B-CONTACT
Admitting   O
Physician   O
:   O

Kimbra   B-NAME
Cogar   I-NAME
Hospital   O
:   O
Evans   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
07/00   B-DATE
Date   O
of   O
Discharge   O
:   O
0/22   B-DATE
Chief   O
Complaint   O
:   O
Erin   B-NAME
Castro   I-NAME
was   O
brought   O
to   O
Located   B-LOCATION
within   I-LOCATION
McLaren   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
an   O
episode   O
of   O
syncope   O
lasting   O
approximately   O
2   O
minutes   O
.   O

The   O
onset   O
was   O
sudden   O
while   O
Johnathan   B-NAME
Stout   I-NAME
was   O
at   O
work   O
as   O
a   O
Programme   O
researcher   O
at   O
Animal   B-LOCATION
Welfare   I-LOCATION
Network   I-LOCATION
Nepal   I-LOCATION
on   O
22/27   B-DATE
.   O

Hayes   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Michelle   B-NAME
Maxwell   I-NAME
's   O
blood   O
pressure   O
was   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
was   O
98   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
was   O
92   O
%   O
on   O
room   O
air   O
.   O

Treatment   O
:   O
Cunningham   B-NAME
was   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
infusion   O
as   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

A   O
consult   O
to   O
cardiology   O
was   O
made   O
,   O
and   O
Marc   B-NAME
Leblanc   I-NAME
underwent   O
an   O
emergency   O
coronary   O
angiography   O
performed   O
by   O
Burch   B-NAME
,   O
revealing   O
a   O
90   O
%   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Lucas   B-NAME
was   O
discharged   O
on   O
10/07/1803   B-DATE
with   O
medications   O
including   O
aspirin   O
,   O
clopidogrel   O
,   O
atorvastatin   O
,   O
Lisinopril   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Duffy   B-NAME
at   O
John   B-LOCATION
C.   I-LOCATION
Lincoln   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
scheduled   O
for   O
01/23/70   B-DATE
.   O

Conor   B-NAME
Dickerson   I-NAME
was   O
also   O
advised   O
to   O
attend   O
cardiac   O
rehabilitation   O
starting   O
09/07   B-DATE
.   O
Incident   O
Report   O
Number   O
:   O
HL   B-ID
:   I-ID
YJ:5856   I-ID
Contact   O
Information   O
for   O
Follow   O
-   O
up   O
:   O
Holly   B-NAME
Xavia   I-NAME
Avalos   I-NAME
-   O
(   B-CONTACT
549   I-CONTACT
)   I-CONTACT
493   I-CONTACT
-   I-CONTACT
1289   I-CONTACT
Primary   O
Care   O
Physician   O
-   O
Cailyn   B-NAME
Sanchez   I-NAME
,   O
12828   B-CONTACT
Cardiologist   O
-   O
Tyrone   B-NAME
Solomon   I-NAME
,   O
639   B-CONTACT
-   I-CONTACT
8407   I-CONTACT

This   O
report   O
has   O
been   O
prepared   O
by   O
XW128   B-NAME
,   O
and   O
all   O
guidelines   O
regarding   O
PHI   O
have   O
been   O
strictly   O
followed   O
.   O

Patient   O
Name   O
:   O
River   B-NAME
Hammond   I-NAME
Patient   O
ID   O
:   O
GS:86141:536536   B-ID
Medical   O
Record   O
Number   O
:   O
91409400   B-ID
Date   O
of   O
Birth   O
:   O
13   O
Address   O
:   O
Lenexa   B-LOCATION
,   O
14732   B-LOCATION
Employer   O
:   O
Kerala   B-LOCATION
Gazetted   I-LOCATION
Officers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
Occupation   O
:   O
Computer   O
,   O
Automated   O
Teller   O
,   O
and   O
Office   O
Machine   O
Repairers   O
Phone   O
Number   O
:   O
295   B-CONTACT
-   I-CONTACT
923   I-CONTACT
4436   I-CONTACT
Attending   O
Physician   O
:   O

Mccullough   B-NAME
Hospital   O
Name   O
:   O
Bourbon   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/24   B-DATE
/2023   O
Date   O
of   O
Discharge   O
:   O
22/22/2134   B-DATE
/2023   O
Chief   O
Complaint   O
:   O
Jenette   B-NAME
Kyrinov   I-NAME
presented   O
at   O
Heart   B-LOCATION
Institute   I-LOCATION
at   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Bayonet   I-LOCATION
Point   I-LOCATION
on   O
30/12   B-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
recurrent   O
episodes   O
of   O
vomiting   O
,   O
and   O
acute   O
dehydration   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ari   B-NAME
Williams   I-NAME
,   O
a   O
Magazine   O
features   O
editor   O
from   O
Bayonet   B-LOCATION
Point   I-LOCATION
,   O
reports   O
the   O
pain   O
to   O
be   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
describing   O
it   O
as   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
.   O

Additionally   O
,   O
Quinten   B-NAME
Prado   I-NAME
has   O
experienced   O
episodes   O
of   O
nausea   O
followed   O
by   O
vomiting   O
,   O
which   O
has   O
been   O
non   O
-   O
bloody   O
and   O
non   O
-   O
bilious   O
.   O

Examination   O
Findings   O
:   O
Upon   O
assessment   O
,   O
Niven   B-NAME
,   I-NAME
Larry   I-NAME
exhibited   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Immediate   O
surgical   O
consultation   O
was   O
recommended   O
,   O
and   O
Georgia   B-NAME
Gardner   I-NAME
was   O
scheduled   O
for   O
laparoscopic   O
appendectomy   O
on   O
30/32   B-DATE
/2023   O
.   O

Veronica   B-NAME
Hayden   I-NAME
-   I-NAME
Jones   I-NAME
performed   O
the   O
surgery   O
without   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Laitman   B-NAME
,   I-NAME
Michael   I-NAME
was   O
discharged   O
on   O
31/01   B-DATE
/2023   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Alberto   B-NAME
Frye   I-NAME
in   O
2   O
weeks   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
the   O
office   O
at   O
(   B-CONTACT
257   I-CONTACT
)   I-CONTACT
766   I-CONTACT
6811   I-CONTACT
for   O
any   O
concerns   O
or   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
issues   O
related   O
to   O
the   O
surgical   O
site   O
.   O

Additionally   O
,   O
Kenneth   B-NAME
Sweet   I-NAME
was   O
informed   O
to   O
report   O
any   O
unresolved   O
gastrointestinal   O
symptoms   O
immediately   O
.   O

The   O
information   O
contained   O
in   O
this   O
document   O
is   O
confidential   O
and   O
was   O
prepared   O
specifically   O
for   O
Neva   B-NAME
Rossow   I-NAME
by   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Savannah   I-LOCATION
.   O

Athena   B-NAME
Hardin   I-NAME
Age   O
:   O
38   O
Medical   O
Record   O
Number   O
:   O
3379256   B-ID
Date   O
of   O
Birth   O
:   O
June   B-DATE
Phone   O
Number   O
:   O
(   B-CONTACT
518   I-CONTACT
)   I-CONTACT
750   I-CONTACT
-   I-CONTACT
1013   I-CONTACT
Address   O
:   O
Brookville   B-LOCATION
,   O
49580   B-LOCATION
Occupation   O
:   O

Dionne   B-NAME
Prude   I-NAME
Hospital   O
:   O

Emanate   B-LOCATION
Health   I-LOCATION
Foothill   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
33/16/93   B-DATE
Patient   O
ID   O
:   O
OC:95421:803133   B-ID

Rock   B-LOCATION
River   I-LOCATION
Bank   I-LOCATION
Summary   O
of   O
Patient   O
Condition   O
:   O
Jenn   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
CaroMont   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/13   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
possible   O
appendicitis   O
.   O

Upon   O
examination   O
,   O
Gillian   B-NAME
Chandler   I-NAME
exhibited   O
the   O
signs   O
of   O
rebound   O
tenderness   O
during   O
the   O
abdominal   O
palpation   O
procedure   O
,   O
raising   O
suspicion   O
for   O
peritonitis   O
secondary   O
to   O
a   O
ruptured   O
appendix   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Post   O
-   O
operative   O
recovery   O
is   O
expected   O
to   O
take   O
about   O
2   O
-   O
3   O
weeks   O
,   O
during   O
which   O
Layton   B-NAME
is   O
advised   O
to   O
follow   O
a   O
graduated   O
return   O
to   O
physical   O
activities   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Brayden   B-NAME
Moran   I-NAME
at   O
West   B-LOCATION
Side   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03   B-DATE
-   I-DATE
23   I-DATE
to   O
monitor   O
healing   O
and   O
address   O
any   O
complications   O
.   O

Additionally   O
,   O
Kate   B-NAME
Marlens   I-NAME
is   O
advised   O
to   O
maintain   O
a   O
high   O
-   O
fiber   O
diet   O
to   O
prevent   O
constipation   O
and   O
facilitate   O
recovery   O
.   O

Summary   O
:   O
This   O
report   O
covers   O
the   O
admission   O
,   O
diagnosis   O
,   O
treatment   O
,   O
and   O
post   O
-   O
operative   O
care   O
plan   O
for   O
Spolsky   B-NAME
,   I-NAME
Joel   I-NAME
,   O
exhibiting   O
symptoms   O
of   O
acute   O
appendicitis   O
.   O

Further   O
monitoring   O
and   O
a   O
structured   O
recovery   O
plan   O
have   O
been   O
put   O
in   O
place   O
to   O
ensure   O
the   O
well   O
-   O
being   O
of   O
Johan   B-NAME
Vaughn   I-NAME
.   O

Report   O
Prepared   O
By   O
:   O
yje656   B-NAME
Medical   O
Reporting   O
Department   O
Norton   B-LOCATION
Brownsboro   I-LOCATION
Hospital   I-LOCATION
37/35   B-DATE

Otha   B-NAME
Rush   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
8722467   I-ID
Date   O
of   O
Birth   O
:   O
07/06   B-DATE
Age   O
:   O
31   O
Address   O
:   O
Dallesport   B-LOCATION
,   O
18911   B-LOCATION
Phone   O
:   O
87384   B-CONTACT
Medical   O
Record   O
Number   O
:   O
7403904   B-ID
Attending   O
Physician   O
:   O

Kaitlynn   B-NAME
Novak   I-NAME
Admitting   O
Hospital   O
:   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Clare   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Baraboo   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/20/2223   B-DATE
Occupation   O
:   O

Veterinary   O
surgeon   O
Username   O
for   O
Hospital   O
Portal   O
:   O
sq725   B-NAME
Chief   O
Complaint   O
:   O

Gloria   B-NAME
Cochran   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
Adventist   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Rideout   I-LOCATION
on   O
2/'73   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
rated   O
8/10   O
on   O
the   O
pain   O
scale   O
,   O
which   O
was   O
acute   O
in   O
onset   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
and   O
radiated   O
towards   O
the   O
back   O
.   O

Chana   B-NAME
Horton   I-NAME
reported   O
experiencing   O
these   O
symptoms   O
intermittently   O
over   O
the   O
last   O
month   O
but   O
had   O
become   O
unbearable   O
over   O
the   O
24   O
hours   O
prior   O
to   O
presentation   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mumford   B-NAME
,   I-NAME
Lewis   I-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Graders   O
and   O
Sorters   O
,   O
Agricultural   O
Products   O
from   O
Finneytown   B-LOCATION
,   O
has   O
been   O
in   O
good   O
health   O
until   O
approximately   O
one   O
month   O
ago   O
when   O
they   O
first   O
noticed   O
mild   O
,   O
non   O
-   O
specific   O
abdominal   O
discomfort   O
.   O

Regina   B-NAME
Dorsey   I-NAME
denies   O
any   O
history   O
of   O
surgeries   O
.   O

Social   O
History   O
:   O
Leo   B-NAME
Villalobos   I-NAME
is   O
a   O
Statement   O
Clerks   O
,   O
living   O
in   O
Charlotte   B-LOCATION
and   O
denies   O
the   O
use   O
of   O
alcohol   O
,   O
smoking   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Laboratories   O
and   O
Imaging   O
:   O
Lab   O
tests   O
ordered   O
by   O
Camacho   B-NAME
on   O
21th   B-DATE
of   I-DATE
February   I-DATE
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
urinalysis   O
(   O
UA   O
)   O
,   O
all   O
of   O
which   O
returned   O
within   O
normal   O
limits   O
.   O

Assessment   O
and   O
Plan   O
:   O
The   O
initial   O
assessment   O
by   O
Glennis   B-NAME
Hansteen   I-NAME
suggests   O
acute   O
appendicitis   O
.   O

Given   O
the   O
patient   O
's   O
symptoms   O
and   O
the   O
findings   O
from   O
the   O
ultrasound   O
,   O
Ryder   B-NAME
Chang   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
surgical   O
consult   O
for   O
possible   O
appendectomy   O
.   O

Omaha   B-LOCATION
Public   I-LOCATION
Power   I-LOCATION
District   I-LOCATION
will   O
handle   O
the   O
billing   O
and   O
insurance   O
claims   O
for   O
Gay   B-NAME
,   I-NAME
John   I-NAME
,   O
with   O
follow   O
-   O
up   O
on   O
2034   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
24   I-DATE
to   O
ensure   O
all   O
processes   O
are   O
progressing   O
as   O
expected   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Micaela   B-NAME
Villanueva   I-NAME
Patient   O
ID   O
:   O
LN465/8688   B-ID
Date   O
of   O
Birth   O
:   O
46   O
Date   O
of   O
Visit   O
:   O
39/27/2369   B-DATE
/2023   O
Address   O
:   O
South   B-LOCATION
Acomita   I-LOCATION
Village   I-LOCATION
,   O
54259   B-LOCATION
Phone   O
Number   O
:   O
43871   B-CONTACT
Occupation   O
:   O
Solderers   O
Username   O
for   O
Portal   O
:   O
IU856   B-NAME
Medical   O
Record   O
Number   O
:   O
25414432   B-ID
Presenting   O
Complaint   O
:   O
voigt   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
05/26   B-DATE
/2023   O
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

Kendall   B-NAME
Brown   I-NAME
also   O
reported   O
an   O
elevated   O
temperature   O
measured   O
at   O
home   O
.   O

Sawyer   B-NAME
Duarte   I-NAME
denies   O
any   O
bowel   O
changes   O
,   O
blood   O
in   O
stool   O
,   O
or   O
urinary   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Lailah   B-NAME
Duke   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
medication   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Raymond   B-NAME
Mason   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
Plan   O
:   O
Kareem   B-NAME
Reed   I-NAME
was   O
advised   O
to   O
admit   O
to   O
Holy   B-LOCATION
Cross   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
,   O
which   O
might   O
include   O
surgical   O
intervention   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2215   B-DATE
/2023   O
after   O
the   O
initial   O
treatment   O
phase   O
.   O

Snyder   B-NAME
was   O
advised   O
to   O
return   O
earlier   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

Mcdonald   B-NAME
Treating   O
Hospital   O
:   O

North   B-LOCATION
Okaloosa   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Authorization   O
for   O
the   O
release   O
of   O
information   O
to   O
:   O
Emergency   O
Contact   O
:   O
410   B-CONTACT
9667   I-CONTACT
Insurance   O
Provider   O
:   O
Ukrainian   B-LOCATION
American   I-LOCATION
Veterans   I-LOCATION
(   I-LOCATION
UAV   I-LOCATION
)   I-LOCATION

Please   O
contact   O
our   O
office   O
at   O
646   B-CONTACT
-   I-CONTACT
3476   I-CONTACT
for   O
any   O
inquiries   O
or   O
further   O
clarification   O
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Detailed   O
Report   O
on   O
Zackary   B-NAME
Blair   I-NAME
's   O
Condition   O
Date   O
:   O
22/6   B-DATE
/2023   O
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
8454897   I-ID
Medical   O
Record   O
Number   O
:   O
44464099   B-ID
1   O
.   O

Personal   O
Information   O
-   O
Age   O
:   O
31   O
-   O
Location   O
:   O
Radcliffe   B-LOCATION
-   O
Profession   O
:   O
Musicians   O
,   O
Instrumental   O
-   O
Contact   O
Number   O
:   O
828   B-CONTACT
-   I-CONTACT
813   I-CONTACT
-   I-CONTACT
8103   I-CONTACT
2   O
.   O

Referring   O
Doctor   O
-   O
Name   O
:   O
Byron   B-NAME
Murray   I-NAME
3   O
.   O

Hospital   O
Information   O
-   O
Admission   O
Date   O
:   O
07/30   B-DATE
/2023   O
-   O
Hospital   O
Name   O
:   O
Swedish   B-LOCATION
Edmonds   I-LOCATION
Hospital   I-LOCATION
-   O
Room   O
Number   O
:   O
Bemidji   B-LOCATION
4   O
.   O

Presenting   O
Symptoms   O
renteria   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
1786   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
07   I-DATE
/2023   O
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
week   O
.   O

Accompanying   O
the   O
headache   O
,   O
Rachael   B-NAME
Mitchell   I-NAME
reported   O
photophobia   O
and   O
phonophobia   O
,   O
making   O
it   O
challenging   O
to   O
perform   O
daily   O
activities   O
.   O

Stark   B-NAME
described   O
a   O
loss   O
of   O
appetite   O
accompanied   O
by   O
significant   O
weight   O
loss   O
over   O
the   O
past   O
month   O
.   O

Initial   O
Management   O
The   O
management   O
plan   O
initiated   O
for   O
Karina   B-NAME
Bracco   I-NAME
included   O
aggressive   O
hydration   O
and   O
administration   O
of   O
analgesic   O
and   O
antiemetic   O
medications   O
to   O
manage   O
headache   O
and   O
nausea   O
,   O
respectively   O
.   O

7   O
.   O
Follow   O
-   O
up   O
and   O
Recommendations   O
Bruce   B-NAME
D   I-NAME
Brian   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Laurence   B-NAME
Shoup   I-NAME
in   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Monday   B-DATE
,   I-DATE
May   I-DATE
/2023   O
to   O
review   O
the   O
results   O
of   O
pending   O
investigations   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

In   O
conclusion   O
,   O
the   O
clinical   O
presentation   O
of   O
Ullrich   B-NAME
suggests   O
a   O
complex   O
neurological   O
condition   O
requiring   O
comprehensive   O
investigation   O
and   O
multifaceted   O
management   O
approach   O
.   O

Prepared   O
by   O
:   O
ra183   B-NAME
Contact   O
at   O
The   B-LOCATION
Buckhead   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
:   O
84463   B-CONTACT

Yank   B-NAME
Chung   I-NAME
Medical   O
Record   O
Number   O
:   O
95897832   B-ID
Date   O
of   O
Birth   O
:   O
0522   B-DATE
Age   O
:   O
64   O
Address   O
:   O
Wilbraham   B-LOCATION
,   O
93297   B-LOCATION
Phone   O
Number   O
:   O
265   B-CONTACT
300   I-CONTACT
-   I-CONTACT
2436   I-CONTACT

Chong   B-NAME
Heyd   I-NAME
Hospital   O
:   O
Deer   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
August   B-DATE
Date   O
of   O
Report   O
:   O
01/02/12   B-DATE
Summary   O
:   O
Gustavo   B-NAME
Wallace   I-NAME
,   O
a   O
Clinical   O
,   O
Counseling   O
,   O
and   O
School   O
Psychologists   O
from   O
Chipping   B-LOCATION
Ongar   I-LOCATION
,   O
presented   O
to   O
Connecticut   B-LOCATION
Hospice   I-LOCATION
on   O
'   B-DATE
02   I-DATE
with   O
complaints   O
of   O
persistent   O
,   O
sharp   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
since   O
02/28/22   B-DATE
.   O

Deandre   B-NAME
Porter   I-NAME
's   O
medical   O
history   O
includes   O
a   O
diagnosis   O
of   O
asthma   O
managed   O
with   O
inhaled   O
corticosteroids   O
and   O
a   O
previous   O
appendectomy   O
in   O
childhood   O
.   O

On   O
physical   O
examination   O
,   O
Logan   B-NAME
was   O
found   O
to   O
be   O
moderately   O
distressed   O
with   O
pain   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
without   O
contrast   O
was   O
ordered   O
by   O
Dr.   O
Rich   B-NAME
,   O
which   O
revealed   O
inflammation   O
surrounding   O
the   O
cecum   O
without   O
evidence   O
of   O
appendiceal   O
remnants   O
,   O
pointing   O
towards   O
a   O
diagnosis   O
of   O
typhlitis   O
.   O

The   O
plan   O
initiated   O
by   O
Gael   B-NAME
Bowers   I-NAME
involved   O
starting   O
Tomas   B-NAME
Clay   I-NAME
on   O
intravenous   O
antibiotics   O
and   O
considering   O
surgical   O
intervention   O
if   O
there   O
was   O
no   O
improvement   O
.   O

Kaeden   B-NAME
Mayo   I-NAME
's   O
condition   O
was   O
monitored   O
closely   O
over   O
the   O
next   O
48   O
hours   O
,   O
during   O
which   O
the   O
symptoms   O
showed   O
significant   O
improvement   O
.   O

Discussion   O
with   O
Tan   B-NAME
regarding   O
the   O
findings   O
and   O
treatment   O
plan   O
occurred   O
on   O
2082   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
22   I-DATE
.   O

ignacio   B-NAME
was   O
advised   O
on   O
signs   O
and   O
symptoms   O
of   O
complications   O
that   O
would   O
warrant   O
an   O
immediate   O
return   O
to   O
Intermountain   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
contact   O
via   O
61621   B-CONTACT
.   O

Disposition   O
:   O
Inge   B-NAME
Metzer   I-NAME
responded   O
well   O
to   O
conservative   O
management   O
and   O
was   O
discharged   O
on   O
32/12   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
to   O
complete   O
a   O
14   O
-   O
day   O
course   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Susan   B-NAME
Rowe   I-NAME
at   O
Holy   B-LOCATION
Name   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
scheduled   O
for   O
12/22   B-DATE
to   O
reassess   O
the   O
condition   O
and   O
ensure   O
resolution   O
of   O
the   O
infection   O
.   O

Further   O
instruction   O
was   O
provided   O
for   O
Yuna   B-NAME
K.   I-NAME
Tripp   I-NAME
to   O
maintain   O
a   O
clear   O
liquid   O
diet   O
for   O
24   O
hours   O
post   O
-   O
discharge   O
,   O
gradually   O
returning   O
to   O
a   O
normal   O
diet   O
as   O
tolerated   O
.   O

Natalie   B-NAME
Lambert   I-NAME
's   O
family   O
,   O
particularly   O
Surgical   O
Technologists   O
,   O
was   O
instructed   O
on   O
how   O
to   O
support   O
Pena   B-NAME
during   O
recovery   O
and   O
was   O
given   O
(   B-CONTACT
878   I-CONTACT
)   I-CONTACT
150   I-CONTACT
-   I-CONTACT
5205   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
.   O

ID   O
Number   O
:   O
IS:23366:515404   B-ID
Responsible   O
Organization   O
:   O

Imperium   B-LOCATION
of   I-LOCATION
Galaxies   I-LOCATION
Username   O
of   O
Report   O
Creator   O
:   O
QG110   B-NAME
Location   O
of   O
Service   O
:   O
Westerham   B-LOCATION

Patient   O
Name   O
:   O
Ru   B-NAME
Age   O
:   O
5   O
week   O
Date   O
of   O
Birth   O
:   O
Sunday   B-DATE
Phone   O
:   O
676   B-CONTACT
-   I-CONTACT
583   I-CONTACT
-   I-CONTACT
4448   I-CONTACT
Address   O
:   O
El   B-LOCATION
Paso   I-LOCATION
,   O
25844   B-LOCATION
Employment   O
:   O
Genetic   O
Counselors   O
Primary   O
Physician   O
:   O
Dr.   O
Haynes   B-NAME
Hospital   O
:   O
Willamette   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Ctr   I-LOCATION
Medical   O
Record   O
Number   O
:   O
15423767   B-ID
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
2714160   I-ID
Date   O
of   O
Visit   O
:   O
2312   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
19   I-DATE
Referred   O
by   O
:   O
Dr.   O
Kameron   B-NAME
Parker   I-NAME
Chief   O
Complaint   O
:   O
Ida   B-NAME
Oquinn   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
November   B-DATE
01   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
severe   O
,   O
pounding   O
headache   O
predominantly   O
in   O
the   O
frontal   O
lobe   O
area   O
.   O

Additionally   O
,   O
Cosby   B-NAME
,   I-NAME
Bill   I-NAME
reported   O
associated   O
nausea   O
without   O
vomiting   O
and   O
photophobia   O
.   O

Medical   O
History   O
:   O
Rylee   B-NAME
Ballard   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
without   O
aura   O
for   O
the   O
past   O
6s   O
years   O
,   O
typically   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
ibuprofen   O
with   O
relief   O
.   O

Vincenza   B-NAME
Lauer   I-NAME
denies   O
any   O
significant   O
past   O
medical   O
history   O
including   O
diabetes   O
mellitus   O
,   O
hypertension   O
,   O
or   O
cardiovascular   O
diseases   O
.   O

Social   O
History   O
:   O
Joshua   B-NAME
Root   I-NAME
,   O
a   O
Loan   O
Officers   O
,   O
reports   O
occasional   O
alcohol   O
consumption   O
but   O
denies   O
tobacco   O
or   O
recreational   O
drug   O
use   O
.   O

Corelli   B-NAME
leads   O
a   O
sedentary   O
lifestyle   O
due   O
to   O
the   O
demanding   O
nature   O
of   O
her   O
job   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Farmer   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
,   O
and   O
physical   O
exam   O
was   O
largely   O
unremarkable   O
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
2390   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
25   I-DATE
with   O
Dr.   O
Tobias   B-NAME
Lutz   I-NAME
at   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
assessment   O
of   O
response   O
to   O
medication   O
and   O
headache   O
management   O
.   O

Follow   O
-   O
up   O
&   O
Recommendations   O
:   O
It   O
was   O
recommended   O
that   O
Bush   B-NAME
seek   O
immediate   O
medical   O
attention   O
if   O
she   O
experiences   O
symptoms   O
indicative   O
of   O
an   O
aura   O
,   O
stroke   O
,   O
or   O
other   O
neurological   O
changes   O
,   O
or   O
if   O
her   O
headache   O
pattern   O
changes   O
significantly   O
.   O

The   O
case   O
will   O
be   O
reviewed   O
again   O
on   O
the   O
next   O
visit   O
scheduled   O
for   O
08/22   B-DATE
.   O

For   O
any   O
queries   O
or   O
to   O
report   O
adverse   O
effects   O
,   O
Joi   B-NAME
Winders   I-NAME
can   O
contact   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Oshkosh   I-LOCATION
's   O
Neurology   O
Department   O
at   O
883   B-CONTACT
3122   I-CONTACT
.   O

Signed   O
,   O
Dr.   O
Toby   B-NAME
Roman   I-NAME
,   O
MD   O
Grand   B-LOCATION
Itasca   I-LOCATION
Clinic   I-LOCATION
and   I-LOCATION
Hospital   I-LOCATION
's   O
Neurology   O
Department   O
12/30   B-DATE

Patient   O
Name   O
:   O
Abbott   B-NAME
Age   O
:   O
8   O
Date   O
of   O
Birth   O
:   O
2383   B-DATE
Phone   O
Number   O
:   O
593   B-CONTACT
-   I-CONTACT
6454   I-CONTACT
Address   O
:   O
Lake   B-LOCATION
Ronkonkoma   I-LOCATION
,   O
74692   B-LOCATION
Physician   O
:   O

Oscar   B-NAME
Hancock   I-NAME
Hospital   O
:   O
University   B-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
916   B-ID
-   I-ID
68   I-ID
-   I-ID
69   I-ID
Date   O
of   O
Visit   O
:   O
2160   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
21   I-DATE
Occupation   O
:   O
Private   O
music   O
teacher   O
Social   O
Security   O
Number   O
:   O
MW   B-ID
:   I-ID
ZK:9082   I-ID
Presentation   O
:   O
Shelton   B-NAME
presented   O
to   O
Bailey   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
LLC   I-LOCATION
on   O
22/12   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
persisted   O
for   O
approximately   O
48   O
hours   O
before   O
admission   O
.   O

Additionally   O
,   O
S.   B-NAME
Quenton   I-NAME
Jolley   I-NAME
reported   O
a   O
low   O
-   O
grade   O
fever   O
peaking   O
at   O
100.4   O
degrees   O
Fahrenheit   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
.   O

On   O
physical   O
examination   O
,   O
August   B-NAME
Stout   I-NAME
exhibited   O
right   O
lower   O
quadrant   O
tenderness   O
with   O
rebound   O
tenderness   O
suggesting   O
peritoneal   O
irritation   O
.   O

Imaging   O
conducted   O
at   O
Stringfellow   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
Saturday   B-DATE
included   O
abdominal   O
ultrasonography   O
which   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
a   O
periappendiceal   O
fluid   O
collection   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Management   O
and   O
Outcome   O
:   O
After   O
discussing   O
the   O
findings   O
and   O
management   O
options   O
with   O
Herbert   B-NAME
,   I-NAME
Zbigniew   I-NAME
,   O
surgical   O
intervention   O
for   O
an   O
appendectomy   O
was   O
decided   O
upon   O
.   O

The   O
surgery   O
,   O
conducted   O
by   O
Donna   B-NAME
Barton   I-NAME
on   O
32/29/11   B-DATE
,   O
was   O
successful   O
without   O
complications   O
.   O

Ayana   B-NAME
Hendricks   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
from   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Healthcare   I-LOCATION
-   I-LOCATION
Ft   I-LOCATION
.   I-LOCATION
Thomas   I-LOCATION
on   O
33/05   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Kaeden   B-NAME
Raymond   I-NAME
scheduled   O
for   O
2174   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
32   I-DATE
.   O

Prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infections   O
were   O
provided   O
,   O
with   O
instructions   O
on   O
their   O
use   O
clearly   O
explained   O
to   O
Amelia   B-NAME
Joyce   I-NAME
.   O

Conclusion   O
:   O
Acute   O
appendicitis   O
was   O
successfully   O
diagnosed   O
and   O
managed   O
in   O
Jarrett   B-NAME
Gomez   I-NAME
with   O
timely   O
surgical   O
intervention   O
.   O

xxa136   B-NAME
Report   O
By   O
:   O
Obstetricians   O
and   O
Gynecologists   O
,   O
Alaska   B-LOCATION
Native   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
For   O
any   O
further   O
inquiries   O
or   O
updates   O
,   O
please   O
contact   O
335   B-CONTACT
-   I-CONTACT
645   I-CONTACT
-   I-CONTACT
8855   I-CONTACT
or   O
visit   O
us   O
at   O
Cannelton   B-LOCATION
.   O

Patient   O
ID   O
:   O
060   B-ID
-   I-ID
67   I-ID
-   I-ID
61   I-ID
Date   O
of   O
Admission   O
:   O
1976   B-DATE
Physician   O
:   O

Kevin   B-NAME
Zimmerman   I-NAME
Location   O
:   O
Larkin   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
Lancaster   B-LOCATION
,   O
96125   B-LOCATION
Contact   O
Number   O
:   O
666   B-CONTACT
6411   I-CONTACT
Patient   O
Information   O
:   O
Name   O
:   O
Urban   B-NAME
J.   I-NAME
Quinto   I-NAME
Age   O
:   O
60   O
Occupation   O
:   O
Shipping   O
,   O
Receiving   O
,   O
and   O
Traffic   O
Clerks   O
Date   O
of   O
Birth   O
:   O
2283   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
01   I-DATE
Medical   O
History   O
:   O

The   O
patient   O
,   O
Xavier   B-NAME
Otero   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
North   I-LOCATION
Central   I-LOCATION
Bronx   I-LOCATION
on   O
Nov.   B-DATE
21   I-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

Bridges   B-NAME
also   O
reported   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Beyale   B-NAME
works   O
as   O
a   O
Rotary   O
Drill   O
Operators   O
,   O
Oil   O
and   O
Gas   O
in   O
Packwaukee   B-LOCATION
and   O
has   O
been   O
under   O
significant   O
work   O
-   O
related   O
stress   O
for   O
the   O
past   O
few   O
months   O
.   O

Echocardiography   O
indicated   O
impaired   O
left   O
ventricular   O
systolic   O
function   O
with   O
an   O
ejection   O
fraction   O
of   O
40   O
%   O
.   O
Management   O
and   O
Treatment   O
:   O
Weston   B-NAME
Walker   I-NAME
initiated   O
treatment   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
a   O
statin   O
for   O
acute   O
management   O
.   O

Savanna   B-NAME
Miles   I-NAME
was   O
also   O
started   O
on   O
insulin   O
therapy   O
to   O
manage   O
blood   O
glucose   O
levels   O
.   O

The   O
procedure   O
was   O
scheduled   O
for   O
32/23   B-DATE
and   O
successfully   O
performed   O
without   O
complications   O
.   O

Rebbeca   B-NAME
Falco   I-NAME
was   O
admitted   O
to   O
Methodist   B-LOCATION
Jennie   I-LOCATION
Edmundson   I-LOCATION
for   O
further   O
observation   O
and   O
management   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Chambers   B-NAME
has   O
recommended   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
to   O
assess   O
Arjun   B-NAME
Nunez   I-NAME
's   O
recovery   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

Eddie   B-NAME
Clark   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
medication   O
adherence   O
,   O
regular   O
physical   O
activity   O
,   O
and   O
stress   O
management   O
techniques   O
.   O

Peoples   B-LOCATION
First   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
has   O
been   O
contacted   O
to   O
help   O
Dickinson   B-NAME
,   I-NAME
Emily   I-NAME
with   O
medication   O
cost   O
coverage   O
.   O

A   O
home   O
blood   O
pressure   O
and   O
blood   O
glucose   O
monitoring   O
kit   O
were   O
prescribed   O
,   O
and   O
Leete   B-NAME
was   O
instructed   O
on   O
their   O
use   O
.   O

For   O
any   O
queries   O
or   O
further   O
information   O
,   O
please   O
contact   O
Hailie   B-NAME
Meyer   I-NAME
's   O
office   O
at   O
13234   B-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
Jabari   B-NAME
Rangel   I-NAME
is   O
advised   O
to   O
return   O
to   O
Scheurer   B-LOCATION
Hospital   I-LOCATION
or   O
dial   O
the   O
local   O
emergency   O
number   O
.   O

This   O
medical   O
report   O
is   O
confidential   O
and   O
contains   O
sensitive   O
health   O
information   O
about   O
Albert   B-NAME
Ingram   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Jadon   B-NAME
Marks   I-NAME
Age   O
:   O
23s   O
Medical   O
Record   O
Number   O
:   O
537   B-ID
-   I-ID
68   I-ID
-   I-ID
56   I-ID
-   I-ID
8   I-ID
ID   O
:   O
LA607/6120   B-ID
Date   O
of   O
Birth   O
:   O
01/51   B-DATE
Address   O
:   O
Lyon   B-LOCATION
,   O
80441   B-LOCATION
Phone   O
:   O
713   B-CONTACT
529   I-CONTACT
5739   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Isla   B-NAME
Frank   I-NAME
Hospital   O
:   O
Hunterdon   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Visit   O
Details   O
:   O
01/38   B-DATE
,   O
Titus   B-NAME
Rush   I-NAME
,   O
a   O
Data   O
Processing   O
Equipment   O
Repairers   O
from   O
Selma   B-LOCATION
,   O
presented   O
with   O
complaints   O
of   O
acute   O
onset   O
dyspnea   O
,   O
persistent   O
coughing   O
,   O
and   O
fever   O
over   O
the   O
past   O
2300   B-DATE
.   O

The   O
patient   O
reported   O
the   O
symptoms   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
presenting   O
at   O
Sumner   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wellington   I-LOCATION
.   O

Ubo   B-NAME
has   O
a   O
past   O
medical   O
history   O
including   O
hypertension   O
and   O
a   O
recent   O
diagnosis   O
of   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Kornheiser   B-NAME
,   I-NAME
Tony   I-NAME
's   O
temperature   O
was   O
101.6   O
°   O
F   O
,   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
was   O
140/90   O
mmHg   O
.   O

Management   O
and   O
Outcome   O
:   O
Tiffany   B-NAME
Keller   I-NAME
initiated   O
treatment   O
with   O
IV   O
antibiotics   O
and   O
supplemental   O
oxygen   O
.   O

Given   O
the   O
fever   O
and   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
as   O
well   O
as   O
considering   O
Ashley   B-NAME
Nolan   I-NAME
's   O
age   O
and   O
comorbid   O
conditions   O
,   O
the   O
decision   O
was   O
made   O
to   O
admit   O
Capote   B-NAME
,   I-NAME
Truman   I-NAME
to   O
Aurora   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Metro   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
for   O
observation   O
and   O
treatment   O
.   O

By   O
02/29   B-DATE
,   O
Aemillia   B-NAME
Bringas   I-NAME
's   O
condition   O
improved   O
significantly   O
with   O
resolution   O
of   O
fever   O
,   O
reduction   O
in   O
dyspnea   O
,   O
and   O
improved   O
oxygen   O
saturation   O
levels   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Calderon   B-NAME
recommended   O
follow   O
-   O
up   O
in   O
2/20/11   B-DATE
for   O
reassessment   O
.   O

Ashe   B-NAME
,   I-NAME
Arthur   I-NAME
was   O
also   O
encouraged   O
to   O
receive   O
the   O
annual   O
flu   O
vaccination   O
and   O
pneumococcal   O
vaccine   O
due   O
to   O
the   O
increased   O
risk   O
of   O
respiratory   O
infections   O
.   O

Conclusion   O
:   O
Samantha   B-NAME
Kerr   I-NAME
demonstrated   O
a   O
classical   O
presentation   O
of   O
bacterial   O
pneumonia   O
,   O
complicated   O
by   O
pre   O
-   O
existing   O
comorbid   O
conditions   O
.   O

Continued   O
management   O
of   O
Angelique   B-NAME
Knox   I-NAME
's   O
hypertension   O
and   O
diabetes   O
is   O
essential   O
for   O
overall   O
health   O
and   O
prevention   O
of   O
future   O
complications   O
.   O

Note   O
:   O
For   O
any   O
queries   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
Houston   B-LOCATION
Methodist   I-LOCATION
Sugar   I-LOCATION
Land   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
176   I-CONTACT
)   I-CONTACT
114   I-CONTACT
-   I-CONTACT
5318   I-CONTACT
or   O
reach   O
out   O
to   O
Reyes   B-NAME
directly   O
.   O

Millennium   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Texas   I-LOCATION
Data   O
Protection   O
Office   O
For   O
concerns   O
regarding   O
personal   O
data   O
,   O
contact   O
:   O
tk888   B-NAME
@   O
Lakeland   B-LOCATION
Electric   I-LOCATION
.com   O
Date   O
of   O
Report   O
:   O
May   B-DATE
Report   O
Prepared   O
by   O
:   O
Womankind   B-LOCATION
Worldwide   I-LOCATION
Health   O
Documentation   O
Team   O

Patient   O
Name   O
:   O
Paulette   B-NAME
Yancy   I-NAME
Patient   O
ID   O
:   O
AL245/2041   B-ID
Medical   O
Record   O
Number   O
:   O
087   B-ID
-   I-ID
00   I-ID
-   I-ID
72   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
March   B-DATE
Age   O
:   O
14   O
Address   O
:   O
De   B-LOCATION
Lamere   I-LOCATION
,   O
10053   B-LOCATION
Phone   O
Number   O
:   O
520   B-CONTACT
4951   I-CONTACT

Dominique   B-NAME
Fischer   I-NAME
Hospital   O
:   O
Methodist   B-LOCATION
Dallas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
9/28/31   B-DATE
Profession   O
:   O

tt7010   B-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Nunes   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
CHA   B-LOCATION
Everett   I-LOCATION
Hospital   I-LOCATION
on   O
05/24/1850   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
along   O
with   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mclean   B-NAME
began   O
experiencing   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
approximately   O
three   O
days   O
prior   O
to   O
admission   O
.   O

Over   O
the   O
past   O
22/07   B-DATE
,   O
the   O
pain   O
has   O
intensified   O
,   O
prompting   O
the   O
visit   O
.   O

Upon   O
review   O
,   O
Jacobson   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
controlled   O
with   O
oral   O
medication   O
,   O
and   O
Hypertension   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Devan   B-NAME
Chandler   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
,   O
followed   O
by   O
a   O
confirmatory   O
CT   O
scan   O
,   O
was   O
ordered   O
by   O
Lowe   B-NAME
,   O
which   O
indicated   O
appendicitis   O
with   O
no   O
signs   O
of   O
rupture   O
.   O

The   O
surgical   O
team   O
at   O
Columbus   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
was   O
consulted   O
,   O
and   O
Amaya   B-NAME
Moore   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
2171   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
39   I-DATE
.   O

The   O
procedure   O
was   O
explained   O
to   O
Thomas   B-NAME
Cotton   I-NAME
,   O
who   O
provided   O
informed   O
consent   O
.   O

Eveline   B-NAME
Dikkers   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

The   O
patient   O
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
Donovan   B-NAME
was   O
discharged   O
on   O
25/25   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Mcmahon   B-NAME
for   O
post   O
-   O
operative   O
care   O
.   O

Instructions   O
upon   O
Discharge   O
:   O
Adonai   B-NAME
was   O
advised   O
to   O
follow   O
a   O
light   O
diet   O
,   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
,   O
and   O
monitor   O
the   O
wound   O
site   O
for   O
signs   O
of   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
September   B-DATE
22   I-DATE
at   O
Virtua   B-LOCATION
Mt   I-LOCATION
Holly   I-LOCATION
.   O

Conclusion   O
:   O
Mises   B-NAME
,   I-NAME
Ludwig   I-NAME
von   I-NAME
's   O
presentation   O
of   O
acute   O
appendicitis   O
with   O
successful   O
surgical   O
intervention   O
highlights   O
the   O
importance   O
of   O
timely   O
diagnosis   O
and   O
treatment   O
.   O

The   O
collaborative   O
effort   O
between   O
the   O
emergency   O
department   O
,   O
radiology   O
,   O
surgery   O
teams   O
at   O
McLaren   B-LOCATION
Central   I-LOCATION
Michigan   I-LOCATION
,   O
and   O
the   O
comprehensive   O
post   O
-   O
operative   O
care   O
plan   O
contributed   O
to   O
the   O
positive   O
outcome   O
for   O
Heide   B-NAME
Doherty   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Lauri   B-NAME
Durkin   I-NAME
Age   O
:   O
91   O
SSN   O
:   O
XT   B-ID
:   I-ID
JK:2553   I-ID
Address   O
:   O
California   B-LOCATION
,   O
30240   B-LOCATION
Phone   O
:   O
461   B-CONTACT
-   I-CONTACT
4134   I-CONTACT
Occupation   O
:   O
actress   O
Medical   O
Record   O
Number   O
:   O
969   B-ID
-   I-ID
12   I-ID
-   I-ID
08   I-ID
-   I-ID
6   I-ID
Admission   O
Date   O
:   O
15/26   B-DATE
Attending   O
Physician   O
:   O

Darwin   B-NAME
,   I-NAME
Charles   I-NAME
Treatment   O
Facility   O
:   O
UPMC   B-LOCATION
Carlisle   I-LOCATION
Chief   O
Complaint   O
:   O
Hoffer   B-NAME
,   I-NAME
Eric   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
M   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Bryson   B-NAME
Sanders   I-NAME
denied   O
any   O
recent   O
changes   O
in   O
diet   O
,   O
alcohol   O
consumption   O
,   O
or   O
travel   O
.   O

Social   O
History   O
:   O
Dale   B-NAME
Kim   I-NAME
works   O
as   O
a   O
Secretaries   O
,   O
Except   O
Legal   O
,   O
Medical   O
,   O
and   O
Executive   O
at   O
MOVE   B-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
illicit   O
drugs   O
,   O
or   O
excessive   O
alcohol   O
consumption   O
.   O

Kimora   B-NAME
Love   I-NAME
resides   O
at   O
Alexander   B-LOCATION
City   I-LOCATION
with   O
their   O
family   O
.   O
Review   O
of   O
Systems   O
:   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Curry   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Halifax   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Port   I-LOCATION
Orange   I-LOCATION
under   O
the   O
care   O
of   O
Eckhart   B-NAME
,   I-NAME
Meister   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

Jayvon   B-NAME
Powell   I-NAME
was   O
started   O
on   O
IV   O
fluids   O
,   O
pain   O
management   O
,   O
and   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
status   O
was   O
initiated   O
to   O
rest   O
the   O
pancreas   O
.   O

Follow   O
-   O
up   O
:   O
Joseph   B-NAME
,   I-NAME
Chief   I-NAME
will   O
be   O
closely   O
monitored   O
for   O
symptoms   O
and   O
response   O
to   O
treatment   O
.   O

Signature   O
:   O
Elsie   B-NAME
Jones   I-NAME
02/20   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Vinnie   B-NAME
Age   O
:   O
37   O
ID   O
:   O
WD:20288:972115   B-ID

Medical   O
Record   O
Number   O
:   O
24389750   B-ID
Phone   O
Number   O
:   O
918   B-CONTACT
2434   I-CONTACT
Address   O
:   O
Interlaken   B-LOCATION
,   O
17735   B-LOCATION

Attending   O
Doctor   O
:   O
Delacruz   B-NAME
Hospital   O
:   O

Waverly   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
34/24   B-DATE
Occupation   O
:   O
Gaming   O
Cage   O
Workers   O
Username   O
:   O
iaz915   B-NAME
Chief   O
Complaint   O
:   O
Victoria   B-NAME
Keene   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
CHRISTUS   B-LOCATION
Mother   I-LOCATION
Frances   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Tyler   I-LOCATION
on   O
December   B-DATE
4   I-DATE
,   I-DATE
2018   I-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

Kenneth   B-NAME
Sweet   I-NAME
denies   O
any   O
recent   O
history   O
of   O
fever   O
,   O
cough   O
,   O
or   O
flu   O
-   O
like   O
symptoms   O
.   O

Jeffers   B-NAME
,   I-NAME
Oswald   I-NAME
is   O
a   O
secretary   O
living   O
in   O
Yacolt   B-LOCATION
.   O

Xue   B-NAME
has   O
a   O
20   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
but   O
quit   O
smoking   O
5   O
years   O
ago   O
.   O

Ellyn   B-NAME
's   O
father   O
had   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
60   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Lena   B-NAME
Cooke   I-NAME
appeared   O
anxious   O
and   O
diaphoretic   O
.   O

Singleton   B-NAME
is   O
admitted   O
to   O
the   O
cardiology   O
unit   O
for   O
further   O
monitoring   O
and   O
management   O
.   O

Quentin   B-NAME
U.   I-NAME
Johnson   I-NAME
has   O
been   O
counseled   O
on   O
the   O
importance   O
of   O
medication   O
compliance   O
,   O
especially   O
in   O
the   O
management   O
of   O
hypertension   O
,   O
to   O
prevent   O
further   O
cardiac   O
events   O
.   O

Prepared   O
by   O
:   O
Darius   B-NAME
Chandler   I-NAME
27   B-DATE
-   I-DATE
Jan-2275   I-DATE

On   O
July   B-DATE
,   O
Michael   B-NAME
Stanton   I-NAME
was   O
admitted   O
to   O
Lane   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Dighton   I-LOCATION
following   O
an   O
episode   O
of   O
acute   O
chest   O
pain   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
64   O
-   O
year   O
-   O
old   O
Embossing   O
Machine   O
Set   O
-   O
Up   O
Operators   O
was   O
at   O
work   O
in   O
Ilchester   B-LOCATION
when   O
the   O
symptoms   O
began   O
,   O
around   O
midday   O
.   O

Triston   B-NAME
Silva   I-NAME
called   O
857   B-CONTACT
1910   I-CONTACT
and   O
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

Upon   O
arrival   O
,   O
Orville   B-NAME
Halter   I-NAME
was   O
assessed   O
by   O
Kingsolver   B-NAME
,   I-NAME
Barbara   I-NAME
,   O
who   O
initiated   O
a   O
series   O
of   O
diagnostic   O
tests   O
to   O
ascertain   O
the   O
cause   O
of   O
the   O
symptoms   O
.   O

The   O
medical   O
team   O
noted   O
that   O
Jean   B-NAME
Fishman   I-NAME
's   O
electrocardiogram   O
(   O
ECG   O
)   O
showed   O
slight   O
ST   O
-   O
segment   O
elevation   O
,   O
indicating   O
a   O
possible   O
myocardial   O
infarction   O
.   O

Duffy   B-NAME
's   O
past   O
medical   O
history   O
,   O
extracted   O
from   O
965   B-ID
-   I-ID
63   I-ID
-   I-ID
99   I-ID
-   I-ID
8   I-ID
,   O
showed   O
no   O
previous   O
cardiac   O
events   O
but   O
did   O
indicate   O
a   O
family   O
history   O
of   O
ischemic   O
heart   O
disease   O
.   O

Meadow   B-NAME
Mcconnell   I-NAME
is   O
a   O
non   O
-   O
smoker   O
with   O
a   O
moderate   O
level   O
of   O
physical   O
activity   O
as   O
part   O
of   O
their   O
routine   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
which   O
commenced   O
on   O
32/25/2334   B-DATE
,   O
Sam   B-NAME
Cantrell   I-NAME
underwent   O
an   O
emergency   O
coronary   O
angiography   O
performed   O
by   O
Dangerfield   B-NAME
,   I-NAME
Rodney   I-NAME
,   O
revealing   O
a   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
unevently   O
,   O
and   O
Pretorius   B-NAME
was   O
monitored   O
closely   O
in   O
the   O
Cardiac   O
Care   O
Unit   O
of   O
Loyola   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Educational   O
sessions   O
on   O
lifestyle   O
modifications   O
and   O
cardiac   O
rehabilitation   O
were   O
provided   O
to   O
Chloe   B-NAME
Artis   I-NAME
by   O
L&O   B-LOCATION
Power   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
's   O
team   O
of   O
health   O
professionals   O
.   O

Francis   B-NAME
Chase   I-NAME
was   O
discharged   O
on   O
10/06/2118   B-DATE
with   O
a   O
prescription   O
for   O
dual   O
antiplatelet   O
therapy   O
and   O
statins   O
,   O
along   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Knapp   B-NAME
for   O
01/02/16   B-DATE
.   O

Throughout   O
the   O
treatment   O
and   O
recovery   O
period   O
,   O
all   O
communication   O
with   O
Ronald   B-NAME
Moses   I-NAME
's   O
family   O
was   O
conducted   O
with   O
the   O
utmost   O
respect   O
to   O
privacy   O
and   O
confidentiality   O
.   O

Contact   O
details   O
(   O
222   B-CONTACT
-   I-CONTACT
5696   I-CONTACT
)   O
were   O
used   O
solely   O
for   O
necessary   O
medical   O
communication   O
and   O
updates   O
.   O

Evan   B-NAME
Rehbein   I-NAME
's   O
unique   O
identifier   O
during   O
this   O
hospital   O
stay   O
was   O
799   B-ID
-   I-ID
31   I-ID
-   I-ID
03   I-ID
-   I-ID
0   I-ID
,   O
and   O
all   O
healthcare   O
services   O
were   O
provided   O
in   O
compliance   O
with   O
the   O
health   O
regulations   O
of   O
88443   B-LOCATION
.   O

Stop   B-LOCATION
Sequani   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SSAT   I-LOCATION
)   I-LOCATION
has   O
documented   O
Young   B-NAME
's   O
case   O
as   O
part   O
of   O
their   O
ongoing   O
efforts   O
to   O
improve   O
the   O
quality   O
of   O
care   O
for   O
patients   O
presenting   O
with   O
acute   O
cardiac   O
symptoms   O
.   O

This   O
case   O
study   O
is   O
also   O
part   O
of   O
a   O
larger   O
dataset   O
,   O
identified   O
by   O
80653748   B-ID
,   O
aimed   O
at   O
analyzing   O
the   O
outcomes   O
of   O
patients   O
who   O
undergo   O
stent   O
placement   O
procedures   O
within   O
2   O
hours   O
of   O
symptom   O
onset   O
.   O

For   O
further   O
information   O
or   O
follow   O
-   O
up   O
appointments   O
,   O
Madeleine   B-NAME
Salazar   I-NAME
or   O
their   O
designated   O
contacts   O
can   O
reach   O
out   O
to   O
King   B-LOCATION
's   I-LOCATION
Daughters   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
Cardiology   O
Department   O
at   O
896   B-CONTACT
8728   I-CONTACT
.   O

Patient   O
Name   O
:   O
Baudelaire   B-NAME
,   I-NAME
Charles   I-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
3863230   I-ID
Medical   O
Record   O
Number   O
:   O
60036   B-ID
Date   O
of   O
Birth   O
:   O
2238   B-DATE
Age   O
:   O
42   O
Phone   O
Number   O
:   O
951   B-CONTACT
891   I-CONTACT
-   I-CONTACT
7583   I-CONTACT
Address   O
:   O
Ghana   B-LOCATION
,   O
58653   B-LOCATION
Occupation   O
:   O
Government   O
research   O
officer   O
Primary   O
Care   O
Physician   O
:   O

Flores   B-NAME
Date   O
of   O
Visit   O
:   O
1924   B-DATE
Hospital   O
:   O
Samaritan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Florence   B-NAME
Mildred   I-NAME
Yuan   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
on   O
Wednesday   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
which   O
Charles   B-NAME
Litto   I-NAME
described   O
as   O
a   O
sharp   O
and   O
continuous   O
ache   O
radiating   O
to   O
the   O
back   O
.   O

Jayvion   B-NAME
Mason   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
noticeable   O
increase   O
in   O
the   O
frequency   O
of   O
urination   O
,   O
describing   O
it   O
as   O
both   O
urgent   O
and   O
painful   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kareem   B-NAME
Dyer   I-NAME
mentioned   O
that   O
the   O
symptoms   O
started   O
approximately   O
24   O
hours   O
prior   O
to   O
the   O
visit   O
and   O
have   O
progressively   O
worsened   O
.   O

Wilhelm   B-NAME
denies   O
any   O
recent   O
history   O
of   O
foreign   O
travel   O
or   O
unpasteurized   O
dairy   O
consumption   O
.   O

Godfrey   B-NAME
,   I-NAME
Kelley   I-NAME
's   O
last   O
menstrual   O
period   O
started   O
on   O
27/23/31   B-DATE
,   O
which   O
is   O
consistent   O
with   O
powell   B-NAME
's   O
regular   O
menstrual   O
cycle   O
.   O

Patton   B-NAME
has   O
no   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
ostrowski   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
Metformin   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
Lisinopril   O
.   O

Brooke   B-NAME
Huber   I-NAME
underwent   O
a   O
cholecystectomy   O
approximately   O
five   O
years   O
ago   O
.   O

Family   O
history   O
is   O
significant   O
for   O
ovarian   O
cancer   O
in   O
Joetta   B-NAME
Lepe   I-NAME
's   O
mother   O
at   O
the   O
age   O
of   O
56   O
.   O
Review   O
of   O
Systems   O
:   O
Giselle   B-NAME
Good   I-NAME
denies   O
any   O
recent   O
weight   O
loss   O
,   O
fever   O
,   O
or   O
night   O
sweats   O
.   O

Laboratory   O
Tests   O
and   O
Imaging   O
:   O
A   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
urinalysis   O
,   O
and   O
pelvic   O
ultrasound   O
were   O
ordered   O
by   O
Broun   B-NAME
,   I-NAME
Heywood   I-NAME
.   O

Leblanc   B-NAME
was   O
also   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
a   O
sudden   O
increase   O
in   O
pain   O
occur   O
.   O

Follow   O
-   O
Up   O
:   O
Montaigne   B-NAME
,   I-NAME
Michel   I-NAME
de   I-NAME
was   O
instructed   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
with   O
Morgan   B-NAME
in   O
two   O
weeks   O
for   O
a   O
review   O
of   O
symptoms   O
and   O
again   O
in   O
6   O
weeks   O
for   O
the   O
repeat   O
ultrasound   O
.   O

Instructions   O
were   O
provided   O
to   O
call   O
the   O
clinic   O
at   O
326   B-CONTACT
7591   I-CONTACT
for   O
any   O
concerns   O
or   O
to   O
reschedule   O
the   O
appointments   O
.   O

The   O
care   O
plan   O
was   O
discussed   O
in   O
detail   O
with   O
Willie   B-NAME
Maynard   I-NAME
,   O
ensuring   O
understanding   O
and   O
agreement   O
with   O
the   O
proposed   O
steps   O
.   O

Miranda   B-NAME
Duarte   I-NAME
was   O
provided   O
with   O
written   O
instructions   O
and   O
education   O
materials   O
regarding   O
UTIs   O
and   O
the   O
importance   O
of   O
medication   O
adherence   O
and   O
hydration   O
.   O

Patient   O
Name   O
:   O
Gwanghae   B-NAME
-   I-NAME
gun   I-NAME
of   I-NAME
Joseon   I-NAME
Medical   O
Record   O
Number   O
:   O
6684736   B-ID
Date   O
of   O
Birth   O
:   O
Friday   B-DATE
,   I-DATE
January   I-DATE
Age   O
:   O
60s   O
Address   O
:   O
Red   B-LOCATION
Bank   I-LOCATION
,   O
30665   B-LOCATION
Phone   O
Number   O
:   O
332   B-CONTACT
4341   I-CONTACT

Grant   B-NAME
Admitting   O
Hospital   O
:   O
Cass   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Date   O
of   O
Admission   O
:   O
2215   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
12   I-DATE
SSN   O
:   O
PB387/8157   B-ID
Chief   O
Complaint   O
:   O

Heaven   B-NAME
Boone   I-NAME
was   O
admitted   O
to   O
Lake   B-LOCATION
Norman   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
9/4/70   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Justus   B-NAME
,   O
a   O
Insurance   O
Appraisers   O
,   O
Auto   O
Damage   O
,   O
reports   O
that   O
the   O
symptoms   O
were   O
sudden   O
in   O
onset   O
and   O
have   O
progressively   O
worsened   O
over   O
the   O
course   O
of   O
the   O
day   O
.   O

Wyatt   B-NAME
Threet   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
of   O
White   B-LOCATION
Hall   I-LOCATION
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

There   O
has   O
been   O
no   O
fever   O
,   O
but   O
Johnson   B-NAME
reports   O
chills   O
.   O

Past   O
Medical   O
History   O
:   O
John   B-NAME
H.   I-NAME
Watson   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
.   O

Duke   B-NAME
reports   O
no   O
previous   O
surgeries   O
.   O

Hawking   B-NAME
,   I-NAME
Stephen   I-NAME
reports   O
that   O
their   O
father   O
had   O
colon   O
cancer   O
and   O
their   O
mother   O
has   O
a   O
history   O
of   O
hypertension   O
.   O

Social   O
History   O
:   O
Oconnor   B-NAME
,   O
a   O
Soil   O
and   O
Plant   O
Scientists   O
,   O
reports   O
a   O
10   O
-   O
year   O
history   O
of   O
smoking   O
,   O
averaging   O
half   O
a   O
pack   O
of   O
cigarettes   O
per   O
day   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Mollie   B-NAME
Atkins   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Allen   B-NAME
,   I-NAME
Steve   I-NAME
,   O
which   O
indicated   O
an   O
enlarged   O
appendix   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Assessment   O
and   O
Plan   O
:   O
The   O
assessment   O
of   O
Riya   B-NAME
Sheppard   I-NAME
determined   O
acute   O
appendicitis   O
as   O
the   O
primary   O
diagnosis   O
.   O

Devon   B-NAME
Sutton   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Gustavo   B-NAME
Tyler   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
surgery   O
.   O

Todd   B-NAME
Riley   I-NAME
provided   O
informed   O
consent   O
for   O
the   O
procedure   O
,   O
which   O
is   O
scheduled   O
for   O
20/07   B-DATE
.   O
Follow   O
-   O
Up   O
:   O
Albright   B-NAME
will   O
be   O
closely   O
monitored   O
post   O
-   O
surgery   O
for   O
any   O
signs   O
of   O
complications   O
,   O
including   O
infection   O
.   O

Precautions   O
and   O
Recommendations   O
:   O
Camren   B-NAME
Doyle   I-NAME
is   O
advised   O
to   O
avoid   O
any   O
strenuous   O
activities   O
and   O
to   O
adhere   O
to   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
provided   O
by   O
the   O
medical   O
team   O
.   O

Weeks   B-NAME
11/22/23   B-DATE

Eden   B-NAME
Roth   I-NAME
Medical   O
Record   O
Number   O
:   O
15314127   B-ID
Date   O
of   O
Birth   O
:   O
66   O
Contact   O
Number   O
:   O
667   B-CONTACT
-   I-CONTACT
792   I-CONTACT
9989   I-CONTACT
Address   O
:   O
Ehrenberg   B-LOCATION
,   O
61853   B-LOCATION
Employer   O
:   O
GAINSCO   B-LOCATION
Occupation   O
:   O
Insurance   O
Underwriters   O
Referring   O
Physician   O
:   O
Rachael   B-NAME
Hamilton   I-NAME
Hospital   O
Admitting   O
:   O
Prisma   B-LOCATION
Health   I-LOCATION
Laurens   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
10/21/86   B-DATE
Social   O
Security   O
Number   O
:   O
OZ   B-ID
:   I-ID
UN:1298   I-ID
History   O
of   O
Present   O
Illness   O
:   O
Kale   B-NAME
Lambert   I-NAME
,   O
a   O
73   O
-   O
year   O
-   O
old   O
Reinforcing   O
Iron   O
and   O
Rebar   O
Workers   O
residing   O
in   O
Port   B-LOCATION
LaBelle   I-LOCATION
,   O
presents   O
with   O
a   O
3   O
-   O
day   O
history   O
of   O
progressive   O
dyspnea   O
,   O
fever   O
,   O
and   O
a   O
non   O
-   O
productive   O
cough   O
.   O

Kaarel   B-NAME
Edleston   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

However   O
,   O
Carolyn   B-NAME
Wheeler   I-NAME
mentions   O
a   O
history   O
of   O
asthma   O
,   O
which   O
has   O
been   O
relatively   O
well   O
controlled   O
until   O
this   O
episode   O
.   O

Joey   B-NAME
Shaw   I-NAME
has   O
not   O
been   O
hospitalized   O
in   O
the   O
past   O
year   O
for   O
any   O
similar   O
symptoms   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kenneth   B-NAME
Z.   I-NAME
Sellers   I-NAME
appears   O
to   O
be   O
in   O
mild   O
to   O
moderate   O
respiratory   O
distress   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
12/07   B-DATE
showed   O
bilateral   O
infiltrates   O
suggestive   O
of   O
a   O
possible   O
pneumonia   O
.   O

Spirometry   O
was   O
attempted   O
but   O
Brooke   B-NAME
Small   I-NAME
found   O
it   O
too   O
difficult   O
to   O
complete   O
due   O
to   O
dyspnea   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
diagnostics   O
,   O
Harley   B-NAME
Gibson   I-NAME
was   O
admitted   O
to   O
Pershing   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
London   B-NAME
Hawkins   I-NAME
for   O
suspected   O
community   O
-   O
acquired   O
pneumonia   O
,   O
superimposed   O
on   O
asthma   O
exacerbation   O
.   O

Reagan   B-NAME
,   I-NAME
Nancy   I-NAME
has   O
been   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
systemic   O
corticosteroids   O
.   O

Follow   O
-   O
Up   O
:   O
Kitchen   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
evaluation   O
in   O
48   O
hours   O
to   O
reassess   O
the   O
treatment   O
efficacy   O
.   O

Lucas   B-NAME
Maxwell   I-NAME
will   O
review   O
the   O
blood   O
culture   O
results   O
and   O
adjust   O
the   O
antibiotic   O
regimen   O
if   O
necessary   O
based   O
on   O
sensitivities   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
please   O
contact   O
St.   B-LOCATION
Catherine   I-LOCATION
of   I-LOCATION
Siena   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
main   O
line   O
at   O
156   B-CONTACT
2492   I-CONTACT
.   O

For   O
non   O
-   O
urgent   O
follow   O
-   O
ups   O
,   O
the   O
patient   O
or   O
their   O
family   O
can   O
reach   O
out   O
to   O
the   O
outpatient   O
care   O
team   O
via   O
the   O
patient   O
portal   O
or   O
by   O
contacting   O
Maldonado   B-NAME
's   O
office   O
directly   O
.   O

Prepared   O
by   O
:   O
dl784   B-NAME
Date   O
:   O
06/00   B-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Ramirez   B-NAME
,   I-NAME
Manny   I-NAME
Age   O
:   O
7   O
month   O
DOB   O
:   O
19   B-DATE
Medical   O
Record   O
Number   O
:   O
250   B-ID
-   I-ID
12   I-ID
-   I-ID
76   I-ID
Phone   O
Number   O
:   O
(   B-CONTACT
816   I-CONTACT
)   I-CONTACT
756   I-CONTACT
-   I-CONTACT
3640   I-CONTACT
Address   O
:   O
Fremont   B-LOCATION
,   I-LOCATION
MainStreet   I-LOCATION
of   I-LOCATION
Fremont   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
28143   B-LOCATION

Efrain   B-NAME
Rush   I-NAME
Organization   O
:   O
QBE   B-LOCATION
Hospital   O
:   O

Legacy   B-LOCATION
Salmon   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Khairy   B-NAME
,   O
84   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
2/27   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Recent   O
travel   O
history   O
includes   O
a   O
trip   O
to   O
Berlin   B-LOCATION
Heights   I-LOCATION
on   O
06/02/2153   B-DATE
.   O

Demetrius   B-NAME
Downs   I-NAME
works   O
as   O
a   O
Tour   O
Guides   O
and   O
Escorts   O
and   O
has   O
not   O
been   O
exposed   O
to   O
known   O
allergens   O
or   O
environmental   O
toxins   O
according   O
to   O
their   O
own   O
report   O
.   O

A   O
thorough   O
physical   O
examination   O
was   O
conducted   O
by   O
Mark   B-NAME
Toland   I-NAME
on   O
Sunday   B-DATE
.   O

Chest   O
X   O
-   O
ray   O
performed   O
on   O
22/11   B-DATE
shows   O
bilateral   O
lower   O
lobe   O
infiltrates   O
.   O

The   O
appearance   O
of   O
symptoms   O
post   O
-   O
travel   O
to   O
Dunwoody   B-LOCATION
raises   O
the   O
possibility   O
of   O
an   O
atypical   O
pathogen   O
.   O
Plan   O
:   O

Instructions   O
have   O
been   O
given   O
to   O
Denise   B-NAME
Overman   I-NAME
to   O
monitor   O
their   O
temperature   O
and   O
oxygen   O
saturation   O
at   O
home   O
.   O

Instructed   O
to   O
return   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Waxhaw   I-LOCATION
or   O
call   O
69296   B-CONTACT
immediately   O
if   O
experiencing   O
high   O
fever   O
,   O
severe   O
shortness   O
of   O
breath   O
,   O
or   O
inability   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
92   O
%   O
on   O
room   O
air   O
.   O

Report   O
Prepared   O
by   O
:   O
Nolan   B-NAME
Date   O
:   O
12/21   B-DATE
Contact   O
information   O
:   O
174   B-CONTACT
4995   I-CONTACT

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
8728889   B-ID
Name   O
:   O
Quinn   B-NAME
Ivey   I-NAME
Date   O
of   O
Birth   O
:   O
2382   B-DATE
Age   O
:   O
63   O
Address   O
:   O
Murray   B-LOCATION
,   O
23399   B-LOCATION
Phone   O
Number   O
:   O
17184   B-CONTACT
Occupation   O
:   O
Communications   O
Equipment   O
Operators   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O

Spence   B-NAME
Hospital   O
:   O
St.   B-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
June   B-DATE
28th   I-DATE
,   I-DATE
2281   I-DATE
Date   O
of   O
Discharge   O
:   O
1/5   B-DATE
Medical   O
Record   O
Number   O
:   O
304   B-ID
-   I-ID
89   I-ID
-   I-ID
50   I-ID
-   I-ID
8   I-ID
Clinical   O
Summary   O
:   O
Conner   B-NAME
Baldwin   I-NAME
was   O
admitted   O
to   O
Goldriver   B-LOCATION
Clinic   I-LOCATION
on   O
01/91   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
patient   O
indicated   O
that   O
these   O
symptoms   O
have   O
been   O
persistent   O
for   O
Thursday   B-DATE
days   O
leading   O
up   O
to   O
the   O
admission   O
.   O

On   O
physical   O
examination   O
,   O
Essence   B-NAME
Gregory   I-NAME
presented   O
with   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
a   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
were   O
ordered   O
by   O
Amina   B-NAME
Mendez   I-NAME
.   O

The   O
abdominal   O
ultrasound   O
,   O
conducted   O
on   O
32   B-DATE
-   I-DATE
08   I-DATE
,   O
revealed   O
swelling   O
of   O
the   O
appendix   O
,   O
confirming   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Franco   B-NAME
Manning   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
06/01   B-DATE
.   O

Surgical   O
Procedure   O
:   O
The   O
surgical   O
procedure   O
was   O
performed   O
by   O
Petty   B-NAME
and   O
was   O
uneventful   O
.   O

Yun   B-NAME
Ironfang   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
,   O
reporting   O
a   O
significant   O
reduction   O
in   O
abdominal   O
pain   O
within   O
10/21/2153   B-DATE
days   O
post   O
-   O
operation   O
.   O

Discharge   O
Instructions   O
:   O
Elliott   B-NAME
was   O
discharged   O
on   O
Sa   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Levine   B-NAME
in   O
02/22   B-DATE
weeks   O
.   O

Madalyn   B-NAME
Hinton   I-NAME
was   O
also   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
.   O

Prescription   O
details   O
and   O
necessary   O
paperwork   O
were   O
given   O
to   O
TRAN   B-NAME
,   I-NAME
FREDDY   I-NAME
upon   O
discharge   O
.   O

Conclusion   O
:   O
Short   B-NAME
,   O
a   O
28   O
-   O
year   O
-   O
old   O
Auditor   O
,   O
was   O
admitted   O
to   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Eagle   I-LOCATION
on   O
1724   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
29   I-DATE
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Following   O
the   O
diagnosis   O
through   O
laboratory   O
and   O
imaging   O
studies   O
,   O
Gauge   B-NAME
Avila   I-NAME
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
unremarkable   O
,   O
and   O
Hunter   B-NAME
,   I-NAME
Nebrasska   I-NAME
was   O
discharged   O
with   O
comprehensive   O
instructions   O
for   O
recovery   O
.   O

For   O
any   O
further   O
queries   O
or   O
assistance   O
,   O
Dale   B-NAME
Green   I-NAME
can   O
contact   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Hazleton   I-LOCATION
at   O
(   B-CONTACT
321   I-CONTACT
)   I-CONTACT
781   I-CONTACT
2666   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
cj210   B-NAME
2/12   B-DATE

Patient   O
Report   O
:   O
Name   O
:   O
Jessup   B-NAME
Age   O
:   O
3   O
Date   O
of   O
Birth   O
:   O
Jun   B-DATE
13   I-DATE
,   I-DATE
2343   I-DATE
Medical   O
Record   O
Number   O
:   O
EPW896654   B-ID
Address   O
:   O
Umapine   B-LOCATION
,   O
69774   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
925   I-CONTACT
)   I-CONTACT
339   I-CONTACT
9385   I-CONTACT
Primary   O
Physician   O
:   O

Hyun   B-NAME
Poffenberger   I-NAME

Treating   O
Hospital   O
:   O
Yukon   B-LOCATION
-   I-LOCATION
Kuskokwim   I-LOCATION
Delta   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O

31/25/2363   B-DATE
Date   O
of   O
Discharge   O
:   O
25/02   B-DATE
Summary   O
:   O
Kingston   B-NAME
Rice   I-NAME
,   O
a   O
Sociology   O
Teachers   O
,   O
Postsecondary   O
by   O
profession   O
,   O
presented   O
to   O
Monroe   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
1695   B-DATE
with   O
complaints   O
of   O
persistent   O
fatigue   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pains   O
.   O

Over   O
the   O
past   O
two   O
months   O
,   O
Victor   B-NAME
Q.   I-NAME
Qiu   I-NAME
noticed   O
a   O
gradual   O
onset   O
of   O
these   O
symptoms   O
,   O
which   O
have   O
progressively   O
worsened   O
.   O

urie   B-NAME
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Wagner   B-NAME
,   I-NAME
Jane   I-NAME
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Gilbert   B-NAME
Trujillo   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Laboratory   O
and   O
Imaging   O
Findings   O
:   O
Blood   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
comprehensive   O
metabolic   O
panel   O
,   O
and   O
lipid   O
profile   O
,   O
ordered   O
by   O
Gentry   B-NAME
,   O
were   O
within   O
normal   O
limits   O
except   O
for   O
elevated   O
fasting   O
glucose   O
levels   O
.   O

Management   O
and   O
Recommendations   O
:   O
After   O
initial   O
stabilization   O
,   O
Raphael   B-NAME
Garrison   I-NAME
was   O
ordered   O
a   O
series   O
of   O
pulmonary   O
function   O
tests   O
which   O
indicated   O
reduced   O
lung   O
capacity   O
.   O

Based   O
on   O
these   O
findings   O
,   O
and   O
considering   O
Lloyd   B-NAME
,   I-NAME
Seth   I-NAME
's   O
history   O
of   O
diabetes   O
and   O
hypertension   O
,   O
Bryant   B-NAME
Barnett   I-NAME
suspected   O
a   O
possible   O
underlying   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
exacerbated   O
by   O
the   O
patient   O
's   O
pre   O
-   O
existing   O
conditions   O
.   O

Medication   O
adjustment   O
was   O
made   O
,   O
adding   O
a   O
bronchodilator   O
and   O
a   O
corticosteroid   O
inhaler   O
to   O
Wolfowitz   B-NAME
,   I-NAME
Paul   I-NAME
's   O
therapy   O
regimen   O
.   O

Lichtenberg   B-NAME
,   I-NAME
Georg   I-NAME
Christoph   I-NAME
was   O
educated   O
about   O
lifestyle   O
changes   O
,   O
including   O
dietary   O
modifications   O
and   O
the   O
importance   O
of   O
physical   O
activity   O
.   O

Recommendations   O
for   O
follow   O
-   O
up   O
with   O
Zamora   B-NAME
in   O
2   O
weeks   O
were   O
made   O
to   O
assess   O
treatment   O
efficacy   O
and   O
further   O
management   O
plans   O
.   O

Smoking   O
cessation   O
was   O
strongly   O
advised   O
,   O
even   O
though   O
Sabrina   B-NAME
Kelly   I-NAME
denied   O
active   O
smoking   O
but   O
mentioned   O
occasional   O
social   O
smoking   O
.   O

Conclusion   O
:   O
Mitchell   B-NAME
was   O
discharged   O
on   O
03/22/2142   B-DATE
with   O
specific   O
instructions   O
for   O
medication   O
,   O
lifestyle   O
modifications   O
,   O
and   O
close   O
outpatient   O
follow   O
-   O
up   O
.   O

For   O
any   O
further   O
queries   O
or   O
emergencies   O
,   O
Rae   B-NAME
Crane   I-NAME
was   O
instructed   O
to   O
contact   O
Lowell   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Saints   I-LOCATION
Campus   I-LOCATION
at   O
87721   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

Prepared   O
by   O
:   O
Psychology   O
Teachers   O
,   O
Postsecondary   O
,   O
1972   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
09   I-DATE
Reviewed   O
by   O
:   O
Wordsworth   B-NAME
,   I-NAME
William   I-NAME
,   O
24/10   B-DATE
Medical   O
Record   O
Number   O
:   O
3263769   B-ID
Contact   O
Information   O
:   O
(   B-CONTACT
100   I-CONTACT
)   I-CONTACT
267   I-CONTACT
4601   I-CONTACT
,   O
Pentress   B-LOCATION
,   O
57322   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Magaly   B-NAME
Loiacona   I-NAME
Age   O
:   O
38   O
Medical   O
Record   O
Number   O
:   O
16733039   B-ID
Date   O
of   O
Birth   O
:   O
2/82   B-DATE
Phone   O
Number   O
:   O
314   B-CONTACT
8484   I-CONTACT
Address   O
:   O
Gladwin   B-LOCATION
,   O
96168   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
Arthur   B-NAME
Thurmond   I-NAME
,   O
was   O
admitted   O
to   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Philadelphia   I-LOCATION
on   O
0/22/82   B-DATE
presenting   O
with   O
an   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
a   O
hallmark   O
indicator   O
of   O
appendicitis   O
.   O

Additionally   O
,   O
Stone   B-NAME
,   I-NAME
W.   I-NAME
Clement   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
.   O

No   O
prior   O
history   O
of   O
similar   O
symptoms   O
was   O
noted   O
in   O
Forbin   B-NAME
Noctula   I-NAME
's   O
medical   O
records   O
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
evaluation   O
by   O
Danielle   B-NAME
Fitzpatrick   I-NAME
,   O
the   O
patient   O
's   O
abdomen   O
was   O
tender   O
to   O
palpation   O
specifically   O
in   O
the   O
McBurney   O
's   O
point   O
area   O
,   O
with   O
positive   O
Rovsing   O
's   O
sign   O
indicative   O
of   O
appendicitis   O
.   O

Initial   O
abdominal   O
ultrasound   O
performed   O
on   O
20/27/69   B-DATE
was   O
inconclusive   O
;   O
thus   O
,   O
a   O
follow   O
-   O
up   O
CT   O
scan   O
of   O
the   O
abdomen   O
was   O
ordered   O
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
appendicitis   O
without   O
evidence   O
of   O
rupture   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Carita   B-NAME
Finnegan   I-NAME
and   O
the   O
surgical   O
team   O
at   O
Guadalupe   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Kasie   B-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
July   B-DATE
21   I-DATE
without   O
any   O
complications   O
.   O

Post   O
-   O
operative   O
care   O
included   O
antibiotic   O
therapy   O
to   O
prevent   O
infection   O
and   O
pain   O
management   O
tailored   O
to   O
Deandra   B-NAME
's   O
needs   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Russel   B-NAME
was   O
discharged   O
from   O
Repose   B-LOCATION
Clinic   I-LOCATION
on   O
M   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
and   O
activity   O
restrictions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Harrison   B-NAME
is   O
scheduled   O
for   O
32/29/93   B-DATE
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Williamson   B-NAME
,   I-NAME
Henry   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
.   O

Billing   O
Information   O
:   O
Insurance   O
Provider   O
:   O
Braintree   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
Policy   O
ID   O
:   O
790797923   B-ID

The   O
billing   O
department   O
at   O
Kingsbrook   B-LOCATION
Jewish   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
can   O
be   O
contacted   O
for   O
any   O
queries   O
regarding   O
the   O
account   O
number   O
149   B-ID
-   I-ID
50   I-ID
-   I-ID
56   I-ID
-   I-ID
5   I-ID
at   O
42783   B-CONTACT
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Laertes   B-NAME
's   O
Regulatory   O
Affairs   O
Specialists   O
Phone   O
:   O
948   B-CONTACT
946   I-CONTACT
2598   I-CONTACT
By   O
adhering   O
to   O
the   O
prescribed   O
treatment   O
and   O
follow   O
-   O
up   O
care   O

,   O
Shu   B-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Person   B-NAME
,   O
a   O
20   O
-   O
year   O
-   O
old   O
Ship   O
and   O
Boat   O
Captains   O
from   O
Plandome   B-LOCATION
Heights   I-LOCATION
,   O
24170   B-LOCATION
,   O
presented   O
at   O
WellStar   B-LOCATION
Paulding   I-LOCATION
Hospital   I-LOCATION
on   O
12/27   B-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
,   O
dizziness   O
,   O
and   O
blurred   O
vision   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Estep   B-NAME
reported   O
that   O
the   O
symptoms   O
were   O
particularly   O
severe   O
in   O
the   O
mornings   O
and   O
seemed   O
to   O
improve   O
slightly   O
as   O
the   O
day   O
progressed   O
.   O

However   O
,   O
the   O
blurred   O
vision   O
persisted   O
throughout   O
the   O
day   O
,   O
affecting   O
Raymond   B-NAME
Castaneda   I-NAME
's   O
ability   O
to   O
perform   O
daily   O
tasks   O
at   O
work   O
.   O

Medical   O
History   O
:   O
Zackary   B-NAME
Marquez   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
three   O
years   O
ago   O
.   O

Saul   B-NAME
,   I-NAME
John   I-NAME
Ralston   I-NAME
has   O
been   O
on   O
medication   O
for   O
both   O
conditions   O
and   O
reported   O
being   O
compliant   O
with   O
the   O
prescribed   O
treatment   O
plan   O
.   O

Tracy   B-NAME
Adams   I-NAME
's   O
family   O
history   O
revealed   O
that   O
Salgado   B-NAME
's   O
father   O
had   O
a   O
stroke   O
at   O
the   O
age   O
of   O
65   O
,   O
and   O
Ruben   B-NAME
Wiggins   I-NAME
's   O
mother   O
is   O
currently   O
managing   O
hypertension   O
and   O
dyslipidemia   O
.   O

Current   O
Medication   O
:   O
-   O
Metformin   O
500   O
mg   O
twice   O
daily   O
-   O
Lisinopril   O
20   O
mg   O
once   O
daily   O
Assessment   O
:   O
Physical   O
examination   O
conducted   O
by   O
Solomon   B-NAME
showed   O
a   O
blood   O
pressure   O
reading   O
of   O
155/95   O
mmHg   O
,   O
which   O
is   O
above   O
Person   B-NAME
's   O
target   O
range   O
.   O

Burton   B-NAME
's   O
body   O
mass   O
index   O
(   O
BMI   O
)   O
was   O
recorded   O
at   O
31   O
,   O
indicating   O
obesity   O
.   O

The   O
medical   O
record   O
number   O
61197850   B-ID
was   O
used   O
to   O
document   O
these   O
details   O
and   O
orders   O
for   O
future   O
reference   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
TERESA   B-NAME
LAMB   I-NAME
was   O
advised   O
to   O
monitor   O
blood   O
pressure   O
daily   O
and   O
record   O
the   O
readings   O
.   O

Cantu   B-NAME
recommended   O
adjusting   O
the   O
hypertension   O
medication   O
and   O
referred   O
Ellen   B-NAME
Sparks   I-NAME
to   O
a   O
dietician   O
for   O
nutritional   O
counseling   O
to   O
aid   O
in   O
weight   O
loss   O
.   O

Norris   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
31/20   B-DATE
to   O
discuss   O
the   O
test   O
results   O
and   O
any   O
adjustments   O
to   O
the   O
treatment   O
plan   O
.   O

In   O
the   O
meantime   O
,   O
Gregory   B-NAME
Wilson   I-NAME
was   O
instructed   O
to   O
reach   O
out   O
if   O
symptoms   O
worsened   O
or   O
new   O
symptoms   O
appeared   O
.   O

For   O
any   O
queries   O
or   O
urgent   O
concerns   O
,   O
Boswell   B-NAME
,   I-NAME
James   I-NAME
was   O
given   O
the   O
clinic   O
's   O
contact   O
number   O
,   O
261   B-CONTACT
-   I-CONTACT
439   I-CONTACT
-   I-CONTACT
9374   I-CONTACT
,   O
and   O
was   O
informed   O
that   O
further   O
information   O
could   O
also   O
be   O
obtained   O
via   O
the   O
patient   O
portal   O
using   O
their   O
username   O
,   O
RW123   B-NAME
.   O

All   O
information   O
contained   O
in   O
this   O
report   O
,   O
including   O
patient   O
identification   O
details   O
like   O
name   O
,   O
YA:68849:744849   B-ID
,   O
and   O
contact   O
information   O
,   O
is   O
confidential   O
and   O
protected   O
under   O
privacy   O
regulations   O
.   O

Patient   O
Name   O
:   O
Kayleigh   B-NAME
Short   I-NAME
Patient   O
ID   O
:   O
SD:73379:972963   B-ID
Medical   O
Record   O
Number   O
:   O
33932103   B-ID
Date   O
of   O
Birth   O
:   O
12/01/73   B-DATE
Age   O
:   O
50   O
Address   O
:   O
Skyline   B-LOCATION
View   I-LOCATION
,   O
43116   B-LOCATION
Phone   O
:   O
(   B-CONTACT
767   I-CONTACT
)   I-CONTACT
982   I-CONTACT
-   I-CONTACT
5220   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Wu   B-NAME
Referring   O
Physician   O
:   O

Cristopher   B-NAME
Houston   I-NAME
Admission   O
Date   O
:   O
4/29   B-DATE
Hospital   O
:   O
Geisinger   B-LOCATION
Jersey   I-LOCATION
Shore   I-LOCATION
Hospital   I-LOCATION
Employment   O
:   O
Mine   O
Cutting   O
and   O
Channeling   O
Machine   O
Operators   O
at   O
Ben   B-LOCATION
Franklin   I-LOCATION
Medical   O
History   O
:   O

Forever   B-NAME
was   O
admitted   O
to   O
Infirmary   B-LOCATION
LTAC   I-LOCATION
Hospital   I-LOCATION
on   O
06/21   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
for   O
the   O
past   O
two   O
days   O
.   O

Holt   B-NAME
,   I-NAME
John   I-NAME
disclosed   O
a   O
family   O
history   O
of   O
gastrointestinal   O
disorders   O
.   O

On   O
physical   O
examination   O
,   O
Osborne   B-NAME
exhibited   O
signs   O
of   O
moderate   O
dehydration   O
.   O

ivester   B-NAME
's   O
blood   O
glucose   O
was   O
slightly   O
above   O
the   O
target   O
range   O
,   O
and   O
ketone   O
bodies   O
were   O
absent   O
in   O
the   O
urine   O
.   O

To   O
further   O
evaluate   O
the   O
severity   O
,   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
was   O
recommended   O
by   O
Raajan   B-NAME
,   I-NAME
Amitrajit   I-NAME
and   O
subsequently   O
showed   O
the   O
presence   O
of   O
appendiceal   O
phlegmon   O
.   O

The   O
findings   O
from   O
clinical   O
,   O
laboratory   O
,   O
and   O
imaging   O
studies   O
were   O
discussed   O
with   O
Jordon   B-NAME
Morrow   I-NAME
by   O
Robertson   B-NAME
.   O

Alena   B-NAME
Cole   I-NAME
was   O
informed   O
about   O
the   O
need   O
for   O
an   O
appendectomy   O
and   O
the   O
risks   O
associated   O
with   O
the   O
surgery   O
and   O
provided   O
consent   O
to   O
proceed   O
.   O

Braun   B-NAME
was   O
observed   O
to   O
have   O
an   O
inflamed   O
appendix   O
with   O
early   O
signs   O
of   O
perforation   O
,   O
which   O
was   O
timely   O
addressed   O
.   O

Follow   O
-   O
Up   O
:   O
Marcus   B-NAME
Aurelius   I-NAME
Frohock   I-NAME
was   O
discharged   O
on   O
6/2   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Joy   B-NAME
Hughes   I-NAME
in   O
two   O
weeks   O
.   O

Marvin   B-NAME
Cantrell   I-NAME
was   O
also   O
advised   O
to   O
follow   O
up   O
with   O
their   O
primary   O
care   O
physician   O
for   O
diabetes   O
management   O
and   O
monitoring   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Shaneka   B-NAME
Elsa   I-NAME
was   O
advised   O
to   O
contact   O
Southwood   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
at   O
181   B-CONTACT
484   I-CONTACT
-   I-CONTACT
8560   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

For   O
non   O
-   O
urgent   O
matters   O
,   O
scheduled   O
appointments   O
can   O
be   O
discussed   O
with   O
Damian   B-NAME
Barnes   I-NAME
's   O
office   O
via   O
51065   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Kristian   B-NAME
Moss   I-NAME
Age   O
:   O
2   O
DOB   O
:   O
18   B-DATE
-   I-DATE
01   I-DATE
Address   O
:   O
Bellflower   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
90706   I-LOCATION
,   O
83147   B-LOCATION
Phone   O
Number   O
:   O
99447   B-CONTACT
Occupation   O
:   O
Textile   O
,   O
Apparel   O
,   O
and   O
Furnishings   O
Workers   O
,   O
All   O
Other   O
Medical   O
Record   O
Number   O
:   O
121   B-ID
-   I-ID
35   I-ID
-   I-ID
39   I-ID
ID   O
Number   O
:   O
HX   B-ID
:   I-ID
XF:5767   I-ID
Admission   O
Date   O
:   O
07/25/2001   B-DATE
Attending   O
Physician   O
:   O

Moreno   B-NAME
Admitting   O
Institution   O
:   O
Providence   B-LOCATION
Medford   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
Lenora   B-NAME
Pleasant   I-NAME
,   O
a   O
85   O
-   O
year   O
-   O
old   O
Press   O
sub   O
-   O
editor   O
from   O
Cobleskill   B-LOCATION
,   O
presented   O
to   O
Saint   B-LOCATION
Francis   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
27   I-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
concentrating   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
that   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Dali   B-NAME
,   I-NAME
Salvador   I-NAME
exhibited   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Progress   O
:   O
Gracelyn   B-NAME
Mullins   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
was   O
urgently   O
admitted   O
for   O
surgical   O
consultation   O
.   O

Laparoscopic   O
appendectomy   O
was   O
performed   O
by   O
Colton   B-NAME
Nielsen   I-NAME
on   O
November   B-DATE
2300   I-DATE
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
and   O
Franti   B-NAME
,   I-NAME
Michael   I-NAME
showed   O
satisfactory   O
signs   O
of   O
recovery   O
.   O

Sofia   B-NAME
Christensen   I-NAME
was   O
discharged   O
on   O
5   B-DATE
-   I-DATE
23   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
in   O
Providence   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
surgical   O
outpatient   O
department   O
with   O
Young   B-NAME
for   O
11/07   B-DATE
.   O

Contact   O
Information   O
for   O
Further   O
Follow   O
Up   O
:   O
Monongahela   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION

35115   B-CONTACT
This   O
report   O
is   O
confidential   O
and   O
contains   O
sensitive   O
health   O
information   O
protected   O
under   O
the   O
Healthcare   O
Privacy   O
Act   O
.   O

Patient   O
Name   O
:   O
Paul   B-NAME
Arteaga   I-NAME
Patient   O
ID   O
:   O
FU   B-ID
:   I-ID
WR:8298   I-ID
Medical   O
Record   O
Number   O
:   O
118   B-ID
-   I-ID
37   I-ID
-   I-ID
58   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
01/50   B-DATE
Age   O
:   O
49   O
Phone   O
:   O
82463   B-CONTACT
Address   O
:   O
Rose   B-LOCATION
Hills   I-LOCATION
,   O
15948   B-LOCATION
Occupation   O
:   O
Operations   O
Research   O
Analysts   O
Attending   O
Physician   O
:   O

Cantrell   B-NAME
Location   O
of   O
Visit   O
:   O
Bucktail   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
The   I-LOCATION
Visit   O
Date   O
:   O
1/6/2117   B-DATE
Chief   O
Complaint   O
:   O
Horn   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Lower   B-LOCATION
Bucks   I-LOCATION
Hospital   I-LOCATION
on   O
Monday   B-DATE
,   I-DATE
May   I-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
dyspnea   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Cooper   B-NAME
Galloway   I-NAME
stated   O
that   O
the   O
onset   O
of   O
chest   O
pain   O
was   O
sudden   O
while   O
resting   O
at   O
home   O
.   O

Past   O
Medical   O
History   O
:   O
Garnett   B-NAME
Pliny   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
diagnosed   O
5   O
years   O
ago   O
.   O

Social   O
History   O
:   O
Harrison   B-NAME
Blackwood   I-NAME
works   O
as   O
a   O
Environmental   O
Science   O
Teachers   O
,   O
Postsecondary   O
at   O
Corus   B-LOCATION
Bank   I-LOCATION
.   O

Physical   O
Examination   O
:   O
General   O
Appearance   O
:   O
vidal   B-NAME
appeared   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
An   O
ECG   O
performed   O
on   O
25/06   B-DATE
showed   O
signs   O
of   O
an   O
acute   O
anterior   O
wall   O
myocardial   O
infarction   O
.   O

Based   O
on   O
the   O
ECG   O
and   O
clinical   O
presentation   O
,   O
Kole   B-NAME
Guerra   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
myocardial   O
infarction   O
and   O
was   O
quickly   O
started   O
on   O
a   O
heparin   O
drip   O
.   O

A   O
cardiology   O
consultation   O
was   O
requested   O
,   O
and   O
Olsen   B-NAME
,   I-NAME
Mary   I-NAME
-   I-NAME
Kate   I-NAME
and   I-NAME
Ashley   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
at   O
Jersey   B-LOCATION
Shore   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
including   O
potential   O
coronary   O
angiography   O
.   O

A   O
follow   O
-   O
up   O
with   O
Williams   B-NAME
has   O
been   O
scheduled   O
for   O
after   O
discharge   O
.   O

The   O
team   O
at   O
IU   B-LOCATION
Health   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
will   O
continue   O
to   O
monitor   O
Cheyenne   B-NAME
Stout   I-NAME
's   O
condition   O
closely   O
and   O
provide   O
updates   O
as   O
needed   O
.   O

Patient   O
ID   O
:   O
16159673   B-ID
20/20/32   B-DATE
/2023   O
Iraq   B-LOCATION
and   I-LOCATION
Afghanistan   I-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
To   O
whom   O
it   O
may   O
concern   O
,   O
I   O
am   O
writing   O
this   O
report   O
on   O
behalf   O
of   O
Hogan   B-NAME
,   O
a   O
74   O
-   O
year   O
-   O
old   O
patient   O
who   O
presented   O
to   O
Northside   B-LOCATION
Hospital   I-LOCATION
Forsyth   I-LOCATION
on   O
13   B-DATE
-   I-DATE
27   I-DATE
.   O

Alongside   O
the   O
abdominal   O
discomfort   O
,   O
Tommy   B-NAME
Willis   I-NAME
has   O
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
.   O

Given   O
these   O
findings   O
,   O
Walt   B-NAME
Benson   I-NAME
recommended   O
an   O
urgent   O
abdominal   O
ultrasonography   O
to   O
confirm   O
the   O
diagnosis   O
.   O

The   O
imaging   O
carried   O
out   O
on   O
1/22   B-DATE
explicitly   O
showed   O
an   O
enlarged   O
appendix   O
with   O
wall   O
thickening   O
,   O
confirming   O
acute   O
appendicitis   O
without   O
any   O
complications   O
such   O
as   O
perforation   O
or   O
abscess   O
formation   O
.   O

Based   O
on   O
the   O
diagnosis   O
,   O
Kane   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
appendectomy   O
.   O

The   O
surgical   O
intervention   O
was   O
successfully   O
performed   O
on   O
23/20   B-DATE
at   O
Tuba   B-LOCATION
City   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Corporation   I-LOCATION
.   O

Krish   B-NAME
Norris   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
has   O
been   O
recovering   O
with   O
no   O
significant   O
post   O
-   O
operative   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Friday   B-DATE
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Desiree   B-NAME
Cannon   I-NAME
has   O
been   O
informed   O
about   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
provided   O
.   O

It   O
is   O
worth   O
noting   O
that   O
Kaila   B-NAME
Haynes   I-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
diabetes   O
mellitus   O
type   O
2   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
medication   O
.   O

Ideal   B-LOCATION
Federal   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
commends   O
the   O
medical   O
team   O
at   O
Elmhurst   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
their   O
prompt   O
diagnosis   O
and   O
effective   O
management   O
of   O
Maci   B-NAME
Levine   I-NAME
's   O
condition   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
information   O
regarding   O
Coulter   B-NAME
,   I-NAME
Ann   I-NAME
's   O
treatment   O
and   O
recovery   O
process   O
,   O
please   O
do   O
not   O
hesitate   O
to   O
contact   O
the   O
Canadian   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Chemical   I-LOCATION
Technology   I-LOCATION
(   I-LOCATION
CSCT   I-LOCATION
)   I-LOCATION
's   O
office   O
at   O
(   B-CONTACT
388   I-CONTACT
)   I-CONTACT
307   I-CONTACT
6357   I-CONTACT
.   O

Sincerely   O
,   O
Soldering   O
and   O
Brazing   O
Machine   O
Operators   O
and   O
Tenders   O
at   O
City   B-LOCATION
of   I-LOCATION
Newark   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION

Patient   O
Name   O
:   O
Ethan   B-NAME
Conway   I-NAME
Age   O
:   O
46   O
Date   O
of   O
Visit   O
:   O
01/25/67   B-DATE
Medical   O
Record   O
Number   O
:   O
1476299   B-ID
Doctor   O
's   O
Name   O
:   O
Bryant   B-NAME
Hospital   O
Name   O
:   O
Rockville   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O

March   B-LOCATION
Organization   O
:   O

Refugees   B-LOCATION
International   I-LOCATION
Phone   O
Number   O
:   O
738   B-CONTACT
4800   I-CONTACT
Profession   O
:   O
Ushers   O
,   O
Lobby   O
Attendants   O
,   O
and   O
Ticket   O
Takers   O
Username   O
:   O
CR538   B-NAME
ZIP   O
Code   O
:   O
86651   B-LOCATION
ID   O
Number   O
:   O
IM   B-ID
:   I-ID
TY:1435   I-ID
Clinical   O
Synopsis   O
:   O
Shivakamini   B-NAME
Somakandakram   I-NAME
,   O
a   O
1   O
week   O
year   O
-   O
old   O
Cleaning   O
,   O
Washing   O
,   O
and   O
Metal   O
Pickling   O
Equipment   O
Operators   O
and   O
Tenders   O
,   O
presented   O
to   O
Mary   B-LOCATION
Imogene   I-LOCATION
Bassett   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
La   B-LOCATION
Plena   I-LOCATION
on   O
21/20/67   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Additionally   O
,   O
Regina   B-NAME
Barnes   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
characterized   O
by   O
a   O
maximal   O
temperature   O
of   O
5   O
degrees   O
Celsius   O
,   O
and   O
an   O
inability   O
to   O
pass   O
gas   O
since   O
the   O
onset   O
of   O
pain   O
early   O
in   O
the   O
morning   O
of   O
the   O
same   O
day   O
.   O

On   O
physical   O
examination   O
,   O
Ramos   B-NAME
appeared   O
to   O
be   O
in   O
distress   O
,   O
with   O
vital   O
signs   O
revealing   O
tachycardia   O
with   O
a   O
pulse   O
rate   O
of   O
94   O
beats   O
per   O
minute   O
,   O
and   O
a   O
fever   O
of   O
44   O
degrees   O
Celsius   O
.   O

The   O
initial   O
laboratory   O
analysis   O
,   O
conducted   O
by   O
Eli   B-NAME
Armstrong   I-NAME
at   O
Spencer   B-LOCATION
Hospital   I-LOCATION
,   O
showed   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
77   O
x   O
10   O
^   O
9   O
/   O
L   O
,   O
with   O
neutrophilia   O
.   O

Abdominal   O
ultrasonography   O
performed   O
at   O
2219   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
31   I-DATE
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
a   O
diameter   O
exceeding   O
100s   O
mm   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Knowles   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
after   O
discussing   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
with   O
Rivers   B-NAME
and   O
contact   O
was   O
made   O
with   O
Jocelynn   B-NAME
Bartlett   I-NAME
's   O
next   O
-   O
of   O
-   O
kin   O
via   O
74645   B-CONTACT
as   O
per   O
Arthur   B-NAME
Ellison   I-NAME
's   O
request   O
.   O

The   O
surgical   O
team   O
at   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
,   O
led   O
by   O
Schmidt   B-NAME
,   O
successfully   O
performed   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Xander   B-NAME
Xie   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

The   O
patient   O
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
02/24   B-DATE
with   O
Salas   B-NAME
at   O
Harborview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
recovery   O
progress   O
.   O

Summary   O
:   O
Trevor   B-NAME
Lyons   I-NAME
,   O
a   O
21   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
of   O
Food   O
Preparation   O
and   O
Serving   O
Workers   O
from   O
Woolsey   B-LOCATION
,   O
presented   O
with   O
classical   O
signs   O
of   O
acute   O
appendicitis   O
.   O

Diagnostic   O
imaging   O
confirmed   O
the   O
diagnosis   O
,   O
and   O
Neta   B-NAME
Cassis   I-NAME
underwent   O
successful   O
surgical   O
intervention   O
without   O
complications   O
.   O

Patient   O
ID   O
:   O
HP:3431:982706   B-ID

Username   O
:   O
msx873   B-NAME
Contact   O
Number   O
:   O
(   B-CONTACT
432   I-CONTACT
)   I-CONTACT
818   I-CONTACT
9671   I-CONTACT
Follow   O
-   O
Up   O
Appointment   O
:   O
13/12/14   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Davis   B-NAME
,   I-NAME
Miles   I-NAME
Date   O
of   O
Birth   O
:   O
7/03   B-DATE
Age   O
:   O
44   O
Address   O
:   O
Fort   B-LOCATION
Knox   I-LOCATION
,   O
76332   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
555   I-CONTACT
)   I-CONTACT
981   I-CONTACT
-   I-CONTACT
3416   I-CONTACT
Employer   O
:   O
Stein   B-LOCATION
Mart   I-LOCATION
Occupation   O
:   O
Entertainment   O
Attendants   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
Medical   O
Record   O
Number   O
:   O
29998752   B-ID
Social   O
Security   O
Number   O
:   O
643155710   B-ID
Clinical   O
Summary   O
:   O
23/17   B-DATE
,   O
Deandra   B-NAME
,   O
a   O
Archeologists   O
from   O
Truro   B-LOCATION
,   O
presented   O
at   O
the   O
emergency   O
department   O
of   O
AHS   B-LOCATION
Southcrest   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
dba   I-LOCATION
Hillcrest   I-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
included   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
had   O
begun   O
earlier   O
that   O
morning   O
.   O

Additionally   O
,   O
Urhua   B-NAME
Hillbrant   I-NAME
reported   O
a   O
mild   O
fever   O
and   O
a   O
general   O
feeling   O
of   O
malaise   O
.   O

Upon   O
physical   O
examination   O
,   O
West   B-NAME
noted   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
possible   O
appendicitis   O
.   O

Based   O
on   O
the   O
clinical   O
findings   O
and   O
imaging   O
results   O
,   O
Gallagher   B-NAME
(   I-NAME
Leo   I-NAME
Anthony   I-NAME
Gallagher   I-NAME
)   I-NAME
recommended   O
surgery   O
for   O
the   O
removal   O
of   O
the   O
inflamed   O
appendix   O
.   O

Surgery   O
was   O
successfully   O
performed   O
on   O
08/09/1653   B-DATE
without   O
any   O
complications   O
.   O

The   O
patient   O
was   O
advised   O
to   O
remain   O
in   O
Andalusia   B-LOCATION
Health   I-LOCATION
for   O
observation   O
until   O
2081   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
30   I-DATE
to   O
monitor   O
for   O
any   O
post   O
-   O
operative   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Varl   B-NAME
Gone   I-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Trevor   B-NAME
H.   I-NAME
Vaughan   I-NAME
on   O
2372   B-DATE
to   O
assess   O
recovery   O
progress   O
.   O

Karoline   B-NAME
Fesler   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activity   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Instructions   O
were   O
given   O
to   O
Danica   B-NAME
Pierce   I-NAME
to   O
watch   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unusual   O
symptoms   O
and   O
to   O
contact   O
Nemours   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
631   I-CONTACT
)   I-CONTACT
960   I-CONTACT
-   I-CONTACT
6328   I-CONTACT
immediately   O
should   O
any   O
concerns   O
arise   O
.   O

Conclusion   O
:   O
Niki   B-NAME
Ahumada   I-NAME
's   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
timely   O
addressed   O
through   O
surgical   O
intervention   O
,   O
mitigating   O
the   O
risk   O
of   O
rupture   O
and   O
subsequent   O
complications   O
.   O

Prepared   O
by   O
:   O
Kaiya   B-NAME
Marsh   I-NAME
5/22   B-DATE

Patient   O
Name   O
:   O
Oralee   B-NAME
Dunning   I-NAME
Patient   O
ID   O
:   O
RA:7355:739159   B-ID
Date   O
of   O
Birth   O
:   O
08/24/1606   B-DATE
Age   O
:   O
42s   O
Address   O
:   O
Jacksonville   B-LOCATION
,   O
94495   B-LOCATION
Phone   O
Number   O
:   O
113   B-CONTACT
-   I-CONTACT
2293   I-CONTACT
Medical   O
Record   O
Number   O
:   O
0531416   B-ID
Primary   O
Care   O
Physician   O
:   O

Jose   B-NAME
Walters   I-NAME
Hospital   O
:   O
Ed   B-LOCATION
Fraser   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
14/34   B-DATE
Occupation   O
:   O
Shipping   O
,   O
Receiving   O
,   O
and   O
Traffic   O
Clerks   O
Medical   O
History   O
:   O
Warner   B-NAME
Clan   I-NAME
presents   O
with   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Presenting   O
Complaint   O
:   O
Ulises   B-NAME
J.   I-NAME
Kelley   I-NAME
visited   O
UPMC   B-LOCATION
Horizon   I-LOCATION
-   I-LOCATION
Greenville   I-LOCATION
Campus   I-LOCATION
on   O
0/4   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
dry   O
cough   O
for   O
approximately   O
two   O
weeks   O
.   O

Ariel   B-NAME
Tate   I-NAME
has   O
also   O
been   O
experiencing   O
intermittent   O
bouts   O
of   O
dyspnea   O
,   O
particularly   O
when   O
climbing   O
stairs   O
or   O
walking   O
for   O
short   O
distances   O
.   O

There   O
have   O
been   O
no   O
fevers   O
,   O
but   O
Walls   B-NAME
mentions   O
occasional   O
nocturnal   O
sweating   O
.   O

Recent   O
unintentional   O
weight   O
loss   O
was   O
noted   O
,   O
with   O
Camryn   B-NAME
Schultz   I-NAME
losing   O
approximately   O
5   O
%   O
of   O
body   O
weight   O
over   O
the   O
last   O
month   O
without   O
changes   O
in   O
diet   O
or   O
physical   O
activity   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kate   B-NAME
Fischer   I-NAME
appears   O
mildly   O
dyspneic   O
while   O
speaking   O
.   O

A   O
CT   O
scan   O
of   O
the   O
chest   O
has   O
been   O
ordered   O
to   O
further   O
evaluate   O
the   O
pulmonary   O
nodule   O
,   O
scheduled   O
for   O
6/32/56   B-DATE
.   O
Plan   O
:   O

2   O
.   O
Refer   O
to   O
Liam   B-NAME
Mata   I-NAME
in   O
the   O
pulmonology   O
department   O
for   O
evaluation   O
of   O
persistent   O
cough   O
and   O
dyspnea   O
.   O

Scheduled   O
CT   O
scan   O
of   O
the   O
chest   O
on   O
27/14   B-DATE
.   O
4   O
.   O

Advise   O
Oneal   B-NAME
to   O
minimize   O
physical   O
exertion   O
until   O
further   O
assessment   O
.   O

Osiel   B-NAME
M.   I-NAME
Colon   I-NAME
expressed   O
concerns   O
about   O
the   O
new   O
findings   O
and   O
potential   O
diagnosis   O
;   O
reassurance   O
was   O
provided   O
regarding   O
the   O
diagnostic   O
process   O
and   O
management   O
steps   O
.   O
-   O
Debs   B-NAME
,   I-NAME
Eugene   I-NAME
V.   I-NAME
was   O
encouraged   O
to   O
reach   O
out   O
to   O
the   O
pulmonology   O
department   O
for   O
any   O
immediate   O
concerns   O
before   O
the   O
next   O
scheduled   O
visit   O
.   O
-   O
Tom   B-NAME
Horton   I-NAME
was   O
reminded   O
to   O
monitor   O
blood   O
glucose   O
levels   O
more   O
closely   O
,   O
especially   O
with   O
medication   O
change   O
,   O
and   O
report   O
if   O
levels   O
are   O
consistently   O
above   O
target   O
.   O

Next   O
Steps   O
:   O
-   O
Review   O
CT   O
scan   O
results   O
on   O
31/29   B-DATE
.   O
-   O
Evaluate   O
the   O
need   O
for   O
bronchoscopy   O
based   O
on   O
CT   O
findings   O
.   O
-   O
Consider   O
referral   O
to   O
a   O
dietitian   O
for   O
weight   O
management   O
and   O
diabetes   O
education   O
.   O

-   O
Continuous   O
monitoring   O
of   O
Kane   B-NAME
Brock   I-NAME
's   O
respiratory   O
status   O
is   O
recommended   O
.   O

Conclusion   O
:   O
The   O
patient   O
,   O
Junior   B-NAME
Griffin   I-NAME
,   O
is   O
being   O
worked   O
up   O
for   O
persistent   O
cough   O
and   O
dyspnea   O
with   O
significant   O
radiographic   O
findings   O
.   O

Patient   O
Name   O
:   O
Bunny   B-NAME
Patient   O
ID   O
:   O
SQ:84959:391331   B-ID
Medical   O
Record   O
Number   O
:   O
8562794   B-ID
Date   O
of   O
Visit   O
:   O
February   B-DATE
Age   O
:   O
74   O
Phone   O
Number   O
:   O
45260   B-CONTACT
Admitting   O
Hospital   O
:   O

Wayne   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Attending   O
Physician   O
:   O
Khan   B-NAME
Location   O
:   O
Murray   B-LOCATION
,   O
79580   B-LOCATION
Chief   O
Complaint   O
:   O
Eneida   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
0/91   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
an   O
5   O
month   O
year   O
-   O
old   O
Human   O
Resources   O
,   O
Training   O
,   O
and   O
Labor   O
Relations   O
Specialists   O
,   O
All   O
Other   O
,   O
first   O
noticed   O
a   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
23/11   B-DATE
,   O
which   O
gradually   O
intensified   O
.   O

Arty   B-NAME
denied   O
any   O
recent   O
history   O
of   O
similar   O
episodes   O
,   O
foreign   O
travel   O
,   O
or   O
unusual   O
dietary   O
intake   O
.   O

Past   O
Medical   O
History   O
:   O
Benjamin   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
on   O
medication   O
,   O
and   O
no   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

Allergies   O
:   O
Jensen   B-NAME
,   I-NAME
Hayley   I-NAME
denies   O
any   O
known   O
drug   O
allergies   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Sonderborg   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Imaging   O
:   O
An   O
ultrasound   O
of   O
the   O
abdomen   O
was   O
performed   O
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Huntersville   I-LOCATION
which   O
indicated   O
an   O
inflamed   O
appendix   O
with   O
no   O
perforation   O
.   O

The   O
assessment   O
of   O
Dayami   B-NAME
Holder   I-NAME
by   O
Rodrigo   B-NAME
Montoya   I-NAME
was   O
acute   O
appendicitis   O
.   O

After   O
discussing   O
the   O
risks   O
and   O
benefits   O
with   O
Luca   B-NAME
Riddle   I-NAME
,   O
a   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
1645   B-DATE
.   O

URIBE   B-NAME
,   I-NAME
HAROLD   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
post   O
-   O
operative   O
care   O
and   O
was   O
given   O
a   O
follow   O
-   O
up   O
appointment   O
.   O

Independent   B-LOCATION
Nation   I-LOCATION
was   O
notified   O
of   O
Christene   B-NAME
Langevin   I-NAME
's   O
admission   O
for   O
surgery   O
,   O
and   O
Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
's   O
emergency   O
contact   O
was   O
called   O
using   O
the   O
number   O
542   B-CONTACT
-   I-CONTACT
538   I-CONTACT
8119   I-CONTACT
.   O

Instructions   O
for   O
PZ773   B-NAME
include   O
monitoring   O
Leila   B-NAME
Casey   I-NAME
's   O
vitals   O
post   O
-   O
operatively   O
and   O
managing   O
pain   O
as   O
per   O
the   O
prescribed   O
protocol   O
.   O
Conclusion   O
:   O
Diderot   B-NAME
,   I-NAME
Denis   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
transferred   O
to   O
the   O
surgical   O
unit   O
for   O
recovery   O
.   O

The   O
plan   O
is   O
to   O
discharge   O
Bridges   B-NAME
within   O
the   O
next   O
48   O
hours   O
if   O
no   O
complications   O
arise   O
.   O

Follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
has   O
been   O
arranged   O
for   O
22/21/2292   B-DATE
to   O
monitor   O
recovery   O
progress   O
.   O

Patient   O
Name   O
:   O
Lamb   B-NAME
Patient   O
ID   O
:   O
FX   B-ID
:   I-ID
OE:6471   I-ID
Medical   O
Record   O
:   O
34522003   B-ID
Date   O
of   O
Birth   O
:   O
05/25   B-DATE
Age   O
:   O
12   O
Phone   O
Number   O
:   O
396   B-CONTACT
-   I-CONTACT
6316   I-CONTACT
Address   O
:   O
Andrew   B-LOCATION
,   O
57299   B-LOCATION

Mcmillan   B-NAME
Hospital   O
Name   O
:   O

Central   B-LOCATION
Kansas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Great   I-LOCATION
Bend   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/13   B-DATE
Date   O
of   O
Report   O
:   O
02/31   B-DATE
The   O
patient   O
,   O
KEELER   B-NAME
,   I-NAME
ELIOT   I-NAME
,   O
a   O
Farmworkers   O
and   O
Laborers   O
,   O
Crop   O
,   O
Nursery   O
,   O
and   O
Greenhouse   O
from   O
Latvia   B-LOCATION
,   O
was   O
admitted   O
to   O
Southern   B-LOCATION
Virginia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/22/2383   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Klein   B-NAME
,   O
which   O
confirmed   O
appendiceal   O
enlargement   O
and   O
the   O
presence   O
of   O
fluid   O
around   O
the   O
appendix   O
,   O
supporting   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
underwent   O
an   O
appendectomy   O
on   O
Jan   B-DATE
14   I-DATE
,   I-DATE
2102   I-DATE
,   O
which   O
was   O
performed   O
without   O
complications   O
.   O

Victor   B-NAME
Webb   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
unremarkable   O
,   O
and   O
they   O
were   O
discharged   O
on   O
13/10   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Mack   B-NAME
in   O
two   O
weeks   O
.   O

In   O
summary   O
,   O
Lopez   B-NAME
,   O
a   O
80   O
-   O
year   O
-   O
old   O
Historians   O
from   O
Bridlington   B-LOCATION
,   O
was   O
admitted   O
to   O
Tift   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
acute   O
appendicitis   O
and   O
underwent   O
successful   O
appendectomy   O
with   O
no   O
complications   O
.   O

For   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Hibiki   B-NAME
,   I-NAME
Dan   I-NAME
at   O
441   B-CONTACT
-   I-CONTACT
901   I-CONTACT
9943   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
GH270   B-NAME
Date   O
:   O
Sunday   B-DATE
,   I-DATE
July   I-DATE
Frontier   B-LOCATION
Bank   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Alannah   B-NAME
Tate   I-NAME
Patient   O
Age   O
:   O
8   O
Date   O
of   O
Birth   O
:   O
22/12   B-DATE
Patient   O
ID   O
:   O
GX   B-ID
:   I-ID
PK:9072   I-ID
Medical   O
Record   O
Number   O
:   O
346   B-ID
-   I-ID
92   I-ID
-   I-ID
36   I-ID
-   I-ID
6   I-ID
Address   O
:   O
Virginia   B-LOCATION
,   O
88966   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
135   I-CONTACT
)   I-CONTACT
282   I-CONTACT
-   I-CONTACT
5933   I-CONTACT
Occupation   O
:   O
Helpers   O
--   O
Carpenters   O
Primary   O
Care   O
Physician   O
:   O
Dunn   B-NAME
Summary   O
:   O
Ingrid   B-NAME
Mckee   I-NAME
,   O
a   O
81   O
-   O
year   O
-   O
old   O
Home   O
Appliance   O
Installers   O
residing   O
in   O
Venetie   B-LOCATION
,   O
was   O
admitted   O
to   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summit   I-LOCATION
on   O
09/13   B-DATE
with   O
a   O
set   O
of   O
symptoms   O
that   O
included   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
for   O
the   O
past   O
48   O
hours   O
.   O

Upon   O
evaluation   O
,   O
Casey   B-NAME
noted   O
that   O
the   O
patient   O
appeared   O
clinically   O
dehydrated   O
with   O
dry   O
mucous   O
membranes   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Krause   B-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
on   O
26/27   B-DATE
without   O
complications   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Robert   B-NAME
Neil   I-NAME
demonstrated   O
a   O
smooth   O
post   O
-   O
operative   O
recovery   O
.   O

Feelgood   B-NAME
was   O
educated   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
the   O
importance   O
of   O
gradual   O
resumption   O
of   O
normal   O
activities   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Dokok   B-NAME
was   O
discharged   O
on   O
04/89   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Hall   B-NAME
on   O
09/24/2076   B-DATE
at   O
our   O
office   O
in   O
27   B-LOCATION
4th   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
.   O

Healthcare   O
Provider   O
Signature   O
:   O
Good   B-NAME
7   B-DATE
-   I-DATE
9   I-DATE
Emergency   O
Contact   O
:   O
Name   O
:   O
vxx819   B-NAME
Relationship   O
:   O
Specified   O
as   O
next   O
of   O
kin   O
Contact   O
Number   O
:   O
85319   B-CONTACT

Patient   O
Name   O
:   O
Aydan   B-NAME
Moss   I-NAME
Age   O
:   O
11   O
Date   O
of   O
Birth   O
:   O
3/2043   B-DATE
Medical   O
Record   O
Number   O
:   O
9367088   B-ID
SSN   O
:   O
8   B-ID
-   I-ID
8861356   I-ID
Address   O
:   O
Guernsey   B-LOCATION
,   O
49671   B-LOCATION
Phone   O
Number   O
:   O
866   B-CONTACT
6751   I-CONTACT
Occupation   O
:   O

Jace   B-NAME
Buck   I-NAME
Date   O
of   O
Visit   O
:   O
2375   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
02   I-DATE
Hospital   O
:   O

Sentara   B-LOCATION
Leigh   I-LOCATION
Hospital   I-LOCATION
Presentation   O
:   O
The   O
patient   O
,   O
powell   B-NAME
,   O
a   O
Industrial   O
Ecologists   O
from   O
Treece   B-LOCATION
,   O
presented   O
to   O
Northern   B-LOCATION
Westchester   I-LOCATION
Hospital   I-LOCATION
on   O
2263   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
been   O
progressively   O
worsening   O
over   O
a   O
period   O
of   O
48   O
hours   O
.   O

Additionally   O
,   O
Waits   B-NAME
,   I-NAME
Tom   I-NAME
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Upon   O
examination   O
,   O
Gideon   B-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
90   O
bpm   O
,   O
temperature   O
98.6   O
°   O
F   O
,   O
and   O
respiratory   O
rate   O
16   O
breaths   O
per   O
minute   O
.   O

Chasity   B-NAME
Hayden   I-NAME
advised   O
for   O
a   O
consult   O
with   O
a   O
general   O
surgeon   O
for   O
a   O
possible   O
appendectomy   O
based   O
on   O
these   O
findings   O
.   O

The   O
assessment   O
of   O
Joe   B-NAME
Martin   I-NAME
by   O
Levine   B-NAME
on   O
00/63   B-DATE
is   O
acute   O
appendicitis   O
.   O

The   O
plan   O
is   O
to   O
admit   O
Tristian   B-NAME
Gill   I-NAME
to   O
Trinity   B-LOCATION
Rock   I-LOCATION
Island   I-LOCATION
for   O
an   O
urgent   O
surgical   O
consult   O
and   O
potential   O
appendectomy   O
.   O

Joe   B-NAME
Mcferron   I-NAME
has   O
been   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
likely   O
surgical   O
intervention   O
.   O

Informed   O
consent   O
for   O
the   O
surgery   O
was   O
obtained   O
from   O
Randi   B-NAME
Daulton   I-NAME
after   O
explaining   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
.   O

Pre   O
-   O
operative   O
antibiotics   O
have   O
been   O
administered   O
as   O
per   O
the   O
surgical   O
protocol   O
at   O
Columbia   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
's   O
emergency   O
contact   O
,   O
a   O
family   O
member   O
,   O
was   O
notified   O
via   O
263   B-CONTACT
1385   I-CONTACT
regarding   O
HANEY   B-NAME
,   I-NAME
ULYSSES   I-NAME
's   O
condition   O
and   O
the   O
proposed   O
plan   O
of   O
care   O
.   O

Goodman   B-NAME
expressed   O
understanding   O
and   O
agreement   O
with   O
the   O
plan   O
and   O
is   O
currently   O
awaiting   O
the   O
surgical   O
consultation   O
.   O

Follow   O
-   O
up   O
Note   O
:   O
Please   O
document   O
post   O
-   O
operative   O
recovery   O
and   O
any   O
further   O
recommendations   O
for   O
Nixon   B-NAME
's   O
care   O
upon   O
discharge   O
from   O
Rome   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
discharge   O
instructions   O
should   O
include   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
follow   O
-   O
up   O
appointment   O
scheduling   O
with   O
Kidd   B-NAME
,   O
and   O
any   O
temporary   O
activity   O
restrictions   O
.   O

Len   B-NAME
-   O
Age   O
:   O
40   O
-   O
Medical   O
Record   O
Number   O
:   O
EO38177137   B-ID
-   O
Admission   O
Date   O
:   O
October   B-DATE
37   I-DATE
-   O
Discharge   O
Date   O
:   O
2044   B-DATE
-   O
Treating   O
Physician   O
:   O

Hana   B-NAME
Shea   I-NAME
-   O
Hospital   O
Name   O
:   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Barry   I-LOCATION
Road   I-LOCATION
-   O
Location   O
:   O
Vona   B-LOCATION
-   O
Zip   O
Code   O
:   O
87234   B-LOCATION
-   O
Phone   O
Number   O
:   O
587   B-CONTACT
-   I-CONTACT
1512   I-CONTACT
-   O
Occupation   O
:   O
Foresters   O
Summary   O
:   O
Georgetta   B-NAME
Crisman   I-NAME
presented   O
at   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
St.   I-LOCATION
Clair   I-LOCATION
on   O
12/22   B-DATE
with   O
symptoms   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
indicating   O
a   O
potential   O
appendicitis   O
.   O

Moses   B-NAME
has   O
a   O
history   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
in   O
the   O
past   O
but   O
did   O
not   O
seek   O
medical   O
attention   O
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
physical   O
examination   O
by   O
Faulkner   B-NAME
,   O
Farage   B-NAME
,   I-NAME
Nigel   I-NAME
's   O
temperature   O
was   O
noted   O
to   O
be   O
100.4   O
°   O
F   O
.   O

Treatment   O
:   O
Given   O
the   O
findings   O
and   O
the   O
clinical   O
presentation   O
,   O
Stokes   B-NAME
recommended   O
an   O
appendectomy   O
.   O

The   O
surgery   O
was   O
scheduled   O
and   O
performed   O
successfully   O
on   O
2201   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
03   I-DATE
without   O
any   O
complications   O
.   O

Kristofer   B-NAME
was   O
administered   O
intravenous   O
antibiotics   O
pre   O
and   O
post   O
-   O
operation   O
to   O
prevent   O
any   O
potential   O
infection   O
.   O

Follow   O
-   O
Up   O
and   O
Instructions   O
:   O
Sadie   B-NAME
Roof   I-NAME
was   O
discharged   O
on   O
2352   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
33   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
signs   O
of   O
possible   O
complications   O
to   O
watch   O
for   O
,   O
including   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
redness   O
and   O
discharge   O
from   O
the   O
surgical   O
site   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Robert   B-NAME
Caldwell   I-NAME
for   O
2086   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
23   I-DATE
at   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
New   I-LOCATION
Orleans   I-LOCATION
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Frederica   B-NAME
Hinely   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activity   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
discharge   O
.   O

Note   O
:   O
STEPHEN   B-NAME
HENDERSON   I-NAME
was   O
advised   O
to   O
keep   O
a   O
copy   O
of   O
their   O
medical   O
record   O
number   O
710   B-ID
-   I-ID
79   I-ID
-   I-ID
34   I-ID
secure   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Lana   B-NAME
Morrow   I-NAME
can   O
reach   O
Kindred   B-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
313   I-CONTACT
)   I-CONTACT
306   I-CONTACT
-   I-CONTACT
2717   I-CONTACT
.   O

Patient   O
Name   O
:   O
Teagan   B-NAME
Harrington   I-NAME
Medical   O
Record   O
Number   O
:   O
138   B-ID
-   I-ID
42   I-ID
-   I-ID
31   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
15/22   B-DATE
Age   O
:   O
57   O
Address   O
:   O
Minatare   B-LOCATION
,   O
53943   B-LOCATION
Phone   O
Number   O
:   O
57588   B-CONTACT

Sulla   B-NAME
,   I-NAME
Lucius   I-NAME
Cornelius   I-NAME
Employer   O
:   O
Philadelphia   B-LOCATION
Insurance   I-LOCATION
Companies   I-LOCATION
Occupation   O
:   O
Drafters   O
,   O
All   O
Other   O
Admission   O
Date   O
:   O
3/22   B-DATE
Hospital   O
:   O

Wayne   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Subjective   O
:   O
Levertov   B-NAME
,   I-NAME
Denise   I-NAME
presented   O
to   O
Bethesda   B-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
on   O
3/7   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Fuller   B-NAME
also   O
mentioned   O
experiencing   O
episodes   O
of   O
diaphoresis   O
primarily   O
in   O
the   O
evenings   O
.   O

Russell   B-NAME
's   O
occupation   O
as   O
Archaeologist   O
causes   O
them   O
to   O
be   O
exposed   O
to   O
various   O
environmental   O
factors   O
,   O
possibly   O
contributing   O
to   O
their   O
symptoms   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
64   O
-   O
year   O
-   O
old   O
Eluard   B-NAME
,   I-NAME
Paul   I-NAME
demonstrated   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
a   O
heart   O
rate   O
of   O
98   O
beats   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Thompson   B-NAME
,   I-NAME
Dorothy   I-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
treatment   O
covering   O
atypical   O
pathogens   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
in   O
St.   B-LOCATION
Rose   I-LOCATION
Dominican   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Siena   I-LOCATION
Campus   I-LOCATION
's   O
outpatient   O
clinic   O
with   O
Monroe   B-NAME
on   O
03/10   B-DATE
.   O

Instructions   O
were   O
provided   O
to   O
Nina   B-NAME
Uresti   I-NAME
to   O
seek   O
immediate   O
care   O
if   O
symptoms   O
worsen   O
or   O
if   O
they   O
experience   O
any   O
new   O
symptoms   O
such   O
as   O
hemoptysis   O
or   O
acute   O
shortness   O
of   O
breath   O
.   O

It   O
's   O
important   O
to   O
continue   O
considering   O
Harper   B-NAME
Joyce   I-NAME
's   O
occupational   O
exposure   O
as   O
a   O
contributing   O
factor   O
,   O
and   O
a   O
referral   O
to   O
a   O
specialist   O
in   O
occupational   O
medicine   O
may   O
be   O
necessary   O
depending   O
on   O
the   O
outcome   O
of   O
the   O
initial   O
management   O
plan   O
.   O

Billing   O
Information   O
:   O
Insurance   O
Provider   O
:   O
Tostan   B-LOCATION
Account   O
Number   O
:   O
4   B-ID
-   I-ID
5781700   I-ID
Contact   O
:   O
(   B-CONTACT
583   I-CONTACT
)   I-CONTACT
987   I-CONTACT
-   I-CONTACT
1375   I-CONTACT

Reminder   O
set   O
for   O
xyr975   B-NAME
to   O
follow   O
up   O
on   O
Heath   B-NAME
's   O
lab   O
results   O
on   O
12/23   B-DATE
.   O

Patient   O
Name   O
:   O
Ashlynn   B-NAME
Charles   I-NAME
Patient   O
ID   O
:   O
SV240/3513   B-ID
Date   O
of   O
Birth   O
:   O
03/16   B-DATE
Age   O
:   O
94   O
Address   O
:   O
Newberg   B-LOCATION
,   I-LOCATION
Newberg   I-LOCATION
Downtown   I-LOCATION
Coalition   I-LOCATION
,   O
78214   B-LOCATION

Contact   O
Number   O
:   O
695   B-CONTACT
-   I-CONTACT
217   I-CONTACT
-   I-CONTACT
9154   I-CONTACT
Occupation   O
:   O
Combined   O
Food   O
Preparation   O
and   O
Serving   O
Workers   O
,   O
Including   O
Fast   O
Food   O
Primary   O
Care   O
Physician   O
:   O
Howard   B-NAME
Medical   O
Record   O
Number   O
:   O
9946134   B-ID
Date   O
of   O
Visit   O
:   O
0/22   B-DATE
Hospital   O
Name   O
:   O
Meadowview   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Atwood   B-NAME
,   I-NAME
Margaret   I-NAME
presents   O
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

Lauren   B-NAME
French   I-NAME
describes   O
the   O
pain   O
as   O
throbbing   O
and   O
pulsating   O
,   O
often   O
accompanied   O
by   O
nausea   O
and   O
photophobia   O
.   O

Danielle   B-NAME
Stark   I-NAME
reports   O
approximately   O
three   O
to   O
four   O
episodes   O
per   O
week   O
.   O

Additionally   O
,   O
Urijah   B-NAME
Maynard   I-NAME
described   O
a   O
recent   O
onset   O
of   O
visual   O
disturbances   O
,   O
characterized   O
by   O
flashing   O
lights   O
and   O
temporary   O
vision   O
loss   O
prior   O
to   O
headache   O
onset   O
.   O

Mugabe   B-NAME
,   I-NAME
Robert   I-NAME
denies   O
any   O
recent   O
history   O
of   O
trauma   O
or   O
injury   O
.   O

Past   O
Medical   O
History   O
:   O
Tiffany   B-NAME
Burgess   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
currently   O
taking   O
medication   O
.   O

Family   O
history   O
is   O
significant   O
for   O
migraines   O
in   O
Guadalupe   B-NAME
Day   I-NAME
's   O
mother   O
.   O

Review   O
of   O
Systems   O
:   O
Marech   B-NAME
Haakinson   I-NAME
reports   O
no   O
additional   O
symptoms   O
in   O
the   O
gastrointestinal   O
,   O
genitourinary   O
,   O
or   O
respiratory   O
systems   O
.   O

Physical   O
Examination   O
:   O
General   O
examination   O
showed   O
Christian   B-NAME
to   O
be   O
alert   O
and   O
oriented   O
in   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

Pauline   B-NAME
Keim   I-NAME
's   O
family   O
history   O
also   O
predisposes   O
them   O
to   O
migraines   O
.   O
Plan   O
:   O
1   O
.   O

All   O
prescriptions   O
and   O
follow   O
-   O
up   O
appointments   O
were   O
directed   O
to   O
Ileen   B-NAME
Routt   I-NAME
through   O
their   O
registered   O
contact   O
information   O
.   O

Prepared   O
by   O
:   O
Salk   B-NAME
,   I-NAME
Jonas   I-NAME
2153   B-DATE
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
,   O
Trowbridge   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Agustin   B-NAME
Jefferson   I-NAME
Patient   O
ID   O
:   O
8899770   B-ID
Date   O
of   O
Birth   O
:   O
2   B-DATE
-   I-DATE
2   I-DATE
Age   O
:   O
89   O
Address   O
:   O
New   B-LOCATION
Port   I-LOCATION
Richey   I-LOCATION
,   I-LOCATION
Greater   I-LOCATION
New   I-LOCATION
Port   I-LOCATION
Richey   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
75659   B-LOCATION
Phone   O
:   O
397   B-CONTACT
-   I-CONTACT
326   I-CONTACT
1315   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Munch   B-NAME
,   I-NAME
Edvard   I-NAME
Referring   O
Organization   O
:   O

Marshall   B-LOCATION
Municipal   I-LOCATION
Utilities   I-LOCATION
Hospital   O
Admitted   O
To   O
:   O
Riverview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Joseph   B-NAME
Saviano   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
Labor   B-DATE
Day   I-DATE
with   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
with   O
nausea   O
and   O
an   O
episode   O
of   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lewis   B-NAME
Hyppolite   I-NAME
reported   O
that   O
the   O
symptoms   O
started   O
early   O
in   O
the   O
morning   O
before   O
admission   O
and   O
gradually   O
worsened   O
over   O
several   O
hours   O
.   O

Derek   B-NAME
Hubert   I-NAME
has   O
a   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
controlled   O
hypertension   O
,   O
and   O
a   O
previous   O
episode   O
of   O
acute   O
pancreatitis   O
approximately   O
one   O
year   O
prior   O
.   O

On   O
examination   O
,   O
Mora   B-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Ross   B-NAME
was   O
admitted   O
to   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Dearborn   I-LOCATION
under   O
the   O
care   O
of   O
Riley   B-NAME
Mccarty   I-NAME
for   O
acute   O
pancreatitis   O
.   O

Cheyenne   B-NAME
Stout   I-NAME
was   O
kept   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
to   O
rest   O
the   O
pancreas   O
,   O
and   O
insulin   O
sliding   O
scale   O
was   O
adjusted   O
for   O
blood   O
glucose   O
management   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Jaylynn   B-NAME
Fernandez   I-NAME
responded   O
well   O
to   O
the   O
initial   O
management   O
and   O
showed   O
improvement   O
in   O
symptoms   O
by   O
4/11/02   B-DATE
.   O

Mahoney   B-NAME
will   O
be   O
monitored   O
closely   O
for   O
the   O
next   O
48   O
hours   O
and   O
will   O
be   O
started   O
on   O
a   O
clear   O
liquid   O
diet   O
once   O
pain   O
and   O
inflammation   O
markers   O
improve   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Stephenson   B-NAME
in   O
two   O
weeks   O
to   O
reassess   O
and   O
manage   O
Junior   B-NAME
Avery   I-NAME
's   O
diabetes   O
and   O
hypertension   O
,   O
and   O
a   O
dietician   O
consultation   O
is   O
recommended   O
to   O
adjust   O
Stafford   B-NAME
's   O
diet   O
for   O
pancreatitis   O
management   O
.   O

For   O
any   O
further   O
information   O
or   O
emergency   O
,   O
please   O
contact   O
Temujin   B-NAME
Muggley   I-NAME
at   O
(   B-CONTACT
457   I-CONTACT
)   I-CONTACT
614   I-CONTACT
7382   I-CONTACT
or   O
reach   O
out   O
to   O
the   O
Florida   B-LOCATION
Hospital   I-LOCATION
Lake   I-LOCATION
Placid   I-LOCATION
's   O
main   O
desk   O
.   O

Emergency   O
Contacts   O
:   O
-   O
Bryan   B-NAME
Owens   I-NAME
's   O
Emergency   O
Contact   O
:   O
Investment   O
analyst   O
at   O
(   B-CONTACT
691   I-CONTACT
)   I-CONTACT
305   I-CONTACT
2757   I-CONTACT
-   O
F.   B-NAME
JORDAN   I-NAME
FUCHS   I-NAME
's   O
Secondary   O
Contact   O
:   O
Life   O
Scientists   O
,   O
All   O
Other   O
at   O
33797   B-CONTACT
(   O
Please   O
note   O
that   O
personal   O
identifiers   O
have   O
been   O
replaced   O
with   O
[   O
PHI   O
labels   O
]   O
as   O
per   O
HIPAA   O
compliance   O
guidelines   O
.   O
)   O

Patient   O
Name   O
:   O
David   B-NAME
Malone   I-NAME
Date   O
of   O
Birth   O
:   O
35/29/82   B-DATE
Medical   O
Record   O
Number   O
:   O
9454337   B-ID
Date   O
of   O
Visit   O
:   O
1/2222   B-DATE
Attending   O
Physician   O
:   O
Valéry   B-NAME
,   I-NAME
Paul   I-NAME
Contact   O
Information   O
:   O
(   B-CONTACT
590   I-CONTACT
)   I-CONTACT
783   I-CONTACT
9028   I-CONTACT
Address   O
:   O
Genola   B-LOCATION
,   O
67930   B-LOCATION
Employer   O
:   O

Clewiston   B-LOCATION
Utilities   I-LOCATION
Occupation   O
:   O

Prosthodontists   O
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
5329188   I-ID
Chief   O
Complaint   O
:   O
Kaydence   B-NAME
,   O
a   O
8   O
month   O
-   O
year   O
-   O
old   O
Compensation   O
,   O
Benefits   O
,   O
and   O
Job   O
Analysis   O
Specialists   O
from   O
Marlette   B-LOCATION
,   O
presented   O
to   O
Marin   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
26/23/2356   B-DATE
with   O
complaints   O
of   O
dyspnea   O
,   O
persistent   O
cough   O
lasting   O
more   O
than   O
three   O
weeks   O
,   O
and   O
intermittent   O
episodes   O
of   O
hemoptysis   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Desmond   B-NAME
Odonnell   I-NAME
noticed   O
the   O
onset   O
of   O
symptoms   O
approximately   O
six   O
weeks   O
prior   O
to   O
their   O
presentation   O
at   O
Warren   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Over   O
the   O
past   O
two   O
weeks   O
,   O
Letra   B-NAME
McGraph   I-NAME
observed   O
a   O
worsening   O
of   O
the   O
dyspnea   O
,   O
especially   O
during   O
nighttime   O
,   O
associated   O
with   O
mild   O
-   O
to   O
-   O
moderate   O
chest   O
pain   O
.   O

Liam   B-NAME
Mcmahon   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Social   O
History   O
:   O
Kailee   B-NAME
Patrick   I-NAME
is   O
employed   O
as   O
a   O
Medical   O
Appliance   O
Technicians   O
at   O
Amcore   B-LOCATION
Bank   I-LOCATION
in   O
Pentress   B-LOCATION
and   O
admits   O
to   O
a   O
history   O
of   O
smoking   O
one   O
pack   O
of   O
cigarettes   O
per   O
day   O
for   O
the   O
past   O
20   O
years   O
.   O

Ethan   B-NAME
Carter   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
exposure   O
to   O
known   O
sick   O
contacts   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
described   O
,   O
Eveline   B-NAME
also   O
mentions   O
general   O
fatigue   O
and   O
a   O
decrease   O
in   O
exercise   O
tolerance   O
.   O

On   O
examination   O
,   O
Rene   B-NAME
Mercado   I-NAME
appeared   O
cachectic   O
.   O

Ramonita   B-NAME
Bundette   I-NAME
was   O
advised   O
to   O
maintain   O
isolation   O
until   O
further   O
notice   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
two   O
weeks   O
later   O
to   O
review   O
the   O
sputum   O
culture   O
results   O
and   O
assess   O
treatment   O
response   O
.   O

Contact   O
Details   O
:   O
For   O
any   O
further   O
information   O
or   O
changes   O
in   O
condition   O
,   O
Adam   B-NAME
Mayfair   I-NAME
or   O
their   O
representative   O
may   O
contact   O
Missouri   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
44334   B-CONTACT
.   O

Signed   O
,   O
Bernard   B-NAME
Regency   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Georgia   I-LOCATION
,   O
22/34   B-DATE

Patient   O
Name   O
:   O
Waller   B-NAME
Medical   O
Record   O
Number   O
:   O
8878038   B-ID
Date   O
of   O
Birth   O
:   O
2161   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
30   I-DATE
Age   O
:   O
87   O
Provider   O
:   O
Levy   B-NAME
Admission   O
Date   O
:   O
27/34/2340   B-DATE
Discharge   O
Date   O
:   O
Saturday   B-DATE
,   I-DATE
November   I-DATE
Hospital   O
Name   O
:   O
Baptist   B-LOCATION
Health   I-LOCATION
Richmond   I-LOCATION
Location   O
:   O
Bastrop   B-LOCATION
Chief   O
Complaint   O
:   O

History   O
of   O
Present   O
Illness   O
:   O
Joetta   B-NAME
Lepe   I-NAME
,   O
a   O
Sewing   O
Machine   O
Operators   O
,   O
Non   O
-   O
Garment   O
from   O
Bells   B-LOCATION
,   O
began   O
experiencing   O
sharp   O
,   O
localized   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
early   O
on   O
May   B-DATE
4   I-DATE
.   O

Past   O
Medical   O
History   O
:   O
Burl   B-NAME
Harty   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
remote   O
appendectomy   O
performed   O
in   O
2005   O
.   O

On   O
examination   O
,   O
Nathalia   B-NAME
Murillo   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Outcomes   O
:   O
Morley   B-NAME
,   I-NAME
Christopher   I-NAME
was   O
admitted   O
to   O
Clarks   B-LOCATION
Summit   I-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
on   O
20/15   B-DATE
for   O
observation   O
and   O
treatment   O
.   O

Over   O
a   O
period   O
of   O
48   O
hours   O
,   O
Gregory   B-NAME
Wilson   I-NAME
's   O
symptoms   O
markedly   O
improved   O
.   O

The   O
decision   O
was   O
made   O
by   O
Jefferson   B-NAME
to   O
manage   O
the   O
condition   O
conservatively   O
without   O
surgical   O
intervention   O
.   O

Ashlee   B-NAME
Lemmon   I-NAME
was   O
discharged   O
on   O
15/25   B-DATE
with   O
a   O
prescription   O
for   O
a   O
7   O
-   O
day   O
course   O
of   O
oral   O
antibiotics   O
and   O
instructions   O
for   O
strict   O
follow   O
-   O
up   O
in   O
1   O
week   O
or   O
sooner   O
if   O
symptoms   O
recurred   O
.   O

For   O
any   O
further   O
questions   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Saige   B-NAME
Jones   I-NAME
was   O
advised   O
to   O
contact   O
Duke   B-LOCATION
Raleigh   I-LOCATION
Hospital   I-LOCATION
at   O
273   B-CONTACT
5691   I-CONTACT
.   O

-   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Peyton   B-NAME
George   I-NAME
on   O
02/22/13   B-DATE
.   O

This   O
patient   O
's   O
medical   O
report   O
,   O
ID   O
349   B-ID
-   I-ID
58   I-ID
-   I-ID
42   I-ID
-   I-ID
6   I-ID
,   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
medical   O
professionals   O
at   O
Southern   B-LOCATION
Aid   I-LOCATION
and   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
and   O
Methodist   B-LOCATION
Dallas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
at   O
Poynor   B-LOCATION
,   O
14599   B-LOCATION
.   O

Please   O
contact   O
ZP134   B-NAME
at   O
34265   B-CONTACT
for   O
any   O
necessary   O
clarification   O
or   O
concerns   O
regarding   O
this   O
report   O
.   O

Patient   O
Report   O
:   O
On   O
1/13/31   B-DATE
,   O
Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
visited   O
Mount   B-LOCATION
Nittany   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
South   B-LOCATION
Amana   I-LOCATION
,   O
presenting   O
with   O
acute   O
abdominal   O
pain   O
mainly   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Hanson   B-NAME
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
the   O
evening   O
prior   O
to   O
admission   O
.   O

17   O
-   O
year   O
-   O
old   O
Ravensburg   B-NAME
Marsters   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Physical   O
examination   O
conducted   O
by   O
Oneill   B-NAME
revealed   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
possible   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Friedman   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consult   O
for   O
probable   O
appendectomy   O
.   O

Tibor   B-NAME
Oquinn   I-NAME
's   O
informed   O
consent   O
was   O
obtained   O
after   O
discussing   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
.   O

Rory   B-NAME
Mendoza   I-NAME
was   O
admitted   O
to   O
Raritan   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
the   O
general   O
surgery   O
team   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
August   B-DATE
2   I-DATE
without   O
complications   O
.   O

Liberty   B-NAME
was   O
started   O
on   O
a   O
course   O
of   O
antibiotics   O
post   O
-   O
operatively   O
.   O

Solomon   B-NAME
demonstrated   O
a   O
favorable   O
recovery   O
and   O
was   O
discharged   O
on   O
12/01   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Mccarthy   B-NAME
in   O
two   O
weeks   O
.   O
02890154   B-ID
and   O
XL272/7691   B-ID
were   O
used   O
for   O
documentation   O
and   O
billing   O
purposes   O
.   O

Confidential   O
information   O
related   O
to   O
Araceli   B-NAME
Parrish   I-NAME
was   O
securely   O
stored   O
as   O
per   O
Seton   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
St   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Campus   I-LOCATION
and   O
Waterford   B-LOCATION
Village   I-LOCATION
Bank   I-LOCATION
privacy   O
policies   O
.   O

Any   O
queries   O
regarding   O
the   O
patient   O
's   O
care   O
plan   O
were   O
addressed   O
to   O
670   B-CONTACT
1174   I-CONTACT
,   O
respecting   O
patient   O
confidentiality   O
and   O
data   O
protection   O
regulations   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Management   O
Analysts   O
,   O
and   O
all   O
clinical   O
decisions   O
were   O
reviewed   O
by   O
Walter   B-NAME
Montgomery   I-NAME
.   O

For   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
or   O
any   O
changes   O
to   O
the   O
care   O
plan   O
,   O
the   O
medical   O
team   O
can   O
be   O
contacted   O
via   O
25218   B-CONTACT
.   O

wx156   B-NAME
was   O
responsible   O
for   O
the   O
entry   O
of   O
this   O
report   O
into   O
Shevardnadze   B-NAME
,   I-NAME
Eduard   I-NAME
's   O
electronic   O
health   O
record   O
.   O

Queries   O
and   O
requests   O
for   O
additional   O
information   O
can   O
be   O
directed   O
to   O
the   O
general   O
information   O
number   O
of   O
West   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
20771   B-LOCATION
.   O

Patient   O
Name   O
:   O
Isabell   B-NAME
Fitzgerald   I-NAME
Patient   O
ID   O
:   O
BB:45950:995221   B-ID
Date   O
of   O
Birth   O
:   O
1/3/2253   B-DATE
Phone   O
Number   O
:   O
523   B-CONTACT
2113   I-CONTACT
Address   O
:   O
Wardensville   B-LOCATION
,   O
84511   B-LOCATION
Employment   O
:   O
Range   O
Managers   O
at   O
Northeast   B-LOCATION
Utilities   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Ellison   B-NAME
Admitting   O
Hospital   O
:   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
South   I-LOCATION
Arkansas   I-LOCATION
Date   O
of   O
Admission   O
:   O
01/06/2122   B-DATE
Medical   O
Record   O
Number   O
:   O
7607356   B-ID
Referred   O
by   O
:   O
Harper   B-NAME
Saunders   I-NAME
Medical   O
History   O
Summary   O
:   O
Richard   B-NAME
Oden   I-NAME
,   O
a   O
4   O
month   O
-   O
year   O
-   O
old   O
Pressers   O
,   O
Textile   O
,   O
Garment   O
,   O
and   O
Related   O
Materials   O
employed   O
at   O
Gordmans   B-LOCATION
,   O
was   O
admitted   O
to   O
Uniontown   B-LOCATION
Hospital   I-LOCATION
on   O
31   B-DATE
.   O

On   O
physical   O
examination   O
,   O
Honorius   B-NAME
Hennard   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Under   O
the   O
care   O
of   O
Eduardo   B-NAME
Wu   I-NAME
,   O
Rachal   B-NAME
Crocker   I-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
2225   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
33   I-DATE
.   O

Follow   O
-   O
Up   O
and   O
Recovery   O
:   O
Egnar   B-NAME
Maskaly   I-NAME
demonstrated   O
good   O
post   O
-   O
operative   O
recovery   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
abdominal   O
pain   O
and   O
normalization   O
of   O
body   O
temperature   O
.   O

Nikolas   B-NAME
Curry   I-NAME
was   O
discharged   O
on   O
6/89   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Green   B-NAME
in   O
two   O
weeks   O
for   O
wound   O
check   O
and   O
removal   O
of   O
stitches   O
.   O

Note   O
:   O
Frantz   B-NAME
has   O
consented   O
to   O
the   O
release   O
of   O
medical   O
information   O
for   O
the   O
purposes   O
of   O
continuity   O
of   O
care   O
to   O
the   O
referring   O
physician   O
,   O
Fox   B-NAME
,   O
and   O
the   O
primary   O
care   O
physician   O
.   O

Any   O
further   O
release   O
of   O
information   O
will   O
require   O
additional   O
written   O
consent   O
from   O
Tuari   B-NAME
.   O

Please   O
contact   O
(   B-CONTACT
587   I-CONTACT
)   I-CONTACT
797   I-CONTACT
9976   I-CONTACT
for   O
any   O
urgent   O
inquiries   O
related   O
to   O
Carson   B-NAME
's   O
care   O
or   O
to   O
confirm   O
follow   O
-   O
up   O
appointments   O
.   O

This   O
report   O
was   O
prepared   O
by   O
yzf101   B-NAME
,   O
RN   O
,   O
on   O
behalf   O
of   O
Tyler   B-NAME
Mayo   I-NAME
and   O
Western   B-LOCATION
Maryland   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
Michael   B-NAME
Glenn   I-NAME
ID   O
:   O
HY:41082:313471   B-ID
Medical   O
Record   O
Number   O
:   O
490   B-ID
-   I-ID
33   I-ID
-   I-ID
45   I-ID
Date   O
of   O
Birth   O
:   O
09/00/2087   B-DATE
Age   O
:   O
8   O
Address   O
:   O
Yeehaw   B-LOCATION
Junction   I-LOCATION
,   O
32477   B-LOCATION
Phone   O
:   O
481   B-CONTACT
-   I-CONTACT
4534   I-CONTACT
Employment   O
:   O

Sawing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
at   O
International   B-LOCATION
Primate   I-LOCATION
Protection   I-LOCATION
League   I-LOCATION
(   I-LOCATION
IPPL   I-LOCATION
)   I-LOCATION
Username   O
:   O
dte381   B-NAME
Attending   O
Physician   O
:   O

Federer   B-NAME
,   I-NAME
Roger   I-NAME
Hospital   O
:   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Portage   I-LOCATION
Date   O
of   O
Visit   O
:   O
19/23/2117   B-DATE
Presenting   O
Complaints   O
:   O
Caleb   B-NAME
Digiacomo   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
McLeod   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Darlington   I-LOCATION
on   O
2370   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
arrival   O
.   O

Steven   B-NAME
Kiley   I-NAME
has   O
also   O
noted   O
a   O
fever   O
and   O
chills   O
starting   O
a   O
few   O
hours   O
after   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
Savage   B-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
,   O
diagnosed   O
in   O
20XX   O
,   O
and   O
a   O
past   O
surgical   O
history   O
of   O
appendectomy   O
in   O
childhood   O
.   O

Marshall   B-NAME
Reames   I-NAME
's   O
medication   O
list   O
includes   O
daily   O
probiotics   O
and   O
as   O
-   O
needed   O
loperamide   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Cathy   B-NAME
T.   I-NAME
Turk   I-NAME
's   O
temperature   O
was   O
elevated   O
at   O
101.2   O
°   O
F   O
.   O

An   O
abdominal   O
CT   O
scan   O
was   O
ordered   O
by   O
Osvaldo   B-NAME
Holloway   I-NAME
which   O
revealed   O
inflammation   O
consistent   O
with   O
acute   O
appendicitis   O
,   O
despite   O
the   O
patient   O
's   O
history   O
of   O
appendectomy   O
,   O
indicating   O
a   O
rare   O
case   O
of   O
stump   O
appendicitis   O
.   O

Management   O
Plan   O
:   O
Forsyth   B-NAME
,   B-NAME
Bruce   I-NAME
was   O
admitted   O
to   O
Placentia   B-LOCATION
-   I-LOCATION
Linda   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Skinner   B-NAME
on   O
12/01/07   B-DATE
-   I-DATE
8:21   I-DATE
.   O

Cannicus   B-NAME
Othoudt   I-NAME
was   O
started   O
on   O
a   O
regimen   O
of   O
IV   O
antibiotics   O
.   O

Post   O
-   O
operative   O
instructions   O
included   O
pain   O
management   O
and   O
care   O
for   O
the   O
surgical   O
site   O
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
23/20   B-DATE
.   O
Disposition   O
:   O

Yamilet   B-NAME
Richmond   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
discharged   O
on   O
04/19   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
signs   O
of   O
potential   O
complications   O
to   O
monitor   O
.   O

(   B-CONTACT
373   I-CONTACT
)   I-CONTACT
506   I-CONTACT
1980   B-CONTACT
number   O
was   O
provided   O
for   O
questions   O
or   O
concerns   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
with   O
Walsh   B-NAME
at   O
Grand   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
essential   O
to   O
ensure   O
proper   O
recovery   O
.   O

A   O
follow   O
-   O
up   O
phone   O
call   O
was   O
scheduled   O
for   O
03/39   B-DATE
to   O
assess   O
Ariana   B-NAME
Wheeler   I-NAME
's   O
recovery   O
progress   O
.   O

For   O
urgent   O
concerns   O
,   O
Nathanael   B-NAME
Coffey   I-NAME
was   O
advised   O
to   O
contact   O
the   O
hospital   O
at   O
918   B-CONTACT
1986   I-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
.   O

Patient   O
Name   O
:   O
Immanuel   B-NAME
Jackson   I-NAME
Patient   O
ID   O
:   O
132125   B-ID
Medical   O
Record   O
Number   O
:   O
8611102   B-ID
Date   O
of   O
Birth   O
:   O
July   B-DATE
29th   I-DATE
Age   O
:   O
13   O
Phone   O
Number   O
:   O
945   B-CONTACT
6354   I-CONTACT
Address   O
:   O
Panama   B-LOCATION
City   I-LOCATION
,   O
85510   B-LOCATION

Wesley   B-NAME
Carroll   I-NAME
Hospital   O
Name   O
:   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Northland   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
Friday   B-DATE
,   I-DATE
May   I-DATE
Occupation   O
:   O
Lecturer   O
(   O
higher   O
education   O
)   O
Username   O
for   O
Hospital   O
Portal   O
:   O
ZI974   B-NAME
Casie   B-NAME
Strab   I-NAME
presented   O
to   O
Northside   B-LOCATION
Hospital   I-LOCATION
Cherokee   I-LOCATION
on   O
1/2221   B-DATE
,   O
complaining   O
of   O
acute   O
,   O
stabbing   O
abdominal   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
and   O
increased   O
in   O
intensity   O
over   O
the   O
past   O
48   O
hours   O
.   O

Detailed   O
review   O
of   O
systems   O
revealed   O
Xenia   B-NAME
Rivas   I-NAME
also   O
experienced   O
recent   O
onset   O
of   O
jaundice   O
,   O
dark   O
urine   O
,   O
and   O
pale   O
stool   O
,   O
suggesting   O
a   O
possible   O
hepatobiliary   O
origin   O
.   O

Physical   O
examination   O
by   O
Michelle   B-NAME
Saunders   I-NAME
revealed   O
notable   O
tenderness   O
in   O
the   O
upper   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
along   O
with   O
mild   O
icterus   O
in   O
the   O
sclera   O
.   O

Yamilet   B-NAME
Richmond   I-NAME
was   O
admitted   O
to   O
Wooster   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
and   O
observation   O
.   O

Imaging   O
studies   O
,   O
including   O
an   O
abdominal   O
ultrasound   O
followed   O
by   O
MRI   O
,   O
were   O
conducted   O
,   O
revealing   O
the   O
presence   O
of   O
gallstones   O
,   O
indicating   O
cholelithiasis   O
as   O
the   O
likely   O
etiology   O
of   O
URIEL   B-NAME
XING   I-NAME
's   O
symptoms   O
.   O

The   O
treatment   O
plan   O
,   O
as   O
devised   O
by   O
Navarro   B-NAME
,   O
included   O
IV   O
hydration   O
,   O
pain   O
management   O
,   O
and   O
antibiotic   O
therapy   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Diana   B-NAME
Reddin   I-NAME
was   O
closely   O
monitored   O
for   O
signs   O
of   O
complications   O
,   O
including   O
the   O
development   O
of   O
cholangitis   O
or   O
pancreatic   O
necrosis   O
.   O

The   O
Pinnacle   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Oregon   I-LOCATION
's   O
nutritionist   O
advised   O
on   O
a   O
specific   O
diet   O
to   O
manage   O
Everett   B-NAME
,   I-NAME
Carl   I-NAME
's   O
conditions   O
during   O
the   O
recovery   O
period   O
.   O

Mastrianni   B-NAME
Ingran   I-NAME
's   O
recovery   O
was   O
closely   O
tracked   O
through   O
the   O
hospital   O
's   O
patient   O
portal   O
,   O
username   O
yyy534   B-NAME
,   O
allowing   O
for   O
direct   O
communication   O
with   O
the   O
healthcare   O
team   O
.   O

Discharge   O
was   O
planned   O
for   O
Saturday   B-DATE
,   I-DATE
October   I-DATE
,   O
with   O
instructions   O
for   O
follow   O
-   O
up   O
visits   O
to   O
Jerimiah   B-NAME
Hill   I-NAME
’s   O
office   O
in   O
Rosa   B-LOCATION
Sanchez   I-LOCATION
and   O
further   O
evaluations   O
to   O
assess   O
the   O
recovery   O
progress   O
and   O
any   O
need   O
for   O
additional   O
interventions   O
.   O

For   O
any   O
questions   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Aaliyah   B-NAME
Parker   I-NAME
was   O
advised   O
to   O
contact   O
Inova   B-LOCATION
Fair   I-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
at   O
432   B-CONTACT
-   I-CONTACT
2626   I-CONTACT
.   O

The   O
patient   O
,   O
Kinley   B-NAME
Payne   I-NAME
,   O
a   O
Recreational   O
Therapists   O
by   O
occupation   O
from   O
Lamesa   B-LOCATION
,   O
presented   O
to   O
MidState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
on   O
March   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Kazuko   B-NAME
Foreman   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
one   O
episode   O
of   O
vomiting   O
.   O

Upon   O
examination   O
,   O
Wesley   B-NAME
Reeves   I-NAME
,   O
who   O
is   O
81   O
years   O
old   O
,   O
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Melton   B-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
which   O
showed   O
leukocytosis   O
with   O
a   O
left   O
shift   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
obtained   O
via   O
the   O
health   O
information   O
management   O
system   O
with   O
the   O
medical   O
record   O
number   O
349   B-ID
-   I-ID
58   I-ID
-   I-ID
42   I-ID
-   I-ID
6   I-ID
,   O
indicated   O
no   O
previous   O
abdominal   O
surgeries   O
or   O
significant   O
medical   O
conditions   O
.   O

Priestley   B-NAME
,   I-NAME
Joseph   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
any   O
recent   O
travel   O
outside   O
Salmon   B-LOCATION
Creek   I-LOCATION
.   O

Keagan   B-NAME
Stanton   I-NAME
discussed   O
the   O
diagnosis   O
and   O
treatment   O
options   O
with   O
Eryn   B-NAME
Reach   I-NAME
,   O
recommending   O
laparoscopic   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
,   O
and   O
the   O
surgery   O
was   O
successfully   O
performed   O
on   O
1646   B-DATE
without   O
complications   O
.   O

Sterling   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
protocol   O
for   O
post   O
-   O
operative   O
care   O
was   O
followed   O
,   O
including   O
antibiotic   O
therapy   O
,   O
pain   O
management   O
,   O
and   O
movement   O
as   O
tolerated   O
.   O

Wanda   B-NAME
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
2/22/40   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Jacobson   B-NAME
in   O
two   O
weeks   O
.   O

The   O
discharge   O
summary   O
was   O
documented   O
in   O
the   O
electronic   O
health   O
record   O
system   O
against   O
6755837   B-ID
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Trujillo   B-NAME
was   O
advised   O
to   O
contact   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Proctor   I-LOCATION
at   O
24500   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

A   O
patient   O
satisfaction   O
survey   O
was   O
also   O
mailed   O
to   O
Miya   B-NAME
Rivas   I-NAME
's   O
address   O
in   O
Alton   B-LOCATION
,   O
48494   B-LOCATION
,   O
to   O
gather   O
feedback   O
on   O
their   O
hospital   O
stay   O
and   O
treatment   O
received   O
.   O

This   O
case   O
was   O
entered   O
into   O
the   O
health   O
information   O
system   O
under   O
1   B-ID
-   I-ID
10016956   I-ID
by   O
XP402   B-NAME
for   O
quality   O
assurance   O
and   O
future   O
reference   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Anabella   B-NAME
Vang   I-NAME
Patient   O
Age   O
:   O
10   O
week   O
Date   O
of   O
Birth   O
:   O
January   B-DATE
6   I-DATE
Medical   O
Record   O
Number   O
:   O
866   B-ID
-   I-ID
95   I-ID
-   I-ID
93   I-ID
-   I-ID
4   I-ID
ID   O
Number   O
:   O
6   B-ID
-   I-ID
9017433   I-ID
Address   O
:   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11230   I-LOCATION
,   O
73054   B-LOCATION
Phone   O
Number   O
:   O
737   B-CONTACT
8514   I-CONTACT
Physician   O
:   O
Davis   B-NAME
Hospital   O
:   O
Bartlett   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
02/12   B-DATE
Occupation   O
:   O
Chiropractor   O
Presentation   O
:   O

The   O
patient   O
,   O
Jamie   B-NAME
Tucker   I-NAME
,   O
visited   O
the   O
emergency   O
department   O
on   O
04   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
worsening   O
over   O
a   O
period   O
of   O
24   O
hours   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Shannon   B-NAME
Ware   I-NAME
's   O
temperature   O
was   O
noted   O
to   O
be   O
38.5   O
°   O
C   O
.   O

Diagnostic   O
Imaging   O
:   O
Abdominal   O
ultrasound   O
conducted   O
in   O
DCH   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2320   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
01   I-DATE
revealed   O
an   O
enlarged   O
appendix   O
with   O
a   O
thickened   O
wall   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
imaging   O
,   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Lambert   B-NAME
.   O

An   O
immediate   O
surgical   O
consultation   O
was   O
arranged   O
,   O
and   O
Nuvia   B-NAME
Nadeau   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
08/22/18   B-DATE
.   O

The   O
patient   O
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
proposed   O
surgical   O
intervention   O
,   O
to   O
which   O
Lawrence   B-NAME
K.   I-NAME
Townsend   I-NAME
provided   O
informed   O
consent   O
.   O

Postoperatively   O
,   O
Brenda   B-NAME
Boone   I-NAME
demonstrated   O
uneventful   O
recovery   O
with   O
resolution   O
of   O
symptoms   O
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
after   O
discharge   O
for   O
staple   O
removal   O
and   O
wound   O
assessment   O
,   O
scheduled   O
for   O
12/06/12   B-DATE
.   O

Discharge   O
Instructions   O
:   O
Alysha   B-NAME
Mostoller   I-NAME
was   O
educated   O
on   O
the   O
signs   O
of   O
infection   O
,   O
proper   O
wound   O
care   O
,   O
and   O
advised   O
to   O
limit   O
physical   O
activity   O
for   O
a   O
minimum   O
of   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

A   O
24   O
-   O
hour   O
contact   O
number   O
,   O
(   B-CONTACT
796   I-CONTACT
)   I-CONTACT
477   I-CONTACT
-   I-CONTACT
2774   I-CONTACT
,   O
was   O
given   O
should   O
any   O
concerns   O
or   O
complications   O
arise   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Harrington   B-NAME
at   O
Haven   B-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Philadelphia   I-LOCATION
for   O
'   B-DATE
30   I-DATE
to   O
assess   O
recovery   O
and   O
ensure   O
the   O
absence   O
of   O
complications   O
.   O

This   O
report   O
was   O
prepared   O
by   O
:   O
pq151   B-NAME
,   O
for   O
the   O
medical   O
team   O
at   O
Cedar   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
Sa   B-DATE
.   O

All   O
patient   O
information   O
handled   O
confers   O
with   O
standard   O
data   O
protection   O
and   O
privacy   O
policies   O
as   O
enshrined   O
by   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Painters   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Trades   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Delta   B-NAME
Patient   O
ID   O
:   O
BR218/7277   B-ID
Medical   O
Record   O
Number   O
:   O
08076951   B-ID
Age   O
:   O
16   O
Date   O
of   O
Birth   O
:   O
16/12   B-DATE
Address   O
:   O
Iron   B-LOCATION
Horse   I-LOCATION
,   O
52380   B-LOCATION
Phone   O
Number   O
:   O
36879   B-CONTACT
Attending   O
Physician   O
:   O
Rangel   B-NAME
Hospital   O
:   O
Gundersen   B-LOCATION
Palmer   I-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
Employment   O
:   O
Currently   O
employed   O
as   O
Etchers   O
,   O
Hand   O
Username   O
:   O
ny308   B-NAME
Summary   O
:   O
Doric   B-NAME
Cariaso   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Ohio   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
June   B-DATE
24th   I-DATE
with   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Medical   O
History   O
:   O
Mills   B-NAME
,   I-NAME
C.   I-NAME
Wright   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
Type   O
II   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
medication   O
,   O
and   O
hypertension   O
.   O

There   O
is   O
no   O
noted   O
history   O
of   O
surgeries   O
or   O
significant   O
family   O
medical   O
history   O
according   O
to   O
the   O
records   O
provided   O
by   O
Mercy   B-LOCATION
McCune   I-LOCATION
-   I-LOCATION
Brooks   I-LOCATION
Hospital   I-LOCATION
and   O
previous   O
records   O
from   O
Sierra   B-LOCATION
Pacific   I-LOCATION
Power   I-LOCATION
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Haleigh   B-NAME
Daniel   I-NAME
's   O
temperature   O
was   O
noted   O
to   O
be   O
38.5   O
Celsius   O
,   O
blood   O
pressure   O
was   O
145/95   O
mmHg   O
,   O
pulse   O
rate   O
was   O
102   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
was   O
20   O
breaths   O
per   O
minute   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Ashlag   B-NAME
,   I-NAME
Baruch   I-NAME
,   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Reed   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
appendectomy   O
as   O
a   O
matter   O
of   O
urgency   O
.   O

Surgery   O
was   O
successfully   O
performed   O
on   O
00/05/2158   B-DATE
without   O
complications   O
.   O

Dutton   B-NAME
,   I-NAME
Denis   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
postoperative   O
infection   O
.   O

Follow   O
-   O
Up   O
:   O
Yazmin   B-NAME
Bruce   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Murray   B-NAME
at   O
University   B-LOCATION
Hospitals   I-LOCATION
Parma   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/16   B-DATE
to   O
assess   O
postoperative   O
recovery   O
.   O

Conclusion   O
:   O
Lana   B-NAME
Woodard   I-NAME
's   O
presentation   O
of   O
appendicitis   O
was   O
timely   O
diagnosed   O
and   O
treated   O
at   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
surgical   O
intervention   O
.   O

Further   O
monitoring   O
of   O
Arias   B-NAME
's   O
chronic   O
conditions   O
,   O
specifically   O
Type   O
II   O
Diabetes   O
Mellitus   O
and   O
hypertension   O
,   O
is   O
recommended   O
as   O
part   O
of   O
ongoing   O
primary   O
care   O
management   O
.   O

This   O
report   O
has   O
been   O
filed   O
and   O
saved   O
to   O
Da'nailed   B-NAME
Lyme   I-NAME
's   O
medical   O
record   O
number   O
10351720   B-ID
on   O
26/29/2013   B-DATE
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
the   O
details   O
of   O
this   O
case   O
,   O
please   O
contact   O
Gilbert   B-NAME
at   O
(   B-CONTACT
680   I-CONTACT
)   I-CONTACT
459   I-CONTACT
2217   I-CONTACT
.   O

Fala   B-NAME
Patient   O
ID   O
:   O
BS   B-ID
:   I-ID
XH:1324   I-ID
Medical   O
Record   O
Number   O
:   O
4888E2862   B-ID
Date   O
of   O
Birth   O
:   O
32/25/92   B-DATE
Age   O
:   O
21   O
Address   O
:   O
Leavittsburg   B-LOCATION
,   O
89612   B-LOCATION
Phone   O
Number   O
:   O
215   B-CONTACT
1463   I-CONTACT
Profession   O
:   O
Network   O
Systems   O
and   O
Data   O
Communications   O
Analysts   O
Primary   O
Care   O
Physician   O
:   O

Jonathan   B-NAME
Sanders   I-NAME
Date   O
of   O
Visit   O
:   O
00/22   B-DATE
Hospital   O
:   O
Select   B-LOCATION
at   I-LOCATION
Belleville   I-LOCATION
Subjective   O
:   O
Willoughby   B-NAME
presented   O
to   O
Wright   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
22th   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
occipital   O
region   O
.   O

Mae   B-NAME
S.   I-NAME
Naylor   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Anika   B-NAME
Goffney   I-NAME
's   O
immediate   O
care   O
plan   O
included   O
administration   O
of   O
intravenous   O
fluids   O
,   O
analgesia   O
with   O
acetaminophen   O
,   O
and   O
antiemetics   O
for   O
nausea   O
.   O

Spears   B-NAME
ordered   O
a   O
non   O
-   O
contrast   O
head   O
CT   O
scan   O
to   O
exclude   O
any   O
intracranial   O
bleeding   O
and   O
a   O
lumbar   O
puncture   O
to   O
rule   O
out   O
meningitis   O
or   O
subarachnoid   O
hemorrhage   O
as   O
per   O
protocol   O
at   O
John   B-LOCATION
J.   I-LOCATION
Pershing   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Salazar   B-NAME
in   O
the   O
neurology   O
outpatient   O
clinic   O
was   O
scheduled   O
for   O
04/08/07   B-DATE
.   O

Aguirre   B-NAME
was   O
advised   O
to   O
avoid   O
triggers   O
such   O
as   O
bright   O
lights   O
and   O
loud   O
noises   O
,   O
maintain   O
adequate   O
hydration   O
,   O
and   O
take   O
prescribed   O
medications   O
as   O
directed   O
.   O

Follow   O
-   O
Up   O
:   O
Dunlap   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Archer   B-NAME
in   O
the   O
neurology   O
department   O
of   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Laredo   I-LOCATION
on   O
9/14/18   B-DATE
.   O

Public   B-LOCATION
Service   I-LOCATION
Alliance   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
and   O
Jaydan   B-NAME
Dodson   I-NAME
have   O
been   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
detailing   O
the   O
occurrence   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
associated   O
symptoms   O
.   O

This   O
information   O
will   O
be   O
useful   O
for   O
Brendon   B-NAME
Patterson   I-NAME
in   O
Mary   B-LOCATION
Imogene   I-LOCATION
Bassett   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
Neurology   O
department   O
to   O
assess   O
the   O
progress   O
and   O
tailor   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Patient   O
Name   O
:   O
Brendy   B-NAME
Medical   O
Record   O
Number   O
:   O
26027305   B-ID
Date   O
of   O
Birth   O
:   O
April   B-DATE
Age   O
:   O
99s   O
Phone   O
Number   O
:   O
75447   B-CONTACT

Whitaker   B-NAME
Admission   O
Date   O
:   O
January   B-DATE
39   I-DATE
Location   O
:   O
13   B-LOCATION
undefined   I-LOCATION
Hospital   O
:   O
Newington   B-LOCATION
Campus   I-LOCATION
(   I-LOCATION
US   I-LOCATION
Veterans   I-LOCATION
Administration   I-LOCATION
)   I-LOCATION
Initial   O
Consult   O
:   O
Nunez   B-NAME
,   O
01/28   B-DATE

Summary   O
of   O
Admission   O
:   O
Jacki   B-NAME
McGraph   I-NAME
was   O
admitted   O
to   O
Lawnwood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
on   O
2365   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
26   I-DATE
following   O
a   O
referral   O
from   O
Finn   B-NAME
Bolton   I-NAME
.   O

Malika   B-NAME
Deley   I-NAME
has   O
a   O
documented   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Past   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
in   O
10/22   B-DATE
.   O

Upon   O
examination   O
,   O
Bryan   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
140/90   O
mmHg   O
,   O
heart   O
rate   O
98   O
bpm   O
,   O
respiratory   O
rate   O
20   O
breaths   O
/   O
min   O
,   O
temperature   O
37.8   O
°   O
C   O
(   O
100   O
°   O
F   O
)   O
,   O
and   O
O2   O
saturation   O
of   O
98   O
%   O
on   O
room   O
air   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Romeo   B-NAME
Barnes   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
with   O
Bolton   B-NAME
in   O
two   O
weeks   O
from   O
the   O
discharge   O
date   O
on   O
2215   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
12   I-DATE
to   O
reevaluate   O
the   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Discharge   O
Information   O
:   O
Luke   B-NAME
Levy   I-NAME
was   O
discharged   O
on   O
20   B-DATE
-   I-DATE
22   I-DATE
with   O
a   O
prescription   O
for   O
oral   O
acetaminophen   O
,   O
instructions   O
for   O
a   O
low   O
-   O
fat   O
diet   O
,   O
and   O
an   O
outpatient   O
follow   O
-   O
up   O
appointment   O
.   O

Should   O
there   O
be   O
any   O
worsening   O
of   O
symptoms   O
,   O
the   O
patient   O
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
at   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summit   I-LOCATION
immediately   O
or   O
contact   O
Meyer   B-NAME
via   O
40651   B-CONTACT
.   O

Emergency   O
Contact   O
:   O
Human   O
Resources   O
Managers   O
,   O
All   O
Other   O
:   O
LX6510   B-NAME
Contact   O
Number   O
:   O
(   B-CONTACT
592   I-CONTACT
)   I-CONTACT
473   I-CONTACT
-   I-CONTACT
1735   I-CONTACT
Address   O
:   O
Palmas   B-LOCATION
,   O
57674   B-LOCATION

The   O
patient   O
,   O
Shyann   B-NAME
Murillo   I-NAME
,   O
a   O
36   O
-   O
year   O
-   O
old   O
Mathematical   O
Science   O
Teachers   O
,   O
Postsecondary   O
residing   O
in   O
Old   B-LOCATION
Harbor   I-LOCATION
,   O
presented   O
to   O
UPMC   B-LOCATION
Altoona   I-LOCATION
on   O
7/7   B-DATE
with   O
a   O
history   O
of   O
progressive   O
,   O
bilateral   O
lower   O
extremity   O
weakness   O
and   O
numbness   O
over   O
the   O
course   O
of   O
the   O
past   O
month   O
.   O

Sophia   B-NAME
Burgess   I-NAME
reports   O
the   O
symptoms   O
initially   O
began   O
as   O
a   O
tingling   O
sensation   O
in   O
the   O
toes   O
but   O
have   O
since   O
progressed   O
to   O
involve   O
the   O
entire   O
lower   O
legs   O
.   O

Bryson   B-NAME
Obrien   I-NAME
also   O
noted   O
difficulty   O
walking   O
upstairs   O
and   O
rising   O
from   O
a   O
seated   O
position   O
,   O
indicating   O
possible   O
muscle   O
weakness   O
.   O

Alfred   B-NAME
Friedman   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
which   O
has   O
been   O
managed   O
through   O
medication   O
prescribed   O
by   O
Yosef   B-NAME
Hatfield   I-NAME
.   O

Kiana   B-NAME
Sutherland   I-NAME
's   O
family   O
history   O
is   O
notable   O
for   O
a   O
parent   O
with   O
multiple   O
sclerosis   O
,   O
which   O
prompted   O
concern   O
for   O
a   O
possible   O
genetic   O
predisposition   O
to   O
neurological   O
conditions   O
.   O

However   O
,   O
Jeni   B-NAME
LaHain   I-NAME
has   O
not   O
undergone   O
genetic   O
testing   O
.   O

Upon   O
physical   O
examination   O
,   O
James   B-NAME
,   I-NAME
William   I-NAME
observed   O
decreased   O
muscle   O
strength   O
in   O
both   O
lower   O
extremities   O
,   O
graded   O
3/5   O
,   O
and   O
diminished   O
deep   O
tendon   O
reflexes   O
.   O

Blood   O
tests   O
were   O
taken   O
,   O
and   O
delarosa   B-NAME
is   O
scheduled   O
for   O
an   O
MRI   O
of   O
the   O
spine   O
to   O
investigate   O
the   O
possibility   O
of   O
spinal   O
lesions   O
or   O
nerve   O
compression   O
.   O

Talon   B-NAME
Allen   I-NAME
's   O
medical   O
record   O
number   O
is   O
51533397   B-ID
.   O

Contact   O
with   O
Caligari   B-NAME
can   O
be   O
made   O
via   O
phone   O
number   O
424   B-CONTACT
8588   I-CONTACT
.   O

Mateo   B-NAME
Cherry   I-NAME
has   O
recommended   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
10/26   B-DATE
to   O
review   O
the   O
MRI   O
results   O
and   O
discuss   O
potential   O
treatment   O
options   O
,   O
which   O
may   O
include   O
physical   O
therapy   O
,   O
medication   O
adjustments   O
,   O
and   O
possible   O
referral   O
to   O
a   O
specialist   O
in   O
neurology   O
at   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Danville   I-LOCATION
.   O

In   O
preparation   O
for   O
the   O
follow   O
-   O
up   O
,   O
Clough   B-NAME
,   I-NAME
Brian   I-NAME
's   O
personal   O
data   O
,   O
including   O
social   O
security   O
number   O
JC:88281:389663   B-ID
,   O
was   O
verified   O
for   O
accuracy   O
in   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
's   O
records   O
.   O

The   O
pharmacy   O
in   O
Burton   B-LOCATION
Latimer   I-LOCATION
,   O
zip   O
code   O
32672   B-LOCATION
,   O
has   O
been   O
contacted   O
to   O
ensure   O
that   O
Ta   B-NAME
Glantz   I-NAME
's   O
medication   O
is   O
ready   O
for   O
pickup   O
post   O
-   O
consultation   O
.   O

The   O
initial   O
consultation   O
was   O
conducted   O
virtually   O
,   O
ID   O
for   O
the   O
session   O
was   O
RQ949   B-NAME
,   O
ensuring   O
compliance   O
with   O
Colten   B-NAME
,   I-NAME
James   I-NAME
's   O
work   O
schedule   O
as   O
a   O
Armored   O
Assault   O
Vehicle   O
Officers   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Erna   B-NAME
Morris   I-NAME
Patient   O
ID   O
:   O
700745   B-ID
Medical   O
Record   O
Number   O
:   O
152   B-ID
38   I-ID
27   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
2307   B-DATE
Age   O
:   O
73   O
Phone   O
Number   O
:   O
111   B-CONTACT
-   I-CONTACT
289   I-CONTACT
7644   I-CONTACT
Address   O
:   O
Arkansas   B-LOCATION
,   O
21140   B-LOCATION
Presenting   O
Concern   O
:   O

Xander   B-NAME
Bradshaw   I-NAME
was   O
referred   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Downtown   I-LOCATION
by   O
Euripides   B-NAME
on   O
Jun   B-DATE
22   I-DATE
,   I-DATE
2281   I-DATE
for   O
evaluation   O
of   O
persistent   O
abdominal   O
pain   O
characterized   O
by   O
intermittent   O
cramping   O
and   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Carmen   B-NAME
Lynch   I-NAME
reports   O
the   O
pain   O
began   O
approximately   O
7   O
days   O
ago   O
and   O
has   O
progressively   O
worsened   O
.   O

Accompanying   O
symptoms   O
include   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
one   O
episode   O
of   O
fever   O
measured   O
at   O
home   O
on   O
3/03/70   B-DATE
.   O

Medical   O
History   O
:   O
Hector   B-NAME
Lomelin   I-NAME
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
Type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Family   O
history   O
includes   O
coronary   O
artery   O
disease   O
in   O
Usha   B-NAME
's   O
father   O
.   O

Shilah   B-NAME
denies   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Review   O
of   O
Systems   O
:   O
Johns   B-NAME
,   I-NAME
Michael   I-NAME
reports   O
no   O
changes   O
in   O
bowel   O
habits   O
,   O
no   O
blood   O
in   O
stool   O
,   O
and   O
denies   O
any   O
history   O
of   O
similar   O
episodes   O
.   O

Upon   O
examination   O
,   O
Frederick   B-NAME
Hoffner   I-NAME
was   O
alert   O
and   O
oriented   O
,   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
22/06/2062   B-DATE
suggested   O
appendicitis   O
without   O
rupture   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Rogelio   B-NAME
Mcintyre   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Anastasia   B-NAME
Gomez   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Cedric   B-NAME
Bullock   I-NAME
was   O
admitted   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
under   O
the   O
care   O
of   O
Noble   B-NAME
for   O
further   O
management   O
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
started   O
,   O
and   O
Dorie   B-NAME
was   O
kept   O
NPO   O
in   O
preparation   O
for   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
Anthony   B-NAME
Odonnell   I-NAME
is   O
scheduled   O
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
appointment   O
with   O
Sudie   B-NAME
Witman   I-NAME
in   O
Legacy   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
outpatient   O
department   O
on   O
0/20   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Castleview   B-LOCATION
Hospital   I-LOCATION
's   O
appointment   O
desk   O
at   O
734   B-CONTACT
-   I-CONTACT
3915   I-CONTACT
.   O

Report   O
prepared   O
by   O
:   O
be244   B-NAME
Date   O
:   O
0/28   B-DATE
Dr   B-LOCATION
Hadwen   I-LOCATION
Trust   I-LOCATION

Patient   O
Name   O
:   O
Uher   B-NAME
Patient   O
ID   O
:   O
XP:5776:806171   B-ID
Date   O
of   O
Birth   O
:   O
2150   B-DATE
Age   O
:   O
40   O
Medical   O
Record   O
Number   O
:   O
53975875   B-ID
Address   O
:   O
Oregon   B-LOCATION
,   O
39379   B-LOCATION
Phone   O
Number   O
:   O
76387   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Yadira   B-NAME
Horne   I-NAME
Admitting   O
Facility   O
:   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Vallejo   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/03   B-DATE
Profession   O
:   O

lvy303   B-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Janee   B-NAME
,   O
presents   O
with   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Leo   B-NAME
Pierce   I-NAME
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
fever   O
of   O
101.5   O
°   O
F   O
(   O
38.6   O
°   O
C   O
)   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Zaniyah   B-NAME
Dunn   I-NAME
,   O
a   O
8   O
week   O
-   O
year   O
-   O
old   O
Health   O
Educators   O
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
began   O
experiencing   O
generalized   O
mild   O
abdominal   O
discomfort   O
early   O
in   O
the   O
morning   O
.   O

The   O
pain   O
intensified   O
,   O
compelling   O
Affleck   B-NAME
,   I-NAME
Ben   I-NAME
to   O
seek   O
medical   O
attention   O
at   O
Bay   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
.   O

Sloan   B-NAME
denies   O
any   O
recent   O
trauma   O
,   O
surgical   O
history   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Alexander   B-NAME
is   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Horticultural   O
Workers   O
residing   O
in   O
Beechwood   B-LOCATION
Trails   I-LOCATION
,   O
with   O
a   O
history   O
of   O
occasional   O
alcohol   O
use   O
but   O
denies   O
tobacco   O
or   O
illicit   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Hale   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
plan   O
for   O
Jesus   B-NAME
Christ   I-NAME
includes   O
immediate   O
surgical   O
consultation   O
for   O
potential   O
appendectomy   O
.   O

For   O
further   O
information   O
or   O
updates   O
on   O
Floyd   B-NAME
's   O
condition   O
,   O
please   O
contact   O
Manchester   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
38342   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
69148696   B-ID
Name   O
:   O
Jewell   B-NAME
-   I-NAME
Wilson   I-NAME
Date   O
of   O
Birth   O
:   O
January   B-DATE
2220   I-DATE
Age   O
:   O
11   O
month   O
Phone   O
Number   O
:   O
197   B-CONTACT
178   I-CONTACT
4030   I-CONTACT
Current   O
Address   O
:   O
Glandorf   B-LOCATION
,   O
52865   B-LOCATION
Occupation   O
:   O
Loan   O
Officers   O
Primary   O
Physician   O
:   O

Milton   B-NAME
Orliff   I-NAME
Hospital   O
:   O
Warren   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Contact   O
:   O
cvf793   B-NAME
,   O
874   B-CONTACT
7208   I-CONTACT
Date   O
of   O
Admission   O
:   O
1933   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
18   I-DATE
Presenting   O
Complaints   O
:   O
Roger   B-NAME
Easterling   I-NAME
was   O
admitted   O
to   O
Eden   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
started   O
approximately   O
35/31/40   B-DATE
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
persistent   O
,   O
exacerbating   O
over   O
the   O
last   O
00/30   B-DATE
.   O

Reagan   B-NAME
,   I-NAME
Ron   I-NAME
reported   O
experiencing   O
slight   O
fevers   O
peaking   O
at   O
6/13   B-DATE
alongside   O
the   O
abdominal   O
symptoms   O
.   O

Savitri   B-NAME
Devi   I-NAME
denied   O
any   O
previous   O
similar   O
episodes   O
.   O

Allyson   B-NAME
Forbes   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
Linaeve   B-NAME
has   O
been   O
on   O
medication   O
for   O
the   O
past   O
8   O
week   O
years   O
.   O

Hedy   B-NAME
Thon   I-NAME
is   O
currently   O
taking   O
Metformin   O
and   O
Lisinopril   O
.   O

Surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
at   O
Solvay   B-LOCATION
in   O
the   O
year   O
8/3/90   B-DATE
.   O

Review   O
of   O
Systems   O
:   O
Upon   O
examination   O
,   O
James   B-NAME
Vasquez   I-NAME
's   O
temperature   O
was   O
slightly   O
elevated   O
at   O
12/22   B-DATE
,   O
blood   O
pressure   O
was   O
within   O
normal   O
limits   O
,   O
and   O
heart   O
rate   O
was   O
slightly   O
elevated   O
.   O

Recommended   O
for   O
surgical   O
evaluation   O
by   O
Alexis   B-NAME
Rivers   I-NAME
for   O
an   O
appendectomy   O
.   O

Admission   O
to   O
Albany   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
and   O
management   O
.   O

3   O
.   O
IV   O
antibiotics   O
to   O
be   O
started   O
immediately   O
as   O
per   O
the   O
anti   O
-   O
infective   O
protocol   O
of   O
Jefferson   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Geriatric   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Winchester   I-LOCATION
.   O

Maleah   B-NAME
Nixon   I-NAME
to   O
evaluate   O
and   O
discuss   O
the   O
need   O
for   O
surgery   O
with   O
Yousef   B-NAME
Pugh   I-NAME
and   O
family   O
promptly   O
.   O

Follow   O
-   O
Up   O
:   O
Post   O
-   O
procedure   O
,   O
Oneida   B-NAME
Mazion   I-NAME
will   O
be   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
any   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Xavier   B-NAME
Macdonald   I-NAME
2203   B-DATE
post   O
-   O
surgery   O
for   O
wound   O
inspection   O
and   O
to   O
monitor   O
recovery   O
progress   O
.   O

Cayden   B-NAME
Colon   I-NAME
is   O
advised   O
to   O
maintain   O
a   O
balanced   O
diet   O
and   O
slowly   O
resume   O
normal   O
activities   O
as   O
tolerated   O
under   O
guidance   O
.   O

Notes   O
/   O
Comments   O
:   O
It   O
’s   O
critical   O
to   O
communicate   O
with   O
Emelia   B-NAME
Love   I-NAME
throughout   O
the   O
treatment   O
process   O
,   O
ensuring   O
understanding   O
and   O
compliance   O
with   O
the   O
treatment   O
plan   O
.   O

Multidisciplinary   O
team   O
involvement   O
including   O
nutrition   O
,   O
physiotherapy   O
,   O
and   O
diabetic   O
counseling   O
will   O
be   O
beneficial   O
for   O
a   O
holistic   O
approach   O
to   O
Abdiel   B-NAME
Reeves   I-NAME
's   O
recovery   O
and   O
overall   O
health   O
management   O
.   O

Document   O
prepared   O
by   O
:   O
lle157   B-NAME
,   O
2374   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
29   I-DATE
Orlando   B-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
Seal   O
End   O
of   O
Report   O
.   O

Patient   O
Name   O
:   O
YUTAKA   B-NAME
PRITCHARD   I-NAME
Patient   O
ID   O
:   O
QD541/5063   B-ID
Medical   O
Record   O
Number   O
:   O
5064564   B-ID
Date   O
of   O
Birth   O
:   O
33/04   B-DATE
Age   O
:   O
17   O
Phone   O
:   O
(   B-CONTACT
898   I-CONTACT
)   I-CONTACT
763   I-CONTACT
-   I-CONTACT
3722   I-CONTACT
Address   O
:   O
California   B-LOCATION
,   O
67574   B-LOCATION
Presenting   O
Physician   O
:   O

Mariana   B-NAME
Austin   I-NAME
Hospital   O
:   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
Date   O
of   O
Visit   O
:   O
Tuesday   B-DATE
Chief   O
Complaint   O
:   O
Bancroft   B-NAME
,   I-NAME
Anne   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Belton   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
26/31   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
that   O
had   O
begun   O
suddenly   O
approximately   O
6   O
hours   O
before   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Briana   B-NAME
Roy   I-NAME
,   O
a   O
Explosives   O
Workers   O
,   O
Ordnance   O
Handling   O
Experts   O
,   O
and   O
Blasters   O
,   O
has   O
been   O
previously   O
healthy   O
with   O
no   O
significant   O
medical   O
history   O
.   O

Rikki   B-NAME
Jarman   I-NAME
denies   O
recent   O
food   O
intake   O
that   O
could   O
be   O
implicated   O
in   O
the   O
symptoms   O
.   O

Vaccinations   O
are   O
up   O
to   O
date   O
as   O
per   O
the   O
guideline   O
from   O
Brewers   B-LOCATION
Association   I-LOCATION
(   I-LOCATION
BA   I-LOCATION
)   I-LOCATION
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Taliyah   B-NAME
Guerra   I-NAME
,   O
which   O
indicated   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Management   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Pamelia   B-NAME
Marchizano   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
an   O
appendectomy   O
was   O
scheduled   O
for   O
the   O
morning   O
of   O
2041   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
18   I-DATE
.   O

Jeffrey   B-NAME
Geiger   I-NAME
was   O
admitted   O
to   O
Canton   B-LOCATION
-   I-LOCATION
Potsdam   I-LOCATION
Hospital   I-LOCATION
for   O
observation   O
overnight   O
with   O
plans   O
for   O
surgical   O
intervention   O
.   O

Follow   O
-   O
Up   O
:   O
Eneida   B-NAME
will   O
be   O
seen   O
by   O
Havok   B-NAME
,   I-NAME
Davey   I-NAME
postoperatively   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
on   O
March   B-DATE
for   O
wound   O
inspection   O
and   O
management   O
of   O
further   O
care   O
.   O

Patient   O
Name   O
:   O
Joshua   B-NAME
Morgan   I-NAME
Age   O
:   O
93   O
Gender   O
:   O
Female   O
Date   O
of   O
Birth   O
:   O
23/8   B-DATE
Medical   O
Record   O
Number   O
:   O
01457050   B-ID
Address   O
:   O
Rancho   B-LOCATION
Mesa   I-LOCATION
Verde   I-LOCATION
,   O
76011   B-LOCATION
Phone   O
Number   O
:   O
768   B-CONTACT
5126   I-CONTACT
Employment   O
:   O
Statistical   O
Assistants   O
at   O
International   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Electrical   I-LOCATION
Workers   I-LOCATION
Attending   O
Physician   O
:   O

Abourezk   B-NAME
,   I-NAME
James   I-NAME
Referred   O
by   O
:   O
Maxwell   B-NAME
Date   O
of   O
Visit   O
:   O
23/01/2362   B-DATE
Hospital   O
:   O
UPMC   B-LOCATION
ST   I-LOCATION
MARGARET   I-LOCATION
Chief   O
Complaint   O
:   O
James   B-NAME
Nolen   I-NAME
presents   O
with   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
paroxysmal   O
nocturnal   O
dyspnea   O
over   O
the   O
past   O
month   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lourd   B-NAME
Muggley   I-NAME
's   O
symptoms   O
have   O
notably   O
increased   O
in   O
severity   O
within   O
the   O
last   O
two   O
weeks   O
,   O
impairing   O
her   O
usual   O
activities   O
requiring   O
modest   O
exertion   O
.   O

Furthermore   O
,   O
Brett   B-NAME
Robinson   I-NAME
mentions   O
occasional   O
lower   O
extremity   O
edema   O
,   O
more   O
prominent   O
on   O
the   O
right   O
side   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
,   O
managed   O
with   O
medication   O
-   O
Type   O
2   O
Diabetes   O
Mellitus   O
-   O
No   O
known   O
allergies   O
-   O
Surgical   O
history   O
includes   O
cholecystectomy   O
in   O
10/18   B-DATE
Medications   O
:   O
1   O
.   O

Hydrochlorothiazide   O
25   O
mg   O
daily   O
Social   O
History   O
:   O
Elisabeth   B-NAME
Bush   I-NAME
reports   O
occasional   O
alcohol   O
use   O
but   O
denies   O
smoking   O
tobacco   O
or   O
using   O
illicit   O
substances   O
.   O

States   O
she   O
works   O
as   O
a   O
Mathematicians   O
at   O
Irish   B-LOCATION
Municipal   I-LOCATION
,   I-LOCATION
Public   I-LOCATION
and   I-LOCATION
Civil   I-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
,   O
with   O
no   O
recent   O
travel   O
outside   O
of   O
Edmond   B-LOCATION
,   I-LOCATION
OK   I-LOCATION
73012   I-LOCATION
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Lenore   B-NAME
Iman   I-NAME
appears   O
in   O
mild   O
distress   O
due   O
to   O
breathing   O
difficulty   O
.   O

Educate   O
Jacoby   B-NAME
Armstrong   I-NAME
regarding   O
salt   O
and   O
fluid   O
restriction   O
.   O

Lana   B-NAME
Shippy   I-NAME
was   O
appreciative   O
of   O
the   O
explanations   O
and   O
expressed   O
understanding   O
of   O
the   O
next   O
steps   O
.   O

The   O
patient   O
,   O
Nelson   B-NAME
Sims   I-NAME
,   O
a   O
Morticians   O
,   O
Undertakers   O
,   O
and   O
Funeral   O
Directors   O
from   O
South   B-LOCATION
Gate   I-LOCATION
Ridge   I-LOCATION
,   O
presented   O
to   O
Smith   B-NAME
,   I-NAME
Joseph   I-NAME
at   O
Mercy   B-LOCATION
Medical   I-LOCATION
on   O
2/32   B-DATE
with   O
symptoms   O
that   O
had   O
been   O
persisting   O
for   O
approximately   O
2   O
weeks   O
.   O

Lloyd   B-NAME
Steam   I-NAME
also   O
reported   O
experiencing   O
significant   O
fatigue   O
,   O
making   O
it   O
difficult   O
to   O
perform   O
daily   O
tasks   O
,   O
which   O
is   O
unusual   O
for   O
their   O
generally   O
active   O
lifestyle   O
.   O

Upon   O
examination   O
,   O
Jessup   B-NAME
,   O
who   O
is   O
78   O
years   O
old   O
,   O
showed   O
additional   O
symptoms   O
of   O
dyspnea   O
on   O
exertion   O
and   O
a   O
noticeable   O
wheeze   O
upon   O
auscultation   O
.   O

The   O
51773518   B-ID
belonging   O
to   O
Alvarez   B-NAME
was   O
updated   O
to   O
reflect   O
these   O
orders   O
.   O

Following   O
the   O
initial   O
assessment   O
,   O
Matias   B-NAME
Goodwin   I-NAME
admitted   O
Dalia   B-NAME
Lutz   I-NAME
to   O
Cherokee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
observation   O
and   O
treatment   O
.   O

Throughout   O
their   O
stay   O
,   O
Tyson   B-NAME
's   O
condition   O
was   O
closely   O
monitored   O
,   O
with   O
regular   O
updates   O
being   O
documented   O
in   O
their   O
medical   O
record   O
(   O
462   B-ID
-   I-ID
32   I-ID
-   I-ID
43   I-ID
)   O
.   O

Contact   O
information   O
for   O
immediate   O
family   O
members   O
was   O
collected   O
,   O
including   O
a   O
(   B-CONTACT
674   I-CONTACT
)   I-CONTACT
965   I-CONTACT
4288   I-CONTACT
number   O
for   O
Ayers   B-NAME
's   O
next   O
of   O
kin   O
.   O

Due   O
to   O
the   O
hospital   O
’s   O
strict   O
no   O
-   O
visitor   O
policy   O
under   O
current   O
health   O
guidelines   O
,   O
all   O
communication   O
regarding   O
Victor   B-NAME
Cannon   I-NAME
's   O
condition   O
and   O
progress   O
was   O
conducted   O
over   O
the   O
phone   O
.   O

Privacy   O
considerations   O
were   O
strictly   O
observed   O
,   O
with   O
Monique   B-NAME
Benson   I-NAME
's   O
identifiable   O
information   O
,   O
including   O
64523   B-LOCATION
code   O
,   O
AD892/9943   B-ID
,   O
and   O
contact   O
information   O
,   O
being   O
securely   O
stored   O
and   O
accessed   O
only   O
by   O
authorized   O
personnel   O
.   O

The   O
healthcare   O
team   O
,   O
led   O
by   O
Quintin   B-NAME
Rangel   I-NAME
,   O
maintained   O
a   O
clear   O
and   O
continuous   O
communication   O
channel   O
with   O
Roderick   B-NAME
Rodriguez   I-NAME
,   O
providing   O
updates   O
on   O
test   O
results   O
and   O
treatment   O
adjustments   O
.   O

By   O
15/22   B-DATE
,   O
Nutter   B-NAME
showed   O
marked   O
improvement   O
,   O
with   O
decreased   O
cough   O
frequency   O
,   O
no   O
fevers   O
for   O
48   O
hours   O
,   O
and   O
improved   O
oxygen   O
saturation   O
on   O
room   O
air   O
.   O

Discussion   O
for   O
discharge   O
planning   O
was   O
initiated   O
,   O
focusing   O
on   O
home   O
-   O
based   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
,   O
scheduled   O
through   O
the   O
patient   O
portal   O
(   O
ZS8910   B-NAME
)   O
.   O

Instructions   O
for   O
symptom   O
management   O
,   O
potential   O
warning   O
signs   O
,   O
and   O
preventive   O
measures   O
were   O
thoroughly   O
explained   O
to   O
Lambert   B-NAME
.   O

The   O
case   O
of   O
Townsend   B-NAME
exemplifies   O
the   O
intricate   O
yet   O
systematic   O
approach   O
to   O
managing   O
severe   O
respiratory   O
infections   O
,   O
highlighting   O
the   O
importance   O
of   O
prompt   O
clinical   O
assessment   O
,   O
treatment   O
,   O
and   O
continuous   O
monitoring   O
,   O
within   O
the   O
compliance   O
framework   O
of   O
privacy   O
and   O
information   O
security   O
protocols   O
.   O

Patient   O
Name   O
:   O
Crosby   B-NAME
Patient   O
ID   O
:   O
XQ   B-ID
:   I-ID
DH:2821   I-ID
Date   O
of   O
Birth   O
:   O
00/10   B-DATE
Age   O
:   O
47   O
Medical   O
Record   O
Number   O
:   O
937   B-ID
-   I-ID
36   I-ID
-   I-ID
44   I-ID
-   I-ID
9   I-ID
Address   O
:   O
Spring   B-LOCATION
Ridge   I-LOCATION
,   O
78085   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
891   I-CONTACT
)   I-CONTACT
156   I-CONTACT
-   I-CONTACT
8166   I-CONTACT
Treating   O
Doctor   O
:   O
Cole   B-NAME
,   I-NAME
Nat   I-NAME
"   I-NAME
King   I-NAME
"   I-NAME
Hospital   O
Name   O
:   O

Alice   B-LOCATION
Hyde   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
2075   B-DATE
-   I-DATE
15   I-DATE
-   I-DATE
34   I-DATE
Discharge   O
Date   O
:   O
2089   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
24   I-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Malachi   B-NAME
Morrison   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Grinnell   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
6/25/2022   B-DATE
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Tapia   B-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
worsening   O
with   O
movement   O
.   O

Medical   O
History   O
:   O
Stewart   B-NAME
,   I-NAME
Jon   I-NAME
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

padgett   B-NAME
works   O
as   O
a   O
Child   O
psychotherapist   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Stephane   B-NAME
's   O
temperature   O
was   O
38.3   O
°   O
C   O
,   O
heart   O
rate   O
was   O
102   O
beats   O
per   O
minute   O

Diagnostic   O
Testing   O
:   O
Laboratory   O
results   O
showed   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
14,000   O
/   O
uL.   O
Kenneth   B-NAME
X.   I-NAME
Sylvester   I-NAME
's   O
hemoglobin   O
and   O
hematocrit   O
levels   O
were   O
within   O
normal   O
limits   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
IV   O
contrast   O
performed   O
on   O
12/12/72   B-DATE
demonstrated   O
an   O
inflamed   O
appendix   O
with   O
evidence   O
of   O
a   O
small   O
peri   O
-   O
appendiceal   O
abscess   O
.   O

Wang   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Sherman   B-NAME
was   O
admitted   O
to   O
Southern   B-LOCATION
Virginia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Jakob   B-NAME
Burke   I-NAME
for   O
initial   O
IV   O
antibiotic   O
therapy   O
followed   O
by   O
laparoscopic   O
appendectomy   O
on   O
35/05   B-DATE
.   O

Brackish   B-NAME
Okun   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
2   O
weeks   O
for   O
wound   O
check   O
and   O
again   O
in   O
4   O
weeks   O
to   O
ensure   O
complete   O
recovery   O
.   O

Yu   B-NAME
was   O
educated   O
about   O
signs   O
of   O
infection   O
or   O
complications   O
to   O
watch   O
for   O
,   O
including   O
fevers   O
,   O
increased   O
pain   O
,   O
or   O
incision   O
site   O
redness   O
and   O
drainage   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Becker   B-NAME
was   O
given   O
the   O
contact   O
number   O
33816   B-CONTACT
for   O
the   O
surgical   O
clinic   O
.   O

Summary   O
:   O
Cowper   B-NAME
,   I-NAME
William   I-NAME
,   O
a   O
95   O
-   O
year   O
-   O
old   O
Kindergarten   O
Teachers   O
,   O
Except   O
Special   O
Education   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
and   O
underwent   O
successful   O
laparoscopic   O
appendectomy   O
at   O
Cedar   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
up   O
care   O
is   O
scheduled   O
,   O
and   O
Dallas   B-NAME
Whitaker   I-NAME
has   O
been   O
provided   O
with   O
post   O
-   O
operative   O
care   O
instructions   O
and   O
emergency   O
contact   O
information   O
.   O

Patient   O
Name   O
:   O
Chesmu   B-NAME
Date   O
of   O
Birth   O
:   O
5/12   B-DATE
Age   O
:   O
59   O
Patient   O
ID   O
:   O
VO   B-ID
:   I-ID
LC:5927   I-ID
Medical   O
Record   O
Number   O
:   O
0055   B-ID
:   I-ID
Q83225   I-ID
Address   O
:   O
Rice   B-LOCATION
Lake   I-LOCATION
,   O
10122   B-LOCATION
Phone   O
Number   O
:   O
32905   B-CONTACT
Employer   O
:   O

City   B-LOCATION
of   I-LOCATION
New   I-LOCATION
Smyrna   I-LOCATION
Beach   I-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
Occupation   O
:   O

Cruz   B-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Missouri   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Nathan   B-NAME
Maldonado   I-NAME
,   O
reports   O
a   O
continuous   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
that   O
has   O
persisted   O
for   O
approximately   O
32/17   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Greene   B-NAME
,   O
a   O
88   O
-   O
year   O
-   O
old   O
Information   O
and   O
Record   O
Clerks   O
,   O
All   O
Other   O
from   O
Star   B-LOCATION
Harbor   I-LOCATION
,   O
first   O
noticed   O
the   O
headaches   O
around   O
12/06   B-DATE
.   O

Recently   O
,   O
Gray   B-NAME
also   O
noticed   O
the   O
onset   O
of   O
photophobia   O
and   O
intermittent   O
nausea   O
,   O
though   O
without   O
vomiting   O
.   O

Waller   B-NAME
denies   O
any   O
history   O
of   O
similar   O
symptoms   O
,   O
recent   O
trauma   O
,   O
or   O
known   O
exposures   O
.   O

Clayton   B-NAME
has   O
a   O
history   O
of   O
well   O
-   O
controlled   O
hypertension   O
and   O
underwent   O
an   O
appendectomy   O
in   O
2   B-DATE
-   I-DATE
37   I-DATE
.   O

Review   O
of   O
Systems   O
:   O
Besides   O
the   O
chief   O
complaint   O
,   O
Ulysses   B-NAME
Jurado   I-NAME
denies   O
fever   O
,   O
vision   O
changes   O
,   O
stiff   O
neck   O
,   O
rash   O
,   O
weight   O
loss   O
,   O
or   O
other   O
systemic   O
symptoms   O
.   O

Physical   O
Exam   O
:   O
-   O
General   O
:   O
Jovani   B-NAME
Webster   I-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
differential   O
diagnosis   O
for   O
Pontius   B-NAME
's   O
headache   O
includes   O
migraine   O
without   O
aura   O
,   O
tension   O
headache   O
,   O
and   O
cluster   O
headache   O
.   O

Follow   O
-   O
up   O
in   O
2121   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
or   O
sooner   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

Signature   O
:   O
Benjamin   B-NAME
22   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
12   I-DATE
Jack   B-LOCATION
Hughston   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
WILKES   B-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
2054774   I-ID
Date   O
of   O
Birth   O
:   O
2/32/2222   B-DATE
Age   O
:   O
57   O
Address   O
:   O
Stamford   B-LOCATION
,   O
56446   B-LOCATION
Phone   O
Number   O
:   O
556   B-CONTACT
-   I-CONTACT
488   I-CONTACT
7145   I-CONTACT
Employment   O
:   O
Speech   O
-   O
Language   O
Pathologists   O
at   O
Robert   B-LOCATION
F.   I-LOCATION
Kennedy   I-LOCATION
Center   I-LOCATION
for   I-LOCATION
Justice   I-LOCATION
and   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Medical   O
Record   O
Number   O
:   O
65100579   B-ID
Attending   O
Physician   O
:   O

Matthews   B-NAME
Admission   O
Date   O
:   O
2339   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
01   I-DATE
Location   O
of   O
Admission   O
:   O
Sanford   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Fargo   I-LOCATION
,   O
Hickman   B-LOCATION
Chief   O
Complaint   O
:   O

Wolfe   B-NAME
presents   O
with   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
began   O
approximately   O
01/10/2108   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ralph   B-NAME
Delgado   I-NAME
's   O
symptoms   O
began   O
suddenly   O
on   O
the   O
evening   O
of   O
03/23/25   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Jaidyn   B-NAME
Goodwin   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
in   O
29/22/03   B-DATE
.   O

There   O
is   O
also   O
a   O
history   O
of   O
hypertension   O
for   O
which   O
Vanburen   B-NAME
is   O
currently   O
taking   O
medication   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
primary   O
complaint   O
,   O
Charlize   B-NAME
Friedman   I-NAME
denies   O
any   O
recent   O
changes   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
episodes   O
of   O
dizziness   O
and   O
fainting   O
.   O

Examination   O
:   O
Vital   O
signs   O
upon   O
admission   O
to   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Richmond   I-LOCATION
noted   O
as   O
follows   O
:   O
temperature   O
of   O
100.4   O
F   O
,   O
blood   O
pressure   O

Surgical   O
evaluation   O
by   O
Abraham   B-NAME
Ramsey   I-NAME
for   O
suspected   O
acute   O
appendicitis   O
.   O

NPO   O
(   O
Nil   O
Per   O
Os   O
)   O
status   O
for   O
Umberto   B-NAME
Gibbons   I-NAME
in   O
preparation   O
for   O
possible   O
surgery   O
.   O

6   O
.   O
Inform   O
Calderon   B-NAME
and   O
Mark   B-NAME
Taylor   I-NAME
's   O
family   O
regarding   O
findings   O
and   O
plan   O
of   O
care   O
,   O
observing   O
privacy   O
and   O
confidentiality   O
protocols   O
.   O

All   O
further   O
updates   O
and   O
significant   O
findings   O
will   O
be   O
documented   O
in   O
Futurity   B-NAME
's   O
medical   O
record   O
(   O
246   B-ID
45   I-ID
75   I-ID
)   O
and   O
communicated   O
to   O
both   O
Garth   B-NAME
Limardi   I-NAME
and   O
the   O
primary   O
care   O
physician   O
as   O
necessary   O
.   O

Continuous   O
monitoring   O
for   O
any   O
changes   O
in   O
clinical   O
status   O
will   O
be   O
conducted   O
throughout   O
the   O
patient   O
's   O
stay   O
at   O
Nacogdoches   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
West   B-LOCATION
Farmington   I-LOCATION
.   O

Follow   O
-   O
up   O
appointments   O
and   O
any   O
post   O
-   O
operative   O
care   O
instructions   O
will   O
be   O
arranged   O
prior   O
to   O
discharge   O
,   O
ensuring   O
Rivers   B-NAME
,   I-NAME
Joan   I-NAME
receives   O
comprehensive   O
care   O
and   O
instructions   O
for   O
recovery   O
.   O

Contact   O
Information   O
for   O
Queries   O
:   O
Medical   O
team   O
Contact   O
:   O
194   B-CONTACT
955   I-CONTACT
-   I-CONTACT
6868   I-CONTACT
Jaidyn   B-NAME
Goodwin   I-NAME
Identification   O
Number   O
for   O
inquiries   O
:   O
1299424   B-ID
Note   O
:   O
All   O
personal   O
information   O
as   O
per   O
HIPAA   O
guidelines   O
has   O
been   O
protected   O
using   O
PHI   O
labels   O
.   O

Patient   O
Name   O
:   O
Reynaldo   B-NAME
Forbes   I-NAME
Patient   O
ID   O
:   O
1960239   B-ID
Date   O
of   O
Birth   O
:   O
2316   B-DATE
Age   O
:   O
36   O
Phone   O
Number   O
:   O
28473   B-CONTACT
Medical   O
Record   O
Number   O
:   O
72666172   B-ID
Attending   O
Physician   O
:   O

Newton   B-NAME
Treating   O
Hospital   O
:   O

TriStar   B-LOCATION
Summit   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Cape   B-LOCATION
St.   I-LOCATION
Claire   I-LOCATION
Zip   O
Code   O
:   O
22651   B-LOCATION
Profession   O
:   O
Dental   O
Assistants   O
Username   O
:   O
YK918   B-NAME
July   B-DATE
/2023   O
Chief   O
Complaint   O
:   O
Archer   B-NAME
presented   O
in   O
the   O
emergency   O
department   O
of   O
Poinciana   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Muncy   B-LOCATION
,   O
with   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Katelyn   B-NAME
Booker   I-NAME
,   O
a   O
Financial   O
Managers   O
by   O
profession   O
,   O
reported   O
the   O
sudden   O
onset   O
of   O
abdominal   O
pain   O
around   O
10   O
p.m.   O
on   O
the   O
night   O
of   O
7   B-DATE
-   I-DATE
3   I-DATE
.   O

Lawson   B-NAME
Flynn   I-NAME
denied   O
any   O
recent   O
history   O
of   O
similar   O
episodes   O
,   O
trauma   O
,   O
or   O
consumptions   O
that   O
could   O
potentially   O
lead   O
to   O
gastrointestinal   O
distress   O
.   O

Past   O
Medical   O
History   O
:   O
Bryson   B-NAME
,   I-NAME
Bill   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
,   O
managed   O
through   O
oral   O
hypoglycemics   O
and   O
diet   O
modification   O
.   O

There   O
was   O
no   O
report   O
of   O
changes   O
in   O
bowel   O
habits   O
,   O
although   O
the   O
patient   O
did   O
experience   O
one   O
episode   O
of   O
diarrhea   O
the   O
night   O
before   O
06/30   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
King   B-NAME
,   I-NAME
Carole   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Dayanara   B-NAME
Walls   I-NAME
,   O
was   O
consulted   O
and   O
recommended   O
an   O
elective   O
laparoscopic   O
appendectomy   O
.   O

Kendra   B-NAME
Proctor   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
expected   O
outcomes   O
.   O

Brittaney   B-NAME
Scogin   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
22/22   B-DATE
.   O
Follow   O
-   O
Up   O
:   O
Shayla   B-NAME
Shaffer   I-NAME
will   O
be   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
,   O
bowel   O
movement   O
,   O
and   O
normal   O
diet   O
tolerance   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2002   B-DATE
with   O
Fuller   B-NAME
at   O
Roxborough   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
ensure   O
proper   O
recovery   O
and   O
wound   O
healing   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Maddison   B-NAME
Ewing   I-NAME
or   O
family   O
members   O
can   O
contact   O
the   O
surgical   O
unit   O
at   O
473   B-CONTACT
-   I-CONTACT
748   I-CONTACT
3114   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
Sutter   B-LOCATION
Auburn   I-LOCATION
Faith   I-LOCATION
Hospital   I-LOCATION
,   O
Sonoita   B-LOCATION
,   O
42451   B-LOCATION
.   O

Note   O
:   O
Any   O
updates   O
on   O
Wilson   B-NAME
Mcdaniel   I-NAME
's   O
condition   O
will   O
be   O
documented   O
in   O
the   O
medical   O
record   O
5862603   B-ID
and   O
communicated   O
accordingly   O
.   O

Patient   O
Report   O
for   O
Rhodes   B-NAME
Date   O
of   O
Admission   O
:   O
3/03/93   B-DATE
/2023   O
Date   O
of   O
Report   O
:   O
00/26   B-DATE
/2023   O
Patient   O
ID   O
:   O
24181881   B-ID
Medical   O
Record   O
Number   O
:   O
3010769   B-ID
Attending   O
Physician   O
:   O

Sosa   B-NAME
Hospital   O
:   O
Providence   B-LOCATION
Saint   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Burbank   I-LOCATION
Demographics   O
:   O
Age   O
:   O
20   O
Occupation   O
:   O
Transportation   O
Planners   O
Location   O
:   O
Crosbyton   B-LOCATION
,   O
87830   B-LOCATION
Phone   O
:   O
679   B-CONTACT
-   I-CONTACT
1185   I-CONTACT
Username   O
:   O
xl33   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
Trevin   B-NAME
Wyatt   I-NAME
,   O
a   O
4   O
-   O
year   O
-   O
old   O
Systems   O
analyst   O
from   O
Hope   B-LOCATION
,   O
presented   O
to   O
Central   B-LOCATION
Suffolk   I-LOCATION
Hospital   I-LOCATION
on   O
32/7   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
over   O
the   O
right   O
temporal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
nausea   O
.   O

The   O
headaches   O
began   O
approximately   O
31/10/07   B-DATE
ago   O
and   O
have   O
progressively   O
worsened   O
in   O
intensity   O
.   O

Ricardo   B-NAME
Humphrey   I-NAME
also   O
reported   O
experiencing   O
blurred   O
vision   O
and   O
transient   O
aphasia   O
.   O

Affrica   B-NAME
's   O
family   O
history   O
is   O
non   O
-   O
contributory   O
.   O

Review   O
of   O
Systems   O
:   O
The   O
neurological   O
examination   O
revealed   O
that   O
Tatiana   B-NAME
Escobar   I-NAME
had   O
mild   O
right   O
-   O
sided   O
hemiparesis   O
and   O
difficulty   O
concentrating   O
.   O

A   O
CT   O
scan   O
of   O
the   O
head   O
performed   O
on   O
21/12   B-DATE
showed   O
no   O
signs   O
of   O
acute   O
intracranial   O
hemorrhage   O
.   O

An   O
MRI   O
conducted   O
on   O
08/04/1733   B-DATE
indicated   O
the   O
presence   O
of   O
a   O
focal   O
lesion   O
in   O
the   O
left   O
cerebral   O
hemisphere   O
,   O
suggestive   O
of   O
a   O
possible   O
glioma   O
.   O

Brady   B-NAME
Obrien   I-NAME
was   O
referred   O
to   O
Burch   B-NAME
,   O
a   O
neurologist   O
at   O
Shenandoah   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
for   O
further   O
evaluation   O
,   O
including   O
a   O
possible   O
biopsy   O
to   O
determine   O
the   O
malignancy   O
's   O
grade   O
.   O

A   O
multidisciplinary   O
team   O
involving   O
neurology   O
,   O
neurosurgery   O
,   O
and   O
oncology   O
departments   O
from   O
Liberty   B-LOCATION
Utilities   I-LOCATION
(   I-LOCATION
including   I-LOCATION
Granite   I-LOCATION
State   I-LOCATION
Electric   I-LOCATION
)   I-LOCATION
has   O
been   O
formed   O
to   O
plan   O
Hays   B-NAME
's   O
treatment   O
pathway   O
,   O
focusing   O
on   O
surgical   O
options   O
and   O
potential   O
chemotherapy   O
or   O
radiotherapy   O
protocols   O
.   O

Conclusion   O
:   O
Buk   B-NAME
's   O
symptoms   O
and   O
diagnostic   O
imaging   O
suggest   O
a   O
significant   O
neurological   O
pathology   O
likely   O
consistent   O
with   O
a   O
glioma   O
.   O

A   O
comprehensive   O
treatment   O
plan   O
involving   O
multiple   O
specialists   O
has   O
been   O
initiated   O
to   O
address   O
Penn   B-NAME
,   I-NAME
William   I-NAME
's   O
complex   O
care   O
needs   O
.   O

Regular   O
follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
to   O
monitor   O
Lorraine   B-NAME
Hiller   I-NAME
's   O
response   O
to   O
the   O
treatment   O
and   O
adjust   O
the   O
plan   O
as   O
necessary   O
.   O

Prepared   O
by   O
:   O
Herring   B-NAME
January   B-DATE
12   I-DATE

Patient   O
Report   O
:   O
Summary   O
:   O
Kailyn   B-NAME
Bartlett   I-NAME
presented   O
at   O
Trident   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/22   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

Rogelio   B-NAME
Harner   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
has   O
not   O
experienced   O
symptoms   O
to   O
this   O
severity   O
before   O
.   O

22/32/81   B-DATE
Phone   O
Number   O
:   O
(   B-CONTACT
611   I-CONTACT
)   I-CONTACT
365   I-CONTACT
-   I-CONTACT
8934   I-CONTACT
Address   O
:   O
Bradley   B-LOCATION
Beach   I-LOCATION
,   O
26818   B-LOCATION
Occupation   O
:   O
Paste   O
-   O
Up   O
Workers   O
Medical   O
Record   O
Number   O
:   O
2133717   B-ID
ID   O
Number   O
:   O
920852668   B-ID
Medical   O
History   O
:   O
Reported   O
by   O
Duke   B-NAME
,   O
with   O
a   O
confirmed   O
diagnosis   O
of   O
GERD   O
from   O
02/02   B-DATE
.   O

Clinical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Emilie   B-NAME
Pierce   I-NAME
demonstrated   O
tenderness   O
in   O
the   O
epigastric   O
region   O
without   O
rebound   O
tenderness   O
.   O

Laboratory   O
and   O
Imaging   O
:   O
Blood   O
tests   O
and   O
an   O
abdominal   O
ultrasound   O
were   O
ordered   O
by   O
Hopkins   B-NAME
to   O
investigate   O
the   O
cause   O
of   O
symptoms   O
further   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Chaffey   B-NAME
was   O
administered   O
intravenous   O
fluids   O
and   O
antiemetics   O
for   O
symptom   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Jordan   B-NAME
in   O
two   O
weeks   O
to   O
reassess   O
symptom   O
management   O
and   O
evaluate   O
the   O
need   O
for   O
further   O
diagnostic   O
testing   O
.   O

Tamia   B-NAME
Ochoa   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsened   O
or   O
new   O
symptoms   O
developed   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
questions   O
,   O
Kenyetta   B-NAME
can   O
contact   O
Ascension   B-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Novi   I-LOCATION
Campus   I-LOCATION
at   O
70872   B-CONTACT
.   O

Patient   O
Name   O
:   O
Jay   B-NAME
,   I-NAME
Glenn   I-NAME
,   I-NAME
Miner   I-NAME
Patient   O
ID   O
:   O
63743   B-ID
Date   O
of   O
Birth   O
:   O
2/2   B-DATE
Age   O
:   O
10   O
Phone   O
Number   O
:   O
182   B-CONTACT
1406   I-CONTACT
Address   O
:   O
Boyne   B-LOCATION
City   I-LOCATION
,   O
72431   B-LOCATION
Employment   O
:   O
Chiropractor   O
at   O
Magnolia   B-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Ismael   B-NAME
Marshall   I-NAME
Medical   O
Record   O
Number   O
:   O
1593997   B-ID
Date   O
of   O
Visit   O
:   O
31/21   B-DATE
Hospital   O
:   O

Banner   B-LOCATION
Fort   I-LOCATION
Collins   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
of   O
Visit   O
:   O
Lutz   B-NAME
,   O
a   O
2   O
month   O
-   O
year   O
-   O
old   O
Poets   O
and   O
Lyricists   O
employed   O
at   O
International   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Electrical   I-LOCATION
Workers   I-LOCATION
,   O
presented   O
to   O
UPMC   B-LOCATION
East   I-LOCATION
on   O
6/22/05   B-DATE
with   O
complaints   O
of   O
persistent   O
dyspnea   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
intermittent   O
chest   O
pains   O
that   O
have   O
been   O
present   O
for   O
approximately   O
two   O
weeks   O
.   O

These   O
symptoms   O
have   O
been   O
accompanied   O
by   O
episodes   O
of   O
tachycardia   O
,   O
especially   O
noticeable   O
during   O
minimal   O
physical   O
exertion   O
,   O
for   O
instance   O
,   O
walking   O
short   O
distances   O
within   O
Nile   B-LOCATION
.   O

Selena   B-NAME
Warner   I-NAME
denies   O
any   O
recent   O
travels   O
,   O
exposure   O
to   O
sick   O
contacts   O
,   O
or   O
history   O
of   O
similar   O
illnesses   O
in   O
their   O
family   O
.   O

However   O
,   O
Alan   B-NAME
Xavier   I-NAME
mentioned   O
a   O
stressful   O
workload   O
at   O
City   B-LOCATION
Bank   I-LOCATION
over   O
the   O
past   O
few   O
months   O
.   O

The   O
decision   O
was   O
made   O
to   O
admit   O
Paulson   B-NAME
for   O
further   O
evaluation   O
and   O
management   O
,   O
including   O
a   O
more   O
detailed   O
cardiac   O
assessment   O
with   O
an   O
echocardiogram   O
and   O
a   O
CT   O
pulmonary   O
angiogram   O
to   O
rule   O
out   O
or   O
confirm   O
pulmonary   O
embolism   O
.   O

Grace   B-NAME
Devlin   I-NAME
requested   O
these   O
additional   O
diagnostics   O
,   O
and   O
Aponte   B-NAME
was   O
moved   O
to   O
United   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
's   O
cardiology   O
unit   O
for   O
ongoing   O
monitoring   O
.   O

Given   O
the   O
above   O
findings   O
and   O
ongoing   O
assessments   O
,   O
Marshall   B-NAME
and   O
Humphrey   B-NAME
discussed   O
the   O
importance   O
of   O
potential   O
lifestyle   O
adjustments   O
given   O
the   O
stressful   O
nature   O
of   O
Kaiden   B-NAME
Stephenson   I-NAME
's   O
occupation   O
.   O

Counseling   O
on   O
stress   O
management   O
techniques   O
and   O
considering   O
a   O
temporary   O
reduction   O
of   O
hours   O
at   O
International   B-LOCATION
Longshoremen   I-LOCATION
's   I-LOCATION
Association   I-LOCATION
was   O
also   O
recommended   O
.   O

John   B-NAME
Sundstrom   I-NAME
's   O
contact   O
number   O
,   O
47338   B-CONTACT
,   O
and   O
their   O
preference   O
for   O
phone   O
contact   O
outside   O
office   O
hours   O
were   O
noted   O
in   O
the   O
file   O
for   O
follow   O
-   O
up   O
appointments   O
.   O

Further   O
appointments   O
were   O
scheduled   O
for   O
22/29   B-DATE
to   O
review   O
the   O
results   O
from   O
the   O
advanced   O
diagnostic   O
tests   O
and   O
to   O
discuss   O
the   O
possibility   O
of   O
pharmacological   O
interventions   O
based   O
on   O
the   O
final   O
diagnosis   O
.   O

Patient   O
Name   O
:   O
Linnie   B-NAME
Labombard   I-NAME
Patient   O
5   B-ID
-   I-ID
6379595   I-ID
:   O
25768846   B-ID
DOB   O
:   O
2   O
Address   O
:   O
Malawi   B-LOCATION
,   O
53356   B-LOCATION
Contact   O
:   O
498   B-CONTACT
-   I-CONTACT
111   I-CONTACT
2279   I-CONTACT
Referring   O
Physician   O
:   O

Alberto   B-NAME
Abbott   I-NAME
Date   O
of   O
Visit   O
:   O
00/20   B-DATE
/2023   O
Hospital   O
:   O
Catawba   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

Diane   B-NAME
Rhonda   I-NAME
Welsh   I-NAME
presents   O
with   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
persistent   O
vomiting   O
,   O
and   O
an   O
elevated   O
temperature   O
.   O

The   O
onset   O
of   O
symptoms   O
occurred   O
approximately   O
2102   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
25   I-DATE
days   O
ago   O
and   O
has   O
progressively   O
worsened   O
.   O

Carmelo   B-NAME
Mohammad   I-NAME
also   O
reports   O
nausea   O
and   O
has   O
vomited   O
multiple   O
times   O
since   O
11/01/1780   B-DATE
.   O

Bowel   O
movements   O
have   O
been   O
less   O
frequent   O
,   O
with   O
the   O
last   O
occurring   O
on   O
2181   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
22   I-DATE
.   O

Plan   O
:   O
-   O
Admit   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
management   O
.   O
-   O
Initiate   O
intravenous   O
hydration   O
and   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
.   O

Follow   O
-   O
up   O
:   O
Emilio   B-NAME
Meyer   I-NAME
is   O
to   O
remain   O
admitted   O
under   O
the   O
care   O
of   O
Oconnor   B-NAME
at   O
Stewart   B-LOCATION
Memorial   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Emergency   O
Contact   O
:   O
Lathe   O
and   O
Turning   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
:   O
tx714   B-NAME
Contact   O
Number   O
:   O
18381   B-CONTACT
Relation   O
to   O
Patient   O
:   O
sibling   O

Patient   O
Report   O
for   O
Branson   B-NAME
Allison   I-NAME
1   B-DATE
-   I-DATE
25   I-DATE
/2023   O
Medical   O
Record   O
Number   O
:   O
83600797   B-ID
Patient   O
Isaac   B-NAME
Ferraro   I-NAME
,   O
a   O
Energy   O
conservation   O
officer   O
from   O
Port   B-LOCATION
Carbon   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Guthrie   B-LOCATION
Troy   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2/05   B-DATE
/2023   O
with   O
symptoms   O
that   O
were   O
concerning   O
.   O

Gay   B-NAME
denies   O
smoking   O
and   O
reports   O
a   O
moderate   O
alcohol   O
intake   O
.   O

Garland   B-NAME
,   I-NAME
Judy   I-NAME
,   O
the   O
attending   O
physician   O
,   O
initiated   O
empirical   O
broad   O
-   O
spectrum   O
antibiotic   O
therapy   O
and   O
ordered   O
further   O
diagnostic   O
tests   O
including   O
a   O
respiratory   O
panel   O
PCR   O
and   O
blood   O
cultures   O
to   O
identify   O
potential   O
infectious   O
agents   O
.   O

Mcguire   B-NAME
also   O
advised   O
Jamie   B-NAME
Tucker   I-NAME
on   O
the   O
importance   O
of   O
isolation   O
to   O
prevent   O
potential   O
spread   O
in   O
case   O
of   O
an   O
infectious   O
etiology   O
,   O
pending   O
further   O
investigation   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Heartland   B-LOCATION
LASIK   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Abilene   I-LOCATION
for   O
management   O
and   O
close   O
observation   O
due   O
to   O
the   O
potential   O
for   O
respiratory   O
compromise   O
.   O

Kirby   B-NAME
has   O
discussed   O
with   O
Montoya   B-NAME
the   O
potential   O
need   O
for   O
Intensive   O
Care   O
Unit   O
transfer   O
should   O
the   O
patient   O
's   O
respiratory   O
status   O
deteriorate   O
.   O

Jamarcus   B-NAME
Clay   I-NAME
recorded   O
the   O
findings   O
and   O
the   O
management   O
plan   O
in   O
Floyd   B-NAME
's   O
electronic   O
health   O
record   O
under   O
5932219   B-ID
.   O

Follow   O
-   O
up   O
appointments   O
and   O
further   O
testing   O
were   O
scheduled   O
to   O
ensure   O
comprehensive   O
care   O
and   O
evaluation   O
of   O
Valeria   B-NAME
Singleton   I-NAME
's   O
condition   O
.   O

For   O
all   O
inquiries   O
,   O
please   O
contact   O
the   O
patient   O
care   O
team   O
at   O
Muhlenberg   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
via   O
228   B-CONTACT
-   I-CONTACT
7489   I-CONTACT
.   O
Norwalk   B-LOCATION
,   O
55361   B-LOCATION

Patient   O
Name   O
:   O
Cael   B-NAME
Morrow   I-NAME
Age   O
:   O
3   O
month   O
Date   O
of   O
Visit   O
:   O
4/22   B-DATE
/2023   O
Medical   O
Record   O
Number   O
:   O
59580974   B-ID

Attending   O
Physician   O
:   O
Powell   B-NAME
Hospital   O
:   O

Rockville   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Maple   B-LOCATION
Plain   I-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
226   I-CONTACT
)   I-CONTACT
785   I-CONTACT
-   I-CONTACT
6589   I-CONTACT
Profession   O
:   O

Sawing   O
Machine   O
Tool   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
ID   O
Number   O
:   O
NX   B-ID
:   I-ID
HB:7792   I-ID
Username   O
:   O
rl143   B-NAME
Zip   O
Code   O
:   O
37494   B-LOCATION
Overview   O
:   O
Naima   B-NAME
Kirby   I-NAME
,   O
a   O
Philosophy   O
and   O
Religion   O
Teachers   O
,   O
Postsecondary   O
from   O
Notus   B-LOCATION
,   O
presented   O
with   O
complaints   O
of   O
persistent   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
palpitations   O
that   O
began   O
approximately   O
two   O
weeks   O
before   O
visiting   O
Columbus   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
03/12/2062   B-DATE
/2023   O
.   O

The   O
episodes   O
of   O
chest   O
pain   O
are   O
not   O
significantly   O
alleviated   O
by   O
resting   O
and   O
have   O
caused   O
Willow   B-NAME
Walls   I-NAME
significant   O
anxiety   O
.   O

Additionally   O
,   O
Nathan   B-NAME
Maldonado   I-NAME
reports   O
experiencing   O
episodes   O
of   O
palpitations   O
,   O
where   O
the   O
heart   O
feels   O
like   O
it   O
is   O
racing   O
or   O
skipping   O
beats   O
.   O

Upon   O
evaluation   O
,   O
Hope   B-NAME
Kincaid   I-NAME
provided   O
a   O
medical   O
history   O
that   O
includes   O
controlled   O
type   O
2   O
diabetes   O
,   O
hypertension   O
,   O
and   O
a   O
family   O
history   O
of   O
cardiovascular   O
disease   O
.   O

Nevaeh   B-NAME
Mcneil   I-NAME
is   O
currently   O
taking   O
Metformin   O
for   O
diabetes   O
and   O
Lisinopril   O
for   O
hypertension   O
.   O

Bea   B-NAME
Slocumb   I-NAME
exercises   O
moderately   O
and   O
maintains   O
a   O
balanced   O
diet   O
as   O
per   O
guidelines   O
provided   O
by   O
a   O
healthcare   O
professional   O
.   O

Clinical   O
Findings   O
:   O
Physical   O
examination   O
by   O
Kianna   B-NAME
Glover   I-NAME
revealed   O
a   O
blood   O
pressure   O
of   O
145/90   O
mmHg   O
,   O
a   O
resting   O
heart   O
rate   O
of   O
98   O
bpm   O
,   O
and   O
normal   O
respiratory   O
rate   O
and   O
temperature   O
.   O

Assessment   O
:   O
The   O
clinical   O
presentation   O
suggests   O
Otho   B-NAME
Bookmiller   I-NAME
may   O
be   O
experiencing   O
stable   O
angina   O
exacerbated   O
by   O
underlying   O
hypertension   O
and   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
.   O

Advise   O
on   O
lifestyle   O
modifications   O
focusing   O
on   O
stress   O
reduction   O
techniques   O
.   O
Instructions   O
for   O
Devyn   B-NAME
Stanley   I-NAME
:   O
-   O
Follow   O
the   O
prescribed   O
medication   O
regimen   O
strictly   O
and   O
monitor   O
blood   O
pressure   O
daily   O
.   O

-   O
Report   O
immediately   O
to   O
HealthSouth   B-LOCATION
Lakeshore   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
or   O
call   O
188   B-CONTACT
-   I-CONTACT
2994   I-CONTACT
if   O
experiencing   O
severe   O
chest   O
pain   O
,   O
difficulty   O
breathing   O
,   O
or   O
fainting   O
spells   O
.   O

The   O
next   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2/22/2223   B-DATE
/2023   O
with   O
Johnston   B-NAME
at   O
New   B-LOCATION
Bridge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Tim   B-NAME
is   O
advised   O
to   O
bring   O
a   O
record   O
of   O
blood   O
pressure   O
readings   O
and   O
any   O
notes   O
on   O
episodes   O
of   O
chest   O
pain   O
or   O
palpitations   O
experienced   O
between   O
visits   O
.   O

Food   B-LOCATION
Addicts   I-LOCATION
in   I-LOCATION
Recovery   I-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
FA   I-LOCATION
)   I-LOCATION
's   O
patient   O
portal   O
accessed   O
with   O
username   O
FW7610   B-NAME
and   O
secured   O
PIN   O
will   O
allow   O
Oviedo   B-NAME
to   O
view   O
test   O
results   O
,   O
upcoming   O
appointments   O
,   O
and   O
communicate   O
with   O
healthcare   O
providers   O
.   O

For   O
any   O
emergencies   O
,   O
E.W.   B-NAME
Hostetler   I-NAME
is   O
instructed   O
to   O
call   O
736   B-CONTACT
978   I-CONTACT
-   I-CONTACT
1571   I-CONTACT
or   O
proceed   O
to   O
the   O
nearest   O
emergency   O
department   O
.   O

Note   O
:   O
This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Godfrey   B-NAME
,   O
Poincaré   B-NAME
,   I-NAME
Henri   I-NAME
's   O
healthcare   O
providers   O
,   O
and   O
authorized   O
personnel   O
only   O
.   O

Patient   O
Report   O
Patient   O
ID   O
:   O
NJ:94756:461491   B-ID
Medical   O
Record   O
Number   O
:   O
15423767   B-ID
Patient   O
Name   O
:   O
Ali   B-NAME
Norman   I-NAME
Age   O
:   O
78   O
Date   O
of   O
Birth   O
:   O
December   B-DATE
2324   I-DATE
Phone   O
Number   O
:   O
14489   B-CONTACT
Address   O
:   O
Coalville   B-LOCATION
,   O
60335   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Simon   B-NAME
Griffith   I-NAME
Employer   O
:   O

Navy   B-LOCATION
Mutual   I-LOCATION
Aid   I-LOCATION
Association   I-LOCATION
Profession   O
:   O
Construction   O
Laborers   O
Admission   O
Date   O
:   O
12/21   B-DATE
Hospital   O
:   O

Tristar   B-LOCATION
Centennial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Zaiden   B-NAME
Madden   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Delray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Monday   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Emmett   B-NAME
Cowger   I-NAME
,   O
a   O
9   O
-   O
year   O
-   O
old   O
Teacher   O
(   O
primary   O
)   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
reported   O
that   O
the   O
pain   O
was   O
precipitated   O
by   O
physical   O
exertion   O
while   O
at   O
work   O
at   O
Dardanelle   B-LOCATION
.   O

Addison   B-NAME
denies   O
any   O
previous   O
episodes   O
of   O
similar   O
pain   O
,   O
discomfort   O
,   O
or   O
any   O
known   O
cardiac   O
conditions   O
.   O

Brenna   B-NAME
Page   I-NAME
also   O
noted   O
a   O
feeling   O
of   O
lightheadedness   O
and   O
shortness   O
of   O
breath   O
accompanying   O
the   O
chest   O
pain   O
.   O

Social   O
History   O
:   O
Turner   B-NAME
Grey   I-NAME
is   O
employed   O
as   O
a   O
Planning   O
technician   O
at   O
Institute   B-LOCATION
of   I-LOCATION
Mathematical   I-LOCATION
Statistics   I-LOCATION
and   O
has   O
lived   O
in   O
Stafford   B-LOCATION
,   I-LOCATION
Stafford   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
for   O
the   O
past   O
3   O
years   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Ali   B-NAME
ibn   I-NAME
Abi   I-NAME
Talib   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
Blood   O
pressure   O
150/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
temperature   O
98.6   O
°   O
F   O
,   O
and   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Testing   O
:   O
Electrocardiogram   O
(   O
ECG   O
)   O
performed   O
on   O
32/20/2327   B-DATE
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
suggestive   O
of   O
an   O
inferior   O
myocardial   O
infarction   O
.   O

Treatment   O
:   O
Jared   B-NAME
Morrow   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
morphine   O
for   O
pain   O
management   O
.   O

Daly   B-NAME
,   I-NAME
Daniel   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
an   O
urgent   O
coronary   O
angiography   O
as   O
per   O
Greene   B-NAME
's   O
orders   O
.   O

Disposition   O
:   O
Following   O
angiography   O
,   O
Camp   B-NAME
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
at   O
Overlake   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Clara   B-NAME
Thornton   I-NAME
in   O
two   O
weeks   O
time   O
to   O
evaluate   O
recovery   O
and   O
discuss   O
long   O
-   O
term   O
treatment   O
options   O
.   O

In   O
case   O
of   O
further   O
inquiries   O
or   O
updates   O
on   O
Christopher   B-NAME
Roberson   I-NAME
's   O
condition   O
,   O
please   O
contact   O
the   O
Cardiology   O
Department   O
at   O
(   B-CONTACT
310   I-CONTACT
)   I-CONTACT
698   I-CONTACT
-   I-CONTACT
5576   I-CONTACT
or   O
visit   O
Pottstown   B-LOCATION
Hospital   I-LOCATION
located   O
in   O
New   B-LOCATION
York   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10016   I-LOCATION
.   O

Patient   O
Name   O
:   O
Jaxson   B-NAME
Meyer   I-NAME
Date   O
of   O
Birth   O
:   O
23/06   B-DATE
Age   O
:   O
5   O
Medical   O
Record   O
Number   O
:   O
492   B-ID
-   I-ID
84   I-ID
-   I-ID
28   I-ID
-   I-ID
7   I-ID
Doctor   O
:   O
Horn   B-NAME
Hospital   O
:   O
Osborne   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Osborne   I-LOCATION
Address   O
:   O
Cokeburg   B-LOCATION
,   O
90642   B-LOCATION
Phone   O
:   O
661   B-CONTACT
8566   I-CONTACT
Employer   O
:   O
Indian   B-LOCATION
National   I-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
Congress   I-LOCATION
Occupation   O
:   O
Social   O
Work   O
Teachers   O
,   O
Postsecondary   O
Report   O
Prepared   O
by   O
:   O
gt478   B-NAME
Date   O
of   O
Report   O
:   O
34   B-DATE
-   I-DATE
Dec-2330   I-DATE
ID   O
Number   O
:   O
DT   B-ID
:   I-ID
NJ:7375   I-ID
Subjective   O
:   O
Melanie   B-NAME
Crawford   I-NAME
presented   O
to   O
the   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
01/01   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
started   O
approximately   O
48   O
hours   O
prior   O
.   O

Jacob   B-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

Jair   B-NAME
Brock   I-NAME
mentioned   O
the   O
pain   O
initially   O
started   O
around   O
the   O
umbilical   O
area   O
and   O
gradually   O
moved   O
to   O
the   O
lower   O
right   O
side   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
Oates   B-NAME
exhibited   O
signs   O
of   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Given   O
the   O
severity   O
of   O
symptoms   O
and   O
risk   O
of   O
appendiceal   O
rupture   O
,   O
surgical   O
consultation   O
with   O
Victor   B-NAME
von   I-NAME
Doom   I-NAME
was   O
recommended   O
.   O

Sanford   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
.   O

Hardy   B-NAME
was   O
advised   O
to   O
abstain   O
from   O
food   O
and   O
liquids   O
until   O
the   O
surgery   O
.   O

The   O
case   O
was   O
discussed   O
with   O
Glenna   B-NAME
Henry   I-NAME
's   O
next   O
of   O
kin   O
over   O
(   B-CONTACT
250   I-CONTACT
)   I-CONTACT
311   I-CONTACT
4327   I-CONTACT
and   O
informed   O
consent   O
for   O
the   O
procedure   O
was   O
obtained   O
.   O

Corrine   B-NAME
James   I-NAME
was   O
successfully   O
admitted   O
to   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Manitowoc   I-LOCATION
County   I-LOCATION
on   O
June   B-DATE
22   I-DATE
and   O
is   O
scheduled   O
for   O
surgery   O
on   O
the   O
following   O
day   O
.   O

Follow   O
-   O
up   O
appointments   O
will   O
be   O
scheduled   O
with   O
Ortega   B-NAME
post   O
discharge   O
to   O
monitor   O
recovery   O
and   O
address   O
any   O
complications   O
.   O

The   O
team   O
at   O
OSS   B-LOCATION
Health   I-LOCATION
is   O
committed   O
to   O
providing   O
Oscar   B-NAME
Nall   I-NAME
with   O
comprehensive   O
care   O
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

Further   O
evaluation   O
and   O
management   O
will   O
be   O
conducted   O
as   O
needed   O
based   O
on   O
Geneva   B-NAME
Franklin   I-NAME
's   O
post   O
-   O
operative   O
progress   O
.   O

Patient   O
Name   O
:   O
Stein   B-NAME
Patient   O
ID   O
:   O
ED   B-ID
:   I-ID
NY:2837   I-ID
Medical   O
Record   O
Number   O
:   O
78948564   B-ID
Date   O
of   O
Birth   O
:   O
11/08/2361   B-DATE
Age   O
:   O
78   O
Phone   O
Number   O
:   O
441   B-CONTACT
-   I-CONTACT
4100   I-CONTACT
Address   O
:   O
Brandon   B-LOCATION
,   O
12793   B-LOCATION
Profession   O
:   O
Jewelers   O
and   O
Precious   O
Stone   O
and   O
Metal   O
Workers   O

Attending   O
Physician   O
:   O
Little   B-NAME
Hospital   O
:   O

North   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
36/24   B-DATE
Date   O
of   O
Discharge   O
:   O
3/23   B-DATE
Clinical   O
Summary   O
:   O
Giancarlo   B-NAME
Burton   I-NAME
,   O
a   O
99   O
-   O
year   O
-   O
old   O
Psychiatrists   O
residing   O
in   O
Woodbridge   B-LOCATION
,   O
with   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
II   O
diabetes   O
mellitus   O
,   O
was   O
admitted   O
to   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Gadsden   I-LOCATION
on   O
23/01/32   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
sudden   O
onset   O
of   O
severe   O
,   O
throbbing   O
headache   O
located   O
predominantly   O
in   O
the   O
occipital   O
region   O
.   O

Hutton   B-NAME
,   I-NAME
James   I-NAME
also   O
reported   O
transient   O
episodes   O
of   O
right   O
arm   O
weakness   O
and   O
difficulty   O
articulating   O
words   O
,   O
which   O
resolved   O
spontaneously   O
within   O
an   O
hour   O
before   O
hospital   O
admission   O
.   O

Given   O
the   O
patient   O
's   O
symptoms   O
of   O
transient   O
ischemic   O
attack   O
(   O
TIA   O
)   O
and   O
evidence   O
of   O
acute   O
infarction   O
,   O
Neurology   O
was   O
consulted   O
,   O
and   O
Liam   B-NAME
Reese   I-NAME
recommended   O
initiation   O
of   O
a   O
secondary   O
stroke   O
prevention   O
regimen   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Reva   B-NAME
Chew   I-NAME
’s   O
blood   O
pressure   O
was   O
managed   O
with   O
oral   O
antihypertensives   O
,   O
achieving   O
target   O
levels   O
below   O
140/90   O
mmHg   O
.   O

Silva   B-NAME
was   O
discharged   O
on   O
13/21/2029   B-DATE
with   O
a   O
plan   O
for   O
outpatient   O
follow   O
-   O
up   O
in   O
the   O
stroke   O
clinic   O
associated   O
with   O
Mercy   B-LOCATION
Medical   I-LOCATION
,   O
and   O
referrals   O
were   O
made   O
to   O
a   O
dietitian   O
for   O
diabetes   O
management   O
and   O
to   O
Physical   O
Therapy   O
for   O
mild   O
residual   O
right   O
arm   O
weakness   O
.   O

Follow   O
-   O
Up   O
:   O
Lilia   B-NAME
Nichols   I-NAME
has   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
Zhang   B-NAME
at   O
Highline   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/68   B-DATE
for   O
evaluation   O
of   O
stroke   O
symptoms   O
,   O
blood   O
pressure   O
control   O
,   O
and   O
diabetes   O
management   O
.   O

Abigail   B-NAME
Burgess   I-NAME
was   O
also   O
advised   O
to   O
monitor   O
blood   O
pressure   O
and   O
blood   O
sugar   O
levels   O
at   O
home   O
and   O
regularly   O
attend   O
Physical   O
Therapy   O
sessions   O
.   O

In   O
case   O
of   O
any   O
emergency   O
or   O
concerning   O
symptoms   O
,   O
Briley   B-NAME
Brown   I-NAME
is   O
advised   O
to   O
contact   O
Williamsburg   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
at   O
32406   B-CONTACT
or   O
return   O
to   O
the   O
emergency   O
room   O
for   O
immediate   O
evaluation   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Lavina   B-NAME
Jean   I-NAME
Age   O
:   O
86   O
Date   O
of   O
Birth   O
:   O
30/06/2343   B-DATE
Medical   O
Record   O
Number   O
:   O
798   B-ID
-   I-ID
77   I-ID
-   I-ID
12   I-ID
-   I-ID
5   I-ID
Physician   O
:   O

Pasteur   B-NAME
,   I-NAME
Louis   I-NAME
Hospital   O
:   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Saint   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Phone   O
Number   O
:   O
111   B-CONTACT
5779   I-CONTACT
Date   O
of   O
Visit   O
:   O
03   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
42   I-DATE
Residence   O
:   O
St.   B-LOCATION
Clair   I-LOCATION
Shores   I-LOCATION
,   O
91284   B-LOCATION
Occupation   O
:   O

Operations   O
Research   O
Analysts   O
Referral   O
Source   O
:   O
Dr.   O
Golden   B-NAME
Clinical   O
Presentation   O
:   O
Bat   B-NAME
presented   O
in   O
the   O
emergency   O
department   O
of   O
Palisades   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
January   B-DATE
20   I-DATE
with   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
profuse   O
sweating   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
started   O
roughly   O
two   O
hours   O
prior   O
to   O
arrival   O
.   O

Atwood   B-NAME
denies   O
any   O
recent   O
physical   O
exertion   O
or   O
emotional   O
stress   O
.   O

Walker   B-NAME
Mccullough   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
for   O
which   O
[   O
HE   O
/   O
SHE   O
]   O
is   O
on   O
medication   O
,   O
type   O
II   O
diabetes   O
mellitus   O
managed   O
by   O
diet   O
and   O
oral   O
hypoglycemics   O
,   O
and   O
a   O
past   O
smoker   O
for   O
20   O
years   O
,   O
having   O
quit   O
5   O
years   O
ago   O
.   O

On   O
examination   O
,   O
Jensen   B-NAME
,   I-NAME
Hayley   I-NAME
appeared   O
anxious   O
and   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Denise   B-NAME
Overman   I-NAME
was   O
referred   O
to   O
the   O
cardiology   O
department   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Edwards   B-NAME
at   O
WhidbeyHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
the   O
cardiology   O
department   O
on   O
1817   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
10   I-DATE
.   O

Julie   B-NAME
Fraser   I-NAME
was   O
advised   O
to   O
strictly   O
adhere   O
to   O
prescribed   O
medications   O
and   O
to   O
seek   O
immediate   O
care   O
should   O
symptoms   O
recur   O
or   O
worsen   O
.   O

Additional   O
Information   O
:   O
Emergency   O
contact   O
:   O
Directors   O
,   O
Religious   O
Activities   O
and   O
Education   O
of   O
Everett   B-NAME
Dunlap   I-NAME
,   O
available   O
at   O
phone   O
number   O
:   O
61588   B-CONTACT
.   O

Insurance   O
Provider   O
:   O
New   B-LOCATION
Century   I-LOCATION
Bank   I-LOCATION
,   O
Policy   O
ID   O
:   O
6   B-ID
-   I-ID
8583246   I-ID
Note   O
:   O
This   O
report   O
contains   O
synthesized   O
patient   O
information   O
for   O
the   O
purpose   O
of   O
demonstration   O
and   O
complies   O
with   O
HIPAA   O
regulations   O
by   O
using   O
placeholders   O
for   O
personally   O
identifiable   O
information   O
(   O
PII   O
)   O
.   O

Patient   O
Name   O
:   O
Paige   B-NAME
Zamora   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
8117565   I-ID
Medical   O
Record   O
Number   O
:   O
10679987   B-ID
Date   O
of   O
Birth   O
:   O
2/31   B-DATE
Age   O
:   O
18   O
Address   O
:   O
Homestead   B-LOCATION
,   O
18322   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
852   I-CONTACT
)   I-CONTACT
757   I-CONTACT
-   I-CONTACT
9940   I-CONTACT

Booker   B-NAME
Hospital   O
Name   O
:   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Denton   I-LOCATION
Date   O
of   O
Admission   O
:   O
01/21   B-DATE
Date   O
of   O
Report   O
:   O
00/20   B-DATE
Chief   O
Complaint   O
:   O
Gage   B-NAME
Koch   I-NAME
was   O
admitted   O
to   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
Manhattan   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
on   O
2/35/2074   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Malika   B-NAME
Mojaro   I-NAME
,   O
a   O
10   O
week   O
-   O
year   O
-   O
old   O
Sales   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
has   O
been   O
experiencing   O
abdominal   O
discomfort   O
for   O
approximately   O
48   O
hours   O
before   O
admission   O
.   O

Loree   B-NAME
Blonigan   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Iraan   B-LOCATION
or   O
any   O
significant   O
changes   O
in   O
diet   O
or   O
medication   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Sage   B-NAME
Ho   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
Blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
respiratory   O
rate   O
18   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
.   O

The   O
treating   O
physician   O
,   O
Rosemary   B-NAME
Rose   I-NAME
,   O
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
a   O
laparoscopic   O
appendectomy   O
.   O

Pushkin   B-NAME
,   I-NAME
Aleksandr   I-NAME
(   I-NAME
Alexander   I-NAME
Pushkin   I-NAME
)   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
,   O
proposed   O
treatment   O
plan   O
,   O
and   O
potential   O
risks   O
associated   O
with   O
the   O
procedure   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Wagner   B-NAME
,   I-NAME
Jane   I-NAME
on   O
13/38   B-DATE
.   O

Postoperative   O
Course   O
:   O
Noel   B-NAME
French   I-NAME
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
on   O
10/12   B-DATE
.   O

IZEYAH   B-NAME
SWEET   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
and   O
was   O
discharged   O
from   O
Nix   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
68   I-DATE
with   O
prescriptions   O
for   O
a   O
course   O
of   O
oral   O
antibiotics   O
.   O

Follow   O
-   O
up   O
is   O
scheduled   O
with   O
Bond   B-NAME
in   O
2   O
weeks   O
at   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Woodhull   I-LOCATION
to   O
monitor   O
healing   O
and   O
recovery   O
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Tillman   B-NAME
was   O
advised   O
to   O
follow   O
a   O
light   O
diet   O
,   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
,   O
and   O
to   O
observe   O
wound   O
care   O
instructions   O
to   O
prevent   O
infection   O
.   O

Any   O
signs   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
other   O
concerns   O
should   O
prompt   O
an   O
immediate   O
phone   O
call   O
to   O
56324   B-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
contains   O
protected   O
health   O
information   O
about   O
Nuwas   B-NAME
,   I-NAME
Abu   I-NAME
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
RMC   B-LOCATION
Anniston   I-LOCATION
at   O
21732   B-CONTACT
immediately   O
and   O
destroy   O
any   O
copies   O
of   O
this   O
document   O
.   O

Patient   O
Report   O
for   O
Larry   B-NAME
Arbogast   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
73   O
-   O
Date   O
of   O
Initial   O
Consultation   O
:   O
Veterans   B-DATE
Day   I-DATE
-   O
Assigned   O
Physician   O
:   O
Cordova   B-NAME
-   O
Hospital   O
:   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southern   I-LOCATION
California   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
7277051   B-ID
-   O
Location   O
:   O
Gramercy   B-LOCATION
-   O
Contact   O
Number   O
:   O
262   B-CONTACT
-   I-CONTACT
3901   I-CONTACT
-   O
Occupation   O
:   O
Recreational   O
Therapists   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Lorelai   B-NAME
Cline   I-NAME
,   O
presented   O
with   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
with   O
an   O
intensity   O
gradually   O
increasing   O
over   O
the   O
past   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Over   O
the   O
past   O
two   O
months   O
,   O
Morse   B-NAME
has   O
experienced   O
similar   O
,   O
albeit   O
less   O
severe   O
episodes   O
of   O
abdominal   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
Sheridan   B-NAME
,   I-NAME
Richard   I-NAME
Brinsley   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
in   O
3/12   B-DATE
,   O
currently   O
managed   O
with   O
metformin   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Evangeline   B-NAME
Cohen   I-NAME
appeared   O
distressed   O
,   O
with   O
vital   O
signs   O
indicating   O
tachycardia   O
and   O
mild   O
fever   O
.   O

Diagnostic   O
Studies   O
:   O
Laboratory   O
tests   O
including   O
a   O
comprehensive   O
metabolic   O
panel   O
,   O
lipid   O
profile   O
,   O
and   O
complete   O
blood   O
count   O
were   O
ordered   O
on   O
31/27   B-DATE
.   O

The   O
clinical   O
presentation   O
and   O
history   O
suggest   O
acute   O
pancreatitis   O
,   O
potentially   O
exacerbated   O
by   O
Hosea   B-NAME
McCalvin   I-NAME
's   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O

Management   O
Plan   O
:   O
-   O
Immediate   O
admission   O
to   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Somerset   I-LOCATION
for   O
close   O
monitoring   O
.   O
-   O
Initiation   O
of   O
intravenous   O
fluids   O
and   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
at   O
56542   B-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Report   O
Prepared   O
by   O
:   O
Simmons   B-NAME
21/06/2074   B-DATE
All   O
identifiers   O
in   O
this   O
document   O
,   O
including   O
Bobby   B-NAME
,   O
17   O
,   O
17/28   B-DATE
,   O
Andrews   B-NAME
,   O
Catholic   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Okabena   B-LOCATION
,   O
48109372   B-ID
,   O
297   B-CONTACT
-   I-CONTACT
5889   I-CONTACT
,   O
Doctor   O
(   O
hospital   O
)   O
,   O
and   O
FG760/4941   B-ID
are   O
synthetic   O
and   O
included   O
for   O
illustrative   O
purposes   O
following   O
HIPAA   O
guidelines   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Lashunda   B-NAME
Cattladge   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
66100186   I-ID
Date   O
of   O
Birth   O
:   O
March   B-DATE
Age   O
:   O
68   O
Address   O
:   O
9821C   B-LOCATION
E.   I-LOCATION
Mechanic   I-LOCATION
Lane   I-LOCATION
,   O
96274   B-LOCATION
Phone   O
Number   O
:   O
806   B-CONTACT
-   I-CONTACT
778   I-CONTACT
-   I-CONTACT
4641   I-CONTACT
Occupation   O
:   O
Stock   O
Clerks   O
and   O
Order   O
Fillers   O
Primary   O
Care   O
Physician   O
:   O

Ellie   B-NAME
Levine   I-NAME
Hospital   O
:   O

North   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
96908300   B-ID
Chief   O
Complaint   O
:   O
Oliveira   B-NAME
,   I-NAME
Keith   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
College   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/00   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Medical   O
History   O
:   O
Sarah   B-NAME
Church   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Roland   B-NAME
Barajas   I-NAME
's   O
vital   O
signs   O
revealed   O
a   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
,   O
pulse   O
rate   O
of   O
98   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
,   O
and   O
a   O
fever   O
of   O
100.4   O
°   O
F   O
.   O

Given   O
these   O
findings   O
,   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Mora   B-NAME
.   O
Treatment   O
Plan   O
:   O

The   O
patient   O
was   O
admitted   O
to   O
Community   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Branch   I-LOCATION
County   I-LOCATION
for   O
an   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
by   O
Mcdaniel   B-NAME
on   O
22/24   B-DATE
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
with   O
Chappelle   B-NAME
,   I-NAME
Dave   I-NAME
making   O
a   O
satisfactory   O
recovery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Parker   B-NAME
in   O
two   O
weeks   O
for   O
surgical   O
wound   O
inspection   O
and   O
to   O
discuss   O
further   O
management   O
of   O
Beau   B-NAME
Gamble   I-NAME
's   O
diabetes   O
and   O
hypertension   O
.   O

Discharge   O
Instructions   O
:   O
Tortus   B-NAME
Crissinger   I-NAME
was   O
discharged   O
from   O
Ascension   B-LOCATION
Genesys   I-LOCATION
Hospital   I-LOCATION
on   O
11.29.56   B-DATE
with   O
instructions   O
for   O
post   O
-   O
surgical   O
care   O
including   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
dietary   O
recommendations   O
,   O
and   O
activity   O
restrictions   O
.   O

Ashley   B-NAME
was   O
advised   O
to   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activities   O
for   O
at   O
least   O
four   O
weeks   O
.   O

Emergency   O
contact   O
details   O
,   O
including   O
the   O
675   B-CONTACT
534   I-CONTACT
4273   I-CONTACT
number   O
of   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Kent   I-LOCATION
Community   I-LOCATION
Campus   I-LOCATION
,   O
were   O
provided   O
in   O
case   O
of   O
any   O
concerns   O
or   O
complications   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Fern   B-NAME
Ramerez   I-NAME
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Gnaden   I-LOCATION
Huetten   I-LOCATION
Campus   I-LOCATION
on   O
07/22   B-DATE
for   O
wound   O
inspection   O
and   O
to   O
review   O
Rodger   B-NAME
Durkin   I-NAME
's   O
overall   O
recovery   O
progress   O
.   O

Further   O
adjustments   O
to   O
the   O
management   O
of   O
Sheldon   B-NAME
Krause   I-NAME
's   O
chronic   O
conditions   O
may   O
be   O
discussed   O
during   O
this   O
visit   O
.   O

Notes   O
:   O
Any   O
developments   O
in   O
Davidson   B-NAME
's   O
condition   O
or   O
deviations   O
from   O
the   O
expected   O
recovery   O
path   O
should   O
be   O
reported   O
to   O
Southern   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
Mccullough   B-NAME
immediately   O
via   O
the   O
provided   O
contact   O
number   O
608   B-CONTACT
3636   I-CONTACT
.   O

Patient   O
Name   O
:   O
Jesse   B-NAME
Bernard   I-NAME
Patient   O
ID   O
:   O
LG:26980:834771   B-ID
Medical   O
Record   O
Number   O
:   O
6023163   B-ID
DOB   O
:   O

March   B-DATE
25   I-DATE
Age   O
:   O
96   O
Phone   O
Number   O
:   O
488   B-CONTACT
-   I-CONTACT
8777   I-CONTACT
Address   O
:   O
Piedra   B-LOCATION
Aguza   I-LOCATION
,   O
76667   B-LOCATION
Occupation   O
:   O
Actuary   O
Primary   O
Care   O
Physician   O
:   O

Angeline   B-NAME
Garrett   I-NAME
Hospital   O
:   O
Monroe   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Friedman   B-NAME
,   I-NAME
Nat   I-NAME
,   O
was   O
admitted   O
to   O
Long   B-LOCATION
Beach   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/12/11   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
characterized   O
as   O
sharp   O
and   O
persistent   O
,   O
predominantly   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
London   B-NAME
,   I-NAME
Jack   I-NAME
,   O
a   O
Tax   O
Preparers   O
from   O
Ken   B-LOCATION
Caryl   I-LOCATION
,   O
has   O
been   O
in   O
their   O
usual   O
state   O
of   O
health   O
until   O
early   O
morning   O
on   O
W   B-DATE
when   O
they   O
suddenly   O
developed   O
sharp   O
,   O
severe   O
abdominal   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
Finley   B-NAME
Whitehead   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
denies   O
any   O
previous   O
surgeries   O
,   O
hospitalizations   O
,   O
or   O
chronic   O
diseases   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Gabriella   B-NAME
Yockey   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
ordered   O
by   O
Kareem   B-NAME
Reynolds   I-NAME
,   O
which   O
showed   O
signs   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
were   O
discussed   O
in   O
detail   O
with   O
Delta   B-NAME
Civatte   I-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Cheyanne   B-NAME
Coffey   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
2074   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
04   I-DATE
at   O
Grand   B-LOCATION
View   I-LOCATION
Health   I-LOCATION
.   O

Post   O
-   O
operative   O
instructions   O
were   O
provided   O
,   O
including   O
follow   O
-   O
up   O
with   O
Fitzgerald   B-NAME
in   O
Kansas   B-LOCATION
within   O
two   O
weeks   O
of   O
discharge   O
for   O
wound   O
check   O
and   O
management   O
of   O
any   O
post   O
-   O
operative   O
complications   O
.   O

Discharge   O
Summary   O
:   O
Brittany   B-NAME
Prince   I-NAME
was   O
discharged   O
from   O
Hugh   B-LOCATION
Chatham   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
03/22   B-DATE
following   O
an   O
uncomplicated   O
post   O
-   O
operative   O
course   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dean   B-NAME
was   O
scheduled   O
for   O
2329   B-DATE
.   O

The   O
patient   O
was   O
instructed   O
to   O
contact   O
Highline   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
return   O
to   O
the   O
emergency   O
department   O
if   O
they   O
experience   O
fever   O
,   O
uncontrollable   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
.   O

Phone   O
Number   O
:   O
941   B-CONTACT
370   I-CONTACT
5588   I-CONTACT

This   O
document   O
was   O
prepared   O
by   O
:   O
ER513   B-NAME
on   O
5/09   B-DATE
.   O

Patient   O
Name   O
:   O
Landor   B-NAME
,   I-NAME
Walter   I-NAME
Savage   I-NAME
Age   O
:   O
53   O
Date   O
of   O
Birth   O
:   O
2/1   B-DATE
Medical   O
Record   O
Number   O
:   O
108   B-ID
-   I-ID
57   I-ID
-   I-ID
40   I-ID
-   I-ID
7   I-ID
Admission   O
Date   O
:   O
8/17/33   B-DATE
Physician   O
:   O

Aditya   B-NAME
Meadows   I-NAME
Hospital   O
:   O
Geisinger   B-LOCATION
-   I-LOCATION
Bloomsburg   I-LOCATION
Hospital   I-LOCATION
Address   O
:   O
Lake   B-LOCATION
City   I-LOCATION
,   I-LOCATION
Lake   I-LOCATION
City   I-LOCATION
Downtown   I-LOCATION
Improvement   I-LOCATION
&   I-LOCATION
Revitalization   I-LOCATION
Team   I-LOCATION
(   I-LOCATION
DIRT   I-LOCATION
)   I-LOCATION
,   O
80180   B-LOCATION
Phone   O
:   O
98011   B-CONTACT
Employer   O
:   O
Bank   B-LOCATION
of   I-LOCATION
Hiawassee   I-LOCATION
Occupation   O
:   O
Teacher   O
(   O
nursery   O
/   O
early   O
years   O
)   O

Patient   O
ID   O
:   O
9773804   B-ID
Chief   O
Complaint   O
:   O

Abbott   B-NAME
presented   O
to   O
Harrison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Silverdale   I-LOCATION
on   O
March   B-DATE
of   I-DATE
2239   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
.   O

Clement   B-NAME
Molloch   I-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Bradshaw   B-NAME
reports   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
thought   O
to   O
be   O
indigestion   O
.   O

Jaquan   B-NAME
Salinas   I-NAME
denies   O
any   O
recent   O
changes   O
in   O
diet   O
or   O
new   O
medications   O
.   O

Zeities   B-NAME
Gevorkian   I-NAME
reports   O
adherence   O
to   O
prescribed   O
antihypertensive   O
and   O
antidiabetic   O
medications   O
.   O

On   O
physical   O
examination   O
,   O
Elenora   B-NAME
Bernitsky   I-NAME
appeared   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Laboratory   O
Results   O
:   O
Complete   O
blood   O
count   O
(   O
CBC   O
)   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
at   O
8   B-ID
-   I-ID
9783102   I-ID
cells   O
/   O
mm³   O
,   O
indicating   O
a   O
potential   O
infection   O
.   O

Plan   O
:   O
Immediate   O
surgical   O
consultation   O
was   O
arranged   O
,   O
and   O
Brandi   B-NAME
Xayasane   I-NAME
was   O
informed   O
about   O
the   O
necessity   O
of   O
an   O
appendectomy   O
.   O

Kelsi   B-NAME
Rouleau   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
30/13/2052   B-DATE
.   O

This   O
report   O
is   O
confidential   O
and   O
contains   O
protected   O
health   O
information   O
belonging   O
to   O
Jim   B-NAME
Clancy   I-NAME
.   O

Patient   O
Name   O
:   O
Jackson   B-NAME
,   I-NAME
Janet   I-NAME
Age   O
:   O
44   O
Date   O
of   O
Birth   O
:   O
2103   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
23   I-DATE
Gender   O
:   O
Male   O
Address   O
:   O
Rialto   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
92376   I-LOCATION
,   O
60780   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
499   I-CONTACT
)   I-CONTACT
174   I-CONTACT
-   I-CONTACT
3494   I-CONTACT
Employment   O
:   O
Clergy   O
Medical   O
Record   O
Number   O
:   O
2224911   B-ID
ID   O
Number   O
:   O
XR850/7693   B-ID
Primary   O
Physician   O
:   O

Cole   B-NAME
Admitting   O
Hospital   O
:   O

Longmont   B-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
20/01   B-DATE
Date   O
of   O
Discharge   O
:   O
00/35   B-DATE
Clinical   O
Summary   O
:   O
Katrina   B-NAME
Bullock   I-NAME
,   O
a   O
21   O
-   O
year   O
-   O
old   O
economist   O
from   O
Clermont   B-LOCATION
,   I-LOCATION
QC   I-LOCATION
G4A   I-LOCATION
8T7   I-LOCATION
,   O
presented   O
to   O
Riverview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/05   B-DATE
with   O
a   O
history   O
of   O
escalating   O
chest   O
pain   O
characterized   O
by   O
a   O
tightening   O
sensation   O
located   O
primarily   O
in   O
the   O
sub   O
-   O
sternal   O
area   O
.   O

The   O
pain   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
Titus   B-NAME
Rush   I-NAME
was   O
at   O
work   O
.   O

Xavier   B-NAME
Otero   I-NAME
described   O
the   O
pain   O
as   O
8/10   O
in   O
intensity   O
,   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
jaw   O
.   O

Khloe   B-NAME
Raymond   I-NAME
denied   O
any   O
previous   O
episodes   O
of   O
similar   O
nature   O
.   O

However   O
,   O
Norman   B-NAME
Solomon   I-NAME
has   O
a   O
personal   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Dwayne   B-NAME
Small   I-NAME
from   O
cardiology   O
was   O
consulted   O
,   O
and   O
a   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

The   O
patient   O
was   O
taken   O
to   O
the   O
cath   O
lab   O
,   O
where   O
Carson   B-NAME
performed   O
the   O
procedure   O
,   O
successfully   O
placing   O
a   O
stent   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Post   O
-   O
procedure   O
,   O
Jaiden   B-NAME
Ellison   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
(   O
CCU   O
)   O
for   O
monitoring   O
.   O

During   O
the   O
stay   O
,   O
Beard   B-NAME
,   I-NAME
Charles   I-NAME
A.   I-NAME
's   O
pain   O
was   O
adequately   O
controlled   O
,   O
and   O
no   O
further   O
ischemic   O
episodes   O
were   O
noted   O
.   O

Justin   B-NAME
Landry   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
medication   O
adherence   O
,   O
lifestyle   O
modifications   O
including   O
dietary   O
changes   O
,   O
regular   O
physical   O
activity   O
,   O
and   O
smoking   O
cessation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Maynard   B-NAME
was   O
scheduled   O
for   O
22/31   B-DATE
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
McKeesport   I-LOCATION
.   O

Schneier   B-NAME
,   I-NAME
Bruce   I-NAME
was   O
also   O
advised   O
to   O
schedule   O
a   O
visit   O
with   O
a   O
dietician   O
and   O
a   O
cardiac   O
rehabilitation   O
specialist   O
.   O

44756   B-CONTACT
contact   O
information   O
was   O
provided   O
for   O
Alissa   B-NAME
Thornton   I-NAME
to   O
call   O
in   O
case   O
of   O
any   O
symptoms   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
any   O
other   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

This   O
detailed   O
report   O
was   O
prepared   O
by   O
YE275   B-NAME
,   O
Monday   B-DATE
.   O

Patient   O
Name   O
:   O
Sage   B-NAME
Watkins   I-NAME
Medical   O
Record   O
Number   O
:   O
68193860   B-ID
Date   O
of   O
Birth   O
:   O
05/75   B-DATE
Age   O
:   O
10   O
week   O
Address   O
:   O
Phenix   B-LOCATION
City   I-LOCATION
,   O
36499   B-LOCATION
Phone   O
Number   O
:   O
24346   B-CONTACT
Employer   O
:   O

First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
the   I-LOCATION
South   I-LOCATION
Occupation   O
:   O
Mechanical   O
Engineers   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Drake   B-NAME
Gomez   I-NAME
Hospital   O
of   O
Record   O
:   O
Riverside   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Social   O
Security   O
Number   O
:   O
NO   B-ID
:   I-ID
VK:4174   I-ID
Username   O
:   O
ST68   B-NAME
Consultation   O
Date   O
:   O
2213   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
18   I-DATE
Chief   O
Complaint   O
:   O
Adonica   B-NAME
was   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Ascension   B-LOCATION
SE   I-LOCATION
Wisconsin   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Franklin   I-LOCATION
Campus   I-LOCATION
on   O
02/23   B-DATE
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
significant   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
.   O

The   O
abdominal   O
pain   O
was   O
first   O
noted   O
by   O
Kelvin   B-NAME
,   I-NAME
Lord   I-NAME
around   O
32/22   B-DATE
,   O
initially   O
described   O
as   O
dull   O
and   O
intermittent   O
.   O

Over   O
the   O
subsequent   O
hours   O
,   O
the   O
pain   O
intensified   O
,   O
becoming   O
sharp   O
and   O
persistent   O
,   O
prompting   O
George   B-NAME
Fletcher   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

Sonny   B-NAME
Lowery   I-NAME
denies   O
any   O
recent   O
trauma   O
or   O
injury   O
that   O
could   O
be   O
related   O
to   O
the   O
symptoms   O
.   O

According   O
to   O
the   O
records   O
provided   O
by   O
Dr.   O
Kirby   B-NAME
from   O
State   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
,   O
Kale   B-NAME
Baldwin   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
controlled   O
with   O
oral   O
hypoglycemics   O
and   O
diet   O
modification   O
.   O

JAY   B-NAME
CARROLL   I-NAME
also   O
has   O
hypertension   O
,   O
managed   O
with   O
medication   O
.   O

Review   O
of   O
Systems   O
:   O
Other   O
than   O
the   O
symptoms   O
mentioned   O
,   O
Lanny   B-NAME
Panek   I-NAME
denies   O
any   O
changes   O
in   O
bowel   O
or   O
bladder   O
habits   O
,   O
denies   O
any   O
respiratory   O
or   O
cardiovascular   O
symptoms   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
by   O
Dr.   O
Fry   B-NAME
,   O
Kody   B-NAME
Mcguire   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Outcome   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Dr.   O
Kelly   B-NAME
David   I-NAME
diagnosed   O
the   O
patient   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Cherish   B-NAME
Freeman   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
22/2   B-DATE
.   O

The   O
patient   O
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
discharged   O
home   O
on   O
1/92   B-DATE
with   O
follow   O
-   O
up   O
instructions   O
and   O
a   O
prescription   O
for   O
antibiotics   O
.   O
Instructions   O
for   O
follow   O
-   O
up   O
:   O
Dakota   B-NAME
Dominguez   I-NAME
was   O
instructed   O
to   O
follow   O
up   O
with   O
Dr.   O
Jace   B-NAME
Sparks   I-NAME
at   O
Zurich   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
in   O
Corcovado   B-LOCATION
,   O
98851   B-LOCATION
for   O
post   O
-   O
operative   O
care   O
and   O
wound   O
check   O
on   O
12/20/2014   B-DATE
.   O

Tyler   B-NAME
Bush   I-NAME
was   O
advised   O
to   O
adhere   O
to   O
a   O
modified   O
diet   O
for   O
the   O
initial   O
post   O
-   O
operative   O
period   O
and   O
gradually   O
return   O
to   O
regular   O
activities   O
as   O
tolerated   O
.   O

Contact   O
information   O
:   O
For   O
any   O
questions   O
or   O
concerns   O
,   O
Marie   B-NAME
Antoinette   I-NAME
was   O
advised   O
to   O
contact   O
Dr.   O
Ho   B-NAME
's   O
office   O
at   O
865   B-CONTACT
800   I-CONTACT
6592   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
Orange   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
there   O
are   O
any   O
urgent   O
issues   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Samuel   B-NAME
Vinson   I-NAME
Patient   O
ID   O
:   O
WW   B-ID
:   I-ID
PO:9259   I-ID
Medical   O
Record   O
Number   O
:   O
722   B-ID
-   I-ID
01   I-ID
-   I-ID
09   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
33   O
Date   O
of   O
Admission   O
:   O
22/22   B-DATE
/2023   O
Date   O
of   O
Report   O
:   O

32/20   B-DATE
/2023   O
Attending   O
Physician   O
:   O
Jessie   B-NAME
Lam   I-NAME
Hospital   O
:   O
Trinity   B-LOCATION
Moline   I-LOCATION
Location   O
:   O
Spearsville   B-LOCATION
,   O
83491   B-LOCATION
Phone   O
:   O
18462   B-CONTACT
Summary   O
:   O
Willis   B-NAME
,   O
a   O
Sustainability   O
Specialists   O
,   O
residing   O
in   O
Richey   B-LOCATION
,   O
presented   O
to   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southern   I-LOCATION
California   I-LOCATION
on   O
2115   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
22   I-DATE
/2023   O
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
that   O
has   O
been   O
gradually   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
initial   O
examination   O
,   O
Blackwell   B-NAME
demonstrated   O
mild   O
abdominal   O
distension   O
and   O
tenderness   O
upon   O
palpation   O
in   O
the   O
epigastric   O
region   O
.   O

The   O
treatment   O
plan   O
for   O
Black   B-NAME
has   O
been   O
centered   O
around   O
pain   O
management   O
,   O
hydration   O
,   O
and   O
nutritional   O
support   O
.   O

Bridges   B-NAME
has   O
been   O
placed   O
on   O
intravenous   O
fluids   O
to   O
ensure   O
proper   O
hydration   O
and   O
has   O
been   O
prescribed   O
analgesics   O
for   O
pain   O
control   O
.   O

Regular   O
monitoring   O
of   O
Luigi   B-NAME
's   O
blood   O
glucose   O
levels   O
has   O
been   O
implemented   O
due   O
to   O
Alaina   B-NAME
May   I-NAME
's   O
history   O
of   O
diabetes   O
.   O

Follow   O
-   O
Up   O
:   O
Towanda   B-NAME
Holler   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Uriel   B-NAME
Warner   I-NAME
in   O
two   O
weeks   O
on   O
Saturday   B-DATE
/2023   O
to   O
reassess   O
the   O
pancreatitis   O
and   O
make   O
any   O
necessary   O
adjustments   O
to   O
the   O
treatment   O
plan   O
.   O

Further   O
education   O
on   O
lifestyle   O
and   O
dietary   O
modifications   O
has   O
been   O
provided   O
to   O
manage   O
Jovani   B-NAME
Webster   I-NAME
's   O
diabetes   O
more   O
effectively   O
and   O
potentially   O
reduce   O
the   O
risk   O
of   O
recurrent   O
pancreatitis   O
.   O

Conclusion   O
:   O
The   O
acute   O
presentation   O
of   O
pancreatitis   O
in   O
Malcolm   B-NAME
Patton   I-NAME
warranted   O
prompt   O
medical   O
attention   O
and   O
a   O
multidisciplinary   O
approach   O
to   O
management   O
.   O

The   O
ongoing   O
monitoring   O
and   O
support   O
,   O
coupled   O
with   O
the   O
patient   O
's   O
adherence   O
to   O
the   O
recommended   O
treatment   O
plan   O
,   O
are   O
vital   O
for   O
Conrad   B-NAME
Stafford   I-NAME
's   O
recovery   O
and   O
the   O
prevention   O
of   O
complications   O
related   O
to   O
pancreatitis   O
and   O
diabetes   O
.   O

Prepared   O
By   O
:   O
pk954   B-NAME
National   B-LOCATION
Guard   I-LOCATION
Association   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
Contact   O
Information   O
:   O
287   B-CONTACT
3646   I-CONTACT

Patient   O
Name   O
:   O
Infant   B-NAME
Brewer   I-NAME
Patient   O
ID   O
:   O
VW:54365:464261   B-ID
Date   O
of   O
Birth   O
:   O
02/25   B-DATE
Age   O
:   O
91   O
Medical   O
Record   O
Number   O
:   O
7500086   B-ID
Phone   O
Number   O
:   O
316   B-CONTACT
208   I-CONTACT
-   I-CONTACT
7907   I-CONTACT
Address   O
:   O
Lanare   B-LOCATION
,   O
76185   B-LOCATION
Primary   O
Care   O
Physician   O
:   O
Mullen   B-NAME
Hospital   O
:   O
Grandview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Evan   B-NAME
Rendell   I-NAME
presents   O
to   O
the   O
emergency   O
department   O
on   O
12/35/01   B-DATE
with   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Curtis   B-NAME
Shelton   I-NAME
also   O
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
17/00   B-DATE
.   O
Medical   O
History   O
:   O

Hayden   B-NAME
Avery   I-NAME
denies   O
any   O
history   O
of   O
surgeries   O
or   O
hospitalizations   O
.   O

The   O
patient   O
's   O
family   O
history   O
includes   O
coronary   O
artery   O
disease   O
in   O
the   O
father   O
(   O
Yadira   B-NAME
Osborne   I-NAME
's   O
family   O
member   O
)   O
and   O
breast   O
cancer   O
in   O
the   O
mother   O
(   O
Cadee   B-NAME
's   O
family   O
member   O
)   O
.   O

On   O
physical   O
examination   O
,   O
Williams   B-NAME
,   I-NAME
Ted   I-NAME
appears   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Shyla   B-NAME
Glover   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
service   O
was   O
consulted   O
,   O
and   O
Keith   B-NAME
Wilkes   I-NAME
was   O
admitted   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Pineville   I-LOCATION
for   O
an   O
urgent   O
appendectomy   O
.   O

Wise   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Nate   B-NAME
Schacter   I-NAME
in   O
two   O
weeks   O
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

Discharge   O
Instructions   O
:   O
DUNN   B-NAME
,   I-NAME
VINCENT   B-NAME
was   O
given   O
specific   O
instructions   O
regarding   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
dietary   O
recommendations   O
.   O

In   O
case   O
of   O
any   O
concerns   O
or   O
complications   O
,   O
Len   B-NAME
Wayne   I-NAME
-   I-NAME
Gregory   I-NAME
was   O
advised   O
to   O
contact   O
Plastic   B-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
's   O
emergency   O
department   O
at   O
25618   B-CONTACT
or   O
return   O
to   O
the   O
hospital   O
immediately   O
.   O

Signed   O
:   O
Jaylon   B-NAME
Wong   I-NAME
18/03/2256   B-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Zaiden   B-NAME
Blevins   I-NAME
Age   O
:   O
35   O
Medical   O
Record   O
Number   O
:   O
018   B-ID
-   I-ID
19   I-ID
-   I-ID
62   I-ID
-   I-ID
7   I-ID
Social   O
Security   O
Number   O
:   O
6   B-ID
-   I-ID
3814453   I-ID
Address   O
:   O
Detroit   B-LOCATION
-   I-LOCATION
Jefferson   I-LOCATION
East   I-LOCATION
Business   I-LOCATION
District   I-LOCATION
,   I-LOCATION
Jefferson   I-LOCATION
East   I-LOCATION
Business   I-LOCATION
Association   I-LOCATION
,   O
85366   B-LOCATION
Phone   O
Number   O
:   O
255   B-CONTACT
1574   I-CONTACT
Occupation   O
:   O
Gas   O
Compressor   O
Operators   O
Primary   O
Care   O
Physician   O
:   O

Nickolas   B-NAME
Avery   I-NAME
Treating   O
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Mississippi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Peace   I-LOCATION
Hospital   I-LOCATION
on   O
11/11/2187   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

ivester   B-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
EVANS   B-NAME
,   I-NAME
NELSON   I-NAME
MAC   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Based   O
on   O
these   O
findings   O
,   O
a   O
clinical   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Benitez   B-NAME
.   O

The   O
surgical   O
team   O
was   O
consulted   O
,   O
and   O
Kayleigh   B-NAME
Rios   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
04/03   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Alexander   B-NAME
tolerated   O
the   O
surgery   O
well   O
.   O

Reagan   B-NAME
,   I-NAME
Ronald   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Giovani   B-NAME
Barron   I-NAME
in   O
Australian   B-LOCATION
Rail   I-LOCATION
Tram   I-LOCATION
and   I-LOCATION
Bus   I-LOCATION
Industry   I-LOCATION
Union   I-LOCATION
for   O
post   O
-   O
operative   O
evaluation   O
and   O
further   O
management   O
.   O

Kevlyn   B-NAME
was   O
discharged   O
on   O
32/30/71   B-DATE
with   O
instructions   O
for   O
activity   O
modification   O
,   O
dietary   O
recommendations   O
,   O
and   O
prescriptions   O
for   O
medications   O
.   O

Magdalena   B-NAME
Huber   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Curtis   B-NAME
Connors   I-NAME
at   O
British   B-LOCATION
Actors   I-LOCATION
Equity   I-LOCATION
Association   I-LOCATION
on   O
8/00/12   B-DATE
to   O
assess   O
recovery   O
progress   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
histopathological   O
examination   O
of   O
the   O
appendix   O
.   O

Note   O
:   O
For   O
any   O
further   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Upstate   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Community   I-LOCATION
Campus   I-LOCATION
at   O
665   B-CONTACT
-   I-CONTACT
3669   I-CONTACT
.   O

Prepared   O
by   O
:   O
rw713   B-NAME
,   O
Medical   O
Record   O
Department   O
,   O
San   B-LOCATION
Luis   I-LOCATION
Valley   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
18/23/62   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Emmy   B-NAME
Dunn   I-NAME
Age   O
:   O
32   O
Date   O
of   O
Birth   O
:   O
03/29   B-DATE
Medical   O
Record   O
Number   O
:   O
6049965   B-ID
SSN   O
:   O
7   B-ID
-   I-ID
6394399   I-ID
Address   O
:   O
Weingarten   B-LOCATION
,   O
81898   B-LOCATION
Phone   O
Number   O
:   O
296   B-CONTACT
6271   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Stanley   B-NAME
Boyle   I-NAME
Hospital   O
:   O
Henry   B-LOCATION
Mayo   I-LOCATION
Newhall   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
3   B-DATE
-   I-DATE
1   I-DATE
-   I-DATE
23   I-DATE
Date   O
of   O
Report   O
:   O

25/20/92   B-DATE
Chief   O
Complaint   O
:   O
Samir   B-NAME
Kane   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Boone   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
31/11   B-DATE
complaining   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

The   O
symptoms   O
began   O
around   O
1927   B-DATE
and   O
have   O
progressively   O
worsened   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Winters   B-NAME
,   O
a   O
Food   O
Batchmakers   O
by   O
profession   O
,   O
reports   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
diffuse   O
but   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
within   O
the   O
past   O
12   O
hours   O
.   O

Past   O
Medical   O
History   O
:   O
Koehler   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Examination   O
:   O
Physical   O
examination   O
revealed   O
Oberst   B-NAME
,   I-NAME
Conor   I-NAME
to   O
be   O
in   O
moderate   O
distress   O
.   O

The   O
patient   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
scheduled   O
for   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
on   O
31/29/2393   B-DATE
.   O

Post   O
-   O
operatively   O
,   O
the   O
patient   O
made   O
an   O
uneventful   O
recovery   O
and   O
was   O
discharged   O
on   O
2/29   B-DATE
.   O

Mel   B-NAME
Buffkin   I-NAME
is   O
to   O
follow   O
up   O
with   O
Holder   B-NAME
in   O
two   O
weeks   O
for   O
a   O
routine   O
post   O
-   O
operative   O
check   O
-   O
up   O
,   O
or   O
sooner   O
if   O
any   O
complications   O
arise   O
.   O

Note   O
:   O
Benton   B-NAME
C.   I-NAME
Quest   I-NAME
has   O
consented   O
to   O
all   O
treatment   O
plans   O
.   O

Aaron   B-NAME
Myers   I-NAME
expressed   O
understanding   O
and   O
agreement   O
with   O
the   O
proposed   O
treatment   O
plan   O
.   O

Conclusion   O
:   O
Carroll   B-NAME
's   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
managed   O
with   O
timely   O
surgical   O
intervention   O
.   O

Secondary   O
Contact   O
:   O
Name   O
:   O
txs650   B-NAME
Relationship   O
to   O
Patient   O
:   O

Relative   O
Phone   O
Number   O
:   O
907   B-CONTACT
-   I-CONTACT
1302   I-CONTACT
End   O
of   O
Report   O

Patient   O
Name   O
:   O
Julio   B-NAME
Reid   I-NAME
Patient   O
ID   O
:   O
747464788   B-ID
Medical   O
Record   O
No   O
.   O
:   O
90326488   B-ID
Date   O
of   O
Birth   O
:   O
01/20/82   B-DATE
Age   O
:   O
10   O
Phone   O
:   O
430   B-CONTACT
-   I-CONTACT
5194   I-CONTACT
Address   O
:   O
Monroe   B-LOCATION
City   I-LOCATION
,   O
68549   B-LOCATION
Occupation   O
:   O
Computer   O
and   O
Information   O
Research   O
Scientists   O
Primary   O
Care   O
Physician   O
:   O

Hebert   B-NAME
Hospital   O
:   O
Inspira   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Elmer   I-LOCATION
Chief   O
Complaint   O
:   O
Hartman   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Manitowoc   I-LOCATION
County   I-LOCATION
on   O
2120   B-DATE
-   I-DATE
37   I-DATE
-   I-DATE
29   I-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
profuse   O
sweating   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Khouron   B-NAME
,   O
a   O
Detectives   O
and   O
Criminal   O
Investigators   O
from   O
Larkin   B-LOCATION
Valley   I-LOCATION
,   O
noted   O
the   O
onset   O
of   O
sharp   O
,   O
substernal   O
chest   O
pain   O
while   O
at   O
work   O
.   O

Shortness   O
of   O
breath   O
and   O
diaphoresis   O
were   O
also   O
reported   O
,   O
with   O
no   O
significant   O
relief   O
from   O
rest   O
or   O
sublingual   O
nitroglycerin   O
which   O
Acosta   B-NAME
had   O
on   O
hand   O
.   O

Past   O
Medical   O
History   O
:   O
Greta   B-NAME
Gilbert   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Social   O
History   O
:   O
Quinten   B-NAME
James   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
moderate   O
alcohol   O
use   O
.   O

Graham   B-NAME
Francis   I-NAME
works   O
as   O
a   O
Tax   O
Preparers   O
and   O
lives   O
in   O
Millcreek   B-LOCATION
.   O

Leonel   B-NAME
Lin   I-NAME
denies   O
fever   O
,   O
cough   O
,   O
abdominal   O
pain   O
,   O
or   O
recent   O
travel   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Anthony   B-NAME
Burton   I-NAME
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Jeremy   B-NAME
Reed   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
drip   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

A   O
cardiology   O
consult   O
was   O
requested   O
,   O
and   O
Lozano   B-NAME
recommended   O
urgent   O
cardiac   O
catheterization   O
.   O

Nuvia   B-NAME
Nadeau   I-NAME
gave   O
informed   O
consent   O
for   O
the   O
procedure   O
,   O
which   O
was   O
performed   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Tampa   I-LOCATION
on   O
8/7   B-DATE
.   O

Disposition   O
:   O
Following   O
the   O
procedure   O
,   O
Vesta   B-NAME
Radice   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
.   O

The   O
post   O
-   O
procedure   O
course   O
was   O
uneventful   O
,   O
and   O
German   B-NAME
Jarvis   I-NAME
was   O
discharged   O
on   O
00/13/31   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Payne   B-NAME
and   O
a   O
local   O
cardiologist   O
in   O
24   B-LOCATION
Windsor   I-LOCATION
Road   I-LOCATION
.   O

Instructions   O
upon   O
Discharge   O
:   O
Cassie   B-NAME
Mullen   I-NAME
was   O
advised   O
to   O
adhere   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
,   O
continue   O
medications   O
as   O
prescribed   O
,   O
and   O
follow   O
a   O
heart   O
-   O
healthy   O
diet   O
.   O

Further   O
,   O
Julie   B-NAME
Fraser   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
regular   O
follow   O
-   O
up   O
visits   O
to   O
monitor   O
cardiac   O
health   O
and   O
adjustments   O
to   O
medication   O
as   O
needed   O
.   O

Equanimal   B-LOCATION
will   O
conduct   O
a   O
follow   O
-   O
up   O
call   O
in   O
one   O
week   O
to   O
check   O
on   O
Kiersten   B-NAME
Jarvis   I-NAME
's   O
progress   O
.   O

For   O
any   O
questions   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Handy   B-NAME
,   I-NAME
W.   I-NAME
C.   I-NAME
was   O
instructed   O
to   O
contact   O
Our   B-LOCATION
Lady   I-LOCATION
Of   I-LOCATION
Victory   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Lackawanna   I-LOCATION
's   O
cardiology   O
department   O
at   O
623   B-CONTACT
-   I-CONTACT
2537   I-CONTACT
.   O

Patient   O
Name   O
:   O
Kennedy   B-NAME
Simpson   I-NAME
Patient   O
ID   O
:   O
IM627/1658   B-ID
Medical   O
Record   O
Number   O
:   O
82290034   B-ID
Date   O
of   O
Birth   O
:   O
2326   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
25   I-DATE
Age   O
:   O
58   O
Address   O
:   O
Hardy   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Hardy   I-LOCATION
,   O
13454   B-LOCATION
Phone   O
Number   O
:   O
921   B-CONTACT
-   I-CONTACT
622   I-CONTACT
9689   I-CONTACT
Employment   O
:   O
Social   O
Workers   O
,   O
All   O
Other   O
at   O
Linux   B-LOCATION
Users   I-LOCATION
'   I-LOCATION
Group   I-LOCATION
of   I-LOCATION
Davis   I-LOCATION
Admitting   O
Physician   O
:   O

Saniyah   B-NAME
Schroeder   I-NAME
Hospital   O
:   O

Fort   B-LOCATION
Madison   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
00/28   B-DATE
Date   O
of   O
Discharge   O
:   O
9/2270   B-DATE
Clinical   O
Summary   O
:   O
Jacoby   B-NAME
Gross   I-NAME
,   O
a   O
93   O
-   O
year   O
-   O
old   O
Nurse   O
Practitioners   O
employed   O
at   O
Chinese   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
Beijing   I-LOCATION
)   I-LOCATION
(   I-LOCATION
CCS   I-LOCATION
)   I-LOCATION
,   O
presented   O
to   O
Lilypad   B-LOCATION
Gardens   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
history   O
of   O
chronic   O
hypertension   O
and   O
was   O
admitted   O
on   O
4   B-DATE
-   I-DATE
2   I-DATE
after   O
experiencing   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

The   O
admitting   O
physician   O
,   O
Todd   B-NAME
,   O
noted   O
the   O
patient   O
's   O
reported   O
symptoms   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
at   O
their   O
residence   O
in   O
Lebanon   B-LOCATION
,   O
42290   B-LOCATION
.   O

Upon   O
examination   O
,   O
Jaylin   B-NAME
Lindsey   I-NAME
exhibited   O
elevated   O
blood   O
pressure   O
readings   O
,   O
tachycardia   O
,   O
and   O
an   O
irregular   O
heartbeat   O
.   O

ECG   O
performed   O
on   O
20/32   B-DATE
showed   O
signs   O
consistent   O
with   O
an   O
acute   O
myocardial   O
infarction   O
.   O

Suarez   B-NAME
was   O
immediately   O
started   O
on   O
a   O
regimen   O
of   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
to   O
manage   O
the   O
condition   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Royce   B-NAME
Farmer   I-NAME
was   O
closely   O
monitored   O
for   O
potential   O
complications   O
.   O

Ba   B-NAME
Jin   I-NAME
was   O
also   O
advised   O
to   O
schedule   O
follow   O
-   O
up   O
appointments   O
with   O
Boston   B-NAME
Larson   I-NAME
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Paducah   I-LOCATION
for   O
continuous   O
monitoring   O
of   O
their   O
cardiac   O
health   O
.   O

Summary   O
prepared   O
by   O
:   O
Username   O
:   O
HL482   B-NAME
Contact   O
Information   O
:   O
575   B-CONTACT
1713   I-CONTACT

Patient   O
Name   O
:   O
Patrick   B-NAME
Campos   I-NAME
Patient   O
ID   O
:   O
RF   B-ID
:   I-ID
JX:2313   I-ID
Medical   O
Record   O
Number   O
:   O
219   B-ID
-   I-ID
81   I-ID
-   I-ID
45   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
02/27   B-DATE
Age   O
:   O
51   O
Address   O
:   O
Seneca   B-LOCATION
,   O
48092   B-LOCATION
Phone   O
Number   O
:   O
470   B-CONTACT
2512   I-CONTACT
Employment   O
:   O
Transportation   O
Inspectors   O
at   O
Tricare   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Josiah   B-NAME
Schmidt   I-NAME
Admitting   O
Hospital   O
:   O

North   B-LOCATION
Central   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
0   B-DATE
-   I-DATE
2   I-DATE
Username   O
for   O
Portal   O
Login   O
:   O
of10110   B-NAME
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Edward   B-NAME
Randolph   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Hanover   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Hanover   I-LOCATION
on   O
24/32   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
notably   O
centered   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Saint   B-NAME
-   I-NAME
Exupéry   I-NAME
,   I-NAME
Antoine   I-NAME
de   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
mild   O
fever   O
,   O
and   O
chills   O
.   O

Aleena   B-NAME
Powell   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Advertising   O
copywriter   O
at   O
Chinese   B-LOCATION
-   I-LOCATION
American   I-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
and   O
lives   O
in   O
Glen   B-LOCATION
Head   I-LOCATION
,   O
14260   B-LOCATION
.   O

Upon   O
examination   O
,   O
Kelli   B-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
a   O
body   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
at   O
130/85   O
mm   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Boretz   B-NAME
,   I-NAME
Benjamin   I-NAME
,   O
which   O
highlighted   O
leukocytosis   O
with   O
a   O
left   O
shift   O
,   O
further   O
supporting   O
the   O
suspicion   O
of   O
an   O
acute   O
inflammatory   O
process   O
.   O

Imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
followed   O
by   O
a   O
confirmatory   O
CT   O
scan   O
,   O
was   O
performed   O
at   O
Great   B-LOCATION
River   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
and   O
it   O
showed   O
an   O
enlarged   O
appendix   O
with   O
the   O
presence   O
of   O
an   O
appendicolith   O
,   O
confirming   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
any   O
complications   O
like   O
perforation   O
or   O
abscess   O
formation   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
surgical   O
intervention   O
was   O
recommended   O
by   O
Shaw   B-NAME
.   O

Mulis   B-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
02/28   B-DATE
.   O

Daniela   B-NAME
Garrison   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
outpatient   O
services   O
for   O
wound   O
care   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
any   O
secondary   O
infections   O
.   O

17/32/51   B-DATE
,   O
Bill   B-NAME
Capa   I-NAME
was   O
discharged   O
with   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
Carpenter   B-NAME
for   O
wound   O
assessment   O
and   O
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

For   O
any   O
further   O
queries   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Katz   B-NAME
,   I-NAME
Jonathan   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
Corbin   I-LOCATION
,   O
74327   B-CONTACT
.   O

This   O
summarized   O
report   O
is   O
based   O
on   O
the   O
medical   O
records   O
provided   O
by   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
the   O
clinical   O
observations   O
noted   O
by   O
the   O
attending   O
physician   O
,   O
Salome   B-NAME
Maedke   I-NAME
.   O

Further   O
information   O
or   O
updates   O
on   O
Mckinley   B-NAME
Whitney   I-NAME
's   O
medical   O
status   O
will   O
be   O
documented   O
in   O
subsequent   O
medical   O
records   O
and   O
communicated   O
as   O
necessary   O
.   O

Patient   O
Name   O
:   O
Mckenna   B-NAME
Wheeler   I-NAME
Patient   O
Age   O
:   O
60   O
Patient   O
ID   O
:   O
24094   B-ID
Medical   O
Record   O
Number   O
:   O
7134006   B-ID
Date   O
of   O
Visit   O
:   O
4/02/31   B-DATE
Attending   O
Doctor   O
:   O
Courtney   B-NAME
Villegas   I-NAME
Location   O
:   O
Gibson   B-LOCATION
Flats   I-LOCATION
Zip   O
Code   O
:   O
29441   B-LOCATION
Contact   O
Number   O
:   O
61958   B-CONTACT
Employment   O
:   O
Weatherization   O
Installers   O
and   O
Technicians   O
Referred   O
by   O
:   O
Cruelty   B-LOCATION
Free   I-LOCATION
International   I-LOCATION
Clinical   O
Summary   O
:   O
Braun   B-NAME
,   O
a   O
5   O
-   O
year   O
-   O
old   O
Painters   O
and   O
Illustrators   O
residing   O
in   O
Arcadia   B-LOCATION
Lakes   I-LOCATION
,   O
13953   B-LOCATION
,   O
presented   O
to   O
Hudson   B-LOCATION
County   I-LOCATION
Meadowview   I-LOCATION
Hospital   I-LOCATION
on   O
28/13   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
few   O
days   O
.   O

Swinburne   B-NAME
,   I-NAME
Charles   I-NAME
Algernon   I-NAME
was   O
initially   O
evaluated   O
by   O
Lily   B-NAME
Odom   I-NAME
who   O
noted   O
that   O
the   O
patient   O
appeared   O
visibly   O
dyspneic   O
and   O
in   O
distress   O
.   O

Upon   O
physical   O
examination   O
,   O
Nobles   B-NAME
's   O
temperature   O
was   O
recorded   O
at   O
39.2   O
°   O
C   O
.   O

Rich   B-NAME
recommended   O
a   O
chest   O
X   O
-   O
ray   O
,   O
which   O
demonstrated   O
patchy   O
infiltrates   O
in   O
the   O
lower   O
lobes   O
bilaterally   O
,   O
further   O
supporting   O
the   O
diagnosis   O
of   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Given   O
Gonzalez   B-NAME
's   O
occupational   O
history   O
as   O
a   O
Funeral   O
Directors   O
with   O
potential   O
environmental   O
exposures   O
,   O
and   O
based   O
on   O
the   O
clinical   O
findings   O
,   O
Elisa   B-NAME
Peters   I-NAME
advised   O
admission   O
for   O
intravenous   O
antibiotics   O
and   O
supportive   O
care   O
.   O

Huynh   B-NAME
was   O
given   O
instructions   O
to   O
maintain   O
isolation   O
procedures   O
to   O
prevent   O
the   O
potential   O
spread   O
of   O
infection   O
and   O
was   O
scheduled   O
for   O
follow   O
-   O
up   O
after   O
discharge   O
.   O

The   O
contact   O
number   O
provided   O
for   O
follow   O
-   O
up   O
queries   O
was   O
445   B-CONTACT
7418   I-CONTACT
.   O

Throughout   O
the   O
treatment   O
period   O
,   O
Ramón   B-NAME
Madera   I-NAME
's   O
progress   O
was   O
monitored   O
closely   O
,   O
showing   O
gradual   O
improvement   O
in   O
the   O
respiratory   O
symptoms   O
and   O
general   O
well   O
-   O
being   O
.   O

The   O
plan   O
is   O
to   O
reassess   O
KATZ   B-NAME
,   I-NAME
LAURA   I-NAME
's   O
condition   O
upon   O
discharge   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
based   O
on   O
the   O
clinical   O
response   O
noted   O
during   O
the   O
inpatient   O
stay   O
at   O
Jackson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
inquiries   O
or   O
further   O
discussions   O
regarding   O
the   O
patient   O
's   O
care   O
,   O
please   O
contact   O
Jakayla   B-NAME
Levy   I-NAME
at   O
(   B-CONTACT
771   I-CONTACT
)   I-CONTACT
700   I-CONTACT
3297   I-CONTACT
.   O

Patient   O
Name   O
:   O
Mark   B-NAME
Oconnell   I-NAME
Medical   O
Record   O
Number   O
:   O
837   B-ID
-   I-ID
88   I-ID
-   I-ID
39   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
21/22   B-DATE
Age   O
:   O
10   O
Address   O
:   O
Portis   B-LOCATION
,   O
92664   B-LOCATION
Phone   O
Number   O
:   O
468   B-CONTACT
-   I-CONTACT
933   I-CONTACT
-   I-CONTACT
3873   I-CONTACT
Attending   O
Physician   O
:   O

Villegas   B-NAME
Employer   O
:   O
All   B-LOCATION
India   I-LOCATION
Jute   I-LOCATION
Textile   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
Occupation   O
:   O
Insurance   O
Policy   O
Processing   O
Clerks   O
Hospital   O
:   O
MidState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
30/36   B-DATE
Date   O
of   O
Report   O
:   O
33/32   B-DATE
The   O
patient   O
,   O
Henderson   B-NAME
,   O
a   O
12   O
-   O
year   O
-   O
old   O
Compliance   O
Officers   O
,   O
Except   O
Agriculture   O
,   O
Construction   O
,   O
Health   O
and   O
Safety   O
,   O
and   O
Transportation   O
was   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Jack   B-LOCATION
Hughston   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
7/72   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

An   O
ultrasound   O
followed   O
by   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
recommended   O
by   O
O’Shaughnessy   B-NAME
,   I-NAME
Arthur   I-NAME
,   O
indicating   O
a   O
swollen   O
appendix   O
with   O
surrounding   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Consent   O
was   O
obtained   O
and   O
documented   O
in   O
the   O
medical   O
record   O
0451626   B-ID
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
on   O
1/27/72   B-DATE
at   O
Jackson   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinic   I-LOCATION
,   O
and   O
Buddy   B-NAME
was   O
subsequently   O
monitored   O
postoperatively   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
.   O

Recovery   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
27/35/17   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Potter   B-NAME
for   O
wound   O
assessment   O
and   O
to   O
ensure   O
complete   O
recovery   O
.   O

The   O
discharge   O
summary   O
,   O
along   O
with   O
post   O
-   O
operative   O
care   O
instructions   O
,   O
was   O
provided   O
to   O
the   O
patient   O
and   O
his   O
employer   O
,   O
TeamBank   B-LOCATION
,   I-LOCATION
NA   I-LOCATION
,   O
to   O
facilitate   O
any   O
needed   O
accommodations   O
upon   O
return   O
to   O
work   O
.   O

Contact   O
information   O
provided   O
for   O
any   O
further   O
questions   O
or   O
concerns   O
included   O
the   O
direct   O
line   O
to   O
the   O
surgical   O
department   O
at   O
97053   B-CONTACT
and   O
instructions   O
to   O
reach   O
out   O
via   O
the   O
patient   O
portal   O
using   O
the   O
username   O
zfa595   B-NAME
for   O
non   O
-   O
urgent   O
communications   O
.   O

This   O
case   O
of   O
acute   O
appendicitis   O
in   O
Vertie   B-NAME
Rigdon   I-NAME
was   O
managed   O
promptly   O
and   O
effectively   O
,   O
demonstrating   O
the   O
importance   O
of   O
early   O
diagnosis   O
and   O
intervention   O
in   O
preventing   O
complications   O
related   O
to   O
appendicitis   O
.   O

Patient   O
Name   O
:   O
Peter   B-NAME
Leavitt   I-NAME
Patient   O
ID   O
:   O
BE   B-ID
:   I-ID
MB:9292   I-ID
Date   O
of   O
Birth   O
:   O
23/25/62   B-DATE
Age   O
:   O
14   O
Address   O
:   O
Los   B-LOCATION
Veteranos   I-LOCATION
I   I-LOCATION
,   O
99711   B-LOCATION
Phone   O
:   O
298   B-CONTACT
8609   I-CONTACT
Occupation   O
:   O
Probation   O
Officers   O
and   O
Correctional   O
Treatment   O
Specialists   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Kelley   B-NAME
Date   O
of   O
Visit   O
:   O
9/22/00   B-DATE
Medical   O
Record   O
Number   O
:   O
1405896   B-ID
Hospital   O
:   O
Buena   B-LOCATION
Vista   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Referring   O
Physician   O
:   O
Dr.   O
Hanna   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
Carl   B-NAME
Jones   I-NAME
,   O
a   O
Advertising   O
and   O
Promotions   O
Managers   O
by   O
profession   O
,   O
residing   O
in   O
Caruthersville   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
22/39   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
over   O
the   O
past   O
August   B-DATE
09   I-DATE
,   I-DATE
2377   I-DATE
,   O
exacerbated   O
by   O
exertion   O
.   O

140/90   O
mmHg   O
-   O
Heart   O
Rate   O
:   O
98   O
bpm   O
-   O
Respiratory   O
Rate   O
:   O
22   O
breaths   O
per   O
minute   O
-   O
Temperature   O
:   O
98.6   O
°   O
F   O
-   O
Oxygen   O
Saturation   O
:   O
92   O
%   O
on   O
room   O
air   O
Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Cedric   B-NAME
Parks   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Given   O
the   O
presentation   O
and   O
preliminary   O
findings   O
,   O
Kendal   B-NAME
Munoz   I-NAME
was   O
advised   O
immediate   O
referral   O
to   O
Park   B-LOCATION
Nicollet   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
's   O
Cardiology   O
department   O
for   O
further   O
evaluation   O
,   O
including   O
echocardiography   O
and   O
possibly   O
a   O
stress   O
test   O
.   O

A   O
consultation   O
with   O
Dr.   O
Villanueva   B-NAME
,   O
a   O
known   O
cardiologist   O
,   O
was   O
scheduled   O
for   O
34/33   B-DATE
.   O

Patient   O
Education   O
:   O
Kamren   B-NAME
Manning   I-NAME
was   O
extensively   O
counseled   O
on   O
the   O
importance   O
of   O
managing   O
risk   O
factors   O
for   O
cardiovascular   O
disease   O
,   O
including   O
adherence   O
to   O
medication   O
,   O
dietary   O
changes   O
primarily   O
focusing   O
on   O
a   O
low   O
-   O
sodium   O
and   O
low   O
-   O
cholesterol   O
diet   O
,   O
and   O
regular   O
physical   O
activity   O
.   O

Follow   O
-   O
up   O
:   O
Lynn   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
2/0/2131   B-DATE
to   O
assess   O
response   O
to   O
therapy   O
and   O
to   O
discuss   O
the   O
outcomes   O
of   O
cardiology   O
consult   O
.   O

Contact   O
:   O
Should   O
Kody   B-NAME
Hicks   I-NAME
have   O
any   O
urgent   O
concerns   O
or   O
symptoms   O
,   O
Malachi   B-NAME
Morrison   I-NAME
is   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
41200   B-CONTACT
or   O
go   O
directly   O
to   O
Harlan   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
.   O

Note   O
:   O
Preston   B-NAME
Haas   I-NAME
consented   O
to   O
all   O
the   O
proposed   O
diagnostic   O
work   O
-   O
ups   O
and   O
management   O
plan   O
documented   O
using   O
ifa498   B-NAME
on   O
January   B-DATE
2   I-DATE
.   O

Patient   O
Name   O
:   O
OAKLEY   B-NAME
,   I-NAME
ALBERT   I-NAME
Medical   O
Record   O
Number   O
:   O
3330C31189   B-ID
Date   O
of   O
Birth   O
:   O
23/25/24   B-DATE
Age   O
:   O
10   O
Phone   O
Number   O
:   O
52469   B-CONTACT
Address   O
:   O
Saddlebrooke   B-LOCATION
,   O
26581   B-LOCATION
Employer   O
:   O
United   B-LOCATION
States   I-LOCATION
Submarine   I-LOCATION
Veterans   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
Profession   O
:   O
Woodworkers   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O

Peters   B-NAME
Admission   O
Date   O
:   O
08/28/2270   B-DATE
Hospital   O
:   O
Mount   B-LOCATION
Sinai   I-LOCATION
West   I-LOCATION
Medical   O
History   O
:   O

Karsen   B-NAME
presents   O
to   O
the   O
emergency   O
department   O
of   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
2173   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
19   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
dizziness   O
.   O

Aiden   B-NAME
Zamora   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
managed   O
by   O
Gerardo   B-NAME
Leflore   I-NAME
at   O
Emanate   B-LOCATION
Health   I-LOCATION
Inter   I-LOCATION
-   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
farrar   B-NAME
is   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Shawn   B-NAME
Stevens   I-NAME
was   O
diagnosed   O
with   O
an   O
ST   O
-   O
segment   O
Elevation   O
Myocardial   O
Infarction   O
(   O
STEMI   O
)   O
and   O
immediately   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
and   O
was   O
administered   O
intravenous   O
heparin   O
.   O

Due   O
to   O
the   O
severity   O
of   O
the   O
presentation   O
,   O
Elianna   B-NAME
Nunez   I-NAME
was   O
promptly   O
taken   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Post   O
-   O
procedure   O
,   O
Marcelino   B-NAME
Silas   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
.   O

McQuaig   B-NAME
,   I-NAME
Linda   I-NAME
's   O
risk   O
factors   O
,   O
including   O
hypertension   O
and   O
hyperlipidemia   O
,   O
contributed   O
to   O
the   O
development   O
of   O
coronary   O
artery   O
disease   O
,   O
culminating   O
in   O
an   O
acute   O
myocardial   O
infarction   O
.   O

Follow   O
-   O
Up   O
:   O
Robert   B-NAME
Neil   I-NAME
showed   O
improvement   O
in   O
cardiac   O
function   O
and   O
was   O
discharged   O
on   O
3   B-DATE
-   I-DATE
3   I-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
a   O
P2Y12   O
inhibitor   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
an   O
ACE   O
inhibitor   O
,   O
and   O
a   O
statin   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Alani   B-NAME
Gill   I-NAME
at   O
Ascension   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Hospital   I-LOCATION
was   O
scheduled   O
for   O
September   B-DATE
.   O

Harrington   B-NAME
was   O
also   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
at   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Rail   I-LOCATION
,   I-LOCATION
Maritime   I-LOCATION
and   I-LOCATION
Transport   I-LOCATION
Workers   I-LOCATION
located   O
in   O
Winifred   B-LOCATION
.   O

Identification   O
Details   O
:   O
ID   O
:   O
YO   B-ID
:   I-ID
XC:1434   I-ID
User   O
ID   O
:   O
bg254   B-NAME
Primary   O
Care   O
Physician   O
ID   O
:   O
FU:67810:966419   B-ID
Hospital   O
ID   O
:   O
70060496   B-ID
For   O
questions   O
or   O
more   O
information   O
,   O
please   O
contact   O
Murray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
96837   B-CONTACT
.   O

The   O
patient   O
,   O
Fernando   B-NAME
Maxwell   I-NAME
,   O
a   O
77   O
-   O
year   O
-   O
old   O
Insurance   O
Sales   O
Agents   O
from   O
Dunwoody   B-LOCATION
,   O
42277   B-LOCATION
,   O
presented   O
to   O
CHI   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Council   I-LOCATION
Bluffs   I-LOCATION
on   O
F   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

Wilson   B-NAME
,   I-NAME
Brian   I-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
that   O
started   O
around   O
the   O
same   O
time   O
as   O
the   O
other   O
symptoms   O
.   O

Upon   O
examination   O
,   O
Floyd   B-NAME
R   I-NAME
Shaw   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
140/90   O
mmHg   O
,   O
heart   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
38.3   O
°   O
C   O
.   O

Yasmin   B-NAME
Kim   I-NAME
has   O
a   O
medical   O
history   O
of   O
chronic   O
pancreatitis   O
and   O
has   O
been   O
under   O
the   O
care   O
of   O
King   B-NAME
,   I-NAME
William   I-NAME
for   O
management   O
of   O
this   O
condition   O
.   O

Maia   B-NAME
Shepard   I-NAME
's   O
social   O
history   O
includes   O
moderate   O
alcohol   O
use   O
and   O
a   O
smoking   O
habit   O
of   O
10   O
cigarettes   O
a   O
day   O
.   O

Yisroel   B-NAME
F   I-NAME
Cooley   I-NAME
was   O
immediately   O
started   O
on   O
intravenous   O
fluids   O
,   O
pain   O
management   O
,   O
and   O
fasting   O
to   O
rest   O
the   O
pancreas   O
.   O

Throughout   O
the   O
hospitalization   O
period   O
,   O
strict   O
monitoring   O
of   O
Edward   B-NAME
Morbius   I-NAME
's   O
condition   O
was   O
maintained   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Wood   B-NAME
,   O
provided   O
comprehensive   O
care   O
,   O
including   O
nutritional   O
support   O
once   O
Miya   B-NAME
Beasley   I-NAME
was   O
able   O
to   O
tolerate   O
oral   O
intake   O
.   O

The   O
patient   O
's   O
68193860   B-ID
was   O
regularly   O
updated   O
to   O
document   O
the   O
progress   O
and   O
any   O
changes   O
in   O
the   O
treatment   O
plan   O
.   O

Discharge   O
planning   O
began   O
once   O
Sidney   B-NAME
Barrett   I-NAME
showed   O
signs   O
of   O
recovery   O
,   O
with   O
improvement   O
in   O
pain   O
levels   O
and   O
normalization   O
of   O
laboratory   O
values   O
.   O

Rupert   B-NAME
was   O
educated   O
on   O
lifestyle   O
modifications   O
to   O
manage   O
chronic   O
pancreatitis   O
,   O
including   O
dietary   O
changes   O
and   O
cessation   O
of   O
alcohol   O
and   O
smoking   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Addison   B-NAME
,   I-NAME
Joseph   I-NAME
for   O
the   O
coming   O
9/58   B-DATE
,   O
and   O
Amory   B-NAME
was   O
given   O
a   O
direct   O
line   O
,   O
196   B-CONTACT
398   I-CONTACT
-   I-CONTACT
5792   I-CONTACT
,   O
to   O
reach   O
out   O
in   O
case   O
of   O
any   O
emergency   O
or   O
concern   O
.   O

Documentation   O
related   O
to   O
Banks   B-NAME
's   O
hospitalization   O
,   O
including   O
the   O
admission   O
note   O
,   O
progress   O
notes   O
,   O
laboratory   O
results   O
,   O
imaging   O
studies   O
,   O
and   O
discharge   O
summary   O
,   O
was   O
secured   O
in   O
Barbauld   B-NAME
,   I-NAME
Anna   I-NAME
Letitia   I-NAME
's   O
electronic   O
health   O
record   O
(   O
81752729   B-ID
)   O
for   O
future   O
reference   O
.   O

The   O
billing   O
department   O
at   O
Bacharach   B-LOCATION
Institute   I-LOCATION
for   I-LOCATION
Rehabilitation   I-LOCATION
processed   O
the   O
insurance   O
claim   O
using   O
the   O
provided   O
health   O
plan   O
number   O
XS663/6276   B-ID
,   O
ensuring   O
that   O
all   O
services   O
received   O
were   O
accurately   O
accounted   O
for   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Wyatt   B-NAME
Patient   O
ID   O
:   O
PM   B-ID
:   I-ID
YF:1876   I-ID
Medical   O
Record   O
Number   O
:   O
799   B-ID
-   I-ID
02   I-ID
-   I-ID
71   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
33   O
Address   O
:   O
786   B-LOCATION
Willow   I-LOCATION
Dr.   I-LOCATION
,   O
85229   B-LOCATION
Phone   O
Number   O
:   O
34348   B-CONTACT
Employer   O
:   O
Reedy   B-LOCATION
Creek   I-LOCATION
Energy   I-LOCATION
Services   I-LOCATION
Occupation   O
:   O
Leisure   O
centre   O
manager   O
Primary   O
Physician   O
:   O

Jazlene   B-NAME
Vaughn   I-NAME
Hospital   O
:   O
Surgical   B-LOCATION
Specialty   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Coordinated   I-LOCATION
Health   I-LOCATION
Summary   O
of   O
Visit   O
:   O
Lien   B-NAME
Dotstry   I-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
Social   O
Scientists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
presented   O
to   O
Ohio   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
22   B-DATE
-   I-DATE
33   I-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
and   O
intermittent   O
palpitations   O
that   O
began   O
approximately   O
two   O
weeks   O
prior   O
.   O

Munch   B-NAME
,   I-NAME
Edvard   I-NAME
denied   O
any   O
recent   O
history   O
of   O
injury   O
or   O
trauma   O
to   O
the   O
chest   O
.   O

Kyleigh   B-NAME
Conner   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
dizziness   O
and   O
near   O
-   O
syncope   O
,   O
particularly   O
during   O
episodes   O
of   O
palpitations   O
.   O

Physical   O
examination   O
by   O
Hancock   B-NAME
revealed   O
mild   O
bilateral   O
pedal   O
edema   O
,   O
but   O
no   O
cyanosis   O
or   O
clubbing   O
of   O
the   O
fingers   O
.   O

Given   O
the   O
presentation   O
and   O
initial   O
findings   O
,   O
Alden   B-NAME
Glass   I-NAME
recommended   O
admission   O
for   O
further   O
evaluation   O
and   O
management   O
,   O
including   O
potential   O
anticoagulation   O
for   O
newly   O
diagnosed   O
atrial   O
fibrillation   O
,   O
echocardiography   O
to   O
assess   O
for   O
any   O
structural   O
heart   O
disease   O
,   O
and   O
a   O
more   O
detailed   O
assessment   O
for   O
potential   O
pulmonary   O
embolism   O
given   O
the   O
elevated   O
D   O
-   O
dimer   O
level   O
.   O

The   O
care   O
team   O
,   O
coordinated   O
by   O
Gaye   B-NAME
,   I-NAME
Marvin   I-NAME
at   O
Virginia   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
,   O
developed   O
a   O
medical   O
management   O
plan   O
focusing   O
on   O
rate   O
control   O
,   O
anticoagulation   O
initiation   O
,   O
and   O
diagnostic   O
imaging   O
to   O
further   O
elucidate   O
the   O
cause   O
of   O
Barr   B-NAME
's   O
symptoms   O
.   O

The   O
patient   O
's   O
condition   O
was   O
closely   O
monitored   O
,   O
with   O
regular   O
follow   O
-   O
ups   O
scheduled   O
with   O
Lithonius   B-NAME
Niau   I-NAME
and   O
specialists   O
as   O
needed   O
.   O

Follow   O
-   O
Up   O
:   O
Louis   B-NAME
Byrd   I-NAME
is   O
scheduled   O
for   O
follow   O
-   O
up   O
appointments   O
with   O
Theodore   B-NAME
Sanders   I-NAME
in   O
White   B-LOCATION
Marsh   I-LOCATION
on   O
03/22   B-DATE
to   O
review   O
the   O
results   O
of   O
the   O
ongoing   O
diagnostic   O
tests   O
and   O
to   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Delora   B-NAME
Bricker   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
to   O
return   O
to   O
Melrose   B-LOCATION
-   I-LOCATION
Wakefield   I-LOCATION
Hospital   I-LOCATION
or   O
call   O
(   B-CONTACT
523   I-CONTACT
)   I-CONTACT
686   I-CONTACT
-   I-CONTACT
2830   I-CONTACT
if   O
symptoms   O
worsen   O
or   O
if   O
new   O
symptoms   O
develop   O
.   O

Trent   B-NAME
Markham   I-NAME
Patient   O
ID   O
:   O
UQ943/9620   B-ID
Date   O
of   O
Birth   O
:   O
12/15   B-DATE
Medical   O
Record   O
Number   O
:   O
079   B-ID
-   I-ID
19   I-ID
-   I-ID
38   I-ID
-   I-ID
8   I-ID
Address   O
:   O
Orland   B-LOCATION
Park   I-LOCATION
,   O
15390   B-LOCATION
Phone   O
:   O
(   B-CONTACT
722   I-CONTACT
)   I-CONTACT
206   I-CONTACT
8016   I-CONTACT

Avah   B-NAME
Watts   I-NAME
Hospital   O
:   O
Ellett   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/20   B-DATE
Date   O
of   O
Report   O
:   O
2388   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
20   I-DATE
Clinical   O
Summary   O
:   O
Maren   B-NAME
Miller   I-NAME
,   O
a   O
92   O
-   O
year   O
-   O
old   O
Fishers   O
and   O
Related   O
Fishing   O
Workers   O
from   O
Taft   B-LOCATION
Southwest   I-LOCATION
,   O
presented   O
to   O
Virtua   B-LOCATION
Berlin   I-LOCATION
emergency   O
department   O
on   O
5/26   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
that   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Tsalie   B-NAME
Palmios   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
ingestion   O
,   O
or   O
prior   O
similar   O
episodes   O
.   O

Upon   O
physical   O
examination   O
,   O
McCain   B-NAME
,   I-NAME
John   I-NAME
exhibited   O
signs   O
of   O
abdominal   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Consultation   O
with   O
Dr.   O
Fletcher   B-NAME
of   O
the   O
General   O
Surgery   O
team   O
was   O
requested   O
,   O
who   O
recommended   O
an   O
urgent   O
surgical   O
evaluation   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Wilson   B-NAME
and   O
underwent   O
laparoscopic   O
appendectomy   O
on   O
June   B-DATE
6   I-DATE
,   I-DATE
2181   I-DATE
.   O

Aletha   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
started   O
on   O
intravenous   O
antibiotics   O
as   O
per   O
the   O
surgery   O
team   O
's   O
recommendations   O
.   O

Jeremiah   B-NAME
Mccowen   I-NAME
demonstrated   O
a   O
steady   O
recovery   O
with   O
a   O
significant   O
reduction   O
in   O
abdominal   O
pain   O
and   O
normalization   O
of   O
leukocyte   O
count   O
.   O

Dania   B-NAME
White   I-NAME
was   O
discharged   O
on   O
1902   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modifications   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Mills   B-NAME
at   O
AdventHealth   B-LOCATION
Palm   I-LOCATION
Coast   I-LOCATION
for   O
postoperative   O
evaluation   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Othello   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
357   B-CONTACT
9244   I-CONTACT
in   O
case   O
of   O
any   O
signs   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
other   O
concerns   O
.   O

Oberst   B-NAME
,   I-NAME
Conor   I-NAME
's   O
prognosis   O
is   O
excellent   O
with   O
adherence   O
to   O
postoperative   O
care   O
instructions   O
.   O

Username   O
of   O
report   O
preparer   O
:   O
aht36   B-NAME
Report   O
Number   O
:   O
866   B-ID
-   I-ID
63   I-ID
-   I-ID
68   I-ID
-   I-ID
8   I-ID

Vance   B-NAME
Armstrong   I-NAME
Date   O
of   O
Birth   O
:   O
20   B-DATE
Feb   I-DATE
2365   I-DATE
Patient   O
ID   O
:   O
172743   B-ID
Medical   O
Record   O
Number   O
:   O
9285S39459   B-ID
Address   O
:   O
Sand   B-LOCATION
Rock   I-LOCATION
,   O
86158   B-LOCATION
Phone   O
Number   O
:   O
116   B-CONTACT
-   I-CONTACT
9288   I-CONTACT
Employment   O
:   O
Custom   O
Tailors   O
at   O
Southern   B-LOCATION
Minnesota   I-LOCATION
Municipal   I-LOCATION
Power   I-LOCATION
Agency   I-LOCATION

Lydia   B-NAME
Shaffer   I-NAME
Hospital   O
Admitted   O
:   O
Valley   B-LOCATION
Forge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
23/20/32   B-DATE
Username   O
for   O
Hospital   O
Portal   O
:   O
war6810   B-NAME
Chief   O
Complaint   O
:   O
Korbin   B-NAME
Duran   I-NAME
,   O
a   O
11   O
month   O
-   O
year   O
-   O
old   O
Machine   O
Feeders   O
and   O
Offbearers   O
,   O
presented   O
to   O
Middle   B-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1755   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Robinson   B-NAME
,   I-NAME
Spider   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
and   O
a   O
lack   O
of   O
appetite   O
.   O

Jessup   B-NAME
initially   O
noticed   O
a   O
mild   O
discomfort   O
after   O
eating   O
,   O
which   O
evolved   O
into   O
sharp   O
,   O
localized   O
pain   O
by   O
the   O
following   O
day   O
.   O

Past   O
Medical   O
History   O
:   O
Craig   B-NAME
Holland   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
history   O
of   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
chief   O
complaint   O
,   O
Crystal   B-NAME
Allison   I-NAME
denies   O
any   O
other   O
gastrointestinal   O
symptoms   O
such   O
as   O
diarrhea   O
,   O
constipation   O
,   O
or   O
blood   O
in   O
stool   O
.   O

On   O
examination   O
,   O
Kerr   B-NAME
was   O
afebrile   O
with   O
a   O
temperature   O
of   O
98.7   O
°   O
F   O
,   O
heart   O
rate   O
of   O
88   O
bpm   O
,   O
and   O
blood   O
pressure   O
of   O
142/89   O
mmHg   O
.   O

Emmett   B-NAME
Brady   I-NAME
was   O
promptly   O
scheduled   O
for   O
a   O
diagnostic   O
laparoscopy   O
by   O
Chasity   B-NAME
Mathews   I-NAME
.   O

Treatment   O
Course   O
:   O
Liam   B-NAME
Mcmahon   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
on   O
21/13   B-DATE
without   O
complications   O
.   O

Antibiotics   O
were   O
administered   O
post   O
-   O
operatively   O
,   O
and   O
Uriel   B-NAME
Hendricks   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
activity   O
restrictions   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
23/02   B-DATE
with   O
follow   O
-   O
up   O
instructions   O
.   O

Recommendations   O
:   O
Makenzie   B-NAME
Kim   I-NAME
has   O
been   O
advised   O
to   O
follow   O
a   O
soft   O
diet   O
for   O
the   O
initial   O
post   O
-   O
operative   O
week   O
,   O
gradually   O
resuming   O
normal   O
diet   O
thereafter   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Frida   B-NAME
Tanner   I-NAME
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Ann   I-LOCATION
Arbor   I-LOCATION
is   O
scheduled   O
for   O
7/31   B-DATE
to   O
assess   O
recovery   O
progress   O
and   O
wound   O
healing   O
.   O

Signed   O
,   O
Zara   B-NAME
Rodriguez   I-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kelsey   B-NAME
Proctor   I-NAME
Patient   O
ID   O
:   O
NF   B-ID
:   I-ID
GY:7399   I-ID
Date   O
of   O
Birth   O
:   O
79   O
Medical   O
Record   O
Number   O
:   O
992   B-ID
-   I-ID
10   I-ID
-   I-ID
29   I-ID
-   I-ID
8   I-ID
Contact   O
Number   O
:   O
65637   B-CONTACT
Address   O
:   O
Saguache   B-LOCATION
,   O
46954   B-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Bruce   B-NAME
Cherry   I-NAME
,   O
a   O
Advertising   O
account   O
executive   O
from   O
190   B-LOCATION
Lexington   I-LOCATION
St.   I-LOCATION
,   O
presented   O
to   O
Carilion   B-LOCATION
Giles   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2/98   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

Concepcion   B-NAME
Duby   I-NAME
also   O
reports   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

Past   O
Medical   O
History   O
:   O
Duncan   B-NAME
Conway   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
on   O
1625   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
25   I-DATE
,   O
Spencer   B-NAME
Truman   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
.   O

Consultation   O
:   O
Referred   O
to   O
Braylen   B-NAME
Garrison   I-NAME
,   O
a   O
neurologist   O
at   O
Benefis   B-LOCATION
Hospitals   I-LOCATION
,   O
for   O
further   O
evaluation   O
and   O
management   O
if   O
symptoms   O
do   O
not   O
improve   O
with   O
initial   O
treatment   O
.   O

Remarks   O
:   O
Jazlyn   B-NAME
Yates   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
headache   O
triggers   O
and   O
to   O
monitor   O
blood   O
glucose   O
levels   O
regularly   O
owing   O
to   O
their   O
diabetic   O
status   O
.   O

Salgado   B-NAME
was   O
encouraged   O
to   O
contact   O
OhioHealth   B-LOCATION
Mansfield   I-LOCATION
Hospital   I-LOCATION
at   O
551   B-CONTACT
2056   I-CONTACT
for   O
any   O
queries   O
or   O
if   O
there   O
was   O
any   O
worsening   O
of   O
symptoms   O
.   O

The   O
report   O
was   O
prepared   O
by   O
EU884   B-NAME
on   O
January   B-DATE
6   I-DATE
and   O
stored   O
in   O
Direct   B-LOCATION
Energy   I-LOCATION
's   O
health   O
records   O
system   O
for   O
future   O
reference   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kennedy   B-NAME
Morse   I-NAME
Patient   O
Age   O
:   O
9   O
week   O
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
8041841   I-ID
Medical   O
Record   O
Number   O
:   O
5905043   B-ID
Date   O
of   O
Visit   O
:   O
14/21/2225   B-DATE
Location   O
of   O
Visit   O
:   O
Lakeland   B-LOCATION
,   O
28620   B-LOCATION

Contact   O
Number   O
:   O
996   B-CONTACT
5436   I-CONTACT

Derick   B-NAME
Hull   I-NAME
Referring   O
Organization   O
:   O

Merrimac   B-LOCATION
Light   I-LOCATION
and   I-LOCATION
Water   I-LOCATION
Department   I-LOCATION
Employment   O
:   O
Press   O
and   O
Press   O
Brake   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
Username   O
:   O
ada61   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
Brennen   B-NAME
Horne   I-NAME
,   O
a   O
50   O
-   O
year   O
-   O
old   O
Computer   O
Software   O
Engineers   O
,   O
Applications   O
from   O
Taylorsville   B-LOCATION
,   I-LOCATION
Taylorsville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
presented   O
to   O
Davis   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
on   O
0/30   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
of   O
severe   O
headache   O
,   O
photophobia   O
,   O
and   O
neck   O
stiffness   O
.   O

Tsalie   B-NAME
Grim   I-NAME
described   O
the   O
headache   O
as   O
the   O
worst   O
headache   O
of   O
life   O
,   O
which   O
started   O
abruptly   O
about   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Sartak   B-NAME
Degunya   I-NAME
reported   O
associated   O
nausea   O
,   O
vomiting   O
,   O
and   O
dizziness   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Florence   B-NAME
Heather   I-NAME
Gil   I-NAME
was   O
found   O
to   O
be   O
alert   O
but   O
in   O
distress   O
due   O
to   O
the   O
headache   O
.   O

Management   O
and   O
Outcome   O
:   O
Lara   B-NAME
was   O
admitted   O
to   O
the   O
infectious   O
disease   O
ward   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Campus   I-LOCATION
under   O
the   O
care   O
of   O
Ramsey   B-NAME
for   O
the   O
management   O
of   O
suspected   O
bacterial   O
meningitis   O
.   O

Suzann   B-NAME
Sison   I-NAME
was   O
placed   O
in   O
a   O
dark   O
,   O
quiet   O
room   O
to   O
alleviate   O
photophobia   O
and   O
was   O
given   O
analgesia   O
for   O
headache   O
relief   O
.   O

As   O
of   O
33/2   B-DATE
,   O
Neal   B-NAME
's   O
condition   O
has   O
shown   O
significant   O
improvement   O
with   O
the   O
targeted   O
antibiotic   O
therapy   O
.   O

Sidney   B-NAME
Stephenson   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
outpatient   O
department   O
in   O
one   O
week   O
to   O
reassess   O
the   O
symptoms   O
and   O
to   O
adjust   O
or   O
discontinue   O
the   O
antibiotic   O
regimen   O
based   O
on   O
the   O
final   O
culture   O
results   O
and   O
clinical   O
improvement   O
.   O

Additional   O
Recommendations   O
:   O
Chaz   B-NAME
Stanley   I-NAME
is   O
advised   O
to   O
stay   O
hydrated   O
,   O
maintain   O
a   O
balanced   O
diet   O
,   O
and   O
avoid   O
strenuous   O
activities   O
until   O
full   O
recovery   O
is   O
achieved   O
.   O

Close   O
contact   O
monitoring   O
for   O
Breanna   B-NAME
Cummings   I-NAME
's   O
immediate   O
family   O
members   O
is   O
recommended   O
considering   O
the   O
initial   O
presentation   O
suggestive   O
of   O
a   O
communicable   O
disease   O
.   O

Conclusion   O
:   O
Aron   B-NAME
Chung   I-NAME
's   O
timely   O
presentation   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
Newburgh   I-LOCATION
Campus   I-LOCATION
and   O
the   O
immediate   O
initiation   O
of   O
broad   O
-   O
spectrum   O
antimicrobial   O
therapy   O
were   O
crucial   O
in   O
managing   O
the   O
suspected   O
bacterial   O
meningitis   O
.   O

Prepared   O
by   O
:   O
Mcfarland   B-NAME
Reviewed   O
by   O
:   O
Baldwin   B-NAME

Patient   O
Name   O
:   O
Tristen   B-NAME
Maynard   I-NAME
Patient   O
ID   O
:   O
JK   B-ID
:   I-ID
HW:7473   I-ID
Date   O
of   O
Birth   O
:   O
4/27   B-DATE
Age   O
:   O
7   O
Address   O
:   O
Canon   B-LOCATION
City   I-LOCATION
,   O
72683   B-LOCATION
Phone   O
Number   O
:   O
344   B-CONTACT
-   I-CONTACT
8931   I-CONTACT
Occupation   O
:   O
Managers   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O

Yates   B-NAME
Hospital   O
:   O

St   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
19024299   B-ID
Username   O
for   O
Hospital   O
Portal   O
:   O
JD745   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
Freund   B-NAME
,   I-NAME
Peter   I-NAME
presented   O
to   O
Triumph   B-LOCATION
the   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Rome   I-LOCATION
on   O
2179   B-DATE
-   I-DATE
38   I-DATE
-   I-DATE
31   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Myrtie   B-NAME
Mordino   I-NAME
also   O
reported   O
experiences   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
was   O
noted   O
,   O
with   O
a   O
temperature   O
recorded   O
at   O
38.5   O
°   O
C   O
upon   O
arrival   O
.   O

In   O
addition   O
to   O
the   O
above   O
,   O
Angel   B-NAME
Smith   I-NAME
reported   O
no   O
recent   O
travels   O
outside   O
of   O
Pine   B-LOCATION
Knoll   I-LOCATION
Shores   I-LOCATION
nor   O
any   O
sick   O
contacts   O
.   O

Upon   O
examination   O
,   O
Clodius   B-NAME
Albinus   I-NAME
was   O
found   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Tanya   B-NAME
Barrera   I-NAME
was   O
admitted   O
to   O
Ness   B-LOCATION
County   I-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
No.2   I-LOCATION
–   I-LOCATION
Ness   I-LOCATION
City   I-LOCATION
surgical   O
unit   O
for   O
further   O
evaluation   O
.   O

Surgical   O
consultation   O
with   O
Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
F.   I-NAME
was   O
requested   O
immediately   O
to   O
evaluate   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Follow   O
Up   O
:   O
Ogi   B-NAME
,   I-NAME
Adolf   I-NAME
is   O
scheduled   O
to   O
have   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgical   O
outpatient   O
department   O
two   O
weeks   O
post   O
-   O
discharge   O
for   O
wound   O
inspection   O
and   O
to   O
assess   O
recovery   O
progress   O
.   O

Informed   O
Consent   O
:   O
Informed   O
consent   O
was   O
obtained   O
from   O
Iyer   B-NAME
for   O
the   O
surgical   O
procedure   O
after   O
a   O
detailed   O
discussion   O
regarding   O
the   O
possible   O
risks   O
and   O
benefits   O
.   O

Privacy   O
Information   O
:   O
All   O
personal   O
and   O
health   O
information   O
including   O
but   O
not   O
limited   O
to   O
Carey   B-NAME
's   O
name   O
,   O
SG:64122:129938   B-ID
,   O
(   B-CONTACT
699   I-CONTACT
)   I-CONTACT
784   I-CONTACT
-   I-CONTACT
9660   I-CONTACT
,   O
and   O
medical   O
history   O
(   O
2224911   B-ID
)   O
is   O
strictly   O
confidential   O
and   O
protected   O
under   O
the   O
health   O
privacy   O
laws   O
of   O
Tampa   B-LOCATION
.   O

For   O
further   O
inquiries   O
or   O
assistance   O
,   O
please   O
contact   O
Norton   B-LOCATION
Hospital   I-LOCATION
support   O
at   O
599   B-CONTACT
-   I-CONTACT
5506   I-CONTACT
.   O

Patient   O
Report   O
for   O
Abbie   B-NAME
Daniels   I-NAME
1/20/57   B-DATE
/2023   O
Patient   O
ID   O
:   O
VF:85312:270283   B-ID
Medical   O
Record   O
Number   O
:   O
552   B-ID
-   I-ID
68   I-ID
-   I-ID
34   I-ID
-   I-ID
8   I-ID
Age   O
:   O
3   O
Location   O
:   O
Pleasant   B-LOCATION
Valley   I-LOCATION
,   O
80937   B-LOCATION
History   O
of   O
Present   O
Illness   O
:   O

Erin   B-NAME
f   I-NAME
Aquino   I-NAME
,   O
a   O
Extruding   O
,   O
Forming   O
,   O
Pressing   O
,   O
and   O
Compacting   O
Machine   O
Operators   O
and   O
Tenders   O
with   O
no   O
known   O
history   O
of   O
chronic   O
diseases   O
,   O
presented   O
to   O
CentraState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
on   O
12/32   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
,   O
severe   O
lower   O
abdominal   O
pain   O
that   O
commenced   O
early   O
in   O
the   O
morning   O
.   O

Rylee   B-NAME
Young   I-NAME
noted   O
that   O
the   O
pain   O
exacerbated   O
upon   O
movement   O
and   O
was   O
slightly   O
relieved   O
by   O
lying   O
in   O
a   O
fetal   O
position   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Ferne   B-NAME
Newhart   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
complete   O
blood   O
count   O
was   O
ordered   O
by   O
Joe   B-NAME
Randall   I-NAME
,   O
indicating   O
leukocytosis   O
.   O

An   O
abdominal   O
ultrasound   O
conducted   O
on   O
31/32/2172   B-DATE
showed   O
signs   O
consistent   O
with   O
appendicitis   O
.   O

Management   O
:   O
Under   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
Patrice   B-NAME
Dorn   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
the   O
morning   O
of   O
22/06/2062   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Scott   B-NAME
Phipps   I-NAME
was   O
monitored   O
post   O
-   O
operatively   O
in   O
HealthPark   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Lashunda   B-NAME
Cattladge   I-NAME
was   O
discharged   O
on   O
2242   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Hunter   B-NAME
Payne   I-NAME
in   O
two   O
weeks   O
.   O

Cullen   B-NAME
Booth   I-NAME
was   O
also   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
two   O
weeks   O
or   O
until   O
the   O
follow   O
-   O
up   O
visit   O
.   O

For   O
any   O
further   O
queries   O
or   O
emergency   O
concerns   O
,   O
Patricia   B-NAME
N   I-NAME
Vallejo   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
of   O
Naval   B-LOCATION
Hospital   I-LOCATION
Jacksonville   I-LOCATION
's   O
post   O
-   O
operative   O
care   O
unit   O
:   O
(   B-CONTACT
569   I-CONTACT
)   I-CONTACT
753   I-CONTACT
9353   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Identifier   O
:   O
Kramer   B-NAME
Medical   O
Record   O
Number   O
:   O
844   B-ID
-   I-ID
84   I-ID
-   I-ID
90   I-ID
-   I-ID
6   I-ID
Age   O
:   O
26   O
Date   O
of   O
Visit   O
:   O
2371   B-DATE

Benson   B-NAME
Hospital   O
:   O
Goldriver   B-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
Residential   O
Location   O
:   O
Warren   B-LOCATION
,   I-LOCATION
Warren   I-LOCATION
Co.-Forest   I-LOCATION
EOC   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
Contact   O
Number   O
:   O
390   B-CONTACT
8196   I-CONTACT
Profession   O
:   O
Town   O
and   O
country   O
planner   O
Patient   O
ID   O
:   O
OD210/5312   B-ID
User   O
Login   O
:   O
dhy391   B-NAME
Zip   O
Code   O
:   O
53054   B-LOCATION
Clinical   O
Summary   O
:   O
Deon   B-NAME
Ward   I-NAME
presented   O
on   O
30/14/40   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
,   O
severe   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
and   O
parietal   O
regions   O
.   O

Mid   B-NAME
-   I-NAME
Nite   I-NAME
describes   O
the   O
pain   O
as   O
throbbing   O
and   O
rates   O
it   O
an   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

Prince   B-NAME
,   O
a   O
Video   O
game   O
developer   O
,   O
reports   O
that   O
these   O
symptoms   O
have   O
significantly   O
impacted   O
their   O
ability   O
to   O
perform   O
their   O
job   O
duties   O
effectively   O
.   O

Medical   O
History   O
:   O
Anderson   B-NAME
Abbott   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

There   O
is   O
no   O
history   O
of   O
migraines   O
or   O
chronic   O
headache   O
disorders   O
in   O
XIN   B-NAME
Xi   I-NAME
's   O
family   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Nuvia   B-NAME
Nadeau   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Given   O
the   O
severity   O
and   O
persistence   O
of   O
the   O
headache   O
,   O
a   O
CT   O
scan   O
of   O
the   O
head   O
was   O
performed   O
at   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
Alleghany   I-LOCATION
on   O
Thursday   B-DATE
,   O
which   O
did   O
not   O
show   O
any   O
acute   O
abnormalities   O
.   O

Additionally   O
,   O
Eulah   B-NAME
Verner   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
and   O
monitor   O
potential   O
triggers   O
.   O

Follow   O
-   O
Up   O
:   O
Damari   B-NAME
Huff   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Khan   B-NAME
at   O
Albany   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
29/32/83   B-DATE
.   O

Dunn   B-NAME
has   O
been   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
they   O
experience   O
any   O
change   O
in   O
symptomatology   O
,   O
such   O
as   O
the   O
sudden   O
onset   O
of   O
the   O
worst   O
headache   O
of   O
their   O
life   O
,   O
fever   O
,   O
stiff   O
neck   O
,   O
or   O
changes   O
in   O
vision   O
.   O

Confidentiality   O
Notice   O
:   O
All   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
contained   O
in   O
this   O
document   O
is   O
strictly   O
confidential   O
and   O
intended   O
only   O
for   O
the   O
use   O
of   O
Chestatee   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
and   O
the   O
individual   O
named   O
herein   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
immediately   O
notify   O
us   O
by   O
telephone   O
at   O
20289   B-CONTACT
and   O
return   O
the   O
original   O
document   O
to   O
us   O
at   O
the   O
above   O
address   O
via   O
the   O
postal   O
service   O
.   O

Patient   O
Name   O
:   O
Tiffany   B-NAME
Whitney   I-NAME
Medical   O
Record   O
Number   O
:   O
19785194   B-ID
Date   O
of   O
Birth   O
:   O
02/03   B-DATE
Age   O
:   O
91s   O
Phone   O
Number   O
:   O
354   B-CONTACT
-   I-CONTACT
297   I-CONTACT
5081   I-CONTACT
Address   O
:   O
Denton   B-LOCATION
,   O
15973   B-LOCATION
Employer   O
:   O
American   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Mass   I-LOCATION
Spectrometry   I-LOCATION
Occupation   O
:   O
Environmental   O
Restoration   O
Planners   O
Physician   O
:   O

Weaver   B-NAME
Hospital   O
:   O
University   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
11/00   B-DATE
Insurance   O
ID   O
:   O
68911   B-ID
Clinical   O
Report   O
:   O

Guerrero   B-NAME
presented   O
to   O
Clark   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/00/2126   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
has   O
been   O
increasing   O
in   O
severity   O
over   O
the   O
past   O
week   O
.   O

Sheldon   B-NAME
Curtis   I-NAME
also   O
reports   O
episodes   O
of   O
nausea   O
and   O
a   O
decreased   O
appetite   O
over   O
the   O
same   O
period   O
.   O

There   O
has   O
been   O
no   O
vomiting   O
,   O
but   O
Ruth   B-NAME
,   I-NAME
Babe   I-NAME
describes   O
feeling   O
“   O
on   O
the   O
verge   O
”   O
of   O
vomiting   O
,   O
especially   O
after   O
eating   O
.   O

Additionally   O
,   O
Hogan   B-NAME
mentions   O
experiencing   O
a   O
low   O
-   O
grade   O
fever   O
and   O
a   O
general   O
sense   O
of   O
malaise   O
.   O

Upon   O
physical   O
examination   O
,   O
Yun   B-NAME
Ironfang   I-NAME
exhibited   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
possible   O
appendicitis   O
.   O

Norris   B-NAME
was   O
immediately   O
scheduled   O
for   O
an   O
abdominal   O
ultrasound   O
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
symptoms   O
,   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O

Abel   B-NAME
Stanton   I-NAME
recommended   O
an   O
urgent   O
appendectomy   O
to   O
prevent   O
rupture   O
and   O
further   O
complications   O
.   O

The   O
surgical   O
team   O
at   O
Maria   B-LOCATION
Fareri   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Westchester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
performed   O
the   O
procedure   O
on   O
6/27   B-DATE
without   O
any   O
apparent   O
complications   O
.   O

Cheyenne   B-NAME
Rumley   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
has   O
been   O
progressing   O
well   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
pain   O
and   O
discomfort   O
.   O

Adelaide   B-NAME
Ramos   I-NAME
has   O
been   O
advised   O
to   O
follow   O
a   O
clear   O
liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
operation   O
,   O
gradually   O
returning   O
to   O
a   O
normal   O
diet   O
as   O
tolerated   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Damien   B-NAME
Vargas   I-NAME
in   O
two   O
weeks   O
to   O
monitor   O
Pushkin   B-NAME
,   I-NAME
Aleksandr   I-NAME
(   I-NAME
Alexander   I-NAME
Pushkin   I-NAME
)   I-NAME
's   O
recovery   O
process   O
and   O
address   O
any   O
lingering   O
or   O
new   O
symptoms   O
.   O

For   O
further   O
inquiries   O
or   O
to   O
reschedule   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
Olszewski   B-NAME
may   O
contact   O
Pioneer   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Patrick   I-LOCATION
's   O
general   O
information   O
line   O
at   O
175   B-CONTACT
-   I-CONTACT
5359   I-CONTACT
.   O

This   O
clinical   O
report   O
has   O
been   O
prepared   O
by   O
Financial   O
Managers   O
,   O
zo137   B-NAME
,   O
at   O
Pinecrest   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
for   O
the   O
medical   O
record   O
of   O
Clements   B-NAME
,   O
1134176   B-ID
,   O
and   O
filed   O
on   O
2022   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
29   I-DATE
.   O

Any   O
request   O
for   O
information   O
or   O
amendments   O
to   O
this   O
report   O
should   O
reference   O
the   O
patient   O
's   O
medical   O
record   O
number   O
and   O
be   O
directed   O
to   O
the   O
medical   O
records   O
department   O
at   O
Southside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Savanah   B-NAME
Mckenzie   I-NAME
Patient   O
ID   O
:   O
8501717   B-ID
Medical   O
Record   O
Number   O
:   O
2246321   B-ID
Date   O
of   O
Birth   O
:   O
9   O
Date   O
of   O
Admission   O
:   O
12/09   B-DATE
Date   O
of   O
Discharge   O
:   O
11/21/1631   B-DATE
Attending   O
Physician   O
:   O

Javon   B-NAME
Saunders   I-NAME
Hospital   O
Name   O
:   O
Edward   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
7638   B-LOCATION
South   I-LOCATION
Devonshire   I-LOCATION
Road   I-LOCATION
,   O
40717   B-LOCATION
Contact   O
Phone   O
:   O
868   B-CONTACT
8936   I-CONTACT
Emergency   O
Contact   O
:   O

Hearing   O
Aid   O
Specialists   O
at   O
Minnkota   B-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
,   I-LOCATION
and   I-LOCATION
its   I-LOCATION
11   I-LOCATION
member   I-LOCATION
cooperatives   I-LOCATION
Summary   O
:   O
Denzel   B-NAME
,   O
a   O
65s   O
-   O
year   O
-   O
old   O
patient   O
,   O
presented   O
to   O
Duncan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
03/06   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
-   O
onset   O
abdominal   O
pain   O
,   O
concentrated   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

On   O
physical   O
examination   O
,   O
Marlene   B-NAME
Padilla   I-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
rigidity   O
,   O
indicative   O
of   O
possible   O
acute   O
appendicitis   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
conducted   O
on   O
13   B-DATE
-   I-DATE
35   I-DATE
-   I-DATE
95   I-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Sanford   B-NAME
diagnosed   O
the   O
patient   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Jeannetta   B-NAME
Hieb   I-NAME
,   O
Horne   B-NAME
underwent   O
an   O
appendectomy   O
on   O
1949   B-DATE
without   O
any   O
complications   O
.   O

Recovery   O
and   O
Follow   O
-   O
up   O
:   O
Taylor   B-NAME
Miranda   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
.   O

Oneal   B-NAME
was   O
discharged   O
on   O
April   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
restrictions   O
on   O
physical   O
activity   O
,   O
and   O
a   O
prescribed   O
course   O
of   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Graham   B-NAME
Black   I-NAME
in   O
the   O
Eagleville   B-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
department   O
for   O
02/11/2050   B-DATE
to   O
assess   O
the   O
healing   O
process   O
and   O
discuss   O
the   O
removal   O
of   O
stitches   O
.   O

MURRAY   B-NAME
,   I-NAME
MARION   I-NAME
OSCAR   I-NAME
was   O
advised   O
to   O
report   O
any   O
fever   O
,   O
vomiting   O
,   O
or   O
difficulty   O
in   O
wound   O
healing   O
immediately   O
.   O

Conclusion   O
:   O
Ellen   B-NAME
Bartlett   I-NAME
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
with   O
surgical   O
intervention   O
and   O
antibiotics   O
.   O

Prepared   O
by   O
:   O
Lynch   B-NAME
Reviewed   O
by   O
:   O
Adkins   B-NAME
Medical   O
Record   O
Number   O
:   O
8603794   B-ID
Contact   O
at   O
Peninsula   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
:   O
(   B-CONTACT
436   I-CONTACT
)   I-CONTACT
191   I-CONTACT
-   I-CONTACT
5888   I-CONTACT

Patient   O
Name   O
:   O
Duncan   B-NAME
Conway   I-NAME
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
9346559   I-ID
Medical   O
Record   O
Number   O
:   O
140   B-ID
-   I-ID
97   I-ID
-   I-ID
15   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Birth   O
:   O
32/22   B-DATE
Age   O
:   O
16   O
Phone   O
Number   O
:   O
98980   B-CONTACT
Address   O
:   O
Perry   B-LOCATION
,   O
22151   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Lesly   B-NAME
Haney   I-NAME
Treating   O
Hospital   O
:   O

Wesley   B-LOCATION
Woods   I-LOCATION
Geriatric   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Emory   I-LOCATION
University   I-LOCATION
Occupation   O
:   O
Web   O
developer   O
Username   O
:   O
yhf1210   B-NAME
10/12   B-DATE
,   O
Kolten   B-NAME
Zimmerman   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Spencer   B-LOCATION
Hospital   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
unrelenting   O
chest   O
pain   O
radiating   O
to   O
their   O
left   O
arm   O
.   O

The   O
pain   O
,   O
described   O
as   O
an   O
oppressive   O
,   O
squeezing   O
sensation   O
,   O
began   O
abruptly   O
01/08/2326   B-DATE
while   O
the   O
patient   O
was   O
involved   O
in   O
a   O
stressful   O
work   O
-   O
related   O
activity   O
.   O

Past   O
medical   O
history   O
,   O
obtained   O
from   O
34766208   B-ID
,   O
reveals   O
Klavius   B-NAME
Derubeis   I-NAME
is   O
a   O
known   O
case   O
of   O
hypertension   O
and   O
dyslipidemia   O
.   O

Kildare   B-NAME
appears   O
in   O
moderate   O
distress   O
with   O
noticeable   O
diaphoresis   O
and   O
pallor   O
.   O

Management   O
promptly   O
initiated   O
by   O
Chase   B-NAME
included   O
administration   O
of   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
sublingual   O
nitroglycerin   O
,   O
alongside   O
morphine   O
for   O
pain   O
control   O
.   O

Given   O
the   O
ECG   O
findings   O
and   O
clinical   O
presentation   O
,   O
Becker   B-NAME
was   O
referred   O
to   O
the   O
cardiology   O
team   O
for   O
emergency   O
coronary   O
angiography   O
,   O
revealing   O
a   O
significant   O
obstruction   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Ashtyn   B-NAME
Khan   I-NAME
underwent   O
successful   O
percutaneous   O
coronary   O
intervention   O
with   O
stent   O
placement   O
.   O

The   O
following   O
days   O
,   O
12/09   B-DATE
through   O
02/16   B-DATE
,   O
were   O
spent   O
in   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

Peter   B-NAME
Doyle   I-NAME
showed   O
marked   O
improvement   O
,   O
with   O
resolution   O
of   O
chest   O
pain   O
and   O
normalization   O
of   O
heart   O
rate   O
and   O
blood   O
pressure   O
.   O

Discharge   O
instructions   O
,   O
detailed   O
in   O
Alan   B-NAME
Harper   I-NAME
's   O
medical   O
record   O
under   O
44940564   B-ID
,   O
included   O
recommendations   O
for   O
lifestyle   O
modifications   O
,   O
adherence   O
to   O
prescribed   O
medications   O
including   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
statin   O
,   O
and   O
aspirin   O
.   O

JAY   B-NAME
CARROLL   I-NAME
was   O
also   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Jerimiah   B-NAME
Wade   I-NAME
on   O
12/22   B-DATE
,   O
and   O
provided   O
with   O
information   O
on   O
recognizing   O
signs   O
of   O
potential   O
heart   O
complications   O
alongside   O
a   O
contact   O
number   O
128   B-CONTACT
350   I-CONTACT
-   I-CONTACT
8644   I-CONTACT
for   O
the   O
cardiology   O
clinic   O
at   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Muhlenberg   I-LOCATION
.   O
Educational   O
material   O
on   O
heart   O
-   O
healthy   O
diet   O
and   O
exercise   O
was   O
given   O
to   O
Archer   B-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
regular   O
physical   O
activity   O
and   O
dietary   O
management   O
in   O
preventing   O
future   O
cardiac   O
events   O
.   O

George   B-NAME
Avery   I-NAME
was   O
encouraged   O
to   O
join   O
cardiovascular   O
rehabilitation   O
program   O
starting   O
22/20/2172   B-DATE
,   O
a   O
service   O
provided   O
through   O
a   O
partnership   O
between   O
AdventHealth   B-LOCATION
Fish   I-LOCATION
Memorial   I-LOCATION
and   O
Planters   B-LOCATION
EMC   I-LOCATION
.   O

Patient   O
Name   O
:   O
Helki   B-NAME
Age   O
:   O
60s   O
DOB   O
:   O
06/44   B-DATE
Medical   O
Record   O
Number   O
:   O
26493710   B-ID
ID   O
Number   O
:   O
780979047   B-ID
Address   O
:   O
612   B-LOCATION
S.   I-LOCATION
St   I-LOCATION
Margarets   I-LOCATION
Drive   I-LOCATION
,   O
14855   B-LOCATION
Phone   O
Number   O
:   O
66276   B-CONTACT

Raina   B-NAME
Barron   I-NAME
Hospital   O
:   O
Washington   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O
Seminole   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
Occupation   O
:   O

Music   O
therapist   O
Username   O
:   O
wb197   B-NAME
Sean   B-NAME
Vasques   I-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Campus   I-LOCATION
on   O
32/06   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
.   O
9   O
month   O
years   O
old   O
,   O
Johnson   B-NAME
,   I-NAME
Susan   I-NAME
(   I-NAME
Australian   I-NAME
)   I-NAME
works   O
as   O
a   O
Carpenters   O
for   O
CWA   B-LOCATION
-   I-LOCATION
Canadian   I-LOCATION
Media   I-LOCATION
Guild   I-LOCATION
located   O
in   O
Kingston   B-LOCATION
Estates   I-LOCATION
and   O
reported   O
recent   O
travel   O
history   O
to   O
a   O
region   O
known   O
for   O
high   O
pollen   O
and   O
allergen   O
levels   O
.   O

Upon   O
physical   O
examination   O
,   O
Skylar   B-NAME
Wagner   I-NAME
noted   O
bilateral   O
wheezing   O
and   O
reduced   O
breath   O
sounds   O
,   O
indicative   O
of   O
an   O
obstructive   O
airway   O
condition   O
.   O

In   O
response   O
to   O
these   O
findings   O
,   O
Houston   B-NAME
ordered   O
a   O
series   O
of   O
blood   O
tests   O
and   O
prescribed   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
to   O
manage   O
the   O
infection   O
.   O

Throughout   O
the   O
treatment   O
process   O
,   O
Walter   B-NAME
Rist   I-NAME
's   O
condition   O
was   O
closely   O
monitored   O
through   O
follow   O
-   O
up   O
appointments   O
booked   O
under   O
the   O
medical   O
record   O
number   O
2937U65928   B-ID
and   O
via   O
phone   O
consultations   O
at   O
651   B-CONTACT
-   I-CONTACT
538   I-CONTACT
2638   I-CONTACT
.   O

The   O
collaborative   O
care   O
approach   O
by   O
the   O
medical   O
team   O
at   O
Henrico   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
HospitalParham   I-LOCATION
Campus   I-LOCATION
,   O
alongside   O
strict   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
regimen   O
by   O
Katherin   B-NAME
Bulnes   I-NAME
,   O
led   O
to   O
a   O
gradual   O
improvement   O
in   O
symptoms   O
.   O

By   O
02/24   B-DATE
,   O
follow   O
-   O
up   O
chest   O
X   O
-   O
rays   O
showed   O
clear   O
resolution   O
of   O
previous   O
infiltrates   O
,   O
and   O
pulmonary   O
function   O
tests   O
returned   O
within   O
normal   O
limits   O
,   O
indicating   O
a   O
successful   O
recovery   O
from   O
pneumonia   O
.   O

No   B-NAME
advised   O
Yan   B-NAME
D.   I-NAME
Ball   I-NAME
on   O
preventive   O
measures   O
,   O
including   O
annual   O
flu   O
vaccinations   O
and   O
avoidance   O
of   O
known   O
allergens   O
,   O
to   O
minimize   O
future   O
respiratory   O
complications   O
.   O

In   O
summary   O
,   O
the   O
timely   O
intervention   O
by   O
Lane   B-NAME
and   O
the   O
multidisciplinary   O
team   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
instrumental   O
in   O
the   O
effective   O
management   O
and   O
resolution   O
of   O
Cao   B-NAME
,   I-NAME
Cao   I-NAME
's   O
pneumonia   O
.   O

Continuing   O
care   O
strategies   O
,   O
focused   O
on   O
prevention   O
and   O
health   O
education   O
,   O
have   O
been   O
implemented   O
to   O
support   O
Juliette   B-NAME
Mccarthy   I-NAME
's   O
long   O
-   O
term   O
respiratory   O
health   O
.   O

Please   O
note   O
,   O
further   O
details   O
can   O
be   O
accessed   O
through   O
our   O
patient   O
portal   O
using   O
the   O
username   O
ny308   B-NAME
or   O
by   O
contacting   O
our   O
office   O
directly   O
at   O
553   B-CONTACT
-   I-CONTACT
644   I-CONTACT
4190   I-CONTACT
.   O

For   O
any   O
inquiries   O
or   O
additional   O
information   O
,   O
please   O
reach   O
out   O
to   O
our   O
patient   O
liaison   O
office   O
located   O
in   O
Kenansville   B-LOCATION
,   O
28544   B-LOCATION
.   O

Patient   O
Name   O
:   O
Hieth   B-NAME
Kingson   I-NAME
Patient   O
ID   O
:   O
SU165/7475   B-ID
Age   O
:   O
43   O
Address   O
:   O
Owosso   B-LOCATION
,   O
67068   B-LOCATION
Occupation   O
:   O
Librarians   O
Phone   O
:   O
421   B-CONTACT
-   I-CONTACT
1295   I-CONTACT

Jabari   B-NAME
Gutierrez   I-NAME
Medical   O
Record   O
Number   O
:   O
40218442   B-ID
Hospital   O
:   O
Sac   B-LOCATION
-   I-LOCATION
Osage   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
37/27   B-DATE
Date   O
of   O
Report   O
:   O
04/01/2239   B-DATE
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Kaya   B-NAME
Good   I-NAME
,   O
a   O
Counseling   O
Psychologists   O
from   O
Goliad   B-LOCATION
,   O
presented   O
to   O
Grinnell   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
27/23/2342   B-DATE
complaining   O
of   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
palpitations   O
over   O
the   O
past   O
few   O
days   O
.   O

The   O
patient   O
reported   O
an   O
acute   O
episode   O
of   O
this   O
chest   O
pain   O
lasting   O
for   O
approximately   O
10   O
minutes   O
on   O
the   O
morning   O
of   O
22/00/2352   B-DATE
,   O
which   O
prompted   O
the   O
emergency   O
visit   O
.   O

On   O
examination   O
,   O
Theodore   B-NAME
Chandler   I-NAME
exhibited   O
signs   O
of   O
distress   O
with   O
an   O
elevated   O
heart   O
rate   O
of   O
110   O
bpm   O
and   O
blood   O
pressure   O
measuring   O
160/100   O
mmHg   O
.   O

Given   O
these   O
findings   O
,   O
Adams   B-NAME
,   I-NAME
John   I-NAME
Quincy   I-NAME
initiated   O
further   O
diagnostic   O
workup   O
including   O
blood   O
tests   O
and   O
a   O
chest   O
X   O
-   O
ray   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
obtained   O
from   O
51408761   B-ID
,   O
included   O
controlled   O
hypertension   O
and   O
a   O
documented   O
case   O
of   O
hyperlipidemia   O
.   O

Following   O
the   O
initial   O
evaluation   O
and   O
diagnosis   O
of   O
an   O
acute   O
coronary   O
syndrome   O
,   O
Londyn   B-NAME
Mayer   I-NAME
administered   O
aspirin   O
325   O
mg   O
orally   O
,   O
followed   O
by   O
a   O
loading   O
dose   O
of   O
clopidogrel   O
.   O

Considering   O
the   O
patient   O
's   O
history   O
and   O
the   O
acute   O
presentation   O
,   O
a   O
decision   O
was   O
made   O
to   O
transfer   O
Harper   B-NAME
Young   I-NAME
to   O
the   O
Cardiac   O
Catheterization   O
Lab   O
for   O
a   O
coronary   O
angiography   O
scheduled   O
for   O
02/22   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Browning   B-NAME
,   I-NAME
Elizabeth   I-NAME
Barrett   I-NAME
at   O
Providence   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Everett   I-LOCATION
on   O
Tuesday   B-DATE
to   O
review   O
the   O
angiography   O
results   O
and   O
to   O
further   O
refine   O
the   O
management   O
plan   O
based   O
on   O
those   O
findings   O
.   O

Patient   O
Instructions   O
:   O
Reed   B-NAME
Richards   I-NAME
is   O
advised   O
to   O
avoid   O
any   O
strenuous   O
activity   O
and   O
to   O
report   O
immediately   O
to   O
San   B-LOCATION
Gorgonio   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
or   O
call   O
88114   B-CONTACT
in   O
the   O
event   O
of   O
recurrent   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
any   O
new   O
symptoms   O
.   O

This   O
report   O
was   O
prepared   O
by   O
uy239   B-NAME
on   O
2001   B-DATE
and   O
is   O
strictly   O
confidential   O
.   O

Any   O
inquiries   O
regarding   O
this   O
patient   O
should   O
be   O
directed   O
to   O
448   B-CONTACT
701   I-CONTACT
3362   I-CONTACT
.   O

Patient   O
:   O
Rocco   B-NAME
Zimmerman   I-NAME
Identifier   O
:   O
2894589   B-ID
Date   O
of   O
Birth   O
:   O
02/02/38   B-DATE
Age   O
:   O
55   O
Address   O
:   O
Mendham   B-LOCATION
,   O
37788   B-LOCATION
Phone   O
Number   O
:   O
190   B-CONTACT
-   I-CONTACT
128   I-CONTACT
6506   I-CONTACT
Physician   O
:   O

Isaac   B-NAME
Howell   I-NAME
Hospital   O
:   O
Jackson   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinic   I-LOCATION
Date   O
of   O
Visit   O
:   O
04/53   B-DATE

Summary   O
:   O
Yun   B-NAME
Palmios   I-NAME
,   O
a   O
Accountants   O
and   O
Auditors   O
from   O
North   B-LOCATION
Carolina   I-LOCATION
,   O
presented   O
at   O
New   B-LOCATION
Lifecare   I-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
PGH   I-LOCATION
-   I-LOCATION
Alle   I-LOCATION
-   I-LOCATION
Kiski   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
recurrent   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
noticeable   O
weight   O
loss   O
over   O
the   O
past   O
two   O
months   O
,   O
and   O
intermittent   O
episodes   O
of   O
diarrhea   O
and   O
constipation   O
.   O

The   O
symptoms   O
have   O
progressively   O
worsened   O
,   O
prompting   O
the   O
visit   O
on   O
20/12   B-DATE
.   O

Alex   B-NAME
Cominis   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
irritable   O
bowel   O
syndrome   O
diagnosed   O
several   O
years   O
ago   O
.   O

However   O
,   O
given   O
the   O
escalation   O
of   O
symptoms   O
,   O
Anthony   B-NAME
conducted   O
a   O
thorough   O
examination   O
and   O
ordered   O
a   O
series   O
of   O
tests   O
,   O
including   O
blood   O
work   O
and   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
.   O

Management   O
and   O
Recommendations   O
:   O
San   B-NAME
Martín   I-NAME
,   I-NAME
José   I-NAME
de   I-NAME
recommended   O
initiating   O
treatment   O
with   O
corticosteroids   O
to   O
manage   O
the   O
inflammation   O
and   O
an   O
antibiotic   O
in   O
case   O
of   O
a   O
secondary   O
infection   O
.   O

Erickson   B-NAME
,   I-NAME
F.   I-NAME
was   O
advised   O
to   O
follow   O
a   O
strict   O
diet   O
low   O
in   O
fiber   O
to   O
mitigate   O
the   O
symptoms   O
during   O
flare   O
-   O
ups   O
and   O
to   O
avoid   O
nonsteroidal   O
anti   O
-   O
inflammatory   O
drugs   O
(   O
NSAIDs   O
)   O
,   O
which   O
can   O
worsen   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
Wylie   B-NAME
,   I-NAME
Philip   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
the   O
gastroenterologist   O
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Flagler   I-LOCATION
on   O
0   B-DATE
-   I-DATE
2   I-DATE
to   O
assess   O
the   O
response   O
to   O
the   O
initial   O
treatment   O
and   O
to   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
.   O

Continuous   O
monitoring   O
of   O
Allyson   B-NAME
Hooper   I-NAME
's   O
condition   O
is   O
essential   O
for   O
adjusting   O
treatments   O
as   O
needed   O
and   O
for   O
managing   O
potential   O
complications   O
of   O
Crohn   O
's   O
disease   O
,   O
such   O
as   O
bowel   O
obstruction   O
or   O
malnutrition   O
.   O

Conclusion   O
:   O
The   O
case   O
of   O
Mandelina   B-NAME
underscores   O
the   O
critical   O
role   O
of   O
thorough   O
clinical   O
evaluation   O
and   O
interdisciplinary   O
management   O
in   O
patients   O
presenting   O
with   O
gastrointestinal   O
symptoms   O
that   O
suggest   O
inflammatory   O
bowel   O
diseases   O
like   O
Crohn   O
's   O
disease   O
.   O

Patient   O
Report   O
:   O
02/53   B-DATE
/2023   O
Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Margaret   B-NAME
Erik   I-NAME
Alvarez   I-NAME
Age   O
:   O
49   O
Medical   O
Record   O
Number   O
:   O
71293142   B-ID
Phone   O
Number   O
:   O
377   B-CONTACT
-   I-CONTACT
6999   I-CONTACT
Address   O
:   O
Oak   B-LOCATION
Forest   I-LOCATION
,   O
54335   B-LOCATION
Occupation   O
:   O

Rick   B-NAME
January   I-NAME
Hospital   O
:   O
Atrium   B-LOCATION
Health   I-LOCATION
Carolinas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
Rian   B-NAME
Vicente   I-NAME
,   O
a   O
Postal   O
Service   O
Clerks   O
residing   O
in   O
Reno   B-LOCATION
,   O
was   O
admitted   O
to   O
PeaceHealth   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
9/08/2022   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

Suzanne   B-NAME
Corson   I-NAME
has   O
a   O
medical   O
history   O
of   O
similar   O
,   O
though   O
milder   O
,   O
episodes   O
in   O
the   O
past   O
year   O
.   O

Initial   O
Evaluation   O
:   O
Upon   O
initial   O
evaluation   O
by   O
William   B-NAME
Chumley   I-NAME
,   O
physical   O
examination   O
revealed   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Morrissey   B-NAME
was   O
informed   O
about   O
the   O
need   O
for   O
an   O
appendectomy   O
to   O
prevent   O
rupture   O
and   O
potential   O
complications   O
.   O

Jordon   B-NAME
Cervantes   I-NAME
provided   O
verbal   O
consent   O
for   O
the   O
procedure   O
.   O

Surgery   O
and   O
Post   O
-   O
Operative   O
Course   O
:   O
Madeleine   B-NAME
Spencer   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
on   O
9   B-DATE
-   I-DATE
25   I-DATE
/2023   O
,   O
performed   O
by   O
Allen   B-NAME
,   I-NAME
Woody   I-NAME
.   O

Luis   B-NAME
Carpenter   I-NAME
was   O
monitored   O
post   O
-   O
operatively   O
and   O
showed   O
a   O
good   O
recovery   O
trajectory   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Edwin   B-NAME
Foss   I-NAME
was   O
discharged   O
on   O
1633   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
22   I-DATE
/2023   O
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
prescription   O
for   O
pain   O
medication   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Madeleine   B-NAME
Tamayo   I-NAME
at   O
MultiCare   B-LOCATION
Allenmore   I-LOCATION
Hospital   I-LOCATION
was   O
scheduled   O
for   O
03/07/2128   B-DATE
/2023   O
to   O
assess   O
recovery   O
progress   O
and   O
wound   O
healing   O
.   O

Kristopher   B-NAME
Pinckard   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
and   O
was   O
provided   O
with   O
dietary   O
recommendations   O
to   O
support   O
recovery   O
.   O

Patient   O
ID   O
:   O
WP:17246:922835   B-ID
Summary   O
Provided   O
by   O
:   O
Username   O
:   O
yhf1210   B-NAME
Contact   O
Information   O
:   O
(   B-CONTACT
304   I-CONTACT
)   I-CONTACT
905   I-CONTACT
7906   I-CONTACT
This   O
document   O
and   O
all   O
related   O
health   O
information   O
is   O
confidential   O
and   O
intended   O
solely   O
for   O
the   O
use   O
of   O
the   O
patient   O
and   O
the   O
patient   O
's   O
healthcare   O
provider   O
.   O

Patient   O
:   O
Adam   B-NAME
Solis   I-NAME
Age   O
:   O
56   O
Medical   O
Record   O
Number   O
:   O
5504478   B-ID
Date   O
of   O
Admission   O
:   O
07/99   B-DATE
/2023   O
Attending   O
Physician   O
:   O

Black   B-NAME
Hospital   O
:   O
Sioux   B-LOCATION
Center   I-LOCATION
Health   I-LOCATION
Location   O
:   O
Double   B-LOCATION
Oak   I-LOCATION
Phone   O
:   O
52898   B-CONTACT
Profession   O
:   O
Geographers   O
ID   O
:   O
BC:28477:530317   B-ID
Username   O
:   O

BI575   B-NAME
ZIP   O
:   O
45681   B-LOCATION
Chief   O
Complaint   O
:   O

Drake   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Charles   I-LOCATION
on   O
38/30/53   B-DATE
/2023   O
,   O
complaining   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Garza   B-NAME
,   O
a   O
3   O
-   O
year   O
-   O
old   O
Operating   O
Engineers   O
and   O
Other   O
Construction   O
Equipment   O
Operators   O
from   O
Airport   B-LOCATION
Drive   I-LOCATION
,   O
started   O
experiencing   O
symptoms   O
early   O
in   O
the   O
morning   O
on   O
23/01/44   B-DATE
/2023   O
.   O

Past   O
Medical   O
History   O
:   O
Evangeline   B-NAME
Frank   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
and   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

Robert   B-NAME
Lloyd   I-NAME
did   O
not   O
report   O
any   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
headache   O
,   O
dizziness   O
,   O
or   O
changes   O
in   O
vision   O
or   O
hearing   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Devine   B-NAME
,   I-NAME
Carl   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultrasound   O
performed   O
at   O
Piedmont   B-LOCATION
Athens   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
suggested   O
appendicitis   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
working   O
diagnosis   O
for   O
Kele   B-NAME
is   O
acute   O
appendicitis   O
.   O

Rothschild   B-NAME
,   I-NAME
Baron   I-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Diana   B-NAME
Walton   I-NAME
provided   O
informed   O
consent   O
after   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
were   O
discussed   O
.   O

Surgery   O
is   O
scheduled   O
for   O
19/06   B-DATE
/2023   O
.   O

Disposition   O
:   O
Yadira   B-NAME
Osborne   I-NAME
was   O
admitted   O
to   O
Medical   B-LOCATION
University   I-LOCATION
of   I-LOCATION
South   I-LOCATION
Carolina   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
surgical   O
intervention   O
.   O

Oakley   B-NAME
will   O
be   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
two   O
weeks   O
post   O
-   O
discharge   O
.   O

For   O
any   O
inquiries   O
or   O
further   O
information   O
,   O
please   O
contact   O
Providence   B-LOCATION
Little   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
San   I-LOCATION
Pedro   I-LOCATION
at   O
64459   B-CONTACT
.   O

Patient   O
Name   O
:   O
Abdullah   B-NAME
Simpson   I-NAME
Patient   O
ID   O
:   O
25026   B-ID
Date   O
of   O
Birth   O
:   O
01/3   B-DATE
Address   O
:   O
Cannelton   B-LOCATION
,   O
88865   B-LOCATION
Phone   O
Number   O
:   O
862   B-CONTACT
-   I-CONTACT
2375   I-CONTACT
Employer   O
:   O

Australian   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
Job   O
Title   O
:   O
Helpers   O
--   O
Installation   O
,   O
Maintenance   O
,   O
and   O
Repair   O
Workers   O
Primary   O
Care   O
Physician   O
:   O

Heaven   B-NAME
Whitney   I-NAME
Medical   O
Record   O
Number   O
:   O
7167210   B-ID
Date   O
of   O
Visit   O
:   O
2306   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
16   I-DATE
Hospital   O
Name   O
:   O
Perry   B-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Jacob   B-NAME
Bautista   I-NAME
,   O
a   O
35   O
-   O
year   O
-   O
old   O
Careers   O
adviser   O
(   O
higher   O
education   O
)   O
from   O
Denton   B-LOCATION
,   I-LOCATION
City   I-LOCATION
of   I-LOCATION
Denton   I-LOCATION
Downtown   I-LOCATION
Development   I-LOCATION
Program   I-LOCATION
,   O
presented   O
to   O
the   O
outpatient   O
department   O
of   O
Washington   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
on   O
0/00   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
,   O
severe   O
headaches   O
that   O
have   O
been   O
ongoing   O
for   O
the   O
past   O
two   O
weeks   O
.   O

There   O
has   O
been   O
no   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
significant   O
changes   O
in   O
Hutchinson   B-NAME
,   I-NAME
Thomas   I-NAME
's   O
lifestyle   O
or   O
stress   O
levels   O
.   O

Ayala   B-NAME
denies   O
any   O
history   O
of   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Ashley   B-NAME
Nolan   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
known   O
allergies   O
.   O

Diagnostic   O
Considerations   O
:   O
The   O
differential   O
diagnosis   O
for   O
Lauren   B-NAME
Calderon   I-NAME
's   O
symptoms   O
includes   O
tension   O
-   O
type   O
headache   O
,   O
migraine   O
without   O
aura   O
,   O
and   O
cluster   O
headache   O
.   O

However   O
,   O
considering   O
the   O
chronic   O
nature   O
and   O
the   O
impact   O
of   O
Leblanc   B-NAME
's   O
headaches   O
on   O
daily   O
functioning   O
,   O
further   O
evaluation   O
is   O
necessary   O
.   O

Management   O
Plan   O
:   O
-   O
Detailed   O
headache   O
diary   O
to   O
track   O
headache   O
frequency   O
,   O
duration   O
,   O
severity   O
,   O
associated   O
symptoms   O
,   O
and   O
triggers   O
.   O
-   O
Initiation   O
of   O
a   O
trial   O
of   O
a   O
prophylactic   O
migraine   O
medication   O
as   O
discussed   O
with   O
Dr.   O
Sebastian   B-NAME
Rivers   I-NAME
.   O
-   O
Consideration   O
of   O
referral   O
to   O
neurology   O
for   O
further   O
evaluation   O
if   O
symptoms   O
persist   O
or   O
worsen   O
,   O
despite   O
initial   O
management   O
.   O
-   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
30/31   B-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

felder   B-NAME
was   O
also   O
advised   O
to   O
limit   O
analgesic   O
use   O
to   O
avoid   O
medication   O
-   O
overuse   O
headaches   O
.   O

Signed   O
,   O
Cyrus   B-NAME
Petersen   I-NAME
Sunday   B-DATE
,   I-DATE
November   I-DATE

Patient   O
Name   O
:   O
Julissa   B-NAME
Finley   I-NAME
ID   O
:   O
JA:4944:627770   B-ID
Date   O
of   O
Birth   O
:   O
February   B-DATE
2   I-DATE
,   I-DATE
2094   I-DATE
Date   O
of   O
Admission   O
:   O
32/28   B-DATE
Medical   O
Record   O
Number   O
:   O
28539590   B-ID

Wilkerson   B-NAME
Hospital   O
:   O

Elliot   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Roundup   B-LOCATION
Zip   O
Code   O
:   O
42340   B-LOCATION
Phone   O
Number   O
:   O
554   B-CONTACT
6335   I-CONTACT
Username   O
:   O
obe7610   B-NAME
Occupation   O
:   O

Customer   O
Service   O
Representatives   O
Overview   O
:   O
Stephens   B-NAME
,   O
a   O
93   O
-   O
year   O
-   O
old   O
Multimedia   O
Artists   O
and   O
Animators   O
based   O
in   O
Cedar   B-LOCATION
Rapids   I-LOCATION
,   O
presented   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Plano   I-LOCATION
on   O
2/11   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
headaches   O
predominantly   O
in   O
the   O
frontal   O
region   O
.   O

The   O
headaches   O
were   O
described   O
as   O
throbbing   O
in   O
nature   O
,   O
exacerbated   O
by   O
light   O
and   O
noise   O
,   O
and   O
have   O
been   O
occurring   O
with   O
increasing   O
frequency   O
over   O
the   O
past   O
34/01/53   B-DATE
.   O

Lance   B-NAME
Michael   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
photophobia   O
,   O
and   O
transient   O
visual   O
disturbances   O
or   O
"   O
aura   O
"   O
preceding   O
the   O
headache   O
onset   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Mason   B-NAME
Leanos   I-NAME
was   O
found   O
to   O
be   O
hemodynamically   O
stable   O
.   O

Neurological   O
examination   O
conducted   O
by   O
Ewing   B-NAME
was   O
largely   O
unremarkable   O
,   O
aside   O
from   O
the   O
patient   O
's   O
reported   O
photophobia   O
and   O
visual   O
aura   O
.   O

Diagnostic   O
Evaluation   O
:   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
performed   O
on   O
33/02/27   B-DATE
,   O
revealed   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

Management   O
:   O
Given   O
the   O
characteristic   O
presentation   O
and   O
absence   O
of   O
alarm   O
signs   O
,   O
a   O
provisional   O
diagnosis   O
of   O
migraine   O
without   O
aura   O
was   O
made   O
by   O
Hammond   B-NAME
.   O

Tyson   B-NAME
Cooper   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
.   O

Follow   O
-   O
Up   O
:   O
Scott   B-NAME
N.   I-NAME
Jaeger   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Butler   B-NAME
at   O
Tampa   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
28th   B-DATE
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
to   O
make   O
necessary   O
adjustments   O
based   O
on   O
the   O
headache   O
pattern   O
and   O
frequency   O
.   O

Instructions   O
for   O
Patient   O
:   O
Matthias   B-NAME
Ebbesen   I-NAME
has   O
been   O
advised   O
to   O
avoid   O
known   O
headache   O
triggers   O
and   O
to   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O

In   O
case   O
of   O
severe   O
headache   O
episodes   O
unresponsive   O
to   O
medication   O
,   O
Miranda   B-NAME
,   I-NAME
James   I-NAME
R   I-NAME
should   O
contact   O
Cedars   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
541   B-CONTACT
-   I-CONTACT
4032   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

For   O
any   O
further   O
information   O
,   O
Pollard   B-NAME
can   O
contact   O
the   O
privacy   O
officer   O
at   O
Marietta   B-LOCATION
Power   I-LOCATION
via   O
86783   B-CONTACT
or   O
at   O
the   O
mailing   O
address   O
in   O
8   B-LOCATION
undefined   I-LOCATION
,   O
95651   B-LOCATION
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Abigail   B-NAME
Burgess   I-NAME
,   O
designated   O
healthcare   O
providers   O
and   O
authorized   O
personnel   O
only   O
.   O

Patient   O
Name   O
:   O
Cathy   B-NAME
T.   I-NAME
Turk   I-NAME
Age   O
:   O
86   O
Date   O
of   O
Birth   O
:   O
29/19   B-DATE
Address   O
:   O
New   B-LOCATION
York   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10040   I-LOCATION
,   O
14947   B-LOCATION
Phone   O
Number   O
:   O
11925   B-CONTACT
Employment   O
:   O
Service   O
Station   O
Attendants   O
at   O
European   B-LOCATION
Beer   I-LOCATION
Consumers   I-LOCATION
Union   I-LOCATION
(   I-LOCATION
EBCU   I-LOCATION
)   I-LOCATION
Primary   O
Physician   O
:   O

Ashlyn   B-NAME
Davies   I-NAME
Hospital   O
:   O
Angelvale   B-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
02756793   B-ID
ID   O
Number   O
:   O
MD300/7999   B-ID
Username   O
for   O
Patient   O
Portal   O
:   O
ipu311   B-NAME
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
ostrowski   B-NAME
,   O
presented   O
to   O
Saint   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Blue   I-LOCATION
Springs   I-LOCATION
on   O
2/02/2325   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
medical   O
history   O
provided   O
by   O
Yosef   B-NAME
Salazar   I-NAME
includes   O
being   O
a   O
Geneticist   O
at   O
Middleton   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
non   O
-   O
smoker   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
chest   O
X   O
-   O
ray   O
,   O
and   O
a   O
polymerase   O
chain   O
reaction   O
(   O
PCR   O
)   O
test   O
for   O
respiratory   O
viruses   O
,   O
were   O
ordered   O
by   O
Fiona   B-NAME
Gentry   I-NAME
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
Imani   B-NAME
Gentry   I-NAME
diagnosed   O
Loni   B-NAME
Sasson   I-NAME
with   O
Influenza   O
A   O
complicated   O
by   O
secondary   O
bacterial   O
pneumonia   O
.   O

Ganilau   B-NAME
,   I-NAME
Ratu   I-NAME
Sir   I-NAME
Penaia   I-NAME
was   O
advised   O
to   O
maintain   O
adequate   O
hydration   O
,   O
rest   O
,   O
and   O
follow   O
up   O
in   O
one   O
week   O
or   O
earlier   O
if   O
symptoms   O
worsen   O
.   O

Victorinus   B-NAME
Hribal   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
,   O
803   B-CONTACT
-   I-CONTACT
565   I-CONTACT
-   I-CONTACT
4770   I-CONTACT
,   O
for   O
the   O
hospital   O
's   O
outpatient   O
department   O
for   O
further   O
assistance   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Sabrina   B-NAME
Rowland   I-NAME
on   O
October   B-DATE
.   O

Bush   B-NAME
was   O
encouraged   O
to   O
reach   O
out   O
to   O
UTMB   B-LOCATION
Health   I-LOCATION
League   I-LOCATION
City   I-LOCATION
Campus   I-LOCATION
Hospital   I-LOCATION
's   O
helpline   O
through   O
(   B-CONTACT
920   I-CONTACT
)   I-CONTACT
843   I-CONTACT
3958   I-CONTACT
in   O
case   O
of   O
emergencies   O
or   O
to   O
seek   O
clarification   O
on   O
discharge   O
instructions   O
.   O

Ben   B-NAME
Morgan   I-NAME
was   O
discharged   O
with   O
clear   O
instructions   O
and   O
support   O
available   O
through   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
   I-LOCATION
New   I-LOCATION
Britain   I-LOCATION
General   I-LOCATION
Campus   I-LOCATION
's   O
outpatient   O
services   O
,   O
ensuring   O
a   O
comprehensive   O
approach   O
to   O
care   O
.   O

The   O
patient   O
,   O
Alaniz   B-NAME
,   O
a   O
8   O
week   O
-   O
year   O
-   O
old   O
Paramedic   O
from   O
Jamaica   B-LOCATION
Plain   I-LOCATION
-   I-LOCATION
Hyde   I-LOCATION
/   I-LOCATION
Jackson   I-LOCATION
Square   I-LOCATION
,   I-LOCATION
Hyde   I-LOCATION
/   I-LOCATION
Jackson   I-LOCATION
Square   I-LOCATION
Main   I-LOCATION
Streets   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
UCSF   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Moffitt   I-LOCATION
-   I-LOCATION
Long   I-LOCATION
Hospitals   I-LOCATION
on   O
32/10/2132   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
,   O
and   O
a   O
high   O
-   O
grade   O
fever   O
measured   O
at   O
103   O
°   O
F   O
.   O

According   O
to   O
Usha   B-NAME
's   O
self   O
-   O
reported   O
history   O
,   O
the   O
symptoms   O
appeared   O
suddenly   O
over   O
the   O
past   O
48   O
hours   O
.   O

Seigle   B-NAME
,   I-NAME
Lucy   I-NAME
also   O
mentioned   O
a   O
recent   O
history   O
of   O
contact   O
with   O
a   O
confirmed   O
case   O
of   O
influenza   O
.   O

On   O
examination   O
,   O
Banks   B-NAME
,   I-NAME
Ernie   I-NAME
appeared   O
to   O
be   O
in   O
respiratory   O
distress   O
with   O
labored   O
breathing   O
.   O

Rios   B-NAME
's   O
medical   O
history   O
,   O
reviewed   O
by   O
Cooley   B-NAME
,   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
findings   O
,   O
ostrowski   B-NAME
was   O
admitted   O
to   O
Bethesda   B-LOCATION
Hospital   I-LOCATION
Inc.   I-LOCATION
under   O
isolation   O
precautions   O
on   O
21/20/34   B-DATE
.   O

Further   O
management   O
plans   O
discussed   O
by   O
Brenden   B-NAME
Coffey   I-NAME
with   O
Patterson   B-NAME
included   O
close   O
monitoring   O
of   O
respiratory   O
and   O
hemodynamic   O
status   O
,   O
adjustment   O
of   O
diabetic   O
medications   O
as   O
necessary   O
during   O
the   O
course   O
of   O
treatment   O
,   O
and   O
consideration   O
for   O
escalation   O
of   O
care   O
if   O
there   O
is   O
no   O
improvement   O
or   O
if   O
the   O
condition   O
worsens   O
.   O

Vetter   B-NAME
's   O
emergency   O
contact   O
,   O
listed   O
as   O
kv470   B-NAME
,   O
has   O
been   O
notified   O
of   O
the   O
admission   O
.   O

Any   O
questions   O
regarding   O
the   O
care   O
of   O
Leigh   B-NAME
should   O
be   O
directed   O
to   O
Sparrow   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
's   O
main   O
line   O
at   O
(   B-CONTACT
716   I-CONTACT
)   I-CONTACT
946   I-CONTACT
5648   I-CONTACT
.   O

This   O
report   O
is   O
filed   O
under   O
Friedman   B-NAME
's   O
medical   O
record   O
number   O
20169529   B-ID
and   O
dated   O
02/24   B-DATE
.   O

The   O
administrative   O
team   O
at   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
,   O
located   O
in   O
ZIP   O
code   O
15613   B-LOCATION
,   O
will   O
handle   O
all   O
billing   O
and   O
coordination   O
with   O
Patience   B-NAME
Keller   I-NAME
's   O
insurance   O
provider   O
,   O
Ocala   B-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
.   O

Further   O
inquiries   O
regarding   O
medical   O
records   O
should   O
reference   O
7605616   B-ID
for   O
confidentiality   O
purposes   O
.   O

Patient   O
Name   O
:   O
Dixie   B-NAME
Zimmerman   I-NAME
Patient   O
ID   O
:   O
ZL133/6350   B-ID
Medical   O
Record   O
No   O
:   O
9098560   B-ID
Date   O
of   O
Birth   O
:   O
04/31   B-DATE
Age   O
:   O
28   O
Address   O
:   O
Deer   B-LOCATION
Lake   I-LOCATION
,   O
22021   B-LOCATION
Phone   O
Number   O
:   O
950   B-CONTACT
6244   I-CONTACT

Myrtie   B-NAME
Mordino   I-NAME
Hospital   O
:   O
Littleton   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O
Equal   O
Opportunity   O
Representatives   O
and   O
Officers   O
Date   O
of   O
Admission   O
:   O
22/22/2010   B-DATE
Date   O
of   O
Report   O
:   O
7/20   B-DATE
Medical   O
History   O
Summary   O
:   O

The   O
patient   O
,   O
Lewis   B-NAME
Ford   I-NAME
,   O
presented   O
to   O
Einstein   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Philadelphia   I-LOCATION
on   O
7/03/2122   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
persistent   O
headaches   O
accompanied   O
by   O
visual   O
disturbances   O
,   O
specifically   O
blurred   O
vision   O
and   O
photophobia   O
.   O

Kory   B-NAME
Fagan   I-NAME
described   O
the   O
headaches   O
as   O
throbbing   O
in   O
nature   O
,   O
localized   O
primarily   O
in   O
the   O
frontal   O
region   O
,   O
and   O
rated   O
the   O
pain   O
as   O
8   O
out   O
of   O
10   O
.   O

Additionally   O
,   O
Chaffey   B-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
.   O

Katherin   B-NAME
Bulnes   I-NAME
denied   O
any   O
recent   O
trauma   O
or   O
injury   O
to   O
the   O
head   O
.   O

There   O
is   O
a   O
noted   O
history   O
of   O
hypertension   O
for   O
which   O
Fletcher   B-NAME
Petersen   I-NAME
is   O
currently   O
under   O
medication   O
,   O
details   O
of   O
which   O
are   O
filed   O
under   O
medical   O
record   O
number   O
14789235   B-ID
.   O

Upon   O
examination   O
,   O
Jack   B-NAME
Griffin   I-NAME
exhibited   O
photophobia   O
and   O
was   O
observed   O
to   O
have   O
a   O
blood   O
pressure   O
reading   O
of   O
160/95   O
mmHg   O
.   O

Kovacs   B-NAME
,   I-NAME
Ernie   I-NAME
's   O
medical   O
record   O
,   O
7285001   B-ID
,   O
does   O
not   O
indicate   O
any   O
prior   O
incidents   O
of   O
similar   O
symptoms   O
.   O

Investigations   O
:   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
was   O
ordered   O
by   O
Nolan   B-NAME
King   I-NAME
,   O
which   O
did   O
not   O
reveal   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

Drake   B-NAME
Byrd   I-NAME
has   O
initiated   O
treatment   O
with   O
intravenous   O
hydration   O
and   O
analgesics   O
for   O
pain   O
management   O
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
and   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
of   O
Hegg   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Avera   I-LOCATION
with   O
results   O
of   O
pending   O
investigations   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Instructions   O
for   O
New   B-NAME
:   O
-   O
Monitor   O
blood   O
pressure   O
regularly   O
and   O
continue   O
current   O
antihypertensive   O
medication   O
.   O

-   O
Report   O
immediately   O
to   O
Regional   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Bayonet   I-LOCATION
Point   I-LOCATION
if   O
symptoms   O
worsen   O
or   O
if   O
there   O
are   O
new   O
symptoms   O
such   O
as   O
fever   O
,   O
stiff   O
neck   O
,   O
or   O
seizures   O
.   O

The   O
next   O
appointment   O
is   O
scheduled   O
for   O
32/03/2012   B-DATE
with   O
Compton   B-NAME
for   O
a   O
follow   O
-   O
up   O
and   O
review   O
of   O
investigation   O
results   O
.   O

xayasane   B-NAME
has   O
been   O
reminded   O
to   O
bring   O
the   O
headache   O
diary   O
to   O
the   O
next   O
appointment   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Darlena   B-NAME
Morrisette   I-NAME
can   O
contact   O
MercyOne   B-LOCATION
Dubuque   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
635   B-CONTACT
1949   I-CONTACT
.   O

Signed   O
,   O
Jones   B-NAME
Cassia   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
32/28/70   B-DATE

Patient   O
Name   O
:   O
Salinas   B-NAME
Date   O
of   O
Birth   O
:   O
11   B-DATE
Age   O
:   O
13s   O
Address   O
:   O
Los   B-LOCATION
Chaves   I-LOCATION
,   O
83158   B-LOCATION
Phone   O
:   O
193   B-CONTACT
-   I-CONTACT
7681   I-CONTACT
Occupation   O
:   O
Directors-   O
Stage   O
,   O
Motion   O
Pictures   O
,   O
Television   O
,   O
and   O
Radio   O
Primary   O
Care   O
Physician   O
:   O

Davin   B-NAME
Gilmore   I-NAME
Hospital   O
:   O
Spencer   B-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
7045291   B-ID
Patient   O
ID   O
:   O
GO:4547:727278   B-ID
Date   O
of   O
Admission   O
:   O
30/22   B-DATE
Username   O
:   O
dbp50   B-NAME
Synopsis   O
:   O
Terrence   B-NAME
,   O
a   O
55s   O
-   O
year   O
-   O
old   O
Court   O
Clerks   O
residing   O
at   O
Echo   B-LOCATION
,   O
72130   B-LOCATION
,   O
with   O
contact   O
number   O
81574   B-CONTACT
,   O
was   O
admitted   O
to   O
St.   B-LOCATION
Francis   I-LOCATION
at   I-LOCATION
Ellsworth   I-LOCATION
–   I-LOCATION
Ellsworth   I-LOCATION
on   O
4   B-DATE
-   I-DATE
21   I-DATE
.   O

The   O
presenting   O
symptoms   O
suggested   O
a   O
possible   O
cardiovascular   O
issue   O
,   O
warranting   O
immediate   O
investigation   O
and   O
intervention   O
by   O
the   O
attending   O
cardiologist   O
,   O
Kim   B-NAME
.   O

Clinical   O
Findings   O
:   O
Upon   O
admission   O
,   O
Keaton   B-NAME
,   I-NAME
Buster   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
,   O
showing   O
an   O
elevated   O
blood   O
pressure   O
of   O
160/100   O
mmHg   O
,   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
and   O
an   O
irregular   O
rhythm   O
indicated   O
by   O
the   O
electrocardiogram   O
(   O
ECG   O
)   O
.   O

Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
metabolic   O
panel   O
,   O
and   O
cardiac   O
biomarkers   O
were   O
ordered   O
by   O
Skyla   B-NAME
Roberson   I-NAME
.   O

Given   O
the   O
acute   O
presentation   O
and   O
laboratory   O
findings   O
,   O
a   O
decision   O
was   O
made   O
by   O
Van   B-NAME
Steiner   I-NAME
for   O
Yu   B-NAME
to   O
undergo   O
coronary   O
angiography   O
,   O
which   O
revealed   O
significant   O
obstruction   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

Jimena   B-NAME
Donaldson   I-NAME
was   O
subsequently   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
May   B-DATE
with   O
a   O
prescription   O
for   O
beta   O
-   O
blockers   O
,   O
ACE   O
inhibitors   O
,   O
and   O
statins   O
,   O
alongside   O
a   O
recommendation   O
for   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
department   O
of   O
Saint   B-LOCATION
John   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Leavenworth   I-LOCATION
.   O

Confidentiality   O
Statement   O
:   O
This   O
medical   O
report   O
for   O
Chen   B-NAME
,   O
7675916   B-ID
,   O
respects   O
privacy   O
and   O
confidentiality   O
in   O
accordance   O
with   O
the   O
Health   O
Insurance   O
Portability   O
and   O
Accountability   O
Act   O
(   O
HIPAA   O
)   O
.   O

Prepared   O
by   O
:   O
Callie   B-NAME
Sawyer   I-NAME
,   O
M.D.   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
2133   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
20   I-DATE

Patient   O
Name   O
:   O
ostrowski   B-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
1967225   I-ID
Medical   O
Record   O
Number   O
:   O
64884497   B-ID
Date   O
of   O
Admission   O
:   O
32/22   B-DATE
Date   O
of   O
Birth   O
:   O
2122   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
36   I-DATE
Age   O
:   O
46   O
Address   O
:   O
Hanamaulu   B-LOCATION
,   O
90655   B-LOCATION
Phone   O
Number   O
:   O
65853   B-CONTACT
Attending   O
Physician   O
:   O

Cook   B-NAME
Hospital   O
:   O
Barton   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O
Reliance   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Occupation   O
:   O

OV04   B-NAME
Presenting   O
Complaint   O
:   O
Engelke   B-NAME
,   I-NAME
Anke   I-NAME
was   O
admitted   O
to   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Blodgett   I-LOCATION
Hospital   I-LOCATION
on   O
12/16   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Avonaco   B-NAME
also   O
reported   O
experiencing   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
over   O
the   O
past   O
24   O
hours   O
.   O

Medical   O
History   O
:   O
Cora   B-NAME
Berry   I-NAME
's   O
medical   O
history   O
includes   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
medication   O
,   O
and   O
Hypertension   O
.   O

Gould   B-NAME
is   O
on   O
a   O
regimen   O
of   O
Metformin   O
and   O
Lisinopril   O
,   O
with   O
no   O
known   O
drug   O
allergies   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Theresa   B-NAME
Wise   I-NAME
noted   O
tenderness   O
and   O
rigidity   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

North   B-NAME
was   O
immediately   O
scheduled   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

Hayden   B-NAME
will   O
be   O
monitored   O
closely   O
in   O
the   O
postoperative   O
period   O
for   O
any   O
signs   O
of   O
complications   O
such   O
as   O
infection   O
,   O
bleeding   O
,   O
or   O
a   O
bowel   O
obstruction   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Conrad   B-NAME
upon   O
discharge   O
to   O
review   O
the   O
recovery   O
process   O
and   O
manage   O
any   O
post   O
-   O
surgical   O
concerns   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
George   B-NAME
V   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
Patient   O
ID   O
:   O
ZV:5940:421419   B-ID

Medical   O
Record   O
Number   O
:   O
4870086   B-ID
Age   O
:   O
27   O
Phone   O
:   O
471   B-CONTACT
1168   I-CONTACT
Address   O
:   O
Duncan   B-LOCATION
Falls   I-LOCATION
,   O
99313   B-LOCATION
Employment   O
:   O
Allergists   O
and   O
Immunologists   O
at   O
Survival   B-LOCATION
International   I-LOCATION
Chief   O
Complaint   O
:   O
Warren   B-NAME
,   I-NAME
Earl   I-NAME
presented   O
to   O
Duke   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
.   O

Medical   O
History   O
:   O
Jeni   B-NAME
Dumag   I-NAME
reports   O
a   O
history   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
in   O
the   O
past   O
year   O
,   O
which   O
were   O
not   O
formally   O
evaluated   O
by   O
a   O
healthcare   O
professional   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Haylie   B-NAME
Montoya   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

An   O
abdominal   O
ultrasound   O
,   O
ordered   O
by   O
Foley   B-NAME
,   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
without   O
signs   O
of   O
perforation   O
.   O

Management   O
and   O
Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Graves   B-NAME
diagnosed   O
Damon   B-NAME
,   I-NAME
Johnny   I-NAME
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
at   O
Rehoboth   B-LOCATION
McKinley   I-LOCATION
Christian   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Services   I-LOCATION
performed   O
an   O
elective   O
laparoscopic   O
appendectomy   O
on   O
37/26   B-DATE
without   O
any   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Michael   B-NAME
Baranski   I-NAME
was   O
advised   O
to   O
return   O
to   O
MedStar   B-LOCATION
Franklin   I-LOCATION
Square   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
33/23   B-DATE
.   O

In   O
case   O
of   O
urgent   O
questions   O
or   O
complications   O
,   O
Hallie   B-NAME
Leblanc   I-NAME
was   O
advised   O
to   O
contact   O
the   O
surgical   O
unit   O
at   O
UCLA   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Santa   I-LOCATION
Monica   I-LOCATION
via   O
397   B-CONTACT
3937   I-CONTACT
.   O

Acknowledgment   O
of   O
Privacy   O
Practices   O
:   O
ingalls   B-NAME
has   O
received   O
the   O
notice   O
of   O
Privacy   O
Practices   O
from   O
Reading   B-LOCATION
Hospital   I-LOCATION
and   O
has   O
consented   O
to   O
the   O
use   O
and   O
disclosure   O
of   O
their   O
health   O
information   O
as   O
described   O
.   O

The   O
patient   O
was   O
informed   O
that   O
they   O
could   O
request   O
copies   O
of   O
their   O
medical   O
records   O
by   O
contacting   O
the   O
Records   O
Department   O
at   O
22752   B-CONTACT
.   O

This   O
report   O
has   O
been   O
reviewed   O
and   O
approved   O
by   O
Orozco   B-NAME
on   O
2/10   B-DATE
.   O

Patient   O
Name   O
:   O
Nobles   B-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
2364561   I-ID
Date   O
of   O
Birth   O
:   O
19/05   B-DATE
Age   O
:   O
74   O
Address   O
:   O
Pueblo   B-LOCATION
,   O
30849   B-LOCATION
Phone   O
Number   O
:   O
166   B-CONTACT
1538   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Kadyn   B-NAME
Wilcox   I-NAME
Medical   O
Record   O
Number   O
:   O
521   B-ID
72   I-ID
32   I-ID
5   I-ID
Date   O
of   O
Visit   O
:   O
18/26   B-DATE
Hospital   O
:   O

The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Ashlag   B-NAME
,   I-NAME
Yehuda   I-NAME
,   O
a   O
Brand   O
manager   O
from   O
Amity   B-LOCATION
Gardens   I-LOCATION
,   O
presents   O
with   O
a   O
72   O
-   O
hour   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
accompanied   O
by   O
a   O
dry   O
cough   O
and   O
high   O
-   O
grade   O
fever   O
.   O

Shamar   B-NAME
Briggs   I-NAME
reports   O
a   O
feeling   O
of   O
tightness   O
in   O
the   O
chest   O
,   O
with   O
difficulty   O
taking   O
deep   O
breaths   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Dolf   B-NAME
Strab   I-NAME
notes   O
that   O
symptoms   O
started   O
approximately   O
three   O
days   O
back   O
,   O
on   O
04/28   B-DATE
,   O
following   O
exposure   O
to   O
a   O
co   O
-   O
worker   O
who   O
was   O
diagnosed   O
with   O
influenza   O
.   O

Keri   B-NAME
Bey   I-NAME
initially   O
experienced   O
malaise   O
and   O
a   O
slight   O
cough   O
that   O
has   O
since   O
progressed   O
to   O
the   O
current   O
state   O
.   O

No   O
bouts   O
of   O
vomiting   O
or   O
diarrhea   O
were   O
reported   O
,   O
but   O
Kornheiser   B-NAME
,   I-NAME
Tony   I-NAME
has   O
had   O
difficulty   O
keeping   O
food   O
down   O
due   O
to   O
feeling   O
nauseous   O
.   O

Past   O
Medical   O
History   O
:   O
Kaylen   B-NAME
Travis   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
well   O
-   O
controlled   O
with   O
metformin   O
,   O
and   O
hypertension   O
managed   O
with   O
lisinopril   O
.   O

Sara   B-NAME
Ray   I-NAME
's   O
vaccination   O
history   O
is   O
up   O
to   O
date   O
,   O
including   O
the   O
annual   O
influenza   O
vaccine   O
.   O

General   O
-   O
Naomi   B-NAME
Santiago   I-NAME
is   O
alert   O
and   O
oriented   O
x3   O
but   O
appears   O
to   O
be   O
in   O
respiratory   O
distress   O
.   O

Pending   O
laboratory   O
and   O
imaging   O
results   O
,   O
Mitchell   B-NAME
Jaynes   I-NAME
is   O
started   O
on   O
symptomatic   O
treatment   O
,   O
including   O
acetaminophen   O
for   O
fever   O
,   O
and   O
is   O
provided   O
with   O
supplemental   O
oxygen   O
to   O
maintain   O
saturation   O
above   O
94   O
%   O
.   O

Paris   B-NAME
Herring   I-NAME
is   O
advised   O
to   O
stay   O
well   O
-   O
hydrated   O
and   O
to   O
follow   O
up   O
immediately   O
if   O
symptoms   O
worsen   O
.   O

Patient   O
Name   O
:   O
Kelly   B-NAME
Watson   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
1889192   I-ID
Medical   O
Record   O
Number   O
:   O
53715612   B-ID
Date   O
of   O
Birth   O
:   O
7   B-DATE
-   I-DATE
28   I-DATE
-   I-DATE
2125   I-DATE
Age   O
:   O
14   O
Address   O
:   O
Kenton   B-LOCATION
Vale   I-LOCATION
,   O
70297   B-LOCATION
Occupation   O
:   O
Mining   O
Machine   O
Operators   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O

Ray   B-NAME
Phone   O
Number   O
:   O
48786   B-CONTACT
Date   O
of   O
Admission   O
:   O
4/22   B-DATE
Hospital   O
Name   O
:   O

AdventHealth   B-LOCATION
Hendersonville   I-LOCATION
Chief   O
Complaint   O
:   O
Braxton   B-NAME
May   I-NAME
was   O
admitted   O
to   O
Oswego   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Oswego   I-LOCATION
on   O
2186   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
predominating   O
on   O
the   O
right   O
side   O
,   O
accompanied   O
by   O
nausea   O
and   O
episodes   O
of   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
a   O
53   O
-   O
year   O
-   O
old   O
Employment   O
Interviewers   O
,   O
Private   O
or   O
Public   O
Employment   O
Service   O
from   O
Landrum   B-LOCATION
,   O
noticed   O
the   O
onset   O
of   O
symptoms   O
around   O
two   O
days   O
before   O
admission   O
,   O
beginning   O
with   O
mild   O
discomfort   O
in   O
the   O
lower   O
abdomen   O
which   O
gradually   O
intensified   O
.   O

David   B-NAME
Delgado   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
nausea   O
followed   O
by   O
vomiting   O
on   O
the   O
evening   O
prior   O
to   O
admission   O
.   O

Medical   O
History   O
:   O
Harper   B-NAME
Parker   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
has   O
been   O
on   O
medication   O
for   O
the   O
past   O
00/20/2367   B-DATE
.   O

Upon   O
examination   O
,   O
Clark   B-NAME
,   I-NAME
Ramsey   I-NAME
appears   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Assessment   O
:   O
Initial   O
laboratory   O
tests   O
were   O
ordered   O
by   O
Abbigail   B-NAME
Burgess   I-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
urinalysis   O
,   O
and   O
abdominal   O
ultrasound   O
.   O

Kian   B-NAME
Singh   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
was   O
scheduled   O
for   O
an   O
appendectomy   O
.   O

The   O
surgical   O
team   O
at   O
Bethesda   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
North   I-LOCATION
Hornell   I-LOCATION
was   O
notified   O
,   O
and   O
surgery   O
was   O
successfully   O
conducted   O
on   O
24/36/62   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Putin   B-NAME
,   I-NAME
Vladimir   I-NAME
was   O
scheduled   O
for   O
02/36   B-DATE
to   O
monitor   O
the   O
recovery   O
process   O
.   O

Discharge   O
Instructions   O
:   O
Gad   B-NAME
was   O
discharged   O
on   O
27/27/2021   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
(   O
e.g.   O
,   O
redness   O
,   O
swelling   O
,   O
pain   O
at   O
the   O
incision   O
site   O
)   O
,   O
and   O
the   O
importance   O
of   O
completing   O
the   O
antibiotic   O
course   O
.   O

Chavez   B-NAME
was   O
educated   O
about   O
the   O
symptoms   O
that   O
should   O
prompt   O
an   O
immediate   O
return   O
to   O
the   O
hospital   O
,   O
including   O
fever   O
,   O
inability   O
to   O
urinate   O
,   O
or   O
severe   O
abdominal   O
pain   O
.   O

Contact   O
information   O
,   O
including   O
the   O
hospital   O
15150   B-CONTACT
,   O
was   O
provided   O
for   O
any   O
queries   O
or   O
emergencies   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
with   O
Luca   B-NAME
Baxter   I-NAME
on   O
2/03   B-DATE
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
healing   O
and   O
recovery   O
from   O
the   O
surgery   O
and   O
to   O
address   O
any   O
further   O
concerns   O
that   O
Rory   B-NAME
Frazier   I-NAME
may   O
have   O
during   O
the   O
recovery   O
period   O
.   O

Patient   O
:   O
Gage   B-NAME
Koch   I-NAME
Age   O
:   O
100   O
Date   O
of   O
Admission   O
:   O
09/79   B-DATE
/2023   O
Attending   O
Physician   O
:   O

Kamila   B-NAME
Duran   I-NAME
Hospital   O
:   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
Medical   O
Record   O
Number   O
:   O
06917019   B-ID
Location   O
:   O
West   B-LOCATION
Union   I-LOCATION
Zip   O
Code   O
:   O
40288   B-LOCATION
Phone   O
Number   O
:   O
89330   B-CONTACT
Occupation   O
:   O
Community   O
and   O
Social   O
Service   O
Specialists   O
,   O
All   O
Other   O
Username   O
:   O
OT913   B-NAME
ID   O
:   O
LG:3938:134663   B-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Elliot   B-NAME
Sexton   I-NAME
,   O
presented   O
to   O
Wills   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
excessive   O
sweating   O
.   O

Symptoms   O
began   O
approximately   O
2   O
hours   O
before   O
admission   O
on   O
13/26/2012   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Silva   B-NAME
,   O
a   O
7   O
-   O
year   O
-   O
old   O
Economists   O
,   O
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Management   O
:   O
Overman   B-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
myocardial   O
infarction   O
and   O
immediately   O
started   O
on   O
IV   O
thrombolytics   O
,   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
a   O
statin   O
.   O

Cardiology   O
Kael   B-NAME
,   I-NAME
Pauline   I-NAME
was   O
consulted   O
and   O
recommended   O
urgent   O
cardiac   O
catheterization   O
.   O

Plimpton   B-NAME
,   I-NAME
Martha   I-NAME
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
performed   O
on   O
22   B-DATE
-   I-DATE
Dec-2291   I-DATE
at   O
Covenant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Harrison   I-LOCATION
Campus   I-LOCATION
.   O

Post   O
-   O
procedure   O
,   O
Christopher   B-NAME
Fry   I-NAME
was   O
transferred   O
to   O
the   O
CCU   O
for   O
further   O
monitoring   O
and   O
management   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Lesly   B-NAME
Galvan   I-NAME
showed   O
marked   O
improvement   O
post   O
-   O
intervention   O
.   O

Eduardo   B-NAME
Townsend   I-NAME
was   O
educated   O
on   O
the   O
significance   O
of   O
adherence   O
to   O
medications   O
and   O
follow   O
-   O
up   O
visits   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Cardiology   O
Odin   B-NAME
Garza   I-NAME
was   O
scheduled   O
for   O
21/12   B-DATE
/2023   O
at   O
Amazon   B-LOCATION
Watch   I-LOCATION
.   O

Emergency   O
Contact   O
:   O
Holden   B-NAME
Willis   I-NAME
listed   O
467   B-CONTACT
-   I-CONTACT
4734   I-CONTACT
as   O
an   O
emergency   O
contact   O
number   O
.   O

This   O
report   O
will   O
be   O
updated   O
as   O
Olson   B-NAME
,   I-NAME
Ken   I-NAME
progresses   O
and   O
further   O
consultation   O
results   O
are   O
received   O
.   O

All   O
patient   O
data   O
has   O
been   O
handled   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
to   O
protect   O
Duffy   B-NAME
's   O
privacy   O
.   O

Patient   O
Name   O
:   O
Hebron   B-NAME
Medical   O
Record   O
Number   O
:   O
52107209   B-ID
Date   O
of   O
Admission   O
:   O
35/27/2352   B-DATE
Date   O
of   O
Birth   O
:   O
March   B-DATE
2394   I-DATE
Age   O
:   O
94   O
Sex   O
:   O
Male   O
Attending   O
Physician   O
:   O
Martin   B-NAME
,   I-NAME
Demetri   I-NAME
Hospital   O
:   O
Healthpark   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O

Carter   B-LOCATION
Springs   I-LOCATION
Patient   O
's   O
Phone   O
Number   O
:   O
495   B-CONTACT
335   I-CONTACT
3315   I-CONTACT
Patient   O
's   O
Profession   O
:   O
Food   O
Service   O
Managers   O
Patient   O
's   O
Social   O
Security   O
Number   O
:   O
517486130   B-ID
Zip   O
Code   O
:   O
36763   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Lucien   B-NAME
Dubenko   I-NAME
,   O
a   O
45   O
-   O
year   O
-   O
old   O
Multiple   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Vayas   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Saint   B-LOCATION
Thomas   I-LOCATION
Midtown   I-LOCATION
Hospital   I-LOCATION
on   O
05/24/60   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kieran   B-NAME
Newman   I-NAME
reported   O
that   O
the   O
pain   O
began   O
suddenly   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Tobey   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Cannon   B-NAME
for   O
management   O
of   O
acute   O
pancreatitis   O
,   O
presumptive   O
based   O
on   O
clinical   O
presentation   O
and   O
pending   O
further   O
test   O
results   O
.   O

Follow   O
-   O
Up   O
:   O
Kaylie   B-NAME
Cox   I-NAME
will   O
be   O
closely   O
monitored   O
for   O
signs   O
of   O
improvement   O
or   O
deterioration   O
.   O

Sharing   O
this   O
information   O
without   O
the   O
consent   O
of   O
Chip   B-NAME
Walters   I-NAME
or   O
as   O
permitted   O
by   O
law   O
is   O
strictly   O
prohibited   O
.   O

The   O
patient   O
,   O
Kolton   B-NAME
Ortega   I-NAME
,   O
a   O
Residential   O
Advisors   O
from   O
Ranchitos   B-LOCATION
Las   I-LOCATION
Lomas   I-LOCATION
,   O
reported   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Central   I-LOCATION
on   O
0   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
52   I-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
over   O
the   O
past   O
6   O
months   O
.   O

Upon   O
examination   O
,   O
Nikhil   B-NAME
Barnes   I-NAME
presented   O
with   O
an   O
elevated   O
jugular   O
venous   O
pressure   O
,   O
a   O
third   O
heart   O
sound   O
(   O
S3   O
)   O
,   O
and   O
bilateral   O
rales   O
in   O
the   O
lower   O
lung   O
fields   O
.   O

Laboratory   O
investigations   O
were   O
ordered   O
by   O
Kaylah   B-NAME
Salinas   I-NAME
,   O
revealing   O
elevated   O
B   O
-   O
type   O
natriuretic   O
peptide   O
(   O
BNP   O
)   O
levels   O
and   O
abnormal   O
kidney   O
function   O
tests   O
.   O

Louis   B-NAME
VII   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
France   I-NAME
prescribed   O
a   O
regimen   O
of   O
loop   O
diuretics   O
for   O
volume   O
management   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
for   O
further   O
evaluation   O
and   O
optimization   O
of   O
heart   O
failure   O
therapy   O
.   O

Marshall   B-NAME
,   I-NAME
Joshua   I-NAME
Micah   I-NAME
's   O
4629687   B-ID
number   O
is   O
51268267   B-ID
,   O
and   O
all   O
information   O
has   O
been   O
documented   O
and   O
stored   O
in   O
accordance   O
with   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Elevator   I-LOCATION
Constructors   I-LOCATION
's   O
health   O
information   O
management   O
policies   O
.   O

Milan   B-NAME
was   O
instructed   O
to   O
monitor   O
weight   O
daily   O
and   O
to   O
report   O
any   O
significant   O
changes   O
in   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
02/27   B-DATE
for   O
reassessment   O
and   O
modification   O
of   O
treatment   O
as   O
necessary   O
.   O

For   O
any   O
emergencies   O
or   O
additional   O
concerns   O
,   O
Graves   B-NAME
was   O
advised   O
to   O
contact   O
Ranken   B-LOCATION
Jordan   I-LOCATION
Pediatric   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
673   I-CONTACT
)   I-CONTACT
305   I-CONTACT
-   I-CONTACT
7319   I-CONTACT
.   O

In   O
case   O
of   O
questions   O
regarding   O
the   O
medication   O
or   O
health   O
management   O
plan   O
,   O
Humberto   B-NAME
Copeland   I-NAME
can   O
also   O
reach   O
out   O
to   O
the   O
patient   O
care   O
coordinator   O
at   O
143   B-CONTACT
-   I-CONTACT
535   I-CONTACT
4298   I-CONTACT
.   O

Patient   O
Name   O
:   O
Luther   B-NAME
Beatson   I-NAME
Age   O
:   O
83   O
Date   O
of   O
Initial   O
Consultation   O
:   O
20/16/2335   B-DATE
Consulting   O
Doctor   O
:   O
Hill   B-NAME
Hospital   O
:   O

Holland   B-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
255   B-ID
-   I-ID
72   I-ID
-   I-ID
17   I-ID
Patient   O
ID   O
:   O
ET   B-ID
:   I-ID
KA:4564   I-ID
Location   O
:   O
Cornwall   B-LOCATION
Organization   O
:   O

Minority   B-LOCATION
Rights   I-LOCATION
Group   I-LOCATION
International   I-LOCATION
Contact   O
Number   O
:   O
597   B-CONTACT
704   I-CONTACT
4253   I-CONTACT
Patient   O
Profession   O
:   O
Marine   O
Engineers   O
and   O
Naval   O
Architects   O
Username   O
:   O
dkw295   B-NAME
ZIP   O
Code   O
:   O
26873   B-LOCATION
Chief   O
Complaint   O
:   O
Nicole   B-NAME
Ostrowski   I-NAME
presented   O
to   O
the   O
outpatient   O
department   O
of   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Troy   I-LOCATION
on   O
12/04   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
dry   O
cough   O
and   O
shortness   O
of   O
breath   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Medical   O
History   O
:   O
Cynthia   B-NAME
Avery   I-NAME
has   O
a   O
history   O
of   O
asthma   O
diagnosed   O
in   O
childhood   O
but   O
claims   O
to   O
have   O
had   O
good   O
control   O
over   O
the   O
symptoms   O
with   O
minimal   O
episodes   O
in   O
the   O
past   O
few   O
years   O
.   O

Cunningham   B-NAME
denies   O
any   O
recent   O
upper   O
respiratory   O
infections   O
or   O
exposures   O
to   O
known   O
allergens   O
.   O

Joseph   B-NAME
,   I-NAME
Chief   I-NAME
also   O
has   O
a   O
history   O
of   O
hypertension   O
managed   O
with   O
medication   O
.   O

Upon   O
examination   O
,   O
Leanna   B-NAME
Yu   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
heart   O
rate   O
88   O
beats   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

Diagnostic   O
Tests   O
:   O
To   O
further   O
evaluate   O
Erasmo   B-NAME
Vecchio   I-NAME
's   O
condition   O
,   O
Ricardo   B-NAME
Vance   I-NAME
ordered   O
a   O
chest   O
X   O
-   O
ray   O
and   O
pulmonary   O
function   O
tests   O
.   O

Given   O
the   O
findings   O
,   O
Rodgers   B-NAME
proposed   O
to   O
initiate   O
a   O
course   O
of   O
inhaled   O
corticosteroids   O
combined   O
with   O
long   O
-   O
acting   O
bronchodilators   O
to   O
manage   O
Stevens   B-NAME
's   O
symptoms   O
.   O

Memphis   B-NAME
Golden   I-NAME
was   O
also   O
advised   O
to   O
avoid   O
known   O
asthma   O
triggers   O
and   O
to   O
monitor   O
peak   O
flow   O
regularly   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
0/23/72   B-DATE
to   O
reassess   O
symptom   O
control   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O
Instructions   O
for   O
Micki   B-NAME
:   O
1   O
.   O

Jong   B-NAME
Rinke   I-NAME
was   O
provided   O
with   O
the   O
phone   O
number   O
561   B-CONTACT
8545   I-CONTACT
of   O
Logan   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
pulmonary   O
department   O
for   O
any   O
queries   O
or   O
emergencies   O
.   O

The   O
patient   O
was   O
assured   O
continuous   O
support   O
from   O
Sun   B-LOCATION
American   I-LOCATION
Bank   I-LOCATION
's   O
medical   O
team   O
for   O
the   O
management   O
of   O
their   O
condition   O
.   O

Patient   O
Name   O
:   O
Halsey   B-NAME
,   I-NAME
William   I-NAME
"   I-NAME
Bull   I-NAME
"   I-NAME
Patient   O
ID   O
:   O
XW213/9268   B-ID
Medical   O
Record   O
Number   O
:   O
95647758   B-ID
Date   O
of   O
Birth   O
:   O
2   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
18   I-DATE
Age   O
:   O
2   O
week   O
Phone   O
Number   O
:   O
394   B-CONTACT
-   I-CONTACT
8553   I-CONTACT
Address   O
:   O
Arizona   B-LOCATION
Village   I-LOCATION
,   O
97391   B-LOCATION
Employer   O
:   O
Chinese   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
Beijing   I-LOCATION
)   I-LOCATION
(   I-LOCATION
CCS   I-LOCATION
)   I-LOCATION
Profession   O
:   O
Occupational   O
Therapist   O
Aides   O
Primary   O
Care   O
Physician   O
:   O

Cruz   B-NAME
Hospital   O
:   O
Habersham   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
:   O
otv556   B-NAME
Chief   O
Complaint   O
:   O
Verline   B-NAME
Villacis   I-NAME
presented   O
to   O
Tidelands   B-LOCATION
Health   I-LOCATION
Georgetown   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
December   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
high   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
,   O
and   O
difficulty   O
breathing   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
five   O
days   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Smith   B-NAME
,   O
a   O
82   O
-   O
year   O
-   O
old   O
Maintenance   O
and   O
Repair   O
Workers   O
,   O
General   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Asthma   O
,   O
managed   O
with   O
inhalers   O
,   O
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
one   O
week   O
ago   O
.   O

However   O
,   O
over   O
the   O
past   O
few   O
days   O
,   O
Genie   B-NAME
Delahoussaye   I-NAME
has   O
experienced   O
a   O
significant   O
worsening   O
of   O
the   O
cough   O
,   O
now   O
described   O
as   O
"   O
deep   O
and   O
hacking   O
,   O
"   O
accompanied   O
by   O
a   O
high   O
-   O
grade   O
fever   O
and   O
notable   O
dyspnea   O
on   O
exertion   O
.   O

Aydin   B-NAME
Dudley   I-NAME
denies   O
recent   O
travel   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Type   O
2   O
Diabetes   O
Mellitus   O
(   O
Diagnosed   O
3/03   B-DATE
)   O
Medications   O
:   O
-   O
Albuterol   O
Inhaler   O
as   O
needed   O
for   O
Asthma   O
-   O
Metformin   O
500   O
mg   O
twice   O
daily   O
for   O
Diabetes   O
Mellitus   O
Allergies   O
:   O
No   O
known   O
drug   O
allergies   O
.   O

Yu   B-NAME
is   O
a   O
Test   O
automation   O
developer   O
employed   O
at   O
All   B-LOCATION
India   I-LOCATION
Defence   I-LOCATION
Employees   I-LOCATION
Federation   I-LOCATION
located   O
in   O
Social   B-LOCATION
Circle   I-LOCATION
,   I-LOCATION
Social   I-LOCATION
Circle   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
.   O

Reid   B-NAME
Proctor   I-NAME
is   O
a   O
nonsmoker   O
and   O
denies   O
the   O
use   O
of   O
illicit   O
drugs   O
or   O
excessive   O
alcohol   O
consumption   O
.   O

Mollie   B-NAME
Perkins   I-NAME
appears   O
fatigued   O
but   O
is   O
alert   O
and   O
oriented   O
.   O

Admission   O
to   O
Martinsville   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
is   O
recommended   O
.   O

Follow   O
-   O
up   O
with   O
Katie   B-NAME
Avila   I-NAME
in   O
48   O
hours   O
or   O
sooner   O
if   O
the   O
patient   O
's   O
condition   O
worsens   O
.   O

Follow   O
-   O
Up   O
Instructions   O
:   O
Davian   B-NAME
Cochran   I-NAME
or   O
a   O
representative   O
is   O
advised   O
to   O
contact   O
Morrow   B-NAME
at   O
430   B-CONTACT
-   I-CONTACT
5194   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
regarding   O
the   O
treatment   O
plan   O
.   O

This   O
medical   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
the   O
medical   O
staff   O
at   O
Tufts   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
Christene   B-NAME
Langevin   I-NAME
's   O
primary   O
care   O
team   O
.   O

Patient   O
Name   O
:   O
Xiang   B-NAME
Patient   O
ID   O
:   O
GS155/3094   B-ID
Medical   O
Record   O
Number   O
:   O
30791136   B-ID
Date   O
of   O
Birth   O
:   O
34/12/52   B-DATE
Address   O
:   O
Tresckow   B-LOCATION
,   O
48712   B-LOCATION
Phone   O
:   O
148   B-CONTACT
5700   I-CONTACT
Emergency   O
Contact   O
:   O

Data   O
Warehousing   O
Specialists   O
at   O
(   B-CONTACT
998   I-CONTACT
)   I-CONTACT
278   I-CONTACT
-   I-CONTACT
5291   I-CONTACT
Primary   O
Care   O
Provider   O
:   O
Giles   B-NAME
at   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
South   I-LOCATION
&   I-LOCATION
the   I-LOCATION
Center   I-LOCATION
for   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
,   O
Roy   B-LOCATION
Lake   I-LOCATION
,   O
837   B-CONTACT
-   I-CONTACT
6284   I-CONTACT
Username   O
:   O
LN22   B-NAME
Employer   O
:   O
Progress   B-LOCATION
Energy   I-LOCATION
Florida   I-LOCATION
,   O
Yarrowsburg   B-LOCATION
,   O
294   B-CONTACT
-   I-CONTACT
2079   I-CONTACT
Clinical   O
Summary   O
:   O
Arp   B-NAME
,   I-NAME
Hans   I-NAME
,   O
a   O
71   O
-   O
year   O
-   O
old   O
Grinding   O
and   O
Polishing   O
Workers   O
,   O
Hand   O
presented   O
to   O
Logansport   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
04/33   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
100.4   O
°   O
F   O
.   O

Day   B-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Mildred   B-NAME
Gustafson   I-NAME
exhibited   O
signs   O
of   O
abdominal   O
tenderness   O
and   O
rebound   O
tenderness   O
particularly   O
localized   O
to   O
the   O
McBurney   O
's   O
point   O
.   O

John   B-NAME
Dolittle   I-NAME
's   O
past   O
medical   O
history   O
,   O
reviewed   O
by   O
Thalia   B-NAME
Ewing   I-NAME
,   O
was   O
notable   O
for   O
controlled   O
hypertension   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Holloway   B-NAME
recommended   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgical   O
consent   O
was   O
provided   O
by   O
Yelton   B-NAME
post   O
-   O
discussion   O
about   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
potential   O
complications   O
of   O
the   O
procedure   O
.   O

Surgery   O
was   O
successfully   O
performed   O
on   O
1792   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
instructions   O
included   O
monitoring   O
for   O
signs   O
of   O
infection   O
,   O
managing   O
pain   O
with   O
prescribed   O
medications   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
Sa   B-DATE
with   O
Isaac   B-NAME
Barr   I-NAME
at   O
Sierra   B-LOCATION
Nevada   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Dessie   B-NAME
Frantz   I-NAME
was   O
advised   O
to   O
maintain   O
hydration   O
,   O
adhere   O
to   O
a   O
liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
operation   O
,   O
gradually   O
resuming   O
a   O
normal   O
diet   O
as   O
tolerated   O
.   O

Conclusion   O
:   O
Kaycee   B-NAME
demonstrated   O
post   O
-   O
operative   O
improvement   O
,   O
with   O
a   O
resolution   O
of   O
symptoms   O
.   O

Discharge   O
was   O
authorized   O
on   O
9/3   B-DATE
,   O
with   O
instructions   O
to   O
contact   O
Destiny   B-NAME
Burnett   I-NAME
or   O
return   O
to   O
Christ   B-LOCATION
Hospital   I-LOCATION
if   O
experiencing   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
any   O
signs   O
of   O
infection   O
.   O

Notes   O
prepared   O
by   O
:   O
Funeral   O
Directors   O
,   O
East   B-LOCATION
River   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
For   O
inquiries   O
or   O
additional   O
information   O
,   O
kindly   O
contact   O
Parker   B-NAME
at   O
501   B-CONTACT
599   I-CONTACT
-   I-CONTACT
3898   I-CONTACT
or   O
Salinas   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
at   O
37139   B-CONTACT
.   O

*   O
*   O
Patient   O
Report   O
*   O
*   O
*   O
*   O
Patient   O
Information   O
*   O
*   O
Name   O
:   O
Addison   B-NAME
,   I-NAME
Joseph   I-NAME
Age   O
:   O
85   O
Medical   O
Record   O
Number   O
:   O
2191265   B-ID
ID   O
Number   O
:   O
GO191/4585   B-ID
Address   O
:   O
Lochearn   B-LOCATION
,   O
31974   B-LOCATION
Phone   O
:   O
46324   B-CONTACT
Occupation   O
:   O

Respiratory   O
Therapy   O
Technicians   O
Username   O
:   O
jl955   B-NAME
Date   O
of   O
Visit   O
:   O
11/12/2123   B-DATE
/2023   O

Mays   B-NAME
Hospital   O
:   O
Mission   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
*   O
*   O
Chief   O
Complaint   O
*   O
*   O

The   O
patient   O
,   O
Nesmith   B-NAME
,   O
presents   O
with   O
a   O
severe   O
and   O
persistent   O
cough   O
that   O
has   O
lasted   O
for   O
more   O
than   O
3   O
weeks   O
.   O

In   O
addition   O
to   O
coughing   O
,   O
Washington   B-NAME
,   I-NAME
Booker   I-NAME
T.   I-NAME
reports   O
experiencing   O
bouts   O
of   O
wheezing   O
and   O
breathlessness   O
,   O
especially   O
during   O
the   O
night   O
and   O
early   O
morning   O
hours   O
.   O

*   O
*   O
History   O
of   O
Present   O
Illness   O
*   O
*   O
Approximately   O
one   O
month   O
ago   O
,   O
Jarmo   B-NAME
Visakorpi   I-NAME
developed   O
a   O
mild   O
,   O
dry   O
cough   O
that   O
was   O
initially   O
attributed   O
to   O
seasonal   O
allergies   O
.   O

However   O
,   O
over   O
the   O
past   O
2372   B-DATE
/2023   O
,   O
the   O
cough   O
became   O
more   O
frequent   O
and   O
developed   O
into   O
a   O
productive   O
cough   O
with   O
clear   O
sputum   O
.   O

*   O
*   O
Past   O
Medical   O
History   O
*   O
*   O
Tameron   B-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
diagnosed   O
in   O
childhood   O
,   O
but   O
reports   O
that   O
these   O
symptoms   O
are   O
unlike   O
any   O
previous   O
asthma   O
exacerbations   O
.   O

Cochran   B-NAME
is   O
a   O
Criminal   O
Investigators   O
and   O
Special   O
Agents   O
,   O
which   O
involves   O
working   O
at   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Cootie   I-LOCATION
Auxiliary   I-LOCATION
(   I-LOCATION
MOCA   I-LOCATION
)   I-LOCATION
.   O

Lydia   B-NAME
Barnes   I-NAME
denies   O
using   O
tobacco   O
products   O
but   O
admits   O
to   O
occasional   O
alcohol   O
use   O
.   O

The   O
patient   O
lives   O
with   O
family   O
members   O
in   O
Elkland   B-LOCATION
and   O
does   O
not   O
have   O
any   O
recent   O
travel   O
history   O
.   O

*   O
*   O
Review   O
of   O
Systems   O
*   O
*   O
Apart   O
from   O
the   O
respiratory   O
symptoms   O
described   O
,   O
Denise   B-NAME
Clarke   I-NAME
reports   O
no   O
other   O
symptoms   O
.   O

On   O
examination   O
,   O
Kuro   B-NAME
Hazama   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

*   O
*   O
Diagnostic   O
Testing   O
*   O
*   O
Pulmonary   O
function   O
tests   O
were   O
ordered   O
,   O
and   O
chest   O
X   O
-   O
rays   O
were   O
performed   O
at   O
Magnolia   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/25/22   B-DATE
/2023   O
.   O

The   O
attending   O
physician   O
,   O
Emmanuel   B-NAME
Elliott   I-NAME
,   O
diagnosed   O
Oliver   B-NAME
Ludwig   I-NAME
with   O
an   O
acute   O
exacerbation   O
of   O
asthma   O
,   O
potentially   O
triggered   O
by   O
an   O
environmental   O
allergen   O
or   O
respiratory   O
infection   O
.   O

Nixon   B-NAME
was   O
advised   O
to   O
avoid   O
known   O
triggers   O
and   O
to   O
monitor   O
peak   O
flow   O
readings   O
at   O
home   O
.   O

This   O
report   O
details   O
the   O
symptoms   O
,   O
diagnosis   O
,   O
and   O
initial   O
management   O
plan   O
for   O
Jaylynn   B-NAME
Fernandez   I-NAME
who   O
presented   O
with   O
symptoms   O
indicative   O
of   O
an   O
acute   O
exacerbation   O
of   O
asthma   O
.   O

Patient   O
:   O
Singh   B-NAME
ID   O
:   O
QV991/6277   B-ID
Age   O
:   O
75   O
Medical   O
Record   O
Number   O
:   O
244   B-ID
-   I-ID
36   I-ID
-   I-ID
71   I-ID
Location   O
:   O
Dickinson   B-LOCATION
Zip   O
:   O
46471   B-LOCATION
Phone   O
:   O
931   B-CONTACT
529   I-CONTACT
-   I-CONTACT
9715   I-CONTACT
Date   O
of   O
Admission   O
:   O
33/14   B-DATE
/2023   O

Attending   O
Doctor   O
:   O
Robert   B-NAME
Bramwell   I-NAME
Hospital   O
:   O
Ellenville   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Referring   O
Organization   O
:   O
Massachusetts   B-LOCATION
Summary   O
:   O
Charles   B-NAME
Howard   I-NAME
,   O
a   O
Immunologist   O
from   O
Emporia   B-LOCATION
,   O
77047   B-LOCATION
,   O
presented   O
to   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Greene   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2/31   B-DATE
/2023   O
with   O
acute   O
onset   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

Kenneth   B-NAME
Sweet   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
and   O
has   O
been   O
non   O
-   O
compliant   O
with   O
medications   O
.   O

Treatment   O
:   O
Under   O
the   O
orders   O
of   O
Efrain   B-NAME
Howe   I-NAME
,   O
Aliza   B-NAME
Malone   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
325   O
mg   O
,   O
clopidogrel   O
75   O
mg   O
,   O
and   O
heparin   O
infusion   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Erica   B-NAME
Simpson   I-NAME
was   O
scheduled   O
for   O
emergent   O
cardiac   O
catheterization   O
by   O
the   O
cardiology   O
team   O
.   O

Post   O
-   O
procedure   O
,   O
Chavez   B-NAME
's   O
chest   O
pain   O
resolved   O
,   O
and   O
repeat   O
ECG   O
showed   O
resolution   O
of   O
ST   O
-   O
segment   O
elevation   O
.   O

Plan   O
:   O
Upon   O
discharge   O
on   O
13/24/2318   B-DATE
/2023   O
,   O
Aracely   B-NAME
Calderon   I-NAME
was   O
prescribed   O
aspirin   O
,   O
clopidogrel   O
,   O
atorvastatin   O
,   O
and   O
beta   O
-   O
blockers   O
.   O

Karen   B-NAME
Thorpe   I-NAME
was   O
advised   O
to   O
adhere   O
strictly   O
to   O
the   O
medication   O
regimen   O
,   O
follow   O
a   O
low   O
-   O
sodium   O
,   O
low   O
-   O
fat   O
diet   O
,   O
and   O
enroll   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Coby   B-NAME
Cameron   I-NAME
at   O
Monmouth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Southern   I-LOCATION
Campus   I-LOCATION
was   O
scheduled   O
for   O
22/25   B-DATE
/2023   O
.   O

Shannon   B-NAME
Ware   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
medication   O
compliance   O
and   O
lifestyle   O
modifications   O
in   O
the   O
prevention   O
of   O
future   O
cardiac   O
events   O
.   O

For   O
any   O
further   O
questions   O
or   O
emergency   O
,   O
Rhett   B-NAME
Vang   I-NAME
is   O
advised   O
to   O
contact   O
Owensboro   B-LOCATION
Health   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
at   O
55736   B-CONTACT
or   O
visit   O
the   O
hospital   O
located   O
in   O
Naches   B-LOCATION
,   O
64686   B-LOCATION
.   O

Username   O
for   O
patient   O
portal   O
access   O
:   O
UX293   B-NAME
This   O
summary   O
documents   O
the   O
acute   O
care   O
and   O
management   O
plan   O
for   O
Gabriel   B-NAME
Leonard   I-NAME
following   O
the   O
diagnosis   O
and   O
treatment   O
of   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

The   O
multidisciplinary   O
team   O
at   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Branch   I-LOCATION
will   O
continue   O
to   O
monitor   O
Gabor   B-NAME
,   I-NAME
Zsa   I-NAME
Zsa   I-NAME
's   O
progress   O
closely   O
in   O
collaboration   O
with   O
Municipal   B-LOCATION
Mazdoor   I-LOCATION
Union   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Malika   B-NAME
Mojaro   I-NAME
Patient   O
ID   O
:   O
1602013   B-ID
Date   O
of   O
Birth   O
:   O
2212   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
20   I-DATE
Medical   O
Record   O
Number   O
:   O
6691892   B-ID
Address   O
:   O
Williamsport   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
780   I-CONTACT
)   I-CONTACT
878   I-CONTACT
9795   I-CONTACT
Zip   O
Code   O
:   O
96481   B-LOCATION
Occupation   O
:   O
Horticultural   O
consultant   O
Attending   O
Physician   O
:   O

Dijkstra   B-NAME
,   I-NAME
Edsger   I-NAME
Hospital   O
Name   O
:   O
Northside   B-LOCATION
Hospital   I-LOCATION
Atlanta   I-LOCATION
Date   O
of   O
Admission   O
:   O
2205   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
24   I-DATE
Date   O
of   O
Discharge   O
:   O
31/22/73   B-DATE
Summary   O
:   O
Moriah   B-NAME
May   I-NAME
,   O
a   O
45   O
-   O
year   O
-   O
old   O
Transportation   O
Managers   O
from   O
528   B-LOCATION
Smith   I-LOCATION
Store   I-LOCATION
Street   I-LOCATION
,   O
presented   O
to   O
Hannibal   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
Wednesday   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
rated   O
at   O
8   O
on   O
a   O
scale   O
of   O
10   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
with   O
radiation   O
to   O
the   O
back   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
intermittent   O
,   O
worsening   O
over   O
the   O
last   O
2182   B-DATE
.   O

Additionally   O
,   O
Janet   B-NAME
Miles   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
loss   O
of   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
that   O
started   O
approximately   O
two   O
days   O
prior   O
to   O
admission   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Savage   B-NAME
's   O
vital   O
signs   O
were   O
stable   O
;   O
however   O
,   O
tenderness   O
was   O
noted   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
specifically   O
at   O
the   O
McBurney   O
's   O
point   O
,   O
without   O
guarding   O
or   O
rebound   O
tenderness   O
.   O

K.   B-NAME
Ivan   I-NAME
Olszewski   I-NAME
's   O
historical   O
and   O
physical   O
examination   O
findings   O
were   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Willie   B-NAME
Nix   I-NAME
was   O
immediately   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
fluids   O
.   O

Surgical   O
consultation   O
by   O
Shepard   B-NAME
confirmed   O
the   O
diagnosis   O
,   O
and   O
Hyles   B-NAME
,   I-NAME
Jack   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
2307   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
22   I-DATE
without   O
any   O
complications   O
.   O

Post   O
-   O
operatively   O
,   O
Hampton   B-NAME
reported   O
significant   O
pain   O
relief   O
and   O
improvement   O
in   O
symptoms   O
.   O

Discharge   O
Instructions   O
:   O
Christian   B-NAME
Troy   I-NAME
was   O
discharged   O
on   O
30/18   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
and   O
symptoms   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
schedule   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Holden   B-NAME
at   O
Sabetha   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Sabetha   I-LOCATION
.   O

Kidd   B-NAME
,   I-NAME
Yechiel   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
,   O
pain   O
management   O
medications   O
,   O
and   O
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
over   O
the   O
next   O
few   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Price   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Brock   B-NAME
on   O
Jun   B-DATE
9   I-DATE
,   I-DATE
2142   I-DATE
at   O
AdventHealth   B-LOCATION
Wesley   I-LOCATION
Chapel   I-LOCATION
for   O
post   O
-   O
operative   O
evaluation   O
and   O
to   O
ensure   O
proper   O
healing   O
.   O

Rabelais   B-NAME
,   I-NAME
François   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
high   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
persistent   O
vomiting   O
,   O
or   O
any   O
signs   O
of   O
wound   O
infection   O
.   O

For   O
any   O
immediate   O
concerns   O
or   O
questions   O
,   O
Oakley   B-NAME
or   O
relatives   O
can   O
contact   O
Marilyn   B-NAME
Hart   I-NAME
at   O
(   B-CONTACT
285   I-CONTACT
)   I-CONTACT
322   I-CONTACT
-   I-CONTACT
5459   I-CONTACT
or   O
visit   O
Pennsylvania   B-LOCATION
Hospital   I-LOCATION
located   O
at   O
Cohasset   B-LOCATION
.   O

Patient   O
Name   O
:   O
Hadley   B-NAME
Luna   I-NAME
Age   O
:   O
65   O
Date   O
of   O
Birth   O
:   O
2277   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
09   I-DATE
Medical   O
Record   O
Number   O
:   O
2823218   B-ID
Address   O
:   O
Cedar   B-LOCATION
Bluffs   I-LOCATION
,   O
19543   B-LOCATION
Occupation   O
:   O

Compliance   O
Managers   O
Primary   O
Doctor   O
:   O
Kianna   B-NAME
Mcclure   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Phone   O
Number   O
:   O
77889   B-CONTACT
ID   O
:   O
4   B-ID
-   I-ID
2029181   I-ID
Username   O
:   O
mg1610   B-NAME
Date   O
of   O
Visit   O
:   O
10/20   B-DATE
Location   O
of   O
Visit   O
:   O
Burien   B-LOCATION
Chief   O
Complaint   O
:   O
Angelika   B-NAME
Hillbrant   I-NAME
reports   O
experiencing   O
severe   O
episodic   O
headaches   O
characterized   O
by   O
unilateral   O
pulsating   O
pain   O
of   O
moderate   O
to   O
severe   O
intensity   O
.   O

Querry   B-NAME
,   I-NAME
Lucas   I-NAME
Edwin   I-NAME
also   O
mentions   O
an   O
increase   O
in   O
the   O
frequency   O
of   O
these   O
episodes   O
,   O
occurring   O
approximately   O
8   O
-   O
10   O
times   O
per   O
month   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Remigio   B-NAME
L.   I-NAME
Allison   I-NAME
notes   O
that   O
the   O
headaches   O
began   O
around   O
33/23   B-DATE
and   O
have   O
progressively   O
worsened   O
.   O

Lorelei   B-NAME
Townsend   I-NAME
reports   O
that   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
provide   O
minimal   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
Boone   B-NAME
,   I-NAME
Louis   I-NAME
E.   I-NAME
has   O
a   O
history   O
of   O
seasonal   O
allergies   O
and   O
atopic   O
dermatitis   O
but   O
denies   O
any   O
chronic   O
medical   O
conditions   O
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
headache   O
symptoms   O
described   O
,   O
Cruz   B-NAME
Yates   I-NAME
denies   O
any   O
fever   O
,   O
weight   O
loss   O
,   O
vision   O
changes   O
,   O
or   O
neurological   O
deficits   O
.   O

Jenna   B-NAME
Corona   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
and   O
to   O
avoid   O
identified   O
triggers   O
.   O

Instructions   O
were   O
given   O
to   O
Madyson   B-NAME
Pena   I-NAME
to   O
follow   O
up   O
with   O
Zoey   B-NAME
Stephens   I-NAME
at   O
Geneva   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
for   O
re   O
-   O
evaluation   O
in   O
6   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
appear   O
.   O

For   O
any   O
questions   O
or   O
further   O
information   O
,   O
please   O
contact   O
the   O
Patient   O
Educator   O
at   O
930   B-CONTACT
7729   I-CONTACT
or   O
visit   O
us   O
at   O
Niverville   B-LOCATION
.   O

This   O
plan   O
of   O
care   O
will   O
be   O
shared   O
with   O
Mussius   B-NAME
Neja   I-NAME
's   O
primary   O
care   O
physician   O
and   O
entered   O
into   O
Step   B-NAME
's   O
electronic   O
health   O
record   O
at   O
Colquitt   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

All   O
personal   O
identifiers   O
have   O
been   O
protected   O
according   O
to   O
HIPAA   O
regulations   O
,   O
and   O
the   O
patient   O
has   O
been   O
informed   O
of   O
the   O
privacy   O
practices   O
of   O
Fair   B-LOCATION
Wear   I-LOCATION
Foundation   I-LOCATION
(   I-LOCATION
FWA   I-LOCATION
)   I-LOCATION
.   O

Patient   O
Name   O
:   O
Oswaldo   B-NAME
Bridges   I-NAME
Age   O
:   O
17   O
Date   O
of   O
Birth   O
:   O
dec   B-DATE
2133   I-DATE
Medical   O
Record   O
Number   O
:   O
1134176   B-ID
Residence   O
:   O
Inverness   B-LOCATION
,   O
94829   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
260   I-CONTACT
)   I-CONTACT
714   I-CONTACT
5151   I-CONTACT

Moreno   B-NAME
Hospital   O
Name   O
:   O
Hodgeman   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Jetmore   I-LOCATION
Date   O
of   O
Visit   O
:   O
2240   B-DATE
Clinical   O
Summary   O
:   O
Jaida   B-NAME
Levy   I-NAME
,   O
a   O
Heating   O
Equipment   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
from   O
Jenkintown   B-LOCATION
,   I-LOCATION
Jenkintown   I-LOCATION
Community   I-LOCATION
Alliance   I-LOCATION
,   O
presented   O
on   O
2295   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
20   I-DATE
with   O
a   O
several   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
unexplained   O
fatigue   O
.   O

Upon   O
physical   O
examination   O
,   O
Olympia   B-NAME
Jett   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Albright   B-NAME
was   O
referred   O
to   O
a   O
pulmonologist   O
at   O
Meadowview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

The   O
care   O
team   O
,   O
led   O
by   O
Russell   B-NAME
,   I-NAME
Bertrand   I-NAME
,   O
discussed   O
the   O
importance   O
of   O
initiating   O
antifibrotic   O
therapy   O
to   O
slow   O
disease   O
progression   O
and   O
the   O
potential   O
for   O
lung   O
transplantation   O
should   O
the   O
disease   O
advance   O
significantly   O
.   O

It   O
was   O
emphasized   O
that   O
Billy   B-NAME
U.   I-NAME
Webber   I-NAME
should   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
and   O
seek   O
immediate   O
medical   O
attention   O
should   O
they   O
develop   O
,   O
given   O
their   O
compromised   O
lung   O
function   O
.   O

The   O
potential   O
side   O
effects   O
and   O
expected   O
outcomes   O
of   O
treatment   O
were   O
thoroughly   O
discussed   O
with   O
Abigayle   B-NAME
Johnson   I-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
for   O
the   O
proposed   O
management   O
plan   O
.   O

Shea   B-NAME
Brown   I-NAME
expressed   O
understanding   O
and   O
agreement   O
with   O
the   O
treatment   O
plan   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
three   O
months   O
,   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

The   O
contact   O
details   O
of   O
Andersen   B-NAME
and   O
the   O
pulmonary   O
department   O
at   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Westchester   I-LOCATION
were   O
given   O
to   O
Stanton   B-NAME
,   I-NAME
Elizabeth   I-NAME
Cady   I-NAME
for   O
any   O
immediate   O
concerns   O
or   O
questions   O
.   O

This   O
case   O
will   O
be   O
reviewed   O
during   O
the   O
next   O
multidisciplinary   O
team   O
meeting   O
at   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Lourdes   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
ensure   O
that   O
Tommy   B-NAME
Richards   I-NAME
receives   O
comprehensive   O
care   O
tailored   O
to   O
their   O
condition   O
and   O
needs   O
.   O

Patient   O
Name   O
:   O
Delgado   B-NAME
Age   O
:   O
42   O
Date   O
of   O
Birth   O
:   O
Saturday   B-DATE
Address   O
:   O
Odenton   B-LOCATION
,   O
51045   B-LOCATION
Phone   O
Number   O
:   O
89641   B-CONTACT
Occupation   O
:   O
Cooks   O
,   O
Institution   O
and   O
Cafeteria   O
Primary   O
Care   O
Physician   O
:   O

Blankenship   B-NAME
Hospital   O
:   O

PeaceHealth   B-LOCATION
Peace   I-LOCATION
Island   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
8388Y48741   B-ID
ID   O
Number   O
:   O
FQ448/5258   B-ID
Username   O
:   O
xf828   B-NAME
Summary   O
:   O
Tugia   B-NAME
,   I-NAME
Manasa   I-NAME
,   O
a   O
0   O
month   O
-   O
year   O
-   O
old   O
Clinical   O
microbiologist   O
residing   O
in   O
Green   B-LOCATION
,   O
31365   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Bay   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
on   O
28/20/2222   B-DATE
with   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
started   O
approximately   O
12   O
hours   O
before   O
admission   O
.   O

Ortiz   B-NAME
's   O
medical   O
history   O
was   O
notable   O
for   O
hypertension   O
,   O
managed   O
by   O
medication   O
prescribed   O
by   O
Franklin   B-NAME
.   O

On   O
physical   O
examination   O
,   O
Hoffman   B-NAME
,   I-NAME
Abbie   I-NAME
exhibited   O
rebound   O
tenderness   O
at   O
McBurney   O
's   O
point   O
,   O
and   O
the   O
Rovsing   O
's   O
sign   O
was   O
positive   O
.   O

Abdominal   O
ultrasonography   O
conducted   O
at   O
Phoenixville   B-LOCATION
Health   I-LOCATION
on   O
Feb   B-DATE
suggested   O
an   O
inflamed   O
appendix   O
with   O
no   O
evidence   O
of   O
perforation   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
for   O
Echols   B-NAME
by   O
Baylee   B-NAME
Sutton   I-NAME
.   O

Given   O
the   O
diagnosis   O
,   O
Erinyes   B-NAME
Albarazi   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
30/23/43   B-DATE
.   O

The   O
surgical   O
procedure   O
,   O
performed   O
at   O
Boulder   B-LOCATION
Community   I-LOCATION
Foothills   I-LOCATION
Hospital   I-LOCATION
,   O
was   O
uneventful   O
,   O
and   O
the   O
inflamed   O
appendix   O
was   O
successfully   O
removed   O
.   O

Zane   B-NAME
Mcfarland   I-NAME
was   O
advised   O
to   O
remain   O
in   O
the   O
hospital   O
for   O
observation   O
post   O
-   O
surgery   O
to   O
monitor   O
for   O
any   O
potential   O
complications   O
,   O
including   O
infection   O
or   O
bleeding   O
.   O

Mekhi   B-NAME
Austin   I-NAME
showed   O
signs   O
of   O
good   O
recovery   O
with   O
no   O
immediate   O
post   O
-   O
operative   O
complications   O
noted   O
.   O

Kylee   B-NAME
Compton   I-NAME
was   O
discharged   O
from   O
Ascension   B-LOCATION
Macomb   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Warren   I-LOCATION
Campus   I-LOCATION
on   O
3/9   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Eden   B-NAME
Sexton   I-NAME
in   O
one   O
week   O
for   O
a   O
wound   O
check   O
and   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Our   O
office   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Bernard   B-NAME
Altman   I-NAME
with   O
Barton   B-NAME
on   O
Nov   B-DATE
02   I-DATE
.   O

Patient   O
ID   O
:   O
OW602729   B-ID
/   O
70002   B-ID
Contact   O
Information   O
:   O
For   O
any   O
urgent   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
,   O
Miles   B-NAME
or   O
a   O
family   O
member   O
can   O
reach   O
the   O
office   O
of   O
Cummings   B-NAME
at   O
(   B-CONTACT
722   I-CONTACT
)   I-CONTACT
631   I-CONTACT
8978   I-CONTACT
.   O

Patient   O
Report   O
:   O
Yesenia   B-NAME
Roy   I-NAME
is   O
a   O
1s   O
year   O
-   O
old   O
who   O
presented   O
to   O
Kootenai   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2005   B-DATE
-   I-DATE
28   I-DATE
-   I-DATE
22   I-DATE
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

The   O
patient   O
reported   O
experiencing   O
sudden   O
onset   O
of   O
severe   O
lower   O
right   O
abdominal   O
pain   O
since   O
the   O
early   O
hours   O
of   O
the   O
morning   O
on   O
2354   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
28   I-DATE
.   O

Kathy   B-NAME
Guzman   I-NAME
also   O
noted   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
lack   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Upon   O
physical   O
examination   O
,   O
Alvarez   B-NAME
noted   O
that   O
Joe   B-NAME
Early   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
peritonitis   O
secondary   O
to   O
appendiceal   O
rupture   O
.   O

Imaging   O
studies   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
performed   O
on   O
2117   B-DATE
,   O
revealed   O
swelling   O
of   O
the   O
appendix   O
with   O
evidence   O
of   O
periappendiceal   O
fluid   O
collection   O
,   O
further   O
supporting   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

Dick   B-NAME
Richard   I-NAME
's   O
medical   O
history   O
,   O
as   O
per   O
83577689   B-ID
,   O
includes   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

However   O
,   O
it   O
was   O
noted   O
that   O
Haley   B-NAME
is   O
allergic   O
to   O
penicillin   O
.   O

Given   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Skylar   B-NAME
Wagner   I-NAME
recommended   O
urgent   O
surgical   O
intervention   O
to   O
manage   O
the   O
suspected   O
ruptured   O
appendix   O
.   O

Tortus   B-NAME
Crissinger   I-NAME
provided   O
informed   O
consent   O
after   O
a   O
detailed   O
discussion   O
of   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
.   O

The   O
appendectomy   O
was   O
performed   O
on   O
21/36/2363   B-DATE
without   O
complications   O
.   O

MEDINA   B-NAME
,   I-NAME
LUTHER   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
IV   O
antibiotics   O
as   O
prophylaxis   O
against   O
potential   O
postoperative   O
infections   O
due   O
to   O
the   O
noted   O
penicillin   O
allergy   O
.   O

Ava   B-NAME
Richards   I-NAME
was   O
discharged   O
from   O
St.   B-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
39/10/02   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
department   O
in   O
one   O
week   O
.   O

Instructions   O
were   O
given   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
Bethor   B-NAME
Persyn   I-NAME
experiences   O
symptoms   O
of   O
infection   O
,   O
including   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
redness   O
around   O
the   O
surgical   O
site   O
.   O

The   O
contact   O
number   O
provided   O
for   O
post   O
-   O
discharge   O
queries   O
was   O
(   B-CONTACT
409   I-CONTACT
)   I-CONTACT
969   I-CONTACT
5064   I-CONTACT
.   O

Selena   B-NAME
Warner   I-NAME
's   O
residential   O
address   O
was   O
documented   O
as   O
Kidder   B-LOCATION
,   O
with   O
a   O
postal   O
code   O
of   O
39410   B-LOCATION
.   O

The   O
planned   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Howard   B-NAME
at   O
Trinity   B-LOCATION
Moline   I-LOCATION
on   O
22/21/2102   B-DATE
.   O

Queen   B-NAME
Pickett   I-NAME
was   O
informed   O
about   O
the   O
potential   O
for   O
recurrent   O
abdominal   O
pain   O
and   O
was   O
advised   O
to   O
maintain   O
regular   O
follow   O
-   O
ups   O
for   O
early   O
detection   O
and   O
management   O
of   O
any   O
complications   O
.   O

Report   O
prepared   O
by   O
:   O
zmv857   B-NAME
Medical   O
Record   O
Number   O
:   O
64932535   B-ID
Date   O
:   O
00/32   B-DATE
Contact   O
Information   O
for   O
Further   O
Inquiries   O
:   O
163   B-CONTACT
5956   I-CONTACT
End   O
of   O
Report   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
2717339   B-ID
Patient   O
Name   O
:   O
German   B-NAME
Oxendine   I-NAME
Age   O
:   O
95   O
Date   O
of   O
Visit   O
:   O
12/22/2217   B-DATE
/2023   O
Contact   O
Number   O
:   O
935   B-CONTACT
-   I-CONTACT
9290   I-CONTACT
Address   O
:   O
Hidden   B-LOCATION
Hills   I-LOCATION
,   O
70153   B-LOCATION
Attending   O
Physician   O
:   O
Dr.   O
Graves   B-NAME
Hospital   O
:   O
Located   B-LOCATION
within   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Ann   I-LOCATION
Arbor   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Westfield   B-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
employee   O
Deleon   B-NAME
,   O
currently   O
working   O
as   O
a   O
Pressing   O
Machine   O
Operators   O
and   O
Tenders-   O
Textile   O
,   O
Garment   O
,   O
and   O
Related   O
Materials   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
12/39/20   B-DATE
/2023   O
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Hodges   B-NAME
describes   O
the   O
pain   O
as   O
sudden   O
in   O
onset   O
,   O
sharp   O
,   O
and   O
progressively   O
worsening   O
over   O
time   O
.   O

Dolf   B-NAME
Strab   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
previous   O
episodes   O
.   O

Valladares   B-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
well   O
-   O
controlled   O
on   O
budesonide   O
/   O
formoterol   O
.   O

Walberg   B-NAME
,   I-NAME
Tim   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Family   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
in   O
Ralph   B-NAME
Chambers   I-NAME
's   O
mother   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Freda   B-NAME
Erickson   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Dr.   O
Hoover   B-NAME
diagnosed   O
Leonard   B-NAME
Murphy   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
immediate   O
surgical   O
intervention   O
.   O

Mylee   B-NAME
Manning   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Xavier   B-NAME
Hobbs   I-NAME
consented   O
to   O
surgery   O
after   O
Dr.   O
Hicks   B-NAME
addressed   O
all   O
questions   O
and   O
concerns   O
.   O

Heaven   B-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
3/32/81   B-DATE
/2023   O
at   O
MultiCare   B-LOCATION
Allenmore   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
-   O
operative   O
instructions   O
included   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
22/2354   B-DATE
/2023   O
with   O
Dr.   O
Ari   B-NAME
Terrell   I-NAME
.   O

Sara   B-NAME
Sitarides   I-NAME
was   O
advised   O
to   O
rest   O
,   O
avoid   O
strenuous   O
activities   O
,   O
and   O
gradually   O
return   O
to   O
normal   O
activities   O
as   O
tolerated   O
.   O

Davis   B-NAME
Cherry   I-NAME
was   O
instructed   O
to   O
closely   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
and   O
immediate   O
report   O
if   O
any   O
were   O
observed   O
.   O

The   O
contact   O
number   O
for   O
Medical   B-LOCATION
City   I-LOCATION
North   I-LOCATION
Hills   I-LOCATION
is   O
991   B-CONTACT
-   I-CONTACT
2792   I-CONTACT
,   O
should   O
Andre   B-NAME
Schmitt   I-NAME
have   O
any   O
questions   O
or   O
require   O
immediate   O
medical   O
attention   O
.   O

Report   O
Prepared   O
By   O
:   O
Dr.   O
Cassius   B-NAME
Calhoun   I-NAME
Username   O
:   O
dy495   B-NAME
Date   O
:   O
May   B-DATE
2343   I-DATE

Zara   B-NAME
Gordon   I-NAME
Patient   O
ID   O
:   O
XM   B-ID
:   I-ID
XJ:8322   I-ID
Medical   O
Record   O
Number   O
:   O
4629687   B-ID
Date   O
of   O
Birth   O
:   O
10/07/96   B-DATE
Age   O
:   O
56   O
Address   O
:   O
Wyomissing   B-LOCATION
,   O
98620   B-LOCATION
Phone   O
Number   O
:   O
946   B-CONTACT
-   I-CONTACT
8965   I-CONTACT

Massey   B-NAME
Hospital   O
Name   O
:   O

TriStar   B-LOCATION
Southern   I-LOCATION
Hills   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
0/1/2270   B-DATE
Meeting   O
and   O
Convention   O
Planners   O
:   O
Software   O
Engineer   O
Chief   O
Complaint   O
:   O
OK   B-NAME
presented   O
to   O
Cooper   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
27/25/2162   B-DATE
complaining   O
of   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Chandler   B-NAME
,   I-NAME
Raymond   I-NAME
reports   O
that   O
the   O
headaches   O
often   O
occur   O
midday   O
and   O
can   O
last   O
anywhere   O
from   O
4   O
to   O
72   O
hours   O
.   O

Fitzgerald   B-NAME
has   O
noted   O
triggers   O
to   O
include   O
stress   O
at   O
work   O
as   O
a   O
Shoe   O
and   O
Leather   O
Workers   O
and   O
Repairers   O
,   O
lack   O
of   O
sleep   O
,   O
and   O
dehydration   O
.   O

Nate   B-NAME
Ambrose   I-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
mild   O
distress   O
due   O
to   O
a   O
headache   O
.   O

Jamal   B-NAME
Parker   I-NAME
was   O
educated   O
on   O
lifestyle   O
modifications   O
that   O
could   O
help   O
reduce   O
the   O
frequency   O
of   O
migraine   O
attacks   O
,   O
including   O
regular   O
sleep   O
schedules   O
,   O
hydration   O
,   O
and   O
stress   O
management   O
techniques   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Glenn   B-NAME
in   O
4   O
weeks   O
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

Municipal   B-LOCATION
Electric   I-LOCATION
Authority   I-LOCATION
of   I-LOCATION
Georgia   I-LOCATION
(   I-LOCATION
MEAG   I-LOCATION
Power   I-LOCATION
)   I-LOCATION
was   O
notified   O
of   O
the   O
treatment   O
plan   O
for   O
documentation   O
and   O
future   O
reference   O
.   O

A   O
prescription   O
was   O
sent   O
to   O
Vosanibola   B-NAME
,   I-NAME
Josefa   I-NAME
's   O
chosen   O
pharmacy   O
in   O
Milesburg   B-LOCATION
.   O

Additional   O
instructions   O
were   O
provided   O
to   O
call   O
368   B-CONTACT
-   I-CONTACT
5465   I-CONTACT
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
Lovecraft   B-NAME
,   I-NAME
H.   I-NAME
P.   I-NAME
experiences   O
any   O
side   O
effects   O
to   O
the   O
prescribed   O
medications   O
.   O

uno115   B-NAME
was   O
added   O
to   O
the   O
secure   O
online   O
patient   O
portal   O
for   O
Elizabeth   B-NAME
Masterson   I-NAME
to   O
access   O
test   O
results   O
and   O
communicate   O
with   O
Logan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
's   O
medical   O
staff   O
as   O
needed   O
.   O

This   O
report   O
has   O
been   O
reviewed   O
and   O
discussed   O
with   O
Remigio   B-NAME
L.   I-NAME
Allison   I-NAME
on   O
35/22/2051   B-DATE
,   O
and   O
consent   O
for   O
the   O
proposed   O
management   O
plan   O
was   O
obtained   O
.   O

Patient   O
Name   O
:   O
Neal   B-NAME
Patient   O
ID   O
:   O
FU142/3350   B-ID
Medical   O
Record   O
Number   O
:   O
06423836   B-ID
Date   O
of   O
Birth   O
:   O
05/22   B-DATE
Age   O
:   O
33   O
Address   O
:   O
Greenville   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Greenville   I-LOCATION
,   O
47931   B-LOCATION
Phone   O
Number   O
:   O
270   B-CONTACT
9905   I-CONTACT

John   B-NAME
of   I-NAME
the   I-NAME
Cross   I-NAME
Hospital   O
:   O

AdventHealth   B-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/22   B-DATE
Date   O
of   O
Report   O
:   O
6/9   B-DATE
Chief   O
Complaint   O
:   O
Frankie   B-NAME
Carlson   I-NAME
was   O
admitted   O
to   O
Community   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Dobbs   I-LOCATION
Ferry   I-LOCATION
on   O
2342   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
fever   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Jordan   B-NAME
Roberts   I-NAME
,   O
a   O
Financial   O
Analysts   O
from   O
Stronghurst   B-LOCATION
,   O
began   O
experiencing   O
sharp   O
abdominal   O
pains   O
around   O
8/22   B-DATE
.   O

Rousseau   B-NAME
,   I-NAME
Jean   I-NAME
-   I-NAME
Jacques   I-NAME
's   O
decision   O
to   O
seek   O
medical   O
attention   O
was   O
prompted   O
by   O
the   O
inability   O
to   O
consume   O
solid   O
foods   O
without   O
exacerbating   O
the   O
pain   O
.   O

Medical   O
History   O
:   O
Patrick   B-NAME
Campos   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
past   O
appendectomy   O
in   O
2010   O
.   O

Family   O
history   O
is   O
significant   O
for   O
colorectal   O
cancer   O
in   O
Brown   B-NAME
,   I-NAME
Earle   I-NAME
's   O
father   O
at   O
the   O
age   O
of   O
68   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Killian   B-NAME
White   I-NAME
was   O
alert   O
and   O
oriented   O
but   O
appeared   O
uncomfortable   O
and   O
in   O
distress   O
.   O

Treatment   O
:   O
Given   O
the   O
clinical   O
and   O
diagnostic   O
findings   O
,   O
Phibes   B-NAME
Rises   I-NAME
Again   I-NAME
recommended   O
an   O
appendectomy   O
.   O

Easton   B-NAME
Lucas   I-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
at   O
CHRISTUS   B-LOCATION
Mother   I-LOCATION
Frances   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Sulphur   I-LOCATION
Springs   I-LOCATION
on   O
30/20/54   B-DATE
.   O

Twana   B-NAME
Florestal   I-NAME
was   O
advised   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
.   O

Campbell   B-NAME
,   I-NAME
Beatrice   I-NAME
Stella   I-NAME
;   I-NAME
(   I-NAME
Mrs.   I-NAME
Patrick   I-NAME
Campbell   I-NAME
)   I-NAME
's   O
presentation   O
was   O
typical   O
,   O
with   O
characteristic   O
symptoms   O
and   O
laboratory   O
findings   O
supporting   O
the   O
diagnosis   O
.   O

Conclusion   O
:   O
Ansley   B-NAME
Farrell   I-NAME
demonstrated   O
a   O
classic   O
presentation   O
of   O
acute   O
appendicitis   O
.   O

Prepared   O
by   O
:   O
htx587   B-NAME
For   O
:   O
Chartered   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Physiotherapy   I-LOCATION
Contact   O
Information   O
:   O
71548   B-CONTACT

Patient   O
Name   O
:   O
Osvaldo   B-NAME
Perkins   I-NAME
Patient   O
ID   O
:   O
GT746/8851   B-ID
Medical   O
Record   O
Number   O
:   O
981   B-ID
61   I-ID
54   I-ID
Date   O
of   O
Birth   O
:   O
0   O
Date   O
of   O
Admission   O
:   O
1917   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
25   I-DATE
/2023   O
Primary   O
Care   O
Physician   O
:   O

Stanley   B-NAME
Rhodes   I-NAME
Hospital   O
:   O
Martinsville   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Thornbury   B-LOCATION
,   O
11198   B-LOCATION
Phone   O
Number   O
:   O
682   B-CONTACT
9330   I-CONTACT
Employment   O
:   O

Human   O
resources   O
officer   O
at   O
Center   B-LOCATION
for   I-LOCATION
Economic   I-LOCATION
and   I-LOCATION
Social   I-LOCATION
Rights   I-LOCATION
Username   O
:   O
VD699   B-NAME
Presenting   O
Complaint   O
:   O
Olsen   B-NAME
,   I-NAME
Mary   I-NAME
-   I-NAME
Kate   I-NAME
and   I-NAME
Ashley   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Riverside   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
3   B-DATE
-   I-DATE
2   I-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
focused   O
primarily   O
around   O
the   O
umbilicus   O
and   O
radiating   O
towards   O
the   O
right   O
lower   O
quadrant   O
.   O

Snyder   B-NAME
described   O
the   O
pain   O
as   O
constant   O
,   O
with   O
episodes   O
of   O
worsening   O
intensity   O
upon   O
movement   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Arjun   B-NAME
Mcdaniel   I-NAME
,   O
a   O
73   O
-   O
year   O
-   O
old   O
Dramatherapist   O
at   O
FIFPro   B-LOCATION
,   O
reports   O
no   O
significant   O
medical   O
history   O
aside   O
from   O
an   O
episode   O
of   O
unspecified   O
gastritis   O
two   O
years   O
ago   O
.   O

No   O
recent   O
travel   O
to   O
Brookfield   B-LOCATION
Center   I-LOCATION
or   O
any   O
known   O
exposure   O
to   O
infectious   O
agents   O
.   O

Eliot   B-NAME
,   I-NAME
George   I-NAME
denies   O
any   O
recent   O
ingestion   O
of   O
unfamiliar   O
foods   O
or   O
over   O
-   O
the   O
-   O
counter   O
medications   O
that   O
could   O
potentially   O
induce   O
gastrointestinal   O
distress   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Habib   B-NAME
Valenzuela   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Leno   B-NAME
,   I-NAME
Jay   I-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
probable   O
appendectomy   O
.   O

Management   O
Plan   O
:   O
Ryker   B-NAME
Camacho   I-NAME
advised   O
that   O
Mark   B-NAME
Bellows   I-NAME
be   O
admitted   O
to   O
Bethesda   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
North   I-LOCATION
Hornell   I-LOCATION
for   O
surgical   O
evaluation   O
by   O
the   O
general   O
surgery   O
team   O
.   O

Disposition   O
:   O
Nixon   B-NAME
was   O
transferred   O
to   O
the   O
surgical   O
floor   O
of   O
Duane   B-LOCATION
L.   I-LOCATION
Waters   I-LOCATION
Hospital   I-LOCATION
on   O
33/22   B-DATE
/2023   O
for   O
further   O
management   O
.   O

For   O
any   O
further   O
updates   O
concerning   O
Skye   B-NAME
Avery   I-NAME
's   O
condition   O
,   O
please   O
contact   O
the   O
general   O
surgery   O
department   O
of   O
Community   B-LOCATION
HealthCare   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Onaga   I-LOCATION
at   O
906   B-CONTACT
-   I-CONTACT
8656   I-CONTACT
.   O

Patient   O
:   O
Susy   B-NAME
Babineau   I-NAME
Medical   O
Record   O
Number   O
:   O
943   B-ID
-   I-ID
97   I-ID
-   I-ID
28   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
2333   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
20   I-DATE
Age   O
:   O
74s   O
Address   O
:   O
Paramount   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
90723   I-LOCATION
,   O
65198   B-LOCATION
Phone   O
Number   O
:   O
217   B-CONTACT
8610   I-CONTACT

Rayan   B-NAME
Bentley   I-NAME
Hospital   O
:   O

Wellington   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
00/35   B-DATE
Employer   O
:   O

Peoples   B-LOCATION
Bank   I-LOCATION
Occupation   O
:   O

Veterinary   O
Assistants   O
and   O
Laboratory   O
Animal   O
Caretakers   O
Social   O
Security   O
Number   O
:   O
UI343/2723   B-ID
Clinical   O
Summary   O
:   O
ullmann   B-NAME
presented   O
to   O
Methodist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Oak   I-LOCATION
Ridge   I-LOCATION
on   O
02/22   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
predominately   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
101.2   O
°   O
F   O
.   O

On   O
examination   O
,   O
Jeffrey   B-NAME
Steadman   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
distress   O
.   O

Complete   O
blood   O
count   O
(   O
CBC   O
)   O
indicated   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
16,000   O
/   O
uL   O
,   O
signaling   O
a   O
potential   O
infection   O
.   O
Management   O
and   O
Outcome   O
:   O
Given   O
these   O
findings   O
,   O
surgical   O
consultation   O
recommened   O
by   O
Oberst   B-NAME
,   I-NAME
Conor   I-NAME
suggested   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
,   O
conducted   O
on   O
04/30   B-DATE
,   O
was   O
successful   O
without   O
complications   O
.   O

Natasha   B-NAME
Woodard   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
pain   O
and   O
normalization   O
of   O
temperature   O
by   O
post   O
-   O
operative   O
day   O
2   O
.   O

Glenn   B-NAME
Suarez   I-NAME
was   O
discharged   O
on   O
38/22/47   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
with   O
Forbes   B-NAME
in   O
two   O
weeks   O
or   O
earlier   O
should   O
symptoms   O
recur   O
or   O
worsen   O
.   O

Feelgood   B-NAME
is   O
a   O
Writer   O
at   O
Darjeeling   B-LOCATION
Jela   I-LOCATION
Dokan   I-LOCATION
Sramik   I-LOCATION
Union   I-LOCATION
,   O
and   O
arrangements   O
were   O
made   O
to   O
excuse   O
Jovanny   B-NAME
Stanley   I-NAME
from   O
work   O
until   O
18   B-DATE
-   I-DATE
01   I-DATE
,   O
allowing   O
adequate   O
recovery   O
time   O
.   O

Amadeus   B-NAME
Hohlstein   I-NAME
was   O
advised   O
to   O
follow   O
a   O
diet   O
rich   O
in   O
fiber   O
and   O
to   O
stay   O
hydrated   O
.   O

In   O
case   O
of   O
any   O
emergency   O
or   O
if   O
questions   O
arise   O
related   O
to   O
post   O
-   O
operative   O
care   O
,   O
Ure   B-NAME
was   O
instructed   O
to   O
contact   O
Sanpete   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
at   O
799   B-CONTACT
-   I-CONTACT
5333   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
CK281263   B-ID
Patient   O
Name   O
:   O
Narvaez   B-NAME
Date   O
of   O
Birth   O
:   O

Friday   B-DATE
,   I-DATE
September   I-DATE
Contact   O
Number   O
:   O
14991   B-CONTACT
Current   O
Address   O
:   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73149   I-LOCATION
,   O
97222   B-LOCATION
Occupation   O
:   O
Directors   O
,   O
Religious   O
Activities   O
and   O
Education   O
Presenting   O
Complaint   O
:   O
Baylee   B-NAME
Navarro   I-NAME
,   O
a   O
18   O
-   O
year   O
-   O
old   O
Information   O
systems   O
manager   O
,   O
presented   O
to   O
Olean   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
09/28   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
abdominal   O
pain   O
predominantly   O
in   O
the   O
right   O
upper   O
quadrant   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Additionally   O
,   O
Tacitus   B-NAME
reported   O
accompanying   O
symptoms   O
of   O
nausea   O
and   O
episodic   O
vomiting   O
,   O
not   O
relieved   O
by   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
.   O

Eve   B-NAME
Mullins   I-NAME
has   O
a   O
history   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
in   O
the   O
past   O
year   O
.   O

According   O
to   O
Good   B-NAME
's   O
digital   O
medical   O
record   O
,   O
7   B-ID
-   I-ID
4453298   I-ID
,   O
there   O
is   O
no   O
significant   O
history   O
of   O
alcohol   O
use   O
,   O
smoking   O
,   O
or   O
chronic   O
medication   O
use   O
.   O

Abbott   B-NAME
previously   O
attended   O
Martin   B-NAME
for   O
routine   O
check   O
-   O
ups   O
at   O
Federated   B-LOCATION
Mutual   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
in   O
Cromberg   B-LOCATION
.   O

Morgan   B-NAME
Harris   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

On   O
examination   O
,   O
Shay   B-NAME
Vandemark   I-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Ballmer   B-NAME
,   I-NAME
Steve   I-NAME
recommended   O
further   O
evaluation   O
with   O
a   O
magnetic   O
resonance   O
cholangiopancreatography   O
(   O
MRCP   O
)   O
to   O
rule   O
out   O
choledocholithiasis   O
,   O
due   O
to   O
Maximus   B-NAME
's   O
persistent   O
pain   O
and   O
the   O
ultrasound   O
findings   O
.   O

Treatment   O
Plan   O
:   O
Branch   B-NAME
,   O
following   O
the   O
guidelines   O
set   O
by   O
Beach   B-LOCATION
First   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
admitted   O
Valeria   B-NAME
Singleton   I-NAME
to   O
Washington   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
for   O
pain   O
management   O
and   O
further   O
evaluation   O
.   O

Dostoevsky   B-NAME
,   I-NAME
Fyodor   I-NAME
was   O
started   O
on   O
a   O
regimen   O
of   O
intravenous   O
fluids   O
,   O
analgesics   O
,   O
and   O
antibiotics   O
as   O
a   O
precautionary   O
measure   O
against   O
potential   O
infection   O
.   O

Surgical   O
evaluation   O
by   O
a   O
specialist   O
in   O
gastrointestinal   O
surgery   O
was   O
scheduled   O
for   O
5/33   B-DATE
to   O
discuss   O
the   O
possibility   O
of   O
a   O
cholecystectomy   O
.   O

Follow   O
-   O
Up   O
:   O
Chana   B-NAME
Horton   I-NAME
was   O
instructed   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
jaundice   O
,   O
or   O
increased   O
abdominal   O
pain   O
develop   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Contact   O
information   O
was   O
provided   O
with   O
a   O
direct   O
line   O
,   O
773   B-CONTACT
-   I-CONTACT
355   I-CONTACT
-   I-CONTACT
1708   I-CONTACT
,   O
to   O
the   O
surgical   O
department   O
of   O
Novant   B-LOCATION
Health   I-LOCATION
Thomasville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
any   O
questions   O
or   O
concerns   O
.   O

Conclusion   O
:   O
Genie   B-NAME
Delahoussaye   I-NAME
,   O
a   O
97   O
-   O
year   O
-   O
old   O
Mold   O
Makers   O
,   O
Hand   O
,   O
presenting   O
with   O
symptomatic   O
gallstones   O
,   O
is   O
under   O
evaluation   O
for   O
potential   O
cholecystectomy   O
following   O
initial   O
conservative   O
management   O
.   O

Ongoing   O
assessment   O
and   O
coordinated   O
care   O
between   O
Amya   B-NAME
Callahan   I-NAME
,   O
Reeves   B-NAME
,   O
and   O
the   O
surgical   O
team   O
at   O
Pottstown   B-LOCATION
Hospital   I-LOCATION
will   O
be   O
crucial   O
for   O
an   O
optimal   O
outcome   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
12371880   B-ID
Patient   O
Name   O
:   O
Angeline   B-NAME
Barajas   I-NAME
Age   O
:   O
33   O
Date   O
of   O
Visit   O
:   O
2347   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
03   I-DATE
Physician   O
:   O

Lynn   B-NAME
Presenting   O
Complaint   O
:   O
Robert   B-NAME
Renault   I-NAME
presented   O
to   O
Timpanogos   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
03/20/32   B-DATE
with   O
symptoms   O
of   O
acute   O
dyspnea   O
,   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
an   O
episode   O
of   O
syncope   O
.   O

Demerest   B-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Past   O
medical   O
records   O
from   O
Association   B-LOCATION
of   I-LOCATION
Secondary   I-LOCATION
Teachers   I-LOCATION
Ireland   I-LOCATION
indicate   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Social   O
history   O
includes   O
a   O
Green   O
Marketers   O
background   O
with   O
a   O
20   O
-   O
year   O
pack   O
history   O
of   O
tobacco   O
use   O
,   O
though   O
Dakota   B-NAME
Harper   I-NAME
claims   O
to   O
have   O
quit   O
smoking   O
five   O
years   O
ago   O
.   O

Examination   O
Findings   O
:   O
On   O
examination   O
,   O
Nobles   B-NAME
's   O
blood   O
pressure   O
was   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
was   O
102   O
beats   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
was   O
94   O
%   O
on   O
room   O
air   O
.   O

Electrocardiogram   O
(   O
ECG   O
)   O
performed   O
by   O
Jaylynn   B-NAME
Mullen   I-NAME
at   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
.   O

A   O
chest   O
X   O
-   O
ray   O
indicated   O
no   O
pulmonary   O
edema   O
but   O
confirmed   O
a   O
slightly   O
enlarged   O
cardiac   O
silhouette   O
.   O
Treatment   O
and   O
Management   O
:   O
Based   O
on   O
the   O
presenting   O
symptoms   O
,   O
medical   O
history   O
,   O
and   O
diagnostic   O
findings   O
,   O
Morrison   B-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

Eloy   B-NAME
Stumbaugh   I-NAME
was   O
also   O
given   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
as   O
part   O
of   O
the   O
acute   O
management   O
.   O

Consultation   O
with   O
cardiology   O
,   O
represented   O
by   O
Pranav   B-NAME
Rosales   I-NAME
,   O
was   O
made   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Yuriko   B-NAME
Bjelland   I-NAME
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
at   O
Clear   B-LOCATION
View   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
management   O
.   O

A   O
smoking   O
cessation   O
program   O
was   O
recommended   O
,   O
and   O
Lillian   B-NAME
Kane   I-NAME
was   O
advised   O
to   O
modify   O
lifestyle   O
factors   O
contributing   O
to   O
cardiac   O
disease   O
.   O

Contact   O
Information   O
:   O
USC   B-LOCATION
Verdugo   I-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
can   O
be   O
reached   O
at   O
938   B-CONTACT
9431   I-CONTACT
for   O
any   O
further   O
inquiries   O
regarding   O
Mckenna   B-NAME
Snow   I-NAME
's   O
care   O
.   O

The   O
contact   O
number   O
for   O
KYLE   B-NAME
CONLEY   I-NAME
is   O
listed   O
as   O
607   B-CONTACT
1130   I-CONTACT
in   O
their   O
personal   O
records   O
.   O

Address   O
:   O
The   O
patient   O
is   O
a   O
resident   O
of   O
Saint   B-LOCATION
-   I-LOCATION
Émile   I-LOCATION
,   I-LOCATION
QC   I-LOCATION
G3E   I-LOCATION
4P2   I-LOCATION
,   O
with   O
a   O
postal   O
code   O
of   O
44865   B-LOCATION
.   O

This   O
report   O
was   O
compiled   O
by   O
Jabari   B-NAME
Chambers   I-NAME
at   O
Crisman   B-LOCATION
on   O
02/12/19   B-DATE
.   O

For   O
any   O
additional   O
information   O
or   O
clarification   O
,   O
please   O
use   O
the   O
patient   O
's   O
medical   O
record   O
number   O
(   O
08389311   B-ID
)   O
as   O
a   O
reference   O
or   O
contact   O
Marty   B-NAME
Saybrooke   I-NAME
directly   O
at   O
12988   B-CONTACT
.   O

Patient   O
Name   O
:   O
Aquila   B-NAME
Kominski   I-NAME
Medical   O
Record   O
Number   O
:   O
61027756   B-ID
Date   O
of   O
Birth   O
:   O
3/32/81   B-DATE
Age   O
:   O
91   O
Address   O
:   O
Wilsey   B-LOCATION
,   O
72025   B-LOCATION
Phone   O
Number   O
:   O
73007   B-CONTACT

Aiden   B-NAME
Barber   I-NAME
Employed   O
as   O
:   O
Executive   O
Secretaries   O
and   O
Executive   O
Administrative   O
Assistants   O
Hospital   O
:   O

Southeast   B-LOCATION
Colorado   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
31/29   B-DATE
ID   O
:   O
QD785/2366   B-ID
Patient   O
History   O
and   O
Presenting   O
Problem   O
:   O
Laylah   B-NAME
Haynes   I-NAME
,   O
a   O
Cyber   O
security   O
specialist   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Divine   B-LOCATION
Savior   I-LOCATION
Healthcare   I-LOCATION
on   O
4/7   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
24   O
hours   O
.   O

Otha   B-NAME
Rush   I-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
prior   O
to   O
arrival   O
.   O

Examination   O
and   O
Diagnosis   O
:   O
Upon   O
examination   O
,   O
Oconnor   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Given   O
the   O
findings   O
,   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Wang   B-NAME
.   O

It   O
was   O
determined   O
that   O
Frank   B-NAME
Oden   I-NAME
required   O
immediate   O
surgical   O
intervention   O
.   O

Nathalie   B-NAME
Wood   I-NAME
was   O
informed   O
and   O
consented   O
to   O
the   O
procedure   O
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
22/25/2271   B-DATE
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
with   O
James   B-NAME
Whitman   I-NAME
demonstrating   O
a   O
good   O
recovery   O
.   O

Antibiotics   O
were   O
administered   O
intravenously   O
during   O
the   O
stay   O
,   O
and   O
Jim   B-NAME
Pomatter   I-NAME
was   O
advised   O
on   O
a   O
course   O
of   O
oral   O
antibiotics   O
upon   O
discharge   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Lee   B-NAME
Esparza   I-NAME
was   O
discharged   O
on   O
0   B-DATE
-   I-DATE
01   I-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
symptoms   O
to   O
watch   O
for   O
indicating   O
possible   O
complications   O
,   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
with   O
Addyson   B-NAME
Ware   I-NAME
at   O
Barnes   B-LOCATION
-   I-LOCATION
Kasson   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

Nevaeh   B-NAME
Lowe   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
initially   O
,   O
gradually   O
returning   O
to   O
normal   O
diet   O
as   O
tolerated   O
,   O
and   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
4   O
weeks   O
.   O

For   O
any   O
inquiries   O
or   O
further   O
information   O
needed   O
,   O
please   O
contact   O
Maui   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
653   B-CONTACT
-   I-CONTACT
197   I-CONTACT
8045   I-CONTACT
.   O

Please   O
refer   O
to   O
800   B-ID
-   I-ID
29   I-ID
-   I-ID
71   I-ID
-   I-ID
1   I-ID
or   O
ID   O
:   O
NX:52019:980931   B-ID

Patient   O
Name   O
:   O
Maximus   B-NAME
Age   O
:   O
15   O
Medical   O
Record   O
Number   O
:   O
013   B-ID
-   I-ID
87   I-ID
-   I-ID
78   I-ID
Date   O
of   O
Visit   O
:   O
9/93   B-DATE
Location   O
:   O
Spirit   B-LOCATION
Lake   I-LOCATION
ZIP   O
:   O
87771   B-LOCATION
Phone   O
Number   O
:   O
75715   B-CONTACT

Attending   O
Physician   O
:   O
Stephens   B-NAME
Hospital   O
:   O
Harbor   B-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
RA:78221:137873   B-ID
Lecturer   O
(   O
adult   O
education   O
)   O
:   O
Software   O
Engineer   O
Chief   O
Complaint   O
:   O

Hale   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
11/33   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

Morton   B-NAME
notes   O
that   O
the   O
pain   O
is   O
often   O
preceded   O
by   O
an   O
aura   O
consisting   O
of   O
visual   O
disturbances   O
such   O
as   O
flashing   O
lights   O
or   O
zigzag   O
lines   O
.   O

There   O
is   O
also   O
a   O
significant   O
increase   O
in   O
sensitivity   O
to   O
light   O
and   O
sound   O
during   O
these   O
episodes   O
,   O
forcing   O
Wendy   B-NAME
Saunders   I-NAME
to   O
seek   O
refuge   O
in   O
a   O
dark   O
,   O
quiet   O
room   O
.   O

Kimberly   B-NAME
Burns   I-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
diagnosed   O
at   O
age   O
60s   O
,   O
and   O
seasonal   O
allergies   O
.   O

Social   O
History   O
:   O
Denise   B-NAME
Riddle   I-NAME
is   O
a   O
Nonfarm   O
Animal   O
Caretakers   O
,   O
a   O
position   O
that   O
requires   O
long   O
hours   O
in   O
front   O
of   O
computer   O
screens   O
.   O

Forbin   B-NAME
Noctula   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
,   O
approximately   O
once   O
a   O
month   O
.   O

On   O
examination   O
,   O
An   B-NAME
Nehring   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Due   O
to   O
the   O
recurrent   O
and   O
debilitating   O
nature   O
of   O
PNT   B-NAME
's   O
headaches   O
and   O
the   O
presence   O
of   O
aura   O
,   O
a   O
diagnosis   O
of   O
migraine   O
with   O
aura   O
was   O
made   O
.   O

The   O
MRI   O
was   O
performed   O
at   O
Mercy   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
6/64   B-DATE
,   O
and   O
the   O
results   O
were   O
normal   O
.   O

A   O
management   O
plan   O
focusing   O
on   O
both   O
acute   O
treatment   O
and   O
prophylaxis   O
of   O
migraine   O
episodes   O
was   O
discussed   O
with   O
Ferreira   B-NAME
.   O

Follow   O
-   O
Up   O
:   O
Boutroux   B-NAME
,   I-NAME
Pierre   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
4   O
weeks   O
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

Luisa   B-NAME
Malachi   I-NAME
was   O
also   O
encouraged   O
to   O
keep   O
a   O
headache   O
diary   O
to   O
track   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
the   O
migraine   O
episodes   O
,   O
as   O
well   O
as   O
any   O
potential   O
triggers   O
.   O

In   O
case   O
of   O
severe   O
side   O
effects   O
or   O
if   O
symptoms   O
significantly   O
worsen   O
,   O
Kasparov   B-NAME
,   I-NAME
Garry   I-NAME
was   O
instructed   O
to   O
contact   O
Eastside   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
675   B-CONTACT
7818   I-CONTACT
or   O
to   O
return   O
to   O
the   O
clinic   O
immediately   O
.   O

This   O
plan   O
was   O
agreed   O
upon   O
by   O
Ritter   B-NAME
and   O
Leland   B-NAME
Dalton   I-NAME
on   O
September   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ferreira   B-NAME
Age   O
:   O
94   O
Date   O
of   O
Birth   O
:   O
13   B-DATE
-   I-DATE
2   I-DATE
Medical   O
Record   O
Number   O
:   O
6026614   B-ID
ID   O
Number   O
:   O
4   B-ID
-   I-ID
3575118   I-ID
Address   O
:   O
Los   B-LOCATION
Arrieros   I-LOCATION
,   O
70212   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
345   I-CONTACT
)   I-CONTACT
741   I-CONTACT
-   I-CONTACT
3817   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Kerr   B-NAME
Treating   O
Hospital   O
:   O
Atrium   B-LOCATION
Health   I-LOCATION
Cleveland   I-LOCATION
Admission   O
Date   O
:   O
06/31   B-DATE
Discharge   O
Date   O
:   O
July   B-DATE
32   I-DATE
Referring   O
Organization   O
:   O

Sierra   B-LOCATION
Pacific   I-LOCATION
Power   I-LOCATION
Chief   O
Complaint   O
:   O
Hoover   B-NAME
,   O
a   O
Geomatics   O
/   O
land   O
surveyor   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Formerly   B-LOCATION
Oakwood   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Dearborn   I-LOCATION
on   O
00/13/13   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
severe   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
an   O
episode   O
of   O
syncope   O
.   O

Medical   O
History   O
:   O
Bombay   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

On   O
examination   O
,   O
Nielsen   B-NAME
appeared   O
distressed   O
,   O
with   O
a   O
pale   O
complexion   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
electrocardiogram   O
(   O
ECG   O
)   O
performed   O
on   O
31/27   B-DATE
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
,   O
suggestive   O
of   O
an   O
anterior   O
wall   O
myocardial   O
infarction   O
.   O

A   O
coronary   O
angiography   O
was   O
recommended   O
by   O
Green   B-NAME
and   O
performed   O
on   O
31/14/2330   B-DATE
,   O
revealing   O
significant   O
left   O
anterior   O
descending   O
artery   O
stenosis   O
.   O

Treatment   O
:   O
Immediate   O
management   O
included   O
administration   O
of   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
,   O
followed   O
by   O
emergency   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
performed   O
on   O
2/20   B-DATE
.   O

Post   O
-   O
procedure   O
,   O
Frank   B-NAME
Choi   I-NAME
was   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
,   O
an   O
ACE   O
inhibitor   O
,   O
and   O
a   O
statin   O
.   O

Follow   O
-   O
Up   O
:   O
Ryan   B-NAME
Leach   I-NAME
was   O
discharged   O
on   O
32/93   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
at   O
the   O
cardiology   O
clinic   O
of   O
Abilene   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Oakley   B-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
,   O
including   O
dietary   O
changes   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
if   O
applicable   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
TJ152   B-NAME
Relationship   O
:   O
Immigration   O
officer   O
Phone   O
Number   O
:   O
609   B-CONTACT
1647   I-CONTACT

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Travis   B-NAME
Age   O
:   O
7   O
week   O
Gender   O
:   O

Male   O
Date   O
of   O
Initial   O
Consultation   O
:   O
03/07   B-DATE
Primary   O
Physician   O
:   O

Hood   B-NAME
Medical   O
Record   O
Number   O
:   O
0291   B-ID
:   I-ID
S93746   I-ID
Hospital   O
:   O
Salmon   B-LOCATION
River   I-LOCATION
Clinic   I-LOCATION
Location   O
:   O
Gross   B-LOCATION
Zip   O
Code   O
:   O
69774   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
817   I-CONTACT
)   I-CONTACT
920   I-CONTACT
-   I-CONTACT
8402   I-CONTACT
Occupation   O
:   O
Dispatchers   O
,   O
Except   O
Police   O
,   O
Fire   O
,   O
and   O
Ambulance   O
Identification   O
Number   O
:   O
HK272/7559   B-ID
Medical   O
History   O
:   O
Kian   B-NAME
Jarvis   I-NAME
presented   O
to   O
Henry   B-LOCATION
Ford   I-LOCATION
Allegiance   I-LOCATION
Health   I-LOCATION
on   O
14/35   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
intermittent   O
fever   O
,   O
and   O
pronounced   O
fatigue   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Nailatikau   B-NAME
,   I-NAME
Ratu   I-NAME
Epeli   I-NAME
Qaraninamu   I-NAME
,   O
a   O
Geospatial   O
Information   O
Scientists   O
and   O
Technologists   O
from   O
Maple   B-LOCATION
Valley   I-LOCATION
,   O
reported   O
a   O
recent   O
travel   O
history   O
to   O
a   O
high   O
-   O
altitude   O
area   O
approximately   O
one   O
month   O
ago   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
investigative   O
findings   O
,   O
a   O
presumptive   O
diagnosis   O
of   O
atypical   O
pneumonia   O
was   O
made   O
by   O
Dr.   O
Palahniuk   B-NAME
,   I-NAME
Chuck   I-NAME
.   O

Darwin   B-NAME
Li   I-NAME
was   O
started   O
on   O
a   O
regimen   O
of   O
oral   O
antibiotics   O
and   O
recommended   O
to   O
maintain   O
hydration   O
and   O
rest   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
10/26/96   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O
Instructions   O
for   O
Patient   O
:   O
Kyong   B-NAME
Kubik   I-NAME
was   O
advised   O
to   O
monitor   O
his   O
temperature   O
twice   O
daily   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
at   O
Scotland   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
(   O
939   B-CONTACT
-   I-CONTACT
7969   I-CONTACT
)   O
if   O
experiencing   O
difficulty   O
breathing   O
,   O
chest   O
pain   O
,   O
or   O
persistent   O
high   O
-   O
grade   O
fever   O
.   O

Obama   B-NAME
,   I-NAME
Barack   I-NAME
was   O
also   O
advised   O
to   O
isolate   O
at   O
home   O
to   O
prevent   O
potential   O
transmission   O
and   O
to   O
maintain   O
a   O
balanced   O
diet   O
to   O
support   O
recovery   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
Ellis   B-LOCATION
Hospital   I-LOCATION
at   O
356   B-CONTACT
-   I-CONTACT
8889   I-CONTACT
and   O
delete   O
the   O
document   O
from   O
your   O
system   O
.   O

Report   O
Prepared   O
By   O
:   O
XS52   B-NAME
,   O
Medical   O
Records   O
Department   O
Rochester   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
2/30   B-DATE

Patient   O
Name   O
:   O
Valentino   B-NAME
Reed   I-NAME
Age   O
:   O
15   O
Date   O
of   O
Birth   O
:   O
38/00   B-DATE
Address   O
:   O
Roanoke   B-LOCATION
,   O
96914   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
756   I-CONTACT
)   I-CONTACT
129   I-CONTACT
-   I-CONTACT
1266   I-CONTACT
Occupation   O
:   O
Operating   O
Engineers   O
and   O
Other   O
Construction   O
Equipment   O
Operators   O
Primary   O
Care   O
Physician   O
:   O

Chung   B-NAME
Patient   O
ID   O
:   O
TP:611060:104876   B-ID
Medical   O
Record   O
Number   O
:   O
30286629   B-ID
Date   O
of   O
Admission   O
:   O
00/16/83   B-DATE
/2023   O
Hospital   O
:   O
Haywood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Referring   O
Organization   O
:   O
Citizens   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Presenting   O
Complaint   O
:   O
Jorge   B-NAME
Ortega   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
2117   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
outside   O
of   O
West   B-LOCATION
Frankfort   I-LOCATION
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

Medical   O
History   O
:   O
Asimov   B-NAME
,   I-NAME
Isaac   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Coltrane   B-NAME
,   I-NAME
John   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Chester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Schroeder   B-NAME
,   O
and   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
13/22   B-DATE
/2023   O
.   O

Follow   O
-   O
Up   O
:   O
Herman   B-NAME
is   O
scheduled   O
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
on   O
00/32   B-DATE
/2023   O
.   O

Username   O
of   O
Documenting   O
Nurse   O
:   O
EC986   B-NAME
Note   O
:   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Agmar   B-NAME
Age   O
:   O
17   O
Date   O
of   O
Birth   O
:   O
02/09/2133   B-DATE
Phone   O
Number   O
:   O
(   B-CONTACT
347   I-CONTACT
)   I-CONTACT
138   I-CONTACT
4454   I-CONTACT
Address   O
:   O
Onton   B-LOCATION
,   O
97554   B-LOCATION
Employer   O
:   O
Towne   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Arizona   I-LOCATION
Occupation   O
:   O
Desktop   O
Publishers   O
Medical   O
Record   O
Number   O
:   O
03531477   B-ID
Patient   O
ID   O
:   O
QO   B-ID
:   I-ID
CR:4548   I-ID
Primary   O
Physician   O
:   O
Richards   B-NAME
,   I-NAME
Keith   I-NAME
On   O
13/21/37   B-DATE
,   O
David   B-NAME
Ravell   I-NAME
was   O
admitted   O
to   O
CHI   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Infirmary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
presentation   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
and   O
associated   O
with   O
nausea   O
and   O
vomiting   O
.   O

Chance   B-NAME
Bright   I-NAME
,   O
a   O
economist   O
by   O
profession   O
,   O
mentioned   O
that   O
the   O
symptoms   O
began   O
abruptly   O
earlier   O
that   O
day   O
during   O
work   O
at   O
Safe   B-LOCATION
Auto   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
located   O
in   O
Hedley   B-LOCATION
.   O

Initial   O
laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
and   O
amylase   O
levels   O
were   O
ordered   O
by   O
Yoselin   B-NAME
Pratt   I-NAME
.   O

The   O
treatment   O
plan   O
,   O
as   O
outlined   O
by   O
Cale   B-NAME
House   I-NAME
,   O
included   O
pain   O
management   O
,   O
fluid   O
resuscitation   O
,   O
and   O
fasting   O
to   O
rest   O
the   O
pancreas   O
.   O

Williams   B-NAME
,   I-NAME
Ted   I-NAME
was   O
admitted   O
to   O
the   O
gastroenterology   O
unit   O
for   O
close   O
monitoring   O
.   O

Nutritional   O
support   O
was   O
initiated   O
on   O
2/02   B-DATE
after   O
symptoms   O
began   O
to   O
improve   O
.   O

Alayna   B-NAME
Hooper   I-NAME
was   O
informed   O
of   O
the   O
importance   O
of   O
avoiding   O
alcohol   O
and   O
following   O
a   O
low   O
-   O
fat   O
diet   O
post   O
-   O
discharge   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Randall   B-NAME
two   O
weeks   O
after   O
discharge   O
for   O
reassessment   O
and   O
further   O
management   O
planning   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
yst804   B-NAME
Relationship   O
:   O

Food   O
technologist   O
Phone   O
Number   O
:   O
(   B-CONTACT
500   I-CONTACT
)   I-CONTACT
659   I-CONTACT
4487   I-CONTACT
Discharge   O
Instructions   O
:   O

Malone   B-NAME
was   O
discharged   O
on   O
02   B-DATE
-   I-DATE
27   I-DATE
with   O
instructions   O
to   O
gradually   O
reintroduce   O
oral   O
intake   O
,   O
starting   O
with   O
clear   O
liquids   O
and   O
advancing   O
as   O
tolerated   O
.   O

Freddie   B-NAME
V.   I-NAME
Hickman   I-NAME
was   O
also   O
advised   O
on   O
the   O
signs   O
of   O
complications   O
such   O
as   O
increased   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
jaundice   O
,   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
these   O
symptoms   O
occur   O
.   O

This   O
detailed   O
patient   O
report   O
comprehensively   O
outlines   O
the   O
clinical   O
presentation   O
,   O
diagnostic   O
findings   O
,   O
and   O
management   O
plan   O
for   O
Emmy   B-NAME
Hale   I-NAME
with   O
an   O
acute   O
episode   O
of   O
pancreatitis   O
secondary   O
to   O
gallstones   O
,   O
while   O
ensuring   O
all   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
has   O
been   O
appropriately   O
de   O
-   O
identified   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Norma   B-NAME
C.   I-NAME
Gonzalez   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
2685793   I-ID
Medical   O
Record   O
Number   O
:   O
082   B-ID
-   I-ID
67   I-ID
-   I-ID
09   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Admission   O
:   O
2129   B-DATE
Date   O
of   O
Birth   O
:   O
02/25/2082   B-DATE
Age   O
:   O
93   O
Address   O
:   O
South   B-LOCATION
Naknek   I-LOCATION
,   O
78734   B-LOCATION
Phone   O
Number   O
:   O
31356   B-CONTACT
Employer   O
:   O
Oxford   B-LOCATION
Health   I-LOCATION
Plans   I-LOCATION
Profession   O
:   O
Air   O
Crew   O
Officers   O
Referring   O
Doctor   O
:   O
Madelyn   B-NAME
Kane   I-NAME
Primary   O
Care   O
Physician   O
:   O

Alberto   B-NAME
Abbott   I-NAME
Hospital   O
Name   O
:   O
Rochester   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Freddy   B-NAME
Miles   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
CJW   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Johnston   I-LOCATION
-   I-LOCATION
Willis   I-LOCATION
Campus   I-LOCATION
on   O
0/00   B-DATE
with   O
a   O
report   O
of   O
acute   O
abdominal   O
pain   O
,   O
which   O
has   O
been   O
persistent   O
for   O
approximately   O
72   O
hours   O
prior   O
to   O
admission   O
.   O

Roma   B-NAME
Kuether   I-NAME
also   O
reported   O
associated   O
symptoms   O
,   O
including   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
.   O

Upon   O
examination   O
,   O
Travis   B-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
.   O

Given   O
these   O
findings   O
,   O
a   O
diagnostic   O
imaging   O
test   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
was   O
performed   O
,   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O
Treatment   O
Plan   O
:   O
Following   O
confirmation   O
of   O
acute   O
appendicitis   O
,   O
Miracle   B-NAME
Branch   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
necessity   O
for   O
an   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Ledford   B-NAME
on   O
02/2127   B-DATE
,   O
and   O
the   O
surgical   O
procedure   O
was   O
scheduled   O
immediately   O
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
performed   O
by   O
Konner   B-NAME
French   I-NAME
without   O
any   O
complications   O
.   O

Haiden   B-NAME
Anthony   I-NAME
was   O
administered   O
IV   O
antibiotics   O
preoperatively   O
to   O
manage   O
the   O
infection   O
and   O
was   O
advised   O
to   O
continue   O
a   O
course   O
of   O
oral   O
antibiotics   O
postoperatively   O
.   O

Postoperative   O
recovery   O
for   O
Brent   B-NAME
Cameron   I-NAME
was   O
uneventful   O
.   O

Salk   B-NAME
,   I-NAME
Jonas   I-NAME
reported   O
alleviation   O
of   O
abdominal   O
pain   O
within   O
20/24   B-DATE
post   O
-   O
surgery   O
and   O
showed   O
signs   O
of   O
improved   O
general   O
condition   O
,   O
including   O
resolution   O
of   O
fever   O
and   O
return   O
of   O
appetite   O
.   O

Benita   B-NAME
Tynan   I-NAME
was   O
discharged   O
on   O
07/00/1836   B-DATE
with   O
instructions   O
for   O
postoperative   O
care   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Hill   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sumter   I-LOCATION
County   I-LOCATION
in   O
two   O
weeks   O
to   O
monitor   O
recovery   O
progress   O
.   O

Jeremy   B-NAME
Bradshaw   I-NAME
has   O
been   O
advised   O
to   O
rest   O
and   O
gradually   O
resume   O
normal   O
activities   O
while   O
avoiding   O
strenuous   O
exercise   O
for   O
a   O
minimum   O
of   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Rand   B-NAME
,   I-NAME
Ayn   I-NAME
at   O
Sky   B-LOCATION
Ridge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
the   O
surgical   O
site   O
and   O
overall   O
recovery   O
.   O

EQ   B-NAME
was   O
also   O
provided   O
with   O
signs   O
and   O
symptoms   O
to   O
monitor   O
that   O
could   O
indicate   O
infection   O
or   O
other   O
postoperative   O
complications   O
.   O

In   O
case   O
of   O
any   O
concerns   O
or   O
complications   O
such   O
as   O
fever   O
,   O
persistent   O
vomiting   O
,   O
or   O
increased   O
pain   O
at   O
the   O
surgical   O
site   O
,   O
Mayra   B-NAME
King   I-NAME
was   O
advised   O
to   O
contact   O
The   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
immediately   O
at   O
21867   B-CONTACT
.   O

The   O
case   O
of   O
Delta   B-NAME
will   O
continue   O
to   O
be   O
reviewed   O
in   O
the   O
scheduled   O
follow   O
-   O
up   O
to   O
ensure   O
a   O
full   O
recovery   O
.   O

Patient   O
Name   O
:   O
Lawler   B-NAME
,   I-NAME
Jerry   I-NAME
Age   O
:   O
36   O
Date   O
of   O
Admission   O
:   O
January   B-DATE
Attending   O
Physician   O
:   O

Humphrey   B-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Iowa   I-LOCATION
Hospitals   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
Location   O
:   O
Sterrett   B-LOCATION
Medical   O
Record   O
Number   O
:   O
649   B-ID
-   I-ID
08   I-ID
-   I-ID
12   I-ID
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
5445136   I-ID
Contact   O
Phone   O
:   O
80339   B-CONTACT
Employment   O
:   O
Internists   O
,   O
General   O
Username   O
:   O
YE984   B-NAME
Zip   O
Code   O
:   O
74992   B-LOCATION
Chief   O
Complaint   O
:   O
Larkin   B-NAME
,   I-NAME
Bolfa   I-NAME
was   O
admitted   O
to   O
Decatur   B-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
–   I-LOCATION
Oberlin   I-LOCATION
on   O
1/92   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Toby   B-NAME
Gamble   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Alison   B-NAME
Sutton   I-NAME
,   O
a   O
78   O
-   O
year   O
-   O
old   O
Health   O
Technologists   O
and   O
Technicians   O
,   O
All   O
Other   O
,   O
has   O
no   O
significant   O
medical   O
history   O
except   O
for   O
controlled   O
hypertension   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jefferson   B-NAME
appeared   O
in   O
acute   O
distress   O
.   O

Assessment   O
and   O
Plan   O
:   O
Vlad   B-NAME
Mostoller   I-NAME
was   O
diagnosed   O
with   O
acute   O
pancreatitis   O
.   O

The   O
etiology   O
remains   O
idiopathic   O
,   O
but   O
with   O
Simon   B-NAME
's   O
history   O
of   O
hypertension   O
,   O
further   O
investigation   O
into   O
the   O
role   O
of   O
medications   O
and   O
underlying   O
systemic   O
diseases   O
is   O
warranted   O
.   O

Aditya   B-NAME
Gilbert   I-NAME
was   O
admitted   O
for   O
pain   O
management   O
,   O
intravenous   O
hydration   O
,   O
and   O
bowel   O
rest   O
.   O

A   O
gastroenterology   O
consult   O
was   O
requested   O
,   O
and   O
Clements   B-NAME
was   O
informed   O
of   O
Barbauld   B-NAME
,   I-NAME
Anna   I-NAME
Letitia   I-NAME
's   O
status   O
.   O

Discharge   O
Summary   O
:   O
Rawan   B-NAME
Pineda   I-NAME
showed   O
significant   O
improvement   O
after   O
48   O
hours   O
of   O
treatment   O
and   O
was   O
discharged   O
on   O
30/27/99   B-DATE
with   O
follow   O
-   O
up   O
instructions   O
.   O

Malissa   B-NAME
Beauford   I-NAME
was   O
given   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
instructions   O
for   O
gradual   O
resumption   O
of   O
regular   O
activities   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Brandon   B-NAME
Richard   I-NAME
in   O
Bois   B-LOCATION
-   I-LOCATION
Francs   I-LOCATION
-   I-LOCATION
Nord   I-LOCATION
,   I-LOCATION
QC   I-LOCATION
J0   I-LOCATION
G   I-LOCATION
8L2   I-LOCATION
was   O
scheduled   O
for   O
next   O
2/99   B-DATE
to   O
reassess   O
pancreatic   O
function   O
and   O
discuss   O
further   O
preventive   O
measures   O
.   O

Instructions   O
for   O
Yasmine   B-NAME
Montgomery   I-NAME
:   O
-   O
Follow   O
a   O
low   O
-   O
fat   O
diet   O
strictly   O
.   O
-   O
Avoid   O
alcohol   O
consumption   O
.   O
-   O
Take   O
prescribed   O
medications   O
as   O
instructed   O
.   O

-   O
Gradually   O
increase   O
physical   O
activities   O
as   O
tolerated   O
.   O
-   O
Report   O
any   O
recurrence   O
of   O
symptoms   O
immediately   O
to   O
28244   B-CONTACT
.   O

This   O
report   O
summarizes   O
the   O
care   O
provided   O
to   O
Scott   B-NAME
Phipps   I-NAME
during   O
the   O
hospitalization   O
period   O
at   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Lake   B-LOCATION
Latonka   I-LOCATION
.   O

Patient   O
:   O
Mcdaniel   B-NAME
Medical   O
Record   O
Number   O
:   O
27305007   B-ID
Date   O
of   O
Birth   O
:   O
November   B-DATE
2320   I-DATE
Age   O
:   O
62   O
Phone   O
Number   O
:   O
85829   B-CONTACT
Address   O
:   O
Gulf   B-LOCATION
Hills   I-LOCATION
,   O
19365   B-LOCATION
Profession   O
:   O
Public   O
Transportation   O
Inspectors   O
Chief   O
Complaint   O
:   O

Singleton   B-NAME
presents   O
to   O
the   O
clinic   O
on   O
2/28   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
intermittent   O
fever   O
peaking   O
at   O
101   O
°   O
F   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
has   O
been   O
gradually   O
worsening   O
over   O
the   O
past   O
week   O
.   O

Medical   O
History   O
:   O
Zayden   B-NAME
Hampton   I-NAME
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
asthma   O
,   O
controlled   O
with   O
an   O
albuterol   O
inhaler   O
as   O
needed   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
lisinopril   O
.   O

Zariah   B-NAME
Holloway   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Orville   B-NAME
Halter   I-NAME
reports   O
being   O
a   O
non   O
-   O
smoker   O
and   O
occasionally   O
consumes   O
alcohol   O
.   O

On   O
examination   O
,   O
Clay   B-NAME
appears   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Diagnostic   O
Studies   O
:   O
Chest   O
X   O
-   O
ray   O
conducted   O
on   O
03/36   B-DATE
at   O
Fannin   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
showed   O
bilateral   O
lower   O
lobe   O
infiltrates   O
.   O

The   O
patient   O
was   O
started   O
on   O
empirical   O
antibiotics   O
including   O
azithromycin   O
and   O
ceftriaxone   O
,   O
administered   O
at   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Somerset   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Neruda   B-NAME
,   I-NAME
Pablo   I-NAME
has   O
been   O
advised   O
to   O
follow   O
up   O
in   O
48   O
hours   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Gerardo   B-NAME
Leflore   I-NAME
on   O
9/26/23   B-DATE
at   O
INTEGRIS   B-LOCATION
Bass   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

Instructions   O
were   O
given   O
to   O
Pauline   B-NAME
Ravelle   I-NAME
to   O
maintain   O
quarantine   O
protocols   O
until   O
COVID-19   O
test   O
results   O
are   O
received   O
.   O

Additionally   O
,   O
Aydin   B-NAME
Williamson   I-NAME
was   O
provided   O
the   O
59655   B-CONTACT
of   O
the   O
clinic   O
for   O
any   O
urgent   O
concerns   O
that   O
may   O
arise   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

JEA   B-LOCATION
and   O
Houston   B-NAME
will   O
review   O
the   O
COVID-19   O
test   O
result   O
upon   O
receiving   O
it   O
,   O
and   O
the   O
treatment   O
plan   O
will   O
be   O
adjusted   O
accordingly   O
.   O

Patient   O
Name   O
:   O
Caroll   B-NAME
Gannon   I-NAME
Patient   O
VI   B-ID
:   I-ID
PW:8889   I-ID
:   O
0293364   B-ID
Age   O
:   O
24   O
Date   O
of   O
Birth   O
:   O
22/26   B-DATE
Address   O
:   O

Terra   B-LOCATION
Bella   I-LOCATION
,   O
65088   B-LOCATION
Phone   O
:   O
73590   B-CONTACT
Employer   O
:   O
Health   B-LOCATION
Services   I-LOCATION
Union   I-LOCATION
Profession   O
:   O

Ariella   B-NAME
Medina   I-NAME
Admitting   O
Facility   O
:   O
IU   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
37/36   B-DATE
Date   O
of   O
Discharge   O
:   O

Jan   B-DATE
2363   I-DATE
Clinical   O
Summary   O
:   O
Leroy   B-NAME
Blake   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
Vincent   I-LOCATION
Indianapolis   I-LOCATION
Hospital   I-LOCATION
on   O
2128   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

Carey   B-NAME
reported   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
and   O
has   O
been   O
under   O
the   O
care   O
of   O
Jerry   B-NAME
Noland   I-NAME
for   O
the   O
management   O
of   O
both   O
conditions   O
.   O

Valdivia   B-NAME
works   O
as   O
a   O
Information   O
scientist   O
at   O
United   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
and   O
mentioned   O
experiencing   O
high   O
levels   O
of   O
stress   O
at   O
work   O
.   O

Upon   O
examination   O
,   O
Heidy   B-NAME
Wong   I-NAME
was   O
found   O
to   O
be   O
in   O
acute   O
distress   O
with   O
vital   O
signs   O
illustrating   O
tachycardia   O
and   O
elevated   O
blood   O
pressure   O
.   O

Minow   B-NAME
,   I-NAME
Newton   I-NAME
N.   I-NAME
was   O
administered   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
morphine   O
for   O
pain   O
management   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
(   O
ACS   O
)   O
protocol   O
.   O

The   O
cardiology   O
team   O
led   O
by   O
Kaylie   B-NAME
Parrish   I-NAME
recommended   O
an   O
urgent   O
coronary   O
angiography   O
,   O
which   O
identified   O
a   O
significant   O
occlusion   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

Ransome   B-NAME
,   I-NAME
Arthur   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
post   O
-   O
PCI   O
and   O
was   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
alongside   O
beta   O
-   O
blockers   O
,   O
ACE   O
inhibitors   O
,   O
and   O
statins   O
as   O
part   O
of   O
post   O
-   O
MI   O
management   O
.   O

Chelsea   B-NAME
Solis   I-NAME
showed   O
significant   O
improvement   O
over   O
the   O
next   O
several   O
days   O
.   O

Education   O
regarding   O
lifestyle   O
modifications   O
,   O
dietary   O
recommendations   O
,   O
and   O
stress   O
management   O
techniques   O
were   O
provided   O
to   O
Kent   B-NAME
by   O
the   O
cardiology   O
team   O
.   O

Petersen   B-NAME
was   O
discharged   O
on   O
32   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
33   I-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Rice   B-NAME
in   O
two   O
weeks   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Instructions   O
on   O
signs   O
and   O
symptoms   O
of   O
potential   O
complications   O
,   O
such   O
as   O
heart   O
failure   O
and   O
arrhythmias   O
,   O
were   O
provided   O
to   O
Esta   B-NAME
Duberstein   I-NAME
upon   O
discharge   O
.   O

lowery   B-NAME
was   O
advised   O
to   O
immediately   O
return   O
to   O
Sentara   B-LOCATION
Williamsburg   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
the   O
closest   O
emergency   O
facility   O
if   O
any   O
concerning   O
symptoms   O
were   O
to   O
arise   O
.   O

For   O
further   O
inquiries   O
or   O
emergency   O
,   O
Carroll   B-NAME
was   O
given   O
the   O
contact   O
number   O
761   B-CONTACT
-   I-CONTACT
8618   I-CONTACT
of   O
Florida   B-LOCATION
Hospital   I-LOCATION
Tampa   I-LOCATION
's   O
cardiology   O
department   O
and   O
was   O
encouraged   O
to   O
join   O
a   O
cardiac   O
rehabilitation   O
program   O
recommended   O
by   O
Collin   B-NAME
Bryan   I-NAME
.   O

This   O
comprehensive   O
approach   O
aims   O
for   O
the   O
optimal   O
recovery   O
of   O
Amaro   B-NAME
,   I-NAME
Rolim   I-NAME
,   O
targeting   O
both   O
physiological   O
recuperation   O
and   O
lifestyle   O
modifications   O
to   O
prevent   O
future   O
cardiac   O
events   O
.   O

Patient   O
Name   O
:   O
Joe   B-NAME
Briggs   I-NAME
Patient   O
ID   O
:   O
HB575/4924   B-ID
Medical   O
Record   O
Number   O
:   O
15101341   B-ID
Date   O
of   O
Birth   O
:   O
5   O
week   O
Address   O
:   O
North   B-LOCATION
Amityville   I-LOCATION
,   O
13417   B-LOCATION
Phone   O
Number   O
:   O
274   B-CONTACT
4816   I-CONTACT
Attending   O
Physician   O
:   O

Reese   B-NAME
Monroe   I-NAME
Location   O
of   O
Consultation   O
:   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Keokuk   I-LOCATION
Date   O
of   O
Consultation   O
:   O
Tuesday   B-DATE
/2023   O
Profession   O
:   O
Tax   O
inspector   O
Subjective   O
:   O

The   O
patient   O
,   O
Thomas   B-NAME
Esquivel   I-NAME
,   O
a   O
79   O
-   O
year   O
-   O
old   O
Programme   O
researcher   O
from   O
Baldwin   B-LOCATION
Park   I-LOCATION
,   O
was   O
referred   O
by   O
Dr.   O
Costa   B-NAME
for   O
evaluation   O
of   O
persistent   O
headaches   O
and   O
intermittent   O
dizziness   O
over   O
the   O
past   O
month   O
.   O

Joe   B-NAME
Mcferron   I-NAME
also   O
reports   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
.   O

General   O
examination   O
of   O
Juliet   B-NAME
South   I-NAME
reveals   O
a   O
well   O
-   O
nourished   O
,   O
well   O
-   O
hydrated   O
92   O
-   O
year   O
-   O
old   O
Reporters   O
and   O
Correspondents   O
in   O
no   O
acute   O
distress   O
.   O

However   O
,   O
given   O
the   O
recent   O
onset   O
and   O
the   O
71   O
of   O
Kylan   B-NAME
Murillo   I-NAME
,   O
further   O
diagnostic   O
workup   O
is   O
recommended   O
to   O
rule   O
out   O
secondary   O
causes   O
.   O

Initiate   O
a   O
headache   O
diary   O
for   O
Aaron   B-NAME
Shutt   I-NAME
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
,   O
and   O
triggers   O
of   O
the   O
headaches   O
.   O

Further   O
recommendations   O
on   O
lifestyle   O
modification   O
,   O
including   O
regular   O
exercise   O
,   O
hydration   O
,   O
and   O
stress   O
management   O
techniques   O
,   O
were   O
discussed   O
with   O
Suarez   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
two   O
weeks   O
from   O
today   O
's   O
date   O
(   O
22/25   B-DATE
/2023   O
)   O
to   O
review   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
and   O
to   O
assess   O
symptom   O
progression   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Lawson   B-NAME
can   O
contact   O
the   O
office   O
at   O
670   B-CONTACT
-   I-CONTACT
529   I-CONTACT
7432   I-CONTACT
.   O

Patient   O
Name   O
:   O
Laila   B-NAME
Melendez   I-NAME
Patient   O
ID   O
:   O
UU   B-ID
:   I-ID
TG:6330   I-ID
Date   O
of   O
Birth   O
:   O
20/23/2090   B-DATE
Age   O
:   O
77   O
Phone   O
Number   O
:   O
423   B-CONTACT
-   I-CONTACT
9647   I-CONTACT
Address   O
:   O
Ottawa   B-LOCATION
,   O
25732   B-LOCATION
Occupation   O
:   O

Mekhi   B-NAME
Blackwell   I-NAME
Medical   O
Record   O
Number   O
:   O
23587341   B-ID
Admission   O
Date   O
:   O
37/06/2068   B-DATE
Hospital   O
:   O

Saint   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Atlanta   I-LOCATION
Chief   O
Complaint   O
:   O
Josh   B-NAME
Romero   I-NAME
presents   O
with   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Spring   B-NAME
Vandilus   I-NAME
reports   O
a   O
history   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
over   O
the   O
past   O
31/21   B-DATE
,   O
which   O
did   O
not   O
prompt   O
medical   O
evaluation   O
.   O

Additionally   O
,   O
the   O
patient   O
has   O
experienced   O
a   O
significant   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
21/01/30   B-DATE
,   O
resulting   O
in   O
unintentional   O
weight   O
loss   O
.   O

Past   O
Medical   O
History   O
:   O
Lyric   B-NAME
Luna   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
medication   O
.   O

Social   O
History   O
:   O
Angel   B-NAME
Gibbs   I-NAME
reports   O
a   O
history   O
of   O
tobacco   O
use   O
but   O
quit   O
32/19/38   B-DATE
ago   O
.   O

Inge   B-NAME
Metzer   I-NAME
denies   O
regular   O
alcohol   O
consumption   O
and   O
illicit   O
drug   O
use   O
.   O

Emergency   O
Medical   O
Technicians   O
and   O
Paramedics   O
involves   O
sedentary   O
work   O
,   O
with   O
Brady   B-NAME
Renard   I-NAME
spending   O
most   O
of   O
the   O
day   O
seated   O
.   O
Review   O
of   O
Systems   O
:   O
-   O
Cardiovascular   O
:   O
No   O
reports   O
of   O
chest   O
pain   O
,   O
palpitations   O
,   O
or   O
dyspnea   O
.   O
-   O
Respiratory   O
:   O
No   O
cough   O
,   O
wheezing   O
,   O
or   O
shortness   O
of   O
breath   O
.   O
-   O
Gastrointestinal   O
:   O
Reports   O
nausea   O
,   O
vomiting   O
,   O
and   O
decreased   O
appetite   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Roderick   B-NAME
Galloway   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Doctors   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Renaissance   I-LOCATION
for   O
further   O
management   O
,   O
which   O
will   O
include   O
pain   O
control   O
,   O
fluid   O
resuscitation   O
,   O
and   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
.   O

A   O
referral   O
to   O
Mays   B-NAME
for   O
a   O
gastroenterology   O
consult   O
has   O
been   O
made   O
.   O

Disposition   O
:   O
Chaucer   B-NAME
,   I-NAME
Geoffrey   I-NAME
was   O
admitted   O
to   O
the   O
general   O
medicine   O
floor   O
under   O
the   O
care   O
of   O
Clinton   B-NAME
Ward   I-NAME
.   O

This   O
patient   O
report   O
generated   O
using   O
secure   O
patient   O
information   O
systems   O
,   O
referencing   O
account   O
JL4910   B-NAME
.   O

For   O
further   O
details   O
or   O
to   O
update   O
patient   O
information   O
,   O
please   O
contact   O
Doylestown   B-LOCATION
Hospital   I-LOCATION
at   O
685   B-CONTACT
-   I-CONTACT
6010   I-CONTACT
.   O

Patient   O
Name   O
:   O
Cross   B-NAME
Age   O
:   O
3   O
Date   O
of   O
Birth   O
:   O
2257   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
20   I-DATE
Phone   O
Number   O
:   O
712   B-CONTACT
-   I-CONTACT
9892   I-CONTACT
Address   O
:   O
Fairton   B-LOCATION
,   O
63066   B-LOCATION
Physician   O
:   O

Mila   B-NAME
Schwartz   I-NAME
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Sioux   I-LOCATION
City   I-LOCATION
Medical   O
Record   O
Number   O
:   O
2394786   B-ID
ID   O
:   O
ST:13749:710207   B-ID
Employment   O
:   O
Financial   O
Managers   O
at   O
Liberated   B-LOCATION
Theocracy   I-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
Username   O
:   O
sm661   B-NAME
Summary   O
:   O
Gianna   B-NAME
Howe   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Shriners   B-LOCATION
Hospitals   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
on   O
2/82   B-DATE
with   O
complaints   O
of   O
acute   O
shortness   O
of   O
breath   O
,   O
a   O
dry   O
cough   O
persisting   O
for   O
approximately   O
two   O
weeks   O
,   O
and   O
a   O
recent   O
onset   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

Herbert   B-NAME
,   I-NAME
Zbigniew   I-NAME
has   O
a   O
known   O
history   O
of   O
asthma   O
,   O
managed   O
with   O
an   O
albuterol   O
inhaler   O
,   O
and   O
there   O
is   O
no   O
previous   O
record   O
of   O
such   O
severe   O
symptoms   O
in   O
their   O
medical   O
history   O
.   O

Vital   O
Signs   O
upon   O
admission   O
:   O
-   O
Temperature   O
:   O
38.2   O
°   O
C   O
-   O
Blood   O
Pressure   O
:   O
145/95   O
mmHg   O
-   O
Heart   O
Rate   O
:   O
102   O
bpm   O
-   O
Respiratory   O
Rate   O
:   O
22   O
breaths   O
per   O
minute   O
-   O
Oxygen   O
Saturation   O
:   O
88   O
%   O
on   O
room   O
air   O
Laboratory   O
tests   O
and   O
imaging   O
studies   O
ordered   O
by   O
Payne   B-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
a   O
chest   O
X   O
-   O
ray   O
,   O
and   O
a   O
CT   O
scan   O
of   O
the   O
chest   O
,   O
aiming   O
to   O
rule   O
out   O
any   O
infections   O
,   O
pneumothorax   O
,   O
or   O
pulmonary   O
embolism   O
.   O

In   O
light   O
of   O
these   O
findings   O
,   O
crane   B-NAME
's   O
initial   O
management   O
included   O
supplemental   O
oxygen   O
therapy   O
through   O
a   O
nasal   O
cannula   O
,   O
initiation   O
of   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
to   O
cover   O
potential   O
bacterial   O
pneumonia   O
,   O
and   O
systemic   O
corticosteroids   O
to   O
reduce   O
lung   O
inflammation   O
.   O

Additionally   O
,   O
Margaret   B-NAME
Aria   I-NAME
was   O
advised   O
to   O
submit   O
sputum   O
samples   O
for   O
further   O
analysis   O
,   O
including   O
cultures   O
to   O
identify   O
any   O
specific   O
pathogens   O
and   O
sensitivity   O
testing   O
.   O

Given   O
the   O
complex   O
nature   O
of   O
the   O
symptoms   O
and   O
the   O
diagnostic   O
uncertainty   O
,   O
Nantai   B-NAME
was   O
admitted   O
to   O
INTEGRIS   B-LOCATION
Deaconess   I-LOCATION
under   O
the   O
care   O
of   O
Blankenship   B-NAME
for   O
close   O
monitoring   O
,   O
further   O
evaluation   O
,   O
and   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
33   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
progress   O
and   O
review   O
the   O
results   O
of   O
ongoing   O
tests   O
.   O

Marisol   B-NAME
Kline   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
strict   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
plan   O
and   O
advised   O
to   O
avoid   O
any   O
known   O
asthma   O
triggers   O
.   O

For   O
any   O
queries   O
or   O
further   O
information   O
,   O
Crastus   B-NAME
or   O
their   O
family   O
can   O
contact   O
the   O
medical   O
team   O
via   O
the   O
direct   O
line   O
(   B-CONTACT
274   I-CONTACT
)   I-CONTACT
649   I-CONTACT
2528   I-CONTACT
at   O
Madigan   B-LOCATION
Army   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
Fixari   B-NAME
Age   O
:   O
2s   O
Date   O
of   O
Birth   O
:   O
22/13   B-DATE
Gender   O
:   O
Male   O
Address   O
:   O
Starkweather   B-LOCATION
,   O
40320   B-LOCATION
Phone   O
Number   O
:   O
73745   B-CONTACT
Occupation   O
:   O
Fundraisers   O
Doctor   O
:   O
Rigoberto   B-NAME
Suarez   I-NAME
Hospital   O
:   O
Regency   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Georgia   I-LOCATION
Medical   O
Record   O
Number   O
:   O
89162233   B-ID
Social   O
Security   O
Number   O
:   O
316862479   B-ID
Date   O
of   O
Visit   O
:   O
10/24   B-DATE
Username   O
:   O
PD587   B-NAME
Chief   O
Complaint   O
:   O

Amaya   B-NAME
Hardy   I-NAME
presents   O
with   O
a   O
continuous   O
,   O
dull   O
,   O
and   O
throbbing   O
pain   O
in   O
the   O
left   O
lower   O
quadrant   O
(   O
LLQ   O
)   O
of   O
the   O
abdomen   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
June   B-DATE
35   I-DATE
.   O

He   O
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
08/22   B-DATE
ago   O
,   O
with   O
occasional   O
episodes   O
of   O
sharp   O
,   O
shooting   O
pain   O
that   O
radiate   O
towards   O
the   O
back   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Leon   B-NAME
F   I-NAME
Craft   I-NAME
has   O
experienced   O
intermittent   O
bouts   O
of   O
nausea   O
without   O
vomiting   O
.   O

There   O
has   O
been   O
a   O
noticeable   O
reduction   O
in   O
bowel   O
movements   O
,   O
with   O
the   O
last   O
recorded   O
bowel   O
movement   O
occurring   O
on   O
May   B-DATE
.   O

Nicholas   B-NAME
M   I-NAME
Osuna   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
ingestion   O
of   O
potentially   O
contaminated   O
food   O
or   O
water   O
.   O

Past   O
Medical   O
History   O
:   O
Damon   B-NAME
,   I-NAME
Johnny   I-NAME
has   O
a   O
history   O
of   O
type   O
II   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
diet   O
modification   O
.   O

Admit   O
patient   O
to   O
CHI   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Elizabeth   I-LOCATION
for   O
observation   O
and   O
further   O
evaluation   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
CARR   B-NAME
,   I-NAME
RACHEL   I-NAME
Age   O
:   O
28   O
Medical   O
Record   O
Number   O
:   O
28958281   B-ID
Phone   O
Number   O
:   O
65687   B-CONTACT
Address   O
:   O
Plum   B-LOCATION
,   O
31217   B-LOCATION
Employer   O
:   O
Delmarva   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
Occupation   O
:   O

Landscaping   O
and   O
Groundskeeping   O
Workers   O
Date   O
of   O
Visit   O
:   O
13/20/75   B-DATE
Primary   O
Care   O
Physician   O
:   O

Zaniyah   B-NAME
Duke   I-NAME
Hospital   O
:   O
Animas   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Eugene   B-NAME
Sutphin   I-NAME
,   O
a   O
Political   O
Scientists   O
at   O
Shoreline   B-LOCATION
Bank   I-LOCATION
in   O
Duvall   B-LOCATION
,   O
reported   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
described   O
as   O
crampy   O
and   O
intermittent   O
,   O
located   O
mainly   O
in   O
the   O
lower   O
abdomen   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
three   O
days   O
ago   O
,   O
around   O
spring   B-DATE
.   O

Nobles   B-NAME
mentions   O
no   O
recent   O
changes   O
in   O
diet   O
,   O
travel   O
history   O
,   O
or   O
sick   O
contacts   O
.   O

Powell   B-NAME
denies   O
any   O
recent   O
use   O
of   O
new   O
medications   O
or   O
known   O
allergies   O
.   O

On   O
examination   O
,   O
Gavin   B-NAME
Craig   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
,   O
with   O
a   O
temperature   O
of   O
98.6F   O
,   O
heart   O
rate   O
of   O
78   O
bpm   O
,   O
and   O
blood   O
pressure   O
of   O
120/80   O
mmHg   O
.   O

Advise   O
Keith   B-NAME
Wilkes   I-NAME
to   O
report   O
immediately   O
if   O
there   O
is   O
the   O
appearance   O
of   O
blood   O
in   O
vomit   O
or   O
stool   O
,   O
severe   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
dehydration   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Yousif   B-NAME
can   O
reach   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
Newburgh   I-LOCATION
Campus   I-LOCATION
's   O
emergency   O
department   O
at   O
940   B-CONTACT
212   I-CONTACT
7751   I-CONTACT
.   O

The   O
following   O
appointment   O
with   O
Ortega   B-NAME
is   O
scheduled   O
for   O
38   B-DATE
.   O

This   O
report   O
was   O
prepared   O
by   O
:   O
SU981   B-NAME
,   O
under   O
the   O
supervision   O
of   O
Kayden   B-NAME
Pham   I-NAME
at   O
Aurelia   B-LOCATION
Osborn   I-LOCATION
Fox   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
2193   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
30   I-DATE
.   O

Patient   O
's   O
Consent   O
:   O
Consent   O
for   O
medical   O
treatment   O
and   O
documentation   O
has   O
been   O
obtained   O
from   O
Walter   B-NAME
Newell   I-NAME
on   O
2002   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
22   I-DATE
.   O

The   O
consent   O
form   O
is   O
stored   O
in   O
Amanda   B-NAME
Fallon   I-NAME
's   O
medical   O
records   O
under   O
ID   O
IH:76015:400345   B-ID
.   O

Patient   O
Name   O
:   O
Step   B-NAME
Age   O
:   O
6   O
week   O
Date   O
of   O
Birth   O
:   O
2233   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
03   I-DATE
Address   O
:   O
Brier   B-LOCATION
,   O
93489   B-LOCATION

Phone   O
Number   O
:   O
381   B-CONTACT
7536   I-CONTACT
Occupation   O
:   O

Composers   O
Medical   O
Record   O
Number   O
:   O
5941L5462   B-ID
Insurance   O
ID   O
:   O
9812200   B-ID

Georgetta   B-NAME
Crisman   I-NAME
Date   O
of   O
Admission   O
:   O
04/24/2010   B-DATE
Hospital   O
:   O
Stormont   B-LOCATION
Vail   I-LOCATION
Health   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
Username   O
:   O
IG664   B-NAME
Summary   O
:   O
Allen   B-NAME
,   I-NAME
James   I-NAME
,   O
a   O
37   O
-   O
year   O
-   O
old   O
Ophthalmologists   O
from   O
Greybull   B-LOCATION
,   O
19523   B-LOCATION
,   O
presented   O
to   O
Clearwater   B-LOCATION
Valley   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
7/01/72   B-DATE
with   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
since   O
21   B-DATE
.   O

Upon   O
examination   O
,   O
Dorian   B-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
which   O
raised   O
suspicions   O
for   O
appendicitis   O
.   O

Bryan   B-NAME
Garcia   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
suspected   O
appendicitis   O
.   O

Vincent   B-NAME
A.   I-NAME
Xayavong   I-NAME
was   O
successfully   O
taken   O
to   O
surgery   O
on   O
27/23/31   B-DATE
,   O
undergoing   O
an   O
appendectomy   O
without   O
complications   O
.   O

Valdivia   B-NAME
was   O
discharged   O
on   O
August   B-DATE
4   I-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
with   O
primary   O
care   O
in   O
Germantown   B-LOCATION
.   O

In   O
summary   O
,   O
the   O
timely   O
intervention   O
for   O
Virginia   B-NAME
Dixon   I-NAME
's   O
appendicitis   O
likely   O
prevented   O
further   O
complications   O
such   O
as   O
perforation   O
or   O
peritonitis   O
.   O

For   O
further   O
information   O
or   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
,   O
please   O
contact   O
Henry   B-LOCATION
Ford   I-LOCATION
Wyandotte   I-LOCATION
Hospital   I-LOCATION
at   O
18186   B-CONTACT
.   O
---   O
*   O
*   O
Note   O
*   O
*   O
:   O
This   O
synthesized   O
patient   O
report   O
includes   O
all   O
required   O
PHI   O
labels   O
and   O
adheres   O
to   O
guidelines   O
for   O
removing   O
personal   O
health   O
information   O
.   O

Patient   O
Name   O
:   O
Bennington   B-NAME
,   I-NAME
Chester   I-NAME
Patient   O
ID   O
:   O
CR994/8592   B-ID
Medical   O
Record   O
Number   O
:   O
6874210   B-ID
Date   O
of   O
Birth   O
:   O
Saturday   B-DATE
,   I-DATE
August   I-DATE
Age   O
:   O
12s   O
Address   O
:   O
Kipnuk   B-LOCATION
,   O
23344   B-LOCATION
Physician   O
:   O

Ronni   B-NAME
Digrazia   I-NAME
Hospital   O
:   O
Lutheran   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Indiana   I-LOCATION
Date   O
of   O
Visit   O
:   O
1879   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
27   I-DATE
Phone   O
:   O
668   B-CONTACT
-   I-CONTACT
5608   I-CONTACT
Profession   O
:   O
Marketing   O
manager   O
(   O
social   O
media   O
)   O
Username   O
for   O
Hospital   O
Portal   O
:   O
km501   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Earnest   B-NAME
Vanwinkle   I-NAME
,   O
presented   O
to   O
WK   B-LOCATION
Pierremont   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
11/2   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
persistent   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
,   O
described   O
as   O
throbbing   O
and   O
exacerbating   O
over   O
a   O
period   O
of   O
one   O
week   O
.   O

IZEYAH   B-NAME
SWEET   I-NAME
reports   O
associated   O
symptoms   O
including   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
emesis   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Nguyen   B-NAME
mentions   O
the   O
onset   O
of   O
headaches   O
began   O
subtly   O
approximately   O
02/28   B-DATE
ago   O
but   O
has   O
significantly   O
intensified   O
in   O
the   O
past   O
three   O
days   O
,   O
leading   O
to   O
an   O
impairment   O
in   O
daily   O
activities   O
.   O

Past   O
Medical   O
History   O
:   O
Peter   B-NAME
Winslow   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
and   O
a   O
past   O
episode   O
of   O
migraine   O
without   O
aura   O
approximately   O
one   O
year   O
ago   O
.   O

On   O
examination   O
by   O
Sanford   B-NAME
at   O
Avera   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
on   O
33/22   B-DATE
,   O
Caprice   B-NAME
Kofoot   I-NAME
appears   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnosis   O
:   O
Primary   O
diagnosis   O
of   O
Migraine   O
with   O
Aura   O
was   O
considered   O
by   O
Gretchen   B-NAME
Harper   I-NAME
based   O
on   O
the   O
clinical   O
presentation   O
and   O
history   O
provided   O
by   O
Phoenix   B-NAME
Reynolds   I-NAME
.   O

Nickolas   B-NAME
Santos   I-NAME
was   O
advised   O
to   O
follow   O
up   O
within   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
exacerbate   O
or   O
new   O
symptoms   O
develop   O
.   O

Instructions   O
for   O
Patient   O
:   O
Jay   B-NAME
,   I-NAME
Glenn   I-NAME
,   I-NAME
Miner   I-NAME
was   O
instructed   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
frequency   O
,   O
duration   O
,   O
severity   O
,   O
and   O
potential   O
triggers   O
.   O

Ubaldo   B-NAME
Daugherty   I-NAME
was   O
also   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
such   O
as   O
stress   O
,   O
certain   O
foods   O
,   O
and   O
inadequate   O
sleep   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
at   O
Sutter   B-LOCATION
Roseville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Hailie   B-NAME
Trujillo   I-NAME
on   O
30/37   B-DATE
.   O

Yamaguchi   B-NAME
was   O
encouraged   O
to   O
contact   O
540   B-CONTACT
102   I-CONTACT
-   I-CONTACT
5699   I-CONTACT
for   O
any   O
concerns   O
or   O
if   O
there   O
is   O
an   O
exacerbation   O
of   O
symptoms   O
.   O

This   O
patient   O
report   O
for   O
Clancy   B-NAME
,   I-NAME
Tom   I-NAME
,   O
ID   O
:   O
BA   B-ID
:   I-ID
SE:4681   I-ID
,   O
Medical   O
Record   O
Number   O
:   O
5647865   B-ID
,   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
applicable   O
laws   O
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
502   B-CONTACT
9460   I-CONTACT
immediately   O
and   O
destroy   O
any   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Name   O
:   O
Lee   B-NAME
,   I-NAME
Ang   I-NAME
Patient   O
ID   O
:   O
DQ190/3242   B-ID
Medical   O
Record   O
Number   O
:   O
7696523   B-ID
Date   O
of   O
Birth   O
:   O
31/28   B-DATE
Age   O
:   O
86   O
Address   O
:   O
Isleton   B-LOCATION
,   O
33067   B-LOCATION
Phone   O
Number   O
:   O
321   B-CONTACT
625   I-CONTACT
9424   I-CONTACT
Employment   O
:   O
Physiotherapist   O
at   O
Coastal   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
Physician   O
:   O
Holland   B-NAME
Hospital   O
:   O
Bassett   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaint   O
:   O
Rangle   B-NAME
reports   O
experiencing   O
severe   O
,   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
12   O
hours   O
before   O
admission   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Yonkers   I-LOCATION
.   O

Quintillus   B-NAME
Alrod   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
unaccustomed   O
food   O
intake   O
.   O

OCASIO   B-NAME
,   I-NAME
GEORGE   I-NAME
OJAS   I-NAME
reports   O
being   O
up   O
to   O
date   O
on   O
vaccinations   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jeremy   B-NAME
Stone   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
98   O
bpm   O
,   O
temperature   O
37.8   O
°   O
C   O
,   O
and   O
respiratory   O
rate   O
16   O
/   O
min   O
.   O
Abdominal   O
examination   O
revealed   O
right   O
lower   O
quadrant   O
tenderness   O
with   O
rebound   O
tenderness   O
and   O
positive   O
Rovsing   O
's   O
sign   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
was   O
ordered   O
by   O
Monroe   B-NAME
,   O
which   O
revealed   O
appendiceal   O
enlargement   O
with   O
surrounding   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Plan   O
:   O
Following   O
the   O
diagnosis   O
,   O
Miya   B-NAME
Townsend   I-NAME
was   O
admitted   O
to   O
Inter   B-LOCATION
-   I-LOCATION
Community   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
At   I-LOCATION
Newfane   I-LOCATION
Inc   I-LOCATION
under   O
the   O
care   O
of   O
Goines   B-NAME
for   O
an   O
urgent   O
appendectomy   O
.   O

David   B-NAME
Howser   I-NAME
was   O
made   O
NPO   O
(   O
nil   O
per   O
os   O
-   O
nothing   O
by   O
mouth   O
)   O
pending   O
surgery   O
and   O
started   O
on   O
IV   O
fluids   O
and   O
antibiotics   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
after   O
the   O
surgical   O
procedure   O
,   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
were   O
explained   O
.   O

The   O
surgical   O
team   O
was   O
notified   O
,   O
and   O
the   O
operation   O
was   O
scheduled   O
for   O
04/99   B-DATE
.   O

Patient   O
Report   O
for   O
Mcguire   B-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
17   O
-   O
Gender   O
:   O
Female   O
-   O
ID   O
:   O
8   B-ID
-   I-ID
9999867   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
328   B-ID
-   I-ID
58   I-ID
-   I-ID
05   I-ID
-   O
Date   O
of   O
Consultation   O
:   O
0/23/2233   B-DATE
/2023   O
-   O
Consulting   O
Physician   O
:   O

Kadin   B-NAME
Cross   I-NAME
-   O
Hospital   O
:   O
Lee   B-LOCATION
's   I-LOCATION
Summit   I-LOCATION
Hospital   I-LOCATION
-   O
Contact   O
Number   O
:   O
111   B-CONTACT
3757   I-CONTACT
-   O
Primary   O
Care   O
Physician   O
:   O

Todd   B-NAME
-   O
Zip   O
Code   O
:   O
22716   B-LOCATION
-   O
Occupation   O
:   O
editor   O
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Carroll   B-NAME
,   O
presented   O
to   O
the   O
outpatient   O
department   O
of   O
USC   B-LOCATION
Verdugo   I-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
on   O
0/22/2313   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
been   O
gradually   O
worsening   O
over   O
the   O
past   O
72   O
hours   O
.   O

Mila   B-NAME
Grinman   I-NAME
also   O
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
decreased   O
appetite   O
,   O
and   O
a   O
mild   O
fever   O
.   O

Medical   O
History   O
:   O
Osvaldo   B-NAME
Lilly   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
,   O
hypertension   O
controlled   O
with   O
lisinopril   O
,   O
and   O
a   O
remote   O
history   O
of   O
cholecystectomy   O
.   O

Bragg   B-NAME
Chaderton   I-NAME
denied   O
any   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Family   O
History   O
:   O
Wyatt   B-NAME
’s   O
family   O
history   O
is   O
notable   O
for   O
cardiovascular   O
diseases   O
and   O
type   O
2   O
diabetes   O
,   O
particularly   O
in   O
first   O
-   O
degree   O
relatives   O
.   O

Review   O
of   O
Systems   O
:   O
-   O
General   O
:   O
Leslie   B-NAME
Combs   I-NAME
reports   O
a   O
mild   O
fever   O
and   O
fatigue   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Rodriquez   B-NAME
's   O
temperature   O
is   O
100.4   O
°   O
F   O
,   O
blood   O
pressure   O
is   O
130/85   O
mmHg   O
,   O
and   O
heart   O
rate   O
is   O
88   O
beats   O
per   O
minute   O
.   O

Assessment   O
:   O
Melina   B-NAME
Dougherty   I-NAME
is   O
diagnosed   O
with   O
acute   O
appendicitis   O
based   O
on   O
clinical   O
presentation   O
and   O
diagnostic   O
tests   O
.   O

Admit   O
Mcknight   B-NAME
to   O
Broward   B-LOCATION
Health   I-LOCATION
Coral   I-LOCATION
Springs   I-LOCATION
under   O
the   O
care   O
of   O
Lang   B-NAME
for   O
further   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Ehlers   B-NAME
will   O
be   O
closely   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
post   O
-   O
operatively   O
.   O

This   O
report   O
was   O
compiled   O
by   O
TJ278   B-NAME
on   O
01/21/75   B-DATE
.   O

Patient   O
Name   O
:   O
Jamal   B-NAME
Campbell   I-NAME
Medical   O
Record   O
Number   O
:   O
474   B-ID
88   I-ID
78   I-ID
Date   O
of   O
Birth   O
:   O
76   O
Admission   O
Date   O
:   O
0   B-DATE
-   I-DATE
2   I-DATE
/2023   O
Discharge   O
Date   O
:   O
12/37   B-DATE
/2023   O
Hospital   O
:   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Clermont   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Ayaan   B-NAME
Blair   I-NAME
ID   O
Number   O
:   O
7491391   B-ID
Location   O
:   O
Spring   B-LOCATION
Gardens   I-LOCATION
,   O
50031   B-LOCATION
Phone   O
:   O
247   B-CONTACT
9305   I-CONTACT
Employer   O
:   O

Independent   B-LOCATION
Galaxies   I-LOCATION
Occupation   O
:   O
Dental   O
hygienist   O
Username   O
:   O
qqo722   B-NAME
Summary   O
of   O
Admission   O
:   O
Justice   B-NAME
Rush   I-NAME
,   O
a   O
73   O
-   O
year   O
-   O
old   O
Letterpress   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
employed   O
by   O
Paxton   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
in   O
Maghull   B-LOCATION
,   O
presented   O
to   O
Bayfront   B-LOCATION
Health   I-LOCATION
Punta   I-LOCATION
Gorda   I-LOCATION
on   O
06/10   B-DATE
/2023   O
with   O
a   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
productive   O
cough   O
with   O
greenish   O
sputum   O
,   O
and   O
high   O
-   O
grade   O
fever   O
over   O
the   O
past   O
72   O
hours   O
.   O

Upon   O
examination   O
,   O
Mark   B-NAME
Hall   I-NAME
exhibited   O
signs   O
of   O
respiratory   O
distress   O
including   O
tachypnea   O
,   O
use   O
of   O
accessory   O
muscles   O
,   O
and   O
bilateral   O
crackles   O
heard   O
on   O
auscultation   O
.   O

The   O
patient   O
reported   O
no   O
recent   O
travel   O
or   O
sick   O
contacts   O
but   O
noted   O
increased   O
exposure   O
to   O
environmental   O
pollutants   O
due   O
to   O
ongoing   O
construction   O
near   O
the   O
workplace   O
at   O
Fashion   B-LOCATION
for   I-LOCATION
Fighters   I-LOCATION
Foundation   I-LOCATION
.   O

Lesly   B-NAME
Galvan   I-NAME
has   O
a   O
known   O
history   O
of   O
Asthma   O
and   O
seasonal   O
allergies   O
.   O

Investigations   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
spring   B-DATE
/2023   O
showed   O
bilateral   O
infiltrates   O
consistent   O
with   O
a   O
diagnosis   O
of   O
community   O
-   O
acquired   O
pneumonia   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
3271618   B-ID
was   O
noted   O
for   O
all   O
laboratory   O
and   O
radiology   O
orders   O
.   O

Management   O
:   O
Under   O
the   O
care   O
of   O
Roth   B-NAME
,   O
Jensen   B-NAME
,   I-NAME
Hayley   I-NAME
was   O
admitted   O
to   O
Stafford   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Stafford   I-LOCATION
and   O
initiated   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
including   O
intravenous   O
azithromycin   O
and   O
ceftriaxone   O
.   O

Outcome   O
:   O
Following   O
a   O
5   O
-   O
day   O
course   O
of   O
antibiotic   O
therapy   O
,   O
Finn   B-NAME
Roach   I-NAME
's   O
symptoms   O
significantly   O
improved   O
with   O
resolution   O
of   O
fever   O
,   O
reduced   O
cough   O
,   O
and   O
improved   O
oxygen   O
saturation   O
on   O
room   O
air   O
.   O

Repeat   O
chest   O
X   O
-   O
ray   O
on   O
23/22/09   B-DATE
/2023   O
showed   O
clearing   O
of   O
bilateral   O
infiltrates   O
.   O

Clay   B-NAME
Sanchez   I-NAME
was   O
counseled   O
on   O
smoking   O
cessation   O
and   O
avoidance   O
of   O
environmental   O
pollutants   O
.   O

Follow   O
-   O
up   O
with   O
primary   O
care   O
physician   O
Shelton   B-NAME
in   O
Fayetteville   B-LOCATION
was   O
scheduled   O
for   O
3/04   B-DATE
/2023   O
.   O

Discharge   O
Instructions   O
:   O
Kaeden   B-NAME
Shannon   I-NAME
was   O
discharged   O
from   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Gratiot   I-LOCATION
on   O
12/13   B-DATE
/2023   O
with   O
instructions   O
to   O
complete   O
a   O
10   O
-   O
day   O
course   O
of   O
oral   O
antibiotics   O
and   O
to   O
continue   O
using   O
inhalers   O
as   O
prescribed   O
for   O
asthma   O
management   O
.   O

Vincent   B-NAME
Campanelli   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
worsening   O
respiratory   O
distress   O
and   O
to   O
return   O
to   O
the   O
hospital   O
or   O
contact   O
Adelyn   B-NAME
Harris   I-NAME
's   O
office   O
at   O
683   B-CONTACT
109   I-CONTACT
4244   I-CONTACT
if   O
symptoms   O
reoccur   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Kerouac   B-NAME
,   I-NAME
Jack   I-NAME
was   O
arranged   O
for   O
2054   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
22   I-DATE
/2023   O
at   O
976   B-LOCATION
Nichols   I-LOCATION
St.   I-LOCATION
to   O
assess   O
recovery   O
progress   O
and   O
to   O
discuss   O
further   O
preventive   O
measures   O
for   O
respiratory   O
health   O
.   O

Eveline   B-NAME
Bookamer   I-NAME
Patient   O
ID   O
:   O
KR:501034:218247   B-ID
Date   O
of   O
Birth   O
:   O
11/24   B-DATE
Age   O
:   O
14   O
Address   O
:   O
39   B-LOCATION
Livingston   I-LOCATION
Avenue   I-LOCATION
,   O
20751   B-LOCATION
Phone   O
Number   O
:   O
466   B-CONTACT
7094   I-CONTACT
Occupation   O
:   O
Radiologic   O
Technologists   O
Medical   O
Record   O
Number   O
:   O
405   B-ID
22   I-ID
73   I-ID
0   I-ID
Admission   O
Date   O
:   O
2102   B-DATE

Valery   B-NAME
Schmitt   I-NAME
Hospital   O
:   O
Surgical   B-LOCATION
Specialty   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Coordinated   I-LOCATION
Health   I-LOCATION
Summary   O
:   O
Menelauis   B-NAME
Konma   I-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
Academic   O
librarian   O
from   O
Mi   B-LOCATION
Ranchito   I-LOCATION
Estate   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Wayne   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
5/76   B-DATE
,   O
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Alhaus   B-NAME
Fensel   I-NAME
's   O
temperature   O
was   O
elevated   O
at   O
38.6   O
°   O
C   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
,   O
provided   O
upon   O
inquiry   O
,   O
includes   O
controlled   O
hypertension   O
and   O
a   O
cholecystectomy   O
performed   O
around   O
10   O
years   O
ago   O
at   O
Bank   B-LOCATION
of   I-LOCATION
Elmwood   I-LOCATION
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Glass   B-NAME
indicating   O
leukocytosis   O
,   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
uL   O
,   O
which   O
may   O
suggest   O
an   O
infectious   O
process   O
.   O

The   O
ultrasound   O
performed   O
on   O
1697   B-DATE
showed   O
an   O
enlarged   O
appendix   O
with   O
increased   O
periappendiceal   O
fluid   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

After   O
consulting   O
with   O
Rosario   B-NAME
,   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
patient   O
was   O
informed   O
of   O
the   O
procedure   O
,   O
associated   O
risks   O
,   O
and   O
potential   O
complications   O
,   O
for   O
which   O
consent   O
was   O
obtained   O
on   O
2373   B-DATE
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
without   O
any   O
complications   O
,   O
and   O
Lucian   B-NAME
Dunn   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
post   O
-   O
operation   O
to   O
prevent   O
any   O
potential   O
infection   O
.   O

Follow   O
Up   O
:   O
Honorius   B-NAME
Hennard   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Aguilar   B-NAME
at   O
The   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Salem   I-LOCATION
County   I-LOCATION
on   O
02/26   B-DATE
to   O
assess   O
postoperative   O
recovery   O
.   O

Instructions   O
were   O
given   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
at   O
the   O
surgical   O
site   O
,   O
and   O
to   O
report   O
any   O
issues   O
immediately   O
to   O
(   B-CONTACT
246   I-CONTACT
)   I-CONTACT
421   I-CONTACT
7529   I-CONTACT
.   O

Conclusion   O
:   O
Paul   B-NAME
,   I-NAME
Ron   I-NAME
’s   O
acute   O
appendicitis   O
was   O
appropriately   O
diagnosed   O
and   O
surgically   O
managed   O
with   O
positive   O
outcomes   O
expected   O
.   O

Patient   O
Name   O
:   O
Vincent   B-NAME
A.   I-NAME
Xayavong   I-NAME
Date   O
of   O
Birth   O
:   O
Sunday   B-DATE
Age   O
:   O
14   O
ID   O
Number   O
:   O
LK   B-ID
:   I-ID
WQ:5388   I-ID
Medical   O
Record   O
Number   O
:   O
217   B-ID
-   I-ID
36   I-ID
-   I-ID
27   I-ID
Address   O
:   O
El   B-LOCATION
Paso   I-LOCATION
,   O
87620   B-LOCATION
Phone   O
Number   O
:   O
43664   B-CONTACT
Employer   O
:   O
Gainesville   B-LOCATION
Regional   I-LOCATION
Utilities   I-LOCATION
Occupation   O
:   O
Epidemiologists   O
Physician   O
:   O
Branch   B-NAME
Hospital   O
:   O

Piedmont   B-LOCATION
Walton   I-LOCATION
Admission   O
Date   O
:   O
23/20   B-DATE
Username   O
:   O
uix253   B-NAME
Logan   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Piedmont   B-LOCATION
Mountainside   I-LOCATION
Hospital   I-LOCATION
on   O
2112   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Miles   B-NAME
Echeverria   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
cramping   O
,   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
and   O
reported   O
it   O
had   O
progressively   O
worsened   O
over   O
the   O
past   O
24   O
hours   O
.   O

Shirley   B-NAME
,   I-NAME
James   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
similar   O
,   O
albeit   O
milder   O
,   O
episodes   O
in   O
the   O
past   O
,   O
which   O
were   O
self   O
-   O
limiting   O
.   O

Upon   O
examination   O
,   O
Boyer   B-NAME
noted   O
Rose   B-NAME
Duke   I-NAME
's   O
temperature   O
was   O
slightly   O
elevated   O
.   O

Erasmus   B-NAME
was   O
afebrile   O
with   O
other   O
vital   O
signs   O
within   O
normal   O
limits   O
.   O

Given   O
the   O
clinical   O
presentation   O
,   O
Parker   B-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
to   O
further   O
evaluate   O
the   O
suspected   O
diagnosis   O
of   O
appendicitis   O
.   O

Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
urinalysis   O
(   O
UA   O
)   O
were   O
also   O
ordered   O
to   O
assess   O
Dakota   B-NAME
Prochaska   I-NAME
's   O
general   O
health   O
and   O
to   O
rule   O
out   O
differential   O
diagnoses   O
.   O

Based   O
on   O
the   O
clinical   O
findings   O
and   O
supportive   O
imaging   O
studies   O
,   O
Day   B-NAME
recommended   O
an   O
urgent   O
appendectomy   O
.   O

Allen   B-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
recommended   O
surgical   O
intervention   O
.   O

After   O
discussing   O
the   O
risks   O
and   O
benefits   O
,   O
Beckham   B-NAME
Brock   I-NAME
consented   O
to   O
the   O
procedure   O
.   O

The   O
surgery   O
was   O
scheduled   O
to   O
occur   O
in   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
the   O
morning   O
of   O
29/24   B-DATE
.   O

Conchita   B-NAME
Mautte   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Kirby   B-NAME
in   O
two   O
weeks   O
post   O
-   O
discharge   O
for   O
a   O
routine   O
post   O
-   O
operative   O
evaluation   O
or   O
sooner   O
if   O
any   O
complications   O
arise   O
.   O

Patient   O
Report   O
General   O
Information   O
:   O
Name   O
:   O
Caprice   B-NAME
Kofoot   I-NAME
Age   O
:   O
34   O
Date   O
of   O
Birth   O
:   O
02/02   B-DATE
Medical   O
Record   O
Number   O
:   O
685   B-ID
-   I-ID
49   I-ID
-   I-ID
60   I-ID
-   I-ID
5   I-ID
ID   O
Number   O
:   O
778434   B-ID
Address   O
:   O
Ina   B-LOCATION
,   O
81391   B-LOCATION
Phone   O
Number   O
:   O
37439   B-CONTACT
Occupation   O
:   O
Rolling   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
Primary   O
Care   O
Physician   O
:   O

Anne   B-NAME
Dunlap   I-NAME
Hospital   O
:   O
Bonita   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Medical   O
History   O
:   O
Lee   B-NAME
,   I-NAME
Ang   I-NAME
,   O
a   O
Artillery   O
and   O
Missile   O
Crew   O
Members   O
by   O
profession   O
,   O
presented   O
to   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Southside   I-LOCATION
on   O
2309   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
31   I-DATE
with   O
complaints   O
of   O
progressive   O
,   O
bilateral   O
lower   O
extremity   O
weakness   O
over   O
the   O
past   O
three   O
weeks   O
.   O

Ballmer   B-NAME
,   I-NAME
Steve   I-NAME
denied   O
any   O
bowel   O
or   O
bladder   O
dysfunction   O
.   O

Clinical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bellow   B-NAME
,   I-NAME
Saul   I-NAME
exhibited   O
reduced   O
muscle   O
strength   O
in   O
both   O
lower   O
extremities   O
,   O
graded   O
3/5   O
in   O
the   O
proximal   O
muscles   O
and   O
4/5   O
distally   O
.   O

The   O
management   O
plan   O
for   O
Aaron   B-NAME
Myers   I-NAME
involves   O
:   O
1   O
.   O

Regular   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Ariana   B-NAME
Armstrong   I-NAME
for   O
monitoring   O
and   O
management   O
adjustments   O
as   O
needed   O
.   O

Notes   O
Prepared   O
by   O
:   O
et910   B-NAME
Date   O
:   O
3321   B-DATE
Contact   O
Information   O
:   O
621   B-CONTACT
-   I-CONTACT
4085   I-CONTACT
at   O
Hagerty   B-LOCATION
Insurance   I-LOCATION
Agency   I-LOCATION

Patient   O
Name   O
:   O
Kristian   B-NAME
Chung   I-NAME
Patient   O
ID   O
:   O
9992313   B-ID
Date   O
of   O
Birth   O
:   O
12/23/2017   B-DATE
Age   O
:   O
8   O
Medical   O
Record   O
Number   O
:   O
68160074   B-ID
Address   O
:   O
Rio   B-LOCATION
Bravo   I-LOCATION
,   O
57435   B-LOCATION
Phone   O
Number   O
:   O
46463   B-CONTACT
Employer   O
:   O
Oglethorpe   B-LOCATION
Power   I-LOCATION
Profession   O
:   O

Oliver   B-NAME
Hospital   O
:   O
New   B-LOCATION
York   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
04/12   B-DATE
,   O
Noah   B-NAME
K.   I-NAME
Quintin   I-NAME
-   I-NAME
Malone   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Hampton   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
acute   O
,   O
localized   O
abdominal   O
pain   O
,   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

Williams   B-NAME
,   I-NAME
Roger   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
(   O
twice   O
on   O
the   O
day   O
of   O
admission   O
)   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Crick   B-NAME
,   I-NAME
Francis   I-NAME
denied   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
previous   O
similar   O
episodes   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
,   O
managed   O
with   O
medication   O
,   O
diagnosed   O
in   O
Tuesday   B-DATE
,   I-DATE
May   I-DATE
.   O
-   O
No   O
surgeries   O
or   O
other   O
significant   O
medical   O
issues   O
reported   O
.   O

Social   O
History   O
:   O
-   O
MI   B-NAME
is   O
a   O
Foresters   O
employed   O
by   O
AmericanFirst   B-LOCATION
Bank   I-LOCATION
in   O
Carnuel   B-LOCATION
-   O
Non   O
-   O
smoker   O
,   O
occasional   O
alcohol   O
use   O
,   O
denies   O
recreational   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Betty   B-NAME
G.   I-NAME
Pierce   I-NAME
's   O
vital   O
signs   O
included   O
a   O
temperature   O
of   O
37.8   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
blood   O
pressure   O
at   O
135/85   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
McCall   I-LOCATION
under   O
the   O
care   O
of   O
Maldonado   B-NAME
for   O
an   O
appendectomy   O
.   O

The   O
surgery   O
was   O
uneventful   O
,   O
and   O
Reilly   B-NAME
Nielsen   I-NAME
tolerated   O
the   O
procedure   O
well   O
.   O

Post   O
-   O
operative   O
recovery   O
has   O
been   O
progressing   O
satisfactorily   O
,   O
with   O
Genet   B-NAME
,   I-NAME
Jean   I-NAME
reporting   O
a   O
significant   O
reduction   O
in   O
pain   O
and   O
resuming   O
oral   O
intake   O
without   O
issues   O
.   O

Disposition   O
:   O
15/13/10   B-DATE
,   O
Gaines   B-NAME
was   O
discharged   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Fish   B-NAME
,   I-NAME
Michael   I-NAME
.   O

Locke   B-NAME
,   I-NAME
John   I-NAME
was   O
given   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
was   O
advised   O
to   O
gradually   O
increase   O
physical   O
activity   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Valencia   B-NAME
or   O
return   O
to   O
the   O
hospital   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
vomiting   O
,   O
or   O
any   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
21/22   B-DATE
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
progress   O
.   O

For   O
any   O
additional   O
information   O
or   O
in   O
case   O
of   O
an   O
emergency   O
,   O
Janetta   B-NAME
Lopiccalo   I-NAME
or   O
their   O
family   O
members   O
can   O
contact   O
MetroSouth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
66469   B-CONTACT
.   O

Patient   O
Name   O
:   O
Keith   B-NAME
Wilkes   I-NAME
Age   O
:   O
53   O
Date   O
of   O
Birth   O
:   O
02/14   B-DATE
Address   O
:   O
Alda   B-LOCATION
,   O
29441   B-LOCATION
Phone   O
Number   O
:   O
779   B-CONTACT
2687   I-CONTACT
Employment   O
:   O

Plasterers   O
and   O
Stucco   O
Masons   O
at   O
Peotone   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
Doctor   O
:   O
Peter   B-NAME
Tucker   I-NAME
Medical   O
Record   O
Number   O
:   O
47676965   B-ID
Patient   O
ID   O
:   O
UV:1987:801487   B-ID

Admission   O
Date   O
:   O
33/33   B-DATE
Hospital   O
:   O

MercyOne   B-LOCATION
Waterloo   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Yosef   B-NAME
Salazar   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2260s   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
high   O
-   O
grade   O
,   O
intermittent   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
,   O
severe   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
and   O
photophobia   O
.   O

Aileen   B-NAME
Fernandez   I-NAME
mentioned   O
having   O
returned   O
from   O
a   O
camping   O
trip   O
in   O
Grandfalls   B-LOCATION
approximately   O
one   O
week   O
ago   O
.   O

No   O
recent   O
history   O
of   O
sick   O
contacts   O
or   O
travel   O
outside   O
Saguache   B-LOCATION
other   O
than   O
the   O
recent   O
camping   O
trip   O
.   O

On   O
examination   O
,   O
Judah   B-NAME
Erickson   I-NAME
appeared   O
ill   O
and   O
in   O
distress   O
.   O

The   O
cerebrospinal   O
fluid   O
(   O
CSF   O
)   O
analysis   O
revealed   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
elevated   O
protein   O
,   O
and   O
reduced   O
glucose   O
levels   O
which   O
are   O
indicative   O
of   O
bacterial   O
meningitis   O
.   O
Treatment   O
and   O
Plan   O
:   O
Tim   B-NAME
Whatley   I-NAME
was   O
admitted   O
to   O
Davis   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Black   B-NAME
for   O
further   O
management   O
.   O

Buñuel   B-NAME
,   I-NAME
Luis   I-NAME
was   O
placed   O
in   O
isolation   O
precautions   O
to   O
prevent   O
the   O
spread   O
of   O
infection   O
.   O

Disposition   O
:   O
Abbott   B-NAME
will   O
be   O
closely   O
monitored   O
for   O
response   O
to   O
treatment   O
with   O
daily   O
neurological   O
exams   O
and   O
repeat   O
CSF   O
analysis   O
scheduled   O
for   O
11/02/12   B-DATE
to   O
assess   O
treatment   O
effectiveness   O
.   O

Follow   O
-   O
Up   O
:   O
Ellington   B-NAME
is   O
advised   O
to   O
follow   O
up   O
immediately   O
if   O
there   O
is   O
any   O
worsening   O
of   O
symptoms   O
or   O
new   O
symptoms   O
develop   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Cortez   B-NAME
on   O
12/22   B-DATE
at   O
HSHS   B-LOCATION
St   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
department   O
to   O
review   O
laboratory   O
results   O
and   O
adjust   O
treatment   O
plans   O
as   O
necessary   O
.   O

Username   O
PW428   B-NAME

Patient   O
Name   O
:   O
Luyu   B-NAME
Patient   O
ID   O
:   O
RR681/5157   B-ID
Medical   O
Record   O
Number   O
:   O
154   B-ID
-   I-ID
21   I-ID
-   I-ID
77   I-ID
Date   O
of   O
Birth   O
:   O
23/21   B-DATE
Age   O
:   O
75   O
Phone   O
Number   O
:   O
909   B-CONTACT
-   I-CONTACT
2244   I-CONTACT
Address   O
:   O
NP40   B-LOCATION
2SL   I-LOCATION
,   O
57391   B-LOCATION
Healthcare   O
Provider   O
:   O
Dr.   O
Jax   B-NAME
Blankenship   I-NAME
Hospital   O
:   O
Davis   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Manzanita   B-LOCATION
Occupation   O
:   O

Dental   O
Laboratory   O
Technicians   O
Username   O
:   O
tzi106   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Gerard   B-NAME
Bernard   I-NAME
,   O
presented   O
to   O
the   O
Lake   B-LOCATION
Charles   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
3   B-DATE
-   I-DATE
20   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Hana   B-NAME
Bullock   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
lack   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Holt   B-NAME
,   I-NAME
Anatol   I-NAME
has   O
experienced   O
similar   O
,   O
but   O
less   O
severe   O
,   O
episodes   O
of   O
abdominal   O
pain   O
in   O
the   O
past   O
year   O
,   O
which   O
resolved   O
spontaneously   O
.   O

Allen   B-NAME
,   I-NAME
Fred   I-NAME
denied   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
or   O
fever   O
.   O

Past   O
Medical   O
History   O
:   O
Diego   B-NAME
Schmitt   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Family   O
History   O
:   O
Trinity   B-NAME
Estrada   I-NAME
reports   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
in   O
a   O
first   O
-   O
degree   O
relative   O
(   O
4   O
month   O
years   O
old   O
)   O
.   O

Social   O
History   O
:   O
Leroy   B-NAME
Kelly   I-NAME
,   O
a   O
Public   O
house   O
manager   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
recreational   O
drugs   O
,   O
and   O
states   O
that   O
alcohol   O
consumption   O
is   O
limited   O
to   O
occasional   O
social   O
drinking   O
.   O

Jayla   B-NAME
Villanueva   I-NAME
also   O
denies   O
any   O
recent   O
fevers   O
,   O
chills   O
,   O
or   O
night   O
sweats   O
.   O

Physical   O
Examination   O
:   O
On   O
physical   O
examination   O
,   O
Kennedy   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Considering   O
the   O
clinical   O
presentation   O
,   O
a   O
decision   O
was   O
made   O
by   O
Dr.   O
Ray   B-NAME
Palmer   I-NAME
to   O
proceed   O
with   O
diagnostic   O
imaging   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
03/07   B-DATE
revealed   O
an   O
inflamed   O
appendix   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
and   O
Plan   O
:   O
Based   O
on   O
these   O
findings   O
,   O
Allen   B-NAME
,   I-NAME
Steve   I-NAME
was   O
admitted   O
to   O
Ascension   B-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Southfield   I-LOCATION
Campus   I-LOCATION
for   O
further   O
management   O
,   O
and   O
surgical   O
consultation   O
was   O
requested   O
.   O

Umali   B-NAME
provided   O
informed   O
consent   O
after   O
the   O
surgical   O
risks   O
and   O
benefits   O
were   O
explained   O
by   O
Dr.   O
Dana   B-NAME
Harrison   I-NAME
.   O

The   O
procedure   O
was   O
scheduled   O
for   O
2154   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
27   I-DATE
.   O

Preoperative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Delta   B-NAME
Civatte   I-NAME
was   O
transferred   O
to   O
the   O
surgical   O
unit   O
in   O
preparation   O
for   O
surgery   O
.   O

Postoperative   O
care   O
plans   O
include   O
pain   O
management   O
,   O
antibiotics   O
,   O
and   O
monitoring   O
for   O
any   O
signs   O
of   O
complications   O
post   O
-   O
surgery   O
.   O
Conclusion   O
:   O
McMahon   B-NAME
,   I-NAME
Vince   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
is   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Benitez   B-NAME
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Anson   I-LOCATION
for   O
2/12   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
address   O
any   O
additional   O
concerns   O
Gustavo   B-NAME
Frost   I-NAME
may   O
have   O
.   O

Patient   O
Name   O
:   O
Jalen   B-NAME
Richardson   I-NAME
Date   O
of   O
Birth   O
:   O
12/11   B-DATE
Patient   O
ID   O
:   O
VF:12650:207776   B-ID
Medical   O
Record   O
Number   O
:   O
7000008   B-ID
Phone   O
Number   O
:   O
66000   B-CONTACT
Address   O
:   O
Flournoy   B-LOCATION
,   O
68449   B-LOCATION
Employment   O
:   O
Extruding   O
,   O
Forming   O
,   O
Pressing   O
,   O
and   O
Compacting   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
Primary   O
Care   O
Physician   O
:   O

Keeping   B-NAME
,   I-NAME
Charles   I-NAME
Hospital   O
:   O
Metro   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
08/00/1796   B-DATE
/2023   O
PRESENTING   O
COMPLAINT   O
:   O
Joyce   B-NAME
,   O
a   O
71s   O
-   O
year   O
-   O
old   O
Broadcast   O
Technicians   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Our   B-LOCATION
Lady   I-LOCATION
Of   I-LOCATION
Lourdes   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
complaining   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Associated   O
symptoms   O
included   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
11/09   B-DATE
.   O

Wilcox   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
under   O
management   O
with   O
medications   O
prescribed   O
by   O
Shaw   B-NAME
.   O
MEDICATIONS   O
:   O

Fisher   B-NAME
Bush   I-NAME
reports   O
a   O
known   O
allergy   O
to   O
Penicillin   O
,   O
resulting   O
in   O
hives   O
and   O
angioedema   O
.   O
REVIEW   O
OF   O
SYSTEMS   O
:   O

No   O
recent   O
travel   O
history   O
to   O
Kendall   B-LOCATION
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Upon   O
examination   O
,   O
CG   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

IMAGING   O
:   O
Abdominal   O
ultrasound   O
conducted   O
on   O
2191   B-DATE
at   O
Rochester   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
demonstrated   O
an   O
enlarged   O
appendix   O
with   O
the   O
presence   O
of   O
an   O
appendicolith   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

In   O
consultation   O
with   O
Dr.   O
Daniella   B-NAME
Dawson   I-NAME
,   O
a   O
surgical   O
evaluation   O
was   O
recommended   O
for   O
Pamelia   B-NAME
Gevorkian   I-NAME
.   O

Bryson   B-NAME
Howard   I-NAME
consented   O
to   O
the   O
surgery   O
,   O
which   O
is   O
scheduled   O
for   O
12/07   B-DATE
.   O

Larson   B-NAME
is   O
to   O
be   O
admitted   O
to   O
UPMC   B-LOCATION
Bedford   I-LOCATION
Memorial   I-LOCATION
for   O
surgical   O
intervention   O
and   O
post   O
-   O
operative   O
care   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Webster   B-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

Lebowitz   B-NAME
,   I-NAME
Fran   I-NAME
was   O
advised   O
to   O
notify   O
the   O
healthcare   O
team   O
immediately   O
if   O
there   O
were   O
any   O
signs   O
of   O
infection   O
,   O
fever   O
above   O
100.4   O
°   O
F   O
,   O
or   O
increased   O
pain   O
at   O
the   O
surgical   O
site   O
.   O

This   O
report   O
was   O
prepared   O
by   O
the   O
attending   O
physician   O
,   O
Raelynn   B-NAME
Williamson   I-NAME
,   O
and   O
is   O
based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
tests   O
performed   O
on   O
32/21   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
James   B-NAME
B.   I-NAME
Tyler   I-NAME
Age   O
:   O
13   O
Date   O
of   O
Birth   O
:   O
32/34   B-DATE
Address   O
:   O
Reed   B-LOCATION
City   I-LOCATION
,   O
45150   B-LOCATION
Phone   O
:   O
34765   B-CONTACT
Occupation   O
:   O
Information   O
Security   O
Analysts   O
Physician   O
:   O

Yusuf   B-NAME
Fitzgerald   I-NAME
Medical   O
Record   O
Number   O
:   O
508   B-ID
-   I-ID
83   I-ID
-   I-ID
95   I-ID
-   I-ID
6   I-ID
ID   O
Number   O
:   O
2639060   B-ID
Hospital   O
:   O
Pottstown   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
13/23   B-DATE
Date   O
of   O
Discharge   O
:   O
22/32   B-DATE
Username   O
:   O
umu46   B-NAME
Summary   O
:   O
Bena   B-NAME
,   O
a   O
Rotary   O
Drill   O
Operators   O
,   O
Oil   O
and   O
Gas   O
from   O
Forestville   B-LOCATION
,   O
was   O
admitted   O
to   O
New   B-LOCATION
Lifecare   I-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
PGH   I-LOCATION
-   I-LOCATION
Alle   I-LOCATION
-   I-LOCATION
Kiski   I-LOCATION
on   O
12/20   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
an   O
inability   O
to   O
keep   O
food   O
down   O
.   O

Additionally   O
,   O
Kobe   B-NAME
Anthony   I-NAME
reported   O
experiencing   O
bouts   O
of   O
dizziness   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
leading   O
up   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Doyle   B-NAME
noted   O
that   O
Kamron   B-NAME
Rowe   I-NAME
appeared   O
pale   O
and   O
was   O
in   O
considerable   O
distress   O
.   O

Laboratory   O
results   O
from   O
2/32   B-DATE
showed   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
suggesting   O
an   O
infectious   O
process   O
.   O

Given   O
the   O
findings   O
and   O
Jett   B-NAME
Hatfield   I-NAME
's   O
worsening   O
condition   O
,   O
Stephens   B-NAME
recommended   O
immediate   O
surgical   O
intervention   O
.   O

Lehman   B-NAME
underwent   O
an   O
appendectomy   O
on   O
2103   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
00   I-DATE
at   O
University   B-LOCATION
Hospital   I-LOCATION
.   O

Zaiden   B-NAME
York   I-NAME
was   O
advised   O
to   O
follow   O
a   O
liquid   O
diet   O
initially   O
,   O
gradually   O
returning   O
to   O
solid   O
foods   O
as   O
tolerated   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Schmitt   B-NAME
's   O
progress   O
was   O
closely   O
monitored   O
by   O
Arjun   B-NAME
Baxter   I-NAME
and   O
the   O
nursing   O
staff   O
.   O

There   O
were   O
no   O
signs   O
of   O
post   O
-   O
operative   O
infection   O
,   O
and   O
Skylar   B-NAME
Dickerson   I-NAME
's   O
pain   O
levels   O
significantly   O
decreased   O
.   O

Bullock   B-NAME
,   I-NAME
Sandra   I-NAME
's   O
appetite   O
began   O
to   O
improve   O
,   O
and   O
there   O
were   O
no   O
further   O
episodes   O
of   O
nausea   O
or   O
dizziness   O
.   O

ANDRE   B-NAME
-   I-NAME
ISRAEL   I-NAME
SANTIAGO   I-NAME
was   O
discharged   O
on   O
Independence   B-DATE
Day   I-DATE
with   O
instructions   O
to   O
rest   O
,   O
gradually   O
increase   O
physical   O
activity   O
,   O
and   O
attend   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
.   O

Aden   B-NAME
Marshall   I-NAME
provided   O
Kameryn   B-NAME
with   O
details   O
on   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
and   O
a   O
prescription   O
for   O
pain   O
management   O
.   O

The   O
care   O
team   O
at   O
UAMS   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emphasized   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
post   O
-   O
discharge   O
care   O
plan   O
for   O
a   O
full   O
recovery   O
.   O

On   O
22/25   B-DATE
,   O
Belinda   B-NAME
House   I-NAME
returned   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Gilmore   B-NAME
.   O

Turk   B-NAME
reported   O
feeling   O
significantly   O
better   O
,   O
with   O
no   O
recurrent   O
symptoms   O
.   O

Mark   B-NAME
Jensen   I-NAME
was   O
pleased   O
with   O
Sarina   B-NAME
Messinger   I-NAME
's   O
progress   O
and   O
advised   O
continuing   O
with   O
a   O
balanced   O
diet   O
and   O
moderate   O
exercise   O
.   O

Chance   B-NAME
Kidd   I-NAME
was   O
told   O
they   O
could   O
return   O
to   O
their   O
Political   O
Science   O
Teachers   O
,   O
Postsecondary   O
duties   O
but   O
to   O
avoid   O
strenuous   O
activity   O
for   O
an   O
additional   O
two   O
weeks   O
.   O

Summary   O
Prepared   O
by   O
:   O
Ibarra   B-NAME
2154   B-DATE
-   I-DATE
26   I-DATE
-   I-DATE
22   I-DATE

Patient   O
Name   O
:   O
Bruce   B-NAME
Brian   I-NAME
Age   O
:   O
66s   O
Medical   O
Record   O
Number   O
:   O
5973005   B-ID
Date   O
of   O
Visit   O
:   O
2187   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
26   I-DATE
Attending   O
Physician   O
:   O

Lilia   B-NAME
Nicholson   I-NAME
Hospital   O
:   O
Montefiore   B-LOCATION
Einstein   I-LOCATION
Campus   I-LOCATION
Location   O
:   O
Vanceburg   B-LOCATION
Contact   O
Phone   O
:   O
498   B-CONTACT
7883   I-CONTACT
Zip   O
Code   O
:   O
17280   B-LOCATION
Profession   O
:   O

Crystallographer   O
Username   O
:   O
WA388   B-NAME
ID   O
Number   O
:   O
HM:46979:867984   B-ID

Subjective   O
:   O
March   B-DATE
29th   I-DATE
,   O
Yair   B-NAME
Horn   I-NAME
,   O
a   O
4   O
month   O
-   O
year   O
-   O
old   O
Proofreaders   O
and   O
Copy   O
Markers   O
from   O
Brightlingsea   B-LOCATION
,   O
presented   O
to   O
Danbury   B-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Carducci   B-NAME
,   I-NAME
Giosue   I-NAME
reports   O
associated   O
nausea   O
without   O
vomiting   O
,   O
and   O
denies   O
any   O
recent   O
changes   O
in   O
bowel   O
habits   O
or   O
urinary   O
symptoms   O
.   O

No   O
recent   O
travel   O
outside   O
Birmingham   B-LOCATION
,   O
and   O
no   O
sick   O
contacts   O
were   O
reported   O
.   O

Peters   B-NAME
denies   O
any   O
previous   O
similar   O
episodes   O
or   O
any   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

Objective   O
:   O
On   O
physical   O
examination   O
,   O
Leblanc   B-NAME
appears   O
in   O
distress   O
but   O
is   O
alert   O
and   O
oriented   O
.   O

The   O
leading   O
differential   O
diagnosis   O
for   O
Cannicus   B-NAME
Leversee   I-NAME
is   O
acute   O
appendicitis   O
given   O
the   O
clinical   O
presentation   O
and   O
examination   O
findings   O
.   O

Adalyn   B-NAME
Huang   I-NAME
is   O
placed   O
on   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
in   O
anticipation   O
of   O
possible   O
surgical   O
intervention   O
and   O
is   O
started   O
on   O
IV   O
fluids   O
for   O
hydration   O
and   O
IV   O
antibiotics   O
as   O
a   O
precautionary   O
measure   O
against   O
infection   O
.   O

Given   O
the   O
suspicion   O
of   O
acute   O
appendicitis   O
,   O
a   O
surgical   O
consult   O
with   O
Liu   B-NAME
is   O
requested   O
for   O
further   O
evaluation   O
and   O
potential   O
appendectomy   O
.   O

Aldrin   B-NAME
,   I-NAME
Buzz   I-NAME
and   O
their   O
family   O
(   O
contact   O
number   O
:   O
89028   B-CONTACT
)   O
have   O
been   O
briefed   O
about   O
the   O
findings   O
and   O
the   O
plan   O
.   O

Cassidy   B-NAME
Pope   I-NAME
consented   O
to   O
the   O
proposed   O
diagnostic   O
and   O
therapeutic   O
plans   O
.   O

Follow   O
-   O
up   O
:   O
01/21   B-DATE
,   O
Johnson   B-NAME
,   I-NAME
Lyndon   I-NAME
from   O
Anthony   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Anthony   I-LOCATION
is   O
scheduled   O
to   O
review   O
the   O
imaging   O
results   O
with   O
Ursula   B-NAME
Toth   I-NAME
and   O
discuss   O
the   O
potential   O
need   O
for   O
an   O
appendectomy   O
.   O

Instructions   O
were   O
given   O
to   O
contact   O
the   O
hospital   O
at   O
828   B-CONTACT
-   I-CONTACT
911   I-CONTACT
-   I-CONTACT
6393   I-CONTACT
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
arise   O
before   O
the   O
follow   O
-   O
up   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
89170589   B-ID
Name   O
:   O
Lopez   B-NAME
Date   O
of   O
Birth   O
:   O
2/04   B-DATE
Age   O
:   O
90   O
Phone   O
Number   O
:   O
(   B-CONTACT
232   I-CONTACT
)   I-CONTACT
631   I-CONTACT
-   I-CONTACT
8431   I-CONTACT
Address   O
:   O
Wells   B-LOCATION
Branch   I-LOCATION
,   O
90850   B-LOCATION
Primary   O
Physician   O
:   O
Jacobson   B-NAME
Hospital   O
:   O
Washington   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
On   O
07/11   B-DATE
,   O
Kevin   B-NAME
Fields   I-NAME
,   O
a   O
Medical   O
Assistants   O
from   O
Daingerfield   B-LOCATION
,   O
was   O
admitted   O
to   O
Henry   B-LOCATION
Ford   I-LOCATION
West   I-LOCATION
Bloomfield   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
recurrent   O
episodes   O
of   O
vomiting   O
.   O

Saint   B-NAME
-   I-NAME
Just   I-NAME
,   I-NAME
Louis   I-NAME
de   I-NAME
also   O
reported   O
a   O
fever   O
peaking   O
at   O
101.5   O
°   O
F   O
on   O
the   O
evening   O
prior   O
to   O
admission   O
.   O

According   O
to   O
Rivas   B-NAME
,   O
these   O
symptoms   O
had   O
been   O
present   O
for   O
approximately   O
24   O
hours   O
prior   O
to   O
seeking   O
medical   O
attention   O
.   O

Campos   B-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

Cassidy   B-NAME
Walter   I-NAME
's   O
social   O
history   O
reveals   O
no   O
tobacco   O
use   O
,   O
moderate   O
alcohol   O
consumption   O
,   O
and   O
no   O
recreational   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Walter   B-NAME
Langkowski   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
temperature   O
of   O
100.4   O
°   O
F   O
,   O
blood   O
pressure   O
145/90   O
mmHg   O
,   O
pulse   O
98   O
bpm   O
,   O
and   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Tests   O
:   O
Complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
serum   O
electrolytes   O
,   O
renal   O
function   O
tests   O
,   O
and   O
liver   O
function   O
tests   O
were   O
ordered   O
by   O
Ayla   B-NAME
Baldwin   I-NAME
.   O

Abdominal   O
ultrasonography   O
,   O
recommended   O
by   O
Jason   B-NAME
Cardenas   I-NAME
,   O
confirmed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Aurelio   B-NAME
Schlecht   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
12/22   B-DATE
.   O

The   O
procedure   O
was   O
carried   O
out   O
without   O
complications   O
,   O
and   O
Quentin   B-NAME
Casey   I-NAME
tolerated   O
the   O
surgery   O
well   O
.   O

Postoperative   O
Course   O
:   O
Judith   B-NAME
Frank   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Hazlitt   B-NAME
,   I-NAME
William   I-NAME
was   O
advised   O
to   O
follow   O
a   O
clear   O
liquid   O
diet   O
initially   O
,   O
gradually   O
progressing   O
to   O
a   O
normal   O
diet   O
as   O
tolerated   O
.   O

Roe   B-NAME
was   O
discharged   O
on   O
July   B-DATE
03th   I-DATE
with   O
instructions   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
maintain   O
hydration   O
,   O
and   O
manage   O
pain   O
as   O
prescribed   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Warner   B-NAME
was   O
scheduled   O
for   O
16/20   B-DATE
at   O
Carteret   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
.   O

Conclusion   O
:   O
Ayanna   B-NAME
Henson   I-NAME
,   O
a   O
28   O
-   O
year   O
-   O
old   O
Physicists   O
from   O
Millport   B-LOCATION
,   O
presented   O
with   O
clinical   O
and   O
diagnostic   O
features   O
of   O
acute   O
appendicitis   O
and   O
underwent   O
successful   O
laparoscopic   O
appendectomy   O
with   O
a   O
straightforward   O
postoperative   O
recovery   O
.   O

Given   O
Morgan   B-NAME
Wright   I-NAME
's   O
medical   O
history   O
of   O
diabetes   O
and   O
hypertension   O
,   O
close   O
monitoring   O
of   O
overall   O
health   O
is   O
advised   O
.   O

Contact   O
information   O
for   O
further   O
inquiries   O
:   O
247   B-CONTACT
-   I-CONTACT
3863   I-CONTACT
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Heart   I-LOCATION
and   I-LOCATION
Vascular   I-LOCATION
Hospital   I-LOCATION
Dallas   I-LOCATION
.   O

Patient   O
Name   O
:   O
Laurel   B-NAME
Weaver   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
6756655   I-ID
Date   O
of   O
Admission   O
:   O
3/20   B-DATE
Date   O
of   O
Birth   O
:   O
9/03   B-DATE
Age   O
:   O
61   O
Address   O
:   O
Tomball   B-LOCATION
,   O
72995   B-LOCATION
Phone   O
Number   O
:   O
690   B-CONTACT
824   I-CONTACT
8870   I-CONTACT
Primary   O
Care   O
Provider   O
:   O
Morrow   B-NAME
at   O
Hazard   B-LOCATION
ARH   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Occupation   O
:   O
Pharmacologist   O
Medical   O
Record   O
Number   O
:   O
239   B-ID
-   I-ID
48   I-ID
-   I-ID
91   I-ID
Chief   O
Complaint   O
:   O
Hoover   B-NAME
,   I-NAME
Herbert   I-NAME
was   O
admitted   O
to   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Lexington   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/26   B-DATE
complaining   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
accompanied   O
by   O
nausea   O
and   O
intermittent   O
episodes   O
of   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Marley   B-NAME
Osborne   I-NAME
,   O
a   O
Reporters   O
and   O
Correspondents   O
from   O
Lakeshire   B-LOCATION
,   O
presented   O
with   O
a   O
48   O
-   O
hour   O
history   O
of   O
sharp   O
,   O
persistent   O
lower   O
abdominal   O
pain   O
.   O

Douglass   B-NAME
,   I-NAME
David   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Past   O
Medical   O
History   O
:   O
Roger   B-NAME
S   I-NAME
Conrad   I-NAME
's   O
past   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
a   O
previous   O
episode   O
of   O
kidney   O
stones   O
approximately   O
three   O
years   O
ago   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Junior   B-NAME
Griffin   I-NAME
appeared   O
uncomfortable   O
due   O
to   O
pain   O
.   O

The   O
surgical   O
team   O
at   O
Citizens   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
consulted   O
,   O
and   O
Lakeesha   B-NAME
Murillo   I-NAME
is   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
02/22/2137   B-DATE
.   O

Farrell   B-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
potential   O
risks   O
.   O

Follow   O
-   O
Up   O
:   O
Dailey   B-NAME
will   O
be   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgical   O
clinic   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

Any   O
questions   O
or   O
concerns   O
before   O
discharge   O
can   O
be   O
directed   O
to   O
John   B-LOCATION
Muir   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Walnut   I-LOCATION
Creek   I-LOCATION
Campus   I-LOCATION
at   O
175   B-CONTACT
8400   I-CONTACT
.   O

Zack   B-NAME
Cocking   I-NAME
Patient   O
ID   O
:   O
65079183   B-ID
Date   O
of   O
Birth   O
:   O
29   O
years   O
old   O
Address   O
:   O
Sylvan   B-LOCATION
Springs   I-LOCATION
,   O
36066   B-LOCATION
Phone   O
Number   O
:   O
883   B-CONTACT
1252   I-CONTACT
Employer   O
:   O
Michigan   B-LOCATION
Heritage   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O

Mixing   O
and   O
Blending   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
Primary   O
Physician   O
:   O
Rangel   B-NAME
Medical   O
Record   O
Number   O
:   O
948   B-ID
-   I-ID
90   I-ID
-   I-ID
35   I-ID
-   I-ID
1   I-ID
Admission   O
Date   O
:   O
March   B-DATE
13th   I-DATE
/2023   O
Insurance   O
ID   O
:   O
82865   B-ID
History   O
of   O
Present   O
Illness   O
:   O
Keyla   B-NAME
Wu   I-NAME
,   O
a   O
7   O
month   O
-   O
year   O
-   O
old   O
School   O
Psychologists   O
from   O
Clarks   B-LOCATION
Summit   I-LOCATION
,   O
presented   O
to   O
Mountainside   B-LOCATION
Hospital   I-LOCATION
's   O
Emergency   O
Department   O
on   O
1916   B-DATE
/2023   O
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
that   O
began   O
earlier   O
that   O
day   O
.   O

Ace   B-NAME
Franklin   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
.   O

Andrade   B-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Glenn   B-NAME
Suarez   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O

On   O
examination   O
,   O
Mayo   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

The   O
treatment   O
plan   O
,   O
formulated   O
by   O
Jacobs   B-NAME
,   O
involved   O
surgical   O
consultation   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Corrine   B-NAME
Krebsbach   I-NAME
was   O
also   O
started   O
on   O
intravenous   O
fluids   O
and   O
broad   O
-   O
spectrum   O
antibiotics   O
pre   O
-   O
operatively   O
.   O

Consent   O
for   O
the   O
procedure   O
was   O
obtained   O
on   O
July   B-DATE
/2023   O
.   O

The   O
appendectomy   O
was   O
performed   O
on   O
23/05   B-DATE
/2023   O
without   O
complications   O
.   O

Braylon   B-NAME
Allison   I-NAME
responded   O
well   O
to   O
treatment   O
and   O
was   O
discharged   O
on   O
01/20   B-DATE
/2023   O
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Monroe   B-NAME
in   O
two   O
weeks   O
at   O
Blessing   B-LOCATION
Hospital   I-LOCATION
.   O
Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Badiou   B-NAME
,   I-NAME
Alain   I-NAME
was   O
instructed   O
to   O
maintain   O
a   O
light   O
diet   O
,   O
avoid   O
strenuous   O
activities   O
,   O
and   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
.   O

Pain   O
management   O
was   O
to   O
be   O
handled   O
with   O
prescribed   O
medication   O
,   O
and   O
Koch   B-NAME
was   O
advised   O
to   O
call   O
910   B-CONTACT
7496   I-CONTACT
if   O
there   O
was   O
any   O
increase   O
in   O
pain   O
,   O
fever   O
,   O
or   O
concerns   O
about   O
wound   O
healing   O
.   O

Note   O
:   O
For   O
further   O
details   O
on   O
Jorden   B-NAME
Hughes   I-NAME
's   O
medical   O
history   O
or   O
follow   O
-   O
up   O
care   O
,   O
please   O
contact   O
Richmond   B-NAME
at   O
San   B-LOCATION
Leandro   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
ups   O
can   O
be   O
scheduled   O
by   O
calling   O
588   B-CONTACT
-   I-CONTACT
9341   I-CONTACT
.   O

Patient   O
Name   O
:   O
Howard   B-NAME
Rosser   I-NAME
Patient   O
ID   O
:   O
OE:761097:510657   B-ID
Date   O
of   O
Birth   O
:   O
22/22   B-DATE
Age   O
:   O
48   O
Address   O
:   O
Livermore   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
94550   I-LOCATION
,   O
89168   B-LOCATION
Phone   O
:   O
910   B-CONTACT
7937   I-CONTACT
Medical   O
Record   O
Number   O
:   O
5059   B-ID
:   I-ID
S34983   I-ID
Attending   O
Physician   O
:   O
Shepherd   B-NAME
Hospital   O
:   O
Regional   B-LOCATION
One   I-LOCATION
Health   I-LOCATION
Job   O
:   O
Tile   O
and   O
Marble   O
Setters   O
Username   O
:   O
su451   B-NAME
Summary   O
:   O

The   O
patient   O
,   O
Zariah   B-NAME
Haney   I-NAME
,   O
presented   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
focused   O
on   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
01/26/2237   B-DATE
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Cochran   B-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
indicative   O
of   O
peritonitis   O
,   O
specifically   O
focused   O
around   O
the   O
McBurney   O
’s   O
point   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
a   O
preliminary   O
diagnosis   O
of   O
Acute   O
Appendicitis   O
was   O
made   O
by   O
Giggles   B-NAME
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Gulfport   I-LOCATION
on   O
21/21   B-DATE
.   O

The   O
patient   O
was   O
advised   O
immediate   O
surgical   O
intervention   O
and   O
was   O
prepped   O
for   O
an   O
appendectomy   O
under   O
the   O
care   O
of   O
Levine   B-NAME
at   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Schuylkill   I-LOCATION
East   I-LOCATION
Norwegian   I-LOCATION
Street   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Mencken   B-NAME
,   I-NAME
H.   I-NAME
L.   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Reagan   B-NAME
,   I-NAME
Nancy   I-NAME
at   O
Bayfront   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Petersburg   I-LOCATION
on   O
1/12   B-DATE
to   O
monitor   O
the   O
healing   O
process   O
and   O
ensure   O
there   O
are   O
no   O
post   O
-   O
operative   O
complications   O
.   O

Zhang   B-NAME
was   O
encouraged   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
any   O
alarming   O
symptoms   O
such   O
as   O
fever   O
,   O
severe   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
.   O

Prescriptions   O
for   O
pain   O
relief   O
and   O
antibiotics   O
were   O
provided   O
,   O
along   O
with   O
the   O
contact   O
number   O
,   O
77208   B-CONTACT
,   O
for   O
Salgado   B-NAME
to   O
call   O
in   O
case   O
of   O
any   O
concerns   O
or   O
emergency   O
symptoms   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Billing   O
and   O
Confidential   O
Information   O
:   O
All   O
billing   O
information   O
has   O
been   O
processed   O
under   O
the   O
patient   O
's   O
account   O
number   O
SP191/4919   B-ID
with   O
Massachusetts   B-LOCATION
.   O

For   O
privacy   O
and   O
confidentiality   O
,   O
any   O
further   O
inquiries   O
should   O
be   O
directed   O
to   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Rehab   I-LOCATION
Hospital   I-LOCATION
’s   O
billing   O
department   O
at   O
(   B-CONTACT
264   I-CONTACT
)   I-CONTACT
288   I-CONTACT
4765   I-CONTACT
.   O

The   O
medical   O
record   O
number   O
8664404   B-ID
will   O
be   O
required   O
for   O
all   O
communications   O
regarding   O
the   O
patient   O
's   O
care   O
.   O

Conclusion   O
:   O
Hanna   B-NAME
Cook   I-NAME
’s   O
timely   O
presentation   O
and   O
the   O
prompt   O
,   O
effective   O
response   O
by   O
the   O
medical   O
team   O
at   O
Regency   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Georgia   I-LOCATION
have   O
resulted   O
in   O
an   O
optimal   O
outcome   O
without   O
complications   O
.   O

Orosco   B-NAME
,   I-NAME
Vincent   I-NAME
I.   I-NAME
has   O
been   O
advised   O
on   O
signs   O
to   O
watch   O
for   O
possible   O
complications   O
and   O
has   O
been   O
educated   O
on   O
the   O
importance   O
of   O
follow   O
-   O
up   O
care   O
.   O

Note   O
:   O
This   O
document   O
contains   O
sensitive   O
patient   O
information   O
and   O
is   O
subject   O
to   O
confidentiality   O
protocols   O
as   O
per   O
Silver   B-LOCATION
Falls   I-LOCATION
Bank   I-LOCATION
’s   O
guidelines   O
and   O
the   O
patient   O
's   O
privacy   O
rights   O
.   O

Patient   O
Name   O
:   O
Delacruz   B-NAME
Age   O
:   O
37   O
Date   O
of   O
Admission   O
:   O
2126   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
22   I-DATE

Schultz   B-NAME
Hospital   O
:   O
HMH   B-LOCATION
JFK   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
222   B-ID
-   I-ID
92   I-ID
-   I-ID
71   I-ID
-   I-ID
0   I-ID
Location   O
:   O
Bishop   B-LOCATION
's   I-LOCATION
Castle   I-LOCATION
Zip   O
Code   O
:   O
84631   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
757   I-CONTACT
)   I-CONTACT
696   I-CONTACT
-   I-CONTACT
3999   I-CONTACT
Professional   O
Background   O
:   O
Computer   O
Systems   O
Analysts   O
ID   O
:   O
DP909/5773   B-ID
Organization   O
:   O

Empire   B-LOCATION
District   I-LOCATION
Electric   I-LOCATION
Company   I-LOCATION
Username   O
:   O
TO366   B-NAME
*   O
*   O
Presenting   O
Complaint   O
:*   O
*   O
Jaslyn   B-NAME
Graves   I-NAME
was   O
admitted   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Huguley   I-LOCATION
Hospital   I-LOCATION
on   O
September   B-DATE
,   I-DATE
2194   I-DATE
with   O
a   O
presenting   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

*   O
*   O
Medical   O
History   O
:*   O
*   O
Janae   B-NAME
Nunez   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
beta   O
-   O
blockers   O
.   O

Upon   O
examination   O
,   O
Kelton   B-NAME
Ellis   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

*   O
*   O
Management   O
Plan   O
:*   O
*   O
Frida   B-NAME
Webb   I-NAME
was   O
admitted   O
for   O
further   O
management   O
,   O
including   O
fluid   O
resuscitation   O
,   O
fasting   O
to   O
rest   O
the   O
pancreas   O
,   O
and   O
pain   O
management   O
.   O

A   O
detailed   O
discussion   O
regarding   O
the   O
likely   O
etiology   O
of   O
pancreatitis   O
,   O
emphasizing   O
the   O
importance   O
of   O
alcohol   O
cessation   O
and   O
dietary   O
modifications   O
,   O
was   O
conducted   O
by   O
Eggman   B-NAME
.   O

A   O
follow   O
-   O
up   O
abdominal   O
ultrasound   O
is   O
scheduled   O
for   O
2117   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
01   I-DATE
to   O
assess   O
for   O
gallstones   O
or   O
any   O
other   O
underlying   O
causes   O
contributing   O
to   O
the   O
acute   O
pancreatitis   O
.   O

Patient   O
Name   O
:   O
Estes   B-NAME
Patient   O
ID   O
:   O
UB444/9065   B-ID
Medical   O
Record   O
Number   O
:   O
101   B-ID
-   I-ID
39   I-ID
-   I-ID
20   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Birth   O
:   O
37   O
Date   O
of   O
Visit   O
:   O
33/23/83   B-DATE
Attending   O
Physician   O
:   O

Zavala   B-NAME
Hospital   O
Name   O
:   O
Ohio   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Onton   B-LOCATION
Contact   O
Number   O
:   O
113   B-CONTACT
3708   I-CONTACT
Employer   O
:   O
Association   B-LOCATION
of   I-LOCATION
Secondary   I-LOCATION
Teachers   I-LOCATION
Ireland   I-LOCATION
Profession   O
:   O
Coating   O
,   O
Painting   O
,   O
and   O
Spraying   O
Machine   O
Operators   O
and   O
Tenders   O
Username   O
:   O
oc740   B-NAME
Zip   O
Code   O
:   O
20668   B-LOCATION
Subjective   O
:   O
Mckee   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
Thanksgiving   B-DATE
complaining   O
of   O
a   O
persistent   O
dry   O
cough   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

Huerta   B-NAME
reports   O
experiencing   O
mild   O
dyspnea   O
on   O
exertion   O
but   O
denies   O
any   O
chest   O
pain   O
or   O
wheezing   O
.   O

Washington   B-NAME
,   I-NAME
Martha   I-NAME
also   O
mentions   O
a   O
loss   O
of   O
appetite   O
but   O
no   O
significant   O
weight   O
loss   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
Chang   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
with   O
a   O
blood   O
pressure   O
of   O
120/80   O
mmHg   O
,   O
a   O
pulse   O
rate   O
of   O
75   O
bpm   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
differential   O
diagnosis   O
for   O
Memoria   B-NAME
Merlette   I-NAME
's   O
symptoms   O
includes   O
allergic   O
rhinitis   O
,   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
,   O
and   O
early   O
stages   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
given   O
the   O
history   O
of   O
dyspnea   O
on   O
exertion   O
.   O

Proton   O
pump   O
inhibitor   O
-   O
to   O
be   O
taken   O
once   O
daily   O
before   O
breakfast   O
Follow   O
-   O
up   O
Appointment   O
:   O
Scheduled   O
for   O
02/29   B-DATE
at   O
Optim   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Jenkins   I-LOCATION
.   O
Conclusion   O
:   O
This   O
case   O
illustrates   O
the   O
importance   O
of   O
a   O
comprehensive   O
assessment   O
in   O
patients   O
presenting   O
with   O
a   O
dry   O
cough   O
and   O
mild   O
dyspnea   O
.   O

Patient   O
Name   O
:   O
Ryleigh   B-NAME
Ortiz   I-NAME
ID   O
:   O
GH:27653:956606   B-ID

Medical   O
Record   O
Number   O
:   O
982   B-ID
-   I-ID
36   I-ID
-   I-ID
76   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Birth   O
:   O
61   O
Date   O
of   O
Admission   O
:   O
January   B-DATE
2234   I-DATE
/2023   O
Primary   O
Care   O
Physician   O
:   O

Bruce   B-NAME
Gould   I-NAME
Treating   O
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Muscatine   I-LOCATION
Address   O
:   O
Sabana   B-LOCATION
Hoyos   I-LOCATION
,   O
20059   B-LOCATION
Contact   O
Number   O
:   O
100   B-CONTACT
-   I-CONTACT
5571   I-CONTACT
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Nathan   B-NAME
Altman   I-NAME
,   O
a   O
Terrazzo   O
Workers   O
and   O
Finishers   O
from   O
Waverly   B-LOCATION
Hall   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Sentara   B-LOCATION
Albemarle   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
7/29   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Rylan   B-NAME
Rangel   I-NAME
,   O
who   O
has   O
a   O
known   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
has   O
not   O
experienced   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Olson   B-NAME
,   I-NAME
Ken   I-NAME
was   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

After   O
consulting   O
with   O
Mitchell   B-NAME
Watkins   I-NAME
and   O
obtaining   O
informed   O
consent   O
,   O
Dalila   B-NAME
Ebbesen   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
the   O
morning   O
of   O
1637   B-DATE
/2023   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Quiana   B-NAME
tolerated   O
the   O
procedure   O
well   O
.   O

Post   O
-   O
operative   O
instructions   O
included   O
wound   O
care   O
,   O
pain   O
management   O
,   O
and   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
for   O
15/12   B-DATE
/2023   O
.   O
Disposition   O
:   O

Chavez   B-NAME
was   O
discharged   O
home   O
on   O
02/32/2124   B-DATE
/2023   O
in   O
stable   O
condition   O
with   O
prescriptions   O
for   O
oral   O
antibiotics   O
and   O
pain   O
management   O
.   O

Bryson   B-NAME
Sanders   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
there   O
were   O
signs   O
of   O
infection   O
,   O
worsening   O
pain   O
,   O
or   O
inability   O
to   O
tolerate   O
oral   O
intake   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Cannon   B-NAME
in   O
University   B-LOCATION
of   I-LOCATION
Connecticut   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
/   I-LOCATION
John   I-LOCATION
Dempsey   I-LOCATION
Hospital   I-LOCATION
’s   O
surgical   O
clinic   O
on   O
22/18   B-DATE
/2023   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
progress   O
.   O

Summer   B-NAME
Shaffer   I-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
with   O
appropriate   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
.   O

Patient   O
Report   O
for   O
Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
49   O
-   O
Gender   O
:   O
Male   O
-   O
Date   O
of   O
Birth   O
:   O
22/21   B-DATE
-   O
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
8088649   I-ID
-   O
Phone   O
Number   O
:   O
17952   B-CONTACT
-   O
Address   O
:   O
Chanute   B-LOCATION
,   O
99214   B-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
2025521   B-ID
-   O
Primary   O
Care   O
Physician   O
:   O

Serrano   B-NAME
-   O
Hospital   O
:   O
Hills   B-LOCATION
and   I-LOCATION
Dales   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
:   O

Patient   O
Zaiden   B-NAME
Blevins   I-NAME
,   O
a   O
Food   O
Service   O
Managers   O
from   O
West   B-LOCATION
Bend   I-LOCATION
,   O
has   O
a   O
history   O
of   O
controlled   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Current   O
Complaint   O
:   O
Galvan   B-NAME
,   I-NAME
Floyd   I-NAME
presented   O
to   O
Rush   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
La   I-LOCATION
Crosse   I-LOCATION
on   O
spring   B-DATE
,   I-DATE
2071   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
that   O
began   O
suddenly   O
1911   B-DATE
.   O

BW   B-NAME
reports   O
that   O
the   O
headache   O
intensity   O
was   O
significantly   O
higher   O
than   O
any   O
headache   O
experienced   O
before   O
,   O
marking   O
it   O
as   O
"   O
the   O
worst   O
headache   O
"   O
of   O
his   O
life   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Celeste   B-NAME
Beer   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Investigations   O
:   O
Considering   O
the   O
clinical   O
presentation   O
,   O
a   O
non   O
-   O
contrast   O
head   O
CT   O
scan   O
was   O
immediately   O
ordered   O
by   O
Lambert   B-NAME
to   O
rule   O
out   O
acute   O
hemorrhagic   O
events   O
,   O
which   O
returned   O
normal   O
.   O

Tessa   B-NAME
Ewing   I-NAME
was   O
administered   O
IV   O
fluids   O
,   O
acetaminophen   O
for   O
the   O
headache   O
,   O
and   O
metoclopramide   O
for   O
nausea   O
in   O
the   O
emergency   O
department   O
at   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Aurora   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
importance   O
of   O
completing   O
the   O
lumbar   O
puncture   O
was   O
discussed   O
with   O
Ravi   B-NAME
Raja   I-NAME
to   O
rule   O
out   O
any   O
life   O
-   O
threatening   O
causes   O
of   O
his   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
with   O
neurology   O
is   O
scheduled   O
for   O
11/23/2041   B-DATE
to   O
further   O
assess   O
and   O
manage   O
his   O
condition   O
.   O

Instructions   O
for   O
Patient   O
:   O
Cal   B-NAME
Lightman   I-NAME
was   O
instructed   O
to   O
avoid   O
any   O
strenuous   O
activities   O
and   O
to   O
monitor   O
his   O
symptoms   O
closely   O
.   O

He   O
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
at   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
immediately   O
if   O
he   O
experiences   O
any   O
worsening   O
of   O
symptoms   O
,   O
such   O
as   O
increased   O
headache   O
severity   O
,   O
vision   O
changes   O
,   O
confusion   O
,   O
or   O
any   O
new   O
neurological   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
phone   O
call   O
to   O
814   B-CONTACT
-   I-CONTACT
3187   I-CONTACT
will   O
be   O
made   O
by   O
American   B-LOCATION
United   I-LOCATION
Bank   I-LOCATION
on   O
05/71   B-DATE
to   O
check   O
on   O
Ehlers   B-NAME
's   O
condition   O
and   O
ensure   O
that   O
he   O
has   O
undergone   O
the   O
recommended   O
investigations   O
and   O
specialist   O
consultation   O
.   O

Patient   O
Name   O
:   O
Jeffrey   B-NAME
Koehler   I-NAME
Medical   O
Record   O
Number   O
:   O
8989135   B-ID
Date   O
of   O
Birth   O
:   O
00/13/13   B-DATE
Age   O
:   O
83   O
Phone   O
Number   O
:   O
662   B-CONTACT
8602   I-CONTACT
Address   O
:   O
High   B-LOCATION
Rolls   I-LOCATION
,   O
53182   B-LOCATION
Physician   O
:   O
Browning   B-NAME
,   I-NAME
Elizabeth   I-NAME
Barrett   I-NAME
Treatment   O
Hospital   O
:   O
Mount   B-LOCATION
Sinai   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
26/39   B-DATE
Identification   O
Number   O
:   O
5   B-ID
-   I-ID
2082916   I-ID
Summary   O
:   O
Valery   B-NAME
Braun   I-NAME
,   O
a   O
Pantograph   O
Engravers   O
residing   O
in   O
Denning   B-LOCATION
,   O
presented   O
to   O
Meadows   B-LOCATION
Psychiatric   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
The   I-LOCATION
on   O
2/5   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
gradually   O
worsened   O
over   O
the   O
past   O
48   O
hours   O
.   O

Royce   B-NAME
West   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
consumption   O
,   O
or   O
previous   O
similar   O
episodes   O
.   O

Upon   O
physical   O
examination   O
,   O
Peterson   B-NAME
noted   O
tenderness   O
upon   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
positive   O
Rovsing   O
's   O
sign   O
,   O
and   O
a   O
slight   O
elevation   O
in   O
heart   O
rate   O
to   O
100   O
beats   O
per   O
minute   O
.   O

Given   O
the   O
findings   O
and   O
the   O
clinical   O
presentation   O
,   O
Colt   B-NAME
Heath   I-NAME
recommends   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Amirah   B-NAME
Frederick   I-NAME
has   O
been   O
informed   O
about   O
the   O
potential   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
has   O
given   O
consent   O
.   O

Surgery   O
is   O
scheduled   O
for   O
03/35/02   B-DATE
at   O
The   B-LOCATION
Brooklyn   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
A   O
post   O
-   O
operative   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Joshua   B-NAME
George   I-NAME
at   O
Aurora   B-LOCATION
West   I-LOCATION
Allis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/08   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Thomson   B-NAME
is   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
unusual   O
symptoms   O
and   O
is   O
given   O
the   O
contact   O
number   O
,   O
722   B-CONTACT
-   I-CONTACT
2797   I-CONTACT
,   O
to   O
reach   O
out   O
in   O
case   O
of   O
emergencies   O
or   O
concerns   O
.   O

Note   O
:   O
Nicholas   B-NAME
Lange   I-NAME
has   O
a   O
history   O
of   O
mild   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
does   O
not   O
report   O
any   O
allergies   O
to   O
medications   O
.   O

Martin   B-NAME
Cabrera   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
the   O
use   O
of   O
recreational   O
drugs   O
.   O

Preventive   O
Measures   O
:   O
Romeo   B-NAME
Barnes   I-NAME
has   O
been   O
counseled   O
on   O
the   O
importance   O
of   O
seeking   O
immediate   O
medical   O
attention   O
for   O
future   O
episodes   O
of   O
severe   O
abdominal   O
pain   O
and   O
the   O
potential   O
consequences   O
of   O
delaying   O
treatment   O
for   O
appendicitis   O
.   O

All   O
personal   O
identifiers   O
such   O
as   O
the   O
name   O
,   O
contact   O
information   O
,   O
and   O
identifiers   O
(   O
Kimbra   B-NAME
Cogar   I-NAME
,   O
282   B-CONTACT
556   I-CONTACT
5487   I-CONTACT
,   O
7696523   B-ID
,   O
890271063   B-ID
)   O
have   O
been   O
redacted   O
or   O
replaced   O
with   O
generic   O
placeholders   O
to   O
protect   O
patient   O
privacy   O
.   O

Patient   O
Name   O
:   O
Lorena   B-NAME
Fletcher   I-NAME
Medical   O
Record   O
Number   O
:   O
339   B-ID
-   I-ID
91   I-ID
-   I-ID
91   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
6/32   B-DATE
/1984   O
Age   O
:   O
3   O
years   O
Address   O
:   O
Harding   B-LOCATION
County   I-LOCATION
,   I-LOCATION
New   I-LOCATION
Mexico   I-LOCATION
Harding   I-LOCATION
County   I-LOCATION
MainStreet   I-LOCATION
,   O
68472   B-LOCATION
Phone   O
Number   O
:   O
563   B-CONTACT
5795   I-CONTACT
Profession   O
:   O

Kiley   B-NAME
Maxwell   I-NAME
Referring   O
Physician   O
:   O
Avery   B-NAME
Healthcare   O
Provider   O
:   O
People   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Ethical   I-LOCATION
Treatment   I-LOCATION
of   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
PETA   I-LOCATION
)   I-LOCATION
Date   O
of   O
Visit   O
:   O
32/02/84   B-DATE
/2023   O
Hospital   O
:   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sacramento   I-LOCATION
Chief   O
Complaint   O
:   O
Khadijah   B-NAME
Chamlee   I-NAME
presents   O
with   O
persistent   O
headaches   O
predominantly   O
localized   O
to   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

These   O
episodes   O
have   O
been   O
occurring   O
more   O
frequently   O
over   O
the   O
past   O
32/12   B-DATE
months   O
,   O
averaging   O
about   O
3   O
-   O
4   O
times   O
per   O
week   O
,   O
often   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Additionally   O
,   O
delarosa   B-NAME
reports   O
experiencing   O
nausea   O
,   O
but   O
without   O
vomiting   O
,   O
during   O
the   O
peak   O
of   O
headache   O
episodes   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
symptoms   O
began   O
approximately   O
03/8   B-DATE
months   O
ago   O
and   O
has   O
progressively   O
worsened   O
.   O

Zavala   B-NAME
denies   O
any   O
known   O
triggers   O
or   O
patterns   O
related   O
to   O
diet   O
,   O
sleep   O
,   O
or   O
stress   O
levels   O
.   O

Patrick   B-NAME
I   I-NAME
Yeates   I-NAME
is   O
particularly   O
concerned   O
about   O
the   O
impact   O
these   O
headaches   O
are   O
having   O
on   O
their   O
ability   O
to   O
perform   O
Ushers   O
,   O
Lobby   O
Attendants   O
,   O
and   O
Ticket   O
Takers   O
duties   O
effectively   O
.   O

Physical   O
Exam   O
:   O
General   O
:   O
Russell   B-NAME
is   O
alert   O
and   O
oriented   O
x3   O
,   O
appearing   O
their   O
stated   O
age   O
,   O
in   O
no   O
acute   O
distress   O
.   O

Vitals   O
:   O
BP   O
GD495/9162   B-ID
,   O
HR   O
DZ698/7881   B-ID
,   O
Temp   O
RD:22947:724333   B-ID
°   O
F   O
,   O
RR   O
0   B-ID
-   I-ID
4482215   I-ID
.   O

Plan   O
to   O
refer   O
to   O
Pennington   B-NAME
for   O
neurology   O
consultation   O
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
in   O
21/27   B-DATE
weeks   O
to   O
assess   O
response   O
to   O
medication   O
and   O
review   O
MRI   O
results   O
.   O

Comments   O
:   O
It   O
is   O
imperative   O
to   O
closely   O
monitor   O
Stacie   B-NAME
Tellis   I-NAME
's   O
response   O
to   O
the   O
prescribed   O
treatment   O
plan   O
and   O
adjust   O
accordingly   O
based   O
on   O
the   O
neurology   O
consultation   O
and   O
diagnostic   O
outcomes   O
.   O

Further   O
evaluations   O
may   O
be   O
warranted   O
depending   O
on   O
the   O
findings   O
and   O
Kay   B-NAME
's   O
progress   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Sanai   B-NAME
Carpenter   I-NAME
Relation   O
:   O

Spouse   O
Phone   O
:   O
795   B-CONTACT
7652   I-CONTACT
Address   O
:   O

Date   O
of   O
Report   O
:   O
2/20   B-DATE
/2023   O
Signature   O
:   O
Ibarra   B-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Ali   B-NAME
Yu   I-NAME
Patient   O
ID   O
:   O
SY:54463:123755   B-ID
Medical   O
Record   O
Number   O
:   O
02756793   B-ID
Date   O
of   O
Birth   O
:   O
05/16/83   B-DATE
Age   O
:   O
31   O
Phone   O
Number   O
:   O
18539   B-CONTACT
Address   O
:   O
Desert   B-LOCATION
Palms   I-LOCATION
,   O
86478   B-LOCATION
Summary   O
:   O
Marlene   B-NAME
Newman   I-NAME
,   O
a   O
designer   O
from   O
Carrizo   B-LOCATION
Springs   I-LOCATION
,   O
was   O
admitted   O
to   O
Alleghany   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
10/11   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Harris   B-NAME
,   I-NAME
Sam   I-NAME
also   O
reported   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
last   O
week   O
and   O
a   O
significant   O
weight   O
loss   O
over   O
the   O
past   O
month   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Sid   B-NAME
Handleman   I-NAME
exhibited   O
mild   O
jaundice   O
and   O
a   O
distended   O
abdomen   O
with   O
tenderness   O
localized   O
to   O
the   O
right   O
upper   O
quadrant   O
.   O

Furthermore   O
,   O
Leana   B-NAME
’s   O
history   O
of   O
untreated   O
hyperlipidemia   O
may   O
have   O
contributed   O
to   O
the   O
development   O
of   O
the   O
condition   O
.   O

Management   O
and   O
Treatment   O
:   O
The   O
attending   O
physician   O
,   O
Matias   B-NAME
Goodwin   I-NAME
,   O
recommended   O
an   O
urgent   O
cholecystectomy   O
to   O
address   O
the   O
condition   O
.   O

The   O
surgical   O
team   O
at   O
Sentara   B-LOCATION
Virginia   I-LOCATION
Beach   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
performed   O
the   O
procedure   O
without   O
any   O
complications   O
on   O
2309   B-DATE
.   O

Elias   B-NAME
Q.   I-NAME
Mercado   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
postoperative   O
infections   O
and   O
advised   O
on   O
dietary   O
modifications   O
to   O
assist   O
in   O
the   O
recovery   O
process   O
.   O

Follow   O
-   O
Up   O
:   O
Gilberto   B-NAME
Torres   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Nickolas   B-NAME
Nguyen   I-NAME
in   O
9267   B-LOCATION
The   I-LOCATION
Drive   I-LOCATION
on   O
22/02/68   B-DATE
to   O
evaluate   O
postoperative   O
recovery   O
and   O
to   O
discuss   O
further   O
management   O
of   O
hyperlipidemia   O
.   O

Notes   O
:   O
-   O
It   O
is   O
imperative   O
to   O
monitor   O
Paul   B-NAME
’s   O
liver   O
function   O
tests   O
and   O
lipid   O
profile   O
regularly   O
.   O

-   O
Continuous   O
assessment   O
and   O
adjustment   O
of   O
the   O
medication   O
regimen   O
may   O
be   O
necessary   O
based   O
on   O
Mantis   B-NAME
Toboggan   I-NAME
’s   O
response   O
to   O
treatment   O
.   O

Sappho   B-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Chattanooga   I-LOCATION
Phone   O
:   O
942   B-CONTACT
-   I-CONTACT
695   I-CONTACT
-   I-CONTACT
9694   I-CONTACT
Medical   O
Record   O
Department   O
:   O
SPEAK   B-LOCATION
Medical   O
Record   O
Number   O
:   O
74911533   B-ID
Emergency   O
Contact   O
:   O
Johanna   B-NAME
Peters   I-NAME
’s   O
Next   O
of   O
Kin   O
,   O
Employment   O
advice   O
worker   O
at   O
914   B-CONTACT
-   I-CONTACT
5118   I-CONTACT

The   O
above   O
report   O
encapsulates   O
the   O
clinical   O
progression   O
and   O
management   O
plan   O
for   O
Bruna   B-NAME
Oglesby   I-NAME
.   O

Patient   O
Name   O
:   O
Lohan   B-NAME
,   I-NAME
Lindsay   I-NAME
Age   O
:   O
34   O
Medical   O
Record   O
Number   O
:   O
07492920   B-ID
Date   O
of   O
Admission   O
:   O
09/00/29   B-DATE

Attending   O
Doctor   O
:   O
Vang   B-NAME
Hospital   O
:   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Gladwin   I-LOCATION
Location   O
:   O
State   B-LOCATION
Line   I-LOCATION
Phone   O
:   O
86970   B-CONTACT
ID   O
Number   O
:   O
78330   B-ID
Organization   O
:   O
Physicians   B-LOCATION
Committee   I-LOCATION
for   I-LOCATION
Responsible   I-LOCATION
Medicine   I-LOCATION
(   I-LOCATION
PCRM   I-LOCATION
)   I-LOCATION

Meeting   O
,   O
Convention   O
,   O
and   O
Event   O
Planners   O
Username   O
:   O
DM564   B-NAME
ZIP   O
:   O
63897   B-LOCATION
Chief   O
Complaint   O
:   O
Schmitt   B-NAME
presented   O
to   O
University   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
January   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
of   O
48   O
hours   O
'   O
duration   O
,   O
centered   O
in   O
the   O
epigastric   O
region   O
and   O
radiating   O
to   O
the   O
back   O
.   O

Thorpe   B-NAME
also   O
reports   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
May   B-DATE
32th   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jaylah   B-NAME
Rogers   I-NAME
,   O
a   O
Tile   O
and   O
Marble   O
Setters   O
from   O
Rollingstone   B-LOCATION
,   O
has   O
been   O
in   O
their   O
usual   O
state   O
of   O
health   O
until   O
two   O
days   O
prior   O
,   O
when   O
they   O
began   O
experiencing   O
the   O
symptoms   O
described   O
above   O
.   O

Dominic   B-NAME
Hernandez   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similarly   O
affected   O
family   O
members   O
.   O

Richard   B-NAME
Hester   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hyperlipidemia   O
and   O
is   O
a   O
nonsmoker   O
with   O
minimal   O
alcohol   O
consumption   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Hailie   B-NAME
Dawson   I-NAME
appears   O
uncomfortable   O
and   O
in   O
mild   O
distress   O
.   O

Vital   O
Signs   O
:   O
Temperature   O
of   O
02/31/10   B-DATE
degrees   O
Fahrenheit   O
,   O
blood   O
pressure   O
14   B-DATE
-   I-DATE
32   I-DATE
/   O
2131   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
18   I-DATE
,   O
pulse   O
30/22   B-DATE
bpm   O
,   O
respiratory   O
rate   O
2243   B-DATE
-   I-DATE
36   I-DATE
-   I-DATE
09   I-DATE
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
on   O
room   O
air   O
is   O
10/28   B-DATE
%   O
.   O

Admit   O
to   O
Trinity   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
IV   O
hydration   O
,   O
pain   O
management   O
,   O
and   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
status   O
initially   O
.   O

Note   O
:   O
All   O
necessary   O
consents   O
obtained   O
from   O
Luther   B-NAME
,   I-NAME
Martin   I-NAME
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Ramos   B-NAME
at   O
(   B-CONTACT
653   I-CONTACT
)   I-CONTACT
375   I-CONTACT
2236   I-CONTACT
.   O

Patient   O
Name   O
:   O
Harper   B-NAME
Medical   O
Record   O
Number   O
:   O
484   B-ID
-   I-ID
64   I-ID
-   I-ID
62   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
23/33   B-DATE
Home   O
Address   O
:   O
Powell   B-LOCATION
,   O
28919   B-LOCATION
Phone   O
Number   O
:   O
662   B-CONTACT
-   I-CONTACT
752   I-CONTACT
-   I-CONTACT
6763   I-CONTACT
Referring   O
Physician   O
:   O

Pena   B-NAME
Attending   O
Physician   O
:   O

Harding   B-NAME
Hospital   O
Name   O
:   O
The   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tinton   I-LOCATION
Falls   I-LOCATION
Date   O
of   O
Admission   O
:   O
30/33/2372   B-DATE
Date   O
of   O
Discharge   O
:   O
22/21/32   B-DATE
Employer   O
:   O
Captive   B-LOCATION
Animals   I-LOCATION
Protection   I-LOCATION
Society   I-LOCATION
Occupation   O
:   O
Production   O
,   O
Planning   O
,   O
and   O
Expediting   O
Clerks   O
Clinical   O
Summary   O
:   O
Bayly   B-NAME
,   I-NAME
Thomas   I-NAME
Haynes   I-NAME
,   O
a   O
50   O
-   O
year   O
-   O
old   O
Computer   O
Specialists   O
,   O
All   O
Other   O
employed   O
at   O
Hagerty   B-LOCATION
Insurance   I-LOCATION
Agency   I-LOCATION
,   O
residing   O
in   O
Seco   B-LOCATION
Mines   I-LOCATION
,   O
was   O
admitted   O
to   O
Strong   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
30/29   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
recurrent   O
fever   O
peaks   O
up   O
to   O
101   O
°   O
F   O
(   O
2127   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
12   I-DATE
)   O
,   O
and   O
a   O
persistent   O
,   O
dry   O
cough   O
for   O
the   O
past   O
two   O
weeks   O
.   O

The   O
initial   O
evaluation   O
included   O
a   O
comprehensive   O
physical   O
exam   O
by   O
Buchanan   B-NAME
,   O
where   O
decreased   O
breath   O
sounds   O
were   O
noted   O
in   O
the   O
lower   O
lobes   O
bilaterally   O
,   O
without   O
wheezes   O
or   O
crackles   O
.   O

Wilkins   B-NAME
has   O
a   O
documented   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
by   O
oral   O
hypoglycemics   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
series   O
of   O
diagnostic   O
tests   O
were   O
ordered   O
and   O
overseen   O
by   O
Chandler   B-NAME
.   O

Given   O
the   O
clinical   O
picture   O
and   O
preliminary   O
test   O
results   O
,   O
Gibbs   B-NAME
recommended   O
a   O
high   O
-   O
resolution   O
CT   O
scan   O
of   O
the   O
chest   O
,   O
which   O
revealed   O
patchy   O
areas   O
of   O
ground   O
-   O
glass   O
opacification   O
indicative   O
of   O
viral   O
pneumonia   O
or   O
early   O
fibrosis   O
.   O

Progress   O
and   O
Outcome   O
:   O
Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Elisha   B-NAME
Bodelson   I-NAME
's   O
condition   O
showed   O
gradual   O
improvement   O
.   O

By   O
the   O
time   O
of   O
discharge   O
on   O
New   B-DATE
Years   I-DATE
Day   I-DATE
,   O
the   O
patient   O
exhibited   O
significant   O
recovery   O
,   O
displaying   O
no   O
respiratory   O
distress   O
at   O
rest   O
,   O
and   O
oxygen   O
saturation   O
levels   O
were   O
stable   O
on   O
ambient   O
air   O
.   O

Discharge   O
instructions   O
included   O
a   O
detailed   O
home   O
management   O
plan   O
focusing   O
on   O
rest   O
,   O
medication   O
adherence   O
,   O
and   O
scheduled   O
follow   O
-   O
up   O
appointments   O
with   O
Bryanna   B-NAME
Kane   I-NAME
at   O
Aurora   B-LOCATION
Lakeland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
was   O
also   O
given   O
the   O
contact   O
information   O
,   O
40980   B-CONTACT
,   O
for   O
home   O
health   O
resources   O
.   O

Given   O
the   O
comprehensive   O
care   O
and   O
latter   O
recovery   O
of   O
Leasah   B-NAME
Bibiloni   I-NAME
,   O
a   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
3/6/43   B-DATE
to   O
evaluate   O
post   O
-   O
discharge   O
progress   O
and   O
adjustment   O
of   O
the   O
ongoing   O
treatment   O
plan   O
.   O

The   O
case   O
of   O
Tripp   B-NAME
Spence   I-NAME
highlights   O
the   O
importance   O
of   O
a   O
multidisciplinary   O
approach   O
in   O
managing   O
complex   O
pulmonary   O
infections   O
,   O
especially   O
in   O
the   O
presence   O
of   O
pre   O
-   O
existing   O
comorbid   O
conditions   O
such   O
as   O
diabetes   O
and   O
hypertension   O
.   O

The   O
collaborative   O
efforts   O
of   O
the   O
care   O
team   O
at   O
McLarenOrthopedic   B-LOCATION
Hospital   I-LOCATION
have   O
been   O
pivotal   O
to   O
the   O
positive   O
outcome   O
in   O
this   O
case   O
.   O

Patient   O
:   O
Abby   B-NAME
Valentine   I-NAME
ID   O
:   O
48645792   B-ID
Age   O
:   O
61   O
Medical   O
Record   O
Number   O
:   O
338   B-ID
-   I-ID
79   I-ID
-   I-ID
75   I-ID
Admission   O
Date   O
:   O
30/00/32   B-DATE
/2023   O
Location   O
:   O
Overland   B-LOCATION
Park   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Wang   B-NAME
Hospital   O
:   O
Lake   B-LOCATION
Taylor   I-LOCATION
Transitional   I-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
Contact   O
Information   O
:   O
432   B-CONTACT
-   I-CONTACT
1933   I-CONTACT
Address   O
:   O
Rubidoux   B-LOCATION
,   O
55647   B-LOCATION
Subjective   O
:   O

Yaretzi   B-NAME
Cruz   I-NAME
is   O
a   O
Explosives   O
Workers   O
,   O
Ordnance   O
Handling   O
Experts   O
,   O
and   O
Blasters   O
from   O
Fort   B-LOCATION
Green   I-LOCATION
Springs   I-LOCATION
who   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Glens   B-LOCATION
Falls   I-LOCATION
Hospital   I-LOCATION
on   O
32/32   B-DATE
/2023   O
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Valdez   B-NAME
denies   O
any   O
recent   O
travel   O
history   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
prior   O
episodes   O
.   O

On   O
examination   O
,   O
Camila   B-NAME
Carney   I-NAME
's   O
temperature   O
was   O
98.6   O
F   O
,   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
,   O
pulse   O
was   O
90   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
was   O
16   O
breaths   O
per   O
minute   O
.   O

Laboratory   O
tests   O
showed   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
mm³.   O
A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
was   O
ordered   O
by   O
Edgar   B-NAME
Davidson   I-NAME
and   O
revealed   O
appendicitis   O
without   O
perforation   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Zackary   B-NAME
Perie   I-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
May   B-DATE
2350   I-DATE
/2023   O
.   O

Guerrero   B-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
,   O
surgical   O
procedure   O
,   O
and   O
potential   O
risks   O
involved   O
.   O

Informed   O
consent   O
was   O
obtained   O
by   O
Cal   B-NAME
Lightman   I-NAME
for   O
the   O
surgery   O
.   O

Villalobos   B-NAME
is   O
to   O
remain   O
NPO   O
(   O
nil   O
per   O
os   O
-   O
nothing   O
by   O
mouth   O
)   O
until   O
the   O
time   O
of   O
the   O
operation   O
.   O

Follow   O
-   O
Up   O
:   O
outlaw   B-NAME
will   O
be   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
,   O
adequate   O
pain   O
control   O
,   O
and   O
normal   O
bowel   O
function   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Albert   B-NAME
Michaels   I-NAME
at   O
the   O
surgical   O
clinic   O
of   O
Watertown   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
2   O
weeks   O
post   O
-   O
discharge   O
for   O
wound   O
check   O
and   O
assessment   O
of   O
recovery   O
progress   O
.   O

Any   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
,   O
should   O
be   O
reported   O
to   O
Southeastern   B-LOCATION
Ohio   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
or   O
Aguilar   B-NAME
's   O
office   O
at   O
51768   B-CONTACT
.   O

The   O
patient   O
and   O
their   O
contact   O
,   O
jts515   B-NAME
,   O
expressed   O
understanding   O
of   O
the   O
treatment   O
plan   O
and   O
were   O
provided   O
with   O
written   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
along   O
with   O
emergency   O
contact   O
numbers   O
for   O
Manatee   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
:   O
Gregory   B-NAME
Medical   O
Record   O
Number   O
:   O
327   B-ID
-   I-ID
33   I-ID
-   I-ID
06   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
2/07   B-DATE
Age   O
:   O
17   O
Address   O
:   O
Crainville   B-LOCATION
,   O
57644   B-LOCATION
Phone   O
:   O
319   B-CONTACT
4481   I-CONTACT
Employer   O
:   O
Witness   B-LOCATION
(   I-LOCATION
human   I-LOCATION
rights   I-LOCATION
group   I-LOCATION
)   I-LOCATION

Profession   O
:   O
Health   O
Educators   O
Attending   O
Physician   O
:   O
Barrera   B-NAME
Hospital   O
:   O
Bassett   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/25/32   B-DATE
Date   O
of   O
Discharge   O
:   O
21/02/31   B-DATE
Insurance   O
ID   O
:   O
SW:78712:877443   B-ID
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Proudhon   B-NAME
,   I-NAME
P.   I-NAME
J.   I-NAME
,   O
a   O
Animal   O
Control   O
Workers   O
from   O
Lake   B-LOCATION
Wales   I-LOCATION
,   I-LOCATION
FL   I-LOCATION
33853   I-LOCATION
,   O
with   O
no   O
previous   O
history   O
of   O
any   O
major   O
medical   O
conditions   O
,   O
presented   O
to   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
Saint   I-LOCATION
Peters   I-LOCATION
Hospital   I-LOCATION
on   O
October   B-DATE
23   I-DATE
,   I-DATE
2072   I-DATE
with   O
complaints   O
of   O
acute   O
,   O
persistent   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Benton   B-NAME
Byrdsong   I-NAME
's   O
vital   O
signs   O
upon   O
admission   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
37.2   O

Destiny   B-NAME
Wooley   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
has   O
been   O
on   O
medication   O
for   O
the   O
past   O
two   O
years   O
.   O

Urijah   B-NAME
Beck   I-NAME
also   O
reported   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Mueller   B-NAME
is   O
a   O
nonsmoker   O
and   O
reports   O
moderate   O
alcohol   O
consumption   O
.   O

Upon   O
confirmation   O
of   O
the   O
diagnosis   O
of   O
an   O
acute   O
myocardial   O
infarction   O
,   O
Sara   B-NAME
McIntyre   I-NAME
was   O
immediately   O
started   O
on   O
intravenous   O
thrombolytics   O
.   O

Additionally   O
,   O
Fabian   B-NAME
Jimenez   I-NAME
received   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
as   O
part   O
of   O
the   O
acute   O
coronary   O
syndrome   O
management   O
protocol   O
.   O

Junior   B-NAME
Mcconnell   I-NAME
was   O
closely   O
monitored   O
in   O
the   O
cardiac   O
care   O
unit   O
under   O
the   O
care   O
of   O
Liam   B-NAME
Mata   I-NAME
.   O

Braccio   B-NAME
Legall   I-NAME
was   O
counseled   O
on   O
lifestyle   O
modifications   O
and   O
the   O
importance   O
of   O
adherence   O
to   O
medication   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Bird   B-NAME
was   O
scheduled   O
for   O
00/51   B-DATE
.   O

Ally   B-NAME
Braun   I-NAME
was   O
discharged   O
on   O
22/10   B-DATE
with   O
prescriptions   O
for   O
antiplatelet   O
therapy   O
,   O
statins   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
ACE   O
inhibitors   O
.   O

Tameron   B-NAME
is   O
advised   O
to   O
follow   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
engage   O
in   O
regular   O
moderate   O
exercise   O
,   O
avoid   O
smoking   O
and   O
limit   O
alcohol   O
intake   O
.   O

A   O
follow   O
-   O
up   O
visit   O
with   O
Tolkien   B-NAME
,   I-NAME
J.   I-NAME
R.   I-NAME
R.   I-NAME
at   O
Eden   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
is   O
scheduled   O
for   O
Thursday   B-DATE
to   O
assess   O
medication   O
adherence   O
,   O
symptom   O
resolution   O
,   O
and   O
to   O
undergo   O
further   O
cardiac   O
evaluations   O
as   O
necessary   O
.   O

Conclusion   O
:   O
Laplace   B-NAME
,   I-NAME
Pierre   I-NAME
-   I-NAME
Simon   I-NAME
,   O
a   O
43   O
-   O
year   O
-   O
old   O
Manufacturing   O
toolmaker   O
from   O
Deep   B-LOCATION
Water   I-LOCATION
,   O
was   O
successfully   O
treated   O
for   O
an   O
acute   O
myocardial   O
infarction   O
at   O
Duke   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Rosa   B-NAME
Horn   I-NAME
.   O

Phone   O
Contact   O
for   O
Emergencies   O
:   O
95524   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Ella   B-NAME
Salazar   I-NAME
Insurance   O
Provider   O
:   O
Fourth   B-LOCATION
Estate   I-LOCATION
(   I-LOCATION
association   I-LOCATION
)   I-LOCATION
Insurance   O
ID   O
:   O
ZD240/8717   B-ID

The   O
patient   O
,   O
Trevor   B-NAME
H.   I-NAME
Vaughan   I-NAME
,   O
a   O
83   O
-   O
year   O
-   O
old   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
residing   O
at   O
Sloatsburg   B-LOCATION
,   O
66063   B-LOCATION
,   O
presented   O
on   O
00/00   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
intermittent   O
abdominal   O
pain   O
concentrated   O
on   O
the   O
lower   O
right   O
quadrant   O
,   O
alongside   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

Reece   B-NAME
Stuart   I-NAME
's   O
clinical   O
history   O
,   O
documented   O
under   O
869   B-ID
-   I-ID
46   I-ID
-   I-ID
81   I-ID
-   I-ID
2   I-ID
and   O
treated   O
by   O
Zachary   B-NAME
Smith   I-NAME
at   O
Cox   B-LOCATION
South   I-LOCATION
,   O
shows   O
no   O
previous   O
episodes   O
or   O
relevant   O
medical   O
conditions   O
that   O
could   O
be   O
directly   O
associated   O
with   O
the   O
current   O
symptoms   O
.   O

The   O
patient   O
's   O
contact   O
information   O
,   O
including   O
22854   B-CONTACT
,   O
was   O
updated   O
for   O
hospital   O
records   O
.   O

Imaging   O
was   O
deemed   O
necessary   O
for   O
further   O
evaluation   O
and   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
was   O
performed   O
on   O
30/03/32   B-DATE
,   O
revealing   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fat   O
stranding   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Jaylan   B-NAME
Bray   I-NAME
was   O
advised   O
regarding   O
the   O
findings   O
and   O
the   O
recommendation   O
for   O
surgical   O
intervention   O
was   O
discussed   O
.   O

Consent   O
for   O
an   O
appendectomy   O
was   O
obtained   O
and   O
Faustina   B-NAME
Douglas   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
22/39/88   B-DATE
at   O
Bell   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
by   O
Sherika   B-NAME
Myles   I-NAME
,   O
and   O
the   O
patient   O
was   O
monitored   O
postoperatively   O
in   O
the   O
surgical   O
unit   O
located   O
on   O
the   O
specified   O
floor   O
associated   O
with   O
Parks   B-NAME
's   O
medical   O
affiliation   O
.   O

Postoperative   O
instructions   O
were   O
provided   O
,   O
emphasizing   O
wound   O
care   O
and   O
signs   O
of   O
potential   O
complications   O
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
M   B-DATE
.   O
QUINTON   B-NAME
OSWALD   I-NAME
was   O
discharged   O
on   O
1/21   B-DATE
with   O
a   O
prescription   O
for   O
antibiotics   O
and   O
analgesics   O
,   O
detailed   O
under   O
prescription   O
WP:28118:749289   B-ID
.   O

Instructions   O
for   O
contacting   O
Indiana   B-LOCATION
University   I-LOCATION
Health   I-LOCATION
Bloomington   I-LOCATION
Hospital   I-LOCATION
in   O
case   O
of   O
emergencies   O
,   O
including   O
the   O
hospital   O
's   O
531   B-CONTACT
-   I-CONTACT
891   I-CONTACT
8268   I-CONTACT
,   O
were   O
provided   O
.   O

Furthermore   O
,   O
Patton   B-NAME
's   O
recovery   O
process   O
will   O
be   O
monitored   O
through   O
subsequent   O
appointments   O
with   O
Palmer   B-NAME
and   O
recorded   O
under   O
263   B-ID
-   I-ID
16   I-ID
-   I-ID
61   I-ID
-   I-ID
2   I-ID
.   O

In   O
summary   O
,   O
Deven   B-NAME
Becker   I-NAME
,   O
a   O
8   O
-   O
year   O
-   O
old   O
Press   O
sub   O
-   O
editor   O
from   O
Napoopoo   B-LOCATION
,   O
90274   B-LOCATION
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Diagnostic   O
tests   O
confirmed   O
the   O
diagnosis   O
,   O
and   O
successful   O
surgical   O
intervention   O
was   O
performed   O
at   O
LifeBrite   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Stokes   I-LOCATION
by   O
Christensen   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
403   B-ID
-   I-ID
22   I-ID
-   I-ID
68   I-ID
-   I-ID
1   I-ID
Name   O
:   O
Orlando   B-NAME
Hamilton   I-NAME
Date   O
of   O
Birth   O
:   O
80   O
Address   O
:   O
15   B-LOCATION
North   I-LOCATION
Canal   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
22616   B-LOCATION
Phone   O
:   O
246   B-CONTACT
-   I-CONTACT
6784   I-CONTACT
Employer   O
:   O
The   B-LOCATION
Regence   I-LOCATION
Group   I-LOCATION
Occupation   O
:   O
Taxi   O
Drivers   O
and   O
Chauffeurs   O
Primary   O
Physician   O
:   O

Carlyn   B-NAME
Westrick   I-NAME
Hospital   O
:   O
Heritage   B-LOCATION
Valley   I-LOCATION
Beaver   I-LOCATION
Date   O
of   O
Visit   O
:   O
1892   B-DATE
/2023   O
Summary   O
:   O
Patricia   B-NAME
Lund   I-NAME
,   O
a   O
87   O
-   O
year   O
-   O
old   O
Environmental   O
Science   O
and   O
Protection   O
Technicians   O
,   O
Including   O
Health   O
from   O
Port   B-LOCATION
Allen   I-LOCATION
,   O
presented   O
to   O
Bingham   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2372   B-DATE
/2023   O
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
had   O
been   O
escalating   O
over   O
the   O
past   O
48   O
hours   O
.   O

Napoleon   B-NAME
Blass   I-NAME
reported   O
associated   O
symptoms   O
such   O
as   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Ellen   B-NAME
Webb   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
upon   O
admission   O
,   O
with   O
a   O
slight   O
elevation   O
in   O
temperature   O
.   O

Diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
were   O
ordered   O
by   O
Nicholson   B-NAME
.   O

Vladimir   B-NAME
Aguilar   I-NAME
demonstrated   O
leukocytosis   O
,   O
which   O
raised   O
concerns   O
for   O
appendicitis   O
.   O

Jones   B-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Bradyn   B-NAME
Pruitt   I-NAME
,   O
and   O
an   O
appendectomy   O
was   O
performed   O
without   O
complications   O
on   O
07/23/42   B-DATE
/2023   O
.   O

Rogar   B-NAME
Hannegan   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Lam   B-NAME
demonstrated   O
good   O
understanding   O
of   O
discharge   O
instructions   O
,   O
as   O
assessed   O
by   O
the   O
nursing   O
staff   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Imani   B-NAME
Gentry   I-NAME
for   O
32/21/13   B-DATE
/2023   O
at   O
Nemours   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
to   O
monitor   O
recovery   O
and   O
discuss   O
any   O
further   O
treatment   O
needs   O
.   O

2   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Cheyanne   B-NAME
Mata   I-NAME
on   O
the   O
given   O
appointment   O
date   O
.   O

This   O
report   O
was   O
generated   O
by   O
LF15   B-NAME
,   O
and   O
securely   O
stored   O
in   O
our   O
system   O
under   O
VN:33079:497764   B-ID
for   O
future   O
reference   O
.   O

Should   O
there   O
be   O
any   O
questions   O
or   O
need   O
for   O
further   O
information   O
,   O
please   O
contact   O
Bon   B-LOCATION
Secours   I-LOCATION
Richmond   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
332   B-CONTACT
1030   I-CONTACT
.   O

Eric   B-NAME
A.   I-NAME
Morgan   I-NAME
Medical   O
Record   O
Number   O
:   O
38723129   B-ID
Age   O
:   O
90s   O
Date   O
of   O
Admission   O
:   O
March   B-DATE
/2023   O
Admitting   O
Doctor   O
:   O
Bill   B-NAME
Capa   I-NAME
Hospital   O
:   O
Atlanticare   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
City   I-LOCATION
Campus   I-LOCATION
Location   O
:   O
White   B-LOCATION
Mountain   I-LOCATION
Phone   O
Number   O
:   O
88122   B-CONTACT
Zip   O
Code   O
:   O
70328   B-LOCATION
ID   O
Number   O
:   O
CM:38937:447587   B-ID
Profession   O
:   O

Extruding   O
,   O
Forming   O
,   O
Pressing   O
,   O
and   O
Compacting   O
Machine   O
Operators   O
and   O
Tenders   O
Referred   O
By   O
:   O
Trade   B-LOCATION
Union   I-LOCATION
Coordination   I-LOCATION
Committee   I-LOCATION
Username   O
:   O
tas511   B-NAME
Chief   O
Complaint   O
:   O

Palmer   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Syringa   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
0/05/26   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
centered   O
in   O
the   O
epigastric   O
region   O
.   O

Burt   B-NAME
Eanes   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
several   O
episodes   O
of   O
vomiting   O
,   O
which   O
did   O
not   O
provide   O
relief   O
from   O
the   O
pain   O
.   O

Medical   O
History   O
:   O
Deven   B-NAME
Gibbs   I-NAME
,   O
a   O
Police   O
,   O
Fire   O
,   O
and   O
Ambulance   O
Dispatchers   O
by   O
profession   O
,   O
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
essential   O
hypertension   O
,   O
under   O
control   O
with   O
ACE   O
inhibitors   O
.   O

Xayachack   B-NAME
,   I-NAME
Ida   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
or   O
food   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Roxana   B-NAME
Rowland   I-NAME
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Plan   O
:   O
Faith   B-NAME
Gallegos   I-NAME
was   O
admitted   O
to   O
Healtheast   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Cade   B-NAME
Orozco   I-NAME
for   O
acute   O
pancreatitis   O
.   O

Aldo   B-NAME
Pittman   I-NAME
was   O
closely   O
monitored   O
for   O
any   O
signs   O
of   O
complications   O
or   O
deterioration   O
of   O
the   O
condition   O
.   O

A   O
follow   O
-   O
up   O
with   O
a   O
gastroenterologist   O
and   O
an   O
endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
was   O
scheduled   O
for   O
2/5/68   B-DATE
to   O
investigate   O
potential   O
causes   O
of   O
the   O
pancreatitis   O
and   O
assess   O
the   O
need   O
for   O
further   O
interventions   O
.   O

Patient   O
Name   O
:   O
Aliyah   B-NAME
Delgado   I-NAME
Age   O
:   O
87   O
Date   O
of   O
Birth   O
:   O
8/34   B-DATE
ID   O
Number   O
:   O
TT   B-ID
:   I-ID
LY:5329   I-ID
Medical   O
Record   O
Number   O
:   O
99116278   B-ID
Address   O
:   O
McConnelsville   B-LOCATION
,   O
63989   B-LOCATION
Phone   O
Number   O
:   O
926   B-CONTACT
187   I-CONTACT
-   I-CONTACT
7605   I-CONTACT
Employer   O
:   O

Direct   B-LOCATION
Energy   I-LOCATION
Occupation   O
:   O

Miguel   B-NAME
Cervantes   I-NAME
Hospital   O
Name   O
:   O
Florida   B-LOCATION
Hospital   I-LOCATION
Zephyrhills   I-LOCATION
Date   O
of   O
Visit   O
:   O
2265   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
23   I-DATE
Username   O
ID   O
:   O
vfv480   B-NAME
Clinical   O
Narrative   O
:   O

Natalya   B-NAME
Orozco   I-NAME
presented   O
on   O
21/37   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
primarily   O
localized   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

The   O
pain   O
was   O
described   O
as   O
throbbing   O
,   O
reaching   O
an   O
intensity   O
of   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
,   O
and   O
was   O
reported   O
to   O
have   O
started   O
approximately   O
02/22/2050   B-DATE
.   O

Fixari   B-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
photophobia   O
and   O
phonophobia   O
,   O
significantly   O
impairing   O
daily   O
activities   O
.   O

Additionally   O
,   O
Idalee   B-NAME
mentioned   O
a   O
history   O
of   O
nausea   O
and   O
occasional   O
vomiting   O
,   O
which   O
seems   O
to   O
be   O
exacerbated   O
by   O
the   O
headaches   O
.   O

Past   O
medical   O
history   O
reveals   O
chronic   O
sinusitis   O
,   O
for   O
which   O
Arjun   B-NAME
Mcdaniel   I-NAME
had   O
undergone   O
a   O
sinus   O
surgery   O
at   O
Plantation   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
in   O
5/82   B-DATE
.   O

Upon   O
physical   O
examination   O
,   O
Xavier   B-NAME
Embry   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
recurrent   O
nature   O
and   O
severity   O
of   O
the   O
headaches   O
,   O
coupled   O
with   O
the   O
associated   O
symptoms   O
,   O
a   O
provisional   O
diagnosis   O
of   O
Migraine   O
without   O
aura   O
was   O
made   O
by   O
Navarro   B-NAME
.   O

A   O
referral   O
to   O
a   O
neurology   O
specialist   O
associated   O
with   O
Mizell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
was   O
recommended   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
Nov   B-DATE
6   I-DATE
,   I-DATE
2321   I-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Edward   B-NAME
M.   I-NAME
Yao   I-NAME
was   O
encouraged   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
better   O
understand   O
the   O
triggers   O
and   O
frequency   O
of   O
the   O
episodes   O
.   O

Instructions   O
were   O
given   O
to   O
Kyleigh   B-NAME
Alvarez   I-NAME
to   O
return   O
to   O
UPMC   B-LOCATION
Jameson   I-LOCATION
or   O
contact   O
364   B-CONTACT
2144   I-CONTACT
in   O
case   O
of   O
any   O
side   O
effects   O
from   O
the   O
medication   O
,   O
an   O
increase   O
in   O
frequency   O
or   O
severity   O
of   O
headaches   O
,   O
or   O
if   O
any   O
new   O
symptoms   O
arise   O
.   O

Summary   O
:   O
Charity   B-NAME
Wood   I-NAME
,   O
a   O
22   O
-   O
year   O
-   O
old   O
Psychotherapist   O
from   O
Milesburg   B-LOCATION
,   O
presents   O
with   O
severe   O
headaches   O
characterized   O
by   O
photophobia   O
and   O
phonophobia   O
,   O
suggestive   O
of   O
Migraine   O
without   O
aura   O
.   O

Patient   O
Name   O
:   O
Leslie   B-NAME
Abbott   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
6618431   I-ID
Date   O
of   O
Birth   O
:   O
32/14/20   B-DATE
Age   O
:   O
23   O
Medical   O
Record   O
Number   O
:   O
08880202   B-ID
Address   O
:   O
Wikieup   B-LOCATION
,   O
13649   B-LOCATION
Phone   O
Number   O
:   O
226   B-CONTACT
573   I-CONTACT
1651   I-CONTACT
Attending   O
Physician   O
:   O

German   B-NAME
George   I-NAME
Hospital   O
:   O
Lourdes   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
0/08/69   B-DATE
Username   O
:   O
TC578   B-NAME
History   O
of   O
Present   O
Illness   O
:   O
Lynch   B-NAME
,   I-NAME
Peter   I-NAME
,   O
a   O
Physician   O
Assistants   O
by   O
profession   O
,   O
presented   O
to   O
Randolph   B-LOCATION
Health   I-LOCATION
on   O
00/02   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Hudsen   B-NAME
Parsons   I-NAME
also   O
reports   O
a   O
significant   O
decrease   O
in   O
appetite   O
along   O
with   O
unintended   O
weight   O
loss   O
over   O
the   O
same   O
period   O
.   O

Physical   O
Examination   O
:   O
On   O
examination   O
,   O
LISA   B-NAME
NOYES   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
discomfort   O
.   O

Sherman   B-NAME
has   O
recommended   O
hospitalization   O
for   O
intravenous   O
antibiotic   O
therapy   O
and   O
supportive   O
care   O
.   O

Leno   B-NAME
,   I-NAME
Jay   I-NAME
was   O
admitted   O
to   O
Advocate   B-LOCATION
Trinity   I-LOCATION
Hospital   I-LOCATION
on   O
5/22   B-DATE
for   O
further   O
management   O
.   O

A   O
smoking   O
cessation   O
program   O
was   O
recommended   O
given   O
Aldo   B-NAME
Pittman   I-NAME
's   O
smoking   O
history   O
.   O

Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
May   B-DATE
2242   I-DATE
to   O
assess   O
recovery   O
progress   O
and   O
to   O
discuss   O
the   O
smoking   O
cessation   O
program   O
further   O
.   O

Liana   B-NAME
Cowan   I-NAME
is   O
a   O
37   O
-   O
year   O
-   O
old   O
Property   O
,   O
Real   O
Estate   O
,   O
and   O
Community   O
Association   O
Managers   O
who   O
reports   O
a   O
20   O
-   O
year   O
history   O
of   O
smoking   O
.   O

Kraus   B-NAME
,   I-NAME
Karl   I-NAME
lives   O
alone   O
and   O
is   O
active   O
in   O
the   O
local   O
community   O
center   O
in   O
Ponemah   B-LOCATION
.   O

For   O
more   O
information   O
or   O
any   O
inquiries   O
,   O
please   O
contact   O
Mizell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
646   B-CONTACT
-   I-CONTACT
174   I-CONTACT
-   I-CONTACT
7643   I-CONTACT
.   O

Patient   O
Name   O
:   O
Thomson   B-NAME
Date   O
of   O
Birth   O
:   O
2175   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
21   I-DATE
Age   O
:   O
76   O
Medical   O
Record   O
Number   O
:   O
0575789   B-ID
Address   O
:   O
East   B-LOCATION
Ham   I-LOCATION
,   O
96387   B-LOCATION
Phone   O
Number   O
:   O
315   B-CONTACT
853   I-CONTACT
-   I-CONTACT
4775   I-CONTACT
Physician   O
:   O

Judith   B-NAME
Gruszynski   I-NAME
Hospital   O
:   O

Hawthorn   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
6/6   B-DATE
Referring   O
Organization   O
:   O

Close   B-LOCATION
Highgate   I-LOCATION
Farm   I-LOCATION
Presenting   O
Complaint   O
:   O
JUSTUS   B-NAME
,   I-NAME
ELLIS   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
October   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
severe   O
and   O
persistent   O
abdominal   O
cramping   O
and   O
discomfort   O
localized   O
in   O
the   O
lower   O
abdomen   O
.   O

The   O
symptoms   O
started   O
approximately   O
02/23   B-DATE
,   O
with   O
the   O
patient   O
noting   O
that   O
the   O
intensity   O
of   O
the   O
cramps   O
has   O
progressively   O
increased   O
.   O

Associated   O
with   O
these   O
symptoms   O
,   O
Duncan   B-NAME
Conway   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
diarrhea   O
,   O
approximately   O
3   O
-   O
4   O
times   O
a   O
day   O
,   O
with   O
a   O
loose   O
and   O
watery   O
consistency   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Past   O
Medical   O
History   O
:   O
Michael   B-NAME
Goldberg   I-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
diagnosed   O
in   O
29/20/2260   B-DATE
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
gastrointestinal   O
symptoms   O
described   O
,   O
KRIEGER   B-NAME
,   I-NAME
STEVEN   I-NAME
denies   O
any   O
fever   O
,   O
recent   O
travel   O
history   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Hunter   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
abdominal   O
pain   O
.   O

The   O
working   O
diagnosis   O
for   O
Ahmad   B-NAME
Humphrey   I-NAME
includes   O
a   O
possible   O
exacerbation   O
of   O
irritable   O
bowel   O
syndrome   O
,   O
potentially   O
triggered   O
by   O
an   O
undiagnosed   O
infectious   O
process   O
or   O
dietary   O
factors   O
.   O

Given   O
the   O
severity   O
of   O
the   O
symptoms   O
and   O
the   O
impact   O
on   O
Federer   B-NAME
,   I-NAME
Roger   I-NAME
's   O
daily   O
activities   O
,   O
a   O
multi   O
-   O
disciplinary   O
approach   O
involving   O
gastroenterology   O
and   O
nutrition   O
services   O
from   O
Mease   B-LOCATION
Countryside   I-LOCATION
Hospital   I-LOCATION
is   O
recommended   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Follow   O
-   O
up   O
February   B-DATE
2092   I-DATE
is   O
scheduled   O
for   O
a   O
complete   O
review   O
of   O
diagnostic   O
study   O
results   O
and   O
to   O
assess   O
response   O
to   O
any   O
symptomatic   O
treatments   O
initiated   O
.   O

For   O
further   O
inquiries   O
,   O
please   O
contact   O
96744   B-CONTACT
or   O
visit   O
us   O
at   O
Bank   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
-   I-LOCATION
Southeast   I-LOCATION
,   O
South   B-LOCATION
Farmingdale   I-LOCATION
,   O
57713   B-LOCATION
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Jessup   B-NAME
-   O
Age   O
:   O
41   O
-   O
Date   O
of   O
Birth   O
:   O
22/01   B-DATE
-   O
Address   O
:   O
8   B-LOCATION
undefined   I-LOCATION
,   O
22593   B-LOCATION
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
716   I-CONTACT
)   I-CONTACT
946   I-CONTACT
5648   I-CONTACT
-   O
Occupation   O
:   O
Umpires   O
,   O
Referees   O
,   O
and   O
Other   O
Sports   O
Officials   O
-   O
Medical   O
Record   O
Number   O
:   O
21871433   B-ID
-   O
Patient   O
ID   O
:   O
LE:2788:392240   B-ID
-   O
Primary   O
Physician   O
:   O
Case   B-NAME
-   O
Hospital   O
Name   O
:   O
Syringa   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O

Mccullough   B-NAME
,   I-NAME
Stephen   I-NAME
N   I-NAME
,   O
a   O
Postmasters   O
and   O
Mail   O
Superintendents   O
from   O
Marinwood   B-LOCATION
,   O
reported   O
to   O
the   O
emergency   O
department   O
of   O
Jefferson   B-LOCATION
Stratford   I-LOCATION
Hospital   I-LOCATION
on   O
2/22/80   B-DATE
,   O
complaining   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Corona   B-NAME
also   O
noted   O
a   O
recent   O
onset   O
of   O
jaundice   O
,   O
with   O
skin   O
and   O
eyes   O
appearing   O
noticeably   O
yellow   O
.   O

No   O
previous   O
diagnosis   O
of   O
gallstones   O
or   O
pancreatitis   O
.   O
-   O
Last   O
complete   O
physical   O
examination   O
on   O
Friday   B-DATE
.   O

Heart   O
rate   O
was   O
98   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
was   O
38.5   O
°   O
C   O
.   O
-   O
Physical   O
appearance   O
:   O
Gordon   B-NAME
Q.   I-NAME
Iniguez   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
,   O
with   O
jaundiced   O
skin   O
and   O
sclera   O
.   O
-   O
Abdominal   O
Examination   O
:   O
The   O
abdomen   O
was   O
tender   O
in   O
the   O
epigastric   O
region   O
upon   O
palpation   O
,   O
with   O
guarding   O
noted   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
-   O
Sterling   B-NAME
Myers   I-NAME
was   O
admitted   O
to   O
Southeast   B-LOCATION
Missouri   I-LOCATION
Community   I-LOCATION
Treatment   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
evaluation   O
.   O

-   O
Harran   B-NAME
was   O
advised   O
to   O
abstain   O
from   O
eating   O
to   O
rest   O
the   O
pancreas   O
.   O
-   O
Further   O
assessments   O
and   O
treatments   O
to   O
be   O
determined   O
based   O
on   O
forthcoming   O
laboratory   O
and   O
imaging   O
results   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Edwards   B-NAME
for   O
37/24   B-DATE
to   O
review   O
the   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

For   O
any   O
immediate   O
concerns   O
,   O
Jaquan   B-NAME
Salinas   I-NAME
or   O
relatives   O
can   O
contact   O
CHI   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
The   I-LOCATION
Vintage   I-LOCATION
at   O
(   B-CONTACT
850   I-CONTACT
)   I-CONTACT
461   I-CONTACT
5619   I-CONTACT
.   O

Patient   O
Name   O
:   O
Armando   B-NAME
Riggio   I-NAME
Medical   O
Record   O
Number   O
:   O
96356090   B-ID
Date   O
of   O
Birth   O
:   O
00/32   B-DATE
Age   O
:   O
47s   O
Address   O
:   O
Robert   B-LOCATION
Lee   I-LOCATION
,   O
21537   B-LOCATION
Employer   O
:   O
Center   B-LOCATION
for   I-LOCATION
Economic   I-LOCATION
and   I-LOCATION
Social   I-LOCATION
Rights   I-LOCATION
Occupation   O
:   O

Editors   O
Contact   O
Number   O
:   O
108   B-CONTACT
-   I-CONTACT
314   I-CONTACT
-   I-CONTACT
1805   I-CONTACT
Attending   O
Physician   O
:   O
Rogers   B-NAME
Date   O
of   O
Admission   O
:   O
2282   B-DATE
Hospital   O
Name   O
:   O
Hedrick   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Arbuthnot   B-NAME
,   I-NAME
John   I-NAME
visited   O
the   O
Emergency   O
Department   O
at   O
Prisma   B-LOCATION
Health   I-LOCATION
Richland   I-LOCATION
on   O
33/22/82   B-DATE
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
with   O
associated   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
.   O

Medical   O
History   O
:   O
Peter   B-NAME
Prentice   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Emanuel   B-NAME
Cabrera   I-NAME
works   O
as   O
a   O
Talent   O
Directors   O
at   O
Avocats   B-LOCATION
Sans   I-LOCATION
Frontières   I-LOCATION
and   O
denies   O
any   O
recent   O
travel   O
history   O
outside   O
Brazos   B-LOCATION
Country   I-LOCATION
.   O

Upon   O
examination   O
,   O
Nina   B-NAME
Pomerantz   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
Blood   O
pressure   O
150/90   O
mmHg   O
,   O
heart   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
98.6   O
degrees   O
Fahrenheit   O
.   O

Abdominal   O
ultrasound   O
performed   O
on   O
Monday   B-DATE
indicated   O
no   O
gallstones   O
or   O
bile   O
duct   O
obstructions   O
.   O

Under   O
the   O
care   O
of   O
Grant   B-NAME
Townsend   I-NAME
,   O
Alanna   B-NAME
Acosta   I-NAME
was   O
admitted   O
to   O
Amity   B-LOCATION
Clinic   I-LOCATION
for   O
conservative   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Numerian   B-NAME
Herrion   I-NAME
showed   O
significant   O
improvement   O
with   O
conservative   O
treatment   O
and   O
was   O
discharged   O
on   O
38/20/2240   B-DATE
with   O
instructions   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
abstain   O
from   O
alcohol   O
,   O
and   O
monitor   O
blood   O
glucose   O
levels   O
more   O
closely   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Diaz   B-NAME
was   O
scheduled   O
for   O
35/16   B-DATE
to   O
reassess   O
pancreatic   O
function   O
and   O
overall   O
health   O
status   O
.   O

Contact   O
Information   O
:   O
66358   B-CONTACT
Social   O
Security   O
Number   O
:   O
FL:55979:331305   B-ID
Username   O
for   O
Patient   O
Portal   O
:   O
PX247   B-NAME
Note   O
:   O
All   O
personal   O
and   O
confidential   O
information   O
within   O
this   O
report   O
has   O
been   O
removed   O
and   O
annotated   O
according   O
to   O
the   O
guidelines   O
provided   O
.   O

The   O
patient   O
,   O
Garza   B-NAME
,   O
a   O
80   O
-   O
year   O
-   O
old   O
Editorial   O
assistant   O
from   O
East   B-LOCATION
Sumter   I-LOCATION
,   O
presented   O
to   O
UHS   B-LOCATION
Wilson   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
06/46   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
had   O
been   O
increasing   O
in   O
intensity   O
over   O
the   O
past   O
week   O
.   O

Abraham   B-NAME
Harrell   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

On   O
examination   O
,   O
Sean   B-NAME
Ferreira   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Laboratory   O
tests   O
,   O
ordered   O
by   O
Vang   B-NAME
,   O
showed   O
a   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
uL.   O
Abdominal   O
ultrasonography   O
was   O
performed   O
,   O
which   O
suggested   O
an   O
inflamed   O
appendix   O
with   O
no   O
signs   O
of   O
rupture   O
.   O

Jamya   B-NAME
Weaver   I-NAME
's   O
medical   O
record   O
number   O
67579066   B-ID
was   O
noted   O
,   O
and   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
,   O
conducted   O
on   O
31/01   B-DATE
,   O
was   O
successful   O
with   O
no   O
complications   O
.   O

Floyd   B-NAME
was   O
advised   O
a   O
course   O
of   O
antibiotics   O
and   O
was   O
discharged   O
on   O
2051   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
30   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
appointment   O
details   O
.   O

A   O
follow   O
-   O
up   O
call   O
was   O
scheduled   O
for   O
13   B-DATE
to   O
assess   O
Hugh   B-NAME
Macdonald   I-NAME
's   O
recovery   O
and   O
address   O
any   O
concerns   O
.   O

The   O
24777   B-CONTACT
number   O
provided   O
for   O
the   O
follow   O
-   O
up   O
was   O
88874   B-CONTACT
.   O

Throughout   O
Walton   B-NAME
's   O
stay   O
,   O
strict   O
confidentiality   O
was   O
maintained   O
regarding   O
their   O
personal   O
health   O
information   O
,   O
in   O
compliance   O
with   O
the   O
practices   O
of   O
Pacific   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

Farjeon   B-NAME
,   I-NAME
Eleanor   I-NAME
's   O
privacy   O
and   O
security   O
measures   O
included   O
protection   O
of   O
their   O
social   O
security   O
number   O
QR913/3070   B-ID
,   O
residence   O
details   O
82978   B-LOCATION
,   O
and   O
any   O
identifying   O
information   O
shared   O
during   O
the   O
treatment   O
and   O
discharge   O
process   O
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Examination   O
report   O
of   O
Groszkiewicz   B-NAME
Beyea   I-NAME
32/26/63   B-DATE
/2023   O
Jerry   B-NAME
Robinson   I-NAME
was   O
admitted   O
to   O
Parkview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/29/03   B-DATE
expressing   O
concerns   O
primarily   O
about   O
persistent   O
headaches   O
and   O
bouts   O
of   O
dizziness   O
over   O
the   O
past   O
few   O
weeks   O
.   O

The   O
38   O
-   O
year   O
-   O
old   O
Cleaning   O
,   O
Washing   O
,   O
and   O
Metal   O
Pickling   O
Equipment   O
Operators   O
and   O
Tenders   O
residing   O
in   O
Whitby   B-LOCATION
,   O
88776   B-LOCATION
,   O
reported   O
that   O
these   O
symptoms   O
were   O
not   O
alleviated   O
by   O
over   O
-   O
the   O
-   O
counter   O
medications   O
and   O
were   O
increasingly   O
interfering   O
with   O
daily   O
activities   O
.   O

Ernesto   B-NAME
Meyer   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
in   O
Saturday   B-DATE
,   I-DATE
May   I-DATE
.   O

Aracely   B-NAME
Perez   I-NAME
denied   O
any   O
allergies   O
to   O
medications   O
.   O

The   O
39666988   B-ID
does   O
not   O
indicate   O
any   O
prior   O
hospitalizations   O
for   O
similar   O
symptoms   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Daugherty   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
the   O
headache   O
.   O

Eye   O
examination   O
conducted   O
by   O
Rabelais   B-NAME
,   I-NAME
François   I-NAME
did   O
not   O
show   O
any   O
abnormalities   O
in   O
fundoscopy   O
but   O
noted   O
mild   O
papilledema   O
.   O

Considering   O
the   O
presentation   O
and   O
the   O
symptoms   O
,   O
an   O
MRI   O
of   O
the   O
brain   O
was   O
performed   O
on   O
2012   B-DATE
which   O
did   O
not   O
reveal   O
any   O
acute   O
abnormalities   O
.   O

Adjustment   O
to   O
diabetes   O
management   O
plan   O
by   O
Jacquelyn   B-NAME
Espinoza   I-NAME
to   O
better   O
control   O
blood   O
glucose   O
levels   O
.   O

Lore   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
and   O
monitor   O
blood   O
glucose   O
levels   O
more   O
diligently   O
.   O

Otis   B-NAME
Xayasane   I-NAME
was   O
provided   O
with   O
contact   O
information   O
(   O
85022   B-CONTACT
)   O
for   O
Johns   B-LOCATION
Hopkins   I-LOCATION
All   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
services   O
department   O
for   O
any   O
immediate   O
concerns   O
or   O
to   O
schedule   O
follow   O
-   O
up   O
appointments   O
.   O

For   O
emergency   O
symptoms   O
,   O
Arthur   B-NAME
Oconnor   I-NAME
was   O
instructed   O
to   O
contact   O
emergency   O
services   O
or   O
visit   O
the   O
nearest   O
hospital   O
.   O

Prepared   O
by   O
:   O
Jarvis   B-NAME
07/26/2242   B-DATE
/2023   O
Confidentiality   O
Notice   O
:   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
SPEAK   B-LOCATION
policies   O
and   O
applicable   O
laws   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
140   B-CONTACT
176   I-CONTACT
4386   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

9393668   B-ID
#   O
2   B-ID
-   I-ID
9672758   I-ID

The   O
patient   O
,   O
Jair   B-NAME
Caldwell   I-NAME
,   O
a   O
Hotel   O
,   O
Motel   O
,   O
and   O
Resort   O
Desk   O
Clerks   O
from   O
North   B-LOCATION
San   I-LOCATION
Juan   I-LOCATION
,   O
was   O
admitted   O
to   O
Fairview   B-LOCATION
Ridges   I-LOCATION
Hospital   I-LOCATION
on   O
Jan   B-DATE
2000   I-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
an   O
inability   O
to   O
eat   O
or   O
drink   O
without   O
vomiting   O
.   O

The   O
Taylor   B-NAME
George   I-NAME
overseeing   O
the   O
case   O
,   O
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
abdominal   O
ultrasound   O
,   O
and   O
an   O
endoscopy   O
.   O

Vaughn   B-NAME
recommended   O
starting   O
an   O
IV   O
PPI   O
(   O
Proton   O
Pump   O
Inhibitor   O
)   O
immediately   O
to   O
manage   O
the   O
condition   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
endoscopy   O
in   O
six   O
weeks   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
5490166   B-ID
,   O
and   O
they   O
were   O
assigned   O
to   O
room   O
number   O
LJ:37026:847892   B-ID

on   O
Floor   O
5   O
of   O
Mitchell   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

During   O
their   O
stay   O
,   O
they   O
were   O
contacted   O
at   O
43449   B-CONTACT
for   O
updates   O
and   O
inquiries   O
about   O
their   O
care   O
.   O

Further   O
management   O
of   O
the   O
condition   O
includes   O
seeking   O
advice   O
from   O
a   O
nutritionist   O
affiliated   O
with   O
Marshalls   B-LOCATION
to   O
develop   O
a   O
long   O
-   O
term   O
dietary   O
plan   O
.   O

It   O
was   O
noted   O
that   O
the   O
patient   O
lives   O
in   O
79542   B-LOCATION
,   O
a   O
factor   O
considered   O
while   O
planning   O
for   O
their   O
outpatient   O
care   O
and   O
follow   O
-   O
ups   O
,   O
ensuring   O
accessibility   O
to   O
the   O
needed   O
healthcare   O
services   O
.   O

On   O
discharge   O
on   O
0/05/26   B-DATE
/2023   O
,   O
the   O
patient   O
expressed   O
understanding   O
and   O
satisfaction   O
with   O
the   O
care   O
received   O
.   O

They   O
were   O
advised   O
against   O
using   O
NSAIDs   O
without   O
consulting   O
a   O
healthcare   O
provider   O
due   O
to   O
their   O
history   O
of   O
peptic   O
ulcer   O
and   O
were   O
instructed   O
to   O
report   O
any   O
recurrence   O
of   O
symptoms   O
such   O
as   O
abdominal   O
pain   O
,   O
blood   O
in   O
stool   O
,   O
or   O
unexplained   O
weight   O
loss   O
to   O
Orange   B-LOCATION
Garden   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
or   O
their   O
primary   O
care   O
provider   O
immediately   O
.   O

For   O
any   O
further   O
consultation   O
or   O
emergency   O
,   O
the   O
patient   O
or   O
their   O
family   O
can   O
contact   O
Perry   B-LOCATION
Hospital   I-LOCATION
at   O
654   B-CONTACT
7608   I-CONTACT
.   O

The   O
patient   O
's   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Omari   B-NAME
Obrien   I-NAME
on   O
3   B-DATE
-   I-DATE
10   I-DATE
,   O
by   O
when   O
improvements   O
in   O
symptoms   O
are   O
expected   O
.   O

Patient   O
Name   O
:   O
Rachael   B-NAME
Lindsey   I-NAME
Patient   O
ID   O
:   O
UA:8251:423361   B-ID
Date   O
of   O
Birth   O
:   O
22/04   B-DATE
Age   O
:   O
96   O
Address   O
:   O

[   O
STREET   O
ADDRESS   O
]   O
,   O
Pick   B-LOCATION
City   I-LOCATION
,   O
35076   B-LOCATION
Phone   O
Number   O
:   O
199   B-CONTACT
-   I-CONTACT
147   I-CONTACT
3990   I-CONTACT
Occupation   O
:   O

Cole   B-NAME
Date   O
of   O
Visit   O
:   O
39/00/2372   B-DATE
Medical   O
Record   O
Number   O
:   O
048   B-ID
-   I-ID
93   I-ID
-   I-ID
29   I-ID
-   I-ID
3   I-ID
Hospital   O
Name   O
:   O
McLeod   B-LOCATION
Health   I-LOCATION
Cheraw   I-LOCATION
Presenting   O
Complaint   O
:   O
Crick   B-NAME
,   I-NAME
Francis   I-NAME
was   O
presented   O
to   O
the   O
outpatient   O
department   O
of   O
Fort   B-LOCATION
Duncan   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
October   B-DATE
with   O
complaints   O
of   O
intermittent   O
,   O
severe   O
headaches   O
primarily   O
localized   O
to   O
the   O
frontal   O
region   O
.   O

Rowan   B-NAME
Salas   I-NAME
describes   O
these   O
as   O
pulsating   O
in   O
nature   O
,   O
with   O
episodes   O
lasting   O
from   O
a   O
few   O
hours   O
to   O
an   O
entire   O
day   O
.   O

Medical   O
History   O
:   O
Ruby   B-NAME
Greene   I-NAME
has   O
a   O
history   O
of   O
well   O
-   O
controlled   O
hypertension   O
for   O
which   O
Camryn   B-NAME
Buck   I-NAME
has   O
been   O
on   O
medication   O
prescribed   O
by   O
Simmons   B-NAME
for   O
the   O
past   O
five   O
years   O
.   O

Shoemaker   B-NAME
also   O
mentioned   O
a   O
family   O
history   O
of   O
migraine   O
in   O
Patricia   B-NAME
N   I-NAME
Vallejo   I-NAME
's   O
mother   O
and   O
sibling   O
.   O

However   O
,   O
XUAN   B-NAME
denies   O
any   O
previous   O
episodes   O
of   O
migraine   O
-   O
like   O
headaches   O
.   O

Xie   B-NAME
denies   O
any   O
recent   O
history   O
of   O
trauma   O
or   O
injury   O
to   O
the   O
head   O
.   O

Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
Acosta   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Follow   O
-   O
up   O
instructions   O
and   O
any   O
inquiries   O
should   O
be   O
directed   O
to   O
Northeast   B-LOCATION
Kansas   I-LOCATION
Center   I-LOCATION
for   I-LOCATION
Health   I-LOCATION
and   I-LOCATION
Wellness   I-LOCATION
–   I-LOCATION
Horton   I-LOCATION
at   O
446   B-CONTACT
-   I-CONTACT
3862   I-CONTACT
.   O

Please   O
reference   O
Caylee   B-NAME
Herman   I-NAME
's   O
medical   O
record   O
number   O
4448049   B-ID
for   O
any   O
communications   O
.   O

Signed   O
,   O
Yusuf   B-NAME
Fitzgerald   I-NAME
Edward   B-LOCATION
John   I-LOCATION
Noble   I-LOCATION
Hospital   I-LOCATION
01   B-DATE

Patient   O
Report   O
for   O
Emerson   B-NAME
Robertson   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
MC484/8253   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
53820250   B-ID
-   O
Date   O
of   O
Birth   O
:   O
08/17/03   B-DATE
-   O
Age   O
:   O
7   O
week   O
-   O
Phone   O
Number   O
:   O
492   B-CONTACT
5270   I-CONTACT
-   O
Address   O
:   O
Houston   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77055   I-LOCATION
,   O
25478   B-LOCATION
-   O
Attending   O
Physician   O
:   O

Tiffany   B-NAME
Keller   I-NAME
-   O
Hospital   O
:   O

Forbes   B-LOCATION
Hospital   I-LOCATION
-   O
Date   O
of   O
Admission   O
:   O
00/30   B-DATE
-   O
Date   O
of   O
Discharge   O
:   O
4/29   B-DATE
Medical   O
History   O
:   O
delarosa   B-NAME
presented   O
to   O
Western   B-LOCATION
Reserve   I-LOCATION
Hospital   I-LOCATION
on   O
37/33   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
persistent   O
,   O
worsening   O
over   O
the   O
course   O
of   O
02/22   B-DATE
.   O

Camilla   B-NAME
Chang   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
.   O

Gilbert   B-NAME
Santana   I-NAME
's   O
past   O
medical   O
history   O
included   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
medication   O
.   O

Lien   B-NAME
Dotstry   I-NAME
works   O
as   O
a   O
therapist   O
in   O
Worlds   B-LOCATION
'   I-LOCATION
Cooperative   I-LOCATION
.   O

Upon   O
examination   O
,   O
Finnegan   B-NAME
Garrison   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
150/90   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
and   O
temperature   O
37.8   O
°   O
C   O
.   O

Imaging   O
studies   O
conducted   O
on   O
May   B-DATE
23   I-DATE
included   O
an   O
abdominal   O
ultrasound   O
and   O
CT   O
scan   O
,   O
which   O
showed   O
inflammation   O
of   O
the   O
pancreas   O
without   O
evidence   O
of   O
gallstones   O
or   O
obstruction   O
.   O
Management   O
and   O
Outcome   O
:   O
The   O
treating   O
team   O
,   O
led   O
by   O
Donaldson   B-NAME
,   O
initiated   O
treatment   O
with   O
intravenous   O
fluids   O
,   O
pain   O
management   O
,   O
and   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
to   O
rest   O
the   O
pancreas   O
.   O

Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Samir   B-NAME
Kane   I-NAME
's   O
condition   O
stabilized   O
,   O
and   O
symptoms   O
gradually   O
improved   O
.   O

Discussions   O
on   O
lifestyle   O
modification   O
and   O
diabetes   O
management   O
were   O
also   O
conducted   O
with   O
Patrick   B-NAME
.   O

Landon   B-NAME
Neville   I-NAME
was   O
discharged   O
on   O
27/2028   B-DATE
with   O
instructions   O
on   O
dietary   O
recommendations   O
,   O
medication   O
adjustments   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Ogilvy   B-NAME
,   I-NAME
David   I-NAME
for   O
22/35/2287   B-DATE
.   O

Vance   B-NAME
was   O
advised   O
to   O
avoid   O
alcohol   O
and   O
smoking   O
and   O
to   O
monitor   O
blood   O
sugar   O
levels   O
more   O
closely   O
.   O

Contact   O
information   O
given   O
for   O
follow   O
-   O
up   O
was   O
707   B-CONTACT
-   I-CONTACT
3240   I-CONTACT
.   O

Consent   O
and   O
Privacy   O
:   O
Written   O
informed   O
consent   O
for   O
treatment   O
and   O
procedures   O
was   O
obtained   O
from   O
Desmond   B-NAME
Church   I-NAME
on   O
18/00   B-DATE
.   O

Uriah   B-NAME
Schwartz   I-NAME
was   O
also   O
counseled   O
on   O
the   O
confidentiality   O
of   O
medical   O
records   O
,   O
as   O
per   O
the   O
guidelines   O
of   O
Farmers   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
's   O
privacy   O
policy   O
.   O

The   O
sharing   O
of   O
health   O
information   O
is   O
strictly   O
regulated   O
,   O
ensuring   O
J.   B-NAME
Needham   I-NAME
's   O
privacy   O
.   O

Note   O
:   O
This   O
document   O
contains   O
Protected   O
Health   O
Information   O
(   O
PHI   O
)   O
and   O
is   O
intended   O
for   O
the   O
sole   O
use   O
of   O
the   O
medical   O
staff   O
involved   O
in   O
the   O
care   O
of   O
Mina   B-NAME
Romero   I-NAME
.   O

Document   O
Prepared   O
by   O
:   O
dtf719   B-NAME
Review   O
Date   O
:   O
2220   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
20   I-DATE

Patient   O
Name   O
:   O
Shepard   B-NAME
ID   O
:   O
40600   B-ID
Date   O
of   O
Birth   O
:   O
5   B-DATE
-   I-DATE
9   I-DATE
Medical   O
Record   O
Number   O
:   O
850   B-ID
-   I-ID
04   I-ID
-   I-ID
89   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Visit   O
:   O
22/12   B-DATE
Attending   O
Physician   O
:   O

Giada   B-NAME
Rollins   I-NAME
Location   O
:   O
Fraser   B-LOCATION
Phone   O
:   O
(   B-CONTACT
278   I-CONTACT
)   I-CONTACT
768   I-CONTACT
-   I-CONTACT
3024   I-CONTACT
Hospital   O
:   O

Saint   B-LOCATION
Barnabas   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Zip   O
:   O
72683   B-LOCATION
Chief   O
Complaint   O
:   O
Delgado   B-NAME
,   O
a   O
4   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Fishery   O
Workers   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Scotland   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
9/2   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
chest   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
and   O
tearing   O
sensation   O
radiating   O
to   O
the   O
back   O
,   O
along   O
with   O
increasing   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
few   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
pain   O
onset   O
while   O
Sasha   B-NAME
Keil   I-NAME
was   O
at   O
work   O
in   O
Hillsborough   B-LOCATION
,   I-LOCATION
Hillsborough   I-LOCATION
Pride   I-LOCATION
.   O

Martin   B-NAME
also   O
noted   O
a   O
recent   O
history   O
of   O
unexplained   O
weight   O
loss   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
month   O
.   O

Larson   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Lane   B-NAME
.   O

Social   O
History   O
:   O
Lewis   B-NAME
,   I-NAME
C.   I-NAME
S.   I-NAME
is   O
a   O
Marking   O
and   O
Identification   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
reports   O
non   O
-   O
smoker   O
status   O
,   O
and   O
occasional   O
alcohol   O
consumption   O
.   O

Jaydon   B-NAME
Barrera   I-NAME
lives   O
in   O
Fairview   B-LOCATION
Shores   I-LOCATION
and   O
denies   O
any   O
recent   O
travel   O
or   O
exposure   O
to   O
sick   O
contacts   O
.   O

Kasey   B-NAME
Knapp   I-NAME
was   O
immediately   O
sent   O
for   O
a   O
CT   O
angiogram   O
of   O
the   O
chest   O
,   O
which   O
suggested   O
an   O
aortic   O
dissection   O
.   O

The   O
diagnosis   O
of   O
acute   O
aortic   O
dissection   O
was   O
made   O
for   O
Ruba   B-NAME
Neil   I-NAME
.   O

The   O
case   O
was   O
discussed   O
with   O
the   O
cardiothoracic   O
surgery   O
team   O
at   O
MercyOne   B-LOCATION
Centerville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
and   O
urgent   O
surgical   O
intervention   O
was   O
recommended   O
.   O

Sha   B-NAME
Cunnane   I-NAME
was   O
admitted   O
to   O
the   O
intensive   O
care   O
unit   O
for   O
pre   O
-   O
operative   O
management   O
,   O
including   O
blood   O
pressure   O
control   O
and   O
pain   O
management   O
.   O

Signed   O
,   O
Stone   B-NAME
22/12   B-DATE

Patient   O
Report   O
for   O
Claire   B-NAME
Archer   I-NAME
Patient   O
ID   O
:   O
57543550   B-ID
Medical   O
Record   O
Number   O
:   O
8573199   B-ID
Date   O
of   O
Birth   O
:   O
22/30/2282   B-DATE
Age   O
:   O
78   O
Address   O
:   O
Seven   B-LOCATION
Valleys   I-LOCATION
,   O
25666   B-LOCATION
Phone   O
:   O
890   B-CONTACT
-   I-CONTACT
930   I-CONTACT
7679   I-CONTACT
Email   O
:   O
CW24   B-NAME
@   O
International   B-LOCATION
Centre   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Democratic   I-LOCATION
Development   I-LOCATION
.com   O
Occupation   O
:   O
Licensed   O
Practical   O
and   O
Licensed   O
Vocational   O
Nurses   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Walls   B-NAME
Hospital   O
:   O
Edgefield   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Dominic   B-NAME
Padilla   I-NAME
,   O
a   O
Manufacturing   O
machine   O
operator   O
from   O
Mount   B-LOCATION
Repose   I-LOCATION
,   O
presented   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Center   I-LOCATION
on   O
May   B-DATE
12   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Jesenia   B-NAME
Lestourgeon   I-NAME
reported   O
a   O
lack   O
of   O
appetite   O
and   O
a   O
slight   O
fever   O
,   O
which   O
began   O
a   O
day   O
before   O
the   O
admission   O
.   O

Medical   O
History   O
:   O
Milne   B-NAME
,   I-NAME
A.A.   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
Diabetes   O
Mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Humboldt   B-NAME
,   I-NAME
Wilhelm   I-NAME
von   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
or   O
food   O
.   O

Diagnosis   O
:   O
Acute   O
Appendicitis   O
Treatment   O
Plan   O
:   O
Chelsea   B-NAME
Solis   I-NAME
was   O
admitted   O
to   O
CHI   B-LOCATION
Health   I-LOCATION
Immanuel   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Nikolai   B-NAME
Mcbride   I-NAME
and   O
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
13/30/2185   B-DATE
.   O

Jonnie   B-NAME
Luczynski   I-NAME
's   O
diabetes   O
and   O
hypertension   O
were   O
managed   O
with   O
the   O
continuation   O
of   O
the   O
regular   O
medications   O
with   O
close   O
monitoring   O
of   O
blood   O
glucose   O
and   O
blood   O
pressure   O
levels   O
.   O

Janiece   B-NAME
Womac   I-NAME
was   O
observed   O
for   O
signs   O
of   O
infection   O
or   O
any   O
post   O
-   O
operative   O
complications   O
.   O

Pain   O
was   O
managed   O
with   O
IV   O
analgesics   O
,   O
and   O
Julius   B-NAME
Mckenzie   I-NAME
was   O
gradually   O
transitioned   O
to   O
oral   O
intake   O
.   O

THORNE   B-NAME
,   I-NAME
OLIVER   I-NAME
was   O
discharged   O
on   O
32/26   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Benson   B-NAME
scheduled   O
for   O
31/27   B-DATE
.   O
Follow   O
-   O
up   O
:   O
Torvalds   B-NAME
,   I-NAME
Linus   I-NAME
is   O
advised   O
to   O
follow   O
a   O
clear   O
liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
discharge   O
,   O
gradually   O
returning   O
to   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

quijada   B-NAME
is   O
instructed   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
including   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
.   O

Conclusion   O
:   O
Nolan   B-NAME
Hutchinson   I-NAME
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
with   O
no   O
post   O
-   O
operative   O
complications   O
.   O

Patient   O
Name   O
:   O
Diana   B-NAME
Cameron   I-NAME
Patient   O
ID   O
:   O
GW177/8264   B-ID
Medical   O
Record   O
Number   O
:   O
636   B-ID
-   I-ID
11   I-ID
-   I-ID
44   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
23   I-DATE
Age   O
:   O
26   O
Phone   O
Number   O
:   O
484   B-CONTACT
-   I-CONTACT
279   I-CONTACT
5025   I-CONTACT
Address   O
:   O
Ventura   B-LOCATION
,   O
21712   B-LOCATION
Employment   O
:   O
Clergy   O
at   O
California   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Xzavier   B-NAME
Wang   I-NAME
Admitting   O
Hospital   O
:   O
Carraway   B-LOCATION
Methodist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
2072   B-DATE
-   I-DATE
19   I-DATE
-   I-DATE
27   I-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Suzann   B-NAME
Nozick   I-NAME
,   O
presented   O
with   O
a   O
48   O
-   O
hour   O
history   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Lawrence   B-NAME
Augustine   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Sadie   B-NAME
Mcclure   I-NAME
has   O
attempted   O
to   O
take   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
minimal   O
relief   O
.   O

Liberty   B-NAME
denies   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Works   O
as   O
a   O
Education   O
administrator   O
for   O
Jackson   B-LOCATION
EMC   I-LOCATION
and   O
lives   O
in   O
Storm   B-LOCATION
Lake   I-LOCATION
.   O
Review   O
of   O
Systems   O
:   O
Negative   O
for   O
headache   O
,   O
chest   O
pain   O
,   O
cough   O
,   O
dysuria   O
,   O
or   O
diarrhea   O
.   O

Gregory   B-NAME
,   O
a   O
33   O
-   O
year   O
-   O
old   O
Podiatrists   O
from   O
Sarasota   B-LOCATION
,   O
is   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
with   O
Raina   B-NAME
Strickland   I-NAME
has   O
been   O
requested   O
for   O
possible   O
appendectomy   O
.   O

Gilberto   B-NAME
Torres   I-NAME
has   O
been   O
started   O
on   O
IV   O
antibiotics   O
and   O
IV   O
fluids   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
June   B-DATE
at   O
Einstein   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Elkins   I-LOCATION
Park   I-LOCATION
with   O
Newton   B-NAME
.   O

The   O
information   O
provided   O
in   O
this   O
report   O
for   O
Rhett   B-NAME
Davis   I-NAME
ID   O
:   O
MF:97096:716655   B-ID
,   O
Medical   O
Record   O
Number   O
:   O
1516996   B-ID
,   O
should   O
be   O
kept   O
confidential   O
and   O
used   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

For   O
further   O
information   O
or   O
changes   O
to   O
the   O
treatment   O
plan   O
,   O
please   O
contact   O
Luisa   B-NAME
Malachi   I-NAME
at   O
878   B-CONTACT
802   I-CONTACT
7059   I-CONTACT
.   O

Patient   O
Name   O
:   O
Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
Patient   O
ID   O
:   O
SH   B-ID
:   I-ID
AA:4797   I-ID
Medical   O
Record   O
Number   O
:   O
8402938   B-ID
Date   O
of   O
Birth   O
:   O
8   B-DATE
-   I-DATE
7   I-DATE
Age   O
:   O
66   O
Doctor   O
:   O
Card   B-NAME
,   I-NAME
Orson   I-NAME
Scott   I-NAME
Hospital   O
:   O
Lockport   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
(   B-CONTACT
929   I-CONTACT
)   I-CONTACT
581   I-CONTACT
9885   I-CONTACT
Location   O
:   O
Browning   B-LOCATION
Zip   O
Code   O
:   O
46059   B-LOCATION
Organization   O
:   O

American   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
Username   O
:   O
iom460   B-NAME
Profession   O
:   O

Database   O
Architects   O
Clinical   O
Narrative   O
:   O
Farrar   B-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Healthcare   I-LOCATION
-   I-LOCATION
Florence   I-LOCATION
on   O
12/14   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
which   O
Clementina   B-NAME
Catillo   I-NAME
described   O
as   O
a   O
persistent   O
,   O
sharp   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Carley   B-NAME
Pineda   I-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

There   O
was   O
no   O
reported   O
fever   O
,   O
but   O
OAKLEY   B-NAME
,   I-NAME
ALBERT   I-NAME
indicated   O
a   O
slight   O
elevation   O
in   O
body   O
temperature   O
.   O

Upon   O
physical   O
examination   O
,   O
Maeve   B-NAME
Walls   I-NAME
noted   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Laboratory   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
were   O
ordered   O
by   O
Simon   B-NAME
and   O
showed   O
a   O
mild   O
leukocytosis   O
.   O

Given   O
these   O
findings   O
,   O
Karley   B-NAME
Martin   I-NAME
advised   O
immediate   O
surgical   O
consultation   O
to   O
explore   O
the   O
possibility   O
of   O
an   O
abdominal   O
surgical   O
emergency   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Mount   B-LOCATION
Pleasant   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
team   O
led   O
by   O
Clarissa   B-NAME
Haas   I-NAME
,   O
who   O
specializes   O
in   O
gastrointestinal   O
surgical   O
procedures   O
.   O

Bob   B-NAME
Moore   I-NAME
was   O
closely   O
monitored   O
for   O
changes   O
in   O
symptoms   O
and   O
response   O
to   O
initial   O
management   O
.   O

The   O
postoperative   O
course   O
was   O
unremarkable   O
,   O
and   O
Deandre   B-NAME
Nash   I-NAME
demonstrated   O
a   O
good   O
recovery   O
.   O

Margo   B-NAME
Green   I-NAME
was   O
educated   O
on   O
post   O
-   O
operative   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
the   O
importance   O
of   O
follow   O
-   O
up   O
appointments   O
with   O
Lainey   B-NAME
Paul   I-NAME
.   O

Mullally   B-NAME
,   I-NAME
Megan   I-NAME
was   O
discharged   O
on   O
12/34/2212   B-DATE
with   O
a   O
prescription   O
for   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
pain   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Anderson   B-NAME
at   O
Mt.   B-LOCATION
San   I-LOCATION
Rafael   I-LOCATION
Hospital   I-LOCATION
in   O
two   O
weeks   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Magdalena   B-NAME
Wheeler   I-NAME
was   O
advised   O
to   O
contact   O
350   B-CONTACT
8040   I-CONTACT
should   O
there   O
be   O
any   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Patient   O
Name   O
:   O
Rolando   B-NAME
Age   O
:   O
57   O
Date   O
of   O
Birth   O
:   O
03/37   B-DATE
Phone   O
Number   O
:   O
13616   B-CONTACT
Address   O
:   O
Bloomdale   B-LOCATION
,   O
27047   B-LOCATION
Employer   O
:   O
Tostan   B-LOCATION
Occupation   O
:   O

Funeral   O
Attendants   O
Medical   O
Record   O
Number   O
:   O
1204   B-ID
:   I-ID
N23788   I-ID
Admission   O
Date   O
:   O
9/33/05   B-DATE
Referring   O
Physician   O
:   O
Burnett   B-NAME
,   I-NAME
Carol   I-NAME
Treating   O
Hospital   O
:   O
WakeMed   B-LOCATION
Clinical   O
Summary   O
:   O
Jackqueline   B-NAME
,   O
a   O
6   O
week   O
-   O
year   O
-   O
old   O
Pediatricians   O
,   O
General   O
working   O
at   O
Sterling   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
in   O
Long   B-LOCATION
Valley   I-LOCATION
,   O
presented   O
to   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Concord   I-LOCATION
on   O
22/11   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
on   O
exertion   O
,   O
and   O
low   O
-   O
grade   O
fevers   O
peaking   O
at   O
38.2C   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Furion   B-NAME
Lemans   I-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
mild   O
asthma   O
,   O
managed   O
with   O
as   O
-   O
needed   O
inhaler   O
use   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Upon   O
examination   O
,   O
Rick   B-NAME
Bauer   I-NAME
appeared   O
mildly   O
dyspneic   O
at   O
rest   O
,   O
with   O
oxygen   O
saturation   O
noted   O
to   O
be   O
92   O
%   O
on   O
room   O
air   O
.   O

Jarrett   B-NAME
Jones   I-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
and   O
admitted   O
to   O
Middlesex   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
under   O
the   O
care   O
of   O
Wilfred   B-NAME
Glendon   I-NAME
.   O
Management   O
and   O
Outcome   O
:   O

During   O
the   O
hospital   O
stay   O
,   O
Travis   B-NAME
required   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
94   O
%   O
.   O

quijada   B-NAME
's   O
hospital   O
course   O
was   O
uncomplicated   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
March   B-DATE
21   I-DATE
,   I-DATE
2219   I-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
pulmonology   O
and   O
Lizbeth   B-NAME
Watkins   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

For   O
any   O
further   O
information   O
,   O
please   O
contact   O
Kindred   B-LOCATION
Hospital   I-LOCATION
at   O
503   B-CONTACT
982   I-CONTACT
-   I-CONTACT
5523   I-CONTACT
.   O

Patient   O
:   O
Kiana   B-NAME
Knapp   I-NAME
Medical   O
Record   O
Number   O
:   O
8728889   B-ID
Date   O
of   O
Admission   O
:   O
05/31   B-DATE
Date   O
of   O
Report   O
:   O
11   B-DATE
-   I-DATE
May-2230   I-DATE
Attending   O
Physician   O
:   O

Russell   B-NAME
Day   I-NAME
Hospital   O
:   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Royal   I-LOCATION
Oak   I-LOCATION
Age   O
:   O
1   O
Location   O
:   O
107   B-LOCATION
Heritage   I-LOCATION
St.   I-LOCATION
,   O
83950   B-LOCATION
Phone   O
:   O
238   B-CONTACT
484   I-CONTACT
6672   I-CONTACT
ID   O
:   O
YV:61841:111502   B-ID
Chief   O
Complaint   O
:   O
Farah   B-NAME
Sorjik   I-NAME
Vlachen   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Runnells   B-LOCATION
Specialized   I-LOCATION
Hospital   I-LOCATION
on   O
31/03/35   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lilyana   B-NAME
Roberson   I-NAME
,   O
a   O
Painters   O
,   O
Transportation   O
Equipment   O
with   O
a   O
past   O
medical   O
history   O
notable   O
for   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
experienced   O
sudden   O
chest   O
pain   O
while   O
at   O
work   O
in   O
Mont   B-LOCATION
Belvieu   I-LOCATION
.   O

Zion   B-NAME
Olsen   I-NAME
also   O
noted   O
shortness   O
of   O
breath   O
,   O
palpitations   O
,   O
and   O
sweating   O
.   O

Commager   B-NAME
,   I-NAME
Henry   I-NAME
Steele   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
symptoms   O
in   O
family   O
members   O
.   O

Past   O
Medical   O
History   O
:   O
1   O
.   O
Hypertension   O
-   O
diagnosed   O
2/5/2391   B-DATE
2   O
.   O

Type   O
2   O
diabetes   O
mellitus   O
-   O
diagnosed   O
December   B-DATE
3   O
.   O

Lisinopril   O
20   O
mg   O
once   O
a   O
day   O
Social   O
History   O
:   O
Morelind   B-NAME
is   O
a   O
Surveying   O
Technicians   O
,   O
reports   O
occasional   O
alcohol   O
use   O
,   O
and   O
denies   O
smoking   O
or   O
illicit   O
drug   O
use   O
.   O

Lives   O
in   O
Ihlen   B-LOCATION
with   O
family   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Denim   B-NAME
is   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Diagnosis   O
:   O
Acute   O
myocardial   O
infarction   O
(   O
inferior   O
wall   O
)   O
Treatment   O
and   O
Plan   O
:   O
Vance   B-NAME
U.   I-NAME
Arias   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
a   O
loading   O
dose   O
of   O
ticagrelor   O
,   O
intravenous   O
heparin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
.   O

Due   O
to   O
the   O
severity   O
of   O
the   O
condition   O
,   O
Abbigail   B-NAME
Davila   I-NAME
was   O
quickly   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
an   O
emergency   O
coronary   O
angiography   O
,   O
which   O
revealed   O
a   O
significant   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Conclusion   O
:   O
Theresa   B-NAME
Trujillo   I-NAME
has   O
been   O
admitted   O
to   O
Overlook   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
cardiac   O
care   O
unit   O
for   O
close   O
monitoring   O
and   O
further   O
management   O
of   O
acute   O
myocardial   O
infarction   O
.   O

Follow   O
-   O
up   O
after   O
discharge   O
will   O
include   O
cardiac   O
rehabilitation   O
and   O
a   O
consultation   O
with   O
Amya   B-NAME
Rivera   I-NAME
in   O
cardiology   O
.   O

Patient   O
Name   O
:   O
Talon   B-NAME
Figueroa   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
2073777   I-ID
Medical   O
Record   O
Number   O
:   O
598   B-ID
-   I-ID
67   I-ID
-   I-ID
71   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
2/10/2056   B-DATE
Age   O
:   O
44   O
Phone   O
Number   O
:   O
12988   B-CONTACT
Address   O
:   O
Rawlins   B-LOCATION
,   O
85643   B-LOCATION
Occupation   O
:   O
Pharmacy   O
Technicians   O
Primary   O
Care   O
Physician   O
:   O
Mcclain   B-NAME
Hospital   O
:   O
Clearwater   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
12/11/22   B-DATE
Username   O
on   O
Medical   O
Portal   O
:   O
hmp577   B-NAME
Presenting   O
Complaint   O
:   O
April   B-NAME
Dominguez   I-NAME
was   O
admitted   O
to   O
Colorado   B-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Institute   I-LOCATION
at   I-LOCATION
Pueblo   I-LOCATION
on   O
March   B-DATE
23   I-DATE
,   I-DATE
2004   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Hoffman   B-NAME
also   O
reported   O
nausea   O
and   O
episodes   O
of   O
vomiting   O
,   O
which   O
did   O
not   O
alleviate   O
the   O
discomfort   O
.   O

Medical   O
History   O
:   O
Franz   B-NAME
Tobel   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
managed   O
with   O
medication   O
and   O
diet   O
.   O

Previously   O
diagnosed   O
with   O
hypertension   O
,   O
Darius   B-NAME
Hribal   I-NAME
is   O
on   O
a   O
regimen   O
of   O
antihypertensive   O
medications   O
.   O

Upon   O
examination   O
,   O
Nagel   B-NAME
,   I-NAME
Thomas   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
pressure   O
150/95   O
mmHg   O
,   O
pulse   O
rate   O
98   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
/   O
min   O
,   O
and   O
body   O
temperature   O
37.8   O
°   O
C   O
(   O
100.04   O
°   O
F   O
)   O
.   O

Further   O
evaluation   O
was   O
recommended   O
by   O
Dayanara   B-NAME
Marsh   I-NAME
,   O
including   O
an   O
upper   O
endoscopy   O
to   O
assess   O
for   O
possible   O
complications   O
such   O
as   O
cholangitis   O
.   O

Dietary   O
modifications   O
were   O
recommended   O
,   O
emphasizing   O
a   O
low   O
-   O
fat   O
diet   O
to   O
alleviate   O
symptoms   O
and   O
manage   O
Wendy   B-NAME
Tapia   I-NAME
's   O
diabetes   O
more   O
effectively   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Rhodes   B-NAME
at   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Farmington   I-LOCATION
Hills   I-LOCATION
for   O
12/37   B-DATE
to   O
review   O
the   O
outcome   O
of   O
the   O
treatment   O
and   O
to   O
discuss   O
the   O
surgical   O
options   O
.   O

Zavier   B-NAME
Webb   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
and   O
regular   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
.   O

Further   O
contacts   O
,   O
if   O
needed   O
,   O
should   O
be   O
directed   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
772   B-CONTACT
7842   I-CONTACT
.   O

All   O
the   O
provided   O
information   O
is   O
confidential   O
and   O
must   O
be   O
used   O
in   O
accordance   O
with   O
the   O
policies   O
of   O
Reprieve   B-LOCATION
concerning   O
patient   O
data   O
protection   O
.   O

Patient   O
Name   O
:   O
Bruno   B-NAME
Medical   O
Record   O
Number   O
:   O
23724406   B-ID
Date   O
of   O
Birth   O
:   O
10/16/59   B-DATE
Age   O
:   O
35s   O
Address   O
:   O
Minor   B-LOCATION
,   O
96027   B-LOCATION
Phone   O
Number   O
:   O
61428   B-CONTACT

Attending   O
Physician   O
:   O
Mylee   B-NAME
Mayo   I-NAME
Admitting   O
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
Tuesday   B-DATE
Social   O
Security   O
Number   O
:   O
59875   B-ID
Employment   O
:   O

Landscaping   O
and   O
Groundskeeping   O
Workers   O
at   O
Great   B-LOCATION
Lakes   I-LOCATION
Energy   I-LOCATION
(   I-LOCATION
Great   I-LOCATION
Lakes   I-LOCATION
Energy   I-LOCATION
Cooperative   I-LOCATION
)   I-LOCATION
Username   O
:   O
pah464   B-NAME
Clinical   O
Summary   O
:   O
Adrian   B-NAME
Ramirez   I-NAME
,   O
a   O
56   O
-   O
year   O
-   O
old   O
Agricultural   O
Technicians   O
employed   O
at   O
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
was   O
admitted   O
to   O
Valor   B-LOCATION
Health   I-LOCATION
on   O
4   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
recorded   O
by   O
Emilio   B-NAME
Lizardo   I-NAME
,   O
includes   O
previous   O
episodes   O
of   O
gastritis   O
but   O
no   O
significant   O
surgical   O
history   O
.   O

During   O
the   O
examination   O
,   O
Lorraine   B-NAME
Hiller   I-NAME
's   O
abdominal   O
tenderness   O
significantly   O
increased   O
when   O
pressure   O
was   O
applied   O
and   O
then   O
suddenly   O
released   O
,   O
demonstrating   O
a   O
positive   O
Blumberg   O
's   O
sign   O
.   O

The   O
patient   O
's   O
initial   O
treatment   O
plan   O
,   O
as   O
managed   O
by   O
Eli   B-NAME
James   I-NAME
,   O
has   O
been   O
to   O
undergo   O
an   O
immediate   O
diagnostic   O
imaging   O
procedure   O
to   O
confirm   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

To   O
further   O
complicate   O
the   O
clinical   O
picture   O
,   O
Baron   B-NAME
Mejia   I-NAME
disclosed   O
during   O
the   O
assessment   O
that   O
they   O
have   O
a   O
known   O
allergy   O
to   O
penicillin   O
,   O
necessitating   O
an   O
alternative   O
approach   O
to   O
antibiotic   O
therapy   O
.   O

The   O
care   O
team   O
,   O
coordinated   O
through   O
Ripley   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
has   O
been   O
informed   O
and   O
adjustments   O
to   O
the   O
treatment   O
regimen   O
are   O
being   O
considered   O
to   O
mitigate   O
any   O
adverse   O
reactions   O
while   O
effectively   O
managing   O
the   O
infection   O
.   O

All   O
HIPAA   O
considerations   O
have   O
been   O
rigorously   O
adhered   O
to   O
in   O
the   O
management   O
of   O
Skyla   B-NAME
Roman   I-NAME
's   O
case   O
,   O
ensuring   O
the   O
confidentiality   O
and   O
security   O
of   O
their   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
,   O
including   O
but   O
not   O
limited   O
to   O
their   O
medical   O
record   O
(   O
3884464   B-ID
)   O
,   O
social   O
security   O
number   O
(   O
BR:72772:801855   B-ID
)   O
,   O
and   O
contact   O
information   O
(   O
450   B-CONTACT
263   I-CONTACT
-   I-CONTACT
1525   I-CONTACT
)   O
.   O

The   O
multidisciplinary   O
team   O
at   O
Lankenau   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
including   O
specialists   O
in   O
gastroenterology   O
and   O
surgery   O
,   O
continues   O
to   O
monitor   O
Sawyer   B-NAME
's   O
condition   O
closely   O
.   O

Our   O
primary   O
objective   O
remains   O
to   O
deliver   O
comprehensive   O
and   O
compassionate   O
care   O
tailored   O
to   O
Addisyn   B-NAME
Galloway   I-NAME
's   O
unique   O
clinical   O
needs   O
.   O

For   O
further   O
information   O
and   O
updates   O
,   O
please   O
contact   O
Cocteau   B-NAME
,   I-NAME
Jean   I-NAME
's   O
office   O
at   O
47271   B-CONTACT
.   O

Patient   O
Name   O
:   O
Alejandro   B-NAME
Spence   I-NAME
Medical   O
Record   O
Number   O
:   O
754   B-ID
-   I-ID
31   I-ID
-   I-ID
09   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
12/14   B-DATE
Age   O
:   O
34   O
Address   O
:   O
Norco   B-LOCATION
,   O
53293   B-LOCATION
Phone   O
:   O
503   B-CONTACT
-   I-CONTACT
103   I-CONTACT
-   I-CONTACT
1951   I-CONTACT

Mina   B-NAME
Jefferson   I-NAME
Admitting   O
Hospital   O
:   O
Columbia   B-LOCATION
Basin   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/39/2323   B-DATE
Employer   O
:   O
International   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Professional   I-LOCATION
and   I-LOCATION
Technical   I-LOCATION
Engineers   I-LOCATION
Occupation   O
:   O

Gaugers   O
Emergency   O
Contact   O
:   O
388   B-CONTACT
-   I-CONTACT
1481   I-CONTACT
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Raleigh   B-NAME
Stewart   I-NAME
,   O
a   O
53   O
-   O
year   O
-   O
old   O
Dental   O
Assistants   O
employed   O
at   O
Mutual   B-LOCATION
of   I-LOCATION
Omaha   I-LOCATION
located   O
in   O
Old   B-LOCATION
Saybrook   I-LOCATION
Center   I-LOCATION
,   O
was   O
admitted   O
to   O
Truman   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Hospital   I-LOCATION
Hill   I-LOCATION
on   O
January   B-DATE
2234   I-DATE
.   O

Jordyn   B-NAME
Maldonado   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Michael   B-NAME
mentioned   O
that   O
the   O
symptoms   O
started   O
approximately   O
2   O
hours   O
before   O
arriving   O
at   O
the   O
emergency   O
department   O
.   O

Upon   O
examination   O
,   O
Bachelot   B-NAME
,   I-NAME
Roselyne   I-NAME
was   O
found   O
to   O
be   O
tachycardic   O
with   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
94   O
%   O
on   O
room   O
air   O
.   O

Troponin   O
levels   O
were   O
elevated   O
at   O
GA   B-ID
:   I-ID
FA:1133   I-ID

Treatment   O
:   O
Under   O
the   O
guidance   O
of   O
America   B-NAME
Tyler   I-NAME
,   O
Florianus   B-NAME
Dolven   I-NAME
was   O
immediately   O
started   O
on   O
a   O
treatment   O
protocol   O
for   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
,   O
including   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
drip   O
.   O

A   O
consult   O
with   O
the   O
cardiology   O
team   O
led   O
by   O
Kelly   B-NAME
Hanson   I-NAME
was   O
made   O
urgently   O
,   O
and   O
Xavier   B-NAME
Hobbs   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
emergent   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Post   O
-   O
procedure   O
,   O
Brooks   B-NAME
,   I-NAME
Gwendolyn   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
(   O
CCU   O
)   O
for   O
ongoing   O
monitoring   O
.   O

It   O
was   O
recommended   O
that   O
Quinton   B-NAME
Knox   I-NAME
follow   O
up   O
with   O
cardiology   O
clinic   O
associated   O
with   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Panorama   I-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
2   O
weeks   O
'   O
time   O
for   O
re   O
-   O
evaluation   O
.   O

Drake   B-NAME
Stanton   I-NAME
was   O
also   O
advised   O
to   O
join   O
a   O
cardiac   O
rehabilitation   O
program   O
and   O
to   O
modify   O
lifestyle   O
factors   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

Discharge   O
Date   O
:   O
01/32   B-DATE
User   O
ID   O
of   O
Doctor   O
Managing   O
the   O
Case   O
:   O
xhr499   B-NAME
Contact   O
Number   O
for   O
Follow   O
-   O
Up   O
:   O
613   B-CONTACT
8284   I-CONTACT

This   O
detailed   O
clinical   O
summary   O
has   O
been   O
prepared   O
by   O
Merritt   B-NAME
,   O
without   O
any   O
personal   O
health   O
information   O
that   O
could   O
compromise   O
the   O
privacy   O
of   O
Campbell   B-NAME
Brooks   I-NAME
.   O

Should   O
there   O
be   O
any   O
amendments   O
or   O
additional   O
follow   O
-   O
ups   O
needed   O
,   O
please   O
contact   O
the   O
cardiac   O
care   O
team   O
at   O
895   B-CONTACT
856   I-CONTACT
8594   I-CONTACT
.   O

Patient   O
Report   O
:   O
THOMAS   B-NAME
EARL   I-NAME
visited   O
our   O
facility   O
on   O
Thursday   B-DATE
,   I-DATE
January   I-DATE
complaining   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fevers   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
patient   O
is   O
a   O
66   O
-   O
year   O
-   O
old   O
Physical   O
Therapist   O
Assistants   O
who   O
resides   O
in   O
Georgia   B-LOCATION
,   O
with   O
a   O
66015   B-LOCATION
area   O
code   O
.   O

Rana   B-NAME
Desparrois   I-NAME
noted   O
that   O
the   O
symptoms   O
worsened   O
after   O
returning   O
from   O
a   O
trip   O
to   O
a   O
high   O
-   O
altitude   O
location   O
.   O

A   O
comprehensive   O
history   O
revealed   O
that   O
North   B-NAME
has   O
a   O
history   O
of   O
asthma   O
and   O
allergies   O
but   O
denied   O
any   O
recent   O
exposures   O
to   O
known   O
allergens   O
or   O
asthma   O
triggers   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
574   B-ID
-   I-ID
30   I-ID
-   I-ID
40   I-ID
-   I-ID
7   I-ID
provided   O
information   O
on   O
previously   O
controlled   O
asthma   O
with   O
inhaled   O
corticosteroids   O
and   O
short   O
-   O
acting   O
beta   O
agonists   O
as   O
needed   O
.   O

Upon   O
examination   O
,   O
Baldwin   B-NAME
noted   O
bilateral   O
wheezing   O
and   O
crackles   O
in   O
the   O
lower   O
lung   O
fields   O
.   O

A   O
chest   O
X   O
-   O
ray   O
ordered   O
by   O
Hosea   B-NAME
McCalvin   I-NAME
showed   O
signs   O
of   O
atypical   O
pneumonia   O
.   O

Given   O
these   O
findings   O
,   O
Roy   B-NAME
Slovinsky   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
antibiotics   O
and   O
admitted   O
to   O
CarePoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Christ   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

Rick   B-NAME
Payne   I-NAME
's   O
condition   O
showed   O
improvement   O
after   O
48   O
hours   O
of   O
treatment   O
,   O
with   O
reduced   O
fever   O
and   O
improved   O
breathing   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
which   O
lasted   O
until   O
2/10   B-DATE
,   O
Thomson   B-NAME
's   O
care   O
team   O
,   O
including   O
Ryker   B-NAME
Medina   I-NAME
and   O
other   O
healthcare   O
professionals   O
from   O
Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
,   O
closely   O
monitored   O
the   O
patient   O
's   O
respiratory   O
status   O
and   O
adjusted   O
treatments   O
as   O
necessary   O
.   O

Discharge   O
instructions   O
included   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
03/04/1602   B-DATE
with   O
Angelique   B-NAME
Koch   I-NAME
at   O
UHS   B-LOCATION
Delaware   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
,   O
continuation   O
of   O
antibiotics   O
for   O
a   O
total   O
of   O
14   O
days   O
,   O
and   O
a   O
tapering   O
dose   O
of   O
oral   O
corticosteroids   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
post   O
-   O
discharge   O
,   O
Michael   B-NAME
Stanton   I-NAME
was   O
given   O
the   O
contact   O
number   O
50774   B-CONTACT
to   O
reach   O
the   O
medical   O
staff   O
.   O

Furthermore   O
,   O
Yeates   B-NAME
,   I-NAME
Patrick   I-NAME
I   I-NAME
's   O
anonymized   O
case   O
details   O
may   O
be   O
shared   O
with   O
City   B-LOCATION
of   I-LOCATION
Bushnell   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
for   O
research   O
purposes   O
,   O
under   O
the   O
identification   O
code   O
YD   B-ID
:   I-ID
ZX:4314   I-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Patrick   B-NAME
Townsend   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
2183569   I-ID
Date   O
of   O
Birth   O
:   O
12/28   B-DATE
Address   O
:   O
Great   B-LOCATION
Neck   I-LOCATION
Gardens   I-LOCATION
,   O
30489   B-LOCATION
Phone   O
Number   O
:   O
331   B-CONTACT
-   I-CONTACT
6099   I-CONTACT
Employment   O
:   O
Sales   O
Agents   O
,   O
Financial   O
Services   O
at   O
Darjeeling   B-LOCATION
District   I-LOCATION
Newspaper   I-LOCATION
Sellers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Ricky   B-NAME
Torres   I-NAME
Medical   O
Record   O
Number   O
:   O
5511A66578   B-ID
Date   O
of   O
Visit   O
:   O
4/82   B-DATE
Hospital   O
:   O

Bluegrass   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Findings   O
:   O

During   O
the   O
examination   O
on   O
2353   B-DATE
,   O
Karl   B-NAME
Hellfern   I-NAME
,   O
a   O
66   O
-   O
year   O
-   O
old   O
Armored   O
Assault   O
Vehicle   O
Crew   O
Members   O
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
cholecystitis   O
.   O

Additionally   O
,   O
Whitney   B-NAME
Short   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
,   O
with   O
a   O
low   O
-   O
grade   O
fever   O
recorded   O
at   O
38   O
°   O
C   O
(   O
100.4   O
°   O
F   O
)   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
2327   B-DATE
at   O
Katherine   B-LOCATION
Shaw   I-LOCATION
Bethea   I-LOCATION
Hospital   I-LOCATION
revealed   O
gallstones   O
and   O
thickening   O
of   O
the   O
gallbladder   O
wall   O
,   O
supporting   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
cholecystitis   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Rodger   B-NAME
Lester   I-NAME
was   O
advised   O
to   O
undergo   O
a   O
laparoscopic   O
cholecystectomy   O
.   O

The   O
patient   O
was   O
informed   O
about   O
the   O
potential   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
and   O
consent   O
was   O
obtained   O
on   O
07/12   B-DATE
.   O

Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
1/01   B-DATE
at   O
Delaware   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
January   B-DATE
,   I-DATE
2294   I-DATE
to   O
monitor   O
Ida   B-NAME
's   O
recovery   O
progress   O
.   O

Chelsea   B-NAME
Washington   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
post   O
-   O
operation   O
and   O
gradually   O
reintroduce   O
physical   O
activity   O
as   O
tolerated   O
.   O

In   O
case   O
of   O
any   O
concerns   O
or   O
adverse   O
symptoms   O
,   O
Avah   B-NAME
Copeland   I-NAME
was   O
advised   O
to   O
contact   O
BANNER   B-LOCATION
BOSWELL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
immediately   O
at   O
55245   B-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
.   O

Conclusion   O
:   O
Barnes   B-NAME
's   O
condition   O
,   O
acute   O
cholecystitis   O
,   O
necessitates   O
surgical   O
intervention   O
for   O
resolution   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Courtney   B-NAME
,   O
will   O
closely   O
follow   O
the   O
patient   O
's   O
progress   O
and   O
address   O
any   O
complications   O
should   O
they   O
arise   O
.   O

All   O
information   O
provided   O
herein   O
is   O
protected   O
and   O
confidential   O
,   O
intended   O
solely   O
for   O
the   O
use   O
of   O
medical   O
treatment   O
and   O
care   O
for   O
Max   B-NAME
Cabranes   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Shenna   B-NAME
Deming   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
6811613   I-ID
Medical   O
Record   O
Number   O
:   O
6723323   B-ID
Date   O
of   O
Birth   O
:   O
2265   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
01   I-DATE
Age   O
:   O
43   O
Phone   O
Number   O
:   O
921   B-CONTACT
-   I-CONTACT
4417   I-CONTACT
Address   O
:   O
Stewartsville   B-LOCATION
,   O
43661   B-LOCATION
Profession   O
:   O

Kian   B-NAME
Reilly   I-NAME
Hospital   O
of   O
Admission   O
:   O
Blount   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/9   B-DATE
Date   O
of   O
Discharge   O
:   O
1/21   B-DATE
Clinical   O
Summary   O
:   O

Goldfoot   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Anderson   I-LOCATION
Hospital   I-LOCATION
on   O
2/6/52   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
24   O
hours   O
before   O
admission   O
.   O

Adonai   B-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
06/10   B-DATE
.   O

Imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
was   O
ordered   O
by   O
Giles   B-NAME
and   O
was   O
performed   O
on   O
2320   B-DATE
.   O

Given   O
the   O
history   O
and   O
presentation   O
,   O
Adriel   B-NAME
Villanueva   I-NAME
suspected   O
acute   O
gastroenteritis   O
as   O
the   O
probable   O
diagnosis   O
but   O
recommended   O
observation   O
for   O
24   O
hours   O
to   O
rule   O
out   O
other   O
possible   O
conditions   O
such   O
as   O
an   O
ovarian   O
cyst   O
or   O
urinary   O
tract   O
infection   O
in   O
consideration   O
of   O
Farmer   B-NAME
,   I-NAME
Frances   I-NAME
's   O
gender   O
.   O

Cassie   B-NAME
Mullen   I-NAME
's   O
symptoms   O
showed   O
significant   O
improvement   O
within   O
24   O
hours   O
following   O
the   O
supportive   O
treatment   O
,   O
with   O
a   O
decrease   O
in   O
both   O
abdominal   O
pain   O
intensity   O
and   O
frequency   O
of   O
nausea   O
.   O

Jones   B-NAME
was   O
discharged   O
on   O
09/16   B-DATE
with   O
instructions   O
to   O
follow   O
a   O
BRAT   O
diet   O
(   O
bananas   O
,   O
rice   O
,   O
applesauce   O
,   O
toast   O
)   O
for   O
the   O
next   O
48   O
hours   O
,   O
maintain   O
adequate   O
hydration   O
,   O
and   O
gradually   O
reintroduce   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Isai   B-NAME
Meyers   I-NAME
was   O
scheduled   O
for   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
evaluate   O
Michael   B-NAME
P   I-NAME
Rasmussen   I-NAME
's   O
recovery   O
process   O
.   O

Salvador   B-NAME
Zhang   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
contact   O
39719   B-CONTACT
if   O
symptoms   O
recurred   O
or   O
worsened   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
by   O
mistake   O
,   O
please   O
contact   O
the   O
sender   O
at   O
(   B-CONTACT
372   I-CONTACT
)   I-CONTACT
526   I-CONTACT
1658   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Name   O
:   O
Katherin   B-NAME
Pliny   I-NAME
Patient   O
ID   O
:   O
8   B-ID
-   I-ID
5620242   I-ID
Date   O
of   O
Birth   O
:   O
2160   B-DATE
Age   O
:   O
11   O
month   O
Medical   O
Record   O
:   O
4595710   B-ID
Address   O
:   O
El   B-LOCATION
Salvador   I-LOCATION
,   O
98166   B-LOCATION
Phone   O
:   O
30292   B-CONTACT
Employer   O
:   O

Dr   B-LOCATION
Hadwen   I-LOCATION
Trust   I-LOCATION
Profession   O
:   O
Nuclear   O
Monitoring   O
Technicians   O
Primary   O
Care   O
Physician   O
:   O

Santiago   B-NAME
Hospital   O
Name   O
:   O
Iowa   B-LOCATION
Methodist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Inge   B-NAME
,   O
a   O
18   O
-   O
year   O
-   O
old   O
Market   O
Research   O
Analysts   O
employed   O
at   O
CWA   B-LOCATION
-   I-LOCATION
Canadian   I-LOCATION
Media   I-LOCATION
Guild   I-LOCATION
,   O
residing   O
in   O
Star   B-LOCATION
,   O
presented   O
to   O
Penn   B-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/2311   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
ranging   O
between   O
100.2   O
°   O
F   O
and   O
102.3   O
°   O
F   O
,   O
and   O
difficulty   O
breathing   O
.   O

OLIVIA   B-NAME
PATTY   I-NAME
HOPKINS   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
asthma   O
,   O
managed   O
with   O
inhaled   O
corticosteroids   O
,   O
and   O
a   O
history   O
of   O
smoking   O
(   O
10   O
pack   O
-   O
years   O
)   O
.   O

On   O
examination   O
,   O
Caliban   B-NAME
Jingst   I-NAME
appeared   O
fatigued   O
and   O
exhibited   O
increased   O
respiratory   O
effort   O
.   O

Wilfred   B-NAME
Glendon   I-NAME
noted   O
bilateral   O
rhonchi   O
on   O
chest   O
auscultation   O
,   O
with   O
diminished   O
breath   O
sounds   O
in   O
the   O
lower   O
lung   O
fields   O
.   O

Diagnostic   O
Workup   O
:   O
-   O
Chest   O
X   O
-   O
Ray   O
revealed   O
bilateral   O
infiltrates   O
,   O
suggestive   O
of   O
pneumonia   O
.   O
-   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
indicated   O
leukocytosis   O
with   O
a   O
left   O
shift   O
.   O
-   O
PCR   O
testing   O
for   O
COVID-19   O
was   O
performed   O
,   O
and   O
the   O
result   O
was   O
pending   O
at   O
the   O
time   O
of   O
this   O
report   O
.   O
-   O
Pulmonary   O
function   O
tests   O
could   O
not   O
be   O
performed   O
due   O
to   O
the   O
patient   O
’s   O
distress   O
.   O
-   O
Arterial   O
Blood   O
Gas   O
(   O
ABG   O
)   O
analysis   O
showed   O
hypoxemia   O
with   O
a   O
PaO2   O
of   O
58   O
mm   O
Hg   O
.   O
Management   O
:   O
-   O
Oakley   B-NAME
was   O
started   O
on   O
empiric   O
antibiotics   O
covering   O
typical   O
and   O
atypical   O
pathogens   O
,   O
including   O
azithromycin   O
and   O
ceftriaxone   O
.   O
-   O
Supplemental   O
oxygen   O
was   O
provided   O
via   O
nasal   O
cannula   O
,   O
with   O
plans   O
to   O
escalate   O
care   O
if   O
oxygen   O
saturation   O
did   O
not   O
improve   O
.   O

Plan   O
:   O
-   O
Monitor   O
Patricia   B-NAME
N   I-NAME
Vallejo   I-NAME
's   O
respiratory   O
status   O
closely   O
and   O
adjust   O
oxygen   O
therapy   O
as   O
needed   O
to   O
maintain   O
SpO2   O
>   O

-   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Olson   B-NAME
is   O
scheduled   O
for   O
01/23/81   B-DATE
,   O
to   O
reassess   O
the   O
patient   O
’s   O
condition   O
and   O
discuss   O
the   O
results   O
of   O
pending   O
tests   O
.   O
-   O
Educate   O
Jakayla   B-NAME
Valdez   I-NAME
on   O
smoking   O
cessation   O
strategies   O
,   O
the   O
importance   O
of   O
medication   O
adherence   O
,   O
and   O
techniques   O
to   O
manage   O
triggers   O
that   O
may   O
exacerbate   O
asthma   O
.   O

Remarks   O
:   O
The   O
clinical   O
team   O
at   O
Medical   B-LOCATION
City   I-LOCATION
Frisco   I-LOCATION
is   O
attentive   O
to   O
Uecker   B-NAME
's   O
needs   O
and   O
remains   O
vigilant   O
,   O
closely   O
monitoring   O
the   O
progression   O
of   O
symptoms   O
.   O

Effective   O
communication   O
with   O
Daniel   B-NAME
Lanier   I-NAME
and   O
Haven   B-LOCATION
Trust   I-LOCATION
Bank   I-LOCATION
Florida   I-LOCATION
about   O
the   O
treatment   O
plan   O
and   O
expected   O
outcomes   O
is   O
a   O
priority   O
.   O

Authentication   O
:   O
Beard   B-NAME
31/07   B-DATE

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Landen   B-NAME
Rollins   I-NAME
,   O
a   O
5   O
month   O
-   O
year   O
-   O
old   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
residing   O
in   O
804   B-LOCATION
Pin   I-LOCATION
Oak   I-LOCATION
Lane   I-LOCATION
,   O
77674   B-LOCATION
,   O
reported   O
to   O
the   O
emergency   O
department   O
of   O
Carolinas   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Mercy   I-LOCATION
on   O
0/01   B-DATE
.   O

Meadow   B-NAME
Mcconnell   I-NAME
was   O
experiencing   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Annie   B-NAME
Ruder   I-NAME
's   O
medical   O
record   O
number   O
,   O
056   B-ID
-   I-ID
18   I-ID
-   I-ID
74   I-ID
-   I-ID
7   I-ID
,   O
shows   O
a   O
history   O
of   O
similar   O
,   O
though   O
significantly   O
milder   O
,   O
episodes   O
in   O
the   O
past   O
year   O
.   O

Upon   O
examination   O
,   O
Le   B-NAME
noted   O
that   O
the   O
patient   O
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
muscle   O
guarding   O
,   O
consistent   O
with   O
the   O
preliminary   O
diagnosis   O
.   O

Clarita   B-NAME
Lashley   I-NAME
was   O
admitted   O
to   O
North   B-LOCATION
Baldwin   I-LOCATION
Infirmary   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

An   O
abdominal   O
ultrasonography   O
was   O
performed   O
by   O
Henry   B-NAME
on   O
12/30   B-DATE
,   O
confirming   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
surrounding   O
fluid   O
collection   O
,   O
suggestive   O
of   O
perforation   O
.   O

A   O
surgical   O
consult   O
was   O
scheduled   O
,   O
and   O
Kolton   B-NAME
Ortega   I-NAME
underwent   O
an   O
appendectomy   O
on   O
2177   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
23   I-DATE
.   O

The   O
procedure   O
was   O
conducted   O
without   O
complications   O
,   O
and   O
Delaney   B-NAME
was   O
moved   O
to   O
a   O
recovery   O
room   O
in   O
Southeast   B-LOCATION
Hospital   I-LOCATION
for   O
postoperative   O
care   O
.   O

Samantha   B-NAME
Michael   I-NAME
's   O
postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Laylah   B-NAME
Haynes   I-NAME
was   O
discharged   O
on   O
12/2362   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
prescription   O
for   O
antibiotics   O
to   O
prevent   O
postoperative   O
infection   O
.   O

Edwards   B-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Mina   B-NAME
Jefferson   I-NAME
in   O
two   O
weeks   O
for   O
a   O
postsurgical   O
check   O
at   O
Paris   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

In   O
case   O
of   O
any   O
queries   O
or   O
emergency   O
,   O
Forbes   B-NAME
was   O
provided   O
with   O
the   O
contact   O
phone   O
number   O
of   O
the   O
surgical   O
department   O
,   O
167   B-CONTACT
-   I-CONTACT
3824   I-CONTACT
.   O

For   O
further   O
information   O
regarding   O
Petronius   B-NAME
's   O
medical   O
history   O
or   O
billing   O
details   O
,   O
please   O
contact   O
the   O
administrative   O
department   O
at   O
Belmont   B-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
using   O
the   O
patient   O
ID   O
,   O
VX:52288:678447   B-ID
.   O

The   O
patient   O
's   O
detailed   O
medical   O
information   O
can   O
also   O
be   O
accessed   O
through   O
our   O
secure   O
online   O
portal   O
using   O
the   O
username   O
,   O
ouv184   B-NAME
.   O

We   O
look   O
forward   O
to   O
providing   O
Laney   B-NAME
Mccormick   I-NAME
with   O
continued   O
care   O
and   O
support   O
throughout   O
Octagon   B-NAME
's   O
recovery   O
process   O
.   O

Our   O
team   O
at   O
Pottstown   B-LOCATION
Hospital   I-LOCATION
,   O
alongside   O
UNISON   B-LOCATION
,   O
is   O
committed   O
to   O
ensuring   O
the   O
highest   O
quality   O
of   O
healthcare   O
for   O
residents   O
of   O
Algodones   B-LOCATION
and   O
its   O
surrounding   O
areas   O
.   O

Patient   O
Report   O
Angie   B-NAME
Mendez   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Spring   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
on   O
32/03/2012   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

Benton   B-NAME
Laski   I-NAME
's   O
past   O
medical   O
history   O
,   O
as   O
found   O
in   O
their   O
record   O
172   B-ID
-   I-ID
84   I-ID
-   I-ID
87   I-ID
,   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Odonnell   B-NAME
initiated   O
a   O
thorough   O
cardiovascular   O
assessment   O
upon   O
admission   O
.   O

Considering   O
the   O
severity   O
and   O
early   O
onset   O
of   O
the   O
symptoms   O
,   O
Dillon   B-NAME
decided   O
to   O
proceed   O
with   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

The   O
procedure   O
was   O
successfully   O
carried   O
out   O
without   O
complications   O
,   O
as   O
noted   O
in   O
McFee   B-NAME
,   I-NAME
William   I-NAME
's   O
health   O
record   O
34448665   B-ID
.   O

Edith   B-NAME
Becker   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
at   O
Leonard   B-LOCATION
J.   I-LOCATION
Chabert   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
.   O

Throughout   O
the   O
hospitalization   O
period   O
,   O
Roland   B-NAME
Barajas   I-NAME
was   O
under   O
the   O
care   O
of   O
Mandela   B-NAME
,   I-NAME
Nelson   I-NAME
,   O
a   O
cardiologist   O
associated   O
with   O
City   B-LOCATION
of   I-LOCATION
Newberry   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
.   O

Oak   B-LOCATION
Lawn   I-LOCATION
-   O
based   O
Stewart   B-NAME
,   I-NAME
Jon   I-NAME
was   O
discharged   O
on   O
0/36   B-DATE
with   O
prescriptions   O
for   O
high   O
-   O
intensity   O
statin   O
therapy   O
,   O
beta   O
-   O
blockers   O
,   O
ACE   O
inhibitors   O
,   O
and   O
aspirin   O
.   O

Alessandra   B-NAME
Mason   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
cardiology   O
clinic   O
after   O
two   O
weeks   O
for   O
reevaluation   O
.   O

Mindbender   B-NAME
's   O
contact   O
information   O
,   O
including   O
307   B-CONTACT
9066   I-CONTACT
and   O
address   O
in   O
38143   B-LOCATION
,   O
was   O
updated   O
in   O
the   O
system   O
for   O
future   O
communication   O
.   O

Santino   B-NAME
Mathews   I-NAME
's   O
timely   O
access   O
to   O
medical   O
care   O
and   O
the   O
comprehensive   O
approach   O
taken   O
by   O
Grand   B-LOCATION
Strand   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
Huynh   B-NAME
contributed   O
significantly   O
to   O
the   O
positive   O
outcome   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
regarding   O
Michael   B-NAME
Glenn   I-NAME
's   O
condition   O
,   O
please   O
contact   O
the   O
cardiology   O
department   O
at   O
(   B-CONTACT
273   I-CONTACT
)   I-CONTACT
929   I-CONTACT
5573   I-CONTACT
.   O

NU640   B-NAME
16/18   B-DATE

Patient   O
Name   O
:   O
Larry   B-NAME
Craig   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
2949341   I-ID
Medical   O
Record   O
Number   O
:   O
6   B-ID
-   I-ID
179961   I-ID
Date   O
of   O
Birth   O
:   O
23/2325   B-DATE
Age   O
:   O
2   O
month   O
Phone   O
Number   O
:   O
616   B-CONTACT
154   I-CONTACT
-   I-CONTACT
9713   I-CONTACT
Address   O
:   O
Santa   B-LOCATION
Ana   I-LOCATION
Pueblo   I-LOCATION
,   O
80564   B-LOCATION
Attending   O
Physician   O
:   O

Jaylee   B-NAME
Knox   I-NAME
Hospital   O
:   O
Jefferson   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O

00/21/89   B-DATE
Date   O
of   O
Report   O
:   O
2008   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
02   I-DATE
Chief   O
Complaint   O
:   O
Nadia   B-NAME
Woodward   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Coulee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/00   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
their   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
that   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Oliver   B-NAME
Oates   I-NAME
,   O
a   O
Vocational   O
Education   O
Teachers   O
,   O
Secondary   O
School   O
by   O
profession   O
,   O
has   O
been   O
experiencing   O
these   O
symptoms   O
intermittently   O
over   O
the   O
last   O
month   O
,   O
with   O
a   O
marked   O
increase   O
in   O
severity   O
and   O
frequency   O
in   O
the   O
past   O
week   O
.   O

Marin   B-NAME
Larsen   I-NAME
denied   O
any   O
recent   O
travel   O
outside   O
of   O
Green   B-LOCATION
Oaks   I-LOCATION
or   O
any   O
sick   O
contacts   O
.   O

TOMLIN   B-NAME
,   I-NAME
THEODORE   I-NAME
stated   O
that   O
there   O
has   O
been   O
no   O
relief   O
from   O
over   O
-   O
the   O
-   O
counter   O
medications   O
.   O

Past   O
Medical   O
History   O
:   O
Kaden   B-NAME
Bean   I-NAME
was   O
previously   O
diagnosed   O
with   O
hypertension   O
and   O
has   O
been   O
on   O
medication   O
for   O
the   O
last   O
5   O
years   O
.   O

Upon   O
examination   O
by   O
Gentry   B-NAME
at   O
Virtua   B-LOCATION
Mt   I-LOCATION
Holly   I-LOCATION
,   O
Earlie   B-NAME
Thaler   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
Blood   O
Pressure   O
160/90   O
mmHg   O
,   O
Heart   O
Rate   O
110   O
bpm   O
,   O
Respiratory   O
Rate   O
22   O
breaths   O
per   O
minute   O
,   O
Temperature   O
98.6   O
°   O
F   O
.   O

Diagnostic   O
Tests   O
:   O
An   O
EKG   O
performed   O
on   O
04/31/2259   B-DATE
showed   O
evidence   O
of   O
myocardial   O
ischemia   O
.   O

Philips   B-NAME
,   I-NAME
Emo   I-NAME
was   O
admitted   O
to   O
the   O
Cardiology   O
Unit   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Meridian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Claire   B-NAME
Ramsey   I-NAME
for   O
further   O
monitoring   O
and   O
management   O
.   O

Discharge   O
Instructions   O
:   O
Upon   O
discharge   O
,   O
Myla   B-NAME
Potts   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Browning   B-NAME
in   O
two   O
weeks   O
for   O
a   O
follow   O
-   O
up   O
examination   O
and   O
review   O
of   O
treatment   O
efficacy   O
.   O

Dietary   O
and   O
lifestyle   O
modifications   O
were   O
also   O
recommended   O
,   O
emphasizing   O
a   O
low   O
-   O
sodium   O
diet   O
and   O
regular   O
exercise   O
.   O
Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Conrad   B-NAME
Mckeehan   I-NAME
was   O
instructed   O
to   O
monitor   O
their   O
blood   O
pressure   O
at   O
home   O
,   O
maintain   O
medication   O
adherence   O
,   O
and   O
to   O
seek   O
immediate   O
care   O
in   O
the   O
event   O
of   O
symptom   O
recurrence   O
or   O
worsening   O
.   O

Emergency   O
Contact   O
:   O
898   B-CONTACT
-   I-CONTACT
8099   I-CONTACT
This   O
document   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
applicable   O
laws   O
.   O

Patient   O
Report   O
for   O
Laura   B-NAME
Hill   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Farrah   B-NAME
Hanna   I-NAME
-   O
Patient   O
ID   O
:   O
CZ:916:446466   B-ID
-   O
Date   O
of   O
Birth   O
:   O
1928   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
24   I-DATE
-   O
Medical   O
Record   O
:   O
255   B-ID
-   I-ID
02   I-ID
-   I-ID
60   I-ID
-   I-ID
4   I-ID
-   O
Address   O
:   O
7942   B-LOCATION
N.   I-LOCATION
Ramblewood   I-LOCATION
Dr.   I-LOCATION
,   O
52788   B-LOCATION
-   O
Phone   O
:   O
64384   B-CONTACT
-   O
Employment   O
:   O
Makeup   O
Artists   O
,   O
Theatrical   O
and   O
Performance   O
at   O
Food   B-LOCATION
Addicts   I-LOCATION
in   I-LOCATION
Recovery   I-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
FA   I-LOCATION
)   I-LOCATION
-   O
Attending   O
Physician   O
:   O

Lillianna   B-NAME
Booker   I-NAME
Summary   O
:   O
On   O
12/21   B-DATE
,   O
Beatrice   B-NAME
Murillo   I-NAME
,   O
a   O
6   O
month   O
-   O
year   O
-   O
old   O
License   O
Clerks   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Methodist   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
,   O
located   O
in   O
Steuben   B-LOCATION
.   O

Medical   O
History   O
:   O
Jerry   B-NAME
Lawson   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
.   O

Further   O
diagnostic   O
imaging   O
,   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
performed   O
on   O
Tuesday   B-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
appendicitis   O
without   O
evidence   O
of   O
perforation   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
MultiCare   B-LOCATION
Deaconess   I-LOCATION
Hospital   I-LOCATION
and   O
subsequently   O
started   O
on   O
IV   O
antibiotics   O
.   O

Surgical   O
consultation   O
with   O
Perry   B-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
2/12/73   B-DATE
,   O
was   O
successful   O
without   O
complications   O
.   O

Eve   B-NAME
Ours   I-NAME
was   O
advised   O
post   O
-   O
operative   O
care   O
instructions   O
,   O
including   O
wound   O
care   O
and   O
activity   O
restrictions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Briggs   B-NAME
on   O
33/24   B-DATE
at   O
Excela   B-LOCATION
Frick   I-LOCATION
Hospital   I-LOCATION
.   O

Prescriptions   O
:   O
Wilma   B-NAME
Field   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
,   O
Acetaminophen   O
for   O
pain   O
management   O
,   O
and   O
instructions   O
for   O
a   O
diabetic   O
diet   O
were   O
emphasized   O
due   O
to   O
the   O
patient   O
's   O
underlying   O
Type   O
2   O
diabetes   O
.   O

3   O
.   O
Avoid   O
strenuous   O
activities   O
and   O
heavy   O
lifting   O
for   O
a   O
minimum   O
of   O
2122   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
22   I-DATE
weeks   O
.   O

Conclusion   O
:   O
The   O
timely   O
intervention   O
and   O
multidisciplinary   O
approach   O
involving   O
surgical   O
,   O
medical   O
,   O
and   O
nursing   O
teams   O
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Orange   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Anaheim   I-LOCATION
facilitated   O
a   O
positive   O
outcome   O
for   O
Gwendolyn   B-NAME
Orr   I-NAME
.   O

Contact   O
Information   O
:   O
-   O
Hospital   O
:   O
Olympic   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Government   B-LOCATION
Camp   I-LOCATION
,   O
97768   B-CONTACT
-   O
Primary   O
Care   O
Physician   O
:   O
Keel   B-NAME
,   I-NAME
John   I-NAME
,   O
(   B-CONTACT
608   I-CONTACT
)   I-CONTACT
100   I-CONTACT
6953   I-CONTACT
-   O
Patient   O
Login   O
for   O
Electronic   O
Health   O
Records   O
:   O
uy318   B-NAME
-   O
Diabetes   O
Educator   O
Available   O
at   O
Butler   B-LOCATION
Bank   I-LOCATION
:   O
14672   B-CONTACT

For   O
any   O
emergency   O
or   O
further   O
questions   O
,   O
the   O
patient   O
is   O
advised   O
to   O
contact   O
Mount   B-LOCATION
Carmel   I-LOCATION
St.   I-LOCATION
Ann   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
's   O
24   O
-   O
hour   O
helpline   O
at   O
244   B-CONTACT
6011   I-CONTACT
.   O

Patient   O
Name   O
:   O
DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
Patient   O
ID   O
:   O
78993   B-ID
Medical   O
Record   O
Number   O
:   O
224   B-ID
-   I-ID
76   I-ID
-   I-ID
49   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Report   O
:   O
December   B-DATE
Location   O
:   O

Foothill   B-LOCATION
Farms   I-LOCATION
Hospital   O
:   O

Exeter   B-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O
Gomez   B-NAME
Contact   O
Number   O
:   O
837   B-CONTACT
3825   I-CONTACT
Zip   O
Code   O
:   O
78691   B-LOCATION
Occupation   O
:   O
engineer   O
Reported   O
by   O
:   O
ms840   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Mellissa   B-NAME
Harley   I-NAME
,   O
a   O
90   O
-   O
year   O
-   O
old   O
Auditor   O
from   O
Tarrytown   B-LOCATION
,   O
presented   O
to   O
Bayshore   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
03/22/91   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
patient   O
reported   O
a   O
significant   O
loss   O
of   O
appetite   O
and   O
a   O
slight   O
fever   O
which   O
started   O
approximately   O
S   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Autumn   B-NAME
Hayes   I-NAME
mentioned   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
but   O
has   O
progressively   O
worsened   O
.   O

Quentin   B-NAME
Lacey   I-NAME
's   O
past   O
medical   O
history   O
includes   O
Type   O
2   O
Diabetes   O
and   O
Hypertension   O
,   O
which   O
are   O
managed   O
with   O
medication   O
.   O

Upon   O
examination   O
,   O
Ross   B-NAME
's   O
vital   O
signs   O
showed   O
a   O
slightly   O
elevated   O
blood   O
pressure   O
and   O
a   O
fever   O
of   O
21   O
.   O

Jaylah   B-NAME
Larson   I-NAME
's   O
fasting   O
blood   O
glucose   O
and   O
HbA1c   O
levels   O
were   O
indicative   O
of   O
poorly   O
controlled   O
diabetes   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Anderson   B-NAME
,   I-NAME
Beth   I-NAME
was   O
diagnosed   O
with   O
acute   O
pancreatitis   O
,   O
likely   O
exacerbated   O
by   O
poorly   O
controlled   O
diabetes   O
.   O

The   O
attending   O
physician   O
,   O
Chambers   B-NAME
,   O
recommended   O
the   O
following   O
treatment   O
plan   O
:   O
-   O
Admission   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Stanly   I-LOCATION
for   O
intravenous   O
hydration   O
and   O
electrolyte   O
management   O
.   O

Follow   O
-   O
up   O
Care   O
:   O
Gay   B-NAME
,   I-NAME
John   I-NAME
is   O
advised   O
to   O
follow   O
up   O
with   O
Good   B-NAME
in   O
Frye   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
gastroenterology   O
department   O
on   O
30/04/32   B-DATE
for   O
assessment   O
of   O
pancreatitis   O
management   O
and   O
adjustment   O
of   O
diabetes   O
medication   O
if   O
necessary   O
.   O
Conclusion   O
:   O

Sun   B-NAME
is   O
currently   O
under   O
observation   O
and   O
treatment   O
for   O
acute   O
pancreatitis   O
at   O
Camden   B-LOCATION
Clark   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Bunsen   B-NAME
Honeydew   I-NAME
.   O

Patient   O
Name   O
:   O
Kaufman   B-NAME
Patient   O
ID   O
:   O
9670764   B-ID
Date   O
of   O
Birth   O
:   O
01/35   B-DATE
Age   O
:   O
39s   O
Medical   O
Record   O
Number   O
:   O
908   B-ID
-   I-ID
60   I-ID
-   I-ID
94   I-ID
-   I-ID
4   I-ID
Address   O
:   O
Headland   B-LOCATION
,   O
84965   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
828   I-CONTACT
)   I-CONTACT
814   I-CONTACT
7425   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Rashad   B-NAME
Holt   I-NAME
Hospital   O
:   O

Virtua   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2332   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
12   I-DATE
Occupation   O
:   O

Armed   O
forces   O
officer   O
Username   O
for   O
patient   O
portal   O
:   O
ulw322   B-NAME
Chief   O
Complaint   O
:   O
Serrano   B-NAME
,   I-NAME
Miguel   I-NAME
presented   O
to   O
Inova   B-LOCATION
Loudoun   I-LOCATION
Hospital   I-LOCATION
on   O
2312   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
23   I-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Bridget   B-NAME
Jamieson   I-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
earlier   O
on   O
the   O
day   O
of   O
admission   O
.   O

The   O
onset   O
of   O
abdominal   O
pain   O
was   O
sudden   O
,   O
beginning   O
approximately   O
48   O
hours   O
before   O
Drake   B-NAME
's   O
visit   O
to   O
Rush   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
.   O

Lowery   B-NAME
had   O
self   O
-   O
administered   O
an   O
over   O
-   O
the   O
-   O
counter   O
analgesic   O
with   O
no   O
relief   O
of   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Marianna   B-NAME
Ellison   I-NAME
has   O
a   O
history   O
of   O
hyperlipidemia   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
two   O
years   O
ago   O
.   O

Review   O
of   O
Systems   O
:   O
Esta   B-NAME
Duberstein   I-NAME
reports   O
a   O
loss   O
of   O
appetite   O
over   O
the   O
last   O
48   O
hours   O
.   O

Deandre   B-NAME
Cantrell   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
MURRAY   B-NAME
,   I-NAME
MARION   I-NAME
OSCAR   I-NAME
.   O

Post   O
-   O
operative   O
Course   O
:   O
Denisse   B-NAME
Kelley   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
complications   O
.   O

Post   O
-   O
operative   O
instructions   O
were   O
provided   O
to   O
Desmond   B-NAME
Odonnell   I-NAME
,   O
including   O
signs   O
of   O
infection   O
,   O
proper   O
wound   O
care   O
,   O
and   O
activity   O
restrictions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Rogers   B-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
progress   O
.   O

Conclusion   O
:   O
PHILLIPS   B-NAME
,   I-NAME
URHO   I-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
Counselors   O
,   O
All   O
Other   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
and   O
underwent   O
successful   O
laparoscopic   O
appendectomy   O
at   O
Penn   B-LOCATION
Highlands   I-LOCATION
Huntingdon   I-LOCATION
.   O

The   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Tennyson   B-NAME
,   I-NAME
Alfred   I-NAME
(   I-NAME
Lord   I-NAME
)   I-NAME
was   O
advised   O
on   O
proper   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Arielle   B-NAME
Moore   I-NAME
Age   O
:   O
89   O
Date   O
of   O
Birth   O
:   O
0/5/61   B-DATE
Address   O
:   O
Sutton   B-LOCATION
,   O
82248   B-LOCATION
Phone   O
Number   O
:   O
121   B-CONTACT
264   I-CONTACT
1933   I-CONTACT
Occupation   O
:   O
Plant   O
breeder   O
Primary   O
Care   O
Doctor   O
:   O
Bailey   B-NAME
Medical   O
Record   O
Number   O
:   O
0522H43708   B-ID
Patient   O
ID   O
:   O
625805   B-ID
Admission   O
Date   O
:   O
06/05   B-DATE
Hospital   O
:   O
Houston   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
12/25   B-DATE
,   O
Jalen   B-NAME
,   O
a   O
Radiologic   O
Technicians   O
residing   O
in   O
Kettleman   B-LOCATION
City   I-LOCATION
,   O
presented   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Independence   I-LOCATION
's   O
emergency   O
department   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Bo   B-NAME
Robles   I-NAME
has   O
a   O
known   O
history   O
of   O
gallstones   O
and   O
was   O
under   O
the   O
care   O
of   O
Becker   B-NAME
for   O
the   O
same   O
.   O

Upon   O
examination   O
,   O
Londyn   B-NAME
Estes   I-NAME
appeared   O
to   O
be   O
in   O
significant   O
distress   O
with   O
a   O
positive   O
Murphy   O
's   O
sign   O
noted   O
during   O
the   O
physical   O
examination   O
.   O

Treatment   O
:   O
Guillermo   B-NAME
Chapman   I-NAME
was   O
admitted   O
to   O
Mary   B-LOCATION
Bridge   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
22/12/2390   B-DATE
for   O
further   O
evaluation   O
and   O
management   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
the   O
findings   O
suggesting   O
acute   O
cholecystitis   O
,   O
the   O
surgical   O
team   O
,   O
led   O
by   O
Patterson   B-NAME
,   O
recommended   O
an   O
emergency   O
cholecystectomy   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
The   O
cholecystectomy   O
was   O
performed   O
on   O
1863   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
29   I-DATE
without   O
any   O
immediate   O
complications   O
.   O

Ahmad   B-NAME
Osborne   I-NAME
's   O
recovery   O
was   O
closely   O
monitored   O
in   O
the   O
post   O
-   O
operative   O
unit   O
.   O

Damien   B-NAME
Pigford   I-NAME
started   O
on   O
a   O
clear   O
liquid   O
diet   O
31/23/43   B-DATE

The   O
patient   O
showed   O
signs   O
of   O
improvement   O
and   O
was   O
discharged   O
on   O
3/01/2322   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
diet   O
,   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
Blankenship   B-NAME
.   O
Instructions   O
for   O
Follow   O
-   O
Up   O
:   O
Rudner   B-NAME
,   I-NAME
Rita   I-NAME
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
visit   O
with   O

Butler   B-NAME
12/20/60   B-DATE
post   O
-   O
discharge   O
to   O
monitor   O
recovery   O
progress   O
.   O

99723   B-CONTACT
was   O
provided   O
for   O
any   O
urgent   O
queries   O
or   O
concerns   O
.   O

Barnes   B-NAME
is   O
to   O
maintain   O
regular   O
follow   O
-   O
up   O
with   O
Jeffrey   B-NAME
Buchanan   I-NAME
for   O
ongoing   O
health   O
management   O
.   O

Conclusion   O
:   O
The   O
timely   O
response   O
by   O
the   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Fort   I-LOCATION
Hamilton   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
and   O
surgical   O
team   O
was   O
crucial   O
in   O
managing   O
Liam   B-NAME
Mcmahon   I-NAME
's   O
acute   O
cholecystitis   O
.   O

Patient   O
Report   O
for   O
Cox   B-NAME
Patient   O
Details   O
:   O
-   O
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
5170646   I-ID
-   O
Date   O
of   O
Birth   O
:   O
2/2274   B-DATE
-   O
Age   O
:   O
4   O
-   O
Address   O
:   O
Kirby   B-LOCATION
,   O
40918   B-LOCATION
-   O
Phone   O
Number   O
:   O
801   B-CONTACT
1149   I-CONTACT
-   O
Occupation   O
:   O
Analytical   O
chemist   O
-   O
Primary   O
Care   O
Physician   O
:   O

Malik   B-NAME
Mottershead   I-NAME
-   O
Date   O
of   O
Visit   O
:   O
2012   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
00   I-DATE
/2023   O
-   O
Medical   O
Record   O
Number   O
:   O
187   B-ID
-   I-ID
04   I-ID
-   I-ID
03   I-ID
-   O
Admitting   O
Hospital   O
:   O
HealthSouth   B-LOCATION
Nittany   I-LOCATION
Valley   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaint   O
:   O
Earlie   B-NAME
Thaler   I-NAME
was   O
admitted   O
to   O
Tennova   B-LOCATION
Healthcare   I-LOCATION
-   I-LOCATION
Cleveland   I-LOCATION
Main   I-LOCATION
Campus   I-LOCATION
on   O
2064   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
23   I-DATE
/2023   O
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
that   O
had   O
been   O
escalating   O
over   O
the   O
past   O
72   O
hours   O
.   O

Alongside   O
the   O
pain   O
,   O
Valentino   B-NAME
Mcintosh   I-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
decrease   O
in   O
appetite   O
.   O

The   O
medical   O
history   O
of   O
Isabel   B-NAME
Atkinson   I-NAME
includes   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

On   O
examination   O
,   O
Yager   B-NAME
presented   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
reading   O
of   O
140/90   O
mmHg   O
.   O

Diagnostic   O
Tests   O
:   O
Initial   O
laboratory   O
tests   O
ordered   O
by   O
Amari   B-NAME
Armstrong   I-NAME
showed   O
an   O
elevated   O
white   O
cell   O
count   O
at   O
15,000   O
/   O
mm^3   O
,   O
indicating   O
a   O
possible   O
infection   O
.   O

Abdominal   O
ultrasonography   O
performed   O
at   O
Carilion   B-LOCATION
New   I-LOCATION
River   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
suggested   O
appendicitis   O
without   O
signs   O
of   O
rupture   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
findings   O
,   O
Kathryn   B-NAME
Murillo   I-NAME
diagnosed   O
Allena   B-NAME
Mazzeo   I-NAME
with   O
acute   O
appendicitis   O
.   O

Surgical   O
intervention   O
was   O
recommended   O
,   O
and   O
Leila   B-NAME
Juarez   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
22   B-DATE
/2023   O
.   O

The   O
surgical   O
team   O
briefed   O
Oglesby   B-NAME
on   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
expected   O
recovery   O
outcomes   O
.   O

Post   O
-   O
operatively   O
,   O
Rueben   B-NAME
Muggley   I-NAME
is   O
to   O
be   O
prescribed   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
pain   O
management   O
will   O
be   O
closely   O
monitored   O
.   O

Following   O
surgery   O
,   O
Conchita   B-NAME
Palmios   I-NAME
is   O
to   O
remain   O
in   O
Pan   B-LOCATION
American   I-LOCATION
Hospital   I-LOCATION
for   O
observation   O
for   O
48   O
hours   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
surgical   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
22/12/2102   B-DATE
/2023   O
with   O
Garrett   B-NAME
to   O
assess   O
recovery   O
progress   O
.   O

Instructions   O
for   O
Alivia   B-NAME
Potts   I-NAME
:   O
-   O
Monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
(   O
redness   O
,   O
swelling   O
,   O
discharge   O
)   O
-   O
Maintain   O
a   O
balanced   O
diet   O
to   O
support   O
healing   O
-   O
Report   O
any   O
severe   O
or   O
worsening   O
symptoms   O
to   O
Los   B-LOCATION
Angeles   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Olive   I-LOCATION
View   I-LOCATION
UCLA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
Calderon   B-NAME
immediately   O
Contact   O
Information   O
:   O
-   O
St.   B-LOCATION
Joseph   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
671   B-CONTACT
8105   I-CONTACT
-   O
Jayson   B-NAME
Melendez   I-NAME
,   O
342   B-CONTACT
-   I-CONTACT
1201   I-CONTACT
Prescriptions   O
provided   O
:   O
-   O
Antibiotics   O
to   O
prevent   O
post   O
-   O
surgical   O
infection   O
-   O
Pain   O
management   O
medication   O
as   O
needed   O
Summary   O
:   O
Ardias   B-NAME
Capaldo   I-NAME
,   O
with   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
and   O
hypertension   O
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

After   O
thorough   O
examination   O
and   O
diagnostic   O
tests   O
by   O
Mercado   B-NAME
,   O
an   O
appendectomy   O
was   O
successfully   O
performed   O
at   O
Osceola   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Rabin   B-NAME
,   I-NAME
Yitzhak   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
after   O
discharge   O
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

If   O
you   O
have   O
any   O
questions   O
or   O
experience   O
any   O
concerning   O
symptoms   O
,   O
do   O
not   O
hesitate   O
to   O
contact   O
Amaris   B-NAME
Bailey   I-NAME
or   O
Dwight   B-LOCATION
D.   I-LOCATION
Eisenhower   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Leavenworth   I-LOCATION
immediately   O
.   O

Patient   O
Name   O
:   O
Jones   B-NAME
Date   O
of   O
Birth   O
:   O
Sunday   B-DATE
Age   O
:   O
81   O
Medical   O
Record   O
Number   O
:   O
0019177   B-ID
Address   O
:   O
Denver   B-LOCATION
,   O
32555   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
742   I-CONTACT
)   I-CONTACT
153   I-CONTACT
1213   I-CONTACT

Jakayla   B-NAME
Levy   I-NAME
Hospital   O
:   O
Harper   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
December   B-DATE
5   I-DATE
,   I-DATE
2203   I-DATE
Date   O
of   O
Report   O
:   O
7/10   B-DATE
Occupation   O
:   O
Pipelayers   O
Username   O
:   O

yxq819   B-NAME
SSN   O
:   O
GQ720/6394   B-ID
Clinical   O
Summary   O
:   O

Trey   B-NAME
Villa   I-NAME
,   O
a   O
79   O
-   O
year   O
-   O
old   O
Stationary   O
Engineers   O
residing   O
in   O
Dillard   B-LOCATION
,   O
ZIP   O
code   O
74355   B-LOCATION
,   O
presented   O
to   O
Riverside   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
73s   B-DATE
with   O
a   O
history   O
of   O
progressive   O
increase   O
in   O
fatigue   O
,   O
shortness   O
of   O
breath   O
on   O
exertion   O
,   O
and   O
intermittent   O
fevers   O
over   O
the   O
course   O
of   O
the   O
past   O
two   O
weeks   O
.   O

Deshawn   B-NAME
Good   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Mortimer   B-NAME
,   I-NAME
John   I-NAME
initially   O
assessed   O
the   O
patient   O
and   O
ordered   O
laboratory   O
and   O
radiographic   O
studies   O
.   O

On   O
examination   O
,   O
Allegra   B-NAME
Baumgarten   I-NAME
appeared   O
mildly   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Notably   O
,   O
Tamara   B-NAME
Cabrera   I-NAME
's   O
blood   O
pressure   O
was   O
132/78   O
mmHg   O
,   O
with   O
a   O
resting   O
pulse   O
rate   O
of   O
88   O
beats   O
per   O
minute   O
.   O

Dolan   B-NAME
's   O
past   O
medical   O
history   O
,   O
as   O
documented   O
under   O
0575O81989   B-ID
,   O
is   O
notable   O
for   O
asthma   O
and   O
a   O
mild   O
allergic   O
rhinitis   O
.   O

Laboratory   O
findings   O
revealed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
at   O
12,000   O
/   O
uL   O
with   O
a   O
left   O
shift   O
,   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
levels   O
were   O
found   O
to   O
be   O
raised   O
at   O
25   O
mg   O
/   O
L.   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
Dec   B-DATE
14   I-DATE
,   I-DATE
2033   I-DATE
showed   O
bilateral   O
infiltrates   O
suggestive   O
of   O
an   O
atypical   O
pneumonia   O
.   O

Given   O
the   O
clinical   O
and   O
radiological   O
findings   O
,   O
Brautigan   B-NAME
,   I-NAME
Richard   I-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
,   O
pending   O
further   O
culture   O
results   O
and   O
was   O
admitted   O
for   O
inpatient   O
care   O
under   O
Banks   B-NAME
,   I-NAME
Robert   I-NAME
at   O
Katherine   B-LOCATION
Shaw   I-LOCATION
Bethea   I-LOCATION
Hospital   I-LOCATION
.   O

During   O
the   O
hospital   O
stay   O
,   O
serial   O
monitoring   O
of   O
Colin   B-NAME
Mejia   I-NAME
's   O
condition   O
showed   O
gradual   O
improvement   O
with   O
antibiotic   O
therapy   O
.   O

Simon   B-NAME
Medina   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
medication   O
regimen   O
and   O
the   O
need   O
for   O
follow   O
-   O
up   O
appointments   O
.   O

Xuereb   B-NAME
was   O
discharged   O
on   O
12/13/82   B-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Walters   B-NAME
and   O
a   O
prescription   O
for   O
a   O
continuation   O
of   O
oral   O
antibiotics   O
for   O
a   O
duration   O
of   O
10   O
days   O
.   O

Laface   B-NAME
Kobold   I-NAME
's   O
condition   O
upon   O
discharge   O
was   O
stable   O
,   O
with   O
significant   O
resolution   O
of   O
initial   O
symptoms   O
.   O

For   O
any   O
questions   O
or   O
additional   O
information   O
,   O
please   O
contact   O
Campbellton   B-LOCATION
-   I-LOCATION
Graceville   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
996   I-CONTACT
)   I-CONTACT
701   I-CONTACT
-   I-CONTACT
8780   I-CONTACT
.   O

Patient   O
Name   O
:   O
Yasuko   B-NAME
Michaelsen   I-NAME
Medical   O
Record   O
Number   O
:   O
207   B-ID
-   I-ID
85   I-ID
-   I-ID
28   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
86   O
Date   O
of   O
Visit   O
:   O
21/21   B-DATE
/2023   O
Physician   O
's   O
Name   O
:   O
Rivka   B-NAME
Janus   I-NAME
Hospital   O
:   O
DeTar   B-LOCATION
Hospital   I-LOCATION
Navarro   I-LOCATION
Location   O
:   O
Slaterville   B-LOCATION
Phone   O
:   O
44760   B-CONTACT
Zip   O
Code   O
:   O
45393   B-LOCATION
Occupation   O
:   O
Hunters   O
and   O
Trappers   O
Username   O
:   O
sxc618   B-NAME
ID   O
Number   O
:   O
EK   B-ID
:   I-ID
PZ:4940   I-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Yasmine   B-NAME
Montgomery   I-NAME
,   O
entered   O
the   O
Emergency   O
Department   O
of   O
FRYE   B-LOCATION
REGIONAL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
on   O
11/10   B-DATE
/2023   O
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
has   O
experienced   O
several   O
episodes   O
of   O
vomiting   O
since   O
the   O
early   O
hours   O
of   O
the   O
day   O
.   O

Alexie   B-NAME
,   I-NAME
Sherman   I-NAME
also   O
reported   O
a   O
fever   O
that   O
started   O
approximately   O
4   B-DATE
-   I-DATE
22   I-DATE
/2023   O
in   O
the   O
afternoon   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
D   B-NAME
,   O
a   O
39   O
-   O
year   O
-   O
old   O
Multimedia   O
programmer   O
from   O
Pardeeville   B-LOCATION
,   O
described   O
the   O
pain   O
as   O
a   O
sharp   O
and   O
persistent   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
which   O
began   O
approximately   O
33/20   B-DATE
/2023   O
.   O

Cason   B-NAME
Barry   I-NAME
also   O
notes   O
that   O
the   O
pain   O
exacerbates   O
with   O
movement   O
.   O

Past   O
Medical   O
History   O
:   O
Tyson   B-NAME
has   O
been   O
generally   O
healthy   O
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
surgical   O
history   O
,   O
or   O
known   O
allergies   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Paz   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
Alexis   B-NAME
Myer   I-NAME
's   O
symptoms   O
and   O
lab   O
results   O
,   O
a   O
surgical   O
consultation   O
with   O
Griffin   B-NAME
Fitzgerald   I-NAME
is   O
recommended   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Admit   O
Amiyah   B-NAME
Todd   I-NAME
to   O
Holzer   B-LOCATION
Gallipolis   I-LOCATION
for   O
close   O
monitoring   O
and   O
surgical   O
evaluation   O
.   O

Pain   O
management   O
to   O
be   O
initiated   O
under   O
the   O
guidance   O
of   O
Joseph   B-NAME
.   O

Notify   O
Landers   B-NAME
,   I-NAME
Ann   I-NAME
's   O
emergency   O
contact   O
using   O
41503   B-CONTACT
regarding   O
the   O
situation   O
and   O
planned   O
intervention   O
.   O

Schedule   O
for   O
an   O
urgent   O
surgical   O
review   O
for   O
possible   O
appendectomy   O
depending   O
on   O
the   O
final   O
assessment   O
by   O
Marsh   B-NAME
.   O

The   O
consent   O
form   O
was   O
signed   O
and   O
added   O
to   O
QUINTON   B-NAME
OSWALD   I-NAME
's   O
medical   O
record   O
(   O
59527980   B-ID
)   O
.   O

Further   O
updates   O
will   O
be   O
provided   O
to   O
Mccall   B-NAME
and   O
their   O
family   O
as   O
the   O
treatment   O
progresses   O
.   O

Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Jamarion   B-NAME
Graham   I-NAME
-   O
Age   O
:   O
56   O
-   O
ID   O
Number   O
:   O
87386934   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
29640110   B-ID
-   O
Date   O
of   O
Birth   O
:   O
Tuesday   B-DATE
-   O
Address   O
:   O
Daisytown   B-LOCATION
,   O
65658   B-LOCATION
-   O
Phone   O
Number   O
:   O
215   B-CONTACT
-   I-CONTACT
957   I-CONTACT
3868   I-CONTACT
-   O
Occupation   O
:   O
Clinical   O
biochemist   O
Case   O
Summary   O
:   O

On   O
5/39   B-DATE
,   O
Hugh   B-NAME
Sullivan   I-NAME
,   O
a   O
39   O
-   O
year   O
-   O
old   O
Surgical   O
Technologists   O
residing   O
in   O
Port   B-LOCATION
William   I-LOCATION
,   O
was   O
brought   O
to   O
University   B-LOCATION
of   I-LOCATION
Kentucky   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
vomiting   O
that   O
has   O
lasted   O
for   O
approximately   O
48   O
hours   O
.   O

Lenna   B-NAME
reported   O
the   O
pain   O
to   O
be   O
localized   O
in   O
the   O
lower   O
abdominal   O
quadrant   O
,   O
describing   O
it   O
as   O
sharp   O
and   O
constant   O
.   O

Jocelyn   B-NAME
Lutz   I-NAME
has   O
a   O
medical   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
,   O
managed   O
through   O
diet   O
and   O
occasionally   O
prescribed   O
medications   O
by   O
Herschel   B-NAME
,   I-NAME
John   I-NAME
.   O
Vitals   O
upon   O
Admission   O
:   O
-   O
Temperature   O
:   O
98.6   O
°   O
F   O
-   O
Blood   O
Pressure   O
:   O
130/85   O
mmHg   O
-   O
Pulse   O
:   O
98   O
bpm   O
-   O
Respiratory   O
Rate   O
:   O
16   O
breaths   O
per   O
minute   O
Examination   O
and   O
Findings   O
:   O
A   O
detailed   O
physical   O
examination   O
performed   O
by   O
Durham   B-NAME
,   O
M.D.   O
,   O
revealed   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
particularly   O
upon   O
palpation   O
.   O

Imaging   O
Studies   O
:   O
An   O
abdominal   O
ultrasound   O
followed   O
by   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
was   O
recommended   O
by   O
Alivia   B-NAME
Blevins   I-NAME
.   O

The   O
CT   O
images   O
,   O
reviewed   O
on   O
30/03/32   B-DATE
,   O
showed   O
evidence   O
of   O
appendicitis   O
without   O
signs   O
of   O
rupture   O
.   O

Given   O
the   O
diagnosis   O
of   O
appendicitis   O
,   O
surgical   O
consultation   O
with   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
surgical   O
team   O
was   O
arranged   O
.   O

Fisher   B-NAME
,   I-NAME
Carrie   I-NAME
was   O
prepared   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
scheduled   O
for   O
01/04   B-DATE
.   O

Preoperative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Hunter   B-NAME
was   O
instructed   O
to   O
fast   O
immediately   O
.   O

Kidd   B-NAME
was   O
monitored   O
for   O
24   O
hours   O
post   O
-   O
operation   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
post   O
-   O
surgical   O
complications   O
.   O

Isaias   B-NAME
Cobb   I-NAME
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
01/04   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Hart   B-NAME
for   O
Friday   B-DATE
,   I-DATE
May   I-DATE
.   O
Follow   O
-   O
Up   O
:   O
The   O
follow   O
-   O
up   O
visit   O
on   O
09/02/2131   B-DATE
with   O
Peter   B-NAME
Guthrie   I-NAME
revealed   O
good   O
healing   O
of   O
the   O
surgical   O
site   O
.   O

Frankie   B-NAME
Acosta   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
and   O
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
.   O

Conclusion   O
:   O
Francisco   B-NAME
Lloyd   I-NAME
's   O
immediate   O
reporting   O
of   O
symptoms   O
and   O
timely   O
medical   O
intervention   O
led   O
to   O
the   O
successful   O
management   O
of   O
appendicitis   O
without   O
complications   O
.   O

For   O
further   O
inquiries   O
or   O
assistance   O
,   O
please   O
contact   O
Logan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
at   O
726   B-CONTACT
2621   I-CONTACT
.   O

Patient   O
Report   O
Patient   O
ID   O
:   O
RY231/3564   B-ID
Medical   O
Record   O
Number   O
:   O
571   B-ID
-   I-ID
80   I-ID
-   I-ID
62   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Admission   O
:   O
32/29   B-DATE
Date   O
of   O
Report   O
:   O
1/24   B-DATE
Patient   O
Name   O
:   O
SORENSEN   B-NAME
,   I-NAME
SAUL   I-NAME
Age   O
:   O
73   O
Address   O
:   O
Philadelphia   B-LOCATION
-   I-LOCATION
Lancaster   I-LOCATION
Avenue   I-LOCATION
,   I-LOCATION
Peoples   I-LOCATION
Emergency   I-LOCATION
Center   I-LOCATION
,   O
92467   B-LOCATION
Phone   O
Number   O
:   O
56934   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Braydon   B-NAME
Sexton   I-NAME
Treating   O
Hospital   O
:   O
Midland   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaint   O
:   O
Braccio   B-NAME
Legall   I-NAME
was   O
admitted   O
to   O
Mount   B-LOCATION
Sinai   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
on   O
25/10   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Medical   O
History   O
:   O
Salinas   B-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
and   O
was   O
previously   O
treated   O
for   O
a   O
urinary   O
tract   O
infection   O
(   O
UTI   O
)   O
in   O
00/14/15   B-DATE
.   O

The   O
decision   O
was   O
made   O
by   O
Aiden   B-NAME
Moore   I-NAME
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

Who   B-NAME
and   I-NAME
the   I-NAME
Daleks   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
recommended   O
surgical   O
intervention   O
.   O

Procedure   O
:   O
The   O
surgical   O
procedure   O
was   O
carried   O
out   O
successfully   O
on   O
2123   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
01   I-DATE
at   O
Forks   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Jack   B-NAME
Parker   I-NAME
was   O
closely   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
any   O
adverse   O
reactions   O
to   O
the   O
procedure   O
.   O

Post   O
-   O
operative   O
Care   O
:   O
Ezequiel   B-NAME
Newman   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infection   O
and   O
was   O
advised   O
on   O
post   O
-   O
surgical   O
care   O
and   O
diet   O
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Cierra   B-NAME
Matthews   I-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
.   O

Discharge   O
Instructions   O
:   O
GILMORE   B-NAME
,   B-NAME
RACHEL   I-NAME
was   O
discharged   O
on   O
37/10/37   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
dietary   O
recommendations   O
.   O

Nunes   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
2   O
-   O
3   O
weeks   O
to   O
promote   O
healing   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
call   O
from   O
the   O
medical   O
team   O
at   O
Northwest   B-LOCATION
Kansas   I-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Hays   I-LOCATION
is   O
scheduled   O
in   O
one   O
week   O
to   O
check   O
on   O
Xin   B-NAME
Iliff   I-NAME
's   O
recovery   O
progress   O
.   O

Sha   B-NAME
was   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
any   O
signs   O
of   O
infection   O
.   O

Reported   O
by   O
:   O
Rotary   O
Drill   O
Operators   O
,   O
Oil   O
and   O
Gas   O
:   O
AL403   B-NAME
Contact   O
Information   O
:   O
95460   B-CONTACT

Patient   O
Name   O
:   O
Harlen   B-NAME
Kern   I-NAME
Age   O
:   O
84s   O
Date   O
of   O
Birth   O
:   O
30/20   B-DATE
Address   O
:   O
Old   B-LOCATION
Monroe   I-LOCATION
,   O
58395   B-LOCATION
Phone   O
Number   O
:   O
12240   B-CONTACT
Occupation   O
:   O
Political   O
Science   O
Teachers   O
,   O
Postsecondary   O
Primary   O
Physician   O
:   O

Mclean   B-NAME
Hospital   O
:   O
Atlantic   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
Medical   O
Record   O
Number   O
:   O
517   B-ID
04   I-ID
98   I-ID
Patient   O
ID   O
:   O
SV583/2589   B-ID
Date   O
of   O
Visit   O
:   O
2051   B-DATE
Username   O
:   O
sma295   B-NAME
Subjective   O
:   O

The   O
patient   O
,   O
Dorsey   B-NAME
,   O
a   O
Extruding   O
,   O
Forming   O
,   O
Pressing   O
,   O
and   O
Compacting   O
Machine   O
Operators   O
and   O
Tenders   O
from   O
Colona   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
4   B-DATE
-   I-DATE
2   I-DATE
complaining   O
of   O
acute   O
onset   O
abdominal   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
and   O
constant   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
that   O
began   O
early   O
in   O
the   O
morning   O
.   O

Keon   B-NAME
Foster   I-NAME
reports   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

On   O
examination   O
,   O
Philip   B-NAME
Gibson   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Urgent   O
surgical   O
consultation   O
with   O
Whitney   B-NAME
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Macomb   I-LOCATION
Hospital   I-LOCATION
for   O
possible   O
appendectomy   O
.   O

4   O
.   O
Inform   O
Vazquez   B-NAME
and   O
Ayita   B-NAME
's   O
emergency   O
contact   O
(   O
943   B-CONTACT
2491   I-CONTACT
)   O
about   O
the   O
situation   O
and   O
the   O
need   O
for   O
probable   O
surgical   O
intervention   O
.   O

5   O
.   O
Prepare   O
for   O
possible   O
admission   O
to   O
Methodist   B-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
depending   O
on   O
the   O
results   O
of   O
the   O
investigations   O
and   O
the   O
surgical   O
consultation   O
.   O

Follow   O
-   O
Up   O
:   O
Vlad   B-NAME
Mostoller   I-NAME
is   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
if   O
symptoms   O
worsen   O
or   O
if   O
new   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
severe   O
abdominal   O
pain   O
develop   O
prior   O
to   O
the   O
surgical   O
consultation   O
.   O

Signed   O
,   O
Dante   B-NAME
Leonard   I-NAME
December   B-DATE
2324   I-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Griffin   B-NAME
Fitzgerald   I-NAME
-   O
Age   O
:   O
72   O
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
950   I-CONTACT
)   I-CONTACT
551   I-CONTACT
-   I-CONTACT
1427   I-CONTACT
-   O
Date   O
of   O
Birth   O
:   O
36/29/2112   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
25784924   B-ID
-   O
Address   O
:   O
Ottawa   B-LOCATION
,   O
60335   B-LOCATION
Medical   O
History   O
:   O

On   O
10/21   B-DATE
,   O
Arthur   B-NAME
Jackson   I-NAME
,   O
a   O
Coroners   O
from   O
Pantego   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Meriter   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Held   B-NAME
,   I-NAME
John   I-NAME
reported   O
the   O
pain   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
and   O
has   O
progressively   O
worsened   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Bruce   B-NAME
was   O
found   O
to   O
be   O
in   O
distress   O
with   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
of   O
145/90   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Huelskamp   B-NAME
,   I-NAME
Tim   I-NAME
's   O
FF   B-ID
:   I-ID
LF:3654   I-ID
and   O
4798728   B-ID
were   O
verified   O
for   O
processing   O
and   O
documenting   O
all   O
laboratory   O
results   O
.   O

Management   O
and   O
Treatment   O
:   O
Collins   B-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Swift   B-NAME
,   I-NAME
Jonathan   I-NAME
for   O
acute   O
pancreatitis   O
.   O

Over   O
the   O
course   O
of   O
the   O
next   O
48   O
hours   O
,   O
Quinn   B-NAME
Rutledge   I-NAME
showed   O
clinical   O
improvement   O
with   O
a   O
decrease   O
in   O
abdominal   O
pain   O
intensity   O
and   O
normalization   O
of   O
inflammatory   O
markers   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Townsend   B-NAME
was   O
discharged   O
on   O
11/23   B-DATE
with   O
instructions   O
for   O
a   O
low   O
-   O
fat   O
diet   O
,   O
alcohol   O
abstinence   O
,   O
and   O
close   O
follow   O
-   O
up   O
with   O
Bowers   B-NAME
for   O
further   O
evaluation   O
and   O
management   O
of   O
his   O
pancreatitis   O
.   O

A   O
referral   O
was   O
made   O
to   O
a   O
specialist   O
in   O
McVeytown   B-LOCATION
for   O
assessment   O
of   O
the   O
need   O
for   O
gallstone   O
removal   O
,   O
as   O
imaging   O
studies   O
suggested   O
cholelithiasis   O
as   O
the   O
likely   O
etiology   O
of   O
the   O
pancreatitis   O
.   O

Leia   B-NAME
Allison   I-NAME
was   O
advised   O
to   O
monitor   O
blood   O
glucose   O
levels   O
more   O
closely   O
and   O
adjust   O
the   O
diabetes   O
regimen   O
as   O
recommended   O
by   O
the   O
healthcare   O
team   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
20/36/2171   B-DATE
at   O
IU   B-LOCATION
Health   I-LOCATION
Bloomington   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
further   O
questions   O
or   O
if   O
symptoms   O
worsen   O
,   O
Patricia   B-NAME
Quebedeaux   I-NAME
can   O
contact   O
Putnam   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
580   B-CONTACT
-   I-CONTACT
2358   I-CONTACT
.   O

Additionally   O
,   O
Louis   B-NAME
,   I-NAME
Joe   I-NAME
was   O
given   O
the   O
direct   O
line   O
(   B-CONTACT
938   I-CONTACT
)   I-CONTACT
711   I-CONTACT
-   I-CONTACT
5074   I-CONTACT
to   O
Ernest   B-NAME
Yu   I-NAME
's   O
office   O
for   O
any   O
concerns   O
regarding   O
the   O
pancreatitis   O
management   O
or   O
the   O
upcoming   O
specialist   O
evaluation   O
.   O

This   O
care   O
plan   O
was   O
developed   O
with   O
consideration   O
for   O
Maarie   B-NAME
's   O
medical   O
history   O
and   O
current   O
clinical   O
presentation   O
.   O

Giles   B-NAME
has   O
expressed   O
understanding   O
of   O
the   O
treatment   O
plan   O
and   O
follow   O
-   O
up   O
care   O
.   O

International   B-LOCATION
Society   I-LOCATION
for   I-LOCATION
Bayesian   I-LOCATION
Analysis   I-LOCATION
and   O
Santana   B-NAME
affirm   O
that   O
all   O
personal   O
health   O
information   O
was   O
handled   O
in   O
compliance   O
with   O
privacy   O
regulations   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Jazlynn   B-NAME
Gonzalez   I-NAME
ID   O
:   O
90285632   B-ID
Medical   O
Record   O
Number   O
:   O
26743744   B-ID
Date   O
of   O
Birth   O
:   O
Thursday   B-DATE
Age   O
:   O
10   O
month   O
Phone   O
Number   O
:   O
297   B-CONTACT
7278   I-CONTACT
Address   O
:   O
Mountain   B-LOCATION
Lodge   I-LOCATION
Park   I-LOCATION
,   O
57036   B-LOCATION
Profession   O
:   O

Date   O
of   O
Admission   O
:   O
0/07/33   B-DATE
Hospital   O
:   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Mechanicsburg   I-LOCATION
Attending   O
Physician   O
:   O

Yoselin   B-NAME
Pratt   I-NAME
Insurance   O
Provider   O
:   O
Disabled   B-LOCATION
Peoples   I-LOCATION
'   I-LOCATION
International   I-LOCATION
Presenting   O
Complaint   O
:   O
Micaela   B-NAME
Ochoa   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
5   B-DATE
-   I-DATE
04   I-DATE
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
typical   O
presentation   O
of   O
appendicitis   O
.   O

Additionally   O
,   O
Yousef   B-NAME
Pugh   I-NAME
reported   O
experiencing   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
fever   O
since   O
earlier   O
the   O
same   O
day   O
.   O

Sari   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
has   O
been   O
under   O
the   O
care   O
of   O
Ainsley   B-NAME
Beck   I-NAME
for   O
management   O
.   O

Salinas   B-NAME
is   O
also   O
known   O
to   O
have   O
hypertension   O
,   O
for   O
which   O
medication   O
has   O
been   O
prescribed   O
and   O
is   O
currently   O
taken   O
as   O
directed   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
The   O
surgical   O
team   O
,   O
led   O
by   O
Choi   B-NAME
Oh   I-NAME
-   I-NAME
sung   I-NAME
,   O
recommended   O
an   O
urgent   O
appendectomy   O
given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
and   O
the   O
risk   O
of   O
appendix   O
rupture   O
.   O

Fischer   B-NAME
,   I-NAME
Joschka   I-NAME
was   O
informed   O
of   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
consent   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
06/34/38   B-DATE
at   O
Teaching   B-LOCATION
.   O

Follow   O
-   O
up   O
and   O
Prognosis   O
:   O
Shivakamini   B-NAME
Somakandakram   I-NAME
is   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
with   O
Dinorah   B-NAME
Ruoff   I-NAME
two   O
weeks   O
post   O
-   O
operatively   O
for   O
wound   O
check   O
and   O
to   O
assess   O
recovery   O
progress   O
.   O

Dietary   O
and   O
activity   O
modifications   O
post   O
-   O
surgery   O
were   O
discussed   O
with   O
Evangeline   B-NAME
Frank   I-NAME
,   O
including   O
the   O
importance   O
of   O
gradual   O
reintroduction   O
to   O
regular   O
activities   O
and   O
monitoring   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Confidentiality   O
Statement   O
:   O
This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
the   O
laws   O
of   O
Morehead   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Morehead   I-LOCATION
Inc   I-LOCATION
and   O
is   O
intended   O
only   O
for   O
the   O
use   O
of   O
the   O
individual   O
or   O
entity   O
to   O
whom   O
it   O
is   O
addressed   O
.   O

Report   O
Prepared   O
By   O
:   O
Medical   O
Record   O
Department   O
University   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
Generated   O
by   O
DA7010   B-NAME
on   O
5/22   B-DATE

Patient   O
Report   O
General   O
Information   O
:   O
Patient   O
Name   O
:   O
Kevin   B-NAME
Collins   I-NAME
Patient   O
ID   O
:   O
EQ   B-ID
:   I-ID
BR:3297   I-ID
Date   O
of   O
Birth   O
:   O

Friday   B-DATE
,   I-DATE
March   I-DATE
Age   O
:   O
88   O
Phone   O
Number   O
:   O
236   B-CONTACT
-   I-CONTACT
3163   I-CONTACT
Address   O
:   O
Pheasant   B-LOCATION
Run   I-LOCATION
,   O
71123   B-LOCATION
Primary   O
Physician   O
:   O

Carina   B-NAME
Barry   I-NAME
Primary   O
Care   O
Facility   O
:   O
Wray   B-LOCATION
Community   I-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
516   B-ID
-   I-ID
26   I-ID
-   I-ID
59   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Visit   O
:   O
Thursday   B-DATE
Chief   O
Complaint   O
:   O

Tessa   B-NAME
Mckay   I-NAME
presented   O
on   O
12   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
high   O
-   O
grade   O
fever   O
measured   O
at   O
home   O
peaking   O
at   O
102   O
°   O
F   O
,   O
severe   O
sore   O
throat   O
,   O
and   O
difficulty   O
swallowing   O
for   O
the   O
past   O
3   O
days   O
.   O

Karsyn   B-NAME
Mcclure   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
exposure   O
to   O
sick   O
contacts   O
.   O

Sharolyn   B-NAME
Clear   I-NAME
has   O
tried   O
over   O
-   O
the   O
-   O
counter   O
pain   O
relief   O
medications   O
with   O
minimal   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
BRANDON   B-NAME
VICENTE   I-NAME
has   O
a   O
history   O
of   O
asthma   O
and   O
seasonal   O
allergies   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
January   B-DATE
to   O
reassess   O
symptoms   O
and   O
review   O
laboratory   O
results   O
.   O

The   O
importance   O
of   O
seeking   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
difficulty   O
breathing   O
occurs   O
was   O
emphasized   O
to   O
Abdiel   B-NAME
Richmond   I-NAME
.   O

Please   O
note   O
that   O
all   O
efforts   O
to   O
ensure   O
the   O
confidentiality   O
of   O
Marcus   B-NAME
Mendoza   I-NAME
's   O
personal   O
health   O
information   O
have   O
been   O
made   O
in   O
accordance   O
with   O
privacy   O
laws   O
and   O
regulations   O
.   O

For   O
further   O
details   O
or   O
any   O
assistance   O
needed   O
,   O
please   O
contact   O
Mountain   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
at   O
72077   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Moore   B-NAME
,   I-NAME
Alan   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
2769896   I-ID
Date   O
of   O
Birth   O
:   O

August   B-DATE
21th   I-DATE
Medical   O
Record   O
Number   O
:   O
9495315   B-ID
Age   O
:   O
96   O
Phone   O
Number   O
:   O
311   B-CONTACT
1288   I-CONTACT
Address   O
:   O
Virginia   B-LOCATION
Gardens   I-LOCATION
,   O
67339   B-LOCATION
Occupation   O
:   O
Film   O
and   O
Video   O
Editors   O
Emergency   O
Contact   O
:   O
rrr641   B-NAME
Attending   O
Physician   O
:   O

Levine   B-NAME
Hospital   O
Name   O
:   O
Good   B-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
39/31/2256   B-DATE
Date   O
of   O
Discharge   O
:   O
14/37   B-DATE
Presenting   O
Complaints   O
:   O
Florence   B-NAME
Heather   I-NAME
Gil   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Scripps   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
La   I-LOCATION
Jolla   I-LOCATION
on   O
2203   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
have   O
persisted   O
for   O
approximately   O
48   O
hours   O
.   O

Maria   B-NAME
Orton   I-NAME
also   O
reported   O
a   O
mild   O
fever   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

Medical   O
History   O
:   O
Marivel   B-NAME
Goettl   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
a   O
previous   O
episode   O
of   O
renal   O
calculi   O
approximately   O
three   O
years   O
ago   O
.   O

Schultz   B-NAME
denies   O
any   O
history   O
of   O
surgery   O
or   O
allergies   O
to   O
medications   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Garner   B-NAME
demonstrated   O
signs   O
of   O
mild   O
dehydration   O
and   O
had   O
a   O
temperature   O
of   O
37.8   O
°   O
C   O
.   O

An   O
abdominal   O
ultrasound   O
revealed   O
an   O
inflamed   O
appendix   O
consistent   O
with   O
acute   O
appendicitis   O
without   O
any   O
evidence   O
of   O
perforation   O
.   O
Treatment   O
and   O
Management   O
:   O
Given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
Biondo   B-NAME
,   I-NAME
Frank   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Prior   O
to   O
surgery   O
,   O
Chapman   B-NAME
was   O
started   O
on   O
IV   O
fluids   O
and   O
broad   O
-   O
spectrum   O
antibiotics   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
by   O
Garcia   B-NAME
on   O
T   B-DATE
.   O
Kristopher   B-NAME
Norton   I-NAME
made   O
an   O
uneventful   O
recovery   O
and   O
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
including   O
wound   O
care   O
and   O
signs   O
of   O
potential   O
complications   O
to   O
watch   O
for   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
31/23/12   B-DATE
at   O
Johnston   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Discharge   O
Instructions   O
:   O
Jordon   B-NAME
Morrow   I-NAME
was   O
discharged   O
on   O
12/19   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
medication   O
management   O
,   O
and   O
activity   O
restrictions   O
.   O

Kepa   B-NAME
,   I-NAME
Ro   I-NAME
Teimumu   I-NAME
was   O
advised   O
to   O
follow   O
a   O
bland   O
diet   O
for   O
the   O
initial   O
few   O
days   O
post   O
-   O
discharge   O
and   O
gradually   O
return   O
to   O
normal   O
diet   O
as   O
tolerated   O
.   O

Eggers   B-NAME
,   I-NAME
Dave   I-NAME
was   O
given   O
a   O
prescription   O
for   O
pain   O
management   O
and   O
was   O
advised   O
to   O
seek   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
increasing   O
pain   O
,   O
or   O
signs   O
of   O
wound   O
infection   O
develop   O
.   O

Follow   O
-   O
Up   O
:   O
Follow   O
-   O
up   O
appointment   O
for   O
wound   O
check   O
and   O
assessment   O
of   O
recovery   O
progress   O
has   O
been   O
scheduled   O
with   O
Norman   B-NAME
Solomon   I-NAME
at   O
University   B-LOCATION
Health   I-LOCATION
Conway   I-LOCATION
on   O
2017   B-DATE
.   O

The   O
Unite   B-LOCATION
-   I-LOCATION
the   I-LOCATION
Union   I-LOCATION
values   O
your   O
privacy   O
.   O

Should   O
you   O
have   O
any   O
queries   O
regarding   O
your   O
records   O
or   O
need   O
further   O
assistance   O
,   O
please   O
contact   O
us   O
at   O
185   B-CONTACT
-   I-CONTACT
625   I-CONTACT
2374   I-CONTACT
.   O

Patient   O
Report   O
for   O
Gordon   B-NAME
Robertson   I-NAME
:   O
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
KB   B-ID
:   I-ID
ER:8488   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
6886440   B-ID
-   O
Date   O
of   O
Birth   O
:   O
2011   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
22   I-DATE
-   O
Age   O
:   O
7s   O
-   O
Address   O
:   O
New   B-LOCATION
York   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
10023   I-LOCATION
,   O
58770   B-LOCATION
-   O
Phone   O
Number   O
:   O
31964   B-CONTACT
-   O
Occupation   O
:   O
Refuse   O
and   O
Recyclable   O
Material   O
Collectors   O
-   O
Primary   O
Care   O
Provider   O
:   O
Holder   B-NAME
at   O
Eaton   B-LOCATION
Rapids   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Presentation   O
:   O

The   O
patient   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Westlake   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
22/22/90   B-DATE
complaining   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Palmer   B-NAME
,   O
which   O
showed   O
an   O
enlarged   O
appendix   O
with   O
presence   O
of   O
an   O
appendicolith   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

After   O
discussing   O
the   O
risks   O
and   O
benefits   O
of   O
surgery   O
with   O
Francis   B-NAME
,   O
the   O
patient   O
consented   O
to   O
an   O
appendectomy   O
.   O

The   O
procedure   O
was   O
performed   O
successfully   O
on   O
23/11   B-DATE
without   O
any   O
complications   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
home   O
on   O
17/29   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Shea   B-NAME
Barnes   I-NAME
in   O
two   O
weeks   O
.   O

The   O
patient   O
was   O
appreciative   O
of   O
the   O
care   O
received   O
from   O
the   O
medical   O
team   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
expressed   O
confidence   O
in   O
their   O
postoperative   O
recovery   O
instructions   O
.   O

Follow   O
-   O
Up   O
Information   O
:   O
1/30/2038   B-DATE
-   O
Follow   O
-   O
up   O
appointment   O
in   O
the   O
office   O
of   O
Bush   B-NAME
,   I-NAME
John   I-NAME
Carder   I-NAME
.   O

Patient   O
Report   O
:   O
33/27/61   B-DATE
/2023   O
Patient   O
Information   O
:   O
Name   O
:   O
Quintanar   B-NAME
Age   O
:   O
4   O
month   O
Medical   O
Record   O
Number   O
:   O
84647219   B-ID
Address   O
:   O
Cheviot   B-LOCATION
,   O
53319   B-LOCATION
Phone   O
:   O
531   B-CONTACT
-   I-CONTACT
891   I-CONTACT
8268   I-CONTACT
Profession   O
:   O

Ashly   B-NAME
Mitchell   I-NAME
Hospital   O
:   O
Penn   B-LOCATION
Highlands   I-LOCATION
DuBois   I-LOCATION
ID   O
:   O
NM   B-ID
:   I-ID
AO:3864   I-ID
Summary   O
:   O
Ru   B-NAME
,   O
a   O
45   O
-   O
year   O
-   O
old   O
Clinical   O
biochemist   O
from   O
Pleasant   B-LOCATION
Hope   I-LOCATION
,   O
presented   O
to   O
Hoag   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Presbyterian   I-LOCATION
on   O
00/22/2236   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Cleveland   B-NAME
denied   O
any   O
recent   O
travel   O
,   O
changes   O
in   O
diet   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

On   O
examination   O
,   O
Makenna   B-NAME
Hendricks   I-NAME
was   O
in   O
acute   O
distress   O
with   O
vital   O
signs   O
indicating   O
tachycardia   O
with   O
a   O
pulse   O
of   O
110   O
bpm   O
,   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

Valerio   B-NAME
's   O
past   O
medical   O
history   O
,   O
obtained   O
from   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Riverside   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Dobbs   I-LOCATION
Ferry   I-LOCATION
Pavilion   I-LOCATION
's   O
records   O
with   O
7211624   B-ID
,   O
was   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
both   O
managed   O
with   O
medications   O
.   O

2   O
.   O
Abdominal   O
ultrasound   O
and   O
CT   O
scan   O
performed   O
on   O
10/33/2114   B-DATE
showed   O
evidence   O
suggestive   O
of   O
acute   O
pancreatitis   O
,   O
with   O
no   O
gallstones   O
or   O
biliary   O
tract   O
obstruction   O
noted   O
.   O

Management   O
:   O
Linnie   B-NAME
Labombard   I-NAME
was   O
admitted   O
to   O
Martin   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
for   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Letisha   B-NAME
Ulrich   I-NAME
was   O
closely   O
monitored   O
for   O
signs   O
of   O
complications   O
such   O
as   O
pancreatic   O
necrosis   O
or   O
abscess   O
formation   O
.   O

A   O
consultation   O
with   O
Mareli   B-NAME
Kelley   I-NAME
,   O
a   O
gastroenterologist   O
affiliated   O
with   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
High   I-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
was   O
scheduled   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Instruction   O
for   O
Follow   O
-   O
Up   O
:   O
Nina   B-NAME
Dewalt   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
with   O
Powell   B-NAME
after   O
discharge   O
for   O
further   O
assessment   O
and   O
discussion   O
regarding   O
lifestyle   O
modifications   O
and   O
dietary   O
recommendations   O
to   O
manage   O
diabetes   O
and   O
prevent   O
recurrent   O
episodes   O
of   O
pancreatitis   O
.   O

For   O
any   O
urgent   O
issues   O
,   O
Irmgard   B-NAME
or   O
family   O
members   O
can   O
contact   O
Maimonides   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
907   I-CONTACT
)   I-CONTACT
267   I-CONTACT
-   I-CONTACT
3743   I-CONTACT
or   O
reach   O
out   O
directly   O
to   O
Lowell   B-NAME
,   I-NAME
Christopher   I-NAME
's   O
office   O
through   O
the   O
same   O
number   O
.   O

All   O
information   O
contained   O
in   O
this   O
report   O
is   O
confidential   O
and   O
protected   O
under   O
Solidarity   B-LOCATION
of   I-LOCATION
Territories   I-LOCATION
guidelines   O
.   O

Any   O
disclosure   O
of   O
this   O
information   O
,   O
without   O
the   O
consent   O
of   O
Walls   B-NAME
,   O
is   O
strictly   O
prohibited   O
.   O

Patient   O
Report   O
for   O
Edward   B-NAME
Xanthos   I-NAME
February   B-DATE
2182   I-DATE
/2023   O
Annika   B-NAME
Primeaux   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Clark   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Iman   B-NAME
Lutz   I-NAME
is   O
currently   O
on   O
Metformin   O
,   O
Lisinopril   O
,   O
and   O
Atorvastatin   O
.   O

Upon   O
examination   O
,   O
Maddox   B-NAME
Harrison   I-NAME
was   O
afebrile   O
with   O
a   O
temperature   O
of   O
98.6   O
F   O
,   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
,   O
pulse   O
90   O
bpm   O
,   O
and   O
respiratory   O
rate   O
of   O
16   O
/   O
min   O
.   O
Abdominal   O
examination   O
revealed   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
rebound   O
tenderness   O
but   O
no   O
guarding   O
.   O

Taryn   B-NAME
Rivera   I-NAME
performed   O
a   O
laparoscopic   O
appendectomy   O
without   O
complication   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
unremarkable   O
,   O
and   O
Gates   B-NAME
was   O
discharged   O
home   O
on   O
00/46   B-DATE
/2023   O
with   O
instructions   O
for   O
wound   O
care   O
,   O
pain   O
management   O
,   O
and   O
follow   O
-   O
up   O
with   O
their   O
primary   O
care   O
physician   O
.   O

Preston   B-NAME
's   O
4649484   B-ID
number   O
is   O
IG:8265:529154   B-ID
,   O
and   O
their   O
contact   O
number   O
is   O
registered   O
as   O
73725   B-CONTACT
.   O

The   O
current   O
residence   O
of   O
the   O
patient   O
is   O
listed   O
in   O
Handley   B-LOCATION
,   O
83883   B-LOCATION
.   O

The   O
patient   O
is   O
employed   O
as   O
a   O
Supply   O
Chain   O
Managers   O
,   O
and   O
any   O
further   O
communications   O
should   O
also   O
be   O
coordinated   O
through   O
Knights   B-LOCATION
of   I-LOCATION
Columbus   I-LOCATION
.   O

nge486   B-NAME
is   O
authorized   O
to   O
receive   O
updates   O
about   O
patient   O
's   O
status   O
in   O
a   O
non   O
-   O
disclosure   O
compliant   O
manner   O
.   O

Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
7/11/2322   B-DATE
/2023   O
with   O
Aquinas   B-NAME
,   I-NAME
Thomas   I-NAME
at   O
Trinity   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
more   O
information   O
or   O
updates   O
,   O
please   O
contact   O
Harlingen   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
703   B-CONTACT
-   I-CONTACT
641   I-CONTACT
-   I-CONTACT
8383   I-CONTACT
.   O

Patient   O
Name   O
:   O
Josue   B-NAME
Gallagher   I-NAME
Patient   O
ID   O
:   O
IV:9051:769719   B-ID
Medical   O
Record   O
Number   O
:   O
33780288   B-ID
Age   O
:   O
74   O
Date   O
of   O
Birth   O
:   O
12/04   B-DATE
Address   O
:   O
Lindcove   B-LOCATION
,   O
73337   B-LOCATION
Contact   O
Number   O
:   O
33627   B-CONTACT
Occupation   O
:   O
Roof   O
Bolters   O
,   O
Mining   O
Attending   O
Physician   O
:   O
Courtney   B-NAME
,   I-NAME
Margaret   I-NAME
Hospital   O
:   O
Adventist   B-LOCATION
Health   I-LOCATION
Simi   I-LOCATION
Valley   I-LOCATION
Date   O
of   O
Admission   O
:   O
March   B-DATE
07   I-DATE
Date   O
of   O
Report   O
:   O
2191   B-DATE
Clinical   O
Summary   O
:   O

Channery   B-NAME
was   O
admitted   O
to   O
Windham   B-LOCATION
Community   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
04/21   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
12   O
hours   O
before   O
admission   O
.   O

On   O
examination   O
,   O
Armininus   B-NAME
Bast   I-NAME
appeared   O
distressed   O
due   O
to   O
the   O
pain   O
.   O

Based   O
on   O
clinical   O
and   O
diagnostic   O
findings   O
,   O
Sloane   B-NAME
Calderon   I-NAME
recommended   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
was   O
successfully   O
performed   O
without   O
complications   O
on   O
39/37   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Stafford   B-NAME
was   O
discharged   O
home   O
on   O
02/24/42   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
7   O
days   O
.   O

Jolie   B-NAME
,   I-NAME
Angelina   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

Follow   O
-   O
up   O
number   O
:   O
112   B-CONTACT
-   I-CONTACT
877   I-CONTACT
3224   I-CONTACT
at   O
Speciality   B-LOCATION
Hospital   I-LOCATION
for   O
any   O
concerns   O
or   O
complications   O
related   O
to   O
the   O
surgery   O
.   O

This   O
patient   O
report   O
was   O
prepared   O
by   O
Jaime   B-NAME
Rivera   I-NAME
and   O
is   O
confidential   O
.   O

Patient   O
Name   O
:   O
Delta   B-NAME
Age   O
:   O
5   O
Date   O
of   O
Birth   O
:   O
1225   B-DATE
Phone   O
:   O
64134   B-CONTACT
Address   O
:   O
Donald   B-LOCATION
,   O
40564   B-LOCATION
ID   O
:   O
AP:101086:883455   B-ID
Medical   O
Record   O
Number   O
:   O
83879448   B-ID
Primary   O
Physician   O
:   O

Ariella   B-NAME
Medina   I-NAME
Hospital   O
:   O
Southampton   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
Wednesday   B-DATE
Profession   O
:   O

Fence   O
Erectors   O
Chief   O
Complaint   O
:   O
Valerian   B-NAME
Mautte   I-NAME
presented   O
to   O
Newton   B-LOCATION
-   I-LOCATION
Wellesley   I-LOCATION
Hospital   I-LOCATION
on   O
14/00   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
,   O
localized   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Kailee   B-NAME
Abbott   I-NAME
reported   O
experiencing   O
nausea   O
,   O
with   O
two   O
episodes   O
of   O
vomiting   O
,   O
and   O
a   O
mild   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Quanita   B-NAME
Ziemer   I-NAME
mentioned   O
that   O
the   O
abdominal   O
discomfort   O
initially   O
started   O
as   O
a   O
generalized   O
dull   O
ache   O
approximately   O
48   O
hours   O
before   O
the   O
visit   O
but   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
by   O
the   O
following   O
day   O
.   O

Roe   B-NAME
denied   O
any   O
previous   O
similar   O
episodes   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
or   O
urinary   O
symptoms   O
.   O

Ezequiel   B-NAME
Schultz   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
and   O
is   O
not   O
currently   O
on   O
any   O
prescription   O
medications   O
.   O

Upon   O
examination   O
,   O
Bent   B-NAME
,   I-NAME
Silas   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Kalidas   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

ULLOA   B-NAME
,   I-NAME
MISTY   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
proposed   O
management   O
plan   O
,   O
and   O
consent   O
for   O
surgery   O
was   O
obtained   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Kendra   B-NAME
Waites   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
observed   O
in   O
the   O
post   O
-   O
operative   O
recovery   O
unit   O
.   O

crane   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
out   O
-   O
patient   O
department   O
in   O
1   O
week   O
for   O
wound   O
check   O
and   O
further   O
evaluation   O
.   O

Disposition   O
:   O
Reid   B-NAME
Castro   I-NAME
was   O
discharged   O
on   O
62s   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
and   O
avoid   O
strenuous   O
activities   O
for   O
the   O
next   O
few   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Jaime   B-NAME
Rivera   I-NAME
at   O
McLeod   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
04/07   B-DATE
.   O

Jesus   B-NAME
Cohen   I-NAME
was   O
also   O
provided   O
with   O
a   O
859   B-CONTACT
-   I-CONTACT
6060   I-CONTACT
number   O
in   O
case   O
of   O
any   O
emergencies   O
or   O
questions   O
related   O
to   O
the   O
surgery   O
or   O
recovery   O
process   O
.   O

Patient   O
Name   O
:   O
Jamya   B-NAME
Petersen   I-NAME
Patient   O
1   B-ID
-   I-ID
6191759   I-ID
:   O
4116D67577   B-ID
Date   O
of   O
Birth   O
:   O
2083   B-DATE
Age   O
:   O
18   O
Phone   O
Number   O
:   O
596   B-CONTACT
-   I-CONTACT
2920   I-CONTACT
Address   O
:   O
Zalma   B-LOCATION
,   O
54732   B-LOCATION
Primary   O
Physician   O
:   O

Madeline   B-NAME
Key   I-NAME
Admitting   O
Hospital   O
:   O
St.   B-LOCATION
Lucie   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
31/20   B-DATE
Occupation   O
:   O
Secondary   O
School   O
Teachers   O
,   O
Except   O
Special   O
and   O
Vocational   O
Education   O
Username   O
for   O
Hospital   O
Portal   O
:   O
niz13   B-NAME
Summary   O
:   O
Joubert   B-NAME
,   I-NAME
Joseph   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Psychiatric   B-LOCATION
on   O
2131   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
21   I-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
which   O
was   O
described   O
as   O
a   O
sharp   O
and   O
constant   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Wilkinson   B-NAME
denied   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
other   O
known   O
triggers   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Vega   B-NAME
exhibited   O
tenderness   O
in   O
the   O
lower   O
right   O
abdomen   O
,   O
with   O
rebound   O
tenderness   O
indicative   O
of   O
peritonitis   O
.   O

Treatment   O
and   O
Plan   O
:   O
Victor   B-NAME
Ehrlich   I-NAME
recommended   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
to   O
remove   O
the   O
inflamed   O
appendix   O
.   O

Kruger   B-NAME
Blanquart   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
the   O
morning   O
of   O
03/11/25   B-DATE
at   O
UPMC   B-LOCATION
Mercy   I-LOCATION
.   O

Post   O
-   O
operative   O
instructions   O
include   O
rest   O
,   O
pain   O
management   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Hawkins   B-NAME
at   O
the   O
clinic   O
located   O
in   O
New   B-LOCATION
Canton   I-LOCATION
on   O
Thursday   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Olivia   B-NAME
H.   I-NAME
Grant   I-NAME
responded   O
well   O
to   O
the   O
surgery   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
pain   O
and   O
improvement   O
in   O
symptoms   O
reported   O
during   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Eliezer   B-NAME
Harvey   I-NAME
advised   O
Camila   B-NAME
Rhodes   I-NAME
to   O
gradually   O
return   O
to   O
normal   O
activities   O
while   O
avoiding   O
strenuous   O
work   O
or   O
heavy   O
lifting   O
for   O
at   O
least   O
two   O
weeks   O
.   O

Ulises   B-NAME
Noel   I-NAME
was   O
also   O
informed   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
at   O
the   O
surgery   O
site   O
and   O
to   O
report   O
any   O
unusual   O
symptoms   O
immediately   O
.   O

Conclusion   O
:   O
Roberson   B-NAME
's   O
condition   O
was   O
managed   O
effectively   O
through   O
timely   O
surgical   O
intervention   O
,   O
with   O
a   O
positive   O
outcome   O
and   O
prognosis   O
.   O

It   O
is   O
recommended   O
that   O
Faith   B-NAME
Gallegos   I-NAME
continue   O
to   O
follow   O
up   O
with   O
Landon   B-NAME
Twersky   I-NAME
for   O
routine   O
post   O
-   O
operative   O
care   O
and   O
any   O
further   O
healthcare   O
needs   O
.   O

-   O
Schedule   O
and   O
attend   O
follow   O
-   O
up   O
appointments   O
on   O
'   B-DATE
82   I-DATE
and   O
as   O
necessary   O
.   O
-   O
Contact   O
Hammarskjöld   B-NAME
,   I-NAME
Dag   I-NAME
at   O
81755   B-CONTACT
for   O
any   O
concerns   O
or   O
symptoms   O
.   O

Document   O
prepared   O
by   O
:   O
Dishwashers   O
,   O
Equanimal   B-LOCATION
Document   O
Date   O
:   O
02/36   B-DATE

Patient   O
:   O
Elsy   B-NAME
Fredrickson   I-NAME
Medical   O
Record   O
:   O
300   B-ID
-   I-ID
81   I-ID
-   I-ID
28   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
3323   B-DATE
Age   O
:   O
26   O
Address   O
:   O
Belford   B-LOCATION
,   O
45273   B-LOCATION
Phone   O
:   O
(   B-CONTACT
787   I-CONTACT
)   I-CONTACT
588   I-CONTACT
2329   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Skye   B-NAME
Cline   I-NAME
Employer   O
:   O
Canadian   B-LOCATION
Postmasters   I-LOCATION
and   I-LOCATION
Assistants   I-LOCATION
Association   I-LOCATION
Occupation   O
:   O
Speech   O
-   O
Language   O
Pathologists   O
Admission   O
Date   O
:   O
Thursday   B-DATE
ID   O
:   O
QR:891059:235692   B-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Uecker   B-NAME
,   O
presented   O
to   O
Medical   B-LOCATION
City   I-LOCATION
Frisco   I-LOCATION
's   O
emergency   O
department   O
on   O
02/20/86   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
.   O

Edison   B-NAME
Milford   I-NAME
III   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
mild   O
fever   O
,   O
and   O
loss   O
of   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ryan   B-NAME
Chamberlain   I-NAME
claims   O
the   O
pain   O
started   O
suddenly   O
,   O
around   O
32/22   B-DATE
,   O
and   O
has   O
progressively   O
worsened   O
.   O

Ayanna   B-NAME
Hayden   I-NAME
denies   O
any   O
recent   O
history   O
of   O
trauma   O
to   O
the   O
abdomen   O
.   O

Madalynn   B-NAME
Zhang   I-NAME
has   O
been   O
unable   O
to   O
find   O
a   O
comfortable   O
position   O
,   O
and   O
movement   O
seems   O
to   O
aggravate   O
the   O
pain   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
in   O
22/96   B-DATE
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Wood   I-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O
Medications   O
at   O
Admission   O
:   O

Lisinopril   O
10   O
mg   O
once   O
daily   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
kruse   B-NAME
was   O
noted   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Russell   B-NAME
was   O
consulted   O
to   O
Terrell   B-NAME
,   O
a   O
general   O
surgeon   O
,   O
for   O
further   O
evaluation   O
.   O

Management   O
and   O
Outcomes   O
:   O
Under   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
CONNER   B-NAME
,   I-NAME
VICKIE   I-NAME
was   O
indicated   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
21/12   B-DATE
.   O

The   O
operation   O
,   O
conducted   O
at   O
Geisinger   B-LOCATION
Holy   I-LOCATION
Spirit   I-LOCATION
,   O
was   O
successful   O
without   O
complications   O
.   O

Post   O
-   O
operatively   O
,   O
Leland   B-NAME
Jensen   I-NAME
received   O
antibiotics   O
and   O
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
after   O
discharge   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
02/21   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
level   O
,   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

Follow   O
-   O
Up   O
:   O
Taran   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Jasper   B-NAME
Nolan   I-NAME
in   O
Cotulla   B-LOCATION
on   O
3/0   B-DATE
.   O

Miles   B-NAME
J.   I-NAME
Bennell   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
there   O
was   O
an   O
increase   O
in   O
pain   O
,   O
fever   O
,   O
or   O
if   O
any   O
new   O
symptoms   O
arose   O
.   O

For   O
any   O
queries   O
regarding   O
post   O
-   O
operative   O
care   O
,   O
Reagan   B-NAME
,   I-NAME
Ron   I-NAME
or   O
family   O
can   O
contact   O
Woodwinds   B-LOCATION
Health   I-LOCATION
Campus   I-LOCATION
's   O
post   O
-   O
surgery   O
care   O
unit   O
at   O
270   B-CONTACT
-   I-CONTACT
4941   I-CONTACT
.   O

This   O
management   O
plan   O
follows   O
the   O
standard   O
procedure   O
for   O
managing   O
suspected   O
cases   O
of   O
acute   O
appendicitis   O
and   O
aims   O
to   O
monitor   O
Schwartz   B-NAME
's   O
recovery   O
closely   O
in   O
the   O
post   O
-   O
operative   O
period   O
.   O

The   O
patient   O
,   O
Ashtyn   B-NAME
Oneal   I-NAME
,   O
a   O
13   O
-   O
year   O
-   O
old   O
Public   O
Relations   O
Specialists   O
from   O
Laredo   B-LOCATION
,   O
presented   O
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
32/00   B-DATE
with   O
complaints   O
of   O
acute   O
dyspnea   O
,   O
chest   O
pain   O
,   O
and   O
intermittent   O
palpitations   O
that   O
began   O
approximately   O
32/20   B-DATE
.   O

Evan   B-NAME
Spencer   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
they   O
are   O
under   O
the   O
continuous   O
care   O
of   O
Ralph   B-NAME
Morton   I-NAME
,   O
a   O
renowned   O
cardiologist   O
at   O
Anderson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
North   I-LOCATION
.   O

Ann   B-NAME
Vandenberg   I-NAME
disclosed   O
during   O
the   O
consultation   O
that   O
they   O
had   O
recently   O
been   O
experiencing   O
increased   O
stress   O
at   O
work   O
as   O
a   O
Public   O
Address   O
System   O
and   O
Other   O
Announcers   O
at   O
Community   B-LOCATION
First   I-LOCATION
Bank   I-LOCATION
located   O
in   O
the   O
44984   B-LOCATION
region   O
of   O
Central   B-LOCATION
City   I-LOCATION
.   O

Upon   O
examination   O
,   O
Larry   B-NAME
Arbogast   I-NAME
noted   O
a   O
slight   O
elevation   O
in   O
Eric   B-NAME
Olds   I-NAME
's   O
blood   O
pressure   O
and   O
an   O
irregular   O
heartbeat   O
.   O

Given   O
the   O
initial   O
findings   O
,   O
Vaughn   B-NAME
recommended   O
immediate   O
hospitalization   O
for   O
further   O
evaluation   O
and   O
treatment   O
.   O

Consequently   O
,   O
alvarado   B-NAME
was   O
admitted   O
to   O
Garfield   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Griffin   B-NAME
with   O
a   O
4347402   B-ID
number   O
of   O
OH532/4393   B-ID
.   O

During   O
the   O
hospital   O
stay   O
,   O
Marvin   B-NAME
Zigler   I-NAME
underwent   O
a   O
comprehensive   O
cardiac   O
workup   O
,   O
including   O
an   O
echocardiogram   O
that   O
displayed   O
impaired   O
left   O
ventricular   O
ejection   O
fraction   O
and   O
signs   O
of   O
diastolic   O
dysfunction   O
.   O

In   O
light   O
of   O
these   O
findings   O
,   O
Macey   B-NAME
Herring   I-NAME
initiated   O
treatment   O
with   O
beta   O
-   O
blockers   O
and   O
ACE   O
inhibitors   O
,   O
along   O
with   O
modifying   O
Jeremy   B-NAME
Stone   I-NAME
's   O
existing   O
antihypertensive   O
and   O
diabetes   O
management   O
regimen   O
.   O

The   O
discussion   O
also   O
included   O
recommendations   O
for   O
lifestyle   O
adjustments   O
and   O
stress   O
management   O
techniques   O
,   O
considering   O
James   B-NAME
B.   I-NAME
Tyler   I-NAME
's   O
high   O
-   O
stress   O
Healthcare   O
Practitioners   O
and   O
Technical   O
Workers   O
,   O
All   O
Other   O
role   O
.   O

Roman   B-NAME
scheduled   O
Gertude   B-NAME
Schreiner   I-NAME
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
37   B-DATE
-   I-DATE
22   I-DATE
,   O
with   O
plans   O
to   O
assess   O
treatment   O
effectiveness   O
and   O
to   O
consider   O
further   O
diagnostic   O
investigations   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Ferreira   B-NAME
was   O
informed   O
to   O
monitor   O
their   O
symptoms   O
closely   O
and   O
to   O
contact   O
Floyd   B-NAME
's   O
office   O
at   O
(   B-CONTACT
669   I-CONTACT
)   I-CONTACT
421   I-CONTACT
6518   I-CONTACT
for   O
any   O
pressing   O
concerns   O
or   O
to   O
visit   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
-   I-LOCATION
Lexington   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
if   O
acute   O
symptoms   O
reoccur   O
.   O

The   O
personalized   O
care   O
plan   O
developed   O
by   O
Augustus   B-NAME
Navarro   I-NAME
for   O
Brunilda   B-NAME
Laski   I-NAME
emphasizes   O
the   O
importance   O
of   O
a   O
multidisciplinary   O
approach   O
in   O
managing   O
complex   O
cardiac   O
cases   O
,   O
particularly   O
those   O
complicated   O
by   O
lifestyle   O
factors   O
and   O
other   O
comorbid   O
conditions   O
.   O

Additionally   O
,   O
Rios   B-NAME
was   O
encouraged   O
to   O
reach   O
out   O
to   O
the   O
patient   O
support   O
group   O
facilitated   O
by   O
Mountain   B-LOCATION
Vista   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
individuals   O
dealing   O
with   O
chronic   O
cardiac   O
conditions   O
,   O
to   O
share   O
experiences   O
and   O
receive   O
peer   O
support   O
in   O
navigating   O
their   O
health   O
journey   O
.   O

Inge   B-NAME
Logan   I-NAME
presented   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
October   B-DATE
with   O
complaints   O
of   O
persistent   O
nausea   O
,   O
episodic   O
vomiting   O
,   O
and   O
severe   O
abdominal   O
pain   O
for   O
the   O
past   O
54s   O
days   O
.   O

Along   O
with   O
these   O
symptoms   O
,   O
Philip   B-NAME
Gibson   I-NAME
also   O
reported   O
experiencing   O
a   O
low   O
-   O
grade   O
fever   O
and   O
a   O
general   O
sense   O
of   O
malaise   O
.   O

Upon   O
examination   O
,   O
Andres   B-NAME
Kraker   I-NAME
noted   O
that   O
Marc   B-NAME
Erickson   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
with   O
observable   O
pallor   O
and   O
diaphoresis   O
.   O

Frederick   B-NAME
Hoffner   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Laparoscopic   O
appendectomy   O
was   O
performed   O
without   O
complication   O
on   O
01/38/37   B-DATE
.   O

Cornelius   B-NAME
Robles   I-NAME
was   O
given   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
post   O
-   O
operatively   O
,   O
under   O
the   O
care   O
of   O
the   O
surgical   O
team   O
in   O
Desert   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O
ElBaradei   B-NAME
,   I-NAME
Mohamed   I-NAME
's   O
past   O
medical   O
history   O
,   O
obtained   O
from   O
59990120   B-ID
,   O
was   O
notable   O
for   O
mild   O
asthma   O
controlled   O
with   O
an   O
inhaler   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Family   O
history   O
revealed   O
that   O
Serenity   B-NAME
Parker   I-NAME
's   O
mother   O
had   O
a   O
similar   O
surgical   O
procedure   O
at   O
the   O
age   O
of   O
31   O
,   O
suggestive   O
of   O
a   O
possible   O
genetic   O
predisposition   O
.   O

Twana   B-NAME
Florestal   I-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
at   O
the   O
surgical   O
site   O
,   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2187   B-DATE
weeks   O
.   O

Lonnie   B-NAME
Leroy   I-NAME
George   I-NAME
Zuniga   I-NAME
was   O
discharged   O
on   O
00/21   B-DATE
with   O
recommendations   O
for   O
limited   O
physical   O
activity   O
for   O
11   O
month   O
weeks   O
to   O
ensure   O
proper   O
healing   O
.   O

Contact   O
information   O
for   O
Bryce   B-LOCATION
Hospital   I-LOCATION
’s   O
post   O
-   O
operative   O
care   O
unit   O
was   O
provided   O
,   O
with   O
instructions   O
to   O
call   O
if   O
Colby   B-NAME
Mccormick   I-NAME
experienced   O
any   O
adverse   O
symptoms   O
or   O
had   O
any   O
concerns   O
regarding   O
recovery   O
.   O

The   O
296   B-CONTACT
8632   I-CONTACT
number   O
for   O
the   O
unit   O
is   O
324   B-CONTACT
-   I-CONTACT
466   I-CONTACT
-   I-CONTACT
7398   I-CONTACT
,   O
and   O
patients   O
are   O
encouraged   O
to   O
call   O
24/7   O
for   O
post   O
-   O
operative   O
support   O
.   O

Villarreal   B-NAME
documented   O
the   O
case   O
in   O
Harry   B-NAME
Block   I-NAME
's   O
electronic   O
health   O
record   O
,   O
623   B-ID
-   I-ID
60   I-ID
-   I-ID
61   I-ID
,   O
ensuring   O
all   O
details   O
of   O
the   O
presentation   O
,   O
diagnosis   O
,   O
treatment   O
,   O
and   O
post   O
-   O
operative   O
care   O
were   O
comprehensively   O
recorded   O
for   O
future   O
reference   O
.   O

Hamilton   B-NAME
,   I-NAME
Gail   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
left   O
with   O
a   O
positive   O
outlook   O
towards   O
a   O
full   O
recovery   O
.   O

Further   O
follow   O
-   O
ups   O
are   O
to   O
be   O
conducted   O
by   O
James   B-NAME
at   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
in   I-LOCATION
Eau   I-LOCATION
Claire   I-LOCATION
,   O
with   O
the   O
next   O
appointment   O
scheduled   O
for   O
16/29/2292   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Chloe   B-NAME
Henson   I-NAME
Age   O
:   O
5   O
Phone   O
Number   O
:   O
85158   B-CONTACT
Date   O
of   O
Birth   O
:   O
November   B-DATE
6   I-DATE
Address   O
:   O
Pine   B-LOCATION
Brook   I-LOCATION
Hill   I-LOCATION
,   O
85917   B-LOCATION

Brilliant   B-NAME
,   I-NAME
Ashleigh   I-NAME
Hospital   O
:   O
Doctors   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
614   B-ID
-   I-ID
18   I-ID
-   I-ID
17   I-ID
Date   O
of   O
Visit   O
:   O
15/06/82   B-DATE
Patient   O
ID   O
:   O
36480   B-ID
Symptoms   O
Description   O
:   O
Lyric   B-NAME
Fletcher   I-NAME
presented   O
to   O
MultiCare   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
03/88   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Imala   B-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
fever   O
measured   O
at   O
home   O
as   O
38.5   O
°   O
C   O
(   O
spring   B-DATE
2132   I-DATE
)   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
that   O
has   O
persisted   O
for   O
approximately   O
48   O
hours   O
before   O
the   O
visit   O
.   O

There   O
was   O
no   O
reported   O
diarrhea   O
,   O
but   O
Rachel   B-NAME
Davila   I-NAME
mentioned   O
experiencing   O
mild   O
constipation   O
in   O
the   O
days   O
leading   O
up   O
to   O
the   O
presentation   O
.   O

Physical   O
Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Marilyn   B-NAME
Cunningham   I-NAME
displayed   O
signs   O
of   O
abdominal   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggesting   O
peritoneal   O
irritation   O
.   O

Investigations   O
Ordered   O
:   O
Macias   B-NAME
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
an   O
abdominal   O
ultrasound   O
,   O
and   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
to   O
further   O
evaluate   O
the   O
cause   O
of   O
Craft   B-NAME
's   O
symptoms   O
.   O

Diagnosis   O
:   O
Based   O
on   O
clinical   O
findings   O
,   O
lab   O
results   O
,   O
and   O
imaging   O
,   O
Harper   B-NAME
was   O
diagnosed   O
with   O
acute   O
perforated   O
appendicitis   O
.   O

Bond   B-NAME
advised   O
immediate   O
surgical   O
intervention   O
.   O

Burns   B-NAME
,   I-NAME
Robert   I-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
22/21   B-DATE
.   O

Clinical   O
molecular   O
geneticist   O
and   O
nursing   O
staff   O
were   O
informed   O
of   O
the   O
impending   O
surgery   O
and   O
prepared   O
for   O
Landin   B-NAME
Bowers   I-NAME
's   O
immediate   O
transfer   O
to   O
the   O
operating   O
room   O
.   O

Following   O
surgery   O
,   O
Brandi   B-NAME
Xayasane   I-NAME
was   O
transferred   O
to   O
the   O
post   O
-   O
operative   O
care   O
unit   O
for   O
monitoring   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Cabrera   B-NAME
showed   O
signs   O
of   O
improvement   O
with   O
resolution   O
of   O
fever   O
and   O
abdominal   O
pain   O
.   O

oliveira   B-NAME
was   O
discharged   O
from   O
Riverside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
09/29   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
with   O
Fletcher   B-NAME
Arroyo   I-NAME
in   O
2   O
weeks   O
.   O

For   O
any   O
concerns   O
regarding   O
the   O
use   O
of   O
personal   O
information   O
,   O
please   O
contact   O
our   O
office   O
at   O
929   B-CONTACT
-   I-CONTACT
4049   I-CONTACT
.   O
Helsinki   B-LOCATION
Committee   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
is   O
committed   O
to   O
ensuring   O
the   O
confidentiality   O
and   O
security   O
of   O
patient   O
personal   O
information   O
.   O

Patient   O
Name   O
:   O
Lala   B-NAME
Grigsby   I-NAME
Medical   O
Record   O
Number   O
:   O
47135014   B-ID
Date   O
of   O
Birth   O
:   O
Thursday   B-DATE
,   I-DATE
April   I-DATE
Age   O
:   O
30   O
Phone   O
Number   O
:   O
(   B-CONTACT
155   I-CONTACT
)   I-CONTACT
588   I-CONTACT
6348   I-CONTACT
Address   O
:   O
Shelby   B-LOCATION
,   I-LOCATION
Uptown   I-LOCATION
Shelby   I-LOCATION
Association   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
17832   B-LOCATION

Calvin   B-NAME
Terry   I-NAME
Hospital   O
Name   O
:   O
Middle   B-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
January   B-DATE
1   I-DATE
,   I-DATE
2208   I-DATE
SSN   O
:   O

HQ357/9826   B-ID
Clinical   O
Summary   O
:   O
Hunter   B-NAME
Lawson   I-NAME
,   O
a   O
Veterinary   O
Technologists   O
and   O
Technicians   O
from   O
Sherman   B-LOCATION
,   O
presented   O
to   O
Resolute   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
on   O
2022   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Additionally   O
,   O
Gyllenhaal   B-NAME
,   I-NAME
Jake   I-NAME
reported   O
experiencing   O
fever   O
and   O
chills   O
,   O
particularly   O
in   O
the   O
evenings   O
.   O

Upon   O
physical   O
examination   O
,   O
Dexter   B-NAME
Navarro   I-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
.   O

Sloan   B-NAME
was   O
admitted   O
to   O
Monroe   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Kennedy   B-NAME
,   I-NAME
Anthony   I-NAME
for   O
further   O
management   O
of   O
suspected   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Mason   B-NAME
will   O
be   O
closely   O
monitored   O
for   O
any   O
signs   O
of   O
respiratory   O
distress   O
or   O
failure   O
,   O
which   O
might   O
necessitate   O
escalation   O
of   O
care   O
.   O

Instructions   O
for   O
Follow   O
-   O
Up   O
:   O
Delana   B-NAME
Seekins   I-NAME
is   O
instructed   O
to   O
follow   O
up   O
in   O
the   O
clinic   O
after   O
discharge   O
for   O
re   O
-   O
evaluation   O
by   O
Presley   B-NAME
Stanton   I-NAME
.   O

The   O
appointment   O
is   O
scheduled   O
for   O
02/2132   B-DATE
,   O
and   O
Marsh   B-NAME
can   O
confirm   O
their   O
appointment   O
by   O
calling   O
372   B-CONTACT
-   I-CONTACT
186   I-CONTACT
-   I-CONTACT
7207   I-CONTACT
.   O
Notice   O
of   O
Privacy   O
Practice   O
:   O
Please   O
be   O
reminded   O
that   O
your   O
health   O
information   O
is   O
protected   O
under   O
HIPAA   O
,   O
and   O
any   O
disclosure   O
of   O
your   O
PHI   O
,   O
including   O
but   O
not   O
limited   O
to   O
3585909   B-ID
,   O
ID794/7117   B-ID
,   O
and   O
(   B-CONTACT
472   I-CONTACT
)   I-CONTACT
571   I-CONTACT
2261   I-CONTACT
,   O
will   O
be   O
handled   O
with   O
strict   O
confidentiality   O
.   O

For   O
any   O
further   O
queries   O
or   O
concerns   O
regarding   O
your   O
treatment   O
and   O
privacy   O
rights   O
,   O
ShoreBank   B-LOCATION
’s   O
privacy   O
officer   O
can   O
be   O
contacted   O
via   O
(   B-CONTACT
569   I-CONTACT
)   I-CONTACT
358   I-CONTACT
9073   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Kasen   B-NAME
Owens   I-NAME
-   O
Age   O
:   O
70   O
-   O
ID   O
:   O
1   B-ID
-   I-ID
8260241   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
82516437   B-ID
-   O
Date   O
of   O
Report   O
:   O
1625   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
23   I-DATE
/2023   O
-   O
Contact   O
Information   O
:   O
83378   B-CONTACT
-   O
Address   O
:   O
Ankeny   B-LOCATION
,   O
70768   B-LOCATION

Presenting   O
Problem   O
:   O
Ezra   B-NAME
Adams   I-NAME
was   O
admitted   O
to   O
Columbia   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
23   I-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
temperature   O
of   O
37.8   O
°   O
C   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Olivia   B-NAME
H.   I-NAME
Grant   I-NAME
has   O
experienced   O
moderate   O
to   O
severe   O
abdominal   O
pain   O
for   O
the   O
past   O
24   O
hours   O
.   O

Arthur   B-NAME
Qin   I-NAME
denies   O
any   O
previous   O
similar   O
episodes   O
.   O

Abraham   B-NAME
Mathis   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
hypertension   O
under   O
control   O
with   O
ACE   O
inhibitors   O
,   O
and   O
hypercholesterolemia   O
treated   O
with   O
statins   O
.   O

Diagnostic   O
Testing   O
:   O
Initial   O
laboratory   O
tests   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
mm³.   O
A   O
non   O
-   O
contrast   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
ordered   O
by   O
Christopher   B-NAME
Kidd   I-NAME
and   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Xan   B-NAME
Dillon   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
and   O
subsequently   O
taken   O
to   O
the   O
operating   O
room   O
for   O
an   O
appendectomy   O
on   O
2269   B-DATE
/2023   O
by   O
Aiden   B-NAME
Herman   I-NAME
.   O

Follow   O
-   O
Up   O
Care   O
:   O
Justus   B-NAME
Hobbs   I-NAME
is   O
to   O
follow   O
up   O
with   O
Uriah   B-NAME
Bryant   I-NAME
in   O
the   O
outpatient   O
clinic   O
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
in   O
2   O
weeks   O
for   O
post   O
-   O
operative   O
evaluation   O
.   O

Instructions   O
were   O
provided   O
to   O
Werner   B-NAME
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgery   O
site   O
,   O
and   O
to   O
report   O
any   O
symptoms   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
nausea   O
and   O
vomiting   O
immediately   O
.   O

The   O
services   O
provided   O
are   O
billed   O
to   O
Rocky   B-LOCATION
Mountain   I-LOCATION
Animal   I-LOCATION
Defense   I-LOCATION
under   O
policy   O
number   O
RY:5291:670444   B-ID
.   O

For   O
any   O
billing   O
inquiries   O
,   O
please   O
contact   O
the   O
billing   O
department   O
at   O
70504   B-CONTACT
.   O

Report   O
Prepared   O
by   O
:   O
Na   B-NAME
Justiniano   I-NAME
Saturday   B-DATE
Note   O
:   O
All   O
identifying   O
information   O
has   O
been   O
removed   O
or   O
altered   O
in   O
this   O
report   O
to   O
ensure   O
privacy   O
and   O
confidentiality   O
in   O
compliance   O
with   O
the   O
requirements   O
for   O
protection   O
of   O
personal   O
health   O
information   O
.   O

Patient   O
Report   O
for   O
Adams   B-NAME
,   I-NAME
John   I-NAME
:   O
Medical   O
Record   O
Number   O
:   O
6533577   B-ID
Date   O
of   O
Service   O
:   O
00/00   B-DATE
Chief   O
Complaint   O
:   O
Rayna   B-NAME
Hart   I-NAME
,   O
a   O
11   O
month   O
-   O
year   O
-   O
old   O
Careers   O
consultant   O
,   O
presented   O
to   O
Witham   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
located   O
in   O
Whitestone   B-LOCATION
,   O
reporting   O
a   O
72   O
-   O
hour   O
history   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
is   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Additionally   O
,   O
Rigoberto   B-NAME
Mcardle   I-NAME
has   O
experienced   O
nausea   O
and   O
has   O
vomited   O
twice   O
since   O
the   O
onset   O
of   O
pain   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Burroughs   B-NAME
,   I-NAME
William   I-NAME
S.   I-NAME
states   O
that   O
the   O
pain   O
was   O
gradual   O
in   O
onset   O
and   O
has   O
progressively   O
worsened   O
over   O
the   O
past   O
3   O
days   O
.   O

Maci   B-NAME
Levine   I-NAME
denies   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
Kelsie   B-NAME
Crowner   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
metformin   O
and   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

Family   O
History   O
:   O
Ellis   B-NAME
Ford   I-NAME
reports   O
that   O
their   O
father   O
had   O
colon   O
cancer   O
diagnosed   O
at   O
age   O
30   O
,   O
and   O
their   O
mother   O
has   O
a   O
history   O
of   O
gallstones   O
.   O

Esparza   B-NAME
is   O
a   O
Commissioning   O
engineer   O
residing   O
in   O
Burlington   B-LOCATION
,   I-LOCATION
Church   I-LOCATION
Street   I-LOCATION
Marketplace   I-LOCATION
with   O
a   O
phone   O
number   O
registered   O
as   O
(   B-CONTACT
756   I-CONTACT
)   I-CONTACT
176   I-CONTACT
3520   I-CONTACT
.   O

Spencer   B-NAME
Hester   I-NAME
denies   O
tobacco   O
use   O
,   O
consumes   O
alcohol   O
socially   O
,   O
and   O
denies   O
recreational   O
drug   O
use   O
.   O
Review   O
of   O
Systems   O
:   O
-   O
Positive   O
for   O
fever   O
and   O
chills   O
.   O
-   O
Denies   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
urinary   O
symptoms   O
.   O

-   O
Abdominal   O
ultrasound   O
ordered   O
by   O
Foley   B-NAME
shows   O
evidence   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
supporting   O
diagnostic   O
evidence   O
,   O
Zane   B-NAME
Casey   I-NAME
diagnosed   O
Norah   B-NAME
Mcneil   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommends   O
surgical   O
intervention   O
.   O

Zachary   B-NAME
Smith   I-NAME
was   O
admitted   O
to   O
Seton   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
St   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Campus   I-LOCATION
on   O
01/5   B-DATE
for   O
laparoscopic   O
appendectomy   O
.   O

Disposition   O
:   O
Brianna   B-NAME
Ferrell   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
without   O
complication   O
.   O

Post   O
-   O
operative   O
recovery   O
is   O
progressing   O
well   O
with   O
plans   O
for   O
discharge   O
to   O
home   O
in   O
Falfurrias   B-LOCATION
on   O
8   B-DATE
-   I-DATE
09   I-DATE
.   O

Marlena   B-NAME
Evans   I-NAME
is   O
advised   O
to   O
follow   O
up   O
with   O
Bertram   B-NAME
Pincus   I-NAME
in   O
2   O
weeks   O
for   O
post   O
-   O
operative   O
evaluation   O
.   O

The   O
contact   O
information   O
for   O
any   O
queries   O
or   O
further   O
assistance   O
is   O
90341   B-CONTACT
.   O

Prepared   O
by   O
:   O
ty125   B-NAME
For   O
:   O
Canoochee   B-LOCATION
EMC   I-LOCATION
Date   O
:   O
04/11/1639   B-DATE

Patient   O
Report   O
Patient   O
ID   O
:   O
7575524   B-ID
Name   O
:   O
Michael   B-NAME
,   I-NAME
Dana   I-NAME
Age   O
:   O
97   O
Date   O
of   O
Admission   O
:   O
18/08   B-DATE
Hospital   O
:   O
Edgewood   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Curry   B-NAME
Location   O
:   O
8382   B-LOCATION
Wilson   I-LOCATION
St.   I-LOCATION
Zip   O
code   O
:   O
15017   B-LOCATION
Contact   O
number   O
:   O
136   B-CONTACT
3731   I-CONTACT
Employer   O
:   O

Independent   B-LOCATION
Nation   I-LOCATION
Profession   O
:   O
Physical   O
Therapist   O
Assistants   O
Medical   O
History   O
:   O

The   O
patient   O
,   O
Brazauskas   B-NAME
,   I-NAME
Algirdas   I-NAME
,   O
a   O
8   O
-   O
year   O
-   O
old   O
Interviewers   O
,   O
Except   O
Eligibility   O
and   O
Loan   O
employed   O
at   O
West   B-LOCATION
Florida   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
,   O
residing   O
in   O
Yutan   B-LOCATION
with   O
ZIP   O
code   O
40192   B-LOCATION
,   O
presented   O
to   O
Smith   B-LOCATION
Northview   I-LOCATION
Hospital   I-LOCATION
on   O
Monday   B-DATE
.   O

The   O
admission   O
was   O
made   O
under   O
the   O
care   O
of   O
Benjamin   B-NAME
Stone   I-NAME
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Godfrey   B-NAME
,   I-NAME
Kelley   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
at   O
160/100   O
mmHg   O
.   O

The   O
patient   O
's   O
history   O
of   O
hypertension   O
and   O
a   O
high   O
-   O
stress   O
Trade   O
union   O
research   O
officer   O
at   O
Release   B-LOCATION
International   I-LOCATION
are   O
contributing   O
factors   O
to   O
the   O
current   O
presentation   O
.   O

Lailah   B-NAME
Maxwell   I-NAME
was   O
advised   O
to   O
remain   O
hospitalized   O
under   O
close   O
monitoring   O
at   O
Barnes   B-LOCATION
-   I-LOCATION
Kasson   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
for   O
potential   O
complications   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Neal   B-NAME
for   O
12/21   B-DATE
.   O

Privacy   O
Information   O
:   O
Patient   O
ID   O
:   O
2760544   B-ID
Physician   O
Contact   O
:   O
909   B-CONTACT
-   I-CONTACT
2244   I-CONTACT
Patient   O
Contact   O
:   O
573   B-CONTACT
-   I-CONTACT
2126   I-CONTACT

Patient   O
Name   O
:   O
Griffin   B-NAME
Fitzgerald   I-NAME
Patient   O
ID   O
:   O
FV   B-ID
:   I-ID
QS:5044   I-ID
Date   O
of   O
Birth   O
:   O
32/22/11   B-DATE
Medical   O
Record   O
Number   O
:   O
8589936   B-ID
Physician   O
:   O

Mccall   B-NAME
Admission   O
Date   O
:   O
9/2014   B-DATE
Location   O
:   O
Progress   B-LOCATION
Village   I-LOCATION
Hospital   O
:   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Contact   O
Information   O
:   O
802   B-CONTACT
180   I-CONTACT
-   I-CONTACT
5457   I-CONTACT
Current   O
Address   O
:   O
Ualapu'e   B-LOCATION
,   O
49893   B-LOCATION
Occupation   O
:   O

Haley   B-NAME
reported   O
experiencing   O
persistent   O
and   O
severe   O
headaches   O
,   O
with   O
onset   O
approximately   O
two   O
weeks   O
prior   O
to   O
admission   O
on   O
02/21   B-DATE
.   O

Accompanying   O
symptoms   O
include   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
sporadic   O
episodes   O
of   O
nausea   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Esta   B-NAME
,   O
a   O
100   O
-   O
year   O
-   O
old   O
Railroad   O
Brake   O
,   O
Signal   O
,   O
and   O
Switch   O
Operators   O
,   O
has   O
been   O
previously   O
healthy   O
with   O
no   O
significant   O
past   O
medical   O
history   O
.   O

The   O
headaches   O
initially   O
occurred   O
bi   O
-   O
weekly   O
;   O
however   O
,   O
they   O
have   O
recently   O
become   O
daily   O
occurrences   O
,   O
compelling   O
Mata   B-NAME
to   O
seek   O
medical   O
attention   O
.   O

Bradyn   B-NAME
Pham   I-NAME
denies   O
any   O
recent   O
head   O
trauma   O
,   O
fever   O
,   O
or   O
vision   O
changes   O
.   O

Verney   B-NAME
works   O
as   O
a   O
Recreational   O
Vehicle   O
Service   O
Technicians   O
at   O
Air   B-LOCATION
Botswana   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
in   O
Port   B-LOCATION
Hadlock   I-LOCATION
.   O

Rylan   B-NAME
Leon   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Susann   B-NAME
Fritzler   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Branson   B-NAME
Cross   I-NAME
recommended   O
the   O
initiation   O
of   O
a   O
daily   O
prophylactic   O
medication   O
and   O
prescribed   O
a   O
course   O
of   O
physical   O
therapy   O
aimed   O
at   O
stress   O
reduction   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
January   B-DATE
39   I-DATE
,   I-DATE
2033   I-DATE
to   O
reassess   O
Gunner   B-NAME
Sherman   I-NAME
's   O
symptoms   O
and   O
response   O
to   O
treatment   O
.   O

Rojas   B-NAME
also   O
advised   O
Tom   B-NAME
Wakefield   I-NAME
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
severity   O
of   O
the   O
headaches   O
,   O
along   O
with   O
any   O
potential   O
triggers   O
.   O

If   O
symptoms   O
persist   O
or   O
worsen   O
,   O
Darryl   B-NAME
Larson   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
of   O
Healthpark   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
contact   O
Chaim   B-NAME
Zamora   I-NAME
's   O
office   O
at   O
50956   B-CONTACT
.   O

Patient   O
Name   O
:   O
Margaret   B-NAME
Cole   I-NAME
Patient   O
ID   O
:   O
IC752/2439   B-ID
Date   O
of   O
Birth   O
:   O
12/02   B-DATE
Age   O
:   O
95   O
Address   O
:   O
Chain   B-LOCATION
of   I-LOCATION
Rocks   I-LOCATION
,   O
18065   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
298   I-CONTACT
)   I-CONTACT
530   I-CONTACT
-   I-CONTACT
7066   I-CONTACT
Occupation   O
:   O
Appraisers   O
,   O
Real   O
Estate   O
Primary   O
Care   O
Physician   O
:   O
Wilkinson   B-NAME
Medical   O
Record   O
Number   O
:   O
0093490   B-ID
Date   O
of   O
Admission   O
:   O
13/14   B-DATE
Hospital   O
:   O
Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
Pensacola   I-LOCATION
Clinical   O
Summary   O
:   O
Clarence   B-NAME
Strong   I-NAME
presented   O
to   O
Howard   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
22/26   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
dyspnea   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

There   O
was   O
no   O
reported   O
loss   O
of   O
consciousness   O
but   O
Cheveyo   B-NAME
mentioned   O
a   O
feeling   O
of   O
impending   O
doom   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bob   B-NAME
Merrick   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
at   O
150/90   O
mmHg   O
.   O

Management   O
:   O
Eliza   B-NAME
Bell   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
and   O
a   O
statin   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Given   O
the   O
ECG   O
findings   O
and   O
clinical   O
presentation   O
,   O
the   O
decision   O
was   O
made   O
by   O
Davis   B-NAME
,   I-NAME
Bette   I-NAME
to   O
proceed   O
with   O
cardiac   O
catheterization   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
April   B-DATE
2298   I-DATE
,   O
revealed   O
a   O
90   O
%   O
blockage   O
in   O
the   O
right   O
coronary   O
artery   O
,   O
which   O
was   O
successfully   O
treated   O
with   O
angioplasty   O
and   O
stenting   O
.   O
Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Post   O
-   O
procedure   O
,   O
Princess   B-NAME
Lawson   I-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
.   O

ESPOSITO   B-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

Medications   O
for   O
hypertension   O
and   O
hyperlipidemia   O
were   O
adjusted   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
set   O
with   O
Marquez   B-NAME
in   O
two   O
weeks   O
.   O

Prescribed   O
Medications   O
at   O
Discharge   O
:   O
-   O
Aspirin   O
81   O
mg   O
daily   O
-   O
Atorvastatin   O
40   O
mg   O
nightly   O
-   O
Metoprolol   O
50   O
mg   O
twice   O
daily   O
-   O
Lisinopril   O
20   O
mg   O
daily   O
Emergency   O
Contact   O
:   O
Name   O
:   O
dtf719   B-NAME
Relation   O
:   O
Plate   O
Finishers   O
Phone   O
Number   O
:   O
921   B-CONTACT
-   I-CONTACT
751   I-CONTACT
3126   I-CONTACT

This   O
clinical   O
summary   O
has   O
been   O
prepared   O
by   O
the   O
medical   O
team   O
at   O
UNC   B-LOCATION
Rockingham   I-LOCATION
Hospital   I-LOCATION
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Frank   B-NAME
Choi   I-NAME
's   O
healthcare   O
providers   O
for   O
continuous   O
care   O
coordination   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
clarification   O
,   O
please   O
contact   O
Riverside   B-LOCATION
University   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
974   B-CONTACT
3579   I-CONTACT
.   O

Patient   O
Name   O
:   O
Lara   B-NAME
Medical   O
Record   O
Number   O
:   O
801   B-ID
49   I-ID
00   I-ID
Date   O
of   O
Birth   O
:   O
10/20   B-DATE
Age   O
:   O
78   O
Address   O
:   O
307   B-LOCATION
Aspen   I-LOCATION
Lane   I-LOCATION
,   O
38332   B-LOCATION
Primary   O
Physician   O
:   O

Avery   B-NAME
Treating   O
Hospital   O
:   O

Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Los   I-LOCATION
Angeles   I-LOCATION
Insurance   O
ID   O
:   O
130379   B-ID
Phone   O
Number   O
:   O
97429   B-CONTACT
Date   O
of   O
Admission   O
:   O
02/32   B-DATE
Date   O
of   O
Report   O
:   O

04/20/52   B-DATE
*   O
*   O
Clinical   O
Summary   O

The   O
patient   O
,   O
Robert   B-NAME
Bramwell   I-NAME
,   O
presented   O
to   O
Russell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
35/20   B-DATE
with   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Rocha   B-NAME
reported   O
a   O
progressive   O
and   O
severe   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Miranda   B-NAME
also   O
reported   O
accompanying   O
symptoms   O
of   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
single   O
episode   O
of   O
fever   O
,   O
which   O
Kody   B-NAME
Mcdaniel   I-NAME
indicates   O
occurred   O
on   O
the   O
evening   O
of   O
16/11   B-DATE
.   O

Physical   O
examination   O
by   O
Bennett   B-NAME
revealed   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
a   O
positive   O
Rovsing   O
's   O
sign   O
.   O

*   O
*   O
Management   O
and   O
Outcome   O
:*   O
*   O
Under   O
the   O
care   O
of   O
Madalyn   B-NAME
Calderon   I-NAME
and   O
the   O
surgical   O
team   O
at   O
VCU   B-LOCATION
Health   I-LOCATION
Community   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
Kaley   B-NAME
Kaiser   I-NAME
underwent   O
an   O
uneventful   O
laparoscopic   O
appendectomy   O
on   O
05/33/03   B-DATE
.   O

*   O
*   O
Discharge   O
and   O
Follow   O
-   O
up   O
:*   O
*   O
Ysidro   B-NAME
Xia   I-NAME
was   O
discharged   O
on   O
28   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Mcdaniel   B-NAME
at   O
Novant   B-LOCATION
Health   I-LOCATION
Clemmons   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
scheduled   O
for   O
21/23   B-DATE
to   O
evaluate   O
recovery   O
progress   O
and   O
wound   O
healing   O
.   O

Sau   B-NAME
Swint   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
such   O
as   O
fever   O
,   O
persistent   O
vomiting   O
,   O
or   O
increasing   O
abdominal   O
pain   O
.   O

For   O
any   O
further   O
inquiries   O
,   O
please   O
contact   O
Deja   B-NAME
Huerta   I-NAME
's   O
case   O
manager   O
at   O
(   B-CONTACT
648   I-CONTACT
)   I-CONTACT
935   I-CONTACT
2829   I-CONTACT
.   O

Ensure   O
to   O
reference   O
the   O
patient   O
's   O
medical   O
record   O
number   O
,   O
63247992   B-ID
,   O
for   O
all   O
communications   O
.   O

*   O
*   O
Report   O
Prepared   O
By   O
:*   O
*   O
HB166   B-NAME
Combination   O
Machine   O
Tool   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
at   O
Vineland   B-LOCATION
Municipal   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
25/03/83   B-DATE
*   O
*   O
Note   O
:*   O
*   O
All   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
pertaining   O
to   O
the   O
patient   O
,   O
healthcare   O
providers   O
,   O
and   O
associated   O
facilities   O
have   O
been   O
anonymized   O
as   O
per   O
compliance   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Steve   B-NAME
George   I-NAME
Medical   O
Record   O
Number   O
:   O
788   B-ID
-   I-ID
91   I-ID
-   I-ID
46   I-ID
Date   O
of   O
Birth   O
:   O
32/39   B-DATE
Age   O
:   O
37   O
Address   O
:   O
Lomita   B-LOCATION
,   O
53479   B-LOCATION
Phone   O
Number   O
:   O
353   B-CONTACT
268   I-CONTACT
8957   I-CONTACT

Rene   B-NAME
Wilkinson   I-NAME
Hospital   O
:   O
Monadnock   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
12/09/64   B-DATE
Patient   O
ID   O
:   O
HZ   B-ID
:   I-ID
ZQ:1737   I-ID
Referring   O
Organization   O
:   O

Security   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
FSB   I-LOCATION
Username   O
:   O
OD556   B-NAME
Summary   O
:   O
Mencken   B-NAME
,   I-NAME
H.   I-NAME
L.   I-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
All   O
Other   O
Tactical   O
Operations   O
Specialists   O
from   O
Virginia   B-LOCATION
Beach   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Reading   B-LOCATION
Hospital   I-LOCATION
on   O
3/07   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
indicating   O
a   O
possible   O
appendicitis   O
.   O

In   O
addition   O
to   O
the   O
abdominal   O
pain   O
,   O
Michael   B-NAME
John   I-NAME
Boyle   I-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
early   O
morning   O
of   O
the   O
same   O
day   O
.   O

Upon   O
examination   O
,   O
Lamb   B-NAME
's   O
vital   O
signs   O
were   O
found   O
to   O
be   O
slightly   O
abnormal   O
with   O
a   O
recorded   O
fever   O
of   O
100.4   O
°   O
F   O
.   O

No   O
significant   O
past   O
medical   O
history   O
was   O
noted   O
in   O
Fishback   B-NAME
,   I-NAME
Margaret   I-NAME
's   O
chart   O
.   O

Sandoval   B-NAME
's   O
surgical   O
history   O
is   O
non   O
-   O
contributory   O
.   O

Initial   O
laboratory   O
tests   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
and   O
an   O
abdominal   O
ultrasound   O
were   O
ordered   O
by   O
Rosario   B-NAME
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
symptoms   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
supporting   O
diagnostic   O
findings   O
,   O
Angie   B-NAME
Romero   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
to   O
prevent   O
potential   O
complications   O
such   O
as   O
rupture   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
the   O
next   O
morning   O
on   O
2123   B-DATE
under   O
the   O
care   O
of   O
Mendoza   B-NAME
.   O

Post   O
-   O
operatively   O
,   O
Lewis   B-NAME
Cooley   I-NAME
showed   O
signs   O
of   O
rapid   O
improvement   O
with   O
the   O
resolution   O
of   O
abdominal   O
pain   O
and   O
fever   O
.   O

Grove   B-NAME
,   I-NAME
Andy   I-NAME
was   O
given   O
post   O
-   O
operative   O
instructions   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
outpatient   O
department   O
of   O
Saint   B-LOCATION
Peter   I-LOCATION
's   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
12/38   B-DATE
.   O

The   O
potential   O
risks   O
associated   O
with   O
post   O
-   O
surgery   O
were   O
discussed   O
with   O
Kosevich   B-NAME
,   O
including   O
infection   O
and   O
signs   O
of   O
possible   O
complications   O
to   O
monitor   O
closely   O
.   O

Hannah   B-NAME
Copeland   I-NAME
expressed   O
understanding   O
and   O
gratitude   O
for   O
the   O
care   O
provided   O
.   O

Xander   B-NAME
Love   I-NAME
was   O
discharged   O
with   O
a   O
prescription   O
for   O
antibiotics   O
and   O
pain   O
management   O
medications   O
and   O
advised   O
to   O
follow   O
a   O
diet   O
low   O
in   O
fiber   O
for   O
the   O
initial   O
weeks   O
post   O
-   O
operation   O
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
the   O
case   O
,   O
please   O
contact   O
Walters   B-NAME
at   O
(   B-CONTACT
251   I-CONTACT
)   I-CONTACT
359   I-CONTACT
7668   I-CONTACT
or   O
via   O
email   O
provided   O
in   O
Eli   B-NAME
Ritter   I-NAME
's   O
medical   O
records   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
0319111   B-ID
Name   O
:   O
Scarlett   B-NAME
Stanley   I-NAME
Age   O
:   O
3   O
Profession   O
:   O

Prosthodontists   O
Location   O
:   O
BROMLEY   B-LOCATION
Zip   O
Code   O
:   O
27737   B-LOCATION
Contact   O
Number   O
:   O
24159   B-CONTACT
Date   O
of   O
Admission   O
:   O
12/21   B-DATE
Admitting   O
Hospital   O
:   O
Timpanogos   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Noel   B-NAME
Mathis   I-NAME
SSN   O
:   O
SW:784:557325   B-ID
Medical   O
History   O
:   O
Skalle   B-NAME
Edleston   I-NAME
presented   O
to   O
Logan   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Oakley   I-LOCATION
on   O
06/00   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
7   O
days   O
.   O

The   O
patient   O
is   O
a   O
Mining   O
Machine   O
Operators   O
,   O
All   O
Other   O
by   O
profession   O
and   O
mentioned   O
a   O
recent   O
travel   O
history   O
to   O
Windsor   B-LOCATION
in   O
the   O
past   O
month   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Stacy   B-NAME
Graham   I-NAME
was   O
alert   O
and   O
oriented   O
times   O
three   O
but   O
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
respiratory   O
discomfort   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
Ray   O
performed   O
on   O
1901   B-DATE
showed   O
bilateral   O
infiltrates   O
consistent   O
with   O
pneumonia   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Spencer   B-NAME
Howard   I-NAME
has   O
been   O
started   O
on   O
IV   O
antibiotics   O
,   O
including   O
azithromycin   O
and   O
ceftriaxone   O
,   O
to   O
cover   O
for   O
common   O
bacterial   O
pathogens   O
causing   O
pneumonia   O
.   O

Given   O
the   O
potential   O
for   O
COVID-19   O
,   O
Lasonya   B-NAME
Ratley   I-NAME
has   O
been   O
placed   O
in   O
isolation   O
as   O
per   O
the   O
Integrity   B-LOCATION
Bank   I-LOCATION
's   O
guidelines   O
until   O
PCR   O
test   O
results   O
are   O
back   O
.   O

Symptomatic   O
treatment   O
for   O
fever   O
and   O
cough   O
includes   O
acetaminophen   O
and   O
a   O
cough   O
suppressant   O
.   O
Plan   O
for   O
Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
chest   O
X   O
-   O
Ray   O
is   O
scheduled   O
for   O
02/46   B-DATE
to   O
assess   O
the   O
response   O
to   O
antibiotics   O
.   O

Owen   B-NAME
has   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
02/24/2022   B-DATE
to   O
review   O
progress   O
and   O
to   O
discuss   O
any   O
adjustment   O
in   O
the   O
treatment   O
plan   O
.   O

Conclusion   O
:   O
Malik   B-NAME
Beard   I-NAME
's   O
presenting   O
symptoms   O
and   O
preliminary   O
investigations   O
are   O
indicative   O
of   O
bacterial   O
pneumonia   O
,   O
compounded   O
by   O
the   O
concern   O
for   O
possible   O
COVID-19   O
infection   O
given   O
recent   O
travel   O
history   O
to   O
Outwood   B-LOCATION
and   O
current   O
pandemic   O
considerations   O
.   O

The   O
team   O
will   O
closely   O
monitor   O
Julie   B-NAME
Oneal   I-NAME
's   O
clinical   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
needed   O
based   O
on   O
ongoing   O
assessments   O
and   O
diagnostic   O
test   O
results   O
.   O

Prepared   O
by   O
:   O
dvv173   B-NAME
Emergency   O
Department   O
Lakeview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
a   I-LOCATION
Campus   I-LOCATION
of   I-LOCATION
Tulane   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
03/23/2142   B-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
WILKES   B-NAME
Age   O
:   O
28   O
ID   O
:   O
10   B-ID
-   I-ID
7468493   I-ID
Medical   O
Record   O
Number   O
:   O
333   B-ID
-   I-ID
92   I-ID
-   I-ID
08   I-ID
-   I-ID
3   I-ID
Phone   O
Number   O
:   O
956   B-CONTACT
5117   I-CONTACT
Address   O
:   O
Larkspur   B-LOCATION
,   O
11836   B-LOCATION
Profession   O
:   O
Insurance   O
broker   O
Medical   O
History   O
:   O
Trinity   B-NAME
Horn   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Campus   I-LOCATION
on   O
19/28/73   B-DATE
after   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
two   O
days   O
.   O

Shaylee   B-NAME
Savage   I-NAME
has   O
no   O
known   O
history   O
of   O
major   O
illnesses   O
or   O
surgeries   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Lana   B-NAME
Johnston   I-NAME
noted   O
that   O
Glennis   B-NAME
Halbritter   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
ranges   O
,   O
but   O
there   O
was   O
noticeable   O
tenderness   O
and   O
rebound   O
pain   O
upon   O
palpation   O
of   O
the   O
McBurney   O
's   O
point   O
.   O

Macdonald   B-NAME
recommended   O
a   O
follow   O
-   O
up   O
CT   O
scan   O
to   O
provide   O
a   O
more   O
detailed   O
view   O
of   O
the   O
appendix   O
and   O
surrounding   O
structures   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
diagnosis   O
,   O
Compton   B-NAME
advised   O
that   O
Sidney   B-NAME
Pollard   I-NAME
undergoes   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
2128   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
22   I-DATE
at   O
Riverside   B-LOCATION
Walter   I-LOCATION
Reed   I-LOCATION
Hospital   I-LOCATION
.   O

Howard   B-NAME
Rosser   I-NAME
's   O
postoperative   O
course   O
was   O
uncomplicated   O
,   O
showing   O
signs   O
of   O
improvement   O
,   O
with   O
pain   O
management   O
being   O
effectively   O
controlled   O
through   O
medication   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Eryn   B-NAME
Reach   I-NAME
was   O
discharged   O
from   O
Broward   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
on   O
01/03/84   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
out   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Ariana   B-NAME
Hays   I-NAME
in   O
two   O
weeks   O
.   O

It   O
is   O
recommended   O
that   O
Hadley   B-NAME
Shea   I-NAME
maintains   O
a   O
light   O
diet   O
and   O
avoids   O
strenuous   O
activities   O
for   O
several   O
weeks   O
to   O
ensure   O
proper   O
healing   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Simmons   B-NAME
or   O
the   O
North   B-LOCATION
Okaloosa   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
emergency   O
department   O
with   O
the   O
phone   O
number   O
(   B-CONTACT
175   I-CONTACT
)   I-CONTACT
724   I-CONTACT
-   I-CONTACT
2657   I-CONTACT
for   O
any   O
concerns   O
or   O
complications   O
that   O
may   O
arise   O
.   O

Note   O
:   O
Oakley   B-NAME
has   O
consented   O
to   O
all   O
treatments   O
and   O
procedures   O
performed   O
.   O

Bruce   B-NAME
D   I-NAME
Brian   I-NAME
'   O
confirmation   O
and   O
consent   O
were   O
documented   O
in   O
the   O
medical   O
record   O
number   O
3551Y80045   B-ID
.   O

This   O
report   O
was   O
prepared   O
by   O
Ramirez   B-NAME
,   I-NAME
Manny   I-NAME
,   O
MD   O
,   O
and   O
securely   O
submitted   O
to   O
International   B-LOCATION
Rehabilitation   I-LOCATION
Council   I-LOCATION
for   I-LOCATION
Torture   I-LOCATION
Victims   I-LOCATION
on   O
05/20/1950   B-DATE
.   O

Any   O
inquiries   O
regarding   O
this   O
report   O
should   O
be   O
directed   O
to   O
665   B-CONTACT
-   I-CONTACT
9405   I-CONTACT
or   O
via   O
email   O
to   O
IF547   B-NAME
@   O
City   B-LOCATION
of   I-LOCATION
Alachua   I-LOCATION
Public   I-LOCATION
Services   I-LOCATION
Department   I-LOCATION
.   O

Patient   O
Name   O
:   O
James   B-NAME
Kildare   I-NAME
Patient   O
ID   O
:   O
HI627/5446   B-ID
Medical   O
Record   O
Number   O
:   O
2452338   B-ID
Age   O
:   O
6   O
month   O
Location   O
of   O
Incident   O
:   O
Panacea   B-LOCATION
Admitting   O
Hospital   O
:   O

Helen   B-LOCATION
M.   I-LOCATION
Simpson   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Lucas   B-NAME
Date   O
of   O
Admission   O
:   O
2024   B-DATE
/2023   O
Zip   O
Code   O
:   O
13649   B-LOCATION
Phone   O
Number   O
:   O
937   B-CONTACT
5001   I-CONTACT
Profession   O
:   O
Occupational   O
Therapists   O
Username   O
:   O
wor447   B-NAME
Summary   O
of   O
Incident   O
:   O
Damas   B-NAME
Ebo   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Baptist   B-LOCATION
Health   I-LOCATION
Richmond   I-LOCATION
,   O
Shenandoah   B-LOCATION
,   O
on   O
10/23/2108   B-DATE
/2023   O
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Quinton   B-NAME
Lovett   I-NAME
,   O
a   O
Radiation   O
Therapists   O
,   O
noted   O
that   O
no   O
significant   O
relief   O
was   O
obtained   O
from   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Dalton   B-NAME
Fritz   I-NAME
exhibited   O
signs   O
of   O
peritoneal   O
irritation   O
,   O
including   O
rebound   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Sexton   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
slight   O
elevation   O
in   O
temperature   O
(   O
91   O
-   O
appropriate   O
range   O
)   O
,   O
blood   O
pressure   O
within   O
normal   O
limits   O
,   O
and   O
an   O
elevated   O
heart   O
rate   O
.   O

An   O
abdominal   O
ultrasound   O
followed   O
by   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
ordered   O
by   O
Rees   B-NAME
,   I-NAME
Nigel   I-NAME
,   O
which   O
revealed   O
appendicitis   O
with   O
evidence   O
of   O
periappendiceal   O
inflammation   O
but   O
no   O
perforation   O
.   O

The   O
decision   O
for   O
surgical   O
intervention   O
was   O
made   O
following   O
the   O
diagnosis   O
,   O
and   O
Thomas   B-NAME
Wyatt   I-NAME
was   O
prepared   O
for   O
an   O
appendectomy   O
on   O
21   B-DATE
-   I-DATE
Aug-2382   I-DATE
/2023   O
.   O

The   O
procedure   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Zulema   B-NAME
Spelman   I-NAME
was   O
observed   O
for   O
signs   O
of   O
infection   O
or   O
other   O
postoperative   O
concerns   O
during   O
the   O
hospital   O
stay   O
.   O

Goodwin   B-NAME
's   O
postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
12/35/19   B-DATE
/2023   O
with   O
postoperative   O
care   O
instructions   O
,   O
including   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Kemp   B-NAME
.   O

Instructions   O
for   O
Follow   O
-   O
up   O
Care   O
:   O
Stein   B-NAME
is   O
advised   O
to   O
observe   O
for   O
any   O
signs   O
of   O
infection   O
,   O
including   O
fever   O
,   O
increased   O
pain   O
,   O
redness   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
,   O
and   O
to   O
maintain   O
a   O
follow   O
-   O
up   O
with   O
Tanner   B-NAME
Chung   I-NAME
on   O
3/0   B-DATE
/2023   O
for   O
wound   O
inspection   O
and   O
to   O
discuss   O
the   O
resumption   O
of   O
regular   O
activities   O
.   O

Ronald   B-NAME
Strickland   I-NAME
was   O
also   O
advised   O
to   O
gradually   O
increase   O
activity   O
as   O
tolerated   O
and   O
to   O
manage   O
pain   O
with   O
prescribed   O
medications   O
.   O

In   O
case   O
of   O
any   O
questions   O
or   O
emergence   O
of   O
symptoms   O
mentioned   O
in   O
the   O
discharge   O
instructions   O
,   O
Keeler   B-NAME
is   O
advised   O
to   O
contact   O
Mahaska   B-LOCATION
Health   I-LOCATION
at   O
648   B-CONTACT
-   I-CONTACT
674   I-CONTACT
-   I-CONTACT
6677   I-CONTACT
immediately   O
.   O

Patient   O
Name   O
:   O
Garland   B-NAME
,   I-NAME
Judy   I-NAME
Patient   O
ID   O
:   O
GG   B-ID
:   I-ID
BC:7735   I-ID
Date   O
of   O
Admission   O
:   O
August   B-DATE
19   I-DATE
,   I-DATE
2283   I-DATE
Date   O
of   O
Report   O
:   O
03/19/2100   B-DATE

Attending   O
Physician   O
:   O
Bond   B-NAME
Hospital   O
:   O

Southeast   B-LOCATION
Missouri   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
26027305   B-ID
Location   O
of   O
Event   O
:   O
Strasburg   B-LOCATION
Organization   O
:   O

Human   B-LOCATION
Rights   I-LOCATION
Watch   I-LOCATION
Zip   O
Code   O
:   O
95420   B-LOCATION

Phone   O
Number   O
:   O
138   B-CONTACT
6137   I-CONTACT
Age   O
:   O
59   O
Profession   O
:   O

Laboratory   O
technician   O
Username   O
:   O
sk381   B-NAME
Summary   O
of   O
Event   O
:   O

On   O
July   B-DATE
06   I-DATE
,   I-DATE
2091   I-DATE
,   O
Heaven   B-NAME
Boone   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Evans   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
jaw   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

Physical   O
Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Edward   B-NAME
George   I-NAME
Armstrong   I-NAME
appeared   O
diaphoretic   O
and   O
pallor   O
.   O

Treatment   O
and   O
Interventions   O
:   O
Based   O
on   O
the   O
diagnosis   O
of   O
an   O
acute   O
inferior   O
ST   O
-   O
segment   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
,   O
Simon   B-NAME
Merivale   I-NAME
was   O
administered   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
a   O
heparin   O
drip   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
of   O
Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
On   I-LOCATION
The   I-LOCATION
Emerald   I-LOCATION
Coast   I-LOCATION
.   O

Petty   B-NAME
and   O
the   O
cardiology   O
team   O
were   O
consulted   O
,   O
and   O
it   O
was   O
determined   O
that   O
Vincent   B-NAME
Ventura   I-NAME
would   O
benefit   O
from   O
immediate   O
cardiac   O
catheterization   O
.   O

Outcome   O
and   O
Follow   O
-   O
Up   O
:   O
Post   O
-   O
procedure   O
,   O
Sinclair   B-NAME
,   I-NAME
Upton   I-NAME
's   O
chest   O
pain   O
resolved   O
,   O
and   O
repeat   O
troponins   O
trended   O
downwards   O
.   O

Constantine   B-NAME
III   I-NAME
Perza   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
for   O
observation   O
and   O
further   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Stanley   B-NAME
Roy   I-NAME
at   O
the   O
Carter   B-LOCATION
Center   I-LOCATION
's   O
cardiology   O
clinic   O
in   O
Hibbing   B-LOCATION
on   O
32/14   B-DATE
.   O

For   O
any   O
further   O
information   O
or   O
follow   O
-   O
up   O
,   O
Aidan   B-NAME
Blevins   I-NAME
or   O
their   O
emergency   O
contact   O
can   O
reach   O
out   O
to   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Somerset   I-LOCATION
at   O
28603   B-CONTACT
or   O
visit   O
our   O
location   O
at   O
Bayview   B-LOCATION
,   O
54043   B-LOCATION
.   O

Note   O
:   O
It   O
is   O
imperative   O
that   O
Janssen   B-NAME
follows   O
all   O
discharge   O
instructions   O
and   O
attends   O
all   O
scheduled   O
follow   O
-   O
up   O
appointments   O
to   O
ensure   O
optimal   O
recovery   O
and   O
management   O
of   O
their   O
cardiovascular   O
health   O
.   O

Patient   O
Name   O
:   O
Kamren   B-NAME
Barry   I-NAME
Patient   O
ID   O
:   O
WI:2489:937747   B-ID
MRN   O
:   O
3486S45345   B-ID
Date   O
of   O
Birth   O
:   O
3/25   B-DATE
Age   O
:   O
18   O
Address   O
:   O
Agua   B-LOCATION
Dulce   I-LOCATION
,   O
39680   B-LOCATION
Phone   O
Number   O
:   O
74864   B-CONTACT
Employer   O
:   O
GreyStone   B-LOCATION
Power   I-LOCATION
Corp.   I-LOCATION
Occupation   O
:   O
Natural   O
Sciences   O
Managers   O
Primary   O
Care   O
Physician   O
:   O

Bird   B-NAME
Date   O
of   O
Visit   O
:   O
22/32   B-DATE
Hospital   O
:   O
Vassar   B-LOCATION
Brothers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Jeffrey   B-NAME
Garth   I-NAME
presents   O
with   O
complaints   O
of   O
chronic   O
fatigue   O
,   O
shortness   O
of   O
breath   O
on   O
exertion   O
,   O
and   O
intermittent   O
episodes   O
of   O
palpitations   O
over   O
the   O
last   O
three   O
months   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Cynthia   B-NAME
Avery   I-NAME
,   O
a   O
68   O
-   O
year   O
-   O
old   O
Postmasters   O
and   O
Mail   O
Superintendents   O
,   O
reports   O
that   O
they   O
have   O
been   O
experiencing   O
an   O
increasing   O
difficulty   O
in   O
maintaining   O
their   O
usual   O
exercise   O
regime   O
due   O
to   O
a   O
marked   O
decrease   O
in   O
stamina   O
,   O
noting   O
that   O
activities   O
which   O
were   O
once   O
routine   O
now   O
precipitate   O
shortness   O
of   O
breath   O
.   O

Diana   B-NAME
Fraser   I-NAME
additionally   O
notes   O
an   O
onset   O
of   O
palpitations   O
described   O
as   O
rapid   O
,   O
fluttering   O
sensations   O
in   O
the   O
chest   O
,   O
occurring   O
both   O
at   O
rest   O
and   O
during   O
physical   O
activity   O
.   O

Rishi   B-NAME
Evans   I-NAME
denies   O
any   O
chest   O
pain   O
,   O
fever   O
,   O
or   O
recent   O
illness   O
.   O

They   O
mention   O
a   O
recent   O
increase   O
in   O
work   O
stress   O
at   O
Oxford   B-LOCATION
Health   I-LOCATION
Plans   I-LOCATION
but   O
are   O
unsure   O
if   O
this   O
is   O
related   O
.   O

Joe   B-NAME
Gannon   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
moderate   O
alcohol   O
use   O
,   O
with   O
an   O
average   O
of   O
two   O
drinks   O
per   O
week   O
.   O

Frances   B-NAME
Talley   I-NAME
is   O
employed   O
as   O
a   O
Etchers   O
and   O
Engravers   O
at   O
Diverse   B-LOCATION
Power   I-LOCATION
Inc.   I-LOCATION
-   I-LOCATION
Pataula   I-LOCATION
District   I-LOCATION
in   O
Darrington   B-LOCATION
.   O

General   O
:   O
Geralyn   B-NAME
Blanke   I-NAME
appears   O
well   O
-   O
nourished   O
and   O
in   O
no   O
acute   O
distress   O
.   O

Consultation   O
with   O
cardiology   O
at   O
Astria   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
advised   O
.   O

Hašek   B-NAME
,   I-NAME
Jaroslav   I-NAME
is   O
also   O
advised   O
to   O
monitor   O
their   O
symptoms   O
and   O
maintain   O
a   O
log   O
of   O
any   O
further   O
episodes   O
of   O
palpitations   O
or   O
dyspnea   O
,   O
noting   O
their   O
duration   O
and   O
activities   O
at   O
the   O
time   O
of   O
onset   O
.   O

queryParams   O
Given   O
Dennis   B-NAME
Donnelly   I-NAME
's   O
occupation   O
as   O
a   O
Weighers   O
,   O
Measurers   O
,   O
Checkers   O
,   O
and   O
Samplers   O
,   O
Recordkeeping   O
and   O
reports   O
of   O
increased   O
work   O
stress   O
,   O
consideration   O
to   O
stress   O
management   O
strategies   O
and   O
potential   O
referral   O
to   O
mental   O
health   O
services   O
for   O
stress   O
management   O
and   O
coping   O
strategies   O
is   O
recommended   O
.   O

Patient   O
Report   O
for   O
Angel   B-NAME
Kane   I-NAME
Chief   O
Complaint   O
:   O
A   O
79   O
-   O
year   O
-   O
old   O
Web   O
Administrators   O
presented   O
to   O
DCH   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2027   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
07   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
that   O
began   O
earlier   O
in   O
the   O
morning   O
.   O

Ayla   B-NAME
Raymond   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
,   O
located   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Additionally   O
,   O
Philip   B-NAME
Gibson   I-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
just   O
before   O
arriving   O
at   O
the   O
hospital   O
.   O

Trujillo   B-NAME
's   O
medical   O
history   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
,   O
and   O
a   O
cholecystectomy   O
performed   O
in   O
M   B-DATE
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
chief   O
complaint   O
,   O
Ian   B-NAME
Ignacio   I-NAME
denies   O
any   O
recent   O
fever   O
,   O
diarrhea   O
,   O
or   O
urinary   O
symptoms   O
.   O

There   O
has   O
been   O
no   O
change   O
in   O
bowel   O
habits   O
,   O
and   O
Henderson   B-NAME
has   O
not   O
noted   O
any   O
blood   O
in   O
the   O
stool   O
.   O

Jayce   B-NAME
Parker   I-NAME
also   O
denies   O
any   O
chest   O
pain   O
,   O
dyspnea   O
,   O
or   O
palpitations   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Beckie   B-NAME
Mulryan   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Complete   O
blood   O
count   O
showed   O
leukocytosis   O
with   O
a   O
white   O
cell   O
count   O
of   O
12,000   O
/   O
μL.   O
A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
recommended   O
by   O
Price   B-NAME
Trainor   I-NAME
,   O
revealed   O
appendicitis   O
with   O
localized   O
peritonitis   O
.   O

Given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
Elizabeth   B-NAME
Flynn   I-NAME
was   O
admitted   O
to   O
University   B-LOCATION
Hospitals   I-LOCATION
Geauga   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
surgical   O
evaluation   O
and   O
went   O
under   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Darell   B-NAME
McTarnaghan   I-NAME
on   O
1887   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
10   I-DATE
.   O

Gunner   B-NAME
Miles   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
post   O
-   O
operatively   O
.   O

Kaye   B-NAME
Wilborn   I-NAME
's   O
postoperative   O
course   O
was   O
uncomplicated   O
,   O
and   O
Ramón   B-NAME
Madera   I-NAME
was   O
discharged   O
on   O
13/28   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
.   O

Discharge   O
Instructions   O
:   O
Ezra   B-NAME
Terry   I-NAME
was   O
advised   O
to   O
follow   O
a   O
clear   O
liquid   O
diet   O
for   O
the   O
next   O
24   O
hours   O
,   O
progressively   O
returning   O
to   O
a   O
regular   O
diet   O
as   O
tolerated   O
.   O

Harry   B-NAME
Block   I-NAME
was   O
prescribed   O
oral   O
antibiotics   O
for   O
7   O
days   O
and   O
analgesics   O
for   O
pain   O
management   O
.   O

Bea   B-NAME
Slocumb   I-NAME
was   O
instructed   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
and   O
to   O
observe   O
for   O
signs   O
of   O
infection   O
or   O
increased   O
abdominal   O
pain   O
.   O

Follow   O
-   O
Up   O
:   O
Oliver   B-NAME
Ludwig   I-NAME
is   O
scheduled   O
to   O
follow   O
up   O
with   O
Parker   B-NAME
on   O
0/03   B-DATE
at   O
W.   B-LOCATION
D.   I-LOCATION
Partlow   I-LOCATION
Developmental   I-LOCATION
Center   I-LOCATION
for   O
postoperative   O
evaluation   O
and   O
to   O
address   O
any   O
concerns   O
or   O
complications   O
that   O
may   O
arise   O
.   O

Peters   B-NAME
20350   B-CONTACT
Stafford   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Stafford   I-LOCATION
8041035   B-ID
:   O
3   B-ID
-   I-ID
5727358   I-ID
13953   B-LOCATION
:   O
Petersham   B-LOCATION

Patient   O
Summary   O
:   O
Vertie   B-NAME
Rigdon   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
Yuma   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
on   O
0/31/00   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicating   O
possible   O
appendicitis   O
.   O

Norah   B-NAME
Kirk   I-NAME
reported   O
the   O
pain   O
worsening   O
upon   O
movement   O
.   O

Curtis   B-NAME
Connors   I-NAME
,   O
a   O
Soil   O
Conservationists   O
,   O
with   O
a   O
history   O
of   O
no   O
prior   O
significant   O
medical   O
issues   O
,   O
expressed   O
concern   O
regarding   O
the   O
sudden   O
onset   O
and   O
severity   O
of   O
the   O
pain   O
.   O

Dr.   O
Gerardo   B-NAME
Arroyo   I-NAME
conducted   O
a   O
physical   O
examination   O
,   O
noting   O
tenderness   O
and   O
rebound   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
potential   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Charles   B-NAME
Cameron   I-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
the   O
appendectomy   O
.   O

nation   B-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
post   O
-   O
operative   O
care   O
.   O

Consent   O
was   O
obtained   O
,   O
and   O
surgery   O
was   O
successfully   O
performed   O
on   O
1744   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
14   I-DATE
.   O

The   O
postoperative   O
course   O
was   O
unremarkable   O
,   O
and   O
Molly   B-NAME
Clock   I-NAME
was   O
discharged   O
on   O
09/03   B-DATE
with   O
instructions   O
for   O
care   O
,   O
including   O
wound   O
care   O
and   O
activity   O
limitations   O
.   O

Julius   B-NAME
No   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Spence   B-NAME
,   I-NAME
Gerry   I-NAME
at   O
Riverside   B-LOCATION
Tappahannock   I-LOCATION
Hospital   I-LOCATION
on   O
1/30/91   B-DATE
to   O
assess   O
the   O
surgical   O
site   O
and   O
overall   O
recovery   O
.   O

For   O
any   O
concerns   O
or   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
,   O
Ara   B-NAME
Paxson   I-NAME
was   O
advised   O
to   O
immediately   O
contact   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Georgia   I-LOCATION
at   O
69475   B-CONTACT
.   O

Patient   O
Identifiers   O
:   O
-   O
4   O
years   O
old   O
-   O
04504247   B-ID
-   O
10   B-ID
-   I-ID
3897894   I-ID
Location   O
Information   O
:   O
-   O
Resident   O
of   O
Dellwood   B-LOCATION
,   O
78377   B-LOCATION
Note   O
:   O
All   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
has   O
been   O
adequately   O
protected   O
in   O
this   O
document   O
,   O
adhering   O
to   O
privacy   O
regulations   O
.   O

Any   O
further   O
inquiries   O
regarding   O
Norman   B-NAME
's   O
care   O
should   O
be   O
directed   O
to   O
Sauk   B-LOCATION
Prarie   I-LOCATION
Hospital   I-LOCATION
's   O
Privacy   O
Officer   O
at   O
489   B-CONTACT
-   I-CONTACT
8125   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Greta   B-NAME
Gilbert   I-NAME
Patient   O
ID   O
:   O
VB321/9671   B-ID
Medical   O
Record   O
Number   O
:   O
13876038   B-ID
Date   O
of   O
Birth   O
:   O
02/12   B-DATE
Age   O
:   O
85s   O
Address   O
:   O
Rivergrove   B-LOCATION
,   O
85019   B-LOCATION
Phone   O
Number   O
:   O
350   B-CONTACT
3457   I-CONTACT
Employer   O
:   O
Kerala   B-LOCATION
Gazetted   I-LOCATION
Officers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Occupation   O
:   O
Plasterers   O
and   O
Stucco   O
Masons   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Chaney   B-NAME
Hospital   O
:   O

Henry   B-LOCATION
Ford   I-LOCATION
West   I-LOCATION
Bloomfield   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Clare   B-NAME
Merritt   I-NAME
,   O
a   O
Sales   O
Representatives   O
,   O
Instruments   O
residing   O
in   O
Oliver   B-LOCATION
Springs   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Bear   B-LOCATION
Lake   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
16/21/11   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
dizziness   O
.   O

Family   O
history   O
reveals   O
that   O
Fleta   B-NAME
Scholes   I-NAME
's   O
father   O
suffered   O
from   O
coronary   O
artery   O
disease   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Howell   B-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Management   O
and   O
Treatment   O
:   O
LTJ   B-NAME
received   O
initial   O
treatment   O
with   O
aspirin   O
and   O
nitroglycerin   O
while   O
in   O
the   O
emergency   O
department   O
.   O

Following   O
consultation   O
with   O
cardiologist   O
Dr.   O
Lam   B-NAME
,   O
it   O
was   O
decided   O
to   O
proceed   O
with   O
a   O
coronary   O
angiography   O
to   O
further   O
assess   O
the   O
extent   O
of   O
coronary   O
artery   O
disease   O
.   O

Mitchell   B-NAME
Conner   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
at   O
Northwest   B-LOCATION
Texas   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
for   O
close   O
monitoring   O
and   O
further   O
management   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Following   O
the   O
coronary   O
angiography   O
,   O
which   O
revealed   O
two   O
occluded   O
coronary   O
arteries   O
,   O
Kellner   B-NAME
,   I-NAME
Friedrich   I-NAME
underwent   O
successful   O
angioplasty   O
and   O
stent   O
placement   O
.   O

Post   O
-   O
procedure   O
,   O
Blake   B-NAME
Sheppard   I-NAME
was   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
,   O
a   O
statin   O
,   O
and   O
a   O
blood   O
thinner   O
to   O
manage   O
hypertension   O
,   O
high   O
cholesterol   O
,   O
and   O
to   O
prevent   O
blood   O
clots   O
,   O
respectively   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Harper   B-NAME
Foster   I-NAME
at   O
Rose   B-LOCATION
Gardens   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
scheduled   O
for   O
7/33   B-DATE
to   O
assess   O
recovery   O
progress   O
.   O

McClung   B-NAME
,   I-NAME
Nellie   I-NAME
was   O
also   O
advised   O
to   O
enroll   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O
Instructions   O
for   O
Gustavo   B-NAME
Schaefer   I-NAME
:   O

4   O
.   O
Report   O
any   O
new   O
symptoms   O
such   O
as   O
chest   O
pain   O
,   O
difficulty   O
breathing   O
,   O
or   O
palpitations   O
to   O
Dr.   O
Winters   B-NAME
immediately   O
.   O

For   O
any   O
questions   O
or   O
to   O
report   O
symptoms   O
,   O
Fleming   B-NAME
can   O
reach   O
Dr.   O
Melissa   B-NAME
Barnett   I-NAME
at   O
294   B-CONTACT
-   I-CONTACT
1109   I-CONTACT
.   O

In   O
case   O
of   O
emergencies   O
,   O
proceed   O
to   O
Santiam   B-LOCATION
Hospital   I-LOCATION
or   O
call   O
the   O
emergency   O
services   O
number   O
immediately   O
.   O

This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
of   O
Donte   B-NAME
Wong   I-NAME
and   O
is   O
meant   O
for   O
the   O
designated   O
recipients   O
only   O
.   O

Patient   O
:   O
Valle   B-NAME
ID   O
:   O
9   B-ID
-   I-ID
3378696   I-ID
Medical   O
Record   O
Number   O
:   O
6281803   B-ID
Date   O
of   O
Birth   O
:   O
6/21   B-DATE
/   O
9   O
Phone   O
:   O
401   B-CONTACT
6094   I-CONTACT
Profession   O
:   O

Electrical   O
and   O
Electronic   O
Inspectors   O
and   O
Testers   O
Primary   O
Care   O
Doctor   O
:   O
Raelynn   B-NAME
Diaz   I-NAME
Hospital   O
:   O
Baypointe   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Old   B-LOCATION
Mystic   I-LOCATION
,   O
90755   B-LOCATION
Admission   O
Date   O
:   O
10/12/90   B-DATE
/2023   O
Presenting   O
Complaint   O
:   O
Paul   B-NAME
Arteaga   I-NAME
,   O
a   O
6s   O
-   O
year   O
-   O
old   O
Precision   O
Agriculture   O
Technicians   O
residing   O
in   O
Dorris   B-LOCATION
,   O
19096   B-LOCATION
,   O
was   O
brought   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
on   O
31/28/05   B-DATE
/2023   O
by   O
uy239   B-NAME
,   O
citing   O
severe   O
and   O
acute   O
onset   O
of   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicating   O
a   O
possible   O
appendicitis   O
.   O

Medical   O
History   O
:   O
Charley   B-NAME
Shanowski   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Alma   B-NAME
Krueger   I-NAME
.   O

Alice   B-NAME
Alden   I-NAME
's   O
family   O
history   O
reveals   O
no   O
genetic   O
disorders   O
or   O
conditions   O
of   O
note   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Zechariah   B-NAME
Roberson   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

powell   B-NAME
consented   O
to   O
an   O
appendectomy   O
after   O
being   O
informed   O
of   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
benefits   O
by   O
Castillo   B-NAME
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
06/21   B-DATE
/2023   O
.   O

Postoperative   O
Course   O
:   O
The   O
surgery   O
was   O
uneventful   O
,   O
and   O
Usha   B-NAME
Gibbons   I-NAME
tolerated   O
the   O
procedure   O
well   O
.   O

Allison   B-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Aryanna   B-NAME
Short   I-NAME
in   O
two   O
weeks   O
for   O
a   O
wound   O
check   O
and   O
again   O
in   O
six   O
weeks   O
for   O
a   O
routine   O
postoperative   O
evaluation   O
.   O

Discharge   O
Summary   O
:   O
Milan   B-NAME
was   O
discharged   O
on   O
33/03/80   B-DATE
/2023   O
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
limitation   O
,   O
and   O
dietary   O
recommendations   O
.   O

504   B-CONTACT
-   I-CONTACT
3607   I-CONTACT
was   O
provided   O
for   O
any   O
questions   O
or   O
emergencies   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Richmond   B-NAME
at   O
Rio   B-LOCATION
Grande   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
01/26/22   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Adam   B-NAME
Rossi   I-NAME
-   O
Age   O
:   O
74   O
-   O
Medical   O
Record   O
Number   O
:   O
61797269   B-ID
-   O
Date   O
of   O
Initial   O
Consultation   O
:   O
December   B-DATE
2   I-DATE
/2023   O
-   O
Doctor   O
:   O
Mcknight   B-NAME
-   O
Hospital   O
:   O
Vidant   B-LOCATION
Beaufort   I-LOCATION
Hospital   I-LOCATION
-   O
Contact   O
Number   O
:   O
525   B-CONTACT
-   I-CONTACT
313   I-CONTACT
5572   I-CONTACT
-   O
Address   O
:   O
Ronkonkoma   B-LOCATION
,   O
59089   B-LOCATION
Chief   O
Complaint   O
:   O
Urwin   B-NAME
Orosco   I-NAME
was   O
admitted   O
to   O
Heritage   B-LOCATION
Valley   I-LOCATION
Sewickley   I-LOCATION
on   O
30/00/32   B-DATE
/2023   O
,   O
presenting   O
with   O
acute   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
commenced   O
early   O
in   O
the   O
morning   O
.   O

Medical   O
History   O
:   O
Harper   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
James   B-NAME
Kildare   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
were   O
ordered   O
by   O
Holden   B-NAME
Fitzpatrick   I-NAME
.   O

The   O
abdominal   O
ultrasound   O
showed   O
no   O
evidence   O
of   O
obstruction   O
or   O
masses   O
but   O
indicated   O
possible   O
colitis   O
.   O
Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Lyric   B-NAME
Fletcher   I-NAME
was   O
diagnosed   O
with   O
acute   O
gastroenteritis   O
,   O
possibly   O
of   O
infectious   O
origin   O
.   O

Luka   B-NAME
Logan   I-NAME
recommended   O
the   O
following   O
treatment   O
plan   O
:   O
1   O
.   O

Follow   O
-   O
Up   O
:   O
Sanders   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Burke   B-NAME
at   O
Mercy   B-LOCATION
Medical   I-LOCATION
on   O
33/12/2262   B-DATE
/2023   O
.   O

In   O
the   O
meantime   O
,   O
Camryn   B-NAME
Schultz   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
increased   O
abdominal   O
pain   O
,   O
persistent   O
vomiting   O
,   O
or   O
signs   O
of   O
dehydration   O
.   O

This   O
patient   O
report   O
,   O
ref   O
794   B-ID
94   I-ID
39   I-ID
,   O
contains   O
confidential   O
health   O
information   O
exclusive   O
to   O
Kade   B-NAME
Blair   I-NAME
from   O
Sandyfield   B-LOCATION
,   O
38993   B-LOCATION
.   O

For   O
inquiries   O
,   O
contact   O
Ascension   B-LOCATION
Providence   I-LOCATION
Rochester   I-LOCATION
Hospital   I-LOCATION
at   O
281   B-CONTACT
-   I-CONTACT
458   I-CONTACT
7601   I-CONTACT
.   O

Patient   O
Name   O
:   O
Laila   B-NAME
Walters   I-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
7628317   I-ID
Medical   O
Record   O
Number   O
:   O
8486388   B-ID
Date   O
of   O
Birth   O
:   O
2293   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
10   I-DATE
Age   O
:   O
8   O
month   O
Address   O
:   O
David   B-LOCATION
City   I-LOCATION
,   O
75659   B-LOCATION
Phone   O
Number   O
:   O
741   B-CONTACT
-   I-CONTACT
653   I-CONTACT
-   I-CONTACT
8383   I-CONTACT
Primary   O
Physician   O
:   O

Krueger   B-NAME
Hospital   O
:   O
Oak   B-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/04/41   B-DATE
Date   O
of   O
Discharge   O
:   O
26/24   B-DATE
Clinical   O
Summary   O
:   O
Gustavo   B-NAME
Tyler   I-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Aquacultural   O
Workers   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Frederick   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
on   O
00/03/82   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

In   O
addition   O
to   O
the   O
abdominal   O
pain   O
,   O
R.   B-NAME
Joe   I-NAME
,   I-NAME
M.   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Laboratory   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
were   O
ordered   O
by   O
Knox   B-NAME
.   O

Stone   B-NAME
,   I-NAME
Lucy   I-NAME
underwent   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
showed   O
a   O
swollen   O
and   O
inflamed   O
appendix   O
,   O
further   O
supporting   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
decision   O
for   O
surgical   O
intervention   O
via   O
laparoscopic   O
appendectomy   O
was   O
made   O
by   O
Mariyah   B-NAME
Moon   I-NAME
.   O

The   O
surgery   O
was   O
performed   O
successfully   O
on   O
1/29   B-DATE
,   O
without   O
any   O
complications   O
.   O

Licinianus   B-NAME
Leversee   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
unremarkable   O
,   O
and   O
antibiotics   O
were   O
administered   O
postoperatively   O
to   O
prevent   O
infection   O
.   O

Kayley   B-NAME
Hull   I-NAME
was   O
discharged   O
on   O
08/63   B-DATE
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
instructions   O
for   O
wound   O
care   O
at   O
home   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Huang   B-NAME
for   O
7/41   B-DATE
.   O

Aleena   B-NAME
Weeks   I-NAME
was   O
also   O
provided   O
with   O
a   O
contact   O
number   O
,   O
27049   B-CONTACT
,   O
to   O
reach   O
the   O
surgical   O
team   O
at   O
John   B-LOCATION
Muir   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Walnut   I-LOCATION
Creek   I-LOCATION
Campus   I-LOCATION
in   O
case   O
of   O
any   O
queries   O
or   O
complications   O
.   O

In   O
conclusion   O
,   O
the   O
prompt   O
diagnosis   O
and   O
surgical   O
intervention   O
for   O
Greta   B-NAME
Harrell   I-NAME
's   O
appendicitis   O
have   O
resulted   O
in   O
a   O
positive   O
outcome   O
without   O
complications   O
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
unusual   O
symptoms   O
and   O
to   O
consult   O
with   O
Weeks   B-NAME
immediately   O
if   O
any   O
such   O
symptoms   O
arise   O
.   O

Username   O
:   O
pl376   B-NAME
Prepared   O
by   O
:   O
Treasurers   O
,   O
Controllers   O
,   O
and   O
Chief   O
Financial   O
Officers   O
,   O
Community   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Sarasota   I-LOCATION
County   I-LOCATION

Patient   O
Name   O
:   O
Brian   B-NAME
Garner   I-NAME
Patient   O
ID   O
:   O
CQ   B-ID
:   I-ID
XG:9954   I-ID
Medical   O
Record   O
Number   O
:   O
9916240   B-ID
Date   O
of   O
Birth   O
:   O
10/22/2320   B-DATE
Age   O
:   O
89   O
Address   O
:   O
Fair   B-LOCATION
Haven   I-LOCATION
,   O
36657   B-LOCATION
Phone   O
:   O
54767   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Celia   B-NAME
Esparza   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Ann   I-LOCATION
Arbor   I-LOCATION
Date   O
of   O
Visit   O
:   O
11/20   B-DATE
Username   O
:   O
ov279   B-NAME
Presenting   O
Complaints   O
:   O

The   O
patient   O
,   O
a   O
Detectives   O
and   O
Criminal   O
Investigators   O
from   O
Ballville   B-LOCATION
,   O
presented   O
to   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/11/2358   B-DATE
with   O
a   O
detailed   O
complaint   O
of   O
intermittent   O
,   O
severe   O
abdominal   O
pain   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Baldwin   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
noted   O
at   O
home   O
.   O

Cranley   B-NAME
’s   O
past   O
medical   O
history   O
includes   O
hyperlipidemia   O
and   O
controlled   O
type   O
2   O
diabetes   O
.   O

Upon   O
examination   O
,   O
Peyton   B-NAME
Woods   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Miley   B-NAME
Herring   I-NAME
was   O
diagnosed   O
with   O
acute   O
cholecystitis   O
.   O

Consultation   O
with   O
the   O
surgical   O
team   O
led   O
by   O
Saniyah   B-NAME
Blackburn   I-NAME
was   O
done   O
for   O
the   O
possible   O
surgical   O
intervention   O
.   O

A   O
laparoscopic   O
cholecystectomy   O
was   O
scheduled   O
for   O
10/35   B-DATE
.   O

Kandi   B-NAME
Schluter   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
is   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
of   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Miramar   I-LOCATION
on   O
21/23/46   B-DATE
for   O
post   O
-   O
operative   O
assessment   O
and   O
management   O
.   O
Instructions   O
for   O
Patient   O
:   O

2   O
.   O
Avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activities   O
for   O
2107   B-DATE
weeks   O
.   O

This   O
detailed   O
account   O
synthesizes   O
IKI   B-NAME
's   O
recent   O
medical   O
journey   O
,   O
ensuring   O
all   O
personal   O
health   O
information   O
remains   O
protected   O
according   O
to   O
the   O
specified   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Mamie   B-NAME
Varnes   I-NAME
Medical   O
Record   O
:   O
593   B-ID
-   I-ID
63   I-ID
-   I-ID
50   I-ID
Date   O
of   O
Birth   O
:   O
12/01/1679   B-DATE
ID   O
:   O
FQ   B-ID
:   I-ID
MG:6715   I-ID
Address   O
:   O
Freeburn   B-LOCATION
,   O
23511   B-LOCATION
Phone   O
:   O
224   B-CONTACT
-   I-CONTACT
9222   I-CONTACT
Primary   O
Physician   O
:   O
Griffin   B-NAME
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Sioux   I-LOCATION
City   I-LOCATION
Date   O
of   O
Visit   O
:   O
37/25/68   B-DATE
Presenting   O
Complaint   O
:   O
Nathen   B-NAME
Bates   I-NAME
,   O
a   O
Methane   O
/   O
Landfill   O
Gas   O
Collection   O
System   O
Operators   O
aged   O
42   O
years   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Piedmont   B-LOCATION
Mountainside   I-LOCATION
Hospital   I-LOCATION
on   O
01/38   B-DATE
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Melissande   B-NAME
Bauer   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
anorexia   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Past   O
Medical   O
History   O
:   O
Escobar   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
George   B-NAME
Coleman   I-NAME
is   O
currently   O
on   O
medication   O
.   O

Knuth   B-NAME
,   I-NAME
Donald   I-NAME
's   O
last   O
physical   O
examination   O
was   O
conducted   O
on   O
2338   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
26   I-DATE
,   O
and   O
no   O
abnormalities   O
were   O
noted   O
.   O

Ben   B-NAME
-   I-NAME
Gurion   I-NAME
,   I-NAME
David   I-NAME
is   O
a   O
Power   O
Plant   O
Operators   O
living   O
in   O
Paullina   B-LOCATION
and   O
has   O
no   O
history   O
of   O
smoking   O
or   O
alcohol   O
use   O
.   O

Frederick   B-NAME
,   I-NAME
Uriah   I-NAME
C.   I-NAME
leads   O
a   O
relatively   O
active   O
lifestyle   O
and   O
follows   O
a   O
balanced   O
diet   O
.   O

On   O
physical   O
examination   O
,   O
Plath   B-NAME
,   I-NAME
Sylvia   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultrasonography   O
was   O
suggested   O
by   O
Worm   B-NAME
to   O
rule   O
out   O
appendicitis   O
and   O
other   O
possible   O
causes   O
for   O
the   O
abdominal   O
pain   O
.   O

Management   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
the   O
investigative   O
findings   O
,   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Manning   B-NAME
.   O

Myron   B-NAME
Berman   I-NAME
was   O
admitted   O
to   O
Seattle   B-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
monitoring   O
and   O
was   O
scheduled   O
for   O
an   O
urgent   O
consultation   O
with   O
a   O
surgeon   O
.   O

Conclusion   O
:   O
Larson   B-NAME
,   O
a   O
0   O
week   O
-   O
year   O
-   O
old   O
Job   O
Printers   O
,   O
presented   O
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Ongoing   O
evaluation   O
and   O
care   O
will   O
be   O
provided   O
by   O
the   O
team   O
at   O
Haymarket   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
coordinated   O
by   O
Ferrell   B-NAME
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
27/32/2119   B-DATE
to   O
assess   O
postoperative   O
recovery   O
if   O
surgery   O
is   O
performed   O
,   O
and   O
to   O
review   O
any   O
additional   O
investigations   O
or   O
adjustments   O
to   O
the   O
treatment   O
plan   O
.   O

Reynaldo   B-NAME
Forbes   I-NAME
is   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
there   O
's   O
an   O
increase   O
in   O
pain   O
,   O
fever   O
,   O
or   O
any   O
new   O
symptoms   O
.   O

For   O
any   O
urgent   O
queries   O
or   O
symptoms   O
,   O
Townsend   B-NAME
,   I-NAME
Lawrence   I-NAME
can   O
contact   O
Mountain   B-LOCATION
View   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
at   O
128   B-CONTACT
350   I-CONTACT
-   I-CONTACT
8644   I-CONTACT
.   O

Patient   O
Name   O
:   O
Isiah   B-NAME
Massey   I-NAME
Patient   O
ID   O
:   O
998176   B-ID
Medical   O
Record   O
Number   O
:   O
23093639   B-ID
Date   O
of   O
Birth   O
:   O
38   O
years   O
old   O
Date   O
of   O
Admission   O
:   O
14/01/77   B-DATE
Attending   O
Physician   O
:   O

Mauricio   B-NAME
Mcdonald   I-NAME
Hospital   O
Name   O
:   O
Valley   B-LOCATION
Forge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Windthorst   B-LOCATION
Zip   O
Code   O
:   O
52888   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
338   I-CONTACT
)   I-CONTACT
532   I-CONTACT
9187   I-CONTACT
Username   O
Reported   O
:   O
kdu7910   B-NAME
Profession   O
:   O
teacher   O
Chief   O
Complaint   O
:   O

Friedman   B-NAME
presented   O
to   O
the   O
emergency   O
room   O
on   O
22   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Noah   B-NAME
Macias   I-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
earlier   O
on   O
the   O
same   O
day   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Castillo   B-NAME
,   O
a   O
24   O
-   O
year   O
-   O
old   O
Sales   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
reported   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
gradually   O
intensified   O
over   O
the   O
span   O
of   O
a   O
few   O
hours   O
.   O

Garner   B-NAME
also   O
noted   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
,   O
though   O
no   O
specific   O
temperature   O
was   O
recorded   O
at   O
home   O
.   O

Upon   O
examination   O
,   O
Kaia   B-NAME
Rhodes   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Cameron   B-NAME
and   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Whitney   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Gillian   B-NAME
Bright   I-NAME
after   O
explaining   O
the   O
procedure   O
,   O
associated   O
risks   O
,   O
and   O
potential   O
complications   O
.   O

Lincoln   B-NAME
,   I-NAME
Abraham   I-NAME
was   O
transferred   O
to   O
the   O
surgical   O
department   O
of   O
SSM   B-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
XI   B-NAME
,   I-NAME
KATHERINE   I-NAME
I   I-NAME
will   O
require   O
post   O
-   O
operative   O
follow   O
-   O
up   O
in   O
Thursday   B-DATE
weeks   O
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
40040   B-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
document   O
.   O

Patient   O
Name   O
:   O
Krieger   B-NAME
,   I-NAME
Lou   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
6743468   I-ID
Medical   O
Record   O
Number   O
:   O
37465502   B-ID
Date   O
of   O
Birth   O
:   O
58   O
Date   O
of   O
Admission   O
:   O
06/22   B-DATE
/2023   O
Attending   O
Physician   O
:   O

Fitzpatrick   B-NAME
Hospital   O
Name   O
:   O
Healthpark   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Raritan   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
387   I-CONTACT
)   I-CONTACT
538   I-CONTACT
-   I-CONTACT
9510   I-CONTACT
Zip   O
Code   O
:   O
30368   B-LOCATION
Symptoms   O
and   O
Findings   O
:   O
Muir   B-NAME
,   I-NAME
John   I-NAME
,   O
a   O
73   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Production   O
and   O
Operating   O
Workers   O
from   O
El   B-LOCATION
Dorado   I-LOCATION
,   I-LOCATION
El   I-LOCATION
Dorado   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
presented   O
to   O
Florida   B-LOCATION
A&M   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
on   O
8/2   B-DATE
/2023   O
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
peaking   O
at   O
101.5   O
°   O
F   O
,   O
and   O
shortness   O
of   O
breath   O
for   O
the   O
past   O
five   O
days   O
.   O

On   O
further   O
examination   O
,   O
Dewyer   B-NAME
Linza   I-NAME
noted   O
bilateral   O
crackles   O
in   O
the   O
lung   O
bases   O
,   O
suggesting   O
possible   O
lower   O
respiratory   O
tract   O
involvement   O
.   O

Given   O
the   O
symptoms   O
and   O
findings   O
,   O
a   O
PCR   O
test   O
for   O
Influenza   O
and   O
a   O
nasal   O
swab   O
for   O
COVID-19   O
were   O
performed   O
,   O
with   O
results   O
pending   O
as   O
of   O
15/32/11   B-DATE
/2023   O
.   O

Pending   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
,   O
Liana   B-NAME
Fletcher   I-NAME
initiated   O
empirical   O
treatment   O
with   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
antipyretics   O
to   O
manage   O
fever   O
and   O
inflammation   O
.   O

Further   O
Recommendations   O
:   O
Bowie   B-NAME
,   I-NAME
David   I-NAME
recommended   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
7   O
days   O
to   O
re   O
-   O
evaluate   O
the   O
patient   O
's   O
symptoms   O
and   O
adjust   O
treatment   O
plans   O
accordingly   O
.   O

Should   O
symptoms   O
worsen   O
or   O
difficulty   O
in   O
breathing   O
develop   O
,   O
Dillian   B-NAME
has   O
been   O
instructed   O
to   O
contact   O
Mount   B-LOCATION
Carmel   I-LOCATION
Grove   I-LOCATION
City   I-LOCATION
immediately   O
or   O
return   O
to   O
the   O
emergency   O
department   O
.   O

Confidential   O
Information   O
:   O
All   O
the   O
patient   O
's   O
information   O
,   O
including   O
contact   O
details   O
(   O
483   B-CONTACT
-   I-CONTACT
4506   I-CONTACT
)   O
,   O
place   O
of   O
residence   O
(   O
Naknek   B-LOCATION
)   O
,   O
and   O
personal   O
documents   O
(   O
Health   O
Insurance   O
9   B-ID
-   I-ID
4464814   I-ID
)   O
,   O
has   O
been   O
secured   O
in   O
compliance   O
with   O
healthcare   O
privacy   O
laws   O
.   O

The   O
healthcare   O
team   O
at   O
Connecticut   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
committed   O
to   O
protecting   O
the   O
privacy   O
and   O
security   O
of   O
all   O
patients   O
.   O

Prepared   O
by   O
:   O
hsn276   B-NAME
United   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Carpenters   I-LOCATION
and   I-LOCATION
Joiners   I-LOCATION
of   I-LOCATION
America   I-LOCATION
02/19   B-DATE
Note   O
:   O
This   O
document   O
contains   O
sensitive   O
health   O
information   O
protected   O
under   O
healthcare   O
laws   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Savitri   B-NAME
Devi   I-NAME
Age   O
:   O
66   O
ID   O
:   O
7   B-ID
-   I-ID
9339273   I-ID
Medical   O
Record   O
Number   O
:   O
53087512   B-ID
Address   O
:   O
Fort   B-LOCATION
Atkinson   I-LOCATION
,   O
39655   B-LOCATION
Phone   O
:   O
(   B-CONTACT
869   I-CONTACT
)   I-CONTACT
764   I-CONTACT
1273   I-CONTACT
Profession   O
:   O
Land   O
-   O
based   O
engineer   O
Primary   O
Physician   O
:   O
Williamson   B-NAME
Hospital   O
:   O
Holmes   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
22/35   B-DATE
Presenting   O
Complaint   O
:   O
Beatus   B-NAME
Digrazia   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Louis   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
unrelenting   O
substernal   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Medical   O
History   O
:   O
Beard   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hypercholesterolemia   O
,   O
managed   O
with   O
medication   O
(   O
names   O
withheld   O
as   O
per   O
guidelines   O
)   O
.   O

Willie   B-NAME
Knapp   I-NAME
is   O
a   O
nonsmoker   O
and   O
has   O
a   O
sedentary   O
lifestyle   O
attributed   O
to   O
the   O
nature   O
of   O
Recruitment   O
consultant   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Brandt   B-NAME
appeared   O
distressed   O
with   O
visible   O
diaphoresis   O
.   O

Given   O
these   O
findings   O
,   O
Shaquana   B-NAME
Morejon   I-NAME
was   O
administered   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
as   O
part   O
of   O
an   O
initial   O
acute   O
coronary   O
syndrome   O
management   O
protocol   O
.   O

Management   O
and   O
Follow   O
-   O
Up   O
:   O
Malcolm   B-NAME
Holt   I-NAME
was   O
promptly   O
referred   O
to   O
the   O
cardiology   O
department   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
39/35/22   B-DATE
in   O
the   O
cardiology   O
clinic   O
to   O
reevaluate   O
Jaylyn   B-NAME
Jarvis   I-NAME
's   O
condition   O
and   O
adjust   O
medical   O
management   O
as   O
needed   O
.   O

Summary   O
:   O
Management   O
of   O
Meridith   B-NAME
Buttrey   I-NAME
's   O
presenting   O
symptoms   O
,   O
in   O
conjunction   O
with   O
their   O
medical   O
history   O
and   O
current   O
diagnostic   O
findings   O
,   O
points   O
towards   O
acute   O
myocardial   O
infarction   O
.   O

Immediate   O
medical   O
intervention   O
and   O
ongoing   O
evaluation   O
by   O
cardiology   O
are   O
imperative   O
to   O
manage   O
Yosef   B-NAME
Salazar   I-NAME
's   O
current   O
health   O
situation   O
.   O

Documentation   O
Prepared   O
by   O
:   O
Lawson   B-NAME
2083   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
21   I-DATE

The   O
patient   O
,   O
Jaslyn   B-NAME
Blackburn   I-NAME
,   O
a   O
69   O
-   O
year   O
-   O
old   O
Mental   O
Health   O
Counselors   O
residing   O
in   O
800   B-LOCATION
Prairie   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
67034   B-LOCATION
,   O
was   O
admitted   O
to   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marion   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
on   O
14   B-DATE
-   I-DATE
37   I-DATE
.   O

The   O
initial   O
consultation   O
was   O
conducted   O
by   O
Memphis   B-NAME
Carlson   I-NAME
,   O
culminating   O
in   O
the   O
decision   O
to   O
proceed   O
with   O
an   O
exploratory   O
laparotomy   O
due   O
to   O
the   O
severity   O
of   O
the   O
symptoms   O
.   O

Medical   O
history   O
obtained   O
from   O
56490591   B-ID
reveals   O
a   O
past   O
of   O
recurrent   O
abdominal   O
pain   O
;   O
however   O
,   O
the   O
current   O
episode   O
presented   O
with   O
increased   O
intensity   O
.   O

Jaydan   B-NAME
Phelps   I-NAME
reported   O
the   O
pain   O
initially   O
centered   O
around   O
the   O
umbilicus   O
then   O
localizing   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
described   O
as   O
sharp   O
and   O
constant   O
.   O

Upon   O
examination   O
,   O
House   B-NAME
demonstrated   O
signs   O
of   O
rebound   O
tenderness   O
and   O
Rovsing   O
's   O
sign   O
,   O
suggesting   O
peritoneal   O
irritation   O
.   O

The   O
surgery   O
,   O
performed   O
on   O
21th   B-DATE
,   O
was   O
uneventful   O
,   O
and   O
the   O
postoperative   O
course   O
has   O
been   O
smooth   O
.   O

Dax   B-NAME
Williamson   I-NAME
is   O
scheduled   O
for   O
discharge   O
under   O
the   O
care   O
instructions   O
provided   O
by   O
Gonzales   B-NAME
.   O

The   O
discharge   O
plan   O
includes   O
a   O
prescription   O
for   O
antibiotics   O
,   O
pain   O
management   O
recommendations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
set   O
for   O
18/29   B-DATE
.   O

Daphne   B-NAME
Strong   I-NAME
has   O
been   O
advised   O
to   O
observe   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unexpected   O
increase   O
in   O
pain   O
at   O
the   O
surgical   O
site   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
modifications   O
in   O
the   O
postoperative   O
plan   O
,   O
Kaylynn   B-NAME
Brewer   I-NAME
or   O
the   O
designated   O
caregiver   O
can   O
contact   O
Ellis   B-LOCATION
Hospital   I-LOCATION
at   O
830   B-CONTACT
983   I-CONTACT
-   I-CONTACT
9991   I-CONTACT
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Frank   B-NAME
,   O
remains   O
available   O
for   O
post   O
-   O
discharge   O
consultation   O
.   O

The   O
privacy   O
and   O
confidentiality   O
of   O
Lottie   B-NAME
Deschenes   I-NAME
regarding   O
the   O
medical   O
record   O
591   B-ID
-   I-ID
43   I-ID
-   I-ID
38   I-ID
-   I-ID
5   I-ID
and   O
all   O
personal   O
information   O
complies   O
with   O
the   O
policies   O
of   O
Constellation   B-LOCATION
's   I-LOCATION
Czardom   I-LOCATION
and   O
the   O
health   O
regulations   O
of   O
Stiles   B-LOCATION
.   O

The   O
commitment   O
of   O
Coral   B-LOCATION
Gables   I-LOCATION
Hospital   I-LOCATION
to   O
the   O
well   O
-   O
being   O
of   O
Otha   B-NAME
Rush   I-NAME
extends   O
beyond   O
the   O
immediate   O
post   O
-   O
operative   O
recovery   O
,   O
emphasizing   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
therapeutic   O
regimen   O
and   O
the   O
scheduled   O
follow   O
-   O
up   O
to   O
ensure   O
optimal   O
healing   O
and   O
health   O
restoration   O
.   O

Note   O
:   O
All   O
inquiries   O
regarding   O
the   O
medical   O
or   O
surgical   O
management   O
of   O
Tenesha   B-NAME
Perlman   I-NAME
should   O
be   O
directed   O
to   O
Mother   B-NAME
Teresa   I-NAME
(   I-NAME
Agnes   I-NAME
Gonxha   I-NAME
Bojaxhi   I-NAME
)   I-NAME
by   O
calling   O
New   B-LOCATION
York   I-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
837   I-CONTACT
)   I-CONTACT
686   I-CONTACT
-   I-CONTACT
3633   I-CONTACT
or   O
via   O
email   O
,   O
ensuring   O
confidentiality   O
as   O
mandated   O
by   O
privacy   O
laws   O
in   O
Hamel   B-LOCATION
.   O

2/'82   B-DATE
/2023   O
,   O
Chavez   B-NAME
was   O
admitted   O
to   O
Providence   B-LOCATION
Hospital   I-LOCATION
in   O
Woodson   B-LOCATION
due   O
to   O
a   O
sudden   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
high   O
fever   O
that   O
reached   O
38.5   O
°   O
C   O
(   O
89   O
years   O
old   O
,   O
9295573   B-ID
)   O
.   O

Upon   O
arrival   O
,   O
Rea   B-NAME
Valderrama   I-NAME
was   O
in   O
evident   O
distress   O
,   O
presenting   O
with   O
palpable   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggesting   O
possible   O
acute   O
appendicitis   O
.   O

Immediate   O
laboratory   O
tests   O
ordered   O
by   O
Angelica   B-NAME
Reed   I-NAME
showed   O
elevated   O
white   O
blood   O
cells   O
,   O
indicative   O
of   O
an   O
infection   O
.   O

George   B-NAME
V   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
was   O
advised   O
that   O
an   O
appendectomy   O
was   O
necessary   O
to   O
prevent   O
potential   O
rupture   O
and   O
further   O
complications   O
.   O

Prior   O
to   O
the   O
surgery   O
,   O
Oneida   B-NAME
Norwood   I-NAME
's   O
next   O
of   O
kin   O
was   O
contacted   O
at   O
344   B-CONTACT
8604   I-CONTACT
for   O
consent   O
and   O
to   O
discuss   O
the   O
surgical   O
plan   O
.   O

The   B-NAME
Rock   I-NAME
was   O
subsequently   O
prepared   O
for   O
surgery   O
,   O
with   O
the   O
operation   O
being   O
scheduled   O
for   O
the   O
same   O
day   O
.   O

The   O
appendectomy   O
was   O
performed   O
without   O
any   O
complications   O
under   O
general   O
anesthesia   O
,   O
and   O
Katherin   B-NAME
Pliny   I-NAME
was   O
moved   O
to   O
a   O
recovery   O
room   O
post   O
-   O
procedure   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Zuniga   B-NAME
's   O
pain   O
was   O
managed   O
with   O
prescribed   O
medication   O
,   O
and   O
the   O
fever   O
subsided   O
within   O
the   O
first   O
24   O
hours   O
post   O
-   O
surgery   O
.   O

Follow   O
-   O
up   O
assessments   O
by   O
Batch   B-NAME
,   I-NAME
Charlie   I-NAME
in   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
indicated   O
a   O
smooth   O
recovery   O
,   O
with   O
Jack   B-NAME
Finley   I-NAME
being   O
discharged   O
on   O
Monday   B-DATE
/2023   O
.   O

Additionally   O
,   O
Berard   B-NAME
,   I-NAME
Edward   I-NAME
V.   I-NAME
was   O
given   O
a   O
prescription   O
for   O
a   O
course   O
of   O
oral   O
antibiotics   O
to   O
complete   O
at   O
home   O
.   O

Gundmundsdottir   B-NAME
,   B-NAME
Bjork   I-NAME
emphasized   O
contacting   O
St   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
immediately   O
in   O
case   O
of   O
any   O
signs   O
of   O
infection   O
around   O
the   O
surgical   O
site   O
,   O
uncontrolled   O
pain   O
,   O
or   O
any   O
other   O
concerning   O
symptoms   O
.   O

Raelynn   B-NAME
Wilkinson   I-NAME
's   O
medical   O
record   O
(   O
82629274   B-ID
)   O
and   O
discharge   O
information   O
were   O
securely   O
uploaded   O
to   O
the   O
online   O
patient   O
portal   O
(   O
ht165   B-NAME
)   O
for   O
easy   O
access   O
.   O

URIBE   B-NAME
,   I-NAME
HAROLD   I-NAME
was   O
reminded   O
of   O
the   O
potential   O
for   O
post   O
-   O
operative   O
constipation   O
due   O
to   O
pain   O
medication   O
and   O
advised   O
on   O
dietary   O
adjustments   O
to   O
mitigate   O
this   O
issue   O
.   O

In   O
summary   O
,   O
Vincent   B-NAME
Hughes   I-NAME
,   O
a   O
Geological   O
and   O
Petroleum   O
Technicians   O
from   O
Tununak   B-LOCATION
,   O
underwent   O
an   O
emergent   O
appendectomy   O
at   O
San   B-LOCATION
Ramon   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Kasey   B-NAME
Cooke   I-NAME
,   O
with   O
a   O
successful   O
post   O
-   O
operative   O
recovery   O
noted   O
.   O

Patient   O
Name   O
:   O
Independence   B-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
3169523   I-ID
Medical   O
Record   O
Number   O
:   O
629   B-ID
32   I-ID
36   I-ID
Date   O
of   O
Report   O
:   O
2004   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
26   I-DATE
/2023   O
Attending   O
Physician   O
:   O

Bridger   B-NAME
Preston   I-NAME
Location   O
:   O
Atlantic   B-LOCATION
City   I-LOCATION
-   I-LOCATION
Atlantic   I-LOCATION
Avenue   I-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Atlantic   I-LOCATION
City   I-LOCATION
Phone   O
:   O
464   B-CONTACT
-   I-CONTACT
446   I-CONTACT
5374   I-CONTACT
Age   O
:   O
21   O
Occupation   O
:   O
professor   O
Hospital   O
:   O

Sentara   B-LOCATION
Princess   I-LOCATION
Anne   I-LOCATION
Hospital   I-LOCATION
Patient   O
Lonny   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Skagit   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
,   O
Alabama   B-LOCATION
,   O
on   O
00/4/42   B-DATE
/2023   O
,   O
with   O
complaints   O
of   O
acute   O
,   O
sharp   O
abdominal   O
pain   O
located   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
8   O
hours   O
prior   O
to   O
admission   O
.   O

Past   O
medical   O
history   O
is   O
significant   O
for   O
106   B-ID
-   I-ID
50   I-ID
-   I-ID
84   I-ID
-   I-ID
2   I-ID
and   O
no   O
known   O
allergies   O
(   O
470229307   B-ID
)   O
.   O

Surgical   O
consultation   O
recommended   O
by   O
Feibig   B-NAME
,   I-NAME
Jim   I-NAME
was   O
obtained   O
,   O
and   O
the   O
patient   O
was   O
subsequently   O
admitted   O
for   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
.   O

Marcos   B-NAME
,   I-NAME
Ferdinand   I-NAME
Edralin   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgery   O
clinic   O
in   O
two   O
weeks   O
for   O
wound   O
check   O
and   O
further   O
evaluation   O
.   O

Trevor   B-NAME
Olsen   I-NAME
was   O
discharged   O
on   O
23/02/2230   B-DATE
/2023   O
with   O
prescriptions   O
for   O
oral   O
antibiotics   O
and   O
pain   O
management   O
.   O

Emergency   O
contact   O
information   O
was   O
verified   O
,   O
and   O
Barbara   B-NAME
Hickman   I-NAME
confirmed   O
an   O
understanding   O
of   O
all   O
discharge   O
instructions   O
personally   O
and   O
through   O
the   O
contact   O
number   O
provided   O
,   O
(   B-CONTACT
465   I-CONTACT
)   I-CONTACT
948   I-CONTACT
-   I-CONTACT
8775   I-CONTACT
.   O

The   O
patient   O
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
at   O
The   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
and   O
was   O
provided   O
with   O
a   O
direct   O
line   O
,   O
629   B-CONTACT
9676   I-CONTACT
,   O
to   O
the   O
surgical   O
unit   O
for   O
any   O
postoperative   O
concerns   O
.   O

This   O
discharge   O
summary   O
has   O
been   O
forwarded   O
to   O
the   O
primary   O
care   O
physician   O
of   O
record   O
,   O
Dr.   O
Roselyn   B-NAME
Villarreal   I-NAME
,   O
via   O
secure   O
email   O
(   O
DA7010   B-NAME
)   O
to   O
ensure   O
continuity   O
of   O
care   O
.   O

Follow   O
-   O
up   O
in   O
the   O
community   O
,   O
specifically   O
with   O
International   B-LOCATION
affiliates   I-LOCATION
,   O
has   O
been   O
arranged   O
to   O
monitor   O
the   O
patient   O
's   O
recovery   O
process   O
and   O
to   O
manage   O
any   O
potential   O
complications   O
arising   O
from   O
the   O
surgery   O
.   O

The   O
patient   O
's   O
ZIP   O
code   O
,   O
93540   B-LOCATION
,   O
was   O
used   O
to   O
find   O
the   O
closest   O
primary   O
care   O
and   O
surgical   O
specialists   O
in   O
Welwyn   B-LOCATION
Garden   I-LOCATION
City   I-LOCATION
for   O
convenience   O
.   O

In   O
summary   O
,   O
Dennis   B-NAME
,   O
aged   O
59   O
,   O
experienced   O
a   O
successful   O
appendectomy   O
with   O
an   O
anticipated   O
positive   O
recovery   O
trajectory   O
.   O

The   O
holistic   O
care   O
approach   O
,   O
incorporating   O
local   O
Standard   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
services   O
,   O
is   O
expected   O
to   O
support   O
Hodges   B-NAME
's   O
return   O
to   O
their   O
role   O
as   O
a   O
Dramatherapist   O
,   O
with   O
minimal   O
disruption   O
.   O

Patient   O
Report   O
:   O
90470696   B-ID
Name   O
:   O
Patricia   B-NAME
Nunn   I-NAME
Age   O
:   O
52   O
Date   O
of   O
Birth   O
:   O
12/12/66   B-DATE
Address   O
:   O
Chilili   B-LOCATION
,   O
49297   B-LOCATION
Phone   O
:   O
284   B-CONTACT
4853   I-CONTACT

Attending   O
Physician   O
:   O
Hogan   B-NAME
Hospital   O
:   O

Phelps   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
GR836/2595   B-ID
Date   O
of   O
Admission   O
:   O
1949   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
24   I-DATE
Date   O
of   O
Report   O
:   O
20/35   B-DATE
Chief   O
Complain   O
:   O
IKI   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
University   B-LOCATION
Hospitals   I-LOCATION
Elyria   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/96   B-DATE
with   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
started   O
approximately   O
two   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
,   O
a   O
Mine   O
Cutting   O
and   O
Channeling   O
Machine   O
Operators   O
by   O
profession   O
,   O
reports   O
that   O
the   O
pain   O
was   O
sudden   O
in   O
onset   O
,   O
described   O
as   O
a   O
constriction   O
or   O
pressure   O
in   O
the   O
chest   O
,   O
rated   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Travers   B-NAME
,   I-NAME
P.   I-NAME
L.   I-NAME
also   O
experienced   O
palpitations   O
alongside   O
the   O
dizziness   O
.   O

Marie   B-NAME
,   I-NAME
Queen   I-NAME
of   I-NAME
Romania   I-NAME
states   O
that   O
they   O
were   O
at   O
work   O
in   O
Washburn   B-LOCATION
when   O
the   O
symptoms   O
began   O
and   O
denied   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

OAKLEY   B-NAME
,   I-NAME
ALBERT   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Exam   O
:   O
Upon   O
examination   O
,   O
Steven   B-NAME
Kiley   I-NAME
was   O
in   O
moderate   O
distress   O
.   O

Management   O
:   O
Konrad   B-NAME
Styner   I-NAME
was   O
immediately   O
given   O
sublingual   O
nitroglycerin   O
,   O
aspirin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
in   O
the   O
emergency   O
department   O
.   O

Jase   B-NAME
Hensley   I-NAME
from   O
cardiology   O
was   O
consulted   O
and   O
Naima   B-NAME
Mckenzie   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
further   O
intervention   O
.   O

A   O
coronary   O
angiography   O
performed   O
by   O
Ford   B-NAME
revealed   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
,   O
which   O
was   O
subsequently   O
treated   O
with   O
angioplasty   O
and   O
stent   O
placement   O
.   O

Disposition   O
:   O
Following   O
the   O
procedure   O
,   O
Kenneth   B-NAME
X.   I-NAME
Sylvester   I-NAME
,   I-NAME
Jr.   I-NAME
was   O
transferred   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
for   O
monitoring   O
.   O

Issac   B-NAME
Martinez   I-NAME
remained   O
stable   O
overnight   O
with   O
resolution   O
of   O
chest   O
pain   O
and   O
improvement   O
in   O
vital   O
signs   O
.   O

Follow   O
-   O
Up   O
:   O
Risa   B-NAME
Fleak   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Heath   B-NAME
at   O
White   B-LOCATION
Wing   I-LOCATION
Hospital   I-LOCATION
on   O
01/40   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Asher   B-NAME
or   O
their   O
family   O
can   O
contact   O
the   O
Cardiology   O
Department   O
at   O
68622   B-CONTACT
.   O

Document   O
Prepared   O
by   O
:   O
up742   B-NAME
,   O
Medical   O
Staff   O
at   O
Harlingen   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
05/24/07   B-DATE

The   O
patient   O
,   O
Clark   B-NAME
,   I-NAME
Ramsey   I-NAME
,   O
a   O
4   O
-   O
year   O
-   O
old   O
Medical   O
Secretaries   O
residing   O
in   O
Mount   B-LOCATION
Plymouth   I-LOCATION
,   O
presented   O
on   O
T   B-DATE
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

According   O
to   O
Tyesha   B-NAME
,   O
the   O
symptoms   O
started   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
mentioned   O
a   O
recent   O
trip   O
to   O
Owen   B-LOCATION
about   O
a   O
week   O
ago   O
where   O
they   O
consumed   O
street   O
food   O
.   O

Upon   O
physical   O
examination   O
,   O
Sebastian   B-NAME
Dang   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
with   O
vital   O
signs   O
within   O
normal   O
limits   O
except   O
for   O
a   O
mildly   O
elevated   O
temperature   O
of   O
100.4   O
°   O
F   O
.   O

Jessica   B-NAME
Jackson   I-NAME
was   O
advised   O
of   O
the   O
findings   O
and   O
the   O
recommendation   O
for   O
surgical   O
intervention   O
.   O

The   O
patient   O
provided   O
consent   O
,   O
and   O
an   O
appendectomy   O
was   O
performed   O
by   O
Carr   B-NAME
at   O
Orange   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
February   B-DATE
2   I-DATE
,   I-DATE
2198   I-DATE
.   O

The   O
surgical   O
procedure   O
was   O
completed   O
without   O
any   O
complications   O
,   O
and   O
Lawrence   B-NAME
Wilhelm   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Soto   B-NAME
was   O
discharged   O
on   O
8   B-DATE
-   I-DATE
22   I-DATE
with   O
instructions   O
for   O
care   O
and   O
follow   O
-   O
up   O
information   O
.   O

The   O
patient   O
was   O
given   O
the   O
emergency   O
contact   O
number   O
37429   B-CONTACT
in   O
case   O
of   O
any   O
post   O
-   O
discharge   O
complications   O
.   O

Dani   B-NAME
Mcneil   I-NAME
attended   O
a   O
follow   O
-   O
up   O
visit   O
on   O
11/26/2035   B-DATE
with   O
Stanley   B-NAME
Boyle   I-NAME
,   O
reporting   O
significant   O
improvement   O
in   O
symptoms   O
and   O
overall   O
well   O
-   O
being   O
.   O

Education   O
on   O
seeking   O
immediate   O
medical   O
attention   O
for   O
similar   O
symptoms   O
was   O
provided   O
to   O
Linda   B-NAME
Urbanek   I-NAME
,   O
alongside   O
recommendations   O
for   O
general   O
health   O
maintenance   O
and   O
nutrition   O
advice   O
to   O
prevent   O
future   O
episodes   O
.   O

Medical   O
record   O
details   O
for   O
Jeremy   B-NAME
Bradshaw   I-NAME
are   O
securely   O
filed   O
under   O
621   B-ID
-   I-ID
87   I-ID
-   I-ID
01   I-ID
-   I-ID
7   I-ID
at   O
West   B-LOCATION
Boca   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Any   O
further   O
inquiries   O
or   O
follow   O
-   O
up   O
information   O
required   O
can   O
be   O
directed   O
to   O
Marlette   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
patient   O
information   O
department   O
at   O
40166   B-CONTACT
.   O

The   O
patient   O
,   O
Bacevich   B-NAME
,   I-NAME
Andrew   I-NAME
,   O
a   O
25   O
-   O
year   O
-   O
old   O
Retail   O
Loss   O
Prevention   O
Specialists   O
,   O
presented   O
to   O
OSF   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2384   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
23   I-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
examination   O
,   O
Agueda   B-NAME
Tacey   I-NAME
's   O
vitals   O
were   O
recorded   O
with   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
of   O
98   O
bpm   O
,   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
94   O
%   O
on   O
room   O
air   O
.   O

Lab   O
results   O
from   O
Essentia   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Fargo   I-LOCATION
indicated   O
an   O
elevated   O
D   O
-   O
dimer   O
and   O
slightly   O
elevated   O
troponin   O
levels   O
.   O

A   O
chest   O
X   O
-   O
ray   O
performed   O
on   O
2/3/2372   B-DATE
at   O
Tufts   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
showed   O
a   O
small   O
left   O
-   O
sided   O
pleural   O
effusion   O
and   O
no   O
evidence   O
of   O
pneumothorax   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Wayne   I-LOCATION
under   O
the   O
care   O
of   O
Zuniga   B-NAME
,   O
who   O
initiated   O
treatment   O
with   O
anticoagulation   O
therapy   O
.   O

Over   O
the   O
following   O
days   O
,   O
Small   B-NAME
's   O
symptoms   O
gradually   O
improved   O
,   O
and   O
a   O
repeat   O
chest   O
X   O
-   O
ray   O
showed   O
resolution   O
of   O
the   O
pleural   O
effusion   O
.   O

Moran   B-NAME
,   I-NAME
Dylan   I-NAME
's   O
case   O
was   O
discussed   O
at   O
a   O
multidisciplinary   O
team   O
meeting   O
on   O
2299   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
23   I-DATE
,   O
where   O
it   O
was   O
decided   O
to   O
continue   O
anticoagulation   O
therapy   O
for   O
at   O
least   O
three   O
months   O
,   O
and   O
follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
in   O
the   O
outpatient   O
clinic   O
of   O
Regional   B-LOCATION
Health   I-LOCATION
Spearfish   I-LOCATION
Hospital   I-LOCATION
.   O

Direct   B-LOCATION
Energy   I-LOCATION
was   O
contacted   O
for   O
the   O
patient   O
’s   O
ongoing   O
care   O
coordination   O
,   O
and   O
a   O
home   O
visit   O
was   O
arranged   O
to   O
assess   O
the   O
need   O
for   O
further   O
support   O
at   O
Wilcox   B-NAME
's   O
residence   O
in   O
9275   B-LOCATION
Bridle   I-LOCATION
St   I-LOCATION
.   I-LOCATION
.   O
Chavez   B-NAME
was   O
provided   O
with   O
a   O
booklet   O
on   O
pulmonary   O
embolism   O
and   O
smoking   O
cessation   O
resources   O
,   O
including   O
a   O
helpline   O
number   O
(   O
986   B-CONTACT
-   I-CONTACT
3463   I-CONTACT
)   O
for   O
additional   O
support   O
.   O

Jan   B-NAME
Wise   I-NAME
was   O
discharged   O
on   O
03/27   B-DATE
with   O
a   O
detailed   O
care   O
plan   O
,   O
including   O
medication   O
schedule   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

The   O
patient   O
's   O
discharge   O
summary   O
,   O
including   O
the   O
treatment   O
received   O
and   O
recommended   O
follow   O
-   O
up   O
care   O
,   O
was   O
sent   O
to   O
the   O
primary   O
care   O
physician   O
in   O
Adena   B-LOCATION
via   O
secure   O
email   O
,   O
with   O
Molly   B-NAME
Harrell   I-NAME
's   O
medical   O
record   O
number   O
(   O
51332298   B-ID
)   O
referenced   O
in   O
the   O
communication   O
.   O

In   O
summary   O
,   O
Paul   B-NAME
T.   I-NAME
Quinby   I-NAME
's   O
presentation   O
of   O
dyspnea   O
and   O
chest   O
pain   O
led   O
to   O
the   O
diagnosis   O
of   O
a   O
pulmonary   O
embolism   O
,   O
which   O
was   O
effectively   O
managed   O
with   O
anticoagulation   O
therapy   O
and   O
smoking   O
cessation   O
counseling   O
.   O

The   O
patient   O
,   O
Edward   B-NAME
Jessup   I-NAME
,   O
a   O
61   O
-   O
year   O
-   O
old   O
Graphic   O
Designers   O
from   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73130   I-LOCATION
,   O
presented   O
to   O
Emory   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
2382   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
difficulty   O
in   O
breathing   O
,   O
and   O
fever   O
.   O

According   O
to   O
Digna   B-NAME
,   O
these   O
symptoms   O
have   O
been   O
progressing   O
over   O
the   O
past   O
seven   O
days   O
.   O

Miller   B-NAME
,   I-NAME
Henry   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
asthma   O
,   O
managed   O
with   O
inhalers   O
,   O
and   O
seasonal   O
allergies   O
.   O

Benjamin   B-NAME
,   I-NAME
Walter   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Upon   O
examination   O
,   O
Brycen   B-NAME
Patton   I-NAME
's   O
vital   O
signs   O
were   O
notable   O
for   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Mccormick   B-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
a   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
,   O
and   O
a   O
COVID-19   O
PCR   O
test   O
.   O

Khan   B-NAME
,   I-NAME
Hafiz   I-NAME
documented   O
in   O
Deeann   B-NAME
Mazion   I-NAME
's   O
medical   O
record   O
number   O
98472380   B-ID
that   O
the   O
differential   O
diagnosis   O
included   O
an   O
asthma   O
exacerbation   O
potentially   O
triggered   O
by   O
an   O
upper   O
respiratory   O
tract   O
infection   O
or   O
the   O
patient   O
's   O
known   O
allergens   O
.   O

Treatment   O
was   O
initiated   O
with   O
a   O
course   O
of   O
oral   O
corticosteroids   O
and   O
an   O
increase   O
in   O
the   O
frequency   O
of   O
Hillary   B-NAME
Knapp   I-NAME
's   O
inhaled   O
bronchodilators   O
.   O

Niemöller   B-NAME
,   I-NAME
Martin   I-NAME
also   O
noted   O
the   O
necessity   O
for   O
a   O
follow   O
-   O
up   O
visit   O
to   O
reassess   O
Candy   B-NAME
's   O
respiratory   O
status   O
in   O
one   O
week   O
or   O
sooner   O
if   O
Keith   B-NAME
Wilkes   I-NAME
's   O
symptoms   O
failed   O
to   O
improve   O
or   O
worsened   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
,   O
and   O
Cerra   B-NAME
was   O
provided   O
with   O
contact   O
information   O
(   O
68781   B-CONTACT
)   O
for   O
the   O
respiratory   O
clinic   O
at   O
Twin   B-LOCATION
Cities   I-LOCATION
Hospital   I-LOCATION
should   O
they   O
need   O
to   O
get   O
in   O
touch   O
sooner   O
.   O

Ehrlich   B-NAME
,   I-NAME
Paul   I-NAME
R.   I-NAME
emphasized   O
the   O
need   O
for   O
Bolano   B-NAME
,   I-NAME
Roberto   I-NAME
to   O
monitor   O
their   O
temperature   O
and   O
oxygen   O
saturation   O
at   O
home   O
,   O
using   O
a   O
thermometer   O
and   O
a   O
pulse   O
oximeter   O
,   O
respectively   O
.   O

A   O
summary   O
of   O
the   O
encounter   O
along   O
with   O
the   O
prescribed   O
treatment   O
plan   O
was   O
shared   O
with   O
Maya   B-NAME
Swigert   I-NAME
and   O
uploaded   O
to   O
the   O
Unitil   B-LOCATION
Corporation   I-LOCATION
's   O
secure   O
patient   O
portal   O
for   O
future   O
reference   O
.   O

The   O
encounter   O
was   O
flagged   O
as   O
completed   O
in   O
the   O
electronic   O
health   O
record   O
system   O
under   O
the   O
account   O
ID   O
WT   B-ID
:   I-ID
PG:6892   I-ID
,   O
and   O
all   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
was   O
securely   O
managed   O
as   O
per   O
the   O
guidelines   O
of   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Episcopal   I-LOCATION
Hospital   I-LOCATION
At   I-LOCATION
/   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Smithtown   I-LOCATION
and   O
relevant   O
health   O
information   O
privacy   O
laws   O
.   O

Patient   O
:   O
jorgenson   B-NAME
Gender   O
:   O
Male   O
Age   O
:   O
0s   O
Date   O
of   O
Admission   O
:   O
1905   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
11   I-DATE
Attending   O
Physician   O
:   O
Ariana   B-NAME
Kirby   I-NAME
Hospital   O
:   O

Citizens   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Colby   I-LOCATION
Medical   O
Record   O
Number   O
:   O
4993597   B-ID
ID   O
:   O
925019   B-ID
Location   O
:   O

Nyssa   B-LOCATION
Organization   O
:   O

Oglethorpe   B-LOCATION
Power   I-LOCATION
Phone   O
:   O
844   B-CONTACT
-   I-CONTACT
4844   I-CONTACT
Profession   O
:   O

Outdoor   O
pursuits   O
manager   O
Username   O
:   O
up796   B-NAME
Zip   O
Code   O
:   O
83854   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Walter   B-NAME
Roach   I-NAME
,   O
reports   O
experiencing   O
persistent   O
,   O
severe   O
headaches   O
predominantly   O
localized   O
on   O
the   O
right   O
side   O
of   O
his   O
head   O
.   O

The   O
onset   O
of   O
these   O
symptoms   O
was   O
approximately   O
April   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Salgado   B-NAME
has   O
been   O
experiencing   O
the   O
aforementioned   O
symptoms   O
for   O
around   O
two   O
weeks   O
prior   O
to   O
admission   O
.   O

On   O
the   O
evaluation   O
date   O
(   O
2/00   B-DATE
)   O
,   O
Kenneth   B-NAME
Z.   I-NAME
Sellers   I-NAME
rated   O
his   O
headache   O
pain   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Roberts   B-NAME
also   O
notes   O
the   O
recent   O
development   O
of   O
phonophobia   O
,   O
alongside   O
previously   O
noted   O
photophobia   O
and   O
nausea   O
without   O
vomiting   O
.   O

Social   O
History   O
:   O
Mills   B-NAME
,   O
a   O
Pantograph   O
Engravers   O
,   O
reports   O
a   O
moderate   O
level   O
of   O
stress   O
at   O
work   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
patient   O
,   O
Barbie   B-NAME
,   O
is   O
experiencing   O
an   O
acute   O
exacerbation   O
of   O
previously   O
diagnosed   O
migraines   O
,   O
with   O
atypical   O
severity   O
and   O
resistance   O
to   O
over   O
-   O
the   O
-   O
counter   O
medications   O
.   O

A   O
consultation   O
with   O
a   O
neurologist   O
,   O
Hull   B-NAME
,   I-NAME
Bobby   I-NAME
,   O
is   O
recommended   O
to   O
further   O
evaluate   O
and   O
manage   O
the   O
patient   O
’s   O
migraines   O
.   O

Follow   O
-   O
up   O
:   O
King   B-NAME
Gould   I-NAME
is   O
to   O
follow   O
up   O
with   O
Castillo   B-NAME
at   O
BANNER   B-LOCATION
-   I-LOCATION
UNIVERSITY   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
PHOENIX   I-LOCATION
in   O
1/5   B-DATE
for   O
review   O
of   O
diagnostic   O
test   O
results   O
and   O
reassessment   O
of   O
headache   O
management   O
plan   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Gerald   B-NAME
Marx   I-NAME
may   O
contact   O
the   O
Neurology   O
Department   O
at   O
Munson   B-LOCATION
Army   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Fort   I-LOCATION
Leavenworth   I-LOCATION
at   O
(   B-CONTACT
536   I-CONTACT
)   I-CONTACT
660   I-CONTACT
3945   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Acuna   B-NAME
Age   O
:   O
10   O
week   O
Medical   O
Record   O
Number   O
:   O
981   B-ID
61   I-ID
54   I-ID
Date   O
of   O
Visit   O
:   O
2068   B-DATE
-   I-DATE
26   I-DATE
-   I-DATE
22   I-DATE
Attending   O
Physician   O
:   O
Landin   B-NAME
Harvey   I-NAME
Hospital   O
Name   O
:   O
Community   B-LOCATION
Hospital   I-LOCATION
Anderson   I-LOCATION
Location   O
:   O
Bahamas   B-LOCATION
Contact   O
Number   O
:   O
57921   B-CONTACT
Occupation   O
:   O
Shampooers   O
Patient   O
ID   O
:   O
OF854/9690   B-ID
Username   O
:   O
gp328   B-NAME
Zip   O
Code   O
:   O
51153   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Sherri   B-NAME
Dattilo   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
12/27   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
which   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
is   O
a   O
53s   O
-   O
year   O
-   O
old   O
Extruding   O
and   O
Forming   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Synthetic   O
and   O
Glass   O
Fibers   O
who   O
initially   O
noticed   O
mild   O
discomfort   O
in   O
the   O
mid   O
-   O
abdominal   O
area   O
early   O
in   O
the   O
morning   O
on   O
December   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jacobs   B-NAME
exhibited   O
signs   O
of   O
distress   O
related   O
to   O
pain   O
.   O

Following   O
the   O
diagnosis   O
by   O
Boyer   B-NAME
,   O
the   O
patient   O
was   O
admitted   O
to   O
Smith   B-LOCATION
Northview   I-LOCATION
Hospital   I-LOCATION
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
with   O
Collett   B-NAME
,   I-NAME
Camilla   I-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
they   O
experience   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
.   O

Discharge   O
Instructions   O
:   O
Nathan   B-NAME
France   I-NAME
was   O
discharged   O
on   O
3/22   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
to   O
complete   O
a   O
7   O
-   O
day   O
course   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Case   B-NAME
Henson   I-NAME
at   O
Prisma   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
Greenville   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
scheduled   O
for   O
32   B-DATE
to   O
evaluate   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

The   O
patient   O
,   O
Xzavior   B-NAME
C.   I-NAME
Welch   I-NAME
,   O
a   O
38   O
year   O
-   O
old   O
Municipal   O
Clerks   O
from   O
McVeytown   B-LOCATION
,   O
presented   O
to   O
Elmhurst   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Mcconnell   B-NAME
noted   O
the   O
presence   O
of   O
positive   O
McBurney   O
's   O
sign   O
,   O
along   O
with   O
guarding   O
and   O
rebound   O
tenderness   O
indicating   O
potential   O
appendicitis   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
,   O
15842784   B-ID
,   O
was   O
referenced   O
throughout   O
the   O
treatment   O
process   O
for   O
lab   O
results   O
,   O
imaging   O
orders   O
,   O
and   O
medical   O
history   O
review   O
.   O

The   O
attending   O
physician   O
,   O
Spears   B-NAME
,   O
recommended   O
immediate   O
surgical   O
intervention   O
,   O
specifically   O
a   O
laparoscopic   O
appendectomy   O
,   O
due   O
to   O
the   O
risk   O
of   O
rupture   O
and   O
resultant   O
peritonitis   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
5/2/45   B-DATE
,   O
and   O
the   O
patient   O
was   O
informed   O
and   O
consented   O
to   O
the   O
procedure   O
.   O

An   O
emergency   O
contact   O
was   O
listed   O
as   O
reaching   O
at   O
18731   B-CONTACT
.   O

Additionally   O
,   O
it   O
was   O
verified   O
that   O
Dj'Ohe   B-NAME
has   O
a   O
history   O
of   O
penicillin   O
allergy   O
,   O
noted   O
in   O
their   O
medical   O
chart   O
under   O
allergy   O
section   O
.   O

The   O
laparoscopic   O
appendectomy   O
was   O
performed   O
successfully   O
without   O
complications   O
,   O
and   O
Jina   B-NAME
Boutchyard   I-NAME
was   O
transferred   O
to   O
the   O
post   O
-   O
surgical   O
unit   O
for   O
recovery   O
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
with   O
Keshawn   B-NAME
Cooke   I-NAME
at   O
Jackson   B-LOCATION
South   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
post   O
-   O
operative   O
check   O
-   O
up   O
after   O
discharge   O
to   O
evaluate   O
healing   O
and   O
discuss   O
any   O
potential   O
diet   O
or   O
activity   O
modifications   O
necessary   O
during   O
recovery   O
.   O

For   O
post   O
-   O
operative   O
care   O
at   O
home   O
,   O
Justis   B-NAME
was   O
provided   O
with   O
detailed   O
discharge   O
instructions   O
including   O
dietary   O
recommendations   O
,   O
activity   O
limitations   O
,   O
and   O
signs   O
of   O
possible   O
complications   O
warranting   O
immediate   O
medical   O
attention   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
22/33   B-DATE
at   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Boise   I-LOCATION
,   O
and   O
Hayes   B-NAME
was   O
encouraged   O
to   O
contact   O
Alfreda   B-NAME
Vandermark   I-NAME
's   O
office   O
at   O
238   B-CONTACT
392   I-CONTACT
7775   I-CONTACT
with   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

All   O
relevant   O
discharge   O
documentation   O
,   O
including   O
prescriptions   O
for   O
pain   O
management   O
and   O
antibiotic   O
medication   O
,   O
was   O
handed   O
to   O
Jeri   B-NAME
Clingan   I-NAME
with   O
explicit   O
instructions   O
on   O
dosage   O
and   O
frequency   O
.   O

The   O
collaborative   O
efforts   O
of   O
the   O
healthcare   O
team   O
at   O
Saint   B-LOCATION
Barnabas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ensured   O
a   O
positive   O
outcome   O
for   O
William   B-NAME
Hayward   I-NAME
,   O
a   O
Cutting   O
and   O
Slicing   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
from   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11235   I-LOCATION
,   O
enabling   O
a   O
return   O
to   O
daily   O
activities   O
post   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Whitman   B-NAME
Patient   O
ID   O
:   O
JN699/8511   B-ID
Medical   O
Record   O
Number   O
:   O
5803835   B-ID
Date   O
of   O
Birth   O
:   O
31/22   B-DATE
Age   O
:   O
24   O
Phone   O
Number   O
:   O
62503   B-CONTACT
Address   O
:   O
Boise   B-LOCATION
,   O
39442   B-LOCATION
Employment   O
:   O
Child   O
,   O
Family   O
,   O
and   O
School   O
Social   O
Workers   O
at   O
Australian   B-LOCATION
Services   I-LOCATION
Union   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Bertram   B-NAME
Charles   I-NAME
Hospital   O
:   O
Bayfront   B-LOCATION
Health   I-LOCATION
Port   I-LOCATION
Charlotte   I-LOCATION
Admission   O
Date   O
:   O
02/28   B-DATE
Discharge   O
Date   O
:   O
September   B-DATE
39   I-DATE
,   I-DATE
2315   I-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Deanna   B-NAME
Wyatt   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Riverside   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
28/02   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
fever   O
,   O
and   O
persistent   O
nausea   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Yusuf   B-NAME
Lugo   I-NAME
complained   O
of   O
the   O
onset   O
of   O
symptoms   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
fever   O
was   O
first   O
noted   O
the   O
morning   O
of   O
1846   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
11   I-DATE
,   O
reaching   O
a   O
peak   O
of   O
38.5   O
°   O
C   O
.   O

Saunders   B-NAME
is   O
a   O
Criminal   O
Justice   O
and   O
Law   O
Enforcement   O
Teachers   O
,   O
Postsecondary   O
who   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Lyric   B-NAME
Fletcher   I-NAME
lives   O
in   O
Cartwright   B-LOCATION
with   O
family   O
.   O

On   O
examination   O
,   O
Perkins   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Kaelyn   B-NAME
Walker   I-NAME
recommended   O
an   O
immediate   O
appendectomy   O
based   O
on   O
these   O
findings   O
.   O

Treatment   O
:   O
Appendectomy   O
was   O
performed   O
on   O
00/20/2367   B-DATE
without   O
complications   O
.   O

Ann   B-NAME
Cuthbert   I-NAME
received   O
IV   O
antibiotics   O
and   O
fluids   O
post   O
-   O
operatively   O
.   O

The   O
patient   O
's   O
condition   O
improved   O
steadily   O
,   O
and   O
NICHOLAS   B-NAME
SINGH   I-NAME
was   O
discharged   O
on   O
30/28   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
with   O
Mejia   B-NAME
in   O
2   O
weeks   O
.   O

Ryan   B-NAME
Leach   I-NAME
will   O
have   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
1/2322   B-DATE
at   O
Golden   B-LOCATION
Valley   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

For   O
any   O
concerns   O
or   O
symptoms   O
of   O
infection   O
,   O
Gallegos   B-NAME
was   O
advised   O
to   O
contact   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Los   I-LOCATION
Angeles   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
242   B-CONTACT
-   I-CONTACT
5108   I-CONTACT
or   O
Murillo   B-NAME
directly   O
.   O

Patient   O
Name   O
:   O
Amir   B-NAME
Naranjo   I-NAME
Date   O
of   O
Birth   O
:   O
0/0   B-DATE
Age   O
:   O
56   O
ID   O
:   O
5   B-ID
-   I-ID
8857573   I-ID
Medical   O
Record   O
Number   O
:   O
36455755   B-ID
Address   O
:   O
Sumpter   B-LOCATION
,   O
61112   B-LOCATION
Phone   O
:   O
647   B-CONTACT
6235   I-CONTACT
Attending   O
Physician   O
:   O

Ron   B-NAME
Welch   I-NAME
Hospital   O
:   O
Clinton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O

20/12/2082   B-DATE
Date   O
of   O
Report   O
:   O
2/6   B-DATE
Summary   O
:   O
whalen   B-NAME
,   O
a   O
Floor   O
Sanders   O
and   O
Finishers   O
from   O
Columbus   B-LOCATION
,   I-LOCATION
Uptown   I-LOCATION
Columbus   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
was   O
admitted   O
to   O
CoxHealth   B-LOCATION
on   O
09/20   B-DATE
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Houston   B-NAME
complained   O
of   O
severe   O
abdominal   O
pain   O
,   O
initially   O
located   O
in   O
the   O
mid   O
-   O
abdomen   O
and   O
later   O
localizing   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
is   O
typified   O
by   O
McBurney   O
's   O
point   O
tenderness   O
.   O

Physical   O
examination   O
conducted   O
by   O
Max   B-NAME
Gottlieb   I-NAME
revealed   O
rebound   O
tenderness   O
and   O
rigidity   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Ultrasound   O
of   O
the   O
abdomen   O
,   O
ordered   O
on   O
00/05   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
surrounding   O
fluid   O
collection   O
,   O
suggesting   O
an   O
appendiceal   O
abscess   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
imaging   O
results   O
,   O
Hendricks   B-NAME
diagnosed   O
Roberts   B-NAME
with   O
acute   O
appendicitis   O
complicated   O
by   O
an   O
abscess   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Vang   B-NAME
,   O
was   O
consulted   O
and   O
recommended   O
an   O
urgent   O
surgical   O
intervention   O
.   O

Laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
09/27/2273   B-DATE
without   O
any   O
complications   O
.   O

Postoperatively   O
,   O
FLC   B-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
to   O
manage   O
and   O
prevent   O
any   O
potential   O
infection   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Schopenhauer   B-NAME
,   I-NAME
Arthur   I-NAME
showed   O
significant   O
improvement   O
post   O
-   O
surgery   O
and   O
was   O
discharged   O
on   O
2242   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
05   I-DATE
.   O

Sophia   B-NAME
Hendrix   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
department   O
after   O
one   O
week   O
with   O
Mayer   B-NAME
for   O
wound   O
inspection   O
and   O
to   O
assess   O
for   O
any   O
post   O
-   O
operative   O
complications   O
.   O

Additionally   O
,   O
Hettie   B-NAME
Skipper   I-NAME
was   O
instructed   O
to   O
maintain   O
a   O
high   O
fiber   O
diet   O
and   O
adequately   O
hydrate   O
to   O
facilitate   O
recovery   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
if   O
symptoms   O
persist   O
,   O
Armadeus   B-NAME
Hollarn   I-NAME
or   O
their   O
primary   O
care   O
provider   O
can   O
contact   O
Ascension   B-LOCATION
River   I-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
at   O
831   B-CONTACT
-   I-CONTACT
3830   I-CONTACT
.   O

Document   O
Prepared   O
by   O
:   O
AC9710   B-NAME
Horace   B-LOCATION
Mann   I-LOCATION
Educators   I-LOCATION
Corporation   I-LOCATION

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Fowler   B-NAME
,   I-NAME
Gene   I-NAME
-   O
Age   O
:   O
55   O
-   O
Date   O
of   O
Birth   O
:   O
11/21/52   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
91497429   B-ID
-   O
Address   O
:   O
Tennessee   B-LOCATION
,   O
90655   B-LOCATION
-   O
Phone   O
:   O
14989   B-CONTACT
-   O
Occupation   O
:   O
Curator   O
Admission   O
Date   O
:   O
00/30   B-DATE
Attending   O
Physician   O
:   O
Konner   B-NAME
Costa   I-NAME
Hospital   O
:   O

Wayne   B-LOCATION
HealthCare   I-LOCATION
Chief   O
Complaint   O
:   O
-   O
Amaris   B-NAME
Olson   I-NAME
presents   O
with   O
severe   O
abdominal   O
pain   O
,   O
notably   O
in   O
the   O
lower   O
quadrant   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
pain   O
intensity   O
has   O
progressively   O
increased   O
over   O
the   O
past   O
23th   B-DATE
of   I-DATE
February   I-DATE
,   O
accompanied   O
by   O
episodes   O
of   O
nausea   O
and   O
intermittent   O
vomiting   O
.   O

Medical   O
History   O
:   O
-   O
Diabetes   O
Mellitus   O
Type   O
II   O
diagnosed   O
in   O
year   O
2015   O
-   O
Hypertension   O
,   O
under   O
control   O
with   O
medication   O
since   O
year   O
2018   O
-   O
Previous   O
hospitalization   O
for   O
acute   O
pancreatitis   O
in   O
January   B-DATE
-   O
No   O
known   O
allergies   O
to   O
medications   O
or   O
food   O
Diagnostic   O
Evaluation   O
:   O
-   O
Abdominal   O
CT   O
scan   O
revealed   O
a   O
3   O
cm   O
mass   O
in   O
the   O
head   O
of   O
the   O
pancreas   O
,   O
suggestive   O
of   O
a   O
neoplastic   O
process   O
.   O

The   O
multidisciplinary   O
team   O
,   O
including   O
Price   B-NAME
and   O
specialists   O
from   O
oncology   O
and   O
surgery   O
departments   O
at   O
Three   B-LOCATION
Rivers   I-LOCATION
Healthcare   I-LOCATION
,   O
has   O
recommended   O
a   O
Whipple   O
procedure   O
as   O
the   O
best   O
course   O
of   O
action   O
.   O
-   O
Pre   O
-   O
operative   O
assessments   O
are   O
scheduled   O
for   O
29/20/2260   B-DATE
,   O
including   O
cardiac   O
evaluation   O
by   O
Katherin   B-NAME
and   O
nutrition   O
consultation   O
.   O

Social   O
History   O
:   O
-   O
Peel   B-NAME
,   I-NAME
John   I-NAME
is   O
a   O
Truck   O
Drivers   O
,   O
Heavy   O
and   O
Tractor   O
-   O
Trailer   O
,   O
reports   O
having   O
quit   O
smoking   O
5   O
years   O
ago   O
,   O
and   O
denies   O
regular   O
alcohol   O
consumption   O
.   O
-   O
Lives   O
with   O
spouse   O
and   O
two   O
children   O
in   O
San   B-LOCATION
Castle   I-LOCATION
.   O

Zariah   B-NAME
Kaufman   I-NAME
's   O
spouse   O
,   O
89349   B-CONTACT
-   O
Primary   O
Care   O
Physician   O
:   O

Forbin   B-NAME
Izaguine   I-NAME
,   O
19467   B-CONTACT
This   O
report   O
has   O
been   O
prepared   O
by   O
CF43   B-NAME
on   O
02/02/2122   B-DATE
.   O

Please   O
contact   O
Touro   B-LOCATION
Infirmary   I-LOCATION
Medical   O
Records   O
at   O
(   B-CONTACT
668   I-CONTACT
)   I-CONTACT
409   I-CONTACT
-   I-CONTACT
7297   I-CONTACT
for   O
any   O
further   O
information   O
about   O
patient   O
411   B-ID
-   I-ID
52   I-ID
-   I-ID
16   I-ID
.   O

Patient   O
Report   O
:   O
00/21/02   B-DATE
/2023   O
Patient   O
's   O
Name   O
:   O
Natashia   B-NAME
Rosa   I-NAME
Patient   O
's   O
Age   O
:   O
84   O
Patient   O
's   O
Location   O
:   O
Denver   B-LOCATION
Medical   O
Record   O
Number   O
:   O
11410125   B-ID
ID   O
Number   O
:   O
627523   B-ID
Attending   O
Physician   O
:   O

Logan   B-NAME
Hospital   O
Name   O
:   O
Vidant   B-LOCATION
Edgecombe   I-LOCATION
Hospital   I-LOCATION
Zip   O
Code   O
:   O
63134   B-LOCATION
Phone   O
Number   O
:   O
583   B-CONTACT
1008   I-CONTACT
Clinical   O
Summary   O
:   O
12/28   B-DATE
/2023   O
-   O
TOMLIN   B-NAME
,   I-NAME
THEODORE   I-NAME
,   O
a   O
Drywall   O
Installers   O
from   O
Weatherford   B-LOCATION
,   O
was   O
admitted   O
to   O
Middlesex   B-LOCATION
Hospital   I-LOCATION
presenting   O
with   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Ramonita   B-NAME
Bundette   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
a   O
decrease   O
in   O
appetite   O
since   O
2/02/40   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Frank   B-NAME
Ito   I-NAME
exhibited   O
rebound   O
tenderness   O
at   O
McBurney   O
's   O
point   O
.   O

Vital   O
signs   O
were   O
recorded   O
,   O
showing   O
a   O
mild   O
elevation   O
in   O
temperature   O
(   O
2281   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
31   I-DATE
)   O
.   O

-   O
Abdominal   O
ultrasound   O
showed   O
swelling   O
of   O
the   O
appendix   O
with   O
no   O
evidence   O
of   O
perforation   O
.   O
Treatment   O
and   O
Management   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Garrison   B-NAME
recommended   O
an   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
was   O
successfully   O
performed   O
on   O
0/30   B-DATE
,   O
without   O
complications   O
.   O

Venturi   B-NAME
,   I-NAME
Ken   I-NAME
was   O
advised   O
a   O
post   O
-   O
operative   O
care   O
plan   O
including   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
instructions   O
for   O
wound   O
care   O
.   O

-   O
Gradually   O
resume   O
normal   O
activities   O
as   O
tolerated   O
.   O
-   O
Contact   O
the   O
hospital   O
at   O
228   B-CONTACT
-   I-CONTACT
8472   I-CONTACT
for   O
any   O
concerns   O
or   O
in   O
case   O
of   O
emergency   O
.   O

In   O
summary   O
,   O
Spring   B-NAME
Ebbesen   I-NAME
,   O
a   O
0s   O
-   O
year   O
-   O
old   O
Magnetic   O
Resonance   O
Imaging   O
Technologists   O
from   O
East   B-LOCATION
Point   I-LOCATION
,   I-LOCATION
City   I-LOCATION
of   I-LOCATION
East   I-LOCATION
Point   I-LOCATION
,   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
underwent   O
successful   O
appendectomy   O
at   O
Tucson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
case   O
was   O
managed   O
by   O
Dr.   O
Amari   B-NAME
Wyatt   I-NAME
,   O
and   O
the   O
patient   O
remained   O
in   O
Capital   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
until   O
deemed   O
stable   O
for   O
discharge   O
on   O
09/29/1988   B-DATE
.   O

Prepared   O
by   O
:   O
uj147   B-NAME
Little   B-LOCATION
Ocmulgee   I-LOCATION
EMC   I-LOCATION
2341   B-DATE

Patient   O
:   O
Addisyn   B-NAME
Sutton   I-NAME
ID   O
:   O
86867   B-ID
Date   O
of   O
Birth   O
:   O
09/26/2299   B-DATE
Medical   O
Record   O
Number   O
:   O
474   B-ID
-   I-ID
00   I-ID
-   I-ID
79   I-ID
Primary   O
Care   O
Physician   O
:   O

James   B-NAME
Contact   O
Information   O
:   O
(   B-CONTACT
633   I-CONTACT
)   I-CONTACT
252   I-CONTACT
1831   I-CONTACT
Address   O
:   O
Burbank   B-LOCATION
,   O
76133   B-LOCATION
Summary   O
:   O

Lisa   B-NAME
Mccullough   I-NAME
,   O
a   O
42   O
-   O
year   O
-   O
old   O
Therapists   O
,   O
All   O
Other   O
from   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11201   I-LOCATION
,   O
was   O
admitted   O
to   O
Nell   B-LOCATION
J.   I-LOCATION
Redfield   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
01/22/2028   B-DATE
with   O
a   O
presentation   O
of   O
acute   O
chest   O
pain   O
,   O
dyspnea   O
,   O
and   O
palpitations   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Ullrich   B-NAME
's   O
past   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
and   O
a   O
sedentary   O
lifestyle   O
.   O

Delta   B-NAME
McLilly   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
coronary   O
artery   O
disease   O
in   O
the   O
father   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Anthony   B-NAME
Edwardes   I-NAME
's   O
blood   O
pressure   O
was   O
noted   O
to   O
be   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
was   O
irregular   O
at   O
110   O
bpm   O
,   O
and   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
.   O

Management   O
:   O
Kenneth   B-NAME
Z.   I-NAME
Sellers   I-NAME
was   O
started   O
on   O
IV   O
heparin   O
as   O
per   O
the   O
ACS   O
protocol   O
and   O
was   O
given   O
metoprolol   O
to   O
control   O
the   O
heart   O
rate   O
.   O

Consultation   O
to   O
cardiology   O
was   O
made   O
,   O
and   O
Midler   B-NAME
,   I-NAME
Bette   I-NAME
recommended   O
initiating   O
anticoagulation   O
therapy   O
with   O
warfarin   O
.   O

A   O
decision   O
to   O
cardiovert   O
,   O
pending   O
stabilization   O
and   O
further   O
assessment   O
,   O
was   O
discussed   O
with   O
Xander   B-NAME
Xie   I-NAME
.   O

Disposition   O
:   O
Plans   O
are   O
to   O
admit   O
Lem   B-NAME
,   I-NAME
Stanislaw   I-NAME
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
for   O
further   O
monitoring   O
and   O
management   O
.   O

Instructions   O
for   O
Collins   B-NAME
:   O
1   O
.   O

Follow   O
-   O
Up   O
Appointment   O
:   O
Location   O
:   O
The   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Salem   I-LOCATION
County   I-LOCATION
Cardiology   O
Department   O
Date   O
:   O
4/5   B-DATE
Time   O
:   O
To   O
be   O
scheduled   O
Contact   O
:   O
68809   B-CONTACT
Notifications   O
:   O
Nevada   B-LOCATION
was   O
notified   O
of   O
Raymond   B-NAME
Solar   I-NAME
's   O
admission   O
and   O
pending   O
claim   O
for   O
the   O
treatment   O
provided   O
on   O
30   B-DATE
-   I-DATE
33   I-DATE
.   O

Contact   O
Duane   B-LOCATION
L.   I-LOCATION
Waters   I-LOCATION
Hospital   I-LOCATION
at   O
505   B-CONTACT
552   I-CONTACT
-   I-CONTACT
4663   I-CONTACT
for   O
any   O
questions   O
or   O
clarifications   O
.   O

The   O
patient   O
,   O
Juliane   B-NAME
Griffy   I-NAME
,   O
a   O
97   O
-   O
year   O
-   O
old   O
Materials   O
specialist   O
from   O
Cynthiana   B-LOCATION
,   O
presented   O
to   O
North   B-LOCATION
Suburban   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
34/20/2093   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Diego   B-NAME
Gaunt   I-NAME
also   O
reports   O
experiencing   O
sudden   O
episodes   O
of   O
dizzy   O
spells   O
and   O
an   O
unexplained   O
weight   O
loss   O
of   O
approximately   O
10   O
pounds   O
over   O
the   O
same   O
period   O
.   O

Upon   O
examination   O
,   O
Carly   B-NAME
Mendez   I-NAME
noted   O
that   O
Filomena   B-NAME
Xia   I-NAME
's   O
temperature   O
was   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
was   O
elevated   O
at   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
was   O
slightly   O
above   O
the   O
normal   O
range   O
at   O
140/90   O
mmHg   O
.   O

Vincent   B-NAME
H.   I-NAME
Campos   I-NAME
's   O
recent   O
travel   O
history   O
to   O
Daykin   B-LOCATION
approximately   O
a   O
month   O
ago   O
was   O
considered   O
significant   O
.   O

Choi   B-NAME
ordered   O
a   O
chest   O
X   O
-   O
ray   O
,   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
and   O
tests   O
for   O
COVID-19   O
and   O
other   O
respiratory   O
pathogens   O
.   O

West   B-NAME
admitted   O
Hamza   B-NAME
Pittman   I-NAME
to   O
Delaware   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
treatment   O
,   O
assigning   O
902   B-ID
-   I-ID
54   I-ID
-   I-ID
93   I-ID
for   O
hospital   O
records   O
and   O
BB   B-ID
:   I-ID
IK:6016   I-ID
for   O
patient   O
identification   O
purposes   O
.   O

Contact   O
details   O
for   O
Angeline   B-NAME
Baker   I-NAME
were   O
registered   O
under   O
11844   B-CONTACT
.   O

Treatment   O
with   O
appropriate   O
antibiotics   O
was   O
initiated   O
,   O
and   O
Kudlow   B-NAME
,   I-NAME
Lawrence   I-NAME
was   O
advised   O
to   O
maintain   O
hydration   O
and   O
rest   O
.   O

Nikolai   B-NAME
Martinez   I-NAME
's   O
condition   O
improved   O
gradually   O
over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
with   O
a   O
noticeable   O
reduction   O
in   O
cough   O
and   O
normalization   O
of   O
body   O
temperature   O
and   O
oxygen   O
saturation   O
levels   O
.   O

Martinez   B-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Giovanny   B-NAME
Alvarez   I-NAME
on   O
09/32/2271   B-DATE
for   O
re   O
-   O
evaluation   O
and   O
to   O
discuss   O
the   O
progress   O
.   O

Further   O
instructions   O
were   O
provided   O
to   O
maintain   O
a   O
balanced   O
diet   O
and   O
moderate   O
physical   O
activity   O
level   O
as   O
Fabian   B-NAME
Payne   I-NAME
recovers   O
.   O

The   O
medical   O
team   O
,   O
including   O
representatives   O
from   O
Collective   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
,   O
was   O
encouraged   O
by   O
Robby   B-NAME
Tudor   I-NAME
's   O
response   O
to   O
treatment   O
and   O
optimistic   O
about   O
a   O
full   O
recovery   O
.   O

Denise   B-NAME
Overman   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
provided   O
by   O
Stephen   B-NAME
Connor   I-NAME
and   O
the   O
hospital   O
staff   O
at   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Davie   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

All   O
medical   O
records   O
pertaining   O
to   O
this   O
case   O
are   O
securely   O
stored   O
under   O
7522624   B-ID
,   O
ensuring   O
confidentiality   O
and   O
facilitating   O
seamless   O
future   O
access   O
if   O
required   O
.   O

Patient   O
Name   O
:   O
Massey   B-NAME
Patient   O
ID   O
:   O
RT:25693:489474   B-ID
Medical   O
Record   O
Number   O
:   O
88220904   B-ID
Date   O
of   O
Birth   O
:   O
35   O
Phone   O
Number   O
:   O
15507   B-CONTACT
Address   O
:   O
8574   B-LOCATION
Brandywine   I-LOCATION
St.   I-LOCATION
,   O
85221   B-LOCATION
Employer   O
:   O
Finance   B-LOCATION
Sector   I-LOCATION
Union   I-LOCATION
Occupation   O
:   O
Web   O
developer   O
Primary   O
Care   O
Physician   O
:   O

Herring   B-NAME
Admitting   O
Hospital   O
:   O
McKee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
May   B-DATE
Date   O
of   O
Discharge   O
:   O
December   B-DATE
Clinical   O
Summary   O
:   O
Abril   B-NAME
Lee   I-NAME
,   O
a   O
60   O
-   O
year   O
-   O
old   O
Janitorial   O
Supervisors   O
employed   O
by   O
United   B-LOCATION
States   I-LOCATION
Submarine   I-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
World   I-LOCATION
War   I-LOCATION
II   I-LOCATION
in   O
Michigan   B-LOCATION
Center   I-LOCATION
,   O
experienced   O
acute   O
episodes   O
of   O
vertigo   O
and   O
persistent   O
nausea   O
over   O
the   O
past   O
week   O
.   O

Symptoms   O
were   O
first   O
noted   O
on   O
09   B-DATE
and   O
had   O
progressively   O
worsened   O
,   O
prompting   O
an   O
ER   O
visit   O
to   O
Miami   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
21/23/73   B-DATE
.   O

Salgado   B-NAME
denies   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
usage   O
of   O
new   O
medications   O
.   O

Schmitt   B-NAME
reported   O
a   O
consistent   O
sensation   O
of   O
the   O
room   O
spinning   O
,   O
which   O
was   O
exacerbated   O
by   O
head   O
movements   O
,   O
accompanied   O
by   O
multiple   O
episodes   O
of   O
emesis   O
,   O
which   O
did   O
not   O
provide   O
relief   O
from   O
nausea   O
.   O

Upon   O
admission   O
,   O
Mclaughlin   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slight   O
elevation   O
in   O
heart   O
rate   O
(   O
100   O
bpm   O
)   O
.   O

The   O
Dix   O
-   O
Hallpike   O
maneuver   O
was   O
positive   O
,   O
eliciting   O
nystagmus   O
and   O
reproducing   O
Jorden   B-NAME
Mueller   I-NAME
's   O
symptoms   O
of   O
vertigo   O
.   O

MRI   O
of   O
the   O
brain   O
,   O
ordered   O
by   O
Mckenna   B-NAME
Robbins   I-NAME
on   O
33   B-DATE
,   O
ruled   O
out   O
central   O
causes   O
of   O
vertigo   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Tyrese   B-NAME
Herman   I-NAME
was   O
treated   O
with   O
Meclizine   O
for   O
nausea   O
and   O
vertigo   O
,   O
as   O
well   O
as   O
hydration   O
therapy   O
to   O
manage   O
symptoms   O
of   O
dehydration   O
from   O
vomiting   O
.   O

Charlee   B-NAME
Wall   I-NAME
was   O
also   O
referred   O
to   O
a   O
physiotherapist   O
specializing   O
in   O
vestibular   O
rehabilitation   O
within   O
South   B-LOCATION
Jersey   I-LOCATION
Industries   I-LOCATION
.   O

Education   O
was   O
provided   O
on   O
the   O
Epley   O
maneuver   O
,   O
which   O
Urbach   B-NAME
was   O
advised   O
to   O
perform   O
daily   O
to   O
alleviate   O
symptoms   O
.   O

Isla   B-NAME
Jacobs   I-NAME
was   O
discharged   O
on   O
22/03   B-DATE
with   O
symptoms   O
notably   O
improved   O
.   O

Follow   O
-   O
up   O
appointment   O
with   O
Evelyn   B-NAME
Glover   I-NAME
in   O
Broussard   B-LOCATION
has   O
been   O
scheduled   O
for   O
1/0   B-DATE
to   O
assess   O
progress   O
and   O
symptom   O
resolution   O
.   O

Instructions   O
for   O
Oconnell   B-NAME
:   O
1   O
.   O

For   O
any   O
questions   O
or   O
to   O
report   O
changes   O
in   O
condition   O
,   O
contact   O
Chaz   B-NAME
Decker   I-NAME
at   O
836   B-CONTACT
-   I-CONTACT
296   I-CONTACT
-   I-CONTACT
2212   I-CONTACT
or   O
the   O
clinical   O
team   O
at   O
Northeastern   B-LOCATION
Nevada   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Aurora   B-NAME
Rocha   I-NAME
Medical   O
Record   O
Number   O
:   O
1270O37589   B-ID
Date   O
of   O
Birth   O
:   O
24/26/13   B-DATE
Age   O
:   O
80s   O
Address   O
:   O
Los   B-LOCATION
Angeles   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
90022   I-LOCATION
,   O
27358   B-LOCATION
Phone   O
Number   O
:   O
282   B-CONTACT
-   I-CONTACT
4930   I-CONTACT
Employer   O
:   O
Republic   B-LOCATION
Federal   I-LOCATION
Bank   I-LOCATION
,   I-LOCATION
N.A.   I-LOCATION
Occupation   O
:   O
Human   O
Resources   O
Managers   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O
Brady   B-NAME
Hospital   O
:   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Lake   I-LOCATION
Ascension   I-LOCATION
Patient   O
ID   O
:   O
84114   B-ID
Clinical   O
Summary   O
:   O

On   O
3/4/2193   B-DATE
,   O
Merrick   B-NAME
presented   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Orange   I-LOCATION
County   I-LOCATION
-   I-LOCATION
Anaheim   I-LOCATION
complaining   O
of   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
described   O
as   O
a   O
pressure   O
-   O
like   O
sensation   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

outlaw   B-NAME
is   O
a   O
Operating   O
Engineers   O
and   O
Other   O
Construction   O
Equipment   O
Operators   O
at   O
Ideal   B-LOCATION
Federal   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
and   O
denied   O
any   O
recent   O
travel   O
outside   O
St.   B-LOCATION
Petersburg   I-LOCATION
.   O

Troponin   O
levels   O
were   O
elevated   O
at   O
0.5   O
ng   O
/   O
mL.   O
Additional   O
labs   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
metabolic   O
panel   O
,   O
and   O
lipid   O
profile   O
were   O
ordered   O
by   O
Myles   B-NAME
Garza   I-NAME
and   O
are   O
pending   O
at   O
this   O
time   O
.   O

Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
was   O
started   O
on   O
a   O
heparin   O
drip   O
and   O
scheduled   O
for   O
an   O
urgent   O
cardiac   O
catheterization   O
to   O
assess   O
coronary   O
artery   O
obstruction   O
.   O

Hayek   B-NAME
,   I-NAME
Friedrich   I-NAME
has   O
a   O
known   O
allergy   O
to   O
penicillin   O
,   O
which   O
results   O
in   O
a   O
rash   O
.   O

Smoking   O
history   O
includes   O
10   O
years   O
of   O
a   O
half   O
-   O
pack   O
daily   O
,   O
but   O
Aron   B-NAME
Preston   I-NAME
quit   O
smoking   O
5   O
years   O
ago   O
.   O

Dietary   O
and   O
lifestyle   O
modifications   O
will   O
be   O
discussed   O
with   O
Stanton   B-NAME
,   O
focusing   O
on   O
diabetes   O
management   O
and   O
risk   O
factor   O
modification   O
for   O
coronary   O
artery   O
disease   O
.   O

The   O
patient   O
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Terrence   B-NAME
Aguirre   I-NAME
within   O
two   O
weeks   O
after   O
discharge   O
.   O

For   O
any   O
further   O
queries   O
,   O
please   O
contact   O
Hallmark   B-LOCATION
Hospital   I-LOCATION
at   O
66345   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
8725238   B-ID
General   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Easton   B-NAME
Hoffman   I-NAME
-   O
Age   O
:   O
3   O
week   O
-   O
Date   O
of   O
Birth   O
:   O
12/35   B-DATE
-   O
Address   O
:   O
Detroit   B-LOCATION
-   I-LOCATION
East   I-LOCATION
Warren   I-LOCATION
Businesses   I-LOCATION
United   I-LOCATION
U   I-LOCATION
-   I-LOCATION
SNAP   I-LOCATION
-   I-LOCATION
BAC   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
71927   B-LOCATION
-   O
Phone   O
:   O
550   B-CONTACT
-   I-CONTACT
336   I-CONTACT
5118   I-CONTACT
-   O
Occupation   O
:   O

Title   O
Searchers   O
-   O
Reporting   O
Doctor   O
:   O
Lesly   B-NAME
Haney   I-NAME
-   O
Hospital   O
:   O
Utah   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   O
Admission   O
Date   O
:   O
14/02   B-DATE
/2023   O
-   O
Release   O
Date   O
:   O
22/23/2395   B-DATE
/2023   O
Medical   O
History   O
:   O
Patient   O
Gallagher   B-NAME
,   I-NAME
Fred   I-NAME
was   O
admitted   O
to   O
White   B-LOCATION
Wing   I-LOCATION
Hospital   I-LOCATION
on   O
Sunday   B-DATE
,   I-DATE
January   I-DATE
/2023   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

Mario   B-NAME
Huynh   I-NAME
has   O
a   O
medical   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
was   O
under   O
the   O
management   O
of   O
Kiersten   B-NAME
Herrera   I-NAME
for   O
the   O
same   O
.   O

Upon   O
admission   O
,   O
Carroll   B-NAME
Nolan   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
respiratory   O
rate   O
18   O
breaths   O
/   O
min   O
,   O
and   O
temperature   O
37.5   O

After   O
the   O
endoscopy   O
performed   O
by   O
Natalee   B-NAME
Chan   I-NAME
on   O
4/30/02   B-DATE
/2023   O
,   O
which   O
showed   O
mild   O
esophagitis   O
without   O
signs   O
of   O
ulceration   O
or   O
Barrett   O
's   O
esophagus   O
,   O
Victor   B-NAME
Webb   I-NAME
was   O
prescribed   O
a   O
high   O
-   O
dose   O
proton   O
pump   O
inhibitor   O
therapy   O
for   O
8   O
weeks   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
to   O
reassess   O
Siouxsie   B-NAME
Crissinger   I-NAME
's   O
symptoms   O
and   O
the   O
efficacy   O
of   O
the   O
treatment   O
regimen   O
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Jaslyn   B-NAME
Bird   I-NAME
was   O
advised   O
to   O
strictly   O
adhere   O
to   O
the   O
prescribed   O
medication   O
regimen   O
and   O
dietary   O
restrictions   O
.   O

Darell   B-NAME
Noirgrim   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
,   O
including   O
elevating   O
the   O
head   O
of   O
the   O
bed   O
,   O
avoiding   O
meals   O
right   O
before   O
bedtime   O
,   O
and   O
maintaining   O
a   O
healthy   O
weight   O
.   O

A   O
follow   O
-   O
up   O
visit   O
with   O
Jayson   B-NAME
Melendez   I-NAME
was   O
scheduled   O
for   O
Christmas   B-DATE
/2023   O
to   O
monitor   O
progress   O
.   O

In   O
case   O
of   O
severe   O
discomfort   O
,   O
persistent   O
vomiting   O
,   O
or   O
any   O
new   O
symptoms   O
,   O
Shamar   B-NAME
Joyce   I-NAME
was   O
instructed   O
to   O
contact   O
11244   B-CONTACT
or   O
visit   O
Johns   B-LOCATION
Hopkins   I-LOCATION
Bayview   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
immediately   O
.   O

Patient   O
Name   O
:   O
Licinianus   B-NAME
Leversee   I-NAME
Patient   O
1   B-ID
-   I-ID
4196681   I-ID
:   O
695   B-ID
-   I-ID
55   I-ID
-   I-ID
01   I-ID
Date   O
of   O
Birth   O
:   O
09/22/2142   B-DATE
Phone   O
Number   O
:   O
36093   B-CONTACT
Address   O
:   O
Falls   B-LOCATION
Church   I-LOCATION
,   O
21587   B-LOCATION
Employer   O
:   O
Association   B-LOCATION
of   I-LOCATION
Analytical   I-LOCATION
Communities   I-LOCATION
(   I-LOCATION
AOAC   I-LOCATION
International   I-LOCATION
)   I-LOCATION
Occupation   O
:   O

Logging   O
Equipment   O
Operators   O
Primary   O
Physician   O
:   O
Chambers   B-NAME
,   I-NAME
Oswald   I-NAME
Hospital   O
:   O
American   B-LOCATION
Fork   I-LOCATION
Hospital   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Sosa   B-NAME
,   O
a   O
49   O
-   O
year   O
-   O
old   O
Firefighters   O
employed   O
at   O
United   B-LOCATION
Firefighters   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
,   O
residing   O
in   O
Paradis   B-LOCATION
,   O
presented   O
to   O
Wyckoff   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
09/15   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
,   O
and   O
high   O
-   O
grade   O
fever   O
over   O
the   O
course   O
of   O
the   O
last   O
week   O
.   O

Vital   O
Signs   O
upon   O
Admission   O
:   O
-   O
Temperature   O
:   O
38.5   O
°   O
C   O
-   O
Heart   O
rate   O
:   O
102   O
bpm   O
-   O
Respiratory   O
rate   O
:   O
22   O
breaths   O
/   O
min   O
-   O
Blood   O
pressure   O
:   O
135/85   O
mmHg   O
-   O
Oxygen   O
saturation   O
:   O
92   O
%   O
on   O
room   O
air   O
Physical   O
Examination   O
:   O
General   O
examination   O
revealed   O
Dierdre   B-NAME
Mahone   I-NAME
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
St.   B-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Moises   B-NAME
Paul   I-NAME
for   O
further   O
management   O
.   O

Further   O
evaluations   O
by   O
infectious   O
disease   O
specialists   O
at   O
Human   B-LOCATION
Rights   I-LOCATION
Foundation   I-LOCATION
may   O
be   O
warranted   O
based   O
on   O
the   O
progression   O
and   O
resolution   O
of   O
symptoms   O
.   O

Discharge   O
Planning   O
:   O
Eckhart   B-NAME
,   I-NAME
Meister   I-NAME
is   O
to   O
be   O
closely   O
monitored   O
during   O
the   O
hospital   O
stay   O
with   O
a   O
focus   O
on   O
improving   O
respiratory   O
function   O
and   O
reducing   O
fever   O
.   O

Upon   O
discharge   O
,   O
the   O
patient   O
was   O
advised   O
to   O
isolate   O
at   O
home   O
,   O
maintain   O
hydration   O
,   O
and   O
follow   O
up   O
with   O
Wilson   B-NAME
,   I-NAME
Flip   I-NAME
or   O
return   O
to   O
Nix   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
symptoms   O
worsen   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
August   B-DATE
37   I-DATE
,   I-DATE
2120   I-DATE
.   O

Signature   O
:   O
Capote   B-NAME
,   I-NAME
Truman   I-NAME
,   O
M.D.   O
02/24   B-DATE

Patient   O
Report   O
for   O
Nicholas   B-NAME
Martinez   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
7   O
-   O
Date   O
of   O
Birth   O
:   O
11/00   B-DATE
-   O
Address   O
:   O
Gandy   B-LOCATION
,   O
76524   B-LOCATION
-   O
Phone   O
Number   O
:   O
69544   B-CONTACT
-   O
Occupation   O
:   O
Painting   O
,   O
Coating   O
,   O
and   O
Decorating   O
Workers   O
-   O
Medical   O
Record   O
Number   O
:   O
90295492   B-ID
-   O
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
3452680   I-ID
Medical   O
History   O
:   O

Garrett   B-NAME
Bush   I-NAME
was   O
admitted   O
to   O
Utah   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
on   O
2231   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
22   I-DATE
,   O
presenting   O
with   O
a   O
history   O
of   O
diabetes   O
mellitus   O
type   O
2   O
,   O
hypertension   O
,   O
and   O
a   O
recent   O
diagnosis   O
of   O
congestive   O
heart   O
failure   O
.   O

The   O
patient   O
is   O
currently   O
under   O
the   O
care   O
of   O
Selina   B-NAME
Bartlett   I-NAME
and   O
has   O
been   O
a   O
resident   O
of   O
Fredonia   B-LOCATION
for   O
the   O
past   O
few   O
years   O
.   O

Alysha   B-NAME
Mostoller   I-NAME
's   O
medical   O
file   O
,   O
managed   O
by   O
Botswana   B-LOCATION
Bank   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
,   O
indicates   O
a   O
consistent   O
follow   O
-   O
up   O
with   O
the   O
endocrinology   O
and   O
cardiology   O
departments   O
.   O

Symptoms   O
Presentation   O
:   O
Upon   O
admission   O
,   O
Lyric   B-NAME
Hale   I-NAME
presented   O
with   O
acute   O
dyspnea   O
,   O
orthopnea   O
,   O
and   O
bilateral   O
pedal   O
edema   O
.   O

Treatment   O
Administration   O
:   O
The   O
initial   O
approach   O
to   O
managing   O
Cathy   B-NAME
T.   I-NAME
Turk   I-NAME
's   O
condition   O
involved   O
intravenous   O
diuretics   O
for   O
volume   O
overload   O
,   O
along   O
with   O
angiotensin   O
-   O
converting   O
enzyme   O
inhibitors   O
to   O
optimize   O
heart   O
function   O
.   O

Tomika   B-NAME
Corter   I-NAME
was   O
closely   O
monitored   O
for   O
renal   O
function   O
and   O
electrolyte   O
balance   O
throughout   O
the   O
treatment   O
phase   O
.   O

As   O
of   O
October   B-DATE
2137   I-DATE
,   O
Scott   B-NAME
Fink   I-NAME
showed   O
significant   O
improvement   O
in   O
respiratory   O
function   O
and   O
fluid   O
retention   O
.   O

The   O
plan   O
includes   O
transitioning   O
to   O
oral   O
diuretics   O
and   O
arranging   O
for   O
outpatient   O
follow   O
-   O
up   O
with   O
Ed   B-NAME
Bauer   I-NAME
to   O
manage   O
heart   O
failure   O
and   O
associated   O
conditions   O
.   O

Furthermore   O
,   O
a   O
dietary   O
consultation   O
has   O
been   O
scheduled   O
to   O
address   O
Richard   B-NAME
's   O
nutritional   O
needs   O
and   O
to   O
assist   O
in   O
managing   O
diabetes   O
and   O
hypertension   O
.   O

For   O
further   O
updates   O
on   O
Kettering   B-NAME
's   O
condition   O
,   O
please   O
contact   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
St.   I-LOCATION
Teresa   I-LOCATION
at   O
910   B-CONTACT
-   I-CONTACT
608   I-CONTACT
-   I-CONTACT
5286   I-CONTACT
or   O
reach   O
out   O
to   O
the   O
patient   O
's   O
primary   O
care   O
provider   O
,   O
Gill   B-NAME
,   O
directly   O
.   O

50   O
mg   O
once   O
daily   O
for   O
hypertension   O
Recommendations   O
:   O
It   O
is   O
imperative   O
for   O
Goodman   B-NAME
to   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
and   O
dietary   O
recommendations   O
.   O

Stewart   B-NAME
,   I-NAME
James   I-NAME
(   I-NAME
Jimmy   I-NAME
)   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Conrad   B-NAME
on   O
1/92   B-DATE
.   O

Prepared   O
by   O
:   O
jfx236   B-NAME
Medical   O
Staff   O
at   O
Mission   B-LOCATION
Hospital   I-LOCATION
2142   B-DATE

The   O
patient   O
,   O
Angelic   B-NAME
Shao   I-NAME
,   O
a   O
99   O
-   O
year   O
-   O
old   O
Computer   O
User   O
Support   O
Specialists   O
from   O
Stonington   B-LOCATION
,   O
presented   O
to   O
North   B-LOCATION
Oakland   I-LOCATION
Medical   I-LOCATION
Centers   I-LOCATION
on   O
32/10/82   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
high   O
fever   O
reaching   O
102   O
°   O
F   O
.   O

During   O
the   O
initial   O
assessment   O
,   O
it   O
was   O
noted   O
that   O
Abigail   B-NAME
Hebert   I-NAME
had   O
been   O
experiencing   O
these   O
symptoms   O
for   O
approximately   O
one   O
week   O
before   O
deciding   O
to   O
seek   O
medical   O
attention   O
.   O

Luis   B-NAME
Carpenter   I-NAME
reported   O
a   O
history   O
of   O
smoking   O
,   O
approximately   O
half   O
a   O
pack   O
of   O
cigarettes   O
per   O
day   O
for   O
the   O
past   O
20   O
years   O
.   O

Upon   O
examination   O
,   O
Short   B-NAME
observed   O
that   O
Ellie   B-NAME
Yang   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
,   O
with   O
noticeable   O
labored   O
breathing   O
.   O

Rogelio   B-NAME
Harner   I-NAME
's   O
371   B-ID
-   I-ID
13   I-ID
-   I-ID
78   I-ID
-   I-ID
5   I-ID
number   O
was   O
logged   O
for   O
the   O
lab   O
tests   O
under   O
UH:33932:784258   B-ID
.   O

Jarry   B-NAME
,   I-NAME
Alfred   I-NAME
was   O
admitted   O
to   O
Aspirus   B-LOCATION
Ironwood   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
treatment   O
and   O
monitoring   O
,   O
assigned   O
to   O
room   O
6509656   B-ID
on   O
22/20/2011   B-DATE
.   O

Iliana   B-NAME
Hatfield   I-NAME
discussed   O
the   O
treatment   O
plan   O
with   O
John   B-NAME
Gideon   I-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
hospitalization   O
for   O
close   O
monitoring   O
due   O
to   O
the   O
severity   O
of   O
the   O
pneumonia   O
and   O
Shaylee   B-NAME
Savage   I-NAME
's   O
smoking   O
history   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Soren   B-NAME
Chang   I-NAME
was   O
closely   O
monitored   O
for   O
signs   O
of   O
improvement   O
or   O
any   O
potential   O
complications   O
.   O

Nursing   O
staff   O
at   O
HealthSouth   B-LOCATION
Sunrise   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
maintained   O
regular   O
updates   O
on   O
Wyatt   B-NAME
Cooper   I-NAME
's   O
condition   O
in   O
the   O
system   O
under   O
2064039   B-ID
.   O

Annabelle   B-NAME
Eichhorn   I-NAME
was   O
instructed   O
to   O
follow   O
up   O
with   O
Benson   B-NAME
in   O
Goodridge   B-LOCATION
two   O
weeks   O
post   O
-   O
discharge   O
for   O
a   O
re   O
-   O
evaluation   O
of   O
the   O
condition   O
.   O

Prescriptions   O
for   O
oral   O
antibiotics   O
and   O
instructions   O
on   O
smoking   O
cessation   O
were   O
provided   O
upon   O
discharge   O
on   O
17/22   B-DATE
.   O

(   B-CONTACT
647   I-CONTACT
)   I-CONTACT
123   I-CONTACT
-   I-CONTACT
7491   I-CONTACT
number   O
of   O
Norman   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Healthplex   I-LOCATION
's   O
follow   O
-   O
up   O
clinic   O
was   O
given   O
to   O
Victoria   B-NAME
Xing   I-NAME
for   O
any   O
further   O
questions   O
or   O
concerns   O
.   O

The   O
case   O
of   O
Romelia   B-NAME
Garced   I-NAME
underscores   O
the   O
critical   O
need   O
for   O
early   O
medical   O
intervention   O
in   O
cases   O
of   O
severe   O
respiratory   O
symptoms   O
,   O
especially   O
among   O
individuals   O
with   O
a   O
history   O
of   O
smoking   O
.   O

For   O
further   O
queries   O
or   O
follow   O
-   O
up   O
appointments   O
,   O
Sawyer   B-NAME
was   O
advised   O
to   O
contact   O
Greenwich   B-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
331   I-CONTACT
)   I-CONTACT
193   I-CONTACT
2873   I-CONTACT
or   O
reach   O
out   O
to   O
Commager   B-NAME
,   I-NAME
Henry   I-NAME
Steele   I-NAME
's   O
office   O
directly   O
.   O

All   O
interactions   O
and   O
treatments   O
were   O
documented   O
in   O
Isabella   B-NAME
Ellis   I-NAME
's   O
medical   O
record   O
,   O
8972G94077   B-ID
,   O
ensuring   O
a   O
continuum   O
of   O
care   O
.   O

Patient   O
Report   O
:   O
Date   O
:   O
2079   B-DATE
Patient   O
Name   O
:   O
Chelsia   B-NAME
Age   O
:   O
25   O
Phone   O
Number   O
:   O
(   B-CONTACT
245   I-CONTACT
)   I-CONTACT
145   I-CONTACT
4106   I-CONTACT
Medical   O
Record   O
Number   O
:   O
411   B-ID
-   I-ID
65   I-ID
-   I-ID
86   I-ID
-   I-ID
9   I-ID
Physician   O
:   O

Decker   B-NAME
Hospital   O
:   O
Formerly   B-LOCATION
St.   I-LOCATION
Lawrence   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Manasota   B-LOCATION
Key   I-LOCATION
Identification   O
Number   O
:   O
3   B-ID
-   I-ID
6041730   I-ID
Employer   O
:   O
UN   B-LOCATION
Watch   I-LOCATION
Profession   O
:   O

Telephone   O
Operators   O
Username   O
:   O
qhv91   B-NAME
Zip   O
Code   O
:   O
63492   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
Bridget   B-NAME
Jamieson   I-NAME
,   O
has   O
been   O
experiencing   O
chronic   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
lower   O
left   O
quadrant   O
,   O
for   O
the   O
past   O
12/22   B-DATE
.   O

Moreover   O
,   O
the   O
patient   O
reports   O
an   O
irregular   O
bowel   O
habit   O
characterized   O
by   O
periods   O
of   O
constipation   O
alternating   O
with   O
episodes   O
of   O
diarrhea   O
over   O
the   O
last   O
2/21/2322   B-DATE
.   O

An   O
abdominal   O
CT   O
scan   O
with   O
contrast   O
performed   O
on   O
01/13   B-DATE
similarly   O
showed   O
no   O
acute   O
pathology   O
.   O

Follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
for   O
November   B-DATE
2262   I-DATE
to   O
monitor   O
Dalton   B-NAME
Edwards   I-NAME
's   O
symptoms   O
and   O
response   O
to   O
the   O
interventions   O
.   O

Given   O
Hana   B-NAME
Bullock   I-NAME
's   O
pre   O
-   O
existing   O
conditions   O
of   O
Diabetes   O
and   O
Hypertension   O
,   O
a   O
consult   O
with   O
Lorelei   B-NAME
Singleton   I-NAME
specializing   O
in   O
Endocrinology   O
and   O
Cardiology   O
respectively   O
,   O
has   O
been   O
arranged   O
for   O
14/06/81   B-DATE
at   O
St.   B-LOCATION
Charles   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Bend   I-LOCATION
,   O
to   O
ensure   O
comprehensive   O
care   O
and   O
management   O
of   O
the   O
patient   O
’s   O
overall   O
health   O
.   O

For   O
inquiries   O
,   O
contact   O
St.   B-LOCATION
Joseph   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
at   O
83519   B-CONTACT
.   O

Patient   O
Name   O
:   O
Brendan   B-NAME
Roberts   I-NAME
Patient   O
ID   O
:   O
NY   B-ID
:   I-ID
MF:9241   I-ID
Medical   O
Record   O
Number   O
:   O
39824484   B-ID
Date   O
of   O
Birth   O
:   O
33/33   B-DATE
Age   O
:   O
9   O
Address   O
:   O
Hardin   B-LOCATION
,   O
23936   B-LOCATION
Phone   O
Number   O
:   O
89841   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Korbin   B-NAME
Booth   I-NAME
Employment   O
:   O
Manufacturing   O
engineer   O
at   O
Service   B-LOCATION
Employees   I-LOCATION
International   I-LOCATION
Union   I-LOCATION
Date   O
of   O
Visit   O
:   O
06/03/1852   B-DATE
Hospital   O
:   O
UPMC   B-LOCATION
Presbyterian   I-LOCATION
Clinical   O
Notes   O
:   O

The   O
patient   O
,   O
Davidson   B-NAME
,   O
presented   O
to   O
Orlando   B-LOCATION
Health   I-LOCATION
Dr.   I-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
on   O
0/26/87   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
recurring   O
abdominal   O
pain   O
that   O
had   O
been   O
persisting   O
for   O
approximately   O
two   O
weeks   O
.   O

Laboratory   O
tests   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
and   O
Comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
were   O
ordered   O
by   O
Dr.   O
Frederick   B-NAME
.   O

The   O
patient   O
disclosed   O
being   O
under   O
significant   O
work   O
-   O
related   O
stress   O
at   O
Beijing   B-LOCATION
GNU   I-LOCATION
/   I-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
,   O
which   O
potentially   O
exacerbated   O
the   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Diaz   B-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O
-   O

Instructions   O
were   O
given   O
to   O
Tucker   B-NAME
Sellers   I-NAME
on   O
reporting   O
any   O
new   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
an   O
increase   O
in   O
the   O
intensity   O
of   O
pain   O
.   O

The   O
patient   O
was   O
informed   O
to   O
call   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Saint   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
's   O
help   O
line   O
at   O
671   B-CONTACT
-   I-CONTACT
793   I-CONTACT
2406   I-CONTACT
for   O
any   O
urgent   O
concerns   O
.   O

Summary   O
of   O
Encounter   O
:   O
The   O
patient   O
,   O
Nicodemus   B-NAME
Paz   I-NAME
,   O
suffers   O
from   O
a   O
complex   O
interplay   O
of   O
gastrointestinal   O
symptoms   O
likely   O
exacerbated   O
by   O
stress   O
.   O

Patient   O
Name   O
:   O
Jeffrey   B-NAME
Buchanan   I-NAME
Patient   O
ID   O
:   O
XP   B-ID
:   I-ID
VC:1280   I-ID
Medical   O
Record   O
Number   O
:   O
838   B-ID
-   I-ID
21   I-ID
-   I-ID
26   I-ID
-   I-ID
5   I-ID
Age   O
:   O
58   O
Address   O
:   O
Del   B-LOCATION
Mar   I-LOCATION
Heights   I-LOCATION
,   O
89612   B-LOCATION
Phone   O
:   O
897   B-CONTACT
-   I-CONTACT
601   I-CONTACT
3768   I-CONTACT
Attending   O
Physician   O
:   O

Maria   B-NAME
Berg   I-NAME
Date   O
of   O
Admission   O
:   O
12/39   B-DATE
Hospital   O
:   O
Clifton   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Clinic   I-LOCATION
Chief   O
Complaint   O
:   O
ULICES   B-NAME
ELLIOT   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
May   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
nausea   O
.   O

Henry   B-NAME
Frankenstein   I-NAME
denies   O
having   O
fever   O
,   O
diarrhea   O
,   O
or   O
any   O
recent   O
changes   O
in   O
appetite   O
.   O

Molly   B-NAME
Christian   I-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Bekonnen   B-NAME
Lopata   I-NAME
is   O
a   O
32   O
-   O
year   O
-   O
old   O
actress   O
appearing   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Imaging   O
and   O
Laboratory   O
tests   O
:   O
-   O
CBC   O
,   O
CMP   O
,   O
and   O
lipase   O
levels   O
were   O
ordered   O
by   O
Elliot   B-NAME
Wilkinson   I-NAME
on   O
31/13/2233   B-DATE
.   O
-   O

An   O
abdominal   O
ultrasound   O
was   O
performed   O
on   O
February   B-DATE
23   I-DATE
,   O
revealing   O
gallstones   O
and   O
thickening   O
of   O
the   O
gallbladder   O
wall   O
.   O

Pope   B-NAME
,   I-NAME
Alexander   I-NAME
was   O
diagnosed   O
with   O
acute   O
pancreatitis   O
,   O
likely   O
secondary   O
to   O
gallbladder   O
stones   O
.   O

The   O
plan   O
includes   O
admission   O
to   O
Bayfront   B-LOCATION
Health   I-LOCATION
Punta   I-LOCATION
Gorda   I-LOCATION
for   O
IV   O
fluid   O
hydration   O
,   O
pain   O
management   O
,   O
and   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
.   O

Follow   O
-   O
Up   O
:   O
Allan   B-NAME
Chase   I-NAME
is   O
to   O
be   O
closely   O
monitored   O
for   O
signs   O
of   O
complications   O
such   O
as   O
infection   O
,   O
organ   O
failure   O
,   O
or   O
pancreatic   O
necrosis   O
.   O

Gladys   B-NAME
Kupiec   I-NAME
will   O
review   O
the   O
progress   O
on   O
31/04/65   B-DATE
.   O

Signed   O
,   O
Adeline   B-NAME
Hurst   I-NAME
03/04/2313   B-DATE

Patient   O
Name   O
:   O
Fiona   B-NAME
Saunders   I-NAME
Age   O
:   O
13   O
Date   O
of   O
Birth   O
:   O
20/01   B-DATE
Address   O
:   O
San   B-LOCATION
Diego   I-LOCATION
,   O
35827   B-LOCATION
Phone   O
Number   O
:   O
380   B-CONTACT
7993   I-CONTACT
Occupation   O
:   O
Mining   O
Machine   O
Operators   O
,   O
All   O
Other   O
Medical   O
Record   O
Number   O
:   O
293   B-ID
-   I-ID
27   I-ID
-   I-ID
92   I-ID
-   I-ID
7   I-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Drake   B-NAME
Admitting   O
Hospital   O
:   O
Via   B-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
Manhattan   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
Date   O
of   O
Visit   O
:   O
12/11   B-DATE
Username   O
:   O
nn327   B-NAME
ID   O
:   O
89361451   B-ID
Summary   O
:   O
Oates   B-NAME
,   O
a   O
84   O
-   O
year   O
-   O
old   O
Logging   O
Workers   O
,   O
All   O
Other   O
from   O
Gagetown   B-LOCATION
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
McLaren   B-LOCATION
-   I-LOCATION
Lapeer   I-LOCATION
Region   I-LOCATION
on   O
12/21/21   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

French   B-NAME
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

A   O
CT   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
performed   O
on   O
2315   B-DATE
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
perforation   O
.   O

Dr.   O
Mcclain   B-NAME
and   O
the   O
surgical   O
team   O
were   O
consulted   O
,   O
and   O
Sanai   B-NAME
Rose   I-NAME
was   O
admitted   O
under   O
their   O
care   O
for   O
further   O
management   O
.   O

The   O
plan   O
included   O
an   O
appendectomy   O
scheduled   O
for   O
31/39   B-DATE
,   O
with   O
pre   O
-   O
operative   O
and   O
post   O
-   O
operative   O
care   O
instructions   O
provided   O
.   O

Consent   O
for   O
surgery   O
was   O
obtained   O
from   O
Chanel   B-NAME
Oberlin   I-NAME
after   O
a   O
thorough   O
discussion   O
of   O
the   O
potential   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
.   O

The   O
operation   O
was   O
completed   O
without   O
complication   O
,   O
and   O
Yuliana   B-NAME
Soto   I-NAME
was   O
transferred   O
back   O
to   O
the   O
general   O
ward   O
for   O
recovery   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
with   O
Rachel   B-NAME
Adair   I-NAME
making   O
a   O
good   O
recovery   O
.   O

Chaya   B-NAME
Morales   I-NAME
was   O
advised   O
regarding   O
wound   O
care   O
and   O
signs   O
of   O
possible   O
complications   O
before   O
being   O
discharged   O
on   O
01/25   B-DATE
.   O
Follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Travis   B-NAME
Martinez   I-NAME
was   O
scheduled   O
for   O
12/28   B-DATE
at   O
Hot   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
to   O
assess   O
wound   O
healing   O
and   O
overall   O
post   O
-   O
operative   O
recovery   O
.   O

Laura   B-NAME
Madden   I-NAME
was   O
instructed   O
to   O
return   O
to   O
the   O
Emergency   O
Department   O
or   O
contact   O
397   B-CONTACT
-   I-CONTACT
106   I-CONTACT
-   I-CONTACT
5981   I-CONTACT
in   O
the   O
case   O
of   O
fever   O
,   O
uncontrolled   O
pain   O
,   O
or   O
any   O
signs   O
of   O
infection   O
.   O

This   O
concludes   O
the   O
comprehensive   O
care   O
provided   O
to   O
Acuna   B-NAME
during   O
their   O
stay   O
at   O
Northern   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Surry   I-LOCATION
County   I-LOCATION
from   O
Mar   B-DATE
23   I-DATE
to   O
15/05   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
75702844   B-ID
Personal   O
Information   O
:   O
Name   O
:   O
Kim   B-NAME
Age   O
:   O
19   O
Address   O
:   O
Orrstown   B-LOCATION
,   O
73329   B-LOCATION
Phone   O
Number   O
:   O
829   B-CONTACT
-   I-CONTACT
4180   I-CONTACT
Occupation   O
:   O
Speech   O
-   O
Language   O
Pathology   O
Assistants   O
Emergency   O
Contact   O
:   O
ew8110   B-NAME
Primary   O
Care   O
Physician   O
:   O

Hendrix   B-NAME
Treatment   O
Facility   O
:   O
Sparrow   B-LOCATION
Clinton   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
:   O

Patient   O
Will   B-NAME
Abdul   I-NAME
presented   O
to   O
Columbia   B-LOCATION
Miami   I-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
on   O
1/33/2112   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Jennifer   B-NAME
Paige   I-NAME
reported   O
that   O
the   O
symptoms   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
and   O
have   O
progressively   O
worsened   O
.   O

Angel   B-NAME
Kane   I-NAME
denies   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
any   O
recent   O
foreign   O
travel   O
.   O

Merri   B-NAME
Kerst   I-NAME
's   O
family   O
history   O
includes   O
heart   O
disease   O
and   O
colon   O
cancer   O
.   O

Investigations   O
:   O
Upon   O
admission   O
,   O
a   O
series   O
of   O
diagnostic   O
tests   O
were   O
ordered   O
by   O
Ariana   B-NAME
Livingston   I-NAME
.   O

Quinn   B-NAME
Ivey   I-NAME
was   O
also   O
subjected   O
to   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
which   O
confirmed   O
the   O
ultrasound   O
findings   O
and   O
ruled   O
out   O
other   O
potential   O
sources   O
of   O
abdominal   O
pain   O
such   O
as   O
appendicitis   O
or   O
intestinal   O
blockage   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
findings   O
,   O
Kennedi   B-NAME
Wiggins   I-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
possible   O
cholecystectomy   O
to   O
be   O
performed   O
at   O
Missouri   B-LOCATION
Delta   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Frantz   B-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
to   O
manage   O
the   O
infection   O
and   O
was   O
given   O
pain   O
relief   O
medications   O
to   O
manage   O
the   O
symptoms   O
.   O

Dietary   O
recommendations   O
were   O
made   O
,   O
advising   O
Steinmuller   B-NAME
Hennard   I-NAME
to   O
avoid   O
fatty   O
,   O
fried   O
,   O
and   O
spicy   O
foods   O
to   O
alleviate   O
the   O
symptoms   O
until   O
surgery   O
can   O
be   O
performed   O
.   O

Follow   O
-   O
Up   O
:   O
Singleton   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Abbey   B-NAME
James   I-NAME
at   O
Clarke   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
after   O
the   O
surgery   O
.   O

Further   O
blood   O
tests   O
and   O
an   O
abdominal   O
ultrasound   O
are   O
planned   O
for   O
02/13   B-DATE
to   O
ensure   O
the   O
successful   O
removal   O
of   O
gallstones   O
and   O
to   O
check   O
for   O
any   O
post   O
-   O
surgical   O
complications   O
.   O

Kaleigh   B-NAME
Fodor   I-NAME
has   O
been   O
advised   O
to   O
monitor   O
their   O
temperature   O
and   O
pain   O
levels   O
,   O
and   O
to   O
report   O
any   O
increases   O
or   O
additional   O
symptoms   O
immediately   O
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
ProHealth   B-LOCATION
Oconomowoc   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
immediately   O
at   O
60817   B-CONTACT
.   O

Document   O
ID   O
:   O
HJ:97125:306118   B-ID
Report   O
Date   O
:   O
01/07/08   B-DATE

Patient   O
:   O
Ganilau   B-NAME
,   I-NAME
Ratu   I-NAME
Sir   I-NAME
Penaia   I-NAME
ID   O
:   O
QR701/1420   B-ID
Date   O
:   O
2145   B-DATE
Location   O
:   O
Carpio   B-LOCATION
Phone   O
:   O
108   B-CONTACT
4626   I-CONTACT
ZIP   O
:   O
50443   B-LOCATION
Medical   O
Record   O
:   O
5524405   B-ID
Age   O
:   O
46   O
Profession   O
:   O
Surgical   O
Assistants   O
Organization   O
:   O

Westernbank   B-LOCATION
Puerto   I-LOCATION
Rico   I-LOCATION
Attending   O
Physician   O
:   O

Ulises   B-NAME
Pacheco   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
-   I-LOCATION
Chelsea   I-LOCATION
Clinical   O
Summary   O
:   O
Faithe   B-NAME
W.   I-NAME
Flynn   I-NAME
,   O
a   O
84   O
-   O
year   O
-   O
old   O
Opticians   O
,   O
Dispensing   O
from   O
Staley   B-LOCATION
,   O
ZIP   O
57816   B-LOCATION
,   O
presented   O
to   O
Freeman   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
9/30   B-DATE
with   O
complaints   O
of   O
persistent   O
migraines   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
.   O

The   O
patient   O
,   O
who   O
could   O
be   O
reached   O
at   O
34345   B-CONTACT
,   O
reported   O
that   O
these   O
symptoms   O
have   O
been   O
occurring   O
intermittently   O
over   O
the   O
past   O
six   O
months   O
but   O
have   O
significantly   O
intensified   O
in   O
the   O
past   O
two   O
weeks   O
.   O

Madeleine   B-NAME
Lee   I-NAME
also   O
noted   O
an   O
onset   O
of   O
nausea   O
and   O
occasional   O
vomiting   O
,   O
particularly   O
in   O
the   O
mornings   O
.   O

Medical   O
History   O
:   O
-   O
Gardner   B-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
since   O
childhood   O
but   O
describes   O
the   O
current   O
episodes   O
as   O
being   O
more   O
severe   O
and   O
prolonged   O
.   O
-   O

There   O
is   O
no   O
significant   O
family   O
history   O
of   O
migraines   O
or   O
other   O
neurological   O
conditions   O
.   O
-   O
Null   B-NAME
is   O
currently   O
employed   O
as   O
a   O
Glaziers   O
at   O
High   B-LOCATION
Desert   I-LOCATION
State   I-LOCATION
Bank   I-LOCATION
and   O
denies   O
any   O
recent   O
changes   O
in   O
work   O
-   O
related   O
stressors   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Carlene   B-NAME
Samford   I-NAME
exhibited   O
photophobia   O
,   O
as   O
they   O
were   O
visibly   O
uncomfortable   O
under   O
normal   O
lighting   O
conditions   O
in   O
the   O
exam   O
room   O
.   O

Diagnostic   O
Tests   O
:   O
Initial   O
laboratory   O
tests   O
and   O
imaging   O
studies   O
,   O
including   O
a   O
CT   O
scan   O
of   O
the   O
head   O
,   O
were   O
ordered   O
by   O
Dorian   B-NAME
Summers   I-NAME
.   O

Results   O
are   O
pending   O
as   O
of   O
September   B-DATE
0   I-DATE
.   O

Advise   O
Kailee   B-NAME
Abbott   I-NAME
to   O
maintain   O
a   O
headache   O
diary   O
,   O
recording   O
the   O
onset   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
or   O
potential   O
triggers   O
.   O

Kelis   B-NAME
was   O
provided   O
with   O
an   O
information   O
leaflet   O
on   O
migraine   O
management   O
and   O
a   O
prescription   O
for   O
a   O
trial   O
of   O
preventive   O
medication   O
.   O

Conclusion   O
:   O
Denzel   B-NAME
has   O
been   O
diagnosed   O
with   O
a   O
migraine   O
with   O
aura   O
,   O
characterized   O
by   O
severe   O
,   O
pulsating   O
headaches   O
accompanied   O
by   O
nausea   O
and   O
sensitivity   O
to   O
light   O
and   O
sound   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Franks   B-NAME
,   I-NAME
Tommy   I-NAME
Age   O
:   O
92   O
Date   O
of   O
Birth   O
:   O
Monday   B-DATE
,   I-DATE
July   I-DATE
Address   O
:   O
Paxton   B-LOCATION
,   O
94465   B-LOCATION
Phone   O
Number   O
:   O
83617   B-CONTACT
Employment   O
:   O
Orthoptist   O
Medical   O
Record   O
Number   O
:   O
3715267   B-ID
Physician   O
:   O
Vincent   B-NAME
Hospital   O
:   O
Comanche   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Coldwater   I-LOCATION
Admission   O
Date   O
:   O
21/22/2054   B-DATE
ID   O
Number   O
:   O
PS:7164:687780   B-ID
Summary   O
:   O
Mekhi   B-NAME
Vance   I-NAME
presented   O
to   O
Wedowee   B-LOCATION
Hospital   I-LOCATION
on   O
Thursday   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

Medical   O
History   O
:   O
Brandon   B-NAME
Vanburen   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Quiana   B-NAME
's   O
social   O
history   O
is   O
notable   O
for   O
working   O
as   O
a   O
Pipe   O
Fitters   O
with   O
no   O
reported   O
use   O
of   O
tobacco   O
,   O
moderate   O
alcohol   O
use   O
,   O
and   O
no   O
recreational   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Jaylah   B-NAME
Townsend   I-NAME
appeared   O
anxious   O
,   O
diaphoretic   O
,   O
and   O
in   O
visible   O
distress   O
.   O

Treatment   O
:   O
Cameron   B-NAME
Martinez   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
and   O
a   O
statin   O
.   O

Amiyah   B-NAME
Blake   I-NAME
was   O
taken   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
an   O
urgent   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Outcome   O
:   O
Post   O
-   O
procedure   O
,   O
Goodwin   B-NAME
's   O
chest   O
pain   O
resolved   O
,   O
and   O
vital   O
signs   O
stabilized   O
.   O

Sarina   B-NAME
Levers   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
.   O

Discharge   O
planning   O
included   O
referrals   O
to   O
cardiac   O
rehabilitation   O
,   O
dietary   O
consultation   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Hebert   B-NAME
in   O
1   O
-   O
2   O
weeks   O
.   O
Instructions   O
at   O
Discharge   O
:   O

Graceland   B-NAME
was   O
instructed   O
to   O
adhere   O
to   O
prescribed   O
medications   O
,   O
avoid   O
strenuous   O
activity   O
until   O
clearance   O
by   O
a   O
healthcare   O
provider   O
,   O
and   O
to   O
report   O
any   O
recurrence   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
other   O
new   O
symptoms   O
immediately   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Jensen   B-NAME
,   I-NAME
Hayley   I-NAME
can   O
contact   O
Garden   B-LOCATION
Park   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
769   I-CONTACT
)   I-CONTACT
933   I-CONTACT
6522   I-CONTACT
.   O

For   O
follow   O
-   O
up   O
appointments   O
,   O
please   O
contact   O
Vaughn   B-NAME
's   O
office   O
at   O
137   B-CONTACT
-   I-CONTACT
7394   I-CONTACT
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Rosales   B-NAME
on   O
09/01   B-DATE
at   O
503   B-LOCATION
Hillcrest   I-LOCATION
Road   I-LOCATION
.   O

This   O
report   O
was   O
prepared   O
by   O
qct239   B-NAME
on   O
22/20/2101   B-DATE
.   O

Further   O
inquiries   O
can   O
be   O
directed   O
to   O
(   B-CONTACT
624   I-CONTACT
)   I-CONTACT
978   I-CONTACT
-   I-CONTACT
5604   I-CONTACT
.   O

Patient   O
Name   O
:   O
Spears   B-NAME
,   I-NAME
Britney   I-NAME
Medical   O
Record   O
Number   O
:   O
545   B-ID
-   I-ID
51   I-ID
-   I-ID
84   I-ID
Age   O
:   O
32   O
Date   O
of   O
Consultation   O
:   O
27/23   B-DATE
Consulting   O
Physician   O
:   O
Chance   B-NAME
Montoya   I-NAME
Hospital   O
:   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Location   O
:   O
Ambler   B-LOCATION
Phone   O
Number   O
:   O
67119   B-CONTACT
Employment   O
:   O
Logistics   O
/   O
distribution   O
manager   O
Username   O
:   O
CM722   B-NAME
ZIP   O
Code   O
:   O
38745   B-LOCATION
Presenting   O
Complaint   O
:   O
Edwin   B-NAME
Funk   I-NAME
presented   O
to   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Augusta   I-LOCATION
's   O
emergency   O
department   O
on   O
2162   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
constant   O
,   O
significantly   O
worsening   O
over   O
the   O
past   O
36/01/66   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Yehuda   B-NAME
Landers   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
controlled   O
with   O
a   O
combination   O
of   O
ACE   O
inhibitors   O
and   O
calcium   O
channel   O
blockers   O
.   O

Upon   O
examination   O
,   O
Shea   B-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
101.3   O
°   O
F   O
.   O

A   O
CT   O
abdomen   O
performed   O
on   O
34/26   B-DATE
showed   O
evidence   O
of   O
acute   O
appendicitis   O
with   O
periappendiceal   O
inflammation   O
.   O

Lewis   B-NAME
York   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Lovey   B-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
covering   O
gram   O
-   O
negative   O
and   O
anaerobic   O
bacteria   O
.   O

Disposition   O
:   O
Ean   B-NAME
Jackson   I-NAME
was   O
admitted   O
to   O
Allegan   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Hendrix   B-NAME
for   O
further   O
management   O
,   O
including   O
surgical   O
intervention   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Zechariah   B-NAME
Braun   I-NAME
with   O
Reeves   B-NAME
in   O
the   O
surgical   O
outpatient   O
clinic   O
after   O
discharge   O
to   O
evaluate   O
postoperative   O
recovery   O
and   O
manage   O
any   O
complications   O
.   O

For   O
any   O
further   O
information   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Elvis   B-NAME
Flowers   I-NAME
or   O
relatives   O
may   O
contact   O
Longmont   B-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
at   O
130   B-CONTACT
-   I-CONTACT
1411   I-CONTACT
.   O

Patient   O
Name   O
:   O
Finney   B-NAME
,   I-NAME
Albert   I-NAME
Age   O
:   O
65   O
Date   O
of   O
Birth   O
:   O
15/32   B-DATE
Address   O
:   O
Central   B-LOCATION
Valley   I-LOCATION
,   O
97090   B-LOCATION
Phone   O
:   O
59522   B-CONTACT
Occupation   O
:   O
Roustabouts   O
,   O
Oil   O
and   O
Gas   O
Medical   O
Record   O
Number   O
:   O
900   B-ID
-   I-ID
96   I-ID
-   I-ID
99   I-ID
Attending   O
Physician   O
:   O

Cooley   B-NAME
Hospital   O
:   O
AdventHealth   B-LOCATION
Daytona   I-LOCATION
Beach   I-LOCATION
Date   O
of   O
Visit   O
:   O
06/10   B-DATE
ID   O
:   O
QF   B-ID
:   I-ID
IF:4861   I-ID
Username   O
:   O
hl314   B-NAME
Chief   O
Complaint   O
:   O
Konnor   B-NAME
Jones   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
2263   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
21   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
concentrated   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
48   O
hours   O
prior   O
.   O

Gisselle   B-NAME
Donovan   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
prior   O
similar   O
episodes   O
.   O

There   O
has   O
been   O
a   O
low   O
-   O
grade   O
fever   O
noted   O
since   O
32/36   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Nin   B-NAME
,   I-NAME
Anaïs   I-NAME
Nin   I-NAME
has   O
a   O
history   O
of   O
hypothyroidism   O
managed   O
with   O
medication   O
and   O
no   O
surgical   O
history   O
.   O

Upon   O
examination   O
,   O
Mitchell   B-NAME
Rivers   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Immediate   O
referral   O
to   O
Grand   B-LOCATION
Mountain   I-LOCATION
Clinic   I-LOCATION
for   O
surgical   O
evaluation   O
was   O
recommended   O
.   O

Henry   B-NAME
J.   I-NAME
Fearson   I-NAME
was   O
advised   O
on   O
the   O
signs   O
of   O
possible   O
complications   O
and   O
instructed   O
to   O
seek   O
emergency   O
care   O
if   O
symptoms   O
significantly   O
worsened   O
.   O

Immediate   O
surgical   O
referral   O
to   O
Grand   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
up   O
with   O
Kamila   B-NAME
Duran   I-NAME
at   O
Naval   B-LOCATION
Hospital   I-LOCATION
Pensacola   I-LOCATION
post   O
-   O
surgical   O
evaluation   O
or   O
as   O
otherwise   O
directed   O
by   O
the   O
treating   O
surgical   O
team   O
.   O

Will   B-NAME
Vernon   I-NAME
and   O
family   O
were   O
educated   O
about   O
the   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
potential   O
need   O
for   O
appendectomy   O
.   O

Anya   B-NAME
Bodelson   I-NAME
provided   O
verbal   O
understanding   O
and   O
agreement   O
to   O
the   O
proposed   O
plan   O
of   O
care   O
.   O

Prepared   O
by   O
:   O
Ward   B-NAME
Date   O
:   O
4   B-DATE
-   I-DATE
36   I-DATE
Contact   O
Information   O
:   O
56066   B-CONTACT

Patient   O
Name   O
:   O
Jesus   B-NAME
Koch   I-NAME
Patient   O
ID   O
:   O
JJ:19390:714953   B-ID
Medical   O
Record   O
Number   O
:   O
729   B-ID
-   I-ID
90   I-ID
-   I-ID
70   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
25/32/2164   B-DATE
Age   O
:   O
67   O
Address   O
:   O
La   B-LOCATION
Rosita   I-LOCATION
,   O
53764   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
696   I-CONTACT
)   I-CONTACT
249   I-CONTACT
-   I-CONTACT
6216   I-CONTACT
Employment   O
:   O
Hydrologists   O
at   O
Templeton   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
Physician   O
:   O

Merritt   B-NAME
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Saint   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
,   I-LOCATION
Sioux   I-LOCATION
City   I-LOCATION
Admission   O
Date   O
:   O
05/17   B-DATE
Chief   O
Complaint   O
:   O
Gracia   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
2/11   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
is   O
a   O
32s   O
-   O
year   O
-   O
old   O
Illustrator   O
who   O
began   O
experiencing   O
sharp   O
,   O
localized   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
early   O
in   O
the   O
morning   O
on   O
Tuesday   B-DATE
.   O

Suvorov   B-NAME
,   I-NAME
Alexander   I-NAME
Vasilyevich   I-NAME
denied   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
urinary   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Albert   B-NAME
Michaels   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
Asia   B-NAME
Santoro   I-NAME
is   O
currently   O
under   O
medication   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
in   O
CHRISTUS   B-LOCATION
Spohn   I-LOCATION
Hospital   I-LOCATION
Kleberg   I-LOCATION
emergency   O
department   O
,   O
Garner   B-NAME
was   O
found   O
to   O
be   O
in   O
distress   O
due   O
to   O
abdominal   O
pain   O
.   O

Diagnostic   O
Studies   O
:   O
Laboratory   O
tests   O
and   O
imaging   O
were   O
ordered   O
by   O
Aesop   B-NAME
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Francis   B-NAME
,   O
Ben   B-NAME
-   I-NAME
Gurion   I-NAME
,   I-NAME
David   I-NAME
was   O
admitted   O
to   O
Starr   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2006   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
01   I-DATE
and   O
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Post   O
-   O
operation   O
,   O
Russell   B-NAME
received   O
intravenous   O
antibiotics   O
and   O
analgesics   O
for   O
pain   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Oldham   B-NAME
was   O
discharged   O
on   O
23/32/2196   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
restriction   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Khan   B-NAME
,   I-NAME
Nusrat   I-NAME
Fateh   I-NAME
Ali   I-NAME
in   O
two   O
weeks   O
.   O

Contact   O
Information   O
:   O
Should   O
Spolsky   B-NAME
,   I-NAME
Joel   I-NAME
experience   O
any   O
signs   O
of   O
infection   O
,   O
fever   O
,   O
or   O
persistent   O
pain   O
,   O
Miller   B-NAME
,   I-NAME
Henry   I-NAME
is   O
advised   O
to   O
contact   O
Large   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Indian   I-LOCATION
Rocks   I-LOCATION
(   I-LOCATION
Formerly   I-LOCATION
Sun   I-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
at   O
33499   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
immediately   O
.   O

Note   O
:   O
Information   O
contained   O
in   O
this   O
report   O
is   O
highly   O
confidential   O
and   O
pertains   O
to   O
the   O
medical   O
records   O
of   O
Nolan   B-NAME
Hutchinson   I-NAME
with   O
ID   O
IC507/1066   B-ID
and   O
Medical   O
Record   O
Number   O
31678322   B-ID
.   O

Patient   O
Name   O
:   O
Baxter   B-NAME
Patient   O
ID   O
:   O
RA401/3829   B-ID
Medical   O
Record   O
Number   O
:   O
92590408   B-ID
Date   O
of   O
Birth   O
:   O
2/20/13   B-DATE
Age   O
:   O
79s   O
Phone   O
Number   O
:   O
751   B-CONTACT
-   I-CONTACT
7499   I-CONTACT
Address   O
:   O
Kaskaskia   B-LOCATION
,   O
20162   B-LOCATION
Employment   O
:   O
Credit   O
Authorizers   O
at   O
Botswana   B-LOCATION
Bank   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Naima   B-NAME
Leon   I-NAME
Admission   O
Date   O
:   O
Thanksgiving   B-DATE
Hospital   O
:   O
Jefferson   B-LOCATION
Stratford   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Uphoff   B-NAME
,   O
a   O
37   O
-   O
year   O
-   O
old   O
Water   O
Resource   O
Specialists   O
employed   O
at   O
National   B-LOCATION
Flood   I-LOCATION
Insurance   I-LOCATION
Program   I-LOCATION
,   O
presented   O
to   O
Jennersville   B-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
21   I-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
,   O
dizziness   O
,   O
and   O
blurred   O
vision   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
patient   O
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
01/31/1864   B-DATE
,   O
noticing   O
an   O
increase   O
in   O
severity   O
despite   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
and   O
rest   O
.   O

Eileen   B-NAME
Klingbeil   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
medication   O
and   O
diet   O
.   O

Physical   O
examination   O
conducted   O
by   O
Dr.   O
Mises   B-NAME
,   I-NAME
Ludwig   I-NAME
von   I-NAME
revealed   O
no   O
focal   O
neurological   O
deficits   O
,   O
but   O
a   O
mild   O
stiffness   O
of   O
the   O
neck   O
was   O
noted   O
upon   O
flexion   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
13/26/2042   B-DATE
with   O
Dr.   O
Poop   B-NAME
to   O
review   O
the   O
results   O
of   O
the   O
imaging   O
studies   O
and   O
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
initial   O
management   O
plan   O
.   O

Summary   O
prepared   O
by   O
:   O
ze106   B-NAME
,   O
Medical   O
Record   O
Department   O
453   B-CONTACT
-   I-CONTACT
1470   I-CONTACT
12/02/2067   B-DATE

Patient   O
Report   O
for   O
Jamari   B-NAME
Glover   I-NAME
On   O
0/02   B-DATE
,   O
Burns   B-NAME
,   I-NAME
Robert   I-NAME
,   O
a   O
Financial   O
Analysts   O
aged   O
11   O
,   O
presented   O
at   O
Bristol   B-LOCATION
Hospital   I-LOCATION
with   O
symptoms   O
of   O
acute   O
dyspnea   O
,   O
persistent   O
cough   O
,   O
and   O
febrile   O
sensations   O
over   O
the   O
past   O
three   O
days   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
maintained   O
under   O
51534935   B-ID
,   O
includes   O
managed   O
hypertension   O
and   O
a   O
recent   O
diagnosis   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
03   B-DATE
-   I-DATE
22   I-DATE
with   O
Reynolds   B-NAME
for   O
reassessment   O
and   O
adjustment   O
of   O
the   O
therapeutic   O
regimen   O
based   O
on   O
culture   O
and   O
sensitivity   O
results   O
.   O

Instructions   O
were   O
given   O
to   O
return   O
to   O
Horsham   B-LOCATION
Clinic   I-LOCATION
,   I-LOCATION
The   I-LOCATION
or   O
contact   O
(   B-CONTACT
236   I-CONTACT
)   I-CONTACT
180   I-CONTACT
9112   I-CONTACT
should   O
symptoms   O
exacerbate   O
or   O
new   O
symptoms   O
arise   O
.   O

Confidentiality   O
Statement   O
:   O
This   O
case   O
report   O
for   O
Wilhelm   B-NAME
,   O
9027950   B-ID
,   O
is   O
generated   O
and   O
maintained   O
in   O
compliance   O
with   O
privacy   O
regulations   O
.   O

Contact   O
Information   O
:   O
Close   B-LOCATION
Highgate   I-LOCATION
Farm   I-LOCATION
:   O
Lindsborg   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lindsborg   I-LOCATION
Address   O
:   O
Kelly   B-LOCATION
Ridge   I-LOCATION
,   O
40743   B-LOCATION
Phone   O
:   O
(   B-CONTACT
445   I-CONTACT
)   I-CONTACT
781   I-CONTACT
4831   I-CONTACT
Primary   O
Caregiver   O
:   O
Dramatherapist   O
Brady   B-NAME
Patient   O
Consent   O
:   O
Consent   O
for   O
medical   O
treatment   O
and   O
sharing   O
of   O
relevant   O
medical   O
information   O
within   O
the   O
medical   O
team   O
has   O
been   O
obtained   O
and   O
documented   O
.   O

Report   O
Compiled   O
by   O
:   O
pb541   B-NAME
2113   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
23   I-DATE

Patient   O
Name   O
:   O
Ingram   B-NAME
Patient   O
ID   O
:   O
TO   B-ID
:   I-ID
IA:7060   I-ID
Medical   O
Record   O
Number   O
:   O
507   B-ID
-   I-ID
96   I-ID
-   I-ID
94   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
1   B-DATE
-   I-DATE
9/71   I-DATE
Age   O
:   O
70   O
Contact   O
Number   O
:   O
772   B-CONTACT
-   I-CONTACT
6306   I-CONTACT
Address   O
:   O
Frodsham   B-LOCATION
,   O
63492   B-LOCATION
Employer   O
:   O

First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Winchester   I-LOCATION
Occupation   O
:   O

Olson   B-NAME
Admission   O
Date   O
:   O
January   B-DATE
Location   O
of   O
Admission   O
:   O
Bryn   B-LOCATION
Mawr   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Rojas   B-NAME
,   O
a   O
Diagnostic   O
Medical   O
Sonographers   O
working   O
for   O
Satilla   B-LOCATION
REMC   I-LOCATION
in   O
Balcones   B-LOCATION
Heights   I-LOCATION
,   O
presented   O
to   O
our   O
facility   O
,   O
Albany   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
on   O
25/08/12   B-DATE
with   O
a   O
myriad   O
of   O
symptoms   O
indicative   O
of   O
a   O
complex   O
clinical   O
presentation   O
.   O

Amina   B-NAME
Shannon   I-NAME
reported   O
a   O
three   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
accompanied   O
by   O
a   O
persistent   O
dry   O
cough   O
.   O

Larry   B-NAME
Wolek   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
managed   O
with   O
medications   O
prescribed   O
by   O
Coby   B-NAME
Calhoun   I-NAME
.   O

Examination   O
:   O
Upon   O
admission   O
,   O
Helen   B-NAME
T.   I-NAME
Hattie   I-NAME
Simms   I-NAME
's   O
vitals   O
were   O
recorded   O
with   O
a   O
blood   O
pressure   O
of   O
145/95   O
mmHg   O
,   O
heart   O
rate   O
of   O
98   O
bpm   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Given   O
the   O
patient   O
's   O
symptomatology   O
and   O
initial   O
findings   O
,   O
a   O
multidisciplinary   O
approach   O
was   O
initiated   O
involving   O
Hood   B-NAME
,   O
a   O
consultant   O
pulmonologist   O
from   O
UNC   B-LOCATION
REX   I-LOCATION
Healthcare   I-LOCATION
,   O
and   O
the   O
patient   O
's   O
primary   O
care   O
provider   O
for   O
ongoing   O
diabetes   O
and   O
hypertension   O
management   O
.   O

On   O
May   B-DATE
00   I-DATE
,   O
Vincent   B-NAME
Gregory   I-NAME
underwent   O
the   O
planned   O
diagnostic   O
procedures   O
.   O

Etta   B-NAME
's   O
management   O
plan   O
was   O
adjusted   O
to   O
include   O
a   O
course   O
of   O
antibiotics   O
,   O
pending   O
culture   O
and   O
sensitivity   O
results   O
,   O
alongside   O
optimization   O
of   O
their   O
existing   O
diabetes   O
and   O
hypertension   O
regimens   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Carrieann   B-NAME
demonstrated   O
a   O
favorable   O
response   O
to   O
the   O
initiated   O
treatments   O
,   O
reporting   O
a   O
significant   O
improvement   O
in   O
respiratory   O
symptoms   O
by   O
2142   B-DATE
.   O

Roy   B-NAME
,   I-NAME
Arundhati   I-NAME
was   O
discharged   O
from   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
instructions   O
for   O
strict   O
outpatient   O
follow   O
-   O
up   O
with   O
Ximena   B-NAME
Klein   I-NAME
and   O
a   O
pulmonology   O
specialist   O
.   O

Repeat   O
imaging   O
and   O
laboratory   O
tests   O
were   O
scheduled   O
for   O
15/24   B-DATE
to   O
monitor   O
Romero   B-NAME
's   O
progress   O
.   O

Additionally   O
,   O
Sean   B-NAME
Ferreira   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
glycemic   O
control   O
and   O
medication   O
adherence   O
for   O
overall   O
health   O
improvement   O
.   O

Conclusion   O
:   O
Logan   B-NAME
's   O
case   O
underscores   O
the   O
importance   O
of   O
a   O
comprehensive   O
,   O
coordinated   O
approach   O
in   O
managing   O
patients   O
with   O
complex   O
,   O
multisystem   O
presentations   O
.   O

Document   O
Prepared   O
by   O
:   O
lo6910   B-NAME
Contact   O
Information   O
for   O
Follow   O
-   O
Up   O
:   O
736   B-CONTACT
7356   I-CONTACT

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Janessa   B-NAME
Adelizzi   I-NAME
Patient   O
ID   O
:   O
1225725   B-ID
Date   O
of   O
Birth   O
:   O
November   B-DATE
20   I-DATE
,   I-DATE
2331   I-DATE
Age   O
:   O
7   O
week   O
Address   O
:   O
Goldstream   B-LOCATION
,   O
94821   B-LOCATION
Phone   O
Number   O
:   O
893   B-CONTACT
225   I-CONTACT
2226   I-CONTACT
Physician   O
:   O
Casals   B-NAME
,   I-NAME
Pablo   I-NAME
Hospital   O
:   O
Union   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Appointment   O
Date   O
:   O
38/38   B-DATE
Emergency   O
Contact   O
:   O
Purchasing   O
Managers   O
at   O
(   B-CONTACT
189   I-CONTACT
)   I-CONTACT
601   I-CONTACT
2302   I-CONTACT
Clinical   O
Summary   O
:   O
Spring   B-NAME
Geneseo   I-NAME
,   O
a   O
81   O
-   O
year   O
-   O
old   O
Tax   O
Preparers   O
,   O
presented   O
to   O
the   O
Boulder   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
on   O
07/12   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
diaphoresis   O
.   O

Davies   B-NAME
denies   O
any   O
previous   O
history   O
of   O
similar   O
symptoms   O
.   O

Upon   O
examination   O
,   O
John   B-NAME
Sundstrom   I-NAME
appeared   O
in   O
acute   O
distress   O
.   O

Diagnostic   O
Testing   O
:   O
-   O
ECG   O
performed   O
at   O
13/12   B-DATE
showed   O
ST   O
elevation   O
in   O
the   O
anterior   O
leads   O
,   O
suggestive   O
of   O
an   O
acute   O
anterior   O
myocardial   O
infarction   O
.   O

Odom   B-NAME
was   O
referred   O
to   O
the   O
cardiology   O
team   O
for   O
urgent   O
cardiac   O
catheterization   O
.   O

Follow   O
-   O
Up   O
:   O
Rowe   B-NAME
underwent   O
successful   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
to   O
the   O
left   O
anterior   O
descending   O
artery   O
at   O
Forrest   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
06/63   B-DATE
.   O

Marie   B-NAME
Massey   I-NAME
's   O
condition   O
has   O
stabilized   O
,   O
and   O
discussions   O
on   O
discharge   O
planning   O
and   O
cardiac   O
rehabilitation   O
are   O
underway   O
.   O

Discharge   O
Instructions   O
:   O
Upon   O
discharge   O
,   O
Kelly   B-NAME
Watson   I-NAME
will   O
be   O
prescribed   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
statin   O
,   O
and   O
aspirin   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Cannon   B-NAME
at   O
CJW   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Chippenham   I-LOCATION
&   I-LOCATION
Johnston   I-LOCATION
-   I-LOCATION
Willis   I-LOCATION
)   I-LOCATION
have   O
been   O
scheduled   O
for   O
10/02   B-DATE
to   O
monitor   O
recovery   O
and   O
adjust   O
medications   O
as   O
needed   O
.   O

Conclusion   O
:   O
Thoreau   B-NAME
,   I-NAME
Henry   I-NAME
David   I-NAME
's   O
presentation   O
of   O
acute   O
myocardial   O
infarction   O
was   O
promptly   O
recognized   O
and   O
managed   O
with   O
rapid   O
intervention   O
,   O
significantly   O
improving   O
the   O
prognosis   O
.   O

Continued   O
care   O
and   O
monitoring   O
by   O
the   O
cardiology   O
team   O
,   O
along   O
with   O
adherence   O
to   O
medication   O
and   O
lifestyle   O
changes   O
,   O
are   O
crucial   O
for   O
Mark   B-NAME
Sloan   I-NAME
's   O
recovery   O
and   O
prevention   O
of   O
future   O
cardiac   O
events   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
ostrowski   B-NAME
Age   O
:   O
36   O
Date   O
of   O
Birth   O
:   O
13/26   B-DATE
ID   O
:   O
EM   B-ID
:   I-ID
FX:1694   I-ID
Medical   O
Record   O
Number   O
:   O
7675916   B-ID
Doctor   O
:   O
Eaton   B-NAME
Location   O
:   O
Southview   B-LOCATION
Zip   O
:   O
16021   B-LOCATION
Organization   O
:   O
Stop   B-LOCATION
Sequani   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SSAT   I-LOCATION
)   I-LOCATION
Hospital   O
:   O
Jersey   B-LOCATION
Shore   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Phone   O
:   O
25018   B-CONTACT
Profession   O
:   O
Occupational   O
Therapist   O
Assistants   O
Username   O
:   O
zfa595   B-NAME
Summary   O
:   O

On   O
2077   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
23   I-DATE
,   O
Morgan   B-NAME
Abbott   I-NAME
presented   O
at   O
Doctors   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Sarasota   I-LOCATION
,   I-LOCATION
Florida   I-LOCATION
)   I-LOCATION
in   O
Ellesmere   B-LOCATION
Port   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
predominantly   O
localized   O
in   O
the   O
frontal   O
region   O
.   O

Steven   B-NAME
Kiley   I-NAME
,   O
who   O
works   O
as   O
a   O
Fundraisers   O
,   O
mentioned   O
that   O
these   O
headaches   O
have   O
been   O
increasing   O
in   O
frequency   O
over   O
the   O
past   O
month   O
,   O
significantly   O
interfering   O
with   O
daily   O
activities   O
.   O

Alongside   O
the   O
headaches   O
,   O
Nicholas   B-NAME
Martinez   I-NAME
reported   O
experiencing   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
.   O

Euripides   B-NAME
has   O
no   O
known   O
history   O
of   O
migraines   O
and   O
does   O
not   O
recall   O
any   O
recent   O
head   O
trauma   O
.   O

Cleveland   B-NAME
denies   O
any   O
changes   O
in   O
vision   O
,   O
seizure   O
activity   O
,   O
or   O
recent   O
travel   O
.   O

Physical   O
Examination   O
and   O
Tests   O
:   O
Dr.   O
Ravuvu   B-NAME
,   I-NAME
Asesela   I-NAME
conducted   O
a   O
comprehensive   O
physical   O
examination   O
.   O

Given   O
the   O
nature   O
of   O
the   O
headaches   O
and   O
the   O
lack   O
of   O
an   O
obvious   O
cause   O
,   O
an   O
MRI   O
of   O
the   O
brain   O
was   O
ordered   O
and   O
performed   O
at   O
Hot   B-LOCATION
Springs   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2182   B-DATE
.   O

After   O
a   O
thorough   O
review   O
of   O
Itzel   B-NAME
Bruce   I-NAME
's   O
symptoms   O
and   O
medical   O
history   O
,   O
Dr.   O
Crawford   B-NAME
diagnosed   O
the   O
patient   O
with   O
tension   O
-   O
type   O
headaches   O
.   O

Buck   B-NAME
,   I-NAME
Pearl   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
identify   O
any   O
potential   O
triggers   O
.   O

For   O
acute   O
headache   O
episodes   O
,   O
Baron   B-NAME
Tyler   I-NAME
was   O
prescribed   O
Ibuprofen   O
400   O
mg   O
,   O
to   O
be   O
taken   O
as   O
needed   O
,   O
with   O
no   O
more   O
than   O
three   O
doses   O
per   O
week   O
to   O
avoid   O
analgesic   O
overuse   O
headaches   O
.   O

If   O
no   O
improvement   O
is   O
observed   O
,   O
Kian   B-NAME
Jarvis   I-NAME
was   O
advised   O
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
four   O
weeks   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Rush   B-NAME
advised   O
WALLACE   B-NAME
,   I-NAME
VELMA   I-NAME
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
severity   O
of   O
the   O
headaches   O
while   O
following   O
the   O
outlined   O
treatment   O
plan   O
.   O

In   O
addition   O
,   O
Geno   B-NAME
Guidry   I-NAME
was   O
encouraged   O
to   O
explore   O
relaxation   O
techniques   O
and   O
consider   O
participation   O
in   O
a   O
stress   O
-   O
reduction   O
program   O
offered   O
by   O
Montford   B-LOCATION
Point   I-LOCATION
Marines[1   I-LOCATION
]   I-LOCATION
in   O
Onaway   B-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
10/12   B-DATE
to   O
reassess   O
Wise   B-NAME
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Contact   O
Information   O
:   O
Should   O
Mckinley   B-NAME
Whitney   I-NAME
have   O
any   O
concerns   O
or   O
if   O
the   O
symptoms   O
significantly   O
worsen   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
,   O
Colton   B-NAME
Randolph   I-NAME
was   O
instructed   O
to   O
contact   O
LeConte   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
131   B-CONTACT
-   I-CONTACT
114   I-CONTACT
3279   I-CONTACT
or   O
through   O
the   O
patient   O
portal   O
using   O
the   O
username   O
rve405   B-NAME
.   O

Confidentiality   O
Statement   O
:   O
This   O
patient   O
report   O
for   O
Marvin   B-NAME
Monroe   I-NAME
,   O
ID   O
:   O
ZA   B-ID
:   I-ID
AF:4473   I-ID
,   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
medical   O
professionals   O
involved   O
in   O
the   O
care   O
of   O
this   O
patient   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Bradshaw   B-NAME
Age   O
:   O
70   O
Medical   O
Record   O
Number   O
:   O
7   B-ID
-   I-ID
0217415   I-ID
Date   O
of   O
Birth   O
:   O
1945   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
01   I-DATE
Address   O
:   O
Dallastown   B-LOCATION
,   O
38698   B-LOCATION
Employment   O
:   O
Combined   O
Food   O
Preparation   O
and   O
Serving   O
Workers   O
,   O
Including   O
Fast   O
Food   O
Phone   O
Number   O
:   O
(   B-CONTACT
301   I-CONTACT
)   I-CONTACT
130   I-CONTACT
-   I-CONTACT
6144   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Weber   B-NAME
Referred   O
by   O
:   O
Daniels   B-NAME
Medical   O
History   O
:   O

The   O
patient   O
,   O
Mccoy   B-NAME
,   O
has   O
a   O
documented   O
history   O
of   O
Hypertension   O
and   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O

There   O
have   O
been   O
previous   O
admissions   O
to   O
Donalsonville   B-LOCATION
Hospital   I-LOCATION
for   O
related   O
complications   O
.   O

Current   O
Symptoms   O
:   O
Darnell   B-NAME
Hayden   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
Waterbury   B-LOCATION
Hospital   I-LOCATION
on   O
2   B-DATE
-   I-DATE
3   I-DATE
complaining   O
of   O
acute   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
accompanied   O
by   O
shortness   O
of   O
breath   O
and   O
diaphoresis   O
.   O

Juliet   B-NAME
Roberts   I-NAME
describes   O
the   O
pain   O
as   O
a   O
squeezing   O
sensation   O
of   O
moderate   O
to   O
severe   O
intensity   O
.   O

Upon   O
examination   O
,   O
Frankie   B-NAME
Farmer   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

A   O
consult   O
to   O
the   O
cardiology   O
service   O
,   O
led   O
by   O
Bates   B-NAME
,   O
was   O
placed   O
for   O
emergent   O
cardiac   O
catheterization   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
of   O
Bon   B-LOCATION
Secours   I-LOCATION
Memorial   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
.   O

Follow   O
-   O
Up   O
:   O
Keaton   B-NAME
Reid   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Callum   B-NAME
Schaefer   I-NAME
in   O
the   O
outpatient   O
cardiology   O
clinic   O
of   O
Baptist   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Golden   I-LOCATION
Triangle   I-LOCATION
on   O
17/28   B-DATE
.   O

A   O
referral   O
to   O
a   O
dietitian   O
within   O
American   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
for   O
dietary   O
counselling   O
has   O
also   O
been   O
made   O
.   O

Conclusion   O
:   O
The   O
prompt   O
recognition   O
and   O
management   O
of   O
STEMI   O
in   O
patient   O
Holden   B-NAME
Petty   I-NAME
have   O
been   O
critical   O
in   O
addressing   O
the   O
acute   O
episode   O
and   O
preventing   O
further   O
cardiac   O
complications   O
.   O

Continued   O
care   O
and   O
monitoring   O
by   O
multidisciplinary   O
teams   O
will   O
be   O
essential   O
in   O
managing   O
Lucius   B-NAME
Verus   I-NAME
Capinpin   I-NAME
's   O
health   O
outcomes   O
.   O

Identification   O
Details   O
:   O
Patient   O
ID   O
:   O
959467   B-ID
Physician   O
Contact   O
:   O
961   B-CONTACT
-   I-CONTACT
262   I-CONTACT
-   I-CONTACT
4052   I-CONTACT
Hospital   O
Contact   O
Number   O
:   O
31532   B-CONTACT

Patient   O
Name   O
:   O
Cache   B-NAME
Age   O
:   O
0   O
week   O
Date   O
of   O
Birth   O
:   O
2111   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
32   I-DATE
Address   O
:   O
Hollis   B-LOCATION
Crossroads   I-LOCATION
,   O
28854   B-LOCATION
Phone   O
Number   O
:   O
28051   B-CONTACT
Employment   O
:   O
optician   O
at   O
Central   B-LOCATION
Montana   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
Doctor   O
:   O
Mccarty   B-NAME
Hospital   O
:   O
Palms   B-LOCATION
of   I-LOCATION
Pasadena   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
01057096   B-ID
ID   O
Number   O
:   O
55251746   B-ID
Date   O
of   O
Visit   O
:   O
December   B-DATE
2217   I-DATE
Username   O
:   O
xnl21   B-NAME
Chief   O
Complaint   O
:   O
Mollie   B-NAME
Perkins   I-NAME
,   O
a   O
Loan   O
Counselors   O
at   O
Commonwealth   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Initiative   I-LOCATION
,   O
was   O
admitted   O
to   O
Aurora   B-LOCATION
BayCare   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/27   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
occasional   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
three   O
days   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Querry   B-NAME
,   B-NAME
Lucas   I-NAME
Edwin   I-NAME
began   O
experiencing   O
mild   O
abdominal   O
discomfort   O
on   O
the   O
evening   O
of   O
05/20   B-DATE
,   O
which   O
progressively   O
worsened   O
over   O
the   O
following   O
48   O
hours   O
.   O

Iyana   B-NAME
Strong   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
dietary   O
changes   O
,   O
or   O
exposure   O
to   O
known   O
allergens   O
.   O
Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
gastrointestinal   O
symptoms   O
described   O
,   O
DANNY   B-NAME
WOODY   I-NAME
reported   O
no   O
other   O
complaints   O
.   O

Past   O
Medical   O
History   O
:   O
Oscar   B-NAME
G.   I-NAME
Gregory   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
a   O
minor   O
surgical   O
procedure   O
(   O
cholecystectomy   O
)   O
performed   O
in   O
1/31   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Tamala   B-NAME
Sadler   I-NAME
noted   O
J.   B-NAME
Joseph   I-NAME
Moreno   I-NAME
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Immediate   O
surgical   O
consultation   O
was   O
suggested   O
,   O
and   O
Valerio   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
diagnostic   O
laparoscopy   O
at   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Alleghany   I-LOCATION
for   O
definitive   O
diagnosis   O
and   O
treatment   O
.   O

Admit   O
Jeramiah   B-NAME
Hernandez   I-NAME
to   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
The   I-LOCATION
King   I-LOCATION
's   I-LOCATION
Daughters   I-LOCATION
for   O
close   O
monitoring   O
and   O
surgical   O
evaluation   O
.   O

4   O
.   O
Surgical   O
team   O
to   O
review   O
and   O
discuss   O
findings   O
with   O
Schmitt   B-NAME
and   O
family   O
for   O
informed   O
consent   O
before   O
proceeding   O
to   O
the   O
operating   O
room   O
.   O

Follow   O
-   O
Up   O
:   O
Kaitlyn   B-NAME
Bradford   I-NAME
will   O
be   O
closely   O
monitored   O
post   O
-   O
operation   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Benitez   B-NAME
is   O
scheduled   O
for   O
1933   B-DATE
to   O
review   O
post   O
-   O
surgical   O
recovery   O
and   O
address   O
any   O
complications   O
or   O
concerns   O
that   O
may   O
arise   O
.   O

Patient   O
Name   O
:   O
NICHOLAS   B-NAME
SINGH   I-NAME
Patient   O
ID   O
:   O
MI:4109:667942   B-ID
Medical   O
Record   O
Number   O
:   O
66045589   B-ID
Date   O
of   O
Birth   O
:   O
34/22   B-DATE
Age   O
:   O
49   O
Address   O
:   O
Nuiqsut   B-LOCATION
,   O
33586   B-LOCATION
Phone   O
Number   O
:   O
373   B-CONTACT
4306   I-CONTACT

Attending   O
Physician   O
:   O
Mullen   B-NAME
Hospital   O
Name   O
:   O
Three   B-LOCATION
Rivers   I-LOCATION
Healthcare   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/29   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Security   O
Managers   O
from   O
East   B-LOCATION
Hemet   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
09/13   B-DATE
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

According   O
to   O
Alicia   B-NAME
Hinton   I-NAME
's   O
medical   O
records   O
,   O
the   O
patient   O
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
00/02   B-DATE
indicated   O
an   O
inflamed   O
appendix   O
with   O
presence   O
of   O
an   O
appendicolith   O
.   O

After   O
diagnosis   O
,   O
the   O
surgical   O
team   O
,   O
led   O
by   O
Deshawn   B-NAME
Rivers   I-NAME
,   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

ferreira   B-NAME
was   O
informed   O
about   O
the   O
potential   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
and   O
consent   O
was   O
obtained   O
on   O
Jul   B-DATE
20   I-DATE
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
without   O
complications   O
at   O
UPMC   B-LOCATION
Kane   I-LOCATION
on   O
11/20   B-DATE
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Dominque   B-NAME
Kern   I-NAME
was   O
discharged   O
on   O
12/33/2321   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
to   O
complete   O
a   O
7   O
-   O
day   O
course   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Quintillus   B-NAME
Hinely   I-NAME
at   O
Rondo   B-LOCATION
on   O
4   B-DATE
-   I-DATE
2   I-DATE
to   O
assess   O
recovery   O
and   O
discuss   O
any   O
concerns   O
.   O

-   O
Avoid   O
strenuous   O
activities   O
for   O
33/28/32   B-DATE
weeks   O
.   O

-   O
Report   O
any   O
signs   O
of   O
infection   O
to   O
935   B-CONTACT
8359   I-CONTACT
.   O

First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
provided   O
educational   O
materials   O
on   O
post   O
-   O
operative   O
care   O
and   O
diabetes   O
management   O
post   O
-   O
surgery   O
.   O

Patient   O
Report   O
for   O
Benton   B-NAME
McAnaw   I-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
44   O
-   O
ID   O
:   O
DB189/9882   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
2877792   B-ID
-   O
Phone   O
:   O
469   B-CONTACT
-   I-CONTACT
5058   I-CONTACT
-   O
Address   O
:   O
San   B-LOCATION
Leandro   I-LOCATION
,   O
15343   B-LOCATION
Clinical   O
Encounter   O
Date   O
:   O
'   B-DATE
12   I-DATE
Referring   O
Physician   O
:   O

Irene   B-NAME
Mccormick   I-NAME
Encounter   O
Details   O
:   O
Elizabeth   B-NAME
M   I-NAME
Keys   I-NAME
presented   O
to   O
The   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tinton   I-LOCATION
Falls   I-LOCATION
on   O
2/53   B-DATE
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
lower   O
quadrants   O
,   O
accompanied   O
by   O
nausea   O
and   O
an   O
inability   O
to   O
tolerate   O
oral   O
intake   O
without   O
vomiting   O
.   O

Furthermore   O
,   O
Kelsie   B-NAME
Crowner   I-NAME
has   O
experienced   O
fever   O
peaks   O
up   O
to   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
,   O
indicating   O
a   O
potential   O
underlying   O
infection   O
.   O

The   O
patient   O
reported   O
that   O
the   O
symptoms   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
02/99   B-DATE
.   O

Upon   O
physical   O
examination   O
,   O
Randa   B-NAME
Gershman   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
with   O
notable   O
tenderness   O
upon   O
palpation   O
of   O
the   O
abdomen   O
,   O
especially   O
around   O
the   O
umbilicus   O
.   O

Given   O
the   O
patient   O
's   O
severe   O
pain   O
and   O
leukocytosis   O
,   O
surgical   O
consultation   O
with   O
Guadalupe   B-NAME
Peck   I-NAME
was   O
recommended   O
to   O
evaluate   O
the   O
need   O
for   O
appendectomy   O
.   O

powell   B-NAME
was   O
admitted   O
to   O
Ascension   B-LOCATION
Macomb   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Madison   I-LOCATION
Heights   I-LOCATION
Campus   I-LOCATION
for   O
further   O
management   O
.   O

Required   O
Follow   O
-   O
Up   O
:   O
JERICO   B-NAME
WILLS   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
66   B-LOCATION
Prospect   I-LOCATION
Street   I-LOCATION
on   O
2/2235   B-DATE
post   O
-   O
discharge   O
for   O
evaluation   O
of   O
surgical   O
site   O
and   O
reassessment   O
of   O
clinical   O
status   O
.   O

Additionally   O
,   O
a   O
follow   O
-   O
up   O
abdominal   O
ultrasound   O
in   O
Saturday   B-DATE
was   O
recommended   O
to   O
ensure   O
resolution   O
of   O
the   O
inflammation   O
and   O
exclusion   O
of   O
other   O
abdominal   O
pathologies   O
.   O

Provider   O
Signature   O
:   O
Malcolm   B-NAME
Bowers   I-NAME
07/02/11   B-DATE
Contact   O
Information   O
:   O
Florida   B-LOCATION
Hospital   I-LOCATION
Pepin   I-LOCATION
Heart   I-LOCATION
Institute   I-LOCATION
Nursing   O
Station   O
:   O
95238   B-CONTACT
Unrepresented   B-LOCATION
Nations   I-LOCATION
and   I-LOCATION
Peoples   I-LOCATION
Organization   I-LOCATION
Patient   O
Affairs   O
:   O
86458   B-CONTACT

Patient   O
Name   O
:   O
Aldo   B-NAME
Meadows   I-NAME
Patient   O
ID   O
:   O
EM244/8921   B-ID
Medical   O
Record   O
#   O
:   O
126   B-ID
-   I-ID
27   I-ID
-   I-ID
14   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
2017   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
37   I-DATE
Age   O
:   O
6   O
month   O
Address   O
:   O
Ponshewaing   B-LOCATION
,   O
81965   B-LOCATION
Phone   O
:   O
575   B-CONTACT
6993   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Hughes   B-NAME
Admitting   O
Hospital   O
:   O
Uniontown   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O

2291   B-DATE
Date   O
of   O
Report   O
:   O
35/08   B-DATE
Clinical   O
Summary   O
:   O
Ramirez   B-NAME
,   I-NAME
Manny   I-NAME
was   O
admitted   O
to   O
Spectrum   B-LOCATION
Health   I-LOCATION
Ludington   I-LOCATION
Hospital   I-LOCATION
on   O
32/32/2191   B-DATE
following   O
a   O
consultation   O
with   O
Kelsey   B-NAME
Harrison   I-NAME
about   O
a   O
series   O
of   O
concerning   O
symptoms   O
that   O
had   O
progressively   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
MRI   O
findings   O
,   O
interpreted   O
by   O
Davis   B-NAME
,   I-NAME
Bette   I-NAME
indicated   O
the   O
presence   O
of   O
a   O
non   O
-   O
enhancing   O
,   O
midline   O
supratentorial   O
mass   O
consistent   O
with   O
a   O
benign   O
colloid   O
cyst   O
,   O
which   O
could   O
explain   O
the   O
patient   O
's   O
presenting   O
symptoms   O
due   O
to   O
intermittent   O
obstruction   O
of   O
cerebrospinal   O
fluid   O
flow   O
,   O
thereby   O
causing   O
episodes   O
of   O
raised   O
intracranial   O
pressure   O
.   O

Management   O
Plan   O
:   O
After   O
a   O
multidisciplinary   O
team   O
discussion   O
involving   O
neurology   O
,   O
neurosurgery   O
,   O
and   O
radiology   O
departments   O
at   O
Capital   B-LOCATION
Health   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
it   O
was   O
determined   O
that   O
Law   B-NAME
would   O
benefit   O
from   O
neurosurgical   O
intervention   O
to   O
remove   O
the   O
cyst   O
.   O

The   O
patient   O
was   O
informed   O
about   O
the   O
potential   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
and   O
after   O
obtaining   O
informed   O
consent   O
,   O
surgical   O
removal   O
was   O
scheduled   O
for   O
0/7   B-DATE
.   O

The   O
patient   O
’s   O
contact   O
information   O
,   O
including   O
their   O
607   B-CONTACT
9206   I-CONTACT
and   O
email   O
(   O
KF739   B-NAME
@example.com   O
)   O
,   O
was   O
updated   O
in   O
the   O
hospital   O
’s   O
record   O
for   O
further   O
communication   O
and   O
follow   O
-   O
up   O
purposes   O
.   O

Post   O
-   O
operative   O
Plan   O
:   O
Following   O
surgery   O
,   O
Collin   B-NAME
Hawkins   I-NAME
will   O
be   O
monitored   O
closely   O
in   O
the   O
neurosurgical   O
unit   O
at   O
UCHealth   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Central   I-LOCATION
for   O
any   O
signs   O
of   O
infection   O
,   O
neurological   O
deficits   O
,   O
or   O
cerebrospinal   O
fluid   O
leak   O
.   O

A   O
follow   O
-   O
up   O
MRI   O
will   O
be   O
scheduled   O
for   O
04   B-DATE
-   I-DATE
02   I-DATE
post   O
-   O
operatively   O
to   O
assess   O
the   O
success   O
of   O
the   O
cyst   O
removal   O
and   O
ensure   O
no   O
additional   O
intervention   O
is   O
required   O
.   O

Conclusion   O
:   O
Hamilton   B-NAME
's   O
case   O
exemplifies   O
the   O
importance   O
of   O
a   O
thorough   O
clinical   O
evaluation   O
and   O
the   O
use   O
of   O
advanced   O
imaging   O
techniques   O
in   O
diagnosing   O
and   O
managing   O
less   O
common   O
causes   O
of   O
recurrent   O
headaches   O
and   O
intracranial   O
hypertension   O
.   O

The   O
collaborative   O
efforts   O
of   O
the   O
multi   O
-   O
specialty   O
team   O
at   O
Oaklawn   B-LOCATION
Hospital   I-LOCATION
highlight   O
the   O
comprehensive   O
approach   O
required   O
in   O
dealing   O
with   O
such   O
complex   O
neurological   O
issues   O
.   O

Prepared   O
by   O
:   O
Forgal   B-NAME
Liversedge   I-NAME
2390   B-DATE

Patient   O
Name   O
:   O
Jonathan   B-NAME
Jefferson   I-NAME
Age   O
:   O
0s   O
Date   O
of   O
Visit   O
:   O
21/10/2152   B-DATE
Medical   O
Record   O
Number   O
:   O
28958281   B-ID
Doctor   O
:   O
Dominik   B-NAME
Peck   I-NAME
Hospital   O
:   O
Boulder   B-LOCATION
Community   I-LOCATION
Foothills   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Ingalls   B-LOCATION
Park   I-LOCATION
Zip   O
:   O
99654   B-LOCATION
Phone   O
:   O
541   B-CONTACT
-   I-CONTACT
5736   I-CONTACT
Username   O
:   O
ysr455   B-NAME
Organization   O
:   O
SolutionsBank   B-LOCATION
Summary   O
of   O
Visit   O
:   O
Barnes   B-NAME
,   I-NAME
Jack   I-NAME
,   O
a   O
Media   O
and   O
Communication   O
Workers   O
,   O
All   O
Other   O
,   O
presented   O
to   O
the   O
clinic   O
with   O
complaints   O
of   O
episodic   O
palpitations   O
that   O
have   O
been   O
occurring   O
for   O
the   O
past   O
32/29   B-DATE
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Smith   B-NAME
,   I-NAME
Margaret   I-NAME
Chase   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
,   O
with   O
a   O
heart   O
rate   O
of   O
78   O
bpm   O
,   O
blood   O
pressure   O
of   O
120/80   O
mmHg   O
,   O
respiratory   O
rate   O
of   O
16   O
bpm   O
,   O
and   O
oxygen   O
saturation   O
of   O
98   O
%   O
on   O
room   O
air   O
.   O

Management   O
Plan   O
:   O
I   O
discussed   O
the   O
need   O
for   O
lifestyle   O
modifications   O
with   O
Chesmu   B-NAME
,   O
including   O
reduction   O
of   O
caffeine   O
intake   O
and   O
stress   O
management   O
techniques   O
.   O

Additionally   O
,   O
I   O
have   O
prescribed   O
a   O
beta   O
-   O
blocker   O
to   O
manage   O
the   O
palpitations   O
and   O
advised   O
IKI   B-NAME
to   O
monitor   O
their   O
symptoms   O
closely   O
.   O

Follow   O
-   O
Up   O
:   O
Wilkes   B-NAME
,   I-NAME
Maurice   I-NAME
was   O
advised   O
to   O
return   O
to   O
Wise   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
Decatur   I-LOCATION
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
24   B-DATE
-   I-DATE
Jan-2112   I-DATE
weeks   O
to   O
review   O
the   O
results   O
of   O
the   O
Holter   O
monitor   O
and   O
evaluate   O
symptom   O
progression   O
.   O

I   O
also   O
advised   O
Olybrius   B-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
they   O
experience   O
any   O
chest   O
pain   O
,   O
severe   O
dizziness   O
,   O
or   O
syncope   O
.   O

In   O
the   O
interim   O
,   O
Wright   B-NAME
can   O
reach   O
me   O
at   O
(   B-CONTACT
533   I-CONTACT
)   I-CONTACT
785   I-CONTACT
8210   I-CONTACT
or   O
through   O
our   O
patient   O
portal   O
(   O
tbl32   B-NAME
)   O
for   O
any   O
concerns   O
or   O
symptom   O
exacerbation   O
.   O

Records   O
can   O
be   O
sent   O
to   O
my   O
office   O
at   O
Jefferson   B-LOCATION
,   O
54335   B-LOCATION
,   O
via   O
fax   O
or   O
the   O
secured   O
International   B-LOCATION
Rehabilitation   I-LOCATION
Council   I-LOCATION
for   I-LOCATION
Torture   I-LOCATION
Victims   I-LOCATION
patient   O
portal   O
.   O

Signature   O
:   O
Connor   B-NAME
Horne   I-NAME
July   B-DATE
9   I-DATE
,   I-DATE
2122   I-DATE

The   O
patient   O
,   O
Marcus   B-NAME
Giancaspro   I-NAME
,   O
a   O
15   O
-   O
year   O
-   O
old   O
Professional   O
Photographers   O
from   O
YO62   B-LOCATION
7FO   I-LOCATION
,   O
presented   O
to   O
Chilton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
February   B-DATE
of   I-DATE
2242   I-DATE
with   O
a   O
series   O
of   O
symptoms   O
complicating   O
over   O
the   O
past   O
week   O
.   O

The   O
patient   O
provided   O
their   O
244   B-ID
-   I-ID
48   I-ID
-   I-ID
29   I-ID
-   I-ID
8   I-ID
and   O
AX:31095:124199   B-ID
for   O
our   O
records   O
upon   O
admission   O
.   O

The   O
initial   O
contact   O
was   O
made   O
through   O
our   O
front   O
desk   O
at   O
924   B-CONTACT
-   I-CONTACT
4875   I-CONTACT
.   O

Upon   O
presentation   O
,   O
Paul   B-NAME
Novotny   I-NAME
complained   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Jairo   B-NAME
Delgado   I-NAME
,   O
revealing   O
leukocytosis   O
,   O
which   O
further   O
supports   O
the   O
suspicion   O
of   O
appendicitis   O
.   O

The   O
surgical   O
team   O
at   O
MedStar   B-LOCATION
Union   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
performed   O
a   O
laparoscopic   O
appendectomy   O
on   O
January   B-DATE
without   O
complications   O
.   O

The   O
patient   O
's   O
postoperative   O
course   O
was   O
unremarkable   O
,   O
and   O
they   O
were   O
discharged   O
on   O
12/26   B-DATE
with   O
instructions   O
for   O
care   O
at   O
home   O
and   O
a   O
prescription   O
for   O
a   O
course   O
of   O
oral   O
antibiotics   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Sutton   B-NAME
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
Ludington   I-LOCATION
Hospital   I-LOCATION
on   O
33/30   B-DATE
to   O
ensure   O
proper   O
recovery   O
.   O

Radner   B-NAME
,   I-NAME
Gilda   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activity   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
to   O
aid   O
in   O
the   O
healing   O
process   O
.   O

Should   O
there   O
be   O
any   O
signs   O
of   O
infection   O
or   O
if   O
the   O
symptoms   O
persist   O
,   O
Abraham   B-NAME
Harrell   I-NAME
was   O
instructed   O
to   O
call   O
American   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Chemists(AIC   I-LOCATION
)   I-LOCATION
's   O
helpline   O
at   O
152   B-CONTACT
-   I-CONTACT
3579   I-CONTACT
.   O

In   O
compliance   O
with   O
HIPAA   O
regulations   O
,   O
all   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
has   O
been   O
securely   O
documented   O
and   O
will   O
be   O
protected   O
to   O
ensure   O
Alethea   B-NAME
Blazek   I-NAME
's   O
privacy   O
.   O

This   O
includes   O
all   O
identifiers   O
such   O
as   O
LOGAN   B-NAME
COLEMAN   I-NAME
's   O
315   B-CONTACT
-   I-CONTACT
1542   I-CONTACT
,   O
732   B-ID
-   I-ID
63   I-ID
-   I-ID
93   I-ID
-   I-ID
8   I-ID
,   O
and   O
the   O
specifics   O
regarding   O
Olivet   B-LOCATION
and   O
77047   B-LOCATION
.   O

The   O
multi   O
-   O
disciplinary   O
team   O
at   O
Saint   B-LOCATION
Thomas   I-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
remains   O
committed   O
to   O
providing   O
the   O
highest   O
standard   O
of   O
care   O
to   O
our   O
patients   O
and   O
is   O
available   O
for   O
any   O
further   O
information   O
or   O
assistance   O
regarding   O
Conrad   B-NAME
Bevans   I-NAME
's   O
case   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Lucia   B-NAME
Becker   I-NAME
Age   O
:   O
91   O
Date   O
of   O
Birth   O
:   O
07/16/1620   B-DATE
Address   O
:   O
Konawa   B-LOCATION
,   O
41096   B-LOCATION
Phone   O
Number   O
:   O
278   B-CONTACT
2680   I-CONTACT
Occupation   O
:   O
singer   O
Primary   O
Physician   O
:   O

Dayana   B-NAME
Manning   I-NAME
Hospital   O
:   O
Union   B-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
77137644   B-ID
ID   O
Number   O
:   O
EF   B-ID
:   I-ID
LP:8764   I-ID
Date   O
of   O
Visit   O
:   O
32/23   B-DATE
Referring   O
Organization   O
:   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Japan   I-LOCATION
(   I-LOCATION
CSJ   I-LOCATION
)   I-LOCATION
Summary   O
:   O
Yeomans   B-NAME
presented   O
to   O
the   O
AllianceHealth   B-LOCATION
Midwest   I-LOCATION
on   O
2/10/2022   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

The   O
onset   O
of   O
pain   O
was   O
gradual   O
over   O
2116   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
21   I-DATE
,   O
with   O
an   O
intensification   O
of   O
discomfort   O
noted   O
in   O
the   O
last   O
24   O
hours   O
.   O

Hamilton   B-NAME
,   I-NAME
Laurell   I-NAME
K.   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
documented   O
at   O
home   O
.   O

Upon   O
examination   O
,   O
Neal   B-NAME
Hudson   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
to   O
be   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slight   O
elevation   O
in   O
temperature   O
.   O

Management   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Dr.   O
Chase   B-NAME
.   O

Dalton   B-NAME
was   O
advised   O
immediate   O
surgical   O
intervention   O
.   O

Risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
were   O
discussed   O
with   O
Yonathan   B-NAME
Orth   I-NAME
,   O
who   O
provided   O
informed   O
consent   O
for   O
an   O
appendectomy   O
.   O

The   O
procedure   O
was   O
performed   O
on   O
2182   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
00   I-DATE
without   O
any   O
complications   O
.   O

Nathan   B-NAME
France   I-NAME
was   O
administered   O
IV   O
antibiotics   O
pre   O
-   O
operatively   O
and   O
post   O
-   O
operatively   O
to   O
prevent   O
infection   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Riley   B-NAME
Brewer   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
.   O

Haleigh   B-NAME
Daniel   I-NAME
reported   O
significant   O
pain   O
relief   O
following   O
the   O
surgery   O
.   O

Max   B-NAME
Cabranes   I-NAME
was   O
discharged   O
on   O
2/32   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
signs   O
to   O
watch   O
for   O
possible   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Clayton   B-NAME
Forrester   I-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
ensure   O
proper   O
recovery   O
.   O

Conclusion   O
:   O
Teresa   B-NAME
of   I-NAME
Avila   I-NAME
(   I-NAME
Teresa   I-NAME
de   I-NAME
Jesús   I-NAME
)   I-NAME
responded   O
well   O
to   O
the   O
surgical   O
intervention   O
with   O
no   O
immediate   O
complications   O
noted   O
.   O

Harlan   B-NAME
Oneil   I-NAME
is   O
advised   O
to   O
adhere   O
to   O
post   O
-   O
operative   O
care   O
instructions   O
and   O
follow   O
up   O
with   O
Antonio   B-NAME
Cole   I-NAME
as   O
scheduled   O
.   O

Note   O
:   O
Any   O
further   O
inquiries   O
or   O
management   O
adjustments   O
must   O
go   O
through   O
the   O
prescribed   O
channels   O
via   O
contact   O
at   O
639   B-CONTACT
8697   I-CONTACT
or   O
through   O
visiting   O
the   O
International   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
's   O
premises   O
directly   O
.   O

All   O
personal   O
data   O
are   O
protected   O
and   O
should   O
any   O
follow   O
-   O
up   O
be   O
required   O
,   O
please   O
provide   O
the   O
identification   O
details   O
of   O
43134251   B-ID
or   O
0   B-ID
-   I-ID
5535599   I-ID
for   O
verification   O
purposes   O
.   O

Patient   O
Report   O
for   O
Myah   B-NAME
Schneider   I-NAME
General   O
Information   O
:   O
Age   O
:   O
71s   O
Date   O
of   O
Initial   O
Consultation   O
:   O
33/32   B-DATE
Physician   O
in   O
Charge   O
:   O
Margarita   B-NAME
Whisnant   I-NAME
Hospital   O
:   O
Northridge   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
9195111   I-ID
Medical   O
Record   O
Number   O
:   O
58212930   B-ID
Preferred   O
Contact   O
Number   O
:   O
12685   B-CONTACT
Presenting   O
Location   O
:   O
Luling   B-LOCATION
,   I-LOCATION
Luling   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Zip   O
Code   O
:   O
94491   B-LOCATION
Employment   O
Information   O
:   O
Occupation   O
:   O
Directors-   O
Stage   O
,   O
Motion   O
Pictures   O
,   O
Television   O
,   O
and   O
Radio   O
Summary   O
of   O
Present   O
Illness   O
:   O
Borlaug   B-NAME
,   I-NAME
Norman   I-NAME
presented   O
on   O
31/21/2002   B-DATE
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
headaches   O
,   O
photophobia   O
,   O
and   O
nausea   O
.   O

The   O
headaches   O
were   O
described   O
as   O
throbbing   O
in   O
nature   O
,   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
and   O
have   O
been   O
increasing   O
in   O
severity   O
over   O
the   O
past   O
1755   B-DATE
.   O

Rylee   B-NAME
Horne   I-NAME
also   O
noted   O
episodes   O
of   O
blurred   O
vision   O
and   O
transient   O
dizziness   O
,   O
particularly   O
when   O
standing   O
up   O
from   O
a   O
seated   O
or   O
lying   O
position   O
.   O

Thalia   B-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
in   O
27/23/2382   B-DATE
.   O

Cash   B-NAME
,   I-NAME
Johnny   I-NAME
is   O
currently   O
under   O
the   O
care   O
of   O
Powers   B-NAME
for   O
management   O
of   O
these   O
conditions   O
.   O

Xaiden   B-NAME
Roberson   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
cardiovascular   O
disease   O
on   O
the   O
maternal   O
side   O
and   O
stroke   O
on   O
the   O
paternal   O
side   O
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
examination   O
,   O
Karla   B-NAME
Dittmer   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
at   O
JZ:341080:242906   B-ID
systolic   O
and   O
7   B-ID
-   I-ID
7143760   I-ID
diastolic   O
.   O

Blood   O
tests   O
indicated   O
elevated   O
blood   O
glucose   O
levels   O
at   O
PT239/1797   B-ID
mg   O
/   O
dL   O
and   O
a   O
high   O
HbA1c   O
level   O
indicative   O
of   O
poorly   O
controlled   O
diabetes   O
.   O

Medication   O
adjustment   O
for   O
hypertension   O
and   O
diabetes   O
management   O
to   O
be   O
overseen   O
by   O
Hodge   B-NAME
.   O

Initiation   O
of   O
a   O
low   O
-   O
sodium   O
,   O
diabetic   O
-   O
friendly   O
diet   O
recommended   O
by   O
a   O
nutritionist   O
at   O
Champlain   B-LOCATION
Valley   I-LOCATION
Physicians   I-LOCATION
Hospital   I-LOCATION
.   O

Monthly   O
follow   O
-   O
up   O
appointments   O
scheduled   O
for   O
the   O
next   O
13/20/2162   B-DATE
months   O
to   O
monitor   O
response   O
to   O
treatment   O
adjustments   O
and   O
progression   O
of   O
diabetic   O
retinopathy   O
.   O

Referral   O
to   O
an   O
ophthalmologist   O
associated   O
with   O
International   B-LOCATION
Primate   I-LOCATION
Protection   I-LOCATION
League   I-LOCATION
(   I-LOCATION
IPPL   I-LOCATION
)   I-LOCATION
for   O
closer   O
monitoring   O
of   O
retinopathy   O
.   O

3   O
.   O
Report   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
the   O
emergence   O
of   O
new   O
symptoms   O
immediately   O
to   O
Oneida   B-NAME
Mazion   I-NAME
at   O
659   B-CONTACT
2644   I-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
Zinn   B-NAME
,   I-NAME
Howard   I-NAME
or   O
relatives   O
may   O
contact   O
Chung   B-NAME
at   O
27873   B-CONTACT
,   O
or   O
proceed   O
to   O
the   O
emergency   O
department   O
of   O
Boulder   B-LOCATION
Community   I-LOCATION
Health   I-LOCATION
located   O
in   O
Marked   B-LOCATION
Tree   I-LOCATION
,   O
80441   B-LOCATION
.   O

This   O
document   O
was   O
prepared   O
by   O
the   O
medical   O
staff   O
at   O
Terrebonne   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
May   B-DATE
.   O

All   O
inquiries   O
should   O
be   O
directed   O
to   O
our   O
patient   O
coordination   O
team   O
UN288   B-NAME
at   O
50256   B-CONTACT
.   O

Patient   O
Report   O
for   O
Rayna   B-NAME
Frohwein   I-NAME
0720   B-DATE
BJ   B-LOCATION
's   I-LOCATION
Wholesale   I-LOCATION
Club   I-LOCATION
ID   O
:   O
25164197   B-ID
Winfrey   B-NAME
,   I-NAME
Oprah   I-NAME
evaluated   O
Giovanna   B-NAME
Francis   I-NAME
in   O
the   O
Direct   B-LOCATION
Energy   I-LOCATION
emergency   O
department   O
on   O
0/27/2323   B-DATE
.   O

Natalia   B-NAME
Powell   I-NAME
,   O
a   O
16   O
-   O
year   O
-   O
old   O
Insurance   O
Sales   O
Agents   O
,   O
presented   O
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
symptoms   O
began   O
early   O
in   O
the   O
morning   O
on   O
03th   B-DATE
of   I-DATE
June   I-DATE
and   O
have   O
progressively   O
worsened   O
.   O

No   O
alleviating   O
factors   O
were   O
identified   O
by   O
Carmelo   B-NAME
Huang   I-NAME
.   O

Further   O
,   O
Michael   B-NAME
Twoyoungmen   I-NAME
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
loss   O
of   O
appetite   O
.   O

Ean   B-NAME
Sharp   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
Sean   B-NAME
Ferreira   I-NAME
is   O
on   O
multiple   O
medications   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Woodland   I-LOCATION
Hills   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Sigurd   B-LOCATION
on   O
00/20   B-DATE
.   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Atwood   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Imaging   O
:   O
Abdominal   O
ultrasound   O
performed   O
on   O
1729   B-DATE
revealed   O
signs   O
consistent   O
with   O
acute   O
appendicitis   O
,   O
including   O
appendix   O
enlargement   O
and   O
the   O
presence   O
of   O
an   O
appendicolith   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Denise   B-NAME
Martinez   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Tyson   B-NAME
Barker   I-NAME
recommended   O
an   O
urgent   O
surgical   O
intervention   O
.   O

Lorelai   B-NAME
Morton   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
consented   O
to   O
proceed   O
.   O

Laparoscopic   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
April   B-DATE
at   O
John   B-LOCATION
D.   I-LOCATION
Archbold   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Postoperative   O
Course   O
:   O
Vetter   B-NAME
had   O
an   O
uneventful   O
postoperative   O
recovery   O
.   O

Hogan   B-NAME
was   O
encouraged   O
to   O
ambulate   O
on   O
the   O
day   O
following   O
the   O
surgery   O
.   O

On   O
11   B-DATE
,   O
Areli   B-NAME
Goodman   I-NAME
's   O
condition   O
improved   O
significantly   O
,   O
allowing   O
for   O
discharge   O
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Rollins   B-NAME
in   O
two   O
weeks   O
at   O
Gainesville   B-LOCATION
Regional   I-LOCATION
Utilities   I-LOCATION
.   O

Contact   O
Information   O
:   O
Should   O
Ileen   B-NAME
Routt   I-NAME
have   O
any   O
questions   O
or   O
concerns   O
,   O
December   B-NAME
is   O
advised   O
to   O
contact   O
Seafarers   B-LOCATION
'   I-LOCATION
International   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
at   O
(   B-CONTACT
852   I-CONTACT
)   I-CONTACT
264   I-CONTACT
-   I-CONTACT
7360   I-CONTACT
.   O

Follow   O
-   O
up   O
blood   O
work   O
to   O
monitor   O
white   O
blood   O
cell   O
count   O
is   O
scheduled   O
for   O
12/01/2233   B-DATE
.   O

Northern   B-LOCATION
Ireland   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
Alliance   I-LOCATION
Emergency   O
Department   O
Summary   O
-   O
Patient   O
ID   O
:   O
3340210   B-ID
-   O
Name   O
:   O
Brianna   B-NAME
Benjamin   I-NAME
-   O
Age   O
:   O
25s   O
-   O
Zip   O
Code   O
:   O
98547   B-LOCATION
-   O
Phone   O
:   O
169   B-CONTACT
-   I-CONTACT
2205   I-CONTACT
-   O
Admitting   O
Doctor   O
:   O
Calderon   B-NAME
-   O
Admission   O
Date   O
:   O
2282   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
20   I-DATE
-   O
Discharge   O
Date   O
:   O
33/39   B-DATE
-   O
Diagnosis   O
:   O
Acute   O
Appendicitis   O
-   O
Procedure   O
:   O
Laparoscopic   O
Appendectomy   O
This   O
report   O
has   O
been   O
compiled   O
and   O
reviewed   O
by   O
Chance   B-NAME
Walker   I-NAME
on   O
0/39   B-DATE
.   O

All   O
PHI   O
has   O
been   O
appropriately   O
anonymized   O
to   O
ensure   O
the   O
privacy   O
and   O
confidentiality   O
of   O
Violet   B-NAME
Burke   I-NAME
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Aguilar   B-NAME
,   O
a   O
Retail   O
buyer   O
from   O
Georgia   B-LOCATION
,   O
first   O
presented   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Harrisburg   I-LOCATION
on   O
5/22   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
localized   O
to   O
the   O
frontal   O
area   O
.   O

The   O
headache   O
episodes   O
began   O
approximately   O
10/29   B-DATE
ago   O
and   O
have   O
progressively   O
worsened   O
.   O

YOCOM   B-NAME
,   I-NAME
GARY   I-NAME
ZACHARY   I-NAME
also   O
reported   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

Further   O
inquiry   O
into   O
the   O
patient   O
's   O
medical   O
history   O
,   O
obtained   O
from   O
38644815   B-ID
,   O
revealed   O
a   O
diagnosis   O
of   O
migraines   O
without   O
aura   O
which   O
was   O
managed   O
by   O
Martin   B-NAME
Combs   I-NAME
back   O
in   O
Jul   B-DATE
20   I-DATE
,   I-DATE
2096   I-DATE
.   O

ostrowski   B-NAME
is   O
currently   O
not   O
on   O
any   O
prescription   O
migraine   O
medication   O
.   O

Dayan   B-NAME
,   I-NAME
Moshe   I-NAME
's   O
VR601/7630   B-ID
was   O
verified   O
for   O
admission   O
records   O
.   O

Given   O
the   O
history   O
of   O
migraine   O
,   O
a   O
trial   O
of   O
Sumatriptan   O
was   O
administered   O
in   O
the   O
ER   O
with   O
some   O
relief   O
noted   O
by   O
Franco   B-NAME
Manning   I-NAME
.   O

Plans   O
to   O
follow   O
up   O
with   O
Max   B-NAME
Cabranes   I-NAME
in   O
Yanceyville   B-LOCATION
on   O
26/29   B-DATE
have   O
been   O
made   O
.   O

Nicky   B-NAME
Averette   I-NAME
has   O
been   O
provided   O
with   O
educational   O
resources   O
on   O
migraine   O
triggers   O
and   O
management   O
.   O

Miranda   B-NAME
was   O
advised   O
to   O
keep   O
a   O
headache   O
diary   O
and   O
was   O
given   O
a   O
prescription   O
for   O
Sumatriptan   O
to   O
be   O
used   O
as   O
needed   O
for   O
severe   O
headache   O
episodes   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
before   O
the   O
next   O
appointment   O
,   O
Tandy   B-NAME
Empson   I-NAME
was   O
given   O
the   O
(   B-CONTACT
180   I-CONTACT
)   I-CONTACT
847   I-CONTACT
-   I-CONTACT
6721   I-CONTACT
number   O
for   O
the   O
clinic   O
at   O
Charity   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
consent   O
agreement   O
signed   O
on   O
2/3   B-DATE
with   O
XB   B-ID
:   I-ID
PD:7134   I-ID
was   O
filed   O
in   O
Shaffer   B-NAME
's   O
electronic   O
health   O
records   O
at   O
Hillcrest   B-LOCATION
Hospital   I-LOCATION
Claremore   I-LOCATION
.   O

In   O
summary   O
,   O
Osvaldo   B-NAME
Lawson   I-NAME
,   O
a   O
5   O
-   O
year   O
-   O
old   O
Personal   O
assistant   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
migraine   O
without   O
aura   O
.   O

Note   O
:   O
Please   O
remind   O
Rubi   B-NAME
Colon   I-NAME
to   O
bring   O
a   O
list   O
of   O
any   O
over   O
-   O
the   O
-   O
counter   O
medications   O
or   O
supplements   O
being   O
taken   O
to   O
the   O
next   O
appointment   O
with   O
Tolkien   B-NAME
,   I-NAME
J.   I-NAME
R.   I-NAME
R   I-NAME
.   I-NAME
.   O

Additionally   O
,   O
considering   O
the   O
proximity   O
of   O
Nancy   B-NAME
Gipson   I-NAME
's   O
residence   O
to   O
St.   B-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
it   O
was   O
suggested   O
that   O
Deon   B-NAME
Ward   I-NAME
consider   O
enrolling   O
in   O
the   O
migraine   O
management   O
program   O
offered   O
by   O
Eurobank   B-LOCATION
located   O
in   O
16238   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Kadyn   B-NAME
Garza   I-NAME
-   O
Age   O
:   O
71   O
-   O
Date   O
of   O
Birth   O
:   O
32/02/61   B-DATE
-   O
Phone   O
Number   O
:   O
302   B-CONTACT
1840   I-CONTACT
-   O
Address   O
:   O
Keokuk   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Keokuk   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
82816   B-LOCATION
-   O
Employer   O
:   O

Australian   B-LOCATION
Maritime   I-LOCATION
Officers   I-LOCATION
Union   I-LOCATION
-   O
Occupation   O
:   O
Eligibility   O
Interviewers   O
,   O
Government   O
Programs   O
-   O
Primary   O
Physician   O
:   O
Dr.   O
Ball   B-NAME
-   O
Medical   O
Record   O
Number   O
:   O
962   B-ID
-   I-ID
57   I-ID
-   I-ID
36   I-ID
-   I-ID
3   I-ID
-   O
Date   O
of   O
Admission   O
:   O
2038   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
30   I-DATE
-   O
Hospital   O
:   O
Davis   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
-   O
Patient   O
ID   O
:   O
KW126/1924   B-ID
Chief   O
Complaint   O
:   O
Adriene   B-NAME
Dobbin   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Wills   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
33/20   B-DATE
with   O
chief   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kennedy   B-NAME
,   I-NAME
Anthony   I-NAME
,   O
a   O
23   O
-   O
year   O
-   O
old   O
Psychologists   O
,   O
All   O
Other   O
from   O
Quiogue   B-LOCATION
,   O
initially   O
noticed   O
a   O
mild   O
discomfort   O
around   O
the   O
navel   O
in   O
the   O
morning   O
of   O
06/18/2026   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
,   O
diagnosed   O
12/21   B-DATE
-   O
No   O
known   O
drug   O
allergies   O
-   O
No   O
previous   O
surgeries   O
-   O
Family   O
history   O
non   O
-   O
contributory   O
Examination   O
Findings   O
:   O
Upon   O
examination   O
in   O
the   O
Emergency   O
Department   O
of   O
James   B-LOCATION
E.   I-LOCATION
Van   I-LOCATION
Zandt   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1863   B-DATE
,   O
Ciara   B-NAME
French   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Ilona   B-NAME
Swift   I-NAME
was   O
admitted   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
McKeesport   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Franks   B-NAME
,   I-NAME
Tommy   I-NAME
for   O
an   O
appendectomy   O
on   O
2202   B-DATE
.   O

The   O
surgery   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Lina   B-NAME
Hale   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
post   O
-   O
operatively   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Jaeden   B-NAME
Berger   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
.   O

Pain   O
was   O
managed   O
effectively   O
with   O
analgesics   O
,   O
and   O
the   O
patient   O
was   O
able   O
to   O
tolerate   O
a   O
liquid   O
diet   O
by   O
post   O
-   O
operative   O
day   O
1   O
,   O
progressing   O
to   O
a   O
regular   O
diet   O
by   O
discharge   O
on   O
2/5   B-DATE
.   O

Tamia   B-NAME
Drake   I-NAME
was   O
discharged   O
with   O
instructions   O
on   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Porter   B-NAME
Barker   I-NAME
in   O
one   O
week   O
's   O
time   O
.   O

Follow   O
-   O
Up   O
:   O
Laitman   B-NAME
,   I-NAME
Michael   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Hobbs   B-NAME
on   O
12/26/2036   B-DATE
at   O
Redbird   B-LOCATION
Smith   I-LOCATION
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
unusual   O
symptoms   O
and   O
to   O
contact   O
INTEGRIS   B-LOCATION
Canadian   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
at   O
45713   B-CONTACT
with   O
any   O
concerns   O
.   O

Summary   O
:   O
This   O
case   O
of   O
Stimson   B-NAME
,   I-NAME
Henry   I-NAME
L.   I-NAME
,   O
a   O
82   O
-   O
year   O
-   O
old   O
Medical   O
Scientists   O
,   O
Except   O
Epidemiologists   O
from   O
8570   B-LOCATION
Hilltop   I-LOCATION
Court   I-LOCATION
,   O
successfully   O
underwent   O
an   O
appendectomy   O
for   O
acute   O
appendicitis   O
with   O
Dr.   O
Kade   B-NAME
Werner   I-NAME
at   O
Alta   B-LOCATION
Bates   I-LOCATION
Summit   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Report   O
for   O
Iesha   B-NAME
Newhook   I-NAME
Patient   O
Information   O
:   O
-   O
Age   O
:   O
50   O
-   O
Date   O
of   O
Birth   O
:   O
30/02/98   B-DATE
-   O
Sex   O
:   O
Female   O
-   O
ID   O
:   O
49176   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
00217222   B-ID
-   O
Address   O
:   O
Miami   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33147   I-LOCATION
,   O
90438   B-LOCATION
-   O
Phone   O
:   O
536   B-CONTACT
-   I-CONTACT
4101   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Peterson   B-NAME
-   O
Facility   O
:   O
Barton   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Jaylon   B-NAME
Mccoy   I-NAME
,   O
a   O
Glaziers   O
from   O
Leadville   B-LOCATION
North   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Novant   B-LOCATION
Health   I-LOCATION
Clemmons   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/21   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Surgical   O
consultation   O
by   O
Bryanna   B-NAME
Kane   I-NAME
was   O
requested   O
,   O
and   O
Cole   B-NAME
,   I-NAME
Nat   I-NAME
"   I-NAME
King   I-NAME
"   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
patient   O
underwent   O
an   O
uneventful   O
laparoscopic   O
appendectomy   O
on   O
3   B-DATE
-   I-DATE
0   I-DATE
,   O
performed   O
by   O
Webb   B-NAME
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Danville   I-LOCATION
.   O

The   O
postoperative   O
period   O
was   O
smooth   O
,   O
with   O
the   O
patient   O
being   O
discharged   O
on   O
29/17/35   B-DATE
.   O

3   O
.   O
Manage   O
pain   O
with   O
prescribed   O
medication   O
as   O
directed   O
by   O
Rice   B-NAME
.   O
4   O
.   O

5   O
.   O
Contact   O
Pikeville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
31356   B-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
if   O
experiencing   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
any   O
concerns   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Kristin   B-NAME
Short   I-NAME
at   O
HCA   B-LOCATION
Midwest   I-LOCATION
Division   I-LOCATION
on   O
27/29   B-DATE
to   O
assess   O
the   O
patient   O
's   O
recovery   O
and   O
address   O
any   O
concerns   O
.   O

Report   O
Prepared   O
By   O
:   O
dn353   B-NAME
Date   O
:   O
2th   B-DATE

Patient   O
Name   O
:   O
Edith   B-NAME
Osborn   I-NAME
Date   O
of   O
Birth   O
:   O
25/27   B-DATE
Age   O
:   O
72   O
Address   O
:   O
Port   B-LOCATION
Leyden   I-LOCATION
,   O
68099   B-LOCATION
Phone   O
:   O
774   B-CONTACT
605   I-CONTACT
7123   I-CONTACT
Patient   O
ID   O
:   O
OE595/5885   B-ID
Medical   O
Record   O
Number   O
:   O
798   B-ID
-   I-ID
41   I-ID
-   I-ID
81   I-ID
-   I-ID
8   I-ID
Primary   O
Physician   O
:   O

Ladonna   B-NAME
Louviere   I-NAME
Hospital   O
:   O

Crawford   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
District   I-LOCATION
No.1   I-LOCATION
–   I-LOCATION
Girard   I-LOCATION
Synopsis   O
:   O
Myah   B-NAME
Sherman   I-NAME
,   O
a   O
Writers   O
and   O
Authors   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Emanate   B-LOCATION
Health   I-LOCATION
Queen   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
4   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Ainsley   B-NAME
Mccoy   I-NAME
also   O
reported   O
associated   O
nausea   O
and   O
one   O
episode   O
of   O
vomiting   O
prior   O
to   O
arrival   O
.   O

Vaughn   B-NAME
Burke   I-NAME
denies   O
any   O
recent   O
head   O
injury   O
or   O
trauma   O
.   O

Ray   B-NAME
Downing   I-NAME
's   O
pupils   O
were   O
equally   O
round   O
and   O
reactive   O
to   O
light   O
,   O
with   O
no   O
evident   O
neck   O
stiffness   O
or   O
photophobia   O
on   O
examination   O
.   O

The   O
attending   O
physician   O
,   O
Dania   B-NAME
Shah   I-NAME
,   O
recommended   O
an   O
urgent   O
non   O
-   O
contrast   O
CT   O
scan   O
of   O
the   O
head   O
to   O
rule   O
out   O
any   O
acute   O
intracranial   O
hemorrhage   O
,   O
which   O
was   O
conducted   O
and   O
showed   O
no   O
acute   O
pathology   O
.   O

Warner   B-NAME
Clan   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
headache   O
severity   O
to   O
3   O
out   O
of   O
10   O
post   O
-   O
treatment   O
and   O
was   O
subsequently   O
discharged   O
on   O
11/02   B-DATE
with   O
instructions   O
for   O
outpatient   O
follow   O
-   O
up   O
with   O
a   O
neurologist   O
affiliated   O
with   O
Chesapeake   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Draven   B-NAME
Esparza   I-NAME
was   O
also   O
advised   O
to   O
monitor   O
any   O
recurrent   O
headache   O
patterns   O
or   O
onset   O
of   O
new   O
symptoms   O
and   O
to   O
return   O
to   O
the   O
ED   O
for   O
worsening   O
symptoms   O
.   O

Given   O
the   O
occupational   O
stressors   O
as   O
a   O
Crossing   O
Guards   O
,   O
Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
was   O
also   O
advised   O
on   O
stress   O
management   O
techniques   O
and   O
considering   O
a   O
referral   O
to   O
psychology   O
for   O
cognitive   O
behavioral   O
therapy   O
to   O
manage   O
headache   O
triggers   O
related   O
to   O
stress   O
.   O

For   O
further   O
information   O
or   O
to   O
update   O
Paul   B-NAME
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Randolph   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
145   B-CONTACT
4952   I-CONTACT
.   O

Patient   O
:   O
Sophie   B-NAME
Spoto   I-NAME
Age   O
:   O
61   O
ID   O
:   O
6   B-ID
-   I-ID
7796855   I-ID
Medical   O
Record   O
:   O
0771411   B-ID
Location   O
:   O
Stilesville   B-LOCATION
Zip   O
:   O
40258   B-LOCATION
Phone   O
:   O
98913   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Clayton   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Gnaden   I-LOCATION
Huetten   I-LOCATION
Campus   I-LOCATION
Date   O
of   O
Visit   O
:   O
22   B-DATE
-   I-DATE
23   I-DATE
Chief   O
Complaint   O
:   O
Stein   B-NAME
,   I-NAME
Gertrude   I-NAME
,   O
a   O
singer   O
from   O
Bendon   B-LOCATION
,   O
presented   O
to   O
Sentara   B-LOCATION
RMH   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
34/31   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
32/21   B-DATE
.   O

NEWTON   B-NAME
,   I-NAME
QUEEN   I-NAME
also   O
reported   O
experiencing   O
sharp   O
,   O
stabbing   O
chest   O
pains   O
that   O
worsen   O
with   O
deep   O
breaths   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
symptoms   O
began   O
approximately   O
10   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
83   I-DATE
ago   O
and   O
have   O
progressively   O
worsened   O
despite   O
over   O
-   O
the   O
-   O
counter   O
treatment   O
.   O

Rana   B-NAME
Desparrois   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
contact   O
with   O
sick   O
individuals   O
but   O
mentions   O
working   O
long   O
hours   O
in   O
a   O
crowded   O
First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
office   O
building   O
.   O

Cade   B-NAME
Reed   I-NAME
has   O
a   O
history   O
of   O
asthma   O
but   O
states   O
that   O
these   O
symptoms   O
feel   O
different   O
from   O
a   O
typical   O
asthma   O
attack   O
.   O

Upon   O
examination   O
,   O
William   B-NAME
K.   I-NAME
Joslin   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.9   O
°   O
C   O
(   O
2/28/2103   B-DATE
)   O
.   O

Diagnostic   O
Results   O
:   O
Chest   O
X   O
-   O
Ray   O
performed   O
on   O
May   B-DATE
2262   I-DATE
showed   O
signs   O
of   O
bilateral   O
lower   O
lobe   O
pneumonia   O
.   O

Assessment   O
:   O
The   O
clinical   O
presentation   O
and   O
diagnostic   O
results   O
suggest   O
that   O
Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
is   O
suffering   O
from   O
community   O
-   O
acquired   O
pneumonia   O
,   O
complicated   O
by   O
underlying   O
asthma   O
.   O

Admit   O
to   O
Brownwood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
inpatient   O
treatment   O
and   O
close   O
monitoring   O
due   O
to   O
risk   O
of   O
asthma   O
exacerbation   O
.   O

Instructions   O
for   O
Luka   B-NAME
Coffey   I-NAME
:   O
1   O
.   O

Remain   O
in   O
the   O
hospital   O
under   O
observation   O
as   O
advised   O
by   O
Marissa   B-NAME
Hickman   I-NAME
.   O

4   O
.   O
Follow   O
up   O
with   O
Howell   B-NAME
after   O
discharge   O
for   O
reevaluation   O
of   O
asthma   O
management   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Jackqueline   B-NAME
Age   O
:   O
14s   O
DOB   O
:   O
33/12   B-DATE
Medical   O
Record   O
Number   O
:   O
86866417   B-ID
ID   O
Number   O
:   O
3538013   B-ID
Address   O
:   O
Wide   B-LOCATION
Ruins   I-LOCATION
,   O
40192   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
621   I-CONTACT
)   I-CONTACT
661   I-CONTACT
6413   I-CONTACT
Occupation   O
:   O
Etchers   O
,   O
Hand   O
Primary   O
Care   O
Physician   O
:   O

Sweeney   B-NAME
Summary   O
:   O

Erin   B-NAME
f   I-NAME
Aquino   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
Georgetown   I-LOCATION
Hospital   I-LOCATION
on   O
00/16   B-DATE
presenting   O
with   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
and   O
tearing   O
sensation   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Klopstock   B-NAME
,   I-NAME
Friedrich   I-NAME
Gottlieb   I-NAME
also   O
noted   O
an   O
onset   O
of   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
and   O
palpitations   O
shortly   O
before   O
deciding   O
to   O
seek   O
medical   O
attention   O
.   O

Medical   O
History   O
:   O
Merrick   B-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
approximately   O
77   O
years   O
ago   O
.   O

Diagnostic   O
Evaluation   O
:   O
Upon   O
arrival   O
,   O
a   O
series   O
of   O
diagnostic   O
tests   O
were   O
initiated   O
by   O
Ware   B-NAME
,   O
including   O
an   O
electrocardiogram   O
(   O
EKG   O
)   O
which   O
showed   O
no   O
significant   O
ST   O
-   O
T   O
wave   O
changes   O
.   O

Based   O
on   O
the   O
clinical   O
findings   O
and   O
preliminary   O
test   O
results   O
,   O
Shyann   B-NAME
Murillo   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
aortic   O
dissection   O
.   O

Treatment   O
and   O
Management   O
:   O
Immediate   O
surgical   O
consultation   O
was   O
recommended   O
,   O
and   O
MF   B-NAME
was   O
transferred   O
to   O
the   O
cardiology   O
unit   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Aragon   B-NAME
was   O
closely   O
monitored   O
for   O
any   O
changes   O
in   O
clinical   O
status   O
while   O
awaiting   O
surgical   O
intervention   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Following   O
surgical   O
repair   O
of   O
the   O
aortic   O
dissection   O
,   O
Pretorius   B-NAME
was   O
transferred   O
to   O
the   O
cardiovascular   O
intensive   O
care   O
unit   O
for   O
post   O
-   O
operative   O
monitoring   O
.   O

Gregory   B-NAME
Wilson   I-NAME
's   O
recovery   O
has   O
been   O
steady   O
,   O
with   O
vital   O
signs   O
remaining   O
stable   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Kaleigh   B-NAME
Cervantes   I-NAME
has   O
been   O
scheduled   O
for   O
3/19   B-DATE
to   O
evaluate   O
Marley   B-NAME
Christian   I-NAME
's   O
progress   O
and   O
to   O
discuss   O
long   O
-   O
term   O
management   O
plans   O
to   O
prevent   O
future   O
cardiac   O
events   O
.   O

Discharge   O
Instructions   O
:   O
Upon   O
discharge   O
,   O
Teagan   B-NAME
Briggs   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
regular   O
physical   O
activity   O
,   O
and   O
strict   O
adherence   O
to   O
prescribed   O
medications   O
,   O
including   O
antihypertensives   O
and   O
diabetes   O
management   O
.   O

Annie   B-NAME
Ballard   I-NAME
was   O
also   O
informed   O
about   O
the   O
importance   O
of   O
regular   O
follow   O
-   O
up   O
visits   O
to   O
Marlie   B-NAME
Shah   I-NAME
for   O
ongoing   O
monitoring   O
and   O
management   O
of   O
their   O
condition   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Colby   B-NAME
Newman   I-NAME
can   O
contact   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
at   O
569   B-CONTACT
1980   I-CONTACT
.   O

This   O
medical   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Kristin   B-NAME
Larsen   I-NAME
,   O
Moody   B-NAME
,   O
and   O
authorized   O
medical   O
personnel   O
only   O
.   O

The   O
patient   O
,   O
Shayla   B-NAME
Hardy   I-NAME
,   O
a   O
Neurologists   O
from   O
Maple   B-LOCATION
Plain   I-LOCATION
,   O
reported   O
to   O
Winchester   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/38   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
peaking   O
at   O
38.5   O
°   O
C   O
,   O
and   O
shortness   O
of   O
breath   O
for   O
a   O
duration   O
of   O
approximately   O
five   O
days   O
.   O

Dr.   O
Fritz   B-NAME
was   O
assigned   O
to   O
the   O
case   O
.   O

Upon   O
examination   O
,   O
Brooks   B-NAME
exhibited   O
bilateral   O
wheezing   O
and   O
crackles   O
in   O
the   O
lower   O
lung   O
fields   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
which   O
revealed   O
leukocytosis   O
with   O
a   O
shift   O
to   O
the   O
left   O
,   O
and   O
a   O
PCR   O
test   O
for   O
COVID-19   O
as   O
per   O
the   O
protocol   O
guidelines   O
of   O
National   B-LOCATION
League   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Blind   I-LOCATION
.   O

Chest   O
radiography   O
,   O
performed   O
on   O
4/2182   B-DATE
,   O
showed   O
bilateral   O
infiltrates   O
,   O
suggestive   O
of   O
viral   O
pneumonia   O
.   O

The   O
COVID-19   O
test   O
returned   O
positive   O
on   O
0   B-DATE
-   I-DATE
28   I-DATE
.   O

Subsequent   O
management   O
involved   O
isolation   O
in   O
accordance   O
with   O
Interstate   B-LOCATION
Power   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
Company   I-LOCATION
guidelines   O
,   O
initiating   O
treatment   O
with   O
Remdesivir   O
,   O
and   O
supplemental   O
oxygen   O
to   O
maintain   O
saturation   O
above   O
94   O
%   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
it   O
was   O
noted   O
in   O
1732559   B-ID
that   O
Espinoza   B-NAME
required   O
increasing   O
levels   O
of   O
oxygen   O
,   O
eventually   O
necessitating   O
non   O
-   O
invasive   O
ventilation   O
.   O

A   O
consult   O
with   O
a   O
specialist   O
,   O
Dr.   O
Holt   B-NAME
,   O
was   O
made   O
on   O
2390   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
11   I-DATE
,   O
recommending   O
the   O
addition   O
of   O
dexamethasone   O
to   O
the   O
treatment   O
regimen   O
.   O

Throughout   O
the   O
course   O
of   O
treatment   O
,   O
Janis   B-NAME
Albaugh   I-NAME
was   O
under   O
the   O
care   O
of   O
a   O
multidisciplinary   O
team   O
including   O
infectious   O
disease   O
specialists   O
from   O
Sentara   B-LOCATION
CarePlex   I-LOCATION
Hospital   I-LOCATION
.   O

Regular   O
updates   O
were   O
provided   O
to   O
the   O
patient   O
's   O
next   O
of   O
kin   O
,   O
with   O
contact   O
initiated   O
through   O
48059   B-CONTACT
as   O
per   O
the   O
patient   O
consent   O
protocol   O
.   O

Nina   B-NAME
Escobar   I-NAME
's   O
condition   O
gradually   O
improved   O
,   O
with   O
decreased   O
oxygen   O
requirements   O
and   O
resolution   O
of   O
fever   O
over   O
the   O
following   O
week   O
.   O

Repeat   O
COVID-19   O
PCR   O
test   O
,   O
conducted   O
on   O
May   B-DATE
2193   I-DATE
,   O
was   O
reported   O
as   O
negative   O
.   O

The   O
patient   O
was   O
advised   O
on   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
for   O
2/0/00   B-DATE
before   O
discharge   O
.   O

In   O
conclusion   O
,   O
the   O
patient   O
3   B-ID
-   I-ID
2559481   I-ID
,   O
residing   O
at   O
73499   B-LOCATION
,   O
managed   O
a   O
successful   O
recovery   O
from   O
COVID-19   O
after   O
a   O
22/20   B-DATE
-   O
day   O
hospitalization   O
at   O
Munson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
further   O
required   O
assistance   O
or   O
complications   O
,   O
Elva   B-NAME
Peele   I-NAME
was   O
instructed   O
to   O
contact   O
Eden   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
directly   O
at   O
409   B-CONTACT
-   I-CONTACT
130   I-CONTACT
-   I-CONTACT
4131   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Shavon   B-NAME
Patient   O
ID   O
:   O
650   B-ID
-   I-ID
84   I-ID
-   I-ID
17   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
23/10   B-DATE
Age   O
:   O
69s   O
Address   O
:   O
El   B-LOCATION
Dorado   I-LOCATION
Hills   I-LOCATION
,   O
90723   B-LOCATION
Phone   O
Number   O
:   O
34680   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Johns   B-NAME
Referring   O
Organization   O
:   O

People   B-LOCATION
&   I-LOCATION
Planet   I-LOCATION
Hospital   O
:   O
Villages   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
13/24   B-DATE
Discharge   O
Date   O
:   O
2/78   B-DATE
Summary   O
:   O
Rayna   B-NAME
Deley   I-NAME
,   O
a   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
from   O
Mastic   B-LOCATION
Beach   I-LOCATION
,   O
presented   O
with   O
acute   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
onset   O
occurred   O
approximately   O
22/10   B-DATE
,   O
with   O
no   O
prior   O
history   O
of   O
similar   O
symptoms   O
.   O

Miranda   B-NAME
Duarte   I-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
22/25/81   B-DATE
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Kendrick   B-NAME
Lowe   I-NAME
noted   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
without   O
rebound   O
tenderness   O
.   O

Abdominal   O
ultrasonography   O
,   O
performed   O
on   O
20/08/32   B-DATE
,   O
revealed   O
an   O
inflamed   O
appendix   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
Chaim   B-NAME
Stevens   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
12/22/2392   B-DATE
.   O

The   O
procedure   O
,   O
performed   O
at   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Southeast   I-LOCATION
,   O
was   O
uncomplicated   O
.   O

J.B.   B-NAME
Worley   I-NAME
received   O
IV   O
antibiotics   O
pre   O
-   O
operatively   O
and   O
was   O
continued   O
on   O
antibiotics   O
post   O
-   O
operatively   O
.   O

Pain   O
management   O
was   O
tailored   O
to   O
Joselyn   B-NAME
Sloan   I-NAME
's   O
needs   O
,   O
utilizing   O
a   O
combination   O
of   O
IV   O
and   O
oral   O
analgesics   O
.   O

Outcome   O
:   O
Post   O
-   O
surgery   O
,   O
Milagros   B-NAME
Knox   I-NAME
's   O
recovery   O
was   O
smooth   O
,   O
with   O
no   O
significant   O
complications   O
.   O

Tiara   B-NAME
Fuentes   I-NAME
was   O
discharged   O
on   O
2059   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Le   B-NAME
in   O
Wokingham   B-LOCATION
for   O
32/37   B-DATE
.   O
Follow   O
-   O
up   O
:   O
On   O
9/2155   B-DATE
,   O
Adalynn   B-NAME
House   I-NAME
reported   O
feeling   O
much   O
better   O
,   O
with   O
no   O
episodes   O
of   O
fever   O
or   O
abdominal   O
pain   O
.   O

The   O
surgical   O
site   O
was   O
healing   O
properly   O
,   O
and   O
Jeremiah   B-NAME
Garcia   I-NAME
was   O
able   O
to   O
resume   O
most   O
Hazardous   O
Materials   O
Removal   O
Workers   O
activities   O
.   O

4   O
.   O
Attend   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
on   O
31/12   B-DATE
with   O
Daniels   B-NAME
.   O

For   O
any   O
concerns   O
or   O
emergent   O
symptoms   O
,   O
Saki   B-NAME
was   O
advised   O
to   O
contact   O
Divine   B-LOCATION
Savior   I-LOCATION
Healthcare   I-LOCATION
immediately   O
via   O
350   B-CONTACT
5745   I-CONTACT
.   O

Document   O
Prepared   O
By   O
:   O
hnv706   B-NAME
29/11/93   B-DATE

Patient   O
Report   O
for   O
Fields   B-NAME
,   I-NAME
W.   I-NAME
C.   I-NAME
Medical   O
Record   O
Number   O
:   O
4260105   B-ID
Date   O
of   O
Birth   O
:   O
76   O
Admission   O
Date   O
:   O

January   B-DATE
00   I-DATE
Discharge   O
Date   O
:   O
1642   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
09   I-DATE
Primary   O
Care   O
Physician   O
:   O

Aryana   B-NAME
Collins   I-NAME
Hospital   O
:   O
ProMedica   B-LOCATION
Monroe   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Location   O
of   O
Residence   O
:   O
Carmel   B-LOCATION
Valley   I-LOCATION
Village   I-LOCATION
,   O
48286   B-LOCATION
Contact   O
Information   O
:   O
57586   B-CONTACT
Occupation   O
:   O
Forest   O
and   O
Conservation   O
Technicians   O
The   O
presenting   O
symptoms   O
of   O
Green   B-NAME
,   I-NAME
Matthew   I-NAME
upon   O
admission   O
to   O
Methodist   B-LOCATION
Richardson   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
were   O
acute   O
lower   O
abdominal   O
pain   O
,   O
severe   O
dehydration   O
,   O
nausea   O
with   O
multiple   O
episodes   O
of   O
vomiting   O
,   O
and   O
a   O
high   O
-   O
grade   O
fever   O
of   O
39.5   O
°   O
C   O
.   O

Shea   B-NAME
reported   O
no   O
significant   O
medical   O
history   O
apart   O
from   O
a   O
diagnosis   O
of   O
hypertension   O
,   O
for   O
which   O
the   O
patient   O
has   O
been   O
taking   O
medication   O
prescribed   O
by   O
Burgess   B-NAME
.   O

The   O
patient   O
was   O
admitted   O
to   O
Medical   B-LOCATION
University   I-LOCATION
of   I-LOCATION
South   I-LOCATION
Carolina   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/20/76   B-DATE
and   O
was   O
started   O
on   O
IV   O
fluids   O
for   O
rehydration   O
and   O
IV   O
antibiotics   O
to   O
treat   O
the   O
infection   O
.   O

Surgery   O
was   O
discussed   O
with   O
Keenan   B-NAME
Adkins   I-NAME
and   O
informed   O
consent   O
was   O
obtained   O
.   O

An   O
appendectomy   O
was   O
successfully   O
performed   O
by   O
Beau   B-NAME
Cole   I-NAME
on   O
00/12/2043   B-DATE
.   O

Cavell   B-NAME
,   I-NAME
Edith   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Reich   B-NAME
,   I-NAME
Wilhelm   I-NAME
was   O
advised   O
on   O
postoperative   O
care   O
,   O
including   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
the   O
importance   O
of   O
follow   O
-   O
up   O
appointments   O
.   O

Nicolas   B-NAME
Etheridge   I-NAME
was   O
discharged   O
on   O
9/2012   B-DATE
with   O
instructions   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Chapman   B-NAME
within   O
two   O
weeks   O
for   O
postoperative   O
evaluation   O
.   O

In   O
summary   O
,   O
Dogg   B-NAME
,   I-NAME
Snoop   I-NAME
,   O
a   O
85   O
-   O
year   O
-   O
old   O
Marketing   O
manager   O
(   O
social   O
media   O
)   O
from   O
Southington   B-LOCATION
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Carter   B-NAME
,   I-NAME
Howard   I-NAME
has   O
been   O
advised   O
on   O
proper   O
postoperative   O
care   O
and   O
will   O
continue   O
to   O
be   O
monitored   O
for   O
any   O
complications   O
arising   O
from   O
the   O
condition   O
or   O
the   O
procedure   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
regarding   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Roswell   B-LOCATION
Park   I-LOCATION
Cancer   I-LOCATION
Institute   I-LOCATION
at   O
89033   B-CONTACT
.   O

End   O
of   O
Report   O
Prepared   O
by   O
:   O
ET612   B-NAME
Identifier   O
:   O
82188   B-ID
Date   O
:   O
10/25/1689   B-DATE

The   O
patient   O
,   O
Keaton   B-NAME
Reid   I-NAME
,   O
a   O
Food   O
Servers   O
,   O
Nonrestaurant   O
from   O
New   B-LOCATION
Edinburg   I-LOCATION
,   O
recently   O
presented   O
with   O
a   O
series   O
of   O
symptoms   O
that   O
prompted   O
a   O
visit   O
to   O
Butler   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
5/21   B-DATE
.   O

At   O
62   O
,   O
Riggs   B-NAME
has   O
been   O
in   O
relatively   O
good   O
health   O
until   O
the   O
onset   O
of   O
these   O
symptoms   O
.   O

The   O
initial   O
examination   O
was   O
conducted   O
by   O
Rojas   B-NAME
,   O
who   O
noted   O
the   O
primary   O
complaints   O
as   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
high   O
fever   O
that   O
has   O
been   O
consistent   O
for   O
the   O
past   O
few   O
days   O
.   O

Gandhi   B-NAME
,   I-NAME
Indira   I-NAME
's   O
medical   O
record   O
number   O
84297444   B-ID
indicated   O
no   O
previous   O
diagnosis   O
of   O
any   O
chronic   O
respiratory   O
conditions   O
,   O
making   O
the   O
sudden   O
appearance   O
of   O
these   O
symptoms   O
particularly   O
concerning   O
.   O

The   O
patient   O
lives   O
in   O
80455   B-LOCATION
,   O
an   O
area   O
not   O
known   O
for   O
high   O
pollution   O
or   O
allergens   O
that   O
could   O
contribute   O
to   O
respiratory   O
issues   O
.   O

During   O
the   O
assessment   O
,   O
Floyd   B-NAME
mentioned   O
a   O
recent   O
trip   O
to   O
Bone   B-LOCATION
Gap   I-LOCATION
,   O
about   O
two   O
weeks   O
prior   O
to   O
the   O
onset   O
of   O
symptoms   O
.   O

Considering   O
this   O
,   O
Sawyer   B-NAME
Norman   I-NAME
ordered   O
a   O
series   O
of   O
tests   O
,   O
including   O
blood   O
work   O
and   O
chest   O
x   O
-   O
rays   O
,   O
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
symptoms   O
.   O

The   O
results   O
,   O
expected   O
by   O
09/33   B-DATE
,   O
will   O
help   O
in   O
formulating   O
a   O
more   O
precise   O
diagnosis   O
.   O

In   O
the   O
meantime   O
,   O
Griffin   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
high   O
degree   O
of   O
personal   O
hygiene   O
and   O
to   O
isolate   O
as   O
much   O
as   O
possible   O
to   O
prevent   O
any   O
potential   O
spread   O
of   O
infection   O
,   O
the   O
nature   O
of   O
which   O
is   O
still   O
to   O
be   O
determined   O
.   O

Prescriptions   O
for   O
symptom   O
management   O
were   O
digitally   O
sent   O
to   O
Harper   B-NAME
's   O
pharmacy   O
of   O
choice   O
,   O
with   O
clear   O
instructions   O
provided   O
over   O
the   O
phone   O
(   O
43800   B-CONTACT
)   O
on   O
how   O
to   O
properly   O
use   O
the   O
medications   O
.   O

The   O
office   O
of   O
Maverick   B-NAME
Wheeler   I-NAME
at   O
Silverstone   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
will   O
follow   O
up   O
with   O
Parker   B-NAME
on   O
22/25/12   B-DATE
to   O
review   O
the   O
test   O
results   O
and   O
discuss   O
the   O
next   O
steps   O
in   O
treatment   O
.   O

This   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
recorded   O
under   O
appointment   O
ID   O
PX   B-ID
:   I-ID
SE:1359   I-ID
for   O
reference   O
.   O

In   O
case   O
of   O
any   O
changes   O
in   O
Jesus   B-NAME
Cohen   I-NAME
's   O
condition   O
,   O
Sofia   B-NAME
Christensen   I-NAME
or   O
a   O
representative   O
has   O
been   O
instructed   O
to   O
contact   O
the   O
office   O
immediately   O
.   O

It   O
's   O
important   O
to   O
note   O
that   O
the   O
quick   O
response   O
by   O
Misti   B-NAME
Telles   I-NAME
in   O
seeking   O
medical   O
attention   O
and   O
the   O
thorough   O
initial   O
examination   O
by   O
Powell   B-NAME
are   O
critical   O
steps   O
in   O
addressing   O
the   O
health   O
issue   O
at   O
hand   O
effectively   O
.   O

The   O
collaboration   O
between   O
Gabrielle   B-NAME
Huang   I-NAME
,   O
healthcare   O
professionals   O
,   O
and   O
Groton   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
ensures   O
that   O
a   O
comprehensive   O
approach   O
is   O
being   O
taken   O
to   O
identify   O
and   O
treat   O
the   O
cause   O
of   O
symptoms   O
.   O

Further   O
updates   O
on   O
Osvaldo   B-NAME
Lawson   I-NAME
's   O
condition   O
will   O
be   O
documented   O
in   O
the   O
medical   O
record   O
186   B-ID
-   I-ID
25   I-ID
-   I-ID
96   I-ID
-   I-ID
0   I-ID
for   O
ongoing   O
review   O
and   O
treatment   O
adjustment   O
as   O
necessary   O
.   O

The   O
patient   O
,   O
Bat   B-NAME
,   O
a   O
Military   O
Officer   O
Special   O
and   O
Tactical   O
Operations   O
Leaders   O
,   O
All   O
Other   O
from   O
Kingston   B-LOCATION
Mines   I-LOCATION
,   O
presented   O
to   O
Carilion   B-LOCATION
Clinic   I-LOCATION
St.   I-LOCATION
Albans   I-LOCATION
Hospital   I-LOCATION
on   O
29/14   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
symptomatology   O
began   O
approximately   O
06/18   B-DATE
,   O
with   O
the   O
intensity   O
of   O
the   O
pain   O
gradually   O
increasing   O
over   O
this   O
period   O
.   O

Ellen   B-NAME
Klein   I-NAME
reports   O
associated   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
leading   O
to   O
a   O
weight   O
loss   O
of   O
approximately   O
65   O
pounds   O
over   O
the   O
last   O
month   O
.   O

Upon   O
examination   O
,   O
Makenzie   B-NAME
Haas   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
affected   O
area   O
,   O
suggesting   O
potential   O
peritonitis   O
.   O

The   O
past   O
medical   O
history   O
provided   O
by   O
Antione   B-NAME
Thibodeau   I-NAME
includes   O
a   O
diagnosis   O
of   O
irritable   O
bowel   O
syndrome   O
and   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
.   O

Laney   B-NAME
Mccormick   I-NAME
's   O
vital   O
signs   O
on   O
admission   O
were   O
noted   O
as   O
follows   O
:   O
temperature   O
of   O
80s   O
degrees   O
Fahrenheit   O
,   O
heart   O
rate   O
of   O
54   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
100   O
breaths   O
per   O
minute   O
,   O
and   O
a   O
blood   O
pressure   O
reading   O
of   O
39   O
/   O
45   O
mmHg   O
.   O

Laboratory   O
testing   O
,   O
ordered   O
by   O
Greg   B-NAME
Madden   I-NAME
,   O
revealed   O
elevated   O
white   O
blood   O
cell   O
count   O
at   O
23   O
,   O
indicating   O
a   O
possible   O
infection   O
or   O
inflammation   O
.   O

An   O
abdominal   O
ultrasound   O
,   O
performed   O
on   O
July   B-DATE
2   I-DATE
,   O
suggested   O
appendicitis   O
with   O
no   O
evident   O
perforation   O
.   O

Lamar   B-NAME
Morrison   I-NAME
's   O
365   B-ID
-   I-ID
79   I-ID
-   I-ID
53   I-ID
-   I-ID
2   I-ID
number   O
is   O
AD   B-ID
:   I-ID
WY:4412   I-ID
and   O
contact   O
can   O
be   O
made   O
through   O
phone   O
number   O
933   B-CONTACT
-   I-CONTACT
5676   I-CONTACT
.   O

A   O
surgical   O
consult   O
was   O
placed   O
,   O
and   O
Sapphon   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
29/21   B-DATE
.   O

The   O
surgery   O
,   O
conducted   O
at   O
Hartford   B-LOCATION
Hospital   I-LOCATION
,   O
was   O
successful   O
without   O
any   O
complications   O
.   O

Postoperative   O
care   O
instructions   O
included   O
wound   O
care   O
,   O
pain   O
management   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
07   B-DATE
-   I-DATE
Jul-2236   I-DATE
to   O
monitor   O
recovery   O
progress   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
the   O
hospital   O
at   O
67808   B-CONTACT
for   O
any   O
concerns   O
or   O
worsening   O
symptoms   O
post   O
-   O
discharge   O
.   O

For   O
further   O
details   O
or   O
updates   O
on   O
patient   O
status   O
,   O
referring   O
doctors   O
or   O
medical   O
professionals   O
can   O
contact   O
Prairie   B-LOCATION
View   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Newton   I-LOCATION
's   O
surgical   O
department   O
through   O
the   O
number   O
483   B-CONTACT
-   I-CONTACT
4506   I-CONTACT
or   O
reference   O
the   O
patient   O
's   O
medical   O
record   O
number   O
732   B-ID
-   I-ID
63   I-ID
-   I-ID
93   I-ID
-   I-ID
8   I-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Newton   B-NAME
Patient   O
ID   O
:   O
TU:95823:783729   B-ID
Medical   O
Record   O
Number   O
:   O
178   B-ID
-   I-ID
43   I-ID
-   I-ID
67   I-ID
Date   O
of   O
Birth   O
:   O
12/25/59   B-DATE
Age   O
:   O
22   O
Phone   O
Number   O
:   O
508   B-CONTACT
1588   I-CONTACT
Address   O
:   O
North   B-LOCATION
Charleston   I-LOCATION
,   O
80832   B-LOCATION
Occupation   O
:   O
Web   O
Administrators   O
Date   O
of   O
Initial   O
Consultation   O
:   O
12/16/42   B-DATE
Referring   O
Doctor   O
:   O
Dr.   O
Chaim   B-NAME
Mcgrath   I-NAME
Hospital   O
:   O
IU   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Giovanna   B-NAME
presented   O
at   O
Inova   B-LOCATION
Fairfax   I-LOCATION
Hospital   I-LOCATION
reporting   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
localized   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

These   O
episodes   O
have   O
been   O
occurring   O
for   O
the   O
past   O
1   B-DATE
-   I-DATE
25   I-DATE
and   O
have   O
significantly   O
increased   O
in   O
frequency   O
and   O
intensity   O
over   O
the   O
last   O
Monday   B-DATE
.   O

Molly   B-NAME
Simon   I-NAME
also   O
reported   O
experiencing   O
auras   O
,   O
comprising   O
visual   O
disturbances   O
and   O
tingling   O
sensations   O
in   O
the   O
fingertips   O
preceding   O
the   O
headaches   O
.   O

Medical   O
History   O
:   O
Violet   B-NAME
Marks   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
in   O
0/21   B-DATE
,   O
and   O
is   O
currently   O
under   O
management   O
for   O
high   O
blood   O
pressure   O
.   O

Previous   O
medical   O
records   O
provided   O
by   O
Granite   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
indicated   O
that   O
Jack   B-NAME
Hoffman   I-NAME
underwent   O
an   O
appendectomy   O
in   O
Sep/25   B-DATE
.   O

Examination   O
Findings   O
:   O
A   O
neurological   O
examination   O
conducted   O
by   O
Dr.   O
Carolyn   B-NAME
Arellano   I-NAME
on   O
29/22/2162   B-DATE
revealed   O
no   O
gross   O
motor   O
or   O
sensory   O
deficits   O
.   O

Diagnostic   O
Testing   O
:   O
MRI   O
of   O
the   O
brain   O
,   O
ordered   O
on   O
Thursday   B-DATE
,   O
showed   O
no   O
evidence   O
of   O
abnormalities   O
or   O
intracranial   O
lesions   O
.   O

The   O
treatment   O
plan   O
,   O
initiated   O
on   O
2140   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
15   I-DATE
,   O
includes   O
the   O
prescription   O
of   O
a   O
triptan   O
for   O
acute   O
migraine   O
episodes   O
and   O
a   O
beta   O
-   O
blocker   O
as   O
a   O
preventive   O
measure   O
.   O

Rene   B-NAME
Vasquez   I-NAME
was   O
also   O
advised   O
to   O
keep   O
a   O
headache   O
diary   O
to   O
identify   O
possible   O
migraine   O
triggers   O
.   O

Follow   O
-   O
up   O
appointments   O
are   O
scheduled   O
for   O
22/25   B-DATE
to   O
monitor   O
progress   O
and   O
treatment   O
effectiveness   O
.   O

Instructions   O
for   O
Justus   B-NAME
:   O
1   O
.   O

4   O
.   O
Contact   O
Frisbie   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
905   B-CONTACT
-   I-CONTACT
411   I-CONTACT
-   I-CONTACT
1138   I-CONTACT
for   O
any   O
questions   O
or   O
to   O
report   O
adverse   O
effects   O
of   O
medication   O
.   O

5   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
for   O
22/02   B-DATE
.   O
Note   O
:   O
All   O
personal   O
information   O
in   O
this   O
document   O
has   O
been   O
anonymized   O
to   O
protect   O
the   O
identity   O
of   O
Jadyn   B-NAME
Munoz   I-NAME
in   O
compliance   O
with   O
privacy   O
regulations   O
.   O

Patient   O
Name   O
:   O
Elmira   B-NAME
Nack   I-NAME
Patient   O
ID   O
:   O
QK:37123:452941   B-ID
Medical   O
Record   O
Number   O
:   O
55021940   B-ID
Date   O
of   O
Birth   O
:   O
7   O
Date   O
of   O
Admission   O
:   O
22/39   B-DATE
Attending   O
Physician   O
:   O

Zaire   B-NAME
Barajas   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Patient   O
Address   O
:   O
Numidia   B-LOCATION
,   O
41094   B-LOCATION
Phone   O
Number   O
:   O
796   B-CONTACT
-   I-CONTACT
9744   I-CONTACT
Employer   O
:   O
Oligarcy   B-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
Occupation   O
:   O
Endoscopy   O
Technicians   O
Username   O
:   O
zik928   B-NAME
Chief   O
Complaint   O
:   O
Escher   B-NAME
,   I-NAME
M.   I-NAME
C.   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Washington   B-LOCATION
Hospital   I-LOCATION
on   O
03/09   B-DATE
with   O
a   O
complaint   O
of   O
intense   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
nausea   O
.   O

Luke   B-NAME
Levy   I-NAME
reports   O
the   O
headache   O
onset   O
was   O
sudden   O
,   O
approximately   O
two   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Gladys   B-NAME
Kupiec   I-NAME
states   O
that   O
the   O
headaches   O
have   O
been   O
occurring   O
intermittently   O
over   O
the   O
past   O
month   O
but   O
have   O
significantly   O
increased   O
in   O
frequency   O
and   O
intensity   O
in   O
the   O
last   O
week   O
.   O

Additionally   O
,   O
Aaron   B-NAME
Myers   I-NAME
notes   O
an   O
episode   O
of   O
vomiting   O
occurred   O
shortly   O
before   O
deciding   O
to   O
seek   O
medical   O
attention   O
.   O

Byron   B-NAME
Pham   I-NAME
denies   O
fever   O
,   O
stiff   O
neck   O
,   O
or   O
changes   O
in   O
vision   O
other   O
than   O
sensitivity   O
to   O
light   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Titus   B-NAME
Bourdages   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Gentry   B-NAME
was   O
administered   O
Intravenous   O
metoclopramide   O
10   O
mg   O
for   O
nausea   O
and   O
Sumatriptan   O
6   O
mg   O
subcutaneously   O
for   O
acute   O
migraine   O
relief   O
in   O
the   O
emergency   O
department   O
of   O
Indian   B-LOCATION
Path   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

After   O
the   O
treatment   O
,   O
Frank   B-NAME
Oconnell   I-NAME
reported   O
a   O
decrease   O
in   O
headache   O
intensity   O
to   O
a   O
3   O
out   O
of   O
10   O
.   O

Given   O
the   O
improvement   O
,   O
Baron   B-NAME
Mejia   I-NAME
was   O
discharged   O
with   O
instructions   O
to   O
follow   O
up   O
with   O
Santiago   B-NAME
in   O
two   O
weeks   O
or   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
reoccurred   O
or   O
worsened   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Deleon   B-NAME
on   O
27/25/2293   B-DATE
at   O
UPMC   B-LOCATION
Hamot   I-LOCATION
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
for   O
migraine   O
prevention   O
.   O

Patient   O
Name   O
:   O
Brianna   B-NAME
Ferrell   I-NAME
Patient   O
ID   O
:   O
KA534/7578   B-ID
Medical   O
Record   O
Number   O
:   O
28578813   B-ID
Date   O
of   O
Birth   O
:   O
January   B-DATE
2032   I-DATE
Age   O
:   O
82s   O
Address   O
:   O
San   B-LOCATION
Antonio   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
78218   I-LOCATION
,   O
99988   B-LOCATION
Phone   O
Number   O
:   O
438   B-CONTACT
-   I-CONTACT
650   I-CONTACT
-   I-CONTACT
5071   I-CONTACT
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
of   O
Logging   O
Workers   O
Physician   O
:   O
Elizabeth   B-NAME
Black   I-NAME
Admitting   O
Hospital   O
:   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
Date   O
of   O
Admission   O
:   O
01/02/34   B-DATE
Username   O
:   O
tjp845   B-NAME
Chief   O
Complaint   O
:   O
Luis   B-NAME
Salas   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Westchester   B-LOCATION
Square   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
07/33   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
indicative   O
of   O
a   O
potential   O
aortic   O
dissection   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Cameron   B-NAME
,   O
a   O
70   O
-   O
year   O
-   O
old   O
Petroleum   O
engineer   O
,   O
began   O
experiencing   O
unexpected   O
chest   O
pain   O
early   O
in   O
the   O
morning   O
on   O
2361   B-DATE
.   O

Eddington   B-NAME
,   I-NAME
Arthur   I-NAME
Stanley   I-NAME
denies   O
any   O
recent   O
trauma   O
or   O
exertion   O
.   O

Reese   B-NAME
Reyes   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
but   O
reports   O
irregular   O
use   O
of   O
medication   O
.   O

Both   O
parents   O
are   O
alive   O
and   O
well   O
;   O
however   O
,   O
Jacob   B-NAME
Bautista   I-NAME
's   O
father   O
was   O
diagnosed   O
with   O
coronary   O
artery   O
disease   O
at   O
66   O
.   O

Ximenez   B-NAME
is   O
a   O
Office   O
and   O
Administrative   O
Support   O
Workers   O
,   O
All   O
Other   O
at   O
Maharashtra   B-LOCATION
Sugarcane   I-LOCATION
Cutting   I-LOCATION
and   I-LOCATION
Transport   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
in   O
Tiger   B-LOCATION
Point   I-LOCATION
.   O

Durham   B-NAME
is   O
a   O
former   O
smoker   O
but   O
quit   O
29/17/35   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Castaneda   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
180/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oral   O
temperature   O
98.6   O
°   O
F   O
.   O

Ady   B-NAME
was   O
promptly   O
started   O
on   O
intravenous   O
beta   O
-   O
blockers   O
to   O
lower   O
heart   O
rate   O
and   O
blood   O
pressure   O
in   O
an   O
effort   O
to   O
decrease   O
aortic   O
wall   O
stress   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
urgently   O
,   O
and   O
Kylee   B-NAME
Cochran   I-NAME
is   O
scheduled   O
for   O
emergency   O
surgery   O
to   O
repair   O
the   O
aortic   O
dissection   O
.   O

Follow   O
-   O
Up   O
:   O
Blair   B-NAME
,   I-NAME
Tony   I-NAME
will   O
require   O
close   O
monitoring   O
in   O
the   O
ICU   O
post   O
-   O
operatively   O
.   O

Signed   O
,   O
Cooper   B-NAME
Valenzuela   I-NAME
1779   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
12   I-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Blaine   B-NAME
Frey   I-NAME
Age   O
:   O
39   O
SSN   O
:   O
PO132/9365   B-ID
Medical   O
Record   O
Number   O
:   O
911   B-ID
-   I-ID
97   I-ID
-   I-ID
12   I-ID
-   I-ID
6   I-ID
Address   O
:   O
Aulander   B-LOCATION
,   O
33776   B-LOCATION
Phone   O
Number   O
:   O
94959   B-CONTACT
Occupation   O
:   O

Owen   B-NAME
Monroe   I-NAME
Admission   O
Date   O
:   O
30/22   B-DATE
Location   O
of   O
Visit   O
:   O
Shriners   B-LOCATION
Hospitals   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
-   I-LOCATION
Philadelphia   I-LOCATION
Medical   O
History   O
:   O

Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
F.   I-NAME
was   O
admitted   O
to   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Chestertown   I-LOCATION
on   O
03/22   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
had   O
onset   O
approximately   O
6   O
hours   O
prior   O
.   O

Kylee   B-NAME
Compton   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
earlier   O
on   O
the   O
day   O
of   O
admission   O
.   O

Upon   O
examination   O
,   O
Gina   B-NAME
Kevin   I-NAME
Irons   I-NAME
exhibited   O
signs   O
of   O
dehydration   O
and   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Treatment   O
:   O
The   O
surgical   O
team   O
,   O
led   O
by   O
Damian   B-NAME
Barnes   I-NAME
,   O
performed   O
an   O
appendectomy   O
on   O
September   B-DATE
23   I-DATE
.   O

LF   B-NAME
was   O
started   O
on   O
IV   O
fluids   O
and   O
antibiotics   O
pre   O
-   O
operatively   O
and   O
continued   O
post   O
-   O
operatively   O
to   O
manage   O
infection   O
and   O
dehydration   O
.   O

Progress   O
:   O
Reed   B-NAME
Richards   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
has   O
been   O
progressing   O
well   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
abdominal   O
pain   O
and   O
normalization   O
of   O
temperature   O
.   O

Blanca   B-NAME
Oh   I-NAME
was   O
able   O
to   O
resume   O
a   O
liquid   O
diet   O
on   O
the   O
first   O
post   O
-   O
operative   O
day   O
,   O
gradually   O
advancing   O
to   O
solid   O
food   O
without   O
incident   O
.   O

Rice   B-NAME
,   I-NAME
Condoleezza   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Johanna   B-NAME
Wallace   I-NAME
in   O
the   O
outpatient   O
department   O
on   O
February   B-DATE
7   I-DATE
,   I-DATE
2112   I-DATE
to   O
monitor   O
post   O
-   O
operative   O
recovery   O
and   O
manage   O
diabetes   O
and   O
hypertension   O
.   O

Discharge   O
Summary   O
:   O
Patient   O
Name   O
:   O
Fuller   B-NAME
,   I-NAME
Buckminster   I-NAME
Medical   O
Record   O
Number   O
:   O
25785980   B-ID
Admission   O
Date   O
:   O
1/27   B-DATE
Discharge   O
Date   O
:   O
22/11/2172   B-DATE
Diagnosis   O
:   O
Acute   O
appendicitis   O
Procedure   O
:   O
Appendectomy   O
Disposition   O
:   O

Ayala   B-NAME
has   O
been   O
discharged   O
home   O
in   O
stable   O
condition   O
with   O
instructions   O
for   O
follow   O
-   O
up   O
and   O
wound   O
care   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
about   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
76612   B-CONTACT
.   O

Prepared   O
by   O
:   O
Hendrix   B-NAME
22/12   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Prince   B-NAME
Patient   O
Age   O
:   O
97   O
Date   O
of   O
Birth   O
:   O
2013   B-DATE
Medical   O
Record   O
Number   O
:   O
16598618   B-ID
Patient   O
Address   O
:   O
Stinson   B-LOCATION
Beach   I-LOCATION
,   O
43396   B-LOCATION
Contact   O
Number   O
:   O
324   B-CONTACT
-   I-CONTACT
6004   I-CONTACT
Physician   O
:   O
Coltrane   B-NAME
,   I-NAME
John   I-NAME
Date   O
of   O
Examination   O
:   O
2231   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
22   I-DATE
Location   O
of   O
Examination   O
:   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Portage   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Kitchen   B-NAME
,   O
a   O
Graduate   O
Teaching   O
Assistants   O
by   O
profession   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
San   I-LOCATION
Jose   I-LOCATION
on   O
23/23/54   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
multiple   O
episodes   O
of   O
vomiting   O
.   O

Alivia   B-NAME
Potts   I-NAME
denied   O
any   O
recent   O
trauma   O
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
travel   O
outside   O
Paterson   B-LOCATION
.   O

Layne   B-NAME
Day   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Upon   O
examination   O
,   O
Theodore   B-NAME
Contreras   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
.   O

Assessment   O
:   O
Braylen   B-NAME
Moreno   I-NAME
was   O
diagnosed   O
with   O
acute   O
pancreatitis   O
,   O
likely   O
secondary   O
to   O
hypertriglyceridemia   O
given   O
the   O
absence   O
of   O
gallstones   O
and   O
alcohol   O
use   O
history   O
.   O

Franklin   B-NAME
Feliciano   I-NAME
's   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
may   O
also   O
be   O
a   O
contributing   O
factor   O
.   O

Plan   O
:   O
-   O
Dominic   B-NAME
Issa   I-NAME
was   O
admitted   O
to   O
DeTar   B-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
under   O
the   O
care   O
of   O
Emery   B-NAME
Combs   I-NAME
for   O
aggressive   O
hydration   O
,   O
pain   O
management   O
,   O
and   O
close   O
monitoring   O
of   O
vital   O
signs   O
and   O
laboratory   O
values   O
.   O
-   O

-   O
Insulin   O
therapy   O
was   O
started   O
to   O
optimize   O
blood   O
glucose   O
levels   O
.   O
-   O
A   O
follow   O
-   O
up   O
abdominal   O
ultrasound   O
is   O
scheduled   O
for   O
September   B-DATE
26   I-DATE
,   I-DATE
2123   I-DATE
to   O
assess   O
the   O
progress   O
of   O
the   O
pancreatitis   O
.   O

-   O
Dietary   O
and   O
lifestyle   O
modifications   O
were   O
recommended   O
upon   O
discharge   O
to   O
manage   O
Nunzio   B-NAME
Kyle   I-NAME
Aragon   I-NAME
's   O
diabetes   O
and   O
reduce   O
the   O
risk   O
of   O
recurrent   O
pancreatitis   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
1/20/57   B-DATE
to   O
evaluate   O
Hamza   B-NAME
Clements   I-NAME
's   O
recovery   O
progress   O
and   O
to   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Bird   B-NAME
Patient   O
's   O
Contact   O
Number   O
:   O
74218   B-CONTACT
Date   O
:   O
2100   B-DATE
Medical   O
Record   O
Number   O
:   O
895   B-ID
03   I-ID
92   I-ID

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Lawson   B-NAME
Patient   O
ID   O
:   O
HS   B-ID
:   I-ID
BH:6372   I-ID
Medical   O
Record   O
Number   O
:   O
6876344   B-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
Age   O
:   O
88   O
Address   O
:   O
East   B-LOCATION
Hampton   I-LOCATION
North   I-LOCATION
,   O
96881   B-LOCATION
Phone   O
Number   O
:   O
51727   B-CONTACT
Primary   O
Doctor   O
:   O
Jean   B-NAME
Webb   I-NAME
Hospital   O
:   O

Hansen   B-LOCATION
Family   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
3/18/2322   B-DATE
Chief   O
Complaint   O
:   O
Zion   B-NAME
Massey   I-NAME
,   O
a   O
Armored   O
Assault   O
Vehicle   O
Officers   O
by   O
profession   O
,   O
presented   O
to   O
Self   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
on   O
2316   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
26   I-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Nelson   B-NAME
Sims   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Past   O
Medical   O
History   O
:   O
Onie   B-NAME
Snider   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
for   O
the   O
past   O
38   O
years   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Spencer   B-NAME
Hester   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
21   B-DATE
for   O
reassessment   O
and   O
adjustment   O
of   O
treatment   O
plan   O
as   O
necessary   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Not   O
provided   O
Relationship   O
:   O
Not   O
provided   O
Phone   O
Number   O
:   O
62497   B-CONTACT

All   O
efforts   O
will   O
be   O
made   O
to   O
ensure   O
confidentiality   O
of   O
Bruce   B-NAME
D   I-NAME
Brian   I-NAME
's   O
health   O
information   O
as   O
per   O
HIPAA   O
guidelines   O
.   O

On   O
02/11/2175   B-DATE
,   O
Amadahy   B-NAME
was   O
admitted   O
to   O
Long   B-LOCATION
Beach   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
after   O
reporting   O
acute   O
lower   O
abdominal   O
pain   O
,   O
characterized   O
by   O
its   O
sudden   O
onset   O
and   O
sharp   O
quality   O
.   O

Barr   B-NAME
described   O
the   O
pain   O
as   O
8/10   O
on   O
the   O
pain   O
scale   O
,   O
with   O
episodes   O
of   O
nausea   O
but   O
no   O
vomiting   O
.   O

Jay   B-NAME
,   I-NAME
Glenn   I-NAME
,   I-NAME
Miner   I-NAME
,   O
a   O
Recreational   O
Vehicle   O
Service   O
Technicians   O
from   O
Kinney   B-LOCATION
,   O
had   O
no   O
significant   O
past   O
medical   O
history   O
,   O
with   O
the   O
exception   O
of   O
a   O
laparoscopic   O
cholecystectomy   O
performed   O
two   O
years   O
prior   O
.   O

Pedro   B-NAME
Mcgee   I-NAME
's   O
family   O
history   O
was   O
unremarkable   O
for   O
any   O
gastrointestinal   O
conditions   O
.   O

On   O
examination   O
,   O
Arthur   B-NAME
Light   I-NAME
exhibited   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
along   O
with   O
a   O
positive   O
Rovsing   O
's   O
sign   O
.   O

Courtney   B-NAME
Myers   I-NAME
ordered   O
a   O
complete   O
blood   O
count   O
,   O
which   O
revealed   O
a   O
slight   O
leukocytosis   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
was   O
scheduled   O
to   O
further   O
investigate   O
the   O
source   O
of   O
the   O
pain   O
.   O

The   O
ultrasound   O
,   O
performed   O
on   O
11/22   B-DATE
,   O
showed   O
no   O
signs   O
of   O
appendiceal   O
enlargement   O
but   O
did   O
reveal   O
a   O
small   O
amount   O
of   O
free   O
fluid   O
in   O
the   O
pelvis   O
.   O

Given   O
these   O
findings   O
,   O
Navarro   B-NAME
consulted   O
with   O
SolutionsBank   B-LOCATION
for   O
a   O
diagnostic   O
laparoscopy   O
to   O
explore   O
the   O
possibility   O
of   O
a   O
ruptured   O
ovarian   O
cyst   O
as   O
the   O
underlying   O
cause   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
Easter   B-DATE
2361   I-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
a   O
hemorrhagic   O
ovarian   O
cyst   O
.   O

Eldridge   B-NAME
tolerated   O
the   O
procedure   O
well   O
,   O
with   O
no   O
immediate   O
complications   O
.   O

Cain   B-NAME
's   O
post   O
-   O
operative   O
management   O
included   O
prescribing   O
analgesia   O
for   O
pain   O
control   O
and   O
advising   O
on   O
the   O
importance   O
of   O
post   O
-   O
surgical   O
follow   O
-   O
up   O
.   O

Miriam   B-NAME
Santos   I-NAME
was   O
discharged   O
on   O
September   B-DATE
23   I-DATE
,   I-DATE
2228   I-DATE
with   O
instructions   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
increase   O
in   O
pain   O
.   O

Moody   B-NAME
was   O
also   O
given   O
an   O
appointment   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Washington   B-LOCATION
Hospital   I-LOCATION
in   O
two   O
weeks   O
,   O
and   O
(   B-CONTACT
748   I-CONTACT
)   I-CONTACT
255   I-CONTACT
6326   I-CONTACT
number   O
to   O
call   O
in   O
case   O
of   O
emergencies   O
or   O
concerns   O
.   O

The   O
EA248/3813   B-ID
for   O
Malik   B-NAME
Mottershead   I-NAME
was   O
recorded   O
,   O
and   O
all   O
medical   O
records   O
,   O
including   O
8142076   B-ID
,   O
were   O
updated   O
to   O
reflect   O
the   O
treatment   O
and   O
outcomes   O
of   O
this   O
episode   O
of   O
care   O
.   O

Ubaldo   B-NAME
R.   I-NAME
Daugherty   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
left   O
with   O
a   O
satisfactory   O
understanding   O
of   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

In   O
conclusion   O
,   O
the   O
quick   O
response   O
and   O
interdepartmental   O
collaboration   O
at   O
CHRISTUS   B-LOCATION
St.   I-LOCATION
Michael   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
were   O
instrumental   O
in   O
diagnosing   O
and   O
managing   O
a   O
potentially   O
complicated   O
case   O
effectively   O
.   O

Patient   O
Report   O
for   O
Londyn   B-NAME
Montoya   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
13   O
-   O
Date   O
of   O
Visit   O
:   O
10/09   B-DATE
-   O
Primary   O
Care   O
Physician   O
:   O

Golden   B-NAME
-   O
Hospital   O
:   O
Randolph   B-LOCATION
Health   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
53833037   B-ID
-   O
ID   O
:   O
CR:40323:426680   B-ID
-   O
Location   O
:   O
Salinas   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
93906   I-LOCATION
-   O
Zip   O
Code   O
:   O
29220   B-LOCATION
-   O
Organization   O
:   O
Carroll   B-LOCATION
EMC   I-LOCATION
-   O
Contact   O
Number   O
:   O
831   B-CONTACT
-   I-CONTACT
621   I-CONTACT
-   I-CONTACT
5020   I-CONTACT
-   O
Username   O
:   O
st593   B-NAME
-   O
Occupation   O
:   O

The   O
patient   O
presented   O
to   O
South   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
09   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
,   O
throbbing   O
headaches   O
predominantly   O
on   O
one   O
side   O
of   O
the   O
head   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Scarlet   B-NAME
Bryant   I-NAME
has   O
experienced   O
similar   O
episodes   O
for   O
the   O
past   O
41   O
months   O
,   O
with   O
increasing   O
frequency   O
and   O
intensity   O
.   O

Manson   B-NAME
,   I-NAME
Marilyn   I-NAME
also   O
mentioned   O
an   O
aura   O
of   O
flashing   O
lights   O
and   O
blind   O
spots   O
preceding   O
the   O
headache   O
.   O

Frances   B-NAME
Jester   I-NAME
was   O
previously   O
diagnosed   O
with   O
hypertension   O
and   O
is   O
currently   O
on   O
medication   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
by   O
Morales   B-NAME
on   O
November   B-DATE
01   I-DATE
,   O
Osuna   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
elevated   O
blood   O
pressure   O
.   O

Diagnostic   O
Tests   O
:   O
3121113   B-ID
indicates   O
that   O
Strong   B-NAME
underwent   O
MRI   O
and   O
CT   O
scans   O
of   O
the   O
brain   O
,   O
which   O
did   O
not   O
show   O
any   O
abnormalities   O
.   O

Assessment   O
:   O
The   O
clinical   O
presentation   O
and   O
absence   O
of   O
abnormal   O
findings   O
in   O
diagnostic   O
tests   O
suggest   O
that   O
Gomez   B-NAME
is   O
experiencing   O
migraines   O
with   O
aura   O
.   O

3   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
0/10   B-DATE
with   O
Hull   B-NAME
,   I-NAME
Cordell   I-NAME
at   O
Pershing   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
.   O
4   O
.   O

Ulbrich   B-NAME
,   I-NAME
George   I-NAME
-   I-NAME
Brian   I-NAME
N.   I-NAME
was   O
also   O
advised   O
to   O
keep   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
the   O
migraines   O
.   O

If   O
you   O
have   O
any   O
questions   O
or   O
if   O
your   O
symptoms   O
worsen   O
,   O
please   O
contact   O
WellSpan   B-LOCATION
Gettysburg   I-LOCATION
Hospital   I-LOCATION
at   O
876   B-CONTACT
993   I-CONTACT
1286   I-CONTACT
.   O

This   O
concludes   O
the   O
patient   O
report   O
for   O
vz974   B-NAME
.   O

Please   O
ensure   O
that   O
this   O
document   O
is   O
kept   O
in   O
a   O
secure   O
location   O
to   O
protect   O
the   O
privacy   O
and   O
security   O
of   O
Frank   B-NAME
,   I-NAME
Anne   I-NAME
's   O
health   O
information   O
.   O

Patient   O
Name   O
:   O
Jamari   B-NAME
Glover   I-NAME
Patient   O
ID   O
:   O
8665444   B-ID
Medical   O
Record   O
Number   O
:   O
80261549   B-ID
Age   O
:   O
61s   O
Date   O
of   O
Birth   O
:   O
07/20   B-DATE
Phone   O
Number   O
:   O
741   B-CONTACT
1388   I-CONTACT
Address   O
:   O
Mountainaire   B-LOCATION
,   O
55584   B-LOCATION
Physician   O
:   O

Kyan   B-NAME
Stark   I-NAME
Admitting   O
Hospital   O
:   O
AdventHealth   B-LOCATION
Gordon   I-LOCATION
Employment   O
:   O
Forest   O
Firefighters   O
at   O
Trupanion   B-LOCATION
Date   O
of   O
Visit   O
:   O
0/20   B-DATE
Chief   O
Complaint   O
:   O

Forbes   B-NAME
presented   O
to   O
The   B-LOCATION
Queen   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
West   I-LOCATION
Oahu   I-LOCATION
on   O
23/22   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
that   O
had   O
progressively   O
worsened   O
over   O
the   O
course   O
of   O
1/26/2122   B-DATE
.   O

Poe   B-NAME
,   I-NAME
Edgar   I-NAME
Allan   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
23   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Davis   B-NAME
Cherry   I-NAME
described   O
the   O
onset   O
of   O
symptoms   O
starting   O
approximately   O
18/08/19   B-DATE
,   O
initially   O
dismissing   O
them   O
as   O
minor   O
discomfort   O
after   O
eating   O
.   O

Past   O
Medical   O
History   O
:   O
Dolan   B-NAME
reported   O
no   O
significant   O
past   O
medical   O
history   O
,   O
apart   O
from   O
a   O
documented   O
allergy   O
to   O
penicillin   O
.   O

Baltus   B-NAME
Biever   I-NAME
mentioned   O
being   O
generally   O
healthy   O
,   O
with   O
regular   O
check   O
-   O
ups   O
at   O
International   B-LOCATION
Centre   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Democratic   I-LOCATION
Development   I-LOCATION
.   O

Skylar   B-NAME
Sharp   I-NAME
is   O
employed   O
as   O
a   O
Illustrator   O
at   O
IntelliQuote   B-LOCATION
Insurance   I-LOCATION
Services   I-LOCATION
and   O
denied   O
any   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Fixari   B-NAME
lives   O
with   O
Brandon   B-NAME
Vanburen   I-NAME
's   O
family   O
in   O
Sanders   B-LOCATION
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Paulette   B-NAME
Yancy   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
a   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
were   O
ordered   O
by   O
Gideon   B-NAME
Spence   I-NAME
and   O
revealed   O
leukocytosis   O
with   O
a   O
left   O
shift   O
,   O
and   O
elevated   O
CRP   O
levels   O
,   O
consistent   O
with   O
an   O
inflammatory   O
process   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
German   B-NAME
Stephens   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
potential   O
appendectomy   O
.   O

Dennis   B-NAME
Blake   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
possible   O
surgery   O
.   O

Bruno   B-NAME
Wall   I-NAME
consented   O
to   O
the   O
surgical   O
intervention   O
and   O
was   O
prepared   O
for   O
the   O
operation   O
scheduled   O
on   O
28/20   B-DATE
.   O
Follow   O
-   O
Up   O
:   O
Peggy   B-NAME
Ellis   I-NAME
will   O
require   O
close   O
monitoring   O
post   O
-   O
operation   O
and   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Plantation   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
with   O
Arnold   B-NAME
on   O
11/13/1919   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Puget   B-NAME
,   I-NAME
Jade   I-NAME
can   O
reach   O
Broadlawns   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
609   B-CONTACT
-   I-CONTACT
5460   I-CONTACT
.   O

The   O
patient   O
,   O
Jamarcus   B-NAME
Berry   I-NAME
,   O
a   O
Plant   O
Scientists   O
from   O
750   B-LOCATION
Pennington   I-LOCATION
St.   I-LOCATION
,   O
presented   O
to   O
Great   B-LOCATION
Plains   I-LOCATION
Health   I-LOCATION
on   O
24/29   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
one   O
side   O
of   O
the   O
head   O
.   O

Rhianna   B-NAME
Spencer   I-NAME
mentioned   O
that   O
the   O
symptoms   O
had   O
been   O
escalating   O
over   O
a   O
period   O
of   O
2   O
hours   O
before   O
deciding   O
to   O
seek   O
medical   O
attention   O
.   O

Roux   B-NAME
,   I-NAME
Joseph   I-NAME
's   O
medical   O
history   O
was   O
significant   O
for   O
similar   O
episodes   O
in   O
the   O
past   O
,   O
which   O
were   O
managed   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
and   O
rest   O
.   O

However   O
,   O
Mollie   B-NAME
Schneider   I-NAME
reported   O
that   O
the   O
current   O
episode   O
was   O
of   O
a   O
higher   O
intensity   O
than   O
previous   O
occurrences   O
and   O
did   O
not   O
subside   O
with   O
the   O
usual   O
management   O
strategies   O
.   O

Broderick   B-NAME
Narcisse   I-NAME
is   O
43   O
years   O
old   O
and   O
has   O
no   O
known   O
allergies   O
to   O
medications   O
.   O

Upon   O
examination   O
by   O
Conley   B-NAME
,   O
Bernie   B-NAME
Dew   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
,   O
rating   O
the   O
headache   O
as   O
8   O
on   O
a   O
pain   O
scale   O
of   O
1   O
to   O
10   O
.   O

The   O
medical   O
record   O
number   O
64586194   B-ID
and   O
1   B-ID
-   I-ID
3455852   I-ID
were   O
used   O
for   O
documentation   O
and   O
billing   O
purposes   O
.   O

Argastes   B-NAME
Valance   I-NAME
was   O
administered   O
an   O
intravenous   O
analgesic   O
for   O
immediate   O
pain   O
relief   O
and   O
was   O
advised   O
to   O
stay   O
in   O
a   O
dark   O
,   O
quiet   O
room   O
to   O
help   O
alleviate   O
the   O
photophobia   O
and   O
restlessness   O
.   O

Cora   B-NAME
Berry   I-NAME
was   O
also   O
advised   O
to   O
follow   O
up   O
with   O
Jarvis   B-NAME
in   O
Glenwood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
neurology   O
department   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

As   O
part   O
of   O
the   O
discharge   O
process   O
,   O
Rovabokola   B-NAME
,   I-NAME
Ratu   I-NAME
Viliame   I-NAME
was   O
given   O
educational   O
material   O
on   O
lifestyle   O
modifications   O
and   O
stress   O
management   O
techniques   O
to   O
prevent   O
further   O
episodes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
4/21   B-DATE
,   O
and   O
Napoleon   B-NAME
was   O
informed   O
to   O
contact   O
Browning   B-NAME
,   I-NAME
Elizabeth   I-NAME
Barrett   I-NAME
immediately   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
arise   O
.   O

Quadri   B-NAME
's   O
contact   O
information   O
,   O
including   O
788   B-CONTACT
6335   I-CONTACT
,   O
was   O
updated   O
in   O
the   O
hospital   O
's   O
database   O
for   O
future   O
communication   O
.   O

The   O
billing   O
department   O
of   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Elevator   I-LOCATION
Constructors   I-LOCATION
processed   O
the   O
insurance   O
claim   O
using   O
Braccio   B-NAME
Muddaththir   I-NAME
's   O
health   O
plan   O
number   O
,   O
and   O
an   O
electronic   O
medical   O
record   O
was   O
created   O
for   O
this   O
visit   O
.   O

Rudy   B-NAME
Abbott   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
left   O
the   O
facility   O
with   O
a   O
better   O
understanding   O
of   O
the   O
condition   O
and   O
management   O
plan   O
.   O

For   O
any   O
additional   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Temple   I-LOCATION
can   O
be   O
contacted   O
at   O
29080   B-CONTACT
,   O
and   O
specific   O
patient   O
details   O
can   O
be   O
referenced   O
using   O
595   B-ID
-   I-ID
74   I-ID
-   I-ID
99   I-ID
or   O
SQ580/9151   B-ID
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
2452834   B-ID
0/57   B-DATE
,   O
a   O
15   O
-   O
year   O
-   O
old   O
Historians   O
named   O
Ball   B-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Manhattan   I-LOCATION
located   O
in   O
Harbert   B-LOCATION
,   O
70123   B-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
that   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
72   O
hours   O
.   O

McQuaig   B-NAME
,   I-NAME
Linda   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
,   O
as   O
well   O
as   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Upon   O
physical   O
examination   O
,   O
Dr.   O
Leonardo   B-NAME
Holmes   I-NAME
noted   O
that   O
Kidd   B-NAME
exhibited   O
signs   O
of   O
peritonitis   O
,   O
including   O
rebound   O
tenderness   O
and   O
guarding   O
,   O
which   O
necessitated   O
immediate   O
surgical   O
consultation   O
.   O

Imaging   O
studies   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
and   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
,   O
were   O
also   O
performed   O
to   O
further   O
evaluate   O
the   O
cause   O
of   O
Joanna   B-NAME
Rhodes   I-NAME
's   O
symptoms   O
.   O

Given   O
the   O
diagnosis   O
,   O
Mccullough   B-NAME
underwent   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Dr.   O
Peters   B-NAME
.   O

The   O
surgery   O
was   O
successful   O
without   O
any   O
complications   O
,   O
and   O
Kirby   B-NAME
was   O
advised   O
to   O
remain   O
in   O
Providence   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
monitoring   O
and   O
post   O
-   O
operative   O
care   O
.   O

During   O
Sonja   B-NAME
Bauer   I-NAME
's   O
stay   O
in   O
the   O
hospital   O
,   O
501   B-CONTACT
1386   I-CONTACT
was   O
the   O
primary   O
contact   O
number   O
provided   O
for   O
any   O
medical   O
updates   O
or   O
concerns   O
.   O

The   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Leon   B-NAME
F.   I-NAME
Craft   I-NAME
was   O
discharged   O
on   O
11/13/2012   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
care   O
.   O

ostrowski   B-NAME
was   O
provided   O
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infections   O
and   O
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Giselle   B-NAME
Mcguire   I-NAME
within   O
two   O
weeks   O
of   O
discharge   O
.   O

The   O
medical   O
team   O
,   O
including   O
nurses   O
and   O
ancillary   O
staff   O
from   O
All   B-LOCATION
India   I-LOCATION
Defence   I-LOCATION
Employees   I-LOCATION
Federation   I-LOCATION
,   O
ensured   O
that   O
Landon   B-NAME
Cochran   I-NAME
received   O
comprehensive   O
care   O
throughout   O
the   O
hospitalization   O
period   O
.   O

In   O
case   O
of   O
any   O
queries   O
or   O
complications   O
following   O
discharge   O
,   O
Dutton   B-NAME
,   I-NAME
Denis   I-NAME
was   O
instructed   O
to   O
contact   O
McKee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
directly   O
at   O
60026   B-CONTACT
and   O
reference   O
the   O
patient   O
ID   O
94580921   B-ID
for   O
efficient   O
assistance   O
.   O

This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
only   O
for   O
the   O
use   O
of   O
Amnesty   B-LOCATION
International   I-LOCATION
medical   O
staff   O
.   O

Any   O
dissemination   O
,   O
distribution   O
,   O
or   O
copying   O
of   O
this   O
document   O
is   O
strictly   O
prohibited   O
unless   O
expressly   O
permitted   O
by   O
Canadian   B-LOCATION
Postmasters   I-LOCATION
and   I-LOCATION
Assistants   I-LOCATION
Association   I-LOCATION
policies   O
.   O

Patient   O
Name   O
:   O
Xue   B-NAME
Date   O
of   O
Birth   O
:   O
03/24/2293   B-DATE
Age   O
:   O
3   O
month   O
Medical   O
Record   O
Number   O
:   O
4945399   B-ID
Address   O
:   O
West   B-LOCATION
Allis   I-LOCATION
,   O
56879   B-LOCATION
Phone   O
Number   O
:   O
505   B-CONTACT
5566   I-CONTACT
Primary   O
Physician   O
:   O

Braelyn   B-NAME
Hall   I-NAME
Admitting   O
Hospital   O
:   O
Higgins   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
9/22   B-DATE
Employer   O
:   O

Diverse   B-LOCATION
Power   I-LOCATION
Inc.   I-LOCATION
-   I-LOCATION
Pataula   I-LOCATION
District   I-LOCATION
Occupation   O
:   O

Computer   O
Hardware   O
Engineers   O
Social   O
Security   O
Number   O
:   O
NY:3296:278993   B-ID
Clinical   O
Summary   O
:   O
Vazquez   B-NAME
was   O
admitted   O
to   O
Steward   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
on   O
W   B-DATE
following   O
a   O
series   O
of   O
episodes   O
characterized   O
by   O
severe   O
,   O
throbbing   O
cephalgia   O
predominantly   O
localized   O
to   O
the   O
right   O
temporal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

Sawyer   B-NAME
Gonzales   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
63   O
years   O
ago   O
,   O
with   O
a   O
noted   O
increase   O
in   O
frequency   O
and   O
intensity   O
over   O
the   O
past   O
03/23/72   B-DATE
.   O

At   O
the   O
time   O
of   O
examination   O
,   O
Jina   B-NAME
Nothacker   I-NAME
described   O
the   O
pain   O
as   O
having   O
an   O
intensity   O
of   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
,   O
with   O
10   O
being   O
the   O
most   O
severe   O
pain   O
imaginable   O
.   O

Additionally   O
,   O
Poe   B-NAME
,   I-NAME
Edgar   I-NAME
Allan   I-NAME
reported   O
concomitant   O
visual   O
disturbances   O
described   O
as   O
transient   O
flashes   O
of   O
light   O
in   O
the   O
peripheral   O
visual   O
field   O
,   O
occurring   O
shortly   O
before   O
the   O
onset   O
of   O
the   O
headache   O
.   O

Neurological   O
examination   O
performed   O
by   O
Ada   B-NAME
Neal   I-NAME
at   O
Abrazo   B-LOCATION
West   I-LOCATION
Campus   I-LOCATION
revealed   O
no   O
focal   O
neurological   O
deficits   O
.   O

Diagnostic   O
testing   O
,   O
including   O
a   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
scan   O
of   O
the   O
brain   O
performed   O
on   O
March   B-DATE
,   O
did   O
not   O
reveal   O
any   O
intracranial   O
abnormalities   O
.   O

Eduardo   B-NAME
Knight   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Jamarcus   B-NAME
Richards   I-NAME
in   O
Kings   B-LOCATION
Beach   I-LOCATION
for   O
ongoing   O
management   O
and   O
reassessment   O
.   O

Scheduled   O
Follow   O
-   O
up   O
:   O
Keven   B-NAME
Laughlin   I-NAME
is   O
to   O
return   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Ward   B-NAME
at   O
Piedmont   B-LOCATION
Mountainside   I-LOCATION
Hospital   I-LOCATION
on   O
4   B-DATE
-   I-DATE
27   I-DATE
.   O

For   O
any   O
questions   O
or   O
if   O
there   O
is   O
a   O
change   O
in   O
the   O
condition   O
,   O
Brown   B-NAME
,   I-NAME
Sam   I-NAME
is   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
391   B-CONTACT
7122   I-CONTACT
.   O

Patient   O
Instructions   O
:   O
Rachele   B-NAME
Cabeza   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
track   O
the   O
occurrence   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
or   O
triggers   O
.   O

Yousif   B-NAME
was   O
also   O
educated   O
on   O
the   O
importance   O
of   O
adherence   O
to   O
prescribed   O
medication   O
and   O
advised   O
to   O
avoid   O
known   O
triggers   O
.   O

Note   O
:   O
This   O
summary   O
is   O
to   O
be   O
added   O
to   O
Ida   B-NAME
Xayachack   I-NAME
's   O
medical   O
record   O
,   O
numbered   O
4423L6077   B-ID
,   O
for   O
future   O
reference   O
and   O
continuation   O
of   O
care   O
.   O

Patient   O
Name   O
:   O
Sloane   B-NAME
Woodard   I-NAME
Age   O
:   O
80   O
Date   O
of   O
Birth   O
:   O
20/32/84   B-DATE
Address   O
:   O
Fountain   B-LOCATION
N   I-LOCATION
'   I-LOCATION
Lakes   I-LOCATION
,   O
47979   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
958   I-CONTACT
)   I-CONTACT
636   I-CONTACT
6662   I-CONTACT
Occupation   O
:   O

Nurse   O
Practitioners   O
Primary   O
Care   O
Doctor   O
:   O
Khalil   B-NAME
Valdez   I-NAME
Hospital   O
:   O
AtlantiCare   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
02/26   B-DATE
Medical   O
Record   O
Number   O
:   O
29883857   B-ID
ID   O
Number   O
:   O
QO310/8179   B-ID
Chief   O
Complaint   O
:   O
Angel   B-NAME
Gibbs   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
8/02   B-DATE
with   O
complaints   O
of   O
chronic   O
fatigue   O
,   O
intermittent   O
fever   O
,   O
and   O
unexplained   O
weight   O
loss   O
over   O
the   O
past   O
two   O
months   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Courtney   B-NAME
Carlisle   I-NAME
mentions   O
the   O
onset   O
of   O
symptoms   O
approximately   O
eight   O
weeks   O
ago   O
,   O
with   O
fatigue   O
being   O
the   O
earliest   O
symptom   O
,   O
progressively   O
worsening   O
to   O
the   O
point   O
of   O
impacting   O
daily   O
activities   O
.   O

About   O
four   O
weeks   O
ago   O
,   O
Betty   B-NAME
Kaitlin   I-NAME
Wood   I-NAME
began   O
experiencing   O
fevers   O
,   O
mostly   O
in   O
the   O
evenings   O
,   O
with   O
temperatures   O
ranging   O
between   O
99   O
°   O
F   O
and   O
101   O
°   O
F   O
.   O

Brittany   B-NAME
Leach   I-NAME
has   O
attempted   O
over   O
-   O
the   O
-   O
counter   O
remedies   O
with   O
no   O
significant   O
improvement   O
.   O

LTJ   B-NAME
is   O
currently   O
not   O
on   O
any   O
prescription   O
medications   O
.   O

Social   O
History   O
:   O
Leticia   B-NAME
Wheeler   I-NAME
is   O
a   O
Treasurers   O
and   O
Controllers   O
and   O
admits   O
to   O
working   O
long   O
hours   O
.   O

Ulises   B-NAME
Y.   I-NAME
Hobbs   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
products   O
,   O
reports   O
moderate   O
alcohol   O
consumption   O
,   O
and   O
denies   O
any   O
recreational   O
drug   O
use   O
.   O

On   O
examination   O
,   O
Nicholas   B-NAME
Osuna   I-NAME
appeared   O
cachectic   O
.   O

We   O
have   O
scheduled   O
Jim   B-NAME
Hansen   I-NAME
for   O
a   O
chest   O
X   O
-   O
ray   O
and   O
CT   O
thorax   O
to   O
evaluate   O
for   O
any   O
lung   O
pathology   O
.   O

Savion   B-NAME
Conley   I-NAME
is   O
advised   O
to   O
return   O
to   O
Englewood   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
one   O
week   O
for   O
a   O
review   O
of   O
test   O
results   O
with   O
Kenny   B-NAME
Reilly   I-NAME
.   O

In   O
the   O
meantime   O
,   O
Dolan   B-NAME
is   O
encouraged   O
to   O
maintain   O
adequate   O
hydration   O
,   O
a   O
balanced   O
diet   O
,   O
and   O
to   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
new   O
symptoms   O
immediately   O
.   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
Chaney   B-NAME
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
at   O
(   B-CONTACT
225   I-CONTACT
)   I-CONTACT
541   I-CONTACT
-   I-CONTACT
7222   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O
Username   O
for   O
Electronic   O
Health   O
Records   O
Access   O
:   O
htp1001   B-NAME
Signed   O
,   O
Mcgee   B-NAME
32/28   B-DATE

Patient   O
Name   O
:   O
Sparber   B-NAME
,   I-NAME
Max   I-NAME
Patient   O
ID   O
:   O
766711   B-ID
Medical   O
Record   O
Number   O
:   O
4023493   B-ID
Date   O
of   O
Birth   O
:   O
2/22/26   B-DATE
Age   O
:   O
79   O
Phone   O
Number   O
:   O
(   B-CONTACT
767   I-CONTACT
)   I-CONTACT
982   I-CONTACT
-   I-CONTACT
5220   I-CONTACT
Address   O
:   O
Queens   B-LOCATION
Gate   I-LOCATION
,   O
21742   B-LOCATION
Occupation   O
:   O
Education   O
Teachers   O
,   O
Postsecondary   O
Primary   O
Care   O
Physician   O
:   O

Foster   B-NAME
Admitting   O
Hospital   O
:   O
Centerpoint   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
2023   B-DATE
Discharge   O
Date   O
:   O
00/27/1768   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Crane   B-NAME
,   I-NAME
Stephen   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Morton   B-LOCATION
Plant   I-LOCATION
Hospital   I-LOCATION
on   O
11/22   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
mainly   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
of   O
101.2   O
°   O
F   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Schmidt   B-NAME
,   O
a   O
7   O
week   O
-   O
year   O
-   O
old   O
Design   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
has   O
been   O
in   O
generally   O
good   O
health   O
until   O
the   O
evening   O
of   O
3   B-DATE
-   I-DATE
1   I-DATE
when   O
they   O
initially   O
experienced   O
a   O
dull   O
ache   O
in   O
their   O
mid   O
-   O
abdomen   O
which   O
over   O
the   O
course   O
of   O
several   O
hours   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Early   O
morning   O
on   O
1/28/2333   B-DATE
,   O
they   O
developed   O
a   O
low   O
-   O
grade   O
fever   O
and   O
began   O
experiencing   O
nausea   O
.   O

The   O
patient   O
works   O
as   O
a   O
businessman   O
in   O
Saranap   B-LOCATION
and   O
lives   O
with   O
their   O
spouse   O
and   O
two   O
children   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Chelsi   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Natalie   B-NAME
Lam   I-NAME
and   O
was   O
started   O
on   O
IV   O
antibiotics   O
.   O

Ngoc   B-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
June   B-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
23/30   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modifications   O
,   O
and   O
follow   O
-   O
up   O
with   O
Natalee   B-NAME
Walton   I-NAME
in   O
two   O
weeks   O
.   O

Acetaminophen   O
650   O
mg   O
every   O
6   O
hours   O
as   O
needed   O
for   O
pain   O
-   O
Ibuprofen   O
400   O
mg   O
every   O
8   O
hours   O
as   O
needed   O
for   O
pain   O
-   O
Ciprofloxacin   O
500   O
mg   O
twice   O
daily   O
for   O
7   O
days   O
Follow   O
-   O
Up   O
:   O
Donovan   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Costa   B-NAME
on   O
February   B-DATE
for   O
a   O
post   O
-   O
operative   O
check   O
and   O
to   O
discuss   O
the   O
pathology   O
report   O
.   O

Instructions   O
for   O
Michael   B-NAME
Ridley   I-NAME
:   O
-   O
Keep   O
the   O
surgical   O
site   O
clean   O
and   O
dry   O
.   O
-   O
Monitor   O
for   O
signs   O
of   O
infection   O
including   O
redness   O
,   O
swelling   O
,   O
warmth   O
,   O
or   O
discharge   O
from   O
the   O
incision   O
site   O
.   O

-   O
Avoid   O
lifting   O
objects   O
heavier   O
than   O
10   O
pounds   O
for   O
at   O
least   O
13/05   B-DATE
.   O
-   O
Resume   O
normal   O
activities   O
as   O
tolerated   O
but   O
avoid   O
strenuous   O
exercise   O
until   O
the   O
follow   O
-   O
up   O
visit   O
.   O

This   O
report   O
summarizes   O
the   O
care   O
provided   O
to   O
Wilbur   B-NAME
Larch   I-NAME
during   O
their   O
recent   O
hospitalization   O
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Cabarrus   I-LOCATION
.   O

Please   O
contact   O
83341   B-CONTACT
for   O
any   O
urgent   O
concerns   O
or   O
clarification   O
needed   O
regarding   O
this   O
care   O
summary   O
.   O

Patient   O
Report   O
for   O
Ronin   B-NAME
Mays   I-NAME
30/13/43   B-DATE
,   O
Cudahy   B-LOCATION
Glades   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
has   O
documented   O
the   O
case   O
of   O
Talon   B-NAME
Allen   I-NAME
,   O
a   O
61s   O
-   O
year   O
-   O
old   O
Anesthesiologist   O
Assistants   O
,   O
presenting   O
with   O
symptoms   O
indicative   O
of   O
acute   O
bronchitis   O
.   O

Vitals   O
taken   O
upon   O
admission   O
to   O
Philhaven   B-LOCATION
included   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
(   O
100.9   O
°   O
F   O
)   O
,   O
heart   O
rate   O
of   O
88   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
96   O
%   O
on   O
room   O
air   O
.   O

Physical   O
examination   O
by   O
Brooke   B-NAME
Deleon   I-NAME
highlighted   O
rhonchi   O
and   O
coarse   O
crackles   O
upon   O
auscultation   O
of   O
the   O
lower   O
lung   O
fields   O
bilaterally   O
.   O

Laboratory   O
tests   O
ordered   O
on   O
31   B-DATE
-   I-DATE
35   I-DATE
indicated   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
with   O
a   O
predominance   O
of   O
neutrophils   O
,   O
suggestive   O
of   O
a   O
bacterial   O
infection   O
.   O

Chest   O
X   O
-   O
ray   O
performed   O
on   O
2/26/2369   B-DATE
did   O
not   O
evidence   O
any   O
parenchymal   O
lung   O
disease   O
or   O
acute   O
cardiopulmonary   O
process   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2220   B-DATE
,   O
during   O
which   O
Mckenzie   B-NAME
Bennett   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Colon   B-NAME
performed   O
a   O
repeat   O
physical   O
exam   O
,   O
which   O
did   O
not   O
demonstrate   O
any   O
abnormal   O
lung   O
sounds   O
.   O

The   O
comprehensive   O
care   O
for   O
Paul   B-NAME
Novotny   I-NAME
's   O
acute   O
bronchitis   O
was   O
coordinated   O
by   O
T.J.   B-LOCATION
Samson   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
and   O
overseen   O
by   O
Sydney   B-NAME
Napur   I-NAME
.   O

All   O
medical   O
records   O
,   O
including   O
initial   O
presentation   O
,   O
treatment   O
plan   O
,   O
and   O
follow   O
-   O
up   O
outcomes   O
,   O
have   O
been   O
securely   O
stored   O
under   O
83499264   B-ID
number   O
MR254/9696   B-ID
.   O

For   O
further   O
information   O
,   O
please   O
contact   O
the   O
medical   O
records   O
department   O
at   O
286   B-CONTACT
-   I-CONTACT
3974   I-CONTACT
or   O
visit   O
our   O
facility   O
at   O
Dana   B-LOCATION
,   O
37130   B-LOCATION
.   O

Prepared   O
by   O
:   O
qjs468   B-NAME
4/0   B-DATE

Patient   O
Name   O
:   O
JABLONSKI   B-NAME
,   I-NAME
SHIRLEY   I-NAME
Patient   O
ID   O
:   O
RV137/5243   B-ID
Medical   O
Record   O
Number   O
:   O
3827883   B-ID
Date   O
of   O
Birth   O
:   O
June   B-DATE
Age   O
:   O
36s   O
Address   O
:   O
Mina   B-LOCATION
,   O
42487   B-LOCATION
Phone   O
Number   O
:   O
24480   B-CONTACT
Primary   O
Physician   O
:   O

Dr.   O
Chanakya   B-NAME
Hospital   O
:   O
Connecticut   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Employment   O
:   O
Coaches   O
and   O
Scouts   O
at   O
City   B-LOCATION
of   I-LOCATION
Bartow   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Username   O
:   O
szv813   B-NAME
Summary   O
of   O
Visit   O
:   O
Patient   O
Colton   B-NAME
Randolph   I-NAME
,   O
a   O
4   O
-   O
year   O
-   O
old   O
Multimedia   O
programmer   O
employed   O
at   O
International   B-LOCATION
Work   I-LOCATION
Group   I-LOCATION
for   I-LOCATION
Indigenous   I-LOCATION
Affairs   I-LOCATION
,   O
presented   O
to   O
AdventHealth   B-LOCATION
Palm   I-LOCATION
Coast   I-LOCATION
on   O
33/14   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
symptoms   O
were   O
initially   O
mild   O
but   O
have   O
significantly   O
interfered   O
with   O
the   O
patient   O
's   O
daily   O
activities   O
,   O
including   O
occupational   O
tasks   O
at   O
City   B-LOCATION
of   I-LOCATION
Starke   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
.   O

The   O
patient   O
's   O
last   O
complete   O
physical   O
exam   O
was   O
on   O
07/22/2012   B-DATE
,   O
revealing   O
no   O
significant   O
abnormalities   O
.   O

Management   O
and   O
Recommendations   O
:   O
Dr.   O
Donovan   B-NAME
Sosa   I-NAME
initiated   O
a   O
course   O
of   O
prednisone   O
and   O
recommended   O
a   O
follow   O
-   O
up   O
with   O
a   O
pulmonologist   O
for   O
further   O
evaluation   O
.   O

The   O
patient   O
was   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
return   O
to   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Sugar   I-LOCATION
Land   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
(   B-CONTACT
373   I-CONTACT
)   I-CONTACT
960   I-CONTACT
-   I-CONTACT
9297   I-CONTACT
for   O
any   O
worsening   O
of   O
symptoms   O
.   O

Pulmonologist   O
referral   O
arranged   O
for   O
20/21   B-DATE
.   O
2   O
.   O

Follow   O
-   O
up   O
appointment   O
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
Ludington   I-LOCATION
Hospital   I-LOCATION
scheduled   O
for   O
00/22/37   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
review   O
pulmonary   O
specialist   O
's   O
findings   O
.   O

3   O
.   O
Patient   O
education   O
provided   O
regarding   O
the   O
importance   O
of   O
avoiding   O
known   O
environmental   O
or   O
occupational   O
irritants   O
found   O
at   O
San   B-LOCATION
Andreas   I-LOCATION
.   O

The   O
care   O
team   O
at   O
HealthSouth   B-LOCATION
Lakeview   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
,   O
led   O
by   O
Dr.   O
Kianna   B-NAME
Morse   I-NAME
,   O
will   O
continue   O
to   O
coordinate   O
with   O
specialists   O
to   O
ensure   O
a   O
comprehensive   O
approach   O
to   O
managing   O
the   O
patient   O
's   O
condition   O
.   O

Communication   O
with   O
the   O
patient   O
's   O
employer   O
,   O
State   B-LOCATION
Farm   I-LOCATION
Insurance   I-LOCATION
,   O
may   O
be   O
necessary   O
to   O
facilitate   O
any   O
needed   O
workplace   O
accommodations   O
.   O

Patient   O
Report   O
for   O
Haven   B-NAME
Reid   I-NAME
Identifying   O
Information   O
:   O
The   O
patient   O
,   O
identified   O
as   O
Anita   B-NAME
Lindgren   I-NAME
,   O
a   O
11   O
month   O
-   O
year   O
-   O
old   O
Rehabilitation   O
Counselors   O
from   O
St.   B-LOCATION
Matthews   I-LOCATION
,   O
with   O
a   O
medical   O
record   O
number   O
9249554   B-ID
,   O
was   O
seen   O
at   O
Henry   B-LOCATION
Mayo   I-LOCATION
Newhall   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
5/2   B-DATE
.   O

The   O
patient   O
was   O
referred   O
by   O
Grant   B-NAME
Linowitz   I-NAME
.   O

Contact   O
information   O
includes   O
a   O
phone   O
number   O
370   B-CONTACT
-   I-CONTACT
820   I-CONTACT
-   I-CONTACT
8518   I-CONTACT
.   O

Espinosa   B-NAME
reports   O
a   O
notable   O
decrease   O
in   O
appetite   O
over   O
the   O
same   O
period   O
,   O
leading   O
to   O
a   O
moderate   O
unintentional   O
weight   O
loss   O
.   O

The   O
patient   O
denies   O
any   O
recent   O
travel   O
outside   O
Mechanic   B-LOCATION
Falls   I-LOCATION
or   O
contact   O
with   O
known   O
sick   O
individuals   O
.   O

Vogel   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
,   O
managed   O
with   O
oral   O
medications   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
Ray   O
performed   O
on   O
18/19   B-DATE
showed   O
bilateral   O
infiltrates   O
consistent   O
with   O
pneumonia   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Mount   B-LOCATION
Pleasant   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
of   O
community   O
-   O
acquired   O
pneumonia   O
and   O
control   O
of   O
underlying   O
diabetes   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
with   O
Maldonado   B-NAME
in   O
two   O
weeks   O
'   O
time   O
on   O
22/02/23   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
condition   O
.   O

All   O
personal   O
identifiers   O
such   O
as   O
name   O
(   O
Terrell   B-NAME
)   O
,   O
identification   O
number   O
(   O
UL   B-ID
:   I-ID
CF:6014   I-ID
)   O
,   O
and   O
medical   O
record   O
number   O
(   O
23491813   B-ID
)   O
have   O
been   O
securely   O
documented   O
following   O
the   O
practices   O
of   O
Northwestern   B-LOCATION
Medicine   I-LOCATION
Huntley   I-LOCATION
Hospital   I-LOCATION
in   O
Greenville   B-LOCATION
,   I-LOCATION
Greenville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
(   O
74362   B-LOCATION
)   O
.   O

For   O
any   O
inquiries   O
or   O
further   O
information   O
,   O
please   O
contact   O
TIAA   B-LOCATION
-   I-LOCATION
CREF   I-LOCATION
at   O
14477   B-CONTACT
.   O

Prepared   O
by   O
:   O
qy136   B-NAME
Report   O
Date   O
:   O
2028   B-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Agmar   B-NAME
-   O
Age   O
:   O
30   O
-   O
ID   O
:   O
XW:35190:741790   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
60087403   B-ID
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
370   I-CONTACT
)   I-CONTACT
527   I-CONTACT
-   I-CONTACT
7378   I-CONTACT
-   O
Address   O
:   O
Orofino   B-LOCATION
,   O
44865   B-LOCATION
-   O
Occupation   O
:   O

Farm   O
Labor   O
Contractors   O
Initial   O
Presentation   O
:   O
Hunter   B-NAME
presented   O
to   O
Higgins   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
6/10   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Vicente   B-NAME
Blair   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

There   O
was   O
no   O
reported   O
fever   O
,   O
but   O
Steinmuller   B-NAME
mentioned   O
a   O
mild   O
elevation   O
in   O
temperature   O
.   O

Avonaco   B-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
,   O
but   O
no   O
previous   O
surgeries   O
or   O
hospital   O
admissions   O
were   O
reported   O
.   O
-   O
Medications   O
:   O
Over   O
-   O
the   O
-   O
counter   O
antacids   O
as   O
needed   O
for   O
GERD   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Peralta   B-NAME
was   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
More   B-NAME
,   I-NAME
St.   I-NAME
Thomas   I-NAME
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
a   O
mild   O
elevation   O
in   O
white   O
blood   O
cells   O
,   O
suggestive   O
of   O
infection   O
or   O
inflammation   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Freeman   B-NAME
diagnosed   O
Yoselin   B-NAME
Pace   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

The   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
were   O
discussed   O
with   O
Putnam   B-NAME
,   O
who   O
gave   O
informed   O
consent   O
to   O
proceed   O
.   O

The   O
appendectomy   O
was   O
performed   O
on   O
11/00/2111   B-DATE
by   O
Corelli   B-NAME
at   O
Memorial   B-LOCATION
Satilla   I-LOCATION
Health   I-LOCATION
.   O

Benedict   B-NAME
Lanate   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Lynch   B-NAME
was   O
discharged   O
home   O
on   O
20/35   B-DATE
with   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

Follow   O
-   O
up   O
:   O
Laura   B-NAME
Certain   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dawkins   B-NAME
,   I-NAME
Richard   I-NAME
in   O
two   O
weeks   O
at   O
Chimney   B-LOCATION
Rock   I-LOCATION
Village   I-LOCATION
to   O
assess   O
the   O
healing   O
process   O
and   O
discuss   O
any   O
concerns   O
.   O

Lucy   B-NAME
Hall   I-NAME
has   O
been   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
any   O
signs   O
of   O
infection   O
,   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
redness   O
at   O
the   O
incision   O
site   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Valentin   B-NAME
Baker   I-NAME
can   O
contact   O
DeTar   B-LOCATION
Hospital   I-LOCATION
Navarro   I-LOCATION
's   O
emergency   O
department   O
at   O
228   B-CONTACT
9886   I-CONTACT
or   O
visit   O
the   O
nearest   O
urgent   O
care   O
center   O
.   O

Patient   O
Name   O
:   O
Lutz   B-NAME
,   I-NAME
John   I-NAME
Gregory   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
1859257   I-ID
Medical   O
Record   O
Number   O
:   O
48688468   B-ID
Age   O
:   O
48   O
Date   O
of   O
Birth   O
:   O
12/37   B-DATE
Address   O
:   O
Byron   B-LOCATION
,   O
37991   B-LOCATION
Primary   O
Physician   O
:   O
Finley   B-NAME
Hospital   O
:   O
Berrien   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Phone   O
Number   O
:   O
682   B-CONTACT
9789   I-CONTACT
Occupation   O
:   O
Pathologists   O
Username   O
:   O
xtx438   B-NAME
Visit   O
Date   O
:   O
19/20   B-DATE
Referring   O
Physician   O
:   O
Combs   B-NAME
Summary   O
of   O
Visit   O
:   O
Sammy   B-NAME
Cunningham   I-NAME
,   O
a   O
Veterinarians   O
,   O
presented   O
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Hospital   I-LOCATION
on   O
Thursday   B-DATE
,   I-DATE
April   I-DATE
,   O
complaining   O
of   O
severe   O
,   O
persistent   O
headaches   O
predominantly   O
in   O
the   O
frontal   O
region   O
.   O

Talia   B-NAME
Logan   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
blurred   O
vision   O
.   O

Laurence   B-NAME
Shoup   I-NAME
denies   O
recent   O
travel   O
or   O
exposure   O
to   O
sick   O
contacts   O
.   O

Past   O
Medical   O
History   O
:   O
Holt   B-NAME
,   I-NAME
John   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
medication   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Lewis   B-NAME
Jennings   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Blood   O
tests   O
were   O
within   O
normal   O
limits   O
,   O
except   O
for   O
a   O
slightly   O
elevated   O
glucose   O
level   O
,   O
which   O
is   O
consistent   O
with   O
Chavez   B-NAME
,   I-NAME
Cesar   I-NAME
's   O
known   O
diabetes   O
mellitus   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
00/23   B-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

Alaistar   B-NAME
Wright   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
.   O

-   O
Return   O
to   O
Stanton   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Facility   I-LOCATION
–   I-LOCATION
Johnson   I-LOCATION
or   O
call   O
(   B-CONTACT
567   I-CONTACT
)   I-CONTACT
441   I-CONTACT
-   I-CONTACT
3806   I-CONTACT
for   O
follow   O
-   O
up   O
appointment   O
on   O
2230   B-DATE
,   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

Prepared   O
by   O
:   O
Jessie   B-NAME
Saunders   I-NAME
Date   O
:   O
22/26   B-DATE
Contact   O
Information   O
:   O
(   B-CONTACT
779   I-CONTACT
)   I-CONTACT
700   I-CONTACT
5405   I-CONTACT
Free   B-LOCATION
the   I-LOCATION
Slaves   I-LOCATION

Patient   O
Name   O
:   O
Travis   B-NAME
Age   O
:   O
55   O
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
2865290   I-ID
Medical   O
Record   O
Number   O
:   O
11389706   B-ID
Date   O
of   O
Admission   O
:   O
22/33/2121   B-DATE
Date   O
of   O
Report   O
:   O
1/9/2100   B-DATE
Hospital   O
:   O
Broward   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Attending   O
Physician   O
:   O

Landin   B-NAME
Shaw   I-NAME
Location   O
:   O
Tuscola   B-LOCATION
Zip   O
Code   O
:   O
32211   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
930   I-CONTACT
)   I-CONTACT
771   I-CONTACT
-   I-CONTACT
2658   I-CONTACT
Username   O
:   O
PW428   B-NAME
Profession   O
:   O
Information   O
Security   O
Analysts   O
Summary   O
of   O
Presentation   O
:   O
Brett   B-NAME
Cannon   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Watauga   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
20/14   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
an   O
episode   O
of   O
syncope   O
.   O

The   O
66   O
-   O
year   O
-   O
old   O
patient   O
,   O
a   O
Financial   O
Clerks   O
,   O
All   O
Other   O
from   O
Oak   B-LOCATION
Beach   I-LOCATION
,   O
reported   O
that   O
the   O
symptoms   O
started   O
approximately   O
two   O
hours   O
prior   O
to   O
admission   O
.   O

Thalia   B-NAME
also   O
denied   O
any   O
recent   O
history   O
of   O
travel   O
or   O
sick   O
contacts   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Mckenna   B-NAME
Woodward   I-NAME
appeared   O
distressed   O
with   O
labored   O
breathing   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
investigations   O
,   O
Norah   B-NAME
Bryan   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
myocardial   O
infarction   O
(   O
AMI   O
)   O
,   O
specifically   O
an   O
inferior   O
wall   O
MI   O
,   O
complicated   O
by   O
acute   O
left   O
-   O
sided   O
heart   O
failure   O
.   O

Wanda   B-NAME
Citizen   I-NAME
was   O
immediately   O
started   O
on   O
intravenous   O
nitroglycerin   O
,   O
aspirin   O
,   O
and   O
a   O
statin   O
.   O

Plans   O
for   O
a   O
coronary   O
angiography   O
with   O
possible   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
were   O
discussed   O
with   O
Mcconnell   B-NAME
and   O
consent   O
obtained   O
.   O

Landor   B-NAME
,   I-NAME
Walter   I-NAME
Savage   I-NAME
and   O
the   O
cardiology   O
team   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Anne   I-LOCATION
Hospital   I-LOCATION
initiated   O
a   O
heart   O
-   O
healthy   O
diet   O
recommendation   O
and   O
glycemic   O
control   O
adjustments   O
for   O
the   O
underlying   O
diabetes   O
.   O

Dotson   B-NAME
is   O
to   O
be   O
closely   O
monitored   O
for   O
signs   O
of   O
congestive   O
heart   O
failure   O
and   O
arrhythmias   O
during   O
their   O
hospital   O
stay   O
.   O

A   O
referral   O
to   O
cardiac   O
rehabilitation   O
was   O
made   O
for   O
when   O
Raymond   B-NAME
is   O
medically   O
stabilized   O
.   O

Conclusion   O
:   O
Hoffman   B-NAME
is   O
currently   O
under   O
the   O
care   O
of   O
Stephane   B-NAME
Bringas   I-NAME
and   O
the   O
cardiology   O
team   O
at   O
Youth   B-LOCATION
Villages   I-LOCATION
Inner   I-LOCATION
Harbour   I-LOCATION
Campus   I-LOCATION
.   O

Further   O
updates   O
on   O
Kaley   B-NAME
Dixon   I-NAME
's   O
condition   O
and   O
progress   O
will   O
be   O
provided   O
as   O
available   O
.   O

Patient   O
Name   O
:   O
Tristian   B-NAME
Gill   I-NAME
Age   O
:   O
24   O
Phone   O
Number   O
:   O
15568   B-CONTACT
Occupation   O
:   O
Electric   O
Home   O
Appliance   O
and   O
Power   O
Tool   O
Repairers   O
Location   O
:   O

Robinson   B-LOCATION
Mill   I-LOCATION
Hospital   O
Name   O
:   O
Larkin   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Palm   I-LOCATION
Springs   I-LOCATION
Campus   I-LOCATION
Doctor   O
Name   O
:   O
Barlow   B-NAME
,   I-NAME
John   I-NAME
Perry   I-NAME
Date   O
of   O
Visit   O
:   O
0/32   B-DATE
Medical   O
Record   O
Number   O
:   O
401   B-ID
-   I-ID
89   I-ID
-   I-ID
81   I-ID
-   I-ID
1   I-ID
ID   O
Number   O
:   O
6   B-ID
-   I-ID
9767331   I-ID
Zip   O
Code   O
:   O
84598   B-LOCATION
Organization   O
:   O

Holland   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
Works   I-LOCATION
Username   O
:   O
bp608   B-NAME
Summary   O
:   O
Larson   B-NAME
,   O
a   O
52s   O
-   O
year   O
-   O
old   O
Purchasing   O
Agents   O
,   O
Except   O
Wholesale   O
,   O
Retail   O
,   O
and   O
Farm   O
Products   O
from   O
Mount   B-LOCATION
Eagle   I-LOCATION
,   O
visited   O
Tuality   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2203   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
02   I-DATE
,   O
complaining   O
of   O
persistent   O
abdominal   O
pain   O
,   O
especially   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
had   O
been   O
escalating   O
over   O
the   O
past   O
10   O
month   O
hours   O
.   O

Xanders   B-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
the   O
morning   O
of   O
21/34   B-DATE
.   O
Upon   O
examination   O
,   O
Shyann   B-NAME
Jordan   I-NAME
noted   O
that   O
Rob   B-NAME
Lake   I-NAME
displayed   O
signs   O
of   O
tenderness   O
in   O
the   O
McBurney   O
's   O
point   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Branson   B-NAME
Roth   I-NAME
's   O
medical   O
history   O
was   O
reviewed   O
,   O
indicating   O
no   O
previous   O
occurrences   O
of   O
similar   O
symptoms   O
.   O

Klein   B-NAME
's   O
temperature   O
was   O
recorded   O
at   O
37.8   O
°   O
C   O
,   O
and   O
their   O
heart   O
rate   O
was   O
slightly   O
elevated   O
.   O

Following   O
the   O
examination   O
,   O
Sweeney   B-NAME
advised   O
Ali   B-NAME
Weaver   I-NAME
to   O
avoid   O
solid   O
food   O
intake   O
,   O
recommended   O
staying   O
hydrated   O
by   O
drinking   O
clear   O
fluids   O
,   O
and   O
to   O
monitor   O
symptoms   O
closely   O
.   O

Mencken   B-NAME
,   I-NAME
H.   I-NAME
L.   I-NAME
documented   O
the   O
visit   O
in   O
Marisol   B-NAME
Campbell   I-NAME
's   O
medical   O
record   O
(   O
15593095   B-ID
)   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
9/09   B-DATE
to   O
review   O
the   O
test   O
results   O
and   O
determine   O
the   O
next   O
steps   O
in   O
treatment   O
.   O

834   B-CONTACT
-   I-CONTACT
772   I-CONTACT
-   I-CONTACT
2077   I-CONTACT
was   O
listed   O
as   O
the   O
primary   O
contact   O
number   O
for   O
any   O
complications   O
or   O
worsening   O
of   O
symptoms   O
before   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Further   O
instructions   O
were   O
provided   O
to   O
Nielsen   B-NAME
on   O
how   O
to   O
manage   O
pain   O
and   O
when   O
to   O
seek   O
immediate   O
medical   O
attention   O
,   O
emphasizing   O
the   O
importance   O
of   O
close   O
monitoring   O
of   O
their   O
condition   O
.   O

Confidentiality   O
and   O
privacy   O
of   O
Ernest   B-NAME
Davila   I-NAME
's   O
health   O
information   O
(   O
RI   B-ID
:   I-ID
AN:3365   I-ID
,   O
6644557   B-ID
,   O
89924   B-CONTACT
,   O
etc   O
.   O
)   O
were   O
maintained   O
throughout   O
the   O
process   O
,   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
and   O
the   O
privacy   O
policy   O
of   O
Alamance   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
case   O
is   O
being   O
closely   O
monitored   O
,   O
and   O
all   O
findings   O
will   O
be   O
routinely   O
updated   O
in   O
Chase   B-NAME
's   O
medical   O
records   O
,   O
ensuring   O
continuous   O
and   O
holistic   O
care   O
.   O

Patient   O
Report   O
for   O
Pamula   B-NAME
Mccrary   I-NAME
General   O
Information   O
-   O
Patient   O
Age   O
:   O
48   O
-   O
Date   O
of   O
Initial   O
Consultation   O
:   O
08/11   B-DATE
-   O
Treating   O
Physician   O
:   O

Hayley   B-NAME
Hahn   I-NAME
-   O
Hospital   O
Admission   O
No   O
.   O
:   O
Regional   B-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Respiratory   I-LOCATION
and   I-LOCATION
Complex   I-LOCATION
Care   I-LOCATION
-   O
Medical   O
Record   O
No   O
.   O
:   O
60810458   B-ID
-   O
Address   O
of   O
Patient   O
:   O
Tatitlek   B-LOCATION
,   O
55988   B-LOCATION
-   O
Patient   O
's   O
Phone   O
Number   O
:   O
27280   B-CONTACT
-   O
Profession   O
:   O
Music   O
Directors   O
and   O
Composers   O
-   O
Referring   O
Organization   O
:   O
Indian   B-LOCATION
National   I-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
Congress   I-LOCATION
Clinical   O
Presentation   O
The   O
patient   O
presented   O
with   O
a   O
three   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
persistent   O
dry   O
cough   O
.   O

Upon   O
evaluation   O
,   O
Londyn   B-NAME
Luna   I-NAME
reported   O
experiencing   O
paroxysms   O
of   O
nocturnal   O
dyspnea   O
,   O
necessitating   O
the   O
use   O
of   O
additional   O
pillows   O
for   O
relief   O
.   O

Peter   B-NAME
Winslow   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
controlled   O
hypertension   O
and   O
a   O
20   O
-   O
year   O
history   O
of   O
smoking   O
,   O
approximately   O
a   O
pack   O
a   O
day   O
.   O

Management   O
Plan   O
A   O
comprehensive   O
heart   O
failure   O
management   O
plan   O
was   O
initiated   O
by   O
Craig   B-NAME
,   O
including   O
guideline   O
-   O
directed   O
medical   O
therapy   O
with   O
ACE   O
inhibitors   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
diuretics   O
.   O

Smoking   O
cessation   O
advice   O
was   O
reinforced   O
,   O
and   O
Hurst   B-NAME
was   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

Further   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
27/06   B-DATE
to   O
reassess   O
symptomatic   O
improvement   O
and   O
re   O
-   O
evaluate   O
the   O
treatment   O
regimen   O
as   O
needed   O
.   O

Confidentiality   O
Notice   O
This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
Fuller   B-NAME
,   O
explicitly   O
protected   O
by   O
federal   O
regulations   O
and   O
applicable   O
state   O
laws   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
patient   O
's   O
care   O
team   O
immediately   O
at   O
644   B-CONTACT
8894   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
fpa712   B-NAME
Date   O
:   O
02/23   B-DATE
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Contact   O
Information   O
:   O
66354   B-CONTACT

Patient   O
Name   O
:   O
Harris   B-NAME
Patient   O
ID   O
:   O
RX   B-ID
:   I-ID
KM:3252   I-ID
Medical   O
Record   O
Number   O
:   O
88515015   B-ID
Date   O
of   O
Admission   O
:   O
3/50   B-DATE
Date   O
of   O
Birth   O
:   O
22/01/2212   B-DATE
Age   O
:   O
30   O
Consulting   O
Doctor   O
:   O
Delaney   B-NAME
Mccoy   I-NAME
Primary   O
Care   O
Doctor   O
:   O
Avery   B-NAME
Hospital   O
Name   O
:   O
Hampstead   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
E93   B-LOCATION
2EU   I-LOCATION
Zip   O
Code   O
:   O
33744   B-LOCATION
Contact   O
Phone   O
:   O
666   B-CONTACT
830   I-CONTACT
7129   I-CONTACT
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Baristas   O
from   O
Navassa   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Norton   B-LOCATION
Sound   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
1859   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
10   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
forehead   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
48   O
hours   O
.   O

Medical   O
History   O
:   O
Melia   B-NAME
Cupp   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
migraine   O
without   O
aura   O
for   O
which   O
the   O
patient   O
usually   O
manages   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Suarez   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
.   O
-   O
Vital   O
Signs   O
:   O
Blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
88   O
bpm   O
,   O
temperature   O
98.6   O
°   O
F   O
,   O
respirations   O
16   O
per   O
minute   O
.   O

Diagnostic   O
Tests   O
:   O
-   O
Head   O
CT   O
without   O
contrast   O
performed   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
McKeesport   I-LOCATION
on   O
1612   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
16   I-DATE
was   O
unremarkable   O
.   O
-   O
Basic   O
blood   O
work   O
including   O
CBC   O
,   O
CMP   O
,   O
and   O
coagulation   O
panel   O
were   O
within   O
normal   O
limits   O
.   O

Assessment   O
and   O
Plan   O
:   O
Abraham   B-NAME
Eaton   I-NAME
,   O
a   O
59   O
-   O
year   O
-   O
old   O
Licensing   O
Examiners   O
and   O
Inspectors   O
with   O
a   O
history   O
of   O
migraine   O
,   O
presents   O
with   O
a   O
typical   O
migraine   O
headache   O
but   O
with   O
increased   O
severity   O
and   O
nausea   O
/   O
vomiting   O
.   O

The   O
patient   O
was   O
given   O
metoclopramide   O
for   O
nausea   O
and   O
sumatriptan   O
for   O
the   O
migraine   O
with   O
good   O
response   O
and   O
was   O
scheduled   O
for   O
outpatient   O
follow   O
-   O
up   O
with   O
Hull   B-NAME
,   I-NAME
Bobby   I-NAME
.   O

Discharge   O
Instructions   O
:   O
-   O
Follow   O
-   O
up   O
with   O
Shania   B-NAME
Murphy   I-NAME
in   O
1   O
week   O
or   O
sooner   O
if   O
headaches   O
become   O
more   O
frequent   O
,   O
severe   O
,   O
or   O
if   O
new   O
symptoms   O
arise   O
.   O

Contact   O
Information   O
:   O
Please   O
contact   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
at   O
657   B-CONTACT
3175   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
regarding   O
your   O
care   O
.   O

Patient   O
Name   O
:   O
Butch   B-NAME
Sex   O
:   O
Male   O
Date   O
of   O
Birth   O
:   O
1987   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
24   I-DATE
Medical   O
Record   O
Number   O
:   O
130   B-ID
-   I-ID
32   I-ID
-   I-ID
00   I-ID
-   I-ID
6   I-ID
Address   O
:   O
EH51   B-LOCATION
6AZ   I-LOCATION
,   O
23423   B-LOCATION
Phone   O
:   O
(   B-CONTACT
369   I-CONTACT
)   I-CONTACT
630   I-CONTACT
6963   I-CONTACT
Employer   O
:   O

The   B-LOCATION
Hartford   I-LOCATION
Occupation   O
:   O
Local   O
government   O
lawyer   O
Primary   O
Care   O
Physician   O
:   O

Schaefer   B-NAME
Referring   O
Physician   O
:   O
Christensen   B-NAME
Visit   O
Date   O
:   O
20/27/2102   B-DATE
Chief   O
Complaint   O
:   O
A   O
55   O
-   O
year   O
-   O
old   O
male   O
,   O
Reed   B-NAME
Mccullough   I-NAME
,   O
presented   O
to   O
the   O
clinic   O
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
1623   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
08   I-DATE
.   O

Additionally   O
,   O
Quinton   B-NAME
Hansen   I-NAME
reports   O
experiencing   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
,   O
which   O
tend   O
to   O
occur   O
shortly   O
after   O
meals   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
indicates   O
that   O
the   O
symptoms   O
first   O
appeared   O
approximately   O
F   B-DATE
ago   O
and   O
have   O
gradually   O
intensified   O
.   O

Kamora   B-NAME
Patton   I-NAME
denies   O
any   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Dunlap   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
which   O
has   O
been   O
managed   O
with   O
medication   O
for   O
the   O
past   O
23/30/2137   B-DATE
years   O
.   O

On   O
physical   O
examination   O
,   O
Kassandra   B-NAME
Casey   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
advised   O
immediate   O
surgical   O
consultation   O
and   O
was   O
referred   O
to   O
Waverly   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
.   O

Nathalia   B-NAME
Mcdaniel   I-NAME
was   O
educated   O
about   O
the   O
condition   O
and   O
the   O
importance   O
of   O
prompt   O
surgical   O
intervention   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
for   O
fall   B-DATE
post   O
-   O
operation   O
for   O
wound   O
assessment   O
and   O
removal   O
of   O
sutures   O
.   O

Patient   O
Signature   O
:   O
Lloyd   B-NAME
Axton   I-NAME
Date   O
:   O
30/36   B-DATE
Healthcare   O
Provider   O
Signature   O
:   O
Gallagher   B-NAME
Date   O
:   O
02   B-DATE
All   O
PHI   O
has   O
been   O
appropriately   O
addressed   O
in   O
accordance   O
with   O
the   O
guidelines   O
provided   O
.   O

Patient   O
Report   O
:   O
52499097   B-ID
Patient   O
:   O
Abril   B-NAME
Warren   I-NAME
Age   O
:   O
4   O
Gender   O
:   O
M   O
Date   O
of   O
Admission   O
:   O
03/16/2221   B-DATE
Date   O
of   O
Discharge   O
:   O
02/04/1718   B-DATE
Primary   O
Care   O
Physician   O
:   O

Cory   B-NAME
Mason   I-NAME
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Iowa   I-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Brownville   B-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Dallas   B-NAME
Sanford   I-NAME
,   O
presented   O
with   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Medical   O
History   O
:   O
Shane   B-NAME
Brooks   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
he   O
takes   O
medication   O
regularly   O
.   O

Surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
at   O
Compass   B-LOCATION
Memorial   I-LOCATION
Healthcare   I-LOCATION
in   O
30   B-DATE
.   O
Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
Freddie   B-NAME
V.   I-NAME
Hickman   I-NAME
displayed   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
positive   O
rebound   O
tenderness   O
and   O
Rovsing   O
's   O
sign   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Martinsville   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
after   O
evaluation   O
by   O
Dr.   O
Maximillian   B-NAME
Lin   I-NAME
,   O
an   O
appendectomy   O
was   O
recommended   O
.   O

Carney   B-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complication   O
on   O
11/32   B-DATE
.   O

Discharge   O
Instructions   O
:   O
Iliana   B-NAME
Dickson   I-NAME
was   O
discharged   O
on   O
08/22   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Jon   B-NAME
Robertson   I-NAME
in   O
two   O
weeks   O
.   O

Emergency   O
Contact   O
:   O
(   B-CONTACT
339   I-CONTACT
)   I-CONTACT
783   I-CONTACT
8744   I-CONTACT
Residence   O
:   O
Rancho   B-LOCATION
Cucamonga   I-LOCATION
,   O
30489   B-LOCATION
Occupation   O
:   O
Transportation   O
Managers   O
ID   O
Numbers   O
:   O
Social   O
Security   O
Number   O
:   O
6645408   B-ID
Health   O
Plan   O
Number   O
:   O
SI524/8927   B-ID
Report   O
Prepared   O
By   O
:   O
vw957   B-NAME

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Ronald   B-NAME
Moses   I-NAME
Age   O
:   O
70   O
Phone   O
:   O
982   B-CONTACT
-   I-CONTACT
3562   I-CONTACT
Address   O
:   O
Deport   B-LOCATION
,   O
37788   B-LOCATION
ID   O
:   O
LN194/8320   B-ID
Medical   O
Record   O
Number   O
:   O
9673L7188   B-ID
Date   O
of   O
Initial   O
Consultation   O
:   O

20/23   B-DATE
Referred   O
by   O
:   O
Dr.   O
Gardner   B-NAME
Location   O
of   O
Consultation   O
:   O
Advanced   B-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
:   O
Jeremiah   B-NAME
Garcia   I-NAME
presents   O
with   O
a   O
complex   O
medical   O
history   O
including   O
diagnosed   O
hypertension   O
,   O
type   O
2   O
diabetes   O
mellitus   O
,   O
and   O
a   O
recent   O
episode   O
of   O
acute   O
bronchitis   O
.   O

Presenting   O
Complaints   O
:   O
Dailey   B-NAME
reports   O
experiencing   O
persistent   O
dry   O
cough   O
,   O
chest   O
discomfort   O
,   O
and   O
shortness   O
of   O
breath   O
for   O
a   O
duration   O
of   O
approximately   O
two   O
weeks   O
.   O

Regina   B-NAME
Dorsey   I-NAME
denies   O
any   O
fever   O
,   O
chills   O
,   O
or   O
recent   O
travels   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
in   O
32/07   B-DATE
to   O
review   O
test   O
results   O
and   O
assess   O
response   O
to   O
treatment   O
.   O

Further   O
Recommendations   O
:   O
Warner   B-NAME
is   O
strongly   O
advised   O
to   O
continue   O
monitoring   O
blood   O
glucose   O
and   O
blood   O
pressure   O
levels   O
daily   O
.   O

Provider   O
's   O
Name   O
:   O
Dr.   O
Annalise   B-NAME
Beck   I-NAME
Provider   O
's   O
Contact   O
:   O
(   B-CONTACT
383   I-CONTACT
)   I-CONTACT
830   I-CONTACT
-   I-CONTACT
8498   I-CONTACT
Date   O
:   O
2237   B-DATE
Unity   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
is   O
committed   O
to   O
providing   O
patient   O
-   O
centered   O
care   O
and   O
encourages   O
Thanh   B-NAME
to   O
communicate   O
any   O
concerns   O
or   O
questions   O
regarding   O
their   O
treatment   O
plan   O
.   O

The   O
patient   O
,   O
known   O
as   O
Serrano   B-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Correctional   O
Officers   O
from   O
Horseshoe   B-LOCATION
Beach   I-LOCATION
,   O
63487   B-LOCATION
,   O
reported   O
to   O
Wheeling   B-LOCATION
Hospital   I-LOCATION
on   O
2/22   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

Lyric   B-NAME
Serrano   I-NAME
,   O
who   O
is   O
38   O
years   O
old   O
,   O
mentioned   O
that   O
the   O
symptoms   O
started   O
approximately   O
three   O
days   O
prior   O
but   O
worsened   O
significantly   O
over   O
the   O
past   O
24   O
hours   O
.   O

Upon   O
initial   O
assessment   O
,   O
Middleton   B-NAME
noted   O
that   O
the   O
patient   O
appeared   O
to   O
be   O
in   O
considerable   O
distress   O
,   O
displaying   O
signs   O
of   O
dehydration   O
and   O
acute   O
abdominal   O
tenderness   O
upon   O
palpation   O
.   O

A   O
comprehensive   O
history   O
taken   O
from   O
Townsend   B-NAME
,   I-NAME
Lawrence   I-NAME
revealed   O
no   O
recent   O
travel   O
outside   O
Fort   B-LOCATION
Washington   I-LOCATION
or   O
any   O
known   O
exposures   O
to   O
contaminated   O
food   O
or   O
water   O
.   O

Eulah   B-NAME
Verner   I-NAME
's   O
medical   O
history   O
,   O
noted   O
in   O
their   O
medical   O
record   O
4326119   B-ID
,   O
showed   O
no   O
previous   O
bouts   O
of   O
similar   O
symptoms   O
or   O
any   O
chronic   O
gastrointestinal   O
conditions   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Andy   B-NAME
Yablonski   I-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
basic   O
metabolic   O
panel   O
(   O
BMP   O
)   O
,   O
and   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
along   O
with   O
an   O
abdominal   O
ultrasound   O
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
symptoms   O
.   O

The   O
contact   O
number   O
64580   B-CONTACT
was   O
provided   O
by   O
Mack   B-NAME
for   O
any   O
follow   O
-   O
up   O
necessary   O
after   O
initial   O
treatment   O
and   O
testing   O
.   O

Abdominal   O
ultrasound   O
findings   O
,   O
discussed   O
with   O
Gallegos   B-NAME
on   O
20/11   B-DATE
,   O
revealed   O
gallstones   O
,   O
leading   O
to   O
a   O
working   O
diagnosis   O
of   O
acute   O
cholecystitis   O
.   O

Orozco   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
with   O
a   O
detailed   O
explanation   O
of   O
the   O
condition   O
and   O
potential   O
treatment   O
options   O
.   O

Galvan   B-NAME
,   I-NAME
Floyd   I-NAME
was   O
transferred   O
to   O
the   O
surgical   O
unit   O
on   O
02/22   B-DATE
for   O
further   O
management   O
.   O

Documentation   O
of   O
the   O
entire   O
patient   O
encounter   O
was   O
meticulously   O
entered   O
into   O
the   O
system   O
using   O
6   B-ID
-   I-ID
6262141   I-ID
and   O
fo942   B-NAME
for   O
privacy   O
compliance   O
.   O

Follow   O
-   O
up   O
care   O
instructions   O
were   O
scheduled   O
to   O
be   O
discussed   O
with   O
Mays   B-NAME
post   O
-   O
surgery   O
,   O
emphasizing   O
the   O
importance   O
of   O
post   O
-   O
operative   O
care   O
and   O
potential   O
dietary   O
modifications   O
needed   O
to   O
prevent   O
recurrence   O
.   O

Patient   O
Name   O
:   O
Douglas   B-NAME
,   I-NAME
Donald   I-NAME
Patient   O
ID   O
:   O
84028   B-ID
Medical   O
Record   O
Number   O
:   O
129   B-ID
-   I-ID
12   I-ID
-   I-ID
04   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
13/22/10   B-DATE
Age   O
:   O
97   O
Address   O
:   O
Canyon   B-LOCATION
Lake   I-LOCATION
,   O
65621   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
720   I-CONTACT
)   I-CONTACT
782   I-CONTACT
-   I-CONTACT
1849   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Cooper   B-NAME
Treating   O
Facility   O
:   O
Ascension   B-LOCATION
Providence   I-LOCATION
Rochester   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Clarita   B-NAME
Lashley   I-NAME
,   O
a   O
Insurance   O
Underwriters   O
from   O
Dania   B-LOCATION
Beach   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
7/25   B-DATE
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
arrival   O
.   O

The   O
patient   O
rated   O
the   O
pain   O
as   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Dan   B-NAME
Prince   I-NAME
stated   O
that   O
the   O
pain   O
started   O
suddenly   O
earlier   O
the   O
same   O
day   O
while   O
at   O
work   O
.   O

Accompanying   O
the   O
pain   O
,   O
Khayyam   B-NAME
,   I-NAME
Omar   I-NAME
experienced   O
nausea   O
followed   O
by   O
vomiting   O
twice   O
,   O
without   O
the   O
presence   O
of   O
blood   O
.   O

Past   O
Medical   O
History   O
:   O
Laface   B-NAME
's   O
medical   O
history   O
includes   O
hypothyroidism   O
managed   O
with   O
medication   O
and   O
a   O
past   O
surgical   O
history   O
of   O
appendectomy   O
performed   O
at   O
Silver   B-LOCATION
Oak   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
in   O
11/23/58   B-DATE
.   O
Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
symptoms   O
outlined   O
in   O
the   O
history   O
of   O
present   O
illness   O
,   O
all   O
other   O
systems   O
were   O
reviewed   O
and   O
were   O
negative   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Roger   B-NAME
Bauer   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
the   O
pain   O
.   O

Diagnosis   O
:   O
Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
test   O
results   O
,   O
Elliot   B-NAME
Sexton   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
at   O
Banner   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
South   I-LOCATION
was   O
consulted   O
,   O
and   O
Isiah   B-NAME
Mendoza   I-NAME
was   O
admitted   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
1/02/2294   B-DATE
.   O

Post   O
-   O
operation   O
,   O
the   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
with   O
Layla   B-NAME
Oconnor   I-NAME
for   O
wound   O
care   O
and   O
management   O
of   O
hypothyroidism   O
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Jordyn   B-NAME
Osborn   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
,   O
adhere   O
to   O
a   O
bland   O
diet   O
for   O
a   O
few   O
days   O
following   O
discharge   O
,   O
and   O
observe   O
for   O
signs   O
of   O
infection   O
around   O
the   O
operative   O
site   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Luna   B-NAME
in   O
two   O
weeks   O
at   O
Mid   B-LOCATION
-   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
to   O
check   O
the   O
surgical   O
site   O
and   O
assess   O
recovery   O
progress   O
.   O

Signature   O
:   O
Juliette   B-NAME
Faxx   I-NAME
03/27/87   B-DATE

Patient   O
:   O
Heinrich   B-NAME
von   I-NAME
Gitfinger   I-NAME
ID   O
:   O
EX494/7324   B-ID
Date   O
of   O
Birth   O
:   O
3/23   B-DATE
Age   O
:   O
7   O
Phone   O
:   O
819   B-CONTACT
747   I-CONTACT
8548   I-CONTACT
Medical   O
Record   O
Number   O
:   O
463   B-ID
-   I-ID
52   I-ID
-   I-ID
56   I-ID
-   I-ID
0   I-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Jones   B-NAME
Location   O
:   O
Ventana   B-LOCATION
,   O
99449   B-LOCATION
Profession   O
:   O

Rock   O
Splitters   O
,   O
Quarry   O
History   O
of   O
Present   O
Illness   O
:   O
Bernhard   B-NAME
,   I-NAME
Sandra   I-NAME
,   O
a   O
45   O
-   O
year   O
-   O
old   O
Fraud   O
Examiners   O
,   O
Investigators   O
and   O
Analysts   O
from   O
North   B-LOCATION
Star   I-LOCATION
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
on   O
09/08   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

Norah   B-NAME
Mcneil   I-NAME
rated   O
the   O
pain   O
as   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

Catalina   B-NAME
Duke   I-NAME
denied   O
any   O
history   O
of   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Non   O
-   O
contributory   O
Medications   O
:   O
None   O
Allergies   O
:   O
No   O
known   O
drug   O
allergies   O
Family   O
History   O
:   O
Non   O
-   O
contributory   O
Social   O
History   O
:   O
Brown   B-NAME
,   I-NAME
Julie   I-NAME
is   O
a   O
Neuropsychologists   O
and   O
Clinical   O
Neuropsychologists   O
living   O
in   O
Laurel   B-LOCATION
Run   I-LOCATION
.   O

Lester   B-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
non   O
-   O
contrast   O
head   O
CT   O
scan   O
performed   O
on   O
12/20   B-DATE
was   O
normal   O
.   O

Treatment   O
and   O
Plan   O
:   O
Warhol   B-NAME
,   I-NAME
Andy   I-NAME
was   O
diagnosed   O
with   O
migraine   O
without   O
aura   O
.   O

A   O
treatment   O
plan   O
including   O
oral   O
sumatriptan   O
and   O
naproxen   O
was   O
initiated   O
,   O
and   O
Anabelle   B-NAME
Randall   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Adams   B-NAME
,   I-NAME
John   I-NAME
Quincy   I-NAME
for   O
13/21   B-DATE
at   O
Alvarado   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
reassess   O
the   O
symptoms   O
and   O
treatment   O
effectiveness   O
.   O

Confirmatory   O
contact   O
with   O
Brylee   B-NAME
Pearson   I-NAME
was   O
established   O
via   O
phone   O
number   O
:   O
62781   B-CONTACT
.   O

All   O
PHI   O
requirements   O
and   O
confidentiality   O
protocols   O
as   O
per   O
Oconee   B-LOCATION
EMC   I-LOCATION
have   O
been   O
adhered   O
to   O
in   O
this   O
documentation   O
.   O

Prepared   O
by   O
:   O
oj121   B-NAME
,   O
10/37   B-DATE
This   O
synthetic   O
patient   O
report   O
has   O
been   O
created   O
adhering   O
to   O
the   O
privacy   O
guidelines   O
and   O
does   O
not   O
contain   O
any   O
real   O
patient   O
information   O
.   O

Patient   O
Name   O
:   O
Kessler   B-NAME
Patient   O
ID   O
:   O
WC:2464:102946   B-ID
Medical   O
Record   O
Number   O
:   O
857   B-ID
-   I-ID
96   I-ID
-   I-ID
62   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Birth   O
:   O
2336   B-DATE
Age   O
:   O
100   O
Phone   O
Number   O
:   O
77714   B-CONTACT
Address   O
:   O
Lobelville   B-LOCATION
,   O
88966   B-LOCATION
Occupation   O
:   O
Sociologists   O
Primary   O
Care   O
Physician   O
:   O

Angelique   B-NAME
Rose   I-NAME
Hospital   O
:   O
Riddle   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
14/01   B-DATE
Username   O
:   O
scn63   B-NAME
Chief   O
Complaint   O
:   O
Hugo   B-NAME
Buckley   I-NAME
presents   O
with   O
a   O
persistent   O
dry   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
seven   O
days   O
prior   O
to   O
this   O
visit   O
on   O
00/87   B-DATE
.   O

Approximately   O
three   O
days   O
ago   O
,   O
Skip   B-NAME
started   O
experiencing   O
difficulty   O
in   O
breathing   O
,   O
especially   O
during   O
minor   O
physical   O
activities   O
.   O

Past   O
Medical   O
History   O
:   O
Colon   B-NAME
has   O
a   O
history   O
of   O
controlled   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Medications   O
:   O
Ursula   B-NAME
Olivia   I-NAME
Oconnell   I-NAME
is   O
on   O
Metformin   O
and   O
Lisinopril   O
for   O
diabetes   O
and   O
hypertension   O
,   O
respectively   O
.   O

H.   B-NAME
U.   I-NAME
HEBERT   I-NAME
's   O
father   O
suffered   O
from   O
coronary   O
artery   O
disease   O
.   O

Adrienne   B-NAME
Holland   I-NAME
is   O
a   O
Computer   O
sales   O
support   O
by   O
profession   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Karen   B-NAME
Bader   I-NAME
appears   O
tired   O
but   O
is   O
in   O
no   O
acute   O
distress   O
.   O

Farrah   B-NAME
Hanna   I-NAME
is   O
advised   O
to   O
maintain   O
strict   O
self   O
-   O
isolation   O
measures   O
and   O
to   O
manage   O
fever   O
and   O
discomfort   O
with   O
over   O
-   O
the   O
-   O
counter   O
acetaminophen   O
.   O

Follow   O
-   O
up   O
via   O
telemedicine   O
or   O
in   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsen   O
or   O
difficulty   O
breathing   O
develops   O
.   O

The   O
patient   O
was   O
prescribed   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Sloane   B-NAME
Fritz   I-NAME
on   O
32/23   B-DATE
to   O
review   O
test   O
results   O
and   O
assess   O
symptom   O
progression   O
.   O

Patient   O
Name   O
:   O
Avery   B-NAME
Garner   I-NAME
Patient   O
ID   O
:   O
LB:791091:330483   B-ID
Medical   O
Record   O
Number   O
:   O
6546098   B-ID
Date   O
of   O
Birth   O
:   O
2/2010   B-DATE
Age   O
:   O
1   O
week   O
Address   O
:   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11221   I-LOCATION
,   O
72429   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
435   I-CONTACT
)   I-CONTACT
333   I-CONTACT
5631   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Flores   B-NAME
Employer   O
:   O

First   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Psychiatric   O
Technicians   O
Treatment   O
Facility   O
:   O
Rush   B-LOCATION
Oak   I-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
6/   B-DATE
2063   I-DATE
Date   O
of   O
Discharge   O
:   O
8/25   B-DATE
Summary   O
:   O
Jeremiah   B-NAME
Kidd   I-NAME
,   O
a   O
70   O
-   O
year   O
-   O
old   O
Court   O
,   O
Municipal   O
,   O
and   O
License   O
Clerks   O
resident   O
at   O
Taneytown   B-LOCATION
,   O
was   O
admitted   O
to   O
MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Chester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
3/32/81   B-DATE
following   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
and   O
persistent   O
vomiting   O
.   O

The   O
on   O
-   O
call   O
physician   O
,   O
Mccann   B-NAME
,   O
conducted   O
a   O
thorough   O
examination   O
and   O
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
an   O
abdominal   O
ultrasound   O
and   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
.   O

Upon   O
review   O
of   O
the   O
medical   O
history   O
provided   O
by   O
Kale   B-NAME
Baldwin   I-NAME
,   O
it   O
was   O
noted   O
that   O
there   O
had   O
been   O
no   O
prior   O
complaints   O
of   O
such   O
intensity   O
and   O
frequency   O
.   O

Peter   B-NAME
Morgan   I-NAME
disclosed   O
having   O
eaten   O
at   O
a   O
new   O
restaurant   O
in   O
Lititz   B-LOCATION
,   I-LOCATION
Venture   I-LOCATION
Lititz   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
approximately   O
72   O
hours   O
before   O
the   O
onset   O
of   O
symptoms   O
,   O
raising   O
the   O
suspicion   O
of   O
a   O
foodborne   O
illness   O
.   O

Kyla   B-NAME
Miles   I-NAME
was   O
immediately   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
fluids   O
to   O
address   O
dehydration   O
and   O
given   O
antibiotics   O
to   O
combat   O
the   O
suspected   O
bacterial   O
infection   O
.   O

Over   O
the   O
course   O
of   O
their   O
02/26/2228   B-DATE
-   O
Saturday   B-DATE
,   I-DATE
June   I-DATE
admission   O
at   O
Poinciana   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Lilly   B-NAME
Hendrix   I-NAME
's   O
condition   O
saw   O
a   O
gradual   O
improvement   O
.   O

Esmeralda   B-NAME
Pham   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
safe   O
food   O
practices   O
and   O
was   O
advised   O
to   O
avoid   O
unverified   O
eating   O
establishments   O
in   O
the   O
future   O
.   O

Discharge   O
plans   O
included   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Colon   B-NAME
at   O
Formerly   B-LOCATION
Oakwood   I-LOCATION
Annapolis   I-LOCATION
Hospital   I-LOCATION
set   O
for   O
2266   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
19   I-DATE
,   O
along   O
with   O
instructions   O
for   O
Rushton   B-NAME
,   I-NAME
Willie   I-NAME
to   O
monitor   O
their   O
condition   O
and   O
to   O
report   O
any   O
recurrence   O
of   O
symptoms   O
.   O

In   O
the   O
event   O
of   O
any   O
questions   O
or   O
emergencies   O
,   O
Allan   B-NAME
Chase   I-NAME
was   O
instructed   O
to   O
contact   O
Charlotte   B-LOCATION
Hungerford   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
729   I-CONTACT
)   I-CONTACT
112   I-CONTACT
-   I-CONTACT
6901   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
immediately   O
.   O

Note   O
:   O
Consent   O
for   O
the   O
release   O
of   O
this   O
information   O
was   O
provided   O
by   O
Rosamond   B-NAME
Contino   I-NAME
,   O
adhering   O
to   O
the   O
privacy   O
guidelines   O
and   O
regulations   O
.   O

The   O
patient   O
,   O
Evelyn   B-NAME
Li   I-NAME
,   O
a   O
75   O
-   O
year   O
-   O
old   O
Software   O
developer   O
residing   O
in   O
Birmingham   B-LOCATION
,   O
45250   B-LOCATION
,   O
presented   O
to   O
Osceola   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
Saturday   B-DATE
,   I-DATE
December   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
started   O
approximately   O
8   O
hours   O
prior   O
to   O
presentation   O
.   O

The   O
patient   O
reported   O
the   O
onset   O
of   O
symptoms   O
shortly   O
after   O
consuming   O
food   O
from   O
a   O
new   O
restaurant   O
in   O
JF   B-LOCATION
Villarreal   I-LOCATION
.   O

Physical   O
examination   O
by   O
Dr.   O
Wright   B-NAME
revealed   O
a   O
temperature   O
of   O
37.8   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
blood   O
pressure   O
of   O
134/88   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
MultiCare   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Damari   B-NAME
Stark   I-NAME
for   O
further   O
observation   O
and   O
management   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
ordered   O
on   O
28/22   B-DATE
,   O
confirmed   O
the   O
absence   O
of   O
appendicitis   O
but   O
showed   O
thickening   O
of   O
the   O
colon   O
suggestive   O
of   O
colitis   O
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
with   O
their   O
primary   O
care   O
physician   O
,   O
Dr.   O
Riley   B-NAME
,   O
in   O
New   B-LOCATION
Cassel   I-LOCATION
,   O
and   O
a   O
gastroenterologist   O
for   O
further   O
evaluation   O
and   O
management   O
of   O
the   O
colitis   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
30/02   B-DATE
with   O
a   O
prescription   O
for   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
instructions   O
for   O
a   O
soft   O
,   O
bland   O
diet   O
for   O
the   O
next   O
week   O
.   O

For   O
any   O
additional   O
follow   O
-   O
up   O
appointments   O
,   O
the   O
patient   O
was   O
instructed   O
to   O
contact   O
the   O
hospital   O
's   O
gastroenterology   O
department   O
at   O
(   B-CONTACT
466   I-CONTACT
)   I-CONTACT
688   I-CONTACT
1534   I-CONTACT
.   O

The   O
discharge   O
instructions   O
also   O
included   O
a   O
reminder   O
for   O
the   O
patient   O
to   O
check   O
their   O
patient   O
portal   O
for   O
lab   O
results   O
and   O
messages   O
from   O
their   O
healthcare   O
team   O
,   O
using   O
their   O
unique   O
patient   O
ID   O
:   O
BB:62231:607478   B-ID
and   O
username   O
:   O
jx685   B-NAME
.   O

Patient   O
Name   O
:   O
Usha   B-NAME
Age   O
:   O
22   O
Gender   O
:   O

Male   O
Date   O
of   O
Birth   O
:   O
32/21/94   B-DATE
Address   O
:   O
Susquehanna   B-LOCATION
Depot   I-LOCATION
,   O
25368   B-LOCATION
Phone   O
Number   O
:   O
20287   B-CONTACT
Occupation   O
:   O
Programme   O
researcher   O
Medical   O
Record   O
Number   O
:   O
1895089   B-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Love   B-NAME
Hospital   O
:   O
Henrico   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
HospitalHenrico   I-LOCATION
Campus   I-LOCATION
ID   O
:   O
KW   B-ID
:   I-ID
TA:1179   I-ID
Admission   O
Date   O
:   O
3/0/16   B-DATE
Username   O
:   O
YE699   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Mr.   O
Horn   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Penn   B-LOCATION
State   I-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
on   O
05/04   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
pain   O
was   O
described   O
as   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
,   O
intermittently   O
occurring   O
over   O
the   O
past   O
Saturday   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mr.   O
Amnito   B-NAME
Homsey   I-NAME
reported   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
tolerable   O
approximately   O
31/22/2385   B-DATE
prior   O
to   O
this   O
visit   O
but   O
significantly   O
worsened   O
over   O
the   O
past   O
24   O
hours   O
,   O
prompting   O
the   O
ER   O
visit   O
.   O

Upon   O
examination   O
,   O
Mr.   O
F.   B-NAME
JORDAN   I-NAME
FUCHS   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Regional   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
of   O
acute   O
pyelonephritis   O
likely   O
secondary   O
to   O
obstructive   O
urolithiasis   O
.   O

Follow   O
-   O
Up   O
:   O
Mr.   O
Burgess   B-NAME
will   O
remain   O
in   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Wilkes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Aaden   B-NAME
Allen   I-NAME
for   O
monitoring   O
response   O
to   O
treatment   O
.   O

Repeat   O
labs   O
and   O
imaging   O
will   O
be   O
performed   O
on   O
5/21   B-DATE
to   O
assess   O
treatment   O
efficacy   O
and   O
stone   O
progression   O
.   O

Outpatient   O
follow   O
-   O
up   O
with   O
urology   O
post   O
-   O
discharge   O
is   O
scheduled   O
for   O
22/32   B-DATE
.   O
Contacts   O
:   O

In   O
case   O
of   O
emergency   O
or   O
additional   O
information   O
needed   O
,   O
please   O
contact   O
Labette   B-LOCATION
Health   I-LOCATION
at   O
24219   B-CONTACT
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Reva   B-NAME
Chew   I-NAME
ID   O
:   O
NR   B-ID
:   I-ID
GI:5557   I-ID
Medical   O
Record   O
Number   O
:   O
75896682   B-ID
Age   O
:   O
50   O
Address   O
:   O
Avis   B-LOCATION
,   O
98670   B-LOCATION
Phone   O
Number   O
:   O
818   B-CONTACT
-   I-CONTACT
9710   I-CONTACT
Employment   O
:   O
Museum   O
Technicians   O
and   O
Conservators   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Darian   B-NAME
Sullivan   I-NAME
Summary   O
:   O
On   O
2038   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
21   I-DATE
,   O
Dodge   B-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Eastside   I-LOCATION
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

XAVIER   B-NAME
ODONNELL   I-NAME
's   O
medical   O
history   O
includes   O
chronic   O
pancreatitis   O
,   O
which   O
is   O
relevant   O
to   O
the   O
current   O
presentation   O
.   O

Medical   O
History   O
:   O
-   O
Chronic   O
Pancreatitis   O
-   O
Type   O
2   O
Diabetes   O
Mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
-   O
Hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
Current   O
Medications   O
:   O
-   O
Metformin   O
500   O
mg   O
BID   O
-   O
Lisinopril   O
10   O
mg   O
daily   O
-   O
Multivitamin   O
Family   O
History   O
:   O
-   O
Father   O
:   O
Type   O
2   O
Diabetes   O
Mellitus   O
-   O
Mother   O
:   O
Hypertension   O
Social   O
History   O
:   O
Donovan   B-NAME
Porter   I-NAME
is   O
a   O
Clothing   O
and   O
textile   O
technologist   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
and   O
recreational   O
drugs   O
.   O

Examination   O
Findings   O
:   O
-   O
General   O
:   O
BEVERLY   B-NAME
B.   I-NAME
MARTINEZ   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Dax   B-NAME
Herman   I-NAME
was   O
managed   O
with   O
IV   O
fluids   O
,   O
pain   O
control   O
,   O
and   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
initially   O
to   O
rest   O
the   O
pancreas   O
.   O

After   O
48   O
hours   O
,   O
Joey   B-NAME
Whitehead   I-NAME
was   O
started   O
on   O
a   O
low   O
-   O
fat   O
diet   O
with   O
the   O
reintroduction   O
of   O
oral   O
feedings   O
.   O

The   O
diabetes   O
management   O
team   O
adjusted   O
the   O
diabetes   O
medications   O
in   O
the   O
context   O
of   O
Song   B-NAME
Lepak   I-NAME
's   O
acute   O
illness   O
.   O

Prater   B-NAME
was   O
counseled   O
about   O
lifestyle   O
modifications   O
including   O
a   O
low   O
-   O
fat   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
abstinence   O
from   O
alcohol   O
.   O

Nolan   B-NAME
Cooke   I-NAME
received   O
discharge   O
instructions   O
on   O
04/04   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Rowe   B-NAME
in   O
one   O
week   O
and   O
a   O
referral   O
to   O
a   O
dietitian   O
.   O

Additionally   O
,   O
Brennen   B-NAME
Mcgee   I-NAME
is   O
advised   O
to   O
strictly   O
adhere   O
to   O
the   O
prescribed   O
medication   O
regimen   O
and   O
scheduled   O
follow   O
-   O
up   O
appointments   O
for   O
optimal   O
recovery   O
and   O
management   O
of   O
chronic   O
pancreatitis   O
.   O

Acknowledgements   O
:   O
The   O
care   O
team   O
at   O
Children   B-LOCATION
's   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
,   O
including   O
Bowman   B-NAME
and   O
supporting   O
nursing   O
and   O
dietary   O
staff   O
,   O
provided   O
comprehensive   O
care   O
to   O
Soto   B-NAME
.   O

This   O
report   O
was   O
prepared   O
by   O
lbj58   B-NAME
on   O
9/2301   B-DATE
and   O
is   O
strictly   O
confidential   O
.   O

Kade   B-NAME
Shaw   I-NAME
Age   O
:   O
8   O
month   O
Address   O
:   O
Colville   B-LOCATION
,   O
55361   B-LOCATION
Employment   O
:   O

Data   O
Processing   O
Equipment   O
Repairers   O
Doctor   O
:   O
Fritz   B-NAME
Hospital   O
:   O
Children   B-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
of   I-LOCATION
Atlanta   I-LOCATION
at   I-LOCATION
Hughes   I-LOCATION
Spalding   I-LOCATION
Medical   O
Record   O
Number   O
:   O
16402073   B-ID
Date   O
of   O
Visit   O
:   O
02/02/2172   B-DATE
Contact   O
Number   O
:   O
(   B-CONTACT
166   I-CONTACT
)   I-CONTACT
534   I-CONTACT
-   I-CONTACT
1588   I-CONTACT
Clinical   O
Notes   O
:   O

On   O
12/12   B-DATE
,   O
Nicholas   B-NAME
Hood   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Holzer   B-LOCATION
Gallipolis   I-LOCATION
,   O
accompanied   O
by   O
symptoms   O
of   O
acute   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
clinical   O
presentation   O
of   O
appendicitis   O
.   O

Farrell   B-NAME
,   O
a   O
Special   O
Forces   O
Officers   O
,   O
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
,   O
suggesting   O
an   O
inflammatory   O
process   O
at   O
play   O
.   O

Upon   O
physical   O
examination   O
,   O
DUNN   B-NAME
,   I-NAME
VINCENT   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
at   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
130/75   O
mmHg   O
.   O

Imaging   O
studies   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
were   O
ordered   O
by   O
Jill   B-NAME
Leiter   I-NAME
and   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
no   O
signs   O
of   O
perforation   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Burnham   B-NAME
,   I-NAME
Frederick   I-NAME
Russell   I-NAME
was   O
admitted   O
to   O
Doctors   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Renaissance   I-LOCATION
under   O
the   O
care   O
of   O
Edgar   B-NAME
Houston   I-NAME
for   O
further   O
management   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
04/12   B-DATE
without   O
complications   O
.   O

Kirk   B-NAME
has   O
been   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
post   O
-   O
surgery   O
and   O
pain   O
management   O
recommendations   O
.   O

Fisher   B-NAME
Marquez   I-NAME
is   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
on   O
6/3   B-DATE
for   O
wound   O
inspection   O
and   O
to   O
assess   O
recovery   O
progress   O
.   O

Should   O
there   O
be   O
any   O
signs   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
other   O
concerns   O
,   O
DUNN   B-NAME
,   I-NAME
VINCENT   I-NAME
is   O
instructed   O
to   O
contact   O
Plantation   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
454   B-CONTACT
-   I-CONTACT
127   I-CONTACT
7742   I-CONTACT
immediately   O
.   O

In   O
summary   O
,   O
Goldfoot   B-NAME
's   O
presentation   O
of   O
appendicitis   O
required   O
swift   O
surgical   O
intervention   O
to   O
prevent   O
further   O
complications   O
.   O

The   O
coordinated   O
care   O
provided   O
by   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Davie   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
resulted   O
in   O
a   O
positive   O
outcome   O
with   O
an   O
expected   O
full   O
recovery   O
.   O

Medical   O
Record   O
Prepared   O
by   O
:   O
qn90   B-NAME
,   O
RN   O
spring   B-DATE
,   I-DATE
2350   I-DATE

The   O
patient   O
,   O
Augustus   B-NAME
Tran   I-NAME
,   O
a   O
Heat   O
Treating   O
,   O
Annealing   O
,   O
and   O
Tempering   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Alfreton   B-LOCATION
,   O
was   O
admitted   O
to   O
The   B-LOCATION
Orthopedic   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
TOSH   I-LOCATION
)   I-LOCATION
on   O
1721   B-DATE
with   O
a   O
medical   O
record   O
number   O
of   O
855   B-ID
85   I-ID
18   I-ID
.   O

Yale   B-NAME
Dickerson   I-NAME
's   O
primary   O
complaint   O
was   O
a   O
persistent   O
,   O
dry   O
cough   O
that   O
was   O
occasionally   O
accompanied   O
by   O
bouts   O
of   O
severe   O
chest   O
pain   O
.   O

Furthermore   O
,   O
Elbert   B-NAME
Fleet   I-NAME
,   O
who   O
is   O
45   O
years   O
old   O
,   O
reported   O
experiencing   O
episodes   O
of   O
dyspnea   O
,   O
particularly   O
during   O
minor   O
physical   O
activities   O
or   O
at   O
rest   O
.   O

Upon   O
initial   O
evaluation   O
,   O
Aemillia   B-NAME
Angilello   I-NAME
displayed   O
a   O
body   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
indicating   O
a   O
presence   O
of   O
fever   O
.   O

A   O
thorough   O
physical   O
examination   O
performed   O
by   O
Marley   B-NAME
Johnston   I-NAME
revealed   O
crackles   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
,   O
suggesting   O
potential   O
pulmonary   O
involvement   O
.   O

Given   O
the   O
symptomatology   O
and   O
preliminary   O
diagnostic   O
findings   O
,   O
Duke   B-NAME
suspected   O
a   O
case   O
of   O
community   O
-   O
acquired   O
pneumonia   O
,   O
potentially   O
complicated   O
by   O
an   O
underlying   O
chronic   O
condition   O
.   O

The   O
patient   O
's   O
contact   O
number   O
,   O
82698   B-CONTACT
,   O
and   O
the   O
emergency   O
contact   O
details   O
were   O
verified   O
.   O

It   O
was   O
noted   O
that   O
Kadin   B-NAME
Moore   I-NAME
had   O
no   O
known   O
drug   O
allergies   O
but   O
had   O
a   O
history   O
of   O
mild   O
asthma   O
.   O

Family   O
history   O
,   O
provided   O
by   O
Jennifer   B-NAME
Paige   I-NAME
,   O
revealed   O
no   O
significant   O
genetic   O
conditions   O
that   O
could   O
contribute   O
to   O
the   O
presentation   O
.   O

Kylan   B-NAME
Cherry   I-NAME
consented   O
to   O
the   O
proposed   O
treatment   O
plan   O
after   O
a   O
detailed   O
discussion   O
regarding   O
the   O
risks   O
and   O
benefits   O
.   O

The   O
care   O
coordination   O
team   O
at   O
West   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
documented   O
Blake   B-NAME
Downs   I-NAME
's   O
case   O
in   O
the   O
electronic   O
health   O
records   O
system   O
,   O
assigning   O
an   O
ID   O
number   O
NB   B-ID
:   I-ID
OY:9296   I-ID
to   O
the   O
file   O
for   O
ease   O
of   O
tracking   O
and   O
confidentiality   O
.   O

The   O
team   O
also   O
coordinated   O
with   O
JF   B-NAME
's   O
primary   O
care   O
physician   O
in   O
Stateburg   B-LOCATION
for   O
continuity   O
of   O
care   O
post   O
-   O
discharge   O
,   O
ensuring   O
all   O
medical   O
records   O
,   O
including   O
lab   O
results   O
and   O
imaging   O
studies   O
,   O
would   O
be   O
shared   O
via   O
a   O
secure   O
platform   O
.   O

As   O
Haiden   B-NAME
Anthony   I-NAME
's   O
condition   O
improved   O
,   O
discussions   O
about   O
discharge   O
planning   O
and   O
follow   O
-   O
up   O
care   O
were   O
initiated   O
.   O

Qin   B-NAME
Shi   I-NAME
Huang   I-NAME
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Jerimiah   B-NAME
Hill   I-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
reassess   O
lung   O
function   O
and   O
overall   O
recovery   O
progress   O
.   O

In   O
compliance   O
with   O
privacy   O
regulations   O
,   O
all   O
personally   O
identifying   O
information   O
has   O
been   O
protected   O
,   O
and   O
any   O
communication   O
with   O
Upton   B-NAME
regarding   O
the   O
case   O
will   O
be   O
conducted   O
through   O
secure   O
means   O
,   O
including   O
the   O
use   O
of   O
Maya   B-NAME
Dutta   I-NAME
's   O
secure   O
patient   O
portal   O
username   O
,   O
sw4410   B-NAME
,   O
for   O
accessing   O
test   O
results   O
and   O
medical   O
advice   O
online   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Yacob   B-NAME
T.   I-NAME
Kane   I-NAME
Patient   O
Age   O
:   O
85   O
Medical   O
Record   O
Number   O
:   O
213   B-ID
-   I-ID
54   I-ID
-   I-ID
86   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
8/22   B-DATE
Address   O
:   O
Wauchula   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Wauchula   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
28541   B-LOCATION
Phone   O
Number   O
:   O
923   B-CONTACT
-   I-CONTACT
287   I-CONTACT
-   I-CONTACT
5685   I-CONTACT

Zoe   B-NAME
Maldonado   I-NAME
Facility   O
:   O
Bleckley   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Ford   B-NAME
,   O
a   O
Economist   O
,   O
presented   O
on   O
2117   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
07   I-DATE
with   O
complaints   O
of   O
acute   O
,   O
localized   O
abdominal   O
pain   O
,   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
patient   O
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
fever   O
of   O
38.5   O
℃   O
noted   O
since   O
the   O
morning   O
of   O
3/00   B-DATE
.   O
Medical   O
History   O
:   O
Anderson   B-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Upon   O
examination   O
on   O
May   B-DATE
19   I-DATE
,   O
Rosamond   B-NAME
demonstrated   O
signs   O
of   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
32   B-DATE
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
slight   O
periappendiceal   O
fluid   O
collection   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Chase   B-NAME
Macdonald   I-NAME
was   O
admitted   O
to   O
University   B-LOCATION
of   I-LOCATION
Washington   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Tuesday   B-DATE
under   O
the   O
care   O
of   O
Sierra   B-NAME
Acevedo   I-NAME
.   O

The   O
patient   O
was   O
started   O
on   O
IV   O
antibiotics   O
and   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
12/12   B-DATE
.   O

Post   O
-   O
operatively   O
,   O
Linh   B-NAME
Bou   I-NAME
received   O
pain   O
management   O
and   O
continued   O
on   O
antibiotics   O
.   O

Follow   O
-   O
Up   O
:   O
Gibson   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
01/01/2034   B-DATE
with   O
Jada   B-NAME
Livingston   I-NAME
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Instructions   O
:   O
Harrison   B-NAME
was   O
instructed   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
2   O
weeks   O
post   O
-   O
surgery   O
and   O
to   O
maintain   O
hydration   O
and   O
a   O
balanced   O
diet   O
.   O

Prepared   O
by   O
:   O
eu1012   B-NAME
Date   O
:   O
33/15   B-DATE
Contact   O
Information   O
:   O
74191   B-CONTACT
Note   O
:   O
This   O
document   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
applicable   O
laws   O
.   O

Patient   O
Report   O
for   O
White   B-NAME
2142   B-DATE
1   O
.   O

*   O
*   O
Patient   O
Information   O
*   O
*   O
:   O
-   O
Age   O
:   O
7   O
week   O
-   O
16073   B-ID
:   O
9571332   B-ID
-   O
Contact   O
Info   O
:   O
43441   B-CONTACT
,   O
McAllen   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78501   I-LOCATION
,   O
41096   B-LOCATION
2   O
.   O
*   O

The   O
patient   O
was   O
admitted   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
symptoms   O
have   O
been   O
persistent   O
since   O
23/14   B-DATE
,   O
increasingly   O
becoming   O
severe   O
and   O
leading   O
the   O
patient   O
to   O
seek   O
medical   O
attention   O
.   O

*   O
*   O
Medical   O
Examination   O
*   O
*   O
:   O
Upon   O
examination   O
,   O
Dr.   O
Glenn   B-NAME
noted   O
that   O
the   O
patient   O
displayed   O
signs   O
of   O
rebound   O
tenderness   O
and   O
muscle   O
guarding   O
during   O
the   O
abdominal   O
examination   O
.   O

The   O
surgical   O
procedure   O
was   O
scheduled   O
for   O
8/23/09   B-DATE
and   O
successfully   O
performed   O
by   O
Dr.   O
Casey   B-NAME
and   O
their   O
team   O
.   O

Gwen   B-NAME
K.   I-NAME
Xique   I-NAME
showed   O
excellent   O
recovery   O
post   O
-   O
operation   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
22/33   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
at   O
Baystate   B-LOCATION
Noble   I-LOCATION
Hospital   I-LOCATION
on   O
6/84   B-DATE
.   O

Should   O
this   O
report   O
be   O
shared   O
with   O
other   O
medical   O
professionals   O
or   O
New   B-LOCATION
Century   I-LOCATION
Bank   I-LOCATION
,   O
all   O
PHI   O
labels   O
must   O
be   O
respected   O
.   O

This   O
detailed   O
report   O
has   O
been   O
prepared   O
by   O
Dr.   O
Lana   B-NAME
Mccoy   I-NAME
,   O
located   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
Newburgh   I-LOCATION
Campus   I-LOCATION
,   O
Glendive   B-LOCATION
,   O
90534   B-LOCATION
.   O

For   O
further   O
communication   O
regarding   O
this   O
patient   O
's   O
case   O
,   O
please   O
contact   O
29831   B-CONTACT
or   O
reach   O
out   O
via   O
email   O
at   O
BS340   B-NAME
@   O
Marshall   B-LOCATION
Municipal   I-LOCATION
Utilities   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
6138494   B-ID
5/01/2103   B-DATE
,   O
Deandre   B-NAME
Rojas   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Oxnard   I-LOCATION
in   O
Eleele   B-LOCATION
displaying   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Additionally   O
,   O
Alexie   B-NAME
,   I-NAME
Sherman   I-NAME
presented   O
with   O
nausea   O
,   O
a   O
marked   O
increase   O
in   O
temperature   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

Upon   O
examination   O
,   O
Snow   B-NAME
noted   O
that   O
Dougherty   B-NAME
,   O
age   O
94   O
,   O
exhibited   O
rebound   O
tenderness   O
during   O
the   O
physical   O
examination   O
,   O
particularly   O
when   O
pressure   O
was   O
applied   O
to   O
the   O
McBurney   O
's   O
point   O
.   O

A   O
surgical   O
consultation   O
was   O
recommended   O
immediately   O
,   O
and   O
Lilla   B-NAME
Lambson   I-NAME
was   O
prepared   O
for   O
an   O
appendectomy   O
within   O
hours   O
of   O
being   O
admitted   O
to   O
the   O
hospital   O
.   O

The   O
procedure   O
,   O
carried   O
out   O
on   O
8   B-DATE
-   I-DATE
13   I-DATE
,   O
was   O
successful   O
without   O
any   O
complications   O
.   O

Post   O
-   O
operative   O
care   O
was   O
managed   O
carefully   O
,   O
with   O
Beatrice   B-NAME
Mendoza   I-NAME
responding   O
well   O
to   O
treatment   O
and   O
showing   O
signs   O
of   O
recovery   O
.   O

Contact   O
was   O
made   O
with   O
Bowman   B-NAME
through   O
575   B-CONTACT
7694   I-CONTACT
for   O
follow   O
-   O
up   O
appointments   O
and   O
any   O
necessary   O
post   O
-   O
operative   O
instructions   O
were   O
provided   O
.   O

Darnell   B-NAME
Coffey   I-NAME
resides   O
in   O
Aurora   B-LOCATION
Center   I-LOCATION
,   O
ZIP   O
code   O
55946   B-LOCATION
,   O
and   O
was   O
advised   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unusual   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
29/22/21   B-DATE
with   O
Gardner   B-NAME
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Bonilla   B-NAME
's   O
privacy   O
and   O
confidentiality   O
were   O
strictly   O
maintained   O
,   O
as   O
is   O
the   O
policy   O
of   O
Zeeland   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
further   O
information   O
or   O
clarification   O
,   O
Kelton   B-NAME
Chambers   I-NAME
's   O
office   O
at   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Dearborn   I-LOCATION
can   O
be   O
reached   O
at   O
11906   B-CONTACT
.   O

Information   O
may   O
also   O
be   O
updated   O
in   O
Diamond   B-NAME
Terrell   I-NAME
's   O
medical   O
record   O
accessible   O
via   O
the   O
patient   O
portal   O
,   O
or   O
for   O
direct   O
inquiries   O
,   O
please   O
reference   O
patient   O
ID   O
16159673   B-ID
.   O

Report   O
prepared   O
by   O
:   O
mrt250   B-NAME
08/26/1699   B-DATE

The   O
patient   O
,   O
Tyrell   B-NAME
,   O
a   O
Aid   O
worker   O
/   O
humanitarian   O
worker   O
from   O
Plains   B-LOCATION
,   I-LOCATION
Plains   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
Program   I-LOCATION
,   O
80583   B-LOCATION
,   O
reported   O
to   O
CHRISTUS   B-LOCATION
Southeast   I-LOCATION
Texas   I-LOCATION
St.   I-LOCATION
Elizabeth   I-LOCATION
on   O
1860   B-DATE
.   O

The   O
individual   O
,   O
of   O
14   O
,   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Park   B-NAME
following   O
a   O
presentation   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
and   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Upon   O
initial   O
evaluation   O
,   O
Armando   B-NAME
Riggio   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
,   O
blood   O
pressure   O
at   O
140/90   O
mmHg   O
,   O
heart   O
rate   O
at   O
102   O
beats   O
per   O
minute   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
.   O

After   O
a   O
detailed   O
assessment   O
,   O
Dakota   B-NAME
Blevins   I-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
to   O
further   O
investigate   O
the   O
symptoms   O
.   O

Zhang   B-NAME
recommended   O
an   O
immediate   O
hospital   O
admission   O
for   O
Shyla   B-NAME
Glover   I-NAME
to   O
commence   O
treatment   O
.   O

The   O
7690208   B-ID
for   O
this   O
patient   O
,   O
identified   O
by   O
LO   B-ID
:   I-ID
JZ:9934   I-ID
,   O
contains   O
detailed   O
daily   O
progress   O
notes   O
indicating   O
a   O
gradual   O
improvement   O
in   O
symptoms   O
over   O
the   O
following   O
days   O
.   O

The   O
patient   O
's   O
contact   O
information   O
,   O
including   O
329   B-CONTACT
-   I-CONTACT
408   I-CONTACT
9750   I-CONTACT
,   O
was   O
recorded   O
for   O
follow   O
-   O
up   O
purposes   O
.   O

Instructions   O
for   O
a   O
follow   O
-   O
up   O
visit   O
were   O
provided   O
upon   O
discharge   O
on   O
2011   B-DATE
,   O
alongside   O
dietary   O
recommendations   O
to   O
avoid   O
alcohol   O
and   O
fatty   O
foods   O
to   O
manage   O
and   O
prevent   O
future   O
episodes   O
.   O

Further   O
information   O
regarding   O
Moore   B-NAME
,   I-NAME
Dudley   I-NAME
's   O
care   O
team   O
at   O
Geneva   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
including   O
Jaquan   B-NAME
Williams   I-NAME
,   O
can   O
be   O
found   O
within   O
the   O
internal   O
directory   O
of   O
The   B-LOCATION
Cowlitz   I-LOCATION
Bank   I-LOCATION
.   O

Members   O
needing   O
access   O
to   O
this   O
information   O
,   O
such   O
as   O
administrative   O
staff   O
with   O
AP201   B-NAME
,   O
are   O
advised   O
to   O
follow   O
HIPAA   O
guidelines   O
regarding   O
the   O
dissemination   O
of   O
PHI   O
data   O
within   O
the   O
system   O
.   O

The   O
patient   O
,   O
Smith   B-NAME
,   I-NAME
Joseph   I-NAME
,   O
a   O
Materials   O
specialist   O
from   O
Geneva   B-LOCATION
,   O
presented   O
to   O
Lourdes   B-LOCATION
Hospital   I-LOCATION
with   O
a   O
primary   O
complaint   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
that   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
July   B-DATE
22   I-DATE
.   O

Eddie   B-NAME
Jimenez   I-NAME
reported   O
occasional   O
nausea   O
without   O
vomiting   O
but   O
denied   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
blood   O
in   O
stools   O
,   O
or   O
urinary   O
symptoms   O
.   O

There   O
was   O
no   O
reported   O
fever   O
,   O
but   O
Otho   B-NAME
Bohlman   I-NAME
mentioned   O
experiencing   O
unintentional   O
weight   O
loss   O
of   O
approximately   O
5   O
kg   O
over   O
the   O
last   O
two   O
months   O
.   O

Upon   O
examination   O
,   O
Jadon   B-NAME
Marks   I-NAME
,   O
a   O
93   O
-   O
year   O
-   O
old   O
,   O
exhibited   O
mild   O
tenderness   O
in   O
the   O
left   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
without   O
rebound   O
tenderness   O
.   O

The   O
CT   O
scan   O
,   O
conducted   O
on   O
02/02/81   B-DATE
,   O
showed   O
a   O
3   O
cm   O
mass   O
in   O
the   O
sigmoid   O
colon   O
.   O

Hancock   B-NAME
was   O
referred   O
to   O
a   O
gastroenterologist   O
at   O
Klickitat   B-LOCATION
Valley   I-LOCATION
Health   I-LOCATION
for   O
further   O
evaluation   O
.   O

A   O
colonoscopy   O
performed   O
on   O
Tuesday   B-DATE
confirmed   O
the   O
presence   O
of   O
the   O
mass   O
,   O
and   O
a   O
biopsy   O
was   O
taken   O
.   O

[   O
DR   O
.   O
DOCTOR   O
]   O
discussed   O
the   O
findings   O
with   O
Riley   B-NAME
,   O
explaining   O
the   O
diagnosis   O
and   O
recommending   O
a   O
surgical   O
consultation   O
for   O
potential   O
resection   O
of   O
the   O
tumor   O
.   O

A   O
multidisciplinary   O
team   O
meeting   O
involving   O
oncologists   O
from   O
People   B-LOCATION
&   I-LOCATION
Planet   I-LOCATION
was   O
scheduled   O
for   O
10/38/21   B-DATE
to   O
plan   O
the   O
patient   O
’s   O
treatment   O
,   O
focusing   O
on   O
surgical   O
intervention   O
followed   O
by   O
adjuvant   O
chemotherapy   O
.   O

790   B-CONTACT
-   I-CONTACT
6901   I-CONTACT
and   O
email   O
TM869   B-NAME
@healthmail.com   O
were   O
provided   O
as   O
the   O
primary   O
contact   O
methods   O
for   O
Kadin   B-NAME
Mckenzie   I-NAME
to   O
receive   O
updates   O
about   O
appointments   O
and   O
treatment   O
plans   O
.   O

Furthermore   O
,   O
Cecila   B-NAME
Dorvillier   I-NAME
consented   O
to   O
the   O
creation   O
of   O
a   O
medical   O
record   O
,   O
ID   O
254   B-ID
-   I-ID
50   I-ID
-   I-ID
93   I-ID
-   I-ID
1   I-ID
,   O
to   O
facilitate   O
the   O
sharing   O
of   O
health   O
information   O
among   O
the   O
healthcare   O
providers   O
involved   O
in   O
their   O
care   O
.   O

Elyse   B-NAME
Espinoza   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
00/28/2343   B-DATE
to   O
discuss   O
the   O
outcomes   O
of   O
the   O
team   O
meeting   O
and   O
finalize   O
the   O
treatment   O
plan   O
.   O

In   O
summary   O
,   O
David   B-NAME
Napolitano   I-NAME
,   O
a   O
9   O
month   O
year   O
-   O
old   O
Photographic   O
Process   O
Workers   O
from   O
McKees   B-LOCATION
Rocks   I-LOCATION
,   O
is   O
diagnosed   O
with   O
sigmoid   O
colon   O
adenocarcinoma   O
following   O
investigations   O
for   O
persistent   O
lower   O
abdominal   O
pain   O
.   O

Patient   O
Name   O
:   O
PHILLIPS   B-NAME
,   I-NAME
URHO   I-NAME
Patient   O
ID   O
:   O
MM   B-ID
:   I-ID
MZ:7752   I-ID
Date   O
of   O
Birth   O
:   O
13/31   B-DATE
Age   O
:   O
89   O
Phone   O
Number   O
:   O
88672   B-CONTACT
Address   O
:   O
Thurston   B-LOCATION
,   O
55988   B-LOCATION
Occupation   O
:   O
Computer   O
Programmers   O
Medical   O
Record   O
Number   O
:   O
0595858   B-ID
Primary   O
Care   O
Physician   O
:   O

Ballmer   B-NAME
,   I-NAME
Steve   I-NAME
Date   O
of   O
Visit   O
:   O
2/04   B-DATE
Hospital   O
:   O
Bon   B-LOCATION
Secours   I-LOCATION
DePaul   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Lorr   B-NAME
,   O
presented   O
with   O
a   O
complaint   O
of   O
chronic   O
,   O
intermittent   O
abdominal   O
pain   O
predominantly   O
located   O
in   O
the   O
lower   O
quadrant   O
.   O

The   O
pain   O
is   O
described   O
as   O
cramping   O
in   O
nature   O
,   O
worsening   O
post   O
-   O
meal   O
times   O
,   O
and   O
has   O
been   O
progressively   O
increasing   O
in   O
intensity   O
over   O
the   O
past   O
18/22   B-DATE
.   O

The   O
patient   O
also   O
reports   O
unintentional   O
weight   O
loss   O
of   O
approximately   O
27   O
lbs   O
over   O
the   O
last   O
32/23/14   B-DATE
months   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Steven   B-NAME
Hart   I-NAME
has   O
been   O
experiencing   O
the   O
aforementioned   O
symptoms   O
for   O
approximately   O
Tuesday   B-DATE
,   I-DATE
March   I-DATE
months   O
,   O
initially   O
attributing   O
them   O
to   O
dietary   O
habits   O
.   O

Past   O
Medical   O
History   O
:   O
Documented   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
(   O
diagnosed   O
2195   B-DATE
)   O
and   O
gastroesophageal   O
reflux   O
disease   O
.   O

Social   O
History   O
:   O
Moore   B-NAME
,   B-NAME
Alan   I-NAME
is   O
a   O
Purchasing   O
Agents   O
,   O
Except   O
Wholesale   O
,   O
Retail   O
,   O
and   O
Farm   O
Products   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
and   O
illicit   O
drugs   O
.   O

Follow   O
-   O
up   O
in   O
2061   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
22   I-DATE
weeks   O
is   O
scheduled   O
to   O
review   O
lab   O
results   O
and   O
the   O
need   O
for   O
any   O
additional   O
investigations   O
.   O

Physician   O
's   O
signature   O
:   O
Conway   B-NAME
Date   O
:   O
Friday   B-DATE
,   I-DATE
October   I-DATE

Contact   O
number   O
for   O
follow   O
up   O
:   O
35680   B-CONTACT

The   O
patient   O
,   O
Watts   B-NAME
,   O
a   O
1   O
-   O
year   O
-   O
old   O
Dancers   O
from   O
Courtenay   B-LOCATION
,   O
presented   O
to   O
Inova   B-LOCATION
Alexandria   I-LOCATION
Hospital   I-LOCATION
on   O
Wednesday   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
and   O
intermittent   O
palpitations   O
over   O
the   O
past   O
week   O
.   O

According   O
to   O
Bowman   B-NAME
,   O
Heaven   B-NAME
Bell   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
for   O
the   O
past   O
five   O
years   O
.   O

Upon   O
physical   O
examination   O
,   O
Bridges   B-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
Blood   O
pressure   O
145/95   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
92   O
%   O
on   O
room   O
air   O
.   O

Liu   B-NAME
initiated   O
treatment   O
with   O
IV   O
diuretics   O
for   O
volume   O
management   O
and   O
scheduled   O
a   O
cardiac   O
catheterization   O
to   O
further   O
assess   O
coronary   O
anatomy   O
.   O

The   O
date   O
for   O
these   O
procedures   O
was   O
set   O
for   O
August   B-DATE
09   I-DATE
,   I-DATE
2377   I-DATE
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
,   O
9212189   B-ID
,   O
was   O
updated   O
with   O
these   O
details   O
,   O
and   O
O’Shaughnessy   B-NAME
,   I-NAME
Arthur   I-NAME
consented   O
to   O
the   O
proposed   O
plan   O
after   O
a   O
detailed   O
discussion   O
about   O
the   O
risks   O
and   O
benefits   O
.   O

Ada   B-NAME
Neal   I-NAME
also   O
advised   O
Howe   B-NAME
,   I-NAME
Julia   I-NAME
Ward   I-NAME
to   O
modify   O
lifestyle   O
factors   O
,   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
stress   O
management   O
,   O
to   O
better   O
manage   O
hypertension   O
and   O
diabetes   O
,   O
in   O
addition   O
to   O
the   O
current   O
medication   O
regimen   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Sunday   B-DATE
to   O
re   O
-   O
evaluate   O
Schmidt   B-NAME
's   O
condition   O
post   O
-   O
procedure   O
.   O

The   O
patient   O
was   O
instructed   O
to   O
call   O
641   B-CONTACT
1241   I-CONTACT
should   O
there   O
be   O
any   O
adverse   O
changes   O
in   O
health   O
or   O
for   O
any   O
questions   O
regarding   O
medication   O
and   O
post   O
-   O
procedural   O
care   O
.   O

Furthermore   O
,   O
Brylee   B-NAME
Moody   I-NAME
was   O
provided   O
with   O
written   O
information   O
on   O
the   O
signs   O
and   O
symptoms   O
of   O
heart   O
failure   O
and   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
such   O
symptoms   O
were   O
to   O
arise   O
.   O

For   O
confidentiality   O
and   O
privacy   O
,   O
Queen   B-NAME
Newton   I-NAME
was   O
reminded   O
not   O
to   O
share   O
personal   O
health   O
information   O
,   O
such   O
as   O
the   O
medical   O
record   O
number   O
10864391   B-ID
,   O
with   O
unauthorized   O
entities   O
.   O

The   O
patient   O
's   O
contact   O
information   O
,   O
including   O
phone   O
number   O
79203   B-CONTACT
and   O
address   O
in   O
943   B-LOCATION
Fawn   I-LOCATION
St.   I-LOCATION
,   O
was   O
verified   O
and   O
updated   O
in   O
our   O
system   O
for   O
communication   O
and   O
emergency   O
purposes   O
.   O

This   O
case   O
has   O
been   O
documented   O
under   O
MO:55350:657287   B-ID
for   O
internal   O
review   O
and   O
continuous   O
quality   O
improvement   O
within   O
Industrial   B-LOCATION
Workers   I-LOCATION
of   I-LOCATION
the   I-LOCATION
World   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Copernicus   B-NAME
,   I-NAME
Nicolaus   I-NAME
Age   O
:   O
89   O
Date   O
of   O
Birth   O
:   O
3/32   B-DATE
SSN   O
:   O
VH:29662:773945   B-ID
Medical   O
Record   O
No   O
:   O
206   B-ID
-   I-ID
37   I-ID
-   I-ID
18   I-ID
-   I-ID
3   I-ID
Address   O
:   O
Houston   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77036   I-LOCATION
,   O
58621   B-LOCATION
Phone   O
Number   O
:   O
784   B-CONTACT
4739   I-CONTACT
Occupation   O
:   O
Secondary   O
School   O
Teachers   O
,   O
Except   O
Special   O
and   O
Vocational   O
Education   O
Admitting   O
Physician   O
:   O
Pericles   B-NAME
Treating   O
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2150   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
22   I-DATE
Date   O
of   O
Discharge   O
:   O
03/20/2232   B-DATE
Chief   O
Complaint   O
:   O

Rylan   B-NAME
Holden   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
20/22/80   B-DATE
with   O
complaints   O
of   O
acute   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
and   O
a   O
pronounced   O
cough   O
that   O
has   O
persisted   O
for   O
the   O
past   O
02/20/2194   B-DATE
.   O

Medical   O
History   O
:   O
Peter   B-NAME
Leavitt   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Previous   O
hospitalizations   O
include   O
a   O
cholecystectomy   O
at   O
Ivinson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
32/22/33   B-DATE
and   O
a   O
hospitalization   O
for   O
acute   O
pancreatitis   O
on   O
00/33/2287   B-DATE
.   O

Diagnostic   O
Results   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
15/20   B-DATE
showed   O
bilateral   O
lower   O
lobe   O
infiltrates   O
suggestive   O
of   O
pneumonia   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
UPMC   B-LOCATION
McKeesport   I-LOCATION
under   O
the   O
care   O
of   O
Bird   B-NAME
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Rex   B-NAME
Ward   I-NAME
showed   O
significant   O
improvement   O
with   O
the   O
initiated   O
treatments   O
,   O
with   O
resolution   O
of   O
respiratory   O
distress   O
and   O
improved   O
oxygen   O
saturation   O
levels   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
03/11   B-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
with   O
Aubrie   B-NAME
Wallace   I-NAME
in   O
two   O
weeks   O
,   O
or   O
sooner   O
if   O
symptoms   O
recur   O
or   O
worsen   O
.   O

Signature   O
:   O
Jakayla   B-NAME
Villegas   I-NAME
(   B-CONTACT
300   I-CONTACT
)   I-CONTACT
128   I-CONTACT
-   I-CONTACT
4647   I-CONTACT
2352   B-DATE

Patient   O
Report   O
:   O
2/14/97   B-DATE
-   O

The   O
patient   O
,   O
Bainimarama   B-NAME
,   I-NAME
Frank   I-NAME
,   O
a   O
47   O
year   O
-   O
old   O
Gaming   O
Managers   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
SouthPointe   B-LOCATION
Hospital   I-LOCATION
located   O
at   O
Barton   B-LOCATION
Hills   I-LOCATION
,   O
46532   B-LOCATION
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Past   O
medical   O
history   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
,   O
diagnosed   O
in   O
37/22/2036   B-DATE
.   O

Mandela   B-NAME
,   I-NAME
Nelson   I-NAME
is   O
currently   O
prescribed   O
metformin   O
.   O

Upon   O
physical   O
examination   O
by   O
Hardy   B-NAME
,   O
Thomas   B-NAME
Light   I-NAME
appeared   O
acutely   O
distressed   O
,   O
with   O
blood   O
pressure   O
of   O
145/95   O
mmHg   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
of   O
38.3   O
°   O
C   O
.   O

The   O
patient   O
's   O
4412547   B-ID
indicated   O
normal   O
kidney   O
function   O
.   O

Shenna   B-NAME
Travis   I-NAME
was   O
admitted   O
to   O
Ascension   B-LOCATION
Genesys   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

Casares   B-NAME
was   O
counseled   O
about   O
the   O
importance   O
of   O
abstaining   O
from   O
alcohol   O
and   O
advised   O
on   O
a   O
low   O
-   O
fat   O
diet   O
upon   O
discharge   O
.   O

The   O
patient   O
was   O
referred   O
to   O
a   O
gastroenterologist   O
,   O
Marley   B-NAME
Stevenson   I-NAME
,   O
for   O
outpatient   O
follow   O
-   O
up   O
.   O

The   O
patient   O
and   O
their   O
family   O
(   O
97518   B-CONTACT
)   O
were   O
informed   O
about   O
the   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
the   O
potential   O
need   O
for   O
gallstone   O
evaluation   O
as   O
a   O
possible   O
underlying   O
cause   O
for   O
the   O
pancreatitis   O
.   O

The   O
patient   O
was   O
reassured   O
and   O
encouraged   O
to   O
follow   O
up   O
closely   O
with   O
Jaiden   B-NAME
Pollard   I-NAME
after   O
discharge   O
from   O
Hunterdon   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Inpatient   O
course   O
was   O
uncomplicated   O
,   O
and   O
Delarosa   B-NAME
demonstrated   O
clinical   O
improvement   O
with   O
resolution   O
of   O
abdominal   O
pain   O
and   O
normalization   O
of   O
amylase   O
and   O
lipase   O
levels   O
.   O

Clough   B-NAME
,   I-NAME
Brian   I-NAME
was   O
discharged   O
on   O
2/20   B-DATE
with   O
outpatient   O
follow   O
-   O
up   O
instructions   O
.   O

Note   O
:   O
Information   O
contained   O
in   O
this   O
document   O
is   O
confidential   O
and   O
was   O
prepared   O
by   O
the   O
medical   O
staff   O
at   O
GMAC   B-LOCATION
Insurance   I-LOCATION
.   O

Any   O
release   O
of   O
information   O
requires   O
patient   O
consent   O
or   O
is   O
subject   O
to   O
the   O
policies   O
of   O
New   B-LOCATION
Hampshire   I-LOCATION
Hospital   I-LOCATION
and   O
applicable   O
laws   O
.   O

Prepared   O
by   O
:   O
ZD921   B-NAME
Medical   O
Record   O
:   O
98779397   B-ID
Contact   O
47909   B-CONTACT
for   O
any   O
immediate   O
concerns   O
regarding   O
Anna   B-NAME
V.   I-NAME
Wendy   I-NAME
-   I-NAME
Bird   I-NAME
's   O
care   O
.   O

Patient   O
Report   O
for   O
Camren   B-NAME
Baxter   I-NAME
General   O
Information   O
:   O
Sanders   B-NAME
residing   O
at   O
Franklin   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Franklin   I-LOCATION
Association   I-LOCATION
,   O
with   O
a   O
contact   O
number   O
of   O
14360   B-CONTACT
,   O
visited   O
Maria   B-LOCATION
Parham   I-LOCATION
Health   I-LOCATION
on   O
2303   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
02   I-DATE
.   O

The   O
appointment   O
with   O
Gandhi   B-NAME
,   I-NAME
Mahatma   I-NAME
was   O
scheduled   O
following   O
a   O
referral   O
due   O
to   O
persistent   O
symptoms   O
reported   O
over   O
the   O
past   O
few   O
weeks   O
.   O

Stout   B-NAME
works   O
as   O
a   O
Wholesale   O
and   O
Retail   O
Buyers   O
,   O
Except   O
Farm   O
Products   O
and   O
has   O
an   O
insurance   O
policy   O
with   O
Gordmans   B-LOCATION
.   O

The   O
medical   O
record   O
number   O
for   O
NICHOLAS   B-NAME
SINGH   I-NAME
is   O
239   B-ID
-   I-ID
35   I-ID
-   I-ID
21   I-ID
,   O
and   O
the   O
patient   O
's   O
unique   O
identifier   O
is   O
3   B-ID
-   I-ID
8242801   I-ID
.   O

Medical   O
History   O
:   O
YOCOM   B-NAME
,   I-NAME
GARY   I-NAME
ZACHARY   I-NAME
,   O
age   O
21   O
,   O
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
II   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Erick   B-NAME
Hale   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
.   O

Presenting   O
Symptoms   O
:   O
Nicole   B-NAME
Davidson   I-NAME
presented   O
with   O
complaints   O
of   O
intermittent   O
,   O
severe   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

Zavier   B-NAME
Bradford   I-NAME
also   O
reported   O
experiencing   O
tingling   O
sensations   O
in   O
the   O
left   O
arm   O
and   O
leg   O
,   O
lasting   O
several   O
minutes   O
at   O
a   O
time   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Ubo   B-NAME
was   O
alert   O
and   O
oriented   O
,   O
with   O
vital   O
signs   O
within   O
normal   O
limits   O
.   O

Blood   O
tests   O
were   O
also   O
drawn   O
to   O
monitor   O
Rhett   B-NAME
Vang   I-NAME
's   O
diabetes   O
and   O
to   O
check   O
for   O
any   O
potential   O
electrolyte   O
imbalances   O
.   O

Impression   O
:   O
The   O
preliminary   O
diagnosis   O
for   O
Steven   B-NAME
James   I-NAME
is   O
complex   O
migraines   O
with   O
sensory   O
aura   O
.   O

The   O
tingling   O
sensations   O
experienced   O
by   O
Eliezer   B-NAME
Dillon   I-NAME
are   O
likely   O
related   O
to   O
the   O
sensory   O
aura   O
associated   O
with   O
migraines   O
.   O

All   O
patient   O
information   O
including   O
5   B-ID
-   I-ID
1437273   I-ID
,   O
3112870   B-ID
,   O
and   O
personal   O
identifying   O
information   O
such   O
as   O
109   B-CONTACT
-   I-CONTACT
7288   I-CONTACT
and   O
79895   B-LOCATION
is   O
confidential   O
and   O
protected   O
under   O
the   O
Health   O
Insurance   O
Portability   O
and   O
Accountability   O
Act   O
(   O
HIPAA   O
)   O
.   O

Signed   O
,   O
Hepburn   B-NAME
,   I-NAME
Audrey   I-NAME
Mon   B-DATE

Patient   O
:   O
Winston   B-NAME
Medical   O
Record   O
Number   O
:   O
0792638   B-ID
Age   O
:   O
99   O
Date   O
of   O
Visit   O
:   O
32/22   B-DATE
Primary   O
Care   O
Physician   O
:   O
Kerry   B-NAME
,   I-NAME
John   I-NAME
Hospital   O
:   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Georgia   I-LOCATION
Location   O
:   O
Cornfields   B-LOCATION
Zip   O
Code   O
:   O
22479   B-LOCATION
Contact   O
Number   O
:   O
19830   B-CONTACT
Presenting   O
Symptoms   O
:   O
The   O
patient   O
,   O
Koen   B-NAME
Greer   I-NAME
,   O
presented   O
to   O
Located   B-LOCATION
within   I-LOCATION
McLaren   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
South   B-LOCATION
Huntsville   I-LOCATION
,   I-LOCATION
South   I-LOCATION
Huntsville   I-LOCATION
Business   I-LOCATION
Association   I-LOCATION
on   O
2045   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Additionally   O
,   O
Uriel   B-NAME
Mays   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
decreased   O
appetite   O
over   O
the   O
past   O
July   B-DATE
04   I-DATE
.   O

Past   O
Medical   O
History   O
:   O
Hickman   B-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
Type   O
II   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Assessment   O
:   O
Upon   O
physical   O
examination   O
,   O
Stanley   B-NAME
Mata   I-NAME
exhibited   O
tenderness   O
in   O
the   O
lower   O
abdominal   O
quadrants   O
,   O
more   O
pronounced   O
on   O
the   O
right   O
side   O
.   O

Vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slightly   O
elevated   O
blood   O
pressure   O
of   O
KH:681016:526522   B-ID
.   O

Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
,   O
basic   O
metabolic   O
panel   O
,   O
and   O
urinalysis   O
were   O
ordered   O
by   O
Annabelle   B-NAME
Galloway   I-NAME
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
abdominal   O
pain   O
.   O

Diagnostic   O
Imaging   O
:   O
Rangel   B-NAME
advised   O
for   O
an   O
abdominal   O
ultrasound   O
which   O
showed   O
the   O
presence   O
of   O
gallstones   O
,   O
suggesting   O
cholecystitis   O
as   O
a   O
probable   O
cause   O
of   O
the   O
patient   O
’s   O
symptoms   O
.   O

The   O
patient   O
was   O
managed   O
conservatively   O
with   O
intravenous   O
fluids   O
,   O
antibiotics   O
,   O
and   O
pain   O
relief   O
,   O
and   O
was   O
advised   O
to   O
follow   O
up   O
with   O
their   O
primary   O
care   O
physician   O
,   O
Zaniyah   B-NAME
Guzman   I-NAME
,   O
in   O
Suwanee   B-LOCATION
for   O
further   O
assessment   O
and   O
potential   O
surgical   O
intervention   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Discharge   O
Instructions   O
:   O
Adams   B-NAME
,   I-NAME
John   I-NAME
Quincy   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
a   O
low   O
-   O
fat   O
diet   O
and   O
provided   O
with   O
instructions   O
to   O
monitor   O
for   O
signs   O
of   O
complications   O
such   O
as   O
increasing   O
pain   O
,   O
fever   O
,   O
or   O
jaundice   O
.   O

Contact   O
information   O
79650   B-CONTACT
was   O
given   O
for   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
's   O
general   O
helpline   O
in   O
case   O
of   O
emergency   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Rasmussen   B-NAME
for   O
4/29/2172   B-DATE
at   O
the   O
outpatient   O
department   O
of   O
Tristar   B-LOCATION
Horizon   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Sitka   B-LOCATION
,   O
to   O
reassess   O
the   O
condition   O
and   O
determine   O
if   O
gallbladder   O
removal   O
is   O
necessary   O
.   O

Summary   O
:   O
This   O
report   O
details   O
Franklin   B-NAME
's   O
presentation   O
with   O
symptoms   O
consistent   O
with   O
cholecystitis   O
,   O
subsequent   O
laboratory   O
and   O
diagnostic   O
findings   O
supporting   O
this   O
diagnosis   O
,   O
and   O
the   O
conservative   O
management   O
plan   O
initiated   O
.   O

Further   O
evaluation   O
by   O
Paris   B-NAME
Dawson   I-NAME
is   O
anticipated   O
to   O
plan   O
the   O
future   O
course   O
of   O
treatment   O
.   O
---   O
Note   O
:   O
All   O
personal   O
identifying   O
information   O
(   O
PII   O
)   O
in   O
this   O
synthetic   O
patient   O
report   O
has   O
been   O
anonymized   O
in   O
adherence   O
to   O
guidelines   O
on   O
protected   O
health   O
information   O
(   O
PHI   O
)   O
.   O

The   O
patient   O
,   O
Roy   B-NAME
Slovinsky   I-NAME
,   O
a   O
Heating   O
and   O
Air   O
Conditioning   O
Mechanics   O
from   O
McVeytown   B-LOCATION
,   O
with   O
a   O
history   O
of   O
asthma   O
presented   O
to   O
Clay   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
32/14   B-DATE
complaining   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
wheezing   O
,   O
and   O
a   O
productive   O
cough   O
over   O
the   O
past   O
week   O
.   O

Mckenna   B-NAME
Wheeler   I-NAME
's   O
symptoms   O
were   O
exacerbated   O
by   O
exercise   O
and   O
during   O
the   O
night   O
,   O
leading   O
to   O
disturbed   O
sleep   O
.   O

Malik   B-NAME
Okorududu   I-NAME
's   O
medical   O
record   O
,   O
67269503   B-ID
,   O
indicated   O
a   O
prescribed   O
inhaled   O
corticosteroid   O
,   O
which   O
they   O
had   O
been   O
using   O
irregularly   O
.   O

Rashad   B-NAME
Wells   I-NAME
advised   O
Leandro   B-NAME
Biscari   I-NAME
on   O
the   O
importance   O
of   O
compliance   O
with   O
the   O
medication   O
regimen   O
and   O
proposed   O
stepping   O
up   O
the   O
treatment   O
by   O
adding   O
a   O
long   O
-   O
acting   O
beta   O
-   O
agonist   O
.   O

Results   O
were   O
to   O
be   O
sent   O
to   O
314   B-CONTACT
-   I-CONTACT
659   I-CONTACT
-   I-CONTACT
6709   I-CONTACT
upon   O
availability   O
.   O

In   O
addition   O
,   O
Schröder   B-NAME
,   I-NAME
Gerhard   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
October   B-DATE
20   I-DATE
to   O
reassess   O
their   O
condition   O
and   O
treatment   O
efficacy   O
.   O

A   O
referral   O
to   O
a   O
pulmonologist   O
at   O
North   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
made   O
for   O
further   O
evaluation   O
and   O
management   O
of   O
Tyrese   B-NAME
Yoder   I-NAME
's   O
asthma   O
.   O

Instructed   O
on   O
avoiding   O
known   O
allergens   O
and   O
triggers   O
,   O
Mckayla   B-NAME
Bush   I-NAME
was   O
supplied   O
with   O
an   O
action   O
plan   O
tailored   O
to   O
managing   O
exacerbations   O
and   O
the   O
proper   O
usage   O
of   O
a   O
peak   O
flow   O
meter   O
.   O

Vazquez   B-NAME
emphasized   O
the   O
significance   O
of   O
receiving   O
the   O
annual   O
influenza   O
vaccine   O
and   O
recommended   O
a   O
pneumococcal   O
vaccine   O
,   O
given   O
Ahmed   B-NAME
Lindsey   I-NAME
's   O
chronic   O
respiratory   O
condition   O
.   O

Educational   O
materials   O
provided   O
by   O
RLUG   B-LOCATION
on   O
asthma   O
management   O
were   O
handed   O
to   O
Paola   B-NAME
Faison   I-NAME
for   O
further   O
reading   O
.   O

The   O
pharmacy   O
at   O
Covedale   B-LOCATION
(   O
64423   B-LOCATION
)   O
was   O
contacted   O
to   O
ensure   O
availability   O
of   O
the   O
prescribed   O
medications   O
,   O
including   O
the   O
details   O
sent   O
over   O
by   O
SL976/4930   B-ID
.   O

Williams   B-NAME
was   O
encouraged   O
to   O
participate   O
in   O
a   O
local   O
asthma   O
support   O
group   O
,   O
details   O
of   O
which   O
were   O
emailed   O
to   O
their   O
registered   O
i   O
d   O
,   O
FW880   B-NAME
.   O

Note   O
:   O
All   O
further   O
correspondence   O
and   O
updates   O
regarding   O
Abigayle   B-NAME
Compton   I-NAME
's   O
health   O
are   O
to   O
be   O
documented   O
and   O
stored   O
securely   O
in   O
their   O
medical   O
file   O
,   O
938   B-ID
-   I-ID
98   I-ID
-   I-ID
28   I-ID
-   I-ID
0   I-ID
,   O
at   O
Chilton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Regular   O
monitoring   O
and   O
adjustments   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
necessary   O
to   O
manage   O
Humboldt   B-NAME
,   I-NAME
Wilhelm   I-NAME
von   I-NAME
's   O
asthma   O
effectively   O
.   O

Sidney   B-NAME
Blackburn   I-NAME
was   O
admitted   O
to   O
Clarks   B-LOCATION
Summit   I-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
on   O
5/01   B-DATE
presenting   O
with   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Dallas   B-NAME
Whitaker   I-NAME
's   O
medical   O
history   O
includes   O
previous   O
diagnoses   O
of   O
hypertension   O
and   O
Type   O
II   O
diabetes   O
mellitus   O
.   O

Marie   B-NAME
Antoinette   I-NAME
,   O
a   O
Registered   O
Nurses   O
,   O
reported   O
no   O
recent   O
changes   O
in   O
diet   O
,   O
medication   O
,   O
or   O
physical   O
activity   O
.   O

On   O
examination   O
,   O
Jazmin   B-NAME
Wolf   I-NAME
,   O
31   O
,   O
exhibited   O
signs   O
of   O
peritonitis   O
,   O
including   O
rebound   O
tenderness   O
and   O
guarding   O
.   O

Laboratory   O
tests   O
were   O
significant   O
for   O
leukocytosis   O
,   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
15,000   O
/   O
μL.   O
Maverick   B-NAME
Joyce   I-NAME
's   O
5196128   B-ID
showed   O
no   O
prior   O
history   O
of   O
similar   O
symptoms   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Rose   B-NAME
,   O
revealed   O
appendiceal   O
enlargement   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Given   O
the   O
severity   O
of   O
the   O
inflammation   O
and   O
risk   O
of   O
rupture   O
,   O
River   B-NAME
Ponce   I-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Surgery   O
was   O
performed   O
on   O
16/23/23   B-DATE
without   O
complications   O
.   O

Brazauskas   B-NAME
,   I-NAME
Algirdas   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
IV   O
antibiotics   O
post   O
-   O
surgery   O
to   O
prevent   O
infection   O
.   O

The   O
patient   O
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
scheduled   O
for   O
discharge   O
on   O
2/00/86   B-DATE
with   O
instructions   O
for   O
care   O
at   O
home   O
,   O
including   O
signs   O
of   O
infection   O
and   O
appropriate   O
wound   O
care   O
.   O

Follow   O
-   O
up   O
was   O
arranged   O
for   O
2160   B-DATE
at   O
Pepin   B-LOCATION
clinic   O
to   O
monitor   O
recovery   O
and   O
removal   O
of   O
stitches   O
.   O

The   O
contact   O
information   O
provided   O
for   O
follow   O
-   O
up   O
questions   O
or   O
concerns   O
was   O
429   B-CONTACT
6209   I-CONTACT
and   O
Taylor   B-NAME
was   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
if   O
experiencing   O
fever   O
,   O
chills   O
,   O
or   O
increased   O
pain   O
.   O

The   O
discharge   O
summary   O
and   O
surgical   O
report   O
were   O
sent   O
electronically   O
to   O
Andrew   B-NAME
Collin   I-NAME
's   O
primary   O
care   O
provider   O
at   O
Animal   B-LOCATION
Liberation   I-LOCATION
Brigade   I-LOCATION
(   I-LOCATION
ALB   I-LOCATION
)   I-LOCATION
for   O
continuity   O
of   O
care   O
.   O

The   O
unique   O
identifier   O
for   O
this   O
episode   O
of   O
care   O
was   O
documented   O
as   O
56684   B-ID
.   O

During   O
the   O
hospitalization   O
period   O
at   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Charles   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Roy   B-NAME
resided   O
in   O
room   O
number   O
31066   B-LOCATION
,   O
located   O
in   O
the   O
Meadow   B-LOCATION
Woods   I-LOCATION
wing   O
.   O

All   O
medical   O
records   O
associated   O
with   O
this   O
hospitalization   O
,   O
including   O
imaging   O
and   O
lab   O
results   O
,   O
were   O
documented   O
under   O
36361742   B-ID
for   O
future   O
reference   O
.   O

Rodger   B-NAME
Durkin   I-NAME
consented   O
to   O
all   O
the   O
procedures   O
and   O
treatments   O
provided   O
during   O
the   O
hospital   O
stay   O
verbally   O
and   O
via   O
signed   O
consent   O
forms   O
stored   O
in   O
Fort   B-LOCATION
Walton   I-LOCATION
Beach   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
electronic   O
medical   O
record   O
system   O
.   O

The   O
patient   O
,   O
Willis   B-NAME
,   O
a   O
Geological   O
and   O
Petroleum   O
Technicians   O
from   O
Henderson   B-LOCATION
,   I-LOCATION
Henderson   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Project   I-LOCATION
,   O
with   O
a   O
medical   O
record   O
number   O
of   O
37485074   B-ID
,   O
presented   O
to   O
INTEGRIS   B-LOCATION
Bass   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
March   B-DATE
2218   I-DATE
.   O

Kody   B-NAME
Flores   I-NAME
complained   O
of   O
experiencing   O
severe   O
,   O
acute   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
consistent   O
with   O
symptoms   O
of   O
appendicitis   O
.   O

Alex   B-NAME
Baker   I-NAME
,   O
aged   O
6   O
,   O
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
slight   O
fever   O
.   O

Upon   O
examination   O
,   O
Brewer   B-NAME
noted   O
that   O
Bunsen   B-NAME
Honeydew   I-NAME
's   O
vital   O
signs   O
showed   O
a   O
mild   O
elevation   O
in   O
temperature   O
,   O
indicative   O
of   O
infection   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
lab   O
results   O
,   O
Karsyn   B-NAME
Mason   I-NAME
recommended   O
immediate   O
surgical   O
consultation   O
for   O
a   O
possible   O
appendectomy   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
1   B-DATE
-   I-DATE
2   I-DATE
,   O
and   O
Dasan   B-NAME
was   O
informed   O
about   O
the   O
procedure   O
via   O
a   O
call   O
to   O
236   B-CONTACT
992   I-CONTACT
-   I-CONTACT
7381   I-CONTACT
.   O

Pre   O
-   O
operative   O
instructions   O
were   O
provided   O
,   O
and   O
Otto   B-NAME
Octavius   I-NAME
was   O
admitted   O
to   O
Englewood   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2199   B-DATE
for   O
surgery   O
.   O

The   O
appendectomy   O
was   O
successfully   O
performed   O
without   O
complications   O
,   O
and   O
Denis   B-NAME
was   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
.   O

Dennis   B-NAME
Gant   I-NAME
's   O
recovery   O
was   O
smooth   O
,   O
and   O
they   O
were   O
discharged   O
from   O
Osceola   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
21/13/70   B-DATE
,   O
with   O
follow   O
-   O
up   O
instructions   O
and   O
a   O
prescription   O
for   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Brewer   B-NAME
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Macomb   I-LOCATION
Hospital   I-LOCATION
was   O
scheduled   O
for   O
11/22/15   B-DATE
to   O
assess   O
Nga   B-NAME
Elis   I-NAME
's   O
recovery   O
progress   O
.   O

Throughout   O
the   O
process   O
,   O
Cole   B-NAME
Morgan   I-NAME
consented   O
to   O
all   O
procedures   O
after   O
thorough   O
explanations   O
were   O
provided   O
.   O

The   O
informed   O
consent   O
document   O
was   O
signed   O
by   O
Barrett   B-NAME
on   O
1   B-DATE
-   I-DATE
39   I-DATE
.   O

Additionally   O
,   O
Cooper   B-NAME
Ho   I-NAME
's   O
condition   O
and   O
progress   O
were   O
documented   O
in   O
their   O
medical   O
record   O
,   O
92942876   B-ID
,   O
for   O
continuous   O
monitoring   O
and   O
review   O
by   O
the   O
medical   O
team   O
.   O

For   O
privacy   O
protection   O
,   O
Wood   B-NAME
's   O
identity   O
,   O
including   O
their   O
EI:34347:664759   B-ID
and   O
specific   O
details   O
like   O
their   O
home   O
address   O
in   O
57733   B-LOCATION
and   O
their   O
employer   O
at   O
European   B-LOCATION
Beer   I-LOCATION
Consumers   I-LOCATION
Union   I-LOCATION
(   I-LOCATION
EBCU   I-LOCATION
)   I-LOCATION
,   O
have   O
been   O
confidentially   O
maintained   O
as   O
per   O
HIPAA   O
guidelines   O
.   O

Any   O
further   O
inquiries   O
regarding   O
ANDREW   B-NAME
TANG   I-NAME
's   O
care   O
or   O
condition   O
must   O
be   O
directed   O
to   O
Lakeview   B-LOCATION
Hospital   I-LOCATION
's   O
patient   O
information   O
desk   O
at   O
22836   B-CONTACT
.   O

Patient   O
Name   O
:   O
Santiago   B-NAME
Medical   O
Record   O
Number   O
:   O
7616E74398   B-ID
Date   O
of   O
Birth   O
:   O
01/23/1988   B-DATE
Age   O
:   O
32   O
Phone   O
Number   O
:   O
924   B-CONTACT
3520   I-CONTACT
Address   O
:   O
Cape   B-LOCATION
Coral   I-LOCATION
,   O
85388   B-LOCATION
Emergency   O
Contact   O
:   O
Community   O
education   O
officer   O
at   O
543   B-CONTACT
7266   I-CONTACT

Gregory   B-NAME
Hospital   O
:   O
Mercy   B-LOCATION
Philadelphia   I-LOCATION
Hospital   I-LOCATION
ID   O
Number   O
:   O
UK   B-ID
:   I-ID
EN:6170   I-ID
Username   O
:   O
ucd234   B-NAME
Employer   O
:   O
Gordmans   B-LOCATION
Consultation   O
Date   O
:   O
Wednesday   B-DATE
Chief   O
Complaint   O
:   O
Maleah   B-NAME
Padilla   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
UCHealth   B-LOCATION
University   I-LOCATION
of   I-LOCATION
Colorado   I-LOCATION
Hospital   I-LOCATION
on   O
7/45   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Dragos   B-NAME
Lovero   I-NAME
also   O
reported   O
associated   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
decreased   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Adriel   B-NAME
Hebert   I-NAME
is   O
a   O
61   O
-   O
year   O
-   O
old   O
Police   O
and   O
Sheriff   O
's   O
Patrol   O
Officers   O
with   O
no   O
significant   O
past   O
medical   O
history   O
.   O

Walter   B-NAME
noticed   O
mild   O
discomfort   O
in   O
the   O
central   O
abdomen   O
two   O
days   O
ago   O
,   O
which   O
escalated   O
to   O
severe   O
pain   O
early   O
morning   O
on   O
2233   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
03   I-DATE
.   O

The   O
pain   O
was   O
initially   O
manageable   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
but   O
became   O
unbearable   O
,   O
prompting   O
the   O
visit   O
to   O
Morton   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Elkhart   I-LOCATION
.   O

Social   O
History   O
:   O
Diana   B-NAME
Reddin   I-NAME
denies   O
any   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Employed   O
as   O
a   O
Helpers   O
--   O
Roofers   O
at   O
CF   B-LOCATION
Bancorp   I-LOCATION
,   O
living   O
in   O
Crump   B-LOCATION
.   O

On   O
examination   O
,   O
Barnett   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Studies   O
:   O
Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
comprehensive   O
metabolic   O
panel   O
,   O
and   O
lipase   O
levels   O
were   O
ordered   O
by   O
Lardner   B-NAME
,   I-NAME
Ring   I-NAME
.   O

Management   O
Plan   O
:   O
Kelton   B-NAME
Valenzuela   I-NAME
has   O
been   O
admitted   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Greer   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
pain   O
management   O
and   O
further   O
evaluation   O
.   O

Dana   B-NAME
Harrison   I-NAME
recommended   O
starting   O
IV   O
antibiotics   O
considering   O
the   O
potential   O
for   O
secondary   O
infection   O
.   O

Follow   O
-   O
Up   O
:   O
Karren   B-NAME
will   O
be   O
closely   O
monitored   O
over   O
the   O
next   O
48   O
hours   O
for   O
signs   O
of   O
improvement   O
or   O
complications   O
.   O

Repeat   O
blood   O
tests   O
and   O
imaging   O
studies   O
are   O
scheduled   O
for   O
February   B-DATE
2   I-DATE
to   O
assess   O
the   O
progression   O
of   O
the   O
disease   O
.   O

Smith   B-NAME
will   O
review   O
the   O
management   O
plan   O
based   O
on   O
the   O
results   O
.   O

The   O
emergency   O
contact   O
Hoist   O
and   O
Winch   O
Operators   O
has   O
been   O
notified   O
of   O
LaHaye   B-NAME
,   I-NAME
Tim   I-NAME
's   O
condition   O
and   O
admission   O
details   O
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Tony   B-NAME
Wilkinson   I-NAME
Age   O
:   O
39   O
Medical   O
Record   O
Number   O
:   O
96553451   B-ID
ID   O
Number   O
:   O
5   B-ID
-   I-ID
10043212   I-ID
Phone   O
Number   O
:   O
416   B-CONTACT
-   I-CONTACT
2447   I-CONTACT
Zip   O
Code   O
:   O
98715   B-LOCATION
Location   O
:   O
Chewelah   B-LOCATION
Date   O
of   O
Visit   O
:   O
1994   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
17   I-DATE

Attending   O
Doctor   O
:   O
[   O
Dr.   O
Sloan   B-NAME
]   O
Hospital   O
:   O
Crestwood   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Organization   O
:   O
Association   B-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
Army   I-LOCATION
(   I-LOCATION
AUSA   I-LOCATION
)   I-LOCATION
Clinical   O
Presentation   O
:   O

The   O
patient   O
,   O
Ryann   B-NAME
Stephenson   I-NAME
,   O
a   O
Lifeguards   O
,   O
Ski   O
Patrol   O
,   O
and   O
Other   O
Recreational   O
Protective   O
Service   O
Workers   O
,   O
presented   O
at   O
Lawrence   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/28/2151   B-DATE
with   O
complaints   O
of   O
persistent   O
fatigue   O
,   O
noticeable   O
shortness   O
of   O
breath   O
upon   O
exertion   O
,   O
and   O
intermittent   O
episodes   O
of   O
palpitations   O
.   O

These   O
symptoms   O
were   O
first   O
noted   O
approximately   O
Monday   B-DATE
,   O
gradually   O
escalating   O
in   O
severity   O
,   O
leading   O
to   O
this   O
current   O
evaluation   O
.   O

Medical   O
History   O
:   O
Fe   B-NAME
Ell   I-NAME
disclosed   O
a   O
previous   O
diagnosis   O
of   O
hypertension   O
and   O
is   O
currently   O
prescribed   O
medication   O
for   O
blood   O
pressure   O
management   O
.   O

talbert   B-NAME
denies   O
any   O
tobacco   O
use   O
but   O
admits   O
to   O
moderate   O
alcohol   O
consumption   O
on   O
weekends   O
.   O

On   O
examination   O
,   O
Alexander   B-NAME
Hines   I-NAME
was   O
alert   O
and   O
oriented   O
,   O
with   O
a   O
resting   O
blood   O
pressure   O
of   O
145/95   O
mmHg   O
.   O

Diagnostic   O
Testing   O
:   O
A   O
12   O
-   O
lead   O
ECG   O
performed   O
at   O
Cape   B-LOCATION
Cod   I-LOCATION
Hospital   I-LOCATION
on   O
2340   B-DATE
suggested   O
the   O
presence   O
of   O
atrial   O
fibrillation   O
without   O
any   O
signs   O
of   O
acute   O
ischemia   O
.   O

Assessment   O
and   O
Plan   O
:   O
The   O
initial   O
assessment   O
of   O
Francina   B-NAME
Zawislak   I-NAME
suggests   O
the   O
development   O
of   O
atrial   O
fibrillation   O
,   O
possibly   O
in   O
the   O
context   O
of   O
underlying   O
hypertension   O
and   O
family   O
history   O
of   O
cardiovascular   O
disease   O
.   O

Referral   O
to   O
[   O
Dr.   O
Bryson   B-NAME
,   I-NAME
Bill   I-NAME
]   O
,   O
a   O
specialist   O
in   O
cardiology   O
at   O
Easton   B-LOCATION
Hospital   I-LOCATION
,   O
has   O
been   O
made   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Instructions   O
have   O
been   O
given   O
to   O
Elise   B-NAME
Gardner   I-NAME
to   O
closely   O
monitor   O
symptoms   O
and   O
to   O
return   O
to   O
Hackensack   B-LOCATION
Meridian   I-LOCATION
Health   I-LOCATION
Pascack   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
contact   O
409   B-CONTACT
-   I-CONTACT
8752   I-CONTACT
in   O
cases   O
of   O
symptom   O
exacerbation   O
or   O
new   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
13/19   B-DATE
to   O
review   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

The   O
patient   O
was   O
provided   O
with   O
the   O
contact   O
information   O
for   O
Jennings   B-LOCATION
American   I-LOCATION
Legion   I-LOCATION
Hospital   I-LOCATION
's   O
patient   O
support   O
services   O
should   O
they   O
have   O
further   O
questions   O
or   O
requires   O
assistance   O
prior   O
to   O
the   O
next   O
scheduled   O
visit   O
.   O

Prepared   O
by   O
:   O
JY639   B-NAME
,   O
RN   O
Plantation   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
12/38/81   B-DATE

Patient   O
Report   O
:   O
Name   O
:   O
Craig   B-NAME
Brennan   I-NAME
Age   O
:   O
12   O
Date   O
of   O
Birth   O
:   O
Wednesday   B-DATE
,   I-DATE
March   I-DATE
Gender   O
:   O
Female   O
ID   O
:   O
NE432/3596   B-ID
Medical   O
Record   O
Number   O
:   O
97295213   B-ID
Address   O
:   O
Bennington   B-LOCATION
,   I-LOCATION
Better   I-LOCATION
Bennington   I-LOCATION
Corporation   I-LOCATION
,   O
61744   B-LOCATION
Contact   O
Number   O
:   O
89198   B-CONTACT
Attending   O
Physician   O
:   O

Osbourne   B-NAME
,   I-NAME
Ozzy   I-NAME
Healthcare   O
Provider   O
:   O
Military   B-LOCATION
Order   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Purple   I-LOCATION
Heart   I-LOCATION
Place   O
of   O
Visit   O
:   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
North   I-LOCATION
Austin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
11/23   B-DATE
Professional   O
Background   O
:   O
Medical   O
Assistants   O
Username   O
:   O
pf589   B-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Benjamin   B-NAME
Earnest   I-NAME
,   O
visited   O
St   B-LOCATION
Anthony   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
September   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Maya   B-NAME
Keller   I-NAME
reported   O
the   O
pain   O
exacerbating   O
upon   O
movement   O
and   O
has   O
rated   O
it   O
an   O
8   O
on   O
a   O
1   O
to   O
10   O
pain   O
scale   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
Devyn   B-NAME
Stanley   I-NAME
's   O
symptoms   O
started   O
approximately   O
6   O
hours   O
before   O
presenting   O
to   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Soin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Younce   B-NAME
also   O
indicated   O
loss   O
of   O
appetite   O
and   O
slight   O
dizziness   O
.   O

However   O
,   O
Hensley   B-NAME
mentioned   O
a   O
family   O
history   O
of   O
appendicitis   O
.   O

On   O
physical   O
examination   O
,   O
Nickolas   B-NAME
Boyle   I-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Upon   O
preliminary   O
examination   O
,   O
Young   B-NAME
ordered   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
leukocytosis   O
with   O
a   O
left   O
shift   O
,   O
suggestive   O
of   O
infection   O
.   O

Management   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Mira   B-NAME
Frank   I-NAME
diagnosed   O
Fredricka   B-NAME
Paetzold   I-NAME
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
recommended   O
,   O
and   O
Lavigne   B-NAME
,   I-NAME
Avril   I-NAME
was   O
prepared   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Trevin   B-NAME
Barrett   I-NAME
.   O

Maxentius   B-NAME
Dorn   I-NAME
is   O
to   O
be   O
followed   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
in   O
one   O
week   O
for   O
wound   O
assessment   O
and   O
again   O
in   O
four   O
weeks   O
to   O
ensure   O
complete   O
recovery   O
.   O

This   O
case   O
will   O
be   O
reviewed   O
for   O
educational   O
purposes   O
and   O
to   O
improve   O
patient   O
care   O
protocols   O
within   O
Justice   B-LOCATION
Department   I-LOCATION
(   I-LOCATION
animal   I-LOCATION
rights   I-LOCATION
)   I-LOCATION
.   O

The   O
patient   O
,   O
Wilson   B-NAME
Blackburn   I-NAME
,   O
99s   O
years   O
of   O
age   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
LOMA   B-LOCATION
LINDA   I-LOCATION
UNIVERSITY   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
-   I-LOCATION
MURRIETA   I-LOCATION
on   O
36/27/2138   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
indicating   O
a   O
possible   O
aortic   O
dissection   O
.   O

Arias   B-NAME
described   O
the   O
pain   O
as   O
"   O
the   O
worst   O
ever   O
experienced   O
.   O
"   O

Upon   O
admission   O
,   O
Leonel   B-NAME
Lin   I-NAME
's   O
vitals   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
180/120   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
92   O
%   O
on   O
room   O
air   O
.   O

Past   O
medical   O
history   O
,   O
obtained   O
from   O
Derek   B-NAME
Wiley   I-NAME
,   O
included   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
.   O

Lesley   B-NAME
works   O
as   O
a   O
Artillery   O
and   O
Missile   O
Crew   O
Members   O
in   O
8505   B-LOCATION
Pennington   I-LOCATION
Drive   I-LOCATION
and   O
denied   O
any   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Diagnostic   O
tests   O
were   O
immediately   O
ordered   O
by   O
Kelsi   B-NAME
Rouleau   I-NAME
,   O
including   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
which   O
showed   O
nonspecific   O
ST   O
and   O
T   O
wave   O
changes   O
,   O
and   O
a   O
chest   O
X   O
-   O
ray   O
indicating   O
widened   O
mediastinum   O
.   O

Pater   B-NAME
,   I-NAME
Walter   I-NAME
was   O
then   O
sent   O
for   O
an   O
urgent   O
CT   O
angiography   O
of   O
the   O
chest   O
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
a   O
Type   O
A   O
aortic   O
dissection   O
extending   O
from   O
the   O
ascending   O
aorta   O
to   O
the   O
aortic   O
arch   O
.   O

Martin   B-NAME
Cole   I-NAME
's   O
medical   O
record   O
number   O
,   O
672   B-ID
-   I-ID
44   I-ID
-   I-ID
07   I-ID
-   I-ID
8   I-ID
,   O
was   O
used   O
to   O
access   O
and   O
review   O
previous   O
health   O
records   O
.   O

Carlson   B-NAME
,   I-NAME
Tucker   I-NAME
's   O
emergency   O
contact   O
was   O
notified   O
via   O
95067   B-CONTACT
.   O

Consent   O
for   O
emergency   O
surgical   O
intervention   O
was   O
obtained   O
,   O
and   O
Ace   B-NAME
,   I-NAME
Jane   I-NAME
was   O
prepared   O
for   O
an   O
immediate   O
ascending   O
aorta   O
and   O
hemiarch   O
replacement   O
.   O

Post   O
-   O
operatively   O
,   O
Brooks   B-NAME
,   I-NAME
Gwendolyn   I-NAME
was   O
transferred   O
to   O
the   O
Intensive   O
Care   O
Unit   O
(   O
ICU   O
)   O
on   O
2077   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
23   I-DATE
for   O
close   O
monitoring   O
.   O

Heidy   B-NAME
Wade   I-NAME
's   O
3899490   B-ID
and   O
99711   B-LOCATION
were   O
verified   O
upon   O
transfer   O
.   O

Recovery   O
was   O
monitored   O
by   O
a   O
multidisciplinary   O
team   O
,   O
including   O
cardiothoracic   O
surgery   O
,   O
cardiology   O
,   O
and   O
critical   O
care   O
professionals   O
associated   O
with   O
Northwestern   B-LOCATION
Medicine   I-LOCATION
Huntley   I-LOCATION
Hospital   I-LOCATION
.   O

By   O
July   B-DATE
,   O
Daniel   B-NAME
Goodman   I-NAME
showed   O
signs   O
of   O
stable   O
hemodynamic   O
status   O
and   O
was   O
scheduled   O
for   O
gradual   O
weaning   O
off   O
mechanical   O
ventilation   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Washington   B-NAME
at   O
Morton   B-LOCATION
Plant   I-LOCATION
North   I-LOCATION
Bay   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
clinic   O
,   O
located   O
in   O
Fort   B-LOCATION
Riley   I-LOCATION
,   O
to   O
monitor   O
Premchand   B-NAME
,   I-NAME
Munshi   I-NAME
's   O
recovery   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

(   B-CONTACT
379   I-CONTACT
)   I-CONTACT
701   I-CONTACT
4876   I-CONTACT
was   O
provided   O
for   O
Fry   B-NAME
to   O
contact   O
the   O
clinic   O
for   O
any   O
concerns   O
or   O
complications   O
.   O

Boyle   B-NAME
's   O
recovery   O
trajectory   O
will   O
be   O
closely   O
monitored   O
through   O
subsequent   O
follow   O
-   O
up   O
visits   O
and   O
adjustments   O
to   O
the   O
treatment   O
plan   O
based   O
on   O
clinical   O
progression   O
.   O

Patient   O
:   O
Mattie   B-NAME
Richard   I-NAME
Age   O
:   O
86   O
Medical   O
Record   O
Number   O
:   O
92867949   B-ID
Date   O
of   O
Birth   O
:   O
January   B-DATE
Address   O
:   O
Rye   B-LOCATION
,   O
33782   B-LOCATION
Phone   O
:   O
(   B-CONTACT
283   I-CONTACT
)   I-CONTACT
854   I-CONTACT
6047   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Villa   B-NAME
Referred   O
by   O
:   O
City   B-LOCATION
of   I-LOCATION
Newark   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Admission   O
Date   O
:   O

27/11/55   B-DATE
Hospital   O
:   O
Olean   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
/   I-LOCATION
Main   I-LOCATION
Chief   O
Complaint   O
:   O
Bruce   B-NAME
,   I-NAME
Lenny   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
WellSpan   B-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
on   O
22/3/71   B-DATE
,   O
complaining   O
of   O
acute   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kemp   B-NAME
,   O
a   O
Geospatial   O
Information   O
Scientists   O
and   O
Technologists   O
with   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
reports   O
that   O
while   O
at   O
work   O
at   O
Teamsters   B-LOCATION
on   O
12/26   B-DATE
,   O
they   O
experienced   O
sudden   O
onset   O
of   O
chest   O
pain   O
without   O
any   O
preceding   O
activity   O
that   O
might   O
have   O
prompted   O
such   O
symptoms   O
.   O

Hypertension   O
diagnosed   O
31/29   B-DATE
,   O
under   O
control   O
with   O
medication   O
.   O

Rylan   B-NAME
Rangel   I-NAME
discloses   O
being   O
a   O
non   O
-   O
smoker   O
and   O
consuming   O
alcohol   O
occasionally   O
.   O

Works   O
as   O
a   O
Structural   O
Iron   O
and   O
Steel   O
Workers   O
at   O
Veterans   B-LOCATION
for   I-LOCATION
Common   I-LOCATION
Sense   I-LOCATION
(   I-LOCATION
VCS   I-LOCATION
)   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Richard   B-NAME
Aviles   I-NAME
appeared   O
anxious   O
but   O
in   O
no   O
acute   O
distress   O
.   O

Martin   B-NAME
was   O
admitted   O
to   O
Pennsylvania   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
,   O
including   O
serial   O
ECGs   O
and   O
cardiac   O
enzyme   O
monitoring   O
.   O

A   O
consultation   O
with   O
cardiology   O
,   O
specifically   O
Ray   B-NAME
,   O
was   O
requested   O
for   O
possible   O
coronary   O
angiography   O
based   O
on   O
the   O
evolving   O
clinical   O
picture   O
.   O

The   O
above   O
report   O
is   O
a   O
comprehensive   O
and   O
PHI   O
-   O
compliant   O
summary   O
of   O
Nyla   B-NAME
Bond   I-NAME
's   O
presentation   O
,   O
evaluation   O
,   O
and   O
initial   O
management   O
plan   O
while   O
protecting   O
their   O
privacy   O
according   O
to   O
HIPAA   O
regulations   O
.   O

Patient   O
:   O
Jayce   B-NAME
Collier   I-NAME
Medical   O
Record   O
Number   O
:   O
202   B-ID
-   I-ID
31   I-ID
-   I-ID
19   I-ID
Age   O
:   O
61s   O
Phone   O
:   O
(   B-CONTACT
311   I-CONTACT
)   I-CONTACT
712   I-CONTACT
1770   I-CONTACT
Date   O
of   O
Initial   O
Consultation   O
:   O
3/32   B-DATE
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Alma   B-NAME
Hammond   I-NAME
Hospital   O
:   O
FirstHealth   B-LOCATION
Moore   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Mulga   B-LOCATION
Zip   O
Code   O
:   O
85354   B-LOCATION
ID   O
:   O
RY:5291:670444   B-ID
Organization   O
:   O

Botswana   B-LOCATION
Vaccine   I-LOCATION
Institute   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
Username   O
:   O
st593   B-NAME
Profession   O
:   O

Computer   O
and   O
Information   O
Scientists   O
,   O
Research   O
Clinical   O
Summary   O
:   O
Valeria   B-NAME
Conley   I-NAME
,   O
a   O
99s   O
-   O
year   O
-   O
old   O
Extruding   O
,   O
Forming   O
,   O
Pressing   O
,   O
and   O
Compacting   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
residing   O
in   O
Morningside   B-LOCATION
,   O
84562   B-LOCATION
,   O
presented   O
on   O
20st   B-DATE
of   I-DATE
October   I-DATE
with   O
a   O
detailed   O
history   O
of   O
progressive   O
,   O
unilateral   O
headache   O
predominantly   O
localized   O
to   O
the   O
temporal   O
region   O
.   O

Diana   B-NAME
Elliott   I-NAME
's   O
headache   O
episodes   O
have   O
become   O
more   O
frequent   O
over   O
the   O
past   O
few   O
months   O
,   O
escalating   O
from   O
one   O
episode   O
per   O
month   O
to   O
two   O
to   O
three   O
episodes   O
per   O
week   O
.   O

Neurological   O
examination   O
,   O
carried   O
out   O
by   O
Dr.   O
Erick   B-NAME
Fuller   I-NAME
at   O
Forest   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
28/11   B-DATE
,   O
showed   O
no   O
focal   O
neurological   O
deficits   O
.   O

Dr.   O
Cherry   B-NAME
also   O
discussed   O
prophylactic   O
and   O
symptomatic   O
treatments   O
to   O
manage   O
the   O
condition   O
and   O
aimed   O
at   O
improving   O
Rosemary   B-NAME
Riggs   I-NAME
's   O
quality   O
of   O
life   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
for   O
10/23/2050   B-DATE
to   O
reassess   O
symptom   O
control   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
.   O

For   O
any   O
queries   O
or   O
emergency   O
assistance   O
,   O
QR   B-NAME
was   O
provided   O
the   O
contact   O
number   O
850   B-CONTACT
5408   I-CONTACT
of   O
the   O
headache   O
clinic   O
at   O
Northeast   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
33235   B-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Name   O
:   O
Urzua   B-NAME
Patient   O
ID   O
:   O
YM:620100:907903   B-ID
DOB   O
:   O
02/02/2322   B-DATE
Address   O
:   O
Jenkinsburg   B-LOCATION
,   O
67648   B-LOCATION
Phone   O
:   O
28024   B-CONTACT
Employer   O
:   O
Anonymous   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Voiceless   I-LOCATION
Occupation   O
:   O
Duplicating   O
Machine   O
Operators   O
Medical   O
Record   O
Number   O
:   O
20331911   B-ID

Didius   B-NAME
Julianus   I-NAME
Hospital   O
:   O

Philhaven   B-LOCATION
Date   O
of   O
Admission   O
:   O
June   B-DATE
25   I-DATE
Date   O
of   O
Report   O
:   O
12/2302   B-DATE
Chief   O
Complaint   O
:   O
Brandt   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
University   B-LOCATION
Hospital   I-LOCATION
on   O
21/21   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Martial   B-NAME
,   O
a   O
84   O
-   O
year   O
-   O
old   O
Electrical   O
and   O
Electronics   O
Drafters   O
,   O
reports   O
that   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
but   O
has   O
progressively   O
worsened   O
over   O
a   O
few   O
hours   O
.   O

Accompanying   O
symptoms   O
included   O
loss   O
of   O
appetite   O
and   O
an   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
2108   B-DATE
.   O

Jade   B-NAME
Meza   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Patient   O
’s   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
a   O
cholecystectomy   O
performed   O
in   O
22/03/61   B-DATE
.   O

Upon   O
examination   O
,   O
Sawyer   B-NAME
,   I-NAME
Diane   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Saint   B-LOCATION
Elizabeth   I-LOCATION
Covington   I-LOCATION
on   O
22   B-DATE
-   I-DATE
28   I-DATE
and   O
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
by   O
Urijah   B-NAME
Hanna   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
Ulises   B-NAME
Y.   I-NAME
Hobbs   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Bowers   B-NAME
was   O
scheduled   O
for   O
29/11/32   B-DATE
at   O
WellSpan   B-LOCATION
Ephrata   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

In   O
Conclusion   O
,   O
Mauricio   B-NAME
Whitaker   I-NAME
,   O
a   O
50   O
-   O
year   O
-   O
old   O
Geological   O
and   O
Petroleum   O
Technicians   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
and   O
underwent   O
successful   O
surgical   O
intervention   O
.   O

Prepared   O
by   O
:   O
Cameron   B-NAME
Date   O
:   O
10   B-DATE
-   I-DATE
Aug-2317   I-DATE
Contact   O
Information   O
:   O
80714   B-CONTACT

Patient   O
Name   O
:   O
Arabella   B-NAME
Blake   I-NAME
Patient   O
HZ   B-ID
:   I-ID
CO:6593   I-ID
:   O
32599438   B-ID
DOB   O
:   O
23s   O
Address   O
:   O
Red   B-LOCATION
Bud   I-LOCATION
,   O
90667   B-LOCATION
Phone   O
Number   O
:   O
735   B-CONTACT
-   I-CONTACT
361   I-CONTACT
1308   I-CONTACT
On   O
Nov   B-DATE
,   I-DATE
2111   I-DATE
,   O
York   B-NAME
was   O
seen   O
by   O
Kaufman   B-NAME
at   O
Pike   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
consultation   O
.   O

Sammael   B-NAME
Doerflinger   I-NAME
described   O
the   O
pain   O
as   O
"   O
debilitating   O
,   O
"   O
rating   O
it   O
a   O
9   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
,   O
with   O
10   O
being   O
the   O
most   O
severe   O
pain   O
imaginable   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
April   B-DATE
2231   I-DATE
,   O
with   O
episodes   O
lasting   O
from   O
2   O
to   O
4   O
hours   O
.   O

Notably   O
,   O
Dreama   B-NAME
reported   O
photophobia   O
and   O
phonophobia   O
,   O
as   O
well   O
as   O
nausea   O
,   O
but   O
no   O
vomiting   O
.   O

Boileau   B-NAME
-   I-NAME
Despreaux   I-NAME
,   I-NAME
Nicholas   I-NAME
's   O
medical   O
history   O
includes   O
chronic   O
migraine   O
without   O
aura   O
,   O
for   O
which   O
Baxter   B-NAME
is   O
on   O
a   O
preventive   O
treatment   O
regimen   O
composed   O
of   O
a   O
beta   O
-   O
blocker   O
and   O
monthly   O
CGRP   O
antagonist   O
injections   O
.   O

Despite   O
this   O
,   O
Berio   B-NAME
,   I-NAME
Luciano   I-NAME
has   O
experienced   O
an   O
increase   O
in   O
the   O
frequency   O
and   O
severity   O
of   O
migraine   O
attacks   O
over   O
the   O
past   O
2/1   B-DATE
,   O
prompting   O
this   O
consultation   O
.   O

During   O
the   O
examination   O
,   O
Henderson   B-NAME
noted   O
no   O
papilledema   O
or   O
focal   O
neurological   O
deficits   O
.   O

Given   O
Hendrix   B-NAME
,   I-NAME
Jimi   I-NAME
's   O
history   O
and   O
symptomatology   O
,   O
a   O
differential   O
diagnosis   O
of   O
chronic   O
migraine   O
with   O
acute   O
exacerbation   O
was   O
considered   O
.   O

However   O
,   O
to   O
rule   O
out   O
secondary   O
causes   O
,   O
Ally   B-NAME
Watson   I-NAME
ordered   O
a   O
brain   O
MRI   O
and   O
blood   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
erythrocyte   O
sedimentation   O
rate   O
(   O
ESR   O
)   O
,   O
and   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
.   O

Kidd   B-NAME
prescribed   O
a   O
short   O
course   O
of   O
oral   O
corticosteroids   O
to   O
manage   O
the   O
acute   O
exacerbation   O
and   O
recommended   O
that   O
Blalock   B-NAME
,   I-NAME
Jolene   I-NAME
continue   O
the   O
current   O
preventive   O
treatment   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
May   B-DATE
at   O
Sutter   B-LOCATION
Solano   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
review   O
the   O
test   O
results   O
and   O
assess   O
the   O
effectiveness   O
of   O
the   O
adjusted   O
treatment   O
plan   O
.   O

Alexzander   B-NAME
Delgado   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
such   O
as   O
sudden   O
onset   O
of   O
"   O
the   O
worst   O
headache   O
of   O
my   O
life   O
,   O
"   O
fever   O
,   O
stiff   O
neck   O
,   O
seizures   O
,   O
or   O
persistent   O
vomiting   O
.   O

Emergency   O
Contact   O
:   O
Clinical   O
scientist   O
-   O
tissue   O
typing   O
at   O
686   B-CONTACT
-   I-CONTACT
6704   I-CONTACT
Insurance   O
Provider   O
:   O
People   B-LOCATION
&   I-LOCATION
Planet   I-LOCATION
Policy   O
Number   O
:   O
NR994/3639   B-ID

Patient   O
Name   O
:   O
Shamar   B-NAME
Serrano   I-NAME
Patient   O
ID   O
:   O
KZ:96299:535478   B-ID
Date   O
of   O
Birth   O
:   O
1796   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
07   I-DATE
Address   O
:   O
Tuleta   B-LOCATION
,   O
71414   B-LOCATION
Phone   O
Number   O
:   O
437   B-CONTACT
4001   I-CONTACT
Occupation   O
:   O
Judges   O
,   O
Magistrate   O
Judges   O
,   O
and   O
Magistrates   O
Primary   O
Care   O
Physician   O
:   O
Webb   B-NAME
Date   O
of   O
Visit   O
:   O
37   B-DATE
Medical   O
Record   O
Number   O
:   O
8268205   B-ID
Hospital   O
:   O

Johnson   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Day   B-NAME
,   O
a   O
52   O
-   O
year   O
-   O
old   O
Network   O
and   O
Computer   O
Systems   O
Administrators   O
from   O
Earlville   B-LOCATION
,   O
presents   O
with   O
a   O
3   O
-   O
day   O
history   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Anabel   B-NAME
Osborne   I-NAME
reports   O
nausea   O
and   O
one   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
Monday   B-DATE
.   O

Escobar   B-NAME
denies   O
any   O
recent   O
head   O
trauma   O
,   O
fever   O
,   O
neck   O
stiffness   O
,   O
rash   O
,   O
or   O
history   O
of   O
similar   O
headaches   O
.   O

Skyla   B-NAME
Houston   I-NAME
's   O
visual   O
acuity   O
was   O
normal   O
,   O
and   O
fundoscopic   O
examination   O
did   O
not   O
reveal   O
any   O
abnormalities   O
.   O

Next   O
Appointment   O
:   O
03/11/2312   B-DATE
at   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Buffalo   I-LOCATION
,   O
with   O
Layla   B-NAME
Faulkner   I-NAME
,   O
for   O
follow   O
-   O
up   O
and   O
review   O
.   O

Notes   O
:   O
Esther   B-NAME
Meadows   I-NAME
expressed   O
concern   O
about   O
the   O
impact   O
of   O
headaches   O
on   O
work   O
performance   O
.   O

Vetora   B-NAME
Almgren   I-NAME
will   O
monitor   O
headache   O
frequency   O
and   O
severity   O
using   O
a   O
headache   O
diary   O
and   O
report   O
findings   O
during   O
the   O
next   O
visit   O
.   O

Day   B-NAME
2/23/24   B-DATE

Corrine   B-NAME
James   I-NAME
Age   O
:   O
94   O
Medical   O
Record   O
Number   O
:   O
44619009   B-ID
Date   O
of   O
Visit   O
:   O
22/2352   B-DATE
Treating   O
Physician   O
:   O

Holden   B-NAME
Austin   I-NAME
Location   O
:   O
Sudbury   B-LOCATION
Hospital   O
:   O
Adventist   B-LOCATION
Health   I-LOCATION
Simi   I-LOCATION
Valley   I-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
631   I-CONTACT
)   I-CONTACT
960   I-CONTACT
-   I-CONTACT
6328   I-CONTACT
Zip   O
Code   O
:   O
25110   B-LOCATION
Employment   O
:   O
Information   O
Security   O
Analysts   O
Username   O
:   O
yv102   B-NAME
ID   O
Number   O
:   O
667605   B-ID
Clinical   O
Narrative   O
:   O
Hope   B-NAME
Hopkins   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Alice   B-LOCATION
Hyde   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/22   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
instances   O
of   O
vomiting   O
over   O
the   O
preceding   O
6   O
hours   O
.   O

Initial   O
assessment   O
by   O
Gallagher   B-NAME
indicated   O
possible   O
appendicitis   O
,   O
prompting   O
further   O
diagnostic   O
testing   O
.   O

Hayden   B-NAME
Nutter   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
,   O
treatment   O
options   O
,   O
and   O
the   O
need   O
for   O
likely   O
surgical   O
intervention   O
.   O

The   O
patient   O
consented   O
to   O
proceed   O
with   O
surgery   O
scheduled   O
for   O
February   B-DATE
20   I-DATE
.   O

Post   O
-   O
operative   O
recovery   O
is   O
closely   O
monitored   O
,   O
with   O
Isabel   B-NAME
Spence   I-NAME
receiving   O
intravenous   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Discharge   O
instructions   O
will   O
include   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
at   O
the   O
incision   O
site   O
,   O
pain   O
management   O
strategies   O
,   O
diet   O
modifications   O
for   O
the   O
initial   O
recovery   O
period   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Finn   B-NAME
Bolton   I-NAME
at   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
for   O
01/18/1855   B-DATE
.   O

Ladonna   B-NAME
Louviere   I-NAME
was   O
provided   O
with   O
the   O
phone   O
number   O
99957   B-CONTACT
for   O
the   O
surgery   O
department   O
at   O
Harrison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Silverdale   I-LOCATION
should   O
any   O
concerns   O
arise   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

The   O
detailed   O
care   O
and   O
attentive   O
response   O
from   O
the   O
medical   O
team   O
at   O
Peconic   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
are   O
credited   O
with   O
facilitating   O
a   O
smooth   O
surgical   O
procedure   O
and   O
initiating   O
a   O
comprehensive   O
recovery   O
plan   O
for   O
Alia   B-NAME
Whitaker   I-NAME
.   O

Further   O
evaluations   O
and   O
care   O
coordination   O
will   O
be   O
managed   O
through   O
the   O
scheduled   O
follow   O
-   O
up   O
to   O
ensure   O
complete   O
recovery   O
and   O
return   O
to   O
activities   O
for   O
Tolstoy   B-NAME
,   I-NAME
Leo   I-NAME
,   O
a   O
valued   O
member   O
of   O
the   O
Horticultural   O
consultant   O
community   O
in   O
Plymouth   B-LOCATION
.   O

Patient   O
Report   O
for   O
Jamari   B-NAME
Glover   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
TC   B-ID
:   I-ID
SL:8170   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
5281829   B-ID
-   O
Age   O
:   O
81   O
-   O
Phone   O
:   O
88098   B-CONTACT
-   O
Address   O
:   O
Armada   B-LOCATION
,   O
77258   B-LOCATION
Medical   O
Visit   O
Information   O
:   O
-   O
Visit   O
Date   O
:   O
36/32   B-DATE
-   O
Attending   O
Physician   O
:   O
Dr.   O
Oberst   B-NAME
,   I-NAME
Conor   I-NAME
-   O
Hospital   O
:   O
Greene   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Symptoms   O
:   O
The   O
patient   O
,   O
Stephenson   B-NAME
,   O
presented   O
with   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
diaphoresis   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
began   O
approximately   O
two   O
hours   O
prior   O
to   O
arrival   O
at   O
William   B-LOCATION
Newton   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Winfield   I-LOCATION
.   O

Lu   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
hypertension   O
,   O
and   O
previous   O
myocardial   O
infarction   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Jessie   B-NAME
Mcguire   I-NAME
was   O
in   O
acute   O
distress   O
.   O

Given   O
the   O
presentation   O
and   O
ECG   O
findings   O
,   O
Jaiden   B-NAME
Ellison   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
emergency   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Disposition   O
:   O
Post   O
-   O
procedure   O
,   O
Benita   B-NAME
Tynan   I-NAME
was   O
admitted   O
to   O
the   O
coronary   O
care   O
unit   O
(   O
CCU   O
)   O
for   O
monitoring   O
.   O

A   O
follow   O
-   O
up   O
echocardiogram   O
is   O
scheduled   O
for   O
2158   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
21   I-DATE
to   O
assess   O
left   O
ventricular   O
function   O
post   O
-   O
intervention   O
.   O

Social   O
History   O
:   O
Morgan   B-NAME
Abbott   I-NAME
is   O
a   O
Herbalist   O
,   O
does   O
not   O
use   O
tobacco   O
or   O
illicit   O
drugs   O
,   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Stevens   B-NAME
,   I-NAME
Wallace   I-NAME
lives   O
with   O
a   O
spouse   O
in   O
Detroit   B-LOCATION
.   O

Allergies   O
:   O
Angelo   B-NAME
Sharp   I-NAME
reports   O
a   O
known   O
allergy   O
to   O
penicillin   O
,   O
manifesting   O
as   O
a   O
rash   O
.   O

Summary   O
and   O
follow   O
-   O
up   O
:   O
Leia   B-NAME
Randolph   I-NAME
experienced   O
an   O
anterior   O
ST   O
-   O
segment   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
and   O
underwent   O
successful   O
revascularization   O
with   O
PCI   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Saige   B-NAME
Riggs   I-NAME
at   O
Holy   B-LOCATION
Family   I-LOCATION
Hospital   I-LOCATION
is   O
scheduled   O
for   O
31/02/17   B-DATE
.   O

For   O
any   O
further   O
queries   O
regarding   O
the   O
management   O
of   O
Winn   B-NAME
,   O
please   O
contact   O
(   B-CONTACT
896   I-CONTACT
)   I-CONTACT
474   I-CONTACT
9268   I-CONTACT
or   O
refer   O
to   O
CHRISTUS   B-LOCATION
Spohn   I-LOCATION
Hospital   I-LOCATION
Corpus   I-LOCATION
Christi   I-LOCATION
-   I-LOCATION
Shoreline   I-LOCATION
records   O
under   O
the   O
MRN   O
:   O
7741701   B-ID
.   O

Report   O
Prepared   O
by   O
:   O
Dr.   O
Retta   B-NAME
Hurd   I-NAME
12/13   B-DATE

Patient   O
Name   O
:   O
Demarcus   B-NAME
Patient   O
ID   O
:   O
168977418   B-ID
Medical   O
Record   O
Number   O
:   O
CK405846   B-ID
Date   O
of   O
Birth   O
:   O
16   B-DATE
Age   O
:   O
73   O
Address   O
:   O
Houston   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
77036   I-LOCATION
,   O
97829   B-LOCATION
Phone   O
Number   O
:   O
25025   B-CONTACT
Attending   O
Physician   O
:   O
Buchanan   B-NAME
Hospital   O
:   O
Wythe   B-LOCATION
County   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Symptoms   O
noted   O
from   O
:   O
04/21   B-DATE
Summary   O
:   O
Kathleen   B-NAME
Bruce   I-NAME
,   O
a   O
Community   O
and   O
Social   O
Service   O
Specialists   O
,   O
All   O
Other   O
,   O
presented   O
to   O
H.   B-LOCATION
Lee   I-LOCATION
Moffitt   I-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Research   I-LOCATION
Institute   I-LOCATION
on   O
02/20/2031   B-DATE
with   O
complaints   O
of   O
high   O
-   O
grade   O
fever   O
(   O
peaking   O
at   O
102   O
°   O
F   O
)   O
,   O
a   O
persistent   O
,   O
dry   O
cough   O
,   O
and   O
notable   O
dyspnea   O
on   O
exertion   O
.   O

The   O
patient   O
has   O
also   O
been   O
experiencing   O
a   O
significant   O
loss   O
of   O
smell   O
and   O
taste   O
since   O
27/00/62   B-DATE
.   O

Upon   O
examination   O
,   O
Colson   B-NAME
,   I-NAME
Charles   I-NAME
exhibited   O
signs   O
of   O
tachypnea   O
with   O
a   O
respiratory   O
rate   O
of   O
24   O
breaths   O
per   O
minute   O
and   O
oxygen   O
saturation   O
levels   O
fluctuating   O
around   O
92   O
%   O
on   O
room   O
air   O
.   O

A   O
chest   O
X   O
-   O
ray   O
performed   O
on   O
2229   B-DATE
showed   O
bilateral   O
ground   O
-   O
glass   O
opacities   O
,   O
predominantly   O
in   O
the   O
lower   O
lobes   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Mckinley   B-NAME
Carroll   I-NAME
was   O
admitted   O
under   O
the   O
tentative   O
diagnosis   O
of   O
Viral   O
Pneumonia   O
,   O
likely   O
secondary   O
to   O
SARS   O
-   O
CoV-2   O
infection   O
,   O
pending   O
PCR   O
confirmation   O
.   O

Management   O
:   O
Upon   O
admission   O
,   O
KYLE   B-NAME
CONLEY   I-NAME
was   O
started   O
on   O
empirical   O
antiviral   O
therapy   O
and   O
supportive   O
care   O
,   O
including   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
to   O
maintain   O
SpO2   O
above   O
94   O
%   O
.   O

Thomson   B-NAME
was   O
instructed   O
on   O
the   O
importance   O
of   O
proning   O
sessions   O
to   O
improve   O
oxygenation   O
.   O

Strict   O
isolation   O
precautions   O
were   O
instituted   O
in   O
accordance   O
with   O
Finnish   B-LOCATION
Film   I-LOCATION
Foundation   I-LOCATION
guidelines   O
for   O
the   O
management   O
of   O
COVID-19   O
patients   O
.   O

Outcome   O
:   O
As   O
of   O
May   B-DATE
,   O
Warner   B-NAME
's   O
condition   O
has   O
shown   O
gradual   O
improvement   O
.   O

A   O
follow   O
-   O
up   O
PCR   O
test   O
for   O
SARS   O
-   O
CoV-2   O
returned   O
negative   O
on   O
two   O
consecutive   O
occasions   O
,   O
13/28   B-DATE
and   O
27/25/52   B-DATE
.   O

Jake   B-NAME
Rios   I-NAME
continues   O
to   O
make   O
progress   O
in   O
recovery   O
and   O
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
telehealth   O
appointment   O
with   O
Jacoby   B-NAME
Glass   I-NAME
on   O
1929   B-DATE
to   O
assess   O
pulmonary   O
function   O
and   O
overall   O
recuperation   O
.   O

Conclusion   O
:   O
Mccullough   B-NAME
's   O
case   O
highlights   O
the   O
effectiveness   O
of   O
early   O
identification   O
and   O
management   O
of   O
COVID-19   O
symptoms   O
,   O
coupled   O
with   O
adherence   O
to   O
recommended   O
isolation   O
and   O
treatment   O
protocols   O
.   O

Prepared   O
by   O
:   O
KM9410   B-NAME
Reviewed   O
by   O
:   O
Warren   B-NAME
Contact   O
for   O
further   O
information   O
:   O
61083   B-CONTACT
Hospital   O
Contact   O
:   O

North   B-LOCATION
Baldwin   I-LOCATION
Infirmary   I-LOCATION
Emergency   O
Department   O
,   O
592   B-CONTACT
9176   I-CONTACT

Patient   O
Name   O
:   O
Frank   B-NAME
Ito   I-NAME
Patient   O
ID   O
:   O
FB:39693:775777   B-ID
Medical   O
Record   O
Number   O
:   O
1171560   B-ID
Date   O
of   O
Birth   O
:   O
March   B-DATE
22   I-DATE
Age   O
:   O
1   O
month   O
Phone   O
Number   O
:   O
513   B-CONTACT
9408   I-CONTACT
Address   O
:   O
Manns   B-LOCATION
Harbor   I-LOCATION
,   O
54056   B-LOCATION
Attending   O
Physician   O
:   O

Selina   B-NAME
Boyer   I-NAME
Hospital   O
Name   O
:   O
Hillsdale   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/27   B-DATE
Date   O
of   O
Discharge   O
:   O
06/84   B-DATE
Chief   O
Complaint   O
:   O
Noah   B-NAME
Werner   I-NAME
was   O
admitted   O
to   O
Greenbrier   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/26/2116   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Gerald   B-NAME
Echols   I-NAME
,   O
a   O
Pharmacy   O
Aides   O
from   O
Winthrop   B-LOCATION
,   O
began   O
experiencing   O
mild   O
abdominal   O
discomfort   O
Sunday   B-DATE
,   I-DATE
August   I-DATE
,   O
which   O
progressively   O
worsened   O
.   O

The   O
discomfort   O
evolved   O
into   O
sharp   O
,   O
continuous   O
pain   O
,   O
prompting   O
Jong   B-NAME
,   I-NAME
Erica   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

Past   O
Medical   O
History   O
:   O
Carli   B-NAME
Trinidad   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
had   O
an   O
appendectomy   O
at   O
the   O
age   O
of   O
3   O
.   O

Current   O
medications   O
include   O
hypertensive   O
drugs   O
prescribed   O
by   O
Leila   B-NAME
Jennings   I-NAME
.   O

Drake   B-NAME
Chavez   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
consumption   O
.   O

Rodolfo   B-NAME
Aguilar   I-NAME
is   O
employed   O
as   O
a   O
Court   O
,   O
Municipal   O
,   O
and   O
License   O
Clerks   O
at   O
Commerce   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Southwest   I-LOCATION
Florida   I-LOCATION
.   O

Abdominal   O
ultrasound   O
performed   O
on   O
33/00   B-DATE
confirmed   O
inflammation   O
of   O
the   O
appendix   O
.   O

The   O
clinical   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Lia   B-NAME
Greene   I-NAME
.   O

Surgical   O
intervention   O
,   O
specifically   O
a   O
laparoscopic   O
appendectomy   O
,   O
was   O
recommended   O
and   O
subsequently   O
performed   O
on   O
4/4   B-DATE
.   O

Preston   B-NAME
Haas   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
immediate   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Venita   B-NAME
Bartley   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
clinic   O
for   O
wound   O
assessment   O
and   O
management   O
02/32/43   B-DATE
.   O

Angell   B-NAME
,   I-NAME
Norman   I-NAME
was   O
also   O
instructed   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
post   O
-   O
operative   O
complications   O
.   O

Avoid   O
strenuous   O
activities   O
for   O
8/1   B-DATE
weeks   O
post   O
-   O
operation   O
to   O
facilitate   O
healing   O
.   O

5   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Genevieve   B-NAME
Schmidt   I-NAME
on   O
2203   B-DATE
.   O

For   O
any   O
concerns   O
or   O
emergencies   O
,   O
please   O
contact   O
Mount   B-LOCATION
Sinai   I-LOCATION
West   I-LOCATION
at   O
69931   B-CONTACT
.   O

Patient   O
Name   O
:   O
Ito   B-NAME
Patient   O
ID   O
:   O
UE:25562:467765   B-ID
Medical   O
Record   O
Number   O
:   O
070   B-ID
-   I-ID
99   I-ID
-   I-ID
00   I-ID
-   I-ID
5   I-ID
DOB   O
:   O
64   O
years   O
old   O
Date   O
of   O
Admission   O
:   O
00/02   B-DATE
Referred   O
by   O
:   O
Dr.   O
Liu   B-NAME
Admitting   O
Hospital   O
:   O
UPMC   B-LOCATION
Jameson   I-LOCATION
Location   O
:   O

Fort   B-LOCATION
Loramie   I-LOCATION
Phone   O
:   O
217   B-CONTACT
-   I-CONTACT
5020   I-CONTACT
Patient   O
's   O
ZIP   O
Code   O
:   O
83591   B-LOCATION
Profession   O
:   O

Computer   O
Programmers   O
Username   O
:   O
VQ936   B-NAME
Symptoms   O
and   O
Observations   O
:   O
The   O
patient   O
,   O
Stanly   B-NAME
Lang   I-NAME
,   O
presented   O
with   O
a   O
complex   O
set   O
of   O
symptoms   O
upon   O
their   O
admission   O
to   O
Texas   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
18/12   B-DATE
.   O

Jaidyn   B-NAME
Kent   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
24   O
-   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Furthermore   O
,   O
Wilma   B-NAME
Field   I-NAME
has   O
experienced   O
a   O
marked   O
reduction   O
in   O
appetite   O
alongside   O
these   O
symptoms   O
.   O

Diagnostic   O
Tests   O
:   O
Following   O
the   O
initial   O
assessment   O
,   O
Dr.   O
Shaw   B-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
to   O
confirm   O
the   O
preliminary   O
diagnosis   O
and   O
rule   O
out   O
differential   O
diagnoses   O
.   O

The   O
surgery   O
was   O
scheduled   O
and   O
successfully   O
performed   O
without   O
complications   O
on   O
22/32/80   B-DATE
.   O

Denver   B-NAME
was   O
administered   O
a   O
course   O
of   O
antibiotics   O
pre   O
-   O
operation   O
to   O
manage   O
and   O
prevent   O
any   O
potential   O
peritoneal   O
infection   O
.   O

Post   O
-   O
Operative   O
Care   O
:   O
Post   O
-   O
operatively   O
,   O
Monserrat   B-NAME
Stone   I-NAME
was   O
closely   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
any   O
adverse   O
reactions   O
to   O
the   O
surgery   O
.   O

Pain   O
management   O
was   O
addressed   O
with   O
prescribed   O
medication   O
,   O
ensuring   O
Cat   B-NAME
Black   I-NAME
's   O
comfort   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Camacho   B-NAME
to   O
assess   O
healing   O
and   O
discuss   O
any   O
further   O
steps   O
necessary   O
for   O
recovery   O
.   O

Discharge   O
and   O
Recommendations   O
:   O
Mcdaniel   B-NAME
was   O
discharged   O
on   O
2/23   B-DATE
with   O
instructions   O
for   O
at   O
-   O
home   O
care   O
,   O
including   O
wound   O
care   O
,   O
recommended   O
dietary   O
adjustments   O
,   O
and   O
prescribed   O
medications   O
for   O
pain   O
management   O
.   O

Elenora   B-NAME
Newball   I-NAME
was   O
informed   O
to   O
observe   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
and   O
to   O
contact   O
MercyOne   B-LOCATION
Waterloo   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
890   I-CONTACT
)   I-CONTACT
376   I-CONTACT
3860   I-CONTACT
for   O
any   O
concerns   O
or   O
to   O
report   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Farmer   B-NAME
at   O
Pottstown   B-LOCATION
Hospital   I-LOCATION
on   O
11/27/1978   B-DATE
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Len   B-NAME
Wayne   I-NAME
-   I-NAME
Gregory   I-NAME
was   O
advised   O
to   O
maintain   O
the   O
prescribed   O
treatment   O
regimen   O
and   O
to   O
reach   O
out   O
to   O
the   O
medical   O
team   O
via   O
663   B-CONTACT
433   I-CONTACT
9433   I-CONTACT
for   O
any   O
urgent   O
issues   O
.   O

Summary   O
:   O
The   O
patient   O
,   O
Cynewulf   B-NAME
Hillbrant   I-NAME
,   O
underwent   O
a   O
successful   O
appendectomy   O
following   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

The   O
post   O
-   O
operative   O
period   O
has   O
been   O
uneventful   O
,   O
with   O
J.   B-NAME
Joseph   I-NAME
Moreno   I-NAME
showing   O
signs   O
of   O
steady   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
6695806   B-ID
Medical   O
Record   O
Number   O
:   O
7723B09147   B-ID
Name   O
:   O
Spencer   B-NAME
,   I-NAME
Herbert   I-NAME
Age   O
:   O
95   O
Phone   O
Number   O
:   O
18071   B-CONTACT
Profession   O
:   O
Stevedores   O
,   O
Except   O
Equipment   O
Operators   O
Primary   O
Physician   O
:   O
Eggers   B-NAME
,   I-NAME
Dave   I-NAME
Date   O
of   O
Initial   O
Visit   O
:   O
2/22/2017   B-DATE
Hospital   O
:   O

Phelps   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Barstow   B-LOCATION
Chief   O
Complaint   O
:   O
2152   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
21   I-DATE
,   O
Jaslyn   B-NAME
Graves   I-NAME
,   O
a   O
1s   O
-   O
year   O
-   O
old   O
Food   O
Preparation   O
Workers   O
from   O
Edmundson   B-LOCATION
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Spring   B-LOCATION
Grove   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
persisting   O
for   O
the   O
past   O
6   O
hours   O
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
pain   O
was   O
sudden   O
,   O
occurring   O
at   O
approximately   O
07/25/72   B-DATE
.   O

Forrest   B-NAME
also   O
noted   O
an   O
increase   O
in   O
pain   O
severity   O
upon   O
movement   O
.   O

Past   O
Medical   O
History   O
:   O
Gallo   B-NAME
,   I-NAME
Vincent   I-NAME
Actor   I-NAME
has   O
been   O
generally   O
healthy   O
with   O
no   O
chronic   O
illnesses   O
.   O

Xavier   B-NAME
Otero   I-NAME
does   O
not   O
take   O
any   O
regular   O
medications   O
.   O

Social   O
History   O
:   O
MARVIN   B-NAME
UTECHT   I-NAME
,   O
a   O
Legislators   O
,   O
lives   O
in   O
Mount   B-LOCATION
Vernon   I-LOCATION
and   O
denies   O
any   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Katelynn   B-NAME
Flores   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
.   O

Signature   O
:   O
King   B-NAME
Gomez   I-NAME
March   B-DATE
23   I-DATE
,   I-DATE
2115   I-DATE

Patient   O
Name   O
:   O
Bailey   B-NAME
Patient   O
ID   O
:   O
16712308   B-ID
Date   O
of   O
Birth   O
:   O
26/02   B-DATE
Age   O
:   O
80   O
Address   O
:   O
North   B-LOCATION
Scituate   I-LOCATION
,   O
89470   B-LOCATION
Phone   O
:   O
556   B-CONTACT
5437   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Perez   B-NAME
Medical   O
Record   O
Number   O
:   O
0237427   B-ID
Hospital   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Blank   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
32/21/12   B-DATE
Chief   O
Complaint   O
:   O

The   O
onset   O
of   O
pain   O
occurred   O
approximately   O
23/20/12   B-DATE
and   O
has   O
progressively   O
worsened   O
.   O

The   O
patient   O
also   O
reports   O
accompanying   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
slight   O
fever   O
since   O
09/27/32   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Angel   B-NAME
Meza   I-NAME
,   O
a   O
Electric   O
Home   O
Appliance   O
and   O
Power   O
Tool   O
Repairers   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
started   O
experiencing   O
mild   O
abdominal   O
discomfort   O
9/45   B-DATE
which   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
by   O
the   O
following   O
day   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Providence   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Samuel   B-NAME
Harrison   I-NAME
for   O
further   O
management   O
.   O

The   O
patient   O
provided   O
informed   O
consent   O
for   O
the   O
surgery   O
,   O
scheduled   O
for   O
7/33/19   B-DATE
.   O

The   O
patient   O
is   O
scheduled   O
for   O
a   O
postoperative   O
appointment   O
on   O
10/10   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
discuss   O
any   O
further   O
recommendations   O
.   O

A   O
reminder   O
call   O
will   O
be   O
placed   O
to   O
the   O
patient   O
's   O
phone   O
number   O
916   B-CONTACT
538   I-CONTACT
8180   I-CONTACT
one   O
day   O
prior   O
to   O
the   O
appointment   O
.   O

Additional   O
Notes   O
:   O
The   O
patient   O
's   O
emergency   O
contact   O
is   O
a   O
First   O
-   O
Line   O
Supervisors   O
,   O
Customer   O
Service   O
named   O
LOGAN   B-NAME
COLEMAN   I-NAME
living   O
in   O
78   B-LOCATION
Homewood   I-LOCATION
Street   I-LOCATION
,   O
10531   B-CONTACT
.   O

This   O
patient   O
's   O
report   O
is   O
for   O
the   O
use   O
of   O
Morristown   B-LOCATION
-   I-LOCATION
Hamblen   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
staff   O
only   O
and   O
should   O
not   O
be   O
shared   O
without   O
the   O
explicit   O
consent   O
of   O
the   O
patient   O
or   O
as   O
authorized   O
by   O
law   O
.   O

Cara   B-NAME
Collier   I-NAME
Patient   O
ID   O
:   O
NS   B-ID
:   I-ID
EL:6123   I-ID
Medical   O
Record   O
Number   O
:   O
80804932   B-ID
Date   O
of   O
Birth   O
:   O
32   B-DATE
-   I-DATE
Aug-2360   I-DATE
Age   O
:   O
94   O
Address   O
:   O
Hennessey   B-LOCATION
,   O
50742   B-LOCATION
Phone   O
Number   O
:   O
355   B-CONTACT
-   I-CONTACT
4475   I-CONTACT
Employment   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Personal   O
Service   O
Workers   O
at   O
Humane   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
(   I-LOCATION
HSUS   I-LOCATION
)   I-LOCATION

Management   O
:   O
The   O
patient   O
was   O
consulted   O
by   O
Berry   B-NAME
,   I-NAME
Wendell   I-NAME
from   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Richmond   I-LOCATION
and   O
was   O
admitted   O
on   O
12/24   B-DATE
for   O
observation   O
and   O
management   O
.   O

Surgical   O
Procedure   O
:   O
The   O
surgery   O
was   O
performed   O
on   O
2338   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
31   I-DATE
without   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
FARLEY   B-NAME
,   I-NAME
ERIC   I-NAME
was   O
discharged   O
on   O
12/02   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Sawyer   B-NAME
in   O
2   O
weeks   O
’   O
time   O
at   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Kirkwood   I-LOCATION
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
the   O
patient   O
was   O
instructed   O
to   O
contact   O
UC   B-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Health   I-LOCATION
La   I-LOCATION
Jolla   I-LOCATION
-   I-LOCATION
Jacobs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   I-LOCATION
Sulpizio   I-LOCATION
Cardiovascular   I-LOCATION
Center   I-LOCATION
at   O
374   B-CONTACT
8348   I-CONTACT
.   O

Patient   O
Name   O
:   O
Osvaldo   B-NAME
Wang   I-NAME
Age   O
:   O
2   O
DOB   O
:   O
2011   B-DATE
Address   O
:   O
Peter   B-LOCATION
,   O
31140   B-LOCATION
Phone   O
:   O
42212   B-CONTACT
Occupation   O
:   O
Sheet   O
Metal   O
Workers   O
Medical   O
Record   O
Number   O
:   O
55569398   B-ID

Sidney   B-NAME
Daniel   I-NAME
Hospital   O
:   O

PeaceHealth   B-LOCATION
United   I-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
38/22/22   B-DATE
ID   O
Number   O
:   O
HO158/7811   B-ID
Username   O
:   O

omb645   B-NAME
Summary   O
of   O
Presenting   O
Issue   O
:   O
Debs   B-NAME
,   I-NAME
Eugene   I-NAME
V.   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Livingston   I-LOCATION
Hospital   I-LOCATION
on   O
Monday   B-DATE
,   I-DATE
February   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
lobe   O
area   O
,   O
aggravated   O
by   O
exposure   O
to   O
bright   O
lights   O
and   O
loud   O
sounds   O
.   O

The   O
onset   O
of   O
these   O
symptoms   O
was   O
approximately   O
1/33   B-DATE
,   O
rapidly   O
increasing   O
in   O
intensity   O
.   O

Eternity   B-NAME
also   O
reported   O
experiencing   O
bouts   O
of   O
nausea   O
,   O
exacerbated   O
by   O
the   O
movement   O
,   O
and   O
episodes   O
of   O
visual   O
disturbances   O
,   O
describing   O
them   O
as   O
"   O
flashing   O
lights   O
"   O
in   O
their   O
peripheral   O
vision   O
.   O

These   O
symptoms   O
have   O
significantly   O
impacted   O
Samantha   B-NAME
Kerr   I-NAME
's   O
daily   O
activities   O
,   O
as   O
mentioned   O
by   O
Brooke   B-NAME
Allison   I-NAME
.   O

Medical   O
History   O
:   O
Lauren   B-NAME
Lewis   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
a   O
past   O
episode   O
of   O
migraines   O
reported   O
in   O
2049   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
15   I-DATE
.   O

Luke   B-NAME
Levy   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
has   O
minimal   O
alcohol   O
consumption   O
.   O

Emanuel   B-NAME
Riggs   I-NAME
is   O
currently   O
employed   O
as   O
a   O
waiter   O
,   O
which   O
involves   O
frequent   O
use   O
of   O
computers   O
and   O
long   O
periods   O
of   O
screen   O
time   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Epictetus   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Benton   B-NAME
in   O
2   O
weeks   O
to   O
assess   O
response   O
to   O
treatment   O
and   O
review   O
test   O
results   O
.   O

Mccarty   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
documenting   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
the   O
headaches   O
,   O
as   O
well   O
as   O
any   O
associated   O
symptoms   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
RH325   B-NAME
Relationship   O
:   O

Nuclear   O
Monitoring   O
Technicians   O
Phone   O
:   O
751   B-CONTACT
-   I-CONTACT
1716   I-CONTACT
Authorized   O
to   O
receive   O
Myla   B-NAME
Everett   I-NAME
's   O
health   O
information   O
:   O
Yes   O
Signature   O
:   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
Date   O
:   O

18/33/54   B-DATE
This   O
medical   O
report   O
is   O
confidential   O
and   O
intended   O
only   O
for   O
the   O
use   O
of   O
CARR   B-NAME
,   I-NAME
RACHEL   I-NAME
,   O
Sanford   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Sheldon   I-LOCATION
,   O
and   O
authorized   O
individuals   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
ingalls   B-NAME
-   O
Age   O
:   O
73   O
-   O
Phone   O
:   O
234   B-CONTACT
-   I-CONTACT
598   I-CONTACT
-   I-CONTACT
9306   I-CONTACT
-   O
Date   O
of   O
Birth   O
:   O
35/31/92   B-DATE
-   O
Address   O
:   O
Dunlap   B-LOCATION
,   I-LOCATION
Dunlap   I-LOCATION
Community   I-LOCATION
Development   I-LOCATION
Corporation   I-LOCATION
,   O
94549   B-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
8718050   B-ID
-   O
Patient   O
ID   O
:   O
AS185/3562   B-ID
-   O
Attending   O
Physician   O
:   O
Dr.   O
Zachery   B-NAME
Bass   I-NAME
Medical   O
Encounter   O
:   O
-   O
Date   O
of   O
Visit   O
:   O
02/27/2230   B-DATE
-   O
Location   O
of   O
Visit   O
:   O
Florida   B-LOCATION
Hospital   I-LOCATION
Carrollwood   I-LOCATION
,   O
28   B-LOCATION
W.   I-LOCATION
Central   I-LOCATION
Street   I-LOCATION
-   O
Reason   O
for   O
Visit   O
:   O
The   O
patient   O
,   O
Tertullian   B-NAME
,   O
presented   O
with   O
symptoms   O
including   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
have   O
persisted   O
for   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Euripides   B-NAME
also   O
reported   O
experiencing   O
a   O
high   O
fever   O
and   O
chills   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Chara   B-NAME
exhibited   O
signs   O
of   O
abdominal   O
tenderness   O
and   O
distension   O
.   O

Treatment   O
Plan   O
:   O
-   O
Dr.   O
Farjeon   B-NAME
,   I-NAME
Eleanor   I-NAME
recommended   O
hospitalization   O
for   O
intravenous   O
antibiotics   O
and   O
fluids   O
to   O
manage   O
the   O
infection   O
and   O
dehydration   O
.   O

Walberg   B-NAME
,   I-NAME
Tim   I-NAME
was   O
admitted   O
to   O
Southern   B-LOCATION
Ocean   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
38/26/2252   B-DATE
.   O
-   O
Surgical   O
consultation   O
with   O
Dr.   O
Bridget   B-NAME
Barton   I-NAME
was   O
arranged   O
to   O
evaluate   O
the   O
need   O
for   O
a   O
cholecystectomy   O
,   O
considering   O
the   O
presence   O
of   O
gallstones   O
and   O
the   O
associated   O
symptoms   O
.   O
-   O
Pain   O
management   O
protocol   O
was   O
initiated   O
,   O
including   O
administration   O
of   O
IV   O
paracetamol   O
and   O
an   O
as   O
-   O
needed   O
prescription   O
for   O
morphine   O
for   O
breakthrough   O
pain   O
.   O

James   B-NAME
,   I-NAME
Henry   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Johanna   B-NAME
Wallace   I-NAME
in   O
Griffin   B-LOCATION
Hospital   I-LOCATION
after   O
discharge   O
to   O
monitor   O
recovery   O
and   O
discuss   O
surgery   O
if   O
necessary   O
.   O

Dietary   O
consultation   O
was   O
recommended   O
to   O
adjust   O
Jay   B-NAME
's   O
diet   O
during   O
recovery   O
,   O
focusing   O
on   O
low   O
-   O
fat   O
food   O
options   O
to   O
mitigate   O
gallbladder   O
stress   O
.   O

Sandra   B-NAME
Woody   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
severe   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
jaundice   O
develop   O
.   O

Emergency   O
Contact   O
:   O
-   O
Name   O
:   O
Alana   B-NAME
Fung   I-NAME
's   O
Next   O
of   O
Kin   O
-   O
Relationship   O
:   O

Legal   O
Secretaries   O
-   O
Phone   O
Number   O
:   O
18033   B-CONTACT
Report   O
Prepared   O
By   O
:   O
-   O
Name   O
:   O
Nurse   O
Structural   O
Metal   O
Fabricators   O
and   O
Fitters   O
-   O
Date   O
:   O
15/37   B-DATE
-   O
Contact   O
Information   O
:   O
923   B-CONTACT
298   I-CONTACT
-   I-CONTACT
3265   I-CONTACT
,   O
UT   B-LOCATION
Health   I-LOCATION
Athens   I-LOCATION
Note   O
:   O
Consent   O
to   O
discuss   O
Lambert   B-NAME
's   O
medical   O
information   O
was   O
obtained   O
verbally   O
and   O
documented   O
in   O
the   O
medical   O
record   O
#   O
11340389   B-ID
.   O

-Name   O
:   O
Biko   B-NAME
,   I-NAME
Steve   I-NAME
-Age   O
:   O
36   O
-Medical   O
Record   O
Number   O
:   O
219   B-ID
-   I-ID
81   I-ID
-   I-ID
45   I-ID
-   I-ID
4   I-ID
-Date   O
of   O
Birth   O
:   O
May   B-DATE
-Address   O
:   O
Denhoff   B-LOCATION
,   O
24260   B-LOCATION

-Phone   O
Number   O
:   O
471   B-CONTACT
9561   I-CONTACT
-Occupation   O
:   O
Healthcare   O
Practitioners   O
and   O
Technical   O
Workers   O
,   O
All   O
Other   O
-Admitting   O
Physician   O
:   O

Ximena   B-NAME
Mcintosh   I-NAME
-Admitting   O
Hospital   O
:   O
Sumner   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wellington   I-LOCATION
Summary   O
:   O
Chavez   B-NAME
,   O
a   O
16   O
-   O
year   O
-   O
old   O
Funeral   O
Directors   O
,   O
presented   O
to   O
Southside   B-LOCATION
Hospital   I-LOCATION
on   O
0/0   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Charles   B-NAME
Uher   I-NAME
reports   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
and   O
a   O
single   O
episode   O
of   O
diarrhea   O
earlier   O
on   O
the   O
day   O
of   O
admission   O
.   O

Medical   O
History   O
:   O
Aubrie   B-NAME
Baldwin   I-NAME
denies   O
any   O
prior   O
history   O
of   O
similar   O
symptoms   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
USA   B-LOCATION
Bank   I-LOCATION
on   O
2110   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Amelia   B-NAME
Norris   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Castro   B-NAME
performed   O
the   O
surgery   O
on   O
21/01   B-DATE
without   O
any   O
complications   O
.   O

Matthias   B-NAME
Mcdowell   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
started   O
on   O
postoperative   O
antibiotics   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Audrey   B-NAME
Ross   I-NAME
was   O
discharged   O
home   O
on   O
2032   B-DATE
with   O
directions   O
to   O
follow   O
up   O
with   O
Phoebe   B-NAME
Willis   I-NAME
in   O
1   O
week   O
for   O
wound   O
check   O
and   O
further   O
evaluation   O
.   O

The   O
successful   O
management   O
of   O
Teresa   B-NAME
Law   I-NAME
underscores   O
the   O
importance   O
of   O
prompt   O
surgical   O
intervention   O
in   O
cases   O
of   O
confirmed   O
acute   O
appendicitis   O
.   O

Curtis   B-NAME
Nichols   I-NAME
-   O
Medical   O
Record   O
:   O
5438269   B-ID
-   O
Date   O
of   O
Birth   O
:   O
15/30/2029   B-DATE
-   O
Address   O
:   O
Wellington   B-LOCATION
,   O
68557   B-LOCATION
-   O
Phone   O
Number   O
:   O
893   B-CONTACT
-   I-CONTACT
6879   I-CONTACT
-   O
Physician   O
’s   O
Name   O
:   O
Mejia   B-NAME
-   O
Employer   O
and   O
Job   O
Title   O
:   O
Retail   O
pharmacist   O
,   O
Pacific   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
-   O
Username   O
and   O
ID   O
Numbers   O
:   O
jba8410   B-NAME
,   O
MR:46980:864415   B-ID

Patient   O
Name   O
:   O
Johanna   B-NAME
Reed   I-NAME
Age   O
:   O
70   O
Date   O
of   O
Birth   O
:   O
23/21   B-DATE
SSN   O
:   O
MT:83868:733677   B-ID
Medical   O
Record   O
Number   O
:   O
0490518   B-ID
Address   O
:   O
Clark   B-LOCATION
,   O
55179   B-LOCATION
Phone   O
:   O
843   B-CONTACT
-   I-CONTACT
274   I-CONTACT
-   I-CONTACT
1532   I-CONTACT
Primary   O
Physician   O
:   O
Ali   B-NAME
Employer   O
:   O

Waterford   B-LOCATION
Village   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O

Sales   O
executive   O
Date   O
of   O
Visit   O
:   O
09/23/1912   B-DATE
Hospital   O
:   O
Connecticut   B-LOCATION
Hospice   I-LOCATION
Chief   O
Complaint   O
:   O
Forever   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
3/32   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
headaches   O
predominantly   O
located   O
in   O
the   O
frontal   O
region   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kennedi   B-NAME
Nicholson   I-NAME
,   O
a   O
Recreation   O
Workers   O
by   O
profession   O
,   O
first   O
noticed   O
the   O
headaches   O
approximately   O
two   O
weeks   O
ago   O
.   O

The   O
intensity   O
of   O
the   O
headaches   O
has   O
progressively   O
worsened   O
over   O
this   O
period   O
,   O
with   O
the   O
most   O
severe   O
episode   O
occurring   O
on   O
the   O
morning   O
of   O
22/12   B-DATE
.   O

Kailey   B-NAME
Sellers   I-NAME
has   O
attempted   O
to   O
manage   O
the   O
symptoms   O
with   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
,   O
with   O
minimal   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
Leonard   B-NAME
Gillespie   I-NAME
has   O
a   O
history   O
of   O
seasonal   O
allergies   O
and   O
was   O
diagnosed   O
with   O
hypertension   O
two   O
years   O
ago   O
,   O
which   O
is   O
currently   O
well   O
-   O
controlled   O
with   O
medication   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
already   O
mentioned   O
,   O
Elsie   B-NAME
Bentley   I-NAME
denies   O
any   O
recent   O
upper   O
respiratory   O
infections   O
,   O
dizziness   O
,   O
seizures   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
changes   O
in   O
appetite   O
or   O
weight   O
.   O

On   O
examination   O
,   O
Charlene   B-NAME
B.   I-NAME
Bates   I-NAME
appeared   O
to   O
be   O
in   O
discomfort   O
but   O
was   O
alert   O
and   O
oriented   O
.   O

Samatha   B-NAME
Mallet   I-NAME
was   O
advised   O
to   O
continue   O
hydration   O
and   O
was   O
prescribed   O
a   O
triptan   O
for   O
acute   O
migraine   O
relief   O
.   O

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
8/3/90   B-DATE
to   O
review   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
and   O
to   O
assess   O
the   O
response   O
to   O
the   O
medication   O
.   O

Instructions   O
were   O
given   O
to   O
Antony   B-NAME
Shah   I-NAME
to   O
seek   O
immediate   O
care   O
if   O
symptoms   O
significantly   O
worsened   O
or   O
if   O
new   O
symptoms   O
such   O
as   O
fever   O
,   O
stiff   O
neck   O
,   O
seizure   O
,   O
or   O
persistent   O
vomiting   O
occurred   O
.   O

Signature   O
:   O
Everett   B-NAME
10/20   B-DATE

Taniya   B-NAME
Keith   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
8743673   I-ID
Medical   O
Record   O
Number   O
:   O
7066235   B-ID
Date   O
of   O
Birth   O
:   O
01/39/2114   B-DATE
Age   O
:   O
76   O
Address   O
:   O
Asbury   B-LOCATION
Lake   I-LOCATION
,   O
74169   B-LOCATION
Phone   O
Number   O
:   O
66811   B-CONTACT
Occupation   O
:   O

Water   O
engineer   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Lear   B-NAME
,   I-NAME
Edward   I-NAME
Admitting   O
Hospital   O
:   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Boise   I-LOCATION
Clinical   O
Summary   O
:   O
Leyla   B-NAME
Hutchinson   I-NAME
,   O
a   O
55   O
-   O
year   O
-   O
old   O
Crystallographer   O
from   O
Gainesville   B-LOCATION
,   O
presented   O
to   O
Duke   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
2/22/22   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
,   O
nocturnal   O
cough   O
,   O
and   O
fatigue   O
.   O

Vosanibola   B-NAME
,   I-NAME
Josefa   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

On   O
examination   O
,   O
Cynthia   B-NAME
Reid   I-NAME
's   O
vital   O
signs   O
were   O
notable   O
for   O
a   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
88   O
%   O
on   O
room   O
air   O
.   O

Dr.   O
Bune   B-NAME
,   I-NAME
Poseci   I-NAME
determined   O
the   O
probable   O
diagnosis   O
to   O
be   O
congestive   O
heart   O
failure   O
(   O
CHF   O
)   O
exacerbation   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Dr.   O
Paul   B-NAME
VI   I-NAME
(   I-NAME
Pope   I-NAME
)   I-NAME
in   O
two   O
weeks   O
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
regimen   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

Stevenson   B-NAME
was   O
discharged   O
on   O
00/34   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
at   O
East   B-LOCATION
Liverpool   I-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
with   O
Dr.   O
Mcconnell   B-NAME
and   O
a   O
referral   O
to   O
a   O
heart   O
failure   O
clinic   O
associated   O
with   O
Calf   B-LOCATION
269   I-LOCATION
(   I-LOCATION
269   I-LOCATION
)   I-LOCATION
for   O
ongoing   O
management   O
and   O
support   O
.   O

Instructions   O
were   O
given   O
to   O
call   O
158   B-CONTACT
-   I-CONTACT
5317   I-CONTACT
in   O
case   O
of   O
emergency   O
symptoms   O
or   O
concerns   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Julius   B-NAME
Strickland   I-NAME
Age   O
:   O
8   O
week   O
Date   O
of   O
Birth   O
:   O
13/2151   B-DATE
Phone   O
Number   O
:   O
682   B-CONTACT
9789   I-CONTACT
Address   O
:   O
Shaw   B-LOCATION
,   O
83441   B-LOCATION
Occupation   O
:   O
Hotel   O
,   O
Motel   O
,   O
and   O
Resort   O
Desk   O
Clerks   O
ID   O
Number   O
:   O
PX:55450:911207   B-ID
Medical   O
Record   O
Number   O
:   O
308   B-ID
-   I-ID
97   I-ID
-   I-ID
07   I-ID
-   I-ID
3   I-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Davidson   B-NAME
Hospital   O
:   O
Reid   B-LOCATION
Health   I-LOCATION
Admission   O
Date   O
:   O
2049   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
06   I-DATE
Discharge   O
Date   O
:   O
00/32   B-DATE
Clinical   O
Summary   O
:   O
Clara   B-NAME
D   I-NAME
Quilici   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
National   B-LOCATION
Jewish   I-LOCATION
Health   I-LOCATION
on   O
3/0   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
suggestive   O
of   O
Appendicitis   O
.   O

Additionally   O
,   O
Edward   B-NAME
Randolph   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Catherine   B-NAME
L.   I-NAME
Uresti   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypothyroidism   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
known   O
allergies   O
.   O

Malcolm   B-NAME
Frank   I-NAME
denied   O
recent   O
travel   O
or   O
consumption   O
of   O
any   O
unusual   O
foods   O
.   O

Upon   O
admission   O
,   O
a   O
comprehensive   O
physical   O
examination   O
was   O
performed   O
by   O
Dr.   O
Izabella   B-NAME
Duke   I-NAME
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Hunter   B-NAME
Hayden   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Dr.   O
Hicks   B-NAME
recommended   O
an   O
appendectomy   O
.   O

After   O
discussing   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
with   O
Molina   B-NAME
and   O
obtaining   O
informed   O
consent   O
,   O
surgical   O
intervention   O
was   O
scheduled   O
for   O
33/20/2029   B-DATE
.   O

The   O
procedure   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Viviana   B-NAME
Powell   I-NAME
was   O
admitted   O
for   O
post   O
-   O
operative   O
care   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
Lane   B-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
.   O

River   B-NAME
Leach   I-NAME
was   O
encouraged   O
to   O
ambulate   O
on   O
the   O
first   O
postoperative   O
day   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Jankowski   B-NAME
was   O
discharged   O
on   O
January   B-DATE
22   I-DATE
,   I-DATE
2297   I-DATE
in   O
stable   O
condition   O
with   O
instructions   O
to   O
avoid   O
strenuous   O
activity   O
for   O
10   O
month   O
weeks   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Michelle   B-NAME
Vega   I-NAME
in   O
56   O
weeks   O
to   O
assess   O
recovery   O
progress   O
and   O
wound   O
healing   O
.   O

Na   B-NAME
was   O
educated   O
on   O
signs   O
of   O
infection   O
and   O
advised   O
to   O
seek   O
immediate   O
care   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
redness   O
,   O
or   O
discharge   O
from   O
the   O
incision   O
site   O
occurred   O
.   O

In   O
case   O
of   O
emergency   O
or   O
urgent   O
queries   O
,   O
Hopper   B-NAME
,   I-NAME
Edward   I-NAME
was   O
instructed   O
to   O
contact   O
Guthrie   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
at   O
100   B-CONTACT
-   I-CONTACT
5571   I-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
department   O
.   O

Document   O
Prepared   O
By   O
:   O
stj714   B-NAME
01/27/2093   B-DATE

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
74417703   B-ID
Patient   O
Name   O
:   O
Dionne   B-NAME
Prude   I-NAME
Age   O
:   O
41   O
Address   O
:   O
Hoboken   B-LOCATION
,   O
31514   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
716   I-CONTACT
)   I-CONTACT
802   I-CONTACT
4741   I-CONTACT
Date   O
of   O
Admission   O
:   O
06/02   B-DATE
Admitting   O
Physician   O
:   O
Grattan   B-NAME
Treatment   O
Facility   O
:   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southern   I-LOCATION
California   I-LOCATION
Presenting   O
Complaint   O
:   O
Gage   B-NAME
Gordon   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Long   B-LOCATION
Term   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Birmingham   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
on   O
01/28/12   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
101   O
°   O
F   O
.   O

Spencer   B-NAME
described   O
the   O
pain   O
as   O
continuous   O
,   O
worsening   O
over   O
the   O
last   O
24   O
hours   O
,   O
and   O
rated   O
it   O
as   O
8   O
on   O
a   O
pain   O
scale   O
of   O
1   O
to   O
10   O
.   O

Medical   O
History   O
:   O
Ray   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Past   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
approximately   O
10   O
years   O
ago   O
at   O
Valley   B-LOCATION
View   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Carroll   B-NAME
is   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Animal   O
Care   O
Workers   O
,   O
Except   O
Livestock   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
8/3   B-DATE
revealed   O
inflammation   O
of   O
the   O
appendix   O
,   O
suggesting   O
acute   O
appendicitis   O
.   O

Under   O
the   O
care   O
of   O
Trujillo   B-NAME
,   O
Quintillus   B-NAME
Alrod   I-NAME
was   O
planned   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
0/5   B-DATE
at   O
Blue   B-LOCATION
Ridge   I-LOCATION
HealthCare   I-LOCATION
Hospitals   I-LOCATION
.   O

Jaylah   B-NAME
Marsh   I-NAME
was   O
monitored   O
in   O
the   O
post   O
-   O
operative   O
recovery   O
unit   O
and   O
showed   O
signs   O
of   O
steady   O
improvement   O
.   O

Ronni   B-NAME
Digrazia   I-NAME
was   O
encouraged   O
to   O
ambulate   O
by   O
post   O
-   O
op   O
day   O
1   O
.   O

Follow   O
-   O
up   O
and   O
Discharge   O
Instructions   O
:   O
Luz   B-NAME
Ortega   I-NAME
was   O
discharged   O
on   O
1677   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
22   I-DATE
with   O
instructions   O
to   O
follow   O
a   O
regular   O
diet   O
,   O
maintain   O
hydration   O
,   O
and   O
avoid   O
strenuous   O
activities   O
for   O
a   O
week   O
.   O

Ursula   B-NAME
Olivia   I-NAME
Oconnell   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
such   O
as   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Barajas   B-NAME
is   O
scheduled   O
for   O
December   B-DATE
5   I-DATE
at   O
Castleview   B-LOCATION
Hospital   I-LOCATION
to   O
assess   O
the   O
post   O
-   O
operative   O
recovery   O
.   O

In   O
case   O
of   O
emergency   O
or   O
questions   O
regarding   O
the   O
post   O
-   O
operative   O
care   O
,   O
LeMay   B-NAME
,   I-NAME
Curtis   I-NAME
was   O
instructed   O
to   O
call   O
the   O
Loma   B-LOCATION
Linda   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
help   O
desk   O
at   O
147   B-CONTACT
-   I-CONTACT
7438   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
rth7710   B-NAME
2022   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
39   I-DATE

Patient   O
Report   O
for   O
Ken   B-NAME
Medical   O
Record   O
:   O
98668131   B-ID
Date   O
of   O
Birth   O
:   O
70   O
Date   O
of   O
Visit   O
:   O
02/12   B-DATE
Primary   O
Care   O
Physician   O
:   O

Brisa   B-NAME
Miranda   I-NAME
Facility   O
:   O
Centerpoint   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
ID   O
:   O
ON   B-ID
:   I-ID
BX:2475   I-ID
Location   O
:   O
Arcanum   B-LOCATION
,   O
77716   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
659   I-CONTACT
)   I-CONTACT
414   I-CONTACT
5402   I-CONTACT
Occupation   O
:   O
Communication   O
Equipment   O
Mechanics   O
,   O
Installers   O
,   O
and   O
Repairers   O
Chief   O
Complaint   O
:   O
Klade   B-NAME
McCallun   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
April   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Allison   B-NAME
Chung   I-NAME
also   O
reported   O
accompanying   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
.   O

Medical   O
History   O
:   O
Winchell   B-NAME
,   I-NAME
April   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
controlled   O
with   O
beta   O
-   O
blockers   O
.   O

Molina   B-NAME
denies   O
any   O
allergies   O
to   O
medications   O
or   O
foods   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jenner   B-NAME
,   I-NAME
Henry   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Educate   O
Alfredo   B-NAME
Bennett   I-NAME
on   O
the   O
importance   O
of   O
avoiding   O
alcohol   O
and   O
smoking   O
cessation   O
.   O

Follow   O
-   O
Up   O
:   O
Wesley   B-NAME
Kramer   I-NAME
is   O
to   O
be   O
admitted   O
to   O
Jack   B-LOCATION
Hughston   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Morgan   B-NAME
Herman   I-NAME
for   O
further   O
observation   O
and   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2/25/2301   B-DATE
after   O
discharge   O
to   O
discuss   O
the   O
results   O
of   O
investigations   O
and   O
review   O
management   O
plans   O
.   O

Notes   O
Prepared   O
By   O
:   O
YE699   B-NAME
Contact   O
Information   O
:   O

For   O
any   O
further   O
information   O
or   O
emergency   O
,   O
please   O
contact   O
Genesis   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
584   B-CONTACT
-   I-CONTACT
7039   I-CONTACT
.   O

Patient   O
Name   O
:   O
Miracle   B-NAME
Parsons   I-NAME
Patient   O
ID   O
:   O
422796349   B-ID
Medical   O
Record   O
Number   O
:   O
1344279   B-ID
Age   O
:   O
99   O
Date   O
of   O
Birth   O
:   O
31/25   B-DATE
Address   O
:   O
Pascagoula   B-LOCATION
,   O
78261   B-LOCATION
Phone   O
:   O
98930   B-CONTACT
Occupation   O
:   O

Dr.   O
Willoughby   B-NAME
Hospital   O
:   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
1709   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
07   I-DATE
Username   O
mentioned   O
in   O
system   O
:   O
ts452   B-NAME
Summary   O
of   O
Visit   O
:   O
Bowles   B-NAME
,   I-NAME
Ralston   I-NAME
,   O
a   O
Medical   O
Secretaries   O
by   O
occupation   O
,   O
presented   O
to   O
Essentia   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
18   B-DATE
with   O
a   O
detailed   O
history   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
initially   O
described   O
as   O
a   O
dull   O
ache   O
but   O
progressively   O
worsening   O
over   O
the   O
period   O
of   O
two   O
weeks   O
.   O

Diagnostic   O
Evaluation   O
:   O
Based   O
on   O
the   O
initial   O
examination   O
,   O
Dr.   O
Dean   B-NAME
recommended   O
a   O
comprehensive   O
abdominal   O
ultrasound   O
and   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
to   O
investigate   O
potential   O
causes   O
including   O
but   O
not   O
limited   O
to   O
gastrointestinal   O
infections   O
,   O
inflammatory   O
conditions   O
like   O
diverticulitis   O
,   O
or   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
.   O

Patient   O
Instructions   O
and   O
Follow   O
-   O
up   O
:   O
Carrie   B-NAME
Benson   I-NAME
was   O
advised   O
to   O
adhere   O
to   O
a   O
bland   O
diet   O
,   O
avoiding   O
dairy   O
and   O
fatty   O
foods   O
until   O
further   O
notice   O
.   O

Lana   B-NAME
Duke   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
McLeod   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/20/2188   B-DATE
for   O
a   O
review   O
of   O
diagnostic   O
test   O
results   O
and   O
adjustment   O
of   O
treatment   O
plan   O
based   O
on   O
findings   O
.   O

Dr.   O
Bryan   B-NAME
emphasized   O
the   O
importance   O
of   O
hydration   O
and   O
recommended   O
seeking   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
severe   O
abdominal   O
pain   O
occur   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

For   O
any   O
queries   O
or   O
in   O
case   O
of   O
an   O
emergency   O
,   O
Ariana   B-NAME
Wagner   I-NAME
was   O
provided   O
the   O
contact   O
number   O
of   O
Brooks   B-LOCATION
Rehabilitation   I-LOCATION
at   O
453   B-CONTACT
987   I-CONTACT
-   I-CONTACT
2606   I-CONTACT
.   O

Instructions   O
were   O
given   O
to   O
mention   O
their   O
Medical   O
Record   O
Number   O
:   O
90301518   B-ID
for   O
quick   O
reference   O
.   O

Important   O
Notes   O
for   O
Patient   O
File   O
:   O
-   O
Maintained   O
standard   O
patient   O
confidentiality   O
protocols   O
in   O
handling   O
Gina   B-NAME
Kevin   I-NAME
Irons   I-NAME
's   O
PHI   O
.   O
-   O
All   O
communications   O
and   O
administered   O
treatments   O
were   O
documented   O
in   O
Hancock   B-NAME
's   O
electronic   O
health   O
record   O
(   O
EHR   O
)   O
under   O
username   O
fql237   B-NAME
.   O
-   O
Coordination   O
with   O
National   B-LOCATION
Opposition   I-LOCATION
to   I-LOCATION
Normalized   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
NONAC   I-LOCATION
)   I-LOCATION
for   O
potential   O
nutritional   O
counseling   O
depending   O
on   O
the   O
outcome   O
of   O
the   O
diagnostic   O
assessments   O
.   O

-   O
Ensured   O
that   O
all   O
diagnostic   O
procedures   O
were   O
billed   O
to   O
Zaria   B-NAME
Dorsey   I-NAME
's   O
health   O
plan   O
account   O
without   O
discrepancies   O
.   O

Patient   O
Report   O
for   O
Louvenia   B-NAME
Corbec   I-NAME
Personal   O
Information   O
:   O
Kymani   B-NAME
Santos   I-NAME
,   O
a   O
97   O
-   O
year   O
-   O
old   O
Office   O
and   O
Administrative   O
Support   O
Workers   O
,   O
All   O
Other   O
from   O
Opdyke   B-LOCATION
,   O
presented   O
to   O
Jefferson   B-LOCATION
Washington   I-LOCATION
Township   I-LOCATION
Hospital   I-LOCATION
on   O
02/27   B-DATE
.   O

The   O
patient   O
was   O
referred   O
to   O
us   O
by   O
Kathy   B-NAME
Kaiser   I-NAME
of   O
Kentucky   B-LOCATION
Farm   I-LOCATION
Bureau   I-LOCATION
.   O

The   O
patient   O
can   O
be   O
reached   O
at   O
349   B-CONTACT
-   I-CONTACT
4207   I-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
please   O
contact   O
Harleen   B-NAME
Quinzel   I-NAME
's   O
workplace   O
at   O
197   B-CONTACT
-   I-CONTACT
2783   I-CONTACT
.   O

Medical   O
History   O
:   O
7150584   B-ID
number   O
:   O
CA:6611:388791   B-ID
Social   O
Security   O
number   O
:   O
3   B-ID
-   I-ID
7577498   I-ID
Symptoms   O
:   O
Elsie   B-NAME
Bentley   I-NAME
has   O
been   O
experiencing   O
severe   O
,   O
recurrent   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

The   O
pain   O
began   O
approximately   O
11/92   B-DATE
and   O
has   O
progressively   O
worsened   O
.   O

Associated   O
symptoms   O
include   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
fever   O
that   O
peaked   O
at   O
38.5   O
°   O
C   O
on   O
09/28   B-DATE
.   O

Ban   B-NAME
reports   O
a   O
loss   O
of   O
appetite   O
and   O
slight   O
weight   O
loss   O
over   O
the   O
past   O
9/15   B-DATE
but   O
denies   O
any   O
changes   O
in   O
bowel   O
habits   O
or   O
urination   O
.   O

Diagnostic   O
Assessment   O
:   O
Upon   O
physical   O
examination   O
,   O
Luka   B-NAME
Hill   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
upon   O
palpation   O
of   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
possible   O
peritonitis   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
performed   O
on   O
1636   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
29   I-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
possible   O
perforation   O
.   O

Ruben   B-NAME
Wiggins   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
2242   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
23   I-DATE
at   O
Johnson   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
procedure   O
was   O
performed   O
by   O
Mcclain   B-NAME
,   O
and   O
it   O
was   O
uneventful   O
.   O

Post   O
-   O
operative   O
recovery   O
has   O
been   O
steady   O
,   O
with   O
Serena   B-NAME
Dominguez   I-NAME
showing   O
improvement   O
in   O
symptoms   O
and   O
no   O
significant   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
Luciana   B-NAME
Aguirre   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Mayo   B-NAME
on   O
16   B-DATE
at   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Discharge   O
Instructions   O
:   O
Etenia   B-NAME
has   O
been   O
advised   O
to   O
adhere   O
to   O
a   O
liquid   O
diet   O
for   O
the   O
first   O
17/29   B-DATE
post   O
-   O
surgery   O
,   O
gradually   O
introducing   O
soft   O
foods   O
as   O
tolerated   O
.   O

Emilio   B-NAME
Lizardo   I-NAME
has   O
been   O
educated   O
on   O
the   O
signs   O
of   O
infection   O
or   O
complications   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
at   O
the   O
incision   O
site   O
,   O
fever   O
,   O
or   O
persistent   O
pain   O
,   O
and   O
advised   O
to   O
contact   O
Norman   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Healthplex   I-LOCATION
immediately   O
if   O
any   O
of   O
these   O
symptoms   O
occur   O
.   O

Confidentiality   O
Statement   O
:   O
This   O
document   O
contains   O
sensitive   O
health   O
information   O
about   O
Michael   B-NAME
.   O

For   O
any   O
further   O
inquiries   O
or   O
clarifications   O
,   O
please   O
contact   O
Washington   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
890   I-CONTACT
)   I-CONTACT
376   I-CONTACT
3860   I-CONTACT
.   O

Patient   O
Name   O
:   O
WX   B-NAME
Patient   O
ID   O
:   O
66192   B-ID
Medical   O
Record   O
Number   O
:   O
8916E92228   B-ID
Date   O
of   O
Birth   O
:   O
2145   B-DATE
Age   O
:   O
28   O
Address   O
:   O
Panorama   B-LOCATION
Heights   I-LOCATION
,   O
76011   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
437   I-CONTACT
)   I-CONTACT
680   I-CONTACT
-   I-CONTACT
5836   I-CONTACT
Employer   O
:   O

Otis   B-LOCATION
Elevators   I-LOCATION
Employees   I-LOCATION
Union   I-LOCATION
Profession   O
:   O
Hospitalists   O
Physician   O
:   O

Dimensionpants   B-NAME
Date   O
of   O
Visit   O
:   O
30/22   B-DATE
Hospital   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Subjective   O
:   O
Leon   B-NAME
,   O
a   O
Power   O
Plant   O
Operators   O
from   O
Concord   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
05/20   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Benton   B-NAME
C.   I-NAME
Quest   I-NAME
reported   O
experiencing   O
nausea   O
and   O
had   O
vomited   O
three   O
times   O
on   O
the   O
day   O
of   O
the   O
visit   O
.   O

Justine   B-NAME
Osborn   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
unusual   O
dietary   O
intakes   O
.   O

Objective   O
:   O
On   O
examination   O
,   O
Roger   B-NAME
Easterling   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Reyes   B-NAME
was   O
advised   O
to   O
undergo   O
further   O
imaging   O
with   O
an   O
abdominal   O
ultrasound   O
to   O
confirm   O
the   O
diagnosis   O
.   O

Informed   O
Consent   O
:   O
Jaylyn   B-NAME
Hunter   I-NAME
provided   O
verbal   O
consent   O
for   O
the   O
recommended   O
diagnostic   O
and   O
therapeutic   O
procedures   O
after   O
a   O
detailed   O
discussion   O
regarding   O
the   O
potential   O
risks   O
and   O
benefits   O
.   O

Written   O
consent   O
was   O
obtained   O
and   O
filed   O
in   O
the   O
patient   O
’s   O
medical   O
record   O
,   O
404   B-ID
-   I-ID
48   I-ID
-   I-ID
01   I-ID
.   O

Contact   O
Details   O
for   O
Follow   O
-   O
up   O
:   O
Patient   O
or   O
their   O
emergency   O
contact   O
can   O
be   O
reached   O
at   O
205   B-CONTACT
8701   I-CONTACT
should   O
there   O
be   O
an   O
urgent   O
need   O
for   O
communication   O
regarding   O
test   O
results   O
or   O
changes   O
in   O
the   O
treatment   O
plan   O
.   O

Prepared   O
by   O
:   O
km501   B-NAME
19/28   B-DATE

Patient   O
Report   O
Patient   O
Information   O
Name   O
:   O
Fatima   B-NAME
Bruce   I-NAME
Age   O
:   O
36s   O
Medical   O
Record   O
Number   O
:   O
844   B-ID
-   I-ID
84   I-ID
-   I-ID
90   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
2265   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
08   I-DATE
Address   O
:   O
Cumings   B-LOCATION
,   O
90850   B-LOCATION
Phone   O
Number   O
:   O
383   B-CONTACT
3847   I-CONTACT
Occupation   O
:   O

Marc   B-NAME
Howell   I-NAME
Hospital   O
:   O
Genesis   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
06/19   B-DATE
Insurance   O
ID   O
:   O
TU293/7644   B-ID
Chief   O
Complaint   O
Perry   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Columbus   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
Tuesday   B-DATE
,   I-DATE
October   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
Carey   B-NAME
,   O
a   O
38   O
-   O
year   O
-   O
old   O
Air   O
traffic   O
controller   O
,   O
reports   O
the   O
pain   O
was   O
sudden   O
in   O
onset   O
,   O
located   O
in   O
the   O
mid   O
-   O
epigastric   O
region   O
,   O
and   O
has   O
been   O
constant   O
since   O
onset   O
.   O

Past   O
Medical   O
History   O
Aiden   B-NAME
Mccann   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
they   O
are   O
on   O
multiple   O
medications   O
,   O
including   O
Metformin   O
and   O
Lisinopril   O
.   O

Physical   O
Examination   O
Upon   O
physical   O
examination   O
,   O
Keys   B-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Imaging   O
An   O
abdominal   O
ultrasound   O
performed   O
on   O
25/28   B-DATE
revealed   O
inflammation   O
of   O
the   O
pancreas   O
,   O
consistent   O
with   O
acute   O
pancreatitis   O
.   O

Treatment   O
and   O
Progress   O
Allayna   B-NAME
was   O
admitted   O
to   O
FRANKFORT   B-LOCATION
REGIONAL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
under   O
the   O
care   O
of   O
Zayne   B-NAME
Moses   I-NAME
for   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Over   O
the   O
course   O
of   O
their   O
stay   O
,   O
beginning   O
on   O
03/31   B-DATE
and   O
ending   O
on   O
3/20   B-DATE
,   O
Joye   B-NAME
Menas   I-NAME
's   O
condition   O
gradually   O
improved   O
with   O
the   O
conservative   O
management   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
Larry   B-NAME
Wolek   I-NAME
was   O
discharged   O
on   O
June   B-DATE
35   I-DATE
with   O
instructions   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
avoid   O
alcohol   O
,   O
and   O
follow   O
up   O
with   O
Peters   B-NAME
in   O
Hanford   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
93230   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
of   O
their   O
pancreatitis   O
and   O
underlying   O
conditions   O
.   O

The   O
patient   O
was   O
provided   O
the   O
410   B-CONTACT
1875   I-CONTACT
number   O
of   O
Cassia   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
any   O
emergency   O
concerns   O
.   O

This   O
report   O
was   O
prepared   O
by   O
the   O
attending   O
physician   O
,   O
Judd   B-NAME
,   O
and   O
the   O
medical   O
record   O
number   O
associated   O
with   O
Frederick   B-NAME
Steele   I-NAME
's   O
treatment   O
and   O
hospital   O
stay   O
is   O
83600797   B-ID
.   O

All   O
further   O
inquiries   O
about   O
Leonard   B-NAME
Gillespie   I-NAME
's   O
care   O
should   O
be   O
directed   O
to   O
Ottumwa   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
at   O
56245   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Vicente   B-NAME
Beltran   I-NAME
Age   O
:   O
5   O
Medical   O
Record   O
Number   O
:   O
214   B-ID
-   I-ID
64   I-ID
-   I-ID
73   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Visit   O
:   O

32/02/12   B-DATE
Attending   O
Physician   O
:   O
Vincent   B-NAME
Brill   I-NAME
Hospital   O
:   O
Central   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Alden   B-LOCATION
Phone   O
Number   O
:   O
19534   B-CONTACT
Occupation   O
:   O
Site   O
manager   O
ID   O
:   O
UH   B-ID
:   I-ID
OX:8457   I-ID
Username   O
:   O
yv7710   B-NAME
Zip   O
Code   O
:   O
41180   B-LOCATION
Referring   O
Organization   O
:   O

American   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Clinical   I-LOCATION
Chemistry   I-LOCATION
Subjective   O
:   O
February   B-DATE
2   I-DATE
,   I-DATE
2198   I-DATE
,   O
Giselle   B-NAME
Good   I-NAME
presented   O
to   O
Carilion   B-LOCATION
Giles   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
located   O
in   O
Bennettsville   B-LOCATION
,   I-LOCATION
Bennettsville   I-LOCATION
Downtown   I-LOCATION
,   O
with   O
complaints   O
of   O
severe   O
,   O
localized   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
persisting   O
for   O
approximately   O
48   O
hours   O
.   O

Additionally   O
,   O
Parker   B-NAME
Xian   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
loss   O
of   O
appetite   O
,   O
and   O
a   O
mild   O
fever   O
.   O

Haleigh   B-NAME
Montoya   I-NAME
,   O
a   O
Special   O
Forces   O
Officers   O
,   O
mentioned   O
the   O
difficulty   O
in   O
performing   O
daily   O
tasks   O
due   O
to   O
the   O
discomfort   O
.   O

Objective   O
:   O
Upon   O
physical   O
examination   O
,   O
Kate   B-NAME
Morrow   I-NAME
exhibited   O
signs   O
of   O
tenderness   O
and   O
guarding   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Admit   O
Edwin   B-NAME
Spindrift   I-NAME
to   O
Jewish   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Shelbyville   I-LOCATION
for   O
further   O
monitoring   O
and   O
management   O
.   O

3   O
.   O
Schedule   O
an   O
urgent   O
consult   O
with   O
the   O
surgical   O
team   O
led   O
by   O
Frederick   B-NAME
.   O

4   O
.   O
Keep   O
Alana   B-NAME
Fung   I-NAME
NPO   O
(   O
nil   O
per   O
os   O
-   O
nothing   O
by   O
mouth   O
)   O
in   O
preparation   O
for   O
possible   O
surgical   O
intervention   O
.   O

5   O
.   O
Inform   O
Barnes   B-NAME
and   O
Laurine   B-NAME
Pruett   I-NAME
's   O
emergency   O
contact   O
(   O
46787   B-CONTACT
)   O
about   O
the   O
diagnosis   O
and   O
treatment   O
plan   O
.   O

Follow   O
-   O
up   O
:   O
January   B-DATE
29   I-DATE
post   O
-   O
operative   O
review   O
scheduled   O
with   O
Dodson   B-NAME
at   O
Glen   B-LOCATION
Cove   I-LOCATION
Hospital   I-LOCATION
.   O

At   O
that   O
time   O
,   O
Elijah   B-NAME
Parker   I-NAME
's   O
recovery   O
progress   O
will   O
be   O
evaluated   O
,   O
and   O
any   O
necessary   O
adjustments   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
made   O
.   O

Notes   O
:   O
-   O
Kylee   B-NAME
Hamilton   I-NAME
expressed   O
understanding   O
of   O
the   O
treatment   O
plan   O
and   O
consented   O
to   O
the   O
proposed   O
interventions   O
.   O
-   O
All   O
PHI   O
has   O
been   O
protected   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

The   O
patient   O
,   O
Jovani   B-NAME
Webster   I-NAME
,   O
a   O
30   O
-   O
year   O
-   O
old   O
Epidemiologists   O
from   O
Rifle   B-LOCATION
,   O
presented   O
to   O
Hartford   B-LOCATION
Hospital   I-LOCATION
on   O
38/06/15   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
centralized   O
in   O
the   O
epigastric   O
region   O
.   O

Jina   B-NAME
Boutchyard   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
32/16   B-DATE
.   O

Tolian   B-NAME
Soran   I-NAME
's   O
past   O
medical   O
history   O
,   O
documented   O
under   O
6644557   B-ID
,   O
revealed   O
no   O
previous   O
episodes   O
of   O
similar   O
pain   O
or   O
diagnoses   O
of   O
gallstones   O
or   O
pancreatitis   O
.   O

However   O
,   O
Brice   B-NAME
Kirk   I-NAME
admitted   O
to   O
a   O
history   O
of   O
moderate   O
alcohol   O
use   O
.   O

Simeon   B-NAME
Casey   I-NAME
's   O
family   O
history   O
,   O
as   O
per   O
815   B-ID
-   I-ID
03   I-ID
-   I-ID
61   I-ID
-   I-ID
5   I-ID
,   O
was   O
significant   O
for   O
coronary   O
artery   O
disease   O
in   O
Linda   B-NAME
Abbott   I-NAME
's   O
father   O
at   O
the   O
age   O
of   O
37   O
.   O

Upon   O
physical   O
examination   O
by   O
Solomon   B-NAME
,   O
Veronica   B-NAME
Hayden   I-NAME
-   I-NAME
Jones   I-NAME
exhibited   O
marked   O
tenderness   O
in   O
the   O
epigastric   O
region   O
,   O
without   O
rebound   O
tenderness   O
.   O

(   B-CONTACT
534   I-CONTACT
)   I-CONTACT
768   I-CONTACT
-   I-CONTACT
1170   I-CONTACT
and   O
10   B-ID
-   I-ID
6870240   I-ID
were   O
used   O
to   O
arrange   O
for   O
the   O
ultrasound   O
and   O
additional   O
tests   O
as   O
needed   O
.   O

Keely   B-NAME
George   I-NAME
was   O
advised   O
to   O
follow   O
a   O
clear   O
liquid   O
diet   O
and   O
was   O
started   O
on   O
IV   O
fluids   O
for   O
hydration   O
.   O

The   O
ultrasound   O
,   O
performed   O
on   O
22/37/2130   B-DATE
,   O
showed   O
no   O
evidence   O
of   O
gallstones   O
,   O
confirming   O
the   O
initial   O
diagnosis   O
of   O
acute   O
pancreatitis   O
.   O

The   O
etiology   O
was   O
concluded   O
to   O
be   O
related   O
to   O
Yoel   B-NAME
Newcomb   I-NAME
's   O
alcohol   O
use   O
.   O

A   O
consult   O
to   O
gastroenterology   O
was   O
recommended   O
,   O
and   O
Kian   B-NAME
Blair   I-NAME
from   O
the   O
department   O
was   O
assigned   O
to   O
Paul   B-NAME
,   I-NAME
Ron   I-NAME
's   O
case   O
for   O
further   O
management   O
and   O
evaluation   O
.   O

During   O
Hayes   B-NAME
's   O
hospital   O
stay   O
at   O
Lifecare   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
nutritional   O
support   O
was   O
initiated   O
,   O
and   O
Gallagher   B-NAME
(   I-NAME
Leo   I-NAME
Anthony   I-NAME
Gallagher   I-NAME
)   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
abstaining   O
from   O
alcohol   O
,   O
adopting   O
a   O
low   O
-   O
fat   O
diet   O
,   O
and   O
regular   O
follow   O
-   O
up   O
appointments   O
with   O
gastroenterology   O
post   O
-   O
discharge   O
.   O

Madelynn   B-NAME
Herman   I-NAME
's   O
contact   O
information   O
was   O
updated   O
in   O
the   O
system   O
,   O
ensuring   O
(   B-CONTACT
547   I-CONTACT
)   I-CONTACT
422   I-CONTACT
-   I-CONTACT
8988   I-CONTACT
and   O
7832564   B-ID
were   O
correctly   O
listed   O
for   O
further   O
communication   O
.   O

SQ455   B-NAME
assisted   O
in   O
arranging   O
the   O
follow   O
-   O
up   O
appointments   O
and   O
ensuring   O
that   O
MARVIN   B-NAME
UTECHT   I-NAME
's   O
medical   O
records   O
,   O
CK032911   B-ID
,   O
were   O
updated   O
with   O
the   O
diagnosis   O
and   O
management   O
plan   O
upon   O
discharge   O
,   O
which   O
occurred   O
on   O
2035   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
26   I-DATE
.   O

Nash   B-NAME
,   I-NAME
John   I-NAME
Forbes   I-NAME
was   O
provided   O
with   O
discharge   O
instructions   O
that   O
emphasized   O
dietary   O
management   O
,   O
pain   O
management   O
strategies   O
,   O
and   O
the   O
importance   O
of   O
follow   O
-   O
up   O
care   O
to   O
prevent   O
future   O
episodes   O
of   O
pancreatitis   O
.   O

Patient   O
Name   O
:   O
Nero   B-NAME
Crissinger   I-NAME
Medical   O
Record   O
Number   O
:   O
2524Y11624   B-ID
Date   O
of   O
Birth   O
:   O
13/23   B-DATE
Age   O
:   O
84   O
ID   O
Number   O
:   O
7   B-ID
-   I-ID
8943856   I-ID
Phone   O
:   O
246   B-CONTACT
2334   I-CONTACT
Address   O
:   O
Vicksburg   B-LOCATION
,   O
36066   B-LOCATION
Employer   O
:   O
American   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Musicians   I-LOCATION
Occupation   O
:   O
Roof   O
Bolters   O
,   O
Mining   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Noble   B-NAME
Admitting   O
Hospital   O
:   O
American   B-LOCATION
Fork   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/22/13   B-DATE
Date   O
of   O
Discharge   O
:   O
08/19/2169   B-DATE
Clinical   O
Summary   O
:   O
3/26/59   B-DATE
,   O
Ray   B-NAME
,   O
a   O
43   O
-   O
year   O
-   O
old   O
Mail   O
Clerks   O
and   O
Mail   O
Machine   O
Operators   O
,   O
Except   O
Postal   O
Service   O
residing   O
in   O
Crandall   B-LOCATION
,   O
was   O
admitted   O
to   O
Twin   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Bowman   B-NAME
following   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
over   O
the   O
last   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Maddison   B-NAME
Johns   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
significant   O
loss   O
of   O
appetite   O
.   O

Marlie   B-NAME
Mayer   I-NAME
's   O
medical   O
history   O
,   O
obtained   O
from   O
List   B-LOCATION
of   I-LOCATION
left   I-LOCATION
-   I-LOCATION
wing   I-LOCATION
internationals   I-LOCATION
records   O
using   O
ID   O
RM:60373:914730   B-ID
,   O
revealed   O
no   O
prior   O
instances   O
of   O
similar   O
symptoms   O
or   O
previous   O
diagnosis   O
of   O
related   O
conditions   O
.   O

The   O
treatment   O
plan   O
,   O
formulated   O
by   O
Dr.   O
Paula   B-NAME
Avery   I-NAME
,   O
included   O
administration   O
of   O
intravenous   O
fluids   O
to   O
maintain   O
hydration   O
,   O
analgesia   O
for   O
pain   O
management   O
,   O
and   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
to   O
address   O
the   O
potential   O
infectious   O
component   O
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
Rhett   B-NAME
Owens   I-NAME
's   O
condition   O
showed   O
gradual   O
improvement   O
with   O
a   O
decrease   O
in   O
abdominal   O
pain   O
and   O
resolution   O
of   O
nausea   O
.   O

Fuller   B-NAME
was   O
able   O
to   O
tolerate   O
a   O
liquid   O
diet   O
within   O
24   O
hours   O
of   O
admission   O
and   O
gradually   O
progressed   O
to   O
solid   O
foods   O
without   O
recurrence   O
of   O
symptoms   O
.   O

Follow   O
-   O
up   O
instructions   O
included   O
outpatient   O
monitoring   O
of   O
the   O
ovarian   O
cyst   O
with   O
repeat   O
ultrasonography   O
scheduled   O
for   O
38/21/16   B-DATE
,   O
and   O
a   O
review   O
meeting   O
with   O
Dr.   O
Kylan   B-NAME
Greer   I-NAME
to   O
discuss   O
the   O
findings   O
and   O
further   O
management   O
plans   O
.   O

32   B-DATE
-   I-DATE
29   I-DATE
marks   O
the   O
date   O
of   O
discharge   O
,   O
with   O
Benjamin   B-NAME
Hobart   I-NAME
being   O
in   O
a   O
stable   O
condition   O
,   O
armed   O
with   O
prescriptions   O
for   O
a   O
continued   O
course   O
of   O
antibiotics   O
for   O
7   O
days   O
and   O
pain   O
management   O
medications   O
to   O
be   O
used   O
as   O
needed   O
.   O

Instructions   O
were   O
given   O
to   O
contact   O
Nemours   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
at   O
419   B-CONTACT
903   I-CONTACT
-   I-CONTACT
5597   I-CONTACT
in   O
case   O
of   O
symptom   O
resurgence   O
or   O
for   O
any   O
questions   O
related   O
to   O
post   O
-   O
discharge   O
care   O
.   O

The   O
coordinated   O
efforts   O
of   O
the   O
medical   O
team   O
at   O
Citizens   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
alongside   O
the   O
prompt   O
treatment   O
and   O
management   O
strategy   O
,   O
contributed   O
significantly   O
to   O
the   O
positive   O
outcome   O
for   O
Carter   B-NAME
,   I-NAME
Jimmy   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Welch   B-NAME
,   I-NAME
Xzavior   I-NAME
Charles   I-NAME
Patient   O
Age   O
:   O
54   O
Patient   O
ID   O
:   O
QI108/4836   B-ID
Medical   O
Record   O
Number   O
:   O
22437387   B-ID
Date   O
of   O
Visit   O
:   O
03/20/62   B-DATE
Contact   O
Number   O
:   O
72268   B-CONTACT
Residing   O
at   O
:   O
Manhattan   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Manhattan   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
ZIP   O
:   O
87951   B-LOCATION
Referring   O
Physician   O
:   O

Brandon   B-NAME
Richard   I-NAME
Hospital   O
:   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O
Null   B-NAME
,   O
a   O
Pipelayers   O
by   O
profession   O
,   O
presented   O
to   O
us   O
on   O
31/22   B-DATE
with   O
a   O
history   O
of   O
intermittent   O
,   O
sharp   O
chest   O
pains   O
that   O
radiated   O
to   O
their   O
left   O
shoulder   O
.   O

Gustavo   B-NAME
Tyler   I-NAME
also   O
reported   O
associated   O
shortness   O
of   O
breath   O
,   O
but   O
denied   O
any   O
episodes   O
of   O
dizziness   O
,   O
nausea   O
,   O
or   O
syncope   O
.   O

Past   O
Medical   O
History   O
:   O
Suzann   B-NAME
Bourdages   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
for   O
the   O
past   O
five   O
years   O
.   O

Keely   B-NAME
Williams   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
the   O
use   O
of   O
alcohol   O
or   O
recreational   O
drugs   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Eliezer   B-NAME
Hendricks   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
,   O
with   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
of   O
78   O
bpm   O
,   O
respiratory   O
rate   O
of   O
16   O
bpm   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
98   O
%   O
on   O
room   O
air   O
.   O

Blood   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
basic   O
metabolic   O
panel   O
,   O
and   O
cardiac   O
enzymes   O
were   O
sent   O
to   O
the   O
lab   O
at   O
Fort   B-LOCATION
Pierce   I-LOCATION
Utilities   I-LOCATION
Authority   I-LOCATION
for   O
further   O
analysis   O
.   O

Schedule   O
a   O
stress   O
test   O
for   O
07/24/63   B-DATE
at   O
Lindsborg   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lindsborg   I-LOCATION
.   O

2   O
.   O
Refer   O
to   O
Eric   B-NAME
Bolton   I-NAME
for   O
a   O
gastroscopy   O
appointment   O
.   O

Advise   O
Pamela   B-NAME
Lyons   I-NAME
to   O
avoid   O
strenuous   O
activities   O
until   O
further   O
notice   O
.   O

5   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
on   O
4/28   B-DATE
to   O
review   O
test   O
results   O
and   O
assess   O
symptom   O
progression   O
.   O

Note   O
:   O
Latrisha   B-NAME
Truesdell   I-NAME
has   O
been   O
informed   O
of   O
the   O
aforementioned   O
plan   O
and   O
agrees   O
to   O
proceed   O
with   O
the   O
investigations   O
.   O

Consent   O
forms   O
have   O
been   O
signed   O
and   O
documented   O
in   O
Drake   B-NAME
,   I-NAME
Nick   I-NAME
's   O
medical   O
record   O
,   O
8041035   B-ID
.   O

For   O
any   O
immediate   O
concerns   O
,   O
Paisley   B-NAME
Anthony   I-NAME
can   O
contact   O
the   O
clinic   O
at   O
31410   B-CONTACT
.   O

TT190   B-NAME
logged   O
the   O
visit   O
and   O
plan   O
into   O
the   O
electronic   O
health   O
record   O
system   O
.   O

Patient   O
Name   O
:   O
Mcclure   B-NAME
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
7515619   I-ID
Medical   O
Record   O
Number   O
:   O
754   B-ID
-   I-ID
47   I-ID
-   I-ID
38   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Admission   O
:   O
30/22   B-DATE
Date   O
of   O
Birth   O
:   O
31/32/2362   B-DATE
Age   O
:   O
70   O
Location   O
:   O
Mahopac   B-LOCATION
,   O
76177   B-LOCATION
Phone   O
:   O
22382   B-CONTACT

Mcfarland   B-NAME
Hospital   O
:   O

Hardin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Referring   O
Organization   O
:   O
UPC   B-LOCATION
Insurance   I-LOCATION
Symptoms   O
Reported   O
:   O
The   O
patient   O
,   O
a   O
Artists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Franciscan   B-LOCATION
Health   I-LOCATION
Lafayette   I-LOCATION
East   I-LOCATION
on   O
2221   B-DATE
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Upon   O
further   O
inquiry   O
,   O
the   O
patient   O
mentioned   O
experiencing   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
morning   O
of   O
13/23   B-DATE
.   O
Physical   O
Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
the   O
patient   O
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
specifically   O
at   O
McBurney   O
's   O
point   O
.   O

Diagnostic   O
Testing   O
:   O
Initial   O
laboratory   O
investigations   O
were   O
ordered   O
by   O
Xiomara   B-NAME
Harrell   I-NAME
,   O
which   O
revealed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
indicative   O
of   O
an   O
inflammatory   O
process   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
presenting   O
symptoms   O
and   O
diagnostic   O
findings   O
,   O
Wilkins   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
crane   B-NAME
was   O
discharged   O
on   O
5/20   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
activity   O
restriction   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Colon   B-NAME
in   O
2   O
weeks   O
at   O
UCHealth   B-LOCATION
Grandview   I-LOCATION
Hospital   I-LOCATION
to   O
monitor   O
the   O
healing   O
process   O
.   O

Instructions   O
for   O
contacting   O
the   O
surgical   O
team   O
were   O
provided   O
,   O
with   O
the   O
contact   O
number   O
751   B-CONTACT
-   I-CONTACT
8976   I-CONTACT
made   O
available   O
for   O
any   O
questions   O
or   O
concerns   O
.   O

The   O
patient   O
,   O
Bronson   B-NAME
Hardin   I-NAME
,   O
a   O
53   O
-   O
year   O
-   O
old   O
Medical   O
Transcriptionists   O
from   O
Krupp   B-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
4/2182   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
chest   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
,   O
stabbing   O
pain   O
localized   O
to   O
the   O
left   O
pectoral   O
region   O
.   O

The   O
pain   O
began   O
abruptly   O
while   O
Baldwin   B-NAME
was   O
at   O
work   O
approximately   O
four   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Howell   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
the   O
patient   O
takes   O
medication   O
regularly   O
.   O

Upon   O
examination   O
,   O
Monique   B-NAME
Cabrera   I-NAME
noted   O
that   O
Jordan   B-NAME
Roberts   I-NAME
appeared   O
anxious   O
but   O
in   O
no   O
acute   O
distress   O
.   O

Ryland   B-NAME
Giles   I-NAME
discussed   O
the   O
need   O
for   O
further   O
diagnostic   O
testing   O
to   O
rule   O
out   O
potential   O
causes   O
of   O
the   O
chest   O
pain   O
,   O
such   O
as   O
a   O
pulmonary   O
embolism   O
or   O
aortic   O
dissection   O
.   O

Good   B-NAME
documented   O
the   O
case   O
in   O
Kian   B-NAME
Jarvis   I-NAME
's   O
medical   O
record   O
,   O
6022665   B-ID
,   O
and   O
recommended   O
that   O
Berry   B-NAME
undergo   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
chest   O
with   O
contrast   O
.   O

The   O
scan   O
was   O
scheduled   O
for   O
28/35/13   B-DATE
at   O
Carondelet   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Cohen   B-NAME
Aguirre   I-NAME
was   O
advised   O
to   O
continue   O
with   O
current   O
medications   O
and   O
to   O
follow   O
up   O
immediately   O
if   O
symptoms   O
worsen   O
.   O

The   O
contact   O
information   O
363   B-CONTACT
-   I-CONTACT
967   I-CONTACT
7772   I-CONTACT
was   O
verified   O
for   O
any   O
emergency   O
or   O
further   O
communications   O
.   O

Lorelai   B-NAME
Baldwin   I-NAME
was   O
reassured   O
and   O
provided   O
with   O
a   O
summary   O
document   O
of   O
the   O
visit   O
,   O
which   O
also   O
contained   O
instructions   O
for   O
the   O
CT   O
scan   O
preparation   O
.   O

Luz   B-NAME
Cordova   I-NAME
expressed   O
understanding   O
of   O
the   O
plan   O
and   O
appreciation   O
for   O
the   O
thorough   O
examination   O
.   O

This   O
case   O
continues   O
to   O
be   O
monitored   O
closely   O
by   O
Hoover   B-NAME
and   O
the   O
team   O
at   O
The   B-LOCATION
William   I-LOCATION
W.   I-LOCATION
Backus   I-LOCATION
Hospital   I-LOCATION
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
or   O
earlier   O
if   O
necessary   O
,   O
to   O
discuss   O
the   O
results   O
from   O
the   O
CT   O
scan   O
and   O
any   O
additional   O
steps   O
in   O
Gayle   B-NAME
Arrant   I-NAME
's   O
care   O
plan   O
.   O

For   O
data   O
privacy   O
,   O
the   O
patient   O
has   O
been   O
assigned   O
an   O
identification   O
number   O
,   O
MI:611022:635292   B-ID
,   O
and   O
all   O
communications   O
will   O
be   O
held   O
in   O
confidence   O
as   O
per   O
the   O
guidelines   O
of   O
Tyranical   B-LOCATION
Planets   I-LOCATION
and   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

The   O
patient   O
resides   O
at   O
Maricopa   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
43827   B-LOCATION
.   O

Patient   O
Darren   B-NAME
Wiley   I-NAME
with   O
ID   O
569643   B-ID
and   O
Medical   O
Record   O
Number   O
3715267   B-ID
was   O
admitted   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Matthews   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Grapeview   B-LOCATION
on   O
33/21   B-DATE
.   O

Brady   B-NAME
Obrien   I-NAME
,   O
a   O
Rehabilitation   O
Counselors   O
from   O
Watkinsville   B-LOCATION
,   O
is   O
62   O
years   O
old   O
and   O
has   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Furthermore   O
,   O
Johnson   B-NAME
,   I-NAME
Philip   I-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
upon   O
examination   O
,   O
a   O
hallmark   O
feature   O
suggestive   O
of   O
peritoneal   O
irritation   O
.   O

Upon   O
admission   O
,   O
Gustav   B-NAME
Niemann   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
,   O
showing   O
a   O
mild   O
fever   O
(   O
37.8   O
°   O
C   O
)   O
,   O
tachycardia   O
with   O
a   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
and   O
a   O
slight   O
elevation   O
in   O
blood   O
pressure   O
at   O
130/85   O
mmHg   O
.   O

Lucero   B-NAME
,   O
the   O
attending   O
physician   O
,   O
recommended   O
an   O
immediate   O
abdominal   O
ultrasound   O
,   O
which   O
showed   O
inflammation   O
indicative   O
of   O
appendicitis   O
without   O
evidence   O
of   O
rupture   O
.   O

Given   O
the   O
findings   O
and   O
the   O
rapid   O
progression   O
of   O
symptoms   O
,   O
surgical   O
consultation   O
from   O
CGH   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
general   O
surgery   O
team   O
was   O
requested   O
on   O
9   B-DATE
-   I-DATE
7   I-DATE
.   O

YOEL   B-NAME
NEWCOMB   I-NAME
was   O
taken   O
to   O
the   O
operating   O
room   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
,   O
performed   O
without   O
complications   O
on   O
02   B-DATE
-   I-DATE
19   I-DATE
-   I-DATE
38   I-DATE
.   O

Postoperatively   O
,   O
Hamilton   B-NAME
's   O
recovery   O
was   O
uneventful   O
.   O

Pain   O
was   O
well   O
-   O
managed   O
with   O
analgesics   O
,   O
and   O
by   O
12/12/2267   B-DATE
,   O
Hayes   B-NAME
had   O
gradually   O
resumed   O
a   O
normal   O
diet   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Regina   B-NAME
Ferrell   I-NAME
at   O
Vidant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
monitor   O
progress   O
and   O
ensure   O
complete   O
recovery   O
.   O

Deja   B-NAME
Flohr   I-NAME
was   O
discharged   O
on   O
11/12/44   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
activity   O
modifications   O
,   O
along   O
with   O
a   O
prescription   O
for   O
a   O
course   O
of   O
oral   O
antibiotics   O
to   O
complete   O
at   O
home   O
.   O

For   O
any   O
concerns   O
or   O
symptoms   O
,   O
Carina   B-NAME
Schwartz   I-NAME
was   O
advised   O
to   O
contact   O
Bothwell   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
at   O
201   B-CONTACT
-   I-CONTACT
404   I-CONTACT
1858   I-CONTACT
or   O
visit   O
Baylor   B-LOCATION
Scott   I-LOCATION
and   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Grapevine   I-LOCATION
's   O
emergency   O
department   O
in   O
Fayetteville   B-LOCATION
.   O

The   O
medical   O
team   O
at   O
Rockledge   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
led   O
by   O
Armando   B-NAME
Cruz   I-NAME
,   O
is   O
committed   O
to   O
providing   O
Carus   B-NAME
Bernieri   I-NAME
with   O
ongoing   O
support   O
throughout   O
the   O
recovery   O
process   O
.   O

Additionally   O
,   O
Lawson   B-NAME
was   O
informed   O
that   O
their   O
anonymous   O
case   O
might   O
be   O
utilized   O
for   O
educational   O
purposes   O
within   O
Desert   B-LOCATION
Hills   I-LOCATION
Bank   I-LOCATION
,   O
ensuring   O
all   O
personal   O
health   O
information   O
remains   O
confidential   O
according   O
to   O
HIPAA   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
082   B-ID
-   I-ID
67   I-ID
-   I-ID
09   I-ID
-   I-ID
1   I-ID
07   B-DATE
-   I-DATE
Nov-07   I-DATE
The   O
patient   O
,   O
Xan   B-NAME
Dunn   I-NAME
,   O
a   O
51   O
-   O
year   O
-   O
old   O
Education   O
Teachers   O
,   O
Postsecondary   O
from   O
Mount   B-LOCATION
Wilson   I-LOCATION
,   O
59971   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Bethlehem   I-LOCATION
Campus   I-LOCATION
with   O
a   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Robert   B-NAME
I.   I-NAME
Harmon   I-NAME
also   O
reported   O
accompanying   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
that   O
started   O
earlier   O
on   O
27/23   B-DATE
.   O

Nichols   B-NAME
,   O
the   O
attending   O
surgeon   O
,   O
was   O
notified   O
,   O
and   O
after   O
discussing   O
the   O
findings   O
and   O
treatment   O
options   O
with   O
Devin   B-NAME
Giles   I-NAME
,   O
a   O
decision   O
for   O
surgical   O
intervention   O
via   O
laparoscopic   O
appendectomy   O
was   O
made   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
07/22   B-DATE
.   O

Keaton   B-NAME
Soto   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
potential   O
risks   O
,   O
and   O
post   O
-   O
operative   O
care   O
and   O
consented   O
to   O
proceed   O
.   O

The   O
surgery   O
was   O
uneventful   O
,   O
and   O
Rylee   B-NAME
Horne   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
immediate   O
complications   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
22/22/22   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
analgesics   O
.   O

Follow   O
-   O
up   O
contact   O
information   O
was   O
given   O
to   O
Didion   B-NAME
,   I-NAME
Joan   I-NAME
should   O
they   O
have   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
their   O
scheduled   O
follow   O
-   O
up   O
,   O
including   O
the   O
330   B-CONTACT
6832   I-CONTACT
number   O
of   O
Community   B-LOCATION
Hospital   I-LOCATION
's   O
surgical   O
department   O
.   O

The   O
attending   O
nurse   O
,   O
identified   O
as   O
Nurse   O
tl63   B-NAME
,   O
was   O
responsible   O
for   O
finalizing   O
the   O
discharge   O
paperwork   O
and   O
ensuring   O
that   O
Faustina   B-NAME
Douglas   I-NAME
understood   O
all   O
discharge   O
instructions   O
.   O

Tony   B-NAME
Wilkinson   I-NAME
's   O
prognosis   O
is   O
excellent   O
with   O
anticipated   O
full   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Roderick   B-NAME
Kerr   I-NAME
Patient   O
ID   O
:   O
BX855/3429   B-ID
Medical   O
Record   O
Number   O
:   O
6440641   B-ID
Date   O
of   O
Birth   O
:   O
01/71   B-DATE
Age   O
:   O
9   O
Address   O
:   O
Glorieta   B-LOCATION
,   O
70038   B-LOCATION
Phone   O
Number   O
:   O
44339   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Mabuse   B-NAME
Treating   O
Hospital   O
:   O
Novant   B-LOCATION
Health   I-LOCATION
Charlotte   I-LOCATION
Orthopaedic   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Hattie   B-NAME
,   O
a   O
Gaming   O
Supervisors   O
from   O
Bushton   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Columbus   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
08/03   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
lower   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Guadalupe   B-NAME
Hurst   I-NAME
reports   O
that   O
the   O
abdominal   O
pain   O
was   O
sudden   O
in   O
onset   O
and   O
has   O
progressively   O
worsened   O
over   O
time   O
.   O

Cash   B-NAME
Berry   I-NAME
denies   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
blood   O
in   O
stool   O
.   O

Past   O
Medical   O
History   O
:   O
Maxwell   B-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
was   O
previously   O
treated   O
for   O
a   O
urinary   O
tract   O
infection   O
(   O
UTI   O
)   O
approximately   O
22/00   B-DATE
.   O

Apart   O
from   O
these   O
conditions   O
,   O
Diana   B-NAME
Elliott   I-NAME
's   O
medical   O
history   O
is   O
non   O
-   O
contributory   O
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
family   O
history   O
of   O
diabetes   O
mellitus   O
in   O
Peyton   B-NAME
Schneider   I-NAME
's   O
mother   O
and   O
hypertension   O
in   O
the   O
father   O
.   O

Social   O
History   O
:   O
Oconnor   B-NAME
is   O
a   O
77   O
-   O
year   O
-   O
old   O
Roustabouts   O
,   O
Oil   O
and   O
Gas   O
who   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

RL   B-NAME
lives   O
alone   O
and   O
is   O
currently   O
employed   O
at   O
Wyandotte   B-LOCATION
Municipal   I-LOCATION
Services   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kameryn   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Kareem   B-NAME
Eaton   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Zane   B-NAME
Barry   I-NAME
recommended   O
immediate   O
surgical   O
intervention   O
.   O

URIEL   B-NAME
XING   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Consent   O
for   O
surgery   O
was   O
obtained   O
,   O
and   O
Colleen   B-NAME
Polite   I-NAME
was   O
prepared   O
for   O
the   O
operation   O
.   O

The   O
surgical   O
team   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Danville   I-LOCATION
was   O
notified   O
,   O
and   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
was   O
scheduled   O
for   O
0226   B-DATE
.   O

Postoperative   O
Course   O
:   O
Max   B-NAME
Von   I-NAME
Sydow   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Pain   O
was   O
managed   O
with   O
IV   O
acetaminophen   O
and   O
Sienna   B-NAME
Leonard   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
one   O
week   O
.   O

Bo   B-NAME
Ruiz   I-NAME
was   O
discharged   O
on   O
2th   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
.   O

Follow   O
-   O
up   O
:   O
Jabari   B-NAME
Lara   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Nichols   B-NAME
at   O
Talbott   B-LOCATION
Recovery   I-LOCATION
Columbus   I-LOCATION
on   O
2236   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
wound   O
healing   O
.   O

Subject   O
:   O
Emergency   O
Department   O
Visit   O
Report   O
Patient   O
:   O
Valerie   B-NAME
Flame   I-NAME
DOB   O
:   O
0/91   B-DATE
Age   O
:   O
48   O
Medical   O
Record   O
Number   O
:   O
2   B-ID
-   I-ID
8225439   I-ID
ID   O
Number   O
:   O
6097972   B-ID
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Schopenhauer   B-NAME
,   I-NAME
Arthur   I-NAME
,   O
arrived   O
at   O
the   O
emergency   O
department   O
of   O
Elmhurst   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2357   B-DATE
,   O
presenting   O
with   O
acute   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
URIBE   B-NAME
,   I-NAME
HAROLD   I-NAME
noted   O
that   O
the   O
pain   O
was   O
initially   O
mild   O
and   O
generalized   O
but   O
gradually   O
intensified   O
and   O
localized   O
to   O
the   O
specific   O
area   O
over   O
a   O
period   O
of   O
a   O
few   O
hours   O
.   O

Tavon   B-NAME
is   O
currently   O
taking   O
Lisinopril   O
10   O
mg   O
once   O
daily   O
.   O
Review   O
of   O
Systems   O
:   O
All   O
other   O
systems   O
were   O
reviewed   O
and   O
were   O
negative   O
.   O

On   O
physical   O
examination   O
,   O
Travis   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Divine   B-LOCATION
Savior   I-LOCATION
Healthcare   I-LOCATION
under   O
the   O
care   O
of   O
Latrisha   B-NAME
Truesdell   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

Wright   B-NAME
,   I-NAME
Steven   I-NAME
was   O
made   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
,   O
started   O
on   O
IV   O
fluids   O
,   O
and   O
administered   O
analgesia   O
for   O
pain   O
control   O
.   O

Next   O
of   O
kin   O
:   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Air   O
Crew   O
Members   O
at   O
516   B-CONTACT
798   I-CONTACT
-   I-CONTACT
7836   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Rigoberto   B-NAME
Dority   I-NAME
at   O
882   B-CONTACT
7814   I-CONTACT
Insurance   O
Information   O
:   O
Central   B-LOCATION
Montana   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
,   O
Member   O
ID   O
:   O
AN   B-ID
:   I-ID
NI:3753   I-ID
Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2183   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
21   I-DATE
with   O
Chace   B-NAME
Hartman   I-NAME
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Report   O
Prepared   O
By   O
:   O
mbf854   B-NAME
,   O
Medical   O
Scribe   O
July   B-DATE
4   I-DATE
Confidentiality   O
Notice   O
:   O

This   O
report   O
contains   O
confidential   O
health   O
information   O
and   O
is   O
intended   O
only   O
for   O
the   O
use   O
of   O
Jovanni   B-NAME
Matthews   I-NAME
and   O
designated   O
medical   O
professionals   O
at   O
Sherman   B-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
and   O
East   B-LOCATION
River   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
.   O

Patient   O
Name   O
:   O
Armando   B-NAME
Henderson   I-NAME
Age   O
:   O
10s   O
Date   O
of   O
Birth   O
:   O
36/12/2245   B-DATE
Address   O
:   O
Lueders   B-LOCATION
,   O
33144   B-LOCATION
Phone   O
Number   O
:   O
291   B-CONTACT
-   I-CONTACT
3376   I-CONTACT
Medical   O
Record   O
Number   O
:   O
2455215   B-ID
Primary   O
Care   O
Physician   O
:   O

Leonard   B-NAME
Admitting   O
Hospital   O
:   O
Penn   B-LOCATION
Highlands   I-LOCATION
DuBois   I-LOCATION
Date   O
of   O
Admission   O
:   O
27/23/31   B-DATE
Occupation   O
:   O
Emergency   O
Management   O
Specialists   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Charles   B-NAME
,   O
presents   O
with   O
acute   O
lower   O
abdominal   O
pain   O
that   O
has   O
been   O
intensifying   O
over   O
the   O
past   O
12/30/1982   B-DATE
.   O

Accompanying   O
symptoms   O
include   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
fever   O
recorded   O
at   O
home   O
of   O
38.5   O
°   O
C   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
May   B-NAME
Schneck   I-NAME
,   O
a   O
Helpers   O
--   O
Pipelayers   O
,   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
from   O
Alvan   B-LOCATION
,   O
began   O
experiencing   O
mild   O
,   O
diffuse   O
abdominal   O
discomfort   O
approximately   O
April   B-DATE
0   I-DATE
ago   O
,   O
which   O
has   O
gradually   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
has   O
progressively   O
worsened   O
,   O
prompting   O
Sasha   B-NAME
Trevino   I-NAME
to   O
seek   O
medical   O
evaluation   O
.   O

There   O
has   O
been   O
one   O
episode   O
of   O
vomiting   O
as   O
of   O
02/32   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Conner   B-NAME
Cline   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
lifestyle   O
modifications   O
and   O
medication   O
.   O

Otis   B-NAME
Xayasane   I-NAME
's   O
surgical   O
history   O
is   O
significant   O
for   O
an   O
appendectomy   O
performed   O
at   O
Meadowbrook   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Gardner   I-LOCATION
on   O
May   B-DATE
.   O

Family   O
History   O
:   O
There   O
is   O
a   O
noted   O
family   O
history   O
of   O
colorectal   O
cancer   O
in   O
Armando   B-NAME
Riggio   I-NAME
's   O
parent   O
,   O
diagnosed   O
at   O
the   O
age   O
of   O
7   O
.   O

Social   O
History   O
:   O
Eddie   B-NAME
,   O
a   O
Curator   O
,   O
reports   O
a   O
nonsmoking   O
status   O
and   O
occasional   O
alcohol   O
use   O
.   O

Frankie   B-NAME
Frey   I-NAME
lives   O
with   O
family   O
in   O
Montclair   B-LOCATION
,   I-LOCATION
Montclair   I-LOCATION
Center   I-LOCATION
Improvement   I-LOCATION
District   I-LOCATION
.   O

Given   O
Yager   B-NAME
's   O
history   O
of   O
a   O
previous   O
appendectomy   O
,   O
further   O
evaluation   O
for   O
other   O
causes   O
of   O
right   O
lower   O
quadrant   O
pain   O
,   O
such   O
as   O
a   O
Meckel   O
's   O
diverticulum   O
or   O
Crohn   O
's   O
disease   O
,   O
is   O
warranted   O
.   O

Admit   O
Gogol   B-NAME
,   I-NAME
Nikolai   I-NAME
Vasilievich   I-NAME
to   O
Piedmont   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
.   O

Signature   O
:   O
Kramer   B-NAME
02/22   B-DATE

Patient   O
Name   O
:   O
Ione   B-NAME
Jean   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
2689102   I-ID
Medical   O
Record   O
Number   O
:   O
916   B-ID
-   I-ID
90   I-ID
-   I-ID
48   I-ID
-   I-ID
8   I-ID
Age   O
:   O
28s   O
Date   O
of   O
Birth   O
:   O
December   B-DATE
09   I-DATE
,   I-DATE
2016   I-DATE
Address   O
:   O
Lancaster   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
93535   I-LOCATION
,   O
91116   B-LOCATION
Phone   O
Number   O
:   O
899   B-CONTACT
5884   I-CONTACT

Gizhaum   B-NAME
Employer   O
:   O
Islamic   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Commission   I-LOCATION
Profession   O
:   O

Retail   O
Salespersons   O
Hospital   O
:   O
McKay   B-LOCATION
-   I-LOCATION
Dee   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Duke   B-NAME
presented   O
to   O
Divine   B-LOCATION
Savior   I-LOCATION
Healthcare   I-LOCATION
on   O
06/08/2073   B-DATE
with   O
complaints   O
of   O
acute   O
shortness   O
of   O
breath   O
,   O
productive   O
cough   O
with   O
greenish   O
sputum   O
,   O
and   O
intermittent   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
.   O

Miles   B-NAME
McCabe   I-NAME
also   O
reported   O
experiencing   O
night   O
sweats   O
and   O
a   O
significant   O
decrease   O
in   O
appetite   O
over   O
the   O
same   O
period   O
.   O

Past   O
Medical   O
History   O
:   O
Russell   B-NAME
Deramo   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
in   O
22/15   B-DATE
and   O
Hypertension   O
diagnosed   O
in   O
0   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
23   I-DATE
.   O

Norris   B-NAME
is   O
currently   O
on   O
Metformin   O
and   O
Lisinopril   O
.   O

Morris   B-NAME
denies   O
any   O
prior   O
surgeries   O
or   O
hospitalizations   O
prior   O
to   O
the   O
current   O
visit   O
.   O

Social   O
History   O
:   O
Springsteen   B-NAME
,   B-NAME
Bruce   I-NAME
is   O
a   O
Social   O
Scientists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
by   O
profession   O
and   O
has   O
worked   O
at   O
Food   B-LOCATION
Addicts   I-LOCATION
in   I-LOCATION
Recovery   I-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
FA   I-LOCATION
)   I-LOCATION
for   O
29   O
years   O
.   O

Happy   B-NAME
reports   O
a   O
10   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
but   O
quit   O
smoking   O
in   O
32/33/2025   B-DATE
.   O

ElBaradei   B-NAME
,   I-NAME
Mohamed   I-NAME
lives   O
in   O
Bairoil   B-LOCATION
with   O
family   O
.   O

Review   O
of   O
Systems   O
:   O
Rusty   B-NAME
Vincent   I-NAME
reports   O
no   O
recent   O
travel   O
history   O
or   O
exposure   O
to   O
known   O
sick   O
contacts   O
.   O

On   O
examination   O
,   O
Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
was   O
febrile   O
with   O
a   O
temperature   O
of   O
102.2   O
°   O
F   O
,   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
was   O
102   O
bpm   O
,   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
was   O
92   O
%   O
on   O
room   O
air   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
initial   O
assessment   O
of   O
Whitney   B-NAME
Gibbs   I-NAME
raised   O
concerns   O
for   O
community   O
-   O
acquired   O
pneumonia   O
superimposed   O
on   O
chronic   O
medical   O
conditions   O
.   O

Reva   B-NAME
Chew   I-NAME
was   O
started   O
on   O
empiric   O
antibiotic   O
therapy   O
with   O
Levofloxacin   O
and   O
was   O
advised   O
to   O
maintain   O
hydration   O
and   O
rest   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Agueda   B-NAME
Tacey   I-NAME
in   O
5   O
-   O
7   O
days   O
to   O
re   O
-   O
evaluate   O
Lovelace   B-NAME
,   I-NAME
Richard   I-NAME
's   O
condition   O
.   O

Signed   O
,   O
Baker   B-NAME
,   I-NAME
Jack   I-NAME
36/20   B-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Cherry   B-NAME
Age   O
:   O
0   O
Medical   O
Record   O
Number   O
:   O
4287332   B-ID
Date   O
of   O
Admission   O
:   O
5/27/25   B-DATE
Location   O
of   O
Admission   O
:   O
Loyola   B-LOCATION
Gottlieb   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
Orlando   B-LOCATION
Attending   O
Physician   O
:   O

Dr.   O
Ann   B-NAME
Ibarra   I-NAME
Contact   O
Number   O
:   O
50442   B-CONTACT
ID   O
Number   O
:   O
DA   B-ID
:   I-ID
AK:5616   I-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Frantz   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Fort   B-LOCATION
Loudoun   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Union   B-LOCATION
Park   I-LOCATION
on   O
2/31   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
quadrants   O
,   O
radiating   O
to   O
the   O
back   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Rosamond   B-NAME
Contino   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
two   O
days   O
prior   O
to   O
admission   O
.   O

Edward   B-NAME
Roivas   I-NAME
,   O
a   O
File   O
Clerks   O
by   O
profession   O
,   O
had   O
not   O
been   O
exposed   O
to   O
any   O
known   O
environmental   O
toxins   O
,   O
and   O
there   O
was   O
no   O
immediate   O
travel   O
history   O
to   O
areas   O
known   O
for   O
gastrointestinal   O
risks   O
.   O

Medical   O
History   O
:   O
Averie   B-NAME
Key   I-NAME
’s   O
medical   O
history   O
includes   O
controlled   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
Hypertension   O
,   O
and   O
a   O
past   O
episode   O
of   O
Renal   O
Calculi   O
.   O

Diagnostic   O
Tests   O
:   O
Upon   O
admission   O
,   O
Mannering   B-NAME
was   O
subjected   O
to   O
a   O
series   O
of   O
diagnostic   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
abdominal   O
ultrasound   O
,   O
and   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
diagnosis   O
,   O
Dr.   O
Hanna   B-NAME
recommended   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
.   O

The   O
patient   O
provided   O
informed   O
consent   O
,   O
and   O
the   O
surgery   O
was   O
performed   O
without   O
complications   O
on   O
32   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Allayna   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Santos   B-NAME
Watts   I-NAME
at   O
White   B-LOCATION
Blossom   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
0/20   B-DATE
.   O

Harris   B-NAME
was   O
educated   O
on   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
and   O
advised   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
temporarily   O
.   O

Discharge   O
Information   O
:   O
XAYSANA   B-NAME
,   I-NAME
YUSEF   I-NAME
was   O
discharged   O
on   O
11/04/1616   B-DATE
with   O
prescriptions   O
for   O
a   O
course   O
of   O
antibiotics   O
and   O
analgesics   O
.   O

A   O
contact   O
238   B-CONTACT
5546   I-CONTACT
was   O
given   O
for   O
any   O
questions   O
or   O
concerns   O
post   O
-   O
discharge   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
pah464   B-NAME
Relation   O
:   O

Veterinary   O
Assistants   O
and   O
Laboratory   O
Animal   O
Caretakers   O
Phone   O
:   O
32614   B-CONTACT
Please   O
note   O
:   O
Any   O
further   O
inquiries   O
regarding   O
Lucien   B-NAME
Dubenko   I-NAME
's   O
care   O
should   O
be   O
directed   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Pontiac   I-LOCATION
at   O
(   B-CONTACT
169   I-CONTACT
)   I-CONTACT
185   I-CONTACT
9578   I-CONTACT
.   O

For   O
privacy   O
concerns   O
,   O
please   O
refer   O
to   O
our   O
patient   O
confidentiality   O
policy   O
outlined   O
by   O
Professional   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
and   O
adhere   O
to   O
the   O
privacy   O
laws   O
applicable   O
in   O
32554   B-LOCATION
/   O
Buffalo   B-LOCATION
.   O

Eden   B-NAME
Roth   I-NAME
Patient   O
ID   O
:   O
SK:33335:431181   B-ID

Date   O
of   O
Birth   O
:   O
08/28   B-DATE
Age   O
:   O
60   O
Contact   O
Number   O
:   O
868   B-CONTACT
684   I-CONTACT
-   I-CONTACT
9997   I-CONTACT
Address   O
:   O
Bahamas   B-LOCATION
,   O
54859   B-LOCATION
Occupation   O
:   O

Dr.   O
Dangelo   B-NAME
Reilly   I-NAME
Medical   O
Record   O
Number   O
:   O
505   B-ID
-   I-ID
39   I-ID
-   I-ID
19   I-ID
Admitting   O
Hospital   O
:   O
HSHS   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
36/28/2162   B-DATE
Username   O
:   O
pxv210   B-NAME
Symptoms   O
and   O
Initial   O
Findings   O
:   O

The   O
patient   O
,   O
Alex   B-NAME
Hesse   I-NAME
,   O
presented   O
on   O
22/12/2021   B-DATE
to   O
NYC   B-LOCATION
Health   I-LOCATION
&   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Harlem   I-LOCATION
with   O
a   O
complaint   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Dr.   O
Skylar   B-NAME
Mcfarland   I-NAME
ordered   O
an   O
immediate   O
electrocardiogram   O
(   O
ECG   O
)   O
,   O
which   O
demonstrated   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
.   O

The   O
team   O
caring   O
for   O
Kash   B-NAME
Perkins   I-NAME
includes   O
specialists   O
from   O
cardiology   O
,   O
emergency   O
medicine   O
,   O
and   O
nursing   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
22/31/2370   B-DATE
will   O
be   O
assessed   O
for   O
possible   O
discharge   O
based   O
on   O
the   O
patient   O
's   O
response   O
to   O
treatment   O
and   O
improvement   O
in   O
symptoms   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
cardiology   O
and   O
Dr.   O
Kevin   B-NAME
O’Connor   I-NAME
have   O
been   O
scheduled   O
for   O
2054   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
22   I-DATE
to   O
review   O
the   O
patient   O
's   O
progress   O
and   O
adjust   O
treatments   O
as   O
necessary   O
.   O

Contact   O
information   O
for   O
the   O
cardiology   O
department   O
at   O
Vista   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
(   O
418   B-CONTACT
-   I-CONTACT
8352   I-CONTACT
)   O
was   O
provided   O
for   O
any   O
urgent   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

This   O
case   O
will   O
continue   O
to   O
be   O
documented   O
in   O
the   O
medical   O
record   O
1581482   B-ID
for   O
ongoing   O
care   O
and   O
coordination   O
among   O
the   O
healthcare   O
team   O
at   O
ebank   B-LOCATION
and   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
for   O
Jum   B-NAME
0/8   B-DATE
,   O
Lakeport   B-LOCATION
,   I-LOCATION
Lakeport   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
The   O
patient   O
,   O
a   O
8   O
month   O
year   O
-   O
old   O
individual   O
with   O
a   O
profession   O
in   O
Umpires   O
,   O
Referees   O
,   O
and   O
Other   O
Sports   O
Officials   O
,   O
presented   O
to   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Memorial   I-LOCATION
with   O
complaints   O
that   O
have   O
persisted   O
for   O
approximately   O
two   O
weeks   O
.   O

quirarte   B-NAME
reported   O
experiencing   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
localized   O
to   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

Xiang   B-NAME
's   O
medical   O
history   O
,   O
as   O
extracted   O
from   O
36435233   B-ID
,   O
indicates   O
a   O
pre   O
-   O
existing   O
hypertension   O
diagnosis   O
,   O
for   O
which   O
medication   O
is   O
regularly   O
taken   O
.   O

However   O
,   O
Kurtz   B-NAME
,   I-NAME
Scott   I-NAME
R.   I-NAME
mentioned   O
a   O
recent   O
increase   O
in   O
work   O
-   O
related   O
stress   O
at   O
Northeast   B-LOCATION
Utilities   I-LOCATION
.   O

Upon   O
examination   O
,   O
Dr.   O
Kailyn   B-NAME
Castillo   I-NAME
noted   O
a   O
blood   O
pressure   O
reading   O
of   O
150/95   O
mmHg   O
,   O
which   O
is   O
above   O
the   O
normal   O
range   O
.   O

Aria   B-NAME
Burns   I-NAME
was   O
advised   O
to   O
monitor   O
headaches   O
'   O
frequency   O
and   O
intensity   O
and   O
return   O
for   O
a   O
follow   O
-   O
up   O
in   O
4   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
intensified   O
.   O

For   O
assistance   O
and   O
further   O
instructions   O
,   O
Paz   B-NAME
can   O
contact   O
Titusville   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
677   I-CONTACT
)   I-CONTACT
820   I-CONTACT
-   I-CONTACT
9750   I-CONTACT
.   O

Any   O
concerns   O
regarding   O
medication   O
or   O
symptoms   O
should   O
be   O
directed   O
to   O
Dr.   O
Bryant   B-NAME
.   O
Instructions   O
for   O
maintaining   O
a   O
headache   O
diary   O
and   O
resources   O
for   O
stress   O
management   O
techniques   O
were   O
provided   O
.   O

Confidential   O
Case   O
ID   O
:   O
XA:61086:919355   B-ID

For   O
further   O
information   O
or   O
to   O
discuss   O
the   O
content   O
of   O
this   O
report   O
,   O
please   O
contact   O
Adventist   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Helena   I-LOCATION
Medical   O
Records   O
Department   O
at   O
93793   B-CONTACT
.   O

This   O
report   O
has   O
been   O
compiled   O
by   O
Dr.   O
Beck   B-NAME
and   O
is   O
intended   O
solely   O
for   O
the   O
use   O
by   O
Osvaldo   B-NAME
Lawson   I-NAME
and   O
authorized   O
healthcare   O
providers   O
.   O

State   B-LOCATION
Farm   I-LOCATION
Insurance   I-LOCATION
is   O
committed   O
to   O
providing   O
quality   O
care   O
and   O
ensuring   O
confidentiality   O
of   O
patient   O
health   O
information   O
.   O

Please   O
note   O
,   O
all   O
communication   O
should   O
reference   O
the   O
unique   O
case   O
identifier   O
53976912   B-ID
for   O
efficient   O
service   O
.   O

Document   O
Prepared   O
by   O
:   O
Tostan   B-LOCATION
Health   O
Information   O
Management   O
13   B-DATE
-   I-DATE
35   I-DATE
-   I-DATE
95   I-DATE

Patient   O
:   O
Gilbert   B-NAME
Age   O
:   O
96   O
Date   O
of   O
Birth   O
:   O
0/22   B-DATE
Medical   O
Record   O
Number   O
:   O
73684426   B-ID
ID   O
Number   O
:   O
RM:15787:212481   B-ID
Address   O
:   O
Fort   B-LOCATION
Lewis   I-LOCATION
,   O
77178   B-LOCATION
Phone   O
Number   O
:   O
556   B-CONTACT
1798   I-CONTACT
Employment   O
:   O
filmmaker   O
Primary   O
Care   O
Physician   O
:   O

Gallagher   B-NAME
Hospital   O
:   O
Logan   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Oakley   I-LOCATION
Medical   O
History   O
:   O
Rice   B-NAME
,   I-NAME
Condoleezza   I-NAME
,   O
a   O
Informatics   O
Nurse   O
Specialists   O
from   O
527   B-LOCATION
Saxton   I-LOCATION
Dr.   I-LOCATION
,   O
presented   O
on   O
07/78   B-DATE
with   O
a   O
history   O
of   O
chronic   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Greene   B-NAME
has   O
been   O
under   O
the   O
care   O
of   O
Russell   B-NAME
Lopez   I-NAME
for   O
the   O
management   O
of   O
these   O
conditions   O
.   O

On   O
13/29   B-DATE
,   O
Brown   B-NAME
,   I-NAME
Alton   I-NAME
reported   O
experiencing   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
in   O
the   O
temporal   O
regions   O
,   O
which   O
are   O
occasionally   O
accompanied   O
by   O
nausea   O
.   O

The   O
patient   O
also   O
noted   O
an   O
increase   O
in   O
frequency   O
and   O
severity   O
over   O
the   O
past   O
February   B-DATE
,   O
which   O
correlates   O
with   O
a   O
period   O
of   O
heightened   O
work   O
-   O
related   O
stress   O
at   O
Captive   B-LOCATION
Animals   I-LOCATION
Protection   I-LOCATION
Society   I-LOCATION
.   O

Furthermore   O
,   O
Miriam   B-NAME
Santos   I-NAME
has   O
observed   O
blurred   O
vision   O
and   O
photophobia   O
,   O
which   O
significantly   O
impair   O
daily   O
functioning   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
by   O
Ravuvu   B-NAME
,   I-NAME
Asesela   I-NAME
at   O
Providence   B-LOCATION
Tarzana   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Braiden   B-NAME
Chaney   I-NAME
exhibited   O
a   O
blood   O
pressure   O
reading   O
of   O
158/94   O
mmHg   O
,   O
which   O
is   O
indicative   O
of   O
uncontrolled   O
hypertension   O
.   O

The   O
visual   O
acuity   O
test   O
detected   O
slight   O
deterioration   O
in   O
vision   O
compared   O
to   O
the   O
last   O
assessment   O
on   O
2278   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
13   I-DATE
.   O

Diagnostic   O
Tests   O
:   O
Given   O
the   O
symptoms   O
and   O
history   O
,   O
Tobias   B-NAME
Mcmahon   I-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
to   O
rule   O
out   O
secondary   O
causes   O
of   O
the   O
headaches   O
and   O
vision   O
changes   O
.   O

An   O
MRI   O
of   O
the   O
brain   O
was   O
scheduled   O
for   O
34   B-DATE
-   I-DATE
Mar-2213   I-DATE
to   O
exclude   O
cerebral   O
causes   O
of   O
the   O
headache   O
.   O

These   O
tests   O
were   O
facilitated   O
by   O
the   O
medical   O
staff   O
at   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tampa   I-LOCATION
.   O

In   O
light   O
of   O
the   O
increased   O
blood   O
pressure   O
and   O
symptoms   O
indicative   O
of   O
possibly   O
exacerbated   O
hypertension   O
-   O
related   O
complications   O
,   O
Velazquez   B-NAME
has   O
recommended   O
an   O
adjustment   O
in   O
medication   O
.   O

The   O
dosage   O
of   O
lisinopril   O
was   O
increased   O
to   O
20   O
mg   O
once   O
daily   O
,   O
and   O
a   O
referral   O
to   O
an   O
ophthalmologist   O
at   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Marymount   I-LOCATION
Hospital   I-LOCATION
was   O
made   O
for   O
further   O
evaluation   O
of   O
the   O
vision   O
complaints   O
.   O

Ankti   B-NAME
has   O
been   O
advised   O
to   O
monitor   O
blood   O
pressure   O
at   O
home   O
and   O
report   O
any   O
new   O
or   O
worsening   O
symptoms   O
immediately   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Magdalena   B-NAME
House   I-NAME
for   O
August   B-DATE
37   I-DATE
,   I-DATE
2187   I-DATE
to   O
reassess   O
Knapp   B-NAME
's   O
condition   O
and   O
review   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
.   O

Further   O
consultations   O
with   O
a   O
cardiologist   O
and   O
an   O
ophthalmologist   O
have   O
been   O
arranged   O
for   O
January   B-DATE
to   O
address   O
the   O
specialized   O
aspects   O
of   O
Pritchard   B-NAME
's   O
symptoms   O
.   O

Summary   O
:   O
Vandiver   B-NAME
,   O
a   O
2   O
month   O
-   O
year   O
-   O
old   O
Editors   O
from   O
Cohocton   B-LOCATION
,   O
with   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
,   O
presented   O
with   O
severe   O
headaches   O
and   O
vision   O
disturbances   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
UNKNOWN   B-NAME
Y.   I-NAME
PARRA   I-NAME
Patient   O
ID   O
:   O
218736   B-ID
Medical   O
Record   O
Number   O
:   O
8274241   B-ID
Date   O
of   O
Birth   O
:   O
11/20/2217   B-DATE
Age   O
:   O
56   O
Contact   O
Number   O
:   O
926   B-CONTACT
-   I-CONTACT
1510   I-CONTACT
Address   O
:   O
North   B-LOCATION
Carolina   I-LOCATION
,   O
36666   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
presented   O
in   O
the   O
emergency   O
department   O
of   O
Oneida   B-LOCATION
Healthcare   I-LOCATION
on   O
23/24/2081   B-DATE
with   O
chief   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
and   O
high   O
-   O
grade   O
fever   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Philip   B-NAME
,   I-NAME
Duke   I-NAME
of   I-NAME
Edinburgh   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
101.5   O
°   O
F   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
was   O
recommended   O
by   O
Osborne   B-NAME
for   O
further   O
assessment   O
.   O

However   O
,   O
due   O
to   O
the   O
history   O
of   O
appendectomy   O
,   O
Mckay   B-NAME
also   O
considered   O
possible   O
complications   O
such   O
as   O
bowel   O
obstruction   O
or   O
another   O
inflammatory   O
process   O
.   O

Warner   B-NAME
initiated   O
management   O
with   O
intravenous   O
fluids   O
and   O
broad   O
-   O
spectrum   O
antibiotics   O
.   O

Admission   O
to   O
Penn   B-LOCATION
State   I-LOCATION
Milton   I-LOCATION
S.   I-LOCATION
Hershey   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
recommended   O
for   O
close   O
observation   O
and   O
surgical   O
consultation   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
CT   O
scan   O
on   O
19/02/2284   B-DATE
to   O
ascertain   O
the   O
cause   O
of   O
the   O
intestinal   O
obstruction   O
and   O
to   O
plan   O
further   O
management   O
based   O
on   O
the   O
comprehensive   O
findings   O
.   O

Next   O
of   O
kin   O
was   O
listed   O
as   O
Ty   B-NAME
Ponce   I-NAME
's   O
Set   O
and   O
Exhibit   O
Designers   O
residing   O
at   O
Marshallville   B-LOCATION
,   O
contactable   O
at   O
38323   B-CONTACT
.   O

Prepared   O
by   O
:   O
FX971   B-NAME
2/22/52   B-DATE

Patient   O
Name   O
:   O
Djilas   B-NAME
,   I-NAME
Milovan   I-NAME
Age   O
:   O
36   O
Date   O
:   O
2287   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
05   I-DATE
Dr.   O
:   O
Hathaway   B-NAME
,   I-NAME
Sybil   I-NAME
Hospital   O
:   O

Wellington   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
:   O
8   B-ID
-   I-ID
1645746   I-ID
Location   O
:   O
Plattville   B-LOCATION
Medical   O
Record   O
:   O
1742864   B-ID
Organization   O
:   O

Turnberry   B-LOCATION
Bank   I-LOCATION
Phone   O
:   O
325   B-CONTACT
2903   I-CONTACT
Profession   O
:   O
Medical   O
Records   O
and   O
Health   O
Information   O
Technicians   O
Username   O
:   O
HV84   B-NAME
Zip   O
:   O
33741   B-LOCATION
---   O
*   O
*   O
Medical   O
History   O
and   O
Symptoms   O
*   O
*   O
The   O
patient   O
,   O
ostrowski   B-NAME
,   O
has   O
been   O
experiencing   O
severe   O
abdominal   O
pain   O
over   O
the   O
last   O
two   O
weeks   O
.   O

*   O
*   O
Physical   O
Examination   O
Findings   O
*   O
*   O
Upon   O
examination   O
,   O
Kacy   B-NAME
exhibited   O
rebound   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
possible   O
appendicitis   O
.   O

*   O
*   O
Diagnostic   O
Tests   O
*   O
*   O
Given   O
the   O
symptoms   O
described   O
by   O
nielsen   B-NAME
and   O
findings   O
during   O
physical   O
examination   O
,   O
a   O
decision   O
was   O
made   O
to   O
run   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
which   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
.   O

Calvin   B-NAME
,   I-NAME
John   I-NAME
was   O
informed   O
about   O
the   O
situation   O
and   O
consented   O
for   O
an   O
appendectomy   O
.   O

The   O
surgery   O
was   O
scheduled   O
at   O
Saint   B-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
with   O
Oconnor   B-NAME
overseeing   O
the   O
operation   O
.   O

*   O
*   O
Follow   O
-   O
up   O
and   O
Prognosis   O
*   O
*   O
Goldfoot   B-NAME
is   O
to   O
be   O
monitored   O
closely   O
post   O
-   O
operation   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
related   O
to   O
the   O
procedure   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Sunday   B-DATE
at   O
Winchester   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
evaluate   O
recovery   O
progress   O
.   O

Savage   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
balanced   O
diet   O
and   O
avoid   O
strenuous   O
activities   O
for   O
a   O
few   O
weeks   O
post   O
-   O
surgery   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
by   O
error   O
,   O
please   O
notify   O
the   O
sender   O
immediately   O
by   O
phone   O
at   O
982   B-CONTACT
570   I-CONTACT
-   I-CONTACT
8265   I-CONTACT
or   O
email   O
.   O

Patient   O
Report   O
for   O
Virgil   B-NAME
Gregory   I-NAME
November   B-DATE
26th   I-DATE
Patient   O
Information   O
:   O
Age   O
:   O
10   O
Medical   O
Record   O
Number   O
:   O
00217222   B-ID
Physician   O
:   O

Belen   B-NAME
Buck   I-NAME
Hospital   O
:   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Peach   I-LOCATION
County   I-LOCATION
Location   O
:   O
Tuscaloosa   B-LOCATION
Contact   O
Number   O
:   O
32022   B-CONTACT
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
3852336   I-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Jewelers   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Jefferson   B-LOCATION
Hospital   I-LOCATION
on   O
32/23   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
presentation   O
.   O

The   O
patient   O
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
the   O
early   O
morning   O
of   O
Independence   B-DATE
Day   I-DATE
.   O

There   O
was   O
no   O
relief   O
from   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
taken   O
earlier   O
on   O
6/2/2344   B-DATE
.   O

The   O
patient   O
was   O
admitted   O
to   O
Devereux   B-LOCATION
Foundation   I-LOCATION
under   O
the   O
care   O
of   O
Ryan   B-NAME
for   O
further   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
examination   O
is   O
scheduled   O
for   O
32/85   B-DATE
post   O
-   O
surgery   O
to   O
monitor   O
recovery   O
and   O
discuss   O
any   O
further   O
treatments   O
if   O
necessary   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
symptoms   O
,   O
the   O
patient   O
or   O
their   O
family   O
members   O
can   O
contact   O
Northwest   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
79466   B-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Jayleen   B-NAME
Stephens   I-NAME
,   O
M.D.   O
,   O
01/30   B-DATE

Patient   O
Name   O
:   O
Halona   B-NAME
Patient   O
ID   O
:   O
RZ   B-ID
:   I-ID
QK:9890   I-ID
Medical   O
Record   O
Number   O
:   O
10626015   B-ID
Date   O
of   O
Birth   O
:   O
8/04   B-DATE
Age   O
:   O
35s   O
Address   O
:   O
Reigate   B-LOCATION
,   O
18955   B-LOCATION
Phone   O
Number   O
:   O
300   B-CONTACT
-   I-CONTACT
8334   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Hopper   B-NAME
,   I-NAME
Grace   I-NAME
Employer   O
:   O
USAA   B-LOCATION
Occupation   O
:   O

TA4410   B-NAME
Monday   B-DATE
,   O
the   O
patient   O
was   O
admitted   O
to   O
Arnot   B-LOCATION
Ogden   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
presenting   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

On   O
physical   O
examination   O
,   O
Nikolas   B-NAME
Doyle   I-NAME
noted   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
positive   O
rebound   O
tenderness   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

The   O
patient   O
's   O
vital   O
signs   O
were   O
stable   O
,   O
with   O
a   O
slight   O
elevation   O
in   O
temperature   O
to   O
13/16/97   B-DATE
.   O

The   O
patient   O
underwent   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
4/0   B-DATE
.   O

The   O
patient   O
exhibited   O
a   O
good   O
recovery   O
and   O
was   O
discharged   O
on   O
12/12   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Josie   B-NAME
Baker   I-NAME
at   O
Holland   B-LOCATION
Hospital   I-LOCATION
.   O

During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
01/59   B-DATE
,   O
the   O
patient   O
reported   O
significant   O
improvement   O
with   O
no   O
residual   O
pain   O
.   O

Patient   O
Name   O
:   O
Bonny   B-NAME
Beckles   I-NAME
Patient   O
ID   O
:   O
OB952/5722   B-ID
Medical   O
Record   O
Number   O
:   O
6215960   B-ID
Date   O
of   O
Birth   O
:   O
70   O
Date   O
of   O
Admission   O
:   O
May   B-DATE
Contact   O
:   O
(   B-CONTACT
771   I-CONTACT
)   I-CONTACT
843   I-CONTACT
7029   I-CONTACT

Green   B-NAME
Treatment   O
Facility   O
:   O
Westside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Residence   O
:   O
Newbern   B-LOCATION
,   O
40790   B-LOCATION
Employment   O
:   O
Sketch   O
Artists   O
at   O
Combat   B-LOCATION
Veterans   I-LOCATION
Motorcycle   I-LOCATION
Association   I-LOCATION
Clinical   O
Summary   O
:   O

Patient   O
Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
,   O
a   O
36   O
-   O
year   O
-   O
old   O
Pathologists   O
employed   O
by   O
Enough   B-LOCATION
Project   I-LOCATION
,   O
residing   O
in   O
Galestown   B-LOCATION
,   O
96538   B-LOCATION
,   O
presented   O
to   O
Osborn   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/07   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
occipital   O
region   O
.   O

At   O
the   O
time   O
of   O
evaluation   O
,   O
Idana   B-NAME
reported   O
the   O
headache   O
being   O
preceded   O
by   O
visual   O
disturbances   O
described   O
as   O
flickering   O
lights   O
and   O
partial   O
vision   O
loss   O
lasting   O
approximately   O
20   O
minutes   O
.   O

Additionally   O
,   O
Kizo   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
episodic   O
migraines   O
without   O
aura   O
since   O
the   O
age   O
of   O
15s   O
.   O

A   O
CT   O
scan   O
of   O
the   O
head   O
,   O
conducted   O
at   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Shore   I-LOCATION
on   O
2086   B-DATE
,   O
was   O
negative   O
for   O
any   O
acute   O
intracranial   O
abnormality   O
.   O

Given   O
the   O
patient   O
's   O
history   O
and   O
presentation   O
,   O
a   O
provisional   O
diagnosis   O
of   O
migraine   O
with   O
aura   O
was   O
made   O
by   O
Hugo   B-NAME
Cochran   I-NAME
.   O

Krish   B-NAME
Frank   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
aimed   O
at   O
mitigating   O
trigger   O
factors   O
and   O
was   O
prescribed   O
a   O
triptan   O
for   O
acute   O
migraine   O
episodes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
3   B-DATE
-   I-DATE
21   I-DATE
to   O
reassess   O
symptom   O
management   O
and   O
discuss   O
preventive   O
migraine   O
strategies   O
.   O

Baird   B-NAME
For   O
further   O
information   O
,   O
please   O
contact   O
CHRISTUS   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
New   I-LOCATION
Braunfels   I-LOCATION
at   O
77828   B-CONTACT
.   O

This   O
medical   O
record   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
individual   O
named   O
above   O
and   O
the   O
medical   O
staff   O
of   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
Round   I-LOCATION
Rock   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
Delmarva   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
subsidiary   I-LOCATION
of   I-LOCATION
Exelon   I-LOCATION
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
at   O
(   B-CONTACT
421   I-CONTACT
)   I-CONTACT
288   I-CONTACT
2842   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Name   O
:   O
Vicente   B-NAME
Patient   O
ID   O
:   O
JX   B-ID
:   I-ID
TJ:8424   I-ID
Medical   O
Record   O
Number   O
:   O
13043125   B-ID
Date   O
of   O
Birth   O
:   O
04/63   B-DATE
Age   O
:   O
10   O
Address   O
:   O
Plandome   B-LOCATION
,   O
92518   B-LOCATION
Phone   O
Number   O
:   O
546   B-CONTACT
-   I-CONTACT
334   I-CONTACT
7486   I-CONTACT
Occupation   O
:   O
Purchasing   O
Agents   O
and   O
Buyers   O
,   O
Farm   O
Products   O
Physician   O
:   O

Chase   B-NAME
Admitting   O
Hospital   O
:   O
Dallas   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2090   B-DATE
Date   O
of   O
Discharge   O
:   O
03   B-DATE
-   I-DATE
31   I-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Cael   B-NAME
Morrow   I-NAME
,   O
presented   O
with   O
acute   O
onset   O
of   O
substernal   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
accompanied   O
by   O
shortness   O
of   O
breath   O
and   O
diaphoresis   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Whitney   B-NAME
reported   O
the   O
pain   O
as   O
a   O
pressure   O
-   O
like   O
sensation   O
,   O
rated   O
8/10   O
in   O
intensity   O
,   O
worsening   O
with   O
exertion   O
and   O
partially   O
relieved   O
by   O
rest   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
,   O
diagnosed   O
7/3   B-DATE
-   O
Hyperlipidemia   O
-   O
No   O
previous   O
episodes   O
of   O
similar   O
chest   O
pain   O
-   O
No   O
known   O
drug   O
allergies   O
Family   O
History   O
:   O

Social   O
History   O
:   O
Felicita   B-NAME
Maul   I-NAME
,   O
a   O
Combination   O
Machine   O
Tool   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
,   O
reports   O
a   O
smoking   O
history   O
of   O
10   O
cigarettes   O
per   O
day   O
for   O
the   O
past   O
97   O
years   O
.   O

Lawson   B-NAME
was   O
then   O
transferred   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
for   O
continuous   O
monitoring   O
and   O
further   O
management   O
.   O

A   O
consultation   O
with   O
a   O
cardiologist   O
,   O
Aliana   B-NAME
Cuevas   I-NAME
,   O
was   O
requested   O
,   O
and   O
a   O
cardiac   O
catheterization   O
was   O
scheduled   O
for   O
33/23/81   B-DATE
to   O
assess   O
for   O
coronary   O
artery   O
disease   O
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Rozella   B-NAME
Velazco   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
to   O
follow   O
a   O
low   O
-   O
cholesterol   O
diet   O
.   O

Prescriptions   O
for   O
a   O
beta   O
-   O
blocker   O
,   O
aspirin   O
,   O
and   O
a   O
statin   O
were   O
given   O
,   O
along   O
with   O
appointments   O
for   O
outpatient   O
follow   O
-   O
up   O
with   O
Leo   B-NAME
Bain   I-NAME
and   O
a   O
cardiac   O
rehabilitation   O
program   O
at   O
Lynndyl   B-LOCATION
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
WI512   B-NAME
Relation   O
:   O
Spouse   O
Phone   O
:   O
45117   B-CONTACT

Patient   O
Name   O
:   O
Merrill   B-NAME
Patient   O
ID   O
:   O
NX:92247:479978   B-ID
Medical   O
Record   O
Number   O
:   O
6516791   B-ID
Date   O
of   O
Birth   O
:   O
32/30   B-DATE
Date   O
of   O
Visit   O
:   O
07/25/2230   B-DATE
Physician   O
:   O
Clayton   B-NAME
Location   O
of   O
Visit   O
:   O
Denver   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Reynolds   B-LOCATION
,   O
54464   B-LOCATION
Contact   O
Number   O
:   O
958   B-CONTACT
441   I-CONTACT
-   I-CONTACT
7642   I-CONTACT
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Materials   O
Scientists   O
from   O
Star   B-LOCATION
,   O
presents   O
with   O
a   O
three   O
-   O
day   O
history   O
of   O
persistent   O
,   O
high   O
-   O
grade   O
fever   O
peaking   O
at   O
102   O
°   O
F   O
,   O
severe   O
headache   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
and   O
photophobia   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
symptoms   O
occurred   O
approximately   O
three   O
days   O
prior   O
to   O
the   O
visit   O
on   O
02/26/89   B-DATE
.   O

Immunizations   O
are   O
up   O
-   O
to   O
-   O
date   O
,   O
including   O
the   O
latest   O
seasonal   O
influenza   O
vaccine   O
received   O
on   O
02/02/08   B-DATE
.   O
Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
symptoms   O
mentioned   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
present   O
illness   O
,   O
the   O
patient   O
denies   O
any   O
additional   O
symptoms   O
,   O
including   O
but   O
not   O
limited   O
to   O
,   O
abdominal   O
pain   O
,   O
diarrhea   O
,   O
cough   O
,   O
dyspnea   O
,   O
or   O
urinary   O
symptoms   O
.   O

Admit   O
to   O
PeaceHealth   B-LOCATION
Peace   I-LOCATION
Island   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Macias   B-NAME
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2110   B-DATE
post   O
-   O
discharge   O
to   O
review   O
the   O
results   O
of   O
the   O
cerebrospinal   O
fluid   O
analysis   O
,   O
adjust   O
antibiotic   O
therapy   O
as   O
needed   O
,   O
and   O
assess   O
for   O
any   O
residual   O
effects   O
or   O
complications   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Dorsey   B-NAME
Relation   O
:   O
Self   O
Phone   O
:   O
89009   B-CONTACT

This   O
report   O
has   O
been   O
prepared   O
by   O
Pham   B-NAME
,   O
January   B-DATE
3   I-DATE
,   I-DATE
2056   I-DATE
.   O

Patient   O
Name   O
:   O
Estes   B-NAME
Patient   O
ID   O
:   O
MH   B-ID
:   I-ID
VF:6451   I-ID
Medical   O
Record   O
Number   O
:   O
95865601   B-ID
Date   O
of   O
Birth   O
:   O
3/26/82   B-DATE
Age   O
:   O
63   O
Address   O
:   O
Romeo   B-LOCATION
,   O
75427   B-LOCATION
Phone   O
Number   O
:   O
98033   B-CONTACT
Occupation   O
:   O
Phlebotomists   O
Reporting   O
Doctor   O
:   O
Harper   B-NAME
Russell   I-NAME
Hospital   O
:   O
James   B-LOCATION
J.   I-LOCATION
Peters   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
:   O
lr492   B-NAME
Medical   O
History   O
:   O
Patient   O
Velez   B-NAME
,   O
a   O
Sketch   O
Artists   O
from   O
Miracle   B-LOCATION
Valley   I-LOCATION
,   O
presented   O
to   O
Jonathan   B-NAME
James   I-NAME
at   O
Sibley   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
07/29   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
23   B-DATE
-   I-DATE
00   I-DATE
to   O
assess   O
the   O
patient   O
's   O
response   O
to   O
the   O
treatment   O
plan   O
and   O
to   O
adjust   O
it   O
if   O
necessary   O
.   O

In   O
case   O
of   O
any   O
questions   O
or   O
concerns   O
,   O
the   O
patient   O
was   O
instructed   O
to   O
contact   O
Brittany   B-NAME
Murphy   I-NAME
's   O
office   O
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
and   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Sunnyvale   I-LOCATION
via   O
phone   O
number   O
741   B-CONTACT
-   I-CONTACT
3275   I-CONTACT
.   O

This   O
medical   O
report   O
for   O
patient   O
Amaya   B-NAME
Singleton   I-NAME
,   O
holding   O
ID   O
JM   B-ID
:   I-ID
BN:2856   I-ID
and   O
medical   O
record   O
number   O
473130CA   B-ID
,   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
the   O
individual   O
or   O
entity   O
named   O
above   O
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
at   O
(   B-CONTACT
752   I-CONTACT
)   I-CONTACT
567   I-CONTACT
7463   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
document   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Dunst   B-NAME
,   I-NAME
Kirsten   I-NAME
Patient   O
ID   O
:   O
ET   B-ID
:   I-ID
NQ:8345   I-ID
Medical   O
Record   O
Number   O
:   O
7968431   B-ID
DOB   O
:   O
80   O
Date   O
of   O
Admission   O
:   O
07/21   B-DATE
Attending   O
Physician   O
:   O

Ally   B-NAME
Delacruz   I-NAME
Hospital   O
:   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Kenner   I-LOCATION
Location   O
:   O
Alabama   B-LOCATION
Zip   O
Code   O
:   O
57239   B-LOCATION
Contact   O
Number   O
:   O
78447   B-CONTACT
Chief   O
Complaint   O
:   O
Ruth   B-NAME
Mcguire   I-NAME
presented   O
to   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
Emergency   O
Department   O
on   O
02/22/42   B-DATE
with   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
,   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
from   O
La   B-LOCATION
Paloma   I-LOCATION
Ranchettes   I-LOCATION
,   O
reports   O
the   O
onset   O
of   O
symptoms   O
began   O
suddenly   O
on   O
the   O
evening   O
of   O
31/35/52   B-DATE
.   O

Malone   B-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
unusual   O
dietary   O
intake   O
.   O

Past   O
Medical   O
History   O
:   O
Schaefer   B-NAME
has   O
a   O
history   O
of   O
mild   O
,   O
non   O
-   O
insulin   O
-   O
dependent   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
diet   O
and   O
oral   O
hypoglycemic   O
agents   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Randall   B-NAME
Pollard   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
20/30/2303   B-DATE
.   O

Grellet   B-NAME
,   I-NAME
Stephen   I-NAME
,   O
a   O
surgeon   O
at   O
VA   B-LOCATION
Hospital   I-LOCATION
,   O
performed   O
the   O
procedure   O
without   O
complications   O
.   O

Jazlyn   B-NAME
Yates   I-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Follow   O
-   O
up   O
:   O
Cale   B-NAME
Russo   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Maximillian   B-NAME
Roivas   I-NAME
at   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Bellefonte   I-LOCATION
Hospital   I-LOCATION
on   O
February   B-DATE
.   O

Signature   O
:   O
Bautista   B-NAME
6/06/47   B-DATE

Patient   O
:   O
Ford   B-NAME
,   I-NAME
Gerald   I-NAME
Age   O
:   O
75   O
Date   O
of   O
Report   O
:   O
2/22/69   B-DATE
Medical   O
Record   O
Number   O
:   O
56490591   B-ID
Attending   O
Physician   O
:   O
Mussolini   B-NAME
,   I-NAME
Benito   I-NAME
Hospital   O
:   O
BANNER   B-LOCATION
THUNDERBIRD   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
Location   O
:   O
Harbor   B-LOCATION
Beach   I-LOCATION
,   O
90642   B-LOCATION
Phone   O
:   O
338   B-CONTACT
-   I-CONTACT
396   I-CONTACT
-   I-CONTACT
7203   I-CONTACT
Profession   O
:   O

Computer   O
Network   O
Support   O
Specialists   O
Username   O
:   O
IT111   B-NAME
ID   O
:   O
1142719   B-ID
Report   O
:   O
Miles   B-NAME
J.   I-NAME
Bennell   I-NAME
,   O
a   O
New   O
Accounts   O
Clerks   O
residing   O
in   O
Castle   B-LOCATION
Cary   I-LOCATION
,   O
37068   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Mount   B-LOCATION
Sinai   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
14/23/2022   B-DATE
,   O
reporting   O
severe   O
abdominal   O
pain   O
characterized   O
by   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Past   O
medical   O
history   O
revealed   O
previous   O
episodes   O
of   O
mild   O
,   O
non   O
-   O
specific   O
abdominal   O
discomfort   O
over   O
the   O
past   O
81   O
months   O
,   O
but   O
Genesis   B-NAME
Singleton   I-NAME
denied   O
any   O
prior   O
episodes   O
of   O
similar   O
severity   O
.   O

Anton   B-NAME
Flynn   I-NAME
's   O
social   O
history   O
includes   O
working   O
as   O
a   O
Regulatory   O
Affairs   O
Specialists   O
,   O
which   O
does   O
not   O
involve   O
heavy   O
lifting   O
or   O
significant   O
job   O
-   O
related   O
stress   O
.   O

On   O
physical   O
examination   O
,   O
Katelynn   B-NAME
Morrison   I-NAME
exhibited   O
signs   O
of   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
possible   O
appendicitis   O
.   O

Mathias   B-NAME
Brooks   I-NAME
's   O
initial   O
laboratory   O
tests   O
showed   O
a   O
slight   O
leukocytosis   O
with   O
a   O
left   O
shift   O
.   O

Harmony   B-NAME
Dillon   I-NAME
then   O
ordered   O
an   O
abdominal   O
ultrasound   O
to   O
further   O
evaluate   O
the   O
cause   O
of   O
the   O
pain   O
,   O
which   O
indicated   O
a   O
swollen   O
appendix   O
with   O
no   O
signs   O
of   O
rupture   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Zavala   B-NAME
diagnosed   O
Wright   B-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
surgical   O
intervention   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
1954   B-DATE
,   O
and   O
Rangle   B-NAME
was   O
advised   O
a   O
recovery   O
period   O
with   O
follow   O
-   O
up   O
scheduled   O
in   O
20   O
weeks   O
at   O
Niles   B-LOCATION
,   I-LOCATION
Niles   I-LOCATION
DDA   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
clinic   O
.   O

Alexis   B-NAME
Mcgrath   I-NAME
was   O
also   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infection   O
.   O

Harland   B-NAME
was   O
discharged   O
on   O
Feb   B-DATE
with   O
recommendations   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unusual   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
phone   O
call   O
is   O
scheduled   O
for   O
November   B-DATE
3   I-DATE
by   O
our   O
nursing   O
staff   O
at   O
40008   B-CONTACT
to   O
assess   O
recovery   O
progress   O
.   O

For   O
any   O
queries   O
or   O
emergency   O
concerns   O
,   O
Jamya   B-NAME
Rich   I-NAME
was   O
advised   O
to   O
contact   O
Clara   B-LOCATION
Maass   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
helpline   O
at   O
(   B-CONTACT
237   I-CONTACT
)   I-CONTACT
218   I-CONTACT
-   I-CONTACT
5016   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

The   O
patient   O
was   O
also   O
provided   O
with   O
the   O
contact   O
56461   B-CONTACT
for   O
Heinlein   B-NAME
,   I-NAME
Robert   I-NAME
A.   I-NAME
,   O
should   O
there   O
be   O
any   O
immediate   O
concerns   O
post   O
-   O
discharge   O
.   O

Report   O
prepared   O
by   O
:   O
Blake   B-NAME
Union   B-LOCATION
Bank   I-LOCATION
,   I-LOCATION
NA   I-LOCATION
:   O
Howard   B-LOCATION
Young   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Document   O
ID   O
:   O
84647219   B-ID

Patient   O
Name   O
:   O
Jacoby   B-NAME
Keith   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
7940675   I-ID
Medical   O
Record   O
Number   O
:   O
775   B-ID
-   I-ID
53   I-ID
-   I-ID
99   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
0/20/13   B-DATE
Age   O
:   O
33   O
Address   O
:   O
Fishers   B-LOCATION
,   O
98723   B-LOCATION
Telephone   O
:   O
472   B-CONTACT
3549   I-CONTACT
Occupation   O
:   O

Dr.   O
Paola   B-NAME
Bradshaw   I-NAME
Hospital   O
:   O

MercyOne   B-LOCATION
Cedar   I-LOCATION
Falls   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
for   O
Hospital   O
Portal   O
:   O

lg81   B-NAME
Summary   O
:   O
Maurice   B-NAME
Flores   I-NAME
,   O
a   O
Electronic   O
Home   O
Entertainment   O
Equipment   O
Installers   O
and   O
Repairers   O
residing   O
in   O
Robertson   B-LOCATION
with   O
a   O
zip   O
code   O
of   O
29860   B-LOCATION
,   O
visited   O
the   O
clinic   O
on   O
00/26   B-DATE
complaining   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
bloating   O
,   O
and   O
occasional   O
bouts   O
of   O
nausea   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
telephone   O
contact   O
provided   O
was   O
(   B-CONTACT
601   I-CONTACT
)   I-CONTACT
223   I-CONTACT
-   I-CONTACT
4984   I-CONTACT
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Oliver   B-NAME
Thredson   I-NAME
,   O
conducted   O
an   O
initial   O
assessment   O
and   O
ordered   O
diagnostic   O
tests   O
as   O
required   O
.   O

All   O
relevant   O
patient   O
data   O
,   O
including   O
the   O
initial   O
complaint   O
and   O
diagnoses   O
,   O
have   O
been   O
recorded   O
under   O
the   O
medical   O
record   O
number   O
1204110   B-ID
.   O

Meghan   B-NAME
Kline   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
new   O
dietary   O
habits   O
,   O
or   O
medications   O
that   O
could   O
contribute   O
to   O
their   O
symptoms   O
.   O

Pending   O
the   O
results   O
of   O
the   O
diagnostic   O
evaluations   O
,   O
Keller   B-NAME
was   O
advised   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
increase   O
fluid   O
intake   O
,   O
and   O
was   O
prescribed   O
a   O
medication   O
for   O
nausea   O
as   O
needed   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Dr.   O
Wu   B-NAME
at   O
Jefferson   B-LOCATION
Washington   I-LOCATION
Township   I-LOCATION
Hospital   I-LOCATION
for   O
17   B-DATE
-   I-DATE
33   I-DATE
to   O
review   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Recommendations   O
were   O
made   O
for   O
Oswaldo   B-NAME
Hayden   I-NAME
to   O
monitor   O
symptoms   O
closely   O
.   O

Should   O
there   O
be   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
new   O
symptoms   O
arise   O
,   O
they   O
were   O
instructed   O
to   O
contact   O
Dr.   O
Davina   B-NAME
Klahn   I-NAME
's   O
office   O
immediately   O
or   O
visit   O
the   O
emergency   O
department   O
of   O
Spalding   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
.   O

Note   O
:   O
All   O
communications   O
regarding   O
Grimes   B-NAME
's   O
treatment   O
and   O
health   O
information   O
are   O
securely   O
stored   O
following   O
HIPAA   O
regulations   O
.   O

For   O
additional   O
inquiries   O
or   O
updates   O
,   O
Yael   B-NAME
Mcdaniel   I-NAME
or   O
their   O
designated   O
contacts   O
can   O
reach   O
out   O
to   O
Dr.   O
Stuart   B-NAME
's   O
office   O
through   O
the   O
patient   O
portal   O
(   O
Username   O
:   O
vd845   B-NAME
)   O
or   O
by   O
calling   O
12165   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Jackson   B-NAME
X.   I-NAME
Triplett   I-NAME
Age   O
:   O
11   O
Date   O
of   O
Birth   O
:   O
2/2233   B-DATE
Medical   O
Record   O
Number   O
:   O
951   B-ID
-   I-ID
76   I-ID
-   I-ID
76   I-ID
-   I-ID
1   I-ID
Phone   O
Number   O
:   O
595   B-CONTACT
-   I-CONTACT
3796   I-CONTACT
Address   O
:   O
Bishop   B-LOCATION
Hills   I-LOCATION
,   O
11118   B-LOCATION
Occupation   O
:   O
Service   O
Unit   O
Operators   O
,   O
Oil   O
,   O
Gas   O
,   O
and   O
Mining   O
Doctor   O
:   O
Early   B-NAME
,   I-NAME
Jubal   I-NAME
Anderson   I-NAME
Hospital   O
:   O
Lucas   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
13/18/2341   B-DATE
ID   O
Number   O
:   O
VJ   B-ID
:   I-ID
FL:4920   I-ID
Clinical   O
Notes   O
:   O
KEELER   B-NAME
,   I-NAME
ELIOT   I-NAME
,   O
a   O
39   O
-   O
year   O
-   O
old   O
Industrial   O
Ecologists   O
,   O
presented   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Richland   I-LOCATION
Hospital   I-LOCATION
on   O
2116   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
persisted   O
for   O
approximately   O
48   O
hours   O
.   O

There   O
is   O
associated   O
nausea   O
without   O
vomiting   O
,   O
and   O
Levi   B-NAME
Atmore   I-NAME
reports   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Peterson   B-NAME
denies   O
any   O
recent   O
travel   O
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
use   O
of   O
antibiotics   O
.   O

On   O
physical   O
examination   O
,   O
Bruce   B-NAME
Tucker   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
Plan   O
:   O
Surgical   O
consultation   O
with   O
Jamir   B-NAME
Fritz   I-NAME
was   O
obtained   O
,   O
and   O
Townsend   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
,   O
performed   O
on   O
14   B-DATE
-   I-DATE
Aug-2167   I-DATE
,   O
was   O
uncomplicated   O
.   O

Goldwater   B-NAME
,   I-NAME
Barry   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
observed   O
overnight   O
at   O
SUNY   B-LOCATION
Downstate   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Brooklyn   I-LOCATION
for   O
postoperative   O
care   O
.   O

Ebert   B-NAME
,   I-NAME
Roger   I-NAME
was   O
discharged   O
on   O
03/65   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
10   O
days   O
.   O

Lucia   B-NAME
Barajas   I-NAME
was   O
advised   O
to   O
watch   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
and   O
to   O
contact   O
CHI   B-LOCATION
St.   I-LOCATION
Alexius   I-LOCATION
Health   I-LOCATION
at   O
604   B-CONTACT
9521   I-CONTACT
immediately   O
if   O
any   O
arise   O
.   O

Documentation   O
Completed   O
by   O
:   O
udf271   B-NAME
December   B-DATE
21   I-DATE

Patient   O
Name   O
:   O
Scott   B-NAME
ID   O
:   O
7   B-ID
-   I-ID
3290700   I-ID
Medical   O
Record   O
Number   O
:   O
50294567   B-ID
Date   O
of   O
Birth   O
:   O
23/11/2250   B-DATE
Age   O
:   O
57   O
Address   O
:   O
Carson   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
90745   I-LOCATION
,   O
46898   B-LOCATION
Phone   O
:   O
641   B-CONTACT
-   I-CONTACT
3687   I-CONTACT

Everett   B-NAME
Hospital   O
:   O
Utah   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
22/27   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Dillon   B-NAME
Rowland   I-NAME
,   O
presents   O
with   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
onset   O
was   O
sudden   O
,   O
beginning   O
approximately   O
22/24   B-DATE
,   O
with   O
pain   O
intensity   O
progressively   O
increasing   O
over   O
the   O
subsequent   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Isaiah   B-NAME
Fritzpatrick   I-NAME
was   O
in   O
their   O
usual   O
state   O
of   O
health   O
until   O
early   O
morning   O
10/31   B-DATE
,   O
when   O
they   O
woke   O
up   O
with   O
noticeable   O
unease   O
and   O
discomfort   O
in   O
the   O
abdominal   O
region   O
.   O

Past   O
Medical   O
History   O
:   O
Zachariah   B-NAME
Vasquez   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
was   O
previously   O
treated   O
for   O
a   O
urinary   O
tract   O
infection   O
(   O
UTI   O
)   O
0/26/00   B-DATE
.   O

Admit   O
to   O
Bon   B-LOCATION
Secours   I-LOCATION
Memorial   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
observation   O
and   O
diagnostic   O
workup   O
.   O

Follow   O
-   O
Up   O
:   O
Anthony   B-NAME
Ludgate   I-NAME
Druid   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Key   B-NAME
on   O
March   B-DATE
,   O
post   O
-   O
discharge   O
,   O
to   O
review   O
the   O
results   O
of   O
diagnostic   O
tests   O
and   O
to   O
formulate   O
a   O
long   O
-   O
term   O
management   O
plan   O
based   O
on   O
the   O
final   O
diagnosis   O
.   O

For   O
any   O
queries   O
or   O
concerns   O
,   O
please   O
contact   O
UPMC   B-LOCATION
East   I-LOCATION
at   O
788   B-CONTACT
1263   I-CONTACT
.   O

Patient   O
Name   O
:   O
Elroy   B-NAME
Medical   O
Record   O
Number   O
:   O
8722235   B-ID
Date   O
of   O
Birth   O
:   O
3/67   B-DATE
Age   O
:   O
100   O
Address   O
:   O
9375   B-LOCATION
Madison   I-LOCATION
St.   I-LOCATION
Phone   O
Number   O
:   O
341   B-CONTACT
-   I-CONTACT
625   I-CONTACT
5789   I-CONTACT
Employer   O
:   O
United   B-LOCATION
States   I-LOCATION
Submarine   I-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
World   I-LOCATION
War   I-LOCATION
II   I-LOCATION
Occupation   O
:   O

Veterinary   O
Technologists   O
and   O
Technicians   O
Primary   O
Care   O
Physician   O
:   O
Melanie   B-NAME
Ochoa   I-NAME
Hospital   O
:   O
Lee   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
Mar   B-DATE
00   I-DATE
,   I-DATE
2163   I-DATE
Social   O
Security   O
Number   O
:   O
9   B-ID
-   I-ID
6888191   I-ID
Zip   O
Code   O
:   O
15723   B-LOCATION
Clinical   O
Summary   O
:   O
Ms.   O
Peyton   B-NAME
Winters   I-NAME
presented   O
to   O
Virtua   B-LOCATION
Berlin   I-LOCATION
on   O
April   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
lasting   O
more   O
than   O
three   O
weeks   O
,   O
characterized   O
by   O
bouts   O
of   O
severe   O
paroxysmal   O
coughing   O
followed   O
by   O
an   O
inspiratory   O
"   O
whooping   O
"   O
sound   O
.   O

Additionally   O
,   O
Hussein   B-NAME
,   I-NAME
Saddam   I-NAME
mentioned   O
experiencing   O
episodes   O
of   O
breathlessness   O
post   O
-   O
coughing   O
bouts   O
.   O

Ms.   O
Brown   B-NAME
,   O
an   O
22   O
-   O
year   O
-   O
old   O
Food   O
Preparation   O
Workers   O
residing   O
in   O
Buena   B-LOCATION
,   O
has   O
no   O
significant   O
past   O
medical   O
history   O
.   O

On   O
examination   O
,   O
Ms.   O
Noah   B-NAME
E.   I-NAME
Galvan   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
coughing   O
.   O

The   O
patient   O
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Sexton   B-NAME
,   O
was   O
consulted   O
.   O

Ms.   O
Nathalie   B-NAME
Keller   I-NAME
's   O
condition   O
has   O
been   O
closely   O
monitored   O
for   O
signs   O
of   O
improvement   O
or   O
potential   O
complications   O
.   O

Follow   O
-   O
up   O
visits   O
were   O
scheduled   O
with   O
Dr.   O
Carson   B-NAME
at   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Hospital   I-LOCATION
to   O
re   O
-   O
evaluate   O
Ms.   O
Benjamin   B-NAME
Taylor   I-NAME
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
required   O
.   O

In   O
conclusion   O
,   O
Ms.   O
Darleen   B-NAME
Asberry   I-NAME
's   O
presentation   O
to   O
Wilson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
severe   O
coughing   O
and   O
associated   O
symptoms   O
resulted   O
in   O
a   O
clinical   O
diagnosis   O
of   O
Pertussis   O
,   O
necessitating   O
appropriate   O
treatment   O
and   O
public   O
health   O
interventions   O
.   O

Patient   O
ID   O
:   O
66277179   B-ID
26/32   B-DATE
,   O
The   O
patient   O
,   O
Tigurius   B-NAME
,   O
a   O
20   O
-   O
year   O
-   O
old   O
Insurance   O
Underwriters   O
,   O
presented   O
at   O
Cooper   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
,   O
diffuse   O
abdominal   O
pain   O
that   O
has   O
been   O
gradually   O
worsening   O
over   O
the   O
past   O
week   O
.   O

Nia   B-NAME
Briggs   I-NAME
denied   O
any   O
recent   O
changes   O
in   O
diet   O
,   O
medication   O
,   O
or   O
travel   O
history   O
.   O

Upon   O
examination   O
,   O
Jack   B-NAME
Harper   I-NAME
exhibited   O
signs   O
of   O
mild   O
dehydration   O
and   O
was   O
notably   O
anxious   O
.   O

Initial   O
laboratory   O
tests   O
,   O
ordered   O
by   O
Nijinsky   B-NAME
,   I-NAME
Vaslav   I-NAME
,   O
indicated   O
leukocytosis   O
,   O
suggesting   O
a   O
possible   O
infectious   O
process   O
.   O

Willow   B-NAME
Rasmussen   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

The   O
family   O
history   O
obtained   O
from   O
Elaina   B-NAME
Schmidt   I-NAME
indicated   O
no   O
known   O
hereditary   O
conditions   O
.   O

Ryleigh   B-NAME
Rowland   I-NAME
's   O
past   O
medical   O
history   O
included   O
hypertension   O
,   O
controlled   O
through   O
medication   O
,   O
and   O
a   O
remote   O
history   O
of   O
cholecystectomy   O
.   O

Contact   O
information   O
on   O
file   O
includes   O
a   O
home   O
address   O
in   O
Independence   B-LOCATION
,   I-LOCATION
Independence   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
and   O
a   O
contact   O
number   O
,   O
18758   B-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
Huffman   B-NAME
has   O
provided   O
consent   O
to   O
contact   O
Bok   B-NAME
Federico   I-NAME
's   O
next   O
of   O
kin   O
,   O
who   O
works   O
as   O
a   O
Refrigeration   O
Mechanics   O
and   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
572   I-CONTACT
)   I-CONTACT
538   I-CONTACT
1409   I-CONTACT
.   O

All   O
patient   O
identifiers   O
,   O
including   O
the   O
patient   O
's   O
name   O
,   O
9   B-ID
-   I-ID
2786174   I-ID
,   O
and   O
specific   O
details   O
pertaining   O
to   O
America   B-LOCATION
West   I-LOCATION
Bank   I-LOCATION
,   O
34722   B-LOCATION
code   O
,   O
respective   O
healthcare   O
providers   O
,   O
including   O
Mejia   B-NAME
,   O
and   O
dates   O
of   O
previous   O
hospital   O
admissions   O
,   O
are   O
carefully   O
protected   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

The   O
patient   O
's   O
care   O
plan   O
,   O
as   O
discussed   O
with   O
Anson   B-NAME
Brooks   I-NAME
on   O
21   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
63   I-DATE
,   O
includes   O
pre   O
-   O
operative   O
preparation   O
,   O
surgical   O
intervention   O
,   O
post   O
-   O
operative   O
care   O
instructions   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
schedule   O
.   O

Jenell   B-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
0/62   B-DATE
under   O
the   O
care   O
of   O
the   O
surgical   O
team   O
at   O
Lourdes   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
for   O
Meadow   B-NAME
Mcconnell   I-NAME
Personal   O
Information   O
-   O
Age   O
:   O
27   O
-   O
Location   O
:   O
Reamstown   B-LOCATION
-   O
Phone   O
:   O
(   B-CONTACT
207   I-CONTACT
)   I-CONTACT
946   I-CONTACT
-   I-CONTACT
7288   I-CONTACT
-   O
Profession   O
:   O

Personal   O
and   O
Home   O
Care   O
Aides   O
-   O
Medical   O
Record   O
Number   O
:   O
578   B-ID
-   I-ID
55   I-ID
-   I-ID
24   I-ID
-   I-ID
2   I-ID
-   O
ID   O
:   O
VM892/5783   B-ID
-   O
Date   O
of   O
Initial   O
Consultation   O
:   O
1823   B-DATE
Medical   O
History   O
The   O
patient   O
presented   O
with   O
complaints   O
of   O
severe   O
intermittent   O
abdominal   O
pain   O
that   O
has   O
been   O
persisting   O
for   O
approximately   O
six   O
weeks   O
.   O

Additionally   O
,   O
Jeffrey   B-NAME
Moran   I-NAME
has   O
experienced   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
,   O
leading   O
to   O
an   O
unintentional   O
weight   O
loss   O
of   O
approximately   O
5   O
%   O
of   O
their   O
body   O
weight   O
over   O
the   O
last   O
month   O
.   O

Past   O
medical   O
history   O
is   O
significant   O
for   O
cholelithiasis   O
managed   O
conservatively   O
two   O
years   O
ago   O
,   O
as   O
documented   O
by   O
Ashleigh   B-NAME
Gregory   I-NAME
in   O
Magalia   B-LOCATION
.   O

Investigations   O
Conducted   O
Upon   O
presentation   O
to   O
Formerly   B-LOCATION
Ingham   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/03   B-DATE
,   O
a   O
comprehensive   O
abdominal   O
examination   O
was   O
performed   O
by   O
Dr.   O
Mekhi   B-NAME
Walters   I-NAME
,   O
revealing   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
without   O
signs   O
of   O
peritonitis   O
.   O

Treatment   O
Plan   O
After   O
discussing   O
the   O
findings   O
and   O
options   O
with   O
Teagan   B-NAME
Sheppard   I-NAME

The   O
procedure   O
is   O
scheduled   O
to   O
take   O
place   O
at   O
Jackson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
January   B-DATE
22   I-DATE
,   I-DATE
2141   I-DATE
under   O
the   O
care   O
of   O
Emely   B-NAME
Mcclain   I-NAME
.   O

Ritter   B-NAME
was   O
counseled   O
about   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
potential   O
post   O
-   O
operative   O
care   O
needed   O
.   O

Recommendations   O
Abdiel   B-NAME
Orozco   I-NAME
recommended   O
adopting   O
a   O
low   O
-   O
fat   O
diet   O
to   O
manage   O
symptoms   O
until   O
the   O
scheduled   O
surgery   O
date   O
.   O

Ashlyn   B-NAME
Cain   I-NAME
was   O
also   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
at   O
Forest   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
should   O
symptoms   O
significantly   O
worsen   O
,   O
or   O
should   O
they   O
experience   O
fever   O
,   O
jaundice   O
,   O
or   O
persistent   O
vomiting   O
.   O

Contact   O
Information   O
For   O
any   O
further   O
inquiries   O
or   O
immediate   O
concerns   O
,   O
Nye   B-NAME
can   O
contact   O
Phelps   B-LOCATION
Health   I-LOCATION
at   O
35740   B-CONTACT
or   O
reach   O
out   O
to   O
Giovanny   B-NAME
Cummings   I-NAME
directly   O
through   O
the   O
patient   O
portal   O
provided   O
by   O
Botswana   B-LOCATION
Construction   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
.   O

Patient   O
Name   O
:   O
Ellington   B-NAME
Patient   O
ID   O
:   O
WK   B-ID
:   I-ID
YW:2828   I-ID
Date   O
of   O
Birth   O
:   O
22/34   B-DATE
Age   O
:   O
52   O
Address   O
:   O
Pawling   B-LOCATION
,   O
85221   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
presented   O
to   O
Seven   B-LOCATION
Rivers   I-LOCATION
Rivers   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2341   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
01   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
NICHOLAS   B-NAME
SINGH   I-NAME
,   O
a   O
Podiatrists   O
with   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
experienced   O
sudden   O
chest   O
pain   O
while   O
at   O
work   O
at   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73131   I-LOCATION
on   O
2/93   B-DATE
.   O

Deandra   B-NAME
was   O
administered   O
325   O
mg   O
of   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
sublingual   O
nitroglycerin   O
immediately   O
upon   O
arrival   O
.   O

Due   O
to   O
the   O
presentation   O
and   O
EKG   O
findings   O
,   O
Mcpherson   B-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
an   O
urgent   O
coronary   O
angiogram   O
which   O
revealed   O
an   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

Hospital   O
Course   O
:   O
Post   O
-   O
procedure   O
,   O
Adler   B-NAME
,   I-NAME
Alfred   I-NAME
was   O
monitored   O
in   O
the   O
cardiac   O
care   O
unit   O
of   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Marquette   I-LOCATION
.   O

Bryanna   B-NAME
Contreras   I-NAME
received   O
beta   O
-   O
blockers   O
,   O
ACE   O
inhibitors   O
,   O
and   O
statins   O
as   O
part   O
of   O
post   O
-   O
myocardial   O
infarction   O
management   O
.   O

Johan   B-NAME
Cobb   I-NAME
was   O
discharged   O
on   O
23/22/89   B-DATE
with   O
instructions   O
for   O
cardiac   O
rehabilitation   O
and   O
follow   O
-   O
up   O
with   O
Kymani   B-NAME
Blackburn   I-NAME
.   O

Discharge   O
Medications   O
:   O
-   O
Aspirin   O
81   O
mg   O
daily   O
-   O
Clopidogrel   O
75   O
mg   O
daily   O
-   O
Lisinopril   O
10   O
mg   O
daily   O
-   O
Atorvastatin   O
80   O
mg   O
daily   O
-   O
Metoprolol   O
50   O
mg   O
twice   O
daily   O
Follow   O
-   O
Up   O
:   O
Walter   B-NAME
Newell   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Burke   B-NAME
in   O
2   O
weeks   O
at   O
8056   B-LOCATION
St   I-LOCATION
Louis   I-LOCATION
St.   I-LOCATION
to   O
assess   O
recovery   O
progress   O
and   O
medication   O
adherence   O
.   O

Contact   O
Information   O
:   O
Emergency   O
Contact   O
:   O
20307   B-CONTACT
Patient   O
Phone   O
:   O
289   B-CONTACT
439   I-CONTACT
4204   I-CONTACT
Medical   O
Record   O
Number   O
:   O
853   B-ID
-   I-ID
26   I-ID
-   I-ID
77   I-ID
-   I-ID
3   I-ID

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
use   O
by   O
Kapell   B-NAME
,   I-NAME
William   I-NAME
and   O
Kristopher   B-NAME
Mercer   I-NAME
.   O

Patient   O
Report   O
:   O
03/24   B-DATE
,   O
Starr   B-NAME
,   I-NAME
Ringo   I-NAME
was   O
admitted   O
to   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
First   I-LOCATION
Hill   I-LOCATION
in   O
Emerald   B-LOCATION
Lake   I-LOCATION
Hills   I-LOCATION
with   O
symptoms   O
suggestive   O
of   O
viral   O
gastroenteritis   O
.   O

Additionally   O
,   O
Jensen   B-NAME
,   I-NAME
Hayley   I-NAME
experienced   O
abdominal   O
cramping   O
,   O
dehydration   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
sudden   O
and   O
occurred   O
following   O
a   O
meal   O
at   O
a   O
local   O
restaurant   O
in   O
Hacienda   B-LOCATION
Heights   I-LOCATION
.   O
Medical   O
History   O
:   O
turpin   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
was   O
diagnosed   O
with   O
hypertension   O
three   O
years   O
ago   O
,   O
currently   O
under   O
control   O
with   O
medication   O
.   O

4260105   B-ID
and   O
5   B-ID
-   I-ID
5150193   I-ID
information   O
confirm   O
no   O
previous   O
hospitalizations   O
for   O
similar   O
symptoms   O
.   O

Clinical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Angelique   B-NAME
Rose   I-NAME
noted   O
Joey   B-NAME
Reilly   I-NAME
's   O
blood   O
pressure   O
was   O
slightly   O
elevated   O
at   O
140/90   O
mmHg   O
,   O
and   O
a   O
heart   O
rate   O
was   O
slightly   O
accelerated   O
at   O
98   O
bpm   O
.   O

Treatment   O
:   O
Rehydration   O
was   O
initiated   O
with   O
oral   O
rehydration   O
salts   O
,   O
and   O
Trinity   B-NAME
Parker   I-NAME
was   O
advised   O
to   O
consume   O
clear   O
liquids   O
and   O
gradually   O
reintroduce   O
solid   O
foods   O
as   O
tolerated   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Reese   B-NAME
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Downriver   I-LOCATION
for   O
32/2250   B-DATE
to   O
reassess   O
condition   O
and   O
ensure   O
recovery   O
.   O

Jordon   B-NAME
Beck   I-NAME
was   O
provided   O
with   O
682   B-CONTACT
-   I-CONTACT
500   I-CONTACT
2739   I-CONTACT
number   O
for   O
the   O
department   O
in   O
case   O
of   O
emergency   O
or   O
significant   O
concerns   O
regarding   O
their   O
condition   O
.   O

Additional   O
Notes   O
:   O
Consent   O
was   O
obtained   O
from   O
Saunders   B-NAME
to   O
contact   O
Biological   O
Scientists   O
,   O
All   O
Other   O
employer   O
in   O
Coates   B-LOCATION
regarding   O
the   O
required   O
medical   O
leave   O
.   O

Contact   O
details   O
for   O
City   B-LOCATION
of   I-LOCATION
Williston   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
were   O
recorded   O
,   O
and   O
notification   O
was   O
sent   O
on   O
1684   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
07   I-DATE
.   O

Medical   O
advice   O
was   O
documented   O
in   O
0596564   B-ID
under   O
8   B-ID
-   I-ID
9999867   I-ID
for   O
legal   O
and   O
insurance   O
purposes   O
.   O

This   O
report   O
will   O
be   O
securely   O
stored   O
within   O
Health   B-LOCATION
Central   I-LOCATION
's   O
records   O
system   O
,   O
accessible   O
only   O
to   O
authorized   O
personnel   O
to   O
ensure   O
Steven   B-NAME
Hart   I-NAME
's   O
privacy   O
and   O
confidentiality   O
are   O
maintained   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Name   O
:   O
Hector   B-NAME
Bennett   I-NAME
Date   O
of   O
Birth   O
:   O
2148   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
19   I-DATE
Age   O
:   O
1   O
month   O
Medical   O
Record   O
Number   O
:   O
66203507   B-ID
Social   O
Security   O
Number   O
:   O
4   B-ID
-   I-ID
7158792   I-ID
Address   O
:   O
Kaplan   B-LOCATION
,   O
78991   B-LOCATION
Phone   O
Number   O
:   O
48707   B-CONTACT
Employment   O
:   O

Advertising   O
copywriter   O
at   O
Elementary   B-LOCATION
Teachers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Ontario   I-LOCATION
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Ed   B-NAME
Helms   I-NAME
Admitting   O
Hospital   O
:   O
Frye   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
9   B-DATE
-   I-DATE
3   I-DATE
Date   O
of   O
Discharge   O
:   O
32/02   B-DATE
Summary   O
of   O
Episodes   O
:   O
Salome   B-NAME
Maedke   I-NAME
presented   O
at   O
Inova   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
January   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
had   O
intensified   O
over   O
the   O
past   O
7   O
days   O
.   O

Initial   O
physical   O
examination   O
conducted   O
by   O
Dr.   O
Connor   B-NAME
Benitez   I-NAME
revealed   O
high   O
fever   O
(   O
102   O
°   O
F   O
)   O
,   O
rapid   O
breathing   O
,   O
and   O
wheezing   O
on   O
auscultation   O
.   O

Due   O
to   O
these   O
findings   O
and   O
Mia   B-NAME
Clarke   I-NAME
's   O
report   O
of   O
fatigue   O
and   O
decreased   O
appetite   O
,   O
further   O
investigation   O
was   O
warranted   O
.   O

Given   O
these   O
results   O
and   O
the   O
persistence   O
of   O
symptoms   O
,   O
Dr.   O
Hart   B-NAME
,   I-NAME
Owen   I-NAME
recommended   O
hospitalization   O
for   O
close   O
monitoring   O
and   O
intravenous   O
antibiotics   O
therapy   O
.   O

Rankar   B-NAME
Nusz   I-NAME
's   O
medical   O
history   O
was   O
reviewed   O
for   O
any   O
potential   O
complicating   O
factors   O
.   O

No   O
prior   O
admissions   O
for   O
respiratory   O
issues   O
were   O
noted   O
in   O
Trinity   B-NAME
Watson   I-NAME
's   O
medical   O
record   O
48666175   B-ID
.   O

Throughout   O
the   O
admission   O
period   O
from   O
32/21   B-DATE
to   O
2335   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
32   I-DATE
,   O
Rice   B-NAME
,   I-NAME
Condoleezza   I-NAME
was   O
treated   O
with   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
regimen   O
.   O

Gabriel   B-NAME
Cabeza   I-NAME
has   O
been   O
a   O
resident   O
of   O
Harleigh   B-LOCATION
and   O
works   O
as   O
a   O
Dragline   O
Operators   O
at   O
MOVE   B-LOCATION
,   O
which   O
was   O
considered   O
during   O
the   O
social   O
work   O
consultation   O
to   O
ensure   O
a   O
supportive   O
environment   O
for   O
recovery   O
post   O
-   O
discharge   O
.   O

Progress   O
notes   O
from   O
Dr.   O
Maci   B-NAME
Villegas   I-NAME
indicate   O
that   O
by   O
23/22   B-DATE
,   O
Eddie   B-NAME
Nethery   I-NAME
's   O
symptoms   O
had   O
markedly   O
improved   O
with   O
resolution   O
of   O
fever   O
and   O
reduced   O
cough   O
frequency   O
.   O

Although   O
initially   O
requiring   O
oxygen   O
support   O
due   O
to   O
hypoxia   O
upon   O
admission   O
,   O
German   B-NAME
Oxendine   I-NAME
was   O
weaned   O
off   O
supplemental   O
oxygen   O
as   O
arterial   O
blood   O
gases   O
returned   O
to   O
within   O
normal   O
limits   O
.   O

Discharge   O
instructions   O
provided   O
to   O
Jonas   B-NAME
emphasized   O
the   O
importance   O
of   O
completing   O
the   O
antibiotic   O
course   O
,   O
monitoring   O
for   O
any   O
symptoms   O
of   O
recurrence   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
primary   O
care   O
physician   O
Dr.   O
Payne   B-NAME
on   O
30/32/2132   B-DATE
.   O

In   O
consideration   O
of   O
Cordova   B-NAME
's   O
condition   O
and   O
the   O
potential   O
need   O
for   O
further   O
assistance   O
,   O
social   O
services   O
at   O
Venice   B-LOCATION
Regional   I-LOCATION
Bayfront   I-LOCATION
Health   I-LOCATION
facilitated   O
a   O
referral   O
for   O
home   O
health   O
care   O
services   O
to   O
ensure   O
Mckenna   B-NAME
Woodward   I-NAME
receives   O
support   O
in   O
medication   O
management   O
and   O
follow   O
-   O
up   O
care   O
coordination   O
.   O

Contact   O
information   O
for   O
796   B-CONTACT
6352   I-CONTACT
was   O
provided   O
to   O
Asley   B-NAME
Cristobal   I-NAME
for   O
scheduling   O
subsequent   O
home   O
health   O
visits   O
and   O
any   O
necessary   O
adjustments   O
to   O
the   O
care   O
plan   O
.   O

Kristopher   B-NAME
Pinckard   I-NAME
was   O
discharged   O
in   O
stable   O
condition   O
with   O
instructions   O
for   O
close   O
monitoring   O
of   O
symptoms   O
and   O
immediate   O
re   O
-   O
evaluation   O
should   O
there   O
be   O
any   O
signs   O
of   O
clinical   O
deterioration   O
.   O

The   O
discharge   O
summary   O
and   O
care   O
instructions   O
were   O
discussed   O
with   O
Townsend   B-NAME
and   O
documented   O
in   O
the   O
medical   O
record   O
74638473   B-ID
for   O
future   O
reference   O
.   O

Patient   O
Report   O
for   O
Aubrey   B-NAME
Beaudreau   I-NAME
16/33/41   B-DATE
,   O
the   O
patient   O
,   O
a   O
92   O
-   O
year   O
-   O
old   O
Forest   O
and   O
Conservation   O
Workers   O
from   O
Mount   B-LOCATION
Vernon   I-LOCATION
,   O
presented   O
to   O
Sharp   B-LOCATION
Chula   I-LOCATION
Vista   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
with   O
symptoms   O
of   O
severe   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
,   O
obtained   O
from   O
their   O
medical   O
record   O
51533397   B-ID
,   O
indicated   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
mellitus   O
.   O

The   O
patient   O
was   O
immediately   O
assessed   O
by   O
Chavez   B-NAME
,   O
who   O
ordered   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
which   O
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Julio   B-NAME
Kirk   I-NAME
diagnosed   O
the   O
patient   O
with   O
ST   O
-   O
segment   O
Elevation   O
Myocardial   O
Infarction   O
(   O
STEMI   O
)   O
.   O

The   O
patient   O
was   O
registered   O
under   O
the   O
medical   O
ID   O
ND   B-ID
:   I-ID
WA:4291   I-ID
for   O
the   O
duration   O
of   O
their   O
stay   O
in   O
Unity   B-LOCATION
Hospital   I-LOCATION
located   O
in   O
82628   B-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Avery   B-NAME
in   O
two   O
weeks   O
to   O
evaluate   O
the   O
patient   O
's   O
progress   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
post   O
-   O
discharge   O
,   O
the   O
patient   O
was   O
given   O
the   O
contact   O
number   O
289   B-CONTACT
-   I-CONTACT
462   I-CONTACT
-   I-CONTACT
8864   I-CONTACT
for   O
Ascension   B-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Southfield   I-LOCATION
Campus   I-LOCATION
's   O
cardiac   O
care   O
unit   O
.   O

This   O
report   O
was   O
prepared   O
by   O
lr492   B-NAME
,   O
9/07   B-DATE
,   O
and   O
filed   O
in   O
Eurobank   B-LOCATION
's   O
electronic   O
health   O
record   O
system   O
.   O

Patient   O
Report   O
:   O
7777923   B-ID
2th   B-DATE
of   I-DATE
March   I-DATE
,   O
Miranda   B-NAME
Maldonado   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Joint   B-LOCATION
Township   I-LOCATION
District   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
described   O
as   O
a   O
squeezing   O
sensation   O
on   O
the   O
left   O
side   O
of   O
the   O
chest   O
.   O

Cook   B-NAME
is   O
a   O
Physical   O
Therapists   O
residing   O
in   O
Hollywood   B-LOCATION
and   O
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Upon   O
examination   O
,   O
Nico   B-NAME
Haney   I-NAME
,   O
a   O
73   O
year   O
-   O
old   O
individual   O
,   O
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Benton   B-NAME
administered   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
sublingual   O
nitroglycerin   O
upon   O
arrival   O
.   O

Elliott   B-NAME
's   O
symptoms   O
markedly   O
improved   O
post   O
-   O
procedure   O
.   O

Post   O
-   O
Procedure   O
Care   O
:   O
Gerety   B-NAME
,   I-NAME
Frances   I-NAME
recommended   O
admission   O
to   O
the   O
cardiology   O
unit   O
for   O
monitoring   O
.   O

Brittany   B-NAME
Rasmussen   I-NAME
was   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
statin   O
,   O
and   O
dual   O
antiplatelet   O
therapy   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Dennise   B-NAME
was   O
discharged   O
on   O
January   B-DATE
2   I-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Ramsey   B-NAME
in   O
the   O
cardiology   O
outpatient   O
clinic   O
at   O
UCHealth   B-LOCATION
Broomfield   I-LOCATION
Hospital   I-LOCATION
.   O

A   O
24   O
-   O
hour   O
731   B-CONTACT
1933   I-CONTACT
hotline   O
number   O
was   O
provided   O
for   O
any   O
emergent   O
symptoms   O
.   O

Medical   O
alert   O
identification   O
was   O
advised   O
to   O
be   O
carried   O
by   O
Noah   B-NAME
E.   I-NAME
Galvan   I-NAME
.   O

Contact   O
Information   O
:   O
McLeod   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Loris   I-LOCATION
,   O
Mountain   B-LOCATION
Meadows   I-LOCATION
,   O
81215   B-LOCATION
,   O
56672   B-CONTACT

This   O
report   O
was   O
prepared   O
by   O
qjq149   B-NAME
on   O
03/23/2371   B-DATE
.   O

Patient   O
:   O
Oconnell   B-NAME
,   I-NAME
Philip   I-NAME
D   I-NAME
Age   O
:   O
51   O
Date   O
of   O
Birth   O
:   O
12/24   B-DATE
Medical   O
Record   O
Number   O
:   O
74070355   B-ID
ID   O
Number   O
:   O
10   B-ID
-   I-ID
5077484   I-ID
Address   O
:   O
Ripley   B-LOCATION
,   O
97813   B-LOCATION
Phone   O
:   O
713   B-CONTACT
6056   I-CONTACT
Attending   O
Physician   O
:   O

David   B-NAME
Livesey   I-NAME
Hospital   O
:   O
Providence   B-LOCATION
Hospital   I-LOCATION
Northeast   I-LOCATION
Clinical   O
Summary   O
:   O

On   O
33/03/88   B-DATE
,   O
Rucker   B-NAME
,   O
a   O
Mathematical   O
Science   O
Occupations   O
,   O
All   O
Other   O
from   O
Azure   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Desert   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
dyspnea   O
,   O
and   O
diaphoresis   O
.   O

Ramsey   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
managed   O
with   O
medication   O
.   O

Upon   O
examination   O
,   O
Thad   B-NAME
Bastarache   I-NAME
appeared   O
distressed   O
with   O
audible   O
wheezing   O
on   O
auscultation   O
.   O

Treatment   O
:   O
Osvaldo   B-NAME
Perkins   I-NAME
was   O
immediately   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
,   O
high   O
-   O
dose   O
statins   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
anticoagulation   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

The   O
March   B-DATE
2394   I-DATE
decision   O
was   O
made   O
by   O
Kyla   B-NAME
Franco   I-NAME
to   O
proceed   O
with   O
cardiac   O
catheterization   O
,   O
which   O
revealed   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Outcome   O
:   O
Post   O
-   O
procedure   O
,   O
Atwood   B-NAME
,   I-NAME
Margaret   I-NAME
's   O
symptoms   O
were   O
markedly   O
improved   O
.   O

Karla   B-NAME
Madden   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
dietary   O
changes   O
,   O
regular   O
exercise   O
,   O
smoking   O
cessation   O
,   O
and   O
strict   O
control   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Abbott   B-NAME
was   O
discharged   O
on   O
3/32/12   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Darrell   B-NAME
Esparza   I-NAME
in   O
the   O
cardiology   O
clinic   O
of   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
two   O
weeks   O
post   O
-   O
discharge   O
.   O

pq659   B-NAME
was   O
notified   O
via   O
electronic   O
health   O
records   O
to   O
manage   O
the   O
medication   O
reconciliation   O
and   O
follow   O
-   O
up   O
care   O
coordination   O
.   O

Napoleon   B-NAME
Blass   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
regarding   O
the   O
management   O
of   O
coronary   O
artery   O
disease   O
and   O
the   O
importance   O
of   O
adherence   O
to   O
prescribed   O
medications   O
.   O

Instructions   O
for   O
Follow   O
-   O
Up   O
:   O
Carinus   B-NAME
Kletschka   I-NAME
is   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
,   O
adhere   O
to   O
the   O
medication   O
regimen   O
,   O
and   O
follow   O
up   O
with   O
primary   O
care   O
and   O
cardiology   O
as   O
scheduled   O
.   O

Any   O
new   O
or   O
worsening   O
symptoms   O
should   O
prompt   O
an   O
immediate   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
to   O
(   B-CONTACT
681   I-CONTACT
)   I-CONTACT
514   I-CONTACT
6441   I-CONTACT
.   O

The   O
patient   O
,   O
Anette   B-NAME
,   O
a   O
Gaming   O
Change   O
Persons   O
and   O
Booth   O
Cashiers   O
from   O
Elderon   B-LOCATION
,   O
presented   O
to   O
Houston   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/02/68   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
of   O
substernal   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Russo   B-NAME
reported   O
that   O
the   O
symptoms   O
had   O
started   O
approximately   O
one   O
hour   O
before   O
arrival   O
at   O
the   O
emergency   O
department   O
.   O

Tristan   B-NAME
Fox   I-NAME
's   O
past   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Upon   O
examination   O
,   O
Smuts   B-NAME
,   I-NAME
Jan   I-NAME
Christiaan   I-NAME
,   O
47s   O
,   O
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Gregory   B-NAME
George   I-NAME
,   O
the   O
attending   O
cardiologist   O
,   O
was   O
notified   O
,   O
and   O
Mariana   B-NAME
Hanna   I-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
an   O
emergent   O
coronary   O
angiography   O
,   O
which   O
confirmed   O
the   O
presence   O
of   O
a   O
90   O
%   O
occlusion   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
was   O
successfully   O
performed   O
,   O
and   O
a   O
drug   O
-   O
eluting   O
stent   O
was   O
placed   O
in   O
the   O
occluded   O
segment   O
.   O
83649   B-CONTACT
was   O
used   O
to   O
inform   O
Melton   B-NAME
's   O
next   O
of   O
kin   O
regarding   O
the   O
condition   O
and   O
the   O
intervention   O
performed   O
.   O

33/19   B-DATE
marks   O
the   O
admission   O
date   O
of   O
Keaton   B-NAME
Richardson   I-NAME
to   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Westchester   I-LOCATION
,   O
with   O
15252942   B-ID
as   O
the   O
unique   O
identifier   O
for   O
this   O
hospitalization   O
event   O
.   O

Livia   B-NAME
Farrell   I-NAME
is   O
currently   O
registered   O
under   O
the   O
healthcare   O
provider   O
Habersham   B-LOCATION
EMC   I-LOCATION
with   O
a   O
health   O
plan   O
ID   O
:   O
AS   B-ID
:   I-ID
ZS:8673   I-ID
.   O

The   O
preliminary   O
diagnosis   O
upon   O
admission   O
was   O
recorded   O
under   O
EO84517117   B-ID
.   O

Post   O
-   O
procedure   O
,   O
Eckhart   B-NAME
,   I-NAME
Meister   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
attend   O
follow   O
-   O
up   O
appointments   O
with   O
Alma   B-NAME
Krueger   I-NAME
for   O
assessment   O
and   O
management   O
of   O
risk   O
factors   O
to   O
prevent   O
recurrence   O
.   O

12892   B-LOCATION
corresponds   O
to   O
the   O
area   O
where   O
Dalia   B-NAME
Raymond   I-NAME
resides   O
and   O
will   O
be   O
considered   O
for   O
potential   O
outpatient   O
services   O
and   O
support   O
groups   O
.   O

The   O
contact   O
information   O
for   O
the   O
cardiac   O
rehabilitation   O
program   O
,   O
including   O
the   O
984   B-CONTACT
-   I-CONTACT
1037   I-CONTACT
number   O
,   O
was   O
given   O
to   O
Ty   B-NAME
for   O
further   O
assistance   O
.   O

In   O
summary   O
,   O
Niranjan   B-NAME
,   I-NAME
Sangeeta   I-NAME
,   O
a   O
6   O
-   O
year   O
-   O
old   O
New   O
Accounts   O
Clerks   O
from   O
Hamilton   B-LOCATION
,   O
was   O
successfully   O
treated   O
for   O
an   O
acute   O
myocardial   O
infarction   O
with   O
PCI   O
during   O
the   O
hospital   O
stay   O
from   O
09/01   B-DATE
to   O
29/32/2262   B-DATE
at   O
Sharp   B-LOCATION
Chula   I-LOCATION
Vista   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Report   O
for   O
Kourtney   B-NAME
General   O
Information   O
:   O
Name   O
:   O
[   O
PHI   O
REMOVED   O
]   O
Age   O
:   O
100   O
Date   O
of   O
Birth   O
:   O
[   O
PHI   O
REMOVED   O
]   O
Medical   O
Record   O
Number   O
:   O
95647758   B-ID
Phone   O
Number   O
:   O
903   B-CONTACT
-   I-CONTACT
2709   I-CONTACT
Address   O
:   O
Denver   B-LOCATION
,   O
72065   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
Hale   B-NAME
,   O
a   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
by   O
profession   O
,   O
presented   O
to   O
Gadsden   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2238   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
24   I-DATE
with   O
complaints   O
persisting   O
over   O
the   O
past   O
week   O
.   O

Notably   O
,   O
Quinten   B-NAME
B.   I-NAME
Prado   I-NAME
exhibited   O
signs   O
of   O
dyspnea   O
on   O
exertion   O
,   O
a   O
persistent   O
dry   O
cough   O
,   O
and   O
intermittent   O
episodes   O
of   O
tachycardia   O
.   O

Upon   O
evaluation   O
,   O
Dr.   O
Hansen   B-NAME
noted   O
Laitman   B-NAME
,   I-NAME
Michael   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
,   O
however   O
,   O
observations   O
included   O
elevated   O
heart   O
rate   O
indicative   O
of   O
tachycardia   O
and   O
diminished   O
breath   O
sounds   O
upon   O
auscultation   O
.   O

Diagnostic   O
Tests   O
:   O
The   O
chest   O
X   O
-   O
ray   O
,   O
conducted   O
on   O
12/02   B-DATE
,   O
displayed   O
diffuse   O
bilateral   O
opacities   O
,   O
suggestive   O
of   O
an   O
underlying   O
inflammatory   O
process   O
.   O

Instructions   O
were   O
given   O
to   O
maintain   O
hydration   O
,   O
and   O
rest   O
,   O
coupled   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
2196   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
35   I-DATE
.   O
Healthcare   O
Provider   O
:   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Blair   B-NAME
Contact   O
Information   O
:   O
900   B-CONTACT
7458   I-CONTACT
|   O
Lathrop   B-LOCATION
,   O
53810   B-LOCATION
Hospitalization   O
Record   O
:   O
Admitted   O
to   O
Bay   B-LOCATION
Area   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
December   B-DATE
2173   I-DATE
,   O
under   O
the   O
care   O
of   O
Dr.   O
Jaidyn   B-NAME
Garrison   I-NAME
.   O

The   O
patient   O
was   O
assigned   O
to   O
room   O
8   B-ID
-   I-ID
4288447   I-ID
for   O
monitoring   O
and   O
further   O
management   O
.   O

Insurance   O
Information   O
:   O
Provider   O
:   O
International   B-LOCATION
Disability   I-LOCATION
Alliance   I-LOCATION
Policy   O
Number   O
:   O
SJ   B-ID
:   I-ID
AD:2317   I-ID
Follow   O
-   O
Up   O
:   O

A   O
telehealth   O
consultation   O
is   O
scheduled   O
for   O
06/20   B-DATE
to   O
review   O
the   O
HRCT   O
scan   O
results   O
and   O
adapt   O
the   O
treatment   O
plan   O
accordingly   O
.   O

This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
of   O
Vazquez   B-NAME
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
at   O
611   B-CONTACT
828   I-CONTACT
-   I-CONTACT
9262   I-CONTACT
or   O
via   O
email   O
at   O
fax177   B-NAME
@   O
International   B-LOCATION
Center   I-LOCATION
for   I-LOCATION
Transitional   I-LOCATION
Justice   I-LOCATION
and   O
destroy   O
any   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Xuereb   B-NAME
Patient   O
ID   O
:   O
SW:96811:602939   B-ID
Medical   O
Record   O
Number   O
:   O
807   B-ID
-   I-ID
78   I-ID
-   I-ID
76   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
1/23/2115   B-DATE
Age   O
:   O
99   O
Address   O
:   O
Penton   B-LOCATION
,   O
80128   B-LOCATION
Phone   O
Number   O
:   O
963   B-CONTACT
-   I-CONTACT
7247   I-CONTACT
Emergency   O
Contact   O
:   O
Name   O
not   O
provided   O
,   O
Phone   O
:   O
87420   B-CONTACT
Occupation   O
:   O
Concierges   O
Primary   O
Care   O

Neil   B-NAME
Diaz   I-NAME
Admitting   O
Hospital   O
:   O
Parkview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
2234   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
26   I-DATE
Discharge   O
Date   O
:   O
32/21/13   B-DATE
Summary   O
:   O
Adison   B-NAME
Faulkner   I-NAME
,   O
a   O
Data   O
scientist   O
from   O
Loving   B-LOCATION
,   O
was   O
admitted   O
to   O
Northeast   B-LOCATION
Alabama   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
35/32/22   B-DATE
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
localized   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
indicating   O
possible   O
appendicitis   O
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
examination   O
,   O
Calvin   B-NAME
Zabo   I-NAME
exhibited   O
rebound   O
tenderness   O
during   O
the   O
abdominal   O
examination   O
,   O
specifically   O
at   O
McBurney   O
's   O
point   O
.   O

Treatment   O
:   O
Vega   B-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Ahmad   B-NAME
Butler   I-NAME
on   O
Feb.   B-DATE
32   I-DATE
.   O

Recovery   O
:   O
Dunlap   B-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
.   O

The   O
patient   O
was   O
observed   O
for   O
an   O
additional   O
4/11/2022   B-DATE
days   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
from   O
the   O
surgery   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Cash   B-NAME
Villanueva   I-NAME
was   O
discharged   O
from   O
Randolph   B-LOCATION
Health   I-LOCATION
on   O
2/24   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Madison   B-NAME
Sampson   I-NAME
has   O
been   O
scheduled   O
for   O
0/32/42   B-DATE
to   O
evaluate   O
the   O
healing   O
process   O
and   O
discuss   O
any   O
further   O
necessary   O
steps   O
in   O
recovery   O
.   O

Conclusion   O
:   O
Tatum   B-NAME
Fitzgerald   I-NAME
's   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
timely   O
addressed   O
with   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

The   O
successful   O
collaboration   O
between   O
the   O
surgical   O
team   O
,   O
nursing   O
staff   O
,   O
and   O
pharmacy   O
at   O
Colquitt   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ensured   O
a   O
positive   O
outcome   O
for   O
Salas   B-NAME
.   O
Prepared   O
by   O
:   O
mpa683   B-NAME
Medical   O
Records   O
Department   O
Sentara   B-LOCATION
Northern   I-LOCATION
Virginia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
12   B-DATE

Patient   O
Name   O
:   O
Luigi   B-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
4321932   I-ID
Medical   O
Record   O
Number   O
:   O
23665299   B-ID
Date   O
of   O
Birth   O
:   O
25/27   B-DATE
Age   O
:   O
62   O
Address   O
:   O
Buffalo   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
14215   I-LOCATION
,   O
13532   B-LOCATION
Phone   O
Number   O
:   O
430   B-CONTACT
-   I-CONTACT
7581   I-CONTACT
Primary   O
Physician   O
:   O
Rothschild   B-NAME
,   I-NAME
Baron   I-NAME
Treating   O
Hospital   O
:   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Bellefonte   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
5/25   B-DATE
Occupation   O
:   O

Extruding   O
and   O
Forming   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Synthetic   O
or   O
Glass   O
Fibers   O
Chief   O
Complaint   O
:   O
Betty   B-NAME
Kaitlin   I-NAME
Wood   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Truman   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lakewood   I-LOCATION
on   O
03/02/57   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
,   O
severe   O
abdominal   O
pain   O
located   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
.   O

de   B-NAME
Mello   I-NAME
,   I-NAME
Anthony   I-NAME
also   O
reported   O
experiencing   O
fever   O
and   O
chills   O
since   O
the   O
morning   O
of   O
22/23/2239   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Cinnamon   B-NAME
,   O
a   O
19   O
-   O
year   O
-   O
old   O
translator   O
,   O
started   O
noticing   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
two   O
days   O
prior   O
to   O
the   O
visit   O
,   O
which   O
escalated   O
to   O
severe   O
pain   O
on   O
the   O
day   O
of   O
presentation   O
.   O

Benson   B-NAME
denied   O
any   O
recent   O
travel   O
outside   O
Melvin   B-LOCATION
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Past   O
Medical   O
History   O
:   O
Billy   B-NAME
House   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
diet   O
control   O
.   O

Kimball   B-NAME
Lukas   I-NAME
Abraham   I-NAME
is   O
a   O
Graphic   O
designer   O
employed   O
at   O
Marijuana   B-LOCATION
Anonymous   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Lives   O
with   O
spouse   O
and   O
two   O
children   O
in   O
8012   B-LOCATION
East   I-LOCATION
Cedarwood   I-LOCATION
St   I-LOCATION
.   I-LOCATION
.   O
Physical   O
Exam   O
:   O
Upon   O
examination   O
,   O
Saikat   B-NAME
Patel   I-NAME
was   O
found   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Russell   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
laparoscopic   O
appendectomy   O
.   O

Adelaide   B-NAME
Ferrell   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
proposed   O
management   O
plan   O
.   O

Disposition   O
:   O
Shannon   B-NAME
was   O
admitted   O
to   O
Howard   B-LOCATION
Young   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
surgical   O
intervention   O
on   O
October   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
without   O
complications   O
,   O
and   O
NICHOLAS   B-NAME
SINGH   I-NAME
is   O
currently   O
recovering   O
with   O
plans   O
for   O
discharge   O
in   O
1   O
-   O
2   O
days   O
pending   O
post   O
-   O
operative   O
recovery   O
progress   O
.   O

Follow   O
-   O
Up   O
:   O
Fabian   B-NAME
Harrington   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgery   O
clinic   O
in   O
14   O
days   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Gavin   B-NAME
Kane   I-NAME
can   O
reach   O
the   O
surgery   O
clinic   O
at   O
119   B-CONTACT
-   I-CONTACT
129   I-CONTACT
8089   I-CONTACT
.   O

Patient   O
Name   O
:   O
JAY   B-NAME
CARROLL   I-NAME
Age   O
:   O
22   O
Date   O
of   O
Birth   O
:   O
22/35/2290   B-DATE
Address   O
:   O
Bellerose   B-LOCATION
,   O
52721   B-LOCATION
Phone   O
:   O
911   B-CONTACT
6780   I-CONTACT
Profession   O
:   O

Optical   O
Instrument   O
Assemblers   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Lewis   B-NAME
Medical   O
Record   O
Number   O
:   O
03855498   B-ID
Hospital   O
Name   O
:   O
SummitRidge   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
3/03/2192   B-DATE
ID   O
:   O

993511375   B-ID
Username   O
:   O
wl651   B-NAME
Clinical   O
Summary   O
:   O
Patient   O
Swanson   B-NAME
,   O
aged   O
1   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Community   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
20/32/39   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
decision   O
for   O
surgical   O
consultation   O
and   O
potential   O
appendectomy   O
was   O
discussed   O
with   O
Dr.   O
Amaya   B-NAME
Owens   I-NAME
.   O

The   O
patient   O
was   O
admitted   O
to   O
Shriners   B-LOCATION
Hospitals   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Li   B-NAME
for   O
further   O
management   O
.   O

An   O
appendectomy   O
was   O
performed   O
without   O
complications   O
on   O
3/50   B-DATE
.   O

The   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
7   B-DATE
-   I-DATE
9   I-DATE
with   O
follow   O
-   O
up   O
scheduled   O
in   O
the   O
outpatient   O
department   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Ezequiel   B-NAME
Park   I-NAME
in   O
Letona   B-LOCATION
for   O
06/12   B-DATE
to   O
assess   O
the   O
recovery   O
progress   O
and   O
management   O
of   O
the   O
underlying   O
type   O
2   O
diabetes   O
mellitus   O
.   O

For   O
further   O
inquiries   O
or   O
emergency   O
,   O
the   O
patient   O
was   O
given   O
the   O
contact   O
number   O
of   O
Flint   B-LOCATION
Hills   I-LOCATION
Community   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Emporia   I-LOCATION
:   O
359   B-CONTACT
6275   I-CONTACT
,   O
and   O
instructed   O
to   O
ask   O
for   O
Dr.   O
Karla   B-NAME
Summers   I-NAME
or   O
the   O
on   O
-   O
call   O
general   O
surgery   O
team   O
member   O
.   O

Patient   O
Name   O
:   O
Hassan   B-NAME
Munden   I-NAME
MRN   O
:   O
52730910   B-ID
DOB   O
:   O

32/21/2272   B-DATE
Age   O
:   O
63   O
Address   O
:   O
Livonia   B-LOCATION
Center   I-LOCATION
,   O
51668   B-LOCATION
Contact   O
Number   O
:   O
875   B-CONTACT
-   I-CONTACT
6648   I-CONTACT

Attending   O
Physician   O
:   O
Kasandra   B-NAME
Gordon   I-NAME
Hospital   O
:   O
University   B-LOCATION
Hospitals   I-LOCATION
Geauga   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2362   B-DATE
Employment   O
:   O
Conservation   O
Scientists   O
at   O
George   B-LOCATION
Washington   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Destiney   B-NAME
Thomas   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Kettering   B-LOCATION
Health   I-LOCATION
Network   I-LOCATION
-   I-LOCATION
Sycamore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
17/28   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
particularly   O
concentrated   O
around   O
the   O
left   O
iliac   O
fossa   O
.   O

Additionally   O
,   O
Jeter   B-NAME
,   I-NAME
Derek   I-NAME
reported   O
experiencing   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
.   O

There   O
has   O
been   O
an   O
absence   O
of   O
bowel   O
movements   O
since   O
2385   B-DATE
,   O
indicative   O
of   O
constipation   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Waters   B-NAME
reported   O
the   O
abdominal   O
pain   O
commenced   O
subtly   O
approximately   O
48   O
hours   O
prior   O
to   O
hospital   O
admission   O
and   O
progressively   O
worsened   O
.   O

No   O
significant   O
changes   O
in   O
diet   O
,   O
recent   O
travels   O
outside   O
Crescent   B-LOCATION
Beach   I-LOCATION
,   O
or   O
sick   O
contacts   O
were   O
reported   O
.   O

The   O
patient   O
's   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
a   O
case   O
of   O
mild   O
diverticulosis   O
diagnosed   O
in   O
12/06   B-DATE
.   O

Bergman   B-NAME
,   I-NAME
Ingmar   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
or   O
food   O
.   O

Social   O
History   O
:   O
Charlotte   B-NAME
Farley   I-NAME
is   O
a   O
Transportation   O
Managers   O
,   O
employed   O
at   O
International   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Professional   I-LOCATION
and   I-LOCATION
Technical   I-LOCATION
Engineers   I-LOCATION
for   O
5   O
month   O
years   O
.   O

Marina   B-NAME
Mcpherson   I-NAME
has   O
a   O
20   O
-   O
pack   O
-   O
year   O
smoking   O
habit   O
but   O
denies   O
alcohol   O
or   O
illicit   O
drug   O
use   O
.   O

Shaniqua   B-NAME
Ewell   I-NAME
lives   O
alone   O
in   O
Marshfield   B-LOCATION
and   O
remains   O
active   O
in   O
the   O
community   O
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
chief   O
complaint   O
,   O
Marivel   B-NAME
Goettl   I-NAME
denied   O
any   O
fever   O
,   O
chills   O
,   O
urinary   O
symptoms   O
,   O
or   O
other   O
gastrointestinal   O
symptoms   O
such   O
as   O
diarrhea   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Garth   B-NAME
Limardi   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
necessity   O
for   O
admission   O
for   O
further   O
monitoring   O
and   O
treatment   O
was   O
explained   O
and   O
agreed   O
upon   O
by   O
Danny   B-NAME
Kozak   I-NAME
.   O

Consent   O
:   O
Informed   O
consent   O
for   O
the   O
recommended   O
diagnostic   O
tests   O
and   O
treatment   O
plan   O
was   O
obtained   O
from   O
Larissa   B-NAME
Johns   I-NAME
on   O
0/21   B-DATE
.   O

Follow   O
-   O
up   O
and   O
Instructions   O
:   O
Jamarcus   B-NAME
Berry   I-NAME
will   O
be   O
admitted   O
under   O
the   O
care   O
of   O
Weeks   B-NAME
at   O
Wesley   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Saturday   B-DATE
to   O
reassess   O
condition   O
and   O
modify   O
treatment   O
as   O
necessary   O
.   O

Patient   O
Name   O
:   O
Whitney   B-NAME
Randall   I-NAME
Patient   O
ID   O
:   O
HD   B-ID
:   I-ID
UC:4920   I-ID
Medical   O
Record   O
Number   O
:   O
732   B-ID
-   I-ID
34   I-ID
-   I-ID
81   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
01/30   B-DATE
Age   O
:   O
1   O
week   O
Address   O
:   O
Badin   B-LOCATION
,   O
55647   B-LOCATION
Phone   O
Number   O
:   O
62503   B-CONTACT
Employed   O
as   O
:   O
Telemarketers   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Bernard   B-NAME
Mclean   I-NAME
Hospital   O
Name   O
:   O
Belton   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
00/22/04   B-DATE
Chief   O
Complaint   O
:   O
Charles   B-NAME
Adams   I-NAME
presents   O
with   O
a   O
72   O
-   O
hour   O
history   O
of   O
progressive   O
,   O
right   O
-   O
sided   O
abdominal   O
pain   O
.   O

HECTOR   B-NAME
V.   I-NAME
OBRYAN   I-NAME
also   O
reports   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
single   O
episode   O
of   O
nausea   O
without   O
vomiting   O
.   O

However   O
,   O
the   O
intensity   O
of   O
the   O
pain   O
increased   O
significantly   O
over   O
the   O
following   O
48   O
hours   O
,   O
prompting   O
Hays   B-NAME
to   O
seek   O
medical   O
attention   O
.   O

Past   O
Medical   O
History   O
:   O
Adam   B-NAME
Streeter   I-NAME
's   O
medical   O
history   O
includes   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
controlled   O
hypertension   O
,   O
and   O
a   O
previous   O
episode   O
of   O
renal   O
calculi   O
approximately   O
5   O
years   O
ago   O
.   O

Social   O
History   O
:   O
Dean   B-NAME
Coder   I-NAME
,   O
who   O
resides   O
in   O
Radford   B-LOCATION
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Family   O
History   O
:   O
Gregg   B-NAME
Grassi   I-NAME
has   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
(   O
mother   O
deceased   O
at   O
45   O
)   O
but   O
has   O
no   O
known   O
family   O
history   O
of   O
autoimmune   O
or   O
gastrointestinal   O
diseases   O
.   O

On   O
examination   O
,   O
McCarthy   B-NAME
,   I-NAME
Mary   I-NAME
appeared   O
uncomfortable   O
and   O
preferred   O
to   O
lie   O
still   O
.   O

Consultation   O
with   O
a   O
surgeon   O
Barry   B-NAME
from   O
Madison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
arranged   O
.   O

01/20   B-DATE
Signed   O
,   O
Dr.   O
Santos   B-NAME
Castaneda   I-NAME
Press   O
sub   O
-   O
editor   O
at   O
Duke   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION

Patient   O
:   O
Short   B-NAME
Medical   O
Record   O
Number   O
:   O
136   B-ID
-   I-ID
65   I-ID
-   I-ID
79   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
2131   B-DATE
Age   O
:   O
87   O
Address   O
:   O
Jump   B-LOCATION
River   I-LOCATION
,   O
95420   B-LOCATION
Phone   O
Number   O
:   O
306   B-CONTACT
-   I-CONTACT
8911   I-CONTACT
Attending   O
Physician   O
:   O
Moreno   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2252   B-DATE
ID   O
:   O
DS133/5994   B-ID
Summary   O
:   O
Uselton   B-NAME
,   O
a   O
Healthcare   O
Support   O
Workers   O
,   O
All   O
Other   O
from   O
Santee   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
92071   I-LOCATION
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
acute   O
cholecystitis   O
.   O

On   O
examination   O
,   O
Janet   B-NAME
Humphrey   I-NAME
revealed   O
a   O
positive   O
Murphy   O
's   O
sign   O
.   O

Eugene   B-NAME
Hanson   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
potential   O
cholecystectomy   O
considering   O
the   O
diagnosis   O
of   O
acute   O
cholecystitis   O
.   O

Past   O
medical   O
history   O
,   O
retrieved   O
from   O
7046273   B-ID
,   O
showed   O
that   O
Laface   B-NAME
Nockai   I-NAME
has   O
a   O
history   O
of   O
dyslipidemia   O
and   O
has   O
been   O
on   O
statins   O
for   O
the   O
past   O
06/01/1953   B-DATE
.   O

The   O
management   O
plan   O
,   O
as   O
advised   O
by   O
Cole   B-NAME
Byrd   I-NAME
,   O
includes   O
NPO   O
(   O
Nil   O
per   O
Os   O
)   O
status   O
,   O
intravenous   O
hydration   O
,   O
analgesia   O
,   O
and   O
antibiotic   O
therapy   O
pending   O
surgical   O
evaluation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
05/12   B-DATE
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
and   O
discuss   O
further   O
dietary   O
management   O
to   O
prevent   O
recurrence   O
.   O

In   O
light   O
of   O
Marconi   B-NAME
,   I-NAME
Guglielmo   I-NAME
's   O
occupation   O
as   O
a   O
Trading   O
standards   O
officer   O
,   O
lifestyle   O
modifications   O
were   O
discussed   O
,   O
emphasizing   O
the   O
importance   O
of   O
a   O
balanced   O
diet   O
low   O
in   O
fatty   O
foods   O
and   O
regular   O
exercise   O
.   O

The   O
contact   O
number   O
427   B-CONTACT
-   I-CONTACT
3388   I-CONTACT
was   O
provided   O
for   O
Curtis   B-NAME
to   O
reach   O
the   O
surgical   O
department   O
for   O
any   O
immediate   O
concerns   O
post   O
-   O
discharge   O
or   O
to   O
report   O
symptoms   O
indicative   O
of   O
complications   O
like   O
increased   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
jaundice   O
.   O

The   O
coordinated   O
care   O
by   O
the   O
multidisciplinary   O
team   O
at   O
Baptist   B-LOCATION
Health   I-LOCATION
South   I-LOCATION
Florida   I-LOCATION
Doctors   I-LOCATION
Hospital   I-LOCATION
aims   O
to   O
ensure   O
a   O
thorough   O
evaluation   O
and   O
effective   O
treatment   O
pathway   O
for   O
Jaxson   B-NAME
Simmons   I-NAME
,   O
fostering   O
a   O
swift   O
recovery   O
.   O

All   O
patient   O
interactions   O
and   O
management   O
decisions   O
are   O
documented   O
in   O
Shane   B-NAME
Marshall   I-NAME
's   O
medical   O
record   O
,   O
4326119   B-ID
,   O
ensuring   O
continuity   O
of   O
care   O
and   O
compliance   O
with   O
health   O
information   O
privacy   O
regulations   O
.   O

On   O
02/26   B-DATE
,   O
Myah   B-NAME
Schneider   I-NAME
was   O
admitted   O
to   O
Freeman   B-LOCATION
Orthopaedics   I-LOCATION
&   I-LOCATION
Sports   I-LOCATION
Medicine   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

These   O
symptoms   O
had   O
been   O
gradually   O
worsening   O
over   O
the   O
past   O
27/30/42   B-DATE
.   O

Emmy   B-NAME
Hale   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
chronic   O
pancreatitis   O
,   O
and   O
they   O
are   O
a   O
known   O
diabetic   O
,   O
managing   O
their   O
condition   O
with   O
oral   O
hypoglycemics   O
.   O

Upon   O
physical   O
examination   O
,   O
Easterling   B-NAME
appeared   O
to   O
be   O
in   O
distress   O
,   O
with   O
a   O
noticeable   O
tenderness   O
in   O
the   O
upper   O
abdomen   O
.   O

Youssef   B-NAME
Null   I-NAME
's   O
187   B-ID
-   I-ID
04   I-ID
-   I-ID
03   I-ID
also   O
noted   O
elevated   O
blood   O
glucose   O
levels   O
and   O
an   O
increase   O
in   O
white   O
blood   O
cell   O
count   O
,   O
suggesting   O
a   O
possible   O
infection   O
.   O

Imaging   O
studies   O
,   O
including   O
an   O
abdominal   O
CT   O
scan   O
,   O
recommended   O
by   O
Konnor   B-NAME
Huang   I-NAME
,   O
revealed   O
inflammation   O
of   O
the   O
pancreas   O
without   O
evidence   O
of   O
gallstones   O
or   O
obstruction   O
.   O

The   O
management   O
plan   O
,   O
as   O
discussed   O
with   O
Dee   B-NAME
and   O
documented   O
in   O
their   O
517   B-ID
04   I-ID
98   I-ID
,   O
included   O
aggressive   O
intravenous   O
hydration   O
,   O
administration   O
of   O
IV   O
analgesics   O
for   O
pain   O
control   O
,   O
and   O
insulin   O
therapy   O
to   O
manage   O
blood   O
glucose   O
levels   O
.   O

Ruben   B-NAME
Wiggins   I-NAME
was   O
kept   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
to   O
rest   O
the   O
pancreas   O
and   O
was   O
monitored   O
closely   O
for   O
signs   O
of   O
complications   O
,   O
such   O
as   O
pancreatic   O
necrosis   O
or   O
infection   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Hyles   B-NAME
,   I-NAME
Jack   I-NAME
was   O
under   O
the   O
care   O
of   O
the   O
gastroenterology   O
team   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Oceanside   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
.   O

The   O
nursing   O
staff   O
provided   O
excellent   O
support   O
,   O
as   O
noted   O
in   O
the   O
nursing   O
logs   O
,   O
ensuring   O
Ricky   B-NAME
David   I-NAME
received   O
the   O
necessary   O
medications   O
and   O
care   O
,   O
including   O
monitoring   O
for   O
any   O
adverse   O
reactions   O
.   O

Keating   B-NAME
,   I-NAME
Paul   I-NAME
's   O
condition   O
showed   O
improvement   O
,   O
with   O
a   O
decrease   O
in   O
abdominal   O
pain   O
and   O
normalization   O
of   O
serum   O
enzyme   O
levels   O
by   O
19   B-DATE
-   I-DATE
Jan-2329   I-DATE
.   O

The   O
discharge   O
plan   O
,   O
prepared   O
by   O
Hester   B-NAME
,   O
included   O
instructions   O
for   O
Albert   B-NAME
Frock   I-NAME
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
abstain   O
from   O
alcohol   O
,   O
and   O
continue   O
with   O
a   O
regimen   O
of   O
oral   O
hypoglycemics   O
and   O
pancreatic   O
enzyme   O
supplementation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
00/38   B-DATE
with   O
Grass   B-NAME
,   I-NAME
Günter   I-NAME
at   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
outpatient   O
clinic   O
in   O
Cross   B-LOCATION
Hill   I-LOCATION
to   O
evaluate   O
Fleming   B-NAME
's   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
needed   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
to   O
reschedule   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
Roberts   B-NAME
or   O
their   O
Construction   O
Laborers   O
was   O
advised   O
to   O
contact   O
the   O
gastroenterology   O
department   O
at   O
(   B-CONTACT
630   I-CONTACT
)   I-CONTACT
472   I-CONTACT
2036   I-CONTACT
.   O

The   O
discharge   O
summary   O
and   O
all   O
relevant   O
patient   O
information   O
,   O
including   O
imaging   O
studies   O
and   O
laboratory   O
results   O
,   O
have   O
been   O
securely   O
stored   O
in   O
Larissa   B-NAME
Johns   I-NAME
's   O
70320588   B-ID
,   O
accessible   O
for   O
future   O
reference   O
.   O

In   O
summary   O
,   O
V.   B-NAME
J.   I-NAME
Kochar   I-NAME
,   O
a   O
6   O
month   O
-   O
year   O
-   O
old   O
with   O
a   O
history   O
of   O
chronic   O
pancreatitis   O
and   O
diabetes   O
,   O
presented   O
with   O
an   O
acute   O
exacerbation   O
of   O
pancreatitis   O
.   O

Through   O
effective   O
inpatient   O
management   O
and   O
a   O
comprehensive   O
discharge   O
plan   O
,   O
Mathew   B-NAME
Kelley   I-NAME
's   O
condition   O
has   O
been   O
stabilized   O
,   O
with   O
ongoing   O
follow   O
-   O
up   O
to   O
monitor   O
their   O
recovery   O
and   O
prevent   O
potential   O
complications   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Rudy   B-NAME
Devereux   I-NAME
Patient   O
ID   O
:   O
ZR   B-ID
:   I-ID
TP:1498   I-ID
Date   O
of   O
Birth   O
:   O
2293   B-DATE
Age   O
:   O
6   O
Address   O
:   O
El   B-LOCATION
Rio   I-LOCATION
,   O
94893   B-LOCATION
Phone   O
Number   O
:   O
603   B-CONTACT
536   I-CONTACT
-   I-CONTACT
6250   I-CONTACT
Employment   O
:   O
Stationary   O
Engineers   O
and   O
Boiler   O
Operators   O
at   O
Eurobank   B-LOCATION
Primary   O
Physician   O
:   O
Perkins   B-NAME
Medical   O
Record   O
Number   O
:   O
79179993   B-ID
Admission   O
Date   O
:   O
31/21   B-DATE
Hospital   O
:   O

Piedmont   B-LOCATION
Columbus   I-LOCATION
Regional   I-LOCATION
Northside   I-LOCATION
Chief   O
Complaint   O
:   O

Lequoia   B-NAME
presents   O
with   O
a   O
persistent   O
cough   O
,   O
difficulty   O
breathing   O
,   O
and   O
episodes   O
of   O
high   O
fever   O
reaching   O
up   O
to   O
102   O
°   O
F   O
.   O

The   O
symptoms   O
started   O
approximately   O
12/32   B-DATE
and   O
have   O
progressively   O
worsened   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Skyler   B-NAME
Rich   I-NAME
,   O
a   O
65   O
-   O
year   O
-   O
old   O
Stockbroker   O
,   O
has   O
been   O
experiencing   O
a   O
productive   O
cough   O
with   O
greenish   O
expectoration   O
for   O
the   O
past   O
March   B-DATE
2235   I-DATE
.   O

Initially   O
,   O
the   O
cough   O
was   O
intermittent   O
but   O
has   O
become   O
more   O
persistent   O
over   O
the   O
last   O
03/04/1831   B-DATE
,   O
accompanied   O
by   O
difficulty   O
breathing   O
,   O
particularly   O
after   O
physical   O
exertion   O
.   O

Tucker   B-NAME
Mueller   I-NAME
also   O
reports   O
experiencing   O
chills   O
and   O
night   O
sweats   O
during   O
this   O
period   O
.   O

Past   O
Medical   O
History   O
:   O
Patricia   B-NAME
Najera   I-NAME
has   O
a   O
history   O
of   O
asthma   O
diagnosed   O
at   O
the   O
age   O
of   O
6s   O
and   O
has   O
been   O
on   O
a   O
steroid   O
inhaler   O
since   O
then   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
An   B-NAME
Nehring   I-NAME
appears   O
tired   O
but   O
is   O
in   O
no   O
acute   O
distress   O
.   O
-   O
Respiratory   O
:   O

Assessment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
Sanai   B-NAME
Ellis   I-NAME
is   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
superimposed   O
on   O
chronic   O
asthma   O
.   O

Admission   O
to   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
New   I-LOCATION
Orleans   I-LOCATION
for   O
intravenous   O
antibiotics   O
and   O
close   O
monitoring   O
.   O

4   O
.   O
Follow   O
-   O
up   O
chest   O
x   O
-   O
ray   O
and   O
CBC   O
in   O
09/41   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
.   O

Follow   O
-   O
Up   O
:   O
Finnegan   B-NAME
Grimes   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Jakayla   B-NAME
Villegas   I-NAME
on   O
2019   B-DATE
at   O
Southwell   B-LOCATION
office   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
DT353   B-NAME
Relationship   O
to   O
Patient   O
:   O
Occupational   O
Therapists   O
Phone   O
Number   O
:   O
29788   B-CONTACT

This   O
patient   O
report   O
has   O
been   O
prepared   O
by   O
Vance   B-NAME
,   O
M.D.   O
,   O
on   O
31/26   B-DATE
and   O
is   O
confidential   O
.   O

Patient   O
Name   O
:   O
Aubrie   B-NAME
Baldwin   I-NAME
Patient   O
ID   O
:   O
40058325   B-ID
Date   O
of   O
Birth   O
:   O
24   O
Date   O
of   O
Admission   O
:   O
02/12   B-DATE
Physician   O
:   O

Jeffers   B-NAME
,   I-NAME
Robinson   I-NAME
Hospital   O
:   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Columbus   I-LOCATION
Location   O
:   O
Washington   B-LOCATION
Zip   O
Code   O
:   O
75389   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
251   I-CONTACT
)   I-CONTACT
663   I-CONTACT
9536   I-CONTACT
Employment   O
:   O
judge   O
Username   O
:   O
dc933   B-NAME
*   O
*   O
Medical   O
Report   O
:*   O
*   O
Rishi   B-NAME
Wiley   I-NAME
was   O
admitted   O
to   O
WellSpan   B-LOCATION
Ephrata   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
03/32   B-DATE
with   O
a   O
presenting   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
persistent   O
for   O
the   O
past   O
48   O
hours   O
.   O

Baruch   B-NAME
,   I-NAME
Bernard   I-NAME
,   O
a   O
8   O
week   O
-   O
year   O
-   O
old   O
Clinical   O
Psychologists   O
from   O
Caseville   B-LOCATION
,   O
reported   O
an   O
associated   O
decrease   O
in   O
appetite   O
and   O
nausea   O
without   O
vomiting   O
over   O
the   O
same   O
period   O
.   O

Dr.   O
Brown   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
considering   O
Rory   B-NAME
Wong   I-NAME
's   O
clinical   O
presentation   O
and   O
imaging   O
findings   O
.   O

Castaneda   B-NAME
denied   O
any   O
allergies   O
to   O
medications   O
or   O
foods   O
.   O

The   O
patient   O
's   O
family   O
history   O
,   O
provided   O
by   O
a   O
relative   O
over   O
the   O
phone   O
(   O
400   B-CONTACT
-   I-CONTACT
609   I-CONTACT
4279   I-CONTACT
)   O
,   O
was   O
negative   O
for   O
similar   O
presentations   O
.   O

Surgery   O
was   O
performed   O
on   O
11/07/2231   B-DATE
without   O
complications   O
,   O
and   O
North   B-NAME
was   O
kept   O
for   O
post   O
-   O
operative   O
observation   O
for   O
48   O
hours   O
.   O

Improvement   O
in   O
symptoms   O
was   O
noted   O
post   O
-   O
operatively   O
,   O
with   O
Oneida   B-NAME
Norwood   I-NAME
tolerating   O
a   O
clear   O
liquid   O
diet   O
progressing   O
to   O
solid   O
food   O
without   O
issues   O
.   O

Iva   B-NAME
was   O
discharged   O
on   O
2224   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Mays   B-NAME
at   O
Carolinas   B-LOCATION
HealthCare   I-LOCATION
System   I-LOCATION
Blue   I-LOCATION
Ridge   I-LOCATION
Valdese   I-LOCATION
for   O
2000   B-DATE
-   I-DATE
35   I-DATE
-   I-DATE
21   I-DATE
.   O

The   O
patient   O
was   O
also   O
given   O
a   O
prescription   O
for   O
pain   O
management   O
to   O
be   O
filled   O
at   O
a   O
pharmacy   O
in   O
Shady   B-LOCATION
Spring   I-LOCATION
(   O
26168   B-LOCATION
)   O
.   O

ILUG   B-LOCATION
-   I-LOCATION
Delhi   I-LOCATION
will   O
be   O
following   O
up   O
on   O
Zed   B-NAME
Blanco   I-NAME
's   O
recovery   O
through   O
telehealth   O
services   O
,   O
using   O
rj392   B-NAME
for   O
secure   O
communications   O
.   O

Any   O
concerns   O
or   O
symptoms   O
exacerbation   O
should   O
be   O
reported   O
immediately   O
to   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Clear   I-LOCATION
Lake   I-LOCATION
via   O
29236   B-CONTACT
.   O

*   O
*   O
Conclusion   O
:*   O
*   O
Julissa   B-NAME
Finley   I-NAME
's   O
timely   O
presentation   O
and   O
the   O
coordinated   O
efforts   O
of   O
the   O
medical   O
team   O
at   O
Missouri   B-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Sullivan   I-LOCATION
contributed   O
significantly   O
to   O
the   O
successful   O
management   O
of   O
what   O
could   O
have   O
escalated   O
into   O
a   O
more   O
severe   O
condition   O
.   O

Ongoing   O
post   O
-   O
operative   O
care   O
and   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
regime   O
will   O
be   O
crucial   O
for   O
Sienna   B-NAME
Leonard   I-NAME
's   O
complete   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Cullen   B-NAME
Wright   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
8074511   I-ID
Date   O
of   O
Birth   O
:   O
2139   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
10   I-DATE
Age   O
:   O
84   O
Sex   O
:   O
Not   O
specified   O
Medical   O
Record   O
Number   O
:   O
029   B-ID
-   I-ID
08   I-ID
-   I-ID
84   I-ID
-   I-ID
5   I-ID
Address   O
:   O
Rialto   B-LOCATION
,   O
ZIP   O
Code   O
:   O
45290   B-LOCATION
Phone   O
Number   O
:   O
14436   B-CONTACT
Employer   O
:   O
Tennessee   B-LOCATION
Valley   I-LOCATION
Authority   I-LOCATION
Occupation   O
:   O
Roofers   O
Emergency   O
Contact   O
:   O
SJ288   B-NAME
,   O
46372   B-CONTACT
Chief   O
Complaint   O
:   O
The   O
patient   O
presented   O
to   O
St.   B-LOCATION
Vincent   I-LOCATION
Kokomo   I-LOCATION
on   O
January   B-DATE
27   I-DATE
,   I-DATE
2215   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Henderson   B-NAME
has   O
been   O
experiencing   O
a   O
sharp   O
,   O
stabbing   O
pain   O
in   O
the   O
lower   O
right   O
abdomen   O
for   O
approximately   O
48   O
hours   O
.   O

Yank   B-NAME
Chung   I-NAME
works   O
as   O
a   O
Screen   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
in   O
Moreland   B-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Henry   B-NAME
Jekyll   I-NAME
was   O
alert   O
and   O
oriented   O
x3   O
but   O
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Paterson   B-NAME
,   I-NAME
Isabel   I-NAME
discussed   O
the   O
procedure   O
,   O
risks   O
,   O
benefits   O
,   O
and   O
potential   O
complications   O
with   O
Cockroach   B-NAME
.   O

The   O
patient   O
was   O
prepared   O
for   O
surgery   O
,   O
which   O
is   O
scheduled   O
for   O
01/22   B-DATE
at   O
Providence   B-LOCATION
Willamette   I-LOCATION
Falls   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Post   O
-   O
operative   O
care   O
instructions   O
and   O
follow   O
-   O
up   O
with   O
Marie   B-NAME
Coffey   I-NAME
in   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11208   I-LOCATION
were   O
arranged   O
.   O

Prescriptions   O
:   O
Brunilda   B-NAME
Kerst   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
commence   O
immediately   O
and   O
analgesics   O
for   O
pain   O
management   O
post   O
-   O
surgery   O
.   O

Prepared   O
by   O
:   O
Isabela   B-NAME
Washington   I-NAME
Date   O
:   O
2/02   B-DATE
Medical   O
Organization   O
:   O

Rainier   B-LOCATION
Pacific   I-LOCATION
Bank   I-LOCATION
Location   O
:   O
Fairacres   B-LOCATION

Patient   O
Name   O
:   O
Roderick   B-NAME
Kerr   I-NAME
Patient   O
ID   O
:   O
YQ   B-ID
:   I-ID
VM:7715   I-ID
Medical   O
Record   O
Number   O
:   O
4482491   B-ID
Age   O
:   O
75   O
Date   O
of   O
Birth   O
:   O
03/28   B-DATE
Phone   O
Number   O
:   O
352   B-CONTACT
6543   I-CONTACT
Address   O
:   O
Tallahassee   B-LOCATION
,   O
22111   B-LOCATION
Profession   O
:   O
Copy   O
Writers   O
Consulting   O
Physician   O
:   O
Dr.   O
Rowe   B-NAME
Admitting   O
Hospital   O
:   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Buffalo   I-LOCATION
Admission   O
Date   O
:   O
1/05   B-DATE
Discharge   O
Date   O
:   O
12/31/62   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Linda   B-NAME
Urbanek   I-NAME
,   O
a   O
Singers   O
from   O
Laurentides   B-LOCATION
-   I-LOCATION
Sud   I-LOCATION
,   I-LOCATION
QC   I-LOCATION
J0V   I-LOCATION
8C6   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
MultiCare   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
02/14   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
radiating   O
chest   O
pain   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Xiomara   B-NAME
Zavala   I-NAME
denied   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
known   O
allergens   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
,   O
diagnosed   O
January   B-DATE
23   I-DATE
-   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
2277   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
09   I-DATE
-   O
Hyperlipidemia   O
Medications   O
upon   O
Admission   O
:   O
-   O
Metformin   O
500   O
mg   O
twice   O
daily   O
-   O
Lisinopril   O
10   O
mg   O
once   O
daily   O
-   O
Atorvastatin   O
20   O
mg   O
at   O
bedtime   O
Allergies   O
:   O
No   O
known   O
drug   O
allergies   O
.   O

Zoie   B-NAME
Galvan   I-NAME
is   O
a   O
Freight   O
forwarder   O
,   O
reports   O
smoking   O
approximately   O
a   O
pack   O
of   O
cigarettes   O
daily   O
for   O
the   O
past   O
20   O
years   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Terry   B-NAME
appeared   O
anxious   O
but   O
in   O
no   O
acute   O
distress   O
.   O
-   O
Cardiovascular   O
:   O
Tachycardia   O
,   O
normal   O
S1   O
and   O
S2   O
,   O
no   O
murmurs   O
,   O
rubs   O
,   O
or   O
gallops   O
.   O
-   O
Respiratory   O
:   O
Lungs   O
clear   O
to   O
auscultation   O
bilaterally   O
,   O
no   O
wheezes   O
,   O
rales   O
,   O
or   O
rhonchi   O
.   O
-   O
Abdomen   O
:   O
Soft   O
,   O
non   O
-   O
tender   O
,   O
non   O
-   O
distended   O
,   O
no   O
hepatosplenomegaly   O
.   O

Long   B-NAME
,   I-NAME
Earl   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
,   O
and   O
was   O
referred   O
for   O
urgent   O
cardiac   O
catheterization   O
.   O

Florentina   B-NAME
's   O
management   O
plan   O
includes   O
continued   O
cardiac   O
monitoring   O
,   O
lipid   O
-   O
lowering   O
therapy   O
,   O
tight   O
glycemic   O
control   O
,   O
and   O
smoking   O
cessation   O
counseling   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Mariana   B-NAME
Austin   I-NAME
at   O
Lindsborg   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lindsborg   I-LOCATION
has   O
been   O
scheduled   O
for   O
22/31   B-DATE
.   O
Instructions   O
for   O
the   O
Patient   O
at   O
Discharge   O
:   O

4   O
.   O
Contact   O
919   B-CONTACT
-   I-CONTACT
2704   I-CONTACT
if   O
symptoms   O
worsen   O
or   O
for   O
any   O
concerns   O
.   O

5   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
on   O
26/06/86   B-DATE
with   O
Dr.   O
Villa   B-NAME
at   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
South   I-LOCATION
Pointe   I-LOCATION
Hospital   I-LOCATION
.   O

Smoking   O
cessation   O
is   O
strongly   O
recommended   O
,   O
with   O
resources   O
provided   O
by   O
the   O
Okefenoke   B-LOCATION
Rural   I-LOCATION
Electric   I-LOCATION
Membership   I-LOCATION
Corporation   I-LOCATION
.   O

The   O
above   O
outlines   O
the   O
medical   O
event   O
and   O
management   O
for   O
Carie   B-NAME
Fenger   I-NAME
during   O
their   O
stay   O
at   O
Mitchell   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
from   O
22/23/97   B-DATE
to   O
07/25/2142   B-DATE
.   O

The   O
patient   O
,   O
Jessie   B-NAME
Mcguire   I-NAME
,   O
a   O
100   O
-   O
year   O
-   O
old   O
Woodworking   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Except   O
Sawing   O
from   O
Point   B-LOCATION
Lookout   I-LOCATION
,   O
presented   O
to   O
Fort   B-LOCATION
Loudoun   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
on   O
2211   B-DATE
-   I-DATE
14   I-DATE
-   I-DATE
30   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
accompanied   O
by   O
shortness   O
of   O
breath   O
and   O
diaphoresis   O
initiated   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

Heath   B-NAME
Weyer   I-NAME
reported   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Lorena   B-NAME
Wu   I-NAME
was   O
subsequently   O
referred   O
to   O
Tomas   B-NAME
Nicholson   I-NAME
,   O
a   O
cardiologist   O
affiliated   O
with   O
University   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
New   I-LOCATION
Orleans   I-LOCATION
,   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

A   O
cardiac   O
catheterization   O
,   O
performed   O
on   O
03/20   B-DATE
,   O
revealed   O
a   O
90   O
%   O
stenosis   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

Post   O
-   O
procedure   O
,   O
Denny   B-NAME
Murphy   I-NAME
was   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
statin   O
,   O
and   O
dual   O
antiplatelet   O
therapy   O
as   O
secondary   O
prevention   O
of   O
coronary   O
artery   O
disease   O
.   O

Pittman   B-NAME
's   O
hospital   O
course   O
was   O
uneventful   O
.   O

Roberson   B-NAME
was   O
scheduled   O
for   O
outpatient   O
follow   O
-   O
up   O
with   O
Horn   B-NAME
in   O
two   O
weeks   O
and   O
was   O
provided   O
with   O
a   O
return   O
65782   B-CONTACT
number   O
in   O
case   O
of   O
any   O
questions   O
or   O
concerns   O
before   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

The   O
patient   O
was   O
discharged   O
from   O
Grove   B-LOCATION
Hill   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
12/14   B-DATE
with   O
prescriptions   O
and   O
a   O
detailed   O
discharge   O
summary   O
,   O
which   O
included   O
instructions   O
on   O
medication   O
management   O
,   O
signs   O
of   O
potential   O
complications   O
to   O
monitor   O
for   O
,   O
and   O
activity   O
restrictions   O
.   O

Medical   O
records   O
indicating   O
the   O
full   O
extent   O
of   O
the   O
patient   O
's   O
treatment   O
including   O
lab   O
results   O
,   O
physician   O
notes   O
,   O
and   O
imaging   O
studies   O
were   O
filed   O
under   O
67192763   B-ID
number   O
1   B-ID
-   I-ID
6035657   I-ID
.   O

The   O
billing   O
department   O
processed   O
the   O
charges   O
for   O
the   O
hospital   O
stay   O
and   O
procedures   O
,   O
sending   O
the   O
detailed   O
invoice   O
to   O
the   O
address   O
in   O
New   B-LOCATION
Washington   I-LOCATION
with   O
the   O
49862   B-LOCATION
code   O
and   O
making   O
a   O
note   O
to   O
follow   O
up   O
on   O
payment   O
in   O
30   O
days   O
.   O

The   O
billing   O
inquiry   O
contact   O
was   O
provided   O
as   O
24064   B-CONTACT
for   O
any   O
questions   O
regarding   O
the   O
account   O
.   O

Confidentiality   O
of   O
Jacob   B-NAME
V   I-NAME
Ure   I-NAME
's   O
personal   O
and   O
health   O
information   O
,   O
including   O
the   O
unique   O
731471   B-ID
and   O
3373618   B-ID
number   O
,   O
is   O
strictly   O
maintained   O
by   O
St.   B-LOCATION
Louis   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

All   O
digital   O
communications   O
regarding   O
the   O
patient   O
's   O
care   O
were   O
encrypted   O
,   O
including   O
emails   O
to   O
the   O
referring   O
physician   O
and   O
the   O
discharge   O
summary   O
sent   O
via   O
secure   O
portal   O
(   O
sgb390   B-NAME
)   O
to   O
the   O
primary   O
care   O
provider   O
in   O
Centennial   B-LOCATION
.   O

Patient   O
Name   O
:   O
Alfredo   B-NAME
Greene   I-NAME
Age   O
:   O
7   O
Date   O
of   O
Birth   O
:   O
29/20/2112   B-DATE
Address   O
:   O
Floyd   B-LOCATION
,   O
31963   B-LOCATION
Phone   O
:   O
(   B-CONTACT
512   I-CONTACT
)   I-CONTACT
596   I-CONTACT
-   I-CONTACT
9822   I-CONTACT
Doctor   O
:   O
Rhodes   B-NAME
Hospital   O
:   O
Highlands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Sebring   I-LOCATION
)   I-LOCATION

Medical   O
Record   O
Number   O
:   O
2669653   B-ID
Date   O
of   O
Visit   O
:   O
07/28   B-DATE
Occupation   O
:   O
Customer   O
Service   O
Representatives   O
Username   O
:   O
DE152   B-NAME
ID   O
:   O
4   B-ID
-   I-ID
2370298   I-ID
Chief   O
Complaint   O
:   O
JAY   B-NAME
CARROLL   I-NAME
presents   O
with   O
acute   O
substernal   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

These   O
symptoms   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
their   O
visit   O
on   O
02/36/2140   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O

Past   O
Medical   O
History   O
:   O
Hamilton   B-NAME
,   I-NAME
Gail   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
they   O
are   O
currently   O
taking   O
medication   O
.   O

Branson   B-NAME
Allison   I-NAME
denies   O
any   O
history   O
of   O
diabetes   O
mellitus   O
,   O
thyroid   O
disease   O
,   O
or   O
renal   O
impairment   O
.   O

On   O
examination   O
,   O
DANIELLE   B-NAME
TOMPKINS   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Oakley   B-NAME
was   O
admitted   O
to   O
Nicholas   B-LOCATION
H   I-LOCATION
Noyes   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
cardiac   O
evaluation   O
and   O
management   O
on   O
2362   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
21   I-DATE
.   O

Follow   O
-   O
up   O
:   O
Smith   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Kundera   B-NAME
,   I-NAME
Milan   I-NAME
in   O
the   O
cardiology   O
department   O
of   O
Mercy   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Unity   I-LOCATION
Campus   I-LOCATION
after   O
discharge   O
to   O
discuss   O
long   O
-   O
term   O
management   O
and   O
secondary   O
prevention   O
strategies   O
.   O

For   O
any   O
urgent   O
issues   O
or   O
concerns   O
,   O
Everett   B-NAME
Gross   I-NAME
can   O
contact   O
the   O
cardiology   O
department   O
directly   O
at   O
24011   B-CONTACT
.   O

Patient   O
Name   O
:   O
Kelsie   B-NAME
Choi   I-NAME
Patient   O
ID   O
:   O
PY   B-ID
:   I-ID
GP:3186   I-ID
Medical   O
Record   O
Number   O
:   O
3352054   B-ID
Age   O
:   O
88   O
Date   O
of   O
Birth   O
:   O
1/32   B-DATE
Phone   O
Number   O
:   O
47210   B-CONTACT
Address   O
:   O
Sewaren   B-LOCATION
,   O
64711   B-LOCATION
Attending   O
Physician   O
:   O
Alvarado   B-NAME
Hospital   O
:   O
Mitchell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
21/39/37   B-DATE
Date   O
of   O
Discharge   O
:   O
0/6   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
salesperson   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Connecticut   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
9/32/86   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Rachel   B-NAME
Finley   I-NAME
reported   O
that   O
the   O
symptoms   O
started   O
suddenly   O
while   O
at   O
work   O
at   O
Gosport   B-LOCATION
.   O

Genevieve   B-NAME
Berry   I-NAME
also   O
mentioned   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
cold   O
sweat   O
.   O

Princess   B-NAME
Lawson   I-NAME
denied   O
recent   O
travel   O
or   O
history   O
of   O
similar   O
symptoms   O
.   O

Upon   O
examination   O
in   O
the   O
emergency   O
department   O
of   O
Saint   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Tempie   B-NAME
Plewa   I-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
with   O
the   O
following   O
vital   O
signs   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
24   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Based   O
on   O
these   O
findings   O
,   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
myocardial   O
infarction   O
with   O
secondary   O
acute   O
heart   O
failure   O
was   O
made   O
by   O
Mariana   B-NAME
Little   I-NAME
.   O

Kaiden   B-NAME
Zamora   I-NAME
was   O
also   O
started   O
on   O
a   O
heparin   O
drip   O
as   O
anticoagulation   O
therapy   O
.   O

Given   O
the   O
acute   O
presentation   O
and   O
diagnosis   O
,   O
the   O
cardiology   O
team   O
at   O
Inspira   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Woodbury   I-LOCATION
recommended   O
emergency   O
cardiac   O
catheterization   O
.   O

McGill   B-NAME
,   I-NAME
Bryant   I-NAME
underwent   O
successful   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
with   O
stent   O
placement   O
to   O
the   O
obstructed   O
coronary   O
artery   O
during   O
the   O
same   O
hospital   O
admission   O
.   O

Post   O
-   O
procedure   O
,   O
Eva   B-NAME
Estes   I-NAME
's   O
symptoms   O
significantly   O
improved   O
.   O

Jan   B-NAME
Freeman   I-NAME
was   O
discharged   O
on   O
8/21/72   B-DATE
with   O
a   O
prescription   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
beta   O
-   O
blockers   O
,   O
statins   O
,   O
and   O
ACE   O
inhibitors   O
.   O

Follow   O
-   O
Up   O
:   O
Gregory   B-NAME
Howard   I-NAME
is   O
scheduled   O
for   O
follow   O
-   O
up   O
with   O
cardiologist   O
Wilson   B-NAME
,   I-NAME
Colin   I-NAME
in   O
the   O
cardiology   O
clinic   O
of   O
Mountain   B-LOCATION
West   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/00   B-DATE
.   O

The   O
patient   O
and   O
immediate   O
family   O
members   O
were   O
educated   O
on   O
recognizing   O
signs   O
and   O
symptoms   O
of   O
myocardial   O
infarction   O
and   O
were   O
instructed   O
to   O
seek   O
immediate   O
medical   O
care   O
if   O
similar   O
symptoms   O
recur   O
.   O
-   O
Vazquez   B-NAME
has   O
consented   O
to   O
participate   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
starting   O
from   O
31/02   B-DATE
.   O

The   O
patient   O
,   O
YERGER   B-NAME
,   I-NAME
DESEAN   I-NAME
,   O
a   O
Government   O
lawyer   O
from   O
Bar   B-LOCATION
Harbor   I-LOCATION
,   O
presented   O
on   O
22   B-DATE
-   I-DATE
Dec-2293   I-DATE
at   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
South   I-LOCATION
Arkansas   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
consistent   O
with   O
potential   O
appendicitis   O
.   O

Y.   B-NAME
Quinton   I-NAME
Xanders   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
of   O
101   O
°   O
F   O
measured   O
at   O
home   O
.   O

Upon   O
examination   O
,   O
Audrina   B-NAME
Arellano   I-NAME
noted   O
Kingsolver   B-NAME
,   I-NAME
Barbara   I-NAME
's   O
abdomen   O
to   O
be   O
tender   O
to   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
positive   O
Rovsing   O
's   O
sign   O
,   O
indicating   O
potential   O
irritation   O
of   O
the   O
peritoneum   O
.   O

The   O
decision   O
for   O
surgical   O
intervention   O
was   O
made   O
,   O
and   O
Nancy   B-NAME
Dean   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
1699   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
25   I-DATE
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Michael   B-NAME
was   O
assigned   O
to   O
room   O
number   O
SZ   B-ID
:   I-ID
CE:5350   I-ID
in   O
Iowa   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Clarion   I-LOCATION
for   O
postoperative   O
recovery   O
.   O

Following   O
the   O
procedure   O
,   O
Rubi   B-NAME
Colon   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
advised   O
to   O
follow   O
up   O
in   O
27   B-DATE
-   I-DATE
Jan-2325   I-DATE
.   O
Lana   B-NAME
Duke   I-NAME
's   O
medical   O
record   O
number   O
,   O
914   B-ID
37   I-ID
44   I-ID
1   I-ID
,   O
and   O
the   O
contact   O
information   O
,   O
85918   B-CONTACT
,   O
were   O
updated   O
in   O
the   O
hospital   O
's   O
system   O
for   O
future   O
reference   O
.   O

Bellow   B-NAME
,   I-NAME
Saul   I-NAME
received   O
care   O
instructions   O
and   O
was   O
discharged   O
on   O
2096   B-DATE
with   O
advice   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
undue   O
discomfort   O
.   O

For   O
further   O
inquiries   O
or   O
appointments   O
,   O
Tapia   B-NAME
was   O
provided   O
with   O
the   O
contact   O
details   O
of   O
Mcmillan   B-NAME
and   O
advised   O
to   O
reach   O
out   O
if   O
symptoms   O
such   O
as   O
persistent   O
fever   O
,   O
vomiting   O
,   O
or   O
incision   O
site   O
redness   O
develop   O
.   O

The   O
patient   O
expressed   O
gratitude   O
for   O
the   O
care   O
provided   O
at   O
Cape   B-LOCATION
Fear   I-LOCATION
Valley   I-LOCATION
Hoke   I-LOCATION
Hospital   I-LOCATION
and   O
was   O
optimistic   O
about   O
a   O
swift   O
recovery   O
.   O

The   O
collaborative   O
effort   O
between   O
the   O
medical   O
team   O
at   O
Broward   B-LOCATION
Health   I-LOCATION
Imperial   I-LOCATION
Point   I-LOCATION
ensured   O
efficient   O
diagnosis   O
and   O
treatment   O
,   O
leading   O
to   O
a   O
positive   O
outcome   O
for   O
Kizo   B-NAME
.   O

Patient   O
Name   O
:   O
Lam   B-NAME
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
5943200   I-ID
Medical   O
Record   O
Number   O
:   O
903   B-ID
-   I-ID
51   I-ID
-   I-ID
59   I-ID
-   I-ID
5   I-ID
Date   O
of   O
Birth   O
:   O
27th   B-DATE
Age   O
:   O
47   O
Address   O
:   O
Red   B-LOCATION
Lake   I-LOCATION
Falls   I-LOCATION
,   O
77086   B-LOCATION
Phone   O
:   O
98629   B-CONTACT
Occupation   O
:   O
Aircraft   O
Launch   O
and   O
Recovery   O
Officers   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Vivian   B-NAME
Collins   I-NAME
Admitting   O
Hospital   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Riverside   I-LOCATION
Admission   O
Date   O
:   O
38th   B-DATE
Discharge   O
Date   O
:   O
2/98   B-DATE
Chief   O
Complaint   O
:   O
Hodges   B-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
UCHealth   B-LOCATION
Broomfield   I-LOCATION
Hospital   I-LOCATION
on   O
3/07   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
multiple   O
episodes   O
of   O
vomiting   O
.   O

Lawrence   B-NAME
K.   I-NAME
Townsend   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

Past   O
Medical   O
History   O
:   O
Jasmine   B-NAME
Gay   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
and   O
hypertension   O
controlled   O
with   O
angiotensin   O
-   O
converting   O
enzyme   O
(   O
ACE   O
)   O
inhibitors   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
gastrointestinal   O
symptoms   O
described   O
above   O
,   O
Uphoff   B-NAME
reports   O
no   O
other   O
systemic   O
symptoms   O
.   O

On   O
examination   O
,   O
Mclean   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
CT   O
scan   O
performed   O
on   O
Thursday   B-DATE
revealed   O
appendicitis   O
with   O
no   O
evidence   O
of   O
rupture   O
.   O

Treatment   O
:   O
Surgical   O
consultation   O
by   O
Dr.   O
Wood   B-NAME
was   O
obtained   O
,   O
and   O
laparoscopic   O
appendectomy   O
was   O
performed   O
without   O
complications   O
.   O

Saniya   B-NAME
Livingston   I-NAME
responded   O
well   O
to   O
the   O
surgery   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
pain   O
and   O
resolution   O
of   O
nausea   O
and   O
vomiting   O
.   O

Hospital   O
Course   O
:   O
Ford   B-NAME
's   O
hospital   O
stay   O
at   O
Stony   B-LOCATION
Brook   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
was   O
uncomplicated   O
.   O

By   O
5/3/2006   B-DATE
,   O
Gangchuan   B-NAME
,   I-NAME
Cao   I-NAME
showed   O
significant   O
improvement   O
and   O
was   O
deemed   O
stable   O
for   O
discharge   O
with   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Vikki   B-NAME
Walling   I-NAME
.   O

Follow   O
-   O
up   O
:   O
Ondrick   B-NAME
,   I-NAME
William   I-NAME
F.   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Yaretzi   B-NAME
Christian   I-NAME
in   O
the   O
outpatient   O
clinic   O
on   O
31/04   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

The   O
information   O
concerning   O
the   O
patient   O
's   O
medical   O
issue   O
and   O
management   O
was   O
documented   O
under   O
4664096   B-ID
and   O
communicated   O
to   O
the   O
primary   O
care   O
physician   O
,   O
Dr.   O
Finlay   B-NAME
,   O
for   O
continuity   O
of   O
care   O
.   O

Any   O
further   O
management   O
or   O
adjustment   O
to   O
Terrence   B-NAME
Douglas   I-NAME
's   O
diabetes   O
and   O
hypertension   O
medications   O
will   O
be   O
addressed   O
during   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Contact   O
Information   O
for   O
Further   O
Inquiries   O
:   O
-   O
Primary   O
Care   O
Physician   O
,   O
Dr.   O
Rice   B-NAME
,   I-NAME
Condoleezza   I-NAME
:   O
586   B-CONTACT
6340   I-CONTACT
-   O
Surgical   O
Team   O
at   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Augusta   I-LOCATION
:   O
(   B-CONTACT
701   I-CONTACT
)   I-CONTACT
434   I-CONTACT
6617   I-CONTACT
-   O
Konnor   B-NAME
Grant   I-NAME
Contact   O
:   O
551   B-CONTACT
7113   I-CONTACT
Prepared   O
by   O
:   O
qy860   B-NAME
,   O
33   B-DATE

Patient   O
Name   O
:   O
Stevenson   B-NAME
,   I-NAME
Robert   I-NAME
Louis   I-NAME
Age   O
:   O
76   O
ID   O
:   O
US948/5160   B-ID
Medical   O
Record   O
Number   O
:   O
8638Y32608   B-ID
Address   O
:   O
Forest   B-LOCATION
Hills   I-LOCATION
,   O
66063   B-LOCATION
Phone   O
Number   O
:   O
644   B-CONTACT
9102   I-CONTACT
Employment   O
:   O
Careers   O
adviser   O
(   O
higher   O
education   O
)   O
at   O
Association   B-LOCATION
of   I-LOCATION
Greek   I-LOCATION
Chemists   I-LOCATION
Primary   O
Physician   O
:   O

Sampson   B-NAME
Hospital   O
:   O
Beverly   B-LOCATION
Hospital   I-LOCATION
Report   O
Date   O
:   O
01/31   B-DATE
Summary   O
:   O
Harold   B-NAME
Glover   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
39/24   B-DATE
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
occasional   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

Additionally   O
,   O
Harmony   B-NAME
Brock   I-NAME
has   O
experienced   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
slight   O
fever   O
,   O
which   O
was   O
measured   O
at   O
home   O
as   O
100.4   O
°   O
F   O
as   O
of   O
1   B-DATE
-   I-DATE
19   I-DATE
.   O
Medical   O
History   O
:   O
Grace   B-NAME
Velasquez   I-NAME
has   O
a   O
history   O
of   O
gastrointestinal   O
issues   O
,   O
including   O
diagnosed   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
approximately   O
69s   O
years   O
ago   O
.   O

Oates   B-NAME
denies   O
any   O
history   O
of   O
allergies   O
or   O
adverse   O
reactions   O
to   O
medications   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Finnegan   B-NAME
Grimes   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
potential   O
peritonitis   O
.   O

Diagnostic   O
Imaging   O
:   O
Abdominal   O
ultrasound   O
performed   O
on   O
32/02   B-DATE
at   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
revealed   O
signs   O
suggestive   O
of   O
acute   O
cholecystitis   O
,   O
including   O
gallbladder   O
wall   O
thickening   O
and   O
the   O
presence   O
of   O
gallstones   O
.   O

Admit   O
Gracelyn   B-NAME
Ochoa   I-NAME
to   O
Jackson   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
and   O
management   O
.   O

3   O
.   O
Schedule   O
an   O
urgent   O
consultation   O
with   O
Octagon   B-NAME
,   O
a   O
general   O
surgeon   O
,   O
for   O
evaluation   O
of   O
potential   O
cholecystectomy   O
.   O

Instructions   O
to   O
Patient   O
:   O
-   O
Christian   B-NAME
is   O
advised   O
to   O
avoid   O
oral   O
intake   O
until   O
further   O
assessment   O
by   O
the   O
surgical   O
team   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2   B-DATE
-   I-DATE
2   I-DATE
to   O
re   O
-   O
evaluate   O
McFee   B-NAME
,   I-NAME
William   I-NAME
's   O
condition   O
post   O
-   O
intervention   O
and   O
to   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
to   O
prevent   O
recurrences   O
.   O

Contact   O
information   O
:   O
For   O
any   O
questions   O
or   O
concerns   O
,   O
Porter   B-NAME
Benitez   I-NAME
or   O
family   O
members   O
can   O
contact   O
AdventHealth   B-LOCATION
Orlando   I-LOCATION
at   O
48273   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Chen   B-NAME
Age   O
:   O
61   O
ID   O
:   O
191685362   B-ID
Medical   O
Record   O
Number   O
:   O
852   B-ID
23   I-ID
78   I-ID
Address   O
:   O
Kingsport   B-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Kingsport   I-LOCATION
Assoc   I-LOCATION
.   I-LOCATION
,   O
71095   B-LOCATION
Phone   O
Number   O
:   O
888   B-CONTACT
-   I-CONTACT
4895   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Graves   B-NAME
Employer   O
:   O
GEICO   B-LOCATION
Occupation   O
:   O

Drywall   O
Installers   O
Username   O
:   O
SE716   B-NAME
Summary   O
:   O
Ethan   B-NAME
Conway   I-NAME
,   O
a   O
69   O
-   O
year   O
-   O
old   O
Historians   O
from   O
Rossburg   B-LOCATION
,   O
came   O
to   O
the   O
emergency   O
department   O
of   O
Alamance   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
jan10   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
vomiting   O
over   O
the   O
previous   O
24   O
hours   O
.   O

Rishi   B-NAME
Evans   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

However   O
,   O
Jovinus   B-NAME
Diachenko   I-NAME
mentioned   O
having   O
a   O
similar   O
,   O
albeit   O
milder   O
,   O
episode   O
approximately   O
8/26/79   B-DATE
ago   O
which   O
resolved   O
without   O
medical   O
intervention   O
.   O

Clinical   O
Findings   O
:   O
During   O
the   O
physical   O
examination   O
,   O
Deacis   B-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
specifically   O
at   O
McBurney   O
's   O
point   O
.   O

Management   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Landon   B-NAME
Garza   I-NAME
diagnosed   O
Oliver   B-NAME
,   I-NAME
Jamie   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
surgical   O
intervention   O
.   O

Isaiah   B-NAME
Fritzpatrick   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
consented   O
to   O
an   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
12/21/33   B-DATE
,   O
with   O
no   O
complications   O
.   O

Postoperative   O
Course   O
:   O
Richelieu   B-NAME
,   I-NAME
Cardinal   I-NAME
was   O
monitored   O
closely   O
in   O
the   O
postoperative   O
period   O
.   O

Castillo   B-NAME
showed   O
satisfactory   O
recovery   O
and   O
was   O
discharged   O
from   O
Indiana   B-LOCATION
University   I-LOCATION
Health   I-LOCATION
Bloomington   I-LOCATION
Hospital   I-LOCATION
on   O
21/28/2363   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
instructions   O
for   O
wound   O
care   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Shaylee   B-NAME
Saunders   I-NAME
in   O
two   O
weeks   O
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O
Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
-   O
Engage   O
in   O
light   O
activities   O
,   O
avoiding   O
strenuous   O
exercise   O
for   O
the   O
next   O
1669   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
22   I-DATE
.   O
-   O
Monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O
-   O
Complete   O
the   O
prescribed   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

-   O
Report   O
immediately   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Gulfport   I-LOCATION
or   O
call   O
18144   B-CONTACT
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
other   O
concerns   O
.   O

Conclusion   O
:   O
GQ   B-NAME
's   O
prompt   O
presentation   O
to   O
Tift   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
immediate   O
surgical   O
intervention   O
contributed   O
to   O
a   O
positive   O
outcome   O
with   O
no   O
complications   O
.   O

DeMilla   B-NAME
will   O
be   O
followed   O
up   O
by   O
Shah   B-NAME
to   O
ensure   O
complete   O
recovery   O
.   O

Patient   O
Name   O
:   O
Alia   B-NAME
Bernard   I-NAME
Patient   O
ID   O
:   O
MA   B-ID
:   I-ID
ZM:4315   I-ID
Date   O
of   O
Birth   O
:   O
3   B-DATE
-   I-DATE
0   I-DATE
Age   O
:   O
72   O
Address   O
:   O
Glen   B-LOCATION
Ellen   I-LOCATION
,   O
13764   B-LOCATION
Phone   O
:   O
95436   B-CONTACT
Medical   O
Record   O
Number   O
:   O
9601232   B-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Trey   B-NAME
Sutton   I-NAME
Treatment   O
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O
Exhibition   O
organiser   O
Username   O
:   O
AU1006   B-NAME
Medical   O
Report   O
:   O

The   O
patient   O
,   O
Allena   B-NAME
Mazzeo   I-NAME
,   O
presented   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Waxhaw   I-LOCATION
on   O
20/34   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
,   O
sharp   O
lower   O
abdominal   O
pain   O
for   O
the   O
past   O
72   O
hours   O
.   O

Furthermore   O
,   O
Vonreuter   B-NAME
reported   O
a   O
low   O
-   O
grade   O
fever   O
that   O
started   O
approximately   O
48   O
hours   O
prior   O
to   O
hospital   O
admission   O
.   O

Consequently   O
,   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
established   O
by   O
Dr.   O
Perla   B-NAME
Maddox   I-NAME
.   O

The   O
patient   O
consented   O
to   O
an   O
urgent   O
appendectomy   O
,   O
which   O
was   O
successfully   O
completed   O
on   O
6/33/22   B-DATE
.   O

Maurice   B-NAME
Flores   I-NAME
was   O
monitored   O
post   O
-   O
operatively   O
in   O
Summit   B-LOCATION
Pacific   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
any   O
potential   O
complications   O
such   O
as   O
infection   O
or   O
hemorrhage   O
.   O

The   O
patient   O
displayed   O
a   O
steady   O
recovery   O
,   O
with   O
significant   O
improvements   O
in   O
symptoms   O
and   O
was   O
discharged   O
on   O
1837   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Dr.   O
James   B-NAME
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
Jill   B-NAME
Leiter   I-NAME
was   O
registered   O
under   O
the   O
care   O
of   O
Diverse   B-LOCATION
Power   I-LOCATION
Inc.   I-LOCATION
-   I-LOCATION
Pataula   I-LOCATION
District   I-LOCATION
,   O
ensuring   O
that   O
all   O
medical   O
records   O
,   O
including   O
the   O
detailed   O
surgical   O
report   O
,   O
will   O
be   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Before   O
discharge   O
,   O
Kasandra   B-NAME
Gordon   I-NAME
was   O
provided   O
with   O
a   O
24   O
-   O
hour   O
contact   O
number   O
(   O
706   B-CONTACT
-   I-CONTACT
689   I-CONTACT
3513   I-CONTACT
)   O
for   O
the   O
surgical   O
team   O
,   O
in   O
the   O
event   O
of   O
any   O
queries   O
or   O
urgent   O
issues   O
arising   O
regarding   O
the   O
post   O
-   O
operative   O
recovery   O
phase   O
.   O

Follow   O
-   O
up   O
:   O
Lester   B-NAME
Verde   I-NAME
has   O
a   O
scheduled   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Jackson   B-NAME
,   I-NAME
Robert   I-NAME
H.   I-NAME
at   O
Two   B-LOCATION
Rivers   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
on   O
32/39/93   B-DATE
to   O
evaluate   O
the   O
healing   O
process   O
and   O
to   O
discuss   O
any   O
further   O
treatment   O
or   O
lifestyle   O
modifications   O
that   O
may   O
be   O
required   O
.   O

Additionally   O
,   O
Aniyah   B-NAME
Bush   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
and   O
to   O
gradually   O
increase   O
physical   O
activities   O
as   O
per   O
tolerance   O
levels   O
.   O

Patient   O
:   O
Michael   B-NAME
Pirandello   I-NAME
Age   O
:   O
42   O
Medical   O
Record   O
Number   O
:   O
16466658   B-ID
Date   O
of   O
Admission   O
:   O
02/00   B-DATE
Hospital   O
:   O
Lourdes   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Doctor   O
:   O
Petty   B-NAME
Residence   O
:   O
Mariposa   B-LOCATION
,   O
28233   B-LOCATION
Telephone   O
:   O
712   B-CONTACT
578   I-CONTACT
9340   I-CONTACT
Patient   O
's   O
Profession   O
:   O
Physical   O
Medicine   O
and   O
Rehabilitation   O
Physicians   O
Emergency   O
Contact   O
:   O
rl143   B-NAME
,   O
14956   B-CONTACT
22.22.23   B-DATE
:   O

Veronica   B-NAME
Calhoun   I-NAME
,   O
a   O
Screen   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
residing   O
in   O
Parker   B-LOCATION
City   I-LOCATION
,   O
40126   B-LOCATION
,   O
presented   O
to   O
Mission   B-LOCATION
Trail   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
with   O
acute   O
abdominal   O
pain   O
,   O
initially   O
localized   O
in   O
the   O
umbilical   O
region   O
but   O
later   O
radiating   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Examination   O
:   O
On   O
physical   O
examination   O
,   O
Oda   B-NAME
Heslop   I-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
After   O
initial   O
stabilization   O
and   O
administration   O
of   O
intravenous   O
fluids   O
and   O
antibiotics   O
,   O
Acuna   B-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
,   O
performed   O
by   O
Jacobson   B-NAME
,   O
was   O
uncomplicated   O
.   O

Kenley   B-NAME
Myers   I-NAME
tolerated   O
the   O
operation   O
well   O
and   O
was   O
transferred   O
to   O
the   O
post   O
-   O
operative   O
care   O
unit   O
for   O
monitoring   O
.   O

On   O
post   O
-   O
operative   O
day   O
two   O
,   O
Ray   B-NAME
-   I-NAME
Gallegos   I-NAME
was   O
able   O
to   O
tolerate   O
a   O
liquid   O
diet   O
without   O
nausea   O
or   O
vomiting   O
.   O

Kamren   B-NAME
Manning   I-NAME
was   O
discharged   O
on   O
06/30   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
,   O
and   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Colt   B-NAME
Hawkins   I-NAME
in   O
two   O
weeks   O
at   O
Sentara   B-LOCATION
Northern   I-LOCATION
Virginia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
Krieger   B-NAME
,   I-NAME
Robbie   I-NAME
Patient   O
ID   O
:   O
LJ:84960:396568   B-ID
Medical   O
Record   O
:   O
209   B-ID
-   I-ID
18   I-ID
-   I-ID
36   I-ID
Date   O
of   O
Report   O
:   O
2/23/62   B-DATE
Consulting   O
Doctor   O
:   O

Macie   B-NAME
Mcdowell   I-NAME
Location   O
:   O
Barnum   B-LOCATION
Island   I-LOCATION
Hospital   O
:   O
Prisma   B-LOCATION
Health   I-LOCATION
Greer   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Contact   O
Number   O
:   O
442   B-CONTACT
224   I-CONTACT
-   I-CONTACT
1810   I-CONTACT
Zip   O
Code   O
:   O
94150   B-LOCATION
Age   O
:   O
22s   O
Profession   O
:   O

Door   O
-   O
To   O
-   O
Door   O
Sales   O
Workers   O
,   O
News   O
and   O
Street   O
Vendors   O
,   O
and   O
Related   O
Workers   O
Chief   O
Complaint   O
:   O
Edward   B-NAME
Xanthos   I-NAME
,   O
a   O
100   O
-   O
year   O
-   O
old   O
Human   O
Resources   O
Assistants   O
,   O
Except   O
Payroll   O
and   O
Timekeeping   O
from   O
Bernard   B-LOCATION
,   O
reports   O
experiencing   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
for   O
the   O
last   O
two   O
hours   O
as   O
of   O
30/03   B-DATE
.   O

Additionally   O
,   O
Hector   B-NAME
Bennett   I-NAME
reports   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
and   O
episodes   O
of   O
nausea   O
.   O

Medical   O
History   O
:   O
Jesenia   B-NAME
Bulnes   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
medication   O
.   O

Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Dakota   B-NAME
Prochaska   I-NAME
appeared   O
pale   O
and   O
diaphoretic   O
.   O

Isabela   B-NAME
Pratt   I-NAME
was   O
admitted   O
to   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
Corwin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
observation   O
and   O
management   O
under   O
the   O
care   O
of   O
Bowers   B-NAME
,   O
with   O
a   O
tentative   O
diagnosis   O
of   O
acute   O
coronary   O
syndrome   O
(   O
ACS   O
)   O
.   O

Follow   O
-   O
Up   O
:   O
Ritter   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
department   O
on   O
3/22   B-DATE
.   O

The   O
above   O
medical   O
report   O
for   O
Virgil   B-NAME
Gregory   I-NAME
(   O
GB   B-ID
:   I-ID
XF:8636   I-ID
,   O
66550636   B-ID
)   O
prepared   O
on   O
1698   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
15   I-DATE
by   O
Watterson   B-NAME
,   I-NAME
Bill   I-NAME
provides   O
a   O
comprehensive   O
summary   O
of   O
the   O
patient   O
’s   O
current   O
medical   O
presentation   O
,   O
examination   O
findings   O
,   O
and   O
initial   O
management   O
plan   O
.   O

For   O
further   O
information   O
or   O
updates   O
on   O
the   O
patient   O
’s   O
condition   O
,   O
please   O
contact   O
Alice   B-LOCATION
Hyde   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
30706   B-CONTACT
.   O
---   O
Note   O
:   O
PHI   O
labels   O
have   O
been   O
consistently   O
applied   O
throughout   O
this   O
synthetic   O
patient   O
report   O
to   O
ensure   O
privacy   O
and   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Name   O
:   O
Eva   B-NAME
Henderson   I-NAME
Patient   O
ID   O
:   O
AH635/5877   B-ID
Medical   O
Record   O
Number   O
:   O
3778373   B-ID
Date   O
of   O
Birth   O
:   O
17/02   B-DATE
Age   O
:   O
51s   O
Phone   O
Number   O
:   O
50108   B-CONTACT
Address   O
:   O
Arizona   B-LOCATION
,   O
76880   B-LOCATION
Employer   O
:   O

Groton   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O

Athletic   O
Trainers   O
Attending   O
Physician   O
:   O
Cooper   B-NAME
Hospital   O
:   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Philadelphia   I-LOCATION
Date   O
of   O
Visit   O
:   O
Thursday   B-DATE
Symptoms   O
:   O

The   O
patient   O
,   O
Khloe   B-NAME
Raymond   I-NAME
,   O
presented   O
to   O
Baptist   B-LOCATION
Health   I-LOCATION
Louisville   I-LOCATION
on   O
03/07   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
concentrated   O
on   O
the   O
right   O
side   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
intermittent   O
,   O
worsening   O
over   O
the   O
past   O
1774   B-DATE
.   O

Additionally   O
,   O
Messiah   B-NAME
Robertson   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
reduction   O
in   O
appetite   O
,   O
and   O
a   O
mild   O
fever   O
.   O

Upon   O
examination   O
,   O
Hanna   B-NAME
Oconnell   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Harvey   B-NAME
discussed   O
the   O
findings   O
and   O
the   O
treatment   O
options   O
with   O
Howard   B-NAME
,   O
recommending   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Bibesco   B-NAME
,   I-NAME
Princess   I-NAME
Elizabeth   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
consented   O
to   O
proceed   O
.   O

Surgery   O
was   O
scheduled   O
for   O
2392   B-DATE
at   O
Crawford   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
District   I-LOCATION
No.1   I-LOCATION
–   I-LOCATION
Girard   I-LOCATION
.   O

Pre   O
-   O
Operative   O
Instructions   O
:   O
Sitwell   B-NAME
,   I-NAME
Edith   I-NAME
was   O
advised   O
to   O
abstain   O
from   O
food   O
and   O
drink   O
starting   O
midnight   O
before   O
the   O
surgery   O
date   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
1/11/05   B-DATE
with   O
Avitus   B-NAME
at   O
North   B-LOCATION
Fulton   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Kyson   B-NAME
Cuevas   I-NAME
-   O
Age   O
:   O
55   O
-   O
Location   O
:   O
246   B-LOCATION
Grant   I-LOCATION
Street   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
07849409   B-ID
-   O
Phone   O
Number   O
:   O
376   B-CONTACT
8281   I-CONTACT
-   O
ID   O
Number   O
:   O
BY:421070:942152   B-ID
-   O
Attending   O
Doctor   O
:   O
Elvis   B-NAME
West   I-NAME
-   O
Hospital   O
:   O
Children   B-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
of   I-LOCATION
Atlanta   I-LOCATION
at   I-LOCATION
Scottish   I-LOCATION
Rite   I-LOCATION
-   O
Zip   O
Code   O
:   O
97750   B-LOCATION
-   O
Occupation   O
:   O
Public   O
Relations   O
and   O
Fundraising   O
Managers   O
-   O
Username   O
:   O
cb706   B-NAME
-   O
Date   O
of   O
Visit   O
:   O
32/6   B-DATE
Summary   O
:   O
Leon   B-NAME
F   I-NAME
Craft   I-NAME
presented   O
to   O
Parrish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
on   O
2282   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
24   O
hours   O
prior   O
.   O

The   O
pain   O
was   O
described   O
by   O
Mckinley   B-NAME
Velasquez   I-NAME
as   O
sharp   O
and   O
cramping   O
in   O
nature   O
.   O

Upon   O
examination   O
,   O
Horace   B-NAME
Meddick   I-NAME
,   O
a   O
Legislators   O
,   O
exhibited   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
along   O
with   O
positive   O
Rovsing   O
's   O
sign   O
.   O

William   B-NAME
Seth   I-NAME
Potter   I-NAME
's   O
vitals   O
upon   O
admission   O
were   O
recorded   O
as   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
98   O
beats   O
per   O
minute   O
,   O
and   O
temperature   O
37.5   O
°   O
C   O
(   O
99.5   O
°   O
F   O
)   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Kramer   B-NAME
,   O
revealing   O
a   O
mild   O
leukocytosis   O
of   O
12,000   O
/   O
mcL   O
,   O
which   O
is   O
indicative   O
of   O
an   O
infection   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
conducted   O
at   O
Mountain   B-LOCATION
Lakes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
rupture   O
.   O

Anna   B-NAME
Mccann   I-NAME
's   O
medical   O
history   O
was   O
reviewed   O
,   O
noting   O
no   O
significant   O
previous   O
illnesses   O
or   O
surgical   O
interventions   O
.   O

The   O
emergency   O
contact   O
,   O
listed   O
as   O
Registered   O
Nurses   O
,   O
was   O
notified   O
immediately   O
via   O
49354   B-CONTACT
.   O

Management   O
and   O
Outcome   O
:   O
The   O
surgical   O
team   O
at   O
Heart   B-LOCATION
of   I-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
led   O
by   O
Barry   B-NAME
,   I-NAME
Dave   I-NAME
,   O
recommended   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
given   O
the   O
diagnosis   O
.   O

After   O
receiving   O
informed   O
consent   O
,   O
Ryland   B-NAME
Crosby   I-NAME
was   O
prepared   O
for   O
surgery   O
,   O
which   O
took   O
place   O
successfully   O
on   O
32   B-DATE
.   O

Post   O
-   O
operative   O
instructions   O
were   O
provided   O
,   O
emphasizing   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
the   O
importance   O
of   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
for   O
2/33/52   B-DATE
.   O
Craig   B-NAME
Brennan   I-NAME
was   O
discharged   O
on   O
April   B-DATE
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
to   O
prevent   O
post   O
-   O
surgical   O
infection   O
.   O

The   O
discharge   O
instructions   O
also   O
included   O
a   O
direct   O
contact   O
number   O
,   O
15146   B-CONTACT
,   O
for   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Laurel   I-LOCATION
Highlands   I-LOCATION
's   O
surgical   O
department   O
should   O
any   O
concerns   O
or   O
complications   O
arise   O
post   O
-   O
discharge   O
.   O
Conclusion   O
:   O
Chong   B-NAME
Heyd   I-NAME
demonstrates   O
a   O
classic   O
presentation   O
of   O
acute   O
appendicitis   O
,   O
quickly   O
diagnosed   O
and   O
managed   O
with   O
prompt   O
surgical   O
intervention   O
.   O

The   O
early   O
recognition   O
by   O
Demonstrators   O
and   O
Product   O
Promoters   O
of   O
the   O
severity   O
of   O
Keith   B-NAME
's   O
symptoms   O
and   O
the   O
subsequent   O
timeliness   O
of   O
treatment   O
at   O
Children   B-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
of   I-LOCATION
Atlanta   I-LOCATION
at   I-LOCATION
Egleston   I-LOCATION
were   O
critical   O
to   O
the   O
favorable   O
outcome   O
.   O

Follow   O
-   O
up   O
care   O
and   O
adherence   O
to   O
the   O
post   O
-   O
operative   O
regimen   O
will   O
be   O
crucial   O
components   O
of   O
Xavier   B-NAME
Uber   I-NAME
's   O
recovery   O
process   O
.   O

Patient   O
Name   O
:   O
Jimmy   B-NAME
Mather   I-NAME
Patient   O
ID   O
:   O
QS:96276:669245   B-ID
Medical   O
Record   O
Number   O
:   O
7211268   B-ID
Date   O
of   O
Birth   O
:   O
1/11   B-DATE
Age   O
:   O
20   O
Phone   O
Number   O
:   O
551   B-CONTACT
2056   I-CONTACT
Address   O
:   O
Wayne   B-LOCATION
,   O
63515   B-LOCATION
Occupation   O
:   O
Soil   O
Conservationists   O
Primary   O
Physician   O
:   O

Dr.   O
Sade   B-NAME
,   I-NAME
Donatien   I-NAME
de   I-NAME
Hospital   O
Name   O
:   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/33/2202   B-DATE
Date   O
of   O
Discharge   O
:   O
Sunday   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Katlyn   B-NAME
Osorio   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Jefferson   I-LOCATION
City   I-LOCATION
on   O
April   B-DATE
2169   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Steve   B-NAME
George   I-NAME
described   O
the   O
pain   O
as   O
"   O
stabbing   O
"   O
in   O
nature   O
,   O
with   O
a   O
severity   O
of   O
8/10   O
.   O

Past   O
Medical   O
History   O
:   O
Horrible   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
at   O
the   O
age   O
of   O
84   O
.   O

Linh   B-NAME
Mcwaters   I-NAME
,   O
a   O
Combined   O
Food   O
Preparation   O
and   O
Serving   O
Workers   O
,   O
Including   O
Fast   O
Food   O
,   O
has   O
been   O
managing   O
these   O
conditions   O
with   O
medications   O
prescribed   O
by   O
Dr.   O
Arias   B-NAME
,   O
and   O
regular   O
follow   O
-   O
ups   O
at   O
Guthrie   B-LOCATION
Corning   I-LOCATION
Hospital   I-LOCATION
.   O

Dean   B-NAME
,   I-NAME
Howard   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
moderate   O
alcohol   O
use   O
.   O

Review   O
of   O
Systems   O
:   O
Upon   O
examination   O
,   O
Jack   B-NAME
Parker   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

Diagnostic   O
Testing   O
:   O
Electrocardiogram   O
(   O
EKG   O
)   O
performed   O
on   O
2/42   B-DATE
revealed   O
signs   O
consistent   O
with   O
an   O
acute   O
myocardial   O
infarction   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Davon   B-NAME
Leach   I-NAME
was   O
diagnosed   O
with   O
a   O
myocardial   O
infarction   O
.   O

Alicia   B-NAME
Preston   I-NAME
was   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
and   O
an   O
ACE   O
inhibitor   O
.   O

Given   O
the   O
diagnosis   O
,   O
Dr.   O
Deanna   B-NAME
Parsons   I-NAME
advised   O
for   O
an   O
urgent   O
cardiac   O
catheterization   O
.   O

The   O
procedure   O
performed   O
on   O
32/10   B-DATE
showed   O
a   O
90   O
%   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
,   O
which   O
was   O
successfully   O
treated   O
with   O
angioplasty   O
and   O
stent   O
placement   O
.   O

Jaeden   B-NAME
Berger   I-NAME
was   O
kept   O
under   O
observation   O
in   O
the   O
cardiac   O
care   O
unit   O
at   O
Wesley   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
for   O
01/25   B-DATE
days   O
following   O
the   O
procedure   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Cameron   B-NAME
,   I-NAME
Kirk   I-NAME
was   O
discharged   O
on   O
February   B-DATE
5   I-DATE
with   O
prescriptions   O
for   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
aspirin   O
,   O
and   O
a   O
statin   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Thompson   B-NAME
,   I-NAME
Dorothy   I-NAME
in   O
2070   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
22   I-DATE
.   O

Ben   B-NAME
Gideon   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

Cardiac   O
rehabilitation   O
was   O
recommended   O
and   O
arranged   O
to   O
begin   O
on   O
6/4   B-DATE
.   O

dxz865   B-NAME
was   O
noted   O
to   O
be   O
the   O
responsible   O
healthcare   O
provider   O
for   O
coordinating   O
post   O
-   O
discharge   O
care   O
and   O
education   O
regarding   O
medication   O
management   O
for   O
Mcpherson   B-NAME
.   O

Any   O
further   O
questions   O
or   O
concerns   O
were   O
to   O
be   O
directed   O
to   O
821   B-CONTACT
373   I-CONTACT
-   I-CONTACT
5532   I-CONTACT
during   O
Wesley   B-LOCATION
Long   I-LOCATION
Hospital   I-LOCATION
's   O
regular   O
business   O
hours   O
.   O

The   O
patient   O
,   O
Burl   B-NAME
Harty   I-NAME
,   O
a   O
Private   O
Detectives   O
and   O
Investigators   O
from   O
Manheim   B-LOCATION
,   I-LOCATION
Manheim   I-LOCATION
Downtown   I-LOCATION
Development   I-LOCATION
Group   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Cumberland   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
3   B-DATE
-   I-DATE
24   I-DATE
-   I-DATE
07   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

Cale   B-NAME
Oconnell   I-NAME
,   O
21   O
,   O
reported   O
that   O
the   O
pain   O
was   O
sudden   O
in   O
onset   O
,   O
severe   O
in   O
intensity   O
,   O
and   O
primarily   O
located   O
in   O
the   O
epigastric   O
region   O
.   O

Upon   O
examination   O
,   O
Hudson   B-NAME
Odom   I-NAME
noted   O
that   O
Constantius   B-NAME
II   I-NAME
's   O
abdomen   O
was   O
tender   O
to   O
palpation   O
in   O
the   O
epigastric   O
area   O
,   O
with   O
mild   O
guarding   O
but   O
no   O
rebound   O
tenderness   O
.   O

A   O
detailed   O
medical   O
history   O
was   O
obtained   O
from   O
Emil   B-NAME
Skoda   I-NAME
,   O
who   O
denied   O
any   O
history   O
of   O
gallstones   O
or   O
alcohol   O
misuse   O
.   O

Spence   B-NAME
mentioned   O
a   O
family   O
history   O
of   O
pancreatitis   O
in   O
a   O
first   O
-   O
degree   O
relative   O
.   O

320   B-ID
-   I-ID
41   I-ID
-   I-ID
10   I-ID
-   I-ID
0   I-ID
indicated   O
no   O
previous   O
admissions   O
for   O
similar   O
symptoms   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
Jakayla   B-NAME
Villegas   I-NAME
diagnosed   O
Lennon   B-NAME
Deleon   I-NAME
with   O
acute   O
pancreatitis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
monitoring   O
and   O
management   O
.   O

HI:35374:326495   B-ID

and   O
244   B-CONTACT
-   I-CONTACT
9704   I-CONTACT
were   O
recorded   O
for   O
hospital   O
administration   O
purposes   O
.   O

Iesha   B-NAME
Newhook   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
lifestyle   O
modification   O
to   O
prevent   O
recurrent   O
episodes   O
,   O
including   O
dietary   O
changes   O
and   O
abstaining   O
from   O
alcohol   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Londyn   B-NAME
Harrington   I-NAME
in   O
two   O
weeks   O
to   O
assess   O
recovery   O
and   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
.   O

Discharge   O
instructions   O
,   O
emphasizing   O
the   O
need   O
for   O
rest   O
,   O
hydration   O
,   O
and   O
following   O
a   O
special   O
diet   O
,   O
were   O
given   O
to   O
EQ   B-NAME
on   O
02/22/13   B-DATE
.   O

Additionally   O
,   O
Thomas   B-NAME
Aquinas   I-NAME
was   O
provided   O
with   O
contact   O
information   O
in   O
case   O
of   O
emergency   O
or   O
worsening   O
of   O
symptoms   O
.   O

The   O
case   O
was   O
also   O
reported   O
to   O
the   O
outpatient   O
clinic   O
for   O
future   O
reference   O
under   O
100   B-ID
-   I-ID
47   I-ID
-   I-ID
24   I-ID
-   I-ID
1   I-ID
for   O
continuity   O
of   O
care   O
.   O

Patient   O
Report   O
for   O
Monroe   B-NAME
Sellman   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
10   O
week   O
ID   O
Number   O
:   O
YU240/7861   B-ID
Medical   O
Record   O
Number   O
:   O
1543056   B-ID
Residence   O
:   O
Melba   B-LOCATION
,   O
25881   B-LOCATION
Phone   O
Number   O
:   O
800   B-CONTACT
-   I-CONTACT
1735   I-CONTACT
Attending   O
Physician   O
:   O
Barrett   B-NAME
Admitting   O
Hospital   O
:   O
Lourdes   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
November   B-DATE
15   I-DATE
,   I-DATE
2111   I-DATE
Profession   O
:   O
Weighers   O
,   O
Measurers   O
,   O
Checkers   O
,   O
and   O
Samplers   O
,   O
Recordkeeping   O
Clinical   O
Summary   O
:   O
Egnar   B-NAME
Bernotas   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
9/1/2078   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Upon   O
physical   O
examination   O
,   O
Pennington   B-NAME
exhibited   O
rebound   O
tenderness   O
at   O
McBurney   O
's   O
point   O
,   O
along   O
with   O
a   O
positive   O
Rovsing   O
's   O
sign   O
.   O

Quinton   B-NAME
Lovett   I-NAME
's   O
vital   O
signs   O
upon   O
admission   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
pulse   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
and   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

A   O
subsequent   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
was   O
ordered   O
by   O
Carson   B-NAME
,   I-NAME
Rachel   I-NAME
which   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
evidence   O
of   O
perforation   O
.   O

Management   O
and   O
Outcome   O
:   O
Under   O
the   O
advisement   O
of   O
Ramirez   B-NAME
,   O
Harper   B-NAME
Howe   I-NAME
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
on   O
05/17   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
at   O
Gila   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
without   O
any   O
intraoperative   O
complications   O
.   O

Geoff   B-NAME
Standish   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
pre   O
-   O
operatively   O
,   O
which   O
were   O
continued   O
post   O
-   O
operatively   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Yuriko   B-NAME
Bjelland   I-NAME
demonstrated   O
significant   O
improvement   O
,   O
with   O
resolution   O
of   O
abdominal   O
pain   O
and   O
normalization   O
of   O
temperature   O
and   O
leukocyte   O
count   O
.   O

Huxley   B-NAME
,   I-NAME
Julian   I-NAME
was   O
discharged   O
on   O
34/17   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Maia   B-NAME
George   I-NAME
in   O
two   O
weeks   O
.   O

Confidential   O
contact   O
information   O
for   O
follow   O
-   O
up   O
:   O
-   O
Linh   B-NAME
Mcwaters   I-NAME
's   O
Office   O
Phone   O
:   O
77807   B-CONTACT
-   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Information   O
Desk   O
:   O
288   B-CONTACT
-   I-CONTACT
9253   I-CONTACT
-   O
Patient   O
ID   O
for   O
Reference   O
:   O
5   B-ID
-   I-ID
8066236   I-ID

This   O
patient   O
report   O
is   O
strictly   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Angelique   B-NAME
Garrett   I-NAME
,   O
Booth   B-NAME
,   O
and   O
authorized   O
healthcare   O
personnel   O
at   O
Methodist   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
only   O
.   O

Patient   O
Report   O
for   O
Bruce   B-NAME
Brian   I-NAME
General   O
Information   O
----------------------   O
Patient   O
Name   O
:   O
Josh   B-NAME
Romero   I-NAME
Age   O
:   O
70   O
Date   O
of   O
Birth   O
:   O
04/74   B-DATE
Gender   O
:   O
Male   O
Occupation   O
:   O

Special   O
Forces   O
Medical   O
Record   O
Number   O
:   O
1160170   B-ID
Social   O
Security   O
Number   O
:   O
UG   B-ID
:   I-ID
WA:3048   I-ID
Address   O
:   O
Ingold   B-LOCATION
,   O
69312   B-LOCATION
Email   O
:   O
zf1009   B-NAME
@   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
and   I-LOCATION
General   I-LOCATION
Employees   I-LOCATION
.com   O
Phone   O
Number   O
:   O
929   B-CONTACT
-   I-CONTACT
3244   I-CONTACT
Primary   O
Physician   O
:   O

Quincy   B-NAME
Duncan   I-NAME
Admitting   O
Hospital   O
:   O
Harbor   B-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
Admission   O
Data   O
-----------------   O
Date   O
of   O
Admission   O
:   O
February   B-DATE
23   I-DATE
Reason   O
for   O
Admission   O
:   O
The   O
patient   O
presented   O
with   O
acute   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Diagnostic   O
Imaging   O
---------------------   O
An   O
abdominal   O
ultrasound   O
was   O
performed   O
on   O
33/32   B-DATE
,   O
revealing   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
fluid   O
collection   O
,   O
suggesting   O
inflammation   O
and   O
the   O
beginning   O
stages   O
of   O
an   O
abscess   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Andy   B-NAME
Hester   I-NAME
is   O
scheduled   O
for   O
30/06   B-DATE
to   O
review   O
surgical   O
outcomes   O
and   O
manage   O
diabetes   O
.   O

For   O
any   O
further   O
information   O
or   O
emergencies   O
,   O
please   O
contact   O
the   O
Vidant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
380   B-CONTACT
-   I-CONTACT
6665   I-CONTACT
.   O

Document   O
Prepared   O
by   O
:   O
Dreiser   B-NAME
,   I-NAME
Theodore   I-NAME
September   B-DATE
39th   I-DATE
Consumers   B-LOCATION
Energy   I-LOCATION

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
03936070   B-ID
Name   O
:   O
Delson   B-NAME
,   I-NAME
Brad   I-NAME
Date   O
of   O
Visit   O
:   O
32/33/12   B-DATE
Age   O
:   O
36   O
Address   O
:   O
Calion   B-LOCATION
,   O
56862   B-LOCATION
Phone   O
Number   O
:   O
85051   B-CONTACT
Doctor   O
:   O
Haylee   B-NAME
Arellano   I-NAME
Organization   O
:   O
Stop   B-LOCATION
Huntingdon   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
SHAC   I-LOCATION
)   I-LOCATION
Hospital   O
:   O
Providence   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Everett   I-LOCATION
Medical   O
History   O
:   O

Gizhaum   B-NAME
,   O
a   O
Health   O
Educators   O
from   O
Alaska   B-LOCATION
,   O
presented   O
to   O
Providence   B-LOCATION
St.   I-LOCATION
Peter   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
detailed   O
history   O
of   O
persistent   O
,   O
severe   O
headaches   O
predominantly   O
located   O
in   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

These   O
headaches   O
have   O
been   O
occurring   O
for   O
approximately   O
three   O
months   O
prior   O
to   O
the   O
date   O
of   O
consultation   O
,   O
4/30   B-DATE
.   O

Givens   B-NAME
describes   O
these   O
episodes   O
as   O
throbbing   O
and   O
unbearable   O
pain   O
,   O
often   O
accompanied   O
by   O
nausea   O
and   O
extreme   O
sensitivity   O
to   O
light   O
and   O
sound   O
,   O
suggesting   O
features   O
of   O
migrainous   O
headaches   O
.   O

Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
also   O
reported   O
experiencing   O
visual   O
disturbances   O
,   O
known   O
as   O
aura   O
,   O
before   O
the   O
onset   O
of   O
a   O
headache   O
.   O

Upon   O
further   O
inquiry   O
,   O
Barry   B-NAME
R.   I-NAME
Lockhart   I-NAME
disclosed   O
a   O
recent   O
history   O
of   O
increased   O
stress   O
at   O
work   O
,   O
irregular   O
sleep   O
patterns   O
,   O
and   O
significant   O
coffee   O
consumption   O
.   O

Examination   O
and   O
Diagnosis   O
:   O
A   O
comprehensive   O
neurological   O
examination   O
conducted   O
by   O
Vosanibola   B-NAME
,   I-NAME
Josefa   I-NAME
at   O
Lanka   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
did   O
not   O
reveal   O
any   O
focal   O
neurological   O
deficits   O
.   O

However   O
,   O
given   O
the   O
severity   O
and   O
specific   O
characteristics   O
of   O
the   O
headache   O
as   O
reported   O
by   O
Drake   B-NAME
Chavez   I-NAME
,   O
a   O
diagnosis   O
of   O
Migraine   O
with   O
Aura   O
was   O
considered   O
.   O

For   O
further   O
assessment   O
,   O
Strickland   B-NAME
ordered   O
several   O
tests   O
,   O
including   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
to   O
rule   O
out   O
any   O
other   O
potential   O
causes   O
of   O
the   O
symptoms   O
.   O

Jazmin   B-NAME
Gentry   I-NAME
was   O
cooperative   O
throughout   O
the   O
examination   O
and   O
testing   O
process   O
.   O

The   O
results   O
of   O
the   O
imaging   O
studies   O
conducted   O
on   O
22/38/82   B-DATE
were   O
unremarkable   O
,   O
further   O
supporting   O
the   O
initial   O
diagnosis   O
.   O

Given   O
the   O
diagnosis   O
,   O
Ross   B-NAME
recommended   O
starting   O
Floyd   B-NAME
on   O
a   O
treatment   O
regimen   O
including   O
medication   O
for   O
migraine   O
prophylaxis   O
and   O
acute   O
relief   O
during   O
attacks   O
,   O
alongside   O
lifestyle   O
modifications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
spring   B-DATE
2090   I-DATE
to   O
reassess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

Contact   O
Information   O
:   O
Should   O
River   B-NAME
Pace   I-NAME
experience   O
any   O
severe   O
side   O
effects   O
or   O
worsening   O
of   O
symptoms   O
,   O
they   O
are   O
advised   O
to   O
contact   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
's   O
emergency   O
department   O
at   O
378   B-CONTACT
309   I-CONTACT
-   I-CONTACT
4504   I-CONTACT
immediately   O
.   O

For   O
non   O
-   O
urgent   O
inquiries   O
or   O
to   O
reschedule   O
follow   O
-   O
up   O
appointments   O
,   O
Will   B-NAME
Tucker   I-NAME
can   O
contact   O
Kadence   B-NAME
Shea   I-NAME
's   O
office   O
via   O
(   B-CONTACT
417   I-CONTACT
)   I-CONTACT
395   I-CONTACT
-   I-CONTACT
3246   I-CONTACT
.   O

Confidentiality   O
Statement   O
:   O
All   O
information   O
contained   O
in   O
this   O
report   O
,   O
including   O
patient   O
identification   O
details   O
like   O
25818722   B-ID
,   O
Deja   B-NAME
Potter   I-NAME
name   O
,   O
and   O
contact   O
information   O
,   O
is   O
confidential   O
in   O
accordance   O
with   O
healthcare   O
privacy   O
laws   O
and   O
regulations   O
.   O

Patient   O
Name   O
:   O
Shu   B-NAME
Kobold   I-NAME
Age   O
:   O
6   O
month   O
Date   O
of   O
Birth   O
:   O
13/23/2052   B-DATE
Address   O
:   O
Devers   B-LOCATION
,   O
37729   B-LOCATION
Phone   O
:   O
88350   B-CONTACT
Occupation   O
:   O
Gas   O
Processing   O
Plant   O
Operators   O
Primary   O
Physician   O
:   O

Dr.   O
Tertius   B-NAME
Lydgate   I-NAME
Hospital   O
:   O
Lankenau   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
30776941   B-ID
Date   O
of   O
Visit   O
:   O
18/01/2182   B-DATE
Insurance   O
ID   O
:   O
16329   B-ID
Summary   O
:   O
Michael   B-NAME
Stanton   I-NAME
,   O
a   O
Job   O
Printers   O
of   O
92   O
years   O
,   O
presented   O
at   O
Providence   B-LOCATION
Hospital   I-LOCATION
Northeast   I-LOCATION
on   O
1   B-DATE
-   I-DATE
01   I-DATE
,   O
complaining   O
of   O
persistent   O
headaches   O
,   O
dizziness   O
,   O
and   O
blurred   O
vision   O
.   O

Additionally   O
,   O
Hugh   B-NAME
Randall   I-NAME
mentioned   O
occasional   O
bouts   O
of   O
nausea   O
and   O
vomiting   O
,   O
particularly   O
in   O
the   O
morning   O
.   O

Upon   O
examination   O
,   O
Holland   B-NAME
's   O
blood   O
pressure   O
was   O
recorded   O
as   O
slightly   O
elevated   O
.   O

Visual   O
acuity   O
test   O
results   O
were   O
lower   O
than   O
the   O
expected   O
range   O
for   O
someone   O
of   O
Rhett   B-NAME
Hornback   I-NAME
's   O
age   O
,   O
indicating   O
the   O
need   O
for   O
further   O
ophthalmological   O
evaluation   O
.   O

Dr.   O
Burns   B-NAME
,   I-NAME
Robert   I-NAME
ordered   O
an   O
MRI   O
of   O
the   O
brain   O
to   O
rule   O
out   O
the   O
possibility   O
of   O
an   O
intracranial   O
mass   O
or   O
other   O
abnormalities   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
as   O
provided   O
during   O
the   O
consultation   O
and   O
documented   O
in   O
2669653   B-ID
,   O
did   O
not   O
indicate   O
any   O
prior   O
instances   O
of   O
similar   O
symptoms   O
.   O

delarosa   B-NAME
denied   O
recent   O
travel   O
outside   O
of   O
Broadus   B-LOCATION
,   O
reducing   O
the   O
likelihood   O
of   O
exposure   O
-   O
related   O
etiologies   O
.   O

Furthermore   O
,   O
during   O
the   O
review   O
of   O
Sammael   B-NAME
Doerflinger   I-NAME
's   O
daily   O
activities   O
and   O
dietary   O
habits   O
,   O
no   O
significant   O
triggers   O
for   O
the   O
presented   O
symptoms   O
were   O
identified   O
.   O

Diagnostic   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
metabolic   O
panel   O
,   O
and   O
the   O
aforementioned   O
MRI   O
have   O
been   O
scheduled   O
for   O
2273   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
26   I-DATE
.   O

Arteaga   B-NAME
has   O
been   O
advised   O
to   O
maintain   O
adequate   O
hydration   O
,   O
avoid   O
known   O
headache   O
triggers   O
such   O
as   O
caffeine   O
and   O
alcohol   O
,   O
and   O
to   O
monitor   O
symptoms   O
closely   O
,   O
reporting   O
any   O
significant   O
changes   O
in   O
severity   O
or   O
frequency   O
to   O
Dr.   O
Kaylah   B-NAME
Serrano   I-NAME
at   O
79520   B-CONTACT
.   O

Planning   O
:   O
-   O
Complete   O
scheduled   O
diagnostic   O
tests   O
-   O
Refer   O
the   O
patient   O
to   O
an   O
ophthalmologist   O
for   O
detailed   O
eye   O
examination   O
-   O
Follow   O
-   O
up   O
appointment   O
to   O
be   O
scheduled   O
after   O
test   O
results   O
are   O
received   O
,   O
aimed   O
for   O
10/16/2112   B-DATE
-   O
Consider   O
referral   O
to   O
a   O
neurologist   O
should   O
MRI   O
results   O
indicate   O
abnormalities   O
or   O
if   O
symptoms   O
persist   O
despite   O
initial   O
treatment   O
strategies   O
Dr.   O
Novak   B-NAME
emphasized   O
the   O
importance   O
of   O
Kelley   B-NAME
Fenimore   I-NAME
contacting   O
the   O
office   O
if   O
there   O
was   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
if   O
new   O
symptoms   O
arise   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Patrick   B-NAME
Yeates   I-NAME
expressed   O
understanding   O
of   O
the   O
instructions   O
given   O
and   O
verbalized   O
intentions   O
to   O
comply   O
with   O
the   O
recommended   O
management   O
plan   O
.   O

Patient   O
Name   O
:   O
Rowan   B-NAME
Salas   I-NAME
Patient   O
ID   O
:   O
43229418   B-ID
Medical   O
Record   O
Number   O
:   O
59450930   B-ID
Date   O
of   O
Birth   O
:   O
2170   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
05   I-DATE
Age   O
:   O
14   O
Address   O
:   O
Atmautluak   B-LOCATION
,   O
83083   B-LOCATION
Occupation   O
:   O
Geoscientists   O
,   O
Except   O
Hydrologists   O
and   O
Geographers   O
Phone   O
Number   O
:   O

980   B-CONTACT
-   I-CONTACT
2676   I-CONTACT
Attending   O
Physician   O
:   O
Riddle   B-NAME
Hospital   O
:   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
10/27/2215   B-DATE
Date   O
of   O
Report   O
:   O
03/20/76   B-DATE
Summary   O
:   O

An   O
individual   O
of   O
11   O
month   O
years   O
,   O
employed   O
as   O
a   O
Order   O
Fillers   O
,   O
Wholesale   O
and   O
Retail   O
Sales   O
,   O
with   O
a   O
residence   O
in   O
Owosso   B-LOCATION
,   O
21898   B-LOCATION
,   O
whose   O
contact   O
number   O
is   O
911   B-CONTACT
3786   I-CONTACT
,   O
was   O
admitted   O
to   O
Riverside   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
on   O
Wednesday   B-DATE
,   I-DATE
June   I-DATE
under   O
the   O
care   O
of   O
Nick   B-NAME
Biancavilla   I-NAME
.   O

The   O
patient   O
,   O
identified   O
with   O
the   O
ID   O
JA:4944:627770   B-ID
and   O
medical   O
record   O
number   O
8077U29770   B-ID
,   O
presented   O
with   O
complaints   O
of   O
severe   O
,   O
stabbing   O
,   O
and   O
relentless   O
pain   O
in   O
the   O
right   O
flank   O
region   O
radiating   O
to   O
the   O
lower   O
abdomen   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
as   O
documented   O
in   O
their   O
medical   O
record   O
94134897   B-ID
,   O
is   O
otherwise   O
unremarkable   O
,   O
with   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

In   O
summary   O
,   O
the   O
patient   O
Callum   B-NAME
Davis   I-NAME
is   O
currently   O
undergoing   O
evaluation   O
for   O
acute   O
onset   O
flank   O
pain   O
with   O
hematuria   O
.   O

The   O
patient   O
's   O
care   O
team   O
,   O
led   O
by   O
Mathias   B-NAME
Barron   I-NAME
,   O
is   O
proceeding   O
with   O
a   O
conservative   O
yet   O
thorough   O
approach   O
to   O
both   O
diagnosis   O
and   O
management   O
.   O

Patient   O
Name   O
:   O
Urhua   B-NAME
Hillbrant   I-NAME
Patient   O
ID   O
:   O
880196   B-ID
Medical   O
Record   O
Number   O
:   O
2585Y49283   B-ID
Date   O
of   O
Visit   O
:   O
10/24   B-DATE
Location   O
of   O
Visit   O
:   O
HealthSouth   B-LOCATION
RidgeLake   I-LOCATION
Hospital   I-LOCATION
,   O
Star   B-LOCATION
City   I-LOCATION
Attending   O
Physician   O
:   O
Dr.   O
Summers   B-NAME
Contact   O
Number   O
:   O
90217   B-CONTACT
Patient   O
Jaylin   B-NAME
Ewing   I-NAME
,   O
a   O
Legal   O
executive   O
aged   O
55   O
,   O
presented   O
on   O
22/22   B-DATE
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

This   O
classical   O
presentation   O
was   O
accompanied   O
by   O
nausea   O
,   O
a   O
single   O
episode   O
of   O
vomiting   O
,   O
and   O
a   O
slight   O
elevation   O
in   O
temperature   O
noted   O
since   O
the   O
early   O
hours   O
of   O
04/24   B-DATE
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
without   O
contrast   O
,   O
performed   O
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Kent   I-LOCATION
Community   I-LOCATION
Campus   I-LOCATION
on   O
9/26   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
periappendiceal   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

After   O
obtaining   O
informed   O
consent   O
,   O
Veronica   B-NAME
Hayden   I-NAME
-   I-NAME
Jones   I-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
2339   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
01   I-DATE
at   O
Huntsville   B-LOCATION
Hospital   I-LOCATION
.   O

Alexavier   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgery   O
clinic   O
after   O
one   O
week   O
,   O
on   O
32/18   B-DATE
,   O
for   O
evaluation   O
of   O
the   O
postoperative   O
course   O
and   O
removal   O
of   O
sutures   O
.   O

The   O
patient   O
was   O
discharged   O
from   O
Missouri   B-LOCATION
Delta   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
5/3   B-DATE
with   O
a   O
prescription   O
for   O
analgesics   O
and   O
a   O
course   O
of   O
oral   O
antibiotics   O
.   O

Contact   O
information   O
including   O
the   O
clinic   O
's   O
phone   O
number   O
(   O
951   B-CONTACT
-   I-CONTACT
546   I-CONTACT
6724   I-CONTACT
)   O
and   O
emergency   O
contact   O
details   O
were   O
provided   O
should   O
the   O
patient   O
have   O
any   O
concerns   O
or   O
exhibit   O
signs   O
of   O
infection   O
,   O
fever   O
,   O
or   O
increased   O
pain   O
at   O
the   O
incision   O
site   O
.   O

In   O
summary   O
,   O
Aletha   B-NAME
Eyman   I-NAME
,   O
a   O
37s   O
-   O
year   O
-   O
old   O
Skin   O
Care   O
Specialists   O
,   O
successfully   O
underwent   O
a   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
with   O
no   O
postoperative   O
complications   O
anticipated   O
at   O
the   O
time   O
of   O
discharge   O
.   O

Prepared   O
by   O
:   O
Dr.   O
Lydia   B-NAME
Mitchell   I-NAME
11/87   B-DATE
at   O
Conemaugh   B-LOCATION
Nason   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Candelero   B-LOCATION
Abajo   I-LOCATION
98277   B-CONTACT
for   O
follow   O
-   O
up   O
appointments   O
and   O
inquiries   O
.   O

Patient   O
Name   O
:   O
Mitchell   B-NAME
Jaynes   I-NAME
Age   O
:   O
3   O
Date   O
of   O
Birth   O
:   O
32/22   B-DATE
Phone   O
Number   O
:   O
(   B-CONTACT
850   I-CONTACT
)   I-CONTACT
151   I-CONTACT
-   I-CONTACT
4355   I-CONTACT
Address   O
:   O
Gassaway   B-LOCATION
,   O
89319   B-LOCATION
Occupation   O
:   O
Statement   O
Clerks   O
Primary   O
Care   O
Physician   O
:   O

Harry   B-NAME
Brewster   I-NAME
Medical   O
Record   O
Number   O
:   O
798   B-ID
-   I-ID
41   I-ID
-   I-ID
81   I-ID
-   I-ID
8   I-ID
ID   O
Number   O
:   O
SK143/2892   B-ID
Hospital   O
Name   O
:   O
Honor   B-LOCATION
Grave   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
07/14   B-DATE
Date   O
of   O
Report   O
:   O
03/12/36   B-DATE
Chief   O
Complaint   O
:   O
Brady   B-NAME
Ovitt   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Davis   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/29   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
ongoing   O
for   O
the   O
past   O
24   O
hours   O
.   O

Additionally   O
,   O
Nicky   B-NAME
Averette   I-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
earlier   O
in   O
the   O
day   O
of   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Alisha   B-NAME
Woodward   I-NAME
,   O
a   O
4   O
-   O
year   O
-   O
old   O
Sheriffs   O
and   O
Deputy   O
Sheriffs   O
,   O
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
mild   O
hypertension   O
controlled   O
with   O
medication   O
.   O

Joseph   B-NAME
denies   O
any   O
previous   O
episodes   O
of   O
similar   O
pain   O
or   O
any   O
recent   O
changes   O
in   O
diet   O
,   O
bowel   O
habits   O
,   O
or   O
activity   O
level   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
mentioned   O
symptoms   O
,   O
Freeman   B-NAME
denied   O
fever   O
,   O
chills   O
,   O
diarrhea   O
,   O
blood   O
in   O
stool   O
,   O
urinary   O
symptoms   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
any   O
recent   O
travel   O
.   O

Upon   O
examination   O
,   O
Zola   B-NAME
,   I-NAME
Emile   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
with   O
a   O
temperature   O
of   O
98.6   O
°   O
F   O
,   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
pulse   O
rate   O
of   O
90   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
.   O

Following   O
the   O
diagnosis   O
,   O
Mao   B-NAME
Zedong   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Youngstown   I-LOCATION
Hosptial   I-LOCATION
under   O
the   O
care   O
of   O
Terrence   B-NAME
Schmitt   I-NAME
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
without   O
complications   O
on   O
22/0   B-DATE
.   O

Richards   B-NAME
received   O
pre   O
-   O
operative   O
and   O
post   O
-   O
operative   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Barrett   B-NAME
Hartman   I-NAME
was   O
discharged   O
on   O
2084   B-DATE
-   I-DATE
35   I-DATE
-   I-DATE
17   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
appointment   O
details   O
.   O

Follow   O
-   O
Up   O
:   O
Andreas   B-NAME
Aguilar   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Mark   B-NAME
Piper   I-NAME
in   O
the   O
surgical   O
outpatient   O
clinic   O
at   O
Prowers   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/23/16   B-DATE
to   O
monitor   O
recovery   O
progress   O
and   O
removal   O
of   O
sutures   O
.   O

Prescriptions   O
at   O
Discharge   O
:   O
Camryn   B-NAME
Winters   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
pain   O
management   O
medication   O
to   O
be   O
taken   O
as   O
directed   O
.   O

Pharmacy   O
details   O
:   O
Coalition   B-LOCATION
for   I-LOCATION
the   I-LOCATION
International   I-LOCATION
Criminal   I-LOCATION
Court   I-LOCATION
,   O
22076   B-CONTACT
.   O

Instructed   O
Phillip   B-NAME
Capra   I-NAME
to   O
monitor   O
for   O
signs   O
of   O
infection   O
around   O
the   O
wound   O
site   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

Xue   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
worsening   O
pain   O
,   O
or   O
any   O
concerns   O
related   O
to   O
recovery   O
.   O

This   O
report   O
was   O
prepared   O
by   O
ezz307   B-NAME
on   O
20/21/22   B-DATE
and   O
is   O
strictly   O
confidential   O
.   O

Patient   O
Name   O
:   O
Bush   B-NAME
Age   O
:   O
9   O
month   O
Date   O
of   O
Visit   O
:   O
1/04/36   B-DATE
Doctor   O
:   O
Kyan   B-NAME
Hardy   I-NAME
Hospital   O
:   O

Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
249   B-ID
-   I-ID
01   I-ID
-   I-ID
26   I-ID
-   I-ID
6   I-ID
Location   O
:   O

Augusta   B-LOCATION
Springs   I-LOCATION
ID   O
:   O
10   B-ID
-   I-ID
7063198   I-ID
Organization   O
:   O

Steel   B-LOCATION
Plant   I-LOCATION
Employees   I-LOCATION
Union   I-LOCATION
Phone   O
Number   O
:   O
389   B-CONTACT
766   I-CONTACT
-   I-CONTACT
9650   I-CONTACT
Profession   O
:   O
Power   O
Distributors   O
and   O
Dispatchers   O
Username   O
:   O
QY804   B-NAME
Zip   O
Code   O
:   O
70610   B-LOCATION
Clinical   O
Notes   O
:   O
Ainsley   B-NAME
Simon   I-NAME
,   O
a   O
55   O
-   O
year   O
-   O
old   O
Historians   O
residing   O
in   O
Paragon   B-LOCATION
Estates   I-LOCATION
,   O
with   O
zip   O
code   O
80564   B-LOCATION
,   O
presented   O
to   O
Orlando   B-LOCATION
Health   I-LOCATION
Health   I-LOCATION
Central   I-LOCATION
Hospital   I-LOCATION
on   O
00/03/2101   B-DATE
with   O
symptoms   O
suggestive   O
of   O
an   O
acute   O
exacerbation   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

Dailey   B-NAME
reported   O
a   O
progressive   O
increase   O
in   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
week   O
,   O
accompanied   O
by   O
a   O
productive   O
cough   O
with   O
greenish   O
sputum   O
.   O

Upon   O
examination   O
,   O
Dylan   B-NAME
Jones   I-NAME
exhibited   O
labored   O
breathing   O
with   O
an   O
increased   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
use   O
of   O
accessory   O
muscles   O
noted   O
.   O

Under   O
the   O
care   O
of   O
Valencia   B-NAME
,   O
the   O
patient   O
was   O
administered   O
nebulized   O
albuterol   O
and   O
ipratropium   O
bromide   O
,   O
which   O
resulted   O
in   O
a   O
mild   O
improvement   O
in   O
the   O
wheezing   O
.   O

Plans   O
were   O
made   O
for   O
Aydan   B-NAME
Moss   I-NAME
to   O
undergo   O
chest   O
radiography   O
to   O
evaluate   O
the   O
extent   O
of   O
the   O
pulmonary   O
involvement   O
and   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
to   O
assess   O
for   O
signs   O
of   O
infection   O
.   O

Heywood   B-NAME
,   I-NAME
John   I-NAME
's   O
48688468   B-ID
and   O
YC:43874:646795   B-ID
were   O
updated   O
to   O
reflect   O
these   O
interventions   O
and   O
the   O
ongoing   O
treatment   O
plan   O
.   O

Instructions   O
were   O
provided   O
for   O
Neal   B-NAME
Hudson   I-NAME
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Irwin   B-NAME
at   O
Ascension   B-LOCATION
River   I-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
in   O
two   O
weeks   O
,   O
or   O
sooner   O
if   O
symptoms   O
failed   O
to   O
improve   O
significantly   O
or   O
worsened   O
.   O

Oakley   B-NAME
was   O
encouraged   O
to   O
reach   O
out   O
to   O
the   O
support   O
line   O
provided   O
at   O
28650   B-CONTACT
for   O
further   O
assistance   O
with   O
smoking   O
cessation   O
resources   O
.   O

In   O
summary   O
,   O
Opal   B-NAME
Lanier   I-NAME
exhibited   O
symptoms   O
indicative   O
of   O
an   O
acute   O
exacerbation   O
of   O
COPD   O
,   O
warranting   O
prompt   O
medical   O
intervention   O
and   O
ongoing   O
management   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Gabriel   B-NAME
,   I-NAME
Peter   I-NAME
Patient   O
ID   O
:   O
JU:84645:549113   B-ID
Date   O
of   O
Birth   O
:   O
2/33   B-DATE
Age   O
:   O
67   O
Address   O
:   O
Spring   B-LOCATION
Mill   I-LOCATION
,   O
46699   B-LOCATION
Phone   O
Number   O
:   O
48515   B-CONTACT
Occupation   O
:   O
Recreation   O
and   O
Fitness   O
Studies   O
Teachers   O
,   O
Postsecondary   O
Username   O
:   O
fd425   B-NAME
Medical   O
Record   O
Number   O
:   O
19094213   B-ID
Admitting   O
Doctor   O
:   O
Mays   B-NAME
Admitting   O
Hospital   O
:   O
Adventist   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Bakersfield   I-LOCATION
Admission   O
Date   O
:   O
32   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
33   I-DATE
Discharge   O
Date   O
:   O
3/22   B-DATE
Medical   O
History   O
:   O

The   O
patient   O
,   O
Peters   B-NAME
,   O
presented   O
to   O
Northeast   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
06/07/2215   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

Given   O
the   O
severity   O
of   O
the   O
myocardial   O
infarction   O
,   O
Henry   B-NAME
recommended   O
coronary   O
angiography   O
,   O
which   O
revealed   O
significant   O
blockages   O
requiring   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Lisha   B-NAME
Purcell   I-NAME
advised   O
the   O
patient   O
to   O
attend   O
cardiac   O
rehabilitation   O
and   O
prescribed   O
medications   O
for   O
ongoing   O
management   O
,   O
including   O
aspirin   O
,   O
statins   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
ACE   O
inhibitors   O
.   O

Laqueta   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
Inova   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
's   O
Cardiology   O
Department   O
on   O
28/06/72   B-DATE
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Nash   B-NAME
Huffman   I-NAME
's   O
Property   O
,   O
Real   O
Estate   O
,   O
and   O
Community   O
Association   O
Managers   O
Phone   O
:   O
24992   B-CONTACT
Relationship   O
:   O

Computer   O
Occupations   O
,   O
All   O
Other   O
Billing   O
Information   O
:   O
Organization   O
:   O
TIAA   B-LOCATION
-   I-LOCATION
CREF   I-LOCATION
Billing   O
Address   O
:   O
Michigan   B-LOCATION
City   I-LOCATION
,   I-LOCATION
Michigan   I-LOCATION
City   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Association   I-LOCATION
,   O
45843   B-LOCATION
Account   O
Number   O
:   O
QN   B-ID
:   I-ID
FD:7429   I-ID
This   O
report   O
is   O
confidential   O
and   O
contains   O
PHI   O
protected   O
under   O
HIPAA   O
.   O

Patient   O
Information   O
Report   O
------------------------------   O
Patient   O
Name   O
:   O
Janelle   B-NAME
Patient   O
ID   O
:   O
PG:5741:362846   B-ID
Medical   O
Record   O
Number   O
:   O
4354056   B-ID
Date   O
of   O
Birth   O
:   O
10/22/30   B-DATE
Age   O
:   O
20   O
Address   O
:   O
Hollister   B-LOCATION
,   O
99087   B-LOCATION
Phone   O
Number   O
:   O
954   B-CONTACT
8216   I-CONTACT
Employment   O
:   O
Pressers   O
,   O
Hand   O
at   O
International   B-LOCATION
Affiliation   I-LOCATION
of   I-LOCATION
Writers   I-LOCATION
Guilds   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Leif   B-NAME
Aston   I-NAME
Treatment   O
Facility   O
:   O
Southwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Liberal   I-LOCATION
Medical   O
History   O
:   O
----------------   O
English   B-NAME
presented   O
with   O
a   O
complex   O
medical   O
history   O
during   O
the   O
initial   O
consultation   O
on   O
3/2   B-DATE
.   O

BS   B-NAME
also   O
reported   O
experiencing   O
migraines   O
with   O
aura   O
approximately   O
twice   O
a   O
month   O
,   O
contributing   O
to   O
significant   O
distress   O
and   O
impairment   O
in   O
daily   O
functioning   O
.   O
Symptoms   O
and   O
Evaluation   O
:   O
-------------------------   O
A   O
detailed   O
evaluation   O
on   O
1/44   B-DATE
revealed   O
the   O
following   O
symptoms   O
:   O
-   O
Frequent   O
bilateral   O
tension   O
headaches   O
,   O
described   O
as   O
a   O
"   O
tight   O
band   O
"   O
around   O
the   O
head   O
.   O

These   O
migraine   O
episodes   O
are   O
associated   O
with   O
nausea   O
,   O
vomiting   O
,   O
and   O
visual   O
disturbances   O
(   O
auras   O
)   O
,   O
significantly   O
hindering   O
Rudy   B-NAME
Silva   I-NAME
's   O
ability   O
to   O
perform   O
at   O
work   O
.   O

-   O
Sampson   B-NAME
reported   O
an   O
increase   O
in   O
the   O
frequency   O
and   O
intensity   O
of   O
these   O
episodes   O
over   O
the   O
past   O
81   O
months   O
.   O
-   O

A   O
neurologic   O
examination   O
performed   O
by   O
Hardy   B-NAME
at   O
Upper   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
did   O
not   O
reveal   O
any   O
significant   O
abnormalities   O
,   O
suggesting   O
that   O
the   O
headaches   O
are   O
not   O
secondary   O
to   O
another   O
medical   O
condition   O
.   O

Diagnostic   O
Tests   O
:   O
------------------   O
Further   O
investigative   O
tests   O
conducted   O
on   O
2/2082   B-DATE
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
.   O

----------------   O
Given   O
the   O
frequency   O
and   O
severity   O
of   O
the   O
headaches   O
,   O
a   O
comprehensive   O
treatment   O
plan   O
was   O
devised   O
by   O
Yazmin   B-NAME
Rowland   I-NAME
on   O
30/01   B-DATE
.   O

For   O
acute   O
migraine   O
attacks   O
,   O
Mclean   B-NAME
has   O
been   O
prescribed   O
a   O
triptan   O
,   O
to   O
be   O
used   O
as   O
needed   O
.   O

Additionally   O
,   O
Baltus   B-NAME
Dunten   I-NAME
is   O
encouraged   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
track   O
the   O
headaches   O
'   O
frequency   O
,   O
duration   O
,   O
associated   O
symptoms   O
,   O
and   O
any   O
potential   O
triggers   O
.   O

Behavioral   O
therapy   O
and   O
stress   O
management   O
techniques   O
will   O
be   O
introduced   O
to   O
help   O
Shamar   B-NAME
Pearson   I-NAME
manage   O
stressors   O
,   O
potentially   O
reducing   O
the   O
frequency   O
of   O
headache   O
episodes   O
.   O

Klukken   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
Sparrow   B-LOCATION
Clinton   I-LOCATION
Hospital   I-LOCATION
with   O
Ayers   B-NAME
on   O
03/08   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

In   O
conclusion   O
,   O
Woods   B-NAME
's   O
case   O
of   O
recurrent   O
tension   O
-   O
type   O
headaches   O
and   O
migraines   O
with   O
aura   O
represents   O
a   O
significant   O
impact   O
on   O
quality   O
of   O
life   O
but   O
is   O
manageable   O
with   O
a   O
comprehensive   O
treatment   O
approach   O
.   O

Continued   O
collaboration   O
between   O
Knight   B-NAME
,   O
Lamb   B-NAME
,   O
and   O
the   O
multidisciplinary   O
team   O
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Centennial   I-LOCATION
will   O
be   O
crucial   O
in   O
achieving   O
optimal   O
outcomes   O
.   O

Prepared   O
by   O
:   O
IO981   B-NAME
Date   O
:   O
4/28   B-DATE

Patient   O
Name   O
:   O
Noel   B-NAME
French   I-NAME
Date   O
of   O
Birth   O
:   O
55   O
Date   O
of   O
visit   O
:   O
2083   B-DATE
Medical   O
Record   O
Number   O
:   O
720   B-ID
-   I-ID
72   I-ID
-   I-ID
03   I-ID
-   I-ID
9   I-ID
Phone   O
Number   O
:   O
29978   B-CONTACT
Residence   O
:   O
NR70   B-LOCATION
5HI   I-LOCATION
,   O
65913   B-LOCATION

Campbell   B-NAME
Hospital   O
:   O

South   B-LOCATION
Florida   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Ellis   B-NAME
Ford   I-NAME
,   O
a   O
Distance   O
Learning   O
Coordinators   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
2207   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
persistent   O
for   O
the   O
past   O
6   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
mentioned   O
that   O
the   O
onset   O
of   O
the   O
pain   O
was   O
sudden   O
,   O
occurring   O
late   O
in   O
the   O
evening   O
of   O
03/38/2216   B-DATE
.   O

Strangelove   B-NAME
initially   O
brushed   O
off   O
the   O
discomfort   O
,   O
attributing   O
it   O
to   O
possible   O
indigestion   O
.   O

However   O
,   O
as   O
hours   O
progressed   O
,   O
the   O
intensity   O
of   O
the   O
pain   O
escalated   O
compelling   O
Maximinus   B-NAME
Daia   I-NAME
Falasco   I-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

Medical   O
History   O
:   O
DH   B-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Kimama   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
Blood   O
pressure   O
of   O
140/90   O
mmHg   O
,   O
pulse   O
rate   O
of   O
105   O
bpm   O
,   O
temperature   O
of   O
99.8   O
°   O
F   O
,   O
and   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

Abdominal   O
ultrasonography   O
was   O
ordered   O
by   O
Gephardt   B-NAME
,   I-NAME
Dick   I-NAME
,   O
which   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
surrounding   O
fluid   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
and   O
Plan   O
:   O
Ann   B-NAME
Vandenberg   I-NAME
was   O
given   O
intravenous   O
hydration   O
,   O
antibiotics   O
,   O
and   O
analgesics   O
for   O
immediate   O
relief   O
and   O
to   O
manage   O
infection   O
.   O

Cline   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consult   O
for   O
a   O
laparoscopic   O
appendectomy   O
.   O

Wilkerson   B-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
including   O
the   O
potential   O
risks   O
and   O
benefits   O
.   O

Consent   O
was   O
obtained   O
,   O
and   O
Crimmins   B-NAME
,   I-NAME
Barry   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
the   O
morning   O
of   O
11/06   B-DATE
at   O
Ogden   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Postoperative   O
follow   O
-   O
up   O
was   O
scheduled   O
for   O
2/92   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Yang   B-NAME
was   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
along   O
with   O
pain   O
management   O
medications   O
.   O

Conclusion   O
:   O
The   O
prompt   O
diagnosis   O
and   O
management   O
of   O
acute   O
appendicitis   O
in   O
Salas   B-NAME
potentially   O
prevented   O
more   O
severe   O
complications   O
.   O

Nelia   B-NAME
Eilerman   I-NAME
will   O
require   O
close   O
monitoring   O
during   O
the   O
postoperative   O
period   O
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
638   B-ID
-   I-ID
39   I-ID
-   I-ID
93   I-ID
-   I-ID
1   I-ID
Name   O
:   O
Perez   B-NAME
Age   O
:   O
15   O
Contact   O
Number   O
:   O
(   B-CONTACT
152   I-CONTACT
)   I-CONTACT
116   I-CONTACT
-   I-CONTACT
7034   I-CONTACT
Address   O
:   O
New   B-LOCATION
Orleans   I-LOCATION
,   O
36618   B-LOCATION
Employment   O
:   O
Rail   O
Yard   O
Engineers   O
,   O
Dinkey   O
Operators   O
,   O
and   O
Hostlers   O
at   O
Irish   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
Physician   O
:   O

Cassius   B-NAME
Randall   I-NAME
Hospital   O
:   O

Milford   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
0028   B-DATE
Medical   O
Record   O
Number   O
:   O
130   B-ID
-   I-ID
13   I-ID
-   I-ID
25   I-ID
-   I-ID
8   I-ID
Patient   O
Gabrielle   B-NAME
Cunningham   I-NAME
presented   O
to   O
Louis   B-LOCATION
Smith   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
31/22   B-DATE
with   O
a   O
history   O
of   O
intermittent   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
persisting   O
over   O
the   O
last   O
April   B-DATE
4   I-DATE
.   O

Accompanying   O
symptoms   O
included   O
a   O
mild   O
fever   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
which   O
increased   O
in   O
frequency   O
over   O
the   O
past   O
3/06   B-DATE
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
outside   O
Timber   B-LOCATION
Cove   I-LOCATION
or   O
any   O
changes   O
in   O
diet   O
or   O
lifestyle   O
.   O

The   O
patient   O
’s   O
medical   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
a   O
cholecystectomy   O
00/35   B-DATE
.   O

Franco   B-NAME
Manning   I-NAME
is   O
currently   O
taking   O
Metformin   O
and   O
has   O
a   O
known   O
allergy   O
to   O
penicillin   O
.   O

A   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Leon   B-NAME
Pope   I-NAME
and   O
an   O
immediate   O
surgical   O
consultation   O
was   O
recommended   O
.   O

For   O
further   O
communication   O
,   O
please   O
contact   O
the   O
patient   O
through   O
116   B-CONTACT
-   I-CONTACT
4160   I-CONTACT
or   O
the   O
primary   O
care   O
physician   O
,   O
Nunez   B-NAME
,   O
at   O
Healtheast   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
up   O
after   O
the   O
surgery   O
and   O
post   O
-   O
operation   O
recovery   O
will   O
be   O
managed   O
at   O
Harbor   B-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
any   O
changes   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
communicated   O
accordingly   O
.   O

Continuity   O
of   O
care   O
for   O
the   O
patient   O
under   O
the   O
identifier   O
241   B-ID
-   I-ID
26   I-ID
-   I-ID
98   I-ID
-   I-ID
5   I-ID
will   O
be   O
upheld   O
with   O
strict   O
adherence   O
to   O
privacy   O
and   O
security   O
guidelines   O
.   O

Patient   O
Report   O
for   O
Yamashita   B-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
20   O
-   O
Date   O
of   O
Birth   O
:   O
22/20   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
56228404   B-ID
-   O
ID   O
Number   O
:   O
GM   B-ID
:   I-ID
TF:5921   I-ID
-   O
Address   O
:   O
Spring   B-LOCATION
Lake   I-LOCATION
Park   I-LOCATION
,   O
84558   B-LOCATION
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
307   I-CONTACT
)   I-CONTACT
314   I-CONTACT
-   I-CONTACT
2964   I-CONTACT
-   O
Attending   O
Physician   O
:   O
Begin   B-NAME
,   I-NAME
Menachem   I-NAME
-   O
Hospital   O
:   O
Lexington   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Occupation   O
:   O
Massage   O
Therapists   O
-   O
Username   O
:   O
TW449   B-NAME
Medical   O
History   O
:   O
AVILA   B-NAME
,   I-NAME
KRISTOPHER   I-NAME
presented   O
to   O
CHI   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
North   I-LOCATION
on   O
36/11   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Examination   O
and   O
Diagnosis   O
:   O
Upon   O
examination   O
,   O
Jamari   B-NAME
Page   I-NAME
exhibited   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

An   O
abdominal   O
ultrasound   O
,   O
ordered   O
by   O
Lee   B-NAME
,   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
without   O
any   O
complications   O
such   O
as   O
perforation   O
or   O
abscess   O
formation   O
.   O

Markus   B-NAME
Mendez   I-NAME
was   O
advised   O
immediate   O
surgical   O
intervention   O
for   O
an   O
appendectomy   O
.   O

The   O
patient   O
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
on   O
03/11/2032   B-DATE
at   O
Mount   B-LOCATION
Pleasant   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
procedure   O
was   O
performed   O
by   O
Ayanna   B-NAME
Owens   I-NAME
without   O
any   O
complications   O
.   O

Post   O
-   O
operative   O
instructions   O
included   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
20/32   B-DATE
.   O
Follow   O
-   O
Up   O
:   O
Mckenna   B-NAME
Wheeler   I-NAME
was   O
seen   O
in   O
the   O
outpatient   O
department   O
on   O
0/29   B-DATE
for   O
a   O
post   O
-   O
operative   O
evaluation   O
.   O

Conclusion   O
:   O
Kachina   B-NAME
's   O
condition   O
improved   O
significantly   O
post   O
-   O
appendectomy   O
,   O
with   O
no   O
immediate   O
complications   O
.   O

It   O
is   O
recommended   O
that   O
Mila   B-NAME
Grinman   I-NAME
follow   O
up   O
in   O
one   O
month   O
or   O
sooner   O
if   O
there   O
are   O
any   O
signs   O
of   O
infection   O
or   O
other   O
concerns   O
.   O

Tucker   B-NAME
was   O
educated   O
on   O
the   O
signs   O
of   O
possible   O
complications   O
and   O
instructed   O
to   O
contact   O
Knox   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
or   O
850   B-CONTACT
3546   I-CONTACT
for   O
any   O
urgent   O
queries   O
.   O

This   O
report   O
is   O
confidential   O
and   O
should   O
not   O
be   O
shared   O
without   O
proper   O
consent   O
from   O
Julius   B-NAME
Strickland   I-NAME
.   O

For   O
any   O
further   O
clarification   O
or   O
information   O
regarding   O
this   O
medical   O
report   O
,   O
please   O
contact   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Aurora   I-LOCATION
at   O
865   B-CONTACT
964   I-CONTACT
8223   I-CONTACT
.   O

BankFirst   B-LOCATION
is   O
committed   O
to   O
providing   O
quality   O
healthcare   O
and   O
respects   O
patient   O
privacy   O
and   O
confidentiality   O
.   O

Report   O
Prepared   O
By   O
:   O
Joseph   B-NAME
Prang   I-NAME
12/36/2023   B-DATE

Patient   O
Name   O
:   O
J.   B-NAME
Needham   I-NAME
Age   O
:   O
65   O
Medical   O
Record   O
Number   O
:   O
16073   B-ID
ID   O
Number   O
:   O
4   B-ID
-   I-ID
8285949   I-ID
Address   O
:   O
North   B-LOCATION
Muskegon   I-LOCATION
,   O
65088   B-LOCATION
Employment   O
:   O
Archivist   O
Phone   O
Number   O
:   O
(   B-CONTACT
370   I-CONTACT
)   I-CONTACT
526   I-CONTACT
4083   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Leandro   B-NAME
Wood   I-NAME
Referred   O
by   O
:   O
Mejia   B-NAME
Date   O
of   O
Visit   O
:   O
0/2217   B-DATE
Hospital   O
:   O

Guthrie   B-LOCATION
Cortland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Momoedonu   B-NAME
,   I-NAME
Tevita   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
9/9/36   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
exacerbated   O
by   O
mild   O
exertion   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
1727   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
17   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jamal   B-NAME
Campbell   I-NAME
described   O
the   O
onset   O
of   O
symptoms   O
approximately   O
12/29   B-DATE
prior   O
to   O
this   O
visit   O
,   O
initially   O
dismissing   O
them   O
as   O
related   O
to   O
seasonal   O
allergies   O
.   O

However   O
,   O
with   O
persistent   O
symptoms   O
worsening   O
,   O
Knox   B-NAME
sought   O
evaluation   O
.   O

Past   O
Medical   O
History   O
:   O
Mikel   B-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Spring   B-NAME
Geneseo   I-NAME
denies   O
any   O
allergic   O
reactions   O
or   O
significant   O
family   O
medical   O
history   O
.   O

Upon   O
examination   O
,   O
Qu   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
discomfort   O
from   O
breathing   O
.   O

The   O
patient   O
was   O
started   O
on   O
a   O
diuretic   O
for   O
symptom   O
management   O
and   O
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
22/13   B-DATE
.   O

Nigel   B-NAME
Watts   I-NAME
was   O
instructed   O
to   O
seek   O
immediate   O
care   O
if   O
symptoms   O
significantly   O
worsen   O
.   O

Patient   O
Name   O
:   O
Eveline   B-NAME
Dikkers   I-NAME
Patient   O
ID   O
:   O
BQ:9324:966641   B-ID
Date   O
of   O
Birth   O
:   O
22/32   B-DATE
Age   O
:   O
66   O
Address   O
:   O
Siasconset   B-LOCATION
,   O
65088   B-LOCATION
Employment   O
:   O
Food   O
Preparation   O
Workers   O
at   O
Depression   B-LOCATION
and   I-LOCATION
Bipolar   I-LOCATION
Support   I-LOCATION
Alliance   I-LOCATION
-   I-LOCATION
DBSA   I-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
881   I-CONTACT
)   I-CONTACT
246   I-CONTACT
6523   I-CONTACT
Medical   O
Record   O
Number   O
:   O
13806156   B-ID
Admission   O
Date   O
:   O
30/98   B-DATE
Referring   O
Physician   O
:   O
Dr.   O
Norris   B-NAME
Admitting   O
Hospital   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
Kokomo   I-LOCATION
Subjective   O
:   O
Simeon   B-NAME
Klein   I-NAME
,   O
a   O
22   O
-   O
year   O
-   O
old   O
Health   O
Diagnosing   O
and   O
Treating   O
Practitioners   O
,   O
All   O
Other   O
working   O
at   O
Food   B-LOCATION
Addicts   I-LOCATION
in   I-LOCATION
Recovery   I-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
FA   I-LOCATION
)   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Atrium   B-LOCATION
Health   I-LOCATION
Lincoln   I-LOCATION
on   O
01/15   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
which   O
was   O
described   O
as   O
a   O
sharp   O
,   O
persistent   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
onset   O
was   O
sudden   O
,   O
approximately   O
1/23   B-DATE
,   O
and   O
has   O
progressively   O
worsened   O
.   O

Abdullah   B-NAME
Simpson   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
early   O
on   O
01/11   B-DATE
.   O

Denies   O
any   O
recent   O
travel   O
outside   O
Lake   B-LOCATION
Bosworth   I-LOCATION
or   O
any   O
changes   O
in   O
dietary   O
habits   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
Talan   B-NAME
Johns   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
Temperature   O
38.1   O
°   O
C   O
,   O
Pulse   O
98   O
bpm   O
,   O
Respiratory   O
Rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
Blood   O
Pressure   O
130/85   O
mmHg   O
.   O

Robert   B-NAME
Astin   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
to   O
confirm   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Pending   O
confirmation   O
,   O
surgical   O
consultation   O
with   O
Dr.   O
Rollins   B-NAME
will   O
be   O
arranged   O
for   O
possible   O
appendectomy   O
.   O

Lawson   B-NAME
Flynn   I-NAME
was   O
started   O
on   O
IV   O
fluids   O
and   O
IV   O
antibiotics   O
as   O
per   O
the   O
recommendation   O
of   O
Dr.   O
Shea   B-NAME
.   O

Instructions   O
for   O
Taylor   B-NAME
Bowman   I-NAME
:   O
1   O
.   O

Kathy   B-NAME
Chandler   I-NAME
or   O
a   O
family   O
member   O
is   O
instructed   O
to   O
call   O
316   B-CONTACT
-   I-CONTACT
2717   I-CONTACT
for   O
any   O
worsening   O
of   O
symptoms   O
or   O
concerns   O
.   O

Follow   O
-   O
Up   O
:   O
Hanna   B-NAME
Davies   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
33/26/34   B-DATE
post   O
-   O
operatively   O
,   O
assuming   O
no   O
complications   O
arise   O
from   O
the   O
suggested   O
surgical   O
intervention   O
.   O

Acknowledgment   O
:   O
Yael   B-NAME
Keeler   I-NAME
consented   O
to   O
the   O
proposed   O
diagnostic   O
tests   O
and   O
treatment   O
plan   O
on   O
05/07   B-DATE
.   O

All   O
explanations   O
were   O
provided   O
in   O
a   O
language   O
understood   O
by   O
Faziel   B-NAME
Jingst   I-NAME
,   O
and   O
all   O
questions   O
were   O
addressed   O
.   O

Copy   O
of   O
the   O
report   O
has   O
been   O
sent   O
to   O
:   O
-   O
Referring   O
Physician   O
:   O
Dr.   O
Cody   B-NAME
Ortega   I-NAME
-   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Aguirre   B-NAME
-   O
Lutheran   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Records   O
Notice   O
of   O
Privacy   O
Practices   O
was   O
reviewed   O
with   O
Kallie   B-NAME
Blankenship   I-NAME
on   O
February   B-DATE
,   O
highlighting   O
the   O
confidentiality   O
of   O
their   O
health   O
information   O
as   O
per   O
HIPAA   O
guidelines   O
.   O

Prepared   O
by   O
:   O
KC591   B-NAME
,   O
01   B-DATE
-   I-DATE
05   I-DATE
Contact   O
Information   O
for   O
Queries   O
:   O
198   B-CONTACT
5471   I-CONTACT

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Signe   B-NAME
Auala   I-NAME
Patient   O
ID   O
:   O
EE662/1715   B-ID
Medical   O
Record   O
Number   O
:   O
183   B-ID
-   I-ID
97   I-ID
-   I-ID
25   I-ID
Date   O
of   O
Birth   O
:   O
07/12   B-DATE
Age   O
:   O
2   O
week   O
Address   O
:   O
Bishop   B-LOCATION
Hill   I-LOCATION
,   O
40676   B-LOCATION
Phone   O
Number   O
:   O
613   B-CONTACT
-   I-CONTACT
676   I-CONTACT
1304   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Davis   B-NAME
Hospital   O
:   O
Rehoboth   B-LOCATION
McKinley   I-LOCATION
Christian   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Services   I-LOCATION

Presenting   O
Complaints   O
:   O
Ogilvy   B-NAME
,   I-NAME
David   I-NAME
,   O
a   O
Police   O
Patrol   O
Officers   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
22/12/30   B-DATE
with   O
complaints   O
of   O
persistently   O
elevated   O
temperatures   O
reaching   O
up   O
to   O
38.5   O
°   O
C   O
,   O
severe   O
bouts   O
of   O
coughing   O
,   O
and   O
difficulty   O
breathing   O
that   O
have   O
persisted   O
for   O
the   O
past   O
9   B-DATE
-   I-DATE
21   I-DATE
.   O

Past   O
hospitalizations   O
include   O
a   O
documented   O
case   O
of   O
pneumonia   O
in   O
8/60   B-DATE
treated   O
at   O
Hillcrest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
patient   O
's   O
last   O
influenza   O
vaccination   O
was   O
recorded   O
on   O
03/16   B-DATE
.   O

Review   O
of   O
Symptoms   O
:   O
Livia   B-NAME
Young   I-NAME
described   O
an   O
onset   O
of   O
symptoms   O
approximately   O
10/50   B-DATE
ago   O
,   O
starting   O
with   O
mild   O
fatigue   O
and   O
a   O
sore   O
throat   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
quiggle   B-NAME
appeared   O
distressed   O
with   O
notable   O
difficulty   O
in   O
breathing   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
12   B-DATE
-   I-DATE
9   I-DATE
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Oceanside   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
indicated   O
patchy   O
infiltrates   O
in   O
the   O
lower   O
lobe   O
of   O
the   O
right   O
lung   O
,   O
suggestive   O
of   O
pneumonia   O
.   O

Blood   O
cultures   O
have   O
been   O
sent   O
to   O
Pinehurst   B-LOCATION
Bank   I-LOCATION
laboratory   O
for   O
bacterial   O
identification   O
and   O
sensitivity   O
testing   O
.   O

Management   O
Plan   O
:   O
Paz   B-NAME
has   O
been   O
prescribed   O
a   O
7   O
-   O
day   O
course   O
of   O
oral   O
antibiotics   O
,   O
with   O
instructions   O
to   O
complete   O
the   O
entire   O
course   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
1/31/2340   B-DATE
to   O
reassess   O
progress   O
and   O
review   O
blood   O
culture   O
results   O
.   O

Sherman   B-NAME
is   O
to   O
monitor   O
temperature   O
and   O
report   O
any   O
significant   O
changes   O
in   O
symptoms   O
,   O
including   O
but   O
not   O
limited   O
to   O
,   O
increased   O
difficulty   O
breathing   O
,   O
persistent   O
high   O
fever   O
,   O
or   O
altered   O
mental   O
status   O
,   O
by   O
calling   O
369   B-CONTACT
-   I-CONTACT
2481   I-CONTACT
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
Samuel   B-NAME
Vinson   I-NAME
or   O
family   O
members   O
are   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
636   B-CONTACT
-   I-CONTACT
4570   I-CONTACT
or   O
proceed   O
to   O
the   O
nearest   O
hospital   O
,   O
Palms   B-LOCATION
of   I-LOCATION
Pasadena   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
is   O
encouraged   O
to   O
utilize   O
the   O
Dirt   B-LOCATION
Cheap   I-LOCATION
patient   O
portal   O
(   O
login   O
:   O
EC939   B-NAME
)   O
for   O
access   O
to   O
medical   O
records   O
,   O
lab   O
results   O
,   O
and   O
direct   O
communication   O
with   O
healthcare   O
providers   O
.   O

Prepared   O
by   O
:   O
Lester   B-NAME
Date   O
:   O
08/32   B-DATE
L214   B-LOCATION
Health   O
System   O

Patient   O
Name   O
:   O
Knapman   B-NAME
,   I-NAME
Roger   I-NAME
Age   O
:   O
68   O
Address   O
:   O
Donnellson   B-LOCATION
,   O
85211   B-LOCATION
Phone   O
Number   O
:   O
83320   B-CONTACT
Occupation   O
:   O
Proofreaders   O
and   O
Copy   O
Markers   O
Username   O
:   O
RC334   B-NAME
Medical   O
Record   O
Number   O
:   O
4525815   B-ID
Physician   O
Name   O
:   O
Kerr   B-NAME
Hospital   O
:   O
Sioux   B-LOCATION
Center   I-LOCATION
Health   I-LOCATION
Date   O
of   O
Visit   O
:   O
2247   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
25   I-DATE
ID   O
Number   O
:   O
WS145/8156   B-ID
Chief   O
Complaint   O
:   O
Giovanni   B-NAME
Brown   I-NAME
presented   O
to   O
Mease   B-LOCATION
Dunedin   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
on   O
2092   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
rated   O
8/10   O
on   O
the   O
pain   O
scale   O
,   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Belle   B-NAME
Mccloskey   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
,   O
without   O
any   O
presence   O
of   O
blood   O
.   O

History   O
of   O
Presenting   O
Illness   O
:   O
Jenell   B-NAME
Giraldo   I-NAME
described   O
the   O
pain   O
as   O
persistent   O
,   O
with   O
no   O
relieving   O
factors   O
.   O

Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
Francis   I-NAME
Jr.   I-NAME
denied   O
any   O
recent   O
trauma   O
or   O
injury   O
to   O
the   O
abdomen   O
.   O

However   O
,   O
Branson   B-NAME
Roth   I-NAME
reported   O
experiencing   O
a   O
slight   O
fever   O
and   O
chills   O
since   O
the   O
early   O
morning   O
of   O
3/2/2270   B-DATE
.   O

Schopenhauer   B-NAME
,   I-NAME
Arthur   I-NAME
has   O
no   O
significant   O
past   O
medical   O
history   O
or   O
surgical   O
history   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
gastrointestinal   O
and   O
general   O
symptoms   O
described   O
,   O
Brown   B-NAME
,   I-NAME
Alton   I-NAME
denied   O
any   O
respiratory   O
distress   O
,   O
palpitations   O
,   O
chest   O
pain   O
,   O
or   O
edema   O
.   O

Neurologically   O
,   O
Jenell   B-NAME
is   O
alert   O
and   O
oriented   O
,   O
with   O
no   O
focal   O
deficits   O
.   O

On   O
examination   O
by   O
Maximilian   B-NAME
Santiago   I-NAME
at   O
Intermountain   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32   B-DATE
-   I-DATE
31   I-DATE
,   O
Paulson   B-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Imaging   O
:   O
Computed   O
Tomography   O
(   O
CT   O
)   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Mcbride   B-NAME
on   O
2306   B-DATE
,   O
showed   O
findings   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Cadee   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Ruben   B-NAME
King   I-NAME
from   O
St.   B-LOCATION
Vincent   I-LOCATION
Kokomo   I-LOCATION
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Skylar   B-NAME
Sharp   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
consented   O
to   O
proceed   O
.   O

Tilopa   B-NAME
was   O
admitted   O
to   O
Northeast   B-LOCATION
Alabama   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
surgical   O
intervention   O
scheduled   O
for   O
04/22/2231   B-DATE
.   O
Follow   O
-   O
Up   O
:   O
Levy   B-NAME
will   O
be   O
closely   O
monitored   O
post   O
-   O
operatively   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Simon   B-NAME
is   O
scheduled   O
to   O
follow   O
up   O
with   O
Carson   B-NAME
at   O
ProMedica   B-LOCATION
Bixby   I-LOCATION
Hospital   I-LOCATION
on   O
05/01   B-DATE
for   O
a   O
post   O
-   O
operative   O
assessment   O
and   O
wound   O
evaluation   O
.   O

Conclusion   O
:   O
Hebron   B-NAME
,   O
a   O
8   O
week   O
year   O
-   O
old   O
Vocational   O
Education   O
Teachers   O
,   O
Middle   O
School   O
from   O
Polkville   B-LOCATION
,   O
38142   B-LOCATION
,   O
presented   O
with   O
acute   O
appendicitis   O
and   O
underwent   O
a   O
successful   O
appendectomy   O
at   O
Cullman   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Crosby   B-NAME
.   O

Patient   O
Name   O
:   O
Bunny   B-NAME
Willis   I-NAME
Medical   O
Record   O
:   O
670   B-ID
-   I-ID
73   I-ID
-   I-ID
32   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
32/26/92   B-DATE
Age   O
:   O
5   O
month   O
Address   O
:   O
Lowell   B-LOCATION
,   O
11851   B-LOCATION
Phone   O
:   O
(   B-CONTACT
793   I-CONTACT
)   I-CONTACT
847   I-CONTACT
5628   I-CONTACT

Wade   B-NAME
Hospital   O
:   O
Castleview   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
20/22/2028   B-DATE
ID   O
:   O
3511806   B-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Training   O
and   O
Development   O
Specialists   O
by   O
profession   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
West   B-LOCATION
Suburban   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
6/10   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
high   O
fever   O
of   O
102   O
°   O
F   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Bates   B-NAME
indicated   O
that   O
the   O
pain   O
was   O
sudden   O
in   O
onset   O
,   O
initially   O
mild   O
and   O
diffuse   O
,   O
but   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
within   O
a   O
few   O
hours   O
.   O

Associated   O
symptoms   O
included   O
nausea   O
without   O
vomiting   O
,   O
loss   O
of   O
appetite   O
,   O
and   O
a   O
single   O
episode   O
of   O
diarrhea   O
on   O
the   O
morning   O
of   O
38/22   B-DATE
.   O

Shaman   B-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Social   O
History   O
:   O
Colon   B-NAME
is   O
a   O
Laborers   O
and   O
Freight   O
,   O
Stock   O
,   O
and   O
Material   O
Movers   O
,   O
Hand   O
,   O
denies   O
smoking   O
,   O
and   O
reports   O
occasional   O
alcohol   O
use   O
.   O

Zack   B-NAME
Gill   I-NAME
lives   O
alone   O
in   O
Castle   B-LOCATION
Cary   I-LOCATION
.   O

Diagnostic   O
:   O
Upon   O
examination   O
,   O
Cochran   B-NAME
,   I-NAME
Johnnie   I-NAME
's   O
abdominal   O
area   O
was   O
tender   O
,   O
particularly   O
in   O
the   O
McBurney   O
's   O
point   O
area   O
.   O

Admission   O
to   O
Valley   B-LOCATION
View   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
monitoring   O
and   O
management   O
.   O

Follow   O
-   O
up   O
:   O
Badiou   B-NAME
,   I-NAME
Alain   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
21/23   B-DATE
after   O
the   O
consultation   O
with   O
the   O
surgeon   O
,   O
Bombeck   B-NAME
,   I-NAME
Erma   I-NAME
.   O

Post   O
-   O
operative   O
instructions   O
were   O
provided   O
,   O
including   O
signs   O
of   O
infection   O
,   O
activity   O
restrictions   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
scheduling   O
in   O
the   O
surgical   O
department   O
of   O
Morton   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Elkhart   I-LOCATION
on   O
0325   B-DATE
.   O

For   O
any   O
urgent   O
issues   O
,   O
please   O
contact   O
the   O
emergency   O
department   O
at   O
Wesley   B-LOCATION
Woodlawn   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
ER   I-LOCATION
via   O
448   B-CONTACT
4878   I-CONTACT
.   O

To   O
discuss   O
the   O
plan   O
or   O
for   O
any   O
queries   O
regarding   O
the   O
treatment   O
,   O
please   O
reach   O
out   O
to   O
Kayleigh   B-NAME
Knox   I-NAME
at   O
the   O
above   O
number   O
or   O
contact   O
Desiree   B-NAME
Cannon   I-NAME
's   O
primary   O
care   O
physician   O
.   O

Username   O
of   O
the   O
preparer   O
:   O
eva682   B-NAME
Date   O
:   O
2022   B-DATE

Patient   O
Name   O
:   O
Reuben   B-NAME
Pineda   I-NAME
Age   O
:   O
33   O
Date   O
of   O
Birth   O
:   O
32/11   B-DATE
Address   O
:   O
Kellogg   B-LOCATION
,   O
44116   B-LOCATION
Phone   O
:   O
158   B-CONTACT
452   I-CONTACT
-   I-CONTACT
5687   I-CONTACT
Occupation   O
:   O

Mental   O
Health   O
and   O
Substance   O
Abuse   O
Social   O
Workers   O
Medical   O
Record   O
Number   O
:   O
3340049   B-ID
Appointment   O
Date   O
:   O
Tuesday   B-DATE
,   I-DATE
October   I-DATE
23   I-DATE
,   I-DATE
2099   I-DATE

Roy   B-NAME
Collins   I-NAME
Hospital   O
:   O
Ashtabula   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
ID   O
:   O
YB   B-ID
:   I-ID
SL:3451   I-ID
Summary   O
:   O
Judah   B-NAME
Robbins   I-NAME
presented   O
to   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Pocono   I-LOCATION
on   O
2122   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
constant   O
,   O
worsening   O
over   O
a   O
2200   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
02   I-DATE
period   O
.   O

Gerry   B-NAME
Baldwin   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
fever   O
measured   O
at   O
home   O
to   O
be   O
102   O
°   O
F   O
(   O
22/02/2092   B-DATE
)   O
.   O

On   O
examination   O
,   O
Isabella   B-NAME
Fleming   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
with   O
vital   O
signs   O
showing   O
tachycardia   O
(   O
heart   O
rate   O
of   O
110   O
bpm   O
)   O
,   O
a   O
fever   O
of   O
101.5   O
°   O
F   O
,   O
and   O
blood   O
pressure   O
within   O
normal   O
limits   O
.   O

The   O
radiologist   O
,   O
Clay   B-NAME
,   O
noted   O
an   O
enlarged   O
appendix   O
measuring   O
11   O
mm   O
in   O
diameter   O
with   O
periappendiceal   O
fat   O
stranding   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Darian   B-NAME
Holmes   I-NAME
,   O
was   O
consulted   O
and   O
recommended   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

Zoe   B-NAME
Gallagher   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
09/20/2052   B-DATE
without   O
complications   O
.   O

Postoperative   O
Course   O
:   O
Durante   B-NAME
,   I-NAME
Jimmy   I-NAME
's   O
postoperative   O
recovery   O
was   O
uneventful   O
.   O

Uehara   B-NAME
was   O
started   O
on   O
a   O
clear   O
liquid   O
diet   O
22/00/21   B-DATE

Dexter   B-NAME
Navarro   I-NAME
was   O
discharged   O
on   O
0/40   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Harding   B-NAME
Hooten   I-NAME
in   O
2   O
weeks   O
at   O
United   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Cephalexin   O
500   O
mg   O
,   O
take   O
one   O
capsule   O
by   O
mouth   O
every   O
6   O
hours   O
for   O
7   O
days   O
to   O
prevent   O
infection   O
Follow   O
-   O
up   O
:   O
Petra   B-NAME
Cosentino   I-NAME
is   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
,   O
and   O
to   O
report   O
any   O
such   O
findings   O
immediately   O
to   O
U   B-LOCATION
Mass   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Memorial   I-LOCATION
Campus   I-LOCATION
via   O
417   B-CONTACT
-   I-CONTACT
315   I-CONTACT
7729   I-CONTACT
.   O

Additionally   O
,   O
Randall   B-NAME
Munoz   I-NAME
should   O
observe   O
for   O
symptoms   O
such   O
as   O
fevers   O
,   O
chills   O
,   O
or   O
persistent   O
vomiting   O
,   O
and   O
return   O
to   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
the   O
nearest   O
emergency   O
department   O
if   O
these   O
occur   O
.   O

User   O
Responsible   O
for   O
Entry   O
:   O
OB349   B-NAME
Date   O
of   O
Report   O
:   O
00/06/1736   B-DATE

The   O
patient   O
,   O
Cobain   B-NAME
,   I-NAME
Kurt   I-NAME
Donald   I-NAME
,   O
a   O
Purchasing   O
Managers   O
from   O
San   B-LOCATION
Antonio   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
78212   I-LOCATION
,   O
presented   O
to   O
Blue   B-LOCATION
Ridge   I-LOCATION
HealthCare   I-LOCATION
Hospitals   I-LOCATION
on   O
17/21   B-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
and   O
a   O
persistent   O
cough   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Roger   B-NAME
Mcdaniel   I-NAME
also   O
reported   O
experiencing   O
intermittent   O
episodes   O
of   O
chest   O
tightness   O
and   O
wheezing   O
,   O
particularly   O
notable   O
during   O
the   O
nighttime   O
and   O
early   O
mornings   O
.   O

Upon   O
examination   O
,   O
Regalianus   B-NAME
Mottershead   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
temperature   O
of   O
98.6   O
°   O
F   O
,   O
a   O
heart   O
rate   O
of   O
92   O
bpm   O
,   O
a   O
respiratory   O
rate   O
of   O
24   O
breaths   O
per   O
minute   O
,   O
and   O
a   O
blood   O
oxygen   O
saturation   O
level   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Physical   O
examination   O
by   O
Philip   B-NAME
Taylor   I-NAME
revealed   O
bilateral   O
wheezes   O
on   O
auscultation   O
,   O
with   O
no   O
presence   O
of   O
rales   O
or   O
rhonchi   O
.   O

Chest   O
X   O
-   O
ray   O
performed   O
on   O
02/23   B-DATE
indicated   O
hyperinflated   O
lung   O
fields   O
with   O
no   O
acute   O
infiltrates   O
,   O
consolidations   O
,   O
or   O
pleural   O
effusions   O
.   O

Follow   O
-   O
up   O
was   O
arranged   O
with   O
Camron   B-NAME
Baldwin   I-NAME
in   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Bangor   I-LOCATION
's   O
outpatient   O
department   O
for   O
Wednesday   B-DATE
,   I-DATE
March   I-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
management   O
plans   O
as   O
necessary   O
.   O

Additionally   O
,   O
Ganilau   B-NAME
,   I-NAME
Ratu   I-NAME
Epeli   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
asthma   O
triggers   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
significantly   O
worsened   O
.   O

Political   B-LOCATION
international   I-LOCATION
was   O
notified   O
about   O
Yael   B-NAME
Navarro   I-NAME
's   O
hospital   O
visit   O
according   O
to   O
protocol   O
for   O
work   O
-   O
related   O
health   O
incidents   O
.   O

Nolan   B-NAME
Clayton   I-NAME
's   O
emergency   O
contacts   O
,   O
listed   O
under   O
411   B-CONTACT
-   I-CONTACT
2676   I-CONTACT
,   O
were   O
informed   O
about   O
the   O
current   O
admission   O
and   O
the   O
initial   O
treatment   O
response   O
.   O

The   O
medical   O
team   O
documented   O
all   O
interventions   O
and   O
communications   O
in   O
2145U65313   B-ID
for   O
continued   O
care   O
coordination   O
.   O

For   O
further   O
inquiries   O
and   O
updates   O
regarding   O
the   O
treatment   O
plan   O
,   O
Kennedy   B-NAME
,   I-NAME
Anthony   I-NAME
or   O
approved   O
contacts   O
can   O
reach   O
the   O
hospital   O
's   O
pulmonary   O
unit   O
at   O
395   B-CONTACT
268   I-CONTACT
5688   I-CONTACT
.   O

Patient   O
Report   O
:   O
Summary   O
:   O
Patient   O
Name   O
:   O
Riley   B-NAME
,   I-NAME
Tim   I-NAME
Patient   O
Age   O
:   O
85s   O
Date   O
of   O
Admission   O
:   O
2305   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
09   I-DATE
Admitting   O
Physician   O
:   O

Dr.   O
Harris   B-NAME
Hospital   O
:   O
Flushing   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
828   B-ID
-   I-ID
96   I-ID
-   I-ID
36   I-ID
Location   O
of   O
Residence   O
:   O
Wooler   B-LOCATION
Zip   O
Code   O
:   O
75881   B-LOCATION
Emergency   O
Contact   O
Phone   O
:   O
(   B-CONTACT
702   I-CONTACT
)   I-CONTACT
912   I-CONTACT
-   I-CONTACT
5930   I-CONTACT
Occupation   O
:   O

Extruding   O
and   O
Drawing   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
Patient   O
ID   O
:   O
QP:43072:144590   B-ID
Treating   O
Organization   O
:   O

Protective   B-LOCATION
Life   I-LOCATION
Username   O
:   O
YP702   B-NAME
Clinical   O
Findings   O
:   O

Camp   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Norristown   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
on   O
6/22   B-DATE
,   O
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
McBurney   O
's   O
point   O
tenderness   O
.   O

Sebastian   B-NAME
Villarreal   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
.   O

Spring   B-NAME
Vandilus   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
any   O
known   O
exposure   O
to   O
foodborne   O
illnesses   O
.   O

Further   O
evaluation   O
revealed   O
HR   B-NAME
's   O
abdomen   O
to   O
be   O
rigid   O
,   O
with   O
rebound   O
tenderness   O
noted   O
upon   O
examination   O
.   O

Bishop   B-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
appendicitis   O
in   O
a   O
first   O
-   O
degree   O
relative   O
.   O

Raymond   B-NAME
Turner   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Dr.   O
Moore   B-NAME
for   O
further   O
monitoring   O
and   O
surgical   O
evaluation   O
.   O

NPO   O
(   O
Nil   O
Per   O
Os   O
)   O
status   O
for   O
Rickover   B-NAME
,   I-NAME
Hyman   I-NAME
G.   I-NAME
to   O
prepare   O
for   O
possible   O
surgical   O
intervention   O
.   O

Dr.   O
Kaya   B-NAME
Torres   I-NAME
and   O
the   O
multidisciplinary   O
team   O
at   O
Phillips   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Phillipsburg   I-LOCATION
will   O
be   O
closely   O
monitoring   O
Luke   B-NAME
Obrien   I-NAME
's   O
condition   O
.   O

Family   O
,   O
specifically   O
Iesha   B-NAME
Newhook   I-NAME
's   O
emergency   O
contact   O
at   O
349   B-CONTACT
139   I-CONTACT
-   I-CONTACT
2761   I-CONTACT
,   O
will   O
be   O
kept   O
informed   O
of   O
all   O
significant   O
developments   O
.   O

The   O
treatment   O
team   O
is   O
optimistic   O
about   O
Rivas   B-NAME
's   O
prognosis   O
,   O
contingent   O
upon   O
timely   O
surgical   O
intervention   O
and   O
adherence   O
to   O
the   O
post   O
-   O
operative   O
care   O
plan   O
.   O

Follow   O
-   O
up   O
appointments   O
will   O
be   O
scheduled   O
post   O
-   O
discharge   O
to   O
monitor   O
Sitwell   B-NAME
,   I-NAME
Edith   I-NAME
's   O
recovery   O
and   O
to   O
address   O
any   O
potential   O
complications   O
early   O
.   O

This   O
patient   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
medical   O
team   O
at   O
Benchmark   B-LOCATION
Bank   I-LOCATION
,   O
specifically   O
those   O
involved   O
in   O
the   O
care   O
of   O
MARQUEZ   B-NAME
,   I-NAME
RONALD   I-NAME
.   O

Unauthorized   O
disclosure   O
of   O
this   O
information   O
,   O
including   O
but   O
not   O
limited   O
to   O
Charla   B-NAME
's   O
medical   O
records   O
1867226   B-ID
,   O
personal   O
identification   O
NV   B-ID
:   I-ID
LJ:2578   I-ID
,   O
and   O
residence   O
information   O
Emelle   B-LOCATION
,   O
61261   B-LOCATION
,   O
is   O
strictly   O
prohibited   O
.   O

Patient   O
Name   O
:   O
Burnett   B-NAME
Age   O
:   O
95   O
Date   O
of   O
Birth   O
:   O
September   B-DATE
Address   O
:   O
Hanging   B-LOCATION
Rock   I-LOCATION
,   O
61224   B-LOCATION
Phone   O
Number   O
:   O
794   B-CONTACT
8873   I-CONTACT
Occupation   O
:   O

Cannon   B-NAME
Haley   I-NAME
Medical   O
Record   O
Number   O
:   O
62958877   B-ID
ID   O
Number   O
:   O
FF803/8088   B-ID
Emergency   O
Contact   O
:   O
dl784   B-NAME
,   O
238   B-CONTACT
1810   I-CONTACT
Admission   O
Date   O
:   O
1/21   B-DATE
Hospital   O
Name   O
:   O
Lompoc   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Attending   O
Physician   O
:   O

Bright   B-NAME
Referring   O
Physician   O
:   O

Spring   B-NAME
Lombardino   I-NAME
Chief   O
Complaint   O
:   O
Charlotte   B-NAME
Farley   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Logan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
37/27/2380   B-DATE
with   O
an   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
exacerbated   O
over   O
the   O
last   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Juliet   B-NAME
South   I-NAME
,   O
a   O
9   O
-   O
year   O
-   O
old   O
Plumbers   O
,   O
reported   O
that   O
the   O
symptoms   O
started   O
mildly   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
but   O
had   O
significantly   O
worsened   O
on   O
the   O
day   O
of   O
presentation   O
.   O

Henry   B-NAME
Wu   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
Mission   B-LOCATION
Hospital   I-LOCATION
on   O
M   B-DATE
.   O
Family   O
history   O
is   O
non   O
-   O
contributory   O
.   O
Review   O
of   O
Systems   O
:   O
-   O
General   O
:   O
Mild   O
fever   O
noted   O
at   O
home   O
02/23   B-DATE
.   O

Upon   O
examination   O
,   O
Dylan   B-NAME
Hawkins   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
surgical   O
team   O
led   O
by   O
Vincent   B-NAME
was   O
consulted   O
,   O
and   O
Fisher   B-NAME
Mcclure   I-NAME
was   O
subsequently   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
16/13   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Benedict   B-NAME
XVI   I-NAME
(   I-NAME
Pope   I-NAME
)   I-NAME
was   O
advised   O
to   O
stay   O
overnight   O
for   O
observation   O
.   O

Rene   B-NAME
Singh   I-NAME
reported   O
significant   O
relief   O
from   O
the   O
abdominal   O
pain   O
following   O
the   O
procedure   O
.   O

Aidan   B-NAME
Wilson   I-NAME
was   O
discharged   O
on   O
38/21/2302   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Finley   B-NAME
in   O
two   O
weeks   O
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Jose   I-LOCATION
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Franco   B-NAME
Gardner   I-NAME
is   O
advised   O
to   O
follow   O
a   O
gradual   O
return   O
to   O
normal   O
activities   O
,   O
avoid   O
heavy   O
lifting   O
for   O
at   O
least   O
4   O
weeks   O
,   O
and   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
.   O

Summary   O
:   O
Howard   B-NAME
Wise   I-NAME
,   O
a   O
37   O
-   O
year   O
-   O
old   O
Proofreaders   O
and   O
Copy   O
Markers   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Follow   O
-   O
up   O
care   O
scheduled   O
with   O
Perry   B-NAME
,   I-NAME
Oliver   I-NAME
Hazard   I-NAME
,   O
and   O
patient   O
was   O
counseled   O
on   O
recovery   O
and   O
care   O
post   O
-   O
discharge   O
.   O

Patient   O
Name   O
:   O
Bobette   B-NAME
Soules   I-NAME
DOB   O
:   O
02/34   B-DATE
Age   O
:   O
0   O
month   O
Medical   O
Record   O
Number   O
:   O
726   B-ID
-   I-ID
05   I-ID
-   I-ID
24   I-ID
-   I-ID
2   I-ID
Address   O
:   O
The   B-LOCATION
Dalles   I-LOCATION
,   O
37280   B-LOCATION
Phone   O
Number   O
:   O
13070   B-CONTACT
Physician   O
:   O
Pieper   B-NAME
,   I-NAME
Josef   I-NAME
Admitting   O
Hospital   O
:   O
Eisenhower   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
11/27   B-DATE
ID   O
:   O
197481   B-ID
Chief   O
Complaint   O
:   O
Ken   B-NAME
Sylvester   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
San   B-LOCATION
Luis   I-LOCATION
Valley   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
20/20/32   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
vomiting   O
.   O

FLC   B-NAME
reported   O
the   O
pain   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Heraclitus   B-NAME
,   O
a   O
Security   O
and   O
Fire   O
Alarm   O
Systems   O
Installers   O
by   O
occupation   O
,   O
noted   O
that   O
the   O
onset   O
of   O
symptoms   O
began   O
approximately   O
2073   B-DATE
's   I-DATE
with   O
mild   O
discomfort   O
that   O
escalated   O
into   O
severe   O
pain   O
necessitating   O
a   O
visit   O
to   O
Stephens   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

There   O
was   O
no   O
reported   O
fever   O
,   O
but   O
ostrowski   B-NAME
indicated   O
experiencing   O
episodes   O
of   O
chills   O
.   O

Medical   O
History   O
:   O
Lorena   B-NAME
Estrada   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
a   O
combination   O
of   O
ACE   O
inhibitors   O
and   O
thiazides   O
.   O

Past   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
22/02   B-DATE
with   O
no   O
post   O
-   O
operative   O
complications   O
.   O

Family   O
medical   O
history   O
is   O
significant   O
for   O
colorectal   O
cancer   O
in   O
Alice   B-NAME
Alden   I-NAME
's   O
Dentist   O
parent   O
.   O

Upon   O
examination   O
,   O
Paine   B-NAME
,   I-NAME
Thomas   I-NAME
's   O
temperature   O
was   O
98.6   O
°   O
F   O
,   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
was   O
92   O
bpm   O
,   O
and   O
respiratory   O
rate   O
was   O
16   O
breaths   O
per   O
minute   O
.   O

The   O
decision   O
was   O
made   O
by   O
Alexus   B-NAME
Lucero   I-NAME
for   O
surgical   O
intervention   O
.   O

Estrada   B-NAME
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
on   O
36/31   B-DATE
.   O

Mitchell   B-NAME
received   O
IV   O
antibiotics   O
preoperatively   O
and   O
was   O
transitioned   O
to   O
oral   O
antibiotics   O
postoperatively   O
.   O

Follow   O
-   O
Up   O
:   O
Charles   B-NAME
demonstrated   O
a   O
swift   O
postoperative   O
recovery   O
and   O
was   O
discharged   O
from   O
Southwest   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
21/16/2095   B-DATE
.   O

Alice   B-NAME
Dorsey   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Lester   B-NAME
on   O
10   B-DATE
-   I-DATE
02   I-DATE
at   O
Ascension   B-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Southfield   I-LOCATION
Campus   I-LOCATION
.   O

Additionally   O
,   O
Ulyssa   B-NAME
Neff   I-NAME
was   O
advised   O
to   O
maintain   O
regular   O
follow   O
-   O
ups   O
with   O
their   O
primary   O
care   O
physician   O
to   O
manage   O
pre   O
-   O
existing   O
chronic   O
conditions   O
.   O

Given   O
the   O
comprehensive   O
and   O
multidisciplinary   O
approach   O
to   O
Tora   B-NAME
,   I-NAME
Apisai   I-NAME
's   O
care   O
,   O
prognostic   O
outlook   O
post   O
-   O
discharge   O
is   O
favorable   O
with   O
instructions   O
to   O
monitor   O
for   O
any   O
deviations   O
from   O
expected   O
recovery   O
trajectory   O
.   O

Patient   O
Name   O
:   O
Brooklyn   B-NAME
Bartlett   I-NAME
ID   O
:   O
923943730   B-ID
Medical   O
Record   O
Number   O
:   O
769   B-ID
-   I-ID
49   I-ID
-   I-ID
39   I-ID
Date   O
of   O
Birth   O
:   O
2/07/2307   B-DATE
Age   O
:   O
85   O
Address   O
:   O
Hustisford   B-LOCATION
,   O
93489   B-LOCATION
Phone   O
:   O
205   B-CONTACT
4424   I-CONTACT

Leisha   B-NAME
Winston   I-NAME
Hospital   O
:   O
Coral   B-LOCATION
Gables   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2/21   B-DATE
Profession   O
:   O

Water   O
Resource   O
Specialists   O
Subjective   O
:   O
Cadence   B-NAME
Payne   I-NAME
,   O
a   O
Cutting   O
and   O
Slicing   O
Machine   O
Operators   O
and   O
Tenders   O
from   O
County   B-LOCATION
Line   I-LOCATION
,   O
presented   O
to   O
the   O
Coffee   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
15/32/2229   B-DATE
complaining   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
fever   O
for   O
the   O
past   O
2309   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
04   I-DATE
.   O

Welch   B-NAME
has   O
denied   O
any   O
recent   O
travel   O
history   O
outside   O
Eagle   B-LOCATION
Bend   I-LOCATION
or   O
contact   O
with   O
known   O
sick   O
individuals   O
.   O

Objective   O
:   O
During   O
the   O
physical   O
examination   O
conducted   O
by   O
Andre   B-NAME
Ballard   I-NAME
,   O
Lyric   B-NAME
Hale   I-NAME
exhibited   O
a   O
fever   O
of   O
39.5   O
°   O
C   O
(   O
103.1   O
°   O
F   O
)   O
,   O
increased   O
respiratory   O
rate   O
,   O
and   O
lowered   O
blood   O
oxygen   O
saturation   O
levels   O
,   O
indicating   O
potential   O
hypoxemia   O
.   O

Admission   O
to   O
Clinch   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
was   O
recommended   O
.   O

A   O
review   O
appointment   O
was   O
scheduled   O
for   O
31/27   B-DATE
with   O
Gilbert   B-NAME
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
to   O
evaluate   O
the   O
patient   O
's   O
response   O
to   O
the   O
treatment   O
plan   O
and   O
adjust   O
the   O
interventions   O
as   O
necessary   O
based   O
on   O
the   O
progression   O
or   O
resolution   O
of   O
symptoms   O
.   O

The   O
patient   O
's   O
emergency   O
contact   O
,   O
Military   O
Officer   O
Special   O
and   O
Tactical   O
Operations   O
Leaders   O
,   O
All   O
Other   O
at   O
671   B-CONTACT
2248   I-CONTACT
,   O
was   O
informed   O
of   O
the   O
admission   O
and   O
current   O
status   O
.   O

Consent   O
for   O
medical   O
procedures   O
was   O
obtained   O
from   O
Jose   B-NAME
Rodgers   I-NAME
upon   O
admission   O
.   O

All   O
personal   O
identifiers   O
and   O
sensitive   O
information   O
pertaining   O
to   O
Latisha   B-NAME
,   O
including   O
BR456/9561   B-ID
and   O
70563767   B-ID
,   O
are   O
protected   O
as   O
per   O
medical   O
privacy   O
laws   O
.   O

Patient   O
Report   O
for   O
Ankti   B-NAME
November   B-DATE
,   O
a   O
38   O
-   O
year   O
-   O
old   O
Technical   O
Writers   O
from   O
Tovey   B-LOCATION
,   O
was   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Weeks   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
vertigo   O
that   O
started   O
approximately   O
two   O
hours   O
prior   O
to   O
admission   O
.   O

Medical   O
History   O
:   O
Johnson   B-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

There   O
were   O
no   O
previous   O
records   O
of   O
cardiac   O
issues   O
noted   O
in   O
the   O
0042263   B-ID
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
by   O
Francis   B-NAME
,   O
Heide   B-NAME
Doherty   I-NAME
exhibited   O
pallor   O
and   O
diaphoresis   O
.   O

Cindy   B-NAME
Mcneil   I-NAME
was   O
promptly   O
started   O
on   O
a   O
treatment   O
regimen   O
comprising   O
of   O
Aspirin   O
325   O
mg   O
,   O
a   O
loading   O
dose   O
of   O
Clopidogrel   O
,   O
and   O
intravenous   O
nitroglycerin   O
.   O

Discussion   O
for   O
possible   O
coronary   O
angiography   O
with   O
Goodman   B-NAME
was   O
initiated   O
to   O
evaluate   O
the   O
need   O
for   O
coronary   O
artery   O
revascularization   O
.   O

Contact   O
:   O
(   B-CONTACT
305   I-CONTACT
)   I-CONTACT
289   I-CONTACT
-   I-CONTACT
1320   I-CONTACT
has   O
been   O
recorded   O
as   O
the   O
primary   O
contact   O
number   O
for   O
Durante   B-NAME
,   I-NAME
Jimmy   I-NAME
.   O

Gregory   B-NAME
Saunders   I-NAME
’s   O
next   O
of   O
kin   O
was   O
informed   O
of   O
the   O
admission   O
and   O
the   O
ongoing   O
investigations   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
6   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
54   I-DATE
at   O
WellSpan   B-LOCATION
Ephrata   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Valentine   B-NAME
Kleine   I-NAME
has   O
been   O
advised   O
to   O
maintain   O
strict   O
bed   O
rest   O
till   O
further   O
evaluation   O
and   O
to   O
adhere   O
to   O
the   O
low   O
sodium   O
,   O
low   O
-   O
fat   O
diet   O
as   O
recommended   O
by   O
the   O
dietician   O
.   O

Confidentiality   O
Notice   O
:   O
All   O
the   O
information   O
contained   O
within   O
this   O
document   O
is   O
subject   O
to   O
the   O
confidentiality   O
provisions   O
as   O
per   O
the   O
regulations   O
of   O
Hillcrest   B-LOCATION
Bank   I-LOCATION
.   O

Unauthorized   O
review   O
,   O
dissemination   O
,   O
or   O
distribution   O
of   O
this   O
medical   O
record   O
(   O
48694412   B-ID
)   O
or   O
the   O
information   O
contained   O
herein   O
is   O
strictly   O
prohibited   O
.   O

Please   O
note   O
,   O
further   O
inquiries   O
about   O
Soraya   B-NAME
Farwell   I-NAME
’s   O
condition   O
should   O
be   O
directed   O
to   O
the   O
attending   O
physician   O
,   O
Ford   B-NAME
,   I-NAME
Henry   I-NAME
,   O
at   O
Lake   B-LOCATION
Taylor   I-LOCATION
Transitional   I-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
administrative   O
concerns   O
,   O
you   O
may   O
contact   O
Greystone   B-LOCATION
Park   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
administration   O
at   O
277   B-CONTACT
-   I-CONTACT
593   I-CONTACT
6367   I-CONTACT
.   O

Document   O
Prepared   O
by   O
:   O
sqb430   B-NAME
,   O
Community   O
and   O
Social   O
Service   O
Specialists   O
,   O
All   O
Other   O
November   B-DATE
Desert   B-LOCATION
Hills   I-LOCATION
Bank   I-LOCATION
adheres   O
to   O
the   O
strict   O
privacy   O
policies   O
and   O
procedures   O
to   O
protect   O
personal   O
health   O
information   O
in   O
compliance   O
with   O
HIPAA   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Kendrick   B-NAME
Reed   I-NAME
Age   O
:   O
62   O
Date   O
of   O
Birth   O
:   O
2242   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
11   I-DATE
Medical   O
Record   O
Number   O
:   O
861   B-ID
-   I-ID
53   I-ID
-   I-ID
10   I-ID
-   I-ID
7   I-ID
ID   O
Number   O
:   O
458968686   B-ID
Address   O
:   O
Dulac   B-LOCATION
,   O
63183   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
298   I-CONTACT
)   I-CONTACT
473   I-CONTACT
-   I-CONTACT
9239   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Palmer   B-NAME
Employer   O
:   O
Keys   B-LOCATION
Energy   I-LOCATION
Services   I-LOCATION
Occupation   O
:   O
Neurodiagnostic   O
Technologists   O
Username   O
:   O
QR270   B-NAME
Admitting   O
Hospital   O
:   O
Prisma   B-LOCATION
Health   I-LOCATION
Patewood   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
23/29   B-DATE
Date   O
of   O
Discharge   O
:   O
October   B-DATE
23   I-DATE
,   I-DATE
2363   I-DATE
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Yuliana   B-NAME
Madden   I-NAME
,   O
a   O
Gaming   O
Supervisors   O
by   O
profession   O
,   O
presented   O
to   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Bartlett   I-LOCATION
on   O
February   B-DATE
31   I-DATE
,   I-DATE
2100   I-DATE
with   O
complaints   O
of   O
acute   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
commenced   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Colby   B-NAME
Brown   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
that   O
was   O
measured   O
at   O
home   O
to   O
be   O
38.5   O
°   O
C   O
.   O

Aiden   B-NAME
Contreras   I-NAME
's   O
past   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
previous   O
surgeries   O
.   O

Surgical   O
consultation   O
with   O
Dr.   O
Aliya   B-NAME
Osborn   I-NAME
was   O
obtained   O
,   O
and   O
the   O
decision   O
for   O
laparoscopic   O
appendectomy   O
was   O
made   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
02/34   B-DATE
without   O
complications   O
.   O

Gonzalez   B-NAME
,   I-NAME
Norma   I-NAME
showed   O
positive   O
postoperative   O
progress   O
,   O
with   O
a   O
significant   O
decrease   O
in   O
abdominal   O
pain   O
and   O
resolution   O
of   O
fever   O
by   O
2022   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
23   I-DATE
.   O

The   O
patient   O
,   O
Whitlock   B-NAME
,   I-NAME
Tiffin   I-NAME
,   O
was   O
discharged   O
on   O
35/22/2228   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Veronica   B-NAME
Olenski   I-NAME
in   O
two   O
weeks   O
.   O

The   O
patient   O
was   O
given   O
the   O
discharge   O
phone   O
line   O
,   O
(   B-CONTACT
858   I-CONTACT
)   I-CONTACT
512   I-CONTACT
-   I-CONTACT
4207   I-CONTACT
,   O
to   O
call   O
in   O
case   O
of   O
any   O
questions   O
or   O
concerns   O
post   O
-   O
discharge   O
.   O

Additionally   O
,   O
Shenna   B-NAME
Travis   I-NAME
was   O
reminded   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
and   O
to   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O

This   O
summary   O
will   O
be   O
entered   O
into   O
the   O
patient   O
's   O
medical   O
record   O
,   O
CK277899   B-ID
,   O
for   O
ongoing   O
care   O
and   O
should   O
accompany   O
the   O
patient   O
for   O
the   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Parker   B-NAME
.   O

Prepared   O
by   O
:   O
MY2810   B-NAME
'   B-DATE
27   I-DATE

Patient   O
Report   O
-------------------   O
Patient   O
Information   O
:   O
Name   O
:   O
Gonzalez   B-NAME
DOB   O
:   O
3/03/93   B-DATE
ID   O
:   O
7   B-ID
-   I-ID
4453298   I-ID
Medical   O
Record   O
Number   O
:   O
40592656   B-ID
Phone   O
Number   O
:   O
(   B-CONTACT
705   I-CONTACT
)   I-CONTACT
572   I-CONTACT
9177   I-CONTACT
Address   O
:   O
Onward   B-LOCATION
,   O
39124   B-LOCATION

The   O
patient   O
,   O
a   O
Tax   O
Preparers   O
from   O
Manchester   B-LOCATION
,   O
reported   O
to   O
the   O
clinic   O
on   O
March   B-DATE
,   I-DATE
2216   I-DATE
complaining   O
of   O
severe   O
,   O
throbbing   O
headache   O
mainly   O
around   O
the   O
temples   O
,   O
not   O
relieved   O
by   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medications   O
.   O

NAPOLITANO   B-NAME
,   I-NAME
URSULA   I-NAME
also   O
noted   O
associated   O
symptoms   O
of   O
photophobia   O
and   O
phonophobia   O
,   O
suggesting   O
a   O
possible   O
migraine   O
.   O

Hogan   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
a   O
family   O
history   O
of   O
migraines   O
.   O

On   O
examination   O
,   O
Antony   B-NAME
House   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Investigations   O
:   O
A   O
referral   O
for   O
an   O
MRI   O
scan   O
at   O
Lakeland   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
was   O
made   O
to   O
rule   O
out   O
other   O
intracranial   O
pathologies   O
.   O

The   O
results   O
,   O
dated   O
11/22   B-DATE
,   O
indicated   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

Management   O
Plan   O
:   O
Dr.   O
Arias   B-NAME
discussed   O
the   O
diagnosis   O
of   O
migraines   O
with   O
aura   O
and   O
recommended   O
starting   O
a   O
trial   O
of   O
a   O
prophylactic   O
medication   O
to   O
reduce   O
the   O
frequency   O
and   O
severity   O
of   O
migraine   O
episodes   O
.   O

In   O
addition   O
,   O
Nichols   B-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
,   O
including   O
regular   O
exercise   O
,   O
adequate   O
hydration   O
,   O
and   O
stress   O
management   O
techniques   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
may   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Dr.   O
Jacqueline   B-NAME
Joseph   I-NAME
Referring   O
Neurologist   O
:   O
Dr.   O
Mckay   B-NAME
Contact   O
Information   O
:   O
(   B-CONTACT
360   I-CONTACT
)   I-CONTACT
207   I-CONTACT
3592   I-CONTACT
at   O
Yuma   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
Instructions   O
for   O
Patient   O
:   O
Dickens   B-NAME
,   B-NAME
Charles   I-NAME
was   O
instructed   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
onset   O
,   O
duration   O
,   O
intensity   O
,   O
and   O
associated   O
symptoms   O
of   O
each   O
migraine   O
episode   O
.   O

Turk   B-NAME
was   O
also   O
provided   O
with   O
educational   O
material   O
about   O
migraine   O
triggers   O
and   O
was   O
advised   O
to   O
call   O
52036   B-CONTACT
at   O
Ascension   B-LOCATION
Genesys   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
questions   O
or   O
concerns   O
before   O
the   O
follow   O
-   O
up   O
visit   O
.   O

This   O
report   O
was   O
prepared   O
by   O
:   O
UV351   B-NAME
Date   O
:   O
5/10   B-DATE

Patient   O
Name   O
:   O
Gibson   B-NAME
Medical   O
Record   O
Number   O
:   O
7512645   B-ID
Age   O
:   O
68   O
Date   O
of   O
Admission   O
:   O
11/13/1697   B-DATE
Admitting   O
Physician   O
:   O
Dr.   O
Rebekah   B-NAME
Ramos   I-NAME
Treatment   O
Facility   O
:   O

UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Front   B-LOCATION
Royal   I-LOCATION
Zip   O
Code   O
:   O
56277   B-LOCATION
Phone   O
Number   O
:   O
63017   B-CONTACT
ID   O
Number   O
:   O
GD208/7385   B-ID
Employer   O
:   O

World   B-LOCATION
Series   I-LOCATION
of   I-LOCATION
Beer   I-LOCATION
Pong   I-LOCATION
(   I-LOCATION
WSOBP   I-LOCATION
)   I-LOCATION
Occupation   O
:   O
Judges   O
,   O
Magistrate   O
Judges   O
,   O
and   O
Magistrates   O
Subjective   O
:   O

The   O
patient   O
,   O
a   O
Technical   O
Directors   O
/   O
Managers   O
from   O
Stuart   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
34997   I-LOCATION
,   O
reports   O
experiencing   O
severe   O
,   O
sharp   O
chest   O
pain   O
that   O
began   O
abruptly   O
02/72   B-DATE
.   O

These   O
symptoms   O
prompted   O
an   O
immediate   O
visit   O
to   O
the   O
emergency   O
department   O
of   O
Greenwich   B-LOCATION
Hospital   I-LOCATION
.   O

Franklin   B-NAME
Feliciano   I-NAME
admits   O
to   O
a   O
stressful   O
job   O
at   O
Horizon   B-LOCATION
Bank   I-LOCATION
but   O
does   O
not   O
believe   O
stress   O
is   O
the   O
sole   O
contributor   O
to   O
the   O
current   O
condition   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Dr.   O
Zwiezic   B-NAME
for   O
further   O
management   O
of   O
an   O
acute   O
myocardial   O
infarction   O
.   O

A   O
follow   O
-   O
up   O
with   O
cardiology   O
is   O
scheduled   O
for   O
5/13   B-DATE
to   O
review   O
the   O
response   O
to   O
the   O
initial   O
treatment   O
and   O
to   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
.   O

Follow   O
-   O
Up   O
:   O
Follow   O
-   O
up   O
in   O
the   O
cardiology   O
clinic   O
is   O
arranged   O
for   O
April   B-DATE
of   I-DATE
2000   I-DATE
.   O

For   O
any   O
queries   O
,   O
Raskin   B-NAME
,   I-NAME
Jef   I-NAME
or   O
family   O
members   O
were   O
encouraged   O
to   O
contact   O
the   O
cardiology   O
department   O
at   O
62582   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Cowan   B-NAME
Patient   O
ID   O
:   O
747835627   B-ID
Medical   O
Record   O
Number   O
:   O
77182046   B-ID
Date   O
of   O
Birth   O
:   O
37th   B-DATE
of   I-DATE
January   I-DATE
Age   O
:   O
8   O
month   O
Phone   O
Number   O
:   O
179   B-CONTACT
-   I-CONTACT
671   I-CONTACT
-   I-CONTACT
1229   I-CONTACT
Address   O
:   O
Central   B-LOCATION
Garage   I-LOCATION
,   O
79731   B-LOCATION
Occupation   O
:   O
Life   O
,   O
Physical   O
,   O
and   O
Social   O
Science   O
Technicians   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O

Rivera   B-NAME
Hospital   O
:   O
OU   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Edmond   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/7/70   B-DATE
Date   O
of   O
Discharge   O
:   O
5/26/2122   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Luisa   B-NAME
Malachi   I-NAME
,   O
a   O
9   O
-   O
year   O
-   O
old   O
Speech   O
-   O
Language   O
Pathology   O
Assistants   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Jamaica   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/22   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
that   O
had   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

Additionally   O
,   O
Buena   B-NAME
reported   O
experiencing   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
since   O
the   O
onset   O
of   O
the   O
abdominal   O
discomfort   O
.   O

Kaitlin   B-NAME
Melendez   I-NAME
denied   O
any   O
recent   O
travel   O
outside   O
Wellesley   B-LOCATION
or   O
ingestion   O
of   O
unfamiliar   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
Gregory   B-NAME
Rosas   I-NAME
has   O
a   O
documented   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Powa   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
secondary   O
to   O
pain   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Jayson   B-NAME
Mcknight   I-NAME
,   O
was   O
consulted   O
and   O
recommended   O
an   O
urgent   O
appendectomy   O
.   O

Addisyn   B-NAME
Galloway   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
.   O

After   O
receiving   O
consent   O
,   O
Elisa   B-NAME
Orozco   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
26/39   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
without   O
any   O
complications   O
,   O
and   O
Melanie   B-NAME
Crawford   I-NAME
was   O
transferred   O
back   O
to   O
the   O
ward   O
post   O
-   O
operatively   O
.   O

Postoperative   O
Course   O
:   O
Wesley   B-NAME
Bautista   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Mcdaniel   B-NAME
reported   O
significant   O
relief   O
from   O
the   O
abdominal   O
pain   O
after   O
the   O
surgery   O
.   O

Litzy   B-NAME
Paul   I-NAME
was   O
discharged   O
on   O
Tuesday   B-DATE
,   I-DATE
December   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Waylon   B-NAME
Arnold   I-NAME
in   O
two   O
weeks   O
for   O
a   O
postoperative   O
check   O
-   O
up   O
.   O

Instructions   O
on   O
Discharge   O
:   O
Brandi   B-NAME
Xayasane   I-NAME
was   O
advised   O
to   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activity   O
for   O
at   O
least   O
4   O
weeks   O
post   O
-   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
with   O
Honda   B-NAME
,   I-NAME
Soichiro   I-NAME
on   O
3/32/29   B-DATE
at   O
Bronson   B-LOCATION
Vicksburg   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
the   O
healing   O
process   O
and   O
address   O
any   O
concerns   O
Jameson   B-NAME
Camacho   I-NAME
might   O
have   O
.   O

Further   O
consultations   O
with   O
a   O
dietician   O
and   O
a   O
diabetes   O
specialist   O
were   O
also   O
recommended   O
to   O
adjust   O
Olszewski   B-NAME
's   O
diet   O
and   O
medication   O
regimen   O
and   O
ensure   O
optimal   O
management   O
of   O
their   O
chronic   O
conditions   O
.   O

In   O
case   O
of   O
any   O
urgent   O
issues   O
or   O
questions   O
,   O
Torres   B-NAME
was   O
instructed   O
to   O
contact   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Alleghany   I-LOCATION
at   O
94863   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
Garrett   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
report   O
is   O
prepared   O
by   O
zq684   B-NAME
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Makai   B-NAME
Pruitt   I-NAME
's   O
healthcare   O
team   O
at   O
Middlesex   B-LOCATION
Hospital   I-LOCATION
for   O
the   O
continuation   O
of   O
care   O
.   O

Patient   O
Emelia   B-NAME
Love   I-NAME
presented   O
to   O
Montefiore   B-LOCATION
Nyack   I-LOCATION
Hospital   I-LOCATION
on   O
2369   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Saki   B-NAME
is   O
a   O
0   O
year   O
old   O
Precision   O
Lens   O
Grinders   O
and   O
Polishers   O
with   O
a   O
past   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Belva   B-NAME
Calles   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Shepherd   B-NAME
,   O
has   O
been   O
managing   O
these   O
conditions   O
with   O
a   O
combination   O
of   O
metformin   O
and   O
lisinopril   O
.   O

Idalia   B-NAME
's   O
394   B-ID
38   I-ID
22   I-ID
was   O
reviewed   O
for   O
any   O
allergies   O
to   O
medications   O
,   O
noting   O
a   O
penicillin   O
allergy   O
.   O

The   O
surgical   O
team   O
at   O
Glenwood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
consulted   O
,   O
and   O
an   O
appendectomy   O
was   O
scheduled   O
for   O
35   B-DATE
-   I-DATE
32   I-DATE
.   O

Ryker   B-NAME
Martinez   I-NAME
was   O
advised   O
regarding   O
the   O
importance   O
of   O
wound   O
care   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
for   O
post   O
-   O
operative   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Cherry   B-NAME
in   O
two   O
weeks   O
at   O
their   O
office   O
in   O
Hewlett   B-LOCATION
Bay   I-LOCATION
Park   I-LOCATION
.   O

Samara   B-NAME
Hurley   I-NAME
was   O
also   O
provided   O
with   O
the   O
521   B-CONTACT
5801   I-CONTACT
number   O
of   O
the   O
surgical   O
department   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
urgent   O
post   O
-   O
operative   O
concerns   O
.   O

Instructions   O
for   O
diet   O
and   O
activity   O
level   O
during   O
recovery   O
were   O
provided   O
to   O
Babette   B-NAME
Gaunt   I-NAME
.   O

A   O
return   O
to   O
work   O
note   O
was   O
issued   O
,   O
indicating   O
that   O
Umberto   B-NAME
Xuan   I-NAME
,   O
a   O
Computer   O
Security   O
Specialists   O
,   O
could   O
resume   O
work   O
duties   O
with   O
restricted   O
physical   O
activity   O
for   O
30/26/2303   B-DATE
.   O

For   O
further   O
reference   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Ronin   B-NAME
Mays   I-NAME
was   O
advised   O
to   O
keep   O
their   O
unique   O
patient   O
identifier   O
,   O
0   B-ID
-   I-ID
2044679   I-ID
,   O
and   O
their   O
medical   O
record   O
number   O
,   O
328   B-ID
-   I-ID
71   I-ID
-   I-ID
03   I-ID
-   I-ID
7   I-ID
,   O
on   O
hand   O
.   O

Should   O
there   O
be   O
any   O
issues   O
or   O
further   O
questions   O
regarding   O
the   O
recovery   O
process   O
,   O
MEDINA   B-NAME
,   I-NAME
LUTHER   I-NAME
or   O
a   O
designated   O
family   O
member   O
were   O
instructed   O
to   O
contact   O
Marietta   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
main   O
line   O
at   O
(   B-CONTACT
192   I-CONTACT
)   I-CONTACT
987   I-CONTACT
-   I-CONTACT
7315   I-CONTACT
or   O
reach   O
out   O
directly   O
via   O
the   O
patient   O
portal   O
using   O
the   O
username   O
yo313   B-NAME
.   O

The   O
medical   O
team   O
at   O
UAMS   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Dr.   O
Simpson   B-NAME
,   O
will   O
continue   O
to   O
monitor   O
Annalise   B-NAME
Velez   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
closely   O
.   O

Residency   O
of   O
Denham   B-NAME
,   I-NAME
John   I-NAME
was   O
documented   O
as   O
Griffin   B-LOCATION
,   O
with   O
the   O
nearest   O
pharmacy   O
located   O
within   O
the   O
66184   B-LOCATION
area   O
for   O
easy   O
access   O
to   O
prescribed   O
medications   O
.   O

The   O
healthcare   O
team   O
,   O
including   O
Entergy   B-LOCATION
Mississippi   I-LOCATION
members   O
and   O
AdventHealth   B-LOCATION
Dade   I-LOCATION
City   I-LOCATION
staff   O
,   O
are   O
committed   O
to   O
providing   O
continued   O
support   O
to   O
Morse   B-NAME
throughout   O
the   O
recovery   O
process   O
.   O

Patient   O
Name   O
:   O
Emma   B-NAME
Manning   I-NAME
Medical   O
Record   O
Number   O
:   O
4178841   B-ID
Date   O
of   O
Birth   O
:   O
2320   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
22   I-DATE
Age   O
:   O
20   O
Phone   O
Number   O
:   O
70636   B-CONTACT
Address   O
:   O
Valdese   B-LOCATION
,   O
87665   B-LOCATION
Occupation   O
:   O
Infantry   O
Officers   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Liberty   B-NAME
Arias   I-NAME
Hospital   O
:   O
Riverside   B-LOCATION
Shore   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
July   B-DATE
29   I-DATE
,   I-DATE
2341   I-DATE
ID   O
:   O
7858564   B-ID
Chief   O
Complaint   O
:   O

Iva   B-NAME
P   I-NAME
Hall   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
23/32   B-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
over   O
the   O
past   O
1728   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
17   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Escher   B-NAME
,   I-NAME
M.   I-NAME
C.   I-NAME
,   O
a   O
Nurse   O
Practitioners   O
,   O
noticed   O
the   O
onset   O
of   O
symptoms   O
approximately   O
30/02   B-DATE
ago   O
,   O
initially   O
attributing   O
them   O
to   O
the   O
increased   O
workload   O
.   O

Past   O
Medical   O
History   O
:   O
willis   B-NAME
has   O
a   O
history   O
of   O
controlled   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
II   O
diabetes   O
mellitus   O
2/8   B-DATE
.   O

Imani   B-NAME
Yang   I-NAME
is   O
currently   O
on   O
metformin   O
and   O
amlodipine   O
.   O

Social   O
History   O
:   O
Peyton   B-NAME
Schneider   I-NAME
resides   O
in   O
Chaparral   B-LOCATION
with   O
their   O
family   O
and   O
works   O
as   O
a   O
Financial   O
Quantitative   O
Analysts   O
.   O

Briggs   B-NAME
,   I-NAME
Joe   I-NAME
Bob   I-NAME
denies   O
any   O
tobacco   O
use   O
but   O
admits   O
to   O
occasional   O
alcohol   O
consumption   O
.   O

Anthony   B-NAME
Edge   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
one   O
week   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

If   O
you   O
have   O
any   O
concerns   O
before   O
your   O
next   O
visit   O
,   O
please   O
do   O
not   O
hesitate   O
to   O
contact   O
the   O
clinic   O
at   O
64027   B-CONTACT
.   O

Dr.   O
Davin   B-NAME
Clayton   I-NAME
12/15/82   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Griffin   B-NAME
Gregory   I-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
9648409   I-ID
Date   O
of   O
Birth   O
:   O
2/74   B-DATE
Age   O
:   O
65   O
Address   O
:   O
Houma   B-LOCATION
,   I-LOCATION
Houma   I-LOCATION
Downtown   I-LOCATION
Development   I-LOCATION
Corporation   I-LOCATION
,   O
28233   B-LOCATION
Phone   O
Number   O
:   O
86354   B-CONTACT
Medical   O
Record   O
Number   O
:   O
344   B-ID
-   I-ID
37   I-ID
-   I-ID
30   I-ID
-   I-ID
9   I-ID
Attending   O
Physician   O
:   O
Benjamin   B-NAME
Hospital   O
:   O
ProMedica   B-LOCATION
Monroe   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Report   O
Date   O
:   O
02/02/2300   B-DATE
History   O
:   O
Delphia   B-NAME
Beaver   I-NAME
,   O
a   O
Textile   O
,   O
Apparel   O
,   O
and   O
Furnishings   O
Workers   O
,   O
All   O
Other   O
from   O
Belle   B-LOCATION
Haven   I-LOCATION
,   O
presented   O
to   O
Southwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Liberal   I-LOCATION
on   O
22/21   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
chest   O
discomfort   O
,   O
and   O
intermittent   O
palpitations   O
that   O
began   O
approximately   O
two   O
weeks   O
prior   O
.   O

River   B-NAME
Leach   I-NAME
reports   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Upon   O
presentation   O
,   O
Obrien   B-NAME
described   O
the   O
chest   O
discomfort   O
as   O
a   O
pressure   O
-   O
like   O
sensation   O
,   O
localized   O
to   O
the   O
center   O
of   O
the   O
chest   O
,   O
and   O
occasionally   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Additionally   O
,   O
Cross   B-NAME
has   O
experienced   O
nocturnal   O
episodes   O
of   O
shortness   O
of   O
breath   O
that   O
occasionally   O
wakes   O
them   O
from   O
sleep   O
.   O

-   O
Consult   O
Tyler   B-NAME
in   O
Cardiology   O
for   O
expert   O
evaluation   O
and   O
potential   O
management   O
.   O
-   O
Educate   O
Kirby   B-NAME
on   O
the   O
importance   O
of   O
presenting   O
early   O
for   O
symptoms   O
suggestive   O
of   O
cardiac   O
or   O
pulmonary   O
conditions   O
.   O

Follow   O
-   O
up   O
:   O
Cedric   B-NAME
Olson   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
12/32   B-DATE
at   O
Frankfort   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
review   O
the   O
outcomes   O
of   O
the   O
initial   O
workup   O
and   O
to   O
adjust   O
the   O
management   O
plan   O
as   O
dictated   O
by   O
the   O
findings   O
and   O
specialist   O
recommendations   O
.   O

Conclusion   O
:   O
This   O
report   O
documents   O
the   O
initial   O
assessment   O
and   O
immediate   O
management   O
plan   O
for   O
Hailee   B-NAME
Golden   I-NAME
,   O
who   O
presented   O
with   O
symptoms   O
potentially   O
indicative   O
of   O
a   O
cardiac   O
event   O
or   O
pulmonary   O
condition   O
.   O

Continued   O
evaluation   O
and   O
monitoring   O
,   O
with   O
specialist   O
consultation   O
,   O
are   O
crucial   O
to   O
provide   O
an   O
accurate   O
diagnosis   O
and   O
appropriate   O
treatment   O
plan   O
for   O
Terrance   B-NAME
Ritter   I-NAME
.   O

Prepared   O
by   O
:   O
sit885   B-NAME
30/06   B-DATE

Patient   O
Report   O
Patient   O
Name   O
:   O
Helen   B-NAME
Magnus   I-NAME
Patient   O
Age   O
:   O
71   O
Patient   O
Address   O
:   O
Langhorne   B-LOCATION
Manor   I-LOCATION
,   O
46064   B-LOCATION
Date   O
of   O
Report   O
:   O
31   B-DATE
-   I-DATE
Dec-2337   I-DATE
Attending   O
Physician   O
:   O
Thornton   B-NAME
Hospital   O
Name   O
:   O
The   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Central   I-LOCATION
Connecticut   I-LOCATION
   I-LOCATION
Bradley   I-LOCATION
Memorial   I-LOCATION
Campus   I-LOCATION
Patient   O
MRN   O
:   O
03399727   B-ID
Insurance   O
ID   O
:   O
QU:651013:423978   B-ID

Contact   O
Phone   O
:   O
818   B-CONTACT
-   I-CONTACT
1179   I-CONTACT
Employment   O
:   O
Construction   O
Laborers   O
at   O
HAYTAP   B-LOCATION
Username   O
for   O
Hospital   O
Portal   O
:   O
CF43   B-NAME
Clinical   O
Presentation   O
:   O

The   O
patient   O
,   O
Baird   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Pelham   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/20   B-DATE
complaining   O
of   O
acute   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Asher   B-NAME
also   O
reported   O
a   O
history   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
over   O
the   O
past   O
week   O
.   O

Elaina   B-NAME
Caldwell   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Given   O
the   O
presentation   O
and   O
diagnostic   O
findings   O
suggestive   O
of   O
a   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
,   O
Mathew   B-NAME
Hinton   I-NAME
was   O
swiftly   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
a   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Post   O
-   O
procedure   O
,   O
Quintina   B-NAME
Golden   I-NAME
was   O
monitored   O
in   O
the   O
cardiology   O
unit   O
of   O
FRYE   B-LOCATION
REGIONAL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
,   O
showing   O
improvement   O
in   O
symptoms   O
and   O
stabilization   O
of   O
cardiac   O
enzymes   O
.   O

Sonderborg   B-NAME
was   O
discharged   O
on   O
22/08   B-DATE
with   O
medications   O
including   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
statin   O
,   O
and   O
dual   O
antiplatelet   O
therapy   O
.   O

Plan   O
for   O
Follow   O
-   O
Up   O
:   O
Alexander   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Pineda   B-NAME
in   O
two   O
weeks   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
New   I-LOCATION
Smyrna   I-LOCATION
to   O
evaluate   O
medication   O
adherence   O
,   O
symptom   O
management   O
,   O
and   O
to   O
discuss   O
further   O
risk   O
factor   O
modification   O
strategies   O
.   O

Additionally   O
,   O
Frederick   B-NAME
has   O
been   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

--   O
This   O
report   O
forms   O
a   O
comprehensive   O
overview   O
of   O
Davian   B-NAME
Cochran   I-NAME
's   O
presentation   O
,   O
diagnosis   O
,   O
management   O
,   O
and   O
follow   O
-   O
up   O
plan   O
for   O
their   O
recent   O
cardiac   O
event   O
,   O
adhering   O
to   O
the   O
guidelines   O
provided   O
.   O

Patient   O
Name   O
:   O
Amanda   B-NAME
Meadows   I-NAME
Patient   O
ID   O
:   O
1752598   B-ID
Medical   O
Record   O
Number   O
:   O
0224Y30370   B-ID
Date   O
of   O
Birth   O
:   O
7/65   B-DATE
Age   O
:   O
92   O
Address   O
:   O
Bluewater   B-LOCATION
Village   I-LOCATION
,   O
25861   B-LOCATION
Phone   O
:   O
96730   B-CONTACT
Employment   O
:   O
Computer   O
sales   O
support   O
at   O
Jennings   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
Primary   O
Physician   O
:   O

Danny   B-NAME
Valentine   I-NAME
Date   O
of   O
Visit   O
:   O
September   B-DATE
2397   I-DATE
Hospital   O
:   O

NYC   B-LOCATION
Health   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Queens   I-LOCATION
Chief   O
Complaint   O
:   O
Korbin   B-NAME
Nichols   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
1   B-DATE
-   I-DATE
25   I-DATE
with   O
complaints   O
of   O
a   O
persistent   O
dry   O
cough   O
,   O
difficulty   O
breathing   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Devyn   B-NAME
Richmond   I-NAME
denies   O
any   O
recent   O
travels   O
,   O
contact   O
with   O
sick   O
individuals   O
,   O
or   O
history   O
of   O
similar   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Bette   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
prescribed   O
by   O
Beyale   B-NAME
.   O

Social   O
History   O
:   O
Sexy   B-NAME
,   O
a   O
Radiologic   O
Technicians   O
at   O
L&O   B-LOCATION
Power   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
,   O
mentions   O
living   O
alone   O
.   O

Ulises   B-NAME
J.   I-NAME
Kelley   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
drinks   O
alcohol   O
occasionally   O
.   O

Hayden   B-NAME
Simpson   I-NAME
is   O
alert   O
and   O
oriented   O
x3   O
,   O
appears   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Patient   O
advised   O
to   O
go   O
to   O
the   O
emergency   O
department   O
at   O
Bristol   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
experiencing   O
severe   O
respiratory   O
distress   O
.   O

Galvan   B-NAME
,   I-NAME
Floyd   I-NAME
was   O
encouraged   O
to   O
rest   O
and   O
avoid   O
strenuous   O
activities   O
until   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Signature   O
:   O
Ravi   B-NAME
Raja   I-NAME
September   B-DATE
23st   I-DATE

Patient   O
Report   O
:   O
Patient   O
Details   O
:   O
Name   O
:   O
Vitus   B-NAME
Werdegast   I-NAME
ID   O
:   O
44791   B-ID
Date   O
of   O
Birth   O
:   O
6/23/48   B-DATE
Phone   O
:   O
133   B-CONTACT
-   I-CONTACT
3899   I-CONTACT
Address   O
:   O
Pelham   B-LOCATION
Manor   I-LOCATION
,   O
79985   B-LOCATION
Employer   O
:   O
FirstEnergy   B-LOCATION
(   I-LOCATION
Potomac   I-LOCATION
Edison   I-LOCATION
)   I-LOCATION
Occupation   O
:   O

Office   O
Machine   O
Operators   O
,   O
Except   O
Computer   O
Medical   O
Record   O
Number   O
:   O
90863588   B-ID
Attending   O
Physician   O
:   O
Elias   B-NAME
Oneill   I-NAME
Hospital   O
:   O
Sound   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Westchester   I-LOCATION
Clinical   O
Summary   O
:   O
Swender   B-NAME
,   O
a   O
98   O
-   O
year   O
-   O
old   O
Veterinary   O
surgeon   O
residing   O
in   O
Blue   B-LOCATION
River   I-LOCATION
,   O
presented   O
to   O
Michigan   B-LOCATION
Medicine   I-LOCATION
on   O
2/22/42   B-DATE
with   O
complaints   O
of   O
abrupt   O
onset   O
of   O
left   O
-   O
sided   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
palpitations   O
,   O
and   O
diaphoresis   O
commencing   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

On   O
examination   O
,   O
Crane   B-NAME
's   O
vital   O
signs   O
were   O
notable   O
for   O
a   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
,   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
an   O
oxygen   O
saturation   O
of   O
94   O
%   O
on   O
room   O
air   O
.   O

Mercer   B-NAME
was   O
promptly   O
consulted   O
,   O
and   O
Bat   B-NAME
was   O
administered   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Johnston   B-NAME
was   O
then   O
referred   O
to   O
the   O
cardiology   O
department   O
for   O
an   O
urgent   O
coronary   O
angiography   O
,   O
which   O
revealed   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Post   O
-   O
procedure   O
,   O
Jaleesa   B-NAME
Melton   I-NAME
's   O
chest   O
pain   O
resolved   O
,   O
and   O
the   O
follow   O
-   O
up   O
ECG   O
showed   O
resolution   O
of   O
the   O
ST   O
-   O
segment   O
elevations   O
.   O

RDB   B-NAME
was   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
,   O
a   O
statin   O
,   O
and   O
an   O
ACE   O
inhibitor   O
.   O

Hathaway   B-NAME
,   I-NAME
Sybil   I-NAME
was   O
educated   O
on   O
smoking   O
cessation   O
,   O
diet   O
,   O
and   O
exercise   O
before   O
being   O
discharged   O
home   O
on   O
December   B-DATE
,   I-DATE
2070   I-DATE
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Santayana   B-NAME
,   I-NAME
George   I-NAME
at   O
Hurley   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
32/27   B-DATE
.   O

Prepared   O
By   O
:   O
Username   O
:   O
xa285   B-NAME
32/02/80   B-DATE
Contact   O
Information   O
:   O
CarePoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Christ   I-LOCATION
Hospital   I-LOCATION
Contact   O
:   O
212   B-CONTACT
1979   I-CONTACT
Temecula   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Address   O
:   O
Sylmar   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
91342   I-LOCATION
,   O
62036   B-LOCATION

Patient   O
Name   O
:   O
Mariela   B-NAME
Atkinson   I-NAME
Patient   O
ID   O
:   O
744398330   B-ID
Date   O
of   O
Birth   O
:   O
2189   B-DATE
Age   O
:   O
91   O
Contact   O
Number   O
:   O
712   B-CONTACT
6310   I-CONTACT
Address   O
:   O
Richardton   B-LOCATION
,   O
76667   B-LOCATION
Physician   O
:   O

Mountbatten   B-NAME
,   I-NAME
Louis   I-NAME
Medical   O
Record   O
Number   O
:   O
4905561   B-ID
Date   O
of   O
Visit   O
:   O
27/25/52   B-DATE
Hospital   O
:   O
NYU   B-LOCATION
Hospitals   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

Kailey   B-NAME
Sellers   I-NAME
presented   O
to   O
the   O
outpatient   O
department   O
on   O
3/20   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
chronic   O
abdominal   O
pain   O
that   O
has   O
been   O
persisting   O
for   O
the   O
past   O
three   O
months   O
.   O

Medical   O
History   O
:   O
Harold   B-NAME
Glover   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

There   O
was   O
a   O
previous   O
surgical   O
history   O
of   O
cholecystectomy   O
performed   O
at   O
McDowell   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
back   O
in   O
11/20/10   B-DATE
.   O

The   O
patient   O
is   O
a   O
Human   O
Resources   O
Assistants   O
,   O
Except   O
Payroll   O
and   O
Timekeeping   O
by   O
profession   O
with   O
a   O
history   O
of   O
smoking   O
for   O
5   O
years   O
but   O
quit   O
smoking   O
10/11   B-DATE
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
chief   O
complaint   O
,   O
Quintanar   B-NAME
reported   O
intermittent   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
.   O

On   O
examination   O
,   O
Craft   B-NAME
's   O
vitals   O
were   O
stable   O
with   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
of   O
78   O
bpm   O
,   O
respiratory   O
rate   O
of   O
16   O
per   O
minute   O
,   O
and   O
temperature   O
is   O
98.6   O
°   O
F   O
(   O
2168   B-DATE
)   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
02/12   B-DATE
showed   O
no   O
abnormalities   O
.   O

A   O
subsequent   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
recommended   O
by   O
Santiago   B-NAME
Lamb   I-NAME
on   O
3/03   B-DATE
revealed   O
mild   O
inflammatory   O
changes   O
around   O
the   O
small   O
intestine   O
suggestive   O
of   O
early   O
enteritis   O
.   O

Management   O
and   O
Recommendations   O
:   O
Based   O
on   O
the   O
findings   O
,   O
Yale   B-NAME
Dickerson   I-NAME
was   O
diagnosed   O
with   O
nonspecific   O
enteritis   O
.   O

Gracelyn   B-NAME
Reid   I-NAME
recommended   O
a   O
course   O
of   O
oral   O
antibiotics   O
for   O
35   O
days   O
,   O
probiotics   O
,   O
and   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
for   O
Wednesday   B-DATE
.   O

Cale   B-NAME
Russo   I-NAME
was   O
advised   O
to   O
maintain   O
good   O
hydration   O
and   O
was   O
given   O
instructions   O
to   O
return   O
to   O
Kresge   B-LOCATION
Eye   I-LOCATION
Institute   I-LOCATION
should   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Follow   O
-   O
Up   O
:   O
Lazaro   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
Bradford   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
outpatient   O
department   O
on   O
2192   B-DATE
-   I-DATE
16   I-DATE
-   I-DATE
04   I-DATE
to   O
reassess   O
symptoms   O
and   O
evaluate   O
the   O
need   O
for   O
further   O
diagnostic   O
testing   O
or   O
specialist   O
referral   O
if   O
symptoms   O
do   O
not   O
improve   O
.   O

For   O
any   O
questions   O
or   O
to   O
reschedule   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
Nunzio   B-NAME
Manning   I-NAME
or   O
their   O
designated   O
contact   O
can   O
reach   O
out   O
to   O
Brennan   B-NAME
's   O
office   O
at   O
(   B-CONTACT
166   I-CONTACT
)   I-CONTACT
516   I-CONTACT
9715   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Campbell   B-NAME
Riley   I-NAME
Patient   O
ID   O
:   O
OX:3126:979170   B-ID
Medical   O
Record   O
Number   O
:   O
37888045   B-ID
Date   O
of   O
Birth   O
:   O
01/25/2033   B-DATE
Age   O
:   O
10   O
Address   O
:   O
Jenkintown   B-LOCATION
,   I-LOCATION
Jenkintown   I-LOCATION
Community   I-LOCATION
Alliance   I-LOCATION
,   O
55511   B-LOCATION
Phone   O
:   O
(   B-CONTACT
981   I-CONTACT
)   I-CONTACT
361   I-CONTACT
-   I-CONTACT
2791   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Kara   B-NAME
Tran   I-NAME
Hospital   O
:   O
Riverside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
12/5   B-DATE
Symptoms   O
:   O

Upon   O
examination   O
,   O
Rosamond   B-NAME
Mojaro   I-NAME
exhibited   O
bilateral   O
wheezing   O
and   O
reduced   O
oxygen   O
saturation   O
levels   O
.   O

Medical   O
History   O
:   O
Vlad   B-NAME
Mostoller   I-NAME
's   O
medical   O
history   O
includes   O
asthma   O
,   O
diagnosed   O
in   O
childhood   O
,   O
and   O
hypertension   O
.   O

Yuriko   B-NAME
Bjelland   I-NAME
prescribed   O
a   O
course   O
of   O
oral   O
corticosteroids   O
to   O
reduce   O
inflammation   O
and   O
a   O
bronchodilator   O
to   O
help   O
open   O
airways   O
.   O

Franco   B-NAME
Larsen   I-NAME
was   O
also   O
advised   O
to   O
use   O
a   O
peak   O
flow   O
meter   O
to   O
monitor   O
their   O
asthma   O
more   O
effectively   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Wednesday   B-DATE
with   O
Freeman   B-NAME
at   O
San   B-LOCATION
Mateo   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
reassess   O
Sandoval   B-NAME
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
if   O
necessary   O
.   O

URIEL   B-NAME
ILES   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
avoiding   O
known   O
asthma   O
triggers   O
and   O
to   O
report   O
any   O
worsening   O
of   O
symptoms   O
immediately   O
.   O

Emergency   O
Contact   O
:   O
Model   O
Makers   O
,   O
Metal   O
and   O
Plastic   O
,   O
310   B-CONTACT
8545   I-CONTACT
Employer   O
:   O
Imperial   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
Username   O
for   O
Hospital   O
Portal   O
:   O
otv556   B-NAME
Note   O
:   O
All   O
patient   O
information   O
in   O
this   O
report   O
has   O
been   O
de   O
-   O
identified   O
to   O
ensure   O
privacy   O
and   O
is   O
compliant   O
with   O
HIPAA   O
regulations   O
.   O

Please   O
contact   O
Julissa   B-NAME
Mercado   I-NAME
at   O
56617   B-CONTACT
or   O
visit   O
us   O
at   O
UCLA   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Santa   I-LOCATION
Monica   I-LOCATION
,   O
North   B-LOCATION
Manchester   I-LOCATION
,   O
18629   B-LOCATION
for   O
any   O
further   O
information   O
or   O
adjustments   O
in   O
the   O
treatment   O
plan   O
.   O

Patient   O
Name   O
:   O
James   B-NAME
Nolen   I-NAME
Age   O
:   O
49   O
Date   O
of   O
Birth   O
:   O
21/37/2291   B-DATE
Address   O
:   O
Palmdale   B-LOCATION
,   O
21981   B-LOCATION
Phone   O
Number   O
:   O
22743   B-CONTACT
Doctor   O
:   O
Winfrey   B-NAME
,   I-NAME
Oprah   I-NAME
Hospital   O
:   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
East   I-LOCATION
-   I-LOCATION
Lee   I-LOCATION
's   I-LOCATION
Summit   I-LOCATION
Medical   O
Record   O
Number   O
:   O
241   B-ID
-   I-ID
26   I-ID
-   I-ID
98   I-ID
-   I-ID
5   I-ID
Admission   O
Date   O
:   O
Thursday   B-DATE
Referral   O
Source   O
:   O
Dr.   O
Kade   B-NAME
Werner   I-NAME
of   O
Stop   B-LOCATION
Sequani   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SSAT   I-LOCATION
)   I-LOCATION

Case   O
Summary   O
:   O
Joaquin   B-NAME
Hammond   I-NAME
was   O
referred   O
to   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Shore   I-LOCATION
by   O
Dr.   O
Quinton   B-NAME
Mendoza   I-NAME
of   O
Imperial   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
on   O
July   B-DATE
2093   I-DATE
presenting   O
with   O
a   O
complex   O
medical   O
history   O
inclusive   O
of   O
persistent   O
migratory   O
arthralgia   O
,   O
unexplained   O
episodic   O
fever   O
reaching   O
up   O
to   O
39   O
°   O
C   O
(   O
102.2   O
°   O
F   O
)   O
,   O
and   O
a   O
progressive   O
maculopapular   O
rash   O
primarily   O
located   O
on   O
the   O
trunk   O
and   O
extremities   O
.   O

Additionally   O
,   O
the   O
patient   O
has   O
expressed   O
prolonged   O
episodes   O
of   O
fatigue   O
exacerbating   O
over   O
the   O
last   O
00/27   B-DATE
months   O
.   O

Prior   O
to   O
referral   O
to   O
Cedar   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
Vega   B-NAME
was   O
evaluated   O
by   O
several   O
specialists   O
within   O
Fort   B-LOCATION
Pierce   I-LOCATION
,   O
but   O
a   O
definitive   O
diagnosis   O
remained   O
elusive   O
.   O

The   O
36   O
-   O
year   O
-   O
old   O
Rail   O
-   O
Track   O
Laying   O
and   O
Maintenance   O
Equipment   O
Operators   O
,   O
with   O
a   O
reported   O
recent   O
travel   O
history   O
to   O
Carbondale   B-LOCATION
approximately   O
June   B-DATE
weeks   O
before   O
symptom   O
onset   O
,   O
shows   O
no   O
sign   O
of   O
vector   O
contact   O
or   O
consumption   O
of   O
unfiltered   O
water   O
.   O

Upon   O
admission   O
to   O
Beth   B-LOCATION
Israel   I-LOCATION
Deaconess   I-LOCATION
Hospital   I-LOCATION
Plymouth   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Yu   B-NAME
,   O
initial   O
laboratory   O
tests   O
revealed   O
elevated   O
inflammatory   O
markers   O
including   O
ESR   O
(   O
erythrocyte   O
sedimentation   O
rate   O
)   O
and   O
CRP   O
(   O
C   O
-   O
reactive   O
protein   O
)   O
.   O

Diagnosis   O
:   O
After   O
further   O
evaluation   O
and   O
considering   O
the   O
patient   O
’s   O
travel   O
history   O
,   O
clinical   O
symptoms   O
,   O
and   O
laboratory   O
findings   O
,   O
a   O
differential   O
diagnosis   O
of   O
Still   O
's   O
disease   O
and   O
chikungunya   O
fever   O
was   O
considered   O
by   O
Mclean   B-NAME
and   O
the   O
medical   O
team   O
at   O
Creedmoor   B-LOCATION
Psychiatric   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
Up   O
Care   O
:   O
Tim   B-NAME
Lonner   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
strict   O
follow   O
-   O
up   O
schedule   O
,   O
including   O
serial   O
blood   O
work   O
to   O
monitor   O
inflammatory   O
markers   O
and   O
liver   O
function   O
tests   O
.   O

Dr.   O
Julissa   B-NAME
Hensley   I-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
01/20   B-DATE
to   O
review   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Corea   B-NAME
,   I-NAME
Vernon   I-NAME
was   O
also   O
provided   O
with   O
65657   B-CONTACT
of   O
West   B-LOCATION
Chester   I-LOCATION
Hospital   I-LOCATION
’s   O
department   O
of   O
infectious   O
diseases   O
for   O
any   O
immediate   O
concerns   O
or   O
exacerbation   O
of   O
symptoms   O
.   O

Butler   B-NAME
,   I-NAME
Amir   I-NAME
continues   O
to   O
receive   O
interdisciplinary   O
care   O
at   O
Carroll   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
updates   O
on   O
the   O
case   O
will   O
be   O
recorded   O
in   O
Medical   O
Record   O
34766208   B-ID
.   O

Patient   O
:   O
Julianna   B-NAME
Reilly   I-NAME
MRN   O
:   O
814   B-ID
-   I-ID
93   I-ID
-   I-ID
87   I-ID
-   I-ID
7   I-ID
Age   O
:   O
34   O
Date   O
of   O
Birth   O
:   O
10/19/1746   B-DATE
Address   O
:   O
La   B-LOCATION
Canada   I-LOCATION
Flintridge   I-LOCATION
,   O
48322   B-LOCATION
Phone   O
:   O
45925   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Tocqueville   B-NAME
,   I-NAME
Alexis   I-NAME
de   I-NAME
Employment   O
:   O
Cooks   O
,   O
Short   O
Order   O
Username   O
:   O
FU251   B-NAME
Admission   O
Date   O
:   O
22/20/2334   B-DATE
Discharge   O
Date   O
:   O
0/91   B-DATE
Admitting   O
Hospital   O
:   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
North   I-LOCATION
Alabama   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Kathryn   B-NAME
Railly   I-NAME
presents   O
to   O
the   O
emergency   O
department   O
on   O
23   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
centered   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
starting   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Roe   B-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Past   O
Medical   O
History   O
:   O
Noah   B-NAME
Quintin   I-NAME
-   I-NAME
Mcclure   I-NAME
's   O
past   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Taylor   B-NAME
Taylor   I-NAME
denied   O
any   O
respiratory   O
,   O
cardiovascular   O
,   O
or   O
neurologic   O
symptoms   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Hattie   B-NAME
Hesson   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
The   O
surgical   O
team   O
at   O
St.   B-LOCATION
Cloud   I-LOCATION
Hospital   I-LOCATION
was   O
consulted   O
and   O
Adalynn   B-NAME
Cross   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
27/36   B-DATE
.   O

Stephen   B-NAME
Mccullough   I-NAME
had   O
an   O
uneventful   O
recovery   O
and   O
was   O
discharged   O
on   O
31/22   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Kent   B-NAME
in   O
two   O
weeks   O
.   O

Lohan   B-NAME
,   I-NAME
Lindsay   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
their   O
usual   O
diabetic   O
and   O
hypertensive   O
medications   O
without   O
changes   O
.   O

In   O
addition   O
,   O
the   O
importance   O
of   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
to   O
monitor   O
Uriel   B-NAME
J.   I-NAME
Pierson   I-NAME
's   O
condition   O
and   O
manage   O
the   O
chronic   O
conditions   O
was   O
emphasized   O
.   O

Geovanni   B-NAME
Castillo   I-NAME
was   O
given   O
contact   O
information   O
(   O
89366   B-CONTACT
)   O
for   O
any   O
questions   O
or   O
concerns   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Ibuprofen   O
400   O
mg   O
every   O
6   O
hours   O
as   O
needed   O
for   O
pain   O
Instructions   O
for   O
Hayes   B-NAME
were   O
to   O
avoid   O
strenuous   O
activity   O
for   O
30/03/2212   B-DATE
weeks   O
and   O
gradually   O
increase   O
activity   O
as   O
tolerated   O
.   O

Further   O
consultation   O
with   O
Natalee   B-NAME
Rangel   I-NAME
was   O
planned   O
for   O
ongoing   O
management   O
of   O
Morelind   B-NAME
's   O
hypertension   O
and   O
diabetes   O
mellitus   O
as   O
well   O
as   O
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

Patient   O
Name   O
:   O
Tyrone   B-NAME
Jenkins   I-NAME
Patient   O
ID   O
:   O
NR:609100:125562   B-ID
Medical   O
Record   O
Number   O
:   O
516   B-ID
-   I-ID
43   I-ID
-   I-ID
64   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Birth   O
:   O
7/37   B-DATE
Age   O
:   O
74   O
Address   O
:   O
Oyster   B-LOCATION
Bay   I-LOCATION
Cove   I-LOCATION
,   O
62863   B-LOCATION
Phone   O
Number   O
:   O
72626   B-CONTACT
Employer   O
:   O
Citizens   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Video   O
game   O
developer   O
Username   O
:   O
ZP134   B-NAME
Attending   O
Physician   O
:   O

Stephen   B-NAME
Strange   I-NAME
Admitting   O
Hospital   O
:   O
Providence   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
32/49   B-DATE
-   O
Reilly   B-NAME
Nielsen   I-NAME
was   O
admitted   O
to   O
Englewood   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
after   O
presenting   O
with   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
marked   O
fever   O
.   O

Anderson   B-NAME
,   I-NAME
Beth   I-NAME
also   O
mentioned   O
the   O
pain   O
initially   O
started   O
around   O
the   O
umbilicus   O
and   O
then   O
migrated   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
is   O
indicative   O
of   O
McBurney   O
's   O
point   O
tenderness   O
.   O

Given   O
the   O
findings   O
and   O
the   O
Meyers   B-NAME
's   O
rapid   O
progression   O
of   O
symptoms   O
,   O
surgical   O
intervention   O
was   O
recommended   O
.   O

The   O
Greer   B-NAME
discussed   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
surgery   O
with   O
Boyle   B-NAME
,   O
who   O
agreed   O
to   O
proceed   O
.   O

Greer   B-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complication   O
on   O
0/03   B-DATE
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
unremarkable   O
,   O
and   O
Eloy   B-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
before   O
being   O
discharged   O
on   O
2051   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
27   I-DATE
.   O

Higgins   B-NAME
advised   O
Whitlock   B-NAME
,   I-NAME
Tiffin   I-NAME
to   O
follow   O
up   O
in   O
the   O
outpatient   O
clinic   O
in   O
one   O
week   O
for   O
wound   O
inspection   O
and   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O

Additionally   O
,   O
Huron   B-NAME
was   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
they   O
experience   O
symptoms   O
such   O
as   O
fever   O
,   O
vomiting   O
,   O
or   O
increased   O
pain   O
at   O
the   O
surgery   O
site   O
.   O

Mann   B-NAME
is   O
advised   O
to   O
maintain   O
a   O
follow   O
-   O
up   O
with   O
Hampstead   B-LOCATION
Hospital   I-LOCATION
's   O
general   O
surgery   O
department   O
to   O
ensure   O
complete   O
recovery   O
.   O

GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
on   O
recognizing   O
signs   O
of   O
infection   O
and   O
instructions   O
on   O
how   O
to   O
appropriately   O
care   O
for   O
the   O
surgical   O
site   O
.   O

Contact   O
information   O
for   O
further   O
inquiries   O
or   O
complications   O
was   O
provided   O
,   O
including   O
the   O
hospital   O
's   O
main   O
line   O
401   B-CONTACT
7292   I-CONTACT
and   O
the   O
direct   O
line   O
to   O
the   O
surgery   O
department   O
.   O

Gogol   B-NAME
,   I-NAME
Nikolai   I-NAME
Vasilievich   I-NAME
is   O
encouraged   O
to   O
keep   O
all   O
scheduled   O
follow   O
-   O
up   O
appointments   O
for   O
optimal   O
postoperative   O
outcomes   O
.   O

Patient   O
Name   O
:   O
Mortez   B-NAME
Fenoff   I-NAME
Age   O
:   O
19s   O
Date   O
of   O
Birth   O
:   O
2179   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
21   I-DATE
Address   O
:   O
Palmetto   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
34221   I-LOCATION
,   O
70832   B-LOCATION
Phone   O
Number   O
:   O
711   B-CONTACT
7392   I-CONTACT
Occupation   O
:   O

Welfare   O
rights   O
adviser   O
Medical   O
Record   O
Number   O
:   O
6543253   B-ID
Attending   O
Physician   O
:   O

Quinn   B-NAME
Hospital   O
:   O
Hackensack   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/37   B-DATE
Social   O
Security   O
Number   O
:   O
FK879/4363   B-ID
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Maribel   B-NAME
Salazar   I-NAME
,   O
a   O
Entertainers   O
and   O
Performers   O
,   O
Sports   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
from   O
Sanbornville   B-LOCATION
,   O
presented   O
to   O
Southeast   B-LOCATION
Michigan   I-LOCATION
Surgical   I-LOCATION
Hospital   I-LOCATION
on   O
2073   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
20   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
persistent   O
for   O
approximately   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mercado   B-NAME
's   O
symptoms   O
initiated   O
mildly   O
on   O
9/7   B-DATE
and   O
gradually   O
progressed   O
in   O
severity   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Guillermo   B-NAME
Cline   I-NAME
was   O
alert   O
and   O
oriented   O
but   O
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultrasound   O
,   O
conducted   O
on   O
04/22/2313   B-DATE
,   O
indicated   O
enlargement   O
of   O
the   O
appendix   O
with   O
presence   O
of   O
an   O
appendicolith   O
.   O

Treatment   O
and   O
Outcome   O
:   O
Reuben   B-NAME
Zulauf   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Potter   B-NAME
on   O
12/22   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
00/10   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
pain   O
management   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
.   O

Follow   O
-   O
up   O
:   O
Kennedi   B-NAME
Castaneda   I-NAME
is   O
advised   O
to   O
monitor   O
wound   O
healing   O
,   O
adhere   O
to   O
a   O
prescribed   O
pain   O
management   O
plan   O
,   O
and   O
limit   O
physical   O
activity   O
until   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Prepared   O
By   O
:   O
DO512   B-NAME
Date   O
:   O
2/13/92   B-DATE
Contact   O
Information   O
:   O
385   B-CONTACT
-   I-CONTACT
5251   I-CONTACT
,   O
Heritage   B-LOCATION
Valley   I-LOCATION
Beaver   I-LOCATION
Patient   O
Consent   O
:   O
Consent   O
to   O
discuss   O
and   O
disclose   O
medical   O
information   O
for   O
treatment   O
purposes   O
was   O
obtained   O
from   O
Frederica   B-NAME
Hinely   I-NAME
upon   O
admission   O
.   O

Patient   O
Report   O
:   O
December   B-DATE
,   O
Alannah   B-NAME
Tate   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Lakeview   B-LOCATION
Hospital   I-LOCATION
in   O
Nicut   B-LOCATION
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
began   O
approximately   O
2   O
hours   O
before   O
admission   O
.   O

Rian   B-NAME
Vicente   I-NAME
is   O
a   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
with   O
no   O
past   O
medical   O
history   O
of   O
cardiovascular   O
diseases   O
.   O

Upon   O
examination   O
,   O
Harleen   B-NAME
Quinzel   I-NAME
's   O
discomfort   O
appeared   O
to   O
be   O
exacerbated   O
by   O
physical   O
exertion   O
and   O
slightly   O
relieved   O
by   O
rest   O
.   O

Laboratory   O
tests   O
including   O
cardiac   O
markers   O
were   O
ordered   O
by   O
Thoreau   B-NAME
,   I-NAME
Henry   I-NAME
David   I-NAME
.   O

Magaly   B-NAME
Loiacona   I-NAME
was   O
administered   O
aspirin   O
,   O
nitroglycerine   O
,   O
and   O
morphine   O
for   O
pain   O
management   O
.   O

Ronald   B-NAME
Atkinson   I-NAME
discussed   O
Ashley   B-NAME
's   O
condition   O
and   O
the   O
need   O
for   O
urgent   O
cardiac   O
catheterization   O
to   O
ascertain   O
the   O
extent   O
of   O
coronary   O
artery   O
blockage   O
.   O

Consent   O
was   O
obtained   O
from   O
Holland   B-NAME
,   O
and   O
the   O
procedure   O
was   O
carried   O
out   O
,   O
revealing   O
a   O
significant   O
blockage   O
in   O
the   O
right   O
coronary   O
artery   O
which   O
was   O
successfully   O
treated   O
with   O
angioplasty   O
and   O
stent   O
placement   O
.   O

Savion   B-NAME
Hampton   I-NAME
was   O
admitted   O
to   O
WellSpan   B-LOCATION
York   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
observation   O
and   O
management   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Bauer   B-NAME
was   O
monitored   O
for   O
any   O
signs   O
of   O
heart   O
failure   O
or   O
arrhythmias   O
,   O
and   O
medications   O
were   O
adjusted   O
accordingly   O
to   O
manage   O
Jocelyn   B-NAME
Lam   I-NAME
's   O
blood   O
pressure   O
and   O
cholesterol   O
levels   O
.   O

Further   O
,   O
a   O
comprehensive   O
plan   O
for   O
lifestyle   O
modification   O
was   O
discussed   O
with   O
Keaton   B-NAME
Morse   I-NAME
,   O
focusing   O
on   O
dietary   O
changes   O
,   O
physical   O
activity   O
,   O
smoking   O
cessation   O
,   O
and   O
stress   O
management   O
.   O

Terrell   B-NAME
Cavanaugh   I-NAME
was   O
also   O
scheduled   O
for   O
follow   O
-   O
up   O
visits   O
with   O
Saikat   B-NAME
Patel   I-NAME
for   O
ongoing   O
care   O
and   O
evaluation   O
.   O

Hoyle   B-NAME
,   I-NAME
Fred   I-NAME
was   O
provided   O
with   O
the   O
contact   O
information   O
for   O
the   O
cardiac   O
rehabilitation   O
program   O
in   O
Crab   B-LOCATION
Orchard   I-LOCATION
and   O
encouraged   O
to   O
participate   O
.   O

(   B-CONTACT
308   I-CONTACT
)   I-CONTACT
691   I-CONTACT
-   I-CONTACT
9589   I-CONTACT
was   O
designated   O
as   O
Stevens   B-NAME
's   O
primary   O
contact   O
number   O
for   O
any   O
immediate   O
health   O
concerns   O
or   O
questions   O
regarding   O
the   O
treatment   O
plan   O
.   O

JERICO   B-NAME
WILLS   I-NAME
was   O
discharged   O
on   O
03/26   B-DATE
with   O
all   O
necessary   O
medical   O
documents   O
,   O
including   O
a   O
copy   O
of   O
the   O
discharge   O
summary   O
,   O
medication   O
list   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
schedule   O
.   O

Record   O
Number   O
:   O
89933889   B-ID
ID   O
:   O
8   B-ID
-   I-ID
4091872   I-ID
Zip   O
Code   O
:   O
14042   B-LOCATION
Username   O
for   O
Patient   O
Portal   O
Access   O
:   O
BY198   B-NAME
The   O
healthcare   O
team   O
at   O
Salina   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
remains   O
committed   O
to   O
providing   O
Osuna   B-NAME
with   O
the   O
highest   O
standard   O
of   O
care   O
and   O
support   O
for   O
a   O
full   O
recovery   O
and   O
maintaining   O
cardiac   O
health   O
.   O

Patient   O
Name   O
:   O
Marie   B-NAME
Antoinette   I-NAME
Patient   O
ID   O
:   O
AD:63285:368758   B-ID
Date   O
of   O
Birth   O
:   O
34/28/2392   B-DATE
Age   O
:   O
57   O
Phone   O
Number   O
:   O
408   B-CONTACT
-   I-CONTACT
3636   I-CONTACT
Address   O
:   O
Passapatanzy   B-LOCATION
,   O
11851   B-LOCATION
Occupation   O
:   O
Mechanical   O
Inspectors   O
Medical   O
Record   O
Number   O
:   O
NXO   B-ID
5   I-ID
-   I-ID
175   I-ID
Referring   O
Physician   O
:   O
Dr.   O
Carroll   B-NAME
Date   O
of   O
Visit   O
:   O
33/32/72   B-DATE
Hospital   O
:   O

Derby   B-LOCATION
Ambulatory   I-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Derby   I-LOCATION
Chief   O
Complaint   O
:   O
Shyla   B-NAME
Whitaker   I-NAME
,   O
a   O
Chiropractors   O
from   O
Mingo   B-LOCATION
Junction   I-LOCATION
,   O
presented   O
to   O
Centra   B-LOCATION
Virginia   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
on   O
32/22/11   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
high   O
fever   O
for   O
the   O
past   O
02/85   B-DATE
.   O

May   B-NAME
also   O
reported   O
experiencing   O
sharp   O
chest   O
pains   O
that   O
worsen   O
upon   O
deep   O
inhalation   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
cough   O
began   O
subtly   O
June   B-DATE
8th   I-DATE
and   O
has   O
progressively   O
worsened   O
,   O
becoming   O
more   O
frequent   O
and   O
productive   O
,   O
with   O
yellowish   O
sputum   O
.   O

Palme   B-NAME
,   I-NAME
Olof   I-NAME
noticed   O
the   O
onset   O
of   O
fever   O
approximately   O
2061   B-DATE
following   O
the   O
initial   O
cough   O
symptoms   O
.   O

Stafford   B-NAME
reports   O
no   O
recent   O
travel   O
or   O
exposure   O
to   O
known   O
allergens   O
.   O

However   O
,   O
Londyn   B-NAME
Wong   I-NAME
noted   O
a   O
recent   O
increase   O
in   O
workload   O
and   O
stress   O
in   O
their   O
position   O
as   O
Mathematicians   O
.   O

Past   O
Medical   O
History   O
:   O
Tertius   B-NAME
Lydgate   I-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
controlled   O
with   O
an   O
albuterol   O
inhaler   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Previous   O
hospitalization   O
October   B-DATE
2324   I-DATE
for   O
a   O
broken   O
leg   O
.   O

Bailey   B-NAME
denies   O
any   O
tobacco   O
use   O
and   O
alcohol   O
consumption   O
.   O

Antibiotic   O
therapy   O
was   O
initiated   O
with   O
a   O
course   O
of   O
Amoxicillin   O
for   O
1724   B-DATE
days   O
.   O

2   O
.   O
Aryanna   B-NAME
Santana   I-NAME
was   O
advised   O
to   O
maintain   O
hydration   O
and   O
rest   O
.   O

3   O
.   O
Follow   O
-   O
up   O
with   O
primary   O
care   O
physician   O
,   O
Dr.   O
Amari   B-NAME
Wyatt   I-NAME
,   O
in   O
2/01/96   B-DATE
for   O
re   O
-   O
evaluation   O
.   O

4   O
.   O
Gallegos   B-NAME
was   O
educated   O
on   O
seeking   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
drastically   O
worsen   O
.   O

Discharge   O
Instructions   O
:   O
Kadin   B-NAME
Moore   I-NAME
was   O
discharged   O
on   O
2129   B-DATE
with   O
detailed   O
home   O
care   O
instructions   O
corresponding   O
to   O
the   O
prescribed   O
treatment   O
plan   O
.   O

Kristin   B-NAME
Larsen   I-NAME
was   O
provided   O
with   O
the   O
(   B-CONTACT
529   I-CONTACT
)   I-CONTACT
458   I-CONTACT
-   I-CONTACT
5575   I-CONTACT
number   O
for   O
Wright   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
should   O
they   O
have   O
any   O
immediate   O
questions   O
or   O
concerns   O
regarding   O
their   O
recovery   O
process   O
.   O

Note   O
Prepared   O
By   O
:   O
ezn822   B-NAME
,   O
Medical   O
Staff   O
,   O
Kearney   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Monday   B-DATE

Patient   O
Report   O
for   O
Finlay   B-NAME
32/22   B-DATE
,   O
Medical   B-LOCATION
City   I-LOCATION
Arlington   I-LOCATION
Patient   O
Information   O
:   O
Age   O
:   O
76   O
Medical   O
Record   O
Number   O
:   O
4001264   B-ID
ID   O
Number   O
:   O
BR   B-ID
:   I-ID
UX:2453   I-ID
Location   O
:   O
Warroad   B-LOCATION
,   O
48513   B-LOCATION
History   O
of   O
Present   O
Illness   O
:   O

Fredrich   B-NAME
L.   I-NAME
van   I-NAME
Butler   I-NAME
,   O
a   O
Home   O
Health   O
Aides   O
from   O
Blessing   B-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
David   I-LOCATION
's   I-LOCATION
North   I-LOCATION
Austin   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/11   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headaches   O
primarily   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
accompanied   O
by   O
nausea   O
and   O
photophobia   O
.   O

Rayan   B-NAME
Barnett   I-NAME
reported   O
a   O
history   O
of   O
migraines   O
,   O
but   O
noted   O
that   O
the   O
current   O
episode   O
was   O
significantly   O
more   O
severe   O
than   O
typical   O
episodes   O
.   O

Land   B-NAME
also   O
experienced   O
blurred   O
vision   O
and   O
a   O
temporary   O
loss   O
of   O
vision   O
in   O
the   O
right   O
eye   O
,   O
described   O
as   O
a   O
"   O
dark   O
curtain   O
falling   O
"   O
over   O
the   O
field   O
of   O
vision   O
,   O
lasting   O
approximately   O
30   O
minutes   O
.   O
Examination   O
and   O
Findings   O
:   O

Upon   O
examination   O
,   O
Dr.   O
Jacqueline   B-NAME
Castro   I-NAME
observed   O
that   O
Meadow   B-NAME
Pace   I-NAME
had   O
a   O
blood   O
pressure   O
reading   O
of   O
145/95   O
mmHg   O
,   O
which   O
is   O
higher   O
than   O
Ann   B-NAME
Vandenberg   I-NAME
's   O
usual   O
range   O
.   O

Draven   B-NAME
Padilla   I-NAME
's   O
Glasgow   O
Coma   O
Scale   O
score   O
was   O
15   O
.   O

Management   O
and   O
Progress   O
:   O
Rahasia   B-NAME
Pauline   I-NAME
Vuong   I-NAME
was   O
initially   O
managed   O
with   O
IV   O
hydration   O
and   O
analgesia   O
,   O
which   O
provided   O
partial   O
relief   O
of   O
headache   O
symptoms   O
.   O

Hallie   B-NAME
Leblanc   I-NAME
was   O
started   O
on   O
a   O
prophylactic   O
migraine   O
regimen   O
and   O
given   O
specific   O
instructions   O
for   O
lifestyle   O
modifications   O
and   O
triggers   O
avoidance   O
.   O

Elias   B-NAME
Q.   I-NAME
Mercado   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Dr.   O
Victor   B-NAME
Frankenstein   I-NAME
in   O
two   O
weeks   O
or   O
earlier   O
if   O
symptoms   O
recurred   O
or   O
worsened   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
6/22   B-DATE
in   O
a   O
stable   O
condition   O
with   O
prescriptions   O
for   O
preventive   O
and   O
abortive   O
migraine   O
medications   O
.   O

Phone   O
Number   O
:   O
43780   B-CONTACT
Emergency   O
Contact   O
:   O
662   B-CONTACT
8602   I-CONTACT
Next   O
Appointment   O
:   O
10/61   B-DATE
with   O
Dr.   O
Alexander   B-NAME
at   O
The   B-LOCATION
Bellevue   I-LOCATION
Hospital   I-LOCATION
This   O
report   O
has   O
been   O
prepared   O
by   O
ipb830   B-NAME
and   O
reviewed   O
by   O
Dr.   O
Douglas   B-NAME
Stephens   I-NAME
.   O

Patient   O
Name   O
:   O
Conor   B-NAME
Dickerson   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
2773770   I-ID
Medical   O
Record   O
Number   O
:   O
85911941   B-ID
Age   O
:   O
6   O
Date   O
of   O
Birth   O
:   O
12   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
84   I-DATE
Address   O
:   O
Market   B-LOCATION
Drayton   I-LOCATION
,   O
91361   B-LOCATION
Phone   O
:   O
585   B-CONTACT
9577   I-CONTACT
Physician   O
:   O

Bass   B-NAME
Hospital   O
:   O

St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Employment   O
:   O
Travel   O
Guides   O
at   O
Kissimmee   B-LOCATION
Utility   I-LOCATION
Authority   I-LOCATION
Username   O
:   O
mu902   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
presented   O
to   O
the   O
clinic   O
on   O
20/36/2171   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
fever   O
peaking   O
at   O
38.5   O
°   O
C   O
,   O
and   O
progressive   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
week   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Conyers   B-NAME
first   O
noticed   O
a   O
mild   O
cough   O
and   O
assumed   O
it   O
was   O
due   O
to   O
seasonal   O
allergies   O
.   O

Bojaxhi   B-NAME
,   I-NAME
Agnes   I-NAME
Gonxha   I-NAME
(   I-NAME
Mother   I-NAME
Teresa   I-NAME
)   I-NAME
reports   O
a   O
previous   O
hospitalization   O
for   O
pneumonia   O
approximately   O
10/22/17   B-DATE
ago   O
,   O
which   O
was   O
resolved   O
with   O
antibiotic   O
therapy   O
.   O

Social   O
History   O
:   O
Smith   B-NAME
,   I-NAME
Logan   I-NAME
Pearsall   I-NAME
is   O
a   O
Shipping   O
,   O
Receiving   O
,   O
and   O
Traffic   O
Clerks   O
at   O
Charter   B-LOCATION
Bank   I-LOCATION
and   O
reports   O
having   O
recently   O
returned   O
from   O
a   O
business   O
trip   O
to   O
Huntington   B-LOCATION
Station   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
11746   I-LOCATION
on   O
01   B-DATE
's   I-DATE
.   O

Brendan   B-NAME
Roberts   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
use   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Seven   B-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O
-   O
Vital   O
Signs   O
:   O
Temperature   O
38.3   O
°   O
C   O
,   O
Pulse   O
102   O
bpm   O
,   O
Respirations   O
22   O
/   O
min   O
,   O
Blood   O
Pressure   O
135/85   O
mmHg   O
,   O
Oxygen   O
saturation   O
94   O
%   O
on   O
room   O
air   O
.   O
-   O
HEENT   O
:   O

The   O
existence   O
of   O
asthma   O
and   O
prior   O
pneumonia   O
places   O
Kennedy   B-NAME
Lisa   I-NAME
in   O
a   O
higher   O
risk   O
category   O
for   O
complications   O
.   O

Tianna   B-NAME
Kline   I-NAME
will   O
review   O
the   O
results   O
of   O
the   O
PCR   O
test   O
when   O
available   O
to   O
adjust   O
the   O
treatment   O
plan   O
if   O
necessary   O
.   O

Karrack   B-NAME
Darrup   I-NAME
Patient   O
ID   O
:   O
WT   B-ID
:   I-ID
PG:6892   I-ID
Date   O
of   O
Birth   O
:   O
09/12   B-DATE
Age   O
:   O
95   O
Phone   O
Number   O
:   O
81233   B-CONTACT
Medical   O
Record   O
Number   O
:   O
120   B-ID
20   I-ID
82   I-ID
Address   O
:   O
Oriskany   B-LOCATION
Falls   I-LOCATION
,   O
42059   B-LOCATION
Attending   O
Physician   O
:   O

Rojas   B-NAME
Admitting   O
Hospital   O
:   O
Veterans   B-LOCATION
Affairs   I-LOCATION
Pittsburgh   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O

Eileen   B-NAME
Merritt   I-NAME
,   O
a   O
97   O
-   O
year   O
-   O
old   O
Journalist   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Wedowee   B-LOCATION
Hospital   I-LOCATION
on   O
30/31   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
of   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
and   O
palpitations   O
that   O
began   O
suddenly   O
earlier   O
the   O
same   O
day   O
.   O

Joey   B-NAME
Shaw   I-NAME
also   O
reported   O
an   O
associated   O
dry   O
cough   O
and   O
denied   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Braine   B-NAME
,   I-NAME
John   I-NAME
's   O
vital   O
signs   O
were   O
notable   O
for   O
tachycardia   O
with   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
and   O
oxygen   O
saturation   O
of   O
94   O
%   O
on   O
room   O
air   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
WK   B-LOCATION
Pierremont   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Oneill   B-NAME
for   O
anticoagulation   O
therapy   O
.   O

Jayden   B-NAME
Reilly   I-NAME
was   O
started   O
on   O
low   O
molecular   O
weight   O
heparin   O
and   O
transitioned   O
to   O
oral   O
anticoagulants   O
.   O

The   O
hospital   O
course   O
was   O
uncomplicated   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
May   B-DATE
with   O
instructions   O
for   O
outpatient   O
follow   O
-   O
up   O
and   O
management   O
of   O
anticoagulation   O
therapy   O
.   O

Poole   B-NAME
has   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
with   O
Darian   B-NAME
Logan   I-NAME
in   O
two   O
weeks   O
at   O
All   B-LOCATION
India   I-LOCATION
Jute   I-LOCATION
Textile   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Federation   I-LOCATION
to   O
reassess   O
anticoagulation   O
therapy   O
and   O
consider   O
further   O
investigations   O
as   O
necessary   O
.   O

In   O
addition   O
,   O
Henson   B-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
bleeding   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
recur   O
or   O
worsen   O
.   O

For   O
any   O
further   O
information   O
or   O
updates   O
regarding   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Madden   B-NAME
's   O
office   O
at   O
37568   B-CONTACT
.   O

Documentation   O
completed   O
by   O
:   O
dgu879   B-NAME
Date   O
of   O
Documentation   O
:   O
03/02/34   B-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Cassidy   B-NAME
Oliver   I-NAME
-   O
Age   O
:   O
55   O
-   O
Date   O
of   O
Birth   O
:   O
00/06/1829   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
41909915   B-ID
-   O
SSN   O
:   O
10   B-ID
-   I-ID
4759941   I-ID
-   O
Address   O
:   O
Scotland   B-LOCATION
,   O
56744   B-LOCATION
-   O
Phone   O
Number   O
:   O
661   B-CONTACT
6937   I-CONTACT
-   O
Occupation   O
:   O
Sheet   O
Metal   O
Workers   O
-   O
Primary   O
Physician   O
:   O

Dr.   O
Heath   B-NAME
Clinical   O
Summary   O
:   O
-   O
Presentation   O
to   O
Central   B-LOCATION
Alabama   I-LOCATION
Veterans   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
on   O
2/00   B-DATE
:   O
Midler   B-NAME
,   I-NAME
Bette   I-NAME
,   O
a   O
Well   O
and   O
Core   O
Drill   O
Operators   O
of   O
86   O
years   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Medical   B-LOCATION
Specialists   I-LOCATION
Ambulatory   I-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
last   O
48   O
hours   O
.   O

There   O
was   O
no   O
noted   O
relief   O
from   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O
-   O
Accompanying   O
Symptoms   O
:   O
Aponte   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
low   O
-   O
grade   O
fever   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
abdominal   O
pain   O
.   O

No   O
changes   O
in   O
bowel   O
habits   O
were   O
reported   O
.   O
-   O
Medical   O
History   O
:   O
Delacruz   B-NAME
's   O
medical   O
history   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
controlled   O
with   O
medication   O
,   O
hypertension   O
,   O
and   O
a   O
previous   O
appendectomy   O
.   O

The   O
clinical   O
impression   O
by   O
Dr.   O
Adam   B-NAME
Robbins   I-NAME
was   O
suggestive   O
of   O
acute   O
appendicitis   O
,   O
notwithstanding   O
Holderlin   B-NAME
,   I-NAME
Friedrich   I-NAME
's   O
prior   O
appendectomy   O
,   O
indicating   O
a   O
rare   O
case   O
of   O
stump   O
appendicitis   O
or   O
another   O
acute   O
abdominal   O
pathology   O
.   O

Given   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
workup   O
,   O
Dr.   O
Salome   B-NAME
Capaldo   I-NAME
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Gadsden   I-LOCATION
recommended   O
urgent   O
surgical   O
intervention   O
to   O
address   O
what   O
is   O
believed   O
to   O
be   O
stump   O
appendicitis   O
.   O

Whitney   B-NAME
V   I-NAME
Keller   I-NAME
was   O
informed   O
of   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
consenting   O
to   O
move   O
forward   O
.   O

Jake   B-NAME
Stanton   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
2378   B-DATE
.   O

Postoperative   O
Care   O
:   O
10/23/2271   B-DATE
post   O
-   O
surgery   O
:   O
Derex   B-NAME
exhibited   O
a   O
smooth   O
postoperative   O
course   O
,   O
with   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Sudie   B-NAME
Witman   I-NAME
was   O
advised   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
with   O
Dr.   O
Lon   B-NAME
Chaney   I-NAME
,   I-NAME
Sr   I-NAME
.   I-NAME
to   O
ensure   O
complete   O
recovery   O
and   O
discuss   O
any   O
further   O
treatment   O
or   O
dietary   O
adjustments   O
needed   O
for   O
Mirakle   B-NAME
's   O
diabetes   O
and   O
hypertension   O
management   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Genevieve   B-NAME
Berry   I-NAME
was   O
discharged   O
on   O
12/13   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
,   O
and   O
a   O
prescription   O
for   O
antibiotics   O
and   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Khan   B-NAME
,   I-NAME
Genghis   I-NAME
for   O
2246   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
05   I-DATE
at   O
Grove   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
questions   O
or   O
further   O
information   O
,   O
please   O
contact   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
13395   B-CONTACT
.   O

Patient   O
Report   O
for   O
Russel   B-NAME
Bernotas   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
BM:77411:901600   B-ID
:   O
9625382   B-ID
-   O
Date   O
of   O
Birth   O
:   O
49   O
-   O
Phone   O
number   O
:   O
623   B-CONTACT
736   I-CONTACT
-   I-CONTACT
7306   I-CONTACT
-   O
Address   O
:   O
Defiance   B-LOCATION
,   O
75348   B-LOCATION
-   O
Attending   O
Physician   O
:   O

Delana   B-NAME
Seekins   I-NAME
-   O
Treating   O
Organization   O
:   O
Vidant   B-LOCATION
Duplin   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
:   O
Quentin   B-NAME
U.   I-NAME
Johnson   I-NAME
,   O
a   O
Gaming   O
Surveillance   O
Officers   O
and   O
Gaming   O
Investigators   O
from   O
West   B-LOCATION
Alexandria   I-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
6   B-DATE
-   I-DATE
7   I-DATE
with   O
complaints   O
of   O
progressive   O
difficulty   O
breathing   O
,   O
chest   O
tightness   O
,   O
and   O
intermittent   O
bouts   O
of   O
coughing   O
that   O
have   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
examination   O
,   O
Cash   B-NAME
Rush   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
135/85   O
mmHg   O
,   O
heart   O
rate   O
at   O
102   O
bpm   O
,   O
respiratory   O
rate   O
at   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
a   O
temperature   O
of   O
37.8   O
°   O
C   O
.   O

Diagnostic   O
Imaging   O
and   O
Tests   O
:   O
Chest   O
x   O
-   O
rays   O
and   O
a   O
high   O
-   O
resolution   O
CT   O
scan   O
were   O
ordered   O
by   O
Carr   B-NAME
and   O
performed   O
at   O
Western   B-LOCATION
Reserve   I-LOCATION
Hospital   I-LOCATION
on   O
28/23   B-DATE
.   O

Treatment   O
&   O
Recommendations   O
:   O
Based   O
on   O
the   O
clinical   O
and   O
diagnostic   O
findings   O
,   O
Johnston   B-NAME
initiated   O
treatment   O
with   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
regimen   O
and   O
prescribed   O
an   O
inhaled   O
corticosteroid   O
to   O
manage   O
inflammation   O
and   O
improve   O
breathing   O
.   O

Frederick   B-NAME
was   O
advised   O
to   O
rest   O
,   O
increase   O
fluid   O
intake   O
,   O
and   O
monitor   O
temperature   O
and   O
symptoms   O
closely   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
1691   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
condition   O
and   O
adjust   O
treatment   O
plans   O
as   O
necessary   O
.   O

Salvatore   B-NAME
Hinton   I-NAME
was   O
also   O
advised   O
to   O
avoid   O
any   O
known   O
allergens   O
or   O
environmental   O
irritants   O
and   O
to   O
stop   O
smoking   O
immediately   O
to   O
aid   O
in   O
recovery   O
.   O

Additional   O
Remarks   O
:   O
Judah   B-NAME
George   I-NAME
has   O
been   O
informed   O
about   O
the   O
possible   O
need   O
for   O
further   O
diagnostic   O
tests   O
,   O
including   O
bronchoscopy   O
,   O
if   O
there   O
's   O
no   O
significant   O
improvement   O
or   O
if   O
symptoms   O
worsen   O
.   O

Tess   B-NAME
Mcpherson   I-NAME
expressed   O
understanding   O
and   O
consented   O
to   O
the   O
proposed   O
treatment   O
plan   O
.   O

Family   O
history   O
and   O
prior   O
medical   O
records   O
from   O
International   B-LOCATION
Longshore   I-LOCATION
and   I-LOCATION
Warehouse   I-LOCATION
Union   I-LOCATION
were   O
reviewed   O
,   O
and   O
no   O
significant   O
findings   O
were   O
noted   O
that   O
would   O
alter   O
the   O
current   O
treatment   O
approach   O
.   O

The   O
office   O
of   O
Halberstrom   B-NAME
will   O
remain   O
in   O
close   O
contact   O
with   O
Celeste   B-NAME
Stevenson   I-NAME
,   O
and   O
any   O
changes   O
in   O
the   O
condition   O
should   O
be   O
reported   O
immediately   O
via   O
921   B-CONTACT
-   I-CONTACT
273   I-CONTACT
4665   I-CONTACT
.   O

The   O
pharmacy   O
at   O
Providence   B-LOCATION
Alaska   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
notified   O
to   O
prepare   O
the   O
medications   O
,   O
and   O
Johnson   B-NAME
,   I-NAME
Philip   I-NAME
has   O
been   O
provided   O
with   O
the   O
necessary   O
prescriptions   O
and   O
educational   O
materials   O
regarding   O
the   O
management   O
of   O
their   O
condition   O
.   O

Signature   O
:   O
Cornelius   B-NAME
Clayton   I-NAME
1600   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
28   I-DATE
(   O
Note   O
:   O
All   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
has   O
been   O
anonymized   O
in   O
accordance   O
with   O
HIPAA   O
guidelines   O
.   O
)   O

Patient   O
Name   O
:   O
Chambers   B-NAME
,   I-NAME
Oswald   I-NAME
Patient   O
FX   B-ID
:   I-ID
OO:2212   I-ID
:   O
255   B-ID
-   I-ID
72   I-ID
-   I-ID
17   I-ID
Date   O
of   O
Birth   O
:   O
84   O
Address   O
:   O
Tavistock   B-LOCATION
,   O
97895   B-LOCATION
Phone   O
Number   O
:   O
110   B-CONTACT
-   I-CONTACT
435   I-CONTACT
-   I-CONTACT
3657   I-CONTACT
Treating   O
Physician   O
:   O
Dr.   O
Nichols   B-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
New   I-LOCATION
Mexico   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
September   B-DATE
Occupation   O
:   O
Spotters   O
,   O
Dry   O
Cleaning   O
Presenting   O
Complaints   O
:   O

The   O
patient   O
,   O
Kristin   B-NAME
Larsen   I-NAME
,   O
a   O
38   O
-   O
year   O
-   O
old   O
Extruding   O
and   O
Forming   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Synthetic   O
and   O
Glass   O
Fibers   O
from   O
Haymarket   B-LOCATION
,   O
presented   O
to   O
Atrium   B-LOCATION
Health   I-LOCATION
Carolinas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
4/10   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
orthopnea   O
,   O
and   O
bilateral   O
lower   O
limb   O
edema   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Khloe   B-NAME
Hickman   I-NAME
also   O
complained   O
of   O
paroxysmal   O
nocturnal   O
dyspnea   O
and   O
reduced   O
exercise   O
tolerance   O
during   O
this   O
period   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kent   B-NAME
's   O
symptoms   O
started   O
approximately   O
two   O
weeks   O
ago   O
and   O
have   O
gradually   O
worsened   O
.   O

Brent   B-NAME
Price   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
three   O
years   O
ago   O
.   O

Social   O
History   O
:   O
Freud   B-NAME
,   I-NAME
Sigmund   I-NAME
works   O
as   O
a   O
Sawing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
and   O
reports   O
a   O
high   O
-   O
stress   O
environment   O
.   O

Keaton   B-NAME
,   I-NAME
Buster   I-NAME
has   O
a   O
20   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
but   O
quit   O
smoking   O
five   O
years   O
ago   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Weber   B-NAME
for   O
further   O
management   O
of   O
heart   O
failure   O
with   O
reduced   O
ejection   O
fraction   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
20/25/2122   B-DATE
.   O

Detailed   O
information   O
such   O
as   O
patient   O
AW:100750:810987   B-ID
,   O
contact   O
190   B-CONTACT
8260   I-CONTACT
,   O
name   O
Isa   B-NAME
Goncalves   I-NAME
,   O
and   O
1134176   B-ID
number   O
have   O
been   O
replaced   O
with   O
PHI   O
labels   O
.   O

Patient   O
:   O
Aguilar   B-NAME
Age   O
:   O
7   O
week   O
Medical   O
Record   O
Number   O
:   O
10102899   B-ID
Date   O
of   O
Visit   O
:   O
02/15/2121   B-DATE
Location   O
:   O
South   B-LOCATION
New   I-LOCATION
Castle   I-LOCATION
Phone   O
:   O
930   B-CONTACT
1335   I-CONTACT
Doctor   O
:   O
Paris   B-NAME
English   I-NAME
Hospital   O
:   O

Ochsner   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Zip   O
:   O
99666   B-LOCATION
ID   O
:   O
62292   B-ID
Organization   O
:   O

Dairyland   B-LOCATION
Power   I-LOCATION
Coop   I-LOCATION
Profession   O
:   O
Electrical   O
and   O
Electronics   O
Drafters   O
Username   O
:   O
kd546   B-NAME
The   O
patient   O
,   O
Jeter   B-NAME
,   O
a   O
Credit   O
Authorizers   O
residing   O
in   O
Brooklyn   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11207   I-LOCATION
,   O
ZIP   O
code   O
23134   B-LOCATION
,   O
presented   O
to   O
Guthrie   B-LOCATION
Cortland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2000   B-DATE
.   O

Homer   B-NAME
Sosnowski   I-NAME
was   O
referred   O
by   O
Dr.   O
Hodge   B-NAME
and   O
arrived   O
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
headaches   O
,   O
photophobia   O
,   O
and   O
episodes   O
of   O
nausea   O
.   O

Upon   O
examination   O
,   O
Lopez   B-NAME
demonstrated   O
a   O
positive   O
response   O
to   O
the   O
photophobia   O
assessment   O
,   O
where   O
exposure   O
to   O
bright   O
light   O
exacerbated   O
discomfort   O
significantly   O
.   O

The   O
medical   O
history   O
of   O
Kaliyah   B-NAME
Giles   I-NAME
is   O
notable   O
for   O
migraines   O
,   O
documented   O
in   O
their   O
medical   O
record   O
under   O
6965476   B-ID
.   O

However   O
,   O
Bowman   B-NAME
describes   O
the   O
current   O
symptoms   O
as   O
being   O
markedly   O
different   O
and   O
more   O
severe   O
than   O
previous   O
migraine   O
episodes   O
.   O

A   O
neurological   O
examination   O
performed   O
by   O
Edgar   B-NAME
Hansen   I-NAME
found   O
no   O
focal   O
neurological   O
deficits   O
.   O

Kylee   B-NAME
Hamilton   I-NAME
was   O
instructed   O
to   O
follow   O
up   O
with   O
the   O
neurology   O
department   O
for   O
further   O
evaluation   O
and   O
management   O
based   O
on   O
the   O
MRI   O
results   O
.   O

Xavier   B-NAME
Hobbs   I-NAME
's   O
contact   O
information   O
has   O
been   O
recorded   O
as   O
85519   B-CONTACT
,   O
and   O
they   O
consented   O
to   O
electronic   O
communication   O
regarding   O
appointment   O
details   O
and   O
follow   O
-   O
ups   O
through   O
their   O
username   O
,   O
hj36   B-NAME
.   O

Lee   B-LOCATION
County   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
was   O
notified   O
of   O
the   O
details   O
of   O
Charles   B-NAME
Cameron   I-NAME
's   O
visit   O
for   O
quality   O
assurance   O
and   O
follow   O
-   O
up   O
in   O
their   O
ongoing   O
health   O
management   O
program   O
.   O

The   O
organization   O
emphasizes   O
maintaining   O
the   O
confidentiality   O
of   O
PHI   O
as   O
indicated   O
by   O
the   O
patient   O
's   O
ID   O
number   O
BT937/1556   B-ID
.   O

Patient   O
Report   O
for   O
Ferred   B-NAME
Orlosky   I-NAME
General   O
Information   O
:   O
-   O
41   O
year   O
old   O
professor   O
from   O
Darrington   B-LOCATION
,   O
91477   B-LOCATION
-   O
Patient   O
's   O
contact   O
number   O
:   O
(   B-CONTACT
470   I-CONTACT
)   I-CONTACT
416   I-CONTACT
-   I-CONTACT
6876   I-CONTACT
-   O
Medical   O
Record   O
Number   O
:   O
121   B-ID
-   I-ID
35   I-ID
-   I-ID
39   I-ID
-   O
Date   O
of   O
Visit   O
:   O
32/10   B-DATE
-   O
Referring   O
Physician   O
:   O

Trenton   B-NAME
Proctor   I-NAME
-   O
Treated   O
at   O
:   O
Dallas   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Clinical   O
History   O
:   O
Watterson   B-NAME
,   I-NAME
Bill   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
03/77   B-DATE
,   O
with   O
a   O
referral   O
from   O
Jacobs   B-NAME
.   O

Aubree   B-NAME
Delgado   I-NAME
also   O
noted   O
occasional   O
instances   O
of   O
blurred   O
vision   O
,   O
particularly   O
during   O
the   O
evening   O
.   O

Uphoff   B-NAME
works   O
as   O
a   O
Coaches   O
and   O
Scouts   O
,   O
which   O
involves   O
prolonged   O
periods   O
of   O
staring   O
at   O
a   O
computer   O
screen   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Ella   B-NAME
Nolan   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
discomfort   O
but   O
was   O
alert   O
and   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

A   O
referral   O
to   O
a   O
neurologist   O
at   O
NYU   B-LOCATION
Winthrop   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
including   O
imaging   O
studies   O
,   O
was   O
also   O
suggested   O
to   O
rule   O
out   O
any   O
structural   O
cause   O
of   O
the   O
symptoms   O
.   O

Management   O
Plan   O
:   O
-   O
Advised   O
to   O
follow   O
up   O
with   O
ophthalmology   O
at   O
Meadowview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2397   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
32   I-DATE
.   O
-   O
Scheduled   O
an   O
MRI   O
of   O
the   O
brain   O
to   O
be   O
performed   O
at   O
Madison   B-LOCATION
Hospital   I-LOCATION
to   O
assess   O
for   O
any   O
abnormalities   O
contributing   O
to   O
the   O
patient   O
's   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
December   B-NAME
is   O
scheduled   O
to   O
return   O
to   O
our   O
clinic   O
in   O
four   O
weeks   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
08/21/2063   B-DATE
,   O
after   O
completing   O
the   O
prescribed   O
investigations   O
and   O
consultations   O
.   O

Garza   B-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
posture   O
while   O
working   O
and   O
was   O
given   O
specific   O
ergonomic   O
recommendations   O
to   O
reduce   O
physical   O
strain   O
.   O

Additionally   O
,   O
Rajani   B-NAME
Mohadevan   I-NAME
was   O
encouraged   O
to   O
stay   O
hydrated   O
and   O
maintain   O
a   O
balanced   O
diet   O
to   O
support   O
overall   O
health   O
.   O

Contact   O
details   O
for   O
the   O
clinic   O
were   O
provided   O
(   O
(   B-CONTACT
501   I-CONTACT
)   I-CONTACT
923   I-CONTACT
-   I-CONTACT
4356   I-CONTACT
)   O
should   O
Kaeden   B-NAME
Wiley   I-NAME
require   O
any   O
urgent   O
consultations   O
or   O
experience   O
a   O
significant   O
worsening   O
of   O
symptoms   O
.   O

The   O
patient   O
,   O
Prince   B-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
Police   O
Identification   O
and   O
Records   O
Officers   O
from   O
Huntington   B-LOCATION
Bay   I-LOCATION
,   O
contacted   O
our   O
clinic   O
on   O
June   B-DATE
20   I-DATE
complaining   O
of   O
acute   O
onset   O
chest   O
pain   O
,   O
which   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
the   O
call   O
.   O

Upon   O
arrival   O
at   O
Chinese   B-LOCATION
Hospital   I-LOCATION
via   O
emergency   O
medical   O
services   O
,   O
the   O
patient   O
was   O
immediately   O
assessed   O
by   O
Ritter   B-NAME
.   O

The   O
patient   O
's   O
3010769   B-ID
number   O
is   O
526421623   B-ID
,   O
and   O
all   O
further   O
testing   O
and   O
interventions   O
will   O
be   O
documented   O
under   O
this   O
number   O
.   O

The   O
interventional   O
cardiology   O
team   O
,   O
led   O
by   O
Gibbs   B-NAME
,   O
performed   O
a   O
successful   O
PCI   O
of   O
the   O
right   O
coronary   O
artery   O
,   O
which   O
was   O
found   O
to   O
be   O
90   O
%   O
occluded   O
.   O

Follow   O
-   O
up   O
plans   O
were   O
arranged   O
for   O
the   O
patient   O
,   O
including   O
cardiac   O
rehabilitation   O
and   O
further   O
evaluation   O
by   O
Plimpton   B-NAME
,   I-NAME
Martha   I-NAME
in   O
the   O
outpatient   O
setting   O
.   O

For   O
further   O
information   O
or   O
any   O
adjustments   O
in   O
the   O
treatment   O
plan   O
,   O
Illa   B-NAME
Puff   I-NAME
or   O
their   O
designated   O
emergency   O
contact   O
can   O
reach   O
the   O
patient   O
care   O
team   O
at   O
87685   B-CONTACT
.   O

Any   O
inquiries   O
related   O
to   O
the   O
billing   O
or   O
insurance   O
coverage   O
should   O
be   O
directed   O
to   O
1st   B-LOCATION
American   I-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Minnesota   I-LOCATION
's   O
billing   O
department   O
at   O
975   B-CONTACT
-   I-CONTACT
9777   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Parker   B-NAME
Wyatt   I-NAME
Age   O
:   O
74   O
Date   O
of   O
Birth   O
:   O
12/22   B-DATE
Address   O
:   O
Lake   B-LOCATION
Santee   I-LOCATION
,   O
26195   B-LOCATION
Primary   O
Physician   O
:   O
Hartman   B-NAME
Hospital   O
:   O

AdventHealth   B-LOCATION
Lake   I-LOCATION
Wales   I-LOCATION
Medical   O
Record   O
Number   O
:   O
EPW213923   B-ID
ID   O
Number   O
:   O
UK616/9045   B-ID
Contact   O
Number   O
:   O
57334   B-CONTACT
Employment   O
:   O
Radiologic   O
Technologists   O
at   O
Direct   B-LOCATION
Energy   I-LOCATION
Admission   O
Date   O
:   O
34/13/42   B-DATE
Username   O
:   O
dxb531   B-NAME
Summary   O
:   O
Isabel   B-NAME
Vaughan   I-NAME
,   O
a   O
Command   O
and   O
Control   O
Center   O
Officers   O
at   O
International   B-LOCATION
affiliates   I-LOCATION
,   O
was   O
admitted   O
to   O
Texas   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
Plano   I-LOCATION
on   O
22/23   B-DATE
with   O
a   O
presenting   O
complaint   O
of   O
severe   O
,   O
episodic   O
,   O
right   O
-   O
sided   O
throbbing   O
headache   O
that   O
was   O
reported   O
to   O
last   O
for   O
approximately   O
4   O
-   O
72   O
hours   O
in   O
duration   O
.   O

Past   O
medical   O
records   O
from   O
New   B-LOCATION
Horizons   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
indicate   O
an   O
unremarkable   O
neurological   O
examination   O
and   O
imaging   O
studies   O
dated   O
0522   B-DATE
.   O
Evaluation   O
and   O
Treatment   O
:   O

Upon   O
evaluation   O
,   O
Kason   B-NAME
Leach   I-NAME
initiated   O
a   O
detailed   O
migraine   O
workup   O
,   O
including   O
a   O
comprehensive   O
neurological   O
examination   O
and   O
review   O
of   O
Octavius   B-NAME
Kent   I-NAME
's   O
headache   O
diary   O
.   O

Discussion   O
on   O
lifestyle   O
modifications   O
and   O
stress   O
management   O
techniques   O
were   O
also   O
held   O
,   O
considering   O
Nikolas   B-NAME
Van   I-NAME
Helsing   I-NAME
's   O
high   O
-   O
stress   O
job   O
as   O
a   O
Financial   O
Managers   O
at   O
Transport   B-LOCATION
Salaried   I-LOCATION
Staffs   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
.   O

Initiate   O
a   O
prophylactic   O
beta   O
-   O
blocker   O
regimen   O
,   O
with   O
follow   O
-   O
ups   O
scheduled   O
every   O
2132   B-DATE
to   O
monitor   O
blood   O
pressure   O
and   O
headache   O
frequency   O
.   O

Referral   O
to   O
a   O
headache   O
specialist   O
at   O
Hampton   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
made   O
for   O
29/16/2170   B-DATE
,   O
to   O
evaluate   O
the   O
need   O
for   O
further   O
diagnostic   O
tests   O
or   O
adjustments   O
in   O
the   O
management   O
plan   O
.   O

Contact   O
:   O
For   O
any   O
questions   O
or   O
further   O
information   O
on   O
the   O
management   O
plan   O
,   O
please   O
contact   O
North   B-LOCATION
Ottawa   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
777   B-CONTACT
-   I-CONTACT
3993   I-CONTACT
or   O
connect   O
with   O
Tran   B-NAME
directly   O
.   O

Patient   O
:   O
Jayvon   B-NAME
Powell   I-NAME
Medical   O
Record   O
Number   O
:   O
55908665   B-ID
Age   O
:   O
98   O
Date   O
of   O
Birth   O
:   O
07/23/2239   B-DATE
Phone   O
:   O
97502   B-CONTACT
Address   O
:   O
Slaughter   B-LOCATION
,   O
69774   B-LOCATION

Attending   O
Doctor   O
:   O
Oliver   B-NAME
Carey   I-NAME
Hospital   O
:   O

Cox   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
Date   O
of   O
Visit   O
:   O
1/24   B-DATE
ID   O
Number   O
:   O
5   B-ID
-   I-ID
2836473   I-ID
Summary   O
:   O
Maci   B-NAME
Thornton   I-NAME
,   O
a   O
Operating   O
Engineers   O
and   O
Other   O
Construction   O
Equipment   O
Operators   O
from   O
Kingsgate   B-LOCATION
,   O
was   O
admitted   O
to   O
Lake   B-LOCATION
City   I-LOCATION
Veterans   I-LOCATION
Administration   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
October   B-DATE
11   I-DATE
,   I-DATE
2084   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Lilah   B-NAME
Mccarthy   I-NAME
denied   O
fever   O
,   O
diarrhea   O
,   O
or   O
urinary   O
symptoms   O
.   O

Clinical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Simon   B-NAME
Medina   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
,   O
with   O
a   O
temperature   O
of   O
37.2   O
°   O
C   O
,   O
heart   O
rate   O
of   O
88   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
of   O
130/74   O
mmHg   O
.   O

The   O
findings   O
prompted   O
an   O
urgent   O
surgical   O
consultation   O
by   O
Dr.   O
Castillo   B-NAME
and   O
the   O
decision   O
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
,   O
carried   O
out   O
on   O
2043   B-DATE
,   O
was   O
successful   O
without   O
complications   O
.   O

Postoperative   O
Course   O
:   O
Keiichi   B-NAME
Wakaoji   I-NAME
had   O
an   O
uncomplicated   O
recovery   O
post   O
-   O
surgery   O
.   O

Oral   O
intake   O
was   O
resumed   O
on   O
2/03   B-DATE
post   O
-   O
surgery   O
and   O
Gia   B-NAME
Short   I-NAME
tolerated   O
a   O
clear   O
liquid   O
diet   O
without   O
symptoms   O
of   O
nausea   O
or   O
vomiting   O
.   O

Lacey   B-NAME
Frost   I-NAME
was   O
observed   O
overnight   O
and   O
,   O
following   O
a   O
review   O
by   O
the   O
surgical   O
team   O
on   O
31/22/02   B-DATE
,   O
was   O
deemed   O
fit   O
for   O
discharge   O
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
level   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Brock   B-NAME
Wolfe   I-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Brycen   B-NAME
Giles   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
at   O
Memorial   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
Dr.   O
Mckay   B-NAME
on   O
2203   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
02   I-DATE
to   O
evaluate   O
postoperative   O
recovery   O
and   O
manage   O
any   O
arising   O
concerns   O
.   O

Summary   O
Prepared   O
by   O
:   O
Patent   O
attorney   O
,   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
the   I-LOCATION
South   I-LOCATION
2030   B-DATE

Patient   O
:   O
Afric   B-NAME
Date   O
of   O
Birth   O
:   O
32/15   B-DATE
Age   O
:   O
83   O
Medical   O
Record   O
Number   O
:   O
6892533   B-ID
Residence   O
:   O
Green   B-LOCATION
Bank   I-LOCATION
,   O
45290   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Varl   B-NAME
Gone   I-NAME
Hospital   O
:   O
CareLink   B-LOCATION
of   I-LOCATION
Jackson   I-LOCATION
Admission   O
Date   O
:   O
2101   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
39   I-DATE
Phone   O
Number   O
:   O
106   B-CONTACT
-   I-CONTACT
2243   I-CONTACT
Occupation   O
:   O
Correctional   O
Officers   O
and   O
Jailers   O
ID   O
Number   O
:   O
QO:97913:382952   B-ID

Clinical   O
Summary   O
:   O
Ione   B-NAME
Jean   I-NAME
was   O
admitted   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
-   I-LOCATION
McKinney   I-LOCATION
on   O
December   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
chronic   O
diarrhea   O
,   O
and   O
unintentional   O
weight   O
loss   O
over   O
the   O
past   O
two   O
months   O
.   O

Additionally   O
,   O
Mccullough   B-NAME
reported   O
experiencing   O
nocturnal   O
symptoms   O
,   O
which   O
have   O
significantly   O
disrupted   O
sleep   O
patterns   O
.   O

Upon   O
examination   O
,   O
Wilson   B-NAME
Mcdaniel   I-NAME
was   O
found   O
to   O
have   O
a   O
tender   O
abdomen   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
provided   O
by   O
Madalyn   B-NAME
Calderon   I-NAME
,   O
indicates   O
a   O
lack   O
of   O
similar   O
episodes   O
in   O
the   O
past   O
,   O
making   O
this   O
an   O
acute   O
presentation   O
.   O

Echeverria   B-NAME
underwent   O
a   O
diagnostic   O
colonoscopy   O
procedure   O
,   O
which   O
was   O
meticulously   O
performed   O
by   O
Aliyah   B-NAME
Hester   I-NAME
.   O

Management   O
has   O
been   O
initiated   O
with   O
corticosteroids   O
to   O
control   O
the   O
inflammation   O
,   O
along   O
with   O
dietary   O
modifications   O
advised   O
by   O
the   O
clinical   O
nutritionist   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
Philadelphia   I-LOCATION
.   O

Lourd   B-NAME
Muggley   I-NAME
has   O
been   O
scheduled   O
for   O
follow   O
-   O
up   O
appointments   O
for   O
further   O
evaluation   O
and   O
adjustment   O
of   O
the   O
treatment   O
plan   O
based   O
on   O
response   O
and   O
to   O
discuss   O
potential   O
long   O
-   O
term   O
management   O
strategies   O
.   O

April   B-NAME
Leblanc   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
symptom   O
diary   O
and   O
contact   O
Regional   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
San   I-LOCATION
Jose   I-LOCATION
via   O
671   B-CONTACT
243   I-CONTACT
4854   I-CONTACT
for   O
any   O
severe   O
or   O
new   O
symptoms   O
.   O

Leroy   B-NAME
X.   I-NAME
Oshea   I-NAME
was   O
discharged   O
on   O
10   B-DATE
Aug   I-DATE
2022   I-DATE
with   O
plans   O
for   O
close   O
outpatient   O
follow   O
-   O
up   O
with   O
both   O
Halle   B-NAME
Durham   I-NAME
and   O
a   O
specialized   O
gastroenterologist   O
from   O
Beach   B-LOCATION
First   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
for   O
comprehensive   O
management   O
of   O
the   O
newly   O
diagnosed   O
condition   O
.   O

Precautions   O
regarding   O
COVID-19   O
were   O
also   O
discussed   O
with   O
Corinne   B-NAME
Sandoval   I-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
vaccinations   O
and   O
booster   O
doses   O
,   O
considering   O
the   O
initiation   O
of   O
immunosuppressive   O
therapy   O
.   O

This   O
summary   O
serves   O
to   O
document   O
the   O
initial   O
presentation   O
,   O
diagnosis   O
,   O
and   O
the   O
commencement   O
of   O
treatment   O
for   O
Mikayla   B-NAME
Mathews   I-NAME
's   O
condition   O
.   O

Patient   O
Name   O
:   O
Nicolas   B-NAME
Washington   I-NAME
Date   O
of   O
Birth   O
:   O
March   B-DATE
20   I-DATE
Medical   O
Record   O
Number   O
:   O
6968167   B-ID
Date   O
of   O
Admission   O
:   O
22/12   B-DATE
Attending   O
Physician   O
:   O

Shawn   B-NAME
Chandler   I-NAME
Hospital   O
Name   O
:   O
Story   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Seacliff   B-LOCATION
Zip   O
Code   O
:   O
41155   B-LOCATION
Patient   O
's   O
Profession   O
:   O
Operational   O
researcher   O
Emergency   O
Contact   O
Phone   O
:   O
611   B-CONTACT
8886   I-CONTACT
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
8849140   I-ID
Chief   O
Complaint   O
:   O
Spring   B-NAME
Vandilus   I-NAME
,   O
a   O
80   O
-   O
year   O
-   O
old   O
Police   O
officer   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Noyes   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Sutton   B-LOCATION
-   I-LOCATION
in   I-LOCATION
-   I-LOCATION
Ashfield   I-LOCATION
,   O
79426   B-LOCATION
,   O
on   O
12   B-DATE
-   I-DATE
23   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
early   O
in   O
the   O
morning   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Coupland   B-NAME
,   I-NAME
Douglas   I-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
approximately   O
6   O
hours   O
prior   O
to   O
presentation   O
.   O

Oliver   B-NAME
Ludwig   I-NAME
denied   O
any   O
alcohol   O
use   O
or   O
history   O
of   O
similar   O
episodes   O
.   O

Past   O
Medical   O
History   O
:   O
Kraus   B-NAME
,   I-NAME
Karl   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Aleena   B-NAME
Powell   I-NAME
was   O
in   O
significant   O
distress   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
12/0   B-DATE
showed   O
an   O
enlarged   O
pancreas   O
with   O
inflammation   O
,   O
consistent   O
with   O
acute   O
pancreatitis   O
.   O

The   O
diagnosis   O
of   O
acute   O
pancreatitis   O
of   O
probable   O
gallstone   O
etiology   O
was   O
made   O
by   O
Miller   B-NAME
at   O
Halifax   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Port   I-LOCATION
Orange   I-LOCATION
.   O

An   O
endoscopic   O
retrograde   O
cholangiopancreatography   O
(   O
ERCP   O
)   O
was   O
planned   O
for   O
07/44   B-DATE
to   O
evaluate   O
for   O
gallstone   O
presence   O
in   O
the   O
common   O
bile   O
duct   O
.   O

Follow   O
-   O
Up   O
:   O
Buffy   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
gastroenterology   O
clinic   O
on   O
1784   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
01   I-DATE
to   O
reassess   O
the   O
condition   O
and   O
plan   O
further   O
management   O
as   O
necessary   O
.   O

Mcmahon   B-NAME
was   O
advised   O
to   O
abstain   O
from   O
alcohol   O
and   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
to   O
prevent   O
recurrence   O
.   O

Discharge   O
Date   O
:   O
Cora   B-NAME
Berry   I-NAME
was   O
discharged   O
in   O
stable   O
condition   O
on   O
1654   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
29   I-DATE
with   O
prescriptions   O
for   O
oral   O
analgesics   O
and   O
a   O
detailed   O
management   O
plan   O
for   O
diabetes   O
and   O
hypertension   O
.   O

In   O
case   O
of   O
any   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
,   O
King   B-NAME
or   O
their   O
emergency   O
contact   O
(   O
Phone   O
:   O
650   B-CONTACT
4639   I-CONTACT
)   O
is   O
advised   O
to   O
contact   O
Henry   B-LOCATION
Ford   I-LOCATION
Allegiance   I-LOCATION
Health   I-LOCATION
immediately   O
or   O
return   O
to   O
the   O
emergency   O
department   O
.   O

Patient   O
Name   O
:   O
Carus   B-NAME
Bernieri   I-NAME
Age   O
:   O
20   O
Date   O
of   O
Birth   O
:   O
32/17/2172   B-DATE
Address   O
:   O
Bay   B-LOCATION
Pines   I-LOCATION
,   O
53015   B-LOCATION
Phone   O
Number   O
:   O
183   B-CONTACT
-   I-CONTACT
751   I-CONTACT
-   I-CONTACT
6495   I-CONTACT
Occupation   O
:   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
Physician   O
:   O

Mcconnell   B-NAME
Medical   O
Record   O
Number   O
:   O
0386454   B-ID
Hospital   O
:   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Lawrenceville   I-LOCATION
Date   O
of   O
Visit   O
:   O
June   B-DATE
Insurance   O
ID   O
:   O
OQ   B-ID
:   I-ID
HE:2473   I-ID
Chief   O
Complaint   O
:   O

Guzman   B-NAME
presented   O
at   O
Mobile   B-LOCATION
Infirmary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
fever   O
and   O
nausea   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
48   O
hours   O
prior   O
to   O
the   O
visit   O
on   O
Sept   B-DATE
35th   I-DATE
,   O
with   O
the   O
intensity   O
of   O
the   O
pain   O
gradually   O
increasing   O
.   O

Shawn   B-NAME
Collier   I-NAME
has   O
a   O
medical   O
history   O
remarkable   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
on   O
metformin   O
,   O
and   O
hypertension   O
managed   O
with   O
lisinopril   O
.   O

Taylor   B-NAME
Maddox   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
colorectal   O
cancer   O
in   O
his   O
father   O
at   O
43   O
.   O

Review   O
of   O
Systems   O
:   O
During   O
the   O
review   O
of   O
systems   O
,   O
Easton   B-NAME
Hoffman   I-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
mild   O
increase   O
in   O
frequency   O
of   O
urination   O
.   O

Eugene   B-NAME
Sutphin   I-NAME
denied   O
recent   O
traveling   O
or   O
ingestion   O
of   O
unfamiliar   O
foods   O
.   O

On   O
physical   O
examination   O
,   O
Eve   B-NAME
Guthrie   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Benenson   B-NAME
,   I-NAME
Peter   I-NAME
underwent   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
indicated   O
a   O
mild   O
leukocytosis   O
.   O

Management   O
Plan   O
:   O
Based   O
on   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Latanya   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

After   O
discussing   O
treatment   O
options   O
,   O
Vasquez   B-NAME
consented   O
to   O
a   O
laparoscopic   O
appendectomy   O
.   O

Surgical   O
intervention   O
was   O
successfully   O
performed   O
by   O
Bell   B-NAME
on   O
1/22/74   B-DATE
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Dolan   B-NAME
was   O
discharged   O
on   O
post   O
-   O
operative   O
day   O
2   O
with   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
arrangements   O
made   O
for   O
a   O
week   O
post   O
-   O
discharge   O
at   O
Martin   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Amir   B-NAME
Naranjo   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Ray   B-NAME
at   O
Central   B-LOCATION
Maine   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
35/20   B-DATE
to   O
assess   O
recovery   O
progress   O
and   O
address   O
any   O
concerns   O
that   O
may   O
arise   O
during   O
the   O
post   O
-   O
operative   O
period   O
.   O

Patient   O
Name   O
:   O
Forbin   B-NAME
Izaguine   I-NAME
Age   O
:   O
17   O
Address   O
:   O
Knightdale   B-LOCATION
,   O
52479   B-LOCATION
Phone   O
Number   O
:   O
776   B-CONTACT
3893   I-CONTACT
Employment   O
:   O
File   O
Clerks   O
at   O
Community   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Doctor   O
:   O
Randy   B-NAME
Brown   I-NAME
Hospital   O
:   O

MercyOne   B-LOCATION
West   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
29694585   B-ID
Date   O
of   O
Visit   O
:   O
Tuesday   B-DATE
ID   O
:   O
HQ   B-ID
:   I-ID
JZ:5084   I-ID
Chief   O
Complaint   O
:   O
Jonathan   B-NAME
Villarreal   I-NAME
presented   O
to   O
Valley   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
01/13   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
along   O
with   O
nausea   O
and   O
sensitivity   O
to   O
light   O
and   O
sound   O
that   O
has   O
been   O
persisting   O
for   O
approximately   O
72   O
hours   O
.   O

Harley   B-NAME
Nguyen   I-NAME
reported   O
that   O
the   O
headaches   O
have   O
been   O
recurrent   O
,   O
occurring   O
about   O
once   O
or   O
twice   O
a   O
month   O
,   O
but   O
the   O
intensity   O
of   O
this   O
current   O
episode   O
is   O
significantly   O
higher   O
than   O
usual   O
.   O

Additionally   O
,   O
Tyrell   B-NAME
Stokes   I-NAME
has   O
experienced   O
episodes   O
of   O
visual   O
aura   O
characterized   O
by   O
flashing   O
lights   O
and   O
blind   O
spots   O
in   O
the   O
visual   O
field   O
preceding   O
the   O
headache   O
.   O
History   O
of   O
Present   O
Illness   O
:   O

Ayala   B-NAME
has   O
a   O
history   O
of   O
migraines   O
without   O
aura   O
since   O
the   O
age   O
of   O
71   O
but   O
notes   O
that   O
episodes   O
of   O
visual   O
disturbances   O
started   O
occurring   O
within   O
the   O
past   O
year   O
.   O

Travis   B-NAME
denies   O
any   O
recent   O
head   O
trauma   O
,   O
fever   O
,   O
neck   O
stiffness   O
,   O
or   O
weight   O
loss   O
.   O

Past   O
Medical   O
History   O
:   O
Lewis   B-NAME
Huerta   I-NAME
has   O
been   O
previously   O
diagnosed   O
with   O
hypertension   O
and   O
is   O
currently   O
managed   O
on   O
medication   O
.   O

Elvis   B-NAME
Flowers   I-NAME
denies   O
any   O
history   O
of   O
diabetes   O
mellitus   O
,   O
cancer   O
,   O
or   O
heart   O
disease   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
mentioned   O
earlier   O
,   O
Carlita   B-NAME
Dower   I-NAME
denies   O
any   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
abdominal   O
pain   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
bladder   O
habits   O
.   O

Upon   O
examination   O
,   O
Aleena   B-NAME
Hurst   I-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Follow   O
-   O
up   O
with   O
Morton   B-NAME
in   O
two   O
weeks   O
to   O
re   O
-   O
evaluate   O
symptoms   O
and   O
treatment   O
effectiveness   O
.   O

If   O
symptoms   O
persist   O
or   O
worsen   O
,   O
George   B-NAME
III   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
was   O
instructed   O
to   O
contact   O
Maddox   B-NAME
at   O
416   B-CONTACT
3017   I-CONTACT
or   O
return   O
to   O
Ohio   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marion   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Username   O
:   O
zz857   B-NAME
was   O
notified   O
of   O
the   O
patient   O
's   O
visit   O
and   O
plan   O
for   O
follow   O
-   O
up   O
.   O

Patient   O
Name   O
:   O
OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
Age   O
:   O
95   O
Date   O
of   O
Birth   O
:   O
3725   B-DATE
Address   O
:   O
Florence   B-LOCATION
,   I-LOCATION
Florence   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
(   I-LOCATION
D   I-LOCATION
)   I-LOCATION
,   O
41929   B-LOCATION
Phone   O
Number   O
:   O
855   B-CONTACT
-   I-CONTACT
894   I-CONTACT
4475   I-CONTACT
Occupation   O
:   O
Purchasing   O
Agents   O
and   O
Buyers   O
,   O
Farm   O
Products   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Stephens   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Fruitland   I-LOCATION
Medical   O
Record   O
Number   O
:   O
571   B-ID
-   I-ID
52   I-ID
-   I-ID
80   I-ID
Date   O
of   O
Visit   O
:   O
31/22   B-DATE
Insurance   O
ID   O
:   O
209937   B-ID
Subjective   O
:   O
Christian   B-NAME
Szell   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
12/14/2251   B-DATE
with   O
complaints   O
of   O
a   O
persistent   O
dry   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

Barrett   B-NAME
Sliter   I-NAME
mentioned   O
the   O
symptoms   O
began   O
approximately   O
two   O
weeks   O
ago   O
and   O
have   O
gradually   O
worsened   O
.   O

Merril   B-NAME
Bobolit   I-NAME
also   O
reports   O
episodes   O
of   O
chest   O
tightness   O
,   O
mainly   O
occurring   O
in   O
the   O
evenings   O
.   O

Corbin   B-NAME
Poole   I-NAME
,   O
an   O
Animal   O
Control   O
Workers   O
,   O
noted   O
that   O
the   O
symptoms   O
seem   O
exacerbated   O
by   O
physical   O
activity   O
.   O

No   O
fever   O
,   O
chills   O
,   O
or   O
recent   O
travels   O
to   O
San   B-LOCATION
Angelo   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
76903   I-LOCATION
.   O

On   O
examination   O
,   O
Karissa   B-NAME
Kerr   I-NAME
's   O
vitals   O
were   O
as   O
follows   O
:   O
temperature   O
98.6   O
°   O
F   O
,   O
heart   O
rate   O
88   O
bpm   O
,   O
respiratory   O
rate   O
20   O
breaths   O
/   O
minute   O
,   O
and   O
blood   O
pressure   O
130/85   O
mmHg   O
.   O

2   O
.   O
Recommend   O
initiation   O
of   O
an   O
inhaled   O
corticosteroid   O
and   O
long   O
-   O
acting   O
beta   O
agonist   O
(   O
ICS   O
/   O
LABA   O
)   O
combination   O
,   O
with   O
instructions   O
for   O
use   O
demonstrated   O
to   O
Rey   B-NAME
Leach   I-NAME
by   O
a   O
nurse   O
from   O
Bear   B-LOCATION
Lake   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Order   O
a   O
chest   O
X   O
-   O
ray   O
and   O
complete   O
blood   O
count   O
to   O
rule   O
out   O
infection   O
,   O
results   O
to   O
be   O
sent   O
to   O
Longs   B-LOCATION
Peak   I-LOCATION
Hospital   I-LOCATION
.   O

Advise   O
Ubo   B-NAME
to   O
avoid   O
known   O
asthma   O
triggers   O
and   O
to   O
monitor   O
peak   O
flow   O
readings   O
twice   O
daily   O
,   O
recording   O
readings   O
for   O
follow   O
-   O
up   O
.   O

Follow   O
-   O
up   O
contact   O
number   O
is   O
17092   B-CONTACT
.   O

In   O
the   O
event   O
of   O
any   O
queries   O
or   O
if   O
immediate   O
assistance   O
is   O
needed   O
,   O
Briana   B-NAME
Hampton   I-NAME
is   O
instructed   O
to   O
contact   O
the   O
office   O
at   O
53924   B-CONTACT
or   O
seek   O
urgent   O
care   O
at   O
Oneida   B-LOCATION
Healthcare   I-LOCATION
.   O

Seth   B-NAME
Folden   I-NAME
was   O
also   O
advised   O
on   O
the   O
significance   O
of   O
avoiding   O
exposure   O
to   O
allergens   O
and   O
irritants   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Ashanti   B-NAME
Rahimi   I-NAME
Age   O
:   O
45   O
SSN   O
:   O
SD   B-ID
:   I-ID
JZ:9563   I-ID
Medical   O
Record   O
Number   O
:   O
8178569   B-ID
Date   O
of   O
Birth   O
:   O
Friday   B-DATE
Address   O
:   O
Green   B-LOCATION
Valley   I-LOCATION
Farms   I-LOCATION
,   O
68549   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
136   I-CONTACT
)   I-CONTACT
438   I-CONTACT
-   I-CONTACT
2884   I-CONTACT
Occupation   O
:   O

Hayden   B-NAME
Fitzpatrick   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
History   O
:   O
Reid   B-NAME
Kennedy   I-NAME
presented   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Grinnell   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/11/55   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
headaches   O
predominantly   O
localized   O
in   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

Aguilera   B-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
for   O
which   O
Makena   B-NAME
Austin   I-NAME
is   O
on   O
medication   O
.   O

During   O
examination   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Philadelphia   I-LOCATION
,   O
Hailey   B-NAME
Dennis   I-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
at   O
2   B-ID
-   I-ID
7549489   I-ID
mmHg   O
systolic   O
and   O
HY165/9524   B-ID
mmHg   O
diastolic   O
.   O

Diagnostic   O
Assessment   O
:   O
Given   O
Aragon   B-NAME
's   O
symptoms   O
,   O
a   O
diagnosis   O
of   O
migraine   O
without   O
aura   O
was   O
considered   O
.   O

Caldwell   B-NAME
also   O
recommended   O
brain   O
MRI   O
to   O
rule   O
out   O
other   O
causes   O
due   O
to   O
the   O
severity   O
and   O
frequency   O
of   O
the   O
headaches   O
.   O

The   O
MRI   O
,   O
conducted   O
on   O
22/30   B-DATE
,   O
did   O
not   O
show   O
any   O
acute   O
changes   O
or   O
abnormalities   O
.   O

Brooks   B-NAME
,   I-NAME
Mel   I-NAME
's   O
blood   O
tests   O
indicated   O
well   O
-   O
controlled   O
diabetes   O
with   O
an   O
HbA1c   O
of   O
WB773/8477   B-ID
and   O
no   O
signs   O
of   O
infection   O
with   O
normal   O
white   O
blood   O
cell   O
count   O
.   O

Hoover   B-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
regular   O
sleep   O
patterns   O
,   O
hydration   O
,   O
and   O
stress   O
management   O
techniques   O
.   O

Prescribed   O
medication   O
for   O
migraine   O
prophylaxis   O
included   O
propranolol   O
,   O
starting   O
at   O
VQ:3579:984112   B-ID
mg   O
/   O
day   O
with   O
follow   O
-   O
up   O
planned   O
in   O
4   O
weeks   O
to   O
assess   O
efficacy   O
and   O
tolerance   O
.   O

Len   B-NAME
Wayne   I-NAME
-   I-NAME
Gregory   I-NAME
was   O
also   O
provided   O
with   O
sumatriptan   O
for   O
acute   O
attacks   O
.   O

Follow   O
-   O
Up   O
:   O
Blake   B-NAME
Downs   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Hansen   B-NAME
at   O
Robert   B-LOCATION
J.   I-LOCATION
Dole   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Regional   I-LOCATION
Office   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
on   O
02/13   B-DATE
.   O

Rohan   B-NAME
Roy   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
headaches   O
,   O
as   O
well   O
as   O
any   O
associated   O
symptoms   O
.   O

Regular   O
monitoring   O
of   O
blood   O
pressure   O
and   O
diabetes   O
management   O
will   O
continue   O
to   O
be   O
part   O
of   O
Ellyn   B-NAME
's   O
care   O
plan   O
.   O

For   O
further   O
assistance   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Duncan   B-NAME
Flynn   I-NAME
was   O
given   O
the   O
contact   O
number   O
25623   B-CONTACT
to   O
reach   O
Lehigh   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Name   O
:   O
Tyrese   B-NAME
Yoder   I-NAME
Patient   O
ID   O
:   O
517253   B-ID
Medical   O
Record   O
Number   O
:   O
67544182   B-ID
Date   O
of   O
Visit   O
:   O
22   B-DATE
-   I-DATE
Jan-2096   I-DATE
Age   O
:   O
90   O
Phone   O
Number   O
:   O
252   B-CONTACT
849   I-CONTACT
-   I-CONTACT
6609   I-CONTACT
Location   O
of   O
Residence   O
:   O
Carrier   B-LOCATION
Mills   I-LOCATION
,   O
31514   B-LOCATION

Zaire   B-NAME
Barajas   I-NAME
Hospital   O
Name   O
:   O
Ascension   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Riverside   I-LOCATION
Organization   O
:   O
Society   B-LOCATION
for   I-LOCATION
Threatened   I-LOCATION
Peoples   I-LOCATION
Reported   O
Profession   O
:   O
Mates-   O
Ship   O
,   O
Boat   O
,   O
and   O
Barge   O
Username   O
:   O
ty238   B-NAME
Chief   O
Complaint   O
:   O
Deanna   B-NAME
Wyatt   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Large   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Indian   I-LOCATION
Rocks   I-LOCATION
(   I-LOCATION
Formerly   I-LOCATION
Sun   I-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
on   O
February   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sudden   O
-   O
onset   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Alex   B-NAME
Hesse   I-NAME
,   O
a   O
programmer   O
by   O
profession   O
,   O
reported   O
the   O
pain   O
began   O
while   O
at   O
work   O
at   O
HURIDOCS   B-LOCATION
earlier   O
in   O
the   O
day   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Buchanan   B-NAME
,   O
who   O
is   O
2   O
month   O
years   O
old   O
,   O
reported   O
that   O
the   O
pain   O
was   O
accompanied   O
by   O
nausea   O
and   O
had   O
vomited   O
twice   O
since   O
the   O
onset   O
.   O

Past   O
Medical   O
History   O
:   O
Upon   O
review   O
,   O
Jordan   B-NAME
Roberts   I-NAME
's   O
past   O
medical   O
history   O
includes   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
a   O
history   O
of   O
hypertension   O
,   O
under   O
control   O
with   O
lisinopril   O
.   O

On   O
examination   O
,   O
Ryder   B-NAME
Cabrera   I-NAME
appeared   O
in   O
slight   O
distress   O
due   O
to   O
pain   O
.   O

After   O
discussion   O
with   O
Doyle   B-NAME
,   I-NAME
Arthur   I-NAME
Conan   I-NAME
and   O
obtaining   O
informed   O
consent   O
,   O
Null   B-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
1/04/36   B-DATE
.   O

The   O
procedure   O
,   O
conducted   O
at   O
Tanner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Villa   I-LOCATION
Rica   I-LOCATION
,   O
was   O
completed   O
without   O
complications   O
.   O

Sapphon   B-NAME
Hollarn   I-NAME
was   O
advised   O
to   O
remain   O
in   O
the   O
hospital   O
for   O
monitoring   O
and   O
was   O
discharged   O
on   O
33/26/84   B-DATE
with   O
instructions   O
for   O
postoperative   O
care   O
and   O
follow   O
-   O
up   O
with   O
Howell   B-NAME
.   O

Follow   O
-   O
up   O
:   O
Sharlene   B-NAME
Lindow   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Haley   B-NAME
Price   I-NAME
at   O
Hereford   B-LOCATION
on   O
32/02   B-DATE
to   O
assess   O
postoperative   O
recovery   O
and   O
manage   O
any   O
ongoing   O
symptoms   O
or   O
concerns   O
.   O

For   O
any   O
immediate   O
concerns   O
or   O
complications   O
,   O
Tibor   B-NAME
Oquinn   I-NAME
can   O
contact   O
Broward   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
308   B-CONTACT
-   I-CONTACT
5349   I-CONTACT
or   O
reach   O
out   O
to   O
Mcmillan   B-NAME
’s   O
office   O
directly   O
.   O

For   O
non   O
-   O
urgent   O
matters   O
,   O
please   O
use   O
the   O
secure   O
messaging   O
feature   O
available   O
through   O
our   O
patient   O
portal   O
(   O
username   O
:   O
jkf697   B-NAME
)   O
.   O

Patient   O
Report   O
for   O
Good   B-NAME
2322   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
29   I-DATE
,   O
Riverdale   B-LOCATION
Chief   O
Complaint   O
:   O
A   O
4   O
years   O
old   O
Merchandise   O
Displayers   O
and   O
Window   O
Trimmers   O
presented   O
to   O
Jackson   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
for   O
the   O
past   O
07/11   B-DATE
,   O
which   O
has   O
notably   O
worsened   O
over   O
the   O
last   O
2195   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
28   I-DATE
.   O

The   O
patient   O
,   O
Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
,   O
described   O
the   O
cough   O
as   O
non   O
-   O
productive   O
and   O
more   O
severe   O
during   O
the   O
night   O
,   O
leading   O
to   O
difficulty   O
sleeping   O
.   O

Additionally   O
,   O
Vincent   B-NAME
Brennan   I-NAME
reported   O
experiencing   O
episodes   O
of   O
dyspnea   O
on   O
exertion   O
over   O
the   O
past   O
1818   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Myrtie   B-NAME
Lyme   I-NAME
has   O
a   O
known   O
history   O
of   O
asthma   O
diagnosed   O
in   O
childhood   O
but   O
reports   O
no   O
significant   O
episodes   O
in   O
the   O
past   O
year   O
.   O

However   O
,   O
Abagail   B-NAME
Henson   I-NAME
mentions   O
that   O
the   O
current   O
symptoms   O
feel   O
"   O
different   O
"   O
than   O
the   O
usual   O
asthma   O
exacerbations   O
.   O

Ruba   B-NAME
Neil   I-NAME
denies   O
any   O
fever   O
,   O
chills   O
,   O
or   O
weight   O
loss   O
but   O
notes   O
a   O
slight   O
tickle   O
in   O
the   O
throat   O
preceding   O
the   O
coughing   O
spells   O
.   O

Allergies   O
:   O
Gabor   B-NAME
,   I-NAME
Zsa   I-NAME
Zsa   I-NAME
reports   O
allergies   O
to   O
penicillin   O
causing   O
rash   O
.   O

Social   O
History   O
:   O
Ecclestone   B-NAME
,   I-NAME
Bernie   I-NAME
works   O
as   O
a   O
Municipal   O
Clerks   O
at   O
Butte   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
and   O
denies   O
tobacco   O
use   O
.   O

Physical   O
Examination   O
:   O
Vitals   O
:   O
BP   O
UW:76474:750665   B-ID
,   O
HR   O
4   B-ID
-   I-ID
8562576   I-ID
,   O
Temp   O
10   B-ID
-   I-ID
9564473   I-ID
,   O
Resp   O
3   B-ID
-   I-ID
5034246   I-ID
,   O
O2   O
Sat   O
98   O
%   O
on   O
room   O
air   O
.   O

General   O
:   O
Claire   B-NAME
Fraser   I-NAME
is   O
alert   O
and   O
oriented   O
x3   O
,   O
in   O
no   O
apparent   O
distress   O
.   O

The   O
patient   O
,   O
Luciana   B-NAME
Blair   I-NAME
,   O
presents   O
with   O
a   O
dry   O
cough   O
and   O
dyspnea   O
on   O
exertion   O
,   O
possibly   O
indicative   O
of   O
an   O
asthma   O
exacerbation   O
.   O

-   O
Referral   O
to   O
Sparks   B-NAME
for   O
evaluation   O
of   O
allergic   O
rhinitis   O
and   O
consideration   O
of   O
nasal   O
corticosteroids   O
.   O

Follow   O
-   O
up   O
is   O
scheduled   O
for   O
May   B-DATE
2392   I-DATE
to   O
review   O
the   O
outcome   O
of   O
the   O
current   O
management   O
plan   O
and   O
discuss   O
the   O
results   O
of   O
pending   O
tests   O
.   O

For   O
any   O
urgent   O
concerns   O
before   O
the   O
follow   O
-   O
up   O
,   O
Conrad   B-NAME
Cuevas   I-NAME
can   O
contact   O
Oakland   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
at   O
945   B-CONTACT
1609   I-CONTACT
.   O

Glenn   B-NAME
M.D.   O
2033   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
25   I-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Moss   B-NAME
Patient   O
ID   O
:   O
DO   B-ID
:   I-ID
SD:8444   I-ID
Medical   O
Record   O
Number   O
:   O
8216040   B-ID
Date   O
of   O
Birth   O
:   O
12/34   B-DATE
Age   O
:   O
74   O
Phone   O
Number   O
:   O
479   B-CONTACT
238   I-CONTACT
9531   I-CONTACT
Address   O
:   O
Lowesville   B-LOCATION
,   O
10122   B-LOCATION
Employment   O
:   O
Construction   O
Carpenters   O
at   O
Hagerstown   B-LOCATION
Light   I-LOCATION
Department   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Hugo   B-NAME
Harrison   I-NAME
Summary   O
:   O
On   O
2261   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
22   I-DATE
,   O
Al   B-NAME
S.   I-NAME
Everhart   I-NAME
presented   O
to   O
Saint   B-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
acute   O
,   O
localized   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

The   O
onset   O
of   O
pain   O
was   O
sudden   O
and   O
has   O
progressively   O
worsened   O
over   O
the   O
last   O
19/12   B-DATE
.   O

Brain   B-NAME
also   O
reports   O
an   O
elevated   O
temperature   O
noted   O
at   O
home   O
and   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
.   O

Past   O
medical   O
history   O
is   O
remarkable   O
for   O
gastritis   O
approximately   O
12/21   B-DATE
ago   O
,   O
treated   O
with   O
medication   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Allyson   B-NAME
Hooper   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

A   O
computerized   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
was   O
ordered   O
by   O
Dr.   O
White   B-NAME
and   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
early   O
inflammation   O
.   O

Treatment   O
:   O
Given   O
the   O
clinical   O
and   O
radiographic   O
findings   O
,   O
Amelia   B-NAME
Boyer   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

After   O
discussing   O
the   O
surgical   O
and   O
non   O
-   O
surgical   O
management   O
options   O
,   O
Ellington   B-NAME
,   I-NAME
Duke   I-NAME
opted   O
for   O
surgical   O
removal   O
of   O
the   O
appendix   O
.   O

The   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
04/28   B-DATE
by   O
Dr.   O
Keon   B-NAME
Wolf   I-NAME
without   O
any   O
complications   O
.   O

Kasen   B-NAME
Krueger   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
antibiotics   O
preoperatively   O
and   O
continued   O
postoperatively   O
.   O

Postoperative   O
Care   O
:   O
Maggie   B-NAME
Mcclain   I-NAME
was   O
closely   O
monitored   O
post   O
-   O
operation   O
,   O
with   O
vital   O
signs   O
and   O
blood   O
tests   O
showing   O
signs   O
of   O
recovery   O
without   O
any   O
complications   O
.   O

Kasandra   B-NAME
Gordon   I-NAME
was   O
given   O
pain   O
management   O
advice   O
and   O
discharged   O
on   O
31/20   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Kelley   B-NAME
on   O
2080   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
23   I-DATE
.   O
Marie   B-NAME
,   I-NAME
Queen   I-NAME
of   I-NAME
Romania   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
there   O
were   O
signs   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
any   O
other   O
concerning   O
symptoms   O
.   O

The   O
188   B-CONTACT
5578   I-CONTACT
of   O
Strong   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
24   O
-   O
hour   O
helpline   O
was   O
provided   O
for   O
any   O
urgent   O
queries   O
.   O

The   O
follow   O
-   O
up   O
on   O
November   B-DATE
10th   I-DATE
with   O
Dr.   O
Freddy   B-NAME
James   I-NAME
at   O
Seton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Hays   I-LOCATION
showed   O
good   O
wound   O
healing   O
,   O
and   O
Morgan   B-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Animal   B-LOCATION
Defense   I-LOCATION
League   I-LOCATION
's   O
patient   O
care   O
team   O
remains   O
available   O
for   O
Keira   B-NAME
Joyce   I-NAME
for   O
any   O
further   O
assistance   O
required   O
related   O
to   O
this   O
episode   O
of   O
care   O
.   O

Lailah   B-NAME
Maxwell   I-NAME
Date   O
of   O
Birth   O
:   O
25   O
Date   O
of   O
Visit   O
:   O
December   B-DATE
Medical   O
Record   O
Number   O
:   O
47656036   B-ID
Consulting   O
Doctor   O
:   O
Aubrey   B-NAME
Hattaway   I-NAME
Hospital   O
:   O
SOUTH   B-LOCATION
BAY   I-LOCATION
HOSPITAL   I-LOCATION
Location   O
:   O
Caldwell   B-LOCATION
Phone   O
:   O
685   B-CONTACT
-   I-CONTACT
6010   I-CONTACT
ID   O
Number   O
:   O
QC:99478:418614   B-ID

Employment   O
:   O
Loss   O
Prevention   O
Managers   O
Username   O
:   O
oj121   B-NAME
Zip   O
Code   O
:   O
22783   B-LOCATION
Patient   O
Edward   B-NAME
Benitez   I-NAME
presented   O
to   O
Glens   B-LOCATION
Falls   I-LOCATION
Hospital   I-LOCATION
on   O
39/28   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
high   O
fever   O
reaching   O
102   O
°   O
F   O
.   O

Upon   O
examination   O
,   O
Ethen   B-NAME
English   I-NAME
noted   O
that   O
Potts   B-NAME
appeared   O
fatigued   O
and   O
had   O
bilateral   O
wheezes   O
on   O
auscultation   O
.   O

A   O
PCR   O
COVID-19   O
test   O
was   O
also   O
conducted   O
given   O
the   O
current   O
guidelines   O
from   O
Redress   B-LOCATION
Trust   I-LOCATION
,   O
which   O
returned   O
positive   O
on   O
13/06/71   B-DATE
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Frost   B-NAME
initiated   O
treatment   O
with   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
to   O
cover   O
potential   O
bacterial   O
pathogens   O
and   O
recommended   O
isolation   O
measures   O
as   O
per   O
guidelines   O
from   O
Political   B-LOCATION
international   I-LOCATION
.   O

Kaitlyn   B-NAME
Bradford   I-NAME
was   O
advised   O
on   O
symptomatic   O
relief   O
measures   O
including   O
hydration   O
,   O
rest   O
,   O
and   O
antipyretics   O
for   O
fever   O
management   O
.   O

A   O
follow   O
-   O
up   O
telehealth   O
consultation   O
was   O
scheduled   O
for   O
March   B-DATE
15   I-DATE
,   I-DATE
2174   I-DATE
to   O
reassess   O
symptoms   O
and   O
overall   O
progression   O
.   O

During   O
the   O
telehealth   O
follow   O
-   O
up   O
on   O
12/20   B-DATE
,   O
Prince   B-NAME
reported   O
a   O
significant   O
improvement   O
in   O
symptoms   O
,   O
including   O
a   O
resolution   O
of   O
fever   O
and   O
a   O
decrease   O
in   O
cough   O
frequency   O
and   O
severity   O
.   O

Buchanan   B-NAME
counseled   O
on   O
continued   O
isolation   O
until   O
symptom   O
-   O
free   O
for   O
72   O
hours   O
as   O
recommended   O
by   O
Service   B-LOCATION
Employees   I-LOCATION
International   I-LOCATION
Union   I-LOCATION
and   O
outlined   O
steps   O
for   O
gradual   O
return   O
to   O
normal   O
activities   O
,   O
emphasizing   O
the   O
importance   O
of   O
lingering   O
fatigue   O
management   O
.   O

In   O
conclusion   O
,   O
the   O
case   O
of   O
Odakota   B-NAME
underscores   O
the   O
complexity   O
of   O
managing   O
COVID-19   O
,   O
particularly   O
with   O
potential   O
bacterial   O
co   O
-   O
infection   O
.   O

The   O
patient   O
's   O
case   O
will   O
continue   O
to   O
be   O
documented   O
in   O
32846437   B-ID
for   O
future   O
reference   O
and   O
ongoing   O
care   O
coordination   O
.   O

Patient   O
Report   O
for   O
Baddiel   B-NAME
,   I-NAME
David   I-NAME
Chief   O
Complaint   O
:   O
82   O
-   O
year   O
-   O
old   O
Biomedical   O
scientist   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
Pensacola   I-LOCATION
on   O
7/1   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
and   O
profuse   O
sweating   O
.   O

The   O
patient   O
described   O
the   O
pain   O
as   O
a   O
crushing   O
sensation   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Jessie   B-NAME
Sloan   I-NAME
stated   O
that   O
the   O
symptoms   O
began   O
approximately   O
2   O
hours   O
before   O
presentation   O
while   O
[   O
HE   O
/   O
SHE   O
/   O
THEY   O
]   O
was   O
at   O
work   O
in   O
Pacific   B-LOCATION
Junction   I-LOCATION
.   O

Upson   B-NAME
reports   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
mellitus   O
type   O
2   O
,   O
for   O
which   O
[   O
HE   O
/   O
SHE   O
/   O
THEY   O
]   O
is   O
on   O
medication   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
diagnosed   O
6/0   B-DATE
-   O
Diabetes   O
Mellitus   O
Type   O
2   O
diagnosed   O
15/02/70   B-DATE
No   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

Social   O
History   O
:   O
Luz   B-NAME
Cordova   I-NAME
is   O
a   O
Planning   O
technician   O
,   O
reporting   O
moderate   O
alcohol   O
use   O
and   O
denies   O
smoking   O
or   O
illicit   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jadon   B-NAME
Frank   I-NAME
appeared   O
distressed   O
with   O
the   O
following   O
vitals   O
:   O
Blood   O
pressure   O
160/90   O
mmHg   O
,   O
Heart   O
Rate   O
110   O
beats   O
per   O
minute   O
,   O
Respiratory   O
Rate   O
22   O
breaths   O
per   O
minute   O
,   O
Temperature   O
98.6   O
°   O
F   O
(   O
37   O
°   O
C   O
)   O
,   O
Oxygen   O
Saturation   O
92   O
%   O
on   O
room   O
air   O
.   O

Troponin   O
levels   O
were   O
elevated   O
at   O
HX334/4698   B-ID
ng   O
/   O
mL.   O
A   O
chest   O
X   O
-   O
ray   O
was   O
completed   O
showing   O
no   O
acute   O
pulmonary   O
pathology   O
.   O

Irwin   B-NAME
was   O
then   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
an   O
emergency   O
coronary   O
angiography   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Amira   B-NAME
Myers   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Quarles   B-NAME
,   I-NAME
Francis   I-NAME
at   O
Portsmouth   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
02/31   B-DATE
.   O

For   O
any   O
further   O
questions   O
or   O
emergency   O
,   O
Franti   B-NAME
,   I-NAME
Michael   I-NAME
or   O
[   O
HIS   O
/   O
HER   O
/   O
THEIR   O
]   O
family   O
can   O
contact   O
Logan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
671   I-CONTACT
)   I-CONTACT
115   I-CONTACT
-   I-CONTACT
4870   I-CONTACT
.   O

Medical   O
Record   O
Number   O
:   O
3350016   B-ID
Date   O
:   O
July   B-DATE
24   I-DATE
,   I-DATE
2049   I-DATE
Prepared   O
by   O
:   O
Anne   B-NAME
,   I-NAME
Princess   I-NAME
Royal   I-NAME
of   I-NAME
the   I-NAME
United   I-NAME
Kingdom   I-NAME
Network   B-LOCATION
for   I-LOCATION
Education   I-LOCATION
and   I-LOCATION
Academic   I-LOCATION
Rights   I-LOCATION
296   B-CONTACT
704   I-CONTACT
-   I-CONTACT
4523   I-CONTACT
New   B-LOCATION
Miami   I-LOCATION
,   O
67648   B-LOCATION

Patient   O
Name   O
:   O
Feelgood   B-NAME
Patient   O
ID   O
:   O
DF640/6238   B-ID
Medical   O
Record   O
Number   O
:   O
53087512   B-ID
Date   O
of   O
Birth   O
:   O
12/33/82   B-DATE
Address   O
:   O
Cairo   B-LOCATION
,   O
84641   B-LOCATION
Phone   O
Number   O
:   O
682   B-CONTACT
-   I-CONTACT
7357   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Jimenez   B-NAME
Referring   O
Physician   O
:   O
Dr.   O
Grant   B-NAME
Employment   O
:   O
Health   O
visitor   O
at   O
HCC   B-LOCATION
Insurance   I-LOCATION
Holdings   I-LOCATION
Admission   O
Date   O
:   O
1   B-DATE
-   I-DATE
8   I-DATE
Discharge   O
Date   O
:   O
8/34/92   B-DATE
Hospital   O
Name   O
:   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Reed   I-LOCATION
City   I-LOCATION
Campus   I-LOCATION
Chief   O
Complaint   O
:   O
Mya   B-NAME
Sweeney   I-NAME
,   O
a   O
27s   O
-   O
year   O
-   O
old   O
Costume   O
Attendants   O
at   O
City   B-LOCATION
of   I-LOCATION
Bartow   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
,   O
presented   O
on   O
32/22/42   B-DATE
with   O
a   O
complaint   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
exacerbated   O
by   O
exertion   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
2189   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
12   I-DATE
.   O

The   O
symptoms   O
commenced   O
approximately   O
32/19   B-DATE
,   O
initially   O
mild   O
and   O
infrequent   O
,   O
but   O
have   O
notably   O
increased   O
in   O
severity   O
and   O
frequency   O
.   O

Dodge   B-NAME
has   O
no   O
known   O
history   O
of   O
cardiac   O
or   O
pulmonary   O
disease   O
.   O

Prior   O
to   O
these   O
episodes   O
,   O
Darwin   B-NAME
Noble   I-NAME
describes   O
their   O
health   O
as   O
"   O
generally   O
good   O
"   O
with   O
only   O
minor   O
instances   O
of   O
upper   O
respiratory   O
infections   O
,   O
treated   O
symptomatically   O
without   O
complication   O
.   O

Social   O
History   O
:   O
Brylee   B-NAME
Pearson   I-NAME
does   O
not   O
use   O
tobacco   O
products   O
,   O
consumes   O
alcohol   O
socially   O
,   O
and   O
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Lives   O
with   O
family   O
in   O
Chumuckla   B-LOCATION
.   O

Works   O
as   O
a   O
Multiple   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
for   O
Solidarity   B-LOCATION
of   I-LOCATION
Territories   I-LOCATION
,   O
a   O
position   O
held   O
for   O
22/16   B-DATE
years   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Beck   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

2   O
.   O
Schedule   O
a   O
CT   O
pulmonary   O
angiogram   O
for   O
9/24   B-DATE
to   O
confirm   O
diagnosis   O
.   O

Educate   O
Livermore   B-NAME
,   I-NAME
Jesse   I-NAME
Lauriston   I-NAME
on   O
the   O
importance   O
of   O
compliance   O
with   O
anticoagulation   O
therapy   O
and   O
lifestyle   O
modifications   O
to   O
mitigate   O
risk   O
factors   O
.   O

Follow   O
-   O
Up   O
:   O
Aditya   B-NAME
Shepherd   I-NAME
is   O
to   O
return   O
to   O
Washington   B-LOCATION
Hospital   I-LOCATION
for   O
reevaluation   O
on   O
29/21   B-DATE
.   O

Hunt   B-NAME
,   I-NAME
J.   I-NAME
McV.   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

Patient   O
Report   O
for   O
Greeley   B-NAME
,   I-NAME
Horace   I-NAME
Symptoms   O
Overview   O
:   O
The   O
patient   O
,   O
a   O
10   O
-   O
year   O
-   O
old   O
Academic   O
librarian   O
from   O
Estherville   B-LOCATION
(   O
45721   B-LOCATION
)   O
,   O
reported   O
to   O
the   O
outpatient   O
department   O
of   O
Milford   B-LOCATION
Hospital   I-LOCATION
on   O
1788   B-DATE
.   O

Xie   B-NAME
exprienced   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
described   O
as   O
a   O
pressing   O
sensation   O
on   O
the   O
left   O
side   O
of   O
the   O
chest   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

This   O
episode   O
lasted   O
approximately   O
15   O
minutes   O
and   O
occurred   O
while   O
Michael   B-NAME
Meadows   I-NAME
was   O
at   O
work   O
.   O

Bradyn   B-NAME
Pham   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
nausea   O
.   O

Martinez   B-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
is   O
currently   O
on   O
medication   O
.   O

Medical   O
Examination   O
:   O
Dr.   O
Jean   B-NAME
Kramer   I-NAME
performed   O
a   O
detailed   O
physical   O
examination   O
and   O
noted   O
Held   B-NAME
,   I-NAME
John   I-NAME
's   O
blood   O
pressure   O
to   O
be   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
was   O
regular   O
at   O
90   O
bpm   O
,   O
and   O
respiratory   O
rate   O
was   O
slightly   O
elevated   O
at   O
22   O
breaths   O
per   O
minute   O
.   O

Considering   O
the   O
acute   O
presentation   O
and   O
ECG   O
findings   O
,   O
Seleucus   B-NAME
Cabeza   I-NAME
was   O
diagnosed   O
with   O
a   O
suspected   O
acute   O
myocardial   O
infarction   O
(   O
AMI   O
)   O
.   O

Baron   B-NAME
Christensen   I-NAME
recommended   O
immediate   O
hospitalization   O
for   O
further   O
management   O
.   O

Chun   B-NAME
Schiff   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
of   O
Parkview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   O
room   O
number   O
not   O
included   O
for   O
PHI   O
compliance   O
)   O
.   O

A   O
coronary   O
angiography   O
was   O
scheduled   O
for   O
06/27/2210   B-DATE
to   O
assess   O
coronary   O
artery   O
status   O
and   O
to   O
decide   O
on   O
further   O
intervention   O
,   O
which   O
may   O
include   O
angioplasty   O
or   O
coronary   O
artery   O
bypass   O
grafting   O
depending   O
on   O
the   O
findings   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Zayden   B-NAME
Hampton   I-NAME
Medical   O
Record   O
Number   O
:   O
23724406   B-ID
ID   O
Number   O
:   O
RD:89628:734406   B-ID
Phone   O
Number   O
:   O
471   B-CONTACT
-   I-CONTACT
9982   I-CONTACT
Emergency   O
Contact   O
:   O

Doctor   O
in   O
Charge   O
:   O
Valenzuela   B-NAME
Hospital   O
:   O
Mercy   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION

This   O
report   O
was   O
prepared   O
by   O
fr605   B-NAME
,   O
a   O
medical   O
professional   O
associated   O
with   O
Society   B-LOCATION
for   I-LOCATION
the   I-LOCATION
Preservation   I-LOCATION
of   I-LOCATION
Beers   I-LOCATION
from   I-LOCATION
the   I-LOCATION
Wood   I-LOCATION
(   I-LOCATION
SPBW   I-LOCATION
)   I-LOCATION
,   O
on   O
00/26   B-DATE
.   O

The   O
condition   O
of   O
Glas   B-NAME
will   O
be   O
closely   O
monitored   O
,   O
and   O
updates   O
on   O
the   O
progress   O
will   O
be   O
communicated   O
to   O
the   O
necessary   O
parties   O
as   O
per   O
protocol   O
without   O
revealing   O
any   O
PHI   O
.   O

Patient   O
Name   O
:   O
Vetter   B-NAME
Medical   O
Record   O
Number   O
:   O
2562463   B-ID
Date   O
of   O
Birth   O
:   O
February   B-DATE
2   I-DATE
Age   O
:   O
82   O
Address   O
:   O
Marina   B-LOCATION
,   O
22616   B-LOCATION
Phone   O
Number   O
:   O
974   B-CONTACT
-   I-CONTACT
900   I-CONTACT
-   I-CONTACT
8483   I-CONTACT
Primary   O
Care   O
Provider   O
:   O
April   B-NAME
Herring   I-NAME
,   O
Montford   B-LOCATION
Point   I-LOCATION
Marines[1   I-LOCATION
]   I-LOCATION
Hospital   O
:   O
St.   B-LOCATION
Bernards   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Report   O
:   O
1622   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
21   I-DATE
ID   O
Number   O
:   O
YJ:59092:715891   B-ID
Chief   O
Complaint   O
:   O
Edward   B-NAME
Bunnigus   I-NAME
presents   O
with   O
a   O
three   O
-   O
day   O
history   O
of   O
severe   O
,   O
continuous   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
.   O

Vomiting   O
was   O
reported   O
twice   O
,   O
first   O
on   O
the   O
evening   O
of   O
3/11/92   B-DATE
and   O
then   O
again   O
in   O
the   O
early   O
hours   O
of   O
22/30/62   B-DATE
.   O

Zavier   B-NAME
Vaughan   I-NAME
also   O
notes   O
a   O
low   O
-   O
grade   O
fever   O
beginning   O
approximately   O
two   O
days   O
ago   O
.   O

Hope   B-NAME
Estes   I-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
rating   O
it   O
an   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Past   O
Medical   O
History   O
:   O
ostrowski   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
and   O
type   O
2   O
diabetes   O
managed   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Medications   O
:   O
Payne   B-NAME
,   I-NAME
Max   I-NAME
is   O
currently   O
taking   O
Lisinopril   O
10   O
mg   O
daily   O
and   O
Metformin   O
500   O
mg   O
twice   O
daily   O
.   O

Morgan   B-NAME
reports   O
that   O
their   O
mother   O
,   O
age   O
92   O
,   O
has   O
a   O
history   O
of   O
gallstones   O
.   O

Anderson   B-NAME
is   O
a   O
Forest   O
Fire   O
Inspectors   O
and   O
Prevention   O
Specialists   O
at   O
New   B-LOCATION
Hampshire   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
.   O

Probus   B-NAME
is   O
married   O
and   O
has   O
two   O
children   O
,   O
ages   O
74   O
and   O
73   O
.   O
Review   O
of   O
Systems   O
:   O
-   O
Gastrointestinal   O
:   O
Positive   O
for   O
nausea   O
and   O
vomiting   O
as   O
mentioned   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Xuereb   B-NAME
is   O
alert   O
and   O
oriented   O
x   O
3   O
,   O
appearing   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
is   O
scheduled   O
for   O
10/22/30   B-DATE
to   O
confirm   O
the   O
diagnosis   O
and   O
assess   O
the   O
extent   O
of   O
inflammation   O
.   O

The   O
case   O
will   O
be   O
followed   O
up   O
by   O
French   B-NAME
for   O
surgical   O
assessment   O
and   O
care   O
coordination   O
.   O

Yager   B-NAME
has   O
been   O
informed   O
of   O
the   O
importance   O
of   O
immediate   O
hospital   O
admission   O
due   O
to   O
the   O
potential   O
for   O
appendix   O
rupture   O
and   O
has   O
agreed   O
.   O

Admission   O
process   O
initiated   O
on   O
Wednesday   B-DATE
,   I-DATE
April   I-DATE
at   O
Mount   B-LOCATION
Sinai   I-LOCATION
Brooklyn   I-LOCATION
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Hendrix   B-NAME
for   O
all   O
diagnostic   O
tests   O
and   O
treatment   O
procedures   O
.   O

Everson   B-NAME
was   O
provided   O
with   O
the   O
emergency   O
contact   O
number   O
,   O
943   B-CONTACT
1217   I-CONTACT
,   O
should   O
they   O
have   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
their   O
next   O
scheduled   O
appointment   O
.   O

Prepared   O
by   O
:   O
LJ370   B-NAME
,   O
Mississippi   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Southern   I-LOCATION
Company   I-LOCATION
Date   O
:   O
28/25   B-DATE

Patient   O
Name   O
:   O
Suzanne   B-NAME
McCullough   I-NAME
Age   O
:   O
15   O
Medical   O
Record   O
Number   O
:   O
436   B-ID
-   I-ID
87   I-ID
-   I-ID
25   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
01/19/2207   B-DATE
Address   O
:   O
Columbia   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Columbia   I-LOCATION
,   O
72183   B-LOCATION
Phone   O
Number   O
:   O
713   B-CONTACT
102   I-CONTACT
-   I-CONTACT
1754   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Gomez   B-NAME
Admitting   O
Hospital   O
:   O
Bob   B-LOCATION
Wilson   I-LOCATION
Memorial   I-LOCATION
Grant   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Ulysses   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/27/2372   B-DATE
Emergency   O
Contact   O
:   O
Demonstrators   O
and   O
Product   O
Promoters   O
at   O
(   B-CONTACT
996   I-CONTACT
)   I-CONTACT
664   I-CONTACT
3324   I-CONTACT
Medical   O
History   O
:   O

Vincent   B-NAME
Campanelli   I-NAME
has   O
been   O
compliant   O
with   O
medications   O
,   O
which   O
include   O
lisinopril   O
and   O
metformin   O
.   O

Presenting   O
Complaint   O
:   O
Kyleigh   B-NAME
Conner   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Fairview   I-LOCATION
Hospital   I-LOCATION
on   O
26/39   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
,   O
onset   O
approximately   O
2   O
hours   O
before   O
admission   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Ally   B-NAME
Braun   I-NAME
appeared   O
distressed   O
with   O
a   O
noticeable   O
pallor   O
.   O

Davila   B-NAME
was   O
consulted   O
,   O
and   O
it   O
was   O
decided   O
to   O
proceed   O
with   O
a   O
coronary   O
angiography   O
.   O

Welch   B-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
of   O
Northwestern   B-LOCATION
Medicine   I-LOCATION
Kishwaukee   I-LOCATION
Hospital   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Matthew   B-NAME
Robles   I-NAME
.   O

It   O
is   O
recommended   O
that   O
Hale   B-NAME
follow   O
up   O
with   O
Cardiology   O
within   O
two   O
weeks   O
of   O
discharge   O
.   O

The   O
importance   O
of   O
adherence   O
to   O
medication   O
,   O
lifestyle   O
modifications   O
including   O
diet   O
and   O
regular   O
exercise   O
,   O
and   O
follow   O
-   O
up   O
appointments   O
was   O
emphasized   O
to   O
Chiariglione   B-NAME
,   I-NAME
Leonardo   I-NAME
prior   O
to   O
discharge   O
.   O

For   O
further   O
inquiries   O
or   O
updates   O
regarding   O
your   O
condition   O
,   O
please   O
contact   O
University   B-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
335   I-CONTACT
)   I-CONTACT
297   I-CONTACT
4138   I-CONTACT
.   O
Construction   B-LOCATION
,   I-LOCATION
Forestry   I-LOCATION
,   I-LOCATION
Maritime   I-LOCATION
,   I-LOCATION
Mining   I-LOCATION
and   I-LOCATION
Energy   I-LOCATION
Union   I-LOCATION
is   O
committed   O
to   O
providing   O
quality   O
healthcare   O
while   O
respecting   O
the   O
privacy   O
and   O
confidentiality   O
of   O
our   O
patients   O
.   O

Thank   O
you   O
for   O
choosing   O
Providence   B-LOCATION
Seward   I-LOCATION
Medical   I-LOCATION
and   I-LOCATION
Care   I-LOCATION
Center   I-LOCATION
for   O
your   O
care   O
.   O

Prepared   O
by   O
:   O
CM379   B-NAME
Date   O
:   O
23/35   B-DATE

The   O
patient   O
,   O
Curry   B-NAME
,   O
a   O
Court   O
reporter   O
/   O
verbatim   O
reporter   O
from   O
Guys   B-LOCATION
Mills   I-LOCATION
,   O
was   O
admitted   O
to   O
Brigham   B-LOCATION
and   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Faulkner   I-LOCATION
Hospital   I-LOCATION
on   O
3023   B-DATE
.   O

Holderlin   B-NAME
,   I-NAME
Friedrich   I-NAME
is   O
90   O
years   O
old   O
and   O
was   O
referred   O
by   O
Nelson   B-NAME
following   O
an   O
increase   O
in   O
severity   O
of   O
symptoms   O
noted   O
over   O
a   O
period   O
of   O
the   O
last   O
three   O
weeks   O
.   O

The   O
preliminary   O
assessment   O
was   O
performed   O
at   O
Tanner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Carrollton   I-LOCATION
,   O
where   O
Ethyl   B-NAME
Gruber   I-NAME
reported   O
experiencing   O
acute   O
migraines   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Upon   O
evaluation   O
,   O
Midler   B-NAME
,   I-NAME
Bette   I-NAME
noted   O
that   O
Roxana   B-NAME
Rowland   I-NAME
displayed   O
signs   O
of   O
bradycardia   O
,   O
with   O
a   O
resting   O
heart   O
rate   O
observed   O
to   O
be   O
below   O
60   O
bpm   O
.   O

A   O
detailed   O
medical   O
history   O
was   O
obtained   O
,   O
revealing   O
no   O
prior   O
incidents   O
of   O
similar   O
severity   O
but   O
a   O
noted   O
increment   O
in   O
the   O
frequency   O
of   O
migraine   O
attacks   O
over   O
the   O
past   O
00/38   B-DATE
.   O

The   O
MRI   O
scan   O
,   O
referenced   O
under   O
24746460   B-ID
,   O
showed   O
no   O
abnormalities   O
,   O
indicating   O
no   O
signs   O
of   O
tumors   O
or   O
structural   O
anomalies   O
in   O
the   O
brain   O
.   O

Blood   O
tests   O
results   O
,   O
recorded   O
under   O
the   O
same   O
9826572   B-ID
number   O
,   O
pointed   O
towards   O
slight   O
electrolyte   O
imbalance   O
but   O
were   O
inconclusive   O
in   O
identifying   O
a   O
definitive   O
cause   O
for   O
the   O
reported   O
symptoms   O
.   O

To   O
address   O
the   O
acute   O
symptoms   O
,   O
Meghann   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
therapeutic   O
treatment   O
aimed   O
at   O
migraine   O
management   O
.   O

Additionally   O
,   O
a   O
cardiac   O
monitoring   O
device   O
was   O
provided   O
to   O
closely   O
monitor   O
Zaniyah   B-NAME
Navarro   I-NAME
's   O
heart   O
rate   O
and   O
blood   O
pressure   O
over   O
the   O
following   O
3/12/89   B-DATE
.   O

Bryan   B-NAME
suggested   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
22/33/2212   B-DATE
to   O
review   O
Kash   B-NAME
Perkins   I-NAME
's   O
progress   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Karlee   B-NAME
Lindsey   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
hydration   O
,   O
follow   O
a   O
balanced   O
diet   O
,   O
and   O
avoid   O
known   O
migraine   O
triggers   O
,   O
such   O
as   O
bright   O
lights   O
and   O
loud   O
sounds   O
.   O

For   O
further   O
inquiries   O
or   O
emergencies   O
,   O
Happy   B-NAME
was   O
given   O
the   O
contact   O
number   O
of   O
the   O
neurological   O
department   O
at   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Austin   I-LOCATION
,   O
reachable   O
at   O
582   B-CONTACT
308   I-CONTACT
5459   I-CONTACT
.   O

Moreover   O
,   O
privacy   O
notices   O
were   O
provided   O
to   O
Emmett   B-NAME
Cowger   I-NAME
,   O
detailing   O
how   O
personal   O
information   O
,   O
including   O
health   O
data   O
under   O
92857393   B-ID
and   O
881653354   B-ID
,   O
would   O
be   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Further   O
evaluations   O
are   O
scheduled   O
for   O
November   B-DATE
2367   I-DATE
,   O
aimed   O
at   O
reassessing   O
the   O
patient   O
's   O
condition   O
and   O
adapting   O
the   O
treatment   O
plan   O
to   O
ensure   O
optimal   O
care   O
.   O

Patient   O
Name   O
:   O
Ravi   B-NAME
Jayawardener   I-NAME
DOB   O
:   O
0/05/26   B-DATE
Age   O
:   O
43   O
Medical   O
Record   O
Number   O
:   O
32599438   B-ID
Address   O
:   O
Snowflake   B-LOCATION
,   O
14240   B-LOCATION
Phone   O
Number   O
:   O
836   B-CONTACT
153   I-CONTACT
1055   I-CONTACT
Occupation   O
:   O
Auditor   O
Primary   O
Care   O
Physician   O
:   O

Velasquez   B-NAME
Hospital   O
:   O
Dr.   B-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
ID   O
Number   O
:   O
IC   B-ID
:   I-ID
OL:7887   I-ID
On   O
Thursday   B-DATE
,   I-DATE
August   I-DATE
,   O
Vincent   B-NAME
H.   I-NAME
Campos   I-NAME
was   O
admitted   O
to   O
Bryce   B-LOCATION
Hospital   I-LOCATION
presenting   O
with   O
a   O
chief   O
complaint   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Victor   B-NAME
Bolton   I-NAME
's   O
symptoms   O
included   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
significant   O
decrease   O
in   O
appetite   O
.   O

Oconnor   B-NAME
's   O
past   O
medical   O
history   O
,   O
as   O
provided   O
,   O
was   O
noncontributory   O
,   O
with   O
no   O
known   O
drug   O
allergies   O
or   O
chronic   O
conditions   O
.   O

Jane   B-NAME
Price   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
as   O
the   O
definitive   O
treatment   O
approach   O
.   O

During   O
the   O
patient   O
's   O
stay   O
at   O
Tanner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Carrollton   I-LOCATION
,   O
Yasuko   B-NAME
Michaelsen   I-NAME
was   O
placed   O
on   O
intravenous   O
antibiotics   O
as   O
a   O
preemptive   O
measure   O
to   O
combat   O
any   O
potential   O
bacterial   O
infection   O
.   O

Pain   O
management   O
was   O
carefully   O
monitored   O
,   O
ensuring   O
Veronika   B-NAME
Harding   I-NAME
's   O
comfort   O
.   O

22/07/2271   B-DATE
marks   O
the   O
day   O
when   O
Soren   B-NAME
Melendez   I-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
under   O
the   O
expertise   O
of   O
the   O
surgical   O
team   O
at   O
Missouri   B-LOCATION
Delta   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
with   O
OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
showing   O
signs   O
of   O
rapid   O
improvement   O
.   O

Jeremiah   B-NAME
Mack   I-NAME
was   O
educated   O
on   O
post   O
-   O
operative   O
care   O
and   O
advised   O
on   O
signs   O
of   O
potential   O
complications   O
to   O
watch   O
for   O
,   O
such   O
as   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
,   O
and   O
was   O
discharged   O
on   O
Sunday   B-DATE
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Walton   B-NAME
for   O
1672   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
14   I-DATE
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
dynamics   O
.   O

Bastor   B-NAME
was   O
also   O
provided   O
with   O
a   O
number   O
,   O
603   B-CONTACT
4146   I-CONTACT
,   O
to   O
call   O
in   O
case   O
of   O
any   O
concerns   O
or   O
complications   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

All   O
things   O
considered   O
,   O
the   O
prognosis   O
for   O
Linaeve   B-NAME
is   O
excellent   O
,   O
with   O
expectations   O
for   O
a   O
full   O
recovery   O
without   O
any   O
residual   O
effects   O
from   O
the   O
condition   O
or   O
surgery   O
.   O

It   O
is   O
recommended   O
that   O
U.   B-NAME
Natalyn   I-NAME
Gold   I-NAME
maintain   O
a   O
balanced   O
diet   O
,   O
remain   O
hydrated   O
,   O
and   O
gradually   O
increase   O
physical   O
activity   O
as   O
tolerated   O
over   O
the   O
next   O
few   O
weeks   O
.   O

Patient   O
Report   O
for   O
:   O
Crowley   B-NAME
,   I-NAME
Aleister   I-NAME
21/18   B-DATE
Chinese   B-LOCATION
Chemical   I-LOCATION
Society   I-LOCATION
(   I-LOCATION
Taipei   I-LOCATION
)   I-LOCATION
(   I-LOCATION
CSLT   I-LOCATION
)   I-LOCATION
Sageville   I-LOCATION
23960   B-LOCATION
Chief   O
Complaint   O
:   O

A   O
60   O
-   O
year   O
-   O
old   O
Physical   O
Therapist   O
Assistants   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Memorial   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Abilene   I-LOCATION
on   O
12/00   B-DATE
complaining   O
of   O
acute   O
onset   O
shortness   O
of   O
breath   O
,   O
chest   O
tightness   O
,   O
and   O
intermittent   O
episodes   O
of   O
coughing   O
which   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Meadow   B-NAME
Pratt   I-NAME
noted   O
that   O
the   O
symptoms   O
started   O
suddenly   O
while   O
at   O
work   O
at   O
Jonesville   B-LOCATION
.   O

There   O
has   O
been   O
no   O
fever   O
,   O
but   O
Mohamed   B-NAME
Hall   I-NAME
reported   O
experiencing   O
episodes   O
of   O
dizziness   O
.   O

Shawn   B-NAME
Collier   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Past   O
Medical   O
History   O
:   O
Hypertension   O
diagnosed   O
12/31   B-DATE
.   O

Saint   B-NAME
-   I-NAME
Exupéry   I-NAME
,   I-NAME
Antoine   I-NAME
de   I-NAME
is   O
on   O
a   O
regimen   O
of   O
lisinopril   O
10   O
mg   O
daily   O
.   O

Social   O
History   O
:   O
Nichols   B-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Fishery   O
Workers   O
,   O
reports   O
a   O
10   O
-   O
year   O
history   O
of   O
smoking   O
but   O
quit   O
Mar.   B-DATE
2393   I-DATE
.   O

Herman   B-NAME
recommends   O
admission   O
for   O
further   O
evaluation   O
,   O
including   O
a   O
CT   O
chest   O
,   O
and   O
initiation   O
of   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
regimen   O
,   O
as   O
well   O
as   O
bronchodilators   O
and   O
steroids   O
.   O

Signature   O
:   O
Graves   B-NAME
167   B-CONTACT
-   I-CONTACT
301   I-CONTACT
-   I-CONTACT
7157   I-CONTACT
Medical   O
Record   O
:   O
6123956   B-ID
Patient   O
ID   O
:   O
CA:65685:171245   B-ID

Patient   O
:   O
Quinten   B-NAME
B.   I-NAME
Prado   I-NAME
Date   O
of   O
Birth   O
:   O
October   B-DATE
Age   O
:   O
3   O
month   O
Medical   O
Record   O
Number   O
:   O
9495315   B-ID
Doctor   O
:   O
Barnett   B-NAME
Hospital   O
:   O
CHRISTUS   B-LOCATION
Spohn   I-LOCATION
Hospital   I-LOCATION
Corpus   I-LOCATION
Christi   I-LOCATION
-   I-LOCATION
South   I-LOCATION
Location   O
:   O
Miami   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33156   I-LOCATION
Phone   O
:   O
103   B-CONTACT
361   I-CONTACT
-   I-CONTACT
1909   I-CONTACT
ID   O
:   O
66316821   B-ID
Organization   O
:   O
RockBridge   B-LOCATION
Commercial   I-LOCATION
Bank   I-LOCATION
Profession   O
:   O

Laundry   O
and   O
Dry   O
-   O
Cleaning   O
Workers   O
Username   O
:   O
gby710   B-NAME
ZIP   O
:   O
14855   B-LOCATION
Chief   O
Complaint   O
:   O
Dayanara   B-NAME
House   I-NAME
presented   O
to   O
Stony   B-LOCATION
Brook   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
20/23/2012   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
April   B-DATE
.   O

Additionally   O
,   O
troutman   B-NAME
reported   O
experiencing   O
nausea   O
and   O
one   O
episode   O
of   O
vomiting   O
in   O
the   O
morning   O
of   O
2214   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Richard   B-NAME
Sturgess   I-NAME
,   O
a   O
Weighers   O
,   O
Measurers   O
,   O
Checkers   O
,   O
and   O
Samplers   O
,   O
Recordkeeping   O
from   O
Council   B-LOCATION
Bluffs   I-LOCATION
,   O
has   O
been   O
experiencing   O
these   O
symptoms   O
intermittently   O
over   O
the   O
last   O
month   O
but   O
noted   O
a   O
significant   O
increase   O
in   O
frequency   O
and   O
intensity   O
in   O
the   O
past   O
week   O
.   O

Grace   B-NAME
Velasquez   I-NAME
denies   O
any   O
visual   O
disturbances   O
,   O
fever   O
,   O
or   O
stiff   O
neck   O
.   O

Past   O
Medical   O
History   O
:   O
Lane   B-NAME
,   I-NAME
Nathan   I-NAME
's   O
past   O
medical   O
history   O
includes   O
hypertension   O
,   O
controlled   O
with   O
medication   O
prescribed   O
by   O
Campos   B-NAME
since   O
9/22   B-DATE
.   O

Social   O
History   O
:   O
Bergerac   B-NAME
,   I-NAME
Cyrano   I-NAME
de   I-NAME
works   O
as   O
a   O
Costume   O
Attendants   O
in   O
Kings   B-LOCATION
Mountain   I-LOCATION
and   O
lives   O
with   O
their   O
family   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Dierdre   B-NAME
Bennett   I-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
apparent   O
distress   O
due   O
to   O
headache   O
.   O

A   O
treatment   O
plan   O
was   O
discussed   O
with   O
Kate   B-NAME
McRae   I-NAME
,   O
including   O
pharmacological   O
and   O
non   O
-   O
pharmacological   O
strategies   O
.   O

Alanna   B-NAME
Wall   I-NAME
was   O
prescribed   O
a   O
triptan   O
for   O
acute   O
headache   O
episodes   O
and   O
advised   O
to   O
avoid   O
known   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Brodie   B-NAME
Lynch   I-NAME
at   O
Southeast   B-LOCATION
Health   I-LOCATION
in   O
10/10/2221   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Instructions   O
were   O
given   O
to   O
Izaiah   B-NAME
Sherman   I-NAME
to   O
maintain   O
a   O
headache   O
diary   O
and   O
to   O
call   O
96411   B-CONTACT
for   O
any   O
exacerbation   O
of   O
symptoms   O
or   O
side   O
effects   O
of   O
medication   O
.   O

This   O
plan   O
was   O
agreed   O
upon   O
by   O
Carlyle   B-NAME
,   I-NAME
Thomas   I-NAME
on   O
2105   B-DATE
,   O
and   O
all   O
questions   O
were   O
answered   O
.   O

Consent   O
for   O
treatment   O
was   O
obtained   O
,   O
and   O
Quisenberry   B-NAME
,   I-NAME
Dan   I-NAME
expressed   O
understanding   O
and   O
agreement   O
with   O
the   O
proposed   O
plan   O
.   O

The   O
patient   O
,   O
Issac   B-NAME
Martinez   I-NAME
,   O
aged   O
26   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Atlantic   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
00/23   B-DATE
.   O

Glenna   B-NAME
Henry   I-NAME
's   O
past   O
medical   O
history   O
was   O
noted   O
for   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
in   O
the   O
past   O
year   O
.   O

Upon   O
arrival   O
,   O
Brenda   B-NAME
Boone   I-NAME
was   O
quickly   O
triaged   O
and   O
their   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
at   O
130/85   O
mmHg   O
,   O
pulse   O
rate   O
at   O
98   O
bpm   O
,   O
and   O
temperature   O
at   O
38.2   O
degrees   O
Celsius   O
.   O

The   O
emergency   O
department   O
physician   O
,   O
Pacheco   B-NAME
,   O
initiated   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
an   O
abdominal   O
ultrasound   O
,   O
and   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
pain   O
.   O

Erica   B-NAME
Noughton   I-NAME
's   O
contact   O
information   O
was   O
logged   O
for   O
hospital   O
records   O
,   O
listing   O
their   O
residence   O
in   O
Gerlach   B-LOCATION
and   O
contact   O
number   O
as   O
87558   B-CONTACT
.   O

The   O
medical   O
record   O
number   O
assigned   O
was   O
802   B-ID
-   I-ID
90   I-ID
-   I-ID
32   I-ID
-   I-ID
6   I-ID
,   O
and   O
the   O
unique   O
patient   O
identifier   O
used   O
was   O
IH641/7217   B-ID
.   O

During   O
the   O
assessment   O
,   O
Hayden   B-NAME
disclosed   O
their   O
occupation   O
as   O
Infantry   O
Officers   O
,   O
which   O
did   O
not   O
appear   O
to   O
be   O
directly   O
related   O
to   O
the   O
current   O
presenting   O
symptoms   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Gianni   B-NAME
Beltran   I-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
.   O

Surgical   O
intervention   O
took   O
place   O
on   O
11/2   B-DATE
in   O
St.   B-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Jadyn   B-NAME
Glass   I-NAME
was   O
advised   O
a   O
recovery   O
period   O
with   O
appropriate   O
aftercare   O
instructions   O
.   O

Armando   B-NAME
Paul   I-NAME
was   O
discharged   O
on   O
8/28   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Joe   B-NAME
Harding   I-NAME
in   O
two   O
weeks   O
to   O
monitor   O
recovery   O
progress   O
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
Sarah   B-NAME
Sawyer   I-NAME
's   O
information   O
was   O
securely   O
handled   O
in   O
compliance   O
with   O
privacy   O
regulations   O
,   O
ensuring   O
that   O
all   O
communications   O
and   O
records   O
,   O
including   O
those   O
shared   O
with   O
Century   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
for   O
billing   O
purposes   O
and   O
with   O
the   O
pharmacy   O
for   O
medication   O
prescriptions   O
,   O
were   O
processed   O
anonymizing   O
PHI   O
data   O
such   O
as   O
71387   B-LOCATION
,   O
nlr331   B-NAME
,   O
and   O
others   O
as   O
per   O
protocols   O
.   O

The   O
case   O
emphasized   O
the   O
critical   O
nature   O
of   O
timely   O
intervention   O
in   O
acute   O
abdominal   O
presentations   O
and   O
showcased   O
the   O
integrated   O
approach   O
between   O
emergency   O
services   O
,   O
diagnostics   O
,   O
surgery   O
,   O
and   O
post   O
-   O
operative   O
care   O
within   O
Trinity   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
the   O
effective   O
management   O
and   O
treatment   O
of   O
acute   O
appendicitis   O
.   O

Patient   O
Name   O
:   O
Ronni   B-NAME
Niau   I-NAME
Medical   O
Record   O
Number   O
:   O
06548930   B-ID
Date   O
of   O
Birth   O
:   O
55   O
Date   O
of   O
Consultation   O
:   O
01/00   B-DATE
Attending   O
Physician   O
:   O

Mcconnell   B-NAME
Hospital   O
:   O
Penn   B-LOCATION
Highlands   I-LOCATION
Huntingdon   I-LOCATION
Location   O
:   O
Susquehanna   B-LOCATION
Depot   I-LOCATION
Zip   O
Code   O
:   O
89225   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
383   I-CONTACT
)   I-CONTACT
796   I-CONTACT
5664   I-CONTACT
Chief   O
Complaint   O
:   O

Ahmad   B-NAME
Humphrey   I-NAME
presented   O
to   O
the   O
outpatient   O
department   O
on   O
New   B-DATE
Years   I-DATE
Day   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
progressively   O
worsening   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Noah   B-NAME
Hardy   I-NAME
has   O
a   O
known   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Ninio   B-NAME
,   I-NAME
Jacques   I-NAME
works   O
as   O
a   O
Public   O
house   O
manager   O
and   O
denies   O
any   O
recent   O
travel   O
or   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jamie   B-NAME
Frazier   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Diagnostic   O
Tests   O
:   O
Dierdre   B-NAME
Bennett   I-NAME
underwent   O
a   O
series   O
of   O
diagnostic   O
tests   O
including   O
a   O
Chest   O
X   O
-   O
ray   O
,   O
which   O
showed   O
a   O
small   O
pleural   O
effusion   O
on   O
the   O
left   O
side   O
,   O
and   O
an   O
ECG   O
indicating   O
sinus   O
tachycardia   O
.   O

Management   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
test   O
results   O
,   O
PNT   B-NAME
was   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
complicated   O
by   O
a   O
left   O
-   O
sided   O
pleural   O
effusion   O
.   O

Townsend   B-NAME
prescribed   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
advised   O
KATHLEEN   B-NAME
IRELAND   I-NAME
to   O
be   O
admitted   O
to   O
Arkansas   B-LOCATION
Methodist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
monitoring   O
and   O
treatment   O
.   O

Gideon   B-NAME
Mccormick   I-NAME
was   O
given   O
patient   O
education   O
on   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
medication   O
regimen   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
01/19/1700   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Lawrence   B-NAME
Parker   I-NAME
's   O
condition   O
improved   O
significantly   O
following   O
the   O
initiation   O
of   O
antibiotic   O
therapy   O
.   O

Powell   B-NAME
was   O
discharged   O
on   O
2304   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
17   I-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
to   O
complete   O
a   O
14   O
-   O
day   O
course   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
30/20   B-DATE
in   O
the   O
outpatient   O
department   O
to   O
assess   O
the   O
resolution   O
of   O
the   O
pleural   O
effusion   O
and   O
ensure   O
the   O
complete   O
resolution   O
of   O
pneumonia   O
.   O

For   O
any   O
further   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
the   O
outpatient   O
department   O
at   O
142   B-CONTACT
779   I-CONTACT
3265   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Regina   B-NAME
Reeves   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
9129104   I-ID
Date   O
of   O
Birth   O
:   O
05   B-DATE
-   I-DATE
13   I-DATE
Age   O
:   O
28   O
Phone   O
Number   O
:   O
19754   B-CONTACT
Address   O
:   O
South   B-LOCATION
Africa   I-LOCATION
,   O
35082   B-LOCATION
Medical   O
Record   O
Number   O
:   O
9542C27519   B-ID
Primary   O
Care   O
Physician   O
:   O

Roman   B-NAME
Wise   I-NAME
Hospital   O
:   O
AdventHealth   B-LOCATION
Carrollwood   I-LOCATION
Chief   O
Complaint   O
:   O
Edward   B-NAME
L   I-NAME
Echevarria   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
32/22   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
,   O
which   O
was   O
rated   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

Kilmer   B-NAME
,   I-NAME
Joyce   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
2/4   B-DATE
.   O

Medical   O
History   O
:   O
Michael   B-NAME
Queen   I-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Courtney   B-NAME
is   O
currently   O
on   O
Metformin   O
and   O
Lisinopril   O
,   O
with   O
no   O
known   O
drug   O
allergies   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Cecilia   B-NAME
Mitchell   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Ibarra   B-NAME
from   O
Vail   B-LOCATION
Health   I-LOCATION
Hospital   I-LOCATION
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Mcdonald   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
performed   O
successfully   O
on   O
10/29   B-DATE
without   O
any   O
complications   O
.   O

MEDINA   B-NAME
,   I-NAME
LUTHER   I-NAME
received   O
IV   O
antibiotics   O
as   O
part   O
of   O
the   O
perioperative   O
management   O
.   O

Postoperative   O
Course   O
:   O
Faulkner   B-NAME
,   I-NAME
William   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
reported   O
a   O
significant   O
reduction   O
in   O
pain   O
post   O
-   O
surgery   O
.   O

Ulanda   B-NAME
B.   I-NAME
Huynh   I-NAME
was   O
observed   O
overnight   O
in   O
the   O
Guthrie   B-LOCATION
Corning   I-LOCATION
Hospital   I-LOCATION
and   O
discharged   O
on   O
Sunday   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dillan   B-NAME
Koch   I-NAME
.   O

Umberto   B-NAME
Xuan   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
were   O
observed   O
.   O

Outcome   O
:   O
Welch   B-NAME
,   I-NAME
Xzavior   I-NAME
Charles   I-NAME
attended   O
the   O
follow   O
-   O
up   O
appointment   O
on   O
December   B-DATE
03   I-DATE
,   I-DATE
2396   I-DATE
,   O
reporting   O
complete   O
resolution   O
of   O
symptoms   O
.   O

Roman   B-NAME
Acosta   I-NAME
advised   O
Kale   B-NAME
Baldwin   I-NAME
to   O
resume   O
normal   O
activities   O
gradually   O
and   O
scheduled   O
a   O
subsequent   O
follow   O
-   O
up   O
visit   O
in   O
32/33   B-DATE
to   O
ensure   O
continued   O
recovery   O
.   O
Biochemists   O
and   O
Biophysicists   O
:   O
Cobain   B-NAME
,   I-NAME
Kurt   I-NAME
Donald   I-NAME
's   O
occupation   O
as   O
a   O
Pilots   O
,   O
Ship   O
was   O
taken   O
into   O
consideration   O
during   O
the   O
postoperative   O
advice   O
to   O
ensure   O
a   O
safe   O
return   O
to   O
work   O
.   O

Patient   O
Name   O
:   O
Cristal   B-NAME
Freeman   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
6173620   I-ID
Medical   O
Record   O
Number   O
:   O
5316804   B-ID
Date   O
of   O
Birth   O
:   O
02/12/32   B-DATE
Age   O
:   O
10   O
week   O
Address   O
:   O
Haiti   B-LOCATION
,   O
53987   B-LOCATION
Employment   O
:   O
Musical   O
Instrument   O
Repairers   O
and   O
Tuners   O
at   O
Human   B-LOCATION
Rights   I-LOCATION
First   I-LOCATION
Primary   O
Physician   O
:   O

Anthony   B-NAME
Edwardes   I-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Alabama   I-LOCATION
Hospital   I-LOCATION
Phone   O
Number   O
:   O
433   B-CONTACT
-   I-CONTACT
1048   I-CONTACT
Username   O
for   O
Patient   O
Portal   O
:   O
IA269   B-NAME
Summary   O
:   O
Abbie   B-NAME
Carroll   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
MercyOne   B-LOCATION
Centerville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/06   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
potential   O
appendicitis   O
.   O

Lott   B-NAME
,   I-NAME
Trent   I-NAME
's   O
vital   O
signs   O
at   O
presentation   O
were   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
beats   O
per   O
minute   O
,   O
temperature   O
38.3   O
°   O
C   O
(   O
100.9   O
°   O
F   O
)   O
,   O
and   O
respiratory   O
rate   O
18   O
breaths   O
per   O
minute   O
.   O

Medical   O
History   O
:   O
Adalynn   B-NAME
House   I-NAME
's   O
medical   O
history   O
indicates   O
no   O
known   O
drug   O
allergies   O
.   O

Jada   B-NAME
Stevens   I-NAME
previously   O
underwent   O
a   O
cholecystectomy   O
in   O
February   B-DATE
10   I-DATE
,   I-DATE
2382   I-DATE
with   O
no   O
postoperative   O
complications   O
.   O

Stanley   B-NAME
Mata   I-NAME
reported   O
a   O
history   O
of   O
episodic   O
migraine   O
headaches   O
for   O
which   O
Ngoc   B-NAME
takes   O
over   O
-   O
the   O
-   O
counter   O
ibuprofen   O
as   O
needed   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Eileen   B-NAME
Sparks   I-NAME
exhibited   O
rebound   O
tenderness   O
and   O
rigidity   O
upon   O
palpation   O
of   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
appendiceal   O
inflammation   O
.   O

Diagnostic   O
Tests   O
:   O
Blood   O
tests   O
revealed   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
15,000   O
/   O
μL.   O
A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
ordered   O
by   O
Rocha   B-NAME
,   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
with   O
no   O
evidence   O
of   O
perforation   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
George   B-NAME
V   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
diagnosed   O
Caden   B-NAME
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
for   O
an   O
appendectomy   O
was   O
advised   O
and   O
subsequently   O
performed   O
on   O
25   B-DATE
-   I-DATE
23   I-DATE
without   O
any   O
complications   O
.   O

Rocky   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
2   O
weeks   O
for   O
a   O
postoperative   O
visit   O
.   O

Nelson   B-NAME
Odom   I-NAME
was   O
given   O
an   O
educational   O
pamphlet   O
about   O
post   O
-   O
appendectomy   O
care   O
and   O
instructed   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
look   O
for   O
,   O
and   O
activities   O
to   O
avoid   O
while   O
healing   O
.   O

Grady   B-NAME
Pugh   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
to   O
prevent   O
postoperative   O
infection   O
and   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
as   O
tolerated   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Rosa   B-NAME
Campbell   I-NAME
was   O
discharged   O
from   O
Sebastian   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2351   B-DATE
-   I-DATE
14   I-DATE
-   I-DATE
19   I-DATE
with   O
arrangements   O
made   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
Monday   B-DATE
.   O

Mclean   B-NAME
was   O
provided   O
with   O
the   O
surgical   O
clinic   O
's   O
contact   O
number   O
418   B-CONTACT
6408   I-CONTACT
in   O
case   O
of   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
visit   O
.   O

Documentation   O
Prepared   O
By   O
:   O
Nadia   B-NAME
Maxwell   I-NAME
Date   O
:   O
31/12   B-DATE
Contact   O
Information   O
:   O
(   B-CONTACT
719   I-CONTACT
)   I-CONTACT
384   I-CONTACT
-   I-CONTACT
3771   I-CONTACT
Medical   O
Record   O
Number   O
for   O
Reference   O
:   O
8444371   B-ID

Patient   O
Report   O
for   O
Cohen   B-NAME
,   I-NAME
Nick   I-NAME
Patient   O
ID   O
:   O
PS:141026:572794   B-ID
Medical   O
Record   O
Number   O
:   O
887   B-ID
-   I-ID
93   I-ID
-   I-ID
24   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Visit   O
:   O
17/03/2002   B-DATE
Location   O
of   O
Visit   O
:   O
Atrium   B-LOCATION
Health   I-LOCATION
Pineville   I-LOCATION
,   O
Bergholz   B-LOCATION
,   O
55474   B-LOCATION
Attending   O
Physician   O
:   O
Rollins   B-NAME
Contact   O
Number   O
:   O
(   B-CONTACT
935   I-CONTACT
)   I-CONTACT
191   I-CONTACT
1752   I-CONTACT
Patient   O
Information   O
:   O
Age   O
:   O
64   O
Profession   O
:   O
History   O
Teachers   O
,   O
Postsecondary   O
Chief   O
Complaint   O
:   O
Gregory   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
July   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Zayden   B-NAME
Ware   I-NAME
noticed   O
the   O
onset   O
of   O
mild   O
discomfort   O
in   O
the   O
abdominal   O
region   O
approximately   O
48   O
hours   O
prior   O
to   O
arriving   O
at   O
Cape   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Urbach   B-NAME
denies   O
any   O
recent   O
trauma   O
,   O
surgeries   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
AALIYAH   B-NAME
IRAHETA   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Larsen   B-NAME
.   O

Social   O
History   O
:   O
Gianna   B-NAME
Howe   I-NAME
,   O
a   O
Welding   O
Machine   O
Operators   O
and   O
Tenders   O
by   O
occupation   O
,   O
reports   O
occasional   O
alcohol   O
use   O
but   O
denies   O
the   O
use   O
of   O
tobacco   O
or   O
illicit   O
substances   O
.   O

On   O
examination   O
,   O
Eastwood   B-NAME
,   I-NAME
Clint   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
provisional   O
diagnosis   O
for   O
Caldwell   B-NAME
is   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
with   O
Briggs   B-NAME
was   O
requested   O
immediately   O
for   O
possible   O
appendectomy   O
.   O

Vandiver   B-NAME
was   O
advised   O
to   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
preparation   O
for   O
potential   O
surgery   O
.   O

Tocho   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Lewis   B-NAME
at   O
NYC   B-LOCATION
Health   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Queens   I-LOCATION
on   O
June   B-DATE
12   I-DATE
,   I-DATE
2204   I-DATE
post   O
-   O
operatively   O
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

Vanburen   B-NAME
has   O
been   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
other   O
new   O
symptoms   O
develop   O
.   O

Patient   O
Name   O
:   O
Ramsey   B-NAME
Age   O
:   O
39   O
Location   O
:   O
Cassadaga   B-LOCATION
Phone   O
:   O
(   B-CONTACT
401   I-CONTACT
)   I-CONTACT
834   I-CONTACT
1444   I-CONTACT
Zip   O
Code   O
:   O
81075   B-LOCATION
Occupation   O
:   O
Athletes   O
and   O
Sports   O
Competitors   O
Doctor   O
:   O
Herodotus   B-NAME
Hospital   O
:   O
Greeley   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Tribune   I-LOCATION
Medical   O
Record   O
Number   O
:   O
094   B-ID
-   I-ID
25   I-ID
-   I-ID
39   I-ID
-   I-ID
7   I-ID
Date   O
:   O
2/4   B-DATE
ID   O
Number   O
:   O
1   B-ID
-   I-ID
6991444   I-ID
Dark   B-LOCATION
Principality   I-LOCATION
provided   O
the   O
patient   O
,   O
Hughes   B-NAME
,   O
a   O
comprehensive   O
examination   O
on   O
22/33/85   B-DATE
.   O

Isaias   B-NAME
Hurley   I-NAME
,   O
a   O
91   O
years   O
old   O
Flight   O
Attendants   O
from   O
Juliustown   B-LOCATION
,   O
presented   O
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
had   O
progressively   O
worsened   O
over   O
the   O
past   O
few   O
weeks   O
.   O

During   O
the   O
consultation   O
,   O
Allie   B-NAME
Rosales   I-NAME
described   O
episodes   O
of   O
chest   O
pain   O
described   O
as   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
predominantly   O
on   O
the   O
left   O
side   O
,   O
which   O
sometimes   O
radiated   O
to   O
the   O
back   O
.   O

Cocteau   B-NAME
,   I-NAME
Jean   I-NAME
noted   O
a   O
significant   O
decrease   O
in   O
appetite   O
,   O
leading   O
to   O
unintentional   O
weight   O
loss   O
over   O
the   O
past   O
month   O
.   O

Upon   O
examination   O
,   O
Fitzgerald   B-NAME
identified   O
a   O
faint   O
wheezing   O
upon   O
auscultation   O
of   O
the   O
chest   O
,   O
primarily   O
at   O
the   O
lung   O
bases   O
.   O

Leonard   B-NAME
has   O
recommended   O
a   O
series   O
of   O
diagnostic   O
tests   O
to   O
further   O
investigate   O
the   O
cause   O
of   O
these   O
symptoms   O
.   O

A   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
chest   O
X   O
-   O
ray   O
,   O
and   O
a   O
pulmonary   O
function   O
test   O
are   O
scheduled   O
for   O
3   B-DATE
-   I-DATE
24   I-DATE
at   O
Harrison   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
goal   O
of   O
this   O
diagnostic   O
process   O
is   O
to   O
determine   O
the   O
cause   O
of   O
Cummings   B-NAME
,   I-NAME
E.   I-NAME
E.   I-NAME
's   O
symptoms   O
and   O
to   O
develop   O
an   O
effective   O
treatment   O
plan   O
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
any   O
aspect   O
of   O
Abraham   B-NAME
Mathis   I-NAME
's   O
care   O
,   O
please   O
contact   O
Shania   B-NAME
Howell   I-NAME
at   O
432   B-CONTACT
-   I-CONTACT
557   I-CONTACT
-   I-CONTACT
3330   I-CONTACT
or   O
visit   O
us   O
at   O
Arkansas   B-LOCATION
Methodist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Contra   B-LOCATION
Costa   I-LOCATION
Centre   I-LOCATION
.   O

All   O
inquiries   O
related   O
to   O
Conner   B-NAME
Serrano   I-NAME
's   O
case   O
should   O
refer   O
to   O
the   O
Medical   O
Record   O
Number   O
:   O
548   B-ID
-   I-ID
36   I-ID
-   I-ID
60   I-ID
-   I-ID
0   I-ID
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
3645694   B-ID
Name   O
:   O
Bennett   B-NAME
Daugherty   I-NAME
Age   O
:   O
7   O
Date   O
of   O
Report   O
:   O
02/10   B-DATE
Referred   O
by   O
:   O
Dr.   O
Zion   B-NAME
Lawson   I-NAME
Contact   O
information   O
:   O
(   B-CONTACT
307   I-CONTACT
)   I-CONTACT
285   I-CONTACT
9309   I-CONTACT
Address   O
:   O
Pesotum   B-LOCATION
,   O
54730   B-LOCATION
Employment   O
:   O
Model   O
Makers   O
,   O
Wood   O
at   O
Central   B-LOCATION
Montana   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Cooperative   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Bowen   B-NAME
,   I-NAME
Elizabeth   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
NCH   B-LOCATION
North   I-LOCATION
Naples   I-LOCATION
Hospital   I-LOCATION
on   O
10/27/2193   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
quadrant   O
.   O

Past   O
Medical   O
History   O
:   O
Margaret   B-NAME
has   O
a   O
documented   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
but   O
has   O
experienced   O
no   O
episodes   O
as   O
severe   O
as   O
the   O
current   O
one   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Reagan   B-NAME
,   I-NAME
Nancy   I-NAME
demonstrated   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

In   O
consultation   O
with   O
Dr.   O
Bruno   B-NAME
Conway   I-NAME
from   O
the   O
gastroenterology   O
department   O
at   O
Murray   B-LOCATION
-   I-LOCATION
Calloway   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
,   O
Vincenzo   B-NAME
Neidig   I-NAME
was   O
admitted   O
for   O
observation   O
on   O
22/33   B-DATE
.   O

Rachal   B-NAME
Crocker   I-NAME
was   O
advised   O
to   O
avoid   O
NSAIDs   O
until   O
the   O
underlying   O
cause   O
of   O
the   O
symptoms   O
could   O
be   O
further   O
clarified   O
to   O
prevent   O
aggravation   O
of   O
the   O
condition   O
.   O

Follow   O
-   O
Up   O
:   O
Joshua   B-NAME
Keith   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Kassandra   B-NAME
Schmidt   I-NAME
in   O
the   O
gastroenterology   O
department   O
at   O
CarolinaEast   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/22   B-DATE
.   O

For   O
questions   O
or   O
further   O
information   O
,   O
please   O
contact   O
the   O
gastroenterology   O
department   O
at   O
Jellico   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
via   O
56106   B-CONTACT
.   O

Report   O
prepared   O
by   O
:   O
xe509   B-NAME
,   O
32/12/18   B-DATE
Patient   O
Consent   O
:   O
Consent   O
was   O
obtained   O
from   O
Norman   B-NAME
Seifried   I-NAME
for   O
the   O
medical   O
evaluation   O
,   O
treatment   O
,   O
and   O
disclosure   O
of   O
this   O
anonymized   O
information   O
for   O
the   O
purpose   O
of   O
medical   O
education   O
and   O
review   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Johnson   B-NAME
Age   O
:   O
65   O
Medical   O
Record   O
Number   O
:   O
HW336   B-ID
ID   O
:   O
MJ   B-ID
:   I-ID
XU:4860   I-ID
Address   O
:   O
Sharon   B-LOCATION
Springs   I-LOCATION
,   O
19165   B-LOCATION
Phone   O
Number   O
:   O
751   B-CONTACT
3341   I-CONTACT
Primary   O
Doctor   O
:   O
Rory   B-NAME
Nielsen   I-NAME
Hospital   O
:   O
Cape   B-LOCATION
Coral   I-LOCATION
Hospital   I-LOCATION
Presentation   O
and   O
Symptoms   O
:   O
Xan   B-NAME
Dunn   I-NAME
,   O
a   O
dietician   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Truman   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lakewood   I-LOCATION
on   O
12/25   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
profuse   O
sweating   O
.   O

Past   O
Medical   O
History   O
:   O
Philip   B-NAME
Gibson   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
.   O

Melanie   B-NAME
Crawford   I-NAME
also   O
mentioned   O
undergoing   O
an   O
appendectomy   O
at   O
the   O
age   O
of   O
3   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

On   O
examination   O
,   O
Dorsey   B-NAME
appeared   O
distressed   O
,   O
with   O
a   O
blood   O
pressure   O
of   O
180/95   O
mmHg   O
,   O
a   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
94   O
%   O
on   O
room   O
air   O
.   O

The   O
decision   O
was   O
made   O
by   O
Hawkins   B-NAME
to   O
proceed   O
with   O
urgent   O
cardiac   O
catheterization   O
.   O

Densieski   B-NAME
Cotant   I-NAME
provided   O
informed   O
consent   O
after   O
the   O
procedure   O
was   O
thoroughly   O
explained   O
by   O
the   O
cardiology   O
team   O
at   O
Bronson   B-LOCATION
Battle   I-LOCATION
Creek   I-LOCATION
.   O

Rowan   B-NAME
Suarez   I-NAME
's   O
post   O
-   O
procedure   O
course   O
was   O
uneventful   O
,   O
and   O
Vines   B-NAME
was   O
discharged   O
on   O
22/24/2076   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
the   O
cardiology   O
outpatient   O
clinic   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Aubrie   B-NAME
Baldwin   I-NAME
is   O
advised   O
to   O
follow   O
a   O
strict   O
heart   O
-   O
healthy   O
diet   O
,   O
engage   O
in   O
regular   O
physical   O
activity   O
,   O
adhere   O
to   O
medications   O
as   O
prescribed   O
,   O
and   O
closely   O
monitor   O
blood   O
pressure   O
and   O
blood   O
sugar   O
levels   O
.   O

Smoking   O
cessation   O
was   O
strongly   O
advised   O
,   O
as   O
Marcus   B-NAME
Welby   I-NAME
is   O
a   O
smoker   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Avila   B-NAME
in   O
two   O
weeks   O
to   O
assess   O
progress   O
and   O
adjust   O
medications   O
if   O
necessary   O
.   O

For   O
any   O
questions   O
or   O
emergencies   O
,   O
Ellie   B-NAME
Stokes   I-NAME
can   O
contact   O
AtlantiCare   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
825   B-CONTACT
-   I-CONTACT
5310   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
kwu7910   B-NAME
on   O
09/23   B-DATE
and   O
is   O
strictly   O
confidential   O
.   O

Patient   O
Name   O
:   O
Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
Patient   O
ID   O
:   O
PD:339:238427   B-ID
Date   O
of   O
Birth   O
:   O
Saturday   B-DATE
,   I-DATE
December   I-DATE
Age   O
:   O
19   O
Address   O
:   O
David   B-LOCATION
City   I-LOCATION
,   O
29850   B-LOCATION
Phone   O
:   O
(   B-CONTACT
647   I-CONTACT
)   I-CONTACT
781   I-CONTACT
3171   I-CONTACT
Primary   O
Physician   O
:   O

Ilse   B-NAME
Agosto   I-NAME
Medical   O
Record   O
Number   O
:   O
7585136   B-ID
Hospital   O
:   O

Oviedo   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
7/2342   B-DATE
Occupation   O
:   O

Veterinary   O
nurse   O
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Hammarskjöld   B-NAME
,   I-NAME
Dag   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Iowa   B-LOCATION
Lutheran   I-LOCATION
Hospital   I-LOCATION
on   O
02/21   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Miranda   B-NAME
,   O
a   O
78   O
-   O
year   O
-   O
old   O
Human   O
Resources   O
Managers   O
,   O
reported   O
that   O
the   O
pain   O
started   O
suddenly   O
early   O
in   O
the   O
morning   O
of   O
2167   B-DATE
.   O

Jaimes   B-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
was   O
prescribed   O
medication   O
by   O
Dr.   O
Jaden   B-NAME
Haley   I-NAME
.   O

Kendra   B-NAME
Proctor   I-NAME
reports   O
no   O
allergies   O
to   O
medications   O
and   O
no   O
prior   O
surgeries   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
mentioned   O
,   O
QUINTON   B-NAME
OSWALD   I-NAME
denies   O
any   O
recent   O
weight   O
loss   O
,   O
changes   O
in   O
appetite   O
,   O
dysuria   O
,   O
hematuria   O
,   O
or   O
chest   O
pain   O
.   O

The   O
patient   O
does   O
not   O
report   O
any   O
recent   O
travel   O
outside   O
Bruin   B-LOCATION
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Andric   B-NAME
,   I-NAME
Ivo   I-NAME
exhibited   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
22/00/2333   B-DATE
suggested   O
appendicitis   O
.   O

Diagnosis   O
:   O
Based   O
on   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Lyric   B-NAME
Serrano   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Shiloh   B-NAME
Mullen   I-NAME
was   O
admitted   O
to   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Philadelphia   I-LOCATION
for   O
an   O
emergency   O
appendectomy   O
under   O
the   O
care   O
of   O
Valerie   B-NAME
Krause   I-NAME
.   O

The   O
surgery   O
was   O
performed   O
successfully   O
without   O
complications   O
on   O
31/22   B-DATE
.   O

Tenzin   B-NAME
Gyatso   I-NAME
(   I-NAME
14th   I-NAME
Dalai   I-NAME
Lama   I-NAME
)   I-NAME
was   O
advised   O
postoperative   O
care   O
instructions   O
and   O
was   O
prescribed   O
antibiotics   O
and   O
analgesics   O
for   O
pain   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Ashlyn   B-NAME
Leach   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dudley   B-NAME
in   O
the   O
surgical   O
outpatient   O
department   O
of   O
Bassett   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
9/8   B-DATE
to   O
monitor   O
recovery   O
progress   O
and   O
address   O
any   O
concerns   O
.   O

Instructions   O
for   O
Patient   O
:   O
Leah   B-NAME
Luna   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
,   O
maintain   O
a   O
balanced   O
diet   O
,   O
and   O
stay   O
hydrated   O
.   O

Contact   O
Information   O
:   O
Should   O
Guadalupe   B-NAME
Maldonado   I-NAME
experience   O
any   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
issues   O
with   O
the   O
surgical   O
site   O
,   O
Denita   B-NAME
Grinman   I-NAME
is   O
to   O
contact   O
Irwin   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
immediately   O
using   O
the   O
provided   O
phone   O
number   O
,   O
107   B-CONTACT
9972   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
qwq412   B-NAME
,   O
00/25/2033   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Xiang   B-NAME
Age   O
:   O
100   O
Medical   O
Record   O
Number   O
:   O
03725719   B-ID
Date   O
of   O
Admission   O
:   O
33/21   B-DATE
Hospital   O
:   O
DeTar   B-LOCATION
Hospital   I-LOCATION
Navarro   I-LOCATION
Doctor   O
:   O
Stanley   B-NAME
Stanton   I-NAME
Residence   O
:   O
Hidden   B-LOCATION
Valley   I-LOCATION
,   O
90573   B-LOCATION
Contact   O
Number   O
:   O
247   B-CONTACT
578   I-CONTACT
-   I-CONTACT
5896   I-CONTACT
Occupation   O
:   O

Aliza   B-NAME
Stanton   I-NAME
History   O
of   O
Present   O
Illness   O
:   O
Nora   B-NAME
Dickerson   I-NAME
was   O
admitted   O
to   O
Central   B-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2030   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
11   I-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
fever   O
peaking   O
at   O
38.5   O
°   O
C   O
,   O
and   O
dyspnea   O
on   O
exertion   O
.   O

The   O
patient   O
mentioned   O
that   O
the   O
symptoms   O
have   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
2269   B-DATE
.   O

Natashia   B-NAME
Rosa   I-NAME
has   O
also   O
reported   O
experiencing   O
night   O
sweats   O
and   O
an   O
unintentional   O
weight   O
loss   O
of   O
approximately   O
10lbs   O
over   O
the   O
last   O
month   O
.   O

The   O
medical   O
history   O
of   O
Williams   B-NAME
includes   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
in   O
13/80   B-DATE
and   O
Hypertension   O
.   O

Fort   B-NAME
,   I-NAME
Charles   I-NAME
is   O
on   O
Metformin   O
and   O
Lisinopril   O
respectively   O
for   O
the   O
management   O
of   O
these   O
conditions   O
.   O

Review   O
of   O
Systems   O
:   O
On   O
physical   O
examination   O
,   O
Dwayne   B-NAME
Wall   I-NAME
appeared   O
lethargic   O
but   O
was   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
Ray   O
performed   O
on   O
1993   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
09   I-DATE
showed   O
bilateral   O
interstitial   O
infiltrates   O
.   O

Follow   O
-   O
Up   O
:   O
Follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
3/22/2315   B-DATE
with   O
Hitchens   B-NAME
,   I-NAME
Christopher   I-NAME
to   O
review   O
the   O
results   O
of   O
the   O
pending   O
diagnostic   O
tests   O
and   O
reassess   O
the   O
management   O
plan   O
.   O

Informed   O
Consent   O
:   O
Bates   B-NAME
has   O
provided   O
verbal   O
consent   O
for   O
all   O
diagnostic   O
tests   O
and   O
treatment   O
plans   O
discussed   O
.   O

In   O
case   O
of   O
any   O
emergency   O
,   O
Robert   B-NAME
Morgan   I-NAME
has   O
listed   O
Dental   O
Hygienists   O
at   O
99751   B-CONTACT
as   O
the   O
primary   O
contact   O
.   O

Patient   O
Name   O
:   O
Youngquist   B-NAME
Patient   O
ID   O
:   O
EA   B-ID
:   I-ID
ZS:3567   I-ID
Date   O
of   O
Birth   O
:   O
2223   B-DATE
Age   O
:   O
53   O
Address   O
:   O
Flagler   B-LOCATION
,   O
13850   B-LOCATION
Phone   O
:   O
934   B-CONTACT
-   I-CONTACT
3652   I-CONTACT
Profession   O
:   O
Storage   O
and   O
Distribution   O
Managers   O
Medical   O
Record   O
Number   O
:   O
8689U97682   B-ID
Attending   O
Physician   O
:   O

Watts   B-NAME
Date   O
of   O
Admission   O
:   O
27   B-DATE
-   I-DATE
Jan-2275   I-DATE
Hospital   O
:   O
Providence   B-LOCATION
Holy   I-LOCATION
Family   I-LOCATION
Hospital   I-LOCATION
Username   O
:   O
nn327   B-NAME
Patient   O
Rosamond   B-NAME
presented   O
to   O
Aspirus   B-LOCATION
Riverview   I-LOCATION
Hospital   I-LOCATION
on   O
05/22/70   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
back   O
.   O

Additionally   O
,   O
Kristopher   B-NAME
Norton   I-NAME
reported   O
instances   O
of   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
over   O
the   O
past   O
07/22/60   B-DATE
.   O

Berne   B-NAME
,   I-NAME
Eric   I-NAME
is   O
currently   O
employed   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Fishery   O
Workers   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Leslie   B-NAME
Krueger   I-NAME
,   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
cardiac   O
enzymes   O
,   O
and   O
coagulation   O
profile   O
.   O

Given   O
the   O
diagnosis   O
of   O
ST   O
-   O
segment   O
Elevation   O
Myocardial   O
Infarction   O
(   O
STEMI   O
)   O
,   O
Punja   B-NAME
,   I-NAME
Hari   I-NAME
was   O
urgently   O
referred   O
to   O
the   O
cardiology   O
team   O
for   O
further   O
evaluation   O
and   O
management   O
,   O
including   O
coronary   O
angiography   O
.   O

quevedo   B-NAME
was   O
transferred   O
to   O
the   O
catheterization   O
lab   O
at   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
on   O
0/03   B-DATE
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Branch   B-NAME
,   O
performed   O
a   O
coronary   O
angiography   O
,   O
which   O
revealed   O
significant   O
stenosis   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Patient   O
Keondre   B-NAME
Viera   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Jenkins   B-NAME
at   O
Hudson   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
Sa   B-DATE
.   O

For   O
any   O
further   O
information   O
or   O
to   O
discuss   O
the   O
case   O
,   O
please   O
contact   O
Lilyana   B-NAME
Jimenez   I-NAME
at   O
75239   B-CONTACT
.   O

Beaches   B-LOCATION
Energy   I-LOCATION
Services   I-LOCATION
is   O
committed   O
to   O
providing   O
the   O
highest   O
level   O
of   O
cardiac   O
care   O
and   O
closely   O
monitoring   O
patient   O
Oliver   B-NAME
M.   I-NAME
Oates   I-NAME
's   O
recovery   O
journey   O
.   O

Patient   O
Name   O
:   O
Mitchell   B-NAME
Age   O
:   O
46   O
Date   O
of   O
Birth   O
:   O
14/20   B-DATE
Address   O
:   O
Bement   B-LOCATION
,   O
66333   B-LOCATION
Phone   O
:   O
17329   B-CONTACT
Occupation   O
:   O
Recycling   O
officer   O
Medical   O
Record   O
Number   O
:   O
3474785   B-ID
Doctor   O
:   O
Moses   B-NAME
Mccoy   I-NAME
Admitting   O
Hospital   O
:   O

BANNER   B-LOCATION
DEL   I-LOCATION
E   I-LOCATION
WEBB   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
Date   O
of   O
Admission   O
:   O
31/02/10   B-DATE
Social   O
Security   O
Number   O
:   O
UE:18849:937402   B-ID
Chief   O
Complaint   O
:   O
Bangs   B-NAME
,   I-NAME
Lester   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Frye   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
December   B-DATE
04   I-DATE
,   I-DATE
2278   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Hayden   B-NAME
Frey   I-NAME
,   O
a   O
78s   O
-   O
year   O
-   O
old   O
Stationary   O
Engineers   O
and   O
Boiler   O
Operators   O
from   O
Vernonia   B-LOCATION
,   O
22353   B-LOCATION
,   O
started   O
experiencing   O
mild   O
abdominal   O
discomfort   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
which   O
gradually   O
progressed   O
in   O
intensity   O
.   O

Camryn   B-NAME
Zamora   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Yareli   B-NAME
Kilgore   I-NAME
has   O
no   O
known   O
allergies   O
and   O
is   O
currently   O
not   O
on   O
any   O
prescription   O
medication   O
.   O

Social   O
History   O
:   O
Hope   B-NAME
Hopkins   I-NAME
,   O
a   O
Tire   O
Repairers   O
and   O
Changers   O
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Lives   O
in   O
Zanesville   B-LOCATION
with   O
a   O
family   O
of   O
three   O
.   O

Treatment   O
Plan   O
:   O
Surgical   O
consult   O
was   O
requested   O
and   O
Rohan   B-NAME
Roy   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Soto   B-NAME
reviewed   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
with   O
Lacey   B-NAME
,   O
who   O
provided   O
informed   O
consent   O
.   O

Follow   O
-   O
Up   O
:   O
Clancy   B-NAME
,   I-NAME
Tom   I-NAME
will   O
be   O
monitored   O
closely   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
any   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Howell   B-NAME
at   O
HealthSouth   B-LOCATION
in   O
'   B-DATE
27   I-DATE
for   O
wound   O
assessment   O
and   O
to   O
discuss   O
recovery   O
.   O

The   O
above   O
report   O
details   O
the   O
hospital   O
course   O
of   O
Antonius   B-NAME
,   O
whose   O
identifying   O
information   O
has   O
been   O
appropriately   O
protected   O
throughout   O
the   O
documentation   O
process   O
.   O

This   O
adherence   O
to   O
privacy   O
guidelines   O
ensures   O
the   O
confidentiality   O
of   O
Valerio   B-NAME
's   O
sensitive   O
health   O
information   O
.   O

Patient   O
Report   O
for   O
:   O
Reynolds   B-NAME
Report   O
Date   O
:   O
2313   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
05   I-DATE
Patient   O
ID   O
:   O
KG:90673:178510   B-ID
Medical   O
Record   O
Number   O
:   O
73637330   B-ID
Patient   O
's   O
Age   O
:   O
96   O
Contact   O
Number   O
:   O
46465   B-CONTACT
Address   O
:   O
Collingswood   B-LOCATION
,   O
47996   B-LOCATION
Referring   O
Physician   O
:   O

Donovan   B-NAME
Treatment   O
Hospital   O
:   O
Paradise   B-LOCATION
Valley   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Summary   O
of   O
Case   O
:   O
Quinn   B-NAME
Ivey   I-NAME
,   O
a   O
Tour   O
Guides   O
and   O
Escorts   O
residing   O
in   O
Wise   B-LOCATION
,   O
presented   O
to   O
Meade   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Meade   I-LOCATION
on   O
36/12/2089   B-DATE
with   O
a   O
series   O
of   O
symptoms   O
including   O
persistent   O
fever   O
,   O
marked   O
by   O
bouts   O
of   O
chills   O
and   O
sweating   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
voluntary   O
guarding   O
.   O

However   O
,   O
the   O
escalation   O
in   O
severity   O
prompted   O
a   O
visit   O
to   O
their   O
primary   O
care   O
physician   O
,   O
Diya   B-NAME
Oneal   I-NAME
,   O
who   O
immediately   O
referred   O
them   O
to   O
the   O
specialized   O
unit   O
in   O
Memorial   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
for   O
further   O
examination   O
and   O
treatment   O
.   O

Based   O
on   O
these   O
findings   O
,   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Dean   B-NAME
,   I-NAME
James   I-NAME
.   O

Nicholas   B-NAME
M   I-NAME
Osuna   I-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
July   B-DATE
12   I-DATE
.   O

Follow   O
-   O
up   O
and   O
Recommendation   O
:   O
Evans   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
examination   O
with   O
Knox   B-NAME
on   O
1/27/66   B-DATE
.   O

It   O
is   O
recommended   O
that   O
Frederick   B-NAME
,   I-NAME
Uriah   I-NAME
C.   I-NAME
adhere   O
to   O
a   O
diet   O
of   O
clear   O
liquids   O
for   O
24   O
hours   O
post   O
-   O
operation   O
,   O
gradually   O
reintroducing   O
solid   O
foods   O
as   O
tolerated   O
.   O

Note   O
:   O
All   O
communication   O
regarding   O
Rylee   B-NAME
Hopkins   I-NAME
's   O
treatment   O
and   O
follow   O
-   O
up   O
appointments   O
should   O
be   O
directed   O
to   O
the   O
contact   O
number   O
provided   O
at   O
the   O
top   O
of   O
this   O
report   O
.   O

Any   O
changes   O
in   O
the   O
patient   O
’s   O
condition   O
,   O
including   O
but   O
not   O
limited   O
to   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
should   O
be   O
reported   O
to   O
Olympic   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
.   O

This   O
report   O
contains   O
confidential   O
health   O
information   O
and   O
is   O
meant   O
for   O
the   O
exclusive   O
use   O
of   O
Sterling   B-NAME
Cox   I-NAME
,   O
Bradford   B-NAME
Althaus   I-NAME
,   O
and   O
Strategic   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
.   O

Patient   O
Name   O
:   O
Flavia   B-NAME
Mautte   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
2269439   I-ID
Date   O
of   O
Birth   O
:   O
Mar   B-DATE
23   I-DATE
,   I-DATE
2233   I-DATE
Age   O
:   O
95   O
Doctor   O
:   O
Randall   B-NAME
Miles   I-NAME
Medical   O
Record   O
Number   O
:   O
120   B-ID
20   I-ID
82   I-ID
Location   O
:   O

Rush   B-LOCATION
City   I-LOCATION
Phone   O
:   O
381   B-CONTACT
-   I-CONTACT
809   I-CONTACT
-   I-CONTACT
1725   I-CONTACT
Employer   O
:   O

City   B-LOCATION
Utilities   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
Occupation   O
:   O
Hunters   O
and   O
Trappers   O
Zip   O
:   O
39984   B-LOCATION
Username   O
:   O
RB543   B-NAME
Date   O
of   O
Visit   O
:   O
20   B-DATE
-   I-DATE
03   I-DATE
Hospital   O
:   O
Davis   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Alessandra   B-NAME
Mason   I-NAME
,   O
a   O
11   O
month   O
-   O
year   O
-   O
old   O
Registered   O
Nurses   O
from   O
Ramireno   B-LOCATION
,   O
presented   O
to   O
AdventHealth   B-LOCATION
Hendersonville   I-LOCATION
on   O
10/22   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
.   O

Deion   B-NAME
denied   O
any   O
fever   O
or   O
chills   O
but   O
reported   O
a   O
mild   O
jaundice   O
noticed   O
earlier   O
in   O
the   O
morning   O
of   O
the   O
day   O
of   O
presentation   O
.   O

Woods   B-NAME
reported   O
the   O
onset   O
of   O
nausea   O
and   O
vomiting   O
after   O
consuming   O
a   O
high   O
-   O
fat   O
meal   O
the   O
night   O
before   O
.   O

Past   O
Medical   O
History   O
:   O
Yael   B-NAME
Mcdaniel   I-NAME
has   O
a   O
history   O
of   O
hyperlipidemia   O
and   O
was   O
prescribed   O
statin   O
therapy   O
by   O
Zimmerman   B-NAME
approximately   O
2026   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
16   I-DATE
.   O

On   O
examination   O
,   O
Helen   B-NAME
Morris   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
patient   O
,   O
CHARLES   B-NAME
ULLAH   I-NAME
,   O
was   O
diagnosed   O
with   O
acute   O
cholecystitis   O
.   O

Beckie   B-NAME
Bverger   I-NAME
at   O
AMITA   B-LOCATION
Health   I-LOCATION
Resurrection   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chicago   I-LOCATION
recommended   O
hospital   O
admission   O
for   O
intravenous   O
antibiotics   O
,   O
analgesia   O
,   O
and   O
planned   O
laparoscopic   O
cholecystectomy   O
after   O
initial   O
stabilization   O
.   O

The   O
surgical   O
team   O
was   O
consulted   O
,   O
and   O
Guy   B-NAME
Luthan   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
planned   O
management   O
.   O

Brian   B-NAME
Garner   I-NAME
's   O
next   O
of   O
kin   O
,   O
contacted   O
through   O
965   B-CONTACT
-   I-CONTACT
5243   I-CONTACT
,   O
was   O
updated   O
on   O
Roger   B-NAME
Mcdaniel   I-NAME
’s   O
condition   O
and   O
the   O
treatment   O
plan   O
.   O

Further   O
investigations   O
to   O
assess   O
the   O
function   O
of   O
the   O
bile   O
ducts   O
were   O
scheduled   O
for   O
8/2   B-DATE
,   O
and   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
clinic   O
was   O
arranged   O
for   O
may   B-DATE
44   I-DATE
post   O
-   O
operatively   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Ali   B-NAME
-   O
Age   O
:   O
85   O
-   O
Date   O
of   O
Birth   O
:   O
February   B-DATE
2022   I-DATE
-   O
Address   O
:   O
Weyerhaeuser   B-LOCATION
,   O
65940   B-LOCATION
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
205   I-CONTACT
)   I-CONTACT
638   I-CONTACT
-   I-CONTACT
9579   I-CONTACT
-   O
Medical   O
Record   O
Number   O
:   O
55734637   B-ID
-   O
ID   O
Number   O
:   O
ME   B-ID
:   I-ID
XS:6958   I-ID
Chief   O
Complaint   O
:   O
Lawson   B-NAME
,   O
a   O
Biofuels   O
Production   O
Managers   O
,   O
presented   O
to   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
17/00   B-DATE
with   O
a   O
report   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
started   O
approximately   O
48   O
hours   O
prior   O
.   O

Mariyah   B-NAME
Rosales   I-NAME
also   O
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
.   O

Mero   B-NAME
,   I-NAME
Rena   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Bullhead   B-LOCATION
or   O
any   O
sick   O
contacts   O
.   O

Whitney   B-NAME
has   O
attempted   O
taking   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medication   O
,   O
with   O
no   O
significant   O
relief   O
.   O

Past   O
Medical   O
History   O
:   O
Molina   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

Medications   O
:   O
Kobe   B-NAME
Nixon   I-NAME
is   O
currently   O
taking   O
Lisinopril   O
10   O
mg   O
daily   O
.   O

Urbach   B-NAME
works   O
as   O
a   O
Rehabilitation   O
Counselors   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Physical   O
Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Havel   B-NAME
,   I-NAME
Václav   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Considering   O
the   O
clinical   O
findings   O
and   O
preliminary   O
diagnostic   O
results   O
,   O
Letisha   B-NAME
Ulrich   I-NAME
was   O
admitted   O
to   O
MercyOne   B-LOCATION
Waterloo   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Stark   B-NAME
recommended   O
an   O
appendectomy   O
as   O
the   O
definitive   O
treatment   O
for   O
what   O
appears   O
to   O
be   O
acute   O
appendicitis   O
.   O

Disposition   O
:   O
Larry   B-NAME
T.   I-NAME
Jansen   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
20   B-DATE
-   I-DATE
02   I-DATE
.   O

Follow   O
-   O
Up   O
:   O
Brutus   B-NAME
,   I-NAME
Marcus   I-NAME
Junius   I-NAME
will   O
require   O
post   O
-   O
operative   O
follow   O
-   O
up   O
with   O
Jeffrey   B-NAME
Atkinson   I-NAME
in   O
Slaughter   B-LOCATION
Beach   I-LOCATION
to   O
monitor   O
recovery   O
and   O
manage   O
any   O
potential   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
02/28/2115   B-DATE
.   O

Instructions   O
upon   O
Discharge   O
:   O
Nayeli   B-NAME
Dillon   I-NAME
is   O
advised   O
to   O
gradually   O
resume   O
activities   O
as   O
tolerated   O
,   O
adhere   O
strictly   O
to   O
the   O
post   O
-   O
operative   O
medication   O
regimen   O
,   O
and   O
report   O
any   O
signs   O
of   O
infection   O
,   O
such   O
as   O
fever   O
or   O
increased   O
pain   O
,   O
immediately   O
.   O

For   O
any   O
post   O
-   O
discharge   O
questions   O
or   O
to   O
report   O
concerns   O
,   O
Jadyn   B-NAME
Glass   I-NAME
can   O
contact   O
Memorial   B-LOCATION
Hospital   I-LOCATION
at   O
878   B-CONTACT
-   I-CONTACT
4881   I-CONTACT
.   O

Report   O
Prepared   O
by   O
:   O
AP57   B-NAME
,   O
20/12/14   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kati   B-NAME
Hallerman   I-NAME
Medical   O
Record   O
Number   O
:   O
915   B-ID
-   I-ID
80   I-ID
-   I-ID
24   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
July   B-DATE
00   I-DATE
,   I-DATE
2045   I-DATE
Age   O
:   O
32s   O
Address   O
:   O
North   B-LOCATION
City   I-LOCATION
,   O
25110   B-LOCATION
Phone   O
Number   O
:   O
94235   B-CONTACT
Occupation   O
:   O
Manufactured   O
Building   O
and   O
Mobile   O
Home   O
Installers   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Kelley   B-NAME
Clinical   O
Summary   O
:   O
Hibiki   B-NAME
,   I-NAME
Dan   I-NAME
,   O
a   O
Emergency   O
Medical   O
Technicians   O
and   O
Paramedics   O
,   O
residing   O
in   O
Moores   B-LOCATION
Mills   I-LOCATION
,   I-LOCATION
NB   I-LOCATION
E5A   I-LOCATION
8Y6   I-LOCATION
,   O
presented   O
to   O
Providence   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Everett   I-LOCATION
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
headaches   O
,   O
occasionally   O
accompanied   O
by   O
nausea   O
and   O
photophobia   O
.   O

The   O
onset   O
of   O
these   O
symptoms   O
was   O
roughly   O
three   O
weeks   O
prior   O
to   O
the   O
initial   O
consultation   O
on   O
2162   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
04   I-DATE
.   O

Valverde   B-NAME
described   O
the   O
headaches   O
as   O
bilateral   O
with   O
a   O
pulsating   O
quality   O
,   O
often   O
exacerbated   O
by   O
routine   O
physical   O
activity   O
.   O

Additionally   O
,   O
Randy   B-NAME
reported   O
experiencing   O
episodes   O
of   O
blurred   O
vision   O
and   O
transient   O
aphasia   O
,   O
raising   O
concerns   O
for   O
possible   O
neurological   O
pathology   O
.   O

Family   O
History   O
:   O
Jody   B-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
migraine   O
in   O
the   O
mother   O
and   O
hypertension   O
in   O
the   O
father   O
.   O

Examination   O
:   O
Upon   O
examination   O
on   O
06/27   B-DATE
,   O
Kamden   B-NAME
Nichols   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Diagnostic   O
Imaging   O
:   O
MRI   O
of   O
the   O
brain   O
,   O
ordered   O
on   O
3/23/2291   B-DATE
and   O
performed   O
at   O
Presbyterian   B-LOCATION
/   I-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
showed   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

Zavier   B-NAME
Elliott   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
triggers   O
of   O
the   O
headaches   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
significant   O
changes   O
in   O
symptoms   O
,   O
Tab   B-NAME
is   O
instructed   O
to   O
contact   O
Fairview   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
's   O
Neurology   O
Department   O
at   O
129   B-CONTACT
-   I-CONTACT
4006   I-CONTACT
.   O

Follow   O
-   O
up   O
appointments   O
and   O
referrals   O
have   O
been   O
coordinated   O
by   O
Dr.   O
Konnor   B-NAME
Huang   I-NAME
's   O
office   O
,   O
and   O
any   O
further   O
questions   O
can   O
be   O
directed   O
to   O
them   O
.   O

Summary   O
:   O
frances   B-NAME
cramer   I-NAME
,   O
a   O
92   O
year   O
old   O
Economics   O
Teachers   O
,   O
Postsecondary   O
from   O
Fishhook   B-LOCATION
,   O
presented   O
with   O
significant   O
headache   O
symptoms   O
suggestive   O
of   O
migraine   O
,   O
with   O
additional   O
features   O
that   O
necessitated   O
a   O
thorough   O
neurological   O
evaluation   O
.   O

Prepared   O
by   O
:   O
Dr.   O
Cato   B-NAME
the   I-NAME
Elder   I-NAME
Medical   O
Record   O
Number   O
:   O
38723129   B-ID
Date   O
:   O
22/22/90   B-DATE

Patient   O
Name   O
:   O
Xitlali   B-NAME
Crane   I-NAME
Age   O
:   O
72   O
Date   O
of   O
Birth   O
:   O
2069   B-DATE
Medical   O
Record   O
Number   O
:   O
3755323   B-ID
Address   O
:   O
Ocean   B-LOCATION
Breeze   I-LOCATION
Park   I-LOCATION
,   O
25142   B-LOCATION
Phone   O
Number   O
:   O
49590   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Knight   B-NAME
Hospital   O
:   O
Little   B-LOCATION
Company   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Centers   I-LOCATION
Date   O
of   O
Visit   O
:   O
April   B-DATE
25   I-DATE
Patient   O
ID   O
:   O
FY   B-ID
:   I-ID
JH:2820   I-ID
Chief   O
Complaint   O
:   O
Annika   B-NAME
Mcmillan   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
3/2   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Weber   B-NAME
,   O
a   O
Makeup   O
Artists   O
,   O
Theatrical   O
and   O
Performance   O
,   O
mentioned   O
that   O
the   O
pain   O
was   O
sudden   O
in   O
onset   O
,   O
localized   O
initially   O
to   O
the   O
periumbilical   O
region   O
and   O
later   O
radiating   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

No   O
prior   O
surgeries   O
-   O
Hypertension   O
diagnosed   O
05/12   B-DATE
Social   O
History   O
:   O

Alec   B-NAME
Rojas   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Works   O
as   O
a   O
Hand   O
Compositors   O
and   O
Typesetters   O
at   O
Corus   B-LOCATION
Bank   I-LOCATION
.   O

Randall   B-NAME
Strong   I-NAME
was   O
advised   O
for   O
urgent   O
surgical   O
intervention   O
.   O

The   O
on   O
-   O
call   O
surgeon   O
,   O
Dr.   O
Mauricio   B-NAME
Oneill   I-NAME
,   O
was   O
consulted   O
and   O
Ellis   B-NAME
Ford   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
32/13/03   B-DATE
.   O

Risk   O
,   O
benefit   O
,   O
and   O
alternatives   O
were   O
discussed   O
with   O
John   B-NAME
Gideon   I-NAME
who   O
understood   O
and   O
consented   O
to   O
proceed   O
with   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
Rebbeca   B-NAME
Falco   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
postoperative   O
clinic   O
on   O
9/92   B-DATE
for   O
wound   O
check   O
and   O
assessment   O
of   O
recovery   O
progress   O
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Riley   B-NAME
Solis   I-NAME
was   O
advised   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
symptoms   O
of   O
possible   O
complications   O
to   O
monitor   O
.   O

Sean   B-NAME
Baldwin   I-NAME
was   O
also   O
instructed   O
to   O
maintain   O
a   O
diet   O
high   O
in   O
fiber   O
and   O
to   O
stay   O
hydrated   O
.   O

In   O
the   O
event   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
signs   O
of   O
wound   O
infection   O
,   O
Ponce   B-NAME
was   O
advised   O
to   O
contact   O
Dr.   O
Springsteen   B-NAME
,   I-NAME
Bruce   I-NAME
at   O
(   B-CONTACT
929   I-CONTACT
)   I-CONTACT
103   I-CONTACT
7173   I-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
at   O
Noble   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Covington   B-NAME
,   I-NAME
Stephen   I-NAME
Age   O
:   O
80   O
Date   O
of   O
Birth   O
:   O
2143   B-DATE
-   I-DATE
15   I-DATE
-   I-DATE
32   I-DATE
Address   O
:   O
Bloomsburg   B-LOCATION
,   O
42432   B-LOCATION
Phone   O
Number   O
:   O
85319   B-CONTACT
Occupation   O
:   O
Insurance   O
Claims   O
and   O
Policy   O
Processing   O
Clerks   O
ID   O
:   O
91008167   B-ID
Medical   O
Record   O
Number   O
:   O
668   B-ID
-   I-ID
12   I-ID
-   I-ID
93   I-ID
-   I-ID
9   I-ID
Attending   O
Physician   O
:   O

Emilia   B-NAME
Gardner   I-NAME
Hospital   O
:   O
Yale   B-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
a   I-LOCATION
division   I-LOCATION
of   I-LOCATION
Yale   I-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
Date   O
of   O
Visit   O
:   O
1976   B-DATE
Clinical   O
Presentation   O
:   O

The   O
patient   O
,   O
Dokok   B-NAME
,   O
a   O
bookkeeper   O
from   O
Mountain   B-LOCATION
Brook   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Longmont   B-LOCATION
United   I-LOCATION
Hospital   I-LOCATION
on   O
December   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
an   O
overwhelming   O
sense   O
of   O
anxiety   O
.   O

Paola   B-NAME
Glass   I-NAME
also   O
has   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Upon   O
examination   O
,   O
Jackson   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
98.6   O
°   O
F   O
(   O
37   O
°   O
C   O
)   O
.   O

Gavyn   B-NAME
Shannon   I-NAME
was   O
then   O
urgently   O
referred   O
to   O
the   O
cardiology   O
team   O
for   O
coronary   O
angiography   O
,   O
which   O
revealed   O
significant   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
the   O
coronary   O
care   O
unit   O
(   O
CCU   O
)   O
for   O
further   O
management   O
under   O
Koch   B-NAME
.   O

Ray   B-NAME
was   O
discharged   O
on   O
27/10   B-DATE
with   O
prescription   O
medications   O
including   O
aspirin   O
,   O
ticagrelor   O
,   O
atorvastatin   O
,   O
and   O
metoprolol   O
.   O

Follow   O
-   O
up   O
with   O
the   O
cardiology   O
clinic   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Concord   I-LOCATION
was   O
scheduled   O
for   O
33/03   B-DATE
.   O
Conclusion   O
:   O
Marie   B-NAME
Massey   I-NAME
,   O
a   O
45s   O
-   O
year   O
-   O
old   O
Plate   O
Finishers   O
from   O
Hunstanton   B-LOCATION
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
an   O
acute   O
myocardial   O
infarction   O
and   O
underwent   O
successful   O
revascularization   O
with   O
PCI   O
.   O

Amira   B-NAME
Hampton   I-NAME
Date   O
:   O
22/09   B-DATE
Organization   O
:   O

Borough   B-LOCATION
of   I-LOCATION
Seaside   I-LOCATION
Heights   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
Username   O
:   O
mzj938   B-NAME
Contact   O
Information   O
:   O
980   B-CONTACT
-   I-CONTACT
2812   I-CONTACT

Patient   O
Name   O
:   O
BRANDON   B-NAME
VICENTE   I-NAME
Age   O
:   O
29   O
Date   O
of   O
Birth   O
:   O
31/08/2364   B-DATE
ID   O
:   O
NU   B-ID
:   I-ID
TK:8642   I-ID
Medical   O
Record   O
Number   O
:   O
75706207   B-ID
Address   O
:   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10473   I-LOCATION
,   O
13151   B-LOCATION
Phone   O
Number   O
:   O
433   B-CONTACT
-   I-CONTACT
8356   I-CONTACT

Daniel   B-NAME
Goodman   I-NAME
Hospital   O
:   O

Brandywine   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
3   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
30   I-DATE
Occupation   O
:   O
Physicians   O
and   O
Surgeons   O
,   O
All   O
Other   O
Username   O
:   O
AW7810   B-NAME
Clinical   O
Summary   O
:   O
Ally   B-NAME
Diaz   I-NAME
,   O
a   O
17   O
-   O
year   O
-   O
old   O
Geographical   O
information   O
systems   O
manager   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
UPMC   B-LOCATION
Jameson   I-LOCATION
on   O
5/23   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
described   O
as   O
"   O
crushing   O
"   O
in   O
nature   O
.   O

Yurem   B-NAME
Fitzpatrick   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
and   O
is   O
a   O
current   O
smoker   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kieran   B-NAME
Newman   I-NAME
appeared   O
diaphoretic   O
and   O
in   O
distress   O
with   O
a   O
noted   O
pallor   O
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Robles   B-NAME
,   O
was   O
consulted   O
urgently   O
,   O
and   O
Elmira   B-NAME
Nack   I-NAME
was   O
administered   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
morphine   O
for   O
pain   O
management   O
.   O

Given   O
the   O
diagnosis   O
of   O
myocardial   O
infarction   O
,   O
Constantine   B-NAME
underwent   O
emergent   O
cardiac   O
catheterization   O
revealing   O
significant   O
occlusion   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
,   O
which   O
was   O
successfully   O
revascularized   O
with   O
a   O
stent   O
placement   O
.   O

Follow   O
-   O
Up   O
:   O
Christopher   B-NAME
Fry   I-NAME
has   O
been   O
advised   O
to   O
follow   O
up   O
at   O
the   O
cardiology   O
clinic   O
associated   O
with   O
Memorial   B-LOCATION
Hermann   I-LOCATION
-   I-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
12/43   B-DATE
for   O
further   O
evaluation   O
and   O
management   O
of   O
cardiovascular   O
risk   O
factors   O
.   O

Smoking   O
cessation   O
counseling   O
was   O
provided   O
,   O
and   O
Dayana   B-NAME
Goodwin   I-NAME
has   O
been   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

In   O
summary   O
,   O
Morgan   B-NAME
presented   O
with   O
acute   O
myocardial   O
infarction   O
and   O
underwent   O
successful   O
intervention   O
.   O

Further   O
evaluation   O
and   O
monitoring   O
at   O
the   O
Methodist   B-LOCATION
Specialty   I-LOCATION
&   I-LOCATION
Transplant   I-LOCATION
Hospital   I-LOCATION
Cardiology   O
Clinic   O
will   O
be   O
necessary   O
for   O
optimal   O
health   O
outcomes   O
.   O

Patient   O
Name   O
:   O
Billy   B-NAME
Ulysses   I-NAME
Graves   I-NAME
Age   O
:   O
50   O
Date   O
of   O
Birth   O
:   O
1/29/23   B-DATE
Medical   O
Record   O
Number   O
:   O
838   B-ID
-   I-ID
08   I-ID
-   I-ID
14   I-ID
-   I-ID
6   I-ID
Phone   O
Number   O
:   O
248   B-CONTACT
7989   I-CONTACT
Address   O
:   O
Arp   B-LOCATION
,   O
36298   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Mckenzie   B-NAME
Date   O
of   O
Visit   O
:   O
38/09   B-DATE
Hospital   O
:   O
Venice   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
SSN   O
:   O
VA:73154:437562   B-ID

Chief   O
Complaint   O
:   O
Erika   B-NAME
Roberson   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
33/23/02   B-DATE
with   O
complaints   O
of   O
acute   O
lower   O
right   O
quadrant   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jayda   B-NAME
Schmidt   I-NAME
has   O
been   O
experiencing   O
these   O
symptoms   O
intermittently   O
over   O
the   O
past   O
two   O
weeks   O
but   O
noted   O
a   O
significant   O
increase   O
in   O
severity   O
early   O
in   O
the   O
morning   O
on   O
01/10   B-DATE
.   O

Snyder   B-NAME
also   O
reported   O
a   O
decrease   O
in   O
appetite   O
and   O
an   O
unintentional   O
weight   O
loss   O
of   O
41   O
pounds   O
over   O
the   O
last   O
month   O
.   O

Lao   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
mellitus   O
approximately   O
'   B-DATE
33   I-DATE
years   O
ago   O
.   O

Social   O
History   O
:   O
Tiara   B-NAME
Copeland   I-NAME
is   O
a   O
Police   O
Patrol   O
Officers   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Milan   B-NAME
McLilly   I-NAME
lives   O
alone   O
in   O
Woodway   B-LOCATION
.   O

A   O
CT   O
abdomen   O
performed   O
on   O
01/25/11   B-DATE
showed   O
signs   O
consistent   O
with   O
acute   O
appendicitis   O
without   O
evidence   O
of   O
perforation   O
.   O

The   O
diagnosis   O
for   O
Antoine   B-NAME
Carlson   I-NAME
is   O
acute   O
appendicitis   O
.   O

After   O
consultation   O
with   O
Rubio   B-NAME
from   O
Danville   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
's   O
general   O
surgery   O
department   O
,   O
it   O
was   O
determined   O
that   O
Biondo   B-NAME
,   I-NAME
Frank   I-NAME
would   O
benefit   O
from   O
an   O
appendectomy   O
.   O

Jayce   B-NAME
Espinoza   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
consented   O
to   O
surgery   O
scheduled   O
for   O
April   B-DATE
4   I-DATE
.   O

Aubree   B-NAME
Cabrera   I-NAME
will   O
be   O
admitted   O
to   O
Ferry   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
post   O
-   O
operation   O
.   O

Leah   B-NAME
Luna   I-NAME
will   O
require   O
a   O
follow   O
-   O
up   O
visit   O
within   O
two   O
weeks   O
of   O
the   O
surgery   O
to   O
assess   O
the   O
healing   O
process   O
and   O
address   O
any   O
complications   O
if   O
they   O
arise   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
nrw780   B-NAME
Relationship   O
:   O

Crystallographer   O
Phone   O
Number   O
:   O
439   B-CONTACT
-   I-CONTACT
9101   I-CONTACT

Jayda   B-NAME
Macias   I-NAME
Date   O
:   O
08/18   B-DATE
Electronic   O
Signature   O
:   O
Susan   B-NAME
Coleman   I-NAME

Marleen   B-NAME
Grim   I-NAME
-   O
Patient   O
MRN   O
:   O
40651314   B-ID
-   O
Date   O
of   O
Birth   O
:   O
2135/07/18   B-DATE
-   O
Age   O
:   O
8   O
month   O
-   O
Address   O
:   O
Alpena   B-LOCATION
,   O
89097   B-LOCATION
-   O
Phone   O
Number   O
:   O
619   B-CONTACT
1387   I-CONTACT
-   O
Occupation   O
:   O
Fashion   O
Designers   O
-   O
Primary   O
Care   O
Physician   O
:   O

Kaitlin   B-NAME
Mayer   I-NAME
-   O
Admitted   O
to   O
:   O
Wichita   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Leoti   I-LOCATION
-   O
Date   O
of   O
Admission   O
:   O
27/32/09   B-DATE
-   O
Social   O
Security   O
Number   O
:   O
17192   B-ID
Clinical   O
History   O
:   O
Garfield   B-NAME
presented   O
at   O
McKee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/30   B-DATE
complaining   O
of   O
persistent   O
,   O
severe   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
and   O
occasional   O
photophobia   O
.   O

Pamela   B-NAME
Lyons   I-NAME
reports   O
the   O
headaches   O
have   O
been   O
ongoing   O
for   O
approximately   O
February   B-DATE
2152   I-DATE
weeks   O
and   O
have   O
progressively   O
worsened   O
.   O

Ryker   B-NAME
Figueroa   I-NAME
also   O
experiences   O
nausea   O
and   O
,   O
less   O
frequently   O
,   O
vomiting   O
.   O

Medical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Garfield   B-NAME
,   I-NAME
James   I-NAME
A.   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Vision   O
was   O
intact   O
,   O
but   O
Aletha   B-NAME
reported   O
increased   O
sensitivity   O
to   O
bright   O
lights   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
CT   O
scan   O
of   O
the   O
head   O
was   O
performed   O
on   O
3/02   B-DATE
,   O
which   O
did   O
not   O
reveal   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

To   O
further   O
evaluate   O
the   O
cause   O
of   O
these   O
symptoms   O
,   O
an   O
MRI   O
of   O
the   O
brain   O
with   O
and   O
without   O
contrast   O
was   O
recommended   O
and   O
completed   O
on   O
1902   B-DATE
.   O

Given   O
the   O
negative   O
findings   O
from   O
the   O
diagnostic   O
tests   O
,   O
Hugo   B-NAME
Parks   I-NAME
was   O
diagnosed   O
with   O
migraines   O
.   O

Duarte   B-NAME
discussed   O
the   O
diagnosis   O
and   O
treatment   O
plan   O
with   O
Vetter   B-NAME
on   O
2/32/50   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2182   B-DATE
-   I-DATE
36   I-DATE
-   I-DATE
33   I-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

Upon   O
discharge   O
from   O
St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
/   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
on   O
2/3   B-DATE
,   O
Ochoa   B-NAME
was   O
advised   O
to   O
monitor   O
headache   O
frequency   O
,   O
intensity   O
,   O
and   O
any   O
associated   O
symptoms   O
.   O

Ilona   B-NAME
Swift   I-NAME
was   O
also   O
advised   O
to   O
contact   O
Krause   B-NAME
's   O
office   O
at   O
580   B-CONTACT
605   I-CONTACT
-   I-CONTACT
7312   I-CONTACT
for   O
any   O
concerns   O
or   O
if   O
symptoms   O
worsen   O
or   O
do   O
not   O
improve   O
with   O
treatment   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
at   O
Chandler   B-NAME
Blanchard   I-NAME
's   O
office   O
on   O
2/00/86   B-DATE
.   O

During   O
this   O
visit   O
,   O
Miller   B-NAME
’s   O
response   O
to   O
the   O
medication   O
will   O
be   O
reviewed   O
,   O
and   O
additional   O
diagnostic   O
tests   O
may   O
be   O
considered   O
if   O
symptoms   O
persist   O
.   O

Any   O
queries   O
regarding   O
this   O
case   O
should   O
be   O
directed   O
to   O
York   B-NAME
's   O
office   O
at   O
52097   B-CONTACT
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Craft   B-NAME
,   O
a   O
1   O
week   O
-   O
year   O
-   O
old   O
Welfare   O
rights   O
adviser   O
from   O
Bell   B-LOCATION
,   O
presented   O
to   O
Ness   B-LOCATION
County   I-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
No.2   I-LOCATION
–   I-LOCATION
Ness   I-LOCATION
City   I-LOCATION
on   O
8/22   B-DATE
with   O
a   O
history   O
of   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Christian   B-NAME
Curry   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
.   O

Upon   O
examination   O
by   O
Quentin   B-NAME
Stark   I-NAME
,   O
Shannon   B-NAME
Ware   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
when   O
experiencing   O
chest   O
pain   O
.   O

The   O
initial   O
Troponin   O
level   O
was   O
within   O
normal   O
limits   O
,   O
but   O
given   O
the   O
suspicion   O
for   O
an   O
underlying   O
coronary   O
artery   O
disease   O
,   O
Saniya   B-NAME
Maldonado   I-NAME
recommended   O
a   O
stress   O
test   O
.   O

The   O
exercise   O
treadmill   O
stress   O
test   O
conducted   O
on   O
36/25   B-DATE
demonstrated   O
ST   O
-   O
segment   O
depression   O
indicative   O
of   O
myocardial   O
ischemia   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Roman   B-NAME
discussed   O
with   O
Clements   B-NAME
about   O
the   O
benefits   O
and   O
risks   O
of   O
further   O
diagnostic   O
testing   O
.   O

Heaven   B-NAME
Sellers   I-NAME
provided   O
informed   O
consent   O
for   O
a   O
coronary   O
angiogram   O
,   O
which   O
was   O
performed   O
on   O
17/05   B-DATE
and   O
revealed   O
two   O
significant   O
blockages   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
(   O
LAD   O
)   O
and   O
right   O
coronary   O
artery   O
(   O
RCA   O
)   O
.   O

A   O
multidisciplinary   O
team   O
meeting   O
involving   O
Clark   B-NAME
Erickson   I-NAME
,   O
a   O
cardiologist   O
,   O
and   O
a   O
cardiothoracic   O
surgeon   O
was   O
held   O
on   O
20/13/2172   B-DATE
to   O
discuss   O
the   O
treatment   O
options   O
.   O

It   O
was   O
decided   O
that   O
Brontë   B-NAME
,   I-NAME
Emily   I-NAME
would   O
undergo   O
coronary   O
artery   O
bypass   O
grafting   O
(   O
CABG   O
)   O
surgery   O
.   O

The   O
surgery   O
,   O
performed   O
on   O
Wednesday   B-DATE
,   I-DATE
July   I-DATE
at   O
Methodist   B-LOCATION
Charlton   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
was   O
successful   O
without   O
any   O
complications   O
.   O

Briana   B-NAME
Roy   I-NAME
's   O
postoperative   O
course   O
was   O
unremarkable   O
,   O
and   O
they   O
were   O
discharged   O
on   O
9/82   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Cheyenne   B-NAME
Herrera   I-NAME
and   O
the   O
cardiology   O
team   O
.   O

Instructions   O
were   O
provided   O
to   O
Hattie   B-NAME
Hesson   I-NAME
on   O
postoperative   O
care   O
,   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
medication   O
management   O
,   O
and   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

Burns   B-NAME
,   I-NAME
Edward   I-NAME
was   O
also   O
enrolled   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

For   O
any   O
further   O
information   O
or   O
emergencies   O
,   O
Sydnee   B-NAME
Schaefer   I-NAME
was   O
advised   O
to   O
contact   O
Bon   B-LOCATION
Secours   I-LOCATION
Mary   I-LOCATION
Immaculate   I-LOCATION
Hospital   I-LOCATION
's   O
help   O
line   O
at   O
94686   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
at   O
Parkway   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
located   O
in   O
Clearwater   B-LOCATION
,   I-LOCATION
Clearwater   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
with   O
the   O
postal   O
code   O
of   O
30436   B-LOCATION
.   O

The   O
patient   O
's   O
medical   O
record   O
was   O
updated   O
and   O
securely   O
stored   O
under   O
the   O
medical   O
record   O
number   O
481   B-ID
-   I-ID
98   I-ID
-   I-ID
12   I-ID
.   O

This   O
report   O
was   O
prepared   O
by   O
Li   B-NAME
and   O
reviewed   O
by   O
the   O
medical   O
records   O
department   O
of   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Easley   I-LOCATION
Hospital   I-LOCATION
to   O
ensure   O
compliance   O
with   O
health   O
information   O
privacy   O
laws   O
.   O

The   O
study   O
is   O
being   O
conducted   O
by   O
Alcoholics   B-LOCATION
Anonymous   I-LOCATION
(   I-LOCATION
AA   I-LOCATION
)   I-LOCATION
with   O
the   O
oversight   O
of   O
principal   O
investigator   O
Junior   B-NAME
Chapman   I-NAME
.   O

Stafford   B-NAME
was   O
given   O
a   O
study   O
ID   O
BZ860/2923   B-ID
for   O
their   O
participation   O
and   O
can   O
withdraw   O
at   O
any   O
time   O
.   O

Please   O
contact   O
our   O
office   O
at   O
77130   B-CONTACT
if   O
you   O
have   O
any   O
questions   O
or   O
need   O
further   O
assistance   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Khan   B-NAME
,   I-NAME
Genghis   I-NAME
Patient   O
Age   O
:   O
30   O
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
8944943   I-ID
Medical   O
Record   O
Number   O
:   O
1104368   B-ID
Date   O
of   O
Birth   O
:   O
11/35   B-DATE
Address   O
:   O
Forada   B-LOCATION
,   O
89813   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
319   I-CONTACT
)   I-CONTACT
952   I-CONTACT
2887   I-CONTACT
Employment   O
:   O
Rail   O
Yard   O
Engineers   O
,   O
Dinkey   O
Operators   O
,   O
and   O
Hostlers   O
Primary   O
Care   O
Physician   O
:   O

Villa   B-NAME
Hospital   O
:   O
Wuesthoff   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
Summary   O
:   O
Braccio   B-NAME
Muddaththir   I-NAME
,   O
a   O
actor   O
from   O
Tull   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Jackson   B-LOCATION
North   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/14   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

Brandi   B-NAME
Xayasane   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
rating   O
it   O
9   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Past   O
Medical   O
History   O
:   O
Bruce   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
Metformin   O
,   O
and   O
Hyperlipidemia   O
,   O
for   O
which   O
Alanna   B-NAME
Travis   I-NAME
takes   O
Atorvastatin   O
.   O

Blanchard   B-NAME
denies   O
any   O
use   O
of   O
alcohol   O
or   O
tobacco   O
products   O
.   O

Physical   O
Examination   O
:   O
Upon   O
assessment   O
,   O
Rangle   B-NAME
's   O
vital   O
signs   O
were   O
observed   O
as   O
follows   O
:   O
Blood   O
Pressure   O
135/85   O
mmHg   O
,   O
Heart   O
Rate   O
102   O
bpm   O
,   O
Respiratory   O
Rate   O
22   O
breaths   O
/   O
min   O
,   O
and   O
Temperature   O
37.8   O
°   O
C   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
was   O
recommended   O
by   O
Castro   B-NAME
for   O
further   O
evaluation   O
.   O

Management   O
:   O
Lesley   B-NAME
was   O
admitted   O
to   O
Cox   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
for   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Karla   B-NAME
Lewis   I-NAME
was   O
monitored   O
closely   O
for   O
signs   O
of   O
systemic   O
complications   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
with   O
Kaylen   B-NAME
Winters   I-NAME
in   O
the   O
gastroenterology   O
clinic   O
at   O
North   B-LOCATION
Knoxville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
23/22/54   B-DATE
to   O
review   O
the   O
CT   O
scan   O
results   O
and   O
assess   O
Basil   B-NAME
Shiroma   I-NAME
's   O
recovery   O
progress   O
.   O

For   O
further   O
information   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Sawyer   B-NAME
or   O
Rigoberto   B-NAME
Dority   I-NAME
's   O
family   O
can   O
contact   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Martin   I-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
at   O
70806   B-CONTACT
.   O

Prepared   O
by   O
:   O
JV2010   B-NAME
Date   O
:   O
02/20/2262   B-DATE

Patient   O
Report   O
:   O
Date   O
of   O
Report   O
:   O
1/16   B-DATE
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Rachael   B-NAME
Ross   I-NAME
-   O
Date   O
of   O
Birth   O
:   O
2360   B-DATE
-   O
Age   O
:   O
89   O
-   O
Gender   O
:   O
Female   O
-   O
ID   O
:   O
ZC   B-ID
:   I-ID
DU:4078   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
9665035   B-ID
-   O
Address   O
:   O
Spivey   B-LOCATION
's   I-LOCATION
Corner   I-LOCATION
,   O
76115   B-LOCATION
-   O
Phone   O
:   O
(   B-CONTACT
737   I-CONTACT
)   I-CONTACT
660   I-CONTACT
7009   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Isaiah   B-NAME
Glover   I-NAME
-   O
Hospital   O
:   O
Piedmont   B-LOCATION
Newnan   I-LOCATION
Hospital   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O

The   O
patient   O
,   O
a   O
Psychiatrists   O
,   O
was   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Wichita   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Leoti   I-LOCATION
on   O
2022   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
that   O
started   O
approximately   O
8   O
hours   O
prior   O
to   O
presentation   O
.   O

The   O
patient   O
consented   O
to   O
the   O
surgery   O
,   O
which   O
was   O
scheduled   O
immediately   O
under   O
the   O
care   O
of   O
Yoder   B-NAME
at   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
Tuesday   B-DATE
with   O
Romero   B-NAME
to   O
assess   O
the   O
postoperative   O
recovery   O
.   O

In   O
case   O
of   O
emergency   O
,   O
please   O
contact   O
at   O
(   B-CONTACT
889   I-CONTACT
)   I-CONTACT
520   I-CONTACT
-   I-CONTACT
9742   I-CONTACT
.   O

For   O
further   O
information   O
or   O
if   O
there   O
are   O
any   O
issues   O
with   O
this   O
report   O
,   O
contact   O
War   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
512   B-CONTACT
1238   I-CONTACT
.   O

End   O
of   O
Report   O
Username   O
of   O
Creator   O
:   O
tgy686   B-NAME
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O
_   O

If   O
you   O
have   O
received   O
this   O
report   O
by   O
mistake   O
,   O
please   O
contact   O
the   O
sender   O
at   O
181   B-CONTACT
484   I-CONTACT
-   I-CONTACT
8560   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
document   O
.   O

Gretchen   B-NAME
Trevino   I-NAME
Patient   O
ID   O
:   O
YB930/3045   B-ID
Medical   O
Record   O
Number   O
:   O
108   B-ID
-   I-ID
76   I-ID
-   I-ID
50   I-ID
Age   O
:   O
6   O
week   O
Phone   O
Number   O
:   O
84248   B-CONTACT
Address   O
:   O
Fayette   B-LOCATION
City   I-LOCATION
,   O
55647   B-LOCATION
Physician   O
:   O

Li   B-NAME
Bai   I-NAME
Hospital   O
:   O
BANNER   B-LOCATION
DEL   I-LOCATION
E   I-LOCATION
WEBB   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/21   B-DATE
Employer   O
:   O

Georgetown   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O
Philosophy   O
and   O
Religion   O
Teachers   O
,   O
Postsecondary   O
Symptoms   O
:   O
Edward   B-NAME
Xanthos   I-NAME
presented   O
with   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Additionally   O
,   O
Valorie   B-NAME
Mcnair   I-NAME
reported   O
experiencing   O
nausea   O
accompanied   O
by   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Andre   B-NAME
-   I-NAME
Israel   I-NAME
Santiago   I-NAME
mentioned   O
the   O
onset   O
of   O
symptoms   O
began   O
approximately   O
24   O
hours   O
ago   O
with   O
mild   O
discomfort   O
that   O
progressively   O
worsened   O
.   O

Upon   O
examination   O
,   O
Giovanny   B-NAME
Bowman   I-NAME
noted   O
tenderness   O
and   O
rigidity   O
in   O
the   O
abdomen   O
,   O
specifically   O
in   O
the   O
vicinity   O
of   O
McBurney   O
's   O
point   O
.   O

Talon   B-NAME
Coffey   I-NAME
exhibited   O
a   O
positive   O
rebound   O
tenderness   O
indicating   O
irritation   O
of   O
the   O
peritoneum   O
.   O

Abdominal   O
ultrasonography   O
conducted   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Pontiac   I-LOCATION
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
measuring   O
11   O
mm   O
in   O
diameter   O
with   O
evidence   O
of   O
periappendiceal   O
fluid   O
collection   O
,   O
indicative   O
of   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Considering   O
Adonis   B-NAME
Shea   I-NAME
's   O
symptoms   O
and   O
the   O
findings   O
from   O
the   O
clinical   O
evaluation   O
,   O
Anthony   B-NAME
recommended   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
to   O
remove   O
the   O
inflamed   O
appendix   O
and   O
prevent   O
rupture   O
.   O

Gardner   B-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
post   O
-   O
surgery   O
care   O
and   O
follow   O
-   O
up   O
visits   O
to   O
monitor   O
recovery   O
progress   O
.   O

Discharge   O
Instructions   O
:   O
Upon   O
successful   O
completion   O
of   O
the   O
surgical   O
procedure   O
on   O
20/28/2373   B-DATE
and   O
observation   O
,   O
Oconnor   B-NAME
was   O
discharged   O
with   O
instructions   O
to   O
rest   O
and   O
avoid   O
strenuous   O
activity   O
for   O
at   O
least   O
two   O
weeks   O
.   O

Mitchell   B-NAME
Jaynes   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
drainage   O
,   O
and   O
to   O
report   O
any   O
such   O
findings   O
immediately   O
to   O
586   B-CONTACT
-   I-CONTACT
228   I-CONTACT
4858   I-CONTACT
at   O
Carolina   B-LOCATION
Pines   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Patricia   B-NAME
Lucero   I-NAME
was   O
scheduled   O
for   O
2115   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
22   I-DATE
to   O
assess   O
healing   O
and   O
overall   O
postoperative   O
recovery   O
.   O

Patient   O
Report   O
for   O
Demarcus   B-NAME
Moses   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
BB:98971:253376   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
201   B-ID
-   I-ID
25   I-ID
-   I-ID
19   I-ID
-   I-ID
0   I-ID
-   O
Date   O
of   O
Birth   O
:   O
32/23/73   B-DATE
-   O
Age   O
:   O
38   O
-   O
Phone   O
Number   O
:   O
421   B-CONTACT
2115   I-CONTACT
-   O
Address   O
:   O
Latta   B-LOCATION
,   O
96840   B-LOCATION
-   O
Emergency   O
Contact   O
:   O
(   B-CONTACT
309   I-CONTACT
)   I-CONTACT
747   I-CONTACT
-   I-CONTACT
3906   I-CONTACT
Clinical   O
Findings   O
:   O

On   O
03/30/88   B-DATE
,   O
Best   B-NAME
,   O
a   O
Animal   O
Trainers   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
acute   O
onset   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
excessive   O
sweating   O
.   O

These   O
symptoms   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
while   O
Shinoda   B-NAME
,   I-NAME
Mike   I-NAME
was   O
at   O
work   O
in   O
Chadderton   B-LOCATION
.   O

Mephisto   B-NAME
Peacy   I-NAME
denies   O
any   O
recent   O
history   O
of   O
injury   O
or   O
illness   O
.   O

Diagnostic   O
Testing   O
:   O
-   O
EKG   O
conducted   O
by   O
Hatfield   B-NAME
showed   O
ST   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
suggestive   O
of   O
an   O
inferior   O
myocardial   O
infarction   O
.   O

Management   O
and   O
Outcome   O
:   O
Nathen   B-NAME
Avery   I-NAME
initiated   O
treatment   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
according   O
to   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
of   O
Crichton   B-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
.   O

A   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
was   O
scheduled   O
for   O
2301   B-DATE
after   O
a   O
consultation   O
with   O
the   O
cardiology   O
team   O
led   O
by   O
Lukas   B-NAME
Wood   I-NAME
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
32   B-DATE
-   I-DATE
22   I-DATE
:   O
Post   O
-   O
PCI   O
,   O
Cash   B-NAME
Andersen   I-NAME
's   O
condition   O
has   O
significantly   O
improved   O
with   O
resolution   O
of   O
chest   O
pain   O
and   O
normalization   O
of   O
EKG   O
changes   O
.   O

Kendal   B-NAME
Reed   I-NAME
has   O
recommended   O
a   O
follow   O
-   O
up   O
in   O
the   O
cardiology   O
outpatient   O
clinic   O
located   O
at   O
Clintwood   B-LOCATION
on   O
January   B-DATE
20   I-DATE
,   I-DATE
2103   I-DATE
.   O

Dietary   O
and   O
lifestyle   O
modifications   O
were   O
advised   O
alongside   O
enrollment   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
at   O
LifeRing   B-LOCATION
Secular   I-LOCATION
Recovery   I-LOCATION
.   O

Confidentiality   O
Statement   O
:   O
This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
medical   O
professionals   O
at   O
Baptist   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
and   O
Millennium   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Texas   I-LOCATION
only   O
.   O

Report   O
Prepared   O
By   O
:   O
Medical   O
Staff   O
at   O
Speare   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
:   O
31/10   B-DATE
Contact   O
Information   O
:   O
698   B-CONTACT
-   I-CONTACT
8425   I-CONTACT

Patient   O
:   O
Moore   B-NAME
,   I-NAME
Dudley   I-NAME
Age   O
:   O
43   O
ID   O
:   O
4   B-ID
-   I-ID
7570458   I-ID
Medical   O
Record   O
:   O
316   B-ID
-   I-ID
58   I-ID
-   I-ID
49   I-ID
-   I-ID
3   I-ID
Location   O
:   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73141   I-LOCATION
Phone   O
:   O
615   B-CONTACT
-   I-CONTACT
1689   I-CONTACT
Profession   O
:   O

Sound   O
Engineering   O
Technicians   O
Hospital   O
:   O
UC   B-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Health   I-LOCATION
La   I-LOCATION
Jolla   I-LOCATION
-   I-LOCATION
Jacobs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   I-LOCATION
Sulpizio   I-LOCATION
Cardiovascular   I-LOCATION
Center   I-LOCATION
Doctor   O
:   O
Morrison   B-NAME
Date   O
:   O
6/0   B-DATE
Zip   O
:   O
89926   B-LOCATION
Summary   O
:   O
Kevin   B-NAME
Bond   I-NAME
,   O
a   O
46   O
-   O
year   O
-   O
old   O
Police   O
and   O
Sheriffs   O
Patrol   O
Officers   O
residing   O
in   O
Weatherford   B-LOCATION
,   O
27925   B-LOCATION
,   O
presented   O
to   O
Repose   B-LOCATION
Clinic   I-LOCATION
on   O
11/33   B-DATE
with   O
complaints   O
of   O
severe   O
and   O
persistent   O
abdominal   O
pain   O
,   O
particularly   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Mark   B-NAME
Taylor   I-NAME
observed   O
that   O
Mose   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Abdominal   O
ultrasonography   O
,   O
performed   O
by   O
Clements   B-NAME
,   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fluid   O
collection   O
,   O
aligning   O
with   O
the   O
clinical   O
suspicion   O
of   O
appendicitis   O
.   O

Management   O
and   O
Outcome   O
:   O
The   O
patient   O
was   O
subsequently   O
admitted   O
to   O
Eskenazi   B-LOCATION
Health   I-LOCATION
for   O
surgical   O
intervention   O
.   O

An   O
appendectomy   O
was   O
performed   O
without   O
complications   O
by   O
Dixon   B-NAME
on   O
3627   B-DATE
.   O

Kendra   B-NAME
Waites   I-NAME
was   O
discharged   O
on   O
2182   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
05   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Emmanuel   B-NAME
Huber   I-NAME
in   O
2   O
weeks   O
’   O
time   O
for   O
postoperative   O
evaluation   O
.   O

The   O
patient   O
's   O
timely   O
access   O
to   O
care   O
and   O
appropriate   O
management   O
at   O
Presbyterian   B-LOCATION
Espanola   I-LOCATION
Hospital   I-LOCATION
were   O
critical   O
to   O
the   O
positive   O
outcome   O
of   O
the   O
case   O
.   O

Subject   O
:   O
Medical   O
Report   O
for   O
Chicago   B-NAME
,   I-NAME
Judy   I-NAME
---   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Devine   B-NAME
,   I-NAME
Carl   I-NAME
-   O
Age   O
:   O
4   O
week   O
-   O
Date   O
of   O
Birth   O
:   O
06/69   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
5559898   B-ID
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
586   I-CONTACT
)   I-CONTACT
310   I-CONTACT
-   I-CONTACT
7367   I-CONTACT
-   O
Address   O
:   O
Georgia   B-LOCATION
,   O
75175   B-LOCATION
-   O
Occupation   O
:   O
Administrative   O
Services   O
Managers   O
-   O
Primary   O
Care   O
Physician   O
:   O
Griffith   B-NAME
-   O
Hospital   O
:   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Avista   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
-   O
Date   O
of   O
Visit   O
:   O
11/11   B-DATE
-   O
Patient   O
ID   O
:   O
VD133/7662   B-ID
Medical   O
History   O
:   O
Lola   B-NAME
Spratt   I-NAME
,   O
a   O
translator   O
from   O
Sittingbourne   B-LOCATION
,   O
reported   O
to   O
MultiCare   B-LOCATION
Deaconess   I-LOCATION
Hospital   I-LOCATION
on   O
2016   B-DATE
with   O
chief   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
started   O
approximately   O
24   O
hours   O
before   O
the   O
presentation   O
.   O

Bates   B-NAME
's   O
medical   O
history   O
was   O
remarkable   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
known   O
allergies   O
were   O
reported   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Sims   B-NAME
observed   O
Emilio   B-NAME
Hodges   I-NAME
's   O
vital   O
signs   O
to   O
be   O
within   O
normal   O
limits   O
except   O
for   O
mild   O
tachycardia   O
.   O

Diagnostic   O
Tests   O
:   O
Molina   B-NAME
underwent   O
a   O
series   O
of   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
a   O
slightly   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
indicated   O
swelling   O
of   O
the   O
appendix   O
with   O
the   O
presence   O
of   O
an   O
appendicolith   O
,   O
confirming   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Given   O
the   O
diagnosis   O
,   O
Huynh   B-NAME
recommended   O
an   O
urgent   O
surgical   O
intervention   O
to   O
remove   O
the   O
inflamed   O
appendix   O
.   O

Emmett   B-NAME
Cowger   I-NAME
consented   O
to   O
the   O
procedure   O
,   O
which   O
was   O
successfully   O
completed   O
on   O
32/18   B-DATE
without   O
any   O
complications   O
.   O

Potter   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
two   O
weeks   O
for   O
a   O
wound   O
check   O
and   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Turk   B-NAME
was   O
discharged   O
on   O
35/20   B-DATE
with   O
detailed   O
discharge   O
instructions   O
,   O
including   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
dietary   O
recommendations   O
,   O
and   O
activity   O
restrictions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
03/31   B-DATE
with   O
Bush   B-NAME
at   O
Indiana   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Kymani   B-NAME
Arnold   I-NAME
was   O
also   O
provided   O
with   O
a   O
contact   O
number   O
,   O
811   B-CONTACT
6173   I-CONTACT
,   O
for   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

This   O
medical   O
report   O
outlines   O
the   O
case   O
of   O
Braylon   B-NAME
Allison   I-NAME
,   O
a   O
Human   O
Resources   O
,   O
Training   O
,   O
and   O
Labor   O
Relations   O
Specialists   O
,   O
All   O
Other   O
from   O
Hyde   B-LOCATION
Park   I-LOCATION
,   O
who   O
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
and   O
underwent   O
successful   O
appendectomy   O
with   O
no   O
postoperative   O
complications   O
.   O

Document   O
Prepared   O
By   O
:   O
WX172   B-NAME
---   O

Patient   O
Name   O
:   O
Curie   B-NAME
,   I-NAME
Marie   I-NAME
MedRec   O
No   O
:   O
5941L5462   B-ID
Age   O
:   O
36   O
Phone   O
:   O
791   B-CONTACT
-   I-CONTACT
2745   I-CONTACT
Address   O
:   O
Orange   B-LOCATION
Grove   I-LOCATION
,   O
49928   B-LOCATION
Date   O
of   O
Visit   O
:   O
Wednesday   B-DATE
,   I-DATE
April   I-DATE
Referring   O
Doctor   O
:   O
Mathews   B-NAME
Attending   O
Physician   O
:   O

Makhi   B-NAME
Bernard   I-NAME
Hospital   O
:   O
Willapa   B-LOCATION
Harbor   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O

Australian   B-LOCATION
Maritime   I-LOCATION
Officers   I-LOCATION
Union   I-LOCATION
Occupation   O
:   O
Geographers   O
Patient   O
,   O
Burroughs   B-NAME
,   I-NAME
William   I-NAME
S.   I-NAME
,   O
presented   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Marble   I-LOCATION
Falls   I-LOCATION
,   O
located   O
in   O
EC92   B-LOCATION
7CI   I-LOCATION
,   O
on   O
12/20   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

The   O
patient   O
,   O
who   O
works   O
as   O
a   O
Maids   O
and   O
Housekeeping   O
Cleaners   O
for   O
The   B-LOCATION
Cowlitz   I-LOCATION
Bank   I-LOCATION
,   O
mentioned   O
that   O
the   O
symptoms   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
43   O
hours   O
.   O

Upon   O
examination   O
,   O
Berger   B-NAME
noted   O
tenderness   O
in   O
the   O
epigastric   O
region   O
,   O
with   O
guarding   O
present   O
,   O
indicating   O
acute   O
pancreatitis   O
.   O

Past   O
medical   O
history   O
,   O
provided   O
by   O
595   B-ID
-   I-ID
58   I-ID
-   I-ID
38   I-ID
,   O
includes   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
chronic   O
pancreatitis   O
.   O

Nick   B-NAME
Golden   I-NAME
denied   O
any   O
recent   O
history   O
of   O
alcohol   O
consumption   O
but   O
reported   O
having   O
a   O
heavy   O
meal   O
late   O
at   O
night   O
before   O
the   O
symptoms   O
started   O
.   O

Mata   B-NAME
has   O
ordered   O
an   O
abdominal   O
CT   O
to   O
further   O
evaluate   O
the   O
extent   O
of   O
pancreatic   O
inflammation   O
and   O
assess   O
for   O
complications   O
such   O
as   O
necrosis   O
or   O
pseudocysts   O
.   O

Lillianna   B-NAME
Booker   I-NAME
's   O
management   O
plan   O
also   O
indicates   O
strict   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
,   O
considering   O
the   O
patient   O
's   O
diabetic   O
status   O
.   O

Lehman   B-NAME
has   O
been   O
informed   O
about   O
the   O
importance   O
of   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
for   O
Thu   B-DATE
,   O
and   O
dietary   O
modifications   O
post   O
-   O
discharge   O
to   O
manage   O
and   O
prevent   O
further   O
episodes   O
.   O

Contact   O
was   O
made   O
with   O
Cristal   B-NAME
Freeman   I-NAME
's   O
next   O
of   O
kin   O
to   O
ensure   O
a   O
support   O
system   O
is   O
in   O
place   O
for   O
the   O
duration   O
of   O
the   O
hospital   O
stay   O
and   O
post   O
-   O
discharge   O
care   O
.   O

In   O
the   O
event   O
of   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Paxton   B-NAME
Acevedo   I-NAME
at   O
40267   B-CONTACT
or   O
refer   O
to   O
the   O
patient   O
's   O
medical   O
record   O
number   O
056   B-ID
-   I-ID
18   I-ID
-   I-ID
74   I-ID
-   I-ID
7   I-ID
for   O
detailed   O
information   O
.   O

For   O
any   O
questions   O
about   O
this   O
patient   O
report   O
,   O
please   O
contact   O
Ascension   B-LOCATION
St   I-LOCATION
John   I-LOCATION
Hospital   I-LOCATION
’s   O
compliance   O
office   O
at   O
766   B-CONTACT
-   I-CONTACT
5565   I-CONTACT
.   O

Patient   O
Report   O
for   O
34316289   B-ID
Patient   O
Information   O
:   O
Name   O
:   O
Escobar   B-NAME
Age   O
:   O
100s   O
Phone   O
:   O
962   B-CONTACT
2252   I-CONTACT
Address   O
:   O
Horncastle   B-LOCATION
,   O
99992   B-LOCATION
Employment   O
:   O
Entertainers   O
and   O
Performers   O
,   O
Sports   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
Primary   O
Physician   O
:   O
Bush   B-NAME
,   I-NAME
Vannevar   I-NAME
Hospital   O
:   O

UPMC   B-LOCATION
Horizon   I-LOCATION
Visit   O
ID   O
:   O
FT   B-ID
:   I-ID
RU:3625   I-ID
Date   O
of   O
Last   O
Visit   O
:   O
2295   B-DATE
Chief   O
Complaint   O
:   O
Sabrina   B-NAME
Benton   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
17/26/20   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
persistent   O
over   O
the   O
last   O
48   O
hours   O
.   O

Additionally   O
,   O
Dustin   B-NAME
Young   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
mild   O
fever   O
,   O
and   O
loss   O
of   O
appetite   O
.   O

James   B-NAME
Mortimer   I-NAME
denied   O
any   O
recent   O
travel   O
outside   O
Bolton   B-LOCATION
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
any   O
similar   O
past   O
episodes   O
.   O

Past   O
Medical   O
History   O
:   O
Kevin   B-NAME
Fields   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
Diabetes   O
Mellitus   O
,   O
well   O
-   O
controlled   O
with   O
oral   O
hypoglycemics   O
.   O

On   O
physical   O
examination   O
,   O
Carsen   B-NAME
Sutton   I-NAME
was   O
afebrile   O
with   O
a   O
temperature   O
of   O
37.5   O
°   O
C   O
.   O

Given   O
the   O
clinical   O
and   O
ultrasound   O
findings   O
suggestive   O
of   O
acute   O
appendicitis   O
,   O
Paulson   B-NAME
was   O
advised   O
immediate   O
surgical   O
consultation   O
.   O

Cross   B-NAME
from   O
White   B-LOCATION
Mountain   I-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
was   O
contacted   O
at   O
18848   B-CONTACT
for   O
an   O
emergency   O
appendectomy   O
.   O

Javon   B-NAME
Cole   I-NAME
was   O
informed   O
about   O
the   O
necessity   O
of   O
the   O
procedure   O
and   O
consented   O
to   O
surgery   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
The   O
surgery   O
was   O
performed   O
on   O
10/21/62   B-DATE
without   O
complications   O
.   O

Lavada   B-NAME
was   O
started   O
on   O
a   O
course   O
of   O
antibiotics   O
post   O
-   O
operatively   O
,   O
and   O
pain   O
management   O
was   O
optimized   O
.   O

Marlys   B-NAME
Arline   I-NAME
was   O
discharged   O
on   O
01/82   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
.   O

Conclusion   O
:   O
Hunt   B-NAME
,   I-NAME
J.   I-NAME
McV.   I-NAME
,   O
a   O
81   O
-   O
year   O
-   O
old   O
Armored   O
Assault   O
Vehicle   O
Officers   O
,   O
presented   O
with   O
clinical   O
and   O
ultrasound   O
findings   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

The   O
prompt   O
diagnosis   O
and   O
management   O
effectively   O
addressed   O
Coby   B-NAME
Walker   I-NAME
's   O
acute   O
condition   O
,   O
facilitating   O
a   O
straightforward   O
recovery   O
.   O

Please   O
contact   O
Kaitlynn   B-NAME
Wall   I-NAME
at   O
Ringgold   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
further   O
information   O
or   O
clarification   O
regarding   O
Koehler   B-NAME
's   O
treatment   O
and   O
condition   O
.   O

Patient   O
Name   O
:   O
Aron   B-NAME
Chung   I-NAME
Patient   O
ID   O
:   O
8   B-ID
-   I-ID
2040352   I-ID
Medical   O
Record   O
Number   O
:   O
3466S99932   B-ID
Date   O
of   O
Birth   O
:   O
May   B-DATE
23   I-DATE
Age   O
:   O
3s   O
Address   O
:   O
Ackerly   B-LOCATION
,   O
23150   B-LOCATION
Phone   O
:   O
586   B-CONTACT
-   I-CONTACT
7206   I-CONTACT
Username   O
:   O
gyk855   B-NAME
Profession   O
:   O

Human   O
resources   O
officer   O
Primary   O
Care   O
Physician   O
:   O
Stevenson   B-NAME
Hospital   O
:   O
Hospital   B-LOCATION
for   I-LOCATION
Joint   I-LOCATION
Diseases   I-LOCATION
Referring   O
Organization   O
:   O

Coastal   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Stephenie   B-NAME
Morejon   I-NAME
,   O
a   O
Forest   O
and   O
Conservation   O
Technicians   O
residing   O
in   O
Garden   B-LOCATION
Prairie   I-LOCATION
,   O
was   O
referred   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Warren   I-LOCATION
Hospital   I-LOCATION
by   O
Bradshaw   B-NAME
of   O
Marshall   B-LOCATION
Municipal   I-LOCATION
Utilities   I-LOCATION
on   O
21/06   B-DATE
due   O
to   O
persistent   O
and   O
worsening   O
respiratory   O
symptoms   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Hackenstein   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Kerr   B-NAME
is   O
a   O
nonsmoker   O
and   O
denies   O
the   O
use   O
of   O
alcohol   O
or   O
recreational   O
drugs   O
.   O

On   O
examination   O
on   O
3/20   B-DATE
,   O
Donaldson   B-NAME
was   O
noted   O
to   O
be   O
tachypneic   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
exhibited   O
bilateral   O
wheezes   O
and   O
crackles   O
on   O
auscultation   O
.   O

Assessment   O
and   O
Plan   O
:   O
The   O
primary   O
diagnosis   O
for   O
Bailey   B-NAME
Bray   I-NAME
is   O
community   O
-   O
acquired   O
pneumonia   O
,   O
likely   O
complicated   O
by   O
Influenza   O
A   O
infection   O
.   O

Augustus   B-NAME
Duncan   I-NAME
was   O
admitted   O
to   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
High   I-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/28/2081   B-DATE
for   O
close   O
monitoring   O
and   O
treatment   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Jovany   B-NAME
Mathews   I-NAME
was   O
scheduled   O
for   O
05/23/2139   B-DATE
at   O
Hilo   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
treatment   O
response   O
and   O
recovery   O
progress   O
.   O

Contact   O
number   O
48946   B-CONTACT
was   O
provided   O
for   O
any   O
urgent   O
concerns   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

In   O
Emergencies   O
:   O
Contact   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Soldiers   I-LOCATION
+   I-LOCATION
Sailors   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Emergency   O
Department   O
at   O
707   B-CONTACT
355   I-CONTACT
-   I-CONTACT
6944   I-CONTACT
or   O
proceed   O
directly   O
to   O
the   O
nearest   O
emergency   O
room   O
.   O

The   O
patient   O
,   O
Rogers   B-NAME
,   I-NAME
Fred   I-NAME
,   O
a   O
Accountants   O
and   O
Auditors   O
from   O
Palo   B-LOCATION
Pinto   I-LOCATION
,   O
commenced   O
reporting   O
symptoms   O
on   O
10/22/17   B-DATE
.   O

Bohr   B-NAME
,   I-NAME
Niels   I-NAME
is   O
41   O
years   O
of   O
age   O
and   O
sought   O
consultation   O
at   O
Jeanes   B-LOCATION
Hospital   I-LOCATION
after   O
experiencing   O
severe   O
,   O
persistent   O
headaches   O
primarily   O
concentrated   O
on   O
the   O
frontal   O
lobe   O
.   O

Initial   O
assessment   O
by   O
David   B-NAME
Livesey   I-NAME
revealed   O
the   O
headaches   O
were   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
,   O
suggesting   O
a   O
possible   O
migraine   O
condition   O
.   O

Additionally   O
,   O
Fallon   B-NAME
Mcdavid   I-NAME
reported   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
.   O

Upon   O
further   O
examination   O
,   O
Mareli   B-NAME
Elliott   I-NAME
noted   O
Kaylee   B-NAME
's   O
blood   O
pressure   O
was   O
higher   O
than   O
the   O
optimal   O
range   O
,   O
leading   O
to   O
a   O
suspicion   O
of   O
hypertension   O
,   O
which   O
was   O
previously   O
undiagnosed   O
.   O

Bush   B-NAME
,   I-NAME
Vannevar   I-NAME
's   O
medical   O
history   O
was   O
reviewed   O
,   O
revealing   O
no   O
significant   O
findings   O
,   O
with   O
the   O
lack   O
of   O
a   O
prior   O
medical   O
record   O
number   O
,   O
thereby   O
a   O
new   O
161   B-ID
-   I-ID
14   I-ID
-   I-ID
68   I-ID
number   O
was   O
assigned   O
,   O
3839684   B-ID
.   O

Curry   B-NAME
's   O
information   O
was   O
stored   O
in   O
Kalkaska   B-LOCATION
Memorial   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
's   O
system   O
under   O
the   O
ID   O
QX:69682:909819   B-ID
.   O

Destiney   B-NAME
Case   I-NAME
was   O
advised   O
to   O
monitor   O
their   O
blood   O
pressure   O
regularly   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Gary   B-NAME
,   I-NAME
Romain   I-NAME
on   O
September   B-DATE
.   O

For   O
any   O
urgent   O
queries   O
or   O
symptoms   O
,   O
Mackenzie   B-NAME
Esparza   I-NAME
was   O
provided   O
with   O
the   O
154   B-CONTACT
-   I-CONTACT
2230   I-CONTACT
number   O
of   O
Putnam   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
's   O
Neurology   O
Department   O
.   O

Instructions   O
were   O
provided   O
to   O
French   B-NAME
regarding   O
dietary   O
modifications   O
and   O
the   O
importance   O
of   O
regular   O
physical   O
activity   O
.   O

A   O
brochure   O
from   O
Botswana   B-LOCATION
Wholesale   I-LOCATION
,   I-LOCATION
Furniture   I-LOCATION
&   I-LOCATION
Retail   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
detailing   O
migraine   O
management   O
strategies   O
was   O
given   O
to   O
Ahmed   B-NAME
Lindsey   I-NAME
,   O
along   O
with   O
the   O
URL   O
to   O
a   O
support   O
group   O
forum   O
for   O
individuals   O
suffering   O
from   O
chronic   O
headaches   O
.   O

Notification   O
of   O
Anette   B-NAME
Claucherty   I-NAME
's   O
visit   O
and   O
the   O
proposed   O
treatment   O
plan   O
were   O
documented   O
and   O
secured   O
under   O
109   B-ID
-   I-ID
97   I-ID
-   I-ID
90   I-ID
-   I-ID
7   I-ID
.   O

Vosanibola   B-NAME
,   I-NAME
Josefa   I-NAME
authorized   O
contact   O
with   O
their   O
emergency   O
contact   O
in   O
case   O
of   O
severe   O
symptoms   O
,   O
refusal   O
of   O
treatment   O
,   O
or   O
if   O
there   O
was   O
a   O
need   O
for   O
hospitalization   O
.   O

This   O
consent   O
was   O
documented   O
with   O
Craig   B-NAME
Holland   I-NAME
's   O
signature   O
,   O
adhering   O
to   O
the   O
privacy   O
policies   O
of   O
Saint   B-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
27256   B-LOCATION
.   O

The   O
medical   O
team   O
remains   O
optimistic   O
about   O
X.   B-NAME
R.   I-NAME
Xi   I-NAME
's   O
prognosis   O
,   O
emphasizing   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
treatment   O
plan   O
and   O
regular   O
follow   O
-   O
up   O
consultations   O
.   O

Patient   O
Report   O
for   O
Abigail   B-NAME
Burgess   I-NAME
General   O
Information   O
-   O
Patient   O
ID   O
:   O
33981   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
798   B-ID
-   I-ID
36   I-ID
-   I-ID
36   I-ID
-   I-ID
8   I-ID
-   O
Age   O
:   O
94   O
-   O
Date   O
of   O
Birth   O
:   O
November   B-DATE
23th   I-DATE
-   O
Address   O
:   O
Rego   B-LOCATION
Park   I-LOCATION
,   I-LOCATION
NY   I-LOCATION
11374   I-LOCATION
,   O
21617   B-LOCATION
-   O
Phone   O
Number   O
:   O
140   B-CONTACT
-   I-CONTACT
3379   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Kevin   B-NAME
Fields   I-NAME
-   O
Admitting   O
Hospital   O
:   O
Santa   B-LOCATION
Rosa   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
-   O
Date   O
of   O
Admission   O
:   O
September   B-DATE
27th   I-DATE
,   I-DATE
2109   I-DATE
-   O
Date   O
of   O
Discharge   O
:   O
22/38   B-DATE
Medical   O
History   O
:   O

The   O
patient   O
,   O
a   O
Accountants   O
and   O
Auditors   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Boca   B-LOCATION
Raton   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
09/33/02   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
101.5   O
°   O
F   O
.   O

The   O
patient   O
mentioned   O
a   O
history   O
of   O
smoking   O
,   O
approximately   O
half   O
a   O
pack   O
per   O
day   O
,   O
but   O
ceased   O
this   O
habit   O
around   O
27/12/2142   B-DATE
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Dudley   B-NAME
noted   O
the   O
patient   O
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Imaging   O
and   O
Laboratory   O
Results   O
:   O
-   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
showed   O
a   O
slightly   O
elevated   O
white   O
blood   O
cell   O
count   O
at   O
12,000   O
µL   O
,   O
indicative   O
of   O
a   O
possible   O
infection   O
.   O
-   O
Abdominal   O
Ultrasound   O
,   O
performed   O
on   O
2/01   B-DATE
,   O
suggested   O
appendicitis   O
without   O
evidence   O
of   O
rupture   O
.   O

-   O
CT   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
,   O
also   O
conducted   O
on   O
2211   B-DATE
-   I-DATE
35   I-DATE
-   I-DATE
08   I-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
appendicitis   O
,   O
showing   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
inflammation   O
.   O

The   O
patient   O
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
1707   B-DATE
.   O

The   O
procedure   O
,   O
performed   O
by   O
Henson   B-NAME
at   O
AdventHealth   B-LOCATION
Palm   I-LOCATION
Coast   I-LOCATION
,   O
was   O
successful   O
without   O
complications   O
.   O

Jax   B-NAME
Thornton   I-NAME
was   O
discharged   O
on   O
30/20/2392   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Yasmine   B-NAME
Keller   I-NAME
in   O
two   O
weeks   O
for   O
post   O
-   O
operative   O
review   O
and   O
wound   O
check   O
.   O

The   O
patient   O
was   O
also   O
provided   O
with   O
104   B-CONTACT
-   I-CONTACT
5125   I-CONTACT
number   O
to   O
contact   O
in   O
case   O
of   O
any   O
signs   O
of   O
infection   O
or   O
other   O
concerns   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Lance   B-NAME
Eaton   I-NAME
on   O
02/26/2228   B-DATE
at   O
LANCASTER   B-LOCATION
.   O

The   O
patient   O
was   O
advised   O
to   O
monitor   O
for   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
issues   O
with   O
the   O
surgical   O
site   O
,   O
and   O
to   O
contact   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Northeast   I-LOCATION
immediately   O
if   O
any   O
of   O
these   O
symptoms   O
occur   O
.   O

Signed   O
,   O
Zwiezic   B-NAME
2335   B-DATE

Patient   O
Name   O
:   O
Kareem   B-NAME
Molina   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
3225989   I-ID
Date   O
of   O
Birth   O
:   O
November   B-DATE
01   I-DATE
Age   O
:   O
96   O
Address   O
:   O
Barboursville   B-LOCATION
,   O
80789   B-LOCATION
Phone   O
:   O
81051   B-CONTACT
Medical   O
Record   O
Number   O
:   O
0573373   B-ID
Referring   O
Physician   O
:   O
Dr.   O
Huff   B-NAME
Admitting   O
Hospital   O
:   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
21/38   B-DATE
Date   O
of   O
Report   O
:   O
Monday   B-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
Forensic   O
Science   O
Technicians   O
,   O
presented   O
to   O
the   O
ER   O
at   O
Temecula   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
22/03   B-DATE
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

There   O
was   O
no   O
reported   O
fever   O
,   O
diarrhea   O
,   O
or   O
bloody   O
stools   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Davian   B-NAME
Krueger   I-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
shortly   O
after   O
consuming   O
dinner   O
at   O
a   O
local   O
restaurant   O
in   O
Rushford   B-LOCATION
Village   I-LOCATION
on   O
03/21/2200   B-DATE
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
dyspepsia   O
treated   O
intermittently   O
with   O
over   O
-   O
the   O
-   O
counter   O
H2   O
blockers   O
and   O
a   O
cholecystectomy   O
performed   O
at   O
South   B-LOCATION
Central   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/03/35   B-DATE
.   O

Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
and   O
Comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
ordered   O
on   O
21/22   B-DATE
revealed   O
slightly   O
elevated   O
white   O
blood   O
cells   O
.   O

2   O
.   O
Abdominal   O
Ultrasound   O
performed   O
on   O
22/22   B-DATE
showed   O
no   O
abnormalities   O
.   O

CT   O
abdomen   O
with   O
contrast   O
scheduled   O
for   O
01/11/2038   B-DATE
to   O
further   O
investigate   O
the   O
cause   O
of   O
pain   O
and   O
to   O
rule   O
out   O
appendicitis   O
.   O

2   O
.   O
Proceed   O
with   O
CT   O
abdomen   O
as   O
planned   O
on   O
20/22/2224   B-DATE
.   O

Surgery   O
consultation   O
with   O
Dr.   O
Kayden   B-NAME
Myers   I-NAME
to   O
evaluate   O
for   O
possible   O
appendectomy   O
depending   O
on   O
CT   O
findings   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Zavier   B-NAME
Kim   I-NAME
’s   O
family   O
member   O
Relation   O
:   O
Comment   O
omitted   O
under   O
PHI   O
guidelines   O
Phone   O
:   O
44030   B-CONTACT

This   O
report   O
has   O
been   O
created   O
to   O
maintain   O
comprehensive   O
documentation   O
of   O
Tiffany   B-NAME
Graham   I-NAME
's   O
medical   O
history   O
and   O
current   O
presentation   O
while   O
respecting   O
patient   O
confidentiality   O
and   O
adhering   O
to   O
PHI   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Farris   B-NAME
Short   I-NAME
Age   O
:   O
5   O
month   O
Medical   O
Record   O
Number   O
:   O
25925305   B-ID
ID   O
Number   O
:   O
5   B-ID
-   I-ID
1768647   I-ID
Phone   O
Number   O
:   O
96208   B-CONTACT
Profession   O
:   O
Film   O
and   O
Video   O
Editors   O
Date   O
:   O
27   B-DATE
Attending   O
Physician   O
:   O

Lamar   B-NAME
Vaughn   I-NAME
Hospital   O
:   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Colorado   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
Location   O
:   O
Chino   B-LOCATION
Hills   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
91709   I-LOCATION
Zip   O
:   O
80128   B-LOCATION
Organization   O
:   O
Iraq   B-LOCATION
and   I-LOCATION
Afghanistan   I-LOCATION
Veterans   I-LOCATION
of   I-LOCATION
America   I-LOCATION
Summary   O
:   O
Dixie   B-NAME
Kim   I-NAME
,   O
a   O
Extruding   O
and   O
Drawing   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
North   B-LOCATION
Haven   I-LOCATION
,   O
87890   B-LOCATION
,   O
presented   O
to   O
Eaton   B-LOCATION
Rapids   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
27/21/2285   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

The   O
patient   O
has   O
a   O
medical   O
record   O
number   O
516   B-ID
-   I-ID
26   I-ID
-   I-ID
59   I-ID
-   I-ID
5   I-ID
and   O
was   O
identified   O
with   O
the   O
ID   O
number   O
AR:971054:188843   B-ID
.   O

Lane   B-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
6/23/48   B-DATE
.   O
Clinical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jamie   B-NAME
Vang   I-NAME
noted   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Stanly   B-NAME
Lang   I-NAME
was   O
recommended   O
for   O
immediate   O
surgical   O
consultation   O
.   O

The   O
surgical   O
team   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
,   O
led   O
by   O
Kadence   B-NAME
Gross   I-NAME
,   O
suggested   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Florene   B-NAME
Kim   I-NAME
consented   O
to   O
the   O
procedure   O
after   O
risks   O
and   O
benefits   O
were   O
thoroughly   O
discussed   O
.   O

Post   O
-   O
Operative   O
Care   O
:   O
Post   O
-   O
operatively   O
,   O
Oakley   B-NAME
was   O
monitored   O
in   O
the   O
post   O
-   O
anesthesia   O
care   O
unit   O
(   O
PACU   O
)   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Quad   I-LOCATION
Cities   I-LOCATION
.   O

Maddox   B-NAME
Boyd   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
abdominal   O
pain   O
and   O
was   O
started   O
on   O
a   O
clear   O
liquid   O
diet   O
32/03/2070   B-DATE
.   O

Vital   O
signs   O
stabilized   O
,   O
and   O
Chace   B-NAME
Blackburn   I-NAME
was   O
scheduled   O
for   O
discharge   O
with   O
instructions   O
for   O
care   O
,   O
including   O
signs   O
of   O
infection   O
and   O
activity   O
restrictions   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Tennyson   B-NAME
,   I-NAME
Alfred   I-NAME
(   I-NAME
Lord   I-NAME
)   I-NAME
in   O
Lake   B-LOCATION
Kiowa   I-LOCATION
for   O
13/09   B-DATE
,   O
to   O
evaluate   O
the   O
surgical   O
site   O
and   O
ensure   O
proper   O
healing   O
.   O

Harry   B-NAME
Weston   I-NAME
was   O
advised   O
to   O
reach   O
out   O
to   O
Charlotte   B-LOCATION
Hungerford   I-LOCATION
Hospital   I-LOCATION
via   O
268   B-CONTACT
5953   I-CONTACT
should   O
any   O
complications   O
arise   O
.   O

Conclusion   O
:   O
The   O
timely   O
intervention   O
attributed   O
to   O
the   O
positive   O
outcome   O
for   O
Marquis   B-NAME
Bonilla   I-NAME
,   O
a   O
69   O
-   O
year   O
-   O
old   O
Informatics   O
Nurse   O
Specialists   O
from   O
Rowlett   B-LOCATION
,   O
75659   B-LOCATION
.   O

Center   B-LOCATION
for   I-LOCATION
Economic   I-LOCATION
and   I-LOCATION
Social   I-LOCATION
Rights   I-LOCATION
remains   O
committed   O
to   O
providing   O
comprehensive   O
care   O
to   O
our   O
community   O
.   O

Patient   O
Report   O
for   O
Lennon   B-NAME
Deleon   I-NAME
ID   O
:   O
KB:36380:591456   B-ID
Medical   O
Record   O
Number   O
:   O
474   B-ID
-   I-ID
00   I-ID
-   I-ID
79   I-ID
Date   O
of   O
Birth   O
:   O
April   B-DATE
Age   O
:   O
70   O
Address   O
:   O
Hamburg   B-LOCATION
,   O
93559   B-LOCATION
Phone   O
Number   O
:   O
34417   B-CONTACT
Admitting   O
Noble   B-NAME
:   O
King   B-NAME
Attending   O
Morton   B-NAME
:   O

Adalyn   B-NAME
Ortiz   I-NAME
Hospital   O
:   O
Marlton   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/30   B-DATE
Date   O
of   O
Discharge   O
:   O
2/11   B-DATE
Chief   O
Complaint   O
:   O
Lear   B-NAME
,   I-NAME
Edward   I-NAME
presents   O
with   O
a   O
complex   O
medical   O
history   O
,   O
including   O
persistent   O
asthmatic   O
symptoms   O
that   O
have   O
recently   O
escalated   O
in   O
severity   O
.   O

Over   O
the   O
past   O
2032   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
21   I-DATE
,   O
the   O
patient   O
has   O
experienced   O
increased   O
shortness   O
of   O
breath   O
,   O
wheezing   O
,   O
and   O
a   O
persistent   O
cough   O
that   O
is   O
poorly   O
responsive   O
to   O
their   O
standard   O
inhaled   O
corticosteroid   O
regimen   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Fiske   B-NAME
,   I-NAME
Irving   I-NAME
reports   O
that   O
symptoms   O
have   O
progressively   O
worsened   O
over   O
the   O
last   O
two   O
weeks   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Asthma   O
diagnosed   O
in   O
childhood   O
-   O
Seasonal   O
allergic   O
rhinitis   O
-   O
Hypertension   O
Medications   O
at   O
Admission   O
:   O
-   O
Inhaled   O
corticosteroids   O
-   O
Short   O
-   O
acting   O
beta   O
-   O
agonist   O
(   O
as   O
needed   O
)   O
-   O
Oral   O
hypertensive   O
medication   O
Allergies   O
:   O
-   O
NKA   O
(   O
No   O
Known   O
Allergies   O
)   O
Social   O
History   O
:   O
-   O
George   B-NAME
is   O
a   O
Upholsterers   O
residing   O
in   O
Windsor   B-LOCATION
.   O
-   O
Non   O
-   O
smoker   O
-   O
Reports   O
occasional   O
alcohol   O
use   O
Family   O
History   O
:   O
-   O
Mother   O
has   O
a   O
history   O
of   O
asthma   O
and   O
hypertension   O
-   O
Father   O
is   O
deceased   O
,   O
cause   O
unknown   O
Review   O
of   O
Systems   O
:   O
-   O
Cardiovascular   O
:   O
No   O
chest   O
pain   O
,   O
palpitations   O
or   O
leg   O
swelling   O
.   O
-   O
Respiratory   O
:   O

Physical   O
Exam   O
:   O
-   O
General   O
:   O
Melissia   B-NAME
Cardoza   I-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
symptoms   O
.   O

Given   O
Donoma   B-NAME
's   O
history   O
of   O
asthma   O
and   O
the   O
current   O
exacerbation   O
of   O
symptoms   O
,   O
the   O
treatment   O
plan   O
focuses   O
on   O
acute   O
management   O
and   O
evaluation   O
for   O
potential   O
triggers   O
or   O
underlying   O
factors   O
contributing   O
to   O
poor   O
control   O
.   O

Spirometry   O
is   O
scheduled   O
for   O
3/12   B-DATE
to   O
assess   O
lung   O
function   O
and   O
guide   O
ongoing   O
management   O
.   O

A   O
follow   O
-   O
up   O
with   O
Rowland   B-NAME
in   O
05/17   B-DATE
is   O
arranged   O
to   O
re   O
-   O
evaluate   O
treatment   O
efficacy   O
and   O
adjust   O
the   O
patient   O
's   O
asthma   O
action   O
plan   O
as   O
necessary   O
.   O

Additionally   O
,   O
Noble   B-NAME
was   O
advised   O
on   O
when   O
to   O
seek   O
emergency   O
medical   O
attention   O
if   O
symptoms   O
significantly   O
worsen   O
.   O

Signature   O
:   O
Nga   B-NAME
Olney   I-NAME
15/20   B-DATE

Patient   O
Name   O
:   O
Jaslene   B-NAME
Fuller   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
2070891   I-ID
Medical   O
Record   O
Number   O
:   O
HW939   B-ID
Date   O
of   O
Birth   O
:   O
2036   B-DATE
Age   O
:   O
19   O
Address   O
:   O
Abbotsford   B-LOCATION
,   O
65255   B-LOCATION
Phone   O
Number   O
:   O
713   B-CONTACT
6056   I-CONTACT
Occupation   O
:   O
Service   O
Unit   O
Operators   O
,   O
Oil   O
,   O
Gas   O
,   O
and   O
Mining   O
Referred   O
by   O
:   O
Dr.   O
Elsie   B-NAME
Barber   I-NAME
Receiving   O
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
Date   O
of   O
Admission   O
:   O
0   B-DATE
-   I-DATE
2   I-DATE
Date   O
of   O
Discharge   O
:   O
20/02/2000   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Jason   B-NAME
Mantzoukas   I-NAME
,   O
reported   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
has   O
persisted   O
for   O
approximately   O
48   O
hours   O
.   O

Accompanying   O
the   O
pain   O
,   O
Buchanan   B-NAME
also   O
noted   O
a   O
moderate   O
degree   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

F.   B-NAME
JORDAN   I-NAME
FUCHS   I-NAME
denied   O
any   O
fever   O
,   O
chills   O
,   O
or   O
recent   O
travels   O
to   O
Mina   B-LOCATION
.   O
History   O
of   O
Present   O
Illness   O
:   O
Approximately   O
2   O
days   O
ago   O
,   O
Iliana   B-NAME
Sheppard   I-NAME
,   O
a   O
0   O
-   O
year   O
-   O
old   O
Legal   O
Secretaries   O
,   O
began   O
noticing   O
a   O
mild   O
ache   O
around   O
the   O
navel   O
which   O
gradually   O
moved   O
to   O
the   O
lower   O
right   O
abdomen   O
.   O

Speijk   B-NAME
,   I-NAME
Jan   I-NAME
van   I-NAME
does   O
not   O
take   O
regular   O
medications   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Ashly   B-NAME
Walsh   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
Rock   B-NAME
was   O
admitted   O
to   O
New   B-LOCATION
Milford   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Page   B-NAME
for   O
suspected   O
acute   O
appendicitis   O
.   O

After   O
confirmation   O
of   O
the   O
diagnosis   O
,   O
informed   O
consent   O
was   O
obtained   O
,   O
and   O
Welbeck   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Alden   B-NAME
Patterson   I-NAME
received   O
intravenous   O
antibiotics   O
as   O
per   O
the   O
surgical   O
protocol   O
.   O
Outcome   O
and   O
Discharge   O
Instructions   O
:   O
Post   O
-   O
operatively   O
,   O
the   O
patient   O
’s   O
recovery   O
was   O
uneventful   O
.   O

carrie   B-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Dr.   O
Evan   B-NAME
Newman   I-NAME
in   O
10   O
-   O
14   O
days   O
for   O
a   O
post   O
-   O
operative   O
check   O
-   O
up   O
or   O
sooner   O
if   O
any   O
complications   O
arise   O
.   O

Alex   B-NAME
Durant   I-NAME
was   O
discharged   O
on   O
21/48   B-DATE
in   O
stable   O
condition   O
,   O
with   O
recommendations   O
for   O
a   O
gradual   O
increase   O
in   O
activity   O
and   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
.   O

Follow   O
-   O
Up   O
Appointment   O
:   O
Dr.   O
Winters   B-NAME
at   O
Lovelace   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Roswell   I-LOCATION
,   O
(   B-CONTACT
111   I-CONTACT
)   I-CONTACT
506   I-CONTACT
-   I-CONTACT
5426   I-CONTACT
.   O

Appointment   O
Date   O
:   O
21/12   B-DATE
.   O

For   O
Questions   O
or   O
Concerns   O
,   O
Contact   O
:   O
Nursing   O
Station   O
at   O
Holy   B-LOCATION
Cross   I-LOCATION
Hospital   I-LOCATION
,   O
(   B-CONTACT
538   I-CONTACT
)   I-CONTACT
606   I-CONTACT
6734   I-CONTACT
.   O

Patient   O
:   O
Howell   B-NAME
,   I-NAME
James   I-NAME
DOB   O
:   O
02/01/2235   B-DATE
MRN   O
:   O
4903299   B-ID
Address   O
:   O
The   B-LOCATION
Colony   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
75056   I-LOCATION
,   O
39081   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Lyons   B-NAME
,   I-NAME
Steve   I-NAME
Contact   O
:   O
250   B-CONTACT
291   I-CONTACT
-   I-CONTACT
4916   I-CONTACT
Encounter   O
Date   O
:   O
06/08/2050   B-DATE
Age   O
:   O
6   O
week   O
Profession   O
:   O
Pressers   O
,   O
Delicate   O
Fabrics   O
Chief   O
Complaint   O
:   O
Allen   B-NAME
Rhodes   I-NAME
presented   O
to   O
BANNER   B-LOCATION
BOSWELL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
with   O
a   O
complaint   O
of   O
persistent   O
,   O
non   O
-   O
productive   O
cough   O
and   O
difficulty   O
breathing   O
that   O
has   O
been   O
worsening   O
over   O
the   O
past   O
2   O
weeks   O
.   O

Hendricks   B-NAME
works   O
as   O
a   O
Elevator   O
Installers   O
and   O
Repairers   O
at   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Barnesville   I-LOCATION
and   O
denies   O
any   O
recent   O
travel   O
outside   O
of   O
Ismay   B-LOCATION
.   O

Phillip   B-NAME
Isaac   I-NAME
Crosby   I-NAME
lives   O
alone   O
and   O
denies   O
any   O
use   O
of   O
alcohol   O
,   O
tobacco   O
,   O
or   O
recreational   O
drugs   O
.   O

Persistent   O
cough   O
,   O
difficulty   O
breathing   O
,   O
no   O
hemoptysis   O
-   O
Cardiovascular   O
:   O
No   O
chest   O
pain   O
,   O
no   O
palpitations   O
-   O
Gastrointestinal   O
:   O
Decreased   O
appetite   O
,   O
weight   O
loss   O
,   O
no   O
nausea   O
or   O
vomiting   O
-   O
ENT   O
:   O
No   O
congestion   O
or   O
sore   O
throat   O
-   O
Neurological   O
:   O
No   O
headaches   O
or   O
dizziness   O
Physical   O
Examination   O
:   O
-   O
General   O
:   O
Andersen   B-NAME
appears   O
cachectic   O
and   O
in   O
mild   O
respiratory   O
distress   O
-   O
Cardiovascular   O
:   O
Regular   O
rate   O
and   O
rhythm   O
,   O
no   O
murmurs   O
-   O
Respiratory   O
:   O
Decreased   O
breath   O
sounds   O
at   O
both   O
lung   O
bases   O
,   O
no   O
wheezes   O
,   O
crackles   O
noted   O
-   O
Abdominal   O
:   O
Soft   O
,   O
non   O
-   O
tender   O
,   O
no   O
palpable   O
masses   O
-   O
Extremities   O
:   O
No   O
cyanosis   O
,   O
clubbing   O
,   O
or   O
edema   O
Assessment   O
/   O
Plan   O
:   O
Given   O
the   O
patient   O
's   O
history   O
of   O
asthma   O
,   O
initial   O
suspicion   O
was   O
towards   O
an   O
asthma   O
exacerbation   O
.   O

Kylee   B-NAME
Chase   I-NAME
discussed   O
the   O
findings   O
with   O
Gardner   B-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
follow   O
-   O
up   O
and   O
additional   O
testing   O
to   O
ascertain   O
the   O
underlying   O
cause   O
of   O
the   O
symptoms   O
.   O

Bridges   B-NAME
also   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
covering   O
typical   O
and   O
atypical   O
pathogens   O
given   O
the   O
preliminary   O
diagnosis   O
of   O
community   O
-   O
acquired   O
pneumonia   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
0/23/16   B-DATE
.   O
Follow   O
-   O
up   O
instructions   O
include   O
monitoring   O
temperature   O
,   O
maintaining   O
hydration   O
,   O
and   O
immediate   O
return   O
to   O
Ephraim   B-LOCATION
McDowell   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
experiencing   O
worsening   O
symptoms   O
such   O
as   O
increased   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
high   O
fever   O
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Medical   O
Evaluation   O
of   O
Keon   B-NAME
Jordan   I-NAME
00/23   B-DATE
,   O
Knight   B-NAME
,   O
a   O
Credit   O
analyst   O
from   O
Pharr   B-LOCATION
,   O
was   O
referred   O
to   O
Mountain   B-LOCATION
West   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
following   O
a   O
series   O
of   O
concerning   O
symptoms   O
that   O
began   O
approximately   O
two   O
weeks   O
prior   O
.   O

Within   O
a   O
few   O
days   O
,   O
Nathaniel   B-NAME
Joseph   I-NAME
also   O
began   O
experiencing   O
high   O
-   O
grade   O
fevers   O
reaching   O
up   O
to   O
92   O
degrees   O
Celsius   O
,   O
especially   O
in   O
the   O
evenings   O
.   O

Veronica   B-NAME
Raymond   I-NAME
reported   O
no   O
recent   O
travel   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Upon   O
examination   O
by   O
Leonard   B-NAME
Green   I-NAME
on   O
10/19/1680   B-DATE
,   O
Kamron   B-NAME
Rowe   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
with   O
vital   O
signs   O
revealing   O
tachycardia   O
and   O
increased   O
respiratory   O
rate   O
.   O

Given   O
these   O
findings   O
,   O
a   O
decision   O
was   O
made   O
to   O
admit   O
Christene   B-NAME
Marenco   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

During   O
the   O
hospital   O
stay   O
at   O
Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
,   O
Giancarlo   B-NAME
Sanders   I-NAME
was   O
placed   O
in   O
isolation   O
,   O
and   O
a   O
series   O
of   O
diagnostic   O
tests   O
were   O
conducted   O
,   O
including   O
a   O
PCR   O
test   O
for   O
COVID-19   O
,   O
which   O
returned   O
negative   O
.   O

The   O
infectious   O
disease   O
team   O
,   O
led   O
by   O
Stein   B-NAME
,   O
was   O
consulted   O
,   O
and   O
empirical   O
antibiotic   O
therapy   O
was   O
initiated   O
based   O
on   O
the   O
prevailing   O
local   O
resistance   O
patterns   O
.   O

Throughout   O
the   O
hospitalization   O
period   O
,   O
Neta   B-NAME
Cassis   I-NAME
's   O
condition   O
required   O
close   O
monitoring   O
.   O

Daily   O
blood   O
tests   O
,   O
as   O
recorded   O
in   O
2245287   B-ID
,   O
showed   O
gradual   O
improvement   O
in   O
leukocyte   O
count   O
,   O
and   O
fever   O
subsided   O
after   O
69   O
days   O
of   O
antibiotic   O
therapy   O
.   O

The   O
care   O
team   O
,   O
including   O
Daniel   B-NAME
,   O
discussed   O
the   O
possible   O
need   O
for   O
mechanical   O
ventilation   O
if   O
Carlie   B-NAME
Kirby   I-NAME
's   O
respiratory   O
status   O
did   O
not   O
improve   O
.   O

Fortunately   O
,   O
after   O
10   O
month   O
days   O
of   O
treatment   O
,   O
there   O
was   O
a   O
significant   O
improvement   O
in   O
pulmonary   O
function   O
,   O
and   O
Invictus   B-NAME
Morn   I-NAME
was   O
weaned   O
off   O
supplemental   O
oxygen   O
.   O

Jadon   B-NAME
Marks   I-NAME
was   O
discharged   O
on   O
21/26   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
with   O
Ryland   B-NAME
Giles   I-NAME
at   O
Northeast   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
outpatient   O
clinic   O
.   O

At   O
the   O
time   O
of   O
discharge   O
,   O
Lessig   B-NAME
,   I-NAME
Lawrence   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
provided   O
by   O
the   O
medical   O
team   O
at   O
St.   B-LOCATION
Anthony   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
and   O
planned   O
to   O
resume   O
work   O
as   O
a   O
Sales   O
Representatives   O
,   O
Services   O
,   O
All   O
Other   O
in   O
Wimauma   B-LOCATION
after   O
the   O
recommended   O
period   O
of   O
convalescence   O
.   O

Nikolas   B-NAME
Buchanan   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
healthy   O
diet   O
to   O
regain   O
the   O
lost   O
weight   O
and   O
to   O
prioritize   O
rest   O
in   O
the   O
coming   O
weeks   O
.   O

For   O
any   O
concerns   O
or   O
symptoms   O
indicating   O
relapse   O
or   O
complications   O
,   O
Queen   B-NAME
Frank   I-NAME
-   I-NAME
Newman   I-NAME
was   O
given   O
the   O
hospital   O
’s   O
contact   O
number   O
,   O
44030   B-CONTACT
,   O
and   O
encouraged   O
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

This   O
case   O
remains   O
under   O
review   O
by   O
the   O
hospital   O
’s   O
infectious   O
disease   O
department   O
for   O
quality   O
improvement   O
and   O
is   O
tracked   O
under   O
1810496   B-ID
for   O
any   O
future   O
reference   O
or   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Trevor   B-NAME
Rosales   I-NAME
on   O
2078   B-DATE
-   I-DATE
38   I-DATE
-   I-DATE
20   I-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Xan   B-NAME
Dillon   I-NAME
Patient   O
ID   O
:   O
GA120/1176   B-ID
Medical   O
Record   O
:   O
188   B-ID
-   I-ID
90   I-ID
-   I-ID
76   I-ID
Date   O
of   O
Birth   O
:   O
17/12   B-DATE
Age   O
:   O
14   O
Phone   O
Number   O
:   O
43355   B-CONTACT
Address   O
:   O
Three   B-LOCATION
Creeks   I-LOCATION
,   O
95669   B-LOCATION
Employer   O
:   O

Beach   B-LOCATION
First   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Profession   O
:   O
actor   O
Primary   O
Care   O
Physician   O
:   O

Tianna   B-NAME
Bonilla   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Ritter   B-NAME
presented   O
to   O
the   O
outpatient   O
department   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
20/28/12   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fatigue   O
for   O
approximately   O
two   O
weeks   O
.   O

Black   B-NAME
Elk   I-NAME
also   O
reports   O
experiencing   O
episodes   O
of   O
shortness   O
of   O
breath   O
with   O
minimal   O
exertion   O
,   O
such   O
as   O
walking   O
short   O
distances   O
.   O

Past   O
Medical   O
History   O
:   O
Eliezer   B-NAME
Galloway   I-NAME
has   O
a   O
documented   O
history   O
of   O
asthma   O
,   O
controlled   O
with   O
inhaled   O
corticosteroids   O
and   O
bronchodilators   O
as   O
needed   O
.   O

Medications   O
:   O
-   O
Inhaled   O
corticosteroids   O
(   O
daily   O
)   O
-   O
Short   O
-   O
acting   O
bronchodilator   O
(   O
as   O
needed   O
)   O
Social   O
History   O
:   O
Lloyd   B-NAME
is   O
employed   O
as   O
a   O
Ophthalmic   O
Medical   O
Technologists   O
at   O
Beer   B-LOCATION
Judge   I-LOCATION
Certification   I-LOCATION
Program   I-LOCATION
(   I-LOCATION
BJCP   I-LOCATION
)   I-LOCATION
in   O
Great   B-LOCATION
Bend   I-LOCATION
.   O

Elizabeth   B-NAME
Masterson   I-NAME
lives   O
with   O
a   O
spouse   O
and   O
two   O
children   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bronson   B-NAME
Ellis   I-NAME
appeared   O
well   O
-   O
nourished   O
and   O
in   O
no   O
acute   O
distress   O
.   O

Diagnostic   O
Testing   O
:   O
Bruce   B-NAME
,   I-NAME
Lenny   I-NAME
underwent   O
spirometry   O
which   O
showed   O
mild   O
obstructive   O
defect   O
without   O
significant   O
improvement   O
after   O
bronchodilator   O
administration   O
.   O

Summary   O
:   O
Maleah   B-NAME
Sandoval   I-NAME
,   O
a   O
15   O
-   O
year   O
-   O
old   O
Prosthodontists   O
,   O
presented   O
with   O
symptoms   O
indicative   O
of   O
an   O
asthma   O
exacerbation   O
.   O

Provider   O
Name   O
:   O
Farrell   B-NAME
Date   O
:   O
2033   B-DATE
Contact   O
Information   O
:   O
47161   B-CONTACT

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Alfredo   B-NAME
Greene   I-NAME
Age   O
:   O
100   O
Medical   O
Record   O
Number   O
:   O
30791136   B-ID
Date   O
of   O
Birth   O
:   O
30/35/92   B-DATE
Address   O
:   O
Charlestown   B-LOCATION
,   O
15260   B-LOCATION
Phone   O
Number   O
:   O
256   B-CONTACT
-   I-CONTACT
8659   I-CONTACT
Occupation   O
:   O
Forest   O
and   O
Conservation   O
Workers   O
Admitting   O
Physician   O
:   O

Nikolas   B-NAME
Van   I-NAME
Helsing   I-NAME
Treatment   O
Facility   O
:   O
SSM   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Louis   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
31/20   B-DATE
ID   O
Number   O
:   O
10   B-ID
-   I-ID
3414459   I-ID
Clinical   O
Summary   O
:   O
Billy   B-NAME
Roy   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Hamilton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
16/08/12   B-DATE
,   O
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
jaw   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Thomas   B-NAME
Colon   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
nausea   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jorjanna   B-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
Blood   O
pressure   O
150/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
a   O
temperature   O
of   O
37.2   O
°   O
C   O
.   O

Treatment   O
:   O
After   O
the   O
initial   O
assessment   O
and   O
diagnostic   O
findings   O
,   O
Micaela   B-NAME
Gamble   I-NAME
was   O
administrated   O
aspirin   O
325   O
mg   O
orally   O
,   O
nitroglycerin   O
sublingually   O
,   O
and   O
morphine   O
sulfate   O
intravenously   O
for   O
pain   O
management   O
.   O

Megan   B-NAME
Carr   I-NAME
was   O
also   O
started   O
on   O
a   O
heparin   O
drip   O
and   O
beta   O
-   O
blockers   O
.   O

A   O
cardiology   O
consult   O
was   O
requested   O
immediately   O
,   O
and   O
Rumsfeld   B-NAME
,   I-NAME
Donald   I-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
further   O
intervention   O
.   O

Disposition   O
:   O
Matteo   B-NAME
Cannon   I-NAME
underwent   O
successful   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
with   O
stent   O
placement   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Post   O
-   O
procedure   O
,   O
Uecker   B-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
.   O

Victor   B-NAME
Tolbert   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
any   O
immediate   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Madyson   B-NAME
Vargas   I-NAME
has   O
been   O
scheduled   O
for   O
April   B-DATE
2   I-DATE
at   O
Marcum   B-LOCATION
and   I-LOCATION
Wallace   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
recovery   O
and   O
discuss   O
long   O
-   O
term   O
management   O
.   O

Instructions   O
to   O
Patient   O
upon   O
Discharge   O
:   O
Greene   B-NAME
was   O
counseled   O
on   O
lifestyle   O
modifications   O
including   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
quitting   O
smoking   O
,   O
and   O
engaging   O
in   O
regular   O
,   O
moderate   O
exercise   O
.   O

Hyun   B-NAME
Poffenberger   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
chest   O
pain   O
,   O
breathing   O
difficulties   O
,   O
or   O
excessive   O
bleeding   O
from   O
the   O
catheter   O
site   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Claire   B-NAME
Ramsey   I-NAME
was   O
instructed   O
to   O
contact   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Kenner   I-LOCATION
at   O
61967   B-CONTACT
or   O
reach   O
out   O
to   O
Kübler   B-NAME
-   I-NAME
Ross   I-NAME
,   I-NAME
Elisabeth   I-NAME
's   O
office   O
during   O
working   O
hours   O
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
Drew   B-NAME
Odom   I-NAME
is   O
to   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
.   O

Monroe   B-NAME
is   O
to   O
follow   O
up   O
with   O
Lam   B-NAME
in   O
Wardensville   B-LOCATION
on   O
2205/39/02   B-DATE
.   O

Southern   B-LOCATION
Aid   I-LOCATION
and   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
wishes   O
Wolfe   B-NAME
MacFarlane   I-NAME
a   O
speedy   O
recovery   O
and   O
emphasizes   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
medication   O
and   O
lifestyle   O
changes   O
for   O
better   O
health   O
outcomes   O
.   O

For   O
any   O
assistance   O
or   O
further   O
information   O
,   O
please   O
contact   O
Scotland   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
's   O
Patient   O
Care   O
Services   O
at   O
67818   B-CONTACT
.   O

Patient   O
Name   O
:   O
Juliana   B-NAME
Mclaughlin   I-NAME
Patient   O
ID   O
:   O
113212   B-ID
Medical   O
Record   O
Number   O
:   O
8021458   B-ID
Date   O
of   O
Birth   O
:   O
19/20   B-DATE
Age   O
:   O
87s   O
Phone   O
:   O
411   B-CONTACT
-   I-CONTACT
233   I-CONTACT
-   I-CONTACT
7040   I-CONTACT
Address   O
:   O
Gentryville   B-LOCATION
,   O
66050   B-LOCATION
Employer   O
:   O

The   B-LOCATION
General   I-LOCATION
Occupation   O
:   O

Art   O
therapist   O
Visit   O
Date   O
:   O
8/01/83   B-DATE
Attending   O
Physician   O
:   O
Hill   B-NAME
Hospital   O
:   O
Metro   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
University   I-LOCATION
of   I-LOCATION
MI   I-LOCATION
Health   I-LOCATION
Chief   O
Complaint   O
:   O

Giovanna   B-NAME
Curtis   I-NAME
presents   O
with   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
primarily   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
ongoing   O
for   O
approximately   O
48   O
hours   O
.   O

Jacoby   B-NAME
Keith   I-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
intensifying   O
with   O
movement   O
.   O

Trajan   B-NAME
Balsis   I-NAME
initially   O
dismissed   O
the   O
discomfort   O
as   O
minor   O
,   O
attributing   O
it   O
to   O
possible   O
indigestion   O
.   O

However   O
,   O
as   O
symptoms   O
escalated   O
,   O
particularly   O
the   O
severity   O
of   O
the   O
pain   O
and   O
the   O
onset   O
of   O
fever   O
,   O
Ann   B-NAME
Vandenberg   I-NAME
sought   O
medical   O
attention   O
.   O

Knoton   B-NAME
denies   O
any   O
history   O
of   O
similar   O
episodes   O
.   O

Matthew   B-NAME
Thorne   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Amira   B-NAME
Myers   I-NAME
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
101.5   O
°   O
F   O
.   O

Plan   O
:   O
Quale   B-NAME
,   I-NAME
Anthony   I-NAME
is   O
to   O
be   O
admitted   O
to   O
Great   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
by   O
the   O
general   O
surgery   O
team   O
.   O

Bush   B-NAME
,   I-NAME
Vannevar   I-NAME
has   O
been   O
briefed   O
on   O
the   O
findings   O
and   O
has   O
consented   O
to   O
the   O
proposed   O
management   O
plan   O
.   O

Informed   O
Consent   O
:   O
Bibesco   B-NAME
,   I-NAME
Princess   I-NAME
Elizabeth   I-NAME
provided   O
verbal   O
and   O
written   O
consent   O
for   O
hospital   O
admission   O
,   O
diagnostic   O
procedures   O
,   O
and   O
potential   O
surgical   O
intervention   O
.   O

Richards   B-NAME
was   O
informed   O
of   O
the   O
benefits   O
,   O
risks   O
,   O
and   O
potential   O
for   O
complications   O
associated   O
with   O
the   O
procedures   O
.   O

Contact   O
information   O
was   O
verified   O
with   O
553   B-CONTACT
-   I-CONTACT
458   I-CONTACT
-   I-CONTACT
7781   I-CONTACT
.   O

Lilyana   B-NAME
Boyle   I-NAME
is   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
262   B-CONTACT
-   I-CONTACT
8595   I-CONTACT
available   O
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Macomb   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
concerning   O
symptoms   O
including   O
,   O
but   O
not   O
limited   O
to   O
,   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
signs   O
of   O
wound   O
infection   O
.   O

Prepared   O
By   O
:   O
Walls   B-NAME
,   O
M.D.   O
20/22   B-DATE

Patient   O
Report   O
:   O
Subject   O
:   O
Medical   O
Evaluation   O
of   O
Quinn   B-NAME
4/22   B-DATE
,   O
the   O
patient   O
,   O
a   O
Mental   O
Health   O
and   O
Substance   O
Abuse   O
Social   O
Workers   O
from   O
Texas   B-LOCATION
,   O
was   O
admitted   O
to   O
Phoebe   B-LOCATION
Worth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
presenting   O
with   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

The   O
patient   O
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
10/28   B-DATE
,   O
describing   O
the   O
abdominal   O
pain   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
obtained   O
through   O
6548456   B-ID
,   O
indicates   O
no   O
previous   O
episodes   O
of   O
similar   O
nature   O
.   O

Upon   O
examination   O
,   O
Amelie   B-NAME
Stark   I-NAME
noted   O
a   O
marked   O
tenderness   O
in   O
the   O
McBurney   O
's   O
point   O
,   O
accompanied   O
by   O
a   O
slight   O
elevation   O
in   O
temperature   O
(   O
57   O
-   O
year   O
-   O
old   O
normothermic   O
range   O
)   O
.   O

The   O
diagnostic   O
imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
performed   O
on   O
12/02/2184   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
,   O
consistent   O
with   O
the   O
clinical   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Given   O
the   O
acute   O
nature   O
of   O
the   O
condition   O
and   O
potential   O
complications   O
such   O
as   O
rupture   O
leading   O
to   O
peritonitis   O
,   O
Juarez   B-NAME
recommended   O
immediate   O
surgical   O
intervention   O
.   O

The   O
surgery   O
,   O
conducted   O
on   O
Saturday   B-DATE
at   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Southwest   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
,   O
was   O
without   O
complications   O
,   O
and   O
the   O
inflamed   O
appendix   O
was   O
successfully   O
removed   O
.   O

Post   O
-   O
operative   O
care   O
was   O
managed   O
by   O
the   O
surgical   O
team   O
led   O
by   O
Davidson   B-NAME
,   O
with   O
the   O
patient   O
being   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
any   O
secondary   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
2152   B-DATE
-   I-DATE
28   I-DATE
-   I-DATE
21   I-DATE
with   O
Malachi   B-NAME
Blackburn   I-NAME
at   O
Novant   B-LOCATION
Health   I-LOCATION
UVA   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Haymarket   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
the   O
healing   O
process   O
and   O
ensure   O
the   O
success   O
of   O
the   O
intervention   O
.   O

Contact   O
information   O
for   O
any   O
further   O
inquiries   O
or   O
emergency   O
is   O
as   O
follows   O
:   O
Hope   B-LOCATION
Haven   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
main   O
line   O
777   B-CONTACT
9948   I-CONTACT
,   O
patient   O
's   O
direct   O
line   O
12621   B-CONTACT
,   O
and   O
Annabella   B-NAME
Frank   I-NAME
's   O
office   O
54137   B-CONTACT
.   O

This   O
report   O
has   O
been   O
generated   O
and   O
reviewed   O
by   O
Keeping   B-NAME
,   I-NAME
Charles   I-NAME
,   O
with   O
all   O
necessary   O
patient   O
consents   O
obtained   O
for   O
the   O
surgical   O
procedure   O
and   O
handling   O
of   O
personal   O
information   O
including   O
013   B-ID
-   I-ID
63   I-ID
-   I-ID
07   I-ID
-   I-ID
5   I-ID
,   O
KG:11142:450784   B-ID
,   O
and   O
contact   O
data   O
.   O

Report   O
ID   O
:   O
1   B-ID
-   I-ID
1845366   I-ID
Report   O
prepared   O
by   O
:   O
RK915   B-NAME
,   O
15/21   B-DATE
Securian   B-LOCATION
Financial   I-LOCATION
Group   I-LOCATION
Seal   O
Note   O
:   O
This   O
document   O
contains   O
sensitive   O
information   O
and   O
is   O
intended   O
solely   O
for   O
the   O
use   O
of   O
the   O
individual   O
or   O
entity   O
to   O
whom   O
it   O
is   O
addressed   O
.   O

Patient   O
:   O
Jamie   B-NAME
Frazier   I-NAME
Age   O
:   O
5   O
ID   O
:   O
PO   B-ID
:   I-ID
EB:6234   I-ID
Medical   O
Record   O
:   O
4870086   B-ID
Location   O
:   O
Beverley   B-LOCATION
Date   O
:   O
1/21   B-DATE
Summary   O
:   O
Doyle   B-NAME
was   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
,   O
Loch   B-LOCATION
Lomond   I-LOCATION
,   O
on   O
3/33/2122   B-DATE
,   O
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
persistent   O
vomiting   O
for   O
the   O
past   O
48   O
hours   O
.   O

The   O
patient   O
is   O
a   O
Photographic   O
Processing   O
Machine   O
Operators   O
and   O
recalls   O
the   O
onset   O
of   O
symptoms   O
shortly   O
after   O
consuming   O
food   O
at   O
a   O
local   O
eatery   O
in   O
Brownell   B-LOCATION
on   O
20/14   B-DATE
.   O

Zackary   B-NAME
Foley   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
managed   O
with   O
Metformin   O
and   O
dietary   O
modifications   O
.   O

Examination   O
and   O
Diagnosis   O
:   O
Dr.   O
Gomez   B-NAME
performed   O
a   O
comprehensive   O
physical   O
examination   O
,   O
noting   O
tenderness   O
and   O
rebound   O
pain   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

An   O
ultrasound   O
of   O
the   O
abdomen   O
was   O
indicated   O
and   O
performed   O
in   O
Jennie   B-LOCATION
Stuart   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
radiology   O
department   O
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
with   O
no   O
signs   O
of   O
perforation   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Solomon   B-NAME
Perkins   I-NAME
recommended   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
given   O
the   O
diagnosis   O
and   O
risk   O
of   O
rupture   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Dr.   O
Keenan   B-NAME
Brady   I-NAME
,   O
successfully   O
performed   O
the   O
procedure   O
on   O
New   B-DATE
Years   I-DATE
Eve   I-DATE
.   O

Cayden   B-NAME
Colon   I-NAME
received   O
preoperative   O
antibiotics   O
as   O
part   O
of   O
the   O
surgical   O
prophylaxis   O
and   O
was   O
placed   O
on   O
IV   O
fluids   O
.   O

Love   B-NAME
's   O
postoperative   O
course   O
was   O
unremarkable   O
.   O

Kathleen   B-NAME
Sampson   I-NAME
was   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
resulting   O
from   O
surgery   O
.   O

Pain   O
was   O
managed   O
with   O
acetaminophen   O
,   O
avoiding   O
NSAIDs   O
due   O
to   O
Jakobe   B-NAME
Nicholson   I-NAME
's   O
diabetic   O
condition   O
.   O

Dawne   B-NAME
Mcmains   I-NAME
was   O
discharged   O
on   O
10   B-DATE
-   I-DATE
23   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
to   O
watch   O
for   O
infection   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
arranged   O
with   O
Dr.   O
Emily   B-NAME
Wallace   I-NAME
in   O
two   O
weeks   O
'   O
time   O
.   O

For   O
any   O
emergencies   O
or   O
concerns   O
,   O
Callum   B-NAME
Hanna   I-NAME
was   O
advised   O
to   O
contact   O
Wesley   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
's   O
24   O
-   O
hour   O
line   O
at   O
(   B-CONTACT
126   I-CONTACT
)   I-CONTACT
395   I-CONTACT
2642   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
immediately   O
.   O

-   O
Maintain   O
a   O
light   O
diet   O
for   O
the   O
first   O
24   O
-   O
48   O
hours   O
,   O
gradually   O
returning   O
to   O
regular   O
diabetic   O
diet   O
post   O
-   O
approval   O
from   O
Dr.   O
Lucero   B-NAME
.   O
-   O
Avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
4   O
weeks   O
post   O
-   O
surgery   O
.   O
-   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Fuller   B-NAME
at   O
Westchester   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
20/23/2342   B-DATE
for   O
wound   O
check   O
and   O
removal   O
of   O
sutures   O
.   O

All   O
personal   O
and   O
medical   O
information   O
relevant   O
to   O
this   O
case   O
,   O
including   O
Xavier   B-NAME
Uber   I-NAME
's   O
identity   O
,   O
contact   O
details   O
,   O
and   O
medical   O
record   O
,   O
have   O
been   O
confidently   O
handled   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

Notes   O
:   O
-   O
All   O
future   O
inquiries   O
and   O
correspondences   O
should   O
reference   O
the   O
medical   O
record   O
number   O
:   O
EPW519970   B-ID
.   O
-   O
Please   O
contact   O
our   O
department   O
at   O
274   B-CONTACT
-   I-CONTACT
888   I-CONTACT
-   I-CONTACT
6608   I-CONTACT
for   O
any   O
clarification   O
or   O
further   O
information   O
required   O
.   O

-   O
In   O
case   O
of   O
an   O
emergency   O
,   O
contact   O
Virtua   B-LOCATION
Marlton   I-LOCATION
Hospital   I-LOCATION
immediately   O
or   O
dial   O
the   O
local   O
emergency   O
number   O
.   O

Patient   O
Name   O
:   O
Min   B-NAME
Hogenmiller   I-NAME
Medical   O
Record   O
:   O
018   B-ID
-   I-ID
19   I-ID
-   I-ID
62   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
22   B-DATE
-   I-DATE
1   I-DATE
Age   O
:   O
26s   O
Address   O
:   O
Darrouzett   B-LOCATION
,   O
57590   B-LOCATION
Phone   O
:   O
727   B-CONTACT
4643   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Fitzgerald   B-NAME
,   I-NAME
F.   I-NAME
Scott   I-NAME
Hospital   O
:   O
CenterPointe   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
06/17/1771   B-DATE
ID   O
Number   O
:   O
GJ:89386:703220   B-ID
Clinical   O
Narrative   O
:   O
Jerica   B-NAME
,   O
a   O
Forging   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
from   O
Culpeper   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Paul   B-LOCATION
B.   I-LOCATION
Hall   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2241   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
persistent   O
vomiting   O
which   O
began   O
approximately   O
6   O
-   O
8   O
hours   O
prior   O
to   O
admission   O
.   O

Management   O
and   O
Outcome   O
:   O
The   O
patient   O
was   O
admitted   O
to   O
Petaluma   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Leblanc   B-NAME
for   O
management   O
of   O
acute   O
pancreatitis   O
.   O

The   O
patient   O
was   O
discharged   O
from   O
Team   B-LOCATION
Vision   I-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
West   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
on   O
Wednesday   B-DATE
,   I-DATE
February   I-DATE
with   O
instructions   O
to   O
avoid   O
alcohol   O
,   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
and   O
to   O
follow   O
up   O
with   O
Bellow   B-NAME
,   I-NAME
Saul   I-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
recur   O
or   O
worsen   O
.   O

Note   O
:   O
For   O
additional   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Figueroa   B-NAME
at   O
98738   B-CONTACT
.   O
---   O
This   O
synthetic   O
patient   O
report   O
maintains   O
privacy   O
by   O
omitting   O
personal   O
health   O
information   O
and   O
using   O
placeholders   O
in   O
accordance   O
with   O
HIPAA   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Bush   B-NAME
Patient   O
ID   O
:   O
GY596/7373   B-ID
Medical   O
Record   O
Number   O
:   O
002   B-ID
-   I-ID
50   I-ID
-   I-ID
71   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
21/27   B-DATE
Age   O
:   O
12   O
month   O
Contact   O
Number   O
:   O
(   B-CONTACT
879   I-CONTACT
)   I-CONTACT
123   I-CONTACT
2664   I-CONTACT
Address   O
:   O
580   B-LOCATION
West   I-LOCATION
Pilgrim   I-LOCATION
Street   I-LOCATION
,   O
41490   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Ventura   B-NAME
,   I-NAME
Jesse   I-NAME
Hospital   O
:   O
Department   B-LOCATION
of   I-LOCATION
Veterans   I-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Erie   I-LOCATION
Employer   O
:   O
The   B-LOCATION
Travelers   I-LOCATION
Companies   I-LOCATION
Occupation   O
:   O
Town   O
and   O
country   O
planner   O
Admitting   O
Date   O
:   O
2092   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
24   I-DATE
Discharge   O
Date   O
:   O
22/39/14   B-DATE
Chief   O
Complaint   O
:   O
Wiggins   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Proctor   I-LOCATION
on   O
2036/31/02   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
persistent   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
described   O
as   O
throbbing   O
and   O
pulsating   O
in   O
nature   O
.   O

Kendall   B-NAME
Brown   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Merril   B-NAME
Bobolit   I-NAME
,   O
a   O
Engravers   O
--   O
Carvers   O
at   O
Stop   B-LOCATION
Sequani   I-LOCATION
Animal   I-LOCATION
Testing   I-LOCATION
(   I-LOCATION
SSAT   I-LOCATION
)   I-LOCATION
,   O
noticed   O
the   O
onset   O
of   O
headaches   O
approximately   O
6   O
months   O
ago   O
,   O
gradually   O
increasing   O
in   O
frequency   O
and   O
intensity   O
.   O

Honda   B-NAME
,   I-NAME
Soichiro   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Past   O
Medical   O
History   O
:   O
Rubi   B-NAME
Colon   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
managed   O
with   O
medication   O
and   O
type   O
2   O
diabetes   O
mellitus   O
well   O
-   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Black   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

2   O
.   O
MRI   O
of   O
the   O
brain   O
conducted   O
on   O
00/31   B-DATE
showed   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

The   O
diagnostic   O
workup   O
suggests   O
that   O
Guillermo   B-NAME
Cline   I-NAME
's   O
headache   O
might   O
be   O
consistent   O
with   O
a   O
diagnosis   O
of   O
migraines   O
without   O
aura   O
,   O
exacerbated   O
potentially   O
by   O
stress   O
and   O
lack   O
of   O
adequate   O
sleep   O
due   O
to   O
Radiation   O
Therapists   O
demands   O
at   O
Helsinki   B-LOCATION
Watch   I-LOCATION
.   O

4   O
.   O
Schedule   O
follow   O
-   O
up   O
appointment   O
with   O
Khayyam   B-NAME
,   I-NAME
Omar   I-NAME
in   O
Houston   B-LOCATION
after   O
4   O
weeks   O
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

The   O
next   O
steps   O
in   O
care   O
will   O
include   O
ongoing   O
symptom   O
management   O
,   O
with   O
a   O
focus   O
on   O
both   O
pharmacological   O
and   O
non   O
-   O
pharmacological   O
strategies   O
tailored   O
to   O
Cynewulf   B-NAME
Hillbrant   I-NAME
's   O
clinical   O
presentation   O
and   O
preferences   O
.   O

Eboni   B-NAME
Spainhour   I-NAME
Patient   O
ID   O
:   O
EY:38580:962812   B-ID
Medical   O
Record   O
Number   O
:   O
239   B-ID
-   I-ID
48   I-ID
-   I-ID
91   I-ID
Date   O
of   O
Birth   O
:   O
06/20   B-DATE
Age   O
:   O
92   O
Phone   O
Number   O
:   O
242   B-CONTACT
4188   I-CONTACT
Address   O
:   O
New   B-LOCATION
Hempstead   I-LOCATION
,   O
70121   B-LOCATION
Occupation   O
:   O

Hoist   O
and   O
Winch   O
Operators   O
Primary   O
Care   O
Physician   O
:   O
Haynes   B-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
St   I-LOCATION
Francis   I-LOCATION
Campus   I-LOCATION
Date   O
of   O
Visit   O
:   O
22/12/2300   B-DATE
Chief   O
Complaint   O
:   O
Sherrill   B-NAME
Boyett   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
12/27   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
wheezing   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
05/14   B-DATE
.   O

Elizabeth   B-NAME
II   I-NAME
of   I-NAME
England   I-NAME
also   O
reported   O
experiencing   O
intermittent   O
chest   O
tightness   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
symptoms   O
reportedly   O
began   O
approximately   O
2391   B-DATE
ago   O
,   O
initially   O
manifesting   O
as   O
a   O
mild   O
cough   O
.   O

However   O
,   O
over   O
the   O
ensuing   O
weeks   O
,   O
Howard   B-NAME
Sheinfeld   I-NAME
noticed   O
an   O
escalation   O
in   O
symptom   O
severity   O
,   O
notably   O
with   O
the   O
development   O
of   O
wheezing   O
and   O
noticeable   O
difficulties   O
in   O
breathing   O
during   O
routine   O
activities   O
.   O

On   O
questioning   O
,   O
Ximena   B-NAME
Webber   I-NAME
revealed   O
that   O
these   O
symptoms   O
were   O
more   O
pronounced   O
during   O
the   O
early   O
mornings   O
and   O
nights   O
.   O

Aside   O
from   O
the   O
respiratory   O
symptoms   O
,   O
BEVERLY   B-NAME
B.   I-NAME
MARTINEZ   I-NAME
denied   O
any   O
cases   O
of   O
fever   O
,   O
chills   O
,   O
or   O
weight   O
loss   O
during   O
this   O
period   O
.   O

It   O
's   O
also   O
noted   O
that   O
Garcia   B-NAME
has   O
a   O
history   O
of   O
environmental   O
allergies   O
,   O
primarily   O
during   O
the   O
spring   O
season   O
in   O
Bono   B-LOCATION
.   O

Sexy   B-NAME
has   O
a   O
documented   O
history   O
of   O
asthma   O
diagnosed   O
in   O
childhood   O
but   O
reports   O
no   O
hospitalizations   O
related   O
to   O
asthma   O
in   O
the   O
past   O
19   O
years   O
.   O

On   O
examination   O
,   O
Will   B-NAME
Zimmerman   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
was   O
performed   O
at   O
North   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
showing   O
no   O
signs   O
of   O
acute   O
pulmonary   O
pathology   O
.   O

Recommended   O
follow   O
-   O
up   O
visit   O
in   O
04/14/2091   B-DATE
to   O
reassess   O
symptom   O
control   O
and   O
lung   O
function   O
.   O

Clarke   B-NAME
's   O
Notes   O
:   O
Clinical   O
impression   O
is   O
consistent   O
with   O
an   O
exacerbation   O
of   O
asthma   O
,   O
likely   O
triggered   O
by   O
allergen   O
exposure   O
.   O

The   O
importance   O
of   O
avoiding   O
known   O
triggers   O
and   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
plan   O
was   O
emphasized   O
to   O
More   B-NAME
,   I-NAME
St.   I-NAME
Thomas   I-NAME
.   O

Follow   O
-   O
up   O
Instructions   O
:   O
al   B-NAME
-   I-NAME
Sahaf   I-NAME
,   I-NAME
Muhammed   I-NAME
Saeed   I-NAME
is   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
signs   O
of   O
severe   O
respiratory   O
distress   O
or   O
if   O
symptoms   O
do   O
not   O
improve   O
after   O
initiating   O
the   O
treatment   O
plan   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
32   B-DATE
to   O
evaluate   O
progress   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O
---   O
Note   O
:   O
PHI   O
labels   O
have   O
been   O
used   O
in   O
compliance   O
with   O
the   O
guidelines   O
provided   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Adams   B-NAME
,   I-NAME
John   I-NAME
Quincy   I-NAME
Patient   O
Age   O
:   O
81   O
Medical   O
Record   O
Number   O
:   O
887   B-ID
-   I-ID
93   I-ID
-   I-ID
24   I-ID
-   I-ID
7   I-ID
Admission   O
Date   O
:   O
2121   B-DATE
Oswayo   B-LOCATION
76528   B-LOCATION
Contact   O
Number   O
:   O
123   B-CONTACT
3120   I-CONTACT
Summary   O
:   O
Uriel   B-NAME
Mays   I-NAME
,   O
a   O
Telecommunications   O
Facility   O
Examiners   O
from   O
Mount   B-LOCATION
Ayr   I-LOCATION
,   O
was   O
admitted   O
to   O
Labette   B-LOCATION
Health   I-LOCATION
–   I-LOCATION
Parsons   I-LOCATION
on   O
January   B-DATE
2031   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
non   O
-   O
bilious   O
vomiting   O
.   O

There   O
were   O
also   O
reports   O
of   O
Garrison   B-NAME
experiencing   O
episodes   O
of   O
dizziness   O
and   O
a   O
generalized   O
weakness   O
over   O
the   O
past   O
several   O
days   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Aleena   B-NAME
Powell   I-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Conway   B-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
which   O
showed   O
a   O
mild   O
leukocytosis   O
and   O
elevated   O
inflammatory   O
markers   O
.   O

Treatment   O
and   O
Management   O
:   O
Based   O
on   O
the   O
initial   O
assessment   O
and   O
laboratory   O
findings   O
,   O
Sterling   B-NAME
Chiles   I-NAME
was   O
started   O
on   O
intravenous   O
hydration   O
and   O
empiric   O
antibiotics   O
to   O
cover   O
gastrointestinal   O
infections   O
.   O

Surgical   O
consultation   O
by   O
Gill   B-NAME
was   O
sought   O
,   O
and   O
Collier   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
urgent   O
appendectomy   O
.   O

Consent   O
for   O
surgery   O
was   O
obtained   O
on   O
2010   B-DATE
.   O

Post   O
-   O
operative   O
Course   O
:   O
The   O
appendectomy   O
was   O
performed   O
on   O
2/46   B-DATE
without   O
any   O
complications   O
.   O

Huynh   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
monitored   O
closely   O
in   O
the   O
post   O
-   O
operative   O
period   O
.   O

Stout   B-NAME
,   I-NAME
Rex   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
the   O
symptoms   O
of   O
abdominal   O
pain   O
and   O
nausea   O
resolved   O
completely   O
.   O

Savanna   B-NAME
Mccann   I-NAME
was   O
discharged   O
on   O
2/7/53   B-DATE
with   O
instructions   O
on   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
with   O
Ferguson   B-NAME
in   O
two   O
weeks   O
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

In   O
summary   O
,   O
Zamora   B-NAME
,   O
a   O
3   O
month   O
-   O
year   O
-   O
old   O
Coroners   O
,   O
was   O
admitted   O
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Damian   B-NAME
Sparks   I-NAME
was   O
discharged   O
in   O
stable   O
condition   O
with   O
follow   O
-   O
up   O
arrangements   O
.   O

Patient   O
:   O
Valentinian   B-NAME
Gelineau   I-NAME
Medical   O
Record   O
Number   O
:   O
94865577   B-ID
Date   O
of   O
Birth   O
:   O
14   O
Date   O
of   O
Visit   O
:   O
7   B-DATE
Attending   O
Physician   O
:   O
Giana   B-NAME
Lam   I-NAME
Hospital   O
:   O
Dickinson   B-LOCATION
County   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
Location   O
:   O
Monmouth   B-LOCATION
Phone   O
:   O
134   B-CONTACT
-   I-CONTACT
2421   I-CONTACT
ID   O
:   O
86004542   B-ID
Zip   O
:   O
45537   B-LOCATION
Profession   O
:   O
Operating   O
Engineers   O
and   O
Other   O
Construction   O
Equipment   O
Operators   O
Username   O
:   O
kit172   B-NAME
Chief   O
Complaint   O
:   O
Barclay   B-NAME
,   I-NAME
William   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Ouachita   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
8/21/67   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
which   O
the   O
patient   O
described   O
as   O
a   O
sharp   O
and   O
piercing   O
sensation   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Cook   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
last   O
21/22/43   B-DATE
.   O

Medical   O
History   O
:   O
Forbin   B-NAME
Comeauy   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
72   O
years   O
ago   O
,   O
and   O
Hypertension   O
under   O
management   O
.   O

Meyers   B-NAME
denies   O
any   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

Karen   B-NAME
Bader   I-NAME
's   O
family   O
history   O
is   O
notable   O
for   O
colorectal   O
cancer   O
in   O
a   O
first   O
-   O
degree   O
relative   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Craig   B-NAME
Brennan   I-NAME
exhibited   O
guarding   O
and   O
rebound   O
tenderness   O
localized   O
to   O
the   O
McBurney   O
's   O
point   O
.   O

The   O
surgical   O
team   O
led   O
by   O
Hunt   B-NAME
,   I-NAME
J.   I-NAME
McV.   I-NAME
at   O
Gulf   B-LOCATION
Coast   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
of   O
the   O
procedure   O
were   O
discussed   O
with   O
Hans   B-NAME
Reinhardt   I-NAME
,   O
who   O
provided   O
informed   O
consent   O
.   O

The   O
surgery   O
was   O
performed   O
on   O
February   B-DATE
without   O
complications   O
.   O

STEPHEN   B-NAME
X.   I-NAME
PIKE   I-NAME
was   O
advised   O
to   O
resume   O
normal   O
activities   O
gradually   O
and   O
to   O
adhere   O
to   O
a   O
diet   O
as   O
tolerated   O
,   O
progressing   O
from   O
liquids   O
to   O
soft   O
foods   O
.   O

Discharge   O
Summary   O
:   O
Myrtie   B-NAME
Lyme   I-NAME
was   O
discharged   O
on   O
T   B-DATE
with   O
prescriptions   O
for   O
oral   O
antibiotics   O
and   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Barrett   B-NAME
at   O
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Parkridge   I-LOCATION
Hospital   I-LOCATION
was   O
scheduled   O
for   O
11/22/28   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

Franco   B-NAME
Branch   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
symptoms   O
of   O
infection   O
.   O

Contact   O
information   O
,   O
including   O
253   B-CONTACT
7066   I-CONTACT
,   O
was   O
provided   O
for   O
any   O
questions   O
or   O
concerns   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Alejandro   B-NAME
Age   O
:   O
11   O
Date   O
of   O
Birth   O
:   O
17/21   B-DATE
Phone   O
Number   O
:   O
979   B-CONTACT
502   I-CONTACT
-   I-CONTACT
9125   I-CONTACT
Address   O
:   O
Energy   B-LOCATION
,   O
59480   B-LOCATION
Employment   O
:   O
Education   O
Administrators   O
,   O
Elementary   O
and   O
Secondary   O
School   O
Physician   O
:   O
Webster   B-NAME
Hospital   O
:   O
Specialty   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Monmouth   I-LOCATION
Medical   O
Record   O
Number   O
:   O
3560915   B-ID
Patient   O
ID   O
:   O
8   B-ID
-   I-ID
9683162   I-ID
Visit   O
Date   O
:   O

17/25/90   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Noli   B-NAME
,   I-NAME
Fan   I-NAME
presented   O
to   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/01   B-DATE
complaining   O
of   O
severe   O
,   O
continuous   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
occipital   O
region   O
,   O
initiating   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Marc   B-NAME
Cantrell   I-NAME
also   O
reported   O
experiencing   O
blurred   O
vision   O
and   O
transient   O
visual   O
aura   O
characterized   O
by   O
flashing   O
lights   O
.   O

Social   O
History   O
:   O
Whitney   B-NAME
Keller   I-NAME
works   O
as   O
a   O
Insurance   O
claims   O
inspector   O
in   O
Maskell   B-LOCATION
.   O

S.   B-NAME
Quenton   I-NAME
Jolley   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
and   O
identifying   O
potential   O
migraine   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
neurology   O
outpatient   O
clinic   O
was   O
scheduled   O
for   O
11/23/2385   B-DATE
.   O

George   B-NAME
T.   I-NAME
Rutledge   I-NAME
was   O
discharged   O
on   O
30/33/64   B-DATE
with   O
prescriptions   O
for   O
a   O
triptan   O
and   O
a   O
recommendation   O
to   O
avoid   O
known   O
triggers   O
.   O

If   O
symptoms   O
persist   O
or   O
worsen   O
,   O
Lahoma   B-NAME
Tacey   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
contact   O
Antonio   B-NAME
Duke   I-NAME
at   O
61238   B-CONTACT
.   O

Patient   O
Name   O
:   O
Soo   B-NAME
Age   O
:   O
16s   O
Date   O
of   O
Birth   O
:   O
19   B-DATE
Address   O
:   O
El   B-LOCATION
Paso   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
79936   I-LOCATION
,   O
22775   B-LOCATION
Phone   O
Number   O
:   O
581   B-CONTACT
-   I-CONTACT
571   I-CONTACT
7712   I-CONTACT
Occupation   O
:   O
Cooks   O
,   O
Short   O
Order   O
Medical   O
Record   O
Number   O
:   O
38342047   B-ID
Date   O
of   O
Visit   O
:   O
17/35   B-DATE
Referring   O
Physician   O
:   O

Bradford   B-NAME
Gensler   I-NAME
Facility   O
:   O
Pleasant   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION

The   O
patient   O
,   O
Patch   B-NAME
,   O
presented   O
to   O
the   O
facility   O
on   O
27/32/2142   B-DATE
with   O
complaints   O
of   O
continuous   O
,   O
nagging   O
pain   O
located   O
in   O
the   O
lower   O
abdominal   O
quadrant   O
.   O

Lloyd   B-NAME
Axton   I-NAME
,   O
a   O
Infantry   O
by   O
profession   O
,   O
reported   O
that   O
the   O
pain   O
had   O
begun   O
approximately   O
32/25   B-DATE
ago   O
and   O
had   O
progressively   O
worsened   O
.   O

Silva   B-NAME
noted   O
an   O
increase   O
in   O
pain   O
intensity   O
after   O
meals   O
,   O
especially   O
after   O
consuming   O
fatty   O
foods   O
.   O

Additionally   O
,   O
Rivka   B-NAME
Janus   I-NAME
reported   O
experiencing   O
nausea   O
but   O
no   O
instances   O
of   O
vomiting   O
.   O

Bruce   B-NAME
Koontz   I-NAME
denied   O
any   O
recent   O
travels   O
outside   O
Thomson   B-LOCATION
or   O
any   O
contact   O
with   O
sick   O
individuals   O
.   O

Upon   O
examination   O
,   O
Jacoby   B-NAME
Hancock   I-NAME
exhibited   O
rebound   O
tenderness   O
during   O
the   O
physical   O
examination   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
potential   O
appendicitis   O
.   O

Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
an   O
inflammatory   O
marker   O
panel   O
were   O
ordered   O
by   O
Fisher   B-NAME
.   O

The   O
decision   O
was   O
made   O
by   O
Richard   B-NAME
Hardin   I-NAME
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
as   O
a   O
treatment   O
course   O
after   O
discussing   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
with   O
Hattie   B-NAME
.   O

The   O
surgical   O
procedure   O
was   O
scheduled   O
for   O
37/27   B-DATE
at   O
Fairview   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
.   O

Zoie   B-NAME
Galvan   I-NAME
was   O
informed   O
about   O
the   O
necessity   O
of   O
a   O
pre   O
-   O
operative   O
fasting   O
period   O
starting   O
at   O
midnight   O
prior   O
to   O
the   O
procedure   O
date   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
03/37   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
remove   O
sutures   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
Greystone   B-LOCATION
Park   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
at   O
749   B-CONTACT
-   I-CONTACT
6657   I-CONTACT
in   O
case   O
of   O
any   O
concerns   O
or   O
observe   O
any   O
symptoms   O
suggestive   O
of   O
an   O
infection   O
or   O
other   O
complications   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Jamari   B-NAME
Estrada   I-NAME
,   O
who   O
demonstrated   O
understanding   O
and   O
agreement   O
with   O
the   O
planned   O
surgical   O
intervention   O
and   O
follow   O
-   O
up   O
care   O
plan   O
.   O

The   O
patient   O
's   O
next   O
of   O
kin   O
,   O
listed   O
in   O
the   O
medical   O
record   O
as   O
IQ134   B-NAME
,   O
was   O
also   O
informed   O
of   O
the   O
procedure   O
details   O
for   O
additional   O
support   O
.   O

The   O
team   O
at   O
Clinch   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
remains   O
committed   O
to   O
providing   O
N.   B-NAME
levine   I-NAME
with   O
the   O
highest   O
standard   O
of   O
care   O
throughout   O
this   O
treatment   O
process   O
.   O

Patient   O
Report   O
for   O
Caliban   B-NAME
Jingst   I-NAME
23/22/89   B-DATE
,   O
Forty   B-LOCATION
Fort   I-LOCATION
Berger   B-NAME
reviewed   O
the   O
case   O
of   O
Null   B-NAME
,   O
a   O
93   O
-   O
year   O
-   O
old   O
Site   O
manager   O
who   O
presented   O
to   O
Lakewood   B-LOCATION
Ranch   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Taliyah   B-NAME
Hoffman   I-NAME
reported   O
the   O
pain   O
onset   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
,   O
noting   O
it   O
intensified   O
upon   O
movement   O
.   O

Upon   O
examination   O
,   O
Khairy   B-NAME
Levers   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
temperature   O
of   O
38.3   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
at   O
130/85   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
of   O
19   O
breaths   O
per   O
minute   O
.   O

Kendal   B-NAME
Wilcox   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
and   O
an   O
abdominal   O
ultrasound   O
to   O
confirm   O
the   O
diagnosis   O
.   O

The   O
ultrasound   O
performed   O
on   O
22/22   B-DATE
showed   O
a   O
swollen   O
appendix   O
with   O
fluid   O
collection   O
,   O
confirming   O
acute   O
appendicitis   O
.   O

Lucero   B-NAME
discussed   O
the   O
findings   O
with   O
Nicholas   B-NAME
Garrett   I-NAME
,   O
explaining   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Consent   O
for   O
surgery   O
was   O
obtained   O
on   O
2/91   B-DATE
,   O
and   O
the   O
procedure   O
was   O
scheduled   O
immediately   O
in   O
Campbellton   B-LOCATION
-   I-LOCATION
Graceville   I-LOCATION
Hospital   I-LOCATION
.   O

Surgery   O
Notes   O
:   O
02/22/20   B-DATE
-   O
Eden   B-NAME
Edwards   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
under   O
general   O
anesthesia   O
performed   O
by   O
Jonathan   B-NAME
Allen   I-NAME
.   O

Postoperative   O
Course   O
:   O
Iyana   B-NAME
Finley   I-NAME
had   O
an   O
uneventful   O
recovery   O
.   O

Talon   B-NAME
Figueroa   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
signs   O
of   O
potential   O
complications   O
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
8/24   B-DATE
with   O
Camellia   B-NAME
Gilden   I-NAME
in   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Rafael   I-LOCATION
.   O

Discharge   O
Summary   O
:   O
Bohr   B-NAME
,   I-NAME
Niels   I-NAME
was   O
discharged   O
on   O
Tuesday   B-DATE
with   O
prescriptions   O
for   O
oral   O
antibiotics   O
and   O
analgesics   O
.   O

For   O
any   O
inquiries   O
or   O
concerns   O
,   O
Rhianna   B-NAME
Quinn   I-NAME
was   O
instructed   O
to   O
contact   O
Elliot   B-LOCATION
Hospital   I-LOCATION
at   O
297   B-CONTACT
-   I-CONTACT
3097   I-CONTACT
.   O

This   O
report   O
is   O
stored   O
under   O
788   B-ID
-   I-ID
91   I-ID
-   I-ID
46   I-ID
number   O
IV235/3941   B-ID
and   O
should   O
be   O
accessed   O
only   O
by   O
authorized   O
personnel   O
.   O

S.   B-NAME
Quenton   I-NAME
Jolley   I-NAME
consented   O
to   O
the   O
usage   O
of   O
this   O
anonymized   O
data   O
for   O
medical   O
training   O
and   O
quality   O
improvement   O
activities   O
within   O
Entergy   B-LOCATION
Mississippi   I-LOCATION
.   O

Summary   O
prepared   O
by   O
:   O
Edwin   B-NAME
Spindrift   I-NAME
02/06   B-DATE
Osakis   B-LOCATION
-   O
39442   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kingsolver   B-NAME
,   I-NAME
Barbara   I-NAME
Age   O
:   O
57   O
Date   O
of   O
Birth   O
:   O
1795   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
17   I-DATE
Address   O
:   O
Midland   B-LOCATION
,   O
51346   B-LOCATION
Phone   O
:   O
39941   B-CONTACT
Occupation   O
:   O
Helpers   O
--   O
Pipelayers   O
,   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
Doctor   O
:   O
Maynard   B-NAME
Hospital   O
:   O
UAMS   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
22748586   B-ID
Admission   O
Date   O
:   O

Columbus   B-DATE
Day   I-DATE
ID   O
Number   O
:   O
WV   B-ID
:   I-ID
KA:6988   I-ID
Clinical   O
Summary   O
:   O
Ben   B-NAME
Moreno   I-NAME
,   O
a   O
Life   O
Scientists   O
,   O
All   O
Other   O
from   O
Pajaro   B-LOCATION
Dunes   I-LOCATION
,   O
presented   O
to   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Lincoln   I-LOCATION
on   O
16/23   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
last   O
48   O
hours   O
.   O

The   O
patient   O
described   O
the   O
pain   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
warranting   O
an   O
immediate   O
surgical   O
consult   O
per   O
Dixie   B-NAME
Salas   I-NAME
's   O
recommendation   O
.   O

Examination   O
and   O
Diagnosis   O
:   O
Upon   O
examination   O
,   O
Rosa   B-NAME
Campbell   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
pulse   O
at   O
102   O
beats   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
of   O
145/95   O
mmHg   O
.   O

Laboratory   O
tests   O
,   O
ordered   O
by   O
Esparza   B-NAME
,   O
revealed   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
indicating   O
a   O
possible   O
infection   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
at   O
427   B-LOCATION
West   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

in   O
Largo   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Black   B-NAME
,   O
Kate   B-NAME
Nilsson   I-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
00/33/2165   B-DATE
.   O

The   O
procedure   O
,   O
carried   O
out   O
in   O
Providence   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Everett   I-LOCATION
's   O
Operating   O
Room   O
GF504/6872   B-ID
,   O
was   O
successful   O
without   O
complications   O
.   O

Post   O
-   O
operatively   O
,   O
Salvador   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
advised   O
on   O
pain   O
management   O
strategies   O
.   O

Follow   O
-   O
Up   O
:   O
Haylie   B-NAME
Mullins   I-NAME
was   O
discharged   O
on   O
May   B-DATE
10   I-DATE
with   O
instructions   O
for   O
rest   O
,   O
hydration   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Edwards   B-NAME
for   O
02/19/61   B-DATE
at   O
Clark   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Williamson   B-NAME
,   I-NAME
Henry   I-NAME
was   O
also   O
provided   O
with   O
the   O
contact   O
number   O
381   B-CONTACT
8751   I-CONTACT
should   O
they   O
experience   O
any   O
concerning   O
symptoms   O
or   O
have   O
any   O
questions   O
regarding   O
their   O
recovery   O
process   O
.   O

Recommendations   O
:   O
It   O
is   O
recommended   O
that   O
Jayla   B-NAME
Villanueva   I-NAME
avoids   O
strenuous   O
activity   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
and   O
adheres   O
to   O
a   O
balanced   O
diet   O
to   O
promote   O
healing   O
.   O

Beard   B-NAME
is   O
encouraged   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
around   O
the   O
surgical   O
site   O
,   O
such   O
as   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
,   O
and   O
report   O
any   O
concerns   O
to   O
Methodist   B-LOCATION
Hospital   I-LOCATION
immediately   O
.   O

Conclusion   O
:   O
Cassie   B-NAME
Doyle   I-NAME
's   O
condition   O
has   O
been   O
successfully   O
managed   O
with   O
timely   O
surgical   O
intervention   O
and   O
appropriate   O
post   O
-   O
operative   O
care   O
.   O

Please   O
note   O
,   O
the   O
information   O
contained   O
in   O
this   O
report   O
is   O
confidential   O
and   O
intended   O
solely   O
for   O
the   O
use   O
of   O
Jace   B-NAME
and   O
authorized   O
medical   O
personnel   O
.   O

Prepared   O
by   O
:   O
wmj875   B-NAME
,   O
Bioinformatics   O
Scientists   O
at   O
International   B-LOCATION
Red   I-LOCATION
Cross   I-LOCATION
and   I-LOCATION
Red   I-LOCATION
Crescent   I-LOCATION
Movement   I-LOCATION
0/00   B-DATE

Patient   O
Name   O
:   O
Ed   B-NAME
Helms   I-NAME
Age   O
:   O
92   O
Date   O
of   O
Birth   O
:   O
2063   B-DATE
Gender   O
:   O
Female   O
Address   O
:   O
Le   B-LOCATION
Raysville   I-LOCATION
,   O
24532   B-LOCATION
Phone   O
Number   O
:   O
55699   B-CONTACT
Employer   O
:   O
Retired   B-LOCATION
Enlisted   I-LOCATION
Association   I-LOCATION
Occupation   O
:   O

Preventive   O
Medicine   O
Physicians   O
Physician   O
:   O
Medina   B-NAME
Hospital   O
:   O
Twin   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
Medical   O
Record   O
Number   O
:   O
174   B-ID
-   I-ID
85   I-ID
-   I-ID
59   I-ID
-   I-ID
5   I-ID
Insurance   O
ID   O
:   O
9   B-ID
-   I-ID
8895956   I-ID
*   O
*   O
Medical   O
History   O
and   O
Presenting   O
Complaint   O
:*   O
*   O
Michaela   B-NAME
Osborn   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Naval   B-LOCATION
Hospital   I-LOCATION
Bremerton   I-LOCATION
on   O
12/32   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
predominately   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Hathaway   B-NAME
,   I-NAME
Sybil   I-NAME
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
Halloween   B-DATE
.   O

Upon   O
examination   O
,   O
Degas   B-NAME
,   I-NAME
Edgar   I-NAME
,   O
aged   O
27   O
,   O
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Fuller   B-NAME
advised   O
immediate   O
surgical   O
intervention   O
.   O

Sebastian   B-NAME
Villarreal   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
on   O
2/28   B-DATE
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
at   O
Rehoboth   B-LOCATION
McKinley   I-LOCATION
Christian   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Services   I-LOCATION
without   O
any   O
complications   O
.   O

Tuibua   B-NAME
,   I-NAME
Esala   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
pre   O
-   O
operatively   O
and   O
was   O
continued   O
post   O
-   O
operatively   O
.   O

*   O
*   O
Postoperative   O
Course   O
:*   O
*   O
Calderon   B-NAME
responded   O
well   O
to   O
the   O
surgery   O
and   O
antibiotics   O
.   O

The   O
postoperative   O
period   O
was   O
uneventful   O
,   O
and   O
the   O
patient   O
was   O
discharged   O
on   O
02/02   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
in   O
one   O
week   O
with   O
Allison   B-NAME
at   O
Norton   B-LOCATION
Audubon   I-LOCATION
Hospital   I-LOCATION
.   O

*   O
*   O
Follow   O
-   O
up   O
and   O
Recommendations   O
:*   O
*   O
Gabrielle   B-NAME
King   I-NAME
is   O
advised   O
to   O
follow   O
a   O
balanced   O
diet   O
,   O
avoid   O
strenuous   O
activity   O
for   O
at   O
least   O
two   O
weeks   O
,   O
and   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2/22   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
discuss   O
further   O
management   O
if   O
necessary   O
.   O

Any   O
inquiries   O
regarding   O
Amos   B-NAME
Weatherby   I-NAME
's   O
medical   O
information   O
should   O
be   O
directed   O
to   O
Martin   B-NAME
's   O
office   O
through   O
the   O
contact   O
number   O
(   B-CONTACT
130   I-CONTACT
)   I-CONTACT
705   I-CONTACT
7659   I-CONTACT
.   O

For   O
issues   O
related   O
to   O
billing   O
and   O
insurance   O
,   O
please   O
contact   O
the   O
billing   O
department   O
of   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Philadelphia   I-LOCATION
at   O
33830   B-CONTACT
.   O

This   O
medical   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Leonidas   B-NAME
Galvan   I-NAME
and   O
her   O
designated   O
healthcare   O
providers   O
.   O

Patient   O
Name   O
:   O
Gabrielle   B-NAME
Valdez   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
1373614   I-ID
Medical   O
Record   O
Number   O
:   O
33277210   B-ID
Date   O
of   O
Birth   O
:   O
1956   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
12   I-DATE
Age   O
:   O
0   O
Address   O
:   O
Chilili   B-LOCATION
,   O
31594   B-LOCATION
Phone   O
Number   O
:   O
77484   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Clare   B-NAME
Avila   I-NAME
Employer   O
:   O
The   B-LOCATION
Cowlitz   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Investment   O
Fund   O
Managers   O
Admission   O
Date   O
:   O
27/12/2142   B-DATE
Admitting   O
Hospital   O
:   O
Providence   B-LOCATION
Holy   I-LOCATION
Cross   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Burnett   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
07/11/71   B-DATE
with   O
complaints   O
of   O
severe   O
acute   O
lower   O
abdominal   O
pain   O
,   O
exacerbated   O
by   O
movement   O
and   O
not   O
relieved   O
by   O
over   O
-   O
the   O
-   O
counter   O
medications   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
-   O
Type   O
2   O
diabetes   O
mellitus   O
-   O
Prior   O
appendectomy   O
31/22/2272   B-DATE
Medications   O
:   O
-   O
Metformin   O
-   O
Lisinopril   O
Allergies   O
:   O
No   O
known   O
drug   O
allergies   O
Physical   O
Examination   O
:   O

On   O
examination   O
,   O
Adelaide   B-NAME
Carpenter   I-NAME
appeared   O
uncomfortable   O
and   O
restless   O
,   O
temperature   O
was   O
noted   O
to   O
be   O
38.2   O
C   O
,   O
heart   O
rate   O
100   O
bpm   O
,   O
blood   O
pressure   O
140/90   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
18   O
breaths   O
per   O
minute   O
.   O

Management   O
:   O
Ellison   B-NAME
,   I-NAME
Harlan   I-NAME
was   O
admitted   O
to   O
Norwegian   B-LOCATION
American   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Walker   B-NAME
for   O
suspected   O
acute   O
appendicitis   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
diagnostic   O
laparoscopy   O
on   O
12/34/89   B-DATE
to   O
confirm   O
the   O
diagnosis   O
and   O
potentially   O
provide   O
treatment   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Dawne   B-NAME
Mcmains   I-NAME
was   O
discharged   O
on   O
1980   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
23   I-DATE
with   O
instructions   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
at   O
the   O
outpatient   O
clinic   O
of   O
LewisGale   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Instructions   O
for   O
Care   O
at   O
Home   O
:   O
Riggs   B-NAME
was   O
advised   O
to   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
antibiotic   O
regimen   O
,   O
complete   O
the   O
course   O
of   O
pain   O
management   O
medications   O
as   O
needed   O
,   O
and   O
gradually   O
resume   O
normal   O
activities   O
as   O
tolerated   O
.   O

Contact   O
Information   O
:   O
Should   O
any   O
questions   O
or   O
concerns   O
arise   O
,   O
Maria   B-NAME
Casey   I-NAME
was   O
instructed   O
to   O
contact   O
the   O
office   O
of   O
Timothy   B-NAME
Flyte   I-NAME
at   O
55015   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
Providence   B-LOCATION
St.   I-LOCATION
Peter   I-LOCATION
Hospital   I-LOCATION
immediately   O
.   O

Patient   O
Name   O
:   O
Irineo   B-NAME
Tovar   I-NAME
Patient   O
ID   O
:   O
136434   B-ID
Medical   O
Record   O
Number   O
:   O
09525411   B-ID
Date   O
of   O
Birth   O
:   O
December   B-DATE
31   I-DATE
,   I-DATE
2292   I-DATE
Age   O
:   O
96   O
Phone   O
Number   O
:   O
993   B-CONTACT
-   I-CONTACT
6997   I-CONTACT
Address   O
:   O
Woodbury   B-LOCATION
,   O
20094   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Page   B-NAME
,   I-NAME
Larry   I-NAME
Attending   O
Hospital   O
:   O
Southern   B-LOCATION
Virginia   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
Constantine   B-NAME
II   I-NAME
Aipopo   I-NAME
,   O
a   O
Psychiatrists   O
from   O
Galateo   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Medical   B-LOCATION
City   I-LOCATION
Frisco   I-LOCATION
on   O
2/22   B-DATE
,   O
complaining   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
,   O
which   O
had   O
been   O
escalating   O
over   O
the   O
past   O
48   O
hours   O
.   O

Stanton   B-NAME
,   I-NAME
Elizabeth   I-NAME
Cady   I-NAME
denied   O
any   O
recent   O
travels   O
,   O
dietary   O
changes   O
,   O
or   O
similar   O
past   O
episodes   O
.   O

Clinical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kang   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
temperature   O
37.2   O
°   O
C   O
,   O
heart   O
rate   O
88   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
16   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
130/85   O
mmHg   O
.   O

Craig   B-NAME
Solis   I-NAME
exhibited   O
no   O
signs   O
of   O
jaundice   O
,   O
palmar   O
erythema   O
,   O
or   O
spider   O
angiomas   O
.   O

Diagnostic   O
Tests   O
:   O
Complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
serum   O
electrolytes   O
,   O
renal   O
function   O
tests   O
,   O
and   O
liver   O
function   O
tests   O
were   O
ordered   O
by   O
Curry   B-NAME
.   O

Wyatt   B-NAME
Threet   I-NAME
was   O
made   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
,   O
and   O
intravenous   O
fluids   O
were   O
initiated   O
.   O

Following   O
the   O
diagnosis   O
,   O
Celeste   B-NAME
Reilly   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
3/07   B-DATE
.   O

Lera   B-NAME
's   O
post   O
-   O
operative   O
recovery   O
has   O
been   O
smooth   O
,   O
with   O
significant   O
improvement   O
in   O
symptoms   O
.   O

They   O
were   O
discharged   O
on   O
12/22/2351   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Meyer   B-NAME
in   O
two   O
weeks   O
at   O
Ascension   B-LOCATION
St   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
billing   O
information   O
was   O
forwarded   O
to   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Operating   I-LOCATION
Engineers   I-LOCATION
for   O
processing   O
.   O

Arthur   B-NAME
Komer   I-NAME
was   O
informed   O
of   O
the   O
potential   O
expenses   O
and   O
the   O
process   O
of   O
submitting   O
claims   O
to   O
their   O
insurance   O
provider   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
follow   O
-   O
up   O
information   O
,   O
Van   B-NAME
Gogh   I-NAME
,   I-NAME
Vincent   I-NAME
or   O
their   O
representative   O
can   O
contact   O
the   O
medical   O
services   O
department   O
at   O
808   B-CONTACT
148   I-CONTACT
7079   I-CONTACT
,   O
located   O
at   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
Wilkes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

All   O
correspondence   O
should   O
refer   O
to   O
the   O
Medical   O
Record   O
Number   O
:   O
2736732   B-ID
.   O

All   O
personal   O
health   O
information   O
included   O
in   O
this   O
report   O
has   O
been   O
handled   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
and   O
institutional   O
policies   O
to   O
protect   O
Sutherland   B-NAME
,   I-NAME
Kiefer   I-NAME
's   O
privacy   O
and   O
confidentiality   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
852   B-ID
-   I-ID
35   I-ID
-   I-ID
81   I-ID
Name   O
:   O
Chasity   B-NAME
Tate   I-NAME
Age   O
:   O
72   O
Date   O
of   O
Birth   O
:   O
06/08/1879   B-DATE
Address   O
:   O
Comunas   B-LOCATION
,   O
54654   B-LOCATION
Phone   O
Number   O
:   O
51774   B-CONTACT
Occupation   O
:   O

Special   O
Education   O
Teachers   O
,   O
Middle   O
School   O
Admitting   O
Physician   O
:   O
Aydan   B-NAME
Hurley   I-NAME
Date   O
of   O
Admission   O
:   O
03/27   B-DATE
Hospital   O
:   O

AdventHealth   B-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
Medical   O
History   O
:   O
Myles   B-NAME
Powers   I-NAME
,   O
a   O
0   O
week   O
-   O
year   O
-   O
old   O
Operations   O
Research   O
Analysts   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Southside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/03/2095   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Frank   B-NAME
Campion   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Neven   B-NAME
Bell   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
moderate   O
distress   O
.   O

Following   O
evaluation   O
by   O
Hailey   B-NAME
Davenport   I-NAME
and   O
confirmation   O
of   O
acute   O
appendicitis   O
via   O
imaging   O
,   O
a   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

Lesly   B-NAME
Mora   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
.   O

Consent   O
for   O
surgery   O
was   O
obtained   O
on   O
November   B-DATE
2242   I-DATE
.   O

The   O
operation   O
proceeded   O
without   O
complications   O
,   O
and   O
Kelis   B-NAME
was   O
observed   O
to   O
have   O
an   O
inflamed   O
appendix   O
,   O
which   O
was   O
successfully   O
removed   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Najimy   B-NAME
,   I-NAME
Kathy   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
.   O

Isaac   B-NAME
Upson   I-NAME
demonstrated   O
good   O
recovery   O
and   O
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
including   O
activity   O
restriction   O
and   O
wound   O
care   O
before   O
being   O
discharged   O
on   O
10/12/90   B-DATE
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Elias   B-NAME
Hancock   I-NAME
in   O
two   O
weeks   O
at   O
BronxCare   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
to   O
assess   O
recovery   O
progress   O
and   O
manage   O
any   O
potential   O
complications   O
.   O

Instructions   O
upon   O
Discharge   O
:   O
VELASQUEZ   B-NAME
,   I-NAME
WALTER   I-NAME
was   O
instructed   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
such   O
as   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

Thomas   B-NAME
Iyer   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
diet   O
low   O
in   O
fiber   O
initially   O
,   O
gradually   O
reintroducing   O
normal   O
diet   O
as   O
tolerated   O
over   O
the   O
next   O
few   O
weeks   O
.   O

Analgesics   O
were   O
prescribed   O
for   O
pain   O
management   O
,   O
and   O
Dalton   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
2   O
-   O
4   O
weeks   O
.   O

For   O
any   O
concerns   O
or   O
emergencies   O
,   O
Ronni   B-NAME
Digrazia   I-NAME
was   O
provided   O
the   O
contact   O
number   O
of   O
New   B-LOCATION
Lifecare   I-LOCATION
Hospitals   I-LOCATION
of   I-LOCATION
PGH   I-LOCATION
-   I-LOCATION
Alle   I-LOCATION
-   I-LOCATION
Kiski   I-LOCATION
's   O
surgical   O
department   O
at   O
42922   B-CONTACT
.   O

Bangs   B-NAME
,   I-NAME
Lester   I-NAME
Date   O
:   O
September   B-DATE
2152   I-DATE
Emergency   O
Contact   O
:   O
Name   O
:   O
Cristal   B-NAME
Freeman   I-NAME
's   O
Medical   O
Assistants   O
at   O
Community   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Sarasota   I-LOCATION
County   I-LOCATION
Phone   O
Number   O
:   O
29236   B-CONTACT
This   O
report   O
was   O
prepared   O
by   O
rm541   B-NAME
and   O
contains   O
no   O
personal   O
health   O
information   O
other   O
than   O
what   O
is   O
necessary   O
for   O
medical   O
and   O
care   O
purposes   O
as   O
outlined   O
above   O
.   O

Patient   O
Name   O
:   O
Davin   B-NAME
Carrillo   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
6190351   I-ID
Address   O
:   O
No   B-LOCATION
Name   I-LOCATION
,   O
43937   B-LOCATION
Date   O
of   O
Birth   O
:   O
21/07   B-DATE
Age   O
:   O
76   O
Phone   O
Number   O
:   O
(   B-CONTACT
173   I-CONTACT
)   I-CONTACT
620   I-CONTACT
9752   I-CONTACT
Occupation   O
:   O
Construction   O
Carpenters   O
Primary   O
Physician   O
:   O

Dr.   O
Jaiden   B-NAME
Jensen   I-NAME
Medical   O
Record   O
Number   O
:   O
106   B-ID
29   I-ID
62   I-ID
Admitting   O
Hospital   O
:   O
BANNER   B-LOCATION
GATEWAY   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
Date   O
of   O
Admission   O
:   O
1792   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
Username   O
for   O
Hospital   O
Wi   O
-   O
Fi   O
:   O
rx71   B-NAME
Chief   O
Complaint   O
:   O
Gregory   B-NAME
Mcguire   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Magnolia   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
2093s   B-DATE
with   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
jaw   O
,   O
onset   O
approximately   O
2   O
hours   O
before   O
presentation   O
.   O

Thurman   B-NAME
Keyes   I-NAME
described   O
the   O
pain   O
as   O
"   O
squeezing   O
"   O
in   O
nature   O
and   O
rated   O
it   O
9   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Isaiah   B-NAME
Shaffer   I-NAME
also   O
complained   O
of   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
a   O
feeling   O
of   O
impending   O
doom   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lincoln   B-NAME
Landry   I-NAME
,   O
a   O
32   O
-   O
year   O
-   O
old   O
Forest   O
Fire   O
Fighters   O
,   O
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
high   O
cholesterol   O
.   O

Jaylen   B-NAME
Medina   I-NAME
reports   O
compliance   O
with   O
medication   O
but   O
admits   O
to   O
occasional   O
tobacco   O
use   O
and   O
a   O
diet   O
high   O
in   O
saturated   O
fats   O
.   O

Anabelle   B-NAME
Jacobson   I-NAME
denies   O
any   O
prior   O
history   O
of   O
cardiac   O
events   O
but   O
mentions   O
that   O
"   O
I   O
've   O
never   O
felt   O
pain   O
like   O
this   O
before   O
.   O
"   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
diagnosed   O
in   O
06/31   B-DATE
-   O
Hypercholesterolemia   O
diagnosed   O
in   O
3/2247   B-DATE
-   O
No   O
known   O
drug   O
allergies   O
-   O
No   O
surgical   O
history   O
Family   O
History   O
:   O
Jerry   B-NAME
Holden   I-NAME
reports   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
,   O
with   O
a   O
father   O
who   O
underwent   O
coronary   O
artery   O
bypass   O
grafting   O
at   O
the   O
age   O
of   O
77   O
and   O
a   O
mother   O
diagnosed   O
with   O
hypertension   O
.   O

Social   O
History   O
:   O
Walter   B-NAME
Patton   I-NAME
is   O
a   O
Sculptors   O
living   O
in   O
Blennerhassett   B-LOCATION
.   O

Holder   B-NAME
admits   O
to   O
smoking   O
approximately   O
a   O
pack   O
of   O
cigarettes   O
a   O
week   O
and   O
consuming   O
alcohol   O
socially   O
.   O

Diane   B-NAME
Erskin   I-NAME
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Mcdonald   B-NAME
appeared   O
anxious   O
and   O
diaphoretic   O
.   O
-   O
Cardiovascular   O
:   O
Tachycardia   O
noted   O
with   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
.   O

Plan   O
:   O
-   O
Sosa   B-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
beta   O
-   O
blockers   O
as   O
part   O
of   O
acute   O
coronary   O
syndrome   O
management   O
protocol   O
.   O
-   O
Cardiology   O
consult   O
requested   O
.   O

-   O
Harold   B-NAME
Nutter   I-NAME
is   O
scheduled   O
for   O
an   O
urgent   O
cardiac   O
catheterization   O
to   O
assess   O
coronary   O
artery   O
patency   O
.   O

Day   B-NAME
and   O
the   O
cardiac   O
care   O
team   O
at   O
Concord   B-LOCATION
Hospital   I-LOCATION
will   O
continue   O
to   O
monitor   O
UNKNOWN   B-NAME
Y.   I-NAME
PARRA   I-NAME
's   O
condition   O
closely   O
and   O
provide   O
updates   O
on   O
progress   O
and   O
treatment   O
plans   O
.   O

The   O
patient   O
,   O
Jorryn   B-NAME
,   O
a   O
89   O
-   O
year   O
-   O
old   O
Health   O
and   O
Safety   O
Engineers   O
,   O
Except   O
Mining   O
Safety   O
Engineers   O
and   O
Inspectors   O
from   O
Beluga   B-LOCATION
,   O
presented   O
to   O
OhioHealth   B-LOCATION
Grady   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
31/12/2295   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
sharp   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
have   O
intensified   O
over   O
the   O
past   O
30/13   B-DATE
.   O

The   O
patient   O
reported   O
the   O
onset   O
of   O
these   O
symptoms   O
approximately   O
21/06   B-DATE
prior   O
to   O
admission   O
.   O

The   O
detailed   O
history   O
provided   O
by   O
Iyana   B-NAME
Finley   I-NAME
also   O
included   O
significant   O
weight   O
loss   O
over   O
the   O
past   O
28/23   B-DATE
and   O
worsening   O
jaundice   O
.   O

Huffman   B-NAME
has   O
a   O
medical   O
record   O
number   O
576   B-ID
-   I-ID
04   I-ID
-   I-ID
64   I-ID
-   I-ID
1   I-ID
and   O
was   O
referred   O
to   O
Dr.   O
Bruce   B-NAME
for   O
further   O
evaluation   O
.   O

Upon   O
examination   O
,   O
Jan   B-NAME
Bradford   I-NAME
noted   O
the   O
presence   O
of   O
visible   O
jaundice   O
,   O
a   O
palpable   O
mass   O
in   O
the   O
upper   O
abdomen   O
,   O
and   O
Murphy   O
’s   O
sign   O
was   O
negative   O
.   O

An   O
abdominal   O
ultrasound   O
followed   O
by   O
an   O
MRI   O
,   O
conducted   O
on   O
13/20   B-DATE
at   O
Leavittsburg   B-LOCATION
,   O
confirmed   O
the   O
presence   O
of   O
a   O
mass   O
at   O
the   O
head   O
of   O
the   O
pancreas   O
,   O
suggestive   O
of   O
pancreatic   O
carcinoma   O
.   O

A   O
comprehensive   O
management   O
plan   O
was   O
formulated   O
by   O
May   B-NAME
Schneck   I-NAME
in   O
consultation   O
with   O
the   O
oncology   O
team   O
at   O
Ascension   B-LOCATION
St   I-LOCATION
Michael   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
.   O

It   O
was   O
decided   O
that   O
Norris   B-NAME
would   O
undergo   O
a   O
Whipple   O
procedure   O
,   O
scheduled   O
for   O
2231   B-DATE
.   O

The   O
patient   O
was   O
informed   O
about   O
the   O
diagnosis   O
,   O
the   O
proposed   O
surgical   O
procedure   O
,   O
its   O
risks   O
,   O
benefits   O
,   O
and   O
potential   O
complications   O
via   O
a   O
phone   O
call   O
on   O
(   B-CONTACT
591   I-CONTACT
)   I-CONTACT
653   I-CONTACT
-   I-CONTACT
1498   I-CONTACT
.   O

Written   O
informed   O
consent   O
was   O
obtained   O
on   O
12/22   B-DATE
.   O

Postoperative   O
care   O
was   O
discussed   O
with   O
Ferreiro   B-NAME
,   O
focusing   O
on   O
the   O
importance   O
of   O
follow   O
-   O
up   O
appointments   O
,   O
adherence   O
to   O
prescribed   O
medication   O
,   O
and   O
dietary   O
modifications   O
.   O

Stuart   B-NAME
Price   I-NAME
was   O
provided   O
with   O
educational   O
materials   O
about   O
the   O
surgery   O
and   O
recovering   O
from   O
a   O
Whipple   O
procedure   O
before   O
being   O
discharged   O
to   O
home   O
care   O
,   O
along   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
11/29/2260   B-DATE
.   O

The   O
care   O
coordination   O
team   O
at   O
Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
was   O
notified   O
about   O
Ayanna   B-NAME
Henson   I-NAME
's   O
case   O
to   O
ensure   O
a   O
smooth   O
transition   O
and   O
ongoing   O
support   O
.   O

His   O
discharge   O
summary   O
,   O
including   O
the   O
surgery   O
report   O
,   O
postoperative   O
care   O
plan   O
,   O
and   O
follow   O
-   O
up   O
schedule   O
,   O
were   O
securely   O
sent   O
to   O
Pablo   B-NAME
Y.   I-NAME
Mendez   I-NAME
's   O
primary   O
care   O
physician   O
via   O
email   O
(   O
dn353   B-NAME
@   O
RLI   B-LOCATION
Corp   I-LOCATION
.   I-LOCATION
.   O
com   O
)   O
on   O
June   B-DATE
.   O

For   O
any   O
further   O
queries   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Chambers   B-NAME
,   I-NAME
Oswald   I-NAME
was   O
advised   O
to   O
contact   O
Yavapai   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
East   I-LOCATION
through   O
the   O
provided   O
contact   O
number   O
81308   B-CONTACT
.   O

Gillian   B-NAME
King   I-NAME
's   O
case   O
highlights   O
the   O
importance   O
of   O
timely   O
medical   O
intervention   O
and   O
the   O
complexities   O
involved   O
in   O
diagnosing   O
and   O
managing   O
conditions   O
like   O
pancreatic   O
cancer   O
.   O

The   O
patient   O
's   O
ID   O
number   O
for   O
this   O
hospital   O
visit   O
was   O
MD:2491:314271   B-ID
,   O
and   O
the   O
ZIP   O
code   O
for   O
the   O
hospital   O
location   O
is   O
80856   B-LOCATION
.   O

The   O
patient   O
,   O
referred   O
to   O
here   O
as   O
Rose   B-NAME
,   O
a   O
3   O
-   O
year   O
-   O
old   O
Sheriffs   O
and   O
Deputy   O
Sheriffs   O
living   O
in   O
Yorkshire   B-LOCATION
,   O
presented   O
to   O
North   B-LOCATION
Star   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
lower   O
back   O
pain   O
,   O
radiating   O
down   O
the   O
left   O
leg   O
,   O
notable   O
for   O
the   O
past   O
month   O
.   O

The   O
severity   O
of   O
the   O
pain   O
has   O
been   O
progressively   O
increasing   O
,   O
significantly   O
impairing   O
Jenell   B-NAME
's   O
ability   O
to   O
perform   O
daily   O
activities   O
and   O
hindering   O
performance   O
at   O
work   O
.   O

During   O
the   O
initial   O
assessment   O
,   O
Joubert   B-NAME
,   I-NAME
Joseph   I-NAME
reported   O
an   O
onset   O
of   O
symptoms   O
following   O
a   O
minor   O
fall   O
at   O
work   O
approximately   O
six   O
weeks   O
ago   O
.   O

Despite   O
the   O
absence   O
of   O
immediate   O
discomfort   O
post   O
-   O
incident   O
,   O
Bombay   B-NAME
mentioned   O
that   O
the   O
pain   O
initiated   O
subtly   O
and   O
exacerbated   O
over   O
time   O
.   O

Keyla   B-NAME
Wu   I-NAME
denies   O
any   O
previous   O
history   O
of   O
similar   O
symptoms   O
or   O
chronic   O
conditions   O
that   O
could   O
contribute   O
to   O
the   O
current   O
presentation   O
.   O

Upon   O
physical   O
examination   O
,   O
Karen   B-NAME
Thorpe   I-NAME
noted   O
a   O
positive   O
straight   O
leg   O
raise   O
test   O
on   O
the   O
left   O
side   O
,   O
with   O
pain   O
reported   O
at   O
an   O
angle   O
of   O
30   O
degrees   O
,   O
suggestive   O
of   O
lumbar   O
radiculopathy   O
.   O

Giuliana   B-NAME
Rios   I-NAME
's   O
medical   O
history   O
,   O
fetched   O
from   O
their   O
electronic   O
health   O
record   O
with   O
7869590   B-ID
,   O
was   O
reviewed   O
for   O
potential   O
contributory   O
factors   O
and   O
previous   O
interventions   O
.   O

Atwood   B-NAME
has   O
not   O
been   O
on   O
any   O
long   O
-   O
term   O
medications   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

In   O
light   O
of   O
the   O
findings   O
,   O
Jennefer   B-NAME
Outten   I-NAME
recommended   O
starting   O
a   O
conservative   O
treatment   O
plan   O
,   O
including   O
physical   O
therapy   O
and   O
short   O
-   O
term   O
use   O
of   O
non   O
-   O
steroidal   O
anti   O
-   O
inflammatory   O
drugs   O
(   O
NSAIDs   O
)   O
to   O
manage   O
pain   O
and   O
inflammation   O
.   O

Solomon   B-NAME
was   O
also   O
advised   O
to   O
limit   O
activities   O
that   O
exacerbate   O
symptoms   O
and   O
consider   O
ergonomic   O
adjustments   O
in   O
the   O
workplace   O
to   O
reduce   O
strain   O
on   O
the   O
lumbar   O
spine   O
.   O

Jones   B-NAME
,   I-NAME
Norah   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
10/01   B-DATE
weeks   O
to   O
assess   O
response   O
to   O
treatment   O
and   O
plan   O
further   O
management   O
if   O
necessary   O
.   O

The   O
office   O
of   O
Mabuse   B-NAME
can   O
be   O
reached   O
at   O
549   B-CONTACT
-   I-CONTACT
9484   I-CONTACT
for   O
any   O
questions   O
or   O
to   O
report   O
changes   O
in   O
symptoms   O
.   O

Arjun   B-NAME
Moss   I-NAME
was   O
educated   O
about   O
the   O
potential   O
need   O
for   O
surgical   O
intervention   O
if   O
conservative   O
measures   O
fail   O
to   O
produce   O
adequate   O
symptom   O
relief   O
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Mack   B-NAME
-   O
Age   O
:   O
14   O
-   O
Medical   O
Record   O
Number   O
:   O
61437185   B-ID
-   O
ID   O
:   O
3831552   B-ID
-   O
Address   O
:   O
Milpitas   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
95035   I-LOCATION
,   O
90667   B-LOCATION
-   O
Telephone   O
:   O
51073   B-CONTACT
-   O
Attending   O
Physician   O
:   O

Dunst   B-NAME
,   I-NAME
Kirsten   I-NAME
-   O
Admission   O
Date   O
:   O
22/00   B-DATE
-   O
Location   O
of   O
Care   O
:   O
Saint   B-LOCATION
Elizabeth   I-LOCATION
Fort   I-LOCATION
Thomas   I-LOCATION
Clinical   O
Summary   O
:   O
Koleyna   B-NAME
,   O
a   O
Commercial   O
/   O
residential   O
/   O
rural   O
surveyor   O
from   O
Salladasburg   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
CoxHealth   B-LOCATION
on   O
2040   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
12   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
that   O
had   O
been   O
increasing   O
in   O
intensity   O
over   O
the   O
past   O
48   O
hours   O
.   O

Chevalier   B-NAME
,   I-NAME
Maurice   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
but   O
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
previous   O
episodes   O
.   O

Upon   O
examination   O
,   O
Gillian   B-NAME
King   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Ayana   B-NAME
Hendricks   I-NAME
's   O
past   O
medical   O
history   O
,   O
obtained   O
from   O
the   O
electronic   O
health   O
record   O
(   O
897   B-ID
-   I-ID
61   I-ID
-   I-ID
06   I-ID
-   I-ID
9   I-ID
)   O
,   O
was   O
significant   O
for   O
controlled   O
type   O
2   O
diabetes   O
and   O
hypertension   O
.   O

Katlyn   B-NAME
Osorio   I-NAME
's   O
medication   O
regimen   O
includes   O
metformin   O
and   O
lisinopril   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Trenton   B-NAME
Proctor   I-NAME
,   O
was   O
consulted   O
and   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
performed   O
successfully   O
on   O
3/2   B-DATE
without   O
complications   O
.   O

Russell   B-NAME
Deramo   I-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
and   O
was   O
discharged   O
on   O
02/22   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Peter   B-NAME
Tucker   I-NAME
in   O
two   O
weeks   O
at   O
McLeod   B-LOCATION
Health   I-LOCATION
Cheraw   I-LOCATION
.   O
Conclusion   O
:   O
Da'nailed   B-NAME
Lyme   I-NAME
,   O
23   O
,   O
underwent   O
successful   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
at   O
Jefferson   B-LOCATION
Torresdale   I-LOCATION
under   O
the   O
care   O
of   O
Donald   B-NAME
Bean   I-NAME
.   O

Quam   B-NAME
is   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
and   O
to   O
adhere   O
to   O
the   O
post   O
-   O
operative   O
care   O
plan   O
.   O

Instructions   O
for   O
Ashly   B-NAME
Hodges   I-NAME
:   O
-   O
Monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

-   O
Slowly   O
resume   O
normal   O
activities   O
as   O
advised   O
by   O
Holden   B-NAME
Austin   I-NAME
.   O

For   O
any   O
concerns   O
or   O
symptoms   O
,   O
contact   O
Guthrie   B-LOCATION
Towanda   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
891   B-CONTACT
-   I-CONTACT
2951   I-CONTACT
.   O

Patient   O
Name   O
:   O
Flowers   B-NAME
Patient   O
ID   O
:   O
IJ   B-ID
:   I-ID
BW:8987   I-ID
Medical   O
Record   O
Number   O
:   O
69582766   B-ID
Date   O
of   O
Birth   O
:   O
02/22   B-DATE
Age   O
:   O
54   O
Phone   O
Number   O
:   O
(   B-CONTACT
669   I-CONTACT
)   I-CONTACT
421   I-CONTACT
6518   I-CONTACT
Address   O
:   O
Eagle   B-LOCATION
Nest   I-LOCATION
,   O
82297   B-LOCATION
Occupation   O
:   O

Emergency   O
Management   O
Directors   O
Chief   O
Complaint   O
:   O
Malaki   B-NAME
Miranda   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Virginia   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
2192   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
which   O
have   O
persisted   O
for   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Vidal   B-NAME
,   I-NAME
Gore   I-NAME
,   O
a   O
66   O
-   O
year   O
-   O
old   O
artist   O
residing   O
in   O
8255   B-LOCATION
Stillwater   I-LOCATION
Street   I-LOCATION
,   O
described   O
the   O
pain   O
as   O
sudden   O
in   O
onset   O
,   O
sharp   O
,   O
and   O
persistent   O
,   O
rating   O
it   O
an   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Eldridge   B-NAME
denied   O
any   O
fever   O
,   O
change   O
in   O
bowel   O
habits   O
,   O
or   O
similar   O
past   O
episodes   O
.   O

Lavern   B-NAME
Eargle   I-NAME
has   O
not   O
taken   O
any   O
medications   O
for   O
the   O
pain   O
before   O
presenting   O
to   O
the   O
hospital   O
.   O

Past   O
Medical   O
History   O
:   O
Kelsey   B-NAME
Harrison   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medications   O
prescribed   O
by   O
Madelyn   B-NAME
Kane   I-NAME
from   O
The   B-LOCATION
Regence   I-LOCATION
Group   I-LOCATION
.   O

Marcelle   B-NAME
Zarrella   I-NAME
denies   O
any   O
history   O
of   O
surgeries   O
or   O
hospitalizations   O
.   O

Upon   O
examination   O
in   O
Navarro   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
Ebert   B-NAME
,   I-NAME
Roger   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Laboratory   O
Tests   O
:   O
Comprehensive   O
blood   O
work   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
and   O
amylase   O
and   O
lipase   O
levels   O
were   O
ordered   O
by   O
Faulkner   B-NAME
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
differential   O
diagnosis   O
for   O
Isaac   B-NAME
Barr   I-NAME
's   O
symptoms   O
includes   O
acute   O
pancreatitis   O
,   O
cholecystitis   O
,   O
and   O
peptic   O
ulcer   O
disease   O
.   O

The   O
emergency   O
department   O
team   O
,   O
led   O
by   O
Fields   B-NAME
,   O
initiated   O
fluid   O
resuscitation   O
,   O
pain   O
management   O
with   O
IV   O
analgesics   O
,   O
and   O
prohibited   O
oral   O
intake   O
as   O
initial   O
management   O
.   O

Amory   B-NAME
was   O
advised   O
for   O
hospital   O
admission   O
for   O
further   O
observation   O
and   O
management   O
pending   O
laboratory   O
and   O
imaging   O
results   O
.   O

Patient   O
and   O
family   O
(   O
contact   O
number   O
:   O
(   B-CONTACT
874   I-CONTACT
)   I-CONTACT
859   I-CONTACT
-   I-CONTACT
8982   I-CONTACT
)   O
were   O
explained   O
the   O
possible   O
diagnoses   O
and   O
the   O
need   O
for   O
further   O
evaluation   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
566   B-CONTACT
-   I-CONTACT
5482   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
document   O
.   O

Prepared   O
by   O
:   O
bv517   B-NAME
2241   B-DATE

The   O
patient   O
,   O
Mitchell   B-NAME
Conner   I-NAME
,   O
a   O
93   O
-   O
year   O
-   O
old   O
Motorboat   O
Operators   O
from   O
Manns   B-LOCATION
Choice   I-LOCATION
,   O
21560   B-LOCATION
,   O
presented   O
to   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Jacksonville   I-LOCATION
on   O
2130   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
21   I-DATE
with   O
a   O
complaint   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
high   O
fever   O
.   O

DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
's   O
symptoms   O
started   O
approximately   O
one   O
week   O
before   O
their   O
visit   O
to   O
the   O
hospital   O
.   O

Upon   O
examination   O
,   O
Luz   B-NAME
Santos   I-NAME
noted   O
that   O
Gabriele   B-NAME
Gobrecht   I-NAME
had   O
a   O
fever   O
of   O
102.3   O
°   O
F   O
,   O
a   O
rapid   O
heartbeat   O
,   O
and   O
decreased   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
,   O
indicative   O
of   O
possible   O
pneumonia   O
.   O

Meadow   B-NAME
Pratt   I-NAME
's   O
past   O
medical   O
history   O
,   O
as   O
recorded   O
in   O
1241470   B-ID
,   O
includes   O
Type   O
II   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Iyer   B-NAME
's   O
social   O
history   O
,   O
as   O
provided   O
,   O
indicates   O
they   O
are   O
a   O
smoker   O
,   O
consuming   O
approximately   O
a   O
pack   O
of   O
cigarettes   O
per   O
day   O
.   O

The   O
results   O
,   O
received   O
on   O
1/37/12   B-DATE
,   O
showed   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
indicating   O
an   O
infection   O
.   O

Laverne   B-NAME
Edelstein   I-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
as   O
per   O
HealthSouth   B-LOCATION
Sunrise   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
's   O
pneumonia   O
treatment   O
protocol   O
.   O

Claire   B-NAME
Brooks   I-NAME
discussed   O
the   O
diagnosis   O
and   O
treatment   O
plan   O
with   O
Chana   B-NAME
Shea   I-NAME
and   O
mentioned   O
the   O
importance   O
of   O
quitting   O
smoking   O
to   O
improve   O
lung   O
health   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
28/21/91   B-DATE
,   O
and   O
Jim   B-NAME
Craig   I-NAME
was   O
provided   O
with   O
the   O
529   B-CONTACT
794   I-CONTACT
-   I-CONTACT
8107   I-CONTACT
number   O
of   O
the   O
smoking   O
cessation   O
program   O
available   O
through   O
Freeborn   B-LOCATION
-   I-LOCATION
Mower   I-LOCATION
Co   I-LOCATION
-   I-LOCATION
op   I-LOCATION
Services   I-LOCATION
.   O

Murray   B-NAME
also   O
made   O
a   O
referral   O
to   O
a   O
dietitian   O
to   O
help   O
manage   O
Small   B-NAME
's   O
diabetes   O
,   O
with   O
the   O
appointment   O
set   O
for   O
2/32   B-DATE
.   O

The   O
patient   O
was   O
advised   O
to   O
regularly   O
monitor   O
their   O
temperature   O
and   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
by   O
contacting   O
the   O
hospital   O
at   O
647   B-CONTACT
-   I-CONTACT
362   I-CONTACT
-   I-CONTACT
6782   I-CONTACT
.   O

Easton   B-NAME
Hoffman   I-NAME
was   O
discharged   O
on   O
3/3   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
to   O
complete   O
a   O
14   O
-   O
day   O
course   O
,   O
along   O
with   O
instructions   O
to   O
rest   O
,   O
stay   O
hydrated   O
,   O
and   O
follow   O
up   O
as   O
scheduled   O
.   O

For   O
any   O
further   O
queries   O
or   O
if   O
immediate   O
medical   O
attention   O
is   O
needed   O
,   O
Janessa   B-NAME
Marguardt   I-NAME
was   O
instructed   O
to   O
contact   O
the   O
hospital   O
's   O
emergency   O
department   O
at   O
28422   B-CONTACT
or   O
visit   O
the   O
nearest   O
healthcare   O
facility   O
.   O

The   O
discharge   O
summary   O
and   O
all   O
relevant   O
medical   O
advice   O
were   O
securely   O
emailed   O
to   O
Manuel   B-NAME
Dalton   I-NAME
's   O
registered   O
email   O
,   O
dyf843   B-NAME
,   O
for   O
their   O
records   O
.   O

Patient   O
Report   O
for   O
Livia   B-NAME
Spence   I-NAME
Summary   O
:   O
November   B-DATE
,   O
Lucian   B-NAME
Dunn   I-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
Industrial   O
Safety   O
and   O
Health   O
Engineers   O
,   O
was   O
admitted   O
to   O
FRYE   B-LOCATION
REGIONAL   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
in   O
Wallingford   B-LOCATION
Center   I-LOCATION
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Medical   O
History   O
:   O
Loni   B-NAME
Sasson   I-NAME
has   O
a   O
history   O
of   O
gastroenteritis   O
and   O
was   O
previously   O
treated   O
at   O
Eagleville   B-LOCATION
Hospital   I-LOCATION
by   O
Zavala   B-NAME
on   O
December   B-DATE
.   O

Chaudhry   B-NAME
,   I-NAME
Mahendra   I-NAME
confirms   O
being   O
allergic   O
to   O
penicillin   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
8252111   B-ID
.   O

Symptoms   O
Detailed   O
Description   O
:   O
Upon   O
examination   O
,   O
Kasen   B-NAME
Bates   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
,   O
blood   O
pressure   O
at   O
130/85   O
mmHg   O
,   O
and   O
a   O
pulse   O
rate   O
of   O
102   O
bpm   O
indicating   O
tachycardia   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
lab   O
test   O
results   O
,   O
Sterling   B-NAME
Myers   I-NAME
was   O
preliminarily   O
diagnosed   O
with   O
acute   O
appendicitis   O
by   O
Shyla   B-NAME
Khan   I-NAME
.   O

Treatment   O
:   O
Surgical   O
consultation   O
was   O
sought   O
,   O
and   O
Orellana   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
0/9   B-DATE
.   O

The   O
operation   O
was   O
successfully   O
performed   O
without   O
complications   O
,   O
and   O
DEXTER   B-NAME
N.   I-NAME
JOHNSON   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infection   O
.   O

Follow   O
-   O
Up   O
:   O
Nina   B-NAME
Gilmore   I-NAME
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Beckham   B-NAME
Moreno   I-NAME
at   O
O'Connor   B-LOCATION
Hospital   I-LOCATION
in   O
Nicoma   B-LOCATION
Park   I-LOCATION
two   O
weeks   O
post   O
-   O
discharge   O
to   O
monitor   O
recovery   O
progress   O
.   O

Instructions   O
were   O
given   O
to   O
Y.   B-NAME
Quinton   I-NAME
Xanders   I-NAME
to   O
immediately   O
report   O
any   O
signs   O
of   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
infection   O
at   O
the   O
incision   O
site   O
.   O

For   O
any   O
queries   O
or   O
immediate   O
medical   O
assistance   O
,   O
Jodee   B-NAME
Grossklaus   I-NAME
can   O
contact   O
AdventHealth   B-LOCATION
Sebring   I-LOCATION
at   O
96687   B-CONTACT
or   O
visit   O
our   O
facility   O
located   O
in   O
10690   B-LOCATION
,   O
Heritage   B-LOCATION
Village   I-LOCATION
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
notify   O
the   O
sender   O
at   O
164   B-CONTACT
4573   I-CONTACT
immediately   O
.   O

Identification   O
Information   O
:   O
Patient   O
ID   O
:   O
QE   B-ID
:   I-ID
MY:4364   I-ID
Medical   O
Record   O
Number   O
:   O
7565013   B-ID
Report   O
Prepared   O
by   O
:   O
Robbins   B-NAME
,   I-NAME
Anthony   I-NAME
Username   O
of   O
Record   O
Keeper   O
:   O
wq677   B-NAME
Date   O
:   O
2358   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
35   I-DATE
Organization   O
:   O

Hirschfeld   B-LOCATION
Eddy   I-LOCATION
Foundation   I-LOCATION

Patient   O
Name   O
:   O
Ortega   B-NAME
Medical   O
Record   O
Number   O
:   O
81907454   B-ID
Date   O
of   O
Birth   O
:   O
32/21/12   B-DATE
Age   O
:   O
72   O
Address   O
:   O
Stourbridge   B-LOCATION
,   O
78118   B-LOCATION
Phone   O
Number   O
:   O
347   B-CONTACT
-   I-CONTACT
8301   I-CONTACT

Keegan   B-NAME
Stewart   I-NAME
Hospital   O
Name   O
:   O

Wheeling   B-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
16/36/32   B-DATE
ID   O
:   O
8   B-ID
-   I-ID
9155443   I-ID
Clinical   O
Summary   O
:   O
Apiatan   B-NAME
,   O
a   O
Environmental   O
Science   O
Teachers   O
,   O
Postsecondary   O
from   O
Cottonwood   B-LOCATION
Heights   I-LOCATION
,   O
was   O
admitted   O
to   O
Dwight   B-LOCATION
D.   I-LOCATION
Eisenhower   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Leavenworth   I-LOCATION
on   O
12/21   B-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
intermittent   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
noted   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Lab   O
tests   O
ordered   O
by   O
Harper   B-NAME
Russell   I-NAME
on   O
1/1   B-DATE
highlighted   O
elevated   O
cardiac   O
markers   O
indicative   O
of   O
myocardial   O
injury   O
and   O
abnormal   O
liver   O
function   O
tests   O
.   O

Sha   B-NAME
Gaseoma   I-NAME
was   O
acute   O
hypoxemic   O
,   O
necessitating   O
supplemental   O
oxygen   O
via   O
nasal   O
cannula   O
.   O

The   O
management   O
plan   O
,   O
formulated   O
by   O
the   O
multidisciplinary   O
team   O
at   O
Long   B-LOCATION
Island   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
integrated   O
aggressive   O
diuretic   O
therapy   O
to   O
manage   O
fluid   O
overload   O
and   O
corticosteroids   O
for   O
suspected   O
pericarditis   O
.   O

Palamon   B-NAME
's   O
past   O
medical   O
history   O
,   O
detailed   O
in   O
medical   O
record   O
5704494   B-ID
,   O
was   O
significant   O
for   O
Type   O
II   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
ACE   O
inhibitors   O
,   O
respectively   O
.   O

Throughout   O
the   O
course   O
of   O
treatment   O
,   O
Moriah   B-NAME
Ortiz   I-NAME
demonstrated   O
marked   O
improvement   O
in   O
respiratory   O
function   O
and   O
chest   O
pain   O
.   O

Nancy   B-NAME
Xayarath   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
echocardiogram   O
on   O
2060   B-DATE
to   O
assess   O
cardiac   O
function   O
post   O
-   O
management   O
.   O

Emergency   O
contact   O
:   O
zl07   B-NAME
,   O
reachable   O
at   O
(   B-CONTACT
977   I-CONTACT
)   I-CONTACT
587   I-CONTACT
-   I-CONTACT
8431   I-CONTACT
.   O

Discharge   O
Instructions   O
:   O
Tobias   B-NAME
Rangel   I-NAME
is   O
advised   O
to   O
adhere   O
to   O
a   O
low   O
-   O
sodium   O
diet   O
,   O
routinely   O
monitor   O
blood   O
pressure   O
and   O
blood   O
glucose   O
levels   O
,   O
and   O
attend   O
all   O
scheduled   O
follow   O
-   O
up   O
appointments   O
with   O
Mclean   B-NAME
and   O
cardiologist   O
at   O
Bear   B-LOCATION
Lake   I-LOCATION
.   O

Prescriptions   O
at   O
discharge   O
include   O
:   O
-   O
Furosemide   O
40   O
mg   O
orally   O
once   O
daily   O
-   O
Lisinopril   O
10   O
mg   O
orally   O
once   O
daily   O
-   O
Prednisone   O
20   O
mg   O
orally   O
once   O
daily   O
for   O
5   O
days   O
For   O
any   O
urgent   O
medical   O
concerns   O
,   O
David   B-NAME
George   I-NAME
is   O
instructed   O
to   O
contact   O
the   O
clinic   O
at   O
21732   B-CONTACT
or   O
visit   O
Ellinwood   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Ellinwood   I-LOCATION
's   O
emergency   O
department   O
.   O

This   O
clinical   O
summary   O
and   O
management   O
plan   O
have   O
been   O
discussed   O
in   O
detail   O
with   O
Samantha   B-NAME
Albright   I-NAME
on   O
13/23   B-DATE
,   O
and   O
all   O
questions   O
were   O
addressed   O
.   O

Ellie   B-NAME
Pruitt   I-NAME
expressed   O
understanding   O
of   O
the   O
management   O
plan   O
and   O
discharge   O
instructions   O
.   O

Follow   O
-   O
Up   O
Appointment   O
:   O
With   O
May   B-NAME
at   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Fairview   I-LOCATION
Hospital   I-LOCATION
on   O
33/17/2138   B-DATE
Cardiology   O
follow   O
-   O
up   O
at   O
Star   B-LOCATION
's   I-LOCATION
Unity   I-LOCATION
on   O
12/31   B-DATE

Patient   O
Name   O
:   O
Jeffrey   B-NAME
Geiger   I-NAME
Patient   O
ID   O
:   O
SZ:35036:332794   B-ID
Medical   O
Record   O
Number   O
:   O
7005174   B-ID
Date   O
of   O
Birth   O
:   O
01/22   B-DATE
Age   O
:   O
49   O
Address   O
:   O
West   B-LOCATION
Line   I-LOCATION
,   O
93559   B-LOCATION
Phone   O
Number   O
:   O
467   B-CONTACT
672   I-CONTACT
9232   I-CONTACT
Primary   O
Physician   O
:   O

Shaniqua   B-NAME
Ewell   I-NAME
Admitting   O
Hospital   O
:   O
University   B-LOCATION
Hospitals   I-LOCATION
St.   I-LOCATION
John   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
00/92   B-DATE
Username   O
of   O
Reporter   O
:   O

QG417   B-NAME
5/24/2129   B-DATE
,   O
Lea   B-NAME
Dudley   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
at   O
Parrish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
occipital   O
region   O
.   O

The   O
headache   O
began   O
suddenly   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
Cook   B-NAME
was   O
at   O
work   O
as   O
a   O
Musicians   O
,   O
Instrumental   O
.   O

Belen   B-NAME
Suarez   I-NAME
denies   O
any   O
recent   O
head   O
injury   O
,   O
loss   O
of   O
consciousness   O
,   O
or   O
prior   O
similar   O
episodes   O
.   O

turpin   B-NAME
denies   O
any   O
known   O
drug   O
allergies   O
.   O

Hesiod   B-NAME
reports   O
a   O
10   O
-   O
year   O
history   O
of   O
smoking   O
,   O
averaging   O
half   O
a   O
pack   O
per   O
day   O
,   O
and   O
occasional   O
alcohol   O
use   O
.   O

On   O
physical   O
examination   O
,   O
Kent   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Lumbar   O
puncture   O
was   O
subsequently   O
performed   O
by   O
Roberson   B-NAME
,   O
revealing   O
clear   O
cerebrospinal   O
fluid   O
with   O
normal   O
glucose   O
and   O
elevated   O
protein   O
levels   O
.   O

Given   O
the   O
presentation   O
and   O
preliminary   O
investigations   O
,   O
IV   O
fluids   O
,   O
and   O
analgesia   O
were   O
administered   O
,   O
and   O
outlaw   B-NAME
was   O
admitted   O
to   O
Beth   B-LOCATION
Israel   I-LOCATION
Deaconess   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
under   O
the   O
care   O
of   O
Dwayne   B-NAME
Huerta   I-NAME
.   O

Jaleesa   B-NAME
Melton   I-NAME
has   O
been   O
advised   O
to   O
avoid   O
smoking   O
and   O
alcohol   O
consumption   O
.   O

The   O
Mary   B-NAME
Saunders   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
tight   O
blood   O
pressure   O
control   O
to   O
prevent   O
cerebrovascular   O
complications   O
.   O

Follow   O
-   O
up   O
with   O
Emilee   B-NAME
Blankenbaker   I-NAME
in   O
the   O
neurology   O
department   O
was   O
scheduled   O
for   O
21/2   B-DATE
.   O
Prepared   O
by   O
:   O
KO725   B-NAME
,   O
Medical   O
Staff   O
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Ada   I-LOCATION
Report   O
Date   O
:   O
32/3   B-DATE
Contact   O
Information   O
for   O
Follow   O
-   O
up   O
:   O
12122   B-CONTACT

Patient   O
:   O
Gonzalez   B-NAME
Medical   O
Record   O
Number   O
:   O
0883777   B-ID
Date   O
of   O
Birth   O
:   O
July   B-DATE
Age   O
:   O
11   O
month   O
Phone   O
Number   O
:   O
26171   B-CONTACT
Primary   O
Care   O
Physician   O
:   O
Cherry   B-NAME
Admitting   O
Hospital   O
:   O
BANNER   B-LOCATION
DESERT   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
Location   O
:   O
Enhaut   B-LOCATION
,   O
51310   B-LOCATION
Date   O
of   O
Admission   O
:   O
6/22/93   B-DATE
ID   O
:   O
732549733   B-ID
Subjective   O
:   O
Bonhoeffer   B-NAME
,   I-NAME
Dietrich   I-NAME
presented   O
with   O
a   O
complaint   O
of   O
persistent   O
cough   O
,   O
dyspnea   O
on   O
exertion   O
,   O
and   O
intermittent   O
episodes   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Farah   B-NAME
Sorjik   I-NAME
Vlachen   I-NAME
reports   O
that   O
these   O
symptoms   O
have   O
been   O
present   O
for   O
approximately   O
two   O
weeks   O
and   O
have   O
progressively   O
worsened   O
.   O

Anabelle   B-NAME
Randall   I-NAME
,   O
a   O
Production   O
Laborers   O
,   O
mentions   O
a   O
history   O
of   O
smoking   O
for   O
20   O
years   O
but   O
quit   O
smoking   O
five   O
years   O
ago   O
.   O

No   O
recent   O
travel   O
history   O
to   O
Tucumcari   B-LOCATION
or   O
exposure   O
to   O
known   O
allergens   O
or   O
toxic   O
substances   O
.   O

Objective   O
:   O
Upon   O
examination   O
,   O
Kyla   B-NAME
Miles   I-NAME
was   O
noted   O
to   O
be   O
in   O
mild   O
distress   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
oxygen   O
saturation   O
of   O
94   O
%   O
on   O
room   O
air   O
,   O
and   O
a   O
blood   O
pressure   O
of   O
150/90   O
mmHg   O
.   O

4   O
.   O
Consult   O
Johns   B-NAME
in   O
cardiology   O
for   O
evaluation   O
of   O
potential   O
acute   O
coronary   O
syndrome   O
.   O

5   O
.   O
Start   O
empirical   O
antibiotic   O
therapy   O
considering   O
Shaw   B-NAME
,   I-NAME
George   I-NAME
Bernard   I-NAME
's   O
history   O
of   O
smoking   O
and   O
current   O
pulmonary   O
symptoms   O
.   O

Patient   O
Instructions   O
:   O
Rajesh   B-NAME
Koothrappali   I-NAME
was   O
advised   O
to   O
maintain   O
strict   O
bed   O
rest   O
until   O
the   O
acute   O
symptoms   O
are   O
managed   O
.   O

Azaria   B-NAME
Madden   I-NAME
was   O
also   O
advised   O
to   O
avoid   O
any   O
strenuous   O
activities   O
and   O
to   O
quit   O
smoking   O
entirely   O
,   O
including   O
the   O
avoidance   O
of   O
second   O
-   O
hand   O
smoke   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
phone   O
consultation   O
is   O
scheduled   O
for   O
06/34/28   B-DATE
to   O
review   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Erika   B-NAME
Compton   I-NAME
was   O
instructed   O
to   O
immediately   O
return   O
to   O
Westfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
or   O
call   O
77828   B-CONTACT
in   O
case   O
of   O
symptom   O
exacerbation   O
,   O
the   O
development   O
of   O
new   O
symptoms   O
,   O
or   O
any   O
concerns   O
.   O

Prepared   O
by   O
:   O
bs883   B-NAME
Date   O
:   O
2083   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
33   I-DATE

Patient   O
Report   O
Patient   O
Name   O
:   O
Helena   B-NAME
Grimes   B-NAME
Age   O
:   O
49   O
Date   O
of   O
Birth   O
:   O
1643   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
04   I-DATE
Medical   O
Record   O
Number   O
:   O
6904181   B-ID
Address   O
:   O
Susanville   B-LOCATION
,   O
80645   B-LOCATION
Phone   O
Number   O
:   O
396   B-CONTACT
4876   I-CONTACT

Makai   B-NAME
Mathews   I-NAME
Hospital   O
:   O
Coliseum   B-LOCATION
Medical   I-LOCATION
Centers   I-LOCATION
Date   O
of   O
Admission   O
:   O
Wednesday   B-DATE
Date   O
of   O
Discharge   O
:   O
32/13   B-DATE
ID   O
Number   O
:   O
8005334   B-ID
Occupation   O
:   O
Engineers   O
,   O
All   O
Other   O
Symptoms   O
:   O

The   O
patient   O
,   O
Jasmin   B-NAME
Buckley   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Truman   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lakewood   I-LOCATION
on   O
2135/07/18   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Basil   B-NAME
Shiroma   I-NAME
's   O
medical   O
history   O
was   O
reviewed   O
,   O
with   O
a   O
notable   O
absence   O
of   O
any   O
previous   O
abdominal   O
surgeries   O
or   O
known   O
gastrointestinal   O
diseases   O
.   O

There   O
was   O
no   O
recent   O
travel   O
history   O
out   O
of   O
Cool   B-LOCATION
Valley   I-LOCATION
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Lawrence   B-NAME
Parrish   I-NAME
exhibited   O
signs   O
consistent   O
with   O
acute   O
appendicitis   O
,   O
including   O
tenderness   O
at   O
McBurney   O
's   O
point   O
,   O
rebound   O
tenderness   O
,   O
and   O
Rovsing   O
's   O
sign   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
by   O
Mylie   B-NAME
Raymond   I-NAME
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
.   O

Treatment   O
:   O
Given   O
the   O
clinical   O
and   O
diagnostic   O
findings   O
,   O
Jaylynn   B-NAME
Mullen   I-NAME
advised   O
surgical   O
intervention   O
.   O

Elise   B-NAME
Gardner   I-NAME
was   O
informed   O
about   O
the   O
suggested   O
laparoscopic   O
appendectomy   O
and   O
consented   O
to   O
the   O
procedure   O
.   O

The   O
surgery   O
was   O
carried   O
out   O
on   O
02/21   B-DATE
without   O
complications   O
.   O

Recovery   O
:   O
Susan   B-NAME
Ximena   I-NAME
Elias   I-NAME
's   O
postoperative   O
course   O
was   O
unremarkable   O
.   O

Corea   B-NAME
,   I-NAME
Chick   I-NAME
was   O
discharged   O
from   O
Ancora   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
on   O
20/31   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Choate   B-NAME
,   I-NAME
Rufus   I-NAME
.   O

Follow   O
-   O
up   O
:   O
Burton   B-NAME
attended   O
a   O
follow   O
-   O
up   O
visit   O
on   O
22/18/2361   B-DATE
with   O
Collins   B-NAME
,   O
during   O
which   O
the   O
surgical   O
site   O
was   O
found   O
to   O
be   O
healing   O
well   O
,   O
and   O
no   O
signs   O
of   O
infection   O
were   O
observed   O
.   O

Malcolm   B-NAME
Bowers   I-NAME
reported   O
no   O
further   O
symptoms   O
and   O
was   O
advised   O
to   O
gradually   O
resume   O
regular   O
activities   O
.   O

Conclusion   O
:   O
The   O
successful   O
diagnosis   O
and   O
treatment   O
of   O
Aaliyah   B-NAME
Parker   I-NAME
's   O
acute   O
appendicitis   O
avoided   O
potential   O
complications   O
associated   O
with   O
a   O
ruptured   O
appendix   O
.   O

The   O
collaborative   O
efforts   O
of   O
the   O
healthcare   O
team   O
at   O
Geisinger   B-LOCATION
Shamokin   I-LOCATION
Area   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
along   O
with   O
Williams   B-NAME
's   O
compliance   O
with   O
postoperative   O
care   O
instructions   O
,   O
were   O
key   O
to   O
the   O
positive   O
outcome   O
.   O

Prepared   O
by   O
:   O
sq679   B-NAME
For   O
:   O
XL   B-LOCATION
Catlin   I-LOCATION
Date   O
:   O
00/29/2290   B-DATE
Contact   O
Information   O
:   O
750   B-CONTACT
-   I-CONTACT
5452   I-CONTACT

Patient   O
Report   O
for   O
Kory   B-NAME
Date   O
of   O
Birth   O
:   O
75   O
Date   O
of   O
Admission   O
:   O
20/36   B-DATE
Admitting   O
Physician   O
:   O

Molly   B-NAME
Mcgee   I-NAME
Hospital   O
Name   O
:   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
69536951   B-ID
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
4466514   I-ID
Location   O
of   O
Encounter   O
:   O
Illinois   B-LOCATION
Contact   O
Number   O
:   O
799   B-CONTACT
965   I-CONTACT
-   I-CONTACT
2856   I-CONTACT
Employer   O
:   O

South   B-LOCATION
Colorado   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Profession   O
:   O
Telecommunications   O
Engineering   O
Specialists   O
Username   O
:   O
VH14   B-NAME
Residential   O
ZIP   O
Code   O
:   O
59639   B-LOCATION
Clinical   O
Summary   O
:   O
Maverick   B-NAME
Hanson   I-NAME
,   O
a   O
Highway   O
Patrol   O
Pilots   O
at   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
,   O
residing   O
in   O
Lakeline   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
on   O
11/11   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
a   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
few   O
days   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Braelyn   B-NAME
Davies   I-NAME
and   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
along   O
with   O
supportive   O
measures   O
for   O
suspected   O
viral   O
pneumonia   O
.   O

5   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Alina   B-NAME
Fitzpatrick   I-NAME
on   O
09/25/12   B-DATE
to   O
review   O
progress   O
and   O
plan   O
further   O
treatment   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
regarding   O
Brady   B-NAME
's   O
condition   O
,   O
please   O
contact   O
65554   B-CONTACT
or   O
communicate   O
directly   O
with   O
Ryan   B-NAME
Michael   I-NAME
's   O
office   O
through   O
the   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
contact   O
center   O
.   O

Houston   B-NAME
05/50   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Dolly   B-NAME
Tippetts   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
8450271   I-ID
Medical   O
Record   O
Number   O
:   O
265   B-ID
-   I-ID
60   I-ID
-   I-ID
29   I-ID
-   I-ID
2   I-ID
Age   O
:   O
89   O
Date   O
of   O
Birth   O
:   O
Jun   B-DATE
10   I-DATE
,   I-DATE
2043   I-DATE
Address   O
:   O
Bessemer   B-LOCATION
Bend   I-LOCATION
,   O
65972   B-LOCATION
Phone   O
Number   O
:   O
38320   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Small   B-NAME
Referred   O
by   O
:   O
Dr.   O
Hunter   B-NAME
Cross   I-NAME
Admission   O
Date   O
:   O
February   B-DATE
Discharge   O
Date   O
:   O

Sunday   B-DATE
,   I-DATE
June   I-DATE
Hospital   O
:   O
Beaufort   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Treatment   O
Team   O
:   O

Coimbatore   B-LOCATION
District   I-LOCATION
Textile   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
Symptoms   O
and   O
Diagnosis   O
:   O
Sanger   B-NAME
,   I-NAME
Margaret   I-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
MultiCare   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
23/13   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
and   O
a   O
persistent   O
cough   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
physical   O
examination   O
,   O
Derick   B-NAME
Chase   I-NAME
exhibited   O
labored   O
breathing   O
with   O
audible   O
wheezing   O
and   O
decreased   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
bilaterally   O
.   O

A   O
detailed   O
history   O
revealed   O
that   O
Earlie   B-NAME
Thaler   I-NAME
,   O
who   O
works   O
as   O
a   O
Clinical   O
Psychologists   O
,   O
has   O
had   O
exposure   O
to   O
potential   O
allergens   O
at   O
Laredo   B-LOCATION
,   I-LOCATION
TX   I-LOCATION
78043   I-LOCATION
.   O

Additionally   O
,   O
Lilah   B-NAME
Beltran   I-NAME
denied   O
any   O
history   O
of   O
smoking   O
but   O
reported   O
a   O
recent   O
upper   O
respiratory   O
tract   O
infection   O
about   O
a   O
month   O
ago   O
,   O
approximately   O
on   O
31/31   B-DATE
.   O

Diagnostic   O
tests   O
including   O
a   O
chest   O
X   O
-   O
ray   O
and   O
a   O
high   O
-   O
resolution   O
CT   O
scan   O
of   O
the   O
chest   O
were   O
ordered   O
by   O
Dr.   O
Ibrahim   B-NAME
Garcia   I-NAME
and   O
were   O
suggestive   O
of   O
an   O
acute   O
exacerbation   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
coupled   O
with   O
possible   O
pneumonia   O
.   O

Arcanus   B-NAME
Bonsell   I-NAME
was   O
admitted   O
to   O
Hale   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

Treatment   O
:   O
Following   O
the   O
diagnosis   O
,   O
Griffin   B-NAME
Macias   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
to   O
address   O
the   O
bacterial   O
pneumonia   O
and   O
was   O
given   O
systemic   O
corticosteroids   O
to   O
reduce   O
inflammation   O
in   O
the   O
airways   O
.   O

A   O
respiratory   O
therapist   O
from   O
Freedom   B-LOCATION
from   I-LOCATION
Torture   I-LOCATION
was   O
consulted   O
,   O
and   O
George   B-NAME
V   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
underwent   O
guided   O
respiratory   O
exercises   O
to   O
enhance   O
lung   O
capacity   O
.   O

Outcome   O
and   O
Follow   O
-   O
up   O
:   O
Xitlali   B-NAME
Crane   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
with   O
noticeable   O
improvement   O
in   O
respiratory   O
symptoms   O
.   O

Oxygen   O
saturation   O
levels   O
were   O
stabilized   O
at   O
94   O
%   O
on   O
room   O
air   O
by   O
the   O
time   O
of   O
discharge   O
on   O
September   B-DATE
3   I-DATE
.   O

Miller   B-NAME
,   I-NAME
Ron   I-NAME
was   O
discharged   O
with   O
instructions   O
on   O
medication   O
management   O
,   O
including   O
oral   O
antibiotics   O
and   O
corticosteroids   O
tapering   O
schedule   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Massey   B-NAME
was   O
scheduled   O
for   O
22/32   B-DATE
at   O
Gulf   B-LOCATION
Coast   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Moreover   O
,   O
Orth   B-NAME
was   O
advised   O
to   O
avoid   O
allergen   O
exposure   O
and   O
was   O
referred   O
to   O
a   O
pulmonary   O
rehabilitation   O
program   O
offered   O
by   O
Millennium   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Texas   I-LOCATION
.   O

Note   O
:   O
It   O
is   O
crucial   O
for   O
Steinem   B-NAME
,   I-NAME
Gloria   I-NAME
to   O
follow   O
the   O
prescribed   O
treatment   O
plan   O
and   O
attend   O
all   O
scheduled   O
follow   O
-   O
up   O
appointments   O
.   O

For   O
any   O
further   O
information   O
or   O
assistance   O
,   O
please   O
contact   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Greater   I-LOCATION
Heights   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
880   I-CONTACT
)   I-CONTACT
572   I-CONTACT
-   I-CONTACT
2936   I-CONTACT
.   O

Prepared   O
by   O
:   O
zz914   B-NAME
Date   O
:   O
02/06/1945   B-DATE

Patient   O
Name   O
:   O
Freda   B-NAME
Erickson   I-NAME
Medical   O
Record   O
Number   O
:   O
26743744   B-ID
Date   O
of   O
Birth   O
:   O
5   B-DATE
-   I-DATE
28   I-DATE
Age   O
:   O
57   O
Address   O
:   O
Freeburn   B-LOCATION
,   O
96027   B-LOCATION
Employer   O
:   O

First   B-LOCATION
Southern   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Market   O
Research   O
Analysts   O
Phone   O
:   O
58211   B-CONTACT

Attending   O
Doctor   O
:   O
Keyon   B-NAME
Marks   I-NAME
Hospital   O
:   O
Jewish   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2/12   B-DATE
ID   O
:   O
PJ407/4357   B-ID
Chief   O
Complaint   O
:   O
Josie   B-NAME
Cortez   I-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Police   O
and   O
Detectives   O
by   O
profession   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
06/23   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
dry   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Diane   B-NAME
Grad   I-NAME
mentioned   O
that   O
the   O
cough   O
is   O
non   O
-   O
productive   O
and   O
is   O
often   O
worse   O
at   O
night   O
,   O
interfering   O
with   O
sleep   O
.   O

Cara   B-NAME
Collier   I-NAME
has   O
also   O
noticed   O
an   O
increasing   O
difficulty   O
in   O
breathing   O
,   O
especially   O
with   O
exertion   O
,   O
over   O
the   O
last   O
few   O
days   O
.   O

Past   O
Medical   O
History   O
:   O
Odessia   B-NAME
Kay   I-NAME
has   O
a   O
history   O
of   O
asthma   O
,   O
controlled   O
with   O
inhaled   O
corticosteroids   O
,   O
but   O
reports   O
no   O
recent   O
exacerbations   O
.   O

Jan   B-NAME
Freeman   I-NAME
denies   O
any   O
history   O
of   O
smoking   O
or   O
occupational   O
exposure   O
to   O
inhalants   O
.   O

In   O
addition   O
to   O
the   O
primary   O
symptoms   O
,   O
Emerson   B-NAME
Pineda   I-NAME
has   O
experienced   O
mild   O
fatigue   O
and   O
a   O
decreased   O
appetite   O
.   O

On   O
examination   O
,   O
Herman   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

The   O
differential   O
diagnosis   O
includes   O
COVID-19   O
,   O
given   O
the   O
current   O
pandemic   O
situation   O
in   O
Perryman   B-LOCATION
.   O

Byrd   B-NAME
was   O
advised   O
to   O
undergo   O
COVID-19   O
testing   O
and   O
was   O
started   O
on   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
as   O
a   O
precaution   O
against   O
secondary   O
bacterial   O
pneumonia   O
.   O

Instructions   O
were   O
given   O
to   O
Dawn   B-NAME
Julian   I-NAME
to   O
self   O
-   O
isolate   O
until   O
COVID-19   O
test   O
results   O
return   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
21/12/43   B-DATE
.   O
Prescriptions   O
were   O
sent   O
to   O
Abigayle   B-NAME
Johnson   I-NAME
's   O
preferred   O
pharmacy   O
in   O
Duncombe   B-LOCATION
.   O

Herrera   B-NAME
was   O
given   O
the   O
clinic   O
's   O
contact   O
information   O
,   O
(   B-CONTACT
803   I-CONTACT
)   I-CONTACT
891   I-CONTACT
8141   I-CONTACT
,   O
should   O
there   O
be   O
any   O
worsening   O
of   O
symptoms   O
or   O
concerns   O
.   O

This   O
patient   O
report   O
was   O
prepared   O
by   O
Freeman   B-NAME
on   O
2121   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
16   I-DATE
and   O
is   O
confidential   O
.   O

For   O
further   O
information   O
or   O
clarification   O
,   O
please   O
contact   O
our   O
office   O
at   O
568   B-CONTACT
-   I-CONTACT
8299   I-CONTACT
.   O

The   O
patient   O
,   O
Fagan   B-NAME
,   I-NAME
Kory   I-NAME
,   O
a   O
42s   O
-   O
year   O
-   O
old   O
Public   O
Address   O
System   O
and   O
Other   O
Announcers   O
from   O
426   B-LOCATION
Iroquois   I-LOCATION
Drive   I-LOCATION
,   O
81194   B-LOCATION
,   O
presented   O
to   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Florida   I-LOCATION
on   O
38/32/2300   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

TRAN   B-NAME
,   I-NAME
FREDDY   I-NAME
notably   O
denied   O
any   O
recent   O
travel   O
history   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
obtained   O
via   O
406   B-ID
-   I-ID
99   I-ID
-   I-ID
67   I-ID
-   I-ID
1   I-ID
,   O
includes   O
controlled   O
hypertension   O
and   O
a   O
smoking   O
history   O
of   O
20   O
pack   O
-   O
years   O
.   O

Initial   O
laboratory   O
tests   O
,   O
per   O
Amari   B-NAME
Figueroa   I-NAME
's   O
orders   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
arterial   O
blood   O
gases   O
(   O
ABGs   O
)   O
,   O
were   O
predominantly   O
within   O
normal   O
ranges   O
,   O
aside   O
from   O
a   O
slight   O
elevation   O
in   O
white   O
blood   O
cells   O
(   O
WBC   O
)   O
.   O

Chest   O
X   O
-   O
ray   O
and   O
subsequent   O
CT   O
scan   O
of   O
the   O
chest   O
,   O
as   O
advised   O
by   O
Alberto   B-NAME
Liu   I-NAME
,   O
demonstrated   O
bilateral   O
lower   O
lobe   O
infiltrates   O
consistent   O
with   O
a   O
diagnosis   O
of   O
pneumonia   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Andalusia   B-LOCATION
Health   I-LOCATION
under   O
Vaughan   B-NAME
's   O
care   O
on   O
32/12   B-DATE
for   O
further   O
management   O
including   O
administration   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
supplemental   O
oxygen   O
,   O
and   O
supportive   O
care   O
.   O

During   O
hospitalization   O
,   O
Cheyanne   B-NAME
Hansen   I-NAME
underwent   O
several   O
diagnostic   O
tests   O
to   O
identify   O
the   O
causative   O
agent   O
,   O
including   O
sputum   O
cultures   O
and   O
PCR   O
testing   O
for   O
respiratory   O
pathogens   O
.   O

At   O
a   O
follow   O
-   O
up   O
consultation   O
on   O
32/34   B-DATE
,   O
the   O
patient   O
reported   O
a   O
slight   O
improvement   O
in   O
symptoms   O
following   O
the   O
initiation   O
of   O
treatment   O
.   O

The   O
patient   O
's   O
emergency   O
contact   O
,   O
listed   O
as   O
35410   B-CONTACT
,   O
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
current   O
treatment   O
plan   O
.   O

Discussions   O
regarding   O
cessation   O
of   O
smoking   O
were   O
also   O
initiated   O
,   O
with   O
a   O
referral   O
to   O
a   O
smoking   O
cessation   O
program   O
affiliated   O
with   O
Riverview   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O

Before   O
discharge   O
,   O
Kay   B-NAME
,   I-NAME
Alan   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Hazel   B-NAME
Armstrong   I-NAME
on   O
Christmas   B-DATE
Eve   I-DATE
for   O
further   O
assessment   O
and   O
to   O
review   O
the   O
final   O
results   O
of   O
the   O
pending   O
tests   O
.   O

The   O
final   O
discharge   O
summary   O
was   O
documented   O
in   O
Abbigail   B-NAME
Davila   I-NAME
's   O
medical   O
record   O
,   O
587   B-ID
-   I-ID
06   I-ID
-   I-ID
64   I-ID
-   I-ID
7   I-ID
,   O
and   O
a   O
copy   O
was   O
mailed   O
to   O
Jessie   B-NAME
Mcguire   I-NAME
's   O
residence   O
at   O
Holly   B-LOCATION
Springs   I-LOCATION
,   O
24354   B-LOCATION
,   O
for   O
personal   O
records   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Aarav   B-NAME
Peterson   I-NAME
Patient   O
ID   O
:   O
DL   B-ID
:   I-ID
ZF:5220   I-ID
Medical   O
Record   O
Number   O
:   O
7921840   B-ID
Date   O
of   O
Birth   O
:   O
1   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
58   I-DATE
Age   O
:   O
39   O
Address   O
:   O
Kaycee   B-LOCATION
,   O
46053   B-LOCATION
Phone   O
Number   O
:   O
49273   B-CONTACT
Employment   O
:   O

Oral   O
and   O
Maxillofacial   O
Surgeons   O
at   O
Vineland   B-LOCATION
Municipal   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
Physician   O
:   O
Ramsey   B-NAME
Hospital   O
:   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
Montgomery   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Bryanna   B-NAME
Cross   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
UHS   B-LOCATION
-   I-LOCATION
Binghamton   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
01   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
which   O
they   O
described   O
as   O
a   O
sharp   O
and   O
stabbing   O
sensation   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Julianna   B-NAME
Hamilton   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
05/02/2210   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Angie   B-NAME
Mendez   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
a   O
previous   O
cholecystectomy   O
performed   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Heartland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
03/29   B-DATE
.   O

Social   O
History   O
:   O
Waradi   B-NAME
,   I-NAME
Taito   I-NAME
is   O
a   O
Internists   O
,   O
General   O
employed   O
at   O
International   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Administration   I-LOCATION
,   O
lives   O
in   O
Magnetic   B-LOCATION
Springs   I-LOCATION
,   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
and   O
illicit   O
drugs   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Joyce   B-NAME
,   I-NAME
James   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultrasound   O
performed   O
on   O
Sunday   B-DATE
,   I-DATE
October   I-DATE
indicated   O
signs   O
consistent   O
with   O
acute   O
appendicitis   O
,   O
with   O
no   O
evidence   O
of   O
perforation   O
.   O

Following   O
the   O
diagnosis   O
,   O
Skip   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
1/2142   B-DATE
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
the   O
surgery   O
was   O
successfully   O
performed   O
by   O
Gonzalez   B-NAME
at   O
Oaklawn   B-LOCATION
Hospital   I-LOCATION
.   O

Postoperative   O
Course   O
:   O
GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
's   O
postoperative   O
course   O
has   O
been   O
uneventful   O
.   O

They   O
were   O
started   O
on   O
a   O
liquid   O
diet   O
April   B-DATE
hours   O
post   O
-   O
surgery   O
and   O
gradually   O
progressed   O
to   O
solid   O
food   O
as   O
tolerated   O
.   O

Xuereb   B-NAME
is   O
planned   O
to   O
be   O
discharged   O
on   O
1/27   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
level   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
at   O
the   O
surgical   O
clinic   O
in   O
Upper   B-LOCATION
Schuylkill   I-LOCATION
,   I-LOCATION
Upper   I-LOCATION
Schuylkill   I-LOCATION
Downtowns   I-LOCATION
.   O

Future   O
Plans   O
:   O
Scheduled   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
on   O
1675   B-DATE
with   O
Federer   B-NAME
,   I-NAME
Roger   I-NAME
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

Ronald   B-NAME
Bernard   I-NAME
has   O
been   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unusual   O
symptoms   O
and   O
to   O
contact   O
57178   B-CONTACT
for   O
any   O
concerns   O
or   O
emergency   O
situations   O
.   O

Prepared   O
By   O
:   O
QO956   B-NAME
,   O
13/09/2100   B-DATE
Reviewed   O
By   O
:   O
Danica   B-NAME
Wong   I-NAME
,   O
02/34   B-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Makayla   B-NAME
Nichols   I-NAME
-   O
Age   O
:   O
29   O
-   O
ID   O
:   O
EZ   B-ID
:   I-ID
RX:5929   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
56856826   B-ID
-   O
Date   O
of   O
Birth   O
:   O
24/22   B-DATE
-   O
Address   O
:   O
Bullhead   B-LOCATION
,   O
94893   B-LOCATION
-   O
Phone   O
:   O
462   B-CONTACT
-   I-CONTACT
5974   I-CONTACT
-   O
Occupation   O
:   O
Occupational   O
Health   O
and   O
Safety   O
Specialists   O
Primary   O
Physician   O
:   O
Dr.   O
Cristian   B-NAME
Maynard   I-NAME
Hospital   O
Information   O
:   O
Upper   B-LOCATION
Connecticut   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
,   O
Fairmount   B-LOCATION
Summary   O
:   O
Hailee   B-NAME
Reid   I-NAME
,   O
a   O
Sheriffs   O
and   O
Deputy   O
Sheriffs   O
of   O
14   O
years   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
WakeMed   B-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
on   O
September   B-DATE
with   O
complaints   O
of   O
acute   O
on   O
chronic   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
was   O
described   O
as   O
a   O
sharp   O
and   O
persistent   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
's   O
vital   O
signs   O
upon   O
admission   O
were   O
as   O
follows   O
:   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
of   O
19   O
breaths   O
per   O
minute   O
.   O

Upon   O
examination   O
,   O
Luna   B-NAME
exhibited   O
signs   O
of   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Lana   B-NAME
Mccoy   I-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
as   O
the   O
most   O
viable   O
treatment   O
option   O
.   O

Ruth   B-NAME
Mcguire   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
associated   O
with   O
the   O
procedure   O
.   O

After   O
obtaining   O
consent   O
,   O
Mabuse   B-NAME
the   I-NAME
Gambler   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
6/15   B-DATE
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Allen   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
operation   O
was   O
completed   O
without   O
any   O
complications   O
,   O
and   O
Victor   B-NAME
's   O
post   O
-   O
operative   O
recovery   O
has   O
been   O
uneventful   O
.   O

Rylee   B-NAME
Woods   I-NAME
has   O
been   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
after   O
one   O
week   O
for   O
a   O
wound   O
check   O
and   O
further   O
evaluation   O
.   O

Manuel   B-NAME
Blankenship   I-NAME
was   O
educated   O
on   O
signs   O
of   O
infections   O
or   O
complications   O
to   O
watch   O
for   O
,   O
including   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
regarding   O
the   O
post   O
-   O
operative   O
care   O
of   O
Lucy   B-NAME
Best   I-NAME
,   O
please   O
contact   O
the   O
surgical   O
department   O
of   O
Trinity   B-LOCATION
Rock   I-LOCATION
Island   I-LOCATION
at   O
384   B-CONTACT
-   I-CONTACT
975   I-CONTACT
-   I-CONTACT
5902   I-CONTACT
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
Alex   B-NAME
Durant   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Dr.   O
Campbell   B-NAME
on   O
11/22/88   B-DATE
at   O
Abington   B-LOCATION
-   I-LOCATION
Lansdale   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Jefferson   I-LOCATION
Health   I-LOCATION
.   O

The   O
purpose   O
of   O
this   O
appointment   O
is   O
to   O
assess   O
the   O
healing   O
process   O
and   O
to   O
address   O
any   O
potential   O
concerns   O
Septimius   B-NAME
may   O
have   O
during   O
recovery   O
.   O

Conclusion   O
:   O
The   O
prompt   O
recognition   O
and   O
surgical   O
intervention   O
for   O
the   O
appendicitis   O
in   O
Hoffman   B-NAME
have   O
led   O
to   O
a   O
positive   O
outcome   O
without   O
complications   O
.   O

The   O
surgical   O
team   O
at   O
Bronson   B-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
remains   O
available   O
for   O
support   O
and   O
to   O
provide   O
quality   O
care   O
to   O
Olson   B-NAME
during   O
the   O
recovery   O
phase   O
.   O

The   O
patient   O
,   O
Erasmus   B-NAME
,   O
a   O
Transportation   O
Security   O
Screeners   O
from   O
Tonasket   B-LOCATION
,   O
98126   B-LOCATION
,   O
presented   O
at   O
Jupiter   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
06/06   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Ila   B-NAME
Araujo   I-NAME
noted   O
an   O
associated   O
increase   O
in   O
pain   O
intensity   O
upon   O
movement   O
.   O

Additionally   O
,   O
Atatürk   B-NAME
,   I-NAME
Mustafa   I-NAME
Kemal   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
slight   O
elevation   O
in   O
temperature   O
.   O

Upon   O
examination   O
by   O
Shelley   B-NAME
,   I-NAME
Mary   I-NAME
Wollstonecraft   I-NAME
,   O
Martin   B-NAME
Arrowsmith   I-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
Rovsing   O
's   O
sign   O
was   O
positive   O
,   O
indicating   O
potential   O
appendicitis   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
John   B-NAME
Becker   I-NAME
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
periappendiceal   O
inflammation   O
without   O
perforation   O
.   O

Walton   B-NAME
Shack   I-NAME
's   O
past   O
medical   O
history   O
was   O
unremarkable   O
except   O
for   O
mild   O
hypertension   O
,   O
under   O
control   O
with   O
medication   O
.   O

The   O
medical   O
record   O
number   O
40218442   B-ID
and   O
ID   O
YG353/2274   B-ID
were   O
verified   O
without   O
discrepancies   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Northfield   B-LOCATION
Hospital   I-LOCATION
for   O
observation   O
and   O
surgical   O
evaluation   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
7/49   B-DATE
after   O
obtaining   O
informed   O
consent   O
from   O
al   B-NAME
-   I-NAME
Sadr   I-NAME
,   I-NAME
Muqtada   I-NAME
.   O

The   O
patient   O
was   O
informed   O
about   O
the   O
procedure   O
,   O
possible   O
complications   O
,   O
and   O
the   O
typical   O
post   O
-   O
operative   O
course   O
via   O
736   B-CONTACT
-   I-CONTACT
8975   I-CONTACT
number   O
712   B-CONTACT
-   I-CONTACT
9892   I-CONTACT
.   O

Post   O
-   O
operatively   O
,   O
Quintillus   B-NAME
Alrod   I-NAME
's   O
recovery   O
was   O
uncomplicated   O
.   O

Lynch   B-NAME
,   I-NAME
Peter   I-NAME
was   O
advised   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
activity   O
restrictions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Harding   B-NAME
Hooten   I-NAME
for   O
4/2222   B-DATE
.   O

Instructions   O
were   O
also   O
given   O
for   O
Jake   B-NAME
Goodwin   I-NAME
to   O
contact   O
Long   B-LOCATION
Island   I-LOCATION
Jewish   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
(   I-LOCATION
Northwell   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
should   O
they   O
experience   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
symptoms   O
of   O
concern   O
.   O

Ezra   B-NAME
Tovar   I-NAME
's   O
engagement   O
with   O
the   O
healthcare   O
team   O
and   O
adherence   O
to   O
post   O
-   O
operative   O
instructions   O
are   O
crucial   O
for   O
a   O
full   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Maeve   B-NAME
Rhodes   I-NAME
-   O
Age   O
:   O
31   O
-   O
Address   O
:   O
Wanship   B-LOCATION
,   O
48322   B-LOCATION
-   O
Phone   O
:   O
(   B-CONTACT
627   I-CONTACT
)   I-CONTACT
447   I-CONTACT
2926   I-CONTACT
-   O
Medical   O
Record   O
Number   O
:   O
74032472   B-ID
-   O
Patient   O
ID   O
:   O
EZ497/8257   B-ID
-   O
Date   O
of   O
Admission   O
:   O
00/22/2257   B-DATE
-   O
Attending   O
Physician   O
:   O

Moore   B-NAME
-   O
Hospital   O
Name   O
:   O
Fairview   B-LOCATION
Ridges   I-LOCATION
Hospital   I-LOCATION
-   O
Employer   O
:   O

Macintosh   B-LOCATION
User   I-LOCATION
Groups   I-LOCATION
in   I-LOCATION
the   I-LOCATION
UK   I-LOCATION
-   O
Profession   O
:   O
Rehabilitation   O
Counselors   O
-   O
Emergency   O
Contact   O
:   O
245   B-CONTACT
-   I-CONTACT
4289   I-CONTACT
-   O
Username   O
:   O
YB192   B-NAME
Medical   O
History   O
:   O

Nesbitt   B-NAME
was   O
admitted   O
to   O
Lexington   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/68   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
bouts   O
of   O
vomiting   O
.   O

Emerson   B-NAME
Hart   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
exposure   O
to   O
known   O
allergens   O
.   O

Upon   O
examination   O
,   O
Bryant   B-NAME
,   I-NAME
William   I-NAME
Cullen   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
98   O
bpm   O
,   O
and   O
temperature   O
99.1   O
°   O
F   O
.   O

Past   O
medical   O
records   O
,   O
ID   O
:   O
2717339   B-ID
,   O
showed   O
no   O
history   O
of   O
gallstones   O
or   O
liver   O
disease   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Dr.   O
Quinn   B-NAME
recommends   O
an   O
initial   O
conservative   O
management   O
approach   O
,   O
including   O
fasting   O
,   O
IV   O
fluids   O
,   O
and   O
pain   O
management   O
with   O
analgesics   O
.   O

A   O
follow   O
-   O
up   O
evaluation   O
will   O
be   O
conducted   O
in   O
24   O
hours   O
to   O
assess   O
Dax   B-NAME
Herman   I-NAME
's   O
response   O
to   O
treatment   O
.   O

Summary   O
:   O
Guillermo   B-NAME
Chapman   I-NAME
,   O
a   O
23   O
-   O
year   O
-   O
old   O
Office   O
Machine   O
Operators   O
,   O
Except   O
Computer   O
from   O
Twisp   B-LOCATION
,   O
presented   O
to   O
Three   B-LOCATION
Rivers   I-LOCATION
Hospital   I-LOCATION
with   O
acute   O
upper   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

All   O
information   O
regarding   O
Newman   B-NAME
's   O
care   O
has   O
been   O
shared   O
with   O
the   O
emergency   O
contact   O
on   O
record   O
,   O
reachable   O
at   O
(   B-CONTACT
496   I-CONTACT
)   I-CONTACT
251   I-CONTACT
-   I-CONTACT
5294   I-CONTACT
.   O

For   O
further   O
information   O
or   O
changes   O
in   O
Yoel   B-NAME
Newcomb   I-NAME
's   O
condition   O
,   O
please   O
contact   O
Wright   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
93042   B-CONTACT
.   O

Confidentially   O
prepared   O
by   O
,   O
xi199   B-NAME
,   O
Medical   O
Staff   O
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Jacksonville   I-LOCATION
22/05   B-DATE

Rory   B-NAME
Frazier   I-NAME
Patient   O
ID   O
:   O
BJ:72139:129956   B-ID
Medical   O
Record   O
Number   O
:   O
689   B-ID
-   I-ID
86   I-ID
-   I-ID
33   I-ID
-   I-ID
6   I-ID
Age   O
:   O
56   O
Date   O
of   O
Birth   O
:   O
7/71   B-DATE
Address   O
:   O
Florida   B-LOCATION
,   O
95854   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
230   I-CONTACT
)   I-CONTACT
839   I-CONTACT
-   I-CONTACT
6615   I-CONTACT
Primary   O
Physician   O
:   O

Charlotte   B-NAME
Adams   I-NAME
Treating   O
Hospital   O
:   O

Searcy   B-LOCATION
Hospital   I-LOCATION
Employment   O
:   O
Door   O
-   O
To   O
-   O
Door   O
Sales   O
Workers   O
,   O
News   O
and   O
Street   O
Vendors   O
,   O
and   O
Related   O
Workers   O
at   O
Sussex   B-LOCATION
Rural   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
Username   O
:   O
EX224   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Dotson   B-NAME
,   O
presented   O
to   O
Yampa   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
spring   B-DATE
2030   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
47   O
-   O
year   O
-   O
old   O
Waylon   B-NAME
Casuat   I-NAME
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
diverticulitis   O
and   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
reports   O
that   O
the   O
abdominal   O
discomfort   O
started   O
suddenly   O
on   O
2224   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
31   I-DATE
.   O

The   O
patient   O
,   O
a   O
Producers   O
and   O
Directors   O
at   O
Hellenic   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
,   O
admits   O
to   O
smoking   O
occasionally   O
but   O
denies   O
the   O
use   O
of   O
illicit   O
drugs   O
or   O
alcohol   O
abuse   O
.   O

Gerald   B-NAME
Echols   I-NAME
lives   O
with   O
family   O
at   O
Wade   B-LOCATION
Hampton   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jon   B-NAME
Morales   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
distress   O
.   O

Caldwell   B-NAME
was   O
admitted   O
to   O
Woodland   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Lindsay   B-NAME
Campbell   I-NAME
for   O
observation   O
and   O
management   O
on   O
2019   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Brent   B-NAME
Monroe   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Simon   B-NAME
at   O
SSM   B-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
26/02/2123   B-DATE
.   O

The   O
patient   O
has   O
been   O
instructed   O
to   O
monitor   O
for   O
signs   O
of   O
worsening   O
condition   O
,   O
including   O
increasing   O
pain   O
,   O
fever   O
,   O
or   O
the   O
onset   O
of   O
vomiting   O
,   O
and   O
to   O
return   O
to   O
the   O
hospital   O
or   O
contact   O
(   B-CONTACT
842   I-CONTACT
)   I-CONTACT
508   I-CONTACT
4860   I-CONTACT
if   O
any   O
of   O
these   O
symptoms   O
occur   O
.   O

The   O
plan   O
is   O
to   O
discharge   O
Short   B-NAME
once   O
oral   O
antibiotics   O
can   O
be   O
tolerated   O
and   O
pain   O
is   O
adequately   O
controlled   O
.   O

Username   O
:   O
ynw65   B-NAME
End   O
of   O
Report   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Memphis   B-NAME
Arias   I-NAME
Date   O
of   O
Birth   O
:   O
15/31   B-DATE
Age   O
:   O
7   O
Medical   O
Record   O
Number   O
:   O
478   B-ID
-   I-ID
16   I-ID
-   I-ID
65   I-ID
-   I-ID
1   I-ID
ID   O
Number   O
:   O
2062087   B-ID
Address   O
:   O
Slovan   B-LOCATION
,   O
59141   B-LOCATION
Phone   O
Number   O
:   O
215   B-CONTACT
-   I-CONTACT
902   I-CONTACT
-   I-CONTACT
7799   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Bush   B-NAME
,   I-NAME
John   I-NAME
Carder   I-NAME
Hospital   O
:   O
CGH   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Employer   O
:   O
New   B-LOCATION
South   I-LOCATION
Federal   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Treasurers   O
and   O
Controllers   O
Date   O
of   O
Admission   O
:   O
06/18/2106   B-DATE
Date   O
of   O
Report   O
:   O
09/31/2154   B-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
62   O
-   O
year   O
-   O
old   O
Physicians   O
and   O
Surgeons   O
,   O
All   O
Other   O
at   O
International   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Professional   I-LOCATION
and   I-LOCATION
Technical   I-LOCATION
Engineers   I-LOCATION
,   O
presented   O
with   O
a   O
chief   O
complaint   O
of   O
progressively   O
worsening   O
dyspnea   O
on   O
exertion   O
over   O
the   O
past   O
two   O
weeks   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Keladry   B-NAME
first   O
noticed   O
shortness   O
of   O
breath   O
while   O
walking   O
to   O
work   O
at   O
Danville   B-LOCATION
approximately   O
two   O
weeks   O
ago   O
.   O

Past   O
Medical   O
History   O
:   O
XAYSANA   B-NAME
,   I-NAME
YUSEF   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Social   O
History   O
:   O
WILKES   B-NAME
is   O
a   O
Social   O
Scientists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
residing   O
in   O
Ocean   B-LOCATION
Gate   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Lashonda   B-NAME
Hendrick   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
cease   O
smoking   O
immediately   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Caldwell   B-NAME
at   O
Palms   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
for   O
next   O
March   B-DATE
.   O

For   O
any   O
changes   O
in   O
condition   O
or   O
additional   O
concerns   O
,   O
Ximena   B-NAME
Mays   I-NAME
or   O
a   O
family   O
member   O
is   O
instructed   O
to   O
contact   O
Dr.   O
Ellen   B-NAME
Burgess   I-NAME
office   O
at   O
967   B-CONTACT
8185   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
90809803   B-ID
Name   O
:   O
Alvarez   B-NAME
Age   O
:   O
47s   O
Date   O
of   O
Birth   O
:   O
April   B-DATE
Address   O
:   O
South   B-LOCATION
San   I-LOCATION
Gabriel   I-LOCATION
,   O
37632   B-LOCATION
Phone   O
Number   O
:   O
805   B-CONTACT
5727   I-CONTACT
Occupation   O
:   O

Wise   B-NAME
Hospital   O
:   O
Cedar   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaints   O
:   O
The   O
patient   O
,   O
Walter   B-NAME
Langkowski   I-NAME
,   O
a   O
Petroleum   O
Pump   O
System   O
Operators   O
from   O
Ramos   B-LOCATION
,   O
was   O
admitted   O
to   O
ACMH   B-LOCATION
Hospital   I-LOCATION
on   O
2218   B-DATE
with   O
a   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
dry   O
cough   O
,   O
and   O
fatigue   O
over   O
the   O
past   O
10   O
days   O
.   O

Roosevelt   B-NAME
,   I-NAME
Eleanor   I-NAME
also   O
reported   O
experiencing   O
intermittent   O
chest   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
,   O
stabbing   O
pain   O
that   O
worsens   O
with   O
deep   O
breathing   O
.   O

Management   O
Plan   O
:   O
Dr.   O
Jax   B-NAME
Curtis   I-NAME
initiated   O
treatment   O
with   O
intravenous   O
antibiotics   O
,   O
considering   O
the   O
clinical   O
presentation   O
and   O
initial   O
investigations   O
pointing   O
towards   O
bacterial   O
pneumonia   O
.   O

In   O
addition   O
,   O
Alivia   B-NAME
Cunningham   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
oral   O
prednisolone   O
for   O
the   O
underlying   O
asthma   O
exacerbation   O
.   O

By   O
November   B-DATE
of   I-DATE
2142   I-DATE
,   O
Jeff   B-NAME
House   I-NAME
's   O
condition   O
showed   O
significant   O
improvement   O
.   O

Uriel   B-NAME
A.   I-NAME
Xavier   I-NAME
reported   O
a   O
marked   O
reduction   O
in   O
chest   O
pain   O
and   O
was   O
able   O
to   O
engage   O
in   O
light   O
activities   O
without   O
significant   O
dyspnea   O
.   O

Follow   O
-   O
up   O
:   O
Lucas   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Bailee   B-NAME
Pratt   I-NAME
in   O
UPMC   B-LOCATION
ST   I-LOCATION
MARGARET   I-LOCATION
Outpatient   O
Department   O
on   O
06/75   B-DATE
.   O

Further   O
evaluation   O
of   O
Leigh   B-NAME
Marchizano   I-NAME
's   O
asthma   O
management   O
plan   O
will   O
also   O
be   O
discussed   O
.   O

Discharge   O
Instructions   O
:   O
-   O
Continue   O
with   O
the   O
prescribed   O
medications   O
as   O
directed   O
.   O
-   O
Schedule   O
and   O
attend   O
the   O
follow   O
-   O
up   O
appointment   O
on   O
Friday   B-DATE
,   I-DATE
May   I-DATE
.   O
-   O
Seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
worsening   O
symptoms   O
such   O
as   O
difficulty   O
breathing   O
,   O
chest   O
pain   O
,   O
or   O
high   O
fever   O
.   O

For   O
any   O
queries   O
or   O
urgent   O
concerns   O
,   O
please   O
contact   O
the   O
Montefiore   B-LOCATION
Wakefield   I-LOCATION
Campus   I-LOCATION
helpline   O
at   O
883   B-CONTACT
-   I-CONTACT
8677   I-CONTACT
.   O
Documentation   O
Completed   O
by   O
:   O
qi638   B-NAME
,   O
RN   O
04/19/1849   B-DATE

Patient   O
Name   O
:   O
Izabelle   B-NAME
Burch   I-NAME
Patient   O
ID   O
:   O
LM   B-ID
:   I-ID
SK:5392   I-ID
Date   O
of   O
Birth   O
:   O
8/43   B-DATE
Age   O
:   O
12   O
month   O
Phone   O
Number   O
:   O
141   B-CONTACT
5235   I-CONTACT
Medical   O
Record   O
Number   O
:   O
75805935   B-ID
Address   O
:   O
San   B-LOCATION
Antonio   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
78212   I-LOCATION
,   O
67924   B-LOCATION
Employment   O
:   O

Database   O
administrator   O
at   O
Compassion   B-LOCATION
Over   I-LOCATION
Killing   I-LOCATION
(   I-LOCATION
COK   I-LOCATION
)   I-LOCATION
Summary   O
:   O
On   O
2212   B-DATE
-   I-DATE
27   I-DATE
-   I-DATE
20   I-DATE
,   O
Chanel   B-NAME
Oberlin   I-NAME
,   O
a   O
95   O
-   O
year   O
-   O
old   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
employed   O
at   O
Family   B-LOCATION
Dollar   I-LOCATION
,   O
presented   O
at   O
the   O
emergency   O
department   O
of   O
WellSpan   B-LOCATION
Ephrata   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
persistent   O
nausea   O
without   O
vomiting   O
.   O

The   O
patient   O
reported   O
the   O
pain   O
's   O
onset   O
as   O
abrupt   O
,   O
approximately   O
2123   B-DATE
,   O
around   O
midnight   O
,   O
and   O
described   O
it   O
as   O
a   O
sharp   O
,   O
piercing   O
sensation   O
in   O
the   O
upper   O
abdomen   O
.   O

Uselton   B-NAME
also   O
noted   O
a   O
significant   O
reduction   O
in   O
appetite   O
since   O
the   O
pain   O
's   O
onset   O
and   O
mild   O
fever   O
.   O

Medical   O
History   O
:   O
Beckie   B-NAME
Buttimer   I-NAME
has   O
a   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Waitley   B-NAME
,   I-NAME
Denis   I-NAME
's   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
in   O
4/9   B-DATE
.   O
Examination   O
:   O
Upon   O
examination   O
,   O
Jalen   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Kaylynn   B-NAME
Oconnell   I-NAME
underwent   O
laboratory   O
testing   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
lipase   O
level   O
.   O

Treatment   O
:   O
Deja   B-NAME
Potter   I-NAME
was   O
admitted   O
to   O
Georgiana   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Browning   B-NAME
for   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Dwayne   B-NAME
Figueroa   I-NAME
's   O
blood   O
sugar   O
levels   O
were   O
closely   O
monitored   O
and   O
managed   O
with   O
insulin   O
therapy   O
due   O
to   O
existing   O
diabetes   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Grass   B-NAME
,   I-NAME
Günter   I-NAME
showed   O
clinical   O
improvement   O
over   O
the   O
2212   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
20   I-DATE
with   O
subsiding   O
pain   O
and   O
normalization   O
of   O
lipase   O
levels   O
.   O

Shiela   B-NAME
Flomm   I-NAME
was   O
counseled   O
on   O
dietary   O
modifications   O
,   O
including   O
a   O
low   O
-   O
fat   O
diet   O
,   O
and   O
was   O
prescribed   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Ashlyn   B-NAME
Davies   I-NAME
in   O
two   O
weeks   O
.   O

Gracie   B-NAME
Aguilar   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
avoiding   O
alcohol   O
and   O
smoking   O
cessation   O
to   O
prevent   O
recurrent   O
episodes   O
.   O

Discharge   O
Date   O
:   O
03/23   B-DATE
Discharge   O
Instructions   O
:   O
-   O
Follow   O
a   O
low   O
-   O
fat   O
diet   O
strictly   O
.   O
-   O
Avoid   O
alcohol   O
and   O
smoking   O
.   O
-   O
Continue   O
diabetes   O
and   O
hypertension   O
medications   O
as   O
prescribed   O
.   O

-   O
Attend   O
follow   O
-   O
up   O
appointments   O
with   O
Brennen   B-NAME
Monroe   I-NAME
and   O
the   O
referred   O
gastroenterologist   O
.   O

For   O
any   O
questions   O
or   O
urgent   O
concerns   O
,   O
Lorelei   B-NAME
Allison   I-NAME
can   O
contact   O
Tallahassee   B-LOCATION
Memorial   I-LOCATION
HealthCare   I-LOCATION
at   O
11283   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

Ezra   B-NAME
Tovar   I-NAME
Age   O
:   O
4   O
week   O
Medical   O
Record   O
Number   O
:   O
31385012   B-ID
ID   O
:   O
ZI   B-ID
:   I-ID
QA:2010   I-ID
Date   O
of   O
Visit   O
:   O
12/2090   B-DATE
Location   O
:   O
Latvia   B-LOCATION
Zip   O
Code   O
:   O
41929   B-LOCATION
Phone   O
:   O
63361   B-CONTACT
Attending   O
Physician   O
:   O
James   B-NAME
Hospital   O
:   O
Northeastern   B-LOCATION
Nevada   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O

Veterinary   O
nurse   O
Username   O
:   O
IC521   B-NAME
Chief   O
Complaint   O
:   O

Sean   B-NAME
Quinn   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
1706   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
16   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
pulsating   O
headaches   O
predominantly   O
located   O
in   O
the   O
frontal   O
region   O
.   O

Sam   B-NAME
Weizak   I-NAME
describes   O
these   O
headaches   O
as   O
having   O
a   O
sudden   O
onset   O
,   O
often   O
occurring   O
in   O
the   O
late   O
afternoon   O
.   O

Cristian   B-NAME
Hawkins   I-NAME
also   O
reported   O
experiencing   O
visual   O
auras   O
consisting   O
of   O
zigzag   O
lines   O
preceding   O
the   O
onset   O
of   O
the   O
headache   O
.   O

Baxter   B-NAME
denies   O
any   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Elise   B-NAME
Quinn   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
controlled   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Family   O
History   O
:   O
Zaniyah   B-NAME
Holder   I-NAME
's   O
mother   O
had   O
a   O
history   O
of   O
migraines   O
,   O
and   O
his   O
father   O
had   O
hypertension   O
and   O
coronary   O
artery   O
disease   O
.   O

Social   O
History   O
:   O
Peters   B-NAME
is   O
a   O
Hydroelectric   O
Production   O
Managers   O
,   O
does   O
not   O
smoke   O
,   O
consumes   O
alcohol   O
socially   O
,   O
and   O
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Please   O
direct   O
any   O
further   O
inquiries   O
or   O
requests   O
for   O
information   O
to   O
the   O
contact   O
provided   O
above   O
,   O
referencing   O
the   O
patient   O
's   O
medical   O
record   O
number   O
768   B-ID
-   I-ID
28   I-ID
-   I-ID
22   I-ID
-   I-ID
0   I-ID
and/or   O
patient   O
ID   O
4   B-ID
-   I-ID
6173886   I-ID
.   O

Patient   O
Name   O
:   O
Sienna   B-NAME
Snow   I-NAME
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
6394399   I-ID
Medical   O
Record   O
Number   O
:   O
7692526   B-ID
Date   O
of   O
Birth   O
:   O
1/35/42   B-DATE
Age   O
:   O
25   O
Phone   O
Number   O
:   O
83424   B-CONTACT
Address   O
:   O
Tulare   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
93274   I-LOCATION
,   O
21560   B-LOCATION
Attending   O
Physician   O
:   O

Nikolas   B-NAME
Van   I-NAME
Helsing   I-NAME
Hospital   O
:   O
University   B-LOCATION
Hospitals   I-LOCATION
Elyria   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
for   O
the   O
Patient   O
Portal   O
:   O
cvf793   B-NAME
Occupation   O
:   O

Word   O
Processors   O
and   O
Typists   O
Chief   O
Complaint   O
:   O
Hall   B-NAME
reported   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
48   O
hours   O
ago   O
.   O

Additionally   O
,   O
Lowery   B-NAME
noted   O
a   O
marked   O
increase   O
in   O
nausea   O
and   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
,   O
accompanied   O
by   O
a   O
lack   O
of   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Approximately   O
two   O
days   O
ago   O
,   O
Gary   B-NAME
Aragon   I-NAME
began   O
to   O
feel   O
a   O
mild   O
,   O
intermittent   O
abdominal   O
discomfort   O
which   O
gradually   O
worsened   O
,   O
evolving   O
into   O
the   O
present   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Amir   B-NAME
Naranjo   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
is   O
otherwise   O
healthy   O
with   O
no   O
surgeries   O
in   O
the   O
past   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
described   O
above   O
,   O
Molly   B-NAME
Christian   I-NAME
denies   O
experiencing   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
or   O
changes   O
in   O
bowel   O
habits   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Hitler   B-NAME
,   I-NAME
Adolf   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
to   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
Plan   O
:   O
Paola   B-NAME
Rolls   I-NAME
was   O
advised   O
to   O
undergo   O
immediate   O
surgical   O
consultation   O
for   O
potential   O
appendectomy   O
.   O

Zander   B-NAME
Townsend   I-NAME
was   O
advised   O
to   O
abstain   O
from   O
food   O
or   O
drink   O
in   O
preparation   O
for   O
possible   O
surgery   O
.   O

Terrell   B-NAME
Cavanaugh   I-NAME
was   O
informed   O
of   O
the   O
importance   O
of   O
prompt   O
treatment   O
to   O
avoid   O
complications   O
such   O
as   O
perforation   O
or   O
peritonitis   O
.   O

Follow   O
-   O
Up   O
:   O
Lowery   B-NAME
will   O
be   O
monitored   O
closely   O
in   O
the   O
Tulane   B-LOCATION
Lakeside   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
while   O
awaiting   O
surgical   O
evaluation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
12/22/13   B-DATE
post   O
-   O
surgery   O
or   O
as   O
needed   O
based   O
on   O
the   O
operative   O
findings   O
and   O
Yacob   B-NAME
T.   I-NAME
Kane   I-NAME
's   O
recovery   O
progress   O
.   O

The   O
information   O
in   O
this   O
document   O
is   O
confidential   O
and   O
intended   O
solely   O
for   O
the   O
use   O
of   O
Veterans   B-LOCATION
of   I-LOCATION
Foreign   I-LOCATION
Wars   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
(   I-LOCATION
VFW   I-LOCATION
)   I-LOCATION
's   O
medical   O
staff   O
for   O
the   O
purpose   O
of   O
WALLACE   B-NAME
,   I-NAME
VELMA   I-NAME
's   O
treatment   O
.   O

Patient   O
Name   O
:   O
Henderson   B-NAME
Date   O
of   O
Birth   O
:   O
07/72   B-DATE
Phone   O
:   O
(   B-CONTACT
882   I-CONTACT
)   I-CONTACT
662   I-CONTACT
5367   I-CONTACT
Address   O
:   O
Dover   B-LOCATION
,   I-LOCATION
Dover   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
40536   B-LOCATION
Profession   O
:   O

Title   O
Examiners   O
and   O
Abstractors   O
Primary   O
Care   O
Doctor   O
:   O
Shayna   B-NAME
Caldwell   I-NAME
Hospital   O
:   O

Frye   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
:   O
FF:16854:136160   B-ID
Medical   O
Record   O
Number   O
:   O
22122939   B-ID
Date   O
of   O
Visit   O
:   O
1   B-DATE
-   I-DATE
01   I-DATE
Symptoms   O
Description   O
:   O
Patient   O
Dennis   B-NAME
Dean   I-NAME
,   O
a   O
78   O
-   O
year   O
-   O
old   O
Telephone   O
Operators   O
,   O
presented   O
to   O
Madera   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
November   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
fever   O
peaking   O
at   O
101.5   O
°   O
F   O
.   O

Sherrill   B-NAME
Noland   I-NAME
also   O
described   O
experiencing   O
episodes   O
of   O
chills   O
and   O
profound   O
night   O
sweats   O
over   O
the   O
past   O
5   O
days   O
.   O

On   O
examination   O
,   O
Farris   B-NAME
Short   I-NAME
appeared   O
fatigued   O
and   O
had   O
a   O
notable   O
wheeze   O
upon   O
auscultation   O
.   O

Medical   O
History   O
:   O
Grady   B-NAME
Garrett   I-NAME
has   O
a   O
known   O
history   O
of   O
asthma   O
and   O
allergic   O
rhinitis   O
,   O
managed   O
with   O
inhalers   O
and   O
sporadic   O
antihistamine   O
use   O
,   O
respectively   O
.   O

Jayden   B-NAME
Malone   I-NAME
denies   O
any   O
history   O
of   O
smoking   O
or   O
illicit   O
drug   O
use   O
.   O

The   O
last   O
visit   O
to   O
Spencer   B-NAME
Ingram   I-NAME
was   O
on   O
Jun   B-DATE
23   I-DATE
for   O
a   O
routine   O
asthma   O
review   O
,   O
with   O
no   O
changes   O
made   O
to   O
the   O
medication   O
regimen   O
.   O

Laboratory   O
Tests   O
and   O
Imaging   O
:   O
Chest   O
radiography   O
performed   O
on   O
2204   B-DATE
revealed   O
bilateral   O
infiltrates   O
suggestive   O
of   O
viral   O
pneumonia   O
.   O

Asthma   O
exacerbation   O
secondary   O
to   O
acute   O
respiratory   O
infection   O
was   O
also   O
considered   O
,   O
given   O
Terry   B-NAME
Elliott   I-NAME
's   O
known   O
asthmatic   O
background   O
.   O

Singleton   B-NAME
was   O
advised   O
to   O
initiate   O
isolation   O
protocols   O
immediately   O
,   O
pending   O
COVID-19   O
test   O
results   O
.   O

In   O
light   O
of   O
Adalyn   B-NAME
Foster   I-NAME
's   O
oxygen   O
saturation   O
levels   O
,   O
supplemental   O
oxygen   O
was   O
not   O
deemed   O
necessary   O
at   O
the   O
moment   O
but   O
recommended   O
for   O
monitoring   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
tentatively   O
for   O
2256   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
,   O
with   O
instructions   O
for   O
Jayvon   B-NAME
Jacobson   I-NAME
to   O
report   O
any   O
worsening   O
of   O
symptoms   O
.   O

Sincere   B-NAME
Hodges   I-NAME
was   O
provided   O
with   O
the   O
phone   O
number   O
36677   B-CONTACT
for   O
Scotland   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
dedicated   O
COVID-19   O
helpline   O
for   O
any   O
questions   O
or   O
concerns   O
while   O
awaiting   O
test   O
results   O
or   O
in   O
case   O
of   O
emergency   O
symptoms   O
,   O
such   O
as   O
difficulty   O
breathing   O
.   O

Toynbee   B-NAME
,   I-NAME
Arnold   I-NAME
was   O
urged   O
to   O
maintain   O
communication   O
with   O
Cowan   B-NAME
's   O
office   O
and   O
report   O
immediately   O
should   O
there   O
be   O
any   O
significant   O
changes   O
in   O
health   O
status   O
.   O

Patient   O
Name   O
:   O
Nabokov   B-NAME
,   I-NAME
Vladimir   I-NAME
Date   O
of   O
Birth   O
:   O
Friday   B-DATE
,   I-DATE
October   I-DATE
Age   O
:   O
15   O
Medical   O
Record   O
Number   O
:   O
52273520   B-ID
ID   O
Number   O
:   O
OI:32512:232393   B-ID
Address   O
:   O
Lake   B-LOCATION
City   I-LOCATION
,   O
72312   B-LOCATION
Employment   O
:   O
Forensic   O
Science   O
Technicians   O
at   O
Lincoln   B-LOCATION
Electric   I-LOCATION
System   I-LOCATION
Physician   O
:   O

Alvin   B-NAME
Deleon   I-NAME
Hospital   O
:   O
Metrowest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Appointment   O
Date   O
:   O
5/13   B-DATE
Phone   O
Number   O
:   O
66313   B-CONTACT
Username   O
:   O
csb5310   B-NAME
Chief   O
Complaint   O
:   O

Phoebe   B-NAME
Benjamin   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
32/16   B-DATE
complaining   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
rated   O
7/10   O
in   O
intensity   O
,   O
which   O
began   O
approximately   O
7   O
days   O
prior   O
.   O

Woodard   B-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
a   O
single   O
episode   O
of   O
diarrhea   O
two   O
days   O
ago   O
.   O

Benson   B-NAME
,   I-NAME
Leana   I-NAME
denies   O
any   O
recent   O
changes   O
in   O
diet   O
or   O
new   O
stressors   O
.   O

Past   O
Medical   O
History   O
:   O
Rozella   B-NAME
Velazco   I-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
diagnosed   O
in   O
their   O
mid   O
-   O
twenties   O
and   O
a   O
laparoscopic   O
cholecystectomy   O
performed   O
three   O
years   O
ago   O
at   O
Summerlin   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Jamie   B-NAME
Gonzales   I-NAME
is   O
currently   O
not   O
on   O
any   O
prescription   O
medication   O
but   O
occasionally   O
takes   O
over   O
-   O
the   O
-   O
counter   O
ibuprofen   O
for   O
headaches   O
.   O

On   O
examination   O
,   O
Yan   B-NAME
appeared   O
in   O
no   O
acute   O
distress   O
.   O

Hank   B-NAME
Hastings   I-NAME
was   O
also   O
referred   O
for   O
an   O
abdominal   O
ultrasound   O
to   O
investigate   O
the   O
possibility   O
of   O
diverticulitis   O
or   O
an   O
ovarian   O
cyst   O
in   O
the   O
context   O
of   O
their   O
presenting   O
symptoms   O
and   O
medical   O
history   O
.   O

The   O
differential   O
diagnosis   O
for   O
Lonato   B-NAME
’s   O
presenting   O
symptoms   O
includes   O
diverticulitis   O
,   O
IBS   O
flare   O
-   O
up   O
,   O
ovarian   O
cyst   O
,   O
and   O
possible   O
urinary   O
tract   O
infection   O
(   O
UTI   O
)   O
.   O

Patient   O
Name   O
:   O
Humberto   B-NAME
Nixon   I-NAME
Patient   O
ID   O
:   O
UL:6561:332711   B-ID
Medical   O
Record   O
Number   O
:   O
162   B-ID
-   I-ID
66   I-ID
-   I-ID
70   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
0/12/2233   B-DATE
Age   O
:   O
4   O
Address   O
:   O
Feather   B-LOCATION
Sound   I-LOCATION
,   O
90534   B-LOCATION
Phone   O
:   O
677   B-CONTACT
1275   I-CONTACT
Primary   O
Physician   O
:   O

Hunt   B-NAME
Attending   O
Hospital   O
:   O

McAllen   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Emergency   O
Contact   O
:   O

Farm   O
and   O
Home   O
Management   O
Advisors   O
at   O
849   B-CONTACT
7184   I-CONTACT
Summary   O
of   O
Admission   O
:   O
William   B-NAME
Dugan   I-NAME
was   O
admitted   O
to   O
Connecticut   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
psychiatric   I-LOCATION
)   I-LOCATION
on   O
02/25   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
radiating   O
chest   O
pain   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Danika   B-NAME
Harvey   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Management   O
:   O
Tori   B-NAME
Folk   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Andrade   B-NAME
,   O
was   O
consulted   O
and   O
an   O
emergency   O
cardiac   O
catheterization   O
was   O
scheduled   O
.   O

Rhett   B-NAME
Owens   I-NAME
was   O
informed   O
of   O
the   O
findings   O
and   O
the   O
need   O
for   O
urgent   O
intervention   O
.   O

Consent   O
was   O
obtained   O
from   O
Huang   B-NAME
for   O
the   O
procedure   O
.   O

Graham   B-NAME
Francis   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
.   O

Follow   O
-   O
Up   O
:   O
Leandro   B-NAME
Biscari   I-NAME
is   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
the   O
cardiology   O
clinic   O
with   O
Hana   B-NAME
Carpenter   I-NAME
in   O
2   O
weeks   O
’   O
time   O
.   O

Lifestyle   O
modifications   O
,   O
including   O
diet   O
and   O
exercise   O
,   O
along   O
with   O
adherence   O
to   O
a   O
medication   O
regime   O
,   O
were   O
extensively   O
discussed   O
with   O
ELROD   B-NAME
,   I-NAME
RYLEY   I-NAME
.   O

Instructions   O
for   O
Discharge   O
:   O
Linnie   B-NAME
Labombard   I-NAME
was   O
discharged   O
on   O
00/10/1771   B-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
a   O
statin   O
,   O
and   O
nitroglycerin   O
as   O
needed   O
for   O
chest   O
pain   O
.   O

Ankti   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
any   O
new   O
or   O
worsening   O
symptoms   O
.   O

This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
solely   O
for   O
the   O
use   O
of   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Heat   I-LOCATION
and   I-LOCATION
Frost   I-LOCATION
Insulators   I-LOCATION
and   I-LOCATION
Asbestos   I-LOCATION
Workers   I-LOCATION
for   O
the   O
continuation   O
of   O
care   O
for   O
Krish   B-NAME
Stevenson   I-NAME
.   O

Any   O
further   O
inquiries   O
or   O
requests   O
for   O
information   O
should   O
be   O
directed   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Campus   I-LOCATION
contact   O
number   O
688   B-CONTACT
-   I-CONTACT
6067   I-CONTACT
.   O

Patient   O
Name   O
:   O
Madalyn   B-NAME
Wall   I-NAME
DOB   O
:   O
00/21/32   B-DATE
Medical   O
Record   O
Number   O
:   O
6018153   B-ID
Phone   O
Number   O
:   O
13080   B-CONTACT
Address   O
:   O
Estherwood   B-LOCATION
,   O
19341   B-LOCATION
Employer   O
:   O
City   B-LOCATION
of   I-LOCATION
Dover   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O
Healthcare   O
Support   O
Workers   O
,   O
All   O
Other   O
Primary   O
Physician   O
:   O

Speijk   B-NAME
,   I-NAME
Jan   I-NAME
van   I-NAME
Hospital   O
:   O
Harrison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Wylie   B-NAME
,   I-NAME
Philip   I-NAME
,   O
a   O
45   O
-   O
year   O
-   O
old   O
Umpires   O
,   O
Referees   O
,   O
and   O
Other   O
Sports   O
Officials   O
,   O
presented   O
to   O
Ellsworth   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Ellsworth   I-LOCATION
on   O
April   B-DATE
02th   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
predominantly   O
localized   O
on   O
the   O
right   O
side   O
.   O

Benjamin   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
that   O
started   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
mentioned   O
that   O
the   O
pain   O
initially   O
started   O
as   O
a   O
mild   O
discomfort   O
3/41   B-DATE
ago   O
but   O
has   O
progressively   O
worsened   O
.   O

Tavorian   B-NAME
denied   O
any   O
recent   O
history   O
of   O
trauma   O
,   O
unusual   O
physical   O
activity   O
,   O
changes   O
in   O
diet   O
,   O
or   O
bowel   O
habits   O
.   O

Faith   B-NAME
Ice   I-NAME
has   O
a   O
known   O
allergy   O
to   O
penicillin   O
,   O
causing   O
rash   O
and   O
pruritis   O
.   O

Past   O
Medical   O
History   O
:   O
Callum   B-NAME
Clayton   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
.   O

Review   O
of   O
Systems   O
:   O
Brynn   B-NAME
Stephens   I-NAME
reported   O
no   O
other   O
symptoms   O
,   O
including   O
no   O
changes   O
in   O
urination   O
or   O
bowel   O
movements   O
,   O
no   O
vaginal   O
bleeding   O
or   O
discharge   O
(   O
if   O
applicable   O
)   O
,   O
and   O
no   O
history   O
of   O
recent   O
travel   O
.   O

On   O
examination   O
,   O
Christensen   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Vital   O
signs   O
:   O
blood   O
pressure   O
was   O
measured   O
at   O
133490419   B-ID
,   O
heart   O
rate   O
10337   B-ID
,   O
temperature   O
of   O
HG:75713:219890   B-ID
F   O
,   O
and   O
respiratory   O
rate   O
8   B-ID
-   I-ID
4698994   I-ID
.   O

Sarah   B-NAME
Lynch   I-NAME
was   O
also   O
tested   O
for   O
COVID-19   O
as   O
per   O
the   O
hospital   O
protocol   O
which   O
returned   O
negative   O
on   O
21   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
39   I-DATE
.   O
Assessment   O
and   O
Plan   O
:   O

After   O
discussing   O
the   O
diagnosis   O
and   O
treatment   O
options   O
with   O
Vargas   B-NAME
,   O
surgical   O
intervention   O
was   O
agreed   O
upon   O
.   O

Clare   B-NAME
Howard   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
11   B-DATE
-   I-DATE
21   I-DATE
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Fischer   B-NAME
,   I-NAME
Joschka   I-NAME
was   O
advised   O
to   O
fast   O
for   O
at   O
least   O
6   O
hours   O
prior   O
to   O
the   O
procedure   O
.   O

Virginia   B-NAME
Dixon   I-NAME
was   O
informed   O
about   O
the   O
potential   O
signs   O
of   O
complications   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
incisional   O
discharge   O
,   O
and   O
advised   O
to   O
contact   O
Rockledge   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
should   O
these   O
occur   O
.   O

The   O
patient   O
tolerated   O
the   O
procedure   O
without   O
any   O
immediate   O
complications   O
and   O
was   O
scheduled   O
for   O
discharge   O
on   O
20/24   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
follow   O
-   O
up   O
appointment   O
with   O
Booker   B-NAME
in   O
Seacliff   B-LOCATION
clinic   O
for   O
wound   O
check   O
and   O
removal   O
of   O
sutures   O
.   O

Patient   O
Name   O
:   O
Irineo   B-NAME
Tovar   I-NAME
ID   O
:   O
EP897/3312   B-ID
Date   O
of   O
Birth   O
:   O
94   O
Date   O
of   O
Visit   O
:   O
10/21/2260   B-DATE
Referred   O
by   O
:   O
Duncan   B-NAME
Medical   O
Record   O
Number   O
:   O
02295890   B-ID
Contact   O
Number   O
:   O
57644   B-CONTACT
Address   O
:   O
Rohnert   B-LOCATION
Park   I-LOCATION
,   O
31782   B-LOCATION
Occupation   O
:   O
Music   O
Directors   O
Emergency   O
Contact   O
:   O
riy640   B-NAME
Summary   O
of   O
Visit   O
:   O
Casie   B-NAME
Cudan   I-NAME
visited   O
the   O
clinic   O
on   O
02/29   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
had   O
been   O
escalating   O
over   O
the   O
past   O
48   O
hours   O
.   O

Olney   B-NAME
Francis   I-NAME
Ong   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Kade   B-NAME
Blair   I-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
and   O
was   O
previously   O
seen   O
by   O
Kaley   B-NAME
Irwin   I-NAME
for   O
similar   O
complaints   O
.   O

The   O
patient   O
's   O
last   O
visit   O
to   O
Marlton   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
for   O
a   O
related   O
issue   O
was   O
on   O
13/02   B-DATE
,   O
where   O
imaging   O
studies   O
were   O
performed   O
with   O
inconclusive   O
results   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Dunn   B-NAME
presented   O
with   O
a   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
consistent   O
with   O
fever   O
,   O
and   O
palpation   O
of   O
the   O
abdomen   O
revealed   O
rebound   O
tenderness   O
primarily   O
in   O
the   O
McBurney   O
's   O
point   O
area   O
.   O

An   O
ultrasound   O
scan   O
scheduled   O
on   O
24/17   B-DATE
at   O
Mount   B-LOCATION
Carmel   I-LOCATION
St.   I-LOCATION
Ann   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
confirmed   O
the   O
diagnosis   O
of   O
appendicitis   O
with   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O

Raymond   B-NAME
was   O
advised   O
immediate   O
hospitalization   O
and   O
was   O
referred   O
to   O
Brookwood   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
surgical   O
consultation   O
with   O
Ruben   B-NAME
King   I-NAME
.   O

Aden   B-NAME
Patterson   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
liquid   O
diet   O
until   O
the   O
procedure   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
00/15   B-DATE
post   O
-   O
surgery   O
to   O
monitor   O
Marisol   B-NAME
Campbell   I-NAME
's   O
recovery   O
progress   O
and   O
to   O
address   O
any   O
complications   O
arising   O
from   O
the   O
surgery   O
.   O

Note   O
:   O
Detailed   O
surgical   O
reports   O
and   O
post   O
-   O
operative   O
care   O
instructions   O
will   O
be   O
provided   O
by   O
the   O
attending   O
surgeon   O
from   O
Cameron   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
health   O
report   O
contains   O
confidential   O
health   O
information   O
of   O
Franks   B-NAME
,   I-NAME
Tommy   I-NAME
and   O
is   O
meant   O
for   O
the   O
use   O
of   O
the   O
intended   O
recipient(s   O
)   O
only   O
.   O

Patient   O
Report   O
for   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
03/04   B-DATE
61   O
presented   O
to   O
Birkeland   B-LOCATION
Maternity   I-LOCATION
Center   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
has   O
been   O
occurring   O
for   O
the   O
past   O
22/02   B-DATE
.   O

TONYA   B-NAME
YOO   I-NAME
has   O
a   O
history   O
of   O
similar   O
,   O
albeit   O
milder   O
,   O
episodes   O
in   O
the   O
past   O
year   O
but   O
did   O
not   O
seek   O
medical   O
attention   O
.   O

Upon   O
examination   O
,   O
Moore   B-NAME
,   I-NAME
Michael   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
,   O
a   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Laura   B-NAME
Conway   I-NAME
recommended   O
immediate   O
surgical   O
intervention   O
to   O
prevent   O
possible   O
complications   O
such   O
as   O
perforation   O
or   O
peritonitis   O
.   O

Janetta   B-NAME
Lopiccalo   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
recommended   O
laparoscopic   O
appendectomy   O
procedure   O
.   O

After   O
receiving   O
a   O
detailed   O
explanation   O
of   O
the   O
risks   O
and   O
benefits   O
,   O
Bell   B-NAME
,   I-NAME
Alexander   I-NAME
Graham   I-NAME
provided   O
informed   O
consent   O
for   O
surgery   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
0/22   B-DATE
without   O
any   O
complications   O
.   O

Yandel   B-NAME
Acevedo   I-NAME
was   O
advised   O
to   O
stay   O
in   O
Jones   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
post   O
-   O
operative   O
monitoring   O
.   O

Yevgeniy   B-NAME
Petrov   I-NAME
showed   O
significant   O
improvement   O
postoperatively   O
,   O
with   O
a   O
resolution   O
of   O
abdominal   O
pain   O
and   O
normalization   O
of   O
body   O
temperature   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
00   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
David   B-NAME
on   O
Wednesday   B-DATE
to   O
evaluate   O
Scott   B-NAME
Fink   I-NAME
's   O
recovery   O
and   O
remove   O
sutures   O
.   O

In   O
summary   O
,   O
Gilmore   B-NAME
,   I-NAME
John   I-NAME
,   O
an   O
39   O
-   O
year   O
-   O
old   O
Air   O
traffic   O
controller   O
,   O
presented   O
with   O
symptoms   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Giada   B-NAME
Ferguson   I-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
with   O
no   O
complications   O
and   O
was   O
discharged   O
with   O
follow   O
-   O
up   O
arranged   O
.   O

Contact   O
Information   O
:   O
Tanner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Villa   I-LOCATION
Rica   I-LOCATION
-   O
41035   B-CONTACT
Kole   B-NAME
Delacruz   I-NAME
-   O
192   B-CONTACT
-   I-CONTACT
6050   I-CONTACT
SouthwestUSA   B-LOCATION
Bank   I-LOCATION
for   O
patient   O
records   O
and   O
further   O
assistance   O
-   O
43337   B-CONTACT
Medical   O
Record   O
Number   O
:   O
58723784   B-ID
Patient   O
ID   O
:   O
XX:41052:119503   B-ID
Admission   O
Date   O
:   O
13/28/2233   B-DATE
Discharge   O
Date   O
:   O
Wednesday   B-DATE
Location   O
of   O
Procedure   O
:   O
McLaren   B-LOCATION
-   I-LOCATION
Lapeer   I-LOCATION
Region   I-LOCATION
,   O
Wataga   B-LOCATION
Billing   O
Information   O
:   O

Invoices   O
will   O
be   O
sent   O
to   O
Larry   B-NAME
Klein   I-NAME
’s   O
residence   O
at   O
Darby   B-LOCATION
,   O
84892   B-LOCATION
.   O

For   O
billing   O
inquiries   O
,   O
please   O
call   O
394   B-CONTACT
-   I-CONTACT
6558   I-CONTACT
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
Gabe   B-LOCATION
's   I-LOCATION
at   O
796   B-CONTACT
-   I-CONTACT
4704   I-CONTACT
.   O

Patient   O
Name   O
:   O
Kassandra   B-NAME
Casey   I-NAME
Date   O
of   O
Birth   O
:   O
20/22/63   B-DATE
Age   O
:   O
85   O
Medical   O
Record   O
Number   O
:   O
239   B-ID
-   I-ID
48   I-ID
-   I-ID
91   I-ID
ID   O
Number   O
:   O
GU   B-ID
:   I-ID
ID:9348   I-ID
Address   O
:   O
Jackson   B-LOCATION
,   O
25227   B-LOCATION
Telephone   O
:   O
86557   B-CONTACT
Employer   O
:   O
Sonoma   B-LOCATION
Valley   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Tool   O
and   O
Die   O
Makers   O
Referring   O
Physician   O
:   O
Hopkins   B-NAME
Admitting   O
Hospital   O
:   O
Foundations   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Date   O
of   O
Admission   O
:   O
November   B-DATE
23   I-DATE
,   I-DATE
2222   I-DATE
Date   O
of   O
Discharge   O
:   O
2228   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
19   I-DATE
Medical   O
History   O
:   O
Vega   B-NAME
,   O
a   O
Insurance   O
Claims   O
and   O
Policy   O
Processing   O
Clerks   O
from   O
South   B-LOCATION
Patrick   I-LOCATION
Shores   I-LOCATION
,   O
presented   O
to   O
Lake   B-LOCATION
Health   I-LOCATION
West   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/29/33   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
located   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

Jeremy   B-NAME
Richmond   I-NAME
reported   O
that   O
the   O
headaches   O
are   O
often   O
accompanied   O
by   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
profound   O
sensitivity   O
to   O
light   O
and   O
sound   O
,   O
indicating   O
a   O
possible   O
migraine   O
condition   O
.   O

Winkel   B-NAME
also   O
noted   O
a   O
family   O
history   O
of   O
migraine   O
headaches   O
.   O

Upon   O
further   O
examination   O
,   O
Rios   B-NAME
also   O
identified   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
mild   O
aura   O
consisting   O
of   O
flashing   O
lights   O
and   O
blind   O
spots   O
preceding   O
the   O
headache   O
.   O

Although   O
Dayanara   B-NAME
House   I-NAME
had   O
tried   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
little   O
to   O
no   O
relief   O
,   O
a   O
prescription   O
for   O
a   O
triptan   O
medication   O
and   O
a   O
recommendation   O
for   O
a   O
lifestyle   O
and   O
dietary   O
modification   O
were   O
provided   O
.   O

Additionally   O
,   O
during   O
the   O
consultation   O
,   O
Kevin   B-NAME
Patterson   I-NAME
reported   O
experiencing   O
episodes   O
of   O
shortness   O
of   O
breath   O
and   O
chest   O
tightness   O
,   O
occurring   O
sporadically   O
over   O
the   O
last   O
20   O
months   O
.   O

Laboratory   O
tests   O
and   O
imaging   O
studies   O
ordered   O
on   O
20/24/2367   B-DATE
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
and   O
an   O
echocardiogram   O
.   O

The   O
treatment   O
plan   O
for   O
Gibbs   B-NAME
includes   O
the   O
initiation   O
of   O
a   O
prescribed   O
triptan   O
for   O
migraine   O
management   O
,   O
specifically   O
to   O
be   O
taken   O
at   O
the   O
onset   O
of   O
headaches   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
12/02   B-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

Additionally   O
,   O
Soren   B-NAME
Owen   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
maintaining   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
frequency   O
,   O
duration   O
,   O
severity   O
of   O
the   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
or   O
potential   O
triggers   O
.   O

For   O
further   O
information   O
or   O
to   O
reschedule   O
an   O
appointment   O
,   O
Landers   B-NAME
,   I-NAME
Ann   I-NAME
can   O
contact   O
Washington   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
Greene   I-LOCATION
at   O
339   B-CONTACT
3861   I-CONTACT
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Morgan   B-NAME
and   O
is   O
confidential   O
.   O

It   O
is   O
intended   O
solely   O
for   O
the   O
use   O
of   O
the   O
individual   O
named   O
above   O
and   O
should   O
not   O
be   O
distributed   O
without   O
permission   O
from   O
NorthShore   B-LOCATION
University   I-LOCATION
HealthSystem   I-LOCATION
-Skokie   I-LOCATION
Hospital   I-LOCATION
.   O

Any   O
queries   O
or   O
concerns   O
about   O
the   O
information   O
contained   O
within   O
this   O
report   O
should   O
be   O
directed   O
to   O
the   O
medical   O
records   O
department   O
using   O
reference   O
ID   O
98608829   B-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Karsyn   B-NAME
Potts   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
5252983   I-ID
Medical   O
Record   O
Number   O
:   O
2088240   B-ID
Date   O
of   O
Birth   O
:   O
2182   B-DATE
Age   O
:   O
88   O
Phone   O
Number   O
:   O
39563   B-CONTACT
Address   O
:   O
Paxton   B-LOCATION
,   I-LOCATION
P.R.I.D.E.   I-LOCATION
in   I-LOCATION
Paxton   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
81669   B-LOCATION
Occupation   O
:   O
Patient   O
Representatives   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Barr   B-NAME
Treating   O
Hospital   O
:   O
KVC   B-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/35   B-DATE
Date   O
of   O
Discharge   O
:   O
34/26/52   B-DATE
Clinical   O
Summary   O
:   O
Christine   B-NAME
Valenzuela   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Shands   B-LOCATION
Live   I-LOCATION
Oak   I-LOCATION
on   O
2/93   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
had   O
begun   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Bruce   B-NAME
D.   I-NAME
Brian   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
lack   O
of   O
appetite   O
.   O

Upon   O
examination   O
,   O
Jangih   B-NAME
's   O
temperature   O
was   O
37.5   O
°   O
C   O
,   O
blood   O
pressure   O
was   O
130/85   O
mmHg   O
,   O
and   O
heart   O
rate   O
was   O
98   O
bpm   O
.   O

Dogg   B-NAME
,   I-NAME
Snoop   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Dr.   O
Ada   B-NAME
Skinner   I-NAME
for   O
further   O
management   O
.   O

Management   O
and   O
Outcome   O
:   O
After   O
the   O
diagnosis   O
,   O
Pope   B-NAME
,   I-NAME
Alexander   I-NAME
was   O
promptly   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
fluids   O
.   O

The   O
procedure   O
was   O
performed   O
successfully   O
without   O
complications   O
on   O
32/25   B-DATE
.   O

Xanders   B-NAME
’s   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
symptoms   O
improved   O
significantly   O
within   O
the   O
following   O
days   O
.   O

August   B-NAME
Asmus   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
upon   O
discharge   O
on   O
23/00/2040   B-DATE
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Dr.   O
Keshawn   B-NAME
Cooke   I-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
progress   O
.   O

Conclusion   O
:   O
Haleigh   B-NAME
Montoya   I-NAME
,   O
a   O
42   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
,   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
from   O
Seltzer   B-LOCATION
,   O
presented   O
with   O
clinical   O
and   O
laboratory   O
findings   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

-   O
Attend   O
the   O
follow   O
-   O
up   O
appointment   O
on   O
2093   B-DATE
,   O
with   O
Dr.   O
Anderson   B-NAME
at   O
Aventura   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
further   O
questions   O
or   O
in   O
case   O
of   O
emergency   O
,   O
please   O
contact   O
TriStar   B-LOCATION
Greenview   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
at   O
758   B-CONTACT
-   I-CONTACT
603   I-CONTACT
1496   I-CONTACT
.   O

Patient   O
Report   O
for   O
Oscar   B-NAME
Broderick   I-NAME
1   O
.   O

*   O
*   O
General   O
Information   O
*   O
*   O
-   O
*   O
*   O
Patient   O
ID   O
:*   O
*   O
1219421   B-ID
-   O
*   O
*   O
Age   O
:*   O
*   O
96   O
-   O
*   O
*   O
Date   O
of   O
Birth   O
:*   O
*   O
22/08   B-DATE
-   O
*   O
*   O
Address   O
:*   O
*   O
Vega   B-LOCATION
Baja   I-LOCATION
,   O
53054   B-LOCATION
-   O
*   O
*   O
Phone   O
Number   O
:*   O
*   O
223   B-CONTACT
-   I-CONTACT
5985   I-CONTACT
-   O
*   O
*   O
Primary   O
Care   O
Physician   O
:*   O
*   O
Gallagher   B-NAME
,   I-NAME
Fred   I-NAME
-   O
*   O
*   O
Treated   O
at   O
:*   O
*   O
Peak   B-LOCATION
View   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
-   O
*   O
*   O
Admission   O
Date   O
:*   O
*   O
11/02   B-DATE
-   O
*   O
*   O
Discharge   O
Date   O
:*   O
*   O
2275   B-DATE
2   O
.   O
*   O
*   O
Medical   O
History   O
*   O
*   O
The   O
patient   O
,   O
Keegan   B-NAME
Vasquez   I-NAME
,   O
presents   O
with   O
a   O
history   O
notable   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
Hypertension   O
,   O
for   O
which   O
they   O
are   O
also   O
receiving   O
treatment   O
.   O

Previous   O
records   O
from   O
Linux   B-LOCATION
Users   I-LOCATION
'   I-LOCATION
Group   I-LOCATION
of   I-LOCATION
Davis   I-LOCATION
indicate   O
a   O
surgical   O
history   O
of   O
cholecystectomy   O
approximately   O
10   O
years   O
ago   O
.   O

3   O
.   O
*   O
*   O
Presenting   O
Symptoms   O
*   O
*   O
Quanita   B-NAME
Ziemer   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Inc   I-LOCATION
on   O
21/23   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
and   O
continuous   O
pain   O
radiating   O
to   O
the   O
back   O
.   O

The   O
pain   O
has   O
been   O
escalating   O
over   O
the   O
past   O
22/10/30   B-DATE
and   O
is   O
associated   O
with   O
nausea   O
and   O
vomiting   O
.   O

Upon   O
examination   O
,   O
Johns   B-NAME
's   O
temperature   O
was   O
noted   O
to   O
be   O
38.2   O
°   O
C   O
,   O
with   O
a   O
heart   O
rate   O
of   O
98   O
bpm   O
.   O

4   O
.   O
*   O
*   O
Investigations   O
*   O
*   O
An   O
abdominal   O
ultrasound   O
performed   O
on   O
2113   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
23   I-DATE
indicated   O
the   O
presence   O
of   O
gallstones   O
,   O
with   O
signs   O
of   O
inflammation   O
around   O
the   O
gallbladder   O
.   O

Given   O
the   O
patient   O
’s   O
history   O
and   O
the   O
severity   O
of   O
symptoms   O
,   O
surgical   O
consultation   O
with   O
Solon   B-NAME
Maxim   I-NAME
was   O
requested   O
.   O

A   O
laparoscopic   O
cholecystectomy   O
was   O
performed   O
successfully   O
on   O
Feb   B-DATE
,   O
without   O
complications   O
.   O

Walton   B-NAME
Shack   I-NAME
was   O
advised   O
to   O
remain   O
hospitalized   O
for   O
monitoring   O
post   O
-   O
operation   O
.   O

*   O
*   O
Follow   O
-   O
up   O
and   O
Discharge   O
Instructions   O
*   O
*   O
Carley   B-NAME
Garner   I-NAME
was   O
discharged   O
on   O
2062   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
09   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
with   O
Jacob   B-NAME
Hanna   I-NAME
at   O
Menorah   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Any   O
further   O
queries   O
regarding   O
the   O
care   O
of   O
Robert   B-NAME
D.   I-NAME
Briggs   I-NAME
should   O
be   O
directed   O
to   O
St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
at   O
565   B-CONTACT
1418   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
yfp99   B-NAME
Report   O
Date   O
:   O
2/8   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kidd   B-NAME
Patient   O
ID   O
:   O
26240   B-ID
Medical   O
Record   O
Number   O
:   O
3715267   B-ID
Date   O
of   O
Birth   O
:   O
24   O
Address   O
:   O
Marceline   B-LOCATION
,   O
34011   B-LOCATION
Phone   O
Number   O
:   O
96744   B-CONTACT
Attending   O
Physician   O
:   O

Kyla   B-NAME
Nixon   I-NAME
Hospital   O
Name   O
:   O
Jupiter   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/10   B-DATE
Presenting   O
Complaints   O
:   O

The   O
patient   O
,   O
Abigail   B-NAME
Mcphatter   I-NAME
,   O
a   O
Midwife   O
from   O
Pensacola   B-LOCATION
,   O
presents   O
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
,   O
severe   O
headaches   O
predominantly   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

The   O
intensity   O
of   O
the   O
headaches   O
has   O
progressively   O
increased   O
over   O
the   O
past   O
12/06/28   B-DATE
,   O
reaching   O
a   O
severity   O
that   O
disrupts   O
daily   O
activities   O
.   O

Past   O
Medical   O
History   O
:   O
Matilda   B-NAME
Conrad   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
history   O
of   O
similar   O
headaches   O
in   O
the   O
past   O
.   O

On   O
physical   O
examination   O
,   O
Salvador   B-NAME
Barboza   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
was   O
performed   O
at   O
SUNY   B-LOCATION
Upstate   I-LOCATION
Medical   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
by   O
Dr.   O
Reynolds   B-NAME
on   O
2192   B-DATE
,   O
which   O
did   O
not   O
show   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

Thomas   B-NAME
Javier   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
regular   O
sleep   O
patterns   O
,   O
hydration   O
,   O
and   O
stress   O
management   O
techniques   O
to   O
further   O
manage   O
the   O
episodes   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Ariel   B-NAME
Vargas   I-NAME
for   O
08/19   B-DATE
at   O
Advocate   B-LOCATION
Illinois   I-LOCATION
Masonic   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
reassess   O
the   O
patient   O
's   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Cabrera   B-NAME
was   O
encouraged   O
to   O
keep   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
the   O
headaches   O
,   O
as   O
well   O
as   O
any   O
potential   O
triggers   O
.   O

For   O
any   O
urgent   O
issues   O
or   O
concerns   O
,   O
Tolstoy   B-NAME
,   I-NAME
Leo   I-NAME
can   O
contact   O
Florida   B-LOCATION
Hospital   I-LOCATION
DeLand   I-LOCATION
at   O
146   B-CONTACT
-   I-CONTACT
4854   I-CONTACT
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
:   O
(   B-CONTACT
201   I-CONTACT
)   I-CONTACT
831   I-CONTACT
4593   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Name   O
:   O
Pascal   B-NAME
,   I-NAME
Blaise   I-NAME
Patient   O
ID   O
:   O
947760783   B-ID
Date   O
of   O
Birth   O
:   O
32/22   B-DATE
Age   O
:   O
38   O
Phone   O
Number   O
:   O
26753   B-CONTACT
Address   O
:   O
Erick   B-LOCATION
,   O
31947   B-LOCATION
Employment   O
:   O
Education   O
Teachers   O
,   O
Postsecondary   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Minow   B-NAME
,   I-NAME
Newton   I-NAME
N.   I-NAME
Hospital   O
:   O
CHRISTUS   B-LOCATION
Spohn   I-LOCATION
Hospital   I-LOCATION
Corpus   I-LOCATION
Christi   I-LOCATION
Memorial   I-LOCATION
Medical   O
Record   O
Number   O
:   O
8983778   B-ID
Referring   O
Organization   O
:   O

IIUG   B-LOCATION
International   I-LOCATION
Informix   I-LOCATION
Users   I-LOCATION
Group   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Rivas   B-NAME
,   O
a   O
Biochemists   O
and   O
Biophysicists   O
from   O
Miller   B-LOCATION
,   O
presented   O
to   O
the   O
outpatient   O
department   O
at   O
Cooper   B-LOCATION
Green   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
on   O
2222   B-DATE
with   O
a   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
dry   O
cough   O
,   O
and   O
mild   O
fever   O
over   O
the   O
past   O
2202   B-DATE
.   O

Harlan   B-NAME
Oneil   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
asthma   O
but   O
reports   O
being   O
in   O
good   O
health   O
prior   O
to   O
this   O
incident   O
.   O

On   O
examination   O
,   O
Easterling   B-NAME
appeared   O
comfortable   O
but   O
fatigued   O
.   O

Vanover   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
via   O
telehealth   O
on   O
37/22   B-DATE
or   O
to   O
return   O
earlier   O
if   O
there   O
was   O
any   O
deterioration   O
in   O
their   O
condition   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Not   O
Provided   O
Relationship   O
:   O
Not   O
Provided   O
Phone   O
Number   O
:   O
28290   B-CONTACT
Notes   O
:   O

vl473   B-NAME

Patient   O
Report   O
:   O
Patient   O
Identification   O
:   O
-   O
Patient   O
Name   O
:   O
Kaeden   B-NAME
Wiley   I-NAME
-   O
Age   O
:   O
72s   O
-   O
Medical   O
Record   O
Number   O
:   O
537   B-ID
-   I-ID
68   I-ID
-   I-ID
56   I-ID
-   I-ID
8   I-ID
-   O
ID   O
Number   O
:   O
782477004   B-ID
-   O
Contact   O
Number   O
:   O
655   B-CONTACT
-   I-CONTACT
161   I-CONTACT
6679   I-CONTACT
-   O
Address   O
:   O
Depauville   B-LOCATION
,   O
56834   B-LOCATION
Consultation   O
Date   O
:   O
3   B-DATE
-   I-DATE
31   I-DATE
Referring   O
Physician   O
:   O
Hayes   B-NAME
Summary   O
:   O
Kathy   B-NAME
Guzman   I-NAME
,   O
a   O
Farm   O
and   O
Home   O
Management   O
Advisors   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
2242   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
23   I-DATE
,   O
complaining   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
localized   O
to   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

The   O
onset   O
of   O
the   O
headache   O
was   O
sudden   O
,   O
approximately   O
at   O
2:00   O
PM   O
on   O
02/00   B-DATE
,   O
and   O
has   O
progressively   O
worsened   O
,   O
peaking   O
at   O
an   O
intensity   O
of   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

Medical   O
History   O
:   O
Kian   B-NAME
Frost   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
,   O
diagnosed   O
in   O
00/08/1779   B-DATE
by   O
Abram   B-NAME
Lamer   I-NAME
.   O

However   O
,   O
Hoffman   B-NAME
,   I-NAME
Jessica   I-NAME
did   O
not   O
take   O
Sumatriptan   O
for   O
the   O
current   O
episode   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Blake   B-NAME
Downs   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

For   O
prevention   O
of   O
future   O
episodes   O
,   O
Jadiel   B-NAME
Jennings   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
identifying   O
potential   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Huxley   B-NAME
,   I-NAME
Thomas   I-NAME
Henry   I-NAME
at   O
Lakeland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
3/88   B-DATE
to   O
discuss   O
the   O
effectiveness   O
of   O
the   O
treatment   O
and   O
potential   O
adjustments   O
.   O

Instructions   O
for   O
Patient   O
:   O
Jacobson   B-NAME
,   I-NAME
Isaiah   I-NAME
Peter   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
triggers   O
,   O
such   O
as   O
specific   O
foods   O
,   O
bright   O
lighting   O
,   O
and   O
high   O
-   O
stress   O
situations   O
.   O

In   O
case   O
of   O
a   O
severe   O
migraine   O
attack   O
,   O
the   O
patient   O
was   O
instructed   O
to   O
use   O
Sumatriptan   O
and   O
contact   O
Noyes   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
or   O
Annie   B-NAME
Cross   I-NAME
for   O
further   O
advice   O
.   O

For   O
any   O
immediate   O
concerns   O
or   O
if   O
symptoms   O
exacerbate   O
,   O
Leach   B-NAME
is   O
advised   O
to   O
contact   O
Vazquez   B-NAME
at   O
(   B-CONTACT
154   I-CONTACT
)   I-CONTACT
974   I-CONTACT
3221   I-CONTACT
or   O
proceed   O
to   O
Genesis   B-LOCATION
Hospital   I-LOCATION
located   O
at   O
Winnsboro   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Winnsboro   I-LOCATION
,   O
80134   B-LOCATION
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Bolton   B-NAME
on   O
01/10   B-DATE
at   O
Jupiter   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
treatment   O
progress   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Patient   O
Report   O
for   O
Louis   B-NAME
Byrd   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
15   O
-   O
Date   O
of   O
Admission   O
:   O
13/38   B-DATE
-   O
Attending   O
Physician   O
:   O

Stout   B-NAME
-   O
Hospital   O
:   O
Methodist   B-LOCATION
Richardson   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
6233602   B-ID
-   O
Location   O
:   O
Friant   B-LOCATION
-   O
Organization   O
:   O

North   B-LOCATION
Attleboro   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
-   O
Contact   O
Phone   O
:   O
(   B-CONTACT
951   I-CONTACT
)   I-CONTACT
832   I-CONTACT
-   I-CONTACT
5890   I-CONTACT
-   O
ID   O
:   O
3   B-ID
-   I-ID
3824643   I-ID
-   O
Profession   O
:   O
Cytotechnologists   O
-   O
Username   O
:   O
mxr122   B-NAME
-   O
ZIP   O
:   O
79743   B-LOCATION
Clinical   O
Summary   O
:   O
Krish   B-NAME
Spencer   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
St.   B-LOCATION
Charles   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Redmond   I-LOCATION
on   O
0/7   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
reaching   O
up   O
to   O
38.5   O
°   O
C   O
.   O

Upon   O
physical   O
examination   O
,   O
Castro   B-NAME
exhibited   O
rebound   O
tenderness   O
and   O
guarding   O
indicative   O
of   O
peritoneal   O
irritation   O
in   O
the   O
right   O
lower   O
abdominal   O
quadrant   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
24/13/2102   B-DATE
suggested   O
appendicitis   O
with   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
measuring   O
11   O
mm   O
in   O
diameter   O
without   O
evidence   O
of   O
perforation   O
.   O

Treatment   O
:   O
Zavier   B-NAME
Bradford   I-NAME
was   O
admitted   O
to   O
Hackettstown   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

After   O
discussion   O
of   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
with   O
Cummings   B-NAME
,   O
Nayeli   B-NAME
Perez   I-NAME
consented   O
to   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
performed   O
on   O
4/13/2322   B-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Post   O
-   O
operatively   O
,   O
Magaly   B-NAME
Herrion   I-NAME
's   O
recovery   O
was   O
uncomplicated   O
.   O

Cooper   B-NAME
Wyatt   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
to   O
complete   O
at   O
home   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
for   O
19/16   B-DATE
in   O
the   O
surgical   O
outpatient   O
department   O
of   O
Providence   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Everett   I-LOCATION
.   O

Louis   B-NAME
Beasley   I-NAME
was   O
discharged   O
home   O
on   O
1691   B-DATE
with   O
instructions   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
operation   O
site   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

Richelieu   B-NAME
,   I-NAME
Cardinal   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
discharge   O
gradually   O
resuming   O
to   O
a   O
normal   O
diet   O
as   O
tolerated   O
.   O

Fry   B-NAME
was   O
instructed   O
to   O
contact   O
AdventHealth   B-LOCATION
Ocala   I-LOCATION
's   O
surgical   O
department   O
at   O
500   B-CONTACT
-   I-CONTACT
5046   I-CONTACT
for   O
any   O
concerns   O
or   O
in   O
case   O
of   O
emergency   O
.   O

Conclusion   O
:   O
Axel   B-NAME
Fitzgerald   I-NAME
's   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
promptly   O
addressed   O
with   O
surgical   O
intervention   O
,   O
resulting   O
in   O
a   O
positive   O
outcome   O
and   O
resolution   O
of   O
symptoms   O
.   O

The   O
patient   O
,   O
Wolfe   B-NAME
,   O
a   O
Meeting   O
and   O
Convention   O
Planners   O
from   O
Bellechester   B-LOCATION
,   O
presented   O
to   O
Rusk   B-LOCATION
Rehabilitation   I-LOCATION
Center   I-LOCATION
on   O
2/2012   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
acute   O
shortness   O
of   O
breath   O
.   O

On   O
examination   O
,   O
Floyd   B-NAME
J.   I-NAME
Floyd   I-NAME
Jr.   I-NAME
appeared   O
in   O
acute   O
distress   O
with   O
diaphoresis   O
and   O
palpitations   O
.   O

Fry   B-NAME
initiated   O
an   O
ECG   O
,   O
which   O
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
suggesting   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

The   O
medical   O
record   O
number   O
for   O
this   O
encounter   O
is   O
75938560   B-ID
,   O
and   O
the   O
unique   O
patient   O
identifier   O
used   O
was   O
685150   B-ID
.   O

Due   O
to   O
the   O
emergent   O
nature   O
of   O
the   O
case   O
,   O
a   O
cardiac   O
catheterization   O
was   O
recommended   O
by   O
Keeping   B-NAME
,   I-NAME
Charles   I-NAME
and   O
was   O
promptly   O
performed   O
,   O
revealing   O
a   O
90   O
%   O
occlusion   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

A   O
stent   O
was   O
placed   O
successfully   O
,   O
and   O
THORNE   B-NAME
,   I-NAME
OLIVER   I-NAME
was   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
.   O

Post   O
-   O
procedure   O
,   O
Milligan   B-NAME
,   I-NAME
Spike   I-NAME
's   O
condition   O
stabilized   O
,   O
and   O
symptoms   O
subsided   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Lanne   B-NAME
,   I-NAME
Jack   I-NAME
La   I-NAME
at   O
Kingman   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Kingman   I-LOCATION
for   O
March   B-DATE
2117   I-DATE
.   O

For   O
any   O
concerns   O
or   O
symptoms   O
before   O
the   O
follow   O
-   O
up   O
,   O
Abraham   B-NAME
Harrell   I-NAME
was   O
given   O
the   O
contact   O
number   O
357   B-CONTACT
4159   I-CONTACT
and   O
reminded   O
to   O
reach   O
out   O
immediately   O
to   O
emergency   O
services   O
if   O
symptoms   O
of   O
a   O
heart   O
attack   O
reoccur   O
.   O

The   O
healthcare   O
team   O
at   O
Georgia   B-LOCATION
Power   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Southern   I-LOCATION
Company   I-LOCATION
in   O
33   B-LOCATION
Corona   I-LOCATION
Drive   I-LOCATION
,   O
along   O
with   O
the   O
supportive   O
family   O
of   O
Dalton   B-NAME
Moody   I-NAME
,   O
facilitated   O
a   O
comprehensive   O
care   O
plan   O
emphasizing   O
secondary   O
prevention   O
of   O
cardiac   O
events   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
March   B-DATE
2178   I-DATE
with   O
a   O
detailed   O
heart   O
-   O
healthy   O
discharge   O
plan   O
and   O
prescriptions   O
.   O

Please   O
note   O
,   O
any   O
further   O
inquiries   O
about   O
Lucas   B-NAME
Hunt   I-NAME
's   O
case   O
should   O
be   O
directed   O
to   O
Katherine   B-LOCATION
Shaw   I-LOCATION
Bethea   I-LOCATION
Hospital   I-LOCATION
with   O
appropriate   O
identification   O
details   O
including   O
the   O
patient   O
's   O
medical   O
record   O
number   O
5210786   B-ID
and   O
contact   O
information   O
provided   O
at   O
admission   O
(   O
43029   B-CONTACT
)   O
.   O

All   O
follow   O
-   O
up   O
appointments   O
and   O
patient   O
communications   O
must   O
be   O
documented   O
under   O
the   O
current   O
medical   O
record   O
number   O
143   B-ID
10   I-ID
14   I-ID
2   I-ID
to   O
ensure   O
continuity   O
of   O
care   O
and   O
privacy   O
compliance   O
.   O

This   O
document   O
contains   O
health   O
information   O
about   O
Gonzalez   B-NAME
that   O
is   O
private   O
and   O
confidential   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Kaila   B-NAME
Kent   I-NAME
Age   O
:   O
61   O
ID   O
:   O
LL   B-ID
:   I-ID
YP:1860   I-ID
Medical   O
Record   O
Number   O
:   O
9388B09325   B-ID
Address   O
:   O
Filton   B-LOCATION
,   O
39241   B-LOCATION
Phone   O
Number   O
:   O
671   B-CONTACT
-   I-CONTACT
7002   I-CONTACT
Occupation   O
:   O
Tax   O
Preparers   O
Date   O
of   O
Visit   O
:   O

Sep   B-DATE
4   I-DATE
Attending   O
Physician   O
:   O

Reuben   B-NAME
Yates   I-NAME
Hospital   O
:   O
McLaren   B-LOCATION
Port   I-LOCATION
Huron   I-LOCATION
Subjective   O
:   O
Avery   B-NAME
Palmer   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
January   B-DATE
24   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
that   O
has   O
been   O
ongoing   O
for   O
the   O
past   O
three   O
days   O
.   O

Nina   B-NAME
Gilmore   I-NAME
also   O
reports   O
experiencing   O
episodes   O
of   O
blurred   O
vision   O
preceding   O
the   O
headache   O
.   O

Rachael   B-NAME
Byrd   I-NAME
denies   O
any   O
recent   O
trauma   O
or   O
injury   O
to   O
the   O
head   O
.   O

Kymani   B-NAME
Bender   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
Clinton   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
762   B-CONTACT
2403   I-CONTACT
if   O
symptoms   O
worsen   O
or   O
experience   O
any   O
adverse   O
effects   O
from   O
the   O
medication   O
.   O

Documentation   O
Completed   O
By   O
:   O
IA926   B-NAME
on   O
12/32/2032   B-DATE
.   O

Authorization   O
:   O
Medical   O
Record   O
:   O
14315658   B-ID
Patient   O
Signature   O
:   O

Anton   B-NAME
Shannon   I-NAME

Patient   O
Name   O
:   O
Aaron   B-NAME
Boies   I-NAME
Patient   O
ID   O
:   O
ZY909/6040   B-ID
Medical   O
Record   O
Number   O
:   O
363   B-ID
-   I-ID
43   I-ID
-   I-ID
49   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Birth   O
:   O
0/2   B-DATE
Age   O
:   O
77   O
Phone   O
Number   O
:   O
336   B-CONTACT
-   I-CONTACT
588   I-CONTACT
5454   I-CONTACT
Address   O
:   O
Reedsburg   B-LOCATION
,   O
14096   B-LOCATION
Employment   O
:   O
Transit   O
and   O
Railroad   O
Police   O
at   O
Marijuana   B-LOCATION
Anonymous   I-LOCATION
Primary   O
Physician   O
:   O
Dr.   O
Asa   B-NAME
Manning   I-NAME
Hospital   O
:   O
Aspirus   B-LOCATION
Wausau   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Initial   O
Consultation   O
:   O
2003   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
36   I-DATE
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Estes   B-NAME
,   O
presented   O
with   O
complaints   O
of   O
persistent   O
,   O
sever   O
lower   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
for   O
the   O
past   O
March   B-DATE
1   I-DATE
.   O

Cassidy   B-NAME
Oliver   I-NAME
also   O
reported   O
experiencing   O
a   O
high   O
-   O
grade   O
fever   O
since   O
2/9   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Nunes   B-NAME
has   O
been   O
experiencing   O
the   O
aforementioned   O
symptoms   O
with   O
increasing   O
intensity   O
over   O
the   O
past   O
October   B-DATE
.   O

Lehman   B-NAME
reported   O
the   O
use   O
of   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
minimal   O
relief   O
.   O

Additionally   O
,   O
there   O
was   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
and   O
subsequent   O
unintentional   O
weight   O
loss   O
over   O
11/68   B-DATE
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
in   O
12/02   B-DATE
.   O

Jeneva   B-NAME
is   O
currently   O
under   O
a   O
prescribed   O
regimen   O
of   O
Metformin   O
and   O
regularly   O
follows   O
up   O
at   O
ProMedica   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

No   O
shortness   O
of   O
breath   O
or   O
cough   O
Gastrointestinal   O
:   O
Nausea   O
,   O
vomiting   O
,   O
severe   O
lower   O
abdominal   O
pain   O
Musculoskeletal   O
:   O
No   O
muscle   O
pain   O
or   O
weakness   O
Neurological   O
:   O
No   O
dizziness   O
or   O
syncope   O
Skin   O
:   O
No   O
rash   O
or   O
itching   O
Diagnostic   O
Evaluation   O
:   O
Blood   O
work   O
,   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
and   O
Comprehensive   O
Metabolic   O
Panel   O
(   O
CMP   O
)   O
,   O
was   O
ordered   O
on   O
37/32/40   B-DATE
.   O

Results   O
are   O
pending   O
as   O
of   O
12/29/82   B-DATE
.   O
Plan   O
:   O
1   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Richard   B-NAME
Kimble   I-NAME
at   O
Northwest   B-LOCATION
Texas   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
on   O
2024   B-DATE
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
immediately   O
report   O
to   O
the   O
emergency   O
room   O
at   O
Grady   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Corporation   I-LOCATION
if   O
symptoms   O
notably   O
worsen   O
or   O
new   O
symptoms   O
arise   O
.   O

This   O
report   O
is   O
confidential   O
and   O
has   O
been   O
prepared   O
for   O
the   O
use   O
of   O
Dr.   O
Strong   B-NAME
and   O
the   O
medical   O
staff   O
at   O
Montefiore   B-LOCATION
New   I-LOCATION
Rochelle   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Kamari   B-NAME
Carney   I-NAME
Patient   O
RT   B-ID
:   I-ID
UL:5688   I-ID
:   O
82423353   B-ID
Address   O
:   O
Forsan   B-LOCATION
,   O
48129   B-LOCATION
Phone   O
:   O
(   B-CONTACT
198   I-CONTACT
)   I-CONTACT
924   I-CONTACT
2957   I-CONTACT
Date   O
of   O
Birth   O
:   O
69   O
years   O
Date   O
of   O
Visit   O
:   O
5/26   B-DATE
Referring   O
Doctor   O
:   O
Stephany   B-NAME
Fitzgerald   I-NAME
Hospital   O
:   O
Stephens   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Diego   B-NAME
Gaunt   I-NAME
,   O
a   O
Physical   O
Therapist   O
Assistants   O
by   O
profession   O
,   O
presented   O
to   O
the   O
outpatient   O
department   O
of   O
University   B-LOCATION
of   I-LOCATION
North   I-LOCATION
Carolina   I-LOCATION
Hospitals   I-LOCATION
on   O
November   B-DATE
with   O
chief   O
complaints   O
of   O
progressive   O
exertional   O
dyspnea   O
over   O
the   O
last   O
two   O
months   O
and   O
recent   O
episodes   O
of   O
paroxysmal   O
nocturnal   O
dyspnea   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Rachele   B-NAME
Cabeza   I-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
approximately   O
two   O
months   O
ago   O
,   O
which   O
have   O
progressively   O
worsened   O
.   O

Alonzo   B-NAME
Juarez   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
to   O
Gillingham   B-LOCATION
or   O
exposure   O
to   O
known   O
allergens   O
.   O

However   O
,   O
Leon   B-NAME
F   I-NAME
Craft   I-NAME
mentioned   O
a   O
family   O
history   O
of   O
heart   O
disease   O
.   O

The   O
patient   O
,   O
al   B-NAME
-   I-NAME
Sahaf   I-NAME
,   I-NAME
Muhammed   I-NAME
Saeed   I-NAME
,   O
is   O
a   O
Petroleum   O
Pump   O
System   O
Operators   O
,   O
Refinery   O
Operators   O
,   O
and   O
Gaugers   O
with   O
no   O
history   O
of   O
smoking   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Jordan   B-NAME
Hernandez   I-NAME
appears   O
in   O
no   O
acute   O
distress   O
.   O

Vital   O
Signs   O
:   O
BP   O
SJ245/4882   B-ID
,   O
HR   O
DV   B-ID
:   I-ID
ZQ:5468   I-ID
,   O
RR   O
CZ   B-ID
:   I-ID
VU:1929   I-ID
,   O
Temp   O
4   B-ID
-   I-ID
1924491   I-ID
,   O
O2   O
sat   O
96   O
%   O
on   O
room   O
air   O
.   O

Advise   O
Kassandra   B-NAME
Pope   I-NAME
on   O
salt   O
and   O
fluid   O
restriction   O
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
22/02   B-DATE
to   O
review   O
echocardiogram   O
results   O
and   O
adjust   O
treatment   O
plan   O
as   O
necessary   O
.   O

Instructions   O
for   O
Mannering   B-NAME
:   O
1   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Deleon   B-NAME
can   O
contact   O
Baptist   B-LOCATION
Health   I-LOCATION
La   I-LOCATION
Grange   I-LOCATION
at   O
591   B-CONTACT
-   I-CONTACT
6819   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
01151350   B-ID
Date   O
of   O
Report   O
:   O

February   B-DATE
21   I-DATE
Attending   O
Physician   O
:   O

West   B-NAME
Hospital   O
:   O
Sharp   B-LOCATION
Chula   I-LOCATION
Vista   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Mooringsport   B-LOCATION
Zip   O
Code   O
:   O
76358   B-LOCATION
Contact   O
Phone   O
:   O
279   B-CONTACT
488   I-CONTACT
4172   I-CONTACT
Patient   O
Name   O
:   O
Roland   B-NAME
Huffman   I-NAME
Age   O
:   O
26   O
Occupation   O
:   O
Watch   O
Repairers   O
Medical   O
History   O
:   O

The   O
patient   O
,   O
Huffman   B-NAME
,   O
presents   O
with   O
a   O
complex   O
medical   O
history   O
,   O
including   O
previously   O
diagnosed   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Symptoms   O
:   O
The   O
patient   O
arrived   O
at   O
Grand   B-LOCATION
Strand   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/25   B-DATE
complaining   O
of   O
acute   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
severe   O
dizziness   O
.   O

The   O
patient   O
described   O
the   O
chest   O
pain   O
as   O
"   O
pressure   O
-   O
like   O
"   O
,   O
starting   O
approximately   O
Feb   B-DATE
22   I-DATE
,   I-DATE
2315   I-DATE
,   O
with   O
increasing   O
severity   O
leading   O
to   O
the   O
hospital   O
visit   O
.   O

Diagnostic   O
Tests   O
:   O
Upon   O
arrival   O
,   O
Brennen   B-NAME
Graves   I-NAME
underwent   O
an   O
electrocardiogram   O
(   O
ECG   O
)   O
which   O
indicated   O
abnormalities   O
suggestive   O
of   O
myocardial   O
infarction   O
.   O

Dakota   B-NAME
Floyd   I-NAME
was   O
admitted   O
to   O
the   O
Intensive   O
Care   O
Unit   O
(   O
ICU   O
)   O
at   O
Clearview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
continuous   O
monitoring   O
.   O

A   O
consultation   O
with   O
the   O
cardiology   O
department   O
,   O
led   O
by   O
Rory   B-NAME
Banks   I-NAME
,   O
was   O
organized   O
to   O
evaluate   O
the   O
necessity   O
of   O
further   O
interventions   O
such   O
as   O
angioplasty   O
or   O
coronary   O
artery   O
bypass   O
grafting   O
(   O
CABG   O
)   O
.   O

Recommendations   O
:   O
It   O
is   O
recommended   O
that   O
Xenakis   B-NAME
undergoes   O
a   O
lifestyle   O
modification   O
program   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
stress   O
management   O
to   O
help   O
manage   O
underlying   O
conditions   O
and   O
prevent   O
future   O
cardiac   O
events   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Malik   B-NAME
Mottershead   I-NAME
in   O
the   O
Cardiology   O
clinic   O
at   O
Providence   B-LOCATION
St.   I-LOCATION
Peter   I-LOCATION
Hospital   I-LOCATION
on   O
06/08/1879   B-DATE
to   O
review   O
the   O
patient   O
’s   O
progress   O
and   O
adapt   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Authorization   O
:   O
This   O
report   O
was   O
prepared   O
by   O
Dayton   B-NAME
Walton   I-NAME
,   O
Northeast   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
further   O
information   O
,   O
please   O
contact   O
our   O
office   O
at   O
576   B-CONTACT
213   I-CONTACT
8327   I-CONTACT
.   O

Patient   O
Name   O
:   O
Braydon   B-NAME
Barajas   I-NAME
Patient   O
ID   O
:   O
822648   B-ID
Medical   O
Record   O
Number   O
:   O
2717339   B-ID
Age   O
:   O
61s   O
Date   O
of   O
Birth   O
:   O
31   B-DATE
Phone   O
Number   O
:   O
642   B-CONTACT
-   I-CONTACT
1012   I-CONTACT
Address   O
:   O
Grand   B-LOCATION
Point   I-LOCATION
,   O
13151   B-LOCATION
Referred   O
by   O
:   O
Dr.   O
Thomas   B-NAME
Flores   I-NAME
Date   O
of   O
Visit   O
:   O
2/42   B-DATE
Hospital   O
:   O
Sevier   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Saki   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
July   B-DATE
29   I-DATE
,   I-DATE
2341   I-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
intermittent   O
episodes   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
14/32   B-DATE
,   O
with   O
a   O
gradual   O
increase   O
in   O
severity   O
leading   O
to   O
the   O
visit   O
.   O

The   O
patient   O
was   O
started   O
on   O
anticoagulant   O
therapy   O
in   O
accordance   O
with   O
the   O
latest   O
guidelines   O
from   O
Sierra   B-LOCATION
Pacific   I-LOCATION
Power   I-LOCATION
.   O

The   O
plan   O
includes   O
close   O
monitoring   O
of   O
therapeutic   O
levels   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
1/32/31   B-DATE
to   O
reassess   O
the   O
patient   O
's   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Mikasi   B-NAME
has   O
been   O
advised   O
to   O
undergo   O
a   O
thorough   O
cardiovascular   O
evaluation   O
by   O
Dr.   O
Parsons   B-NAME
at   O
Holy   B-LOCATION
Cross   I-LOCATION
Hospital   I-LOCATION
to   O
rule   O
out   O
any   O
underlying   O
cardiac   O
condition   O
that   O
may   O
necessitate   O
additional   O
intervention   O
.   O

In   O
summary   O
,   O
Bryson   B-NAME
Cole   I-NAME
's   O
current   O
treatment   O
regimen   O
focuses   O
on   O
the   O
management   O
of   O
pulmonary   O
embolism   O
with   O
anticoagulants   O
,   O
monitoring   O
for   O
therapeutic   O
efficacy   O
,   O
and   O
evaluation   O
for   O
potential   O
occupational   O
hazards   O
and   O
cardiovascular   O
risk   O
factors   O
.   O

For   O
further   O
inquiries   O
or   O
to   O
report   O
any   O
changes   O
in   O
symptoms   O
,   O
Jane   B-NAME
Carlson   I-NAME
or   O
their   O
guardian   O
can   O
contact   O
Evans   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
541   B-CONTACT
-   I-CONTACT
835   I-CONTACT
-   I-CONTACT
8524   I-CONTACT
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Hoover   B-NAME
Age   O
:   O
53   O
ID   O
:   O
EG:18157:698759   B-ID
Medical   O
Record   O
Number   O
:   O
647   B-ID
-   I-ID
47   I-ID
-   I-ID
30   I-ID
Date   O
of   O
Visit   O
:   O
09/13   B-DATE
Location   O
of   O
Visit   O
:   O
Everglades   B-LOCATION
Contact   O
Number   O
:   O
723   B-CONTACT
-   I-CONTACT
7933   I-CONTACT
Address   O
:   O
Duanesburg   B-LOCATION
,   O
44031   B-LOCATION

Presenting   O
Complaint   O
:   O
Charles   B-NAME
Tyler   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
22/10/2012   B-DATE
with   O
a   O
detailed   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
which   O
has   O
been   O
worsening   O
over   O
the   O
past   O
few   O
weeks   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Vincent   B-NAME
Brill   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
to   O
moderate   O
respiratory   O
distress   O
.   O

Echocardiogram   O
Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
initial   O
investigations   O
,   O
Vanover   B-NAME
was   O
diagnosed   O
with   O
congestive   O
heart   O
failure   O
(   O
CHF   O
)   O
secondary   O
to   O
undiagnosed   O
dilated   O
cardiomyopathy   O
.   O

Management   O
Plan   O
:   O
Tucker   B-NAME
Holder   I-NAME
was   O
started   O
on   O
a   O
management   O
plan   O
including   O
:   O
1   O
.   O

Lifestyle   O
modifications   O
including   O
salt   O
restriction   O
and   O
fluid   O
intake   O
monitoring   O
Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
13/12   B-DATE
at   O
Canonsburg   B-LOCATION
Hospital   I-LOCATION
to   O
reassess   O
the   O
patient   O
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Goldberg   B-NAME
,   I-NAME
Jonah   I-NAME
was   O
also   O
referred   O
to   O
a   O
cardiology   O
specialist   O
,   O
Dr.   O
Kendal   B-NAME
Ramos   I-NAME
,   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Instructions   O
for   O
Patient   O
:   O
Mack   B-NAME
was   O
advised   O
to   O
monitor   O
daily   O
weight   O
and   O
report   O
any   O
significant   O
changes   O
.   O

Addisyn   B-NAME
Sutton   I-NAME
was   O
also   O
informed   O
about   O
the   O
signs   O
and   O
symptoms   O
of   O
exacerbating   O
heart   O
failure   O
that   O
would   O
necessitate   O
immediate   O
medical   O
attention   O
.   O

In   O
case   O
of   O
any   O
adverse   O
reactions   O
or   O
worsening   O
symptoms   O
,   O
Friedman   B-NAME
,   I-NAME
Nat   I-NAME
was   O
advised   O
to   O
contact   O
the   O
clinic   O
immediately   O
at   O
953   B-CONTACT
912   I-CONTACT
7260   I-CONTACT
or   O
present   O
to   O
the   O
nearest   O
emergency   O
department   O
at   O
AdventHealth   B-LOCATION
Daytona   I-LOCATION
Beach   I-LOCATION
.   O

Report   O
Prepared   O
By   O
:   O
Title   O
Examiners   O
,   O
Abstractors   O
,   O
and   O
Searchers   O
:   O
hx159   B-NAME
Date   O
:   O
1/34   B-DATE
Contact   O
Information   O
:   O
237   B-CONTACT
739   I-CONTACT
1750   I-CONTACT

Patient   O
Report   O
for   O
Cannicus   B-NAME
Othoudt   I-NAME
General   O
Information   O
:   O
---------------------------   O
Patient   O
ID   O
:   O
354   B-ID
-   I-ID
96   I-ID
-   I-ID
06   I-ID
Age   O
:   O
97s   O
Date   O
of   O
Report   O
:   O

Friday   B-DATE
,   I-DATE
April   I-DATE
Primary   O
Physician   O
:   O
Little   B-NAME
Hospital   O
:   O
Carondelet   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Patient   O
Contact   O
Information   O
:   O
284   B-CONTACT
-   I-CONTACT
1515   I-CONTACT
Residence   O
:   O
Rio   B-LOCATION
Grande   I-LOCATION
,   O
25024   B-LOCATION
Medical   O
History   O
:   O
---------------------------   O
Huxley   B-NAME
,   I-NAME
Aldous   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
,   O
diagnosed   O
01/15/1695   B-DATE
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
medication   O
since   O
32/02/2112   B-DATE
.   O

Current   O
Symptoms   O
:   O
---------------------------   O
Tiara   B-NAME
Pope   I-NAME
presented   O
to   O
Spotsylvania   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22   B-DATE
's   I-DATE
with   O
complaints   O
of   O
acute   O
shortness   O
of   O
breath   O
,   O
persistent   O
coughing   O
lasting   O
for   O
more   O
than   O
two   O
weeks   O
,   O
and   O
episodes   O
of   O
chest   O
pain   O
described   O
as   O
tight   O
and   O
constricting   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Kinsley   B-NAME
Solomon   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
dizziness   O
and   O
fatigue   O
over   O
the   O
past   O
1741   B-DATE
.   O

Further   O
,   O
Kramer   B-NAME
mentioned   O
unintentional   O
weight   O
loss   O
of   O
74   O
pounds   O
over   O
the   O
last   O
two   O
months   O
without   O
any   O
changes   O
in   O
diet   O
or   O
physical   O
activity   O
levels   O
.   O

Chest   O
X   O
-   O
Ray   O
performed   O
on   O
3/32   B-DATE
showed   O
a   O
slight   O
opacity   O
in   O
the   O
lower   O
right   O
lung   O
field   O
,   O
suggesting   O
potential   O
pneumonia   O
or   O
other   O
lung   O
pathology   O
.   O

Start   O
antibiotics   O
to   O
address   O
the   O
potential   O
pneumonia   O
,   O
with   O
a   O
follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
scheduled   O
for   O
2224   B-DATE
to   O
assess   O
progress   O
.   O

Adjust   O
current   O
diabetes   O
medication   O
to   O
better   O
control   O
blood   O
glucose   O
levels   O
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
spring   B-DATE
,   I-DATE
2071   I-DATE
weeks   O
to   O
re   O
-   O
evaluate   O
treatment   O
efficacy   O
.   O

Cardiovascular   O
evaluation   O
by   O
Mclaughlin   B-NAME
to   O
rule   O
out   O
any   O
underlying   O
cardiac   O
issues   O
contributing   O
to   O
the   O
chest   O
pain   O
and   O
irregular   O
heart   O
rhythms   O
.   O

Follow   O
-   O
up   O
Schedule   O
:   O
---------------------------   O
Sterling   B-NAME
Spencer   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
00/22   B-DATE
at   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Avista   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
with   O
Tyra   B-NAME
Linnell   I-NAME
,   O
to   O
review   O
treatment   O
progress   O
and   O
make   O
adjustments   O
to   O
the   O
care   O
plan   O
as   O
necessary   O
.   O

It   O
is   O
imperative   O
that   O
Janessa   B-NAME
Adelizzi   I-NAME
adheres   O
to   O
the   O
prescribed   O
medication   O
regimen   O
,   O
follows   O
dietary   O
recommendations   O
closely   O
,   O
and   O
reports   O
any   O
new   O
or   O
worsening   O
symptoms   O
immediately   O
to   O
Sara   B-NAME
Dillane   I-NAME
.   O

Consistent   O
monitoring   O
and   O
management   O
of   O
Mariah   B-NAME
David   I-NAME
's   O
blood   O
pressure   O
and   O
blood   O
glucose   O
levels   O
are   O
crucial   O
in   O
preventing   O
potential   O
complications   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
symptoms   O
,   O
Arjun   B-NAME
Moss   I-NAME
is   O
advised   O
to   O
contact   O
UPMC   B-LOCATION
Lititz   I-LOCATION
Emergency   O
Department   O
at   O
28624   B-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
room   O
.   O

Efforts   O
to   O
maintain   O
open   O
communication   O
with   O
Jordyn   B-NAME
Osborn   I-NAME
and   O
monitor   O
their   O
progress   O
are   O
critical   O
in   O
ensuring   O
the   O
effectiveness   O
of   O
the   O
proposed   O
treatment   O
plan   O
and   O
in   O
making   O
timely   O
adjustments   O
as   O
needed   O
.   O

Prepared   O
by   O
:   O
Music   O
Directors   O
,   O
Horace   B-LOCATION
Mann   I-LOCATION
Educators   I-LOCATION
Corporation   I-LOCATION
17/34   B-DATE
fs311   B-NAME

Ryder   B-NAME
Novak   I-NAME
ID   O
:   O
1704265   B-ID
Medical   O
Record   O
Number   O
:   O
741   B-ID
53   I-ID
01   I-ID
Date   O
of   O
Birth   O
:   O
02/03/32   B-DATE
Age   O
:   O
59   O
Address   O
:   O
New   B-LOCATION
York   I-LOCATION
,   O
89585   B-LOCATION
Phone   O
:   O
784   B-CONTACT
335   I-CONTACT
8289   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Evil   B-NAME
Presenting   O
Problem   O
:   O
The   O
patient   O
,   O
a   O
Cooks   O
,   O
All   O
Other   O
,   O
presented   O
to   O
Nemours   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
01/13/00   B-DATE
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
began   O
approximately   O
two   O
weeks   O
prior   O
.   O

Vitals   O
upon   O
Admission   O
:   O
-   O
Blood   O
Pressure   O
:   O
130/85   O
mmHg   O
-   O
Heart   O
Rate   O
:   O
102   O
bpm   O
-   O
Respiratory   O
Rate   O
:   O
20   O
breaths   O
per   O
minute   O
-   O
Oxygen   O
Saturation   O
:   O
94   O
%   O
on   O
room   O
air   O
Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kendis   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

-   O
Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Dr.   O
Layla   B-NAME
Mckee   I-NAME
in   O
1   O
-   O
2   O
weeks   O
for   O
reevaluation   O
,   O
or   O
sooner   O
if   O
symptoms   O
worsened   O
.   O

Disposition   O
:   O
2/60   B-DATE
:   O

Advised   O
to   O
return   O
to   O
Kiowa   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Greensburg   I-LOCATION
or   O
contact   O
382   B-CONTACT
2333   I-CONTACT
in   O
the   O
event   O
of   O
symptom   O
exacerbation   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
ostrowski   B-NAME
Age   O
:   O
50   O
Gender   O
:   O
Male   O
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
5041309   I-ID
Medical   O
Record   O
Number   O
:   O
84339561   B-ID
Date   O
of   O
Birth   O
:   O
12/21   B-DATE
Address   O
:   O
Muhlenberg   B-LOCATION
Park   I-LOCATION
,   O
44642   B-LOCATION
Phone   O
Number   O
:   O
93665   B-CONTACT
Employment   O
:   O
Precision   O
Pattern   O
and   O
Die   O
Casters   O
,   O
Nonferrous   O
Metals   O
Primary   O
Care   O
Physician   O
:   O

Leonard   B-NAME
Admission   O
Date   O
:   O
August   B-DATE
Discharge   O
Date   O
:   O
2/00   B-DATE
Hospital   O
:   O
UPMC   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Pittsburgh   I-LOCATION
Chief   O
Complaint   O
:   O
Skye   B-NAME
presented   O
to   O
the   O
Emergency   O
Department   O
on   O
2/00   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
,   O
radiating   O
to   O
his   O
left   O
arm   O
,   O
accompanied   O
by   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
over   O
the   O
past   O
two   O
hours   O
.   O

The   O
patient   O
described   O
the   O
pain   O
as   O
"   O
squeezing   O
"   O
in   O
nature   O
,   O
rating   O
it   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
a   O
66   O
-   O
year   O
-   O
old   O
male   O
with   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
indicated   O
that   O
the   O
symptoms   O
abruptly   O
began   O
while   O
he   O
was   O
at   O
work   O
(   O
Foundry   O
Mold   O
and   O
Coremakers   O
)   O
at   O
Matlacha   B-LOCATION
.   O

A   O
chest   O
X   O
-   O
ray   O
did   O
not   O
show   O
any   O
pulmonary   O
pathology   O
.   O
Treatment   O
and   O
Progress   O
:   O
Daphne   B-NAME
Alexander   I-NAME
was   O
immediately   O
given   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
(   O
ACS   O
)   O
protocol   O
.   O

He   O
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
at   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Riley   B-NAME
Velasquez   I-NAME
.   O

Cardiac   O
catheterization   O
performed   O
on   O
2244   B-DATE
revealed   O
significant   O
occlusion   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
,   O
for   O
which   O
a   O
stent   O
was   O
successfully   O
placed   O
.   O

Willena   B-NAME
Dameron   I-NAME
was   O
discharged   O
on   O
3/5/50   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Cameron   B-NAME
Shelton   I-NAME
.   O

Lisinopril   O
10   O
mg   O
daily   O
Follow   O
-   O
Up   O
:   O
Rihanna   B-NAME
Nicholson   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Maximus   B-NAME
Montgomery   I-NAME
in   O
two   O
weeks   O
at   O
Rockaway   B-LOCATION
Beach   I-LOCATION
.   O

The   O
patient   O
was   O
advised   O
to   O
monitor   O
for   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
any   O
other   O
new   O
or   O
worsening   O
symptoms   O
and   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
contact   O
261   B-CONTACT
-   I-CONTACT
6653   I-CONTACT
if   O
any   O
of   O
these   O
occur   O
.   O

Patient   O
Name   O
:   O
Sandoval   B-NAME
Patient   O
ID   O
:   O
SX:99640:669352   B-ID
Medical   O
Record   O
Number   O
:   O
72194867   B-ID
Date   O
of   O
Birth   O
:   O
2081   B-DATE
Age   O
:   O
74   O
Phone   O
Number   O
:   O
(   B-CONTACT
719   I-CONTACT
)   I-CONTACT
684   I-CONTACT
7713   I-CONTACT
Address   O
:   O
Osceola   B-LOCATION
,   I-LOCATION
Osceola   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
55432   B-LOCATION
Chief   O
Complaint   O
:   O
Clough   B-NAME
,   I-NAME
Brian   I-NAME
presented   O
to   O
Penn   B-LOCATION
Highlands   I-LOCATION
Clearfield   I-LOCATION
on   O
Independence   B-DATE
Day   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
symptoms   O
have   O
been   O
persistent   O
since   O
1/25   B-DATE
,   O
gradually   O
worsening   O
over   O
time   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Quintanar   B-NAME
,   O
a   O
Water   O
engineer   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
began   O
experiencing   O
mild   O
epigastric   O
discomfort   O
approximately   O
one   O
week   O
ago   O
.   O

Monheit   B-NAME
,   I-NAME
Jane   I-NAME
reports   O
the   O
pain   O
as   O
8/10   O
on   O
the   O
pain   O
scale   O
,   O
worsening   O
post   O
-   O
prandially   O
and   O
alleviated   O
slightly   O
by   O
leaning   O
forward   O
.   O

Associated   O
symptoms   O
include   O
several   O
episodes   O
of   O
non   O
-   O
bilious   O
vomiting   O
and   O
an   O
inability   O
to   O
tolerate   O
oral   O
intake   O
since   O
the   O
morning   O
of   O
1   B-DATE
-   I-DATE
30   I-DATE
.   O
Past   O
Medical   O
History   O
:   O

Diagnostic   O
Testing   O
:   O
Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
,   O
lipase   O
,   O
and   O
liver   O
enzymes   O
were   O
ordered   O
by   O
Madalynn   B-NAME
Houston   I-NAME
.   O

The   O
patient   O
was   O
admitted   O
to   O
Milford   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Mccoy   B-NAME
for   O
pain   O
management   O
,   O
IV   O
hydration   O
,   O
and   O
further   O
diagnostic   O
evaluation   O
.   O

Follow   O
-   O
Up   O
:   O
Lucius   B-NAME
Verus   I-NAME
Capinpin   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
outpatient   O
clinic   O
on   O
6/2   B-DATE
for   O
reevaluation   O
of   O
symptoms   O
and   O
discussion   O
of   O
diagnostic   O
findings   O
.   O

Holden   B-NAME
Austin   I-NAME
Hospital   O
:   O
North   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
:   O

Oct   B-DATE
1   I-DATE
,   I-DATE
2192   I-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Cristian   B-NAME
Trevino   I-NAME
Age   O
:   O
46   O
Medical   O
Record   O
Number   O
:   O
9086B68159   B-ID
Date   O
of   O
Birth   O
:   O
01/21   B-DATE
Address   O
:   O
Skyline   B-LOCATION
View   I-LOCATION
,   O
15332   B-LOCATION
Phone   O
:   O
195   B-CONTACT
3688   I-CONTACT
Employer   O
:   O
Communication   B-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
(   I-LOCATION
Ireland   I-LOCATION
)   I-LOCATION

Dr.   O
Henry   B-NAME
Date   O
of   O
Visit   O
:   O
37/25   B-DATE
Hospital   O
Name   O
:   O
McLaren   B-LOCATION
-   I-LOCATION
Northern   I-LOCATION
Michigan   I-LOCATION
Chief   O
Complaint   O
:   O
Dean   B-NAME
Arnold   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
22   B-DATE
-   I-DATE
33   I-DATE
complaining   O
of   O
severe   O
,   O
recurrent   O
headaches   O
predominantly   O
in   O
the   O
temporal   O
region   O
,   O
which   O
have   O
been   O
occurring   O
sporadically   O
over   O
the   O
past   O
00/21/2332   B-DATE
.   O

Miranda   B-NAME
Harrington   I-NAME
reports   O
significant   O
worsening   O
of   O
symptoms   O
during   O
physical   O
activity   O
.   O

Cade   B-NAME
Ewing   I-NAME
has   O
a   O
history   O
of   O
migraines   O
diagnosed   O
at   O
the   O
age   O
of   O
30   O
and   O
asthma   O
diagnosed   O
in   O
childhood   O
.   O

Evie   B-NAME
Floyd   I-NAME
also   O
mentioned   O
a   O
recent   O
diagnosis   O
of   O
hypertension   O
by   O
Dr.   O
Cassidy   B-NAME
Cascade   I-NAME
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Cabarrus   I-LOCATION
on   O
6/1   B-DATE
.   O

Current   O
medications   O
include   O
ibuprofen   O
as   O
needed   O
for   O
headaches   O
,   O
which   O
Jariah   B-NAME
states   O
is   O
becoming   O
less   O
effective   O
,   O
and   O
a   O
daily   O
dose   O
of   O
a   O
beta   O
-   O
blocker   O
for   O
hypertension   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Hesse   B-NAME
,   I-NAME
Hermann   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

4   O
.   O
Scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
35/23   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
MRI   O
results   O
.   O

Instructions   O
for   O
Patient   O
:   O
Braylen   B-NAME
Dougherty   I-NAME
was   O
instructed   O
to   O
immediately   O
report   O
any   O
side   O
effects   O
from   O
medication   O
or   O
any   O
changes   O
in   O
the   O
pattern   O
of   O
headaches   O
.   O

Additionally   O
,   O
Abbie   B-NAME
Daniels   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
care   O
if   O
experiencing   O
symptoms   O
suggestive   O
of   O
a   O
migraine   O
aura   O
for   O
the   O
first   O
time   O
or   O
if   O
headaches   O
become   O
more   O
frequent   O
or   O
severe   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Vernon   B-NAME
Toth   I-NAME
Relative   O
Phone   O
:   O
50976   B-CONTACT

This   O
report   O
is   O
prepared   O
by   O
Dr.   O
Decker   B-NAME
on   O
6/32/56   B-DATE
.   O

Contact   O
65906   B-CONTACT
at   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Angels   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
information   O
or   O
to   O
discuss   O
the   O
case   O
further   O
.   O

Patient   O
Report   O
for   O
Buffett   B-NAME
,   I-NAME
Warren   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
EF217/9859   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
3809593   B-ID
-   O
Age   O
:   O
99s   O
-   O
Date   O
of   O
Visit   O
:   O
02/25   B-DATE
-   O
Primary   O
Care   O
Physician   O
:   O

Mayo   B-NAME
-   O
Hospital   O
:   O
Oswego   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Oswego   I-LOCATION
-   O
Location   O
:   O

Kingston   B-LOCATION
Mines   I-LOCATION
Presenting   O
Symptoms   O
:   O
Devyn   B-NAME
Walters   I-NAME
presented   O
with   O
a   O
complex   O
set   O
of   O
symptoms   O
that   O
have   O
been   O
persisting   O
for   O
approximately   O
two   O
weeks   O
before   O
their   O
visit   O
on   O
9/22   B-DATE
.   O

Additionally   O
,   O
Dexter   B-NAME
Foley   I-NAME
complained   O
of   O
frequent   O
night   O
sweats   O
and   O
a   O
persistent   O
,   O
dry   O
cough   O
that   O
becomes   O
more   O
severe   O
during   O
the   O
night   O
.   O

Medical   O
History   O
:   O
Romero   B-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Previous   O
surgical   O
history   O
includes   O
a   O
laparoscopic   O
cholecystectomy   O
performed   O
at   O
Capital   B-LOCATION
Region   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/38   B-DATE
.   O

Diagnostic   O
Evaluation   O
:   O
During   O
the   O
examination   O
,   O
Mendez   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
Pressure   O
130/85   O
mmHg   O
,   O
Heart   O
Rate   O
88   O
bpm   O
,   O
Respiratory   O
Rate   O
20   O
bpm   O
,   O
and   O
Temperature   O
37.5   O
°   O
C   O
.   O

Eve   B-NAME
Friedman   I-NAME
was   O
advised   O
to   O
undergo   O
further   O
evaluation   O
with   O
a   O
pulmonologist   O
affiliated   O
with   O
North   B-LOCATION
Knoxville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

A   O
referral   O
was   O
made   O
,   O
and   O
an   O
appointment   O
is   O
scheduled   O
for   O
September   B-DATE
.   O

Samantha   B-NAME
Vance   I-NAME
was   O
also   O
counseled   O
on   O
the   O
importance   O
of   O
maintaining   O
a   O
healthy   O
diet   O
and   O
continuing   O
their   O
current   O
medication   O
regimen   O
for   O
diabetes   O
and   O
hypertension   O
without   O
interruption   O
.   O

Follow   O
-   O
up   O
after   O
the   O
specialist   O
consultation   O
has   O
been   O
scheduled   O
for   O
27/02/05   B-DATE
to   O
discuss   O
the   O
findings   O
and   O
plan   O
the   O
next   O
steps   O
in   O
the   O
management   O
of   O
Edward   B-NAME
VII   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
's   O
condition   O
.   O

Emergency   O
Contact   O
:   O
-   O
Name   O
:   O
Not   O
Available   O
-   O
Relation   O
to   O
Patient   O
:   O
Not   O
Available   O
-   O
Phone   O
Number   O
:   O
838   B-CONTACT
7724   I-CONTACT
Consent   O
:   O
Informed   O
consent   O
was   O
obtained   O
from   O
Raelynn   B-NAME
Dickson   I-NAME
regarding   O
the   O
proposed   O
diagnostic   O
tests   O
and   O
specialist   O
referral   O
.   O

Bradyn   B-NAME
Salas   I-NAME
expressed   O
an   O
understanding   O
of   O
the   O
need   O
for   O
further   O
evaluation   O
and   O
agreed   O
to   O
proceed   O
as   O
recommended   O
.   O

Signature   O
:   O
rn3510   B-NAME
,   O
M.D.   O
2260   B-DATE
【   O
End   O
of   O
Report   O
】   O

Patient   O
Name   O
:   O
Lynch   B-NAME
,   I-NAME
Peter   I-NAME
DOB   O
:   O

January   B-DATE
12   I-DATE
Address   O
:   O
Elgin   B-LOCATION
,   O
31594   B-LOCATION
Phone   O
Number   O
:   O
931   B-CONTACT
6715   I-CONTACT
Medical   O
Record   O
Number   O
:   O
577   B-ID
-   I-ID
69   I-ID
-   I-ID
76   I-ID
-   I-ID
2   I-ID
Employer   O
:   O
Hutchinson   B-LOCATION
Utilities   I-LOCATION
Commission   I-LOCATION
Occupation   O
:   O
Plastic   O
Molding   O
and   O
Casting   O
Machine   O
Operators   O
and   O
Tenders   O

Barton   B-NAME
Hospital   O
:   O
Redmond   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
6/22   B-DATE
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
3077311   I-ID
Chief   O
Complaint   O
:   O

The   O
onset   O
of   O
symptoms   O
was   O
gradual   O
,   O
beginning   O
approximately   O
0/35/2322   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
Botha   B-NAME
,   I-NAME
Pik   I-NAME
,   O
states   O
that   O
the   O
cough   O
has   O
been   O
non   O
-   O
productive   O
and   O
has   O
progressively   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
shortness   O
of   O
breath   O
occurs   O
with   O
minimal   O
exertion   O
and   O
has   O
been   O
increasingly   O
limiting   O
daily   O
activities   O
,   O
including   O
duties   O
at   O
American   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Musicians   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Lana   B-NAME
Greene   I-NAME
has   O
a   O
background   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
diagnosed   O
22/24   B-DATE
,   O
and   O
hypertension   O
.   O

Medications   O
:   O
-   O
Metformin   O
500   O
mg   O
daily   O
-   O
Lisinopril   O
10   O
mg   O
daily   O
-   O
Multivitamin   O
Allergies   O
:   O
-   O
No   O
known   O
drug   O
allergies   O
(   O
NKDA   O
)   O
Social   O
History   O
:   O
Yuliana   B-NAME
Ray   I-NAME
is   O
a   O
Job   O
Printers   O
at   O
Mainstreet   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
and   O
reports   O
a   O
10   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
but   O
quit   O
smoking   O
00/20/82   B-DATE
.   O

Xan   B-NAME
Dillon   I-NAME
appears   O
fatigued   O
but   O
is   O
alert   O
and   O
oriented   O
.   O

Follow   O
-   O
up   O
appointment   O
in   O
12/37   B-DATE
or   O
sooner   O
if   O
symptoms   O
escalate   O
The   O
care   O
team   O
,   O
including   O
Rhodes   B-NAME
and   O
the   O
nursing   O
staff   O
at   O
Bellin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
will   O
continue   O
to   O
monitor   O
the   O
patient   O
's   O
progress   O
closely   O
.   O

Patient   O
Report   O
:   O
35/32/22   B-DATE
,   O
Desmond   B-NAME
,   I-NAME
Paul   I-NAME
,   O
a   O
Conference   O
organiser   O
from   O
West   B-LOCATION
Union   I-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
West   I-LOCATION
Union   I-LOCATION
,   O
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
Saint   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

Remezov   B-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
diaphoresis   O
.   O

Past   O
Medical   O
History   O
:   O
Xanthos   B-NAME
,   I-NAME
Priscilla   I-NAME
has   O
a   O
history   O
of   O
Hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O

Upon   O
examination   O
,   O
Karlie   B-NAME
Prince   I-NAME
appeared   O
anxious   O
and   O
diaphoretic   O
.   O

Management   O
:   O
Benjamin   B-NAME
Earnest   I-NAME
was   O
diagnosed   O
with   O
an   O
ST   O
-   O
Elevation   O
Myocardial   O
Infarction   O
(   O
STEMI   O
)   O
and   O
promptly   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
and   O
high   O
-   O
dose   O
statins   O
.   O

JF   B-NAME
was   O
moved   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
for   O
further   O
management   O
,   O
including   O
potential   O
coronary   O
angiography   O
.   O

Adonis   B-NAME
Lyons   I-NAME
and   O
the   O
cardiology   O
team   O
were   O
consulted   O
immediately   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
August   B-DATE
24   I-DATE
,   I-DATE
2220   I-DATE
at   O
the   O
cardiology   O
clinic   O
of   O
UPMC   B-LOCATION
Horizon   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
of   O
Martin   B-NAME
Bamford   I-NAME
's   O
condition   O
.   O

For   O
any   O
questions   O
or   O
further   O
information   O
,   O
Steven   B-NAME
Dorsey   I-NAME
was   O
advised   O
to   O
contact   O
the   O
Cardiology   O
Department   O
at   O
64027   B-CONTACT
.   O

Documentation   O
:   O
All   O
interactions   O
and   O
management   O
plans   O
were   O
documented   O
in   O
Jami   B-NAME
Dedrick   I-NAME
's   O
medical   O
record   O
,   O
29885381   B-ID
.   O

Confidential   O
Information   O
:   O
All   O
personal   O
and   O
health   O
information   O
including   O
Diamond   B-NAME
's   O
2800712   B-ID
,   O
contact   O
details   O
663   B-CONTACT
-   I-CONTACT
2578   I-CONTACT
,   O
and   O
address   O
47177   B-LOCATION
in   O
Upper   B-LOCATION
Pohatcong   I-LOCATION
,   O
along   O
with   O
employment   O
data   O
,   O
Forest   O
Firefighters   O
,   O
at   O
Nevada   B-LOCATION
,   O
and   O
user   O
identification   O
fc196   B-NAME
,   O
has   O
been   O
securely   O
recorded   O
and   O
will   O
be   O
kept   O
confidential   O
as   O
per   O
healthcare   O
regulations   O
.   O

This   O
synthetic   O
patient   O
report   O
serves   O
as   O
a   O
comprehensive   O
document   O
of   O
the   O
patient   O
’s   O
presentation   O
,   O
diagnosis   O
,   O
and   O
initial   O
management   O
on   O
3/27   B-DATE
.   O

Patient   O
Name   O
:   O
URIEL   B-NAME
ILES   I-NAME
Patient   O
ID   O
:   O
YW   B-ID
:   I-ID
BL:8253   I-ID
Medical   O
Record   O
Number   O
:   O
1786092   B-ID
Date   O
of   O
Admission   O
:   O
2200   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
02   I-DATE
Physician   O
:   O

Fisher   B-NAME
Hospital   O
:   O

Grinnell   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Mogadore   B-LOCATION
Zip   O
Code   O
:   O
42590   B-LOCATION
Contact   O
Phone   O
:   O
14687   B-CONTACT
Occupation   O
:   O
programmer   O
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
71   O
-   O
year   O
-   O
old   O
Educational   O
,   O
Vocational   O
,   O
and   O
School   O
Counselors   O
,   O
presents   O
with   O
severe   O
,   O
sharp   O
chest   O
pain   O
that   O
radiates   O
to   O
the   O
left   O
arm   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
on   O
02/28   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
Krishnamurti   B-NAME
,   I-NAME
Jiddu   I-NAME
,   O
has   O
been   O
experiencing   O
milder   O
chest   O
discomfort   O
over   O
the   O
past   O
month   O
,   O
which   O
they   O
attributed   O
to   O
stress   O
related   O
to   O
their   O
job   O
as   O
a   O
Mathematicians   O
.   O

The   O
intensity   O
of   O
the   O
pain   O
significantly   O
increased   O
early   O
this   O
morning   O
,   O
leading   O
them   O
to   O
seek   O
immediate   O
medical   O
attention   O
at   O
South   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Krisalyn   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Medications   O
:   O
Arthur   B-NAME
Harmon   I-NAME
is   O
currently   O
taking   O
metformin   O
for   O
diabetes   O
and   O
lisinopril   O
for   O
hypertension   O
.   O

The   O
patient   O
,   O
Gagarin   B-NAME
,   I-NAME
Yuri   I-NAME
,   O
has   O
been   O
administered   O
aspirin   O
and   O
nitroglycerin   O
upon   O
arrival   O
,   O
and   O
oxygen   O
therapy   O
was   O
initiated   O
to   O
maintain   O
oxygen   O
saturation   O
.   O

Castro   B-NAME
has   O
been   O
admitted   O
to   O
the   O
cardiology   O
unit   O
at   O
Wamego   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Wamego   I-LOCATION
for   O
further   O
monitoring   O
and   O
management   O
.   O

Cardiology   O
team   O
led   O
by   O
Larry   B-NAME
Arbogast   I-NAME
will   O
evaluate   O
the   O
patient   O
for   O
possible   O
intervention   O
.   O

Family   O
members   O
have   O
been   O
informed   O
and   O
provided   O
with   O
the   O
contact   O
number   O
23055   B-CONTACT
for   O
updates   O
.   O

Follow   O
-   O
Up   O
:   O
Hirsch   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
with   O
Conrad   B-NAME
to   O
assess   O
progress   O
and   O
adjust   O
medications   O
as   O
needed   O
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Medical   O
Evaluation   O
Report   O
for   O
Edward   B-NAME
Benitez   I-NAME
Karson   B-NAME
Vance   I-NAME
presented   O
to   O
Rehabilitation   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Michigan   I-LOCATION
on   O
May   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
had   O
begun   O
approximately   O
one   O
week   O
prior   O
.   O

The   O
patient   O
,   O
a   O
Lawn   O
Service   O
Managers   O
by   O
profession   O
,   O
reported   O
a   O
recent   O
history   O
of   O
exposure   O
to   O
a   O
known   O
respiratory   O
pathogen   O
at   O
Loomis   B-LOCATION
during   O
a   O
work   O
-   O
related   O
conference   O
.   O

Clay   B-NAME
Morales   I-NAME
's   O
medical   O
history   O
,   O
provided   O
by   O
Chad   B-NAME
Ashley   I-NAME
and   O
corroborated   O
by   O
Lucille   B-NAME
Ponce   I-NAME
's   O
primary   O
care   O
provider   O
,   O
Riley   B-NAME
Velasquez   I-NAME
,   O
via   O
539   B-CONTACT
-   I-CONTACT
847   I-CONTACT
-   I-CONTACT
1896   I-CONTACT
on   O
11/33   B-DATE
,   O
includes   O
Type   O
2   O
diabetes   O
mellitus   O
controlled   O
with   O
metformin   O
and   O
a   O
history   O
of   O
seasonal   O
asthma   O
.   O

Mother   B-NAME
Teresa   I-NAME
(   I-NAME
Agnes   I-NAME
Gonxha   I-NAME
Bojaxhi   I-NAME
)   I-NAME
's   O
Medical   O
Record   O
Number   O
(   O
3664H70175   B-ID
)   O
and   O
HZ:1559:259137   B-ID
were   O
verified   O
upon   O
admission   O
.   O

The   O
attending   O
physician   O
,   O
Harrison   B-NAME
,   O
prescribed   O
an   O
antibiotic   O
regimen   O
and   O
recommended   O
admission   O
for   O
inpatient   O
care   O
.   O

XIE   B-NAME
,   I-NAME
LORI   I-NAME
was   O
admitted   O
to   O
Tufts   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
the   O
pulmonology   O
team   O
for   O
comprehensive   O
management   O
,   O
including   O
oxygen   O
therapy   O
and   O
close   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
due   O
to   O
ostrowski   B-NAME
's   O
diabetic   O
status   O
.   O

Bradyn   B-NAME
Mcconnell   I-NAME
discussed   O
the   O
treatment   O
plan   O
with   O
Louis   B-NAME
,   I-NAME
Joe   I-NAME
and   O
Shyann   B-NAME
Salazar   I-NAME
's   O
family   O
via   O
(   B-CONTACT
428   I-CONTACT
)   I-CONTACT
141   I-CONTACT
8774   I-CONTACT
,   O
highlighting   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
medication   O
and   O
the   O
potential   O
need   O
for   O
insulin   O
therapy   O
given   O
the   O
risk   O
of   O
hyperglycemia   O
induced   O
by   O
the   O
steroids   O
administered   O
for   O
Huxley   B-NAME
,   I-NAME
Thomas   I-NAME
Henry   I-NAME
's   O
asthma   O
exacerbation   O
.   O

Toynbee   B-NAME
,   I-NAME
Arnold   I-NAME
consented   O
to   O
the   O
treatment   O
plan   O
,   O
which   O
was   O
documented   O
in   O
Ivan   B-NAME
Blevins   I-NAME
's   O
electronic   O
health   O
record   O
,   O
accessible   O
via   O
VS104   B-NAME
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
to   O
assess   O
progress   O
once   O
Graves   B-NAME
is   O
discharged   O
.   O

The   O
expected   O
discharge   O
date   O
is   O
approximately   O
one   O
week   O
from   O
2/32/20   B-DATE
,   O
contingent   O
upon   O
De   B-NAME
Haven   I-NAME
's   O
response   O
to   O
treatment   O
.   O

In   O
summary   O
,   O
Whitney   B-NAME
Hodge   I-NAME
,   O
a   O
7s   O
-   O
year   O
-   O
old   O
Nanoscientist   O
from   O
Colonial   B-LOCATION
Park   I-LOCATION
,   O
is   O
currently   O
under   O
the   O
care   O
of   O
the   O
pulmonology   O
team   O
at   O
Highland   B-LOCATION
Hospital   I-LOCATION
for   O
treatment   O
of   O
pneumonia   O
.   O

The   O
patient   O
's   O
prognosis   O
is   O
cautiously   O
optimistic   O
,   O
with   O
close   O
monitoring   O
required   O
due   O
to   O
the   O
risk   O
factors   O
related   O
to   O
Poop   B-NAME
's   O
pre   O
-   O
existing   O
conditions   O
.   O

Prepared   O
by   O
:   O
CK281263   B-ID
Contact   O
:   O
399   B-CONTACT
-   I-CONTACT
558   I-CONTACT
-   I-CONTACT
8095   I-CONTACT
1823   B-DATE

Patient   O
Name   O
:   O
Ardite   B-NAME
Age   O
:   O
73   O
Phone   O
Number   O
:   O
23186   B-CONTACT
Address   O
:   O
Mendota   B-LOCATION
,   I-LOCATION
Mendota   I-LOCATION
,   O
73076   B-LOCATION
Occupation   O
:   O
Rail   O
-   O
Track   O
Laying   O
and   O
Maintenance   O
Equipment   O
Operators   O
Doctor   O
's   O
Name   O
:   O
Bishop   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Eureka   I-LOCATION
Date   O
of   O
visit   O
:   O
April   B-DATE
Medical   O
Record   O
Number   O
:   O
5064564   B-ID
Patient   O
ID   O
:   O
OD:64953:372499   B-ID
Summary   O
of   O
Visit   O
:   O

The   O
patient   O
,   O
Dorine   B-NAME
Kleiman   I-NAME
,   O
presented   O
on   O
2002   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
27   I-DATE
to   O
Lawrence   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Lawrence   I-LOCATION
with   O
a   O
complaint   O
of   O
persistent   O
headache   O
,   O
characterized   O
as   O
a   O
throbbing   O
sensation   O
located   O
primarily   O
in   O
the   O
frontal   O
region   O
,   O
radiating   O
towards   O
the   O
occipital   O
area   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
10   O
days   O
ago   O
,   O
with   O
increasing   O
severity   O
noted   O
over   O
the   O
past   O
March   B-DATE
27th   I-DATE
.   O

Adrien   B-NAME
Brady   I-NAME
also   O
reports   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
emesis   O
.   O

Medical   O
History   O
:   O
Maximo   B-NAME
Steil   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
diagnosed   O
33/15   B-DATE
,   O
but   O
notes   O
the   O
current   O
episode   O
to   O
be   O
significantly   O
more   O
severe   O
and   O
protracted   O
than   O
typical   O
episodes   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
by   O
Murray   B-NAME
,   O
Keira   B-NAME
Joyce   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

Investigations   O
:   O
Considering   O
the   O
history   O
and   O
examination   O
findings   O
,   O
Anabella   B-NAME
West   I-NAME
recommended   O
a   O
comprehensive   O
metabolic   O
panel   O
,   O
complete   O
blood   O
count   O
,   O
and   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
to   O
rule   O
out   O
secondary   O
causes   O
of   O
headache   O
.   O

Keagan   B-NAME
Meyers   I-NAME
is   O
scheduled   O
for   O
an   O
MRI   O
on   O
12/37   B-DATE
.   O

Pending   O
the   O
outcome   O
of   O
the   O
MRI   O
,   O
Dayana   B-NAME
Manning   I-NAME
suggested   O
continuing   O
the   O
current   O
migraine   O
management   O
plan   O
with   O
the   O
addition   O
of   O
a   O
triptan   O
for   O
acute   O
attacks   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2150   B-DATE
to   O
review   O
the   O
MRI   O
results   O
and   O
discuss   O
further   O
treatment   O
options   O
.   O

Freund   B-NAME
,   I-NAME
Peter   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
and   O
keep   O
track   O
of   O
potential   O
triggers   O
.   O

Conclusion   O
:   O
Stafford   B-NAME
's   O
current   O
symptoms   O
of   O
headache   O
warrant   O
further   O
investigation   O
to   O
rule   O
out   O
secondary   O
causes   O
.   O

Roy   B-NAME
,   I-NAME
Arundhati   I-NAME
will   O
be   O
closely   O
monitored   O
with   O
follow   O
-   O
ups   O
to   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Patient   O
Name   O
:   O
Salas   B-NAME
Age   O
:   O
58s   O
Phone   O
:   O
876   B-CONTACT
-   I-CONTACT
1523   I-CONTACT
Date   O
of   O
Birth   O
:   O
1/22   B-DATE
Address   O
:   O
Chagford   B-LOCATION
,   O
29081   B-LOCATION
Profession   O
:   O

Jabari   B-NAME
Shannon   I-NAME
Hospital   O
:   O
Hawthorn   B-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
28474782   B-ID
Date   O
of   O
Visit   O
:   O
20/21   B-DATE
ID   O
:   O
5395906   B-ID
Clinical   O
Summary   O
:   O
Mr.   O
Christine   B-NAME
Newberry   I-NAME
presented   O
to   O
Hays   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
9/08   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
,   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
history   O
outside   O
Wilkinson   B-LOCATION
or   O
any   O
significant   O
changes   O
in   O
diet   O
or   O
medication   O
.   O

Bo   B-NAME
Robles   I-NAME
's   O
medical   O
history   O
was   O
unremarkable   O
except   O
for   O
a   O
diagnosis   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Dr.   O
Dunlap   B-NAME
and   O
scheduled   O
for   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
.   O

Mr.   O
Hunt   B-NAME
demonstrated   O
significant   O
improvement   O
post   O
-   O
surgery   O
,   O
with   O
a   O
decrease   O
in   O
abdominal   O
pain   O
and   O
resolution   O
of   O
fever   O
.   O

He   O
was   O
discharged   O
on   O
30/03/26   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
12/25   B-DATE
for   O
suture   O
removal   O
and   O
assessment   O
of   O
recovery   O
progress   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
UP   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Portage   I-LOCATION
at   O
37233   B-CONTACT
,   O
or   O
visit   O
the   O
emergency   O
department   O
should   O
he   O
experience   O
any   O
worsening   O
symptoms   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
signs   O
of   O
wound   O
infection   O
.   O

A   O
follow   O
-   O
up   O
call   O
to   O
the   O
patient   O
on   O
12/09   B-DATE
confirmed   O
compliance   O
with   O
discharge   O
instructions   O
and   O
satisfactory   O
progress   O
in   O
recovery   O
.   O

Patient   O
Name   O
:   O
Jamarion   B-NAME
Graham   I-NAME
Patient   O
ID   O
:   O
XT:37128:611389   B-ID
Date   O
of   O
Birth   O
:   O
32/14/20   B-DATE
Medical   O
Record   O
Number   O
:   O
11421550   B-ID
Date   O
of   O
Visit   O
:   O
2354   B-DATE
Contact   O
Number   O
:   O
148   B-CONTACT
9114   I-CONTACT
Address   O
:   O
Oaklyn   B-LOCATION
,   O
59762   B-LOCATION
Referring   O
Physician   O
:   O

Pineda   B-NAME
Admitting   O
Hospital   O
:   O
AMITA   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Kankakee   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
5   O
week   O
-   O
year   O
-   O
old   O
Explosives   O
Workers   O
,   O
Ordnance   O
Handling   O
Experts   O
,   O
and   O
Blasters   O
,   O
presented   O
to   O
the   O
emergency   O
room   O
of   O
Special   B-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
on   O
20/02/2242   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
patient   O
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
,   O
vomiting   O
(   O
non   O
-   O
bilious   O
)   O
,   O
and   O
a   O
fever   O
that   O
was   O
measured   O
at   O
home   O
as   O
101   O
°   O
F   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Pok   B-NAME
Monaco   I-NAME
described   O
the   O
pain   O
as   O
initially   O
mild   O
and   O
diffuse   O
,   O
gradually   O
localizing   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Teagan   B-NAME
Clay   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultrasonography   O
was   O
recommended   O
by   O
Herrera   B-NAME
to   O
evaluate   O
for   O
appendicitis   O
.   O

The   O
ultrasound   O
,   O
performed   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Westgate   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
by   O
a   O
certified   O
technician   O
,   O
showed   O
a   O
swollen   O
appendix   O
with   O
a   O
diameter   O
of   O
11   O
mm   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Following   O
the   O
diagnosis   O
,   O
Sallust   B-NAME
was   O
admitted   O
to   O
Tanner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Villa   I-LOCATION
Rica   I-LOCATION
and   O
started   O
on   O
IV   O
antibiotics   O
.   O

Amal   B-NAME
Mazzarella   I-NAME
discussed   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
with   O
the   O
patient   O
,   O
highlighting   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
08/10/1739   B-DATE
,   O
and   O
Alexzander   B-NAME
Andrews   I-NAME
was   O
educated   O
on   O
post   O
-   O
operative   O
care   O
and   O
advised   O
on   O
dietary   O
modifications   O
for   O
the   O
immediate   O
post   O
-   O
surgery   O
period   O
.   O

Follow   O
-   O
up   O
and   O
Discharge   O
Instructions   O
:   O
Luciana   B-NAME
Blair   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
any   O
immediate   O
complications   O
.   O

Post   O
-   O
operative   O
instructions   O
included   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
the   O
importance   O
of   O
gradual   O
resumption   O
of   O
normal   O
activities   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
Colver   B-LOCATION
with   O
Bo   B-NAME
David   I-NAME
on   O
7/09   B-DATE
.   O

The   O
patient   O
,   O
Candie   B-NAME
,   O
a   O
69s   O
-   O
year   O
-   O
old   O
Rail   O
Transportation   O
Workers   O
,   O
All   O
Other   O
,   O
presented   O
to   O
CHI   B-LOCATION
Health   I-LOCATION
Immanuel   I-LOCATION
in   O
Salamatof   B-LOCATION
on   O
4/24   B-DATE
with   O
a   O
series   O
of   O
complex   O
symptoms   O
that   O
had   O
been   O
persisting   O
for   O
approximately   O
two   O
weeks   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Luisa   B-NAME
Malachi   I-NAME
appeared   O
acutely   O
ill   O
and   O
distressed   O
,   O
with   O
vital   O
signs   O
indicating   O
tachycardia   O
with   O
a   O
heart   O
rate   O
of   O
108   O
bpm   O
,   O
and   O
hypertension   O
with   O
blood   O
pressure   O
measuring   O
150/95   O
mmHg   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Doyle   B-NAME
,   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
,   O
and   O
blood   O
cultures   O
,   O
were   O
conducted   O
.   O

The   O
lumbar   O
puncture   O
was   O
performed   O
by   O
Ryan   B-NAME
Peterson   I-NAME
,   O
revealing   O
cloudy   O
cerebrospinal   O
fluid   O
(   O
CSF   O
)   O
with   O
elevated   O
protein   O
levels   O
and   O
decreased   O
glucose   O
levels   O
,   O
suggestive   O
of   O
bacterial   O
meningitis   O
.   O

The   O
CSF   O
sample   O
was   O
sent   O
to   O
International   B-LOCATION
Longshore   I-LOCATION
and   I-LOCATION
Warehouse   I-LOCATION
Union   I-LOCATION
for   O
further   O
microbiological   O
analysis   O
.   O

83499264   B-ID
indicated   O
that   O
the   O
patient   O
has   O
no   O
known   O
drug   O
allergies   O
(   O
NKDA   O
)   O
and   O
a   O
medical   O
history   O
free   O
of   O
significant   O
chronic   O
illnesses   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Newton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Bryson   B-NAME
,   I-NAME
Bill   I-NAME
and   O
was   O
closely   O
monitored   O
in   O
the   O
neurology   O
unit   O
.   O

The   O
patient   O
's   O
family   O
,   O
contacted   O
via   O
532   B-CONTACT
-   I-CONTACT
6472   I-CONTACT
,   O
was   O
informed   O
of   O
the   O
situation   O
and   O
the   O
critical   O
nature   O
of   O
the   O
patient   O
's   O
condition   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
Jeffrey   B-NAME
Koehler   I-NAME
experienced   O
a   O
gradual   O
improvement   O
in   O
symptoms   O
with   O
the   O
treatment   O
regimen   O
,   O
evidenced   O
by   O
a   O
reduction   O
in   O
fever   O
,   O
alleviation   O
of   O
headache   O
,   O
and   O
resolution   O
of   O
neurologic   O
symptoms   O
.   O

The   O
case   O
of   O
Osbourne   B-NAME
,   I-NAME
Ozzy   I-NAME
underscores   O
the   O
importance   O
of   O
rapid   O
assessment   O
and   O
initiation   O
of   O
empiric   O
therapy   O
in   O
suspected   O
cases   O
of   O
bacterial   O
meningitis   O
,   O
as   O
highlighted   O
in   O
CentraState   B-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
's   O
protocol   O
.   O

Authorization   O
for   O
release   O
of   O
medical   O
information   O
was   O
secured   O
under   O
OI644/7128   B-ID
and   O
the   O
case   O
was   O
documented   O
for   O
educational   O
purposes   O
with   O
all   O
identifiers   O
removed   O
to   O
protect   O
the   O
patient   O
's   O
privacy   O
in   O
accordance   O
with   O
HIPAA   O
guidelines   O
.   O

Patient   O
Report   O
for   O
Stuart   B-NAME
Patient   O
Corrin   B-NAME
Maki   I-NAME
,   O
a   O
30   O
-   O
year   O
-   O
old   O
Mail   O
Clerks   O
and   O
Mail   O
Machine   O
Operators   O
,   O
Except   O
Postal   O
Service   O
from   O
Saylorsburg   B-LOCATION
,   O
55361   B-LOCATION
,   O
presented   O
to   O
Kresge   B-LOCATION
Eye   I-LOCATION
Institute   I-LOCATION
on   O
Jun   B-DATE
32   I-DATE
,   I-DATE
2038   I-DATE
.   O

Tamia   B-NAME
Drake   I-NAME
was   O
referred   O
by   O
Barajas   B-NAME
following   O
a   O
period   O
of   O
increasing   O
dyspnea   O
on   O
exertion   O
and   O
episodes   O
of   O
nocturnal   O
orthopnea   O
over   O
the   O
past   O
four   O
weeks   O
.   O

Sherman   B-NAME
,   I-NAME
William   I-NAME
Tecumseh   I-NAME
's   O
personal   O
medical   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
managed   O
with   O
medication   O
.   O

Upon   O
examination   O
,   O
Gabrielle   B-NAME
Huang   I-NAME
appeared   O
visibly   O
short   O
of   O
breath   O
during   O
mild   O
exertion   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
,   O
113   B-ID
-   I-ID
94   I-ID
-   I-ID
54   I-ID
-   I-ID
4   I-ID
,   O
was   O
used   O
to   O
access   O
previous   O
health   O
records   O
,   O
revealing   O
Destiney   B-NAME
Thomas   I-NAME
has   O
a   O
history   O
of   O
non   O
-   O
compliance   O
with   O
diabetic   O
and   O
hypertensive   O
medications   O
.   O

The   O
treatment   O
team   O
,   O
led   O
by   O
Ashley   B-NAME
at   O
Piedmont   B-LOCATION
Fayette   I-LOCATION
Hospital   I-LOCATION
,   O
initiated   O
diuretic   O
therapy   O
to   O
manage   O
symptoms   O
of   O
congestive   O
heart   O
failure   O
.   O

Furthermore   O
,   O
Grove   B-NAME
,   I-NAME
Andy   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
medication   O
adherence   O
and   O
lifestyle   O
modifications   O
to   O
better   O
manage   O
underlying   O
conditions   O
.   O

Complications   O
during   O
the   O
hospital   O
stay   O
were   O
minimal   O
,   O
with   O
Sherlyn   B-NAME
Bond   I-NAME
demonstrating   O
a   O
good   O
response   O
to   O
initial   O
therapeutic   O
interventions   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
03/77   B-DATE
,   O
with   O
plans   O
to   O
reevaluate   O
cardiac   O
function   O
and   O
adjust   O
current   O
treatment   O
protocols   O
as   O
necessary   O
.   O

For   O
any   O
additional   O
questions   O
or   O
updates   O
on   O
Mike   B-NAME
Stratford   I-NAME
's   O
condition   O
,   O
please   O
contact   O
St.   B-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
's   O
Cardiology   O
Department   O
at   O
444   B-CONTACT
137   I-CONTACT
2414   I-CONTACT
.   O

Please   O
note   O
that   O
every   O
effort   O
has   O
been   O
made   O
to   O
ensure   O
the   O
confidentiality   O
of   O
Leverson   B-NAME
,   I-NAME
Ada   I-NAME
's   O
personal   O
health   O
information   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

This   O
report   O
was   O
compiled   O
by   O
ds126   B-NAME
on   O
11/23/2041   B-DATE
,   O
and   O
any   O
further   O
inquiries   O
regarding   O
this   O
case   O
should   O
reference   O
17031909   B-ID
.   O

Patient   O
Name   O
:   O
Milton   B-NAME
Chamberlain   I-NAME
Patient   O
ID   O
:   O
GK230/8462   B-ID
Date   O
of   O
Birth   O
:   O
22/26/57   B-DATE
Age   O
:   O
6s   O
Address   O
:   O
Welch   B-LOCATION
,   O
41884   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
636   I-CONTACT
)   I-CONTACT
220   I-CONTACT
5255   I-CONTACT
Employer   O
:   O
Citizens   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
of   I-LOCATION
Chicago   I-LOCATION
Occupation   O
:   O
Physical   O
Therapist   O
Assistants   O
Primary   O
Physician   O
:   O
Peters   B-NAME
Medical   O
Record   O
Number   O
:   O
412   B-ID
-   I-ID
52   I-ID
-   I-ID
18   I-ID
Date   O
of   O
Visit   O
:   O
24/13/13   B-DATE
Hospital   O
:   O
Community   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Amiel   B-NAME
,   I-NAME
Barbara   I-NAME
presents   O
to   O
the   O
clinic   O
complaining   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
onset   O
was   O
sudden   O
approximately   O
12/16/42   B-DATE
and   O
has   O
progressively   O
worsened   O
.   O

Davis   B-NAME
Horton   I-NAME
reports   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
decrease   O
in   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Kathryn   B-NAME
Railly   I-NAME
,   O
a   O
11s   O
-   O
year   O
-   O
old   O
Marketing   O
assistant   O
at   O
Lee   B-LOCATION
County   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
,   O
began   O
experiencing   O
abdominal   O
pain   O
on   O
01/21/62   B-DATE
.   O

Over   O
the   O
past   O
22/25/82   B-DATE
,   O
Buster   B-NAME
Guilford   I-NAME
also   O
started   O
experiencing   O
nausea   O
and   O
vomited   O
twice   O
.   O

Hofstadter   B-NAME
,   I-NAME
Douglas   I-NAME
denies   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
changes   O
in   O
diet   O
.   O

Past   O
Medical   O
History   O
:   O
Horace   B-NAME
Couchman   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
was   O
previously   O
treated   O
for   O
a   O
urinary   O
tract   O
infection   O
.   O

Paul   B-NAME
Arteaga   I-NAME
's   O
vaccination   O
status   O
is   O
up   O
to   O
date   O
,   O
and   O
there   O
have   O
been   O
no   O
prior   O
surgeries   O
.   O

Physical   O
Examination   O
:   O
Vitals   O
:   O
Temperature   O
19/33   B-DATE
,   O
Pulse   O
May   B-DATE
23   I-DATE
,   O
Blood   O
Pressure   O
02/28   B-DATE
,   O
Respiratory   O
Rate   O
February   B-DATE
2332   I-DATE
,   O
O2   O
Saturation   O
April   B-DATE
.   O

General   O
:   O
Carlie   B-NAME
Kirby   I-NAME
appears   O
distressed   O
due   O
to   O
pain   O
.   O

Orders   O
were   O
placed   O
and   O
Leila   B-NAME
Evans   I-NAME
was   O
referred   O
to   O
the   O
surgical   O
team   O
at   O
Northwest   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Ziglar   B-NAME
,   I-NAME
Zig   I-NAME
is   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2123   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
34   I-DATE
for   O
post   O
-   O
operative   O
assessment   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
surgery   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Mack   B-NAME
Patient   O
ID   O
:   O
21586715   B-ID
Date   O
of   O
Birth   O
:   O
0/32/95   B-DATE
Age   O
:   O
100   O
Phone   O
Number   O
:   O
(   B-CONTACT
453   I-CONTACT
)   I-CONTACT
562   I-CONTACT
-   I-CONTACT
2416   I-CONTACT
Address   O
:   O
Orlando   B-LOCATION
,   O
74493   B-LOCATION
Chief   O
Complaint   O
:   O
Echols   B-NAME
,   I-NAME
Damien   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Mount   B-LOCATION
Pleasant   I-LOCATION
Hospital   I-LOCATION
on   O
16/32   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Richardson   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
denied   O
any   O
recent   O
changes   O
in   O
bowel   O
habits   O
or   O
urinary   O
symptoms   O
.   O

Rich   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
thiazide   O
diuretics   O
.   O

The   O
family   O
history   O
is   O
significant   O
for   O
colorectal   O
cancer   O
in   O
Leatrix   B-NAME
's   O
father   O
at   O
the   O
age   O
of   O
57   O
.   O

Social   O
History   O
:   O
Jeffrey   B-NAME
Moran   I-NAME
is   O
a   O
Fitness   O
Trainers   O
and   O
Aerobics   O
Instructors   O
with   O
no   O
history   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Chogan   B-NAME
is   O
married   O
and   O
lives   O
with   O
a   O
spouse   O
and   O
two   O
children   O
in   O
Yetter   B-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Anabel   B-NAME
Patton   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
OS   B-ID
:   I-ID
WI:3852   I-ID
,   O
heart   O
rate   O
6   B-ID
-   I-ID
7513790   I-ID
,   O
respiratory   O
rate   O
683983677   B-ID
,   O
and   O
temperature   O
VF:29368:505436   B-ID
.   O

Plan   O
:   O
Bush   B-NAME
,   I-NAME
Kate   I-NAME
was   O
admitted   O
to   O
Leesburg   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dixon   B-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

Kade   B-NAME
White   I-NAME
also   O
recommended   O
maintaining   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
and   O
initiating   O
IV   O
fluids   O
for   O
hydration   O
.   O

Follow   O
-   O
Up   O
:   O
Olive   B-NAME
Waller   I-NAME
is   O
to   O
have   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgical   O
outpatient   O
department   O
of   O
Cedars   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/10/2160   B-DATE
for   O
postoperative   O
care   O
and   O
further   O
management   O
of   O
diabetes   O
and   O
hypertension   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Kenna   B-NAME
Davies   I-NAME
's   O
spouse   O
Phone   O
:   O
260   B-CONTACT
-   I-CONTACT
893   I-CONTACT
4191   I-CONTACT
The   O
patient   O
and   O
Julene   B-NAME
Bierbaum   I-NAME
's   O
spouse   O
provided   O
informed   O
consent   O
for   O
the   O
proposed   O
diagnostic   O
tests   O
and   O
treatments   O
.   O

Signature   O
:   O
Sara   B-NAME
Ellis   I-NAME
2273/32/10   B-DATE
Thursday   B-DATE
,   I-DATE
June   I-DATE
the   O
primary   O
care   O
physician   O
,   O
Dr.   O
Stewart   B-NAME
,   O
at   O
Valley   B-LOCATION
View   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Centre   B-LOCATION
,   O
received   O
a   O
new   O
patient   O
,   O
MARVIN   B-NAME
UTECHT   I-NAME
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
.   O

Birrell   B-NAME
,   I-NAME
Augustine   I-NAME
reported   O
the   O
pain   O
began   O
mildly   O
approximately   O
two   O
days   O
prior   O
and   O
had   O
gradually   O
increased   O
in   O
intensity   O
.   O

Additionally   O
,   O
Melanie   B-NAME
Porter   I-NAME
noted   O
a   O
low   O
-   O
grade   O
fever   O
and   O
nausea   O
but   O
denied   O
vomiting   O
,   O
diarrhea   O
,   O
or   O
any   O
urinary   O
symptoms   O
.   O

Upon   O
physical   O
examination   O
,   O
Emory   B-NAME
Sudderth   I-NAME
exhibited   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
a   O
positive   O
Rovsing   O
's   O
sign   O
suggesting   O
possible   O
appendicitis   O
.   O

Dr.   O
Blair   B-NAME
ordered   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
a   O
slightly   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
performed   O
on   O
02/03/49   B-DATE
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
.   O

Given   O
these   O
findings   O
,   O
Rhodes   B-NAME
's   O
medical   O
history   O
,   O
and   O
no   O
known   O
allergies   O
,   O
Sarah   B-NAME
Cooper   I-NAME
's   O
primary   O
care   O
physician   O
consulted   O
with   O
a   O
surgeon   O
Dr.   O
Carey   B-NAME
and   O
recommended   O
an   O
appendectomy   O
.   O

The   O
surgical   O
team   O
at   O
McLaren   B-LOCATION
Macomb   I-LOCATION
performed   O
the   O
procedure   O
successfully   O
on   O
30/03   B-DATE
without   O
complications   O
.   O

Throughout   O
Terrian   B-NAME
's   O
hospitalization   O
from   O
14/27/02   B-DATE
to   O
09/58   B-DATE
,   O
Upson   B-NAME
was   O
assigned   O
Medical   O
Record   O
Number   O
17752363   B-ID
and   O
could   O
be   O
reached   O
at   O
room   O
number   O
31141   B-CONTACT
in   O
Saint   B-LOCATION
Alphonsus   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Ontario   I-LOCATION
.   O

Xavier   B-NAME
was   O
discharged   O
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infections   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Weber   B-NAME
in   O
two   O
weeks   O
at   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
clinic   O
in   O
Lake   B-LOCATION
Almanor   I-LOCATION
.   O

Following   O
the   O
surgery   O
,   O
Usha   B-NAME
Gibbons   I-NAME
experienced   O
a   O
smooth   O
recovery   O
,   O
with   O
the   O
follow   O
-   O
up   O
visit   O
on   O
22/03/61   B-DATE
showing   O
the   O
surgical   O
site   O
healing   O
well   O
with   O
no   O
signs   O
of   O
infection   O
.   O

Goines   B-NAME
was   O
satisfied   O
with   O
the   O
care   O
provided   O
and   O
grateful   O
for   O
the   O
swift   O
diagnosis   O
and   O
treatment   O
that   O
likely   O
prevented   O
further   O
complications   O
.   O

Aragon   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activity   O
for   O
a   O
minimum   O
of   O
78   O
weeks   O
to   O
ensure   O
complete   O
healing   O
.   O

Further   O
follow   O
-   O
ups   O
were   O
deemed   O
unnecessary   O
unless   O
Kierkegaard   B-NAME
,   I-NAME
Søren   I-NAME
Aabye   I-NAME
experienced   O
issues   O
or   O
had   O
concerns   O
.   O

Kafka   B-NAME
,   I-NAME
Franz   I-NAME
's   O
contact   O
number   O
for   O
any   O
follow   O
-   O
up   O
questions   O
or   O
concerns   O
was   O
recorded   O
as   O
220   B-CONTACT
7000   I-CONTACT
.   O

Chicopee   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
ensured   O
that   O
all   O
NOLAN   B-NAME
,   I-NAME
N.   I-NAME
YANCY   I-NAME
's   O
information   O
,   O
including   O
the   O
ID   O
EV   B-ID
:   I-ID
UX:8252   I-ID
and   O
all   O
medical   O
records   O
,   O
were   O
securely   O
stored   O
and   O
handled   O
according   O
to   O
privacy   O
regulations   O
.   O

Any   O
correspondence   O
regarding   O
the   O
medical   O
incident   O
was   O
addressed   O
to   O
David   B-NAME
Napolitano   I-NAME
at   O
Tall   B-LOCATION
Timber   I-LOCATION
,   O
with   O
the   O
postal   O
code   O
61619   B-LOCATION
.   O

Jessica   B-NAME
Ewing   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
6120457   I-ID
Date   O
of   O
Birth   O
:   O
03   B-DATE
Age   O
:   O
99   O
Medical   O
Record   O
Number   O
:   O
784   B-ID
-   I-ID
94   I-ID
-   I-ID
57   I-ID
Address   O
:   O
Nags   B-LOCATION
Head   I-LOCATION
,   O
22775   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
847   I-CONTACT
)   I-CONTACT
589   I-CONTACT
-   I-CONTACT
3134   I-CONTACT
Employment   O
:   O
Producers   O
at   O
Penn   B-LOCATION
Mutual   I-LOCATION
Primary   O
Physician   O
:   O

Kasey   B-NAME
Duncan   I-NAME
Hospital   O
:   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Hazelton   I-LOCATION
Overview   O
:   O
Azaria   B-NAME
Mitchell   I-NAME
,   O
a   O
Welding   O
Machine   O
Operators   O
and   O
Tenders   O
at   O
Mind   B-LOCATION
Freedom   I-LOCATION
International   I-LOCATION
,   O
presented   O
to   O
Osborne   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Osborne   I-LOCATION
on   O
09/32   B-DATE
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
dysuria   O
,   O
and   O
a   O
high   O
fever   O
for   O
the   O
past   O
48   O
hours   O
.   O

On   O
physical   O
examination   O
,   O
Julissa   B-NAME
Kennedy   I-NAME
exhibited   O
tenderness   O
in   O
the   O
lower   O
abdominal   O
region   O
,   O
particularly   O
in   O
the   O
suprapubic   O
area   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Golden   B-NAME
diagnosed   O
Gracie   B-NAME
Aguilar   I-NAME
with   O
pyelonephritis   O
.   O

In   O
addition   O
,   O
Heather   B-NAME
Sanzone   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
one   O
week   O
to   O
re   O
-   O
evaluate   O
the   O
condition   O
and   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
.   O

Follow   O
-   O
Up   O
:   O
On   O
the   O
follow   O
-   O
up   O
visit   O
dated   O
2222   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
35   I-DATE
,   O
Ursula   B-NAME
Olivia   I-NAME
Oconnell   I-NAME
reported   O
a   O
substantial   O
improvement   O
in   O
symptoms   O
,   O
including   O
resolution   O
of   O
the   O
fever   O
and   O
reduction   O
in   O
abdominal   O
pain   O
.   O

Adkins   B-NAME
advised   O
Jude   B-NAME
to   O
complete   O
the   O
prescribed   O
course   O
of   O
antibiotics   O
and   O
to   O
seek   O
medical   O
attention   O
if   O
symptoms   O
recur   O
.   O

Broun   B-NAME
,   I-NAME
Heywood   I-NAME
documented   O
the   O
case   O
in   O
Florianus   B-NAME
Dolven   I-NAME
's   O
medical   O
record   O
(   O
3750374   B-ID
)   O
for   O
future   O
reference   O
and   O
continuous   O
care   O
management   O
.   O

All   O
patient   O
information   O
has   O
been   O
de   O
-   O
identified   O
to   O
protect   O
Katelyn   B-NAME
Booker   I-NAME
's   O
privacy   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
Identification   O
:   O
Geagea   B-NAME
,   I-NAME
Samir   I-NAME
,   O
77   O
years   O
old   O
,   O
was   O
admitted   O
to   O
West   B-LOCATION
Haven   I-LOCATION
Campus   I-LOCATION
(   I-LOCATION
US   I-LOCATION
Veterans   I-LOCATION
Administration   I-LOCATION
)   I-LOCATION
on   O
03/97   B-DATE
.   O

The   O
patient   O
’s   O
medical   O
record   O
number   O
is   O
75533878   B-ID
,   O
and   O
identification   O
number   O
is   O
NK   B-ID
:   I-ID
DV:8190   I-ID
.   O

Medical   O
History   O
:   O
Dorian   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
,   O
managed   O
with   O
medication   O
.   O

Presenting   O
Complaint   O
:   O
Cristofer   B-NAME
Farley   I-NAME
presented   O
with   O
shortness   O
of   O
breath   O
,   O
cough   O
,   O
and   O
fever   O
for   O
the   O
past   O
three   O
days   O
.   O

Upon   O
examination   O
,   O
Hubbard   B-NAME
,   I-NAME
Kin   I-NAME
(   I-NAME
Frank   I-NAME
McKinney   I-NAME
Hubbard   I-NAME
)   I-NAME
showed   O
signs   O
of   O
respiratory   O
distress   O
,   O
including   O
increased   O
respiratory   O
rate   O
,   O
use   O
of   O
accessory   O
muscles   O
for   O
breathing   O
,   O
and   O
cyanosis   O
around   O
the   O
lips   O
.   O

Vitals   O
on   O
Admission   O
:   O
-   O
Temperature   O
:   O
38.5   O
°   O
C   O
-   O
Blood   O
Pressure   O
:   O
150/90   O
mmHg   O
-   O
Respiratory   O
Rate   O
:   O
28   O
breaths   O
per   O
minute   O
-   O
Oxygen   O
Saturation   O
:   O
92   O
%   O
on   O
room   O
air   O
Diagnostic   O
Tests   O
:   O
USSERY   B-NAME
,   I-NAME
VINCENT   I-NAME
Q.   I-NAME
underwent   O
several   O
diagnostic   O
tests   O
,   O
including   O
a   O
Chest   O
X   O
-   O
Ray   O
revealing   O
bilateral   O
infiltrates   O
,   O
suggestive   O
of   O
Pneumonia   O
.   O

Management   O
and   O
Treatment   O
:   O
Lilyana   B-NAME
Keller   I-NAME
's   O
treatment   O
plan   O
included   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
supplemental   O
oxygen   O
,   O
and   O
fluids   O
.   O

Opal   B-NAME
Garner   I-NAME
was   O
placed   O
on   O
insulin   O
sliding   O
scale   O
for   O
blood   O
glucose   O
management   O
due   O
to   O
stress   O
hyperglycemia   O
.   O

Progress   O
:   O
As   O
of   O
17/21   B-DATE
,   O
Jacoby   B-NAME
Alexander   I-NAME
's   O
condition   O
has   O
shown   O
improvement   O
.   O

Gay   B-NAME
,   I-NAME
John   I-NAME
continues   O
to   O
be   O
monitored   O
closely   O
by   O
Dr.   O
Mclaughlin   B-NAME
.   O

Next   O
of   O
kin   O
has   O
been   O
noted   O
as   O
Fallers   O
residing   O
at   O
Dyer   B-LOCATION
,   O
63943   B-LOCATION
.   O

They   O
can   O
be   O
reached   O
at   O
(   B-CONTACT
661   I-CONTACT
)   I-CONTACT
728   I-CONTACT
3279   I-CONTACT
.   O

Null   B-NAME
is   O
expected   O
to   O
be   O
discharged   O
in   O
the   O
next   O
2   O
-   O
3   O
days   O
if   O
there   O
is   O
continued   O
improvement   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Alisa   B-NAME
Conway   I-NAME
has   O
been   O
scheduled   O
for   O
0/29   B-DATE
.   O

Zander   B-NAME
Ryan   I-NAME
has   O
been   O
advised   O
on   O
the   O
importance   O
of   O
medication   O
compliance   O
and   O
regular   O
health   O
checks   O
.   O

Prepared   O
by   O
:   O
TI888   B-NAME
[   O
Dated   O
:   O
21/13   B-DATE
]   O
Please   O
note   O
:   O
All   O
represented   O
information   O
is   O
entirely   O
fictional   O
and   O
fabricated   O
for   O
demonstration   O
purposes   O
.   O

Patient   O
Name   O
:   O
Julie   B-NAME
Fraser   I-NAME
Patient   O
ID   O
:   O
TD   B-ID
:   I-ID
AG:3436   I-ID
Medical   O
Record   O
Number   O
:   O
308   B-ID
-   I-ID
16   I-ID
-   I-ID
70   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
22/2185   B-DATE
Age   O
:   O
5   O
month   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Analytical   O
chemist   O
from   O
Mingo   B-LOCATION
Junction   I-LOCATION
,   O
reports   O
experiencing   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
09/26   B-DATE
.   O

Medical   O
History   O
:   O
Monroe   B-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
,   O
dating   O
back   O
approximately   O
2/21/12   B-DATE
.   O

Von   B-NAME
Berg   I-NAME
denies   O
any   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

Cheyanne   B-NAME
Coffey   I-NAME
's   O
last   O
comprehensive   O
physical   O
examination   O
was   O
on   O
27/22/2122   B-DATE
at   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

WOODRUFF   B-NAME
,   I-NAME
FERNE   I-NAME
reports   O
occasional   O
use   O
of   O
over   O
-   O
the   O
-   O
counter   O
ibuprofen   O
for   O
headache   O
management   O
.   O

Social   O
History   O
:   O
Swedenborg   B-NAME
,   I-NAME
Emanuel   I-NAME
works   O
as   O
a   O
Obstetricians   O
and   O
Gynecologists   O
and   O
reports   O
occasional   O
alcohol   O
use   O
on   O
weekends   O
.   O

Kendall   B-NAME
Roth   I-NAME
is   O
married   O
and   O
lives   O
in   O
Richmond   B-LOCATION
Heights   I-LOCATION
.   O
Review   O
of   O
Systems   O
:   O
-   O
Neurological   O
:   O
Headaches   O
as   O
described   O
,   O
without   O
dizziness   O
,   O
syncope   O
,   O
or   O
seizures   O
.   O

Dyer   B-NAME
is   O
alert   O
and   O
oriented   O
,   O
in   O
no   O
acute   O
distress   O
.   O

Migraine   O
without   O
aura   O
-   O
severe   O
episodes   O
significantly   O
impairing   O
Koen   B-NAME
Greer   I-NAME
's   O
quality   O
of   O
life   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
in   O
9/4/2121   B-DATE
to   O
assess   O
response   O
to   O
medication   O
and   O
headache   O
frequency   O
.   O

Dale   B-NAME
Kim   I-NAME
is   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
characteristics   O
and   O
triggers   O
of   O
the   O
migraines   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
IX   B-NAME
can   O
contact   O
Ben   B-NAME
Branch   I-NAME
at   O
277   B-CONTACT
2226   I-CONTACT
.   O

Doctor   O
:   O
Tiana   B-NAME
Clay   I-NAME
Hospital   O
Affiliation   O
:   O
Menorah   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Visit   O
Date   O
:   O
00/20/1784   B-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Koleyna   B-NAME
Age   O
:   O
72s   O
Gender   O
:   O

Female   O
Medical   O
Record   O
Number   O
:   O
53820250   B-ID
Date   O
of   O
Birth   O
:   O
03/22/49   B-DATE
Address   O
:   O
Omaha   B-LOCATION
,   O
83419   B-LOCATION
Phone   O
Number   O
:   O
304   B-CONTACT
-   I-CONTACT
3948   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Lewis   B-NAME
Admitting   O
Hospital   O
:   O
Atrium   B-LOCATION
Health   I-LOCATION
Lincoln   I-LOCATION
Date   O
of   O
Admission   O
:   O
2051   B-DATE
-   I-DATE
39   I-DATE
-   I-DATE
22   I-DATE
Patient   O
ID   O
:   O
FU935/2319   B-ID
Presenting   O
Problem   O
:   O
Prince   B-NAME
presented   O
at   O
the   O
emergency   O
department   O
of   O
Atrium   B-LOCATION
Health   I-LOCATION
University   I-LOCATION
City   I-LOCATION
on   O
2202   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
02   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
her   O
back   O
.   O

Anabel   B-NAME
Greene   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
,   O
which   O
occurred   O
twice   O
on   O
the   O
morning   O
of   O
13/16   B-DATE
.   O

OCASIO   B-NAME
,   I-NAME
GEORGE   I-NAME
OJAS   I-NAME
denies   O
any   O
fever   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
urinary   O
symptoms   O
.   O

Medical   O
History   O
:   O
DeMilla   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Past   O
surgical   O
history   O
is   O
significant   O
for   O
a   O
cholecystectomy   O
performed   O
at   O
Divine   B-LOCATION
Savior   I-LOCATION
Healthcare   I-LOCATION
in   O
1/22/03   B-DATE
.   O

On   O
physical   O
examination   O
,   O
Buck   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultrasound   O
,   O
conducted   O
by   O
Dr.   O
Lisa   B-NAME
Schmidt   I-NAME
on   O
9/10   B-DATE
,   O
did   O
not   O
reveal   O
gallstones   O
or   O
biliary   O
duct   O
obstruction   O
.   O

Quentin   B-NAME
Shaw   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Dr.   O
Taylor   B-NAME
for   O
acute   O
pancreatitis   O
.   O

Dillan   B-NAME
Hatfield   I-NAME
was   O
also   O
given   O
a   O
proton   O
pump   O
inhibitor   O
to   O
reduce   O
gastric   O
acid   O
production   O
.   O

Follow   O
-   O
Up   O
:   O
Lexus   B-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
by   O
02/44   B-DATE
.   O

Gomez   B-NAME
was   O
discharged   O
from   O
Guthrie   B-LOCATION
Towanda   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
02/27   B-DATE
with   O
instructions   O
for   O
a   O
low   O
-   O
fat   O
diet   O
and   O
alcohol   O
abstinence   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Dr.   O
Cummings   B-NAME
and   O
a   O
gastroenterologist   O
were   O
scheduled   O
for   O
13   B-DATE
-   I-DATE
31   I-DATE
.   O

Occupational   O
Information   O
:   O
Kelvin   B-NAME
Yang   I-NAME
is   O
a   O
Cooks   O
,   O
All   O
Other   O
at   O
Finance   B-LOCATION
Sector   I-LOCATION
Union   I-LOCATION
,   O
a   O
position   O
that   O
does   O
not   O
involve   O
heavy   O
physical   O
activity   O
.   O

The   O
employer   O
was   O
notified   O
of   O
her   O
condition   O
and   O
hospital   O
admission   O
on   O
5/22   B-DATE
by   O
ccn8210   B-NAME
.   O

For   O
any   O
follow   O
-   O
up   O
or   O
queries   O
,   O
please   O
contact   O
University   B-LOCATION
of   I-LOCATION
Washington   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
234   B-CONTACT
9605   I-CONTACT
.   O

Patient   O
Name   O
:   O
Sena   B-NAME
Cagle   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
7716540   I-ID
Medical   O
Record   O
Number   O
:   O
637   B-ID
-   I-ID
98   I-ID
-   I-ID
26   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
29/09/2183   B-DATE
Age   O
:   O
20   O
Phone   O
Number   O
:   O
545   B-CONTACT
-   I-CONTACT
709   I-CONTACT
7235   I-CONTACT
Address   O
:   O
Rio   B-LOCATION
Vista   I-LOCATION
,   O
24566   B-LOCATION
Attending   O
Physician   O
:   O

Castillo   B-NAME
Hospital   O
Name   O
:   O
East   B-LOCATION
Morgan   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
November   B-DATE
22   I-DATE
,   I-DATE
2080   I-DATE
Date   O
of   O
Discharge   O
:   O
33/38   B-DATE
Clinical   O
Summary   O
:   O
Olivia   B-NAME
Orosco   I-NAME
was   O
admitted   O
to   O
Miami   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
2008/07/02   B-DATE
after   O
presenting   O
with   O
symptoms   O
indicative   O
of   O
acute   O
pancreatitis   O
.   O

The   O
pain   O
onset   O
was   O
rapid   O
,   O
causing   O
Taylor   B-NAME
Taylor   I-NAME
significant   O
discomfort   O
,   O
leading   O
to   O
an   O
urgent   O
evaluation   O
in   O
the   O
emergency   O
department   O
at   O
Forest   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
.   O

Mathis   B-NAME
's   O
past   O
medical   O
history   O
,   O
documented   O
by   O
Andrews   B-NAME
,   O
is   O
significant   O
for   O
chronic   O
alcohol   O
misuse   O
,   O
which   O
is   O
a   O
known   O
etiologic   O
factor   O
in   O
pancreatitis   O
.   O

Frederick   B-NAME
Steele   I-NAME
was   O
closely   O
monitored   O
for   O
complications   O
such   O
as   O
necrotizing   O
pancreatitis   O
or   O
organ   O
failure   O
,   O
neither   O
of   O
which   O
developed   O
.   O

The   O
clinical   O
team   O
comprising   O
Marissa   B-NAME
Anderson   I-NAME
and   O
specialists   O
from   O
gastroenterology   O
closely   O
followed   O
Ullrich   B-NAME
,   O
providing   O
interdisciplinary   O
care   O
.   O

Howard   B-NAME
Zwaneveld   I-NAME
was   O
discharged   O
on   O
2/26/09   B-DATE
with   O
instructions   O
for   O
alcohol   O
abstinence   O
,   O
dietary   O
modifications   O
,   O
and   O
follow   O
-   O
up   O
appointments   O
with   O
Villanueva   B-NAME
at   O
Alvarado   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
continued   O
management   O
of   O
pancreatitis   O
and   O
monitoring   O
for   O
potential   O
complications   O
.   O

Additionally   O
,   O
Rubi   B-NAME
Kaiser   I-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
to   O
mitigate   O
risk   O
factors   O
for   O
recurrent   O
pancreatitis   O
.   O

Instructions   O
for   O
a   O
follow   O
-   O
up   O
visit   O
included   O
blood   O
work   O
to   O
monitor   O
pancreatic   O
enzymes   O
and   O
triglycerides   O
,   O
scheduled   O
for   O
July   B-DATE
0rd   I-DATE
.   O

Terry   B-NAME
W.   I-NAME
Neel   I-NAME
was   O
also   O
given   O
contact   O
information   O
,   O
including   O
the   O
direct   O
line   O
48786   B-CONTACT
to   O
reach   O
Jenkins   B-NAME
's   O
office   O
for   O
any   O
questions   O
or   O
if   O
symptoms   O
worsen   O
.   O

This   O
discharge   O
summary   O
has   O
been   O
securely   O
sent   O
to   O
English   B-NAME
's   O
general   O
practitioner   O
at   O
Hillcrest   B-LOCATION
Bank   I-LOCATION
located   O
in   O
Cedar   B-LOCATION
Slope   I-LOCATION
,   O
ensuring   O
continuity   O
of   O
care   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
58495   B-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Report   O
for   O
Hayden   B-NAME
Frey   I-NAME
Patient   O
ID   O
:   O
SW:90215:392651   B-ID
Medical   O
Record   O
:   O
80228487   B-ID
Date   O
of   O
Birth   O
:   O
3/2/2270   B-DATE
Chief   O
Complaint   O
:   O
Prince   B-NAME
,   O
a   O
Animal   O
Control   O
Workers   O
from   O
Laona   B-LOCATION
,   O
presented   O
to   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Issaquah   I-LOCATION
on   O
15/31   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persisting   O
for   O
the   O
past   O
44   O
days   O
.   O

Nausea   O
and   O
vomiting   O
were   O
also   O
reported   O
,   O
with   O
two   O
episodes   O
of   O
emesis   O
on   O
the   O
morning   O
of   O
01/21/25   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
The   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
intermittent   O
but   O
has   O
significantly   O
exacerbated   O
over   O
the   O
past   O
21s   O
days   O
.   O

Ulbrich   B-NAME
,   I-NAME
George   I-NAME
-   I-NAME
Brian   I-NAME
N.   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
consumption   O
,   O
or   O
over   O
-   O
the   O
-   O
counter   O
medication   O
use   O
prior   O
to   O
symptom   O
onset   O
.   O

Past   O
Medical   O
History   O
:   O
Fonteyn   B-NAME
,   I-NAME
Margot   I-NAME
reports   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
Type   O
2   O
diabetes   O
mellitus   O
diagnosed   O
42   O
years   O
ago   O
.   O

Family   O
history   O
is   O
significant   O
for   O
ischemic   O
heart   O
disease   O
in   O
Estes   B-NAME
's   O
father   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Edison   B-NAME
,   I-NAME
Thomas   I-NAME
Alva   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Verney   B-NAME
was   O
advised   O
to   O
admit   O
to   O
Turkey   B-LOCATION
Creek   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
close   O
monitoring   O
and   O
treatment   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
9/31/14   B-DATE
with   O
Osborn   B-NAME
to   O
review   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Rothschild   B-NAME
,   I-NAME
Baron   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
.   O

Parker   B-NAME
Wilkinson   I-NAME
's   O
sibling   O
Phone   O
:   O
994   B-CONTACT
-   I-CONTACT
2446   I-CONTACT
Report   O
Prepared   O
by   O
:   O
Livermore   B-NAME
,   I-NAME
Jesse   I-NAME
Lauriston   I-NAME
22/32   B-DATE
Please   O
note   O
:   O
This   O
document   O
contains   O
confidential   O
health   O
information   O
protected   O
under   O
applicable   O
laws   O
.   O

Patient   O
Name   O
:   O
Choi   B-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
7512571   I-ID
Medical   O
Record   O
Number   O
:   O
4840885   B-ID
Date   O
of   O
Birth   O
:   O
2/9   B-DATE
Age   O
:   O
13   O
Address   O
:   O
George   B-LOCATION
Mason   I-LOCATION
,   O
15194   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
419   I-CONTACT
)   I-CONTACT
711   I-CONTACT
7315   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Greeley   B-NAME
,   I-NAME
Horace   I-NAME
Date   O
of   O
Visit   O
:   O
34/17   B-DATE
Hospital   O
:   O
Howard   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Bastor   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
1   B-DATE
-   I-DATE
1   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
had   O
been   O
persisting   O
for   O
approximately   O
two   O
weeks   O
.   O

Anika   B-NAME
Davidson   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
significant   O
decrease   O
in   O
appetite   O
leading   O
to   O
unintentional   O
weight   O
loss   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
intermittent   O
but   O
has   O
progressively   O
worsened   O
over   O
the   O
last   O
09/21   B-DATE
days   O
,   O
now   O
occurring   O
more   O
frequently   O
and   O
with   O
increased   O
intensity   O
.   O

Vanover   B-NAME
denies   O
any   O
recent   O
travel   O
,   O
ingestion   O
of   O
unusual   O
foods   O
,   O
or   O
use   O
of   O
new   O
medications   O
.   O

The   O
patient   O
has   O
also   O
experienced   O
episodes   O
of   O
nocturnal   O
sweating   O
and   O
a   O
low   O
-   O
grade   O
fever   O
over   O
the   O
past   O
15/02   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Joyce   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
controlled   O
with   O
metformin   O
and   O
a   O
remote   O
history   O
of   O
cholecystectomy   O
.   O

Social   O
History   O
:   O
Quan   B-NAME
,   I-NAME
J.   I-NAME
works   O
as   O
a   O
Entertainment   O
Attendants   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

The   O
patient   O
lives   O
in   O
Bonham   B-LOCATION
with   O
their   O
family   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Malcolm   B-NAME
Drake   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Joaquin   B-NAME
Hammond   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
bland   O
diet   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
oral   O
corticosteroids   O
to   O
address   O
the   O
inflammation   O
.   O

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
30/20   B-DATE
at   O
Saint   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
to   O
reassess   O
symptoms   O
and   O
discuss   O
the   O
findings   O
from   O
the   O
gastroenterology   O
consultation   O
.   O

Summary   O
:   O
Harmony   B-NAME
Whited   I-NAME
,   O
a   O
74   O
-   O
year   O
-   O
old   O
Shoe   O
Machine   O
Operators   O
and   O
Tenders   O
from   O
Brownington   B-LOCATION
,   O
presented   O
with   O
symptoms   O
suggestive   O
of   O
Crohn   O
's   O
disease   O
including   O
severe   O
lower   O
abdominal   O
pain   O
,   O
irregular   O
bowel   O
movements   O
,   O
nocturnal   O
sweating   O
,   O
and   O
low   O
-   O
grade   O
fever   O
.   O

Follow   O
-   O
up   O
is   O
scheduled   O
for   O
September   B-DATE
28   I-DATE
,   I-DATE
2181   I-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Nicholas   B-NAME
Vang   I-NAME
Age   O
:   O
6s   O
Gender   O
:   O
Not   O
Specified   O
Date   O
of   O
Visit   O
:   O
2/21/2222   B-DATE
Primary   O
Care   O
Physician   O
:   O

Victor   B-NAME
von   I-NAME
Doom   I-NAME
Medical   O
Record   O
Number   O
:   O
4482491   B-ID
Hospital   O
Name   O
:   O
Texas   B-LOCATION
Health   I-LOCATION
Huguley   I-LOCATION
Hospital   I-LOCATION
Location   O
of   O
Visit   O
:   O
West   B-LOCATION
Elizabeth   I-LOCATION
Contact   O
Number   O
:   O
328   B-CONTACT
-   I-CONTACT
132   I-CONTACT
5730   I-CONTACT
Occupation   O
:   O
Farm   O
and   O
Ranch   O
Managers   O
Residential   O
ZIP   O
:   O
65482   B-LOCATION
Patient   O
ID   O
:   O
DG   B-ID
:   I-ID
ZE:8865   I-ID
Chief   O
Complaint   O
:   O

The   O
headaches   O
have   O
been   O
occurring   O
over   O
a   O
period   O
of   O
approximately   O
3035   B-DATE
and   O
have   O
progressively   O
worsened   O
in   O
intensity   O
.   O

Kaleb   B-NAME
Meadows   I-NAME
reports   O
nausea   O
and   O
photophobia   O
,   O
particularly   O
struggling   O
with   O
bright   O
lights   O
and   O
loud   O
noises   O
.   O

Lyons   B-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
,   O
first   O
diagnosed   O
in   O
02/06   B-DATE
.   O

Sawyer   B-NAME
is   O
currently   O
on   O
medication   O
for   O
hypertension   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Family   O
history   O
reveals   O
that   O
Lailah   B-NAME
Carroll   I-NAME
's   O
mother   O
has   O
a   O
history   O
of   O
similar   O
migraine   O
conditions   O
.   O

Clinical   O
Findings   O
:   O
During   O
the   O
examination   O
,   O
Herman   B-NAME
Patton   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
,   O
reporting   O
a   O
pain   O
score   O
of   O
8/10   O
.   O

Blood   O
pressure   O
readings   O
showed   O
slight   O
elevation   O
,   O
consistent   O
with   O
Kendall   B-NAME
Andersen   I-NAME
's   O
ongoing   O
hypertension   O
.   O

Considering   O
the   O
severity   O
and   O
pattern   O
of   O
headaches   O
,   O
a   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
was   O
conducted   O
on   O
16/13/23   B-DATE
,   O
showing   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

The   O
exacerbation   O
of   O
de   B-NAME
Raadt   I-NAME
,   I-NAME
Theo   I-NAME
's   O
typical   O
migraine   O
pattern   O
necessitates   O
a   O
review   O
and   O
possible   O
adjustment   O
of   O
the   O
current   O
treatment   O
plan   O
.   O

Advise   O
Schultz   B-NAME
to   O
maintain   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
in   O
22/27   B-DATE
to   O
monitor   O
Livia   B-NAME
Spence   I-NAME
's   O
response   O
to   O
the   O
new   O
medication   O
plan   O
.   O

Refer   O
to   O
a   O
neurologist   O
at   O
Ascension   B-LOCATION
NE   I-LOCATION
Wisconsin   I-LOCATION
-   I-LOCATION
Mercy   I-LOCATION
Campus   I-LOCATION
for   O
further   O
evaluation   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Regular   O
follow   O
-   O
ups   O
and   O
medication   O
adjustments   O
will   O
be   O
critical   O
in   O
managing   O
Arlene   B-NAME
T.   I-NAME
Whitaker   I-NAME
's   O
condition   O
effectively   O
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
Scott   B-NAME
Koontz   I-NAME
has   O
listed   O
Electrical   O
Parts   O
Reconditioners   O
as   O
the   O
primary   O
contact   O
person   O
at   O
(   B-CONTACT
338   I-CONTACT
)   I-CONTACT
814   I-CONTACT
-   I-CONTACT
3522   I-CONTACT
.   O

Authorization   O
:   O
This   O
report   O
is   O
compiled   O
and   O
approved   O
by   O
Johanna   B-NAME
Blackburn   I-NAME
,   O
1/0   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Wilde   B-NAME
,   I-NAME
Oscar   I-NAME
-   O
Age   O
:   O
67   O
-   O
ID   O
:   O
TT752/3676   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
12799506   B-ID
-   O
Location   O
:   O
Haiti   B-LOCATION
,   O
90580   B-LOCATION
-   O
Phone   O
:   O
932   B-CONTACT
-   I-CONTACT
6944   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Maleah   B-NAME
Olson   I-NAME
-   O
Hospital   O
:   O
Fort   B-LOCATION
Loudoun   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Date   O
of   O
Admission   O
:   O
5/5   B-DATE
-   O
Date   O
of   O
Report   O
:   O
March   B-DATE
2231   I-DATE

Summary   O
:   O
Lacey   B-NAME
,   O
a   O
Tire   O
Repairers   O
and   O
Changers   O
from   O
Raleigh   B-LOCATION
Hills   I-LOCATION
,   O
presented   O
to   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
Saint   I-LOCATION
Peters   I-LOCATION
Hospital   I-LOCATION
on   O
2111   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
persistent   O
headaches   O
and   O
blurred   O
vision   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Eliot   B-NAME
,   I-NAME
Thomas   I-NAME
Stearns   I-NAME
also   O
reported   O
experiencing   O
photophobia   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
occasional   O
dizziness   O
,   O
particularly   O
upon   O
standing   O
.   O

Dalton   B-NAME
Edwards   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
and   O
a   O
diagnosis   O
of   O
type   O
2   O
diabetes   O
mellitus   O
approximately   O
89s   O
years   O
ago   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Wyden   B-NAME
,   I-NAME
Ron   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
:   O
Blood   O
Pressure   O
150/95   O
mmHg   O
,   O
Heart   O
Rate   O
88   O
beats   O
per   O
minute   O
,   O
Respiratory   O
Rate   O
16   O
breaths   O
per   O
minute   O
,   O
and   O
Body   O
Temperature   O
98.6   O
degrees   O
Fahrenheit   O
.   O

Neurological   O
assessment   O
did   O
not   O
show   O
focal   O
deficits   O
;   O
however   O
,   O
Kent   B-NAME
reported   O
difficulty   O
focusing   O
on   O
objects   O
close   O
-   O
up   O
and   O
significant   O
discomfort   O
in   O
bright   O
light   O
.   O

Imaging   O
studies   O
,   O
specifically   O
a   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
ordered   O
by   O
Dudley   B-NAME
,   O
showed   O
no   O
acute   O
intracranial   O
abnormalities   O
but   O
suggested   O
chronic   O
mild   O
microvascular   O
changes   O
.   O

5   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
21/28/03   B-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

Recommendations   O
:   O
Heschel   B-NAME
,   I-NAME
Abraham   I-NAME
Joshua   I-NAME
is   O
advised   O
to   O
monitor   O
their   O
blood   O
pressure   O
at   O
home   O
and   O
keep   O
a   O
headache   O
diary   O
to   O
document   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
,   O
and   O
triggers   O
of   O
migraines   O
.   O

Sean   B-NAME
Baldwin   I-NAME
is   O
strongly   O
encouraged   O
to   O
adhere   O
to   O
the   O
prescribed   O
treatment   O
plan   O
and   O
to   O
contact   O
Parkview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
15382   B-CONTACT
for   O
any   O
questions   O
or   O
to   O
report   O
any   O
significant   O
changes   O
in   O
symptoms   O
.   O

Prepared   O
by   O
:   O
Ortiz   B-NAME
,   O
M.D.   O
32/25/52   B-DATE
Note   O
:   O
This   O
document   O
contains   O
sensitive   O
health   O
information   O
protected   O
under   O
healthcare   O
privacy   O
laws   O
.   O

Patient   O
Name   O
:   O
Duke   B-NAME
Patient   O
ID   O
:   O
IM   B-ID
:   I-ID
NL:4724   I-ID
Medical   O
Record   O
Number   O
:   O
3560915   B-ID
Age   O
:   O
2s   O
Date   O
of   O
Admission   O
:   O

31/11/74   B-DATE
Attending   O
Physician   O
:   O

Andersen   B-NAME
Hospital   O
:   O
Florida   B-LOCATION
Hospital   I-LOCATION
Wauchula   I-LOCATION
Location   O
:   O
McKinney   B-LOCATION
Zip   O
Code   O
:   O
48476   B-LOCATION
Phone   O
Number   O
:   O
417   B-CONTACT
2432   I-CONTACT
Profession   O
:   O

Clinical   O
molecular   O
geneticist   O
Username   O
:   O
mrr920   B-NAME
Chief   O
Complaint   O
:   O
Davin   B-NAME
Woodard   I-NAME
presents   O
with   O
a   O
continuous   O
,   O
dull   O
ache   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
exacerbated   O
over   O
the   O
past   O
April   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Shavon   B-NAME
Colombe   I-NAME
initially   O
noted   O
mild   O
discomfort   O
approximately   O
03/15   B-DATE
,   O
which   O
has   O
progressively   O
worsened   O
.   O

Additionally   O
,   O
Ashtyn   B-NAME
Khan   I-NAME
has   O
experienced   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
since   O
9/22/64   B-DATE
,   O
with   O
a   O
decrease   O
in   O
appetite   O
leading   O
to   O
slight   O
weight   O
loss   O
.   O

Past   O
Medical   O
History   O
:   O
Andre   B-NAME
-   I-NAME
Israel   I-NAME
Santiago   I-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
diagnosed   O
in   O
3323   B-DATE
and   O
has   O
been   O
under   O
the   O
management   O
of   O
Dickson   B-NAME
,   I-NAME
Leonard   I-NAME
Eugene   I-NAME
at   O
Unite   B-LOCATION
-   I-LOCATION
the   I-LOCATION
Union   I-LOCATION
.   O

Hateya   B-NAME
reports   O
no   O
surgeries   O
or   O
hospitalizations   O
in   O
the   O
past   O
.   O

Assessment   O
:   O
Given   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
investigations   O
,   O
Avila   B-NAME
is   O
suspected   O
to   O
have   O
acute   O
appendicitis   O
.   O

Surgical   O
evaluation   O
by   O
Levine   B-NAME
for   O
potential   O
appendectomy   O
.   O

4   O
.   O
Continue   O
to   O
monitor   O
vital   O
signs   O
and   O
laboratory   O
values   O
.   O
Instructions   O
for   O
Gallagher   B-NAME
(   I-NAME
Leo   I-NAME
Anthony   I-NAME
Gallagher   I-NAME
)   I-NAME
:   O
Janine   B-NAME
is   O
advised   O
to   O
avoid   O
oral   O
intake   O
until   O
evaluated   O
by   O
the   O
surgery   O
team   O
.   O

Eldridge   B-NAME
should   O
notify   O
nursing   O
staff   O
immediately   O
if   O
there   O
is   O
an   O
increase   O
in   O
pain   O
,   O
fever   O
,   O
or   O
any   O
new   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
Brady   B-NAME
will   O
be   O
re   O
-   O
evaluated   O
by   O
Delcie   B-NAME
Ponder   I-NAME
on   O
3/12/80   B-DATE
for   O
surgical   O
decision   O
-   O
making   O
and   O
further   O
management   O
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
April   B-NAME
Leblanc   I-NAME
Age   O
:   O
38   O
ID   O
:   O
QY:47982:954526   B-ID
MedicalRecord   O
:   O
721   B-ID
-   I-ID
78   I-ID
-   I-ID
31   I-ID
-   I-ID
8   I-ID
Location   O
:   O
Dickson   B-LOCATION
ZIP   O
:   O
47979   B-LOCATION
Phone   O
:   O
469   B-CONTACT
-   I-CONTACT
5922   I-CONTACT
Admitting   O
Hospital   O
:   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Mauricio   B-NAME
Mcdonald   I-NAME
Date   O
of   O
Admission   O
:   O
Tuesday   B-DATE
,   I-DATE
June   I-DATE
Date   O
of   O
Report   O
:   O
11/02   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
presented   O
with   O
acute   O
,   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
early   O
in   O
the   O
morning   O
on   O
Thursday   B-DATE
.   O

The   O
pain   O
was   O
described   O
as   O
constant   O
,   O
sharp   O
,   O
and   O
significantly   O
worsened   O
post   O
-   O
prandially   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Alyson   B-NAME
Allen   I-NAME
reported   O
that   O
the   O
symptoms   O
have   O
progressively   O
worsened   O
over   O
the   O
last   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
Gilmore   B-NAME
has   O
been   O
on   O
medication   O
for   O
the   O
past   O
49   O
years   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Berna   B-NAME
Nicola   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
at   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
at   O
102   O
beats   O
per   O
minute   O
,   O
temperature   O
of   O
37.5   O
°   O
C   O
(   O
99.5   O
°   O
F   O
)   O
,   O
and   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Steven   B-NAME
Kiley   I-NAME
was   O
diagnosed   O
with   O
acute   O
pancreatitis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Formerly   B-LOCATION
Oakwood   I-LOCATION
Southshore   I-LOCATION
Hospital   I-LOCATION
for   O
management   O
of   O
acute   O
pancreatitis   O
on   O
31/19   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Verlon   B-NAME
Ventura   I-NAME
showed   O
improvement   O
with   O
conservative   O
management   O
and   O
was   O
scheduled   O
for   O
discharge   O
on   O
12/20   B-DATE
with   O
instructions   O
on   O
diet   O
modification   O
,   O
alcohol   O
abstinence   O
,   O
and   O
follow   O
-   O
up   O
appointments   O
with   O
Quentin   B-NAME
Trujillo   I-NAME
and   O
a   O
gastroenterologist   O
specializing   O
in   O
pancreatic   O
diseases   O
at   O
Forum   B-LOCATION
18   I-LOCATION
.   O

Prepared   O
by   O
:   O
Cooks   O
,   O
Restaurant   O
txs650   B-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Arthur   B-NAME
Thurmond   I-NAME
Patient   O
ID   O
:   O
QQ122/3048   B-ID
Medical   O
Record   O
Number   O
:   O
LLGKRS   B-ID
Date   O
of   O
Birth   O
:   O
38   O
Date   O
of   O
Admission   O
:   O
22/09   B-DATE
Date   O
of   O
Report   O
:   O
Feb   B-DATE
2113   I-DATE
Attending   O
Physician   O
:   O
Forster   B-NAME
,   I-NAME
E.   I-NAME
M.   I-NAME
Hospital   O
:   O

Canyon   B-LOCATION
Vista   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Benham   B-LOCATION
,   O
24442   B-LOCATION
Contact   O
Phone   O
:   O
322   B-CONTACT
141   I-CONTACT
5017   I-CONTACT
Chief   O
Complaint   O
:   O
Marcian   B-NAME
was   O
admitted   O
to   O
Piedmont   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
32/21   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Riya   B-NAME
Soto   I-NAME
also   O
noted   O
a   O
loss   O
of   O
appetite   O
and   O
nausea   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Aydan   B-NAME
David   I-NAME
,   O
a   O
2   O
month   O
-   O
year   O
-   O
old   O
Actuary   O
,   O
reports   O
that   O
the   O
symptoms   O
started   O
suddenly   O
the   O
evening   O
before   O
admission   O
.   O

Davon   B-NAME
Burnett   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
previous   O
episodes   O
.   O

Past   O
Medical   O
History   O
:   O
Collin   B-NAME
Hawkins   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
medication   O
and   O
type   O
2   O
diabetes   O
managed   O
with   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Fry   B-NAME
was   O
afebrile   O
with   O
a   O
temperature   O
of   O
98.6   O
°   O
F   O
.   O

The   O
provisional   O
diagnosis   O
for   O
Fatiaki   B-NAME
,   I-NAME
Daniel   I-NAME
is   O
acute   O
appendicitis   O
.   O

Confirmatory   O
diagnostic   O
imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
is   O
scheduled   O
for   O
04/23   B-DATE
.   O

Pending   O
the   O
results   O
,   O
surgical   O
consultation   O
with   O
Hunter   B-NAME
will   O
be   O
obtained   O
to   O
discuss   O
the   O
potential   O
for   O
an   O
appendectomy   O
.   O

Braxton   B-NAME
Shah   I-NAME
's   O
current   O
medications   O
for   O
hypertension   O
and   O
diabetes   O
are   O
to   O
be   O
continued   O
as   O
prescribed   O
.   O

Forbin   B-NAME
Noctula   I-NAME
will   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
anticipation   O
of   O
possible   O
surgery   O
.   O

Follow   O
-   O
up   O
and   O
contact   O
:   O
David   B-NAME
Malone   I-NAME
is   O
to   O
be   O
closely   O
monitored   O
for   O
any   O
changes   O
in   O
condition   O
or   O
escalation   O
of   O
symptoms   O
.   O

Community   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Dobbs   I-LOCATION
Ferry   I-LOCATION
staff   O
will   O
update   O
Steven   B-NAME
Mcneil   I-NAME
and   O
the   O
emergency   O
contact   O
listed   O
under   O
86807   B-CONTACT
with   O
any   O
significant   O
findings   O
or   O
adjustments   O
to   O
the   O
treatment   O
plan   O
.   O

Further   O
inquiries   O
and   O
updates   O
will   O
be   O
provided   O
by   O
Morris   B-NAME
's   O
office   O
at   O
188   B-CONTACT
2420   I-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Munson   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Levy   B-NAME
,   O
and   O
other   O
authorized   O
medical   O
personnel   O
involved   O
in   O
the   O
care   O
of   O
Tad   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kawabata   B-NAME
,   I-NAME
Yasunari   I-NAME
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
7429194   I-ID
Medical   O
Record   O
Number   O
:   O
02634052   B-ID
Date   O
of   O
Birth   O
:   O
22/34/2111   B-DATE
Age   O
:   O
22   O
Address   O
:   O
Summit   B-LOCATION
View   I-LOCATION
,   O
53464   B-LOCATION
Phone   O
Number   O
:   O
952   B-CONTACT
-   I-CONTACT
1864   I-CONTACT
Provider   O
:   O
Dr.   O
Reynolds   B-NAME
Hospital   O
:   O
Roxbury   B-LOCATION
Treatment   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
01/35   B-DATE
Presenting   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
Podiatrists   O
by   O
profession   O
,   O
arrived   O
at   O
the   O
emergency   O
department   O
of   O
Hampton   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/03/1632   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Dr.   O
Jaquan   B-NAME
Ferrell   I-NAME
for   O
acute   O
pancreatitis   O
and   O
started   O
on   O
intravenous   O
hydration   O
,   O
pain   O
management   O
with   O
analgesics   O
,   O
and   O
nil   O
by   O
mouth   O
to   O
rest   O
the   O
pancreas   O
.   O

The   O
patient   O
is   O
scheduled   O
for   O
discharge   O
on   O
October   B-DATE
,   I-DATE
2060   I-DATE
with   O
instructions   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
abstain   O
from   O
alcohol   O
,   O
and   O
outpatient   O
follow   O
-   O
up   O
appointments   O
with   O
a   O
gastroenterologist   O
and   O
primary   O
care   O
physician   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
11/23/58   B-DATE
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
to   O
review   O
the   O
patient   O
's   O
progress   O
and   O
adjust   O
treatment   O
plans   O
as   O
necessary   O
.   O

Emergency   O
Contact   O
:   O
Kayleen   B-NAME
's   O
emergency   O
contact   O
was   O
listed   O
as   O
Pipelayers   O
at   O
46866   B-CONTACT
.   O

Respectfully   O
,   O
Dr.   O
Arroyo   B-NAME
International   B-LOCATION
Freedom   I-LOCATION
of   I-LOCATION
Expression   I-LOCATION
Exchange   I-LOCATION
38977   B-CONTACT

Walter   B-NAME
Harrell   I-NAME
Age   O
:   O
36   O
Gender   O
:   O
Male   O
ID   O
:   O
900179983   B-ID
Medical   O
Record   O
Number   O
:   O
591   B-ID
-   I-ID
72   I-ID
-   I-ID
91   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Initial   O
Consultation   O
:   O
5   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
76   I-DATE
Phone   O
Number   O
:   O
61687   B-CONTACT
Address   O
:   O
Cochituate   B-LOCATION
,   O
77043   B-LOCATION

Referring   O
Doctor   O
:   O
Judith   B-NAME
Johnston   I-NAME
Hospital   O
:   O
Lincoln   B-LOCATION
Hospital   I-LOCATION
Organization   O
:   O

Fair   B-LOCATION
Wear   I-LOCATION
Foundation   I-LOCATION
(   I-LOCATION
FWA   I-LOCATION
)   I-LOCATION

Kildare   B-NAME
visited   O
the   O
clinic   O
on   O
Monday   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Baker   B-NAME
also   O
reports   O
experiencing   O
episodes   O
of   O
wheezing   O
after   O
moderate   O
physical   O
activity   O
.   O

Ngoc   B-NAME
Deculus   I-NAME
has   O
a   O
history   O
of   O
asthma   O
diagnosed   O
at   O
35   O
and   O
allergic   O
rhinitis   O
.   O

On   O
examination   O
,   O
Maleah   B-NAME
Padilla   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
respiratory   O
effort   O
.   O

Henry   B-NAME
Jekyll   I-NAME
is   O
also   O
advised   O
to   O
avoid   O
known   O
allergens   O
and   O
to   O
use   O
a   O
peak   O
flow   O
meter   O
to   O
monitor   O
his   O
asthma   O
control   O
.   O

Referrals   O
:   O
A   O
referral   O
to   O
a   O
Homeless   O
support   O
worker   O
for   O
an   O
evaluation   O
of   O
potential   O
allergens   O
and   O
an   O
appointment   O
with   O
Shaffer   B-NAME
for   O
a   O
comprehensive   O
pulmonary   O
function   O
test   O
have   O
been   O
made   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
1954   B-DATE
to   O
review   O
the   O
response   O
to   O
the   O
treatment   O
and   O
the   O
results   O
of   O
the   O
investigations   O
.   O

Notes   O
:   O
Gould   B-NAME
expressed   O
concerns   O
about   O
the   O
impact   O
of   O
his   O
condition   O
on   O
his   O
job   O
as   O
a   O
Fitters   O
,   O
Structural   O
Metal-   O
Precision   O
.   O

Lauretta   B-NAME
Hedden   I-NAME
was   O
also   O
encouraged   O
to   O
maintain   O
a   O
symptom   O
diary   O
and   O
to   O
avoid   O
exposure   O
to   O
known   O
triggers   O
.   O

In   O
case   O
of   O
emergency   O
,   O
Ava   B-NAME
Tawney   I-NAME
has   O
been   O
instructed   O
to   O
contact   O
the   O
hospital   O
at   O
44052   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
at   O
Dupont   B-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
queries   O
regarding   O
the   O
treatment   O
or   O
symptoms   O
,   O
Yeomans   B-NAME
can   O
reach   O
the   O
clinic   O
at   O
615   B-CONTACT
-   I-CONTACT
7449   I-CONTACT
.   O

Signed   O
:   O
Mahoney   B-NAME
Date   O
:   O
02   B-DATE
-   I-DATE
19   I-DATE
-   I-DATE
02   I-DATE

Patient   O
Report   O
for   O
Dino   B-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
24   O
-   O
Date   O
of   O
Consultation   O
:   O
13/12   B-DATE
-   O
Hospital   O
:   O
Overland   B-LOCATION
Park   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
94865577   B-ID
-   O
Physician   O
:   O

Krause   B-NAME
-   O
Location   O
:   O
Ballenger   B-LOCATION
Creek   I-LOCATION
-   O
Contact   O
Number   O
:   O
526   B-CONTACT
-   I-CONTACT
619   I-CONTACT
-   I-CONTACT
4916   I-CONTACT
Clinical   O
History   O
:   O
Carroll   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
2076   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
14   I-DATE
with   O
a   O
history   O
of   O
intermittent   O
abdominal   O
pain   O
,   O
which   O
they   O
described   O
as   O
cramping   O
and   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

The   O
onset   O
was   O
approximately   O
3/11   B-DATE
,   O
gradually   O
escalating   O
in   O
severity   O
.   O

Marivel   B-NAME
Goettl   I-NAME
reported   O
accompanying   O
symptoms   O
,   O
including   O
a   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

Darwin   B-NAME
Sims   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
Type   O
II   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Kaylie   B-NAME
Cox   I-NAME
was   O
afebrile   O
with   O
a   O
temperature   O
of   O
98.6   O
°   O
F   O
.   O

A   O
CT   O
abdomen   O
was   O
performed   O
on   O
21/03   B-DATE
and   O
indicated   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
early   O
inflammation   O
,   O
suggesting   O
acute   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
imaging   O
findings   O
consistent   O
with   O
acute   O
appendicitis   O
,   O
a   O
surgical   O
consultation   O
was   O
obtained   O
on   O
05/13/2045   B-DATE
.   O

Octavius   B-NAME
Kent   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Tiana   B-NAME
Clay   I-NAME
at   O
Philhaven   B-LOCATION
without   O
any   O
immediate   O
complications   O
.   O

Hui   B-NAME
Kimbell   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
wound   O
care   O
and   O
monitoring   O
for   O
signs   O
of   O
infection   O
post   O
-   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
Thaddeus   B-NAME
Roy   I-NAME
is   O
scheduled   O
to   O
return   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
on   O
39/32   B-DATE
.   O

For   O
any   O
additional   O
questions   O
,   O
reach   O
Lilliana   B-NAME
Brady   I-NAME
at   O
19758   B-CONTACT
or   O
visit   O
Trios   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
and   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
located   O
at   O
Templeville   B-LOCATION
,   O
93298   B-LOCATION
.   O

Patient   O
Name   O
:   O
Kübler   B-NAME
-   I-NAME
Ross   I-NAME
,   I-NAME
Elisabeth   I-NAME
Patient   O
ID   O
:   O
LW:57214:514331   B-ID

Medical   O
Record   O
Number   O
:   O
1159073   B-ID
Date   O
of   O
Birth   O
:   O
95   O
Date   O
of   O
Initial   O
Consultation   O
:   O
25/30   B-DATE
Address   O
:   O
Rwanda   B-LOCATION
,   O
76575   B-LOCATION
Phone   O
:   O
936   B-CONTACT
-   I-CONTACT
8405   I-CONTACT

Pratt   B-NAME
Hospital   O
:   O
Coliseum   B-LOCATION
Northside   I-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaint   O
:   O
Hume   B-NAME
,   I-NAME
David   I-NAME
was   O
referred   O
to   O
Springhill   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
by   O
Waller   B-NAME
for   O
a   O
detailed   O
evaluation   O
of   O
her   O
presenting   O
symptoms   O
,   O
which   O
commenced   O
around   O
1/24   B-DATE
.   O

xia   B-NAME
,   O
a   O
Fitness   O
and   O
Wellness   O
Coordinators   O
,   O
reported   O
experiencing   O
severe   O
,   O
recurrent   O
abdominal   O
pain   O
localized   O
mainly   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Gentry   B-NAME
denies   O
experiencing   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
blood   O
in   O
stools   O
,   O
or   O
fever   O
.   O

Past   O
Medical   O
History   O
:   O
Sterling   B-NAME
Giles   I-NAME
has   O
a   O
documented   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
metformin   O
for   O
the   O
past   O
8   O
week   O
.   O

Gilbert   B-NAME
denied   O
any   O
allergies   O
to   O
medications   O
or   O
food   O
.   O

Upon   O
examination   O
on   O
2062   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
20   I-DATE
,   O
HR   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
abdominal   O
discomfort   O
.   O

An   O
abdominal   O
ultrasound   O
scheduled   O
for   O
04/11   B-DATE
showed   O
no   O
abnormalities   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
test   O
results   O
,   O
a   O
CT   O
abdomen   O
is   O
recommended   O
to   O
further   O
evaluate   O
the   O
cause   O
of   O
Shaffer   B-NAME
's   O
symptoms   O
.   O

The   O
management   O
plan   O
,   O
discussed   O
with   O
Simeon   B-NAME
Riley   I-NAME
and   O
Nelson   B-NAME
,   O
includes   O
symptomatic   O
treatment   O
with   O
analgesics   O
and   O
antiemetics   O
as   O
needed   O
.   O

Ito   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
03   B-DATE
-   I-DATE
Aug-2195   I-DATE
,   O
post   O
-   O
CT   O
scan   O
to   O
review   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Instructions   O
were   O
given   O
to   O
Charles   B-NAME
Tyler   I-NAME
to   O
return   O
to   O
Andalusia   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
186   B-CONTACT
-   I-CONTACT
7642   I-CONTACT
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
develop   O
prior   O
to   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

The   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Bonifay   I-LOCATION
strictly   O
adheres   O
to   O
privacy   O
policies   O
to   O
ensure   O
that   O
the   O
personal   O
health   O
information   O
of   O
Jordan   B-NAME
Hernandez   I-NAME
remains   O
confidential   O
.   O

Username   O
of   O
the   O
Report   O
Creator   O
:   O
MM769   B-NAME
Date   O
of   O
Report   O
:   O
21/21   B-DATE
Location   O
:   O
7869   B-LOCATION
53rd   I-LOCATION
St.   I-LOCATION

The   O
patient   O
,   O
Cristal   B-NAME
Greene   I-NAME
,   O
a   O
20   O
year   O
-   O
old   O
Fire   O
-   O
Prevention   O
and   O
Protection   O
Engineers   O
from   O
33   B-LOCATION
Mill   I-LOCATION
Road   I-LOCATION
,   O
was   O
admitted   O
to   O
LewisGale   B-LOCATION
Hospital   I-LOCATION
Pulaski   I-LOCATION
on   O
1/22/81   B-DATE
after   O
presenting   O
with   O
a   O
48   O
-   O
hour   O
history   O
of   O
severe   O
,   O
colicky   O
right   O
flank   O
pain   O
radiating   O
to   O
the   O
lower   O
abdomen   O
.   O

Dennis   B-NAME
Donnelly   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
and   O
vomiting   O
.   O

Easterling   B-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
recurrent   O
calcium   O
oxalate   O
kidney   O
stones   O
but   O
has   O
not   O
experienced   O
an   O
episode   O
in   O
over   O
two   O
years   O
.   O

Jenna   B-NAME
Corona   I-NAME
's   O
contact   O
number   O
is   O
562   B-CONTACT
-   I-CONTACT
221   I-CONTACT
-   I-CONTACT
6404   I-CONTACT
.   O

Upon   O
examination   O
,   O
Hayden   B-NAME
Lawrence   I-NAME
was   O
found   O
to   O
be   O
in   O
distress   O
,   O
with   O
a   O
pain   O
score   O
of   O
8/10   O
.   O

Booker   B-NAME
's   O
primary   O
care   O
physician   O
,   O
Hardin   B-NAME
,   O
was   O
consulted   O
,   O
and   O
a   O
non   O
-   O
contrast   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
ordered   O
,   O
which   O
confirmed   O
the   O
presence   O
of   O
a   O
5   O
mm   O
calculi   O
at   O
the   O
ureteropelvic   O
junction   O
with   O
signs   O
of   O
hydronephrosis   O
.   O

Roman   B-NAME
Church   I-NAME
was   O
admitted   O
under   O
Bowen   B-NAME
's   O
care   O
for   O
further   O
management   O
.   O

The   O
urology   O
team   O
was   O
consulted   O
,   O
and   O
they   O
recommended   O
conservative   O
management   O
with   O
a   O
follow   O
-   O
up   O
ultrasound   O
in   O
two   O
weeks   O
unless   O
Edward   B-NAME
Bunnigus   I-NAME
's   O
symptoms   O
worsened   O
.   O

Adaline   B-NAME
Zhao   I-NAME
's   O
medical   O
record   O
number   O
is   O
63421382   B-ID
,   O
and   O
all   O
interactions   O
and   O
treatments   O
have   O
been   O
recorded   O
in   O
the   O
electronic   O
health   O
system   O
of   O
Waterbury   B-LOCATION
Hospital   I-LOCATION
.   O

The   O
billing   O
department   O
processed   O
Lowell   B-NAME
,   I-NAME
Christopher   I-NAME
's   O
health   O
plan   O
details   O
using   O
GO   B-ID
:   I-ID
KN:8995   I-ID
provided   O
upon   O
admission   O
.   O

The   O
social   O
work   O
team   O
at   O
Shriners   B-LOCATION
Hospitals   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
-   I-LOCATION
Greenville   I-LOCATION
also   O
engaged   O
with   O
Rema   B-NAME
Livers   I-NAME
to   O
provide   O
resources   O
regarding   O
dietary   O
modifications   O
and   O
hydration   O
strategies   O
to   O
prevent   O
future   O
stone   O
formation   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
New   B-DATE
Years   I-DATE
Day   I-DATE
with   O
Savanah   B-NAME
Foley   I-NAME
and   O
the   O
urology   O
specialists   O
at   O
Kessler   B-LOCATION
Institute   I-LOCATION
for   I-LOCATION
Rehabilitation   I-LOCATION
.   O

For   O
further   O
inquiries   O
or   O
to   O
change   O
appointment   O
details   O
,   O
please   O
contact   O
MedStar   B-LOCATION
Southern   I-LOCATION
Maryland   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
's   O
urology   O
department   O
at   O
59907   B-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
Victor   B-NAME
Bolton   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
of   O
AdventHealth   B-LOCATION
Gordon   I-LOCATION
or   O
dial   O
the   O
local   O
emergency   O
number   O
.   O

Fennias   B-NAME
's   O
discharge   O
instructions   O
included   O
a   O
detailed   O
plan   O
for   O
pain   O
management   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
recommendations   O
for   O
fluid   O
intake   O
.   O

The   O
pharmacy   O
at   O
Grand   B-LOCATION
Mountain   I-LOCATION
Clinic   I-LOCATION
filled   O
FLC   B-NAME
's   O
prescription   O
for   O
Tamsulosin   O
to   O
aid   O
in   O
stone   O
passage   O
,   O
which   O
can   O
be   O
picked   O
up   O
at   O
the   O
pharmacy   O
located   O
in   O
63082   B-LOCATION
.   O

The   O
case   O
has   O
been   O
documented   O
under   O
QW945   B-NAME
for   O
internal   O
tracking   O
and   O
audit   O
purposes   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Ira   B-NAME
Huges   I-NAME
-   O
Age   O
:   O
2   O
-   O
ID   O
:   O
HL:61829:865934   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
6577905   B-ID
-   O
Location   O
:   O
Lastrup   B-LOCATION
-   O
Zip   O
Code   O
:   O
89813   B-LOCATION
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
325   I-CONTACT
)   I-CONTACT
815   I-CONTACT
1588   I-CONTACT
-   O
Attending   O
Physician   O
:   O
Cross   B-NAME
-   O
Hospital   O
:   O
Infirmary   B-LOCATION
West   I-LOCATION
-   O
Date   O
of   O
initial   O
consultation   O
:   O
March   B-DATE
-   O
Date   O
of   O
Report   O
:   O
12/07   B-DATE
History   O
:   O

King   B-NAME
,   I-NAME
Martin   I-NAME
Luther   I-NAME
presented   O
with   O
a   O
complex   O
case   O
of   O
symptoms   O
that   O
were   O
initially   O
confusing   O
both   O
to   O
the   O
family   O
and   O
the   O
attending   O
physician   O
,   O
Tyler   B-NAME
Mayo   I-NAME
.   O

Over   O
the   O
past   O
few   O
weeks   O
,   O
starting   O
around   O
23/31   B-DATE
,   O
Ophelia   B-NAME
Sanders   I-NAME
has   O
reported   O
a   O
series   O
of   O
severe   O
headaches   O
localized   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
,   O
often   O
described   O
as   O
pulsating   O
in   O
nature   O
.   O

These   O
episodes   O
of   O
headaches   O
were   O
often   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
,   O
significantly   O
impacting   O
RONNIE   B-NAME
PALMER   I-NAME
's   O
daily   O
activities   O
.   O

In   O
addition   O
to   O
the   O
headaches   O
,   O
Amya   B-NAME
Cummings   I-NAME
also   O
experienced   O
episodes   O
of   O
acute   O
abdominal   O
pain   O
,   O
with   O
pain   O
scoring   O
7   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Upon   O
further   O
examination   O
,   O
Velasquez   B-NAME
noted   O
a   O
mild   O
tenderness   O
in   O
that   O
area   O
without   O
signs   O
of   O
rebound   O
tenderness   O
.   O

Diagnostic   O
Tests   O
:   O
Charles   B-NAME
Howard   I-NAME
underwent   O
an   O
extensive   O
array   O
of   O
diagnostic   O
tests   O
to   O
better   O
understand   O
the   O
underlying   O
causes   O
of   O
the   O
symptoms   O
.   O

The   O
MRI   O
conducted   O
on   O
07/37   B-DATE
at   O
Northeast   B-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
did   O
not   O
reveal   O
any   O
significant   O
abnormalities   O
that   O
could   O
explain   O
the   O
severe   O
headaches   O
.   O

Given   O
the   O
inconclusive   O
nature   O
of   O
the   O
diagnostic   O
tests   O
,   O
Rivers   B-NAME
initiated   O
a   O
symptomatic   O
treatment   O
plan   O
focusing   O
on   O
pain   O
management   O
and   O
monitoring   O
.   O

Shinoda   B-NAME
,   I-NAME
Mike   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
Triptans   O
for   O
the   O
migraine   O
-   O
like   O
headaches   O
and   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
help   O
identify   O
any   O
potential   O
triggers   O
.   O

Follow   O
-   O
Up   O
:   O
Sanders   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Baddiel   B-NAME
,   I-NAME
David   I-NAME
at   O
Foundations   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
on   O
11/21/2339   B-DATE
.   O

Junior   B-NAME
Griffin   I-NAME
has   O
been   O
instructed   O
to   O
monitor   O
and   O
record   O
the   O
frequency   O
and   O
intensity   O
of   O
the   O
headaches   O
and   O
abdominal   O
pain   O
meticulously   O
.   O

Conclusion   O
:   O
The   O
case   O
of   O
Xzavior   B-NAME
underscores   O
the   O
complexity   O
of   O
diagnosing   O
conditions   O
with   O
overlapping   O
and   O
nonspecific   O
symptoms   O
.   O

Vernetta   B-NAME
Florestal   I-NAME
's   O
care   O
team   O
,   O
led   O
by   O
Kaydence   B-NAME
Stafford   I-NAME
,   O
remains   O
committed   O
to   O
providing   O
the   O
highest   O
level   O
of   O
care   O
and   O
exploring   O
all   O
possible   O
avenues   O
to   O
improve   O
hoover   B-NAME
's   O
quality   O
of   O
life   O
.   O

For   O
any   O
further   O
information   O
or   O
to   O
schedule   O
an   O
additional   O
appointment   O
,   O
please   O
contact   O
Bruce   B-NAME
’s   O
case   O
manager   O
at   O
(   B-CONTACT
437   I-CONTACT
)   I-CONTACT
361   I-CONTACT
-   I-CONTACT
6689   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Kelsie   B-NAME
Carroll   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
7741171   I-ID
Medical   O
Record   O
Number   O
:   O
8261966   B-ID
Date   O
of   O
Birth   O
:   O
31/29   B-DATE
Age   O
:   O
16   O
Address   O
:   O
Ruso   B-LOCATION
,   O
92518   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
478   I-CONTACT
)   I-CONTACT
358   I-CONTACT
-   I-CONTACT
2307   I-CONTACT

Andreas   B-NAME
Cervantes   I-NAME
Hospital   O
:   O
Parkview   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
07/28/2245   B-DATE
Date   O
of   O
Report   O
:   O
2350   B-DATE
-   I-DATE
35   I-DATE
-   I-DATE
12   I-DATE
Occupation   O
:   O
police   O
officer   O
Clinical   O
Summary   O
:   O
Frank   B-NAME
Oden   I-NAME
was   O
admitted   O
to   O
Trinity   B-LOCATION
Moline   I-LOCATION
on   O
32/21   B-DATE
presenting   O
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
were   O
concerning   O
for   O
a   O
potential   O
neurological   O
disorder   O
.   O

Alonso   B-NAME
Mannchen   I-NAME
also   O
reported   O
a   O
visual   O
disturbance   O
described   O
as   O
an   O
aura   O
preceding   O
the   O
headache   O
,   O
characterized   O
by   O
flashing   O
lights   O
and   O
zigzag   O
lines   O
,   O
which   O
typically   O
lasted   O
less   O
than   O
one   O
hour   O
.   O

In   O
the   O
weeks   O
leading   O
up   O
to   O
admission   O
,   O
Houston   B-NAME
had   O
noted   O
an   O
increase   O
in   O
the   O
frequency   O
and   O
severity   O
of   O
these   O
episodes   O
,   O
prompting   O
concern   O
.   O

Alfredo   B-NAME
Bennett   I-NAME
's   O
medical   O
history   O
,   O
obtained   O
from   O
73684426   B-ID
,   O
indicated   O
no   O
prior   O
diagnosis   O
of   O
migraines   O
,   O
making   O
this   O
presentation   O
somewhat   O
atypical   O
given   O
Parrish   B-NAME
's   O
age   O
of   O
20   O
.   O

Arielle   B-NAME
Moore   I-NAME
works   O
as   O
a   O
Tapers   O
at   O
Industrial   B-LOCATION
Workers   I-LOCATION
of   I-LOCATION
the   I-LOCATION
World   I-LOCATION
,   O
and   O
there   O
was   O
concern   O
that   O
occupational   O
stressors   O
could   O
be   O
contributing   O
to   O
these   O
symptoms   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
a   O
comprehensive   O
neurological   O
examination   O
was   O
performed   O
by   O
Mccall   B-NAME
,   O
including   O
imaging   O
studies   O
and   O
a   O
lumbar   O
puncture   O
to   O
rule   O
out   O
other   O
potential   O
causes   O
of   O
the   O
symptoms   O
.   O

The   O
results   O
of   O
these   O
tests   O
,   O
including   O
an   O
MRI   O
scan   O
performed   O
on   O
2021   B-DATE
,   O
were   O
within   O
normal   O
limits   O
,   O
leading   O
to   O
a   O
preliminary   O
diagnosis   O
of   O
migraine   O
with   O
aura   O
.   O

The   O
treatment   O
plan   O
included   O
initiating   O
a   O
triptan   O
for   O
acute   O
migraine   O
attacks   O
and   O
considering   O
a   O
beta   O
-   O
blocker   O
as   O
a   O
prophylactic   O
measure   O
given   O
the   O
frequency   O
of   O
Karma   B-NAME
Armstrong   I-NAME
's   O
headache   O
episodes   O
.   O

Donte   B-NAME
Wong   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
identify   O
possible   O
triggers   O
and   O
was   O
referred   O
to   O
a   O
headache   O
specialist   O
for   O
ongoing   O
management   O
.   O

Gray   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Adams   B-NAME
in   O
Newport   B-LOCATION
News   I-LOCATION
on   O
03/12   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
current   O
treatment   O
regimen   O
and   O
make   O
adjustments   O
as   O
necessary   O
.   O

Additionally   O
,   O
Oakley   B-NAME
was   O
encouraged   O
to   O
explore   O
stress   O
reduction   O
techniques   O
,   O
including   O
mindfulness   O
and   O
yoga   O
,   O
to   O
help   O
manage   O
potential   O
occupational   O
stressors   O
that   O
may   O
be   O
contributing   O
to   O
the   O
migraine   O
episodes   O
.   O

Keith   B-NAME
Ball   I-NAME
was   O
discharged   O
on   O
37th   B-DATE
with   O
instructions   O
for   O
medication   O
management   O
,   O
lifestyle   O
modification   O
suggestions   O
,   O
and   O
follow   O
-   O
up   O
care   O
coordinated   O
through   O
788   B-CONTACT
-   I-CONTACT
1703   I-CONTACT
.   O

Further   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
setting   O
will   O
be   O
crucial   O
in   O
optimizing   O
Francina   B-NAME
Zawislak   I-NAME
's   O
treatment   O
regimen   O
and   O
monitoring   O
for   O
any   O
changes   O
in   O
the   O
frequency   O
or   O
severity   O
of   O
migraine   O
episodes   O
.   O

Patient   O
:   O
Jordyn   B-NAME
Osborn   I-NAME
Age   O
:   O
5   O
week   O
Phone   O
:   O
41360   B-CONTACT
Doctor   O
:   O
Yahir   B-NAME
Brown   I-NAME
Medical   O
Record   O
:   O
3101201   B-ID
ID   O
:   O
BB483/4268   B-ID
Hospital   O
:   O
Sac   B-LOCATION
-   I-LOCATION
Osage   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O

Calmar   B-LOCATION
Zip   O
:   O
14262   B-LOCATION
Date   O
of   O
Visit   O
:   O
2133   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
11   I-DATE
Organization   O
:   O

Macintosh   B-LOCATION
User   I-LOCATION
Groups   I-LOCATION
in   I-LOCATION
the   I-LOCATION
UK   I-LOCATION
Profession   O
:   O
pharmacist   O
Username   O
:   O
KP341   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Domenic   B-NAME
Borge   I-NAME
,   O
presents   O
with   O
a   O
progressive   O
,   O
worsening   O
cough   O
over   O
the   O
past   O
two   O
weeks   O
,   O
accompanied   O
by   O
shortness   O
of   O
breath   O
and   O
intermittent   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Oscar   B-NAME
Broderick   I-NAME
has   O
experienced   O
a   O
dry   O
cough   O
that   O
has   O
progressively   O
become   O
productive   O
with   O
yellowish   O
expectoration   O
.   O

Warner   B-NAME
,   I-NAME
Harold   I-NAME
also   O
reports   O
experiencing   O
episodes   O
of   O
fever   O
,   O
with   O
temperatures   O
reaching   O
up   O
to   O
38.5   O
°   O
C   O
(   O
1/11   B-DATE
)   O
.   O

In   O
the   O
past   O
few   O
days   O
,   O
Mckayla   B-NAME
Moses   I-NAME
noticed   O
increasing   O
shortness   O
of   O
breath   O
,   O
particularly   O
when   O
climbing   O
stairs   O
or   O
walking   O
short   O
distances   O
.   O

Past   O
Medical   O
History   O
:   O
Juliane   B-NAME
Griffy   I-NAME
has   O
a   O
history   O
of   O
asthma   O
diagnosed   O
in   O
childhood   O
but   O
reports   O
no   O
hospitalizations   O
related   O
to   O
asthma   O
in   O
the   O
past   O
73   O
years   O
.   O

Joel   B-NAME
Shaw   I-NAME
denies   O
any   O
history   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
or   O
heart   O
disease   O
.   O

Vaccination   O
history   O
is   O
up   O
-   O
to   O
-   O
date   O
,   O
including   O
the   O
influenza   O
vaccine   O
received   O
on   O
20/12   B-DATE
.   O

Review   O
of   O
Systems   O
:   O
Besides   O
the   O
aforementioned   O
symptoms   O
,   O
Keyla   B-NAME
Woodward   I-NAME
denies   O
any   O
chest   O
pain   O
,   O
palpitations   O
,   O
or   O
leg   O
swelling   O
.   O

No   O
recent   O
travel   O
history   O
to   O
Tonyville   B-LOCATION
or   O
exposure   O
to   O
known   O
allergens   O
.   O

Davidson   B-NAME
is   O
a   O
Slaughterers   O
and   O
Meat   O
Packers   O
and   O
admits   O
to   O
smoking   O
a   O
pack   O
of   O
cigarettes   O
a   O
day   O
for   O
the   O
past   O
0   O
week   O
years   O
.   O

Lives   O
in   O
Laurel   B-LOCATION
Park   I-LOCATION
with   O
a   O
pet   O
cat   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
ordered   O
by   O
Chris   B-NAME
Jarvis   I-NAME
showed   O
patchy   O
infiltrates   O
in   O
the   O
right   O
lower   O
lobe   O
.   O

Darell   B-NAME
Noirgrim   I-NAME
was   O
advised   O
to   O
undergo   O
further   O
evaluation   O
with   O
a   O
CT   O
scan   O
of   O
the   O
chest   O
and   O
sputum   O
culture   O
to   O
rule   O
out   O
bacterial   O
infection   O
.   O

3   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
in   O
November   B-DATE
20   I-DATE
to   O
reassess   O
symptoms   O
and   O
review   O
the   O
outcomes   O
of   O
prescribed   O
treatment   O
.   O

For   O
any   O
questions   O
or   O
if   O
symptoms   O
worsen   O
,   O
Spencer   B-NAME
is   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
709   B-CONTACT
163   I-CONTACT
9252   I-CONTACT
or   O
visit   O
Kadlec   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
.   O

Patient   O
Name   O
:   O
Atticus   B-NAME
Bird   I-NAME
Age   O
:   O
75   O
Date   O
of   O
Visit   O
:   O
5/13   B-DATE
Medical   O
Record   O
Number   O
:   O
7087499   B-ID
Doctor   O
:   O
Mcguire   B-NAME
Hospital   O
:   O

Lifecare   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Chester   I-LOCATION
County   I-LOCATION
Location   O
:   O
Amador   B-LOCATION
City   I-LOCATION
Phone   O
:   O
(   B-CONTACT
323   I-CONTACT
)   I-CONTACT
144   I-CONTACT
2155   I-CONTACT
ID   O
:   O
JT623/4568   B-ID
Organization   O
:   O
United   B-LOCATION
Firefighters   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
Profession   O
:   O

Graduate   O
Teaching   O
Assistants   O
Username   O
:   O
vxv42   B-NAME
ZIP   O
:   O
19457   B-LOCATION
29/32/71   B-DATE
,   O
Ochoa   B-NAME
,   O
a   O
Speech   O
-   O
Language   O
Pathologists   O
from   O
Chadron   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Newington   B-LOCATION
Campus   I-LOCATION
(   I-LOCATION
US   I-LOCATION
Veterans   I-LOCATION
Administration   I-LOCATION
)   I-LOCATION
with   O
a   O
complaint   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Brielle   B-NAME
Strong   I-NAME
reported   O
the   O
pain   O
being   O
8/10   O
on   O
the   O
pain   O
scale   O
,   O
with   O
episodes   O
of   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

There   O
was   O
no   O
reported   O
fever   O
,   O
but   O
Miya   B-NAME
Townsend   I-NAME
mentioned   O
a   O
slight   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
day   O
.   O

Past   O
medical   O
history   O
was   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Bright   B-NAME
.   O

Potter   B-NAME
denies   O
smoking   O
,   O
alcohol   O
or   O
illicit   O
drug   O
use   O
.   O

Celeste   B-NAME
Macias   I-NAME
was   O
afebrile   O
at   O
the   O
time   O
of   O
examination   O
but   O
expressed   O
significant   O
discomfort   O
during   O
the   O
physical   O
assessment   O
.   O

Imaging   O
studies   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
was   O
recommended   O
by   O
Johnny   B-NAME
Hebert   I-NAME
to   O
confirm   O
the   O
diagnosis   O
of   O
appendicitis   O
.   O

Carla   B-NAME
Evans   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
surgery   O
,   O
and   O
after   O
obtaining   O
informed   O
consent   O
,   O
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Post   O
-   O
operative   O
care   O
involved   O
monitoring   O
Crane   B-NAME
,   I-NAME
Dr.   I-NAME
Frank   I-NAME
's   O
vital   O
signs   O
,   O
pain   O
management   O
,   O
and   O
antibiotic   O
administration   O
to   O
prevent   O
infection   O
.   O

V.   B-NAME
A.   I-NAME
Nunes   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
immediate   O
complications   O
.   O

Instructions   O
for   O
post   O
-   O
operative   O
care   O
included   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
scheduling   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Siouxsie   B-NAME
Bundette   I-NAME
at   O
Munson   B-LOCATION
Healthcare   I-LOCATION
Manistee   I-LOCATION
Hospital   I-LOCATION
for   O
2041   B-DATE
.   O

The   O
contact   O
number   O
provided   O
for   O
any   O
post   O
-   O
operative   O
concerns   O
or   O
emergencies   O
was   O
(   B-CONTACT
470   I-CONTACT
)   I-CONTACT
914   I-CONTACT
-   I-CONTACT
7773   I-CONTACT
.   O

Chandler   B-NAME
was   O
advised   O
to   O
rest   O
,   O
stay   O
hydrated   O
,   O
and   O
adhere   O
to   O
the   O
post   O
-   O
operative   O
care   O
instructions   O
provided   O
.   O

Hailey   B-NAME
Travis   I-NAME
's   O
4117772   B-ID
would   O
be   O
reviewed   O
during   O
the   O
follow   O
-   O
up   O
visit   O
to   O
ensure   O
a   O
smooth   O
recovery   O
process   O
.   O

In   O
summary   O
,   O
Dana   B-NAME
Michael   I-NAME
,   O
a   O
Corporate   O
treasurer   O
from   O
Buffalo   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
14224   I-LOCATION
,   O
successfully   O
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
with   O
no   O
immediate   O
post   O
-   O
operative   O
complications   O
.   O

Follow   O
-   O
up   O
care   O
was   O
scheduled   O
and   O
Steve   B-NAME
Key   I-NAME
was   O
discharged   O
with   O
comprehensive   O
instructions   O
on   O
managing   O
the   O
recovery   O
process   O
at   O
home   O
.   O

Patient   O
Name   O
:   O
Negroponte   B-NAME
,   I-NAME
Nicholas   I-NAME
Age   O
:   O
5   O
Gender   O
:   O
Male   O
Phone   O
Number   O
:   O
805   B-CONTACT
1391   I-CONTACT
Address   O
:   O
Mystic   B-LOCATION
,   O
82518   B-LOCATION
Occupation   O
:   O
Agricultural   O
Workers   O
,   O
All   O
Other   O
Primary   O
Physician   O
:   O

Strong   B-NAME
Hospital   O
:   O

BANNER   B-LOCATION
GATEWAY   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
ID   O
:   O
45331   B-ID
Medical   O
Record   O
Number   O
:   O
4023493   B-ID
Date   O
of   O
Visit   O
:   O
22/02   B-DATE
Username   O
:   O
um872   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
ullmann   B-NAME
,   O
presented   O
to   O
Mission   B-LOCATION
Hospital   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/20   B-DATE
complaining   O
of   O
a   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
episodes   O
of   O
sharp   O
,   O
stabbing   O
chest   O
pain   O
that   O
worsens   O
with   O
deep   O
breaths   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Aidyn   B-NAME
Solis   I-NAME
,   O
a   O
50   O
-   O
year   O
-   O
old   O
Plumbers   O
,   O
Pipefitters   O
,   O
and   O
Steamfitters   O
,   O
has   O
been   O
experiencing   O
the   O
above   O
symptoms   O
for   O
approximately   O
two   O
weeks   O
.   O

Katie   B-NAME
W   I-NAME
Fitzgerald   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
exposure   O
to   O
known   O
allergens   O
.   O

Instructions   O
for   O
Lakin   B-NAME
:   O
-   O
Monitor   O
temperature   O
and   O
symptoms   O
daily   O
.   O
-   O
Continue   O
using   O
asthma   O
inhaler   O
as   O
prescribed   O
.   O

-   O
Contact   O
Braiden   B-NAME
Cordova   I-NAME
's   O
office   O
at   O
702   B-CONTACT
-   I-CONTACT
397   I-CONTACT
-   I-CONTACT
6258   I-CONTACT
for   O
any   O
concerns   O
or   O
if   O
symptoms   O
do   O
not   O
improve   O
.   O

Follow   O
-   O
Up   O
Appointment   O
:   O
Scheduled   O
for   O
2151   B-DATE
with   O
Hogan   B-NAME
at   O
Virginia   B-LOCATION
Mason   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
a   O
re   O
-   O
evaluation   O
of   O
symptoms   O
and   O
the   O
effectiveness   O
of   O
treatment   O
.   O

Patient   O
Name   O
:   O
Alena   B-NAME
Cole   I-NAME
Patient   O
ID   O
:   O
ZG:27048:304756   B-ID
Medical   O
Record   O
Number   O
:   O
32141450   B-ID
DOB   O
:   O
08/35   B-DATE
Age   O
:   O
9   O
Address   O
:   O
Corydon   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Corydon   I-LOCATION
,   O
93622   B-LOCATION
Phone   O
:   O
824   B-CONTACT
-   I-CONTACT
9624   I-CONTACT
Physician   O
:   O

Willard   B-NAME
Rozzell   I-NAME
Facility   O
:   O
Sarah   B-LOCATION
Bush   I-LOCATION
Lincoln   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
22/24   B-DATE
Date   O
of   O
Report   O
:   O
25/12/2229   B-DATE
Subjective   O
:   O
Zayden   B-NAME
York   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Sullivan   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
12/37   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Whitney   B-NAME
Keller   I-NAME
works   O
as   O
a   O
Retail   O
pharmacist   O
and   O
denies   O
any   O
recent   O
unusual   O
physical   O
activity   O
.   O

Physical   O
Examination   O
:   O
Hart   B-NAME
appeared   O
anxious   O
and   O
diaphoretic   O
.   O

Assessment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
test   O
results   O
,   O
Matilda   B-NAME
Hale   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
,   O
likely   O
involving   O
the   O
right   O
coronary   O
artery   O
.   O

Peter   B-NAME
Guthrie   I-NAME
was   O
immediately   O
started   O
on   O
Aspirin   O
325   O
mg   O
,   O
a   O
loading   O
dose   O
of   O
Clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
.   O

Bullock   B-NAME
was   O
transferred   O
to   O
the   O
Cardiac   O
Catheterization   O
Lab   O
of   O
Sharp   B-LOCATION
Grossmont   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
intervention   O
.   O

4   O
.   O
Beta   O
-   O
blockers   O
and   O
ACE   O
inhibitors   O
will   O
be   O
considered   O
post   O
-   O
intervention   O
based   O
on   O
Maximilian   B-NAME
Mccarty   I-NAME
's   O
blood   O
pressure   O
and   O
heart   O
rate   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Brennen   B-NAME
Meyers   I-NAME
one   O
week   O
post   O
-   O
discharge   O
for   O
medication   O
management   O
and   O
further   O
evaluation   O
.   O

The   O
quick   O
response   O
of   O
the   O
medical   O
team   O
and   O
the   O
detailed   O
assessment   O
of   O
symptoms   O
played   O
a   O
crucial   O
role   O
in   O
the   O
identification   O
and   O
management   O
of   O
Leverson   B-NAME
,   I-NAME
Ada   I-NAME
's   O
condition   O
.   O

Further   O
cardiac   O
rehabilitation   O
and   O
lifestyle   O
modification   O
advice   O
will   O
be   O
provided   O
to   O
Laura   B-NAME
Madden   I-NAME
post   O
-   O
intervention   O
to   O
aid   O
in   O
recovery   O
and   O
prevent   O
future   O
cardiac   O
events   O
.   O

Patient   O
Confidential   O
Information   O
:   O
Contact   O
:   O
(   B-CONTACT
478   I-CONTACT
)   I-CONTACT
228   I-CONTACT
-   I-CONTACT
3904   I-CONTACT
Emergency   O
Contact   O
:   O
File   O
Clerks   O
at   O
679   B-CONTACT
-   I-CONTACT
145   I-CONTACT
-   I-CONTACT
5985   I-CONTACT
Report   O
Prepared   O
by   O
:   O
KE64   B-NAME
Report   O
Verified   O
by   O
:   O
Dr.   O
Dawson   B-NAME

Patient   O
Name   O
:   O
Jaxon   B-NAME
Shea   I-NAME
Age   O
:   O
19   O
Phone   O
:   O
486   B-CONTACT
-   I-CONTACT
967   I-CONTACT
8038   I-CONTACT
Date   O
of   O
Birth   O
:   O
00/31   B-DATE
Medical   O
Record   O
Number   O
:   O
3010769   B-ID
ID   O
Number   O
:   O
EF883/4748   B-ID
Address   O
:   O
Anna   B-LOCATION
Maria   I-LOCATION
,   O
90535   B-LOCATION
Employer   O
:   O
NorthWest   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Occupation   O
:   O
Systems   O
analyst   O
Username   O
:   O
ds126   B-NAME
Physician   O
:   O

Eden   B-NAME
Sexton   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Miners   I-LOCATION
Campus   I-LOCATION
Admission   O
Date   O
:   O
0   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
82   I-DATE
Symptoms   O
on   O
Admission   O
:   O
Levine   B-NAME
presented   O
with   O
acute   O
onset   O
of   O
high   O
-   O
grade   O
fever   O
peaking   O
at   O
39   O
°   O
C   O
(   O
33/30/60   B-DATE
)   O
,   O
severe   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
area   O
,   O
photophobia   O
,   O
and   O
rigidity   O
of   O
the   O
neck   O
upon   O
flexion   O
.   O

Medical   O
History   O
:   O
Greta   B-NAME
Haynes   I-NAME
has   O
a   O
background   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
mainly   O
Metformin   O
and   O
occasionally   O
uses   O
insulin   O
during   O
times   O
of   O
stress   O
.   O

Jack   B-NAME
Quade   I-NAME
denies   O
any   O
allergies   O
to   O
medication   O
.   O

,   O
Kale   B-NAME
Lambert   I-NAME
was   O
found   O
to   O
be   O
oriented   O
in   O
time   O
,   O
place   O
,   O
and   O
person   O
but   O
showed   O
delayed   O
response   O
to   O
questions   O
.   O

Kristian   B-NAME
Day   I-NAME
was   O
initiated   O
on   O
empirical   O
intravenous   O
antibiotics   O
aimed   O
at   O
broad   O
-   O
spectrum   O
coverage   O
for   O
bacterial   O
meningitis   O
.   O

Phoebe   B-NAME
Reilly   I-NAME
will   O
be   O
monitored   O
closely   O
for   O
signs   O
of   O
improvement   O
or   O
any   O
adverse   O
reactions   O
to   O
the   O
treatment   O
regimen   O
.   O

However   O
,   O
close   O
monitoring   O
in   O
the   O
intensive   O
care   O
unit   O
at   O
HCA   B-LOCATION
Houston   I-LOCATION
Healthcare   I-LOCATION
Pearland   I-LOCATION
is   O
warranted   O
to   O
manage   O
possible   O
complications   O
such   O
as   O
increased   O
intracranial   O
pressure   O
or   O
sepsis   O
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Meyers   B-NAME
on   O
32/12/32   B-DATE
at   O
Vidant   B-LOCATION
Beaufort   I-LOCATION
Hospital   I-LOCATION
to   O
re   O
-   O
evaluate   O
LTJ   B-NAME
's   O
clinical   O
status   O
,   O
review   O
the   O
results   O
of   O
cultures   O
,   O
and   O
adjust   O
the   O
antibiotic   O
regimen   O
accordingly   O
.   O

Patient   O
Name   O
:   O
Phillip   B-NAME
Heckler   I-NAME
Patient   O
ID   O
:   O
1617869   B-ID
Medical   O
Record   O
Number   O
:   O
NXO   B-ID
2   I-ID
-   I-ID
003   I-ID
Age   O
:   O
5   O
month   O
Date   O
of   O
Admission   O
:   O
06/28/70   B-DATE

Cuevas   B-NAME
Location   O
:   O
Elmsford   B-LOCATION
Hospital   O
:   O

Laguna   B-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
58050   B-CONTACT
Organization   O
:   O

New   B-LOCATION
Hampshire   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
ZIP   O
:   O
89199   B-LOCATION
Profession   O
:   O
Lathe   O
and   O
Turning   O
Machine   O
Tool   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
Username   O
:   O
dw937   B-NAME
Presenting   O
Complaint   O
:   O

Didius   B-NAME
Julianus   I-NAME
Litmanowicz   I-NAME
was   O
admitted   O
to   O
Mary   B-LOCATION
Washington   I-LOCATION
Hospital   I-LOCATION
on   O
0/1/2225   B-DATE
with   O
symptoms   O
consistent   O
with   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Armstrong   B-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
rating   O
it   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

In   O
addition   O
to   O
the   O
pain   O
,   O
Niranjan   B-NAME
,   I-NAME
Sangeeta   I-NAME
also   O
reported   O
experiencing   O
nausea   O
and   O
episodes   O
of   O
vomiting   O
.   O

Medical   O
History   O
:   O
Johnson   B-NAME
,   I-NAME
Boris   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
beta   O
-   O
blockers   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Treena   B-NAME
Godsey   I-NAME
was   O
alert   O
and   O
oriented   O
but   O
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Laboratory   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
and   O
lipase   O
levels   O
were   O
ordered   O
by   O
Andrews   B-NAME
.   O

Pending   O
further   O
diagnostic   O
test   O
results   O
,   O
Wilcox   B-NAME
was   O
started   O
on   O
intravenous   O
hydration   O
,   O
antiemetics   O
for   O
nausea   O
control   O
,   O
and   O
analgesics   O
for   O
pain   O
management   O
.   O

Consultation   O
with   O
a   O
gastroenterologist   O
affiliated   O
with   O
Wellington   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
scheduled   O
for   O
1   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
39   I-DATE
to   O
assess   O
the   O
need   O
for   O
endoscopic   O
evaluation   O
.   O

The   O
team   O
is   O
closely   O
monitoring   O
Joaquin   B-NAME
Terry   I-NAME
's   O
blood   O
glucose   O
levels   O
and   O
blood   O
pressure   O
to   O
manage   O
So   B-NAME
Splawn   I-NAME
's   O
co   O
-   O
existing   O
conditions   O
.   O
Instructions   O
for   O
Steven   B-NAME
Aguilar   I-NAME
:   O

Michael   B-NAME
was   O
advised   O
to   O
avoid   O
eating   O
or   O
drinking   O
until   O
further   O
assessment   O
was   O
completed   O
.   O

Glenn   B-NAME
Richie   I-NAME
was   O
informed   O
about   O
the   O
importance   O
of   O
managing   O
existing   O
comorbidities   O
,   O
such   O
as   O
diabetes   O
and   O
hypertension   O
,   O
during   O
the   O
hospital   O
stay   O
.   O

Follow   O
-   O
up   O
visits   O
with   O
Chase   B-NAME
and   O
the   O
referred   O
gastroenterologist   O
were   O
advised   O
to   O
discuss   O
the   O
outcomes   O
of   O
the   O
diagnostic   O
tests   O
and   O
to   O
implement   O
a   O
long   O
-   O
term   O
management   O
plan   O
for   O
the   O
identified   O
condition   O
.   O

For   O
any   O
urgent   O
issues   O
or   O
queries   O
about   O
the   O
management   O
plan   O
,   O
Eloy   B-NAME
Delk   I-NAME
or   O
relatives   O
can   O
contact   O
the   O
assigned   O
nurse   O
via   O
16973   B-CONTACT
available   O
round   O
the   O
clock   O
.   O

Patient   O
Report   O
for   O
Song   B-NAME
Lepak   I-NAME
Date   O
of   O
Visit   O
:   O
32/21/2212   B-DATE
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
8769384   I-ID
Medical   O
Record   O
Number   O
:   O
394   B-ID
38   I-ID
22   I-ID
Age   O
:   O
14s   O
Contact   O
Number   O
:   O
359   B-CONTACT
-   I-CONTACT
5676   I-CONTACT
Address   O
:   O
Midland   B-LOCATION
,   O
81823   B-LOCATION
Occupation   O
:   O
Information   O
and   O
Record   O
Clerks   O
,   O
All   O
Other   O
Referring   O
Physician   O
:   O

Fletcher   B-NAME
Hospital   O
:   O
Westchester   B-LOCATION
Square   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
Havily   B-NAME
,   O
a   O
55   O
-   O
year   O
-   O
old   O
Bailiffs   O
,   O
presented   O
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
reported   O
associated   O
symptoms   O
,   O
including   O
nausea   O
without   O
vomiting   O
,   O
a   O
decreased   O
appetite   O
,   O
and   O
a   O
fever   O
noticed   O
just   O
before   O
arriving   O
at   O
SSM   B-LOCATION
Health   I-LOCATION
Good   I-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Mount   I-LOCATION
Vernon   I-LOCATION
.   O

Physical   O
examination   O
conducted   O
by   O
Keaton   B-NAME
Webb   I-NAME
showed   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
right   O
lower   O
abdominal   O
quadrant   O
.   O

Fermi   B-NAME
,   I-NAME
Enrico   I-NAME
was   O
admitted   O
to   O
Southampton   B-LOCATION
Hospital   I-LOCATION
on   O
26/23   B-DATE
and   O
started   O
on   O
IV   O
antibiotics   O
.   O

Surgical   O
consultation   O
from   O
the   O
general   O
surgery   O
team   O
led   O
by   O
Patton   B-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Patient   O
Education   O
:   O
Goya   B-NAME
,   I-NAME
Francisco   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
post   O
-   O
operative   O
wound   O
care   O
,   O
signs   O
of   O
potential   O
complications   O
to   O
watch   O
for   O
,   O
and   O
the   O
necessity   O
of   O
follow   O
-   O
up   O
appointments   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Mid   B-NAME
-   I-NAME
Nite   I-NAME
at   O
Willamette   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Ctr   I-LOCATION
on   O
2129   B-DATE
to   O
monitor   O
the   O
healing   O
process   O
and   O
ensure   O
the   O
recovery   O
is   O
proceeding   O
as   O
expected   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
symptoms   O
,   O
Pia   B-NAME
Kent   I-NAME
was   O
advised   O
to   O
contact   O
Riverside   B-LOCATION
Walter   I-LOCATION
Reed   I-LOCATION
Hospital   I-LOCATION
immediately   O
at   O
511   B-CONTACT
6243   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

Conclusion   O
:   O
Levi   B-NAME
Gasch   I-NAME
’s   O
case   O
of   O
acute   O
appendicitis   O
was   O
promptly   O
addressed   O
with   O
surgical   O
intervention   O
,   O
minimizing   O
the   O
risk   O
of   O
complications   O
such   O
as   O
perforation   O
or   O
peritonitis   O
.   O

Multidisciplinary   O
collaboration   O
between   O
the   O
emergency   O
,   O
radiology   O
,   O
and   O
general   O
surgery   O
departments   O
at   O
Central   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
facilitated   O
a   O
successful   O
outcome   O
.   O

The   O
information   O
provided   O
in   O
this   O
document   O
belongs   O
to   O
Shirley   B-NAME
,   I-NAME
James   I-NAME
and   O
Grand   B-LOCATION
Army   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Republic   I-LOCATION
(   I-LOCATION
dissolved   I-LOCATION
1956   I-LOCATION
)   I-LOCATION
respecting   O
patient   O
confidentiality   O
and   O
privacy   O
.   O

Patient   O
Name   O
:   O
Maeve   B-NAME
Rhodes   I-NAME
Patient   O
AM608/8954   B-ID
:   O
798   B-ID
-   I-ID
76   I-ID
-   I-ID
52   I-ID
-   I-ID
0   I-ID
Age   O
:   O
3   O
month   O
Address   O
:   O
Hurley   B-LOCATION
,   O
70121   B-LOCATION
Phone   O
:   O
34427   B-CONTACT
Employment   O
:   O
Loan   O
Counselors   O
Primary   O
Care   O
Physician   O
:   O
Mejia   B-NAME
Admitted   O
to   O
:   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
San   I-LOCATION
Jose   I-LOCATION
Date   O
of   O
Admission   O
:   O
2049   B-DATE
Twitter   O
handle   O
:   O
sww304   B-NAME
Chief   O
Complaint   O
:   O
Heath   B-NAME
Roman   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Wuesthoff   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/7/67   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
persisting   O
for   O
the   O
past   O
24   O
hours   O
.   O

Angel   B-NAME
Smith   I-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Idana   B-NAME
denied   O
any   O
fever   O
,   O
chills   O
,   O
dysuria   O
,   O
or   O
change   O
in   O
urine   O
color   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Hesiod   B-NAME
's   O
symptomatology   O
started   O
approximately   O
24   O
hours   O
prior   O
to   O
presentation   O
,   O
initially   O
described   O
as   O
a   O
dull   O
ache   O
around   O
the   O
umbilicus   O
,   O
gradually   O
intensifying   O
and   O
localizing   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Goodman   B-NAME
noted   O
a   O
previous   O
episode   O
of   O
similar   O
,   O
albeit   O
milder   O
,   O
symptoms   O
approximately   O
2202   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
22   I-DATE
which   O
resolved   O
spontaneously   O
after   O
a   O
few   O
days   O
.   O

Hackenstein   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
diagnosed   O
2390   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
25   I-DATE
,   O
currently   O
managed   O
with   O
medication   O
prescribed   O
by   O
Hensley   B-NAME
.   O

Abel   B-NAME
admitted   O
to   O
a   O
Industrial   O
Engineering   O
Technicians   O
work   O
environment   O
with   O
high   O
levels   O
of   O
stress   O
but   O
denied   O
any   O
history   O
of   O
gastrointestinal   O
issues   O
.   O

Social   O
History   O
:   O
Sweetnam   B-NAME
,   B-NAME
Skye   I-NAME
denied   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Mentioned   O
living   O
in   O
Brentford   B-LOCATION
with   O
family   O
.   O

Works   O
as   O
a   O
Water   O
and   O
Liquid   O
Waste   O
Treatment   O
Plant   O
and   O
System   O
Operators   O
in   O
Haven   B-LOCATION
Trust   I-LOCATION
Bank   I-LOCATION
Florida   I-LOCATION
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Ezequiel   B-NAME
Herman   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Rose   B-NAME
was   O
taken   O
to   O
the   O
operating   O
room   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
0/30   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
by   O
Porter   B-NAME
without   O
complications   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Cohen   B-NAME
,   I-NAME
Catman   I-NAME
Medical   O
Record   O
Number   O
:   O
34306494   B-ID
Date   O
of   O
Birth   O
:   O
Wednesday   B-DATE
,   I-DATE
September   I-DATE
Age   O
:   O
80   O
Gender   O
:   O
Male   O
Address   O
:   O
Marble   B-LOCATION
Rock   I-LOCATION
,   O
58876   B-LOCATION
Phone   O
:   O
83466   B-CONTACT
Employment   O
:   O
Film   O
Laboratory   O
Technicians   O
at   O
American   B-LOCATION
Crystallographic   I-LOCATION
Association   I-LOCATION
Admission   O
Date   O
:   O
20   B-DATE
-   I-DATE
21   I-DATE
Referring   O
Physician   O
:   O

Dr.   O
Dayanara   B-NAME
Walls   I-NAME
Summary   O
:   O
Mr.   O
Huffington   B-NAME
,   I-NAME
Arianna   I-NAME
,   O
a   O
46   O
-   O
year   O
-   O
old   O
male   O
with   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
,   O
presented   O
to   O
Four   B-LOCATION
Winds   I-LOCATION
Hospital   I-LOCATION
on   O
32/29   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
,   O
right   O
-   O
sided   O
abdominal   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
.   O

Mr.   O
Bonilla   B-NAME
also   O
noted   O
an   O
increase   O
in   O
the   O
intensity   O
of   O
pain   O
upon   O
eating   O
fatty   O
foods   O
which   O
suggests   O
a   O
possible   O
biliary   O
colic   O
.   O

Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
amylase   O
,   O
and   O
lipase   O
levels   O
were   O
ordered   O
by   O
Dr.   O
Ferguson   B-NAME
.   O

Patient   O
Lourd   B-NAME
's   O
medical   O
record   O
number   O
3459381   B-ID
was   O
used   O
to   O
document   O
all   O
findings   O
and   O
procedures   O
.   O

Following   O
initial   O
evaluations   O
,   O
the   O
decision   O
was   O
made   O
to   O
admit   O
Mr.   O
Hale   B-NAME
to   O
Athens   B-LOCATION
-   I-LOCATION
Limestone   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
.   O

A   O
gallbladder   O
ultrasound   O
and   O
consultation   O
with   O
a   O
gastrointestinal   O
specialist   O
were   O
planned   O
for   O
the   O
next   O
day   O
,   O
39/19   B-DATE
,   O
to   O
assess   O
for   O
gallstones   O
or   O
signs   O
of   O
cholecystitis   O
.   O

In   O
terms   O
of   O
social   O
history   O
,   O
Mr.   O
Hue   B-NAME
Calhoun   I-NAME
,   O
a   O
Insurance   O
underwriter   O
at   O
Liberated   B-LOCATION
Theocracy   I-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
,   O
reported   O
no   O
tobacco   O
use   O
but   O
admitted   O
to   O
occasional   O
alcohol   O
consumption   O
.   O

He   O
lives   O
in   O
Ouzinkie   B-LOCATION
with   O
the   O
zip   O
code   O
54551   B-LOCATION
and   O
can   O
be   O
contacted   O
at   O
40348   B-CONTACT
.   O

Physician   O
’s   O
Signature   O
:   O
Dr.   O
Flynn   B-NAME
1694   B-DATE

Patient   O
Name   O
:   O
Copper   B-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
1918132   I-ID
Medical   O
Record   O
Number   O
:   O
1172U60930   B-ID
Date   O
of   O
Birth   O
:   O
23/12   B-DATE
Age   O
:   O
54   O
Address   O
:   O
Hadley   B-LOCATION
,   O
62956   B-LOCATION
Phone   O
Number   O
:   O
65487   B-CONTACT
Employment   O
:   O
Systems   O
analyst   O
at   O
Gulf   B-LOCATION
Power   I-LOCATION
Company   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
NextEra   I-LOCATION
Energy   I-LOCATION
Treating   O
Physician   O
:   O
Dr.   O
Allena   B-NAME
Mazzeo   I-NAME
Admitting   O
Facility   O
:   O
St.   B-LOCATION
Francis   I-LOCATION
Health   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
Date   O
of   O
Admission   O
:   O
Tuesday   B-DATE
,   I-DATE
June   I-DATE
Date   O
of   O
Discharge   O
:   O
12/31   B-DATE
Chief   O
Complaint   O
:   O
Patient   O
Gennie   B-NAME
Halper   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Warren   I-LOCATION
Hospital   I-LOCATION
on   O
30/23/2189   B-DATE
,   O
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
since   O
earlier   O
that   O
same   O
day   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Madilynn   B-NAME
Shelton   I-NAME
,   O
a   O
86   O
-   O
year   O
-   O
old   O
Educational   O
Psychologists   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
reports   O
the   O
pain   O
initially   O
started   O
as   O
a   O
dull   O
ache   O
around   O
the   O
mid   O
-   O
abdomen   O
before   O
localizing   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Whitt   B-NAME
,   I-NAME
Qiana   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Hoffman   B-NAME
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Spencer   B-NAME
,   I-NAME
Herbert   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Dr.   O
Adelyn   B-NAME
Moses   I-NAME
and   O
taken   O
to   O
surgery   O
for   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
on   O
39/21   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Paul   B-NAME
Turner   I-NAME
was   O
discharged   O
home   O
on   O
02/33/00   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
pain   O
management   O
.   O

Follow   O
-   O
up   O
:   O
Isaac   B-NAME
Ferraro   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Fields   B-NAME
at   O
University   B-LOCATION
of   I-LOCATION
Louisville   I-LOCATION
Hospital   I-LOCATION
on   O
10/27   B-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Joslyn   B-NAME
Forbes   I-NAME
was   O
advised   O
to   O
maintain   O
hydration   O
,   O
avoid   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
two   O
weeks   O
,   O
and   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
around   O
the   O
incision   O
site   O
.   O

Additionally   O
,   O
Briana   B-NAME
Acosta   I-NAME
was   O
informed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
high   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
any   O
other   O
concerns   O
.   O

Next   O
of   O
kin   O
listed   O
as   O
cj210   B-NAME
,   O
reachable   O
at   O
830   B-CONTACT
-   I-CONTACT
9282   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
172   B-ID
-   I-ID
75   I-ID
-   I-ID
16   I-ID
Name   O
:   O
Malley   B-NAME
,   I-NAME
Matt   I-NAME
Age   O
:   O
36   O
Date   O
of   O
Birth   O
:   O
8/16   B-DATE
Phone   O
Number   O
:   O
23951   B-CONTACT
Address   O
:   O
Calvin   B-LOCATION
,   O
64824   B-LOCATION
Attending   O
Physician   O
:   O
Haynes   B-NAME
Hospital   O
:   O
DeKalb   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
:   O

Areli   B-NAME
Simpson   I-NAME
presents   O
with   O
a   O
history   O
of   O
non   O
-   O
insulin   O
-   O
dependent   O
diabetes   O
mellitus   O
,   O
hypertrophic   O
cardiomyopathy   O
,   O
and   O
chronic   O
kidney   O
disease   O
.   O

Patient   O
has   O
been   O
under   O
the   O
care   O
of   O
Mitchell   B-NAME
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
since   O
Independence   B-DATE
Day   I-DATE
.   O

Current   O
Symptoms   O
:   O
Isaiah   B-NAME
Rodriguez   I-NAME
was   O
admitted   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Sacramento   I-LOCATION
on   O
April   B-DATE
36   I-DATE
,   I-DATE
2085   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
upper   O
quadrant   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Additionally   O
,   O
Diana   B-NAME
Van   I-NAME
Dine   I-NAME
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
10/22/62   B-DATE
.   O

Jimenez   B-NAME
also   O
mentions   O
a   O
recent   O
weight   O
loss   O
of   O
approximately   O
71   O
pounds   O
over   O
the   O
last   O
two   O
months   O
,   O
which   O
was   O
unintended   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Arthur   B-NAME
Moyer   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
81   O
/   O
9   O
month   O
,   O
heart   O
rate   O
of   O
72   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
3   O
breaths   O
per   O
minute   O
,   O
and   O
body   O
temperature   O
of   O
11   O
month   O
degrees   O
Fahrenheit   O
.   O

Investigations   O
:   O
Diana   B-NAME
Chan   I-NAME
's   O
recent   O
blood   O
tests   O
have   O
shown   O
elevated   O
liver   O
enzymes   O
and   O
bilirubin   O
levels   O
.   O

Admit   O
Al   B-NAME
S.   I-NAME
Everhart   I-NAME
to   O
Niagara   B-LOCATION
Falls   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
.   O

Educational   O
materials   O
provided   O
to   O
Ferreira   B-NAME
regarding   O
diet   O
and   O
lifestyle   O
modifications   O
post   O
-   O
recovery   O
.   O

In   O
case   O
of   O
any   O
queries   O
or   O
updates   O
,   O
please   O
contact   O
the   O
nursing   O
station   O
at   O
72322   B-CONTACT
or   O
reach   O
out   O
to   O
Pruitt   B-NAME
for   O
detailed   O
information   O
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Breanna   B-NAME
Rocha   I-NAME
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
of   O
Personal   O
Service   O
Workers   O
from   O
Pekin   B-LOCATION
,   O
66896   B-LOCATION
,   O
presented   O
to   O
McKenzie   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
08/26/1933   B-DATE
with   O
a   O
constellation   O
of   O
symptoms   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
course   O
of   O
approximately   O
two   O
weeks   O
.   O

Robby   B-NAME
Tudor   I-NAME
's   O
initial   O
complaint   O
was   O
a   O
persistent   O
,   O
high   O
-   O
grade   O
fever   O
accompanied   O
by   O
a   O
severe   O
,   O
unproductive   O
cough   O
.   O

Upon   O
examination   O
,   O
Gussie   B-NAME
Tyler   I-NAME
,   O
who   O
is   O
56   O
years   O
old   O
,   O
exhibited   O
a   O
temperature   O
of   O
102.4   O
°   O
F   O
,   O
tachypnea   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Eulah   B-NAME
Abdullah   I-NAME
's   O
medical   O
history   O
,   O
as   O
per   O
the   O
record   O
281   B-ID
-   I-ID
66   I-ID
-   I-ID
66   I-ID
,   O
is   O
notable   O
for   O
controlled   O
Type   O
II   O
diabetes   O
and   O
a   O
past   O
episode   O
of   O
pneumonia   O
approximately   O
three   O
years   O
ago   O
.   O

Glenn   B-NAME
Richie   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Laboratory   O
tests   O
were   O
promptly   O
ordered   O
by   O
Thomson   B-NAME
,   I-NAME
William   I-NAME
-   I-NAME
a.k.a   I-NAME
.   I-NAME
Lord   B-NAME
Kelvin   I-NAME
which   O
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
a   O
PCR   O
test   O
for   O
influenza   O
and   O
SARS   O
-   O
CoV-2   O
;   O
the   O
latter   O
was   O
particularly   O
emphasized   O
given   O
the   O
current   O
pandemic   O
context   O
.   O

The   O
patient   O
's   O
CG:1001052:572897   B-ID
was   O
recorded   O
for   O
all   O
lab   O
submissions   O
and   O
procedures   O
for   O
tracking   O
purposes   O
.   O

Given   O
the   O
presentation   O
and   O
preliminary   O
findings   O
,   O
Mckinley   B-NAME
Foster   I-NAME
initiated   O
empirical   O
antibiotic   O
therapy   O
targeting   O
community   O
-   O
acquired   O
pneumonia   O
and   O
also   O
included   O
antiviral   O
coverage   O
due   O
to   O
the   O
possibility   O
of   O
SARS   O
-   O
CoV-2   O
co   O
-   O
infection   O
.   O

cline   B-NAME
was   O
advised   O
to   O
remain   O
in   O
isolation   O
within   O
McLaren   B-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
's   O
designated   O
COVID-19   O
care   O
unit   O
pending   O
further   O
test   O
results   O
.   O

June   B-DATE
revealed   O
Spring   B-NAME
Vandilus   I-NAME
's   O
PCR   O
test   O
for   O
SARS   O
-   O
CoV-2   O
returned   O
positive   O
,   O
necessitating   O
a   O
treatment   O
regimen   O
adjustment   O
and   O
the   O
initiation   O
of   O
supportive   O
care   O
protocols   O
specific   O
to   O
COVID-19   O
.   O

Family   O
members   O
were   O
updated   O
on   O
Kennedi   B-NAME
Castaneda   I-NAME
's   O
status   O
via   O
329   B-CONTACT
-   I-CONTACT
4177   I-CONTACT
,   O
emphasizing   O
the   O
hospital   O
's   O
visitation   O
restrictions   O
but   O
ensuring   O
continuous   O
communication   O
through   O
digital   O
platforms   O
.   O

Any   O
further   O
inquiries   O
from   O
the   O
family   O
were   O
directed   O
to   O
CHRISTUS   B-LOCATION
Mother   I-LOCATION
Frances   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Sulphur   I-LOCATION
Springs   I-LOCATION
's   O
patient   O
liaison   O
with   O
the   O
reference   O
76728021   B-ID
for   O
confidentiality   O
.   O

As   O
OWEN   B-NAME
R.   I-NAME
APONTE   I-NAME
continues   O
to   O
receive   O
care   O
,   O
Donna   B-NAME
Nichols   I-NAME
's   O
team   O
remains   O
cautiously   O
optimistic   O
,   O
aiming   O
for   O
a   O
full   O
recovery   O
while   O
prepared   O
for   O
the   O
complexities   O
associated   O
with   O
treating   O
COVID-19   O
pneumonia   O
.   O

Weekly   O
updates   O
are   O
scheduled   O
to   O
be   O
communicated   O
to   O
Ta   B-NAME
's   O
next   O
of   O
kin   O
to   O
keep   O
the   O
family   O
informed   O
throughout   O
the   O
treatment   O
journey   O
.   O

The   B-LOCATION
RINJ   I-LOCATION
Foundation   I-LOCATION
and   O
Novant   B-LOCATION
Health   I-LOCATION
Forsyth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
adhere   O
strictly   O
to   O
privacy   O
policies   O
compliant   O
with   O
healthcare   O
regulations   O
,   O
ensuring   O
that   O
all   O
patient   O
information   O
,   O
including   O
Beherns   B-NAME
's   O
2   B-ID
-   I-ID
4529648   I-ID
,   O
520   B-CONTACT
496   I-CONTACT
-   I-CONTACT
9982   I-CONTACT
,   O
and   O
890   B-ID
-   I-ID
65   I-ID
-   I-ID
87   I-ID
-   I-ID
1   I-ID
,   O
is   O
securely   O
managed   O
and   O
disclosed   O
only   O
to   O
authorized   O
individuals   O
and   O
entities   O
.   O

Patient   O
Name   O
:   O
Kaylynn   B-NAME
Brewer   I-NAME
Patient   O
ID   O
:   O
90863588   B-ID
Date   O
of   O
Birth   O
:   O
2248   B-DATE
-   I-DATE
24   I-DATE
-   I-DATE
29   I-DATE
Age   O
:   O
11   O
Address   O
:   O
Lake   B-LOCATION
Ann   I-LOCATION
,   O
13649   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
312   I-CONTACT
)   I-CONTACT
471   I-CONTACT
9781   I-CONTACT

Treating   O
Physician   O
:   O
Hill   B-NAME
,   I-NAME
Joe   I-NAME
Treating   O
Hospital   O
:   O
Elba   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
23/32/2196   B-DATE
Date   O
of   O
Report   O
:   O
02/64   B-DATE
Clinical   O
Summary   O
:   O
Izabella   B-NAME
Bradley   I-NAME
was   O
admitted   O
to   O
Parkland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
30/24/83   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
high   O
fever   O
reaching   O
up   O
to   O
102   O
°   O
F   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

Viviana   B-NAME
Powell   I-NAME
also   O
mentioned   O
experiencing   O
severe   O
headaches   O
and   O
intermittent   O
dizziness   O
.   O

Management   O
and   O
Outcome   O
:   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
was   O
started   O
on   O
broad   O
-   O
spectrum   O
antibiotics   O
pending   O
the   O
outcomes   O
of   O
the   O
blood   O
cultures   O
.   O

Over   O
the   O
course   O
of   O
the   O
next   O
48   O
hours   O
,   O
Leete   B-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
,   O
with   O
reduced   O
fever   O
and   O
improvement   O
in   O
oxygen   O
saturation   O
levels   O
to   O
98   O
%   O
on   O
room   O
air   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Miranda   B-NAME
Ramos   I-NAME
was   O
discharged   O
on   O
04/99   B-DATE
with   O
instructions   O
to   O
complete   O
a   O
10   O
-   O
day   O
course   O
of   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Bradford   B-NAME
has   O
been   O
scheduled   O
for   O
2315   B-DATE
at   O
Beloit   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
the   O
patient   O
's   O
recovery   O
and   O
to   O
review   O
the   O
blood   O
culture   O
results   O
.   O

Additional   O
Notes   O
:   O
Fulvius   B-NAME
Custa   I-NAME
was   O
advised   O
on   O
receiving   O
the   O
pneumococcal   O
and   O
annual   O
influenza   O
vaccines   O
to   O
help   O
prevent   O
potential   O
future   O
respiratory   O
infections   O
.   O

Reminder   O
for   O
Robinson   B-NAME
,   I-NAME
Jackie   I-NAME
:   O
-   O
Please   O
bring   O
all   O
your   O
medications   O
to   O
your   O
follow   O
-   O
up   O
appointment   O
.   O
-   O
Continue   O
monitoring   O
your   O
temperature   O
twice   O
daily   O
.   O

-   O
Contact   O
544   B-CONTACT
4575   I-CONTACT
if   O
you   O
experience   O
a   O
return   O
of   O
symptoms   O
or   O
any   O
side   O
effects   O
from   O
the   O
medication   O
.   O

The   O
information   O
contained   O
in   O
this   O
document   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
specified   O
use   O
of   O
Gillian   B-NAME
Mercer   I-NAME
and   O
their   O
healthcare   O
provider   O
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
202   B-CONTACT
-   I-CONTACT
5214   I-CONTACT
immediately   O
.   O

Patient   O
Name   O
:   O
David   B-NAME
Delgado   I-NAME
Patient   O
ID   O
:   O
II   B-ID
:   I-ID
FU:6074   I-ID
Medical   O
Record   O
Number   O
:   O
93945986   B-ID
Age   O
:   O
8   O
month   O
Date   O
of   O
Visit   O
:   O
2/1   B-DATE
Contact   O
Number   O
:   O
(   B-CONTACT
834   I-CONTACT
)   I-CONTACT
803   I-CONTACT
8135   I-CONTACT
Residence   O
:   O
Guernsey   B-LOCATION
,   O
82687   B-LOCATION
Occupation   O
:   O
Water   O
and   O
Liquid   O
Waste   O
Treatment   O
Plant   O
and   O
System   O
Operators   O
Chief   O
Complaint   O
:   O
Lakin   B-NAME
presented   O
to   O
Boca   B-LOCATION
Raton   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
0/22/2313   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
.   O

Addison   B-NAME
,   I-NAME
Joseph   I-NAME
reported   O
a   O
lack   O
of   O
appetite   O
and   O
had   O
not   O
eaten   O
since   O
the   O
onset   O
of   O
pain   O
.   O

There   O
were   O
no   O
instances   O
of   O
diarrhea   O
,   O
but   O
Maximus   B-NAME
Huerta   I-NAME
mentioned   O
a   O
slight   O
fever   O
the   O
night   O
before   O
.   O

Past   O
Medical   O
History   O
:   O
Nathan   B-NAME
Whitley   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Rivers   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
temperature   O
38.2   O
°   O
C   O
,   O
and   O
respiratory   O
rate   O
18   O
breaths   O
/   O
min   O
.   O
Abdominal   O
examination   O
revealed   O
tenderness   O
and   O
rigidity   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

After   O
consultation   O
with   O
Mcclure   B-NAME
,   O
it   O
was   O
decided   O
that   O
Darell   B-NAME
McTarnaghan   I-NAME
would   O
undergo   O
an   O
appendectomy   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
32/12   B-DATE
under   O
the   O
care   O
of   O
the   O
general   O
surgery   O
team   O
at   O
Franklin   B-LOCATION
Woods   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Kymani   B-NAME
Bender   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
consent   O
was   O
obtained   O
.   O

Follow   O
-   O
up   O
:   O
Tristen   B-NAME
Norris   I-NAME
will   O
be   O
kept   O
under   O
observation   O
post   O
-   O
operatively   O
,   O
with   O
pain   O
management   O
and   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
'   B-DATE
31   I-DATE
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Instructions   O
for   O
Patient   O
:   O
Georgiana   B-NAME
Miro   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
lifting   O
heavy   O
objects   O
for   O
at   O
least   O
88   O
weeks   O
post   O
-   O
surgery   O
.   O

Note   O
to   O
Hiscox   B-LOCATION
Small   I-LOCATION
Business   I-LOCATION
Insurance   I-LOCATION
's   O
Staff   O
:   O
Please   O
ensure   O
Archer   B-NAME
's   O
records   O
are   O
updated   O
accordingly   O
and   O
that   O
the   O
post   O
-   O
operative   O
care   O
plan   O
is   O
implemented   O
as   O
outlined   O
.   O

Contact   O
information   O
for   O
Davidson   B-NAME
(   O
35875   B-CONTACT
)   O
is   O
on   O
file   O
for   O
any   O
necessary   O
communications   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Bronson   B-NAME
Sanders   I-NAME
and   O
reviewed   O
by   O
the   O
medical   O
team   O
at   O
CHRISTUS   B-LOCATION
Spohn   I-LOCATION
Hospital   I-LOCATION
Kleberg   I-LOCATION
on   O
02/22   B-DATE
.   O

For   O
any   O
questions   O
regarding   O
Bena   B-NAME
's   O
care   O
,   O
please   O
reach   O
out   O
to   O
593   B-CONTACT
-   I-CONTACT
1606   I-CONTACT
or   O
the   O
direct   O
line   O
to   O
the   O
surgery   O
department   O
.   O

Patient   O
Name   O
:   O
Klara   B-NAME
Stovall   I-NAME
Medical   O
Record   O
Number   O
:   O
908   B-ID
-   I-ID
60   I-ID
-   I-ID
94   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
83   O
Date   O
of   O
Visit   O
:   O
2   B-DATE
-   I-DATE
21   I-DATE
Physician   O
:   O
Smith   B-NAME
,   I-NAME
Margaret   I-NAME
Chase   I-NAME
Hospital   O
:   O
Northern   B-LOCATION
Light   I-LOCATION
Eastern   I-LOCATION
Maine   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Newton   B-LOCATION
Hamilton   I-LOCATION
ZIP   O
Code   O
:   O
14352   B-LOCATION
ID   O
Number   O
:   O
144750   B-ID
Phone   O
Number   O
:   O
799   B-CONTACT
-   I-CONTACT
5322   I-CONTACT
Employer   O
:   O

Borough   B-LOCATION
of   I-LOCATION
Seaside   I-LOCATION
Heights   I-LOCATION
Electric   I-LOCATION
Utility   I-LOCATION
Profession   O
:   O
Computer   O
and   O
Information   O
Scientists   O
,   O
Research   O
Username   O
:   O
uy318   B-NAME
Chief   O
Complaint   O
:   O
Jack   B-NAME
Stewart   I-NAME
,   O
a   O
58   O
-   O
year   O
-   O
old   O
Foresters   O
,   O
presented   O
to   O
Colleton   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02.26.55   B-DATE
complaining   O
of   O
acute   O
onset   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
6   O
hours   O
.   O

Mark   B-NAME
Diamond   I-NAME
described   O
the   O
pain   O
as   O
unbearable   O
,   O
rating   O
it   O
9   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

There   O
is   O
no   O
known   O
history   O
of   O
migraines   O
in   O
Makena   B-NAME
Austin   I-NAME
or   O
the   O
family   O
.   O

There   O
is   O
no   O
significant   O
past   O
medical   O
history   O
according   O
to   O
Greene   B-NAME
.   O

Beecher   B-NAME
,   I-NAME
Henry   I-NAME
Ward   I-NAME
denies   O
any   O
chronic   O
diseases   O
,   O
surgeries   O
,   O
or   O
hospitalizations   O
in   O
the   O
past   O
.   O

Sanford   B-NAME
is   O
currently   O
not   O
on   O
any   O
prescription   O
medications   O
and   O
denies   O
any   O
allergies   O
.   O

On   O
examination   O
,   O
Acuna   B-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

However   O
,   O
given   O
that   O
this   O
is   O
the   O
first   O
such   O
episode   O
described   O
by   O
Jan   B-NAME
Wise   I-NAME
,   O
imaging   O
studies   O
are   O
recommended   O
to   O
rule   O
out   O
secondary   O
causes   O
of   O
headache   O
.   O

Counsel   O
Gonzalez   B-NAME
on   O
lifestyle   O
modifications   O
and   O
triggers   O
avoidance   O
to   O
manage   O
migraine   O
headaches   O
.   O

All   O
patient   O
information   O
including   O
Janet   B-NAME
Humphrey   I-NAME
's   O
name   O
,   O
medical   O
record   O
number   O
,   O
personal   O
identification   O
number   O
,   O
and   O
contact   O
information   O
,   O
has   O
been   O
kept   O
confidential   O
as   O
per   O
HIPAA   O
regulations   O
.   O

Patient   O
Name   O
:   O
Uehara   B-NAME
Medical   O
Record   O
:   O
547   B-ID
-   I-ID
70   I-ID
-   I-ID
82   I-ID
Date   O
of   O
Birth   O
:   O
9/31/2018   B-DATE

Today   O
's   O
Date   O
:   O
12/23/00   B-DATE
Physician   O
:   O

Aliana   B-NAME
Farmer   I-NAME
Hospital   O
:   O
Hillsdale   B-LOCATION
Hospital   I-LOCATION
Residential   O
Address   O
:   O
Jellico   B-LOCATION
,   O
83860   B-LOCATION
Contact   O
Number   O
:   O
96615   B-CONTACT
Occupation   O
:   O
Childcare   O
Workers   O
Chief   O
Complaint   O
:   O
Patricia   B-NAME
Najera   I-NAME
,   O
a   O
88   O
-   O
year   O
-   O
old   O
Broadcast   O
Technicians   O
from   O
De   B-LOCATION
Graff   I-LOCATION
,   O
presents   O
to   O
the   O
emergency   O
department   O
of   O
Goshen   B-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Past   O
Medical   O
History   O
:   O
Lawrence   B-NAME
,   I-NAME
Thomas   I-NAME
Edward   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
on   O
medication   O
(   O
specific   O
medications   O
are   O
unidentified   O
in   O
this   O
report   O
)   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
diagnosed   O
8   O
years   O
ago   O
.   O

Ortiz   B-NAME
,   I-NAME
David   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
described   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
present   O
illness   O
,   O
Matthias   B-NAME
Ebbesen   I-NAME
denies   O
headache   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
recent   O
skin   O
changes   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Zachary   B-NAME
Smith   I-NAME
appears   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Vital   O
signs   O
are   O
notable   O
for   O
elevated   O
blood   O
pressure   O
at   O
EX169/2091   B-ID
mmHg   O
systolic   O
,   O
a   O
heart   O
rate   O
of   O
2   B-ID
-   I-ID
3281644   I-ID
beats   O
per   O
minute   O
,   O
a   O
respiratory   O
rate   O
of   O
10   B-ID
-   I-ID
8286853   I-ID
breaths   O
per   O
minute   O
,   O
and   O
a   O
fever   O
of   O
US960/6936   B-ID
degrees   O
Celsius   O
.   O

The   O
plan   O
is   O
to   O
admit   O
Ananda   B-NAME
to   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Lincoln   I-LOCATION
for   O
pain   O
management   O
,   O
fluid   O
resuscitation   O
,   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
,   O
and   O
further   O
monitoring   O
.   O

The   O
contact   O
number   O
for   O
further   O
inquiries   O
about   O
Charles   B-NAME
Adams   I-NAME
's   O
condition   O
is   O
provided   O
as   O
869   B-CONTACT
4786   I-CONTACT
.   O

The   O
admitting   O
physician   O
is   O
Dr.   O
Villarreal   B-NAME
,   O
and   O
any   O
further   O
updates   O
will   O
be   O
communicated   O
accordingly   O
.   O

This   O
case   O
has   O
been   O
logged   O
under   O
the   O
identifier   O
number   O
33920293   B-ID
and   O
can   O
be   O
referenced   O
for   O
future   O
medical   O
reviews   O
or   O
insurance   O
purposes   O
.   O

Patient   O
Name   O
:   O
Kendis   B-NAME
Age   O
:   O
6   O
month   O
Medical   O
Record   O
Number   O
:   O
0361911   B-ID
Date   O
of   O
Admission   O
:   O
8/37/2353   B-DATE

Hampton   B-NAME
Hospital   O
:   O

St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Episcopal   I-LOCATION
Hospital   I-LOCATION
/   I-LOCATION
South   I-LOCATION
Shore   I-LOCATION
Location   O
:   O
Burford   B-LOCATION
Phone   O
Number   O
:   O
247   B-CONTACT
6392   I-CONTACT
ID   O
Number   O
:   O
WR   B-ID
:   I-ID
QB:7754   I-ID
Zip   O
Code   O
:   O
13075   B-LOCATION
Occupation   O
:   O
Entertainment   O
Attendants   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
Username   O
:   O
kb771   B-NAME
Summary   O
:   O

Patient   O
Betty   B-NAME
Kaitlin   I-NAME
Wood   I-NAME
,   O
a   O
Pharmacy   O
Aides   O
of   O
82   O
years   O
,   O
presented   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-San   I-LOCATION
Diego   I-LOCATION
Zion   I-LOCATION
on   O
2352   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
15   I-DATE
with   O
complaints   O
of   O
persistent   O
headache   O
,   O
photophobia   O
,   O
and   O
nausea   O
persisting   O
over   O
the   O
past   O
week   O
.   O

Cooke   B-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
ten   O
days   O
prior   O
to   O
admission   O
,   O
initially   O
mild   O
and   O
intermittent   O
in   O
nature   O
but   O
gradually   O
progressed   O
in   O
intensity   O
.   O

Thedotus   B-NAME
Byrdsong   I-NAME
also   O
noted   O
episodes   O
of   O
vomiting   O
,   O
particularly   O
in   O
the   O
morning   O
,   O
and   O
a   O
worsening   O
headache   O
with   O
exposure   O
to   O
bright   O
light   O
.   O

Upon   O
examination   O
,   O
Alcuin   B-NAME
exhibited   O
a   O
notable   O
aversion   O
to   O
light   O
,   O
performing   O
the   O
Brudzinski   O
's   O
sign   O
negatively   O
.   O

An   O
MRI   O
of   O
the   O
brain   O
was   O
scheduled   O
for   O
October   B-DATE
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
persistent   O
headaches   O
.   O

Brett   B-NAME
F.   I-NAME
Rutherford   I-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
,   O
including   O
bright   O
lights   O
and   O
certain   O
foods   O
.   O

Follow   O
-   O
up   O
after   O
the   O
diagnostic   O
tests   O
was   O
scheduled   O
with   O
Gerardo   B-NAME
Copeland   I-NAME
for   O
Tuesday   B-DATE
,   I-DATE
April   I-DATE
.   O

Home   O
Phone   O
:   O
69790   B-CONTACT
Emergency   O
Contact   O
:   O
963   B-CONTACT
7721   I-CONTACT

The   O
privacy   O
and   O
confidentiality   O
of   O
patient   O
Chicago   B-NAME
,   I-NAME
Judy   I-NAME
's   O
information   O
,   O
including   O
the   O
specifics   O
of   O
location   O
(   O
Cedaredge   B-LOCATION
)   O
and   O
identification   O
(   O
OK102/8427   B-ID
,   O
470   B-ID
-   I-ID
82   I-ID
-   I-ID
66   I-ID
-   I-ID
9   I-ID
)   O
,   O
are   O
maintained   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
and   O
Disabled   B-LOCATION
American   I-LOCATION
Veterans   I-LOCATION
(   I-LOCATION
DAV   I-LOCATION
)   I-LOCATION
policies   O
.   O

The   O
patient   O
,   O
Alvarado   B-NAME
,   O
a   O
74   O
-   O
year   O
-   O
old   O
Tire   O
Builders   O
from   O
Perth   B-LOCATION
Amboy   I-LOCATION
,   O
65913   B-LOCATION
,   O
presented   O
to   O
Community   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
15/21   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

yamamoto   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
.   O

The   O
initial   O
assessment   O
by   O
Whitaker   B-NAME
indicated   O
a   O
suspicion   O
of   O
myocardial   O
infarction   O
(   O
MI   O
)   O
,   O
necessitating   O
immediate   O
intervention   O
.   O

Sammy   B-NAME
Cunningham   I-NAME
's   O
medical   O
record   O
number   O
,   O
2585Y49283   B-ID
,   O
was   O
generated   O
and   O
used   O
for   O
documentation   O
purposes   O
throughout   O
the   O
hospital   O
stay   O
.   O

Rascoe   B-NAME
,   I-NAME
Burton   I-NAME
discussed   O
the   O
findings   O
and   O
recommended   O
an   O
immediate   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

The   O
treatment   O
plan   O
included   O
starting   O
Gabor   B-NAME
,   I-NAME
Zsa   I-NAME
Zsa   I-NAME
on   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
a   O
statin   O
,   O
and   O
a   O
dual   O
antiplatelet   O
therapy   O
with   O
clopidogrel   O
.   O

Jaqueline   B-NAME
Whitney   I-NAME
was   O
advised   O
to   O
participate   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
and   O
was   O
educated   O
on   O
lifestyle   O
modifications   O
to   O
manage   O
risk   O
factors   O
.   O

During   O
the   O
hospitalization   O
,   O
Kenya   B-NAME
Dudley   I-NAME
’s   O
family   O
,   O
specifically   O
a   O
63   O
-   O
year   O
-   O
old   O
spouse   O
contacted   O
the   O
care   O
team   O
several   O
times   O
for   O
updates   O
,   O
using   O
the   O
phone   O
number   O
96256   B-CONTACT
.   O

The   O
discharge   O
summary   O
,   O
including   O
follow   O
-   O
up   O
care   O
with   O
Horrible   B-NAME
and   O
counseling   O
on   O
medication   O
management   O
,   O
was   O
sent   O
to   O
Torre   B-NAME
,   I-NAME
Joe   I-NAME
's   O
primary   O
care   O
physician   O
in   O
Ceres   B-LOCATION
.   O

The   B-LOCATION
Cowlitz   I-LOCATION
Bank   I-LOCATION
provided   O
Jazlynn   B-NAME
with   O
resources   O
for   O
post   O
-   O
hospitalization   O
support   O
,   O
including   O
a   O
24   O
-   O
hour   O
hotline   O
number   O
,   O
99553   B-CONTACT
,   O
for   O
any   O
further   O
questions   O
or   O
concerns   O
.   O

Anika   B-NAME
Avery   I-NAME
's   O
discharge   O
was   O
arranged   O
on   O
33/13/42   B-DATE
,   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
12/28/22   B-DATE
.   O

In   O
conclusion   O
,   O
Bennett   B-NAME
's   O
case   O
demonstrates   O
the   O
critical   O
importance   O
of   O
timely   O
intervention   O
in   O
acute   O
myocardial   O
infarction   O
,   O
emphasizing   O
the   O
successful   O
collaboration   O
between   O
emergency   O
services   O
,   O
cardiology   O
,   O
and   O
patient   O
support   O
systems   O
in   O
achieving   O
a   O
positive   O
outcome   O
.   O

Patient   O
Report   O
for   O
Eve   B-NAME
Friedman   I-NAME
General   O
Information   O
:   O
ID   O
:   O
KX341/9821   B-ID
Medical   O
Record   O
Number   O
:   O
06423836   B-ID
Age   O
:   O
92   O
Zip   O
Code   O
:   O
24084   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Guerrero   B-NAME
Hospital   O
:   O
UNC   B-LOCATION
Lenoir   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Date   O
of   O
Initial   O
Symptoms   O
:   O
0/27   B-DATE
Date   O
of   O
Report   O
:   O
23/33   B-DATE
Patient   O
Presentation   O
:   O
Gonzalez   B-NAME
,   O
a   O
Electrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
,   O
presented   O
to   O
Griffin   B-LOCATION
Hospital   I-LOCATION
on   O
12/01/2310   B-DATE
complaining   O
of   O
severe   O
,   O
acute   O
onset   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Lowery   B-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O

Nga   B-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Sante   B-LOCATION
Fe   I-LOCATION
or   O
any   O
sick   O
contacts   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
on   O
Thursday   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
appendicitis   O
without   O
evidence   O
of   O
rupture   O
.   O

Treatment   O
Course   O
:   O
After   O
evaluation   O
by   O
Hardin   B-NAME
and   O
surgical   O
consultation   O
,   O
Isabel   B-NAME
Atkinson   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
2/0   B-DATE
.   O

Brycen   B-NAME
Giles   I-NAME
received   O
postoperative   O
antibiotics   O
as   O
a   O
prophylactic   O
measure   O
against   O
infection   O
.   O

Follow   O
-   O
Up   O
and   O
Prognosis   O
:   O
Linda   B-NAME
Faulkner   I-NAME
was   O
discharged   O
on   O
3/2   B-DATE
with   O
instructions   O
for   O
care   O
,   O
including   O
wound   O
care   O
and   O
signs   O
of   O
potential   O
complications   O
to   O
monitor   O
.   O

16234   B-CONTACT
was   O
provided   O
for   O
Collin   B-NAME
Durham   I-NAME
to   O
contact   O
Phoebe   B-LOCATION
Putney   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
if   O
any   O
concerns   O
or   O
symptoms   O
of   O
infection   O
arose   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Kenny   B-NAME
Reilly   I-NAME
is   O
scheduled   O
for   O
1/37   B-DATE
to   O
assess   O
postoperative   O
recovery   O
.   O

Zehr   B-NAME
's   O
prognosis   O
is   O
excellent   O
with   O
expectations   O
for   O
a   O
full   O
recovery   O
.   O

This   O
health   O
information   O
is   O
for   O
the   O
use   O
of   O
authorized   O
personnel   O
only   O
and   O
is   O
protected   O
under   O
Mitchell   B-LOCATION
EMC   I-LOCATION
policies   O
regarding   O
privacy   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
738   B-CONTACT
7456   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Patient   O
Report   O
for   O
Genevie   B-NAME
Latimer   I-NAME
General   O
Information   O
:   O
2/23/00   B-DATE
-   O
The   O
patient   O
,   O
a   O
62   O
-   O
year   O
-   O
old   O
Database   O
Administrators   O
residing   O
in   O
Absecon   B-LOCATION
,   O
with   O
ZIP   O
code   O
32672   B-LOCATION
,   O
presented   O
to   O
Florida   B-LOCATION
Hospital   I-LOCATION
East   I-LOCATION
Orlando   I-LOCATION
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
episodes   O
of   O
high   O
fever   O
for   O
the   O
past   O
week   O
.   O

The   O
patient   O
was   O
advised   O
to   O
seek   O
medical   O
attention   O
by   O
Dr.   O
Walter   B-NAME
and   O
was   O
admitted   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

The   O
medical   O
record   O
number   O
7819372   B-ID
indicates   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
.   O

The   O
patient   O
mentioned   O
a   O
recent   O
trip   O
to   O
Luttrell   B-LOCATION
around   O
17/22/2249   B-DATE
,   O
where   O
they   O
noted   O
the   O
onset   O
of   O
symptoms   O
shortly   O
after   O
returning   O
.   O
Symptoms   O
:   O
Upon   O
examination   O
,   O
Brennen   B-NAME
Mcgee   I-NAME
demonstrated   O
labored   O
respiration   O
,   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

The   O
patient   O
also   O
reported   O
a   O
persistent   O
dry   O
cough   O
and   O
episodes   O
of   O
fever   O
reaching   O
up   O
to   O
102   O
°   O
F   O
(   O
22/39/88   B-DATE
)   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
series   O
of   O
diagnostic   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Lane   B-NAME
,   O
including   O
a   O
chest   O
X   O
-   O
ray   O
,   O
which   O
showed   O
bilateral   O
infiltrates   O
,   O
suggestive   O
of   O
pneumonia   O
.   O

A   O
PCR   O
test   O
for   O
influenza   O
and   O
COVID-19   O
was   O
also   O
conducted   O
on   O
August   B-DATE
03   I-DATE
,   O
with   O
results   O
pending   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Jan   B-DATE
'   I-DATE
52   I-DATE
at   O
Bayley   B-LOCATION
Seton   I-LOCATION
Hospital   I-LOCATION
with   O
Dr.   O
Jenna   B-NAME
Farmer   I-NAME
to   O
review   O
the   O
PCR   O
test   O
results   O
and   O
evaluate   O
the   O
patient   O
's   O
response   O
to   O
the   O
initial   O
treatment   O
regimen   O
.   O

In   O
case   O
of   O
any   O
questions   O
or   O
further   O
symptoms   O
,   O
Felix   B-NAME
Hardin   I-NAME
or   O
their   O
next   O
of   O
kin   O
can   O
contact   O
Connecticut   B-LOCATION
Hospice   I-LOCATION
at   O
44766   B-CONTACT
.   O

Please   O
have   O
the   O
patient   O
's   O
medical   O
record   O
number   O
17031909   B-ID
and   O
ID   O
7   B-ID
-   I-ID
2734154   I-ID
ready   O
for   O
reference   O
.   O

For   O
any   O
questions   O
regarding   O
privacy   O
,   O
please   O
contact   O
the   O
Collective   B-LOCATION
of   I-LOCATION
Spheres   I-LOCATION
's   O
compliance   O
office   O
at   O
495   B-CONTACT
-   I-CONTACT
277   I-CONTACT
8641   I-CONTACT
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Dr.   O
Harmon   B-NAME
,   O
attending   O
physician   O
at   O
Metro   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
University   I-LOCATION
of   I-LOCATION
MI   I-LOCATION
Health   I-LOCATION
,   O
on   O
4/22   B-DATE
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Ortiz   B-NAME
-   O
Age   O
:   O
1   O
-   O
Address   O
:   O
Groves   B-LOCATION
,   O
32550   B-LOCATION
-   O
Phone   O
Number   O
:   O
205   B-CONTACT
-   I-CONTACT
8587   I-CONTACT
-   O
Occupation   O
:   O
Set   O
and   O
Exhibit   O
Designers   O
-   O
Medical   O
Record   O
Number   O
:   O
88220904   B-ID
-   O
ID   O
:   O
751536615   B-ID
Clinical   O
Summary   O
:   O
On   O
06/34/28   B-DATE
,   O
Spinoza   B-NAME
,   I-NAME
Baruch   I-NAME
,   O
a   O
Gaming   O
Dealers   O
aged   O
68   O
,   O
presented   O
at   O
the   O
Emergency   O
Department   O
of   O
Guthrie   B-LOCATION
Troy   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Newnan   B-LOCATION
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
intermittent   O
episodes   O
of   O
vomiting   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Ray   B-NAME
,   I-NAME
James   I-NAME
Arthur   I-NAME
appeared   O
in   O
mild   O
distress   O
,   O
reporting   O
a   O
pain   O
score   O
of   O
7/10   O
.   O

Laboratory   O
Tests   O
and   O
Diagnosis   O
:   O
Laboratory   O
investigations   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
urinalysis   O
were   O
ordered   O
by   O
Barrera   B-NAME
.   O

An   O
abdominal   O
ultrasound   O
performed   O
by   O
the   O
Radiology   O
Department   O
at   O
Delray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
wall   O
thickening   O
,   O
consistent   O
with   O
the   O
diagnosis   O
.   O
Treatment   O
and   O
Progress   O
:   O
Under   O
the   O
care   O
of   O
Huynh   B-NAME
,   O
Beatrice   B-NAME
Bradford   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
on   O
2028   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
27   I-DATE
.   O

Post   O
-   O
operative   O
course   O
was   O
unremarkable   O
,   O
and   O
Jude   B-NAME
Bolton   I-NAME
was   O
discharged   O
on   O
17/21   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modifications   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Von   B-NAME
Karman   I-NAME
,   I-NAME
Theodore   I-NAME
in   O
two   O
weeks   O
.   O

Paris   B-NAME
Herring   I-NAME
's   O
contact   O
information   O
for   O
follow   O
-   O
up   O
:   O
86885   B-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
le314   B-NAME
9   B-DATE
-   I-DATE
0   I-DATE
For   O
any   O
further   O
inquiries   O
or   O
clarification   O
,   O
please   O
contact   O
Baptist   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Fort   I-LOCATION
Smith   I-LOCATION
at   O
(   B-CONTACT
705   I-CONTACT
)   I-CONTACT
556   I-CONTACT
5738   I-CONTACT
.   O

Patient   O
Name   O
:   O
bishop   B-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
8420265   I-ID
Date   O
of   O
Birth   O
:   O
1617   B-DATE
Phone   O
:   O
349   B-CONTACT
-   I-CONTACT
3102   I-CONTACT
Address   O
:   O
Belk   B-LOCATION
,   O
39581   B-LOCATION
Primary   O
Physician   O
:   O

Dashawn   B-NAME
Fuller   I-NAME
Hospital   O
:   O
UNC   B-LOCATION
Rockingham   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
09/20   B-DATE
Medical   O
Record   O
Number   O
:   O
2245835   B-ID
Summary   O
:   O
Uphoff   B-NAME
,   O
a   O
Fire   O
Inspectors   O
of   O
65   O
years   O
old   O
,   O
presented   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Flint   I-LOCATION
on   O
12/14/02   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
,   O
intense   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
101   O
°   O
F   O
.   O

Alysha   B-NAME
Newhook   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
appendicitis   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Upon   O
examination   O
,   O
Jorden   B-NAME
Hughes   I-NAME
exhibited   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
potential   O
appendicitis   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Ashlynn   B-NAME
Pollard   I-NAME
and   O
showed   O
a   O
swollen   O
appendix   O
without   O
signs   O
of   O
rupture   O
.   O

Treatment   O
Plan   O
:   O
Surgical   O
consultation   O
with   O
Carlee   B-NAME
Rivers   I-NAME
at   O
Mississippi   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
recommended   O
immediately   O
following   O
diagnosis   O
.   O

An   O
appendectomy   O
is   O
scheduled   O
for   O
T   B-DATE
.   O
Jaida   B-NAME
Chung   I-NAME
was   O
instructed   O
to   O
fast   O
for   O
at   O
least   O
8   O
hours   O
preceding   O
the   O
operation   O
.   O

Following   O
surgery   O
,   O
Shyla   B-NAME
Keller   I-NAME
is   O
to   O
be   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
related   O
to   O
the   O
procedure   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Jacquelyn   B-NAME
Bernard   I-NAME
on   O
24   B-DATE
-   I-DATE
22   I-DATE
at   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
.   O

Beckham   B-NAME
Buchanan   I-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
and   O
activity   O
limitations   O
.   O

Prescriptions   O
:   O
-   O
Antibiotic   O
regimen   O
for   O
7   O
days   O
post   O
-   O
surgery   O
.   O
-   O
Pain   O
management   O
medication   O
as   O
needed   O
,   O
prescribed   O
on   O
December   B-DATE
09   I-DATE
,   I-DATE
2016   I-DATE
.   O

3   O
.   O
Report   O
any   O
fever   O
,   O
vomiting   O
,   O
or   O
increased   O
pain   O
to   O
Stone   B-NAME
immediately   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Muir   B-NAME
,   I-NAME
John   I-NAME
or   O
their   O
family   O
can   O
contact   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
77989   B-CONTACT
.   O

Note   O
:   O
It   O
is   O
essential   O
for   O
Rubi   B-NAME
Gibson   I-NAME
to   O
follow   O
all   O
post   O
-   O
operative   O
instructions   O
and   O
attend   O
all   O
follow   O
-   O
up   O
appointments   O
to   O
ensure   O
a   O
smooth   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Addison   B-NAME
Holder   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
3824643   I-ID
Date   O
of   O
Birth   O
:   O
5/20/86   B-DATE
Age   O
:   O
12   O
month   O
Gender   O
:   O
Male   O
Address   O
:   O
Spartanburg   B-LOCATION
,   O
23687   B-LOCATION
Phone   O
Number   O
:   O
226   B-CONTACT
-   I-CONTACT
357   I-CONTACT
7571   I-CONTACT
Medical   O
Record   O
Number   O
:   O
1513217   B-ID
Primary   O
Care   O
Physician   O
:   O

Moyer   B-NAME
Treatment   O
Hospital   O
:   O
Methodist   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southern   I-LOCATION
California   I-LOCATION
Summary   O
of   O
Visit   O
:   O
Mr.   O
Jovinus   B-NAME
Diachenko   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Hot   B-LOCATION
Springs   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
'   B-DATE
71   I-DATE
with   O
complaints   O
of   O
persistent   O
,   O
severe   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
he   O
rated   O
as   O
8   O
on   O
a   O
pain   O
scale   O
of   O
0   O
-   O
10   O
.   O

Mr.   O
Alexis   B-NAME
Mcgrath   I-NAME
denied   O
any   O
recent   O
travels   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Mr.   O
Charles   B-NAME
Skinner   I-NAME
,   O
a   O
Farm   O
Labor   O
Contractors   O
by   O
trade   O
,   O
reported   O
no   O
significant   O
past   O
medical   O
history   O
aside   O
from   O
a   O
laparoscopic   O
cholecystectomy   O
performed   O
at   O
Adirondack   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
October   B-DATE
20   I-DATE
,   I-DATE
2253   I-DATE
.   O

On   O
examination   O
,   O
Mr.   O
Reese   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Plan   O
:   O
Mr.   O
Jeffers   B-NAME
's   O
clinical   O
presentation   O
and   O
diagnostic   O
tools   O
,   O
including   O
blood   O
tests   O
and   O
imaging   O
,   O
suggest   O
acute   O
appendicitis   O
.   O

After   O
consultation   O
with   O
Dr.   O
Dominguez   B-NAME
,   O
General   O
Surgery   O
,   O
a   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

Mr.   O
Dakota   B-NAME
Dominguez   I-NAME
provided   O
informed   O
consent   O
for   O
the   O
surgery   O
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
the   O
patient   O
was   O
scheduled   O
for   O
surgery   O
on   O
01/26   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Mr.   O
Danna   B-NAME
Stiff   I-NAME
was   O
admitted   O
to   O
University   B-LOCATION
of   I-LOCATION
Kentucky   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
for   O
post   O
-   O
operative   O
care   O
.   O

He   O
was   O
advised   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
given   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Crawford   B-NAME
in   O
2   O
weeks   O
.   O

Conclusion   O
:   O
Mr.   O
Max   B-NAME
Von   I-NAME
Sydow   I-NAME
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
at   O
Holyoke   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2066   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
18   I-DATE
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
referred   O
to   O
as   O
Tito   B-NAME
Quast   I-NAME
,   O
initially   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Quakertown   I-LOCATION
Hospital   I-LOCATION
on   O
22/00   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
centered   O
in   O
the   O
epigastric   O
region   O
.   O

Additionally   O
,   O
Lindsey   B-NAME
Frey   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
fever   O
that   O
started   O
earlier   O
on   O
the   O
same   O
day   O
.   O

Ishaan   B-NAME
Dickerson   I-NAME
works   O
as   O
a   O
Welders   O
and   O
Cutters   O
and   O
mentioned   O
no   O
recent   O
travel   O
outside   O
of   O
Apache   B-LOCATION
Junction   I-LOCATION
,   I-LOCATION
Apache   I-LOCATION
Junction   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
(   I-LOCATION
D   I-LOCATION
)   I-LOCATION
.   O

Upon   O
examination   O
,   O
Leonarda   B-NAME
,   O
a   O
85   O
-   O
year   O
-   O
old   O
,   O
had   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
,   O
a   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
and   O
a   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
laboratory   O
findings   O
,   O
Phillips   B-NAME
diagnosed   O
the   O
patient   O
with   O
acute   O
pancreatitis   O
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
Upson   B-NAME
's   O
condition   O
was   O
closely   O
monitored   O
by   O
the   O
medical   O
team   O
at   O
Novato   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Orland   B-NAME
Peralta   I-NAME
was   O
provided   O
with   O
discharge   O
instructions   O
on   O
12/24/22   B-DATE
after   O
the   O
resolution   O
of   O
symptoms   O
and   O
improvement   O
in   O
laboratory   O
values   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Allen   B-NAME
,   I-NAME
James   I-NAME
at   O
Kiowa   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Manor   I-LOCATION
–   I-LOCATION
Kiowa   I-LOCATION
's   O
outpatient   O
clinic   O
for   O
September   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Callum   B-NAME
Best   I-NAME
was   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
698   B-CONTACT
5678   I-CONTACT
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
is   O
4423L6077   B-ID
,   O
and   O
all   O
queries   O
regarding   O
this   O
case   O
should   O
refer   O
to   O
this   O
number   O
.   O

The   O
identity   O
of   O
Ricardo   B-NAME
Ellis   I-NAME
and   O
associated   O
personal   O
information   O
such   O
as   O
RZ   B-ID
:   I-ID
XR:7418   I-ID
,   O
838   B-CONTACT
7203   I-CONTACT
,   O
and   O
address   O
at   O
Hudson   B-LOCATION
with   O
the   O
zip   O
code   O
39774   B-LOCATION
must   O
be   O
securely   O
managed   O
according   O
to   O
privacy   O
regulations   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Maldonado   B-NAME
-   O
Age   O
:   O
71   O
-   O
Medical   O
Record   O
Number   O
:   O
9186074   B-ID
-   O
ID   O
:   O
BE   B-ID
:   I-ID
WU:2573   I-ID
-   O
Address   O
:   O
Oconomowoc   B-LOCATION
Lake   I-LOCATION
,   O
35275   B-LOCATION
-   O
Phone   O
Number   O
:   O
534   B-CONTACT
225   I-CONTACT
8549   I-CONTACT
-   O
Attending   O
Physician   O
:   O

Leisha   B-NAME
Winston   I-NAME
-   O
Employer   O
:   O
Teachers   B-LOCATION
'   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Ireland   I-LOCATION
-   O
Job   O
Title   O
:   O
Industrial   O
Ecologists   O
-   O
Username   O
:   O
FF613   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Xitlali   B-NAME
Crane   I-NAME
,   O
presented   O
to   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Grosse   I-LOCATION
Pointe   I-LOCATION
on   O
23/29   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
sharp   O
lower   O
abdominal   O
pain   O
that   O
has   O
been   O
persistent   O
for   O
approximately   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Helen   B-NAME
Updike   I-NAME
describes   O
the   O
pain   O
as   O
initially   O
mild   O
and   O
intermittent   O
,   O
beginning   O
approximately   O
37/12   B-DATE
,   O
but   O
notes   O
it   O
significantly   O
worsened   O
in   O
the   O
past   O
24   O
hours   O
,   O
prompting   O
the   O
visit   O
.   O

Kalin   B-NAME
has   O
a   O
history   O
of   O
asthma   O
managed   O
with   O
inhalers   O
and   O
a   O
remote   O
appendectomy   O
performed   O
at   O
Palm   B-LOCATION
Bay   I-LOCATION
on   O
33/19/87   B-DATE
.   O

The   O
patient   O
maintains   O
a   O
relatively   O
sedentary   O
lifestyle   O
,   O
primarily   O
due   O
to   O
the   O
demands   O
of   O
their   O
job   O
as   O
a   O
Accounting   O
technician   O
for   O
GuideOne   B-LOCATION
Insurance   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Loren   B-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Ward   B-NAME
to   O
remain   O
NPO   O
in   O
anticipation   O
of   O
possible   O
surgical   O
intervention   O
.   O

Follow   O
-   O
Up   O
:   O
Pennington   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
BANNER   B-LOCATION
-   I-LOCATION
UNIVERSITY   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
PHOENIX   I-LOCATION
's   O
outpatient   O
department   O
on   O
December   B-DATE
2   I-DATE
to   O
discuss   O
the   O
results   O
and   O
plan   O
forward   O
.   O

This   O
completed   O
report   O
was   O
compiled   O
by   O
Ryan   B-NAME
Tyler   I-NAME
and   O
is   O
stored   O
in   O
Lennon   B-NAME
Harrington   I-NAME
's   O
medical   O
record   O
(   O
1095601   B-ID
)   O
at   O
Eden   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
further   O
clarification   O
or   O
to   O
discuss   O
the   O
treatment   O
plan   O
,   O
please   O
contact   O
(   B-CONTACT
563   I-CONTACT
)   I-CONTACT
506   I-CONTACT
-   I-CONTACT
1641   I-CONTACT
.   O

Patient   O
Report   O
:   O
9356838   B-ID
33/30/2104   B-DATE
,   O
Jamal   B-NAME
Parker   I-NAME
,   O
a   O
Stock   O
Clerks-   O
Stockroom   O
,   O
Warehouse   O
,   O
or   O
Storage   O
Yard   O
from   O
Hollow   B-LOCATION
Creek   I-LOCATION
,   O
53348   B-LOCATION
,   O
was   O
admitted   O
to   O
Essentia   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Saint   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
presenting   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Victorinus   B-NAME
Hribal   I-NAME
reported   O
a   O
subjective   O
fever   O
and   O
described   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
.   O

The   O
attending   O
physician   O
,   O
Cristina   B-NAME
Esparza   I-NAME
,   O
ordered   O
an   O
urgent   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
which   O
revealed   O
appendiceal   O
enlargement   O
and   O
periappendiceal   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Dixie   B-NAME
Salas   I-NAME
discussed   O
the   O
diagnosis   O
and   O
treatment   O
plan   O
with   O
Billy   B-NAME
Ulysses   I-NAME
Graves   I-NAME
,   O
recommending   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
.   O

Before   O
the   O
procedure   O
,   O
Bartholin   B-NAME
,   I-NAME
Thomas   I-NAME
V.   I-NAME
provided   O
consent   O
and   O
the   O
emergency   O
contact   O
,   O
listed   O
under   O
701   B-CONTACT
6428   I-CONTACT
,   O
was   O
informed   O
of   O
the   O
situation   O
.   O

The   O
surgery   O
,   O
conducted   O
on   O
18/06   B-DATE
,   O
was   O
without   O
complications   O
,   O
and   O
appendiceal   O
pathology   O
confirmed   O
acute   O
appendicitis   O
with   O
no   O
signs   O
of   O
malignancy   O
.   O

Franklin   B-NAME
Hensley   I-NAME
responded   O
well   O
to   O
treatment   O
and   O
showed   O
significant   O
improvement   O
within   O
48   O
hours   O
post   O
-   O
surgery   O
.   O

The   O
follow   O
-   O
up   O
care   O
plan   O
was   O
discussed   O
with   O
Antony   B-NAME
House   I-NAME
during   O
the   O
discharge   O
process   O
on   O
11/21/1631   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Anika   B-NAME
Wagner   I-NAME
at   O
LDS   B-LOCATION
Hospital   I-LOCATION
for   O
12/01   B-DATE
,   O
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Additional   O
recommendations   O
were   O
made   O
for   O
Geraldo   B-NAME
Betterton   I-NAME
to   O
follow   O
up   O
with   O
a   O
gastroenterologist   O
after   O
recovery   O
,   O
considering   O
a   O
family   O
history   O
of   O
gastrointestinal   O
diseases   O
reported   O
during   O
the   O
admission   O
process   O
.   O

The   O
case   O
was   O
concluded   O
with   O
a   O
final   O
review   O
and   O
approval   O
by   O
Clinton   B-NAME
Mcdonald   I-NAME
,   O
and   O
Elias   B-NAME
Herman   I-NAME
was   O
advised   O
to   O
reach   O
out   O
to   O
121   B-CONTACT
6277   I-CONTACT
for   O
any   O
urgent   O
queries   O
or   O
concerns   O
during   O
the   O
recovery   O
period   O
at   O
home   O
.   O

Patient   O
Name   O
:   O
Ali   B-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
1597394   I-ID
Medical   O
Record   O
Number   O
:   O
6767874   B-ID
Date   O
of   O
Birth   O
:   O
32/32/2140   B-DATE
Age   O
:   O
4   O
Physician   O
:   O

Marco   B-NAME
Robbins   I-NAME
Contact   O
Number   O
:   O
919   B-CONTACT
-   I-CONTACT
994   I-CONTACT
-   I-CONTACT
8349   I-CONTACT
Address   O
:   O
Twin   B-LOCATION
Grove   I-LOCATION
,   O
56267   B-LOCATION
Employer   O
:   O
Lincoln   B-LOCATION
National   I-LOCATION
Corporation   I-LOCATION
Occupation   O
:   O
Accountant   O
Hospital   O
:   O

MUSC   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Florence   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Joyce   B-NAME
Stewart   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
02/30/2166   B-DATE
with   O
acute   O
abdominal   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
and   O
constant   O
sensation   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Corrin   B-NAME
Maki   I-NAME
,   O
a   O
26   O
-   O
year   O
-   O
old   O
Amenity   O
horticulturist   O
at   O
Riverview   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
,   O
began   O
experiencing   O
abdominal   O
discomfort   O
early   O
in   O
the   O
morning   O
on   O
1/28/2333   B-DATE
.   O

The   O
discomfort   O
evolved   O
into   O
a   O
sharp   O
,   O
localized   O
pain   O
prompting   O
the   O
patient   O
to   O
seek   O
medical   O
attention   O
at   O
Palms   B-LOCATION
of   I-LOCATION
Pasadena   I-LOCATION
Hospital   I-LOCATION
.   O

On   O
examination   O
,   O
Maxim   B-NAME
Weiss   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Kelsey   B-NAME
Harrison   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
2/26   B-DATE
.   O

The   O
surgery   O
was   O
uncomplicated   O
,   O
and   O
Arias   B-NAME
tolerated   O
the   O
procedure   O
well   O
.   O

Follow   O
-   O
Up   O
:   O
Joe   B-NAME
Mcferron   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Melissa   B-NAME
Levy   I-NAME
in   O
Christian   B-LOCATION
Hospital   I-LOCATION
's   O
surgical   O
outpatient   O
clinic   O
on   O
F   B-DATE
.   O
Further   O
instructions   O
regarding   O
activity   O
levels   O
,   O
dietary   O
recommendations   O
,   O
and   O
wound   O
care   O
were   O
provided   O
upon   O
discharge   O
.   O

Next   O
of   O
kin   O
is   O
listed   O
as   O
gmh410   B-NAME
,   O
reachable   O
at   O
227   B-CONTACT
1064   I-CONTACT
.   O

This   O
report   O
documents   O
the   O
course   O
of   O
treatment   O
for   O
James   B-NAME
,   I-NAME
Henry   I-NAME
from   O
presentation   O
to   O
discharge   O
.   O

Patient   O
Name   O
:   O
Maren   B-NAME
Osborne   I-NAME
Age   O
:   O
97s   O
Date   O
of   O
Birth   O
:   O
March   B-DATE
10   I-DATE
ID   O
:   O
PB   B-ID
:   I-ID
LD:4281   I-ID
Medical   O
Record   O
Number   O
:   O
11119205   B-ID
Phone   O
Number   O
:   O
79012   B-CONTACT
Address   O
:   O
Kibler   B-LOCATION
,   O
24934   B-LOCATION
Employment   O
:   O
Employment   O
Interviewers   O
,   O
Private   O
or   O
Public   O
Employment   O
Service   O
Primary   O
Care   O
Physician   O
:   O

Bell   B-NAME
Date   O
of   O
Admission   O
:   O
May   B-DATE
Hospital   O
:   O
Ohio   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O

Mila   B-NAME
Liu   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Centura   B-LOCATION
Health   I-LOCATION
Castle   I-LOCATION
Rock   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
on   O
January   B-DATE
00   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Destiney   B-NAME
Edwards   I-NAME
also   O
reported   O
a   O
fever   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
.   O

Past   O
Medical   O
History   O
:   O
Valentino   B-NAME
Baker   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Social   O
History   O
:   O
Kian   B-NAME
Jarvis   I-NAME
is   O
a   O
Drywall   O
and   O
Ceiling   O
Tile   O
Installers   O
,   O
living   O
in   O
Cape   B-LOCATION
Coral   I-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Review   O
of   O
Systems   O
:   O
Besides   O
the   O
symptoms   O
mentioned   O
earlier   O
,   O
Bo   B-NAME
Kirby   I-NAME
denies   O
any   O
urinary   O
or   O
bowel   O
incontinence   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
recent   O
travels   O
.   O

Upon   O
examination   O
,   O
Burnett   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Outcome   O
:   O
The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Ok   B-NAME
Mateer   I-NAME
and   O
underwent   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Sarah   B-NAME
Cooper   I-NAME
demonstrated   O
significant   O
improvement   O
post   O
-   O
surgery   O
,   O
with   O
resolution   O
of   O
symptoms   O
and   O
was   O
discharged   O
on   O
12/13   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
.   O

Follow   O
-   O
up   O
:   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Hicks   B-NAME
on   O
7/40   B-DATE
at   O
Mercantile   B-LOCATION
Stars   I-LOCATION
to   O
monitor   O
recovery   O
and   O
manage   O
ongoing   O
diabetes   O
and   O
hypertension   O
.   O

Notes   O
Prepared   O
By   O
:   O
RJ796   B-NAME
,   O
on   O
2228   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
21   I-DATE
Permission   O
to   O
discuss   O
the   O
case   O
with   O
Burlington   B-LOCATION
for   O
educational   O
purposes   O
was   O
obtained   O
from   O
Adams   B-NAME
,   I-NAME
Abigail   I-NAME
.   O

Patient   O
Report   O
for   O
Logan   B-NAME
Whitney   I-NAME
General   O
Information   O
:   O
Patient   O
's   O
Name   O
:   O
Carmelo   B-NAME
Stout   I-NAME
Age   O
:   O
76   O
Date   O
of   O
Birth   O
:   O
27/11   B-DATE
Medical   O
Record   O
Number   O
:   O
376   B-ID
-   I-ID
15   I-ID
-   I-ID
98   I-ID
Patient   O
ID   O
:   O
QB393/1631   B-ID
Address   O
:   O
9749   B-LOCATION
Pendergast   I-LOCATION
St.   I-LOCATION
,   O
73072   B-LOCATION
Phone   O
Number   O
:   O
38434   B-CONTACT
Employment   O
:   O
Environmental   O
Engineers   O
Primary   O
Physician   O
:   O
Dr.   O
Pollard   B-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Northeast   I-LOCATION
Date   O
of   O
Visit   O
:   O
17/02/82   B-DATE
Medical   O
History   O
:   O
Debra   B-NAME
Y   I-NAME
Xin   I-NAME
visited   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Pontiac   I-LOCATION
on   O
06/22   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fevers   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
patient   O
works   O
as   O
a   O
Archeologists   O
at   O
United   B-LOCATION
Mine   I-LOCATION
Workers   I-LOCATION
of   I-LOCATION
America   I-LOCATION
in   O
Gainesville   B-LOCATION
,   O
which   O
involves   O
exposure   O
to   O
various   O
environmental   O
factors   O
that   O
could   O
contribute   O
to   O
respiratory   O
issues   O
.   O

Smith   B-NAME
,   I-NAME
Adam   I-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
asthma   O
,   O
diagnosed   O
at   O
the   O
age   O
of   O
54   O
,   O
and   O
a   O
smoking   O
habit   O
of   O
10   O
cigarettes   O
a   O
day   O
for   O
the   O
past   O
20   O
years   O
.   O

The   O
patient   O
mentioned   O
experiencing   O
similar   O
,   O
though   O
milder   O
,   O
symptoms   O
approximately   O
two   O
years   O
prior   O
,   O
treated   O
by   O
Dr.   O
Ira   B-NAME
Huges   I-NAME
at   O
Mizell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
QUIANA   B-NAME
N.   I-NAME
BULLOCK   I-NAME
exhibited   O
bilateral   O
wheezing   O
and   O
decreased   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
,   O
suggestive   O
of   O
an   O
obstructive   O
pulmonary   O
condition   O
.   O

The   O
patient   O
's   O
temperature   O
was   O
recorded   O
at   O
38.2   O
°   O
C   O
(   O
32/33   B-DATE
)   O
.   O

Diagnostic   O
Tests   O
:   O
Dr.   O
Bailey   B-NAME
Rocha   I-NAME
ordered   O
the   O
following   O
tests   O
for   O
Bethany   B-NAME
Kerr   I-NAME
on   O
11/29/62   B-DATE
:   O
-   O
Complete   O
blood   O
count   O
(   O
CBC   O
)   O
-   O
Sputum   O
culture   O
-   O
Chest   O
X   O
-   O
ray   O
-   O
Pulmonary   O
function   O
test   O
The   O
CBC   O
results   O
showed   O
mild   O
leukocytosis   O
,   O
while   O
the   O
sputum   O
culture   O
identified   O
the   O
presence   O
of   O
Streptococcus   O
pneumoniae   O
.   O

Considering   O
the   O
findings   O
,   O
Dr.   O
Nicholson   B-NAME
initiated   O
treatment   O
with   O
a   O
course   O
of   O
antibiotics   O
targeting   O
the   O
identified   O
pathogen   O
and   O
recommended   O
the   O
initiation   O
of   O
inhaled   O
corticosteroids   O
to   O
manage   O
the   O
patient   O
's   O
asthma   O
exacerbation   O
.   O

Furthermore   O
,   O
MURRAY   B-NAME
,   I-NAME
MARION   I-NAME
OSCAR   I-NAME
was   O
advised   O
to   O
quit   O
smoking   O
and   O
was   O
referred   O
to   O
a   O
smoking   O
cessation   O
program   O
within   O
United   B-LOCATION
Steelworkers   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Saturday   B-DATE
,   I-DATE
December   I-DATE
to   O
reassess   O
the   O
patient   O
's   O
progress   O
.   O

Recommendations   O
for   O
Follow   O
-   O
Up   O
:   O
During   O
the   O
next   O
visit   O
,   O
Dr.   O
Nathen   B-NAME
Tran   I-NAME
plans   O
to   O
review   O
Dominque   B-NAME
Arcite   I-NAME
's   O
response   O
to   O
the   O
treatment   O
regimen   O
and   O
conduct   O
further   O
evaluation   O
of   O
the   O
patient   O
's   O
pulmonary   O
function   O
.   O

The   O
patient   O
,   O
George   B-NAME
Dickerson   I-NAME
,   O
a   O
Crane   O
and   O
Tower   O
Operators   O
from   O
Floriston   B-LOCATION
,   O
presented   O
to   O
Broadlawns   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
01/75   B-DATE
with   O
symptoms   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Rowan   B-NAME
Suarez   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
a   O
noticeable   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Mueller   B-NAME
noted   O
that   O
Yasmin   B-NAME
Gutierrez   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
with   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
by   O
York   B-NAME
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O

Duncan   B-NAME
Jefferson   I-NAME
discussed   O
the   O
diagnosis   O
and   O
recommended   O
surgical   O
intervention   O
with   O
Jaidyn   B-NAME
Mathews   I-NAME
.   O

Following   O
the   O
discussion   O
,   O
consent   O
for   O
an   O
appendectomy   O
was   O
obtained   O
from   O
Liam   B-NAME
K.   I-NAME
Mcmahon   I-NAME
.   O

The   O
surgery   O
was   O
scheduled   O
and   O
successfully   O
performed   O
on   O
31/33   B-DATE
without   O
any   O
complications   O
.   O

Post   O
-   O
operatively   O
,   O
Nolan   B-NAME
Hutchinson   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
and   O
pain   O
management   O
medications   O
.   O

Nelia   B-NAME
Eilerman   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
1   O
week   O
for   O
a   O
wound   O
check   O
and   O
then   O
as   O
needed   O
.   O

The   O
patient   O
's   O
medical   O
record   O
number   O
96356090   B-ID
was   O
updated   O
with   O
details   O
of   O
the   O
hospital   O
stay   O
,   O
surgery   O
,   O
and   O
post   O
-   O
operative   O
care   O
.   O

Jayson   B-NAME
Wyatt   I-NAME
was   O
discharged   O
on   O
2117   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
11   I-DATE
with   O
a   O
detailed   O
discharge   O
summary   O
sent   O
to   O
the   O
primary   O
care   O
physician   O
via   O
fax   O
number   O
(   B-CONTACT
323   I-CONTACT
)   I-CONTACT
700   I-CONTACT
7528   I-CONTACT
.   O

In   O
terms   O
of   O
the   O
billing   O
process   O
,   O
the   O
patient   O
provided   O
health   O
insurance   O
details   O
,   O
policy   O
number   O
2   B-ID
-   I-ID
6868528   I-ID
,   O
which   O
were   O
processed   O
by   O
the   O
administrative   O
staff   O
at   O
Bangalore   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
.   O

Further   O
follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
,   O
and   O
Roberts   B-NAME
was   O
provided   O
with   O
the   O
office   O
number   O
821   B-CONTACT
-   I-CONTACT
986   I-CONTACT
2354   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
during   O
the   O
recovery   O
period   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
4353633   B-ID
Date   O
of   O
Report   O
:   O
03/02   B-DATE
Patient   O
Information   O
:   O
Name   O
:   O
Domeyko   B-NAME
,   I-NAME
Ignacy   I-NAME
Age   O
:   O
95   O
Address   O
:   O
Rosebush   B-LOCATION
,   O
19265   B-LOCATION
Home   O
Phone   O
:   O
79180   B-CONTACT
Employment   O
:   O
Gaming   O
and   O
Sports   O
Book   O
Writers   O
and   O
Runners   O
Medical   O
Encounter   O
History   O
:   O

On   O
5/12   B-DATE
,   O
Brock   B-NAME
Holt   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Divine   I-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
episodes   O
of   O
severe   O
shortness   O
of   O
breath   O
.   O

Nicole   B-NAME
Arndt   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
palpitations   O
,   O
diaphoresis   O
,   O
and   O
a   O
sense   O
of   O
impending   O
doom   O
.   O

Upon   O
examination   O
by   O
Marco   B-NAME
Tanner   I-NAME
,   O
the   O
patient   O
appeared   O
anxious   O
,   O
diaphoretic   O
,   O
and   O
in   O
obvious   O
distress   O
.   O

Management   O
and   O
Treatment   O
:   O
Mareli   B-NAME
Ryan   I-NAME
initiated   O
management   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
according   O
to   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Gallup   B-NAME
,   I-NAME
George   I-NAME
was   O
also   O
given   O
supplemental   O
oxygen   O
therapy   O
,   O
nitroglycerin   O
,   O
and   O
morphine   O
for   O
pain   O
management   O
.   O

The   O
interventional   O
cardiology   O
team   O
at   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Downey   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
consulted   O
,   O
and   O
Haylie   B-NAME
Zavala   I-NAME
underwent   O
an   O
urgent   O
coronary   O
angiography   O
,   O
which   O
revealed   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Hazlitt   B-NAME
,   I-NAME
William   I-NAME
was   O
subsequently   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

Post   O
-   O
procedure   O
,   O
Joyce   B-NAME
R.   I-NAME
Barton   I-NAME
's   O
symptoms   O
significantly   O
improved   O
,   O
with   O
resolution   O
of   O
chest   O
pain   O
and   O
normalization   O
of   O
heart   O
rate   O
and   O
blood   O
pressure   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Benson   B-NAME
was   O
discharged   O
on   O
26/29/36   B-DATE
with   O
prescriptions   O
for   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
ACE   O
inhibitors   O
,   O
and   O
statins   O
,   O
as   O
well   O
as   O
referrals   O
for   O
cardiac   O
rehabilitation   O
.   O

Outpatient   O
follow   O
-   O
up   O
with   O
Burns   B-NAME
at   O
American   B-LOCATION
Legion   I-LOCATION
was   O
arranged   O
for   O
2309   B-DATE
.   O

Lamb   B-NAME
was   O
advised   O
to   O
adopt   O
lifestyle   O
modifications   O
including   O
smoking   O
cessation   O
,   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
and   O
regular   O
physical   O
activity   O
.   O

Coordinator   O
:   O
VS965   B-NAME
Referring   O
Physician   O
:   O
Hebert   B-NAME
Emergency   O
Contact   O
:   O
63609   B-CONTACT
Patient   O
Consent   O
:   O
Consent   O
was   O
obtained   O
from   O
Franti   B-NAME
,   I-NAME
Michael   I-NAME
regarding   O
the   O
procedure   O
and   O
for   O
the   O
use   O
of   O
personal   O
health   O
data   O
for   O
treatment   O
,   O
billing   O
,   O
and   O
health   O
operational   O
purposes   O
as   O
per   O
Chartered   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Physiotherapy   I-LOCATION
policy   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
the   O
medical   O
team   O
at   O
Pratt   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Pratt   I-LOCATION
and   O
is   O
intended   O
for   O
use   O
by   O
the   O
patient   O
's   O
healthcare   O
providers   O
for   O
ongoing   O
management   O
.   O

Patient   O
Name   O
:   O
Marvin   B-NAME
Monroe   I-NAME
Date   O
of   O
Birth   O
:   O
1/2   B-DATE
Age   O
:   O
87   O
Phone   O
Number   O
:   O
79838   B-CONTACT
Address   O
:   O
Del   B-LOCATION
Rio   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
78840   I-LOCATION
,   O
72666   B-LOCATION
Employment   O
:   O
translator   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Amaya   B-NAME
Friedman   I-NAME
Medical   O
Record   O
Number   O
:   O
73821135   B-ID
Insurance   O
ID   O
:   O
GW:59215:620726   B-ID
Current   O
Date   O
:   O
22/29   B-DATE
Hospital   O
Name   O
:   O
Mount   B-LOCATION
Sinai   I-LOCATION
Brooklyn   I-LOCATION
Username   O
:   O
NG938   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Simon   B-NAME
August   I-NAME
,   O
presented   O
to   O
New   B-LOCATION
York   I-LOCATION
-   I-LOCATION
Presbyterian   I-LOCATION
Hudson   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
on   O
2398   B-DATE
-   I-DATE
16   I-DATE
-   I-DATE
22   I-DATE
,   O
complaining   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Otha   B-NAME
Rush   I-NAME
noticed   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
approximately   O
5   O
days   O
ago   O
,   O
which   O
has   O
gradually   O
escalated   O
in   O
intensity   O
.   O

John   B-NAME
Hudson   I-NAME
denies   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
fever   O
,   O
or   O
urinary   O
symptoms   O
.   O

Allison   B-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
lifestyle   O
modifications   O
and   O
medication   O
.   O

Social   O
History   O
:   O
Erick   B-NAME
Hale   I-NAME
is   O
a   O
Loading   O
Machine   O
Operators   O
,   O
Underground   O
Mining   O
residing   O
in   O
Warrenton   B-LOCATION
.   O

On   O
examination   O
,   O
Roger   B-NAME
Hurley   I-NAME
was   O
alert   O
and   O
oriented   O
.   O

Follow   O
-   O
up   O
appointments   O
and   O
instructions   O
will   O
be   O
provided   O
post   O
-   O
evaluation   O
by   O
the   O
surgery   O
team   O
at   O
Bryn   B-LOCATION
Mawr   I-LOCATION
Hospital   I-LOCATION
.   O

Emergency   O
Contact   O
:   O
923   B-CONTACT
2330   I-CONTACT
The   O
health   O
and   O
well   O
-   O
being   O
of   O
our   O
patients   O
is   O
our   O
top   O
priority   O
at   O
Veterans   B-LOCATION
of   I-LOCATION
Foreign   I-LOCATION
Wars   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
(   I-LOCATION
VFW   I-LOCATION
)   I-LOCATION
.   O

Please   O
do   O
not   O
hesitate   O
to   O
reach   O
out   O
to   O
us   O
at   O
(   B-CONTACT
480   I-CONTACT
)   I-CONTACT
738   I-CONTACT
9923   I-CONTACT
or   O
visit   O
us   O
in   O
Paukaa   B-LOCATION
,   O
44452   B-LOCATION
for   O
any   O
questions   O
or   O
further   O
assistance   O
.   O

Patient   O
Name   O
:   O
Valentina   B-NAME
Franco   I-NAME
Medical   O
Record   O
Number   O
:   O
937   B-ID
-   I-ID
69   I-ID
-   I-ID
04   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
21   B-DATE
-   I-DATE
17   I-DATE
Age   O
:   O
98   O
Address   O
:   O
Trussville   B-LOCATION
,   O
48795   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
501   I-CONTACT
)   I-CONTACT
923   I-CONTACT
-   I-CONTACT
4356   I-CONTACT

Newman   B-NAME
Hospital   O
Name   O
:   O
Highlands   B-LOCATION
-   I-LOCATION
Cashiers   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
February   B-DATE
13   I-DATE
Occupation   O
:   O
Geological   O
Data   O
Technicians   O
Subjective   O
:   O
Puget   B-NAME
,   I-NAME
Jade   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Memorial   B-LOCATION
Satilla   I-LOCATION
Health   I-LOCATION
on   O
2116   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
which   O
started   O
approximately   O
two   O
hours   O
prior   O
to   O
admission   O
.   O

Dixie   B-NAME
Zimmerman   I-NAME
denies   O
any   O
recent   O
injury   O
or   O
physical   O
exertion   O
.   O

Educate   O
Brice   B-NAME
Miller   I-NAME
about   O
lifestyle   O
modifications   O
and   O
signs   O
of   O
heart   O
failure   O
exacerbation   O
.   O

Follow   O
Up   O
:   O
Jasmin   B-NAME
Conrad   I-NAME
is   O
to   O
be   O
closely   O
monitored   O
over   O
the   O
next   O
72   O
hours   O
for   O
any   O
signs   O
of   O
complications   O
or   O
improvement   O
in   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Gabriel   B-NAME
Gilmore   I-NAME
in   O
the   O
cardiology   O
outpatient   O
clinic   O
for   O
00/25/2033   B-DATE
to   O
evaluate   O
progress   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Farrar   B-NAME
or   O
family   O
members   O
may   O
contact   O
the   O
Cardiology   O
Department   O
at   O
MedStar   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
via   O
33627   B-CONTACT
.   O

Notice   O
of   O
Privacy   O
Practices   O
Acknowledgement   O
:   O
Sawyer   B-NAME
has   O
received   O
the   O
Notice   O
of   O
Privacy   O
Practices   O
from   O
SPEAK   B-LOCATION
.   O

Any   O
further   O
use   O
of   O
personal   O
information   O
will   O
be   O
in   O
accordance   O
with   O
the   O
policies   O
outlined   O
by   O
Trade   B-LOCATION
Justice   I-LOCATION
Movement   I-LOCATION
(   I-LOCATION
TJM   I-LOCATION
)   I-LOCATION
.   O

Caden   B-NAME
Mendoza   I-NAME
understands   O
the   O
risks   O
and   O
benefits   O
of   O
proposed   O
treatments   O
and   O
has   O
agreed   O
to   O
proceed   O
.   O

Signature   O
:   O
21/21   B-DATE

Patient   O
Name   O
:   O
Merrill   B-NAME
Patient   O
ID   O
:   O
MH:80285:725893   B-ID
Medical   O
Record   O
Number   O
:   O
1059716   B-ID
Date   O
of   O
Birth   O
:   O
1/0/2333   B-DATE
Age   O
:   O
11   O
Address   O
:   O
Payne   B-LOCATION
Springs   I-LOCATION
,   O
49983   B-LOCATION
Phone   O
Number   O
:   O
830   B-CONTACT
547   I-CONTACT
6999   I-CONTACT

Attending   O
Physician   O
:   O
Charles   B-NAME
Hospital   O
:   O
Talbott   B-LOCATION
Recovery   I-LOCATION
Atlanta   I-LOCATION
Date   O
of   O
Admission   O
:   O
30/33/2262   B-DATE
Profession   O
:   O
Web   O
developer   O
Username   O
:   O
ct989   B-NAME
Clinical   O
Summary   O
:   O

Mitchell   B-NAME
,   I-NAME
Joni   I-NAME
,   O
a   O
56   O
-   O
year   O
-   O
old   O
Industrial   O
Ecologists   O
from   O
Nebraska   B-LOCATION
,   O
presented   O
to   O
Adventist   B-LOCATION
Health   I-LOCATION
Simi   I-LOCATION
Valley   I-LOCATION
on   O
Thursday   B-DATE
,   I-DATE
January   I-DATE
with   O
complaints   O
of   O
intermittent   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Brooke   B-NAME
Small   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
noted   O
the   O
day   O
before   O
admission   O
.   O

Upon   O
physical   O
examination   O
,   O
Levertov   B-NAME
,   I-NAME
Denise   I-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
with   O
positive   O
rebound   O
tenderness   O
.   O

The   O
attending   O
physician   O
,   O
Dr.   O
Rowe   B-NAME
,   O
diagnosed   O
Knox   B-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
surgical   O
intervention   O
.   O

Marech   B-NAME
Marnett   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
January   B-DATE
.   O

Velazquez   B-NAME
's   O
next   O
of   O
kin   O
,   O
fp636   B-NAME
,   O
was   O
informed   O
via   O
phone   O
number   O
(   B-CONTACT
147   I-CONTACT
)   I-CONTACT
885   I-CONTACT
-   I-CONTACT
3868   I-CONTACT
about   O
the   O
diagnosis   O
and   O
the   O
planned   O
surgical   O
procedure   O
.   O

Post   O
-   O
Operative   O
Course   O
:   O
The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Lynn   B-NAME
was   O
transferred   O
to   O
the   O
post   O
-   O
surgical   O
unit   O
for   O
recovery   O
.   O

Harold   B-NAME
Nutter   I-NAME
responded   O
positively   O
to   O
the   O
treatment   O
and   O
was   O
discharged   O
on   O
Nov/07   B-DATE
.   O

Maddox   B-NAME
Nolan   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
clinic   O
in   O
2   O
weeks   O
for   O
wound   O
check   O
and   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Instructions   O
upon   O
Discharge   O
:   O
Harley   B-NAME
Lambert   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
4   O
-   O
6   O
weeks   O
post   O
-   O
operation   O
,   O
to   O
adhere   O
to   O
a   O
balanced   O
diet   O
,   O
and   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

Additionally   O
,   O
Ayanna   B-NAME
Luna   I-NAME
was   O
informed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
vomiting   O
,   O
or   O
severe   O
abdominal   O
pain   O
.   O

This   O
case   O
will   O
be   O
reviewed   O
during   O
the   O
surgical   O
department   O
meeting   O
at   O
Carteret   B-LOCATION
Health   I-LOCATION
Care   I-LOCATION
on   O
2221   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
02   I-DATE
to   O
discuss   O
the   O
outcomes   O
and   O
any   O
potential   O
areas   O
for   O
improvement   O
in   O
the   O
management   O
of   O
similar   O
cases   O
in   O
the   O
future   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Peter   B-NAME
Morrison   I-NAME
Age   O
:   O
4   O
week   O
Address   O
:   O
Coos   B-LOCATION
Bay   I-LOCATION
,   O
32222   B-LOCATION
Phone   O
Number   O
:   O
598   B-CONTACT
-   I-CONTACT
692   I-CONTACT
-   I-CONTACT
3608   I-CONTACT
Employment   O
:   O
Licensing   O
Examiners   O
and   O
Inspectors   O
at   O
The   B-LOCATION
Tattnall   I-LOCATION
Bank   I-LOCATION
Doctor   O
's   O
Name   O
:   O
Mcdonald   B-NAME
Hospital   O
Name   O
:   O
The   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Living   I-LOCATION
(   I-LOCATION
psychiatric   I-LOCATION
,   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Hartford   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
Medical   O
Record   O
Number   O
:   O
8533890   B-ID
Date   O
of   O
Visit   O
:   O
7/0   B-DATE
ID   O
Number   O
:   O
3   B-ID
-   I-ID
2297845   I-ID
Summary   O
of   O
Visit   O
:   O

The   O
patient   O
,   O
Samantha   B-NAME
Noland   I-NAME
,   O
presented   O
to   O
Froedtert   B-LOCATION
Hospital   I-LOCATION
on   O
2070   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
02   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
fatigue   O
.   O

Melissa   B-NAME
Erickson   I-NAME
also   O
reported   O
a   O
high   O
fever   O
peaking   O
at   O
20   O
degrees   O
Fahrenheit   O
in   O
the   O
past   O
48   O
hours   O
.   O

Robbins   B-NAME
,   I-NAME
Anthony   I-NAME
has   O
a   O
medical   O
history   O
notable   O
for   O
asthma   O
and   O
was   O
concerned   O
about   O
the   O
acute   O
exacerbation   O
of   O
respiratory   O
symptoms   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Jones   B-NAME
,   I-NAME
Orlando   I-NAME
noted   O
that   O
Rachel   B-NAME
Hines   I-NAME
's   O
oxygen   O
saturation   O
was   O
92   O
%   O
on   O
room   O
air   O
,   O
and   O
auscultation   O
revealed   O
bilateral   O
wheezing   O
with   O
diminished   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
.   O

Michael   B-NAME
Twoyoungmen   I-NAME
's   O
heart   O
rate   O
was   O
elevated   O
,   O
with   O
a   O
noted   O
tachycardia   O
at   O
110   O
bpm   O
.   O

Medical   O
Decision   O
Making   O
:   O
Considering   O
Lewis   B-NAME
's   O
medical   O
history   O
and   O
current   O
presentation   O

,   O
Mireya   B-NAME
Norman   I-NAME
ordered   O
a   O
series   O
of   O
tests   O
including   O
a   O
chest   O
X   O
-   O
ray   O
,   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
and   O
a   O
PCR   O
test   O
for   O
influenza   O
and   O
COVID-19   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
initial   O
findings   O
,   O
Harris   B-NAME
initiated   O
treatment   O
with   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
and   O
a   O
bronchodilator   O
to   O
manage   O
Elena   B-NAME
Lambert   I-NAME
's   O
symptoms   O
.   O

Tugia   B-NAME
,   I-NAME
Manasa   I-NAME
was   O
also   O
given   O
a   O
corticosteroid   O
to   O
reduce   O
inflammation   O
in   O
the   O
airways   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
32/7   B-DATE
to   O
reassess   O
Alex   B-NAME
Weaver   I-NAME
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
regimen   O
as   O
necessary   O
.   O

Instructions   O
to   O
the   O
Patient   O
:   O
Dunham   B-NAME
was   O
instructed   O
to   O
take   O
the   O
prescribed   O
medication   O
as   O
directed   O
,   O
to   O
rest   O
,   O
and   O
to   O
increase   O
fluid   O
intake   O
.   O

Ben   B-NAME
Morgan   I-NAME
was   O
also   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
,   O
particularly   O
the   O
development   O
of   O
any   O
new   O
symptoms   O
or   O
worsening   O
of   O
current   O
symptoms   O
,   O
and   O
to   O
call   O
Shore   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
number   O
,   O
692   B-CONTACT
-   I-CONTACT
234   I-CONTACT
-   I-CONTACT
2447   I-CONTACT
,   O
if   O
experiencing   O
significant   O
difficulty   O
breathing   O
or   O
other   O
urgent   O
concerns   O
.   O

Future   O
Considerations   O
:   O
Kirby   B-NAME
emphasized   O
the   O
importance   O
of   O
BW   B-NAME
returning   O
to   O
Cox   B-LOCATION
Branson   I-LOCATION
for   O
the   O
scheduled   O
follow   O
-   O
up   O
visit   O
on   O
08/10/1951   B-DATE
,   O
to   O
ensure   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

Kianna   B-NAME
Morse   I-NAME
also   O
suggested   O
considering   O
the   O
administration   O
of   O
a   O
flu   O
vaccination   O
in   O
the   O
future   O
,   O
after   O
the   O
resolution   O
of   O
current   O
symptoms   O
,   O
to   O
decrease   O
the   O
risk   O
of   O
similar   O
episodes   O
.   O

The   O
report   O
was   O
compiled   O
and   O
entered   O
into   O
the   O
system   O
by   O
to795   B-NAME
on   O
22/22/2222   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Stephane   B-NAME
Krivanec   I-NAME
Age   O
:   O
42   O
ID   O
:   O
FP   B-ID
:   I-ID
JZ:3252   I-ID
Medical   O
Record   O
Number   O
:   O
6497658   B-ID
Address   O
:   O
Colorado   B-LOCATION
Springs   I-LOCATION
,   O
78345   B-LOCATION
Phone   O
Number   O
:   O
33814   B-CONTACT
Occupation   O
:   O
Transportation   O
,   O
Storage   O
,   O
and   O
Distribution   O
Managers   O
Date   O
of   O
Visit   O
:   O
December   B-DATE

Referring   O
Doctor   O
:   O
Holden   B-NAME
Hospital   O
:   O

Hill   B-LOCATION
Crest   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
Chief   O
Complaint   O
:   O
Ali   B-NAME
ibn   I-NAME
Abi   I-NAME
Talib   I-NAME
presented   O
to   O
HealthSouth   B-LOCATION
's   O
emergency   O
department   O
on   O
0   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
20   I-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
exacerbated   O
over   O
a   O
period   O
of   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Channing   B-NAME
,   I-NAME
William   I-NAME
Ellery   I-NAME
,   O
a   O
93   O
-   O
year   O
-   O
old   O
Warehouse   O
manager   O
,   O
reported   O
the   O
onset   O
of   O
mild   O
abdominal   O
discomfort   O
19/23/2235   B-DATE
,   O
which   O
gradually   O
increased   O
in   O
intensity   O
.   O

The   O
patient   O
denies   O
any   O
recent   O
travel   O
outside   O
Darbydale   B-LOCATION
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Tia   B-NAME
Lamb   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
both   O
managed   O
with   O
medications   O
prescribed   O
by   O
Ritter   B-NAME
,   I-NAME
Scott   I-NAME
.   O

Social   O
History   O
:   O
Loree   B-NAME
Blonigan   I-NAME
works   O
as   O
a   O
Business   O
Intelligence   O
Analysts   O
at   O
City   B-LOCATION
of   I-LOCATION
Blountstown   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
in   O
Torboy   B-LOCATION
.   O

Troyer   B-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Review   O
of   O
Systems   O
:   O
Josue   B-NAME
Avery   I-NAME
denies   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
headache   O
,   O
urinary   O
symptoms   O
,   O
or   O
any   O
changes   O
in   O
bowel   O
movement   O
patterns   O
prior   O
to   O
this   O
episode   O
.   O

Physical   O
Examination   O
:   O
Vital   O
Signs   O
:   O
Blood   O
pressure   O
was   O
measured   O
at   O
GB   B-ID
:   I-ID
JI:2364   I-ID
,   O
heart   O
rate   O
at   O
HM739/1673   B-ID
,   O
temperature   O
was   O
78   O
degrees   O
Celsius   O
,   O
respiratory   O
rate   O
was   O
JZ:341080:242906   B-ID
,   O
and   O
oxygen   O
saturation   O
was   O
JR:80478:653184   B-ID
on   O
room   O
air   O
.   O

General   O
appearance   O
:   O
Gabriel   B-NAME
Cole   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Laboratory   O
results   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
at   O
WZ:90152:349192   B-ID
with   O
a   O
left   O
shift   O
.   O

Abdominal   O
ultrasound   O
performed   O
on   O
June   B-DATE
0   I-DATE
revealed   O
inflammation   O
of   O
the   O
appendix   O
,   O
suggesting   O
acute   O
appendicitis   O
.   O

Assessment   O
and   O
Plan   O
:   O
Based   O
on   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Kayla   B-NAME
Thornton   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
with   O
Walker   B-NAME
was   O
obtained   O
,   O
and   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

Aristotle   B-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
consented   O
to   O
surgery   O
,   O
scheduled   O
for   O
22   B-DATE
.   O

Postoperative   O
Course   O
:   O
The   O
surgery   O
performed   O
by   O
Bruno   B-NAME
Conway   I-NAME
at   O
St.   B-LOCATION
Vincent   I-LOCATION
Carmel   I-LOCATION
Hospital   I-LOCATION
on   O
32/15/2131   B-DATE
was   O
successful   O
without   O
complications   O
.   O

Rachael   B-NAME
Obryan   I-NAME
tolerated   O
the   O
procedure   O
well   O
,   O
showing   O
signs   O
of   O
improvement   O
with   O
a   O
decrease   O
in   O
pain   O
levels   O
.   O

Buscaglia   B-NAME
,   I-NAME
Leo   I-NAME
was   O
discharged   O
on   O
2240   B-DATE
with   O
instructions   O
for   O
postoperative   O
care   O
,   O
including   O
wound   O
care   O
and   O
activity   O
restrictions   O
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
with   O
York   B-NAME
on   O
10/20/2272   B-DATE
.   O

Conclusion   O
:   O
Yonathan   B-NAME
Orth   I-NAME
demonstrated   O
a   O
classic   O
presentation   O
of   O
acute   O
appendicitis   O
,   O
which   O
was   O
promptly   O
diagnosed   O
and   O
treated   O
with   O
laparoscopic   O
appendectomy   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Jeremy   B-NAME
Hanlon   I-NAME
Date   O
of   O
Birth   O
:   O
08/20   B-DATE
Age   O
:   O
96   O
Medical   O
Record   O
Number   O
:   O
86853414   B-ID
ID   O
Number   O
:   O
AZ:47162:867129   B-ID
Address   O
:   O
Iron   B-LOCATION
Mountain   I-LOCATION
Lake   I-LOCATION
,   O
97310   B-LOCATION
Phone   O
Number   O
:   O
93148   B-CONTACT
Employment   O
:   O
Fish   O
and   O
Game   O
Wardens   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Jasmine   B-NAME
Griffin   I-NAME
Visit   O
Summary   O
:   O
Bragg   B-NAME
Chaderton   I-NAME
presented   O
to   O
Pascack   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1839   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
08   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
of   O
101   O
°   O
F   O
.   O

Price   B-NAME
Trainor   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
irritable   O
bowel   O
syndrome   O
,   O
but   O
they   O
have   O
not   O
experienced   O
symptoms   O
this   O
severe   O
or   O
localized   O
before   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
al   B-NAME
-   I-NAME
Sahaf   I-NAME
,   I-NAME
Muhammed   I-NAME
Saeed   I-NAME
exhibited   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Outcome   O
:   O
The   O
surgical   O
team   O
led   O
by   O
Dr.   O
Ferdinand   B-NAME
Bardamu   I-NAME
was   O
consulted   O
,   O
and   O
Mikel   B-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
0/2327   B-DATE
.   O

The   O
procedure   O
was   O
uncomplicated   O
,   O
and   O
Katie   B-NAME
Bishop   I-NAME
tolerated   O
it   O
well   O
.   O

Giancarlo   B-NAME
Wheeler   I-NAME
was   O
discharged   O
on   O
01/07/2208   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
with   O
Dr.   O
Travis   B-NAME
Hodge   I-NAME
in   O
two   O
weeks   O
.   O

Conclusion   O
:   O
Walls   B-NAME
,   O
a   O
87   O
-   O
year   O
-   O
old   O
Dining   O
Room   O
and   O
Cafeteria   O
Attendants   O
and   O
Bartender   O
Helpers   O
,   O
was   O
admitted   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Forsyth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/0   B-DATE
with   O
symptoms   O
and   O
diagnostic   O
findings   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Follow   O
-   O
up   O
care   O
with   O
their   O
primary   O
care   O
physician   O
,   O
Dr.   O
Lucille   B-NAME
Burch   I-NAME
,   O
is   O
arranged   O
to   O
ensure   O
proper   O
recovery   O
and   O
management   O
of   O
their   O
irritable   O
bowel   O
syndrome   O
.   O

Prepared   O
by   O
:   O
RA41   B-NAME
Date   O
:   O
2/00   B-DATE
Contact   O
Information   O
:   O
Hospital   O
:   O

Abbeville   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
968   B-CONTACT
2552   I-CONTACT
Address   O
:   O
Beeville   B-LOCATION
,   I-LOCATION
Beeville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
,   O
13532   B-LOCATION

Siouxsie   B-NAME
Crissinger   I-NAME
ID   O
:   O
659356   B-ID
Age   O
:   O
35   O
Phone   O
:   O
(   B-CONTACT
737   I-CONTACT
)   I-CONTACT
660   I-CONTACT
7009   I-CONTACT
Address   O
:   O
Modale   B-LOCATION
,   O
12838   B-LOCATION
Occupation   O
:   O
Public   O
Address   O
System   O
and   O
Other   O
Announcers   O
Medical   O
Record   O
:   O
32141450   B-ID
Attending   O
Physician   O
:   O

Maya   B-NAME
Odom   I-NAME
Hospital   O
:   O
Emory   B-LOCATION
Hillandale   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/3/14   B-DATE
Date   O
of   O
Report   O
:   O
August   B-DATE
21   I-DATE
Clinical   O
History   O
:   O
Pierce   B-NAME
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Mountain   B-LOCATION
Vista   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
October   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Nico   B-NAME
Hoffman   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
distress   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Veronica   B-NAME
Hall   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Petty   B-NAME
,   O
was   O
consulted   O
,   O
and   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

Petersen   B-NAME
underwent   O
the   O
procedure   O
on   O
5/28   B-DATE
without   O
complications   O
.   O

Postoperative   O
Course   O
:   O
Refugia   B-NAME
Locke   I-NAME
had   O
an   O
uneventful   O
postoperative   O
recovery   O
.   O

The   O
pain   O
was   O
well   O
-   O
controlled   O
with   O
medication   O
,   O
and   O
Vincent   B-NAME
I.   I-NAME
Orosco   I-NAME
was   O
able   O
to   O
tolerate   O
a   O
liquid   O
diet   O
the   O
day   O
following   O
surgery   O
.   O

Harmony   B-NAME
Whited   I-NAME
was   O
discharged   O
on   O
Thursday   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Karley   B-NAME
Daniel   I-NAME
at   O
Baylor   B-LOCATION
Scott   I-LOCATION
&   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center-   I-LOCATION
Hillcrest   I-LOCATION
.   O
Instructions   O
for   O
Follow   O
-   O
up   O
:   O
Lina   B-NAME
Hale   I-NAME
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
visit   O
in   O
Irwin   B-LOCATION
Union   I-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Company   I-LOCATION
's   O
Surgical   O
Clinic   O
in   O
2   O
weeks   O
for   O
wound   O
check   O
and   O
post   O
-   O
operative   O
assessment   O
.   O

Ean   B-NAME
Hensley   I-NAME
was   O
also   O
instructed   O
to   O
avoid   O
heavy   O
lifting   O
and   O
strenuous   O
activity   O
for   O
4   O
to   O
6   O
weeks   O
post   O
-   O
surgery   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Cecelia   B-NAME
Fitzpatrick   I-NAME
can   O
contact   O
Bayside   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
's   O
Surgical   O
Clinic   O
at   O
64245   B-CONTACT
.   O

In   O
case   O
of   O
emergency   O
,   O
Barry   B-NAME
,   I-NAME
Marion   I-NAME
or   O
the   O
family   O
should   O
go   O
to   O
nearest   O
emergency   O
department   O
or   O
call   O
54137   B-CONTACT
.   O

Report   O
Prepared   O
by   O
:   O
aj391   B-NAME
23/20/2332   B-DATE

Brent   B-NAME
Monroe   I-NAME
Patient   O
ID   O
:   O
EN:95247:510297   B-ID
Age   O
:   O
38   O
Date   O
of   O
Admission   O
:   O
01/28   B-DATE
Attending   O
Physician   O
:   O

Henry   B-NAME
Hospital   O
:   O
Southern   B-LOCATION
Crescent   I-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Specialty   I-LOCATION
Care   I-LOCATION
Location   O
:   O
Montross   B-LOCATION
Medical   O
Record   O
Number   O
:   O
6353216   B-ID
Organization   O
:   O
Free   B-LOCATION
the   I-LOCATION
Slaves   I-LOCATION
Phone   O
Number   O
:   O
533   B-CONTACT
-   I-CONTACT
8828   I-CONTACT
Profession   O
:   O
Local   O
government   O
administrator   O
Username   O
:   O
CF510   B-NAME
Zip   O
Code   O
:   O
45989   B-LOCATION
Summary   O
:   O
Yair   B-NAME
Horn   I-NAME
presented   O
to   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Kenosha   I-LOCATION
on   O
00/98   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
localized   O
abdominal   O
pain   O
,   O
focusing   O
mainly   O
on   O
the   O
lower   O
right   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
persistent   O
,   O
worsening   O
over   O
a   O
period   O
of   O
6/32   B-DATE
.   O

Paityn   B-NAME
Clements   I-NAME
,   O
a   O
Environmental   O
Engineering   O
Technicians   O
from   O
Nibley   B-LOCATION
,   O
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
previous   O
surgical   O
history   O
.   O

Given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
surgical   O
intervention   O
was   O
recommended   O
to   O
Mina   B-NAME
Weeks   I-NAME
.   O

Jarmo   B-NAME
Visakorpi   I-NAME
performed   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
21/16   B-DATE
.   O

TRAN   B-NAME
,   I-NAME
FREDDY   I-NAME
was   O
informed   O
about   O
the   O
significance   O
of   O
post   O
-   O
surgical   O
care   O
and   O
the   O
potential   O
risks   O
of   O
not   O
adhering   O
to   O
the   O
prescribed   O
treatment   O
.   O

Postoperative   O
Care   O
:   O
Caprice   B-NAME
Kofoot   I-NAME
was   O
advised   O
to   O
report   O
any   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
at   O
the   O
incision   O
site   O
,   O
fever   O
,   O
or   O
worsening   O
pain   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
June   B-DATE
13   I-DATE
with   O
Ari   B-NAME
Fleming   I-NAME
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

In   O
case   O
of   O
any   O
emergency   O
or   O
concerning   O
symptoms   O
,   O
Leon   B-NAME
Mckay   I-NAME
was   O
instructed   O
to   O
contact   O
Moses   B-LOCATION
Taylor   I-LOCATION
Hospital   I-LOCATION
immediately   O
at   O
923   B-CONTACT
-   I-CONTACT
746   I-CONTACT
6531   I-CONTACT
.   O

For   O
non   O
-   O
urgent   O
inquiries   O
or   O
to   O
reschedule   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
Deanna   B-NAME
Wyatt   I-NAME
can   O
reach   O
out   O
to   O
Jamir   B-NAME
Fritz   I-NAME
's   O
office   O
via   O
the   O
same   O
contact   O
number   O
.   O

Discharge   O
Date   O
:   O
11/22/1993   B-DATE
Next   O
Appointment   O
:   O
01/25   B-DATE
Prescriptions   O
:   O
Oral   O
antibiotics   O
for   O
7   O
days   O
to   O
prevent   O
postoperative   O
infection   O
,   O
and   O
pain   O
medication   O
as   O
needed   O
.   O

Note   O
:   O
It   O
is   O
important   O
for   O
Mulock   B-NAME
,   I-NAME
Dinah   I-NAME
Maria   I-NAME
;   I-NAME
also   I-NAME
Dinah   I-NAME
Maria   I-NAME
Craik   I-NAME
to   O
monitor   O
their   O
health   O
closely   O
and   O
maintain   O
open   O
communication   O
with   O
their   O
healthcare   O
providers   O
to   O
ensure   O
a   O
smooth   O
and   O
swift   O
recovery   O
.   O

Patient   O
Name   O
:   O
Ochoa   B-NAME
Patient   O
ID   O
:   O
GJ:76712:540185   B-ID
Medical   O
Record   O
Number   O
:   O
0143986   B-ID
Date   O
of   O
Birth   O
:   O
0/22   B-DATE
-24/15   I-DATE
Age   O
:   O
60   O
Phone   O
Number   O
:   O
74771   B-CONTACT
Address   O
:   O
Los   B-LOCATION
Angeles   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
90004   I-LOCATION
,   O
94277   B-LOCATION
Occupation   O
:   O
Compliance   O
Officers   O
Primary   O
Care   O
Physician   O
:   O

Averi   B-NAME
Roach   I-NAME
Hospital   O
:   O
Canton   B-LOCATION
-   I-LOCATION
Potsdam   I-LOCATION
Hospital   I-LOCATION
Summary   O
:   O

This   O
report   O
details   O
the   O
medical   O
condition   O
of   O
Laface   B-NAME
Kobold   I-NAME
,   O
a   O
77   O
-   O
year   O
-   O
old   O
Human   O
Resources   O
Managers   O
residing   O
in   O
Salamanca   B-LOCATION
,   O
35980   B-LOCATION
.   O

Rivers   B-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
December   B-DATE
2152   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Additionally   O
,   O
MURRAY   B-NAME
,   I-NAME
MARION   I-NAME
OSCAR   I-NAME
reported   O
experiencing   O
these   O
symptoms   O
intermittently   O
over   O
the   O
past   O
48   O
hours   O
,   O
with   O
a   O
significant   O
increase   O
in   O
severity   O
in   O
the   O
12   O
hours   O
preceding   O
hospital   O
admission   O
.   O

Park   B-NAME
's   O
primary   O
care   O
physician   O
,   O
Holmes   B-NAME
,   O
recommended   O
immediate   O
evaluation   O
owing   O
to   O
the   O
potential   O
risk   O
of   O
appendiceal   O
rupture   O
.   O

Upon   O
admission   O
,   O
a   O
comprehensive   O
physical   O
examination   O
was   O
conducted   O
by   O
Burgess   B-NAME
,   O
revealing   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
abdomen   O
's   O
lower   O
right   O
quadrant   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
obtained   O
via   O
verbal   O
communication   O
and   O
review   O
of   O
medical   O
records   O
47135014   B-ID
,   O
showed   O
no   O
significant   O
previous   O
abdominal   O
issues   O
or   O
surgeries   O
.   O

The   O
patient   O
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
on   O
2371   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
23   I-DATE
at   O
Newington   B-LOCATION
Campus   I-LOCATION
(   I-LOCATION
US   I-LOCATION
Veterans   I-LOCATION
Administration   I-LOCATION
)   I-LOCATION
.   O

The   O
postoperative   O
period   O
was   O
marked   O
by   O
a   O
steady   O
recovery   O
,   O
with   O
Antwan   B-NAME
responding   O
well   O
to   O
antibiotic   O
therapy   O
and   O
pain   O
management   O
protocols   O
.   O

Picasso   B-NAME
,   I-NAME
Pablo   I-NAME
was   O
discharged   O
on   O
12/25   B-DATE
with   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
at   O
Jefferson   B-LOCATION
Cherry   I-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
's   O
outpatient   O
surgery   O
clinic   O
.   O

4   O
.   O
Schedule   O
and   O
attend   O
the   O
follow   O
-   O
up   O
appointment   O
with   O
Henderson   B-NAME
,   I-NAME
Rickey   I-NAME
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Contact   O
Florala   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
836   I-CONTACT
)   I-CONTACT
356   I-CONTACT
-   I-CONTACT
9277   I-CONTACT
for   O
any   O
complications   O
or   O
questions   O
related   O
to   O
postoperative   O
recovery   O
.   O

For   O
further   O
assistance   O
,   O
please   O
contact   O
Caro   B-LOCATION
Center   I-LOCATION
at   O
the   O
provided   O
contact   O
number   O
,   O
804   B-CONTACT
-   I-CONTACT
5026   I-CONTACT
.   O

Patient   O
Name   O
:   O
Nickolas   B-NAME
Alvarado   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
5841155   I-ID
Medical   O
Record   O
Number   O
:   O
4117772   B-ID
Date   O
of   O
Birth   O
:   O
36/29/52   B-DATE
Age   O
:   O
50   O
Address   O
:   O
Stuart   B-LOCATION
,   O
41080   B-LOCATION
Phone   O
:   O
(   B-CONTACT
133   I-CONTACT
)   I-CONTACT
326   I-CONTACT
-   I-CONTACT
7594   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Vicente   B-NAME
Walton   I-NAME
Employer   O
:   O

Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
Occupation   O
:   O
Personal   O
Care   O
Aides   O
Username   O
:   O
uei1010   B-NAME
Date   O
of   O
Initial   O
Visit   O
:   O
05/67   B-DATE
Location   O
of   O
Initial   O
Visit   O
:   O
Spartanburg   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Pine   B-LOCATION
Harbor   I-LOCATION
Presenting   O
Complaint   O
:   O

The   O
patient   O
,   O
Octavion   B-NAME
Beatson   I-NAME
,   O
presented   O
at   O
the   O
healthcare   O
facility   O
,   O
Burke   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
1973   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
04   I-DATE
,   O
with   O
complaints   O
of   O
vivid   O
,   O
episodic   O
headaches   O
,   O
primarily   O
localized   O
to   O
the   O
frontal   O
and   O
temporal   O
regions   O
.   O

The   O
pain   O
was   O
described   O
as   O
throbbing   O
,   O
with   O
an   O
intensity   O
that   O
gradually   O
escalates   O
over   O
a   O
period   O
of   O
1   O
-   O
2   O
hours   O
,   O
reaching   O
a   O
peak   O
that   O
impairs   O
the   O
ability   O
of   O
Tatyana   B-NAME
Butler   I-NAME
to   O
perform   O
daily   O
tasks   O
.   O

Accompanying   O
the   O
headaches   O
are   O
episodes   O
of   O
photophobia   O
and   O
nausea   O
,   O
with   O
one   O
instance   O
of   O
emesis   O
reported   O
on   O
2090   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
20   I-DATE
.   O
Medical   O
History   O
:   O

The   O
patient   O
's   O
medical   O
history   O
includes   O
juvenile   O
onset   O
diabetes   O
mellitus   O
managed   O
with   O
insulin   O
,   O
hypertension   O
controlled   O
with   O
medication   O
prescribed   O
by   O
Braun   B-NAME
,   O
and   O
a   O
family   O
history   O
of   O
migraines   O
on   O
the   O
maternal   O
side   O
.   O

Previous   O
surgeries   O
include   O
an   O
appendectomy   O
performed   O
in   O
Nov   B-DATE
02   I-DATE
at   O
Walton   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
.   O

Social   O
History   O
:   O
Amy   B-NAME
Farrah   I-NAME
Fowler   I-NAME
is   O
employed   O
as   O
a   O
Speech   O
-   O
Language   O
Pathologists   O
at   O
Beach   B-LOCATION
First   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
in   O
South   B-LOCATION
Valley   I-LOCATION
Stream   I-LOCATION
,   O
reports   O
no   O
tobacco   O
use   O
,   O
and   O
consumes   O
alcoholic   O
beverages   O
on   O
a   O
monthly   O
basis   O
.   O

Stevenson   B-NAME
,   I-NAME
Robert   I-NAME
Louis   I-NAME
leads   O
a   O
moderately   O
active   O
lifestyle   O
,   O
engaging   O
in   O
aerobic   O
exercise   O
3   O
times   O
a   O
week   O
.   O

On   O
examination   O
,   O
O'Reilly   B-NAME
,   I-NAME
Bill   I-NAME
,   O
38   O
years   O
old   O
,   O
appeared   O
in   O
mild   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

Magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
ordered   O
by   O
Ty   B-NAME
Stanley   I-NAME
and   O
performed   O
on   O
20/03   B-DATE
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Miners   I-LOCATION
Campus   I-LOCATION
,   O
did   O
not   O
show   O
any   O
abnormalities   O
that   O
could   O
suggest   O
an   O
underlying   O
pathological   O
cause   O
for   O
the   O
headache   O
symptoms   O
.   O

Bates   B-NAME
recommended   O
initiation   O
of   O
a   O
prophylactic   O
medication   O
regime   O
,   O
along   O
with   O
a   O
prescription   O
for   O
a   O
triptan   O
to   O
be   O
used   O
at   O
the   O
onset   O
of   O
headache   O
symptoms   O
.   O

Eggers   B-NAME
,   I-NAME
Dave   I-NAME
was   O
also   O
advised   O
on   O
lifestyle   O
modifications   O
,   O
including   O
stress   O
management   O
techniques   O
,   O
regular   O
sleep   O
patterns   O
,   O
and   O
dietary   O
changes   O
to   O
avoid   O
known   O
migraine   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
at   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Grafton   I-LOCATION
on   O
32   B-DATE
-   I-DATE
6   I-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

Conclusion   O
:   O
burns   B-NAME
was   O
diagnosed   O
with   O
migraines   O
without   O
aura   O
,   O
a   O
treatment   O
plan   O
was   O
established   O
,   O
and   O
follow   O
-   O
up   O
care   O
was   O
arranged   O
.   O

Miles   B-NAME
expressed   O
understanding   O
of   O
the   O
treatment   O
recommendations   O
and   O
verbalized   O
intent   O
to   O
comply   O
with   O
the   O
prescribed   O
treatment   O
and   O
follow   O
-   O
up   O
appointments   O
scheduled   O
at   O
RCHP   B-LOCATION
Billings   I-LOCATION
-   I-LOCATION
Missoula   I-LOCATION
LLC   I-LOCATION
DBA   I-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

This   O
case   O
continues   O
to   O
be   O
monitored   O
,   O
and   O
coordination   O
with   O
Marcelino   B-NAME
Silas   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Michael   B-NAME
,   O
will   O
be   O
ongoing   O
to   O
ensure   O
comprehensive   O
care   O
.   O

The   O
patient   O
,   O
Kailyn   B-NAME
Curtis   I-NAME
,   O
a   O
fisherman   O
from   O
Dacoma   B-LOCATION
,   O
presented   O
to   O
Bayley   B-LOCATION
Seton   I-LOCATION
Hospital   I-LOCATION
on   O
Thursday   B-DATE
with   O
a   O
history   O
of   O
intermittent   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Margarita   B-NAME
Whisnant   I-NAME
reported   O
that   O
the   O
pain   O
was   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
describing   O
it   O
as   O
a   O
sharp   O
and   O
stabbing   O
sensation   O
that   O
intensifies   O
post   O
-   O
meal   O
.   O

Barrett   B-NAME
Wang   I-NAME
is   O
2   O
years   O
old   O
and   O
has   O
a   O
known   O
history   O
of   O
Type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
.   O

The   O
initial   O
physical   O
examination   O
performed   O
by   O
Paige   B-NAME
Greer   I-NAME
indicated   O
mild   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
with   O
no   O
signs   O
of   O
rebound   O
tenderness   O
.   O

Laboratory   O
tests   O
requested   O
on   O
33/16/12   B-DATE
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
a   O
mild   O
elevation   O
in   O
white   O
blood   O
cell   O
count   O
,   O
and   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
results   O
were   O
within   O
normal   O
ranges   O
.   O

Roger   B-NAME
Esparza   I-NAME
advised   O
an   O
abdominal   O
ultrasound   O
which   O
was   O
conducted   O
on   O
April   B-DATE
and   O
revealed   O
the   O
presence   O
of   O
a   O
3   O
cm   O
cystic   O
mass   O
in   O
the   O
right   O
ovary   O
in   O
females   O
/   O
presence   O
of   O
an   O
inflamed   O
appendix   O
in   O
males   O
.   O

Wallace   B-NAME
discussed   O
the   O
treatment   O
options   O
with   O
Peyton   B-NAME
Gates   I-NAME
,   O
emphasizing   O
the   O
necessity   O
for   O
an   O
exploratory   O
laparoscopy   O
.   O

The   O
consent   O
for   O
the   O
procedure   O
was   O
obtained   O
on   O
37/20/93   B-DATE
,   O
and   O
surgery   O
was   O
scheduled   O
at   O
Highline   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Specialty   I-LOCATION
Center   I-LOCATION
for   O
37/25/80   B-DATE
.   O

Phil   B-NAME
Burns   I-NAME
's   O
emergency   O
contact   O
,   O
listed   O
as   O
91605   B-CONTACT
,   O
was   O
notified   O
of   O
the   O
situation   O
and   O
the   O
planned   O
surgical   O
intervention   O
.   O

In   O
the   O
interim   O
,   O
Lance   B-NAME
Michael   I-NAME
was   O
advised   O
to   O
follow   O
a   O
clear   O
liquid   O
diet   O
and   O
abstain   O
from   O
any   O
food   O
or   O
drink   O
past   O
midnight   O
before   O
the   O
surgery   O
day   O
.   O

The   O
patient   O
identifier   O
JN:97399:248779   B-ID
and   O
123   B-ID
-   I-ID
23   I-ID
-   I-ID
87   I-ID
-   I-ID
2   I-ID
were   O
double   O
-   O
checked   O
for   O
surgical   O
booking   O
and   O
pharmacy   O
orders   O
.   O

Shyla   B-NAME
Mahoney   I-NAME
voiced   O
concerns   O
about   O
the   O
post   O
-   O
operative   O
recovery   O
phase   O
and   O
the   O
impact   O
on   O
[   O
HIS   O
/   O
HER   O
]   O
professional   O
life   O
as   O
a   O
Mobile   O
Heavy   O
Equipment   O
Mechanics   O
,   O
Except   O
Engines   O
.   O

Kierra   B-NAME
Ramsey   I-NAME
reassured   O
[   O
HIM   O
/   O
HER   O
]   O
about   O
the   O
standard   O
recovery   O
protocols   O
and   O
the   O
support   O
available   O
from   O
the   O
medical   O
team   O
at   O
Marshall   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
South   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
31/23/2350   B-DATE
to   O
evaluate   O
post   O
-   O
operative   O
recovery   O
and   O
to   O
discuss   O
any   O
adjustments   O
needed   O
in   O
the   O
management   O
of   O
[   O
HIS   O
/   O
HER   O
]   O
Type   O
2   O
diabetes   O
.   O

The   O
case   O
of   O
Saige   B-NAME
Jones   I-NAME
illustrates   O
the   O
importance   O
of   O
a   O
thorough   O
investigation   O
into   O
abdominal   O
pain   O
and   O
the   O
role   O
of   O
timely   O
diagnostic   O
procedures   O
in   O
identifying   O
potentially   O
serious   O
conditions   O
.   O

Privacy   O
and   O
confidentiality   O
are   O
maintained   O
throughout   O
the   O
process   O
,   O
adhering   O
to   O
HIPAA   O
guidelines   O
in   O
the   O
documentation   O
and   O
handling   O
of   O
Anthemius   B-NAME
Custa   I-NAME
's   O
personal   O
health   O
information   O
,   O
including   O
63178   B-LOCATION
,   O
VE674/2947   B-ID
,   O
and   O
577   B-ID
-   I-ID
69   I-ID
-   I-ID
76   I-ID
-   I-ID
2   I-ID
.   O

Patient   O
Report   O
for   O
Ferreira   B-NAME
:   O
18/12/62   B-DATE
,   O
Ross   B-LOCATION
-   I-LOCATION
on   I-LOCATION
-   I-LOCATION
Wye   I-LOCATION
International   B-LOCATION
Work   I-LOCATION
Group   I-LOCATION
for   I-LOCATION
Indigenous   I-LOCATION
Affairs   I-LOCATION
received   O
a   O
male   O
patient   O
,   O
85   O
,   O
who   O
was   O
admitted   O
to   O
Doctors   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Sarasota   I-LOCATION
,   I-LOCATION
Florida   I-LOCATION
)   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Upon   O
physical   O
examination   O
,   O
Whitlock   B-NAME
exhibited   O
tenderness   O
in   O
the   O
upper   O
abdomen   O
,   O
with   O
the   O
presence   O
of   O
Murphy   O
's   O
sign   O
.   O

Ultrasonography   O
of   O
the   O
abdomen   O
,   O
ordered   O
by   O
Lowery   B-NAME
,   O
revealed   O
inflammation   O
of   O
the   O
pancreas   O
without   O
cholelithiasis   O
.   O

A   O
comprehensive   O
medical   O
history   O
obtained   O
from   O
Aaron   B-NAME
,   I-NAME
Hank   I-NAME
indicated   O
a   O
history   O
of   O
chronic   O
alcohol   O
misuse   O
and   O
smoking   O
,   O
factors   O
contributing   O
to   O
his   O
current   O
presentation   O
.   O

Suzann   B-NAME
Bourdages   I-NAME
's   O
family   O
history   O
,   O
as   O
per   O
conversation   O
,   O
includes   O
a   O
paternal   O
history   O
of   O
diabetes   O
mellitus   O
.   O

Treatment   O
initiated   O
for   O
Leatha   B-NAME
Huffaker   I-NAME
involved   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
to   O
rest   O
the   O
pancreas   O
,   O
intravenous   O
hydration   O
to   O
correct   O
fluid   O
imbalance   O
,   O
and   O
pain   O
management   O
with   O
IV   O
analgesics   O
.   O

The   O
patient   O
's   O
progress   O
is   O
being   O
closely   O
monitored   O
by   O
Morton   B-NAME
and   O
the   O
medical   O
team   O
at   O
DCH   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
with   O
plans   O
to   O
reassess   O
the   O
treatment   O
approach   O
based   O
on   O
the   O
patient   O
’s   O
response   O
to   O
the   O
initial   O
management   O
and   O
the   O
results   O
of   O
ongoing   O
diagnostic   O
evaluations   O
.   O

Contact   O
information   O
for   O
family   O
members   O
has   O
been   O
logged   O
in   O
Pauline   B-NAME
Keim   I-NAME
's   O
file   O
under   O
contact   O
number   O
25661   B-CONTACT
.   O

All   O
further   O
communications   O
regarding   O
Donna   B-NAME
Elliott   I-NAME
's   O
condition   O
and   O
treatment   O
decisions   O
will   O
be   O
coordinated   O
with   O
the   O
designated   O
family   O
contact   O
.   O

Medical   O
Record   O
Number   O
:   O
CK923384   B-ID
Patient   O
ID   O
:   O
941508921   B-ID
Protocol   O
for   O
dissemination   O
of   O
this   O
report   O
complies   O
with   O
HIPAA   O
regulations   O
,   O
ensuring   O
that   O
all   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
remains   O
confidential   O
and   O
is   O
only   O
accessible   O
to   O
authorized   O
individuals   O
.   O

For   O
any   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
’s   O
condition   O
,   O
please   O
contact   O
Castaneda   B-NAME
at   O
Wolfson   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
or   O
reach   O
out   O
directly   O
via   O
(   B-CONTACT
260   I-CONTACT
)   I-CONTACT
757   I-CONTACT
-   I-CONTACT
9796   I-CONTACT
.   O

Patient   O
Name   O
:   O
Nicholas   B-NAME
New   I-NAME
Patient   O
ID   O
:   O
KZ   B-ID
:   I-ID
KW:7124   I-ID
Medical   O
Record   O
Number   O
:   O
645   B-ID
-   I-ID
12   I-ID
-   I-ID
83   I-ID
-   I-ID
0   I-ID
Address   O
:   O
Wewahitchka   B-LOCATION
,   O
33540   B-LOCATION
Phone   O
Number   O
:   O
527   B-CONTACT
-   I-CONTACT
6821   I-CONTACT
Age   O
:   O
23   O
Profession   O
:   O
Biomass   O
Power   O
Plant   O
Managers   O
Primary   O
Care   O
Physician   O
:   O

Zhang   B-NAME
Date   O
of   O
Visit   O
:   O
21th   B-DATE
of   I-DATE
June   I-DATE
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Jari   B-NAME
,   O
a   O
51   O
-   O
year   O
-   O
old   O
Bookkeeping   O
,   O
Accounting   O
,   O
and   O
Auditing   O
Clerks   O
,   O
presented   O
to   O
the   O
outpatient   O
department   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Fruitland   I-LOCATION
on   O
2/43   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Amaya   B-NAME
Hardy   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
contact   O
with   O
known   O
sick   O
individuals   O
.   O

On   O
physical   O
examination   O
,   O
Carie   B-NAME
appeared   O
moderately   O
distressed   O
due   O
to   O
respiratory   O
effort   O
.   O

Management   O
Plan   O
:   O
Cannicus   B-NAME
Leversee   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
and   O
advised   O
to   O
maintain   O
adequate   O
hydration   O
and   O
rest   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Wednesday   B-DATE
,   I-DATE
February   I-DATE
to   O
assess   O
treatment   O
response   O
.   O

In   O
case   O
of   O
worsening   O
symptoms   O
such   O
as   O
difficulty   O
breathing   O
,   O
Shawn   B-NAME
Collier   I-NAME
was   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
of   O
Little   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
call   O
939   B-CONTACT
-   I-CONTACT
891   I-CONTACT
-   I-CONTACT
8118   I-CONTACT
.   O

Discussion   O
and   O
Conclusion   O
:   O
Abraham   B-NAME
Mathis   I-NAME
's   O
clinical   O
presentation   O
is   O
consistent   O
with   O
community   O
-   O
acquired   O
pneumonia   O
,   O
a   O
common   O
condition   O
in   O
individuals   O
of   O
64   O
involved   O
in   O
Clinical   O
cytogeneticist   O
.   O

Terrell   B-NAME
's   O
follow   O
-   O
up   O
care   O
will   O
be   O
essential   O
to   O
ensure   O
full   O
recovery   O
and   O
to   O
assess   O
for   O
any   O
potential   O
complications   O
arising   O
from   O
the   O
illness   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Moses   B-NAME
Atkinson   I-NAME
,   O
and   O
all   O
patient   O
information   O
has   O
been   O
de   O
-   O
identified   O
to   O
protect   O
the   O
privacy   O
of   O
individuals   O
involved   O
.   O

Should   O
further   O
information   O
be   O
required   O
,   O
please   O
contact   O
Burlington   B-LOCATION
using   O
the   O
patient   O
ME:72533:303166   B-ID
or   O
medical   O
record   O
number   O
,   O
4810110   B-ID
.   O

Patient   O
Name   O
:   O
Herman   B-NAME
Patient   O
ID   O
:   O
BZ:35724:430423   B-ID
Date   O
of   O
Birth   O
:   O
July   B-DATE
36th   I-DATE
Age   O
:   O
46   O
Address   O
:   O
Lynxville   B-LOCATION
,   O
65621   B-LOCATION
Phone   O
Number   O
:   O
946   B-CONTACT
-   I-CONTACT
8511   I-CONTACT
Occupation   O
:   O

Careers   O
adviser   O
(   O
higher   O
education   O
)   O
Medical   O
Record   O
Number   O
:   O
4671101   B-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Jonathan   B-NAME
Kirk   I-NAME
Admitting   O
Hospital   O
:   O
Van   B-LOCATION
Diest   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
4/20/02   B-DATE
Clinical   O
Summary   O
:   O
Quentin   B-NAME
U.   I-NAME
Johnson   I-NAME
,   O
a   O
9s   O
-   O
year   O
-   O
old   O
Terrazzo   O
Workers   O
and   O
Finishers   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
33/34   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
that   O
radiates   O
to   O
the   O
back   O
,   O
along   O
with   O
shortness   O
of   O
breath   O
.   O

Quinn   B-NAME
also   O
reports   O
a   O
history   O
of   O
uncontrolled   O
hypertension   O
and   O
mentions   O
that   O
they   O
are   O
a   O
smoker   O
.   O

Upon   O
evaluation   O
,   O
Mendez   B-NAME
's   O
blood   O
pressure   O
was   O
noted   O
to   O
be   O
significantly   O
higher   O
in   O
the   O
right   O
arm   O
compared   O
to   O
the   O
left   O
.   O

A   O
CT   O
angiogram   O
was   O
ordered   O
by   O
Dr.   O
Quincy   B-NAME
Hanson   I-NAME
,   O
which   O
revealed   O
a   O
dissection   O
of   O
the   O
ascending   O
aorta   O
,   O
confirming   O
the   O
suspicion   O
of   O
an   O
aortic   O
dissection   O
.   O

Additional   O
tests   O
,   O
including   O
complete   O
blood   O
count   O
,   O
comprehensive   O
metabolic   O
panel   O
,   O
and   O
troponin   O
levels   O
,   O
were   O
ordered   O
to   O
assess   O
Porter   B-NAME
's   O
overall   O
health   O
status   O
and   O
to   O
rule   O
out   O
any   O
associated   O
complications   O
.   O

Treatment   O
Plan   O
:   O
Immediate   O
surgical   O
consultation   O
with   O
the   O
cardiovascular   O
surgery   O
team   O
at   O
The   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
was   O
arranged   O
.   O

Lane   B-NAME
-   I-NAME
Porteus   I-NAME
was   O
administered   O
intravenous   O
beta   O
-   O
blockers   O
to   O
lower   O
the   O
heart   O
rate   O
and   O
reduce   O
the   O
stress   O
on   O
the   O
aorta   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Leonel   B-NAME
Randall   I-NAME
after   O
discussing   O
the   O
potential   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
.   O

Family   O
History   O
:   O
Justin   B-NAME
Castillo   I-NAME
disclosed   O
that   O
their   O
father   O
,   O
who   O
was   O
6   O
years   O
old   O
,   O
had   O
a   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Social   O
History   O
:   O
IKECHUKWU   B-NAME
SPEARS   I-NAME
is   O
employed   O
as   O
a   O
Acupuncturists   O
and   O
admits   O
to   O
smoking   O
approximately   O
half   O
a   O
pack   O
of   O
cigarettes   O
daily   O
for   O
the   O
past   O
20   O
years   O
.   O

Ruby   B-NAME
Greene   I-NAME
lives   O
with   O
their   O
spouse   O
and   O
two   O
children   O
in   O
McNair   B-LOCATION
.   O

Channery   B-NAME
is   O
scheduled   O
for   O
post   O
-   O
operative   O
follow   O
-   O
up   O
in   O
the   O
cardiovascular   O
surgery   O
clinic   O
at   O
Watauga   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/21   B-DATE
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Leyva   B-NAME
or   O
family   O
members   O
can   O
contact   O
Boulder   B-LOCATION
Community   I-LOCATION
Foothills   I-LOCATION
Hospital   I-LOCATION
's   O
cardiovascular   O
surgery   O
department   O
at   O
95695   B-CONTACT
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Dr.   O
Clara   B-NAME
Bryant   I-NAME
,   O
6/29   B-DATE
.   O

For   O
questions   O
regarding   O
this   O
report   O
,   O
Dr.   O
Cook   B-NAME
can   O
be   O
reached   O
at   O
46408   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
MEDINA   B-NAME
,   I-NAME
LUTHER   I-NAME
Age   O
:   O
13   O
Gender   O
:   O

Female   O
Date   O
of   O
Birth   O
:   O
June   B-DATE
27   I-DATE
Address   O
:   O
Seneca   B-LOCATION
Knolls   I-LOCATION
,   O
38072   B-LOCATION
Phone   O
Number   O
:   O
181   B-CONTACT
-   I-CONTACT
8982   I-CONTACT
Occupation   O
:   O

Ophthalmic   O
Laboratory   O
Technicians   O
Medical   O
Record   O
Number   O
:   O
7918894   B-ID
Insurance   O
ID   O
:   O
ZQ:1899:800204   B-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Louis   B-LOCATION
Smith   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
03/33   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Zaria   B-NAME
Eaton   I-NAME
has   O
been   O
in   O
her   O
usual   O
state   O
of   O
health   O
until   O
the   O
morning   O
of   O
2321   B-DATE
when   O
she   O
suddenly   O
developed   O
severe   O
abdominal   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
Kaylen   B-NAME
Travis   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
medications   O
,   O
and   O
hypertension   O
controlled   O
with   O
a   O
combination   O
of   O
lifestyle   O
modifications   O
and   O
pharmacotherapy   O
.   O

Social   O
History   O
:   O
Gerald   B-NAME
Haas   I-NAME
is   O
a   O
Police   O
,   O
Fire   O
,   O
and   O
Ambulance   O
Dispatchers   O
living   O
in   O
Cokedale   B-LOCATION
.   O

Simpson   B-NAME
,   I-NAME
Jessica   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
cardiovascular   O
disease   O
but   O
no   O
known   O
hereditary   O
conditions   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Chara   B-NAME
's   O
vital   O
signs   O
were   O
stable   O
with   O
a   O
noted   O
temperature   O
of   O
37.5   O
°   O
C   O
,   O
blood   O
pressure   O
132/86   O
mmHg   O
,   O
pulse   O
rate   O
88   O
bpm   O
,   O
and   O
respiratory   O
rate   O
of   O
16   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
series   O
of   O
diagnostic   O
tests   O
were   O
ordered   O
by   O
Stuart   B-NAME
,   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
.   O

The   O
ultrasound   O
of   O
the   O
abdomen   O
indicated   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O
Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Tristian   B-NAME
Aguilar   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Frank   B-NAME
was   O
admitted   O
to   O
Inova   B-LOCATION
Mount   I-LOCATION
Vernon   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Austin   B-NAME
Mercado   I-NAME
for   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

In   O
the   O
interim   O
,   O
Harmony   B-NAME
Whited   I-NAME
was   O
started   O
on   O
IV   O
fluids   O
and   O
broad   O
-   O
spectrum   O
antibiotics   O
to   O
manage   O
infection   O
and   O
dehydration   O
.   O

Follow   O
-   O
up   O
:   O
Kirsten   B-NAME
Wiggins   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Demetrius   B-NAME
Ferrell   I-NAME
at   O
McKay   B-LOCATION
-   I-LOCATION
Dee   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
post   O
-   O
operation   O
on   O
22/00   B-DATE
to   O
evaluate   O
recovery   O
and   O
wound   O
healing   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Not   O
disclosed   O
Relationship   O
:   O
Not   O
disclosed   O
Phone   O
Number   O
:   O
(   B-CONTACT
812   I-CONTACT
)   I-CONTACT
211   I-CONTACT
5587   I-CONTACT

Patient   O
Name   O
:   O
Erica   B-NAME
Simpson   I-NAME
Medical   O
Record   O
Number   O
:   O
623   B-ID
-   I-ID
99   I-ID
-   I-ID
19   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
09/15   B-DATE
Age   O
:   O
65   O
Address   O
:   O
Plumas   B-LOCATION
Lake   I-LOCATION
,   O
92244   B-LOCATION
Phone   O
Number   O
:   O
13871   B-CONTACT
Employment   O
:   O
Program   O
Directors   O
at   O
Trade   B-LOCATION
Union   I-LOCATION
Coordination   I-LOCATION
Committee   I-LOCATION
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Stoppard   B-NAME
,   I-NAME
Tom   I-NAME
Hospital   O
:   O
Oswego   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Oswego   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
)   I-LOCATION
ID   O
Number   O
:   O
WU   B-ID
:   I-ID
HK:5276   I-ID
History   O
of   O
Present   O
Illness   O
:   O
KATZ   B-NAME
,   I-NAME
LAURA   I-NAME
,   O
a   O
49   O
-   O
year   O
-   O
old   O
Personal   O
Care   O
and   O
Service   O
Workers   O
,   O
All   O
Other   O
from   O
Pratt   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Griffin   B-LOCATION
Hospital   I-LOCATION
on   O
7   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
21   I-DATE
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Sariah   B-NAME
Hopkins   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Past   O
Medical   O
History   O
:   O
Mantis   B-NAME
Toboggan   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Vital   O
Signs   O
:   O
Upon   O
examination   O
on   O
37/22/2108   B-DATE
,   O
vital   O
signs   O
were   O
reported   O
as   O
follows   O
:   O
temperature   O
of   O
38.3   O
°   O
C   O
(   O
100.9   O
°   O
F   O
)   O
,   O
blood   O
pressure   O
135/85   O
mmHg   O
,   O
pulse   O
rate   O
of   O
98   O
beats   O
per   O
minute   O
,   O
and   O
respirations   O
20   O
per   O
minute   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
on   O
9/22   B-DATE
revealed   O
enlargement   O
of   O
the   O
appendix   O
with   O
evidence   O
of   O
an   O
appendicolith   O
.   O

Plan   O
:   O
Bailey   B-NAME
was   O
admitted   O
to   O
Northeast   B-LOCATION
Alabama   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
30/23/2136   B-DATE
under   O
the   O
care   O
of   O
Dr.   O
Kira   B-NAME
Anderson   I-NAME
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Towanda   B-NAME
Holler   I-NAME
underwent   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
2/21/2322   B-DATE
.   O

Post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Jayson   B-NAME
Wyatt   I-NAME
was   O
discharged   O
home   O
on   O
Septemberth   B-DATE
of   I-DATE
2029   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
with   O
Dr.   O
Bertram   B-NAME
Charles   I-NAME
in   O
one   O
week   O
.   O

Prescriptions   O
:   O
Fakes   B-NAME
,   B-NAME
Dennis   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
(   O
Amoxicillin   O
-   O
Clavulanate   O
)   O
for   O
7   O
days   O
and   O
acetaminophen   O
for   O
pain   O
control   O
.   O

Instructions   O
for   O
Follow   O
-   O
Up   O
:   O
Blanchard   B-NAME
is   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
there   O
is   O
an   O
increase   O
in   O
pain   O
,   O
fever   O
,   O
vomiting   O
,   O
or   O
any   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
with   O
Dr.   O
Tyson   B-NAME
Nunez   I-NAME
on   O
23/26   B-DATE
for   O
wound   O
check   O
and   O
review   O
of   O
recovery   O
progress   O
.   O

Comments   O
:   O
Apple   B-NAME
,   I-NAME
Fiona   I-NAME
has   O
been   O
advised   O
to   O
avoid   O
strenuous   O
activity   O
for   O
2   O
weeks   O
post   O
-   O
operatively   O
and   O
to   O
gradually   O
increase   O
dietary   O
intake   O
as   O
tolerated   O
.   O

Contact   O
Information   O
:   O
Should   O
Asia   B-NAME
Leon   I-NAME
require   O
any   O
immediate   O
attention   O
,   O
they   O
can   O
contact   O
Mid   B-LOCATION
-   I-LOCATION
America   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
Emergency   O
Department   O
at   O
(   B-CONTACT
521   I-CONTACT
)   I-CONTACT
870   I-CONTACT
8942   I-CONTACT
or   O
reach   O
Dr.   O
Bird   B-NAME
's   O
office   O
at   O
573   B-CONTACT
-   I-CONTACT
999   I-CONTACT
-   I-CONTACT
2619   I-CONTACT
.   O

Patient   O
Name   O
:   O
Yasmine   B-NAME
Montgomery   I-NAME
Medical   O
Record   O
Number   O
:   O
88096542   B-ID
Age   O
:   O
14   O
Date   O
of   O
Birth   O
:   O
6/2   B-DATE
Address   O
:   O
Tuscaloosa   B-LOCATION
,   O
62191   B-LOCATION
Primary   O
Physician   O
:   O
Berra   B-NAME
,   I-NAME
Yogi   I-NAME
Contact   O
Number   O
:   O
(   B-CONTACT
853   I-CONTACT
)   I-CONTACT
635   I-CONTACT
-   I-CONTACT
5812   I-CONTACT
Employer   O
:   O

International   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Electrical   I-LOCATION
Workers   I-LOCATION
Occupation   O
:   O
Public   O
Relations   O
Managers   O
Hospital   O
:   O
Lakewood   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
March   B-DATE
8   I-DATE
SSN   O
:   O
961498   B-ID
Chief   O
Complaint   O
:   O
Brent   B-NAME
Cameron   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
MedStar   B-LOCATION
Georgetown   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
2212/23/15   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
Jayla   B-NAME
Friedman   I-NAME
's   O
symptoms   O
was   O
sudden   O
,   O
occurring   O
roughly   O
6   O
hours   O
prior   O
to   O
hospital   O
admission   O
.   O

Jakayla   B-NAME
Orozco   I-NAME
,   O
a   O
Order   O
Clerks   O
,   O
mentioned   O
experiencing   O
stress   O
at   O
work   O
at   O
Hirschfeld   B-LOCATION
Eddy   I-LOCATION
Foundation   I-LOCATION
,   O
but   O
denies   O
any   O
history   O
of   O
gastrointestinal   O
issues   O
or   O
surgeries   O
.   O

Jovany   B-NAME
Anthony   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Shaunte   B-NAME
Elling   I-NAME
presented   O
as   O
alert   O
and   O
oriented   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
diagnosis   O
for   O
Zack   B-NAME
Carroll   I-NAME
is   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
with   O
Jaqueline   B-NAME
Moreno   I-NAME
was   O
obtained   O
,   O
and   O
Areli   B-NAME
Simpson   I-NAME
was   O
recommended   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Lorelei   B-NAME
Allison   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
.   O

Courtney   B-NAME
Carlisle   I-NAME
is   O
scheduled   O
for   O
surgery   O
on   O
2320   B-DATE
at   O
Charity   B-LOCATION
Hospital   I-LOCATION
.   O

Corinne   B-NAME
Pratt   I-NAME
was   O
advised   O
to   O
fast   O
starting   O
midnight   O
before   O
the   O
day   O
of   O
the   O
surgery   O
.   O

Follow   O
-   O
up   O
instructions   O
and   O
any   O
further   O
treatment   O
plans   O
will   O
be   O
communicated   O
to   O
Galvan   B-NAME
,   I-NAME
Floyd   I-NAME
post   O
-   O
operation   O
.   O

Patient   O
Name   O
:   O
Figueroa   B-NAME
Patient   O
ID   O
:   O
LM:7722:549186   B-ID
Medical   O
Record   O
Number   O
:   O
888   B-ID
-   I-ID
57   I-ID
-   I-ID
80   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
3/20   B-DATE
Age   O
:   O
82   O
Phone   O
Number   O
:   O
29425   B-CONTACT
Address   O
:   O
Wiseman   B-LOCATION
,   O
56528   B-LOCATION
Occupation   O
:   O

Gomez   B-NAME
Hospital   O
:   O
I-70   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
3/27/80   B-DATE
Date   O
of   O
Discharge   O
:   O
13/11/2092   B-DATE
Chief   O
Complaint   O
:   O
89   O
-   O
year   O
-   O
old   O
Construction   O
and   O
Building   O
Inspectors   O
,   O
Huxley   B-NAME
,   I-NAME
Aldous   I-NAME
,   O
presented   O
to   O
Bartow   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
18/37/2104   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
iliac   O
fossa   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Dewyer   B-NAME
Linza   I-NAME
noticed   O
the   O
onset   O
of   O
symptoms   O
approximately   O
24   O
hours   O
before   O
admission   O
to   O
Parkridge   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Associated   O
symptoms   O
developed   O
over   O
the   O
course   O
of   O
02/24   B-DATE
,   O
prompting   O
Alexzander   B-NAME
Andrews   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

Blanchard   B-NAME
denied   O
any   O
recent   O
travel   O
outside   O
Saxmundham   B-LOCATION
or   O
any   O
sick   O
contacts   O
.   O

Past   O
Medical   O
History   O
:   O
Jovita   B-NAME
Napier   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
controlled   O
on   O
medication   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Conrad   B-NAME
Cuevas   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnosis   O
:   O
Acute   O
appendicitis   O
Treatment   O
:   O
Surgical   O
consultation   O
by   O
Haley   B-NAME
Price   I-NAME
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
23/01/32   B-DATE
without   O
complications   O
.   O

Ken   B-NAME
was   O
started   O
on   O
IV   O
antibiotics   O
pre   O
-   O
operative   O
and   O
continued   O
post   O
-   O
operatively   O
.   O

Disposition   O
:   O
Tillman   B-NAME
recovered   O
well   O
from   O
surgery   O
and   O
was   O
discharged   O
on   O
31/20   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Frances   B-NAME
Garrett   I-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Goldsmith   B-NAME
,   I-NAME
Oliver   I-NAME
is   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
2   O
weeks   O
post   O
-   O
surgery   O
.   O

A   O
follow   O
-   O
up   O
call   O
from   O
McLaren   B-LOCATION
Central   I-LOCATION
Michigan   I-LOCATION
on   O
14/10   B-DATE
confirmed   O
Richard   B-NAME
F.   I-NAME
Vidal   I-NAME
was   O
recovering   O
well   O
at   O
home   O
without   O
any   O
complications   O
.   O

This   O
patient   O
report   O
has   O
been   O
prepared   O
and   O
reviewed   O
by   O
the   O
attending   O
physician   O
Bush   B-NAME
,   O
medical   O
record   O
number   O
6075567   B-ID
,   O
and   O
all   O
confidential   O
patient   O
information   O
has   O
been   O
coded   O
as   O
per   O
the   O
provided   O
guidelines   O
.   O

Patient   O
:   O
Joey   B-NAME
Shaw   I-NAME
Age   O
:   O
81   O
ID   O
:   O
9   B-ID
-   I-ID
3824142   I-ID
Medical   O
Record   O
:   O
44220764   B-ID
Phone   O
:   O
55811   B-CONTACT
Location   O
:   O
The   B-LOCATION
Hammocks   I-LOCATION
Zip   O
:   O
31174   B-LOCATION
Organization   O
:   O

Stein   B-LOCATION
Mart   I-LOCATION
Hospital   O
:   O
Lake   B-LOCATION
Health   I-LOCATION
West   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Doctor   O
:   O
Azul   B-NAME
Dunlap   I-NAME
Profession   O
:   O
Marine   O
Cargo   O
Inspectors   O
Username   O
:   O
fo164   B-NAME
On   O
32/11   B-DATE
,   O
Malika   B-NAME
Fenner   I-NAME
presented   O
at   O
the   O
emergency   O
department   O
of   O
Doylestown   B-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
potential   O
appendicitis   O
.   O

Additionally   O
,   O
Phillip   B-NAME
Boone   I-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
earlier   O
the   O
same   O
day   O
.   O

Upon   O
further   O
questioning   O
,   O
Florinda   B-NAME
Hannegan   I-NAME
,   O
a   O
Home   O
Health   O
Aides   O
,   O
mentioned   O
that   O
the   O
symptoms   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
the   O
hospital   O
visit   O
.   O

Physical   O
examination   O
by   O
Warren   B-NAME
elicited   O
rebound   O
tenderness   O
and   O
positive   O
Rovsing   O
's   O
sign   O
,   O
heightening   O
suspicion   O
for   O
appendicitis   O
.   O

No   O
previous   O
medical   O
or   O
surgical   O
history   O
was   O
remarked   O
upon   O
,   O
per   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
's   O
report   O
.   O

To   O
further   O
confirm   O
the   O
diagnosis   O
and   O
assess   O
for   O
complications   O
such   O
as   O
perforation   O
or   O
abscess   O
formation   O
,   O
Mcknight   B-NAME
requested   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
was   O
conducted   O
in   O
the   O
radiology   O
department   O
of   O
SCL   B-LOCATION
Health   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Northglenn   I-LOCATION
,   O
followed   O
by   O
a   O
confirmatory   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
oral   O
and   O
IV   O
contrast   O
.   O

The   O
procedure   O
was   O
carried   O
out   O
successfully   O
on   O
2301   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
31   I-DATE
without   O
complications   O
.   O

Postoperatively   O
,   O
Dillon   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
and   O
was   O
advised   O
on   O
wound   O
care   O
and   O
activity   O
restrictions   O
during   O
the   O
recovery   O
period   O
.   O

Johan   B-NAME
Vaughn   I-NAME
was   O
discharged   O
from   O
UPMC   B-LOCATION
Mercy   I-LOCATION
on   O
23/27   B-DATE
in   O
a   O
stable   O
condition   O
,   O
with   O
instructions   O
to   O
follow   O
up   O
with   O
Belial   B-NAME
Nickas   I-NAME
in   O
the   O
outpatient   O
clinic   O
for   O
a   O
postoperative   O
check   O
-   O
up   O
and   O
removal   O
of   O
sutures   O
.   O

Jeffrey   B-NAME
Manko   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
wound   O
redness   O
,   O
or   O
discharge   O
ensued   O
.   O

For   O
further   O
inquiries   O
or   O
to   O
report   O
new   O
symptoms   O
,   O
Mitchel   B-NAME
Biron   I-NAME
was   O
given   O
the   O
contact   O
information   O
of   O
Carilion   B-LOCATION
Franklin   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
including   O
the   O
direct   O
line   O
30388   B-CONTACT
and   O
was   O
informed   O
to   O
use   O
the   O
patient   O
portal   O
,   O
accessible   O
with   O
their   O
unique   O
username   O
,   O
VS104   B-NAME
,   O
for   O
non   O
-   O
urgent   O
communications   O
.   O

Patient   O
Name   O
:   O
Brock   B-NAME
Patient   O
ID   O
:   O
KY:20989:153371   B-ID
Medical   O
Record   O
Number   O
:   O
739   B-ID
-   I-ID
86   I-ID
-   I-ID
90   I-ID
Date   O
of   O
Birth   O
:   O
55   O
Date   O
of   O
Admission   O
:   O
01   B-DATE
-   I-DATE
Nov-30   I-DATE
Attending   O
Physician   O
:   O

Robin   B-NAME
Van   I-NAME
Dorn   I-NAME
Location   O
:   O
Mullins   B-LOCATION
Hospital   O
:   O
Bon   B-LOCATION
Secours   I-LOCATION
Richmond   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Zip   O
Code   O
:   O
76223   B-LOCATION
Contact   O
Number   O
:   O
79206   B-CONTACT
Profession   O
:   O
Hearing   O
Aid   O
Specialists   O
Username   O
:   O
qct239   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
36s   O
-   O
year   O
-   O
old   O
Pressers   O
,   O
Hand   O
,   O
presented   O
to   O
Southeast   B-LOCATION
Missouri   I-LOCATION
Community   I-LOCATION
Treatment   I-LOCATION
Center   I-LOCATION
on   O
2352   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
.   O

The   O
pain   O
was   O
described   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
worsening   O
over   O
a   O
0/26/52   B-DATE
period   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Loo   B-NAME
,   I-NAME
Tristan   I-NAME
J.   I-NAME
reported   O
that   O
the   O
pain   O
initiated   O
mildly   O
approximately   O
1/5   B-DATE
ago   O
and   O
has   O
progressively   O
worsened   O
.   O

Accompanying   O
symptoms   O
included   O
nausea   O
without   O
vomiting   O
,   O
a   O
low   O
-   O
grade   O
fever   O
since   O
the   O
morning   O
of   O
1/8   B-DATE
,   O
and   O
an   O
inability   O
to   O
pass   O
stools   O
since   O
11/20   B-DATE
.   O

Gussie   B-NAME
Tyler   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
Kash   B-NAME
Perkins   I-NAME
has   O
a   O
history   O
of   O
Hypertension   O
,   O
controlled   O
on   O
medications   O
,   O
and   O
Type   O
2   O
Diabetes   O
Mellitus   O
.   O

Social   O
History   O
:   O
Michael   B-NAME
Reynolds   I-NAME
works   O
as   O
a   O
Music   O
Directors   O
and   O
Composers   O
at   O
Alliance   B-LOCATION
of   I-LOCATION
Canadian   I-LOCATION
Cinema   I-LOCATION
,   I-LOCATION
Television   I-LOCATION
and   I-LOCATION
Radio   I-LOCATION
Artists   I-LOCATION
and   O
denies   O
any   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bennett   B-NAME
Daugherty   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Given   O
the   O
presenting   O
symptoms   O
and   O
diagnostic   O
findings   O
,   O
Lott   B-NAME
,   I-NAME
Trent   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
on   O
03/03   B-DATE
.   O

Phibes   B-NAME
Rises   I-NAME
Again   I-NAME
will   O
review   O
the   O
patient   O
post   O
-   O
surgery   O
for   O
further   O
management   O
plans   O
.   O

For   O
follow   O
-   O
up   O
appointments   O
and   O
any   O
post   O
-   O
operative   O
concerns   O
,   O
Simak   B-NAME
,   I-NAME
Clifford   I-NAME
D.   I-NAME
or   O
family   O
members   O
can   O
contact   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sewickley   I-LOCATION
at   O
63897   B-CONTACT
.   O

Note   O
:   O
For   O
any   O
changes   O
in   O
the   O
patient   O
's   O
condition   O
or   O
emergency   O
,   O
please   O
contact   O
Heartland   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
or   O
Christian   B-NAME
directly   O
.   O

Hawk   B-LOCATION
Run   I-LOCATION
,   O
1/22   B-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Jolan   B-NAME
-   O
Age   O
:   O
42   O
-   O
DOB   O
:   O
12/25   B-DATE
-   O
Address   O
:   O
Knaresborough   B-LOCATION
,   O
76598   B-LOCATION
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
146   I-CONTACT
)   I-CONTACT
540   I-CONTACT
-   I-CONTACT
5086   I-CONTACT
-   O
Medical   O
Record   O
Number   O
:   O
8519334   B-ID
-   O
ID   O
Number   O
:   O
5   B-ID
-   I-ID
4630101   I-ID
Medical   O
History   O
:   O
Nolan   B-NAME
Cooke   I-NAME
presented   O
to   O
Betsy   B-LOCATION
Johnson   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
12/21   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
patient   O
mentioned   O
the   O
symptoms   O
started   O
suddenly   O
on   O
the   O
evening   O
of   O
05/22/2034   B-DATE
.   O

Quinten   B-NAME
B.   I-NAME
Prado   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Public   O
Relations   O
Managers   O
and   O
denies   O
the   O
use   O
of   O
alcohol   O
,   O
tobacco   O
,   O
or   O
illicit   O
drugs   O
.   O

Clinical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Pierce   B-NAME
noted   O
that   O
Ulysses   B-NAME
Xayasane   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Diagnostic   O
Imaging   O
:   O
An   O
ultrasound   O
performed   O
on   O
28/29/2102   B-DATE
confirmed   O
the   O
presence   O
of   O
gallstones   O
and   O
gallbladder   O
wall   O
thickening   O
,   O
consistent   O
with   O
acute   O
cholecystitis   O
.   O

The   O
clinical   O
findings   O
and   O
diagnostic   O
tests   O
led   O
Wiggins   B-NAME
to   O
diagnose   O
Alexander   B-NAME
with   O
acute   O
cholecystitis   O
.   O

Skylar   B-NAME
Jarvis   I-NAME
discussed   O
with   O
Samantha   B-NAME
Noland   I-NAME
the   O
likely   O
need   O
for   O
cholecystectomy   O
once   O
the   O
inflammation   O
has   O
resolved   O
.   O

Titus   B-NAME
Rush   I-NAME
was   O
admitted   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
21/25/99   B-DATE
and   O
is   O
scheduled   O
for   O
surgery   O
on   O
2/20   B-DATE
.   O

The   O
care   O
team   O
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
will   O
monitor   O
Kathryn   B-NAME
Lynch   I-NAME
's   O
condition   O
closely   O
and   O
provide   O
supportive   O
care   O
as   O
needed   O
.   O

Follow   O
-   O
up   O
:   O
Holt   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Keely   B-NAME
Trexler   I-NAME
post   O
-   O
surgery   O
on   O
12/00   B-DATE
to   O
assess   O
recovery   O
and   O
discuss   O
further   O
management   O
.   O

Mateo   B-NAME
Rosario   I-NAME
was   O
advised   O
to   O
adhere   O
to   O
a   O
low   O
-   O
fat   O
diet   O
and   O
avoid   O
fatty   O
meals   O
to   O
mitigate   O
symptoms   O
until   O
surgery   O
.   O

For   O
any   O
questions   O
or   O
further   O
information   O
,   O
Garret   B-NAME
Formica   I-NAME
can   O
contact   O
Monadnock   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
's   O
Gastroenterology   O
Department   O
at   O
56784   B-CONTACT
.   O

Confidentiality   O
Statement   O
:   O
This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
and   O
is   O
intended   O
only   O
for   O
the   O
use   O
of   O
The   B-LOCATION
Tattnall   I-LOCATION
Bank   I-LOCATION
medical   O
team   O
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Medical   O
Evaluation   O
Report   O
for   O
Karla   B-NAME
Mathews   I-NAME
Identification   O
Number   O
:   O
535240427   B-ID
Medical   O
Record   O
Number   O
:   O
56627687   B-ID
Date   O
of   O
Evaluation   O
:   O
February   B-DATE
28   I-DATE
Physician   O
:   O

Alma   B-NAME
Blevins   I-NAME
Hospital   O
:   O
OU   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Edmond   I-LOCATION
Mechanicsville   B-LOCATION
:   O
46528   B-LOCATION
Contact   O
Number   O
:   O
49540   B-CONTACT
Background   O
Information   O
:   O
Jalen   B-NAME
Barry   I-NAME
,   O
a   O
71   O
-   O
year   O
-   O
old   O
actor   O
from   O
Bell   B-LOCATION
Canyon   I-LOCATION
,   O
was   O
admitted   O
to   O
Comprehensive   B-LOCATION
Health   I-LOCATION
of   I-LOCATION
Planned   I-LOCATION
Parenthood   I-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
and   I-LOCATION
Mid   I-LOCATION
-   I-LOCATION
Missouri   I-LOCATION
(   I-LOCATION
PPKM   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Overland   I-LOCATION
Park   I-LOCATION
on   O
11/12   B-DATE
following   O
a   O
series   O
of   O
acute   O
symptoms   O
that   O
raised   O
concerns   O
for   O
potential   O
neurological   O
disorders   O
.   O

The   O
symptoms   O
described   O
by   O
Dean   B-NAME
upon   O
admission   O
includes   O
severe   O
migraine   O
headaches   O
,   O
intermittent   O
episodes   O
of   O
dizziness   O
,   O
blurred   O
vision   O
,   O
and   O
an   O
observed   O
episode   O
of   O
syncope   O
.   O

Karey   B-NAME
Myslin   I-NAME
denies   O
any   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Jum   B-NAME
exhibited   O
nystagmus   O
during   O
episodes   O
of   O
dizziness   O
.   O

However   O
,   O
Johnston   B-NAME
's   O
coordination   O
was   O
slightly   O
impaired   O
,   O
evidenced   O
by   O
a   O
positive   O
Romberg   O
's   O
sign   O
.   O

Magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
performed   O
on   O
1949   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
24   I-DATE
,   O
did   O
not   O
show   O
any   O
mass   O
lesions   O
or   O
signs   O
of   O
acute   O
infarction   O
but   O
revealed   O
mild   O
diffuse   O
cerebral   O
atrophy   O
which   O
is   O
unusual   O
for   O
the   O
patient   O
's   O
age   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Demosthenes   B-NAME
was   O
diagnosed   O
with   O
a   O
vestibular   O
migraine   O
and   O
mild   O
cognitive   O
impairment   O
possibly   O
secondary   O
to   O
cerebral   O
atrophy   O
.   O

The   O
absence   O
of   O
focal   O
neurological   O
deficits   O
and   O
the   O
non   O
-   O
contributory   O
family   O
history   O
suggest   O
these   O
conditions   O
are   O
likely   O
idiopathic   O
or   O
could   O
be   O
related   O
to   O
Belinda   B-NAME
Merritt   I-NAME
's   O
occupational   O
exposure   O
to   O
unspecified   O
chemicals   O
,   O
given   O
McAndrews   B-NAME
's   O
Telecommunications   O
Engineering   O
Specialists   O
.   O

Aidyn   B-NAME
Orr   I-NAME
was   O
started   O
on   O
a   O
prophylactic   O
treatment   O
regime   O
for   O
vestibular   O
migraines   O
including   O
a   O
prescription   O
for   O
propranolol   O
and   O
Amitriptyline   O
,   O
advised   O
to   O
be   O
taken   O
daily   O
.   O

Amare   B-NAME
Stevens   I-NAME
was   O
also   O
referred   O
to   O
a   O
vestibular   O
rehabilitation   O
therapist   O
for   O
specialized   O
physical   O
therapy   O
to   O
address   O
the   O
dizziness   O
and   O
balance   O
issues   O
.   O

Due   O
to   O
the   O
concern   O
regarding   O
the   O
observed   O
cerebral   O
atrophy   O
,   O
cognitive   O
evaluations   O
through   O
neuropsychological   O
testing   O
have   O
been   O
scheduled   O
for   O
06/10   B-DATE
.   O

CARR   B-NAME
,   I-NAME
RACHEL   I-NAME
has   O
been   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
and   O
to   O
follow   O
up   O
with   O
Grace   B-NAME
Devlin   I-NAME
in   O
Andalusia   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
's   O
Neurology   O
Department   O
on   O
a   O
01/30/18   B-DATE
basis   O
for   O
further   O
assessment   O
and   O
management   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Santiago   B-NAME
is   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
track   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
migraines   O
as   O
well   O
as   O
potential   O
triggers   O
.   O

Regular   O
follow   O
-   O
up   O
appointments   O
are   O
essential   O
to   O
monitor   O
Quentin   B-NAME
Fitzpatrick   I-NAME
's   O
response   O
to   O
the   O
treatment   O
plan   O
and   O
to   O
adjust   O
medications   O
as   O
necessary   O
.   O

Support   O
from   O
Glades   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
's   O
patient   O
support   O
services   O
,   O
including   O
counseling   O
and   O
support   O
groups   O
,   O
has   O
been   O
offered   O
to   O
Tannen   B-NAME
,   I-NAME
Deborah   I-NAME
to   O
assist   O
in   O
managing   O
the   O
condition   O
's   O
psychological   O
implications   O
.   O

Conclusion   O
:   O
The   O
team   O
at   O
T.   B-LOCATION
J.   I-LOCATION
Samson   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
will   O
continue   O
to   O
monitor   O
Deangelo   B-NAME
Rowland   I-NAME
's   O
progress   O
closely   O
,   O
adjusting   O
treatment   O
plans   O
as   O
necessary   O
to   O
improve   O
quality   O
of   O
life   O
and   O
mitigate   O
the   O
impact   O
of   O
the   O
diagnosed   O
conditions   O
.   O

Further   O
investigations   O
will   O
be   O
pursued   O
should   O
Jakob   B-NAME
Delacruz   I-NAME
's   O
symptoms   O
evolve   O
or   O
new   O
symptoms   O
arise   O
.   O

Patient   O
Name   O
:   O
Robby   B-NAME
Tudor   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
4562232   I-ID
Medical   O
Record   O
Number   O
:   O
1863721   B-ID
Date   O
of   O
Birth   O
:   O
March   B-DATE
22th   I-DATE
Age   O
:   O
43   O
Address   O
:   O
Upper   B-LOCATION
Pohatcong   I-LOCATION
,   O
11017   B-LOCATION
Occupation   O
:   O
Directors-   O
Stage   O
,   O
Motion   O
Pictures   O
,   O
Television   O
,   O
and   O
Radio   O
Phone   O
Number   O
:   O
976   B-CONTACT
8486   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Lucia   B-NAME
Hancock   I-NAME
Admitting   O
Hospital   O
:   O

North   B-LOCATION
Florida   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
39/02/00   B-DATE
Date   O
of   O
Discharge   O
:   O
12/33/51   B-DATE
Summary   O
:   O
Ronda   B-NAME
Godley   I-NAME
,   O
a   O
9   O
week   O
-   O
year   O
-   O
old   O
Product   O
development   O
scientist   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Dartmouth   B-LOCATION
-   I-LOCATION
Hitchcock   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
34/31/2074   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
which   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Investigations   O
:   O
Upon   O
presentation   O
,   O
Lenard   B-NAME
Buth   I-NAME
underwent   O
a   O
physical   O
examination   O
by   O
Tate   B-NAME
Nixon   I-NAME
,   O
revealing   O
McBurney   O
's   O
point   O
tenderness   O
.   O

Abdominal   O
ultrasonography   O
performed   O
on   O
6/23/30   B-DATE
suggested   O
appendicitis   O
.   O

Given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
Greta   B-NAME
Gilbert   I-NAME
was   O
scheduled   O
for   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
8/21   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
by   O
Felicity   B-NAME
Bauer   I-NAME
at   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
New   I-LOCATION
Orleans   I-LOCATION
.   O

Hallie   B-NAME
Leblanc   I-NAME
received   O
IV   O
antibiotics   O
and   O
analgesics   O
post   O
-   O
operatively   O
.   O

The   O
patient   O
’s   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Marisol   B-NAME
Campbell   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
activity   O
restrictions   O
before   O
discharge   O
.   O

Follow   O
-   O
up   O
:   O
Kurtz   B-NAME
,   I-NAME
Katherine   I-NAME
was   O
discharged   O
on   O
July   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Rivas   B-NAME
at   O
Willis   B-LOCATION
-   I-LOCATION
Knighton   I-LOCATION
South   I-LOCATION
&   I-LOCATION
the   I-LOCATION
Center   I-LOCATION
for   I-LOCATION
Women   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
's   O
outpatient   O
department   O
for   O
2088   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
31   I-DATE
.   O

Larson   B-NAME
was   O
advised   O
to   O
continue   O
with   O
a   O
liquid   O
diet   O
for   O
the   O
next   O
24   O
hours   O
,   O
gradually   O
reintroducing   O
solid   O
foods   O
as   O
tolerated   O
.   O

Recommendations   O
:   O
Continuous   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
was   O
advised   O
for   O
OAKLEY   B-NAME
,   I-NAME
ALBERT   I-NAME
due   O
to   O
the   O
history   O
of   O
diabetes   O
.   O

Farrell   B-NAME
was   O
also   O
instructed   O
to   O
avoid   O
strenuous   O
activities   O
and   O
lifting   O
heavy   O
objects   O
for   O
at   O
least   O
four   O
weeks   O
to   O
ensure   O
proper   O
healing   O
.   O

For   O
any   O
urgent   O
concerns   O
or   O
symptoms   O
,   O
Manuel   B-NAME
Blankenship   I-NAME
was   O
advised   O
to   O
contact   O
West   B-LOCATION
Florida   I-LOCATION
Hospital   I-LOCATION
at   O
24606   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

Patient   O
Name   O
:   O
Uriel   B-NAME
Fenoff   I-NAME
Medical   O
Record   O
Number   O
:   O
3710956   B-ID
Date   O
of   O
Birth   O
:   O
12/25   B-DATE
Age   O
:   O
49   O
Address   O
:   O
Huntington   B-LOCATION
Beach   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
92646   I-LOCATION
,   O
52632   B-LOCATION
Phone   O
Number   O
:   O
39149   B-CONTACT

Attending   O
Physician   O
:   O
Dr.   O
Swanson   B-NAME
Hospital   O
:   O
Emory   B-LOCATION
Hillandale   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
21/00   B-DATE
SSN   O
:   O
0   B-ID
-   I-ID
9115858   I-ID
Summary   O
:   O
Markus   B-NAME
Mendez   I-NAME
,   O
a   O
Foresters   O
from   O
Astoria   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
11103   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Centennial   B-LOCATION
Peaks   I-LOCATION
Hospital   I-LOCATION
on   O
01/20/2039   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
localized   O
,   O
sharp   O
chest   O
pain   O
that   O
radiated   O
to   O
the   O
left   O
shoulder   O
.   O

Jamya   B-NAME
Petersen   I-NAME
also   O
reported   O
a   O
recent   O
history   O
of   O
dry   O
cough   O
and   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
few   O
days   O
.   O

Conchita   B-NAME
Casuat   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Upon   O
physical   O
examination   O
,   O
Ryan   B-NAME
Li   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
coagulation   O
profile   O
were   O
ordered   O
by   O
Dr.   O
Glenna   B-NAME
Henry   I-NAME
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
findings   O
,   O
Mercer   B-NAME
was   O
admitted   O
to   O
Baptist   B-LOCATION
Health   I-LOCATION
Lexington   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Skinner   B-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

A   O
diagnostic   O
thoracentesis   O
was   O
scheduled   O
for   O
1/39   B-DATE
to   O
analyze   O
the   O
pleural   O
fluid   O
.   O

Instructions   O
for   O
Quale   B-NAME
included   O
rest   O
,   O
hydration   O
,   O
and   O
strict   O
adherence   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O

Williams   B-NAME
was   O
also   O
advised   O
to   O
monitor   O
for   O
any   O
new   O
or   O
worsening   O
symptoms   O
and   O
to   O
follow   O
up   O
with   O
Dr.   O
Mathews   B-NAME
in   O
John   B-LOCATION
D.   I-LOCATION
Archbold   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
’s   O
clinic   O
on   O
Aug   B-DATE
2th   I-DATE
for   O
reassessment   O
and   O
review   O
of   O
test   O
results   O
.   O

Contact   O
Information   O
:   O
Hospital   O
Phone   O
Number   O
:   O
166   B-CONTACT
-   I-CONTACT
308   I-CONTACT
-   I-CONTACT
6478   I-CONTACT
Primary   O
Care   O
Doctor   O
:   O
Dr.   O
Russell   B-NAME
Deramo   I-NAME
Emergency   O
Contact   O
:   O

Dedra   B-NAME
Erikson   I-NAME
’s   O
relative   O
,   O
803   B-CONTACT
4852   I-CONTACT
Note   O
:   O
Please   O
keep   O
this   O
report   O
in   O
a   O
safe   O
place   O
and   O
bring   O
it   O
with   O
you   O
on   O
your   O
next   O
visit   O
.   O

Should   O
you   O
have   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
your   O
follow   O
-   O
up   O
appointment   O
,   O
do   O
not   O
hesitate   O
to   O
contact   O
Dr.   O
Goodwin   B-NAME
’s   O
office   O
at   O
20616   B-CONTACT
.   O

Marci   B-NAME
Pelzer   I-NAME
Age   O
:   O
10   O
Gender   O
:   O
Male   O
Date   O
of   O
Birth   O
:   O
10/29/2242   B-DATE
Patient   O
ID   O
:   O
WA   B-ID
:   I-ID
XO:1520   I-ID
Medical   O
Record   O
Number   O
:   O
64769760   B-ID
Phone   O
Number   O
:   O
724   B-CONTACT
-   I-CONTACT
6303   I-CONTACT
Address   O
:   O
New   B-LOCATION
Sharon   I-LOCATION
,   O
45379   B-LOCATION
Chief   O
Complaint   O
:   O
Wyatt   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Louisville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
January   B-DATE
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

Ty   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
currently   O
managed   O
with   O
medication   O
.   O

Past   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
in   O
04/06   B-DATE
.   O

Nuvia   B-NAME
Nadeau   I-NAME
is   O
a   O
Radiologic   O
Technicians   O
by   O
trade   O
and   O
reports   O
a   O
cessation   O
of   O
smoking   O
49   O
years   O
ago   O
,   O
with   O
a   O
20   O
-   O
pack   O
-   O
year   O
smoking   O
history   O
prior   O
to   O
quitting   O
.   O

On   O
examination   O
,   O
Usha   B-NAME
Gibbons   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
98.6   O
°   O
F   O
.   O

Blood   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
,   O
metabolic   O
panel   O
,   O
and   O
cardiac   O
biomarkers   O
,   O
were   O
ordered   O
by   O
Polański   B-NAME
,   I-NAME
Roman   I-NAME
.   O

Treatment   O
:   O
Mia   B-NAME
Bennett   I-NAME
initiated   O
treatment   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
.   O

Gerardo   B-NAME
Manning   I-NAME
was   O
also   O
given   O
sublingual   O
nitroglycerin   O
which   O
provided   O
partial   O
relief   O
of   O
chest   O
pain   O
.   O

Given   O
the   O
diagnosis   O
of   O
an   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
,   O
the   O
cardiology   O
team   O
at   O
Fillmore   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
consulted   O
,   O
and   O
an   O
urgent   O
cardiac   O
catheterization   O
was   O
recommended   O
.   O

Plan   O
:   O
Tatum   B-NAME
Cortez   I-NAME
underwent   O
successful   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
of   O
the   O
right   O
coronary   O
artery   O
at   O
Largo   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/20   B-DATE
.   O

Post   O
-   O
procedure   O
,   O
Jennis   B-NAME
was   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

Discharge   O
planning   O
will   O
involve   O
referral   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
and   O
follow   O
-   O
up   O
with   O
Cohen   B-NAME
,   I-NAME
Catman   I-NAME
in   O
Nikolaevsk   B-LOCATION
.   O

Wilkerson   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Hoffman   B-NAME
in   O
Clermont   B-LOCATION
at   O
77921   B-CONTACT
on   O
22/02   B-DATE
.   O

At   O
this   O
time   O
,   O
Kadyn   B-NAME
Garza   I-NAME
's   O
progress   O
will   O
be   O
evaluated   O
,   O
and   O
further   O
adjustments   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
considered   O
based   O
on   O
recovery   O
progress   O
and   O
any   O
new   O
symptoms   O
.   O

The   O
information   O
in   O
this   O
report   O
is   O
confidential   O
and   O
intended   O
only   O
for   O
use   O
in   O
the   O
ongoing   O
care   O
and   O
treatment   O
of   O
Olszewski   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
April   B-NAME
Leblanc   I-NAME
Patient   O
ID   O
:   O
OG763/7523   B-ID
Medical   O
Record   O
Number   O
:   O
3   B-ID
-   I-ID
812606   I-ID
Date   O
of   O
Birth   O
:   O
4/29/2220   B-DATE
Age   O
:   O
41   O
Address   O
:   O
Ozona   B-LOCATION
,   O
80389   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
309   I-CONTACT
)   I-CONTACT
755   I-CONTACT
-   I-CONTACT
7400   I-CONTACT
Attending   O
Physician   O
:   O

Thomasine   B-NAME
Consiglio   I-NAME
Hospital   O
:   O
Redlands   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
03/11/2032   B-DATE
Date   O
of   O
Report   O
:   O

May   B-DATE
Chief   O
Complaint   O
:   O
Buck   B-NAME
Tierney   I-NAME
presented   O
to   O
Sturdy   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
on   O
21/13   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
started   O
approximately   O
24   O
hours   O
prior   O
.   O

Ellen   B-NAME
Sparks   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
low   O
-   O
grade   O
fever   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
According   O
to   O
Knebel   B-NAME
,   I-NAME
Fletcher   I-NAME
,   O
the   O
abdominal   O
pain   O
was   O
initially   O
mild   O
and   O
diffuse   O
but   O
gradually   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
over   O
a   O
period   O
of   O
several   O
hours   O
.   O

Brooke   B-NAME
Huber   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Yasmine   B-NAME
Florence   I-NAME
-   I-NAME
Gagnon   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
the   O
patient   O
is   O
currently   O
taking   O
medication   O
.   O

Social   O
History   O
:   O
Leonarda   B-NAME
is   O
a   O
Environmental   O
Scientists   O
and   O
Specialists   O
,   O
Including   O
Health   O
,   O
lives   O
in   O
Albuquerque   B-LOCATION
-   I-LOCATION
Albuquerque   I-LOCATION
Downtown   I-LOCATION
,   I-LOCATION
Downtown   I-LOCATION
Action   I-LOCATION
Team   I-LOCATION
,   I-LOCATION
Nob   I-LOCATION
Hill   I-LOCATION
MainStreet   I-LOCATION
and   O
is   O
a   O
non   O
-   O
smoker   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Henry   B-NAME
C.   I-NAME
Atwood   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Surgical   O
consultation   O
with   O
Maldonado   B-NAME
was   O
requested   O
,   O
and   O
Valery   B-NAME
Frost   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Ferrell   B-NAME
's   O
hypertension   O
and   O
hyperlipidemia   O
are   O
to   O
be   O
managed   O
per   O
current   O
guidelines   O
throughout   O
the   O
hospital   O
stay   O
.   O

Follow   O
-   O
Up   O
:   O
Kumar   B-NAME
is   O
to   O
be   O
reviewed   O
post   O
-   O
operatively   O
by   O
Goodwin   B-NAME
in   O
the   O
surgical   O
unit   O
of   O
Hampton   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
further   O
information   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Presley   B-NAME
,   I-NAME
Elvis   I-NAME
or   O
family   O
members   O
can   O
contact   O
Saint   B-LOCATION
Joseph   I-LOCATION
Berea   I-LOCATION
at   O
26527   B-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Wyoming   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Chestatee   B-LOCATION
State   I-LOCATION
Bank   I-LOCATION
,   O
and   O
authorized   O
medical   O
personnel   O
only   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Patient   O
Name   O
:   O
Titus   B-NAME
Knappenberger   I-NAME
-   O
Age   O
:   O
28   O
-   O
ID   O
:   O
7   B-ID
-   I-ID
3419322   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
344   B-ID
-   I-ID
37   I-ID
-   I-ID
11   I-ID
-   O
Date   O
of   O
Birth   O
:   O
2231   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
27   I-DATE
-   O
Location   O
:   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10463   I-LOCATION
-   O
Zip   O
Code   O
:   O
30665   B-LOCATION
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
436   I-CONTACT
)   I-CONTACT
613   I-CONTACT
-   I-CONTACT
7364   I-CONTACT
Chief   O
Complaint   O
:   O
Ward   B-NAME
presented   O
on   O
'   B-DATE
92   I-DATE
with   O
complaints   O
of   O
progressive   O
,   O
bilateral   O
lower   O
extremity   O
weakness   O
over   O
the   O
past   O
2026   B-DATE
,   O
accompanied   O
by   O
intermittent   O
numbness   O
and   O
paresthesias   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Matt   B-NAME
Lincoln   I-NAME
,   O
a   O
Ushers   O
,   O
Lobby   O
Attendants   O
,   O
and   O
Ticket   O
Takers   O
,   O
started   O
to   O
notice   O
these   O
symptoms   O
approximately   O
July   B-DATE
30   I-DATE
ago   O
.   O

Hypertension   O
,   O
diagnosed   O
03/29/2113   B-DATE
2   O
.   O

Type   O
II   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
September   B-DATE
25   I-DATE
3   O
.   O

Metformin   O
500   O
mg   O
twice   O
daily   O
Social   O
History   O
:   O
Benjamin   B-NAME
McKenna   I-NAME
is   O
a   O
Heating   O
,   O
Air   O
Conditioning   O
,   O
and   O
Refrigeration   O
Mechanics   O
and   O
Installers   O
and   O
admits   O
to   O
a   O
history   O
of   O
smoking   O
but   O
quit   O
35/25   B-DATE
.   O

Lives   O
alone   O
in   O
Buffalo   B-LOCATION
City   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bowles   B-NAME
,   I-NAME
Ralston   I-NAME
appeared   O
to   O
be   O
in   O
no   O
distress   O
.   O

MRI   O
of   O
the   O
spine   O
scheduled   O
for   O
11/30/2002   B-DATE
at   O
Penn   B-LOCATION
State   I-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
to   O
assess   O
for   O
any   O
compressive   O
lesions   O
.   O

3   O
.   O
Electromyography   O
(   O
EMG   O
)   O
and   O
nerve   O
conduction   O
studies   O
(   O
NCS   O
)   O
to   O
evaluate   O
peripheral   O
neuropathy   O
planned   O
for   O
32/33/2025   B-DATE
.   O
Assessment   O
:   O

The   O
differential   O
diagnosis   O
for   O
Elisa   B-NAME
Mcdonald   I-NAME
's   O
presentation   O
includes   O
peripheral   O
neuropathy   O
possibly   O
secondary   O
to   O
long   O
-   O
standing   O
diabetes   O
,   O
lumbar   O
radiculopathy   O
,   O
or   O
a   O
myopathic   O
process   O
.   O

Appointment   O
scheduled   O
with   O
Dr.   O
Carlie   B-NAME
Owen   I-NAME
on   O
32/30/21   B-DATE
.   O

The   O
patient   O
has   O
been   O
advised   O
to   O
return   O
to   O
the   O
clinic   O
or   O
contact   O
Dr.   O
Baker   B-NAME
at   O
195   B-CONTACT
717   I-CONTACT
-   I-CONTACT
7225   I-CONTACT
for   O
any   O
worsening   O
of   O
symptoms   O
or   O
concerns   O
before   O
the   O
next   O
scheduled   O
follow   O
-   O
up   O
.   O

Prepared   O
by   O
:   O
bk721   B-NAME
0/12/33   B-DATE
cc   O
:   O
Carmelo   B-NAME
Mcdaniel   I-NAME
,   O
Community   B-LOCATION
First   I-LOCATION
Bank   I-LOCATION
,   O
Cherlin   B-NAME

Patient   O
:   O
Drake   B-NAME
,   I-NAME
Nick   I-NAME
ID   O
:   O
YK:8089:975405   B-ID
Medical   O
Record   O
Number   O
:   O
4649484   B-ID
Age   O
:   O
31   O
Phone   O
:   O
(   B-CONTACT
847   I-CONTACT
)   I-CONTACT
471   I-CONTACT
6815   I-CONTACT
Address   O
:   O
Owen   B-LOCATION
,   O
71432   B-LOCATION
Occupation   O
:   O

Clinical   O
molecular   O
geneticist   O
Date   O
of   O
Admission   O
:   O
3/2/62   B-DATE
Attending   O
Physician   O
:   O

Brennen   B-NAME
Vance   I-NAME
Hospital   O
:   O
Bayshore   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Referring   O
Organization   O
:   O

Fair   B-LOCATION
Wear   I-LOCATION
Foundation   I-LOCATION
(   I-LOCATION
FWA   I-LOCATION
)   I-LOCATION
Chief   O
Complaint   O
:   O
Paul   B-NAME
Turner   I-NAME
presents   O
with   O
acute   O
onset   O
of   O
dyspnea   O
,   O
characterized   O
by   O
shortness   O
of   O
breath   O
which   O
has   O
progressively   O
worsened   O
over   O
the   O
past   O
2277   B-DATE
.   O

Rachael   B-NAME
Obryan   I-NAME
describes   O
an   O
episode   O
of   O
syncope   O
that   O
occurred   O
earlier   O
on   O
02/19/1657   B-DATE
,   O
lasting   O
for   O
approximately   O
70   O
seconds   O
without   O
any   O
premonitory   O
symptoms   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Henderson   B-NAME
has   O
noted   O
intermittent   O
episodes   O
of   O
tachycardia   O
over   O
the   O
past   O
few   O
weeks   O
,   O
with   O
palpitations   O
that   O
were   O
described   O
as   O
"   O
heart   O
racing   O
"   O
sensations   O
.   O

There   O
is   O
a   O
reported   O
history   O
of   O
recent   O
travel   O
to   O
Mud   B-LOCATION
Bay   I-LOCATION
approximately   O
04/30   B-DATE
ago   O
,   O
where   O
the   O
patient   O
recalls   O
prolonged   O
periods   O
of   O
immobility   O
.   O

Kane   B-NAME
denies   O
any   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
,   O
and   O
there   O
is   O
no   O
noted   O
fever   O
,   O
cough   O
,   O
or   O
sputum   O
production   O
.   O

Glas   B-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Family   O
history   O
reveals   O
that   O
Theopolis   B-NAME
's   O
Food   O
Cooking   O
Machine   O
Operators   O
and   O
Tenders   O
parent   O
suffered   O
from   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Jennefer   B-NAME
Outten   I-NAME
is   O
noted   O
to   O
be   O
in   O
moderate   O
distress   O
with   O
labored   O
breathing   O
.   O

A   O
CT   O
pulmonary   O
angiogram   O
ordered   O
by   O
Mueller   B-NAME
on   O
Jun   B-DATE
04   I-DATE
,   I-DATE
2038   I-DATE
shows   O
evidence   O
of   O
a   O
right   O
lower   O
lobe   O
pulmonary   O
embolism   O
.   O

Management   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Hendrickson   B-NAME
,   I-NAME
D.   I-NAME
was   O
started   O
on   O
anticoagulation   O
therapy   O
with   O
low   O
molecular   O
weight   O
heparin   O
and   O
plans   O
are   O
in   O
place   O
for   O
transitioning   O
to   O
oral   O
anticoagulants   O
.   O

Peyton   B-NAME
Winters   I-NAME
was   O
advised   O
to   O
avoid   O
prolonged   O
periods   O
of   O
immobility   O
and   O
to   O
wear   O
compression   O
stockings   O
during   O
travel   O
.   O

Discharge   O
Instructions   O
:   O
Uzziel   B-NAME
is   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
clinic   O
with   O
Bryan   B-NAME
Summers   I-NAME
on   O
2/01   B-DATE
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Boyd   B-NAME
is   O
encouraged   O
to   O
contact   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Grosse   I-LOCATION
Pointe   I-LOCATION
at   O
727   B-CONTACT
898   I-CONTACT
7158   I-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

Signature   O
:   O
Julia   B-NAME
Santos   I-NAME
Keefer   I-NAME
03/21/66   B-DATE

The   O
patient   O
,   O
Vonda   B-NAME
T.   I-NAME
Ulloa   I-NAME
,   O
a   O
Patent   O
attorney   O
from   O
Antioch   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Mather   B-LOCATION
Hospital   I-LOCATION
on   O
33/22/2231   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
arrival   O
.   O

Damas   B-NAME
reported   O
that   O
the   O
pain   O
was   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
described   O
as   O
a   O
sharp   O
and   O
continuous   O
pain   O
,   O
rated   O
8/10   O
in   O
severity   O
.   O

Physical   O
examination   O
conducted   O
by   O
Saige   B-NAME
Riggs   I-NAME
revealed   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Abdominal   O
ultrasound   O
performed   O
by   O
the   O
radiology   O
department   O
at   O
Bassett   B-LOCATION
Hospital   I-LOCATION
Of   I-LOCATION
Schoharie   I-LOCATION
County   I-LOCATION
on   O
December   B-DATE
demonstrated   O
swelling   O
of   O
the   O
appendix   O
with   O
the   O
presence   O
of   O
an   O
appendicolith   O
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Bakers   B-LOCATION
,   I-LOCATION
Food   I-LOCATION
&   I-LOCATION
Allied   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
's   O
surgical   O
team   O
,   O
led   O
by   O
Paige   B-NAME
,   I-NAME
Satchel   I-NAME
,   O
was   O
consulted   O
and   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
January   B-DATE
without   O
any   O
complications   O
.   O

Devon   B-NAME
Castaneda   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
Vernon   B-NAME
was   O
discharged   O
on   O
22/28   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
.   O

Nick   B-NAME
Steele   I-NAME
advised   O
Ferrell   B-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
they   O
experience   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
signs   O
of   O
wound   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Rubio   B-NAME
at   O
Wilkes   B-LOCATION
-   I-LOCATION
Barre   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
for   O
22/10   B-DATE
to   O
assess   O
the   O
recovery   O
progress   O
.   O

For   O
any   O
inquiries   O
or   O
to   O
reschedule   O
the   O
follow   O
-   O
up   O
appointment   O
,   O
Armando   B-NAME
Paul   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
of   O
the   O
surgery   O
department   O
at   O
653   B-CONTACT
4794   I-CONTACT
.   O

The   O
medical   O
record   O
number   O
for   O
this   O
visit   O
is   O
525684CA   B-ID
,   O
and   O
the   O
patient   O
's   O
unique   O
patient   O
identifier   O
is   O
VI:82650:232776   B-ID
.   O

This   O
detailed   O
patient   O
report   O
is   O
stored   O
securely   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
,   O
ensuring   O
that   O
all   O
personal   O
and   O
medical   O
information   O
,   O
including   O
Marlene   B-NAME
Meyers   I-NAME
's   O
30   O
,   O
2   B-ID
-   I-ID
9117548   I-ID
,   O
51101   B-CONTACT
,   O
561   B-ID
-   I-ID
56   I-ID
-   I-ID
28   I-ID
,   O
and   O
residential   O
information   O
(   O
Armona   B-LOCATION
,   O
65744   B-LOCATION
)   O
,   O
remains   O
confidential   O
.   O

The   O
patient   O
,   O
Hancock   B-NAME
,   O
aged   O
90   O
,   O
residing   O
at   O
Laredo   B-LOCATION
,   I-LOCATION
Streets   I-LOCATION
of   I-LOCATION
Laredo   I-LOCATION
Urban   I-LOCATION
Mall   I-LOCATION
,   O
21642   B-LOCATION
,   O
presented   O
to   O
NYC   B-LOCATION
Health   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Metropolitan   I-LOCATION
on   O
Thanksgiving   B-DATE
with   O
a   O
set   O
of   O
symptoms   O
that   O
have   O
been   O
persistently   O
worsening   O
over   O
the   O
course   O
of   O
approximately   O
two   O
weeks   O
.   O

Jackson   B-NAME
X.   I-NAME
Triplett   I-NAME
's   O
primary   O
complaint   O
was   O
a   O
sustained   O
,   O
high   O
-   O
grade   O
fever   O
peaking   O
at   O
39.5   O
°   O
C   O
,   O
accompanied   O
by   O
an   O
intractable   O
,   O
dry   O
cough   O
.   O

Alongside   O
these   O
symptoms   O
,   O
Brooks   B-NAME
reported   O
experiencing   O
significant   O
shortness   O
of   O
breath   O
,   O
initially   O
occurring   O
during   O
physical   O
exertion   O
but   O
eventually   O
progressing   O
to   O
a   O
point   O
of   O
discomfort   O
at   O
rest   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Henry   B-NAME
,   I-NAME
O.   I-NAME
,   O
noted   O
bilateral   O
crackles   O
on   O
auscultation   O
,   O
suggestive   O
of   O
pulmonary   O
edema   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
as   O
recorded   O
under   O
3223183   B-ID
,   O
includes   O
a   O
diagnosis   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
hypertension   O
.   O

These   O
comorbid   O
conditions   O
necessitated   O
an   O
elevated   O
level   O
of   O
care   O
,   O
prompting   O
consideration   O
for   O
admission   O
to   O
the   O
intensive   O
care   O
unit   O
of   O
Smith   B-LOCATION
Northview   I-LOCATION
Hospital   I-LOCATION
.   O

Laboratory   O
tests   O
ordered   O
on   O
05/20/1950   B-DATE
revealed   O
elevated   O
levels   O
of   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
and   O
a   O
markedly   O
high   O
white   O
blood   O
cell   O
count   O
,   O
indicative   O
of   O
a   O
systemic   O
inflammatory   O
response   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
the   O
rapid   O
progression   O
of   O
symptoms   O
,   O
the   O
healthcare   O
team   O
,   O
led   O
by   O
Dr.   O
Oneill   B-NAME
,   O
initiated   O
a   O
treatment   O
regimen   O
consisting   O
of   O
high   O
-   O
dose   O
corticosteroids   O
and   O
broad   O
-   O
spectrum   O
antibiotics   O
.   O

Additionally   O
,   O
Hayden   B-NAME
,   I-NAME
Teresa   I-NAME
Nielson   I-NAME
was   O
placed   O
on   O
supplemental   O
oxygen   O
to   O
manage   O
hypoxemia   O
.   O

The   O
contact   O
number   O
provided   O
for   O
emergency   O
communication   O
was   O
807   B-CONTACT
8843   I-CONTACT
,   O
belonging   O
to   O
Tacitus   B-NAME
's   O
next   O
of   O
kin   O
.   O

Informed   O
consent   O
for   O
the   O
proposed   O
treatment   O
plan   O
was   O
verbally   O
obtained   O
from   O
Tianna   B-NAME
Mills   I-NAME
on   O
31/24   B-DATE
,   O
and   O
duly   O
recorded   O
in   O
the   O
patient   O
's   O
electronic   O
health   O
record   O
,   O
0157254   B-ID
.   O

The   O
team   O
at   O
Missouri   B-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Sullivan   I-LOCATION
remains   O
in   O
close   O
communication   O
with   O
Sidney   B-NAME
Stephenson   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Dr.   O
Howard   B-NAME
Kennedy   I-NAME
,   O
via   O
updates   O
sent   O
to   O
647   B-CONTACT
6235   I-CONTACT
and   O
electronically   O
shared   O
through   O
secure   O
medical   O
record   O
exchanges   O
.   O

These   O
updates   O
include   O
detailed   O
notes   O
on   O
Vasquez   B-NAME
's   O
clinical   O
progress   O
,   O
responses   O
to   O
treatment   O
,   O
and   O
any   O
modifications   O
to   O
the   O
care   O
plan   O
.   O

As   O
of   O
2112   B-DATE
,   O
Angeni   B-NAME
's   O
condition   O
has   O
shown   O
incremental   O
improvement   O
,   O
with   O
a   O
decrease   O
in   O
fever   O
and   O
a   O
marked   O
reduction   O
in   O
the   O
severity   O
of   O
cough   O
and   O
shortness   O
of   O
breath   O
.   O

The   O
ongoing   O
management   O
strategy   O
emphasizes   O
close   O
monitoring   O
,   O
nutritional   O
support   O
,   O
and   O
physical   O
rehabilitation   O
to   O
enhance   O
Brayan   B-NAME
Finley   I-NAME
's   O
recovery   O
process   O
.   O

The   O
collaborative   O
effort   O
among   O
the   O
multidisciplinary   O
team   O
at   O
Trinity   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
,   O
adherence   O
to   O
evidence   O
-   O
based   O
protocols   O
,   O
and   O
the   O
utilization   O
of   O
advanced   O
therapeutic   O
interventions   O
played   O
critical   O
roles   O
in   O
stabilizing   O
Diana   B-NAME
Reddin   I-NAME
's   O
condition   O
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
this   O
case   O
,   O
please   O
contact   O
the   O
primary   O
care   O
team   O
at   O
Roane   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
via   O
(   B-CONTACT
738   I-CONTACT
)   I-CONTACT
382   I-CONTACT
-   I-CONTACT
4925   I-CONTACT
or   O
send   O
an   O
inquiry   O
to   O
uix541   B-NAME
@   O
Paxton   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Patient   O
Report   O
for   O
Cody   B-NAME
Davis   I-NAME
Patient   O
ID   O
:   O
SW   B-ID
:   I-ID
YM:6551   I-ID
Medical   O
Record   O
Number   O
:   O
4884189   B-ID
Date   O
of   O
Report   O
:   O
2295   B-DATE
Attending   O
Physician   O
:   O

Joe   B-NAME
Einhorn   I-NAME
Hospital   O
:   O
Lehigh   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Schuylkill   I-LOCATION
East   I-LOCATION
Norwegian   I-LOCATION
Street   I-LOCATION
Location   O
:   O
Hickory   B-LOCATION
Hill   I-LOCATION
,   O
94578   B-LOCATION
Emergency   O
Contact   O
Phone   O
:   O
170   B-CONTACT
4854   I-CONTACT
History   O
of   O
Present   O
Illness   O
:   O
Alyson   B-NAME
Sutton   I-NAME
,   O
a   O
Command   O
and   O
Control   O
Center   O
Officers   O
by   O
profession   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
22/07/2271   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
8   O
hours   O
prior   O
to   O
admission   O
.   O

Genesis   B-NAME
Frederick   I-NAME
has   O
not   O
experienced   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Etta   B-NAME
Cohen   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Morrissey   B-NAME
underwent   O
an   O
abdominal   O
ultrasound   O
which   O
suggested   O
appendicitis   O
,   O
showing   O
an   O
enlarged   O
appendix   O
with   O
peri   O
-   O
appendiceal   O
fluid   O
collection   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
OSF   B-LOCATION
Heart   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Abraham   B-NAME
Zhang   I-NAME
for   O
surgical   O
intervention   O
.   O

Laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
November   B-DATE
without   O
complications   O
.   O

Sanai   B-NAME
Swanson   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
showed   O
signs   O
of   O
improvement   O
with   O
a   O
decrease   O
in   O
pain   O
and   O
normalization   O
of   O
temperature   O
and   O
heart   O
rate   O
.   O

Follow   O
-   O
Up   O
:   O
Lila   B-NAME
Stark   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
surgical   O
clinic   O
on   O
21/35   B-DATE
to   O
monitor   O
post   O
-   O
operative   O
recovery   O
.   O

The   O
interdisciplinary   O
approach   O
involving   O
emergency   O
medicine   O
,   O
surgery   O
,   O
and   O
nursing   O
care   O
was   O
pivotal   O
in   O
providing   O
timely   O
and   O
effective   O
treatment   O
for   O
Grady   B-NAME
Pugh   I-NAME
.   O

Report   O
Prepared   O
By   O
:   O
suk308   B-NAME
Report   O
Date   O
:   O
12/24   B-DATE

The   O
patient   O
,   O
Brycen   B-NAME
Rivas   I-NAME
,   O
a   O
Computer   O
Programmers   O
from   O
Haywards   B-LOCATION
Heath   I-LOCATION
,   O
presented   O
to   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Midtown   I-LOCATION
Campus   I-LOCATION
on   O
33/21   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
progressive   O
dyspnea   O
and   O
bilateral   O
lower   O
extremity   O
edema   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Trevin   B-NAME
Wyatt   I-NAME
is   O
5   O
years   O
old   O
and   O
was   O
seen   O
by   O
Andrea   B-NAME
Kaufman   I-NAME
in   O
the   O
Department   O
of   O
Cardiology   O
.   O

Lab   O
investigations   O
ordered   O
by   O
Goldman   B-NAME
,   I-NAME
Emma   I-NAME
included   O
a   O
complete   O
blood   O
count   O
,   O
basic   O
metabolic   O
panel   O
,   O
liver   O
function   O
tests   O
,   O
NT   O
-   O
proBNP   O
,   O
and   O
a   O
chest   O
X   O
-   O
ray   O
.   O

Raleigh   B-NAME
,   I-NAME
Sir   I-NAME
Walter   I-NAME
recommended   O
an   O
echocardiogram   O
that   O
revealed   O
reduced   O
ejection   O
fraction   O
,   O
confirming   O
a   O
diagnosis   O
of   O
heart   O
failure   O
with   O
reduced   O
ejection   O
fraction   O
(   O
HFrEF   O
)   O
.   O

87046   B-CONTACT
was   O
provided   O
as   O
the   O
emergency   O
contact   O
number   O
,   O
and   O
Miya   B-NAME
Beasley   I-NAME
consented   O
to   O
the   O
proposed   O
treatment   O
plan   O
.   O

Anton   B-NAME
Phibes   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
heart   O
failure   O
clinic   O
on   O
Jan   B-DATE
23   I-DATE
,   I-DATE
2337   I-DATE
,   O
and   O
a   O
referral   O
to   O
the   O
diabetes   O
management   O
team   O
was   O
made   O
to   O
optimize   O
glycemic   O
control   O
.   O

The   O
medical   O
team   O
at   O
Doctors   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
emphasized   O
the   O
importance   O
of   O
medication   O
adherence   O
,   O
low   O
sodium   O
diet   O
,   O
and   O
regular   O
monitoring   O
of   O
weight   O
and   O
symptoms   O
.   O

For   O
discharge   O
,   O
Ellie   B-NAME
Cavanaugh   I-NAME
was   O
given   O
prescriptions   O
along   O
with   O
educational   O
material   O
on   O
managing   O
heart   O
failure   O
at   O
home   O
.   O

Alix   B-NAME
Gadbois   I-NAME
's   O
798   B-ID
-   I-ID
41   I-ID
-   I-ID
81   I-ID
-   I-ID
8   I-ID
and   O
KG:60643:623316   B-ID
were   O
updated   O
to   O
reflect   O
the   O
current   O
admission   O
and   O
treatment   O
plan   O
.   O

A   O
follow   O
-   O
up   O
call   O
through   O
35576   B-CONTACT
is   O
scheduled   O
within   O
a   O
week   O
to   O
assess   O
symptom   O
improvement   O
and   O
address   O
any   O
concerns   O
.   O

The   O
pharmacy   O
at   O
1st   B-LOCATION
Centennial   I-LOCATION
Bank   I-LOCATION
and   O
Sonia   B-NAME
Klein   I-NAME
's   O
primary   O
care   O
physician   O
in   O
Filey   B-LOCATION
were   O
notified   O
of   O
the   O
new   O
medications   O
.   O

Documents   O
related   O
to   O
Tania   B-NAME
Everett   I-NAME
's   O
care   O
including   O
discharge   O
summary   O
,   O
medication   O
list   O
,   O
and   O
follow   O
-   O
up   O
appointments   O
were   O
sent   O
to   O
19054   B-LOCATION
for   O
record   O
keeping   O
.   O

Irmgard   B-NAME
Menas   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
and   O
left   O
optimistic   O
about   O
managing   O
the   O
condition   O
with   O
the   O
support   O
of   O
the   O
healthcare   O
team   O
at   O
Ed   B-LOCATION
Fraser   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Jimmy   B-NAME
Nelms   I-NAME
Date   O
of   O
Birth   O
:   O
5/26   B-DATE
Age   O
:   O
34   O
Medical   O
Record   O
Number   O
:   O
56490591   B-ID
ID   O
:   O
PN738/2214   B-ID
Address   O
:   O
Seville   B-LOCATION
,   O
41155   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
976   I-CONTACT
)   I-CONTACT
897   I-CONTACT
-   I-CONTACT
9078   I-CONTACT
Employer   O
:   O

Sun   B-LOCATION
West   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Business   O
Continuity   O
Planners   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Kianna   B-NAME
Morse   I-NAME
Hospital   O
:   O
DOCTORS   B-LOCATION
HOSPITAL   I-LOCATION
OF   I-LOCATION
SARASOTA   I-LOCATION
Username   O
:   O
mi800   B-NAME
Chief   O
Complaint   O
:   O
Chanel   B-NAME
Hurley   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
2219   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
exacerbated   O
over   O
the   O
past   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Miller   B-NAME
has   O
been   O
generally   O
healthy   O
with   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
communicated   O
.   O

The   O
patient   O
began   O
experiencing   O
mild   O
abdominal   O
discomfort   O
2/19/31   B-DATE
,   O
which   O
progressively   O
worsened   O
,   O
reaching   O
an   O
unbearable   O
intensity   O
prompting   O
emergency   O
consultation   O
.   O

Phoebe   B-NAME
Reilly   I-NAME
denies   O
any   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Social   O
History   O
:   O
RDB   B-NAME
is   O
a   O
Shipping   O
,   O
Receiving   O
,   O
and   O
Traffic   O
Clerks   O
employed   O
at   O
Trade   B-LOCATION
Justice   I-LOCATION
Movement   I-LOCATION
(   I-LOCATION
TJM   I-LOCATION
)   I-LOCATION
.   O

Jeril   B-NAME
lives   O
in   O
Lakota   B-LOCATION
with   O
no   O
recent   O
travel   O
history   O
.   O

Upon   O
examination   O
,   O
Kayla   B-NAME
Thornton   I-NAME
was   O
alert   O
and   O
oriented   O
but   O
appeared   O
to   O
be   O
in   O
distress   O
.   O

Vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
Temperature   O
1601   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
03   I-DATE
of   O
100.4   O
°   O
F   O
,   O
Blood   O
Pressure   O
130/85   O
mmHg   O
,   O
Heart   O
Rate   O
102   O
bpm   O
,   O
and   O
Respiratory   O
Rate   O
22   O
breaths   O
per   O
minute   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
recommended   O
by   O
Dr.   O
Elisa   B-NAME
Peters   I-NAME
,   O
which   O
indicated   O
appendicitis   O
with   O
no   O
complications   O
.   O

Dolphy   B-NAME
,   I-NAME
Eric   I-NAME
was   O
admitted   O
to   O
Freeman   B-LOCATION
Neosho   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Patton   B-NAME
for   O
further   O
management   O
.   O

Acuna   B-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
and   O
planned   O
for   O
a   O
laparoscopic   O
appendectomy   O
within   O
the   O
next   O
24   O
hours   O
pending   O
stabilization   O
and   O
fasting   O
status   O
.   O

Instructions   O
were   O
provided   O
to   O
Fowler   B-NAME
for   O
post   O
-   O
operative   O
care   O
and   O
the   O
importance   O
of   O
follow   O
-   O
up   O
with   O
Dr.   O
Rosales   B-NAME
post   O
-   O
discharge   O
was   O
emphasized   O
.   O

Haley   B-NAME
's   O
condition   O
will   O
be   O
monitored   O
closely   O
,   O
and   O
the   O
surgical   O
team   O
will   O
be   O
notified   O
immediately   O
should   O
any   O
complications   O
arise   O
.   O

All   O
personal   O
identifiers   O
including   O
Vasquez   B-NAME
's   O
name   O
,   O
address   O
,   O
and   O
specific   O
details   O
have   O
been   O
removed   O
or   O
generalized   O
to   O
protect   O
Brown   B-NAME
,   I-NAME
Alton   I-NAME
's   O
privacy   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Alaina   B-NAME
May   I-NAME
ID   O
:   O
IR:781022:941325   B-ID
Age   O
:   O
73   O
Date   O
of   O
Birth   O
:   O
21/33/2348   B-DATE
Address   O
:   O
Shickshinny   B-LOCATION
,   O
65338   B-LOCATION
Phone   O
Number   O
:   O
94793   B-CONTACT
Occupation   O
:   O

Structural   O
Iron   O
and   O
Steel   O
Workers   O
Medical   O
Record   O
Number   O
:   O
42495574   B-ID
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Patrick   B-NAME
Admitting   O
Hospital   O
:   O

Pratt   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Pratt   I-LOCATION
Admission   O
Date   O
:   O
39/23/2093   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Tristan   B-NAME
Snow   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Benewah   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2/1   B-DATE
with   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
described   O
as   O
a   O
sharp   O
and   O
constant   O
ache   O
that   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Youngquist   B-NAME
also   O
reported   O
accompanying   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
loss   O
of   O
appetite   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Rolland   B-NAME
Muck   I-NAME
noticed   O
the   O
onset   O
of   O
symptoms   O
on   O
the   O
evening   O
of   O
23/33/2133   B-DATE
,   O
starting   O
with   O
a   O
dull   O
ache   O
around   O
the   O
umbilicus   O
which   O
progressively   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
over   O
the   O
course   O
of   O
a   O
few   O
hours   O
.   O

Past   O
Medical   O
History   O
:   O
Glenn   B-NAME
Suarez   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
prescribed   O
by   O
Dr.   O
Hunt   B-NAME
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

powell   B-NAME
has   O
no   O
known   O
drug   O
allergies   O
and   O
is   O
non   O
-   O
smoker   O
and   O
occasional   O
alcohol   O
user   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Jerry   B-NAME
Prince   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Outcomes   O
:   O
Following   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
Goldsmith   B-NAME
,   I-NAME
Oliver   I-NAME
was   O
admitted   O
to   O
Saint   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Kirkwood   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Gretchen   B-NAME
Harper   I-NAME
on   O
09/22   B-DATE
.   O

Trump   B-NAME
,   I-NAME
Donald   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Ezekiel   B-NAME
Hart   I-NAME
was   O
discharged   O
on   O
May   B-DATE
2242   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
booked   O
with   O
Dr.   O
Rose   B-NAME
on   O
00/17/1768   B-DATE
.   O

Username   O
:   O
jqt9110   B-NAME
Organization   O
:   O

Wounded   B-LOCATION
Warrior   I-LOCATION
Project   I-LOCATION
Location   O
Contribution   O
:   O
Clive   B-LOCATION
Zip   O
Contribution   O
:   O
27870   B-LOCATION

Patient   O
Name   O
:   O
Kipling   B-NAME
,   I-NAME
Rudyard   I-NAME
Patient   O
ID   O
:   O
NS191/6667   B-ID
Medical   O
Record   O
Number   O
:   O
26565759   B-ID
Date   O
of   O
Birth   O
:   O
1844   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
00   I-DATE
Age   O
:   O
99   O
Phone   O
Number   O
:   O
67791   B-CONTACT
Address   O
:   O
Aspinwall   B-LOCATION
,   O
97590   B-LOCATION
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
of   O
Animal   O
Husbandry   O
and   O
Animal   O
Care   O
Workers   O
Referred   O
by   O
:   O
Dr.   O
Zimmerman   B-NAME
Summary   O
of   O
Visit   O
:   O

The   O
patient   O
,   O
Nola   B-NAME
Gallagher   I-NAME
,   O
presented   O
to   O
the   O
clinic   O
on   O
11/76   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
unusual   O
fatigue   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
gradual   O
and   O
has   O
significantly   O
impaired   O
Erick   B-NAME
Mcdonald   I-NAME
's   O
daily   O
activities   O
,   O
particularly   O
affecting   O
Conference   O
organiser   O
duties   O
.   O

Mcmahon   B-NAME
denies   O
any   O
recent   O
travel   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
but   O
reports   O
a   O
history   O
of   O
smoking   O
.   O

Clinical   O
Observations   O
:   O
Physical   O
examination   O
revealed   O
Juliet   B-NAME
Ruiz   I-NAME
to   O
be   O
in   O
mild   O
distress   O
with   O
audible   O
wheezing   O
and   O
decreased   O
breath   O
sounds   O
bilaterally   O
.   O

A   O
high   O
-   O
resolution   O
computed   O
tomography   O
(   O
HRCT   O
)   O
scan   O
of   O
the   O
chest   O
is   O
recommended   O
for   O
22/2273   B-DATE
at   O
Penn   B-LOCATION
State   I-LOCATION
Milton   I-LOCATION
S.   I-LOCATION
Hershey   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Mabuse   B-NAME
is   O
to   O
undergo   O
an   O
HRCT   O
scan   O
of   O
the   O
chest   O
on   O
30/06   B-DATE
at   O
San   B-LOCATION
Juan   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
.   O

Advise   O
Xavier   B-NAME
Embry   I-NAME
on   O
smoking   O
cessation   O
and   O
refer   O
to   O
a   O
cessation   O
program   O
through   O
The   B-LOCATION
Norfolk   I-LOCATION
&   I-LOCATION
Dedham   I-LOCATION
Group   I-LOCATION
.   O

5   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
2162   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
27   I-DATE
to   O
review   O
HRCT   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Xie   B-NAME
is   O
encouraged   O
to   O
maintain   O
a   O
healthy   O
environment   O
at   O
home   O
and   O
at   O
Compliance   O
Managers   O
's   O
workplace   O
.   O

Further   O
,   O
River   B-NAME
Booth   I-NAME
should   O
observe   O
for   O
any   O
new   O
symptoms   O
and   O
seek   O
immediate   O
medical   O
attention   O
if   O
condition   O
worsens   O
.   O

Next   O
of   O
kin   O
has   O
been   O
listed   O
as   O
Rene   B-NAME
Singh   I-NAME
's   O
sibling   O
with   O
phone   O
number   O
749   B-CONTACT
-   I-CONTACT
3068   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Dr.   O
Ewing   B-NAME
on   O
3/4   B-DATE
.   O

Please   O
contact   O
our   O
office   O
at   O
653   B-CONTACT
778   I-CONTACT
-   I-CONTACT
7174   I-CONTACT
for   O
any   O
queries   O
or   O
further   O
information   O
.   O

Patient   O
:   O
Bergman   B-NAME
,   I-NAME
Ingmar   I-NAME
ID   O
:   O
UN   B-ID
:   I-ID
BK:2118   I-ID
Medical   O
Record   O
:   O
EO51562349   B-ID
Age   O
:   O
77   O
Phone   O
:   O
371   B-CONTACT
606   I-CONTACT
7207   I-CONTACT
Location   O
:   O
Quincy   B-LOCATION
Zip   O
:   O
30999   B-LOCATION
Date   O
of   O
Visit   O
:   O
0/14   B-DATE

Dr.   O
Mahoney   B-NAME
Hospital   O
:   O
MidHudson   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Westchester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
The   O
patient   O
,   O
Branson   B-NAME
Roth   I-NAME
,   O
presented   O
in   O
the   O
emergency   O
department   O
of   O
Sentara   B-LOCATION
Martha   I-LOCATION
Jefferson   I-LOCATION
Hospital   I-LOCATION
on   O
2032   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Mila   B-NAME
Thompson   I-NAME
also   O
reported   O
accompanying   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
notable   O
lack   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

On   O
examination   O
,   O
Martin   B-NAME
Cabrera   I-NAME
,   O
aged   O
6s   O
,   O
was   O
found   O
to   O
be   O
febrile   O
with   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
.   O

Initial   O
laboratory   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Carrel   B-NAME
,   I-NAME
Alexis   I-NAME
,   O
which   O
included   O
a   O
complete   O
blood   O
count   O
showing   O
a   O
leukocytosis   O
with   O
a   O
left   O
shift   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
,   O
as   O
recorded   O
under   O
4329117   B-ID
,   O
was   O
unremarkable   O
save   O
for   O
a   O
previous   O
episode   O
of   O
uncomplicated   O
acute   O
appendicitis   O
treated   O
conservatively   O
approximately   O
1   O
years   O
ago   O
.   O

Dr.   O
Villegas   B-NAME
discussed   O
the   O
findings   O
and   O
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
a   O
potential   O
appendectomy   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Long   B-LOCATION
Island   I-LOCATION
College   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Bradford   B-NAME
for   O
further   O
management   O
.   O

In   O
the   O
interim   O
,   O
Deeann   B-NAME
Mazion   I-NAME
’s   O
next   O
of   O
kin   O
was   O
informed   O
of   O
the   O
situation   O
via   O
phone   O
call   O
to   O
19099   B-CONTACT
by   O
the   O
nursing   O
staff   O
,   O
ensuring   O
the   O
family   O
was   O
updated   O
on   O
the   O
patient   O
’s   O
status   O
and   O
planned   O
treatment   O
approach   O
.   O

The   O
care   O
team   O
at   O
Prisma   B-LOCATION
Health   I-LOCATION
Laurens   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
coordinated   O
closely   O
to   O
ensure   O
a   O
seamless   O
continuum   O
of   O
care   O
for   O
Heraclitus   B-NAME
,   O
emphasizing   O
the   O
importance   O
of   O
both   O
pre   O
-   O
operative   O
and   O
post   O
-   O
operative   O
protocols   O
in   O
improving   O
patient   O
outcomes   O
in   O
cases   O
of   O
acute   O
appendicitis   O
.   O

Patient   O
Name   O
:   O
Zayden   B-NAME
Lester   I-NAME
Medical   O
Record   O
Number   O
:   O
83384781   B-ID
Age   O
:   O
32   O
Date   O
of   O
Birth   O
:   O
00/30   B-DATE
Address   O
:   O
Orono   B-LOCATION
,   O
25825   B-LOCATION
Phone   O
Number   O
:   O
955   B-CONTACT
-   I-CONTACT
8159   I-CONTACT
Attending   O
Physician   O
:   O
Berra   B-NAME
,   I-NAME
Yogi   I-NAME
Primary   O
Care   O
Physician   O
:   O

Roma   B-NAME
Kuether   I-NAME
Hospital   O
Name   O
:   O
Rush   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
12/36   B-DATE
Occupation   O
:   O
Detectives   O
and   O
Criminal   O
Investigators   O
Username   O
:   O
BV4610   B-NAME
ID   O
:   O
ZQ   B-ID
:   I-ID
XI:5026   I-ID
Insurance   O
Provider   O
:   O
Target   B-LOCATION
Chief   O
Complaint   O
:   O
Jocelyn   B-NAME
Frye   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Anderson   I-LOCATION
Campus   I-LOCATION
on   O
1756   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
abdominal   O
pain   O
concentrated   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Kaylie   B-NAME
Skinner   I-NAME
rated   O
the   O
pain   O
8   O
on   O
a   O
scale   O
of   O
10   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Charles   B-NAME
Tisdale   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
on   O
the   O
morning   O
of   O
21/03/01   B-DATE
with   O
mild   O
,   O
non   O
-   O
specific   O
abdominal   O
discomfort   O
that   O
progressively   O
worsened   O
.   O

Kafka   B-NAME
,   I-NAME
Franz   I-NAME
denied   O
any   O
recent   O
changes   O
in   O
diet   O
,   O
travel   O
history   O
,   O
or   O
sick   O
contacts   O
.   O

Past   O
Medical   O
History   O
:   O
Charlee   B-NAME
Wall   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

On   O
examination   O
,   O
Helveticus   B-NAME
,   I-NAME
appeared   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Assessment   O
:   O
Acute   O
appendicitis   O
Plan   O
:   O
Raven   B-NAME
Mcgee   I-NAME
was   O
admitted   O
to   O
Novant   B-LOCATION
Health   I-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
24/22   B-DATE
under   O
the   O
care   O
of   O
Davon   B-NAME
Chung   I-NAME
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Clay   B-NAME
,   I-NAME
Henry   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Chandler   B-NAME
's   O
diabetes   O
and   O
hypertension   O
were   O
managed   O
with   O
adjustments   O
to   O
the   O
medical   O
regimen   O
during   O
the   O
hospital   O
stay   O
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
on   O
1983   B-DATE
.   O

Trajan   B-NAME
Balsis   I-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
observed   O
overnight   O
in   O
the   O
post   O
-   O
operative   O
unit   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Sanai   B-NAME
Dennis   I-NAME
for   O
30/01/82   B-DATE
.   O
Urban   B-NAME
J.   I-NAME
Quinto   I-NAME
was   O
discharged   O
on   O
00/27/2136   B-DATE
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
.   O

Daphne   B-NAME
Mayo   I-NAME
was   O
advised   O
to   O
follow   O
a   O
soft   O
diet   O
initially   O
,   O
gradually   O
returning   O
to   O
regular   O
meals   O
as   O
tolerated   O
.   O

Follow   O
-   O
Up   O
:   O
Rudy   B-NAME
Mcguire   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
office   O
of   O
Elizabeth   B-NAME
Wood   I-NAME
on   O
04/24   B-DATE
to   O
monitor   O
recovery   O
and   O
manage   O
any   O
post   O
-   O
operative   O
complications   O
.   O

Patient   O
Report   O
:   O
2073   B-DATE
,   O
Carr   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Swedish   B-LOCATION
American   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
unrelenting   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
accompanied   O
by   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
diaphoresis   O
.   O

Mikayla   B-NAME
Stanton   I-NAME
's   O
family   O
history   O
was   O
significant   O
for   O
coronary   O
artery   O
disease   O
.   O

Olsen   B-NAME
immediately   O
ordered   O
an   O
Electrocardiogram   O
(   O
ECG   O
)   O
which   O
demonstrated   O
ST   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
.   O

Cantona   B-NAME
,   I-NAME
Eric   I-NAME
was   O
subsequently   O
transferred   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
for   O
an   O
emergent   O
coronary   O
angiogram   O
,   O
which   O
revealed   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
Wilkes   B-NAME
,   I-NAME
Maurice   I-NAME
's   O
condition   O
remained   O
stable   O
with   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Julius   B-NAME
No   I-NAME
discussed   O
the   O
risk   O
factors   O
of   O
coronary   O
artery   O
disease   O
with   O
the   O
patient   O
emphasizing   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O
1/24   B-DATE
,   O
Angel   B-NAME
Petersen   I-NAME
was   O
discharged   O
from   O
Parkland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
with   O
prescriptions   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
a   O
statin   O
,   O
beta   O
-   O
blocker   O
,   O
and   O
ACE   O
inhibitor   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Humberto   B-NAME
Abbott   I-NAME
at   O
the   O
cardiology   O
clinic   O
.   O

Eckhart   B-NAME
,   I-NAME
Meister   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
(   B-CONTACT
806   I-CONTACT
)   I-CONTACT
725   I-CONTACT
-   I-CONTACT
5380   I-CONTACT
for   O
the   O
cardiac   O
rehabilitation   O
team   O
and   O
was   O
encouraged   O
to   O
reach   O
out   O
in   O
case   O
of   O
any   O
queries   O
or   O
concerns   O
.   O

2151   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
24   I-DATE
,   O
the   O
follow   O
-   O
up   O
at   O
the   O
clinic   O
showed   O
Sharon   B-NAME
Wilkinson   I-NAME
maintaining   O
a   O
stable   O
condition   O
with   O
no   O
recurrent   O
symptoms   O
.   O

Report   O
ID   O
:   O
15314127   B-ID
Consulting   O
Physician   O
:   O
Jarvis   B-NAME
Hospital   O
:   O
Physicians   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Collier   I-LOCATION
Boulevard   I-LOCATION
Date   O
of   O
Admission   O
:   O
1/'38   B-DATE
Date   O
of   O
Discharge   O
:   O
15/02/52   B-DATE
Patient   O
Information   O
:   O
Deacon   B-NAME
,   O
45   O
,   O
therapist   O
,   O
Richmond   B-LOCATION
,   O
65051   B-LOCATION
Contact   O
Information   O
:   O
(   B-CONTACT
897   I-CONTACT
)   I-CONTACT
267   I-CONTACT
-   I-CONTACT
6337   I-CONTACT
,   O
Florida   B-LOCATION
Hospital   I-LOCATION
Altamonte   I-LOCATION

Patient   O
Report   O
Patient   O
Name   O
:   O
Pedro   B-NAME
Clements   I-NAME
Age   O
:   O
92   O
Date   O
of   O
Birth   O
:   O
05/15   B-DATE
Medical   O
Record   O
Number   O
:   O
06393   B-ID
Date   O
of   O
Visit   O
:   O
20/32/2392   B-DATE
Contact   O
Number   O
:   O
800   B-CONTACT
7509   I-CONTACT
Address   O
:   O
Masthope   B-LOCATION
,   O
74391   B-LOCATION
Referred   O
by   O
:   O
Dr.   O
Manson   B-NAME
,   I-NAME
Charles   I-NAME
Treated   O
at   O
:   O
University   B-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
Occupation   O
:   O
Barrister   O
Chief   O
Complaint   O
:   O
Patanella   B-NAME
Nickas   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
7/13   B-DATE
complaining   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
a   O
sharp   O
stabbing   O
sensation   O
that   O
began   O
approximately   O
3/21   B-DATE
.   O

Keller   B-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
denies   O
any   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

Upon   O
examination   O
,   O
Simon   B-NAME
August   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
temperature   O
of   O
98.6   O
°   O
F   O
,   O
blood   O
pressure   O
120/70   O
mmHg   O
,   O
heart   O
rate   O
78   O
bpm   O
,   O
and   O
respiratory   O
rate   O
16   O
breaths   O
/   O
min   O
.   O
Abdominal   O
examination   O
revealed   O
tenderness   O
and   O
rigidity   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
a   O
positive   O
Rovsing   O
's   O
sign   O
.   O

The   O
imaging   O
,   O
conducted   O
on   O
9/2   B-DATE
at   O
Henry   B-LOCATION
Ford   I-LOCATION
Macomb   I-LOCATION
Hospitals   I-LOCATION
,   O
revealed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
procedure   O
was   O
successfully   O
performed   O
on   O
22/20/95   B-DATE
at   O
McLeod   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
the   I-LOCATION
Pee   I-LOCATION
Dee   I-LOCATION
by   O
Dr.   O
Martin   B-NAME
Ellingham   I-NAME
.   O

Soo   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
post   O
-   O
surgery   O
to   O
manage   O
any   O
residual   O
infection   O
and   O
advised   O
on   O
wound   O
care   O
and   O
activity   O
restrictions   O
during   O
the   O
recovery   O
period   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
Bird   B-NAME
on   O
18   B-DATE
-   I-DATE
20   I-DATE
with   O
Dr.   O
Rob   B-NAME
Lake   I-NAME
at   O
New   B-LOCATION
York   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
to   O
monitor   O
healing   O
and   O
discuss   O
any   O
ongoing   O
care   O
requirements   O
.   O

Shaffer   B-NAME
has   O
been   O
instructed   O
to   O
contact   O
the   O
clinic   O
at   O
44760   B-CONTACT
if   O
they   O
experience   O
any   O
fever   O
,   O
increased   O
pain   O
at   O
the   O
surgical   O
site   O
,   O
or   O
symptoms   O
indicative   O
of   O
infection   O
or   O
if   O
they   O
have   O
any   O
concerns   O
during   O
their   O
recovery   O
period   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
djc4410   B-NAME
Relationship   O
:   O

Singers   O
Phone   O
:   O
56132   B-CONTACT
This   O
patient   O
report   O
was   O
generated   O
on   O
35/26/2107   B-DATE
and   O
encompasses   O
all   O
interactions   O
and   O
treatments   O
provided   O
to   O
Floyd   B-NAME
R   I-NAME
Shaw   I-NAME
from   O
initial   O
presentation   O
through   O
post   O
-   O
operative   O
care   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Niemöller   B-NAME
,   I-NAME
Martin   I-NAME
ID   O
:   O
YZ641/7530   B-ID
Medical   O
Record   O
Number   O
:   O
62958877   B-ID
Date   O
of   O
Birth   O
:   O
2143   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
25   I-DATE
Age   O
:   O
78   O
Address   O
:   O
Remington   B-LOCATION
,   O
76186   B-LOCATION
Phone   O
:   O
(   B-CONTACT
624   I-CONTACT
)   I-CONTACT
978   I-CONTACT
-   I-CONTACT
5604   I-CONTACT
Occupation   O
:   O
Materials   O
Scientists   O
Primary   O
Physician   O
:   O

Kianna   B-NAME
Mcclure   I-NAME
Medical   O
History   O
:   O
Rocco   B-NAME
Zimmerman   I-NAME
presented   O
to   O
MidState   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/27/33   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Mackenzie   B-NAME
Gibbs   I-NAME
reported   O
a   O
history   O
of   O
smoking   O
,   O
averaging   O
half   O
a   O
pack   O
per   O
day   O
for   O
the   O
past   O
20   O
years   O
.   O

Family   O
history   O
reveals   O
that   O
Lopez   B-NAME
's   O
father   O
died   O
of   O
myocardial   O
infarction   O
at   O
99   O
and   O
mother   O
is   O
living   O
with   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
.   O

On   O
examination   O
,   O
Ella   B-NAME
Donovan   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Blood   O
glucose   O
level   O
was   O
slightly   O
elevated   O
at   O
NM:92377:218993   B-ID

mg   O
/   O
dL.   O
Arterial   O
blood   O
gas   O
analysis   O
showed   O
hypoxemia   O
with   O
a   O
partial   O
pressure   O
of   O
oxygen   O
(   O
PaO2   O
)   O
at   O
13442   B-ID
mmHg   O
,   O
indicating   O
respiratory   O
distress   O
.   O
Treatment   O
and   O
Management   O
:   O
Epictetus   B-NAME
was   O
admitted   O
to   O
McLaren   B-LOCATION
Central   I-LOCATION
Michigan   I-LOCATION
on   O
1942   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
24   I-DATE
and   O
initiated   O
on   O
intravenous   O
antibiotics   O
targeting   O
community   O
-   O
acquired   O
pneumonia   O
,   O
alongside   O
bronchodilators   O
to   O
manage   O
airway   O
obstruction   O
.   O

Oxygen   O
supplementation   O
was   O
provided   O
to   O
correct   O
hypoxemia   O
,   O
and   O
Zachary   B-NAME
Smith   I-NAME
was   O
closely   O
monitored   O
for   O
signs   O
of   O
respiratory   O
failure   O
.   O

Progress   O
and   O
Outcome   O
:   O
Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Oakley   B-NAME
showed   O
marked   O
improvement   O
.   O

Repeat   O
chest   O
X   O
-   O
ray   O
on   O
06/27   B-DATE
illustrated   O
resolution   O
of   O
infiltrates   O
.   O

NOLAN   B-NAME
,   I-NAME
N.   I-NAME
YANCY   I-NAME
was   O
weaned   O
off   O
oxygen   O
as   O
PaO2   O
levels   O
improved   O
to   O
a   O
stable   O
range   O
.   O

Taurean   B-NAME
was   O
counseled   O
on   O
smoking   O
cessation   O
and   O
its   O
benefits   O
,   O
especially   O
in   O
light   O
of   O
the   O
recent   O
respiratory   O
illness   O
and   O
ongoing   O
diabetes   O
management   O
.   O

Idaeus   B-NAME
Hribal   I-NAME
was   O
discharged   O
on   O
02/22   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Hobbes   B-NAME
,   I-NAME
Thomas   I-NAME
and   O
a   O
pulmonologist   O
associated   O
with   O
John   B-LOCATION
Warner   I-LOCATION
Bank   I-LOCATION
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Eaton   B-NAME
is   O
strongly   O
recommended   O
to   O
adhere   O
to   O
smoking   O
cessation   O
,   O
maintain   O
regular   O
follow   O
-   O
up   O
appointments   O
,   O
and   O
monitor   O
blood   O
glucose   O
levels   O
closely   O
.   O

A   O
home   O
health   O
aide   O
(   O
Chief   O
Executives   O
)   O
has   O
been   O
suggested   O
to   O
assist   O
Ava   B-NAME
Richards   I-NAME
with   O
medication   O
management   O
and   O
to   O
monitor   O
for   O
any   O
signs   O
of   O
respiratory   O
difficulties   O
or   O
other   O
complications   O
.   O

For   O
any   O
concerns   O
or   O
changes   O
in   O
condition   O
,   O
Yosef   B-NAME
Salazar   I-NAME
or   O
the   O
caretaker   O
is   O
advised   O
to   O
contact   O
Anthony   B-NAME
at   O
(   B-CONTACT
280   I-CONTACT
)   I-CONTACT
288   I-CONTACT
2798   I-CONTACT
or   O
visit   O
the   O
nearest   O
healthcare   O
facility   O
,   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Hurst   I-LOCATION
-   I-LOCATION
Euless   I-LOCATION
-   I-LOCATION
Bedford   I-LOCATION
,   O
located   O
at   O
Loxahatchee   B-LOCATION
,   O
84696   B-LOCATION
.   O

Report   O
Prepared   O
by   O
:   O
xcq349   B-NAME
Date   O
:   O
22/20   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Haas   B-NAME
Patient   O
ID   O
:   O
OA   B-ID
:   I-ID
ZK:5447   I-ID
Date   O
of   O
Birth   O
:   O
19s   O
Medical   O
Record   O
Number   O
:   O
6094391   B-ID
Date   O
of   O
Admission   O
:   O
2/30   B-DATE
Admitting   O
Doctor   O
:   O
Jack   B-NAME
Parker   I-NAME
Hospital   O
Name   O
:   O
Morgan   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Fiji   B-LOCATION
Zip   O
Code   O
:   O
30866   B-LOCATION
Contact   O
Phone   O
:   O
(   B-CONTACT
611   I-CONTACT
)   I-CONTACT
365   I-CONTACT
-   I-CONTACT
8934   I-CONTACT
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Fire   O
Inspectors   O
from   O
West   B-LOCATION
Wareham   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Vibra   B-LOCATION
Long   I-LOCATION
Term   I-LOCATION
Acute   I-LOCATION
Care   I-LOCATION
Hospital   I-LOCATION
on   O
39/03/56   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Aidyn   B-NAME
Orr   I-NAME
described   O
the   O
pain   O
as   O
a   O
"   O
crushing   O
"   O
sensation   O
behind   O
the   O
sternum   O
,   O
exacerbated   O
by   O
physical   O
exertion   O
and   O
partially   O
relieved   O
by   O
rest   O
.   O

The   O
patient   O
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
for   O
which   O
[   O
HE   O
/   O
SHE   O
]   O
has   O
been   O
prescribed   O
medication   O
,   O
the   O
specifics   O
of   O
which   O
are   O
documented   O
in   O
medical   O
record   O
45208858   B-ID
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Melissa   B-NAME
Erickson   I-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Dougherty   B-NAME
was   O
immediately   O
started   O
on   O
standard   O
treatment   O
for   O
suspected   O
acute   O
myocardial   O
infarction   O
,   O
including   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
.   O

[   O
HE   O
/   O
SHE   O
]   O
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
of   O
Parkway   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
monitoring   O
and   O
management   O
under   O
the   O
care   O
of   O
Santiago   B-NAME
.   O

A   O
cardiology   O
consult   O
was   O
requested   O
,   O
and   O
a   O
coronary   O
angiography   O
was   O
planned   O
for   O
1837   B-DATE
to   O
further   O
evaluate   O
coronary   O
artery   O
disease   O
.   O

Patient   O
Education   O
:   O
Blanchard   B-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
medication   O
adherence   O
,   O
diet   O
,   O
and   O
lifestyle   O
changes   O
to   O
manage   O
hypertension   O
and   O
hyperlipidemia   O
.   O

The   O
contact   O
information   O
of   O
Hugo   B-NAME
Buckley   I-NAME
,   O
including   O
phone   O
number   O
488   B-CONTACT
602   I-CONTACT
-   I-CONTACT
7997   I-CONTACT
,   O
has   O
been   O
recorded   O
for   O
any   O
necessary   O
follow   O
-   O
up   O
communications   O
.   O

This   O
case   O
will   O
be   O
reviewed   O
in   O
a   O
multidisciplinary   O
meeting   O
on   O
11/24/2318   B-DATE
to   O
discuss   O
the   O
long   O
-   O
term   O
management   O
plan   O
for   O
Irmgard   B-NAME
Merlette   I-NAME
.   O

Browning   B-NAME
Date   O
of   O
Birth   O
:   O
2062   B-DATE
Age   O
:   O
98   O
Phone   O
:   O
224   B-CONTACT
-   I-CONTACT
7508   I-CONTACT
Address   O
:   O
Mosheim   B-LOCATION
,   O
83633   B-LOCATION
Occupation   O
:   O

Dr.   O
Potter   B-NAME
Referring   O
Physician   O
:   O
Dr.   O
Walters   B-NAME
Hospital   O
:   O
Parkland   B-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
67888477   B-ID
Date   O
of   O
Report   O
:   O
02/02/78   B-DATE
Social   O
Security   O
Number   O
:   O
DF902/1855   B-ID
Chief   O
Complaint   O
:   O

Youngquist   B-NAME
was   O
admitted   O
to   O
McLaren   B-LOCATION
Central   I-LOCATION
Michigan   I-LOCATION
on   O
2063   B-DATE
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
has   O
been   O
persistent   O
for   O
over   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Montaigne   B-NAME
,   I-NAME
Michel   I-NAME
de   I-NAME
,   O
a   O
87   O
-   O
year   O
-   O
old   O
Medical   O
Transcriptionists   O
residing   O
in   O
Ratliff   B-LOCATION
with   O
zip   O
code   O
18660   B-LOCATION
,   O
has   O
been   O
experiencing   O
a   O
sharp   O
,   O
cramp   O
-   O
like   O
abdominal   O
pain   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
started   O
approximately   O
two   O
days   O
ago   O
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
similar   O
,   O
albeit   O
milder   O
,   O
episodes   O
in   O
the   O
past   O
,   O
with   O
the   O
most   O
recent   O
episode   O
occurring   O
around   O
2002   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Bernie   B-NAME
Dew   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
and   O
Type   O
2   O
diabetes   O
,   O
managed   O
with   O
medication   O
and   O
lifestyle   O
changes   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
diagnosis   O
of   O
acute   O
cholecystitis   O
secondary   O
to   O
gallstones   O
,   O
Ayden   B-NAME
Oneal   I-NAME
was   O
recommended   O
for   O
a   O
cholecystectomy   O
.   O

The   O
surgery   O
is   O
scheduled   O
for   O
10/02   B-DATE
.   O

Management   O
of   O
diabetes   O
and   O
hypertension   O
will   O
continue   O
per   O
the   O
guidelines   O
directed   O
by   O
Dr.   O
Hackenstein   B-NAME
.   O

The   O
patient   O
is   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
post   O
-   O
operatively   O
and   O
will   O
be   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
Saint   B-LOCATION
Vincent   I-LOCATION
Hospital   I-LOCATION
approximately   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

Discharge   O
Instructions   O
:   O
Diego   B-NAME
Gaunt   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
such   O
as   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
at   O
the   O
surgical   O
site   O
,   O
and   O
to   O
report   O
these   O
symptoms   O
immediately   O
to   O
MercyOne   B-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
Dr.   O
Snow   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
arranged   O
for   O
5/5/2322   B-DATE
with   O
Dr.   O
Chung   B-NAME
at   O
Mountain   B-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
post   O
-   O
operative   O
recovery   O
.   O

-   O
Avoid   O
lifting   O
heavy   O
objects   O
for   O
at   O
least   O
2273   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
26   I-DATE
weeks   O
.   O
-   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
11/20/62   B-DATE
with   O
Dr.   O
Quinten   B-NAME
Ball   I-NAME
.   O

Prepared   O
by   O
:   O
VK883   B-NAME
Report   O
ID   O
:   O
SI   B-ID
:   I-ID
SH:3499   I-ID

Patient   O
Name   O
:   O
Nick   B-NAME
Steele   I-NAME
Patient   O
ID   O
:   O
VG:90102:864872   B-ID

Medical   O
Record   O
Number   O
:   O
6164666   B-ID
Date   O
of   O
Birth   O
:   O
6/21   B-DATE
Age   O
:   O
85   O
Contact   O
Number   O
:   O
841   B-CONTACT
-   I-CONTACT
758   I-CONTACT
-   I-CONTACT
7949   I-CONTACT
Address   O
:   O
Boardman   B-LOCATION
,   O
79465   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Harmon   B-NAME
Admitting   O
Hospital   O
:   O
Great   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
2265   B-DATE
Employment   O
:   O
Licensed   O
Practical   O
and   O
Licensed   O
Vocational   O
Nurses   O
at   O
First   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Chief   O
Complaint   O
:   O

Roosevelt   B-NAME
,   I-NAME
Eleanor   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Bellin   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
12/26   B-DATE
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
mainly   O
on   O
the   O
left   O
side   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
an   O
inability   O
to   O
pass   O
gas   O
or   O
stool   O
for   O
the   O
past   O
24   O
hours   O
.   O
History   O
of   O
Present   O
Illness   O
:   O

The   O
pain   O
began   O
suddenly   O
09/09   B-DATE
evening   O
and   O
has   O
progressively   O
worsened   O
.   O

Koontz   B-NAME
,   I-NAME
Dean   I-NAME
R.   I-NAME
denies   O
any   O
recent   O
changes   O
in   O
diet   O
,   O
travel   O
history   O
to   O
Bronx   B-LOCATION
,   I-LOCATION
NY   I-LOCATION
10462   I-LOCATION
,   O
or   O
sick   O
contacts   O
.   O

Yaholo   B-NAME
reports   O
a   O
low   O
-   O
grade   O
fever   O
and   O
chills   O
at   O
home   O
.   O

Past   O
Medical   O
History   O
:   O
Sterling   B-NAME
Ewing   I-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
diagnosed   O
two   O
years   O
ago   O
.   O

Anthony   B-NAME
Odonnell   I-NAME
regularly   O
follows   O
up   O
with   O
Nicholson   B-NAME
for   O
management   O
.   O

Gastrointestinal   O
:   O
Reports   O
nausea   O
without   O
vomiting   O
,   O
inability   O
to   O
pass   O
gas   O
or   O
stool   O
since   O
2/22   B-DATE
,   O
and   O
previous   O
episodes   O
of   O
similar   O
but   O
milder   O
pain   O
.   O

Diagnostic   O
Assessment   O
:   O
Abdominal   O
X   O
-   O
rays   O
and   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
were   O
ordered   O
by   O
Slade   B-NAME
Adkins   I-NAME
and   O
suggested   O
signs   O
of   O
a   O
possible   O
sigmoid   O
diverticulitis   O
.   O

Blankenship   B-NAME
started   O
Louis   B-NAME
,   I-NAME
Joe   I-NAME
on   O
intravenous   O
antibiotics   O
and   O
recommended   O
admission   O
to   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Hospital   I-LOCATION
for   O
monitoring   O
and   O
further   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Robert   B-NAME
Campbell   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Bender   B-NAME
in   O
two   O
weeks   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Miners   I-LOCATION
Campus   I-LOCATION
to   O
evaluate   O
recovery   O
progress   O
and   O
discuss   O
potential   O
lifestyle   O
adjustments   O
or   O
further   O
interventions   O
to   O
prevent   O
recurrence   O
.   O

Further   O
referrals   O
to   O
a   O
gastroenterologist   O
from   O
Peabody   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Plant   I-LOCATION
for   O
specialized   O
care   O
may   O
be   O
considered   O
based   O
on   O
the   O
recovery   O
progress   O
.   O

Instructions   O
given   O
for   O
emergency   O
symptoms   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
inability   O
to   O
pass   O
gas   O
or   O
stool   O
,   O
were   O
to   O
immediately   O
contact   O
Fry   B-LOCATION
Eye   I-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Garden   I-LOCATION
City   I-LOCATION
or   O
return   O
to   O
the   O
emergency   O
department   O
.   O

This   O
report   O
was   O
created   O
on   O
02/12/12   B-DATE
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Nolan   B-NAME
Orr   I-NAME
and   O
Angie   B-NAME
Romero   I-NAME
's   O
healthcare   O
team   O
.   O

Any   O
inquiries   O
regarding   O
this   O
report   O
should   O
be   O
directed   O
to   O
974   B-CONTACT
-   I-CONTACT
439   I-CONTACT
6222   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Schmitt   B-NAME
Patient   O
ID   O
:   O
FM396/3569   B-ID
Date   O
of   O
Birth   O
:   O
6   O
Medical   O
Record   O
Number   O
:   O
67192686   B-ID
Consulting   O
Doctor   O
:   O
Thompson   B-NAME
Date   O
of   O
Consultation   O
:   O
Wednesday   B-DATE
Location   O
:   O
Hansen   B-LOCATION
Hospital   O
:   O
Evans   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Contact   O
Number   O
:   O
19921   B-CONTACT
Zip   O
Code   O
:   O
55956   B-LOCATION
Occupation   O
:   O
Preschool   O
Teachers   O
,   O
Except   O
Special   O
Education   O
Summary   O
:   O
Mica   B-NAME
Carrell   I-NAME
,   O
a   O
Web   O
Developers   O
from   O
Tribune   B-LOCATION
,   O
presented   O
to   O
Doctors   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Sarasota   I-LOCATION
,   I-LOCATION
Florida   I-LOCATION
)   I-LOCATION
on   O
15/31   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
difficulty   O
breathing   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
week   O
.   O

Kasen   B-NAME
Bates   I-NAME
also   O
reports   O
experiencing   O
fever   O
with   O
temperatures   O
spiking   O
up   O
to   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
,   O
mostly   O
in   O
the   O
evenings   O
.   O

On   O
examination   O
,   O
Micheal   B-NAME
Duncan   I-NAME
,   O
aged   O
73   O
,   O
displayed   O
signs   O
of   O
respiratory   O
distress   O
,   O
with   O
an   O
increased   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
and   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Giselle   B-NAME
Gilmore   I-NAME
to   O
further   O
assess   O
the   O
patient   O
's   O
condition   O
.   O

Management   O
and   O
Recommendations   O
:   O
Based   O
on   O
the   O
initial   O
evaluation   O
and   O
test   O
results   O
,   O
James   B-NAME
Kildare   I-NAME
was   O
diagnosed   O
with   O
acute   O
bronchitis   O
,   O
likely   O
of   O
viral   O
etiology   O
,   O
and   O
reactive   O
airway   O
disease   O
.   O

Konnor   B-NAME
Jones   I-NAME
was   O
advised   O
to   O
stay   O
well   O
-   O
hydrated   O
,   O
rest   O
,   O
and   O
follow   O
up   O
in   O
St.   B-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
or   O
with   O
Dr.   O
Stokes   B-NAME
in   O
917   B-LOCATION
Gates   I-LOCATION
Drive   I-LOCATION
after   O
7   O
days   O
or   O
sooner   O
if   O
symptoms   O
failed   O
to   O
improve   O
or   O
worsened   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
01/23   B-DATE
with   O
Dr.   O
Nickolas   B-NAME
Ali   I-NAME
to   O
reassess   O
the   O
patient   O
's   O
condition   O
and   O
to   O
discuss   O
the   O
progress   O
of   O
the   O
treatment   O
plan   O
.   O

This   O
patient   O
report   O
was   O
prepared   O
by   O
ds126   B-NAME
on   O
6   B-DATE
-   I-DATE
20   I-DATE
and   O
is   O
confidential   O
.   O

Any   O
further   O
inquiries   O
or   O
information   O
needed   O
can   O
be   O
directed   O
to   O
Mountain   B-LOCATION
Lakes   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
447   I-CONTACT
)   I-CONTACT
902   I-CONTACT
9967   I-CONTACT
.   O

Patient   O
Report   O
:   O
R   B-LOCATION
-   I-LOCATION
G   I-LOCATION
Premier   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Puerto   I-LOCATION
Rico   I-LOCATION
received   O
a   O
new   O
patient   O
,   O
Schiller   B-NAME
,   I-NAME
Friedrich   I-NAME
von   I-NAME
,   O
on   O
6/01   B-DATE
.   O

The   O
patient   O
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Non   O
-   O
Retail   O
Sales   O
Workers   O
from   O
Hector   B-LOCATION
,   O
presented   O
with   O
several   O
concerning   O
symptoms   O
that   O
warranted   O
immediate   O
evaluation   O
by   O
the   O
medical   O
team   O
at   O
Sentara   B-LOCATION
Obici   I-LOCATION
Hospital   I-LOCATION
.   O

Upon   O
arrival   O
,   O
Mclaughlin   B-NAME
reported   O
a   O
continuous   O
,   O
throbbing   O
headache   O
of   O
severe   O
intensity   O
,   O
which   O
had   O
started   O
approximately   O
2301   B-DATE
.   O

Quinn   B-NAME
also   O
mentioned   O
experiencing   O
photophobia   O
and   O
phonophobia   O
,   O
finding   O
themselves   O
uncomfortable   O
in   O
well   O
-   O
lit   O
rooms   O
and   O
around   O
normal   O
levels   O
of   O
noise   O
.   O

Bent   B-NAME
,   I-NAME
Silas   I-NAME
,   O
a   O
neurologist   O
at   O
Surgical   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Coordinated   I-LOCATION
Hlth   I-LOCATION
,   O
conducted   O
an   O
initial   O
assessment   O
.   O

History   O
taking   O
was   O
thorough   O
,   O
leveraging   O
the   O
electronic   O
medical   O
records   O
system   O
(   O
EMR   O
)   O
,   O
Patient   O
ID   O
:   O
4329117   B-ID
.   O

It   O
was   O
noted   O
that   O
Jennefer   B-NAME
Outten   I-NAME
had   O
no   O
significant   O
medical   O
history   O
or   O
family   O
history   O
of   O
neurological   O
disorders   O
.   O

Hamza   B-NAME
Pittman   I-NAME
's   O
lifestyle   O
and   O
dietary   O
habits   O
were   O
assessed   O
,   O
noting   O
that   O
Aydan   B-NAME
David   I-NAME
works   O
as   O
a   O
Ophthalmic   O
Laboratory   O
Technicians   O
and   O
often   O
experiences   O
high   O
levels   O
of   O
stress   O
.   O

The   O
tests   O
were   O
scheduled   O
for   O
2/20/23   B-DATE
,   O
and   O
appointments   O
were   O
confirmed   O
via   O
a   O
call   O
to   O
22195   B-CONTACT
.   O

In   O
the   O
interim   O
,   O
Jamya   B-NAME
Mcclure   I-NAME
prescribed   O
a   O
short   O
course   O
of   O
a   O
non   O
-   O
steroidal   O
anti   O
-   O
inflammatory   O
drug   O
(   O
NSAID   O
)   O
to   O
manage   O
the   O
pain   O
and   O
advised   O
Coretta   B-NAME
Herwehe   I-NAME
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
onset   O
,   O
duration   O
,   O
and   O
severity   O
of   O
headaches   O
,   O
as   O
well   O
as   O
any   O
associated   O
symptoms   O
or   O
potential   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
October   B-DATE
to   O
review   O
the   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Charlette   B-NAME
Ruston   I-NAME
was   O
advised   O
to   O
contact   O
the   O
clinic   O
at   O
422   B-CONTACT
9339   I-CONTACT
if   O
symptoms   O
worsened   O
or   O
if   O
they   O
experienced   O
any   O
side   O
effects   O
from   O
the   O
medication   O
.   O

Educational   O
materials   O
were   O
provided   O
,   O
and   O
Kyleigh   B-NAME
Keith   I-NAME
was   O
encouraged   O
to   O
join   O
a   O
support   O
group   O
for   O
individuals   O
suffering   O
from   O
chronic   O
headaches   O
,   O
facilitated   O
by   O
a   O
mental   O
health   O
professional   O
from   O
Silver   B-LOCATION
Falls   I-LOCATION
Bank   I-LOCATION
.   O

In   O
conclusion   O
,   O
Blaze   B-NAME
Rowland   I-NAME
's   O
condition   O
is   O
currently   O
being   O
evaluated   O
with   O
the   O
dual   O
aims   O
of   O
managing   O
symptoms   O
and   O
identifying   O
any   O
underlying   O
causes   O
.   O

The   O
comprehensive   O
and   O
multi   O
-   O
disciplinary   O
approach   O
adopted   O
by   O
Ascension   B-LOCATION
Macomb   I-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Warren   I-LOCATION
Campus   I-LOCATION
underscores   O
our   O
commitment   O
to   O
providing   O
quality   O
patient   O
care   O
.   O

Confidentiality   O
Notice   O
:   O
This   O
document   O
,   O
BC252/4786   B-ID
,   O
contains   O
sensitive   O
health   O
information   O
exclusively   O
for   O
the   O
use   O
within   O
the   O
Habersham   B-LOCATION
EMC   I-LOCATION
.   O

The   O
patient   O
,   O
Blake   B-NAME
Downs   I-NAME
,   O
a   O
Tapers   O
from   O
Sturgis   B-LOCATION
,   O
presented   O
to   O
WK   B-LOCATION
Pierremont   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
33/27/2082   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
abdominal   O
discomfort   O
and   O
intermittent   O
bouts   O
of   O
severe   O
cramps   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
for   O
approximately   O
two   O
weeks   O
.   O

71s   O
years   O
of   O
age   O
,   O
Kinski   B-NAME
,   I-NAME
Klaus   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
decreased   O
appetite   O
.   O

Upon   O
examination   O
,   O
Lillianna   B-NAME
Irwin   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
slight   O
elevation   O
in   O
temperature   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Kerr   B-NAME
,   O
including   O
a   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
which   O
revealed   O
leukocytosis   O
,   O
suggestive   O
of   O
an   O
ongoing   O
infection   O
.   O

Abdominal   O
ultrasound   O
,   O
followed   O
by   O
a   O
confirmatory   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
was   O
recommended   O
and   O
performed   O
on   O
22/27/2082   B-DATE
,   O
which   O
showed   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
slight   O
periappendiceal   O
inflammation   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
imaging   O
findings   O
,   O
a   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Reyes   B-NAME
.   O

Gomez   B-NAME
discussed   O
the   O
findings   O
and   O
the   O
necessity   O
of   O
an   O
appendectomy   O
with   O
Sallie   B-NAME
Coggins   I-NAME
.   O

After   O
obtaining   O
informed   O
consent   O
,   O
Arthur   B-NAME
Arden   I-NAME
was   O
scheduled   O
for   O
surgical   O
intervention   O
on   O
04/24/2052   B-DATE
.   O

The   O
postoperative   O
course   O
was   O
unremarkable   O
,   O
and   O
Galvan   B-NAME
,   I-NAME
Floyd   I-NAME
was   O
discharged   O
on   O
02/30   B-DATE
with   O
instructions   O
for   O
postoperative   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
two   O
weeks   O
.   O

For   O
further   O
inquiries   O
or   O
changes   O
in   O
condition   O
,   O
Nunez   B-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
55027   B-CONTACT
of   O
the   O
surgical   O
unit   O
at   O
Brooks   B-LOCATION
Rehabilitation   I-LOCATION
.   O

The   O
medical   O
record   O
related   O
to   O
this   O
admission   O
,   O
identified   O
by   O
742   B-ID
-   I-ID
52   I-ID
-   I-ID
78   I-ID
-   I-ID
0   I-ID
and   O
the   O
patient   O
's   O
unique   O
identifier   O
321275395   B-ID
,   O
will   O
be   O
securely   O
maintained   O
for   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
within   O
Society   B-LOCATION
Insurance   I-LOCATION
.   O

In   O
summary   O
,   O
Quentin   B-NAME
U.   I-NAME
Johnson   I-NAME
,   O
a   O
69   O
-   O
year   O
-   O
old   O
Woodworking   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Except   O
Sawing   O
from   O
Linesville   B-LOCATION
,   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
,   O
underwent   O
successful   O
appendectomy   O
,   O
and   O
was   O
discharged   O
with   O
follow   O
-   O
up   O
instructions   O
.   O

The   O
timely   O
intervention   O
by   O
Mcclure   B-NAME
and   O
the   O
surgical   O
team   O
at   O
HealthAlliance   B-LOCATION
Hospital   I-LOCATION
:   I-LOCATION
Mary   I-LOCATION
’s   I-LOCATION
Avenue   I-LOCATION
Campus   I-LOCATION
averts   O
potential   O
complications   O
associated   O
with   O
untreated   O
appendicitis   O
.   O

Patient   O
Report   O
for   O
:   O
Karen   B-NAME
Thorpe   I-NAME
Personal   O
Information   O
:   O
Age   O
:   O
31   O
DOB   O
:   O

Wednesday   B-DATE
Address   O
:   O
Pottery   B-LOCATION
Addition   I-LOCATION
,   O
16469   B-LOCATION
Phone   O
:   O
(   B-CONTACT
298   I-CONTACT
)   I-CONTACT
565   I-CONTACT
-   I-CONTACT
7881   I-CONTACT
Occupation   O
:   O
Public   O
Address   O
System   O
and   O
Other   O
Announcers   O
Medical   O
Record   O
Number   O
:   O
44619009   B-ID
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
7169597   I-ID
Medical   O
Provider   O
:   O
Dr.   O
Dauten   B-NAME
,   I-NAME
Dale   I-NAME
Hospital   O
:   O

Saint   B-LOCATION
Michael   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
of   O
the   O
Event   O
:   O
March   B-LOCATION
Presentation   O
and   O
History   O
:   O
Paisley   B-NAME
Beltran   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
27/03/2265   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
left   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Ishaan   B-NAME
Browning   I-NAME
also   O
experienced   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
noted   O
at   O
home   O
.   O

Stanley   B-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Tormentius   B-NAME
Duberstein   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
CT   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
performed   O
on   O
2313   B-DATE
indicated   O
diverticulitis   O
of   O
the   O
sigmoid   O
colon   O
without   O
evidence   O
of   O
perforation   O
.   O

The   O
decision   O
was   O
made   O
to   O
admit   O
Quanterius   B-NAME
L.   I-NAME
Sorensen   I-NAME
for   O
intravenous   O
antibiotics   O
and   O
close   O
monitoring   O
.   O

A   O
surgical   O
consult   O
was   O
requested   O
given   O
the   O
severity   O
of   O
the   O
presentation   O
but   O
it   O
was   O
initially   O
decided   O
to   O
manage   O
Wilkes   B-NAME
,   I-NAME
Maurice   I-NAME
conservatively   O
with   O
antibiotic   O
therapy   O
.   O

O'Donnell   B-NAME
,   I-NAME
Rosie   I-NAME
was   O
given   O
IV   O
fluids   O
for   O
hydration   O
and   O
started   O
on   O
a   O
course   O
of   O
IV   O
Ciprofloxacin   O
and   O
Metronidazole   O
.   O

Progress   O
and   O
Follow   O
-   O
up   O
:   O
As   O
of   O
22/12   B-DATE
,   O
Ayla   B-NAME
Raymond   I-NAME
's   O
condition   O
showed   O
significant   O
improvement   O
with   O
resolution   O
of   O
fever   O
and   O
reduction   O
in   O
abdominal   O
pain   O
.   O

Claire   B-NAME
Archer   I-NAME
was   O
transitioned   O
to   O
oral   O
antibiotics   O
on   O
July   B-DATE
26   I-DATE
with   O
plans   O
for   O
discharge   O
to   O
home   O
on   O
16/29   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Dr.   O
Kendal   B-NAME
Hodge   I-NAME
at   O
Climbing   B-LOCATION
Hill   I-LOCATION
for   O
01/12/1657   B-DATE
to   O
re   O
-   O
evaluate   O
condition   O
and   O
discuss   O
long   O
-   O
term   O
management   O
of   O
diverticulosis   O
.   O

Instructions   O
for   O
Delphia   B-NAME
Beaver   I-NAME
upon   O
discharge   O
included   O
a   O
high   O
fiber   O
diet   O
recommendation   O
and   O
instructions   O
to   O
avoid   O
the   O
use   O
of   O
NSAIDs   O
to   O
prevent   O
exacerbation   O
of   O
diverticular   O
disease   O
.   O

Stoner   B-NAME
Jr.   I-NAME
,   I-NAME
James   I-NAME
R.   I-NAME
was   O
also   O
educated   O
on   O
the   O
signs   O
of   O
complications   O
such   O
as   O
increasing   O
pain   O
,   O
fever   O
,   O
or   O
changes   O
in   O
bowel   O
habits   O
that   O
would   O
necessitate   O
immediate   O
medical   O
attention   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Dr.   O
Melissa   B-NAME
Barnett   I-NAME
,   O
and   O
all   O
information   O
is   O
accurate   O
to   O
the   O
best   O
of   O
my   O
knowledge   O
as   O
of   O
22/00/52   B-DATE
.   O

For   O
further   O
queries   O
or   O
information   O
,   O
please   O
contact   O
Oviedo   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
14489   B-CONTACT
.   O

Patient   O
Name   O
:   O
Chapman   B-NAME
Age   O
:   O
83   O
DOB   O
:   O
32   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
62   I-DATE
ID   O
:   O
HQ:14379:448160   B-ID
Medical   O
Record   O
Number   O
:   O
290   B-ID
-   I-ID
91   I-ID
-   I-ID
89   I-ID
-   I-ID
6   I-ID
Address   O
:   O
Sportsmen   B-LOCATION
Acres   I-LOCATION
,   O
43960   B-LOCATION
Phone   O
:   O
62413   B-CONTACT
Employment   O
:   O
Packaging   O
technologist   O
at   O
Rashtriya   B-LOCATION
Mill   I-LOCATION
Mazdoor   I-LOCATION
Sangh   I-LOCATION
Primary   O
Physician   O
:   O

Bryan   B-NAME
Castillo   I-NAME
Hospital   O
:   O
Lilypad   B-LOCATION
Gardens   I-LOCATION
Hospital   I-LOCATION
Username   O
:   O
QC1016   B-NAME
Chief   O
Complaint   O
:   O
Collett   B-NAME
,   I-NAME
Camilla   I-NAME
,   O
a   O
50   O
-   O
year   O
-   O
old   O
Broadcast   O
Technicians   O
,   O
presents   O
with   O
a   O
three   O
-   O
day   O
history   O
of   O
acute   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Cannon   B-NAME
reports   O
a   O
loss   O
of   O
appetite   O
and   O
nausea   O
without   O
vomiting   O
.   O

No   O
fever   O
,   O
chills   O
,   O
or   O
recent   O
travel   O
history   O
to   O
624   B-LOCATION
Hawthorne   I-LOCATION
St.   I-LOCATION
was   O
noted   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
symptoms   O
began   O
approximately   O
three   O
days   O
ago   O
,   O
on   O
2205/39/02   B-DATE
,   O
without   O
any   O
precipitating   O
event   O
.   O

Branson   B-NAME
Booth   I-NAME
denies   O
any   O
previous   O
episodes   O
,   O
recent   O
dietary   O
changes   O
,   O
or   O
exposure   O
to   O
sick   O
contacts   O
.   O

Review   O
of   O
Systems   O
:   O
Peter   B-NAME
Norris   I-NAME
denies   O
any   O
respiratory   O
,   O
cardiovascular   O
,   O
genitourinary   O
,   O
or   O
neurological   O
symptoms   O
.   O

Diagnostic   O
Imaging   O
:   O
Abdominal   O
ultrasound   O
,   O
performed   O
on   O
13/09   B-DATE
at   O
Sutter   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
,   O
revealed   O
evidence   O
of   O
appendicitis   O
without   O
perforation   O
.   O

Thomas   B-NAME
Javier   I-NAME
was   O
admitted   O
to   O
Einstein   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Philadelphia   I-LOCATION
for   O
surgical   O
evaluation   O
by   O
Jovani   B-NAME
Mcclain   I-NAME
on   O
2222   B-DATE
.   O

Andrew   B-NAME
Madden   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
2001   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
10   I-DATE
.   O

3   O
.   O
Report   O
any   O
changes   O
in   O
symptoms   O
or   O
health   O
status   O
to   O
Kent   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
301   B-CONTACT
-   I-CONTACT
8216   I-CONTACT
.   O

4   O
.   O
Post   O
-   O
operative   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Marsh   B-NAME
on   O
20/27/72   B-DATE
at   O
Annetta   B-LOCATION
.   O

The   O
above   O
plan   O
was   O
discussed   O
with   O
Dauten   B-NAME
,   I-NAME
Dale   I-NAME
,   O
who   O
expressed   O
understanding   O
and   O
agreement   O
.   O

Consent   O
forms   O
were   O
signed   O
and   O
dated   O
on   O
2/25   B-DATE
.   O

The   O
patient   O
's   O
contact   O
for   O
emergencies   O
is   O
338   B-CONTACT
-   I-CONTACT
7408   I-CONTACT
.   O

Patient   O
Name   O
:   O
Francesca   B-NAME
Guidotti   I-NAME
Date   O
of   O
Birth   O
:   O
April   B-DATE
Age   O
:   O
11   O
month   O
Medical   O
Record   O
Number   O
:   O
21714567   B-ID
ID   O
Number   O
:   O
JD   B-ID
:   I-ID
IL:5611   I-ID
Address   O
:   O
Butte   B-LOCATION
Falls   I-LOCATION
,   O
14947   B-LOCATION
Phone   O
Number   O
:   O
131   B-CONTACT
-   I-CONTACT
2205   I-CONTACT

Attending   O
Doctor   O
:   O
Anastasia   B-NAME
Ladner   I-NAME
Hospital   O
Name   O
:   O
Mercy   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Manhattan   I-LOCATION
Occupation   O
:   O
pharmacist   O
Username   O
:   O
JF716   B-NAME
---   O
Chief   O
Complaint   O
:   O

Rahasia   B-NAME
Pauline   I-NAME
Vuong   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Boise   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/21/87   B-DATE
complaining   O
of   O
acute   O
,   O
intense   O
,   O
stabbing   O
chest   O
pain   O
that   O
radiated   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

Scott   B-NAME
Fink   I-NAME
also   O
reported   O
experiencing   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
cold   O
sweats   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Stone   B-NAME
,   O
a   O
2   O
month   O
-   O
year   O
-   O
old   O
fisherman   O
,   O
has   O
been   O
experiencing   O
mild   O
episodes   O
of   O
chest   O
discomfort   O
over   O
the   O
past   O
month   O
,   O
primarily   O
during   O
physical   O
exertion   O
.   O

However   O
,   O
the   O
incident   O
on   O
9/4   B-DATE
was   O
of   O
a   O
severity   O
and   O
duration   O
beyond   O
any   O
previous   O
episodes   O
.   O

Francina   B-NAME
Zawislak   I-NAME
denied   O
any   O
history   O
of   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

There   O
was   O
no   O
reported   O
history   O
of   O
cough   O
,   O
fever   O
,   O
or   O
recent   O
travels   O
to   O
Connecticut   B-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
NICHOLAS   B-NAME
EDGE   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
managed   O
with   O
medication   O
for   O
the   O
past   O
5   O
years   O
.   O

Danielle   B-NAME
Stark   I-NAME
is   O
a   O
nonsmoker   O
and   O
denotes   O
occasional   O
alcohol   O
consumption   O
.   O

Diagnostic   O
Testing   O
:   O
An   O
electrocardiogram   O
(   O
ECG   O
)   O
conducted   O
by   O
Mccoy   B-NAME
on   O
October   B-DATE
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
suggesting   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

Hall   B-NAME
was   O
also   O
administered   O
a   O
beta   O
-   O
blocker   O
to   O
manage   O
hypertension   O
and   O
reduce   O
myocardial   O
oxygen   O
demand   O
.   O

Given   O
the   O
diagnostic   O
findings   O
,   O
Calhoun   B-NAME
recommended   O
urgent   O
catheterization   O
.   O
Disposition   O
:   O
Nicodemus   B-NAME
Paz   I-NAME
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
at   O
Atlantic   B-LOCATION
Rehabilitation   I-LOCATION
Institute   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
on   O
38/22   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Giovanny   B-NAME
Burch   I-NAME
to   O
evaluate   O
Addison   B-NAME
's   O
recovery   O
and   O
adjust   O
medications   O
as   O
needed   O
.   O

Follow   O
-   O
up   O
:   O
Glenna   B-NAME
Henry   I-NAME
is   O
advised   O
to   O
follow   O
up   O
in   O
the   O
cardiology   O
clinic   O
after   O
discharge   O
for   O
medication   O
titration   O
and   O
evaluation   O
of   O
cardiac   O
rehabilitation   O
needs   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Andres   B-NAME
Kraker   I-NAME
Patient   O
DOB   O
:   O
M   B-DATE
Age   O
:   O
90   O
Medical   O
Record   O
Number   O
:   O
8845561   B-ID
Patient   O
ID   O
:   O
XC:64111:109685   B-ID
Address   O
:   O
Garden   B-LOCATION
Farms   I-LOCATION
,   O
24532   B-LOCATION
Phone   O
Number   O
:   O
909   B-CONTACT
-   I-CONTACT
115   I-CONTACT
6659   I-CONTACT
Physician   O
Name   O
:   O
Andrews   B-NAME
Hospital   O
Name   O
:   O
Brattleboro   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
On   O
9/19/31   B-DATE
,   O
Kadence   B-NAME
Macdonald   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Lifecare   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Pittsburgh   I-LOCATION
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
.   O

Steven   B-NAME
Hull   I-NAME
described   O
the   O
pain   O
as   O
"   O
crushing   O
"   O
and   O
rated   O
it   O
9   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Past   O
Medical   O
History   O
:   O
Stravinsky   B-NAME
,   I-NAME
Igor   I-NAME
has   O
a   O
documented   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

The   O
patient   O
is   O
a   O
Market   O
research   O
analyst   O
with   O
a   O
20   O
-   O
year   O
history   O
of   O
smoking   O
one   O
pack   O
of   O
cigarettes   O
per   O
day   O
but   O
quit   O
smoking   O
on   O
08/15   B-DATE
.   O

Upon   O
examination   O
,   O
Keira   B-NAME
Kubota   I-NAME
's   O
blood   O
pressure   O
was   O
170/95   O
mmHg   O
,   O
heart   O
rate   O
was   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
was   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
the   O
oxygen   O
saturation   O
was   O
92   O
%   O
on   O
room   O
air   O
.   O

Amira   B-NAME
Horne   I-NAME
was   O
given   O
oxygen   O
therapy   O
and   O
morphine   O
for   O
pain   O
management   O
.   O

After   O
stabilization   O
,   O
Fabian   B-NAME
Costa   I-NAME
was   O
transferred   O
to   O
the   O
cardiology   O
unit   O
for   O
emergent   O
cardiac   O
catheterization   O
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Armstrong   B-NAME
,   O
performed   O
a   O
successful   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
of   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Post   O
-   O
procedure   O
,   O
Poole   B-NAME
was   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Hurst   B-NAME
at   O
Chesapeake   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
32/20   B-DATE
to   O
evaluate   O
Bly   B-NAME
's   O
recovery   O
and   O
discuss   O
long   O
-   O
term   O
management   O
of   O
coronary   O
artery   O
disease   O
.   O

It   O
was   O
also   O
suggested   O
that   O
Vicente   B-NAME
Beltran   I-NAME
partake   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

For   O
any   O
urgent   O
concerns   O
,   O
Kelly   B-NAME
Watson   I-NAME
or   O
their   O
family   O
members   O
can   O
contact   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
The   I-LOCATION
Lake   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
cardiology   O
unit   O
at   O
117   B-CONTACT
1616   I-CONTACT
.   O

This   O
patient   O
report   O
is   O
confidential   O
and   O
should   O
be   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
guidelines   O
and   O
Building   B-LOCATION
and   I-LOCATION
Wood   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
International   I-LOCATION
policy   O
.   O

Patient   O
Name   O
:   O
Khloe   B-NAME
West   I-NAME
Date   O
of   O
Birth   O
:   O

March   B-DATE
22   I-DATE
,   I-DATE
2392   I-DATE
Address   O
:   O
Poca   B-LOCATION
,   O
13813   B-LOCATION
Phone   O
Number   O
:   O
11448   B-CONTACT
Medical   O
Record   O
Number   O
:   O
31678322   B-ID
Consultant   O
:   O
Jaycee   B-NAME
Marsh   I-NAME
Hospital   O
:   O
CHI   B-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Infirmary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Summary   O
:   O
Dylan   B-NAME
West   I-NAME
,   O
a   O
Film   O
Laboratory   O
Technicians   O
of   O
29   O
years   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
23/02   B-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
,   O
photophobia   O
,   O
and   O
nausea   O
.   O

Channing   B-NAME
,   I-NAME
William   I-NAME
Ellery   I-NAME
also   O
reported   O
experiencing   O
an   O
aura   O
consisting   O
of   O
visual   O
disturbances   O
prior   O
to   O
the   O
onset   O
of   O
headaches   O
.   O

Rueben   B-NAME
Muggley   I-NAME
resides   O
in   O
673   B-LOCATION
E.   I-LOCATION
Fifth   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
and   O
works   O
as   O
a   O
Library   O
Assistants   O
,   O
Clerical   O
at   O
The   B-LOCATION
Buckhead   I-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.   O
Examination   O
:   O

Upon   O
examination   O
,   O
Wendy   B-NAME
Armstrong   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Investigations   O
:   O
Magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
ordered   O
by   O
Mia   B-NAME
Welch   I-NAME
on   O
10/29/2313   B-DATE
,   O
did   O
not   O
reveal   O
any   O
acute   O
abnormalities   O
.   O

Diagnosis   O
:   O
The   O
clinical   O
presentation   O
and   O
investigative   O
results   O
were   O
discussed   O
in   O
a   O
multidisciplinary   O
meeting   O
at   O
Community   B-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
.   O

A   O
consensus   O
was   O
reached   O
,   O
diagnosing   O
Franklin   B-NAME
Hensley   I-NAME
with   O
migraines   O
with   O
aura   O
.   O

The   O
management   O
plan   O
,   O
as   O
discussed   O
by   O
Coolidge   B-NAME
,   I-NAME
Calvin   I-NAME
with   O
Duke   B-NAME
on   O
9   B-DATE
-   I-DATE
0   I-DATE
,   O
includes   O
:   O
1   O
.   O

Follow   O
-   O
Up   O
:   O
Mercedes   B-NAME
Spencer   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
January   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Additionally   O
,   O
Cassandra   B-NAME
Bright   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
the   O
worst   O
headache   O
of   O
his   O
life   O
,   O
sudden   O
onset   O
of   O
headache   O
,   O
headache   O
associated   O
with   O
fever   O
,   O
or   O
any   O
new   O
neurological   O
symptoms   O
.   O

For   O
any   O
further   O
queries   O
or   O
urgent   O
concerns   O
,   O
Maverick   B-NAME
Joyce   I-NAME
can   O
contact   O
Telluride   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
19921   B-CONTACT
.   O

Prepared   O
by   O
:   O
VO529   B-NAME
,   O
26/17   B-DATE

Patient   O
Name   O
:   O
Julio   B-NAME
Bautista   I-NAME
Patient   O
ID   O
:   O
YT:28073:511874   B-ID
Medical   O
Record   O
Number   O
:   O
3947080   B-ID
Date   O
of   O
Birth   O
:   O
4/7   B-DATE
Age   O
:   O
84   O
Phone   O
Number   O
:   O
(   B-CONTACT
307   I-CONTACT
)   I-CONTACT
227   I-CONTACT
8893   I-CONTACT
Address   O
:   O
Zapata   B-LOCATION
Ranch   I-LOCATION
,   O
78088   B-LOCATION

Ibarra   B-NAME
Hospital   O
:   O

Lone   B-LOCATION
Peak   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
20/35   B-DATE
Date   O
of   O
Report   O
:   O
3/04   B-DATE
Occupation   O
:   O
Legislators   O
Username   O
for   O
Hospital   O
Portal   O
:   O
KM9410   B-NAME
Chief   O
Complaint   O
:   O

Schroeder   B-NAME
presented   O
to   O
Robert   B-LOCATION
Wood   I-LOCATION
Johnson   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
01/39   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
that   O
started   O
approximately   O
24   O
hours   O
ago   O
.   O

Sanders   B-NAME
,   I-NAME
Olivia   I-NAME
denied   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
blood   O
in   O
stool   O
.   O

Past   O
Medical   O
History   O
:   O
Usha   B-NAME
Gibbons   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
controlled   O
with   O
oral   O
medication   O
and   O
hypertension   O
managed   O
with   O
a   O
combination   O
of   O
dietary   O
modifications   O
and   O
antihypertensive   O
drugs   O
.   O

Management   O
and   O
Outcome   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Mariyah   B-NAME
Moon   I-NAME
recommended   O
an   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
successfully   O
on   O
00/32/23   B-DATE
,   O
and   O
the   O
appendix   O
was   O
found   O
to   O
be   O
inflamed   O
and   O
was   O
removed   O
without   O
complications   O
.   O

Jazlene   B-NAME
Lynch   I-NAME
was   O
discharged   O
on   O
July   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
in   O
one   O
week   O
.   O

It   O
often   O
presents   O
with   O
symptoms   O
as   O
described   O
by   O
Tripp   B-NAME
Wise   I-NAME
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Kak   B-NAME
,   I-NAME
Subhash   I-NAME
Patient   O
ID   O
:   O
29376   B-ID
Date   O
of   O
Birth   O
:   O
6   B-DATE
-   I-DATE
1   I-DATE
Age   O
:   O
50   O
Phone   O
Number   O
:   O
702   B-CONTACT
-   I-CONTACT
413   I-CONTACT
-   I-CONTACT
8472   I-CONTACT
Address   O
:   O
Richland   B-LOCATION
Hills   I-LOCATION
,   O
41051   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Lillian   B-NAME
Greene   I-NAME
Medical   O
Record   O
Number   O
:   O
60480303   B-ID
Admission   O
Date   O
:   O
33/18/68   B-DATE
Hospital   O
:   O
Northern   B-LOCATION
Light   I-LOCATION
Inland   I-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O
Fire   O
-   O
Prevention   O
and   O
Protection   O
Engineers   O
Chief   O
Complaint   O
:   O
Skyler   B-NAME
Grimes   I-NAME
presents   O
with   O
a   O
history   O
of   O
persistent   O
dyspepsia   O
,   O
notable   O
weight   O
loss   O
over   O
the   O
past   O
2   O
months   O
,   O
and   O
recurrent   O
episodes   O
of   O
nocturnal   O
acid   O
reflux   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Allen   B-NAME
,   I-NAME
Fred   I-NAME
,   O
a   O
Veterinary   O
Assistants   O
and   O
Laboratory   O
Animal   O
Caretakers   O
from   O
Garden   B-LOCATION
City   I-LOCATION
South   I-LOCATION
,   O
reports   O
that   O
symptoms   O
initially   O
began   O
approximately   O
3   O
months   O
ago   O
.   O

Vincent   B-NAME
Brennan   I-NAME
describes   O
a   O
burning   O
sensation   O
in   O
the   O
epigastric   O
region   O
,   O
predominantly   O
postprandial   O
in   O
nature   O
.   O

No   O
previous   O
episodes   O
of   O
gastrointestinal   O
bleeding   O
or   O
alarm   O
symptoms   O
until   O
the   O
last   O
12/22   B-DATE
,   O
when   O
Lanelle   B-NAME
noticed   O
a   O
melena   O
episode   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
,   O
diagnosed   O
November   B-DATE
-   O
No   O
known   O
drug   O
allergies   O
-   O
No   O
previous   O
surgeries   O
Medications   O
on   O
Admission   O
:   O
-   O
Lisinopril   O
10   O
mg   O
daily   O
-   O
Over   O
-   O
the   O
-   O
counter   O
calcium   O
carbonate   O
antacids   O
,   O
as   O
needed   O
Family   O
History   O
:   O
No   O
known   O
family   O
history   O
of   O
gastrointestinal   O
cancers   O
or   O
peptic   O
ulcer   O
disease   O
.   O

Social   O
History   O
:   O
McQuaig   B-NAME
,   B-NAME
Linda   I-NAME
is   O
a   O
Engineering   O
Managers   O
and   O
denies   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

outlaw   B-NAME
is   O
married   O
and   O
lives   O
with   O
spouse   O
in   O
Roslyn   B-LOCATION
Heights   I-LOCATION
.   O
Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
gastrointestinal   O
symptoms   O
described   O
,   O
Elise   B-NAME
Vasquez   I-NAME
denies   O
any   O
recent   O
fever   O
,   O
chills   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
urinary   O
symptoms   O
.   O

On   O
examination   O
,   O
Emerson   B-NAME
Pineda   I-NAME
appeared   O
cachectic   O
.   O

Lab   O
Results   O
:   O
-   O
Hemoglobin   O
:   O
10.2   O
g   O
/   O
dL   O
-   O
WBC   O
:   O
7,500   O
/   O
uL   O
-   O
Platelets   O
:   O
250,000   O
/   O
uL   O
-   O
Liver   O
enzymes   O
within   O
normal   O
limits   O
-   O
Fecal   O
occult   O
blood   O
test   O
:   O
Positive   O
Imaging   O
:   O
Upper   O
GI   O
endoscopy   O
performed   O
on   O
2088   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
35   I-DATE
revealed   O
a   O
2   O
cm   O
ulcer   O
in   O
the   O
duodenal   O
bulb   O
with   O
signs   O
of   O
recent   O
bleeding   O
.   O

Madisyn   B-NAME
Henry   I-NAME
is   O
to   O
follow   O
up   O
in   O
the   O
GI   O
clinic   O
in   O
4   O
weeks   O
for   O
symptom   O
review   O
and   O
compliance   O
check   O
.   O

Referrals   O
to   O
Vivian   B-NAME
Gathers   I-NAME
,   O
Gastroenterology   O
,   O
for   O
further   O
management   O
and   O
follow   O
-   O
up   O
were   O
made   O
.   O

Contact   O
information   O
for   O
the   O
GI   O
clinic   O
at   O
Centra   B-LOCATION
Virginia   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
(   O
10236   B-CONTACT
)   O
was   O
provided   O
to   O
Leon   B-NAME
Craft   I-NAME
.   O

This   O
patient   O
report   O
was   O
compiled   O
and   O
reviewed   O
on   O
2141   B-DATE
by   O
Day   B-NAME
,   O
Palo   B-LOCATION
Alto   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Name   O
:   O
Rana   B-NAME
Patient   O
ID   O
:   O
695447   B-ID
Medical   O
Record   O
Number   O
:   O
91831107   B-ID
Date   O
of   O
Birth   O
:   O
31   B-DATE
Age   O
:   O
72s   O
Address   O
:   O
Gary   B-LOCATION
City   I-LOCATION
,   O
98547   B-LOCATION
Phone   O
Number   O
:   O
864   B-CONTACT
-   I-CONTACT
7418   I-CONTACT

Attending   O
Physician   O
:   O
Prince   B-NAME
Occupation   O
:   O
Sailors   O
and   O
Marine   O
Oilers   O
Username   O
:   O
alw122   B-NAME
Hospital   O
:   O

Wayne   B-LOCATION
HealthCare   I-LOCATION
Admission   O
Date   O
:   O
07/12   B-DATE
Discharge   O
Date   O
:   O
June   B-DATE
Chief   O
Complaint   O
:   O

Arroyo   B-NAME
presented   O
at   O
St.   B-LOCATION
Francis   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2108   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
exacerbated   O
over   O
the   O
past   O
48   O
hours   O
.   O

Medical   O
History   O
:   O
Torre   B-NAME
,   I-NAME
Joe   I-NAME
’s   O
medical   O
history   O
includes   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
a   O
previous   O
appendectomy   O
at   O
99   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Lauren   B-NAME
Lewis   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Impression   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Rubi   B-NAME
Kaiser   I-NAME
was   O
diagnosed   O
with   O
acute   O
ileitis   O
,   O
possibly   O
due   O
to   O
Crohn   O
's   O
disease   O
flare   O
-   O
up   O
.   O

Admit   O
Alina   B-NAME
Glenn   I-NAME
to   O
Floyd   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
including   O
IV   O
hydration   O
,   O
bowel   O
rest   O
,   O
and   O
close   O
monitoring   O
.   O

3   O
.   O
Consult   O
with   O
a   O
gastroenterologist   O
from   O
Trupanion   B-LOCATION
for   O
evaluation   O
and   O
management   O
of   O
suspected   O
Crohn   O
's   O
disease   O
.   O

Educate   O
Leandro   B-NAME
Biscari   I-NAME
on   O
the   O
nature   O
of   O
the   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
the   O
importance   O
of   O
follow   O
-   O
up   O
after   O
discharge   O
.   O

Disposition   O
:   O
Charlee   B-NAME
Donovan   I-NAME
was   O
admitted   O
to   O
Platte   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
09/21/2305   B-DATE
and   O
is   O
scheduled   O
for   O
discharge   O
on   O
2272   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
12   I-DATE
with   O
outpatient   O
follow   O
-   O
up   O
care   O
arranged   O
within   O
two   O
weeks   O
.   O

I   O
,   O
Octavio   B-NAME
Velasquez   I-NAME
,   O
have   O
reviewed   O
and   O
agree   O
with   O
the   O
above   O
plan   O
for   O
Liliana   B-NAME
Gill   I-NAME
.   O

Contact   O
information   O
for   O
follow   O
-   O
up   O
care   O
is   O
provided   O
,   O
including   O
my   O
office   O
phone   O
number   O
486   B-CONTACT
907   I-CONTACT
7869   I-CONTACT
and   O
instructions   O
for   O
Parker   B-NAME
Huang   I-NAME
to   O
reach   O
me   O
via   O
the   O
patient   O
portal   O
using   O
the   O
username   O
egc483   B-NAME
.   O

Document   O
Prepared   O
by   O
:   O
Josephine   B-NAME
Mccoy   I-NAME
Medical   O
Record   O
Number   O
:   O
60653084   B-ID
Date   O
:   O
39/24   B-DATE

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Xan   B-NAME
Dillon   I-NAME
-   O
Age   O
:   O
61s   O
-   O
Gender   O
:   O
Female   O
-   O
ID   O
:   O
ZQ539/2094   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
7918894   B-ID
-   O
Address   O
:   O
9116   B-LOCATION
Peninsula   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
23296   B-LOCATION
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
374   I-CONTACT
)   I-CONTACT
516   I-CONTACT
4723   I-CONTACT
-   O
Employed   O
as   O
:   O
Design   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
Medical   O
History   O
:   O
Chaz   B-NAME
Stanley   I-NAME
was   O
first   O
seen   O
by   O
Spence   B-NAME
on   O
1/21/07   B-DATE
for   O
symptoms   O
that   O
included   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
fever   O
.   O

GQ   B-NAME
reported   O
that   O
the   O
symptoms   O
had   O
been   O
persisting   O
for   O
over   O
a   O
week   O
before   O
the   O
consultation   O
.   O

Justus   B-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
diabetes   O
and   O
hypertension   O
but   O
with   O
no   O
known   O
cases   O
of   O
lung   O
diseases   O
.   O

Up   O
-   O
to   O
-   O
date   O
on   O
vaccinations   O
with   O
no   O
significant   O
travel   O
history   O
outside   O
Matthews   B-LOCATION
.   O

Symptom   O
Analysis   O
:   O
Upon   O
examination   O
,   O
Jonnie   B-NAME
Vue   I-NAME
exhibited   O
labored   O
breathing   O
with   O
audible   O
wheezing   O
and   O
reduced   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
.   O

Diagnostic   O
Testing   O
:   O
Chest   O
X   O
-   O
rays   O
ordered   O
by   O
Maya   B-NAME
Serrano   I-NAME
revealed   O
bilateral   O
infiltrates   O
,   O
suggestive   O
of   O
pneumonia   O
.   O

Treatment   O
Plan   O
:   O
-   O
Admission   O
to   O
Helen   B-LOCATION
Hayes   I-LOCATION
Hospital   I-LOCATION
was   O
recommended   O
for   O
further   O
observation   O
and   O
treatment   O
.   O

-   O
Macy   B-NAME
Bruce   I-NAME
was   O
started   O
on   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
regimen   O
as   O
well   O
as   O
a   O
course   O
of   O
corticosteroids   O
to   O
manage   O
inflammation   O
.   O

-   O
Supplemental   O
oxygen   O
was   O
administered   O
to   O
improve   O
oxygen   O
saturation   O
levels   O
.   O
-   O
Influenza   O
and   O
COVID-19   O
tests   O
were   O
conducted   O
,   O
with   O
results   O
pending   O
as   O
of   O
12/25/2116   B-DATE
.   O

-   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Little   B-NAME
in   O
two   O
weeks   O
from   O
the   O
admission   O
date   O
,   O
or   O
earlier   O
if   O
symptoms   O
do   O
not   O
improve   O
or   O
worsen   O
.   O

Recommendations   O
for   O
Improvement   O
:   O
-   O
Clarita   B-NAME
Lashley   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
healthy   O
lifestyle   O
,   O
including   O
a   O
balanced   O
diet   O
and   O
regular   O
exercise   O
suitable   O
to   O
her   O
condition   O
.   O

-   O
Scheduled   O
follow   O
-   O
ups   O
to   O
monitor   O
asthma   O
control   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O
-   O
Reilly   B-NAME
was   O
encouraged   O
to   O
update   O
emergency   O
contact   O
information   O
with   O
the   O
hospital   O
,   O
providing   O
the   O
name   O
of   O
a   O
local   O
family   O
member   O
or   O
friend   O
.   O

Next   O
Steps   O
:   O
-   O
Monitor   O
Esteban   B-NAME
Casey   I-NAME
's   O
response   O
to   O
the   O
antibiotic   O
treatment   O
and   O
adjust   O
as   O
necessary   O
based   O
on   O
culture   O
results   O
and   O
clinical   O
improvement   O
.   O

-   O
Regular   O
follow   O
-   O
up   O
appointments   O
with   O
James   B-NAME
Lucero   I-NAME
to   O
monitor   O
health   O
progress   O
and   O
any   O
potential   O
complications   O
related   O
to   O
current   O
infection   O
or   O
chronic   O
conditions   O
.   O

Contacts   O
for   O
emergencies   O
and   O
further   O
inquiries   O
provided   O
by   O
Mid   B-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
contact   O
center   O
at   O
116   B-CONTACT
-   I-CONTACT
301   I-CONTACT
8398   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Anabelle   B-NAME
Meadows   I-NAME
-   O
Age   O
:   O
82   O
-   O
ID   O
:   O
EN   B-ID
:   I-ID
MR:5069   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
97074819   B-ID
-   O
Phone   O
:   O
952   B-CONTACT
-   I-CONTACT
1864   I-CONTACT
-   O
Address   O
:   O
Cache   B-LOCATION
,   O
19077   B-LOCATION
Healthcare   O
Providers   O
:   O
-   O
Primary   O
Care   O
Physician   O
:   O

Gillian   B-NAME
Oconnell   I-NAME
-   O
Treating   O
Hospital   O
:   O
UAB   B-LOCATION
Callahan   I-LOCATION
Eye   I-LOCATION
Hospital   I-LOCATION
Summary   O
of   O
Visit   O
on   O
12/21/15   B-DATE
:   O
On   O
1847   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
24   I-DATE
,   O
Cristal   B-NAME
Peters   I-NAME
,   O
a   O
Millwrights   O
from   O
Lake   B-LOCATION
Tansi   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Wesley   B-LOCATION
Long   I-LOCATION
Community   I-LOCATION
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
.   O

OAKLEY   B-NAME
,   I-NAME
ALBERT   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
noted   O
at   O
home   O
.   O

Olson   B-NAME
denied   O
any   O
recent   O
travel   O
history   O
,   O
sick   O
contacts   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Ruben   B-NAME
Fleming   I-NAME
,   O
which   O
showed   O
appendiceal   O
enlargement   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
and   O
Follow   O
-   O
Up   O
:   O
Jade   B-NAME
Brown   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Javion   B-NAME
Wells   I-NAME
was   O
admitted   O
under   O
Brent   B-NAME
Christensen   I-NAME
's   O
care   O
on   O
June   B-DATE
19   I-DATE
,   I-DATE
2130   I-DATE
.   O

The   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
Thursday   B-DATE
without   O
complications   O
.   O

Instructions   O
at   O
Discharge   O
:   O
Zariah   B-NAME
Calhoun   I-NAME
provided   O
Carleigh   B-NAME
Fitzpatrick   I-NAME
with   O
postoperative   O
care   O
instructions   O
,   O
including   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
prescribed   O
course   O
of   O
antibiotics   O
.   O

Daniella   B-NAME
Walter   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
clear   O
liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
operation   O
,   O
gradually   O
returning   O
to   O
a   O
normal   O
diet   O
as   O
tolerated   O
.   O

Contact   O
Information   O
:   O
-   O
Janet   B-NAME
Marquez   I-NAME
was   O
informed   O
to   O
contact   O
Northern   B-LOCATION
Colorado   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
at   O
626   B-CONTACT
9529   I-CONTACT
for   O
any   O
concerns   O
or   O
complications   O
.   O

-   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Jillian   B-NAME
Lester   I-NAME
on   O
12/23   B-DATE
.   O

Confidentiality   O
Note   O
:   O
This   O
document   O
contains   O
sensitive   O
health   O
information   O
pertaining   O
to   O
Wade   B-NAME
Mills   I-NAME
and   O
is   O
protected   O
under   O
healthcare   O
privacy   O
laws   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Francis   B-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
7461833   I-ID
Medical   O
Record   O
Number   O
:   O
7107121   B-ID
Age   O
:   O
61   O
Phone   O
Number   O
:   O
57178   B-CONTACT
Address   O
:   O
Cartersville   B-LOCATION
,   O
94154   B-LOCATION
Emergency   O
Contact   O
:   O
14566   B-CONTACT
Employer   O
:   O

Encompass   B-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Occupation   O
:   O
Farmworkers   O
and   O
Laborers   O
,   O
Crop   O
,   O
Nursery   O
,   O
and   O
Greenhouse   O
Doctor   O
’s   O
Name   O
:   O
Brooklynn   B-NAME
Pena   I-NAME
Hospital   O
Name   O
:   O
Princeton   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/33/06   B-DATE
Date   O
of   O
Discharge   O
:   O
19/21/89   B-DATE
Medical   O
History   O
:   O

The   O
patient   O
,   O
Randall   B-NAME
Strong   I-NAME
,   O
a   O
Photoengraving   O
and   O
Lithographing   O
Machine   O
Operators   O
and   O
Tenders   O
from   O
Tahlequah   B-LOCATION
,   I-LOCATION
Tahlequah   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Association   I-LOCATION
,   O
presented   O
to   O
Ashtabula   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
33/12/2002   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
wheezing   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
had   O
been   O
progressing   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
examination   O
,   O
River   B-NAME
Duran   I-NAME
noted   O
a   O
decreased   O
breath   O
sounds   O
in   O
the   O
lower   O
lobes   O
bilaterally   O
,   O
with   O
an   O
audible   O
wheeze   O
.   O

4   O
.   O
CT   O
scan   O
of   O
the   O
chest   O
:   O
Scheduled   O
for   O
12/21   B-DATE
to   O
further   O
assess   O
the   O
extent   O
of   O
lung   O
consolidation   O
and   O
to   O
rule   O
out   O
malignancy   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Pham   B-NAME
at   O
Gulf   B-LOCATION
Coast   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
scheduled   O
for   O
2/36   B-DATE
to   O
review   O
the   O
CT   O
scan   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O
Instructions   O
for   O
Patient   O
upon   O
Discharge   O
:   O
Isaura   B-NAME
Cavin   I-NAME
is   O
advised   O
to   O
take   O
all   O
medications   O
as   O
prescribed   O
and   O
to   O
monitor   O
their   O
temperature   O
and   O
breathing   O
closely   O
.   O

Any   O
increase   O
in   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
inability   O
to   O
eat   O
or   O
drink   O
should   O
prompt   O
an   O
immediate   O
return   O
to   O
Hill   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Sumter   I-LOCATION
County   I-LOCATION
or   O
call   O
to   O
58058   B-CONTACT
.   O

Conclusion   O
:   O
Walken   B-NAME
,   I-NAME
Christopher   I-NAME
’s   O
symptoms   O
and   O
medical   O
history   O
indicate   O
a   O
possible   O
lower   O
respiratory   O
tract   O
infection   O
with   O
an   O
underlying   O
concern   O
for   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
due   O
to   O
a   O
significant   O
smoking   O
history   O
.   O

Notes   O
by   O
:   O
Alexzander   B-NAME
Weaver   I-NAME
Medical   O
Record   O
Number   O
:   O
327   B-ID
-   I-ID
33   I-ID
-   I-ID
06   I-ID
-   I-ID
8   I-ID
Date   O
:   O
2119   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
24   I-DATE

Patient   O
Name   O
:   O
Henderson   B-NAME
Patient   O
ID   O
:   O
IO603/2856   B-ID
Medical   O
Record   O
Number   O
:   O
0905283   B-ID
Age   O
:   O
12   O
month   O
Phone   O
Number   O
:   O
398   B-CONTACT
-   I-CONTACT
376   I-CONTACT
-   I-CONTACT
2878   I-CONTACT
Date   O
of   O
Birth   O
:   O
24/31   B-DATE
Residence   O
:   O
Bronaugh   B-LOCATION
Occupation   O
:   O
waitress   O
Physician   O
:   O

Medina   B-NAME
Hospital   O
Name   O
:   O
Novant   B-LOCATION
Health   I-LOCATION
Matthews   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Treatment   O
Date   O
:   O
2   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
07   I-DATE
Patient   O
Tonette   B-NAME
Trammell   I-NAME
presented   O
to   O
Hampton   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
Monday   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
lower   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
to   O
the   O
right   O
quadrant   O
.   O

Rudy   B-NAME
Hicks   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
rating   O
it   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Upon   O
examination   O
,   O
Huang   B-NAME
noted   O
Freeman   B-NAME
's   O
abdomen   O
to   O
be   O
tensely   O
distended   O
,   O
with   O
marked   O
tenderness   O
upon   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggesting   O
peritoneal   O
irritation   O
.   O

Furthermore   O
,   O
Scott   B-NAME
Fink   I-NAME
exhibited   O
Rovsing   O
's   O
sign   O
,   O
where   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
was   O
intensified   O
by   O
palpation   O
of   O
the   O
left   O
lower   O
quadrant   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Horning   B-NAME
,   I-NAME
Jim   I-NAME
revealed   O
leukocytosis   O
with   O
a   O
left   O
shift   O
,   O
further   O
corroborating   O
the   O
suspicion   O
of   O
an   O
acute   O
inflammatory   O
process   O
.   O

Given   O
these   O
findings   O
,   O
Crawford   B-NAME
diagnosed   O
Roy   B-NAME
Swanson   I-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
immediate   O
surgical   O
intervention   O
.   O

Preliminary   O
antibiotics   O
were   O
administered   O
,   O
and   O
Johnny   B-NAME
Fever   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
without   O
complications   O
on   O
2/22   B-DATE
.   O

The   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
Good   B-NAME
was   O
discharged   O
on   O
01/18   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
follow   O
-   O
up   O
appointments   O
with   O
Layne   B-NAME
Michael   I-NAME
at   O
Mercy   B-LOCATION
Fitzgerald   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
signs   O
of   O
potential   O
complications   O
to   O
monitor   O
.   O

Instructions   O
for   O
follow   O
-   O
up   O
included   O
a   O
scheduled   O
visit   O
to   O
Stevens   B-NAME
in   O
Dunedin   B-LOCATION
on   O
4/29/2172   B-DATE
for   O
wound   O
assessment   O
and   O
to   O
discuss   O
the   O
histopathology   O
report   O
of   O
the   O
removed   O
appendix   O
.   O

Akinola   B-NAME
,   I-NAME
Peter   I-NAME
Jasper   I-NAME
was   O
advised   O
to   O
resume   O
normal   O
activities   O
gradually   O
and   O
to   O
report   O
any   O
signs   O
of   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
wound   O
infection   O
to   O
Bethesda   B-LOCATION
Butler   I-LOCATION
Hospital   I-LOCATION
at   O
555   B-CONTACT
7640   I-CONTACT
immediately   O
.   O

The   O
collaboration   O
between   O
the   O
multidisciplinary   O
team   O
at   O
Saint   B-LOCATION
Anne   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
and   O
the   O
adherence   O
of   O
Sapphon   B-NAME
Hollarn   I-NAME
to   O
the   O
postoperative   O
instructions   O
were   O
crucial   O
elements   O
for   O
the   O
successful   O
management   O
and   O
resolution   O
of   O
this   O
case   O
.   O

Patient   O
Report   O
for   O
Valerius   B-NAME
Valance   I-NAME
2253   B-DATE
's   I-DATE
Patient   O
Information   O
:   O
-   O
Age   O
:   O
95   O
-   O
4716364   B-ID
:   O

IX   B-ID
:   I-ID
TC:5835   I-ID
-   O
Contact   O
:   O
209   B-CONTACT
-   I-CONTACT
3382   I-CONTACT
-   O
Address   O
:   O
Berlin   B-LOCATION
,   I-LOCATION
Town   I-LOCATION
of   I-LOCATION
Berlin   I-LOCATION
,   O
60354   B-LOCATION
Clinical   O
Summary   O
:   O
Ileen   B-NAME
Routt   I-NAME
,   O
a   O
Poets   O
and   O
Lyricists   O
from   O
Jacksonburg   B-LOCATION
,   O
presented   O
to   O
Christian   B-LOCATION
Hospital   I-LOCATION
on   O
2/33   B-DATE
with   O
a   O
history   O
of   O
persistent   O
abdominal   O
pain   O
,   O
characterized   O
as   O
cramping   O
and   O
localized   O
to   O
the   O
lower   O
left   O
quadrant   O
,   O
intensifying   O
over   O
the   O
past   O
07/25   B-DATE
.   O

Jeril   B-NAME
has   O
experienced   O
irregular   O
bowel   O
movements   O
characterized   O
by   O
alternating   O
periods   O
of   O
diarrhea   O
and   O
constipation   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Pontius   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
discomfort   O
.   O

Diagnostic   O
Testing   O
:   O
Lab   O
tests   O
ordered   O
by   O
Hadassah   B-NAME
Levine   I-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
C   O
-   O
reactive   O
protein   O
(   O
CRP   O
)   O
levels   O
,   O
which   O
were   O
within   O
normal   O
ranges   O
,   O
except   O
for   O
a   O
slight   O
elevation   O
in   O
white   O
blood   O
cell   O
count   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
conducted   O
on   O
9/3   B-DATE
,   O
showed   O
signs   O
of   O
colonic   O
wall   O
thickening   O
in   O
the   O
descending   O
colon   O
.   O

Jackson   B-NAME
,   I-NAME
Lucille   I-NAME
's   O
history   O
of   O
irregular   O
bowel   O
movements   O
and   O
dietary   O
habits   O
may   O
have   O
contributed   O
to   O
the   O
development   O
of   O
this   O
condition   O
.   O

-   O
Schedule   O
follow   O
-   O
up   O
in   O
12/3   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
management   O
as   O
necessary   O
.   O
-   O
Advise   O
Harrison   B-NAME
Shaw   I-NAME
on   O
the   O
importance   O
of   O
maintaining   O
a   O
high   O
-   O
fiber   O
diet   O
and   O
adequate   O
hydration   O
to   O
prevent   O
recurrence   O
.   O

Aristotle   B-NAME
was   O
discharged   O
with   O
instructions   O
to   O
follow   O
up   O
with   O
Stokes   B-NAME
on   O
04/15/72   B-DATE
or   O
return   O
to   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
symptoms   O
significantly   O
worsen   O
or   O
do   O
not   O
improve   O
with   O
treatment   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Werner   B-NAME
,   O
M.D.   O
,   O
and   O
securely   O
emailed   O
to   O
Ottilie   B-NAME
Kang   I-NAME
at   O
TZ534   B-NAME
@   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
North   I-LOCATION
Metro   I-LOCATION
.com   O
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
this   O
report   O
,   O
Yu   B-NAME
or   O
referring   O
physicians   O
may   O
contact   O
Novak   B-NAME
's   O
office   O
at   O
361   B-CONTACT
100   I-CONTACT
-   I-CONTACT
5876   I-CONTACT
.   O

Patient   O
Name   O
:   O
Proudhon   B-NAME
,   I-NAME
P.   I-NAME
J.   I-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
1313240   I-ID
Medical   O
Record   O
Number   O
:   O
240   B-ID
-   I-ID
64   I-ID
-   I-ID
33   I-ID
-   I-ID
0   I-ID
DOB   O
:   O

25/10   B-DATE
Age   O
:   O
47   O
Phone   O
Number   O
:   O
(   B-CONTACT
174   I-CONTACT
)   I-CONTACT
541   I-CONTACT
-   I-CONTACT
4498   I-CONTACT
Address   O
:   O
Southern   B-LOCATION
Ute   I-LOCATION
,   O
43910   B-LOCATION
Employer   O
:   O

Revolutionary   B-LOCATION
Cells   I-LOCATION
-   I-LOCATION
Animal   I-LOCATION
Liberation   I-LOCATION
Brigade   I-LOCATION
(   I-LOCATION
RCALB   I-LOCATION
)   I-LOCATION
Occupation   O
:   O
Market   O
Research   O
Analysts   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Nickolas   B-NAME
Campos   I-NAME
Summary   O
:   O
Davon   B-NAME
Leach   I-NAME
presented   O
to   O
INTEGRIS   B-LOCATION
Deaconess   I-LOCATION
on   O
6/8   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
an   O
episode   O
of   O
vomiting   O
that   O
has   O
not   O
subsided   O
since   O
the   O
morning   O
of   O
31   B-DATE
-   I-DATE
20   I-DATE
.   O

Bullock   B-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
known   O
exposures   O
to   O
contaminants   O
.   O

Medical   O
History   O
:   O
Ray   B-NAME
Palmer   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
II   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

K.   B-NAME
Guzman   I-NAME
has   O
a   O
surgical   O
history   O
of   O
cholecystectomy   O
performed   O
at   O
Lenoir   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Incorporated   I-LOCATION
in   O
0/08/69   B-DATE
.   O

A   O
confirmatory   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
recommended   O
by   O
Dr.   O
Pace   B-NAME
to   O
further   O
evaluate   O
the   O
extent   O
of   O
the   O
inflammation   O
and   O
rule   O
out   O
any   O
complications   O
.   O

Pending   O
the   O
results   O
of   O
the   O
CT   O
scan   O
,   O
Ochoa   B-NAME
has   O
been   O
started   O
on   O
IV   O
antibiotics   O
to   O
manage   O
the   O
suspected   O
bacterial   O
infection   O
.   O

Surgical   O
consultation   O
with   O
Elian   B-NAME
Cordova   I-NAME
has   O
been   O
scheduled   O
to   O
discuss   O
the   O
possible   O
need   O
for   O
an   O
appendectomy   O
,   O
based   O
on   O
the   O
final   O
diagnosis   O
.   O

Joy   B-NAME
Cooper   I-NAME
has   O
been   O
advised   O
to   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
preparation   O
for   O
the   O
potential   O
surgical   O
procedure   O
.   O

Follow   O
-   O
Up   O
:   O
D   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Stuart   B-NAME
at   O
Riverside   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/02/2302   B-DATE
to   O
assess   O
the   O
response   O
to   O
treatment   O
and   O
decide   O
on   O
further   O
management   O
.   O

Alfred   B-NAME
Short   I-NAME
has   O
been   O
given   O
education   O
on   O
the   O
signs   O
of   O
possible   O
complications   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
the   O
development   O
of   O
jaundice   O
,   O
and   O
instructed   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
270   B-CONTACT
-   I-CONTACT
290   I-CONTACT
5486   I-CONTACT
if   O
any   O
of   O
these   O
symptoms   O
occur   O
.   O

Patient   O
Name   O
:   O
Zackery   B-NAME
Merritt   I-NAME
Patient   O
ID   O
:   O
589108142   B-ID
Medical   O
Record   O
Number   O
:   O
49659044   B-ID
Date   O
of   O
Birth   O
:   O
22/30/55   B-DATE
Age   O
:   O
56   O
Phone   O
Number   O
:   O
(   B-CONTACT
893   I-CONTACT
)   I-CONTACT
968   I-CONTACT
7215   I-CONTACT
Address   O
:   O
11   B-LOCATION
Johnson   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
67840   B-LOCATION
Doctor   O
:   O
Schneider   B-NAME
Hospital   O
:   O

Belmont   B-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
Employment   O
:   O

Welding   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
at   O
Nationwide   B-LOCATION
Mutual   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Username   O
for   O
Hospital   O
Portal   O
:   O
qk336   B-NAME
Medical   O
History   O
Summary   O
:   O

Patient   O
Dwayne   B-NAME
Wall   I-NAME
,   O
with   O
a   O
medical   O
record   O
number   O
of   O
8505E57280   B-ID
,   O
presented   O
to   O
Primary   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
02/16   B-DATE
with   O
complaints   O
of   O
persistent   O
epigastric   O
pain   O
,   O
described   O
as   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
that   O
radiates   O
to   O
the   O
back   O
.   O

The   O
onset   O
was   O
approximately   O
05/38   B-DATE
,   O
following   O
consumption   O
of   O
a   O
large   O
,   O
fatty   O
meal   O
.   O

Steve   B-NAME
Becker   I-NAME
also   O
reported   O
associated   O
nausea   O
without   O
vomiting   O
,   O
bloating   O
,   O
and   O
a   O
decrease   O
in   O
appetite   O
since   O
the   O
episode   O
began   O
.   O

There   O
is   O
a   O
noted   O
history   O
of   O
chronic   O
pancreatitis   O
,   O
managed   O
with   O
pancreatic   O
enzyme   O
supplements   O
and   O
periodic   O
evaluations   O
by   O
Compton   B-NAME
.   O

Cailyn   B-NAME
Welch   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
in   O
both   O
parents   O
.   O

The   O
patient   O
Henry   B-NAME
Frankenstein   I-NAME
has   O
been   O
advised   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
,   O
stay   O
well   O
-   O
hydrated   O
,   O
and   O
avoid   O
alcohol   O
until   O
further   O
assessment   O
can   O
be   O
made   O
.   O

Prescription   O
for   O
pain   O
management   O
was   O
provided   O
,   O
with   O
instructions   O
to   O
return   O
to   O
OhioHealth   B-LOCATION
Doctors   I-LOCATION
Hospital   I-LOCATION
or   O
call   O
929   B-CONTACT
4447   I-CONTACT
in   O
case   O
of   O
worsening   O
symptoms   O
or   O
the   O
emergence   O
of   O
new   O
concerns   O
.   O

Follow   O
-   O
up   O
with   O
Mohamed   B-NAME
Dominguez   I-NAME
in   O
the   O
gastroenterology   O
department   O
has   O
been   O
scheduled   O
for   O
32/02   B-DATE
to   O
review   O
test   O
results   O
and   O
plan   O
ongoing   O
management   O
.   O

The   O
patient   O
,   O
Denisse   B-NAME
Park   I-NAME
,   O
a   O
0   O
month   O
-   O
year   O
-   O
old   O
Forest   O
Fire   O
Fighters   O
from   O
Cooter   B-LOCATION
,   O
presented   O
to   O
Hazel   B-LOCATION
Hawkins   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
03/11   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
located   O
primarily   O
in   O
the   O
occipital   O
region   O
.   O

Williams   B-NAME
,   I-NAME
Ted   I-NAME
reported   O
that   O
the   O
headache   O
was   O
non   O
-   O
responsive   O
to   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Upon   O
examination   O
,   O
Sullivan   B-NAME
Mcintosh   I-NAME
's   O
vital   O
signs   O
were   O
found   O
to   O
be   O
within   O
normal   O
limits   O
;   O
however   O
,   O
neurological   O
examination   O
revealed   O
mild   O
neck   O
stiffness   O
without   O
Kernig   O
's   O
or   O
Brudzinski   O
's   O
sign   O
.   O

Given   O
the   O
sudden   O
onset   O
and   O
the   O
severity   O
of   O
the   O
headache   O
combined   O
with   O
neck   O
stiffness   O
,   O
a   O
non   O
-   O
contrast   O
CT   O
scan   O
was   O
ordered   O
by   O
Sandoval   B-NAME
to   O
rule   O
out   O
subarachnoid   O
hemorrhage   O
.   O

Blood   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
electrolyte   O
panel   O
,   O
and   O
coagulation   O
profile   O
,   O
were   O
sent   O
to   O
Maharashtra   B-LOCATION
General   I-LOCATION
Kamgar   I-LOCATION
Union   I-LOCATION
's   O
laboratory   O
.   O

Subsequent   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
recommended   O
by   O
Liam   B-NAME
Reese   I-NAME
,   O
showed   O
no   O
abnormalities   O
,   O
ruling   O
out   O
other   O
potential   O
causes   O
of   O
severe   O
headaches   O
such   O
as   O
space   O
-   O
occupying   O
lesions   O
or   O
vascular   O
abnormalities   O
.   O

Perger   B-NAME
,   I-NAME
Andreas   I-NAME
Paolo   I-NAME
prescribed   O
a   O
combination   O
of   O
a   O
triptan   O
and   O
an   O
antiemetic   O
for   O
acute   O
management   O
and   O
recommended   O
starting   O
a   O
prophylactic   O
beta   O
-   O
blocker   O
to   O
manage   O
the   O
frequency   O
and   O
severity   O
of   O
future   O
migraine   O
episodes   O
.   O

Nicholas   B-NAME
Lange   I-NAME
was   O
provided   O
with   O
an   O
information   O
brochure   O
about   O
migraine   O
management   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
four   O
weeks   O
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
.   O

For   O
further   O
inquiries   O
or   O
in   O
case   O
of   O
an   O
emergency   O
,   O
Marcelo   B-NAME
Crane   I-NAME
was   O
provided   O
Cobb   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
's   O
contact   O
information   O
including   O
the   O
general   O
inquiry   O
51646   B-CONTACT
number   O
and   O
was   O
informed   O
about   O
the   O
24   O
-   O
hour   O
nurse   O
helpline   O
operated   O
by   O
Coweta   B-LOCATION
-   I-LOCATION
Fayette   I-LOCATION
EMC   I-LOCATION
.   O

The   O
patient   O
was   O
reminded   O
to   O
refer   O
to   O
their   O
medical   O
record   O
number   O
,   O
99363181   B-ID
,   O
for   O
all   O
communications   O
to   O
ensure   O
confidentiality   O
and   O
prompt   O
service   O
.   O

The   O
case   O
was   O
documented   O
in   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Colorado   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
's   O
electronic   O
medical   O
records   O
system   O
under   O
the   O
ID   O
80348720   B-ID
,   O
and   O
a   O
summary   O
of   O
the   O
encounter   O
along   O
with   O
the   O
management   O
plan   O
was   O
sent   O
to   O
Clare   B-NAME
Barrera   I-NAME
's   O
registered   O
email   O
,   O
bus07   B-NAME
@   O
Shia   B-LOCATION
Rights   I-LOCATION
Watch   I-LOCATION
,   O
for   O
personal   O
record   O
-   O
keeping   O
and   O
reference   O
.   O

Patient   O
Name   O
:   O
Turner   B-NAME
Hughes   I-NAME
Date   O
of   O
Birth   O
:   O
0/20   B-DATE
Age   O
:   O
15s   O
Patient   O
ID   O
:   O
RZ984/3488   B-ID
Medical   O
Record   O
Number   O
:   O
3474785   B-ID
Phone   O
Number   O
:   O
14525   B-CONTACT
Address   O
:   O
Addis   B-LOCATION
,   O
24164   B-LOCATION
Occupation   O
:   O
Shop   O
and   O
Alteration   O
Tailors   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Caldwell   B-NAME
Hospital   O
:   O
Martin   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
12/21/2329   B-DATE
Username   O
:   O
un569   B-NAME
Chief   O
Complaint   O
:   O
Jordin   B-NAME
Berry   I-NAME
,   O
a   O
4   O
month   O
-   O
year   O
-   O
old   O
Fish   O
Hatchery   O
Managers   O
from   O
Mechanicstown   B-LOCATION
,   O
presented   O
to   O
Dr.   O
Maroulis   B-NAME
,   I-NAME
Constantine   I-NAME
at   O
North   B-LOCATION
Ridge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Thursday   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
,   O
accompanied   O
by   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jerry   B-NAME
Houston   I-NAME
reported   O
that   O
the   O
current   O
episode   O
started   O
early   O
in   O
the   O
morning   O
on   O
13/22   B-DATE
,   O
without   O
any   O
apparent   O
trigger   O
.   O

Smith   B-NAME
,   I-NAME
Gordon   I-NAME
has   O
experienced   O
similar   O
episodes   O
in   O
the   O
past   O
,   O
approximately   O
once   O
every   O
two   O
months   O
,   O
but   O
this   O
episode   O
was   O
described   O
as   O
the   O
most   O
debilitating   O
to   O
date   O
.   O

Past   O
Medical   O
History   O
:   O
Steven   B-NAME
Hart   I-NAME
's   O
past   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Upon   O
examination   O
,   O
Morgan   B-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

It   O
was   O
recommended   O
that   O
Frederick   B-NAME
Frankenstein   I-NAME
initiate   O
a   O
migraine   O
diary   O
to   O
track   O
the   O
frequency   O
and   O
triggers   O
of   O
the   O
episodes   O
.   O

A   O
prescription   O
for   O
triptans   O
was   O
given   O
for   O
acute   O
management   O
of   O
the   O
migraines   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Jefferson   B-NAME
Tyler   I-NAME
in   O
two   O
weeks   O
to   O
reassess   O
the   O
patient   O
's   O
condition   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Abigail   B-NAME
Gates   I-NAME
Patient   O
ID   O
:   O
NW:48596:444610   B-ID
Medical   O
Record   O
Number   O
:   O
72878360   B-ID
Date   O
of   O
Birth   O
:   O
2000   B-DATE
Age   O
:   O
44   O
Phone   O
Number   O
:   O
350   B-CONTACT
3365   I-CONTACT
Address   O
:   O
8571   B-LOCATION
East   I-LOCATION
Ivy   I-LOCATION
Road   I-LOCATION
,   O
38592   B-LOCATION
Employment   O
:   O
Meteorologist   O
Admitting   O
Physician   O
:   O
Gill   B-NAME
Treatment   O
Facility   O
:   O
Sacred   B-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Mr.   O
Jesus   B-NAME
Ochoa   I-NAME
presented   O
at   O
the   O
emergency   O
department   O
of   O
LOMA   B-LOCATION
LINDA   I-LOCATION
UNIVERSITY   I-LOCATION
MEDICAL   I-LOCATION
CENTER   I-LOCATION
-   I-LOCATION
MURRIETA   I-LOCATION
on   O
12   B-DATE
-   I-DATE
20   I-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
chest   O
pain   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
presentation   O
.   O

Additionally   O
,   O
Mr.   O
Beard   B-NAME
reported   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
diaphoresis   O
.   O

Patient   O
Junior   B-NAME
Avery   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Mr.   O
Brontë   B-NAME
,   I-NAME
Emily   I-NAME
appeared   O
anxious   O
and   O
diaphoretic   O
.   O

Management   O
and   O
Outcome   O
:   O
Mr.   O
Brenton   B-NAME
Pierce   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

A   O
stat   O
consultation   O
with   O
cardiology   O
was   O
requested   O
,   O
and   O
Anton   B-NAME
Scott   I-NAME
recommended   O
urgent   O
cardiac   O
catheterization   O
.   O

Mr.   O
Lucien   B-NAME
Dubenko   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
at   O
INTEGRIS   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
monitoring   O
and   O
management   O
.   O

His   O
stay   O
was   O
uncomplicated   O
,   O
and   O
he   O
was   O
discharged   O
on   O
01/29/76   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
with   O
cardiology   O
and   O
primary   O
care   O
physician   O
scheduled   O
.   O

Follow   O
-   O
Up   O
:   O
Mr.   O
Long   B-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
,   O
including   O
diet   O
and   O
exercise   O
.   O

For   O
any   O
questions   O
or   O
additional   O
information   O
,   O
please   O
contact   O
Evangelical   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
31418   B-CONTACT
.   O

Reported   O
by   O
:   O
Dr.   O
Larsen   B-NAME
Username   O
:   O
mb399   B-NAME
Date   O
:   O
December   B-DATE

Patient   O
Report   O
Summary   O
:   O
Patient   O
Name   O
:   O
Youssef   B-NAME
M.   I-NAME
Noe   I-NAME
Date   O
of   O
Birth   O
:   O
7/1   B-DATE
Age   O
:   O
46   O
Gender   O
:   O
Female   O
Address   O
:   O
Christoval   B-LOCATION
,   O
31140   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
431   I-CONTACT
)   I-CONTACT
418   I-CONTACT
1574   I-CONTACT
Occupation   O
:   O
Producers   O
and   O
Directors   O
Primary   O
Care   O
Physician   O
:   O

Madalyn   B-NAME
Rangel   I-NAME
Medical   O
Record   O
Number   O
:   O
651   B-ID
-   I-ID
14   I-ID
-   I-ID
71   I-ID
-   I-ID
8   I-ID
Patient   O
ID   O
:   O
PR   B-ID
:   I-ID
MJ:7456   I-ID
Hospital   O
Name   O
:   O
Novant   B-LOCATION
Health   I-LOCATION
Rowan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
33   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
49   O
-   O
year   O
-   O
old   O
female   O
with   O
a   O
background   O
in   O
Nutritionist   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Mon   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2310   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
31   I-DATE
,   O
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Eldredge   B-NAME
,   I-NAME
Niles   I-NAME
reported   O
that   O
the   O
pain   O
began   O
suddenly   O
approximately   O
20/26/39   B-DATE
and   O
has   O
progressively   O
worsened   O
.   O

Additionally   O
,   O
Patricia   B-NAME
Keating   I-NAME
described   O
experiencing   O
diarrhea   O
,   O
with   O
no   O
observable   O
blood   O
.   O

Past   O
Medical   O
History   O
:   O
Zoe   B-NAME
Hart   I-NAME
’s   O
past   O
medical   O
history   O
is   O
significant   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
managed   O
with   O
medication   O
.   O

Gauss   B-NAME
,   I-NAME
Carl   I-NAME
Friedrich   I-NAME
denies   O
any   O
changes   O
in   O
urination   O
,   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
recent   O
travels   O
to   O
Lester   B-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Paul   B-NAME
Arteaga   I-NAME
exhibited   O
signs   O
of   O
distress   O
related   O
to   O
pain   O
.   O

Diagnosis   O
:   O
Based   O
on   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Amy   B-NAME
Alvarez   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
with   O
early   O
signs   O
of   O
perforation   O
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Callum   B-NAME
Fitzpatrick   I-NAME
,   O
was   O
consulted   O
,   O
and   O
Cuevas   B-NAME
underwent   O
appendectomy   O
without   O
complications   O
at   O
Walton   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
on   O
August   B-DATE
0   I-DATE
.   O

Follow   O
-   O
Up   O
:   O
Merchant   B-NAME
,   I-NAME
Natalie   I-NAME
was   O
discharged   O
on   O
M   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
when   O
to   O
resume   O
activities   O
and   O
dietary   O
restrictions   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Ponce   B-NAME
at   O
National   B-LOCATION
Opposition   I-LOCATION
to   I-LOCATION
Normalized   I-LOCATION
Animal   I-LOCATION
Cruelty   I-LOCATION
(   I-LOCATION
NONAC   I-LOCATION
)   I-LOCATION
is   O
scheduled   O
for   O
3/30   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O

For   O
any   O
questions   O
or   O
additional   O
information   O
,   O
please   O
reach   O
out   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Patients   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
patient   O
care   O
department   O
at   O
479   B-CONTACT
757   I-CONTACT
-   I-CONTACT
4517   I-CONTACT
.   O

Prepared   O
by   O
:   O
ZC454   B-NAME
03/25   B-DATE

Patient   O
Name   O
:   O
Layla   B-NAME
Smith   I-NAME
Patient   O
ID   O
:   O
CL   B-ID
:   I-ID
HI:8748   I-ID
Medical   O
Record   O
Number   O
:   O
28646777   B-ID
Date   O
of   O
Birth   O
:   O
09/23/2370   B-DATE
Age   O
:   O
18   O
Address   O
:   O
Canby   B-LOCATION
,   O
49310   B-LOCATION
Employment   O
:   O
Patent   O
attorney   O
Phone   O
Number   O
:   O
24060   B-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Brilliant   B-NAME
,   I-NAME
Ashleigh   I-NAME
Referring   O
Physician   O
:   O

Dr.   O
Kelsie   B-NAME
Crowner   I-NAME
Hospital   O
Admissions   O
:   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Clare   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Baraboo   I-LOCATION
,   O
12/22/13   B-DATE
Username   O
for   O
Hospital   O
Patient   O
Portal   O
:   O
YX611   B-NAME
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Molina   B-NAME
,   O
presented   O
to   O
Henderson   B-LOCATION
Hospital   I-LOCATION
on   O
1/12/35   B-DATE
with   O
complaints   O
of   O
persistent   O
,   O
unrelenting   O
headache   O
primarily   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
associated   O
with   O
photophobia   O
and   O
phonophobia   O
.   O

The   O
onset   O
of   O
these   O
headaches   O
was   O
approximately   O
December   B-DATE
,   O
with   O
a   O
gradual   O
increase   O
in   O
intensity   O
over   O
the   O
past   O
few   O
days   O
.   O

Nathanial   B-NAME
Gaines   I-NAME
described   O
the   O
pain   O
as   O
throbbing   O
,   O
rating   O
it   O
an   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Upon   O
examination   O
,   O
Jase   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Temperature   O
was   O
within   O
normal   O
limits   O
,   O
and   O
blood   O
pressure   O
was   O
slightly   O
elevated   O
at   O
RA:33680:103882   B-ID
mmHg   O
systolic   O
.   O

Investigations   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
were   O
ordered   O
by   O
Dr.   O
Cain   B-NAME
,   I-NAME
Peter   I-NAME
.   O

Dr.   O
Jaydin   B-NAME
Mckee   I-NAME
discussed   O
the   O
importance   O
of   O
lifestyle   O
modification   O
,   O
including   O
stress   O
management   O
techniques   O
and   O
dietary   O
adjustments   O
,   O
to   O
possibly   O
mitigate   O
future   O
episodes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
23/22   B-DATE
at   O
Manchester   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
evaluation   O
and   O
management   O
.   O

In   O
the   O
interim   O
,   O
Parker   B-NAME
was   O
advised   O
to   O
keep   O
a   O
headache   O
diary   O
,   O
noting   O
down   O
potential   O
triggers   O
,   O
and   O
was   O
provided   O
with   O
educational   O
resources   O
on   O
migraine   O
management   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
21/30   B-DATE
with   O
instructions   O
on   O
when   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
were   O
to   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
were   O
to   O
arise   O
.   O

For   O
further   O
information   O
or   O
to   O
report   O
changes   O
in   O
condition   O
,   O
Almasaro   B-NAME
or   O
their   O
designated   O
representative   O
can   O
contact   O
Central   B-LOCATION
Peninsula   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
790   I-CONTACT
)   I-CONTACT
894   I-CONTACT
9633   I-CONTACT
during   O
regular   O
business   O
hours   O
.   O

The   B-LOCATION
Tattnall   I-LOCATION
Bank   I-LOCATION
remains   O
committed   O
to   O
providing   O
high   O
-   O
quality   O
care   O
and   O
support   O
to   O
our   O
patients   O
and   O
their   O
families   O
.   O

We   O
thank   O
Lillianna   B-NAME
Irwin   I-NAME
for   O
trusting   O
their   O
care   O
to   O
our   O
medical   O
staff   O
at   O
Guttenberg   B-LOCATION
Municipal   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Gregory   B-NAME
Age   O
:   O
10   O
Phone   O
:   O
(   B-CONTACT
418   I-CONTACT
)   I-CONTACT
228   I-CONTACT
6320   I-CONTACT
Address   O
:   O
Alaska   B-LOCATION
,   O
69343   B-LOCATION
Date   O
of   O
Consultation   O
:   O
7/'03   B-DATE
Attending   O
Physician   O
:   O

Pritchard   B-NAME
Medical   O
Record   O
Number   O
:   O
5585258   B-ID
Organization   O
:   O

Tamalpais   B-LOCATION
Bank   I-LOCATION
Hospital   O
Name   O
:   O
MercyOne   B-LOCATION
Elkader   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Profession   O
:   O
Geological   O
Data   O
Technicians   O
Summary   O
:   O
Simon   B-NAME
,   I-NAME
Paul   I-NAME
,   O
a   O
Office   O
Machine   O
and   O
Cash   O
Register   O
Servicers   O
from   O
Philadelphia   B-LOCATION
,   O
reported   O
to   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Duluth   I-LOCATION
experiencing   O
severe   O
abdominal   O
pain   O
,   O
which   O
they   O
described   O
as   O
a   O
constant   O
,   O
sharp   O
stabbing   O
sensation   O
centralized   O
in   O
the   O
lower   O
quadrant   O
of   O
their   O
abdomen   O
.   O

The   O
onset   O
of   O
symptoms   O
began   O
approximately   O
09/20   B-DATE
,   O
reaching   O
a   O
peak   O
intensity   O
within   O
the   O
last   O
24   O
hours   O
.   O

Brain   B-NAME
has   O
a   O
medical   O
history   O
of   O
peptic   O
ulcer   O
disease   O
but   O
has   O
not   O
experienced   O
symptoms   O
to   O
this   O
severity   O
in   O
the   O
past   O
.   O

Alongside   O
abdominal   O
pain   O
,   O
Michael   B-NAME
Pirandello   I-NAME
has   O
reported   O
a   O
decreased   O
appetite   O
,   O
nausea   O
,   O
and   O
instances   O
of   O
vomiting   O
,   O
which   O
has   O
further   O
intensified   O
their   O
discomfort   O
.   O

On   O
examination   O
,   O
Cameron   B-NAME
Lewis   I-NAME
appeared   O
to   O
be   O
in   O
considerable   O
distress   O
.   O

Diagnostic   O
Testing   O
:   O
Given   O
the   O
clinical   O
presentation   O
and   O
the   O
severity   O
of   O
Kevin   B-NAME
Patterson   I-NAME
's   O
symptoms   O
,   O
a   O
comprehensive   O
abdominal   O
ultrasound   O
was   O
conducted   O
,   O
along   O
with   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
serum   O
electrolytes   O
tests   O
.   O

The   O
ultrasound   O
is   O
pending   O
review   O
to   O
further   O
elucidate   O
the   O
cause   O
of   O
Housman   B-NAME
,   I-NAME
A.   I-NAME
E.   I-NAME
's   O
abdominal   O
pain   O
.   O

Pending   O
the   O
results   O
of   O
the   O
abdominal   O
ultrasound   O
,   O
Sheol   B-NAME
is   O
advised   O
to   O
remain   O
in   O
Einstein   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Philadelphia   I-LOCATION
for   O
observation   O
and   O
pain   O
management   O
.   O

Jaxon   B-NAME
Berry   I-NAME
has   O
been   O
made   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
anticipation   O
of   O
possible   O
surgical   O
intervention   O
,   O
depending   O
on   O
the   O
confirmation   O
of   O
appendicitis   O
by   O
ultrasound   O
findings   O
.   O

The   O
surgical   O
team   O
has   O
been   O
alerted   O
and   O
will   O
review   O
Victor   B-NAME
Tolbert   I-NAME
's   O
case   O
to   O
determine   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Further   O
updates   O
will   O
be   O
provided   O
to   O
Lyons   B-NAME
and   O
their   O
emergency   O
contact   O
(   O
584   B-CONTACT
-   I-CONTACT
6560   I-CONTACT
)   O
following   O
the   O
review   O
of   O
the   O
diagnostic   O
tests   O
.   O

Recommendations   O
:   O
Paulina   B-NAME
Marshall   I-NAME
is   O
advised   O
to   O
continue   O
with   O
the   O
prescribed   O
treatment   O
plan   O
and   O
remain   O
in   O
the   O
hospital   O
for   O
close   O
monitoring   O
of   O
their   O
condition   O
.   O

Post   O
-   O
operative   O
care   O
will   O
be   O
discussed   O
with   O
Lincoln   B-NAME
,   I-NAME
Abraham   I-NAME
should   O
surgery   O
be   O
deemed   O
necessary   O
after   O
reviewing   O
the   O
ultrasound   O
results   O
.   O

Regular   O
updates   O
will   O
be   O
provided   O
to   O
Doherty   B-NAME
,   I-NAME
Peter   I-NAME
and   O
their   O
emergency   O
contact   O
to   O
ensure   O
all   O
parties   O
are   O
informed   O
of   O
the   O
patient   O
’s   O
condition   O
and   O
treatment   O
progress   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Olsen   B-NAME
,   I-NAME
Mary   I-NAME
-   I-NAME
Kate   I-NAME
and   I-NAME
Ashley   I-NAME
on   O
12/21   B-DATE
to   O
review   O
Matteo   B-NAME
Cannon   I-NAME
's   O
recovery   O
progress   O
post   O
-   O
treatment   O
and   O
discuss   O
any   O
further   O
care   O
recommendations   O
.   O

Signature   O
:   O
Dudley   B-NAME

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Cindy   B-NAME
Flores   I-NAME
Age   O
:   O
98s   O
Date   O
of   O
Birth   O
:   O
Thursday   B-DATE
Address   O
:   O
7869   B-LOCATION
53rd   I-LOCATION
St.   I-LOCATION
,   O
65227   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
436   I-CONTACT
)   I-CONTACT
613   I-CONTACT
-   I-CONTACT
7364   I-CONTACT
Occupation   O
:   O
Aircraft   O
Launch   O
and   O
Recovery   O
Specialists   O
Medical   O
Record   O
Number   O
:   O
3317625   B-ID
ID   O
Number   O
:   O
9   B-ID
-   I-ID
2773729   I-ID
Doctor   O
's   O
Notes   O
:   O
Date   O
:   O
2267   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
02   I-DATE
Attending   O
Physician   O
:   O

Roberson   B-NAME
Hospital   O
:   O
Coliseum   B-LOCATION
Northside   I-LOCATION
Hospital   I-LOCATION
Summary   O
of   O
Visit   O
:   O

Talley   B-NAME
presented   O
on   O
March   B-DATE
4   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
focusing   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
noted   O
to   O
begin   O
approximately   O
12   O
hours   O
prior   O
to   O
visitation   O
.   O

Upon   O
examination   O
,   O
Ann   B-NAME
MacGregor   I-NAME
exhibited   O
tenderness   O
in   O
the   O
McBurney   O
's   O
point   O
area   O
,   O
slight   O
distension   O
of   O
the   O
abdomen   O
,   O
and   O
guarding   O
upon   O
palpation   O
.   O

Given   O
the   O
findings   O
and   O
clinical   O
presentation   O
of   O
Malley   B-NAME
,   I-NAME
Matt   I-NAME
,   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
explained   O
to   O
Constans   B-NAME
II   I-NAME
,   O
including   O
all   O
associated   O
risks   O
and   O
benefits   O
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
20/20   B-DATE
under   O
the   O
care   O
of   O
Jaylin   B-NAME
Vega   I-NAME
.   O

Destinee   B-NAME
Oconnor   I-NAME
was   O
advised   O
to   O
remain   O
in   O
Florida   B-LOCATION
Hospital   I-LOCATION
Wesley   I-LOCATION
Chapel   I-LOCATION
for   O
monitoring   O
over   O
the   O
next   O
17/02   B-DATE
to   O
ensure   O
proper   O
recovery   O
and   O
to   O
mitigate   O
the   O
risk   O
of   O
post   O
-   O
operative   O
infections   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
32/29   B-DATE
with   O
Marcus   B-NAME
Giancaspro   I-NAME
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
.   O
Instructions   O
for   O
Care   O
at   O
Home   O
:   O

Upon   O
discharge   O
,   O
Dorsey   B-NAME
was   O
provided   O
with   O
specific   O
instructions   O
for   O
care   O
at   O
home   O
,   O
including   O
wound   O
care   O
,   O
signs   O
of   O
possible   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
activity   O
restrictions   O
.   O

Valentino   B-NAME
Baker   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
activities   O
as   O
tolerated   O
and   O
to   O
maintain   O
a   O
balanced   O
diet   O
to   O
support   O
healing   O
.   O

In   O
case   O
of   O
emergency   O
,   O
Hope   B-NAME
Kincaid   I-NAME
was   O
instructed   O
to   O
contact   O
723   B-CONTACT
-   I-CONTACT
7933   I-CONTACT
or   O
to   O
present   O
to   O
the   O
nearest   O
emergency   O
room   O
.   O

Additionally   O
,   O
Miller   B-NAME
is   O
to   O
contact   O
Richards   B-NAME
at   O
23856   B-CONTACT
for   O
any   O
non   O
-   O
urgent   O
concerns   O
or   O
questions   O
related   O
to   O
recovery   O
.   O

Additional   O
Notes   O
:   O
Ayita   B-NAME
was   O
also   O
advised   O
to   O
monitor   O
for   O
any   O
unusual   O
symptoms   O
that   O
may   O
suggest   O
complications   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
,   O
and   O
to   O
seek   O
medical   O
attention   O
immediately   O
if   O
any   O
of   O
these   O
occur   O
.   O

Maren   B-NAME
Capaldo   I-NAME
is   O
scheduled   O
to   O
meet   O
with   O
Singleton   B-NAME
on   O
32/04/41   B-DATE
at   O
Lanier   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
to   O
review   O
the   O
surgical   O
site   O
and   O
discuss   O
any   O
ongoing   O
care   O
or   O
adjustments   O
to   O
the   O
treatment   O
plan   O
as   O
needed   O
.   O

Patient   O
Name   O
:   O
Mariana   B-NAME
Grant   I-NAME
Patient   O
ID   O
:   O
RW   B-ID
:   I-ID
DR:5239   I-ID
Medical   O
Record   O
Number   O
:   O
68593732   B-ID
Date   O
of   O
Birth   O
:   O
Tuesday   B-DATE
,   I-DATE
November   I-DATE
Age   O
:   O
78   O
Address   O
:   O
Chilili   B-LOCATION
,   O
24260   B-LOCATION
Phone   O
Number   O
:   O
62593   B-CONTACT
Occupation   O
:   O

Mcdowell   B-NAME
Admitting   O
Hospital   O
:   O

Highlands   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
:   O
FQ554   B-NAME
Summary   O
of   O
the   O
Admitting   O
Problem   O
:   O
Dangerfield   B-NAME
,   I-NAME
Rodney   I-NAME
was   O
admitted   O
to   O
the   O
St.   B-LOCATION
Mary   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
12/37   B-DATE
with   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Patient   O
denies   O
any   O
recent   O
travels   O
outside   O
of   O
Yachats   B-LOCATION
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Prior   O
to   O
presenting   O
to   O
U   B-LOCATION
Mass   I-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Memorial   I-LOCATION
Campus   I-LOCATION
,   O
Angelique   B-NAME
Garrett   I-NAME
reported   O
no   O
relief   O
from   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medications   O
.   O

Physical   O
Examination   O
Findings   O
upon   O
Admission   O
:   O
Upon   O
examination   O
,   O
Malcolm   B-NAME
Sayer   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
,   O
blood   O
pressure   O
of   O
135/85   O
mmHg   O
,   O
pulse   O
of   O
100   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

Treatment   O
/   O
Management   O
:   O
After   O
reviewing   O
the   O
findings   O
,   O
Peterson   B-NAME
from   O
the   O
surgical   O
team   O
was   O
consulted   O
,   O
and   O
an   O
elective   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
.   O

HK   B-NAME
underwent   O
surgery   O
on   O
9/08/39   B-DATE
without   O
any   O
complications   O
.   O

The   O
postoperative   O
period   O
was   O
uneventful   O
,   O
and   O
Lamb   B-NAME
,   I-NAME
Charles   I-NAME
was   O
discharged   O
home   O
on   O
20/22/2001   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Baker   B-NAME
,   I-NAME
Russell   I-NAME
in   O
two   O
weeks   O
.   O

Avoid   O
heavy   O
lifting   O
or   O
strenuous   O
activity   O
for   O
at   O
least   O
2   O
weeks   O
.   O
-   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Nelson   B-NAME
for   O
00/25   B-DATE
to   O
assess   O
recovery   O
progress   O
.   O

Emergency   O
Contact   O
:   O
Should   O
there   O
be   O
any   O
concerns   O
or   O
if   O
any   O
of   O
the   O
following   O
symptoms   O
appear   O
—   O
fever   O
over   O
38.5   O
°   O
C   O
,   O
persistent   O
vomiting   O
,   O
inability   O
to   O
keep   O
liquids   O
down   O
,   O
or   O
severe   O
abdominal   O
pain   O
—   O
Keely   B-NAME
Williams   I-NAME
is   O
instructed   O
to   O
contact   O
Excelsior   B-LOCATION
Springs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
immediately   O
at   O
394   B-CONTACT
-   I-CONTACT
2183   I-CONTACT
.   O

Patient   O
Name   O
:   O
Garret   B-NAME
Patient   O
ID   O
:   O
WD:41437:378405   B-ID
Date   O
of   O
Birth   O
:   O
11/20/16   B-DATE
Age   O
:   O
81   O
Address   O
:   O
Giltner   B-LOCATION
,   O
23614   B-LOCATION
Phone   O
Number   O
:   O
51080   B-CONTACT
Occupation   O
:   O
Biomedical   O
scientist   O
Primary   O
Care   O
Physician   O
:   O

Rich   B-NAME
Medical   O
Record   O
Number   O
:   O
865   B-ID
-   I-ID
02   I-ID
-   I-ID
38   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Visit   O
:   O
11/20   B-DATE
Hospital   O
Name   O
:   O
Vidant   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

Marshall   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Methodist   B-LOCATION
Mansfield   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
33/32   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
severe   O
abdominal   O
pain   O
,   O
centered   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Bryson   B-NAME
reported   O
that   O
the   O
pain   O
started   O
suddenly   O
while   O
at   O
work   O
at   O
Latvia   B-LOCATION
.   O

Braden   B-NAME
Osborn   I-NAME
,   O
a   O
Automotive   O
engineer   O
by   O
profession   O
,   O
mentioned   O
that   O
the   O
job   O
involves   O
periodic   O
heavy   O
lifting   O
,   O
but   O
denied   O
any   O
recent   O
injury   O
or   O
trauma   O
.   O

Past   O
Medical   O
History   O
:   O
Murphy   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
which   O
are   O
managed   O
with   O
medication   O
prescribed   O
by   O
Carroll   B-NAME
.   O

Ricky   B-NAME
is   O
a   O
nonsmoker   O
and   O
drinks   O
alcohol   O
socially   O
,   O
with   O
no   O
recent   O
increase   O
in   O
intake   O
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
symptoms   O
mentioned   O
in   O
the   O
chief   O
complaint   O
,   O
Lashunda   B-NAME
Cattladge   I-NAME
denies   O
any   O
other   O
systemic   O
symptoms   O
such   O
as   O
fever   O
,   O
chills   O
,   O
dysuria   O
,   O
jaundice   O
,   O
chest   O
pain   O
,   O
or   O
difficulty   O
breathing   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Walter   B-NAME
Langkowski   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Garrison   B-NAME
underwent   O
an   O
abdominal   O
ultrasound   O
followed   O
by   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
of   O
the   O
abdomen   O
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
perforation   O
.   O

Treatment   O
:   O
Aubrey   B-NAME
Cortez   I-NAME
was   O
admitted   O
to   O
Pipp   B-LOCATION
Borgess   I-LOCATION
Hospital   I-LOCATION
on   O
5/22   B-DATE
for   O
surgical   O
intervention   O
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
performed   O
by   O
Dunn   B-NAME
without   O
complications   O
.   O

Stephens   B-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
2232   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
25   I-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
activity   O
level   O
,   O
and   O
follow   O
-   O
up   O
with   O
Moody   B-NAME
at   O
AFL   B-LOCATION
Players   I-LOCATION
Association   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Stacy   B-NAME
Sanchez   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Ryker   B-NAME
Murray   I-NAME
at   O
Society   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Cincinnati   I-LOCATION
on   O
08/26   B-DATE
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

Instructions   O
to   O
Patient   O
:   O
Shamar   B-NAME
Gardner   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
they   O
experience   O
fever   O
,   O
increased   O
pain   O
,   O
redness   O
,   O
swelling   O
,   O
or   O
any   O
discharge   O
from   O
the   O
surgical   O
site   O
,   O
indicating   O
possible   O
infection   O
or   O
other   O
complications   O
related   O
to   O
the   O
surgery   O
.   O

Patient   O
Name   O
:   O
Charles   B-NAME
Skinner   I-NAME
Age   O
:   O
37   O
Date   O
of   O
Birth   O
:   O
13/22/51   B-DATE
Address   O
:   O
Edgerton   B-LOCATION
,   O
89899   B-LOCATION
Phone   O
Number   O
:   O
661   B-CONTACT
3696   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Abdiel   B-NAME
Orozco   I-NAME
Hospital   O
:   O
HealthAlliance   B-LOCATION
Hospital   I-LOCATION
:   I-LOCATION
Mary   I-LOCATION
’s   I-LOCATION
Avenue   I-LOCATION
Campus   I-LOCATION
Medical   O
Record   O
Number   O
:   O
85072488   B-ID
Patient   O
ID   O
:   O
IU:5583:860344   B-ID
Occupation   O
:   O
Medical   O
Secretaries   O
Case   O
Submitted   O
by   O
:   O
NS571   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Aubrey   B-NAME
Beaudreau   I-NAME
,   O
presented   O
on   O
1709   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
07   I-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
intermittent   O
episodes   O
of   O
sharp   O
,   O
localized   O
chest   O
pain   O
that   O
worsens   O
with   O
deep   O
inhalation   O
,   O
and   O
a   O
persistent   O
dry   O
cough   O
over   O
the   O
past   O
week   O
.   O

Jamya   B-NAME
Weaver   I-NAME
also   O
reported   O
experiencing   O
low   O
-   O
grade   O
fevers   O
,   O
peaking   O
in   O
the   O
late   O
evening   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Ba   B-NAME
Jin   I-NAME
,   O
a   O
31s   O
-   O
year   O
-   O
old   O
Financial   O
Specialists   O
,   O
All   O
Other   O
,   O
noticed   O
the   O
onset   O
of   O
symptoms   O
approximately   O
seven   O
days   O
prior   O
to   O
the   O
visit   O
.   O

Jorryn   B-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Deandre   B-NAME
Nash   I-NAME
's   O
vaccination   O
status   O
is   O
up   O
to   O
date   O
as   O
per   O
the   O
records   O
from   O
Rome   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
01/2023   B-DATE
.   O

Social   O
History   O
:   O
Drake   B-NAME
Chavez   I-NAME
,   O
a   O
Engineering   O
Technicians   O
,   O
Except   O
Drafters   O
,   O
All   O
Other   O
,   O
resides   O
in   O
Nekoosa   B-LOCATION
and   O
works   O
in   O
a   O
busy   O
office   O
environment   O
.   O

Nathanial   B-NAME
Gaines   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
drinks   O
alcohol   O
socially   O
,   O
approximately   O
once   O
to   O
twice   O
a   O
week   O
.   O

On   O
examination   O
,   O
Rojas   B-NAME
appeared   O
in   O
mild   O
respiratory   O
distress   O
.   O

Vital   O
signs   O
were   O
as   O
follows   O
:   O
temperature   O
20/90   B-DATE
,   O
afebrile   O
;   O
heart   O
rate   O
98   O
beats   O
per   O
minute   O
;   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
;   O
blood   O
pressure   O
130/85   O
mmHg   O
;   O
oxygen   O
saturation   O
94   O
%   O
on   O
room   O
air   O
.   O

A   O
chest   O
X   O
-   O
ray   O
was   O
recommended   O
by   O
Dr.   O
Baker   B-NAME
and   O
was   O
scheduled   O
on   O
10/16/2112   B-DATE
at   O
Catholic   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Pending   O
the   O
results   O
of   O
the   O
chest   O
X   O
-   O
ray   O
and   O
laboratory   O
tests   O
,   O
Pratchett   B-NAME
,   I-NAME
Terry   I-NAME
was   O
advised   O
to   O
increase   O
the   O
use   O
of   O
their   O
inhaled   O
corticosteroids   O
as   O
per   O
their   O
asthma   O
action   O
plan   O
.   O

Quentin   B-NAME
Casey   I-NAME
was   O
also   O
given   O
a   O
course   O
of   O
antibiotics   O
empirically   O
to   O
cover   O
for   O
possible   O
bacterial   O
pneumonia   O
,   O
with   O
a   O
review   O
scheduled   O
for   O
9/00   B-DATE
.   O

Instructions   O
were   O
given   O
to   O
avoid   O
allergens   O
and   O
to   O
monitor   O
symptoms   O
closely   O
,   O
particularly   O
any   O
exacerbation   O
of   O
shortness   O
of   O
breath   O
or   O
chest   O
pain   O
,   O
and   O
to   O
return   O
to   O
Washington   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
if   O
symptoms   O
significantly   O
worsen   O
.   O

The   O
next   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Finley   B-NAME
Odom   I-NAME
at   O
Heartland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
13/25/2221   B-DATE
,   O
to   O
review   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Patient   O
Education   O
:   O
Johan   B-NAME
Vaughn   I-NAME
was   O
educated   O
on   O
signs   O
of   O
potential   O
complications   O
such   O
as   O
increasing   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
fever   O
,   O
and   O
was   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
in   O
these   O
instances   O
.   O

Follow   O
-   O
Up   O
:   O
Follow   O
-   O
up   O
in   O
office   O
with   O
Dr.   O
Ireland   B-NAME
Ho   I-NAME
on   O
33/02   B-DATE
to   O
review   O
laboratory   O
and   O
imaging   O
test   O
results   O
and   O
to   O
assess   O
response   O
to   O
initial   O
treatment   O
.   O

Additional   O
follow   O
-   O
up   O
and   O
treatment   O
adjustments   O
will   O
be   O
based   O
on   O
these   O
findings   O
and   O
Aquila   B-NAME
's   O
clinical   O
progress   O
.   O

Patient   O
Report   O
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
5085163   I-ID
Medical   O
Record   O
Number   O
:   O
554   B-ID
-   I-ID
89   I-ID
-   I-ID
82   I-ID
-   I-ID
1   I-ID
Name   O
:   O
Benjamin   B-NAME
Hoover   I-NAME
Age   O
:   O
56   O
Date   O
of   O
Birth   O
:   O
21/28   B-DATE
Address   O
:   O
Mills   B-LOCATION
River   I-LOCATION
,   O
79854   B-LOCATION
Phone   O
Number   O
:   O
837   B-CONTACT
919   I-CONTACT
-   I-CONTACT
9255   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Clark   B-NAME
Employer   O
:   O

Hellenic   B-LOCATION
Linux   I-LOCATION
User   I-LOCATION
Group   I-LOCATION
Occupation   O
:   O
Operational   O
researcher   O
Emergency   O
Contact   O
:   O
DX655   B-NAME
,   O
643   B-CONTACT
-   I-CONTACT
3309   I-CONTACT
History   O
of   O
Present   O
Illness   O
:   O
Kallima   B-NAME
presented   O
to   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
South   I-LOCATION
Hospital   I-LOCATION
on   O
03/20/76   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
in   O
the   O
frontal   O
region   O
.   O

Spike   B-NAME
also   O
reported   O
associated   O
photophobia   O
,   O
nausea   O
,   O
and   O
one   O
episode   O
of   O
emesis   O
.   O

Valorus   B-NAME
denies   O
recent   O
head   O
injury   O
,   O
travel   O
history   O
,   O
or   O
sick   O
contacts   O
.   O

Leon   B-NAME
Ansell   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

On   O
examination   O
,   O
Annabel   B-NAME
Werner   I-NAME
was   O
alert   O
and   O
oriented   O
but   O
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
A   O
non   O
-   O
contrast   O
head   O
CT   O
scan   O
was   O
performed   O
at   O
Florida   B-LOCATION
Hospital   I-LOCATION
Orlando   I-LOCATION
which   O
did   O
not   O
show   O
any   O
acute   O
intracranial   O
abnormality   O
.   O

The   O
differential   O
diagnosis   O
considered   O
for   O
Brandon   B-NAME
Hale   I-NAME
includes   O
a   O
primary   O
headache   O
disorder   O
such   O
as   O
a   O
migraine   O
or   O
a   O
cluster   O
headache   O
,   O
given   O
the   O
sudden   O
onset   O
and   O
symptomatology   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Bishop   B-NAME
at   O
CarePoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Bayonne   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
02/16/51   B-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

December   B-DATE
:   O

Fransisca   B-NAME
Jepson   I-NAME
demonstrated   O
significant   O
improvement   O
with   O
the   O
prescribed   O
treatment   O
plan   O
.   O

Patient   O
Name   O
:   O
Vance   B-NAME
U.   I-NAME
Arias   I-NAME
Age   O
:   O
82   O
Date   O
of   O
Birth   O
:   O
32/32   B-DATE
Medical   O
Record   O
Number   O
:   O
2725697   B-ID
ID   O
Number   O
:   O
IH   B-ID
:   I-ID
GH:6491   I-ID
Address   O
:   O
Funston   B-LOCATION
,   O
28143   B-LOCATION

Phone   O
Number   O
:   O
46960   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Lizeth   B-NAME
Sauage   I-NAME
Employment   O
:   O
Nursing   O
Aides   O
,   O
Orderlies   O
,   O
and   O
Attendants   O
at   O
R   B-LOCATION
-   I-LOCATION
G   I-LOCATION
Premier   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Puerto   I-LOCATION
Rico   I-LOCATION
Date   O
of   O
Visit   O
:   O
2342   B-DATE
Hospital   O
:   O
Margaret   B-LOCATION
R.   I-LOCATION
Pardee   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Presentation   O
:   O
Phoenix   B-NAME
Reynolds   I-NAME
presented   O
to   O
Chilton   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2/00   B-DATE
complaining   O
of   O
acute   O
onset   O
,   O
sharp   O
,   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
starting   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Sherryl   B-NAME
Lisa   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

On   O
examination   O
,   O
irons   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
130/85   O
mmHg   O
.   O

Korbin   B-NAME
Cervantes   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consult   O
.   O
Management   O
and   O
Outcome   O
:   O

Following   O
the   O
surgical   O
consult   O
,   O
Thaddeus   B-NAME
Roy   I-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Irmgard   B-NAME
Merlette   I-NAME
on   O
22/29/47   B-DATE
.   O

Cora   B-NAME
Berry   I-NAME
was   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
post   O
-   O
operatively   O
and   O
was   O
advised   O
to   O
maintain   O
a   O
liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
,   O
gradually   O
returning   O
to   O
a   O
normal   O
diet   O
as   O
tolerated   O
.   O

David   B-NAME
Ravell   I-NAME
showed   O
marked   O
improvement   O
post   O
-   O
surgery   O
and   O
was   O
discharged   O
on   O
17/10   B-DATE
with   O
instructions   O
to   O
complete   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Ryan   B-NAME
Peterson   I-NAME
in   O
Norwood   B-LOCATION
Court   I-LOCATION
two   O
weeks   O
post   O
-   O
discharge   O
.   O

Follow   O
-   O
Up   O
:   O
During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
06/60   B-DATE
,   O
Ardite   B-NAME
Beauparlant   I-NAME
reported   O
complete   O
resolution   O
of   O
symptoms   O
.   O

John   B-NAME
Quimper   I-NAME
advised   O
Rex   B-NAME
Hensley   I-NAME
to   O
gradually   O
resume   O
normal   O
activities   O
and   O
to   O
observe   O
for   O
any   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
.   O
Prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
were   O
reviewed   O
,   O
and   O
no   O
further   O
treatment   O
was   O
deemed   O
necessary   O
at   O
this   O
point   O
.   O

Tyesha   B-NAME
was   O
satisfied   O
with   O
the   O
outcome   O
and   O
expressed   O
gratitude   O
towards   O
the   O
medical   O
team   O
at   O
Southern   B-LOCATION
Kentucky   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
for   O
the   O
care   O
received   O
.   O

Contact   O
Information   O
:   O
Should   O
Quintana   B-NAME
experience   O
any   O
concerning   O
symptoms   O
or   O
require   O
additional   O
information   O
,   O
Bianca   B-NAME
Beard   I-NAME
was   O
instructed   O
to   O
contact   O
Community   B-LOCATION
HealthCare   I-LOCATION
System   I-LOCATION
–   I-LOCATION
Onaga   I-LOCATION
's   O
help   O
desk   O
at   O
(   B-CONTACT
995   I-CONTACT
)   I-CONTACT
359   I-CONTACT
-   I-CONTACT
4706   I-CONTACT
or   O
visit   O
Flynt   B-NAME
,   I-NAME
Larry   I-NAME
in   O
Aspen   B-LOCATION
Park   I-LOCATION
.   O

Patient   O
Name   O
:   O
Thorpe   B-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
6945578   I-ID
Medical   O
Record   O
Number   O
:   O
4326470   B-ID
Date   O
of   O
Birth   O
:   O
00/02   B-DATE
Age   O
:   O
97   O
Phone   O
Number   O
:   O
44735   B-CONTACT
Address   O
:   O
Bassett   B-LOCATION
,   O
75813   B-LOCATION
Admitting   O
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION

Attending   O
Physician   O
:   O
McCarthy   B-NAME
,   I-NAME
Mary   I-NAME
Date   O
of   O
Visit   O
:   O
2340   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
20   I-DATE
Current   O
Occupation   O
:   O

Slaughterers   O
and   O
Meat   O
Packers   O
Chief   O
Complaint   O
:   O
Jillette   B-NAME
,   I-NAME
Penn   I-NAME
presented   O
to   O
Sentara   B-LOCATION
Obici   I-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
on   O
8   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
50   I-DATE
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

ELROD   B-NAME
,   I-NAME
RYLEY   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Charles   B-NAME
Howard   I-NAME
,   O
a   O
84   O
-   O
year   O
-   O
old   O
Molding   O
and   O
Casting   O
Workers   O
,   O
has   O
been   O
previously   O
healthy   O
with   O
no   O
significant   O
medical   O
history   O
.   O

The   O
patient   O
denies   O
any   O
recent   O
travel   O
outside   O
Waggaman   B-LOCATION
or   O
any   O
known   O
exposure   O
to   O
sick   O
contacts   O
.   O

Reid   B-NAME
Kennedy   I-NAME
reported   O
that   O
the   O
pain   O
initially   O
was   O
diffuse   O
but   O
became   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
within   O
a   O
few   O
hours   O
.   O

Upon   O
examination   O
,   O
Wise   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
requires   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O
Plan   O
:   O
-   O
Admit   O
Elmer   B-NAME
Knott   I-NAME
to   O
Pomerado   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

-   O
Immediate   O
surgical   O
consultation   O
with   O
Blake   B-NAME
.   O
-   O
Administer   O
IV   O
fluids   O
and   O
start   O
IV   O
antibiotics   O
as   O
per   O
sepsis   O
protocol   O
.   O

-   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
for   O
Khloe   B-NAME
West   I-NAME
in   O
preparation   O
for   O
possible   O
surgery   O
.   O

This   O
plan   O
was   O
discussed   O
with   O
Mariyah   B-NAME
Choi   I-NAME
,   O
who   O
understood   O
and   O
consented   O
to   O
the   O
proposed   O
management   O
plan   O
.   O

The   O
patient   O
,   O
Yosef   B-NAME
Ullrich   I-NAME
,   O
a   O
9   O
-   O
year   O
-   O
old   O
Irradiated   O
-   O
Fuel   O
Handlers   O
residing   O
in   O
Thompsontown   B-LOCATION
,   O
29863   B-LOCATION
,   O
presented   O
to   O
Children   B-LOCATION
's   I-LOCATION
Home   I-LOCATION
of   I-LOCATION
Pittsburgh   I-LOCATION
,   I-LOCATION
The   I-LOCATION
on   O
1688   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
for   O
the   O
past   O
two   O
weeks   O
.   O

The   O
patient   O
sought   O
initial   O
advice   O
from   O
Hallie   B-NAME
Hawkins   I-NAME
via   O
a   O
telehealth   O
service   O
provided   O
by   O
Independent   B-LOCATION
Nation   I-LOCATION
but   O
did   O
not   O
experience   O
relief   O
from   O
symptoms   O
following   O
prescribed   O
treatment   O
.   O

Upon   O
examination   O
,   O
Amelia   B-NAME
Norris   I-NAME
exhibited   O
bilateral   O
wheezing   O
and   O
rales   O
,   O
notable   O
on   O
auscultation   O
.   O

Pablo   B-NAME
Y.   I-NAME
Mendez   I-NAME
's   O
medical   O
record   O
number   O
,   O
457   B-ID
-   I-ID
22   I-ID
-   I-ID
88   I-ID
,   O
was   O
used   O
to   O
log   O
all   O
test   O
results   O
and   O
doctor   O
's   O
notes   O
from   O
the   O
visit   O
.   O

The   O
management   O
plan   O
advised   O
by   O
Christensen   B-NAME
included   O
admission   O
to   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Edmonds   I-LOCATION
for   O
intravenous   O
antibiotics   O
and   O
supportive   O
therapy   O
,   O
including   O
oxygen   O
supplementation   O
.   O

A   O
referral   O
was   O
made   O
to   O
a   O
specialist   O
within   O
Hackensack   B-LOCATION
Meridian   I-LOCATION
Health   I-LOCATION
Pascack   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
evaluation   O
,   O
and   O
Helen   B-NAME
Carn   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
25/15/2322   B-DATE
.   O

The   O
discharge   O
summary   O
,   O
prepared   O
by   O
Ewing   B-NAME
,   O
was   O
sent   O
to   O
Durhan   B-NAME
Papantonio   I-NAME
's   O
registered   O
email   O
and   O
a   O
copy   O
forwarded   O
to   O
Last   B-LOCATION
Chance   I-LOCATION
for   I-LOCATION
Animals   I-LOCATION
(   I-LOCATION
LCA   I-LOCATION
)   I-LOCATION
's   O
records   O
for   O
continuous   O
care   O
coordination   O
.   O

For   O
any   O
questions   O
regarding   O
the   O
treatment   O
plan   O
or   O
follow   O
-   O
up   O
appointments   O
,   O
the   O
discharge   O
instructions   O
provided   O
Brown   B-NAME
,   I-NAME
Julie   I-NAME
with   O
a   O
direct   O
996   B-CONTACT
3607   I-CONTACT
number   O
to   O
the   O
respiratory   O
department   O
at   O
Allegheny   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
and   O
an   O
email   O
contact   O
if   O
further   O
clarification   O
was   O
needed   O
regarding   O
home   O
care   O
instructions   O
.   O

Confidentiality   O
Notice   O
:   O
All   O
patient   O
information   O
,   O
including   O
01151350   B-ID
,   O
4   B-ID
-   I-ID
4284284   I-ID
,   O
and   O
contact   O
details   O
such   O
as   O
address   O
(   O
Wilroads   B-LOCATION
Gardens   I-LOCATION
,   O
96825   B-LOCATION
)   O
and   O
(   B-CONTACT
991   I-CONTACT
)   I-CONTACT
610   I-CONTACT
-   I-CONTACT
5000   I-CONTACT
,   O
is   O
protected   O
under   O
health   O
privacy   O
laws   O
and   O
is   O
used   O
solely   O
for   O
the   O
purpose   O
of   O
providing   O
personalized   O
medical   O
care   O
.   O

Unauthorized   O
disclosure   O
of   O
this   O
information   O
,   O
including   O
Terrance   B-NAME
Ibarra   I-NAME
and   O
related   O
Divine   B-LOCATION
Confederacy   I-LOCATION
details   O
,   O
is   O
prohibited   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Robin   B-NAME
Van   I-NAME
Dorn   I-NAME
-   O
Age   O
:   O
96   O
-   O
Date   O
of   O
Birth   O
:   O
June   B-DATE
-   O
Gender   O
:   O
Male   O
-   O
Phone   O
:   O
938   B-CONTACT
-   I-CONTACT
8217   I-CONTACT
-   O
Address   O
:   O
Leota   B-LOCATION
,   O
88230   B-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
691   B-ID
-   I-ID
53   I-ID
-   I-ID
86   I-ID
-   I-ID
3   I-ID
-   O
Date   O
of   O
Consultation   O
:   O
2/10/92   B-DATE
Clinical   O
Summary   O
:   O
Daniel   B-NAME
Owen   I-NAME
,   O
a   O
Insurance   O
underwriter   O
from   O
La   B-LOCATION
Puente   I-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
1023   B-DATE
with   O
a   O
complaint   O
of   O
progressive   O
dyspnea   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Emery   B-NAME
Kennedy   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

On   O
physical   O
examination   O
,   O
Kallima   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
effort   O
.   O

Diagnostic   O
Evaluation   O
:   O
Initial   O
laboratory   O
tests   O
were   O
ordered   O
including   O
a   O
complete   O
blood   O
count   O
,   O
metabolic   O
panel   O
,   O
and   O
NT   O
-   O
proBNP   O
,   O
all   O
processed   O
at   O
Municipal   B-LOCATION
Mazdoor   I-LOCATION
Union   I-LOCATION
.   O

A   O
chest   O
X   O
-   O
ray   O
performed   O
at   O
Ottawa   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Minneapolis   I-LOCATION
indicated   O
pulmonary   O
congestion   O
.   O

Based   O
on   O
the   O
clinical   O
presentation   O
and   O
initial   O
investigations   O
,   O
Marlene   B-NAME
Vargas   I-NAME
diagnosed   O
the   O
patient   O
with   O
acute   O
exacerbation   O
of   O
heart   O
failure   O
.   O

The   O
echocardiography   O
scheduled   O
for   O
03/28/2281   B-DATE
will   O
further   O
elucidate   O
the   O
ejection   O
fraction   O
and   O
structure   O
of   O
the   O
heart   O
.   O

Management   O
Plan   O
:   O
Viviana   B-NAME
Deleon   I-NAME
was   O
started   O
on   O
furosemide   O
for   O
volume   O
management   O
and   O
continuation   O
of   O
home   O
medications   O
was   O
advised   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Adkins   B-NAME
at   O
The   B-LOCATION
Miriam   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
scheduled   O
for   O
32/25/2305   B-DATE
to   O
assess   O
response   O
to   O
therapy   O
and   O
review   O
the   O
results   O
of   O
the   O
pending   O
echocardiography   O
.   O

Serena   B-NAME
Hester   I-NAME
was   O
advised   O
to   O
monitor   O
weight   O
daily   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
worsen   O
.   O

Emergency   O
contact   O
information   O
was   O
confirmed   O
(   O
143   B-CONTACT
-   I-CONTACT
535   I-CONTACT
4298   I-CONTACT
)   O
,   O
and   O
Kelly   B-NAME
consented   O
to   O
the   O
management   O
plan   O
.   O

The   O
patient   O
was   O
provided   O
with   O
the   O
contact   O
number   O
of   O
Garfield   B-LOCATION
County   I-LOCATION
Public   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
immediate   O
concerns   O
.   O

This   O
patient   O
report   O
contains   O
private   O
health   O
information   O
under   O
HIPAA   O
and   O
is   O
intended   O
for   O
the   O
exclusive   O
use   O
of   O
Southwest   B-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
its   O
medical   O
staff   O
including   O
Allen   B-NAME
,   I-NAME
Woody   I-NAME
,   O
and   O
the   O
patient   O
Biko   B-NAME
,   I-NAME
Steve   I-NAME
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
the   O
sender   O
at   O
(   B-CONTACT
911   I-CONTACT
)   I-CONTACT
145   I-CONTACT
7484   I-CONTACT
and   O
delete   O
the   O
original   O
message   O
.   O

Patient   O
Information   O
:   O
Name   O
:   O
Spielberg   B-NAME
,   I-NAME
Steven   I-NAME
Age   O
:   O
97   O
Medical   O
Record   O
Number   O
:   O
OW318398   B-ID
Phone   O
Number   O
:   O
47208   B-CONTACT
Address   O
:   O
Sophia   B-LOCATION
,   O
41833   B-LOCATION
Occupation   O
:   O
Umpires   O
,   O
Referees   O
,   O
and   O
Other   O
Sports   O
Officials   O
Physician   O
:   O

Roman   B-NAME
Frederick   I-NAME
Hospital   O
:   O
Forest   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2/30   B-DATE
Clinical   O
Summary   O
:   O
Patient   O
Belloc   B-NAME
,   I-NAME
Hilaire   I-NAME
,   O
a   O
Program   O
Directors   O
from   O
Grand   B-LOCATION
Ridge   I-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Sa   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
quadrant   O
.   O

Ezekiel   B-NAME
Cole   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
fever   O
noted   O
at   O
home   O
.   O

BS   B-NAME
's   O
medical   O
history   O
includes   O
controlled   O
hypertension   O
and   O
a   O
previous   O
appendectomy   O
.   O

Upon   O
examination   O
,   O
Jaycee   B-NAME
Marsh   I-NAME
noted   O
the   O
patient   O
's   O
vital   O
signs   O
to   O
be   O
stable   O
,   O
yet   O
the   O
patient   O
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Laboratory   O
results   O
indicated   O
leukocytosis   O
,   O
while   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Holden   B-NAME
on   O
20/32   B-DATE
,   O
revealed   O
signs   O
consistent   O
with   O
acute   O
diverticulitis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
FirstHealth   B-LOCATION
Moore   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
for   O
intravenous   O
antibiotics   O
and   O
supportive   O
care   O
.   O

Richardson   B-NAME
received   O
dietary   O
counseling   O
on   O
discharge   O
,   O
focused   O
on   O
a   O
high   O
-   O
fiber   O
diet   O
,   O
and   O
was   O
advised   O
to   O
follow   O
up   O
with   O
Gray   B-NAME
in   O
2   O
weeks   O
for   O
reevaluation   O
.   O

On   O
the   O
follow   O
-   O
up   O
visit   O
dated   O
July   B-DATE
21   I-DATE
,   O
Frances   B-NAME
Jester   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Physical   O
examination   O
by   O
Eva   B-NAME
Marks   I-NAME
revealed   O
no   O
abdominal   O
tenderness   O
,   O
and   O
the   O
patient   O
appeared   O
to   O
be   O
in   O
good   O
health   O
.   O

Morgan   B-NAME
Abbott   I-NAME
also   O
provided   O
consent   O
for   O
the   O
use   O
of   O
anonymized   O
information   O
for   O
quality   O
improvement   O
purposes   O
at   O
Harrison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Signature   O
:   O
Lichtenberg   B-NAME
,   I-NAME
Georg   I-NAME
Christoph   I-NAME
December   B-DATE

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Lorena   B-NAME
Estrada   I-NAME
Age   O
:   O
48   O
Date   O
of   O
Birth   O
:   O
May   B-DATE
0   I-DATE
Address   O
:   O

Prairie   B-LOCATION
Farm   I-LOCATION
,   O
33742   B-LOCATION
Phone   O
Number   O
:   O
216   B-CONTACT
-   I-CONTACT
3497   I-CONTACT
Occupation   O
:   O
Network   O
and   O
Computer   O
Systems   O
Administrators   O
ID   O
Number   O
:   O
BC   B-ID
:   I-ID
BX:9024   I-ID
Medical   O
Record   O
Number   O
:   O
20254552   B-ID
Primary   O
Care   O
Physician   O
:   O

Bethany   B-NAME
Weber   I-NAME
Hospital   O
:   O
Ohio   B-LOCATION
Valley   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Username   O
:   O
NR791   B-NAME
Summary   O
:   O

Hampton   B-NAME
presented   O
to   O
East   B-LOCATION
Orange   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
emergency   O
department   O
on   O
may   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Aiken   B-NAME
,   I-NAME
Conrad   I-NAME
's   O
symptoms   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
presentation   O
.   O

No   O
relieving   O
factors   O
were   O
noted   O
by   O
Stella   B-NAME
Calhoun   I-NAME
.   O

Additionally   O
,   O
Friedman   B-NAME
reported   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
.   O

Medical   O
History   O
:   O
Xenia   B-NAME
Bridges   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
Type   O
II   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Foch   B-NAME
,   I-NAME
Ferdinand   I-NAME
leads   O
a   O
relatively   O
sedentary   O
lifestyle   O
due   O
to   O
the   O
nature   O
of   O
salesperson   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Singleton   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Morelind   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
without   O
perforation   O
.   O

Treatment   O
:   O
After   O
the   O
diagnosis   O
,   O
Uphoff   B-NAME
was   O
admitted   O
to   O
MetroHealth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
surgery   O
was   O
performed   O
by   O
Donovan   B-NAME
on   O
2397   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
32   I-DATE
without   O
complications   O
.   O

Jenette   B-NAME
was   O
started   O
on   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
pre   O
-   O
operatively   O
and   O
continued   O
post   O
-   O
operatively   O
.   O

Postoperative   O
Course   O
:   O
Cecilia   B-NAME
Reyes   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Rankar   B-NAME
Nusz   I-NAME
tolerated   O
a   O
clear   O
liquid   O
diet   O
12   O
hours   O
post   O
-   O
surgery   O
and   O
was   O
advanced   O
to   O
a   O
soft   O
diet   O
by   O
2   B-DATE
-   I-DATE
19   I-DATE
.   O

Sanaa   B-NAME
Lin   I-NAME
was   O
discharged   O
on   O
08/22   B-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Sean   B-NAME
Vasques   I-NAME
in   O
two   O
weeks   O
.   O

Instructions   O
for   O
Benjamin   B-NAME
Hoover   I-NAME
:   O
1   O
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
with   O
Vivian   B-NAME
Francis   I-NAME
Porter   I-NAME
scheduled   O
for   O
0/2/2020   B-DATE
.   O

Emergency   O
Contact   O
:   O
Genevie   B-NAME
Latimer   I-NAME
provided   O
an   O
emergency   O
contact   O
,   O
Storage   O
and   O
Distribution   O
Managers   O
at   O
(   B-CONTACT
149   I-CONTACT
)   I-CONTACT
416   I-CONTACT
9958   I-CONTACT
.   O

Conclusion   O
:   O
Keith   B-NAME
Wilkes   I-NAME
's   O
acute   O
appendicitis   O
was   O
timely   O
diagnosed   O
and   O
treated   O
with   O
an   O
appendectomy   O
.   O

The   O
surgical   O
intervention   O
was   O
successful   O
,   O
and   O
Fitzpatrick   B-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
.   O

Harper   B-NAME
Tracy   I-NAME
has   O
been   O
advised   O
on   O
postoperative   O
care   O
and   O
will   O
continue   O
to   O
be   O
monitored   O
during   O
the   O
follow   O
-   O
up   O
visit   O
.   O

This   O
patient   O
report   O
was   O
prepared   O
by   O
Welch   B-NAME
,   O
Palms   B-LOCATION
of   I-LOCATION
Pasadena   I-LOCATION
Hospital   I-LOCATION
,   O
on   O
30/13/32   B-DATE
.   O

For   O
further   O
information   O
or   O
clarifications   O
,   O
please   O
contact   O
the   O
medical   O
records   O
department   O
at   O
247   B-CONTACT
6390   I-CONTACT
.   O

Patient   O
Report   O
for   O
Simeon   B-NAME
Casey   I-NAME
37/20   B-DATE
,   O
Westview   B-LOCATION
Circle   I-LOCATION
International   B-LOCATION
Federation   I-LOCATION
of   I-LOCATION
Journalists   I-LOCATION
:   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Carter   B-NAME
:   O

Padilla   B-NAME
938   B-CONTACT
-   I-CONTACT
9450   I-CONTACT
:   O
17377   B-CONTACT
Patient   O
ID   O
:   O
546420   B-ID
Medical   O
Record   O
Number   O
:   O
876   B-ID
-   I-ID
82   I-ID
-   I-ID
58   I-ID
-   I-ID
6   I-ID
Summary   O
:   O

The   O
patient   O
,   O
Mabuse   B-NAME
,   O
a   O
License   O
Clerks   O
from   O
Bagdad   B-LOCATION
,   O
presented   O
to   O
our   O
facility   O
on   O
0/3   B-DATE
with   O
a   O
set   O
of   O
symptoms   O
that   O
raised   O
concerns   O
for   O
acute   O
appendicitis   O
.   O

Xin   B-NAME
Iliff   I-NAME
reported   O
that   O
the   O
pain   O
initially   O
manifested   O
around   O
the   O
navel   O
and   O
described   O
it   O
as   O
a   O
dull   O
ache   O
that   O
became   O
sharp   O
and   O
more   O
localized   O
with   O
time   O
.   O

Alongside   O
the   O
abdominal   O
pain   O
,   O
Jaylyn   B-NAME
Colon   I-NAME
also   O
reported   O
experiencing   O
nausea   O
,   O
a   O
decreased   O
appetite   O
,   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
earlier   O
on   O
27/01/2385   B-DATE
.   O

Vitals   O
upon   O
Admission   O
:   O
-   O
Temperature   O
:   O
37.8   O
°   O
C   O
-   O
Blood   O
Pressure   O
:   O
130/85   O
mmHg   O
-   O
Pulse   O
:   O
98   O
beats   O
per   O
minute   O
-   O
Respirations   O
:   O
20   O
per   O
minute   O
Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Reese   B-NAME
exhibited   O
rebound   O
tenderness   O
during   O
the   O
abdominal   O
exam   O
,   O
specifically   O
noted   O
in   O
the   O
right   O
lower   O
quadrant   O
at   O
McBurney   O
's   O
point   O
.   O

Treatment   O
:   O
After   O
the   O
consultation   O
with   O
Ardias   B-NAME
Capaldo   I-NAME
and   O
the   O
review   O
of   O
all   O
diagnostic   O
findings   O
,   O
it   O
was   O
determined   O
that   O
the   O
best   O
course   O
of   O
action   O
would   O
be   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
10/13   B-DATE
without   O
any   O
complications   O
.   O

Bonilla   B-NAME
was   O
observed   O
to   O
have   O
an   O
uneventful   O
recovery   O
post   O
-   O
operation   O
,   O
with   O
pain   O
being   O
managed   O
effectively   O
through   O
prescribed   O
medication   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Kylan   B-NAME
Murillo   I-NAME
was   O
discharged   O
on   O
January   B-DATE
2026   I-DATE
with   O
instructions   O
to   O
follow   O
up   O
in   O
2   O
weeks   O
with   O
Buckley   B-NAME
at   O
OHSU   B-LOCATION
-   I-LOCATION
Marquam   I-LOCATION
Hill   I-LOCATION
Campus   I-LOCATION
for   O
a   O
post   O
-   O
surgery   O
check   O
-   O
up   O
.   O

679   B-CONTACT
3171   I-CONTACT
is   O
to   O
be   O
used   O
for   O
any   O
urgent   O
concerns   O
or   O
complications   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

Conclusion   O
:   O
Lacey   B-NAME
Murillo   I-NAME
's   O
surgery   O
and   O
subsequent   O
recovery   O
have   O
been   O
aligned   O
with   O
typical   O
outcomes   O
for   O
laparoscopic   O
appendectomy   O
.   O

Patient   O
Name   O
:   O
Copeland   B-NAME
Patient   O
ID   O
:   O
TV   B-ID
:   I-ID
AQ:3551   I-ID
Medical   O
Record   O
Number   O
:   O
895   B-ID
-   I-ID
75   I-ID
-   I-ID
77   I-ID
Date   O
of   O
Birth   O
:   O
21/23   B-DATE
Age   O
:   O
18   O
Address   O
:   O
Riverview   B-LOCATION
Park   I-LOCATION
,   O
92562   B-LOCATION
Phone   O
Number   O
:   O
770   B-CONTACT
-   I-CONTACT
3410   I-CONTACT
Attending   O
Physician   O
:   O
Hobbs   B-NAME
Hospital   O
:   O
Bailey   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
LLC   I-LOCATION
Presenting   O
Complaint   O
:   O
Paul   B-NAME
Novotny   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
October   B-DATE
32   I-DATE
,   I-DATE
2110   I-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Alexus   B-NAME
Ferguson   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Rogar   B-NAME
Hannegan   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
cardiovascular   O
diseases   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Santos   B-NAME
Fleming   I-NAME
was   O
found   O
to   O
be   O
in   O
acute   O
distress   O
with   O
tachycardia   O
and   O
elevated   O
blood   O
pressure   O
readings   O
.   O

Treatment   O
Initiated   O
:   O
Richard   B-NAME
Verlin   I-NAME
-   I-NAME
Urbina   I-NAME
was   O
given   O
aspirin   O
,   O
sublingual   O
nitroglycerin   O
,   O
and   O
morphine   O
for   O
pain   O
management   O
upon   O
arrival   O
.   O

Conchita   B-NAME
Mautte   I-NAME
was   O
started   O
on   O
a   O
heparin   O
drip   O
and   O
scheduled   O
for   O
an   O
urgent   O
cardiac   O
catheterization   O
.   O

Jayda   B-NAME
Una   I-NAME
Xiang   I-NAME
was   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
at   O
Highlands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
.   O

The   O
cardiology   O
team   O
,   O
led   O
by   O
Simon   B-NAME
,   O
will   O
oversee   O
Carmelo   B-NAME
Stout   I-NAME
's   O
care   O
.   O

Morrison   B-NAME
's   O
family   O
,   O
contacted   O
through   O
14615   B-CONTACT
,   O
was   O
informed   O
of   O
the   O
condition   O
and   O
the   O
immediate   O
treatment   O
plan   O
.   O

Employment   O
:   O
Massey   B-NAME
is   O
employed   O
as   O
a   O
Interpreter   O
at   O
City   B-LOCATION
Utilities   I-LOCATION
of   I-LOCATION
Springfield   I-LOCATION
and   O
has   O
been   O
advised   O
to   O
take   O
medical   O
leave   O
for   O
recovery   O
post   O
-   O
discharge   O
.   O

Follow   O
-   O
Up   O
:   O
Khomeini   B-NAME
,   I-NAME
Ruhollah   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
clinic   O
on   O
April   B-DATE
for   O
assessment   O
of   O
heart   O
function   O
and   O
adjustment   O
of   O
medications   O
.   O

bh626   B-NAME
has   O
been   O
created   O
for   O
HOFFMAN   B-NAME
,   I-NAME
VICTOR   I-NAME
to   O
access   O
their   O
patient   O
portal   O
for   O
appointments   O
,   O
medication   O
refills   O
,   O
and   O
communication   O
with   O
healthcare   O
providers   O
.   O

This   O
report   O
has   O
been   O
compiled   O
and   O
reviewed   O
on   O
Feb   B-DATE
by   O
Pruitt   B-NAME
,   O
M.D.   O
,   O
Cardiology   O
Dept   O
.   O
,   O
Greenwich   B-LOCATION
Hospital   I-LOCATION
,   O
North   B-LOCATION
Carolina   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Twain   B-NAME
,   I-NAME
Mark   I-NAME
was   O
seen   O
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Ann   I-LOCATION
Arbor   I-LOCATION
on   O
13/28   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Yuri   B-NAME
Zhivago   I-NAME
reports   O
the   O
pain   O
began   O
approximately   O
36   O
hours   O
prior   O
to   O
admission   O
and   O
has   O
progressively   O
worsened   O
.   O

Hickenbottom   B-NAME
,   I-NAME
Michael   I-NAME
is   O
a   O
Power   O
Generating   O
Plant   O
Operators   O
,   O
Except   O
Auxiliary   O
Equipment   O
Operators   O
residing   O
in   O
West   B-LOCATION
Brownsville   I-LOCATION
with   O
postal   O
code   O
20750   B-LOCATION
.   O

The   O
patient   O
's   O
emergency   O
contact   O
can   O
be   O
reached   O
at   O
252   B-CONTACT
7029   I-CONTACT
.   O

Medical   O
History   O
:   O
Zamiel   B-NAME
Marnett   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
type   O
II   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Nola   B-NAME
Mora   I-NAME
's   O
social   O
history   O
is   O
non   O
-   O
contributory   O
.   O

Paxton   B-NAME
Gomez   I-NAME
does   O
not   O
use   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Physician   O
's   O
Assessment   O
:   O
Upon   O
examination   O
,   O
Dr.   O
Kamren   B-NAME
Pollard   I-NAME
noted   O
that   O
Ubaldo   B-NAME
R.   I-NAME
Daugherty   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
a   O
mild   O
tachycardia   O
at   O
102   O
bpm   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
on   O
8/09   B-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
with   O
no   O
signs   O
of   O
perforation   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Dr.   O
Lydia   B-NAME
Barnes   I-NAME
at   O
Spectrum   B-LOCATION
Health   I-LOCATION
Butterworth   I-LOCATION
Hospital   I-LOCATION
,   O
Karly   B-NAME
Proctor   I-NAME
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
on   O
14   B-DATE
-   I-DATE
25   I-DATE
.   O

Joey   B-NAME
Robinson   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
2   O
weeks   O
for   O
wound   O
inspection   O
and   O
to   O
monitor   O
typical   O
recovery   O
progresses   O
.   O

Discharge   O
and   O
Recommendations   O
:   O
O.   B-NAME
Feldman   I-NAME
was   O
discharged   O
on   O
31/21/2102   B-DATE
with   O
instructions   O
to   O
manage   O
pain   O
with   O
acetaminophen   O
,   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
2   O
weeks   O
,   O
and   O
adhere   O
to   O
a   O
light   O
diet   O
gradually   O
returning   O
to   O
regular   O
diet   O
as   O
tolerated   O
.   O

Gage   B-NAME
Robles   I-NAME
was   O
given   O
a   O
prescription   O
for   O
a   O
post   O
-   O
operative   O
antibiotic   O
prophylaxis   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Crosby   B-NAME
at   O
Cone   B-LOCATION
Health   I-LOCATION
-Moses   I-LOCATION
H.   I-LOCATION
Cone   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
Paul   B-NAME
Reilly   I-NAME
was   O
given   O
a   O
patient   O
information   O
leaflet   O
regarding   O
post   O
-   O
appendectomy   O
care   O
.   O

Marcus   B-NAME
Welby   I-NAME
's   O
medical   O
record   O
number   O
118   B-ID
-   I-ID
37   I-ID
-   I-ID
58   I-ID
-   I-ID
6   I-ID
and   O
a   O
follow   O
-   O
up   O
appointment   O
reference   O
HN655/6296   B-ID
were   O
provided   O
for   O
future   O
reference   O
.   O

For   O
any   O
further   O
information   O
or   O
in   O
case   O
of   O
emergency   O
,   O
Trinity   B-NAME
Watson   I-NAME
was   O
advised   O
to   O
contact   O
Nevada   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
41485   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
of   O
the   O
nearest   O
hospital   O
.   O

Conclusion   O
:   O
Fletcher   B-NAME
’s   O
surgical   O
intervention   O
for   O
acute   O
appendicitis   O
was   O
successful   O
,   O
with   O
expectations   O
for   O
a   O
full   O
recovery   O
following   O
adherence   O
to   O
post   O
-   O
operative   O
guidelines   O
and   O
proper   O
management   O
of   O
chronic   O
conditions   O
.   O

The   O
patient   O
was   O
appreciative   O
of   O
the   O
care   O
received   O
from   O
Concord   B-LOCATION
Hospital   I-LOCATION
and   O
plans   O
to   O
observe   O
the   O
recommended   O
lifestyle   O
modifications   O
.   O

Patient   O
Name   O
:   O
Madilyn   B-NAME
Mcintosh   I-NAME
ID   O
:   O
TD:35942:138186   B-ID
Medical   O
Record   O
Number   O
:   O
524   B-ID
-   I-ID
03   I-ID
-   I-ID
31   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Birth   O
:   O
32/23   B-DATE
Age   O
:   O
9s   O
Address   O
:   O
Plumsteadville   B-LOCATION
,   O
45393   B-LOCATION
Phone   O
Number   O
:   O
42671   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Oliver   B-NAME
Employment   O
:   O
Systems   O
developer   O
at   O
Safeway   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
Admitting   O
Hospital   O
:   O
OhioHealth   B-LOCATION
Grady   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
30/24/2072   B-DATE
Date   O
of   O
Discharge   O
:   O
21/12   B-DATE
History   O
of   O
Present   O
Illness   O
:   O
Wayne   B-NAME
Davila   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Essentia   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Fargo   I-LOCATION
on   O
July   B-DATE
2021   I-DATE
with   O
a   O
42   O
-   O
hour   O
history   O
of   O
sharp   O
,   O
stabbing   O
chest   O
pain   O
localized   O
on   O
the   O
left   O
side   O
near   O
the   O
heart   O
.   O

Additionally   O
,   O
Nadia   B-NAME
Gilbert   I-NAME
experienced   O
shortness   O
of   O
breath   O
,   O
a   O
cough   O
producing   O
frothy   O
pink   O
sputum   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Valeria   B-NAME
Singleton   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
history   O
of   O
similar   O
symptoms   O
.   O

Elliot   B-NAME
,   I-NAME
Cass   I-NAME
has   O
been   O
a   O
police   O
officer   O
at   O
International   B-LOCATION
Affiliation   I-LOCATION
of   I-LOCATION
Writers   I-LOCATION
Guilds   I-LOCATION
for   O
34   O
years   O
,   O
which   O
involves   O
significant   O
physical   O
exertion   O
.   O

Past   O
Medical   O
History   O
:   O
Dougherty   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Kalin   B-NAME
mentioned   O
adherence   O
to   O
prescribed   O
medication   O
schedules   O
and   O
dietary   O
restrictions   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Buñuel   B-NAME
,   I-NAME
Luis   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Jayvion   B-NAME
Mcmillan   I-NAME
was   O
admitted   O
to   O
the   O
cardiology   O
unit   O
at   O
PeaceHealth   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
RiverBend   I-LOCATION
for   O
further   O
management   O
.   O

Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Vasquez   B-NAME
's   O
symptoms   O
gradually   O
improved   O
with   O
medication   O
adjustments   O
and   O
close   O
monitoring   O
.   O

Gregory   B-NAME
Howard   I-NAME
was   O
discharged   O
on   O
15/22   B-DATE
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Sloane   B-NAME
Fritz   I-NAME
.   O

Patient   O
Instructions   O
:   O
Marshall   B-NAME
Reames   I-NAME
was   O
instructed   O
to   O
maintain   O
a   O
low   O
-   O
sodium   O
diet   O
,   O
monitor   O
fluid   O
intake   O
,   O
and   O
comply   O
with   O
the   O
newly   O
prescribed   O
medication   O
regimen   O
.   O

Maximilian   B-NAME
Edwards   I-NAME
was   O
also   O
advised   O
to   O
monitor   O
for   O
symptoms   O
of   O
worsening   O
heart   O
failure   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
such   O
as   O
increased   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
swelling   O
of   O
the   O
legs   O
occur   O
.   O

Follow   O
-   O
Up   O
:   O
Sophie   B-NAME
Berry   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Hernandez   B-NAME
in   O
Wath   B-LOCATION
-   I-LOCATION
upon   I-LOCATION
-   I-LOCATION
Dearne   I-LOCATION
on   O
03/21   B-DATE
for   O
evaluation   O
of   O
heart   O
function   O
and   O
medication   O
management   O
.   O

Additional   O
follow   O
-   O
up   O
with   O
a   O
dietitian   O
and   O
a   O
diabetes   O
specialist   O
was   O
arranged   O
to   O
optimize   O
Rey   B-NAME
Meadows   I-NAME
's   O
overall   O
health   O
.   O

The   O
patient   O
,   O
Leblanc   B-NAME
,   O
was   O
brought   O
into   O
Magnolia   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
05/22   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
potential   O
appendicitis   O
.   O

Boyer   B-NAME
reported   O
no   O
recent   O
history   O
of   O
similar   O
symptoms   O
.   O

Upon   O
physical   O
examination   O
,   O
Cross   B-NAME
noted   O
that   O
Wood   B-NAME
,   O
a   O
91   O
-   O
year   O
-   O
old   O
Tax   O
Preparers   O
,   O
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
Rovsing   O
's   O
sign   O
,   O
suggestive   O
of   O
irritated   O
peritoneum   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
,   O
obtained   O
on   O
1/5   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Duff   B-NAME
,   I-NAME
Hilary   I-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
Wednesday   B-DATE
without   O
any   O
complications   O
.   O

University   B-LOCATION
of   I-LOCATION
Botswana   I-LOCATION
Non   I-LOCATION
-   I-LOCATION
Academic   I-LOCATION
Staff   I-LOCATION
Union   I-LOCATION
has   O
set   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Pham   B-NAME
on   O
00/51   B-DATE
,   O
to   O
monitor   O
the   O
post   O
-   O
operative   O
recovery   O
and   O
address   O
any   O
potential   O
complications   O
.   O

Lopez   B-NAME
has   O
been   O
advised   O
to   O
adhere   O
to   O
a   O
clear   O
liquid   O
diet   O
progressively   O
moving   O
towards   O
a   O
regular   O
diet   O
as   O
tolerated   O
,   O
and   O
to   O
avoid   O
strenuous   O
activity   O
for   O
a   O
period   O
of   O
two   O
weeks   O
.   O

The   O
medical   O
team   O
,   O
including   O
Melissa   B-NAME
Barnett   I-NAME
,   O
emphasized   O
the   O
importance   O
of   O
watching   O
for   O
signs   O
of   O
infection   O
or   O
any   O
unusual   O
pain   O
during   O
the   O
recovery   O
period   O
.   O

Paisley   B-NAME
Herman   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infection   O
and   O
was   O
provided   O
with   O
the   O
contact   O
number   O
968   B-CONTACT
-   I-CONTACT
2657   I-CONTACT
of   O
Decatur   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
queries   O
or   O
emergency   O
symptoms   O
.   O

Beaches   B-LOCATION
Energy   I-LOCATION
Services   I-LOCATION
will   O
continue   O
to   O
monitor   O
Sanders   B-NAME
's   O
recovery   O
closely   O
.   O

All   O
medical   O
records   O
,   O
specifically   O
4711510   B-ID
,   O
are   O
securely   O
stored   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
to   O
access   O
medical   O
records   O
,   O
Mcmahon   B-NAME
can   O
contact   O
Newark   B-LOCATION
-   I-LOCATION
Wayne   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
480   I-CONTACT
)   I-CONTACT
850   I-CONTACT
-   I-CONTACT
8979   I-CONTACT
,   O
or   O
visit   O
our   O
official   O
website   O
.   O

In   O
summary   O
,   O
timely   O
intervention   O
and   O
the   O
proficient   O
surgical   O
approach   O
managed   O
by   O
Weber   B-NAME
and   O
the   O
medical   O
team   O
at   O
CHI   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
-   I-LOCATION
Sugar   I-LOCATION
Land   I-LOCATION
Hospital   I-LOCATION
resulted   O
in   O
a   O
successful   O
outcome   O
for   O
Mabuse   B-NAME
,   I-NAME
der   I-NAME
Spieler   I-NAME
.   O

Jeffersonville   B-LOCATION
and   O
69763   B-LOCATION
areas   O
should   O
be   O
aware   O
of   O
the   O
excellence   O
in   O
healthcare   O
services   O
provided   O
by   O
Choctaw   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
as   O
demonstrated   O
by   O
the   O
treatment   O
of   O
Orlando   B-NAME
Hamilton   I-NAME
on   O
32/22   B-DATE
.   O

Building   B-LOCATION
and   I-LOCATION
Wood   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
International   I-LOCATION
is   O
committed   O
to   O
providing   O
high   O
-   O
quality   O
care   O
to   O
all   O
patients   O
and   O
remains   O
available   O
for   O
healthcare   O
consultations   O
and   O
surgeries   O
as   O
required   O
.   O

Patient   O
Name   O
:   O
Julius   B-NAME
Garza   I-NAME
Age   O
:   O
37   O
Date   O
of   O
Visit   O
:   O
October   B-DATE
Phone   O
Number   O
:   O
158   B-CONTACT
200   I-CONTACT
6495   I-CONTACT
Medical   O
Record   O
Number   O
:   O
3658831   B-ID
Doctor   O
:   O
Leon   B-NAME
Hospital   O
:   O

Lakeland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Lawson   B-LOCATION
Occupation   O
:   O
Obstetricians   O
and   O
Gynecologists   O
ID   O
Number   O
:   O
7   B-ID
-   I-ID
6267231   I-ID
Zip   O
Code   O
:   O
27493   B-LOCATION
Organization   O
:   O

Unrepresented   B-LOCATION
Nations   I-LOCATION
and   I-LOCATION
Peoples   I-LOCATION
Organization   I-LOCATION
Username   O
:   O
urd06   B-NAME
Chief   O
Complaint   O
:   O
Beckie   B-NAME
Buttimer   I-NAME
presented   O
to   O
The   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
15/00   B-DATE
complaining   O
of   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
.   O

The   O
headaches   O
have   O
been   O
occurring   O
with   O
increasing   O
frequency   O
over   O
the   O
past   O
03/27   B-DATE
,   O
now   O
happening   O
about   O
3   O
times   O
per   O
week   O
.   O

Moore   B-NAME
,   I-NAME
Dudley   I-NAME
also   O
reports   O
experiencing   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
accompanying   O
the   O
headaches   O
.   O

Medical   O
History   O
:   O
Daniella   B-NAME
Walter   I-NAME
has   O
a   O
history   O
of   O
episodic   O
migraines   O
diagnosed   O
in   O
27/31/47   B-DATE
but   O
reports   O
that   O
the   O
current   O
headaches   O
are   O
distinctly   O
more   O
severe   O
and   O
debilitating   O
.   O

Fletcher   B-NAME
Owens   I-NAME
's   O
past   O
medical   O
record   O
(   O
73982967   B-ID
)   O
shows   O
no   O
previous   O
chronic   O
illnesses   O
or   O
surgeries   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Michele   B-NAME
Ricken   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

Investigations   O
:   O
Given   O
the   O
increase   O
in   O
symptom   O
severity   O
and   O
frequency   O
,   O
Rolando   B-NAME
Campana   I-NAME
recommended   O
a   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
scan   O
of   O
the   O
brain   O
to   O
rule   O
out   O
other   O
potential   O
causes   O
of   O
the   O
symptoms   O
.   O

The   O
MRI   O
,   O
conducted   O
on   O
3/11/45   B-DATE
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
Atlanta   I-LOCATION
,   O
showed   O
no   O
acute   O
abnormalities   O
.   O

Treatment   O
Plan   O
:   O
Erick   B-NAME
Fuller   I-NAME
advised   O
initiating   O
a   O
preventive   O
medication   O
regimen   O
,   O
including   O
a   O
beta   O
-   O
blocker   O
and   O
a   O
monthly   O
CGRP   O
(   O
calcitonin   O
gene   O
-   O
related   O
peptide   O
)   O
inhibitor   O
injection   O
.   O

For   O
acute   O
pain   O
management   O
,   O
Cynthia   B-NAME
Reid   I-NAME
was   O
prescribed   O
a   O
triptan   O
formulation   O
to   O
be   O
taken   O
at   O
the   O
onset   O
of   O
headaches   O
.   O

Follow   O
-   O
Up   O
:   O
Hermine   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
4   O
weeks   O
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

Engelke   B-NAME
,   I-NAME
Anke   I-NAME
was   O
also   O
encouraged   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
occurrence   O
,   O
duration   O
,   O
and   O
severity   O
of   O
the   O
headaches   O
,   O
along   O
with   O
any   O
associated   O
symptoms   O
.   O

Conclusion   O
:   O
Teagan   B-NAME
Harrington   I-NAME
,   O
a   O
8   O
week   O
-   O
year   O
-   O
old   O
Bookkeeping   O
,   O
Accounting   O
,   O
and   O
Auditing   O
Clerks   O
residing   O
in   O
Fort   B-LOCATION
Mohave   I-LOCATION
,   O
ZIP   O
code   O
89721   B-LOCATION
,   O
with   O
a   O
history   O
of   O
episodic   O
migraines   O
,   O
now   O
experiences   O
an   O
increased   O
frequency   O
and   O
severity   O
of   O
headache   O
episodes   O
.   O

After   O
thorough   O
examination   O
and   O
diagnostic   O
efforts   O
,   O
August   B-NAME
Orr   I-NAME
was   O
started   O
on   O
a   O
tailored   O
treatment   O
plan   O
with   O
a   O
scheduled   O
follow   O
-   O
up   O
.   O

The   O
patient   O
,   O
Camryn   B-NAME
Whitney   I-NAME
,   O
a   O
32   O
-   O
year   O
-   O
old   O
Radio   O
and   O
Television   O
Announcers   O
,   O
residing   O
at   O
Union   B-LOCATION
Springs   I-LOCATION
with   O
ZIP   O
code   O
35929   B-LOCATION
,   O
presented   O
to   O
Indian   B-LOCATION
Path   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
11/20   B-DATE
with   O
complaints   O
of   O
acute   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
had   O
persisted   O
for   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Miles   B-NAME
mentioned   O
the   O
pain   O
was   O
constant   O
,   O
described   O
as   O
cramping   O
in   O
nature   O
,   O
and   O
rated   O
it   O
7/10   O
on   O
the   O
pain   O
scale   O
.   O

Eban   B-NAME
,   I-NAME
Abba   I-NAME
has   O
a   O
medical   O
record   O
number   O
1438929   B-ID
and   O
was   O
seen   O
by   O
Tatum   B-NAME
Bruce   I-NAME
.   O

Upon   O
physical   O
examination   O
,   O
Rocha   B-NAME
noted   O
that   O
Tyler   B-NAME
Wilson   I-NAME
exhibited   O
signs   O
of   O
dehydration   O
,   O
with   O
dry   O
mucous   O
membranes   O
and   O
decreased   O
skin   O
turgor   O
.   O

The   O
patient   O
's   O
contact   O
number   O
58659   B-CONTACT
was   O
recorded   O
for   O
any   O
follow   O
-   O
up   O
communication   O
needed   O
.   O

Manuel   B-NAME
Blankenship   I-NAME
's   O
history   O
was   O
remarkable   O
for   O
a   O
similar   O
episode   O
that   O
occurred   O
approximately   O
two   O
years   O
ago   O
,   O
at   O
which   O
time   O
a   O
diagnosis   O
of   O
acute   O
diverticulitis   O
was   O
made   O
based   O
on   O
radiologic   O
findings   O
.   O

Tyrone   B-NAME
Jenkins   I-NAME
was   O
advised   O
to   O
follow   O
a   O
high   O
fiber   O
diet   O
afterward   O
.   O

The   O
preliminary   O
diagnosis   O
upon   O
this   O
admission   O
to   O
Harrison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
suspected   O
to   O
be   O
a   O
recurrence   O
of   O
acute   O
diverticulitis   O
.   O

Gonzalez   B-NAME
was   O
started   O
on   O
intravenous   O
fluids   O
for   O
hydration   O
and   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
.   O

For   O
documentation   O
and   O
billing   O
purposes   O
,   O
Nicholas   B-NAME
Lange   I-NAME
's   O
insurance   O
information   O
was   O
verified   O
with   O
International   B-LOCATION
Affiliation   I-LOCATION
of   I-LOCATION
Writers   I-LOCATION
Guilds   I-LOCATION
,   O
under   O
policy   O
number   O
PJ303/9914   B-ID
.   O

The   O
estimated   O
time   O
of   O
admission   O
under   O
observation   O
was   O
noted   O
,   O
and   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
a   O
gastroenterologist   O
affiliated   O
with   O
Regional   B-LOCATION
One   I-LOCATION
Health   I-LOCATION
was   O
scheduled   O
for   O
12/02   B-DATE
.   O

It   O
was   O
recommended   O
that   O
Andreas   B-NAME
Aguilar   I-NAME
undergo   O
a   O
follow   O
-   O
up   O
colonoscopy   O
post   O
-   O
recovery   O
to   O
further   O
assess   O
the   O
extent   O
of   O
diverticular   O
disease   O
and   O
ensure   O
proper   O
management   O
to   O
prevent   O
further   O
episodes   O
.   O

The   O
current   O
health   O
plan   O
includes   O
reviewing   O
Etta   B-NAME
Cohen   I-NAME
's   O
recovery   O
progress   O
in   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Moss   B-NAME
on   O
2393   B-DATE
-   I-DATE
26   I-DATE
-   I-DATE
11   I-DATE
,   O
at   O
which   O
time   O
further   O
adjustments   O
to   O
treatment   O
and   O
dietary   O
recommendations   O
may   O
be   O
made   O
based   O
on   O
Younker   B-NAME
's   O
condition   O
.   O

Note   O
:   O
All   O
subsequent   O
communications   O
,   O
tests   O
,   O
and   O
results   O
are   O
to   O
be   O
linked   O
with   O
Lisa   B-NAME
Catera   I-NAME
's   O
account   O
using   O
the   O
username   O
rr593   B-NAME
for   O
secure   O
online   O
access   O
to   O
their   O
medical   O
records   O
and   O
updates   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Farris   B-NAME
Short   I-NAME
Age   O
:   O
0   O
week   O
Medical   O
Record   O
Number   O
:   O
5033878   B-ID
Date   O
of   O
Admission   O
:   O
1961   B-DATE
Phone   O
Number   O
:   O
816   B-CONTACT
-   I-CONTACT
5543   I-CONTACT
Residence   O
:   O
Minturn   B-LOCATION
,   O
48459   B-LOCATION

Khairy   B-NAME
Levers   I-NAME
Hospital   O
:   O
Huggins   B-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaints   O
:   O

The   O
patient   O
,   O
Jackson   B-NAME
,   I-NAME
Andrew   I-NAME
,   O
presented   O
with   O
a   O
three   O
-   O
day   O
history   O
of   O
worsening   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
patient   O
reports   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
33/21   B-DATE
.   O

Medical   O
History   O
:   O
Margarita   B-NAME
Whisnant   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
at   O
Ringgold   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
September   B-DATE
.   O

On   O
examination   O
,   O
Davies   B-NAME
was   O
alert   O
and   O
oriented   O
x3   O
but   O
appeared   O
uncomfortable   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Hunter   B-NAME
Payne   I-NAME
diagnosed   O
ON   B-NAME
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Autumn   B-NAME
Hayes   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
spring   B-DATE
.   O

Occupation   O
:   O
Kraus   B-NAME
,   I-NAME
Karl   I-NAME
is   O
employed   O
as   O
a   O
Cooks   O
,   O
All   O
Other   O
at   O
Tifton   B-LOCATION
Banking   I-LOCATION
Company   I-LOCATION
,   O
where   O
Michale   B-NAME
Calamare   I-NAME
has   O
been   O
working   O
for   O
the   O
past   O
35   O
years   O
.   O

Social   O
History   O
:   O
Judah   B-NAME
Erickson   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
use   O
.   O

NOE   B-NAME
,   I-NAME
NATALEY   I-NAME
KINSLEE   I-NAME
lives   O
with   O
Tuan   B-NAME
Party   I-NAME
's   O
spouse   O
and   O
two   O
children   O
in   O
Burlington   B-LOCATION
,   I-LOCATION
Church   I-LOCATION
Street   I-LOCATION
Marketplace   I-LOCATION
.   O

Follow   O
-   O
Up   O
Plan   O
:   O
Post   O
-   O
operatively   O
,   O
camp   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Snyder   B-NAME
on   O
3/26   B-DATE
at   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Duluth   I-LOCATION
.   O

Further   O
management   O
will   O
depend   O
on   O
Colon   B-NAME
's   O
recovery   O
progress   O
and   O
post   O
-   O
operative   O
lab   O
results   O
.   O

Contact   O
Information   O
:   O
Should   O
any   O
questions   O
or   O
concerns   O
arise   O
,   O
Kaila   B-NAME
Kent   I-NAME
or   O
Darren   B-NAME
's   O
family   O
can   O
contact   O
Mills   B-LOCATION
-   I-LOCATION
Peninsula   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
's   O
general   O
information   O
line   O
at   O
854   B-CONTACT
3849   I-CONTACT
.   O

Prepared   O
by   O
:   O
GS251   B-NAME
04/02/1757   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rivers   B-NAME
Age   O
:   O
87   O
Date   O
of   O
Birth   O
:   O
22/2   B-DATE
SSN   O
:   O
HI366/6969   B-ID
Medical   O
Record   O
Number   O
:   O
106   B-ID
29   I-ID
62   I-ID
Address   O
:   O
Morse   B-LOCATION
Bluff   I-LOCATION
,   O
79268   B-LOCATION
Phone   O
Number   O
:   O
292   B-CONTACT
-   I-CONTACT
402   I-CONTACT
-   I-CONTACT
6275   I-CONTACT
Employer   O
:   O

Diverse   B-LOCATION
Power   I-LOCATION
Inc.   I-LOCATION
-   I-LOCATION
Pataula   I-LOCATION
District   I-LOCATION
Occupation   O
:   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors-   O
Construction   O
Trades   O
Workers   O
Referring   O
Physician   O
:   O
Dr.   O
Osvaldo   B-NAME
Holloway   I-NAME
Summary   O
:   O
Arteaga   B-NAME
,   O
a   O
Aircraft   O
Launch   O
and   O
Recovery   O
Specialists   O
from   O
Warrensville   B-LOCATION
Heights   I-LOCATION
,   O
was   O
admitted   O
to   O
Lone   B-LOCATION
Peak   I-LOCATION
Hospital   I-LOCATION
on   O
Friday   B-DATE
after   O
reporting   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Dyer   B-NAME
does   O
not   O
have   O
any   O
known   O
allergies   O
and   O
is   O
currently   O
not   O
on   O
any   O
prescription   O
medication   O
.   O

Family   O
History   O
:   O
Miller   B-NAME
,   I-NAME
Bode   I-NAME
reports   O
a   O
family   O
history   O
of   O
colorectal   O
cancer   O
on   O
the   O
paternal   O
side   O
but   O
denies   O
any   O
genetic   O
disorders   O
known   O
in   O
the   O
family   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Tony   B-NAME
Wilkinson   I-NAME
displayed   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

Vital   O
signs   O
recorded   O
on   O
admission   O
were   O
within   O
normal   O
ranges   O
but   O
indicated   O
a   O
slight   O
elevation   O
in   O
heart   O
rate   O
430029999   B-ID
.   O

Yareli   B-NAME
Holcomb   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
,   O
performed   O
by   O
Dr.   O
Jax   B-NAME
Curtis   I-NAME
on   O
32/32/01   B-DATE
.   O

The   O
procedure   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Glover   B-NAME
remained   O
stable   O
throughout   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Lester   B-NAME
in   O
two   O
weeks   O
at   O
our   O
clinic   O
in   O
Huntersville   B-LOCATION
,   O
63856   B-LOCATION
.   O

UD   B-NAME
was   O
discharged   O
on   O
Tuesday   B-DATE
,   I-DATE
June   I-DATE
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Sonia   B-NAME
Chambers   I-NAME
was   O
instructed   O
to   O
contact   O
Mercy   B-LOCATION
Fitzgerald   I-LOCATION
Hospital   I-LOCATION
at   O
75644   B-CONTACT
for   O
any   O
concerns   O
or   O
signs   O
of   O
infection   O
,   O
including   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
discharge   O
from   O
the   O
wound   O
site   O
.   O

Zavier   B-NAME
Kim   I-NAME
will   O
be   O
seen   O
at   O
the   O
outpatient   O
clinic   O
of   O
AdventHealth   B-LOCATION
DeLand   I-LOCATION
on   O
10/27   B-DATE
to   O
assess   O
the   O
healing   O
process   O
and   O
ensure   O
no   O
post   O
-   O
operative   O
complications   O
have   O
arisen   O
.   O

This   O
case   O
has   O
been   O
documented   O
under   O
ID   O
2466556   B-ID
.   O

For   O
any   O
inquiries   O
,   O
please   O
contact   O
CarePoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Christ   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
869   I-CONTACT
)   I-CONTACT
713   I-CONTACT
-   I-CONTACT
8286   I-CONTACT
.   O
---   O
All   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
in   O
this   O
patient   O
report   O
was   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
compliance   O
guidelines   O
to   O
ensure   O
privacy   O
and   O
security   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Fisher   B-NAME
,   I-NAME
Carrie   I-NAME
Patient   O
ID   O
:   O
13193   B-ID
Medical   O
Record   O
Number   O
:   O
6775S19688   B-ID
Age   O
:   O
85   O
Phone   O
Number   O
:   O
322   B-CONTACT
-   I-CONTACT
2804   I-CONTACT
Date   O
of   O
Birth   O
:   O
25/32/60   B-DATE
Address   O
:   O
Shannon   B-LOCATION
,   O
76841   B-LOCATION
Occupation   O
:   O
pilot   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Mccullough   B-NAME
Hospital   O
Name   O
:   O
Adventist   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Bakersfield   I-LOCATION
Date   O
of   O
Admission   O
:   O
14/00   B-DATE
Date   O
of   O
Discharge   O
:   O
07/30/1920   B-DATE
Clinical   O
Summary   O
:   O
Frankie   B-NAME
Dillon   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Fulton   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   I-LOCATION
The   I-LOCATION
on   O
32/29   B-DATE
with   O
chief   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
centralized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
early   O
morning   O
on   O
the   O
same   O
day   O
.   O

Leila   B-NAME
Evans   I-NAME
reported   O
a   O
fever   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

Sparta   B-NAME
is   O
employed   O
as   O
a   O
writer   O
and   O
denied   O
any   O
occupational   O
hazards   O
or   O
recent   O
injuries   O
.   O

On   O
physical   O
examination   O
,   O
Claire   B-NAME
Ramsey   I-NAME
exhibited   O
signs   O
of   O
distress   O
with   O
a   O
notable   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
performed   O
on   O
12/84   B-DATE
,   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
signs   O
of   O
perforation   O
.   O

Irma   B-NAME
Foster   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
2085   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
05   I-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Dahlia   B-NAME
Arildsen   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
regimen   O
.   O

The   O
patient   O
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
John   B-NAME
Liberman   I-NAME
on   O
17/28   B-DATE
.   O

Anika   B-NAME
Davidson   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
to   O
gradually   O
resume   O
a   O
normal   O
diet   O
.   O

The   O
patient   O
was   O
reached   O
via   O
523   B-CONTACT
3499   I-CONTACT
for   O
a   O
follow   O
-   O
up   O
on   O
11/23   B-DATE
.   O

Byrd   B-NAME
reported   O
significant   O
improvement   O
,   O
with   O
no   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

For   O
further   O
inquiries   O
or   O
additional   O
appointments   O
,   O
Erdös   B-NAME
,   I-NAME
Paul   I-NAME
was   O
given   O
the   O
direct   O
phone   O
number   O
to   O
Dr.   O
Trevon   B-NAME
Oliver   I-NAME
's   O
office   O
at   O
(   B-CONTACT
276   I-CONTACT
)   I-CONTACT
980   I-CONTACT
-   I-CONTACT
9305   I-CONTACT
and   O
reminded   O
to   O
maintain   O
regular   O
visits   O
for   O
ongoing   O
health   O
maintenance   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Krystal   B-NAME
Eddy   I-NAME
ID   O
:   O
GF:70394:680874   B-ID
Age   O
:   O
73s   O
Gender   O
:   O

Male   O
Medical   O
Record   O
Number   O
:   O
061   B-ID
-   I-ID
00   I-ID
-   I-ID
74   I-ID
-   I-ID
4   I-ID
Address   O
:   O
Ness   B-LOCATION
City   I-LOCATION
,   O
73859   B-LOCATION
Phone   O
Number   O
:   O
35218   B-CONTACT
Admitting   O
Doctor   O
:   O
Douglas   B-NAME
Peck   I-NAME
Admission   O
Date   O
:   O
2272   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
17   I-DATE
Hospital   O
:   O
Logan   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Oakley   I-LOCATION
Presenting   O
Complaint   O
:   O
Stephens   B-NAME
was   O
admitted   O
to   O
Oswego   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Oswego   I-LOCATION
on   O
17/35   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Lara   B-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
lack   O
of   O
appetite   O
.   O

Edwards   B-NAME
,   I-NAME
John   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
any   O
similar   O
previous   O
episodes   O
.   O

Medical   O
History   O
:   O
Sharon   B-NAME
Dyer   I-NAME
has   O
a   O
history   O
of   O
diagnosed   O
irritable   O
bowel   O
syndrome   O
and   O
a   O
remote   O
appendectomy   O
performed   O
over   O
a   O
decade   O
ago   O
.   O

Santiago   B-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
colon   O
cancer   O
in   O
a   O
first   O
-   O
degree   O
relative   O
.   O

On   O
physical   O
examination   O
,   O
Yurem   B-NAME
Hebert   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
findings   O
suggesting   O
a   O
possible   O
IBD   O
flare   O
,   O
Schopenhauer   B-NAME
,   I-NAME
Arthur   I-NAME
was   O
started   O
on   O
IV   O
corticosteroids   O
and   O
received   O
supportive   O
care   O
including   O
IV   O
fluids   O
and   O
antiemetics   O
for   O
the   O
management   O
of   O
nausea   O
and   O
vomiting   O
.   O

Eldredge   B-NAME
,   I-NAME
Niles   I-NAME
was   O
advised   O
to   O
remain   O
nil   O
by   O
mouth   O
(   O
NPO   O
)   O
to   O
rest   O
the   O
bowel   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
is   O
scheduled   O
for   O
00/3   B-DATE
to   O
further   O
assess   O
the   O
extent   O
of   O
intestinal   O
inflammation   O
and   O
to   O
inspect   O
for   O
any   O
alternative   O
diagnoses   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
the   O
gastroenterologist   O
at   O
Independent   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
was   O
arranged   O
for   O
23/11   B-DATE
for   O
ongoing   O
management   O
of   O
the   O
presumed   O
IBD   O
flare   O
.   O

Notice   O
of   O
Privacy   O
Practices   O
:   O
Hannah   B-NAME
Holloway   I-NAME
has   O
been   O
informed   O
about   O
the   O
handling   O
of   O
his   O
medical   O
information   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

Consent   O
was   O
obtained   O
digitally   O
via   O
dv256   B-NAME
on   O
our   O
secure   O
portal   O
on   O
November   B-DATE
02   I-DATE
,   I-DATE
2380   I-DATE
.   O

Further   O
inquiries   O
and   O
requests   O
for   O
medical   O
records   O
can   O
be   O
directed   O
to   O
Baptist   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Collierville   I-LOCATION
's   O
Health   O
Information   O
Management   O
Department   O
at   O
485   B-CONTACT
-   I-CONTACT
4690   I-CONTACT
.   O

This   O
report   O
has   O
been   O
reviewed   O
and   O
approved   O
by   O
Bruno   B-NAME
Zhang   I-NAME
,   O
and   O
is   O
archived   O
under   O
the   O
medical   O
record   O
number   O
5571941   B-ID
for   O
Bonilla   B-NAME
at   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
General   O
Information   O
:   O
Name   O
:   O
Paul   B-NAME
Leotard   I-NAME
Age   O
:   O
60s   O
Gender   O
:   O
Male   O
Patient   O
ID   O
:   O
KU:75575:692200   B-ID
Medical   O
Record   O
Number   O
:   O
3441489   B-ID
Date   O
of   O
Visit   O
:   O
22/12/30   B-DATE
Contact   O
:   O
936   B-CONTACT
-   I-CONTACT
840   I-CONTACT
-   I-CONTACT
9891   I-CONTACT
Attending   O
Physician   O
:   O

Dwayne   B-NAME
Blanchard   I-NAME
Hospital   O
:   O
CGH   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
City   O
:   O
Dickinson   B-LOCATION
ZIP   O
Code   O
:   O
65227   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Williams   B-NAME
,   I-NAME
Tennessee   I-NAME
,   O
a   O
Retail   O
buyer   O
from   O
Vadito   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Sabetha   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Sabetha   I-LOCATION
on   O
02/33/08   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
6   O
-   O
8   O
hours   O
prior   O
to   O
presentation   O
.   O

Bishop   B-NAME
also   O
reports   O
a   O
mild   O
fever   O
and   O
nausea   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jaylyn   B-NAME
Colon   I-NAME
has   O
been   O
generally   O
healthy   O
with   O
no   O
significant   O
medical   O
history   O
.   O

Past   O
Medical   O
History   O
:   O
Paisley   B-NAME
Herman   I-NAME
reports   O
no   O
surgical   O
history   O
and   O
takes   O
no   O
regular   O
medications   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Allena   B-NAME
Mazzeo   I-NAME
appeared   O
uncomfortable   O
and   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Long   B-LOCATION
Island   I-LOCATION
Jewish   I-LOCATION
Valley   I-LOCATION
Stream   I-LOCATION
for   O
surgical   O
consultation   O
with   O
Mariana   B-NAME
Lewis   I-NAME
.   O

A   O
laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
32/18   B-DATE
without   O
any   O
complications   O
.   O

Beckham   B-NAME
Brock   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
after   O
discharge   O
for   O
wound   O
care   O
and   O
management   O
.   O

Discharge   O
Instructions   O
:   O
OWEN   B-NAME
R.   I-NAME
APONTE   I-NAME
was   O
discharged   O
on   O
23/13   B-DATE
with   O
instructions   O
to   O
rest   O
,   O
monitor   O
for   O
any   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
site   O
,   O
and   O
avoid   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
2   O
weeks   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Yahir   B-NAME
Thornton   I-NAME
in   O
two   O
weeks   O
.   O

Follow   O
-   O
up   O
:   O
Lamont   B-NAME
Warner   I-NAME
is   O
advised   O
to   O
report   O
immediately   O
to   O
St.   B-LOCATION
Catherine   I-LOCATION
Hospital   I-LOCATION
or   O
call   O
85075   B-CONTACT
if   O
he   O
experiences   O
fever   O
,   O
increased   O
pain   O
,   O
vomiting   O
,   O
or   O
any   O
other   O
concerning   O
symptoms   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
visit   O
.   O

Prepared   O
by   O
:   O
YM728   B-NAME
Medical   O
staff   O
UPMC   B-LOCATION
Horizon   I-LOCATION
-   I-LOCATION
Shenango   I-LOCATION
Valley   I-LOCATION
Campus   I-LOCATION
4/4   B-DATE

The   O
patient   O
,   O
Layton   B-NAME
,   O
a   O
Retail   O
manager   O
from   O
Loco   B-LOCATION
Hills   I-LOCATION
,   O
presented   O
to   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Medina   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
14/39   B-DATE
with   O
a   O
complaint   O
of   O
progressive   O
dyspnea   O
and   O
a   O
dry   O
,   O
hacking   O
cough   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Ferreira   B-NAME
reports   O
experiencing   O
acute   O
episodes   O
of   O
dyspnea   O
at   O
rest   O
,   O
which   O
have   O
been   O
progressively   O
worsening   O
.   O

Additionally   O
,   O
Ben   B-NAME
Price   I-NAME
has   O
been   O
experiencing   O
intermittent   O
chest   O
pain   O
that   O
is   O
sharp   O
in   O
nature   O
,   O
localized   O
to   O
the   O
mid   O
-   O
sternum   O
,   O
and   O
exacerbated   O
by   O
deep   O
inhalation   O
.   O

Upon   O
examination   O
,   O
Jeffrey   B-NAME
Moran   I-NAME
,   O
who   O
is   O
95   O
years   O
old   O
,   O
exhibited   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
a   O
heart   O
rate   O
of   O
98   O
beats   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
93   O
%   O
on   O
room   O
air   O
.   O

Bianca   B-NAME
Beard   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
mild   O
asthma   O
,   O
controlled   O
with   O
a   O
short   O
-   O
acting   O
beta   O
-   O
agonist   O
as   O
needed   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Xue   B-NAME
is   O
employed   O
as   O
a   O
Substance   O
Abuse   O
and   O
Behavioral   O
Disorder   O
Counselors   O
and   O
denies   O
any   O
recent   O
travel   O
history   O
or   O
sick   O
contacts   O
.   O

Brianna   B-NAME
Gallegos   I-NAME
lives   O
with   O
[   O
his   O
/   O
her   O
]   O
family   O
in   O
52060   B-LOCATION
and   O
has   O
a   O
pet   O
cat   O
at   O
home   O
.   O

Y   B-NAME
Ullrich   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Petersburg   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
on   O
February   B-DATE
.   O

The   O
attending   O
physician   O
,   O
Archer   B-NAME
,   O
initiated   O
empirical   O
antibiotic   O
treatment   O
with   O
azithromycin   O
and   O
ceftriaxone   O
considering   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Mauricio   B-NAME
Walls   I-NAME
was   O
also   O
started   O
on   O
supplemental   O
oxygen   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
94   O
%   O
.   O

Gustav   B-NAME
Niemann   I-NAME
's   O
condition   O
showed   O
gradual   O
improvement   O
over   O
the   O
next   O
8/28/59   B-DATE
,   O
with   O
reduced   O
episodes   O
of   O
dyspnea   O
and   O
resolution   O
of   O
chest   O
pain   O
.   O

Mcmahon   B-NAME
was   O
discharged   O
on   O
33/23/83   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
to   O
complete   O
a   O
7   O
-   O
day   O
course   O
and   O
instructions   O
to   O
follow   O
up   O
with   O
James   B-NAME
,   I-NAME
Donald   I-NAME
in   O
one   O
week   O
.   O

The   O
patient   O
's   O
80520315   B-ID
number   O
for   O
this   O
admission   O
is   O
MP   B-ID
:   I-ID
FO:2746   I-ID
.   O

If   O
there   O
are   O
any   O
questions   O
regarding   O
the   O
patient   O
's   O
treatment   O
or   O
follow   O
-   O
up   O
care   O
,   O
please   O
contact   O
NYU   B-LOCATION
Langone   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Brooklyn   I-LOCATION
at   O
(   B-CONTACT
842   I-CONTACT
)   I-CONTACT
724   I-CONTACT
5420   I-CONTACT
.   O

Patient   O
Report   O
for   O
Leary   B-NAME
,   I-NAME
Timothy   I-NAME
2062   B-DATE
Patient   O
ID   O
:   O
61437185   B-ID
Age   O
:   O
20   O
Contact   O
Information   O
:   O
Phone   O
:   O
(   B-CONTACT
922   I-CONTACT
)   I-CONTACT
575   I-CONTACT
7082   I-CONTACT
Address   O
:   O
Hi   B-LOCATION
-   I-LOCATION
Nella   I-LOCATION
,   O
30665   B-LOCATION
Referring   O
Physician   O
:   O

Little   B-NAME
Presenting   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
Music   O
Directors   O
,   O
presented   O
with   O
acute   O
onset   O
of   O
shortness   O
of   O
breath   O
,   O
productive   O
cough   O
with   O
greenish   O
sputum   O
,   O
and   O
a   O
fever   O
reaching   O
38.5   O
°   O
C   O
.   O

The   O
symptoms   O
began   O
approximately   O
three   O
days   O
prior   O
to   O
the   O
consultation   O
on   O
1   B-DATE
-   I-DATE
28   I-DATE
.   O

Investigations   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
2335   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
20   I-DATE
showed   O
bilateral   O
infiltrates   O
consistent   O
with   O
pneumonia   O
.   O

A   O
follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
and   O
blood   O
tests   O
are   O
scheduled   O
for   O
2330   B-DATE
.   O

In   O
case   O
of   O
any   O
worsening   O
of   O
symptoms   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
difficulty   O
in   O
breathing   O
,   O
the   O
patient   O
should   O
seek   O
immediate   O
medical   O
attention   O
at   O
Cheshire   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Braylon   B-NAME
Mcdonald   I-NAME
at   O
Clara   B-LOCATION
Barton   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Hoisington   I-LOCATION
on   O
05/66   B-DATE
to   O
evaluate   O
the   O
response   O
to   O
treatment   O
and   O
plan   O
further   O
management   O
if   O
necessary   O
.   O

Facility   O
:   O
OhioHealth   B-LOCATION
Riverside   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Hospital   O
ID   O
:   O
KA:85078:290689   B-ID
For   O
any   O
inquiries   O
or   O
emergency   O
,   O
contact   O
Memorial   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Carbondale   I-LOCATION
at   O
391   B-CONTACT
4968   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Bojaxhi   B-NAME
,   I-NAME
Agnes   I-NAME
Gonxha   I-NAME
(   I-NAME
Mother   I-NAME
Teresa   I-NAME
)   I-NAME
Patient   O
ID   O
:   O
IT   B-ID
:   I-ID
WU:1086   I-ID
Medical   O
Record   O
Number   O
:   O
6450202   B-ID
Date   O
of   O
Birth   O
:   O
47   O
Date   O
of   O
Admission   O
:   O
2131   B-DATE
Admitting   O
Physician   O
:   O
Dunn   B-NAME
Hospital   O
Name   O
:   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Midtown   I-LOCATION
Campus   I-LOCATION
Location   O
:   O
Waynesboro   B-LOCATION
Zip   O
Code   O
:   O
71432   B-LOCATION
Phone   O
Number   O
:   O
285   B-CONTACT
495   I-CONTACT
6780   I-CONTACT
Occupation   O
:   O
Plasterers   O
and   O
Stucco   O
Masons   O
Username   O
:   O
ld363   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Channing   B-NAME
,   I-NAME
William   I-NAME
Ellery   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Tidelands   B-LOCATION
Health   I-LOCATION
Georgetown   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2132   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
32   I-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
early   O
morning   O
on   O
the   O
same   O
day   O
.   O

Eneida   B-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
,   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Levon   B-NAME
Nichols   I-NAME
,   O
a   O
1   O
-   O
year   O
-   O
old   O
Multimedia   O
programmer   O
from   O
Johnson   B-LOCATION
City   I-LOCATION
,   O
96565   B-LOCATION
,   O
started   O
experiencing   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
approximately   O
24   O
hours   O
before   O
admission   O
.   O

The   O
discomfort   O
gradually   O
progressed   O
to   O
severe   O
pain   O
early   O
morning   O
on   O
26/23   B-DATE
.   O

Easterling   B-NAME
denies   O
any   O
recent   O
travel   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Yoel   B-NAME
Newcomb   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
medication   O
.   O

On   O
examination   O
,   O
Elagabalus   B-NAME
was   O
alert   O
and   O
oriented   O
but   O
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Diagnosis   O
:   O
The   O
clinical   O
presentation   O
,   O
along   O
with   O
examination   O
findings   O
,   O
prompted   O
an   O
urgent   O
abdominal   O
ultrasound   O
,   O
which   O
was   O
conducted   O
by   O
Blackburn   B-NAME
at   O
UC   B-LOCATION
San   I-LOCATION
Diego   I-LOCATION
Health   I-LOCATION
La   I-LOCATION
Jolla   I-LOCATION
-   I-LOCATION
Jacobs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   I-LOCATION
Sulpizio   I-LOCATION
Cardiovascular   I-LOCATION
Center   I-LOCATION
,   O
revealing   O
an   O
inflamed   O
appendicitis   O
with   O
evidence   O
of   O
early   O
appendiceal   O
perforation   O
.   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
Albert   B-NAME
W.   I-NAME
Wily   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
02/03   B-DATE
without   O
complications   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Looney   B-NAME
,   I-NAME
General   I-NAME
William   I-NAME
was   O
discharged   O
on   O
02/57   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
with   O
their   O
primary   O
care   O
physician   O
in   O
Van   B-LOCATION
Horne   I-LOCATION
.   O

Rush   B-NAME
is   O
scheduled   O
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
appointment   O
with   O
Lewis   B-NAME
Wiley   I-NAME
at   O
Osawatomie   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Osawatomie   I-LOCATION
on   O
32/11   B-DATE
to   O
assess   O
wound   O
healing   O
and   O
overall   O
recovery   O
progress   O
.   O

For   O
any   O
queries   O
or   O
further   O
information   O
regarding   O
the   O
patient   O
's   O
care   O
,   O
please   O
contact   O
Highland   B-LOCATION
Hospital   I-LOCATION
at   O
662   B-CONTACT
462   I-CONTACT
-   I-CONTACT
8121   I-CONTACT
or   O
reach   O
out   O
to   O
the   O
patient   O
directly   O
at   O
their   O
registered   O
phone   O
number   O
,   O
327   B-CONTACT
6890   I-CONTACT
.   O

This   O
report   O
is   O
generated   O
and   O
signed   O
by   O
Mcfarland   B-NAME
,   O
Washington   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
,   O
on   O
22/13   B-DATE
.   O

Patient   O
ID   O
:   O
4092683   B-ID
Name   O
:   O
Christian   B-NAME
Age   O
:   O
54   O
Phone   O
number   O
:   O
591   B-CONTACT
-   I-CONTACT
9794   I-CONTACT
Address   O
:   O
United   B-LOCATION
States   I-LOCATION
of   I-LOCATION
America   I-LOCATION
,   O
58217   B-LOCATION
Physician   O
:   O

Sheppard   B-NAME
Medical   O
Organization   O
:   O

Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Jacksonville   I-LOCATION
Date   O
of   O
visit   O
:   O
32/02   B-DATE
Identification   O
Number   O
:   O
CH:32740:378448   B-ID

The   O
patient   O
,   O
a   O
Residential   O
Advisors   O
,   O
presented   O
to   O
Located   B-LOCATION
within   I-LOCATION
Henry   I-LOCATION
Ford   I-LOCATION
Cottage   I-LOCATION
Hospital   I-LOCATION
on   O
04/08/2239   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
persistent   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Upon   O
physical   O
examination   O
,   O
Hines   B-NAME
noted   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
positive   O
for   O
both   O
McBurney   O
's   O
and   O
Rovsing   O
's   O
signs   O
,   O
suggesting   O
appendicitis   O
.   O

Kayleigh   B-NAME
Ferguson   I-NAME
's   O
history   O
was   O
non   O
-   O
contributory   O
for   O
any   O
major   O
medical   O
conditions   O
or   O
surgeries   O
.   O

Abdominal   O
ultrasonography   O
performed   O
on   O
8/23   B-DATE
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
but   O
no   O
appendicolith   O
.   O

Archer   B-NAME
was   O
informed   O
about   O
the   O
procedure   O
details   O
,   O
associated   O
risks   O
,   O
and   O
postoperative   O
care   O
by   O
Goodman   B-NAME
.   O

Surgical   O
intervention   O
was   O
scheduled   O
for   O
09/24   B-DATE
,   O
at   O
Menorah   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Vasilios   B-NAME
C.   I-NAME
Osborne   I-NAME
was   O
advised   O
on   O
appropriate   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Townsend   B-NAME
on   O
1   B-DATE
-   I-DATE
30   I-DATE
at   O
Audubon   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
for   O
postoperative   O
examination   O
.   O

Hannity   B-NAME
,   I-NAME
Sean   I-NAME
was   O
provided   O
with   O
emergency   O
contact   O
numbers   O
,   O
including   O
38928   B-CONTACT
,   O
should   O
any   O
complications   O
or   O
concerns   O
arise   O
.   O

Jayce   B-NAME
Collier   I-NAME
was   O
discharged   O
in   O
stable   O
condition   O
on   O
2182   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
20   I-DATE
with   O
instructions   O
to   O
report   O
immediately   O
to   O
JC   B-LOCATION
Blair   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
in   O
case   O
of   O
fever   O
,   O
uncontrolled   O
pain   O
,   O
or   O
signs   O
of   O
infection   O
at   O
the   O
incision   O
sites   O
.   O

The   O
scheduled   O
appointment   O
is   O
on   O
1905   B-DATE
,   O
and   O
the   O
patient   O
will   O
be   O
contacted   O
via   O
(   B-CONTACT
310   I-CONTACT
)   I-CONTACT
117   I-CONTACT
-   I-CONTACT
8893   I-CONTACT
for   O
a   O
reminder   O
.   O

Patient   O
Name   O
:   O
Fabian   B-NAME
Payne   I-NAME
Patient   O
ID   O
:   O
82136   B-ID
Medical   O
Record   O
Number   O
:   O
0837619   B-ID
Age   O
:   O
33   O
Address   O
:   O
Melbourne   B-LOCATION
,   O
10292   B-LOCATION
Phone   O
Number   O
:   O
97583   B-CONTACT
Occupation   O
:   O
Logistics   O
Engineers   O
Date   O
of   O
Visit   O
:   O
30/32/32   B-DATE
Referring   O
Physician   O
:   O

Chase   B-NAME
Kenny   I-NAME
Hospital   O
:   O
SSM   B-LOCATION
Health   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Oklahoma   I-LOCATION
City   I-LOCATION
Username   O
:   O
BD643   B-NAME
Chief   O
Complaint   O
:   O
Patient   O
Adeline   B-NAME
Dean   I-NAME
,   O
a   O
Helpers   O
--   O
Brickmasons   O
,   O
Blockmasons   O
,   O
Stonemasons   O
,   O
and   O
Tile   O
and   O
Marble   O
Setters   O
from   O
La   B-LOCATION
Habra   I-LOCATION
,   I-LOCATION
CA   I-LOCATION
90631   I-LOCATION
,   O
reports   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
concentrated   O
mostly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
over   O
the   O
last   O
48   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Since   O
the   O
onset   O
on   O
10/26/64   B-DATE
,   O
the   O
abdominal   O
pain   O
has   O
progressively   O
worsened   O
.   O

Initially   O
,   O
the   O
pain   O
was   O
diffuse   O
and   O
not   O
localized   O
,   O
making   O
it   O
difficult   O
for   O
Phillip   B-NAME
Watters   I-NAME
to   O
pinpoint   O
.   O

Moreau   B-NAME
reports   O
vomiting   O
twice   O
on   O
the   O
morning   O
of   O
7/27/2123   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Muhammad   B-NAME
,   I-NAME
Holy   I-NAME
Prophet   I-NAME
has   O
had   O
no   O
previous   O
abdominal   O
surgeries   O
or   O
significant   O
medical   O
issues   O
.   O

All   O
immunizations   O
are   O
up   O
to   O
date   O
according   O
to   O
the   O
records   O
provided   O
by   O
Constitutional   B-LOCATION
Worlds   I-LOCATION
.   O

Mackenzie   B-NAME
Esparza   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
exposure   O
to   O
sick   O
contacts   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
on   O
32/22   B-DATE
,   O
Shea   B-NAME
appeared   O
uncomfortable   O
and   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
initial   O
clinical   O
assessment   O
suggests   O
acute   O
appendicitis   O
as   O
a   O
likely   O
diagnosis   O
for   O
Anabel   B-NAME
Osborn   I-NAME
.   O

Pending   O
laboratory   O
results   O
and   O
confirmation   O
from   O
imaging   O
studies   O
,   O
the   O
surgical   O
team   O
at   O
Providence   B-LOCATION
Kodiak   I-LOCATION
Island   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
has   O
been   O
consulted   O
for   O
potential   O
surgical   O
intervention   O
.   O

Follow   O
-   O
up   O
:   O
Kenyon   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
19/26   B-DATE
to   O
review   O
surgical   O
outcomes   O
and   O
discuss   O
post   O
-   O
operative   O
care   O
.   O

Instructions   O
were   O
given   O
to   O
call   O
(   B-CONTACT
127   I-CONTACT
)   I-CONTACT
935   I-CONTACT
-   I-CONTACT
4770   I-CONTACT
if   O
there   O
's   O
an   O
increase   O
in   O
pain   O
,   O
fever   O
,   O
or   O
any   O
new   O
symptoms   O
arise   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Donovan   B-NAME
Booker   I-NAME
,   O
MD   O
on   O
03/92   B-DATE
at   O
UPMC   B-LOCATION
Kane   I-LOCATION
.   O

For   O
any   O
further   O
information   O
or   O
clarification   O
,   O
please   O
contact   O
our   O
office   O
at   O
994   B-CONTACT
-   I-CONTACT
1529   I-CONTACT
.   O

Patient   O
:   O
Kaylah   B-NAME
Howe   I-NAME
ID   O
:   O
38577099   B-ID
Medical   O
Record   O
Number   O
:   O
8728889   B-ID
Date   O
of   O
Birth   O
:   O
February   B-DATE
18   I-DATE
,   I-DATE
2266   I-DATE
Age   O
:   O
0   O
week   O
Phone   O
:   O
893   B-CONTACT
783   I-CONTACT
2710   I-CONTACT
Profession   O
:   O

Rotary   O
Drill   O
Operators   O
,   O
Oil   O
and   O
Gas   O
Location   O
:   O
Tennessee   B-LOCATION
Zip   O
Code   O
:   O
57621   B-LOCATION

Referring   O
Doctor   O
:   O
Luther   B-NAME
,   I-NAME
Martin   I-NAME
Hospital   O
:   O
Huron   B-LOCATION
Valley   I-LOCATION
-   I-LOCATION
Sinai   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
20/36   B-DATE
WL   B-NAME
presented   O
to   O
Riverside   B-LOCATION
Shore   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
9/23/11   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
,   O
intense   O
headache   O
predominantly   O
in   O
the   O
frontal   O
lobe   O
area   O
that   O
has   O
been   O
ongoing   O
for   O
approximately   O
two   O
weeks   O
.   O

Stone   B-NAME
,   I-NAME
W.   I-NAME
Clement   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Deandre   B-NAME
Nash   I-NAME
,   O
a   O
Gaming   O
Supervisors   O
by   O
profession   O
,   O
mentioned   O
experiencing   O
increased   O
stress   O
at   O
work   O
over   O
the   O
past   O
month   O
.   O

Gallienus   B-NAME
Perza   I-NAME
noted   O
a   O
history   O
of   O
episodic   O
migraines   O
but   O
described   O
the   O
current   O
headache   O
as   O
more   O
severe   O
and   O
persistent   O
than   O
typical   O
episodes   O
.   O

Šustauskas   B-NAME
,   I-NAME
Vytautas   I-NAME
denies   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
exposures   O
to   O
known   O
allergens   O
.   O

Karrack   B-NAME
Iltzsch   I-NAME
's   O
social   O
history   O
is   O
non   O
-   O
contributory   O
,   O
denying   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

Upon   O
examination   O
,   O
V.   B-NAME
Hamilton   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

In   O
the   O
interim   O
,   O
advised   O
Pierce   B-NAME
to   O
monitor   O
headache   O
patterns   O
and   O
triggers   O
closely   O
,   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
and   O
to   O
follow   O
a   O
regular   O
sleep   O
schedule   O
.   O

Scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Jan   B-DATE
2022   I-DATE
to   O
review   O
test   O
results   O
and   O
adjust   O
treatment   O
plans   O
as   O
needed   O
.   O

Signed   O
,   O
Moody   B-NAME
02/27   B-DATE

Patient   O
Name   O
:   O
Alison   B-NAME
Randall   I-NAME
Patient   O
ID   O
:   O
3   B-ID
-   I-ID
2681526   I-ID
Medical   O
Record   O
Number   O
:   O
20497429   B-ID
Date   O
of   O
Birth   O
:   O
17/32   B-DATE
Age   O
:   O
24s   O
Address   O
:   O
Navajo   B-LOCATION
,   O
69391   B-LOCATION
Phone   O
Number   O
:   O
91267   B-CONTACT

Attending   O
Doctor   O
:   O
Mckayla   B-NAME
Mckenzie   I-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
South   I-LOCATION
Summary   O
of   O
Visit   O
:   O

Mr.   O
Reilly   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Moses   B-LOCATION
H.   I-LOCATION
Cone   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
30/32   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
his   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

On   O
examination   O
,   O
Xavier   B-NAME
Hobbs   I-NAME
's   O
vitals   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
165/100   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

Assessment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
initial   O
investigations   O
,   O
Jake   B-NAME
Marshak   I-NAME
was   O
diagnosed   O
with   O
an   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
,   O
commonly   O
known   O
as   O
a   O
heart   O
attack   O
.   O

Plan   O
:   O
Geronimo   B-NAME
was   O
immediately   O
administered   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
sublingual   O
nitroglycerin   O
in   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
observation   O
of   O
Rayne   B-NAME
Briggs   I-NAME
.   O

He   O
was   O
then   O
transferred   O
to   O
the   O
cardiology   O
unit   O
for   O
an   O
urgent   O
coronary   O
angiography   O
planned   O
for   O
33/25   B-DATE
.   O

Instructions   O
were   O
given   O
to   O
Quon   B-NAME
to   O
avoid   O
any   O
strenuous   O
activities   O
and   O
to   O
stop   O
smoking   O
immediately   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
11/12   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
to   O
discuss   O
further   O
management   O
plans   O
.   O

Mr.   O
Thomas   B-NAME
Javier   I-NAME
was   O
advised   O
to   O
contact   O
the   O
cardiology   O
team   O
via   O
632   B-CONTACT
6961   I-CONTACT
if   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
before   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Further   O
information   O
can   O
be   O
obtained   O
by   O
contacting   O
NCH   B-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Naples   I-LOCATION
at   O
48875   B-CONTACT
.   O

Patient   O
Report   O
for   O
Karl   B-NAME
Hellfern   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
5225185   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
508   B-ID
-   I-ID
83   I-ID
-   I-ID
95   I-ID
-   I-ID
6   I-ID
-   O
Date   O
of   O
Birth   O
:   O
02/20   B-DATE
-   O
Phone   O
Number   O
:   O
69164   B-CONTACT
-   O
Address   O
:   O
Galveston   B-LOCATION
,   O
99992   B-LOCATION
Medical   O
Visit   O
Summary   O
:   O
On   O
37/29   B-DATE
,   O
Nelly   B-NAME
Wiltshire   I-NAME
,   O
a   O
Farmworkers   O
and   O
Laborers   O
,   O
Crop   O
,   O
Nursery   O
,   O
and   O
Greenhouse   O
in   O
their   O
early   O
23   O
s   O
,   O
presented   O
at   O
Harlan   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
chronic   O
fatigue   O
,   O
persistent   O
cough   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

Upon   O
examination   O
,   O
Camacho   B-NAME
noted   O
bilateral   O
crackles   O
on   O
lung   O
auscultation   O
suggestive   O
of   O
pulmonary   O
involvement   O
.   O

Diagnostic   O
Evaluation   O
:   O
-   O
Chest   O
X   O
-   O
Ray   O
performed   O
on   O
0/19   B-DATE
revealed   O
bilateral   O
interstitial   O
infiltrates   O
.   O
-   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
indicated   O
elevated   O
white   O
blood   O
cells   O
,   O
suggestive   O
of   O
an   O
ongoing   O
infection   O
or   O
inflammation   O
.   O
-   O
Pulmonary   O
Function   O
Tests   O
(   O
PFTs   O
)   O
showed   O
reduced   O
forced   O
vital   O
capacity   O
(   O
FVC   O
)   O
and   O
forced   O
expiratory   O
volume   O
in   O
1   O
second   O
(   O
FEV1   O
)   O
,   O
indicating   O
obstructive   O
lung   O
disease   O
.   O

Grellet   B-NAME
,   I-NAME
Stephen   I-NAME
recommended   O
an   O
immediate   O
cessation   O
of   O
smoking   O
to   O
prevent   O
further   O
damage   O
to   O
lung   O
tissues   O
.   O

Advised   O
follow   O
-   O
up   O
consultation   O
scheduled   O
for   O
July   B-DATE
21   I-DATE
,   I-DATE
2172   I-DATE
to   O
re   O
-   O
evaluate   O
symptoms   O
and   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
.   O

Follow   O
-   O
Up   O
Notes   O
:   O
During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
2/37   B-DATE
,   O
Marina   B-NAME
Collins   I-NAME
reported   O
a   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Recommendations   O
:   O
-   O
Banhart   B-NAME
,   I-NAME
Devendra   I-NAME
emphasized   O
the   O
importance   O
of   O
complete   O
smoking   O
cessation   O
,   O
recommending   O
participation   O
in   O
a   O
smoking   O
cessation   O
program   O
at   O
Home   B-LOCATION
Federal   I-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
.   O
-   O
Scheduled   O
another   O
follow   O
-   O
up   O
appointment   O
in   O
three   O
months   O
to   O
monitor   O
progress   O
and   O
any   O
potential   O
complications   O
.   O

Emergency   O
Contact   O
:   O
-   O
Name   O
:   O
Bea   B-NAME
Slocumb   I-NAME
's   O
spouse   O
-   O
Relationship   O
:   O
Spouse   O
-   O
Phone   O
Number   O
:   O
58908   B-CONTACT

This   O
report   O
was   O
compiled   O
by   O
Porter   B-NAME
Solomon   I-NAME
and   O
is   O
confidential   O
,   O
intended   O
for   O
the   O
use   O
by   O
St.   B-LOCATION
Louise   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
's   O
medical   O
staff   O
only   O
.   O

Any   O
disclosure   O
of   O
the   O
information   O
contained   O
within   O
without   O
the   O
express   O
consent   O
of   O
DANNY   B-NAME
WOODY   I-NAME
is   O
prohibited   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Danica   B-NAME
Hampton   I-NAME
Patient   O
ID   O
:   O
68478   B-ID
Date   O
of   O
Birth   O
:   O
03/21   B-DATE
Age   O
:   O
8   O
Address   O
:   O
Box   B-LOCATION
Elder   I-LOCATION
,   O
64479   B-LOCATION
Phone   O
:   O
582   B-CONTACT
4948   I-CONTACT
Occupation   O
:   O
Locker   O
Room   O
,   O
Coatroom   O
,   O
and   O
Dressing   O
Room   O
Attendants   O
Primary   O
Physician   O
:   O
Dr.   O
Henry   B-NAME
,   I-NAME
Patrick   I-NAME
Hospital   O
:   O
Johnston   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
86700609   B-ID
Visit   O
Date   O
:   O
23/30   B-DATE
Chief   O
Complaint   O
:   O
Ashe   B-NAME
,   I-NAME
Arthur   I-NAME
presented   O
at   O
the   O
emergency   O
department   O
of   O
Scripps   B-LOCATION
Green   I-LOCATION
Hospital   I-LOCATION
on   O
20/12   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Nancy   B-NAME
Xayarath   I-NAME
reported   O
the   O
pain   O
was   O
exacerbated   O
by   O
movement   O
and   O
relieved   O
minimally   O
by   O
lying   O
still   O
.   O

Past   O
Medical   O
History   O
:   O
Barry   B-NAME
,   I-NAME
Dave   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
GILMORE   B-NAME
,   I-NAME
RACHEL   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

The   O
surgical   O
team   O
at   O
Prowers   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
consulted   O
,   O
and   O
after   O
thorough   O
evaluation   O
,   O
Braque   B-NAME
,   I-NAME
Georges   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Follow   O
-   O
up   O
:   O
Madilyn   B-NAME
Houston   I-NAME
is   O
to   O
be   O
closely   O
monitored   O
in   O
the   O
post   O
-   O
operative   O
period   O
for   O
any   O
signs   O
of   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
in   O
2   O
weeks   O
with   O
Dr.   O
Faith   B-NAME
Myers   I-NAME
for   O
wound   O
check   O
and   O
review   O
of   O
pathology   O
report   O
.   O

Conclusion   O
:   O
Lorr   B-NAME
's   O
symptoms   O
,   O
clinical   O
findings   O
,   O
and   O
diagnostic   O
workup   O
are   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Nailatikau   B-NAME
,   I-NAME
Ratu   I-NAME
Epeli   I-NAME
Qaraninamu   I-NAME
-   O
Age   O
:   O
1   O
week   O
-   O
Date   O
of   O
Birth   O
:   O
2152   B-DATE
-   O
Address   O
:   O
Minong   B-LOCATION
,   O
79115   B-LOCATION
-   O
Phone   O
Number   O
:   O
115   B-CONTACT
-   I-CONTACT
691   I-CONTACT
5276   I-CONTACT
-   O
Medical   O
Record   O
Number   O
:   O
CK890849   B-ID
-   O
Health   O
Plan   O
ID   O
:   O
MW:12098:263789   B-ID
Encounter   O
Details   O
:   O
-   O
Date   O
of   O
Encounter   O
:   O
04/21/2054   B-DATE
-   O
Location   O
of   O
Encounter   O
:   O
Lake   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
,   O
Athens   B-LOCATION
,   I-LOCATION
Athens   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
-   O
Attending   O
Physician   O
:   O

Benedict   B-NAME
Lanate   I-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Raphael   B-NAME
Sampson   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
April   B-DATE
2243   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mulock   B-NAME
,   I-NAME
Dinah   I-NAME
Maria   I-NAME
;   I-NAME
also   I-NAME
Dinah   I-NAME
Maria   I-NAME
Craik   I-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
early   O
in   O
the   O
morning   O
on   O
32/22   B-DATE
with   O
the   O
pain   O
gradually   O
escalating   O
in   O
severity   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Rylee   B-NAME
Hopkins   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Surgical   O
consultation   O
with   O
Demetrius   B-NAME
Mercer   I-NAME
has   O
been   O
requested   O
for   O
evaluation   O
and   O
potential   O
appendectomy   O
.   O

The   O
inclusion   O
of   O
International   B-LOCATION
Association   I-LOCATION
of   I-LOCATION
Heat   I-LOCATION
and   I-LOCATION
Frost   I-LOCATION
Insulators   I-LOCATION
and   I-LOCATION
Asbestos   I-LOCATION
Workers   I-LOCATION
,   O
fisherman   O
,   O
and   O
eu1011   B-NAME
did   O
not   O
directly   O
apply   O
to   O
the   O
narrative   O
content   O
of   O
this   O
patient   O
report   O
and   O
so   O
were   O
not   O
included   O
.   O

Brent   B-NAME
Cameron   I-NAME
Patient   O
ID   O
:   O
KD:10392:934320   B-ID
Date   O
of   O
Birth   O
:   O
12/00/62   B-DATE
Age   O
:   O
69s   O
Address   O
:   O
Lovejoy   B-LOCATION
,   O
44479   B-LOCATION
Phone   O
Number   O
:   O
43520   B-CONTACT
Occupation   O
:   O
Fire   O
Inspectors   O
and   O
Investigators   O
Primary   O
Physician   O
:   O
Dudley   B-NAME
Hospital   O
:   O
Titus   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
District   I-LOCATION
dba   I-LOCATION
Titus   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
89170589   B-ID
Admission   O
Date   O
:   O
01/28   B-DATE
Discharge   O
Date   O
:   O
2312   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
19   I-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Aspen   B-NAME
Gallagher   I-NAME
,   O
presented   O
with   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Rosas   B-NAME
denied   O
any   O
recent   O
travel   O
outside   O
Buchtel   B-LOCATION
or   O
any   O
unusual   O
dietary   O
intake   O
.   O

Medical   O
History   O
:   O
Jaeden   B-NAME
Olson   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
through   O
medication   O
prescribed   O
by   O
Tony   B-NAME
Whitman   I-NAME
of   O
Association   B-LOCATION
of   I-LOCATION
Motion   I-LOCATION
Pictures   I-LOCATION
&   I-LOCATION
TV   I-LOCATION
Programme   I-LOCATION
Producer   I-LOCATION
of   I-LOCATION
India   I-LOCATION
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
at   O
5   O
and   O
a   O
cholecystectomy   O
in   O
2182   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
07   I-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Lean   B-NAME
Hagens   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
MercyOne   B-LOCATION
Dyersville   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dunlap   B-NAME
.   O

After   O
initial   O
stabilization   O
,   O
Elianna   B-NAME
Andersen   I-NAME
underwent   O
an   O
appendectomy   O
on   O
November   B-DATE
23th   I-DATE
.   O

Follow   O
-   O
Up   O
:   O
Moore   B-NAME
,   I-NAME
Tim   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
was   O
discharged   O
on   O
January   B-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Parsons   B-NAME
in   O
two   O
weeks   O
.   O

Landin   B-NAME
Fry   I-NAME
was   O
advised   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
and   O
to   O
resume   O
diabetes   O
and   O
hypertension   O
medications   O
as   O
before   O
the   O
surgery   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Betty   B-NAME
G.   I-NAME
Pierce   I-NAME
can   O
contact   O
Abbeville   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
at   O
451   B-CONTACT
-   I-CONTACT
4088   I-CONTACT
.   O

The   O
patient   O
,   O
Brisa   B-NAME
Donaldson   I-NAME
,   O
a   O
61   O
-   O
year   O
-   O
old   O
Production   O
Workers   O
,   O
All   O
Other   O
from   O
Corunna   B-LOCATION
,   O
presented   O
to   O
Elbert   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
27   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
acute   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
starting   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
by   O
Powell   B-NAME
,   O
Jerry   B-NAME
Noland   I-NAME
appeared   O
in   O
moderate   O
distress   O
with   O
vital   O
signs   O
indicating   O
tachycardia   O
(   O
heart   O
rate   O
of   O
102   O
bpm   O
)   O
and   O
a   O
slight   O
fever   O
(   O
temperature   O
of   O
38.2   O
°   O
C   O
)   O
.   O

The   O
patient   O
's   O
medical   O
record   O
,   O
identified   O
by   O
355   B-ID
-   I-ID
80   I-ID
-   I-ID
10   I-ID
and   O
an   O
identification   O
number   O
SO:14375:230574   B-ID
,   O
showed   O
no   O
prior   O
history   O
of   O
similar   O
symptoms   O
or   O
any   O
significant   O
medical   O
history   O
.   O

The   O
surgery   O
,   O
performed   O
on   O
3/22   B-DATE
,   O
was   O
uneventful   O
with   O
Marie   B-NAME
Randall   I-NAME
noting   O
an   O
inflamed   O
appendix   O
which   O
was   O
successfully   O
removed   O
.   O

Wall   B-NAME
tolerated   O
the   O
procedure   O
well   O
and   O
was   O
monitored   O
post   O
-   O
operatively   O
in   O
Avera   B-LOCATION
Holy   I-LOCATION
Family   I-LOCATION
Hospital   I-LOCATION
.   O

Bruce   B-NAME
Cherry   I-NAME
was   O
discharged   O
on   O
0/00   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Moran   B-NAME
for   O
00/34/2266   B-DATE
to   O
assess   O
the   O
post   O
-   O
operative   O
recovery   O
.   O

The   O
patient   O
was   O
advised   O
to   O
call   O
the   O
office   O
number   O
17450   B-CONTACT
if   O
they   O
experienced   O
symptoms   O
of   O
fever   O
,   O
persistent   O
vomiting   O
,   O
or   O
increased   O
abdominal   O
pain   O
.   O

Instructed   O
to   O
rest   O
and   O
avoid   O
strenuous   O
activities   O
for   O
2025   B-DATE
-   I-DATE
15   I-DATE
-   I-DATE
21   I-DATE
post   O
-   O
operation   O
,   O
Jaylee   B-NAME
Wilkins   I-NAME
expressed   O
gratitude   O
toward   O
the   O
medical   O
staff   O
and   O
Paul   B-NAME
Turner   I-NAME
for   O
the   O
care   O
received   O
during   O
their   O
stay   O
at   O
Northern   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Surry   I-LOCATION
County   I-LOCATION
.   O

The   O
discharge   O
instructions   O
,   O
signed   O
by   O
Braylon   B-NAME
Morrison   I-NAME
with   O
their   O
ID   O
763378165   B-ID
,   O
emphasized   O
the   O
importance   O
of   O
follow   O
-   O
up   O
to   O
ensure   O
complete   O
recovery   O
.   O

The   O
coordinated   O
care   O
at   O
Healtheast   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
,   O
from   O
initial   O
evaluation   O
to   O
post   O
-   O
operative   O
follow   O
-   O
up   O
,   O
demonstrates   O
the   O
efficiency   O
and   O
patient   O
-   O
centeredness   O
of   O
our   O
approach   O
in   O
managing   O
surgical   O
emergencies   O
.   O

Patient   O
Name   O
:   O
Yasmine   B-NAME
Snyder   I-NAME
Age   O
:   O
74   O
Date   O
:   O
03/30/33   B-DATE
Medical   O
Record   O
:   O
32225135   B-ID
Admitting   O
Doctor   O
:   O
Cassius   B-NAME
Riggs   I-NAME
Hospital   O
:   O

Bertrand   B-LOCATION
Chaffee   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Greenwood   B-LOCATION
ID   O
:   O
UP   B-ID
:   I-ID
SN:5820   I-ID
Organization   O
:   O

International   B-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Administration   I-LOCATION
Phone   O
:   O
627   B-CONTACT
421   I-CONTACT
-   I-CONTACT
2107   I-CONTACT
Profession   O
:   O

Nursery   O
and   O
Greenhouse   O
Managers   O
Username   O
:   O
pic366   B-NAME
ZIP   O
:   O
18660   B-LOCATION
Chief   O
Complaint   O
:   O
Foxworthy   B-NAME
,   I-NAME
Jeff   I-NAME
presented   O
to   O
the   O
emergency   O
room   O
at   O
Joe   B-LOCATION
DiMaggio   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
30/12   B-DATE
with   O
persistent   O
dry   O
cough   O
,   O
fever   O
,   O
and   O
dyspnea   O
that   O
had   O
been   O
worsening   O
over   O
the   O
course   O
of   O
the   O
past   O
week   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Harrison   B-NAME
Buckman   I-NAME
,   O
an   O
85   O
-   O
year   O
-   O
old   O
Biomedical   O
engineer   O
,   O
reports   O
the   O
onset   O
of   O
symptoms   O
approximately   O
7   O
days   O
prior   O
to   O
admission   O
,   O
beginning   O
with   O
a   O
mild   O
,   O
intermittent   O
fever   O
and   O
non   O
-   O
productive   O
cough   O
.   O

Kristopher   B-NAME
Mercer   I-NAME
denies   O
recent   O
travel   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Medical   O
History   O
:   O
Sanger   B-NAME
,   I-NAME
Margaret   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Medications   O
:   O
Brian   B-NAME
is   O
currently   O
taking   O
Metformin   O
for   O
diabetes   O
and   O
Lisinopril   O
for   O
hypertension   O
.   O

On   O
examination   O
,   O
Qin   B-NAME
Shi   I-NAME
Huang   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Alvarez   B-NAME
was   O
admitted   O
to   O
the   O
North   B-LOCATION
Shore   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
,   O
including   O
supplemental   O
oxygen   O
and   O
monitoring   O
for   O
any   O
deterioration   O
in   O
respiratory   O
status   O
.   O

The   O
clinical   O
team   O
,   O
led   O
by   O
Calhoun   B-NAME
,   O
will   O
continue   O
to   O
evaluate   O
Giovanna   B-NAME
Curtis   I-NAME
's   O
need   O
for   O
antiviral   O
therapy   O
pending   O
the   O
viral   O
PCR   O
results   O
,   O
and   O
diabetes   O
management   O
will   O
be   O
adjusted   O
as   O
needed   O
during   O
the   O
hospital   O
stay   O
.   O

Follow   O
-   O
Up   O
:   O
Mila   B-NAME
Grinman   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Shelton   B-NAME
in   O
Shueyville   B-LOCATION
approximately   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
progress   O
and   O
manage   O
any   O
ongoing   O
symptoms   O
.   O

Contact   O
:   O
Perez   B-NAME
or   O
Cortez   B-NAME
Moyer   I-NAME
's   O
next   O
of   O
kin   O
can   O
be   O
reached   O
via   O
112   B-CONTACT
966   I-CONTACT
6970   I-CONTACT
for   O
any   O
immediate   O
concerns   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
.   O

Patient   O
Name   O
:   O
MARQUEZ   B-NAME
,   I-NAME
RONALD   I-NAME
Medical   O
Record   O
Number   O
:   O
695   B-ID
-   I-ID
55   I-ID
-   I-ID
01   I-ID
Age   O
:   O
2   O
week   O
Date   O
of   O
Birth   O
:   O
3   B-DATE
-   I-DATE
23   I-DATE
Address   O
:   O
Truckee   B-LOCATION
,   O
29019   B-LOCATION
Occupation   O
:   O

First   O
-   O
Line   O
Supervisors   O
of   O
Air   O
Crew   O
Members   O
Phone   O
Number   O
:   O
16327   B-CONTACT
ID   O
Number   O
:   O
VY   B-ID
:   I-ID
FP:3127   I-ID
Physician   O
:   O

Hyun   B-NAME
Poffenberger   I-NAME
Hospital   O
:   O
Claxton   B-LOCATION
-   I-LOCATION
Hepburn   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
03/17   B-DATE
Reason   O
for   O
Visit   O
:   O
The   O
patient   O
,   O
Yash   B-NAME
Quaglia   I-NAME
,   O
presented   O
to   O
the   O
outpatient   O
department   O
at   O
Doctors   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Tattnall   I-LOCATION
complaining   O
of   O
severe   O
,   O
episodic   O
headaches   O
predominantly   O
localized   O
to   O
the   O
frontal   O
region   O
.   O

Vegas   B-NAME
reports   O
an   O
average   O
headache   O
duration   O
of   O
approximately   O
4   O
hours   O
and   O
rates   O
the   O
pain   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Furthermore   O
,   O
Huxley   B-NAME
,   I-NAME
Julian   I-NAME
denies   O
any   O
significant   O
changes   O
in   O
lifestyle   O
,   O
dietary   O
habits   O
,   O
or   O
stress   O
levels   O
that   O
could   O
potentially   O
trigger   O
the   O
recent   O
increase   O
in   O
headache   O
frequency   O
and   O
severity   O
.   O

Family   O
history   O
is   O
notable   O
for   O
migraines   O
in   O
Thomas   B-NAME
Ho   I-NAME
's   O
mother   O
.   O

Kane   B-NAME
initiated   O
a   O
treatment   O
plan   O
that   O
included   O
a   O
prescription   O
for   O
a   O
triptan   O
for   O
acute   O
migraine   O
attacks   O
and   O
a   O
recommendation   O
to   O
start   O
a   O
preventative   O
medication   O
regimen   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
13/28/22   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
make   O
any   O
necessary   O
adjustments   O
.   O

Instructions   O
for   O
Patient   O
:   O
Rumsfeld   B-NAME
,   I-NAME
Donald   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
,   O
and   O
any   O
associated   O
symptoms   O
of   O
the   O
headaches   O
,   O
along   O
with   O
any   O
potential   O
triggers   O
.   O

Furthermore   O
,   O
Allisson   B-NAME
Lara   I-NAME
was   O
instructed   O
to   O
take   O
the   O
prescribed   O
medications   O
as   O
directed   O
and   O
to   O
contact   O
Providence   B-LOCATION
Hospital   I-LOCATION
if   O
there   O
was   O
no   O
improvement   O
in   O
symptoms   O
or   O
if   O
headaches   O
became   O
more   O
frequent   O
or   O
severe   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
M   B-DATE
.   O
Evan   B-NAME
White   I-NAME
was   O
also   O
provided   O
with   O
the   O
contact   O
information   O
of   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Branch   I-LOCATION
(   O
255   B-CONTACT
7882   I-CONTACT
)   O
for   O
any   O
concerns   O
or   O
emergencies   O
prior   O
to   O
the   O
next   O
scheduled   O
visit   O
.   O

Kirk   B-NAME
emphasized   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
treatment   O
plan   O
and   O
scheduled   O
follow   O
-   O
up   O
to   O
monitor   O
progress   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

Patient   O
Name   O
:   O
Jeramiah   B-NAME
Hahn   I-NAME
Date   O
of   O
Birth   O
:   O
02/22/2230   B-DATE
Age   O
:   O
8   O
Medical   O
Record   O
Number   O
:   O
723   B-ID
-   I-ID
24   I-ID
-   I-ID
73   I-ID
-   I-ID
3   I-ID
Patient   O
ID   O
:   O
LT305/9077   B-ID
Address   O
:   O
Manistee   B-LOCATION
Lake   I-LOCATION
,   O
Phone   O
Number   O
:   O
482   B-CONTACT
-   I-CONTACT
813   I-CONTACT
6926   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Myers   B-NAME
Affiliated   O
Hospital   O
:   O
Shenandoah   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Employment   O
:   O
Police   O
,   O
Fire   O
,   O
and   O
Ambulance   O
Dispatchers   O
at   O
Network   B-LOCATION
for   I-LOCATION
Education   I-LOCATION
and   I-LOCATION
Academic   I-LOCATION
Rights   I-LOCATION
16/39/24   B-DATE
-   O

The   O
patient   O
,   O
Norman   B-NAME
Jasinski   I-NAME
,   O
a   O
58   O
-   O
year   O
-   O
old   O
Information   O
Technology   O
Project   O
Managers   O
employed   O
at   O
Hillcrest   B-LOCATION
Bank   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Allen   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
acute   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
Xanders   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
of   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
of   O
98.6   O
°   O
F   O
.   O

Electrocardiogram   O
(   O
ECG   O
)   O
performed   O
on   O
3/88   B-DATE
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
consistent   O
with   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

Qarase   B-NAME
,   I-NAME
Laisenia   I-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

The   O
case   O
was   O
discussed   O
with   O
the   O
on   O
-   O
call   O
cardiologist   O
,   O
Leach   B-NAME
,   O
who   O
recommended   O
emergency   O
cardiac   O
catheterization   O
.   O

Consent   O
was   O
obtained   O
from   O
Laylah   B-NAME
Grant   I-NAME
,   O
and   O
the   O
procedure   O
was   O
scheduled   O
for   O
3/14   B-DATE
.   O

Post   O
-   O
procedure   O
,   O
Santana   B-NAME
was   O
transferred   O
to   O
the   O
cardiology   O
unit   O
for   O
further   O
management   O
and   O
observation   O
.   O

Martin   B-NAME
,   I-NAME
Demetri   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
any   O
immediate   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Jaydan   B-NAME
Bass   I-NAME
for   O
03/08/2078   B-DATE
at   O
Research   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Main   I-LOCATION
Campus   I-LOCATION
.   O

Throughout   O
the   O
hospitalization   O
,   O
Mcintosh   B-NAME
expressed   O
gratitude   O
for   O
the   O
prompt   O
and   O
comprehensive   O
care   O
provided   O
by   O
the   O
medical   O
team   O
at   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

58116   B-CONTACT
was   O
documented   O
as   O
the   O
primary   O
contact   O
number   O
for   O
any   O
further   O
communication   O
or   O
emergency   O
.   O

Ochs   B-NAME
,   I-NAME
Phil   I-NAME
's   O
willingness   O
to   O
adhere   O
to   O
post   O
-   O
discharge   O
instructions   O
and   O
follow   O
-   O
up   O
care   O
is   O
imperative   O
for   O
the   O
prevention   O
of   O
future   O
cardiac   O
events   O
.   O

Patient   O
Name   O
:   O
Eric   B-NAME
Gablehauser   I-NAME
Date   O
of   O
Birth   O
:   O
Jun   B-DATE
6th   I-DATE
Age   O
:   O
89   O
Phone   O
Number   O
:   O
54938   B-CONTACT
Address   O
:   O
Willamina   B-LOCATION
,   O
69092   B-LOCATION
Primary   O
Physician   O
:   O
Shyla   B-NAME
Stevens   I-NAME
Medical   O
Record   O
Number   O
:   O
19090878   B-ID
Admitting   O
Hospital   O
:   O
St.   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Episcopal   I-LOCATION
Hospital   I-LOCATION
Diagnosis   O
Date   O
:   O
11/17   B-DATE
Occupation   O
:   O

Packaging   O
technologist   O
Emergency   O
Contact   O
:   O
LI67   B-NAME
Chief   O
Complaint   O
:   O
Lévi   B-NAME
-   I-NAME
Strauss   I-NAME
,   I-NAME
Claude   I-NAME
presented   O
to   O
MercyOne   B-LOCATION
Clive   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
on   O
12/08   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
which   O
he   O
rated   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Gogol   B-NAME
,   I-NAME
Nikolai   I-NAME
Vasilievich   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
that   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Looney   B-NAME
,   I-NAME
General   I-NAME
William   I-NAME
,   O
a   O
11   O
month   O
-   O
year   O
-   O
old   O
Solar   O
Energy   O
Installation   O
Managers   O
,   O
stated   O
that   O
the   O
symptoms   O
began   O
suddenly   O
09/15   B-DATE
around   O
noon   O
after   O
consuming   O
a   O
meal   O
.   O

The   O
abdominal   O
pain   O
has   O
progressively   O
worsened   O
,   O
prompting   O
the   O
visit   O
to   O
the   O
emergency   O
department   O
at   O
Canton   B-LOCATION
-   I-LOCATION
Potsdam   I-LOCATION
Hospital   I-LOCATION
.   O

Julien   B-NAME
Gilmore   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Additionally   O
,   O
Godfrey   B-NAME
mentions   O
no   O
changes   O
in   O
bowel   O
habits   O
or   O
urinary   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Aubrey   B-NAME
Romero   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
he   O
is   O
currently   O
on   O
medication   O
.   O

On   O
physical   O
examination   O
,   O
Mallory   B-NAME
Young   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Vital   O
signs   O
were   O
stable   O
upon   O
admission   O
:   O
Blood   O
pressure   O
was   O
measured   O
at   O
PM   B-ID
:   I-ID
PM:4749   I-ID
,   O
heart   O
rate   O
at   O
4   B-ID
-   I-ID
5659825   I-ID
,   O
temperature   O
at   O
851305   B-ID
,   O
and   O
respiratory   O
rate   O
at   O
GO   B-ID
:   I-ID
VM:4979   I-ID
.   O

The   O
surgical   O
team   O
,   O
led   O
by   O
Thomas   B-NAME
Aquinas   I-NAME
,   O
was   O
consulted   O
and   O
Kayleigh   B-NAME
Guzman   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
1859   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
10   I-DATE
.   O

Sulla   B-NAME
,   I-NAME
Lucius   I-NAME
Cornelius   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
and   O
postoperative   O
care   O
instructions   O
.   O

The   O
operation   O
was   O
completed   O
successfully   O
without   O
complications   O
,   O
and   O
Dailey   B-NAME
was   O
admitted   O
for   O
postoperative   O
care   O
and   O
monitoring   O
at   O
Warren   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
.   O

He   O
responded   O
well   O
to   O
the   O
treatment   O
and   O
was   O
discharged   O
on   O
2028   B-DATE
with   O
instructions   O
for   O
postoperative   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Mahoney   B-NAME
in   O
one   O
week   O
.   O

Conclusion   O
:   O
Castillo   B-NAME
was   O
managed   O
for   O
acute   O
appendicitis   O
with   O
expedient   O
surgical   O
intervention   O
,   O
which   O
resulted   O
in   O
a   O
favorable   O
outcome   O
.   O

Sammy   B-NAME
Brewer   I-NAME
Medical   O
Record   O
Number   O
:   O
439   B-ID
-   I-ID
95   I-ID
-   I-ID
00   I-ID
Date   O
of   O
Birth   O
:   O
34/24   B-DATE
Age   O
:   O
86   O
Address   O
:   O
Lady   B-LOCATION
Lake   I-LOCATION
,   O
80873   B-LOCATION
Phone   O
Number   O
:   O
80828   B-CONTACT

Luka   B-NAME
Wong   I-NAME
Hospital   O
Name   O
:   O
Larkin   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
21/22/37   B-DATE
ID   O
Number   O
:   O
3   B-ID
-   I-ID
7083827   I-ID
Chief   O
Complaint   O
:   O
Gunner   B-NAME
Miles   I-NAME
was   O
admitted   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Keokuk   I-LOCATION
on   O
06   B-DATE
-   I-DATE
02   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
.   O

black   B-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
that   O
started   O
approximately   O
1   O
day   O
before   O
admission   O
.   O

Terry   B-NAME
W.   I-NAME
Neel   I-NAME
noticed   O
anorexia   O
but   O
denied   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
hematochezia   O
,   O
or   O
melena   O
.   O

Past   O
Medical   O
History   O
:   O
Jaslene   B-NAME
Strickland   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemic   O
agents   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
beta   O
-   O
blockers   O
.   O

Aleena   B-NAME
Weeks   I-NAME
's   O
immunizations   O
are   O
up   O
to   O
date   O
,   O
including   O
the   O
influenza   O
vaccine   O
received   O
in   O
2342   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
22   I-DATE
.   O
Medications   O
on   O
Admission   O
:   O
-   O
Metformin   O
500   O
mg   O
orally   O
twice   O
a   O
day   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Patton   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
and   O
radiological   O
findings   O
,   O
Crisp   B-NAME
,   I-NAME
Quentin   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

A   O
surgical   O
consultation   O
with   O
Nelson   B-NAME
was   O
made   O
,   O
and   O
the   O
decision   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
was   O
reached   O
.   O

Amaya   B-NAME
Singleton   I-NAME
underwent   O
surgery   O
on   O
5/2   B-DATE
without   O
any   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Foust   B-NAME
was   O
discharged   O
on   O
September   B-DATE
.   I-DATE
2242   I-DATE
.   O

Follow   O
-   O
up   O
:   O
Harmony   B-NAME
Brock   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Stanton   B-NAME
in   O
2   O
weeks   O
at   O
Great   B-LOCATION
Plains   I-LOCATION
Health   I-LOCATION
for   O
post   O
-   O
operative   O
evaluation   O
.   O

If   O
there   O
are   O
any   O
questions   O
or   O
concerns   O
,   O
Terrell   B-NAME
Tuft   I-NAME
was   O
advised   O
to   O
contact   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Pittsburgh   I-LOCATION
's   O
general   O
helpline   O
at   O
784   B-CONTACT
-   I-CONTACT
9517   I-CONTACT
or   O
reach   O
out   O
to   O
Benson   B-NAME
directly   O
.   O

Patient   O
Report   O
:   O
0019177   B-ID
32/85   B-DATE
Patient   O
:   O
Kirsten   B-NAME
Fry   I-NAME
Age   O
:   O
59   O
Address   O
:   O
Kiefer   B-LOCATION
,   O
89640   B-LOCATION
Contact   O
No   O
:   O
91051   B-CONTACT
Physician   O
:   O

Remington   B-NAME
Li   I-NAME
Hospital   O
:   O
Nevada   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ID   O
:   O
5   B-ID
-   I-ID
8091235   I-ID

Presenting   O
Complaints   O
:   O
Delacroix   B-NAME
,   I-NAME
Eugène   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
07/12   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
and   O
associated   O
with   O
shortness   O
of   O
breath   O
.   O

Additionally   O
,   O
Serena   B-NAME
Beard   I-NAME
reported   O
episodes   O
of   O
lightheadedness   O
and   O
nausea   O
.   O

Medical   O
History   O
:   O
Elvis   B-NAME
Stout   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
II   O
diabetes   O
mellitus   O
.   O

Family   O
history   O
is   O
significant   O
for   O
coronary   O
artery   O
disease   O
in   O
Nugent   B-NAME
,   I-NAME
Ted   I-NAME
's   O
father   O
.   O

Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
Paul   B-NAME
N.   I-NAME
Tam   I-NAME
appeared   O
anxious   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
initial   O
investigations   O
,   O
Josie   B-NAME
Cortez   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

Min   B-NAME
Abajian   I-NAME
was   O
referred   O
to   O
Ronnie   B-NAME
Pugh   I-NAME
at   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Downtown   I-LOCATION
for   O
urgent   O
cardiac   O
catheterization   O
.   O

Follow   O
-   O
up   O
and   O
Prognosis   O
:   O
Flynn   B-NAME
Saunders   I-NAME
underwent   O
successful   O
percutaneous   O
coronary   O
intervention   O
with   O
a   O
stent   O
placed   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Brennen   B-NAME
Graves   I-NAME
was   O
discharged   O
on   O
20/02   B-DATE
with   O
prescriptions   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Ray   B-NAME
in   O
Bear   B-LOCATION
Flat   I-LOCATION
was   O
scheduled   O
for   O
10/64   B-DATE
.   O

Note   O
:   O
For   O
further   O
information   O
on   O
this   O
case   O
,   O
please   O
contact   O
Transport   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Australia   I-LOCATION
at   O
699   B-CONTACT
1284   I-CONTACT
.   O

Document   O
Prepared   O
By   O
:   O
Dishwashers   O
,   O
ZV596   B-NAME

Patient   O
Name   O
:   O
Lawson   B-NAME
Age   O
:   O
3   O
Address   O
:   O
Kennedy   B-LOCATION
Meadows   I-LOCATION
,   O
91460   B-LOCATION
Contact   O
Number   O
:   O
27529   B-CONTACT
Occupation   O
:   O
Occupational   O
Health   O
and   O
Safety   O
Specialists   O
Physician   O
:   O
Dr.   O
Patterson   B-NAME
Hospital   O
:   O
Harborview   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
6/40   B-DATE
Medical   O
Record   O
Number   O
:   O
01900239   B-ID
Patient   O
ID   O
:   O
ZL   B-ID
:   I-ID
ZM:5710   I-ID
Chief   O
Complaint   O
:   O
Karter   B-NAME
Acevedo   I-NAME
reported   O
to   O
Dr.   O
Barrera   B-NAME
at   O
Bayshore   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
Jan   B-DATE
22   I-DATE
,   I-DATE
2132   I-DATE
complaining   O
of   O
acute   O
,   O
sharp   O
lower   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
bouts   O
of   O
vomiting   O
which   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
the   O
visit   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Vosanibola   B-NAME
,   I-NAME
Josefa   I-NAME
,   O
a   O
Paperhangers   O
from   O
Mukwonago   B-LOCATION
,   O
began   O
experiencing   O
a   O
sudden   O
onset   O
of   O
lower   O
abdominal   O
pain   O
,   O
described   O
as   O
sharp   O
and   O
severe   O
in   O
nature   O
.   O

Mellissa   B-NAME
Harley   I-NAME
denies   O
any   O
previous   O
significant   O
illness   O
,   O
surgery   O
,   O
or   O
hospitalization   O
.   O

Review   O
of   O
Systems   O
:   O
Other   O
than   O
the   O
symptoms   O
mentioned   O
,   O
Maxwell   B-NAME
Ball   I-NAME
denied   O
headache   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
dizziness   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
bladder   O
function   O
.   O

On   O
examination   O
,   O
Breann   B-NAME
Vandever   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Laboratory   O
and   O
Imaging   O
:   O
Blood   O
work   O
including   O
complete   O
blood   O
count   O
,   O
basic   O
metabolic   O
panel   O
,   O
and   O
liver   O
function   O
tests   O
were   O
ordered   O
by   O
Dr.   O
Reyes   B-NAME
.   O

The   O
differential   O
diagnosis   O
for   O
Suzann   B-NAME
Jaxx   I-NAME
includes   O
acute   O
appendicitis   O
,   O
renal   O
stones   O
,   O
ectopic   O
pregnancy   O
,   O
and   O
ovarian   O
torsion   O
.   O

Dr.   O
Hoffman   B-NAME
advised   O
Sarah   B-NAME
Glass   I-NAME
-   I-NAME
Camden   I-NAME
to   O
be   O
admitted   O
to   O
Haven   B-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Philadelphia   I-LOCATION
for   O
further   O
workup   O
including   O
imaging   O
and   O
possible   O
surgical   O
consultation   O
.   O

Consent   O
:   O
Clay   B-NAME
was   O
informed   O
about   O
the   O
suggested   O
diagnostic   O
tests   O
and   O
possible   O
need   O
for   O
surgery   O
,   O
and   O
consent   O
was   O
obtained   O
.   O

Contact   O
information   O
for   O
next   O
of   O
kin   O
,   O
Mr.   O
nub1002   B-NAME
,   O
was   O
recorded   O
(   O
845   B-CONTACT
1922   I-CONTACT
)   O
in   O
case   O
of   O
emergency   O
or   O
further   O
consent   O
required   O
for   O
operative   O
procedures   O
.   O

Follow   O
-   O
Up   O
:   O
Huerta   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
21/6   B-DATE
to   O
review   O
test   O
results   O
and   O
decide   O
on   O
further   O
treatment   O
plans   O
depending   O
on   O
the   O
outcomes   O
of   O
the   O
imaging   O
studies   O
and   O
lab   O
tests   O
.   O

Carrie   B-NAME
Benson   I-NAME
Age   O
:   O
26   O
Location   O
:   O
SG71   B-LOCATION
2UA   I-LOCATION
Phone   O
Number   O
:   O
72547   B-CONTACT
Medical   O
Record   O
Number   O
:   O
9518559   B-ID
ID   O
Number   O
:   O
96699740   B-ID
Date   O
of   O
First   O
Consultation   O
:   O
12/08   B-DATE
Referred   O
by   O
Dr.   O
Wood   B-NAME
from   O
Community   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Summary   O
of   O
Initial   O
Consultation   O
:   O
Peguy   B-NAME
,   I-NAME
Charles   I-NAME
presented   O
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
sensation   O
of   O
tightness   O
in   O
the   O
chest   O
area   O
.   O

15   O
years   O
old   O
Transformer   O
Repairers   O
,   O
Maximilian   B-NAME
Harris   I-NAME
mentioned   O
that   O
these   O
symptoms   O
have   O
been   O
gradually   O
worsening   O
over   O
the   O
past   O
12/31   B-DATE
.   O

Upon   O
examination   O
,   O
Kathy   B-NAME
Chandler   I-NAME
's   O
vitals   O
were   O
as   O
follows   O
:   O
a   O
resting   O
heart   O
rate   O
within   O
normal   O
limits   O
,   O
but   O
a   O
slightly   O
elevated   O
blood   O
pressure   O
reading   O
.   O

3   O
.   O
Recommend   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
5/2   B-DATE
to   O
reassess   O
symptoms   O
and   O
adjust   O
the   O
treatment   O
regimen   O
as   O
necessary   O
.   O

Arteaga   B-NAME
is   O
advised   O
to   O
monitor   O
symptoms   O
closely   O
and   O
report   O
any   O
exacerbations   O
immediately   O
.   O

Follow   O
-   O
Up   O
Consultation   O
on   O
August   B-DATE
03   I-DATE
:   O
Carrieann   B-NAME
reported   O
a   O
notable   O
improvement   O
in   O
symptoms   O
with   O
a   O
significant   O
reduction   O
in   O
cough   O
frequency   O
and   O
breathlessness   O
.   O

The   O
treatment   O
regimen   O
will   O
continue   O
with   O
a   O
scheduled   O
reassessment   O
in   O
26/22   B-DATE
.   O

Contact   O
Information   O
for   O
Further   O
Assistance   O
:   O
Dr.   O
Hope   B-NAME
Robbins   I-NAME
Bixby   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
664   B-CONTACT
-   I-CONTACT
1447   I-CONTACT
Emergency   O
Contact   O
:   O
55509   B-CONTACT
All   O
patient   O
records   O
and   O
communications   O
are   O
securely   O
maintained   O
as   O
per   O
the   O
guidelines   O
of   O
Citizens   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
.   O

For   O
any   O
queries   O
or   O
concerns   O
,   O
please   O
contact   O
690   B-CONTACT
7192   I-CONTACT
or   O
visit   O
us   O
at   O
Notasulga   B-LOCATION
,   O
43919   B-LOCATION
.   O

Document   O
Prepared   O
by   O
:   O
XP766   B-NAME
22/22/12   B-DATE

Patient   O
Name   O
:   O
Jaeger   B-NAME
Patient   O
ID   O
:   O
60503   B-ID
Medical   O
Record   O
Number   O
:   O
5792775   B-ID
Date   O
of   O
Birth   O
:   O
10/02   B-DATE
Age   O
:   O
54   O
Phone   O
Number   O
:   O
485   B-CONTACT
-   I-CONTACT
4690   I-CONTACT
Address   O
:   O
Mount   B-LOCATION
Hood   I-LOCATION
,   O
44866   B-LOCATION
Attending   O
Physician   O
:   O

Conor   B-NAME
Melendez   I-NAME
Hospital   O
:   O
Des   B-LOCATION
Peres   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
2167   B-DATE
Chief   O
Complaint   O
:   O
Berry   B-NAME
,   O
a   O
Directors   O
,   O
Religious   O
Activities   O
and   O
Education   O
from   O
Wibaux   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
6/27/27   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
has   O
been   O
increasing   O
in   O
intensity   O
over   O
the   O
past   O
week   O
.   O

Additionally   O
,   O
Stefanie   B-NAME
Follette   I-NAME
reports   O
experiencing   O
episodes   O
of   O
nausea   O
and   O
has   O
vomited   O
twice   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

Brodie   B-NAME
Sullivan   I-NAME
also   O
mentions   O
a   O
decrease   O
in   O
appetite   O
and   O
has   O
noticed   O
a   O
slight   O
fever   O
at   O
home   O
.   O

Medical   O
History   O
:   O
Sanai   B-NAME
Collins   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
and   O
was   O
diagnosed   O
with   O
gastritis   O
two   O
years   O
ago   O
.   O

Patricia   B-NAME
Nunn   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
unusual   O
dietary   O
intake   O
.   O

Chloe   B-NAME
Henson   I-NAME
also   O
denies   O
any   O
family   O
history   O
of   O
gastrointestinal   O
diseases   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Brennan   B-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
.   O

Pending   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
,   O
Koontz   B-NAME
,   I-NAME
Dean   I-NAME
R.   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
clear   O
liquid   O
diet   O
and   O
was   O
prescribed   O
an   O
antiemetic   O
for   O
nausea   O
.   O

Follow   O
-   O
up   O
:   O
Aleena   B-NAME
Carpenter   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
one   O
week   O
on   O
22/09/42   B-DATE
at   O
Providence   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Everett   I-LOCATION
with   O
Esparza   B-NAME
to   O
review   O
test   O
results   O
and   O
assess   O
symptom   O
progression   O
.   O

Horace   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
develop   O
.   O

In   O
case   O
of   O
any   O
queries   O
,   O
John   B-NAME
Spivey   I-NAME
can   O
contact   O
the   O
clinic   O
at   O
(   B-CONTACT
951   I-CONTACT
)   I-CONTACT
832   I-CONTACT
-   I-CONTACT
5890   I-CONTACT
.   O

Patricia   B-NAME
consented   O
to   O
all   O
proposed   O
treatments   O
and   O
the   O
follow   O
-   O
up   O
plan   O
was   O
clearly   O
explained   O
.   O

Patient   O
Report   O
for   O
Ivan   B-NAME
Blevins   I-NAME
7/22   B-DATE
-   O
A   O
50   O
year   O
-   O
old   O
patient   O
presented   O
to   O
Mercy   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Unity   I-LOCATION
Campus   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
persistent   O
over   O
the   O
past   O
72   O
hours   O
.   O

Moreover   O
,   O
Melanie   B-NAME
Hays   I-NAME
reported   O
experiencing   O
bouts   O
of   O
nausea   O
without   O
vomiting   O
and   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Upon   O
examination   O
,   O
Spencer   B-NAME
noted   O
a   O
marked   O
tenderness   O
in   O
the   O
patient   O
's   O
right   O
lower   O
quadrant   O
,   O
positive   O
Rovsing   O
's   O
sign   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
of   O
37.8   O
°   O
C   O
.   O

An   O
abdominal   O
ultrasound   O
conducted   O
at   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Buffalo   I-LOCATION
showed   O
an   O
enlarged   O
appendix   O
with   O
a   O
thickened   O
wall   O
,   O
consistent   O
with   O
the   O
suspected   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Gretchen   B-NAME
Trevino   I-NAME
's   O
medical   O
history   O
,   O
obtained   O
from   O
database   O
1241470   B-ID
,   O
showed   O
no   O
significant   O
prior   O
surgeries   O
or   O
relevant   O
conditions   O
.   O

Brunder   B-NAME
is   O
currently   O
employed   O
as   O
a   O
First   O
-   O
Line   O
Supervisors   O
and   O
Manager   O
-   O
Supervisors   O
-   O
Agricultural   O
Crop   O
Workers   O
,   O
leading   O
a   O
moderately   O
active   O
lifestyle   O
.   O

The   O
surgical   O
team   O
at   O
Sevier   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
was   O
consulted   O
,   O
and   O
laparoscopic   O
appendectomy   O
was   O
recommended   O
as   O
the   O
treatment   O
of   O
choice   O
.   O

Pre   O
-   O
operative   O
instructions   O
were   O
communicated   O
to   O
Sharon   B-NAME
Lester   I-NAME
on   O
17/03   B-DATE
,   O
including   O
fasting   O
requirements   O
and   O
information   O
on   O
the   O
procedure   O
.   O

0th   B-DATE
-   O

The   O
patient   O
underwent   O
successful   O
laparoscopic   O
appendectomy   O
at   O
Verde   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
without   O
complications   O
.   O

Gloria   B-NAME
Cochran   I-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
activity   O
limitations   O
and   O
wound   O
care   O
instructions   O
,   O
during   O
the   O
discharge   O
summary   O
meeting   O
on   O
September   B-DATE
02   I-DATE
,   I-DATE
2132   I-DATE
.   O

Summary   O
of   O
patient   O
information   O
:   O
-   O
Age   O
:   O
18   O
-   O
ID   O
:   O
BU:1836:272718   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
39628485   B-ID
-   O
Location   O
:   O
Chatom   B-LOCATION
-   O
Zip   O
Code   O
:   O
12997   B-LOCATION
-   O
Doctor   O
:   O
Jaydan   B-NAME
Henson   I-NAME
-   O
Hospital   O
:   O
Summit   B-LOCATION
Oaks   I-LOCATION
Hospital   I-LOCATION
-   O
Contact   O
Phone   O
:   O
83603   B-CONTACT
-   O
Occupation   O
:   O
musician   O
For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
Richmond   B-NAME
's   O
condition   O
,   O
please   O
contact   O
Shands   B-LOCATION
Starke   I-LOCATION
at   O
916   B-CONTACT
-   I-CONTACT
1636   I-CONTACT
.   O

This   O
comprehensive   O
report   O
ensures   O
the   O
confidentiality   O
of   O
Lance   B-NAME
Pickel   I-NAME
's   O
personal   O
and   O
medical   O
information   O
,   O
adhering   O
strictly   O
to   O
PHI   O
guidelines   O
.   O

Patient   O
Report   O
for   O
Stein   B-NAME
,   I-NAME
Herbert   I-NAME
11/01   B-DATE
,   O
9517   B-LOCATION
E.   I-LOCATION
Valley   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

Skincare   O
Specialists   O
:   O
oj6010   B-NAME
reported   O
to   O
Goldriver   B-LOCATION
Medical   I-LOCATION
Clinic   I-LOCATION
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Steinmuller   B-NAME
Cisneroz   I-NAME
has   O
been   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
for   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Additionally   O
,   O
Ida   B-NAME
Xayachack   I-NAME
reports   O
a   O
loss   O
of   O
appetite   O
,   O
nausea   O
,   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
occurred   O
on   O
the   O
evening   O
of   O
July   B-DATE
03th   I-DATE
.   O

Warner   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
laparoscopic   O
appendectomy   O
.   O

Medical   O
Record   O
:   O
68633395   B-ID
606   B-CONTACT
9002   I-CONTACT
contact   O
was   O
made   O
with   O
Youssef   B-NAME
Null   I-NAME
's   O
next   O
of   O
kin   O
to   O
inform   O
them   O
of   O
the   O
diagnosis   O
and   O
the   O
proposed   O
treatment   O
plan   O
.   O

Consent   O
for   O
surgery   O
was   O
obtained   O
,   O
and   O
Brianna   B-NAME
Ferrell   I-NAME
was   O
prepped   O
for   O
the   O
operation   O
on   O
32/35   B-DATE
.   O

The   O
surgery   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Dania   B-NAME
,   O
27   O
years   O
,   O
is   O
currently   O
recovering   O
in   O
the   O
post   O
-   O
operative   O
unit   O
of   O
Ray   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Oscar   B-NAME
Nall   I-NAME
has   O
been   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
post   O
-   O
operative   O
infection   O
and   O
has   O
been   O
advised   O
to   O
follow   O
up   O
at   O
the   O
surgical   O
clinic   O
in   O
11/13/1602   B-DATE
.   O

A   O
dietary   O
plan   O
focusing   O
on   O
gradual   O
reintroduction   O
of   O
solid   O
foods   O
has   O
been   O
discussed   O
with   O
Spencer   B-NAME
Howard   I-NAME
.   O

Reagan   B-NAME
,   I-NAME
Ron   I-NAME
has   O
been   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
07/11   B-DATE
weeks   O
post   O
-   O
operation   O
.   O

In   O
the   O
event   O
of   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
any   O
other   O
concerning   O
symptoms   O
,   O
Jam   B-NAME
should   O
immediately   O
report   O
to   O
Starr   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
or   O
contact   O
97249   B-CONTACT
for   O
further   O
assessment   O
.   O

This   O
report   O
has   O
been   O
forwarded   O
to   O
Jeremiah   B-NAME
Garcia   I-NAME
's   O
primary   O
care   O
provider   O
and   O
the   O
surgical   O
department   O
for   O
continuity   O
of   O
care   O
.   O

Additional   O
follow   O
-   O
up   O
appointments   O
have   O
been   O
scheduled   O
for   O
August   B-DATE
23th   I-DATE
.   O

Report   O
Compiled   O
by   O
:   O
Financial   O
Specialists   O
,   O
All   O
Other   O
,   O
Oligarcy   B-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
Identifier   O
:   O
VT223/5569   B-ID

Patient   O
Report   O
for   O
jorgenson   B-NAME
Patient   O
ID   O
:   O
69582766   B-ID
Address   O
:   O
Boligee   B-LOCATION
,   O
78868   B-LOCATION
Date   O
of   O
Birth   O
:   O
2122   B-DATE
Age   O
:   O
59   O
Contact   O
Information   O
:   O
46787   B-CONTACT
Presenting   O
Complaint   O
:   O
Hughes   B-NAME
,   I-NAME
Charles   I-NAME
Evans   I-NAME
presented   O
to   O
Century   B-LOCATION
Bank   I-LOCATION
,   I-LOCATION
F.S.B.   I-LOCATION
on   O
30/21   B-DATE
with   O
a   O
history   O
of   O
intermittent   O
,   O
high   O
-   O
grade   O
fevers   O
peaking   O
at   O
102   O
°   O
F   O
,   O
severe   O
headaches   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
and   O
photophobia   O
.   O

Robert   B-NAME
Lincoln   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
nausea   O
and   O
an   O
episode   O
of   O
non   O
-   O
bilious   O
vomiting   O
earlier   O
on   O
the   O
morning   O
of   O
admission   O
.   O

Estrella   B-NAME
Gray   I-NAME
has   O
a   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
well   O
-   O
controlled   O
on   O
metformin   O
,   O
and   O
hypertension   O
managed   O
with   O
lisinopril   O
.   O

Kiersten   B-NAME
Benson   I-NAME
denies   O
any   O
significant   O
family   O
history   O
of   O
genetic   O
disorders   O
or   O
cancers   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
at   O
Griffin   B-LOCATION
Hospital   I-LOCATION
,   O
Neva   B-NAME
Rossow   I-NAME
appeared   O
lethargic   O
but   O
was   O
oriented   O
to   O
time   O
,   O
place   O
,   O
and   O
person   O
.   O

Irmgard   B-NAME
has   O
been   O
admitted   O
to   O
South   B-LOCATION
Central   I-LOCATION
Kansas   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Arkansas   I-LOCATION
City   I-LOCATION
under   O
the   O
care   O
of   O
Simpson   B-NAME
for   O
presumed   O
bacterial   O
meningitis   O
.   O

Cale   B-NAME
Russo   I-NAME
has   O
been   O
placed   O
in   O
isolation   O
to   O
prevent   O
any   O
potential   O
spread   O
of   O
infection   O
.   O

Fluid   O
management   O
and   O
strict   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
have   O
been   O
initiated   O
,   O
considering   O
Jeffers   B-NAME
's   O
history   O
of   O
diabetes   O
.   O

Follow   O
-   O
Up   O
:   O
Bruce   B-NAME
,   I-NAME
Lenny   I-NAME
will   O
require   O
close   O
monitoring   O
in   O
the   O
hospital   O
setting   O
over   O
the   O
next   O
03/22/11   B-DATE
,   O
with   O
a   O
focus   O
on   O
the   O
response   O
to   O
antibiotics   O
through   O
symptom   O
improvement   O
and   O
follow   O
-   O
up   O
lumbar   O
punctures   O
.   O

A   O
consultation   O
with   O
a   O
specialist   O
in   O
infectious   O
diseases   O
has   O
been   O
requested   O
for   O
02/33/21   B-DATE
.   O
Confidentiality   O
Notice   O
:   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
about   O
Anthony   B-NAME
Everett   I-NAME
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
notify   O
the   O
sender   O
immediately   O
at   O
443   B-CONTACT
-   I-CONTACT
6876   I-CONTACT
.   O

Summary   O
by   O
Jaylon   B-NAME
Wong   I-NAME
,   O
M.D.   O
1/05/91   B-DATE

The   O
patient   O
,   O
Kennedy   B-NAME
,   I-NAME
Robert   I-NAME
F.   I-NAME
,   O
a   O
Logistics   O
Analysts   O
from   O
McConnell   B-LOCATION
,   O
presented   O
to   O
SummitRidge   B-LOCATION
Hospital   I-LOCATION
on   O
2262   B-DATE
's   I-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
dyspnea   O
on   O
exertion   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
course   O
of   O
the   O
past   O
week   O
.   O

53   O
years   O
old   O
and   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
Keren   B-NAME
Lineman   I-NAME
reported   O
the   O
recent   O
onset   O
of   O
these   O
symptoms   O
,   O
which   O
notably   O
worsened   O
two   O
days   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
's   O
contact   O
number   O
is   O
768   B-CONTACT
9067   I-CONTACT
,   O
and   O
their   O
residential   O
47763   B-LOCATION
code   O
is   O
12997   B-LOCATION
.   O

Upon   O
examination   O
,   O
Huffman   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
respiratory   O
distress   O
,   O
with   O
vital   O
signs   O
indicating   O
tachypnea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Ana   B-NAME
Syphax   I-NAME
,   O
proceeded   O
to   O
conduct   O
a   O
series   O
of   O
diagnostic   O
tests   O
including   O
a   O
chest   O
X   O
-   O
ray   O
,   O
which   O
showed   O
bilateral   O
interstitial   O
infiltrates   O
,   O
and   O
a   O
complete   O
blood   O
count   O
revealing   O
a   O
mild   O
leukocytosis   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
CHRISTUS   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Westover   I-LOCATION
Hills   I-LOCATION
under   O
the   O
care   O
of   O
Yoselin   B-NAME
Barry   I-NAME
,   O
with   O
a   O
medical   O
record   O
number   O
assigned   O
as   O
6965476   B-ID
.   O

Elaina   B-NAME
Branch   I-NAME
's   O
COVID-19   O
test   O
returned   O
positive   O
on   O
13/13   B-DATE
,   O
adding   O
a   O
critical   O
dimension   O
to   O
the   O
treatment   O
plan   O
.   O

Contact   O
tracing   O
was   O
initiated   O
per   O
the   O
guidelines   O
of   O
Botswana   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Development   I-LOCATION
Management   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
,   O
with   O
Maximo   B-NAME
Adkins   I-NAME
's   O
recent   O
history   O
of   O
travel   O
to   O
a   O
high   O
-   O
risk   O
area   O
identified   O
as   O
a   O
key   O
factor   O
in   O
the   O
exposure   O
history   O
.   O

Elizabeth   B-NAME
Flynn   I-NAME
reported   O
a   O
significant   O
improvement   O
in   O
symptoms   O
by   O
01/11/2187   B-DATE
,   O
allowing   O
for   O
a   O
discussion   O
around   O
discharge   O
plans   O
,   O
pending   O
a   O
few   O
more   O
days   O
of   O
observation   O
and   O
the   O
resolution   O
of   O
fever   O
without   O
antipyretics   O
.   O

Data   O
security   O
for   O
Nola   B-NAME
Gallagher   I-NAME
's   O
health   O
information   O
was   O
maintained   O
throughout   O
the   O
hospital   O
stay   O
,   O
with   O
ID   O
LC923/8419   B-ID
ensuring   O
access   O
control   O
to   O
electronic   O
health   O
records   O
.   O

Communication   O
with   O
the   O
patient   O
and   O
involvement   O
in   O
decision   O
-   O
making   O
was   O
carried   O
out   O
with   O
the   O
number   O
198   B-CONTACT
-   I-CONTACT
847   I-CONTACT
3366   I-CONTACT
,   O
ensuring   O
privacy   O
and   O
confidentiality   O
.   O

Note   O
:   O
The   O
patient   O
's   O
consent   O
for   O
sharing   O
non   O
-   O
identifiable   O
medical   O
information   O
was   O
obtained   O
for   O
educational   O
purposes   O
,   O
following   O
the   O
guidelines   O
laid   O
out   O
by   O
Montana   B-LOCATION
and   O
adhering   O
strictly   O
to   O
confidentiality   O
measures   O
,   O
including   O
the   O
use   O
of   O
identifiers   O
such   O
as   O
ewd155   B-NAME
for   O
digital   O
communications   O
.   O

The   O
patient   O
,   O
Ruba   B-NAME
Neil   I-NAME
,   O
a   O
Metal   O
Fabricators   O
,   O
Structural   O
Metal   O
Products   O
from   O
Haena   B-LOCATION
,   O
38610   B-LOCATION
,   O
visited   O
the   O
clinic   O
on   O
07/02/20   B-DATE
complaining   O
of   O
severe   O
,   O
pulsating   O
headaches   O
predominantly   O
located   O
on   O
one   O
side   O
of   O
the   O
head   O
.   O

Harlan   B-NAME
Oneil   I-NAME
reported   O
that   O
these   O
headaches   O
have   O
been   O
occurring   O
with   O
increasing   O
frequency   O
over   O
the   O
past   O
23/25   B-DATE
,   O
typically   O
lasting   O
for   O
periods   O
ranging   O
from   O
4   O
to   O
72   O
hours   O
.   O

In   O
addition   O
to   O
the   O
primary   O
complaint   O
,   O
Lasonya   B-NAME
Ratley   I-NAME
,   O
46   O
,   O
also   O
mentioned   O
experiencing   O
episodic   O
bouts   O
of   O
dizziness   O
and   O
blurred   O
vision   O
,   O
further   O
complicating   O
their   O
daily   O
activities   O
and   O
professional   O
responsibilities   O
as   O
a   O
Anthropologists   O
and   O
Archeologists   O
.   O

Family   O
medical   O
history   O
,   O
as   O
provided   O
by   O
Josh   B-NAME
Roy   I-NAME
,   O
suggests   O
a   O
genetic   O
predisposition   O
to   O
migraines   O
,   O
noting   O
that   O
a   O
close   O
relative   O
also   O
suffers   O
from   O
similar   O
symptoms   O
.   O

During   O
the   O
consultation   O
,   O
Mitchell   B-NAME
conducted   O
a   O
thorough   O
neurological   O
examination   O
to   O
rule   O
out   O
other   O
potential   O
causes   O
of   O
the   O
symptoms   O
.   O

To   O
further   O
investigate   O
,   O
Quintin   B-NAME
Frank   I-NAME
recommended   O
a   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
scan   O
,   O
which   O
was   O
scheduled   O
to   O
take   O
place   O
at   O
Baptist   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
East   I-LOCATION
on   O
00/34   B-DATE
.   O

The   O
patient   O
was   O
given   O
a   O
unique   O
identifier   O
,   O
45695226   B-ID
,   O
for   O
the   O
upcoming   O
diagnostics   O
.   O

To   O
manage   O
the   O
patient   O
's   O
pain   O
and   O
reduce   O
the   O
frequency   O
of   O
migraine   O
episodes   O
,   O
Shanice   B-NAME
Leclair   I-NAME
prescribed   O
a   O
course   O
of   O
triptans   O
,   O
specifically   O
advising   O
the   O
patient   O
on   O
the   O
correct   O
usage   O
during   O
the   O
onset   O
of   O
migraine   O
symptoms   O
.   O

For   O
follow   O
-   O
up   O
and   O
to   O
monitor   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
,   O
Giovanny   B-NAME
Alvarez   I-NAME
was   O
scheduled   O
to   O
return   O
to   O
the   O
clinic   O
in   O
9   B-DATE
-   I-DATE
22   I-DATE
.   O

Furthermore   O
,   O
to   O
ensure   O
direct   O
communication   O
for   O
any   O
queries   O
or   O
urgent   O
concerns   O
,   O
Crastus   B-NAME
was   O
provided   O
with   O
the   O
clinic   O
's   O
contact   O
information   O
,   O
779   B-CONTACT
-   I-CONTACT
3711   I-CONTACT
.   O

The   O
comprehensive   O
care   O
plan   O
,   O
developed   O
by   O
Solomon   B-NAME
and   O
communicated   O
to   O
Zoe   B-NAME
Hart   I-NAME
during   O
their   O
appointment   O
at   O
Kensington   B-LOCATION
Hospital   I-LOCATION
,   O
aims   O
to   O
mitigate   O
the   O
severity   O
and   O
frequency   O
of   O
migraine   O
attacks   O
,   O
thus   O
improving   O
the   O
patient   O
's   O
quality   O
of   O
life   O
.   O

Patient   O
Name   O
:   O
ivester   B-NAME
Patient   O
ID   O
:   O
DW   B-ID
:   I-ID
WG:5048   I-ID
Date   O
of   O
Birth   O
:   O
2146   B-DATE
Address   O
:   O
Willits   B-LOCATION
,   O
39774   B-LOCATION
Phone   O
:   O
(   B-CONTACT
215   I-CONTACT
)   I-CONTACT
408   I-CONTACT
-   I-CONTACT
7397   I-CONTACT
Employer   O
:   O

Xcel   B-LOCATION
Energy   I-LOCATION
Occupation   O
:   O
Tax   O
Preparers   O
Treating   O
Physician   O
:   O

Ruiz   B-NAME
Medical   O
Record   O
Number   O
:   O
74911533   B-ID
Admission   O
Date   O
:   O
12/00/12   B-DATE
Hospital   O
:   O

Northwest   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Jamie   B-NAME
Frazier   I-NAME
,   O
a   O
16   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
of   O
Personal   O
Service   O
Workers   O
,   O
presented   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Wayne   I-LOCATION
Hospital   I-LOCATION
on   O
2027   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
,   O
which   O
began   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

On   O
physical   O
examination   O
,   O
Wittgenstein   B-NAME
,   I-NAME
Ludwig   I-NAME
was   O
noted   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
and   O
Plan   O
:   O
Orlando   B-NAME
Contreras   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
Jonathan   B-NAME
Banks   I-NAME
and   O
was   O
started   O
on   O
intravenous   O
antibiotics   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Jaeden   B-NAME
Berger   I-NAME
was   O
taken   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
the   O
same   O
day   O
of   O
admission   O
(   O
2240   B-DATE
)   O
.   O

The   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
Aponte   B-NAME
responded   O
well   O
to   O
the   O
treatment   O
.   O

Bradley   B-NAME
Chandler   I-NAME
was   O
discharged   O
on   O
20/07   B-DATE
,   O
with   O
instructions   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
one   O
week   O
.   O

For   O
any   O
severe   O
symptoms   O
or   O
concerns   O
,   O
Quin   B-NAME
was   O
instructed   O
to   O
contact   O
Punxsutawney   B-LOCATION
Area   I-LOCATION
Hospital   I-LOCATION
or   O
visit   O
the   O
emergency   O
department   O
.   O

The   O
team   O
wishes   O
Holland   B-NAME
Keller   I-NAME
a   O
speedy   O
recovery   O
and   O
will   O
review   O
the   O
case   O
in   O
the   O
upcoming   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
5/20   B-DATE
.   O

Bean   B-NAME
's   O
Signature   O
March   B-DATE

Patient   O
Name   O
:   O
Ong   B-NAME
Patient   O
ID   O
:   O
9228852   B-ID
Medical   O
Record   O
Number   O
:   O
86657611   B-ID
Date   O
of   O
Birth   O
:   O
33/32/72   B-DATE
Age   O
:   O
53   O
Location   O
:   O
Pingree   B-LOCATION
Grove   I-LOCATION
ZIP   O
Code   O
:   O
43858   B-LOCATION
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Mullins   B-NAME
Hospital   O
:   O
Sharp   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Contact   O
Phone   O
:   O
663   B-CONTACT
8251   I-CONTACT
Profession   O
:   O

Soil   O
and   O
Water   O
Conservationists   O
Username   O
:   O
TJ152   B-NAME
14/33   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Copland   B-NAME
,   I-NAME
Aaron   I-NAME
,   O
presents   O
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
consistent   O
with   O
the   O
clinical   O
presentation   O
of   O
appendicitis   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Darwin   B-NAME
Li   I-NAME
first   O
noticed   O
mild   O
discomfort   O
in   O
the   O
mid   O
-   O
abdominal   O
region   O
early   O
in   O
the   O
morning   O
on   O
spring   B-DATE
,   I-DATE
2162   I-DATE
.   O

Past   O
Medical   O
History   O
:   O
Christopher   B-NAME
Leslie   I-NAME
reports   O
no   O
significant   O
past   O
medical   O
history   O
,   O
surgeries   O
,   O
or   O
allergies   O
.   O

Social   O
History   O
:   O
Alfredo   B-NAME
Shea   I-NAME
is   O
a   O
Pharmacists   O
living   O
in   O
Waynesboro   B-LOCATION
,   I-LOCATION
Waynesboro   I-LOCATION
Downtown   I-LOCATION
Development   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
reporting   O
no   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
substances   O
.   O

Surgical   O
consultation   O
with   O
Dr.   O
Julien   B-NAME
Young   I-NAME
at   O
Morristown   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
recommended   O
for   O
consideration   O
of   O
appendectomy   O
.   O

The   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
were   O
discussed   O
with   O
Oren   B-NAME
S.   I-NAME
Ip   I-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Patient   O
Status   O
:   O
XIE   B-NAME
,   I-NAME
LORI   I-NAME
has   O
been   O
admitted   O
to   O
Stamford   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Walls   B-NAME
for   O
further   O
management   O
.   O

Antibiotics   O
were   O
initiated   O
,   O
and   O
surgery   O
is   O
scheduled   O
for   O
3/33/2222   B-DATE
.   O

Instructions   O
for   O
Patient   O
:   O
Reagan   B-NAME
,   I-NAME
Nancy   I-NAME
is   O
advised   O
to   O
avoid   O
eating   O
or   O
drinking   O
until   O
after   O
the   O
surgery   O
.   O

Follow   O
-   O
up   O
:   O
A   O
post   O
-   O
operative   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
1/22   B-DATE
with   O
Dr.   O
Laila   B-NAME
Lang   I-NAME
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

This   O
report   O
was   O
prepared   O
by   O
:   O
Dr.   O
Jax   B-NAME
Curtis   I-NAME
12/22   B-DATE

Patient   O
Report   O
2201   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
10   I-DATE
,   O
Williams   B-NAME
,   I-NAME
Robin   I-NAME
was   O
admitted   O
to   O
Anthony   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Anthony   I-LOCATION
,   O
Sugar   B-LOCATION
Bush   I-LOCATION
Knolls   I-LOCATION
,   O
following   O
complaints   O
of   O
severe   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
vertigo   O
that   O
began   O
earlier   O
on   O
the   O
same   O
day   O
.   O

Eric   B-NAME
Proctor   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
mentions   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Upon   O
admission   O
,   O
Eve   B-NAME
Vargas   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
:   O
blood   O
pressure   O
160/95   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
37.2   O
°   O
C   O
.   O

Simpson   B-NAME
initiated   O
treatment   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
.   O

Considering   O
Mclean   B-NAME
's   O
clinical   O
status   O
and   O
the   O
early   O
window   O
from   O
symptom   O
onset   O
,   O
Barber   B-NAME
recommended   O
immediate   O
coronary   O
angiography   O
for   O
possible   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

The   O
angiography   O
,   O
conducted   O
at   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
,   O
revealed   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
.   O

Julie   B-NAME
Fraser   I-NAME
was   O
subsequently   O
transferred   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
monitoring   O
.   O

Post   O
-   O
procedure   O
,   O
Knowles   B-NAME
's   O
condition   O
showed   O
significant   O
improvement   O
.   O

Recovery   O
was   O
uneventful   O
,   O
and   O
Mcconnell   B-NAME
was   O
discharged   O
on   O
1   B-DATE
-   I-DATE
23   I-DATE
with   O
prescriptions   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
statin   O
,   O
beta   O
-   O
blocker   O
,   O
and   O
ACE   O
inhibitor   O
.   O

Munoz   B-NAME
advised   O
Koop   B-NAME
,   I-NAME
C.   I-NAME
Everett   I-NAME
to   O
enroll   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
four   O
weeks   O
at   O
Gila   B-LOCATION
.   O

Lifestyle   O
modification   O
recommendations   O
were   O
provided   O
,   O
focusing   O
on   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
,   O
even   O
though   O
Kelton   B-NAME
Hahn   I-NAME
is   O
a   O
non   O
-   O
smoker   O
.   O

Kallie   B-NAME
Blankenship   I-NAME
was   O
informed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
like   O
breathlessness   O
,   O
unexplained   O
weight   O
gain   O
,   O
or   O
ankle   O
swelling   O
.   O

Confidential   O
Information   O
:   O
-   O
609   B-ID
-   I-ID
27   I-ID
-   I-ID
40   I-ID
:   O
SQ:981065:503142   B-ID
-   O
24159   B-CONTACT
:   O
85947   B-CONTACT
-   O
Address   O
:   O
Tropic   B-LOCATION
,   O
82276   B-LOCATION
-   O
Employment   O
:   O

Cutting   O
and   O
Slicing   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
at   O
UNITED   B-LOCATION
for   I-LOCATION
Intercultural   I-LOCATION
Action   I-LOCATION
This   O
comprehensive   O
approach   O
aims   O
to   O
improve   O
Ortiz   B-NAME
's   O
cardiovascular   O
health   O
and   O
prevent   O
future   O
cardiac   O
events   O
.   O

Continuous   O
follow   O
-   O
up   O
and   O
monitoring   O
of   O
Jaylee   B-NAME
Wilkins   I-NAME
's   O
condition   O
will   O
be   O
crucial   O
for   O
long   O
-   O
term   O
success   O
in   O
managing   O
coronary   O
artery   O
disease   O
.   O

Patient   O
Name   O
:   O
Gordon   B-NAME
Q.   I-NAME
Iniguez   I-NAME
Medical   O
Record   O
Number   O
:   O
53647056   B-ID
Date   O
of   O
Birth   O
:   O
72   O
Date   O
of   O
Visit   O
:   O
16/22   B-DATE
Attending   O
Physician   O
:   O

Hogan   B-NAME
Hospital   O
:   O
Lakeland   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Sausal   B-LOCATION
Zip   O
Code   O
:   O
49297   B-LOCATION
Contact   O
Number   O
:   O
72839   B-CONTACT
Occupation   O
:   O

Wind   O
Energy   O
Operations   O
Managers   O
Username   O
:   O
XX922   B-NAME
Chief   O
Complaint   O
:   O
Noel   B-NAME
Powell   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Ochsner   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Tipton   B-LOCATION
on   O
February   B-DATE
2th   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Samantha   B-NAME
Noland   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
chills   O
that   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Noah   B-NAME
K.   I-NAME
Quintin   I-NAME
-   I-NAME
Malone   I-NAME
,   O
a   O
40   O
-   O
year   O
-   O
old   O
Coil   O
Winders   O
,   O
Tapers   O
,   O
and   O
Finishers   O
,   O
started   O
experiencing   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
2202   B-DATE
,   O
which   O
gradually   O
escalated   O
to   O
severe   O
pain   O
within   O
the   O
next   O
24   O
hours   O
.   O

The   O
nausea   O
and   O
vomiting   O
were   O
non   O
-   O
bloody   O
,   O
and   O
Avery   B-NAME
Garner   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
wise   B-NAME
has   O
a   O
history   O
of   O
hypothyroidism   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
previous   O
surgeries   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Conrad   B-NAME
Grant   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
tests   O
,   O
Travis   B-NAME
diagnosed   O
Jesse   B-NAME
Lozano   I-NAME
with   O
acute   O
appendicitis   O
.   O

It   O
was   O
recommended   O
that   O
Rubi   B-NAME
Kaiser   I-NAME
undergo   O
an   O
urgent   O
appendectomy   O
.   O

Surgical   O
consent   O
was   O
obtained   O
,   O
and   O
Chasity   B-NAME
Velazquez   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
06/06   B-DATE
at   O
Ohio   B-LOCATION
Valley   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Renee   B-NAME
Merchant   I-NAME
is   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
5/8/2022   B-DATE
post   O
-   O
operation   O
for   O
wound   O
inspection   O
and   O
management   O
of   O
any   O
post   O
-   O
operative   O
concerns   O
.   O

Fleming   B-NAME
's   O
contact   O
number   O
is   O
329   B-CONTACT
866   I-CONTACT
-   I-CONTACT
3066   I-CONTACT
,   O
should   O
they   O
need   O
to   O
reach   O
out   O
before   O
the   O
scheduled   O
appointment   O
.   O

Prescriptions   O
:   O
Merritt   B-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
and   O
pain   O
management   O
medication   O
to   O
be   O
taken   O
post   O
-   O
operatively   O
.   O

Instructions   O
were   O
provided   O
on   O
medication   O
administration   O
and   O
signs   O
of   O
potential   O
complications   O
to   O
watch   O
for   O
.   O
Instructions   O
for   O
the   O
Patient   O
:   O
Stanley   B-NAME
Keyworth   I-NAME
was   O
advised   O
to   O
rest   O
and   O
avoid   O
any   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
.   O

Jenn   B-NAME
was   O
also   O
instructed   O
to   O
report   O
immediately   O
if   O
experiencing   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
pain   O
,   O
redness   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
.   O

The   O
care   O
team   O
at   O
Lighthouse   B-LOCATION
Care   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Augusta   I-LOCATION
,   O
under   O
the   O
supervision   O
of   O
Schultz   B-NAME
,   O
remains   O
committed   O
to   O
Tristen   B-NAME
Crawford   I-NAME
's   O
recovery   O
and   O
will   O
be   O
available   O
for   O
consultation   O
via   O
28006   B-CONTACT
or   O
during   O
the   O
scheduled   O
follow   O
-   O
up   O
visit   O
on   O
10/21   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
Conchita   B-NAME
Casuat   I-NAME
was   O
admitted   O
to   O
Methodist   B-LOCATION
North   I-LOCATION
Hospital   I-LOCATION
on   O
03/20/2321   B-DATE
with   O
a   O
medical   O
record   O
number   O
28490605   B-ID
.   O

The   O
patient   O
,   O
a   O
Registered   O
Nurses   O
from   O
Sterling   B-LOCATION
City   I-LOCATION
,   O
presented   O
with   O
symptoms   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
course   O
of   O
approximately   O
two   O
weeks   O
.   O

Caroline   B-NAME
Moore   I-NAME
is   O
a   O
9   O
week   O
-   O
year   O
-   O
old   O
who   O
reported   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
notable   O
decrease   O
in   O
appetite   O
.   O

Additionally   O
,   O
Adalyn   B-NAME
Foster   I-NAME
mentioned   O
experiencing   O
bouts   O
of   O
diarrhea   O
and   O
low   O
-   O
grade   O
fever   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Montgomery   B-NAME
Montgomery   I-NAME
noted   O
that   O
Mendez   B-NAME
's   O
abdomen   O
was   O
tender   O
to   O
palpation   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Rivas   B-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Vertie   B-NAME
Rigdon   I-NAME
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
on   O
March   B-DATE
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Urijah   B-NAME
Maynard   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
32/20   B-DATE
.   O

Alessandro   B-NAME
Cole   I-NAME
was   O
monitored   O
post   O
-   O
operatively   O
and   O
showed   O
signs   O
of   O
steady   O
recovery   O
.   O

Noe   B-NAME
Simpson   I-NAME
was   O
discharged   O
on   O
37/02/2398   B-DATE
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Hunt   B-NAME
at   O
Liberty   B-LOCATION
Hospital   I-LOCATION
.   O

In   O
summary   O
,   O
Makaila   B-NAME
,   O
a   O
64   O
-   O
year   O
-   O
old   O
Computer   O
Programmers   O
from   O
Skelmersdale   B-LOCATION
,   O
was   O
admitted   O
to   O
Johnston   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Following   O
a   O
confirmatory   O
diagnosis   O
,   O
Harry   B-NAME
Weston   I-NAME
underwent   O
successful   O
appendectomy   O
with   O
subsequent   O
discharge   O
planned   O
for   O
post   O
-   O
operative   O
recovery   O
at   O
home   O
.   O

For   O
any   O
further   O
questions   O
or   O
concerns   O
,   O
Lacy   B-NAME
Wharton   I-NAME
can   O
contact   O
Milford   B-LOCATION
Hospital   I-LOCATION
at   O
469   B-CONTACT
-   I-CONTACT
9771   I-CONTACT
.   O

All   O
follow   O
-   O
up   O
appointments   O
and   O
any   O
changes   O
to   O
the   O
post   O
-   O
operative   O
care   O
plan   O
should   O
be   O
coordinated   O
through   O
the   O
patient   O
's   O
primary   O
care   O
provider   O
,   O
Dr.   O
Dinorah   B-NAME
Ruoff   I-NAME
,   O
or   O
the   O
surgical   O
team   O
at   O
Halifax   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Port   I-LOCATION
Orange   I-LOCATION
.   O

Note   O
:   O
Please   O
maintain   O
this   O
report   O
confidential   O
and   O
refer   O
to   O
the   O
patient   O
's   O
ID   O
OQ460/5513   B-ID
for   O
any   O
inquiries   O
or   O
follow   O
-   O
up   O
documentation   O
.   O

The   O
privacy   O
and   O
security   O
of   O
Luciana   B-NAME
Willis   I-NAME
's   O
health   O
information   O
are   O
of   O
utmost   O
importance   O
.   O

The   O
patient   O
,   O
Tecumseh   B-NAME
,   O
a   O
Sewing   O
Machine   O
Operators   O
,   O
Garment   O
from   O
Philadelphia   B-LOCATION
,   O
presented   O
to   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Anthony   I-LOCATION
Hospital   I-LOCATION
on   O
Veterans   B-DATE
Day   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
localized   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Adonis   B-NAME
Gilbert   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
exacerbated   O
by   O
movement   O
.   O

In   O
addition   O
to   O
the   O
pain   O
,   O
Enrique   B-NAME
Luna   I-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
notable   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
26/20   B-DATE
.   O

Garrett   B-NAME
Bush   I-NAME
's   O
vitals   O
upon   O
admission   O
were   O
as   O
follows   O
:   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
at   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
reading   O
at   O
130/85   O
mmHg   O
.   O

During   O
the   O
examination   O
,   O
Wood   B-NAME
noted   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Given   O
these   O
symptoms   O
,   O
Solon   B-NAME
Maxim   I-NAME
suspected   O
acute   O
appendicitis   O
and   O
recommended   O
an   O
immediate   O
abdominal   O
ultrasound   O
to   O
confirm   O
the   O
diagnosis   O
.   O

The   O
ultrasound   O
,   O
conducted   O
on   O
New   B-DATE
Years   I-DATE
Day   I-DATE
,   O
verified   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O

Cordell   B-NAME
Malone   I-NAME
's   O
medical   O
history   O
,   O
obtained   O
from   O
857   B-ID
-   I-ID
96   I-ID
-   I-ID
62   I-ID
-   I-ID
5   I-ID
,   O
revealed   O
no   O
previous   O
abdominal   O
surgeries   O
or   O
known   O
allergies   O
to   O
medications   O
.   O

Given   O
the   O
diagnosis   O
,   O
Harris   B-NAME
scheduled   O
Carol   B-NAME
Novino   I-NAME
for   O
an   O
appendectomy   O
on   O
13/17   B-DATE
.   O

The   O
surgery   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Selena   B-NAME
Warner   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
postoperatively   O
.   O

Miranda   B-NAME
,   I-NAME
James   I-NAME
R   I-NAME
was   O
discharged   O
from   O
Centennial   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
33/38/22   B-DATE
with   O
instructions   O
to   O
monitor   O
the   O
surgery   O
site   O
for   O
signs   O
of   O
infection   O
and   O
to   O
manage   O
pain   O
with   O
prescribed   O
medication   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2346   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
01   I-DATE
with   O
Fletcher   B-NAME
Clarke   I-NAME
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Mark   B-NAME
Diamond   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
and   O
to   O
adhere   O
to   O
a   O
liquid   O
diet   O
for   O
the   O
first   O
32/21   B-DATE
post   O
-   O
surgery   O
,   O
progressively   O
integrating   O
solid   O
foods   O
thereafter   O
.   O

Throughout   O
the   O
treatment   O
and   O
hospital   O
stay   O
,   O
Conlon   B-NAME
,   I-NAME
Fred   I-NAME
's   O
Industrial   O
-   O
Organizational   O
Psychologists   O
and   O
contact   O
information   O
were   O
recorded   O
as   O
(   B-CONTACT
741   I-CONTACT
)   I-CONTACT
551   I-CONTACT
2149   I-CONTACT
and   O
EA181   B-NAME
.   O

Additionally   O
,   O
Eddie   B-NAME
Nethery   I-NAME
's   O
insurance   O
details   O
,   O
identified   O
by   O
VS   B-ID
:   I-ID
HS:7961   I-ID
,   O
were   O
processed   O
by   O
The   B-LOCATION
Cowlitz   I-LOCATION
Bank   I-LOCATION
for   O
coverage   O
of   O
medical   O
expenses   O
.   O

The   O
case   O
was   O
documented   O
under   O
the   O
328   B-ID
-   I-ID
71   I-ID
-   I-ID
03   I-ID
-   I-ID
7   I-ID
number   O
for   O
future   O
reference   O
and   O
continuity   O
of   O
care   O
.   O

In   O
conclusion   O
,   O
Fennias   B-NAME
's   O
timely   O
presentation   O
to   O
Addison   B-LOCATION
Gilbert   I-LOCATION
Hospital   I-LOCATION
and   O
the   O
prompt   O
diagnostic   O
efforts   O
by   O
Ryker   B-NAME
Murray   I-NAME
led   O
to   O
a   O
successful   O
intervention   O
for   O
acute   O
appendicitis   O
.   O

The   O
adherence   O
to   O
postoperative   O
care   O
instructions   O
is   O
expected   O
to   O
facilitate   O
Cantu   B-NAME
's   O
full   O
recovery   O
without   O
complications   O
.   O

Patient   O
Name   O
:   O
Carlynda   B-NAME
Age   O
:   O
73   O
Date   O
of   O
Birth   O
:   O
2284   B-DATE
Address   O
:   O
Hatteras   B-LOCATION
,   O
17223   B-LOCATION
Phone   O
Number   O
:   O
22558   B-CONTACT
Medical   O
Record   O
Number   O
:   O
164   B-ID
-   I-ID
82   I-ID
-   I-ID
68   I-ID
Social   O
Security   O
Number   O
:   O
YH:73973:110698   B-ID
Employment   O
:   O
Electronic   O
Masking   O
System   O
Operators   O
at   O
Chemical   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
Nigeria   I-LOCATION
(   I-LOCATION
CSN   I-LOCATION
)   I-LOCATION
Physician   O
:   O

Walsh   B-NAME
Hospital   O
Name   O
:   O
Saint   B-LOCATION
John   I-LOCATION
Vianney   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
32/20   B-DATE
Summary   O
of   O
Visit   O
:   O

The   O
patient   O
,   O
Kallie   B-NAME
Blankenship   I-NAME
,   O
presented   O
to   O
Alpena   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2258   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
30   I-DATE
with   O
complaints   O
of   O
sharp   O
,   O
stabbing   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
up   O
to   O
the   O
jaw   O
,   O
starting   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Maxwell   B-NAME
Ball   I-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
lightheadedness   O
,   O
sweating   O
,   O
and   O
nausea   O
.   O

Prior   O
to   O
this   O
episode   O
,   O
Jean   B-NAME
Figueroa   I-NAME
noted   O
occasional   O
chest   O
discomfort   O
after   O
physical   O
exertion   O
,   O
which   O
resolved   O
with   O
rest   O
.   O

Medical   O
History   O
:   O
Sanaa   B-NAME
Summers   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Aubrey   B-NAME
Greene   I-NAME
is   O
currently   O
taking   O
Metformin   O
500   O
mg   O
twice   O
daily   O
and   O
Lisinopril   O
10   O
mg   O
once   O
daily   O
.   O

Family   O
history   O
is   O
significant   O
for   O
coronary   O
artery   O
disease   O
in   O
Larissa   B-NAME
Johns   I-NAME
's   O
father   O
who   O
passed   O
away   O
at   O
the   O
age   O
of   O
76   O
from   O
a   O
myocardial   O
infarction   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Horne   B-NAME
appeared   O
distressed   O
with   O
clammy   O
skin   O
.   O

Management   O
:   O
Caprice   B-NAME
Kofoot   I-NAME
was   O
immediately   O
administered   O
aspirin   O
325   O
mg   O
orally   O
,   O
sublingual   O
nitroglycerin   O
,   O
and   O
was   O
started   O
on   O
a   O
heparin   O
drip   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Gene   B-NAME
Quadri   I-NAME
was   O
also   O
given   O
a   O
stat   O
dose   O
of   O
morphine   O
for   O
pain   O
management   O
.   O

Corus   B-NAME
from   O
the   O
cardiology   O
team   O
was   O
consulted   O
and   O
recommended   O
urgent   O
coronary   O
angiography   O
.   O

Disposition   O
:   O
Following   O
stabilization   O
,   O
Aliza   B-NAME
Richards   I-NAME
was   O
admitted   O
to   O
the   O
Intensive   O
Care   O
Unit   O
(   O
ICU   O
)   O
for   O
ongoing   O
monitoring   O
and   O
management   O
.   O

Plans   O
were   O
made   O
for   O
Amanda   B-NAME
Escobar   I-NAME
to   O
undergo   O
coronary   O
angiography   O
on   O
32/29   B-DATE
to   O
evaluate   O
for   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Evan   B-NAME
Newman   I-NAME
emphasized   O
the   O
importance   O
to   O
Kelton   B-NAME
Hahn   I-NAME
of   O
lifestyle   O
modifications   O
and   O
strict   O
control   O
of   O
blood   O
pressure   O
and   O
diabetes   O
to   O
prevent   O
future   O
cardiovascular   O
events   O
.   O

Reagan   B-NAME
,   I-NAME
Ronald   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
clinic   O
in   O
2   O
weeks   O
following   O
discharge   O
.   O

66939   B-LOCATION
and   O
473   B-CONTACT
3561   I-CONTACT
information   O
,   O
alongside   O
Krish   B-NAME
Frank   I-NAME
's   O
2694869   B-ID
and   O
QT:1001073:483317   B-ID
,   O
were   O
updated   O
in   O
the   O
hospital   O
records   O
for   O
future   O
reference   O
.   O

Patient   O
Report   O
for   O
Kassidy   B-NAME
Manning   I-NAME
Demographics   O
:   O
Age   O
:   O
98   O
Address   O
:   O
Sunset   B-LOCATION
Hills   I-LOCATION
,   O
39561   B-LOCATION
Phone   O
:   O
210   B-CONTACT
4847   I-CONTACT
Occupation   O
:   O
Electricians   O
Identification   O
Number   O
:   O
43167104   B-ID
Medical   O
Record   O
Number   O
:   O
04531738   B-ID
Consulting   O
Physician   O
:   O
Margarita   B-NAME
Whisnant   I-NAME
Hospital   O
:   O
Bristol   B-LOCATION
Hospital   I-LOCATION
Presentation   O
:   O
Jack   B-NAME
Hoffman   I-NAME
was   O
brought   O
to   O
the   O
emergency   O
room   O
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Jose   I-LOCATION
on   O
5   B-DATE
-   I-DATE
11   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
had   O
persisted   O
for   O
approximately   O
48   O
hours   O
.   O

Madisyn   B-NAME
Henry   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
and   O
an   O
inability   O
to   O
keep   O
down   O
fluids   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

Medical   O
History   O
:   O
Buchanan   B-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Meridith   B-NAME
Buttrey   I-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Ella   B-NAME
Mcmillan   I-NAME
was   O
initiated   O
on   O
intravenous   O
antibiotics   O
and   O
fluids   O
.   O

Surgical   O
consultation   O
from   O
John   B-NAME
Becker   I-NAME
recommended   O
exploratory   O
laparotomy   O
which   O
was   O
performed   O
on   O
05/20/2182   B-DATE
.   O

Postoperative   O
Course   O
:   O
Post   O
-   O
surgery   O
,   O
PENN   B-NAME
,   I-NAME
GINO   I-NAME
was   O
transferred   O
to   O
the   O
postoperative   O
unit   O
at   O
Infirmary   B-LOCATION
LTAC   I-LOCATION
Hospital   I-LOCATION
where   O
they   O
received   O
ongoing   O
care   O
and   O
monitoring   O
.   O

Leo   B-NAME
Pierce   I-NAME
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
12/14/78   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
at   O
Connecticut   B-LOCATION
's   O
outpatient   O
clinic   O
.   O

Follow   O
-   O
Up   O
:   O
At   O
the   O
follow   O
-   O
up   O
visit   O
on   O
2/22   B-DATE
,   O
Speijk   B-NAME
,   I-NAME
Jan   I-NAME
van   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Quinn   B-NAME
,   I-NAME
Medicine   I-NAME
Woman   I-NAME
was   O
counseled   O
on   O
signs   O
and   O
symptoms   O
of   O
complications   O
to   O
watch   O
for   O
and   O
was   O
advised   O
to   O
maintain   O
regular   O
follow   O
-   O
ups   O
.   O

Conclusion   O
:   O
Lilyana   B-NAME
Roberson   I-NAME
demonstrated   O
a   O
favorable   O
outcome   O
following   O
prompt   O
diagnosis   O
and   O
management   O
of   O
perforated   O
diverticulitis   O
with   O
surgical   O
intervention   O
.   O

The   O
interdisciplinary   O
approach   O
involving   O
emergency   O
,   O
surgical   O
,   O
and   O
nursing   O
teams   O
at   O
Starr   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
ensured   O
successful   O
treatment   O
and   O
recovery   O
.   O

Ongoing   O
management   O
and   O
surveillance   O
will   O
be   O
critical   O
in   O
preventing   O
recurrence   O
and   O
ensuring   O
long   O
-   O
term   O
health   O
and   O
wellbeing   O
for   O
Tyesha   B-NAME
.   O

The   O
patient   O
,   O
Vuong   B-NAME
,   O
a   O
87   O
-   O
year   O
-   O
old   O
Spa   O
Managers   O
from   O
Cottleville   B-LOCATION
,   O
46694   B-LOCATION
,   O
was   O
referred   O
to   O
Halifax   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
5   B-DATE
by   O
Dorsey   B-NAME
.   O

Billye   B-NAME
presented   O
with   O
a   O
history   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
wheezing   O
that   O
had   O
progressively   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
.   O

In   O
addition   O
,   O
House   B-NAME
reported   O
experiencing   O
episodes   O
of   O
chest   O
tightness   O
,   O
particularly   O
in   O
the   O
evenings   O
.   O

Vernon   B-NAME
's   O
medical   O
records   O
,   O
0019177   B-ID
,   O
indicate   O
a   O
prior   O
diagnosis   O
of   O
mild   O
asthma   O
in   O
childhood   O
,   O
which   O
had   O
remained   O
largely   O
asymptomatic   O
until   O
recently   O
.   O

Upon   O
examination   O
,   O
Neal   B-NAME
noted   O
a   O
decreased   O
expiratory   O
airflow   O
,   O
which   O
suggests   O
a   O
possible   O
exacerbation   O
of   O
asthma   O
.   O

Alexander   B-NAME
was   O
afebrile   O
,   O
with   O
a   O
temperature   O
of   O
98.6   O
°   O
F   O
.   O

Patton   B-NAME
ordered   O
a   O
series   O
of   O
blood   O
tests   O
to   O
rule   O
out   O
any   O
underlying   O
infections   O
or   O
inflammatory   O
conditions   O
.   O

The   O
treatment   O
plan   O
initiated   O
for   O
Whitman   B-NAME
included   O
the   O
prescription   O
of   O
a   O
low   O
-   O
dose   O
inhaled   O
corticosteroid   O
combined   O
with   O
a   O
long   O
-   O
acting   O
beta2   O
-   O
agonist   O
.   O

Cooper   B-NAME
Best   I-NAME
was   O
also   O
advised   O
on   O
the   O
importance   O
of   O
avoiding   O
known   O
asthma   O
triggers   O
and   O
was   O
provided   O
with   O
an   O
asthma   O
action   O
plan   O
.   O

UNA   B-NAME
BIRD   I-NAME
was   O
instructed   O
to   O
contact   O
the   O
office   O
immediately   O
at   O
313   B-CONTACT
-   I-CONTACT
984   I-CONTACT
2151   I-CONTACT
if   O
symptoms   O
significantly   O
worsened   O
or   O
if   O
Kash   B-NAME
Perkins   I-NAME
experienced   O
any   O
side   O
effects   O
from   O
the   O
medication   O
.   O

The   O
case   O
has   O
been   O
recorded   O
under   O
9413809   B-ID
and   O
reported   O
for   O
quality   O
assurance   O
purposes   O
to   O
Liberty   B-LOCATION
Mutual   I-LOCATION
.   O

All   O
personal   O
identifiable   O
information   O
has   O
been   O
secured   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
,   O
including   O
but   O
not   O
limited   O
to   O
Marianna   B-NAME
Hinton   I-NAME
's   O
name   O
,   O
social   O
security   O
number   O
(   O
1   B-ID
-   I-ID
7661441   I-ID
)   O
,   O
and   O
specific   O
geographical   O
identifiers   O
(   O
Crimora   B-LOCATION
,   O
83559   B-LOCATION
)   O
.   O

For   O
further   O
inquiries   O
or   O
updates   O
regarding   O
the   O
case   O
,   O
please   O
refer   O
to   O
the   O
unique   O
case   O
ID   O
37591781   B-ID
or   O
contact   O
COMMUNITY   B-LOCATION
HOSPITAL   I-LOCATION
OF   I-LOCATION
SAN   I-LOCATION
BERNARDINO   I-LOCATION
's   O
patient   O
services   O
at   O
33607   B-CONTACT
.   O

Patient   O
Report   O
:   O
Torres   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Flagstaff   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/35   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
that   O
had   O
commenced   O
approximately   O
6   O
hours   O
earlier   O
.   O

Dolan   B-NAME
is   O
a   O
7   O
-   O
year   O
-   O
old   O
Painters   O
,   O
Construction   O
and   O
Maintenance   O
residing   O
in   O
Lake   B-LOCATION
Montezuma   I-LOCATION
,   O
89097   B-LOCATION
.   O

Geta   B-NAME
LaHain   I-NAME
denied   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
similar   O
past   O
episodes   O
.   O

Medical   O
History   O
:   O
Olszewski   B-NAME
has   O
a   O
medical   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
New   B-LOCATION
Milford   I-LOCATION
Hospital   I-LOCATION
in   O
Monday   B-DATE
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Ta   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Further   O
radiographic   O
studies   O
included   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
which   O
confirmed   O
the   O
presence   O
of   O
inflammation   O
in   O
the   O
terminal   O
ileum   O
,   O
with   O
no   O
evidence   O
of   O
intestinal   O
obstruction   O
or   O
perforation   O
.   O
Management   O
and   O
Outcome   O
:   O
Kyler   B-NAME
Stark   I-NAME
was   O
admitted   O
to   O
Little   B-LOCATION
Company   I-LOCATION
of   I-LOCATION
Mary   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Centers   I-LOCATION
under   O
the   O
care   O
of   O
Xzavier   B-NAME
Craig   I-NAME
for   O
management   O
,   O
which   O
included   O
intravenous   O
hydration   O
,   O
antibiotics   O
,   O
and   O
pain   O
management   O
with   O
acetaminophen   O
.   O

HARRIET   B-NAME
XIA   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
monitoring   O
for   O
potential   O
recurrence   O
and   O
the   O
need   O
for   O
follow   O
-   O
up   O
in   O
the   O
gastroenterology   O
clinic   O
.   O

01/12   B-DATE
marked   O
the   O
discharge   O
date   O
with   O
instructions   O
for   O
outpatient   O
follow   O
-   O
up   O
.   O

The   O
discharge   O
summary   O
was   O
documented   O
in   O
the   O
medical   O
record   O
number   O
9447033   B-ID
,   O
and   O
a   O
copy   O
was   O
sent   O
to   O
Eric   B-NAME
's   O
primary   O
care   O
physician   O
.   O

The   O
patient   O
was   O
advised   O
to   O
contact   O
the   O
gastroenterology   O
clinic   O
at   O
(   B-CONTACT
794   I-CONTACT
)   I-CONTACT
408   I-CONTACT
-   I-CONTACT
4703   I-CONTACT
for   O
any   O
further   O
symptoms   O
or   O
concerns   O
.   O

In   O
conclusion   O
,   O
Landin   B-NAME
Campos   I-NAME
's   O
episode   O
of   O
terminal   O
ileitis   O
was   O
managed   O
effectively   O
with   O
supportive   O
care   O
and   O
antibiotics   O
.   O

Note   O
:   O
Further   O
inquiries   O
regarding   O
this   O
case   O
can   O
be   O
directed   O
to   O
YP702   B-NAME
or   O
the   O
emergency   O
department   O
of   O
Emory   B-LOCATION
Hillandale   I-LOCATION
Hospital   I-LOCATION
at   O
976   B-CONTACT
6314   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Phoebe   B-NAME
Woods   I-NAME
Age   O
:   O
96   O
Gender   O
:   O
Male   O
Medical   O
Record   O
Number   O
:   O
537   B-ID
-   I-ID
68   I-ID
-   I-ID
56   I-ID
-   I-ID
8   I-ID
ID   O
:   O
WV:73731:458920   B-ID
Address   O
:   O
Kokhanok   B-LOCATION
,   O
45925   B-LOCATION
Phone   O
Number   O
:   O
394   B-CONTACT
-   I-CONTACT
6558   I-CONTACT
Admission   O
Date   O
:   O
12/27   B-DATE
Attending   O
Physician   O
:   O

Bass   B-NAME
Hospital   O
:   O

AdventHealth   B-LOCATION
Apopka   I-LOCATION
Employer   O
:   O

Lakeside   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Transportation   O
Inspectors   O
Username   O
for   O
Hospital   O
Portal   O
:   O
NE840   B-NAME
Chief   O
Complaint   O
:   O
Simeon   B-NAME
Ortega   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
1/32/03   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
,   O
which   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Sam   B-NAME
Dash   I-NAME
,   O
a   O
59   O
-   O
year   O
-   O
old   O
male   O
with   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
reports   O
that   O
he   O
experienced   O
similar   O
but   O
less   O
intense   O
episodes   O
of   O
chest   O
pain   O
in   O
the   O
past   O
,   O
which   O
were   O
transient   O
and   O
not   O
associated   O
with   O
physical   O
activity   O
.   O

Past   O
Medical   O
History   O
:   O
Hypertension   O
diagnosed   O
05/16   B-DATE
.   O

Hyperlipidemia   O
diagnosed   O
22/32   B-DATE
.   O

Atorvastatin   O
20   O
mg   O
at   O
bedtime   O
Social   O
History   O
:   O
Cathy   B-NAME
T.   I-NAME
Turk   I-NAME
works   O
as   O
a   O
Media   O
buyer   O
at   O
International   B-LOCATION
Centre   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Democratic   I-LOCATION
Development   I-LOCATION
in   O
Aptos   B-LOCATION
Hills   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Watts   B-NAME
appeared   O
anxious   O
but   O
was   O
in   O
no   O
acute   O
distress   O
.   O

Treatment   O
:   O
Upon   O
diagnosis   O
,   O
Bell   B-NAME
,   I-NAME
Alexander   I-NAME
Graham   I-NAME
was   O
immediately   O
treated   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
per   O
acute   O
myocardial   O
infarction   O
protocol   O
.   O

Naomi   B-NAME
Patton   I-NAME
also   O
initiated   O
a   O
beta   O
-   O
blocker   O
and   O
consulted   O
cardiology   O
for   O
possible   O
cardiac   O
catheterization   O
.   O

Disposition   O
:   O
ELROD   B-NAME
,   I-NAME
RYLEY   I-NAME
was   O
admitted   O
to   O
Merit   B-LOCATION
Health   I-LOCATION
River   I-LOCATION
Oaks   I-LOCATION
under   O
the   O
care   O
of   O
Tania   B-NAME
Romero   I-NAME
for   O
further   O
management   O
and   O
monitoring   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
cardiology   O
is   O
scheduled   O
for   O
29/13/2230   B-DATE
at   O
Chorley   B-LOCATION
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
the   O
patient   O
or   O
family   O
members   O
can   O
contact   O
Los   B-LOCATION
Robles   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
619   B-CONTACT
185   I-CONTACT
-   I-CONTACT
8188   I-CONTACT
.   O

This   O
concludes   O
Gallegos   B-NAME
's   O
patient   O
report   O
as   O
of   O
1   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
32   I-DATE
.   O

Patient   O
Name   O
:   O
Julius   B-NAME
Lopiccalo   I-NAME
Patient   O
ID   O
:   O
OY   B-ID
:   I-ID
GO:5278   I-ID
Medical   O
Record   O
Number   O
:   O
938   B-ID
-   I-ID
98   I-ID
-   I-ID
28   I-ID
-   I-ID
0   I-ID
DOB   O
:   O

September   B-DATE
2172   I-DATE
Age   O
:   O
65   O
Address   O
:   O
Lewisville   B-LOCATION
,   O
51321   B-LOCATION
Phone   O
Number   O
:   O
532   B-CONTACT
-   I-CONTACT
6472   I-CONTACT
Employment   O
:   O
developer   O
at   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Bricklayers   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Craftworkers   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Hall   B-NAME
Hendrick   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
Visit   O
Date   O
:   O
32/26   B-DATE
Chief   O
Complaint   O
:   O
Jarrett   B-NAME
,   I-NAME
Jeff   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Tacoma   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
29/09/2183   B-DATE
with   O
a   O
sudden   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
accompanied   O
by   O
shortness   O
of   O
breath   O
,   O
profuse   O
sweating   O
,   O
and   O
nausea   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
According   O
to   O
Mack   B-NAME
,   O
the   O
symptoms   O
started   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
at   O
the   O
hospital   O
while   O
at   O
Roulette   B-LOCATION
.   O

Zackary   B-NAME
Perie   I-NAME
denied   O
any   O
previous   O
similar   O
episodes   O
,   O
recent   O
travel   O
,   O
or   O
sick   O
contacts   O
.   O

Sean   B-NAME
McNamara   I-NAME
,   O
a   O
Fashion   O
Designers   O
at   O
Premier   B-LOCATION
American   I-LOCATION
Bank   I-LOCATION
,   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Dax   B-NAME
Herman   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
diagnosed   O
July   B-DATE
22   I-DATE
and   O
hyperlipidemia   O
diagnosed   O
on   O
05/32   B-DATE
.   O

Ardias   B-NAME
's   O
surgical   O
history   O
is   O
significant   O
for   O
an   O
appendectomy   O
at   O
12   O
month   O
.   O

Family   O
history   O
reveals   O
that   O
Frederick   B-NAME
Q.   I-NAME
Valladares   I-NAME
's   O
father   O
had   O
a   O
myocardial   O
infarction   O
at   O
34   O
.   O

Social   O
History   O
:   O
Syrus   B-NAME
,   B-NAME
Publilius   I-NAME
reports   O
no   O
tobacco   O
use   O
,   O
occasional   O
alcohol   O
consumption   O
,   O
and   O
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Eddie   B-NAME
Clark   I-NAME
works   O
as   O
a   O
bartender   O
at   O
Guaranty   B-LOCATION
Bank   I-LOCATION
and   O
lives   O
with   O
their   O
family   O
in   O
Beasley   B-LOCATION
.   O
Review   O
of   O
Systems   O
:   O

Gilbert   B-NAME
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
according   O
to   O
the   O
ACS   O
management   O
protocol   O
.   O

A   O
cardiology   O
consult   O
was   O
requested   O
,   O
and   O
Elmore   B-NAME
was   O
prepared   O
for   O
urgent   O
cardiac   O
catheterization   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Watkins   B-NAME
for   O
06/22/2183   B-DATE
at   O
Pascack   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O
Instructions   O
for   O
Scott   B-NAME
Fink   I-NAME
:   O

Contact   O
(   B-CONTACT
357   I-CONTACT
)   I-CONTACT
627   I-CONTACT
7590   I-CONTACT
for   O
any   O
emergency   O
or   O
if   O
symptoms   O
worsen   O
.   O

This   O
report   O
was   O
prepared   O
by   O
edu582   B-NAME
on   O
2/12/63   B-DATE
.   O

Any   O
request   O
for   O
information   O
or   O
amendments   O
should   O
be   O
directed   O
to   O
the   O
medical   O
records   O
department   O
at   O
41564   B-CONTACT
.   O

Patient   O
Name   O
:   O
Bakhtiari   B-NAME
,   I-NAME
Marjaney   I-NAME
Medical   O
Record   O
Number   O
:   O
1581482   B-ID
Date   O
of   O
Birth   O
:   O
15   O
Date   O
of   O
Visit   O
:   O
Jan   B-DATE
20   I-DATE
,   I-DATE
2023   I-DATE

Koen   B-NAME
Kim   I-NAME
Contact   O
Number   O
:   O
(   B-CONTACT
388   I-CONTACT
)   I-CONTACT
996   I-CONTACT
-   I-CONTACT
7352   I-CONTACT
Residence   O
:   O
Barren   B-LOCATION
,   O
73198   B-LOCATION
Employment   O
:   O
Hotel   O
,   O
Motel   O
,   O
and   O
Resort   O
Desk   O
Clerks   O
at   O
HomeSense   B-LOCATION
ID   O
:   O
VH639/6267   B-ID
Presenting   O
Complaint   O
:   O
Chance   B-NAME
Bright   I-NAME
was   O
admitted   O
to   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Martin   I-LOCATION
South   I-LOCATION
Hospital   I-LOCATION
on   O
12/26   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
over   O
the   O
previous   O
22/01   B-DATE
.   O

The   O
symptoms   O
began   O
suddenly   O
while   O
the   O
patient   O
was   O
at   O
Pierre   B-LOCATION
,   O
performing   O
their   O
duties   O
as   O
a   O
Training   O
and   O
Development   O
Managers   O
.   O

Scarlett   B-NAME
Stanley   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
has   O
been   O
on   O
medication   O
for   O
the   O
past   O
49   O
years   O
.   O

Upon   O
arrival   O
,   O
Wendy   B-NAME
Tapia   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
180/110   O
mmHg   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
37.2   O
°   O
C   O
.   O

Smith   B-NAME
,   I-NAME
Sydney   I-NAME
recommended   O
immediate   O
admission   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

Under   O
the   O
care   O
of   O
Fletcher   B-NAME
Clarke   I-NAME
at   O
Twin   B-LOCATION
County   I-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
,   O
Shaylee   B-NAME
Macias   I-NAME
was   O
administered   O
aspirin   O
,   O
morphine   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
upon   O
preliminary   O
diagnosis   O
.   O

A   O
coronary   O
angiography   O
performed   O
on   O
April   B-DATE
revealed   O
several   O
blockages   O
in   O
the   O
coronary   O
arteries   O
.   O

Percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
was   O
successfully   O
performed   O
by   O
Weber   B-NAME
's   O
team   O
.   O

Post   O
-   O
Treatment   O
Follow   O
-   O
up   O
:   O
Fausto   B-NAME
Craine   I-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
following   O
the   O
intervention   O
.   O

Yousif   B-NAME
was   O
discharged   O
on   O
03/26/2046   B-DATE
with   O
a   O
prescription   O
for   O
a   O
beta   O
-   O
blocker   O
,   O
ACE   O
inhibitor   O
,   O
and   O
statin   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Leia   B-NAME
Butler   I-NAME
on   O
24/27   B-DATE
for   O
re   O
-   O
evaluation   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
procedure   O
.   O

Notes   O
for   O
Follow   O
-   O
up   O
Care   O
:   O
It   O
is   O
crucial   O
for   O
Shakia   B-NAME
Kirkham   I-NAME
to   O
adhere   O
to   O
the   O
prescribed   O
medication   O
regimen   O
and   O
lifestyle   O
modifications   O
to   O
manage   O
hypertension   O
and   O
prevent   O
further   O
cardiac   O
events   O
.   O

Regular   O
monitoring   O
of   O
blood   O
pressure   O
,   O
cholesterol   O
levels   O
,   O
and   O
adherence   O
to   O
scheduled   O
follow   O
-   O
up   O
appointments   O
with   O
Evil   B-NAME
is   O
imperative   O
.   O

In   O
case   O
of   O
any   O
emergency   O
or   O
concerning   O
symptoms   O
,   O
Ballard   B-NAME
is   O
advised   O
to   O
contact   O
Riverview   B-LOCATION
Hospital   I-LOCATION
at   O
261   B-CONTACT
-   I-CONTACT
6653   I-CONTACT
.   O

Confidentiality   O
Statement   O
:   O
This   O
medical   O
report   O
contains   O
confidential   O
health   O
information   O
of   O
Priscilla   B-NAME
Livingston   I-NAME
and   O
is   O
intended   O
for   O
use   O
only   O
by   O
the   O
individual   O
named   O
herein   O
and   O
their   O
healthcare   O
provider   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Benita   B-NAME
Tynan   I-NAME
Age   O
:   O
20   O
Date   O
of   O
Birth   O
:   O
3/22   B-DATE
Address   O
:   O
North   B-LOCATION
Bend   I-LOCATION
,   O
88844   B-LOCATION
Phone   O
Number   O
:   O
54449   B-CONTACT
Occupation   O
:   O
Compensation   O
and   O
Benefits   O
Managers   O
Medical   O
Record   O
Number   O
:   O
452   B-ID
-   I-ID
97   I-ID
-   I-ID
75   I-ID
-   I-ID
1   I-ID
Patient   O
ID   O
:   O
338663143   B-ID
Physician   O
:   O

Ladonna   B-NAME
Louviere   I-NAME
Admitting   O
Hospital   O
:   O
Middlesboro   B-LOCATION
ARH   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
04/29/1884   B-DATE
Report   O
Prepared   O
by   O
:   O
ef918   B-NAME
Clinical   O
Summary   O
:   O
Cruz   B-NAME
Lamb   I-NAME
,   O
a   O
60   O
-   O
year   O
-   O
old   O
Fitness   O
centre   O
manager   O
,   O
was   O
admitted   O
to   O
Edward   B-LOCATION
White   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
closed   I-LOCATION
)   I-LOCATION
on   O
May   B-DATE
22   I-DATE
with   O
complaints   O
of   O
persistent   O
and   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
approximately   O
0/20   B-DATE
,   O
and   O
they   O
have   O
progressively   O
worsened   O
over   O
the   O
period   O
.   O

Nelson   B-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
gnawing   O
,   O
scoring   O
it   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Harper   B-NAME
Parker   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
under   O
control   O
with   O
ACE   O
inhibitors   O
.   O

Upon   O
examination   O
,   O
Xavier   B-NAME
appeared   O
jaundiced   O
,   O
with   O
icteric   O
sclera   O
observed   O
.   O

An   O
Endoscopic   O
Retrograde   O
Cholangiopancreatography   O
(   O
ERCP   O
)   O
was   O
performed   O
by   O
Dobson   B-NAME
,   I-NAME
James   I-NAME
,   O
which   O
confirmed   O
the   O
presence   O
of   O
a   O
pancreatic   O
head   O
mass   O
causing   O
obstruction   O
of   O
the   O
common   O
bile   O
duct   O
.   O

The   O
multidisciplinary   O
team   O
,   O
including   O
oncology   O
,   O
surgery   O
,   O
and   O
gastroenterology   O
,   O
discussed   O
Meghan   B-NAME
Kline   I-NAME
's   O
case   O
.   O

The   O
family   O
and   O
Xander   B-NAME
Xie   I-NAME
were   O
counseled   O
about   O
the   O
findings   O
,   O
possible   O
diagnoses   O
,   O
and   O
the   O
plan   O
going   O
forward   O
.   O

Sharon   B-NAME
Dyer   I-NAME
consented   O
to   O
the   O
proposed   O
management   O
plan   O
.   O

Conclusions   O
:   O
Norah   B-NAME
Mcneil   I-NAME
remains   O
admitted   O
to   O
Bassett   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
under   O
close   O
observation   O
.   O

The   O
primary   O
goals   O
are   O
to   O
manage   O
Kolten   B-NAME
Joseph   I-NAME
's   O
symptoms   O
,   O
address   O
the   O
underlying   O
cause   O
,   O
and   O
discuss   O
long   O
-   O
term   O
management   O
options   O
,   O
including   O
the   O
possibility   O
of   O
surgical   O
resection   O
if   O
the   O
mass   O
is   O
deemed   O
resectable   O
.   O

Patient   O
Report   O
:   O
-   O
Patient   O
Name   O
:   O
Foster   B-NAME
-   O
Age   O
:   O
60   O
-   O
Date   O
of   O
Birth   O
:   O
30/09   B-DATE
-   O
Address   O
:   O
Kellogg   B-LOCATION
,   O
65573   B-LOCATION
-   O
Phone   O
Number   O
:   O
83773   B-CONTACT
-   O
Occupation   O
:   O
Woodworking   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Except   O
Sawing   O
-   O
Medical   O
Record   O
Number   O
:   O
6065199   B-ID
-   O
Social   O
Security   O
Number   O
:   O
RS299/5943   B-ID
-   O
Treating   O
Physician   O
:   O
Jarvis   B-NAME
-   O
Hospital   O
:   O
Providence   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Date   O
of   O
Admission   O
:   O
2/24   B-DATE
-   O
Username   O
on   O
Hospital   O
Portal   O
:   O
lbf777   B-NAME
Summary   O
of   O
Presentation   O
:   O
2111   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
32   I-DATE
,   O
Nicole   B-NAME
Arndt   I-NAME
,   O
a   O
Dragline   O
Operators   O
from   O
Berwyn   B-LOCATION
,   O
was   O
admitted   O
to   O
Oakland   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
complaining   O
of   O
severe   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Francis   B-NAME
House   I-NAME
also   O
reported   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
prior   O
to   O
admission   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
HR   B-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
temperature   O
of   O
98.6   O
°   O
F   O
,   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
pulse   O
rate   O
90   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
16   O
breaths   O
per   O
minute   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Hopkins   B-NAME
,   O
which   O
suggested   O
appendicitis   O
without   O
perforation   O
.   O

Treatment   O
:   O
Raelynn   B-NAME
Diaz   I-NAME
advised   O
for   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Appendix   O
removal   O
(   O
appendectomy   O
)   O
was   O
performed   O
on   O
8/36   B-DATE
without   O
complications   O
.   O

Follow   O
-   O
up   O
:   O
33/28/2363   B-DATE
,   O
Rose   B-NAME
Anaya   I-NAME
was   O
seen   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
at   O
Page   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
surgical   O
wound   O
was   O
healing   O
well   O
,   O
and   O
Oliver   B-NAME
Ludwig   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Reid   B-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
scheduled   O
for   O
another   O
follow   O
-   O
up   O
visit   O
in   O
2   O
weeks   O
.   O

Conclusion   O
:   O
Lexiss   B-NAME
,   O
a   O
57   O
-   O
year   O
-   O
old   O
Rail   O
-   O
Track   O
Laying   O
and   O
Maintenance   O
Equipment   O
Operators   O
from   O
Maunaloa   B-LOCATION
,   O
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
at   O
Wilkes   B-LOCATION
-   I-LOCATION
Barre   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Kinski   B-NAME
,   I-NAME
Klaus   I-NAME
.   O

Patient   O
:   O
Watson   B-NAME
Medical   O
Record   O
Number   O
:   O
633   B-ID
73   I-ID
40   I-ID
Age   O
:   O
8   O
week   O
Date   O
of   O
Visit   O
:   O
06/69   B-DATE
Attending   O
Physician   O
:   O

Essence   B-NAME
Cole   I-NAME
Hospital   O
:   O
Noland   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Long   I-LOCATION
-   I-LOCATION
Term   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Anniston   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
Location   O
:   O
Elk   B-LOCATION
Run   I-LOCATION
Heights   I-LOCATION
Phone   O
:   O
492   B-CONTACT
-   I-CONTACT
159   I-CONTACT
-   I-CONTACT
9259   I-CONTACT
ID   O
:   O
0   B-ID
-   I-ID
3333326   I-ID
Organization   O
:   O

Bradford   B-LOCATION
Bank   I-LOCATION
Zip   O
:   O
23936   B-LOCATION
Profession   O
:   O
Bioinformatics   O
Technicians   O
Username   O
:   O
br128   B-NAME
Chief   O
Complaint   O
:   O

The   O
pain   O
was   O
described   O
as   O
"   O
crushing   O
"   O
in   O
nature   O
,   O
8/10   O
in   O
intensity   O
,   O
and   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
on   O
2032   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Anton   B-NAME
Phibes   I-NAME
has   O
a   O
past   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Liliana   B-NAME
Henderson   I-NAME
does   O
not   O
report   O
any   O
prior   O
episodes   O
of   O
similar   O
chest   O
pain   O
.   O

On   O
further   O
questioning   O
,   O
Elyse   B-NAME
Finley   I-NAME
admits   O
to   O
experiencing   O
mild   O
,   O
intermittent   O
chest   O
discomfort   O
over   O
the   O
past   O
month   O
,   O
which   O
was   O
attributed   O
to   O
indigestion   O
.   O

Hypertension   O
diagnosed   O
10/4   B-DATE
.   O
2   O
.   O

Hyperlipidemia   O
diagnosed   O
14/00   B-DATE
.   O

Nannie   B-NAME
Xavier   I-NAME
denies   O
any   O
illicit   O
drug   O
use   O
.   O

Family   O
History   O
:   O
Bridger   B-NAME
Houston   I-NAME
reports   O
a   O
family   O
history   O
of   O
coronary   O
artery   O
disease   O
.   O

Donte   B-NAME
Reilly   I-NAME
's   O
father   O
passed   O
away   O
from   O
a   O
myocardial   O
infarction   O
at   O
97   O
,   O
and   O
a   O
sibling   O
has   O
been   O
diagnosed   O
with   O
coronary   O
artery   O
disease   O
at   O
42   O
.   O

General   O
:   O
Amiah   B-NAME
Joseph   I-NAME
is   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
,   O
pale   O
,   O
and   O
diaphoretic   O
.   O

Troponin   O
levels   O
were   O
elevated   O
on   O
arrival   O
and   O
repeated   O
32/9   B-DATE
,   O
confirming   O
the   O
diagnosis   O
of   O
AMI   O
.   O

A   O
stent   O
placement   O
was   O
performed   O
successfully   O
,   O
and   O
Smith   B-NAME
,   I-NAME
Kevin   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
and   O
management   O
.   O

Patient   O
Name   O
:   O
Jamarcus   B-NAME
Berry   I-NAME
Patient   O
Age   O
:   O
4   O
month   O
Medical   O
Record   O
Number   O
:   O
1584254   B-ID
Date   O
of   O
Visit   O
:   O
2/32   B-DATE
Primary   O
Care   O
Doctor   O
:   O
Alyvia   B-NAME
Sanchez   I-NAME
Hospital   O
:   O

Genesis   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
De   I-LOCATION
Witt   I-LOCATION
Location   O
:   O
Burkittsville   B-LOCATION
,   O
80787   B-LOCATION
Contact   O
Information   O
:   O
67808   B-CONTACT
Symptoms   O
and   O
Evaluation   O
:   O
GQ   B-NAME
,   O
a   O
Sawing   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Wood   O
from   O
Hugoton   B-LOCATION
,   O
presented   O
on   O
26/30/2014   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
abdominal   O
pain   O
that   O
has   O
been   O
increasing   O
in   O
frequency   O
over   O
the   O
past   O
two   O
months   O
.   O

Alongside   O
,   O
Sehella   B-NAME
Balsis   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
significant   O
bloating   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
leading   O
to   O
unintentional   O
weight   O
loss   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
,   O
obtained   O
from   O
the   O
electronic   O
health   O
record   O
631   B-ID
-   I-ID
49   I-ID
-   I-ID
63   I-ID
-   I-ID
6   I-ID
,   O
indicates   O
a   O
chronic   O
history   O
of   O
gastrointestinal   O
issues   O
,   O
however   O
,   O
with   O
no   O
previous   O
diagnoses   O
that   O
fully   O
explain   O
the   O
current   O
symptomatology   O
.   O

The   O
patient   O
was   O
referred   O
to   O
a   O
gastroenterologist   O
,   O
Dr.   O
Shivakamini   B-NAME
Somakandakram   I-NAME
,   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

A   O
colonoscopy   O
is   O
scheduled   O
for   O
2029   B-DATE
at   O
Cleveland   B-LOCATION
Clinic   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Medina   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
aiming   O
to   O
confirm   O
the   O
diagnosis   O
and   O
assess   O
the   O
extent   O
of   O
the   O
intestinal   O
involvement   O
.   O

Durhan   B-NAME
Papantonio   I-NAME
was   O
also   O
advised   O
to   O
follow   O
a   O
low   O
-   O
residue   O
diet   O
to   O
ease   O
bowel   O
movement   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
32/12   B-DATE
to   O
review   O
the   O
colonoscopy   O
findings   O
and   O
adapt   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Wesley   B-NAME
Nieves   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
and   O
report   O
any   O
exacerbations   O
or   O
new   O
symptoms   O
immediately   O
.   O

Consultation   O
with   O
a   O
nutritionist   O
at   O
Central   B-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
is   O
also   O
recommended   O
to   O
tailor   O
a   O
diet   O
plan   O
that   O
meets   O
the   O
patient   O
's   O
needs   O
.   O

This   O
comprehensive   O
approach   O
aims   O
at   O
not   O
only   O
addressing   O
the   O
immediate   O
concern   O
and   O
discomfort   O
but   O
also   O
at   O
managing   O
Jeremy   B-NAME
Richmond   I-NAME
's   O
long   O
-   O
term   O
health   O
and   O
well   O
-   O
being   O
.   O

This   O
document   O
contains   O
confidential   O
health   O
information   O
70814325   B-ID
protected   O
under   O
HIPAA   O
regulations   O
.   O

Patient   O
Name   O
:   O
Holland   B-NAME
Age   O
:   O
36   O
Date   O
of   O
Birth   O
:   O
11/03   B-DATE
Phone   O
Number   O
:   O
62188   B-CONTACT
Medical   O
Record   O
Number   O
:   O
9321G03490   B-ID
ID   O
Number   O
:   O
CH317/2570   B-ID
Address   O
:   O
West   B-LOCATION
Lawn   I-LOCATION
,   O
56731   B-LOCATION
Employer   O
:   O

Cape   B-LOCATION
Fear   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Life   O
Scientists   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Khairy   B-NAME
Levers   I-NAME
Hospital   O
:   O

MercyOne   B-LOCATION
Elkader   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
3   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
84   I-DATE
Username   O
:   O
zxf900   B-NAME
The   O
patient   O
,   O
Gene   B-NAME
Quadri   I-NAME
,   O
a   O
Forest   O
and   O
Conservation   O
Workers   O
at   O
Collective   B-LOCATION
of   I-LOCATION
Systems   I-LOCATION
residing   O
in   O
Burchinal   B-LOCATION
,   O
88262   B-LOCATION
,   O
presented   O
to   O
Sutter   B-LOCATION
Amador   I-LOCATION
Hospital   I-LOCATION
on   O
32   B-DATE
-   I-DATE
12   I-DATE
with   O
a   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
that   O
had   O
been   O
persistent   O
for   O
approximately   O
11   O
month   O
hours   O
before   O
the   O
visit   O
.   O

Benton   B-NAME
described   O
the   O
pain   O
as   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Samantha   B-NAME
Kerr   I-NAME
reported   O
that   O
the   O
pain   O
seemed   O
to   O
worsen   O
with   O
movement   O
and   O
was   O
slightly   O
alleviated   O
when   O
lying   O
in   O
a   O
fetal   O
position   O
.   O

In   O
addition   O
to   O
the   O
abdominal   O
pain   O
,   O
Joseph   B-NAME
Prang   I-NAME
also   O
reported   O
experiencing   O
bouts   O
of   O
nausea   O
without   O
vomiting   O
,   O
a   O
loss   O
of   O
appetite   O
,   O
and   O
a   O
slight   O
fever   O
,   O
noting   O
that   O
the   O
temperature   O
was   O
last   O
measured   O
at   O
home   O
to   O
be   O
38   O
°   O
C   O
(   O
2/34   B-DATE
)   O
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
history   O
outside   O
May   B-LOCATION
Creek   I-LOCATION
or   O
dietary   O
indiscretions   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Marshall   B-NAME
,   I-NAME
George   I-NAME
noted   O
that   O
Bruce   B-NAME
Koontz   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Jolie   B-NAME
Dunn   I-NAME
advised   O
Braiden   B-NAME
Wells   I-NAME
to   O
avoid   O
eating   O
or   O
drinking   O
pending   O
further   O
diagnostics   O
and   O
possible   O
surgical   O
intervention   O
.   O

Feynman   B-NAME
,   I-NAME
Richard   I-NAME
's   O
contact   O
information   O
including   O
phone   O
number   O
661   B-CONTACT
-   I-CONTACT
534   I-CONTACT
1168   I-CONTACT
and   O
medical   O
record   O
number   O
53956463   B-ID
were   O
updated   O
in   O
the   O
hospital   O
’s   O
system   O
for   O
follow   O
-   O
up   O
communication   O
.   O

In   O
summary   O
,   O
Walker   B-NAME
,   I-NAME
Murray   I-NAME
,   O
a   O
15   O
-   O
year   O
-   O
old   O
Biomedical   O
scientist   O
from   O
36   B-LOCATION
Santa   I-LOCATION
Clara   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION
,   O
46498   B-LOCATION
,   O
presented   O
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Lacey   B-NAME
is   O
currently   O
under   O
evaluation   O
at   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Northeast   I-LOCATION
,   O
with   O
further   O
diagnostic   O
testing   O
underway   O
to   O
confirm   O
the   O
initial   O
diagnosis   O
and   O
determine   O
the   O
appropriate   O
treatment   O
plan   O
.   O

The   O
patient   O
,   O
hereby   O
referred   O
to   O
as   O
Key   B-NAME
,   O
a   O
Water   O
conservation   O
officer   O
from   O
Jacksonville   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
32244   I-LOCATION
,   O
presented   O
to   O
Good   B-LOCATION
Samaritan   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/25/22   B-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
dry   O
cough   O
persisting   O
for   O
the   O
past   O
three   O
weeks   O
.   O

Skye   B-NAME
Avery   I-NAME
is   O
99   O
years   O
old   O
and   O
has   O
no   O
known   O
history   O
of   O
chronic   O
ailments   O
or   O
respiratory   O
disorders   O
.   O

Upon   O
initial   O
evaluation   O
,   O
Paloma   B-NAME
Maddox   I-NAME
observed   O
that   O
Ellie   B-NAME
Yang   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
except   O
for   O
a   O
mildly   O
elevated   O
respiratory   O
rate   O
at   O
22   O
breaths   O
per   O
minute   O
.   O

A   O
high   O
-   O
resolution   O
computed   O
tomography   O
(   O
HRCT   O
)   O
scan   O
of   O
the   O
chest   O
was   O
recommended   O
by   O
Maximillian   B-NAME
Lin   I-NAME
and   O
showed   O
ground   O
-   O
glass   O
opacifications   O
predominantly   O
in   O
the   O
peripheral   O
and   O
basal   O
regions   O
of   O
both   O
lungs   O
,   O
suggesting   O
possible   O
interstitial   O
lung   O
disease   O
.   O

Considering   O
Elisha   B-NAME
Weiss   I-NAME
's   O
occupation   O
as   O
a   O
Emergency   O
Medical   O
Technicians   O
and   O
Paramedics   O
and   O
potential   O
exposure   O
to   O
environmental   O
or   O
occupational   O
hazards   O
,   O
Davidson   B-NAME
inquired   O
about   O
Kenya   B-NAME
Mora   I-NAME
's   O
workplace   O
conditions   O
.   O

Detailed   O
history   O
revealed   O
Paul   B-NAME
VI   I-NAME
(   I-NAME
Pope   I-NAME
)   I-NAME
was   O
exposed   O
to   O
organic   O
dusts   O
,   O
which   O
might   O
have   O
contributed   O
to   O
the   O
pulmonary   O
symptoms   O
.   O

The   O
management   O
plan   O
commenced   O
with   O
advising   O
Viviana   B-NAME
Khan   I-NAME
on   O
the   O
avoidance   O
of   O
known   O
allergens   O
and   O
initiation   O
of   O
a   O
course   O
of   O
oral   O
corticosteroids   O
.   O

Campbell   B-NAME
,   I-NAME
Beatrice   I-NAME
Stella   I-NAME
;   I-NAME
(   I-NAME
Mrs.   I-NAME
Patrick   I-NAME
Campbell   I-NAME
)   I-NAME
was   O
also   O
referred   O
to   O
a   O
pulmonology   O
specialist   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2112   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
24   I-DATE
to   O
reassess   O
Lucy   B-NAME
Best   I-NAME
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

For   O
records   O
and   O
confidentiality   O
,   O
all   O
information   O
regarding   O
Lina   B-NAME
Hale   I-NAME
's   O
diagnosis   O
,   O
management   O
plan   O
,   O
and   O
follow   O
-   O
ups   O
have   O
been   O
securely   O
filed   O
under   O
medical   O
record   O
number   O
791   B-ID
-   I-ID
59   I-ID
-   I-ID
14   I-ID
-   I-ID
6   I-ID
.   O

To   O
discuss   O
the   O
case   O
or   O
for   O
any   O
queries   O
,   O
Larson   B-NAME
and   O
the   O
managing   O
team   O
at   O
Wernersville   B-LOCATION
State   I-LOCATION
Hospital   I-LOCATION
can   O
be   O
contacted   O
at   O
24590   B-CONTACT
.   O

Note   O
:   O
The   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
of   O
the   O
patient   O
,   O
including   O
Conor   B-NAME
Haney   I-NAME
's   O
name   O
,   O
0   B-ID
-   I-ID
5665768   I-ID
,   O
ddn448   B-NAME
,   O
and   O
residence   O
details   O
such   O
as   O
12125   B-LOCATION
in   O
Kidsgrove   B-LOCATION
,   O
has   O
been   O
anonymized   O
in   O
compliance   O
with   O
privacy   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Livia   B-NAME
Mann   I-NAME
Patient   O
ID   O
:   O
MS295/4522   B-ID
Medical   O
Record   O
Number   O
:   O
648   B-ID
-   I-ID
38   I-ID
-   I-ID
77   I-ID
Date   O
of   O
Birth   O
:   O
12/52   B-DATE
Age   O
:   O
73   O
Phone   O
Number   O
:   O
36093   B-CONTACT
Address   O
:   O
LLANDUDNO   B-LOCATION
,   O
69873   B-LOCATION
Employer   O
:   O
Canadian   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
Occupation   O
:   O
Heat   O
Treating   O
Equipment   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
Primary   O
Care   O
Physician   O
:   O

Nayeli   B-NAME
Houston   I-NAME
Hospital   O
:   O

Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
Muskogee   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Gia   B-NAME
Short   I-NAME
,   O
a   O
70   O
-   O
year   O
-   O
old   O
Health   O
service   O
manager   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Saint   B-LOCATION
Thomas   I-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
on   O
2081   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Diana   B-NAME
Fraser   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Noah   B-NAME
K.   I-NAME
Quintin   I-NAME
-   I-NAME
Malone   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
of   O
Negley   B-LOCATION
or   O
any   O
sick   O
contacts   O
.   O

Laboratory   O
Results   O
:   O
-   O
White   O
blood   O
cell   O
count   O
:   O
15,000   O
/mm³   O
-   O
Hemoglobin   O
:   O
13   O
g   O
/   O
dL   O
-   O
Platelets   O
:   O
250,000   O
/mm³   O
-   O
Serum   O
amylase   O
:   O
Normal   O
-   O
Liver   O
function   O
tests   O
:   O
Slightly   O
elevated   O
AST   O
and   O
ALT   O
Imaging   O
:   O
An   O
abdominal   O
ultrasound   O
performed   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Vincent   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
suggested   O
appendicitis   O
without   O
perforation   O
.   O

The   O
surgical   O
team   O
led   O
by   O
Dr.   O
Graves   B-NAME
was   O
consulted   O
and   O
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
given   O
the   O
clinical   O
and   O
radiographic   O
findings   O
of   O
acute   O
appendicitis   O
.   O

Zack   B-NAME
Gill   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
recommended   O
surgical   O
procedure   O
.   O

Jayvion   B-NAME
Miranda   I-NAME
provided   O
verbal   O
informed   O
consent   O
for   O
the   O
surgery   O
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Brynlee   B-NAME
Hardy   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
0   B-DATE
-   I-DATE
7   I-DATE
.   O
Outcome   O
:   O

Bruce   B-NAME
Cusamano   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
.   O

Judah   B-NAME
Horne   I-NAME
was   O
discharged   O
from   O
Kootenai   B-LOCATION
Health   I-LOCATION
on   O
02/27/12   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Kendal   B-NAME
Ramos   I-NAME
in   O
13/23/2206   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Maarie   B-NAME
was   O
seen   O
in   O
the   O
outpatient   O
clinic   O
on   O
02/01/2323   B-DATE
for   O
post   O
-   O
operative   O
follow   O
-   O
up   O
.   O

The   O
surgical   O
wounds   O
were   O
healing   O
well   O
,   O
and   O
Aldiss   B-NAME
,   I-NAME
Brian   I-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Branson   B-NAME
Allison   I-NAME
was   O
advised   O
to   O
continue   O
with   O
a   O
regular   O
diet   O
and   O
to   O
gradually   O
resume   O
normal   O
activities   O
.   O

Conclusion   O
:   O
Quadri   B-NAME
's   O
acute   O
appendicitis   O
was   O
successfully   O
managed   O
with   O
laparoscopic   O
appendectomy   O
.   O

Douglas   B-NAME
Birely   I-NAME
will   O
continue   O
to   O
be   O
monitored   O
during   O
recovery   O
but   O
is   O
expected   O
to   O
return   O
to   O
full   O
health   O
without   O
restrictions   O
.   O

Prepared   O
by   O
:   O
EE693   B-NAME
Date   O
:   O
08/20/2127   B-DATE

The   O
patient   O
,   O
Trinity   B-NAME
Parker   I-NAME
,   O
a   O
Fire   O
Inspectors   O
and   O
Investigators   O
from   O
Lompoc   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
93436   I-LOCATION
,   O
presented   O
at   O
Pella   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
33/04   B-DATE
with   O
chief   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
for   O
the   O
past   O
24   O
hours   O
.   O

Norman   B-NAME
C.   I-NAME
Ivers   I-NAME
is   O
96   O
years   O
old   O
and   O
has   O
a   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
medication   O
.   O

Upon   O
examination   O
,   O
Nailatikau   B-NAME
,   I-NAME
Adi   I-NAME
Koila   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
to   O
be   O
within   O
normal   O
limits   O
,   O
except   O
for   O
a   O
mild   O
elevation   O
in   O
heart   O
rate   O
.   O

Physical   O
examination   O
by   O
Avery   B-NAME
Simmons   I-NAME
revealed   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
suggesting   O
the   O
possible   O
diagnosis   O
of   O
appendicitis   O
.   O

The   O
patient   O
reported   O
no   O
recent   O
travel   O
outside   O
Slaton   B-LOCATION
or   O
any   O
changes   O
in   O
diet   O
or   O
medication   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
also   O
conducted   O
,   O
which   O
Godwin   B-NAME
,   I-NAME
Earl   I-NAME
of   I-NAME
Wessex   I-NAME
reported   O
showed   O
signs   O
consistent   O
with   O
early   O
appendicitis   O
.   O

Marcelino   B-NAME
Silas   I-NAME
's   O
medical   O
record   O
number   O
667   B-ID
11   I-ID
15   I-ID
and   O
contact   O
information   O
,   O
including   O
392   B-CONTACT
-   I-CONTACT
6962   I-CONTACT
,   O
were   O
updated   O
in   O
the   O
system   O
for   O
further   O
communication   O
and   O
follow   O
-   O
up   O
purposes   O
.   O

Given   O
the   O
diagnostic   O
findings   O
,   O
Zaire   B-NAME
Cummings   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
the   O
evaluation   O
and   O
possible   O
removal   O
of   O
the   O
inflamed   O
appendix   O
.   O

Nukem   B-NAME
,   I-NAME
Duke   I-NAME
was   O
informed   O
of   O
the   O
potential   O
need   O
for   O
an   O
appendectomy   O
and   O
the   O
associated   O
risks   O
.   O

Scott   B-NAME
Fink   I-NAME
consented   O
to   O
the   O
surgical   O
intervention   O
after   O
the   O
risks   O
and   O
benefits   O
were   O
thoroughly   O
explained   O
.   O

[   O
SPECIFIC   O
POST   O
-   O
OPERATIVE   O
PLAN   O
WILL   O
BE   O
DISCUSSED   O
]   O
The   O
post   O
-   O
operative   O
plan   O
includes   O
monitoring   O
for   O
any   O
signs   O
of   O
infection   O
,   O
pain   O
management   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2/21   B-DATE
with   O
Godard   B-NAME
,   I-NAME
Jean   I-NAME
-   I-NAME
Luc   I-NAME
at   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
.   O

Tormentius   B-NAME
Duberstein   I-NAME
was   O
advised   O
to   O
follow   O
a   O
clear   O
liquid   O
diet   O
post   O
-   O
operatively   O
,   O
gradually   O
transitioning   O
to   O
solid   O
foods   O
as   O
tolerated   O
.   O

Independent   B-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
of   I-LOCATION
Ireland   I-LOCATION
will   O
process   O
the   O
insurance   O
claim   O
for   O
Izaguirre   B-NAME
,   O
reference   O
number   O
1   B-ID
-   I-ID
6340460   I-ID
,   O
and   O
will   O
notify   O
the   O
patient   O
of   O
any   O
co   O
-   O
payments   O
or   O
deductibles   O
due   O
.   O

For   O
privacy   O
and   O
security   O
purposes   O
,   O
Richard   B-NAME
Fletcher   I-NAME
's   O
personal   O
health   O
information   O
,   O
including   O
the   O
medical   O
record   O
number   O
0292998   B-ID
,   O
and   O
any   O
identifying   O
information   O
has   O
been   O
securely   O
handled   O
in   O
accordance   O
with   O
Centerpoint   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
privacy   O
policies   O
and   O
health   O
regulations   O
.   O

Patient   O
Name   O
:   O
Iliana   B-NAME
Carson   I-NAME
Patient   O
ID   O
:   O
2729247   B-ID
Date   O
of   O
Birth   O
:   O
29/20   B-DATE
Age   O
:   O
39   O
Phone   O
Number   O
:   O
687   B-CONTACT
6460   I-CONTACT
Address   O
:   O
Punta   B-LOCATION
Gorda   I-LOCATION
,   O
39379   B-LOCATION
Occupation   O
:   O
Surgical   O
Technologists   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Sydney   B-NAME
Lutz   I-NAME
Medical   O
Record   O
Number   O
:   O
4326119   B-ID
Admission   O
Date   O
:   O
6/29/2027   B-DATE
Location   O
of   O
Visit   O
:   O
Baptist   B-LOCATION
Hospital   I-LOCATION
Referring   O
Organization   O
:   O
Botswana   B-LOCATION
Diamond   I-LOCATION
Sorters   I-LOCATION
&   I-LOCATION
Valuators   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Carie   B-NAME
,   O
presents   O
with   O
a   O
history   O
of   O
persistent   O
and   O
recurrent   O
episodes   O
of   O
intense   O
,   O
throbbing   O
head   O
pain   O
predominantly   O
on   O
one   O
side   O
of   O
the   O
head   O
.   O

The   O
patient   O
mentions   O
an   O
increase   O
in   O
frequency   O
of   O
these   O
episodes   O
over   O
the   O
past   O
14/21   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Godwin   B-NAME
,   I-NAME
Mike   I-NAME
describes   O
the   O
onset   O
of   O
symptoms   O
approximately   O
23   O
years   O
ago   O
but   O
notes   O
a   O
significant   O
increase   O
in   O
both   O
severity   O
and   O
frequency   O
over   O
the   O
last   O
few   O
months   O
.   O

Xuereb   B-NAME
also   O
notes   O
a   O
family   O
history   O
of   O
similar   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
diagnosed   O
9/01/2212   B-DATE
.   O
-   O
No   O
previous   O
surgeries   O
.   O
-   O
Allergies   O
:   O
Penicillin   O
.   O

Examination   O
Findings   O
:   O
-   O
General   O
:   O
Shah   B-NAME
appears   O
in   O
moderate   O
distress   O
due   O
to   O
headache   O
during   O
the   O
examination   O
.   O
-   O
Neurological   O
:   O
Cranial   O
nerves   O
II   O
-   O
XII   O
are   O
grossly   O
intact   O
.   O

The   O
patient   O
,   O
Luna   B-NAME
,   O
will   O
be   O
started   O
on   O
a   O
trial   O
of   O
a   O
triptan   O
medication   O
for   O
acute   O
migraine   O
attacks   O
and   O
advised   O
on   O
lifestyle   O
modifications   O
to   O
potentially   O
reduce   O
the   O
frequency   O
and   O
severity   O
of   O
migraines   O
.   O

3   O
.   O
Follow   O
-   O
up   O
in   O
March   B-DATE
29th   I-DATE
with   O
Dr.   O
Bevel   B-NAME
,   I-NAME
Ken   I-NAME
for   O
reevaluation   O
and   O
to   O
discuss   O
preventive   O
treatment   O
options   O
if   O
the   O
current   O
plan   O
does   O
not   O
significantly   O
alleviate   O
the   O
symptoms   O
.   O

All   O
further   O
inquiries   O
and   O
updates   O
regarding   O
Stephen   B-NAME
A.N.   I-NAME
Xayachack   I-NAME
's   O
condition   O
should   O
be   O
directed   O
to   O
339   B-CONTACT
3861   I-CONTACT
or   O
communicated   O
via   O
XO661   B-NAME
on   O
our   O
patient   O
portal   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
424873044   B-ID
Medical   O
Record   O
Number   O
:   O
6696460   B-ID
Name   O
:   O
Agustin   B-NAME
Jefferson   I-NAME
Age   O
:   O
37   O
Date   O
of   O
Birth   O
:   O
31/22   B-DATE
Address   O
:   O
Anchorage   B-LOCATION
,   O
79115   B-LOCATION
Phone   O
Number   O
:   O
781   B-CONTACT
393   I-CONTACT
2681   I-CONTACT
Employed   O
as   O
:   O
Choreographers   O
Primary   O
Care   O
Physician   O
:   O

Aleena   B-NAME
Park   I-NAME
Hospital   O
:   O
Los   B-LOCATION
Angeles   I-LOCATION
County   I-LOCATION
University   I-LOCATION
of   I-LOCATION
Southern   I-LOCATION
California   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Melton   B-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Charles   I-LOCATION
Hospital   I-LOCATION
on   O
0/35   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
fever   O
reaching   O
up   O
to   O
101   O
°   O
F   O
.   O

Medical   O
History   O
:   O
-   O
Asthma   O
diagnosed   O
at   O
28   O
-   O
Previous   O
hospitalization   O
for   O
asthma   O
exacerbation   O
at   O
Aspirus   B-LOCATION
Keweenaw   I-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
Keweenaw   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
in   O
January   B-DATE
-   O
No   O
known   O
drug   O
allergies   O
-   O
Non   O
-   O
smoker   O
Laboratory   O
Results   O
:   O
-   O
White   O
Blood   O
Cell   O
Count   O
:   O
Elevated   O
-   O
CRP   O
levels   O
:   O
Significantly   O
increased   O
-   O
Blood   O
cultures   O
pending   O
as   O
of   O
02/05/2265   B-DATE
Treatment   O
Plan   O
:   O
1   O
.   O

Administration   O
of   O
IV   O
antibiotics   O
was   O
initiated   O
on   O
Wednesday   B-DATE
upon   O
preliminary   O
diagnosis   O
of   O
bacterial   O
pneumonia   O
.   O

Ferraro   B-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
with   O
Tyson   B-NAME
Rivas   I-NAME
on   O
35/26/2107   B-DATE
.   O

It   O
's   O
important   O
to   O
note   O
that   O
Judith   B-NAME
Bergstrom   I-NAME
's   O
situation   O
is   O
being   O
closely   O
monitored   O
and   O
all   O
decisions   O
regarding   O
changes   O
to   O
the   O
treatment   O
plan   O
will   O
be   O
made   O
based   O
on   O
the   O
clinical   O
response   O
and   O
lab   O
results   O
.   O

Family   O
members   O
were   O
advised   O
to   O
contact   O
Tulane   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinic   I-LOCATION
at   O
(   B-CONTACT
657   I-CONTACT
)   I-CONTACT
568   I-CONTACT
1739   I-CONTACT
for   O
any   O
emergencies   O
or   O
concerns   O
regarding   O
Dylan   B-NAME
West   I-NAME
's   O
health   O
status   O
.   O

The   O
patient   O
,   O
Toby   B-NAME
Gamble   I-NAME
,   O
a   O
Accountants   O
from   O
Farmington   B-LOCATION
,   I-LOCATION
Farmington   I-LOCATION
Downtown   I-LOCATION
Association   I-LOCATION
,   O
presented   O
to   O
Mosaic   B-LOCATION
Life   I-LOCATION
Care   I-LOCATION
at   I-LOCATION
St   I-LOCATION
Joseph   I-LOCATION
-   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
January   B-DATE
2316   I-DATE
with   O
a   O
series   O
of   O
symptoms   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
further   O
evaluation   O
by   O
Doyle   B-NAME
,   O
it   O
was   O
noted   O
that   O
ANDREW   B-NAME
TANG   I-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
during   O
the   O
physical   O
examination   O
,   O
suggesting   O
a   O
potential   O
diagnosis   O
of   O
appendicitis   O
.   O

Danny   B-NAME
Castellano   I-NAME
's   O
3300844   B-ID
number   O
for   O
this   O
visit   O
is   O
DG:79029:293999   B-ID
,   O
and   O
all   O
diagnostics   O
were   O
processed   O
under   O
this   O
identifier   O
.   O

Given   O
the   O
urgency   O
of   O
Jovan   B-NAME
Whitaker   I-NAME
's   O
condition   O
,   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
was   O
swiftly   O
arranged   O
,   O
confirming   O
the   O
suspicion   O
of   O
an   O
inflamed   O
appendix   O
.   O

Riddle   B-NAME
recommended   O
an   O
immediate   O
surgical   O
intervention   O
to   O
prevent   O
rupture   O
.   O

Gaige   B-NAME
Bryan   I-NAME
was   O
informed   O
of   O
the   O
risks   O
and   O
benefits   O
associated   O
with   O
the   O
procedure   O
and   O
provided   O
informed   O
consent   O
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
the   O
following   O
day   O
,   O
02/1   B-DATE
,   O
under   O
the   O
care   O
of   O
the   O
surgical   O
team   O
at   O
Wichita   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Leoti   I-LOCATION
.   O

Donna   B-NAME
Hull   I-NAME
was   O
monitored   O
closely   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
post   O
-   O
surgical   O
complications   O
.   O

During   O
the   O
post   O
-   O
operative   O
period   O
,   O
Elmer   B-NAME
Ure   I-NAME
was   O
given   O
a   O
course   O
of   O
antibiotics   O
as   O
a   O
preventative   O
measure   O
against   O
infection   O
.   O

Kareem   B-NAME
Dyer   I-NAME
's   O
condition   O
showed   O
significant   O
improvement   O
,   O
and   O
by   O
7   B-DATE
-   I-DATE
25   I-DATE
,   O
the   O
decision   O
was   O
made   O
to   O
discharge   O
Stephen   B-NAME
Ponce   I-NAME
with   O
instructions   O
for   O
at   O
-   O
home   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Hill   B-NAME
for   O
20/28/48   B-DATE
.   O

The   O
contact   O
information   O
provided   O
for   O
further   O
inquiries   O
or   O
emergency   O
concerns   O
was   O
the   O
hospital   O
's   O
primary   O
number   O
,   O
(   B-CONTACT
829   I-CONTACT
)   I-CONTACT
329   I-CONTACT
-   I-CONTACT
9270   I-CONTACT
,   O
and   O
Marcel   B-NAME
Poole   I-NAME
was   O
reassured   O
that   O
they   O
could   O
contact   O
Farmer   B-NAME
directly   O
through   O
the   O
hospital   O
's   O
communication   O
system   O
if   O
necessary   O
.   O

This   O
case   O
will   O
be   O
documented   O
under   O
Amiyah   B-NAME
Todd   I-NAME
's   O
medical   O
record   O
number   O
1204110   B-ID
for   O
future   O
reference   O
and   O
will   O
be   O
included   O
in   O
the   O
hospital   O
's   O
database   O
for   O
academic   O
and   O
research   O
purposes   O
in   O
line   O
with   O
Unitil   B-LOCATION
Corporation   I-LOCATION
's   O
protocols   O
for   O
patient   O
care   O
and   O
clinical   O
studies   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Morley   B-NAME
Age   O
:   O
37   O
Medical   O
Record   O
Number   O
:   O
6715375   B-ID
Date   O
of   O
Birth   O
:   O
8/6   B-DATE
Phone   O
Number   O
:   O
690   B-CONTACT
-   I-CONTACT
7825   I-CONTACT
Address   O
:   O
Long   B-LOCATION
Creek   I-LOCATION
,   O
49487   B-LOCATION
Occupation   O
:   O
Farm   O
Equipment   O
Mechanics   O
Referring   O
Physician   O
:   O
Daugherty   B-NAME
Hospital   O
:   O
Mountainside   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/25   B-DATE
Date   O
of   O
Report   O
:   O
22/11/95   B-DATE
Medical   O
History   O
:   O
Patient   O
Roy   B-NAME
Swanson   I-NAME
presented   O
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
,   O
including   O
lower   O
right   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
a   O
noticeable   O
increase   O
in   O
temperature   O
.   O

The   O
symptoms   O
began   O
approximately   O
48   O
hours   O
before   O
admission   O
to   O
Caribou   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

On   O
physical   O
examination   O
,   O
Sergio   B-NAME
Gale   I-NAME
exhibited   O
tenderness   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
,   O
specifically   O
at   O
McBurney   O
's   O
point   O
.   O

Surgical   O
consultation   O
from   O
Wagner   B-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
procedure   O
was   O
successfully   O
completed   O
without   O
complications   O
in   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-Sisters   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Campus   I-LOCATION
's   O
surgical   O
unit   O
on   O
2/5/54   B-DATE
.   O

Postoperative   O
Care   O
:   O
Post   O
-   O
surgery   O
,   O
Yahto   B-NAME
was   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Follow   O
-   O
up   O
visits   O
were   O
scheduled   O
,   O
and   O
French   B-NAME
was   O
advised   O
on   O
postoperative   O
care   O
instructions   O
,   O
including   O
wound   O
care   O
and   O
activity   O
restrictions   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Broderick   B-NAME
Narcisse   I-NAME
was   O
discharged   O
from   O
George   B-LOCATION
Washington   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
30/20   B-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Adkins   B-NAME
in   O
two   O
weeks   O
to   O
assess   O
recovery   O
progress   O
.   O

*   O
*   O
Patient   O
Report   O
:*   O
*   O
*   O
*   O
Patient   O
Information   O
:*   O
*   O
Name   O
:   O
Aditya   B-NAME
Shepherd   I-NAME
Age   O
:   O
22   O
ID   O
:   O
XP   B-ID
:   I-ID
AE:2387   I-ID
Medical   O
Record   O
Number   O
:   O
9933205   B-ID
Address   O
:   O
Detroit   B-LOCATION
-   I-LOCATION
Mexicantown   I-LOCATION
,   I-LOCATION
Mexicantown   I-LOCATION
Hubbard   I-LOCATION
,   O
32567   B-LOCATION
Phone   O
:   O
(   B-CONTACT
306   I-CONTACT
)   I-CONTACT
176   I-CONTACT
2016   I-CONTACT
Occupation   O
:   O

Ophthalmic   O
Medical   O
Technologists   O
Date   O
:   O
20/23   B-DATE
*   O
*   O
Referring   O
Doctor   O
:*   O
*   O
Name   O
:   O
Paris   B-NAME
Guzman   I-NAME
Hospital   O
:   O
John   B-LOCATION
C.   I-LOCATION
Lincoln   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O

Port   B-LOCATION
Murray   I-LOCATION
*   O
*   O
Summary   O
:*   O
*   O
Shamar   B-NAME
Gardner   I-NAME
presented   O
with   O
a   O
series   O
of   O
symptoms   O
that   O
necessitated   O
a   O
comprehensive   O
examination   O
by   O
our   O
medical   O
team   O
at   O
Grand   B-LOCATION
Mountain   I-LOCATION
Clinic   I-LOCATION
on   O
Saturday   B-DATE
.   O

Over   O
the   O
past   O
two   O
weeks   O
,   O
Ruth   B-NAME
,   I-NAME
Babe   I-NAME
experienced   O
a   O
significant   O
decrease   O
in   O
appetite   O
,   O
profound   O
fatigue   O
,   O
and   O
an   O
intermittent   O
cough   O
.   O

*   O
*   O
Clinical   O
Observations   O
:*   O
*   O
Upon   O
examination   O
,   O
Abby   B-NAME
Pham   I-NAME
exhibited   O
palpable   O
lymphadenopathy   O
,   O
primarily   O
in   O
the   O
cervical   O
and   O
axillary   O
regions   O
.   O

CT   O
scan   O
of   O
the   O
chest   O
,   O
abdomen   O
,   O
and   O
pelvis   O
-   O
Scheduled   O
for   O
22/00   B-DATE
.   O

3   O
.   O
Consult   O
with   O
oncology   O
and   O
hematology   O
specialists   O
at   O
ProHealth   B-LOCATION
Oconomowoc   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
potential   O
involvement   O
given   O
the   O
preliminary   O
diagnosis   O
of   O
a   O
possible   O
lymphoproliferative   O
disorder   O
.   O

Scheduled   O
follow   O
-   O
up   O
appointment   O
on   O
2190   B-DATE
for   O
review   O
of   O
biopsy   O
and   O
CT   O
scan   O
results   O
and   O
to   O
discuss   O
the   O
next   O
steps   O
in   O
management   O
based   O
on   O
a   O
definitive   O
diagnosis   O
.   O

All   O
communications   O
regarding   O
Phoebe   B-NAME
Woods   I-NAME
are   O
to   O
be   O
directed   O
to   O
96217   B-CONTACT
.   O

For   O
further   O
information   O
,   O
access   O
to   O
Herring   B-NAME
's   O
medical   O
record   O
can   O
be   O
obtained   O
using   O
ID   O
:   O
8456166   B-ID
.   O

Ben   B-NAME
Price   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Larsen   B-NAME
,   O
has   O
been   O
notified   O
of   O
the   O
current   O
findings   O
and   O
the   O
planned   O
diagnostic   O
approach   O
.   O

If   O
you   O
have   O
received   O
this   O
information   O
in   O
error   O
,   O
please   O
notify   O
the   O
sender   O
immediately   O
by   O
phone   O
at   O
225   B-CONTACT
-   I-CONTACT
8095   I-CONTACT
and   O
return   O
the   O
original   O
document   O
to   O
the   O
address   O
listed   O
above   O
(   O
Lincoln   B-LOCATION
City   I-LOCATION
,   O
94456   B-LOCATION
)   O
.   O

Patient   O
Report   O
for   O
Vinnie   B-NAME
Dalbeck   I-NAME
General   O
Information   O
:   O
16/03   B-DATE
-   O
Patient   O
,   O
Lutz   B-NAME
,   O
a   O
Tax   O
Preparers   O
from   O
Edwardsville   B-LOCATION
,   O
was   O
admitted   O
to   O
Woodland   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
following   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
and   O
persistent   O
vomiting   O
.   O

Medical   O
History   O
:   O
Esteban   B-NAME
Guerrero   I-NAME
,   O
3   O
,   O
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
Type   O
II   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Courtney   B-NAME
,   I-NAME
Leonard   I-NAME
H.   I-NAME
(   I-NAME
Lord   I-NAME
Courtney   I-NAME
)   I-NAME
is   O
a   O
nonsmoker   O
and   O
denies   O
the   O
use   O
of   O
alcohol   O
or   O
recreational   O
drugs   O
.   O

Diagnostic   O
Findings   O
:   O
Upon   O
examination   O
,   O
Elias   B-NAME
Huer   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
of   O
150/95   O
mmHg   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
of   O
38.5   O
°   O
C   O
.   O

Maynard   B-NAME
's   O
immediate   O
course   O
of   O
action   O
included   O
hydration   O
with   O
IV   O
fluids   O
,   O
administration   O
of   O
antiemetics   O
for   O
nausea   O
,   O
and   O
broad   O
-   O
spectrum   O
antibiotics   O
pending   O
further   O
diagnostic   O
results   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Vivekananda   B-NAME
,   B-NAME
Swami   I-NAME
was   O
advised   O
to   O
remain   O
hospitalized   O
for   O
close   O
monitoring   O
.   O

Odom   B-NAME
scheduled   O
a   O
follow   O
-   O
up   O
abdominal   O
CT   O
scan   O
for   O
00/20   B-DATE
to   O
further   O
investigate   O
the   O
cause   O
of   O
the   O
symptoms   O
and   O
to   O
monitor   O
the   O
patient   O
's   O
response   O
to   O
the   O
initial   O
treatment   O
.   O

Next   O
of   O
kin   O
listed   O
was   O
Emeline   B-NAME
Marten   I-NAME
's   O
sibling   O
,   O
OD556   B-NAME
,   O
reachable   O
at   O
25528   B-CONTACT
.   O

Consent   O
was   O
obtained   O
from   O
Luka   B-NAME
Mason   I-NAME
for   O
emergency   O
contact   O
and   O
for   O
medical   O
decision   O
-   O
making   O
purposes   O
if   O
required   O
.   O

Reference   O
:   O
Medical   O
Record   O
No   O
:   O
250   B-ID
-   I-ID
12   I-ID
-   I-ID
76   I-ID
ID   O
:   O
WF:36251:139648   B-ID

Dalia   B-NAME
Huerta   I-NAME
Date   O
of   O
Admission   O
:   O
12/2219   B-DATE
Location   O
:   O
7736   B-LOCATION
Homewood   I-LOCATION
St.   I-LOCATION
Hospital   O
:   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
South   I-LOCATION
Arkansas   I-LOCATION
Zip   O
Code   O
of   O
Residence   O
:   O
38383   B-LOCATION
Emergency   O
Contact   O
Phone   O
:   O
26341   B-CONTACT

The   O
patient   O
,   O
Curtis   B-NAME
Nichols   I-NAME
,   O
a   O
Public   O
Relations   O
Specialists   O
from   O
Ravenden   B-LOCATION
,   O
presented   O
to   O
Emory   B-LOCATION
Johns   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
on   O
2069   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
34   I-DATE
with   O
a   O
series   O
of   O
symptoms   O
that   O
have   O
been   O
persistent   O
for   O
approximately   O
two   O
weeks   O
.   O

Jack   B-NAME
Hoffman   I-NAME
complained   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
noticeable   O
loss   O
of   O
appetite   O
.   O

Additionally   O
,   O
Buckley   B-NAME
has   O
experienced   O
several   O
episodes   O
of   O
fever   O
,   O
with   O
temperatures   O
reaching   O
up   O
to   O
38.5   O
°   O
C   O
,   O
accompanied   O
by   O
night   O
sweats   O
.   O

On   O
physical   O
examination   O
,   O
Angie   B-NAME
Romero   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
Blood   O
pressure   O
at   O
135/85   O
mmHg   O
,   O
pulse   O
rate   O
at   O
98   O
bpm   O
,   O
and   O
respiratory   O
rate   O
at   O
16   O
breaths   O
per   O
minute   O
.   O

Mohammad   B-NAME
Hopkins   I-NAME
,   O
the   O
attending   O
physician   O
,   O
recommended   O
immediate   O
surgical   O
consultation   O
for   O
suspected   O
acute   O
appendicitis   O
,   O
and   O
Zane   B-NAME
Mcfarland   I-NAME
was   O
scheduled   O
for   O
an   O
ultrasound   O
of   O
the   O
abdomen   O
to   O
confirm   O
the   O
diagnosis   O
.   O

The   O
ultrasound   O
,   O
conducted   O
on   O
28/05   B-DATE
,   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
and   O
fluid   O
collection   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Amber   B-NAME
Moran   I-NAME
discussed   O
the   O
findings   O
with   O
Treena   B-NAME
Godsey   I-NAME
,   O
explaining   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Alfonzo   B-NAME
's   O
informed   O
consent   O
was   O
obtained   O
,   O
and   O
surgery   O
was   O
scheduled   O
for   O
the   O
morning   O
of   O
07/85   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Best   B-NAME
was   O
monitored   O
post   O
-   O
operatively   O
in   O
Casey   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
's   O
surgical   O
unit   O
.   O

The   O
patient   O
was   O
advised   O
post   O
-   O
surgery   O
care   O
,   O
including   O
antibiotics   O
administration   O
for   O
30/22/72   B-DATE
days   O
to   O
prevent   O
infection   O
,   O
pain   O
management   O
,   O
and   O
dietary   O
recommendations   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Chanel   B-NAME
Kramer   I-NAME
on   O
04/19   B-DATE
to   O
monitor   O
Todd   B-NAME
Banks   I-NAME
's   O
recovery   O
and   O
to   O
remove   O
sutures   O
.   O

Chemical   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Canada   I-LOCATION
(   I-LOCATION
CIC   I-LOCATION
)   I-LOCATION
was   O
notified   O
about   O
Deandre   B-NAME
Cantrell   I-NAME
's   O
hospital   O
admission   O
and   O
surgery   O
as   O
per   O
the   O
procedure   O
for   O
health   O
insurance   O
claims   O
.   O

Avery   B-NAME
Palmer   I-NAME
was   O
given   O
a   O
case   O
number   O
54992521   B-ID
for   O
future   O
references   O
.   O

Additionally   O
,   O
Hingham   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
was   O
provided   O
with   O
Ochoa   B-NAME
's   O
contact   O
information   O
,   O
(   B-CONTACT
431   I-CONTACT
)   I-CONTACT
890   I-CONTACT
9036   I-CONTACT
,   O
for   O
any   O
necessary   O
follow   O
-   O
up   O
or   O
documentation   O
requests   O
.   O

Liana   B-NAME
Huffman   I-NAME
resides   O
at   O
Tollette   B-LOCATION
and   O
can   O
be   O
reached   O
at   O
717   B-CONTACT
557   I-CONTACT
-   I-CONTACT
7317   I-CONTACT
for   O
any   O
further   O
assistance   O
or   O
emergencies   O
.   O

The   O
discharge   O
summary   O
and   O
post   O
-   O
operative   O
care   O
instructions   O
were   O
sent   O
to   O
Clarence   B-NAME
K.   I-NAME
Hart   I-NAME
's   O
registered   O
email   O
,   O
as   O
per   O
the   O
request   O
.   O

In   O
conclusion   O
,   O
Nia   B-NAME
Briggs   I-NAME
's   O
immediate   O
surgical   O
intervention   O
for   O
acute   O
appendicitis   O
resulted   O
in   O
a   O
timely   O
resolution   O
of   O
symptoms   O
and   O
prevention   O
of   O
potential   O
complications   O
such   O
as   O
appendiceal   O
rupture   O
.   O

Skyler   B-NAME
Lynn   I-NAME
's   O
adherence   O
to   O
post   O
-   O
operative   O
care   O
and   O
scheduled   O
follow   O
-   O
up   O
appointments   O
will   O
be   O
crucial   O
for   O
a   O
full   O
recovery   O
.   O

Patient   O
Report   O
for   O
Tanner   B-NAME
Sun   I-NAME
20/22/29   B-DATE
,   O
the   O
Founders   B-LOCATION
Bank   I-LOCATION
received   O
Jerrica   B-NAME
at   O
Washington   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
Greene   I-LOCATION
in   O
Tesuque   B-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
unrelenting   O
headache   O
specifically   O
located   O
in   O
the   O
occipital   O
region   O
.   O

Albert   B-NAME
Frock   I-NAME
is   O
51   O
years   O
old   O
and   O
works   O
as   O
a   O
Training   O
and   O
development   O
officer   O
.   O

The   O
onset   O
of   O
symptoms   O
was   O
noted   O
04/22/05   B-DATE
,   O
with   O
Ferrus   B-NAME
describing   O
the   O
pain   O
as   O
“   O
pounding   O
”   O
and   O
“   O
throbbing   O
”   O
with   O
episodes   O
peaking   O
within   O
minutes   O
.   O

The   O
medical   O
record   O
number   O
assigned   O
to   O
Adelaide   B-NAME
Ferrell   I-NAME
is   O
77409595   B-ID
.   O

Griffin   B-NAME
Madden   I-NAME
conducted   O
a   O
comprehensive   O
neurological   O
examination   O
,   O
which   O
did   O
not   O
reveal   O
any   O
focal   O
neurological   O
deficits   O
.   O

However   O
,   O
due   O
to   O
the   O
severity   O
of   O
the   O
headache   O
and   O
associated   O
symptoms   O
,   O
Webster   B-NAME
recommended   O
a   O
CT   O
scan   O
and   O
MRI   O
of   O
the   O
brain   O
to   O
rule   O
out   O
any   O
intracranial   O
abnormalities   O
.   O

The   O
imaging   O
studies   O
,   O
conducted   O
on   O
2232   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
05   I-DATE
at   O
Power   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
,   O
showed   O
no   O
evidence   O
of   O
hemorrhage   O
,   O
mass   O
effect   O
,   O
or   O
acute   O
ischemic   O
changes   O
.   O

Management   O
initiated   O
for   O
Giovani   B-NAME
Hensley   I-NAME
included   O
hydration   O
and   O
administration   O
of   O
IV   O
metoclopramide   O
for   O
nausea   O
,   O
followed   O
by   O
Sumatriptan   O
for   O
migraine   O
relief   O
.   O

Within   O
approximately   O
89   O
hours   O
of   O
treatment   O
,   O
Leslie   B-NAME
Abbott   I-NAME
reported   O
a   O
significant   O
reduction   O
in   O
headache   O
severity   O
.   O

Hayes   B-NAME
also   O
advised   O
Nathanael   B-NAME
Coffey   I-NAME
on   O
lifestyle   O
modifications   O
including   O
stress   O
management   O
,   O
regular   O
sleep   O
schedule   O
,   O
and   O
dietary   O
changes   O
to   O
avoid   O
known   O
migraine   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
03/37   B-DATE
.   O

Ta   B-NAME
Glantz   I-NAME
was   O
advised   O
to   O
keep   O
a   O
headache   O
diary   O
and   O
report   O
any   O
new   O
or   O
worsening   O
symptoms   O
immediately   O
.   O

Phelps   B-NAME
provided   O
Imani   B-NAME
Blevins   I-NAME
with   O
a   O
prescription   O
for   O
an   O
as   O
-   O
needed   O
anti   O
-   O
migraine   O
medication   O
and   O
a   O
referral   O
to   O
a   O
headache   O
specialist   O
should   O
the   O
migraines   O
become   O
frequent   O
or   O
more   O
severe   O
.   O

The   O
given   O
contact   O
for   O
the   O
headache   O
specialist   O
was   O
145   B-CONTACT
-   I-CONTACT
152   I-CONTACT
3675   I-CONTACT
.   O

Throughout   O
the   O
treatment   O
,   O
Lara   B-NAME
’s   O
privacy   O
was   O
maintained   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
,   O
ensuring   O
that   O
any   O
communication   O
regarding   O
their   O
care   O
was   O
secured   O
.   O

Furthermore   O
,   O
instructions   O
were   O
given   O
to   O
Izabelle   B-NAME
Tapia   I-NAME
on   O
accessing   O
their   O
electronic   O
health   O
records   O
online   O
securely   O
,   O
using   O
their   O
unique   O
ID   O
QK904/7455   B-ID
.   O

Concluding   O
Instructions   O
to   O
Daniella   B-NAME
Rangel   I-NAME
:   O
-   O
Continue   O
with   O
prescribed   O
medication   O
as   O
directed   O
.   O

-   O
Communicate   O
any   O
changes   O
in   O
headache   O
pattern   O
or   O
severity   O
to   O
Laurel   B-LOCATION
Oaks   I-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
via   O
79841   B-CONTACT
.   O
-   O
Adhere   O
to   O
the   O
follow   O
-   O
up   O
schedule   O
without   O
fail   O
.   O

Should   O
Cortázar   B-NAME
,   I-NAME
Julio   I-NAME
need   O
any   O
immediate   O
assistance   O
or   O
have   O
questions   O
regarding   O
their   O
care   O
,   O
they   O
were   O
advised   O
to   O
contact   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
at   O
917   B-CONTACT
6308   I-CONTACT
or   O
reach   O
out   O
to   O
Jason   B-NAME
Cardenas   I-NAME
directly   O
through   O
the   O
hospital   O
communication   O
system   O
.   O

This   O
report   O
will   O
be   O
securely   O
stored   O
in   O
Maribel   B-NAME
Salazar   I-NAME
’s   O
health   O
records   O
,   O
with   O
access   O
restricted   O
to   O
authorized   O
medical   O
personnel   O
only   O
,   O
ensuring   O
the   O
confidentiality   O
of   O
Vena   B-NAME
Gicker   I-NAME
’s   O
personal   O
health   O
information   O
(   O
PHI   O
)   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Genesis   B-NAME
Singleton   I-NAME
Patient   O
ID   O
:   O
KU106/4973   B-ID
Date   O
of   O
Birth   O
:   O
06/37/21   B-DATE
Medical   O
Record   O
Number   O
:   O
24389750   B-ID
Date   O
of   O
Admission   O
:   O
2230   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
27   I-DATE
Location   O
of   O
Admission   O
:   O
NorthBay   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Prestbury   B-LOCATION
Attending   O
Physician   O
:   O

Barker   B-NAME
Contact   O
Number   O
:   O
855   B-CONTACT
-   I-CONTACT
218   I-CONTACT
-   I-CONTACT
8397   I-CONTACT
Occupation   O
:   O
Flight   O
Attendants   O
Username   O
:   O
pk954   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
5   O
-   O
year   O
-   O
old   O
Postsecondary   O
Teachers   O
,   O
All   O
Other   O
with   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
AdventHealth   B-LOCATION
Kissimmee   I-LOCATION
on   O
1/28   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
diaphoresis   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
arrival   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Jeremy   B-NAME
Richmond   I-NAME
reported   O
that   O
the   O
pain   O
was   O
sudden   O
in   O
onset   O
,   O
located   O
in   O
the   O
center   O
of   O
the   O
chest   O
with   O
a   O
crushing   O
quality   O
.   O

Bowie   B-NAME
,   I-NAME
David   I-NAME
denies   O
having   O
had   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Hypertension   O
,   O
diagnosed   O
13/50   B-DATE
.   O

Social   O
History   O
:   O
Joshua   B-NAME
Morgan   I-NAME
is   O
a   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Personal   O
Service   O
Workers   O
,   O
reports   O
moderate   O
alcohol   O
consumption   O
on   O
weekends   O
,   O
denies   O
smoking   O
or   O
illicit   O
drug   O
use   O
.   O

Lives   O
in   O
Tumwater   B-LOCATION
with   O
85917   B-LOCATION
.   O

Treatment   O
:   O
Rana   B-NAME
Krivanec   I-NAME
was   O
given   O
aspirin   O
325   O
mg   O
,   O
clopidogrel   O
600   O
mg   O
loading   O
dose   O
,   O
and   O
IV   O
nitroglycerin   O
.   O

Cardiac   O
catheterization   O
was   O
scheduled   O
for   O
December   B-DATE
25   I-DATE
,   I-DATE
2056   I-DATE
.   O

Follow   O
-   O
Up   O
:   O
Charlie   B-NAME
Banks   I-NAME
is   O
to   O
follow   O
up   O
with   O
Blackburn   B-NAME
at   O
Saint   B-LOCATION
Elizabeth   I-LOCATION
Hebron   I-LOCATION
on   O
December   B-DATE
of   I-DATE
2151   I-DATE
for   O
reevaluation   O
and   O
management   O
adjustments   O
as   O
needed   O
.   O

For   O
any   O
concerns   O
or   O
further   O
information   O
regarding   O
the   O
patient   O
’s   O
care   O
,   O
please   O
contact   O
the   O
cardiology   O
department   O
at   O
928   B-CONTACT
4954   I-CONTACT
.   O

This   O
patient   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
medical   O
team   O
assigned   O
to   O
Hana   B-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Sloane   B-NAME
Woodard   I-NAME
Age   O
:   O
42   O
Date   O
of   O
Birth   O
:   O
26th   B-DATE
of   I-DATE
February   I-DATE
Address   O
:   O
Chaparral   B-LOCATION
,   O
83638   B-LOCATION
Phone   O
Number   O
:   O
219   B-CONTACT
-   I-CONTACT
1612   I-CONTACT
Profession   O
:   O
Food   O
Preparation   O
and   O
Serving   O
Related   O
Workers   O
,   O
All   O
Other   O
Medical   O
Record   O
Number   O
:   O
2055200   B-ID
ID   O
:   O
596307285   B-ID
Primary   O
Physician   O
:   O

Daisy   B-NAME
Copeland   I-NAME
Hospital   O
:   O
University   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
Date   O
of   O
Visit   O
:   O
19   B-DATE
Username   O
:   O
bte414   B-NAME
Presentation   O
:   O
Miles   B-NAME
McCabe   I-NAME
presented   O
to   O
Garfield   B-LOCATION
County   I-LOCATION
Public   I-LOCATION
Hospital   I-LOCATION
on   O
12/12/1809   B-DATE
with   O
complaints   O
of   O
progressive   O
shortness   O
of   O
breath   O
and   O
a   O
productive   O
cough   O
of   O
greenish   O
sputum   O
that   O
has   O
persisted   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Rocco   B-NAME
Berry   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
well   O
-   O
controlled   O
on   O
oral   O
hypoglycemics   O
,   O
and   O
a   O
smoking   O
history   O
of   O
20   O
pack   O
-   O
years   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Alicia   B-NAME
Hinton   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
dyspnoea   O
.   O

Management   O
:   O
Luka   B-NAME
Mason   I-NAME
was   O
admitted   O
to   O
Thomas   B-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Breanna   B-NAME
Waller   I-NAME
for   O
further   O
management   O
.   O

Santayana   B-NAME
,   I-NAME
George   I-NAME
's   O
antidiabetic   O
medications   O
were   O
adjusted   O
to   O
account   O
for   O
the   O
stress   O
response   O
to   O
infection   O
.   O

Follow   O
-   O
up   O
:   O
Paul   B-NAME
Arteaga   I-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
after   O
48   O
hours   O
of   O
antibiotic   O
therapy   O
.   O

Repeat   O
chest   O
X   O
-   O
ray   O
on   O
December   B-DATE
showed   O
clearing   O
of   O
the   O
infiltrates   O
.   O

Carroll   B-NAME
was   O
discharged   O
on   O
2349   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Randall   B-NAME
Castro   I-NAME
in   O
two   O
weeks   O
'   O
time   O
for   O
re   O
-   O
evaluation   O
.   O

Patient   O
Name   O
:   O
Lina   B-NAME
Parks   I-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
2180644   I-ID
Medical   O
Record   O
Number   O
:   O
23846404   B-ID
Date   O
of   O
Birth   O
:   O
20/11   B-DATE
Age   O
:   O
23   O
Phone   O
Number   O
:   O
748   B-CONTACT
-   I-CONTACT
228   I-CONTACT
9133   I-CONTACT
Address   O
:   O
South   B-LOCATION
Windham   I-LOCATION
,   O
21617   B-LOCATION
Employer   O
:   O
Fleet   B-LOCATION
Reserve   I-LOCATION
Association   I-LOCATION
Occupation   O
:   O
Acupuncturists   O
Primary   O
Care   O
Physician   O
:   O

Gina   B-NAME
Chen   I-NAME
Date   O
of   O
Visit   O
:   O
Veterans   B-DATE
Day   I-DATE
Location   O
of   O
Visit   O
:   O
Virginia   B-LOCATION
Mason   I-LOCATION
Memorial   I-LOCATION
Chief   O
Complaint   O
:   O
williams   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
12/01/2150   B-DATE
with   O
complaints   O
of   O
continuous   O
,   O
throbbing   O
head   O
pain   O
predominantly   O
in   O
the   O
frontal   O
region   O
,   O
which   O
has   O
been   O
persisting   O
for   O
the   O
past   O
Sunday   B-DATE
.   O

Amayeta   B-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Zayne   B-NAME
Bell   I-NAME
,   O
a   O
37   O
-   O
year   O
-   O
old   O
Law   O
Teachers   O
,   O
Postsecondary   O
at   O
Provincial   B-LOCATION
Worlds   I-LOCATION
,   O
began   O
experiencing   O
these   O
symptoms   O
approximately   O
32/02   B-DATE
ago   O
.   O

Thomas   B-NAME
Ho   I-NAME
denies   O
any   O
recent   O
head   O
injury   O
,   O
fever   O
,   O
or   O
visual   O
disturbances   O
.   O

Past   O
Medical   O
History   O
:   O
Sarah   B-NAME
Bellum   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Ecclestone   B-NAME
,   I-NAME
Bernie   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
migraines   O
in   O
Reuben   B-NAME
Gaines   I-NAME
's   O
mother   O
.   O

Ziemba   B-NAME
is   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
and   O
avoid   O
known   O
migraine   O
triggers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
16/10/2248   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
make   O
necessary   O
adjustments   O
.   O

Please   O
call   O
315   B-CONTACT
2392   I-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
or   O
to   O
reschedule   O
the   O
follow   O
-   O
up   O
appointment   O
.   O

Prepared   O
by   O
:   O
pc153   B-NAME
22/20   B-DATE

Patient   O
Name   O
:   O
Christopher   B-NAME
Leslie   I-NAME
Date   O
of   O
Birth   O
:   O
01/21   B-DATE
Age   O
:   O
42   O
Medical   O
Record   O
Number   O
:   O
8057160   B-ID
ID   O
Number   O
:   O
6   B-ID
-   I-ID
3474540   I-ID
Address   O
:   O
Brighton   B-LOCATION
,   O
98019   B-LOCATION
Phone   O
Number   O
:   O
65295   B-CONTACT
Employer   O
:   O
Southern   B-LOCATION
Aid   I-LOCATION
and   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
Job   O
Title   O
:   O
Loan   O
Officers   O
Primary   O
Physician   O
:   O

Devan   B-NAME
Diaz   I-NAME
Hospital   O
:   O
Atlanticare   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Mainland   I-LOCATION
Campus   I-LOCATION
Date   O
of   O
Admission   O
:   O
32/2/2112   B-DATE
Date   O
of   O
Report   O
:   O
22/26   B-DATE
Clinical   O
Summary   O
:   O

Vuong   B-NAME
presented   O
to   O
Angelvale   B-LOCATION
Hospital   I-LOCATION
on   O
Wednesday   B-DATE
,   I-DATE
September   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
over   O
the   O
past   O
79   O
hours   O
.   O

Christensen   B-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
.   O

Past   O
Medical   O
History   O
:   O
Gideon   B-NAME
Fox   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
managed   O
with   O
medication   O
.   O

Raelynn   B-NAME
Wilkinson   I-NAME
also   O
has   O
a   O
family   O
history   O
of   O
cardiac   O
diseases   O
.   O

Upon   O
examination   O
,   O
Xavier   B-NAME
Dotson   I-NAME
appeared   O
anxious   O
and   O
in   O
distress   O
.   O

Management   O
:   O
Dunn   B-NAME
was   O
immediately   O
started   O
on   O
dual   O
antiplatelet   O
therapy   O
,   O
high   O
-   O
dose   O
statins   O
,   O
and   O
beta   O
-   O
blockers   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Given   O
the   O
presenting   O
symptoms   O
and   O
ECG   O
findings   O
,   O
YARBROUGH   B-NAME
was   O
taken   O
to   O
the   O
catheterization   O
lab   O
for   O
an   O
urgent   O
coronary   O
angiography   O
,   O
which   O
revealed   O
a   O
significant   O
blockage   O
in   O
the   O
right   O
coronary   O
artery   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Post   O
-   O
procedure   O
,   O
Arabella   B-NAME
Aguirre   I-NAME
showed   O
significant   O
improvement   O
in   O
symptoms   O
and   O
was   O
advised   O
lifestyle   O
modifications   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
if   O
applicable   O
.   O

Medications   O
were   O
adjusted   O
,   O
and   O
Springsteen   B-NAME
,   I-NAME
Bruce   I-NAME
was   O
enrolled   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

Agustin   B-NAME
Crosby   I-NAME
recommended   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
01/21   B-DATE
for   O
evaluation   O
and   O
further   O
management   O
.   O

Discharged   O
on   O
:   O
2297   B-DATE
Follow   O
Up   O
:   O

10/24   B-DATE
Emergency   O
Contact   O
:   O
33816   B-CONTACT
Reported   O
By   O
:   O
Greene   B-NAME
Username   O
:   O
CK430   B-NAME

Patient   O
Report   O
for   O
Roland   B-NAME
Huffman   I-NAME
Patient   O
04571485   B-ID
presented   O
to   O
Allegan   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
08/24/2272   B-DATE
with   O
complaints   O
of   O
acute   O
,   O
persistent   O
headache   O
,   O
photophobia   O
,   O
and   O
neck   O
stiffness   O
.   O

53   O
male   O
,   O
Claims   O
Takers   O
,   O
Unemployment   O
Benefits   O
by   O
occupation   O
,   O
reports   O
that   O
the   O
symptoms   O
have   O
been   O
worsening   O
over   O
the   O
past   O
May   B-DATE
2   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Macie   B-NAME
Farmer   I-NAME
stated   O
that   O
the   O
headache   O
began   O
about   O
a   O
week   O
ago   O
,   O
described   O
as   O
a   O
constant   O
,   O
throbbing   O
pain   O
located   O
primarily   O
in   O
the   O
frontal   O
area   O
.   O

Associated   O
symptoms   O
included   O
nausea   O
,   O
vomiting   O
(   O
twice   O
on   O
the   O
morning   O
of   O
11/11   B-DATE
)   O
,   O
and   O
an   O
intolerance   O
to   O
bright   O
lights   O
.   O

Banks   B-NAME
,   I-NAME
Tony   I-NAME
(   I-NAME
Lord   I-NAME
Stratford   I-NAME
)   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
of   O
60   B-LOCATION
Glen   I-LOCATION
Creek   I-LOCATION
Court   I-LOCATION
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Jobs   B-NAME
,   I-NAME
Steve   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
the   O
use   O
of   O
recreational   O
drugs   O
.   O

Upon   O
admission   O
to   O
Adventist   B-LOCATION
Health   I-LOCATION
Simi   I-LOCATION
Valley   I-LOCATION
,   O
Richards   B-NAME
ordered   O
a   O
series   O
of   O
tests   O
including   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
blood   O
cultures   O
,   O
and   O
lumbar   O
puncture   O
for   O
CSF   O
analysis   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
preliminary   O
lab   O
results   O
,   O
the   O
team   O
,   O
led   O
by   O
Quinten   B-NAME
Ball   I-NAME
,   O
suspects   O
viral   O
meningitis   O
.   O

Elroy   B-NAME
Liberto   I-NAME
was   O
started   O
on   O
IV   O
acyclovir   O
and   O
supportive   O
therapy   O
including   O
fluids   O
and   O
analgesia   O
.   O

Gene   B-NAME
Quadri   I-NAME
has   O
been   O
advised   O
to   O
stay   O
under   O
observation   O
at   O
Emerson   B-LOCATION
Hospital   I-LOCATION
for   O
continuous   O
monitoring   O
and   O
supportive   O
care   O
.   O

For   O
any   O
updates   O
regarding   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
the   O
Neurology   O
Department   O
at   O
887   B-CONTACT
369   I-CONTACT
4954   I-CONTACT
.   O

In   O
cases   O
where   O
immediate   O
family   O
members   O
need   O
to   O
reach   O
out   O
regarding   O
the   O
patient   O
,   O
refer   O
to   O
the   O
patient   O
's   O
emergency   O
contact   O
listed   O
in   O
their   O
medical   O
record   O
05363025   B-ID
.   O

Patient   O
's   O
Consent   O
:   O
Consent   O
for   O
the   O
treatment   O
and   O
investigative   O
procedures   O
was   O
obtained   O
from   O
Carina   B-NAME
Schwartz   I-NAME
on   O
12/08/2011   B-DATE
.   O

Jaeden   B-NAME
Berger   I-NAME
has   O
agreed   O
to   O
the   O
proposed   O
plan   O
of   O
care   O
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
Central   B-LOCATION
Maine   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
43941   B-CONTACT
and   O
delete   O
the   O
report   O
from   O
all   O
storage   O
media   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
ID   O
:   O
3   B-ID
-   I-ID
8378474   I-ID
Name   O
:   O
Brittany   B-NAME
Rasmussen   I-NAME
Age   O
:   O
88s   O
Phone   O
:   O
108   B-CONTACT
4626   I-CONTACT
Address   O
:   O
18   B-LOCATION
W.   I-LOCATION
Bay   I-LOCATION
St.   I-LOCATION
,   O
34474   B-LOCATION
Profession   O
:   O
Stevedores   O
,   O
Except   O
Equipment   O
Operators   O
Primary   O
Care   O
Physician   O
:   O
Benson   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Stockton   I-LOCATION
Medical   O
Record   O
Number   O
:   O
276   B-ID
-   I-ID
40   I-ID
-   I-ID
60   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Visit   O
:   O
10/02   B-DATE
Medical   O
History   O
:   O
Virgilio   B-NAME
,   O
a   O
Music   O
Arrangers   O
and   O
Orchestrators   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Lucas   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
33/22   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Hunter   B-NAME
reported   O
a   O
loss   O
of   O
appetite   O
and   O
slight   O
fever   O
the   O
night   O
before   O
the   O
onset   O
of   O
the   O
symptoms   O
.   O

Examination   O
and   O
Diagnosis   O
:   O
Upon   O
examination   O
,   O
Alexander   B-NAME
,   O
who   O
is   O
98   O
years   O
old   O
,   O
was   O
found   O
to   O
be   O
in   O
acute   O
distress   O
.   O

Further   O
diagnostic   O
tests   O
,   O
including   O
an   O
abdominal   O
ultrasound   O
and   O
a   O
complete   O
blood   O
count   O
,   O
were   O
ordered   O
by   O
Kate   B-NAME
Marlens   I-NAME
.   O

Treatment   O
and   O
Outcome   O
:   O
After   O
the   O
diagnosis   O
was   O
confirmed   O
,   O
Viviana   B-NAME
Powell   I-NAME
was   O
informed   O
about   O
the   O
condition   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

The   O
surgical   O
consent   O
was   O
signed   O
by   O
Blake   B-NAME
Barajas   I-NAME
on   O
03   B-DATE
.   O

The   O
appendectomy   O
was   O
performed   O
successfully   O
without   O
any   O
complications   O
by   O
Compton   B-NAME
at   O
Phoebe   B-LOCATION
Worth   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Baldwin   B-NAME
was   O
discharged   O
on   O
10/32/2160   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Hayes   B-NAME
two   O
weeks   O
post   O
-   O
discharge   O
.   O

During   O
the   O
follow   O
-   O
up   O
visit   O
on   O
03/22/31   B-DATE
,   O
Anthony   B-NAME
Edge   I-NAME
reported   O
significant   O
improvement   O
and   O
no   O
post   O
-   O
operative   O
complications   O
were   O
noted   O
.   O

Barber   B-NAME
recommended   O
a   O
gradual   O
return   O
to   O
normal   O
activities   O
,   O
emphasizing   O
the   O
importance   O
of   O
adequate   O
rest   O
and   O
maintaining   O
a   O
balanced   O
diet   O
to   O
support   O
recovery   O
.   O

In   O
conclusion   O
,   O
the   O
timely   O
presentation   O
to   O
AdventHealth   B-LOCATION
Hendersonville   I-LOCATION
,   O
accurate   O
diagnosis   O
by   O
Genevie   B-NAME
Latimer   I-NAME
,   O
and   O
prompt   O
surgical   O
intervention   O
led   O
to   O
the   O
successful   O
management   O
of   O
acute   O
appendicitis   O
in   O
Aydin   B-NAME
Dudley   I-NAME
.   O

Documentation   O
:   O
This   O
report   O
was   O
prepared   O
by   O
jic245   B-NAME
,   O
a   O
medical   O
staff   O
member   O
at   O
Saint   B-LOCATION
Clare   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Denville   I-LOCATION
,   O
and   O
entered   O
into   O
Saunders   B-NAME
's   O
medical   O
record   O
(   O
657   B-ID
-   I-ID
54   I-ID
-   I-ID
18   I-ID
-   I-ID
8   I-ID
)   O
on   O
June   B-DATE
2372   I-DATE
.   O

For   O
further   O
information   O
or   O
to   O
discuss   O
Cael   B-NAME
Kelley   I-NAME
's   O
treatment   O
plan   O
,   O
please   O
contact   O
New   B-LOCATION
Horizons   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
472   B-CONTACT
4140   I-CONTACT
.   O

Patient   O
Report   O
for   O
Alberto   B-NAME
Mays   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
KL   B-ID
:   I-ID
HR:1630   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
1217928   B-ID
-   O
Date   O
of   O
Birth   O
:   O
Martin   B-DATE
Luther   I-DATE
King   I-DATE
Day   I-DATE
-   O
Age   O
:   O
5   O
month   O
-   O
Phone   O
Number   O
:   O
10215   B-CONTACT
-   O
Address   O
:   O
Warren   B-LOCATION
Park   I-LOCATION
,   O
28473   B-LOCATION
Emergency   O
Contact   O
:   O
-   O
Name   O
:   O
Cale   B-NAME
Oconnell   I-NAME
-   O
Relationship   O
:   O
Environmental   O
Scientists   O
and   O
Specialists   O
,   O
Including   O
Health   O
-   O
Phone   O
:   O
144   B-CONTACT
661   I-CONTACT
-   I-CONTACT
3995   I-CONTACT
-   O
Address   O
:   O
Scottsdale   B-LOCATION
,   O
57439   B-LOCATION
Medical   O
History   O
:   O
-   O
Primary   O
Care   O
Physician   O
:   O

Stephen   B-NAME
Davila   I-NAME
,   O
Rocky   B-LOCATION
Mountain   I-LOCATION
Animal   I-LOCATION
Defense   I-LOCATION
-   O
Last   O
Visit   O
:   O
Thursday   B-DATE
,   I-DATE
October   I-DATE
-   O
Known   O
Allergies   O
:   O
None   O
reported   O
-   O
Previous   O
Surgeries   O
:   O
Appendectomy   O
(   O
0/29   B-DATE
)   O

The   O
patient   O
presented   O
to   O
Henry   B-LOCATION
Ford   I-LOCATION
Allegiance   I-LOCATION
Health   I-LOCATION
on   O
June   B-DATE
14   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
experienced   O
over   O
the   O
past   O
48   O
hours   O
.   O

They   O
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
loss   O
of   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
peaking   O
at   O
100.4   O
°   O
F   O
(   O
15/05   B-DATE
)   O
.   O

The   O
patient   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
underwent   O
an   O
emergency   O
appendectomy   O
on   O
2279   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
01   I-DATE
.   O

The   O
surgical   O
procedure   O
,   O
performed   O
by   O
Osborn   B-NAME
at   O
Southern   B-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
was   O
successful   O
without   O
complications   O
.   O

The   O
patient   O
was   O
advised   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Bush   B-NAME
,   I-NAME
Kate   I-NAME
in   O
two   O
weeks   O
.   O

Discharge   O
Information   O
:   O
-   O
Date   O
:   O
2035   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
26   I-DATE
-   O
Prescriptions   O
:   O
Antibiotics   O
for   O
7   O
days   O
,   O
pain   O
management   O
medication   O
as   O
needed   O
.   O

-   O
Activity   O
:   O
Light   O
activity   O
is   O
encouraged   O
;   O
avoid   O
strenuous   O
exercise   O
for   O
4   O
-   O
6   O
weeks   O
.   O
-   O
Diet   O
:   O
Liquid   O
diet   O
for   O
the   O
first   O
24   O
hours   O
post   O
-   O
discharge   O
,   O
gradually   O
reintroducing   O
solid   O
foods   O
as   O
tolerated   O
.   O
-   O
Follow   O
-   O
up   O
:   O
Scheduled   O
on   O
1/29/13   B-DATE
with   O
Kristian   B-NAME
Lucero   I-NAME
,   O
Northwestern   B-LOCATION
Mutual   I-LOCATION
.   O

Notes   O
added   O
to   O
patient   O
's   O
electronic   O
health   O
record   O
(   O
EHR   O
)   O
under   O
user   O
cf197   B-NAME
for   O
continuous   O
monitoring   O
and   O
evaluation   O
.   O

Patient   O
Report   O
:   O
05/19   B-DATE
,   O
Nyla   B-NAME
Bond   I-NAME
visited   O
Navarro   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
located   O
in   O
Phoenix   B-LOCATION
,   O
53033   B-LOCATION
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
noticed   O
blood   O
in   O
their   O
stool   O
.   O

James   B-NAME
Guerra   I-NAME
,   O
a   O
Commissioning   O
editor   O
,   O
aged   O
94   O
,   O
has   O
a   O
history   O
of   O
peptic   O
ulcer   O
disease   O
.   O

[   O
P   O
Todd   B-NAME
]   O
reviewed   O
the   O
patient   O
's   O
medical   O
records   O
,   O
75448085   B-ID
,   O
and   O
noted   O
that   O
Gardner   B-NAME
was   O
previously   O
prescribed   O
a   O
course   O
of   O
proton   O
pump   O
inhibitors   O
,   O
which   O
was   O
completed   O
on   O
0/12   B-DATE
.   O

During   O
the   O
examination   O
,   O
Townsend   B-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
upper   O
abdominal   O
region   O
.   O

Aiken   B-NAME
,   I-NAME
Conrad   I-NAME
rated   O
the   O
pain   O
as   O
7   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Furthermore   O
,   O
Ryan   B-NAME
Ray   I-NAME
reported   O
experiencing   O
bouts   O
of   O
nausea   O
,   O
especially   O
after   O
eating   O
,   O
and   O
occasional   O
vomiting   O
.   O

Olson   B-NAME
ordered   O
a   O
series   O
of   O
diagnostic   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
serum   O
electrolytes   O
,   O
and   O
an   O
upper   O
gastrointestinal   O
endoscopy   O
.   O

The   O
contact   O
number   O
provided   O
by   O
Clayton   B-NAME
Norton   I-NAME
for   O
follow   O
-   O
up   O
is   O
(   B-CONTACT
349   I-CONTACT
)   I-CONTACT
940   I-CONTACT
2576   I-CONTACT
.   O

Given   O
the   O
patient   O
's   O
symptoms   O
and   O
medical   O
history   O
,   O
Patricia   B-NAME
Jensen   I-NAME
suspects   O
that   O
Natashia   B-NAME
Rosa   I-NAME
might   O
have   O
a   O
recurrent   O
peptic   O
ulcer   O
,   O
potentially   O
complicated   O
by   O
bleeding   O
.   O

William   B-NAME
Hayward   I-NAME
discussed   O
the   O
potential   O
need   O
for   O
hospitalization   O
if   O
the   O
endoscopy   O
confirms   O
a   O
bleeding   O
ulcer   O
.   O

Linux   B-LOCATION
Users   I-LOCATION
'   I-LOCATION
Group   I-LOCATION
of   I-LOCATION
Davis   I-LOCATION
will   O
handle   O
the   O
processing   O
of   O
Lesha   B-NAME
Childress   I-NAME
's   O
health   O
insurance   O
information   O
.   O

The   O
patient   O
's   O
insurance   O
ID   O
is   O
LZ:77060:127537   B-ID
.   O

Detailed   O
instructions   O
were   O
provided   O
to   O
Mckee   B-NAME
regarding   O
pre   O
-   O
endoscopy   O
preparation   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
2283   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
28   I-DATE
to   O
discuss   O
the   O
endoscopy   O
results   O
and   O
further   O
management   O
plan   O
.   O

Notes   O
on   O
the   O
case   O
were   O
entered   O
into   O
the   O
electronic   O
health   O
record   O
system   O
by   O
fms144   B-NAME
for   O
future   O
reference   O
.   O

Patient   O
Report   O
for   O
DeMilla   B-NAME
31/08/2364   B-DATE
,   O
McKay   B-LOCATION
-   I-LOCATION
Dee   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
,   O
Saratoga   B-LOCATION
Springs   I-LOCATION
teacher   O
:   O
IM163   B-NAME
Tora   B-NAME
,   I-NAME
Apisai   I-NAME
:   O
Dr.   O
Pruitt   B-NAME
Patient   O
ID   O
:   O
VX181/8453   B-ID
Medical   O
Record   O
Number   O
:   O
40979698   B-ID
Age   O
:   O
46   O
Phone   O
:   O
422   B-CONTACT
3925   I-CONTACT
Zip   O
:   O
73859   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Henry   B-NAME
Leblanc   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
on   O
2/01   B-DATE
with   O
acute   O
abdominal   O
pain   O
that   O
was   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Guderian   B-NAME
,   I-NAME
Heinz   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
6   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Johnsen   B-NAME
stated   O
that   O
the   O
pain   O
began   O
suddenly   O
,   O
without   O
any   O
preceding   O
trauma   O
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

Townsend   B-NAME
,   I-NAME
Lawrence   I-NAME
denied   O
any   O
previous   O
similar   O
episodes   O
.   O

Kasie   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
controlled   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
medication   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
aforementioned   O
symptoms   O
,   O
Kash   B-NAME
Roach   I-NAME
denies   O
any   O
respiratory   O
distress   O
,   O
chest   O
pain   O
,   O
dizziness   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
bladder   O
habits   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Stokes   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Assessment   O
/   O
Plan   O
:   O
The   O
likely   O
diagnosis   O
for   O
Cache   B-NAME
is   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
was   O
consulted   O
,   O
and   O
Augustus   B-NAME
Hetjonk   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

Sidney   B-NAME
Pollard   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
planned   O
surgical   O
intervention   O
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Lyons   B-NAME
was   O
admitted   O
to   O
Children   B-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Richmond   I-LOCATION
at   I-LOCATION
VCU   I-LOCATION
on   O
33/28   B-DATE
for   O
the   O
above   O
-   O
mentioned   O
procedure   O
.   O

The   O
surgery   O
was   O
uncomplicated   O
,   O
and   O
Jones   B-NAME
is   O
scheduled   O
for   O
discharge   O
pending   O
postoperative   O
assessment   O
and   O
pain   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Jazlynn   B-NAME
Ray   I-NAME
is   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
7   O
-   O
10   O
days   O
for   O
wound   O
check   O
and   O
overall   O
postoperative   O
evaluation   O
.   O

Patient   O
Report   O
for   O
Aron   B-NAME
Haas   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
ID   O
:   O
PA   B-ID
:   I-ID
XC:6330   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
683   B-ID
26   I-ID
49   I-ID
-   O
Date   O
of   O
Visit   O
:   O
F   B-DATE
-   O
Physician   O
:   O

Mcdonald   B-NAME
-   O
Location   O
of   O
Visit   O
:   O
Ringgold   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
,   O
Paramount   B-LOCATION
,   O
34872   B-LOCATION
-   O
Contact   O
Phone   O
:   O
938   B-CONTACT
-   I-CONTACT
914   I-CONTACT
-   I-CONTACT
4924   I-CONTACT
Presenting   O
Complaint   O
:   O
Luke   B-NAME
Levy   I-NAME
presents   O
with   O
severe   O
episodic   O
migraine   O
headaches   O
that   O
have   O
been   O
increasingly   O
frequent   O
over   O
the   O
past   O
1   B-DATE
-   I-DATE
24   I-DATE
.   O

Jerome   B-NAME
Santos   I-NAME
reports   O
that   O
the   O
episodes   O
last   O
for   O
approximately   O
4   O
-   O
6   O
hours   O
and   O
are   O
partially   O
relieved   O
by   O
rest   O
and   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Medical   O
History   O
:   O
-   O
Dustin   B-NAME
Qualey   I-NAME
has   O
a   O
history   O
of   O
asthma   O
and   O
seasonal   O
allergies   O
.   O

-   O
Previous   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
in   O
32/32/01   B-DATE
.   O
-   O
Family   O
history   O
is   O
significant   O
for   O
cardiovascular   O
disease   O
.   O

Brilliant   B-NAME
appears   O
to   O
be   O
in   O
no   O
acute   O
distress   O
.   O
-   O
Neurological   O
Exam   O
:   O

Given   O
the   O
severity   O
and   O
frequency   O
of   O
Jax   B-NAME
Thornton   I-NAME
's   O
migraines   O
,   O
initiation   O
of   O
a   O
prophylactic   O
medication   O
is   O
recommended   O
alongside   O
the   O
current   O
analgesic   O
treatment   O
.   O

A   O
trial   O
of   O
a   O
beta   O
-   O
blocker   O
or   O
a   O
calcium   O
channel   O
blocker   O
will   O
be   O
considered   O
after   O
consultation   O
with   O
Paul   B-NAME
Turner   I-NAME
's   O
primary   O
care   O
physician   O
,   O
Kennedi   B-NAME
Wiggins   I-NAME
.   O

Follow   O
-   O
up   O
in   O
one   O
month   O
or   O
sooner   O
if   O
Luca   B-NAME
Dougherty   I-NAME
's   O
symptoms   O
worsen   O
.   O

Notifications   O
:   O
-   O
Buchanan   B-NAME
consented   O
to   O
the   O
proposed   O
treatment   O
plan   O
.   O

-   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
22/25   B-DATE
,   O
with   O
reminders   O
to   O
be   O
sent   O
to   O
49716   B-CONTACT
.   O

-   O
Educational   O
material   O
on   O
migraine   O
triggers   O
and   O
management   O
was   O
provided   O
to   O
Erik   B-NAME
Iverson   I-NAME
.   O

The   O
reported   O
information   O
will   O
be   O
documented   O
in   O
Roth   B-NAME
,   I-NAME
Geneen   I-NAME
's   O
electronic   O
health   O
record   O
and   O
shared   O
with   O
Woods   B-NAME
for   O
continuity   O
of   O
care   O
.   O

Any   O
updates   O
or   O
changes   O
in   O
treatment   O
will   O
be   O
communicated   O
to   O
Domitianus   B-NAME
Krivanec   I-NAME
via   O
29135   B-CONTACT
or   O
through   O
their   O
patient   O
portal   O
(   O
GQ242   B-NAME
)   O
.   O

Patient   O
Name   O
:   O
Ulysses   B-NAME
B.   I-NAME
Gilbert   I-NAME
Patient   O
7681563   B-ID
:   O
XP   B-ID
:   I-ID
OH:2621   I-ID
Age   O
:   O
25   O
Phone   O
Number   O
:   O
416   B-CONTACT
2429   I-CONTACT
Address   O
:   O
Huslia   B-LOCATION
,   O
14352   B-LOCATION
Profession   O
:   O
Transportation   O
,   O
Storage   O
,   O
and   O
Distribution   O
Managers   O
Medical   O
Provider   O
:   O
Dr.   O
Fatima   B-NAME
Woodard   I-NAME
Hospital   O
:   O
SSM   B-LOCATION
Health   I-LOCATION
DePaul   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Louis   I-LOCATION
Date   O
of   O
Visit   O
:   O
03/17   B-DATE
Summary   O
:   O
6   O
-   O
year   O
-   O
old   O
Electrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
named   O
Ali   B-NAME
presented   O
at   O
Broward   B-LOCATION
Health   I-LOCATION
Weston   I-LOCATION
with   O
complaints   O
of   O
progressive   O
,   O
sharp   O
,   O
right   O
-   O
sided   O
abdominal   O
pain   O
that   O
began   O
approximately   O
48   O
hours   O
prior   O
.   O

Kert   B-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
nausea   O
and   O
vomiting   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Upon   O
physical   O
examination   O
,   O
Tito   B-NAME
Quast   I-NAME
appeared   O
in   O
moderate   O
distress   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
imaging   O
findings   O
,   O
Patch   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Dr.   O
Armando   B-NAME
Cruz   I-NAME
recommended   O
immediate   O
surgical   O
intervention   O
for   O
an   O
appendectomy   O
.   O

The   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
were   O
explained   O
to   O
Amory   B-NAME
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Robert   B-NAME
Lincoln   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
18/00/00   B-DATE
at   O
Arnot   B-LOCATION
Ogden   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

The   O
appendectomy   O
was   O
performed   O
without   O
any   O
complications   O
,   O
and   O
Julian   B-NAME
Sierson   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
.   O

Tia   B-NAME
Thornton   I-NAME
was   O
advised   O
to   O
follow   O
a   O
graduated   O
diet   O
starting   O
with   O
liquids   O
and   O
slowly   O
incorporating   O
solid   O
foods   O
as   O
tolerated   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Dr.   O
Tianna   B-NAME
Parker   I-NAME
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
wound   O
healing   O
and   O
recovery   O
progress   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Huslu   B-NAME
can   O
contact   O
Bristol   B-LOCATION
-   I-LOCATION
Myers   I-LOCATION
Squibb   I-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
's   O
surgical   O
department   O
at   O
137   B-CONTACT
107   I-CONTACT
-   I-CONTACT
2592   I-CONTACT
.   O

Patient   O
Name   O
:   O
Stevens   B-NAME
Medical   O
Record   O
Number   O
:   O
7784100   B-ID
Date   O
of   O
Admission   O
:   O
03/06   B-DATE
Birth   O
Date   O
:   O
2261   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
35   I-DATE
Age   O
:   O
11   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Issac   B-NAME
Stevenson   I-NAME
Emergency   O
Contact   O
Number   O
:   O
95624   B-CONTACT
Address   O
:   O
Lake   B-LOCATION
Katrine   I-LOCATION
,   O
87217   B-LOCATION
Employment   O
:   O

Dental   O
Laboratory   O
Technicians   O
at   O
Association   B-LOCATION
of   I-LOCATION
Secondary   I-LOCATION
Teachers   I-LOCATION
Ireland   I-LOCATION
ID   O
:   O

JO   B-ID
:   I-ID
XG:1484   I-ID
Username   O
:   O
zl351   B-NAME
Lyric   B-NAME
Hale   I-NAME
was   O
admitted   O
to   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Marshalltown   I-LOCATION
on   O
01/31/13   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
an   O
episode   O
of   O
vomiting   O
that   O
commenced   O
early   O
morning   O
on   O
the   O
same   O
day   O
.   O

Delarosa   B-NAME
also   O
reported   O
a   O
significant   O
loss   O
of   O
appetite   O
over   O
the   O
past   O
31/09/2020   B-DATE
and   O
a   O
feeling   O
of   O
general   O
malaise   O
.   O

Upon   O
examination   O
,   O
Dr.   O
Fred   B-NAME
Richmond   I-NAME
noted   O
slight   O
fever   O
(   O
temperature   O
at   O
100.4   O
°   O
F   O
)   O
,   O
and   O
tenderness   O
was   O
observed   O
upon   O
palpation   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Suspecting   O
acute   O
appendicitis   O
,   O
Eaton   B-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Dr.   O
Burnham   B-NAME
,   I-NAME
Daniel   I-NAME
,   O
decided   O
that   O
an   O
immediate   O
laparoscopic   O
appendectomy   O
was   O
necessary   O
to   O
prevent   O
rupture   O
.   O

Konnor   B-NAME
Jones   I-NAME
was   O
informed   O
about   O
the   O
procedure   O
,   O
risks   O
,   O
and   O
expected   O
recovery   O
process   O
and   O
subsequently   O
gave   O
consent   O
.   O

Surgery   O
was   O
carried   O
out   O
on   O
32/20   B-DATE
without   O
complications   O
.   O

Post   O
-   O
operatively   O
,   O
Tiffany   B-NAME
Graham   I-NAME
was   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
any   O
adverse   O
reactions   O
.   O

Eli   B-NAME
Ritter   I-NAME
responded   O
well   O
to   O
the   O
surgical   O
intervention   O
,   O
showing   O
signs   O
of   O
improvement   O
with   O
reduced   O
abdominal   O
pain   O
and   O
restoration   O
of   O
appetite   O
by   O
the   O
second   O
post   O
-   O
operative   O
day   O
.   O

Berger   B-NAME
,   I-NAME
Ric   I-NAME
was   O
discharged   O
on   O
32/14   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
possible   O
complications   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Soto   B-NAME
on   O
07/64   B-DATE
.   O

Contact   O
Information   O
for   O
Follow   O
-   O
Up   O
:   O
Dr.   O
Levine   B-NAME
-   O
66242   B-CONTACT
Bath   B-LOCATION
Va   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Address   O
:   O
Delmita   B-LOCATION
,   O
15132   B-LOCATION
Instructions   O
were   O
given   O
to   O
Noah   B-NAME
E.   I-NAME
Galvan   I-NAME
to   O
call   O
the   O
hospital   O
or   O
Dr.   O
Averi   B-NAME
Rodgers   I-NAME
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
at   O
the   O
surgical   O
site   O
,   O
nausea   O
,   O
or   O
vomiting   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
appointment   O
.   O

Patient   O
Name   O
:   O
Wilson   B-NAME
,   I-NAME
Flip   I-NAME
Age   O
:   O
6s   O
Date   O
of   O
Birth   O
:   O
4/0   B-DATE
Address   O
:   O
24   B-LOCATION
2nd   I-LOCATION
Street   I-LOCATION
,   O
51690   B-LOCATION
Phone   O
Number   O
:   O
26849   B-CONTACT
Occupation   O
:   O
Criminal   O
Justice   O
and   O
Law   O
Enforcement   O
Teachers   O
,   O
Postsecondary   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Levine   B-NAME
Hospital   O
:   O
UNM   B-LOCATION
Sandoval   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
6055308   B-ID
Patient   O
ID   O
:   O
FS   B-ID
:   I-ID
QA:9650   I-ID
Date   O
of   O
Visit   O
:   O
2/11   B-DATE
Username   O
for   O
Patient   O
Portal   O
:   O
IB805   B-NAME
Chief   O
Complaint   O
:   O
Arabella   B-NAME
Stokes   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
4/1   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
in   O
the   O
frontal   O
region   O
.   O

Additionally   O
,   O
Latoria   B-NAME
has   O
noticed   O
an   O
increased   O
sensitivity   O
to   O
light   O
and   O
sound   O
during   O
these   O
episodes   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Mark   B-NAME
Oconnell   I-NAME
described   O
the   O
headaches   O
as   O
starting   O
abruptly   O
,   O
peaking   O
within   O
hours   O
,   O
and   O
lasting   O
for   O
approximately   O
1   O
-   O
2   O
days   O
.   O

There   O
is   O
a   O
noted   O
increase   O
in   O
frequency   O
and   O
severity   O
,   O
with   O
the   O
most   O
recent   O
episode   O
occurring   O
on   O
Friday   B-DATE
.   O

Goge   B-NAME
Bringas   I-NAME
attempted   O
over   O
-   O
the   O
-   O
counter   O
pain   O
medications   O
with   O
minimal   O
relief   O
.   O

However   O
,   O
there   O
has   O
been   O
a   O
significant   O
impact   O
on   O
Mann   B-NAME
's   O
work   O
performance   O
as   O
a   O
Nonfarm   O
Animal   O
Caretakers   O
,   O
especially   O
concerning   O
concentration   O
and   O
focus   O
.   O

According   O
to   O
our   O
records   O
from   O
Lee   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
Zackary   B-NAME
Sellers   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
mellitus   O
approximately   O
73s   O
years   O
ago   O
.   O

Bunny   B-NAME
also   O
revealed   O
a   O
family   O
history   O
of   O
migraines   O
,   O
particularly   O
on   O
the   O
maternal   O
side   O
.   O

Demarcus   B-NAME
works   O
as   O
a   O
Screen   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
in   O
Grand   B-LOCATION
.   O

Sanford   B-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

There   O
's   O
no   O
significant   O
travel   O
history   O
outside   O
of   O
Helenville   B-LOCATION
in   O
the   O
recent   O
August   B-DATE
28th   I-DATE
.   O
Review   O
of   O
Systems   O
:   O
Neurological   O
:   O
Severe   O
headaches   O
as   O
described   O
above   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
CARR   B-NAME
,   I-NAME
RACHEL   I-NAME
appears   O
alert   O
and   O
oriented   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2/00   B-DATE
,   O
and   O
Uecker   B-NAME
was   O
provided   O
with   O
the   O
51236   B-CONTACT
number   O
of   O
the   O
headache   O
clinic   O
for   O
any   O
immediate   O
concerns   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Richard   B-NAME
Goins   I-NAME
Date   O
of   O
Birth   O
:   O
2367   B-DATE
Age   O
:   O
12   O
month   O
Address   O
:   O
West   B-LOCATION
Palm   I-LOCATION
Beach   I-LOCATION
,   O
29863   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
280   I-CONTACT
)   I-CONTACT
737   I-CONTACT
3539   I-CONTACT
Employment   O
:   O
Funeral   O
Directors   O
at   O
Safeway   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Ruiz   B-NAME
Medical   O
Record   O
Number   O
:   O
5064564   B-ID
Insurance   O
ID   O
:   O
2984995   B-ID
Visit   O
Details   O
:   O
Date   O
of   O
Visit   O
:   O
31/12   B-DATE
Hospital   O
:   O
Hutzel   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Reason   O
for   O
Visit   O
:   O
The   O
patient   O
,   O
Krystyna   B-NAME
Omalley   I-NAME
,   O
presented   O
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
high   O
fever   O
that   O
has   O
persisted   O
for   O
approximately   O
12/16/52   B-DATE
.   O

The   O
patient   O
also   O
reported   O
experiencing   O
significant   O
fatigue   O
and   O
intermittent   O
chest   O
pain   O
over   O
the   O
past   O
April   B-DATE
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
asthma   O
,   O
diagnosed   O
at   O
11   O
,   O
and   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
diagnosed   O
on   O
2132   B-DATE
.   O

Charles   B-NAME
V   I-NAME
,   I-NAME
Holy   I-NAME
Roman   I-NAME
Emperor   I-NAME
is   O
currently   O
on   O
medication   O
for   O
both   O
conditions   O
,   O
including   O
an   O
inhaled   O
corticosteroid   O
and   O
a   O
long   O
-   O
acting   O
beta   O
-   O
agonist   O
for   O
the   O
asthma   O
,   O
and   O
metformin   O
for   O
the   O
diabetes   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Davon   B-NAME
Burnett   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
shortness   O
of   O
breath   O
.   O

Diagnostic   O
Testing   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
8   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
50   I-DATE
showed   O
evidence   O
of   O
bilateral   O
lower   O
lobe   O
infiltrates   O
suggestive   O
of   O
a   O
possible   O
pneumonia   O
.   O

The   O
working   O
diagnosis   O
for   O
Hattie   B-NAME
includes   O
bacterial   O
pneumonia   O
,   O
exacerbated   O
asthma   O
,   O
and   O
poorly   O
controlled   O
diabetes   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Jensen   B-NAME
at   O
Nemours   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
on   O
3/10/97   B-DATE
has   O
been   O
scheduled   O
to   O
assess   O
treatment   O
response   O
and   O
any   O
need   O
for   O
further   O
intervention   O
.   O

Instructions   O
to   O
Patient   O
:   O
Lavern   B-NAME
Eargle   I-NAME
has   O
been   O
instructed   O
to   O
continue   O
taking   O
all   O
prescribed   O
medications   O
as   O
directed   O
,   O
monitor   O
temperature   O
and   O
blood   O
glucose   O
levels   O
at   O
home   O
,   O
and   O
report   O
any   O
worsening   O
of   O
symptoms   O
to   O
Dr.   O
Ally   B-NAME
Howe   I-NAME
immediately   O
.   O

The   O
importance   O
of   O
hydration   O
and   O
resting   O
at   O
home   O
,   O
specifically   O
in   O
Perryville   B-LOCATION
,   I-LOCATION
Perryville   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
was   O
emphasized   O
,   O
along   O
with   O
following   O
a   O
diabetic   O
-   O
friendly   O
diet   O
to   O
aid   O
in   O
the   O
management   O
of   O
blood   O
glucose   O
levels   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
camp   B-NAME
can   O
reach   O
the   O
office   O
of   O
Dr.   O
Houston   B-NAME
at   O
88300   B-CONTACT
during   O
normal   O
business   O
hours   O
,   O
or   O
present   O
to   O
the   O
Emergency   O
Department   O
at   O
Franciscan   B-LOCATION
Health   I-LOCATION
Lafayette   I-LOCATION
East   I-LOCATION
after   O
hours   O
if   O
symptoms   O
significantly   O
worsen   O
or   O
in   O
the   O
event   O
of   O
an   O
emergency   O
.   O

Patient   O
Name   O
:   O
Merrill   B-NAME
Age   O
:   O
6   O
Phone   O
Number   O
:   O
461   B-CONTACT
-   I-CONTACT
2572   I-CONTACT
Date   O
of   O
Birth   O
:   O
30/29/99   B-DATE
Date   O
of   O
Admission   O
:   O
04/21   B-DATE
Date   O
of   O
Discharge   O
:   O
9/43   B-DATE
Hospital   O
:   O

Minneola   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Minneola   I-LOCATION
Physician   O
:   O

Jasmin   B-NAME
Kane   I-NAME
Medical   O
Record   O
Number   O
:   O
64932535   B-ID
ID   O
Number   O
:   O
PJ826/5875   B-ID
Location   O
:   O

Hennepin   B-LOCATION
Organization   O
:   O

First   B-LOCATION
Suburban   I-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Profession   O
:   O

Poets   O
and   O
Lyricists   O
Username   O
:   O
yb186   B-NAME
ZIP   O
Code   O
:   O
52852   B-LOCATION
Clinical   O
Report   O
:   O

Subjective   O
:   O
Patient   O
Dedra   B-NAME
Erikson   I-NAME
,   O
a   O
Cooling   O
and   O
Freezing   O
Equipment   O
Operators   O
and   O
Tenders   O
from   O
Bettendorf   B-LOCATION
,   O
presented   O
to   O
Saint   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
East   I-LOCATION
-   I-LOCATION
Lee   I-LOCATION
's   I-LOCATION
Summit   I-LOCATION
on   O
2362   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
03   I-DATE
complaining   O
of   O
acute   O
,   O
localized   O
abdominal   O
pain   O
,   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Rudy   B-NAME
Abbott   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
chills   O
since   O
the   O
onset   O
of   O
the   O
abdominal   O
pain   O
.   O

Objective   O
:   O
Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kidd   B-NAME
,   O
who   O
is   O
23s   O
years   O
old   O
,   O
exhibited   O
signs   O
of   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Immediate   O
surgical   O
consultation   O
was   O
requested   O
from   O
Jaycee   B-NAME
Perkins   I-NAME
for   O
evaluation   O
and   O
management   O
of   O
suspected   O
acute   O
appendicitis   O
.   O

Carly   B-NAME
Flores   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
provided   O
written   O
informed   O
consent   O
.   O

On   O
6/02   B-DATE
,   O
Toccara   B-NAME
Socha   I-NAME
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
at   O
Seven   B-LOCATION
Rivers   I-LOCATION
Rivers   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Isis   B-NAME
Strong   I-NAME
.   O

The   O
post   O
-   O
operative   O
period   O
was   O
uneventful   O
,   O
and   O
Thomson   B-NAME
showed   O
signs   O
of   O
good   O
recovery   O
.   O

Follow   O
-   O
Up   O
:   O
Heidi   B-NAME
Bond   I-NAME
was   O
discharged   O
on   O
22/28   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
symptoms   O
to   O
watch   O
for   O
regarding   O
possible   O
infection   O
or   O
complications   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Oliver   B-NAME
in   O
two   O
weeks   O
.   O

Patient   O
Education   O
:   O
Lloyd   B-NAME
was   O
educated   O
about   O
the   O
importance   O
of   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
management   O
,   O
activity   O
restrictions   O
,   O
and   O
dietary   O
recommendations   O
.   O

Comments   O
:   O
Ben   B-NAME
Gold   I-NAME
demonstrated   O
understanding   O
of   O
the   O
discharge   O
instructions   O
and   O
verbalized   O
understanding   O
of   O
signs   O
and   O
symptoms   O
that   O
would   O
necessitate   O
immediate   O
medical   O
attention   O
.   O

Patient   O
Name   O
:   O
Wright   B-NAME
,   I-NAME
Steven   I-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
4425750   I-ID
Medical   O
Record   O
Number   O
:   O
525   B-ID
-   I-ID
61   I-ID
-   I-ID
28   I-ID
-   I-ID
1   I-ID
Age   O
:   O
31   O
Date   O
of   O
Birth   O
:   O
2090   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
20   I-DATE
Address   O
:   O
Lenzburg   B-LOCATION
,   O
44847   B-LOCATION
Phone   O
Number   O
:   O
478   B-CONTACT
-   I-CONTACT
8409   I-CONTACT
Employment   O
:   O

Writer   O
at   O
City   B-LOCATION
of   I-LOCATION
Fort   I-LOCATION
Meade   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
Primary   O
Physician   O
:   O
Dr.   O
Morales   B-NAME
Date   O
of   O
Visit   O
:   O
33/14/2022   B-DATE
Location   O
of   O
Visit   O
:   O
Jones   B-LOCATION
Memorial   I-LOCATION
Hosp   I-LOCATION
,   O
Redby   B-LOCATION
*   O
*   O
Clinical   O
Summary   O
:*   O
*   O
The   O
patient   O
,   O
Sherrill   B-NAME
Noland   I-NAME
,   O
presented   O
with   O
a   O
complex   O
array   O
of   O
symptoms   O
during   O
their   O
visit   O
on   O
December   B-DATE
24   I-DATE
to   O
Geisinger   B-LOCATION
Wyoming   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
in   O
Copalis   B-LOCATION
Beach   I-LOCATION
.   O

The   O
primary   O
complaint   O
was   O
a   O
persistent   O
,   O
non   O
-   O
productive   O
cough   O
that   O
has   O
been   O
troubling   O
Darius   B-NAME
Hahn   I-NAME
for   O
the   O
past   O
10/21/35   B-DATE
.   O

Alongside   O
this   O
,   O
Dominique   B-NAME
Dyer   I-NAME
reported   O
experiencing   O
intermittent   O
episodes   O
of   O
dyspnea   O
,   O
particularly   O
noted   O
during   O
mild   O
physical   O
activities   O
.   O

Upon   O
examination   O
,   O
Jaslyn   B-NAME
Vazquez   I-NAME
's   O
respiratory   O
rate   O
was   O
observed   O
to   O
be   O
slightly   O
elevated   O
,   O
with   O
auscultation   O
revealing   O
bilateral   O
expiratory   O
wheezes   O
.   O

No   O
signs   O
of   O
cyanosis   O
were   O
present   O
,   O
and   O
Kaylen   B-NAME
Ali   I-NAME
's   O
oxygen   O
saturation   O
remained   O
within   O
normal   O
limits   O
on   O
room   O
air   O
.   O

Additionally   O
,   O
James   B-NAME
Whitman   I-NAME
has   O
been   O
experiencing   O
episodes   O
of   O
nocturnal   O
diaphoresis   O
for   O
the   O
last   O
30/07   B-DATE
,   O
causing   O
significant   O
concern   O
.   O

There   O
were   O
no   O
reported   O
fevers   O
,   O
but   O
Girard   B-NAME
mentions   O
a   O
general   O
feeling   O
of   O
malaise   O
and   O
decreased   O
appetite   O
,   O
leading   O
to   O
an   O
unintentional   O
weight   O
loss   O
of   O
24   O
pounds   O
over   O
the   O
last   O
February   B-DATE
20   I-DATE
.   O

There   O
is   O
no   O
significant   O
past   O
medical   O
history   O
of   O
note   O
,   O
and   O
Janos   B-NAME
Hohlstein   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
products   O
or   O
alcohol   O
.   O

Mcclain   B-NAME
ordered   O
a   O
comprehensive   O
panel   O
of   O
tests   O
,   O
including   O
a   O
Chest   O
X   O
-   O
Ray   O
,   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
,   O
and   O
Basic   O
Metabolic   O
Panel   O
(   O
BMP   O
)   O
.   O

The   O
Chest   O
X   O
-   O
Ray   O
conducted   O
at   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
23/20/2012   B-DATE
showed   O
no   O
acute   O
cardiopulmonary   O
process   O
.   O

The   O
patient   O
was   O
advised   O
to   O
start   O
a   O
trial   O
of   O
inhaled   O
bronchodilators   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
05/38   B-DATE
.   O

A   O
referral   O
to   O
a   O
pulmonologist   O
in   O
Three   B-LOCATION
Springs   I-LOCATION
has   O
also   O
been   O
made   O
for   O
a   O
more   O
detailed   O
evaluation   O
.   O

Krish   B-NAME
Boone   I-NAME
was   O
educated   O
on   O
monitoring   O
symptoms   O
and   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
exacerbations   O
or   O
difficulties   O
in   O
breathing   O
.   O

Adhere   O
strictly   O
to   O
the   O
medication   O
regimen   O
prescribed   O
by   O
Dr.   O
Hinton   B-NAME
.   O

4   O
.   O
Follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
31/23   B-DATE
at   O
Flagler   B-LOCATION
Hospital   I-LOCATION
,   O
with   O
Dr.   O
Amani   B-NAME
Riddle   I-NAME
for   O
evaluation   O
of   O
treatment   O
effectiveness   O
and   O
symptom   O
review   O
.   O

Pulmonologist   O
consultation   O
at   O
Gearhart   B-LOCATION
on   O
3/11   B-DATE
for   O
further   O
assessment   O
.   O

*   O
*   O
Conclusion   O
:*   O
*   O
The   O
patient   O
,   O
Brent   B-NAME
Cameron   I-NAME
,   O
presents   O
with   O
symptoms   O
suggestive   O
of   O
an   O
obstructive   O
pulmonary   O
pathology   O
.   O

Patient   O
Name   O
:   O
Ivers   B-NAME
Patient   O
ID   O
:   O
EO127/7266   B-ID
Medical   O
Record   O
Number   O
:   O
381   B-ID
-   I-ID
23   I-ID
-   I-ID
85   I-ID
Date   O
of   O
Birth   O
:   O
6/21   B-DATE
Age   O
:   O
64   O
Address   O
:   O
Montgomery   B-LOCATION
,   O
52632   B-LOCATION
Phone   O
Number   O
:   O
370   B-CONTACT
3244   I-CONTACT
Employment   O
:   O
Government   O
Property   O
Inspectors   O
and   O
Investigators   O
at   O
Municipal   B-LOCATION
Electric   I-LOCATION
Authority   I-LOCATION
of   I-LOCATION
Georgia   I-LOCATION
(   I-LOCATION
MEAG   I-LOCATION
Power   I-LOCATION
)   I-LOCATION
Primary   O
Physician   O
:   O

Dr.   O
Jayleen   B-NAME
Martinez   I-NAME
Hospital   O
:   O
Knoxville   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
Chief   O
Complaint   O
:   O
Chun   B-NAME
Schiff   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Northern   B-LOCATION
Montana   I-LOCATION
Hospital   I-LOCATION
on   O
2085   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
06   I-DATE
,   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Davin   B-NAME
Ramos   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
,   O
rating   O
it   O
8/10   O
on   O
the   O
pain   O
scale   O
.   O

Johan   B-NAME
Cobb   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
just   O
before   O
deciding   O
to   O
seek   O
medical   O
attention   O
.   O

Past   O
Medical   O
History   O
:   O
Dino   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

On   O
physical   O
examination   O
,   O
Marlene   B-NAME
Newman   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
:   O
Given   O
the   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Dr.   O
Watson   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Mina   B-NAME
Kim   I-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
.   O

After   O
receiving   O
informed   O
consent   O
,   O
Carter   B-NAME
was   O
transferred   O
to   O
the   O
surgical   O
unit   O
for   O
an   O
urgent   O
appendectomy   O
performed   O
by   O
Dr.   O
Mullen   B-NAME
on   O
06/12   B-DATE
.   O

Postoperative   O
Course   O
:   O
Letisha   B-NAME
Ulrich   I-NAME
tolerated   O
the   O
procedure   O
well   O
without   O
any   O
immediate   O
complications   O
.   O

Annice   B-NAME
Selzer   I-NAME
was   O
discharged   O
on   O
32/12/12   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Ward   B-NAME
Gabrielson   I-NAME
in   O
2   O
weeks   O
.   O

Conclusion   O
:   O
Shevardnadze   B-NAME
,   I-NAME
Eduard   I-NAME
,   O
a   O
81   O
-   O
year   O
-   O
old   O
Sketch   O
Artists   O
,   O
presented   O
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Dutton   B-NAME
,   I-NAME
Denis   I-NAME
underwent   O
a   O
successful   O
appendectomy   O
with   O
a   O
favorable   O
postoperative   O
course   O
.   O

Patient   O
Report   O
for   O
Cedric   B-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
58   O
-   O
Date   O
of   O
consultation   O
:   O
15/04   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
59186558   B-ID
-   O
Consulting   O
Doctor   O
:   O
Dr.   O
Marsh   B-NAME
-   O
Hospital   O
:   O
Barrow   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Location   O
:   O
Kelleys   B-LOCATION
Island   I-LOCATION
,   O
69646   B-LOCATION
-   O
Contact   O
Information   O
:   O
537   B-CONTACT
-   I-CONTACT
7172   I-CONTACT
Medical   O
History   O
:   O
7   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
88   I-DATE
marks   O
the   O
initial   O
visit   O
of   O
Schmitt   B-NAME
to   O
Emory   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
reporting   O
multiple   O
signs   O
and   O
symptoms   O
that   O
led   O
to   O
consultation   O
with   O
Dr.   O
Watts   B-NAME
.   O

Faith   B-NAME
Gallegos   I-NAME
is   O
a   O
Purchasing   O
Agents   O
,   O
Except   O
Wholesale   O
,   O
Retail   O
,   O
and   O
Farm   O
Products   O
residing   O
in   O
Sandia   B-LOCATION
Park   I-LOCATION
and   O
has   O
no   O
known   O
allergies   O
.   O

Inge   B-NAME
Logan   I-NAME
's   O
family   O
medical   O
history   O
is   O
non   O
-   O
contributory   O
.   O

Symptoms   O
:   O
Conlon   B-NAME
,   I-NAME
Fred   I-NAME
presented   O
with   O
intense   O
,   O
pulsatile   O
headache   O
predominantly   O
over   O
the   O
frontal   O
and   O
occipital   O
regions   O
,   O
not   O
relieved   O
by   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
.   O

Brycen   B-NAME
Flynn   I-NAME
reported   O
a   O
visual   O
aura   O
consisting   O
of   O
flickering   O
lights   O
and   O
zigzag   O
lines   O
,   O
occurring   O
approximately   O
30   O
minutes   O
before   O
the   O
onset   O
of   O
headache   O
.   O

Upon   O
assessment   O
on   O
2271   B-DATE
,   O
a   O
comprehensive   O
metabolic   O
panel   O
and   O
complete   O
blood   O
count   O
were   O
performed   O
showing   O
all   O
parameters   O
within   O
normal   O
limits   O
.   O

Magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
conducted   O
on   O
32/35/93   B-DATE
revealed   O
no   O
abnormalities   O
or   O
signs   O
of   O
acute   O
infarction   O
.   O

Frederick   B-NAME
Frankenstein   I-NAME
's   O
electroencephalogram   O
(   O
EEG   O
)   O
was   O
also   O
normal   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Lexie   B-NAME
Carver   I-NAME
initiated   O
a   O
treatment   O
regimen   O
consisting   O
of   O
prophylactic   O
and   O
abortive   O
therapy   O
,   O
including   O
the   O
prescription   O
of   O
a   O
monthly   O
monoclonal   O
antibody   O
injection   O
and   O
triptans   O
for   O
acute   O
management   O
of   O
migraine   O
episodes   O
.   O

Follow   O
-   O
Up   O
:   O
Robert   B-NAME
Astin   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
consultation   O
at   O
Mount   B-LOCATION
Nittany   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/11   B-DATE
to   O
evaluate   O
the   O
efficacy   O
of   O
the   O
treatment   O
plan   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

Additionally   O
,   O
Antwan   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
documenting   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
any   O
associated   O
symptoms   O
.   O

Confidentiality   O
Statement   O
:   O
This   O
document   O
contains   O
sensitive   O
health   O
information   O
pertaining   O
to   O
UPHOFF   B-NAME
,   I-NAME
ANTHONY   I-NAME
and   O
is   O
protected   O
under   O
HIPAA   O
regulations   O
.   O

For   O
any   O
queries   O
related   O
to   O
this   O
report   O
,   O
please   O
contact   O
Johnston   B-LOCATION
UNC   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
at   O
649   B-CONTACT
919   I-CONTACT
7859   I-CONTACT
.   O

End   O
of   O
Report   O
-   O
Compiled   O
by   O
:   O
Dr.   O
Guerrero   B-NAME
-   O
01/03   B-DATE
-   O
Patient   O
ID   O
:   O
ZL:83415:647989   B-ID
-   O
Contact   O
information   O
for   O
further   O
correspondence   O
:   O
(   B-CONTACT
896   I-CONTACT
)   I-CONTACT
507   I-CONTACT
3920   I-CONTACT
,   O
Pali   B-LOCATION
Momi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
Spencer   B-LOCATION
,   I-LOCATION
OK   I-LOCATION
73084   I-LOCATION
,   O
30976   B-LOCATION

The   O
patient   O
,   O
Gilberto   B-NAME
Hardy   I-NAME
,   O
a   O
Quantity   O
surveyor   O
from   O
Three   B-LOCATION
Springs   I-LOCATION
,   O
was   O
admitted   O
to   O
UPMC   B-LOCATION
Susquehanna   I-LOCATION
Divine   I-LOCATION
Providence   I-LOCATION
Hospital   I-LOCATION
on   O
07/02   B-DATE
with   O
a   O
presenting   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
had   O
been   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

Additionally   O
,   O
Eunice   B-NAME
Kuzma   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
fever   O
that   O
commenced   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
physical   O
examination   O
,   O
Lanelle   B-NAME
,   O
who   O
is   O
44   O
years   O
old   O
,   O
demonstrated   O
signs   O
of   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
abdominal   O
region   O
,   O
suggestive   O
of   O
peritonitis   O
.   O

Given   O
the   O
presenting   O
symptoms   O
and   O
clinical   O
findings   O
,   O
Mckinley   B-NAME
Callahan   I-NAME
suspected   O
acute   O
appendicitis   O
and   O
ordered   O
an   O
abdominal   O
ultrasound   O
for   O
confirmation   O
.   O

The   O
ultrasound   O
,   O
performed   O
on   O
2067   B-DATE
-   I-DATE
32   I-DATE
-   I-DATE
37   I-DATE
,   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
appendicolith   O
,   O
corroborating   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Frank   B-NAME
recommended   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
as   O
the   O
treatment   O
plan   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
Monday   B-DATE
without   O
any   O
complications   O
.   O

Peoples   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
pharmacists   O
were   O
consulted   O
for   O
post   O
-   O
operative   O
antibiotic   O
management   O
,   O
prescribing   O
a   O
course   O
of   O
intravenous   O
antibiotics   O
to   O
prevent   O
postoperative   O
infections   O
.   O

Glenn   B-NAME
Richie   I-NAME
was   O
advised   O
to   O
remain   O
in   O
the   O
hospital   O
for   O
monitoring   O
and   O
recovery   O
,   O
during   O
which   O
Cartersville   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
medical   O
staff   O
closely   O
monitored   O
Stephen   B-NAME
Ponce   I-NAME
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Jazmin   B-NAME
Burch   I-NAME
was   O
discharged   O
on   O
31/20   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
at   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
two   O
weeks   O
.   O

The   O
discharge   O
summary   O
,   O
recorded   O
under   O
9446222   B-ID
ID   O
8   B-ID
-   I-ID
2637502   I-ID
,   O
included   O
details   O
such   O
as   O
the   O
operative   O
report   O
,   O
post   O
-   O
operative   O
medication   O
regimen   O
,   O
and   O
specific   O
instructions   O
for   O
wound   O
care   O
.   O

For   O
further   O
inquiries   O
or   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
,   O
Dotson   B-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
(   B-CONTACT
681   I-CONTACT
)   I-CONTACT
773   I-CONTACT
3482   I-CONTACT
for   O
the   O
surgical   O
outpatient   O
clinic   O
.   O

Danny   B-NAME
Peters   I-NAME
expressed   O
gratitude   O
to   O
Dean   B-NAME
and   O
the   O
entire   O
medical   O
team   O
at   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
St.   I-LOCATION
Anne   I-LOCATION
Hospital   I-LOCATION
for   O
the   O
care   O
provided   O
and   O
was   O
reassured   O
about   O
the   O
recovery   O
process   O
.   O

ROSE   B-NAME
R.   I-NAME
WALSH   I-NAME
was   O
reminded   O
to   O
avoid   O
strenuous   O
activities   O
and   O
lifting   O
heavy   O
objects   O
for   O
a   O
minimum   O
of   O
4   O
weeks   O
post   O
-   O
discharge   O
to   O
ensure   O
optimal   O
healing   O
of   O
the   O
surgical   O
site   O
.   O

Patient   O
Name   O
:   O
James   B-NAME
Kildare   I-NAME
Patient   O
ID   O
:   O
13400310   B-ID
Date   O
of   O
Birth   O
:   O
02/21   B-DATE
Age   O
:   O
58   O
Phone   O
:   O
433   B-CONTACT
-   I-CONTACT
8356   I-CONTACT
Address   O
:   O
Ennis   B-LOCATION
,   O
88452   B-LOCATION
Emergency   O
Contact   O
:   O
(   B-CONTACT
490   I-CONTACT
)   I-CONTACT
849   I-CONTACT
-   I-CONTACT
1524   I-CONTACT
Primary   O
Physician   O
:   O

Stephenson   B-NAME
Attending   O
Physician   O
:   O
McNair   B-NAME
,   I-NAME
Steve   I-NAME
Medical   O
Record   O
Number   O
:   O
CK228279   B-ID
Employer   O
:   O

Rainier   B-LOCATION
Pacific   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O

Logging   O
Equipment   O
Operators   O
Admission   O
Date   O
:   O
2021   B-DATE
Hospital   O
:   O
Northwest   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Turner   B-NAME
,   I-NAME
Ted   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Children   B-LOCATION
's   I-LOCATION
Home   I-LOCATION
of   I-LOCATION
Pittsburgh   I-LOCATION
,   I-LOCATION
The   I-LOCATION
on   O
5/02   B-DATE
with   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

The   O
pain   O
was   O
described   O
as   O
a   O
squeezing   O
sensation   O
,   O
rated   O
8/10   O
in   O
severity   O
,   O
and   O
began   O
approximately   O
2   O
hours   O
before   O
presentation   O
while   O
the   O
patient   O
was   O
at   O
work   O
at   O
Humane   B-LOCATION
Society   I-LOCATION
of   I-LOCATION
the   I-LOCATION
United   I-LOCATION
States   I-LOCATION
(   I-LOCATION
HSUS   I-LOCATION
)   I-LOCATION
as   O
a   O
Postal   O
Service   O
Mail   O
Sorters   O
,   O
Processors   O
,   O
and   O
Processing   O
Machine   O
Operators   O
.   O

Kody   B-NAME
Flores   I-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
lightheadedness   O
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
history   O
outside   O
Richvale   B-LOCATION
or   O
any   O
sick   O
contacts   O
.   O

Booth   B-NAME
is   O
a   O
nonsmoker   O
and   O
denies   O
the   O
use   O
of   O
alcohol   O
or   O
recreational   O
drugs   O
.   O

Family   O
history   O
is   O
significant   O
for   O
coronary   O
artery   O
disease   O
in   O
Paulson   B-NAME
's   O
father   O
who   O
passed   O
away   O
at   O
the   O
age   O
of   O
0   O
week   O
.   O

Upon   O
presentation   O
,   O
Nichols   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
-   O
Blood   O
pressure   O
:   O
150/90   O
mmHg   O
-   O
Heart   O
rate   O
:   O
102   O
beats   O
per   O
minute   O
-   O
Respiratory   O
rate   O
:   O
22   O
breaths   O
per   O
minute   O
-   O
Temperature   O
:   O
98.6   O
F   O
-   O
Oxygen   O
saturation   O
:   O
94   O
%   O
on   O
room   O
air   O
Cardiovascular   O
examination   O
revealed   O
tachycardia   O
with   O
no   O
murmurs   O
,   O
rubs   O
,   O
or   O
gallops   O
.   O

Sanders   B-NAME
from   O
the   O
cardiology   O
department   O
has   O
been   O
notified   O
and   O
is   O
scheduled   O
to   O
see   O
the   O
patient   O
for   O
further   O
evaluation   O
and   O
intervention   O
on   O
00/24/2377   B-DATE
.   O

The   O
patient   O
remains   O
admitted   O
under   O
the   O
care   O
of   O
Marie   B-NAME
Randall   I-NAME
for   O
close   O
monitoring   O
and   O
further   O
management   O
of   O
acute   O
STEMI   O
,   O
hypertension   O
,   O
and   O
diabetes   O
.   O

This   O
patient   O
report   O
was   O
created   O
by   O
yr456   B-NAME
and   O
is   O
confidential   O
.   O

For   O
any   O
inquiries   O
or   O
updates   O
about   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Ripley   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
980   B-CONTACT
596   I-CONTACT
1098   I-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Benita   B-NAME
Shinkle   I-NAME
Age   O
:   O
79   O
Date   O
of   O
Birth   O
:   O
00/12/62   B-DATE
Phone   O
Number   O
:   O
(   B-CONTACT
507   I-CONTACT
)   I-CONTACT
470   I-CONTACT
-   I-CONTACT
9287   I-CONTACT
Address   O
:   O
Terrell   B-LOCATION
,   O
76575   B-LOCATION
Employment   O
:   O
Lawn   O
Service   O
Managers   O
Patient   O
ID   O
:   O
4714274   B-ID
Medical   O
Record   O
Number   O
:   O
LLGKRS   B-ID
Primary   O
Care   O
Physician   O
:   O

Makai   B-NAME
Good   I-NAME
Treating   O
Hospital   O
:   O
Pella   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
25/12/2202   B-DATE
Discharge   O
Date   O
:   O
13   B-DATE
-   I-DATE
2   I-DATE
Username   O
for   O
Hospital   O
Portal   O
:   O
gge108   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Springfield   I-LOCATION
on   O
2051   B-DATE
-   I-DATE
05   I-DATE
-   I-DATE
12   I-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
centered   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Caldwell   B-NAME
,   O
a   O
Database   O
Architects   O
from   O
Missouri   B-LOCATION
,   O
has   O
been   O
in   O
generally   O
good   O
health   O
until   O
the   O
start   O
of   O
the   O
current   O
symptoms   O
.   O

However   O
,   O
Autumn   B-NAME
Hayes   I-NAME
mentions   O
a   O
slight   O
fever   O
and   O
malaise   O
experienced   O
since   O
earlier   O
in   O
the   O
day   O
of   O
admission   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Salinas   B-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
findings   O
,   O
Mccoy   B-NAME
decided   O
on   O
a   O
surgical   O
intervention   O
,   O
recommending   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Asia   B-NAME
Weeks   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
provided   O
consent   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
2/00   B-DATE
without   O
any   O
complications   O
.   O

Follow   O
-   O
up   O
:   O
Jazlynn   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
outpatient   O
department   O
of   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Royal   I-LOCATION
Oak   I-LOCATION
with   O
Beau   B-NAME
Cole   I-NAME
on   O
04/03/2230   B-DATE
.   O

The   O
purpose   O
is   O
to   O
monitor   O
the   O
healing   O
process   O
,   O
remove   O
sutures   O
,   O
and   O
address   O
any   O
concerns   O
Walter   B-NAME
might   O
have   O
post   O
-   O
operatively   O
.   O

Castillo   B-NAME
was   O
also   O
provided   O
with   O
contact   O
information   O
,   O
465   B-CONTACT
-   I-CONTACT
4303   I-CONTACT
,   O
to   O
reach   O
the   O
surgical   O
team   O
in   O
case   O
of   O
any   O
emergency   O
or   O
unexpected   O
symptoms   O
.   O

Conclusion   O
:   O
Jaimes   B-NAME
's   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
timely   O
identified   O
and   O
appropriately   O
managed   O
with   O
surgical   O
intervention   O
.   O

Patient   O
Report   O
for   O
Cunningham   B-NAME
Basic   O
Information   O
:   O
-   O
Age   O
:   O
49   O
-   O
ID   O
:   O
JJ518/1367   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
96429873   B-ID
-   O
Date   O
of   O
Consultation   O
:   O
06/08   B-DATE
-   O
Primary   O
Physician   O
:   O

Haley   B-NAME
-   O
Hospital   O
:   O
Peconic   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   O
Location   O
:   O
Red   B-LOCATION
Oak   I-LOCATION
-   O
Phone   O
:   O
(   B-CONTACT
401   I-CONTACT
)   I-CONTACT
202   I-CONTACT
-   I-CONTACT
6216   I-CONTACT
-   O
Profession   O
:   O
Computer   O
Hardware   O
Engineers   O
-   O
Username   O
for   O
hospital   O
portal   O
:   O
GS715   B-NAME
-   O
Zip   O
Code   O
:   O
64686   B-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
,   O
Yvonne   B-NAME
Easton   I-NAME
,   O
presented   O
with   O
a   O
history   O
of   O
intermittent   O
,   O
sharp   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

This   O
discomfort   O
has   O
been   O
occurring   O
sporadically   O
over   O
the   O
past   O
00/28   B-DATE
months   O
but   O
has   O
intensified   O
in   O
frequency   O
and   O
severity   O
over   O
the   O
last   O
2104   B-DATE
.   O

Na   B-NAME
Justiniano   I-NAME
has   O
also   O
reported   O
experiencing   O
episodes   O
of   O
nausea   O
,   O
occasionally   O
accompanied   O
by   O
vomiting   O
,   O
which   O
exacerbates   O
the   O
discomfort   O
.   O

Mild   O
fever   O
noted   O
in   O
the   O
past   O
2/22   B-DATE
,   O
with   O
temperatures   O
ranging   O
8   O
week   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Rhett   B-NAME
Davis   I-NAME
exhibited   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
with   O
guarding   O
noted   O
upon   O
palpation   O
.   O

An   O
ultrasound   O
of   O
the   O
abdomen   O
was   O
recommended   O
and   O
subsequently   O
performed   O
on   O
26/15/2183   B-DATE
,   O
which   O
highlighted   O
an   O
inflammation   O
near   O
the   O
ileocecal   O
valve   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Beverly   B-NAME
Thiel   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
appendectomy   O
to   O
prevent   O
any   O
potential   O
complications   O
such   O
as   O
rupture   O
or   O
further   O
infection   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
2335   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
15   I-DATE
at   O
Sumner   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Caldwell   I-LOCATION
,   O
with   O
Mcconnell   B-NAME
overseeing   O
the   O
procedure   O
.   O

Follow   O
-   O
Up   O
:   O
Honda   B-NAME
,   I-NAME
Soichiro   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
13/20   B-DATE
at   O
Atrium   B-LOCATION
Health   I-LOCATION
Anson   I-LOCATION
to   O
assess   O
the   O
recovery   O
progress   O
and   O
ensure   O
proper   O
wound   O
healing   O
.   O

Conclusion   O
:   O
The   O
prompt   O
diagnosis   O
and   O
treatment   O
of   O
appendicitis   O
in   O
Ellis   B-NAME
West   I-NAME
have   O
prevented   O
potential   O
complications   O
and   O
initiated   O
a   O
path   O
towards   O
recovery   O
.   O

Patient   O
Report   O
11/26/2282   B-DATE
,   O
Chelsi   B-NAME
visited   O
Manhattan   B-LOCATION
Eye   I-LOCATION
in   O
Steilacoom   B-LOCATION
,   O
with   O
complaints   O
of   O
chronic   O
headaches   O
,   O
photophobia   O
,   O
and   O
episodic   O
dizziness   O
over   O
the   O
past   O
32/04   B-DATE
.   O

CG   B-NAME
,   O
a   O
Rough   O
Carpenters   O
,   O
reported   O
that   O
these   O
symptoms   O
had   O
progressively   O
worsened   O
over   O
the   O
past   O
three   O
months   O
,   O
affecting   O
Kiana   B-NAME
Chan   I-NAME
's   O
ability   O
to   O
perform   O
daily   O
tasks   O
and   O
professional   O
responsibilities   O
.   O

Lane   B-NAME
Cortez   I-NAME
,   O
age   O
59s   O
,   O
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
was   O
previously   O
managed   O
by   O
Barton   B-NAME
at   O
Wakefield   B-LOCATION
Municipal   I-LOCATION
Gas   I-LOCATION
and   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Clinical   O
examination   O
revealed   O
that   O
Leah   B-NAME
Luna   I-NAME
presented   O
with   O
bilateral   O
pulsating   O
temporal   O
headaches   O
,   O
which   O
were   O
more   O
severe   O
in   O
the   O
mornings   O
.   O

Neurological   O
assessments   O
for   O
balance   O
and   O
coordination   O
highlighted   O
a   O
mild   O
,   O
yet   O
recurrent   O
,   O
dizziness   O
,   O
which   O
Colon   B-NAME
described   O
as   O
a   O
feeling   O
of   O
the   O
room   O
spinning   O
around   O
.   O

Laboratory   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
and   O
thyroid   O
function   O
tests   O
(   O
TFTs   O
)   O
,   O
were   O
ordered   O
and   O
performed   O
on   O
11/29   B-DATE
.   O

An   O
MRI   O
scheduled   O
for   O
34/17/22   B-DATE
aimed   O
to   O
rule   O
out   O
any   O
neurological   O
causes   O
behind   O
the   O
symptoms   O
.   O

During   O
the   O
visit   O
,   O
Camilla   B-NAME
Payne   I-NAME
provided   O
1713194   B-ID
and   O
was   O
assigned   O
an   O
identification   O
number   O
,   O
395810   B-ID
,   O
for   O
record   O
-   O
keeping   O
and   O
future   O
reference   O
.   O

To   O
ensure   O
follow   O
-   O
up   O
,   O
Shannon   B-NAME
was   O
instructed   O
to   O
reach   O
out   O
to   O
Sutter   B-LOCATION
Auburn   I-LOCATION
Faith   I-LOCATION
Hospital   I-LOCATION
's   O
neurology   O
department   O
through   O
their   O
direct   O
line   O
957   B-CONTACT
7404   I-CONTACT
,   O
in   O
case   O
of   O
any   O
aggravation   O
in   O
symptoms   O
or   O
for   O
further   O
consultation   O
post   O
-   O
MRI   O
results   O
.   O

Carl   B-NAME
Washington   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Kade   B-NAME
Sosa   I-NAME
on   O
2331   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
26   I-DATE
to   O
review   O
the   O
MRI   O
results   O
and   O
discuss   O
further   O
treatment   O
plans   O
based   O
on   O
those   O
findings   O
.   O

Confidentiality   O
of   O
Xavier   B-NAME
Dotson   I-NAME
's   O
information   O
,   O
including   O
address   O
at   O
Arizona   B-LOCATION
and   O
contact   O
number   O
903   B-CONTACT
-   I-CONTACT
2364   I-CONTACT
,   O
was   O
maintained   O
throughout   O
the   O
process   O
.   O

All   O
patient   O
-   O
related   O
documentation   O
was   O
securely   O
handled   O
,   O
adhering   O
to   O
Lost   B-LOCATION
Rivers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
and   I-LOCATION
General   I-LOCATION
Employees   I-LOCATION
's   O
privacy   O
protocols   O
.   O

Patient   O
Name   O
:   O
Addison   B-NAME
Leblanc   I-NAME
Medical   O
Record   O
Number   O
:   O
68261134   B-ID
Date   O
of   O
Birth   O
:   O
71   O
Date   O
of   O
Visit   O
:   O
20   B-DATE
March   I-DATE
2308   I-DATE

Dickson   B-NAME
Location   O
:   O
Orange   B-LOCATION
,   I-LOCATION
Orange   I-LOCATION
Downtown   I-LOCATION
Alliance   I-LOCATION
Hospital   O
:   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Phone   O
Number   O
:   O
116   B-CONTACT
236   I-CONTACT
-   I-CONTACT
8959   I-CONTACT
ID   O
Number   O
:   O
4677849   B-ID
Employment   O
:   O
musician   O
Username   O
:   O
eq851   B-NAME
Zip   O
Code   O
:   O
19265   B-LOCATION
Patient   O
Owen   B-NAME
Franklin   I-NAME
,   O
a   O
Sailors   O
and   O
Marine   O
Oilers   O
from   O
Strang   B-LOCATION
,   O
73272   B-LOCATION
,   O
presented   O
to   O
Large   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Indian   I-LOCATION
Rocks   I-LOCATION
(   I-LOCATION
Formerly   I-LOCATION
Sun   I-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
on   O
29/25/2380   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
and   O
a   O
productive   O
cough   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Detailed   O
history   O
taking   O
revealed   O
that   O
Emilio   B-NAME
Hodges   I-NAME
had   O
been   O
experiencing   O
bouts   O
of   O
fever   O
,   O
with   O
temperatures   O
reaching   O
up   O
to   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
,   O
particularly   O
during   O
late   O
afternoons   O
.   O

Auscultation   O
by   O
Stephens   B-NAME
demonstrated   O
bibasilar   O
crackles   O
,   O
suggestive   O
of   O
a   O
lower   O
respiratory   O
tract   O
infection   O
.   O

Throughout   O
the   O
examination   O
,   O
Konner   B-NAME
Butler   I-NAME
's   O
oxygen   O
saturation   O
fluctuated   O
,   O
dropping   O
to   O
92   O
%   O
on   O
room   O
air   O
,   O
indicating   O
a   O
potential   O
impairment   O
in   O
gas   O
exchange   O
.   O

A   O
chest   O
X   O
-   O
ray   O
,   O
conducted   O
on   O
November   B-DATE
under   O
3963568   B-ID
and   O
0137670   B-ID
,   O
showed   O
patchy   O
infiltrates   O
in   O
the   O
basal   O
segments   O
of   O
both   O
lower   O
lobes   O
,   O
consistent   O
with   O
pneumonia   O
.   O

Given   O
these   O
findings   O
,   O
Paul   B-NAME
initiated   O
a   O
treatment   O
regimen   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
pending   O
sputum   O
culture   O
and   O
sensitivity   O
results   O
to   O
target   O
the   O
causative   O
agent   O
more   O
effectively   O
.   O

Konner   B-NAME
Butler   I-NAME
was   O
advised   O
on   O
the   O
importance   O
of   O
adequate   O
hydration   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antipyretics   O
to   O
manage   O
the   O
fever   O
.   O

Instructions   O
were   O
given   O
to   O
Orion   B-NAME
Tapia   I-NAME
to   O
closely   O
monitor   O
symptoms   O
and   O
to   O
return   O
to   O
St.   B-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Livingston   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
614   B-CONTACT
-   I-CONTACT
1199   I-CONTACT
in   O
case   O
of   O
symptom   O
exacerbation   O
,   O
such   O
as   O
increased   O
difficulty   O
in   O
breathing   O
,   O
or   O
if   O
new   O
symptoms   O
emerge   O
.   O

Additionally   O
,   O
Tyrese   B-NAME
Herman   I-NAME
was   O
advised   O
to   O
rest   O
,   O
avoid   O
exertion   O
,   O
and   O
to   O
practice   O
good   O
oral   O
hygiene   O
to   O
prevent   O
the   O
spread   O
of   O
infection   O
.   O

Subsequent   O
follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
Kendrick   B-NAME
Gonzalez   I-NAME
with   O
Kalam   B-NAME
,   I-NAME
APJ   I-NAME
Abdul   I-NAME
on   O
12/25/1626   B-DATE
to   O
review   O
the   O
progress   O
and   O
to   O
adjust   O
the   O
treatment   O
plan   O
based   O
on   O
the   O
response   O
to   O
the   O
initial   O
therapy   O
and   O
the   O
outcomes   O
of   O
the   O
pending   O
cultures   O
.   O

Patient   O
education   O
was   O
also   O
provided   O
on   O
smoking   O
cessation   O
,   O
given   O
the   O
history   O
of   O
Deacon   B-NAME
Acosta   I-NAME
as   O
a   O
smoker   O
,   O
emphasizing   O
its   O
impact   O
on   O
respiratory   O
health   O
.   O

Signed   O
,   O
Mayer   B-NAME
2322   B-DATE

Patient   O
Name   O
:   O
Michaela   B-NAME
Osborn   I-NAME
Age   O
:   O
76   O
Date   O
of   O
Birth   O
:   O
2390   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
12   I-DATE
Address   O
:   O
Linton   B-LOCATION
Hall   I-LOCATION
,   O
52378   B-LOCATION
Phone   O
Number   O
:   O
39536   B-CONTACT
Employment   O
:   O
Credit   O
Analysts   O
at   O
Fashion   B-LOCATION
for   I-LOCATION
Fighters   I-LOCATION
Foundation   I-LOCATION
Physician   O
:   O

Good   B-NAME
Hospital   O
:   O
Woodland   B-LOCATION
Heights   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
880   B-ID
-   I-ID
63   I-ID
-   I-ID
63   I-ID
-   I-ID
6   I-ID
ID   O
Number   O
:   O
98527   B-ID
Username   O
:   O
fvb601   B-NAME
26/15/2096   B-DATE
,   O
Victor   B-NAME
presented   O
to   O
Holy   B-LOCATION
Redeemer   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Zaniyah   B-NAME
Rangel   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
rating   O
it   O
an   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Further   O
,   O
Spence   B-NAME
reported   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
lack   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Upon   O
examination   O
,   O
Charlette   B-NAME
Ruston   I-NAME
displayed   O
rebound   O
tenderness   O
and   O
rigidity   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

A   O
subsequent   O
abdominal   O
ultrasound   O
conducted   O
by   O
Chana   B-NAME
Beard   I-NAME
at   O
Hugh   B-LOCATION
Chatham   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
fluid   O
collection   O
,   O
confirming   O
the   O
preliminary   O
diagnosis   O
.   O

Given   O
the   O
findings   O
,   O
Berg   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Brent   B-NAME
Cameron   I-NAME
's   O
past   O
medical   O
history   O
,   O
documented   O
under   O
48458584   B-ID
,   O
including   O
any   O
known   O
allergies   O
,   O
medication   O
regimen   O
,   O
and   O
pertinent   O
family   O
history   O
,   O
was   O
reviewed   O
to   O
ensure   O
appropriate   O
pre   O
-   O
operative   O
preparation   O
.   O

Surgery   O
was   O
scheduled   O
for   O
the   O
immediate   O
next   O
day   O
,   O
32/23   B-DATE
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
with   O
Jaeden   B-NAME
Larson   I-NAME
responding   O
well   O
to   O
the   O
procedures   O
and   O
antibiotics   O
administered   O
.   O

Bosconovitch   B-NAME
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
Kimora   B-NAME
Porter   I-NAME
on   O
12   B-DATE
-   I-DATE
3   I-DATE
to   O
assess   O
post   O
-   O
operative   O
healing   O
and   O
address   O
any   O
potential   O
complications   O
.   O

Additionally   O
,   O
Tucker   B-NAME
,   I-NAME
Gideon   I-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
pain   O
,   O
redness   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
,   O
and   O
to   O
report   O
anything   O
unusual   O
to   O
Baptist   B-LOCATION
Health   I-LOCATION
Louisville   I-LOCATION
immediately   O
.   O

In   O
conclusion   O
,   O
the   O
prompt   O
diagnosis   O
and   O
intervention   O
for   O
Gilbert   B-NAME
Tyler   I-NAME
's   O
appendicitis   O
have   O
likely   O
prevented   O
further   O
complications   O
such   O
as   O
appendiceal   O
rupture   O
,   O
highlighting   O
the   O
importance   O
of   O
acute   O
abdominal   O
pain   O
assessment   O
and   O
timely   O
surgical   O
referral   O
in   O
emergency   O
care   O
settings   O
.   O

Barrett   B-NAME
Sliter   I-NAME
was   O
discharged   O
on   O
25   B-DATE
with   O
instructions   O
for   O
at   O
-   O
home   O
care   O
and   O
activity   O
modifications   O
to   O
support   O
recovery   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Vanover   B-NAME
Patient   O
ID   O
:   O
KZ756/8439   B-ID
Medical   O
Record   O
Number   O
:   O
1270O37589   B-ID
Date   O
of   O
Birth   O
:   O
2024   B-DATE
Age   O
:   O
3   O
week   O
Address   O
:   O
Holiday   B-LOCATION
Lakes   I-LOCATION
,   O
26873   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
769   I-CONTACT
)   I-CONTACT
744   I-CONTACT
-   I-CONTACT
6805   I-CONTACT
Employment   O
:   O
Psychiatric   O
Aides   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Cowan   B-NAME
Hospital   O
:   O

Iredell   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
6/29   B-DATE
Date   O
of   O
Discharge   O
:   O
03/12   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Kayleen   B-NAME
Steinbeck   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Greenbrier   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
15/07/2251   B-DATE
with   O
complaints   O
of   O
acute   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
,   O
and   O
a   O
high   O
-   O
grade   O
fever   O
lasting   O
for   O
approximately   O
3   O
days   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Karla   B-NAME
Schaefer   I-NAME
first   O
noticed   O
symptoms   O
approximately   O
one   O
week   O
ago   O
,   O
beginning   O
with   O
a   O
mild   O
,   O
dry   O
cough   O
and   O
a   O
subjective   O
fever   O
.   O

Approximately   O
three   O
days   O
ago   O
,   O
Ellis   B-NAME
Ford   I-NAME
began   O
experiencing   O
severe   O
shortness   O
of   O
breath   O
,   O
leading   O
to   O
difficulty   O
performing   O
daily   O
tasks   O
.   O

D   B-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

Past   O
Medical   O
History   O
:   O
Memoria   B-NAME
Nasers   I-NAME
has   O
a   O
history   O
of   O
diabetes   O
mellitus   O
type   O
2   O
,   O
managed   O
with   O
medication   O
.   O

There   O
is   O
also   O
a   O
history   O
of   O
hypertension   O
,   O
for   O
which   O
Nick   B-NAME
Golden   I-NAME
is   O
currently   O
taking   O
prescribed   O
medications   O
.   O

Social   O
History   O
:   O
Larsen   B-NAME
is   O
a   O
Spotters   O
,   O
Dry   O
Cleaning   O
living   O
in   O
Cut   B-LOCATION
Bank   I-LOCATION
.   O

Jalen   B-NAME
Richardson   I-NAME
reports   O
a   O
history   O
of   O
smoking   O
,   O
approximately   O
1   O
pack   O
per   O
day   O
for   O
the   O
past   O
20   O
years   O
,   O
but   O
quit   O
smoking   O
5   O
years   O
ago   O
.   O

Family   O
History   O
:   O
Queen   B-NAME
F   I-NAME
Hodge   I-NAME
reports   O
a   O
family   O
history   O
of   O
heart   O
disease   O
(   O
father   O
)   O
and   O
type   O
2   O
diabetes   O
mellitus   O
(   O
mother   O
)   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Ronnie   B-NAME
Le   I-NAME
is   O
a   O
3   O
-   O
year   O
-   O
old   O
Forensic   O
Science   O
Technicians   O
who   O
appears   O
acutely   O
distressed   O
due   O
to   O
respiratory   O
effort   O
.   O

Management   O
Plan   O
:   O
Whitney   B-NAME
Keller   I-NAME
was   O
admitted   O
to   O
Keokuk   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Burke   B-NAME
for   O
acute   O
bacterial   O
pneumonia   O
.   O

Harry   B-NAME
Carrillo   I-NAME
will   O
be   O
monitored   O
closely   O
for   O
any   O
signs   O
of   O
respiratory   O
distress   O
or   O
failure   O
.   O

Follow   O
-   O
up   O
CBC   O
and   O
chest   O
X   O
-   O
ray   O
are   O
scheduled   O
for   O
00/40   B-DATE
to   O
assess   O
treatment   O
effectiveness   O
.   O

Follow   O
-   O
Up   O
:   O
Clementina   B-NAME
Catillo   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Gilbert   B-NAME
in   O
the   O
outpatient   O
clinic   O
on   O
New   B-DATE
Years   I-DATE
Eve   I-DATE
after   O
discharge   O
for   O
further   O
evaluation   O
and   O
management   O
.   O

The   O
information   O
provided   O
in   O
this   O
patient   O
report   O
was   O
obtained   O
through   O
a   O
comprehensive   O
evaluation   O
and   O
serves   O
as   O
a   O
detailed   O
record   O
of   O
Phoebe   B-NAME
Reilly   I-NAME
's   O
current   O
hospital   O
admission   O
for   O
pneumonia   O
.   O

Further   O
information   O
can   O
be   O
obtained   O
by   O
contacting   O
West   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
at   O
175   B-CONTACT
8400   I-CONTACT
.   O

Patient   O
Name   O
:   O
Martin   B-NAME
Arrowsmith   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
57100891   I-ID
Date   O
of   O
Birth   O
:   O
March   B-DATE
11   I-DATE
Age   O
:   O
26s   O
Phone   O
Number   O
:   O
29638   B-CONTACT
Address   O
:   O
Corozal   B-LOCATION
,   O
56383   B-LOCATION
Physician   O
:   O

Aliana   B-NAME
Carroll   I-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
6333178   B-ID
Date   O
of   O
Visit   O
:   O
April   B-DATE
02th   I-DATE
Employment   O
:   O

Commercial   O
and   O
Industrial   O
Designers   O
at   O
Imperial   B-LOCATION
Capital   I-LOCATION
Bank   I-LOCATION
Clinical   O
Presentation   O
:   O
Valerie   B-NAME
Castaneda   I-NAME
presented   O
to   O
the   O
outpatient   O
department   O
at   O
Harrison   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
11/35   B-DATE
,   O
complaining   O
of   O
a   O
persistent   O
,   O
dry   O
cough   O
that   O
has   O
been   O
troubling   O
them   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Xian   B-NAME
also   O
reports   O
a   O
recent   O
onset   O
of   O
wheezing   O
and   O
shortness   O
of   O
breath   O
during   O
light   O
physical   O
activities   O
,   O
which   O
they   O
have   O
not   O
experienced   O
before   O
.   O

Billy   B-NAME
Ulysses   I-NAME
Graves   I-NAME
's   O
past   O
medical   O
history   O
includes   O
mild   O
asthma   O
diagnosed   O
in   O
childhood   O
,   O
but   O
it   O
was   O
well   O
-   O
controlled   O
and   O
rarely   O
symptomatic   O
in   O
adulthood   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Lang   B-NAME
appeared   O
slightly   O
dyspneic   O
while   O
speaking   O
.   O

It   O
was   O
also   O
advised   O
that   O
Bruce   B-NAME
D.   I-NAME
Brian   I-NAME
monitors   O
and   O
records   O
their   O
peak   O
expiratory   O
flow   O
rate   O
daily   O
,   O
to   O
provide   O
more   O
insight   O
into   O
their   O
condition   O
over   O
time   O
.   O

Instructions   O
were   O
given   O
to   O
Jamie   B-NAME
Cruz   I-NAME
to   O
avoid   O
any   O
known   O
allergies   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
were   O
to   O
significantly   O
worsen   O
or   O
if   O
they   O
experienced   O
difficulty   O
breathing   O
.   O

In   O
the   O
interim   O
,   O
any   O
inquiries   O
or   O
concerns   O
were   O
to   O
be   O
directed   O
to   O
Stella   B-NAME
Stephenson   I-NAME
's   O
office   O
via   O
300   B-CONTACT
-   I-CONTACT
5728   I-CONTACT
.   O

Patient   O
Name   O
:   O
Cortázar   B-NAME
,   I-NAME
Julio   I-NAME
Age   O
:   O
26   O
Date   O
of   O
Birth   O
:   O
29/30/21   B-DATE
Address   O
:   O
Dateland   B-LOCATION
,   O
60757   B-LOCATION
Phone   O
Number   O
:   O
76245   B-CONTACT
Employment   O
:   O
Nutritionist   O
at   O
Sterling   B-LOCATION
Bank   I-LOCATION
Physician   O
:   O

Romero   B-NAME
Hospital   O
:   O

Sentara   B-LOCATION
Albemarle   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
3603172   B-ID
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
5839312   I-ID
Date   O
of   O
Visit   O
:   O
31/22/29   B-DATE
Presenting   O
Problem   O
:   O
The   O
patient   O
,   O
Rory   B-NAME
Mendoza   I-NAME
,   O
presented   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
persistent   O
dry   O
cough   O
.   O

Upon   O
detailed   O
questioning   O
,   O
Lucille   B-NAME
Jackson   I-NAME
recounted   O
a   O
significant   O
decrease   O
in   O
exercise   O
tolerance   O
,   O
indicating   O
that   O
activities   O
previously   O
completed   O
with   O
ease   O
now   O
provoke   O
shortness   O
of   O
breath   O
.   O

Mercedes   B-NAME
Daniels   I-NAME
recommended   O
initiating   O
treatment   O
with   O
a   O
diuretic   O
to   O
manage   O
fluid   O
overload   O
and   O
an   O
ACE   O
inhibitor   O
to   O
improve   O
heart   O
function   O
.   O

Further   O
consultation   O
with   O
a   O
cardiologist   O
at   O
WellStar   B-LOCATION
Kennestone   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
was   O
advised   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
for   O
4/21   B-DATE
to   O
reassess   O
symptoms   O
and   O
treatment   O
efficacy   O
.   O

Notes   O
:   O
Bowers   B-NAME
was   O
instructed   O
on   O
restricting   O
fluid   O
and   O
salt   O
intake   O
to   O
help   O
manage   O
symptoms   O
.   O

Durante   B-NAME
,   I-NAME
Jimmy   I-NAME
expressed   O
understanding   O
and   O
willingness   O
to   O
comply   O
with   O
the   O
treatment   O
plan   O
.   O

For   O
any   O
queries   O
or   O
emergency   O
situations   O
,   O
Hickman   B-NAME
was   O
advised   O
to   O
contact   O
Wall   B-NAME
at   O
80047   B-CONTACT
or   O
present   O
to   O
the   O
Emergency   O
Department   O
of   O
Karmanos   B-LOCATION
Cancer   I-LOCATION
Center   I-LOCATION
.   O

Username   O
:   O
ewi233   B-NAME
Document   O
Prepared   O
By   O
:   O
Lizeth   B-NAME
Humphrey   I-NAME
Document   O
Approval   O
Date   O
:   O
00/14   B-DATE

This   O
document   O
contains   O
confidential   O
health   O
information   O
related   O
to   O
Xion   B-NAME
Eubanks   I-NAME
.   O

Patient   O
Name   O
:   O
Phillip   B-NAME
Isaac   I-NAME
Crosby   I-NAME
Date   O
of   O
Birth   O
:   O
0/13   B-DATE
Age   O
:   O
94   O
Medical   O
Record   O
Number   O
:   O
0430521   B-ID
Social   O
Security   O
Number   O
:   O
DY   B-ID
:   I-ID
ED:7292   I-ID
Address   O
:   O
Rancho   B-LOCATION
Mesa   I-LOCATION
Verde   I-LOCATION
,   O
22090   B-LOCATION
Phone   O
Number   O
:   O
181   B-CONTACT
-   I-CONTACT
5163   I-CONTACT
Employer   O
:   O

CryptoRights   B-LOCATION
Foundation   I-LOCATION
Occupation   O
:   O
Search   O
Marketing   O
Strategists   O
Primary   O
Care   O
Physician   O
:   O
Williams   B-NAME
,   I-NAME
Roger   I-NAME
Admitting   O
Hospital   O
:   O
MultiCare   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
October   B-DATE
23   I-DATE
,   I-DATE
2363   I-DATE
Date   O
of   O
Discharge   O
:   O
00/34   B-DATE
Chief   O
Complaint   O
:   O
Ahmad   B-NAME
Cabrera   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
December   B-DATE
24   I-DATE
,   I-DATE
2195   I-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
excessive   O
sweating   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Proctor   B-NAME
,   O
a   O
73s   O
-   O
year   O
-   O
old   O
Wind   O
Energy   O
Operations   O
Managers   O
currently   O
employed   O
at   O
Municipal   B-LOCATION
Mazdoor   I-LOCATION
Union   I-LOCATION
located   O
in   O
Dunning   B-LOCATION
,   O
began   O
experiencing   O
symptoms   O
while   O
at   O
work   O
.   O

There   O
was   O
no   O
specific   O
incident   O
that   O
Yaholo   B-NAME
could   O
recall   O
that   O
might   O
have   O
precipitated   O
the   O
onset   O
of   O
symptoms   O
.   O

Ramiro   B-NAME
Zuniga   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
but   O
has   O
been   O
non   O
-   O
compliant   O
with   O
medication   O
over   O
the   O
past   O
Friday   B-DATE
.   O

Lezlie   B-NAME
Midkiff   I-NAME
reports   O
smoking   O
approximately   O
a   O
pack   O
of   O
cigarettes   O
per   O
day   O
for   O
the   O
past   O
December   B-DATE
32th   I-DATE
years   O
.   O

Review   O
of   O
Systems   O
:   O
-   O
General   O
:   O
No   O
recent   O
weight   O
loss   O
or   O
fever   O
-   O
Cardiovascular   O
:   O
See   O
chief   O
complaint   O
-   O
Respiratory   O
:   O
Shortness   O
of   O
breath   O
without   O
cough   O
-   O
Gastrointestinal   O
:   O
No   O
nausea   O
,   O
vomiting   O
,   O
or   O
diarrhea   O
-   O
Neurological   O
:   O
No   O
headaches   O
,   O
dizziness   O
,   O
or   O
loss   O
of   O
consciousness   O
Physical   O
Examination   O
:   O
-   O
Vital   O
Signs   O
:   O
Blood   O
Pressure   O
ZA732/4634   B-ID
/   O
QY509/1315   B-ID
,   O
Pulse   O
SM156/4484   B-ID
,   O
Respiratory   O
Rate   O
2   B-ID
-   I-ID
10092536   I-ID
,   O
Temperature   O
8   B-ID
-   I-ID
1941201   I-ID
°   O
F   O
-   O
General   O
Appearance   O
:   O
Mamie   B-NAME
Varnes   I-NAME
appears   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
-   O
Cardiovascular   O
:   O
Regular   O
rhythm   O
,   O
no   O
murmurs   O
,   O
rubs   O
,   O
or   O
gallops   O
-   O
Respiratory   O
:   O

Mildly   O
tachypneic   O
but   O
breath   O
sounds   O
are   O
clear   O
bilaterally   O
-   O
Abdomen   O
:   O
Soft   O
,   O
non   O
-   O
tender   O
,   O
no   O
palpable   O
mass   O
-   O
Extremities   O
:   O
No   O
edema   O
,   O
pulses   O
intact   O
Laboratory   O
Tests   O
and   O
Imaging   O
:   O
-   O
Initial   O
ECG   O
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
-   O
Cardiac   O
enzymes   O
were   O
elevated   O
with   O
Troponin   O
I   O
at   O
4870107   B-ID
ng   O
/   O
mL   O
-   O
Chest   O
X   O
-   O
Ray   O
was   O
unremarkable   O
Assessment   O
and   O
Plan   O
:   O
Victor   B-NAME
Z.   I-NAME
Qazi   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
anterior   O
wall   O
myocardial   O
infarction   O
(   O
MI   O
)   O
and   O
was   O
immediately   O
started   O
on   O
aspirin   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
and   O
a   O
statin   O
.   O

Serena   B-NAME
Hester   I-NAME
was   O
taken   O
to   O
the   O
cardiology   O
suite   O
for   O
an   O
emergent   O
cardiac   O
catheterization   O
by   O
Hadassah   B-NAME
Levine   I-NAME
,   O
revealing   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Ellie   B-NAME
Oconnell   I-NAME
was   O
admitted   O
to   O
Einstein   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Elkins   I-LOCATION
Park   I-LOCATION
under   O
the   O
care   O
of   O
Gauge   B-NAME
Walls   I-NAME
and   O
was   O
observed   O
in   O
the   O
cardiac   O
care   O
unit   O
.   O

Follow   O
-   O
up   O
:   O
Xander   B-NAME
Love   I-NAME
was   O
discharged   O
on   O
11/20   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Johns   B-NAME
,   I-NAME
Michael   I-NAME
in   O
2/07   B-DATE
.   O

Tessa   B-NAME
Alford   I-NAME
will   O
also   O
participate   O
in   O
a   O
cardiac   O
rehabilitation   O
program   O
at   O
Sherman   B-LOCATION
County   I-LOCATION
Bank   I-LOCATION
starting   O
May   B-DATE
11   I-DATE
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
HA91   B-NAME
Relation   O
:   O
Fishers   O
and   O
Related   O
Fishing   O
Workers   O
Phone   O
Number   O
:   O
73719   B-CONTACT
Discussion   O
:   O

Patient   O
Report   O
by   O
Koen   B-NAME
Kim   I-NAME
at   O
Jersey   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
Information   O
:   O
Name   O
:   O
Kevin   B-NAME
Patterson   I-NAME
Age   O
:   O
39   O
Medical   O
Record   O
Number   O
:   O
3101201   B-ID
ID   O
Number   O
:   O
ZL   B-ID
:   I-ID
YQ:6253   B-ID
Location   O
:   O
Jackson   B-LOCATION
,   O
20949   B-LOCATION
Phone   O
Number   O
:   O
950   B-CONTACT
-   I-CONTACT
6188   I-CONTACT
Date   O
:   O
October   B-DATE
Presenting   O
Complaint   O
:   O
Deion   B-NAME
,   O
a   O
Medical   O
and   O
Clinical   O
Laboratory   O
Technicians   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
.   O

Medical   O
History   O
:   O
Strauss   B-NAME
,   I-NAME
Richard   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

On   O
physical   O
examination   O
,   O
Aletha   B-NAME
appeared   O
acutely   O
distressed   O
.   O

Given   O
the   O
ECG   O
findings   O
,   O
the   O
decision   O
was   O
made   O
by   O
Tucker   B-NAME
for   O
urgent   O
cardiac   O
catheterization   O
.   O

Mario   B-NAME
was   O
transferred   O
to   O
CHI   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Memorial   I-LOCATION
's   O
cardiac   O
catheterization   O
lab   O
for   O
further   O
intervention   O
.   O

Sanai   B-NAME
Collins   I-NAME
was   O
subsequently   O
admitted   O
to   O
the   O
Cardiac   O
Care   O
Unit   O
(   O
CCU   O
)   O
for   O
monitoring   O
.   O

Follow   O
-   O
Up   O
:   O
Krish   B-NAME
Frank   I-NAME
is   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
the   O
cardiology   O
clinic   O
in   O
1   O
week   O
with   O
Mora   B-NAME
.   O

Username   O
for   O
Communication   O
:   O
mt417   B-NAME
This   O
synthetic   O
patient   O
report   O
is   O
a   O
comprehensive   O
account   O
detailing   O
the   O
presentation   O
,   O
evaluation   O
,   O
and   O
management   O
of   O
a   O
patient   O
with   O
symptoms   O
suggestive   O
of   O
an   O
acute   O
coronary   O
syndrome   O
.   O

Patient   O
Report   O
:   O
The   O
patient   O
,   O
Miller   B-NAME
,   I-NAME
Henry   I-NAME
,   O
a   O
Teacher   O
(   O
special   O
educational   O
needs   O
)   O
from   O
Kingstree   B-LOCATION
,   O
presented   O
to   O
Johnson   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
23/22   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
elevated   O
temperature   O
,   O
and   O
shortness   O
of   O
breath   O
over   O
the   O
past   O
week   O
.   O

The   O
initial   O
evaluation   O
was   O
conducted   O
by   O
Adams   B-NAME
,   O
and   O
vital   O
signs   O
were   O
taken   O
,   O
showing   O
a   O
temperature   O
of   O
38.5   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
.   O

Upon   O
examination   O
,   O
Seagal   B-NAME
,   I-NAME
Steven   I-NAME
demonstrated   O
bilateral   O
wheezes   O
upon   O
auscultation   O
and   O
expressed   O
feeling   O
fatigued   O
with   O
decreased   O
appetite   O
.   O

A   O
thorough   O
history   O
revealed   O
that   O
Varese   B-NAME
,   I-NAME
Edgard   I-NAME
has   O
had   O
no   O
recent   O
travel   O
history   O
or   O
any   O
known   O
exposure   O
to   O
infectious   O
diseases   O
.   O

However   O
,   O
O’Shaughnessy   B-NAME
,   I-NAME
Arthur   I-NAME
does   O
admit   O
to   O
a   O
history   O
of   O
smoking   O
,   O
averaging   O
about   O
10   O
cigarettes   O
a   O
day   O
for   O
the   O
past   O
82   O
years   O
.   O

The   O
CBC   O
results   O
,   O
referenced   O
by   O
2258062   B-ID
,   O
showed   O
elevated   O
white   O
blood   O
cell   O
count   O
,   O
indicating   O
a   O
possible   O
infection   O
.   O

A   O
follow   O
-   O
up   O
call   O
made   O
to   O
45653   B-CONTACT
on   O
02/36   B-DATE
confirmed   O
the   O
receipt   O
of   O
the   O
test   O
results   O
.   O

Coffey   B-NAME
discussed   O
the   O
findings   O
with   O
Taylor   B-NAME
Bowman   I-NAME
,   O
explaining   O
the   O
diagnosis   O
of   O
community   O
-   O
acquired   O
pneumonia   O
and   O
recommended   O
a   O
treatment   O
plan   O
that   O
included   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
,   O
rest   O
,   O
and   O
increased   O
fluid   O
intake   O
.   O

Additionally   O
,   O
it   O
was   O
advised   O
that   O
Carina   B-NAME
Wallace   I-NAME
self   O
-   O
isolate   O
and   O
monitor   O
symptoms   O
,   O
given   O
the   O
presentation   O
and   O
current   O
pandemic   O
guidelines   O
.   O

Prescriptions   O
were   O
electronically   O
sent   O
to   O
a   O
pharmacy   O
in   O
21297   B-LOCATION
,   O
with   O
instructions   O
for   O
Gonzales   B-NAME
to   O
commence   O
treatment   O
immediately   O
and   O
arrange   O
for   O
a   O
telehealth   O
follow   O
-   O
up   O
in   O
7   O
days   O
,   O
or   O
sooner   O
if   O
symptoms   O
worsen   O
.   O

The   O
patient   O
's   O
VV   B-ID
:   I-ID
RU:8392   I-ID
and   O
6384248   B-ID
number   O
were   O
used   O
to   O
securely   O
share   O
information   O
between   O
the   O
healthcare   O
provider   O
and   O
the   O
pharmacy   O
.   O

Clay   B-NAME
Morales   I-NAME
disclosed   O
a   O
concern   O
regarding   O
the   O
affordability   O
of   O
medications   O
on   O
the   O
phone   O
call   O
.   O

The   O
social   O
services   O
department   O
of   O
Fort   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
was   O
therefore   O
engaged   O
to   O
provide   O
assistance   O
,   O
and   O
a   O
case   O
number   O
,   O
dm571   B-NAME
,   O
was   O
assigned   O
for   O
ongoing   O
support   O
.   O

Continuous   O
monitoring   O
and   O
support   O
are   O
scheduled   O
for   O
Barry   B-NAME
,   I-NAME
Dave   I-NAME
,   O
with   O
instructions   O
to   O
reach   O
out   O
directly   O
to   O
Christensen   B-NAME
or   O
the   O
emergency   O
department   O
if   O
there   O
is   O
any   O
significant   O
deterioration   O
in   O
health   O
status   O
.   O

Patient   O
Name   O
:   O
Spencer   B-NAME
O.   I-NAME
Wilhelm   I-NAME
Medical   O
Record   O
Number   O
:   O
494   B-ID
-   I-ID
90   I-ID
-   I-ID
48   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Birth   O
:   O
6   O
Date   O
of   O
Visit   O
:   O
1/24   B-DATE
Attending   O
Physician   O
:   O
Ismael   B-NAME
Ayers   I-NAME
Hospital   O
:   O

Frisbie   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Moab   B-LOCATION
Zip   O
Code   O
:   O
74815   B-LOCATION
Phone   O
Number   O
:   O
12955   B-CONTACT
Occupation   O
:   O
Private   O
music   O
teacher   O
Username   O
:   O
sgb390   B-NAME
ID   O
:   O
6   B-ID
-   I-ID
6158126   I-ID
Chief   O
Complaint   O
:   O

Malloren   B-NAME
presented   O
to   O
the   O
Henry   B-LOCATION
Ford   I-LOCATION
Hospital   I-LOCATION
on   O
1813   B-DATE
with   O
a   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
for   O
the   O
past   O
72   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Mortez   B-NAME
Fenoff   I-NAME
,   O
a   O
74   O
-   O
year   O
-   O
old   O
Nonfarm   O
Animal   O
Caretakers   O
,   O
reported   O
the   O
onset   O
of   O
mild   O
,   O
generalized   O
abdominal   O
discomfort   O
approximately   O
one   O
week   O
ago   O
,   O
which   O
progressively   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Nash   B-NAME
,   I-NAME
Thomas   I-NAME
denied   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
or   O
recent   O
travel   O
.   O

Past   O
Medical   O
History   O
:   O
N   B-NAME
Leonard   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
managed   O
with   O
lisinopril   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Imala   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Surgical   O
consultation   O
with   O
Alison   B-NAME
Chapman   I-NAME
has   O
been   O
requested   O
.   O

Stone   B-NAME
has   O
been   O
advised   O
to   O
abstain   O
from   O
food   O
and   O
drink   O
in   O
preparation   O
for   O
possible   O
appendectomy   O
.   O

Follow   O
-   O
Up   O
:   O
Sterling   B-NAME
Cox   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
31/13   B-DATE
post   O
-   O
operatively   O
to   O
assess   O
recovery   O
and   O
wound   O
healing   O
.   O

Further   O
inquiries   O
can   O
be   O
directed   O
to   O
878   B-CONTACT
-   I-CONTACT
465   I-CONTACT
6183   I-CONTACT
or   O
Zurich   B-LOCATION
Insurance   I-LOCATION
Group   I-LOCATION
at   O
Elba   B-LOCATION
,   O
27914   B-LOCATION
.   O

Patient   O
Information   O
:   O
-   O
Stanton   B-NAME
,   I-NAME
Elizabeth   I-NAME
Cady   I-NAME
-   O
35   O
:   O
38   O
years   O
old   O
-   O
38984   B-CONTACT
:   O
901   B-CONTACT
829   I-CONTACT
3274   I-CONTACT
-   O
Lytle   B-LOCATION
:   O

Star   B-LOCATION
Harbor   I-LOCATION
-   O
20818   B-LOCATION
:   O
48488   B-LOCATION
-   O
Assigned   O
Doctor   O
:   O
Kuro   B-NAME
Hazama   I-NAME
-   O
97074819   B-ID
:   O
88096542   B-ID
-   O
8   B-ID
-   I-ID
5178806   I-ID
:   O
853375   B-ID
-   O
Date   O
of   O
Visit   O
:   O
6/5   B-DATE
Clinical   O
symptoms   O
and   O
diagnosis   O
presented   O
by   O
Bright   B-NAME
upon   O
consultation   O
at   O
South   B-LOCATION
Georgia   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
included   O
a   O
three   O
-   O
week   O
history   O
of   O
intermittent   O
,   O
cramping   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
left   O
quadrant   O
.   O

Specifically   O
,   O
Perle   B-NAME
,   I-NAME
Richard   I-NAME
reported   O
experiencing   O
bouts   O
of   O
diarrhea   O
alternating   O
with   O
constipation   O
.   O

Lindsay   B-NAME
Gannaway   I-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
irritable   O
bowel   O
syndrome   O
(   O
IBS   O
)   O
,   O
diagnosed   O
approximately   O
42   O
years   O
ago   O
.   O

However   O
,   O
the   O
frequency   O
and   O
severity   O
of   O
symptoms   O
have   O
increased   O
markedly   O
over   O
the   O
past   O
10/15/1661   B-DATE
.   O

Amy   B-NAME
Alvarez   I-NAME
is   O
currently   O
employed   O
as   O
a   O
Environmental   O
manager   O
,   O
and   O
they   O
denied   O
any   O
recent   O
travel   O
,   O
dietary   O
changes   O
,   O
or   O
new   O
stressors   O
.   O

Jayne   B-NAME
Ferretti   I-NAME
also   O
mentioned   O
that   O
there   O
was   O
no   O
family   O
history   O
of   O
gastrointestinal   O
cancers   O
or   O
inflammatory   O
bowel   O
disease   O
.   O

The   O
differential   O
diagnosis   O
for   O
Jaunie   B-NAME
includes   O
irritable   O
bowel   O
syndrome   O
with   O
a   O
possible   O
flare   O
-   O
up   O
,   O
inflammatory   O
bowel   O
disease   O
(   O
such   O
as   O
Crohn   O
's   O
disease   O
or   O
ulcerative   O
colitis   O
)   O
,   O
and   O
less   O
likely   O
,   O
diverticulitis   O
given   O
the   O
absence   O
of   O
fever   O
and   O
leukocytosis   O
.   O

It   O
was   O
recommended   O
that   O
Channery   B-NAME
undergo   O
a   O
colonoscopy   O
for   O
further   O
evaluation   O
,   O
particularly   O
to   O
rule   O
out   O
inflammatory   O
bowel   O
disease   O
or   O
other   O
organic   O
pathologies   O
.   O

A   O
referral   O
to   O
a   O
gastroenterologist   O
associated   O
with   O
Every   B-LOCATION
Human   I-LOCATION
Has   I-LOCATION
Rights   I-LOCATION
was   O
made   O
for   O
this   O
purpose   O
.   O

Analph   B-NAME
was   O
also   O
advised   O
to   O
monitor   O
their   O
symptoms   O
closely   O
and   O
to   O
return   O
to   O
Parkland   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
if   O
they   O
experience   O
any   O
worsening   O
of   O
symptoms   O
or   O
develop   O
new   O
concerns   O
such   O
as   O
rectal   O
bleeding   O
,   O
significant   O
weight   O
loss   O
,   O
or   O
persistent   O
fever   O
.   O

This   O
report   O
was   O
prepared   O
by   O
wi881   B-NAME
and   O
reviewed   O
by   O
Eduardo   B-NAME
Klein   I-NAME
on   O
12/17   B-DATE
.   O

All   O
further   O
correspondences   O
and   O
inquiries   O
should   O
be   O
directed   O
to   O
225   B-CONTACT
-   I-CONTACT
290   I-CONTACT
5317   I-CONTACT
or   O
through   O
our   O
patient   O
portal   O
provided   O
by   O
Oglethorpe   B-LOCATION
Power   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Adison   B-NAME
Faulkner   I-NAME
Patient   O
ID   O
:   O
35882496   B-ID
Date   O
of   O
Birth   O
:   O
21/00/87   B-DATE
Age   O
:   O
96   O
Address   O
:   O
North   B-LOCATION
Miami   I-LOCATION
,   O
82859   B-LOCATION
Phone   O
Number   O
:   O
912   B-CONTACT
7425   I-CONTACT

Amiah   B-NAME
Tanner   I-NAME
Hospital   O
:   O
Candler   B-LOCATION
Hospital   I-LOCATION
(   I-LOCATION
Savannah   I-LOCATION
)   I-LOCATION
Medical   O
History   O
:   O

The   O
patient   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
Tammany   I-LOCATION
Parish   I-LOCATION
Hospital   I-LOCATION
on   O
32/11/2176   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Iesha   B-NAME
Newhook   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
has   O
been   O
on   O
medication   O
for   O
the   O
past   O
84s   O
years   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Maldonado   B-NAME
's   O
blood   O
pressure   O
was   O
recorded   O
at   O
160/100   O
mmHg   O
,   O
heart   O
rate   O
was   O
102   O
bpm   O
,   O
and   O
respiratory   O
rate   O
was   O
22   O
breaths   O
/   O
min   O
.   O
An   O
electrocardiogram   O
(   O
ECG   O
)   O
performed   O
on   O
06/05   B-DATE
showed   O
signs   O
of   O
ST   O
-   O
elevation   O
in   O
the   O
anterior   O
leads   O
,   O
indicative   O
of   O
an   O
acute   O
anterior   O
myocardial   O
infarction   O
.   O

Treatment   O
Plan   O
:   O
Aedan   B-NAME
Velez   I-NAME
prescribed   O
a   O
dual   O
antiplatelet   O
therapy   O
consisting   O
of   O
aspirin   O
and   O
clopidogrel   O
,   O
along   O
with   O
beta   O
-   O
blockers   O
and   O
ACE   O
inhibitors   O
to   O
manage   O
hypertension   O
and   O
reduce   O
myocardial   O
oxygen   O
demand   O
.   O

Given   O
the   O
acute   O
presentation   O
and   O
ECG   O
findings   O
,   O
Zara   B-NAME
Carpenter   I-NAME
was   O
scheduled   O
for   O
an   O
immediate   O
coronary   O
angiography   O
on   O
New   B-DATE
Years   I-DATE
Eve   I-DATE
to   O
assess   O
coronary   O
artery   O
disease   O
and   O
potential   O
revascularization   O
options   O
.   O

Follow   O
-   O
Up   O
:   O
Goodman   B-NAME
,   I-NAME
Ellen   I-NAME
was   O
advised   O
strict   O
bed   O
rest   O
for   O
the   O
first   O
48   O
hours   O
post   O
-   O
admission   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Elliot   B-NAME
Wilkinson   I-NAME
has   O
been   O
scheduled   O
on   O
01   B-DATE
for   O
reassessment   O
of   O
symptoms   O
and   O
adjustment   O
of   O
medications   O
if   O
necessary   O
.   O

Cardiac   O
rehabilitation   O
was   O
suggested   O
to   O
commence   O
within   O
16   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
97   I-DATE
post   O
-   O
discharge   O
to   O
aid   O
in   O
recovery   O
and   O
prevention   O
of   O
future   O
cardiac   O
events   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
qqb938   B-NAME
Relationship   O
:   O

Curator   O
Phone   O
Number   O
:   O
864   B-CONTACT
-   I-CONTACT
677   I-CONTACT
3848   I-CONTACT

This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
Bruce   B-NAME
Cusamano   I-NAME
's   O
healthcare   O
team   O
at   O
USC   B-LOCATION
Verdugo   I-LOCATION
Hills   I-LOCATION
Hospital   I-LOCATION
and   O
Hingham   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
.   O

Any   O
disclosure   O
,   O
copying   O
,   O
or   O
distribution   O
of   O
this   O
report   O
,   O
or   O
the   O
taking   O
of   O
any   O
action   O
based   O
on   O
it   O
,   O
is   O
strictly   O
prohibited   O
unless   O
explicitly   O
authorized   O
by   O
Inge   B-NAME
Logan   I-NAME
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
108   B-ID
-   I-ID
57   I-ID
-   I-ID
40   I-ID
-   I-ID
7   I-ID
A   O
32   O
years   O
old   O
patient   O
,   O
referred   O
to   O
here   O
as   O
Brooks   B-NAME
,   O
presented   O
to   O
Saint   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
2233   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
an   O
episode   O
of   O
vomiting   O
that   O
occurred   O
early   O
in   O
the   O
morning   O
.   O

Anastasia   B-NAME
Cuevas   I-NAME
reported   O
that   O
symptoms   O
had   O
progressively   O
worsened   O
over   O
the   O
previous   O
24   O
hours   O
.   O

There   O
was   O
no   O
noted   O
fever   O
or   O
chills   O
,   O
but   O
Julissa   B-NAME
Finley   I-NAME
mentioned   O
a   O
loss   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

Medical   O
History   O
:   O
Jamiya   B-NAME
Howe   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
medication   O
and   O
diet   O
control   O
.   O

There   O
is   O
also   O
a   O
documented   O
history   O
of   O
hypertension   O
for   O
which   O
Gonzales   B-NAME
is   O
on   O
a   O
regimen   O
of   O
antihypertensive   O
medications   O
.   O

Previous   O
surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
Colorado   B-LOCATION
Mental   I-LOCATION
Health   I-LOCATION
Institute   I-LOCATION
at   I-LOCATION
Pueblo   I-LOCATION
back   O
in   O
22/29   B-DATE
.   O

On   O
examination   O
,   O
Huber   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Laboratory   O
tests   O
were   O
ordered   O
by   O
Oneal   B-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
an   O
inflammatory   O
marker   O
panel   O
.   O

Treatment   O
Plan   O
:   O
Based   O
on   O
examination   O
findings   O
and   O
diagnostic   O
results   O
,   O
Martinez   B-NAME
,   O
after   O
informed   O
consent   O
,   O
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
2302   B-DATE
-   I-DATE
33   I-DATE
-   I-DATE
22   I-DATE
.   O

The   O
surgical   O
procedure   O
was   O
uneventful   O
,   O
and   O
Cora   B-NAME
Berry   I-NAME
was   O
observed   O
overnight   O
.   O

Post   O
-   O
operatively   O
,   O
Zaid   B-NAME
Gordon   I-NAME
's   O
pain   O
was   O
successfully   O
managed   O
with   O
IV   O
analgesics   O
,   O
and   O
there   O
were   O
no   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Nikolas   B-NAME
Van   I-NAME
Helsing   I-NAME
was   O
discharged   O
on   O
30   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
46   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Mcmillan   B-NAME
at   O
Cooper   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
for   O
7/29   B-DATE
.   O

Hoover   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
soft   O
diet   O
initially   O
,   O
gradually   O
returning   O
to   O
a   O
normal   O
diet   O
as   O
tolerated   O
,   O
and   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
2   O
weeks   O
post   O
-   O
surgery   O
.   O
Contact   O
for   O
Questions   O
or   O
Concerns   O
:   O
Should   O
there   O
be   O
any   O
questions   O
or   O
concerns   O
regarding   O
the   O
care   O
plan   O
or   O
recovery   O
process   O
,   O
Tellez   B-NAME
or   O
family   O
members   O
can   O
contact   O
the   O
General   O
Surgery   O
Department   O
at   O
119   B-CONTACT
985   I-CONTACT
5437   I-CONTACT
.   O

Note   O
:   O
All   O
personal   O
health   O
information   O
relevant   O
to   O
Abigail   B-NAME
Burgess   I-NAME
's   O
condition   O
,   O
treatment   O
,   O
and   O
care   O
plan   O
has   O
been   O
discussed   O
with   O
the   O
patient   O
and   O
their   O
family   O
.   O

---   O
This   O
report   O
has   O
been   O
issued   O
on   O
0/30   B-DATE
by   O
the   O
attending   O
surgeon   O
,   O
Ibrahim   B-NAME
Warner   I-NAME
,   O
from   O
the   O
Department   O
of   O
General   O
Surgery   O
at   O
Hayes   B-LOCATION
Green   I-LOCATION
Beach   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
Brecon   B-LOCATION
.   O

Please   O
refer   O
to   O
Ullrich   B-NAME
's   O
medical   O
record   O
number   O
2695880   B-ID
for   O
further   O
information   O
.   O

Patient   O
Name   O
:   O
Leoma   B-NAME
Spiess   I-NAME
Patient   O
ID   O
:   O
YI154/6223   B-ID
Medical   O
Record   O
Number   O
:   O
OW907035   B-ID
Date   O
of   O
Birth   O
:   O
22/39/23   B-DATE
Age   O
:   O
29   O
Address   O
:   O
Bristol   B-LOCATION
,   I-LOCATION
Bristol   I-LOCATION
Downtown   I-LOCATION
Community   I-LOCATION
Partnership   I-LOCATION
,   O
25478   B-LOCATION
Phone   O
Number   O
:   O
18898   B-CONTACT
Occupation   O
:   O
Acute   O
Care   O
Nurses   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Hallie   B-NAME
Hawkins   I-NAME
Admitting   O
Hospital   O
:   O
Hodgeman   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Jetmore   I-LOCATION
Chief   O
Complaint   O
:   O
Ben   B-NAME
Andrews   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Blessing   B-LOCATION
Hospital   I-LOCATION
on   O
2/02   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
chest   O
pain   O
,   O
described   O
as   O
a   O
constricting   O
type   O
sensation   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Hypertension   O
-   O
Diagnosed   O
2213   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
12   I-DATE
,   O
managed   O
with   O
medication   O
not   O
specified   O
2   O
.   O

Type   O
2   O
Diabetes   O
Mellitus   O
-   O
Diagnosed   O
1631   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
05   I-DATE
,   O
under   O
dietary   O
control   O
3   O
.   O

No   O
prior   O
surgical   O
history   O
Social   O
History   O
:   O
Beau   B-NAME
Gaines   I-NAME
is   O
a   O
pharmacist   O
living   O
in   O
Newcomb   B-LOCATION
.   O

SARINA   B-NAME
BOOTH   I-NAME
denies   O
smoking   O
,   O
moderate   O
alcohol   O
use   O
on   O
weekends   O
,   O
and   O
denies   O
illicit   O
drug   O
use   O
.   O

Physical   O
Examination   O
:   O
General   O
-   O
Ramos   B-NAME
appeared   O
distressed   O
due   O
to   O
pain   O
.   O

Immediate   O
cardiac   O
catheterization   O
planned   O
after   O
consultation   O
with   O
Dr.   O
Velasquez   B-NAME
.   O

Admission   O
to   O
the   O
Cardiology   O
unit   O
at   O
Exeter   B-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
.   O

Note   O
:   O
Consent   O
for   O
treatment   O
was   O
obtained   O
from   O
Presley   B-NAME
,   I-NAME
Elvis   I-NAME
.   O

Emergency   O
contact   O
(   B-CONTACT
132   I-CONTACT
)   I-CONTACT
783   I-CONTACT
3549   I-CONTACT
was   O
notified   O
about   O
Lakiesha   B-NAME
Nethery   I-NAME
's   O
condition   O
and   O
admission   O
to   O
Duncan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
.   O

This   O
record   O
was   O
created   O
by   O
zz914   B-NAME
on   O
2/9   B-DATE
.   O

Patient   O
Name   O
:   O
Reynolds   B-NAME
Age   O
:   O
27   O
Date   O
of   O
Birth   O
:   O
February   B-DATE
Address   O
:   O
Minden   B-LOCATION
,   I-LOCATION
Minden   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
58770   B-LOCATION
Phone   O
:   O
45117   B-CONTACT
Profession   O
:   O

Haas   B-NAME
Hospital   O
:   O
Roane   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
4268   B-ID
:   I-ID
F37037   I-ID
Date   O
of   O
Admission   O
:   O
25th   B-DATE
of   I-DATE
February   I-DATE
ID   O
Number   O
:   O
UQ269/1170   B-ID
Clinical   O
Summary   O
:   O
Galvan   B-NAME
,   O
a   O
81   O
-   O
year   O
-   O
old   O
Food   O
Service   O
Managers   O
,   O
presented   O
to   O
Cullman   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/2/23   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
presyncope   O
.   O

al   B-NAME
-   I-NAME
Sadr   I-NAME
,   I-NAME
Muqtada   I-NAME
reported   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Upon   O
examination   O
,   O
Glenn   B-NAME
's   O
vital   O
signs   O
were   O
noted   O
to   O
be   O
hypertensive   O
with   O
a   O
blood   O
pressure   O
of   O
160/100   O
mmHg   O
.   O

Management   O
and   O
Outcome   O
:   O
Naomi   B-NAME
Simmons   I-NAME
was   O
immediately   O
started   O
on   O
a   O
regimen   O
of   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
intravenous   O
heparin   O
to   O
manage   O
the   O
acute   O
coronary   O
syndrome   O
.   O

Subsequent   O
to   O
stabilization   O
,   O
Jaylen   B-NAME
Key   I-NAME
underwent   O
coronary   O
angiography   O
performed   O
by   O
Flores   B-NAME
,   O
revealing   O
a   O
significant   O
blockage   O
in   O
the   O
right   O
coronary   O
artery   O
(   O
RCA   O
)   O
.   O

Afric   B-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
with   O
Simmons   B-NAME
at   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Eastside   I-LOCATION
for   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
review   O
progress   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

Conclusion   O
:   O
frances   B-NAME
cramer   I-NAME
's   O
presentation   O
of   O
acute   O
inferior   O
wall   O
MI   O
was   O
promptly   O
addressed   O
through   O
pharmacological   O
therapy   O
and   O
invasive   O
intervention   O
with   O
PCI   O
,   O
demonstrating   O
a   O
favorable   O
immediate   O
outcome   O
.   O

Contact   O
for   O
Further   O
Information   O
:   O
Houston   B-LOCATION
Methodist   I-LOCATION
The   B-LOCATION
Woodlands   I-LOCATION
Hospital   I-LOCATION
67882   B-CONTACT
Document   O
Prepared   O
By   O
:   O
RD866   B-NAME
,   O
on   O
27   B-DATE
-   I-DATE
Jan-2032   I-DATE
Note   O
:   O
All   O
personal   O
identifiers   O
in   O
this   O
document   O
have   O
been   O
replaced   O
with   O
placeholders   O
to   O
protect   O
patient   O
privacy   O
in   O
accordance   O
with   O
HIPAA   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Celia   B-NAME
Norton   I-NAME
Patient   O
ID   O
:   O
OX   B-ID
:   I-ID
IN:1236   I-ID
Date   O
of   O
Birth   O
:   O
02/09/2230   B-DATE
Age   O
:   O
7   O
Phone   O
Number   O
:   O
30873   B-CONTACT
Address   O
:   O
Layton   B-LOCATION
,   O
83577   B-LOCATION
Primary   O
Physician   O
:   O

Macdonald   B-NAME
Medical   O
Record   O
Number   O
:   O
550   B-ID
-   I-ID
55   I-ID
-   I-ID
74   I-ID
-   I-ID
3   I-ID
Employer   O
:   O
Wyandotte   B-LOCATION
Municipal   I-LOCATION
Services   I-LOCATION
Occupation   O
:   O
Telecommunications   O
Engineering   O
Specialists   O
Date   O
of   O
Visit   O
:   O
00/03/2015   B-DATE
Hospital   O
:   O
Palmdale   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Presenting   O
Complaint   O
:   O
Cunningham   B-NAME
,   I-NAME
Ward   I-NAME
presented   O
on   O
21/21   B-DATE
with   O
complaints   O
of   O
chronic   O
dyspnea   O
,   O
persistent   O
dry   O
cough   O
,   O
and   O
episodic   O
wheezing   O
intensified   O
over   O
the   O
past   O
month   O
.   O

Medical   O
History   O
:   O
Izabelle   B-NAME
Barnes   I-NAME
has   O
a   O
known   O
history   O
of   O
asthma   O
diagnosed   O
in   O
early   O
childhood   O
but   O
indicates   O
that   O
symptoms   O
have   O
significantly   O
evolved   O
and   O
intensified   O
,   O
particularly   O
over   O
the   O
past   O
three   O
months   O
.   O

Past   O
medical   O
records   O
from   O
the   O
Augusta   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
reveal   O
recurrent   O
episodes   O
of   O
bronchitis   O
over   O
the   O
last   O
two   O
years   O
.   O

On   O
physical   O
examination   O
,   O
Freeda   B-NAME
was   O
in   O
no   O
acute   O
distress   O
but   O
showed   O
signs   O
of   O
labored   O
breathing   O
with   O
prolonged   O
expiration   O
.   O

Investigations   O
:   O
Alan   B-NAME
Larsen   I-NAME
underwent   O
spirometry   O
,   O
which   O
indicated   O
reversible   O
obstruction   O
consistent   O
with   O
asthma   O
.   O

Management   O
Plan   O
:   O
A   O
stepwise   O
approach   O
for   O
asthma   O
management   O
was   O
discussed   O
with   O
Berg   B-NAME
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
in   O
2/7   B-DATE
to   O
assess   O
symptom   O
control   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O

In   O
summary   O
,   O
Diana   B-NAME
Reddin   I-NAME
,   O
a   O
Dancers   O
from   O
Miami   B-LOCATION
,   I-LOCATION
FL   I-LOCATION
33173   I-LOCATION
,   O
presents   O
with   O
aggravated   O
asthma   O
symptoms   O
requiring   O
adjustment   O
in   O
management   O
strategy   O
.   O

Emergency   O
Contact   O
:   O
97221   B-CONTACT
End   O
of   O
Report   O

Patient   O
Report   O
for   O
Ara   B-NAME
Paxson   I-NAME
Patient   O
ID   O
:   O
VR:6672:331338   B-ID
Medical   O
Record   O
Number   O
:   O
219   B-ID
-   I-ID
81   I-ID
-   I-ID
45   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Birth   O
:   O
74   O
Address   O
:   O
Buckhall   B-LOCATION
,   O
58217   B-LOCATION
Phone   O
Number   O
:   O
616   B-CONTACT
154   I-CONTACT
-   I-CONTACT
9713   I-CONTACT
Primary   O
Care   O
Provider   O
:   O
Benjamin   B-NAME
Referred   O
by   O
:   O
Textile   O
Bleaching   O
and   O
Dyeing   O
Machine   O
Operators   O
and   O
Tenders   O
at   O
Veterans   B-LOCATION
for   I-LOCATION
Peace   I-LOCATION
Hospital   O
:   O
Penn   B-LOCATION
Highlands   I-LOCATION
Clearfield   I-LOCATION
Date   O
of   O
Visit   O
:   O
11/00/07   B-DATE
Clinical   O
Notes   O
:   O
FARLEY   B-NAME
,   I-NAME
ERIC   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
2161   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
17   I-DATE
with   O
complaints   O
of   O
intermittent   O
,   O
sharp   O
abdominal   O
pain   O
localized   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Additionally   O
,   O
Hurst   B-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
over   O
the   O
last   O
few   O
days   O
.   O

On   O
physical   O
examination   O
,   O
Ali   B-NAME
Weaver   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Abdominal   O
ultrasonography   O
was   O
ordered   O
and   O
performed   O
on   O
Monday   B-DATE
at   O
HealthSouth   B-LOCATION
Northern   I-LOCATION
Kentucky   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
,   O
which   O
revealed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
with   O
no   O
signs   O
of   O
perforation   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
evaluation   O
and   O
supporting   O
laboratory   O
and   O
imaging   O
findings   O
,   O
Eve   B-NAME
Mullins   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
surgical   O
team   O
at   O
Mid   B-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
was   O
consulted   O
,   O
and   O
Ilse   B-NAME
Stoffel   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
09/20/30   B-DATE
.   O

Rosemarie   B-NAME
Ellender   I-NAME
was   O
advised   O
to   O
maintain   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
until   O
the   O
time   O
of   O
surgery   O
.   O

Follow   O
-   O
up   O
:   O
Keyla   B-NAME
Calderon   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
on   O
2083   B-DATE
to   O
evaluate   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Instructions   O
were   O
given   O
to   O
CONNER   B-NAME
,   I-NAME
VICKIE   I-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
such   O
as   O
fever   O
,   O
increased   O
abdominal   O
pain   O
,   O
or   O
any   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
.   O

The   O
information   O
in   O
this   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
the   O
use   O
of   O
the   O
medical   O
staff   O
involved   O
in   O
the   O
care   O
of   O
Greta   B-NAME
Gilbert   I-NAME
.   O

For   O
any   O
clarifications   O
or   O
further   O
information   O
,   O
please   O
contact   O
the   O
primary   O
care   O
provider   O
,   O
Tertius   B-NAME
Lydgate   I-NAME
,   O
at   O
769   B-CONTACT
323   I-CONTACT
-   I-CONTACT
3948   I-CONTACT
.   O

Prepared   O
by   O
:   O
wya9110   B-NAME
Date   O
:   O
12/23/2009   B-DATE

Patient   O
Name   O
:   O
Harper   B-NAME
,   I-NAME
Stephen   I-NAME
Medical   O
Record   O
Number   O
:   O
749   B-ID
-   I-ID
64   I-ID
-   I-ID
36   I-ID
-   I-ID
2   I-ID
Date   O
of   O
Birth   O
:   O
31   B-DATE
-   I-DATE
Dec-2337   I-DATE
Age   O
:   O
55   O
Address   O
:   O
Barnard   B-LOCATION
,   O
97456   B-LOCATION
Phone   O
Number   O
:   O
10126   B-CONTACT

Angelique   B-NAME
Rose   I-NAME
Hospital   O
Admitted   O
:   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
San   I-LOCATION
Francisco   I-LOCATION
Date   O
of   O
Admission   O
:   O
March   B-DATE
20   I-DATE
Reason   O
for   O
visit   O
:   O
The   O
patient   O
complained   O
of   O
experiencing   O
severe   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
down   O
the   O
left   O
arm   O
.   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Construction   O
Trades   O
and   O
Extraction   O
Workers   O
Social   O
Security   O
Number   O
:   O
SL:72747:967427   B-ID
Medical   O
History   O
:   O

The   O
patient   O
,   O
Corrine   B-NAME
James   I-NAME
-   I-NAME
Wagner   I-NAME
,   O
reported   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Dr.   O
Booth   B-NAME
and   O
the   O
team   O
at   O
Borgess   B-LOCATION
-   I-LOCATION
Lee   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
initiated   O
treatment   O
with   O
IV   O
thrombolytics   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
diuretics   O
.   O

Cardiology   O
consultation   O
recommended   O
an   O
early   O
invasive   O
strategy   O
with   O
coronary   O
angiography   O
planned   O
for   O
33/12   B-DATE
.   O
Follow   O
-   O
Up   O
:   O

The   O
patient   O
Filiberto   B-NAME
Larmon   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
the   O
cardiology   O
clinic   O
on   O
32/00/30   B-DATE
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Acuna   B-NAME
's   O
Solar   O
Photovoltaic   O
Installers   O
Relation   O
:   O

Partner   O
Phone   O
:   O
61657   B-CONTACT
Note   O
:   O
All   O
personal   O
and   O
identifiable   O
information   O
has   O
been   O
altered   O
or   O
removed   O
to   O
protect   O
patient   O
privacy   O
according   O
to   O
guidelines   O
.   O

Further   O
details   O
regarding   O
James   B-NAME
Fraser   I-NAME
's   O
course   O
will   O
be   O
updated   O
through   O
secure   O
messaging   O
to   O
dgn542   B-NAME
.   O

*   O
*   O
Patient   O
Report   O
:*   O
*   O
*   O
*   O
Patient   O
Information   O
:*   O
*   O
-   O
Name   O
:   O
Celeste   B-NAME
Reilly   I-NAME
-   O
Age   O
:   O
70   O
-   O
ID   O
:   O
907198687   B-ID
-   O
Phone   O
:   O
29894   B-CONTACT
-   O
Medical   O
Record   O
Number   O
:   O
2370924   B-ID
-   O
Address   O
:   O
Summerfield   B-LOCATION
,   O
47536   B-LOCATION
-   O
Occupation   O
:   O
Electronic   O
Equipment   O
Installers   O
and   O
Repairers   O
,   O
Motor   O
Vehicles   O
*   O
*   O
Date   O
of   O
Report   O
:*   O
*   O
02   B-DATE
-   I-DATE
06   I-DATE
*   O
*   O
Referring   O
Physician   O
:*   O
*   O
Dr.   O
Weaver   B-NAME
*   O
*   O
Hospital   O
:*   O
*   O

MedStar   B-LOCATION
Georgetown   I-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
*   O
*   O
History   O
of   O
Present   O
Illness   O
:*   O
*   O
Damon   B-NAME
,   I-NAME
Johnny   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
2/04   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Olive   B-NAME
Johnson   I-NAME
also   O
reported   O
nausea   O
without   O
vomiting   O
and   O
a   O
lack   O
of   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Past   O
medical   O
history   O
includes   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
for   O
which   O
Henry   B-NAME
,   I-NAME
O.   I-NAME
is   O
on   O
medication   O
.   O

*   O
*   O
Physical   O
Examination   O
:*   O
*   O
Upon   O
examination   O
,   O
Christina   B-NAME
Conley   I-NAME
's   O
vital   O
signs   O
were   O
observed   O
as   O
follows   O
:   O
blood   O
pressure   O
150/90   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
respiratory   O
rate   O
18   O
breaths   O
per   O
minute   O
,   O
and   O
a   O
temperature   O
of   O
98.6   O
F   O
(   O
37   O
C   O
)   O
.   O

Dalia   B-NAME
Hardin   I-NAME
's   O
hemoglobin   O
A1c   O
was   O
7.9   O
%   O
,   O
indicating   O
suboptimal   O
control   O
of   O
diabetes   O
.   O

*   O
*   O
Treatment   O
:*   O
*   O
Hawkins   B-NAME
was   O
admitted   O
to   O
War   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
for   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Kirima   B-NAME
's   O
diabetes   O
medications   O
were   O
adjusted   O
to   O
better   O
control   O
blood   O
glucose   O
levels   O
during   O
hospitalization   O
.   O

A   O
consult   O
with   O
a   O
gastroenterologist   O
,   O
Dr.   O
Trevino   B-NAME
,   O
was   O
requested   O
to   O
assess   O
the   O
need   O
for   O
further   O
interventions   O
.   O

*   O
*   O
Follow   O
-   O
Up   O
and   O
Recommendations   O
:*   O
*   O
Cindy   B-NAME
Flores   I-NAME
demonstrated   O
significant   O
improvement   O
with   O
conservative   O
management   O
and   O
was   O
discharged   O
on   O
'   B-DATE
33   I-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Shields   B-NAME
was   O
scheduled   O
for   O
2053   B-DATE
-   I-DATE
38   I-DATE
-   I-DATE
23   I-DATE
to   O
evaluate   O
progress   O
and   O
discuss   O
any   O
additional   O
preventive   O
measures   O
.   O

kr   B-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
if   O
symptoms   O
such   O
as   O
severe   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
vomiting   O
recurred   O
.   O

*   O
*   O
Contact   O
Information   O
:*   O
*   O
For   O
any   O
questions   O
or   O
concerns   O
,   O
Patton   B-NAME
,   I-NAME
Chong   I-NAME
can   O
contact   O
the   O
Gastroenterology   O
Department   O
at   O
59403   B-CONTACT
.   O

*   O
*   O
Responsible   O
Physician   O
:*   O
*   O
Dr.   O
Payten   B-NAME
Wong   I-NAME
,   O
SSM   B-LOCATION
Saint   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
*   O
*   O
Confidentiality   O
Notice   O
:*   O
*   O

Patient   O
Name   O
:   O
Elizabeth   B-NAME
,   I-NAME
the   I-NAME
Queen   I-NAME
Mother   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
5379758   I-ID
Date   O
of   O
Birth   O
:   O
10/26   B-DATE
Report   O
Date   O
:   O
18/12/90   B-DATE
Medical   O
Record   O
Number   O
:   O
768   B-ID
-   I-ID
09   I-ID
-   I-ID
01   I-ID
-   I-ID
2   I-ID
Attending   O
Physician   O
:   O
Graves   B-NAME
Address   O
:   O
Seattle   B-LOCATION
,   O
80057   B-LOCATION
Contact   O
Number   O
:   O
29157   B-CONTACT
Employment   O
:   O
Obstetricians   O
and   O
Gynecologists   O
at   O
National   B-LOCATION
Tertiary   I-LOCATION
Education   I-LOCATION
Union   I-LOCATION
Referral   O
Source   O
:   O
Joyce   B-NAME
,   I-NAME
James   I-NAME
,   O
Memorial   B-LOCATION
Hospital   I-LOCATION
PRESENTING   O
COMPLAINTS   O
:   O

The   O
patient   O
,   O
Donavan   B-NAME
Harrison   I-NAME
,   O
aged   O
74   O
,   O
presented   O
on   O
2/35   B-DATE
with   O
a   O
history   O
of   O
persistent   O
,   O
localized   O
abdominal   O
pain   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
experiencing   O
an   O
escalation   O
over   O
the   O
past   O
72   O
hours   O
.   O

SOCIAL   O
HISTORY   O
:   O
Kaylene   B-NAME
Jastremski   I-NAME
resides   O
in   O
California   B-LOCATION
and   O
works   O
as   O
a   O
Analytical   O
chemist   O
at   O
Alliance   B-LOCATION
Bank   I-LOCATION
.   O

Upon   O
examination   O
,   O
Basil   B-NAME
Shiroma   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

DIAGNOSIS   O
:   O
Acute   O
appendicitis   O
PLAN   O
/   O
TREATMENT   O
:   O
Beckham   B-NAME
Brock   I-NAME
was   O
advised   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Burt   B-NAME
Eanes   I-NAME
was   O
instructed   O
to   O
fast   O
.   O

Informed   O
consent   O
for   O
surgery   O
was   O
obtained   O
from   O
Allison   B-NAME
Chung   I-NAME
.   O

The   O
patient   O
was   O
prepared   O
for   O
surgery   O
and   O
transferred   O
to   O
Prairie   B-LOCATION
Lakes   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
on   O
02/10   B-DATE
.   O

FOLLOW   O
-   O
UP   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
21/21/20   B-DATE
post   O
-   O
operatively   O
for   O
wound   O
check   O
and   O
evaluation   O
of   O
recovery   O
progress   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Nailatikau   B-NAME
,   I-NAME
Ratu   I-NAME
Epeli   I-NAME
Qaraninamu   I-NAME
Age   O
:   O
66   O
Medical   O
Record   O
Number   O
:   O
584   B-ID
-   I-ID
85   I-ID
-   I-ID
30   I-ID
-   I-ID
8   I-ID
ID   O
Number   O
:   O
QA:1988:614335   B-ID
Address   O
:   O
Hueytown   B-LOCATION
,   O
51764   B-LOCATION
Phone   O
Number   O
:   O
68652   B-CONTACT
Occupation   O
:   O
Leisure   O
centre   O
manager   O
Username   O
:   O
ZV150   B-NAME
Admission   O
Date   O
:   O
2/00   B-DATE
Attending   O
Physician   O
:   O

Harris   B-NAME
Admitting   O
Hospital   O
:   O
Holy   B-LOCATION
Family   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Merrimack   I-LOCATION
Valley   I-LOCATION

Presenting   O
Complaint   O
:   O
Gabriela   B-NAME
Sanford   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Morton   B-LOCATION
Hospital   I-LOCATION
on   O
32/23   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
since   O
early   O
morning   O
of   O
the   O
same   O
day   O
.   O

Addison   B-NAME
Holder   I-NAME
also   O
reported   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
(   O
101.3   O
°   O
F   O
)   O
and   O
chills   O
.   O

Albert   B-NAME
Merritt   I-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
metformin   O
and   O
a   O
past   O
surgical   O
history   O
of   O
cholecystectomy   O
approximately   O
2   O
month   O
years   O
ago   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Ashlyn   B-NAME
Leach   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Christine   B-NAME
Mclaughlin   I-NAME
's   O
blood   O
glucose   O
was   O
noted   O
to   O
be   O
8.6   O
mmol   O
/   O
L   O
,   O
and   O
ketones   O
were   O
negative   O
.   O

Management   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
investigation   O
findings   O
,   O
Reese   B-NAME
Fuentes   I-NAME
diagnosed   O
Torres   B-NAME
with   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
Linda   B-NAME
Urbanek   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
12/82   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Ursula   B-NAME
Michael   I-NAME
Troyer   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
postoperatively   O
.   O

Postoperative   O
Course   O
:   O
Mcdonald   B-NAME
had   O
an   O
uneventful   O
recovery   O
.   O

Benjamin   B-NAME
Taylor   I-NAME
was   O
started   O
on   O
a   O
liquid   O
diet   O
on   O
postoperative   O
day   O
1   O
and   O
progressed   O
to   O
a   O
soft   O
diet   O
by   O
postoperative   O
day   O
2   O
.   O

Carolyn   B-NAME
Holloway   I-NAME
was   O
discharged   O
on   O
15/02/12   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Hayden   B-NAME
Bright   I-NAME
in   O
two   O
weeks   O
.   O

Conclusion   O
:   O
Vallie   B-NAME
Bonomo   I-NAME
's   O
presentation   O
of   O
severe   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
,   O
fever   O
,   O
and   O
leukocytosis   O
was   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Rapid   O
diagnosis   O
and   O
intervention   O
with   O
laparoscopic   O
appendectomy   O
were   O
crucial   O
in   O
managing   O
Annabel   B-NAME
Hamburg   I-NAME
's   O
condition   O
and   O
preventing   O
complications   O
such   O
as   O
perforation   O
and   O
peritonitis   O
.   O

Patient   O
Name   O
:   O
Omar   B-NAME
Moody   I-NAME
Patient   O
ID   O
:   O
PO   B-ID
:   I-ID
YO:2089   I-ID
Medical   O
Record   O
Number   O
:   O
1895218   B-ID
Date   O
of   O
Birth   O
:   O
22/09   B-DATE
Age   O
:   O
32s   O
Address   O
:   O
Kaufman   B-LOCATION
,   O
74235   B-LOCATION
Phone   O
Number   O
:   O
19656   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Damarion   B-NAME
Phelps   I-NAME
Hospital   O
:   O

St   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Occupation   O
:   O

Oceanographer   O
Clinical   O
Summary   O
:   O
Greyson   B-NAME
Church   I-NAME
,   O
a   O
Insulation   O
Workers   O
,   O
Floor   O
,   O
Ceiling   O
,   O
and   O
Wall   O
aged   O
80   O
,   O
presented   O
to   O
Lakeland   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Niles   I-LOCATION
on   O
May   B-DATE
32   I-DATE
,   I-DATE
2311   I-DATE
with   O
a   O
history   O
of   O
progressively   O
worsening   O
respiratory   O
distress   O
over   O
the   O
past   O
week   O
.   O

On   O
examination   O
,   O
Corrine   B-NAME
James   I-NAME
exhibited   O
labored   O
breathing   O
,   O
with   O
an   O
increased   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Sexy   B-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
exposure   O
to   O
known   O
allergens   O
.   O

Past   O
Medical   O
History   O
:   O
Dee   B-NAME
,   I-NAME
Jack   I-NAME
has   O
a   O
documented   O
history   O
of   O
asthma   O
managed   O
with   O
inhaled   O
corticosteroids   O
and   O
has   O
been   O
relatively   O
stable   O
on   O
this   O
regimen   O
.   O

Laboratory   O
Tests   O
and   O
Imaging   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
28/27/12   B-DATE
indicated   O
no   O
acute   O
cardiopulmonary   O
process   O
.   O

Management   O
Plan   O
:   O
Dr.   O
Markus   B-NAME
Wise   I-NAME
initiated   O
treatment   O
with   O
high   O
-   O
dose   O
inhaled   O
corticosteroids   O
and   O
a   O
short   O
course   O
of   O
oral   O
steroids   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
in   O
two   O
weeks   O
with   O
Dr.   O
Burgess   B-NAME
at   O
AdventHealth   B-LOCATION
East   I-LOCATION
Orlando   I-LOCATION
.   O

Disposition   O
:   O
Martin   B-NAME
,   I-NAME
Demetri   I-NAME
was   O
discharged   O
home   O
on   O
03/01/2261   B-DATE
with   O
a   O
comprehensive   O
asthma   O
action   O
plan   O
.   O

The   O
patient   O
was   O
instructed   O
to   O
maintain   O
close   O
communication   O
with   O
Dr.   O
Corey   B-NAME
Snow   I-NAME
and   O
to   O
contact   O
674   B-CONTACT
475   I-CONTACT
9279   I-CONTACT
of   O
Spectrum   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Reed   I-LOCATION
City   I-LOCATION
Campus   I-LOCATION
for   O
any   O
concerns   O
or   O
deterioration   O
in   O
condition   O
.   O

In   O
case   O
of   O
emergency   O
,   O
Trinity   B-NAME
Parker   I-NAME
is   O
advised   O
to   O
call   O
352   B-CONTACT
2027   I-CONTACT
or   O
present   O
to   O
the   O
nearest   O
Emergency   O
Department   O
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
With   O
Dr.   O
Alden   B-NAME
Long   I-NAME
at   O
Edwards   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Healthcare   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Kinsley   I-LOCATION
on   O
22   B-DATE
-   I-DATE
Dec-2291   I-DATE
.   O

This   O
clinical   O
summary   O
has   O
been   O
prepared   O
by   O
the   O
medical   O
staff   O
at   O
Carrier   B-LOCATION
Clinic   I-LOCATION
for   O
the   O
purpose   O
of   O
ongoing   O
patient   O
care   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
JUSTUS   B-NAME
,   I-NAME
ELLIS   I-NAME
Age   O
:   O
81   O
Date   O
of   O
Birth   O
:   O
2161   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
22   I-DATE
Address   O
:   O
Royersford   B-LOCATION
,   O
30999   B-LOCATION
Phone   O
Number   O
:   O
826   B-CONTACT
2495   I-CONTACT
Medical   O
Record   O
Number   O
:   O
3548850   B-ID
Patient   O
ID   O
:   O
OU645/1041   B-ID
Attending   O
Physician   O
:   O
Dennis   B-NAME
Employer   O
:   O
Unity   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Social   O
Sciences   O
Teachers   O
,   O
Postsecondary   O
,   O
All   O
Other   O
Admitted   O
:   O
1933   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
18   I-DATE
Hospital   O
:   O
Memorial   B-LOCATION
Hospital   I-LOCATION
Miramar   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Sid   B-NAME
Dobesh   I-NAME
,   O
presented   O
on   O
08/25/1704   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
temporal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
nausea   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Townsend   B-NAME
,   I-NAME
Lawrence   I-NAME
first   O
noted   O
the   O
onset   O
of   O
symptoms   O
approximately   O
two   O
months   O
ago   O
,   O
with   O
episodes   O
occurring   O
bi   O
-   O
weekly   O
.   O

Past   O
Medical   O
History   O
:   O
Olivia   B-NAME
Watson   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
history   O
of   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Vitale   B-NAME
is   O
in   O
no   O
acute   O
distress   O
,   O
alert   O
and   O
oriented   O
.   O

Follow   O
-   O
up   O
:   O
Rodriguez   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
4   O
weeks   O
on   O
09/17/11   B-DATE
with   O
Payten   B-NAME
Rivers   I-NAME
at   O
McLaren   B-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
.   O

Signature   O
:   O
Lucas   B-NAME
04/00/2056   B-DATE

Patient   O
Name   O
:   O
Titus   B-NAME
Knappenberger   I-NAME
Patient   O
6608713   B-ID
:   O
ZT:93394:769490   B-ID
Age   O
:   O
100   O
Date   O
of   O
Birth   O
:   O
03/23   B-DATE
Address   O
:   O
Armenia   B-LOCATION
,   O
93770   B-LOCATION
Phone   O
:   O
514   B-CONTACT
2961   I-CONTACT

Attending   O
Physician   O
:   O
Dr.   O
Neal   B-NAME
Hospital   O
:   O
Parham   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
12/17   B-DATE
Employer   O
:   O

Farm   B-LOCATION
Animal   I-LOCATION
Rights   I-LOCATION
Movement   I-LOCATION
(   I-LOCATION
FARM   I-LOCATION
)   I-LOCATION
Occupation   O
:   O
Education   O
administrator   O
Clinical   O
Summary   O
:   O
Quenton   B-NAME
Zacharie   I-NAME
Odell   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Long   B-LOCATION
Term   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Birmingham   I-LOCATION
,   I-LOCATION
LLC   I-LOCATION
on   O
12/12/2371   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

The   O
onset   O
was   O
sudden   O
,   O
occurring   O
late   O
at   O
night   O
on   O
1921   B-DATE
.   O

On   O
examination   O
,   O
Kaylen   B-NAME
Ferguson   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
was   O
performed   O
on   O
25/10   B-DATE
,   O
confirming   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
evidence   O
of   O
perforation   O
or   O
abscess   O
formation   O
.   O

Management   O
and   O
Outcome   O
:   O
Dr.   O
Doug   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
.   O

Bender   B-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
on   O
May   B-DATE
21   I-DATE
at   O
Valley   B-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
.   O

Nixon   B-NAME
received   O
intravenous   O
antibiotics   O
as   O
prophylaxis   O
against   O
infection   O
.   O

Ken   B-NAME
was   O
advised   O
on   O
signs   O
of   O
infection   O
,   O
wound   O
care   O
,   O
and   O
was   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
on   O
7/21   B-DATE
.   O

Echeverria   B-NAME
was   O
provided   O
with   O
contact   O
information   O
for   O
the   O
surgical   O
team   O
and   O
instructions   O
to   O
seek   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
any   O
signs   O
of   O
wound   O
infection   O
.   O

723   B-CONTACT
-   I-CONTACT
5077   I-CONTACT
and   O
email   O
wn245   B-NAME
@   O
United   B-LOCATION
Steelworkers   I-LOCATION
were   O
documented   O
for   O
follow   O
-   O
up   O
communication   O
and   O
support   O
.   O

Patient   O
Report   O
for   O
Nyla   B-NAME
Cameron   I-NAME
1   O
.   O

Patient   O
Information   O
:   O
-   O
Age   O
:   O
42s   O
-   O
Location   O
:   O
Le   B-LOCATION
Mars   I-LOCATION
,   O
17575   B-LOCATION
-   O
Medical   O
Record   O
Number   O
:   O
0111262   B-ID
-   O
Phone   O
:   O
924   B-CONTACT
964   I-CONTACT
-   I-CONTACT
2041   I-CONTACT
-   O
Date   O
of   O
Visit   O
:   O
26/21   B-DATE
-   O
Attending   O
Physician   O
:   O

Angelo   B-NAME
Herman   I-NAME
-   O
Hospital   O
:   O
Southeastern   B-LOCATION
Ohio   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
2   O
.   O

Throttle   B-NAME
,   I-NAME
Ben   I-NAME
has   O
been   O
monitoring   O
these   O
conditions   O
under   O
the   O
care   O
of   O
Hamza   B-NAME
Carlson   I-NAME
at   O
Manhattan   B-LOCATION
Surgical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Manhattan   I-LOCATION
.   O

The   O
patient   O
reports   O
experiencing   O
acute   O
,   O
localized   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
has   O
persisted   O
for   O
approximately   O
48   O
hours   O
prior   O
to   O
the   O
visit   O
on   O
10/00/2342   B-DATE
.   O

The   O
working   O
diagnosis   O
for   O
Sha   B-NAME
is   O
acute   O
appendicitis   O
,   O
pending   O
further   O
diagnostic   O
confirmation   O
through   O
imaging   O
studies   O
.   O

It   O
is   O
recommended   O
that   O
Maldonado   B-NAME
is   O
admitted   O
to   O
OhioHealth   B-LOCATION
Dublin   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
and   O
surgical   O
evaluation   O
by   O
the   O
general   O
surgery   O
team   O
.   O
-   O
Pre   O
-   O
operative   O
antibiotics   O
and   O
intravenous   O
fluids   O
are   O
to   O
be   O
started   O
to   O
manage   O
infection   O
and   O
hydration   O
status   O
,   O
respectively   O
.   O

6   O
.   O
Follow   O
-   O
Up   O
:   O
-   O
Griffin   B-NAME
Bernard   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Ruiz   B-NAME
on   O
2122   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
36   I-DATE
at   O
Texas   B-LOCATION
Health   I-LOCATION
Harris   I-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
Southwest   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
to   O
assess   O
recovery   O
progress   O
and   O
to   O
discuss   O
any   O
further   O
treatment   O
if   O
necessary   O
.   O
-   O
Patient   O
or   O
caregiver   O
(   O
contact   O
number   O
:   O
516   B-CONTACT
104   I-CONTACT
2953   I-CONTACT
)   O
is   O
advised   O
to   O
report   O
any   O
deterioration   O
in   O
condition   O
,   O
fever   O
,   O
or   O
inability   O
to   O
tolerate   O
fluids   O
.   O

This   O
report   O
has   O
been   O
prepared   O
by   O
Herzler   B-NAME
,   I-NAME
Roger   I-NAME
D   I-NAME
,   O
M.D.   O
,   O
and   O
is   O
based   O
on   O
the   O
initial   O
assessment   O
and   O
medical   O
history   O
provided   O
by   O
the   O
patient   O
.   O

Report   O
ID   O
:   O
YA503/5392   B-ID
Prepared   O
on   O
:   O
2220   B-DATE
Prepared   O
for   O
:   O
National   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
and   I-LOCATION
General   I-LOCATION
Employees   I-LOCATION
Report   O
Prepared   O
by   O
:   O
xl884   B-NAME

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Luke   B-NAME
Obrien   I-NAME
Patient   O
ID   O
:   O
IC   B-ID
:   I-ID
XA:2928   I-ID
Age   O
:   O
41   O
Date   O
of   O
Admission   O
:   O
12/28/92   B-DATE

Riley   B-NAME
Mccarthy   I-NAME
Hospital   O
Name   O
:   O
Conway   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
Record   O
Number   O
:   O
7996013   B-ID
Location   O
:   O
Farmland   B-LOCATION
,   I-LOCATION
Historic   I-LOCATION
Farmland   I-LOCATION
USA   I-LOCATION
Zip   O
Code   O
:   O
32555   B-LOCATION
Phone   O
Number   O
:   O
548   B-CONTACT
-   I-CONTACT
8354   I-CONTACT
Username   O
ID   O
:   O
dy971   B-NAME
Summary   O
:   O
Johns   B-NAME
,   B-NAME
Michael   I-NAME
was   O
admitted   O
to   O
Taylor   B-LOCATION
Hardin   I-LOCATION
Secure   I-LOCATION
Medical   I-LOCATION
Facility   I-LOCATION
on   O
03/12/92   B-DATE
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
over   O
the   O
past   O
week   O
.   O

Finley   B-NAME
Valdez   I-NAME
also   O
reported   O
an   O
elevated   O
temperature   O
measured   O
at   O
home   O
.   O

Medical   O
history   O
taken   O
by   O
Barry   B-NAME
revealed   O
that   O
Craft   B-NAME
is   O
a   O
Flight   O
Attendants   O
with   O
no   O
significant   O
past   O
medical   O
or   O
surgical   O
history   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
IANNONE   B-NAME
exhibited   O
tenderness   O
and   O
rebound   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicating   O
potential   O
appendicitis   O
.   O

Lang   B-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
which   O
showed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
periappendiceal   O
fluid   O
collection   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Rodriquez   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Rafael   B-NAME
Dorsey   I-NAME
recommended   O
an   O
appendectomy   O
as   O
the   O
treatment   O
of   O
choice   O
.   O

David   B-NAME
Ravell   I-NAME
was   O
scheduled   O
for   O
surgery   O
on   O
the   O
following   O
day   O
,   O
2/12/22   B-DATE
.   O

Post   O
-   O
operatively   O
,   O
Jimmy   B-NAME
Ray   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
advised   O
on   O
post   O
-   O
operative   O
care   O
before   O
being   O
discharged   O
on   O
New   B-DATE
Years   I-DATE
Day   I-DATE
.   O

Follow   O
-   O
Up   O
:   O
Sergio   B-NAME
Hale   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Valerie   B-NAME
Flame   I-NAME
at   O
Cobb   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2/00   B-DATE
.   O

During   O
the   O
follow   O
-   O
up   O
,   O
SP   B-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
and   O
no   O
complications   O
were   O
noted   O
.   O

Michael   B-NAME
Strother   I-NAME
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
and   O
was   O
furnished   O
with   O
additional   O
guidance   O
on   O
diet   O
and   O
wound   O
care   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
regarding   O
the   O
post   O
-   O
operative   O
care   O
of   O
Porter   B-NAME
Choi   I-NAME
,   O
please   O
contact   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
170   B-CONTACT
4854   I-CONTACT
.   O

This   O
report   O
is   O
confidential   O
and   O
contains   O
protected   O
health   O
information   O
belonging   O
to   O
Kent   B-NAME
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Chad   B-NAME
Morrow   I-NAME
Age   O
:   O
74   O
Medical   O
Record   O
Number   O
:   O
478   B-ID
-   I-ID
00   I-ID
-   I-ID
45   I-ID
Date   O
of   O
Birth   O
:   O
22/2290   B-DATE
Address   O
:   O
Zenda   B-LOCATION
,   O
74522   B-LOCATION
Phone   O
:   O
594   B-CONTACT
-   I-CONTACT
7638   I-CONTACT
Primary   O
Physician   O
:   O

Reese   B-NAME
Admitting   O
Hospital   O
:   O
Hutzel   B-LOCATION
Women   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
38/22   B-DATE
ID   O
Number   O
:   O
3   B-ID
-   I-ID
9557553   I-ID
Clinical   O
Summary   O
:   O
Hickman   B-NAME
,   O
a   O
4   O
-   O
year   O
-   O
old   O
Nuclear   O
Technicians   O
,   O
presented   O
to   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Antioch   I-LOCATION
on   O
2120   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
27   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
that   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Upon   O
examination   O
,   O
WOODRUFF   B-NAME
,   I-NAME
FERNE   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
,   O
ECG   O
findings   O
,   O
and   O
laboratory   O
results   O
,   O
Braxton   B-NAME
May   I-NAME
was   O
diagnosed   O
with   O
an   O
acute   O
inferior   O
ST   O
-   O
segment   O
Elevation   O
Myocardial   O
Infarction   O
(   O
STEMI   O
)   O
.   O

Nina   B-NAME
Gilmore   I-NAME
was   O
started   O
on   O
a   O
heparin   O
drip   O
and   O
was   O
scheduled   O
for   O
an   O
emergency   O
coronary   O
angiography   O
by   O
Vincent   B-NAME
to   O
evaluate   O
coronary   O
anatomy   O
and   O
possible   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Disposition   O
:   O
Following   O
successful   O
PCI   O
,   O
Maximo   B-NAME
Marquez   I-NAME
was   O
admitted   O
to   O
the   O
coronary   O
care   O
unit   O
(   O
CCU   O
)   O
for   O
continuous   O
monitoring   O
and   O
further   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Thompson   B-NAME
was   O
scheduled   O
for   O
8/02/2039   B-DATE
at   O
University   B-LOCATION
of   I-LOCATION
Louisville   I-LOCATION
Hospital   I-LOCATION
to   O
review   O
the   O
patient   O
's   O
progress   O
and   O
adapt   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

For   O
questions   O
or   O
more   O
information   O
,   O
please   O
contact   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Pearland   I-LOCATION
Hospital   I-LOCATION
at   O
561   B-CONTACT
-   I-CONTACT
855   I-CONTACT
-   I-CONTACT
8776   I-CONTACT
.   O

Prepared   O
by   O
:   O
of458   B-NAME
Medical   O
Staff   O
,   O
Adventist   B-LOCATION
HealthCare   I-LOCATION
White   I-LOCATION
Oak   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
June   B-DATE
37   I-DATE
,   I-DATE
2296   I-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Carol   B-NAME
Novino   I-NAME
-   O
Age   O
:   O
91   O
-   O
ID   O
:   O
OS   B-ID
:   I-ID
PB:7659   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
0953267   B-ID
-   O
Phone   O
Number   O
:   O
46116   B-CONTACT
-   O
Address   O
:   O
Grace   B-LOCATION
City   I-LOCATION
,   O
76162   B-LOCATION
-   O
Occupation   O
:   O
Nursing   O
Aides   O
,   O
Orderlies   O
,   O
and   O
Attendants   O
Medical   O
History   O
:   O

Terrel   B-NAME
was   O
referred   O
to   O
Allee   B-NAME
,   I-NAME
W.   I-NAME
C.   I-NAME
on   O
4   B-DATE
-   I-DATE
21   I-DATE
following   O
a   O
two   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
persistent   O
cough   O
.   O

There   O
is   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
Oconnor   B-NAME
is   O
on   O
medication   O
.   O

Clinical   O
Examination   O
:   O
Upon   O
examination   O
on   O
02   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
60   I-DATE
,   O
Brewer   B-NAME
appeared   O
in   O
mild   O
respiratory   O
distress   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
conducted   O
on   O
02/75   B-DATE
at   O
Aurora   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Aurora   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Metro   I-LOCATION
,   I-LOCATION
Inc   I-LOCATION
indicated   O
an   O
enlarged   O
cardiac   O
silhouette   O
and   O
signs   O
suggestive   O
of   O
pulmonary   O
vascular   O
congestion   O
.   O

An   O
echocardiogram   O
was   O
scheduled   O
for   O
3/23/50   B-DATE
to   O
assess   O
cardiac   O
function   O
further   O
.   O

Treatment   O
Plan   O
:   O
Odakota   B-NAME
was   O
started   O
on   O
a   O
loop   O
diuretic   O
for   O
symptomatic   O
relief   O
of   O
volume   O
overload   O
on   O
12/00/03   B-DATE
.   O

Pope   B-NAME
recommended   O
follow   O
-   O
up   O
after   O
the   O
echocardiogram   O
results   O
are   O
available   O
to   O
discuss   O
potential   O
adjustments   O
in   O
heart   O
failure   O
management   O
,   O
considering   O
the   O
patient   O
's   O
history   O
of   O
diabetes   O
and   O
hypertension   O
.   O

Alexander   B-NAME
was   O
instructed   O
to   O
monitor   O
their   O
weight   O
daily   O
and   O
report   O
any   O
significant   O
changes   O
in   O
their   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
12/08   B-DATE
at   O
7208   B-LOCATION
South   I-LOCATION
Eagle   I-LOCATION
Drive   I-LOCATION
to   O
review   O
the   O
echocardiogram   O
findings   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Figueroa   B-NAME
was   O
provided   O
with   O
the   O
203   B-CONTACT
-   I-CONTACT
7228   I-CONTACT
number   O
of   O
the   O
cardiology   O
department   O
at   O
Holy   B-LOCATION
Redeemer   I-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
any   O
urgent   O
concerns   O
.   O
Instructions   O
for   O
Patient   O
:   O
Khloe   B-NAME
Raymond   I-NAME
has   O
been   O
advised   O
to   O
strictly   O
adhere   O
to   O
the   O
treatment   O
plan   O
,   O
monitor   O
symptoms   O
closely   O
,   O
and   O
report   O
any   O
exacerbation   O
of   O
symptoms   O
such   O
as   O
increased   O
shortness   O
of   O
breath   O
,   O
chest   O
pain   O
,   O
or   O
episodes   O
of   O
syncope   O
.   O

Infant   B-NAME
Church   I-NAME
was   O
encouraged   O
to   O
reach   O
out   O
to   O
Branch   B-NAME
or   O
the   O
cardiology   O
department   O
at   O
Miami   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Paola   I-LOCATION
using   O
the   O
97583   B-CONTACT
number   O
provided   O
for   O
any   O
queries   O
or   O
concerns   O
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Donaldson   B-NAME
Patient   O
ID   O
:   O
DI803/3979   B-ID
Medical   O
Record   O
Number   O
:   O
6023820   B-ID
Date   O
of   O
Report   O
:   O
02/44   B-DATE
Attending   O
Physician   O
:   O
Wall   B-NAME
Hospital   O
Name   O
:   O
Community   B-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
Location   O
:   O
Guerneville   B-LOCATION
Zip   O
Code   O
:   O
91946   B-LOCATION
Contact   O
Number   O
:   O
382   B-CONTACT
-   I-CONTACT
6601   I-CONTACT
Summary   O
:   O

A   O
11   O
-   O
year   O
-   O
old   O
nurse   O
with   O
no   O
significant   O
past   O
medical   O
history   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Livingston   B-LOCATION
Hospital   I-LOCATION
and   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
on   O
1687   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
25   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
noted   O
earlier   O
on   O
the   O
same   O
day   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Spanish   B-LOCATION
Peaks   I-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Krista   B-NAME
Alexander   I-NAME
for   O
further   O
management   O
.   O

Surgical   O
consultation   O
was   O
requested   O
,   O
and   O
after   O
evaluation   O
,   O
an   O
appendectomy   O
was   O
scheduled   O
for   O
4/28   B-DATE
.   O

The   O
patient   O
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
clinic   O
in   O
Ozora   B-LOCATION
two   O
weeks   O
post   O
-   O
discharge   O
for   O
wound   O
assessment   O
and   O
to   O
discuss   O
the   O
histopathology   O
report   O
.   O

The   O
patient   O
was   O
educated   O
about   O
the   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
at   O
the   O
incision   O
site   O
and   O
was   O
instructed   O
to   O
report   O
any   O
concerns   O
immediately   O
to   O
38984   B-CONTACT
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Kaufman   B-NAME
at   O
Highsmith   B-LOCATION
-   I-LOCATION
Rainey   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
2312   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
07   I-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
before   O
the   O
follow   O
-   O
up   O
visit   O
,   O
the   O
patient   O
is   O
urged   O
to   O
contact   O
Stella   B-NAME
Pruitt   I-NAME
's   O
office   O
at   O
892   B-CONTACT
-   I-CONTACT
126   I-CONTACT
9565   I-CONTACT
or   O
visit   O
the   O
nearest   O
emergency   O
department   O
in   O
Barnes   B-LOCATION
Lake   I-LOCATION
should   O
any   O
alarming   O
symptoms   O
arise   O
.   O

The   O
detailed   O
report   O
has   O
been   O
entered   O
into   O
the   O
patient   O
’s   O
medical   O
record   O
(   O
04941560   B-ID
)   O
for   O
continuity   O
of   O
care   O
.   O

Prepared   O
By   O
:   O
Medical   O
Staff   O
at   O
Seton   B-LOCATION
Northwest   I-LOCATION
Hospital   I-LOCATION
02/23   B-DATE
---   O
This   O
is   O
a   O
synthetic   O
patient   O
report   O
created   O
for   O
the   O
purpose   O
of   O
an   O
exercise   O
and   O
does   O
not   O
correspond   O
to   O
any   O
real   O
individual   O
or   O
medical   O
case   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Nicoll   B-NAME
,   I-NAME
James   I-NAME
Age   O
:   O
79   O
Medical   O
Record   O
Number   O
:   O
5749U75184   B-ID
Date   O
of   O
Visit   O
:   O
4/3/2231   B-DATE
Physician   O
:   O
Baker   B-NAME
Location   O
of   O
Visit   O
:   O
South   B-LOCATION
Chicago   I-LOCATION
Heights   I-LOCATION
Hospital   O
:   O
Henrico   B-LOCATION
Doctors   I-LOCATION
'   I-LOCATION
Hospital   I-LOCATION
Zip   O
Code   O
:   O
63082   B-LOCATION
Contact   O
Number   O
:   O
138   B-CONTACT
1340   I-CONTACT
ID   O
Number   O
:   O
RS   B-ID
:   I-ID
YO:7572   I-ID
Background   O
:   O
Patient   O
Azaria   B-NAME
Burns   I-NAME
,   O
a   O
Human   O
Resources   O
Managers   O
,   O
All   O
Other   O
,   O
presented   O
to   O
the   O
clinic   O
on   O
34/23   B-DATE
with   O
complaints   O
of   O
intermittent   O
episodes   O
of   O
intense   O
headache   O
predominantly   O
located   O
in   O
the   O
frontal   O
region   O
,   O
accompanied   O
by   O
photophobia   O
and   O
phonophobia   O
.   O

Episodes   O
were   O
noted   O
to   O
last   O
approximately   O
4   O
-   O
6   O
hours   O
and   O
have   O
increased   O
in   O
frequency   O
over   O
the   O
past   O
22/30/2281   B-DATE
.   O

Floy   B-NAME
Light   I-NAME
has   O
attempted   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
with   O
minimal   O
relief   O
.   O

Bush   B-NAME
,   I-NAME
George   I-NAME
H.   I-NAME
W.   I-NAME
has   O
been   O
taking   O
lisinopril   O
20   O
mg   O
daily   O
for   O
hypertension   O
and   O
uses   O
a   O
salbutamol   O
inhaler   O
as   O
needed   O
for   O
asthma   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Glynn   B-NAME
Freddie   I-NAME
Eric   I-NAME
Kinney   I-NAME
appeared   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Assessment   O
:   O
The   O
tentative   O
diagnosis   O
for   O
Elianna   B-NAME
Harper   I-NAME
is   O
Migraine   O
without   O
aura   O
.   O

For   O
any   O
further   O
questions   O
or   O
concerns   O
,   O
please   O
contact   O
Lilyana   B-NAME
Downs   I-NAME
at   O
393   B-CONTACT
1280   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
Ian   B-NAME
Heinemann   I-NAME
32/15   B-DATE
Duke   B-LOCATION
Energy   I-LOCATION
Florida   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Duke   I-LOCATION
Energy   I-LOCATION

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Jayleen   B-NAME
Torres   I-NAME
Age   O
:   O
89s   O
Date   O
of   O
Birth   O
:   O
06/01/2250   B-DATE
ID   O
:   O
TU:81034:609716   B-ID
Medical   O
Record   O
Number   O
:   O
126   B-ID
-   I-ID
27   I-ID
-   I-ID
14   I-ID
-   I-ID
3   I-ID
Address   O
:   O
8479   B-LOCATION
2nd   I-LOCATION
Drive   I-LOCATION
,   O
97861   B-LOCATION
Phone   O
:   O
860   B-CONTACT
-   I-CONTACT
362   I-CONTACT
3008   I-CONTACT
Employment   O
:   O
QA   O
analyst   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Sutton   B-NAME
Admitting   O
Hospital   O
:   O
Island   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
09/23/2118   B-DATE
Username   O
for   O
Hospital   O
Portal   O
:   O
tq843   B-NAME
Symptoms   O
and   O
Medical   O
History   O
:   O
Draven   B-NAME
Padilla   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Charlotte   B-LOCATION
Hungerford   I-LOCATION
Hospital   I-LOCATION
on   O
2043   B-DATE
-   I-DATE
18   I-DATE
-   I-DATE
20   I-DATE
with   O
complaints   O
of   O
severe   O
epigastric   O
pain   O
radiating   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
multiple   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Amaya   B-NAME
Jackson   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
worsened   O
post   O
-   O
prandially   O
,   O
and   O
slightly   O
alleviated   O
by   O
leaning   O
forward   O
.   O

Sha   B-NAME
Beauparlant   I-NAME
also   O
reported   O
a   O
history   O
of   O
alcohol   O
consumption   O
and   O
was   O
a   O
smoker   O
until   O
3/12   B-DATE
.   O

On   O
examination   O
,   O
Molina   B-NAME
appeared   O
distressed   O
with   O
a   O
heart   O
rate   O
of   O
110   O
bpm   O
and   O
a   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
.   O

Mina   B-NAME
Hopkins   I-NAME
's   O
medical   O
history   O
,   O
as   O
provided   O
,   O
included   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
hypertension   O
,   O
managed   O
with   O
medication   O
.   O

Under   O
the   O
care   O
of   O
Dr.   O
Day   B-NAME
and   O
the   O
medical   O
team   O
at   O
Catskill   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Harris   I-LOCATION
,   O
Virgil   B-NAME
was   O
admitted   O
for   O
acute   O
pancreatitis   O
.   O

Over   O
the   O
course   O
of   O
8/21   B-DATE
,   O
J.   B-NAME
Joseph   I-NAME
Moreno   I-NAME
's   O
condition   O
showed   O
gradual   O
improvement   O
with   O
a   O
decrease   O
in   O
abdominal   O
pain   O
and   O
normalization   O
of   O
laboratory   O
values   O
.   O

Discharge   O
and   O
Follow   O
-   O
Up   O
:   O
Sarina   B-NAME
Levers   I-NAME
was   O
discharged   O
on   O
02/79   B-DATE
with   O
instructions   O
for   O
alcohol   O
abstinence   O
,   O
smoking   O
cessation   O
,   O
and   O
dietary   O
modifications   O
to   O
manage   O
pancreatitis   O
and   O
reduce   O
the   O
risk   O
of   O
recurrence   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Song   B-NAME
Lepak   I-NAME
in   O
two   O
weeks   O
at   O
Holland   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Public   I-LOCATION
Works   I-LOCATION
's   O
outpatient   O
clinic   O
to   O
evaluate   O
Isaura   B-NAME
Abele   I-NAME
's   O
progress   O
and   O
adjust   O
medications   O
for   O
diabetes   O
and   O
hypertension   O
as   O
needed   O
.   O

Conclusion   O
:   O
The   O
timely   O
intervention   O
and   O
adherence   O
to   O
the   O
treatment   O
plan   O
contributed   O
to   O
the   O
positive   O
outcome   O
for   O
Laurence   B-NAME
Shoup   I-NAME
.   O

Continual   O
monitoring   O
and   O
lifestyle   O
modifications   O
are   O
crucial   O
to   O
prevent   O
potential   O
recurrences   O
and   O
manage   O
Frida   B-NAME
Shelton   I-NAME
's   O
chronic   O
conditions   O
effectively   O
.   O

For   O
further   O
inquiries   O
or   O
updates   O
on   O
Garrett   B-NAME
Bush   I-NAME
's   O
condition   O
,   O
please   O
contact   O
Tennova   B-LOCATION
Healthcare   I-LOCATION
-   I-LOCATION
Shelbyville   I-LOCATION
at   O
163   B-CONTACT
1854   I-CONTACT
.   O

Patient   O
Report   O
:   O
3/38   B-DATE
,   O
at   O
approximately   O
10:00   O
AM   O
,   O
Bill   B-NAME
Baxter   I-NAME
was   O
admitted   O
to   O
Northside   B-LOCATION
Hospital   I-LOCATION
Atlanta   I-LOCATION
located   O
in   O
Biggleswade   B-LOCATION
,   O
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
early   O
in   O
the   O
morning   O
.   O

Giovanni   B-NAME
Brown   I-NAME
is   O
a   O
33   O
-   O
year   O
-   O
old   O
Survey   O
Researchers   O
with   O
no   O
significant   O
past   O
medical   O
history   O
.   O

According   O
to   O
Leana   B-NAME
,   O
the   O
pain   O
is   O
primarily   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
and   O
described   O
as   O
sharp   O
and   O
constant   O
.   O

Physical   O
examination   O
conducted   O
by   O
Cherry   B-NAME
revealed   O
tenderness   O
and   O
guarding   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

The   O
patient   O
's   O
293   B-ID
-   I-ID
27   I-ID
-   I-ID
92   I-ID
-   I-ID
7   I-ID
and   O
LF218/7594   B-ID
were   O
reviewed   O
,   O
showing   O
no   O
allergies   O
or   O
previous   O
surgeries   O
.   O

Hattie   B-NAME
's   O
emergency   O
contact   O
,   O
Lyn   B-NAME
Higgenbotham   I-NAME
's   O
sibling   O
,   O
was   O
notified   O
via   O
43602   B-CONTACT
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgical   O
intervention   O
.   O

Jerry   B-NAME
Helper   I-NAME
consented   O
to   O
an   O
appendectomy   O
after   O
the   O
risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
were   O
discussed   O
.   O

Surgery   O
was   O
scheduled   O
for   O
2271   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
05   I-DATE
in   O
MidMichigan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Branch   I-LOCATION
.   O

The   O
appendectomy   O
was   O
performed   O
without   O
complication   O
by   O
Kinsley   B-NAME
Rhodes   I-NAME
,   O
and   O
Crane   B-NAME
,   I-NAME
Dr.   I-NAME
Frank   I-NAME
was   O
transferred   O
to   O
the   O
post   O
-   O
operative   O
unit   O
for   O
monitoring   O
.   O

Richard   B-NAME
was   O
discharged   O
on   O
09/20   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
pain   O
management   O
.   O

Aeorum   B-NAME
Mordino   I-NAME
was   O
advised   O
to   O
schedule   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Moyer   B-NAME
in   O
2   O
weeks   O
at   O
Teaching   B-LOCATION
to   O
assess   O
recovery   O
and   O
remove   O
sutures   O
.   O

Gosnold   B-LOCATION
Municipal   I-LOCATION
Electric   I-LOCATION
Plant   I-LOCATION
's   O
patient   O
portal   O
(   O
ZH776   B-NAME
)   O
was   O
updated   O
with   O
Conchita   B-NAME
Casuat   I-NAME
’s   O
surgical   O
report   O
,   O
post   O
-   O
operative   O
care   O
instructions   O
,   O
and   O
follow   O
-   O
up   O
appointment   O
details   O
.   O

The   O
Box   B-NAME
,   I-NAME
George   I-NAME
E.   I-NAME
P.   I-NAME
's   O
primary   O
care   O
physician   O
,   O
also   O
in   O
Ball   B-LOCATION
,   O
was   O
notified   O
of   O
the   O
hospitalization   O
and   O
provided   O
a   O
summary   O
of   O
the   O
care   O
provided   O
and   O
recommendations   O
for   O
further   O
management   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Len   B-NAME
Wayne   I-NAME
-   I-NAME
Gregory   I-NAME
was   O
encouraged   O
to   O
contact   O
Coral   B-LOCATION
Gables   I-LOCATION
Hospital   I-LOCATION
's   O
general   O
inquiry   O
line   O
at   O
501   B-CONTACT
493   I-CONTACT
-   I-CONTACT
2874   I-CONTACT
or   O
visit   O
the   O
hospital   O
's   O
website   O
.   O

Yareli   B-NAME
Mclaughlin   I-NAME
expressed   O
understanding   O
and   O
satisfaction   O
with   O
the   O
care   O
received   O
and   O
the   O
discharge   O
plan   O
.   O

A   O
home   O
health   O
care   O
service   O
in   O
53149   B-LOCATION
was   O
arranged   O
to   O
assist   O
Conrad   B-NAME
Elizalde   I-NAME
with   O
daily   O
activities   O
and   O
wound   O
care   O
for   O
the   O
first   O
week   O
post   O
-   O
discharge   O
.   O

The   O
management   O
of   O
Maribeth   B-NAME
Selvage   I-NAME
's   O
case   O
highlights   O
the   O
importance   O
of   O
timely   O
diagnosis   O
and   O
intervention   O
in   O
acute   O
surgical   O
conditions   O
.   O

It   O
also   O
demonstrates   O
the   O
effective   O
coordination   O
of   O
multidisciplinary   O
care   O
within   O
Valley   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
and   O
seamless   O
communication   O
with   O
the   O
patient   O
and   O
their   O
family   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Adyson   B-NAME
Bridges   I-NAME
Patient   O
ID   O
:   O
0   B-ID
-   I-ID
8731996   I-ID
Medical   O
Record   O
Number   O
:   O
55773084   B-ID
Date   O
of   O
Birth   O
:   O
31/32   B-DATE
Chief   O
Complaint   O
:   O

Patient   O
Jaron   B-NAME
Huffman   I-NAME
,   O
age   O
74   O
,   O
presented   O
to   O
Kingsbrook   B-LOCATION
Jewish   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/26/2117   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
began   O
early   O
in   O
the   O
morning   O
on   O
the   O
same   O
day   O
.   O

Braccio   B-NAME
Muddaththir   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
loss   O
of   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Domitius   B-NAME
Alexander   I-NAME
Jastremski   I-NAME
noticed   O
the   O
onset   O
of   O
symptoms   O
upon   O
waking   O
on   O
the   O
morning   O
of   O
20/23/97   B-DATE
.   O

Barwich   B-NAME
,   I-NAME
Heinz   I-NAME
denies   O
any   O
recent   O
trauma   O
to   O
the   O
abdomen   O
,   O
changes   O
in   O
bowel   O
habits   O
,   O
or   O
urinary   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Chanel   B-NAME
Hurley   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Social   O
History   O
:   O
Kenzie   B-NAME
Collins   I-NAME
is   O
a   O
Agents   O
and   O
Business   O
Managers   O
of   O
Artists   O
,   O
Performers   O
,   O
and   O
Athletes   O
residing   O
in   O
Downingtown   B-LOCATION
.   O

Caleb   B-NAME
Digiacomo   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
substances   O
.   O

Upon   O
examination   O
,   O
Ava   B-NAME
Richards   I-NAME
was   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Mata   B-NAME
and   O
revealed   O
an   O
inflamed   O
appendix   O
.   O

Ali   B-NAME
ibn   I-NAME
Abi   I-NAME
Talib   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
consented   O
to   O
the   O
procedure   O
.   O

Jazmyn   B-NAME
Cook   I-NAME
underwent   O
successful   O
appendectomy   O
on   O
05/25   B-DATE
without   O
complications   O
.   O

Felicity   B-NAME
Tran   I-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
and   O
discharged   O
on   O
15/33   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Carey   B-NAME
at   O
AdventHealth   B-LOCATION
Dade   I-LOCATION
City   I-LOCATION
.   O

Additional   O
Information   O
:   O
Emergency   O
contact   O
:   O
492   B-CONTACT
-   I-CONTACT
9578   I-CONTACT
Insurance   O
Provider   O
:   O
Independent   B-LOCATION
Bankers   I-LOCATION
'   I-LOCATION
Bank   I-LOCATION
Pharmacy   O
Phone   O
Number   O
:   O
295   B-CONTACT
9835   I-CONTACT
Residence   O
ZIP   O
Code   O
:   O
24354   B-LOCATION

This   O
report   O
was   O
prepared   O
by   O
Dr.   O
MI934   B-NAME
on   O
1/82   B-DATE
.   O

All   O
further   O
inquiries   O
about   O
the   O
patient   O
's   O
condition   O
should   O
be   O
directed   O
to   O
(   B-CONTACT
169   I-CONTACT
)   I-CONTACT
109   I-CONTACT
8760   I-CONTACT
.   O

Patient   O
Name   O
:   O
Congreve   B-NAME
,   I-NAME
William   I-NAME
Date   O
of   O
Birth   O
:   O
2170/07/32   B-DATE
Medical   O
Record   O
Number   O
:   O
2484113   B-ID
Address   O
:   O
Valley   B-LOCATION
Acres   I-LOCATION
,   O
24164   B-LOCATION
Phone   O
Number   O
:   O
348   B-CONTACT
-   I-CONTACT
433   I-CONTACT
1751   I-CONTACT
Attending   O
Physician   O
:   O

Wolfe   B-NAME
Hospital   O
Name   O
:   O
Garden   B-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
Patient   O
ID   O
:   O
7   B-ID
-   I-ID
6499317   I-ID
Admission   O
Date   O
:   O
1/38   B-DATE
Primary   O
Insurance   O
:   O
Principality   B-LOCATION
of   I-LOCATION
Planets   I-LOCATION
Employment   O
:   O

Planning   O
technician   O
at   O
People   B-LOCATION
&   I-LOCATION
Planet   I-LOCATION
Username   O
:   O
vw282   B-NAME
Clinical   O
Summary   O
:   O
Johnathan   B-NAME
Stout   I-NAME
,   O
a   O
15   O
-   O
year   O
-   O
old   O
Molding   O
and   O
Casting   O
Workers   O
,   O
presented   O
to   O
Ozarks   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
37/00   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
excessive   O
sweating   O
.   O

These   O
symptoms   O
began   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
Richmond   B-NAME
was   O
at   O
work   O
in   O
Oak   B-LOCATION
Ridge   I-LOCATION
.   O

No   O
significant   O
past   O
medical   O
history   O
was   O
noted   O
,   O
however   O
,   O
Rutherford   B-NAME
,   I-NAME
Ernest   I-NAME
admits   O
to   O
being   O
a   O
smoker   O
of   O
20   O
years   O
.   O

Upon   O
examination   O
,   O
Essence   B-NAME
Lewis   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
blood   O
pressure   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
of   O
110   O
bpm   O
,   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
temperature   O
of   O
98.6   O
degrees   O
Fahrenheit   O
.   O

An   O
electrocardiogram   O
(   O
ECG   O
)   O
performed   O
by   O
Kelley   B-NAME
showed   O
elevation   O
in   O
the   O
ST   O
-   O
segments   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
consistent   O
with   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
(   O
MI   O
)   O
.   O

Mark   B-NAME
Brandt   I-NAME
was   O
also   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
and   O
a   O
statin   O
as   O
per   O
the   O
acute   O
coronary   O
syndrome   O
management   O
protocol   O
.   O

A   O
consultation   O
with   O
the   O
cardiology   O
team   O
led   O
by   O
Alisson   B-NAME
Scott   I-NAME
was   O
made   O
,   O
recommending   O
urgent   O
cardiac   O
catheterization   O
.   O

Oakley   B-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
management   O
and   O
monitoring   O
as   O
guided   O
by   O
Mortimer   B-NAME
,   I-NAME
John   I-NAME
.   O

Throughout   O
the   O
hospitalization   O
period   O
,   O
Liliana   B-NAME
Gill   I-NAME
's   O
condition   O
was   O
closely   O
monitored   O
.   O

Shane   B-NAME
Richardson   I-NAME
received   O
education   O
on   O
lifestyle   O
modifications   O
including   O
smoking   O
cessation   O
,   O
diet   O
,   O
and   O
exercise   O
.   O

A   O
discharge   O
plan   O
was   O
prepared   O
by   O
Hardin   B-NAME
,   O
including   O
follow   O
-   O
up   O
appointments   O
and   O
outpatient   O
cardiac   O
rehabilitation   O
.   O

Alexander   B-NAME
Petersen   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
provided   O
and   O
was   O
discharged   O
on   O
5/90   B-DATE
.   O

Instructions   O
were   O
given   O
to   O
call   O
Haven   B-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Philadelphia   I-LOCATION
at   O
424   B-CONTACT
549   I-CONTACT
8127   I-CONTACT
if   O
symptoms   O
recur   O
or   O
worsen   O
.   O

A   O
return   O
appointment   O
with   O
Lorena   B-NAME
Brock   I-NAME
was   O
scheduled   O
for   O
2326   B-DATE
to   O
assess   O
recovery   O
progress   O
and   O
adjust   O
medications   O
as   O
needed   O
.   O

Patient   O
Name   O
:   O
Julia   B-NAME
Santos   I-NAME
Keefer   I-NAME
Age   O
:   O
85   O
Date   O
of   O
Birth   O
:   O
2272   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
23   I-DATE
Doctor   O
:   O
Meredith   B-NAME
Castaneda   I-NAME
Medical   O
Record   O
Number   O
:   O
0531416   B-ID
Date   O
of   O
Visit   O
:   O
2/82   B-DATE
Location   O
:   O
Bellerive   B-LOCATION
Hospital   O
:   O
Pinevalley   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
ID   O
:   O
525348546   B-ID
Organization   O
:   O

Granite   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Phone   O
:   O
(   B-CONTACT
856   I-CONTACT
)   I-CONTACT
837   I-CONTACT
1385   I-CONTACT
Profession   O
:   O

Floral   O
Designers   O
Username   O
:   O
nb402   B-NAME
Zip   O
:   O
99042   B-LOCATION
Presenting   O
Complaint   O
:   O
Michaela   B-NAME
Osborn   I-NAME
was   O
brought   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
1735   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
06   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
radiating   O
chest   O
pain   O
that   O
had   O
an   O
onset   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Tapia   B-NAME
also   O
reported   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
an   O
episode   O
of   O
syncope   O
.   O

Medical   O
History   O
:   O
Vixie   B-NAME
,   I-NAME
Paul   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
.   O

Hugh   B-NAME
Randall   I-NAME
has   O
been   O
on   O
medication   O
for   O
the   O
past   O
69   O
years   O
.   O

Family   O
history   O
is   O
positive   O
for   O
coronary   O
artery   O
disease   O
,   O
with   O
Curtis   B-NAME
's   O
father   O
having   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
26   O
.   O

Blake   B-NAME
Downs   I-NAME
does   O
not   O
use   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Janae   B-NAME
Salazar   I-NAME
appeared   O
to   O
be   O
in   O
acute   O
distress   O
with   O
labored   O
breathing   O
.   O

Vital   O
signs   O
recorded   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
JH   B-ID
:   I-ID
SM:2037   I-ID
mmHg/   O
2   B-ID
-   I-ID
1195945   I-ID
mmHg   O
,   O
heart   O
rate   O
UJ   B-ID
:   I-ID
SS:9249   I-ID
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
81410698   B-ID
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
2   B-ID
-   I-ID
1520483   I-ID
%   O
on   O
room   O
air   O
.   O

Michelle   B-NAME
Robidaux   I-NAME
was   O
also   O
given   O
a   O
stat   O
dose   O
of   O
a   O
high   O
-   O
potency   O
statin   O
.   O

Allie   B-NAME
Acosta   I-NAME
initiated   O
reperfusion   O
therapy   O
with   O
primary   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

Belen   B-NAME
Mcneil   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
and   O
management   O
.   O

Disposition   O
:   O
Gabrielle   B-NAME
Huang   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
showed   O
signs   O
of   O
clinical   O
stability   O
over   O
the   O
next   O
12/23   B-DATE
.   O

Horrible   B-NAME
was   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Miguel   B-NAME
Cervantes   I-NAME
in   O
1/22   B-DATE
.   O

Instructions   O
:   O
Swender   B-NAME
was   O
instructed   O
to   O
monitor   O
for   O
any   O
new   O
or   O
worsening   O
symptoms   O
,   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
,   O
and   O
engage   O
actively   O
in   O
the   O
cardiac   O
rehabilitation   O
program   O
.   O

Additionally   O
,   O
Quinton   B-NAME
Lovett   I-NAME
was   O
advised   O
to   O
adopt   O
lifestyle   O
modifications   O
including   O
a   O
heart   O
-   O
healthy   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
smoking   O
cessation   O
.   O

Follow   O
-   O
Up   O
:   O
Jerry   B-NAME
Noland   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Townsend   B-NAME
on   O
M   B-DATE
at   O
Infirmary   B-LOCATION
West   I-LOCATION
,   O
to   O
evaluate   O
progress   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

For   O
any   O
urgent   O
issues   O
or   O
concerns   O
,   O
Ramon   B-NAME
Ritter   I-NAME
can   O
contact   O
Jordan   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
51572   B-CONTACT
.   O

For   O
appointments   O
,   O
please   O
contact   O
the   O
scheduling   O
department   O
at   O
58058   B-CONTACT
,   O
Monday   O
through   O
Friday   O
during   O
business   O
hours   O
.   O

Patient   O
:   O
Ardite   B-NAME
Medical   O
Record   O
:   O
1270O37589   B-ID
Date   O
of   O
Birth   O
:   O
23/31   B-DATE
Age   O
:   O
57s   O
Phone   O
:   O
202   B-CONTACT
-   I-CONTACT
7073   I-CONTACT
Address   O
:   O
7547   B-LOCATION
South   I-LOCATION
Miller   I-LOCATION
Road   I-LOCATION
,   O
19365   B-LOCATION

Russell   B-NAME
,   I-NAME
Rosaland   I-NAME
Hospital   O
:   O
Medical   B-LOCATION
Center   I-LOCATION
Enterprise   I-LOCATION
Patient   O
ID   O
:   O
BJ:35160:643873   B-ID
Current   O
Occupation   O
:   O

Screen   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
History   O
of   O
Present   O
Illness   O
:   O
Abraham   B-NAME
Harrell   I-NAME
,   O
a   O
1   O
week   O
-   O
year   O
-   O
old   O
Business   O
Operations   O
Specialists   O
,   O
All   O
Other   O
from   O
Vidor   B-LOCATION
,   O
presented   O
to   O
Barnes   B-LOCATION
-   I-LOCATION
Jewish   I-LOCATION
Saint   I-LOCATION
Peters   I-LOCATION
Hospital   I-LOCATION
on   O
May   B-DATE
8   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
fever   O
for   O
the   O
past   O
01/26/2237   B-DATE
.   O

The   O
patient   O
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
December   B-DATE
23   I-DATE
,   I-DATE
2293   I-DATE
ago   O
,   O
initially   O
experiencing   O
a   O
dry   O
cough   O
that   O
has   O
progressively   O
worsened   O
accompanied   O
by   O
difficulty   O
in   O
breathing   O
.   O

Harlen   B-NAME
Kern   I-NAME
mentions   O
a   O
past   O
medical   O
history   O
of   O
asthma   O
and   O
seasonal   O
allergies   O
,   O
adequately   O
managed   O
with   O
inhalers   O
and   O
antihistamines   O
respectively   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
Margaret   B-NAME
Aria   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
difficulty   O
breathing   O
.   O

Management   O
:   O
The   O
initial   O
management   O
included   O
starting   O
Estes   B-NAME
on   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
antiviral   O
therapy   O
for   O
influenza   O
.   O

During   O
a   O
follow   O
-   O
up   O
visit   O
on   O
05/71   B-DATE
,   O
Vera   B-NAME
,   I-NAME
A.   I-NAME
's   O
symptoms   O
had   O
markedly   O
improved   O
with   O
resolution   O
of   O
fever   O
and   O
reduction   O
in   O
cough   O
frequency   O
and   O
severity   O
.   O

The   O
coordinated   O
care   O
provided   O
by   O
Emory   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Midtown   I-LOCATION
and   O
the   O
attending   O
physician   O
,   O
Braxton   B-NAME
Salinas   I-NAME
,   O
facilitated   O
an   O
optimal   O
outcome   O
for   O
Markus   B-NAME
Fitzpatrick   I-NAME
.   O

Patient   O
Name   O
:   O
Stout   B-NAME
Patient   O
ID   O
:   O
DK   B-ID
:   I-ID
GH:3581   I-ID
Medical   O
Record   O
Number   O
:   O
263   B-ID
-   I-ID
16   I-ID
-   I-ID
61   I-ID
-   I-ID
2   I-ID
Age   O
:   O
62   O
Date   O
of   O
Visit   O
:   O
00/66   B-DATE
Attending   O
Physician   O
:   O

Damian   B-NAME
Richmond   I-NAME
Hospital   O
:   O

West   B-LOCATION
Boca   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Vista   B-LOCATION
Santa   I-LOCATION
Rosa   I-LOCATION
Zip   O
Code   O
:   O
98931   B-LOCATION
Contact   O
Number   O
:   O
831   B-CONTACT
6158   I-CONTACT
Occupation   O
:   O
Motorcycle   O
Mechanics   O
Username   O
:   O
jhf189   B-NAME
Clinical   O
Notes   O
:   O
Daveigh   B-NAME
,   O
a   O
50   O
-   O
year   O
-   O
old   O
Fraud   O
Examiners   O
,   O
Investigators   O
and   O
Analysts   O
from   O
Rosewood   B-LOCATION
Heights   I-LOCATION
,   O
72016   B-LOCATION
,   O
presented   O
to   O
Baylor   B-LOCATION
Scott   I-LOCATION
and   I-LOCATION
White   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Lake   I-LOCATION
Pointe   I-LOCATION
on   O
00/22   B-DATE
with   O
complaints   O
of   O
progressive   O
exertional   O
dyspnea   O
,   O
chest   O
tightness   O
,   O
and   O
episodic   O
palpitations   O
that   O
have   O
been   O
escalating   O
over   O
the   O
past   O
two   O
months   O
.   O

However   O
,   O
symptoms   O
have   O
intensified   O
both   O
in   O
frequency   O
and   O
severity   O
,   O
now   O
occurring   O
multiple   O
times   O
a   O
week   O
and   O
substantially   O
impairing   O
Dorsey   B-NAME
's   O
ability   O
to   O
perform   O
daily   O
activities   O
.   O

Joshua   B-NAME
Root   I-NAME
is   O
a   O
nonsmoker   O
and   O
reports   O
moderate   O
alcohol   O
use   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Kara   B-NAME
Erickson   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
140/90   O
mmHg   O
,   O
pulse   O
rate   O
98   O
beats   O
per   O
minute   O
,   O
regular   O
,   O
respiratory   O
rate   O
18   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
97   O
%   O
on   O
room   O
air   O
.   O

Given   O
the   O
patient   O
's   O
symptoms   O
and   O
previous   O
history   O
,   O
a   O
stress   O
echocardiography   O
was   O
scheduled   O
for   O
21/34/34   B-DATE
to   O
evaluate   O
for   O
potential   O
ischemic   O
heart   O
disease   O
.   O

Pending   O
the   O
results   O
of   O
the   O
scheduled   O
diagnostic   O
assessments   O
,   O
Benedict   B-NAME
Lanate   I-NAME
was   O
advised   O
to   O
continue   O
current   O
hypertensive   O
medications   O
,   O
reduce   O
sodium   O
intake   O
,   O
and   O
initiate   O
a   O
walking   O
program   O
as   O
tolerated   O
,   O
gradually   O
increasing   O
the   O
duration   O
and   O
intensity   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2/7/70   B-DATE
to   O
review   O
test   O
results   O
and   O
discuss   O
further   O
treatment   O
options   O
.   O

Nathan   B-NAME
France   I-NAME
was   O
educated   O
about   O
the   O
importance   O
of   O
monitoring   O
symptoms   O
and   O
advised   O
to   O
seek   O
urgent   O
care   O
if   O
experiencing   O
acute   O
chest   O
pain   O
,   O
severe   O
shortness   O
of   O
breath   O
,   O
or   O
palpitations   O
that   O
do   O
not   O
resolve   O
.   O

Please   O
contact   O
816   B-CONTACT
-   I-CONTACT
9376   I-CONTACT
at   O
Carilion   B-LOCATION
New   I-LOCATION
River   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
any   O
query   O
regarding   O
this   O
report   O
.   O

Neta   B-NAME
Cassis   I-NAME
Patient   O
ID   O
:   O
TC   B-ID
:   I-ID
YC:4255   I-ID
Medical   O
Record   O
Number   O
:   O
48458584   B-ID
Age   O
:   O
62   O
Date   O
of   O
Admission   O
:   O
April   B-DATE
30   I-DATE
Hospital   O
:   O
Southwest   B-LOCATION
Mississippi   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Treating   O
Physician   O
:   O
Mcfarland   B-NAME
Location   O
:   O
Deerfield   B-LOCATION
Beach   I-LOCATION
Contact   O
Phone   O
:   O
50980   B-CONTACT
Profession   O
:   O
Counselors   O
,   O
All   O
Other   O
Clinical   O
Summary   O
:   O
Allison   B-NAME
Reed   I-NAME
,   O
a   O
Surveying   O
and   O
Mapping   O
Technicians   O
from   O
Oxford   B-LOCATION
,   I-LOCATION
Oxford   I-LOCATION
DDA   I-LOCATION
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
New   B-LOCATION
Hanover   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/22   B-DATE
with   O
a   O
three   O
-   O
day   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
dry   O
,   O
non   O
-   O
productive   O
cough   O
.   O

Further   O
Treatment   O
:   O
Over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
,   O
Jordan   B-NAME
Stewart   I-NAME
received   O
inhaled   O
bronchodilators   O
and   O
corticosteroids   O
,   O
which   O
led   O
to   O
gradual   O
improvement   O
in   O
respiratory   O
symptoms   O
and   O
overall   O
clinical   O
condition   O
.   O

Follow   O
-   O
Up   O
and   O
Discharge   O
Plan   O
:   O
Leigh   B-NAME
was   O
discharged   O
on   O
M   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
India   B-NAME
Valenzuela   I-NAME
in   O
Sunbury   B-LOCATION
.   O

Conclusion   O
:   O
Meryn   B-NAME
Degrandpre   I-NAME
's   O
case   O
highlights   O
the   O
importance   O
of   O
a   O
thorough   O
clinical   O
evaluation   O
and   O
consideration   O
of   O
a   O
broad   O
differential   O
diagnosis   O
in   O
patients   O
presenting   O
with   O
acute   O
respiratory   O
symptoms   O
,   O
especially   O
in   O
the   O
context   O
of   O
an   O
evolving   O
global   O
health   O
landscape   O
.   O

The   O
coordinated   O
care   O
provided   O
by   O
the   O
medical   O
team   O
at   O
Bradford   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
including   O
timely   O
diagnostic   O
assessment   O
and   O
evidence   O
-   O
based   O
management   O
,   O
was   O
instrumental   O
in   O
the   O
favorable   O
outcome   O
of   O
this   O
case   O
.   O

Please   O
contact   O
Traficant   B-NAME
,   I-NAME
James   I-NAME
A.   I-NAME
,   I-NAME
Jr.   I-NAME
at   O
39008   B-CONTACT
for   O
any   O
further   O
inquiries   O
or   O
updates   O
regarding   O
Conchita   B-NAME
Casuat   I-NAME
's   O
health   O
status   O
.   O

Patient   O
Report   O
for   O
nielsen   B-NAME
:   O
General   O
Information   O
:   O
Patient   O
's   O
Name   O
:   O
Dawson   B-NAME
Patient   O
's   O
Age   O
:   O
88   O
Patient   O
ID   O
:   O
NQ521/9219   B-ID
Medical   O
Record   O
Number   O
:   O
EPW698401   B-ID
Date   O
of   O
Visit   O
:   O
25/08/12   B-DATE
Attending   O
Physician   O
:   O
Putin   B-NAME
,   I-NAME
Vladimir   I-NAME
Hospital   O
:   O
Decatur   B-LOCATION
Health   I-LOCATION
Systems   I-LOCATION
–   I-LOCATION
Oberlin   I-LOCATION
Location   O
of   O
Visit   O
:   O
Marston   B-LOCATION
Moretaine   I-LOCATION
Phone   O
Number   O
:   O
438   B-CONTACT
-   I-CONTACT
7944   I-CONTACT
Zip   O
Code   O
:   O
57644   B-LOCATION
Clinical   O
Symptoms   O
:   O
Malaki   B-NAME
Washington   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
08/93   B-DATE
with   O
a   O
detailed   O
history   O
of   O
acute   O
,   O
severe   O
lower   O
abdominal   O
pain   O
.   O

Neoma   B-NAME
also   O
described   O
experiencing   O
dysuria   O
,   O
indicating   O
a   O
potential   O
urinary   O
tract   O
involvement   O
.   O

Byrd   B-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
type   O
II   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
lisinopril   O
.   O

Leon   B-NAME
Ansell   I-NAME
denied   O
any   O
allergic   O
reactions   O
to   O
medications   O
or   O
foods   O
.   O

Physical   O
Examination   O
:   O
Upon   O
physical   O
examination   O
,   O
Smith   B-NAME
,   I-NAME
Elliott   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

Pending   O
the   O
results   O
of   O
the   O
pelvic   O
ultrasonography   O
,   O
Macey   B-NAME
Zavala   I-NAME
was   O
started   O
on   O
intravenous   O
fluids   O
for   O
hydration   O
and   O
intravenous   O
antibiotics   O
,   O
given   O
the   O
likelihood   O
of   O
a   O
urinary   O
tract   O
infection   O
complicating   O
the   O
clinical   O
picture   O
.   O

Next   O
Steps   O
:   O
Thorpe   B-NAME
will   O
be   O
closely   O
monitored   O
for   O
any   O
worsening   O
of   O
symptoms   O
and   O
will   O
undergo   O
a   O
pelvic   O
ultrasonography   O
scheduled   O
for   O
Friday   B-DATE
,   I-DATE
May   I-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Mckinley   B-NAME
Welch   I-NAME
for   O
8   B-DATE
-   I-DATE
09   I-DATE
to   O
review   O
the   O
results   O
of   O
the   O
diagnostic   O
tests   O
and   O
assess   O
the   O
response   O
to   O
the   O
initial   O
management   O
.   O

Terrence   B-NAME
Mcguire   I-NAME
was   O
advised   O
to   O
return   O
to   O
the   O
emergency   O
department   O
or   O
call   O
437   B-CONTACT
163   I-CONTACT
1079   I-CONTACT
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
develop   O
.   O

All   O
personal   O
health   O
information   O
has   O
been   O
anonymized   O
according   O
to   O
the   O
presented   O
guidelines   O
to   O
protect   O
Gonzalez   B-NAME
's   O
privacy   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
66596553   B-ID
Name   O
:   O
J.   B-NAME
Needham   I-NAME
Age   O
:   O
23   O
Date   O
of   O
Visit   O
:   O
05/42   B-DATE
Location   O
:   O
Pigeon   B-LOCATION
Falls   I-LOCATION
Phone   O
:   O
44128   B-CONTACT
Doctor   O
:   O
Carney   B-NAME
Hospital   O
:   O

Grand   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Zip   O
Code   O
:   O
72431   B-LOCATION
Organization   O
:   O

Partners   B-LOCATION
Bank   I-LOCATION
Profession   O
:   O

Oral   O
and   O
Maxillofacial   O
Surgeons   O
History   O
:   O
Conrad   B-NAME
Grant   I-NAME
,   O
a   O
Sports   O
coach   O
from   O
Brattleboro   B-LOCATION
,   O
presented   O
to   O
Geary   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Junction   I-LOCATION
City   I-LOCATION
on   O
Sunday   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Dane   B-NAME
Jefferies   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
a   O
noticeable   O
decrease   O
in   O
appetite   O
beginning   O
the   O
day   O
before   O
presentation   O
.   O

Past   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
for   O
which   O
Hannity   B-NAME
,   I-NAME
Sean   I-NAME
is   O
on   O
medication   O
.   O

K.   B-NAME
Ivan   I-NAME
Olszewski   I-NAME
's   O
social   O
history   O
is   O
noncontributory   O
,   O
and   O
family   O
history   O
is   O
significant   O
for   O
cardiovascular   O
disease   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Adam   B-NAME
Robbins   I-NAME
noted   O
that   O
Barry   B-NAME
's   O
vital   O
signs   O
were   O
stable   O
,   O
with   O
the   O
exception   O
of   O
a   O
slight   O
fever   O
of   O
38.2   O
°   O
C   O
(   O
100   O
-   O
specific   O
normal   O
range   O
)   O
.   O

Abdominal   O
ultrasonography   O
,   O
ordered   O
by   O
Ibarra   B-NAME
and   O
performed   O
in   O
MercyOne   B-LOCATION
Des   I-LOCATION
Moines   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
confirmed   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
without   O
evidence   O
of   O
perforation   O
or   O
abscess   O
formation   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
Xavier   B-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

King   B-NAME
recommended   O
an   O
urgent   O
appendectomy   O
.   O

Roger   B-NAME
York   I-NAME
consented   O
to   O
the   O
surgery   O
,   O
which   O
was   O
successfully   O
performed   O
without   O
complications   O
on   O
02/19   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Younker   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
in   O
one   O
week   O
for   O
wound   O
check   O
and   O
removal   O
of   O
sutures   O
.   O

A   O
prescription   O
for   O
oral   O
antibiotics   O
and   O
analgesics   O
for   O
pain   O
management   O
was   O
provided   O
upon   O
discharge   O
on   O
0/33   B-DATE
.   O
Conclusion   O
:   O
kruse   B-NAME
,   O
a   O
27   O
-   O
year   O
-   O
old   O
Pewter   O
Casters   O
and   O
Finishers   O
from   O
Ramsgate   B-LOCATION
,   O
was   O
admitted   O
to   O
Halifax   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Port   I-LOCATION
Orange   I-LOCATION
on   O
Friday   B-DATE
,   I-DATE
November   I-DATE
with   O
signs   O
and   O
symptoms   O
of   O
acute   O
appendicitis   O
.   O

An   O
urgent   O
appendectomy   O
was   O
performed   O
with   O
a   O
successful   O
outcome   O
,   O
and   O
Krueger   B-NAME
was   O
discharged   O
with   O
follow   O
-   O
up   O
instructions   O
.   O

Responsible   O
Physician   O
:   O
Mussolini   B-NAME
,   I-NAME
Benito   I-NAME
Contact   O
Information   O
:   O
23252   B-CONTACT
Patient   O
ID   O
:   O
159   B-ID
-   I-ID
34   I-ID
-   I-ID
09   I-ID
-   I-ID
5   I-ID
Hospital   O
:   O
Penn   B-LOCATION
Highlands   I-LOCATION
Clearfield   I-LOCATION
Date   O
:   O
01/13   B-DATE

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
463   B-ID
-   I-ID
52   I-ID
-   I-ID
56   I-ID
-   I-ID
0   I-ID
A   O
61s   O
-   O
year   O
-   O
old   O
patient   O
,   O
referred   O
to   O
as   O
VALENTIN   B-NAME
,   I-NAME
IDA   I-NAME
,   O
presented   O
to   O
Located   B-LOCATION
within   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Ann   I-LOCATION
Arbor   I-LOCATION
Hospital   I-LOCATION
on   O
June   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
more   O
pronounced   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
indicating   O
possible   O
appendicitis   O
.   O

Alfonzo   B-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
approximately   O
two   O
days   O
prior   O
to   O
admission   O
.   O

The   O
patient   O
's   O
medical   O
history   O
,   O
as   O
documented   O
by   O
Dante   B-NAME
Mills   I-NAME
,   O
includes   O
controlled   O
type   O
II   O
diabetes   O
and   O
a   O
previous   O
cholecystectomy   O
.   O

Nathaniel   B-NAME
Barry   I-NAME
does   O
not   O
smoke   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Currently   O
,   O
Johan   B-NAME
Vaughn   I-NAME
is   O
employed   O
as   O
a   O
Psychiatric   O
Aides   O
in   O
STEVENAGE   B-LOCATION
and   O
lives   O
with   O
family   O
,   O
including   O
a   O
spouse   O
and   O
two   O
children   O
.   O

Potter   B-NAME
's   O
emergency   O
contact   O
is   O
listed   O
with   O
a   O
48604   B-CONTACT
number   O
.   O

Diagnostic   O
imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
performed   O
on   O
July   B-DATE
,   O
revealed   O
swelling   O
of   O
the   O
appendix   O
with   O
evidence   O
of   O
a   O
small   O
abscess   O
formation   O
.   O

Given   O
the   O
findings   O
and   O
Oakley   B-NAME
's   O
stable   O
condition   O
,   O
the   O
surgical   O
team   O
led   O
by   O
Wang   B-NAME
decided   O
on   O
an   O
elective   O
appendectomy   O
scheduled   O
for   O
2104   B-DATE
.   O

Pre   O
-   O
operative   O
instructions   O
were   O
provided   O
,   O
and   O
informed   O
consent   O
was   O
obtained   O
from   O
Brice   B-NAME
Short   I-NAME
.   O

Statewide   B-LOCATION
Bank   I-LOCATION
's   O
pharmacy   O
department   O
confirmed   O
that   O
the   O
prescribed   O
antibiotics   O
are   O
in   O
stock   O
and   O
the   O
surgical   O
team   O
is   O
prepared   O
for   O
the   O
procedure   O
.   O

The   O
surgical   O
consent   O
form   O
was   O
documented   O
in   O
Alfredo   B-NAME
Finley   I-NAME
's   O
record   O
under   O
ID   O
ET626/4299   B-ID
on   O
03/28/1891   B-DATE
.   O

Post   O
-   O
operative   O
care   O
plans   O
include   O
monitoring   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
,   O
pain   O
management   O
,   O
and   O
a   O
follow   O
-   O
up   O
visit   O
scheduled   O
for   O
22/0   B-DATE
with   O
Cooley   B-NAME
at   O
Devereux   B-LOCATION
Foundation   I-LOCATION
.   O

This   O
case   O
summary   O
has   O
been   O
shared   O
with   O
the   O
patient   O
's   O
primary   O
care   O
physician   O
in   O
San   B-LOCATION
Bruno   I-LOCATION
for   O
continuity   O
of   O
care   O
.   O

quu190   B-NAME
has   O
been   O
assigned   O
to   O
this   O
case   O
for   O
internal   O
tracking   O
.   O

For   O
additional   O
information   O
or   O
updates   O
on   O
Henry   B-NAME
,   I-NAME
O.   I-NAME
's   O
condition   O
,   O
please   O
contact   O
HSHS   B-LOCATION
St.   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Green   I-LOCATION
Bay   I-LOCATION
at   O
289   B-CONTACT
-   I-CONTACT
462   I-CONTACT
-   I-CONTACT
8864   I-CONTACT
.   O

Patient   O
Name   O
:   O
Quesenberry   B-NAME
Patient   O
ID   O
:   O
2948239   B-ID
Medical   O
Record   O
Number   O
:   O
308   B-ID
-   I-ID
16   I-ID
-   I-ID
70   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
34/31   B-DATE
Age   O
:   O
3   O
week   O
Address   O
:   O
Kuna   B-LOCATION
,   O
29452   B-LOCATION
Phone   O
Number   O
:   O
41564   B-CONTACT
Occupation   O
:   O
Transportation   O
planner   O
Primary   O
Care   O
Physician   O
:   O

Sarina   B-NAME
Levers   I-NAME
Admitting   O
Hospital   O
:   O

UPMC   B-LOCATION
St.   I-LOCATION
Margaret   I-LOCATION
Date   O
of   O
Admission   O
:   O
18/02/2382   B-DATE
Date   O
of   O
Initial   O
Symptoms   O
:   O
31/22   B-DATE
Clinical   O
Summary   O
:   O
Robbins   B-NAME
,   O
a   O
30   O
-   O
year   O
-   O
old   O
Astronomers   O
from   O
Radnor   B-LOCATION
,   O
presented   O
to   O
Lovelace   B-LOCATION
Westside   I-LOCATION
Hospital   I-LOCATION
on   O
0/19   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
-   O
grade   O
fever   O
for   O
the   O
past   O
08/10/1951   B-DATE
.   O

The   O
patient   O
reported   O
a   O
sudden   O
onset   O
of   O
symptoms   O
approximately   O
02/22   B-DATE
days   O
prior   O
,   O
which   O
progressively   O
worsened   O
,   O
leading   O
to   O
decreased   O
appetite   O
and   O
generalized   O
fatigue   O
.   O

No   O
significant   O
past   O
medical   O
history   O
was   O
provided   O
,   O
and   O
Love   B-NAME
,   I-NAME
Courtney   I-NAME
denied   O
any   O
recent   O
travel   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Upon   O
admission   O
,   O
Mullen   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
highlighting   O
the   O
severity   O
of   O
respiratory   O
symptoms   O
.   O

Upon   O
examination   O
,   O
Benjamin   B-NAME
Stone   I-NAME
exhibited   O
tachypnea   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
and   O
was   O
febrile   O
with   O
a   O
temperature   O
of   O
38.7   O
°   O
C   O
.   O

Theresia   B-NAME
Shryock   I-NAME
was   O
started   O
on   O
empiric   O
antibiotic   O
therapy   O
,   O
covering   O
typical   O
and   O
atypical   O
pathogens   O
,   O
and   O
was   O
administered   O
intravenous   O
fluids   O
for   O
hydration   O
.   O

Madisyn   B-NAME
Mcgrath   I-NAME
has   O
been   O
advised   O
to   O
remain   O
in   O
isolation   O
until   O
further   O
notice   O
to   O
prevent   O
potential   O
nosocomial   O
transmission   O
.   O

Disposition   O
:   O
As   O
of   O
21/25/53   B-DATE
,   O
Gibbons   B-NAME
's   O
condition   O
showed   O
initial   O
improvement   O
with   O
reduced   O
fever   O
and   O
increased   O
oxygen   O
saturation   O
.   O

The   O
plan   O
is   O
to   O
reassess   O
in   O
48   O
hours   O
for   O
possible   O
discharge   O
,   O
with   O
antibiotics   O
transitioned   O
to   O
oral   O
form   O
if   O
KEMPER   B-NAME
,   I-NAME
SYLVAN   I-NAME
continues   O
to   O
improve   O
.   O

Follow   O
-   O
up   O
with   O
Lane   B-NAME
Carney   I-NAME
in   O
Long   B-LOCATION
Neck   I-LOCATION
is   O
scheduled   O
for   O
22/11   B-DATE
to   O
monitor   O
progress   O
and   O
discuss   O
the   O
results   O
of   O
pending   O
cultures   O
.   O

Username   O
:   O
oyb714   B-NAME
American   B-LOCATION
Crystallographic   I-LOCATION
Association   I-LOCATION
Encrypted   O
E   O
-   O
Mail   O
Contact   O
:   O
JV8210   B-NAME
@   O
British   B-LOCATION
Film   I-LOCATION
Institute   I-LOCATION
.com   O
Emergency   O
Contact   O
:   O
(   B-CONTACT
329   I-CONTACT
)   I-CONTACT
403   I-CONTACT
-   I-CONTACT
8824   I-CONTACT

This   O
summary   O
reflects   O
the   O
encapsulated   O
clinical   O
findings   O
and   O
management   O
plan   O
for   O
Kaden   B-NAME
Brown   I-NAME
,   O
adhering   O
to   O
current   O
health   O
protocols   O
and   O
guidelines   O
.   O

Patient   O
Name   O
:   O
Jack   B-NAME
Morrison   I-NAME
Age   O
:   O
58   O
ID   O
:   O
1   B-ID
-   I-ID
1075588   I-ID
Medical   O
Record   O
Number   O
:   O
2   B-ID
-   I-ID
575053   I-ID
Location   O
:   O
Elkin   B-LOCATION
,   I-LOCATION
Town   I-LOCATION
of   I-LOCATION
Elkin   I-LOCATION
Zip   O
Code   O
:   O
57682   B-LOCATION
Professional   O
Occupation   O
:   O
Continuous   O
Mining   O
Machine   O
Operators   O
Phone   O
Number   O
:   O
536   B-CONTACT
-   I-CONTACT
3460   I-CONTACT
Username   O
:   O
BH641   B-NAME
Attending   O
Physician   O
:   O
Barton   B-NAME
Hospital   O
:   O
Florida   B-LOCATION
Hospital   I-LOCATION
DeLand   I-LOCATION
Date   O
of   O
Admission   O
:   O
06/31   B-DATE
Date   O
of   O
Report   O
:   O
November   B-DATE
23   I-DATE
,   I-DATE
2065   I-DATE
Chief   O
Complaint   O
:   O
Conner   B-NAME
presented   O
to   O
UPMC   B-LOCATION
Hamot   I-LOCATION
on   O
2/2   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
persistent   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Browning   B-NAME
,   I-NAME
Elizabeth   I-NAME
Barrett   I-NAME
reported   O
a   O
fever   O
,   O
which   O
was   O
measured   O
at   O
home   O
as   O
101.3   O
°   O
F   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Weiss   B-NAME
,   O
a   O
3   O
week   O
-   O
year   O
-   O
old   O
filmmaker   O
from   O
Hermosa   B-LOCATION
,   O
initially   O
noted   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
approximately   O
5   O
days   O
prior   O
to   O
admission   O
.   O

Vance   B-NAME
,   I-NAME
Jack   I-NAME
denies   O
any   O
diarrhea   O
,   O
constipation   O
,   O
or   O
blood   O
in   O
stool   O
.   O

Past   O
Medical   O
History   O
:   O
Nelson   B-NAME
Bailey   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Lyons   B-NAME
reports   O
an   O
allergic   O
reaction   O
to   O
penicillin   O
,   O
characterized   O
by   O
hives   O
and   O
swelling   O
.   O

Upon   O
admission   O
to   O
Ascension   B-LOCATION
St.   I-LOCATION
John   I-LOCATION
Hospital   I-LOCATION
on   O
6th   B-DATE
,   O
laboratory   O
tests   O
and   O
imaging   O
were   O
ordered   O
by   O
Holland   B-NAME
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Tyler   B-NAME
diagnosed   O
Yamilet   B-NAME
Barajas   I-NAME
with   O
appendicitis   O
and   O
recommended   O
surgical   O
intervention   O
.   O

Evans   B-NAME
underwent   O
an   O
appendectomy   O
on   O
20/32/39   B-DATE
.   O

The   O
procedure   O
,   O
performed   O
at   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Miami   I-LOCATION
,   O
was   O
successful   O
without   O
complications   O
.   O

Post   O
-   O
operative   O
antibiotics   O
were   O
administered   O
to   O
prevent   O
infection   O
,   O
taking   O
into   O
account   O
Akinola   B-NAME
,   I-NAME
Peter   I-NAME
Jasper   I-NAME
's   O
penicillin   O
allergy   O
.   O

Progress   O
and   O
Plan   O
:   O
Wiggins   B-NAME
's   O
post   O
-   O
operative   O
recovery   O
has   O
been   O
smooth   O
and   O
without   O
significant   O
event   O
.   O

Kyra   B-NAME
Meyer   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Williams   B-NAME
,   I-NAME
Roger   I-NAME
at   O
North   B-LOCATION
Alabama   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
10th   B-DATE
of   I-DATE
April   I-DATE
to   O
monitor   O
healing   O
and   O
recovery   O
progress   O
.   O

Summary   O
:   O
A   O
6   O
-   O
year   O
-   O
old   O
Communication   O
Equipment   O
Mechanics   O
,   O
Installers   O
,   O
and   O
Repairers   O
from   O
HEMEL   B-LOCATION
HEMPSTEAD   I-LOCATION
with   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
was   O
diagnosed   O
with   O
appendicitis   O
and   O
underwent   O
appendectomy   O
at   O
The   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Isabell   B-NAME
Carrillo   I-NAME
.   O

Patient   O
Name   O
:   O
Carrey   B-NAME
,   I-NAME
Jim   I-NAME
Age   O
:   O
100   O
Date   O
of   O
Birth   O
:   O
5/22   B-DATE
Address   O
:   O
Sunny   B-LOCATION
Isles   I-LOCATION
Beach   I-LOCATION
,   O
84487   B-LOCATION
Phone   O
Number   O
:   O
297   B-CONTACT
-   I-CONTACT
5418   I-CONTACT
Occupation   O
:   O
Electro   O
-   O
Mechanical   O
Technicians   O
Primary   O
Physician   O
:   O

Dr.   O
Ryan   B-NAME
Hospital   O
:   O
Coney   B-LOCATION
Island   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
7928882   B-ID
Patient   O
ID   O
:   O
851618318   B-ID
Summary   O
of   O
Admission   O
:   O

Jessup   B-NAME
was   O
admitted   O
to   O
United   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
02/12   B-DATE
following   O
a   O
week   O
-   O
long   O
episode   O
of   O
severe   O
headaches   O
,   O
photophobia   O
,   O
and   O
intermittent   O
fevers   O
.   O

Lilla   B-NAME
Lambson   I-NAME
is   O
a   O
Dentist   O
which   O
involves   O
minimal   O
outdoor   O
activity   O
.   O

On   O
examination   O
,   O
Gustavo   B-NAME
Wallace   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
headache   O
pain   O
.   O

The   O
management   O
plan   O
for   O
Varl   B-NAME
Blonigan   I-NAME
includes   O
symptomatic   O
relief   O
for   O
headaches   O
with   O
prescribed   O
medication   O
and   O
close   O
monitoring   O
of   O
the   O
temperature   O
curve   O
.   O

Hayes   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Stephany   B-NAME
Barnes   I-NAME
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Grinnell   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/32/38   B-DATE
.   O

For   O
any   O
urgent   O
queries   O
,   O
Willena   B-NAME
Dameron   I-NAME
or   O
their   O
designated   O
contact   O
can   O
reach   O
Dr.   O
Davin   B-NAME
Christensen   I-NAME
’s   O
office   O
at   O
448   B-CONTACT
-   I-CONTACT
9176   I-CONTACT
.   O

For   O
administrative   O
matters   O
,   O
including   O
copies   O
of   O
medical   O
records   O
,   O
please   O
contact   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Walnut   I-LOCATION
Creek   I-LOCATION
’s   O
records   O
department   O
at   O
591   B-CONTACT
9228   I-CONTACT
.   O

Indian   B-LOCATION
National   I-LOCATION
Trade   I-LOCATION
Union   I-LOCATION
Congress   I-LOCATION
Name   O
:   O
Pioneers   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Town   B-LOCATION
of   I-LOCATION
Clayton   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Address   O
:   O
Pine   B-LOCATION
Point   I-LOCATION
,   O
54325   B-LOCATION
Medical   O
Record   O
Number   O
for   O
Reference   O
:   O
6430605   B-ID
Patient   O
ID   O
:   O
KC   B-ID
:   I-ID
VR:1931   I-ID

Patient   O
Name   O
:   O
Clements   B-NAME
Patient   O
ID   O
:   O
5   B-ID
-   I-ID
1758951   I-ID
Date   O
of   O
Birth   O
:   O
Sunday   B-DATE
,   I-DATE
April   I-DATE
Age   O
:   O
35   O
Medical   O
Record   O
Number   O
:   O
3468802   B-ID
Address   O
:   O
Cheyenne   B-LOCATION
Wells   I-LOCATION
,   O
89899   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
777   I-CONTACT
)   I-CONTACT
434   I-CONTACT
-   I-CONTACT
8813   I-CONTACT
Email   O
:   O
bt735   B-NAME
@   O
Butte   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
.com   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Jace   B-NAME
Sparks   I-NAME
Hospital   O
:   O
Mat   B-LOCATION
-   I-LOCATION
Su   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O
Roger   B-NAME
Hurley   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
00/18   B-DATE
complaining   O
of   O
severe   O
,   O
acute   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
onset   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Cornelius   B-NAME
Robles   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
nausea   O
without   O
vomiting   O
.   O

Albertina   B-NAME
has   O
experienced   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
in   O
the   O
past   O
six   O
months   O
but   O
did   O
not   O
seek   O
medical   O
attention   O
.   O

Past   O
Medical   O
History   O
:   O
Irwin   B-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
,   O
diagnosed   O
two   O
years   O
ago   O
.   O

Physical   O
Examination   O
:   O
General   O
:   O
Jacobson   B-NAME
,   I-NAME
Isaiah   I-NAME
Peter   I-NAME
is   O
alert   O
and   O
oriented   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Plan   O
:   O
Surgical   O
consultation   O
with   O
Dr.   O
Ezra   B-NAME
Ayers   I-NAME
was   O
requested   O
,   O
and   O
Kerr   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
appendectomy   O
.   O

Krish   B-NAME
Frank   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
and   O
provided   O
consent   O
.   O

Ulbrich   B-NAME
,   I-NAME
George   I-NAME
-   I-NAME
Brian   I-NAME
N.   I-NAME
was   O
admitted   O
to   O
Hartford   B-LOCATION
Hospital   I-LOCATION
on   O
15/22   B-DATE
for   O
surgery   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Pope   B-NAME
was   O
scheduled   O
for   O
Friday   B-DATE
,   I-DATE
July   I-DATE
.   O

This   O
report   O
was   O
prepared   O
by   O
Mechanical   O
Engineers   O
on   O
behalf   O
of   O
arias   B-NAME
,   O
MRN   O
:   O
650   B-ID
-   I-ID
84   I-ID
-   I-ID
17   I-ID
-   I-ID
7   I-ID
,   O
on   O
Sunday   B-DATE
,   I-DATE
March   I-DATE
.   O

For   O
any   O
further   O
information   O
or   O
clarification   O
,   O
please   O
contact   O
Alamance   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
62993   B-CONTACT
.   O

Patient   O
Name   O
:   O
Fiona   B-NAME
Montes   I-NAME
Patient   O
ID   O
:   O
463730   B-ID
Date   O
of   O
Birth   O
:   O
18/01   B-DATE
Age   O
:   O
68   O
Medical   O
Record   O
Number   O
:   O
83499264   B-ID
Address   O
:   O
Sunset   B-LOCATION
Village   I-LOCATION
,   O
66536   B-LOCATION
Phone   O
Number   O
:   O
230   B-CONTACT
885   I-CONTACT
-   I-CONTACT
5130   I-CONTACT
Admitting   O
Doctor   O
:   O
Mark   B-NAME
Lamb   I-NAME
Admitting   O
Hospital   O
:   O
Baptist   B-LOCATION
Beaumont   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southeast   I-LOCATION
Texas   I-LOCATION
Date   O
of   O
Admission   O
:   O
June   B-DATE
8   I-DATE
Primary   O
Diagnosis   O
:   O
Acute   O
Appendicitis   O
Employer   O
:   O
FIFPro   B-LOCATION
Occupation   O
:   O

Outdoor   O
Power   O
Equipment   O
and   O
Other   O
Small   O
Engine   O
Mechanics   O
History   O
of   O
Present   O
Illness   O
:   O
Nina   B-NAME
I   I-NAME
Morris   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Heartland   B-LOCATION
LASIK   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Abilene   I-LOCATION
on   O
2203   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
08   I-DATE
with   O
a   O
24   O
-   O
hour   O
history   O
of   O
increasing   O
abdominal   O
pain   O
.   O

Phillip   B-NAME
Isaac   I-NAME
Crosby   I-NAME
also   O
reported   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
.   O

Medina   B-NAME
denied   O
any   O
other   O
recent   O
illnesses   O
or   O
injuries   O
.   O

Family   O
History   O
:   O
Jefferson   B-NAME
Jefferson   I-NAME
's   O
family   O
history   O
is   O
significant   O
for   O
diabetes   O
mellitus   O
in   O
the   O
mother   O
(   O
2   O
month   O
)   O
and   O
hypertension   O
in   O
the   O
father   O
(   O
100   O
)   O
.   O

Duartes   B-NAME
is   O
a   O
Special   O
Education   O
Teachers   O
,   O
Middle   O
School   O
at   O
Community   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Lemont   I-LOCATION
and   O
denies   O
any   O
tobacco   O
,   O
alcohol   O
,   O
or   O
drug   O
use   O
.   O

On   O
examination   O
,   O
Jaydan   B-NAME
Dodson   I-NAME
's   O
vital   O
signs   O
were   O
stable   O
with   O
a   O
temperature   O
of   O
98.6   O
F   O
,   O
heart   O
rate   O
of   O
80   O
bpm   O
,   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
of   O
16   O
per   O
minute   O
.   O

Treatment   O
and   O
Outcome   O
:   O
Uriel   B-NAME
Fenoff   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
and   O
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
performed   O
by   O
Dr.   O
Collier   B-NAME
on   O
February   B-DATE
.   O

Delarosa   B-NAME
was   O
discharged   O
on   O
09/29   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
in   O
2   O
weeks   O
at   O
Wise   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
East   I-LOCATION
Campus   I-LOCATION
Decatur   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
Glennis   B-NAME
Hansteen   I-NAME
is   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgery   O
clinic   O
in   O
2   O
weeks   O
for   O
wound   O
inspection   O
and   O
to   O
report   O
any   O
signs   O
of   O
infection   O
,   O
increased   O
pain   O
,   O
or   O
fever   O
immediately   O
.   O

Prepared   O
by   O
:   O
RQ949   B-NAME
32/22   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Deacis   B-NAME
Patient   O
Age   O
:   O
55   O
Patient   O
ID   O
:   O
VR963/3395   B-ID
Medical   O
Record   O
Number   O
:   O
1685666   B-ID
Date   O
of   O
Visit   O
:   O
3/28   B-DATE
Attending   O
Physician   O
:   O
Grimes   B-NAME
Location   O
of   O
Visit   O
:   O
Appleby   B-LOCATION
Contact   O
Number   O
:   O
402   B-CONTACT
-   I-CONTACT
883   I-CONTACT
-   I-CONTACT
2207   I-CONTACT
Zip   O
Code   O
:   O
73272   B-LOCATION
Employer   O
:   O
Canoochee   B-LOCATION
EMC   I-LOCATION
Profession   O
:   O
Farm   O
,   O
Ranch   O
,   O
and   O
Other   O
Agricultural   O
Managers   O
Username   O
:   O
du297   B-NAME
Summary   O
:   O
Lyman   B-NAME
Sanderson   I-NAME
presented   O
to   O
Emory   B-LOCATION
Johns   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
on   O
17/25/90   B-DATE
complaining   O
of   O
severe   O
abdominal   O
pain   O
,   O
notably   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

66   O
-   O
year   O
-   O
old   O
Ella   B-NAME
Donovan   I-NAME
reported   O
the   O
pain   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
the   O
visit   O
and   O
has   O
progressively   O
worsened   O
.   O

Additionally   O
,   O
Watts   B-NAME
reported   O
experiencing   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
11/17/1847   B-DATE
.   O

On   O
examination   O
,   O
Kafka   B-NAME
,   I-NAME
Franz   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
38.5   O
°   O
C   O
,   O
indicating   O
a   O
fever   O
.   O

Based   O
on   O
these   O
clinical   O
findings   O
,   O
Tate   B-NAME
Nixon   I-NAME
suspected   O
acute   O
appendicitis   O
and   O
ordered   O
an   O
abdominal   O
ultrasound   O
which   O
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
.   O

Given   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
,   O
Sims   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Erasmo   B-NAME
Vecchio   I-NAME
was   O
advised   O
to   O
abstain   O
from   O
food   O
and   O
liquids   O
in   O
preparation   O
for   O
potential   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
Osiel   B-NAME
M.   I-NAME
Colon   I-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
November   B-DATE
post   O
-   O
operation   O
to   O
monitor   O
recovery   O
progress   O
.   O

Instructions   O
were   O
given   O
to   O
Heschel   B-NAME
,   I-NAME
Abraham   I-NAME
Joshua   I-NAME
to   O
report   O
any   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
at   O
the   O
incision   O
site   O
,   O
fever   O
,   O
or   O
if   O
the   O
pain   O
worsens   O
.   O

For   O
privacy   O
requests   O
or   O
to   O
update   O
personal   O
information   O
,   O
Tocho   B-NAME
or   O
their   O
designated   O
contact   O
can   O
reach   O
out   O
to   O
our   O
office   O
via   O
78269   B-CONTACT
or   O
visit   O
the   O
patient   O
portal   O
with   O
their   O
specific   O
username   O
,   O
kim444   B-NAME
.   O

Patient   O
Name   O
:   O
Rebekah   B-NAME
Bullock   I-NAME
Medical   O
Record   O
Number   O
:   O
49457699   B-ID
Date   O
of   O
Birth   O
:   O
32/35/2260   B-DATE
Age   O
:   O
8   O
Address   O
:   O
Washington   B-LOCATION
,   I-LOCATION
Washington   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
13813   B-LOCATION
Phone   O
:   O
572   B-CONTACT
-   I-CONTACT
7134   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Terrance   B-NAME
Ryan   I-NAME
Hospital   O
:   O
Progress   B-LOCATION
West   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
VC   B-ID
:   I-ID
YL:6289   I-ID
Presenting   O
Complaint   O
:   O
Teagan   B-NAME
Lang   I-NAME
presents   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
increasing   O
shortness   O
of   O
breath   O
,   O
productive   O
cough   O
with   O
greenish   O
sputum   O
,   O
and   O
intermittent   O
fever   O
reaching   O
up   O
to   O
38.5   O
°   O
C   O
.   O

Keagan   B-NAME
Meyers   I-NAME
has   O
also   O
experienced   O
significant   O
fatigue   O
,   O
making   O
it   O
difficult   O
to   O
perform   O
Slaughterers   O
and   O
Meat   O
Packers   O
duties   O
as   O
a   O
Computer   O
and   O
Information   O
Systems   O
Managers   O
.   O

Shaman   B-NAME
has   O
a   O
history   O
of   O
chronic   O
obstructive   O
pulmonary   O
disease   O
(   O
COPD   O
)   O
,   O
diagnosed   O
approximately   O
5   O
years   O
ago   O
.   O

Dang   B-NAME
quit   O
smoking   O
2   O
years   O
ago   O
.   O

On   O
examination   O
,   O
Sonia   B-NAME
Stevens   I-NAME
appears   O
in   O
moderate   O
distress   O
due   O
to   O
respiratory   O
effort   O
.   O

Admission   O
to   O
Crossroads   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
intravenous   O
antibiotics   O
and   O
corticosteroids   O
.   O

The   O
patient   O
will   O
be   O
reviewed   O
by   O
Brown   B-NAME
,   I-NAME
Sam   I-NAME
in   O
48   O
hours   O
to   O
assess   O
response   O
to   O
treatment   O
.   O

For   O
any   O
concerns   O
or   O
changes   O
in   O
condition   O
,   O
please   O
contact   O
Bay   B-LOCATION
Area   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
46780   B-CONTACT
.   O

This   O
care   O
plan   O
was   O
generated   O
on   O
18/01/46   B-DATE
,   O
for   O
Grace   B-NAME
Velasquez   I-NAME
,   O
MRN   O
34605   B-ID
,   O
by   O
Stallman   B-NAME
,   I-NAME
Richard   I-NAME
M   I-NAME
,   O
M.D.   O

Patient   O
:   O
Brice   B-NAME
Bautista   I-NAME
ID   O
:   O
MP   B-ID
:   I-ID
VX:5095   I-ID
Medical   O
Record   O
:   O
485   B-ID
-   I-ID
90   I-ID
-   I-ID
81   I-ID
-   I-ID
7   I-ID
Date   O
of   O
Birth   O
:   O
3   O
week   O
Address   O
:   O
Leawood   B-LOCATION
,   O
28874   B-LOCATION
Employment   O
:   O

Biochemists   O
and   O
Biophysicists   O
Phone   O
:   O
37693   B-CONTACT
Primary   O
Care   O
Physician   O
:   O
Salinas   B-NAME
Hospital   O
:   O
St   B-LOCATION
Agnes   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
1/10   B-DATE
Username   O
for   O
Health   O
Portal   O
:   O
bh07   B-NAME
Clinical   O
Assessment   O
:   O
Emerson   B-NAME
Hart   I-NAME
,   O
a   O
84   O
-   O
year   O
-   O
old   O
Electronics   O
Engineering   O
Technicians   O
,   O
presented   O
to   O
Murray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
15/24   B-DATE
with   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Laboratory   O
tests   O
indicated   O
leukocytosis   O
,   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
μL.   O
Abdominal   O
ultrasonography   O
conducted   O
by   O
Horace   B-NAME
Meddick   I-NAME
confirmed   O
the   O
presence   O
of   O
an   O
enlarged   O
appendix   O
measuring   O
11   O
mm   O
in   O
diameter   O
,   O
without   O
evidence   O
of   O
perforation   O
.   O

The   O
patient   O
underwent   O
laparoscopic   O
appendectomy   O
on   O
30/13   B-DATE
.   O

The   O
procedure   O
,   O
performed   O
by   O
Sidney   B-NAME
Camacho   I-NAME
at   O
Upper   B-LOCATION
Connecticut   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
,   O
was   O
completed   O
without   O
complications   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
2/24/47   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Marcus   B-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

This   O
case   O
will   O
be   O
documented   O
in   O
Australian   B-LOCATION
Council   I-LOCATION
of   I-LOCATION
Trade   I-LOCATION
Unions   I-LOCATION
's   O
database   O
under   O
the   O
entry   O
33797005   B-ID
,   O
ensuring   O
ongoing   O
tracking   O
of   O
patient   O
outcomes   O
and   O
quality   O
of   O
care   O
delivered   O
by   O
Binghamton   B-LOCATION
Psychiatric   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
follow   O
-   O
up   O
or   O
queries   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
A.O.   B-LOCATION
Fox   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
at   O
(   B-CONTACT
160   I-CONTACT
)   I-CONTACT
779   I-CONTACT
1653   I-CONTACT
.   O

Patient   O
Name   O
:   O
Zehr   B-NAME
Patient   O
ID   O
:   O
2   B-ID
-   I-ID
5233792   I-ID
Medical   O
Record   O
Number   O
:   O
865   B-ID
-   I-ID
02   I-ID
-   I-ID
38   I-ID
-   I-ID
7   I-ID
Age   O
:   O
8   O
week   O
Address   O
:   O
Wayne   B-LOCATION
,   O
82550   B-LOCATION
Phone   O
Number   O
:   O
773   B-CONTACT
-   I-CONTACT
6825   I-CONTACT
Occupation   O
:   O
Political   O
Scientists   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Martinez   B-NAME
Summary   O
:   O
On   O
28/21   B-DATE
,   O
Bates   B-NAME
presented   O
to   O
Healtheast   B-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
with   O
symptoms   O
highly   O
suggestive   O
of   O
acute   O
appendicitis   O
,   O
including   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Lana   B-NAME
Duke   I-NAME
,   O
a   O
Orthotists   O
and   O
Prosthetists   O
by   O
profession   O
,   O
noted   O
no   O
prior   O
similar   O
episodes   O
and   O
has   O
been   O
in   O
generally   O
good   O
health   O
.   O

Diagnostic   O
Findings   O
:   O
Abdominal   O
ultrasound   O
performed   O
on   O
02/87   B-DATE
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
inflammation   O
,   O
supporting   O
the   O
clinical   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Considering   O
the   O
patient   O
's   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Dr.   O
Kaiden   B-NAME
Jordan   I-NAME
from   O
Fauquier   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
recommended   O
an   O
immediate   O
surgical   O
intervention   O
.   O

Laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
4/2   B-DATE
without   O
complications   O
.   O

MF   B-NAME
responded   O
well   O
to   O
the   O
procedure   O
with   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Postoperative   O
care   O
was   O
managed   O
by   O
the   O
surgical   O
team   O
at   O
Bradford   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Donna   B-NAME
Mahoney   I-NAME
on   O
2123   B-DATE
-   I-DATE
01   I-DATE
-   I-DATE
28   I-DATE
at   O
Carrier   B-LOCATION
Clinic   I-LOCATION
to   O
assess   O
the   O
recovery   O
process   O
and   O
wound   O
healing   O
.   O

Bradshaw   B-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
for   O
at   O
least   O
two   O
weeks   O
post   O
-   O
surgery   O
.   O

Instructions   O
for   O
Patient   O
:   O
Vanburen   B-NAME
is   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

In   O
case   O
of   O
fever   O
,   O
severe   O
abdominal   O
pain   O
,   O
or   O
any   O
unexpected   O
symptoms   O
,   O
immediate   O
contact   O
should   O
be   O
made   O
to   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Johnstown   I-LOCATION
at   O
99937   B-CONTACT
.   O

If   O
you   O
have   O
received   O
this   O
report   O
in   O
error   O
,   O
please   O
contact   O
our   O
office   O
at   O
782   B-CONTACT
-   I-CONTACT
4885   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Report   O
Prepared   O
By   O
:   O
Dr.   O
Little   B-NAME
Date   O
:   O
22/26   B-DATE
Patient   O
Consent   O
:   O
Consent   O
to   O
discuss   O
this   O
case   O
was   O
obtained   O
verbally   O
from   O
Gerardo   B-NAME
Leflore   I-NAME
on   O
April   B-DATE
13   I-DATE
.   O

Hingham   B-LOCATION
Municipal   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
is   O
committed   O
to   O
providing   O
high   O
-   O
quality   O
healthcare   O
and   O
respects   O
patient   O
privacy   O
and   O
confidentiality   O
.   O

For   O
more   O
information   O
,   O
please   O
visit   O
our   O
website   O
or   O
contact   O
our   O
Privacy   O
Officer   O
at   O
445   B-CONTACT
-   I-CONTACT
7980   I-CONTACT
.   O

Patient   O
Name   O
:   O
Thomas   B-NAME
Javier   I-NAME
Age   O
:   O
90   O
Medical   O
Record   O
Number   O
:   O
93595170   B-ID
Date   O
of   O
Visit   O
:   O
09/20/44   B-DATE
Contact   O
Number   O
:   O
787   B-CONTACT
-   I-CONTACT
867   I-CONTACT
8734   I-CONTACT

Dr.   O
Addisyn   B-NAME
Frost   I-NAME
Hospital   O
:   O
Medical   B-LOCATION
Center   I-LOCATION
of   I-LOCATION
Peach   I-LOCATION
County   I-LOCATION
Location   O
:   O
Similkameen   B-LOCATION
,   I-LOCATION
BC   I-LOCATION
V0X   I-LOCATION
5B0   I-LOCATION
ID   O
Number   O
:   O
6   B-ID
-   I-ID
9829322   I-ID
Employment   O
:   O
Electronic   O
Masking   O
System   O
Operators   O
Username   O
:   O
zzq903   B-NAME
ZIP   O
Code   O
:   O
64193   B-LOCATION
Chief   O
Complaint   O
:   O
Patient   O
Makaila   B-NAME
presented   O
with   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Furthermore   O
,   O
Verline   B-NAME
Villacis   I-NAME
reported   O
accompanying   O
symptoms   O
including   O
nausea   O
,   O
vomiting   O
,   O
and   O
a   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
the   O
pain   O
.   O
History   O
of   O
Present   O
Illness   O
:   O

Patient   O
Xenia   B-NAME
Jaramillo   I-NAME
mentioned   O
that   O
the   O
abdominal   O
pain   O
started   O
mildly   O
early   O
in   O
the   O
morning   O
on   O
10/10/1945   B-DATE
and   O
gradually   O
worsened   O
over   O
the   O
course   O
of   O
the   O
day   O
.   O

There   O
was   O
no   O
reported   O
fever   O
,   O
but   O
Brock   B-NAME
described   O
a   O
subjective   O
feeling   O
of   O
being   O
feverish   O
.   O

Leonard   B-NAME
attempted   O
to   O
alleviate   O
the   O
symptoms   O
with   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
and   O
pain   O
relievers   O
,   O
with   O
no   O
relief   O
.   O

Review   O
of   O
Systems   O
:   O
David   B-NAME
denies   O
any   O
recent   O
travel   O
history   O
to   O
Fancy   B-LOCATION
Farm   I-LOCATION
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
UJ   B-NAME
exhibited   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
indicating   O
potential   O
peritoneal   O
irritation   O
.   O

Plan   O
:   O
Based   O
on   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
James   B-NAME
Hobart   I-NAME
is   O
recommended   O
to   O
undergo   O
an   O
emergency   O
appendectomy   O
.   O

Risks   O
,   O
benefits   O
,   O
and   O
alternatives   O
have   O
been   O
discussed   O
with   O
Guitry   B-NAME
,   I-NAME
Sacha   I-NAME
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Patient   O
Martinez   B-NAME
is   O
scheduled   O
for   O
surgery   O
on   O
21/00/2242   B-DATE
and   O
has   O
been   O
started   O
on   O
pre   O
-   O
operative   O
antibiotics   O
as   O
a   O
prophylactic   O
measure   O
against   O
infection   O
.   O

Follow   O
-   O
up   O
:   O
Post   O
-   O
operative   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
2113   B-DATE
to   O
monitor   O
the   O
recovery   O
process   O
and   O
address   O
any   O
potential   O
complications   O
.   O

Dana   B-NAME
Michael   I-NAME
has   O
been   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
,   O
including   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
discharge   O
from   O
the   O
surgical   O
site   O
.   O

All   O
personal   O
identifiers   O
relating   O
to   O
Chasity   B-NAME
Velazquez   I-NAME
and   O
associated   O
entities   O
have   O
been   O
anonymised   O
to   O
protect   O
privacy   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Name   O
:   O
Tenesha   B-NAME
Perlman   I-NAME
Age   O
:   O
22   O
Address   O
:   O
Burchard   B-LOCATION
,   O
75676   B-LOCATION
Phone   O
Number   O
:   O
814   B-CONTACT
432   I-CONTACT
-   I-CONTACT
4106   I-CONTACT
Employment   O
:   O
Speech   O
-   O
Language   O
Pathologists   O
at   O
UNISON   B-LOCATION
Patient   O
ID   O
:   O
MO:33551:575683   B-ID

Medical   O
Record   O
Number   O
:   O
9398174   B-ID
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Morrow   B-NAME
Hospital   O
:   O
Lincoln   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
02/21   B-DATE
Chief   O
Complaint   O
:   O
Anna   B-NAME
V.   I-NAME
Wendy   I-NAME
-   I-NAME
Bird   I-NAME
presented   O
in   O
the   O
emergency   O
department   O
of   O
HealthSouth   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Littleton   I-LOCATION
,   O
Neodesha   B-LOCATION
,   O
on   O
30/12   B-DATE
,   O
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Gabriel   B-NAME
Cabeza   I-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Personal   O
Service   O
Workers   O
at   O
NSTAR   B-LOCATION
,   O
began   O
experiencing   O
mild   O
,   O
intermittent   O
abdominal   O
discomfort   O
approximately   O
one   O
week   O
ago   O
.   O

The   O
discomfort   O
gradually   O
escalated   O
in   O
intensity   O
,   O
culminating   O
in   O
the   O
severe   O
pain   O
that   O
prompted   O
Karter   B-NAME
Lester   I-NAME
's   O
visit   O
to   O
the   O
emergency   O
department   O
on   O
0/29   B-DATE
.   O

Xenia   B-NAME
Bridges   I-NAME
denies   O
any   O
recent   O
changes   O
in   O
diet   O
,   O
alcohol   O
consumption   O
,   O
or   O
travel   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
diagnosed   O
2309   B-DATE
-   I-DATE
23   I-DATE
-   I-DATE
28   I-DATE
-   O
Hypertension   O
-   O
No   O
known   O
drug   O
allergies   O
.   O

-   O
Surgical   O
history   O
includes   O
cholecystectomy   O
on   O
29/26   B-DATE
.   O
Review   O
of   O
Systems   O
:   O
-   O
Cardiovascular   O
:   O
Denies   O
chest   O
pain   O
or   O
palpitations   O
.   O

Upon   O
examination   O
,   O
Jadon   B-NAME
Frank   I-NAME
's   O
vital   O
signs   O
were   O
observed   O
as   O
follows   O
:   O
temperature   O
37.5   O
C   O
,   O
heart   O
rate   O
98   O
bpm   O
,   O
blood   O
pressure   O
150/90   O
mmHg   O
,   O
respiration   O
rate   O
16   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
98   O
%   O
on   O
room   O
air   O
.   O

Initial   O
Management   O
:   O
-   O
Macdonald   B-NAME
was   O
started   O
on   O
IV   O
fluids   O
and   O
IV   O
analgesia   O
for   O
pain   O
management   O
.   O

-   O
Dr.   O
Reece   B-NAME
Benson   I-NAME
discussed   O
the   O
possibility   O
of   O
an   O
endoscopic   O
evaluation   O
pending   O
the   O
results   O
of   O
initial   O
laboratory   O
and   O
imaging   O
studies   O
.   O

Follow   O
-   O
Up   O
and   O
Plan   O
:   O
-   O
Alfven   B-NAME
,   I-NAME
Hannes   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Ramsey   B-NAME
in   O
the   O
gastrointestinal   O
clinic   O
at   O
Aspirus   B-LOCATION
Riverview   I-LOCATION
Hospital   I-LOCATION
on   O
11/23   B-DATE
.   O
-   O
Adam   B-NAME
Wu   I-NAME
was   O
advised   O
to   O
monitor   O
symptoms   O
and   O
was   O
given   O
instructions   O
to   O
return   O
to   O
the   O
emergency   O
department   O
if   O
symptoms   O
significantly   O
worsen   O
or   O
if   O
new   O
symptoms   O
develop   O
.   O

Documentation   O
Completed   O
By   O
:   O
NF704   B-NAME
Date   O
:   O
9/2/03   B-DATE
Contact   O
Information   O
:   O
356   B-CONTACT
-   I-CONTACT
8911   I-CONTACT

Patient   O
Name   O
:   O
Iris   B-NAME
Narvaez   I-NAME
Age   O
:   O
78s   O
Date   O
of   O
Birth   O
:   O
01/22   B-DATE
Address   O
:   O
Riverside   B-LOCATION
,   I-LOCATION
CA   I-LOCATION
92503   I-LOCATION
,   O
36972   B-LOCATION
Phone   O
:   O
99974   B-CONTACT
Employment   O
:   O
Training   O
and   O
Development   O
Manager   O
at   O
City   B-LOCATION
of   I-LOCATION
Williston   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
Primary   O
Physician   O
:   O

Nico   B-NAME
Morgan   I-NAME
Hospital   O
:   O

INTEGRIS   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
Number   O
:   O
919   B-ID
-   I-ID
81   I-ID
-   I-ID
14   I-ID
-   I-ID
1   I-ID
Date   O
of   O
Visit   O
:   O
11/07/1985   B-DATE
ID   O
:   O
HL   B-ID
:   I-ID
LL:4478   I-ID
Chief   O
Complaint   O
:   O

Samatha   B-NAME
Mallet   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
32/00/33   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
the   O
visit   O
.   O

Additionally   O
,   O
Sexton   B-NAME
reported   O
accompanying   O
symptoms   O
including   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
early   O
on   O
the   O
morning   O
of   O
13/23   B-DATE
.   O
History   O
of   O
Present   O
Illness   O
:   O
Seleucus   B-NAME
Freelon   I-NAME
notes   O
that   O
the   O
pain   O
was   O
initially   O
mild   O
and   O
diffuse   O
,   O
but   O
gradually   O
intensified   O
and   O
became   O
sharp   O
,   O
settling   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
by   O
the   O
evening   O
of   O
Friday   B-DATE
,   I-DATE
December   I-DATE
.   O

Miracle   B-NAME
Branch   I-NAME
denied   O
any   O
recent   O
history   O
of   O
similar   O
symptoms   O
,   O
surgery   O
,   O
or   O
trauma   O
to   O
the   O
area   O
.   O

Past   O
Medical   O
History   O
:   O
FRANK   B-NAME
EMMONS   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
,   O
hypertension   O
controlled   O
with   O
lisinopril   O
,   O
and   O
hyperlipidemia   O
.   O

Past   O
surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
at   O
Eaton   B-LOCATION
Rapids   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
09/30/1880   B-DATE
.   O

Floyd   B-NAME
is   O
a   O
nonsmoker   O
and   O
denies   O
any   O
use   O
of   O
illicit   O
drugs   O
.   O

Dailey   B-NAME
is   O
employed   O
as   O
a   O
Training   O
and   O
Development   O
Manager   O
at   O
Glades   B-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
,   O
describing   O
their   O
work   O
environment   O
as   O
"   O
mostly   O
sedentary   O
with   O
minimal   O
stress   O
"   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
aforementioned   O
symptoms   O
,   O
Francis   B-NAME
of   I-NAME
Assisi   I-NAME
denies   O
any   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
changes   O
in   O
bowel   O
or   O
bladder   O
habits   O
,   O
rash   O
,   O
or   O
neurological   O
changes   O
.   O

On   O
physical   O
examination   O
,   O
Quinton   B-NAME
Lovett   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
ordered   O
and   O
performed   O
at   O
Gritman   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
'   B-DATE
70   I-DATE
,   O
which   O
confirmed   O
the   O
preliminary   O
diagnosis   O
of   O
acute   O
appendicitis   O
without   O
evidence   O
of   O
rupture   O
.   O

The   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
were   O
discussed   O
in   O
detail   O
with   O
Buck   B-NAME
Leonidas   I-NAME
,   O
who   O
provided   O
informed   O
consent   O
for   O
the   O
surgery   O
scheduled   O
at   O
Jewell   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Mankato   I-LOCATION
on   O
3/21   B-DATE
.   O

Post   O
-   O
operative   O
antibiotics   O
were   O
prescribed   O
,   O
and   O
Booker   B-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
follow   O
-   O
up   O
after   O
discharge   O
for   O
wound   O
care   O
and   O
monitoring   O
of   O
symptoms   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Short   B-NAME
for   O
33/20   B-DATE
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Trinity   I-LOCATION
Bettendorf   I-LOCATION
to   O
assess   O
recovery   O
progress   O
and   O
address   O
any   O
concerns   O
Ellie   B-NAME
Yang   I-NAME
might   O
have   O
post   O
-   O
operatively   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Joubert   B-NAME
,   I-NAME
Joseph   I-NAME
Age   O
:   O
7   O
Address   O
:   O
Bolton   B-LOCATION
,   O
95779   B-LOCATION
Phone   O
Number   O
:   O
172   B-CONTACT
4831   I-CONTACT
Occupation   O
:   O

Ophthalmic   O
Medical   O
Technologists   O
ID   O
Number   O
:   O
XS   B-ID
:   I-ID
BG:6180   I-ID
Medical   O
Record   O
Number   O
:   O
6726865   B-ID
Admission   O
Date   O
:   O
06/23   B-DATE
Discharge   O
Date   O
:   O
2342   B-DATE
Treating   O
Physician   O
:   O
Lee   B-NAME
Hospital   O
Name   O
:   O
Prisma   B-LOCATION
Health   I-LOCATION
Laurens   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
Clinical   O
Summary   O
:   O
Dougherty   B-NAME
presented   O
to   O
Missouri   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
18/12/2330   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
a   O
high   O
fever   O
over   O
the   O
past   O
30/13/2201   B-DATE
.   O

The   O
patient   O
mentioned   O
recent   O
travel   O
to   O
Trinidad   B-LOCATION
and   I-LOCATION
Tobago   I-LOCATION
approximately   O
12/28   B-DATE
ago   O
but   O
denied   O
any   O
known   O
contact   O
with   O
infectious   O
diseases   O
.   O

Upon   O
examination   O
,   O
Chapa   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
respiratory   O
symptoms   O
.   O

Treatment   O
Plan   O
:   O
Oliver   B-NAME
M.   I-NAME
Oates   I-NAME
was   O
admitted   O
to   O
Interfaith   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
/   I-LOCATION
Jewish   I-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Of   I-LOCATION
Brooklyn   I-LOCATION
Div   I-LOCATION
for   O
observation   O
and   O
treatment   O
.   O

Felipe   B-NAME
Ortega   I-NAME
recommended   O
rest   O
,   O
hydration   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
12/15/82   B-DATE
after   O
discharge   O
to   O
re   O
-   O
evaluate   O
the   O
patient   O
's   O
respiratory   O
status   O
.   O
Instructions   O
for   O
Care   O
at   O
Home   O
:   O

Upon   O
discharge   O
on   O
04/13/2330   B-DATE
,   O
Miller   B-NAME
,   I-NAME
Ron   I-NAME
was   O
instructed   O
to   O
continue   O
oral   O
antibiotics   O
for   O
2/0   B-DATE
,   O
monitor   O
temperature   O
twice   O
daily   O
,   O
and   O
maintain   O
isolation   O
until   O
asymptomatic   O
for   O
at   O
least   O
09/24/2163   B-DATE
to   O
prevent   O
potential   O
transmission   O
to   O
others   O
.   O

In   O
case   O
of   O
emergency   O
or   O
worsening   O
symptoms   O
,   O
Cook   B-NAME
,   I-NAME
Peter   I-NAME
was   O
advised   O
to   O
contact   O
Emory   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Midtown   I-LOCATION
at   O
202   B-CONTACT
-   I-CONTACT
3846   I-CONTACT
or   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Foley   B-NAME
at   O
Holy   B-LOCATION
Family   I-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Merrimack   I-LOCATION
Valley   I-LOCATION
on   O
4/12   B-DATE
.   O

The   O
patient   O
,   O
Biko   B-NAME
,   I-NAME
Steve   I-NAME
,   O
a   O
Excavating   O
and   O
Loading   O
Machine   O
Operators   O
from   O
Oak   B-LOCATION
Hill   I-LOCATION
,   O
presented   O
at   O
Kit   B-LOCATION
Carson   I-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
10/56   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
reaching   O
102   O
°   O
F   O
,   O
and   O
shortness   O
of   O
breath   O
.   O

According   O
to   O
Manning   B-NAME
,   O
Gerardo   B-NAME
Lyons   I-NAME
's   O
physical   O
examination   O
revealed   O
crackles   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
,   O
indicative   O
of   O
potential   O
pneumonia   O
.   O

Iesha   B-NAME
,   O
47s   O
years   O
old   O
,   O
mentioned   O
a   O
recent   O
travel   O
history   O
to   O
a   O
high   O
-   O
altitude   O
area   O
in   O
Shirley   B-LOCATION
about   O
two   O
weeks   O
before   O
symptom   O
onset   O
.   O

This   O
detail   O
was   O
noted   O
by   O
Hendrix   B-NAME
considering   O
the   O
differential   O
diagnosis   O
that   O
may   O
include   O
high   O
-   O
altitude   O
pulmonary   O
edema   O
,   O
in   O
addition   O
to   O
infectious   O
causes   O
given   O
the   O
presenting   O
symptoms   O
.   O

A   O
chest   O
X   O
-   O
ray   O
and   O
CT   O
scan   O
ordered   O
by   O
Bowers   B-NAME
on   O
32/23   B-DATE
displayed   O
bilateral   O
infiltrates   O
,   O
consistent   O
with   O
the   O
suspected   O
diagnosis   O
of   O
pneumonia   O
.   O

Aubree   B-NAME
Benitez   I-NAME
's   O
CBC   O
results   O
showed   O
leukocytosis   O
,   O
typical   O
in   O
bacterial   O
infections   O
.   O

The   O
patient   O
's   O
9447033   B-ID
number   O
is   O
AG:36849:456756   B-ID
for   O
reference   O
.   O

Jamie   B-NAME
Simmons   I-NAME
advised   O
Naima   B-NAME
Kirby   I-NAME
to   O
seek   O
immediate   O
care   O
if   O
experiencing   O
escalating   O
symptoms   O
including   O
but   O
not   O
limited   O
to   O
increased   O
work   O
of   O
breathing   O
or   O
chest   O
pain   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Null   B-NAME
on   O
9/0   B-DATE
at   O
Genesis   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
with   O
a   O
reminder   O
sent   O
to   O
133   B-CONTACT
-   I-CONTACT
934   I-CONTACT
3298   I-CONTACT
.   O

It   O
is   O
imperative   O
for   O
Ligia   B-NAME
to   O
adhere   O
to   O
the   O
treatment   O
plan   O
and   O
follow   O
-   O
up   O
appointments   O
to   O
monitor   O
the   O
resolution   O
of   O
symptoms   O
and   O
adjustment   O
of   O
treatments   O
as   O
needed   O
based   O
on   O
culture   O
results   O
.   O

In   O
addition   O
,   O
an   O
advisory   O
was   O
given   O
to   O
Bill   B-NAME
Baxter   I-NAME
to   O
practice   O
good   O
hand   O
hygiene   O
and   O
to   O
wear   O
a   O
mask   O
to   O
prevent   O
potential   O
spread   O
,   O
assuming   O
an   O
infectious   O
etiology   O
.   O

Winner   B-NAME
,   I-NAME
Michael   I-NAME
was   O
also   O
encouraged   O
to   O
keep   O
a   O
symptom   O
diary   O
,   O
tracking   O
the   O
progression   O
or   O
improvement   O
of   O
symptoms   O
day   O
by   O
day   O
.   O

For   O
further   O
inquiries   O
or   O
adjustments   O
to   O
the   O
treatment   O
plan   O
,   O
Olivia   B-NAME
Jiang   I-NAME
has   O
been   O
provided   O
the   O
contact   O
details   O
of   O
Capital   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
reachable   O
at   O
70085   B-CONTACT
.   O

All   O
records   O
and   O
reports   O
related   O
to   O
Clayton   B-NAME
's   O
case   O
have   O
been   O
securely   O
stored   O
under   O
the   O
5910457   B-ID
number   O
SG:95861:780555   B-ID
,   O
ensuring   O
privacy   O
and   O
confidentiality   O
in   O
line   O
with   O
HIPAA   O
regulations   O
.   O

In   O
summary   O
,   O
Sherrell   B-NAME
Bohlman   I-NAME
is   O
under   O
the   O
care   O
of   O
Jefferson   B-NAME
at   O
Western   B-LOCATION
Maryland   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
symptoms   O
suggestive   O
of   O
pneumonia   O
,   O
with   O
ongoing   O
diagnostic   O
evaluations   O
and   O
treatment   O
adjustments   O
based   O
on   O
clinical   O
response   O
and   O
laboratory   O
findings   O
.   O

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
89162233   B-ID
0/8   B-DATE
,   O
Kai   B-NAME
Clem   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Carney   B-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
colicky   O
right   O
flank   O
pain   O
radiating   O
to   O
the   O
lower   O
abdomen   O
.   O

In   O
addition   O
to   O
the   O
pain   O
,   O
Kael   B-NAME
Lucero   I-NAME
experienced   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
single   O
episode   O
of   O
hematuria   O
.   O

Giovani   B-NAME
Hensley   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
administered   O
intravenous   O
hydration   O
,   O
analgesia   O
with   O
NSAIDs   O
,   O
and   O
started   O
on   O
empiric   O
antibiotic   O
therapy   O
as   O
recommended   O
by   O
Pierce   B-NAME
.   O

13/18/2113   B-DATE
,   O
Mitchell   B-NAME
's   O
condition   O
was   O
reviewed   O
by   O
the   O
medical   O
team   O
.   O

YOEL   B-NAME
NEWCOMB   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
hydration   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
a   O
urologist   O
scheduled   O
for   O
02   B-DATE
-   I-DATE
12   I-DATE
to   O
evaluate   O
the   O
need   O
for   O
lithotripsy   O
or   O
other   O
interventions   O
.   O

Release   O
instructions   O
included   O
signs   O
of   O
infection   O
,   O
such   O
as   O
fever   O
or   O
worsening   O
pain   O
,   O
which   O
should   O
prompt   O
immediate   O
return   O
to   O
University   B-LOCATION
of   I-LOCATION
Wisconsin   I-LOCATION
Hospitals   I-LOCATION
and   I-LOCATION
Clinics   I-LOCATION
or   O
contact   O
with   O
the   O
healthcare   O
team   O
via   O
475   B-CONTACT
-   I-CONTACT
334   I-CONTACT
7997   I-CONTACT
.   O

This   O
report   O
was   O
compiled   O
by   O
the   O
attending   O
physician   O
,   O
Kadence   B-NAME
Glenn   I-NAME
,   O
and   O
securely   O
logged   O
in   O
Malaki   B-NAME
Sherman   I-NAME
's   O
electronic   O
health   O
record   O
,   O
accessible   O
by   O
relevant   O
healthcare   O
professionals   O
involved   O
in   O
the   O
patient   O
's   O
care   O
.   O

For   O
any   O
further   O
information   O
or   O
clarification   O
,   O
please   O
contact   O
the   O
patient   O
care   O
team   O
at   O
South   B-LOCATION
Florida   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
,   O
837   B-CONTACT
5618   I-CONTACT
.   O

Taylortown   B-LOCATION
,   O
57816   B-LOCATION
4/15   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Erick   B-NAME
Mcdonald   I-NAME
Age   O
:   O
88   O
Date   O
of   O
Birth   O
:   O
20/35   B-DATE
Phone   O
Number   O
:   O
150   B-CONTACT
548   I-CONTACT
3941   I-CONTACT
Address   O
:   O
Irondale   B-LOCATION
,   O
92863   B-LOCATION
Medical   O
Record   O
Number   O
:   O
0370243   B-ID

Roth   B-NAME
Treating   O
Facility   O
:   O

St   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Healthcare   I-LOCATION
Date   O
of   O
Admission   O
:   O
02/04/1702   B-DATE
Date   O
of   O
Report   O
:   O
12/22   B-DATE
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Malcolm   B-NAME
Nicholson   I-NAME
,   O
a   O
Electronic   O
Equipment   O
Installers   O
and   O
Repairers   O
,   O
Motor   O
Vehicles   O
from   O
Florida   B-LOCATION
,   O
was   O
admitted   O
to   O
Pickens   B-LOCATION
County   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2231   B-DATE
-   I-DATE
29   I-DATE
-   I-DATE
22   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
persisting   O
for   O
the   O
past   O
72   O
hours   O
.   O

Treatment   O
:   O
Under   O
the   O
guidance   O
of   O
Small   B-NAME
,   O
the   O
decision   O
for   O
surgical   O
intervention   O
was   O
made   O
.   O

An   O
Appendectomy   O
was   O
performed   O
on   O
8/60   B-DATE
without   O
any   O
complications   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
1/04   B-DATE
with   O
instructions   O
for   O
at   O
-   O
home   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Lozano   B-NAME
.   O

Hunter   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
light   O
diet   O
for   O
the   O
next   O
week   O
,   O
gradually   O
returning   O
to   O
normal   O
diet   O
as   O
tolerated   O
.   O

Summary   O
Prepared   O
by   O
:   O
ujl487   B-NAME
Contact   O
Information   O
:   O
143   B-CONTACT
2073   I-CONTACT
Report   O
ID   O
:   O
10   B-ID
-   I-ID
8040865   I-ID
Location   O
of   O
Service   O
:   O
Wellmont   B-LOCATION
Lonesome   I-LOCATION
Pine   I-LOCATION
Mt.   I-LOCATION
View   I-LOCATION
Hospital   I-LOCATION
,   O
Cedar   B-LOCATION
Springs   I-LOCATION
,   O
51578   B-LOCATION
Affiliated   O
Organization   O
:   O

Direct   B-LOCATION
Energy   I-LOCATION
This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
the   O
patient   O
,   O
nominated   O
healthcare   O
providers   O
,   O
and   O
affiliated   O
medical   O
facilities   O
only   O
.   O

Patient   O
Report   O
for   O
Ben   B-NAME
Gideon   I-NAME
October   B-DATE
2302   I-DATE
,   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Prince   I-LOCATION
George   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Patient   O
Information   O
:   O
Patient   O
ID   O
:   O
PZ   B-ID
:   I-ID
SI:5349   I-ID
Medical   O
Record   O
Number   O
:   O
5511A66578   B-ID
Age   O
:   O
92   O
Occupation   O
:   O
Medical   O
Equipment   O
Preparers   O
Primary   O
Care   O
Physician   O
:   O

Wilcox   B-NAME
Admission   O
Date   O
:   O
2132   B-DATE
-   I-DATE
31   I-DATE
-   I-DATE
12   I-DATE
Location   O
of   O
Admission   O
:   O
Williamsburg   B-LOCATION
,   O
67979   B-LOCATION
Emergency   O
Contact   O
Number   O
:   O
310   B-CONTACT
-   I-CONTACT
6175   I-CONTACT
Username   O
:   O
ovd1017   B-NAME
Clinical   O
Summary   O
:   O
Keating   B-NAME
,   I-NAME
Paul   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
(   O
ED   O
)   O
at   O
Lourdes   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
on   O
12/01/1685   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Espinoza   B-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
of   O
which   O
are   O
currently   O
managed   O
by   O
medications   O
prescribed   O
by   O
Melody   B-NAME
Jackson   I-NAME
.   O

On   O
examination   O
,   O
Gould   B-NAME
,   I-NAME
Stephen   I-NAME
Jay   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Outcome   O
:   O
Victor   B-NAME
was   O
scheduled   O
for   O
an   O
emergent   O
laparoscopic   O
appendectomy   O
by   O
Espinoza   B-NAME
.   O

The   O
procedure   O
was   O
performed   O
successfully   O
without   O
complications   O
on   O
1/33   B-DATE
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Jerome   I-LOCATION
.   O

Post   O
-   O
operative   O
recovery   O
was   O
unremarkable   O
,   O
and   O
Castro   B-NAME
,   I-NAME
Fidel   I-NAME
was   O
discharged   O
on   O
July   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
one   O
week   O
with   O
Lilian   B-NAME
Daniels   I-NAME
at   O
Wimbledon   B-LOCATION
.   O

Follow   O
-   O
up   O
:   O
Margrett   B-NAME
Lorence   I-NAME
is   O
advised   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
drainage   O
,   O
and   O
to   O
maintain   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Yates   B-NAME
on   O
03/07   B-DATE
at   O
Barnegat   B-LOCATION
.   O

Conclusion   O
:   O
Hope   B-NAME
Robbins   I-NAME
underwent   O
a   O
successful   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
without   O
post   O
-   O
operative   O
complications   O
.   O

Prepared   O
by   O
:   O
Bakers   B-LOCATION
,   I-LOCATION
Food   I-LOCATION
&   I-LOCATION
Allied   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
398   B-CONTACT
-   I-CONTACT
376   I-CONTACT
-   I-CONTACT
2878   I-CONTACT
Fishers   O
and   O
Related   O
Fishing   O
Workers   O
of   O
Colon   B-NAME

Patient   O
Report   O
for   O
Yurem   B-NAME
Lang   I-NAME
General   O
Information   O
:   O
-   O
Patient   O
Age   O
:   O
37s   O
-   O
Date   O
of   O
Admission   O
:   O
April   B-DATE
22   I-DATE
-   O
Attending   O
Physician   O
:   O

Little   B-NAME
-   O
Hospital   O
:   O
Grand   B-LOCATION
View   I-LOCATION
Health   I-LOCATION
-   O
Patient   O
MRN   O
:   O
3911644   B-ID
-   O
Location   O
of   O
Residence   O
:   O
Macomb   B-LOCATION
-   O
Contact   O
Number   O
:   O
561   B-CONTACT
8545   I-CONTACT
-   O
Occupation   O
:   O
Data   O
Warehousing   O
Specialists   O
Medical   O
History   O
:   O

The   O
patient   O
,   O
Cross   B-NAME
,   O
was   O
admitted   O
to   O
Harlingen   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
15/20   B-DATE
with   O
complaints   O
of   O
chronic   O
abdominal   O
pain   O
,   O
worsening   O
over   O
the   O
past   O
4   O
week   O
months   O
.   O

Esta   B-NAME
has   O
a   O
medical   O
history   O
significant   O
for   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
metformin   O
,   O
and   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

Cricket   B-NAME
is   O
a   O
Education   O
Administrators   O
,   O
Postsecondary   O
,   O
which   O
requires   O
minimal   O
physical   O
activity   O
.   O

Additionally   O
,   O
Karmiti   B-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
decreased   O
appetite   O
,   O
and   O
unintended   O
weight   O
loss   O
of   O
approximately   O
71   O
pounds   O
over   O
the   O
last   O
six   O
months   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Cleveland   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Given   O
the   O
chronic   O
nature   O
of   O
the   O
symptoms   O
and   O
family   O
history   O
,   O
Atkins   B-NAME
recommended   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
is   O
scheduled   O
for   O
00/16/2034   B-DATE
.   O

Follow   O
-   O
up   O
:   O
Darius   B-NAME
Hahn   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Laura   B-NAME
Duarte   I-NAME
on   O
2270   B-DATE
-   I-DATE
14   I-DATE
-   I-DATE
32   I-DATE
at   O
Rangely   B-LOCATION
District   I-LOCATION
Hospital   I-LOCATION
to   O
review   O
the   O
ultrasound   O
results   O
and   O
discuss   O
the   O
next   O
steps   O
in   O
the   O
diagnostic   O
process   O
.   O

It   O
is   O
imperative   O
that   O
Zavier   B-NAME
Vaughan   I-NAME
monitors   O
their   O
symptoms   O
and   O
reports   O
any   O
significant   O
changes   O
,   O
such   O
as   O
the   O
occurrence   O
of   O
fever   O
,   O
vomiting   O
,   O
or   O
an   O
increase   O
in   O
pain   O
intensity   O
,   O
to   O
335   B-CONTACT
-   I-CONTACT
4379   I-CONTACT
immediately   O
.   O

Patient   O
Report   O
for   O
Bailey   B-NAME
12/39   B-DATE
,   O
78429   B-LOCATION
Chief   O
Complaint   O
:   O
Gallup   B-NAME
,   I-NAME
George   I-NAME
,   O
a   O
44   O
-   O
year   O
-   O
old   O
Pharmacist   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
WellStar   B-LOCATION
Kennestone   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
13/20/79   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
arrival   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
states   O
that   O
the   O
pain   O
began   O
suddenly   O
while   O
at   O
work   O
in   O
Manton   B-LOCATION
.   O

Abigayle   B-NAME
Schaefer   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
previous   O
surgeries   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
in   O
the   O
emergency   O
department   O
at   O
Summit   B-LOCATION
Healthcare   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
by   O
Carl   B-NAME
Noyes   I-NAME
,   O
Isiah   B-NAME
Huynh   I-NAME
appeared   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Workup   O
:   O
Laboratory   O
tests   O
,   O
including   O
complete   O
blood   O
count   O
,   O
were   O
ordered   O
upon   O
admission   O
under   O
92857393   B-ID
.   O

Based   O
on   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
the   O
surgical   O
team   O
was   O
consulted   O
,   O
and   O
Pierce   B-NAME
was   O
advised   O
to   O
undergo   O
an   O
emergent   O
appendectomy   O
.   O

Prior   O
to   O
surgery   O
,   O
Jacki   B-NAME
McGraph   I-NAME
was   O
started   O
on   O
intravenous   O
antibiotics   O
to   O
manage   O
potential   O
infection   O
.   O

Follow   O
-   O
Up   O
and   O
Instructions   O
:   O
Post   O
-   O
operatively   O
,   O
Xenakis   B-NAME
was   O
instructed   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
was   O
given   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Tyger   B-NAME
,   I-NAME
Frank   I-NAME
in   O
two   O
weeks   O
at   O
Pioneer   B-LOCATION
Clinic   I-LOCATION
.   O

D.   B-NAME
EMON   I-NAME
DUBOIS   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
symptoms   O
of   O
infection   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Friedman   B-NAME
was   O
advised   O
to   O
contact   O
Ochsner   B-LOCATION
LSU   I-LOCATION
Health   I-LOCATION
Shreveport   I-LOCATION
at   O
68411   B-CONTACT
.   O

Consent   O
and   O
Privacy   O
:   O
Consent   O
for   O
treatment   O
was   O
obtained   O
from   O
Lailah   B-NAME
Carroll   I-NAME
upon   O
admission   O
.   O

Further   O
inquiries   O
should   O
be   O
directed   O
to   O
the   O
privacy   O
officer   O
at   O
65295   B-CONTACT
.   O

Report   O
Prepared   O
by   O
:   O
QU954   B-NAME
Medical   O
Record   O
:   O
3496380   B-ID
September   B-DATE
30   I-DATE
,   I-DATE
2322   I-DATE

Patient   O
Name   O
:   O
Maddie   B-NAME
Gillenwater   I-NAME
Patient   O
ID   O
:   O
10   B-ID
-   I-ID
2793583   I-ID
Medical   O
Record   O
Number   O
:   O
97234141   B-ID
Date   O
of   O
Birth   O
:   O
11/32/92   B-DATE
Age   O
:   O
45s   O
Contact   O
Number   O
:   O
319   B-CONTACT
2307   I-CONTACT
Address   O
:   O
Tatum   B-LOCATION
,   O
97039   B-LOCATION
Profession   O
:   O
Pesticide   O
Handlers   O
,   O
Sprayers   O
,   O
and   O
Applicators   O
,   O
Vegetation   O
Presenting   O
to   O
:   O
Sound   B-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Of   I-LOCATION
Westchester   I-LOCATION
Referring   O
Physician   O
:   O
Bates   B-NAME
Date   O
of   O
Visit   O
:   O
2334   B-DATE
Username   O
logged   O
:   O
cd293   B-NAME
Chief   O
Complaint   O
:   O
Devona   B-NAME
Lanate   I-NAME
presented   O
with   O
complaints   O
of   O
acute   O
onset   O
,   O
sharp   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
,   O
which   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

The   O
pain   O
was   O
initially   O
described   O
as   O
sporadic   O
but   O
has   O
progressively   O
worsened   O
,   O
becoming   O
constant   O
and   O
severe   O
over   O
the   O
23/21   B-DATE
.   O

Sebastianus   B-NAME
Dotstry   I-NAME
also   O
reports   O
experiencing   O
nausea   O
without   O
vomiting   O
and   O
a   O
subjective   O
fever   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Elisabeth   B-NAME
Moreno   I-NAME
first   O
noticed   O
mild   O
discomfort   O
two   O
days   O
ago   O
,   O
which   O
was   O
dismissed   O
as   O
indigestion   O
.   O

However   O
,   O
the   O
pain   O
escalated   O
in   O
intensity   O
,   O
prompting   O
a   O
visit   O
to   O
Nassau   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Luca   B-NAME
Bentley   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Maribel   B-NAME
Newman   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
known   O
drug   O
allergies   O
.   O

Gangchuan   B-NAME
,   I-NAME
Cao   I-NAME
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

The   O
last   O
known   O
hospital   O
visit   O
was   O
6/2161   B-DATE
for   O
a   O
routine   O
health   O
check   O
-   O
up   O
.   O

Immediate   O
surgical   O
consultation   O
has   O
been   O
advised   O
,   O
and   O
Russell   B-NAME
has   O
been   O
started   O
on   O
empiric   O
antibiotics   O
.   O

Further   O
management   O
will   O
depend   O
on   O
the   O
outcomes   O
of   O
the   O
diagnostic   O
tests   O
.   O
Instructions   O
to   O
Macrinus   B-NAME
Oberdick   I-NAME
:   O
-   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
status   O
until   O
further   O
evaluation   O
.   O
-   O
Continue   O
IV   O
fluids   O
for   O
hydration   O
.   O
-   O
Monitor   O
vital   O
signs   O
and   O
pain   O
level   O
.   O
-   O
Notify   O
nursing   O
staff   O
if   O
there   O
is   O
an   O
increase   O
in   O
pain   O
or   O
onset   O
of   O
any   O
new   O
symptoms   O
.   O

Follow   O
-   O
Up   O
:   O
Turner   B-NAME
Grey   I-NAME
is   O
to   O
remain   O
in   O
the   O
hospital   O
under   O
observation   O
,   O
and   O
surgical   O
intervention   O
will   O
be   O
considered   O
based   O
on   O
the   O
consult   O
and   O
diagnostic   O
findings   O
.   O

A   O
follow   O
-   O
up   O
evaluation   O
is   O
scheduled   O
for   O
2256   B-DATE
-   I-DATE
36   I-DATE
-   I-DATE
23   I-DATE
to   O
review   O
the   O
post   O
-   O
operative   O
condition   O
if   O
surgery   O
is   O
performed   O
.   O

The   O
above   O
information   O
has   O
been   O
documented   O
in   O
Jayleen   B-NAME
Davis   I-NAME
's   O
medical   O
record   O
under   O
MRN   O
:   O
691   B-ID
-   I-ID
53   I-ID
-   I-ID
86   I-ID
-   I-ID
3   I-ID
by   O
Dr.   O
Trinity   B-NAME
Mclaughlin   I-NAME
at   O
UNC   B-LOCATION
Rockingham   I-LOCATION
Hospital   I-LOCATION
.   O

For   O
any   O
inquiries   O
or   O
further   O
details   O
,   O
the   O
medical   O
team   O
can   O
be   O
reached   O
at   O
676   B-CONTACT
-   I-CONTACT
4678   I-CONTACT
.   O

Patient   O
Name   O
:   O
Raelynn   B-NAME
Sutton   I-NAME
Patient   O
ID   O
:   O
KD   B-ID
:   I-ID
VJ:2775   I-ID
Medical   O
Record   O
Number   O
:   O
96841284   B-ID
Date   O
of   O
Birth   O
:   O
31/02/58   B-DATE
Age   O
:   O
76   O
Address   O
:   O
Wells   B-LOCATION
,   O
27161   B-LOCATION
Phone   O
Number   O
:   O
48530   B-CONTACT
Employment   O
:   O
Eligibility   O
Interviewers   O
,   O
Government   O
Programs   O
Primary   O
Care   O
Physician   O
:   O

Bird   B-NAME
Hospital   O
:   O
Buffalo   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
02/28   B-DATE
Subjective   O
:   O
Rothbard   B-NAME
,   I-NAME
Murray   I-NAME
is   O
a   O
23   O
-   O
year   O
-   O
old   O
Regulatory   O
affairs   O
officer   O
who   O
presented   O
to   O
Saint   B-LOCATION
Johns   I-LOCATION
Maude   I-LOCATION
Norton   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Columbus   I-LOCATION
on   O
'   B-DATE
80   I-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
episodes   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
.   O

Helki   B-NAME
also   O
reports   O
a   O
loss   O
of   O
appetite   O
and   O
a   O
weight   O
loss   O
of   O
about   O
5   O
pounds   O
over   O
the   O
last   O
month   O
.   O

Daniel   B-NAME
Lanier   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
.   O

Mathis   B-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
for   O
CAP   O
with   O
a   O
plan   O
to   O
adjust   O
based   O
on   O
culture   O
and   O
sensitivity   O
results   O
.   O

Potter   B-NAME
's   I-NAME
was   O
admitted   O
under   O
Hirsch   B-NAME
,   I-NAME
Mary   I-NAME
for   O
close   O
monitoring   O
and   O
further   O
workup   O
.   O

Follow   O
-   O
Up   O
:   O
Forrest   B-NAME
T.   I-NAME
Anderson   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
21/23   B-DATE
at   O
MercyOne   B-LOCATION
Primghar   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
discuss   O
the   O
results   O
of   O
the   O
ongoing   O
tests   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

Instructions   O
were   O
given   O
to   O
Holly   B-NAME
Owen   I-NAME
to   O
report   O
any   O
worsening   O
of   O
symptoms   O
or   O
new   O
concerns   O
immediately   O
via   O
378   B-CONTACT
2648   I-CONTACT
to   O
Our   B-LOCATION
Lady   I-LOCATION
of   I-LOCATION
Bellefonte   I-LOCATION
Hospital   I-LOCATION
.   O

Note   O
to   O
DM598   B-NAME
:   O
Please   O
ensure   O
that   O
all   O
test   O
results   O
are   O
updated   O
in   O
Jalen   B-NAME
Warren   I-NAME
's   O
electronic   O
health   O
record   O
and   O
notify   O
Hightower   B-NAME
,   I-NAME
Jim   I-NAME
immediately   O
of   O
any   O
critical   O
values   O
.   O

Patient   O
Information   O
:   O
-   O
Name   O
:   O
Skylar   B-NAME
Rivera   I-NAME
-   O
Medical   O
Record   O
Number   O
:   O
23446884   B-ID
-   O
Age   O
:   O
62   O
-   O
Phone   O
Number   O
:   O
(   B-CONTACT
822   I-CONTACT
)   I-CONTACT
410   I-CONTACT
-   I-CONTACT
3927   I-CONTACT
-   O
Location   O
:   O
Sebastian   B-LOCATION
,   O
91373   B-LOCATION
-   O
Date   O
of   O
Visit   O
:   O
25/22   B-DATE
-   O
Attending   O
Physician   O
:   O

Alex   B-NAME
Sartorius   I-NAME
-   O
Hospital   O
:   O
Mercy   B-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Downtown   I-LOCATION
-   O
Identification   O
Number   O
:   O
GE831/8897   B-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Neta   B-NAME
,   O
presents   O
to   O
the   O
emergency   O
department   O
of   O
Aurora   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Burlington   I-LOCATION
on   O
3/01   B-DATE
with   O
symptoms   O
of   O
acute   O
abdominal   O
pain   O
that   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Fala   B-NAME
,   O
a   O
Sales   O
executive   O
by   O
profession   O
,   O
initially   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdomen   O
the   O
night   O
before   O
2051   B-DATE
,   O
which   O
escalated   O
into   O
sharp   O
,   O
persistent   O
pain   O
by   O
early   O
morning   O
.   O

Despite   O
attempts   O
to   O
alleviate   O
the   O
pain   O
with   O
over   O
-   O
the   O
-   O
counter   O
antacids   O
and   O
rest   O
,   O
the   O
symptoms   O
persisted   O
,   O
prompting   O
the   O
visit   O
to   O
WellStar   B-LOCATION
Windy   I-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Feldman   B-NAME
,   I-NAME
Morton   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
and   O
was   O
previously   O
treated   O
for   O
a   O
urinary   O
tract   O
infection   O
(   O
UTI   O
)   O
about   O
Mar   B-DATE
14   I-DATE
,   I-DATE
2000   I-DATE
.   O

Social   O
History   O
:   O
Kay   B-NAME
K.   I-NAME
Edge   I-NAME
,   O
who   O
works   O
as   O
a   O
Occupational   O
Therapy   O
Assistants   O
in   O
Sansom   B-LOCATION
Park   I-LOCATION
,   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
illicit   O
drugs   O
,   O
or   O
excessive   O
alcohol   O
consumption   O
.   O

The   O
patient   O
lives   O
with   O
Iesha   B-NAME
's   O
family   O
and   O
has   O
no   O
recent   O
travel   O
history   O
outside   O
of   O
Lemon   B-LOCATION
Hill   I-LOCATION
.   O

Family   O
History   O
:   O
Family   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
in   O
Marquez   B-NAME
's   O
parents   O
but   O
no   O
known   O
familial   O
history   O
of   O
gastrointestinal   O
disorders   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Nunes   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

An   O
abdominal   O
ultrasound   O
was   O
ordered   O
by   O
Juarez   B-NAME
and   O
revealed   O
appendicular   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
Plan   O
and   O
Follow   O
-   O
up   O
:   O
Wilson   B-NAME
recommended   O
immediate   O
surgical   O
intervention   O
for   O
appendectomy   O
.   O

The   O
patient   O
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
surgery   O
,   O
to   O
which   O
Elliott   B-NAME
consented   O
.   O

The   O
surgery   O
was   O
scheduled   O
on   O
32/20   B-DATE
.   O

For   O
any   O
post   O
-   O
discharge   O
questions   O
or   O
concerns   O
,   O
Wade   B-NAME
is   O
advised   O
to   O
contact   O
Coffey   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Burlington   I-LOCATION
's   O
post   O
-   O
operative   O
care   O
unit   O
at   O
(   B-CONTACT
623   I-CONTACT
)   I-CONTACT
394   I-CONTACT
-   I-CONTACT
4861   I-CONTACT
.   O

This   O
medical   O
report   O
was   O
compiled   O
by   O
qkn835   B-NAME
and   O
reviewed   O
by   O
Oconnor   B-NAME
on   O
3/34   B-DATE
for   O
the   O
treatment   O
of   O
Kimberly   B-NAME
Burns   I-NAME
at   O
CHI   B-LOCATION
Health   I-LOCATION
Immanuel   I-LOCATION
,   O
Concord   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Concord   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
,   O
13589   B-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Larry   B-NAME
Frantz   I-NAME
Patient   O
ID   O
:   O
AQ:29391:132817   B-ID
Medical   O
Record   O
Number   O
:   O
09578925   B-ID
Date   O
of   O
Birth   O
:   O
43   O
Address   O
:   O
Otter   B-LOCATION
Lake   I-LOCATION
,   O
89122   B-LOCATION
Phone   O
Number   O
:   O
945   B-CONTACT
-   I-CONTACT
2500   I-CONTACT
Occupation   O
:   O
Compensation   O
and   O
Benefits   O
Managers   O
Attending   O
Physician   O
:   O

Rojas   B-NAME
Hospital   O
Name   O
:   O
St.   B-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Trenton   I-LOCATION
Admission   O
Date   O
:   O
2195   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
28   I-DATE
Discharge   O
Date   O
:   O
1950   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
03   I-DATE
Summary   O
of   O
Visit   O
:   O

Patient   O
Gaston   B-NAME
Trowell   I-NAME
was   O
admitted   O
to   O
Melbourne   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
1/22   B-DATE
with   O
symptoms   O
indicative   O
of   O
acute   O
appendicitis   O
,   O
including   O
severe   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

Lucy   B-NAME
Hall   I-NAME
reported   O
a   O
loss   O
of   O
appetite   O
and   O
an   O
inability   O
to   O
consume   O
solids   O
since   O
the   O
onset   O
of   O
pain   O
.   O

On   O
physical   O
examination   O
,   O
XI   B-NAME
,   I-NAME
KATHERINE   I-NAME
I   I-NAME
exhibited   O
rebound   O
tenderness   O
during   O
the   O
palpation   O
of   O
the   O
abdomen   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Diagnostic   O
imaging   O
,   O
specifically   O
an   O
abdominal   O
ultrasound   O
,   O
was   O
ordered   O
by   O
Wilson   B-NAME
,   I-NAME
Flip   I-NAME
and   O
revealed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
fluid   O
collection   O
,   O
consistent   O
with   O
an   O
appendiceal   O
abscess   O
.   O

Surgical   O
Notes   O
:   O
Under   O
general   O
anesthesia   O
,   O
a   O
laparoscopic   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
12/15   B-DATE
by   O
Duke   B-NAME
.   O

Xiomara   B-NAME
Zavala   I-NAME
demonstrated   O
stable   O
vitals   O
throughout   O
the   O
procedure   O
and   O
was   O
transferred   O
to   O
a   O
recovery   O
unit   O
post   O
-   O
operation   O
.   O

Postoperatively   O
,   O
Andersen   B-NAME
was   O
prescribed   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
analgesics   O
for   O
pain   O
management   O
.   O

By   O
03   B-DATE
-   I-DATE
Jan-03   I-DATE
,   O
Charley   B-NAME
Michaels   I-NAME
exhibited   O
significant   O
improvement   O
with   O
reduced   O
abdominal   O
pain   O
and   O
was   O
tolerating   O
a   O
liquid   O
diet   O
without   O
issues   O
.   O

Titus   B-NAME
Duffy   I-NAME
was   O
discharged   O
from   O
Russellville   B-LOCATION
Hospital   I-LOCATION
on   O
32/17   B-DATE
with   O
instructions   O
to   O
gradually   O
progress   O
to   O
a   O
regular   O
diet   O
,   O
maintain   O
wound   O
care   O
as   O
advised   O
,   O
and   O
monitor   O
for   O
signs   O
of   O
infection   O
around   O
the   O
surgical   O
site   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Benjamin   B-NAME
Stone   I-NAME
was   O
scheduled   O
for   O
2199   B-DATE
to   O
assess   O
recovery   O
progress   O
.   O

Conclusion   O
:   O
Billy   B-NAME
U.   I-NAME
Webber   I-NAME
’s   O
admission   O
,   O
diagnosis   O
,   O
surgical   O
intervention   O
,   O
and   O
post   O
-   O
operative   O
care   O
were   O
coordinated   O
effectively   O
,   O
leading   O
to   O
a   O
favorable   O
outcome   O
.   O

Follow   O
-   O
up   O
care   O
with   O
Howard   B-NAME
will   O
ensure   O
Anderson   B-NAME
Abbott   I-NAME
’s   O
continued   O
recovery   O
and   O
return   O
to   O
normal   O
activities   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
regarding   O
Sabrina   B-NAME
Benton   I-NAME
’s   O
care   O
or   O
recovery   O
process   O
,   O
please   O
contact   O
Methodist   B-LOCATION
Mansfield   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
78097   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Bokini   B-NAME
,   I-NAME
Ratu   I-NAME
Ovini   I-NAME
Patient   O
ID   O
:   O
MT   B-ID
:   I-ID
KL:7145   I-ID
Medical   O
Record   O
Number   O
:   O
550   B-ID
-   I-ID
55   I-ID
-   I-ID
74   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
0/2360   B-DATE
Age   O
:   O
0   O
Address   O
:   O
Coachella   B-LOCATION
,   O
90863   B-LOCATION
Phone   O
Number   O
:   O
786   B-CONTACT
-   I-CONTACT
1574   I-CONTACT
Employer   O
:   O

Lowell   B-LOCATION
Light   I-LOCATION
and   I-LOCATION
Power   I-LOCATION
Occupation   O
:   O
Educational   O
,   O
Guidance   O
,   O
School   O
,   O
and   O
Vocational   O
Counselors   O
Primary   O
Physician   O
:   O
Horn   B-NAME
Hospital   O
:   O
UAB   B-LOCATION
Highlands   I-LOCATION
Date   O
of   O
Admission   O
:   O
Sunday   B-DATE
Date   O
of   O
Discharge   O
:   O
02/33   B-DATE
Username   O
:   O
vw895   B-NAME
Symptoms   O
and   O
Clinical   O
Findings   O
:   O

Upon   O
admission   O
to   O
Washington   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
01/33/15   B-DATE
,   O
Kolton   B-NAME
Mann   I-NAME
presented   O
with   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

Dania   B-NAME
McCullock   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
alongside   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
MARQUEZ   B-NAME
,   I-NAME
RONALD   I-NAME
demonstrated   O
remarkable   O
tenderness   O
in   O
the   O
McBurney   O
's   O
point   O
area   O
.   O

However   O
,   O
due   O
to   O
the   O
lack   O
of   O
significant   O
improvement   O
and   O
increasing   O
risk   O
of   O
perforation   O
,   O
surgical   O
consultation   O
with   O
Trey   B-NAME
Cole   I-NAME
recommended   O
an   O
urgent   O
appendectomy   O
.   O

The   O
laparoscopic   O
appendectomy   O
was   O
performed   O
successfully   O
on   O
February   B-DATE
03   I-DATE
,   O
without   O
complications   O
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Olybrius   B-NAME
was   O
discharged   O
on   O
00/12/62   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
care   O
.   O

Patient   O
Instructions   O
:   O
Brock   B-NAME
was   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
at   O
the   O
surgical   O
site   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
.   O

Valverde   B-NAME
was   O
instructed   O
to   O
follow   O
a   O
soft   O
diet   O
for   O
the   O
first   O
2272   B-DATE
post   O
-   O
operation   O
and   O
gradually   O
return   O
to   O
regular   O
diet   O
as   O
tolerated   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Bautista   B-NAME
was   O
scheduled   O
for   O
12/00   B-DATE
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O

Additional   O
Notes   O
:   O
The   O
patient   O
's   O
medical   O
team   O
,   O
led   O
by   O
Johan   B-NAME
Dean   I-NAME
at   O
Hampton   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
will   O
continue   O
to   O
monitor   O
Jaylah   B-NAME
Marsh   I-NAME
's   O
recovery   O
process   O
closely   O
.   O

Coordination   O
with   O
Paul   B-NAME
Mercy   I-NAME
's   O
primary   O
care   O
physician   O
is   O
recommended   O
to   O
ensure   O
continuity   O
of   O
care   O
.   O

The   O
contact   O
number   O
for   O
Wu   B-NAME
's   O
office   O
is   O
43337   B-CONTACT
.   O

Conclusion   O
:   O
Leila   B-NAME
Davidson   I-NAME
's   O
case   O
of   O
acute   O
appendicitis   O
was   O
managed   O
effectively   O
through   O
prompt   O
diagnosis   O
and   O
surgical   O
intervention   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
roberson   B-NAME
Patient   O
ID   O
:   O
UI   B-ID
:   I-ID
DF:6127   I-ID
Medical   O
Record   O
Number   O
:   O
3710956   B-ID
Date   O
of   O
Birth   O
:   O
32/12   B-DATE
Age   O
:   O
89   O
Phone   O
Number   O
:   O
536   B-CONTACT
-   I-CONTACT
3460   I-CONTACT
Address   O
:   O
Lead   B-LOCATION
,   O
78431   B-LOCATION
Occupation   O
:   O
Marketing   O
manager   O
(   O
direct   O
)   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Gilmore   B-NAME
Hospital   O
:   O
Fairview   B-LOCATION
Park   I-LOCATION
Hospital   I-LOCATION
Username   O
for   O
Hospital   O
Portal   O
:   O
YH24   B-NAME
Insurance   O
Provider   O
:   O
Historic   B-LOCATION
Technocracy   I-LOCATION
of   I-LOCATION
Suns   I-LOCATION
Summary   O
of   O
Visit   O
:   O

On   O
Wednesday   B-DATE
,   O
Snyder   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
East   I-LOCATION
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
along   O
with   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Physical   O
examination   O
performed   O
by   O
Dr.   O
Ezequiel   B-NAME
Pearson   I-NAME
revealed   O
tenderness   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
(   O
McBurney   O
’s   O
point   O
)   O
.   O

Management   O
and   O
Outcome   O
:   O
Given   O
the   O
diagnosis   O
,   O
Dr.   O
Dylan   B-NAME
Rhodes   I-NAME
recommended   O
an   O
appendectomy   O
.   O

Sara   B-NAME
Eland   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
and   O
after   O
obtaining   O
consent   O
,   O
the   O
patient   O
was   O
scheduled   O
for   O
surgery   O
on   O
2/7   B-DATE
.   O

The   O
surgical   O
procedure   O
,   O
conducted   O
by   O
Dr.   O
Joshua   B-NAME
Campbell   I-NAME
at   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Rehab   I-LOCATION
Hospital   I-LOCATION
,   O
was   O
completed   O
without   O
complications   O
.   O

Post   O
-   O
surgery   O
,   O
Vance   B-NAME
's   O
recovery   O
was   O
uneventful   O
.   O

Morgan   B-NAME
Nicholson   I-NAME
was   O
advised   O
on   O
wound   O
care   O
,   O
activity   O
restrictions   O
,   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
2066   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
21   I-DATE
with   O
Dr.   O
Aliana   B-NAME
Salinas   I-NAME
at   O
Onslow   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
was   O
given   O
a   O
direct   O
contact   O
number   O
,   O
527   B-CONTACT
-   I-CONTACT
4422   I-CONTACT
,   O
for   O
any   O
questions   O
or   O
concerns   O
post   O
-   O
discharge   O
.   O

Conclusion   O
:   O
Soraya   B-NAME
Farwell   I-NAME
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
via   O
an   O
appendectomy   O
performed   O
at   O
Columbus   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
,   O
under   O
the   O
care   O
of   O
Dr.   O
Deidre   B-NAME
Borquez   I-NAME
.   O

The   O
patient   O
,   O
Sadie   B-NAME
Roof   I-NAME
,   O
a   O
Medical   O
Assistants   O
from   O
Cearfoss   B-LOCATION
,   O
97762   B-LOCATION
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
presented   O
to   O
Summa   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
,   I-LOCATION
Akron   I-LOCATION
Campus   I-LOCATION
on   O
00/22   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
sharp   O
,   O
and   O
sudden   O
onset   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Gonzales   B-NAME
reports   O
the   O
pain   O
began   O
while   O
working   O
at   O
Bank   B-LOCATION
of   I-LOCATION
Elmwood   I-LOCATION
around   O
midday   O
.   O

Upon   O
examination   O
,   O
Latoria   B-NAME
Sell   I-NAME
,   O
who   O
is   O
30   O
years   O
old   O
,   O
appeared   O
to   O
be   O
in   O
acute   O
distress   O
.   O

Electrocardiogram   O
(   O
ECG   O
)   O
performed   O
by   O
Hall   B-NAME
indicated   O
ST   O
-   O
segment   O
elevation   O
in   O
the   O
anterior   O
leads   O
,   O
suggestive   O
of   O
an   O
anterior   O
wall   O
myocardial   O
infarction   O
(   O
MI   O
)   O
.   O

Phoenix   B-NAME
Reynolds   I-NAME
's   O
medical   O
record   O
number   O
0595858   B-ID
was   O
updated   O
with   O
the   O
new   O
findings   O
.   O

Given   O
the   O
diagnosis   O
of   O
an   O
ST   O
-   O
elevation   O
MI   O
(   O
STEMI   O
)   O
,   O
Samir   B-NAME
Dodson   I-NAME
recommended   O
immediate   O
cardiac   O
catheterization   O
.   O

Octavio   B-NAME
Cummings   I-NAME
was   O
informed   O
about   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
procedure   O
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Alberto   B-NAME
Wade   I-NAME
was   O
transferred   O
to   O
the   O
catheterization   O
lab   O
in   O
Lincoln   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
for   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
32/22/2032   B-DATE
,   O
revealed   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
left   O
anterior   O
descending   O
(   O
LAD   O
)   O
artery   O
,   O
which   O
was   O
successfully   O
revascularized   O
with   O
the   O
placement   O
of   O
a   O
drug   O
-   O
eluting   O
stent   O
.   O

Post   O
-   O
procedure   O
,   O
Andrew   B-NAME
Madden   I-NAME
was   O
monitored   O
in   O
the   O
cardiac   O
care   O
unit   O
.   O

Luigi   B-NAME
was   O
stable   O
throughout   O
the   O
stay   O
and   O
exhibited   O
improvement   O
in   O
symptoms   O
.   O

Hurst   B-NAME
was   O
advised   O
to   O
quit   O
smoking   O
and   O
was   O
given   O
resources   O
including   O
a   O
contact   O
number   O
,   O
872   B-CONTACT
-   I-CONTACT
698   I-CONTACT
-   I-CONTACT
6804   I-CONTACT
,   O
to   O
reach   O
the   O
smoking   O
cessation   O
program   O
at   O
Physicians   B-LOCATION
Mutual   I-LOCATION
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Boyle   B-NAME
in   O
two   O
weeks   O
,   O
and   O
Mccarthy   B-NAME
was   O
educated   O
on   O
the   O
signs   O
of   O
recurrent   O
chest   O
pain   O
and   O
when   O
to   O
seek   O
immediate   O
medical   O
attention   O
.   O

The   O
case   O
was   O
concluded   O
on   O
3   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
29   I-DATE
,   O
with   O
Brazauskas   B-NAME
,   I-NAME
Algirdas   I-NAME
being   O
discharged   O
in   O
stable   O
condition   O
,   O
equipped   O
with   O
appropriate   O
medical   O
therapy   O
and   O
lifestyle   O
modification   O
recommendations   O
.   O

Further   O
cardiac   O
follow   O
-   O
up   O
was   O
emphasized   O
to   O
monitor   O
Floy   B-NAME
Light   I-NAME
's   O
progress   O
and   O
adjust   O
therapies   O
as   O
needed   O
.   O

The   O
entire   O
care   O
team   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Morris   I-LOCATION
ensured   O
that   O
Conley   B-NAME
received   O
comprehensive   O
care   O
and   O
support   O
throughout   O
the   O
hospitalization   O
.   O

*   O
*   O
Patient   O
Report   O
*   O
*   O
Patient   O
Name   O
:   O
Jackson   B-NAME
,   I-NAME
Janet   I-NAME
Age   O
:   O
98   O
Gender   O
:   O
Male   O
Date   O
of   O
Consultation   O
:   O
11/21/65   B-DATE
Medical   O
Record   O
Number   O
:   O
210   B-ID
-   I-ID
51   I-ID
-   I-ID
74   I-ID
-   I-ID
8   I-ID
Attending   O
Physician   O
:   O
Mabuse   B-NAME
,   I-NAME
der   I-NAME
Spieler   I-NAME
Hospital   O
:   O

Thomas   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
8552   B-LOCATION
Ridge   I-LOCATION
Ave   I-LOCATION
.   I-LOCATION

93655   B-LOCATION
*   O
*   O
Presenting   O
Complaints   O
*   O
*   O
Quintilian   B-NAME
,   I-NAME
Marcus   I-NAME
Fabius   I-NAME
presented   O
with   O
a   O
history   O
of   O
intermittent   O
,   O
sharp   O
,   O
stabbing   O
pain   O
in   O
the   O
right   O
lower   O
quadrant   O
of   O
the   O
abdomen   O
for   O
the   O
past   O
10/23   B-DATE
.   O

The   O
patient   O
first   O
noticed   O
the   O
pain   O
approximately   O
March   B-DATE
2   I-DATE
ago   O
which   O
was   O
initially   O
mild   O
and   O
vague   O
.   O

Over   O
the   O
past   O
19/33   B-DATE
,   O
the   O
intensity   O
of   O
the   O
pain   O
has   O
increased   O
significantly   O
,   O
leading   O
Bruce   B-NAME
Cherry   I-NAME
to   O
seek   O
medical   O
attention   O
.   O

*   O
*   O
Past   O
Medical   O
History   O
*   O
*   O
Chailyn   B-NAME
has   O
a   O
history   O
of   O
hypercholesterolemia   O
and   O
was   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
mellitus   O
91s   O
years   O
ago   O
.   O

*   O
*   O
Examination   O
*   O
*   O
Upon   O
examination   O
,   O
Crane   B-NAME
,   I-NAME
Stephen   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
.   O

*   O
*   O
Social   O
History   O
*   O
*   O
Antione   B-NAME
works   O
as   O
a   O
Hydrologists   O
at   O
Lincoln   B-LOCATION
Park   I-LOCATION
Saving   I-LOCATION
Bank   I-LOCATION
and   O
lives   O
in   O
Mohave   B-LOCATION
Valley   I-LOCATION
with   O
his   O
family   O
.   O

For   O
any   O
follow   O
-   O
ups   O
,   O
Mcdaniel   B-NAME
can   O
be   O
reached   O
at   O
845   B-CONTACT
451   I-CONTACT
-   I-CONTACT
8788   I-CONTACT
.   O

In   O
case   O
of   O
emergencies   O
,   O
please   O
contact   O
Lourdes   B-LOCATION
Counseling   I-LOCATION
Center   I-LOCATION
.   O

*   O
*   O
Privacy   O
Information   O
*   O
*   O
Patient   O
’s   O
Identification   O
Number   O
:   O
86361   B-ID
Responsible   O
Physician   O
:   O

Elaina   B-NAME
Stanton   I-NAME
This   O
report   O
is   O
confidential   O
and   O
is   O
intended   O
for   O
use   O
only   O
by   O
the   O
attending   O
physician   O
or   O
consulting   O
specialists   O
associated   O
with   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Fort   I-LOCATION
Wayne   I-LOCATION
in   O
Wedgefield   B-LOCATION
.   O

Patient   O
Report   O
for   O
Reich   B-NAME
,   I-NAME
Wilhelm   I-NAME
Patient   O
3   B-ID
-   I-ID
3851671   I-ID
:   O
3603172   B-ID
Date   O
of   O
Visit   O
:   O
01/22   B-DATE
Attending   O
Physician   O
:   O

Patricia   B-NAME
Lucero   I-NAME
Hospital   O
:   O
Medical   B-LOCATION
City   I-LOCATION
Plano   I-LOCATION
1   O
.   O

*   O
*   O
Demographic   O
Information   O
*   O
*   O
:   O
-   O
Age   O
:   O
4   O
-   O
Location   O
:   O
Mingo   B-LOCATION
-   O
Zip   O
Code   O
:   O
29441   B-LOCATION
-   O
Profession   O
:   O
Archaeologist   O
2   O
.   O
*   O

*   O
Contact   O
Information   O
*   O
*   O
:   O
-   O
Phone   O
:   O
(   B-CONTACT
595   I-CONTACT
)   I-CONTACT
358   I-CONTACT
-   I-CONTACT
6969   I-CONTACT
3   O
.   O

The   O
patient   O
,   O
a   O
Biotechnologist   O
residing   O
in   O
Airport   B-LOCATION
Road   I-LOCATION
Addition   I-LOCATION
,   O
presented   O
to   O
the   O
Emergency   O
Department   O
of   O
Fairfield   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
2279   B-DATE
.   O

Based   O
on   O
these   O
findings   O
,   O
Adolfo   B-NAME
Manning   I-NAME
recommended   O
immediate   O
coronary   O
angiography   O
.   O

They   O
were   O
monitored   O
in   O
the   O
Cardiac   O
Care   O
Unit   O
of   O
Saint   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Health   I-LOCATION
Services   I-LOCATION
for   O
8/02/2039   B-DATE
days   O
to   O
ensure   O
stability   O
and   O
absence   O
of   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Bell   B-NAME
in   O
two   O
weeks   O
to   O
assess   O
the   O
patient   O
's   O
progress   O
and   O
to   O
adjust   O
medications   O
as   O
necessary   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
destroy   O
this   O
report   O
immediately   O
and   O
notify   O
St.   B-LOCATION
Cloud   I-LOCATION
Utilities   I-LOCATION
at   O
493   B-CONTACT
532   I-CONTACT
-   I-CONTACT
3241   I-CONTACT
.   O

The   O
patient   O
,   O
ingalls   B-NAME
,   O
a   O
Financial   O
Clerks   O
,   O
All   O
Other   O
from   O
Hogansville   B-LOCATION
,   I-LOCATION
Hogansville   I-LOCATION
Downtown   I-LOCATION
Development   I-LOCATION
Authority   I-LOCATION
-   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
,   O
was   O
admitted   O
to   O
Brooks   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
on   O
27/22   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
an   O
inability   O
to   O
eat   O
or   O
drink   O
without   O
vomiting   O
.   O

Upon   O
examination   O
,   O
Ogi   B-NAME
,   I-NAME
Adolf   I-NAME
presented   O
with   O
jaundice   O
,   O
indicative   O
of   O
liver   O
dysfunction   O
,   O
and   O
a   O
distended   O
abdomen   O
,   O
suggestive   O
of   O
ascites   O
.   O

Imaging   O
studies   O
,   O
including   O
an   O
abdominal   O
CT   O
scan   O
obtained   O
on   O
2/82   B-DATE
,   O
revealed   O
pancreatic   O
inflammation   O
and   O
fluid   O
collections   O
consistent   O
with   O
acute   O
on   O
chronic   O
pancreatitis   O
.   O

Treatment   O
was   O
initiated   O
with   O
intravenous   O
fluids   O
and   O
pain   O
management   O
,   O
adhering   O
to   O
the   O
pain   O
control   O
protocols   O
set   O
forth   O
by   O
Anarchic   B-LOCATION
Directorate   I-LOCATION
of   I-LOCATION
Constellations   I-LOCATION
.   O

Hampton   B-NAME
was   O
consulted   O
for   O
potential   O
ERCP   O
(   O
endoscopic   O
retrograde   O
cholangiopancreatography   O
)   O
to   O
investigate   O
and   O
manage   O
the   O
observed   O
cholelithiasis   O
.   O

The   O
patient   O
's   O
contact   O
number   O
517   B-CONTACT
-   I-CONTACT
8273   I-CONTACT
and   O
emergency   O
contact   O
,   O
a   O
relative   O
living   O
in   O
Petal   B-LOCATION
,   O
were   O
recorded   O
for   O
hospital   O
records   O
.   O

Patient   O
774   B-ID
55   I-ID
75   I-ID
and   O
DD   B-ID
:   I-ID
QI:1568   I-ID
were   O
reviewed   O
and   O
updated   O
in   O
the   O
electronic   O
health   O
records   O
system   O
to   O
ensure   O
current   O
and   O
future   O
medical   O
staff   O
have   O
access   O
to   O
Maren   B-NAME
Shah   I-NAME
's   O
comprehensive   O
medical   O
history   O
.   O

Anette   B-NAME
showed   O
signs   O
of   O
improvement   O
,   O
with   O
a   O
decrease   O
in   O
abdominal   O
pain   O
and   O
normalization   O
of   O
liver   O
enzymes   O
and   O
pancreatic   O
enzymes   O
levels   O
by   O
2086   B-DATE
-   I-DATE
25   I-DATE
-   I-DATE
23   I-DATE
.   O
Plans   O
for   O
outpatient   O
follow   O
-   O
up   O
after   O
discharge   O
were   O
made   O
,   O
including   O
referrals   O
to   O
gastroenterology   O
and   O
alcohol   O
counseling   O
services   O
in   O
53589   B-LOCATION
.   O

Patient   O
Name   O
:   O
Laface   B-NAME
Patient   O
ID   O
:   O
MZ:07100:665535   B-ID
Medical   O
Record   O
Number   O
:   O
7284   B-ID
:   I-ID
A99650   I-ID
Date   O
of   O
Birth   O
:   O
1/5   B-DATE
Age   O
:   O
74   O
Address   O
:   O
Central   B-LOCATION
Aguirre   I-LOCATION
,   O
62733   B-LOCATION
Phone   O
Number   O
:   O
62239   B-CONTACT
Employment   O
:   O
Counselors   O
,   O
All   O
Other   O
at   O
Botswana   B-LOCATION
Diamond   I-LOCATION
Sorters   I-LOCATION
&   I-LOCATION
Valuators   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Jeri   B-NAME
Clingan   I-NAME
Admitting   O
Hospital   O
:   O
Reynolds   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
:   O

Chung   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
University   B-LOCATION
of   I-LOCATION
Rochester   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
07/26   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
which   O
the   O
patient   O
rated   O
as   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

In   O
addition   O
,   O
Meadow   B-NAME
Bartlett   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
fever   O
was   O
documented   O
with   O
a   O
peak   O
temperature   O
of   O
38.5   O
°   O
C   O
(   O
4   O
week   O
-   O
specific   O
normal   O
range   O
is   O
36.1   O
°   O
C   O
to   O
37.2   O
°   O
C   O
)   O
.   O

Upon   O
further   O
evaluation   O
,   O
Quintin   B-NAME
Valenzuela   I-NAME
's   O
medical   O
history   O
revealed   O
a   O
laparoscopic   O
cholecystectomy   O
performed   O
at   O
Coffee   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
08/20   B-DATE
with   O
no   O
reported   O
post   O
-   O
operative   O
complications   O
.   O

Day   B-NAME
also   O
noted   O
a   O
family   O
history   O
of   O
Crohn   O
's   O
disease   O
but   O
has   O
not   O
been   O
diagnosed   O
with   O
the   O
condition   O
themselves   O
.   O

Examination   O
and   O
Diagnosis   O
:   O
Physical   O
examination   O
conducted   O
by   O
Dr.   O
Strickland   B-NAME
indicated   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
positive   O
Rovsing   O
's   O
sign   O
,   O
and   O
pain   O
on   O
palpation   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
on   O
01/11/1720   B-DATE
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
showed   O
a   O
leukocytosis   O
with   O
a   O
left   O
shift   O
,   O
suggestive   O
of   O
an   O
inflammatory   O
or   O
infectious   O
process   O
.   O

Dr.   O
Gergen   B-NAME
,   I-NAME
David   I-NAME
discussed   O
the   O
findings   O
and   O
treatment   O
options   O
with   O
Lewis   B-NAME
,   I-NAME
Jenny   I-NAME
,   O
and   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
a   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
7/22   B-DATE
without   O
any   O
complications   O
.   O

Peyton   B-NAME
Gates   I-NAME
was   O
administered   O
post   O
-   O
operative   O
antibiotics   O
as   O
a   O
prophylactic   O
measure   O
against   O
infection   O
.   O

Cory   B-NAME
Atkins   I-NAME
was   O
monitored   O
for   O
signs   O
of   O
infection   O
,   O
and   O
pain   O
management   O
was   O
addressed   O
appropriately   O
during   O
the   O
post   O
-   O
operative   O
period   O
.   O

Charlee   B-NAME
Donovan   I-NAME
was   O
discharged   O
on   O
2/36   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
activity   O
level   O
modification   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Joyce   B-NAME
.   O

Follow   O
-   O
up   O
:   O
Yareli   B-NAME
Kilgore   I-NAME
was   O
seen   O
in   O
the   O
office   O
of   O
Dr.   O
Stimson   B-NAME
,   I-NAME
Henry   I-NAME
L.   I-NAME
on   O
2094   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
21   I-DATE
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
visit   O
.   O

Ramon   B-NAME
Jarvis   I-NAME
reported   O
no   O
further   O
complaints   O
and   O
was   O
advised   O
to   O
gradually   O
resume   O
normal   O
activities   O
.   O

This   O
care   O
episode   O
for   O
Mclaughlin   B-NAME
was   O
successfully   O
concluded   O
with   O
the   O
resolution   O
of   O
the   O
acute   O
appendicitis   O
without   O
any   O
complications   O
.   O

Felix   B-NAME
Gillespie   I-NAME
Age   O
:   O
80   O
Medical   O
Record   O
Number   O
:   O
26465766   B-ID
Date   O
of   O
First   O
Visit   O
:   O
22/22   B-DATE
Address   O
:   O
Novi   B-LOCATION
,   O
68380   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Ralph   B-NAME
Pitts   I-NAME
Referring   O
Physician   O
:   O

Marks   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Cornwall   I-LOCATION
Hospital   I-LOCATION
Newburgh   I-LOCATION
Campus   I-LOCATION
Phone   O
:   O
(   B-CONTACT
793   I-CONTACT
)   I-CONTACT
373   I-CONTACT
9841   I-CONTACT
Occupation   O
:   O

Advertising   O
account   O
executive   O
Insurance   O
ID   O
:   O
4   B-ID
-   I-ID
7612841   I-ID
Chief   O
Complaint   O
:   O
Gayle   B-NAME
Arrant   I-NAME
presented   O
to   O
Hudson   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
2301   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
chest   O
pains   O
radiating   O
to   O
the   O
back   O
.   O

Upon   O
further   O
questioning   O
,   O
the   O
patient   O
also   O
noted   O
experiencing   O
unexplained   O
weight   O
loss   O
and   O
episodes   O
of   O
night   O
sweats   O
over   O
the   O
past   O
9   B-DATE
-   I-DATE
7   I-DATE
.   O

QR   B-NAME
denies   O
any   O
recent   O
travel   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

Medical   O
History   O
:   O
Key   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
and   O
hypertension   O
controlled   O
with   O
lisinopril   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Forbin   B-NAME
Noctula   I-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
a   O
mildly   O
elevated   O
blood   O
pressure   O
.   O

Management   O
Plan   O
:   O
Given   O
these   O
findings   O
,   O
Finley   B-NAME
Rasmussen   I-NAME
was   O
referred   O
to   O
Avery   B-NAME
Garcia   I-NAME
for   O
a   O
thoracic   O
surgery   O
consultation   O
at   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Magic   I-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2123   B-DATE
.   O

An   O
endobronchial   O
ultrasound   O
(   O
EBUS   O
)   O
guided   O
biopsy   O
of   O
the   O
mass   O
is   O
scheduled   O
for   O
1/82   B-DATE
to   O
ascertain   O
the   O
nature   O
of   O
the   O
mass   O
and   O
guide   O
further   O
treatment   O
.   O

Tania   B-NAME
Everett   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
their   O
current   O
regimen   O
for   O
diabetes   O
and   O
hypertension   O
and   O
monitor   O
their   O
temperature   O
and   O
weight   O
at   O
home   O
twice   O
a   O
week   O
.   O

Follow   O
-   O
up   O
:   O
Cowan   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Harrison   B-NAME
in   O
Cape   B-LOCATION
Canaveral   I-LOCATION
Hospital   I-LOCATION
two   O
weeks   O
post   O
-   O
biopsy   O
to   O
discuss   O
the   O
results   O
and   O
next   O
steps   O
in   O
the   O
management   O
plan   O
.   O

Younce   B-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
scheduled   O
appointments   O
and   O
was   O
provided   O
with   O
a   O
contact   O
number   O
264   B-CONTACT
-   I-CONTACT
279   I-CONTACT
5098   I-CONTACT
for   O
any   O
questions   O
or   O
if   O
there   O
were   O
any   O
changes   O
in   O
their   O
condition   O
.   O

Precautions   O
:   O
Fredia   B-NAME
Rothermel   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
they   O
experience   O
severe   O
chest   O
pain   O
,   O
difficulty   O
breathing   O
,   O
or   O
signs   O
of   O
an   O
infection   O
,   O
including   O
fever   O
over   O
38.5   O
°   O
C   O
or   O
sudden   O
worsening   O
of   O
symptoms   O
.   O

Instructions   O
for   O
Stratford   B-NAME
,   I-NAME
Lord   I-NAME
(   I-NAME
Tony   I-NAME
Banks   I-NAME
)   I-NAME
:   O
-   O
Keep   O
a   O
log   O
of   O
daily   O
temperatures   O
and   O
weight   O
.   O
-   O
Continue   O
with   O
current   O
medications   O
without   O
modification   O
.   O

-   O
Attend   O
all   O
scheduled   O
appointments   O
and   O
testing   O
dates   O
.   O
-   O
Contact   O
Medical   B-LOCATION
City   I-LOCATION
Fort   I-LOCATION
Worth   I-LOCATION
at   O
300   B-CONTACT
-   I-CONTACT
5314   I-CONTACT
for   O
any   O
concerns   O
or   O
emergency   O
symptoms   O
.   O

The   O
care   O
team   O
at   O
Lakes   B-LOCATION
Regional   I-LOCATION
Healthcare   I-LOCATION
remains   O
committed   O
to   O
providing   O
Thucydides   B-NAME
with   O
the   O
highest   O
level   O
of   O
care   O
and   O
support   O
throughout   O
their   O
diagnostic   O
and   O
treatment   O
journey   O
.   O

Patient   O
Information   O
-----------------------   O
*   O
*   O
Name   O
:*   O
*   O
Agmar   B-NAME
*   O
*   O
Age   O
:*   O
*   O
3   O
*   O
*   O
Date   O
of   O
Birth   O
:*   O
*   O

22/02/2133   B-DATE
*   O
*   O
Medical   O
Record   O
No   O
:*   O
*   O
370   B-ID
-   I-ID
66   I-ID
-   I-ID
47   I-ID
-   I-ID
2   I-ID
*   O
*   O
ID   O
:*   O
*   O
QL   B-ID
:   I-ID
VA:2559   I-ID
*   O
*   O
Phone   O
No   O
:*   O
*   O
762   B-CONTACT
9546   I-CONTACT
*   O
*   O
Address   O
:*   O
*   O
Beaufort   B-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Beaufort   I-LOCATION
,   I-LOCATION
USA   I-LOCATION
,   O
18714   B-LOCATION
*   O
*   O
Employment   O
:*   O
*   O
Anesthesiologist   O
Assistants   O
at   O
Amazon   B-LOCATION
Watch   I-LOCATION
*   O

Dr.   O
Genesis   B-NAME
Combs   I-NAME
*   O
*   O
Hospital   O
:*   O
*   O
Witham   B-LOCATION
Health   I-LOCATION
Services   I-LOCATION
*   O
*   O
Admission   O
Date   O
:*   O
*   O
Sunday   B-DATE
*   O
*   O
Discharge   O
Date   O
:*   O
*   O
13/16   B-DATE
Medical   O
History   O
-----------------   O

The   O
patient   O
,   O
Jeneva   B-NAME
,   O
presented   O
to   O
Providence   B-LOCATION
St.   I-LOCATION
Peter   I-LOCATION
Hospital   I-LOCATION
on   O
09/00   B-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
intermittent   O
chest   O
pain   O
that   O
is   O
alleviated   O
with   O
rest   O
,   O
and   O
episodes   O
of   O
nocturnal   O
orthopnea   O
.   O

The   O
patient   O
's   O
family   O
history   O
includes   O
coronary   O
artery   O
disease   O
,   O
with   O
Rachel   B-NAME
Finley   I-NAME
's   O
father   O
suffering   O
a   O
myocardial   O
infarction   O
at   O
the   O
age   O
of   O
88   O
.   O
Assessment   O
and   O
Examination   O
-------------------------------   O
Upon   O
examination   O
,   O
Yarborough   B-NAME
exhibited   O
a   O
blood   O
pressure   O
reading   O
of   O
140/90   O
mmHg   O
,   O
a   O
resting   O
heart   O
rate   O
of   O
88   O
bpm   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
94   O
%   O
on   O
room   O
air   O
.   O

Treatment   O
Plan   O
----------------   O
Dr.   O
Melany   B-NAME
Figueroa   I-NAME
initiated   O
treatment   O
with   O
a   O
beta   O
-   O
blocker   O
and   O
an   O
ACE   O
inhibitor   O
,   O
aiming   O
to   O
manage   O
the   O
patient   O
's   O
heart   O
failure   O
and   O
control   O
hypertension   O
.   O

Disposition   O
------------   O
Bailey   B-NAME
was   O
discharged   O
on   O
02/2315   B-DATE
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Hernández   B-NAME
,   I-NAME
Julián   I-NAME
at   O
North   B-LOCATION
Pekin   I-LOCATION
in   O
two   O
weeks   O
to   O
reevaluate   O
the   O
treatment   O
plan   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

The   O
patient   O
was   O
also   O
referred   O
to   O
a   O
diabetes   O
management   O
clinic   O
affiliated   O
with   O
Solidarity   B-LOCATION
of   I-LOCATION
Territories   I-LOCATION
to   O
optimize   O
glycemic   O
control   O
and   O
reduce   O
the   O
risk   O
of   O
complications   O
.   O

In   O
summary   O
,   O
Roy   B-NAME
Slovinsky   I-NAME
presented   O
with   O
symptoms   O
consistent   O
with   O
heart   O
failure   O
exacerbated   O
by   O
uncontrolled   O
hypertension   O
and   O
diabetes   O
mellitus   O
.   O

Patient   O
:   O
Carney   B-NAME
Medical   O
Record   O
Number   O
:   O
172   B-ID
-   I-ID
88   I-ID
-   I-ID
41   I-ID
Date   O
of   O
Birth   O
:   O
12   O
Date   O
of   O
Report   O
:   O
32/27/28   B-DATE

Veronica   B-NAME
Hayden   I-NAME
-   I-NAME
Jones   I-NAME
Location   O
of   O
Visit   O
:   O
Venice   B-LOCATION
Regional   I-LOCATION
Bayfront   I-LOCATION
Health   I-LOCATION
,   O
Killdeer   B-LOCATION
,   O
23179   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
819   I-CONTACT
)   I-CONTACT
258   I-CONTACT
6914   I-CONTACT
History   O
of   O
Present   O
Illness   O
:   O
Harold   B-NAME
Glover   I-NAME
,   O
a   O
Armored   O
Assault   O
Vehicle   O
Officers   O
from   O
Brock   B-LOCATION
,   O
presented   O
with   O
a   O
three   O
-   O
week   O
history   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
and   O
a   O
dry   O
cough   O
that   O
has   O
not   O
responded   O
to   O
over   O
-   O
the   O
-   O
counter   O
medications   O
.   O

Archie   B-NAME
Roye   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
sick   O
contacts   O
but   O
reports   O
a   O
significant   O
increase   O
in   O
work   O
-   O
related   O
stress   O
in   O
the   O
last   O
month   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Bradley   B-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
on   O
14/01/77   B-DATE
indicated   O
bilateral   O
lower   O
lobe   O
infiltrates   O
.   O

4   O
.   O
Recommendation   O
for   O
follow   O
-   O
up   O
with   O
Bentsen   B-NAME
,   I-NAME
Lloyd   I-NAME
in   O
Delta   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
after   O
completion   O
of   O
treatment   O
or   O
sooner   O
if   O
symptoms   O
do   O
not   O
improve   O
or   O
worsen   O
.   O

Follow   O
-   O
Up   O
:   O
Pope   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
30/20   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
management   O
plans   O
as   O
necessary   O
.   O

Medical   O
Record   O
ID   O
:   O
89151014   B-ID
Contact   O
:   O

441   B-CONTACT
9409   I-CONTACT
This   O
report   O
was   O
generated   O
by   O
xgz686   B-NAME
and   O
reviewed   O
by   O
Martha   B-NAME
Oconnor   I-NAME
for   O
accuracy   O
and   O
completeness   O
.   O

Patient   O
Report   O
:   O
*   O
*   O
Patient   O
Information   O
*   O
*   O
:   O
-   O
Patient   O
Name   O
:   O
Lorelai   B-NAME
Santana   I-NAME
-   O
Age   O
:   O
60s   O
-   O
Date   O
of   O
Birth   O
:   O
08/04   B-DATE
-   O
Gender   O
:   O
Male   O
-   O
ID   O
:   O
0   B-ID
-   I-ID
9860281   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
7211268   B-ID
-   O
Address   O
:   O
Channel   B-LOCATION
Lake   I-LOCATION
,   O
81823   B-LOCATION
-   O
Phone   O
Number   O
:   O
822   B-CONTACT
-   I-CONTACT
599   I-CONTACT
2134   I-CONTACT
-   O
Occupation   O
:   O
Metal   O
Molding   O
,   O
Coremaking   O
,   O
and   O
Casting   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
-   O
Primary   O
Care   O
Provider   O
:   O
Dr.   O
Sherika   B-NAME
Myles   I-NAME
-   O
Referred   O
by   O
:   O
Dr.   O
Ariel   B-NAME
Gomez   I-NAME
*   O
*   O
Clinical   O
Summary   O
*   O
*   O
:   O
Caleb   B-NAME
presented   O
to   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Midtown   I-LOCATION
Campus   I-LOCATION
on   O
32/27   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
began   O
approximately   O
7   O
days   O
prior   O
.   O

Edith   B-NAME
Becker   I-NAME
has   O
a   O
past   O
medical   O
history   O
of   O
asthma   O
and   O
seasonal   O
allergies   O
.   O

Upon   O
examination   O
,   O
Sarah   B-NAME
Spencer   I-NAME
's   O
temperature   O
was   O
101.3   O
°   O
F   O
,   O
heart   O
rate   O
110   O
bpm   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
oxygen   O
saturation   O
at   O
94   O
%   O
on   O
room   O
air   O
.   O

*   O
*   O
Diagnostic   O
Findings   O
*   O
*   O
:   O
-   O
Chest   O
X   O
-   O
Ray   O
on   O
9/2   B-DATE
showed   O
right   O
lower   O
lobe   O
consolidation   O
.   O
-   O
Complete   O
Blood   O
Count   O
(   O
CBC   O
)   O
indicated   O
leukocytosis   O
.   O
-   O
PCR   O
testing   O
for   O
influenza   O
and   O
COVID-19   O
returned   O
negative   O
.   O

*   O
*   O
Treatment   O
&   O
Recommendations   O
*   O
*   O
:   O
Upon   O
evaluation   O
,   O
Braeden   B-NAME
Davenport   I-NAME
was   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
.   O

Naomi   B-NAME
Newberry   I-NAME
was   O
advised   O
to   O
maintain   O
hydration   O
,   O
rest   O
,   O
and   O
monitor   O
symptoms   O
closely   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Dr.   O
Marc   B-NAME
Howell   I-NAME
in   O
Carolinas   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
1650   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
18   I-DATE
to   O
reassess   O
the   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
needed   O
.   O

Instructions   O
were   O
provided   O
to   O
Torres   B-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
increased   O
difficulty   O
breathing   O
,   O
persistent   O
high   O
-   O
grade   O
fever   O
,   O
or   O
if   O
symptoms   O
failed   O
to   O
improve   O
within   O
48   O
hours   O
.   O

*   O
*   O
Administrative   O
Information   O
*   O
*   O
:   O
-   O
Date   O
of   O
Report   O
:   O
12/01   B-DATE
-   O
Reported   O
by   O
:   O
Dr.   O
Fosdick   B-NAME
,   I-NAME
Harry   I-NAME
Emerson   I-NAME
,   O
Pulmonologist   O
-   O
State   B-LOCATION
University   I-LOCATION
of   I-LOCATION
New   I-LOCATION
York   I-LOCATION
Downstate   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Contact   O
Information   O
:   O
147   B-CONTACT
5234   I-CONTACT
-   O
Randal   B-NAME
Burns   I-NAME
Emergency   O
Contact   O
:   O

Shear   O
and   O
Slitter   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
at   O
95378   B-CONTACT
-   O
Insurance   O
Provider   O
:   O
Ukrainian   B-LOCATION
American   I-LOCATION
Veterans   I-LOCATION
(   I-LOCATION
UAV   I-LOCATION
)   I-LOCATION
-   O
Case   O
Number   O
:   O
25572923   B-ID
*   O
*   O
Confidentiality   O
Notice   O
*   O
*   O
:   O

Patient   O
Name   O
:   O
Kerouac   B-NAME
,   I-NAME
Jack   I-NAME
Age   O
:   O
78   O
Date   O
of   O
Birth   O
:   O
2107   B-DATE
Address   O
:   O
Streatham   B-LOCATION
,   O
41051   B-LOCATION
Phone   O
Number   O
:   O
23515   B-CONTACT
Employer   O
:   O

Carroll   B-LOCATION
EMC   I-LOCATION
Occupation   O
:   O
carpenter   O
Medical   O
Record   O
Number   O
:   O
54497345   B-ID

Wu   B-NAME
Hospital   O
:   O

Lost   B-LOCATION
Rivers   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
ID   O
:   O
FD311/5449   B-ID
Admission   O
Date   O
:   O
May   B-DATE
32   I-DATE
,   I-DATE
2311   I-DATE
Username   O
for   O
Hospital   O
Portal   O
:   O
uiy6310   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Sylvia   B-NAME
Chambers   I-NAME
,   O
presents   O
with   O
a   O
two   O
-   O
week   O
history   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
fever   O
.   O

,   O
Julie   B-NAME
Fraser   I-NAME
began   O
experiencing   O
a   O
dry   O
cough   O
that   O
gradually   O
increased   O
in   O
frequency   O
and   O
severity   O
.   O

Within   O
five   O
days   O
,   O
Sunday   B-DATE
,   O
the   O
patient   O
noticed   O
the   O
onset   O
of   O
shortness   O
of   O
breath   O
upon   O
exertion   O
,   O
accompanied   O
by   O
a   O
feeling   O
of   O
tightness   O
in   O
the   O
chest   O
.   O

Past   O
Medical   O
History   O
:   O
Bo   B-NAME
Jennings   I-NAME
has   O
a   O
past   O
medical   O
history   O
notable   O
for   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
currently   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
under   O
control   O
with   O
ACE   O
inhibitors   O
.   O

On   O
examination   O
,   O
Zuniga   B-NAME
appeared   O
in   O
no   O
acute   O
distress   O
but   O
demonstrated   O
tachypnea   O
with   O
a   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

The   O
diagnosis   O
considerations   O
for   O
Carleigh   B-NAME
Fitzpatrick   I-NAME
include   O
atypical   O
pneumonia   O
versus   O
viral   O
upper   O
respiratory   O
tract   O
infection   O
.   O

Patient   O
Name   O
:   O
Usha   B-NAME
Gibbons   I-NAME
Patient   O
DR:70995:563666   B-ID
:   O
240   B-ID
-   I-ID
64   I-ID
-   I-ID
33   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
87   O
Date   O
of   O
Visit   O
:   O
23/01   B-DATE
Primary   O
Care   O
Physician   O
:   O

Shannon   B-NAME
Hospital   O
:   O
McKee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Address   O
:   O
Dumas   B-LOCATION
,   O
74355   B-LOCATION
Contact   O
Number   O
:   O
(   B-CONTACT
545   I-CONTACT
)   I-CONTACT
990   I-CONTACT
8179   I-CONTACT
Medical   O
History   O
:   O
Dean   B-NAME
,   O
a   O
Philosophy   O
and   O
Religion   O
Teachers   O
,   O
Postsecondary   O
residing   O
in   O
Compton   B-LOCATION
,   O
presented   O
to   O
Rooks   B-LOCATION
County   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Plainville   I-LOCATION
on   O
December   B-DATE
2223   I-DATE
with   O
a   O
primary   O
complaint   O
of   O
persistent   O
,   O
severe   O
migraines   O
occurring   O
multiple   O
times   O
a   O
week   O
for   O
the   O
past   O
9s   O
months   O
.   O

Kirby   B-NAME
reported   O
a   O
significant   O
decrease   O
in   O
daily   O
functionality   O
due   O
to   O
the   O
intensity   O
of   O
the   O
headaches   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
Briggs   B-NAME
noted   O
that   O
Rocky   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Treatment   O
Plan   O
:   O
Bartlett   B-NAME
recommended   O
starting   O
a   O
trial   O
of   O
a   O
prophylactic   O
medication   O
to   O
help   O
reduce   O
the   O
frequency   O
and   O
severity   O
of   O
the   O
migraine   O
attacks   O
.   O

A   O
follow   O
-   O
up   O
visit   O
was   O
scheduled   O
for   O
01/11   B-DATE
to   O
assess   O
the   O
efficacy   O
of   O
the   O
treatment   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

kuhn   B-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
monitor   O
the   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
of   O
migraine   O
episodes   O
.   O

Instructions   O
for   O
Patient   O
:   O
Colon   B-NAME
was   O
advised   O
to   O
avoid   O
known   O
triggers   O
such   O
as   O
certain   O
foods   O
,   O
irregular   O
sleep   O
patterns   O
,   O
and   O
dehydration   O
.   O

Fisher   B-NAME
Marquez   I-NAME
was   O
instructed   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
symptoms   O
of   O
an   O
aura   O
,   O
sudden   O
onset   O
of   O
the   O
worst   O
headache   O
of   O
life   O
,   O
headaches   O
accompanied   O
by   O
fever   O
,   O
stiff   O
neck   O
,   O
rash   O
,   O
confusion   O
,   O
seizures   O
,   O
double   O
vision   O
,   O
weakness   O
,   O
numbness   O
,   O
or   O
difficulty   O
speaking   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
37/01/2210   B-DATE
at   O
Fort   B-LOCATION
Madison   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Kessler   B-NAME
was   O
encouraged   O
to   O
contact   O
Schlüter   B-NAME
,   I-NAME
Poul   I-NAME
's   O
office   O
via   O
89009   B-CONTACT
for   O
any   O
questions   O
or   O
concerns   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
or   O
if   O
there   O
was   O
a   O
significant   O
change   O
in   O
symptoms   O
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
by   O
phone   O
number   O
650   B-CONTACT
5012   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

The   O
patient   O
,   O
Basil   B-NAME
Shiroma   I-NAME
,   O
a   O
Business   O
analyst   O
from   O
Lusby   B-LOCATION
,   O
presented   O
to   O
Huntsville   B-LOCATION
Hospital   I-LOCATION
's   O
emergency   O
department   O
on   O
1762   B-DATE
-   I-DATE
06   I-DATE
-   I-DATE
16   I-DATE
with   O
symptoms   O
that   O
have   O
progressively   O
worsened   O
over   O
the   O
past   O
week   O
.   O

The   O
medical   O
team   O
,   O
led   O
by   O
Olsen   B-NAME
,   O
observed   O
the   O
patient   O
's   O
temperature   O
was   O
elevated   O
at   O
38.5   O
°   O
C   O
,   O
suggesting   O
a   O
possible   O
infection   O
or   O
inflammation   O
.   O

Upon   O
further   O
examination   O
,   O
Faustina   B-NAME
Douglas   I-NAME
noted   O
rebound   O
tenderness   O
in   O
the   O
patient   O
's   O
abdomen   O
,   O
suggesting   O
peritonitis   O
,   O
which   O
raised   O
immediate   O
concern   O
for   O
appendicitis   O
.   O

Jacobs   B-NAME
also   O
experienced   O
a   O
loss   O
of   O
appetite   O
and   O
described   O
the   O
pain   O
as   O
becoming   O
significantly   O
worse   O
upon   O
any   O
movement   O
.   O

Aguilar   B-NAME
then   O
ordered   O
an   O
abdominal   O
ultrasound   O
to   O
visually   O
confirm   O
the   O
diagnosis   O
.   O

The   O
ultrasound   O
,   O
conducted   O
on   O
1757   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
01   I-DATE
,   O
showed   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
blockage   O
.   O

Given   O
these   O
findings   O
,   O
Tutu   B-NAME
,   I-NAME
Desmond   I-NAME
diagnosed   O
ostrowski   B-NAME
with   O
acute   O
appendicitis   O
and   O
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
an   O
appendectomy   O
.   O

The   O
patient   O
’s   O
medical   O
record   O
number   O
,   O
9413809   B-ID
,   O
was   O
used   O
to   O
document   O
all   O
findings   O
and   O
treatment   O
plans   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
06/22/2242   B-DATE
without   O
complications   O
.   O

Donny   B-NAME
Speece   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
in   O
1   O
week   O
for   O
a   O
wound   O
check   O
and   O
again   O
in   O
4   O
weeks   O
for   O
further   O
evaluation   O
.   O

The   O
contact   O
information   O
for   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Keokuk   I-LOCATION
's   O
surgical   O
department   O
was   O
given   O
to   O
the   O
patient   O
,   O
including   O
the   O
phone   O
number   O
,   O
267   B-CONTACT
4096   I-CONTACT
,   O
in   O
case   O
of   O
any   O
concerns   O
or   O
complications   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

The   O
patient   O
expressed   O
gratitude   O
towards   O
Charles   B-NAME
Claver   I-NAME
and   O
the   O
medical   O
team   O
at   O
John   B-LOCATION
Muir   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Concord   I-LOCATION
Campus   I-LOCATION
for   O
the   O
care   O
received   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
10/02   B-DATE
with   O
detailed   O
post   O
-   O
operative   O
care   O
instructions   O
and   O
emergency   O
contact   O
information   O
.   O

Marely   B-NAME
Caldwell   I-NAME
's   O
medical   O
history   O
has   O
been   O
updated   O
in   O
our   O
system   O
(   O
Australian   B-LOCATION
Manufacturing   I-LOCATION
Workers   I-LOCATION
Union   I-LOCATION
)   O
under   O
the   O
ID   O
3   B-ID
-   I-ID
1364341   I-ID
for   O
future   O
reference   O
.   O

The   O
80790   B-LOCATION
code   O
for   O
Miller   B-NAME
,   I-NAME
Arthur   I-NAME
's   O
residence   O
and   O
the   O
bzz369   B-NAME
for   O
the   O
electronic   O
health   O
record   O
system   O
have   O
been   O
updated   O
as   O
well   O
to   O
ensure   O
seamless   O
communication   O
and   O
follow   O
-   O
up   O
care   O
.   O

The   O
patient   O
,   O
Valentino   B-NAME
Franklin   I-NAME
,   O
a   O
Forest   O
Fire   O
Inspectors   O
and   O
Prevention   O
Specialists   O
from   O
Grand   B-LOCATION
Coteau   I-LOCATION
,   O
presented   O
to   O
Desert   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2328/06/10   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
centered   O
in   O
the   O
epigastric   O
region   O
.   O

Shu   B-NAME
Kobold   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
94   O
hours   O
prior   O
to   O
admission   O
,   O
noting   O
that   O
the   O
pain   O
worsened   O
upon   O
eating   O
.   O

Past   O
medical   O
history   O
includes   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
Hypertension   O
,   O
for   O
which   O
Roy   B-NAME
takes   O
Metformin   O
and   O
Lisinopril   O
,   O
respectively   O
.   O

Corgan   B-NAME
,   I-NAME
Billy   I-NAME
denies   O
any   O
allergies   O
to   O
medications   O
.   O

Upon   O
examination   O
,   O
Longfellow   B-NAME
,   I-NAME
Henry   I-NAME
Wadsworth   I-NAME
exhibited   O
pallor   O
and   O
diaphoresis   O
.   O

Laboratory   O
results   O
obtained   O
on   O
2/23/23   B-DATE
revealed   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
cells   O
/   O
μL.   O
Lipase   O
level   O
was   O
elevated   O
at   O
600   O
U   O
/   O
L   O
,   O
indicating   O
acute   O
pancreatitis   O
.   O

Mozelle   B-NAME
Bailey   I-NAME
's   O
fasting   O
blood   O
glucose   O
was   O
190   O
mg   O
/   O
dL   O
,   O
and   O
HbA1c   O
was   O
8.2   O
%   O
.   O

Beck   B-NAME
,   O
the   O
attending   O
gastroenterologist   O
,   O
initiated   O
treatment   O
with   O
IV   O
fluids   O
,   O
fasting   O
,   O
and   O
pain   O
management   O
with   O
IV   O
morphine   O
.   O

Price   B-NAME
Trainor   I-NAME
was   O
advised   O
to   O
avoid   O
alcohol   O
and   O
to   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
upon   O
discharge   O
.   O

Davila   B-NAME
also   O
recommended   O
close   O
follow   O
-   O
up   O
for   O
glucose   O
control   O
and   O
reevaluation   O
of   O
Hailee   B-NAME
Baird   I-NAME
's   O
diabetic   O
medication   O
regimen   O
.   O

The   O
ID   O
number   O
associated   O
with   O
this   O
case   O
is   O
5   B-ID
-   I-ID
1528142   I-ID
,   O
and   O
the   O
medical   O
record   O
number   O
is   O
4312669   B-ID
.   O

For   O
further   O
inquiries   O
or   O
updates   O
regarding   O
Ruhr   B-NAME
's   O
condition   O
,   O
please   O
contact   O
Adventhealth   B-LOCATION
Heart   I-LOCATION
of   I-LOCATION
Florida   I-LOCATION
at   O
97249   B-CONTACT
.   O

The   O
patient   O
,   O
Raymond   B-NAME
Roberts   I-NAME
,   O
a   O
Radio   O
and   O
Television   O
Announcers   O
from   O
IPSWICH   B-LOCATION
,   O
presented   O
at   O
Rehabilitation   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Michigan   I-LOCATION
on   O
07/08   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
focused   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Edward   B-NAME
Jessup   I-NAME
reported   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
rating   O
it   O
an   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

Additionally   O
,   O
Hatfield   B-NAME
,   I-NAME
Orvin   I-NAME
L.   I-NAME
experienced   O
nausea   O
without   O
vomiting   O
,   O
loss   O
of   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

On   O
examination   O
,   O
Dr.   O
Dayton   B-NAME
Walton   I-NAME
observed   O
Abby   B-NAME
Branch   I-NAME
's   O
abdomen   O
to   O
be   O
distended   O
and   O
tender   O
,   O
particularly   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Porter   B-NAME
's   O
vitals   O
at   O
presentation   O
were   O
:   O
temperature   O
of   O
37.8   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
respirations   O
at   O
20   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
measured   O
at   O
130/85   O
mmHg   O
.   O

A   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
further   O
clarified   O
the   O
presence   O
of   O
an   O
inflamed   O
appendix   O
.   O
Justus   B-NAME
,   O
with   O
667   B-ID
11   I-ID
15   I-ID
and   O
an   O
ID   O
number   O
of   O
PQ:45688:373447   B-ID
,   O
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

The   O
clinical   O
team   O
,   O
led   O
by   O
Dr.   O
Bridges   B-NAME
,   O
recommended   O
an   O
appendectomy   O
.   O

After   O
discussing   O
potential   O
risks   O
and   O
obtaining   O
consent   O
,   O
Harrison   B-NAME
Kaiser   I-NAME
was   O
prepped   O
for   O
surgery   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
Thursday   B-DATE
,   I-DATE
February   I-DATE
,   O
was   O
completed   O
without   O
complication   O
.   O

Post   O
-   O
operatively   O
,   O
Kim   B-NAME
Mays   I-NAME
was   O
given   O
antibiotics   O
to   O
prevent   O
infection   O
and   O
was   O
advised   O
to   O
follow   O
up   O
in   O
Sebastian   B-LOCATION
River   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
outpatient   O
department   O
.   O

Mauricio   B-NAME
Becker   I-NAME
was   O
discharged   O
on   O
August   B-DATE
21   I-DATE
with   O
prescriptions   O
for   O
pain   O
management   O
and   O
instructions   O
for   O
wound   O
care   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Sa   B-DATE
,   O
and   O
Koestler   B-NAME
,   I-NAME
Arthur   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
high   O
fever   O
,   O
bleeding   O
from   O
the   O
incision   O
site   O
,   O
or   O
increased   O
abdominal   O
pain   O
.   O

For   O
any   O
inquiries   O
or   O
additional   O
information   O
,   O
Otto   B-NAME
Octavius   I-NAME
or   O
their   O
caretaker   O
was   O
given   O
a   O
876   B-CONTACT
993   I-CONTACT
1286   I-CONTACT
number   O
to   O
reach   O
the   O
surgical   O
team   O
,   O
and   O
additional   O
resources   O
were   O
provided   O
by   O
Animal   B-LOCATION
Aid   I-LOCATION
(   I-LOCATION
UK   I-LOCATION
)   I-LOCATION
.   O

The   O
discharge   O
paperwork   O
,   O
also   O
containing   O
the   O
patient   O
's   O
98608829   B-ID
and   O
annotated   O
instructions   O
for   O
recovery   O
,   O
was   O
handed   O
to   O
Oakley   B-NAME
upon   O
discharge   O
.   O

This   O
case   O
of   O
Memphis   B-NAME
Arias   I-NAME
,   O
residing   O
in   O
85211   B-LOCATION
,   O
will   O
be   O
reviewed   O
for   O
quality   O
assurance   O
purposes   O
and   O
for   O
a   O
scheduled   O
follow   O
-   O
up   O
to   O
assess   O
recovery   O
and   O
satisfaction   O
with   O
the   O
care   O
provided   O
by   O
St   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Riverside   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
ParkCare   I-LOCATION
Pavilion   I-LOCATION
.   O

-   O
gk892   B-NAME
,   O
R.N.   O
at   O
CHRISTUS   B-LOCATION
Ochsner   I-LOCATION
St.   I-LOCATION
Patrick   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Lake   I-LOCATION
Charles   I-LOCATION

Leah   B-NAME
Little   I-NAME
Medical   O
Record   O
Number   O
:   O
919   B-ID
-   I-ID
64   I-ID
-   I-ID
70   I-ID
-   I-ID
3   I-ID
Date   O
of   O
Birth   O
:   O
57s   O
Date   O
of   O
Admission   O
:   O
32/23/2111   B-DATE
Attending   O
Physician   O
:   O
Sanders   B-NAME
Hospital   O
Name   O
:   O
Joint   B-LOCATION
Township   I-LOCATION
District   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Bonita   B-LOCATION
ID   O
:   O

QL256/1567   B-ID
Zip   O
Code   O
:   O
78431   B-LOCATION
Contact   O
Phone   O
:   O
128   B-CONTACT
6293   I-CONTACT
Employment   O
:   O
Electronics   O
engineer   O
Username   O
:   O
ipu311   B-NAME
Summary   O
:   O

The   O
patient   O
,   O
Maddison   B-NAME
Johns   I-NAME
,   O
a   O
Food   O
Service   O
Managers   O
from   O
Frank   B-LOCATION
,   O
presented   O
to   O
Prisma   B-LOCATION
Health   I-LOCATION
Richland   I-LOCATION
on   O
2349   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Carsyn   B-NAME
also   O
reported   O
experiencing   O
episodes   O
of   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
marked   O
decrease   O
in   O
appetite   O
since   O
the   O
onset   O
of   O
pain   O
.   O

No   O
previous   O
medical   O
or   O
surgical   O
history   O
of   O
relevance   O
was   O
noted   O
in   O
Cecilia   B-NAME
Mitchell   I-NAME
's   O
records   O
(   O
827   B-ID
-   I-ID
21   I-ID
-   I-ID
65   I-ID
-   I-ID
2   I-ID
)   O
.   O

Upon   O
physical   O
examination   O
,   O
Montgomery   B-NAME
noted   O
the   O
presence   O
of   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
along   O
with   O
a   O
low   O
-   O
grade   O
fever   O
of   O
100.4   O
°   O
F   O
.   O

Given   O
these   O
findings   O
,   O
Ascham   B-NAME
,   I-NAME
Roger   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

The   O
surgery   O
,   O
performed   O
on   O
2090   B-DATE
,   O
was   O
completed   O
without   O
complications   O
,   O
and   O
Kaleb   B-NAME
Meadows   I-NAME
was   O
observed   O
to   O
have   O
an   O
uneventful   O
recovery   O
.   O

Marlie   B-NAME
Buck   I-NAME
,   O
along   O
with   O
the   O
surgical   O
and   O
nursing   O
teams   O
at   O
Guthrie   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
,   O
closely   O
monitored   O
Terrell   B-NAME
Cavanaugh   I-NAME
's   O
progress   O
post   O
-   O
operation   O
.   O

Cordell   B-NAME
Malone   I-NAME
was   O
discharged   O
on   O
2/65   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
in   O
2   O
weeks   O
,   O
or   O
sooner   O
if   O
any   O
concerns   O
arose   O
.   O

Contact   O
information   O
(   O
260   B-CONTACT
724   I-CONTACT
-   I-CONTACT
1937   I-CONTACT
)   O
was   O
provided   O
should   O
Latosha   B-NAME
Easterling   I-NAME
require   O
immediate   O
assistance   O
or   O
advice   O
.   O

In   O
summary   O
,   O
the   O
professional   O
and   O
timely   O
intervention   O
by   O
the   O
staff   O
at   O
Prisma   B-LOCATION
Health   I-LOCATION
Richland   I-LOCATION
Hospital   I-LOCATION
ensured   O
a   O
positive   O
outcome   O
for   O
Heifetz   B-NAME
,   I-NAME
Jascha   I-NAME
,   O
a   O
2   O
month   O
year   O
-   O
old   O
Bill   O
and   O
Account   O
Collectors   O
from   O
67   B-LOCATION
North   I-LOCATION
Glen   I-LOCATION
Ridge   I-LOCATION
Street   I-LOCATION
.   O

Richard   B-NAME
L.   I-NAME
Mckenzie   I-NAME
's   O
surgical   O
wound   O
is   O
expected   O
to   O
heal   O
without   O
issue   O
,   O
provided   O
the   O
postoperative   O
care   O
instructions   O
are   O
adhered   O
to   O
.   O

Further   O
follow   O
-   O
up   O
after   O
the   O
specified   O
period   O
will   O
ascertain   O
complete   O
recovery   O
and   O
return   O
to   O
Choi   B-NAME
's   O
daily   O
activities   O
without   O
restrictions   O
.   O

For   O
reference   O
,   O
all   O
future   O
communications   O
and   O
records   O
pertaining   O
to   O
Madelynn   B-NAME
Herman   I-NAME
's   O
case   O
should   O
note   O
the   O
medical   O
record   O
number   O
30314533   B-ID
and   O
unique   O
patient   O
ID   O
SV101/6457   B-ID
.   O

Patient   O
:   O
Aldo   B-NAME
Pittman   I-NAME
ID   O
:   O
EO   B-ID
:   I-ID
XO:8422   I-ID
Medical   O
Record   O
:   O
9673L7188   B-ID
Age   O
:   O
44   O
Location   O
:   O
Mount   B-LOCATION
Carroll   I-LOCATION
Phone   O
:   O
388   B-CONTACT
-   I-CONTACT
3104   I-CONTACT
Zip   O
:   O
59184   B-LOCATION
Organization   O
:   O

Southwest   B-LOCATION
Mississippi   I-LOCATION
Electric   I-LOCATION
Power   I-LOCATION
Association   I-LOCATION
Profession   O
:   O

Airline   O
cabin   O
crew   O
Username   O
:   O
xc450   B-NAME
Summary   O
:   O
Linda   B-NAME
Freeman   I-NAME
,   O
a   O
14   O
-   O
year   O
-   O
old   O
Photographic   O
Retouchers   O
and   O
Restorers   O
from   O
Guatemala   B-LOCATION
,   O
71824   B-LOCATION
,   O
presented   O
to   O
Bassett   B-LOCATION
Army   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
Columbus   B-DATE
Day   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
accompanied   O
by   O
nausea   O
and   O
vomiting   O
.   O

The   O
patient   O
described   O
the   O
pain   O
as   O
a   O
sharp   O
,   O
shooting   O
sensation   O
that   O
was   O
persistent   O
for   O
the   O
past   O
32/33   B-DATE
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
and   O
has   O
been   O
under   O
the   O
care   O
of   O
Vaughn   B-NAME
for   O
the   O
management   O
of   O
their   O
condition   O
.   O

A   O
review   O
of   O
Sage   B-NAME
Jefferson   I-NAME
's   O
medical   O
record   O
9646   B-ID
:   I-ID
N87889   I-ID
indicated   O
no   O
previous   O
incidences   O
of   O
similar   O
symptoms   O
.   O

Upon   O
examination   O
,   O
Cruz   B-NAME
Lamb   I-NAME
exhibited   O
a   O
guarded   O
abdomen   O
,   O
with   O
palpation   O
revealing   O
tenderness   O
in   O
the   O
upper   O
right   O
quadrant   O
.   O

Initial   O
laboratory   O
tests   O
ordered   O
by   O
Morrow   B-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
liver   O
function   O
tests   O
(   O
LFTs   O
)   O
,   O
and   O
amylase   O
and   O
lipase   O
levels   O
,   O
aiming   O
to   O
investigate   O
the   O
cause   O
of   O
abdominal   O
pain   O
and   O
to   O
differentiate   O
between   O
possible   O
pancreatitis   O
and   O
a   O
gallbladder   O
issue   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Rankar   B-NAME
Feulner   I-NAME
diagnosed   O
Caleb   B-NAME
Digiacomo   I-NAME
with   O
acute   O
cholecystitis   O
and   O
recommended   O
immediate   O
surgical   O
intervention   O
to   O
remove   O
the   O
gallbladder   O
.   O

The   O
surgery   O
,   O
a   O
laparoscopic   O
cholecystectomy   O
,   O
was   O
successfully   O
performed   O
on   O
2020   B-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
care   O
involved   O
monitoring   O
Jong   B-NAME
Rinke   I-NAME
's   O
glucose   O
levels   O
,   O
considering   O
the   O
pre   O
-   O
existing   O
diabetes   O
,   O
and   O
managing   O
pain   O
.   O

Zack   B-NAME
Cocking   I-NAME
was   O
advised   O
on   O
a   O
modified   O
diet   O
post   O
-   O
surgery   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
03/14   B-DATE
with   O
Bean   B-NAME
to   O
monitor   O
recovery   O
and   O
discuss   O
long   O
-   O
term   O
management   O
of   O
diabetes   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
queries   O
regarding   O
Michael   B-NAME
,   I-NAME
Dana   I-NAME
's   O
case   O
,   O
further   O
information   O
can   O
be   O
obtained   O
by   O
contacting   O
Whittier   B-LOCATION
Hospital   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
125   B-CONTACT
9999   I-CONTACT
or   O
reaching   O
out   O
directly   O
to   O
Dahlia   B-NAME
Donaldson   I-NAME
.   O

This   O
patient   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Raritan   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Perth   I-LOCATION
Amboy   I-LOCATION
,   O
United   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
,   O
and   O
authorized   O
personnel   O
only   O
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Darena   B-NAME
Age   O
:   O
1   O
Gender   O
:   O
Male   O
Address   O
:   O
Farber   B-LOCATION
,   O
67814   B-LOCATION
Phone   O
Number   O
:   O
17526   B-CONTACT
Employment   O
:   O
Sociologists   O
Medical   O
Record   O
Number   O
:   O
024   B-ID
-   I-ID
25   I-ID
-   I-ID
08   I-ID
-   I-ID
0   I-ID
Admission   O
Date   O
:   O
2100   B-DATE
Attending   O
Physician   O
:   O

Owen   B-NAME
Treating   O
Facility   O
:   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Chief   O
Complaint   O
:   O

Bennett   B-NAME
Daugherty   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
May   B-DATE
23   I-DATE
complaining   O
of   O
acute   O
onset   O
severe   O
chest   O
pain   O
,   O
radiating   O
to   O
his   O
left   O
arm   O
,   O
associated   O
with   O
shortness   O
of   O
breath   O
,   O
nausea   O
,   O
and   O
sweating   O
.   O

Lewis   B-NAME
Huerta   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
but   O
is   O
not   O
currently   O
on   O
any   O
medication   O
.   O

Past   O
Medical   O
History   O
:   O
1   O
.   O
Hypertension   O
-   O
diagnosed   O
August   B-DATE
3   I-DATE
2   O
.   O

Hyperlipidemia   O
-   O
diagnosed   O
05/30   B-DATE
3   O
.   O

Social   O
History   O
:   O
Oswaldo   B-NAME
Hayden   I-NAME
reports   O
he   O
is   O
a   O
smoker   O
,   O
with   O
a   O
20   O
-   O
year   O
history   O
of   O
a   O
half   O
-   O
pack   O
per   O
day   O
.   O

Physical   O
Examination   O
:   O
-   O
General   O
:   O
Kennedi   B-NAME
Castaneda   I-NAME
is   O
a   O
well   O
-   O
developed   O
male   O
in   O
apparent   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
-   O
ECG   O
performed   O
on   O
12/23   B-DATE
showed   O
ST   O
-   O
segment   O
elevation   O
in   O
precordial   O
leads   O
.   O
-   O
Troponins   O
elevated   O
at   O
admission   O
.   O

Follow   O
-   O
Up   O
:   O
Havel   B-NAME
,   I-NAME
Václav   I-NAME
is   O
scheduled   O
for   O
follow   O
-   O
up   O
in   O
the   O
cardiology   O
clinic   O
on   O
Saturday   B-DATE
.   O

He   O
has   O
been   O
instructed   O
to   O
call   O
17746   B-CONTACT
should   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
arise   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Graham   B-NAME
,   I-NAME
Paul   I-NAME
on   O
07/05/2207   B-DATE
.   O

For   O
any   O
further   O
information   O
,   O
please   O
contact   O
Logan   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
at   O
206   B-CONTACT
-   I-CONTACT
9288   I-CONTACT
.   O

Patient   O
Name   O
:   O
Duffy   B-NAME
Patient   O
ID   O
:   O
ZQ827/5368   B-ID
Medical   O
Record   O
Number   O
:   O
4835921   B-ID
Date   O
of   O
Birth   O
:   O
0/03   B-DATE
Age   O
:   O
31   O
Phone   O
Number   O
:   O
29276   B-CONTACT
Address   O
:   O
Pittsburgh   B-LOCATION
,   O
80134   B-LOCATION
Occupation   O
:   O
Municipal   O
Fire   O
Fighting   O
and   O
Prevention   O
Supervisors   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Jayne   B-NAME
Ferretti   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Tift   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0/60   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
primarily   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Additionally   O
,   O
Dana   B-NAME
Romero   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
fever   O
,   O
and   O
decreased   O
appetite   O
over   O
the   O
past   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Bruce   B-NAME
,   I-NAME
Lenny   I-NAME
first   O
noticed   O
mild   O
discomfort   O
in   O
the   O
abdominal   O
area   O
approximately   O
48   O
hours   O
before   O
presenting   O
to   O
Raritan   B-LOCATION
Bay   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Perth   I-LOCATION
Amboy   I-LOCATION
.   O

Finn   B-NAME
Roach   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
persistent   O
,   O
rating   O
it   O
an   O
8   O
out   O
of   O
10   O
on   O
the   O
pain   O
scale   O
.   O

Bucky   B-NAME
DeVol   I-NAME
denies   O
any   O
recent   O
travels   O
,   O
dietary   O
changes   O
,   O
or   O
similar   O
symptoms   O
in   O
the   O
past   O
.   O

Past   O
Medical   O
History   O
:   O
Laface   B-NAME
Bourdages   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
prescribed   O
by   O
Skylar   B-NAME
Scott   I-NAME
and   O
Type   O
2   O
diabetes   O
managed   O
with   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

Osvaldo   B-NAME
Irwin   I-NAME
's   O
last   O
visit   O
to   O
Price   B-NAME
was   O
on   O
1612   B-DATE
for   O
a   O
routine   O
check   O
-   O
up   O
.   O

Family   O
History   O
:   O
Simon   B-NAME
Merivale   I-NAME
reports   O
that   O
their   O
father   O
had   O
a   O
history   O
of   O
coronary   O
artery   O
disease   O
,   O
and   O
their   O
mother   O
was   O
diagnosed   O
with   O
breast   O
cancer   O
at   O
37   O
.   O

Social   O
History   O
:   O
Ruth   B-NAME
Carter   I-NAME
is   O
a   O
Physical   O
Scientists   O
,   O
All   O
Other   O
and   O
reports   O
no   O
tobacco   O
use   O
.   O

Janet   B-NAME
Miles   I-NAME
occasionally   O
consumes   O
alcohol   O
,   O
roughly   O
one   O
to   O
two   O
drinks   O
per   O
month   O
,   O
and   O
denies   O
any   O
illicit   O
drug   O
use   O
.   O
Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
described   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
the   O
present   O
illness   O
,   O
Eternity   B-NAME
denies   O
headaches   O
,   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
changes   O
in   O
bowel   O
or   O
bladder   O
habits   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Tera   B-NAME
Ake   I-NAME
appears   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Testing   O
:   O
Given   O
the   O
clinical   O
presentation   O
,   O
Skinner   B-NAME
ordered   O
a   O
complete   O
blood   O
count   O
,   O
which   O
showed   O
elevated   O
white   O
blood   O
cells   O
,   O
and   O
an   O
abdominal   O
ultrasound   O
that   O
suggested   O
appendicitis   O
.   O

Barnes   B-NAME
discussed   O
the   O
findings   O
with   O
Deion   B-NAME
,   O
explaining   O
the   O
need   O
for   O
immediate   O
surgical   O
consultation   O
.   O

Treatment   O
Plan   O
:   O
Elbert   B-NAME
Fleet   I-NAME
was   O
admitted   O
to   O
Mercy   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Cedar   I-LOCATION
Rapids   I-LOCATION
under   O
the   O
care   O
of   O
Mckayla   B-NAME
Mckenzie   I-NAME
for   O
the   O
management   O
of   O
suspected   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
an   O
appendectomy   O
was   O
scheduled   O
for   O
8   B-DATE
-   I-DATE
33   I-DATE
.   O

Lloyd   B-NAME
was   O
informed   O
about   O
the   O
risks   O
associated   O
with   O
the   O
procedure   O
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Instructions   O
were   O
given   O
for   O
Engelke   B-NAME
,   I-NAME
Anke   I-NAME
to   O
refrain   O
from   O
eating   O
or   O
drinking   O
anything   O
after   O
midnight   O
before   O
the   O
surgery   O
.   O

Postoperative   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Summers   B-NAME
for   O
03/24   B-DATE
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Christoper   B-NAME
can   O
contact   O
Lake   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Emergency   O
Department   O
at   O
328   B-CONTACT
644   I-CONTACT
-   I-CONTACT
5700   I-CONTACT
.   O

Australian   B-LOCATION
Nursing   I-LOCATION
and   I-LOCATION
Midwifery   I-LOCATION
Federation   I-LOCATION
ensured   O
that   O
all   O
personalized   O
health   O
information   O
was   O
safeguarded   O
throughout   O
Arushi   B-NAME
Emerson   I-NAME
's   O
care   O
trajectory   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Schroeder   B-NAME
Patient   O
ID   O
:   O
YJ:6170:896345   B-ID
Medical   O
Record   O
Number   O
:   O
121   B-ID
-   I-ID
35   I-ID
-   I-ID
39   I-ID
Age   O
:   O
10   O
month   O
Date   O
of   O
Birth   O
:   O
7/27   B-DATE
Phone   O
Number   O
:   O
911   B-CONTACT
6416   I-CONTACT
Address   O
:   O
Coon   B-LOCATION
Valley   I-LOCATION
,   O
65972   B-LOCATION
Employer   O
:   O
Southern   B-LOCATION
Minnesota   I-LOCATION
Municipal   I-LOCATION
Power   I-LOCATION
Agency   I-LOCATION
Occupation   O
:   O
Maintenance   O
Workers   O
,   O
Machinery   O
Presentation   O
:   O
Karen   B-NAME
Nixon   I-NAME
presented   O
to   O
Norton   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
13/23   B-DATE
with   O
complaints   O
of   O
fever   O
,   O
severe   O
headache   O
,   O
photophobia   O
,   O
and   O
neck   O
stiffness   O
that   O
began   O
approximately   O
two   O
days   O
prior   O
.   O

The   O
patient   O
does   O
not   O
recall   O
any   O
recent   O
travel   O
outside   O
of   O
Kellerton   B-LOCATION
or   O
any   O
sick   O
contacts   O
.   O

Sandoval   B-NAME
works   O
as   O
a   O
Health   O
Technologists   O
and   O
Technicians   O
,   O
All   O
Other   O
at   O
Bank   B-LOCATION
of   I-LOCATION
Ellijay   I-LOCATION
and   O
denies   O
any   O
known   O
tick   O
bites   O
or   O
rash   O
in   O
the   O
past   O
month   O
.   O

Medical   O
History   O
:   O
Refugia   B-NAME
Locke   I-NAME
's   O
past   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Malcolm   B-NAME
Bowers   I-NAME
is   O
currently   O
on   O
Metformin   O
and   O
Lisinopril   O
.   O

Bokini   B-NAME
,   I-NAME
Ratu   I-NAME
Ovini   I-NAME
's   O
surgical   O
history   O
is   O
significant   O
for   O
an   O
appendectomy   O
at   O
the   O
age   O
of   O
5   O
month   O
.   O

Roger   B-NAME
Mcdaniel   I-NAME
denies   O
smoking   O
,   O
but   O
admits   O
to   O
occasional   O
alcohol   O
use   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Brice   B-NAME
Short   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
,   O
with   O
vital   O
signs   O
revealing   O
a   O
temperature   O
of   O
38.7   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
blood   O
pressure   O
of   O
135/85   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
of   O
18   O
breaths   O
per   O
minute   O
.   O

Management   O
:   O
Gillis   B-NAME
was   O
started   O
on   O
empirical   O
antibiotic   O
therapy   O
including   O
Ceftriaxone   O
and   O
Vancomycin   O
,   O
pending   O
culture   O
results   O
.   O

Yvette   B-NAME
S.   I-NAME
Anaya   I-NAME
was   O
admitted   O
to   O
Memorial   B-LOCATION
Hermann   I-LOCATION
Memorial   I-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Esparza   B-NAME
for   O
further   O
management   O
and   O
monitoring   O
.   O

The   O
infectious   O
disease   O
team   O
was   O
consulted   O
,   O
and   O
Willean   B-NAME
Gabriella   I-NAME
Yamamoto   I-NAME
was   O
placed   O
on   O
appropriate   O
isolation   O
precautions   O
due   O
to   O
the   O
risk   O
of   O
meningococcal   O
meningitis   O
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
9/5   B-DATE
with   O
Mccormick   B-NAME
to   O
review   O
culture   O
results   O
and   O
adjust   O
antibiotic   O
therapy   O
as   O
needed   O
.   O

Cranley   B-NAME
has   O
been   O
advised   O
to   O
limit   O
contact   O
with   O
family   O
members   O
and   O
to   O
follow   O
strict   O
hand   O
hygiene   O
practices   O
.   O

Prepared   O
by   O
:   O
sqb430   B-NAME
Date   O
:   O
01/00/74   B-DATE
Contact   O
Information   O
:   O
(   B-CONTACT
207   I-CONTACT
)   I-CONTACT
946   I-CONTACT
-   I-CONTACT
7288   I-CONTACT

Patient   O
Name   O
:   O
Pearson   B-NAME
Patient   O
ID   O
:   O
DC:8548:507673   B-ID
Medical   O
Record   O
Number   O
:   O
5982863   B-ID
Date   O
of   O
Birth   O
:   O
02/25   B-DATE
Age   O
:   O
54   O
Address   O
:   O
Leavittsburg   B-LOCATION
,   O
81215   B-LOCATION
Phone   O
number   O
:   O
121   B-CONTACT
-   I-CONTACT
2172   I-CONTACT
Profession   O
:   O
Ship   O
Engineers   O
Summary   O
of   O
Patient   O
’s   O
Condition   O
:   O
Wozniak   B-NAME
,   I-NAME
Steve   I-NAME
,   O
a   O
59   O
-   O
year   O
-   O
old   O
Log   O
Graders   O
and   O
Scalers   O
from   O
Deloit   B-LOCATION
,   O
presented   O
to   O
Prairie   B-LOCATION
View   I-LOCATION
Psychiatric   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Newton   I-LOCATION
on   O
13/20/61   B-DATE
with   O
complaints   O
of   O
persistent   O
headaches   O
,   O
blurred   O
vision   O
,   O
and   O
intermittent   O
episodes   O
of   O
dizziness   O
over   O
the   O
past   O
8/29   B-DATE
.   O

Alfreda   B-NAME
Vandermark   I-NAME
also   O
reported   O
experiencing   O
vertigo   O
,   O
mentioning   O
a   O
"   O
room   O
-   O
spinning   O
"   O
sensation   O
that   O
lasted   O
for   O
several   O
minutes   O
during   O
each   O
episode   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Mccormick   B-NAME
noted   O
a   O
blood   O
pressure   O
of   O
140/90   O
mmHg   O
,   O
slightly   O
elevated   O
from   O
the   O
normative   O
values   O
.   O

The   O
patient   O
's   O
medical   O
history   O
was   O
notable   O
for   O
hypercholesterolemia   O
,   O
managed   O
with   O
statins   O
prescribed   O
by   O
a   O
previous   O
healthcare   O
provider   O
at   O
Security   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
.   O

Rhianna   B-NAME
Vasquez   I-NAME
recommended   O
the   O
continuation   O
of   O
the   O
current   O
statin   O
regimen   O
and   O
the   O
initiation   O
of   O
a   O
low   O
sodium   O
diet   O
to   O
manage   O
blood   O
pressure   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
9/22   B-DATE
to   O
discuss   O
the   O
outcomes   O
of   O
the   O
diagnostic   O
tests   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

The   O
patient   O
was   O
provided   O
with   O
the   O
contact   O
number   O
316   B-CONTACT
-   I-CONTACT
151   I-CONTACT
9654   I-CONTACT
of   O
Hahnemann   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
for   O
any   O
queries   O
or   O
emergencies   O
related   O
to   O
his   O
conditions   O
.   O

Consents   O
and   O
Privacy   O
:   O
Consent   O
was   O
obtained   O
from   O
Stanley   B-NAME
Godfrey   I-NAME
for   O
all   O
the   O
diagnostic   O
procedures   O
and   O
treatment   O
plans   O
.   O

Olive   B-NAME
Tripp   I-NAME
was   O
assured   O
that   O
all   O
personal   O
health   O
information   O
,   O
including   O
findings   O
and   O
discussions   O
,   O
would   O
be   O
kept   O
confidential   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

This   O
report   O
is   O
filed   O
under   O
the   O
medical   O
record   O
number   O
186   B-ID
-   I-ID
25   I-ID
-   I-ID
96   I-ID
-   I-ID
0   I-ID
for   O
Maxwell   B-NAME
Ball   I-NAME
and   O
will   O
be   O
stored   O
securely   O
within   O
Mason   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
's   O
electronic   O
health   O
records   O
systems   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Lilyana   B-NAME
Roberson   I-NAME
Patient   O
ID   O
:   O
UT   B-ID
:   I-ID
GE:6910   I-ID
Date   O
of   O
Birth   O
:   O
06/26   B-DATE
Age   O
:   O
43   O
Phone   O
Number   O
:   O
60291   B-CONTACT
Address   O
:   O
North   B-LOCATION
Valley   I-LOCATION
Stream   I-LOCATION
,   O
98962   B-LOCATION
Referred   O
by   O
:   O
Leia   B-NAME
Butler   I-NAME
Medical   O
Record   O
Number   O
:   O
5028527   B-ID
Employer   O
:   O

Maritime   B-LOCATION
Savings   I-LOCATION
Bank   I-LOCATION
Profession   O
:   O
Phlebotomists   O
Treating   O
Facility   O
:   O
Einstein   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Montgomery   I-LOCATION
Chief   O
Complaint   O
:   O

Brandice   B-NAME
presented   O
to   O
the   O
clinic   O
on   O
6/29   B-DATE
,   O
complaining   O
of   O
acute   O
onset   O
of   O
chest   O
pain   O
that   O
began   O
earlier   O
in   O
the   O
day   O
.   O

The   O
chest   O
pain   O
was   O
first   O
noticed   O
by   O
Neal   B-NAME
Hudson   I-NAME
while   O
at   O
work   O
(   O
Norwood   B-LOCATION
Electric   I-LOCATION
Light   I-LOCATION
Department   I-LOCATION
)   O
as   O
a   O
Manicurists   O
and   O
Pedicurists   O
.   O

Tom   B-NAME
Baldwin   I-NAME
,   I-NAME
Jr.   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
is   O
currently   O
on   O
medication   O
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
diagnosed   O
in   O
12/21   B-DATE
.   O
-   O

Social   O
History   O
:   O
Kevin   B-NAME
O’Connor   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
use   O
.   O

Nathan   B-NAME
Maldonado   I-NAME
works   O
as   O
a   O
Radio   O
Operators   O
for   O
Human   B-LOCATION
Rights   I-LOCATION
Internet   I-LOCATION
in   O
400   B-LOCATION
North   I-LOCATION
Arrowhead   I-LOCATION
St.   I-LOCATION
and   O
denies   O
any   O
recent   O
stressful   O
life   O
events   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Celia   B-NAME
Archer   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Immediate   O
cardiology   O
consultation   O
requested   O
,   O
and   O
Jacoby   B-NAME
was   O
prepped   O
for   O
potential   O
emergent   O
cardiac   O
catheterization   O
.   O

-   O
Reginald   B-NAME
Mendez   I-NAME
was   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
and   O
statin   O
as   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

Disposition   O
:   O
Avalos   B-NAME
,   I-NAME
Holly   I-NAME
was   O
transferred   O
to   O
the   O
cardiology   O
unit   O
at   O
North   B-LOCATION
Central   I-LOCATION
Bronx   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
and   O
monitoring   O
.   O

Cardiology   O
Kenna   B-NAME
Tucker   I-NAME
was   O
notified   O
and   O
will   O
meet   O
VELASQUEZ   B-NAME
,   I-NAME
WALTER   I-NAME
upon   O
arrival   O
at   O
the   O
unit   O
.   O

Follow   O
-   O
Up   O
Instructions   O
:   O
Follow   O
-   O
up   O
with   O
the   O
cardiology   O
team   O
at   O
Colquitt   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
16/22/81   B-DATE
.   O

Instruct   O
Huxley   B-NAME
,   I-NAME
Thomas   I-NAME
Henry   I-NAME
to   O
report   O
immediately   O
any   O
recurrence   O
of   O
chest   O
pain   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
other   O
concerning   O
symptoms   O
.   O

Documentation   O
completed   O
by   O
:   O
ta3510   B-NAME
Date   O
and   O
Time   O
:   O

Martin   B-DATE
Luther   I-DATE
King   I-DATE
Day   I-DATE

Patient   O
Name   O
:   O
Julissa   B-NAME
Finley   I-NAME
DOB   O
:   O
12/22/2180   B-DATE
Phone   O
:   O
(   B-CONTACT
294   I-CONTACT
)   I-CONTACT
334   I-CONTACT
-   I-CONTACT
4522   I-CONTACT
Address   O
:   O
Chicago   B-LOCATION
,   O
72132   B-LOCATION
Occupation   O
:   O
Forest   O
Fire   O
Inspectors   O
and   O
Prevention   O
Specialists   O
Medical   O
Record   O
Number   O
:   O
2037   B-ID
:   I-ID
Z96571   I-ID
ID   O
Number   O
:   O
FT   B-ID
:   I-ID
YX:1542   I-ID
Doctor   O
:   O
Greta   B-NAME
Carlson   I-NAME
Hospital   O
:   O
Metropolitan   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
07/12   B-DATE
Chief   O
Complaint   O
:   O
Dunn   B-NAME
,   O
a   O
74   O
-   O
year   O
-   O
old   O
Animal   O
nutritionist   O
,   O
presented   O
to   O
PeaceHealth   B-LOCATION
United   I-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
20/06   B-DATE
with   O
complaints   O
of   O
persistent   O
headache   O
,   O
visual   O
disturbances   O
,   O
and   O
intermittent   O
episodes   O
of   O
disorientation   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Heidy   B-NAME
Wade   I-NAME
also   O
reported   O
several   O
instances   O
where   O
they   O
momentarily   O
could   O
not   O
recall   O
the   O
day   O
or   O
recognize   O
familiar   O
settings   O
.   O

Medical   O
History   O
:   O
Lawrence   B-NAME
Livingston   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
type   O
2   O
diabetes   O
mellitus   O
three   O
years   O
ago   O
.   O

Ellyn   B-NAME
Nesin   I-NAME
denies   O
any   O
recent   O
changes   O
in   O
medication   O
,   O
dietary   O
habits   O
,   O
or   O
significant   O
stressors   O
.   O

Kailyn   B-NAME
Pennington   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
moderate   O
alcohol   O
use   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Xayachack   B-NAME
appeared   O
to   O
be   O
in   O
no   O
acute   O
distress   O
but   O
exhibited   O
photophobia   O
and   O
phonophobia   O
.   O

However   O
,   O
there   O
was   O
a   O
slight   O
delay   O
in   O
Lester   B-NAME
Verde   I-NAME
's   O
response   O
to   O
complex   O
commands   O
,   O
suggesting   O
cognitive   O
impairment   O
.   O

The   O
presence   O
of   O
hypertension   O
and   O
diabetes   O
places   O
Jefferson   B-NAME
Jefferson   I-NAME
at   O
a   O
higher   O
risk   O
for   O
cerebrovascular   O
events   O
.   O

3   O
.   O
Adjust   O
current   O
antihypertensive   O
therapy   O
to   O
better   O
control   O
Braydon   B-NAME
Barajas   I-NAME
's   O
blood   O
pressure   O
.   O

Discussion   O
:   O
Ryland   B-NAME
Crosby   I-NAME
was   O
counseled   O
on   O
the   O
importance   O
of   O
immediately   O
reporting   O
any   O
worsening   O
of   O
symptoms   O
or   O
new   O
neurological   O
signs   O
such   O
as   O
weakness   O
,   O
severe   O
headache   O
,   O
acute   O
vision   O
loss   O
,   O
or   O
altered   O
consciousness   O
.   O

Silva   B-NAME
was   O
further   O
advised   O
to   O
monitor   O
their   O
blood   O
pressure   O
at   O
home   O
and   O
log   O
the   O
readings   O
for   O
the   O
next   O
appointment   O
.   O

Coordination   O
between   O
neurology   O
,   O
primary   O
care   O
,   O
and   O
potentially   O
endocrinology   O
will   O
be   O
essential   O
in   O
providing   O
comprehensive   O
care   O
to   O
Mikasi   B-NAME
.   O

Username   O
for   O
Hospital   O
Portal   O
Access   O
:   O
fb300   B-NAME

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Alberto   B-NAME
Wade   I-NAME
ID   O
:   O
VT110/7170   B-ID
DOB   O
:   O
11/05/1606   B-DATE
Age   O
:   O
82   O
Phone   O
:   O
72834   B-CONTACT
Address   O
:   O
Blairsville   B-LOCATION
,   I-LOCATION
Blairsville   I-LOCATION
Better   I-LOCATION
Hometown   I-LOCATION
,   O
48588   B-LOCATION
Medical   O
Record   O
Number   O
:   O
81749138   B-ID
Primary   O
Physician   O
:   O

Erica   B-NAME
Bradford   I-NAME
Admitting   O
Hospital   O
:   O
Berwick   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Admission   O
:   O
03/15   B-DATE
Occupation   O
:   O
Nonelectrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Operators   O
and   O
Tenders   O
,   O
Metal   O
and   O
Plastic   O
Clinical   O
Findings   O
:   O
Davidson   B-NAME
,   O
a   O
95   O
-   O
year   O
-   O
old   O
Helpers   O
,   O
Construction   O
Trades   O
,   O
All   O
Other   O
from   O
Binger   B-LOCATION
,   O
was   O
admitted   O
to   O
Marshfield   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Rice   I-LOCATION
Lake   I-LOCATION
on   O
06/20/48   B-DATE
with   O
a   O
presenting   O
complaint   O
of   O
severe   O
,   O
persistent   O
headaches   O
predominantly   O
localized   O
to   O
the   O
frontal   O
and   O
occipital   O
regions   O
.   O

Additionally   O
,   O
Kailyn   B-NAME
Little   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
,   O
occasional   O
vomiting   O
,   O
and   O
photophobia   O
,   O
significantly   O
impacting   O
their   O
daily   O
activities   O
and   O
occupational   O
responsibilities   O
.   O

Upon   O
further   O
evaluation   O
,   O
Victorinus   B-NAME
Hribal   I-NAME
also   O
described   O
experiencing   O
episodes   O
of   O
visual   O
disturbances   O
such   O
as   O
blurred   O
vision   O
and   O
aura   O
,   O
preceding   O
the   O
onset   O
of   O
the   O
headaches   O
.   O

Jaye   B-NAME
Venturini   I-NAME
's   O
medical   O
history   O
is   O
notable   O
for   O
hypertension   O
,   O
for   O
which   O
they   O
have   O
been   O
prescribed   O
medication   O
(   O
unspecified   O
)   O
,   O
and   O
a   O
family   O
history   O
of   O
migraine   O
headaches   O
.   O

Given   O
the   O
severity   O
and   O
frequency   O
of   O
the   O
headaches   O
,   O
as   O
well   O
as   O
the   O
associated   O
symptoms   O
,   O
a   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
was   O
ordered   O
by   O
Shea   B-NAME
and   O
conducted   O
on   O
dec   B-DATE
2133   I-DATE
,   O
which   O
did   O
not   O
show   O
any   O
acute   O
intracranial   O
abnormalities   O
.   O

Management   O
and   O
Recommendations   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
workup   O
,   O
Foxworthy   B-NAME
,   I-NAME
Jeff   I-NAME
was   O
diagnosed   O
with   O
migraine   O
without   O
aura   O
.   O

A   O
treatment   O
plan   O
was   O
formulated   O
by   O
Wiggins   B-NAME
,   O
incorporating   O
both   O
pharmacological   O
and   O
non   O
-   O
pharmacological   O
measures   O
.   O

Charles   B-NAME
Tyler   I-NAME
was   O
started   O
on   O
a   O
trial   O
of   O
oral   O
sumatriptan   O
for   O
acute   O
migraine   O
attacks   O
and   O
advised   O
on   O
lifestyle   O
modifications   O
including   O
regular   O
exercise   O
,   O
maintaining   O
a   O
regular   O
sleep   O
schedule   O
,   O
and   O
dietary   O
adjustments   O
to   O
avoid   O
known   O
triggers   O
.   O

Stefanie   B-NAME
Follette   I-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
outpatient   O
neurology   O
clinic   O
for   O
further   O
assessment   O
and   O
adjustment   O
of   O
their   O
treatment   O
plan   O
.   O

Conclusion   O
:   O
Bernard   B-NAME
,   O
a   O
9   O
week   O
-   O
year   O
-   O
old   O
Woodworking   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Except   O
Sawing   O
with   O
a   O
clinical   O
diagnosis   O
of   O
migraine   O
without   O
aura   O
,   O
is   O
currently   O
under   O
treatment   O
with   O
positive   O
initial   O
response   O
to   O
therapy   O
.   O

Signature   O
:   O
Sawyer   B-NAME
,   I-NAME
Diane   I-NAME
10/24   B-DATE
End   O
of   O
Report   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Butler   B-NAME
,   I-NAME
Amir   I-NAME
DOB   O
:   O
3/03   B-DATE
Patient   O
ID   O
:   O
666763926   B-ID
Medical   O
Record   O
Number   O
:   O
8649698   B-ID
Address   O
:   O
Antioch   B-LOCATION
,   O
37650   B-LOCATION
Phone   O
Number   O
:   O
642   B-CONTACT
3351   I-CONTACT
Profession   O
:   O

Military   O
Officer   O
Special   O
and   O
Tactical   O
Operations   O
Leaders   O
,   O
All   O
Other   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Martinez   B-NAME
Admitting   O
Hospital   O
:   O
CHI   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Corning   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Nixon   B-NAME
,   I-NAME
Richard   I-NAME
,   O
a   O
58   O
-   O
year   O
-   O
old   O
Advanced   O
Practice   O
Psychiatric   O
Nurses   O
from   O
Urie   B-LOCATION
,   O
presented   O
to   O
the   O
SouthPointe   B-LOCATION
Hospital   I-LOCATION
on   O
12/22   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
,   O
and   O
persistent   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Edwards   B-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
approximately   O
10   O
hours   O
prior   O
to   O
admission   O
,   O
starting   O
with   O
mild   O
nausea   O
which   O
escalated   O
to   O
severe   O
abdominal   O
pain   O
by   O
the   O
evening   O
.   O

Mckenzie   B-NAME
Bennett   I-NAME
has   O
a   O
medical   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
oral   O
hypoglycemics   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Colin   B-NAME
Keane   I-NAME
was   O
found   O
to   O
be   O
in   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Outcome   O
:   O
Tolian   B-NAME
Soran   I-NAME
was   O
admitted   O
to   O
Danville   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Nichols   B-NAME
,   O
where   O
conservative   O
management   O
including   O
IV   O
fluids   O
,   O
NPO   O
(   O
nil   O
per   O
os   O
)   O
status   O
,   O
and   O
analgesia   O
was   O
initiated   O
.   O

Over   O
the   O
next   O
48   O
hours   O
,   O
Conchita   B-NAME
Palmios   I-NAME
's   O
condition   O
showed   O
improvement   O
with   O
a   O
decrease   O
in   O
abdominal   O
pain   O
and   O
normalization   O
of   O
lipase   O
levels   O
.   O

Paul   B-NAME
Reilly   I-NAME
was   O
started   O
on   O
a   O
clear   O
liquid   O
diet   O
72   O
hours   O
after   O
admission   O
and   O
gradually   O
advanced   O
as   O
tolerated   O
.   O

Jade   B-NAME
Compton   I-NAME
was   O
discharged   O
on   O
1671   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
03   I-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
with   O
Dr.   O
Sanders   B-NAME
in   O
2   O
weeks   O
,   O
a   O
referral   O
to   O
a   O
gastroenterologist   O
for   O
further   O
evaluation   O
,   O
and   O
lifestyle   O
modifications   O
including   O
a   O
low   O
-   O
fat   O
diet   O
.   O

Conclusion   O
:   O
The   O
patient   O
,   O
Heath   B-NAME
Roman   I-NAME
,   O
was   O
treated   O
for   O
acute   O
pancreatitis   O
at   O
Delray   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
under   O
Dr.   O
Lyndon   B-NAME
Isabelle   I-NAME
,   O
and   O
showed   O
significant   O
improvement   O
following   O
conservative   O
management   O
.   O

Dr.   O
Orr   B-NAME
,   O
388   B-CONTACT
8471   I-CONTACT
Hospital   O
Contact   O
:   O
Strong   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
546   B-CONTACT
9398   I-CONTACT

The   O
patient   O
,   O
Patterson   B-NAME
,   O
a   O
36   O
-   O
year   O
-   O
old   O
Librarians   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
United   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
10/9   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
an   O
inability   O
to   O
tolerate   O
oral   O
intake   O
over   O
the   O
past   O
24   O
hours   O
.   O

Dorian   B-NAME
Peterson   I-NAME
also   O
mentioned   O
experiencing   O
a   O
low   O
-   O
grade   O
fever   O
and   O
chills   O
since   O
11   B-DATE
-   I-DATE
20   I-DATE
.   O

Upon   O
examination   O
,   O
Odonnell   B-NAME
noted   O
the   O
patient   O
's   O
abdomen   O
to   O
be   O
tender   O
in   O
the   O
lower   O
quadrants   O
with   O
voluntary   O
guarding   O
.   O

Laboratory   O
tests   O
,   O
ordered   O
on   O
8/08/52   B-DATE
,   O
indicated   O
leukocytosis   O
with   O
a   O
shift   O
to   O
the   O
left   O
,   O
elevated   O
serum   O
amylase   O
,   O
and   O
lipase   O
levels   O
suggesting   O
acute   O
pancreatitis   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Jefferson   B-NAME
and   O
performed   O
on   O
17/21   B-DATE
,   O
revealed   O
inflammation   O
of   O
the   O
pancreas   O
without   O
evidence   O
of   O
gallstones   O
or   O
obstruction   O
.   O

Small   B-NAME
discussed   O
the   O
findings   O
with   O
OXENDINE   B-NAME
,   I-NAME
LAWRENCE   I-NAME
and   O
recommended   O
admission   O
for   O
intravenous   O
hydration   O
,   O
pain   O
management   O
,   O
and   O
further   O
monitoring   O
.   O

The   O
patient   O
was   O
assigned   O
a   O
room   O
number   O
at   O
Union   B-LOCATION
Hospital   I-LOCATION
and   O
commenced   O
on   O
IV   O
fluids   O
and   O
analgesia   O
on   O
2092   B-DATE
.   O

Nutritional   O
support   O
was   O
initiated   O
with   O
a   O
clear   O
liquid   O
diet   O
on   O
November   B-DATE
22   I-DATE
as   O
tolerated   O
and   O
gradually   O
advanced   O
as   O
symptoms   O
improved   O
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
serial   O
abdominal   O
exams   O
and   O
laboratory   O
tests   O
were   O
performed   O
to   O
monitor   O
the   O
progression   O
of   O
Mindi   B-NAME
Wilmer   I-NAME
's   O
condition   O
.   O

The   O
patient   O
's   O
condition   O
showed   O
gradual   O
improvement   O
and   O
Meadow   B-NAME
Mcconnell   I-NAME
was   O
discharged   O
on   O
33/32   B-DATE
with   O
instructions   O
on   O
dietary   O
management   O
and   O
alcohol   O
abstinence   O
.   O

Follow   O
-   O
up   O
appointments   O
with   O
Marisa   B-NAME
Valencia   I-NAME
were   O
scheduled   O
for   O
March   B-DATE
2015   I-DATE
to   O
assess   O
recovery   O
progress   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
post   O
-   O
discharge   O
,   O
Rodriguez   B-NAME
,   I-NAME
Alex   I-NAME
was   O
advised   O
to   O
contact   O
Geisinger   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
help   O
line   O
at   O
180   B-CONTACT
2183   I-CONTACT
.   O

The   O
discharge   O
summary   O
and   O
instructions   O
were   O
documented   O
in   O
the   O
patient   O
's   O
medical   O
record   O
number   O
8854117   B-ID
.   O

The   O
patient   O
resides   O
in   O
Lake   B-LOCATION
Meredith   I-LOCATION
Estates   I-LOCATION
and   O
expressed   O
understanding   O
of   O
the   O
discharge   O
instructions   O
,   O
verbalizing   O
the   O
importance   O
of   O
follow   O
-   O
up   O
care   O
.   O

Sabrina   B-NAME
Kelly   I-NAME
shared   O
gratitude   O
towards   O
Wong   B-NAME
and   O
the   O
medical   O
staff   O
at   O
Baptist   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Union   I-LOCATION
County   I-LOCATION
for   O
the   O
attentive   O
care   O
received   O
.   O

The   O
case   O
was   O
reported   O
to   O
Waterfield   B-LOCATION
Bank   I-LOCATION
for   O
quality   O
control   O
as   O
part   O
of   O
ongoing   O
efforts   O
to   O
improve   O
patient   O
care   O
systems   O
.   O

To   O
safeguard   O
privacy   O
,   O
all   O
identifiable   O
personal   O
information   O
including   O
the   O
patient   O
's   O
name   O
(   O
Toby   B-NAME
Schultz   I-NAME
)   O
,   O
contact   O
number   O
(   O
20173   B-CONTACT
)   O
,   O
medical   O
record   O
number   O
(   O
7174787   B-ID
)   O
,   O
and   O
residence   O
(   O
Jackson   B-LOCATION
-   I-LOCATION
Fondren   I-LOCATION
,   I-LOCATION
Fondren   I-LOCATION
Renaissance   I-LOCATION
Foundation   I-LOCATION
,   O
84892   B-LOCATION
)   O
have   O
been   O
confidentially   O
handled   O
.   O

The   O
healthcare   O
provider   O
has   O
reiterated   O
to   O
Damien   B-NAME
Ali   I-NAME
the   O
importance   O
of   O
maintaining   O
a   O
healthy   O
lifestyle   O
and   O
has   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
for   O
11/25   B-DATE
to   O
monitor   O
health   O
progress   O
.   O

Patient   O
Name   O
:   O
Sid   B-NAME
Walker   I-NAME
Medical   O
Record   O
Number   O
:   O
9028470   B-ID
Date   O
of   O
Birth   O
:   O
July   B-DATE
30   I-DATE
Date   O
of   O
Admission   O
:   O
October   B-DATE
Hospital   O
:   O

Erlanger   B-LOCATION
Baroness   I-LOCATION
Hospital   I-LOCATION
Attending   O
Physician   O
:   O

Lamb   B-NAME
Location   O
:   O
Blue   B-LOCATION
Island   I-LOCATION
,   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Blue   I-LOCATION
Island   I-LOCATION
Age   O
:   O
78   O
Occupation   O
:   O
Soil   O
and   O
Water   O
Conservationists   O
Contact   O
Number   O
:   O
175   B-CONTACT
997   I-CONTACT
8225   I-CONTACT
SSN   O
:   O
185570124   B-ID
Residential   O
Address   O
:   O
Hilshire   B-LOCATION
Village   I-LOCATION
,   O
50225   B-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Blaine   B-NAME
Frey   I-NAME
,   O
presents   O
with   O
a   O
persistent   O
dry   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
intermittent   O
episodes   O
of   O
high   O
fever   O
over   O
the   O
last   O
3/22   B-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Lawson   B-NAME
reports   O
the   O
onset   O
of   O
a   O
dry   O
cough   O
approximately   O
spring   B-DATE
,   I-DATE
2000   I-DATE
ago   O
,   O
which   O
has   O
progressively   O
worsened   O
.   O

However   O
,   O
over   O
the   O
past   O
January   B-DATE
22   I-DATE
,   I-DATE
2141   I-DATE
,   O
Gogh   B-NAME
,   I-NAME
Vincent   I-NAME
Willem   I-NAME
Van   I-NAME
has   O
noted   O
a   O
marked   O
increase   O
in   O
frequency   O
and   O
severity   O
,   O
along   O
with   O
the   O
development   O
of   O
dyspnea   O
on   O
exertion   O
.   O

Past   O
Medical   O
History   O
:   O
Rishi   B-NAME
Wiley   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
controlled   O
with   O
lifestyle   O
modifications   O
and   O
medication   O
.   O

Aron   B-NAME
Haas   I-NAME
reports   O
no   O
known   O
drug   O
allergies   O
.   O

Antihypertensive   O
medication   O
–   O
as   O
prescribed   O
Social   O
History   O
:   O
Brylee   B-NAME
Pearson   I-NAME
works   O
as   O
a   O
Artists   O
and   O
Related   O
Workers   O
,   O
All   O
Other   O
at   O
PTI   B-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
,   O
does   O
not   O
use   O
tobacco   O
products   O
,   O
consumes   O
alcohol   O
socially   O
,   O
and   O
denies   O
use   O
of   O
recreational   O
drugs   O
.   O

On   O
examination   O
,   O
Annika   B-NAME
Atkinson   I-NAME
appeared   O
fatigued   O
but   O
was   O
in   O
no   O
acute   O
distress   O
.   O

3   O
.   O
Scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
and   O
further   O
evaluations   O
with   O
Mooney   B-NAME
in   O
one   O
week   O
or   O
sooner   O
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Hillary   B-NAME
,   I-NAME
Edmund   I-NAME
’s   O
Loan   O
Interviewers   O
and   O
Clerks   O
Phone   O
Number   O
:   O
238   B-CONTACT
1810   I-CONTACT
Note   O
:   O

All   O
future   O
correspondences   O
regarding   O
Olsen   B-NAME
,   I-NAME
Mary   I-NAME
-   I-NAME
Kate   I-NAME
and   I-NAME
Ashley   I-NAME
's   O
care   O
must   O
be   O
directed   O
to   O
Capone   B-NAME
,   I-NAME
Al   I-NAME
at   O
UF   B-LOCATION
Health   I-LOCATION
Shands   I-LOCATION
Hospital   I-LOCATION
,   O
585   B-CONTACT
-   I-CONTACT
2111   I-CONTACT
.   O

Coordination   O
with   O
Direct   B-LOCATION
Action   I-LOCATION
Everywhere   I-LOCATION
(   I-LOCATION
DxE   I-LOCATION
)   I-LOCATION
's   O
health   O
services   O
and   O
Richard   B-NAME
L.   I-NAME
Mckenzie   I-NAME
’s   O
primary   O
care   O
provider   O
is   O
ongoing   O
to   O
ensure   O
comprehensive   O
care   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Henderson   B-NAME
Xin   I-NAME
-   O
Age   O
:   O
66   O
-   O
Medical   O
Record   O
Number   O
:   O
64648936   B-ID
-   O
Date   O
of   O
Birth   O
:   O
2265   B-DATE
-   O
Date   O
of   O
Visit   O
:   O
22/25   B-DATE
-   O
Address   O
:   O
Braintree   B-LOCATION
,   O
96614   B-LOCATION
-   O
Phone   O
Number   O
:   O
52785   B-CONTACT
-   O
Occupation   O
:   O
Office   O
Clerks   O
,   O
General   O
-   O
Attending   O
Physician   O
:   O
Buchanan   B-NAME
-   O
Hospital   O
:   O
Dearborn   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
DBA   I-LOCATION
Highpoint   I-LOCATION
Health   I-LOCATION
-   O
Patient   O
ID   O
:   O
HT   B-ID
:   I-ID
XO:2448   I-ID
Chief   O
Complaint   O
:   O
Ortega   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Aiken   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/32   B-DATE
,   O
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
began   O
approximately   O
8   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
reported   O
that   O
the   O
pain   O
started   O
suddenly   O
after   O
consuming   O
dinner   O
at   O
a   O
local   O
restaurant   O
at   O
Browns   B-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
-   O
Hypertension   O
diagnosed   O
Tuesday   B-DATE
-   O
No   O
known   O
drug   O
allergies   O
-   O
No   O
previous   O
surgeries   O
Medication   O
History   O
:   O
-   O
Takes   O
lisinopril   O
10   O
mg   O
daily   O
for   O
hypertension   O
Review   O
of   O
Systems   O
:   O
Except   O
for   O
the   O
significant   O
findings   O
related   O
to   O
the   O
gastrointestinal   O
system   O
as   O
reported   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
the   O
present   O
illness   O
,   O
all   O
other   O
systems   O
'   O
review   O
was   O
unremarkable   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Elle   B-NAME
Downs   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Assessment   O
and   O
Plan   O
:   O
The   O
assessment   O
of   O
Brewer   B-NAME
on   O
2022   B-DATE
by   O
Lauryn   B-NAME
Rich   I-NAME
at   O
Ascension   B-LOCATION
Via   I-LOCATION
Christi   I-LOCATION
Hospital   I-LOCATION
was   O
acute   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
obtained   O
,   O
and   O
KYLE   B-NAME
LEVINE   I-NAME
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
20/90   B-DATE
.   O

Short   B-NAME
was   O
advised   O
to   O
avoid   O
eating   O
or   O
drinking   O
until   O
after   O
the   O
surgery   O
.   O

Post   O
-   O
operative   O
follow   O
-   O
up   O
was   O
scheduled   O
for   O
2104   B-DATE
at   O
CJW   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Chippenham   I-LOCATION
Campus   I-LOCATION
.   O

Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
Berna   B-NAME
Nicola   I-NAME
was   O
provided   O
with   O
post   O
-   O
operative   O
care   O
instructions   O
,   O
including   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
at   O
the   O
incision   O
site   O
,   O
pain   O
management   O
strategies   O
,   O
and   O
dietary   O
recommendations   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
13/23   B-DATE
.   O

Natasha   B-NAME
Smith   I-NAME
was   O
advised   O
to   O
contact   O
Hiram   B-NAME
Baker   I-NAME
at   O
825   B-CONTACT
-   I-CONTACT
6392   I-CONTACT
for   O
any   O
concerns   O
or   O
complications   O
.   O

This   O
patient   O
report   O
contains   O
confidential   O
health   O
information   O
of   O
Alix   B-NAME
Gadbois   I-NAME
and   O
is   O
protected   O
by   O
various   O
laws   O
and   O
regulations   O
.   O

Prepared   O
by   O
:   O
Teacher   O
(   O
special   O
educational   O
needs   O
)   O
,   O
npn116   B-NAME
Date   O
:   O
22/02/11   B-DATE

The   O
patient   O
,   O
hartman   B-NAME
,   O
a   O
96s   O
-   O
year   O
-   O
old   O
Gaugers   O
from   O
Ebony   B-LOCATION
,   O
was   O
admitted   O
to   O
Veterans   B-LOCATION
Affairs   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Birmingham   I-LOCATION
on   O
32/03   B-DATE
with   O
a   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
,   O
intermittent   O
chest   O
pain   O
,   O
and   O
a   O
persistent   O
cough   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
examination   O
,   O
Lucille   B-NAME
Cobb   I-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
,   O
with   O
an   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

Considering   O
the   O
patient   O
's   O
symptoms   O
and   O
diagnostics   O
,   O
Negroponte   B-NAME
,   I-NAME
Nicholas   I-NAME
proceeded   O
with   O
further   O
investigations   O
,   O
including   O
a   O
CT   O
scan   O
of   O
the   O
chest   O
which   O
confirmed   O
the   O
presence   O
of   O
ground   O
-   O
glass   O
opacities   O
primarily   O
in   O
the   O
lower   O
lobes   O
of   O
both   O
lungs   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
findings   O
,   O
Lucien   B-NAME
Englert   I-NAME
was   O
diagnosed   O
with   O
atypical   O
pneumonia   O
.   O

Phoebe   B-NAME
Booth   I-NAME
recommended   O
starting   O
a   O
course   O
of   O
antibiotics   O
and   O
provided   O
guidance   O
on   O
supportive   O
care   O
measures   O
,   O
including   O
hydration   O
and   O
rest   O
.   O

The   O
patient   O
's   O
condition   O
was   O
further   O
discussed   O
with   O
Moore   B-NAME
's   O
team   O
at   O
Wayne   B-LOCATION
HealthCare   I-LOCATION
to   O
ensure   O
a   O
coordinated   O
approach   O
to   O
treatment   O
.   O

Sandra   B-NAME
Franco   I-NAME
was   O
provided   O
with   O
discharge   O
instructions   O
,   O
including   O
warning   O
signs   O
that   O
would   O
necessitate   O
immediate   O
medical   O
attention   O
.   O

For   O
continuity   O
of   O
care   O
,   O
the   O
discharge   O
summary   O
and   O
treatment   O
plan   O
,   O
identified   O
by   O
90609589   B-ID
,   O
were   O
shared   O
with   O
Kasey   B-NAME
Crawford   I-NAME
's   O
primary   O
care   O
provider   O
in   O
Mackinac   B-LOCATION
.   O

The   O
summary   O
highlighted   O
the   O
need   O
for   O
a   O
follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
to   O
evaluate   O
the   O
resolution   O
of   O
pneumonia   O
and   O
adjust   O
treatment   O
as   O
necessary   O
.   O
Radner   B-NAME
,   I-NAME
Gilda   I-NAME
expressed   O
gratitude   O
for   O
the   O
treatment   O
received   O
and   O
was   O
reassured   O
by   O
the   O
thorough   O
explanation   O
of   O
the   O
diagnosis   O
,   O
treatment   O
plan   O
,   O
and   O
what   O
to   O
expect   O
during   O
the   O
recovery   O
process   O
.   O

Contact   O
information   O
,   O
including   O
705   B-CONTACT
-   I-CONTACT
2854   I-CONTACT
,   O
was   O
provided   O
to   O
Dillan   B-NAME
Strong   I-NAME
should   O
any   O
questions   O
or   O
concerns   O
arise   O
after   O
discharge   O
.   O

The   O
patient   O
was   O
reminded   O
of   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
and   O
follow   O
-   O
up   O
visits   O
to   O
Cory   B-NAME
Mason   I-NAME
at   O
Via   B-LOCATION
Christi   I-LOCATION
Hospitals   I-LOCATION
Wichita   I-LOCATION
-   I-LOCATION
St   I-LOCATION
Francis   I-LOCATION
on   O
4/29/92   B-DATE
.   O

Pruitt   B-NAME
Age   O
:   O
13s   O
ID   O
:   O
6   B-ID
-   I-ID
3896753   I-ID
Medical   O
Record   O
Number   O
:   O
645   B-ID
-   I-ID
12   I-ID
-   I-ID
83   I-ID
-   I-ID
0   I-ID
Date   O
of   O
Birth   O
:   O
22/25/28   B-DATE
Date   O
of   O
Visit   O
:   O
18/12/62   B-DATE
Hospital   O
:   O
Jefferson   B-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Piper   B-LOCATION
City   I-LOCATION
Zip   O
Code   O
:   O
64094   B-LOCATION
Phone   O
:   O
(   B-CONTACT
859   I-CONTACT
)   I-CONTACT
480   I-CONTACT
-   I-CONTACT
5762   I-CONTACT
Responsible   O
Doctor   O
:   O
Donovan   B-NAME
Referred   O
by   O
:   O
Film   O
and   O
Video   O
Editors   O
from   O
Lee   B-LOCATION
County   I-LOCATION
Electric   I-LOCATION
Cooperative   I-LOCATION
Presenting   O
Concern   O
:   O
1608   B-DATE
,   O
Aguilar   B-NAME
was   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
NYC   B-LOCATION
Health   I-LOCATION
Hospitals   I-LOCATION
-   I-LOCATION
Metropolitan   I-LOCATION
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
noticeable   O
increase   O
in   O
body   O
temperature   O
perceived   O
by   O
the   O
patient   O
.   O

Jaiden   B-NAME
Tate   I-NAME
described   O
the   O
onset   O
of   O
pain   O
as   O
sudden   O
,   O
which   O
commenced   O
early   O
in   O
the   O
morning   O
of   O
08/32/2366   B-DATE
.   O

Davidson   B-NAME
,   O
a   O
Food   O
Preparation   O
and   O
Serving   O
Related   O
Workers   O
,   O
All   O
Other   O
,   O
mentioned   O
that   O
there   O
has   O
been   O
no   O
recent   O
change   O
in   O
diet   O
or   O
any   O
notable   O
incident   O
that   O
could   O
have   O
precipitated   O
these   O
symptoms   O
.   O

Medical   O
History   O
:   O
Elena   B-NAME
Noble   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
through   O
medication   O
prescribed   O
by   O
Lin   B-NAME
from   O
Veterans   B-LOCATION
for   I-LOCATION
Common   I-LOCATION
Sense   I-LOCATION
(   I-LOCATION
VCS   I-LOCATION
)   I-LOCATION
.   O

Danna   B-NAME
Mayo   I-NAME
's   O
family   O
history   O
reveals   O
that   O
both   O
parents   O
had   O
histories   O
of   O
cardiac   O
disorders   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Jace   B-NAME
Sparks   I-NAME
documented   O
tenderness   O
and   O
rebound   O
pain   O
in   O
the   O
lower   O
right   O
quadrant   O
of   O
the   O
abdomen   O
.   O

Based   O
on   O
these   O
findings   O
,   O
Bond   B-NAME
advised   O
that   O
Arielle   B-NAME
Sanford   I-NAME
requires   O
an   O
emergent   O
appendectomy   O
.   O
Course   O
of   O
Treatment   O
:   O
Collin   B-NAME
Hawkins   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
surgery   O
.   O

After   O
obtaining   O
informed   O
consent   O
,   O
Cunningham   B-NAME
was   O
prepared   O
for   O
an   O
urgent   O
appendectomy   O
on   O
17/23   B-DATE
.   O

The   O
post   O
-   O
operative   O
phase   O
was   O
uneventful   O
,   O
and   O
Forbes   B-NAME
was   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
any   O
surgical   O
complications   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Amira   B-NAME
Horne   I-NAME
was   O
discharged   O
on   O
2325   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
13   I-DATE
with   O
post   O
-   O
operative   O
instructions   O
,   O
including   O
the   O
signs   O
of   O
infection   O
monitoring   O
,   O
wound   O
care   O
guidelines   O
,   O
and   O
a   O
prescription   O
for   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Nina   B-NAME
Singleton   I-NAME
for   O
6   B-DATE
-   I-DATE
20   I-DATE
-   I-DATE
54   I-DATE
at   O
Larkin   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
the   O
healing   O
process   O
and   O
discuss   O
further   O
management   O
if   O
needed   O
.   O

If   O
you   O
have   O
received   O
this   O
document   O
in   O
error   O
,   O
please   O
contact   O
224   B-CONTACT
-   I-CONTACT
7508   I-CONTACT
immediately   O
and   O
return   O
the   O
original   O
document   O
to   O
Montefiore   B-LOCATION
Moses   I-LOCATION
Campus   I-LOCATION
(   O
Cape   B-LOCATION
Coral   I-LOCATION
,   I-LOCATION
FL   I-LOCATION
33904   I-LOCATION
,   O
65046   B-LOCATION
)   O
.   O

Username   O
for   O
electronic   O
records   O
access   O
:   O
dh6310   B-NAME

Patient   O
Report   O
Patient   O
Information   O
:   O
Patient   O
Name   O
:   O
Beyale   B-NAME
Age   O
:   O
82   O
Date   O
of   O
Birth   O
:   O
32/13   B-DATE
Medical   O
Record   O
Number   O
:   O
3748683   B-ID
ID   O
Number   O
:   O
ZZ:99710:405383   B-ID
Phone   O
Number   O
:   O
140   B-CONTACT
-   I-CONTACT
3379   I-CONTACT
Address   O
:   O
Warren   B-LOCATION
,   I-LOCATION
Warren   I-LOCATION
Co.-Forest   I-LOCATION
EOC   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
,   O
96832   B-LOCATION
Occupation   O
:   O
Municipal   O
Firefighters   O
Primary   O
Physician   O
:   O

White   B-NAME
Hospital   O
Name   O
:   O
Heartland   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Medical   O
History   O
:   O
Richard   B-NAME
Burke   I-NAME
presented   O
to   O
Hahnemann   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
on   O
12/00/60   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
fever   O
over   O
the   O
past   O
15/28   B-DATE
.   O

The   O
patient   O
's   O
medical   O
history   O
includes   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
7/1   B-DATE
and   O
hypertension   O
.   O

According   O
to   O
Jamie   B-NAME
Cruz   I-NAME
,   O
they   O
have   O
not   O
been   O
outside   O
Market   B-LOCATION
Rasen   I-LOCATION
in   O
the   O
past   O
02/22   B-DATE
.   O

Clinical   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Dailey   B-NAME
exhibited   O
a   O
body   O
temperature   O
of   O
39.1   O
°   O
C   O
,   O
a   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
a   O
respiratory   O
rate   O
of   O
24   O
breaths   O
per   O
minute   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
tests   O
,   O
Ronni   B-NAME
Parrington   I-NAME
was   O
diagnosed   O
with   O
bacterial   O
pneumonia   O
complicated   O
by   O
their   O
pre   O
-   O
existing   O
conditions   O
of   O
Type   O
2   O
Diabetes   O
and   O
hypertension   O
.   O

COVID-19   O
was   O
ruled   O
out   O
upon   O
receiving   O
the   O
PCR   O
test   O
results   O
on   O
26/23   B-DATE
.   O
Treatment   O
Plan   O
:   O

Kantor   B-NAME
Cosano   I-NAME
was   O
started   O
on   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
course   O
and   O
advised   O
to   O
monitor   O
blood   O
sugar   O
levels   O
closely   O
,   O
taking   O
insulin   O
as   O
prescribed   O
.   O

Recommendations   O
included   O
resting   O
,   O
staying   O
hydrated   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
for   O
33/02   B-DATE
to   O
assess   O
progress   O
.   O

Instructions   O
were   O
provided   O
on   O
monitoring   O
symptoms   O
and   O
advised   O
to   O
return   O
to   O
Western   B-LOCATION
Plains   I-LOCATION
Medical   I-LOCATION
Complex   I-LOCATION
–   I-LOCATION
Dodge   I-LOCATION
City   I-LOCATION
if   O
experiencing   O
any   O
worsening   O
of   O
symptoms   O
or   O
difficulties   O
in   O
breathing   O
.   O

Discharge   O
and   O
Follow   O
-   O
up   O
:   O
Carolyn   B-NAME
Wheeler   I-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
was   O
discharged   O
on   O
2285   B-DATE
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
planned   O
with   O
Selina   B-NAME
Boyer   I-NAME
at   O
The   B-LOCATION
Ohio   I-LOCATION
State   I-LOCATION
University   I-LOCATION
Wexner   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
monitor   O
the   O
patient   O
's   O
recovery   O
and   O
manage   O
their   O
pre   O
-   O
existing   O
conditions   O
.   O

Kamren   B-NAME
Manning   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
healthy   O
diet   O
,   O
regular   O
physical   O
activity   O
,   O
and   O
monitor   O
their   O
blood   O
pressure   O
and   O
blood   O
sugar   O
levels   O
closely   O
.   O

Further   O
,   O
Kennita   B-NAME
was   O
encouraged   O
to   O
consider   O
receiving   O
the   O
COVID-19   O
vaccine   O
during   O
the   O
next   O
visit   O
.   O

This   O
medical   O
report   O
is   O
securely   O
stored   O
under   O
Nightingale   B-NAME
,   I-NAME
Florence   I-NAME
's   O
medical   O
record   O
number   O
9718591   B-ID
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
health   O
status   O
,   O
please   O
contact   O
Westchester   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
990   B-CONTACT
410   I-CONTACT
-   I-CONTACT
5783   I-CONTACT
.   O

Document   O
Prepared   O
by   O
:   O
do886   B-NAME
Updated   O
on   O
:   O
02/06   B-DATE
Cape   B-LOCATION
Fear   I-LOCATION
Bank   I-LOCATION

Patient   O
Report   O
for   O
Herrera   B-NAME
General   O
Information   O
:   O
-   O
Daniel   B-NAME
Goodman   I-NAME
-   O
60   O
:   O
2   O
month   O
years   O
-   O
AH805/3558   B-ID
:   O
0   B-ID
-   I-ID
5926472   I-ID
-   O
3340049   B-ID
:   O
5178   B-ID
:   I-ID
Q96115   I-ID
-   O
338   B-CONTACT
-   I-CONTACT
152   I-CONTACT
2347   I-CONTACT
:   O
127   B-CONTACT
-   I-CONTACT
9714   I-CONTACT
-   O
Reporting   O
Clinical   O
biochemist   O
:   O
Physician   O
-   O
Diagnosing   O
Physician   O
:   O
Emilee   B-NAME
Downs   I-NAME
-   O
Date   O
of   O
report   O
:   O
11/31   B-DATE
-   O
Location   O
:   O
Oklahoma   B-LOCATION
City   I-LOCATION
,   I-LOCATION
OK   I-LOCATION
73131   I-LOCATION
-   O
Hospital   O
:   O
Florida   B-LOCATION
Hospital   I-LOCATION
Fish   I-LOCATION
Memorial   I-LOCATION
-   O
78321   B-LOCATION
:   O
16021   B-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
Eneida   B-NAME
Blessett   I-NAME
,   O
a   O
41   O
-   O
year   O
-   O
old   O
Storage   O
and   O
Distribution   O
Managers   O
from   O
Hendron   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Northern   B-LOCATION
Light   I-LOCATION
Eastern   I-LOCATION
Maine   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
39/24/2212   B-DATE
with   O
a   O
48   O
-   O
hour   O
history   O
of   O
severe   O
,   O
sharp   O
,   O
right   O
lower   O
quadrant   O
abdominal   O
pain   O
that   O
radiated   O
to   O
the   O
back   O
.   O

Additional   O
symptoms   O
included   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
on   O
the   O
morning   O
of   O
02/14   B-DATE
.   O

Valery   B-NAME
Frost   I-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
starting   O
the   O
night   O
before   O
admission   O
.   O

Past   O
Medical   O
History   O
:   O
Kesler   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
diet   O
.   O

There   O
is   O
also   O
a   O
history   O
of   O
hypertension   O
for   O
which   O
STEELE   B-NAME
,   I-NAME
SHAYLYN   I-NAME
is   O
on   O
ACE   O
inhibitors   O
.   O

Review   O
of   O
Systems   O
:   O
Upon   O
review   O
,   O
Tania   B-NAME
Burgess   I-NAME
also   O
noted   O
a   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
week   O
and   O
a   O
mild   O
,   O
persistent   O
headache   O
.   O

Gideon   B-NAME
Mccormick   I-NAME
's   O
temperature   O
was   O
elevated   O
at   O
15   O
degrees   O
Celsius   O
.   O

Further   O
confirmation   O
with   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
recommended   O
by   O
Brooks   B-NAME
.   O

Given   O
the   O
diagnosis   O
and   O
clinical   O
presentation   O
,   O
Maliyah   B-NAME
Hodge   I-NAME
recommended   O
immediate   O
surgical   O
intervention   O
.   O

Aliza   B-NAME
Richards   I-NAME
was   O
informed   O
of   O
the   O
risks   O
and   O
benefits   O
of   O
the   O
surgery   O
,   O
and   O
informed   O
consent   O
was   O
obtained   O
.   O

Deidre   B-NAME
Borquez   I-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
February   B-DATE
2   I-DATE
at   O
Wake   B-LOCATION
Forest   I-LOCATION
Baptist   I-LOCATION
Health   I-LOCATION
High   I-LOCATION
Point   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
is   O
scheduled   O
for   O
01/32/83   B-DATE
with   O
Hodge   B-NAME
at   O
UnityPoint   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Finley   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
discuss   O
further   O
management   O
of   O
Aracely   B-NAME
Nash   I-NAME
's   O
diabetes   O
and   O
hypertension   O
.   O

Report   O
Prepared   O
by   O
:   O
Gaming   O
Dealers   O
,   O
yao927   B-NAME
04/08/2239   B-DATE
This   O
report   O
is   O
confidential   O
and   O
intended   O
only   O
for   O
the   O
use   O
of   O
Alia   B-NAME
Brachle   I-NAME
,   O
Aubrie   B-NAME
Wallace   I-NAME
,   O
and   O
authorized   O
members   O
of   O
the   O
medical   O
team   O
at   O
Hillsboro   B-LOCATION
Community   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Hillsboro   I-LOCATION
and   O
Manhattan   B-LOCATION
Life   I-LOCATION
Insurance   I-LOCATION
Company   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Linda   B-NAME
Trujillo   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
6719198   I-ID
Medical   O
Record   O
Number   O
:   O
78707952   B-ID
Date   O
of   O
Birth   O
:   O
Independence   B-DATE
Day   I-DATE
Age   O
:   O
43s   O
Phone   O
Number   O
:   O
78078   B-CONTACT
Address   O
:   O
Driscoll   B-LOCATION
,   O
19085   B-LOCATION
Occupation   O
:   O
Prosthodontists   O
Treating   O
Physician   O
:   O
Selena   B-NAME
Tanner   I-NAME
Hospital   O
:   O
Bon   B-LOCATION
Secours   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Clinical   O
Summary   O
:   O
Tosha   B-NAME
Phu   I-NAME
,   O
a   O
Medical   O
Secretaries   O
from   O
Brunswick   B-LOCATION
,   O
presented   O
to   O
Thomas   B-LOCATION
Hospital   I-LOCATION
on   O
1/2/13   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
started   O
approximately   O
48   O
hours   O
prior   O
to   O
admission   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Brown   B-NAME
,   I-NAME
Alton   I-NAME
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
which   O
revealed   O
a   O
leukocytosis   O
of   O
12,000   O
cells   O
/   O
μL   O
with   O
a   O
left   O
shift   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
with   O
contrast   O
performed   O
on   O
05/26/1701   B-DATE
confirmed   O
the   O
presence   O
of   O
appendicitis   O
without   O
evidence   O
of   O
rupture   O
.   O

The   O
surgical   O
procedure   O
was   O
performed   O
on   O
May   B-DATE
2163   I-DATE
without   O
complications   O
.   O

Victor   B-NAME
Fries   I-NAME
was   O
administered   O
intravenous   O
antibiotics   O
preoperatively   O
and   O
continued   O
postoperatively   O
.   O

The   O
patient   O
's   O
postoperative   O
course   O
was   O
unremarkable   O
,   O
reporting   O
significant   O
improvement   O
in   O
symptoms   O
by   O
1680   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
17   I-DATE
.   O

Jaron   B-NAME
Huffman   I-NAME
was   O
discharged   O
on   O
Sunday   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Mendoza   B-NAME
in   O
two   O
weeks   O
.   O

For   O
any   O
concerns   O
or   O
exacerbation   O
of   O
symptoms   O
,   O
Federer   B-NAME
,   I-NAME
Roger   I-NAME
was   O
instructed   O
to   O
contact   O
Aurelia   B-LOCATION
Osborn   I-LOCATION
Fox   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
immediately   O
or   O
visit   O
the   O
emergency   O
department   O
.   O

Prepared   O
by   O
:   O
id372   B-NAME
Reviewed   O
by   O
:   O
Elena   B-NAME
Dodson   I-NAME
Date   O
:   O
7   B-DATE
-   I-DATE
6   I-DATE

Patient   O
Name   O
:   O
Glas   B-NAME
Medical   O
Record   O
Number   O
:   O
23296758   B-ID
Date   O
of   O
Birth   O
:   O
03/11/00   B-DATE
Age   O
:   O
61   O
Address   O
:   O
Graceville   B-LOCATION
,   O
33354   B-LOCATION
Contact   O
Number   O
:   O
429   B-CONTACT
104   I-CONTACT
7452   I-CONTACT
Physician   O
:   O

Kline   B-NAME
Hospital   O
:   O
Sharon   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
32/20   B-DATE
Employment   O
:   O
Insulation   O
Workers   O
,   O
Mechanical   O
at   O
Center   B-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
and   I-LOCATION
Humanitarian   I-LOCATION
law   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Ashtyn   B-NAME
Walsh   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
AMITA   B-LOCATION
Health   I-LOCATION
Saint   I-LOCATION
Joseph   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Joliet   I-LOCATION
on   O
35/09   B-DATE
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
and   O
jaw   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Shinoda   B-NAME
,   I-NAME
Mike   I-NAME
,   O
a   O
56   O
-   O
year   O
-   O
old   O
Logging   O
Tractor   O
Operators   O
at   O
Botswana   B-LOCATION
Power   I-LOCATION
Corporation   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
,   O
began   O
experiencing   O
sudden   O
onset   O
of   O
chest   O
pain   O
while   O
at   O
work   O
in   O
Progress   B-LOCATION
Village   I-LOCATION
.   O

The   O
patient   O
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
by   O
medications   O
prescribed   O
by   O
Perry   B-NAME
,   I-NAME
Oliver   I-NAME
Hazard   I-NAME
.   O

Alec   B-NAME
Rivera   I-NAME
works   O
as   O
a   O
Food   O
Servers   O
,   O
Nonrestaurant   O
at   O
National   B-LOCATION
Association   I-LOCATION
for   I-LOCATION
Black   I-LOCATION
Veterans   I-LOCATION
and   O
denies   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drug   O
use   O
.   O

The   O
patient   O
is   O
married   O
and   O
lives   O
with   O
a   O
spouse   O
and   O
two   O
children   O
in   O
North   B-LOCATION
Henderson   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Serrano   B-NAME
,   I-NAME
Miguel   I-NAME
appeared   O
anxious   O
.   O

The   O
working   O
diagnosis   O
for   O
Tracy   B-NAME
Gilbride   I-NAME
is   O
Acute   O
Myocardial   O
Infarction   O
(   O
AMI   O
)   O
,   O
likely   O
secondary   O
to   O
coronary   O
artery   O
disease   O
.   O

The   O
patient   O
has   O
been   O
admitted   O
to   O
Roane   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
,   O
which   O
includes   O
antiplatelet   O
therapy   O
,   O
anticoagulation   O
,   O
and   O
possible   O
coronary   O
angiography   O
as   O
indicated   O
by   O
Sexton   B-NAME
.   O

Follow   O
-   O
Up   O
:   O
Buster   B-NAME
Guilford   I-NAME
will   O
need   O
close   O
monitoring   O
in   O
the   O
cardiac   O
care   O
unit   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
26/32/18   B-DATE
after   O
discharge   O
to   O
review   O
test   O
results   O
,   O
adjust   O
medications   O
,   O
and   O
assess   O
symptom   O
improvement   O
.   O

Signature   O
:   O
Buck   B-NAME
5/32   B-DATE

Patient   O
Name   O
:   O
Garza   B-NAME
Age   O
:   O
69   O
Address   O
:   O
Stamford   B-LOCATION
,   O
45925   B-LOCATION
Phone   O
Number   O
:   O
205   B-CONTACT
315   I-CONTACT
9972   I-CONTACT
Medical   O
Record   O
Number   O
:   O
44220764   B-ID
ID   O
:   O
GS   B-ID
:   I-ID
KT:7845   I-ID
Profession   O
:   O

Psychiatric   O
Aides   O
Date   O
of   O
Admission   O
:   O
26/21   B-DATE
Attending   O
Physician   O
:   O
Davion   B-NAME
Bass   I-NAME
Hospital   O
:   O

St.   B-LOCATION
James   I-LOCATION
Healthcare   I-LOCATION
Username   O
:   O
sb959   B-NAME
Chief   O
Complaint   O
:   O
Aiden   B-NAME
Levy   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Harris   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
Saturday   B-DATE
,   I-DATE
July   I-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
shoulder   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

Horn   B-NAME
also   O
noted   O
a   O
mild   O
episode   O
of   O
nausea   O
without   O
vomiting   O
.   O

Steve   B-NAME
Ferriera   I-NAME
's   O
family   O
history   O
includes   O
coronary   O
artery   O
disease   O
in   O
a   O
first   O
-   O
degree   O
relative   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Leanne   B-NAME
Rorish   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
with   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
body   O
temperature   O
of   O
98.6   O
°   O
F   O
.   O

Diagnostic   O
Evaluation   O
:   O
Electrocardiogram   O
(   O
EKG   O
)   O
performed   O
upon   O
arrival   O
at   O
Indiana   B-LOCATION
University   I-LOCATION
Health   I-LOCATION
Arnett   I-LOCATION
Hospital   I-LOCATION
showed   O
ST   O
-   O
segment   O
elevations   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
consistent   O
with   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

Treatment   O
:   O
Cather   B-NAME
,   I-NAME
Willa   I-NAME
was   O
immediately   O
administered   O
aspirin   O
,   O
a   O
loading   O
dose   O
of   O
ticagrelor   O
,   O
and   O
sublingual   O
nitroglycerin   O
in   O
the   O
emergency   O
department   O
.   O

Due   O
to   O
the   O
diagnosis   O
of   O
acute   O
myocardial   O
infarction   O
,   O
Ritter   B-NAME
initiated   O
the   O
protocol   O
for   O
reperfusion   O
therapy   O
.   O

Engelke   B-NAME
,   I-NAME
Anke   I-NAME
was   O
transferred   O
to   O
the   O
cardiology   O
department   O
for   O
percutaneous   O
coronary   O
intervention   O
.   O

A   O
referral   O
to   O
a   O
dietitian   O
and   O
diabetes   O
educator   O
will   O
also   O
be   O
made   O
to   O
optimize   O
Sherryl   B-NAME
Lisa   I-NAME
's   O
condition   O
post   O
-   O
discharge   O
.   O

Follow   O
-   O
up   O
Appointment   O
:   O
UMANA   B-NAME
,   I-NAME
BRUCE   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Sheppard   B-NAME
at   O
Pocahontas   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
2213   B-DATE
-   I-DATE
22   I-DATE
-   I-DATE
23   I-DATE
.   O

Instructions   O
for   O
Duke   B-NAME
:   O
-   O
Avoid   O
any   O
strenuous   O
physical   O
activity   O
until   O
further   O
notice   O
.   O

-   O
Monitor   O
for   O
signs   O
of   O
chest   O
pain   O
,   O
difficulty   O
breathing   O
,   O
or   O
any   O
other   O
new   O
or   O
worsening   O
symptoms   O
,   O
and   O
report   O
to   O
Edward   B-LOCATION
Hospital   I-LOCATION
or   O
call   O
545   B-CONTACT
-   I-CONTACT
178   I-CONTACT
9022   I-CONTACT
immediately   O
.   O

Signed   O
,   O
Hodges   B-NAME
2226   B-DATE

The   O
patient   O
,   O
Jacobson   B-NAME
,   O
a   O
Gaming   O
Dealers   O
from   O
Damar   B-LOCATION
,   O
presented   O
to   O
Los   B-LOCATION
Angeles   I-LOCATION
County   I-LOCATION
University   I-LOCATION
of   I-LOCATION
Southern   I-LOCATION
California   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
35/31/2291   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
lower   O
abdominal   O
pain   O
that   O
started   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Sherryl   B-NAME
Lisa   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
or   O
consumption   O
of   O
unusual   O
food   O
.   O

Upon   O
examination   O
,   O
Amanda   B-NAME
Herman   I-NAME
,   O
61s   O
,   O
was   O
noted   O
to   O
be   O
in   O
distress   O
due   O
to   O
the   O
pain   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Raymond   B-NAME
showed   O
elevated   O
white   O
blood   O
cells   O
,   O
indicating   O
a   O
possible   O
infection   O
.   O

Gray   B-NAME
's   O
medical   O
record   O
number   O
,   O
653   B-ID
-   I-ID
86   I-ID
-   I-ID
68   I-ID
,   O
includes   O
a   O
detailed   O
history   O
of   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episodes   O
in   O
the   O
past   O
year   O
.   O

Vance   B-NAME
Obrien   I-NAME
ordered   O
an   O
abdominal   O
ultrasound   O
which   O
showed   O
a   O
thickening   O
of   O
the   O
appendiceal   O
wall   O
,   O
suggesting   O
acute   O
appendicitis   O
as   O
a   O
preliminary   O
diagnosis   O
.   O

Consequently   O
,   O
Gussie   B-NAME
Tyler   I-NAME
was   O
scheduled   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
31/09   B-DATE
.   O

The   O
surgery   O
,   O
conducted   O
at   O
Medical   B-LOCATION
Center   I-LOCATION
Barbour   I-LOCATION
,   O
was   O
successful   O
without   O
any   O
complications   O
.   O

Kalin   B-NAME
was   O
started   O
on   O
a   O
course   O
of   O
antibiotics   O
post   O
-   O
operation   O
.   O

Xuereb   B-NAME
was   O
discharged   O
on   O
Wednesday   B-DATE
with   O
instructions   O
for   O
care   O
and   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Hubbard   B-NAME
.   O

Further   O
recommendations   O
included   O
a   O
follow   O
-   O
up   O
phone   O
consultation   O
on   O
0/14   B-DATE
to   O
assess   O
recovery   O
progress   O
.   O

Stephenson   B-NAME
,   I-NAME
Neal   I-NAME
was   O
advised   O
to   O
call   O
the   O
Gwinnett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Lawrenceville   I-LOCATION
helpline   O
,   O
15716   B-CONTACT
,   O
for   O
any   O
signs   O
of   O
infection   O
or   O
if   O
there   O
was   O
an   O
increase   O
in   O
pain   O
.   O

Prescription   O
refills   O
and   O
further   O
inquiries   O
could   O
be   O
directed   O
to   O
the   O
patient   O
portal   O
or   O
by   O
contacting   O
73234   B-CONTACT
.   O

The   O
following   O
identifiers   O
have   O
been   O
removed   O
or   O
altered   O
for   O
privacy   O
:   O
the   O
patient   O
's   O
name   O
(   O
Boyer   B-NAME
)   O
,   O
the   O
patient   O
's   O
unique   O
identifiers   O
such   O
as   O
medical   O
record   O
number   O
(   O
051   B-ID
-   I-ID
60   I-ID
-   I-ID
40   I-ID
-   I-ID
3   I-ID
)   O
and   O
personal   O
identification   O
(   O
EW:80758:569654   B-ID
)   O
,   O
the   O
healthcare   O
provider   O
's   O
name   O
(   O
Wolf   B-NAME
)   O
,   O
exact   O
locations   O
including   O
the   O
hospital   O
(   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Nashua   I-LOCATION
)   O
and   O
the   O
patient   O
's   O
residence   O
(   O
Papineau   B-LOCATION
)   O
,   O
specific   O
dates   O
(   O
8/7   B-DATE
)   O
,   O
contact   O
details   O
(   O
501   B-CONTACT
1386   I-CONTACT
)   O
,   O
and   O
the   O
patient   O
's   O
profession   O
(   O
Duplicating   O
Machine   O
Operators   O
)   O
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Zayden   B-NAME
Esparza   I-NAME
Date   O
of   O
Birth   O
:   O
21   O
Medical   O
Record   O
Number   O
:   O
6640388   B-ID
Date   O
of   O
Visit   O
:   O
July   B-DATE
25   I-DATE
Contact   O
Number   O
:   O
56724   B-CONTACT
Address   O
:   O
Catasauqua   B-LOCATION
,   O
83083   B-LOCATION

Presenting   O
Symptoms   O
:   O
Patricia   B-NAME
N.   I-NAME
Vallejo   I-NAME
presented   O
to   O
University   B-LOCATION
of   I-LOCATION
Kansas   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Kansas   I-LOCATION
City   I-LOCATION
on   O
Sunday   B-DATE
,   I-DATE
December   I-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
that   O
started   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Anastasia   B-NAME
Ladner   I-NAME
was   O
found   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Lane   B-NAME
,   O
Beckie   B-NAME
Mulryan   I-NAME
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
on   O
20/20   B-DATE
without   O
complications   O
.   O

Pain   O
management   O
was   O
achieved   O
using   O
IV   O
acetaminophen   O
and   O
ibuprofen   O
.   O
Follow   O
-   O
Up   O
:   O
Lewis   B-NAME
Hyppolite   I-NAME
demonstrated   O
significant   O
improvement   O
post   O
-   O
operatively   O
,   O
with   O
resolution   O
of   O
abdominal   O
pain   O
and   O
normalization   O
of   O
vital   O
signs   O
.   O

Villalpando   B-NAME
was   O
advised   O
on   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
and   O
activity   O
restrictions   O
,   O
and   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
Northeastern   B-LOCATION
Nevada   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
's   O
surgical   O
outpatient   O
clinic   O
on   O
02/04   B-DATE
.   O

Conclusion   O
:   O
Hinto   B-NAME
was   O
successfully   O
treated   O
for   O
acute   O
appendicitis   O
through   O
laparoscopic   O
surgery   O
.   O

Author   O
:   O
Oconnell   B-NAME
Medical   O
ID   O
:   O
4   B-ID
-   I-ID
4939529   I-ID
Contact   O
Information   O
for   O
Direct   B-LOCATION
Energy   I-LOCATION
:   O
138   B-CONTACT
368   I-CONTACT
-   I-CONTACT
9388   I-CONTACT
Report   O
filed   O
on   O
:   O
1971   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
07   I-DATE

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Alan   B-NAME
Fritz   I-NAME
Age   O
:   O
41   O
Phone   O
Number   O
:   O
36704   B-CONTACT
Address   O
:   O
Hardin   B-LOCATION
County   I-LOCATION
,   I-LOCATION
Hardin   I-LOCATION
County   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
11389   B-LOCATION
Medical   O
Record   O
Number   O
:   O
499   B-ID
-   I-ID
25   I-ID
-   I-ID
04   I-ID
-   I-ID
3   I-ID
ID   O
Number   O
:   O
10   B-ID
-   I-ID
9897822   I-ID
Summary   O
:   O

On   O
December   B-DATE
,   O
Yosef   B-NAME
Gardner   I-NAME
,   O
a   O
Community   O
Health   O
Workers   O
residing   O
in   O
Northlakes   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
Brunswick   I-LOCATION
Campus   I-LOCATION
with   O
complaints   O
of   O
severe   O
chest   O
pain   O
,   O
dyspnea   O
,   O
and   O
palpitations   O
.   O

There   O
is   O
a   O
noted   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
Gogh   B-NAME
,   I-NAME
Vincent   I-NAME
Willem   I-NAME
Van   I-NAME
has   O
been   O
prescribed   O
medication   O
that   O
they   O
have   O
been   O
non   O
-   O
compliant   O
with   O
for   O
the   O
past   O
11/29/1873   B-DATE
.   O

Upon   O
examination   O
,   O
Pok   B-NAME
Monaco   I-NAME
displayed   O
signs   O
of   O
distress   O
with   O
labored   O
breathing   O
.   O

Russo   B-NAME
initiated   O
treatment   O
with   O
intravenous   O
nitroglycerin   O
for   O
chest   O
pain   O
management   O
and   O
furosemide   O
for   O
volume   O
overload   O
.   O

Due   O
to   O
the   O
suspected   O
myocardial   O
infarction   O
,   O
Silva   B-NAME
was   O
also   O
started   O
on   O
a   O
regimen   O
of   O
aspirin   O
,   O
beta   O
-   O
blockers   O
,   O
and   O
statins   O
.   O

Disposition   O
:   O
Given   O
the   O
severity   O
of   O
the   O
condition   O
,   O
Aldo   B-NAME
Hammond   I-NAME
was   O
admitted   O
to   O
Guthrie   B-LOCATION
Robert   I-LOCATION
Packer   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
treatment   O
and   O
monitoring   O
.   O

A   O
cardiology   O
consult   O
was   O
requested   O
,   O
and   O
Emmett   B-NAME
Brady   I-NAME
is   O
scheduled   O
to   O
undergo   O
coronary   O
angiography   O
on   O
2219   B-DATE
-   I-DATE
08   I-DATE
-   I-DATE
11   I-DATE
.   O

Follow   O
-   O
up   O
:   O
Quanita   B-NAME
Ziemer   I-NAME
is   O
to   O
be   O
closely   O
monitored   O
for   O
any   O
changes   O
in   O
condition   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Castillo   B-NAME
at   O
St.   B-LOCATION
Mark   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
in   O
2162   B-DATE
to   O
evaluate   O
response   O
to   O
treatment   O
and   O
to   O
discuss   O
long   O
-   O
term   O
management   O
strategies   O
for   O
coronary   O
artery   O
disease   O
.   O

Notes   O
:   O
Any   O
communications   O
regarding   O
Melanie   B-NAME
Porter   I-NAME
's   O
care   O
should   O
adhere   O
to   O
HIPAA   O
regulations   O
.   O

For   O
additional   O
information   O
or   O
to   O
discuss   O
Odessa   B-NAME
Kang   I-NAME
's   O
condition   O
,   O
please   O
contact   O
Dr.   O
James   B-NAME
at   O
63226   B-CONTACT
.   O

Prepared   O
by   O
:   O
jba8410   B-NAME
12/22   B-DATE

Patient   O
Name   O
:   O
Mead   B-NAME
,   I-NAME
Margaret   I-NAME
Date   O
of   O
Birth   O
:   O
2/17   B-DATE
Medical   O
Record   O
Number   O
:   O
935   B-ID
-   I-ID
64   I-ID
-   I-ID
16   I-ID
-   I-ID
6   I-ID
ID   O
:   O
315591   B-ID
Address   O
:   O
Wampum   B-LOCATION
,   O
41490   B-LOCATION
Phone   O
Number   O
:   O
62066   B-CONTACT
Referring   O
Physician   O
:   O
Santos   B-NAME
Current   O
Hospital   O
:   O
Central   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Job   O
Title   O
:   O
Medical   O
Secretaries   O
Subjective   O
:   O
Dean   B-NAME
Walters   I-NAME
presents   O
to   O
the   O
clinic   O
on   O
32/18/29   B-DATE
,   O
reporting   O
a   O
5   O
-   O
day   O
history   O
of   O
progressive   O
dyspnea   O
,   O
non   O
-   O
productive   O
cough   O
,   O
and   O
a   O
feeling   O
of   O
chest   O
tightness   O
.   O

Landon   B-NAME
Twersky   I-NAME
also   O
notes   O
a   O
decreased   O
appetite   O
over   O
the   O
past   O
week   O
but   O
denies   O
any   O
nausea   O
,   O
vomiting   O
,   O
or   O
diarrhea   O
.   O

4   O
.   O
Schedule   O
follow   O
-   O
up   O
appointment   O
in   O
2163   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
21   I-DATE
to   O
reassess   O
condition   O
and   O
adjust   O
treatment   O
plan   O
as   O
necessary   O
.   O

Prepared   O
by   O
:   O
Hoffman   B-NAME
37/26   B-DATE
Contact   O
Information   O
:   O
55356   B-CONTACT

For   O
follow   O
-   O
up   O
,   O
please   O
contact   O
Inter   B-LOCATION
-   I-LOCATION
Community   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
At   I-LOCATION
Newfane   I-LOCATION
Inc   I-LOCATION
or   O
Harrison   B-NAME
.   O

Patient   O
Name   O
:   O
Vannessa   B-NAME
Frohock   I-NAME
Patient   O
ID   O
:   O
358168458   B-ID
Medical   O
Record   O
Number   O
:   O
23912325   B-ID
Age   O
:   O
60   O
Phone   O
Number   O
:   O
12628   B-CONTACT
Address   O
:   O
Peeples   B-LOCATION
Valley   I-LOCATION
,   O
89225   B-LOCATION
Occupation   O
:   O
Costume   O
Attendants   O
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Coffey   B-NAME
Hospital   O
:   O
St.   B-LOCATION
Elizabeth   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
05/30   B-DATE
Clinical   O
Summary   O
:   O
Lee   B-NAME
Craig   I-NAME
presented   O
to   O
Bassett   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
00/4   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Upon   O
physical   O
examination   O
,   O
Zayden   B-NAME
Esparza   I-NAME
exhibited   O
guarding   O
and   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

Management   O
of   O
Camryn   B-NAME
Zamora   I-NAME
's   O
condition   O
involved   O
immediate   O
surgical   O
consultation   O
with   O
Dr.   O
James   B-NAME
Atherton   I-NAME
and   O
initiation   O
of   O
intravenous   O
antibiotics   O
.   O

Laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
39/23   B-DATE
,   O
without   O
complications   O
.   O

Heath   B-NAME
Hanson   I-NAME
demonstrated   O
a   O
satisfactory   O
recovery   O
,   O
with   O
a   O
significant   O
reduction   O
in   O
abdominal   O
pain   O
and   O
normalization   O
of   O
temperature   O
and   O
white   O
cell   O
count   O
by   O
the   O
second   O
post   O
-   O
operative   O
day   O
.   O

Follow   O
-   O
up   O
instructions   O
were   O
provided   O
for   O
wound   O
care   O
,   O
recognition   O
of   O
potential   O
complications   O
,   O
and   O
a   O
scheduled   O
appointment   O
with   O
Dr.   O
Yosef   B-NAME
Williams   I-NAME
at   O
Kansas   B-LOCATION
on   O
2271   B-DATE
.   O

Additionally   O
,   O
Eli   B-NAME
Ritter   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
high   O
fiber   O
diet   O
and   O
avoid   O
strenuous   O
activity   O
for   O
a   O
period   O
of   O
4   O
weeks   O
.   O

For   O
further   O
inquiries   O
or   O
if   O
there   O
's   O
an   O
emergence   O
of   O
any   O
concerning   O
symptoms   O
,   O
Conor   B-NAME
Hunt   I-NAME
was   O
advised   O
to   O
contact   O
Mid   B-LOCATION
-   I-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
at   O
79009   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
immediately   O
.   O

Prepared   O
by   O
:   O
nke376   B-NAME
9/31/14   B-DATE

Patient   O
Report   O
:   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
=   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
OWEN   B-NAME
URE   I-NAME
-   O
Age   O
:   O
49   O
-   O
Medical   O
Record   O
Number   O
:   O
NXO   B-ID
2   I-ID
-   I-ID
933   I-ID
-   O
ID   O
Number   O
:   O
GA   B-ID
:   I-ID
FA:1133   I-ID
-   O
Date   O
of   O
Birth   O
:   O
8/02/2039   B-DATE
-   O
Phone   O
Number   O
:   O
116   B-CONTACT
8318   I-CONTACT
-   O
Address   O
:   O
Carroll   B-LOCATION
,   O
11883   B-LOCATION
-   O
Occupation   O
:   O
Multimedia   O
specialists   O
Emergency   O
Contact   O
Information   O
:   O
-   O
Name   O
:   O
Nyla   B-NAME
Cameron   I-NAME
-   O
Relationship   O
:   O
Marketing   O
manager   O
(   O
direct   O
)   O
-   O
Phone   O
Number   O
:   O
134   B-CONTACT
7703   I-CONTACT
Physician   O
in   O
Charge   O
:   O
Preston   B-NAME
Hospital   O
:   O
Evangelical   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2/98   B-DATE
Date   O
of   O
Discharge   O
:   O
2039   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
39   I-DATE
Clinical   O
Findings   O
:   O
----------------   O
Gavin   B-NAME
Hooper   I-NAME
presented   O
to   O
St.   B-LOCATION
Tammany   I-LOCATION
Parish   I-LOCATION
Hospital   I-LOCATION
on   O
10/22/85   B-DATE
with   O
symptoms   O
indicative   O
of   O
severe   O
acute   O
respiratory   O
syndrome   O
.   O

Medical   O
History   O
:   O
---------------   O
Nathalia   B-NAME
Murillo   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
.   O

Previous   O
hospitalizations   O
include   O
a   O
cholecystectomy   O
at   O
Summa   B-LOCATION
Health   I-LOCATION
,   I-LOCATION
Barberton   I-LOCATION
Campus   I-LOCATION
on   O
3/22   B-DATE
and   O
treatment   O
for   O
pneumonia   O
in   O
32/80   B-DATE
.   O

2   O
.   O
PCR   O
Test   O
for   O
SARS   O
-   O
CoV-2   O
:   O
Returned   O
positive   O
on   O
09/03/2342   B-DATE
.   O

---------------   O
Given   O
the   O
diagnosis   O
of   O
COVID-19   O
with   O
underlying   O
comorbid   O
conditions   O
,   O
Klavius   B-NAME
Derubeis   I-NAME
was   O
admitted   O
to   O
the   O
intensive   O
care   O
unit   O
(   O
ICU   O
)   O
for   O
close   O
monitoring   O
.   O

Follow   O
-   O
Up   O
:   O
---------   O
RACHAEL   B-NAME
G.   I-NAME
OBRYAN   I-NAME
displayed   O
significant   O
improvement   O
over   O
the   O
treatment   O
course   O
.   O

Oxygen   O
support   O
was   O
gradually   O
reduced   O
,   O
and   O
Johanna   B-NAME
Cannon   I-NAME
was   O
able   O
to   O
maintain   O
normal   O
oxygen   O
saturation   O
levels   O
(   O
>   O
95   O
%   O
)   O
on   O
room   O
air   O
.   O

Repeat   O
PCR   O
test   O
for   O
SARS   O
-   O
CoV-2   O
was   O
negative   O
on   O
02/22/0   B-DATE
.   O

The   O
patient   O
was   O
discharged   O
on   O
22/23/2395   B-DATE
with   O
instructions   O
to   O
continue   O
self   O
-   O
isolation   O
for   O
14   O
days   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Delgado   B-NAME
is   O
scheduled   O
for   O
02/23   B-DATE
at   O
Lourdes   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
to   O
assess   O
recovery   O
progress   O
and   O
manage   O
ongoing   O
diabetes   O
and   O
hypertension   O
.   O

Additionally   O
,   O
Yusuf   B-NAME
Lugo   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
balanced   O
diet   O
,   O
regular   O
exercise   O
,   O
and   O
adherence   O
to   O
prescribed   O
medication   O
regimens   O
for   O
underlying   O
conditions   O
.   O

The   O
coordinated   O
care   O
provided   O
by   O
FDA   B-LOCATION
and   O
the   O
diligent   O
adherence   O
to   O
treatment   O
and   O
self   O
-   O
care   O
instructions   O
by   O
Matilda   B-NAME
Hale   I-NAME
were   O
instrumental   O
in   O
the   O
patient   O
's   O
recovery   O
from   O
COVID-19   O
.   O

Patient   O
Name   O
:   O
Alfredo   B-NAME
Greene   I-NAME
Medical   O
Record   O
Number   O
:   O
69844099   B-ID
Date   O
of   O
Birth   O
:   O
12/20/2137   B-DATE
Age   O
:   O
0   O
month   O
Address   O
:   O
Iberia   B-LOCATION
,   O
78214   B-LOCATION
Phone   O
Number   O
:   O
69541   B-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Romero   B-NAME
Treating   O
Hospital   O
:   O
Rockefeller   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
32   B-DATE
Social   O
Security   O
Number   O
:   O
10   B-ID
-   I-ID
6624607   I-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Anesthesiologist   O
Assistants   O
from   O
Glens   B-LOCATION
Falls   I-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Edwards   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Healthcare   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Kinsley   I-LOCATION
on   O
05/27/2032   B-DATE
complaining   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Jimena   B-NAME
English   I-NAME
has   O
been   O
previously   O
healthy   O
with   O
no   O
significant   O
medical   O
history   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Dereon   B-NAME
Dorsey   I-NAME
showed   O
signs   O
of   O
distress   O
due   O
to   O
pain   O
.   O

Treatment   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
a   O
surgical   O
consult   O
was   O
requested   O
,   O
and   O
Rylee   B-NAME
Ballard   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

Appendectomy   O
was   O
performed   O
on   O
2242   B-DATE
,   O
and   O
Vernon   B-NAME
Lozano   I-NAME
tolerated   O
the   O
procedure   O
well   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
HV   B-NAME
was   O
discharged   O
on   O
04/22   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Marina   B-NAME
Huerta   I-NAME
in   O
2   O
weeks   O
.   O

For   O
any   O
concerns   O
or   O
complications   O
,   O
Mata   B-NAME
was   O
advised   O
to   O
contact   O
Beaumont   B-LOCATION
Hospital   I-LOCATION
,   I-LOCATION
Dearborn   I-LOCATION
at   O
19812   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Jazmin   B-NAME
Burch   I-NAME
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
5818671   I-ID
Medical   O
Record   O
Number   O
:   O
686   B-ID
-   I-ID
73   I-ID
-   I-ID
55   I-ID
-   I-ID
7   I-ID
Address   O
:   O
Marble   B-LOCATION
Rock   I-LOCATION
,   O
96639   B-LOCATION
Phone   O
Number   O
:   O
289   B-CONTACT
439   I-CONTACT
4204   I-CONTACT
Date   O
of   O
Birth   O
:   O
30/82   B-DATE
Age   O
:   O
31   O
Attending   O
Physician   O
:   O

Aliana   B-NAME
Cuevas   I-NAME
Hospital   O
:   O
Monadnock   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
2224   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
31   I-DATE
Date   O
of   O
Discharge   O
:   O
04/87   B-DATE
Occupation   O
:   O
Customs   O
Brokers   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
a   O
Engineering   O
Managers   O
,   O
reported   O
experiencing   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
that   O
started   O
approximately   O
2363   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
20   I-DATE
.   O

History   O
of   O
Present   O
Illness   O
:   O
Berna   B-NAME
Nicola   I-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
on   O
12/14/1897   B-DATE
,   O
which   O
initially   O
presented   O
as   O
a   O
mild   O
discomfort   O
.   O

Past   O
Medical   O
History   O
:   O
Escher   B-NAME
,   I-NAME
M.   I-NAME
C.   I-NAME
has   O
a   O
history   O
of   O
controlled   O
hypertension   O
and   O
hyperlipidemia   O
.   O

On   O
examination   O
,   O
Washington   B-NAME
,   I-NAME
Booker   I-NAME
T.   I-NAME
appeared   O
in   O
moderate   O
distress   O
.   O

Vital   O
signs   O
were   O
within   O
normal   O
limits   O
except   O
for   O
a   O
slight   O
elevation   O
of   O
temperature   O
at   O
27/25/2293   B-DATE
.   O

delarosa   B-NAME
underwent   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
33/25/02   B-DATE
.   O

The   O
procedure   O
,   O
performed   O
by   O
Caiden   B-NAME
Cooke   I-NAME
at   O
Sierra   B-LOCATION
Nevada   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
was   O
completed   O
without   O
complications   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Lyle   B-NAME
Omalley   I-NAME
was   O
advised   O
regarding   O
wound   O
care   O
and   O
activity   O
restrictions   O
.   O

Follow   O
-   O
up   O
:   O
Danita   B-NAME
Sanches   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
19/21/2064   B-DATE
for   O
wound   O
check   O
and   O
evaluation   O
of   O
recovery   O
progress   O
.   O

Additionally   O
,   O
Maddison   B-NAME
Ewing   I-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
symptoms   O
suggestive   O
of   O
an   O
infection   O
.   O
Instructions   O
for   O
Care   O
at   O
Home   O
:   O

Liberated   B-LOCATION
Theocracy   I-LOCATION
of   I-LOCATION
Worlds   I-LOCATION
provided   O
educational   O
materials   O
on   O
post   O
-   O
appendectomy   O
care   O
.   O

Alessandro   B-NAME
Cole   I-NAME
expressed   O
understanding   O
of   O
discharge   O
instructions   O
and   O
follow   O
-   O
up   O
plan   O
.   O

Notes   O
Prepared   O
By   O
:   O
FE630   B-NAME
Date   O
:   O
1993   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
09   I-DATE
Contact   O
Information   O
:   O
972   B-CONTACT
-   I-CONTACT
5034   I-CONTACT

Patient   O
Name   O
:   O
Shyann   B-NAME
Wells   I-NAME
Date   O
of   O
Birth   O
:   O
24/02   B-DATE
Age   O
:   O
97   O
Phone   O
Number   O
:   O
(   B-CONTACT
108   I-CONTACT
)   I-CONTACT
669   I-CONTACT
-   I-CONTACT
4904   I-CONTACT
Address   O
:   O

Winsford   B-LOCATION
,   O
33327   B-LOCATION
Employment   O
:   O
Compensation   O
and   O
Benefits   O
Managers   O
Attending   O
Physician   O
:   O
Warhol   B-NAME
,   I-NAME
Andy   I-NAME
Hospital   O
Name   O
:   O
Foundations   B-LOCATION
Behavioral   I-LOCATION
Health   I-LOCATION
Medical   O
Record   O
Number   O
:   O
73109321   B-ID
Patient   O
ID   O
:   O
WO229/7974   B-ID
Date   O
of   O
Visit   O
:   O
33/12   B-DATE
Username   O
:   O
IC876   B-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Amanda   B-NAME
James   I-NAME
,   O
presents   O
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
12   O
hours   O
before   O
presenting   O
at   O
Morton   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

History   O
of   O
Present   O
Illness   O
:   O
Gates   B-NAME
,   I-NAME
Bill   I-NAME
,   O
a   O
58   O
-   O
year   O
-   O
old   O
Sheet   O
Metal   O
Workers   O
from   O
Maalaea   B-LOCATION
,   O
reports   O
the   O
pain   O
was   O
sudden   O
in   O
onset   O
,   O
with   O
no   O
prior   O
history   O
of   O
similar   O
symptoms   O
.   O

WALLACE   B-NAME
,   I-NAME
VELMA   I-NAME
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
food   O
intake   O
,   O
or   O
sick   O
contacts   O
.   O

Past   O
Medical   O
History   O
:   O
Yolanda   B-NAME
Heather   I-NAME
Lanier   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
(   O
specifics   O
not   O
disclosed   O
)   O
,   O
without   O
any   O
history   O
of   O
gastrointestinal   O
diseases   O
or   O
surgical   O
interventions   O
.   O

On   O
examination   O
,   O
O’Shaughnessy   B-NAME
,   I-NAME
Arthur   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Investigations   O
:   O
Given   O
the   O
clinical   O
presentation   O
,   O
Martin   B-NAME
Cole   I-NAME
ordered   O
a   O
series   O
of   O
laboratory   O
tests   O
and   O
imaging   O
studies   O
.   O

Nash   B-NAME
is   O
to   O
be   O
admitted   O
to   O
Valley   B-LOCATION
Forge   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
&   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Scott   B-NAME
for   O
further   O
management   O
.   O

Patient   O
Name   O
:   O
Baltus   B-NAME
Dunten   I-NAME
Patient   O
ID   O
:   O
MX   B-ID
:   I-ID
NF:5554   I-ID
Medical   O
Record   O
Number   O
:   O
54844164   B-ID
Age   O
:   O
27   O
Date   O
of   O
Birth   O
:   O
22/22   B-DATE
Date   O
of   O
Visit   O
:   O
1/7   B-DATE
Phone   O
Number   O
:   O
74808   B-CONTACT
Residing   O
Address   O
:   O
Palmer   B-LOCATION
Heights   I-LOCATION
,   O
17547   B-LOCATION
Profession   O
:   O

Odonnell   B-NAME
Hospital   O
:   O
Plainview   B-LOCATION
Hospital   I-LOCATION
Organization   O
:   O
Botswana   B-LOCATION
Manufacturing   I-LOCATION
&   I-LOCATION
Packaging   I-LOCATION
Workers   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
Chief   O
Complaint   O
:   O

Gentry   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Medical   B-LOCATION
City   I-LOCATION
North   I-LOCATION
Hills   I-LOCATION
on   O
2183   B-DATE
-   I-DATE
17   I-DATE
-   I-DATE
21   I-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
that   O
began   O
approximately   O
8   O
hours   O
prior   O
.   O

Johanna   B-NAME
Cannon   I-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
continuous   O
,   O
worsening   O
with   O
movement   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
onset   O
of   O
symptoms   O
was   O
sudden   O
,   O
with   O
Mckenna   B-NAME
Woodward   I-NAME
noting   O
the   O
initial   O
discomfort   O
early   O
in   O
the   O
morning   O
on   O
24/22   B-DATE
.   O

There   O
was   O
also   O
a   O
reported   O
fever   O
,   O
with   O
the   O
temperature   O
measured   O
at   O
home   O
being   O
38.5   O
°   O
C   O
(   O
2256   B-DATE
)   O
.   O

Amaya   B-NAME
Espinoza   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
managed   O
with   O
metformin   O
and   O
a   O
history   O
of   O
hypertension   O
under   O
control   O
with   O
lisinopril   O
.   O

Review   O
of   O
Systems   O
:   O
Apart   O
from   O
the   O
symptoms   O
described   O
in   O
the   O
chief   O
complaint   O
and   O
history   O
of   O
the   O
present   O
illness   O
,   O
Jairo   B-NAME
Salazar   I-NAME
denies   O
any   O
changes   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
or   O
chest   O
pain   O
.   O

On   O
examination   O
,   O
Christene   B-NAME
Marenco   I-NAME
's   O
temperature   O
was   O
38.7   O
°   O
C   O
,   O
heart   O
rate   O
was   O
102   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
was   O
135/89   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
was   O
19   O
breaths   O
per   O
minute   O
.   O

[   O
DR.]   O
Cailyn   B-NAME
Sanchez   I-NAME
of   O
the   O
general   O
surgery   O
department   O
was   O
notified   O
and   O
is   O
scheduled   O
to   O
evaluate   O
the   O
patient   O
on   O
December   B-DATE
.   O

Hugh   B-NAME
Beale   I-NAME
expressed   O
understanding   O
and   O
agreed   O
to   O
proceed   O
with   O
the   O
recommended   O
management   O
plan   O
.   O

Follow   O
-   O
Up   O
:   O
Dawne   B-NAME
Mcmains   I-NAME
will   O
be   O
re   O
-   O
evaluated   O
on   O
2151   B-DATE
-   I-DATE
34   I-DATE
-   I-DATE
28   I-DATE
post   O
-   O
procedure   O
,   O
or   O
sooner   O
if   O
any   O
complications   O
arise   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
eo93   B-NAME
Relation   O
to   O
Patient   O
:   O
Fraud   O
Examiners   O
,   O
Investigators   O
and   O
Analysts   O
Phone   O
:   O
79452   B-CONTACT
All   O
personal   O
identifiers   O
have   O
been   O
replaced   O
to   O
ensure   O
the   O
confidentiality   O
of   O
patient   O
information   O
in   O
compliance   O
with   O
privacy   O
regulations   O
.   O

Patient   O
Name   O
:   O
Tobias   B-NAME
Stark   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
1143490   I-ID
Medical   O
Record   O
Number   O
:   O
03778022   B-ID
Age   O
:   O
0   O
month   O
Date   O
of   O
Initial   O
Consultation   O
:   O
16/27   B-DATE
Phone   O
Number   O
:   O
36638   B-CONTACT
Address   O
:   O
New   B-LOCATION
Era   I-LOCATION
,   O
17666   B-LOCATION
Occupation   O
:   O
Engineering   O
Managers   O
Referring   O
Physician   O
:   O
Dr.   O
Wong   B-NAME
Hospital   O
:   O
Gulf   B-LOCATION
Coast   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Username   O
:   O
OO4310   B-NAME
*   O
*   O
Clinical   O
Presentation   O
:*   O
*   O

The   O
patient   O
,   O
Beaumont   B-NAME
and   I-NAME
Fletcher   I-NAME
,   O
a   O
Residential   O
Advisors   O
from   O
Bertram   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
5/2   B-DATE
with   O
a   O
history   O
of   O
progressive   O
dyspnea   O
,   O
particularly   O
noted   O
over   O
the   O
past   O
two   O
months   O
.   O

Additionally   O
,   O
Leary   B-NAME
,   I-NAME
Timothy   I-NAME
reported   O
a   O
persistent   O
,   O
dry   O
cough   O
and   O
sporadic   O
episodes   O
of   O
nocturnal   O
dyspnea   O
.   O

*   O
*   O
Medical   O
History   O
:*   O
*   O
Odin   B-NAME
Gates   I-NAME
has   O
a   O
known   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
through   O
diet   O
and   O
oral   O
hypoglycemics   O
.   O

There   O
was   O
no   O
record   O
of   O
chronic   O
respiratory   O
or   O
cardiac   O
conditions   O
in   O
the   O
patient   O
's   O
medical   O
history   O
provided   O
by   O
UPMC   B-LOCATION
Northwest   I-LOCATION
.   O

Upon   O
examination   O
,   O
Brewer   B-NAME
appeared   O
in   O
no   O
acute   O
distress   O
but   O
exhibited   O
signs   O
of   O
labored   O
breathing   O
while   O
speaking   O
.   O

A   O
multidisciplinary   O
team   O
including   O
pulmonology   O
,   O
rheumatology   O
,   O
and   O
Doyle   B-NAME
,   I-NAME
Arthur   I-NAME
Conan   I-NAME
is   O
necessary   O
to   O
further   O
evaluate   O
and   O
manage   O
Archie   B-NAME
Roye   I-NAME
's   O
condition   O
.   O

Patient   O
education   O
regarding   O
the   O
importance   O
of   O
avoiding   O
potential   O
environmental   O
or   O
occupational   O
inhalants   O
,   O
regular   O
monitoring   O
,   O
and   O
follow   O
-   O
up   O
with   O
Northwestern   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
03/12   B-DATE
has   O
been   O
arranged   O
.   O

*   O
*   O
Follow   O
-   O
up   O
and   O
Coordination   O
of   O
Care   O
:*   O
*   O
Regular   O
follow   O
-   O
ups   O
with   O
Joe   B-NAME
Martin   I-NAME
and   O
the   O
specified   O
multidisciplinary   O
team   O
are   O
essential   O
for   O
monitoring   O
the   O
progression   O
of   O
the   O
disease   O
and   O
adjusting   O
treatment   O
as   O
necessary   O
.   O

SHEEHAN   B-NAME
,   I-NAME
XIMENA   I-NAME
has   O
been   O
provided   O
with   O
educational   O
materials   O
on   O
interstitial   O
lung   O
disease   O
and   O
the   O
contact   O
number   O
40267   B-CONTACT
for   O
Cedar   B-LOCATION
Park   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
’s   O
patient   O
liaison   O
service   O
for   O
further   O
assistance   O
.   O

We   O
will   O
continue   O
to   O
monitor   O
Kaur   B-NAME
,   I-NAME
Xan   I-NAME
G   I-NAME
’s   O
condition   O
closely   O
and   O
adjust   O
the   O
management   O
plan   O
based   O
on   O
the   O
evolving   O
clinical   O
scenario   O
and   O
investigation   O
results   O
.   O

Patient   O
Name   O
:   O
Duncan   B-NAME
Kane   I-NAME
Medical   O
Record   O
Number   O
:   O
7714608   B-ID
Date   O
of   O
Visit   O
:   O
08/25/2264   B-DATE
Age   O
:   O
60   O
Doctor   O
:   O
Buckley   B-NAME
Location   O
:   O

Morris   B-LOCATION
Plains   I-LOCATION
Hospital   O
:   O
Yale   B-LOCATION
-   I-LOCATION
New   I-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
Organization   O
:   O

Mirae   B-LOCATION
Bank   I-LOCATION
Zip   O
:   O
23198   B-LOCATION
Phone   O
:   O
54620   B-CONTACT
ID   O
:   O
GK   B-ID
:   I-ID
HK:6992   I-ID
Profession   O
:   O

Family   O
and   O
General   O
Practitioners   O
Username   O
:   O
BI575   B-NAME
Summary   O
:   O
Lacey   B-NAME
Sheridan   I-NAME
,   O
a   O
Counselors   O
,   O
All   O
Other   O
from   O
Center   B-LOCATION
City   I-LOCATION
,   O
39472   B-LOCATION
,   O
presented   O
to   O
Northeast   B-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
on   O
39/33   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
around   O
the   O
temples   O
,   O
which   O
was   O
intermittent   O
and   O
had   O
been   O
occurring   O
for   O
the   O
past   O
week   O
.   O

Kilmer   B-NAME
,   I-NAME
Joyce   I-NAME
has   O
a   O
history   O
of   O
migraines   O
but   O
mentioned   O
that   O
the   O
current   O
episode   O
was   O
more   O
intense   O
than   O
usual   O
episodes   O
.   O

Upon   O
examination   O
,   O
Bea   B-NAME
Slocumb   I-NAME
noted   O
that   O
Mccall   B-NAME
appeared   O
to   O
be   O
in   O
distress   O
with   O
a   O
grimace   O
on   O
their   O
face   O
whenever   O
exposed   O
to   O
light   O
or   O
loud   O
sounds   O
.   O

Jordin   B-NAME
Robinson   I-NAME
's   O
blood   O
pressure   O
was   O
slightly   O
elevated   O
upon   O
admission   O
but   O
normalized   O
during   O
the   O
stay   O
.   O

Irene   B-NAME
Pitts   I-NAME
was   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
noting   O
down   O
any   O
triggers   O
,   O
the   O
duration   O
of   O
headaches   O
,   O
and   O
accompanying   O
symptoms   O
.   O

Follow   O
-   O
up   O
contact   O
information   O
was   O
provided   O
(   O
31868   B-CONTACT
)   O
,   O
and   O
Jamal   B-NAME
Adkins   I-NAME
was   O
advised   O
to   O
return   O
to   O
Mayo   B-LOCATION
Clinic   I-LOCATION
Hospital   I-LOCATION
or   O
contact   O
Dr.   O
Fransisca   B-NAME
Jepson   I-NAME
if   O
the   O
condition   O
worsens   O
or   O
if   O
there   O
were   O
any   O
concerns   O
regarding   O
the   O
medication   O
.   O

For   O
records   O
and   O
future   O
reference   O
,   O
all   O
details   O
pertaining   O
to   O
this   O
visit   O
including   O
diagnosis   O
,   O
prescribed   O
medication   O
,   O
and   O
recommendations   O
have   O
been   O
securely   O
stored   O
under   O
the   O
medical   O
record   O
number   O
7782080   B-ID
and   O
patient   O
ID   O
ND884/6144   B-ID
.   O

Note   O
:   O
It   O
is   O
imperative   O
that   O
Memoria   B-NAME
Nasers   I-NAME
or   O
any   O
designated   O
individuals   O
contact   O
our   O
medical   O
records   O
department   O
via   O
41392   B-CONTACT
for   O
any   O
requests   O
related   O
to   O
the   O
release   O
of   O
medical   O
information   O
.   O

All   O
inquiries   O
must   O
be   O
accompanied   O
by   O
the   O
appropriate   O
identification   O
validation   O
(   O
ID   O
WI   B-ID
:   I-ID
PX:7686   I-ID
)   O
to   O
ensure   O
privacy   O
and   O
compliance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Shea   B-NAME
Villarreal   I-NAME
Age   O
:   O
46   O
ID   O
:   O
SX   B-ID
:   I-ID
DX:3126   I-ID
Medical   O
Record   O
Number   O
:   O
732   B-ID
-   I-ID
63   I-ID
-   I-ID
93   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
32   B-DATE
Address   O
:   O
Cavalier   B-LOCATION
,   O
38061   B-LOCATION
Phone   O
Number   O
:   O
134   B-CONTACT
-   I-CONTACT
2309   I-CONTACT
Primary   O
Doctor   O
:   O
Kamila   B-NAME
Duran   I-NAME
Hospital   O
:   O
Community   B-LOCATION
Hospital   I-LOCATION
at   I-LOCATION
Dobbs   I-LOCATION
Ferry   I-LOCATION
Occupation   O
:   O
Audio   O
and   O
Video   O
Equipment   O
Technicians   O
Username   O
:   O
qy136   B-NAME
Summary   O
:   O
King   B-NAME
,   I-NAME
Coretta   I-NAME
Scott   I-NAME
presented   O
to   O
Sainte   B-LOCATION
Genevieve   I-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
21/20   B-DATE
with   O
complaints   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
.   O

The   O
symptoms   O
initiated   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
while   O
Lévi   B-NAME
-   I-NAME
Strauss   I-NAME
,   I-NAME
Claude   I-NAME
was   O
at   O
work   O
in   O
Valle   B-LOCATION
Crucis   I-LOCATION
.   O

Aubrey   B-NAME
Cortez   I-NAME
,   O
a   O
81   O
-   O
year   O
-   O
old   O
saleswoman   O
,   O
has   O
a   O
medical   O
history   O
significant   O
for   O
hypertension   O
and   O
hyperlipidemia   O
,   O
currently   O
managed   O
by   O
Dr.   O
Marlie   B-NAME
Buck   I-NAME
.   O

Clancy   B-NAME
,   I-NAME
Tom   I-NAME
's   O
family   O
history   O
includes   O
coronary   O
artery   O
disease   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Christopher   B-NAME
Leslie   I-NAME
's   O
blood   O
pressure   O
was   O
recorded   O
at   O
160/100   O
mmHg   O
,   O
heart   O
rate   O
was   O
98   O
bpm   O
,   O
and   O
O2   O
saturation   O
was   O
92   O
%   O
on   O
room   O
air   O
.   O

Xiomar   B-NAME
Ortega   I-NAME
's   O
BMI   O
categorizes   O
them   O
as   O
obese   O
which   O
increases   O
their   O
cardiovascular   O
risk   O
factors   O
.   O

Setsuko   B-NAME
Lovett   I-NAME
was   O
referred   O
to   O
Cunningham   B-NAME
for   O
emergency   O
coronary   O
angiography   O
,   O
which   O
showed   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
(   O
LAD   O
)   O
.   O

Kingsley   B-NAME
,   I-NAME
Charles   I-NAME
was   O
admitted   O
to   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
Jacobi   I-LOCATION
for   O
monitoring   O
and   O
further   O
management   O
.   O

Lifestyle   O
modification   O
recommendations   O
were   O
discussed   O
with   O
Emmett   B-NAME
Cowger   I-NAME
,   O
focusing   O
on   O
diet   O
,   O
exercise   O
,   O
and   O
smoking   O
cessation   O
if   O
applicable   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
with   O
Schroeder   B-NAME
after   O
discharge   O
.   O

Follow   O
-   O
up   O
and   O
plan   O
:   O
Bentley   B-NAME
is   O
advised   O
to   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regime   O
and   O
to   O
promptly   O
attend   O
the   O
scheduled   O
follow   O
-   O
up   O
visit   O
on   O
Jan   B-DATE
55   I-DATE
with   O
Abraham   B-NAME
Von   I-NAME
Helsing   I-NAME
.   O

For   O
any   O
questions   O
or   O
concerns   O
before   O
the   O
follow   O
-   O
up   O
date   O
,   O
Eliot   B-NAME
,   I-NAME
George   I-NAME
can   O
reach   O
the   O
medical   O
team   O
at   O
95915   B-CONTACT
.   O

This   O
report   O
is   O
prepared   O
by   O
:   O
Serrano   B-NAME
Medicine   O
Department   O
Doctors   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
of   I-LOCATION
Modesto   I-LOCATION
02/22   B-DATE
Note   O
:   O
This   O
document   O
contains   O
sensitive   O
health   O
information   O
protected   O
under   O
health   O
privacy   O
laws   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Hein   B-NAME
,   I-NAME
Piet   I-NAME
Patient   O
ID   O
:   O
15665   B-ID
Medical   O
Record   O
Number   O
:   O
40615291   B-ID
Age   O
:   O
18   O
Date   O
of   O
Birth   O
:   O
6/22/07   B-DATE
Phone   O
Number   O
:   O
10126   B-CONTACT
Address   O
:   O
Floraville   B-LOCATION
,   O
89199   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Sandra   B-NAME
Clayton   I-NAME
Treating   O
Hospital   O
:   O

Westside   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Presentation   O
:   O

On   O
21/22/2054   B-DATE
,   O
Vito   B-NAME
Dimarco   I-NAME
,   O
a   O
Offset   O
Lithographic   O
Press   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
from   O
Yetter   B-LOCATION
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
PeaceHealth   B-LOCATION
Sacred   I-LOCATION
Heart   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
RiverBend   I-LOCATION
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
.   O

The   O
pain   O
,   O
described   O
as   O
sharp   O
and   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
started   O
suddenly   O
around   O
2/31/46   B-DATE
.   O

Jones   B-NAME
reported   O
associated   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
,   O
along   O
with   O
a   O
fever   O
of   O
101   O
°   O
F   O
.   O

Clinical   O
Findings   O
:   O
Upon   O
examination   O
,   O
Deshawn   B-NAME
Good   I-NAME
's   O
vital   O
signs   O
were   O
recorded   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
heart   O
rate   O
102   O
bpm   O
,   O
respiratory   O
rate   O
18   O
breaths   O
/   O
min   O
,   O
and   O
temperature   O
101.3   O
°   O
F   O
.   O

A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
by   O
Sherman   B-NAME
,   O
confirmed   O
the   O
diagnosis   O
of   O
an   O
acute   O
appendicitis   O
without   O
rupture   O
.   O

Dorsey   B-NAME
recommended   O
an   O
urgent   O
surgical   O
intervention   O
.   O

NAPOLITANO   B-NAME
,   I-NAME
URSULA   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
1846   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
11   I-DATE
without   O
any   O
complications   O
.   O

QUINTON   B-NAME
COLON   I-NAME
's   O
recovery   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
from   O
Good   B-LOCATION
Samaritan   I-LOCATION
Hospital   I-LOCATION
on   O
Friday   B-DATE
,   I-DATE
March   I-DATE
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Nelly   B-NAME
Wiltshire   I-NAME
at   O
Colmery   B-LOCATION
-   I-LOCATION
O'Neil   I-LOCATION
VA   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Topeka   I-LOCATION
's   O
surgical   O
outpatient   O
department   O
.   O

Instructions   O
for   O
post   O
-   O
operative   O
care   O
,   O
including   O
wound   O
care   O
,   O
activity   O
limitations   O
,   O
and   O
signs   O
of   O
infection   O
,   O
were   O
clearly   O
communicated   O
to   O
Nyla   B-NAME
Bray   I-NAME
and   O
noted   O
on   O
the   O
discharge   O
summary   O
.   O

Conclusion   O
:   O
Hannah   B-NAME
Miranda   I-NAME
successfully   O
underwent   O
an   O
appendectomy   O
for   O
acute   O
appendicitis   O
.   O

Tania   B-NAME
Dennis   I-NAME
was   O
advised   O
to   O
seek   O
medical   O
attention   O
if   O
experiencing   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
symptoms   O
of   O
infection   O
.   O

A   O
follow   O
-   O
up   O
in   O
the   O
surgical   O
outpatient   O
department   O
of   O
NorthBay   B-LOCATION
VacaValley   I-LOCATION
Hospital   I-LOCATION
was   O
scheduled   O
for   O
36/33   B-DATE
to   O
ensure   O
proper   O
recovery   O
and   O
wound   O
healing   O
.   O

Needham   B-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
and   O
resume   O
normal   O
activities   O
within   O
a   O
few   O
weeks   O
post   O
-   O
surgery   O
.   O

Further   O
advice   O
on   O
a   O
gradual   O
return   O
to   O
work   O
was   O
given   O
by   O
Jacobs   B-NAME
,   O
considering   O
Jon   B-NAME
Li   I-NAME
's   O
profession   O
as   O
Commercial   O
horticulturist   O
.   O

Signed   O
,   O
Rishi   B-NAME
Nielsen   I-NAME
Knapp   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
04/53   B-DATE

Patient   O
Report   O
for   O
Elijah   B-NAME
Mccarty   I-NAME
Patient   O
Details   O
:   O
-   O
Age   O
:   O
76s   O
-   O
ID   O
:   O
154267   B-ID
-   O
Medical   O
Record   O
Number   O
:   O
4882   B-ID
:   I-ID
N03372   I-ID
-   O
Contact   O
Information   O
:   O
42735   B-CONTACT
-   O
Address   O
:   O
Boynton   B-LOCATION
,   O
73859   B-LOCATION
Summary   O
:   O
Thursday   B-DATE
,   O
Timothy   B-NAME
Wiley   I-NAME
presented   O
at   O
St.   B-LOCATION
Joseph   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Orange   I-LOCATION
's   O
emergency   O
department   O
,   O
reporting   O
acute   O
abdominal   O
pain   O
concentrated   O
mainly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

Medical   O
History   O
:   O
Beard   B-NAME
's   O
past   O
medical   O
history   O
includes   O
Type   O
II   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Clinical   O
Examination   O
:   O
Physical   O
examination   O
performed   O
by   O
Norman   B-NAME
identified   O
rebound   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicative   O
of   O
peritoneal   O
irritation   O
.   O

Diagnostic   O
Tests   O
:   O
-   O
CBC   O
revealed   O
leukocytosis   O
with   O
left   O
shift   O
,   O
suggestive   O
of   O
infection   O
.   O
-   O
Abdominal   O
ultrasound   O
,   O
ordered   O
by   O
Payton   B-NAME
Morrow   I-NAME
,   O
outlined   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
a   O
fluid   O
collection   O
,   O
supporting   O
the   O
initial   O
diagnosis   O
.   O

Laparoscopic   O
appendectomy   O
was   O
performed   O
on   O
Tuesday   B-DATE
,   I-DATE
January   I-DATE
with   O
no   O
complications   O
.   O

Ryker   B-NAME
Martinez   I-NAME
was   O
advised   O
a   O
course   O
of   O
antibiotics   O
post   O
-   O
operation   O
,   O
to   O
prevent   O
infection   O
.   O

Discharge   O
instructions   O
included   O
signs   O
of   O
infection   O
or   O
complications   O
,   O
diet   O
recommendations   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Howell   B-NAME
at   O
Methodist   B-LOCATION
Hospital   I-LOCATION
Union   I-LOCATION
County   I-LOCATION
for   O
12/12/1612   B-DATE
.   O

Professional   O
Involvement   O
:   O
Surgical   O
team   O
led   O
by   O
Reese   B-NAME
,   O
including   O
specialists   O
in   O
general   O
surgery   O
and   O
nursing   O
staff   O
from   O
Providence   B-LOCATION
Centralia   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
-   O
operative   O
care   O
was   O
coordinated   O
with   O
Amos   B-NAME
,   I-NAME
Tori   I-NAME
's   O
primary   O
care   O
physician   O
for   O
continuity   O
of   O
care   O
.   O

Notes   O
on   O
Patient   O
Encounter   O
:   O
-   O
All   O
patient   O
identifiers   O
have   O
been   O
kept   O
confidential   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O
-   O
Kellner   B-NAME
,   I-NAME
Friedrich   I-NAME
expressed   O
satisfaction   O
with   O
the   O
care   O
provided   O
and   O
was   O
especially   O
thankful   O
for   O
the   O
clear   O
communication   O
and   O
support   O
from   O
Sculptors   O
and   O
medical   O
staff   O
.   O

-   O
Additional   O
instructions   O
were   O
given   O
to   O
Gomrick   B-NAME
regarding   O
monitoring   O
of   O
blood   O
glucose   O
levels   O
post   O
-   O
surgery   O
,   O
considering   O
the   O
history   O
of   O
Type   O
II   O
Diabetes   O
.   O

Summary   O
prepared   O
by   O
:   O
ay552   B-NAME
Date   O
of   O
Summary   O
:   O
33/24/2332   B-DATE
Location   O
:   O
Forks   B-LOCATION
,   O
67544   B-LOCATION
For   O
further   O
details   O
or   O
information   O
on   O
the   O
patient   O
's   O
post   O
-   O
operative   O
care   O
,   O
please   O
contact   O
Domeyko   B-NAME
,   I-NAME
Ignacy   I-NAME
at   O
747   B-CONTACT
553   I-CONTACT
4376   I-CONTACT
or   O
reference   O
medical   O
record   O
number   O
64794997   B-ID
.   O

Patient   O
Report   O
for   O
Luna   B-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
64   O
-   O
Gender   O
:   O

[   O
REMOVED   O
PHI   O
-   O
not   O
included   O
in   O
the   O
provided   O
labels   O
]   O
-   O
ID   O
:   O
2   B-ID
-   I-ID
9114740   I-ID
-   O
Medical   O
Record   O
Number   O
:   O
13443979   B-ID
-   O
Date   O
of   O
Report   O
:   O
02/31   B-DATE
-   O
Reporting   O
Physician   O
:   O

Barry   B-NAME
-   O
Hospital   O
:   O
Swedish   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Cherry   I-LOCATION
Hill   I-LOCATION
-   O
Phone   O
:   O
10582   B-CONTACT
-   O
Location   O
:   O
La   B-LOCATION
Belle   I-LOCATION
-   O
ZIP   O
:   O
60354   B-LOCATION
-   O
Organization   O
:   O
Northern   B-LOCATION
Ireland   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
Alliance   I-LOCATION
Chief   O
Complaint   O
:   O
Gay   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
02/06/1945   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
,   O
radiating   O
to   O
the   O
back   O
.   O

Hillary   B-NAME
Reilly   I-NAME
works   O
as   O
a   O
Typesetting   O
and   O
Composing   O
Machine   O
Operators   O
and   O
Tenders   O
in   O
Pennside   B-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Roy   B-NAME
Swanson   I-NAME
appeared   O
distressed   O
with   O
pain   O
.   O

Bojaxhi   B-NAME
,   I-NAME
Agnes   I-NAME
Gonxha   I-NAME
(   I-NAME
Mother   I-NAME
Teresa   I-NAME
)   I-NAME
's   O
condition   O
warranted   O
further   O
evaluation   O
by   O
Murray   B-NAME
,   O
leading   O
to   O
a   O
CT   O
scan   O
which   O
detailed   O
the   O
extent   O
of   O
inflammation   O
surrounding   O
the   O
pancreas   O
.   O

The   O
diagnosis   O
for   O
Monroe   B-NAME
is   O
acute   O
pancreatitis   O
,   O
most   O
likely   O
secondary   O
to   O
gallstone   O
obstruction   O
.   O

This   O
condition   O
requires   O
immediate   O
admission   O
to   O
Providence   B-LOCATION
Milwaukie   I-LOCATION
Hospital   I-LOCATION
for   O
close   O
monitoring   O
and   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
Noah   B-NAME
Escobar   I-NAME
will   O
be   O
reassessed   O
in   O
24   O
hours   O
to   O
monitor   O
response   O
to   O
treatment   O
.   O

Report   O
Prepared   O
by   O
:   O
Declan   B-NAME
Humphrey   I-NAME
2290   B-DATE
Note   O
:   O
All   O
personal   O
identifiers   O
in   O
this   O
report   O
have   O
been   O
removed   O
or   O
replaced   O
with   O
PHI   O
labels   O
to   O
protect   O
patient   O
confidentiality   O
.   O

Patient   O
Name   O
:   O
Ruba   B-NAME
Neil   I-NAME
Patient   O
ID   O
:   O
2560034   B-ID
Date   O
of   O
Birth   O
:   O
12/26   B-DATE
Age   O
:   O
17   O
Medical   O
Record   O
Number   O
:   O
86093147   B-ID
Address   O
:   O
Clifton   B-LOCATION
,   I-LOCATION
Clifton   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
,   O
93184   B-LOCATION
Phone   O
:   O
(   B-CONTACT
199   I-CONTACT
)   I-CONTACT
963   I-CONTACT
-   I-CONTACT
4945   I-CONTACT
Primary   O
Physician   O
:   O
Joyce   B-NAME
Hospital   O
:   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
North   I-LOCATION
Central   I-LOCATION
Bronx   I-LOCATION
Date   O
of   O
Visit   O
:   O
10/21/2153   B-DATE
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Dang   B-NAME
,   O
presents   O
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
that   O
started   O
approximately   O
48   O
hours   O
ago   O
.   O

Additionally   O
,   O
Aliyah   B-NAME
Delgado   I-NAME
reports   O
a   O
low   O
-   O
grade   O
fever   O
,   O
nausea   O
,   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
prior   O
to   O
the   O
visit   O
.   O

Medical   O
History   O
:   O
Keon   B-NAME
Zuniga   I-NAME
's   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
with   O
medications   O
for   O
the   O
past   O
81   O
years   O
.   O

Social   O
History   O
:   O
Joaquin   B-NAME
Terry   I-NAME
is   O
a   O
Public   O
affairs   O
consultant   O
(   O
lobbyist   O
)   O
by   O
profession   O
,   O
with   O
a   O
20   O
-   O
year   O
history   O
of   O
smoking   O
(   O
currently   O
one   O
pack   O
per   O
week   O
)   O
and   O
moderate   O
,   O
social   O
alcohol   O
use   O
.   O

Cyrus   B-NAME
Lloyd   I-NAME
denies   O
any   O
recreational   O
drug   O
use   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Auryon   B-NAME
appeared   O
uncomfortable   O
and   O
in   O
moderate   O
distress   O
.   O

Abdominal   O
ultrasound   O
was   O
conducted   O
at   O
Regional   B-LOCATION
Health   I-LOCATION
Rapid   I-LOCATION
City   I-LOCATION
Hospital   I-LOCATION
by   O
Anaya   B-NAME
Tran   I-NAME
,   O
which   O
suggested   O
an   O
inflamed   O
appendix   O
without   O
evidence   O
of   O
perforation   O
.   O

Darell   B-NAME
Fredericksen   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
recommended   O
laparoscopic   O
appendectomy   O
procedure   O
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Sha   B-NAME
Beauparlant   I-NAME
.   O

Pre   O
-   O
operative   O
antibiotics   O
were   O
administered   O
,   O
and   O
Elon   B-NAME
Levine   I-NAME
was   O
scheduled   O
for   O
surgery   O
at   O
Kindred   B-LOCATION
Hospital   I-LOCATION
North   I-LOCATION
Florida   I-LOCATION
on   O
3203   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Copernicus   B-NAME
,   I-NAME
Nicolaus   I-NAME
will   O
be   O
monitored   O
post   O
-   O
operatively   O
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

A   O
follow   O
-   O
up   O
visit   O
is   O
scheduled   O
for   O
2230   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
20   I-DATE
with   O
Sean   B-NAME
Vasques   I-NAME
to   O
assess   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

-   O
Abstain   O
from   O
heavy   O
lifting   O
and   O
strenuous   O
activities   O
for   O
a   O
minimum   O
of   O
05/56   B-DATE
weeks   O
.   O
-   O
Continue   O
with   O
prescribed   O
medications   O
for   O
hypertension   O
and   O
diabetes   O
without   O
interruption   O
unless   O
advised   O
otherwise   O
.   O

Documentation   O
by   O
:   O
eu567   B-NAME
Contact   O
:   O
25604   B-CONTACT
at   O
Great   B-LOCATION
Plains   I-LOCATION
Health   I-LOCATION
for   O
any   O
queries   O
or   O
emergency   O
concerns   O
.   O

Patient   O
Name   O
:   O
Rihanna   B-NAME
Ingram   I-NAME
Patient   O
ID   O
:   O
PM105/2482   B-ID
DOB   O
:   O
05/22/2034   B-DATE
Age   O
:   O
76   O
Address   O
:   O
Vandergrift   B-LOCATION
,   O
52356   B-LOCATION
Phone   O
:   O
(   B-CONTACT
121   I-CONTACT
)   I-CONTACT
630   I-CONTACT
-   I-CONTACT
9645   I-CONTACT
Employer   O
:   O
Century   B-LOCATION
Security   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O

Remezov   B-NAME
Medical   O
Record   O
Number   O
:   O
798   B-ID
-   I-ID
77   I-ID
-   I-ID
12   I-ID
-   I-ID
5   I-ID
Admitting   O
Hospital   O
:   O

St   B-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
/   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
Chief   O
Complaint   O
:   O
Carter   B-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Miners   I-LOCATION
Campus   I-LOCATION
on   O
02/20/2194   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
persistent   O
headaches   O
and   O
occasional   O
dizziness   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Social   O
History   O
:   O
Lawrence   B-NAME
Parrish   I-NAME
is   O
a   O
Excavating   O
and   O
Loading   O
Machine   O
Operators   O
working   O
at   O
Principality   B-LOCATION
of   I-LOCATION
Planets   I-LOCATION
in   O
542   B-LOCATION
Windfall   I-LOCATION
Lane   I-LOCATION
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Carmen   B-NAME
Lynch   I-NAME
was   O
alert   O
and   O
oriented   O
,   O
in   O
apparent   O
distress   O
due   O
to   O
a   O
headache   O
.   O

Spencer   B-NAME
Howard   I-NAME
has   O
recommended   O
initiating   O
a   O
trial   O
of   O
a   O
triptan   O
for   O
acute   O
migraine   O
episodes   O
and   O
considering   O
a   O
beta   O
-   O
blocker   O
for   O
prophylaxis   O
.   O

Additional   O
Instructions   O
:   O
Rush   B-NAME
was   O
instructed   O
to   O
maintain   O
a   O
headache   O
diary   O
,   O
recording   O
the   O
frequency   O
,   O
duration   O
,   O
intensity   O
of   O
headaches   O
,   O
and   O
associated   O
symptoms   O
.   O

For   O
any   O
concerns   O
or   O
emergencies   O
,   O
Leroy   B-NAME
Kelly   I-NAME
can   O
contact   O
Clay   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
directly   O
at   O
62406   B-CONTACT
.   O

This   O
care   O
plan   O
was   O
created   O
by   O
Emely   B-NAME
Mcclain   I-NAME
on   O
2092   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
31   I-DATE
.   O

Patient   O
Name   O
:   O
Huckabee   B-NAME
,   I-NAME
Mike   I-NAME
Age   O
:   O
90   O
DOB   O
:   O
12/15/2184   B-DATE
Physician   O
:   O

Ponce   B-NAME
Medical   O
Record   O
Number   O
:   O
3733169   B-ID
Hospital   O
:   O
Plastic   B-LOCATION
Surgery   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
Location   O
:   O
Bunnell   B-LOCATION
Phone   O
:   O
64646   B-CONTACT
ID   O
:   O
ZN   B-ID
:   I-ID
PM:2420   I-ID
Employment   O
:   O
Fence   O
Erectors   O
User   O
:   O
er759   B-NAME
ZIP   O
Code   O
:   O
81669   B-LOCATION
Organizations   O
:   O
United   B-LOCATION
States   I-LOCATION
Submarine   I-LOCATION
Veterans   I-LOCATION
,   I-LOCATION
Inc.   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Huynh   B-NAME
,   O
presented   O
to   O
CHI   B-LOCATION
St   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Health   I-LOCATION
-   I-LOCATION
Sugar   I-LOCATION
Land   I-LOCATION
Hospital   I-LOCATION
on   O
February   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
abdominal   O
pain   O
located   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
accompanied   O
by   O
nausea   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

The   O
episodes   O
of   O
pain   O
have   O
increased   O
in   O
frequency   O
over   O
the   O
past   O
11/05   B-DATE
,   O
leading   O
to   O
significant   O
discomfort   O
and   O
decreased   O
quality   O
of   O
life   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
White   B-NAME
first   O
noticed   O
the   O
onset   O
of   O
symptoms   O
approximately   O
2354   B-DATE
,   O
initially   O
dismissing   O
it   O
as   O
indigestion   O
.   O

However   O
,   O
the   O
pain   O
progressively   O
worsened   O
,   O
prompting   O
a   O
visit   O
to   O
Alaska   B-LOCATION
Native   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Atwood   B-NAME
has   O
also   O
experienced   O
a   O
loss   O
of   O
appetite   O
,   O
resulting   O
in   O
an   O
unintentional   O
weight   O
loss   O
of   O
1s   O
pounds   O
since   O
32/22/06   B-DATE
.   O

Past   O
Medical   O
History   O
:   O
Zajac   B-NAME
has   O
a   O
history   O
of   O
irritable   O
bowel   O
syndrome   O
diagnosed   O
in   O
26/02/2123   B-DATE
.   O

Review   O
of   O
Systems   O
:   O
Aside   O
from   O
the   O
aforementioned   O
symptoms   O
,   O
Camila   B-NAME
Carney   I-NAME
has   O
experienced   O
occasional   O
headaches   O
but   O
denies   O
any   O
chest   O
pain   O
,   O
dyspnea   O
,   O
urinary   O
symptoms   O
,   O
or   O
rashes   O
.   O

Upon   O
examination   O
on   O
Sunday   B-DATE
,   I-DATE
December   I-DATE
,   O
Gage   B-NAME
Robles   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Initial   O
laboratory   O
tests   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
and   O
urinalysis   O
were   O
ordered   O
on   O
31/32/2295   B-DATE
.   O

Assessment   O
:   O
The   O
working   O
diagnosis   O
for   O
San   B-NAME
Martín   I-NAME
,   I-NAME
José   I-NAME
de   I-NAME
is   O
acute   O
appendicitis   O
,   O
given   O
the   O
symptom   O
presentation   O
and   O
clinical   O
findings   O
.   O

Plan   O
:   O
Naomi   B-NAME
Newberry   I-NAME
was   O
admitted   O
to   O
Cheshire   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
and   O
further   O
evaluation   O
on   O
22/22   B-DATE
.   O

Surgical   O
consultation   O
with   O
Darrell   B-NAME
Esparza   I-NAME
was   O
requested   O
to   O
assess   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Beyale   B-NAME
was   O
instructed   O
to   O
remain   O
NPO   O
(   O
nothing   O
by   O
mouth   O
)   O
in   O
preparation   O
for   O
possible   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
Linda   B-NAME
Trujillo   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
on   O
October   B-DATE
post   O
-   O
discharge   O
to   O
evaluate   O
recovery   O
progress   O
and   O
wound   O
healing   O
,   O
if   O
applicable   O
.   O

For   O
any   O
questions   O
or   O
concerns   O
,   O
Forbes   B-NAME
or   O
the   O
patient   O
's   O
emergency   O
contact   O
can   O
reach   O
the   O
care   O
team   O
at   O
33405   B-CONTACT
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
Name   O
:   O
Guadalupe   B-NAME
Maldonado   I-NAME
Age   O
:   O
36   O
ID   O
:   O
RP   B-ID
:   I-ID
HQ:5186   I-ID
Medical   O
Record   O
Number   O
:   O
48666175   B-ID
Telephone   O
:   O
760   B-CONTACT
1346   I-CONTACT
Address   O
:   O
Chain   B-LOCATION
O   I-LOCATION
'   I-LOCATION
Lakes   I-LOCATION
,   O
84641   B-LOCATION
Primary   O
Physician   O
:   O

Ezequiel   B-NAME
Adams   I-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Mississippi   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Grenada   I-LOCATION
Incident   O
Date   O
:   O
2308   B-DATE
-   I-DATE
13   I-DATE
-   I-DATE
22   I-DATE
Report   O
Submission   O
Date   O
:   O
04/15   B-DATE
Description   O
of   O
Symptoms   O
:   O
Kole   B-NAME
Sellers   I-NAME
presented   O
to   O
Located   B-LOCATION
within   I-LOCATION
St.   I-LOCATION
Joseph   I-LOCATION
Mercy   I-LOCATION
Ann   I-LOCATION
Arbor   I-LOCATION
Hospital   I-LOCATION
on   O
08/32/2366   B-DATE
with   O
complaints   O
of   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
over   O
the   O
past   O
two   O
days   O
.   O

Upon   O
admission   O
,   O
Lozano   B-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
150/90   O
mmHg   O
,   O
pulse   O
rate   O
110   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
22   O
breaths   O
per   O
minute   O
,   O
and   O
body   O
temperature   O
98.6   O
°   O
F   O
.   O

Treatment   O
and   O
Interventions   O
:   O
Upon   O
the   O
preliminary   O
diagnosis   O
of   O
ST   O
-   O
elevation   O
myocardial   O
infarction   O
(   O
STEMI   O
)   O
,   O
Manchester   B-NAME
,   I-NAME
William   I-NAME
initiated   O
treatment   O
with   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
heparin   O
.   O

Brian   B-NAME
was   O
taken   O
to   O
the   O
cardiac   O
catheterization   O
lab   O
at   O
Yampa   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
an   O
urgent   O
coronary   O
angiography   O
,   O
which   O
revealed   O
a   O
significant   O
blockage   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Following   O
the   O
procedure   O
,   O
Toby   B-NAME
Lozano   I-NAME
was   O
monitored   O
in   O
the   O
cardiac   O
care   O
unit   O
for   O
33   B-DATE
days   O
,   O
showing   O
signs   O
of   O
improvement   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Jeremiah   B-NAME
Alvarez   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Meredith   B-NAME
Castaneda   I-NAME
in   O
09/01/2145   B-DATE
weeks   O
for   O
reassessment   O
.   O

Macy   B-NAME
Leon   I-NAME
was   O
also   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
.   O

Employment   O
Information   O
:   O
Employer   O
:   O
Gordmans   B-LOCATION
Profession   O
:   O

Training   O
and   O
Development   O
Specialists   O
Contact   O
:   O
841   B-CONTACT
3463   I-CONTACT
The   O
patient   O
and   O
Biological   O
Technicians   O
at   O
Security   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Jones   I-LOCATION
County   I-LOCATION
have   O
been   O
informed   O
of   O
the   O
necessary   O
adjustments   O
to   O
work   O
duties   O
and   O
the   O
potential   O
need   O
for   O
temporary   O
disability   O
until   O
15/21   B-DATE
,   O
pending   O
the   O
follow   O
-   O
up   O
evaluation   O
.   O

Prepared   O
By   O
:   O
Username   O
:   O
wya9110   B-NAME
Contact   O
Information   O
:   O
(   B-CONTACT
227   I-CONTACT
)   I-CONTACT
484   I-CONTACT
-   I-CONTACT
7509   I-CONTACT

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
8456166   B-ID
Date   O
of   O
Report   O
:   O
2174   B-DATE
-   I-DATE
09   I-DATE
-   I-DATE
23   I-DATE
Attending   O
Physician   O
:   O

Kaleigh   B-NAME
Dunn   I-NAME
Facility   O
:   O
Capital   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
(   I-LOCATION
Mercer   I-LOCATION
Campus   I-LOCATION
)   I-LOCATION
Location   O
:   O
Hendersonville   B-LOCATION
Patient   O
Information   O
:   O
Name   O
:   O
Mckenna   B-NAME
Wheeler   I-NAME
Age   O
:   O
42   O
Occupation   O
:   O
Merchandise   O
Displayers   O
and   O
Window   O
Trimmers   O
Contact   O
Number   O
:   O
786   B-CONTACT
418   I-CONTACT
-   I-CONTACT
1769   I-CONTACT
Address   O
:   O
Cordry   B-LOCATION
Sweetwater   I-LOCATION
Lakes   I-LOCATION
,   O
98126   B-LOCATION
Emergency   O
Contact   O
:   O
270   B-CONTACT
709   I-CONTACT
8295   I-CONTACT
History   O
of   O
Present   O
Illness   O
:   O
Wilber   B-NAME
,   I-NAME
Ken   I-NAME
,   O
a   O
3   O
month   O
-   O
year   O
-   O
old   O
Gaming   O
Dealers   O
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Catholic   B-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Kenmore   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
,   O
Mercer   B-LOCATION
Island   I-LOCATION
,   O
on   O
03/23   B-DATE
,   O
complaining   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodic   O
bouts   O
of   O
dizziness   O
.   O

Tsalie   B-NAME
Grim   I-NAME
denies   O
any   O
prior   O
history   O
of   O
similar   O
episodes   O
.   O

Social   O
History   O
:   O
Johnathon   B-NAME
Mayo   I-NAME
reports   O
being   O
a   O
nonsmoker   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Nitroglycerin   O
sublingual   O
was   O
given   O
,   O
and   O
Patricia   B-NAME
Lund   I-NAME
was   O
monitored   O
for   O
blood   O
pressure   O
response   O
.   O

Disposition   O
:   O
Meghann   B-NAME
was   O
admitted   O
to   O
the   O
Cardiology   O
Unit   O
for   O
further   O
monitoring   O
and   O
management   O
on   O
November   B-DATE
.   O

Cardiology   O
consult   O
has   O
been   O
requested   O
and   O
scheduled   O
for   O
30   B-DATE
.   O

Dillon   B-NAME
Chase   I-NAME
has   O
been   O
advised   O
to   O
remain   O
on   O
bed   O
rest   O
with   O
continuous   O
cardiac   O
monitoring   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
in   O
the   O
cardiology   O
clinic   O
has   O
been   O
scheduled   O
for   O
25   B-DATE
to   O
reassess   O
Kara   B-NAME
Escobar   I-NAME
's   O
condition   O
and   O
adjust   O
treatment   O
as   O
needed   O
.   O

Prepared   O
by   O
:   O
Kelley   B-NAME
78516   B-CONTACT
Prisma   B-LOCATION
Health   I-LOCATION
Baptist   I-LOCATION
Easley   I-LOCATION
Hospital   I-LOCATION
2/1   B-DATE
---   O
Note   O
:   O
This   O
document   O
contains   O
removal   O
of   O
Personal   O
Health   O
Information   O
(   O
PHI   O
)   O
as   O
per   O
the   O
guidelines   O
.   O

Patient   O
Report   O
for   O
Black   B-NAME
2223   B-DATE
,   O
933   B-ID
-   I-ID
71   I-ID
-   I-ID
14   I-ID
8   O
years   O
old   O
Material   O
Moving   O
Workers   O
,   O
All   O
Other   O
residing   O
in   O
Metaline   B-LOCATION
,   O
57036   B-LOCATION
,   O
presented   O
to   O
Higgins   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
with   O
a   O
history   O
of   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
for   O
the   O
past   O
two   O
weeks   O
.   O

Upon   O
examination   O
,   O
Chapman   B-NAME
noted   O
that   O
the   O
patient   O
appeared   O
cachectic   O
.   O

A   O
referral   O
to   O
McLaren   B-LOCATION
-   I-LOCATION
Oakland   I-LOCATION
's   O
oncology   O
department   O
was   O
made   O
,   O
and   O
a   O
biopsy   O
of   O
the   O
lung   O
nodules   O
was   O
scheduled   O
.   O

Throughout   O
the   O
hospitalization   O
,   O
Alyson   B-NAME
Allen   I-NAME
remained   O
isolated   O
due   O
to   O
concerns   O
about   O
the   O
infectious   O
nature   O
of   O
their   O
symptoms   O
.   O

The   O
patient   O
and   O
their   O
family   O
,   O
reached   O
at   O
583   B-CONTACT
-   I-CONTACT
5374   I-CONTACT
,   O
were   O
counseled   O
about   O
the   O
findings   O
and   O
the   O
possible   O
need   O
for   O
prolonged   O
treatment   O
,   O
depending   O
on   O
the   O
final   O
diagnosis   O
.   O

Iranian   B-LOCATION
Anti   I-LOCATION
-   I-LOCATION
Vivisection   I-LOCATION
Association   I-LOCATION
(   I-LOCATION
IAVA   I-LOCATION
)   I-LOCATION
is   O
managing   O
the   O
patient   O
's   O
care   O
,   O
with   O
plans   O
to   O
continue   O
monitoring   O
the   O
patient   O
's   O
response   O
to   O
antibiotics   O
and   O
to   O
follow   O
up   O
on   O
the   O
biopsy   O
results   O
.   O

Jerry   B-NAME
Carney   I-NAME
emphasized   O
the   O
importance   O
of   O
the   O
patient   O
not   O
resuming   O
work   O
as   O
a   O
Special   O
Forces   O
until   O
a   O
definitive   O
diagnosis   O
is   O
made   O
and   O
treatment   O
is   O
well   O
underway   O
.   O

The   O
patient   O
's   O
ID   O
number   O
at   O
Municipal   B-LOCATION
Services   I-LOCATION
Commission   I-LOCATION
of   I-LOCATION
the   I-LOCATION
City   I-LOCATION
of   I-LOCATION
New   I-LOCATION
Castle   I-LOCATION
is   O
0   B-ID
-   I-ID
7516865   I-ID
.   O

Confidentiality   O
Note   O
:   O
This   O
patient   O
report   O
is   O
confidential   O
,   O
intended   O
only   O
for   O
the   O
use   O
of   O
Carondelet   B-LOCATION
Health   I-LOCATION
and   O
authorized   O
personnel   O
.   O

Contact   O
KP341   B-NAME
at   O
Animal   B-LOCATION
Protection   I-LOCATION
and   I-LOCATION
Rescue   I-LOCATION
League   I-LOCATION
for   O
any   O
questions   O
or   O
concerns   O
.   O

Patient   O
Report   O
for   O
Becker   B-NAME
,   I-NAME
Carl   I-NAME
General   O
Information   O
:   O
-   O
Age   O
:   O
11s   O
-   O
Date   O
of   O
Admission   O
:   O
32/11/2274   B-DATE
-   O
Medical   O
Record   O
Number   O
:   O
5281829   B-ID
-   O
Attending   O
Physician   O
:   O

Villegas   B-NAME
-   O
Hospital   O
:   O
Brooke   B-LOCATION
Glen   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
-   O
Direct   O
Phone   O
Number   O
for   O
Queries   O
:   O
255   B-CONTACT
-   I-CONTACT
6425   I-CONTACT
Medical   O
History   O
:   O
Lucille   B-NAME
Colon   I-NAME
was   O
admitted   O
to   O
Eating   B-LOCATION
Recovery   I-LOCATION
Center   I-LOCATION
a   I-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
for   I-LOCATION
Children   I-LOCATION
and   I-LOCATION
Adolescents   I-LOCATION
on   O
Friday   B-DATE
,   I-DATE
March   I-DATE
with   O
complaints   O
of   O
progressive   O
dyspnea   O
on   O
exertion   O
,   O
orthopnea   O
,   O
and   O
bilateral   O
lower   O
extremity   O
edema   O
over   O
the   O
past   O
two   O
weeks   O
.   O

Lakita   B-NAME
Torgrimson   I-NAME
's   O
past   O
medical   O
history   O
is   O
significant   O
for   O
type   O
2   O
diabetes   O
mellitus   O
,   O
hypertension   O
,   O
and   O
a   O
previous   O
myocardial   O
infarction   O
in   O
2375   B-DATE
.   O

Upon   O
examination   O
,   O
Koons   B-NAME
,   I-NAME
Jeff   I-NAME
displayed   O
an   O
elevated   O
jugular   O
venous   O
pressure   O
,   O
bibasilar   O
crackles   O
on   O
lung   O
auscultation   O
,   O
and   O
a   O
3/6   O
pansystolic   O
murmur   O
heard   O
best   O
at   O
the   O
apex   O
with   O
radiation   O
to   O
the   O
axilla   O
.   O

Treatment   O
Plan   O
:   O
Alicia   B-NAME
Perry   I-NAME
was   O
started   O
on   O
a   O
regimen   O
of   O
loop   O
diuretics   O
for   O
volume   O
management   O
,   O
an   O
ACE   O
inhibitor   O
for   O
afterload   O
reduction   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
for   O
heart   O
rate   O
control   O
.   O

A   O
consult   O
with   O
a   O
cardiologist   O
from   O
Fred   B-LOCATION
's   I-LOCATION
was   O
requested   O
for   O
possible   O
further   O
intervention   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Moore   B-NAME
,   I-NAME
Tim   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Itzel   B-NAME
Kennedy   I-NAME
at   O
NYC   B-LOCATION
Health   I-LOCATION
and   I-LOCATION
Hospitals   I-LOCATION
Elmhurst   I-LOCATION
on   O
2055   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
adjust   O
the   O
management   O
plan   O
as   O
necessary   O
.   O

Additional   O
Notes   O
:   O
-   O
Mckinley   B-NAME
Carroll   I-NAME
's   O
emergency   O
contact   O
is   O
listed   O
as   O
"   O
Food   O
Servers   O
,   O
Nonrestaurant   O
at   O
Freedom   B-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Georgia   I-LOCATION
"   O
with   O
a   O
contact   O
number   O
of   O
90725   B-CONTACT
.   O

The   O
patient   O
resides   O
at   O
Sharpsville   B-LOCATION
,   O
52549   B-LOCATION
.   O
-   O
Concerns   O
about   O
potential   O
medication   O
side   O
effects   O
were   O
addressed   O
,   O
with   O
a   O
monitoring   O
plan   O
established   O
.   O
-   O

A   O
heart   O
failure   O
management   O
class   O
offered   O
by   O
City   B-LOCATION
of   I-LOCATION
Dover   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
has   O
been   O
recommended   O
to   O
Jimena   B-NAME
English   I-NAME
and   O
family   O
members   O
.   O

Should   O
you   O
have   O
any   O
questions   O
or   O
require   O
additional   O
information   O
,   O
please   O
contact   O
Coral   B-LOCATION
Gables   I-LOCATION
Hospital   I-LOCATION
using   O
the   O
direct   O
line   O
543   B-CONTACT
4893   I-CONTACT
.   O

Document   O
Prepared   O
by   O
:   O
dxz865   B-NAME
Date   O
:   O
6/25   B-DATE
MV836/1371   B-ID
:   O
8616301   B-ID

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
914   B-ID
37   I-ID
44   I-ID
1   I-ID
Name   O
:   O
Sidney   B-NAME
Crane   I-NAME
Age   O
:   O
93   O
Phone   O
Number   O
:   O
770   B-CONTACT
-   I-CONTACT
339   I-CONTACT
-   I-CONTACT
6329   I-CONTACT
Address   O
:   O
7405   B-LOCATION
King   I-LOCATION
Dr.   I-LOCATION
,   O
94926   B-LOCATION
Occupation   O
:   O
Psychologists   O
,   O
All   O
Other   O
Physician   O
:   O

Arnav   B-NAME
Odom   I-NAME
Hospital   O
:   O

Marian   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
39/31   B-DATE
Medical   O
Record   O
Number   O
:   O
004   B-ID
27   I-ID
58   I-ID
Symptoms   O
:   O

The   O
patient   O
,   O
Wanda   B-NAME
Yeomans   I-NAME
,   O
presented   O
with   O
a   O
persistent   O
cough   O
,   O
dyspnea   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
course   O
of   O
the   O
last   O
week   O
.   O

Maribel   B-NAME
Newman   I-NAME
has   O
a   O
history   O
of   O
asthma   O
but   O
notes   O
that   O
the   O
current   O
symptoms   O
feel   O
more   O
severe   O
than   O
typical   O
asthma   O
exacerbations   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
anderson   B-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
discomfort   O
.   O

Pending   O
the   O
outcome   O
of   O
the   O
diagnostic   O
tests   O
,   O
Cathy   B-NAME
T.   I-NAME
Turk   I-NAME
was   O
advised   O
to   O
continue   O
using   O
the   O
prescribed   O
asthma   O
inhalers   O
and   O
was   O
given   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
as   O
a   O
precautionary   O
measure   O
against   O
bacterial   O
infection   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
32/23   B-DATE
to   O
review   O
the   O
test   O
results   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Physician   O
's   O
Signature   O
:   O
Alia   B-NAME
Moran   I-NAME
September   B-DATE

Patient   O
Report   O
Patient   O
Name   O
:   O
Berg   B-NAME
Patient   O
Age   O
:   O
78   O
Medical   O
Record   O
Number   O
:   O
95865601   B-ID
Date   O
of   O
Birth   O
:   O
32/10/82   B-DATE
Address   O
:   O
Saint   B-LOCATION
-   I-LOCATION
Isidore   I-LOCATION
,   I-LOCATION
NB   I-LOCATION
E8   I-LOCATION
M   I-LOCATION
9K8   I-LOCATION
,   O
86564   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
795   I-CONTACT
)   I-CONTACT
552   I-CONTACT
3273   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Kemp   B-NAME
Admitting   O
Hospital   O
:   O
University   B-LOCATION
Hospitals   I-LOCATION
Elyria   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Patient   O
Elise   B-NAME
Vasquez   I-NAME
was   O
admitted   O
to   O
West   B-LOCATION
Florida   I-LOCATION
Hospital   I-LOCATION
on   O
2/23   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
located   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggesting   O
possible   O
appendicitis   O
.   O

Following   O
diagnostic   O
confirmation   O
,   O
Lilly   B-NAME
Bryant   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
17/16/92   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
without   O
complications   O
,   O
and   O
Martinez   B-NAME
responded   O
well   O
to   O
surgical   O
intervention   O
.   O

Cruz   B-NAME
Lamb   I-NAME
was   O
discharged   O
on   O
01/02/2124   B-DATE
with   O
instructions   O
for   O
home   O
care   O
,   O
including   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
monitor   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Yadira   B-NAME
Sexton   I-NAME
within   O
two   O
weeks   O
post   O
-   O
discharge   O
.   O

In   O
terms   O
of   O
follow   O
-   O
up   O
,   O
McCartney   B-NAME
,   I-NAME
Paul   I-NAME
is   O
advised   O
to   O
monitor   O
the   O
surgical   O
site   O
for   O
any   O
signs   O
of   O
infection   O
,   O
such   O
as   O
increased   O
redness   O
,   O
swelling   O
,   O
or   O
discharge   O
,   O
and   O
report   O
any   O
such   O
findings   O
to   O
Lindsey   B-NAME
immediately   O
.   O

Additionally   O
,   O
Dogg   B-NAME
,   I-NAME
Snoop   I-NAME
is   O
to   O
remain   O
attentive   O
to   O
any   O
recurrent   O
symptoms   O
or   O
unusual   O
discomforts   O
and   O
schedule   O
an   O
earlier   O
follow   O
-   O
up   O
visit   O
if   O
necessary   O
.   O

Nina   B-NAME
Gilmore   I-NAME
's   O
diagnosis   O
,   O
surgical   O
management   O
,   O
and   O
post   O
-   O
operative   O
care   O
have   O
been   O
conducted   O
as   O
per   O
standard   O
clinical   O
guidelines   O
,   O
ensuring   O
a   O
favourable   O
outcome   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
regarding   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
Blanc   B-NAME
,   I-NAME
Raymond   I-NAME
's   O
office   O
at   O
860   B-CONTACT
-   I-CONTACT
477   I-CONTACT
-   I-CONTACT
6072   I-CONTACT
.   O

Prepared   O
by   O
:   O
NT230   B-NAME
12   B-DATE

Patient   O
Name   O
:   O
Proculus   B-NAME
Acorda   I-NAME
Patient   O
ID   O
:   O
9   B-ID
-   I-ID
4632948   I-ID
Medical   O
Record   O
Number   O
:   O
609   B-ID
-   I-ID
64   I-ID
-   I-ID
63   I-ID
-   I-ID
9   I-ID
Date   O
of   O
Birth   O
:   O
29   O
Address   O
:   O
278   B-LOCATION
Coffee   I-LOCATION
Street   I-LOCATION
,   O
82438   B-LOCATION
Phone   O
Number   O
:   O
704   B-CONTACT
9889   I-CONTACT

Cierra   B-NAME
Matthews   I-NAME
Admitting   O
Hospital   O
:   O
Osborne   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Osborne   I-LOCATION
Date   O
of   O
Admission   O
:   O
2302   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
27   I-DATE
Occupation   O
:   O
Rail   O
-   O
Track   O
Laying   O
and   O
Maintenance   O
Equipment   O
Operators   O
History   O
of   O
Present   O
Illness   O
:   O
Carter   B-NAME
,   O
a   O
99   O
-   O
year   O
-   O
old   O
Logging   O
Workers   O
,   O
All   O
Other   O
,   O
presented   O
to   O
Broadlawns   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
16/32/72   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
,   O
throbbing   O
headache   O
primarily   O
located   O
in   O
the   O
frontal   O
area   O
.   O

Kash   B-NAME
Stone   I-NAME
also   O
reported   O
associated   O
symptoms   O
including   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
without   O
vomiting   O
.   O

Quale   B-NAME
's   O
medical   O
history   O
is   O
significant   O
for   O
hypertension   O
and   O
diabetes   O
mellitus   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
George   B-NAME
's   O
blood   O
pressure   O
was   O
elevated   O
at   O
160/100   O
mmHg   O
.   O

Management   O
and   O
Outcome   O
:   O
Compton   B-NAME
was   O
treated   O
with   O
intravenous   O
hydration   O
and   O
a   O
combination   O
of   O
analgesic   O
and   O
antiemetic   O
medication   O
in   O
the   O
emergency   O
department   O
under   O
the   O
supervision   O
of   O
Winters   B-NAME
.   O

After   O
a   O
period   O
of   O
observation   O
,   O
Tiara   B-NAME
Copeland   I-NAME
's   O
symptoms   O
showed   O
significant   O
improvement   O
.   O

Xenakis   B-NAME
was   O
advised   O
on   O
lifestyle   O
modifications   O
aimed   O
at   O
managing   O
hypertension   O
and   O
diabetes   O
more   O
effectively   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Cason   B-NAME
Scott   I-NAME
for   O
further   O
evaluation   O
and   O
management   O
.   O

Cerra   B-NAME
was   O
discharged   O
on   O
03/20/42   B-DATE
with   O
instructions   O
for   O
outpatient   O
follow   O
-   O
up   O
in   O
Northboro   B-LOCATION
.   O

Discussion   O
:   O
Summer   B-NAME
Shaffer   I-NAME
's   O
presentation   O
is   O
indicative   O
of   O
a   O
migraine   O
headache   O
,   O
exacerbated   O
by   O
poorly   O
controlled   O
hypertension   O
and   O
diabetes   O
mellitus   O
.   O

Follow   O
-   O
up   O
:   O
Gilder   B-NAME
,   I-NAME
George   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
12/31   B-DATE
at   O
Nemaha   B-LOCATION
Valley   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Seneca   I-LOCATION
.   O

Further   O
assessments   O
will   O
focus   O
on   O
optimizing   O
the   O
management   O
of   O
Proudhon   B-NAME
,   I-NAME
P.   I-NAME
J.   I-NAME
's   O
hypertension   O
and   O
diabetes   O
,   O
as   O
well   O
as   O
establishing   O
a   O
comprehensive   O
migraine   O
management   O
plan   O
.   O

For   O
any   O
urgent   O
issues   O
or   O
changes   O
in   O
condition   O
,   O
Joseph   B-NAME
or   O
family   O
members   O
may   O
contact   O
St.   B-LOCATION
Elias   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
at   O
564   B-CONTACT
-   I-CONTACT
2498   I-CONTACT
.   O

For   O
non   O
-   O
urgent   O
matters   O
,   O
please   O
reach   O
out   O
to   O
Kamron   B-NAME
Tate   I-NAME
's   O
office   O
during   O
regular   O
business   O
hours   O
.   O

Patient   O
:   O
Hillary   B-NAME
Knapp   I-NAME
ID   O
:   O
366817   B-ID
Date   O
of   O
Birth   O
:   O
2/38   B-DATE
Age   O
:   O
44   O
Phone   O
:   O
139   B-CONTACT
9845   I-CONTACT
Address   O
:   O
Marydel   B-LOCATION
,   O
33073   B-LOCATION
Primary   O
Care   O
Physician   O
:   O

Osborne   B-NAME
Hospital   O
:   O
Maria   B-LOCATION
Parham   I-LOCATION
Health   I-LOCATION
Medical   O
Record   O
Number   O
:   O
6129130   B-ID
Date   O
of   O
Visit   O
:   O
10/31   B-DATE
Employer   O
:   O
GANDU   B-LOCATION
Electric   I-LOCATION
,   I-LOCATION
heavy   I-LOCATION
electric   I-LOCATION
Occupation   O
:   O
Music   O
therapist   O
Chief   O
Complaint   O
:   O
Janessa   B-NAME
Hatfield   I-NAME
presented   O
to   O
Pike   B-LOCATION
County   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
1/65   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
acute   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
began   O
approximately   O
48   O
hours   O
prior   O
.   O

Aisha   B-NAME
Ferrell   I-NAME
also   O
reported   O
a   O
loss   O
of   O
appetite   O
,   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Jenette   B-NAME
Aipopo   I-NAME
,   O
a   O
Pipelayers   O
by   O
occupation   O
,   O
mentioned   O
that   O
the   O
pain   O
initially   O
was   O
generalized   O
but   O
later   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Additionally   O
,   O
Allen   B-NAME
,   I-NAME
Agnes   I-NAME
has   O
experienced   O
a   O
decrease   O
in   O
bowel   O
movements   O
since   O
the   O
onset   O
of   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Trenton   B-NAME
Payne   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
both   O
managed   O
with   O
medication   O
.   O

Social   O
History   O
:   O
Charlize   B-NAME
Castaneda   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
reports   O
occasional   O
alcohol   O
use   O
.   O

Eddie   B-NAME
Bass   I-NAME
works   O
as   O
a   O
Medical   O
Records   O
and   O
Health   O
Information   O
Technicians   O
at   O
World   B-LOCATION
Future   I-LOCATION
Council   I-LOCATION
and   O
is   O
living   O
with   O
family   O
in   O
Mapletown   B-LOCATION
.   O
Review   O
of   O
Systems   O
:   O
Systematic   O
review   O
reveals   O
no   O
additional   O
symptoms   O
in   O
the   O
cardiopulmonary   O
or   O
genitourinary   O
systems   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Amiah   B-NAME
Joseph   I-NAME
appeared   O
mildly   O
distressed   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
Community   B-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
under   O
the   O
care   O
of   O
Kendal   B-NAME
Reed   I-NAME
for   O
probable   O
appendicitis   O
.   O

Surgical   O
consultation   O
was   O
requested   O
leading   O
to   O
an   O
appendectomy   O
being   O
performed   O
without   O
complications   O
on   O
01/02/1604   B-DATE
.   O

Yosef   B-NAME
Q   I-NAME
Ullrich   I-NAME
's   O
post   O
-   O
operative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
home   O
on   O
30/12   B-DATE
.   O

Follow   O
-   O
up   O
was   O
scheduled   O
in   O
two   O
weeks   O
with   O
Carney   B-NAME
to   O
monitor   O
recovery   O
progress   O
.   O

Sparks   B-NAME
was   O
advised   O
to   O
adhere   O
to   O
a   O
soft   O
diet   O
initially   O
,   O
progressing   O
as   O
tolerated   O
.   O

Housman   B-NAME
,   I-NAME
A.   I-NAME
E.   I-NAME
's   O
compliance   O
with   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
will   O
be   O
essential   O
for   O
a   O
full   O
recovery   O
.   O

Patient   O
Name   O
:   O
Reagan   B-NAME
Rich   I-NAME
Age   O
:   O
49   O
Date   O
of   O
Birth   O
:   O
1/36/52   B-DATE
Address   O
:   O
Fajardo   B-LOCATION
,   O
46681   B-LOCATION
Phone   O
Number   O
:   O
784   B-CONTACT
8330   I-CONTACT
Occupation   O
:   O

Purchasing   O
Managers   O
Medical   O
Record   O
Number   O
:   O
571   B-ID
-   I-ID
52   I-ID
-   I-ID
80   I-ID
ID   O
Number   O
:   O
0   B-ID
-   I-ID
9055801   I-ID
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Caroline   B-NAME
Berg   I-NAME
Treatment   O
Facility   O
:   O
Memorial   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
South   I-LOCATION
Date   O
of   O
Visit   O
:   O
21/26   B-DATE
Chief   O
Complaint   O
:   O
Jaye   B-NAME
Venturini   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
CHI   B-LOCATION
Health   I-LOCATION
Immanuel   I-LOCATION
on   O
2/00   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
that   O
radiates   O
to   O
the   O
back   O
,   O
nausea   O
,   O
and   O
repeated   O
episodes   O
of   O
vomiting   O
which   O
began   O
approximately   O
6   O
hours   O
prior   O
to   O
admission   O
.   O

Kathleen   B-NAME
Bruce   I-NAME
also   O
reported   O
a   O
lack   O
of   O
appetite   O
and   O
a   O
mild   O
fever   O
.   O

The   O
patient   O
has   O
a   O
medical   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
and   O
hypertension   O
,   O
which   O
are   O
currently   O
managed   O
by   O
medications   O
prescribed   O
by   O
Dr.   O
Frost   B-NAME
.   O

Cohen   B-NAME
Hayes   I-NAME
denies   O
any   O
recent   O
travel   O
outside   O
Fruitridge   B-LOCATION
Pocket   I-LOCATION
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
use   O
of   O
new   O
medications   O
.   O

Terrell   B-NAME
reports   O
adherence   O
to   O
a   O
diabetic   O
diet   O
but   O
admits   O
to   O
occasional   O
alcohol   O
use   O
.   O

Upon   O
examination   O
,   O
Kevin   B-NAME
Crawford   I-NAME
's   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
temperature   O
of   O
38.2   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
at   O
140/90   O
mmHg   O
.   O

An   O
abdominal   O
ultrasound   O
performed   O
at   O
Hackensack   B-LOCATION
Meridian   I-LOCATION
Health   I-LOCATION
Mountainside   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/20   B-DATE
revealed   O
inflammation   O
of   O
the   O
pancreas   O
without   O
evidence   O
of   O
gallstones   O
or   O
obstruction   O
.   O

Treatment   O
and   O
Recommendations   O
:   O
Elaina   B-NAME
Cortez   I-NAME
was   O
admitted   O
to   O
McLeod   B-LOCATION
Health   I-LOCATION
Cheraw   I-LOCATION
for   O
management   O
of   O
acute   O
pancreatitis   O
.   O

Dr.   O
Jaylah   B-NAME
Davies   I-NAME
advised   O
monitoring   O
of   O
vital   O
signs   O
,   O
laboratory   O
values   O
,   O
and   O
symptoms   O
closely   O
over   O
the   O
next   O
48   O
-   O
72   O
hours   O
,   O
with   O
a   O
gradual   O
reintroduction   O
of   O
oral   O
intake   O
as   O
tolerated   O
.   O
Discussion   O
with   O
Cato   B-NAME
the   I-NAME
Elder   I-NAME
:   O
Dr.   O
Alisa   B-NAME
English   I-NAME
discussed   O
with   O
Hayden   B-NAME
Simpson   I-NAME
the   O
importance   O
of   O
avoiding   O
alcohol   O
,   O
adhering   O
to   O
a   O
low   O
-   O
fat   O
diet   O
,   O
and   O
continuing   O
medication   O
for   O
underlying   O
conditions   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
to   O
monitor   O
Jaslyn   B-NAME
Blackburn   I-NAME
's   O
progress   O
and   O
to   O
discuss   O
the   O
results   O
of   O
an   O
endoscopic   O
ultrasound   O
scheduled   O
for   O
12/06   B-DATE
to   O
evaluate   O
for   O
potential   O
gallstones   O
or   O
other   O
anatomical   O
abnormalities   O
as   O
a   O
cause   O
of   O
pancreatitis   O
.   O

Conclusion   O
:   O
Terry   B-NAME
Middleton   I-NAME
's   O
condition   O
was   O
stabilized   O
with   O
medical   O
management   O
,   O
and   O
River   B-NAME
Pace   I-NAME
demonstrated   O
an   O
understanding   O
of   O
the   O
treatment   O
plan   O
and   O
the   O
necessary   O
lifestyle   O
changes   O
to   O
prevent   O
future   O
episodes   O
.   O

Leroy   B-NAME
X.   I-NAME
Oshea   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Lin   B-NAME
on   O
Thursday   B-DATE
at   O
Norton   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
.   O

Patient   O
Report   O
:   O
2384   B-DATE
,   O
Kole   B-NAME
Guerra   I-NAME
presented   O
to   O
St.   B-LOCATION
Louise   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
reporting   O
a   O
history   O
of   O
intermittent   O
,   O
severe   O
abdominal   O
pain   O
over   O
the   O
last   O
month   O
.   O

Cady   B-NAME
describes   O
the   O
pain   O
as   O
sharp   O
and   O
cramping   O
in   O
nature   O
,   O
worsening   O
postprandial   O
.   O

Rex   B-NAME
Robinson   I-NAME
has   O
no   O
known   O
drug   O
allergies   O
.   O

Surgical   O
history   O
includes   O
a   O
cholecystectomy   O
performed   O
at   O
Large   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Indian   I-LOCATION
Rocks   I-LOCATION
(   I-LOCATION
Formerly   I-LOCATION
Sun   I-LOCATION
Coast   I-LOCATION
Hospital   I-LOCATION
)   I-LOCATION
on   O
04/20/60   B-DATE
.   O

On   O
physical   O
examination   O
,   O
Tiara   B-NAME
Copeland   I-NAME
appeared   O
cachectic   O
.   O

Laboratory   O
tests   O
ordered   O
by   O
Molina   B-NAME
included   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
,   O
comprehensive   O
metabolic   O
panel   O
(   O
CMP   O
)   O
,   O
lipase   O
,   O
and   O
amylase   O
levels   O
.   O

61862107   B-ID
also   O
underwent   O
an   O
abdominal   O
ultrasound   O
,   O
which   O
showed   O
changes   O
suggestive   O
of   O
chronic   O
pancreatitis   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
for   O
16/02   B-DATE
to   O
reassess   O
Peter   B-NAME
Goldstone   I-NAME
's   O
condition   O
and   O
adjust   O
the   O
treatment   O
plan   O
accordingly   O
.   O

Nora   B-NAME
Walls   I-NAME
advised   O
on   O
the   O
importance   O
of   O
lifestyle   O
modifications   O
,   O
including   O
smoking   O
cessation   O
and   O
limiting   O
alcohol   O
intake   O
,   O
to   O
manage   O
the   O
condition   O
and   O
prevent   O
exacerbations   O
.   O

Aldo   B-NAME
Meadows   I-NAME
was   O
provided   O
with   O
educational   O
material   O
on   O
diet   O
changes   O
recommended   O
for   O
chronic   O
pancreatitis   O
and   O
was   O
encouraged   O
to   O
maintain   O
a   O
low   O
-   O
fat   O
diet   O
.   O

Contact   O
information   O
was   O
updated   O
in   O
Alejandro   B-NAME
Wilcox   I-NAME
's   O
record   O
.   O

A   O
new   O
emergency   O
contact   O
number   O
,   O
143   B-CONTACT
-   I-CONTACT
520   I-CONTACT
-   I-CONTACT
2242   I-CONTACT
,   O
was   O
listed   O
.   O

Kenny   B-NAME
Gutierrez   I-NAME
resides   O
at   O
San   B-LOCATION
Ysidro   I-LOCATION
and   O
is   O
employed   O
as   O
a   O
Occupational   O
Health   O
and   O
Safety   O
Technicians   O
at   O
DTE   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
DTE   I-LOCATION
Energy   I-LOCATION
Electric   I-LOCATION
Company   I-LOCATION
)   I-LOCATION
.   O

02/31   B-DATE
's   O
visit   O
concluded   O
with   O
instructions   O
for   O
Aguirre   B-NAME
to   O
monitor   O
symptoms   O
and   O
report   O
any   O
significant   O
changes   O
,   O
such   O
as   O
increased   O
pain   O
,   O
fever   O
,   O
or   O
jaundice   O
,   O
immediately   O
.   O

Dorsey   B-NAME
emphasized   O
the   O
importance   O
of   O
adherence   O
to   O
the   O
prescribed   O
treatment   O
plan   O
and   O
scheduled   O
follow   O
-   O
up   O
to   O
monitor   O
[   O
PATIENT   O
's   O
]   O
progress   O
.   O

Patient   O
Name   O
:   O
Loretta   B-NAME
Wade   I-NAME
ID   O
:   O
KF:48485:652775   B-ID
Medical   O
Record   O
Number   O
:   O
333   B-ID
-   I-ID
92   I-ID
-   I-ID
08   I-ID
-   I-ID
3   I-ID
Age   O
:   O
78   O
Phone   O
Number   O
:   O
196   B-CONTACT
398   I-CONTACT
-   I-CONTACT
5792   I-CONTACT
Presenting   O
Complaint   O
:   O

The   O
patient   O
,   O
Hernandez   B-NAME
,   O
presented   O
on   O
2201   B-DATE
-   I-DATE
02   I-DATE
-   I-DATE
08   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Past   O
Medical   O
History   O
:   O
Nicholas   B-NAME
Uselton   I-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
diagnosed   O
in   O
December   B-DATE
2333   I-DATE
and   O
is   O
currently   O
managed   O
with   O
Metformin   O
.   O

Social   O
History   O
:   O
Makayla   B-NAME
Lopez   I-NAME
is   O
a   O
Grinding   O
and   O
Polishing   O
Workers   O
,   O
Hand   O
living   O
in   O
Bayonet   B-LOCATION
Point   I-LOCATION
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Howard   B-NAME
Zwaneveld   I-NAME
was   O
found   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

The   O
patient   O
was   O
admitted   O
to   O
UAB   B-LOCATION
Callahan   I-LOCATION
Eye   I-LOCATION
Hospital   I-LOCATION
on   O
'   B-DATE
90   I-DATE
under   O
the   O
care   O
of   O
Key   B-NAME
.   O

Carducci   B-NAME
,   I-NAME
Giosue   I-NAME
underwent   O
successful   O
laparoscopic   O
appendectomy   O
without   O
complications   O
.   O

Postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Khairy   B-NAME
was   O
discharged   O
on   O
12/30   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
with   O
Khalil   B-NAME
Valdez   I-NAME
in   O
1   O
-   O
2   O
weeks   O
for   O
postoperative   O
evaluation   O
.   O

Gilmore   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Lilia   B-NAME
Booker   I-NAME
at   O
Centura   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Littleton   I-LOCATION
Adventist   I-LOCATION
Hospital   I-LOCATION
on   O
25/06   B-DATE
to   O
ensure   O
proper   O
healing   O
and   O
recovery   O
.   O
Instructions   O
for   O
Patient   O
at   O
Discharge   O
:   O
1   O
.   O

4   O
.   O
Report   O
any   O
signs   O
of   O
fever   O
,   O
increased   O
pain   O
,   O
or   O
other   O
concerning   O
symptoms   O
immediately   O
to   O
73881   B-CONTACT
.   O

Please   O
refer   O
to   O
this   O
patient   O
's   O
medical   O
record   O
number   O
,   O
EPW519970   B-ID
,   O
for   O
further   O
inquiries   O
or   O
correspondence   O
.   O

Patient   O
Name   O
:   O
Davin   B-NAME
Russo   I-NAME
Age   O
:   O
19   O
Medical   O
Record   O
Number   O
:   O
3241668   B-ID
Address   O
:   O
Lehr   B-LOCATION
,   O
52365   B-LOCATION
Phone   O
:   O
79867   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Glass   B-NAME
Hospital   O
:   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Philadelphia   I-LOCATION
-   I-LOCATION
Havertown   I-LOCATION
ID   O
:   O
5   B-ID
-   I-ID
9433663   I-ID
Admission   O
Date   O
:   O
15/02   B-DATE
Profession   O
:   O

Sawing   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
,   O
Wood   O
Username   O
:   O
ii372   B-NAME
Chief   O
Complaint   O
:   O

Lesley   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
Eden   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
3   B-DATE
-   I-DATE
29   I-DATE
with   O
complaints   O
of   O
acute   O
-   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Milosz   B-NAME
,   I-NAME
Ceslaw   I-NAME
described   O
the   O
pain   O
as   O
sharp   O
and   O
constant   O
,   O
with   O
an   O
intensity   O
rated   O
as   O
8   O
on   O
a   O
scale   O
of   O
1   O
to   O
10   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Cullen   B-NAME
Wright   I-NAME
noted   O
the   O
onset   O
of   O
symptoms   O
approximately   O
6   O
hours   O
prior   O
to   O
presentation   O
.   O

Julie   B-NAME
Fraser   I-NAME
reported   O
associated   O
symptoms   O
including   O
nausea   O
without   O
vomiting   O
,   O
anorexia   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
.   O

Kai   B-NAME
Clem   I-NAME
denied   O
any   O
change   O
in   O
bowel   O
habits   O
,   O
urinary   O
symptoms   O
,   O
or   O
previous   O
similar   O
episodes   O
.   O

Past   O
Medical   O
History   O
:   O
Ivory   B-NAME
Barron   I-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
hypertension   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Mcdonald   B-NAME
has   O
no   O
known   O
drug   O
allergies   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
University   B-LOCATION
of   I-LOCATION
Texas   I-LOCATION
Medical   I-LOCATION
Branch   I-LOCATION
-   I-LOCATION
Galveston   I-LOCATION
in   O
30/13   B-DATE
.   O

Review   O
of   O
Systems   O
:   O
Robbyn   B-NAME
Colvin   I-NAME
's   O
review   O
of   O
systems   O
was   O
negative   O
for   O
headaches   O
,   O
chest   O
pain   O
,   O
dyspnea   O
,   O
diarrhea   O
,   O
and   O
urinary   O
symptoms   O
.   O

Sage   B-NAME
Chandler   I-NAME
did   O
have   O
a   O
positive   O
report   O
for   O
weight   O
loss   O
and   O
increased   O
thirst   O
over   O
the   O
past   O
few   O
weeks   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Cruz   B-NAME
Yates   I-NAME
appeared   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultrasound   O
performed   O
at   O
Randolph   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2020   B-DATE
revealed   O
a   O
thickened   O
appendix   O
with   O
peri   O
-   O
appendiceal   O
fluid   O
collection   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Kamari   B-NAME
Scott   I-NAME
was   O
admitted   O
to   O
Methodist   B-LOCATION
Hospital   I-LOCATION
's   O
surgical   O
unit   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
.   O

Kaitlynn   B-NAME
Wall   I-NAME
,   O
the   O
attending   O
surgeon   O
,   O
performed   O
the   O
surgery   O
on   O
2305   B-DATE
without   O
complications   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Demetrius   B-NAME
Mccarthy   I-NAME
's   O
post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
.   O

Rikki   B-NAME
Jarman   I-NAME
was   O
started   O
on   O
a   O
liquid   O
diet   O
on   O
post   O
-   O
operative   O
day   O
1   O
and   O
advanced   O
as   O
tolerated   O
.   O

Xiang   B-NAME
was   O
discharged   O
home   O
on   O
32/23   B-DATE
with   O
instructions   O
to   O
follow   O
up   O
with   O
Lucinda   B-NAME
Fillman   I-NAME
in   O
one   O
week   O
.   O

Conclusion   O
:   O
Nicholas   B-NAME
Knight   I-NAME
,   O
a   O
Youth   O
worker   O
of   O
67   O
,   O
successfully   O
underwent   O
an   O
emergency   O
laparoscopic   O
appendectomy   O
for   O
acute   O
appendicitis   O
at   O
Mercy   B-LOCATION
Hospital   I-LOCATION
Lebanon   I-LOCATION
.   O

Follow   O
-   O
up   O
care   O
is   O
scheduled   O
with   O
Damian   B-NAME
Pace   I-NAME
to   O
ensure   O
complete   O
recuperation   O
.   O

Patient   O
Name   O
:   O
Cedric   B-NAME
Bullock   I-NAME
Patient   O
HD414/4335   B-ID
:   O
74068122   B-ID
Date   O
of   O
Birth   O
:   O
22/02   B-DATE
Age   O
:   O
57s   O
Address   O
:   O
Arizona   B-LOCATION
,   O
32632   B-LOCATION
Phone   O
:   O
76949   B-CONTACT
Attending   O
Physician   O
:   O

Lena   B-NAME
Mendez   I-NAME
Employer   O
:   O
Turnberry   B-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Electronics   O
Engineers   O
,   O
Except   O
Computer   O
Username   O
:   O
xs601   B-NAME
Admission   O
Date   O
:   O
30/26   B-DATE
Hospital   O
:   O
Cooper   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
:   O

Patrick   B-NAME
was   O
admitted   O
to   O
Cox   B-LOCATION
South   I-LOCATION
on   O
July   B-DATE
with   O
complaints   O
of   O
acute   O
chest   O
pain   O
,   O
radiating   O
to   O
the   O
left   O
arm   O
and   O
jaw   O
,   O
indicative   O
of   O
possible   O
myocardial   O
infarction   O
.   O

The   O
patient   O
is   O
a   O
Water   O
engineer   O
at   O
Gracy   B-LOCATION
Title   I-LOCATION
Company   I-LOCATION
and   O
reported   O
an   O
onset   O
of   O
symptoms   O
approximately   O
2   O
hours   O
after   O
engaging   O
in   O
strenuous   O
physical   O
activity   O
.   O

Physical   O
examination   O
performed   O
by   O
Mathews   B-NAME
revealed   O
diaphoresis   O
and   O
pallor   O
.   O

Emery   B-NAME
Klein   I-NAME
was   O
also   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
and   O
high   O
-   O
intensity   O
statin   O
therapy   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
ECG   O
findings   O
,   O
Fischer   B-NAME
recommended   O
coronary   O
angiography   O
.   O

Gunner   B-NAME
Sherman   I-NAME
underwent   O
successful   O
primary   O
percutaneous   O
coronary   O
intervention   O
(   O
PCI   O
)   O
of   O
the   O
right   O
coronary   O
artery   O
at   O
Sylvan   B-LOCATION
Grove   I-LOCATION
Hospital   I-LOCATION
on   O
January   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Julie   B-NAME
Fraser   I-NAME
displayed   O
a   O
steady   O
recovery   O
during   O
the   O
hospital   O
stay   O
with   O
no   O
complications   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
with   O
Davis   B-NAME
at   O
Piedmont   B-LOCATION
Athens   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
cardiac   O
rehabilitation   O
assessment   O
and   O
ongoing   O
management   O
of   O
risk   O
factors   O
.   O

Discharge   O
Summary   O
:   O
Jamya   B-NAME
Petersen   I-NAME
was   O
discharged   O
from   O
Baystate   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
12/22/2217   B-DATE
.   O

A   O
follow   O
-   O
up   O
visit   O
with   O
George   B-NAME
Reed   I-NAME
was   O
scheduled   O
for   O
01/02   B-DATE
.   O

This   O
discharge   O
summary   O
should   O
be   O
sent   O
to   O
Saroyan   B-NAME
,   I-NAME
William   I-NAME
's   O
primary   O
care   O
physician   O
and   O
Botswana   B-LOCATION
Saving   I-LOCATION
Bank   I-LOCATION
Employees   I-LOCATION
'   I-LOCATION
Union   I-LOCATION
occupational   O
health   O
services   O
,   O
with   O
explicit   O
attention   O
to   O
the   O
Insurance   O
Sales   O
Agents   O
department   O
if   O
available   O
,   O
for   O
ongoing   O
management   O
and   O
support   O
in   O
returning   O
to   O
work   O
.   O

Patient   O
Report   O
for   O
Abel   B-NAME
Cooke   I-NAME
Patient   O
Information   O
:   O
Age   O
:   O
90   O
Gender   O
:   O

Female   O
Date   O
of   O
Admission   O
:   O
0/10/2122   B-DATE
Hospital   O
:   O

Navicent   B-LOCATION
Health   I-LOCATION
Baldwin   I-LOCATION
Location   O
:   O
Callensburg   B-LOCATION
Medical   O
Record   O
Number   O
:   O
9318B81828   B-ID
Contact   O
Information   O
:   O
270   B-CONTACT
-   I-CONTACT
6779   I-CONTACT
Physician   O
:   O

Miracle   B-NAME
Suarez   I-NAME
Summary   O
:   O
The   O
patient   O
,   O
a   O
First   O
-   O
Line   O
Supervisors   O
,   O
Customer   O
Service   O
from   O
Baxter   B-LOCATION
Springs   I-LOCATION
,   O
presented   O
to   O
Spectrum   B-LOCATION
Health   I-LOCATION
Zeeland   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
12/32/62   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Gallagher   B-NAME
and   O
was   O
promptly   O
started   O
on   O
intravenous   O
hydration   O
and   O
antibiotics   O
.   O

An   O
appendectomy   O
was   O
performed   O
on   O
07/19/2287   B-DATE
,   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Orozco   B-NAME
advised   O
Diana   B-NAME
Reddin   I-NAME
to   O
engage   O
in   O
light   O
activities   O
for   O
a   O
few   O
weeks   O
post   O
-   O
discharge   O
and   O
avoid   O
heavy   O
lifting   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
30   B-DATE
to   O
monitor   O
recovery   O
progress   O
and   O
to   O
discuss   O
the   O
reintroduction   O
of   O
regular   O
activities   O
.   O

The   O
patient   O
was   O
discharged   O
home   O
on   O
26/15   B-DATE
with   O
a   O
course   O
of   O
oral   O
antibiotics   O
and   O
pain   O
management   O
medication   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Confidential   O
Relationship   O
:   O
Telecommunications   O
Line   O
Installers   O
and   O
Repairers   O
Phone   O
:   O
36971   B-CONTACT

This   O
report   O
was   O
prepared   O
by   O
QZ903   B-NAME
on   O
02/21/2021   B-DATE
.   O

For   O
any   O
further   O
details   O
regarding   O
this   O
case   O
,   O
please   O
contact   O
Newark   B-LOCATION
Beth   I-LOCATION
Israel   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
95520   B-CONTACT
.   O

Document   O
ID   O
:   O
9   B-ID
-   I-ID
5235603   I-ID
Location   O
:   O
Sausal   B-LOCATION
ZIP   O
Code   O
:   O
77733   B-LOCATION

Patient   O
Name   O
:   O
Clark   B-NAME
Mooney   I-NAME
Patient   O
ID   O
:   O
AO   B-ID
:   I-ID
JU:6754   I-ID
Medical   O
Record   O
Number   O
:   O
550   B-ID
-   I-ID
84   I-ID
-   I-ID
75   I-ID
Date   O
of   O
Birth   O
:   O
2072   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
24   I-DATE
Age   O
:   O
99   O
Address   O
:   O
Dotsero   B-LOCATION
,   O
96866   B-LOCATION
Phone   O
Number   O
:   O
529   B-CONTACT
794   I-CONTACT
-   I-CONTACT
8107   I-CONTACT
Employer   O
:   O

Lansing   B-LOCATION
Board   I-LOCATION
of   I-LOCATION
Water   I-LOCATION
&   I-LOCATION
Light   I-LOCATION
Occupation   O
:   O
Secretaries   O
,   O
Except   O
Legal   O
,   O
Medical   O
,   O
and   O
Executive   O
Primary   O
Care   O
Physician   O
:   O
Willis   B-NAME
Hospital   O
:   O
Trinitas   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
History   O
of   O
Present   O
Illness   O
:   O
The   O
patient   O
,   O
Leviticus   B-NAME
Biever   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
University   B-LOCATION
of   I-LOCATION
Virginia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
on   O
30/02/2052   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
onset   O
approximately   O
2   O
hours   O
before   O
presentation   O
.   O

Tyson   B-NAME
reported   O
associated   O
symptoms   O
of   O
shortness   O
of   O
breath   O
,   O
diaphoresis   O
,   O
and   O
nausea   O
.   O

Gustavo   B-NAME
Tyler   I-NAME
has   O
a   O
medical   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
with   O
medications   O
not   O
thoroughly   O
compliant   O
as   O
prescribed   O
.   O

Alejandro   B-NAME
was   O
administered   O
aspirin   O
,   O
clopidogrel   O
,   O
and   O
sublingual   O
nitroglycerin   O
upon   O
diagnosis   O
.   O

Bruce   B-NAME
was   O
then   O
referred   O
to   O
Ignacio   B-NAME
Henderson   I-NAME
for   O
urgent   O
cardiac   O
catheterization   O
.   O

Scarlet   B-NAME
Banks   I-NAME
’s   O
management   O
plan   O
included   O
initiation   O
of   O
a   O
beta   O
-   O
blocker   O
,   O
high   O
-   O
intensity   O
statin   O
therapy   O
,   O
and   O
ACE   O
inhibitor   O
.   O

Jonson   B-NAME
,   I-NAME
Ben   I-NAME
was   O
admitted   O
to   O
the   O
cardiac   O
care   O
unit   O
for   O
further   O
monitoring   O
and   O
management   O
.   O

Follow   O
-   O
Up   O
:   O
roberson   B-NAME
demonstrated   O
improvement   O
of   O
symptoms   O
post   O
-   O
procedure   O
and   O
was   O
placed   O
on   O
a   O
cardiac   O
rehabilitation   O
program   O
as   O
recommended   O
by   O
Ed   B-NAME
Helms   I-NAME
.   O

Siena   B-NAME
Shannon   I-NAME
was   O
educated   O
on   O
lifestyle   O
modifications   O
including   O
dietary   O
changes   O
,   O
exercise   O
,   O
and   O
strict   O
adherence   O
to   O
medication   O
regimen   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
3/28/51   B-DATE
with   O
Desmond   B-NAME
Hamilton   I-NAME
to   O
evaluate   O
recovery   O
progress   O
and   O
medication   O
management   O
.   O

For   O
any   O
further   O
queries   O
or   O
follow   O
-   O
up   O
needs   O
,   O
please   O
contact   O
Capital   B-LOCATION
Health   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Hopewell   I-LOCATION
at   O
92379   B-CONTACT
.   O

Ilse   B-NAME
Stoffel   I-NAME
Age   O
:   O
11   O
month   O
Date   O
of   O
Birth   O
:   O
2/32   B-DATE
Phone   O
Number   O
:   O
612   B-CONTACT
-   I-CONTACT
5984   I-CONTACT
Address   O
:   O
Aurora   B-LOCATION
,   O
96387   B-LOCATION
Medical   O
Record   O
Number   O
:   O
03743879   B-ID
Patient   O
ID   O
:   O
OZ:90872:586839   B-ID

Presenting   O
Complaint   O
:   O
Ruba   B-NAME
Neil   I-NAME
was   O
admitted   O
to   O
Samaritan   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
21/03/01   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
sharp   O
abdominal   O
pain   O
predominantly   O
located   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
last   O
24   O
hours   O
.   O

Franklin   B-NAME
,   I-NAME
Benjamin   I-NAME
has   O
also   O
reported   O
a   O
marked   O
decrease   O
in   O
appetite   O
and   O
a   O
slight   O
fever   O
.   O

Foster   B-NAME
has   O
a   O
history   O
of   O
Type   O
2   O
diabetes   O
mellitus   O
managed   O
with   O
oral   O
hypoglycemics   O
and   O
had   O
undergone   O
cholecystectomy   O
in   O
33/27   B-DATE
.   O

On   O
physical   O
examination   O
,   O
Bernhard   B-NAME
,   I-NAME
Sandra   I-NAME
presented   O
with   O
a   O
temperature   O
of   O
38.3   O
°   O
C   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
of   O
135/85   O
mmHg   O
.   O

Diagnostic   O
Imaging   O
:   O
CT   O
abdomen   O
performed   O
on   O
02/53   B-DATE
demonstrated   O
an   O
enlarged   O
appendix   O
with   O
periappendiceal   O
fat   O
stranding   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
Plan   O
:   O
Dr.   O
Hightower   B-NAME
,   I-NAME
Jim   I-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Richard   B-NAME
A.   I-NAME
Verlin   I-NAME
-   I-NAME
Urbina   I-NAME
was   O
started   O
on   O
IV   O
fluids   O
,   O
IV   O
antibiotics   O
(   O
Piperacillin   O
/   O
Tazobactam   O
)   O
,   O
and   O
analgesia   O
for   O
pain   O
management   O
.   O

Disposition   O
:   O
Howell   B-NAME
,   I-NAME
James   I-NAME
was   O
admitted   O
under   O
General   O
Surgery   O
and   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
2026   B-DATE
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Bryan   B-NAME
Garcia   I-NAME
at   O
Hartford   B-LOCATION
Hospital   I-LOCATION
for   O
November   B-DATE
2   I-DATE
to   O
review   O
post   O
-   O
operative   O
recovery   O
and   O
wound   O
healing   O
.   O

Joi   B-NAME
Winders   I-NAME
was   O
advised   O
to   O
continue   O
with   O
diabetic   O
diet   O
and   O
medications   O
and   O
report   O
any   O
signs   O
of   O
fever   O
,   O
increased   O
wound   O
redness   O
,   O
or   O
discharge   O
immediately   O
.   O

Notes   O
:   O
-   O
Joshi   B-NAME
's   O
emergency   O
contact   O
,   O
Internists   O
,   O
General   O
YM728   B-NAME
,   O
was   O
informed   O
of   O
the   O
surgical   O
plan   O
and   O
post   O
-   O
operative   O
care   O
instructions   O
.   O

-   O
Consent   O
for   O
the   O
procedure   O
was   O
obtained   O
from   O
Crosby   B-NAME
on   O
Sunday   B-DATE
,   I-DATE
July   I-DATE
.   O
-   O
Hailee   B-NAME
Baird   I-NAME
expressed   O
gratitude   O
for   O
the   O
care   O
provided   O
by   O
American   B-LOCATION
Ex   I-LOCATION
-   I-LOCATION
Prisoners   I-LOCATION
of   I-LOCATION
War   I-LOCATION
and   O
the   O
medical   O
staff   O
at   O
Princeton   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Saul   B-NAME
,   I-NAME
John   I-NAME
Ralston   I-NAME
Age   O
:   O
37   O
ID   O
:   O
KG:1638:289800   B-ID
Medical   O
Record   O
Number   O
:   O
4760700   B-ID
Date   O
of   O
Visit   O
:   O
9/2078   B-DATE
Location   O
of   O
Visit   O
:   O
Sunset   B-LOCATION
Valley   I-LOCATION
Hospital   O
:   O

WellSpan   B-LOCATION
Ephrata   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Phone   O
:   O
659   B-CONTACT
3321   I-CONTACT
Zip   O
Code   O
:   O
90978   B-LOCATION

Porter   B-NAME
Barker   I-NAME
Referred   O
By   O
:   O
Dr.   O
Owen   B-NAME
Summary   O
:   O
Oscar   B-NAME
B.   I-NAME
Stanley   I-NAME
,   O
a   O
Transportation   O
,   O
Storage   O
,   O
and   O
Distribution   O
Managers   O
by   O
profession   O
,   O
reported   O
to   O
our   O
facility   O
on   O
11/02/40   B-DATE
with   O
a   O
set   O
of   O
symptoms   O
that   O
included   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
occasional   O
vomiting   O
over   O
the   O
past   O
72   O
hours   O
.   O

Numerian   B-NAME
Herrion   I-NAME
also   O
reported   O
a   O
decreased   O
appetite   O
and   O
elevated   O
temperature   O
measured   O
at   O
home   O
.   O

Gallagher   B-NAME
,   I-NAME
Fred   I-NAME
was   O
admitted   O
to   O
Wentworth   B-LOCATION
-   I-LOCATION
Douglass   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Dixie   B-NAME
Avila   I-NAME
for   O
further   O
management   O
.   O

Management   O
and   O
Outcome   O
:   O
U.   B-NAME
L.   I-NAME
Dana   I-NAME
was   O
immediately   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
after   O
preoperative   O
preparations   O
.   O

The   O
surgery   O
,   O
conducted   O
on   O
1969   B-DATE
,   O
was   O
successful   O
without   O
any   O
complications   O
.   O

Donald   B-NAME
Westphall   I-NAME
's   O
postoperative   O
recovery   O
was   O
uneventful   O
,   O
and   O
antibiotics   O
were   O
administered   O
intravenously   O
according   O
to   O
the   O
protocol   O
for   O
postoperative   O
care   O
.   O

Stewart   B-NAME
was   O
discharged   O
on   O
3/53   B-DATE
with   O
instructions   O
for   O
follow   O
-   O
up   O
in   O
the   O
outpatient   O
department   O
.   O

Follow   O
-   O
Up   O
:   O
West   B-NAME
presented   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
8   B-DATE
-   I-DATE
2   I-DATE
,   O
reporting   O
significant   O
improvement   O
.   O

Francis   B-NAME
Whitaker   I-NAME
was   O
advised   O
to   O
gradually   O
return   O
to   O
normal   O
activities   O
and   O
to   O
report   O
any   O
unusual   O
symptoms   O
immediately   O
.   O

Privacy   O
Information   O
:   O
All   O
personal   O
health   O
information   O
has   O
been   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
to   O
ensure   O
Castaneda   B-NAME
,   I-NAME
Carlos   I-NAME
's   O
privacy   O
and   O
security   O
.   O

Further   O
inquiries   O
regarding   O
this   O
report   O
should   O
be   O
directed   O
to   O
71032   B-CONTACT
without   O
sharing   O
any   O
personal   O
health   O
information   O
via   O
unsecured   O
means   O
.   O

This   O
report   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
Quiana   B-NAME
,   O
Green   B-NAME
,   O
and   O
other   O
authorized   O
healthcare   O
professionals   O
associated   O
with   O
Lana   B-NAME
Duke   I-NAME
's   O
care   O
at   O
St.   B-LOCATION
Francis   I-LOCATION
Hospital   I-LOCATION
&   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
and   O
Union   B-LOCATION
Network   I-LOCATION
International   I-LOCATION
.   O

Document   O
Prepared   O
by   O
:   O
JY639   B-NAME
32/10/01   B-DATE

Patient   O
Report   O
:   O
Patient   O
ID   O
:   O
21586715   B-ID
Name   O
:   O
Acuna   B-NAME
Age   O
:   O
17   O
Location   O
:   O
Glidden   B-LOCATION
Phone   O
Number   O
:   O
39008   B-CONTACT
Date   O
of   O
Admission   O
:   O
06/60   B-DATE

Loretta   B-NAME
Wade   I-NAME
Hospital   O
:   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Panorama   I-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Zip   O
Code   O
:   O
35076   B-LOCATION
Occupation   O
:   O

Commissioning   O
engineer   O
Username   O
:   O
wl693   B-NAME
Medical   O
Record   O
Number   O
:   O
23587341   B-ID
Social   O
Security   O
Number   O
:   O
ZO   B-ID
:   I-ID
KT:4780   I-ID
Clinical   O
Summary   O
:   O

The   O
patient   O
,   O
Tommie   B-NAME
,   O
a   O
Emergency   O
Medical   O
Technicians   O
and   O
Paramedics   O
from   O
Inman   B-LOCATION
,   O
74270   B-LOCATION
,   O
was   O
admitted   O
to   O
Rose   B-LOCATION
Gardens   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
05/17   B-DATE
under   O
the   O
care   O
of   O
Mcbride   B-NAME
.   O

Upon   O
examination   O
,   O
Maxwell   B-NAME
presented   O
with   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
and   O
tenderness   O
in   O
the   O
right   O
iliac   O
fossa   O
.   O

The   O
attending   O
physician   O
,   O
Dorian   B-NAME
Knapp   I-NAME
,   O
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
possible   O
appendectomy   O
.   O

Sherika   B-NAME
Myles   I-NAME
was   O
instructed   O
to   O
abstain   O
from   O
food   O
or   O
drink   O
in   O
preparation   O
for   O
potential   O
surgery   O
,   O
with   O
intravenous   O
fluids   O
started   O
to   O
maintain   O
hydration   O
.   O

Further   O
instructions   O
were   O
provided   O
for   O
Carducci   B-NAME
,   I-NAME
Giosue   I-NAME
to   O
report   O
any   O
worsening   O
symptoms   O
immediately   O
,   O
including   O
increased   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
symptoms   O
suggestive   O
of   O
rupture   O
such   O
as   O
sudden   O
relief   O
of   O
pain   O
followed   O
by   O
diffuse   O
abdominal   O
pain   O
and   O
guarding   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
01/13/52   B-DATE
post   O
-   O
discharge   O
to   O
evaluate   O
recovery   O
progress   O
and   O
wound   O
healing   O
.   O

The   O
patient   O
will   O
be   O
reminded   O
of   O
the   O
appointment   O
via   O
a   O
phone   O
call   O
to   O
62142   B-CONTACT
.   O

In   O
the   O
meantime   O
,   O
Karla   B-NAME
Sofen   I-NAME
is   O
advised   O
to   O
rest   O
,   O
avoid   O
strenuous   O
activities   O
,   O
and   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medication   O
regimen   O
.   O
Privacy   O
and   O
Confidentiality   O
:   O
All   O
personal   O
health   O
information   O
,   O
including   O
4621273   B-ID
,   O
WH   B-ID
:   I-ID
CG:5542   I-ID
,   O
and   O
contact   O
number   O
701   B-CONTACT
-   I-CONTACT
4759   I-CONTACT
,   O
is   O
held   O
in   O
strict   O
confidence   O
in   O
compliance   O
with   O
healthcare   O
regulations   O
.   O

Jasiah   B-NAME
Hester   I-NAME
's   O
privacy   O
is   O
prioritized   O
,   O
and   O
all   O
clinical   O
information   O
is   O
only   O
shared   O
with   O
authorized   O
personnel   O
within   O
Reporters   B-LOCATION
Without   I-LOCATION
Borders   I-LOCATION
and   O
with   O
the   O
patient   O
's   O
consent   O
.   O

The   O
patient   O
,   O
Veronica   B-NAME
Calhoun   I-NAME
,   O
a   O
19   O
-   O
year   O
-   O
old   O
UX   O
designer   O
from   O
Roseville   B-LOCATION
,   O
77211   B-LOCATION
,   O
presented   O
to   O
ProMedica   B-LOCATION
Bixby   I-LOCATION
Hospital   I-LOCATION
on   O
01/20   B-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
high   O
-   O
grade   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
which   O
they   O
reported   O
having   O
experienced   O
for   O
the   O
past   O
7   O
days   O
.   O

Gonzalez   B-NAME
reported   O
a   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
and   O
hypertension   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Upon   O
examination   O
,   O
Randall   B-NAME
Blankenship   I-NAME
noted   O
a   O
temperature   O
of   O
39.4   O
°   O
C   O
,   O
tachypnea   O
with   O
a   O
respiratory   O
rate   O
of   O
28   O
breaths   O
per   O
minute   O
,   O
and   O
an   O
oxygen   O
saturation   O
of   O
92   O
%   O
on   O
room   O
air   O
.   O

The   O
patient   O
’s   O
medical   O
history   O
was   O
verified   O
with   O
their   O
primary   O
care   O
physician   O
via   O
a   O
secure   O
line   O
,   O
77815   B-CONTACT
.   O

The   O
initial   O
laboratory   O
tests   O
,   O
requested   O
under   O
Medical   O
Record   O
Number   O
5816183   B-ID
,   O
showed   O
leukocytosis   O
with   O
a   O
left   O
shift   O
,   O
elevated   O
C   O
-   O
reactive   O
protein   O
levels   O
,   O
and   O
lactate   O
dehydrogenase   O
(   O
LDH   O
)   O
.   O

Casey   B-NAME
Collier   I-NAME
recommended   O
admission   O
to   O
Sentara   B-LOCATION
CarePlex   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
,   O
including   O
administration   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
supportive   O
care   O
.   O

The   O
patient   O
was   O
informed   O
of   O
the   O
diagnosis   O
and   O
the   O
proposed   O
management   O
plan   O
via   O
secure   O
email   O
,   O
wjg415   B-NAME
@   O
Crescent   B-LOCATION
Bank   I-LOCATION
and   I-LOCATION
Trust   I-LOCATION
Co   I-LOCATION
.com   O
,   O
and   O
consent   O
was   O
obtained   O
for   O
treatment   O
.   O

During   O
the   O
hospital   O
stay   O
,   O
daily   O
telehealth   O
consultations   O
were   O
conducted   O
by   O
Allan   B-NAME
Middleton   I-NAME
to   O
limit   O
physical   O
contact   O
while   O
closely   O
monitoring   O
the   O
patient   O
's   O
condition   O
.   O

On   O
03/14   B-DATE
,   O
the   O
patient   O
showed   O
signs   O
of   O
improvement   O
with   O
reduced   O
fever   O
,   O
resolution   O
of   O
the   O
cough   O
,   O
and   O
improved   O
oxygen   O
saturation   O
.   O

The   O
patient   O
was   O
discharged   O
on   O
4/22   B-DATE
with   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
,   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Eliana   B-NAME
Cardenas   I-NAME
for   O
3   B-DATE
-   I-DATE
24   I-DATE
,   O
and   O
instructions   O
for   O
quarantine   O
at   O
home   O
in   O
Slidell   B-LOCATION
.   O

A   O
follow   O
-   O
up   O
call   O
was   O
made   O
on   O
09/02/2327   B-DATE
by   O
the   O
nurse   O
at   O
AllianceHealth   B-LOCATION
Durant   I-LOCATION
to   O
check   O
on   O
the   O
patient   O
’s   O
recovery   O
.   O

Amina   B-NAME
Shannon   I-NAME
reported   O
feeling   O
significantly   O
better   O
,   O
with   O
complete   O
resolution   O
of   O
the   O
initial   O
symptoms   O
.   O

Patient   O
Name   O
:   O
Rivers   B-NAME
,   I-NAME
Joan   I-NAME
Date   O
of   O
Birth   O
:   O
00/08/1828   B-DATE

Presenting   O
Complaint   O
:   O
The   O
patient   O
,   O
a   O
62   O
-   O
year   O
-   O
old   O
Fallers   O
from   O
Grayslake   B-LOCATION
,   O
reports   O
experiencing   O
severe   O
abdominal   O
pain   O
characterized   O
by   O
a   O
sharp   O
,   O
stabbing   O
sensation   O
localized   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
.   O

Medical   O
History   O
:   O
Ariana   B-NAME
Wagner   I-NAME
has   O
a   O
history   O
of   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
but   O
denies   O
any   O
previous   O
surgeries   O
or   O
hospitalizations   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Rey   B-NAME
Roberson   I-NAME
's   O
vital   O
signs   O
were   O
found   O
to   O
be   O
slightly   O
abnormal   O
with   O
a   O
temperature   O
of   O
100.4   O
°   O
F   O
,   O
heart   O
rate   O
of   O
102   O
bpm   O
,   O
and   O
blood   O
pressure   O
reading   O
at   O
130/86   O
mmHg   O
.   O

A   O
Computed   O
Tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
ordered   O
on   O
Aug   B-DATE
2th   I-DATE
,   O
confirmed   O
an   O
enlarged   O
appendix   O
with   O
signs   O
of   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Given   O
the   O
clinical   O
findings   O
and   O
diagnostic   O
results   O
,   O
surgical   O
consultation   O
with   O
Francis   B-NAME
at   O
UPMC   B-LOCATION
Passavant   I-LOCATION
was   O
advised   O
.   O

The   O
patient   O
was   O
scheduled   O
for   O
an   O
appendectomy   O
on   O
1933   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
18   I-DATE
.   O

Informed   O
consent   O
was   O
obtained   O
from   O
Lia   B-NAME
Thompson   I-NAME
.   O

Follow   O
-   O
Up   O
:   O
Elmira   B-NAME
Aucoin   I-NAME
is   O
scheduled   O
for   O
a   O
post   O
-   O
operative   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
from   O
the   O
date   O
of   O
the   O
surgery   O
to   O
assess   O
wound   O
healing   O
and   O
to   O
address   O
any   O
concerns   O
.   O

Contact   O
Information   O
:   O
Should   O
there   O
be   O
any   O
immediate   O
post   O
-   O
operative   O
concerns   O
,   O
Wendy   B-NAME
White   I-NAME
was   O
advised   O
to   O
contact   O
the   O
Surgical   O
Department   O
at   O
80765   B-CONTACT
.   O

Medical   O
Record   O
Number   O
:   O
9828829   B-ID
Patient   O
ID   O
:   O
CS:5627:155578   B-ID

Prepared   O
by   O
:   O
HX682   B-NAME
,   O
RN   O
Date   O
:   O
3   B-DATE
-   I-DATE
25   I-DATE

This   O
report   O
has   O
been   O
reviewed   O
and   O
is   O
consistent   O
with   O
the   O
information   O
provided   O
by   O
the   O
patient   O
,   O
Ken   B-NAME
Post   I-NAME
,   O
and   O
the   O
diagnostic   O
findings   O
.   O

Patient   O
Report   O
for   O
Jonnie   B-NAME
Luczynski   I-NAME
March   B-DATE
,   O
BB40   B-LOCATION
6BK   I-LOCATION
Patient   O
ID   O
:   O
OI:41541:747682   B-ID
Medical   O
Record   O
Number   O
:   O
841   B-ID
-   I-ID
48   I-ID
-   I-ID
50   I-ID
-   I-ID
9   I-ID
9   O
-   O
year   O
-   O
old   O
Financial   O
Managers   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Fishermen   B-LOCATION
's   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
with   O
acute   O
onset   O
of   O
severe   O
abdominal   O
pain   O
,   O
predominantly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
began   O
early   O
in   O
the   O
morning   O
on   O
25/08   B-DATE
.   O

Lea   B-NAME
Deleon   I-NAME
reported   O
nausea   O
without   O
vomiting   O
and   O
denied   O
any   O
fever   O
,   O
diarrhea   O
,   O
or   O
previous   O
similar   O
episodes   O
.   O

The   O
decision   O
was   O
made   O
by   O
Long   B-NAME
to   O
proceed   O
with   O
a   O
computed   O
tomography   O
(   O
CT   O
)   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
,   O
which   O
showed   O
appendiceal   O
enlargement   O
and   O
periappendiceal   O
inflammation   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Jensen   B-NAME
Lynch   I-NAME
discussed   O
the   O
findings   O
and   O
the   O
need   O
for   O
an   O
urgent   O
surgical   O
intervention   O
with   O
Compton   B-NAME
.   O

Elliott   B-NAME
consented   O
to   O
an   O
appendectomy   O
,   O
which   O
was   O
performed   O
on   O
22/23/2260   B-DATE
without   O
any   O
complications   O
.   O

Gertude   B-NAME
Schreiner   I-NAME
was   O
advised   O
to   O
avoid   O
strenuous   O
activities   O
and   O
was   O
prescribed   O
antibiotics   O
for   O
a   O
course   O
of   O
7   O
days   O
postoperatively   O
.   O

Follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
31/07   B-DATE
at   O
Egan   B-LOCATION
with   O
contact   O
number   O
919   B-CONTACT
786   I-CONTACT
3240   I-CONTACT
for   O
any   O
queries   O
or   O
concerns   O
prior   O
to   O
the   O
appointment   O
.   O

Cecelia   B-NAME
Fitzpatrick   I-NAME
was   O
educated   O
on   O
signs   O
of   O
infection   O
and   O
advised   O
to   O
monitor   O
for   O
fever   O
or   O
increased   O
pain   O
at   O
the   O
surgical   O
site   O
.   O

For   O
further   O
information   O
,   O
please   O
contact   O
Ludwig   B-NAME
von   I-NAME
Saulsbourg   I-NAME
at   O
(   B-CONTACT
111   I-CONTACT
)   I-CONTACT
506   I-CONTACT
-   I-CONTACT
5426   I-CONTACT
or   O
visit   O
our   O
website   O
provided   O
by   O
American   B-LOCATION
Marine   I-LOCATION
Bank   I-LOCATION
.   O

For   O
emergency   O
concerns   O
,   O
contact   O
North   B-LOCATION
Alabama   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
Shoals   I-LOCATION
Hospital   I-LOCATION
at   O
521   B-CONTACT
9913   I-CONTACT
.   O

Report   O
Prepared   O
By   O
:   O
zz914   B-NAME
Date   O
:   O
July   B-DATE
2120   I-DATE
Wataga   B-LOCATION
-   O
70214   B-LOCATION

Sage   B-NAME
Rubio   I-NAME
Patient   O
3393824   B-ID
:   O
6017087   B-ID
DOB   O
:   O

January   B-DATE
22   I-DATE
Age   O
:   O
66   O
Address   O
:   O
Griswold   B-LOCATION
,   O
55299   B-LOCATION
Phone   O
:   O
(   B-CONTACT
681   I-CONTACT
)   I-CONTACT
862   I-CONTACT
1411   I-CONTACT
Physician   O
:   O

Demarion   B-NAME
Aguilar   I-NAME
Date   O
of   O
Admission   O
:   O
6   B-DATE
-   I-DATE
23   I-DATE
Hospital   O
:   O
St.   B-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Baptist   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Norah   B-NAME
Purcell   I-NAME
,   O
presents   O
with   O
acute   O
abdominal   O
pain   O
,   O
characterized   O
by   O
a   O
sudden   O
onset   O
.   O

Additionally   O
,   O
Vance   B-NAME
Lozano   I-NAME
reports   O
experiencing   O
bouts   O
of   O
nausea   O
and   O
a   O
single   O
episode   O
of   O
vomiting   O
prior   O
to   O
admission   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Elle   B-NAME
Mcguire   I-NAME
mentions   O
that   O
the   O
abdominal   O
discomfort   O
started   O
approximately   O
6   O
hours   O
before   O
admission   O
.   O

Patricia   B-NAME
Lund   I-NAME
,   O
who   O
works   O
as   O
a   O
Data   O
Entry   O
Keyers   O
,   O
denies   O
any   O
recent   O
travel   O
,   O
unusual   O
dietary   O
intake   O
,   O
or   O
a   O
history   O
of   O
similar   O
symptoms   O
.   O

Past   O
Medical   O
History   O
:   O
Dexter   B-NAME
Krause   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
no   O
known   O
allergies   O
.   O

On   O
physical   O
examination   O
,   O
Edward   B-NAME
Benitez   I-NAME
appeared   O
in   O
acute   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
ultra   O
sonography   O
,   O
performed   O
at   O
Elba   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
suggested   O
appendicitis   O
.   O

Plan   O
:   O
The   O
patient   O
,   O
Stefanie   B-NAME
Follette   I-NAME
,   O
has   O
been   O
advised   O
to   O
undergo   O
an   O
appendectomy   O
.   O

The   O
surgical   O
team   O
at   O
St.   B-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
has   O
been   O
notified   O
,   O
and   O
pre   O
-   O
operative   O
preparations   O
are   O
underway   O
.   O

Xavier   B-NAME
Ross   I-NAME
has   O
given   O
informed   O
consent   O
for   O
surgery   O
.   O

Follow   O
-   O
Up   O
:   O
Warren   B-NAME
,   I-NAME
Rick   I-NAME
will   O
be   O
closely   O
monitored   O
post   O
-   O
operatively   O
for   O
signs   O
of   O
infection   O
or   O
complications   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
1/00/52   B-DATE
with   O
Silva   B-NAME
at   O
Anthony   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
–   I-LOCATION
Anthony   I-LOCATION
to   O
evaluate   O
recovery   O
progress   O
.   O

Emergency   O
Contact   O
:   O
Halle   B-NAME
Guzman   I-NAME
has   O
provided   O
the   O
emergency   O
contact   O
details   O
of   O
YR940   B-NAME
,   O
reachable   O
at   O
(   B-CONTACT
677   I-CONTACT
)   I-CONTACT
820   I-CONTACT
-   I-CONTACT
9750   I-CONTACT
.   O
Acknowledgment   O
of   O
Receipt   O
:   O

This   O
report   O
has   O
been   O
received   O
and   O
acknowledged   O
by   O
URIEL   B-NAME
ERVIN   I-NAME
on   O
23/23/51   B-DATE
.   O

Patient   O
Name   O
:   O
Lamar   B-NAME
Morrison   I-NAME
Age   O
:   O
61   O
Date   O
of   O
Birth   O
:   O
May   B-DATE
2222   I-DATE
Address   O
:   O
West   B-LOCATION
Pleasant   I-LOCATION
View   I-LOCATION
,   O
17385   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
160   I-CONTACT
)   I-CONTACT
727   I-CONTACT
-   I-CONTACT
6907   I-CONTACT
Occupation   O
:   O

Marketing   O
Managers   O
Medical   O
Record   O
Number   O
:   O
1638O09255   B-ID
Attending   O
Physician   O
:   O

Weaver   B-NAME
Admitting   O
Hospital   O
:   O
Jefferson   B-LOCATION
Cherry   I-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
4   B-ID
-   I-ID
4112474   I-ID
Date   O
of   O
Admission   O
:   O
1604   B-DATE
Date   O
of   O
Report   O
:   O
39/00   B-DATE
Chief   O
Complaint   O
:   O
ostrowski   B-NAME
was   O
admitted   O
to   O
CHI   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Council   I-LOCATION
Bluffs   I-LOCATION
on   O
32/39/2381   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
persistent   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
24   O
hours   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
WOODRUFF   B-NAME
,   I-NAME
FERNE   I-NAME
,   O
a   O
8   O
month   O
-   O
year   O
-   O
old   O
Bartenders   O
,   O
began   O
experiencing   O
mild   O
abdominal   O
discomfort   O
1/13   B-DATE
,   O
which   O
progressively   O
worsened   O
,   O
culminating   O
in   O
the   O
severe   O
pain   O
that   O
prompted   O
the   O
visit   O
to   O
Florala   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

Past   O
Medical   O
History   O
:   O
Macrinus   B-NAME
Oberdick   I-NAME
has   O
a   O
history   O
of   O
hypothyroidism   O
,   O
managed   O
with   O
medication   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
George   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Postoperative   O
Course   O
:   O
Heine   B-NAME
,   I-NAME
Heinrich   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

The   O
patient   O
was   O
started   O
on   O
a   O
liquid   O
diet   O
25   B-DATE
-   I-DATE
23   I-DATE
post   O
-   O
operation   O
and   O
gradually   O
advanced   O
to   O
solid   O
foods   O
as   O
tolerated   O
.   O

Brielle   B-NAME
Strong   I-NAME
was   O
discharged   O
on   O
2137   B-DATE
-   I-DATE
03   I-DATE
-   I-DATE
22   I-DATE
with   O
instructions   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
.   O

Follow   O
-   O
Up   O
:   O
Rose   B-NAME
Anaya   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Nico   B-NAME
Arnold   I-NAME
in   O
two   O
weeks   O
at   O
AdventHealth   B-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
)   I-LOCATION
–   I-LOCATION
Shawnee   I-LOCATION
Mission   I-LOCATION
to   O
monitor   O
recovery   O
progress   O
and   O
to   O
ensure   O
the   O
complete   O
resolution   O
of   O
symptoms   O
.   O

Contact   O
Information   O
:   O
Should   O
Marielle   B-NAME
Luter   I-NAME
experience   O
any   O
complications   O
or   O
have   O
any   O
questions   O
prior   O
to   O
the   O
scheduled   O
follow   O
-   O
up   O
,   O
they   O
are   O
advised   O
to   O
contact   O
the   O
surgical   O
team   O
at   O
972   B-CONTACT
-   I-CONTACT
4975   I-CONTACT
.   O

This   O
report   O
was   O
prepared   O
by   O
Fabian   B-NAME
Acosta   I-NAME
,   O
00/2381   B-DATE
.   O

Patient   O
Report   O
:   O
Patient   O
:   O
Kaliyah   B-NAME
Giles   I-NAME
Age   O
:   O
2   O
Medical   O
Record   O
Number   O
:   O
065   B-ID
-   I-ID
29   I-ID
-   I-ID
40   I-ID
-   I-ID
4   I-ID
Date   O
of   O
Visit   O
:   O
37/00/2326   B-DATE
Primary   O
Care   O
Physician   O
:   O

Alvin   B-NAME
Lowe   I-NAME
Hospital   O
:   O
Franklin   B-LOCATION
Woods   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Vermilion   B-LOCATION
,   I-LOCATION
AB   I-LOCATION
T9X   I-LOCATION
6Y1   I-LOCATION
Zip   O
Code   O
:   O
49490   B-LOCATION
Contact   O
Phone   O
:   O
62239   B-CONTACT
Occupation   O
:   O
Opticians   O
,   O
Dispensing   O
Submitted   O
by   O
:   O
xrj35   B-NAME
Summary   O
:   O
Orton   B-NAME
,   O
a   O
5   O
month   O
-   O
year   O
-   O
old   O
Operating   O
Engineers   O
and   O
Other   O
Construction   O
Equipment   O
Operators   O
from   O
Biddle   B-LOCATION
,   O
28018   B-LOCATION
,   O
presented   O
to   O
Lyndon   B-LOCATION
Baines   I-LOCATION
Johnson   I-LOCATION
Hospital   I-LOCATION
on   O
15   B-DATE
-   I-DATE
18   I-DATE
with   O
complaints   O
of   O
persistent   O
,   O
sharp   O
abdominal   O
pain   O
located   O
mainly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
48   O
hours   O
.   O

Wood   B-NAME
also   O
reported   O
a   O
low   O
-   O
grade   O
fever   O
and   O
a   O
loss   O
of   O
appetite   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Richard   B-NAME
Quesenberry   I-NAME
's   O
temperature   O
was   O
recorded   O
at   O
100.4   O
°   O
F   O
.   O

Jayvon   B-NAME
Jacobson   I-NAME
was   O
advised   O
immediate   O
surgical   O
consultation   O
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Chace   B-NAME
Gould   I-NAME
,   O
Jayda   B-NAME
Una   I-NAME
Xiang   I-NAME
underwent   O
an   O
uncomplicated   O
laparoscopic   O
appendectomy   O
at   O
Virtua   B-LOCATION
Marlton   I-LOCATION
Hospital   I-LOCATION
on   O
30/20/53   B-DATE
.   O

Chavez   B-NAME
's   O
postoperative   O
course   O
was   O
unremarkable   O
,   O
and   O
they   O
were   O
discharged   O
home   O
on   O
04/22   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
and   O
follow   O
-   O
up   O
in   O
Owen   B-NAME
's   O
office   O
.   O

Follow   O
-   O
up   O
:   O
CARR   B-NAME
,   I-NAME
RACHEL   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Preston   B-NAME
Reeves   I-NAME
at   O
Riddle   B-LOCATION
Hospital   I-LOCATION
on   O
3/78   B-DATE
to   O
monitor   O
recovery   O
progress   O
and   O
manage   O
any   O
residual   O
symptoms   O
.   O

For   O
any   O
queries   O
or   O
further   O
information   O
,   O
please   O
contact   O
Grove   B-LOCATION
City   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
844   I-CONTACT
)   I-CONTACT
566   I-CONTACT
-   I-CONTACT
2925   I-CONTACT
.   O
Note   O
:   O

Patient   O
Report   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Vaughn   B-NAME
A.   I-NAME
Xander   I-NAME
-   O
Age   O
:   O
64   O
-   O
Date   O
of   O
Birth   O
:   O
2276   B-DATE
-   O
Address   O
:   O
Detroit   B-LOCATION
Beach   I-LOCATION
,   O
29081   B-LOCATION
-   O
Phone   O
Number   O
:   O
135   B-CONTACT
495   I-CONTACT
-   I-CONTACT
5248   I-CONTACT
-   O
Occupation   O
:   O
Earth   O
Drillers   O
,   O
Except   O
Oil   O
and   O
Gas   O
-   O
Emergency   O
Contact   O
:   O
IM163   B-NAME
-   O
Medical   O
Record   O
Number   O
:   O
543   B-ID
-   I-ID
77   I-ID
-   I-ID
27   I-ID
-   I-ID
3   I-ID
-   O
Social   O
Security   O
Number   O
:   O
OF   B-ID
:   I-ID
GG:9656   I-ID
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Darwin   B-NAME
Noble   I-NAME
,   O
presented   O
to   O
Singing   B-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
on   O
13/21/42   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Brady   B-NAME
Ovitt   I-NAME
reported   O
that   O
the   O
pain   O
exacerbated   O
on   O
movement   O
and   O
was   O
alleviated   O
slightly   O
by   O
lying   O
in   O
a   O
fetal   O
position   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
includes   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
,   O
both   O
managed   O
through   O
medication   O
prescribed   O
by   O
Solon   B-NAME
Maxim   I-NAME
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Liana   B-NAME
Schultz   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
.   O

Diagnostic   O
Tests   O
:   O
Laboratory   O
results   O
revealed   O
a   O
leukocytosis   O
with   O
a   O
white   O
blood   O
cell   O
count   O
of   O
12,000   O
/   O
uL.   O
A   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
was   O
ordered   O
by   O
Andrea   B-NAME
Wu   I-NAME
and   O
showed   O
signs   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Treatment   O
:   O
Given   O
the   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Conner   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Jadyn   B-NAME
Glass   I-NAME
was   O
admitted   O
under   O
the   O
care   O
of   O
the   O
General   O
Surgery   O
team   O
at   O
Carolinas   B-LOCATION
HealthCare   I-LOCATION
System   I-LOCATION
Blue   I-LOCATION
Ridge   I-LOCATION
Morganton   I-LOCATION
on   O
33/09   B-DATE
.   O

Follow   O
-   O
Up   O
:   O
Zayne   B-NAME
Erickson   I-NAME
was   O
discharged   O
on   O
2273   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
12   I-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Price   B-NAME
at   O
Every   B-LOCATION
Human   I-LOCATION
Has   I-LOCATION
Rights   I-LOCATION
in   O
Rahway   B-LOCATION
.   O

Instructions   O
for   O
Howard   B-NAME
G.   I-NAME
Xiong   I-NAME
also   O
included   O
lifestyle   O
modifications   O
focusing   O
on   O
dietary   O
changes   O
and   O
the   O
incorporation   O
of   O
regular   O
physical   O
activity   O
to   O
manage   O
hypertension   O
and   O
diabetes   O
more   O
effectively   O
.   O
Conclusion   O
:   O
The   O
prompt   O
presentation   O
to   O
Mercy   B-LOCATION
Health   I-LOCATION
-   I-LOCATION
Anderson   I-LOCATION
Hospital   I-LOCATION
led   O
to   O
the   O
timely   O
diagnosis   O
and   O
management   O
of   O
acute   O
appendicitis   O
in   O
Ferron   B-NAME
,   I-NAME
Marcelle   I-NAME
,   O
likely   O
preventing   O
further   O
complications   O
such   O
as   O
rupture   O
.   O

Continued   O
follow   O
-   O
up   O
and   O
adherence   O
to   O
prescribed   O
treatment   O
plans   O
will   O
be   O
crucial   O
for   O
Samuel   B-NAME
Fowler   I-NAME
's   O
recovery   O
and   O
overall   O
health   O
management   O
.   O

This   O
report   O
was   O
compiled   O
by   O
Electrolytic   O
Plating   O
and   O
Coating   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
,   O
Metal   O
and   O
Plastic   O
and   O
reviewed   O
by   O
Greta   B-NAME
Ingstrom   I-NAME
on   O
32/35/2026   B-DATE
.   O

All   O
personal   O
information   O
has   O
been   O
removed   O
or   O
anonymized   O
to   O
protect   O
Driscoll   B-NAME
privacy   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Name   O
:   O
Aniyah   B-NAME
B.   I-NAME
Alford   I-NAME
Patient   O
ID   O
:   O
5552196   B-ID
Medical   O
Record   O
Number   O
:   O
4265332   B-ID
Age   O
:   O
93   O
Date   O
of   O
Visit   O
:   O
2/28   B-DATE
Primary   O
Care   O
Physician   O
:   O

Monroe   B-NAME
Hospital   O
:   O
Atchison   B-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Atchison   I-LOCATION
Location   O
:   O
Lewisham   B-LOCATION
Zip   O
Code   O
:   O
74877   B-LOCATION
Phone   O
Number   O
:   O
214   B-CONTACT
7280   I-CONTACT
Profession   O
:   O
IT   O
consultant   O
Username   O
:   O
tl1010   B-NAME
Summary   O
of   O
Visit   O
:   O
Griswold   B-NAME
,   I-NAME
Erwin   I-NAME
,   O
a   O
Marketing   O
manager   O
(   O
social   O
media   O
)   O
from   O
Prattsburgh   B-LOCATION
,   O
97522   B-LOCATION
,   O
presented   O
to   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Riverside   I-LOCATION
on   O
2273   B-DATE
-   I-DATE
00   I-DATE
-   I-DATE
19   I-DATE
with   O
a   O
complaint   O
of   O
severe   O
,   O
persistent   O
headaches   O
primarily   O
located   O
in   O
the   O
frontal   O
region   O
.   O

Liam   B-NAME
K.   I-NAME
Mcmahon   I-NAME
denied   O
any   O
recent   O
head   O
trauma   O
or   O
history   O
of   O
chronic   O
headaches   O
.   O

There   O
is   O
no   O
significant   O
past   O
medical   O
history   O
mentioned   O
in   O
the   O
record   O
096   B-ID
-   I-ID
14   I-ID
-   I-ID
16   I-ID
.   O

Upon   O
examination   O
,   O
Lachie   B-NAME
Hatsatouris   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

The   O
headache   O
was   O
not   O
responsive   O
to   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
that   O
Deeann   B-NAME
Contino   I-NAME
had   O
at   O
home   O
.   O

Diagnostic   O
Workup   O
:   O
A   O
detailed   O
neurological   O
assessment   O
was   O
conducted   O
by   O
Kennedy   B-NAME
,   O
which   O
did   O
not   O
reveal   O
any   O
abnormalities   O
.   O

The   O
MRI   O
,   O
performed   O
on   O
10/20   B-DATE
,   O
showed   O
no   O
acute   O
abnormalities   O
.   O

Treatment   O
Plan   O
:   O
PENN   B-NAME
,   B-NAME
GINO   I-NAME
was   O
advised   O
to   O
initiate   O
a   O
trial   O
of   O
a   O
prescription   O
migraine   O
medication   O
for   O
symptomatic   O
relief   O
.   O

Follow   O
-   O
up   O
with   O
Bose   B-NAME
,   I-NAME
Subhash   I-NAME
Chandra   I-NAME
in   O
two   O
weeks   O
or   O
sooner   O
if   O
symptoms   O
exacerbate   O
was   O
scheduled   O
.   O

Eneida   B-NAME
Bernieri   I-NAME
was   O
provided   O
with   O
the   O
contact   O
number   O
613   B-CONTACT
-   I-CONTACT
535   I-CONTACT
-   I-CONTACT
9526   I-CONTACT
to   O
report   O
any   O
adverse   O
effects   O
of   O
the   O
medication   O
or   O
worsening   O
of   O
symptoms   O
.   O

Educational   O
Material   O
Provided   O
:   O
Malika   B-NAME
Ebbesen   I-NAME
was   O
given   O
educational   O
resources   O
on   O
migraine   O
management   O
,   O
including   O
the   O
importance   O
of   O
maintaining   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
and   O
monitor   O
the   O
headache   O
pattern   O
.   O

Disposition   O
:   O
Francis   B-NAME
Whitaker   I-NAME
was   O
discharged   O
with   O
instructions   O
to   O
return   O
to   O
the   O
Emergency   O
Department   O
if   O
experiencing   O
alarming   O
symptoms   O
such   O
as   O
a   O
sudden   O
increase   O
in   O
headache   O
severity   O
,   O
vision   O
changes   O
,   O
or   O
weakness   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
with   O
Abraham   B-NAME
Hardy   I-NAME
at   O
Johnson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
was   O
confirmed   O
for   O
0/16/16   B-DATE
.   O
Prescriptions   O
:   O
A   O
prescription   O
for   O
a   O
migraine   O
-   O
specific   O
medication   O
was   O
sent   O
electronically   O
to   O
Clarence   B-NAME
Jordan   I-NAME
's   O
pharmacy   O
in   O
Mount   B-LOCATION
Savage   I-LOCATION
,   O
35082   B-LOCATION
.   O

Notifications   O
:   O
A   O
notification   O
was   O
sent   O
to   O
Quam   B-NAME
via   O
zhd997   B-NAME
regarding   O
the   O
next   O
steps   O
and   O
the   O
availability   O
of   O
test   O
results   O
for   O
review   O
.   O

In   O
summary   O
,   O
New   B-NAME
,   O
a   O
99   O
-   O
year   O
-   O
old   O
receptionist   O
from   O
Calhoun   B-LOCATION
Falls   I-LOCATION
,   O
presented   O
with   O
severe   O
headaches   O
and   O
was   O
diagnosed   O
with   O
migraines   O
.   O

Patient   O
Report   O
for   O
Faithe   B-NAME
W.   I-NAME
Flynn   I-NAME
0   B-DATE
-   I-DATE
27   I-DATE
,   O
5587293   B-ID

The   O
patient   O
,   O
41s   O
,   O
presented   O
to   O
DeGraff   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
high   O
fever   O
measuring   O
1   B-ID
-   I-ID
7979530   I-ID
degrees   O
Fahrenheit   O
.   O

The   O
symptoms   O
began   O
approximately   O
15/21   B-DATE
and   O
have   O
progressively   O
worsened   O
.   O

The   O
patient   O
is   O
a   O
Media   O
buyer   O
residing   O
in   O
El   B-LOCATION
Jebel   I-LOCATION
,   O
74355   B-LOCATION
.   O

During   O
the   O
initial   O
evaluation   O
,   O
vital   O
signs   O
were   O
noted   O
as   O
follows   O
:   O
temperature   O
TE:63513:828731   B-ID
degrees   O
Fahrenheit   O
,   O
pulse   O
ST707/3562   B-ID
bpm   O
,   O
respiratory   O
rate   O
CF655/3129   B-ID
breaths   O
per   O
minute   O
,   O
and   O
blood   O
pressure   O
5   B-ID
-   I-ID
9598184   I-ID
/   O
TM   B-ID
:   I-ID
ED:9166   I-ID
mmHg   O
.   O

Freddie   B-NAME
-   I-NAME
Verne   I-NAME
Urie   I-NAME
has   O
a   O
medical   O
history   O
of   O
asthma   O
and   O
seasonal   O
allergies   O
.   O

A   O
comprehensive   O
physical   O
examination   O
was   O
conducted   O
by   O
Kinley   B-NAME
Wiley   I-NAME
,   O
revealing   O
bilateral   O
wheezes   O
on   O
auscultation   O
of   O
the   O
chest   O
.   O

Holden   B-NAME
recommended   O
the   O
initiation   O
of   O
a   O
broad   O
-   O
spectrum   O
antibiotic   O
regimen   O
alongside   O
inhaled   O
corticosteroids   O
to   O
manage   O
both   O
the   O
suspected   O
infection   O
and   O
the   O
patient   O
's   O
underlying   O
asthma   O
.   O

Badvibes   B-NAME
was   O
advised   O
to   O
maintain   O
hydration   O
and   O
was   O
prescribed   O
bed   O
rest   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
December   B-DATE
11   I-DATE
,   I-DATE
2088   I-DATE
to   O
reassess   O
symptom   O
progression   O
and   O
treatment   O
efficacy   O
.   O

For   O
any   O
concerns   O
or   O
worsening   O
of   O
symptoms   O
,   O
Julianne   B-NAME
Costa   I-NAME
was   O
advised   O
to   O
immediately   O
contact   O
the   O
emergency   O
department   O
of   O
Billings   B-LOCATION
Clinic   I-LOCATION
or   O
call   O
635   B-CONTACT
998   I-CONTACT
8492   I-CONTACT
.   O

All   O
patient   O
information   O
and   O
recommendations   O
have   O
been   O
documented   O
in   O
Deegan   B-NAME
Watkins   I-NAME
's   O
electronic   O
health   O
record   O
with   O
ST:96992:122722   B-ID
as   O
the   O
unique   O
identifier   O
.   O

Please   O
note   O
:   O
Ortiz   B-NAME
,   I-NAME
David   I-NAME
consented   O
to   O
the   O
treatment   O
plan   O
after   O
a   O
detailed   O
discussion   O
regarding   O
potential   O
side   O
effects   O
and   O
outcomes   O
.   O

Confidentiality   O
and   O
privacy   O
have   O
been   O
maintained   O
as   O
per   O
the   O
guidelines   O
,   O
with   O
no   O
unauthorized   O
access   O
to   O
Jalen   B-NAME
Warren   I-NAME
's   O
health   O
information   O
.   O

Prepared   O
by   O
:   O
Construction   O
Carpenters   O
at   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Capitol   I-LOCATION
Hill   I-LOCATION
02/26   B-DATE
For   O
further   O
inquiries   O
or   O
updates   O
,   O
contact   O
Dr.   B-LOCATION
P.   I-LOCATION
Phillips   I-LOCATION
Hospital   I-LOCATION
at   O
462   B-CONTACT
-   I-CONTACT
4574   I-CONTACT
or   O
reach   O
out   O
via   O
our   O
patient   O
portal   O
with   O
your   O
unique   O
patient   O
identifier   O
,   O
83270   B-ID
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
NOE   B-NAME
,   I-NAME
NATALEY   I-NAME
KINSLEE   I-NAME
Patient   O
ID   O
:   O
FP   B-ID
:   I-ID
YU:2456   I-ID
Medical   O
Record   O
Number   O
:   O
1884   B-ID
:   I-ID
F33477   I-ID
Age   O
:   O
11   O
month   O
Date   O
of   O
Birth   O
:   O
05/11   B-DATE
Address   O
:   O
RG56   B-LOCATION
4MY   I-LOCATION
,   O
26643   B-LOCATION
Phone   O
Number   O
:   O
61083   B-CONTACT
Profession   O
:   O
Reporters   O
and   O
Correspondents   O
Presenting   O
Complaint   O
:   O
Molina   B-NAME
presented   O
to   O
Central   B-LOCATION
Peninsula   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
05/25/2114   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
severe   O
abdominal   O
pain   O
,   O
particularly   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
48   O
hours   O
.   O

The   O
patient   O
reports   O
associated   O
symptoms   O
of   O
nausea   O
and   O
vomiting   O
,   O
as   O
well   O
as   O
a   O
fever   O
noted   O
since   O
the   O
morning   O
of   O
1965   B-DATE
-   I-DATE
07   I-DATE
-   I-DATE
24   I-DATE
.   O

According   O
to   O
Raymond   B-NAME
,   O
there   O
is   O
no   O
significant   O
past   O
medical   O
history   O
except   O
for   O
a   O
diagnosis   O
of   O
hypertension   O
managed   O
with   O
medication   O
.   O

Diagnostic   O
Evaluation   O
:   O
Upon   O
examination   O
,   O
Delacroix   B-NAME
,   I-NAME
Eugène   I-NAME
exhibited   O
notable   O
tenderness   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
with   O
rebound   O
tenderness   O
indicating   O
possible   O
appendicitis   O
.   O

Laboratory   O
tests   O
were   O
ordered   O
by   O
Adrienne   B-NAME
Holland   I-NAME
,   O
which   O
showed   O
an   O
elevated   O
white   O
blood   O
cell   O
count   O
.   O

Given   O
the   O
findings   O
,   O
a   O
surgical   O
consult   O
was   O
made   O
,   O
and   O
Elias   B-NAME
Lamb   I-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
appendectomy   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
June   B-DATE
20   I-DATE
,   I-DATE
2037   I-DATE
,   O
was   O
successful   O
without   O
complications   O
.   O

Post   O
-   O
operative   O
Course   O
:   O
Post   O
-   O
surgery   O
,   O
Valerio   B-NAME
's   O
condition   O
improved   O
significantly   O
.   O

The   O
patient   O
tolerated   O
a   O
liquid   O
diet   O
well   O
on   O
26   B-DATE
-   I-DATE
02   I-DATE
and   O
gradually   O
progressed   O
to   O
a   O
soft   O
diet   O
by   O
9/20   B-DATE
.   O

Follow   O
-   O
up   O
care   O
instructions   O
and   O
a   O
prescription   O
for   O
oral   O
antibiotics   O
were   O
provided   O
upon   O
discharge   O
on   O
31/27/96   B-DATE
.   O
Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
with   O
Anika   B-NAME
Wagner   I-NAME
is   O
scheduled   O
for   O
9/11   B-DATE
at   O
Olathe   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Prepared   O
by   O
:   O
SY8410   B-NAME
Date   O
:   O
July   B-DATE
18th   I-DATE
Contact   O
Information   O
:   O
Elba   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
,   O
672   B-CONTACT
439   I-CONTACT
5772   I-CONTACT
Note   O
:   O
This   O
is   O
a   O
synthesized   O
patient   O
report   O
created   O
for   O
illustrative   O
purposes   O
.   O

Patient   O
Name   O
:   O
Paul   B-NAME
Herman   I-NAME
Medical   O
Record   O
Number   O
:   O
02634052   B-ID
Date   O
of   O
Birth   O
:   O
23/13   B-DATE
Age   O
:   O
30   O
Address   O
:   O
Proctorsville   B-LOCATION
,   O
35475   B-LOCATION
Phone   O
Number   O
:   O
52725   B-CONTACT
Employment   O
:   O
Surgeons   O
at   O
Worlds   B-LOCATION
'   I-LOCATION
Cooperative   I-LOCATION
Admitting   O
Physician   O
:   O
Dr.   O
Dangelo   B-NAME
Webster   I-NAME
Hospital   O
:   O
Centra   B-LOCATION
Bedford   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
17   B-DATE
ID   O
Number   O
:   O
483036612   B-ID
Clinical   O
Presentation   O
:   O
Curry   B-NAME
,   O
a   O
electrician   O
by   O
occupation   O
,   O
reports   O
experiencing   O
severe   O
,   O
throbbing   O
headache   O
predominantly   O
on   O
one   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
03/37   B-DATE
.   O

Medical   O
History   O
:   O
Waradi   B-NAME
,   I-NAME
Taito   I-NAME
has   O
a   O
history   O
of   O
migraines   O
diagnosed   O
since   O
the   O
age   O
of   O
9   O
and   O
has   O
been   O
seen   O
previously   O
by   O
Dr.   O
Kenya   B-NAME
Walters   I-NAME
at   O
St.   B-LOCATION
Vincent   I-LOCATION
's   I-LOCATION
St.   I-LOCATION
Clair   I-LOCATION
for   O
the   O
same   O
concern   O
.   O

There   O
is   O
no   O
significant   O
travel   O
history   O
to   O
Nespelem   B-LOCATION
or   O
any   O
recent   O
changes   O
in   O
dietary   O
habits   O
.   O

Previous   O
treatments   O
have   O
included   O
over   O
-   O
the   O
-   O
counter   O
analgesics   O
and   O
prescription   O
sumatriptan   O
,   O
which   O
Delilah   B-NAME
Hodge   I-NAME
states   O
were   O
partially   O
effective   O
in   O
mitigating   O
the   O
symptoms   O
.   O

On   O
examination   O
,   O
Vicente   B-NAME
Nolan   I-NAME
was   O
alert   O
and   O
oriented   O
.   O

Diagnostic   O
Tests   O
:   O
Magnetic   O
Resonance   O
Imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
was   O
performed   O
at   O
JFK   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
North   I-LOCATION
Campus   I-LOCATION
on   O
06/44   B-DATE
,   O
indicating   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

Ximena   B-NAME
Mays   I-NAME
was   O
prescribed   O
a   O
course   O
of   O
oral   O
triptans   O
and   O
advised   O
to   O
maintain   O
a   O
headache   O
diary   O
to   O
identify   O
potential   O
triggers   O
.   O

Follow   O
-   O
Up   O
:   O
Veronica   B-NAME
Fischer   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Dr.   O
Whitaker   B-NAME
at   O
Blue   B-LOCATION
Ridge   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
5/20/40   B-DATE
.   O

Anahi   B-NAME
Collins   I-NAME
has   O
been   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
should   O
there   O
be   O
any   O
signs   O
of   O
worsening   O
condition   O
or   O
severe   O
side   O
effects   O
from   O
the   O
medication   O
.   O

This   O
record   O
is   O
kept   O
confidential   O
as   O
per   O
the   O
guidelines   O
of   O
HIPAA   O
,   O
and   O
any   O
disclosure   O
of   O
this   O
information   O
is   O
strictly   O
prohibited   O
without   O
the   O
consent   O
of   O
Day   B-NAME
,   I-NAME
Carl   I-NAME
.   O

For   O
further   O
inquiries   O
,   O
Guadalupe   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
can   O
be   O
contacted   O
at   O
882   B-CONTACT
-   I-CONTACT
5292   I-CONTACT
.   O

Patient   O
Name   O
:   O
Ron   B-NAME
Danvers   I-NAME
Patient   O
ID   O
:   O
1   B-ID
-   I-ID
1758558   I-ID
Medical   O
Record   O
Number   O
:   O
605   B-ID
-   I-ID
74   I-ID
-   I-ID
89   I-ID
-   I-ID
8   I-ID
Date   O
of   O
Birth   O
:   O
2/38   B-DATE
Age   O
:   O
72   O
Phone   O
Number   O
:   O
12312   B-CONTACT
Address   O
:   O
Glenbrook   B-LOCATION
,   O
85013   B-LOCATION
Primary   O
Care   O
Physician   O
:   O
Carey   B-NAME
,   I-NAME
Mariah   I-NAME
Hospital   O
:   O

Hollywood   B-LOCATION
Presbyterian   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Employment   O
:   O
Parking   O
Enforcement   O
Workers   O
at   O
Florida   B-LOCATION
Public   I-LOCATION
Utilities   I-LOCATION
,   I-LOCATION
a   I-LOCATION
part   I-LOCATION
of   I-LOCATION
Chesapeake   I-LOCATION
Utilities   I-LOCATION
Username   O
for   O
Patient   O
Portal   O
:   O
qi638   B-NAME
Chief   O
Complaint   O
:   O
Eneida   B-NAME
Hankey   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
22/06/2012   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
intermittent   O
abdominal   O
pain   O
that   O
has   O
been   O
persistent   O
for   O
the   O
last   O
two   O
weeks   O
.   O

Dahood   B-NAME
Loiacona   I-NAME
has   O
experienced   O
a   O
decreased   O
appetite   O
resulting   O
in   O
unintentional   O
weight   O
loss   O
during   O
this   O
period   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
The   O
abdominal   O
pain   O
was   O
first   O
noticed   O
by   O
London   B-NAME
,   I-NAME
Jack   I-NAME
approximately   O
two   O
weeks   O
ago   O
and   O
has   O
progressively   O
worsened   O
.   O

Vance   B-NAME
U.   I-NAME
Arias   I-NAME
mentioned   O
that   O
the   O
pain   O
sometimes   O
radiates   O
to   O
the   O
back   O
but   O
does   O
not   O
change   O
with   O
position   O
.   O

Past   O
Medical   O
History   O
:   O
Dayana   B-NAME
Goodwin   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
managed   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Given   O
the   O
clinical   O
presentation   O
and   O
history   O
provided   O
by   O
Yeates   B-NAME
,   O
the   O
differential   O
diagnosis   O
includes   O
appendicitis   O
,   O
intestinal   O
obstruction   O
,   O
and   O
diverticulitis   O
.   O

Hoover   B-NAME
has   O
been   O
advised   O
to   O
maintain   O
hydration   O
and   O
follow   O
a   O
low   O
-   O
fat   O
diet   O
while   O
awaiting   O
further   O
diagnostic   O
testing   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
23/11   B-DATE
to   O
discuss   O
the   O
results   O
of   O
these   O
tests   O
and   O
adjust   O
the   O
treatment   O
plan   O
as   O
necessary   O
.   O

The   O
patient   O
was   O
informed   O
about   O
the   O
importance   O
of   O
immediate   O
attention   O
if   O
symptoms   O
worsen   O
,   O
such   O
as   O
increased   O
abdominal   O
pain   O
,   O
fever   O
,   O
or   O
vomiting   O
,   O
and   O
was   O
advised   O
to   O
go   O
to   O
the   O
emergency   O
department   O
of   O
Ascension   B-LOCATION
Columbia   I-LOCATION
St   I-LOCATION
Mary   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
Ozaukee   I-LOCATION
or   O
call   O
94112   B-CONTACT
for   O
any   O
urgent   O
concerns   O
.   O

Patient   O
Profile   O
:   O
Name   O
:   O
Oconnell   B-NAME
,   I-NAME
Philip   I-NAME
D   I-NAME
Age   O
:   O
0   O
Address   O
:   O
Sedley   B-LOCATION
,   O
79976   B-LOCATION
Phone   O
Number   O
:   O
(   B-CONTACT
293   I-CONTACT
)   I-CONTACT
747   I-CONTACT
-   I-CONTACT
7148   I-CONTACT
Profession   O
:   O

First   O
-   O
Line   O
Supervisors   O
-   O
Managers   O
of   O
Farming   O
,   O
Fishing   O
,   O
and   O
Forestry   O
Workers   O
Patient   O
ID   O
:   O
3043527   B-ID
Medical   O
Record   O
Number   O
:   O
6516791   B-ID
Attending   O
Physician   O
:   O
Walker   B-NAME
Hospital   O
:   O
Geisinger   B-LOCATION
HealthSouth   I-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
Employer   O
:   O
Kemper   B-LOCATION
Corporation   I-LOCATION
Date   O
of   O
Initial   O
Consultation   O
:   O
2/22   B-DATE
Emergency   O
Contact   O
:   O
zo494   B-NAME
Medical   O
Background   O
:   O
Wylie   B-NAME
,   I-NAME
Philip   I-NAME
presented   O
with   O
a   O
history   O
of   O
episodic   O
migraine   O
without   O
aura   O
.   O

huff   B-NAME
's   O
migraines   O
are   O
often   O
accompanied   O
by   O
nausea   O
,   O
photophobia   O
,   O
and   O
phonophobia   O
,   O
significantly   O
impairing   O
their   O
daily   O
activities   O
,   O
including   O
Pipelayers   O
.   O

Current   O
Symptoms   O
:   O
As   O
of   O
spring   B-DATE
,   O
Gregory   B-NAME
Sosa   I-NAME
reported   O
experiencing   O
severe   O
throbbing   O
headache   O
predominantly   O
on   O
one   O
side   O
of   O
the   O
head   O
.   O

Alfonzo   B-NAME
also   O
noted   O
associated   O
symptoms   O
including   O
nausea   O
and   O
sensitivity   O
to   O
light   O
and   O
sound   O
,   O
which   O
prompted   O
them   O
to   O
seek   O
relief   O
in   O
a   O
dark   O
,   O
quiet   O
room   O
.   O

After   O
a   O
thorough   O
assessment   O
on   O
12/22/10   B-DATE
by   O
Ortega   B-NAME
at   O
Bartow   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
,   O
a   O
diagnosis   O
of   O
migraine   O
without   O
aura   O
was   O
confirmed   O
.   O

Kerry   B-NAME
,   I-NAME
John   I-NAME
was   O
prescribed   O
a   O
triptan   O
for   O
acute   O
migraine   O
attacks   O
and   O
advised   O
to   O
keep   O
a   O
migraine   O
diary   O
to   O
identify   O
potential   O
triggers   O
.   O

Follow   O
-   O
Up   O
:   O
Adan   B-NAME
Frederick   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
on   O
38/22   B-DATE
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

Kareem   B-NAME
Eaton   I-NAME
was   O
also   O
advised   O
to   O
maintain   O
a   O
healthy   O
lifestyle   O
,   O
including   O
regular   O
physical   O
activity   O
,   O
adequate   O
hydration   O
,   O
and   O
a   O
consistent   O
sleep   O
schedule   O
.   O

Stress   O
management   O
techniques   O
were   O
recommended   O
given   O
Oakley   B-NAME
's   O
Chemical   O
Technicians   O
and   O
the   O
potential   O
for   O
stress   O
-   O
induced   O
migraines   O
.   O

In   O
Case   O
of   O
Emergency   O
:   O
Meadow   B-NAME
Bartlett   I-NAME
or   O
EO835   B-NAME
can   O
contact   O
Pleasant   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
at   O
930   B-CONTACT
7729   I-CONTACT
for   O
any   O
urgent   O
concerns   O
or   O
if   O
there   O
is   O
a   O
significant   O
worsening   O
of   O
symptoms   O
.   O

It   O
is   O
crucial   O
for   O
Duran   B-NAME
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
they   O
experience   O
symptoms   O
suggestive   O
of   O
a   O
migraine   O
complication   O
,   O
such   O
as   O
prolonged   O
aura   O
,   O
an   O
unusually   O
severe   O
headache   O
,   O
or   O
neurological   O
symptoms   O
(   O
e.g.   O
,   O
vision   O
changes   O
,   O
difficulty   O
speaking   O
)   O
.   O

This   O
medical   O
report   O
contains   O
confidential   O
health   O
information   O
pertaining   O
to   O
Farmer   B-NAME
and   O
is   O
intended   O
for   O
the   O
exclusive   O
use   O
of   O
the   O
attending   O
physician   O
Journey   B-NAME
Solomon   I-NAME
,   O
Jack   B-LOCATION
Hughston   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
,   O
and   O
authorized   O
healthcare   O
providers   O
.   O

Patient   O
Report   O
:   O
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Bethea   B-NAME
,   I-NAME
Erin   I-NAME
-   O
Date   O
of   O
Birth   O
:   O
02/38/39   B-DATE
-   O
Age   O
:   O
6s   O
-   O
Gender   O
:   O
Male   O
-   O
Address   O
:   O
Asheboro   B-LOCATION
,   O
69191   B-LOCATION
-   O
Phone   O
Number   O
:   O
631   B-CONTACT
206   I-CONTACT
-   I-CONTACT
7976   I-CONTACT
-   O
Occupation   O
:   O
Police   O
Patrol   O
Officers   O
-   O
Medical   O
Record   O
Number   O
:   O
574   B-ID
-   I-ID
25   I-ID
-   I-ID
51   I-ID
-   O
Patient   O
ID   O
:   O
6   B-ID
-   I-ID
1779708   I-ID
-   O
Attending   O
Physician   O
:   O

Steve   B-NAME
Ashley   I-NAME
-   O
Hospital   O
:   O
Prisma   B-LOCATION
Health   I-LOCATION
North   I-LOCATION
Greenville   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
James   B-NAME
Kildare   I-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
of   O
Rehoboth   B-LOCATION
McKinley   I-LOCATION
Christian   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
Services   I-LOCATION
on   O
11/17   B-DATE
with   O
severe   O
shortness   O
of   O
breath   O
,   O
persistent   O
cough   O
which   O
has   O
escalated   O
over   O
the   O
past   O
week   O
,   O
and   O
a   O
high   O
fever   O
reaching   O
102   O
°   O
F   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Fakes   B-NAME
,   I-NAME
Dennis   I-NAME
,   O
with   O
no   O
significant   O
past   O
medical   O
history   O
,   O
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
two   O
weeks   O
ago   O
starting   O
with   O
a   O
mild   O
cough   O
and   O
low   O
-   O
grade   O
fever   O
.   O

Vital   O
Signs   O
on   O
Admission   O
:   O
-   O
Temperature   O
:   O
102.2   O
°   O
F   O
-   O
Blood   O
Pressure   O
:   O
130/85   O
mmHg   O
-   O
Heart   O
Rate   O
:   O
102   O
bpm   O
-   O
Respiratory   O
Rate   O
:   O
28   O
breaths   O
per   O
minute   O
-   O
Oxygen   O
Saturation   O
:   O
89   O
%   O
on   O
room   O
air   O
Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Holly   B-NAME
Xavia   I-NAME
Avalos   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
respiratory   O
difficulties   O
.   O

Diagnostic   O
Tests   O
:   O
Chest   O
X   O
-   O
ray   O
conducted   O
on   O
22/03   B-DATE
revealed   O
bilateral   O
infiltrates   O
consistent   O
with   O
pneumonia   O
.   O

Danvers   B-NAME
's   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
showed   O
elevated   O
white   O
blood   O
cells   O
,   O
indicating   O
a   O
possible   O
bacterial   O
infection   O
.   O

Management   O
and   O
Treatment   O
Plan   O
:   O
McCarthy   B-NAME
,   I-NAME
Joseph   I-NAME
was   O
admitted   O
to   O
Raulerson   B-LOCATION
Hospital   I-LOCATION
's   O
respiratory   O
isolation   O
unit   O
on   O
02/22   B-DATE
.   O

Cardenas   B-NAME
's   O
team   O
also   O
recommended   O
a   O
follow   O
-   O
up   O
chest   O
X   O
-   O
ray   O
in   O
48   O
hours   O
to   O
monitor   O
the   O
progression   O
of   O
the   O
pneumonia   O
and   O
adjustment   O
of   O
the   O
antibiotic   O
regimen   O
based   O
on   O
culture   O
sensitivity   O
results   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Hayley   B-NAME
Byrd   I-NAME
showed   O
improvement   O
over   O
the   O
course   O
of   O
the   O
hospital   O
stay   O
with   O
reduced   O
fever   O
,   O
improved   O
respiratory   O
symptoms   O
,   O
and   O
increased   O
oxygen   O
saturation   O
levels   O
.   O

Prior   O
to   O
discharge   O
on   O
32   B-DATE
-   I-DATE
Dec-2021   I-DATE
,   O
Nicholson   B-NAME
emphasized   O
the   O
importance   O
of   O
adhering   O
to   O
a   O
full   O
course   O
of   O
antibiotics   O
,   O
gradual   O
return   O
to   O
normal   O
activities   O
,   O
and   O
scheduled   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
two   O
weeks   O
’   O
time   O
.   O

Further   O
,   O
Palmer   B-NAME
was   O
advised   O
to   O
monitor   O
for   O
any   O
recurring   O
symptoms   O
and   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
symptoms   O
did   O
not   O
continue   O
to   O
improve   O
or   O
worsened   O
.   O

Conclusion   O
:   O
The   O
timely   O
diagnosis   O
and   O
management   O
of   O
Nunez   B-NAME
's   O
symptoms   O
,   O
which   O
were   O
indicative   O
of   O
bacterial   O
pneumonia   O
,   O
possibly   O
in   O
the   O
context   O
of   O
a   O
recent   O
COVID-19   O
infection   O
,   O
resulted   O
in   O
a   O
positive   O
outcome   O
.   O

Report   O
Prepared   O
By   O
:   O
NI87   B-NAME
Contact   O
Information   O
:   O
Georgian   B-LOCATION
Bank   I-LOCATION
,   O
(   B-CONTACT
754   I-CONTACT
)   I-CONTACT
942   I-CONTACT
-   I-CONTACT
8630   I-CONTACT

Patient   O
Name   O
:   O
Sulla   B-NAME
,   I-NAME
Lucius   I-NAME
Cornelius   I-NAME
DOB   O
:   O
32   O
Address   O
:   O
Albany   B-LOCATION
,   I-LOCATION
Albany   I-LOCATION
Downtown   I-LOCATION
Association   I-LOCATION
,   O
34436   B-LOCATION
Phone   O
:   O
49540   B-CONTACT
Employment   O
:   O
Psychotherapist   O
at   O
Park   B-LOCATION
National   I-LOCATION
Bank   I-LOCATION
Medical   O
Record   O
Number   O
:   O
754   B-ID
-   I-ID
31   I-ID
-   I-ID
09   I-ID
-   I-ID
9   I-ID
Patient   O
ID   O
:   O
SG883/6329   B-ID
Attending   O
Physician   O
:   O

Danny   B-NAME
Kozak   I-NAME
Hospital   O
Name   O
:   O
Walker   B-LOCATION
Baptist   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Date   O
of   O
Visit   O
:   O
06/01   B-DATE
Username   O
:   O
sqd957   B-NAME
Subjective   O
:   O

The   O
patient   O
,   O
Amari   B-NAME
Wilson   I-NAME
,   O
presents   O
with   O
complaints   O
of   O
severe   O
,   O
throbbing   O
headaches   O
predominantly   O
localized   O
to   O
the   O
frontal   O
region   O
,   O
exacerbated   O
by   O
changes   O
in   O
position   O
and   O
bright   O
lights   O
.   O

The   O
episodes   O
have   O
been   O
occurring   O
for   O
the   O
last   O
March   B-DATE
3   I-DATE
with   O
increasing   O
frequency   O
.   O

Additionally   O
,   O
Anastasia   B-NAME
Cuevas   I-NAME
mentioned   O
recent   O
stressful   O
workload   O
at   O
DTE   B-LOCATION
Energy   I-LOCATION
(   I-LOCATION
DTE   I-LOCATION
Energy   I-LOCATION
Electric   I-LOCATION
Company   I-LOCATION
)   I-LOCATION
as   O
a   O
Clinical   O
microbiologist   O
,   O
potentially   O
contributing   O
to   O
the   O
current   O
symptoms   O
.   O

Assessment   O
:   O
The   O
detailed   O
history   O
and   O
clinical   O
examination   O
of   O
BRODY   B-NAME
OHARA   I-NAME
suggest   O
a   O
diagnosis   O
of   O
migraine   O
without   O
aura   O
.   O

The   O
patient   O
's   O
recent   O
stress   O
at   O
work   O
as   O
a   O
Water   O
Resource   O
Specialists   O
with   O
Stein   B-LOCATION
Mart   I-LOCATION
might   O
be   O
a   O
contributing   O
factor   O
to   O
the   O
exacerbation   O
of   O
migraines   O
.   O

4   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
visit   O
in   O
5   B-DATE
-   I-DATE
04   I-DATE
-   I-DATE
76   I-DATE
or   O
sooner   O
if   O
symptoms   O
escalate   O
.   O

Patient   O
education   O
on   O
stress   O
management   O
techniques   O
considering   O
the   O
patient   O
's   O
profession   O
as   O
a   O
Photographers   O
at   O
Society   B-LOCATION
of   I-LOCATION
the   I-LOCATION
Cincinnati   I-LOCATION
.   O

Note   O
:   O
Patient   O
Kyleigh   B-NAME
Alvarez   I-NAME
agreed   O
to   O
the   O
proposed   O
management   O
plan   O
and   O
was   O
appreciative   O
of   O
the   O
lifestyle   O
advice   O
given   O
their   O
role   O
as   O
a   O
Civil   O
Service   O
administrator   O
at   O
Montana   B-LOCATION
Electric   I-LOCATION
Cooperatives   I-LOCATION
'   I-LOCATION
Association   I-LOCATION
.   O

Will   O
review   O
patient   O
status   O
at   O
next   O
visit   O
scheduled   O
for   O
01/34   B-DATE
.   O

Patient   O
Report   O
Patient   O
Name   O
:   O
Jeffrey   B-NAME
Koehler   I-NAME
Age   O
:   O
81   O
Date   O
of   O
Birth   O
:   O
13/27   B-DATE
Gender   O
:   O

Male   O
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Tatyana   B-NAME
Butler   I-NAME
,   O
presented   O
to   O
Highline   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
0   B-DATE
-   I-DATE
18   I-DATE
with   O
chief   O
complaints   O
of   O
severe   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
lightheadedness   O
over   O
the   O
past   O
three   O
hours   O
.   O

Cantu   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

Uselton   B-NAME
was   O
started   O
on   O
a   O
beta   O
-   O
blocker   O
and   O
statin   O
therapy   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Post   O
-   O
PCI   O
,   O
Salena   B-NAME
was   O
monitored   O
in   O
the   O
cardiac   O
care   O
unit   O
at   O
Weisbrod   B-LOCATION
Memorial   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
and   O
showed   O
signs   O
of   O
improvement   O
.   O

He   O
was   O
discharged   O
on   O
6/21   B-DATE
with   O
prescriptions   O
for   O
dual   O
antiplatelet   O
therapy   O
,   O
a   O
beta   O
-   O
blocker   O
,   O
a   O
statin   O
,   O
and   O
an   O
ACE   O
inhibitor   O
.   O

Talbert   B-NAME
,   I-NAME
Nicholas   I-NAME
was   O
advised   O
to   O
follow   O
up   O
with   O
Nolan   B-NAME
in   O
two   O
weeks   O
for   O
a   O
repeat   O
EKG   O
and   O
further   O
evaluation   O
.   O

Emergency   O
Contact   O
:   O
Name   O
:   O
Burnett   B-NAME
's   O
spouse   O
Phone   O
Number   O
:   O
740   B-CONTACT
-   I-CONTACT
7589   I-CONTACT
Responsible   O
Medical   O
Professional   O
:   O
Cooke   B-NAME
,   O
Cardiologist   O
at   O
Northeast   B-LOCATION
Methodist   I-LOCATION
Hospital   I-LOCATION
License   O
Number   O
:   O
UO:57334:442610   B-ID
Medical   O
Record   O
Number   O
:   O
55195691   B-ID
Insurance   O
Information   O
:   O
Provider   O
:   O
Florida   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
Policy   O
Number   O
:   O
218585644   B-ID
Address   O
:   O
Wadsworth   B-LOCATION
,   O
44299   B-LOCATION

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Abigail   B-NAME
Burgess   I-NAME
Patient   O
ID   O
:   O
VR:01013:153369   B-ID
Medical   O
Record   O
Number   O
:   O
00140259   B-ID
Date   O
of   O
Birth   O
:   O
5/2/2392   B-DATE
Age   O
:   O
0   O
week   O
Address   O
:   O
Silver   B-LOCATION
Hill   I-LOCATION
,   O
61411   B-LOCATION
Phone   O
:   O
569   B-CONTACT
-   I-CONTACT
5698   I-CONTACT

Attending   O
Doctor   O
:   O
Richmond   B-NAME
Hospital   O
:   O
NORTHERN   B-LOCATION
REGIONAL   I-LOCATION
HOSPITAL   I-LOCATION
Date   O
of   O
Visit   O
:   O
26/28/2232   B-DATE
Summary   O
:   O
Keys   B-NAME
,   O
a   O
Agricultural   O
Technicians   O
,   O
presented   O
at   O
Gila   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
09/30/75   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
,   O
localized   O
primarily   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Upon   O
physical   O
examination   O
,   O
Ida   B-NAME
Oquinn   I-NAME
demonstrated   O
rebound   O
tenderness   O
at   O
the   O
McBurney   O
's   O
point   O
,   O
indicating   O
a   O
positive   O
sign   O
for   O
appendicitis   O
.   O

Abdominal   O
ultrasonography   O
was   O
ordered   O
by   O
Jenkins   B-NAME
,   O
revealing   O
an   O
enlarged   O
appendix   O
with   O
evidence   O
of   O
appendiceal   O
wall   O
thickening   O
,   O
consistent   O
with   O
acute   O
appendicitis   O
.   O

Given   O
the   O
patient   O
's   O
symptoms   O
and   O
supporting   O
diagnostic   O
tests   O
,   O
Kristen   B-NAME
Hodge   I-NAME
recommended   O
an   O
urgent   O
appendectomy   O
.   O

The   O
patient   O
provided   O
informed   O
consent   O
for   O
the   O
procedure   O
,   O
which   O
was   O
successfully   O
performed   O
on   O
33/12/2152   B-DATE
.   O

Postoperative   O
recovery   O
has   O
been   O
uneventful   O
,   O
with   O
Ortiz   B-NAME
reporting   O
a   O
significant   O
reduction   O
in   O
abdominal   O
pain   O
.   O

Iris   B-NAME
Allison   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
two   O
weeks   O
to   O
monitor   O
recovery   O
progress   O
.   O

Detailed   O
instructions   O
regarding   O
wound   O
care   O
and   O
activity   O
restrictions   O
were   O
provided   O
to   O
Yingling   B-NAME
.   O

Lane   B-NAME
Shea   I-NAME
Hospital   O
contact   O
:   O
597   B-CONTACT
3837   I-CONTACT
This   O
report   O
is   O
confidential   O
and   O
contains   O
protected   O
health   O
information   O
.   O

Patient   O
Report   O
for   O
Krystal   B-NAME
Landry   I-NAME
Medical   O
Record   O
Number   O
:   O
617   B-ID
-   I-ID
99   I-ID
-   I-ID
35   I-ID
-   I-ID
5   I-ID
Date   O
:   O
October   B-DATE
Presenting   O
Problem   O
:   O
Holden   B-NAME
Vance   I-NAME
,   O
a   O
Coating   O
,   O
Painting   O
,   O
and   O
Spraying   O
Machine   O
Setters   O
,   O
Operators   O
,   O
and   O
Tenders   O
from   O
Streetman   B-LOCATION
,   O
presented   O
to   O
Geary   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Junction   I-LOCATION
City   I-LOCATION
on   O
04/32/2202   B-DATE
with   O
a   O
chief   O
complaint   O
of   O
acute   O
lower   O
abdominal   O
pain   O
that   O
started   O
approximately   O
12   O
hours   O
prior   O
to   O
admission   O
.   O

Social   O
History   O
:   O
Kylan   B-NAME
Cherry   I-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
denies   O
the   O
use   O
of   O
illicit   O
drugs   O
.   O

After   O
consultation   O
with   O
Clara   B-NAME
Juarez   I-NAME
,   O
the   O
decision   O
was   O
made   O
to   O
proceed   O
with   O
a   O
surgical   O
evaluation   O
for   O
suspected   O
appendicitis   O
.   O

Cassandra   B-NAME
Bright   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
potential   O
surgical   O
intervention   O
.   O

Disposition   O
:   O
Magaly   B-NAME
was   O
admitted   O
to   O
Salt   B-LOCATION
Lake   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
under   O
the   O
care   O
of   O
Daniel   B-NAME
for   O
further   O
management   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
1839   B-DATE
-   I-DATE
11   I-DATE
-   I-DATE
08   I-DATE
without   O
any   O
immediate   O
complications   O
.   O

Ali   B-NAME
,   I-NAME
Muhammad   I-NAME
was   O
started   O
on   O
a   O
post   O
-   O
operative   O
antibiotic   O
regimen   O
and   O
was   O
advised   O
on   O
the   O
importance   O
of   O
post   O
-   O
surgical   O
wound   O
care   O
.   O

Follow   O
-   O
Up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
May   B-DATE
32   I-DATE
,   I-DATE
2089   I-DATE
at   O
NCH   B-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
-   I-LOCATION
North   I-LOCATION
Naples   I-LOCATION
for   O
wound   O
inspection   O
and   O
to   O
discuss   O
the   O
pathology   O
reports   O
.   O

Alejandro   B-NAME
Spence   I-NAME
was   O
provided   O
with   O
173   B-CONTACT
5241   I-CONTACT
and   O
instructed   O
to   O
report   O
any   O
signs   O
of   O
infection   O
or   O
other   O
complications   O
immediately   O
.   O

Prepared   O
by   O
:   O
BV313   B-NAME
,   O
Medical   O
Staff   O
at   O
Northeastern   B-LOCATION
Nevada   I-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
27/20/49   B-DATE

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Nelson   B-NAME
Bailey   I-NAME
Age   O
:   O
44   O
DOB   O
:   O

Sunday   B-DATE
,   I-DATE
January   I-DATE
Medical   O
Record   O
Number   O
:   O
2245835   B-ID
ID   O
Number   O
:   O
IR   B-ID
:   I-ID
CW:9031   I-ID
Date   O
of   O
Visit   O
:   O
December   B-DATE
32   I-DATE
,   I-DATE
2224   I-DATE

Callum   B-NAME
Kent   I-NAME
Hospital   O
:   O
Wooster   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
Location   O
:   O
Pastoria   B-LOCATION
,   O
89064   B-LOCATION
Phone   O
:   O
732   B-CONTACT
124   I-CONTACT
4510   I-CONTACT
Occupation   O
:   O
Model   O
and   O
Mold   O
Makers   O
,   O
Jewelry   O
Username   O
:   O
xmk913   B-NAME
Summary   O
:   O
Daniel   B-NAME
C.   I-NAME
Quillen   I-NAME
,   O
a   O
Neuropsychologists   O
and   O
Clinical   O
Neuropsychologists   O
from   O
Olympia   B-LOCATION
,   I-LOCATION
Olympia   I-LOCATION
Downtown   I-LOCATION
Association   I-LOCATION
,   O
presented   O
to   O
Arnot   B-LOCATION
Ogden   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
25   B-DATE
with   O
complaints   O
of   O
sudden   O
onset   O
,   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
persistent   O
for   O
the   O
past   O
24   O
hours   O
.   O

Samatha   B-NAME
Mallet   I-NAME
also   O
reported   O
accompanying   O
symptoms   O
of   O
nausea   O
without   O
vomiting   O
,   O
loss   O
of   O
appetite   O
,   O
and   O
a   O
single   O
episode   O
of   O
fever   O
measured   O
at   O
home   O
to   O
be   O
38.5   O
°   O
C   O
on   O
June   B-DATE
2277   I-DATE
.   O

Past   O
Medical   O
History   O
:   O
Tzara   B-NAME
,   I-NAME
Tristan   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
,   O
and   O
no   O
history   O
of   O
surgeries   O
or   O
hospitalizations   O
.   O

There   O
have   O
been   O
no   O
recent   O
travels   O
outside   O
Sheffield   B-LOCATION
or   O
any   O
known   O
sick   O
contacts   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
James   B-NAME
Hobart   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Surgical   O
consultation   O
from   O
Paul   B-NAME
was   O
obtained   O
,   O
and   O
Guerrero   B-NAME
was   O
scheduled   O
for   O
an   O
urgent   O
laparoscopic   O
appendectomy   O
on   O
11/35   B-DATE
.   O

Follow   O
-   O
up   O
:   O
A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
Laura   B-NAME
Madden   I-NAME
on   O
2262   B-DATE
-   I-DATE
30   I-DATE
-   I-DATE
00   I-DATE
at   O
Sugarloaf   B-LOCATION
Saw   I-LOCATION
Mill   I-LOCATION
for   O
post   O
-   O
operative   O
evaluation   O
and   O
wound   O
management   O
.   O

For   O
any   O
concerns   O
or   O
symptoms   O
before   O
the   O
scheduled   O
follow   O
-   O
up   O
,   O
Emery   B-NAME
Krause   I-NAME
was   O
advised   O
to   O
contact   O
Highlands   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
705   I-CONTACT
)   I-CONTACT
855   I-CONTACT
4420   I-CONTACT
or   O
visit   O
the   O
Emergency   O
Department   O
.   O

This   O
report   O
was   O
created   O
by   O
an123   B-NAME
on   O
7/82   B-DATE
,   O
and   O
all   O
patient   O
data   O
has   O
been   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
.   O

Patient   O
Name   O
:   O
Fernanda   B-NAME
Kominski   I-NAME
ID   O
:   O
ET626/4299   B-ID
Medical   O
Record   O
Number   O
:   O
51920600   B-ID
Date   O
of   O
Birth   O
:   O
12/05   B-DATE
Age   O
:   O
86   O
Address   O
:   O
Thompson   B-LOCATION
Springs   I-LOCATION
,   O
13852   B-LOCATION
Phone   O
:   O
78781   B-CONTACT
Employment   O
:   O
Mechanical   O
Door   O
Repairers   O
at   O
Loco   B-LOCATION
team   I-LOCATION
Primary   O
Care   O
Physician   O
:   O

Dr.   O
Layla   B-NAME
Oconnor   I-NAME
Hospital   O
:   O
Calvary   B-LOCATION
Hospital   I-LOCATION
Presenting   O
Complaint   O
:   O

Eden   B-NAME
Hansen   I-NAME
presented   O
to   O
Capital   B-LOCATION
Region   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/11/2241   B-DATE
with   O
a   O
complaint   O
of   O
acute   O
onset   O
,   O
intermittent   O
,   O
left   O
-   O
sided   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
.   O

Past   O
Medical   O
History   O
:   O
CHRISTOPHER   B-NAME
QUINTOS   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
hyperlipidemia   O
,   O
for   O
which   O
they   O
are   O
currently   O
taking   O
medication   O
prescribed   O
by   O
Dr.   O
Mitchell   B-NAME
.   O

Robin   B-NAME
does   O
not   O
use   O
tobacco   O
,   O
alcohol   O
,   O
or   O
recreational   O
drugs   O
.   O

Atorvastatin   O
40   O
mg   O
at   O
bedtime   O
Allergies   O
:   O
Skylar   B-NAME
Sweeney   I-NAME
reports   O
a   O
known   O
allergy   O
to   O
penicillin   O
,   O
characterized   O
by   O
a   O
rash   O
.   O

Leah   B-NAME
Little   I-NAME
reports   O
recent   O
unexplained   O
weight   O
loss   O
of   O
1   O
pounds   O
over   O
the   O
last   O
month   O
.   O

On   O
examination   O
,   O
Matt   B-NAME
Lincoln   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Admit   O
Atticus   B-NAME
Jarvis   I-NAME
to   O
Harlingen   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
for   O
observation   O
and   O
further   O
evaluation   O
of   O
chest   O
pain   O
.   O

The   O
case   O
will   O
be   O
reviewed   O
by   O
Dr.   O
Frost   B-NAME
for   O
further   O
assessment   O
and   O
recommendations   O
.   O

On   O
1835   B-DATE
-   I-DATE
10   I-DATE
-   I-DATE
29   I-DATE
,   O
we   O
received   O
a   O
new   O
patient   O
,   O
George   B-NAME
Avery   I-NAME
,   O
a   O
34s   O
-   O
year   O
-   O
old   O
Motor   O
Vehicle   O
Operators   O
,   O
All   O
Other   O
from   O
24   B-LOCATION
2nd   I-LOCATION
Street   I-LOCATION
with   O
a   O
66681   B-LOCATION
postal   O
code   O
.   O

Baby   B-NAME
Le   I-NAME
was   O
admitted   O
to   O
Saint   B-LOCATION
John   I-LOCATION
's   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
with   O
complaints   O
of   O
persistent   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodic   O
vomiting   O
which   O
they   O
reported   O
having   O
started   O
approximately   O
two   O
weeks   O
prior   O
.   O

Upon   O
examination   O
,   O
Merle   B-NAME
Jagger   I-NAME
presented   O
with   O
mild   O
pyrexia   O
(   O
fever   O
)   O
of   O
37.8   O
°   O
C   O
and   O
was   O
visibly   O
pale   O
.   O

Laboratory   O
results   O
obtained   O
on   O
11/00   B-DATE
revealed   O
leukocytosis   O
,   O
indicating   O
a   O
possible   O
infection   O
or   O
inflammation   O
.   O

Consultation   O
with   O
Dr.   O
Jacqueline   B-NAME
Barry   I-NAME
suggested   O
that   O
a   O
laparoscopic   O
appendectomy   O
be   O
considered   O
as   O
a   O
treatment   O
option   O
.   O

A   O
review   O
of   O
Brett   B-NAME
F.   I-NAME
Rutherford   I-NAME
's   O
medical   O
history   O
by   O
Mata   B-NAME
using   O
the   O
medical   O
record   O
number   O
7499B91602   B-ID
showed   O
no   O
significant   O
previous   O
illnesses   O
,   O
surgeries   O
,   O
or   O
known   O
drug   O
allergies   O
.   O

The   O
patient   O
's   O
social   O
history   O
,   O
obtained   O
via   O
telephone   O
(   O
432   B-CONTACT
4285   I-CONTACT
)   O
,   O
revealed   O
no   O
tobacco   O
or   O
alcohol   O
use   O
,   O
and   O
Ascham   B-NAME
,   I-NAME
Roger   I-NAME
lives   O
with   O
their   O
family   O
in   O
Williston   B-LOCATION
.   O

As   O
part   O
of   O
the   O
pre   O
-   O
operative   O
workup   O
,   O
Russell   B-NAME
Dixon   I-NAME
underwent   O
a   O
CT   O
scan   O
of   O
the   O
abdomen   O
and   O
pelvis   O
which   O
confirmed   O
the   O
diagnosis   O
of   O
acute   O
appendicitis   O
with   O
abscess   O
formation   O
.   O

A   O
surgical   O
intervention   O
to   O
remove   O
the   O
appendix   O
was   O
scheduled   O
for   O
1/22   B-DATE
with   O
Parsons   B-NAME
as   O
the   O
lead   O
surgeon   O
.   O

Written   O
informed   O
consent   O
was   O
obtained   O
from   O
Shea   B-NAME
prior   O
to   O
the   O
procedure   O
.   O

Post   O
-   O
operative   O
care   O
included   O
monitoring   O
in   O
Inspira   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Vineland   I-LOCATION
for   O
any   O
signs   O
of   O
infection   O
or   O
complications   O
related   O
to   O
the   O
surgery   O
.   O

Uriel   B-NAME
A.   I-NAME
Xavier   I-NAME
's   O
recovery   O
was   O
closely   O
monitored   O
through   O
daily   O
assessments   O
by   O
the   O
medical   O
team   O
.   O

Additional   O
instructions   O
for   O
care   O
at   O
home   O
were   O
provided   O
to   O
Puttnam   B-NAME
,   O
including   O
signs   O
and   O
symptoms   O
of   O
possible   O
complications   O
to   O
watch   O
for   O
,   O
and   O
a   O
scheduled   O
follow   O
-   O
up   O
appointment   O
was   O
set   O
for   O
22/81   B-DATE
.   O

Contact   O
information   O
(   O
226   B-CONTACT
-   I-CONTACT
845   I-CONTACT
-   I-CONTACT
3064   I-CONTACT
)   O
was   O
provided   O
to   O
Leslie   B-NAME
Abbott   I-NAME
for   O
any   O
concerns   O
or   O
questions   O
related   O
to   O
their   O
recovery   O
process   O
,   O
along   O
with   O
the   O
emergency   O
contact   O
details   O
of   O
Monmouth   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Southern   I-LOCATION
Campus   I-LOCATION
.   O

In   O
conclusion   O
,   O
Demetrius   B-NAME
Mccarthy   I-NAME
's   O
case   O
underscores   O
the   O
importance   O
of   O
timely   O
medical   O
intervention   O
in   O
the   O
management   O
of   O
appendicitis   O
to   O
prevent   O
complications   O
such   O
as   O
abscess   O
formation   O
.   O

This   O
case   O
has   O
been   O
documented   O
under   O
722   B-ID
-   I-ID
21   I-ID
-   I-ID
15   I-ID
-   I-ID
1   I-ID
for   O
future   O
reference   O
and   O
research   O
purposes   O
.   O

All   O
personal   O
information   O
related   O
to   O
Carney   B-NAME
and   O
involved   O
medical   O
personnel   O
has   O
been   O
protected   O
following   O
HIPAA   O
regulations   O
.   O

Patient   O
Name   O
:   O
Cash   B-NAME
Jordan   I-NAME
ID   O
:   O
OA   B-ID
:   I-ID
AP:8449   I-ID
Date   O
of   O
Birth   O
:   O
11/26   B-DATE
Age   O
:   O
11   O
month   O
Phone   O
Number   O
:   O
586   B-CONTACT
6340   I-CONTACT
Address   O
:   O
Ursina   B-LOCATION
,   O
90424   B-LOCATION
Employment   O
:   O

Logging   O
Tractor   O
Operators   O
at   O
Sun   B-LOCATION
American   I-LOCATION
Bank   I-LOCATION
Primary   O
Physician   O
:   O

Dr.   O
Brian   B-NAME
Rush   I-NAME
Hospital   O
:   O

AdventHealth   B-LOCATION
Zephyrhills   I-LOCATION
Medical   O
Record   O
Number   O
:   O
25768846   B-ID
Date   O
of   O
Admission   O
:   O
2/0   B-DATE
Username   O
:   O
xgz686   B-NAME
Clinical   O
Summary   O
:   O
Robert   B-NAME
Lincoln   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
McKee   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
31/21   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
acute   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
fever   O
of   O
38.5   O
°   O
C   O
.   O

Narvaez   B-NAME
described   O
the   O
pain   O
as   O
a   O
sharp   O
and   O
persistent   O
sensation   O
,   O
exacerbated   O
by   O
movement   O
.   O

Byron   B-NAME
Lawrence   I-NAME
denies   O
any   O
recent   O
travel   O
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

Past   O
medical   O
history   O
is   O
significant   O
for   O
a   O
laparoscopic   O
cholecystectomy   O
performed   O
at   O
Centra   B-LOCATION
Lynchburg   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
by   O
Dr.   O
Merril   B-NAME
Bobolit   I-NAME
in   O
Memorial   B-DATE
Day   I-DATE
.   O

Management   O
and   O
Outcome   O
:   O
Based   O
on   O
the   O
clinical   O
and   O
imaging   O
findings   O
,   O
Noli   B-NAME
,   I-NAME
Fan   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

After   O
obtaining   O
informed   O
consent   O
,   O
the   O
patient   O
was   O
taken   O
to   O
the   O
operating   O
room   O
for   O
a   O
laparoscopic   O
appendectomy   O
on   O
2/31   B-DATE
.   O

The   O
procedure   O
was   O
performed   O
by   O
Dr.   O
Dominic   B-NAME
Zimmerman   I-NAME
without   O
complications   O
.   O

Katie   B-NAME
Bishop   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
.   O

Nelson   B-NAME
was   O
discharged   O
on   O
17/00   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Dr.   O
Hemingway   B-NAME
,   I-NAME
Ernest   I-NAME
in   O
2   O
weeks   O
at   O
Loyola   B-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

On   O
their   O
follow   O
-   O
up   O
visit   O
on   O
23/35   B-DATE
,   O
Gardner   B-NAME
displayed   O
good   O
wound   O
healing   O
,   O
no   O
signs   O
of   O
infection   O
,   O
and   O
reported   O
complete   O
resolution   O
of   O
previous   O
symptoms   O
.   O

Instructions   O
for   O
further   O
care   O
and   O
a   O
contact   O
number   O
of   O
870   B-CONTACT
8345   I-CONTACT
for   O
emergencies   O
or   O
concerns   O
were   O
provided   O
to   O
Kanesha   B-NAME
Greenlee   I-NAME
.   O

The   O
patient   O
expressed   O
gratitude   O
for   O
the   O
care   O
received   O
from   O
Dr.   O
Barkley   B-NAME
,   I-NAME
Charles   I-NAME
and   O
the   O
staff   O
at   O
Suburban   B-LOCATION
Hospital   I-LOCATION
.   O

Further   O
appointments   O
will   O
be   O
scheduled   O
as   O
necessary   O
,   O
and   O
Grady   B-NAME
Randall   I-NAME
has   O
been   O
encouraged   O
to   O
return   O
to   O
Tempe   B-LOCATION
St.   I-LOCATION
Luke   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
if   O
any   O
symptoms   O
recur   O
or   O
new   O
concerns   O
arise   O
.   O

Patient   O
Name   O
:   O
Hale   B-NAME
Age   O
:   O
47   O
Phone   O
:   O
715   B-CONTACT
-   I-CONTACT
5577   I-CONTACT
Address   O
:   O
Herculaneum   B-LOCATION
,   O
16469   B-LOCATION
Employment   O
:   O
Bilingual   O
secretary   O
Doctor   O
:   O
Cannon   B-NAME
Pacheco   I-NAME
Hospital   O
:   O
Emory   B-LOCATION
Johns   I-LOCATION
Creek   I-LOCATION
Hospital   I-LOCATION
ID   O
:   O
PO:22736:442758   B-ID
Medical   O
Record   O
Number   O
:   O
03535917   B-ID
Date   O
of   O
Visit   O
:   O
13/22   B-DATE
Organization   O
:   O

United   B-LOCATION
Brotherhood   I-LOCATION
of   I-LOCATION
Carpenters   I-LOCATION
and   I-LOCATION
Joiners   I-LOCATION
of   I-LOCATION
America   I-LOCATION
Username   O
:   O
rhf377   B-NAME
Chief   O
Complaint   O
:   O
Kianna   B-NAME
Mack   I-NAME
presented   O
to   O
the   O
clinic   O
on   O
1715   B-DATE
with   O
a   O
complaint   O
of   O
persistent   O
,   O
dry   O
cough   O
lasting   O
for   O
3   O
weeks   O
.   O

Sanai   B-NAME
Atkinson   I-NAME
also   O
reports   O
experiencing   O
bouts   O
of   O
shortness   O
of   O
breath   O
during   O
moderate   O
physical   O
activities   O
,   O
including   O
walking   O
a   O
short   O
distance   O
.   O

Nancy   B-NAME
Dean   I-NAME
has   O
noted   O
a   O
low   O
-   O
grade   O
fever   O
that   O
seems   O
to   O
exacerbate   O
in   O
the   O
evenings   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Dexter   B-NAME
Jones   I-NAME
first   O
noticed   O
the   O
cough   O
approximately   O
3   O
weeks   O
ago   O
,   O
initially   O
dismissing   O
it   O
as   O
a   O
common   O
cold   O
.   O

However   O
,   O
over   O
the   O
past   O
7   O
days   O
,   O
Jolan   B-NAME
has   O
observed   O
an   O
escalation   O
in   O
the   O
severity   O
of   O
the   O
cough   O
,   O
accompanied   O
by   O
increased   O
difficulty   O
in   O
breathing   O
.   O

8   O
month   O
years   O
old   O
Lorelei   B-NAME
Allison   I-NAME
also   O
reports   O
a   O
feeling   O
of   O
chest   O
tightness   O
but   O
denies   O
any   O
chest   O
pain   O
.   O

Past   O
Medical   O
History   O
:   O
Trajan   B-NAME
Balsis   I-NAME
has   O
a   O
history   O
of   O
seasonal   O
allergies   O
and   O
had   O
a   O
similar   O
,   O
though   O
less   O
severe   O
,   O
episode   O
last   O
year   O
,   O
which   O
resolved   O
without   O
intervention   O
.   O

Anderson   B-NAME
Buckley   I-NAME
is   O
currently   O
not   O
on   O
any   O
prescription   O
medications   O
and   O
has   O
no   O
known   O
drug   O
allergies   O
.   O

Social   O
History   O
:   O
Cayden   B-NAME
Bolton   I-NAME
is   O
a   O
Marine   O
scientist   O
residing   O
in   O
Colby   B-LOCATION
and   O
denies   O
the   O
use   O
of   O
tobacco   O
,   O
alcohol   O
,   O
or   O
illicit   O
drugs   O
.   O

Carter   B-NAME
,   I-NAME
Elliott   I-NAME
shares   O
a   O
home   O
with   O
a   O
spouse   O
and   O
two   O
children   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Will   B-NAME
Abdul   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
distress   O
due   O
to   O
dyspnea   O
.   O

Diagnostic   O
Testing   O
:   O
Chest   O
x   O
-   O
ray   O
performed   O
at   O
Walton   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
on   O
2/25   B-DATE
showed   O
bilateral   O
lower   O
lobe   O
infiltrates   O
.   O

Delaney   B-NAME
Harrington   I-NAME
recommended   O
a   O
follow   O
-   O
up   O
CT   O
scan   O
of   O
the   O
chest   O
and   O
pulmonary   O
function   O
tests   O
to   O
further   O
assess   O
the   O
condition   O
.   O

Gavyn   B-NAME
Espinoza   I-NAME
prescribed   O
a   O
course   O
of   O
broad   O
-   O
spectrum   O
antibiotics   O
and   O
recommended   O
over   O
-   O
the   O
-   O
counter   O
antihistamines   O
.   O

Thompson   B-NAME
,   I-NAME
Dorothy   I-NAME
was   O
advised   O
to   O
increase   O
fluid   O
intake   O
,   O
rest   O
,   O
and   O
monitor   O
symptoms   O
closely   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
2/30   B-DATE
to   O
reassess   O
the   O
condition   O
and   O
review   O
the   O
results   O
of   O
the   O
pending   O
diagnostic   O
tests   O
.   O

Mora   B-NAME
was   O
advised   O
to   O
seek   O
immediate   O
medical   O
attention   O
if   O
experiencing   O
worsening   O
symptoms   O
like   O
increased   O
shortness   O
of   O
breath   O
or   O
high   O
-   O
grade   O
fever   O
.   O

Odonnell   B-NAME
emphasized   O
the   O
importance   O
of   O
adhering   O
to   O
the   O
treatment   O
plan   O
and   O
scheduled   O
the   O
next   O
appointment   O
for   O
review   O
.   O

Instructions   O
were   O
given   O
to   O
call   O
the   O
clinic   O
at   O
534   B-CONTACT
225   I-CONTACT
8549   I-CONTACT
if   O
any   O
concerns   O
arise   O
prior   O
to   O
the   O
follow   O
-   O
up   O
visit   O
.   O

Patient   O
Report   O
for   O
Babette   B-NAME
Niau   I-NAME
Patient   O
ID   O
:   O
QF:271090:563228   B-ID
Medical   O
Record   O
Number   O
:   O
36580500   B-ID
Date   O
of   O
Birth   O
:   O
December   B-DATE
2324   I-DATE
Age   O
:   O
42   O
22/21   B-DATE
,   O
the   O
patient   O
presented   O
to   O
VA   B-LOCATION
Central   I-LOCATION
Iowa   I-LOCATION
Health   I-LOCATION
Care   I-LOCATION
System   I-LOCATION
-   I-LOCATION
DSM   I-LOCATION
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
indicating   O
a   O
possible   O
case   O
of   O
appendicitis   O
.   O

The   O
patient   O
denied   O
any   O
recent   O
travel   O
outside   O
Le   B-LOCATION
Flore   I-LOCATION
or   O
consumption   O
of   O
unusual   O
foods   O
.   O

Brewer   B-NAME
recommended   O
an   O
urgent   O
surgical   O
consult   O
for   O
a   O
possible   O
laparoscopic   O
appendectomy   O
to   O
prevent   O
progression   O
to   O
a   O
more   O
serious   O
condition   O
.   O

The   O
patient   O
's   O
past   O
medical   O
history   O
was   O
significant   O
for   O
a   O
diagnosis   O
of   O
hypertension   O
,   O
controlled   O
with   O
medication   O
prescribed   O
by   O
Braedon   B-NAME
Parrish   I-NAME
from   O
City   B-LOCATION
of   I-LOCATION
Moore   I-LOCATION
Haven   I-LOCATION
Utilities   I-LOCATION
Department   I-LOCATION
.   O

The   O
surgery   O
was   O
scheduled   O
for   O
3/10/2142   B-DATE
in   O
The   B-LOCATION
Valley   I-LOCATION
Hospital   I-LOCATION
.   O

Emergency   O
contact   O
information   O
was   O
obtained   O
,   O
listing   O
Jonathon   B-NAME
Adams   I-NAME
's   O
next   O
of   O
kin   O
,   O
Cooks   O
,   O
Restaurant   O
at   O
136   B-CONTACT
3567   I-CONTACT
.   O

The   O
patient   O
’s   O
residential   O
address   O
is   O
registered   O
as   O
Salvo   B-LOCATION
,   O
75653   B-LOCATION
.   O

Postoperative   O
care   O
plans   O
include   O
administration   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
,   O
analgesics   O
for   O
pain   O
management   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Kruth   B-NAME
,   I-NAME
Ernst   I-NAME
on   O
22/11/2233   B-DATE
at   O
Fort   B-LOCATION
Madison   I-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
to   O
assess   O
recovery   O
progress   O
.   O

The   O
patient   O
will   O
be   O
instructed   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
complications   O
and   O
to   O
contact   O
South   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
immediately   O
should   O
any   O
arise   O
.   O

This   O
report   O
was   O
compiled   O
by   O
RL7910   B-NAME
and   O
reviewed   O
by   O
Velazquez   B-NAME
for   O
accuracy   O
and   O
completeness   O
in   O
documentation   O
.   O

Patient   O
Report   O
for   O
Madden   B-NAME
Kaufman   I-NAME
I.   O
Identification   O
Information   O
Patient   O
ID   O
:   O
MH   B-ID
:   I-ID
XM:2397   I-ID
Medical   O
Record   O
Number   O
:   O
086   B-ID
08   I-ID
35   I-ID
Date   O
of   O
Birth   O
:   O
12/17/2000   B-DATE
Age   O
:   O
2   O
month   O
Phone   O
Number   O
:   O
118   B-CONTACT
1711   I-CONTACT
Address   O
:   O
George   B-LOCATION
,   O
16473   B-LOCATION
II   O
.   O

Referring   O
Physician   O
Dr.   O
Gardner   B-NAME
III   O
.   O

Medical   O
History   O
Otho   B-NAME
Bookmiller   I-NAME
was   O
referred   O
by   O
Dr.   O
Johan   B-NAME
Mcclure   I-NAME
of   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Bricklayers   I-LOCATION
and   I-LOCATION
Allied   I-LOCATION
Craftworkers   I-LOCATION
on   O
11/22   B-DATE
.   O

Despite   O
treatment   O
,   O
Richard   B-NAME
Quesenberry   I-NAME
has   O
reported   O
persistent   O
discomfort   O
.   O
IV   O
.   O

Accompanying   O
symptoms   O
include   O
nausea   O
,   O
occasional   O
episodes   O
of   O
vomiting   O
,   O
and   O
a   O
loss   O
of   O
appetite   O
leading   O
to   O
unintentional   O
weight   O
loss   O
over   O
the   O
past   O
2/73   B-DATE
.   O

Evan   B-NAME
Beaumont   I-NAME
denies   O
experiencing   O
any   O
bleeding   O
,   O
but   O
mentions   O
an   O
increase   O
in   O
belching   O
and   O
an   O
occasional   O
bloating   O
sensation   O
.   O

,   O
Wordsmith   B-NAME
exhibited   O
mild   O
epigastric   O
tenderness   O
upon   O
palpation   O
.   O

Plan   O
of   O
Care   O
R.   B-NAME
Joe   I-NAME
,   I-NAME
M.   I-NAME
was   O
advised   O
to   O
undergo   O
an   O
upper   O
gastrointestinal   O
endoscopy   O
at   O
UT   B-LOCATION
Health   I-LOCATION
Tyler   I-LOCATION
to   O
confirm   O
the   O
diagnosis   O
and   O
assess   O
the   O
severity   O
of   O
the   O
gastritis   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
scheduled   O
for   O
21/22   B-DATE
with   O
Dr.   O
Harold   B-NAME
II   I-NAME
Godwinson   I-NAME
,   I-NAME
King   I-NAME
of   I-NAME
England   I-NAME
to   O
review   O
the   O
endoscopy   O
findings   O
and   O
formulate   O
a   O
detailed   O
treatment   O
plan   O
.   O

Recommendations   O
It   O
is   O
recommended   O
that   O
Indiya   B-NAME
maintains   O
a   O
diary   O
of   O
symptom   O
severity   O
correlated   O
with   O
food   O
intake   O
and   O
stress   O
levels   O
to   O
help   O
identify   O
potential   O
triggers   O
.   O

Follow   O
-   O
Up   O
For   O
further   O
inquiries   O
or   O
immediate   O
concerns   O
prior   O
to   O
the   O
scheduled   O
appointment   O
,   O
Leo   B-NAME
Bain   I-NAME
is   O
encouraged   O
to   O
contact   O
Dr.   O
McClary   B-NAME
,   I-NAME
Susan   I-NAME
’s   O
office   O
via   O
phone   O
number   O
738   B-CONTACT
1233   I-CONTACT
or   O
present   O
to   O
Kindred   B-LOCATION
Hospital   I-LOCATION
Atlanta   I-LOCATION
's   O
emergency   O
department   O
.   O

All   O
patient   O
information   O
contained   O
in   O
this   O
report   O
is   O
confidential   O
and   O
is   O
shared   O
in   O
compliance   O
with   O
HIPAA   O
regulations   O
and   O
institutional   O
policies   O
of   O
International   B-LOCATION
Union   I-LOCATION
of   I-LOCATION
Elevator   I-LOCATION
Constructors   I-LOCATION
.   O

The   O
patient   O
,   O
Skyla   B-NAME
Roman   I-NAME
,   O
a   O
Nurse   O
Anesthetists   O
from   O
Gunter   B-LOCATION
,   O
with   O
a   O
date   O
of   O
birth   O
placing   O
them   O
at   O
41   O
years   O
old   O
,   O
presented   O
to   O
Jersey   B-LOCATION
Shore   I-LOCATION
University   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
22/26   B-DATE
with   O
a   O
series   O
of   O
symptoms   O
that   O
required   O
immediate   O
attention   O
.   O

Quentin   B-NAME
Costa   I-NAME
complained   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
lower   O
right   O
quadrant   O
,   O
which   O
is   O
suggestive   O
of   O
appendicitis   O
.   O

Additionally   O
,   O
the   O
patient   O
reported   O
a   O
fever   O
that   O
peaked   O
at   O
38.5   O
°   O
C   O
(   O
12/21/2163   B-DATE
)   O
,   O
accompanied   O
by   O
chills   O
.   O

Upon   O
physical   O
examination   O
,   O
Hernandez   B-NAME
noted   O
that   O
Pilar   B-NAME
Piersall   I-NAME
exhibited   O
rebound   O
tenderness   O
–   O
a   O
classic   O
sign   O
of   O
peritonitis   O
,   O
which   O
is   O
a   O
serious   O
complication   O
of   O
untreated   O
appendicitis   O
.   O

Lilyana   B-NAME
Petersen   I-NAME
's   O
medical   O
record   O
number   O
,   O
1319926   B-ID
,   O
contains   O
a   O
detailed   O
history   O
of   O
these   O
findings   O
along   O
with   O
past   O
medical   O
history   O
and   O
personal   O
information   O
that   O
was   O
carefully   O
reviewed   O
.   O

The   O
procedure   O
was   O
successfully   O
performed   O
on   O
07/23   B-DATE
,   O
with   O
no   O
immediate   O
postoperative   O
complications   O
.   O

Lillianna   B-NAME
Irwin   I-NAME
was   O
advised   O
to   O
follow   O
strict   O
infection   O
control   O
procedures   O
during   O
the   O
recovery   O
period   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
antibiotics   O
to   O
prevent   O
infection   O
.   O

Follow   O
-   O
up   O
appointments   O
were   O
scheduled   O
to   O
monitor   O
Sara   B-NAME
McIntyre   I-NAME
's   O
recovery   O
.   O

At   O
the   O
follow   O
-   O
up   O
on   O
09/29   B-DATE
,   O
Koleyna   B-NAME
reported   O
significant   O
improvement   O
in   O
symptoms   O
.   O

Peyton   B-NAME
Schneider   I-NAME
expressed   O
gratitude   O
for   O
the   O
timely   O
intervention   O
and   O
care   O
provided   O
by   O
the   O
medical   O
staff   O
at   O
Valley   B-LOCATION
Presbyterian   I-LOCATION
Hospital   I-LOCATION
.   O

To   O
ensure   O
Rogar   B-NAME
Hannegan   I-NAME
’s   O
privacy   O
and   O
compliance   O
with   O
HIPAA   O
regulations   O
,   O
all   O
communication   O
about   O
the   O
case   O
,   O
including   O
detailed   O
surgical   O
reports   O
and   O
recovery   O
plans   O
,   O
were   O
securely   O
encrypted   O
and   O
transmitted   O
.   O

Bobby   B-NAME
's   O
contact   O
number   O
,   O
74808   B-CONTACT
,   O
was   O
used   O
to   O
coordinate   O
follow   O
-   O
up   O
care   O
,   O
while   O
ensuring   O
that   O
any   O
voicemails   O
left   O
were   O
discreet   O
and   O
did   O
not   O
contain   O
sensitive   O
medical   O
information   O
.   O

For   O
any   O
queries   O
regarding   O
the   O
patient   O
’s   O
treatment   O
plan   O
or   O
follow   O
-   O
up   O
appointments   O
,   O
James   B-NAME
was   O
instructed   O
to   O
contact   O
North   B-LOCATION
Arkansas   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
patient   O
liaison   O
at   O
696   B-CONTACT
-   I-CONTACT
598   I-CONTACT
4427   I-CONTACT
.   O

Further   O
,   O
to   O
assist   O
with   O
ongoing   O
research   O
and   O
quality   O
improvement   O
within   O
the   O
gastroenterology   O
department   O
,   O
Amaya   B-NAME
Espinoza   I-NAME
consented   O
to   O
have   O
their   O
anonymized   O
data   O
included   O
in   O
a   O
study   O
conducted   O
by   O
Genworth   B-LOCATION
Financial   I-LOCATION
,   O
under   O
the   O
project   O
lead   O
TJ748   B-NAME
.   O

Patient   O
Report   O
:   O
Name   O
:   O
Hanna   B-NAME
Cook   I-NAME
Age   O
:   O
72   O
Date   O
of   O
Birth   O
:   O
2066   B-DATE
Date   O
of   O
Visit   O
:   O
02/13   B-DATE
Medical   O
Record   O
Number   O
:   O
8252111   B-ID
Contact   O
Number   O
:   O
134   B-CONTACT
5670   I-CONTACT
Address   O
:   O
GUILDFORD   B-LOCATION
,   O
29138   B-LOCATION

Mckay   B-NAME
Hospital   O
:   O
Person   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Patient   O
Farrell   B-NAME
,   O
a   O
Urban   O
and   O
Regional   O
Planners   O
by   O
profession   O
,   O
presented   O
to   O
our   O
clinic   O
on   O
02/01/12   B-DATE
with   O
complaints   O
of   O
progressive   O
,   O
unilateral   O
headache   O
predominantly   O
on   O
the   O
left   O
side   O
,   O
described   O
as   O
throbbing   O
and   O
pulsating   O
in   O
nature   O
.   O

Miles   B-NAME
Echeverria   I-NAME
also   O
reported   O
associated   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

The   O
headache   O
episodes   O
have   O
been   O
occurring   O
with   O
increased   O
frequency   O
over   O
the   O
past   O
8/25   B-DATE
,   O
typically   O
lasting   O
from   O
4   O
to   O
72   O
hours   O
if   O
untreated   O
.   O

Tessa   B-NAME
Alford   I-NAME
also   O
mentioned   O
a   O
significant   O
reduction   O
in   O
daily   O
activities   O
during   O
the   O
episodes   O
.   O

Leonarda   B-NAME
has   O
a   O
previous   O
medical   O
history   O
of   O
episodic   O
migraine   O
without   O
aura   O
,   O
first   O
diagnosed   O
in   O
November   B-DATE
8   I-DATE
.   O

Currently   O
,   O
Marley   B-NAME
Christian   I-NAME
is   O
on   O
a   O
preventive   O
migraine   O
medication   O
prescribed   O
by   O
Boone   B-NAME
.   O

The   O
last   O
visit   O
to   O
Bayfront   B-LOCATION
Health   I-LOCATION
Punta   I-LOCATION
Gorda   I-LOCATION
for   O
a   O
similar   O
complaint   O
was   O
on   O
23/12/42   B-DATE
,   O
and   O
Alivia   B-NAME
Potts   I-NAME
was   O
noted   O
to   O
have   O
an   O
optimal   O
response   O
to   O
the   O
prescribed   O
triptans   O
for   O
acute   O
episodes   O
.   O

Kennedy   B-NAME
's   O
vital   O
signs   O
were   O
within   O
normal   O
limits   O
.   O

Layton   B-NAME
denied   O
recent   O
head   O
trauma   O
,   O
changes   O
in   O
vision   O
,   O
or   O
stiffness   O
in   O
the   O
neck   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
32/07   B-DATE
to   O
assess   O
the   O
effectiveness   O
of   O
the   O
adjusted   O
treatment   O
plan   O
and   O
to   O
discuss   O
any   O
potential   O
need   O
for   O
further   O
diagnostic   O
evaluation   O
or   O
referral   O
to   O
a   O
neurologist   O
.   O

In   O
case   O
of   O
any   O
adverse   O
reactions   O
to   O
the   O
medication   O
or   O
worsening   O
of   O
symptoms   O
,   O
Vicki   B-NAME
Klein   I-NAME
is   O
advised   O
to   O
promptly   O
contact   O
Penn   B-LOCATION
Highlands   I-LOCATION
Huntingdon   I-LOCATION
at   O
55356   B-CONTACT
or   O
visit   O
the   O
emergency   O
department   O
.   O

All   O
patient   O
data   O
herein   O
is   O
strictly   O
confidential   O
and   O
should   O
be   O
handled   O
in   O
accordance   O
with   O
HIPAA   O
regulations   O
and   O
the   O
privacy   O
policy   O
of   O
R   B-LOCATION
-   I-LOCATION
G   I-LOCATION
Premier   I-LOCATION
Bank   I-LOCATION
of   I-LOCATION
Puerto   I-LOCATION
Rico   I-LOCATION
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Rajani   B-NAME
Mohadevan   I-NAME
Patient   O
ID   O
:   O
TH518/8469   B-ID
Medical   O
Record   O
Number   O
:   O
8052326   B-ID
Age   O
:   O
11   O
Date   O
of   O
Birth   O
:   O
34/13   B-DATE
Contact   O
Information   O
:   O
Phone   O
Number   O
:   O
(   B-CONTACT
548   I-CONTACT
)   I-CONTACT
692   I-CONTACT
7483   I-CONTACT
Address   O
:   O
79684   B-LOCATION
,   O
Harrisonburg   B-LOCATION
Employment   O
Information   O
:   O
Occupation   O
:   O

Cost   O
Estimators   O
Referring   O
Physician   O
:   O
Dr.   O
Sexton   B-NAME
Hospital   O
:   O
Singing   B-LOCATION
River   I-LOCATION
Hospital   I-LOCATION
Medical   O
History   O
Summary   O
:   O
Genie   B-NAME
Delahoussaye   I-NAME
presented   O
to   O
United   B-LOCATION
Memorial   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
4   B-DATE
-   I-DATE
31   I-DATE
with   O
complaints   O
of   O
persistent   O
dry   O
cough   O
,   O
high   O
-   O
grade   O
fever   O
,   O
and   O
shortness   O
of   O
breath   O
that   O
had   O
been   O
progressing   O
over   O
the   O
past   O
week   O
.   O

Bridges   B-NAME
is   O
a   O
non   O
-   O
smoker   O
and   O
consumes   O
alcohol   O
socially   O
.   O

Upon   O
examination   O
,   O
Kline   B-NAME
,   I-NAME
Kevin   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
respiratory   O
effort   O
.   O

Charlize   B-NAME
Castaneda   I-NAME
was   O
also   O
placed   O
on   O
supplemental   O
oxygen   O
to   O
maintain   O
oxygen   O
saturation   O
above   O
94   O
%   O
.   O

Follow   O
-   O
Up   O
:   O
Evans   B-NAME
has   O
been   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Kelsie   B-NAME
Eaton   I-NAME
at   O
Crisp   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
on   O
2227   B-DATE
to   O
assess   O
response   O
to   O
treatment   O
and   O
plan   O
further   O
management   O
based   O
on   O
the   O
results   O
of   O
the   O
pleural   O
fluid   O
analysis   O
and   O
repeat   O
chest   O
imaging   O
.   O

Patient   O
Name   O
:   O
Pamela   B-NAME
Lyons   I-NAME
Patient   O
Age   O
:   O
26   O
Medical   O
Record   O
Number   O
:   O
8153960   B-ID
Date   O
of   O
Visit   O
:   O
May   B-DATE
,   I-DATE
2086   I-DATE

Madeline   B-NAME
Miles   I-NAME
Hospital   O
:   O
Bellevue   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Location   O
:   O
Tiger   B-LOCATION
Zip   O
Code   O
:   O
54043   B-LOCATION
Phone   O
Number   O
:   O
881   B-CONTACT
701   I-CONTACT
2424   I-CONTACT
Occupation   O
:   O
Coil   O
Winders   O
,   O
Tapers   O
,   O
and   O
Finishers   O
Referring   O
Organization   O
:   O

Appalachian   B-LOCATION
Community   I-LOCATION
Bank   I-LOCATION
ID   O
:   O
10   B-ID
-   I-ID
53100704   I-ID
Username   O
:   O
te892   B-NAME
Chief   O
Complaint   O
:   O
The   O
patient   O
,   O
Dixie   B-NAME
Salazar   I-NAME
,   O
presents   O
with   O
symptoms   O
of   O
progressive   O
shortness   O
of   O
breath   O
and   O
a   O
persistent   O
,   O
dry   O
cough   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Marie   B-NAME
Massey   I-NAME
first   O
noticed   O
mild   O
shortness   O
of   O
breath   O
and   O
occasional   O
coughing   O
episodes   O
about   O
a   O
month   O
ago   O
.   O

However   O
,   O
over   O
the   O
past   O
June   B-DATE
,   O
Justice   B-NAME
Rush   I-NAME
reports   O
that   O
these   O
symptoms   O
have   O
become   O
more   O
pronounced   O
and   O
now   O
occur   O
even   O
at   O
rest   O
.   O

Domenic   B-NAME
Borge   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
or   O
exposure   O
to   O
known   O
allergens   O
.   O

Cadence   B-NAME
Barton   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
controlled   O
with   O
medication   O
.   O

Examination   O
Findings   O
:   O
On   O
physical   O
examination   O
,   O
Sherman   B-NAME
,   I-NAME
William   I-NAME
Tecumseh   I-NAME
appeared   O
to   O
be   O
in   O
mild   O
respiratory   O
distress   O
.   O

Diagnostic   O
Testing   O
:   O
Chest   O
X   O
-   O
ray   O
performed   O
at   O
Ochsner   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
-   I-LOCATION
New   I-LOCATION
Orleans   I-LOCATION
on   O
2112   B-DATE
showed   O
no   O
acute   O
cardiopulmonary   O
processes   O
.   O

4   O
.   O
Schedule   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
2   O
weeks   O
at   O
Bay   B-LOCATION
Pines   I-LOCATION
VA   I-LOCATION
Healthcare   I-LOCATION
System   I-LOCATION
to   O
reassess   O
the   O
patient   O
’s   O
symptoms   O
and   O
treatment   O
response   O
.   O

All   O
prescribed   O
medications   O
and   O
further   O
instructions   O
were   O
discussed   O
with   O
yanez   B-NAME
,   O
who   O
expressed   O
understanding   O
of   O
the   O
treatment   O
plan   O
.   O

A   O
prescription   O
was   O
provided   O
,   O
and   O
Alfred   B-NAME
Friedman   I-NAME
was   O
encouraged   O
to   O
call   O
(   B-CONTACT
219   I-CONTACT
)   I-CONTACT
236   I-CONTACT
-   I-CONTACT
7634   I-CONTACT
if   O
symptoms   O
worsen   O
or   O
if   O
there   O
are   O
any   O
concerns   O
about   O
the   O
treatment   O
plan   O
.   O

The   O
patient   O
’s   O
occupational   O
background   O
as   O
Electronic   O
Equipment   O
Installers   O
and   O
Repairers   O
,   O
Motor   O
Vehicles   O
necessitates   O
coordination   O
with   O
Hillcrest   B-LOCATION
Bank   I-LOCATION
Florida   I-LOCATION
to   O
explore   O
potential   O
workplace   O
modifications   O
or   O
interventions   O
that   O
could   O
reduce   O
exposure   O
to   O
identified   O
triggers   O
.   O

This   O
report   O
was   O
prepared   O
by   O
Tanner   B-NAME
,   O
M.D.   O
,   O
and   O
is   O
confidential   O
.   O

Any   O
questions   O
or   O
clarifications   O
can   O
be   O
directed   O
to   O
122   B-CONTACT
8174   I-CONTACT
or   O
through   O
direct   O
messaging   O
on   O
the   O
patient   O
portal   O
under   O
the   O
username   O
nb451   B-NAME
.   O

Patient   O
Name   O
:   O
Dillan   B-NAME
Hatfield   I-NAME
Age   O
:   O
22   O
Date   O
of   O
Birth   O
:   O
34/20/2291   B-DATE
Address   O
:   O
Lake   B-LOCATION
Belvedere   I-LOCATION
Estates   I-LOCATION
,   O
15972   B-LOCATION
Phone   O
Number   O
:   O
218   B-CONTACT
9878   I-CONTACT
Medical   O
Record   O
Number   O
:   O
51503937   B-ID
ID   O
Number   O
:   O
FE473/6127   B-ID
Occupation   O
:   O

Respiratory   O
Therapy   O
Technicians   O
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Henderson   B-NAME
Hospital   O
:   O

Southeast   B-LOCATION
Georgia   I-LOCATION
Health   I-LOCATION
System   I-LOCATION
-   I-LOCATION
Camden   I-LOCATION
Campus   I-LOCATION
Referring   O
Organization   O
:   O

Steel   B-LOCATION
Plant   I-LOCATION
Employees   I-LOCATION
Union   I-LOCATION
Date   O
of   O
Visit   O
:   O
2132   B-DATE
Chief   O
Complaint   O
:   O
Lopez   B-NAME
presents   O
with   O
a   O
4   O
-   O
day   O
history   O
of   O
progressive   O
shortness   O
of   O
breath   O
and   O
a   O
non   O
-   O
productive   O
cough   O
.   O

Gabor   B-NAME
,   I-NAME
Zsa   I-NAME
Zsa   I-NAME
has   O
a   O
known   O
history   O
of   O
hyperlipidemia   O
,   O
for   O
which   O
they   O
are   O
on   O
statin   O
therapy   O
.   O

Family   O
history   O
is   O
significant   O
for   O
coronary   O
artery   O
disease   O
in   O
August   B-NAME
Benton   I-NAME
's   O
father   O
.   O

Plan   O
:   O
-   O
Initiate   O
cardiac   O
monitoring   O
and   O
administer   O
sublingual   O
nitroglycerin   O
for   O
chest   O
pain   O
relief   O
-   O
Order   O
further   O
cardiac   O
biomarkers   O
to   O
evaluate   O
for   O
ACS   O
-   O
Start   O
antibiotics   O
after   O
obtaining   O
sputum   O
cultures   O
for   O
suspected   O
respiratory   O
infection   O
-   O
Consult   O
cardiology   O
for   O
further   O
assessment   O
and   O
potential   O
intervention   O
-   O
Arrange   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
in   O
12/02   B-DATE

Benton   B-NAME
Byrdsong   I-NAME
was   O
advised   O
to   O
avoid   O
any   O
strenuous   O
activities   O
,   O
adhere   O
strictly   O
to   O
the   O
prescribed   O
medications   O
,   O
and   O
to   O
return   O
to   O
the   O
hospital   O
or   O
call   O
605   B-CONTACT
4245   I-CONTACT
if   O
symptoms   O
persist   O
or   O
worsen   O
.   O

Signature   O
:   O
Dr.   O
Carlie   B-NAME
Lin   I-NAME
22/33/2121   B-DATE

Patient   O
Name   O
:   O
Benjaman   B-NAME
Y.   I-NAME
Macias   I-NAME
Medical   O
Record   O
Number   O
:   O
838   B-ID
-   I-ID
36   I-ID
-   I-ID
56   I-ID
Date   O
of   O
Birth   O
:   O
23/20/12   B-DATE
Age   O
:   O
59   O
Address   O
:   O
Celeryville   B-LOCATION
,   O
60840   B-LOCATION
Phone   O
Number   O
:   O
18742   B-CONTACT
Primary   O
Care   O
Physician   O
:   O

Adrienne   B-NAME
Mcneil   I-NAME
Referring   O
Physician   O
:   O

Mike   B-NAME
Stratford   I-NAME
Hospital   O
:   O
University   B-LOCATION
of   I-LOCATION
Louisville   I-LOCATION
Hospital   I-LOCATION
Admission   O
Date   O
:   O
2/4   B-DATE
Discharge   O
Date   O
:   O
January   B-DATE
ID   O
Number   O
:   O
0   B-ID
-   I-ID
9055801   I-ID
Clinical   O
History   O
:   O
Alannah   B-NAME
Bird   I-NAME
was   O
referred   O
to   O
Kaiser   B-LOCATION
Permanente   I-LOCATION
Los   I-LOCATION
Angeles   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
by   O
King   B-NAME
due   O
to   O
persistent   O
gastroesophageal   O
reflux   O
disease   O
(   O
GERD   O
)   O
symptoms   O
,   O
including   O
heartburn   O
,   O
regurgitation   O
,   O
and   O
difficulty   O
swallowing   O
.   O

Assessment   O
:   O
Upon   O
examination   O
,   O
Colton   B-NAME
Ross   I-NAME
,   O
a   O
Locksmiths   O
and   O
Safe   O
Repairers   O
,   O
reported   O
that   O
the   O
symptoms   O
significantly   O
interfered   O
with   O
daily   O
activities   O
and   O
sleep   O
quality   O
.   O

However   O
,   O
Kacy   B-NAME
did   O
express   O
increasing   O
discomfort   O
and   O
concern   O
regarding   O
the   O
potential   O
escalation   O
of   O
symptoms   O
.   O

Diagnostic   O
Testing   O
:   O
An   O
endoscopy   O
performed   O
on   O
22/12/2102   B-DATE
revealed   O
mild   O
esophagitis   O
and   O
a   O
small   O
hiatal   O
hernia   O
.   O

Management   O
and   O
Plan   O
:   O
Nijinsky   B-NAME
,   I-NAME
Vaslav   I-NAME
was   O
started   O
on   O
a   O
proton   O
pump   O
inhibitor   O
(   O
PPI   O
)   O
,   O
specifically   O
omeprazole   O
20   O
mg   O
once   O
daily   O
,   O
with   O
instructions   O
to   O
take   O
the   O
medication   O
30   O
minutes   O
before   O
breakfast   O
for   O
a   O
period   O
of   O
8   O
weeks   O
.   O

Follow   O
-   O
Up   O
:   O
Jerimiah   B-NAME
Barajas   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Green   B-NAME
in   O
8   O
weeks   O
to   O
assess   O
symptom   O
response   O
to   O
therapy   O
and   O
discuss   O
the   O
need   O
for   O
long   O
-   O
term   O
management   O
strategies   O
.   O

Northern   B-LOCATION
Ireland   I-LOCATION
Public   I-LOCATION
Service   I-LOCATION
Alliance   I-LOCATION
will   O
also   O
offer   O
a   O
dietary   O
consultation   O
to   O
provide   O
Augustus   B-NAME
Duncan   I-NAME
with   O
personalized   O
advice   O
on   O
managing   O
GERD   O
through   O
diet   O
.   O

Informed   O
Consent   O
:   O
Modesta   B-NAME
Odem   I-NAME
has   O
provided   O
informed   O
consent   O
for   O
all   O
procedures   O
and   O
treatments   O
.   O

Further   O
information   O
and   O
support   O
have   O
been   O
offered   O
through   O
Australian   B-LOCATION
Institute   I-LOCATION
of   I-LOCATION
Marine   I-LOCATION
and   I-LOCATION
Power   I-LOCATION
Engineers   I-LOCATION
's   O
patient   O
education   O
resources   O
,   O
available   O
online   O
and   O
via   O
telephone   O
at   O
825   B-CONTACT
-   I-CONTACT
5310   I-CONTACT
.   O

Prepared   O
by   O
:   O
xv853   B-NAME
Date   O
:   O
32/13   B-DATE

Patient   O
Name   O
:   O
Echeverria   B-NAME
Patient   O
ID   O
:   O
31470   B-ID
Date   O
of   O
Birth   O
:   O
11/27   B-DATE
Age   O
:   O
70   O
Address   O
:   O
San   B-LOCATION
Luis   I-LOCATION
,   O
12241   B-LOCATION
Phone   O
Number   O
:   O
345   B-CONTACT
2478   I-CONTACT
Primary   O
Care   O
Physician   O
:   O

Maddox   B-NAME
Rasmussen   I-NAME
Medical   O
Record   O
Number   O
:   O
2669653   B-ID
Admitting   O
Hospital   O
:   O
Riverside   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Employer   O
:   O
Silver   B-LOCATION
Falls   I-LOCATION
Bank   I-LOCATION
Occupation   O
:   O
Family   O
and   O
General   O
Practitioners   O
Username   O
for   O
Patient   O
Portal   O
:   O
xx530   B-NAME
Chief   O
Complaint   O
:   O
Abril   B-NAME
Warren   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
02/34   B-DATE
with   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
which   O
had   O
onset   O
approximately   O
6   O
hours   O
prior   O
.   O

Additionally   O
,   O
OTTO   B-NAME
,   I-NAME
SUZANNE   I-NAME
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
subjective   O
fever   O
was   O
noted   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Christian   B-NAME
Macias   I-NAME
noticed   O
the   O
onset   O
of   O
symptoms   O
early   O
on   O
32/35   B-DATE
,   O
initially   O
dismissing   O
it   O
as   O
indigestion   O
.   O

Tokala   B-NAME
denies   O
any   O
recent   O
bowel   O
habit   O
changes   O
,   O
urinary   O
symptoms   O
,   O
or   O
similar   O
previous   O
episodes   O
.   O

Williamson   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
mellitus   O
,   O
controlled   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
hypertension   O
managed   O
with   O
lifestyle   O
modifications   O
and   O
a   O
single   O
antihypertensive   O
agent   O
.   O

Management   O
:   O
Surgical   O
consultation   O
was   O
sought   O
immediately   O
,   O
and   O
Stark   B-NAME
was   O
consented   O
for   O
an   O
appendectomy   O
.   O

The   O
procedure   O
was   O
performed   O
without   O
complications   O
on   O
0/19   B-DATE
.   O

Aria   B-NAME
Baxter   I-NAME
's   O
postoperative   O
course   O
was   O
uneventful   O
,   O
and   O
they   O
were   O
discharged   O
on   O
1741   B-DATE
with   O
instructions   O
for   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
to   O
watch   O
for   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Keegan   B-NAME
Weber   I-NAME
scheduled   O
for   O
33/16   B-DATE
.   O
Instructions   O
to   O
Patient   O
:   O
Hobert   B-NAME
Lenahan   I-NAME
was   O
advised   O
to   O
adhere   O
to   O
a   O
soft   O
diet   O
initially   O
,   O
gradually   O
returning   O
to   O
regular   O
diet   O
as   O
tolerated   O
.   O

Roger   B-NAME
York   I-NAME
was   O
also   O
informed   O
about   O
the   O
importance   O
of   O
wound   O
care   O
and   O
advised   O
to   O
monitor   O
the   O
incision   O
site   O
for   O
signs   O
of   O
infection   O
,   O
including   O
redness   O
,   O
swelling   O
,   O
or   O
drainage   O
.   O

Lastly   O
,   O
Quiana   B-NAME
N.   I-NAME
Bullock   I-NAME
was   O
reminded   O
to   O
keep   O
their   O
follow   O
-   O
up   O
appointment   O
with   O
Julien   B-NAME
Christensen   I-NAME
for   O
postoperative   O
assessment   O
and   O
to   O
immediately   O
seek   O
medical   O
attention   O
if   O
they   O
experience   O
fever   O
,   O
vomiting   O
,   O
increased   O
pain   O
,   O
or   O
any   O
concerns   O
with   O
their   O
incision   O
site   O
.   O

Follow   O
-   O
Up   O
:   O
delarosa   B-NAME
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Eduardo   B-NAME
Hamilton   I-NAME
on   O
23/29   B-DATE
at   O
Easton   B-LOCATION
Hospital   I-LOCATION
to   O
assess   O
the   O
recovery   O
process   O
and   O
to   O
discuss   O
any   O
necessary   O
adjustments   O
in   O
their   O
diabetes   O
and   O
hypertension   O
management   O
postoperatively   O
.   O

Patient   O
Report   O
:   O
Subject   O
:   O
Clinical   O
Evaluation   O
for   O
Haylie   B-NAME
Mullins   I-NAME
Date   O
:   O
04/22/1980   B-DATE
Patient   O
Information   O
:   O
-   O
Name   O
:   O
Carina   B-NAME
Schwartz   I-NAME
-   O
Age   O
:   O
24   O
-   O
ID   O
:   O
4   B-ID
-   I-ID
7018278   I-ID
-   O
Medical   O
Record   O
:   O
09034548   B-ID
-   O
Phone   O
:   O
80535   B-CONTACT
-   O
Location   O
:   O
Des   B-LOCATION
Moines   I-LOCATION
,   O
30866   B-LOCATION

Referring   O
Doctor   O
:   O
Gianna   B-NAME
Floyd   I-NAME
Hospital   O
:   O
Select   B-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Ann   I-LOCATION
Arbor   I-LOCATION
Summary   O
:   O
Devyn   B-NAME
Henson   I-NAME
,   O
a   O
Medical   O
and   O
Clinical   O
Laboratory   O
Technicians   O
from   O
NORWICH   B-LOCATION
,   O
presented   O
to   O
Concord   B-LOCATION
Hospital   I-LOCATION
on   O
13/22/98   B-DATE
with   O
complaints   O
of   O
persistent   O
cough   O
,   O
dyspnea   O
,   O
and   O
intermittent   O
fever   O
over   O
the   O
past   O
two   O
weeks   O
.   O

The   O
initial   O
evaluation   O
by   O
Hayden   B-NAME
,   I-NAME
Teresa   I-NAME
Nielson   I-NAME
included   O
a   O
detailed   O
physical   O
examination   O
and   O
history   O
taking   O
.   O

Diagnosis   O
:   O
Based   O
on   O
the   O
clinical   O
presentation   O
and   O
diagnostic   O
findings   O
,   O
Zayden   B-NAME
Hampton   I-NAME
was   O
diagnosed   O
with   O
community   O
-   O
acquired   O
pneumonia   O
(   O
CAP   O
)   O
.   O

3   O
.   O
Repeat   O
chest   O
X   O
-   O
ray   O
scheduled   O
for   O
November   B-DATE
04   I-DATE
,   I-DATE
2232   I-DATE
to   O
assess   O
the   O
progress   O
.   O

4   O
.   O
Aditya   B-NAME
Gilbert   I-NAME
was   O
advised   O
to   O
maintain   O
hydration   O
and   O
rest   O
,   O
and   O
a   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Hunt   B-NAME
on   O
3/20   B-DATE
.   O

If   O
symptoms   O
worsen   O
or   O
new   O
symptoms   O
develop   O
,   O
Alexie   B-NAME
,   I-NAME
Sherman   I-NAME
was   O
advised   O
to   O
contact   O
Eastern   B-LOCATION
Idaho   I-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
's   O
emergency   O
department   O
or   O
call   O
(   B-CONTACT
757   I-CONTACT
)   I-CONTACT
698   I-CONTACT
-   I-CONTACT
8564   I-CONTACT
.   O

-   O
Smoking   O
cessation   O
was   O
strongly   O
advised   O
,   O
given   O
Ayla   B-NAME
Rich   I-NAME
's   O
history   O
of   O
tobacco   O
use   O
.   O

-   O
Cedric   B-NAME
Olson   I-NAME
was   O
educated   O
on   O
the   O
importance   O
of   O
completing   O
the   O
full   O
course   O
of   O
antibiotics   O
to   O
prevent   O
antibiotic   O
resistance   O
and   O
recurrence   O
of   O
infection   O
.   O

For   O
any   O
further   O
information   O
or   O
clarification   O
,   O
please   O
feel   O
free   O
to   O
contact   O
Simpson   B-NAME
at   O
West   B-LOCATION
Penn   I-LOCATION
Hospital   I-LOCATION
or   O
via   O
969   B-CONTACT
2052   I-CONTACT
.   O

Prepared   O
by   O
:   O
LU137   B-NAME
02/3   B-DATE

Patient   O
Report   O
:   O
036   B-ID
-   I-ID
38   I-ID
-   I-ID
09   I-ID
Name   O
:   O
Angelika   B-NAME
Age   O
:   O
2   O
month   O
Address   O
:   O
Childress   B-LOCATION
,   I-LOCATION
Childress   I-LOCATION
Main   I-LOCATION
Street   I-LOCATION
Program   I-LOCATION
,   O
75118   B-LOCATION
Phone   O
Number   O
:   O
49605   B-CONTACT
Employer   O
:   O
Town   B-LOCATION
of   I-LOCATION
Smyrna   I-LOCATION
Electric   I-LOCATION
Department   I-LOCATION
Occupation   O
:   O

Communications   O
engineer   O
Date   O
of   O
Initial   O
Consultation   O
:   O
19/13   B-DATE
Follow   O
-   O
up   O
Visit   O
:   O
22/02/2050   B-DATE

Lhari   B-NAME
Hospital   O
:   O
Rhode   B-LOCATION
Island   I-LOCATION
Hospital   I-LOCATION
Medical   O
Record   O
ID   O
:   O
YY:501094:751977   B-ID
Summary   O
:   O

Parks   B-NAME
presented   O
to   O
the   O
emergency   O
department   O
of   O
John   B-LOCATION
D.   I-LOCATION
Archbold   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
22/24/43   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Upon   O
examination   O
,   O
OWEN   B-NAME
R.   I-NAME
APONTE   I-NAME
exhibited   O
signs   O
of   O
rebound   O
tenderness   O
and   O
muscular   O
rigidity   O
in   O
the   O
lower   O
abdominal   O
region   O
,   O
suggestive   O
of   O
peritonitis   O
.   O

Treatment   O
plan   O
initiated   O
on   O
03/23   B-DATE
included   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
and   O
administration   O
of   O
intravenous   O
antibiotics   O
to   O
manage   O
infection   O
.   O

Makenna   B-NAME
Davila   I-NAME
's   O
pre   O
-   O
operative   O
care   O
involved   O
nil   O
per   O
os   O
(   O
NPO   O
)   O
status   O
and   O
fluid   O
resuscitation   O
to   O
prevent   O
dehydration   O
.   O

The   O
appendectomy   O
was   O
successfully   O
performed   O
on   O
13/22/66   B-DATE
without   O
complications   O
.   O

Mitch   B-NAME
demonstrated   O
considerable   O
improvement   O
and   O
was   O
discharged   O
on   O
06/72   B-DATE
with   O
instructions   O
for   O
home   O
care   O
and   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Goodman   B-NAME
at   O
Danville   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
2/2074   B-DATE
.   O

For   O
queries   O
or   O
emergencies   O
,   O
Vonda   B-NAME
T.   I-NAME
Ulloa   I-NAME
was   O
provided   O
with   O
the   O
contact   O
631   B-CONTACT
206   I-CONTACT
-   I-CONTACT
7976   I-CONTACT
of   O
the   O
surgical   O
unit   O
at   O
James   B-LOCATION
B.   I-LOCATION
Haggin   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
.   O

This   O
report   O
was   O
prepared   O
by   O
xv338   B-NAME
,   O
and   O
is   O
confidential   O
and   O
intended   O
for   O
the   O
use   O
of   O
camp   B-NAME
and   O
authorized   O
healthcare   O
providers   O
only   O
.   O

Patient   O
Report   O
Patient   O
Information   O
:   O
Name   O
:   O
Dawkins   B-NAME
,   I-NAME
Richard   I-NAME
Age   O
:   O
28   O
Phone   O
:   O
(   B-CONTACT
912   I-CONTACT
)   I-CONTACT
556   I-CONTACT
1790   I-CONTACT
Address   O
:   O
Bridgeport   B-LOCATION
,   O
72539   B-LOCATION
Occupation   O
:   O
Welder   O
-   O
Fitters   O
Medical   O
Record   O
Number   O
:   O
4993597   B-ID
ID   O
Number   O
:   O
RD:191082:621506   B-ID
Date   O
of   O
Initial   O
Consultation   O
:   O
2302   B-DATE
-   I-DATE
12   I-DATE
-   I-DATE
22   I-DATE
Attending   O
Physician   O
:   O

Li   B-NAME
Hospital   O
:   O
Memorial   B-LOCATION
Regional   I-LOCATION
Hospital   I-LOCATION
Chief   O
Complaint   O
:   O
Samuel   B-NAME
Fowler   I-NAME
presents   O
with   O
a   O
detailed   O
history   O
of   O
persistent   O
,   O
dull   O
abdominal   O
pain   O
,   O
located   O
primarily   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
exacerbating   O
over   O
the   O
last   O
9/23/61   B-DATE
.   O

Accompanying   O
symptoms   O
include   O
nausea   O
without   O
emesis   O
,   O
decreased   O
appetite   O
,   O
and   O
a   O
marked   O
change   O
in   O
bowel   O
movements   O
,   O
predominantly   O
constipation   O
,   O
for   O
the   O
past   O
3/30   B-DATE
.   O

Medical   O
History   O
:   O
Keane   B-NAME
has   O
a   O
documented   O
history   O
of   O
Type   O
2   O
Diabetes   O
Mellitus   O
,   O
managed   O
with   O
oral   O
hypoglycemics   O
,   O
and   O
Hypertension   O
,   O
controlled   O
with   O
ACE   O
inhibitors   O
.   O

Surgical   O
history   O
includes   O
an   O
appendectomy   O
performed   O
at   O
Saint   B-LOCATION
Michael   I-LOCATION
's   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
on   O
7/01/2214   B-DATE
.   O

Family   O
history   O
reveals   O
that   O
Colon   B-NAME
's   O
father   O
was   O
diagnosed   O
with   O
colorectal   O
cancer   O
at   O
the   O
age   O
of   O
36   O
.   O

Examination   O
Findings   O
:   O
Upon   O
physical   O
examination   O
,   O
Shyann   B-NAME
Wells   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Diagnostic   O
Tests   O
:   O
Abdominal   O
ultrasound   O
performed   O
on   O
12/04   B-DATE
at   O
Vibra   B-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Southeastern   I-LOCATION
Michigan   I-LOCATION
(   I-LOCATION
formerly   I-LOCATION
Kindred   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
Detroit   I-LOCATION
)   I-LOCATION
showed   O
no   O
gallstones   O
or   O
obvious   O
abnormalities   O
of   O
the   O
liver   O
,   O
kidneys   O
,   O
and   O
pancreas   O
.   O

The   O
attending   O
physician   O
,   O
Marissa   B-NAME
Hickman   I-NAME
,   O
recommended   O
initiating   O
a   O
course   O
of   O
oral   O
antibiotics   O
,   O
specifically   O
a   O
combination   O
of   O
Metronidazole   O
and   O
Ciprofloxacin   O
for   O
10   O
days   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
for   O
00/35   B-DATE
to   O
reassess   O
symptoms   O
and   O
discuss   O
further   O
diagnostic   O
testing   O
if   O
required   O
.   O
Instructions   O
for   O
Patient   O
:   O
Sydney   B-NAME
Owens   I-NAME
is   O
advised   O
to   O
closely   O
monitor   O
symptoms   O
,   O
especially   O
signs   O
of   O
worsening   O
pain   O
,   O
fever   O
,   O
or   O
vomiting   O
.   O

In   O
such   O
cases   O
,   O
immediate   O
contact   O
with   O
NEK   B-LOCATION
Center   I-LOCATION
for   I-LOCATION
Health   I-LOCATION
and   I-LOCATION
Wellness   I-LOCATION
–   I-LOCATION
Horton   I-LOCATION
via   O
173   B-CONTACT
-   I-CONTACT
797   I-CONTACT
9218   I-CONTACT
is   O
recommended   O
.   O

Edward   B-NAME
Bunnigus   I-NAME
is   O
also   O
encouraged   O
to   O
maintain   O
the   O
prescribed   O
dietary   O
adjustments   O
and   O
medication   O
regimen   O
without   O
interruption   O
.   O

In   O
case   O
of   O
an   O
emergency   O
,   O
Mikayla   B-NAME
Stanton   I-NAME
or   O
their   O
representative   O
should   O
contact   O
Alberto   B-NAME
Frye   I-NAME
at   O
951   B-CONTACT
-   I-CONTACT
9707   I-CONTACT
or   O
proceed   O
to   O
the   O
nearest   O
emergency   O
department   O
of   O
Pascack   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

For   O
any   O
queries   O
regarding   O
this   O
report   O
,   O
please   O
contact   O
Hallmark   B-LOCATION
Hospital   I-LOCATION
at   O
95164   B-CONTACT
.   O

The   O
patient   O
,   O
Margo   B-NAME
Green   I-NAME
,   O
a   O
99   O
year   O
-   O
old   O
Physician   O
Assistants   O
from   O
Point   B-LOCATION
Arena   I-LOCATION
,   O
presented   O
to   O
Via   B-LOCATION
Christi   I-LOCATION
St.   I-LOCATION
Francis   I-LOCATION
–   I-LOCATION
Wichita   I-LOCATION
on   O
32/10   B-DATE
complaining   O
of   O
acute   O
abdominal   O
pain   O
,   O
primarily   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
.   O

The   O
pain   O
was   O
described   O
as   O
crampy   O
in   O
nature   O
,   O
beginning   O
approximately   O
2/23   B-DATE
and   O
gradually   O
worsening   O
.   O

Jan   B-NAME
Freeman   I-NAME
also   O
reported   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
and   O
a   O
slight   O
fever   O
was   O
noted   O
in   O
the   O
evening   O
of   O
09/25/40   B-DATE
.   O

Upon   O
examination   O
,   O
the   O
attending   O
physician   O
,   O
Lane   B-NAME
,   O
noted   O
that   O
Essence   B-NAME
Waller   I-NAME
's   O
temperature   O
was   O
slightly   O
elevated   O
at   O
38.2   O
°   O
C   O
.   O

Jon   B-NAME
Osterman   I-NAME
then   O
ordered   O
an   O
abdominal   O
ultrasound   O
to   O
confirm   O
the   O
diagnosis   O
.   O

The   O
ultrasound   O
,   O
performed   O
on   O
0/1/2270   B-DATE
,   O
showed   O
a   O
swollen   O
appendix   O
measuring   O
11   O
mm   O
in   O
diameter   O
,   O
with   O
evidence   O
of   O
fluid   O
collection   O
,   O
indicative   O
of   O
acute   O
appendicitis   O
.   O

Benjamin   B-NAME
McKenna   I-NAME
was   O
informed   O
of   O
the   O
findings   O
,   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
was   O
explained   O
as   O
the   O
recommended   O
course   O
of   O
action   O
to   O
prevent   O
rupture   O
.   O

Surgery   O
was   O
scheduled   O
for   O
13/23   B-DATE
,   O
and   O
Keondre   B-NAME
Viera   I-NAME
was   O
admitted   O
under   O
982   B-ID
-   I-ID
52   I-ID
-   I-ID
57   I-ID
-   I-ID
6   I-ID
number   O
RQ:18317:451215   B-ID
.   O

The   O
pre   O
-   O
operative   O
phase   O
was   O
uneventful   O
,   O
and   O
Stokes   B-NAME
was   O
taken   O
to   O
the   O
operating   O
room   O
at   O
Lane   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Dighton   I-LOCATION
.   O

The   O
appendectomy   O
was   O
successfully   O
performed   O
by   O
Huynh   B-NAME
without   O
any   O
complications   O
.   O

Trevin   B-NAME
Hamilton   I-NAME
was   O
moved   O
to   O
the   O
recovery   O
unit   O
and   O
monitored   O
for   O
signs   O
of   O
infection   O
or   O
any   O
other   O
post   O
-   O
operative   O
complications   O
.   O

10/91   B-DATE
post   O
-   O
surgery   O
,   O
Chapman   B-NAME
,   I-NAME
Colin   I-NAME
reported   O
feeling   O
significantly   O
better   O
,   O
with   O
a   O
resolution   O
of   O
the   O
abdominal   O
pain   O
and   O
a   O
decrease   O
in   O
the   O
fever   O
.   O

Harmony   B-NAME
Brock   I-NAME
was   O
discharged   O
on   O
03/03   B-DATE
,   O
with   O
instructions   O
to   O
call   O
(   B-CONTACT
416   I-CONTACT
)   I-CONTACT
927   I-CONTACT
-   I-CONTACT
7304   I-CONTACT
if   O
experiencing   O
any   O
signs   O
of   O
infection   O
,   O
uncontrolled   O
pain   O
,   O
or   O
if   O
there   O
were   O
any   O
concerns   O
during   O
the   O
recovery   O
period   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Barnes   B-NAME
for   O
0/10/2122   B-DATE
at   O
Geneva   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
.   O

The   O
patient   O
,   O
Dalton   B-NAME
Edwards   I-NAME
,   O
a   O
13   O
-   O
year   O
-   O
old   O
Design   O
Printing   O
Machine   O
Setters   O
and   O
Set   O
-   O
Up   O
Operators   O
residing   O
in   O
Llano   B-LOCATION
,   O
27059   B-LOCATION
,   O
was   O
brought   O
to   O
the   O
emergency   O
department   O
of   O
Jackson   B-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
on   O
37/22/2252   B-DATE
after   O
experiencing   O
acute   O
chest   O
pain   O
,   O
dyspnea   O
,   O
and   O
palpitations   O
.   O

Harper   B-NAME
Parker   I-NAME
's   O
medical   O
history   O
includes   O
controlled   O
hypertension   O
and   O
a   O
previous   O
myocardial   O
infarction   O
two   O
years   O
ago   O
.   O

Upon   O
arrival   O
,   O
Leticia   B-NAME
Wall   I-NAME
presented   O
in   O
moderate   O
distress   O
,   O
with   O
vital   O
signs   O
indicating   O
tachycardia   O
and   O
elevated   O
blood   O
pressure   O
.   O

Dolly   B-NAME
Murphy   I-NAME
was   O
immediately   O
given   O
aspirin   O
,   O
nitroglycerin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
as   O
per   O
acute   O
coronary   O
syndrome   O
protocol   O
.   O

The   O
attending   O
cardiologist   O
,   O
Hoffman   B-NAME
,   O
recommended   O
an   O
urgent   O
cardiac   O
catheterization   O
,   O
which   O
revealed   O
a   O
90   O
%   O
stenosis   O
in   O
the   O
left   O
anterior   O
descending   O
artery   O
.   O

Rachel   B-NAME
Hughes   I-NAME
was   O
admitted   O
to   O
Magnolia   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
for   O
further   O
management   O
and   O
observation   O
.   O

Throughout   O
the   O
hospital   O
stay   O
,   O
Jair   B-NAME
Bentley   I-NAME
's   O
condition   O
improved   O
,   O
and   O
they   O
were   O
discharged   O
on   O
24/23   B-DATE
with   O
instructions   O
for   O
outpatient   O
follow   O
-   O
up   O
with   O
Chance   B-NAME
Avery   I-NAME
in   O
1   O
week   O
.   O

Ligia   B-NAME
was   O
also   O
referred   O
to   O
a   O
cardiac   O
rehabilitation   O
program   O
located   O
in   O
Pigeon   B-LOCATION
Creek   I-LOCATION
.   O

The   O
patient   O
’s   O
259   B-ID
-   I-ID
18   I-ID
-   I-ID
93   I-ID
-   I-ID
9   I-ID
indicates   O
a   O
discussion   O
about   O
lifestyle   O
modifications   O
including   O
dietary   O
changes   O
,   O
regular   O
exercise   O
,   O
cessation   O
of   O
any   O
tobacco   O
use   O
,   O
and   O
stress   O
management   O
techniques   O
to   O
mitigate   O
the   O
risk   O
of   O
future   O
cardiac   O
events   O
.   O

Claire   B-NAME
Fraser   I-NAME
's   O
contact   O
number   O
,   O
273   B-CONTACT
8774   I-CONTACT
,   O
was   O
updated   O
in   O
the   O
hospital   O
records   O
for   O
future   O
correspondence   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
for   O
10/31   B-DATE
with   O
Olsen   B-NAME
to   O
evaluate   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
to   O
discuss   O
the   O
results   O
of   O
the   O
rehabilitation   O
program   O
.   O

For   O
any   O
emergent   O
issues   O
,   O
Phung   B-NAME
Kamaka   I-NAME
was   O
advised   O
to   O
contact   O
Haven   B-LOCATION
Behavioral   I-LOCATION
Hospital   I-LOCATION
of   I-LOCATION
Eastern   I-LOCATION
Pennsylvania   I-LOCATION
's   O
24   O
-   O
hour   O
hotline   O
at   O
163   B-CONTACT
-   I-CONTACT
8229   I-CONTACT
or   O
to   O
return   O
to   O
the   O
emergency   O
department   O
immediately   O
.   O

This   O
complex   O
case   O
of   O
Meghann   B-NAME
demonstrates   O
the   O
critical   O
need   O
for   O
rapid   O
evaluation   O
and   O
intervention   O
in   O
patients   O
presenting   O
with   O
symptoms   O
of   O
acute   O
coronary   O
syndrome   O
.   O

The   O
collaborative   O
effort   O
among   O
the   O
emergency   O
department   O
,   O
cardiology   O
team   O
,   O
and   O
rehabilitation   O
services   O
at   O
Coosa   B-LOCATION
Valley   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
contributed   O
significantly   O
to   O
Francona   B-NAME
,   I-NAME
Terry   I-NAME
's   O
successful   O
outcome   O
.   O

Patient   O
Report   O
:   O
Patient   O
Name   O
:   O
Dalton   B-NAME
Roberts   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
5725363   I-ID
Medical   O
Record   O
Number   O
:   O
2224911   B-ID
Date   O
of   O
Birth   O
:   O
Sunday   B-DATE
,   I-DATE
June   I-DATE
Age   O
:   O
23   O
Phone   O
Number   O
:   O
(   B-CONTACT
478   I-CONTACT
)   I-CONTACT
411   I-CONTACT
2931   I-CONTACT
Address   O
:   O
New   B-LOCATION
Kingman   I-LOCATION
,   O
82593   B-LOCATION
Profession   O
:   O
Physiotherapist   O
Primary   O
Physician   O
:   O

Elsa   B-NAME
Greer   I-NAME
Hospital   O
:   O
Northern   B-LOCATION
Dutchess   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Visit   O
:   O
21/24   B-DATE
Chief   O
Complaint   O
:   O
William   B-NAME
Sloan   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
at   O
Chestnut   B-LOCATION
Hill   I-LOCATION
Hospital   I-LOCATION
on   O
Dec   B-DATE
12   I-DATE
,   I-DATE
2228   I-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
,   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

Associated   O
symptoms   O
included   O
nausea   O
without   O
vomiting   O
,   O
fever   O
noticed   O
earlier   O
on   O
Sunday   B-DATE
,   O
and   O
anorexia   O
.   O

The   O
patient   O
noted   O
the   O
onset   O
of   O
generalized   O
dull   O
abdominal   O
pain   O
approximately   O
7/00   B-DATE
prior   O
to   O
presentation   O
,   O
which   O
then   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
by   O
the   O
evening   O
of   O
34/42   B-DATE
.   O

Denies   O
any   O
recent   O
travel   O
outside   O
Fort   B-LOCATION
Washakie   I-LOCATION
,   O
consumption   O
of   O
unusual   O
foods   O
,   O
or   O
contact   O
with   O
sick   O
individuals   O
.   O

The   O
patient   O
's   O
last   O
meal   O
was   O
10/22/85   B-DATE
,   O
after   O
which   O
the   O
patient   O
could   O
not   O
tolerate   O
any   O
oral   O
intake   O
due   O
to   O
pain   O
and   O
nausea   O
.   O

Past   O
Medical   O
History   O
:   O
Bernard   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
,   O
well   O
-   O
managed   O
with   O
medication   O
prescribed   O
by   O
Jill   B-NAME
Leiter   I-NAME
.   O

Abdominal   O
Ultrasound   O
performed   O
on   O
09/00   B-DATE
showed   O
signs   O
suggestive   O
of   O
acute   O
appendicitis   O
including   O
an   O
enlarged   O
appendix   O
with   O
wall   O
thickening   O
.   O
Impression   O
and   O
Plan   O
:   O
Based   O
on   O
the   O
history   O
,   O
physical   O
examination   O
,   O
and   O
supportive   O
imaging   O
findings   O
,   O
Abdiel   B-NAME
Massey   I-NAME
was   O
diagnosed   O
with   O
acute   O
appendicitis   O
.   O

After   O
discussing   O
with   O
Reyes   B-NAME
,   O
surgical   O
intervention   O
was   O
recommended   O
.   O

Castro   B-NAME
was   O
informed   O
about   O
the   O
diagnosis   O
and   O
the   O
need   O
for   O
an   O
appendectomy   O
.   O

Informed   O
consent   O
was   O
obtained   O
on   O
10/30/1862   B-DATE
,   O
and   O
Braden   B-NAME
Gates   I-NAME
was   O
scheduled   O
for   O
surgery   O
in   O
Temple   B-LOCATION
University   I-LOCATION
Hospital   I-LOCATION
.   O

Post   O
-   O
operative   O
recovery   O
was   O
uneventful   O
,   O
and   O
Gizhaum   B-NAME
Haddaway   I-NAME
was   O
discharged   O
on   O
Thursday   B-DATE
,   I-DATE
January   I-DATE
with   O
instructions   O
for   O
post   O
-   O
operative   O
care   O
and   O
follow   O
-   O
up   O
appointment   O
with   O
Galloway   B-NAME
in   O
Bell   B-LOCATION
.   O

Patient   O
Education   O
:   O
Steven   B-NAME
Dorsey   I-NAME
was   O
educated   O
on   O
signs   O
of   O
infection   O
,   O
incision   O
care   O
,   O
and   O
activity   O
restrictions   O
post   O
-   O
surgery   O
.   O

Follow   O
-   O
up   O
:   O
Kanesha   B-NAME
Greenlee   I-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
with   O
Julianna   B-NAME
Knapp   I-NAME
at   O
Osceola   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
on   O
2/32/64   B-DATE
to   O
assess   O
the   O
post   O
-   O
operative   O
recovery   O
.   O

Prepared   O
by   O
:   O
DK5910   B-NAME
Tuesday   B-DATE
,   I-DATE
October   I-DATE

Patient   O
Name   O
:   O
Carson   B-NAME
,   I-NAME
Rachel   I-NAME
Medical   O
Record   O
Number   O
:   O
855   B-ID
-   I-ID
75   I-ID
-   I-ID
99   I-ID
-   I-ID
6   I-ID
Date   O
of   O
Birth   O
:   O
30/12   B-DATE
Age   O
:   O
36   O
Address   O
:   O
Lakewood   B-LOCATION
,   O
98386   B-LOCATION
Physician   O
:   O

Haylie   B-NAME
Roach   I-NAME
Hospital   O
:   O

Cottonwood   B-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
31/22   B-DATE
Date   O
of   O
Discharge   O
:   O
09/26   B-DATE
Phone   O
:   O
116   B-CONTACT
144   I-CONTACT
-   I-CONTACT
1569   I-CONTACT
Occupation   O
:   O
Furnace   O
,   O
Kiln   O
,   O
Oven   O
,   O
Drier   O
,   O
and   O
Kettle   O
Operators   O
and   O
Tenders   O
ID   O
:   O
8   B-ID
-   I-ID
4578892   I-ID
Medical   O
History   O
:   O
Deacon   B-NAME
Obrien   I-NAME
was   O
admitted   O
to   O
Virginia   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
on   O
32/34/2291   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
accompanied   O
by   O
a   O
noticeable   O
fever   O
and   O
nausea   O
.   O

According   O
to   O
Jordan   B-NAME
,   O
the   O
onset   O
of   O
symptoms   O
occurred   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
.   O

Henry   B-NAME
Pym   I-NAME
has   O
a   O
documented   O
allergy   O
to   O
penicillin   O
.   O

Examination   O
and   O
Diagnosis   O
:   O
Upon   O
examination   O
,   O
Margaret   B-NAME
Alvarez   I-NAME
exhibited   O
rebound   O
tenderness   O
in   O
the   O
McBurney   O
's   O
point   O
area   O
,   O
suggestive   O
of   O
appendicitis   O
.   O

Based   O
on   O
these   O
findings   O
,   O
a   O
diagnosis   O
of   O
acute   O
appendicitis   O
was   O
made   O
by   O
Moore   B-NAME
.   O

Treatment   O
:   O
Under   O
the   O
care   O
of   O
Jerry   B-NAME
Malone   I-NAME
,   O
Harper   B-NAME
Howe   I-NAME
underwent   O
a   O
laparoscopic   O
appendectomy   O
on   O
July   B-DATE
4   I-DATE
at   O
Johnson   B-LOCATION
Regional   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
.   O

Potts   B-NAME
responded   O
well   O
to   O
the   O
treatment   O
and   O
showed   O
significant   O
improvement   O
in   O
symptoms   O
post   O
-   O
surgery   O
.   O

Follow   O
-   O
up   O
and   O
Recommendations   O
:   O
Yan   B-NAME
D.   I-NAME
Ball   I-NAME
was   O
discharged   O
on   O
December   B-DATE
1   I-DATE
with   O
instructions   O
for   O
at   O
-   O
home   O
care   O
,   O
including   O
antibiotic   O
therapy   O
and   O
pain   O
management   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
was   O
scheduled   O
with   O
Grant   B-NAME
Linowitz   I-NAME
for   O
0/26/2384   B-DATE
at   O
Mercantile   B-LOCATION
Stars   I-LOCATION
to   O
assess   O
recovery   O
progress   O
.   O

Conclusion   O
:   O
The   O
prompt   O
diagnosis   O
and   O
surgical   O
intervention   O
led   O
to   O
a   O
positive   O
outcome   O
for   O
Bailey   B-NAME
Hurley   I-NAME
.   O

Matilda   B-NAME
Pace   I-NAME
is   O
expected   O
to   O
make   O
a   O
full   O
recovery   O
with   O
adherence   O
to   O
the   O
post   O
-   O
operative   O
care   O
plan   O
and   O
follow   O
-   O
up   O
evaluations   O
.   O

Note   O
:   O
Noah   B-NAME
E.   I-NAME
Galvan   I-NAME
's   O
contact   O
information   O
has   O
been   O
updated   O
in   O
the   O
system   O
.   O

For   O
any   O
queries   O
or   O
assistance   O
,   O
please   O
reach   O
out   O
to   O
188   B-CONTACT
679   I-CONTACT
3281   I-CONTACT
.   O

Patient   O
Report   O
for   O
Yurem   B-NAME
Booker   I-NAME
General   O
Information   O
:   O
Age   O
:   O
78   O
Date   O
of   O
Admission   O
:   O
34/25   B-DATE
ID   O
:   O
BT:72325:723358   B-ID
Medical   O
Record   O
Number   O
:   O
916   B-ID
-   I-ID
90   I-ID
-   I-ID
48   I-ID
-   I-ID
8   I-ID
Phone   O
Number   O
:   O
172   B-CONTACT
-   I-CONTACT
6244   I-CONTACT
Location   O
:   O
El   B-LOCATION
Paso   I-LOCATION
,   I-LOCATION
TX   I-LOCATION
79930   I-LOCATION
,   O
81128   B-LOCATION

Dixie   B-NAME
Avila   I-NAME
Organization   O
:   O

Vietnamese   B-LOCATION
American   I-LOCATION
Armed   I-LOCATION
Forces   I-LOCATION
Association   I-LOCATION
Hospital   O
:   O
Southside   B-LOCATION
Hospital   I-LOCATION
Profession   O
:   O
Music   O
therapist   O
Chief   O
Complain   O
:   O
Lauren   B-NAME
French   I-NAME
presented   O
to   O
the   O
emergency   O
department   O
on   O
01/66   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
abrupt   O
onset   O
chest   O
pain   O
radiating   O
to   O
the   O
left   O
arm   O
,   O
shortness   O
of   O
breath   O
,   O
and   O
episodes   O
of   O
dizziness   O
starting   O
approximately   O
2   O
hours   O
prior   O
to   O
admission   O
.   O

Medical   O
History   O
:   O
Null   B-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
type   O
2   O
diabetes   O
mellitus   O
.   O

On   O
examination   O
,   O
Rodgers   B-NAME
's   O
vital   O
signs   O
revealed   O
a   O
blood   O
pressure   O
of   O
160/90   O
mmHg   O
,   O
a   O
heart   O
rate   O
of   O
102   O
beats   O
per   O
minute   O
,   O
and   O
respiratory   O
rate   O
of   O
22   O
breaths   O
per   O
minute   O
.   O

An   O
ECG   O
performed   O
on   O
10/64   B-DATE
indicated   O
ST   O
-   O
segment   O
elevation   O
in   O
leads   O
II   O
,   O
III   O
,   O
and   O
aVF   O
,   O
suggestive   O
of   O
an   O
inferior   O
wall   O
myocardial   O
infarction   O
.   O

Collier   B-NAME
was   O
immediately   O
started   O
on   O
IV   O
nitroglycerin   O
,   O
aspirin   O
,   O
and   O
a   O
beta   O
-   O
blocker   O
upon   O
diagnosis   O
.   O

The   O
procedure   O
,   O
performed   O
on   O
32/1   B-DATE
,   O
revealed   O
a   O
90   O
%   O
occlusion   O
of   O
the   O
right   O
coronary   O
artery   O
,   O
which   O
was   O
successfully   O
treated   O
with   O
the   O
placement   O
of   O
a   O
drug   O
-   O
eluting   O
stent   O
.   O

Follow   O
-   O
Up   O
and   O
Recommendations   O
:   O
Post   O
-   O
procedure   O
,   O
RONNIE   B-NAME
PALMER   I-NAME
has   O
been   O
scheduled   O
for   O
discharge   O
on   O
63   B-DATE
's   I-DATE
with   O
a   O
prescription   O
for   O
a   O
dual   O
antiplatelet   O
therapy   O
(   O
aspirin   O
and   O
clopidogrel   O
)   O
,   O
statin   O
therapy   O
,   O
and   O
continuation   O
of   O
beta   O
-   O
blockers   O
.   O

A   O
follow   O
-   O
up   O
appointment   O
has   O
been   O
made   O
with   O
Mohamed   B-NAME
Morton   I-NAME
in   O
two   O
weeks   O
at   O
Kaiser   B-LOCATION
Foundation   I-LOCATION
Hospital   I-LOCATION
-   I-LOCATION
West   I-LOCATION
Los   I-LOCATION
Angeles   I-LOCATION
to   O
assess   O
recovery   O
progress   O
.   O

Conclusion   O
:   O
Sid   B-NAME
Leonidas   I-NAME
's   O
acute   O
myocardial   O
infarction   O
was   O
promptly   O
diagnosed   O
and   O
treated   O
with   O
interventional   O
cardiology   O
procedures   O
,   O
significantly   O
reducing   O
the   O
risk   O
of   O
further   O
cardiac   O
complications   O
.   O

The   O
patient   O
,   O
Viviana   B-NAME
Oconnell   I-NAME
,   O
a   O
88   O
-   O
year   O
-   O
old   O
Protective   O
Service   O
Workers   O
,   O
All   O
Other   O
residing   O
in   O
Fairton   B-LOCATION
,   O
88452   B-LOCATION
,   O
presented   O
to   O
Winter   B-LOCATION
Haven   I-LOCATION
Hospital   I-LOCATION
on   O
11/33/2371   B-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
.   O

According   O
to   O
Cain   B-NAME
,   I-NAME
Peter   I-NAME
's   O
self   O
-   O
report   O
,   O
the   O
pain   O
began   O
approximately   O
24   O
hours   O
prior   O
to   O
admission   O
and   O
was   O
described   O
as   O
a   O
sharp   O
,   O
persistent   O
ache   O
that   O
intensified   O
during   O
physical   O
activity   O
.   O

UMANA   B-NAME
,   I-NAME
BRUCE   I-NAME
also   O
noted   O
experiencing   O
nausea   O
without   O
vomiting   O
,   O
a   O
decrease   O
in   O
appetite   O
,   O
and   O
a   O
low   O
-   O
grade   O
fever   O
since   O
the   O
onset   O
of   O
pain   O
.   O

Roger   B-NAME
S   I-NAME
Conrad   I-NAME
's   O
vital   O
signs   O
on   O
admission   O
were   O
as   O
follows   O
:   O
temperature   O
of   O
37.8   O
°   O
C   O
,   O
heart   O
rate   O
of   O
98   O
beats   O
per   O
minute   O
,   O
blood   O
pressure   O
of   O
130/85   O
mmHg   O
,   O
and   O
respiratory   O
rate   O
of   O
20   O
breaths   O
per   O
minute   O
.   O

Further   O
diagnostic   O
tests   O
,   O
including   O
a   O
complete   O
blood   O
count   O
(   O
CBC   O
)   O
and   O
an   O
abdominal   O
ultrasound   O
,   O
were   O
ordered   O
by   O
Arabella   B-NAME
Rowe   I-NAME
.   O

An   O
appendectomy   O
was   O
performed   O
on   O
10   B-DATE
,   O
with   O
Song   B-NAME
Lepak   I-NAME
demonstrating   O
good   O
post   O
-   O
operative   O
recovery   O
.   O

Valerius   B-NAME
Valance   I-NAME
was   O
advised   O
on   O
wound   O
care   O
and   O
was   O
prescribed   O
a   O
course   O
of   O
oral   O
antibiotics   O
upon   O
discharge   O
with   O
follow   O
-   O
up   O
appointments   O
scheduled   O
with   O
Graves   B-NAME
at   O
Meadowbrook   B-LOCATION
Rehabilitation   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Gardner   I-LOCATION
.   O

Documentation   O
regarding   O
the   O
patient   O
's   O
medical   O
care   O
,   O
including   O
the   O
diagnosis   O
,   O
surgical   O
intervention   O
,   O
and   O
post   O
-   O
operative   O
instructions   O
,   O
were   O
recorded   O
under   O
913   B-ID
-   I-ID
68   I-ID
-   I-ID
55   I-ID
number   O
VC   B-ID
:   I-ID
NE:5368   I-ID
.   O

Matilda   B-NAME
Holder   I-NAME
consented   O
to   O
all   O
procedures   O
and   O
treatments   O
as   O
evidenced   O
by   O
the   O
signed   O
consent   O
forms   O
included   O
in   O
the   O
medical   O
records   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
Yogami   B-NAME
's   O
condition   O
,   O
Anastasia   B-NAME
Gomez   I-NAME
or   O
the   O
medical   O
staff   O
at   O
Chester   B-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
can   O
be   O
contacted   O
at   O
545   B-CONTACT
798   I-CONTACT
7064   I-CONTACT
.   O

Please   O
note   O
,   O
Long   B-NAME
's   O
next   O
of   O
kin   O
,   O
listed   O
as   O
nqz503   B-NAME
,   O
has   O
been   O
notified   O
of   O
all   O
developments   O
and   O
provided   O
with   O
the   O
necessary   O
contact   O
information   O
should   O
they   O
need   O
to   O
reach   O
out   O
to   O
the   O
medical   O
team   O
during   O
the   O
recovery   O
period   O
.   O

The   O
successful   O
management   O
of   O
Joyce   B-NAME
Shea   I-NAME
's   O
case   O
highlights   O
the   O
importance   O
of   O
prompt   O
medical   O
evaluation   O
and   O
intervention   O
in   O
cases   O
of   O
acute   O
abdominal   O
pain   O
suggestive   O
of   O
appendicitis   O
.   O

Patient   O
Name   O
:   O
Derick   B-NAME
Moss   I-NAME
Patient   O
ID   O
:   O
4   B-ID
-   I-ID
5154858   I-ID
Medical   O
Record   O
Number   O
:   O
6200594   B-ID
Date   O
of   O
Birth   O
:   O
06/08   B-DATE
Age   O
:   O
13s   O
Address   O
:   O
Tonbridge   B-LOCATION
,   O
45791   B-LOCATION
Employer   O
:   O
International   B-LOCATION
Service   I-LOCATION
for   I-LOCATION
Human   I-LOCATION
Rights   I-LOCATION
Occupation   O
:   O
Terrazzo   O
Workers   O
and   O
Finishers   O
Primary   O
Care   O
Physician   O
:   O

Horn   B-NAME
Hospital   O
:   O
Lankenau   B-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
Admission   O
Date   O
:   O
2241   B-DATE
Phone   O
:   O
(   B-CONTACT
529   I-CONTACT
)   I-CONTACT
458   I-CONTACT
-   I-CONTACT
5575   I-CONTACT
Username   O
:   O
eu1011   B-NAME
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Valorus   B-NAME
,   O
presented   O
to   O
the   O
emergency   O
department   O
at   O
Nemours   B-LOCATION
Children   I-LOCATION
's   I-LOCATION
Hospital   I-LOCATION
on   O
dec   B-DATE
2026   I-DATE
with   O
complaints   O
of   O
acute   O
abdominal   O
pain   O
,   O
specifically   O
in   O
the   O
lower   O
right   O
quadrant   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
.   O

History   O
of   O
Present   O
Illness   O
:   O
Selena   B-NAME
Lopez   I-NAME
mentioned   O
that   O
the   O
abdominal   O
discomfort   O
initially   O
started   O
as   O
a   O
mild   O
,   O
diffuse   O
ache   O
approximately   O
72   O
hours   O
prior   O
to   O
presentation   O
but   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
about   O
24   O
hours   O
before   O
seeking   O
medical   O
attention   O
.   O

The   O
associated   O
nausea   O
has   O
progressed   O
to   O
vomiting   O
,   O
with   O
the   O
patient   O
unable   O
to   O
retain   O
solids   O
since   O
Wednesday   B-DATE
,   I-DATE
April   I-DATE
.   O

Infant   B-NAME
Brewer   I-NAME
denies   O
any   O
recent   O
travels   O
outside   O
Pulaski   B-LOCATION
or   O
ingestion   O
of   O
unusual   O
foods   O
.   O

Past   O
Medical   O
History   O
:   O
Eveline   B-NAME
Claud   I-NAME
has   O
a   O
history   O
of   O
hypertension   O
and   O
was   O
diagnosed   O
with   O
Type   O
2   O
diabetes   O
mellitus   O
two   O
years   O
ago   O
.   O

Kyleigh   B-NAME
Keith   I-NAME
reports   O
regular   O
medication   O
compliance   O
.   O

Examination   O
Findings   O
:   O
Upon   O
examination   O
,   O
Kenneth   B-NAME
Mann   I-NAME
appeared   O
in   O
distress   O
due   O
to   O
pain   O
.   O

A   O
referral   O
to   O
Cobb   B-NAME
for   O
surgical   O
consultation   O
was   O
made   O
promptly   O
.   O

After   O
evaluation   O
by   O
ElBaradei   B-NAME
,   I-NAME
Mohamed   I-NAME
,   O
Benjamin   B-NAME
Earnest   I-NAME
was   O
admitted   O
to   O
Ranken   B-LOCATION
Jordan   I-LOCATION
Pediatric   I-LOCATION
Specialty   I-LOCATION
Hospital   I-LOCATION
for   O
further   O
management   O
.   O

Conclusion   O
:   O
Haven   B-NAME
Reid   I-NAME
,   O
a   O
86   O
-   O
year   O
-   O
old   O
salesman   O
,   O
presented   O
with   O
clinical   O
symptoms   O
suggestive   O
of   O
acute   O
appendicitis   O
.   O

For   O
any   O
further   O
inquiries   O
or   O
updates   O
on   O
the   O
patient   O
's   O
condition   O
,   O
please   O
contact   O
the   O
primary   O
care   O
team   O
at   O
118   B-CONTACT
-   I-CONTACT
2995   I-CONTACT
.   O

Saikat   B-NAME
Patel   I-NAME
Age   O
:   O
50   O
Date   O
of   O
Visit   O
:   O
04/06/2188   B-DATE
Medical   O
Record   O
Number   O
:   O
339   B-ID
-   I-ID
91   I-ID
-   I-ID
91   I-ID
-   I-ID
8   I-ID
ID   O
:   O
9   B-ID
-   I-ID
3991173   I-ID
Location   O
:   O

Keensburg   B-LOCATION
Phone   O
:   O
961   B-CONTACT
1649   I-CONTACT
ZIP   O
:   O

80022   B-LOCATION
Attending   O
Doctor   O
:   O
Mathis   B-NAME
Hospital   O
:   O
FirstHealth   B-LOCATION
Montgomery   I-LOCATION
Memorial   I-LOCATION
Hospital   I-LOCATION
Profession   O
:   O
writer   O
---   O
History   O
of   O
Present   O
Illness   O
:   O
Kane   B-NAME
Brock   I-NAME
,   O
a   O
Business   O
Continuity   O
Planners   O
of   O
59   O
years   O
old   O
,   O
presented   O
to   O
San   B-LOCATION
Joaquin   I-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
32/33/2315   B-DATE
with   O
complaints   O
of   O
acute   O
onset   O
,   O
severe   O
abdominal   O
pain   O
.   O

The   O
pain   O
was   O
described   O
as   O
crampy   O
in   O
nature   O
,   O
localized   O
to   O
the   O
umbilical   O
region   O
,   O
and   O
has   O
been   O
progressively   O
worsening   O
over   O
the   O
past   O
Sat   B-DATE
.   O

Blake   B-NAME
Simmons   I-NAME
reported   O
the   O
onset   O
of   O
symptoms   O
approximately   O
32   B-DATE
post   O
-   O
ingestion   O
of   O
street   O
food   O
from   O
a   O
vendor   O
in   O
Sylvia   B-LOCATION
.   O

Kymani   B-NAME
Walls   I-NAME
denies   O
any   O
recent   O
travel   O
history   O
,   O
sick   O
contacts   O
,   O
or   O
similar   O
episodes   O
in   O
the   O
past   O
.   O

Examination   O
:   O
Upon   O
examination   O
,   O
Sterling   B-NAME
Chiles   I-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

Management   O
and   O
Outcome   O
:   O
Gilberto   B-NAME
Torres   I-NAME
was   O
admitted   O
to   O
St.   B-LOCATION
Mary   I-LOCATION
Hospital   I-LOCATION
under   O
the   O
care   O
of   O
Tianna   B-NAME
Bonilla   I-NAME
for   O
supportive   O
treatment   O
and   O
monitoring   O
.   O

Over   O
the   O
course   O
of   O
the   O
next   O
11/21/2252   B-DATE
,   O
Sarah   B-NAME
Lynch   I-NAME
's   O
symptoms   O
gradually   O
improved   O
.   O

Nikolas   B-NAME
Curry   I-NAME
was   O
discharged   O
on   O
March   B-DATE
with   O
instructions   O
on   O
food   O
safety   O
and   O
oral   O
rehydration   O
solutions   O
.   O

Follow   O
-   O
Up   O
:   O
Richard   B-NAME
was   O
advised   O
to   O
follow   O
up   O
in   O
the   O
clinic   O
after   O
00/22/04   B-DATE
for   O
a   O
re   O
-   O
evaluation   O
and   O
to   O
discuss   O
the   O
final   O
culture   O
results   O
.   O

In   O
Summary   O
:   O
kenny   B-NAME
,   O
a   O
40   O
-   O
year   O
-   O
old   O
Urban   O
and   O
Regional   O
Planners   O
,   O
presented   O
with   O
acute   O
gastroenteritis   O
likely   O
secondary   O
to   O
the   O
ingestion   O
of   O
contaminated   O
food   O
.   O

Patient   O
Name   O
:   O
Edward   B-NAME
Xanthos   I-NAME
Medical   O
Record   O
Number   O
:   O
4302492   B-ID
Date   O
of   O
Birth   O
:   O
03/20   B-DATE
Address   O
:   O
Scarborough   B-LOCATION
,   O
13839   B-LOCATION
Phone   O
:   O
182   B-CONTACT
-   I-CONTACT
224   I-CONTACT
2742   I-CONTACT
Primary   O
Care   O
Physician   O
:   O
Dr.   O
Waters   B-NAME
Admitting   O
Hospital   O
:   O
Ascension   B-LOCATION
Genesys   I-LOCATION
Hospital   I-LOCATION
Date   O
of   O
Admission   O
:   O
December   B-DATE
Date   O
of   O
Discharge   O
:   O

Thursday   B-DATE
,   I-DATE
November   I-DATE
Age   O
:   O
67   O
Chief   O
Complaint   O
:   O

The   O
patient   O
,   O
Paulette   B-NAME
Yancy   I-NAME
,   O
a   O
Truck   O
Drivers   O
,   O
Light   O
or   O
Delivery   O
Services   O
,   O
presented   O
to   O
the   O
emergency   O
room   O
at   O
Bob   B-LOCATION
Wilson   I-LOCATION
Memorial   I-LOCATION
Grant   I-LOCATION
County   I-LOCATION
Hospital   I-LOCATION
–   I-LOCATION
Ulysses   I-LOCATION
on   O
32/22   B-DATE
with   O
complaints   O
of   O
severe   O
abdominal   O
pain   O
localized   O
in   O
the   O
right   O
lower   O
quadrant   O
,   O
nausea   O
,   O
and   O
a   O
visible   O
decrease   O
in   O
appetite   O
over   O
the   O
past   O
48   O
hours   O
.   O

The   O
patient   O
also   O
reported   O
experiencing   O
a   O
fever   O
peaking   O
at   O
101   O
°   O
F   O
.   O
History   O
of   O
Present   O
Illness   O
:   O
Following   O
an   O
initial   O
assessment   O
upon   O
admission   O
,   O
Dr.   O
Riley   B-NAME
reported   O
that   O
Frank   B-NAME
Choi   I-NAME
experienced   O
a   O
gradually   O
increasing   O
intensity   O
of   O
pain   O
,   O
initially   O
characterized   O
as   O
dull   O
and   O
diffuse   O
,   O
but   O
later   O
localized   O
to   O
the   O
right   O
lower   O
quadrant   O
,   O
indicating   O
possible   O
appendicitis   O
.   O

Past   O
Medical   O
History   O
:   O
Tom   B-NAME
Horton   I-NAME
has   O
a   O
history   O
of   O
Type   O
II   O
Diabetes   O
Mellitus   O
,   O
controlled   O
with   O
metformin   O
,   O
and   O
a   O
documented   O
allergy   O
to   O
penicillin   O
.   O

Social   O
History   O
:   O
Ken   B-NAME
Sylvester   I-NAME
is   O
a   O
salesperson   O
,   O
lives   O
in   O
881   B-LOCATION
Thatcher   I-LOCATION
Court   I-LOCATION
,   O
and   O
has   O
a   O
nonsmoking   O
status   O
.   O

Upon   O
physical   O
examination   O
,   O
Maddox   B-NAME
Nolan   I-NAME
's   O
vital   O
signs   O
were   O
as   O
follows   O
:   O
blood   O
pressure   O
130/85   O
mmHg   O
,   O
pulse   O
rate   O
98   O
beats   O
/   O
min   O
,   O
respiratory   O
rate   O
19   O
breaths   O
/   O
min   O
,   O
and   O
temperature   O
was   O
recorded   O
at   O
100.4   O
°   O
F   O
orally   O
.   O

Management   O
Plan   O
:   O
Dr.   O
Tristian   B-NAME
Hubbard   I-NAME
recommended   O
an   O
immediate   O
surgical   O
consultation   O
for   O
appendectomy   O
.   O

Amirah   B-NAME
Frederick   I-NAME
was   O
informed   O
about   O
the   O
findings   O
and   O
the   O
need   O
for   O
surgery   O
.   O

The   O
surgery   O
was   O
successfully   O
performed   O
on   O
22   B-DATE
-   I-DATE
Jan-2351   I-DATE
at   O
Buffalo   B-LOCATION
General   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
without   O
any   O
complications   O
.   O

Post   O
-   O
operatively   O
,   O
Oglesby   B-NAME
was   O
advised   O
on   O
wound   O
care   O
,   O
signs   O
of   O
infection   O
,   O
and   O
was   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
2   O
weeks   O
'   O
time   O
.   O

Discharge   O
Instructions   O
:   O
Judith   B-NAME
Bergstrom   I-NAME
was   O
instructed   O
to   O
minimize   O
physical   O
activity   O
and   O
to   O
gradually   O
increase   O
as   O
tolerated   O
over   O
the   O
next   O
few   O
weeks   O
.   O

The   O
patient   O
was   O
also   O
advised   O
to   O
monitor   O
for   O
signs   O
of   O
infection   O
around   O
the   O
wound   O
site   O
and   O
was   O
given   O
a   O
246   B-CONTACT
-   I-CONTACT
330   I-CONTACT
1210   I-CONTACT
number   O
to   O
call   O
in   O
case   O
of   O
any   O
questions   O
or   O
concerns   O
.   O

Follow   O
-   O
Up   O
:   O
Dye   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
appointment   O
with   O
Dr.   O
Finley   B-NAME
Odom   I-NAME
at   O
Othello   B-LOCATION
Community   I-LOCATION
Hospital   I-LOCATION
on   O
30/39   B-DATE
for   O
a   O
post   O
-   O
operative   O
check   O
and   O
to   O
discuss   O
the   O
pathology   O
report   O
.   O

This   O
report   O
was   O
prepared   O
by   O
QZ768   B-NAME
on   O
10/10   B-DATE
.   O

Patient   O
ID   O
:   O
287   B-ID
90   I-ID
32   I-ID
4   I-ID
Date   O
of   O
Report   O
:   O
2231   B-DATE
Subject   O
:   O
Medical   O
Evaluation   O
of   O
Anne   B-NAME
Kane   I-NAME
34s   O
Years   O
Old   O
Patient   O
Summary   O
:   O
Presenting   O
Complaint   O
:   O

The   O
patient   O
,   O
Alena   B-NAME
Cole   I-NAME
,   O
presented   O
to   O
the   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Chestertown   I-LOCATION
on   O
13/32   B-DATE
with   O
a   O
primary   O
complaint   O
of   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
,   O
which   O
they   O
described   O
as   O
worsening   O
over   O
the   O
past   O
two   O
weeks   O
.   O

al   B-NAME
-   I-NAME
Sahaf   I-NAME
,   I-NAME
Muhammed   I-NAME
Saeed   I-NAME
also   O
noted   O
an   O
intermittent   O
fever   O
,   O
peaking   O
at   O
38.5   O
°   O
C   O
,   O
and   O
episodes   O
of   O
chills   O
.   O

Medical   O
History   O
:   O
WX   B-NAME
has   O
a   O
history   O
of   O
type   O
2   O
diabetes   O
and   O
was   O
diagnosed   O
with   O
hypertension   O
three   O
years   O
ago   O
,   O
for   O
which   O
they   O
are   O
on   O
medication   O
.   O

Family   O
History   O
:   O
No   O
significant   O
family   O
history   O
noted   O
for   O
Maximillian   B-NAME
Roivas   I-NAME
.   O

Social   O
History   O
:   O
Eden   B-NAME
Wolfe   I-NAME
is   O
a   O
Infantry   O
Officers   O
,   O
living   O
in   O
Western   B-LOCATION
with   O
their   O
family   O
.   O

Besides   O
the   O
persistent   O
cough   O
and   O
shortness   O
of   O
breath   O
mentioned   O
,   O
Lainey   B-NAME
Winters   I-NAME
denied   O
any   O
chest   O
pain   O
or   O
palpitations   O
.   O
-   O
Gastrointestinal   O
:   O
No   O
changes   O
in   O
appetite   O
,   O
nausea   O
,   O
vomiting   O
,   O
or   O
diarrhea   O
reported   O
.   O
-   O
Neurological   O
:   O
No   O
headaches   O
,   O
dizziness   O
,   O
or   O
loss   O
of   O
consciousness   O
.   O
-   O
Musculoskeletal   O
:   O
No   O
muscle   O
pain   O
or   O
joint   O
swelling   O
.   O

Physical   O
Examination   O
:   O
Upon   O
examination   O
,   O
Valladares   B-NAME
appeared   O
mildly   O
distress   O
due   O
to   O
breathing   O
difficulty   O
.   O

Management   O
Plan   O
:   O
Esmeralda   B-NAME
Torres   I-NAME
was   O
admitted   O
to   O
University   B-LOCATION
of   I-LOCATION
Maryland   I-LOCATION
Shore   I-LOCATION
Medical   I-LOCATION
Center   I-LOCATION
at   I-LOCATION
Dorchester   I-LOCATION
under   O
the   O
care   O
of   O
Dr.   O
Hodges   B-NAME
for   O
further   O
management   O
of   O
suspected   O
bacterial   O
pneumonia   O
.   O

Outpatient   O
Follow   O
-   O
up   O
:   O
Good   B-NAME
is   O
scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
two   O
weeks   O
post   O
-   O
discharge   O
to   O
assess   O
recovery   O
progress   O
and   O
adjust   O
medications   O
as   O
necessary   O
.   O

The   O
follow   O
-   O
up   O
appointment   O
is   O
scheduled   O
with   O
Dr.   O
Schultz   B-NAME
at   O
Alegent   B-LOCATION
Health   I-LOCATION
Mercy   I-LOCATION
Hospital   I-LOCATION
.   O

Next   O
of   O
kin   O
has   O
been   O
listed   O
as   O
Yousif   B-NAME
's   O
spouse   O
,   O
reachable   O
at   O
(   B-CONTACT
383   I-CONTACT
)   I-CONTACT
615   I-CONTACT
-   I-CONTACT
2559   I-CONTACT
.   O

Consent   O
:   O
Informed   O
consent   O
was   O
obtained   O
from   O
Zaiden   B-NAME
Madden   I-NAME
for   O
all   O
procedures   O
and   O
treatments   O
.   O

Shenna   B-NAME
Travis   I-NAME
also   O
consented   O
to   O
the   O
release   O
of   O
medical   O
information   O
to   O
their   O
family   O
and   O
SMART   B-LOCATION
Recovery   I-LOCATION
as   O
required   O
.   O

This   O
medical   O
report   O
contains   O
confidential   O
health   O
information   O
belonging   O
to   O
Eve   B-NAME
Barton   I-NAME
.   O

If   O
you   O
are   O
not   O
the   O
intended   O
recipient   O
,   O
please   O
contact   O
the   O
sender   O
at   O
828   B-CONTACT
-   I-CONTACT
5454   I-CONTACT
and   O
destroy   O
all   O
copies   O
of   O
the   O
original   O
message   O
.   O

Report   O
prepared   O
by   O
:   O
Stevenson   B-NAME
,   I-NAME
Adlai   I-NAME
,   O
3   B-DATE
-   I-DATE
23   I-DATE
Contact   O
Information   O
:   O
217   B-CONTACT
188   I-CONTACT
-   I-CONTACT
7905   I-CONTACT
|   O
Wamego   B-LOCATION
|   O
91753   B-LOCATION

Ayden   B-NAME
Oneal   I-NAME
Patient   O
ID   O
:   O
MF641/2888   B-ID
Medical   O
Record   O
Number   O
:   O
6070204   B-ID
Date   O
of   O
Visit   O
:   O
October   B-DATE
Location   O
of   O
Visit   O
:   O
Palms   B-LOCATION
of   I-LOCATION
Pasadena   I-LOCATION
Hospital   I-LOCATION
,   O
Lavina   B-LOCATION
,   O
29093   B-LOCATION
Primary   O
Care   O
Provider   O
:   O
Brandt   B-NAME
Contact   O
Number   O
:   O
685   B-CONTACT
-   I-CONTACT
6010   I-CONTACT
History   O
of   O
Present   O
Illness   O
:   O
Singer   B-NAME
,   O
a   O
97   O
-   O
year   O
-   O
old   O
Psychotherapist   O
from   O
Loop   B-LOCATION
,   O
presented   O
to   O
the   O
clinic   O
on   O
30   B-DATE
with   O
complaints   O
of   O
severe   O
,   O
episodic   O
headache   O
predominantly   O
on   O
the   O
right   O
side   O
of   O
the   O
head   O
for   O
the   O
past   O
2263   B-DATE
.   O

German   B-NAME
Oxendine   I-NAME
reported   O
associated   O
symptoms   O
including   O
photophobia   O
,   O
phonophobia   O
,   O
and   O
nausea   O
.   O

Episodes   O
have   O
been   O
increasing   O
in   O
frequency   O
over   O
the   O
past   O
16/20/67   B-DATE
,   O
occurring   O
about   O
4   O
times   O
per   O
month   O
.   O

Patterson   B-NAME
has   O
a   O
family   O
history   O
of   O
migraine   O
but   O
denies   O
any   O
personal   O
or   O
family   O
history   O
of   O
seizure   O
disorder   O
.   O

Examination   O
and   O
Findings   O
:   O
Upon   O
examination   O
,   O
Aletha   B-NAME
appeared   O
to   O
be   O
in   O
moderate   O
distress   O
due   O
to   O
pain   O
.   O

A   O
neurological   O
examination   O
was   O
conducted   O
by   O
Bender   B-NAME
which   O
did   O
not   O
reveal   O
any   O
focal   O
neurological   O
deficits   O
.   O

A   O
magnetic   O
resonance   O
imaging   O
(   O
MRI   O
)   O
of   O
the   O
brain   O
,   O
ordered   O
on   O
8/03   B-DATE
,   O
showed   O
no   O
acute   O
intracranial   O
abnormalities   O
.   O

3   O
.   O
Follow   O
-   O
up   O
:   O
Scheduled   O
for   O
a   O
follow   O
-   O
up   O
visit   O
in   O
06/08/2218   B-DATE
to   O
reassess   O
the   O
effectiveness   O
of   O
the   O
treatment   O
plan   O
and   O
to   O
make   O
any   O
necessary   O
adjustments   O
.   O

Instructions   O
for   O
Patient   O
:   O
-   O
June   B-NAME
Francis   I-NAME
is   O
to   O
monitor   O
headache   O
frequency   O
,   O
duration   O
,   O
and   O
intensity   O
while   O
taking   O
the   O
prescribed   O
medication   O
.   O

-   O
Roberson   B-NAME
was   O
advised   O
to   O
avoid   O
known   O
migraine   O
triggers   O
such   O
as   O
certain   O
foods   O
,   O
inadequate   O
sleep   O
,   O
and   O
high   O
stress   O
levels   O
.   O
-   O
Edison   B-NAME
,   I-NAME
Thomas   I-NAME
Alva   I-NAME
is   O
to   O
return   O
to   O
the   O
clinic   O
or   O
contact   O
559   B-CONTACT
-   I-CONTACT
2178   I-CONTACT
for   O
any   O
concerns   O
,   O
worsening   O
of   O
symptoms   O
,   O
or   O
side   O
effects   O
of   O
medications   O
.   O

This   O
plan   O
was   O
discussed   O
with   O
Cecelia   B-NAME
Fitzpatrick   I-NAME
,   O
who   O
expressed   O
understanding   O
of   O
the   O
management   O
plan   O
and   O
consented   O
to   O
the   O
proposed   O
treatments   O
.   O

Report   O
Prepared   O
By   O
:   O
Ewing   B-NAME
4/10/62   B-DATE
Confidentiality   O
Notice   O
:   O

Patient   O
Name   O
:   O
Morrissey   B-NAME
Patient   O
ID   O
:   O
GQ671/5189   B-ID
Medical   O
Record   O
Number   O
:   O
6883212   B-ID
Age   O
:   O
23   O
Date   O
of   O
Admission   O
:   O
12/58   B-DATE
Phone   O
Number   O
:   O
37758   B-CONTACT
Address   O
:   O
Willsboro   B-LOCATION
,   O
66514   B-LOCATION

Yoder   B-NAME
Treating   O
Hospital   O
:   O
Virginia   B-LOCATION
Hospital   I-LOCATION
Center   I-LOCATION
Employment   O
Information   O
:   O
Command   O
and   O
Control   O
Center   O
Officers   O
at   O
Canadian   B-LOCATION
Office   I-LOCATION
and   I-LOCATION
Professional   I-LOCATION
Employees   I-LOCATION
Union   I-LOCATION
Clinical   O
Summary   O
:   O
Mariana   B-NAME
Kemp   I-NAME
,   O
a   O
68   O
-   O
year   O
-   O
old   O
Training   O
and   O
development   O
officer   O
employed   O
at   O
North   B-LOCATION
Georgia   I-LOCATION
EMC   I-LOCATION
,   O
presented   O
to   O
Syringa   B-LOCATION
General   I-LOCATION
Hospital   I-LOCATION
on   O
0   B-DATE
-   I-DATE
21   I-DATE
-   I-DATE
75   I-DATE
with   O
complaints   O
of   O
persistent   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
episodes   O
of   O
vomiting   O
over   O
the   O
past   O
72   O
hours   O
.   O

The   O
patient   O
noted   O
the   O
onset   O
of   O
symptoms   O
shortly   O
after   O
consuming   O
dinner   O
at   O
a   O
new   O
restaurant   O
in   O
Wayne   B-LOCATION
.   O

Greeley   B-NAME
,   I-NAME
Horace   I-NAME
denied   O
any   O
recent   O
travel   O
history   O
,   O
contact   O
with   O
sick   O
individuals   O
,   O
or   O
similar   O
past   O
episodes   O
.   O

On   O
physical   O
examination   O
,   O
Jessie   B-NAME
Lynn   I-NAME
appeared   O
in   O
mild   O
distress   O
due   O
to   O
pain   O
.   O

Abdominal   O
and   O
pelvic   O
CT   O
scan   O
with   O
contrast   O
performed   O
on   O
11/93   B-DATE
indicated   O
suspicion   O
for   O
acute   O
diverticulitis   O
in   O
the   O
sigmoid   O
colon   O
.   O

The   O
patient   O
was   O
admitted   O
under   O
the   O
care   O
of   O
Dr.   O
Jaylon   B-NAME
French   I-NAME
for   O
further   O
management   O
.   O

Dietary   O
recommendations   O
were   O
made   O
upon   O
discharge   O
on   O
00/02   B-DATE
,   O
along   O
with   O
a   O
follow   O
-   O
up   O
appointment   O
scheduled   O
with   O
Miah   B-NAME
Norman   I-NAME
in   O
two   O
weeks   O
to   O
reassess   O
the   O
condition   O
.   O

In   O
conclusion   O
,   O
Walter   B-NAME
's   O
presentation   O
of   O
lower   O
abdominal   O
pain   O
,   O
nausea   O
,   O
and   O
vomiting   O
was   O
diagnosed   O
as   O
acute   O
diverticulitis   O
.   O

For   O
any   O
additional   O
information   O
or   O
changes   O
in   O
condition   O
,   O
please   O
contact   O
Ottumwa   B-LOCATION
Regional   I-LOCATION
Health   I-LOCATION
Center   I-LOCATION
at   O
(   B-CONTACT
481   I-CONTACT
)   I-CONTACT
530   I-CONTACT
-   I-CONTACT
6969   I-CONTACT
.   O

